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Dr. Alexander Gershman
World-Renowned Russian Surgeon to Release Jazz CD in US
June 28, 2013
Dr. Alexander Gershman, a Moscow-born surgeon practicing in Los Angeles, who pioneered robotic surgery in urology, is going to release his second jazz LP, “Melancholy,” Jazzcorner.com reported Friday.
The LP, which Gershman will release with his ensemble “Sasha’s Bloc,” will feature contributions from musicians who have worked with Stevie Wonder, Eric Clapton, Michael Jackson and Bob Dylan.“Melancholy” is described on Jazzcorner.com as having “a big-band sound that recalls the vibe of New Orleans' Preservation Hall Jazz Band infused with the Blues, a hint of Gypsy Jazz, contemporary jazz and swing” and will be released by AG Entertainment in September.
Formed in 2012, “Sasha’s Bloc” regularly plays sold out concerts in California and have an increasing following across the United States.
Gershman, the bassist in the group, is also Chief of Laparoscopic Urologic Surgery at Harbor UCLA Medical Center, Director of the Institute of Advanced Urology at Cedars-Sinai Medical Center and President of the American-Russian Medical Association.
Da Vinci Robot Surgery Maker May Have Violated Federal Regulations Alleges FDA Warning Letter, Reports Wright & Schulte LLC
June 27, 2013
In late June 2013, the FDA sent a “483” letter to Intuitive Surgical, alleging that the company may have violated federal regulations in October 2011 when it sent letters to medical facilities and professionals before first alerting the FDA.
Intuitive Surgical, the company that manufactures and markets the Da Vinci Robot, has recently been notified that, according to the FDA, the Da Vinci Robotic Surgery maker may have violated federal regulations when sending communications to hospitals and medical professionals. The FDA’s notification, which is technically called a “483” letter, alleges that Intuitive Surgical failed to inform the FDA that it would be sending out letters to medical facilities and professionals prior to doing so. Intuitive Surgical’s letters, which were sent in October 2011, included recommendations as to what surgeons could do to try to avoid a specific Da Vinci Robotic Surgery complication known as arcing (arcing occurs when an electrical current from the tip of a Da Vinci robotic surgical sytem is transmitted into and injures a patient during surgery).
The FDA’s 483 letter alleges that, because Intuitive Surgical’s October 2011 letters contained recommendations that could constitute labeling changes for the device, the company should have first notified the FDA of its recommendations so that federal regulators could have decided whether Da Vinci robot labeling changes were needed. Although 483 letters specify potential violations of FDA regulations, they do give companies like Intuitive Surgical a chance to defend themselves before a final determination is made.......read more
Brigham and Women’s Hospital Makes Robotic Surgery Safer
June 27, 2013
Boston - As the number of robot-assisted surgeries performed in the United States continues to rise, Brigham and Women's Hospital (BWH) is once again breaking ground in medical safety and training by installing the only full-size robotic surgery simulation console in Massachusetts.
BWH's new simulator is a fully operational da Vinci Surgical System console, identical to the actual units currently used in BWH's operating rooms. The simulator is available for surgeons to use in the hospital's STRATUS Center for Medical Simulation 24 hours a day, 365 days a year. This provides BWH surgeons with a unique opportunity to hone their skills and raises the bar of safety for robotic-assisted surgery.
"Safe robotic surgeons must become one with their operative console, so that the patient-side robot truly functions as an extension of their own body," said Antonio Rosario Gargiulo, MD, the medical director of the Center for Robotic Surgery at BWH.....read more
Company's single-site mobile robot is now undergoing pre-clinical testing.
TransEnterix, a medical device company based in North Carolina's Research Triangle Park, has developed a robotic single-site surgical platform that is mobile, provides high-definition 3D vision, and allows the surgeon to remain at the patient’s side.
Called SurgiBot, the company’s newest system is undergoing testing now, said Todd M. Pope, president and CEO of TransEnterix.
“TransEnterix has ‘powered up’ laparoscopy to make it easier for surgeons to complete procedures in the most minimally invasive way possible,” Pope said. “SurgiBot utilizes robotic technologies and techniques to enhance strength, precision and ergonomic comfort for surgeons.”
SurgiBot is small and mobile, making it easy for hospitals to move it among operating suites. Its design allows the surgeon to stand at the operating table and remain in direct contact with the patient at all times – versus other robotic systems that require the surgeon to work separated from the patient.
Robotic surgery approved for some gynecological procedures
Published on Jun 24, 2013
The Federal Drug Administration recently approved a new robotic surgery for certain gynecological procedures.
Injured Kings Coach Credits Controversial Surgical Robot With Speedy Recovery
June 20, 2013
L.A. Kings coach Darryl Sutter who had been struggling to keep up during the Kings’ 2013 season, has been given the all-clear for training.
Coach Sutter is touting a controversial surgical robot with helping him to get back in the rink less than a week after undergoing double hernia surgery. “I’ll be in full activity back on the ice again,” Sutter said.
Laparoscopic surgeon Dr. Daniel Marcus performed Sutter’s operation at Marina del Rey Hospital. He said he’s found the healing and recovery process for his patients “significantly better” with his use of the device.....read more
First Robot-Guided Sacroiliac (SI) Fusion Surgery in North America Is Performed
June 19, 2013
Dr. Christopher R. Good, Spinal Specialist at the Virginia Spine Institute, Pioneers Breakthrough in Spinal Health Care by Performing First Robot-Guided Sacroiliac (SI) Fusion Surgery to Treat Sacroiliitis
Dr. Christopher R. Good, Spinal Specialist at the Virginia Spine Institute, performed the first robot-guided sacroiliac joint (SI) fusion procedure in North America at Reston Hospital Center. This technological advancement allows for increased surgical accuracy and enhanced patient safety while performing this complex procedure on a three dimensional joint. Mazor Robotics' Renaissancea"c, manufactured by Mazor Robotics Ltd., assisted Dr. Good in placing spinal instrumentation and effectively preparing the SI joint for the fusion.
The sacroiliac is a joint located at the base of the spine connecting the sacrum with the pelvis. Symptoms of sacroiliac dysfunction most commonly present as lower back pain, buttocks pain, and radiculopathy. Traditionally SI joint dysfunction can be treated with physical therapy, exercise, pain medications and/or injections; however, when these conservative methods fail surgical intervention is a viable option for the patient.....read more
Canada’s official robotic surgery training centre is operational
June 18, 2013
London Health Sciences Centre’s (LHSC) was recently selected by Intuitive Surgical Inc. – manufacturer of the world’s most sophisticated and widely used surgical robot, the da Vinci Surgical System – as the exclusive training centre for robotic surgery in Canada. Offered through LHSC’s Canadian Surgical Technologies and Advanced Robotics (CSTAR) program, training has now commenced for surgeons who will travel to London from across Canada and beyond to learn the very latest surgical robotic techniques.
Surgeons will be trained to use the system for urology, gynecology, and upper and lower gastrointestinal surgery for both adult and paediatric patients. “In the future, we plan to add training programs for cardiac and ear, nose and throat surgeries.”....complete article
Professor Moshe Shoham Awarded 2013 Thomas A. Edison Patent Award
June 18, 2013
Inventor of Renaissance™ System Honored
CAESAREA, Israel -- Mazor Robotics Ltd. (TASE: MZOR; NASDAQ: MZOR), a developer of innovative surgical robots and complementary products, today announced that Professor Moshe Shoham was awarded the Thomas A. Edison Patent Award from the American Society of Mechanical Engineers (ASME).
Professor Shoham was recognized for his invention of the miniature surgical robot, Mazor Robotics’ Renaissance™ system, which is affixed to a patient’s bone during spinal surgery, enabling more accurate treatment. The Renaissance system has guided more than 35,000 spinal implants with no cases of permanent nerve damage.
The Thomas A. Edison Patent Award was established in 1997 to recognize the creativity of a patented device or process that has the potential of significantly enhancing an aspect of mechanical engineering. The award is funded through the efforts of the ASME Board on Research and Technology Development.....read more
Robotic surgeries on the rise, but are there risks?
The majority of the hundreds of thousands of robotic surgeries performed in the U.S. each year are done safely. However, as use of the machine increases, so are reports of injuries: The U.S. Food and Drug administration has received more than 200 reports since 2007 of burns, cuts and infections – including 89 deaths – after robotic surgery. Rock Center’s Dr. Nancy Snyderman investigates Intuitive Surgical Systems and meets a woman who blames her devastating complication on the robot.
Austin-based technology helping to relieve prostate surgery side effects
June 14, 2013
The two major side effects to a prostatectomy are urinary incontinence or leaking urine and erectile dysfunction after the surgery. The nerves that control both of those functions live right on the surface of the prostate. Identifying exactly where those nerves are has been a problem. Even with the da Vinci's magnification that's 10 times that of the human eye, doctors could only guess on the nerve's location.
ProPep Surgical's Nerve Mapping Technology -- developed in Austin -- has helped take the guess work out of nerve location. Tiny amounts of electricity are used to stimulate the nerves, showing surgeons where they are....read complete article
Outcomes from robotic colorectal cancer resection comparable to laparoscopic surgery
June 11, 2013
ORLANDO, Fla. — Preliminary data indicate that robotic surgery for colorectal cancer resection produced outcomes comparable to those from laparoscopic procedures, with fewer conversions to open surgery, according to a study presented at Digestive Disease Week.
Researchers performed a literature review of 13 papers published between 2000 and 2012 assessing the performance of robotic and laparoscopic techniques for primary colorectal cancer (CRC) resection. Evaluated factors included demographics, estimated blood loss (EBL), number of resected nodes, lengths of postoperative hospital stay and conversions.
Six studies directly compared robotic and laparoscopic surgeries, and seven examined robotic surgery only. Complications were reported in 10 studies and observed in all groups. The most commonly observed complications included ileus, anastomotic leak and wound infection....read more
Robotic surgery made safer
June 10, 2013
Surgeons-to-be no longer have to practice on cadavers but can use "organ phantoms" instead. They may also practice with "virtual surgical simulators" and operating room monitoring systems. Those and other methods for improving patient safety in robotic surgery are the results of the large scale EU funded SAFROS project.
On May 29, the SAFROS project (7th Framework Programme) successfully passed its final review. Its research revolved around improving patient safety in robotic surgery through new methodologies and technical improvements.
Patient safety is a broad term, touching upon several areas spanning from medicine training to surgical procedures and engineering. In this field the SAFROS experts made some key contributions:
● New algorithms for the automatic recognition of organs in ultrasound and CT imaging, useful for improving robot guidance during the surgery. ● Methods to produce inexpensive organ phantoms, i.e. gelatinous substances that replicate the texture and other properties of real organs, often modelled based on data from actual patients. These would prove beneficial to train surgeons, as now training is done on cadavers or animal organs. ● A virtual surgical simulator: a computer environment for training robot operators focused on physical realism. Here a trainee could improve their skills in manipulation and dexterity in a variety of simulated environments and have an objective measure of their improvement, thus contributing to the standardisation of a curricula for robotic surgery. ● An integrated operating room monitoring system, collecting data from non-invasive sensors and cameras in order to provide a working environments where humans and robots can interact safely. The set-up has been tested on two sets of surgical robots and can provide semantic understanding of robot safe-areas as well as basic collision avoidance features. ● Improvements on controlling surgical robots, like semi-automated methods to insert the trocars into the patient’s body and control algorithms able to limit the robot’s movements to improve its precision and reliability during unforeseen events. ● New research in ergonomics and perception applied to the surgical operator interface and its telepresence. For example, we learned how holographic visualization devices could improve the doctor’s perception of the inner patient environment. ● Steps toward the development of a safety interface, i.e. a central system that collects data in the operating theatre and is able to prioritize it for the OR staff. This offloads the cognitive overload of the surgeon, letting them focus on the surgery, thus lowering the chances of attentional mistakes. ● A prototype standardised training curriculum for robotic surgery, based on sound educational paradigms applied to the latest evaluation tests for laparoscopic training. The curriculum was tested with the surgical simulator developed within the project.
Lastly, the SAFROS researchers showed a full integration of all of the above through the extension of current safety framework paradigms. Their research was successfully tested in a coherent set-up, showing no conflicts and a potential improvement of patient safety in robotic surgery.......read more
World-Renowned Prostate Cancer Expert Named Chair of Urology at Lenox Hill Hospital
June 6, 2013
Lenox Hill Hospital today announced the appointment of David B. Samadi, MD, as chair of urology at Lenox Hill Hospital and professor of urology at the Hofstra North Shore-LIJ School of Medicine. An internationally recognized leader in robotic prostate cancer treatment, Dr. Samadi joins Lenox Hill Hospital from Mount Sinai Medical Center, where he was vice chair of the Department of Urology and chief of robotics and minimally invasive surgery.
On July 1, Dr. Samadi and his staff of 20 are scheduled to open a new office at 485 Madison Avenue in Manhattan, which will be the home of Lenox Hill Hospital's new Prostate Cancer Center.
A resident of Great Neck, NY, Dr. Samadi is a board-certified urologist and an oncologist specializing in the diagnosis and treatment of urologic diseases, and prostate, kidney and bladder cancers. Demonstrating his expertise in advanced minimally invasive treatments for prostate cancer, he developed his own surgical technique for removing cancerous prostates – known as the Samadi Modified Advanced Robotic Technique or SMART. To date, he has performed more than 4,500 robotic prostatectomy procedures....read more
The da Vinci® Surgical System Poses Burn, Organ Injury Risks
June 4, 2013
The da Vinci® Surgical System -- a complex robotic surgery system marketed by California-based Intuitive Surgical -- may inadvertently burn tissue and cause injuries to patients.
The EndoWrist Hot Shears Monopolar Curved Scissors -- which is a component of the da Vinci® Surgical System -- can develop tiny cracks that allow electrical energy to escape. The cracks may not be visible to surgeons using the device, and they could burn tissue, including organs, arteries and veins, and other tissues.
As a result of these "micro cracks" and other concerns with the da Vinci® system, reported injuries have included surgical burns to arteries and organs, punctured organs, bowel injuries, excessive bleeding and even death. Intuitive Surgical is warning potential patietns about these risks.....read more
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