...The Basic ABCs of Minimally Invasive Spine Surgery Minimally Invasive Spine Surgery (MISS) is neither new nor experimental. Advanced technology provides surgeons with the tools to alleviate the debilitating neck and back pain felt by their patients. The main reasons that people have MISS are to either stabilize an unusual or abnormal movement within the spine or to decompress some spinal cord or pinched nerve pain and pressure. MISS successfully treats a number of spinal disorders while offering several advantages over traditional open surgery. With MISS there is little scarring, less post-operative discomfort and pain, lower risk of post-operative infections, less muscle and tendon damage, and a quicker recovery time. Depending on the reason for the operation, most MISS patients are able to resume their normal daily activities within a few weeks. Some patients will need physical therapy to regain their spinal strength while other patients may require less movement...
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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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...Laser spine surgery is just one of the many options available to relieve the symptoms and causes of spinal pain. If you require back surgery, your doctor can advise you on what will work best for your condition, but it helps to know a little bit yourself so here are a few facts about this type of surgery. How Does Laser Spine Surgery Work? In a nutshell, a laser spine surgeon uses a laser, similar to the one used in eye surgery, rather than a scalpel to make incisions and remove damaged tissue using the heat of the laser (not the light itself as is commonly assumed). Lasers aren’t used for the entire procedure, sometimes they are only needed for a very short time during the operation and used alongside other minimally invasive surgical techniques....
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...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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...Learn more on Spine and Neuro Surgery Hospital India. Lumbar Disc Prolapse Overview: A lumbar disc prolapse, also known as slipped disc or herniated disc, is a condition where a fragment of the soft central disc material squeezes out due to pressure through a tear in the annulus (disc capsule). A prolapsed fragment may compress an adjacent nerve root or the multiple roots to cause the neurological symptoms. Our discs deteriorate with age, the inner nucleus in our disc, which is like a soft gel dries out and becomes less spongy. The outer annulus is also at risk for cracking or splitting as it becomes brittle with age. If this spilt extends through the annulus, then the nucleus can squeeze out into the spinal canal, thereby pushes the nerves. Let us understand the facts about this disorder. Lumbar Disc...
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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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...MAZOR ROBOTICS LTD. ENTERPRISE VALUATION September, 2014 1 1. Executive Summary 2. Company Profile 1.1. Overview 1.2. Business Model 1.4. General Financial Analysis 1.5. Ownership Summary 3. Market Overview 1.1. Company Market 1.2. Competition 1.3. Robotic Surgery Systems Industry 1.4. Regulation 1.5. SWOT 4. Financial Analysis 1.1.1. Financial Statements Summary 1.1.2. Revenue 1.1.3. Operating Expenses 1.1.4. Balance Sheet 1.1.5. Finance Expenses 1.1.7. Cash 5. Enterprise Value 1.1.5. Methodology 1.1.6. General Valuation Assumptions 1.1.7. WAAC 1.1.8. Evaluation Chart 3 4 4 5 5 6 6 6 6 6 7 8 8 9 9 10 11 11 Net 12 13 13 13 14 DCF 14 2 1. Executive Summary We have been engaged to estimate the fair market value of the business enterprise known as Mazor Robotics, Ltd. (below “Business Enterprise”) as of September 30, 2014 for the purpose of learning and exploring the valuation of the subject as a part of the semester paper. This estimate of value analysis is based on the use of fair market value as the standard of value. For the point at the matter of this analysis, fair market value is defined as the expected price at which the business would change hands between a willing buyer and a willing seller1, based on its future evaluation income, neither being under a constraint to close the deal and both having full conversance of all the relevant facts. This is nearly similar to the market value basis definition as it is stated under the International Valuation Standards2...
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...It all started on Jan. 19, 1911, when the Elizabeth Steel Magee Hospital opened in the Christopher L. Magee homestead known as The Maples, located on Forbes Avenue and Halket Street. Upon Mr. Magee’s death in 1901, he stipulated in his will that after his wife’s death, the estate should be used to build and endow a hospital. This institution would be named Elizabeth Steel Magee Hospital, in honor of his mother, and would “be open to the sick and injured of all classes without respect to their religion, creed, color, or previous condition ... I especially desire the admission to this hospital of all females who may apply for admission thereto for lying-in purposes and as to all such I direct that they be admitted without any question asked as to their lives or names,” Mr. Magee directed. And so was the birth of Magee-Womens Hospital of UPMC. This month, Magee begins a yearlong celebration of 100 years of excellence in the care of women and infants, which started in 1911 with just 14 new mothers and their babies. Since Mrs. Alfred Birdsall gave birth to the first Magee baby on Jan. 19, 1911, more than 500,000 babies have been born at Magee during the last 100 years, and outpatient visits have grown to 200,000 a year. During World War I, the hospital closed temporarily in 1918 while it was leased to the United States Army for treatment of stricken soldiers. This was during the worst influenza epidemic in U.S. history. The hospital reopened in 1920, and a nurses’ home...
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...Kyphoplasty Recovery Time Thinning of the bones of the spine (vertebrae) due to osteoporosis can cause painful compression fractures. Surgical treatment (kyphoplasty) may be needed for this type of condition. It involves injection of a special kind of cement into the vertebrae. If that sounds scary, you might also wonder about kyphoplasty recovery time. Read on to know more about this surgical procedure. Part 1: Kyphoplasty Recovery Time Kyphoplasty is done to treat pain caused by compression fracture of the spinal bones. This minimally invasive procedure is often used in patients with osteoporosis of the backbone. Aside from relieving pain, it also aims to stabilize the spine and to restore height to the bones, which is reduced due to compression....
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...general, each of these conditions will cause the sufferer to have chronic back pain, and may include pain that radiates to other areas of the body. While stretching and realigning the spine works for most patients, it is not a viable solution for everyone. Persons who have prolonged muscle spasms and pain, a slipped disc, pain after spinal surgery was attempted, and sciatica should all benefit from spinal decompression. Also, those who are diagnosed with stenosis, degenerative disc disease, and facet syndrome will see improvement through the procedure. In certain instances, spinal decompression must occur through a surgical procedure. These procedures can be minimally aggressive, or quite invasive. Only a physician or chiropractor can determine if a surgical spinal decompression is necessary for the individual treatment. Accomplishing spinal decompression through surgery is not without risk. While science and technology has come a long way, there is still the chance that something could go wrong. The chiropractor and staff at the Hoover Health and Wellness Center can offer a non surgical alternative for spinal decompression. Their method skips the anesthesia and lengthy post surgical recovery time, and also heavily decreases the cost. Using safe mechanical traction, the pressure on the spine can be alleviated, right in their office. ...
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...Strengths The Behavioral Health Unit provides psychiatric care for adults in a comfortable and confidential environment. Treatment is individualized to meet each patient's unique needs on three separate units. The facility treats a wide variety of psychiatric illnesses. For example, psychotic disorders, mood disorders, and substance-related disorders. Their specialist and technicians interdisciplinary team is composed of psychiatrists, psychologists, social workers, group therapists, nursing staff and psychiatric rehabilitation therapists. Miracles their Detox Program consists of alcoholism and addiction professional treatment. The Detox program at the Brotman, offers a range of chemical dependency treatment options. They offer an inpatient care for adults that need medical supervision during detox as well as relief from stressors that can trigger destructive behavior. The Treatment program allows patients to return to home or sober living after a full day of treatment, and the Outpatient Program allows individuals to continue working during the day and attend treatment in the evening. An Aftercare Program provides follow up by offering a meeting one night a week for a year. Together they design an individualized treatment plan to provide group therapy and therapeutic activities seven days per week in a supportive environment. With many hospital closing their Behavior Health Unit, Brotman has the advantages of admitting the patients from the facilities that are closing down in...
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...New Medical Devices in the US August 13 2010 Table of Contents 1. Introduction……………………………………………………………………………………………………………………………………2 2. Background and Framework……………………………………………………………………………………………………………4 2.1 Priority Medical Devices for the Netherlands…..……………………………………………………………………4 2.2 The US Vision: From see and treat to predict and prevent……………………………………………………6 2.3 Conclusions…………………………………………………………………………………………………………………………..7 3. Medical device sector in the US………………………………………………………………………………………………………8 3.1 Economic Impact…..………………………………………………………………………………………………………………8 3.2 The Sector by State…..…………………………………………………………………………………………………………10 3.3 Key Institutes: Patent Applications in the Cluster Areas…..………………………………………………….13 3.4 Conclusions…..…………………………………………………………………………………………………………………….20 4. Turning research into novel medical devices………………………………………………………………………………….22 4.1 The Medical Device Development Process…..……………………………………………………………………..22 4.2 CIMIT: A Structure for Medical Device Innovation…..………………………………………………………….23 4.3 Stanford Biodesign: Innovation as a Discipline…..………………………………………………………………..26 4.4 Conclusions and Recommendations…..……………………………………………………………………………….28 5. Summary and Conclusions…………………………………………………………………………………………………………….30 6. Acknowledgements……………………………………………………………………………………………………………………….32 7. References…………………………………………………………………………………………………………………………………….33 Appendices A1 Selection of Key Institutes A2 Results Patent Analysis A3 Research...
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...• Sample size: the sample was calculated to be 16 case 8 cases in surgical management group and 8 cases in conservative group. As the mean difference in VAS score was 404 1.6 vs 2.6 0.6 postoperative by using openEpi and at confedince level 25% and power of test 80%. • Subjects included in selection: Osteoporotic Patients with vertebral fracture. Inclusion criteria: 1. Age ≥ 18 years old. 2. Patients fulfill the criteria for osteoporosis in at least one segment of dorsal and lumbar spine (by DEXA scan). 3. Patients with osteoporotic vertebral fracture. Exclusion criteria: 1. Age < 18 years old. 2. Vertebral fractures due to any etiology other than osteoporosis. (2) Operational design: (1) Type of study: prospective study. (2) Steps of performance : All patients will be subjected to the followings: • Full medical history for evaluating: 1. Age. 2. Gender. 3. Co-morbidities. 4. BMI. 5. History of trauma. 6. Drug intake. 7. Smoking. • Complete clinical examination. • Radiological...
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...COMMENTS ON CENTRAL NERVOUS SYSTEM AND RADIOLOGICAL ANATOMY Radiological Anatomy Radiological anatomy is a medical specialty that employs the use of imaging to both diagnose and treat disease visualised within the human body. It explores various tissue densities to be able to determine structures. It could either be invasive or non-invasive. Radiologists use an array of imaging techniques which include: • Conventional radiography (X-ray) • Ultrasound • Computerized Tomography • Magnetic Resonance Imaging • Interventional Radiology • Radiation Therapy The acquisition of medical imaging is usually carried out by the radiographer or radiologic technologist. The radiologist then interprets or "reads" the images and produces a report of their findings and impression or diagnosis. Central Nervous System The nervous system is organized into two parts: the central nervous system, which consists of the brain and the spinal cord, and the peripheral nervous system, which connects the central nervous system to the rest of the body. In the central nervous system, the brain and spinal cord are the main centres where communication of nervous information occur. Both the brain and spinal cord are covered with a system of membranes, called meninges and are suspended in the cerebrospinal fluid; they are further protected by the bones of the skull and the vertebral column. The central nervous system is composed of large numbers of excitable...
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...HARRIS-VAN KEUREN ELIOT SHERMAN Cleveland Clinic Dr. Delos “Toby” Cosgrove, cardiothoracic surgeon and president and CEO of Cleveland Clinic, emerged from the operating room on a January afternoon in 1996 having just changed the way he, and subsequently the world, approached heart surgery. A trip to Stanford University Medical School had convinced him it was possible to operate on the valves of the heart through a three-inch incision instead of the nearly foot long incision that was standard practice before splitting the patient’s breastbone with a saw to reach the heart.1 After refining the technique in the lab, he had successfully performed the first such operation. Eight months later, Cosgrove performed two of these surgeries back-to-back, broadcasting his work live via satellite to 4,000 surgeons in 40 cities around the world. The Cleveland Clinic’s broadcasting capabilities facilitated this demonstration of the substantial benefits of his minimally invasive method of heart surgery, which reduced the risk of infection and involved less bleeding, pain, and trauma, significantly reduced the amount of time needed for recovery, and could be used in about three quarters of the heart valve surgeries performed in the United States.2 So compelling was this exhibition that within a year use of the technique had “exploded” throughout the medical community.3 Such innovation had been the lifeblood of Cleveland Clinic since its founding in 1921. Even as he continued early in 2006, a year...
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