{
  "id": "AIBD-0119",
  "title": "Awake robot-guided surgery removes a 4 cm brain hemorrhage from a 58-year-old man at Tam Anh General Hospital, Ho Chi Minh City",
  "summary": "Awake surgery guided by the Modus V Synaptive robot removed a 58-year-old stroke patient's 4 cm clot at Tam Anh Hospital; full recovery.",
  "date_observed": "2023-08-10",
  "date_basis": "unassessed",
  "date_precision": "unassessed",
  "benefit_status": null,
  "source_collection": null,
  "source_entry": null,
  "account": "On 10 August 2023 a 58-year-old man, Mr. Hải, reached Tam Anh General Hospital at 14:00. He was drowsy and weak over 24 hours after a hemorrhagic stroke. Magnetic resonance imaging (MRI) showed a clot up to 4 cm pressing on motor and language areas. Surgery began at 17:00 under local anesthesia. First the Modus V Synaptive robot's AI fused MRI, DTI, computed tomography (CT) and DSA scans into one 3D view of fiber tracts and clot. There neurosurgeon Chu Tấn Sĩ rehearsed the approach. In surgery its traffic-light warnings policed the path while the awake patient talked and moved on request. About 40 ml of clot came out in just over 30 minutes. CT later showed none left and he went home on day six.",
  "category": "protective response",
  "unexpected": false,
  "purpose": "Tam Anh launched the Modus V Synaptive robot in May 2023 for brain tumor, hemorrhagic stroke and other neurosurgery. It shows fiber tracts on fused images, allows 3D rehearsal and warns when the instrument leaves the planned path. This use was that purpose.",
  "system": "Modus V Synaptive robotic digital microscope with Neuro-Navigation AI (image fusion, fiber-tract display, surgical simulation, trajectory warnings)",
  "model_version": "Modus V™",
  "developer": "Synaptive Medical Inc. (Toronto)",
  "deployer": "Tam Anh General Hospital, Ho Chi Minh City",
  "location": "Ho Chi Minh City, Vietnam",
  "domain": "Healthcare (neurosurgery)",
  "segment": "Haemorrhagic stroke surgery",
  "benefit_type": "Improved Physical Health",
  "taxonomy_note": null,
  "registry_ids": {
    "oecd_aim": "2023-08-14-9862"
  },
  "ratings": [
    {
      "group": "personal",
      "depth": 3,
      "reason": "The surgeons said that without urgent surgery he faced hemiplegia, speech loss, blurred vision or death. After the guided awake operation CT showed no residual clot. His movement, vision and cognition were normal and he went home on day six. The life-saving element belongs to the operation as a whole. The robot's own contribution was preserving function."
    }
  ],
  "ai_role": {
    "status": "assessed",
    "statement": "The sources attribute three things to the robot's AI. It fused MRI, DTI, CT and DSA into one 3D image showing fiber tracts and clot. It allowed a rehearsal so the skull opening and path avoided the tracts. It gave green-amber-red warnings during surgery when the instrument strayed from the planned path. Clot removal, hemostasis and the awake function tests were done by the surgical and anesthesia teams. No source compares this with conventional surgery for this patient. None says what in the system is machine learning rather than image processing, so the counterfactual is unproven. One sentence in two reports calls the patient Mr. Vinh; all otherwise call him Mr. Hải."
  },
  "evidence": [
    {
      "kind": "news report",
      "citation": "VietNamNet (2023). Người bệnh hát trong lúc được robot AI mổ não. VietNamNet, Sức khỏe.",
      "title": "Người bệnh hát trong lúc được robot AI mổ não",
      "url": "https://vietnamnet.vn/nguoi-benh-hat-trong-luc-duoc-robot-ai-mo-nao-2177047.html",
      "date": "2023-08-14",
      "written_by": "independent",
      "quote": "Nếu không mổ khẩn cấp, người bệnh đối mặt liệt nửa người, nói khó, nhìn mờ, thậm chí tử vong."
    },
    {
      "kind": "news report",
      "citation": "Ngân D. / Báo Đầu Tư (2023). Tin mới về y tế ngày 14/8: Người bệnh hát trong lúc được robot AI mổ não. Báo Đầu Tư.",
      "title": "Tin mới về y tế ngày 14/8: Người bệnh hát trong lúc được robot AI mổ não",
      "url": "https://baodautu.vn/tin-moi-ve-y-te-ngay-148-nguoi-benh-hat-trong-luc-duoc-robot-ai-mo-nao-d196299.html",
      "date": "2023-08-14",
      "written_by": "independent",
      "quote": "Ông Hải (58 tuổi) bị đột quỵ xuất huyết não đã hơn 24 giờ, được mổ lấy máu tụ tỉnh thức bằng robot AI"
    },
    {
      "kind": "press release",
      "citation": "Tam Anh General Hospital (2023). Người bệnh hát trong lúc được robot AI mổ não. Hospital case news (deployer's account).",
      "title": "Người bệnh hát trong lúc được robot AI mổ não",
      "url": "https://tamanhhospital.vn/tin-tuc/nguoi-benh-hat-trong-luc-duoc-robot-ai-mo-nao/",
      "date": "2023-08-18",
      "written_by": "deployer",
      "quote": "kết quả chụp CT 768 lát cắt cho thấy không còn máu tụ trong não, vận động, thị giác và nhận thức của người bệnh hoàn toàn bình thường"
    },
    {
      "kind": "press release",
      "citation": "Tam Anh General Hospital (2023). Ra mắt robot mổ não duy nhất Việt Nam tại BVĐK Tâm Anh TP.HCM. Hospital news (system launch).",
      "title": "Ra mắt robot mổ não duy nhất Việt Nam tại BVĐK Tâm Anh TP.HCM",
      "url": "https://tamanhhospital.vn/tin-tuc/ra-mat-robot-mo-nao-duy-nhat-viet-nam-tai-bvdk-tam-anh-tphcm/",
      "date": "2023-05-29",
      "written_by": "deployer",
      "quote": "Robot có thể giúp bác sĩ thấy rõ các bó sợi thần kinh, các mô não lành xung quanh khối u, vùng tổn thương não"
    },
    {
      "kind": "press release",
      "citation": "Synaptive Medical (2020). Synaptive Medical Announces Product Update to Flagship Surgical Technology, Modus V. Company press release, Toronto.",
      "title": "Synaptive Medical Announces Product Update to Flagship Surgical Technology, Modus V",
      "url": "https://www.synaptivemedical.com/news/synaptive-medical-announces-product-update-to-flagship-surgical-technology-modus-v-tm-automated-robotic-microscope",
      "date": "2020-01-15",
      "written_by": "makers",
      "quote": "a fully automated robotic digital microscope designed to assist surgeons in the operating room"
    }
  ],
  "replication": {
    "produced_by": [
      "A large (4 cm) hemorrhagic-stroke clot compressing motor and language areas in a patient still able to cooperate with awake surgery",
      "A hospital that owns the Modus V Synaptive robot with navigation software and a team trained to run it",
      "Pre-operative fusion of MRI, DTI, CT and DSA and a simulated approach that avoids fiber tracts",
      "Local anesthesia and intensive-care anesthesiology able to keep the patient awake and stable for function testing"
    ],
    "must_hold": [
      "Surgery within hours of arrival. The surgeon notes about two million brain cells are lost per minute after a stroke",
      "The surgeon follows the rehearsed trajectory and heeds the robot's warnings",
      "Awake testing during clot removal so any tract injury is noticed immediately"
    ],
    "echoes": []
  },
  "paired_incident": null,
  "headline": "Modus V Synaptive guides awake removal of a 4 cm brain clot",
  "metric": "About 40 ml of clot came out in just over 30 minutes",
  "comparator": {
    "against": "conventional (traditional) brain surgery under general anesthesia",
    "before": "nếu mổ theo phương pháp truyền thống, nguy cơ di chứng cao (high risk of sequelae with the traditional method)",
    "after": "khi được mổ lấy máu tụ tỉnh thức bằng robot AI, ông có thể song ca cùng bác sĩ ngay khi đang mổ (awake robot-assisted clot removal while talking and singing)",
    "basis": "assumed",
    "quote": "Ông Hải (58 tuổi) bị đột quỵ xuất huyết não đã hơn 24 giờ, dần lơ mơ yếu liệt, nếu mổ theo phương pháp truyền thống, nguy cơ di chứng cao nhưng khi được mổ lấy máu tụ tỉnh thức bằng robot AI, ông có thể song ca cùng bác sĩ ngay khi đang mổ.",
    "url": "https://tamanhhospital.vn/tin-tuc/nguoi-benh-hat-trong-luc-duoc-robot-ai-mo-nao/"
  },
  "later": {
    "status": "unknown",
    "date": null,
    "note": "No report on the patient after discharge on day six was found in the cited sources.",
    "quote": null,
    "url": null
  },
  "value": null,
  "developer_country": "Canada",
  "deployer_country": "Vietnam",
  "unrated_because": null,
  "brief_notes": null,
  "brief": null,
  "revisions": [
    {
      "date": "2026-10-20",
      "change": "Record drafted from the OECD Monitor entry and the cited sources.",
      "source": "https://oecd.ai/en/incidents/2023-08-14-9862",
      "editor": "AIBD"
    },
    {
      "date": "2026-10-21",
      "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Knowledge Discovery among the six first used.",
      "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/",
      "editor": "AIBD"
    },
    {
      "date": "2026-10-21",
      "change": "Added what the benefit is measured against, the model version from the cited sources.",
      "source": "https://tamanhhospital.vn/tin-tuc/nguoi-benh-hat-trong-luc-duoc-robot-ai-mo-nao/; https://www.synaptivemedical.com/news/synaptive-medical-announces-product-update-to-flagship-surgical-technology-modus-v-tm-automated-robotic-microscope",
      "editor": "AIBD"
    },
    {
      "date": "2026-10-21",
      "change": "Country of the developer and the deployer added from the organization's own site or a registry.",
      "source": "https://www.synaptivemedical.com/contact-us/; https://tamanhhospital.vn/",
      "editor": "AIBD"
    },
    {
      "date": "2026-10-21",
      "change": "Prose pass: a rating reason, account, purpose, the replication conditions, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.",
      "source": null,
      "editor": "AIBD"
    }
  ],
  "confidence": "reported",
  "shade": "medium",
  "claim_status": "Independently reported",
  "claim_basis": "Sources: two independent news reports, the makers' press release and two press releases from the deployer. The cited evidence includes no independent study or report and no finding by a regulator or court.",
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      "evaluations[].exposure": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial",
        "family": "evaluations"
      },
      "evaluations[].id": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial",
        "family": "evaluations"
      },
      "evaluations[].measurement_method": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial",
        "family": "evaluations"
      },
      "evaluations[].metric": {
        "state": "not_assessed",
        "provenance": {
          "kind": "legacy_record",
          "basis": "Mapped from the existing case description without a new external source review.",
          "record_fields": [
            "metric"
          ],
          "source_refs": []
        },
        "review_state": "not_assessed",
        "coverage": "partial",
        "family": "evaluations",
        "display": {
          "answer": "About 40 ml of clot came out in just over 30 minutes",
          "editor_note": ""
        }
      },
      "evaluations[].reproduction_materials": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial",
        "family": "evaluations"
      },
      "evaluations[].setting_sample": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial",
        "family": "evaluations"
      },
      "evaluations[].uncertainty_limitations": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial",
        "family": "evaluations"
      },
      "external_references[]": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "registry_ids": {
              "oecd_aim": "2023-08-14-9862"
            }
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "registry_ids"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "follow_up[]": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "later": {
              "status": "unknown",
              "note": "No report on the patient after discharge on day six was found in the cited sources."
            }
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "later"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "human_oversight": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "id": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "id": "AIBD-0119"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "id"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "infrastructure_dependencies[]": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "outcomes[].beneficiaries": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "outcomes[].beneficiary_count": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "outcomes[].benefit_type": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "benefit_type": "Improved Physical Health"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "benefit_type"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "outcomes[].claim": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "account": "On 10 August 2023 a 58-year-old man, Mr. Hải, reached Tam Anh General Hospital at 14:00. He was drowsy and weak over 24 hours after a hemorrhagic stroke. Magnetic resonance imaging (MRI) showed a clot up to 4 cm pressing on motor and language areas. Surgery began at 17:00 under local anesthesia. First the Modus V Synaptive robot's AI fused MRI, DTI, computed tomography (CT) and DSA scans into one 3D view of fiber tracts and clot. There neurosurgeon Chu Tấn Sĩ rehearsed the approach. In surgery its traffic-light warnings policed the path while the awake patient talked and moved on request. About 40 ml of clot came out in just over 30 minutes. CT later showed none left and he went home on day six.",
            "benefit_type": "Improved Physical Health"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
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            "benefit_type"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "outcomes[].distribution": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "outcomes[].duration": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "outcomes[].id": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "outcomes[].stakeholder_group": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "ratings": [
              {
                "group": "personal",
                "depth": 3,
                "reason": "The surgeons said that without urgent surgery he faced hemiplegia, speech loss, blurred vision or death. After the guided awake operation CT showed no residual clot. His movement, vision and cognition were normal and he went home on day six. The life-saving element belongs to the operation as a whole. The robot's own contribution was preserving function."
              }
            ]
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "ratings"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "outcomes[].status": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "outcomes[].tradeoffs": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "outcomes[].unexpected": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "unexpected": false,
            "purpose": "Tam Anh launched the Modus V Synaptive robot in May 2023 for brain tumor, hemorrhagic stroke and other neurosurgery. It shows fiber tracts on fused images, allows 3D rehearsal and warns when the instrument leaves the planned path. This use was that purpose."
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "unexpected",
            "purpose"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "places[]": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "location": "Ho Chi Minh City, Vietnam",
            "developer_country": "Canada",
            "deployer_country": "Vietnam"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "location",
            "developer_country",
            "deployer_country"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "purpose": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "purpose": "Tam Anh launched the Modus V Synaptive robot in May 2023 for brain tumor, hemorrhagic stroke and other neurosurgery. It shows fiber tracts on fused images, allows 3D rehearsal and warns when the instrument leaves the planned path. This use was that purpose."
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "purpose"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "record_dates": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "date_observed": "2023-08-10",
            "revisions": [
              {
                "date": "2026-10-20",
                "change": "Record drafted from the OECD Monitor entry and the cited sources.",
                "source": "https://oecd.ai/en/incidents/2023-08-14-9862",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-21",
                "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Knowledge Discovery among the six first used.",
                "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-21",
                "change": "Added what the benefit is measured against, the model version from the cited sources.",
                "source": "https://tamanhhospital.vn/tin-tuc/nguoi-benh-hat-trong-luc-duoc-robot-ai-mo-nao/; https://www.synaptivemedical.com/news/synaptive-medical-announces-product-update-to-flagship-surgical-technology-modus-v-tm-automated-robotic-microscope",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-21",
                "change": "Country of the developer and the deployer added from the organization's own site or a registry.",
                "source": "https://www.synaptivemedical.com/contact-us/; https://tamanhhospital.vn/",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-21",
                "change": "Prose pass: a rating reason, account, purpose, the replication conditions, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.",
                "editor": "AIBD"
              }
            ]
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "date_observed",
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          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "replication.attempts[]": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "replication.conditions": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "replication": {
              "produced_by": [
                "A large (4 cm) hemorrhagic-stroke clot compressing motor and language areas in a patient still able to cooperate with awake surgery",
                "A hospital that owns the Modus V Synaptive robot with navigation software and a team trained to run it",
                "Pre-operative fusion of MRI, DTI, CT and DSA and a simulated approach that avoids fiber tracts",
                "Local anesthesia and intensive-care anesthesiology able to keep the patient awake and stable for function testing"
              ],
              "must_hold": [
                "Surgery within hours of arrival. The surgeon notes about two million brain cells are lost per minute after a stroke",
                "The surgeon follows the rehearsed trajectory and heeds the robot's warnings",
                "Awake testing during clot removal so any tract injury is noticed immediately"
              ],
              "echoes": []
            }
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "replication"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "revision_history[]": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "revisions": [
              {
                "date": "2026-10-20",
                "change": "Record drafted from the OECD Monitor entry and the cited sources.",
                "source": "https://oecd.ai/en/incidents/2023-08-14-9862",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-21",
                "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Knowledge Discovery among the six first used.",
                "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-21",
                "change": "Added what the benefit is measured against, the model version from the cited sources.",
                "source": "https://tamanhhospital.vn/tin-tuc/nguoi-benh-hat-trong-luc-duoc-robot-ai-mo-nao/; https://www.synaptivemedical.com/news/synaptive-medical-announces-product-update-to-flagship-surgical-technology-modus-v-tm-automated-robotic-microscope",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-21",
                "change": "Country of the developer and the deployer added from the organization's own site or a registry.",
                "source": "https://www.synaptivemedical.com/contact-us/; https://tamanhhospital.vn/",
                "editor": "AIBD"
              },
              {
                "date": "2026-10-21",
                "change": "Prose pass: a rating reason, account, purpose, the replication conditions, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.",
                "editor": "AIBD"
              }
            ]
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "revisions"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "sector": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "domain": "Healthcare (neurosurgery)",
            "segment": "Haemorrhagic stroke surgery"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "domain",
            "segment"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "sources[].access_version": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "sources[].citation_locator": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "evidence": [
              {
                "kind": "news report",
                "citation": "VietNamNet (2023). Người bệnh hát trong lúc được robot AI mổ não. VietNamNet, Sức khỏe.",
                "title": "Người bệnh hát trong lúc được robot AI mổ não",
                "url": "https://vietnamnet.vn/nguoi-benh-hat-trong-luc-duoc-robot-ai-mo-nao-2177047.html",
                "date": "2023-08-14",
                "written_by": "independent",
                "quote": "Nếu không mổ khẩn cấp, người bệnh đối mặt liệt nửa người, nói khó, nhìn mờ, thậm chí tử vong."
              },
              {
                "kind": "news report",
                "citation": "Ngân D. / Báo Đầu Tư (2023). Tin mới về y tế ngày 14/8: Người bệnh hát trong lúc được robot AI mổ não. Báo Đầu Tư.",
                "title": "Tin mới về y tế ngày 14/8: Người bệnh hát trong lúc được robot AI mổ não",
                "url": "https://baodautu.vn/tin-moi-ve-y-te-ngay-148-nguoi-benh-hat-trong-luc-duoc-robot-ai-mo-nao-d196299.html",
                "date": "2023-08-14",
                "written_by": "independent",
                "quote": "Ông Hải (58 tuổi) bị đột quỵ xuất huyết não đã hơn 24 giờ, được mổ lấy máu tụ tỉnh thức bằng robot AI"
              },
              {
                "kind": "press release",
                "citation": "Tam Anh General Hospital (2023). Người bệnh hát trong lúc được robot AI mổ não. Hospital case news (deployer's account).",
                "title": "Người bệnh hát trong lúc được robot AI mổ não",
                "url": "https://tamanhhospital.vn/tin-tuc/nguoi-benh-hat-trong-luc-duoc-robot-ai-mo-nao/",
                "date": "2023-08-18",
                "written_by": "deployer",
                "quote": "kết quả chụp CT 768 lát cắt cho thấy không còn máu tụ trong não, vận động, thị giác và nhận thức của người bệnh hoàn toàn bình thường"
              },
              {
                "kind": "press release",
                "citation": "Tam Anh General Hospital (2023). Ra mắt robot mổ não duy nhất Việt Nam tại BVĐK Tâm Anh TP.HCM. Hospital news (system launch).",
                "title": "Ra mắt robot mổ não duy nhất Việt Nam tại BVĐK Tâm Anh TP.HCM",
                "url": "https://tamanhhospital.vn/tin-tuc/ra-mat-robot-mo-nao-duy-nhat-viet-nam-tai-bvdk-tam-anh-tphcm/",
                "date": "2023-05-29",
                "written_by": "deployer",
                "quote": "Robot có thể giúp bác sĩ thấy rõ các bó sợi thần kinh, các mô não lành xung quanh khối u, vùng tổn thương não"
              },
              {
                "kind": "press release",
                "citation": "Synaptive Medical (2020). Synaptive Medical Announces Product Update to Flagship Surgical Technology, Modus V. Company press release, Toronto.",
                "title": "Synaptive Medical Announces Product Update to Flagship Surgical Technology, Modus V",
                "url": "https://www.synaptivemedical.com/news/synaptive-medical-announces-product-update-to-flagship-surgical-technology-modus-v-tm-automated-robotic-microscope",
                "date": "2020-01-15",
                "written_by": "makers",
                "quote": "a fully automated robotic digital microscope designed to assist surgeons in the operating room"
              }
            ]
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
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          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "sources[].id": {
        "state": "value_present",
        "value": {
          "kind": "identifiers",
          "identifiers": [
            "AIBD-0119-source-0001",
            "AIBD-0119-source-0002",
            "AIBD-0119-source-0003",
            "AIBD-0119-source-0004",
            "AIBD-0119-source-0005"
          ],
          "role": "Existing evidence items, in their original order"
        },
        "provenance": {
          "kind": "curatorial",
          "basis": "Stable within the fingerprinted record version; no source content or source review has been added.",
          "record_fields": [],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "complete"
      },
      "sources[].language": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "sources[].relationship": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "evidence": [
              {
                "kind": "news report",
                "citation": "VietNamNet (2023). Người bệnh hát trong lúc được robot AI mổ não. VietNamNet, Sức khỏe.",
                "title": "Người bệnh hát trong lúc được robot AI mổ não",
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                "written_by": "independent",
                "quote": "Nếu không mổ khẩn cấp, người bệnh đối mặt liệt nửa người, nói khó, nhìn mờ, thậm chí tử vong."
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              {
                "kind": "news report",
                "citation": "Ngân D. / Báo Đầu Tư (2023). Tin mới về y tế ngày 14/8: Người bệnh hát trong lúc được robot AI mổ não. Báo Đầu Tư.",
                "title": "Tin mới về y tế ngày 14/8: Người bệnh hát trong lúc được robot AI mổ não",
                "url": "https://baodautu.vn/tin-moi-ve-y-te-ngay-148-nguoi-benh-hat-trong-luc-duoc-robot-ai-mo-nao-d196299.html",
                "date": "2023-08-14",
                "written_by": "independent",
                "quote": "Ông Hải (58 tuổi) bị đột quỵ xuất huyết não đã hơn 24 giờ, được mổ lấy máu tụ tỉnh thức bằng robot AI"
              },
              {
                "kind": "press release",
                "citation": "Tam Anh General Hospital (2023). Người bệnh hát trong lúc được robot AI mổ não. Hospital case news (deployer's account).",
                "title": "Người bệnh hát trong lúc được robot AI mổ não",
                "url": "https://tamanhhospital.vn/tin-tuc/nguoi-benh-hat-trong-luc-duoc-robot-ai-mo-nao/",
                "date": "2023-08-18",
                "written_by": "deployer",
                "quote": "kết quả chụp CT 768 lát cắt cho thấy không còn máu tụ trong não, vận động, thị giác và nhận thức của người bệnh hoàn toàn bình thường"
              },
              {
                "kind": "press release",
                "citation": "Tam Anh General Hospital (2023). Ra mắt robot mổ não duy nhất Việt Nam tại BVĐK Tâm Anh TP.HCM. Hospital news (system launch).",
                "title": "Ra mắt robot mổ não duy nhất Việt Nam tại BVĐK Tâm Anh TP.HCM",
                "url": "https://tamanhhospital.vn/tin-tuc/ra-mat-robot-mo-nao-duy-nhat-viet-nam-tai-bvdk-tam-anh-tphcm/",
                "date": "2023-05-29",
                "written_by": "deployer",
                "quote": "Robot có thể giúp bác sĩ thấy rõ các bó sợi thần kinh, các mô não lành xung quanh khối u, vùng tổn thương não"
              },
              {
                "kind": "press release",
                "citation": "Synaptive Medical (2020). Synaptive Medical Announces Product Update to Flagship Surgical Technology, Modus V. Company press release, Toronto.",
                "title": "Synaptive Medical Announces Product Update to Flagship Surgical Technology, Modus V",
                "url": "https://www.synaptivemedical.com/news/synaptive-medical-announces-product-update-to-flagship-surgical-technology-modus-v-tm-automated-robotic-microscope",
                "date": "2020-01-15",
                "written_by": "makers",
                "quote": "a fully automated robotic digital microscope designed to assist surgeons in the operating room"
              }
            ]
          }
        },
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          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
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        },
        "review_state": "record_mapped",
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        "state": "not_assessed",
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        "coverage": "partial"
      },
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        "state": "not_assessed",
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        "coverage": "partial",
        "family": "strategic assessments"
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        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "summary": "Awake surgery guided by the Modus V Synaptive robot removed a 58-year-old stroke patient's 4 cm clot at Tam Anh Hospital; full recovery.",
            "account": "On 10 August 2023 a 58-year-old man, Mr. Hải, reached Tam Anh General Hospital at 14:00. He was drowsy and weak over 24 hours after a hemorrhagic stroke. Magnetic resonance imaging (MRI) showed a clot up to 4 cm pressing on motor and language areas. Surgery began at 17:00 under local anesthesia. First the Modus V Synaptive robot's AI fused MRI, DTI, computed tomography (CT) and DSA scans into one 3D view of fiber tracts and clot. There neurosurgeon Chu Tấn Sĩ rehearsed the approach. In surgery its traffic-light warnings policed the path while the awake patient talked and moved on request. About 40 ml of clot came out in just over 30 minutes. CT later showed none left and he went home on day six."
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "summary",
            "account"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "systems[].autonomy_permissions": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "systems[].component_role": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "systems[].deployment_configuration": {
        "state": "value_present",
        "value": {
          "kind": "text",
          "text": "The deployment used the Modus V system."
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Separated the model, software, hardware, or operation already described in the existing record. No new source review is claimed.",
          "record_fields": [
            "model_version",
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            "ai_role"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "systems[].inputs_outputs": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "systems[].model_name": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "systems[].model_version": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "model_version": "Modus V™"
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        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "model_version"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial",
        "display": {
          "answer": "Exact release not established.",
          "editor_note": ""
        }
      },
      "systems[].product_name": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "system": "Modus V Synaptive robotic digital microscope with Neuro-Navigation AI (image fusion, fiber-tract display, surgical simulation, trajectory warnings)"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "system"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "systems[].provider": {
        "state": "value_present",
        "value": {
          "kind": "structured",
          "data": {
            "application_developer": "Synaptive Medical Inc. (Toronto)"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Mapped from the existing case description without a new external source review.",
          "record_fields": [
            "developer"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "taxonomy_crosswalks[]": {
        "state": "not_assessed",
        "review_state": "not_assessed",
        "coverage": "partial"
      },
      "title": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "title": "Awake robot-guided surgery removes a 4 cm brain hemorrhage from a 58-year-old man at Tam Anh General Hospital, Ho Chi Minh City",
            "headline": "Modus V Synaptive guides awake removal of a 4 cm brain clot"
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "title",
            "headline"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      },
      "version": {
        "state": "value_present",
        "value": {
          "kind": "identifiers",
          "identifiers": [
            "e603a114bf59fa1fabdce8892a052cad025e112d8e70282017cf0e55fdaae32f"
          ],
          "role": "SHA-256 of normalized original case data"
        },
        "provenance": {
          "kind": "curatorial",
          "basis": "Deterministic content version assigned by the local migration.",
          "record_fields": [],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "complete"
      },
      "workflow": {
        "state": "value_present",
        "value": {
          "kind": "record_fields",
          "fields": {
            "account": "On 10 August 2023 a 58-year-old man, Mr. Hải, reached Tam Anh General Hospital at 14:00. He was drowsy and weak over 24 hours after a hemorrhagic stroke. Magnetic resonance imaging (MRI) showed a clot up to 4 cm pressing on motor and language areas. Surgery began at 17:00 under local anesthesia. First the Modus V Synaptive robot's AI fused MRI, DTI, computed tomography (CT) and DSA scans into one 3D view of fiber tracts and clot. There neurosurgeon Chu Tấn Sĩ rehearsed the approach. In surgery its traffic-light warnings policed the path while the awake patient talked and moved on request. About 40 ml of clot came out in just over 30 minutes. CT later showed none left and he went home on day six.",
            "replication": {
              "produced_by": [
                "A large (4 cm) hemorrhagic-stroke clot compressing motor and language areas in a patient still able to cooperate with awake surgery",
                "A hospital that owns the Modus V Synaptive robot with navigation software and a team trained to run it",
                "Pre-operative fusion of MRI, DTI, CT and DSA and a simulated approach that avoids fiber tracts",
                "Local anesthesia and intensive-care anesthesiology able to keep the patient awake and stable for function testing"
              ],
              "must_hold": [
                "Surgery within hours of arrival. The surgeon notes about two million brain cells are lost per minute after a stroke",
                "The surgeon follows the rehearsed trajectory and heeds the robot's warnings",
                "Awake testing during clot removal so any tract injury is noticed immediately"
              ],
              "echoes": []
            }
          }
        },
        "provenance": {
          "kind": "legacy_record",
          "basis": "Preserved from the existing AIBD record; external sources were not rechecked.",
          "record_fields": [
            "account",
            "replication"
          ],
          "source_refs": []
        },
        "review_state": "record_mapped",
        "coverage": "partial"
      }
    },
    "summary": {
      "total": 91,
      "addressed": 91,
      "known": 31,
      "reviewed": 0,
      "record_mapped": 31,
      "not_assessed": 60,
      "complete": false,
      "by_state": {
        "value_present": 31,
        "not_reported": 0,
        "unresolved": 0,
        "not_assessed": 60,
        "not_applicable": 0,
        "withheld": 0,
        "source_unavailable": 0
      }
    }
  }
}
