Michael Ampuan Sorate Fongratanakul Lauren Parnell Tracey Ricker Olivia Solano

History of Robotic Surgery

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da Vinci System

Applications

Stereotaxis' Magnetic Navigation System (MNS)  Robotic System  Complex cardiology interventional procedures Arrhythmias Atrial fibrillation  Enhance patient care with potential advantages: More precise control Reduction in X-ray exposure

How It Works  Utilizes two permanent magnets mounted on pivoting arms  Generate magnetic navigation fields  Equipped with automated 3-D mapping software  Surgery case

NeuroArm Robot in Neurosurgery  Began in 2001 Investment: $2 million  Cost: $27 million  Official launch in April  Performs microsurgery & stereotaxy  An MRI-compatible image-guided computer-assisted device  Surgery Case

The da Vinci System  Very expensive $15, 000 operation  Combines traditional open surgery & conventional minimally invasive surgery  Case Surgery: February 12, 2008

The da Vinci System

Advantages and Disadvantages

Advantages  Faster recovery time  Reduced scarring  Reduces loss of blood  Minimally Invasive

Advantages  Smaller surgical team  Reduces the need for surgeons  Prevents physician exposure to radiation

Disadvantages  Glitches  Cost and Maintenance  Lack of consensus about physician training

Where we are Today

Approved  The Intuitive Surgical da Vinci Surgical System  The Zeus Microwrist Surgical System

The Intuitive da Vinci Surgical System  There are 3 major components: A vision cart A master console A moveable cart

The Zeus Micro wrist Surgical System  The system is composed of : Surgeon control console 3 table mounted robotics arms

Future  long-distance intraoperative procedures  opportunities for teaching and assessment of new surgeons through mentoring and simulation

Signs for the Future  Utilized in many medical schools  Also used in research studies  More and more insurance companies are beginning to recognize robotic procedures

Eliminating Health Care Costs  Robotic mechanisms are expensive initially  less operators needed  shortens hospital stays  relieve exhaustion among doctors

Video

Questions?