1. Robot Surgical Unit for IDS Presented by:

2. Objectives  Describe Robotic Surgery  Describe and evaluate the hardware and software used with robotic surgery  Describe and evaluate the information system used with robotic surgery  Assess the role and functions of the nurse informaticist when working with robotic surgery  Examine related legal/ethical issues  Discuss the advantages/disadvantages of robotic surgery from a nursing perspective

3. Description of Robotics  Laparoscopic approach to treat certain urologic problems This presentation will focus on the treatment of prostate cancer  A robot is used to assist the surgeon (referred to as da Vinci robot)  Master controls allow the surgeon to manipulate instruments (The Bryn Mawr Urology Group, 2008)

4. Description of Robotics Continued  The surgeons natural hand and wrist movements correspond with the scaled movements of the robot  #1 choice for prostate removal in the U.S.  Used in tens of thousands of prostate cases in the past year (The Bryn Mawr Urology Group, 2008)

5. Hardware used in Robotic Surgery  Robot with many arms  Camera on one arm called an endoscope  Dissectors, scalpels, scissors and forceps on other arms  Joystick- surgeon uses to operate the robot  Foot pedals (Ezine Articles, 2008)

6. The Endoscope  Fiber optic instrument  Inserted through a small incision  Has a very tiny video camera  Shows the surgeon a 3-dimensional, magnified view  Projects to a television screen (Ezine Articles, 2008)

7. Software used in Robotic Surgery  Da Vinci Surgical System  Intuitive Surgical  Combines propriety software and electronics  Streamlines and perfects certain surgeries  Software not based on any well-known operating system  Software version 11 in use at present (Business Strategies for Medical Technology Executives, 2001)

8. Proprietary Software  Closed-source software  Restricted use  Private modification  Better quality than free software  Robotic movements, driven by intuitive proprietary software  Simultaneous  Fluid  ambidextrous (Wikipedia The Free Encyclopedia, 2008)

9. Information System in Robotic Surgery  Specialized software specifically for robotic surgery  Used by physicians- controlled by physicians movements  Special purpose system- used for performing various surgeries  Function is treat disease via surgery (ex- removal of prostate) (Business Strategies for Medical Technology Executives, 2001)

10. Information System in Robotic Surgery  There is no evidence that states that data standards have been put in place  Specific robot used for surgery  Nothing to compare it to (Business Strategies for Medical Technology Executives, 2001)

11. Advantages of Robotic Surgery  Less invasive  Shorter hospital stay  Less pain  Less scaring  Less blood loss  FDA approved (The Bryn Mawr Urology Group, 2008)

12. Disadvantages of Robotic Surgery  Carries the same risk as any other surgery: heart attack, stroke, death  Increased risk for impotence and incontinence in robotic prostatectomy (The Bryn Mawr Urology Group, 2008)

13. Legal/Ethical Issues in Robotic Surgery  Time lag between surgeons commands and action of robot could harm the patient  Loss of power in an electrical failure  Robotics does not replace human intelligence, skill and experience (Essortment, 2002)

14. The Professional Nurse’s Role in Robotic Surgery Nurses must know what to assess in post-op robotic surgery patients Nurses must be able to document their assessment for physician viewing (The Bryn Mawr Urology Group, 2008) The DaVinci Robot

15. Summary  Laparoscopic surgery  “Robot” controlled by a physician’s movements  Minimally invasive  “New-Age”  The surgery of the future

16. References  The Bryn Mawr Urology Group. (2008). Frequently asked questions and answers about a robotic prostatectomy. Retrieved September 19, 2008, from http://brynmawrurology.comhttp://brynmawrurology.com  Business Strategies For Medical Technology Executives. (2001). Robotic Surgery: The Future Is Now. Retrieved October 11, 2008, from http://www.devicelink.com/mx/archive/01/03/0103mx024.html http://www.devicelink.com/mx/archive/01/03/0103mx024.html  Essorment. (2002). Electronic Devices: How Robotic Surgery Works. Retrieved November 19, 2008 from http://www.essortment.com/lifestyle/electronicdevic_sbnr.htm http://www.essortment.com/lifestyle/electronicdevic_sbnr.htm  Ezine Articles. (2008). The Da Vinci Robot- Cutting Edge Surgical Technology. Retrieved October 11, 2008, from http://ezinearticles.com/?The-Da-Vinci-Robot---Cutting-edge- Surgical-Technology&id=1270346 http://ezinearticles.com/?The-Da-Vinci-Robot---Cutting-edge- Surgical-Technology&id=1270346  Ken Swartzman, Intuitive engineer, personal communication, (September 22, 2008)  Wikipedia The Free Encyclopedia. (2008). Proprietary Software. Retrieved October 11, 2008, from http://en.wikipedia.org/wiki/Proprietary_software http://en.wikipedia.org/wiki/Proprietary_software