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da Vinci Robot Training: “You Can’t Just Go for the Weekend…”
November 30, 2013
The recently released report by the US Food and Drug Administration (FDA) with regard to the da Vinci surgical robot and the potential cause of operating room injuries provides a snapshot of opinion from those in the field, either from a hands-on perspective or those having a capacity to observe.
A major theme of the report relates to the need for improved training of surgeons on the device, in an effort to minimize DaVinci robot failure. While there are critics who rail against the entire concept of robotic surgery and the da Vinci system specifically (together with the increased cost of robot-assisted surgery), there are others who view robotic surgery as safe and effective, provided the surgeon is well-trained and has sufficient experience on the device.
“Training for robotics has been the wild, wild west for a long, long time,” said Jeff Berkley, chief executive of Mimic Technologies Inc........read more
Advances in screening, surgery help more survive lung cancer
November 29, 2013
Richard Macdonnell started smoking when he was a teen. When he heard about low-dose CT scans to detect lung cancer, he knew he was a candidate. "It was always in the back of my mind," said the 59-year-old, who smoked a pack a day for 40 years. "I knew I should do it, but I always put it off.
"Last month, he summoned the courage, went to Moffitt Cancer Center and handed over $150 for the test, no prescription required.
The news was bad and yet good, too.He did have lung cancer — but the tumor was only the size of his thumbnail and had not spread.Just a few years ago, it could have been a much different story.
"Most of the time lung cancer isn't picked up until someone has symptoms and when tumors are the size of an orange or have spread to other organs in the body," said Dr. Jacques Fontaine, the thoracic surgeon at Moffitt who treated Macdonnell. "Screening has changed that. Now we can catch cancers earlier......read more
Green Bay Packers receivers try robotic surgery in Bellin Heath competition
Posted on AARS: November 25, 2013
Green Bay Packers players Randall Cobb, James Jones and Jordy Nelson went head to head Saturday in a Bellin Health sponsored competition that tested the surgical skills of the Green Bay Packers players.
Players teamed up with Bellin surgeons to compete for a $15,000 purse to support charities supported by the players......read more
Robotic Surgery: da Vinci Versus The Ideal
November 25, 2013
When the da Vinci Surgical System was introduced in 2000 by Intuitive Surgical, it was heralded for ushering in a new era of robotic surgeries. The robot promised to make operations easier for the surgeon, reducing complications and pain while shortening time under anesthesia and time to recovery for the patient.
Now, it appears that the robotic reality is introducing some cracks in these perspectives.
Since it was approved by the FDA, the da Vinci Surgical System has been installed in about 2,000 hospitals in the United States, performing 367,000 procedures just last year, according to Intuitive. But adverse events have been increasing; the FDA noted a 34% increase in adverse event reports from 2011 to 2012. In addition, the company is facing more product liability lawsuits, and attorneys for plaintiffs are looking to find more clients with injury claims. Still other research suggests that many more adverse events exist, but aren’t reported properly.
Then, in July, the FDA criticized Intuitive for not properly reporting certain events to the regulatory agency. This criticism sparked a drop in Intuitive Surgical’s stock price and downgrades by financial analysts. Now, the underlying question is, “Is the problem entirely with the technology?”......read more
'Cyberknife' technology treats inoperable tumours without surgery
'Cyberknife' technology treats inoperable tumours without surgery
November 23, 2013
Doctors in select Canadian hospitals are testing robotic radiation technology that allows them to deliver larger-than-usual radiation doses on tumours that otherwise would have been considered inoperable.
Despite its name, the "cyberknife" doesn't involve cutting. Instead it is a non-invasive, non-surgical approach that delivers focused radiation on patients at much larger doses than usual.
The cyberknife system has a robotic arm which moves around the patient to deliver focused radiation from any direction. The device also has a camera which helps track the tumours, which move while the patient breathes.
Because it is non-invasive, it is a viable option for patients who have tumours that are considered inoperable or surgically complex, including brain, lung and prostate tumours.Also, because the radiation doses are larger than usual, patients require fewer treatment sessions.......read more
From Orbit to Operating Rooms, Space Station Technology Translates to Tumor Treatment
November 23, 2013
Powerful robotic arms developed by the Canadian Space Agency for the space shuttle and International Space Station - Canadarm and Canadarm2 - and a delicate surgical tool, dubbed NeuroArm, are examples of the "wonderful things" that can happen when experts from different disciplines work together, says Garnette Sutherland, M.D.
Sutherland, a neurosurgery professor at the University of Calgary in Canada, used the first-generation neuroArm to conduct a clinical trial on 50 patients. That work, the subject of a paper recently published in the Journal of Neurosurgery, concluded that surgical robots such as this one improve precision and accuracy during brain surgery.
The surgical robotic arm was designed to work in conjunction with an MRI machine, as well as actually inside an MRI. This gives surgeons the ability to continually monitor their progress through detailed, three-dimensional images. A surgeon operates from a remote workstation that recreates the sight, sound and touch of surgery.
"When the tool tip hits tissue, it sends force back to the hand controller so the surgeon can feel what is touched," Sutherland said, somewhat like the vibration players feel in a videogame joystick, only much more realistic. The robotic sense of touch also allows surgeons to create a defined area within the body so that the tool encounters resistance if it reaches the edges of that area. The surgeon can see the operation through high-resolution, three-dimensional screens and hear it through a headset. Theoretically, the machine can even give surgeons the ability to see what they normally could not through the use of fluorescent markers and feel what they cannot normally feel, as the robotic arm can detect forces smaller than those normally appreciated by humans. In essence, the robot amplifies the surgeon's innate abilities.......read more
New FDA Report on da Vinci Surgical System Highlights Need For Heightened Surgeon Training
November 21, 2013
The U.S. Food and Drug Administration (“FDA”), has issued a Final Report of findings gathered through a survey of surgeons throughout the United States who have used the da Vinci Surgical Robot in various medical procedures.
The survey was conducted by the FDA, “to better understand [surgeon] perspectives on the different challenges raised when using the system interface to perform surgery versus using conventional surgical procedures.”
In receiving survey responses from eleven da Vinci robot surgeons, most from hospitals with a bed size of 100 or more, the FDA Report highlighted the following suggestions:
(1) All survey respondents reported a need to perform multiple surgeries before feeling fully proficient in using the da Vinci surgical system;
(2) That additional dry lab testing be offered and/or provided; and
(3) That pre-surgery training consist of a mandated threshold of hours.
While the FDA’s investigation into design problems continues, the FDA’s Report suggests that inconsistent surgeon training, or lack thereof, may be another problem in causing patient injuries......read more
Overlake Colorectal Surgeons Demonstrate New Robotic Surgery Stapler
Posted on AARS: November 21, 2013
On Wednesday, Nov. 20, Overlake colorectal surgeons demonstrated the new EndoWrist Robotic Stapler, a surgical device used to repair a variety of conditions affecting the colon.
Overlake’s fellowship-trained, colorectal surgeons, Martin Herman, MD, and Mitra Ehsan, MD, showed members of the media how the stapler is used and why it can make a significant difference in the lives of patients.
Colorectal surgeons using the EndoWrist stapler and the da Vinci robotic system can operate with enhanced vision and greater precision, dexterity and control. Surgeons use a magnified 3D high-definition vision system and special wristed instruments that bend and rotate with maneuverability far greater than the human wrist.
At Overlake, the first hospital in the Northwest (WA, OR, ID, MT, AK) to add this new robotic tool to assist surgeons doing colorectal procedures, the EndoWrist Stapler is used in procedures such as robotic colectomy and rectopexy, and will help deliver the following benefits to patients: less blood loss, shorter hospital stay and faster recovery.......read more
Srinivas K. Prasad, MD
Robotics in Spine Surgery: Pros, Cons & Whether it Makes Sense to Adopt Today
November 19, 2013
Chetan K. Patel, MD, moderated a symposium about robotics and navigation in the spine surgeon's operating room at the 28th North American Spine Society Annual Meeting.
Srinivas K. Prasad, MD, gave a presentation titled "Critical Analysis of the Latest Robotic Technologies in Spine Surgery." He discussed the history of robotics in surgery and gave an overview of the various robotics paradigms and innovation.
He discussed the potential benefits of using robotic technology or navigation, including improved pedicle screw placement, reduced placement time, less invasive procedures which lead to less pain and blood loss, as well as reduced fluoroscopy use. However, more questions remain to better define the objectives of the robotic technology.
He sees technologies moving more toward innovations that can build upon current technology to create better procedures and outcomes that level the playing field. Future technology may address cost reduction in spine surgery and generate better clinical results.....complete article
Study: Ureteral injury during robot-assisted prostate surgery
November 19, 2013
There may be warning signs to help surgeons avoid damaging part of the urinary system during robot-assisted surgical removal of prostate cancer, ultimately preventing the expense of additional surgery, according to researchers at Henry Ford's Vattikuti Urology Institute.
Although rare, they found instances when the ureter – tubes that carry urine from the kidneys to the bladder – were cut and required repair. In each case, they identified patient characteristics that may forewarn such damage. The study was recently published in the Journal of Endourology.
The study –drawing from Henry Ford Hospital's experience with robot-assisted surgery removal of prostate cancer– was conducted in the context of a steady rise in robot-assisted prostatectomies in the U.S. during the past decade.
Under guidance of Drs. Mani Menon and James Peabody, a research team at Henry Ford's Vattikuti Urology Institute focused on 6,442 consecutive patients who underwent robotic prostatectomy by one of five surgeons at the hospital from January 2001 to June 2013........read more
New York Robotics Expert Visits Israel
November 19, 2013
David B. Samadi, MD, Chairman of Urology, Chief of Robotic Surgery at Lenox Hill Hospital, has returned from a recent prostate cancer mission to Israel. During this trip, Dr. Samadi visited Holon's Wolfson Medical Center to meet with other urologists and lecture on his custom Samadi Modified Advanced Robotic Technique (SMART) Surgery. He also offered private counsel to patients recently diagnosed with prostate cancer.
Dr. Samadi, considered one of the leading robotic prostate cancer surgeons in New York and internationally, is a board certified urologist and oncologist who has performed more than 5,200 successful robotic prostate surgeries. He frequently travels to Israel to educate urologists and physicians about prostate cancer diagnosis and treatment.
Dr. Samadi's international lectures include focusing on the nuances of SMART Surgery, including his large and small customizations to the prostate removal procedure. He explains how, unlike other surgeons, he removes the walnut-sized prostate while preserving the delicate nerve bundles that surround it. By allowing this "skin" of nerves to remain intact, Dr. Samadi is able to preserve sexual potency and urinary control in the majority of his patients.......read complete article
Click on Image for Event Calendar
Live from All Over the World
Posted on AARS: November 19, 2013
Next week the following events will go live on the CVU website, the channel of CRSA devoted to live streaming of surgery procedures.
From Tuesday the 26th to Friday the 29th all the surgeries performed at the Advanced Robotic Course in Grosseto will be streamed, while on Wednesday the 27th you will also be able to watch Dr. CN Tang perform a Robotic Wedge Excision of Gastric Gist live from Hong Kong.
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Date & Time: 11-26-2013, 2.00am - 7.00am - Pancreatic Procedure By Pier C Giulianotti, Andrea Coratti
Date & Time: 11-28-2013, 3.00am - 6.00am - Rectal Resection By Pier C Giulianotti, Andrea Coratti, Gyu-Seog Choi
Date & Time: 11-29-2013, 2.30am - 4.30am - Right Colectomy By Pier C Giulianotti, Andrea Coratti, Gyu-Seog Choi
In this photo taken Wednesday, Nov. 6, 2013 Dr. Alan Shatzel, medical director of the Mercy Telehealth Network, is displayed on the monitor RP-VITA robot at Mercy San Juan Hospital in Carmichael, California. (AP Photo/Rich Pedroncelli)
Robots let doctors ‘beam’ into remote hospitals
November 18, 2013
Remote presence robots are allowing physicians to “beam” themselves into a growing number of US hospitals to diagnose patients and offer medical advice during emergencies.
Some hospitals in California and other states are using telepresence robots to expand access to medical specialists, especially in rural areas where there’s a shortage of doctors.
These mobile video-conferencing machines move on wheels and typically stand about 5 feet (1.4 meters), with a large screen that projects a doctor’s face. They feature cameras, microphones and speakers that allow physicians and patients to see and talk to each other......read more
Jury awards $100,000 in Oregon malpractice suit
November 16, 2013
An Oregon gynecologist who removed a patient's healthy ovary and left a piece of plastic in her body after a 2007 robotic surgery has been ordered to pay more than $100,000.
The Mail Tribune newspaper reported that U.S. District Court jurors convicted Dr. Daniel Laury of medical malpractice on Thursday after hearing two days of testimony from the plaintiffs and seven physicians.
The lawsuit filed by the woman and her husband sought nearly $1 million in damages. The jury of four women and three men awarded more than $10,500 in medical expenses and $100,000 as compensation for physical pain and mental anguish.......read more
Robotic surgery can mean a shorter hospital stay for patients, but reports of adverse events to the FDA are on the rise. Getty Images
The Pros and Cons of Robotic Surgery
Posted on AARS: November 16, 2013
What you should know before going under the remote-controlled knife.
You need a hysterectomy, and the surgeon wants to do it robotically. Instead of working directly with his hands, he will sit at a console manipulating a set of robotic arms outfitted with tiny surgical instruments.
Should you go for it?
You’d be forgiven for some hesitation. There have been widely publicized horror stories, including patients who have bled out after a robotic instrument inadvertently nicked a blood vessel or those who have been injured in other ways, such as accidental punctures, tears or burns.
The rise of such “adverse events” during various robotic procedures has led to new government scrutiny, as well as a cautionary statement from the American College of Obstetricians and Gynecologists: “Robotic surgery is not the only or the best minimally invasive approach to hysterectomy…nor is it the most cost-effective.
”Does any of this warrant your flatly rejecting robotic surgery? Many experts say no. Every patient profile is different, and a robot is just another surgical instrument: It’s only as good as the surgeon using it.Before making a decision on what kind of procedure to elect, here are some things to consider.....read more
Hands-on surgeon asks Business graduates to bet on robotics
November 16, 2013
You won’t often find a man advising people to invest in technology that could do serious damage to his business. And yet, that’s exactly what Dr J S Rajkumar, an eminent surgeon and professor, chose to do. “The future is in robotics,” he said, speaking at the inaugural session of Loyola Institute of Business Administration’s (LIBA) national management symposium VUCA on Friday. Robotic assisted surgery is considered by many as the future of all medical surgery and great strides have been made in that direction — even in India.
“Most often, surgeons such as myself keep comparing whether we can do a stitch or an incision or a surgical exercise as well as a robot can and the answer is - yes, we can. But the real difference is, we can’t do it just that way every single time, because we’re limited, being human and all,” he said. He cited an example of how, no matter how hard any human doctor tried, they could only rotate their hand with a 270 degree angle, but a robotic arm could do 360 degree turns all day, without getting tired.
Prostate Cancer Expert Visits the TODAY Show on NBC
November 15, 2013
New York prostate cancer expert, David B. Samadi, MD, was recently featured on the TODAY show to educate viewers on the importance of prostate cancer screening. TODAY hosts Matt Lauer and Al Roker invited Dr. Samadi to help them spread the word about prostate health as part of the nationwide celebration of "Movember" to raise prostate cancer awareness.
Dr. Samadi, a leading robotic prostate surgeon and Chairman of Urology, Chief of Robotic Surgery at Lenox Hill Hospital, conducted live, off-camera digital rectal exams (DREs) for Lauer and Roker to demonstrate the quick, painless test. The 34-second DRE, in conjunction with routine prostate-specific antigen (PSA) testing, is used to monitor prostate health and gather valuable, tactile information and detect nodules or irregularities on the prostate that may require further exploration or monitoring.
"There are no complications associated with prostate cancer screening," stressed Dr. Samadi, who encouraged men to "Get your PSA baseline at the age of 40 and work with your doctor to design a personalized prostate cancer monitoring plan."
Lauer and Roker represent key prostate cancer risk factor groups. Lauer has a family history of the disease and Roker, as an African American male, is part of a group that is 60 percent more likely to develop prostate cancer, often in a more aggressive form.......read complete article
Blue Belt Technologies Announces Clinical Milestone with 100th Navio Assisted Partial Knee Replacement
November 14, 2013
Blue Belt Technologies announces a clinical milestone for the Navio Orthopedic Surgical System with the 100th robotic-control assisted partial knee replacement surgery performed on November 13, 2013.
Dr. Jess H. Lonner performed the 100th Navio case, which occurred at the Thomas Jefferson Riverview Surgical Center in Philadelphia, PA.
Over the past twelve months, Blue Belt Technologies' Navio system has assisted numerous surgeons from around the world in performing precision partial knee replacement surgery utilizing 5 different implant manufacturer's implant systems, all with consistently precise outcomes.
The cases have been performed in a variety of hospital settings in the U.S. and in Europe, including large teaching hospitals, small community hospitals and outpatient ambulatory surgical centers......read more
Blue Belt Technologies’ Navio™ System Assists in Live Partial Knee Surgery Event
November 12, 2013
On November 5, 2013 Blue Belt Technologies participated in a live surgery day with Dr. Raul Marquez at Cornerstone Regional Hospital.
Dr. Marquez utilized the precision assistance of the Navio™ surgical system to perform a partial knee replacement on a patient suffering from medial compartment osteoarthritis.
The event was open to the public and attended by various media outlets as well as potential patients looking to learn more about Cornerstone Regional Hospital and the Marquez Orthopedic Robotic Institute. The case was live-cast into an adjoining education auditorium where the attendees had the opportunity to view the Navio™ system in action and to interact with Dr. Marquez for questions.......read complete story
Titan Medical Inc. Announces the Commencement of Tissue Testing
November 11, 2013
Titan Medical Inc. (NASDAQ: TITXF) announced today that it recently started tissue testing that has been highly successful in assessing and measuring the functionality of the Single Port Orifice Robotic Technology SPORT(TM) Surgical System. The purpose of tissue testing is to undertake a sequence of tests with refinements and improvements after each test, leading ultimately to the finalized fully-functional SPORT(TM) Surgical System. Tissue testing constitutes the first major milestone on Titan's pathway to commercialization.
In the last two weeks, the protocols in the first two tests were implemented and the goals were successfully attained. Two more tests are planned before the end of this year. During the next nine months, iterative testing and fine tuning of all the components of the SPORT(TM) Surgical System will take place......read more
Intuitive Surgery Incidents Add to Call for More Training
November 11, 2013
A rising number of reports about deaths, injuries and malfunctions linked to the robotic surgery system made by Intuitive Surgical Inc. (NASDAQ: ISRG) may pressure hospitals to bolster training for doctors using the $1.5 million device.
The U.S. Food and Drug Administration received 3,697 adverse event reports through Nov. 3, compared with 1,595 through all of 2012, an agency official said in an interview last week. While the FDA said the surge may be tied to added public awareness from more use of the machines or recent media reports and recalls, a survey of surgeons released the same day suggested the complex robot interface was a challenge to master and that physician training was inconsistent......read more
Corindus Vascular Robotics Launches "CorPath® One Stent Program" for Hospital Cardiac Cath Labs
November 10, 2013
Corindus Vascular Robotics, a leading provider of precision medical robotics, announced the launch of its CorPath One Stent Program. The goal of the program is to raise awareness of the potential to decrease longitudinal geographic miss (LGM) caused by sub-optimal stent placement, as well as the patient safety and financial benefits that can result from using the CorPath Vascular Robotic System to place just one stent per lesion in coronary angioplasty procedures.
Corindus is offering a $1,000 credit to hospitals that use two or more stents per lesion in qualifying coronary angioplasties performed with the CorPath System......read more
Intuitive Robot Incident Reports Rise as Surgeons Cite Training
November 9, 2013
The number of adverse incident reports involving Intuitive Surgical Inc.’s (NASDAQ: ISRG) robots more than doubled this year, according to U.S. regulators who also released a physician survey showing no consistent training exists for the complex machines.
The Food and Drug Administration received 3,697 adverse reports through Nov. 3, compared with 1,595 in 2012. The surge, though, doesn’t necessarily mean the rate has changed, said William Maisel, with the FDA’s device unit. Rising robot use and recent media reports and recalls may have spurred public attention, he said. The reports, from the company and medical professionals, are largely unverified by the agency.
The FDA survey released yesterday included 11 doctors who have performed from 70 to 600 robot surgeries each. While the unidentified surgeons said the device led to fewer complications and shorter recoveries, they reported incidents in which robot arms collided or missed a mark and said training was an issue........read more
This first of its kind, robotic version of the popular board game from the 60’s is nearly 8 feet tall and is designed to attract people of all ages. Rather than use tweezers, the operator uses a 6’ robotic arm controlled by a wireless joystick mounted on a podium to perform the required surgery. In this age when virtually everyone has the ability to play sophisticated simulation games on their smart phone, the rare chance to use a real robot will be a unique experience for attendees at medical and hi-tech trade shows and special events, etc.......See Videos
OpBot is available for sale or rental domestically and for sale worldwide........read more
Concern Over DaVinci Robot Injury Goes Global
November 9, 2013
Dublin, Ireland: A machine that allows a surgeon to perform an operation while not even having his hands on the patient, but rather through the use of a series of joysticks and a high-definition video screen, may not be the surgical utopia advocates claim. Operating room injuries appear to back up that claim.
To be fair, the majority of surgical procedures involving the daVinci robot are successful and free of complication. However, a growing chorus of critics cite the high cost of the robot, coupled with the potential for daVinci robot failure causing injury. The injury rate is growing exponentially given the acquisition of a daVinci robot by an increasing number of hospitals, and the pressure to use what amounts to a significant investment.
And it’s not only in the US, either. Concern over daVinci is growing globally. This becomes evident by way of a report appearing last month in the Irish Daily Mail (10/29/13), in which daVinci robot injury is cited by patients in Britain and Ireland. One patient in particular, in Britain, underwent prostate cancer surgery with the aid of a daVinci robot to remove his prostate.
According to the lawyers handling his daVinci lawsuit, the patient’s bowel was nicked during surgery - not by a surgical instrument inherent with the robotic arm or the electrical arcing that has also been reported - but rather the remote camera that is integral in the process, serving as the eyes for the surgeon operating remotely.........read more
OmniGuide Surgical Showcases Latest Technology and Best Practices at the AAGL’s Global Conference on Minimally Invasive Gynecology
November 7, 2013
Company to Host Session with Leading GYN Surgeons, Highlight Technology for Broad Range of Applications for CO2 Laser
OmniGuide Surgical, a leading developer of advanced energy surgical products, announced today it will showcase its latest technology for Robot-Assisted and Laparoscopic Gynecologic procedures at the AAGL’s 42nd annual Global Congress on Minimally Invasive Gynecology.
Earlier this year, OmniGuide launched its BeamPath® Robotic Fiber and FlexGuide™ULTRA for robotic Gynecology surgery. The new advancements will work in tandem with robotic surgical systems to deliver CO2 laser energy in a minimally invasive approach and will be on display in OmniGuide’s booth (#237) at the show from November 10th-14th........read more
Here, the IGAR manipulator and full breast intervention platform are mounted on the patient support structure with a biopsy tool attached.
Robot Detects Breast Cancer With Space-Grade Tech
November 5, 2013
The same technology designed for huge robotic arms that help astronauts in space is being brought back to Earth to do some heavy lifting in cancer treatment — in the form of a surgical robot. Its inventors say the robot could take breast biopsies with remarkable precision and consistency.
The new machine is called IGAR, which is short for Image-Guided Autonomous Robot. NASA officials say it descends from a long line of robotic arms built for the Canadian Space Agency, such as Canadarm, which helped build the space station, service satellites and sometimes gave astronauts a lift during spacewalks, and Dextre, a maintenance robot on the space station. (This specific tech was developed by the British Columbia-based aerospace and communications firm MacDonald, Dettwiler and Associates Ltd.)
IGAR works in combination with a magnetic resonance imaging (MRI) scanner that can help doctors see potentially harmful mass in the breast. Currently, MRI is used to examine areas of the breast found on mammograms to be suspicious. With special software, a radiologist could tell IGAR which area to target with a needle-based biopsy device, or similar tissue-removing tool......read more
If you have been diagnosed with a condition that requires you to undergo surgery, you might have heard your doctor talk about getting the procedure done using robotic surgery. You might be confused about the benefits of choosing robotic surgery over the traditional form, so, to help you make a more informed decision, Dr Mangesh Patil, Consultant Urologist & Robotic Surgeon at the Asian Institute of Robotic Surgery, gives you ten reasons why robotic surgery is better than the conventional method.
It is highly precise
Can be used for a large variety of surgeries
There is lesser blood loss
Quicker recovery and lesser chances of infection
Magnifies the area to be operated and provides the surgeon with a 3D view
First Use of Optical Biopsy with Cellvizio(R) in Robotic Assisted Prostatectomy Presented at 31st World Congress of Endourology
November 5, 2013
Mauna Kea Technologies, a global medical device company dedicated to the advent of optical biopsy, announced today that Joseph C. Liao MD, associate professor of urology, Stanford University, has successfully used endomicroscopy with Cellvizio for the first time in eight patients treated with robotic assisted radical prostatectomy (RARP) procedures. Results were presented in a poster presentation at the 2013 World Congress of Endourology Meeting in New Orleans in October where the procedure was also named "Best New Innovation."
In the feasibility study the use of endomicroscopy with Cellvizio was shown to provide real time imaging of prostate and surrounding tissues during RARP procedures using the da Vinci Surgical System. Intraoperative probe-based confocal laser endomicroscopy (pCLE) also known as optical biopsy was successfully performed in eight patients with no related complications.....read more
New Study Finds Robotic-Assisted Lung Surgery Offers Improved Patient Outcomes Compared to Open Surgery
November 4, 2013
A new study comparing open surgery, video-assisted thoracic surgery (VATS), and robotic-assisted surgery to remove diseased lung tissue found that robotic-assisted surgery is associated with significantly lower death rates, lower overall complication rates, and shorter hospital stays compared with open surgery. Researchers also concluded that robotic-assisted surgery is an appropriate alternative to VATS.
The study was published in the October issue of The Annals of Thoracic Surgery, and evaluated different techniques for performing lobectomy (removal of a lobe of the lung) and segmentectomy (removal of a section of a lobe of the lung).......read more
UW robot featured in sci-fi thriller 'Ender's Game'
November 1, 2013
Sometimes movie magic can't replace the real thing. Such was the case with a University of Washington robot called Raven and the new movie "Ender's Game."
The science fiction thriller stars Harrison Ford and Asa Butterfield and is based on a 1980s novel by Orson Scott.
The film's producers were in need of a futuristic robot that would perform surgery on the hero's rival in a key scene. Flashback to Spring of 2012 when the phone rang in the offices of the University of Washington BioRobotic Laboratory.
The film's prop master had heard and seen pictures of Raven II, a second generation robot designed by researches to explore new technology in the field of robotic surgery.......read more
Deaths, problems with robotic surgical systems not being reported to FDA
November 1, 2013
The use of robotic surgical systems is expanding rapidly, but hospitals, patients and regulators may not be getting enough information to determine whether the high tech approach is worth its cost.Problems resulting from surgery using robotic equipment—including deaths—have been reported late, inaccurately or not at all to the Food and Drug Administration, according to one study.
The study, published in the Journal for Healthcare Quality earlier this year, focused on incidents involving Intuitive Surgical’s da Vinci Robotic Surgical System over nearly 12 years, scrubbing through several data bases to find troubled outcomes. Researchers found 245 incidents reported to the FDA, including 71 deaths and 174 nonfatal injuries. But they also found eight cases in which reporting fell short, including five cases in which no FDA report was filed at all.......read more
MSimô 2.2 software update enhances dV-Trainer® robotic surgery simulator performance.
Mimic Technologies releases MSim™ 2.2 update to robotic surgery simulation platform
November 1, 2013
Software update enhances dV-Trainer® simulator performance, offers preview of Robotic Training Network (RTN) exercises.
Mimic Technologies announces the release of MSim 2.2, the latest simulation software platform for the dV-Trainer robotic surgery simulator. MSim 2.2 brings functionality upgrades and enhanced performance to existing dV-Trainer customers and Mimic research partners worldwide.
MSim 2.2 also brings a preview of new dry lab simulation exercises developed in collaboration with the Robotic Training Network (RTN). RTN is devoted to standardizing the robotic surgical curriculum and education for residents/fellows-in-training.
The recently developed Tower Transfer and Roller Coaster exercises included in MSim 2.2 are life-like simulations of physical dry lab exercises RTN uses in an assessment program for their robotic surgical training curriculum. With nine exercises in total, the Tower Transfer and Roller Coaster modules are positioned as a preview of a full suite of RTN dry lab exercises on the dV-Trainer that will be available through an exclusive license to RTN members in 2014.....read more
Intuitive Surgical Insurer Alleges Company Hid Legal Claims
October 31, 2013
Posted on AARS: November 1, 2013
Intuitive Surgical Inc. (NASDAQ: ISRG), the maker of robotic-surgery devices targeted by patient lawsuits, was sued by an insurer alleging the company hid the number of legal claims it might face when buying product-liability insurance.
Illinois Union Insurance Co. (UNION) seeks to rescind an Intuitive insurance policy, saying the maker of the $1.5 million da Vinci robot system concealed material facts about its legal risks.
The insurer said it was told Intuitive was confronting 25 claims during the policy application process earlier this year. Intuitive didn’t disclose that it had entered agreements with plaintiffs’ lawyers to suspend deadlines for additional legal claims over the da Vinci system, according to an Oct. 21 complaint filed in federal court in San Jose, California......read more
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