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Robotics and Surgery

Robotics and Surgery. Andrea Blust Sefcheck Penn State University School of Nursing Nursing 457: Nursing Informatics. Objectives. To inform viewers of the uses of Robotics in Surgery and the increasing use of the trend

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Robotics and Surgery

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  1. Robotics and Surgery Andrea Blust Sefcheck Penn State University School of Nursing Nursing 457: Nursing Informatics

  2. Objectives • To inform viewers of the uses of Robotics in Surgery and the increasing use of the trend • To better understand the hardware and software used in the DaVinci Surgical System • To understand the software and hardware used in the surgical system along with the usability of the product • To understand how the Nurse is involved in robotic surgery • To inform about the advantages and disadvantages • To better understand the Ethical and Legal issues involved

  3. Robotics • Robots do not actually replace humans, they improve their ability to operate through small incisions that are being made • Computer assisted surgeries are used in neurosurgery, orthopedics, urology, and cardiology (Au, 2009) http://www.core.form-ula.com/2009/03/16/da-vinci-surgical-system/

  4. Computer Assisted Surgery Image guided surgery Offers a way of viewing the different tissues while performing surgery Robotic surgery: Requires a surgical robot Surgeon may or may not have a direct role (Au, 2009) Robotics and Surgery

  5. Nursing Role • Robotics nurse specialist • New role created for perioperative to create positive team and patient outcome • Nurse trained to make observations and bring concerns to the appropriate staff member to be resolved • Ensures instrument care • Assists intraoperatively (Francis, 2006)

  6. Hardware • DaVinci Surgical System • Endowrist Instruments

  7. Hardware • Davinci Surgical System • Ergonomic surgeons console • 4 Interactive robotic arms • High performance vision system • Endowrist Instruments • Provide maximum responsiveness • Wrist-like movements • User-friendly http://www.core.form-ula.com/2009/03/16/da-vinci-surgical-system/

  8. Software • Master/Slave • Stereoscopic vision system • Redundant sensors

  9. Software • Master/Slave software that provides control • Stereoscopic vision display • Redundant sensors to make the operation safe

  10. Usability • Early and Central focus on user • Iterative Design • Observations of users

  11. Advantages and Disadvantages • (Au, 2009) Source: Table from Howe, RD, Matsuoka, Y. “Robotics for Surgery.” Annual Review Biomedical Engineering. 1999, 01:213.

  12. Information System • Telesurgery • Surgical Navigation

  13. Information System • Review of Robotic Surgery • Type? • Special Purpose • Who? • Surgeons and OR nurses • How? • Images • Mechanical, etc. • What? • Robotic surgical system

  14. Advantages of Robotic Surgery • Shorter Recovery Period • Smaller Incisions • Less Invasive • Decreased Pain Level Post Operatively • (Chua, 2009)

  15. Disadvantages of Robotic Surgery • Robots have poor judgment • Expensive to obtain and also to fix • Limited dexterity and hand eye coordination • (Au, 2009)

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

  17. Competencies • Surgical System • Hardware • Software • Patient Care

  18. Informatics Nurse Specialist • Surgical System • Patient Care

  19. Robotic Surgery

  20. References • Au, K. (2009). Robotic-Assisted Surgery. Retrieved June 2, 2009, from Robotic Surgery Web site: http://biomed.brown.edu/Courses/BI108/BI10 8_2005_Groups/04/contact.html • Berlinger, N. (2006, May, 18). Robotic Surgery - Squeezing into Tight Places. The New England Journal of Medicine, 354, Retrieved July 9, 2009, from http://content.nejm.org/cgi/content/full/354/20/2099 • Chua, P. (2009, May 25). Minimally Invasive Surgery. Cebu Daily News, Retrieved July 9, 2009, from http://globalnation.inquirer.net/cebudailynews/opinion/view/2000525- 207001/Minimally-invasive-surgery • 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 June 2, 2009, from AORN Web site: http://www.aornjournal.org/article/S0001- 2092(06)60191-9/fulltext • Intuitive Surgical, (2008). DaVinci Surgery. Retrieved June 23, 2009, from DaVinci Surgery Web site: http://www.davincisurgery.com/davinci- surgery/davinci- surgical-system/

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