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Technological Innovations in Gynecology

An Insightful Conversation with Prof. Dr. Nándor Ács

We conducted an interview with Prof. Dr. Nándor Ács regarding the future of gynecology and the development of gynecological medical devices. Prof. Dr. Ács is the director of the Department of Obstetrics and Gynecology at Semmelweis University and the president of the Hungarian Society of Obstetricians and Gynecologists. Enjoy your reading.


From your perspective, what have been some of the most significant changes and what are the emerging trends in medical device development for gynecology?

In recent years, the field of gynecology has witnessed remarkable advancements driven by technological innovation. One of the most significant changes has been the evolution of minimally invasive surgical techniques. Procedures that once required large incisions can now often be performed through small keyhole incisions. In most cases today, we utilize laparoscopic or hysteroscopic solutions conducting operations with endoscopic instruments. Additionally, the introduction of robotic-assisted surgery 10-15 years ago has enabled surgeons to perform complex procedures with enhanced precision and control. Today, we now rely entirely on minimally invasive procedures, which means there is a substantially higher demand for medical devices.


What do you think is the future of gynecology? Will this trend continue?

Yes, from the perspective of patients, these minimally invasive solutions are undoubtedly the best, as we perform so-called keyhole surgeries on them, and essentially, they feel well the next day and can quickly return to work, which is also in the interest of employers. This solution is favorable for insurance companies as well, as they only need to reimburse for a 2-day hospital stay instead of the previous 2 weeks. For doctors, the surgery has become somewhat more complex, but we greatly enjoy working with such highly advanced medical devices, such as those manufactured by MedRes.


What do you consider the key factors that will drive innovation in gynecological medical devices?

Two thoughts come to my mind. On one hand, there is a high demand from patients, doctors, and insurance companies for these minimally invasive surgeries to be realized. On the other hand, immense technological advancements pursued by companies, including robotics, advanced imaging systems, and miniaturized instruments, will play a crucial role in enabling more precise and less invasive procedures.  Collaboration between healthcare professionals, engineers, and researchers will be essential for identifying unmet clinical needs and designing innovative solutions to address them.


In your view, what are the most pressing women’s health issues that need more attention in medical research and practice today?

We can identify four major surgical groups. Among female surgeries, there are many oncological surgeries, which are the most challenging surgeries. We frequently perform surgeries on women with endometriosis, and this field necessitates a significant demand for specialized medical devices. Furthermore, we perform surgeries on many patients with pelvic organ prolapse and fibroids.


How does Hungary’s approach to gynecological medical device development compare with international practices?

Hungary’s approach to gynecological medical device development is comparable to international practices. Hungarian hospitals, adopt internationally proven medical devices. Fortunately, there are many excellent Hungarian companies with incredible innovations and developments, such as MedRes. Moreover, Hungary’s regulatory framework for medical device approval aligns with European Union regulations, ensuring that devices developed in Hungary adhere to rigorous safety and quality standards recognized internationally.

Compared to the United States, Hungarian hospitals tend to use disposable devices less frequently, preferring cost-effective recycling instead.


Can you describe the nature of the projects you have worked on with MedRes and the roles each party played? 

We’re discussing a professional relationship and friendship that has developed over 20 years between MedRes and myself. Our collaboration commenced during the final clinical trial phase of a MedRes device designed for polyp and fibroid removal, which took place at our clinic.  It became evident to MedRes engineers that I held a keen interest in development and technical aspects, also offering them valuable insights and ideas. Recognizing their significant engineering potential, I subsequently became involved in the early development stages, aiding in the testing of initial device prototypes. This testing occurred first in their development workshop, then in the pathology institute, and ultimately, I personally conducted live surgery tests at Semmelweis University Hospital.


What makes the collaboration with MedRes unique or particularly effective?

I found the attitude and practicality of the technical team members I met at MedRes to be very convincing. The company operates with an extremely creative and highly knowledgeable team, enabling swift and efficient communication between us.

Our collaboration starts with the engineers presenting me with the initial version of the device I handle it, test it, and provide feedback, suggesting potential modifications such as different sizes or shapes. Subsequently, they refine it based on my comments and present the next version two weeks later. This cycle continues until both the engineers, and I are satisfied that the device is user-friendly and will function effectively. As someone with a technical interest, it’s a great feeling to be involved in development projects from the beginning, witnessing the journey from inception to the creation of an excellent medical device.


How do you see the relationship with MedRes evolving in the future, and are there any long-term projects you are particularly excited about?

Yes, since I have full confidence in the team, I have just brought forward an idea, and the engineers at MedRes will assist in its technical implementation and prototype manufacturing if they feel the idea is feasible. I can’t reveal much about the project, but I can say that the use of this new device would significantly enhance the safety of major gynecological surgeries.

I am confident that our strong professional and personal relationship will continue to lead to successful solutions in future developments, as our bond has deepened over the 20 years of collaboration. Initially, I only assisted in testing the devices, then I became involved in the development process, and now I also exclusively turn to MedRes for implementing my ideas.