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Robotic-Assisted Surgical Devices The da Vinci Surgical System

Robotic-Assisted Surgical Devices The da Vinci Surgical System. Presented by Kayla MaGilton. Objectives. Describe The da Vinci Surgical System List and describe the hardware and software Evaluate the usability of the software Evaluate the advantages/disadvantages of this technology

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Robotic-Assisted Surgical Devices The da Vinci Surgical System

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  1. Robotic-AssistedSurgical DevicesThe da Vinci Surgical System Presented by Kayla MaGilton

  2. Objectives • Describe The da Vinci Surgical System • List and describe the hardware and software • Evaluate the usability of the software • Evaluate the advantages/disadvantages of this technology • List the ethical and legal Issues • Describe the informatics competencies • Evaluate the informatics nurse specialist • Summary of the information system

  3. The da Vinci Surgical System • Comparable to a large video game • Operation controlled via remote control console • High-definition, 3D view • Surgeons go through specialized training • Used in advanced surgical techniques like cutting and suturing Medscape, 2004 FDA, 2009

  4. Advantages & Disadvantages • Small surgical incisions • Less blood loss and post-operative pain • Surgeons see more clearly • Cost of procedures • Size of systems • New Technology Mayoclinic, 2010 Medscape, 2006

  5. Hardware of the da Vinci • Surgeon Console • Patient-Side Cart • EndoWrist® Instruments • InSite® Vision System • Reliability-Controlled™ reusable instruments TriHealth 2010

  6. EndoWrist® Instruments • Tiny, computer-enhanced mechanical wrists • Flexible • Grasping, cutting, dissecting and suturing. • Greater range of motion than the human hand • Internal cables TriHealth 2010 Intuitive, 2005

  7. Software • Research interface—the da Vinci Application Programming Interface (API) • Data is streamed from a TCP/IP Ethernet server • API interface is available to authorized researcher partners only • The API interface must be activated on-site SurgRob, 2009

  8. API • Third party developers • Data includes motion of all master and slave manipulators and user console events • API agreement • Activated on-site by a trained Intuitive Surgical Field Engineer • da Vinci Surgical System may be commanded to serve API data from its Ethernet interface SurgRob, 2009

  9. Main System Components SurgRob, 2009

  10. Evaluation of the Usability • Ease of use • Ease of learning • Satisfaction with using • Efficiency of use • Error tolerance • Fit of the system to the task Staggers, 2003

  11. Information System • Telesurgery • Surgical Navigation http://www.core.form-ula.com/2009/03/16/da-vinci-surgical-system

  12. Summary of the Information System • Review of Robotic Surgery • Type? • Special Purpose • Who? • Surgeons and OR nurses • Functions? • Perform surgeries • Configuration • Workstation • Data Standards • The American National Standards Institute • The International Standards Organization

  13. Ethical and Legal Issues • Privileges • Insurance • Physician Movement • Confidentiality

  14. Informatics Competencies • Patient Care • The da Vinci Surgical System • Hardware components • Software components

  15. Informatics Nurse Specialist • Surgical System • Patient Care

  16. The da Vinci Surgical System http://www.core.form-ula.com/2009/03/16/da-vinci-surgical-system

  17. References Berlinger, N. (2006, May, 18). Robotic Surgery - Squeezing into Tight Places. The New England Journal of Medicine, 354, Retrieved March 9, 2010, from http://content.nejm.org/cgi/content/full/354/20/2099 Dickens, B, & Cook, R (2006). Legal and ethical issues in telemedicine. International Journal of Gynecology and Obstetrics, 94, 73-78. Francis, P. (2006, March). The evolution of robotics in surgery and implementing a perioperative robotics nurse specialist role. Retrieved April 2, 2010, from AORN Web site http://www.aornjournal.org/article/S0001-2092(06)60191-9/fulltext FDA (2009). Robots Helping Surgeons: The da Vinci and ZEUS Surgical System. Retrieved February 22, 2010 from http://www.enotalone.com/article/8839.html Intuitive Surgical, (2008). DaVinci Surgery. Retrieved March 23, 2010, from http://www.davincisurgery.com/davinci-surgery/davinci-surgical-system/

  18. References Mayoclinic (2010). Robotic Surgery. Retrieved February 5, 2010 from http://www.mayclinic. org/robotic-surgery/. MedscapeToday (2004). Robotic Surgery: A Current Perspective: Disadvantages of Robot-Assisted Surgery. Retrieved February 5, 2010 from http://www.medscape.com/viewarticle/ 466691_5. Staggers, N. Human Factors: imperative concepts for critical care. AACN Clinical Issues. 14(3). 2003. pp. 310-319. SurgRob (2009). Da Vinci News. Retrieved February 22, 2010 from http://www.surgrob. blogspot.com/2009/11/da-vinci-news.html TriHealth (2010). Robotic Assisted Surgery. Retrieved February 22, 2010 from http://www. trihealth.com/Robotic_Surgery/Program_Overview/Key_Terms.aspx

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