GLOBAL INSTITUTE OF TECHNOLOGY

A Seminar On ROBOTIC SURGERY

SUBMITTED TO: Mr. Nitin Kumar Sharma & Mr. Rishabh Sharma Asst. Professor ECE Dept. SUBMITTED BY: Mohit Kumar Mahla 4th year, ECE, Roll no. 09EGJEC056

INDEX
Defination Robotic Surgery Describe and evaluate the hardware and software used with robotic surgery DaVinci Robotic System Assess the role and functions of the nurse when working with robotic surgery Discuss the advantages/disadvantages of robotic surgery from a nursing perspective conclusion

Definition of a Robot
Machine that resembles a human and does mechanical, routine tasks on command Any mechanical device that operates automatically with human-like skill A robot is not a machine.it is an information system with arms

Surgical Robots
AESOP (Automated Endoscopic System for Optimal Positioning) - Voice activated mechanical arm - Steadier than human, never tires daVinci - FDA approval in 2002 - Laparoscopic instrumentation controlled by the surgeon positioned remotely at a console

Hardware used in Robotic Surgery

Robot with many arms Camera on one arm called an endoscope Dissectors, scalpels, scissors and forceps on other arms Joystick- surgeon uses to operate the robot Foot pedals

The Endoscope
Fiber optic instrument Inserted through a small incision Has a very tiny video camera Shows the surgeon a 3dimensional, magnified view Projects to a television screen

Operation by robot

Remote Surgery

Software used in Robotic Surgery

Da Vinci Surgical System Intuitive Surgical Combines propriety software and electronics Streamlines and perfects certain surgeries Software not based on any well-known operating system Software version 11 in use at present

Proprietary of Software
Closed-source software Restricted use Private modification Better quality than free software Robotic movements, driven by intuitive proprietary software

DaVinci Robotic System

Advantages of daVinci Robot

Magnified (12x), stereoscopic 3-D vision Robotic wrist with 6 degrees of freedom Movements are scaled, filtered, translated

Disadvantages of daVinci Robot

Expensive - $1.4 million cost for machine - $120,000 annual maintenance contract - Disposable instruments $2000/case - Hospital reimbursement same DRG Steep surgical learning curve Increased staff training/competence Increased OR set-up/turnover time

Robotic Scrub Nurse

The Professional Nurses Role in Robotic Surgery

The DaVinci Robot

Nurses must know what to assess in post-op robotic surgery patients Nurses must be able to document their assessment for physician viewing

Operating Room of the Future

Advantages of Robotic Surgery

Less invasive Shorter hospital stay Less pain Less scaring Less blood loss FDA approved

Disadvantages of Robotic Surgery

Carries the same risk as any other surgery: heart attack, stroke, death

Expensive systems Require

Conclusions
The rate of discovery of new technology is outpacing the ability of business, society, and healthcare to integrate and apply. Robotic surgery is but one example of such technology that MAY reduce operative morbidity, hospital stay, and recovery, while POTENTIALLY improving clinical outcomes, but at what point do the BENEFITS justify the increased EXPENSE.

References
1. http://brynmawrurology.com 2. http://www.devicelink.com/mx/archive/01/03/0103m x024.html 3. http://www.essortment.com/lifestyle/electronicdevic_ sbnr.htm 4. http://ezinearticles.com/?The-Da-Vinci-Robot--Cutting-edge-Surgical-Technology&id=1270346

5. http://en.wikipedia.org/wiki/Proprietary_software

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