Peripheral Arterial Disease, or PAD, occurs when plaque forms in the arteries in areas other than the heart. This can include the arteries down the legs, which leads to leg pain.
Jennifer Clark is a Physician Assistant at Vascular Associates. She says those blockages lead to not only pain, but also difficulty healing.
"Usually when we find plaque in one pla ce, you've got it somewhere else. So people with heart disease are definitely at an increased risk of having PAD or vice versa," explains Clark.
She says there are some conservative things you can do to try to prevent PAD, such as not smoking, watching your cholesterol, controlling your blood pressure and diabetes, eating healthy, and exercising. When conservative methods don't help, a minimally invasive surgery can provide relief.
Gulf Coast Regional Medical Center is hosting a Lunch and Learn event with Jennifer Clark on Peripheral Vascular Disease on Friday, February 28th from noon until 1 p.m. She'll talk more about the symptoms and treatment options at the event.
To register, call 747-3600.
Dr. Selene Parekh of Duke Medicine recently used Google Glass during surgery. Duke Medicine
Duke doctor uses Google Glass during surgery
February 20, 2014
Dr. Selene Parekh is a foot and ankle surgeon for Duke Medicine who spends time each year teaching doctors in India about best practices in foot and ankle surgery. With the help of Google Glass, he combined both roles into one.
While in India last month, he helped perform a surgery while wearing the device from Google Inc. (NASDAQ:GOOG), allowing the procedure to be broadcast live on the Internet. It marked one of the first surgeries worldwide to be done while Google Glass watched.
“When I learned of Google Glass, I thought there was an enormous potential to enhance patient care globally,” Parekh says. “With this technology, surgeon experts and thought leaders can be ‘brought’ into surgery to assist difficult or rare cases through every corner of the world. In addition, surgeons can provide viewers with a bird’s eye view of what is happening in the case and teach families, patients and physicians remotely......read more
Temple University Hospital Now Offering Robotic-Assisted Total Hip Replacement and Partial Knee Resurfacing
February 20, 2014
Orthopaedic surgeons at Temple University Hospital are now performing MAKOplasty® robotic-assisted total hip replacement and partial knee resurfacing surgeries. Temple is the only hospital in the city of Philadelphia offering both procedures using the RIO® Robotic Arm Interactive Orthopedic System.
How does it work:
Total Hip Replacement
Prior to surgery, the RIO® robotic arm technology uses a CT scan of a patient’s hip to create a 3-D anatomic reconstruction of the hip and surrounding joint area. With this information, a customized surgical plan is developed to help ensure optimal placement of the hip. During the implantation procedure, the surgeon’s ability to more precisely position the replacement hip is enhanced by the technology’s real-time data, as well as tactile, visual and auditory feedback.
Early data has shown that utilizing this technique has reduced the early dislocation rate (within first six months post-op) among patients compared to standard, non-robotic-assisted total hip arthroplasty, from 3% to 0%.
Partial Knee Resurfacing
This procedure is designed to relieve the pain caused by joint degeneration due to osteoarthritis. Like the total hip replacement, patients having this procedure also undergo a pre-operative CT scan to allow the surgical team to create a 3-D reconstruction of their knee.
The RIO® robotic arm technology provides surgeons the precision to resurface only the arthritic portion of the knee, while preserving healthy tissue and bone. The 3-D technology also helps with optimal implant positioning, which can result in a more natural feeling knee and has led to a 99% success rate among patients tracked for two years after surgery........read more
U. of I. doctors under scrutiny for surgical robot ad
February 20, 2014
School investigating how employees from Chicago hospital came to appear in endorsement
When the makers of the da Vinci surgical robot asked University of Illinois doctors to appear in a national advertising campaign, their Chicago hospital saw an opportunity to promote its expertise with the device.
But the plan backfired.
Instead of gaining national publicity for being leaders in robotic surgery, the doctors and the University of Illinois Hospital and Health Sciences System are under scrutiny for endorsing a commercial product, a possible violation of U. of I. policy.
The Tribune also found that some doctors pictured in the ad did not initially disclose their financial ties to the company that makes the robot, Intuitive Surgical Inc., as required by the university's policies on conflicts of interest.
Intuitive selected the doctors to observe and monitor use of the device at other hospitals, work for which they were paid. The doctors disclosed that information only after the ad was published and the Tribune requested annual disclosure forms. One surgeon received about $16,000 in the most recent one-year reporting period.......read more
Mazor Robotics Congratulates Founder and CTO Professor Moshe Shoham on Election into National Academy of Engineering
February 18, 2014
Earlier this month, Mazor Robotics' Founder and Chief Technology Officer, Professor Moshe Shoham, was elected into the National Academy of Engineering (NAE) for contributions to robotic technology for image-guided surgery. He is revered among his peers and recipient of other similar accolades, such as the Thomas A. Edison Patent Award from the American Society of Mechanical Engineers (ASME) received earlier this year.
He was recognized by the academy for his "outstanding contributions to engineering research, practice, or education, including, where appropriate, significant contributions to the engineering literature," and to the "pioneering of new and developing fields of technology, making major advancements in traditional fields of engineering, or developing/implementing innovative approaches to engineering education."........read more
Augmented video for partial nephrectomy
Mimic Technologies Inc. Releases Preview of Procedure-specific Augmented Video Robotic Surgery Simulation Module
February 14, 2014
dV-Trainer® software update also launches full suite of simulation exercises for the Robotic Training Network (RTN).
With the latest MSim™ software update to the dV-Trainer robotic surgery simulator, Mimic Technologies is providing customers and research partners with a preview of forthcoming augmented video simulation technology.
The new procedure-specific simulation training module for partial nephrectomy was developed in collaboration with Inderbir S. Gill, MD (Chairman and Professor of the Catherine and Joseph Aresty Department of Urology, Founding Executive Director of the USC Institute of Urology and Associate Dean for Clinical Innovation, Keck School of Medicine of USC) and Andrew J. Hung, MD (Clinical Fellow, Advanced Robotics and Laparoscopy, Keck School of Medicine of USC).
This new training technique will enable users to advance clinical decision-making skills as they use virtual robotic instruments to interact with anatomical regions within augmented 3D surgical video footage of a case performed by Dr. Gill. Trainees will learn to identify anatomy, anticipate tissue retractions, predict regions for dissection and refine surgical skills such as suturing. The interactive module includes audio narration from Dr. Gill to bring the user through the steps of the procedure......read more
ECU's Heart Institute Unveils New Space For Robotics And Research
Posted on AARS: February 14, 2014
A new research and training opportunity has opened up for robotic cardiac surgery. WITN took a first-hand look at the facility and its equipment.The 37,000 sq. ft. fourth floor of the East Carolina Heart Institute officially opened Thursday afternoon.
It will house advanced labs and simulated clinical rooms, with 80 to 120 people working in the area.
The only Robotic Cardiac Surgery training facility in the world sits on the floor as well.The fourth floor will also house the East Carolina Diabetes and Obesity Institute.....read more
Google Glass and robotic surgeries among topics be discussed at Chennai medical conference
February 12, 2014
CHENNAI: Indian doctors might be known for their skill and precision, but the general opinion of the global medical community is that they do not write good research papers.
The Indian Association of Gastrointestinal Endosurgeons (IAGES), which is to host an international conference titled "Advancing the frontiers of minimally invasive surgeries", will have an exclusive session in which experts would train medical and engineering students on research paper writing and presentation.
The four-day conference, which is to be inaugurated on Feb 13, would have thousands of delegates from across the world coming down to discuss the latest technology in minimally invasive surgeries, including OR-1, a modular surgical setup developed by KARL STORZ, a German based medical instruments and devices company.
The OR-1, which is being flown in from Germany exclusively for this conference, would be the highlight of the programme as the state-of-the-art interface and would transform the way surgeries are done, according to experts.......read more
The Raven 'open-source' robotic surgery system. Courtesy of the University of California Santa Cruz
Open source robotic surgery system in the works
February 11, 2014
While the Da Vinci surgical system is the only robot with U.S. Food and Drug Administration (FDA) approval--and the target of plenty of criticism--researchers are looking to develop surgical robots based on open source technology, reports Scientific American.
Taking a page from software development, it would involve a basic design that wouldn't change from device to device and involve a community of developers to improve it and create their own innovations.
Researchers from the University of California, Santa Cruz, and the University of Washington say that by using open source, the multimillion-dollar price of the system would fall, as would the learning curve for using it.
The open source system--called the Raven--has been in development for more than a decade, with versions sent to universities in the United States, Canada and France. Each of those 14 Raven II robots has a unique IP address and is networked to the others, so researchers can collaborate on experiments and share software.
The Raven II has two mechanized arms, a camera and screen that let the surgeon operate remotely and software tying all these elements together. A version called Raven IV has four arms, meant to replicate two surgeons.
The researchers originally were interested in writing software for the da Vinci system, but maker Intuitive kept some of its code secret. The UW, however, received funding from the U.S. Army to build its own system. The researchers have settled on the two-arm version as more affordable to the institutions conducting research. The system has yet to be approved by the FDA.......read more
Pancreatic Cancers Now Being Treated with Less Invasive Robotic Surgical System
February 10, 2014
The Whipple procedure, used to remove tumors from pancreatic cancer patients, is one of surgery’s most extensive and challenging operations.
Now, surgeons are using a minimally invasive robotic surgical system to perform the surgery.
Loyola University Medical Center is among the first hospitals to perform the Whipple procedure with a robotic system. Loyola also recently became one of the first hospitals to use the robotic system for rectal cancer surgery.
The Whipple procedure, also called a pancreatoduodenectomy, treats pancreatic cancer. It involves removal of the head of the pancreas, the gall bladder, the duodenum (first section of the small intestine), the common bile duct and sometimes part of the stomach. The surgeon then reconstructs the digestive tract.
Conventional open surgery requires an incision 8 to 10 cm. long or longer. The robotic system requires only a 3 cm. incision, plus a few incisions less than a centimeter wide. This less invasive approach could result in faster recovery, less pain, less blood loss, less stress on the immune system and fewer pain medications........read more
Click on Image to Register for this Event
Texas Cardiac Arrhythmia Institute at St. David’s Medical Center to Host EP Live 2014
The Texas Cardiac Arrhythmia Institute (TCAI) at St. David’s Medical Center will host EP Live—a two-day, intensive educational meeting targeting practicing electrophysiologists from across the globe on February 27 and 28, 2014.
The meeting consists of four sections: AF Ablation, VT Ablation, Devices, and New Technologies. There will be four live cases broadcasting from one of the most premier centers in the world, focusing on techniques and challenges facing the practicing Electrophysiologist. In addition, a panel of recognized experts will provide commentary and discussion. Previously recorded cases may also be shown.
For Event Highlights, Program and Registration Click Here
New Study Provides Good News For Intuitive Surgical
February 7, 2014
An independent study on hysterectomy procedures has brought in positive news for Intuitive Surgical's (ISRG) da Vinci surgical systems. The study, led by Dr. Martin Martino of Lehigh Valley Health Network, revealed that robot-assisted hysterectomy procedures performed on women with non-malignant conditions provided better results than non-robot assisted surgery on several parameters.
It also unveiled that robot-assisted hysterectomy patients were less than half as likely as laparoscopic hysterectomy patients to be readmitted to the hospital within a month of surgery. According to the Centers for Medicare & Medicaid Services (CMS), readmission is a major factor contributing to rising patient costs and should be minimized for efficient patient care. ........read more
Michael Berman is a medical device investor/entrepreneur
Mazor Robotics Appoints Michael Berman to its Board of Directors
February 6, 2014
Mazor Robotics Ltd. (tase:MZOR) MZOR, a developer of innovative guidance systems and complementary products, today announced the appointment of Michael Berman to the Company's Board of Directors [effective as of February 2, 2014. The addition of Mr. Berman increases the Board to six members.
Mr. Berman, 56, is a medical device entrepreneur and investor. He is a co-founder of eight medical device companies and is currently an active board member of several early stage health care companies. Additionally, he was also a co-founder of Velocimed and BridgePoint Medical as well as a board member of Lutonix. From 1995 to 2000 Mr. Berman was the President of the cardiology business of Boston Scientific. Mr. Berman received his BS and MBA degrees from Cornell University.......read more
Olympic Medical Center Foundation's Red, Set, Go! Heart Luncheon.
February 5, 2014
Tickets are on sale now for the Olympic Medical Center Foundation's seventh annual Red, Set, Go! Heart Luncheon.
The Jamestown S'Klallam tribe will present the luncheon at 11:30 a.m. Friday, Feb. 28 at the Vern Burton Community Center, 308 E. Fourth St., Port Angeles.
Individual tickets are $50.
Those interested in sponsoring or attending the event can contact the foundation office at 360-417-7144.
All of the money raised at the luncheon will go to local cardiac service care.....read more
BPH Treatment With Button TURP
February 4, 2014
Minimally Invasive Button TURP Shrinks Enlarged Prostate, Says David B. Samadi, MD, Top NY Robotic Prostate Surgeon
As men age, changes in urinary habits are par for the course. For some men, significant changes in urinary patterns are caused by an enlarged prostate, which is diagnosed as Benign Prostatic Hyperplasia (BPH). Mild-symptom BPH is treated with medication to relax the prostate muscles and shrink the enlarged prostate. In more obstructive cases, Transurethral Resection of the Prostate (TURP) or Button TURP is often recommended for the surgical treatment of BPH.
What is BPH?
Perhaps the most common cause of urinary obstruction in men, BPH occurs in nearly half of all men by age 50 and nearly all will experience a degree of BPH by their 80s. An enlarged prostate can also cause elevated prostate-specific antigen (PSA) levels, though it is not an indication of prostate cancer nor is it considered a precursor to prostate cancer.
This age-related condition is characterized by urinary changes such as a weak or interrupted stream, urinary leaking, and frequent urination, particularly at night. When medication is not successful in reducing BPH symptoms, Button TURP is recommended.
The Button TURP for BPH treatment.
Button TURP is an incision-free procedure typically performed on an outpatient basis. With the patient comfortably under anesthesia, Dr. Samadi inserts a surgical scope through the urethra and guides it toward the prostate. Named for the small button-shaped device at the end of the scope, Button TURP heats and dissolves -- essentially vaporizes -- excessive prostate tissue. Urinary obstructions are cleared and the remaining healthy tissue is sealed, resulting in minimal bleeding, no transfusions, and rapid recovery.......read complete article
Kennedy using new robotic technologies
February 1, 2014
Kennedy University Hospital is the first in New Jersey to use three new robotic technologies during surgery, hospital officials announced this week.
The hospital’s da Vinci robotic surgical system was recently upgraded with the new technologies. One allows surgeons to manipulate tools beyond a human wrist’s natural range of motion. It includes computer feedback that tells the surgeon when the right amount of tissue is clamped by a staple.
Another upgrade uses injectable flourescent dye to allow a surgeon to easily distinguish healthy tissue from diseased tissue. A third improvement seals blood vessels up to 7 millimeters in size to reduce blood loss.....read more
A Raman spectroscopy bio-sensor for tissue discrimination in surgical robotics. Click on Image to access abstract
A Raman spectroscopy bio-sensor for tissue discrimination in surgical robotics
Journal of Biophotonics, 2014, 7, 103-109 Praveen C. Ashok, Mario E. Giardini, Kishan Dholakia, Wilson Sibbett
Abstract: We report the development of a fiber-based Raman sensor to be used in tumour margin identification during endoluminal robotic surgery. Although this is a generic platform, the sensor we describe was adapted for the ARAKNES (Array of Robots Augmenting the KiNematics of Endoluminal Surgery) robotic platform. On such a platform, the Raman sensor is intended to identify ambiguous tissue margins during robot-assisted surgeries.
To maintain sterility of the probe during surgical intervention, a disposable sleeve was specially designed. A straightforward user-compatible interface was implemented where a supervised multivariate classification algorithm was used to classify different tissue types based on specific Raman fingerprints so that it could be used without prior knowledge of spectroscopic data analysis.
The protocol avoids inter-patient variability in data and the sensor system is not restricted for use in the classification of a particular tissue type. Representative tissue classification assessments were performed using this system on excised tissue.
This paper is free to view for all users registered on spectroscopyNOW.com until the end of February 2014. After this time, you can purchase it using Pay-Per-View on Wiley Online Library.
Click here for more information about Journal of Biophotonics
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