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Robotic Surgery

Robotic Surgery. Presented by: Kate McManus. Objectives. Describe Robotic Surgery Describe and evaluate the hardware and software used with robotic surgery Describe and evaluate the information system used with robotic surgery

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Robotic Surgery

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  1. Robotic Surgery Presented by: Kate McManus

  2. Objectives • Describe Robotic Surgery • Describe and evaluate the hardware and software used with robotic surgery • Describe and evaluate the information system used with robotic surgery • Assess the role and functions of the nurse informaticist when working with robotic surgery • Examine related legal/ethical issues • Discuss the advantages/disadvantages of robotic surgery from a nursing perspective

  3. Description of Robotics • Laparoscopic approach to treat certain urologic problems This presentation will focus on the treatment of prostate cancer • A robot is used to assist the surgeon (referred to as da Vinci robot) • Master controls allow the surgeon to manipulate instruments (The Bryn Mawr Urology Group, 2008)

  4. Description of Robotics Continued • The surgeons natural hand and wrist movements correspond with the scaled movements of the robot • #1 choice for prostate removal in the U.S. • Used in tens of thousands of prostate cases in the past year (The Bryn Mawr Urology Group, 2008)

  5. 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 (Ezine Articles, 2008)

  6. The Endoscope • Fiber optic instrument • Inserted through a small incision • Has a very tiny video camera • Shows the surgeon a 3-dimensional, magnified view • Projects to a television screen (Ezine Articles, 2008)

  7. 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 (Business Strategies for Medical Technology Executives, 2001)

  8. Proprietary Software • Closed-source software • Restricted use • Private modification • Better quality than free software • Robotic movements, driven by intuitive proprietary software • Simultaneous • Fluid • ambidextrous (Wikipedia The Free Encyclopedia, 2008)

  9. Information System in Robotic Surgery • Specialized software specifically for robotic surgery • Used by physicians- controlled by physicians movements • Special purpose system- used for performing various surgeries • Function is treat disease via surgery (ex- removal of prostate) (Business Strategies for Medical Technology Executives, 2001)

  10. Information System in Robotic Surgery • There is no evidence that states that data standards have been put in place • Specific robot used for surgery • Nothing to compare it to (Business Strategies for Medical Technology Executives, 2001)

  11. Advantages of Robotic Surgery • Less invasive • Shorter hospital stay • Less pain • Less scaring • Less blood loss • FDA approved (The Bryn Mawr Urology Group, 2008)

  12. Disadvantages of Robotic Surgery • Carries the same risk as any other surgery: heart attack, stroke, death • Increased risk for impotence and incontinence in robotic prostatectomy (The Bryn Mawr Urology Group, 2008)

  13. Legal/Ethical Issues in Robotic Surgery • Time lag between surgeons commands and action of robot could harm the patient • Loss of power in an electrical failure • Robotics does not replace human intelligence, skill and experience (Essortment, 2002)

  14. The Professional Nurse’s 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 (The Bryn Mawr Urology Group, 2008)

  15. Summary • Laparoscopic surgery • “Robot” controlled by a physician’s movements • Minimally invasive • “New-Age” • The surgery of the future

  16. References • The Bryn Mawr Urology Group. (2008). Frequently asked questions and answers about a robotic prostatectomy. Retrieved September 19, 2008, from http://brynmawrurology.com • Business Strategies For Medical Technology Executives. (2001). Robotic Surgery: The Future Is Now. Retrieved October 11, 2008, from http://www.devicelink.com/mx/archive/01/03/0103mx024.html • Essorment. (2002). Electronic Devices: How Robotic Surgery Works. Retrieved November 19, 2008 from http://www.essortment.com/lifestyle/electronicdevic_sbnr.htm • Ezine Articles. (2008). The Da Vinci Robot- Cutting Edge Surgical Technology. Retrieved October 11, 2008, from http://ezinearticles.com/?The-Da-Vinci-Robot---Cutting-edge-Surgical-Technology&id=1270346 • Ken Swartzman, Intuitive engineer, personal communication, (September 22, 2008) • Wikipedia The Free Encyclopedia. (2008). Proprietary Software. Retrieved October 11, 2008, from http://en.wikipedia.org/wiki/Proprietary_software

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