da vinci surgical robot: global deployment and known problems andrew priddis april 24, 2013
TRANSCRIPT
Da Vinci Surgical Robot
Da Vinci Surgical Robot: Global Deployment and Known Problems Andrew PriddisApril 24, 2013Industrial and Course ApplicationsIndustrial Applications
Minimally invasive complex surgeryUrologyGynecologyGeneral SurgeryColorectalHead and Neckhttp://youtu.be/C17-bGquIjI
Industrial Applications
Gal Bladder RemovalIndustrial ApplicationsGal Bladder Removal
Course Applications
Robot KinematicsDifferential Kinematics
Robot KinematicsRemote CenterPoint of Insertion cannot move7 Degrees of FreedomEach has 90 of articulation
Differential Kinematics
Map movement of doctors hands to movement of toolsGlobal ApplicationGlobal Reach
2585 Units WorldwideFuture ability to remotely perform surgeries
Limitations to Global Distribution
Cost$2.5 Million for initial system$150K Maintenance per yearNo market competitionSizeSystem weighs tonDifficult to ship securely
Known IssuesReports filed by FDA500 Reported problems since January 2012Woman died when robot nicked a blood vesselMans Colon perforated by robotRobotic arm hit patient in the face during procedureRobotic arm wouldnt release tissue. Total system shutdown was required to get robot to open the gripper.5 deathsReports of burnsElectrical ArcingNo reports of robot having control problemsPossible ProblemsLack of Haptic feedbackAccording to Intuitive Surgical there is some force feedbackMostly occurs in collision avoidanceNo consideration given to robotic arms outside patientRobot arms could collide with other objects in the roomLack of trainingViewed as less difficult surgeryPoor electrical insulationConclusionsHighly capable in complex surgeriesPaper AirplaneGlobal distribution limited by costPatient access also limited by costExcellent control of robotic armsDoctors unable to fully comprehend environmentThere are potential electrical problems
Referenceshttp://www.intuitivesurgical.comhttp://www.chron.com/news/medical/article/Robot-hot-among-surgeons-but-FDA-taking-fresh-look-4419667.phphttps://www.youtube.com/watch?v=Kq-_riKtzsY