In Study, Covidien Endo Stitch Cuts Operating Time and Costs

December 23, 2011

In a recent study, the Endo Stitch automated suturing device from Covidien was shown to lower mean hospital costs and operating room (OR) time during total laparoscopic hysterectomies treating benign conditions. In the study, the device reduced overall hospitalization costs by approximately $1800 and cut OR time by roughly 40 minutes, on average, when compared to those same procedures performed with robotic assistance.

To get some perspective on the automated suturing device for laparoscopic surgery, Medgadget spoke with Stuart Hart, MD, FACOG, FACS, co-director of the University of South Florida Center for the Advancement of Minimally Invasive Pelvic Surgery, who has used the device for years and helped present the study results at the American Association of Gynecologic Laparoscopists 40th Global Congress of Minimally Invasive Gynecology in late November 2011.....read more

Endo Stitch(TM) Automated Suturing Device by COVIDIEN Surgical

About Covidien,

Covidien is a $10 billion global healthcare products leader dedicated to innovation and long-term growth. Covidien creates innovative medical solutions for better patient outcomes and delivers value through clinical leadership and excellence.....

In June 2014 Covidien became Medtronic Minimally Invasive Therapies

ARTEMIS test facility.

ARTEMIS. A telemanipulator for cardiac surgery

CardioArm

Ready to probe: The CardioArm can wiggle its way inside a body and perform cardiac ablations. An operator controls the robot’s motions using a joystick.

Abstract
ARTEMIS, the Advanced Robotics and TElemanipulator System for Minimally Invasive Surgery, is designed as an integrated teleoperation and telepresence system for planning, training and performing different minimally invasive surgical procedures. The actual prototype was developed as an experimental device for exploring and testing the needed technologies and their capability and quality with respect to surgical application. The main components are two master-slave units guiding the surgical instruments and a remotely controlled endoscope guiding system. Each master-slave device consists of the slave or work unit and the master or control unit which are interconnected by a computer based control system. The work unit is operating at the patient by means of dexterous surgical instruments consisting of multifunctional endoeffectors with flexible distal section providing six degrees of freedom. >> More

Snakelike Robots for Heart Surgery

A snakelike surgical robot from Carnegie Mellon University could let a surgeon performing a critical heart operation make just one incision.

Known as the CardioArm, the curved robot has a series of joints that automatically adjust to follow the course plotted by the robot's head. This provides greater precision than a flexible endoscope can offer. "It's certainly easier to control," says Robert Webster III, a professor at Vanderbilt University who works on flexible medical probes and was not involved in the CardioArm project.

The CardioArm is operated using a computer and a joystick. It has 102 degrees of freedom, three of which can be activated at once. This allows it to enter through a single point in the chest and wrap around the heart until it reaches the right spot to, say, remove problematic tissue.

"The nice thing about [the] design is that each joint follows where you went in space. That's not always possible in other designs," says Webster. This kind of control prevents the probe from bumping into sensitive tissue. The disadvantage of a jointed robot, however, is that it's harder to miniaturize, Webster says.

The smallest version of the device is 300 millimeters long and has a diameter of 12 millimeters. Eventually, the CMU researchers hope to make a snake small enough to enter the bloodstream through a blood vessel, says Marco Zenati, one of the principal researchers on the CardioArm project and a professor of surgery at the University of Pittsburgh. >> More

Snakes in hearts: The snakelike CardioArm moves around inside the membrane encasing a pig’s heart.

Concept

HeartLander is a miniature mobile robot that delivers minimally invasive therapy to the surface of the beating heart. The novelty of HeartLander is that it provides a single device for stable and localized sensing, mapping, and treatment over the entire surface of the heart. Additionally, it reduces the damage necessary to access the heart

Under physician control, the robot:

  • enters the chest through an incision below the sternum (details),
  • adheres to the surface of the heart (details),
  • travels to the desired location (details), and
  • administers the therapy (details)

By

The ViRob technology is a revolutionary autonomous crawling micro-robot which can be controlled remotely or within the body. It’s miniature dimensions allowing it to navigate and crawl in different spaces within the human body, including blood vessels, the digestive tract and the respiratory system. Its unique structure gives it the ability to move in tight spaces and curved passages as well as the ability to remain within the human body for prolonged time. >> More

The Navio Surgical System

The NAVIO Surgical System features proprietary robotics-assisted technology that integrates handheld robotics with an intuitive CT-free registration and patient-specific planning process. The NAVIO TKA, UKA, and PFJ software applications guide the surgeon in creating implant plans that localize components and balance soft-tissue, and use handheld instrumentation uses multiple control modes to help the surgeon precisely prepare the bone for implantation.

Smith & Nephew Completes Acquisition of Surgical Robotics Business Blue Belt Technologies

BY EDITOR, JANUARY 5, 2016

Smith & Nephew (LSE:SN, NYSE:SNN), the global medical technology business, announced it has completed the acquisition of Blue Belt Holdings, Inc. (“Blue Belt Technologies”), securing a leading position in the fast-growing area of orthopaedic robotics-assisted surgery.

Blue Belt Technologies’ Navio surgical system currently provides robotics-assistance in unicondylar or partial knee replacement surgery through CT-free navigation software and a unique hand-held, robotic bone-shaping device. Navio and Smith & Nephew’s partial knee implant portfolio form a strong combined business from which to accelerate growth in this attractive area of surgery. Additionally, the Group intends to expand the Navio platform into total knee, bi-cruciate retaining knee and revision knee implants, delivering significant further upside.

Telepresence surgery technology, first developed by SRI for the U.S. Army in the 1980s, could one day help military units dramatically increase the chance of survival. Injured soldiers could receive rapid medical intervention on the battlefield, without requiring the physical presence of medical providers.

With advances in stereo imaging, telerobotics, video, telecommunications, and haptics (the technology of touch), telepresence simulates the sensory experience of conventional surgery, except that surgeons operate through a console interface. The surgeon sees a three-dimensional image of the surgical field while operating through a buttonhole-size incision. The less-invasive nature of the surgery means the patient experiences less pain and has a shorter recovery time.

In 1995, SRI spun off Intuitive Surgical to commercialize this revolutionary technology. Today, the company’s da Vinci® Surgical System is operating in hospitals around the world.

In 2005, the Defense Advanced Research Projects Agency (DARPA) selected SRI to lead the Trauma Pod project, a groundbreaking attempt to develop a future generation of battlefield-based "trauma pods"—trauma care systems that could be controlled by a surgeon miles away from the front lines.>>> More

What is RoSS™?

  • RoSS™ is a portable, stand-alone Robotic Surgery Simulator that teaches novice surgeons the motor and cognitive skills required for operating the da Vinci© surgical robot.
  • The RoSS™ uses virtual reality to introduce the user to the fundamentals of robot-assisted surgery. It boasts a multi-level curriculum, designed with various levels of difficulty, that takes the user through and teaches the required skills for effectively advancing robotic surgery abilities.
  • RoSS™ is the only robotic surgery simulator featuring full-length surgical procedures in 3D, otherwise known as HoST.
  • RoSS™ is portable, so novice surgeons are able to practice and train without using valuable OR space and time.

New in RoSS II™

The portable, stand-alone RoSS II™ console is a sleek redesign of the original RoSS™ that boasts improved graphics, enhanced visualization, smaller size, and decreased weight.

  • NEW Improved Graphics
  • NEW Improved Physics in Skills Modules
  • NEW Superior Arm Motion and Interaction
  • NEW Robotic Skills Assessment (RSA) Score

With SRI as lead integrator, DARPA collaborators demonstrated how a remotely operated trauma pod could deliver emergency first-response treatment in the battlefield to stabilize patients for transport. In the project's initial phases, SRI and its partners developed a system that

  • Captured 3D patient scans
  • Viewed simulated CT images to diagnose the injury
  • Sutured a simulated bowel section
  • Placed a shunt in the groin of the simulated patient

Stereotaxis technology offers an innovative and economical option for the treatment of complex arrhythmias with an unparalleled safety profile for both patients and healthcare providers.

The Stereotaxis Epoch® solution consists of the following product lines:

Trauma Pod

VIKY by ENDOCONTROL

Created by Clement VIDAL and Patrick HENRI from Joseph Fourier University (Grenoble, France), a worlwide leader in computer assisted and robotics surgery, ENDOCONTROL is an innovative company offering robotized solutions for endoscopic surgeries.

ENDOCONTROL specializes in robotic assistance for laparoscopic surgery. The company works with and for surgeons to develop “cobots” (collaborative robots) for laparoscopic procedures.

ENDOCONTROL develops and distributes a range of products aiming to aid the surgeon in minimally invasive surgery: VIKY EP, a motorized endoscope positioner for laparoscopy, VIKY UP, a motorized uterus positioner, and JAIMY, the first articulated robotized instrument for 5-mm incisions.>>> More

CyberKnife by Accuray

Robotic Precision for Every Patient

 
The CyberKnife® System empowers clinicians to make the most of their skills in treating cancer. It’s the only robotic radiosurgery system that offers highly precise, non-surgical treatment for tumors and lesions anywhere in the body — including the prostate, lung, brain, spine, liver, pancreas and kidney. And it is the only system that delivers automatic, real-time tumor tracking and motion management. This new level of precision gives treatment teams the confidence to deliver state-of-the-art treatments for a wide range of cancers and functional disorders, without sacrificing patients’ quality of life.>>>More

Robotic camera control

Intelligent assistance systems for minimally invasive surgery

The assistance system for MIS surgery

  • Full functionality for visceral surgery, urology and gynaecology.
  • Stable and shake-free image, enhancing the quality of surgery.
  • Assistants can focus their full attention on the operating procedure and thus actively support the surgeon.

Steady field of vision

  • The system provides surgeons with a stable and rock-steady field of vision, even in extreme endoscope positions.
  • The wide scope of movement allows surgeons full visibility of the operating sites - without any restrictions. There is no need to alter your customary way of working.

Safe and sterile work

  • A stable image allows surgeons to work in a more relaxed manner, providing them with a reliable view of essentials.
  • Even extreme camera positions can be retained as long as required, which is a considerable advantage over manual camera control.
  • Joystick, joint and camera support are autoclavable. The SOLOASSIST itself is covered by a sterile single- use drape.

Precise robotic control

  • With minimally invasive procedures, surgeons can work with both hands. Logically, the SOLOASSIST is controlled via a joystick positioned on the instrument.
  • The ergonomic joystick can be adapted to fit almost all commercially available handpieces by using a clamp mount.
  • The functional design of the joystick facilitates handling. The keypad enhances the safety of surgery.

 

Dynamic manual positioning

  • At the push of a button, the arm can be moved and pulled into the required position. When the button is released, the arm is locked immediately, remaining in the set position.
  • The unlocking button is located on the distal end of the arm in an easily accessible position.

Straightforward docking

  • Docking to the operating table is extremely simple thanks to the quick-coupling device.
  • After the surgical procedure is completed, the arm is hung onto the trolley. The trolley is fully mobile and serves for storing the SOLOASSIST.

SPORT Surgical System

The SPORT Surgical System is a versatile single incision advanced robotic surgical system that features state-of the-art multi-articulated instruments with single-use replaceable tips, 3D high definition visualization on a flat-screen monitor, ergonomic open workstation and a single-arm mobile patient cart for ease of set up while enabling broad applications of single and multi-quadrant surgeries previously not possible with current robotic solutions.

SPORT Surgical System's unique design elements allow for superior clinical capabilities and unparalleled OR efficiency at a lower operating cost than the present robotic offerings. The design of SPORT is inspired in direct response to “voice of customer” feedback from current laparoscopic surgeons and robotic users, surgeons as well as administrators and Titan’s Surgeon Advisory Board comprised of world-renowned multi-specialty surgeons affiliated with leading institutions in the United States and European Union. Click here to see SPORT Product Pictures or SPORT Product VideosSPORT Product Videos

Sport Surgical System Patient Cart and Camera Insertion Tube (CIT)

Power Medical Interventions

The iDrive Intelligent Power Unit
Thursday, May 28, 2009

The FDA has given 510(k) clearance to Power Medical Interventions for the firm's iDrive Intelligent Power Unit, detachable Intelligent Surgical Instruments and iConsole device. The company believes that its powered tools, that sport a high level of articulation, can make a lot of difficult laparoscopies much easier to perform.

A first-of-its-kind breakthrough in operating room instrumentation, the iDrive is designed to support a variety of minimally invasive procedures by offering surgeons a broad range of cutting and stapling configurations combined with increased flexibility, access and precision. The iDrive is a novel hand-held, computer-controlled power unit to which any of the company's Intelligent Surgical Instruments can be attached. This innovation allows all of PMI's Intelligent Surgical Instruments to be driven by a single power unit. As a result, hospitals will be able to acquire PMI's advanced technology platform at less than half of the current cost, which may lead to significant savings for hospitals. The potential now exists for a comprehensive surgical solution that may be significantly less expensive than manual surgical stapling devices. In addition, the iDrive is reusable, easy to use, cost effective, and less wasteful, potentially leading to savings for hospitals and health networks.

The iConsole
is a proprietary wireless device that communicates directly with the iDrive during surgical procedures to output specific auditory and visual reference information via its speaker and liquid crystal display. Outputs provide surgeons with important information regarding calibration, firing, and instrument and reload type, allowing surgeons to make real-time, critical decisions that may ultimately lead to an improved patient outcome.

The iDrive and iConsole combination
represents a dynamic technology solution which is designed to enable the incorporation of important functional enhancements. PMI intends to aggressively pursue and implement a variety of key enhancements, which ultimately could lead to offering surgeons the world's first wireless computer mediated platform with unprecedented capabilities such as wireless video processing, Internet access, a patient record interface and controlled tissue compression software.

Power Medical Interventions
has recently been acquired by Covidien Surgical as an important part of a future "powered" business strategy. These innovative products and business strategies are evidence of Covidien's drive towards discovering and delivering advanced medical technology. To develop and launch these products, we work in diverse clinical and technological areas, embracing ideas and collaboration from around the world.

In June 2014, Covidien agreed to be acquired by Medtronic for $42.9 billion.