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Robotics in Surgery

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Some surgeons report that this makes their hands rock steady, causing surgery on small delicate areas such as the eye to ... with robotic, bionic, and ... – PowerPoint PPT presentation

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Title: Robotics in Surgery


1
Robotics in Surgery
  • Megan E. Toothaker, R.N.

2
Objectives
  • Describe Robotics in Healthcare
  • Describe and evaluate the hardware and software
    utilized with Robotics.
  • Describe and evaluate the information system used
    with Robotics.
  • Assess the role and functions of the nurse
    informaticist when working with Robotics.
  • Examine related legal/ethical issues.
  • Discuss the Advantages/Disadvantages from nursing
    perspective.

3
Robotics
  • Preceded by laparoscopic surgery
  • First laparoscopic surgery in 1987
  • Robotics new aged surgical wave
  • Self-powered computer controlled device

(Burke Waill, 2009) (Gomez, 2004)
4
  • Controlled by software and surgeon
  • Visualize through video devices
  • Laprotex

(Purdue University, 2006)
5
ROBODOC
  • Manufactured by Integrated Surgical Systems
  • First hip replacement in 1992 using ROBODOC
  • Outcome no intraoperative fractures

(Burke Waill, 2009)
6
The da Vinci Surgical System
Hardware
  • Ergonomically designed surgeon's console
  • Patient side cart with four interactive arms
  • EndoWrist instrumentation

(Intuitive Surgical INC, 2005)
7
Hardware EndoWrist Instruments
  • Provide Surgeon with natural dexterity
  • Intuitive motion and finger tip control
  • Motion scaling and tremor reduction
  • Enable better outcomes when operating in confined
    spaces

8
da Vinci Surgical Systems
Software
  • 3D HD Vision InSite
  • EndoWrist Interface

9
EndoWrist Interface
Software
  • Motion scaling and tremor reduction
  • Real time movements
  • Recognize the type, function and number of uses
    of instruments

10
Usability
  • What is usability?
  • Surveys of actual users
  • Summary of usability

11
Information Systems
  • Three different kinds of robotic surgery systems
  • Supervisory-controlled system
  • Telesurgical system
  • Shared-control system

12
Information System
Summary
  • Special Purpose Information System
  • Workstation configuration
  • Data Standards
  • Recommendation to Others

13
Advantages of Robotic Surgery
  • Decreased pain and scaring
  • Decreased hospital stay
  • Decreased risk for infection or complications
  • Better images than in real life
  • Increased accessibility for surgeons
  • Less fatigue experienced by surgeon

14
Disadvantages of Robotic Surgery
  • Cost of equipment
  • Expensive Training
  • Saftey

15
Legal and Ethical Issues of Robotic Surgery
  • Who to blame for mistakes?
  • Affective human-robot interfaces
  • Affective human-robot interaction

16
Informatics Competiencies
  • User level Competencies

17
Functions and Responsibilities
  • Consultant
  • Educator

18
Summary
  • Robotic Surgery The Future is Now!

19
References
  • Bonsor, K. Strickland, J. (2008, July) How will
    robotic surgery work. How stuff works retrieved
    October 28th, 2009, from http//ethicbots.na.i
    nfn.it/meetings/firstworkshop/abstracts/salvini.ht
    m
  • Burke, L. Waill, B. (2009). Information
    Technology for the Health Professions (3rd ed.)
    Prentice Hall.

20
Reference
  • Dario, P., Laschi, C. Salrino, P. ( 2006,
    October). Ethics of human interaction with
    robotic, bionic, and al systems. Ethicbots
    workshop. Retrieved November 18th, 2009, from
    http//ethicbots.na.infn.it/meetings/firstworkshop
    /abstracts/salvini.htm
  • Ethics of robotic surgery Social issues of
    robotic surgery (2009). Retrieved November 18th,
    2009, from http//cse.stanford.edu/class/sophomore
    -college/projects-99/computational-biology/robo.ht
    ml

21
References
  • Gomez, G. (2004). Emerging Technology in
    surgery informatics, electronics, robotics.
    Sabiston Textbook of Surgery (17th ed.)
    Philadelphia, Pa.
  • ICT Results (2009, September). Healthcare The
    Road To Robotic Helpers. ScienceDaily. Retrieved
    September 18, 2009, from http//www.sciencedaily.c
    om /releases/2009/08/090807091200.htm

22
Reference
  • In the future Robotic surgery (2009). Retrieved
    November 18th, 2009, from http//library.thinkques
    t.org/03oct/00760/Future20of20Robotic20Surgery.
    htm
  • Intutive Surgical INC (2005). Intuitive surgical.
    Retrieved October 5, 2009, from
    http//www.intuitivesurgical.com/clinical/clinical
    validation/index.aspx

23
Reference
  • Mastrian, K., McGonigle, D. (2009). Nursing
    informatics and the foundation of knowledge.
    Sunbary, MA, Jones Bartlett Publishers.
  • Purdue University (2006, March). Lower
    Cost, Portable Surgical
    Robots Could Be Smooth. Purdue
    University. Retrieved September 18, 2009, from
    http//www.purdue.edu/UNS/html4ever/200
    6/060302.Peine.robots.html
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