Robotic Surgery

Jane Zanzinger, RN

2010

Objectives

Describe trends of robotic surgery Evaluate the integration of hardware,

software and information system in modern robotics

Define the role of the nurse informaticist as it relates to robotic surgery

Explain the legal and moral issues related to robotic surgery

Demonstrate benefits and liabilities associated with robotic surgery from a nursing viewpoint

2010

What is Robotic Surgery

Self-powered, computer-controlled device

Programmed to aid in the positioning and manipulation of surgical instruments

Enables surgeon to carry out more complex tasks

(Morris, n.d.)

2010

What is Robotic Surgery

Assists surgeon in performing minimally invasive surgeries

Utilizes a three -dimensional operating environment

Functions as an interface between surgeon and patient

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Trends of Robotic Surgery

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Telepresence Surgery

Telemonitoring

(Emerging Image-Guided and Robot-Assisted Surgery (Technical Insights), 2006)

Robotic Surgery Hardware

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SurgeonConsolePatient

SideCart

Vision

System

Patient Side Cart

Surgical Arms

EndoWrist Technology

Endoscopic Camera

Monitor

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(da Vinci ... Changing The Experience of Surgery , 2008)

Robotic Surgery Software

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DVSDKu-boot

xDm

DMAIMultimedi

aCodecs

Demo Program

s

DaVinci Multimedia Application Interface

Portability

Reusability

Consistent Software Interface

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Usability of Software

Axiom #1 Development of Design

Axiom #2 Design Improvements

Axiom #3 Experimental or Observational

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Information Systems

CIS

Feedback

Navigation

InformationIntegration

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Dexterity

(Taylor, 2001)

Information Systems

Type of Information System

Type of Healthcare Professionals

Function & Configuration

Data Standards & Classifications

Recommendation

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(All About Robotic Surgery, 2010)

Advantages

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Pain & Scarring

Blood Loss

Transfusion

Recovery

Activities

MIS

Disadvantages

Learning period

High cost of equipment and maintenance  Reduction in space

Lack of tactile sensation

(All About Robotic Surgery, 2010)

Legal/Ethical

LEGAL ETHICAL

Education

Credentialing

Uniform Standards

Inexperienced Surgeon

(All About Robotic Surgery, 2010)

Competencies

Safety Protocols

Robotic messages

Emergency procedures

Proficient in basic computer applications

Care and handling of instruments

(Francis, 2006)

Informatics Nurse Specialist

(Francis, 2006)

Clinical

Education Administration

Research

Professional

Summary

http://www.roboticoncology.com/online_videos/index.php?ELEMENT_ID=1081

Click on link once

(Samadi, n.d.)

2010

2010

References

All About Robotic Surgery. (2010, June 21). World Wide Information Center for Minimally Invasive Robotic Surgery: Retrieved June 21, 2010, from http://allaboutroboticsurgery.com/home.html

da Vinci ... Changing The Experience of Surgery (2008). da Vinci Surgery. Retrieved June 5, 2010, from http://www.davincisurgery.com/

Emerging Image-Guided and Robot-Assisted Surgery (Technical Insights). (2006, March 31). Frost & Sullivan Research Service. Retrieved June 1, 2010, from http://www.frost.com/prod/servlet/report-brochure.pag?id=D615-01-00-00-00

2010

References

Francis, P. (2006). The evolution of robotics in surgery and implementing a perioperative robotics nurse specialist role. AORN , 629-650.

Lee, G. S. (2010, February 9). Cyber Physical Systems Security Applied to Surgical Robotics. Retrieved June 20, 2010, from http://www.utdallas.edu/~leegs/publications/sitp_2009.pdf

Morris, B. (n.d.). What Is Robotic Surgery? Retrieved June 5, 2010, from http://www.medscape.com/viewarticle/5118542

2010

References

Samadi, D. B. (n.d.). Robotic Oncology. Retrieved July 18,

2010, from http://www.roboticoncology.com/online_videos/index.php?ELEMENT_ID=1080

Taylor, R. (2001, July 15). Computer-Integrated Surgery and Medical Robotics. Retrieved July 1, 2010 from www.cs.huji.ac.il/~caslab/material/papers/cas-02- biomed-chapter.pdf

Texas Instruments: (n.d.). Retrieved June 16, 2010, from

http://www.ti.com/

2010