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Real 3D Videos by CRSA
The first two stereoscopic 3D videos by Clinical Robotic Surgery Association are now available on their website and on YouTube.
The surgical procedures featured in the videos are:
Pancreaticoduodenectomy, by Prof. Pier C. Giulianotti;
Hiatal Hernia, by Dr. Andrea Coratti.
You can watch the videos in stereoscopic 3D on:
this page, using a computer equipped with a 3D display;
the YouTube application on a 3D smart-TV connected to the internet: just input CLINICALROBOTIC in the search box and enter the CRSA channel.
In case you have no access to a real 3D display, you will be able to watch the videos in Full HD or in anaglyph 3D (red/cyan, using this kind of filters) on normal computer displays or non-3D smart-TVs: click on the cog shown in the bottom-right side of YouTube player and change your settings accordingly.
Enjoy the videos.
ProPep Surgical® Begins Hysterectomy Study of Its ProPep Nerve Monitoring System™ with Dr. John Crane
October 25, 2013
ProPep Surgical, LLC., an Austin-based medical device company, announced today it has initiated a clinical study of its ProPep Nerve Monitoring System with Dr. John Crane, director of the GYN Robotic Epicenter at Banner Health’s McKee Medical Center in Loveland, Colorado. The purpose of the study is to explore the potential patient benefits of using the ProPep Nerve Monitoring System to perform intraoperative nerve monitoring during robotic-assisted, hysterectomy surgery.
The ProPep Nerve Monitoring System is the first, real-time nerve identification system specifically designed for use during laparoscopic and robotic-assisted surgery. Fast, accurate and easy to use, the System aids a surgeon in identifying the location of and monitoring the integrity of otherwise invisible nerves during laparoscopic and robotic-assisted pelvic surgery.....read more
National Robotics Initiative Awards provide $7 million for Carnegie Mellon research projects
October 24, 2013
Robotic rotorcraft for inspecting bridges and other infrastructure, tools for minimally invasive surgery that guide surgeons by creating 3D maps of internal organs and assistive robots for blind travelers are among seven new Carnegie Mellon University research projects sponsored through the National Robotics Initiative.
The National Science Foundation announced it has awarded a total of more than $7 million to Carnegie Mellon researchers in the latest round of grants for the initiative -- a multi-agency effort to develop robots that can work with humans to extend and augment human skills.
Howie Choset, professor of robotics, is a co-principal investigator in a large, multi-university project, sponsored through the National Robotics Initiative, that will provide surgical robots with a new kind of machine intelligence that will enhance minimally invasive surgery. The five-year, $3.6 million project includes researchers at Vanderbilt University and Johns Hopkins University.
The researchers will work to establish the concept of "complementary situational awareness," which takes advantage of a robot's ability to gather sensory information as it works and to use that information to guide its action. In particular, they hope to compensate for a surgeon's inability to directly see organs and other tissues when they are performing minimally invasive surgery, which is performed through small incisions using devices that provide only a narrow view of the surgical site.
Researchers led by Choset will use a technique called simultaneous localization and mapping, or SLAM, which allows mobile robots to navigate unexplored areas by creating maps as they go. This class of algorithms was developed for navigating buildings, landforms and streets, so Choset's team will extend the technique to work in the pliable tissues of the body.......read more
Two New Analyses Demonstrate That Robotic-Assisted Surgery Results in Fewer Complications Compared With Open Surgery for Urologic Cancers
October 24, 2013
In two independent analyses comparing robotic-assisted surgery and open surgery performed on patients with urologic cancers, researchers found that robotic-assisted surgery results in fewer overall complications during and after surgery, less blood loss and shorter length of hospital stay.
In the first analysis, which was published in this month's issue of Cancer Treatment Reviews, the authors (Li K, Tianxin L, Xinxiang F, et. al.) reviewed the available literature on the efficacy and advantages of robotic-assisted radical cystectomy (RARC) versus open radical cystectomy (ORC) performed for bladder cancer.
The second analysis, published in the World Journal of Urology by Dr. Gianni Vittori from the Universita` di Firenze, compared kidney cancer patients who had received robotic-assisted partial kidney removal with those who had received open partial kidney removal........read complete PRESS RELEASE
New MCCG Robotics Procedure Helps Throat Cancer Patients
October 22, 2013
More than 30,000 people are affected by throat cancer in the United States and 290,000 worldwide each year.
Thanks to the new Transoral Robotic Surgery (TORS) procedure with the da Vinci® Surgical System, patients now have a minimally invasive treatment option. MCCG is currently one of only a handful of facilities offering this state-of-the-art procedure.
“The procedure is performed through the mouth and therefore requires no external incisions. It offers an excellent alternative to traditional treatments and a can lower the risk of unpleasant complications – such as permanent feeding tube – common to traditional throat cancer treatments like radiation and open surgery,” said Dr. Bobby Newman, who performed the first operation at MCCG on Thursday, August 22.
Dr. Newman practices Otolaryngology as part of The ENT Center of Central Georgia.......read more
Broken bones could be mended with robot-assisted surgery
BROKEN bones could soon be fixed by robots rather than surgeons thanks to the ever-increasing set of cybernetic capabilities being developed in Bristol.
The collaboration between The University of the West of England (UWE) and the University of Bristol is looking into new ways to revolutionise healthcare.
Technology is being developed to put cutting-edge robotic systems to use fixing joint fractures with minimal invasion.
It is being developed at the Bristol Robotics Laboratory (BRL) in collaboration with a leading orthopaedic surgeon, a company specialising in orthopaedic devices and University Hospitals Bristol NHS Foundation Trusts.
The project has received the backing of the National Institute for Health Research with a £642,000 research funding grant.
Current surgical techniques to mend broken joints focus around making a large incision so that surgeons can see the broken bones clearly to fit them back together. However such methods expose the patient to the risk of infection and involve more pain and longer hospital stays.
This new project would create a robotic system to be used by surgeons to put pieces of broken bones back together without requiring major operations.Robots would access fragments of bones using minimally invasive surgery (MIS) and CT scans would tell them how to move each fragment into the perfect position......read more
Florida woman first to have robotic brain surgery for Parkinson's
October 21, 2013
Medicine controlled Clarita Beslack's tremors from Parkinson's Disease for five years. Then something changed and by January 2013, she knew she needed a different kind of treatment.
She turned to Dr. Nizam Razack at Florida Hospital Celebration and he proposed a traditional approach with a new, unusual twist. Razack wanted to use Deep Brain Stimulation, or DBS, using something called the Mazor Robotics Renaissance Guidance System, to treat Beslack's Parkinson's symptoms.....read more
Blue Belt Technologies Announces First Sale of the Navio System to a Surgery Center and First Worldwide STRIDE Case
October 15, 2013
Blue Belt Technologies announces the first sale of a Navio orthopedic surgical system to an Ambulatory Surgery Center. The Thomas Jefferson Riverview Surgical Center, at the Navy Yard in Philadelphia, entered into an agreement to purchase Blue Belt’s Navio robotic-controlled surgical system.
The Jefferson Surgical Center is a multi-specialty ambulatory surgery center, developed by area physicians, Thomas Jefferson University Hospital and Nueterra Healthcare. It is the first surgery center in the U.S. to purchase and use the Navio system to assist in precision partial knee replacement surgery......read more
The Navio robotic-controlled handpiece assists the surgeon in precision bone preparation. BUSINESS WIRE
BIOLASE and Auris Surgical Robotics to Co-Develop Cataract-Removal Ophthalmologic Robot
October 15, 2013
BIOLASE, Inc., the world's leading manufacturer and distributor of dental lasers, and a pioneer in laser surgery in other medical specialties, and Auris Surgical Robotics, Inc. ("Auris"), the developer of a robotic microsurgical system designed specifically for ophthalmic surgery, announced jointly today that they have signed a letter of commitment to develop a new product for ophthalmologists. The product is planned to feature BIOLASE's patented WaterLase YSGG all-tissue atraumatic cutting technology mounted on a unique robotic operating system manufactured by Auris.
"We evaluated a variety of advanced cutting technologies for use in our robotic cataract-removal system," said Frederic Moll, M.D., Chairman and CEO of Auris. "For cutting precision, system compatibility, and lack of tissue trauma, we found significant advantages in using BIOLASE's Waterlase technology. We anticipate that our system will have major advantages over traditional phacoemulsification and should create a new standard for safety, speed, and effectiveness in cataract removal.".....read more
North Texas Woman Files Lawsuit Alleging Serious Injuries during da Vinci Robotic Surgery
October 11, 2013
A North Texas woman has filed a lawsuit in Collin County District Court against Intuitive Surgical, Inc., maker of the da Vinci Surgical System, after she suffered a bowel injury during a robotic hysterectomy (Case No. 429-03966-2013).
The da Vinci robot has become a popular alternative to laparoscopic surgery and was used in nearly 400,000 surgeries last year. But reports of serious injuries and even patient deaths have many medical professionals questioning the safety of the robot. Since January 1, 2012, an estimated 500 adverse events reports have been filed with the FDA, alleging the da Vinci robot caused either serious injuries or death.
One North Texas woman knows the devastating injuries that the da Vinci robot can cause.....read more
This column is written by experts in the medical field and provides health-care insights to help educate consumers.
More than 1 million Americans undergo gallbladder surgery every year. Yet relatively few people even understand what the gallbladder does — or why it would need to be removed.
Located just below the liver, the gallbladder is a pear-shaped organ that stores a type of fluid called bile. Bile is produced by the liver, and helps your body digest fat. As you digest food, bile is released from the gallbladder through the common bile duct, a tube that connects your gallbladder and liver to your small intestine.
Most of the time, the gallbladder does its job with no problems. However, if the flow of bile through the ducts is blocked, the digestion process is disrupted. Most often, ducts are blocked by gallstones, which are small, pebble-like substances that develop when bile contains too much cholesterol or salt and becomes solid. Gallstone symptoms may include nausea, vomiting, or pain in the abdomen, back, or below your right arm.
Fortunately, you don’t really need your gallbladder. Bile can be passed to the small intestine through other paths. So if you have gallstone attacks or other problems with your gallbladder, often the best solution is to have it surgically removed. This procedure is called a cholecystectomy, and has generally been done with a large incision under the rib cage, or laparoscopically with instruments placed into four to six small incisions made around the abdomen.
Recently, a new robotic operating platform for removing the gallbladder has enabled surgeons to use a single incision that is less than an inch long.........read more
India-born cancer surgeon to head Mount Sinai’s Urology Department
October 9, 2013
India-born Ashutosh K Tewari, one of the foremost leaders in robotic prostate surgery and prostate cancer research in the world, has been named director of Urology at Icahn School of Medicine at Mount Sinai. Located in New York City, The Mount Sinai Medical Center is a 1,171-bed, tertiary-care Internationally acclaimed teaching hospital.
Dr Tewari comes to the Icahn School of Medicine at Mount Sinai after serving as director of the Lefrak Center for Robotic Surgery at New York-Presbyterian Hospital/Weill Cornell Medical Center. Last year, the American Urological Association awarded him the prestigious Gold Cystoscope Award for his outstanding contributions to the field of urology and urologic oncology.......read more
Robot Surgery Damaging Patients Rises With Marketing
October 8, 2013
Porter Adventist Hospital in Denver announced last year that Warren Kortz, a general surgeon on the medical staff, was the first in the Rocky Mountain region to use a technique known as robotic surgery to remove gall bladders through one incision in the belly button.
The operation, performed while the doctor sits at a video-game-like console, was “taking advantage of another breakthrough in robotic surgery” and is “easier on the patient,” the hospital said in a press release.
What the hospital and Kortz didn’t reveal was the risk. Even as Kortz promoted robotic surgery, 10 patients he treated suffered injuries or complications between 2008 and 2011, according to an April complaint by the Colorado Medical Board. Five had arteries punctured or torn. Objects were temporarily left inside two, and others had nerve damage. One died and another needed cardiopulmonary resuscitation. The complaint charges Kortz with 14 counts of unprofessional conduct, including sometimes not advising patients on alternatives to the robot......read more
Stryker spends $1.65B for robotics manufacturer
October 4, 2013
Stryker Corp. in Kalamazoo recently announced an agreement to acquire MAKO Surgical Corp. of Ft. Lauderdale, Fla., for $30 per share, amounting to a purchase price of approximately $1.65 billion.
Stryker said the transaction assumes the issuance by MAKO of almost 4 million additional shares of stock in connection with an anticipated acquisition, which Stryker expects MAKO will finalize as part of MAKO’s normal course of business.
“MAKO has established a compelling technology platform in robotic-assisted surgery, which we believe has considerable long term potential in joint reconstruction,” said Kevin A. Lobo, president/CEO of Stryker.
“The acquisition of MAKO combined with Stryker's strong history in joint reconstruction, capital equipment (operating room integration and surgical navigation) and surgical instruments will help further advance the growth of robotic-assisted surgery. Our combined expertise offers the potential to simplify joint reconstruction procedures, reduce variability and enhance the surgeon and patient experience. We look forward to welcoming the MAKO team to Stryker.”......complete article
At the Heart of Cardiac Surgery Robot Testing
October 2, 2013
A new generation of advanced cardiac surgery robots utilizes the latest in portable analyzers to improve electrical safety testing during product development.
Robin Heart, instigated by the Professor’s Zbigniew Religa Foundation of Cardiac Surgery Development, is Europe’s first medical robot for cardiac surgery with semi-automatic movements, an advanced human-machine interface, and a 3D virtual training system.
There are an estimated 4 million minimally invasive surgeries undertaken annually around the world, and the robot technology aims to reduce the risk factor by using advancements in precision robotics to improve surgical accuracy and maneuverability.
Ensuring that all the vital electrical components of the robot system function properly and safely during the various stages of product development is a critical part of this research project that could radically alter the future shape of medical surgery. Testing has to be undertaken in accordance with IEC 60601-1 Medical electrical equipment – Part 1: General requirements for basic safety and essential performance.
The components also have to be regularly inspected and tested to make sure they comply with IEC 62353, the standard for in-service and after repair testing of medical electronic devices.
The 288 analyzer has been supplied by Rigel Medical’s distributor in Poland, SAMSO, and features multi-lingual, menu-driven instructions, with download report, for simple operation and control of all electrical safety tests in manual, semi-automatic, or fully automatic test modes.
It is the industry’s smallest automatic safety analyzer, providing fast and accurate testing of patient, enclosure, and earth leakage as well as earth continuity and insulation resistance.....read more
Mako Surgical will acquire the company that helped it develop and supply its surgical robot.
Mako Surgical to make acquisition before it’s bought out
October 2, 2013
Before Mako Surgical Corp. is bought out for $1.65 billion, it plans to complete an acquisition of its own.
The Davie-based manufacturer of a knee and hip replacement surgical robot (NASDAQ: MAKO) announced that it would acquire the orthopedic device and robotics line of Cedar Knolls, N.J.-based Pipeline Biomedical Holdings.
These products were developed by its Pipeline Orthopedics affiliate. In addition to knee and hip replacements, it also develops shoulder replacements. Mako Surgical said Pipeline Biomedical has been its partner in developing and supplying advanced implants for Mako Surgical’s Robotic Arm Interactive Orthopedic (RIO) system.
Mako Surgical will pay $2.5 million in cash and 3.95 million in unregistered Mako Surgical. Given that Stryker Corp. (NASDAQ: SYK) has agreed to pay $30 a share for Mako Surgical, the stock in the deal would be worth $118.6 million.
Pitt Study: Robotics Improve Treatment For Head And Neck Cancers
Posted on AARS: October 2, 2013
Head and neck cancers account for 3 to 5 percent of all cancer in the United States, according to the American Society of Clinical Oncology, which means proving the efficacy of a robotic detection technique could have a big impact on public health.
A University of Pittsburgh study shows using robotics to identify neck tumors can improve individualized treatment and increase survival rates.
The three-year study, led by Dr. Umamaheswar Duvvuri, an assistant professor of Otolaryngology, shows the use of trans-oral robotic surgery (TORS) more accurately identifies the cause of unknown swellings in the neck. TORS uses robotic cameras and other tools to reach into the oral cavity without making incisions needed to allow access by human hands and eyes.
The study looked at 206 head and neck robotic procedures performed at UPMC from 2009 through 2012. TORS were used on 22 patients with unidentified neck lumps. Of those 22 patients, the primary tumors were found in 19 cases.....read more
CRSA Committed to Advancing Surgeon Training in Robotic Surgery
By Business wire: October 1, 2013
In an effort to further integrate robotic technology into the current surgical armamentarium for surgeons and maintain best patient outcomes, the Clinical Robotic Surgery Association (CRSA) announced today its plans to provide real and clinical insight into the safety and efficacy of robotic surgery during its 5th Worldwide Congress. Over the past decade more than 1.5 million robotic surgeries have been performed worldwide, and the technology has dramatically improved the utilization of minimally invasive surgery across several fields including urology, gynecology, thoracic, cardiac, colon, pancreas and transplant surgery.
“As robotic surgery continues to evolve, it is important that we also encourage continuous quality improvement in clinical programs,” said Dr. Laurent Bresler, president of CRSA. “And part of our mission is to work with clinicians and their societies to enhance training and education of surgeons on the application of robotic technologies in a broad set of surgical procedures.”
“Robotic technology has a proven and promising role in surgery,” said Dr. Pier Giulianotti, Chief of the University of Illinois Medical Center's Division of General, Minimally Invasive and Robotic Surgery, and past president of CRSA. “Well trained robotic surgeons continue to achieve excellent clinical outcomes with this innovative platform, and it is important that we keep advancing – ourselves and the technology.
”During the meeting, the association plans to create surgeon training and credentialing guidelines for robotic surgery to help surgeons go through a clinically-justified training protocol and complete their learning curve in a standardized regimen. Additionally, CRSA intends to create an online CRSA Robotic Surgery Patient Portal that will enable patients to connect with proficient surgeons in the field to ask questions about robotic surgery......read more
Total hospital cost of robotic or conventional open-chest mitral valve repair surgery is similar
October 1, 2013
The total hospital cost of mitral valve repair surgery -- from the time a patient is admitted to the hospital until release --is similar, whether performed through small port incisions using robotic equipment or via the conventional open-chest method, a Mayo Clinic study of 370 patients found. Importantly, robotic surgeries were just as safe as conventional open procedures, but patients who underwent robotic mitral valve repair recovered more rapidly and returned home earlier than patients who had open-chest surgery, the study found. The results of the study also reflect systems innovation efforts designed to reduce the cost of high-technology cardiac care. The findings will be published online Oct. 1 in Mayo Clinic Proceedings.
In robot-assisted cardiac operations, small incisions are made on the right side of the chest, and the surgeon conducts surgery using a robotic telemanipulator system, which includes a high-definition camera and thin mechanical arms that act as extensions of the surgeon's eyes and hands. In open-chest surgery, the surgeon cuts down the center of the chest along the breastbone to expose the heart.
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