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High School Gamers Better At Operating Robotic Surgical Equipment Than Surgeons
November 18, 2012
Robotic surgical tools are giving doctors more insight and precision into the surgeries they perform than ever before, but with the technology still in its infancy, many surgeons are still struggling to master the skills they need to make the most of available equipment. It turns out that surgeons using robots could take a pointer or two from video gamers, who, in a recent study, proved as good or better than their MD bearing counterparts in tests of the skills involved in robot-assisted surgery.
Presented this week at the American Gynecologic Laparoscopists’ 41st Annual Global Congress on Minimally Invasive Gynecology, the results showed that two sets of gamers — high school sophomores who played at least two hours a day, and college students who played about four hours daily — met or exceeded surgeon’s skills in controlling the robots. In a series of experiments that tested the precision of hand-eye coordination, the ability to put just the right amount of pressure on a point, and the steadiness with which they fastened sutures and stitches using the robotic arms, the untrained gamers again and again showed doctors how it was done.....read more
GE Installs Robotic Operating Room System In U.S. Hospital
November 16, 2012
Today, St. Luke’s University Hospital in Bethlehem, PA installed the GE Discovery IGS 730 Hybrid OR system – a robotic healthcare system that allows for imaging during a surgical procedure, but can also move around the room to be positioned where it’s most needed. This allows for flexibility for doctors so they can focus on what their patients need during a procedure.
“As procedures have gone from open surgeries – where you can see what you’re doing – to minimally invasive, the imaging component has played a much bigger role,” GE’s Hooman C. Hakami explained to me on the phone. “But sometimes if an intervention isn’t going well, it needs to switch to a traditional open surgery.”
So when the imaging equipment needs to get out of the way, it literally can. The system is on wheels and can go anywhere in the operating room. What’s more, it can be pre-programmed to go to specific destinations, which allows for the room to be altered in a matter of minutes to help out patients. Sensors at the base of the system prevent it from hitting anything – even feet and cables on the floor.
The FDA cleared the GE Discovery IGS 730 Hybrid OR system for use in February 2012
For complete story by Alex Knapp, Forbes Staff Writer
MAKO Surgical Corp. to Present at the 24th Annual Piper Jaffray Health Care Conference
November 16, 2012
MAKO Surgical Corp. (Nasdaq:MAKO) announced today that Maurice R. Ferré, M.D., President and Chief Executive Officer and Fritz L. LaPorte, Senior Vice President and Chief Financial Officer of MAKO, will present at the 24th Annual Piper Jaffray Health Care Conference at The New York Palace in New York on Tuesday, November 27, 2012 at 8:00 am ET.
A webcast will be available and may be accessed by visiting MAKO's website at www.makosurgical.com under the Investor Relations section. A replay of the webcast will be available immediately after the conclusion of the presentation.
St. Jude Medical Center Performs its First Nerve Repair Surgery Following Prostatectomy Using Avance® Nerve Graft Technology from AxoGen, Inc.
November 15, 2012
St. Jude Medical Center, 2011 recipient of a Three Year Accreditation With Commendation from the American College of Surgeons Commission on Cancer, and AxoGen, Inc. have announced the hospital’s first robotic- assisted nerve repair with Avance® Nerve Graft following radical prostatectomy surgery. The processed nerve allograft technology is used to bridge severed peripheral nerves and, in this case, was implanted to replace the nerve bundles that had to be removed as part of the procedure to excise a cancerous prostate.
The surgery was performed by Michael Gazzaniga, MD, FACS, Director of St. Jude’s urologic oncology program and a nationally-recognized expert on nerve-sparing robotic prostatectomy who has performed hundreds of prostate cancer surgeries during more than 10 years in practice. Dr. Gazzaniga was also recognized as a Physician of Excellence by the Orange County Medical Association in 2006 and 2012. Dr. Gazzaniga was assisted in performing the surgery by his partner, Alan Weinberg, MD, FACS.....read more
This da Vinci training setup warms doctors up on the system before they use the technology on humans.
Five Ways Robots Will Capture Planet Surgery
November 13, 2012
Scrub nurses straight out of The Jetsons, telecommuting surgeons and other medical advances driven by robotic technology -- here's what's on the horizon for robotic surgery.
Telesurgery -- Specialty surgeons could perform operations from their local hospital or their living rooms on patients who live anywhere. (This was the military's goal when research began on the first robotic surgery techniques.)
Training Simulators -- Doctors get hands-on training on robots now, but eventually, doctors anticipate simulators that will actually factor in patient-specific complications.
Microspheres -- This robotic technology is currently in the works at UT Southwestern and actually allows surgeons to see into tissue. That enables them to remove the precise malignant area and nothing more.
Nanotechnology --Could robots as small blood cells be implanted inside patients to disperse medicine? Surgeons think so.
Robotic Scrub Nurses -- Exactly what you think. Robo-nurses could transfer instruments and adjust equipment, even check on patients in recovery.
Robotic surgery shows promise for removal of voice box tumors
November 6, 2012
Transoral robotic surgery through the mouth is a safe and effective procedure for patients with head and neck cancers, according to results of a preliminary prospective study.
Patients with laryngopharyngeal carcinomas who wish to avoid potentially damaging toxicities associated with standard radiotherapy and chemotherapy treatments are beginning to trend toward minimally invasive organ preservation surgeries, such as transoral robotic surgery (TORS) for the removal of the top part of the voice box, called supraglottic laryngectomy.
Previous studies have examined the advantages of the TORS procedure compared with traditional treatments. These advantages include the avoidance of the external incision, preservation of nontumor-involved structures and shorter hospitalizations.
Researchers investigated the efficiency, safety and functional outcomes of TORS for supraglottic laryngectomy.....read more
A Victim of Robotic Surgery Speaks Out
Get the Facts. Give your Opinion
Patricia Mayfield's Story
November 5, 2012
I hope this story helps someone who is thinking about having or who has had a robotic hysterectomy.
Before January 8th 2010 I was a very energetic and outgoing people person. Today I am far from that. All I do day after day is sit, think, cry and worry. I am so depressed. I am so angry.
What was supposed to be the best way to have a hysterectomy with less blood loss, less pain, fewer complications, and was supposed to have me returning to work in 2 weeks has become my worst nightmare.
Now after my surgery I not only suffer physical pain from the injuries the robot caused me, but I also have to deal with the emotional and mental trauma it has brought to my life.
In 2010 I suffered from painful periods and heavy bleeding, so after consulting with my doctor I decided to have a robotic hysterectomy. I was told this was the safest and best way to have a hysterectomy, with fewer complications and less time spent recovering.
I had the surgery on January 8th 2010. Then beginning January 14th I started experiencing high fever, chills, and pain in my lower left quadrant. After a visit to my doctor it was found I had an abscess on my pelvic cuff and I was admitted into the hospital. There I was given large amounts of antibiotics, pain meds, and was subject to a variety of tests. I was taken back into surgery on January 17th to drain the abscess which tested positive for e-coli. I was finally discharged from the hospital on January 20th.....continue reading
Giant Intuitive Surgical Moves Into New Types Of Surgeries
November 2, 2012
Da Vinci single-site gallbladder surgery
ISRG is moving into new directions, and one of them is single-site laparoscopy. Single-site means that instead of making multiple incisions through which to insert instruments, the surgeon makes one incision through which several instruments are inserted. The advantage is mainly cosmetic because the incision typically is going through the belly button, and leaves little or no scars.
Patients love the idea of virtually scarless surgery. "It might be a nice marketing thing for a hospital to say, 'scarless operations are really here now,'" says Marc Bessler, director of minimally invasive surgery at New York-Presbyterian Hospital/Columbia University Medical Center. "We hide the scar in your belly button, and you can have your operation and be out the same day.
"Single-site laparoscopy has been around for awhile, but it is technically too difficult for some surgeons, and the robot offers an alternative to open surgery.
In December 2011, the FDA cleared for marketing the single-site instrumentation for gallbladder removal. Potential benefits of the single-site gall bladder surgery for the patient include minimal scarring, less pain, low blood loss, lower infection risk, faster recovery, short hospital stay......read complete article
OmniGuide proudly presents its next generation laser system, FELS-25A Intelliguide.
OmniGuide(R) BeamPath(R) Laser System Used in Novel Robot-Assisted Laser Surgery
November 2, 2012
Surgeons at Boston's Brigham and Women's Hospital Broadcast Live at ASRM
BOSTON, Nov 02, 2012 (BUSINESS WIRE) -- Antonio R. Gargiulo, MD of the Center for Infertility and Reproductive Surgery at Brigham and Women's Hospital completed a live surgery for the American Society of Reproductive Medicine (ASRM), treating a patient suffering from uterine fibroids with a novel robotic surgical approach and a cutting edge laser technology developed at OmniGuide(R) in Cambridge, MA.
Dr. Gargiulo and his team performed the surgery - a Robot-Assisted Laparoscopic Myomectomy -at Brigham and Women's Faulkner Hospital, broadcasting the live video feed to an international audience of over 1,000 reproductive specialists attending the 68th annual ASRM meeting in San Diego, CA.
The surgical technique demonstrated during the live broadcast was a minimally invasive, robot-assisted approach to access the uterus for treatment. Dr. Gargiulo then employed a flexible carbon dioxide laser system to very precisely perform uterine incisions to remove fibroids that were in close association with essential reproductive structures (uterine lining and tubes).
Delivering this advanced laser energy was the BeamPath(R) ROBOTIC system from OmniGuide, which employs a proprietary technology to couple the precision of CO2 laser with the platform of robotic surgery.....read more
Operating Room Ergonomics
Posted on AARS; November 2, 2012
It may be a minimally invasive procedure for the patient, but major musculoskeletal problems can develop for surgeons when they repeatedly perform laparoscopic surgery.
The benefits of laparoscopic surgery – minimal scarring, less pain and shorter hospital stays – have made the procedure increasingly popular. But as the number of procedures being performed increases, the number of surgeons experiencing physical strain, pain and fatigue has also risen.
While statistical information on this issue is limited, an article published recently in the journal Gynecologic Oncology reported that physical discomfort related to minimally invasive laparoscopic surgery was reported in 88 percent (216/244) of surgeons who responded to an online survey. Fifty-two percent of them reported persistent pain.
A new study lead by Donald Peterson, head of the UConn Health Center’s Biodynamics Laboratory in the Division of Occupational and Environmental Medicine and his team of biomedical engineers had developed a new method to measure the physical strain placed on surgeons by using an opto-electronic motion capture (OEMC) system to track the surgeon’s movements, technique and posture. They then recruited 10 laparoscopic surgeons from the area and had them perform various surgery simulations in the Biodynamics Lab......read complete story
Da Vinci Robot May Cause Serious Complications for Patients Receiving Hysterectomies and Other Procedures, Reports Surgical News
November 1, 2012
The American College of Obstetrics and Gynecology calls for more data to determine the role of robotic surgical machines in the performance of hysterectomies.
LOS ANGELES, Nov. 1, 2012 /PRNewswire via COMTEX/ — The da Vinci Surgical System, a robotic device used across the country to perform hysterectomies on patients, has come under recent criticism from both medical professionals and insurance companies.
The American College of Obstetricians and Gynecologists has been firmly opposed to the robot for the potential hazards it presents to patients. Also, one insurance company, Kaiser Insurance, has also written about concerns related to the use of robotic devices.
The criticism is primarily rooted in evidence that the robot has caused complications for a number of individuals, including cuff dehiscence and bladder injuries. One of the da Vinci Surgical System’s critics has been Dr. Susan K. Mueller, a board-certified practicing physician who was named the Top Surgeon in America in Obstetrics and Gynecology in 2007 by the Consumers’ ResearchCouncil of America. Dr. Mueller has an in-depth article outlining the potential dangers of robotic surgery for hysterectomies. She also expresses concerns that the maker of the da Vinci Surgical System has engaged in paid online marketing tactics to ensure that negative comments about the robot do not appear at the top of users’ search results.....read more
Forum to address future of robotic surgery, aircraft
October 25, 2012
Updated; November 1, 2012
Local industry leaders will discuss the current and future state of surgical and aerospace robotics at a Nov. 7 conference at the Engineers Club of Dayton.
The interactive forum will address such topics as how surgical robots and remotely piloted aircraft enhance surgeons’ and pilots’ abilities to accomplish their respective goals, as well as how surgeons and pilots train in these constantly changing technologies while maintaining safety and quality.
Keynote speakers include Brian E. Miller, senior director of advanced product development at Intuitive Surgical Inc., and Morley O. Stone, chief scientist at the 711th Human Performance Wing at the Air Force Research Laboratory at Wright-Patterson Air Force Base.
The forum will be held from 6-8:30 p.m. at the Engineers Club, 110 E. Monument Ave.
The event is free, but registration is required. To register, contact Darbie Kincaid at the Engineers Club at (937) 228-2148, ext. 111, or firstname.lastname@example.org.
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