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Robotic Surgery and Surgical Simulation

Robotic Surgery and Surgical Simulation. Roger Smith, PhD roger.smith@flhosp.org. Approved for Public Release. Robotic Surgery.

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Robotic Surgery and Surgical Simulation

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  1. Robotic Surgery and Surgical Simulation Roger Smith, PhD roger.smith@flhosp.org Approved for Public Release.

  2. Robotic Surgery • “Robot-assisted surgery was developed to overcome limitations of minimally invasive surgery, Instead of directly moving the instruments the surgeon uses a computer console to manipulate the instruments attached to multiple robot arms. The computer translates the surgeon’s movements, which are then carried out on the patient by the robot.”

  3. Early Robotic Surgical Systems AESOP: Automated Endoscopic System for Optimal Positioning ZEUS Telesurgery Robotic system http://www.websurg.com/robotics/history.php

  4. da Vinci Surgical Robot Intuitive Surgical Inc. http://www.intuitivesurgical.com/index.aspx

  5. Essential Robotic Components Stereo Vision Stereo Mag Endoscope 7-DOF Instrument Ergonomic Station Fine Control Diverse, Small Instruments

  6. Intuitive Surgical’s da Vinci Robot

  7. World’s First Robotic Telesurgery • September 2001: Tele- chole (gall bladder removal) • Surgeon in New York, Patient in France • Round trip distance = 8,700 miles • Round trip data time = 200 ms • Collaborators: Prof Jacques Marescaux, New York & European Institute of Telesurgery, Strasbourg • http://news.bbc.co.uk/2/hi/science/nature/1552211.stm

  8. Modeling the World Fluid Dynamics water, air flow Hard Objects tanks, helos, ships Human Body living tissue

  9. Unique Surgical Simulation Challenges • Geometry • Complex • Non-linear • Non-uniform • Appearance • Layered • Translucent • Dense • Dynamics • Nerve movement • Blood flow • Elasticity Center for Research in Education and Simulation Technologies, Rob Sweet, MD

  10. Robotic Surgical Simulator • Stand-alone surgical simulator • No consumables or disposables required • Allows performance analysis and measurement • User does not require monitoring • New surgical procedure modules can be added • Does not require an operating room environment and can be set up in a location most advantageous to access and training needs • Monitor allows a user or tutor to observe the procedure • Comprehensive curriculum to train for motor, and cognitive skills

  11. RoSS

  12. MIMIC dV-trainer

  13. MIMIC dV Trainer

  14. MIMIC Thread the Rings

  15. Components of a Surgical Simulator (Harders, 2008) Model Generation Clinical Expertise Vascular Structures Bleeding Simulation Tissue Parameters Tissue Cutting Organ Texturing Tissue Deformation Haptic Interface Collision Detection Immersive OR Fluid Simulation

  16. Come Use the da Vinci Robot Intuitive Surgical and Florida Hospital bave brought a da Vinci robot to the I/ITSEC show floor Visit the National Center for Simulation Booth #913

  17. Presentation Available Slides at: http://www.modelbenders.com/papers Videos at: Da Vinci Overview http://www.youtube.com/watch?v=ozyv3x1ivts Ross Simulator http://www.youtube.com/watch?v=bICtjMCeXmQ MIMIC Simulator http://www.mimic.ws/resources

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