...Remote Robotic Surgery in Germany By: Christopher Redman MIS535 I will discuss how robots entered our lives, and this has historical roots after the play by the author Karel Capek, then those robots entered all aspects of our lives, and my topic is the medical field; the first robotic usage was performed in 1987, and there was many drawbacks to those first experiences such as restricted degrees of motion, decreased sense of touch, and .increased sensitivity to hand movement. The main issues that surrounds this procedures is safety measures and maintenance, as there is no grantee that the computer systems of robot is going to work in high safe. Other issues comes from the cost, since robotic surgery is more expensive than traditional, this will make it unavailable for public hospitals, and those who are poor may not be able to benefit from this technology, but this transfer from traditional methods in medicine must happen, as technology affected all aspects of our lives. Robot might sound as a very modern scientific invention, but it is not as the first time “robot” was introduced and coined was in 1921, in a play written by the Czech writer Karel Capek, and since then robots took a place in many aspects of our lives, they also take place in dangerous and highly precise tasks, such as aviation, and here we will discuss the medical usage of robots, starting from the history, to political and economic questions, also Psychological considerations...
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...Mazor Robotics Renaissance is a robotic spine surgery guidance system that enables safe and accurate spinal surgery. The Mazor Robotics technology is a massive advancement in back and spine surgery as well as surgical techniques in general, moving the surgeon from 100% freehand methods to sophisticated software and robotic-guided procedures. “The accuracy rate of pedicle screw positioning with the system was found to be 98.5 percent, and no neurological, vascular or dural damage was observed in the case series” (Mazor). The technology is incredibly precise due to its guided instrumentation and image based planning, which has enabled accuracy in spinal surgical procedures that have never before been achievable. Renaissance is providing tremendous...
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...My computing innovation is Surgical Robots, essentially anything related to robots in the field of surgery. The Da Vinci Surgical System’s purpose and function is to allow cuts, sutures, and other procedures to be more precise than would be possible for a surgeon to do by hand to allow for a faster recovery time for the patient. My artifact illustrates the function of the Da Vinci Surgical System by giving examples of what it can do, as shown in the sutures example, and what fields of surgery it is a part of. 2b. I used Microsoft Word to develop my artifact. The first thing I did was find several pictures that would show the function of my innovation then I saved them on to my computer. Afterwards, I inserted all of them into my Word Document....
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...While surgical robotics will have a significant impact on surgical practice, it presents challenges so much in the realm of legal issues of medicine and health care. Robotic surgery may open new avenues in the near future in surgical practice. However, in robotic surgery, special training and experience along with high quality assessment are required in order to provide normal conscientious care and state-of-the-art treatment. While the legal basis for professional liability remains exactly the same, litigation with the use of robotic surgery may be complex. In case of an undesirable outcome, in addition to physician and hospital, the manufacturer of the robotic system may be sued. In respect to ethical issues in robotic surgery, equipment safety and reliability, provision of adequate information, and maintenance of confidentiality are all of paramount importance. Also, the cost of robotic surgery and the lack of such systems in most of the public hospitals may restrict the majority from the benefits offered by the new technology. http://www.ncbi.nlm.nih.gov/pubmed/20224537 Litigation after cybersurgery, i.e. remote robotic surgery, will be complex. In addition to being able to sue physicians and hospitals, patients who sustain an adverse outcome after cybersurgery will have the potential to sue the robotic manufacturer and the telecommunications company. Moreover, cybersurgery litigation will involve laws that are generally unfamiliar to healthcare providers. Accordingly...
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...Robotic Surgery The robotic surgery system market is predominantly run by a surgical system currently known as: Da Vinci; however, the Raven II is another system that is out there and is making an impact on robotic surgery research and studies. There are obvious differences between both systems and their capabilities, but we will investigate further. Additionally, there are a significant number of surgeries that are being performed by the da Vinci surgical robots in hospitals and in regards to research. The Raven II surgical robot is opening doors of opportunity for technological advancement purposes. All this is a driving effort to better improve healthcare services in relations to minimally invasive surgical procedures and to drive the advancement of this technology through industry collaboration. The da Vinci surgical system was originally developed in the former Stanford Research Institute under contract to the U.S. Army; however, the idea of introducing a product for commercial applications was the route taken by Intuitive Surgical in an effort to find different applications for minimally invasive surgical procedures. Every aspect of the da Vinci robotic system is proprietary which includes both the production and assembly of the hardware and software. This closed model approach has allowed Intuitive Surgical to monopolize the surgical robot system market. Results of the success they have had, as of May 2013 they were listed as number eight on the Forbes list for innovative...
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...continues to lead the surgical robotic market in both market penetration and revenue stream. This company continues its reach to surgeons and patients globally through its opportunity to offer minimally invasive solutions with latest technology. Faced with environmental changes and new competition on the horizon, Intuitive Surgical has some challenges to face while maintaining positive results for investors. Overview This paper is based on research performed on Intuitive Surgical Inc, (NASDAQ: ISRG) and includes details about company’s line of business, place within its industry, and overall business situation as it is perceived by its customer based. Certain company financials will be introduced, analyzed, and discussed throughout the paper to help describe the perspective of value that this company has to investors and consumers alike. An industry analysis will help explain the strengths, weaknesses, and challenges this company faces amidst policy changes and increasing competition. Line of Business and Overall Business Situation Intuitive Surgical, Inc. is a leader in minimally invasive robotic-assisted surgery and competes in the global market. This company has capitalized on the growing demand from surgeons and patients desiring minimally invasive procedures across many surgical disciplines. In January of 1999, the da Vinci System was launched and was the first robotic surgical system cleared by the FDA for general laparoscopic surgery. The FDA cleared the da...
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...movable figures. Since then there has been major breakthrough in robotics. Working in the hospital for the first time was a very interesting experience for me. As I was walking down the hallway I was suddenly shocked at what I saw. There was a robot roaming the hall. At first I had no idea what it was and what it was doing in the hospital. I later learned that this robot played a very essential role at the hospital. The robot transferred medication to and from the pharmacy. A lot of hospitals nowadays use robots like the one I had seen which looked like to be roaming the halls. The reason that hospitals use such robots is it makes the transportation of medication safer since there is no longer a need to have to worry about anyone steeling any medication. The robot can also collect a patients sample and deliver the patients sample to a doctor or the labs for work. These robots can automatically adjust to its environment by adding new parts of the hospital to its internal map. The robot is also able to overcome any obstacle that is put in its path by using inferred sensors and cameras to tell when a person is walking anywhere around it and can stop or divert around such an obstacle. One day these robots are going to be running the hospital making it safer when it comes to having to deal with dangerous material or when having to be around radiation. Today surgery is done in an innovated way. Surgery today is much safer than it was a few years ago. Today the doctors...
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...After viewing the Da Vinci Surgical system, I must admit it was a very interesting way of doing surgery. It is done by having the real surgeon working the console that controls the robot’s arms. As of now there is no way to program the equipment, but in time, I believe this will become a reality, with the age of technology advancing quickly; robots will be able to work alone without the aid of an actual person. At this time there is only one company that makes this robotic surgical system. They would like to make this procedure the standard for surgeries by encouraging surgeons and hospitals to adapt this technique. The cost to the hospital will be between $1 and $2.3 million depending on the model purchased. Plus, there is a service agreement that ranges from $100,000 to $170,000 per year. This alone will be a huge expense that the hospital has to endure and the patients will also feel the cost through the rising medical costs. There are some hospitals that have approved and have endorsed the robotic surgery are being better than conventional surgery, but there are not enough clinical trials proving this statement (M.D, 2013). To understand if the hospital facility should use robotic surgery, several things have to be considered. The first one being is the size of the community and how many hospitals there are. If there are less than 25 thousand and have only 1 to 2 hospitals, it would not be a viable solution to the community, if it was to occur and the need was minimal...
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...The lobotomy was a procedure that was done to disconnect the frontal lobe from the rest of the brain. At first the procedure was welcomed but then people started to realize that it was unsafe, unsanitary, and inhumane. This procedure was made famous by a man named Walter Freeman. Walter Freeman was a nice looking and well educated man. He had learned of a procedure done by Dr. Moniz where you disconnect the frontal lobe from the rest of the brain and Walter decided to use it himself. Dr. Freeman renamed the procedure the lobotomy and he performed approximately 5,000 of them. That’s not all that Walter did, he taught other employees in mental hospitals how to do them and approximately 50,000 lobotomies were performed in the U.S. One of Dr....
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...institutions, focus on leading surgeons to drive rapid and broad adoption, maintain market leadership, and increase patient awareness. By creating industry alliances, companies can collaborate with each other to create innovative ideas together so that the best products can be produced. Under developing industry alliances, Intuitive Surgical “will continue to establish strategic alliances with leader medical device companies… in areas of product development, training, and procedure development and marketing activities” (Hoffman, 2010). By focusing on key institutions, “the firm focuses on academic and community hospitals” (Hoffman, 2010). The company will ensure customer and patient satisfaction by bestowing the knowledge needed to use their robotic systems. Also, by increasing patient awareness through the Internet, Intuitive Surgical “will educate potential...
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...During the early part of the 1900s, interest was piqued by Goltz’s experiment. It thrived during the 1930s and 1940s, yet around the 50s serious thought was put into the repercussions of such a surgery. The idea of lobotomization was shown in the 1972 film One Flew Over the Cuckoo’s Nest and it affected the main character, McMurphy, in much the same way people around the world were affected. McMurphy became practically a vegetable after the lobotomy. This film showed how lobotomies could transform a cheerful person and alter them into a moody person who hardly spoke. It goes to show how impactful and how negative lobotomies have been in the world of...
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...Robotic Surgery To Stay Or Not Too Stay The use of surgical robots has increased greatly and is continuing to grow. Although these robots are already being used they have advantages as well as disadvantages. Surgical robots are only going to improve the outcomes for the patients, surgeons, and hospitals and will keep improving as time goes on, overcoming the disadvantages that are seen today. Many different types of robots are being used to carry out surgical procedures such as the Endowrist, AESOP, Zeus, PROBOT, ROBODOC, SOCRATES and the da Vinci being the most popular. Also there are many specific types of surgical procedures that are being carried out robotically such as urological, gynecological, cardiac, and general surgeries. “Shorter hospital stays, smaller incisions, less blood loss, quicker recovery, less painful, reduced rates of bacterial infections and blood transfusions, eliminating the surgeons hand tremors, more comfort and decrease in fatigue for the surgeon, 3D view, superior suturing skills, reverse fulcrum” are some of the advantages that affect the patient. Disadvantages involved with robot assisted surgery are “high cost, the large size of the robot, lack of compatible instruments and equipment, lengthy set up times, longer operative times, lack of haptic tactile feedback,” but are believed to disappear with more research and time. Surgical robots could be the most successful and most used technology in surgery in the future. “A surgical robot...
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...Robotic Surgery Deborah Martin, ROBOTIC SURGERY ༉ Introduction ༉ Advantages & Disadvantages ༉ How Robotic Surgery Works ༉ Conclusion Robotic Surgery Mostly paying consideration on reducing the invasiveness of the surgical procedure Robotic Surgery • Computer supported surgery • Surgeon operates the machine to do the operation • Surgeon uses one or more technique to control the instrument • While operate the operation the Surgeon uses remote or directly the computer to manage those instrument AESOP Endoscope Positioner robotic system ༉ Computer Motion, Inc developed the AESOP Endoscope Positioner robotic system and in 1993 this became the first robot approved by the FDA for surgery. ༉ AESOP Endoscope Positioner is a voiceactivated robotic system for endoscopic surgery. ZEUS® Surgical System ༉ Computer Motion, Inc introduced the ZEUS® Surgical System in 1998. ༉ ZEUS® Surgical System consists of : ༉ Surgeon control console ༉ Three table mounted robotic arms Da Vinci Surgical system ༉ ༉ ༉ ༉ ༉ Intuitive Surgery, Inc. created the da Vinci Surgical system and approved in 1997 by FDA. July 2000 it become the first laparoscopic surgical robotic. The da Vinci system consists of: A Surgeon console A patient side cart Four robotic arms (the three arms of the da Vinci system holds the operation instruments and the fourth arm has a camera with two lenses...
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...Plesnarski………………………33 10. Moral & Ethical Implications by Karen Quaderer…………………………… 39 11. Bibliography…………………………………………………………………….47 Abstract In this research paper our team will look at the use of Robotic Technology in the medical field, more specifically in the surgical field as well as discuss the issues and implications surrounding the topic. Our discussion will include topics ranging from the history and development of robots that can be found in surgical rooms, political concerns regarding the Food and Drug Administration and their requirements to approve use of these robots, the legal aspect of robotic technology on how to determine which party is held liable in case of accidents or malfunctions that can lead to injury and a legal case that shows the difficulty to prove fault against a manufacturer. Also discussed will be the economic ramifications on our society, psychological, sociological, cultural, moral and ethical impacts on human life, in particular the patients that undergo surgery involving a robotic surgical system, and the environmental impacts of robotics in surgery. It is our hope that through this research paper that we are able to explain to and educate our readers on the impacts of Robotic Surgery as this type of surgery is becoming more popular with doctors in order to...
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...8/16/14 The Benefits and disadvantages of remotes and robotic surgery Robotic surgeries is a new technology that has drastically changed the health and medicine aspects by giving hope and promises in finding ways to cure patients. Robotic surgery is a new revolution and is one of the most used methods in hospitals. Until todays date the robotic and remote devices has increased their used in hospitals and clinics, and there is no doubt that their use will decrease because they have succeed in the past. As the time pass, robots and surgery remotes take a big picture in hospitals, but that doesn’t mean they are replacing humans. In fact they improved their knowledge and their ability skills to operate small and larger incisions. Robotic surgeries has helped many hospitals stability for patients and has increase the opportunities to complete multiple operation with less time that was used before. There are many types of robotic surgeries, and each work depending on the patient’s needs. Several types of robotic surgeries may be used depending on the patients and they can be used to treat different conditions. Furthermore, there are patients that don’t qualified for this types of surgeries because they don’t have the resistance to survive this operations, or they don’t have the financial requirement to pay for a surgery. Every new technology has their ups and downs, and robotic surgery does not stay behind. Before robotic surgeries and remotes to hits the process of maturity stage, they...
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