Top 10 Leading Robotic Surgery Solution Providers in 2023V2

1. Top 10 Leading Robo?c Surgery Solu?on Providers in 2023 Health are Transforming Healthcare www.healthcareeverything.com June Issue 03 2023 Adam Clark CEO The International Medical Robotics Academy (IMRA) Professor Tony Costello Exec Director and Founder of IMRA Robotics Academy (IMRA) Creating the Future of Surgical Training Today Robotics The International Medical

2. Healthcare Taking

3. Healthcare Beyond Boundaries.

4. Editor’s Note

5. Future of Surgery Unlocking the Robotic Solutions with Leading O Robotic surgery, in particular, has emerged as a game- changer, enabling surgeons to perform complex procedures with enhanced precision, skill, and control. As we embark on this journey of discovery, we invite you to explore the immense potential of these robotic solutions and witness the future of surgery unfold before your eyes. ver the years, the landscape of surgical procedures has seen remarkable transformations driven by innovative technologies and breakthroughs. As we celebrate the accomplishments of these leading robotic surgery solution providers, we must not forget the human touch that lies at the heart of these innovations. Behind every surgical success story is a skilled surgeon, empowered by technology but driven by compassion, empathy, and a commitment to healing. With each passing year, the field of robotic surgery continues to evolve, with breakthroughs and advancements shaping the landscape. Through this edition, we hope to provide you with a comprehensive understanding of the state-of-the-art technologies propelling surgical practices into the future. In our quest to curate the finest content for our readers, we have partnered with some of the industry's most influential experts, thought leaders, and solution providers. Their expertise and dedication paved the way for integrating robotics into various surgical specialties, ranging from general surgery to urology, gynecology, and beyond. Happy reading! In this edition, Top 10 Leading Robotic Surgery Solution Providers in 2023 by Healthcare Everything, you will find exclusive interviews with renowned surgeons who have harnessed the power of robotics to overcome intricate challenges and achieve superior patient outcomes. Their experiences and insights offer a glimpse into these cutting- edge technologies' profound impact on medical practice. Pja Sh -Pooja Shah

6. 08 Cover Story The International Medical Robotics Academy (IMRA) Crea?ng the Future of Surgical Training Today

7. 14 Gynecologist.pk Empowering Women’s Healthcare through Robots 20 How to Ensure Adequate Protein Intake for the Golden-aged People? CXO 28 Silver Cross Hospital Advancing Healthcare with the Rise of Robo?c Surgery 16 24 Articles Navigating the Future Revolutionizing Patient Care Robo?c Surgery in the Digital Age The Role of Robots in Healthcare

8. Chidiebere Moses Ogbodo Editor-in-Chief Pooja Shah Saloni Agrawal Managing Editor Executive Editor Visualiser David King Mrunalinee Deshmukh Art & Design Head Co-designer Paul Belin Deepanjali Jena Art & Picture Editor Business Development Manager Marketing Manager Eric Jackson Carol Wilson James Vincent, Brian Cooper Nick, Elisha and Mary Business Development Executives Sales Executives Technical Head Jacob Smith Prashanth Hiremath Assistant Technical Head Technical Consultants David, Robert Alina Sege Nikita Khadalkar Digital Marketing Manager Assistant Digital Marketing Manager SME-SMO Executives Gemson Research Analyst Carl Vincent Circulation Manager Tanaji Fartade sales@healthcareeverything.com June, 2023 Contact Us: Insights Success Media Tech LLC 555 Metro Place North, Suite 100, Dublin, OH 43017, United States Phone - 614-602-4132 Email: info@healthcareeverything.com For Subscription: www.healthcareeverything.com Insights Success Media and Technology Pvt. Ltd. Survey No.133/134, Brand Square, Office No. 512, Kunjir Chowk, Pimple Saudagar, Pune, Maharashtra 411027. Phone - India: 7410033802, 8956487823 Email: info@healthcareeverything.com For Subscription: www.healthcareeverything.com Follow us on : www.facebook.com/Healthcareeverything/ https://twitter.com/healthcareeverything Copyright © 2023 Insights Success Media and Technology Pvt. Ltd., All rights reserved. The content and images used in this magazine should not be reproduced or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior permission from Insights success. Reprint rights remain solely with Insights Success Media and Technology Pvt. Ltd. Healthcare Everything is powered by Insights Success Media and Technology Pvt. Ltd.

9. Top 10 Leading Robo?c Surgery Solu?on Providers in 2023 Company Featuring Brief AiM Medical Robotics works to bring high levels of precision, automation, and efficiency, to the complex environment of neurosurgery. Greg Cole CTO AiM Medical Robotics aimmedicalrobotics.com Auris Health engages in the development of robotics technology for medical applications. Eric Davidson COO Auris Health aurishealth.com Corindus Vascular Robotics corindus.com Corindus designs, manufactures, and commercializes remote robotic systems for interventional procedures. Bernd Montag CEO Diligent Robotics builds robots that seamlessly work with human teams in healthcare environments. Andrea Thomaz Co-Founder, CEO Diligent Robotics diligentrobots.com Greenslopes Private Hospital offers a personalised approach to cancer care combined with cutting edge scientific and clinical research. Greenslopes Private Hospital greenslopesprivate.com.au Chris Went Chief Executive Officer Prof. Dr Rehana Aamer Khan Founder Gynecologist.pk provides comprehensive medical care for pregnant women to ensure a healthy pregnancy and delivery. Gynecologist.pk gynecologist.pk Mazor Robotics Guidance Systems enable surgeons to conduct spine and brain procedures in a more accurate and secure manner. Ori Hadomi CEO Mazor Robotics mazorrobotics.com Marybeth Antone Vice President of Clinical Operations Silver Cross Hospital introduced the Ion robotic bronchoscopy system that can diagnose lung cancer Silver Cross Hospital silvercross.org The International Medical Robotics Academy (IMRA) imracademy.com IMRA has developed a unique robotic surgery education program to educate and upskill surgeons in preparation for the operating theatre of the future. Adam Clark CEO Andrew Barron Chief Executive Officer The Wesley Hospital provide individuals, families, and communities with the best possible health and life outcomes. The Wesley Hospital wesley.com.au

10. Story Adam Clark CEO The International Medical Robotics Academy (IMRA)

11. The International Medical Robotics Academy (IMRA) Robotics Creating the Future of Surgical Training Today IMRA eliminates the ethical concern of harming living animals and cadavers in surgical training by using synthetic models.

12. Top 10 Leading Robo?c Surgery Solu?on Providers in 2023 T are no exception. Implementing emerging trends of technology like robotics in the medical field enables a high level of patient care, efficient processes in clinical settings, and a safe environment for patients and healthcare workers. Under the coherent leadership of Adam Clark, the CEO, IMRA's training methods are pioneered by the aviation industry and provide a virtual reality experience with 3D imaging for surgeons to develop their duration, accuracy and movement precision. he expectations of modern healthcare call for greater speed, precision, and timely delivery of treatment in every aspect, and surgical processes The Tale of Inception Medical robots support minimally invasive procedures, customized and frequent monitoring for patients with chronic diseases, intelligent therapeutics, and social engagement for elderly patients. In addition, as robots alleviate workloads, nurses and other caregivers can offer patients more empathy and human interaction, which can promote long-term well-being. The genesis of IMRA began approximately five years ago with Professor Tony Costello, the Founder's vision that—robotic surgery is the future and that the education of surgeons on this modern technology should be surgeon to surgeon—independent from industry. With support from the Victoria government and philanthropist's help, he built a world-class training facility in Melbourne. Using Professor Costello's training pedagogy, Adam built an expert surgeon-led curriculum and has incorporated synthetic organ models and extensive simulation into IMRA's online and in-person courses. Robotic-assisted surgery is becoming the standard of care in many specialties where open and laparoscopic surgery was once the standard. With more robots entering the market, the increased competition is resulting in lower costs for installation and greater uptake. Robotic surgery adoption is increasing as surgical robots can reduce the physical demands on surgeons in complex cases, and reduce patient blood loss and adverse operating events, leading to shorter hospital stays and quicker patient recovery. The adult learning principles today depict that using innovative ways to build skills can be an easier way to train surgeons. Although Halsted's "See one, Do one, Teach one" model of surgical learning has merit, it's not well suited to teaching on robotic platforms for several reasons, not the least being that it is focused on practicing on patients. However, a question arises—Are surgeons prepared for such a technological advancement in the surgical chambers? Realizing the crucial need to provide surgeons with specialized training to incorporate robotic surgical patterns and reshape their learning curve to reduce surgical complications—International Medical Robotic Academy (IMRA) aims to train surgeons with high-class robotic- assisted training and research by utilizing Online Education, Simulation and VR, away from the operating rooms. For this reason, Adam and his team have developed a simulation-based trainingprotocol akin to the aviation industry, adopting a lot of their safety principles, such as preparation for adverse events, emergencies, skill repetition and human factors, and simulation. This training is based on the new adult learning principles whereby—physically completing tasks away from the patient and practicing alongside expert faculty—will support better patient outcomes and make surgeons proficient in their skills. IMRA eliminates the ethical concern of causing harm to animals and cadavers in surgical training by using synthetic models. These models replicate human tissue and are cost- effective compared to animals and cadavers. To create this option, IMRA works in collaboration with the top universities and faculties. Being an agile company, it can easily adjust to the surgeons' needs and design products that meet their unique training requirements. The Victorian State Government in Australia has also awarded IMRA a grant to build the curriculum for robotic surgery in the public hospital space. Surgeons today want more opportunities to physically practice their surgeries and a level of flexibility to choose when and where they train. IMRA manages to provide both through its training structures.

13. Embracing the Tech-Advancements Surgeons could seek the training they need if appropriate technological advances are used. Recent innovations such as tele-proctoring, image guidance, and open and dual console robotic platforms allow a much more efficient way to teach surgeons procedural anatomy that is safer and more supportive of learning capabilities. IMRA's simulation-based training protocol is based on the new adult learning principles whereby—physically completing tasks, away from the patient and practicing alongside expert faculty—will support be?er patient outcomes and make surgeons proficient in their skills.

14. CEO's Thoughts On His Journey of Medical Innovations CEO's Thoughts I've had a long career in the medical device industry. Starting as a rep for J&J many years ago and working at some of the major medical device companies globally, I found my passion for Robotic Surgery at Intuitive Surgical in the USA. I wanted to continue working in the field, addressing the lack of innovation around alternative options for training surgeons without conducting pigs and cadavers. The medical industry has come so far with technology, yet our training options are still very limited. But IMRA will continue to work alongside surgeons, medical device companies, surgical societies and governments—to create a truly integrated and product-agnostic approach to training—that accelerates the uptake of robotic surgery across all specialties and ultimately creates better patient outcomes. Leveraging the technological support, Adam says, "There is no such thing as 'easy' when it comes to training for a surgeon. However, I feel that new technological solutions support a robust framework for training, which, if implemented properly, will improve patient outcomes." their own hospital's equipment. Surgeons and staff at hospitals are time-poor, so allowing complete training in robotic surgery that is agnostic to the device supports these goals. IMRA meets the proficiency goals using data metrics. It enables surgeons to seek training in the hospital operating theatre (not in a remote training facility). The concern of practicing on patients is also eliminated through IMRA's linear pathway, which includes anatomically correct synthetic human tissue models that deliver a complete training solution. Challenges into Opportunities for Growth Current robotic surgical training is generally provided by robot manufacturers. With new entrants to the market and more uptake in the overall technology, surgeons must attend multiple training sessions at various companies to support Words of Wisdom — "Bring It On and Go Big!" Better patient outcomes in the world of surgery aren't impossible to attain without the support of innovation. According to Adam, "Robotic and digital surgery is the present and the future of healthcare. We need as many lateral thinkers as possible to revolutionize the way surgery is done. The way I see it, the harder we all work together, the better outcomes the patients will have. Isn't that our goal in this industry?" IMRA meets the proficiency goals using data metrics. It enables surgeons to seek training in the hospital operating theatre (not in a remote training facility). Continuum of Augmentation Currently, IMRA has a robust product and technology pipeline that the organization continues to

15. develop—beginning with its online and self-paced Foundations of Robotic Surgery course and extending to more specialist procedural content. The company has signed a 5-year agreement with the Royal Australasian College of Surgeons to provide educational content regarding robotic-assisted surgery with basic, advanced and agnostic courses—along with the most realistic synthetic organ models ever created for surgical training. IMRA will launch these to the market in the coming year, 2023, and will continue to take feedback and drive innovation in this field. The Victorian State Government in Australia has also awarded IMRA a grant to build the curriculum for robotic surgery in the public hospital space. Reflecting on its achievement, "We are excited to be an organization recognized for building content for surgeons, by surgeons, and validated by the Government and Medical Colleges," concludes Adam.

16. Gynecologist.pk Empowering Women’s Healthcare through Robots I technology, gynecological robotic surgery offers numerous benefits to enhance patient outcomes and redefine surgical precision. It provides surgeons with enhanced precision, surpassing the capabilities of traditional laparoscopic. This increasing scope of robotic surgery is opening new possibilities for patients and healthcare alike. n today’s world, robots are doing us the day-to-day tasks along with assistance in the field of medical assisting surgeries. Powered by cutting-edge robotic Gynecological robotic surgery has brought a transformative shift in women’s healthcare, redefining the standard of surgical care. Empowering this technology, Prof. Dr Rehana Aamer Khan started Gynecologist.pk, where the team promises to transform traditional open surgery into advanced robotic techniques. 14 Set on the voyage of the Top 10 Leading Robotic Surgery Solution Providers, we at Healthcare Everything interviewed Dr Rehana to learn more about this technology and how it will reshape the future of women’s healthcare. Prof. Dr Rehana Aamer Khan Founder Gynecologist.pk Below are the highlights of the interview: Kindly brief us about the company and the ideas that led to its inception. I started my company gynecologist.pk two years back. The basic idea for making this company is to transform traditional open surgery into advanced techniques through laparoscopic and robotic surgery. Since Pakistan is a developing country, advanced surgery techniques are not available here for the general public. I am fortunate enough to get opportunities of learning advanced techniques during my studies, and I was able to continue that journey of learning advanced techniques. The idea behind this was to treat the disease processes that could not be possible with conventional techniques due to lack of expertise. We are an ambassador for the promotion of minimally invasive surgery in Pakistan. With minimally invasive techniques, surgeons can deal with gynecological issues with better control and outcomes. June 2023 www.healthcareeverything.com

17. Top 10 Leading Robo?c Surgery Solu?on Providers in 2023 What is the key operations run by the company to serve the changing needs of modern surgeons? of fatigue to the surgeon during long surgeries, freedom of movement for the surgeon during surgery and many other associated benefits. The surgeon can reanalyze the surgery after the completion of surgery leading to improvement. It helps to avoid legal complications as well. We are running complete solutions for gynecological issues through What are the current challenges faced by the company. How are you transforming them into opportunities for growth in the market? • • • Laparoscopic surgeries Robotic surgeries Hysteroscopic surgeries This includes gynecological cancer surgeries, grade 4 endometriosis, myomectomies, congenital uterine problems solutions, neovaginal formation, septum resection, duel channel tubal cannulation and many others routine gynecological surgeries. Since we are based in a developing country, the biggest challenge is surgery cost. Equipment cost is very high, and since minimal invasive surgery is not part of the national health service, so the cost of the procedure is very high. Since only high-income groups can avail our service, these techniques are getting very popular in this segment of society. The second challenge is that conventional surgeons are always spreading negative words about modern techniques, and because of this educated segment of society is reading about these techniques more and more online. Could you please shed some light on yourself and your journey so far? Before starting this journey, I did my medical graduation from Allama Iqbal Medical College Lahore and Post Graduation from the College of Physicians and Surgeons Pakistan. I completed my Laparoscopic fellowship from Endoscopic Training Centre Antwerp Belgium. I completed my robotic surgery fellowship from The University of Sharjah Clinical Centre UAE with CMR surgical team in the Versius Robotic system. I am the first gynecological robotic surgeon in Pakistan. How is the company’s unique approach encouraging innovative ideas among modern surgeons when approaching healthcare? As an experienced leader, what advice would you like to give to robotic enthusiasts aiming to transform the healthcare industry? 15 Any person who wants to run a robotic program in an organization, he/she needs to develop a dedicated team of health professionals. Along with health professionals, you need to develop are very accurate financial plan for the robotic program if its not government-funded. Secondly, new surgeons should have patience while learning robotic and minimally invasive surgery. The learning curve of robotic surgery is very long. We encourage surgeons to transform surgery through modern techniques for better cure diseases. We are an ambassador for the promotion of minimally invasive surgery in Pakistan. With minimally invasive techniques, surgeons can deal with gynecological issues with better control and outcomes. Thirdly, develop a continuous awareness plan for robotic surgery through which you can give awareness about its benefits for patients and health professionals. What are the future goals of the organization? How do you envision upscaling its operations and reach in 2023 and beyond? How do you think, will the emerging technological solutions in surgery ease the process for modern surgeons? Our future plan is to give awareness to everyone about the benefits of robotic surgery. We will try to break the false myths about modern techniques so that more and more people can avail benefits of modern surgery. Robotic surgery provides better control to the surgeon of his activities. With the help of a robot, surgeons can have better depth of invasion in tissues that are impossible with hands or naked eyes. Much more increased precision and accuracy in surgery due to magnifying imaging and highly accurate control over the surgical equipment leads to minimal blood loss, less risk of injuries to surrounding organs, avoidance June 2023 www.healthcareeverything.com

18. Navigating the Future 16 June 2023 www.healthcareeverything.com

19. Rob tic Surgery Digital Age in the 17 T of medicine is robotic surgery. With cutting-edge technology and sophisticated robotics, surgeons can perform complex procedures with unprecedented accuracy and control. he digital age has ushered in a new era of innovation, transforming various industries, including healthcare. One of the most remarkable advancements in the field Let's dive in deeper for further information! The Current State of Robotic Surgery Robotic surgery, also known as robot-assisted surgery, involves the use of the robot system to assist surgeons during operations. These systems consist of robotic arms equipped with surgical instruments and a high-definition camera, providing a 3D view of the surgical site. The surgeon operates the robotic arms in a console, controlling their movements with utmost precision. Since its inception in the early 2000s, robotic surgery has witnessed rapid growth and adoption across various surgical specialties. The da Vinci Surgical System, developed by Intuitive Surgical, is one of the most widely used robotic surgical platforms. It has been employed in urology, gynecology, cardiothoracic surgery, and other fields, offering minimally invasive options and improved patient outcomes. June 2023 www.healthcareeverything.com

20. Benefits of Robotic Surgery Dependency on Technology: As with any technology, robotic surgery relies on a stable and functioning infrastructure. Technical malfunctions or system failures can disrupt surgical procedures, emphasizing the need for contingency plans. Ÿ Enhanced Precision: One of the major advantages of robotic surgery is its ability to offer enhanced precision. The robotic arms can perform complex exercises with a greater range of motion and stability, surpassing the limitations of human hands. This precision reduces the risk of errors and complications during surgery. Minimally Invasive: Robotic surgery enables minimally invasive procedures, which involve smaller incisions compared to traditional open surgeries. As a result, patients experience less pain, reduced scarring, and faster recovery times, allowing them to return to their normal activities sooner. Improved Visualization: The high-definition 3D visualization provided by robotic systems offers surgeons a detailed and magnified view of the surgical site. This level of clarity helps in identifying critical structures and enhancing surgical accuracy. Tremor Elimination: Human hands can be susceptible to slight tremors, especially during intricate procedures. Robotic surgery eliminates such tremors, ensuring steady and stable movements throughout the operation. Surgeon Ergonomics: Robotic surgery consoles are designed with ergonomics in mind, allowing surgeons to operate comfortably while maintaining a natural posture. Reduced physical strain can lead to better surgical performance and fewer surgeon-related injuries. Ÿ The Future of Robotic Surgery As technology continues to evolve, the future of robotic surgery holds great promise for further advancements and improvements. Some key areas of development include: Ÿ AI Integration: Artificial intelligence (AI) is expected to play a significant role in robotic surgery. AI algorithms can assist surgeons in analyzing vast amounts of data, providing real-time insights, and even predicting potential complications during surgery. Remote Surgery: The concept of remote surgery, also known as telesurgery, is gaining traction. With low- latency communication networks and advanced robotics, surgeons may be able to perform surgeries on patients located in distant regions, expanding access to specialized care. Nanorobotics: Researchers are exploring the use of nanorobots, tiny robotic devices capable of performing tasks at the cellular or molecular level. Nanorobotics holds the potential for targeted drug delivery and precise surgical interventions within the body. Mixed Reality Visualization: Mixed reality technology, such as augmented reality and virtual reality, can enhance surgical visualization further. Surgeons might have the ability to overlay vital information onto their field of view during surgery, improving decision-making and efficiency. Ÿ Ÿ Ÿ Ÿ Ÿ Ÿ 18 Ÿ Challenges and Limitation While robotic surgery has demonstrated numerous benefits, it also faces various challenges and limitations that need to be addressed: Cost: Robotic surgical systems are expensive to acquire and maintain, making them financially challenging for some healthcare institutions. This cost factor can limit their accessibility and widespread adoption. Learning Curve: Surgeons require specialized training to become proficient in robotic surgery. The learning curve for mastering the robotic system can be steep, which may deter some healthcare professionals from embracing this technology. Lack of Haptic Feedback: Unlike traditional surgery, where surgeons can feel the tissues and organs they are manipulating, robotic surgery lacks haptic feedback. Surgeons rely solely on visual and auditory cues, which can be a drawback in delicate procedures. Conclusion Ÿ Robotic surgery has already made a profound impact on the healthcare landscape, revolutionizing patient care with its precision and minimally invasive capabilities. As we navigate the future of robotic surgery in the digital age, addressing the challenges and embracing new developments will be crucial to unlock its full potential. As we move forward, the collaboration between medical professionals, engineers, and researchers will be instrumental in shaping the future of this transformative field. Ÿ Ÿ June 2023 www.healthcareeverything.com

22. A studies concluded that 79% of patients reached the recommended protein intake. dequate protein intake among elderly is a growing concern in healthcare. At the beginning of this century scientific studies signaled malnutrition in affluent countries up to 25% with hospital patients. Disease related protein deficiency due to acute or chronic diseases or decreased appetite and frailty were identified as the main causes for malnutrition. 20 This study shows that the new nutritional strategy works: substitution instead of supplementation. Substitute regular basic nutrition with protein enriched basic nutrition. The essence of the substitution strategy is the range of familiar products people like to eat, replaced by the same products containing 2 to 4 times the amount of protein, tasting equally as good as their reference products. General dietary advice focused on adding high protein snacks and oral nutritional supplements to the daily menu. The disappointing result was that still less than 50% of hospital patients would not meet the recommended protein intake. The range of protein enriched products fits in all eating moments of the day. Spreading the intake in 3 main meals and 3 in-between moments results in an optimal protein intake per moment and the highest intake per day. This was all confirmed by RCT studies. A consortium, lead by Wageningen University and Research, started in 2012 to develop a new nutritional strategy and products to solve malnutrition. Scientific studies revealed that the standardized care focused both on supplementation of energy and protein. As satiation was the barrier for higher protein intake the current practice of both energy and protein supplementation did not work. In 2015 Carezzo Nutrition, a start-up partner of the consortium introduced this range of products in the Dutch market. The success of the strategy was confirmed by winning the Accenture Innovation Award for Fair Food, and scientific proof of the effectiveness of the new nutritional strategy of substitution was presented. To solve this problem, new products were developed, focusing on protein enrichment instead of energy density. We first entered the Dutch hospital market, which welcomed the good taste of these familiar products and the high protein density versus regular protein-rich food. It also adds to the quality of life as these products fit in regular eating habits and do not look like medicine. These products were familiar basic foods, like bread and pastry, fruit juice and soups, and ice-cream and small meals. Al these products were tested in the foodhospital Gelderse Valley, in residential care and among patients at home. RCT June 2023 www.healthcareeverything.com

23. 21 costs. A RCT study on pre-operative nutritional support on senior patients scheduled for heart surgery was conducted by Nina Zipfel PhD in collaboration with Carezzo. Participants received Carezzo products at home during 2 weeks. Their protein intake increased by 50-100%, due to the protein enriched products and the high motivation to self-manage nutritional condition improvement. Fred Bergmans is Co-founder of Carezzo Nutri?on, a Dutch start-up for protein enriched food & drinks for malnutri?on. Fred started his marke?ng career in food companies, like Heineken, Mars, Kra? Foods and Perfe?/van Melle. He founded an innova?on strategy consultancy, where he first met the problem of malnutri?on in healthcare. Passionately he founded Carezzo Nutri?on. The group of people with a protein deficiency is much larger than discussed so far. Frail elderly people with low appetite tend to eat less. Since they are less physically active their portions get smaller and so does the energy intake. However, their protein intake recommendation is not related to their activity, but to their body composition. Knowing that their protein recommendation is 25% higher than that of young adults, there is a high risk of protein malnutrition. In practice we see that it is hard to finish a full hot meal, and that 10-20% is left behind on the plate, or worse one meal is consumed in two days, shared with a partner or thrown in the trash. Protein intake then drops under 20 g, as regular meals (500 g) contain 20-25 g protein. Carezzo developed small meals of 350 g, containing 30 g of protein. Since hospital length of stay gets shorter, 'better in is better out' gets more important. Improving patients' nutritional condition before hospitalization and after discharge, called prehabilitation and rehabilitation, is seen as a direct contribution to efficacy of medical treatment. Less complications, shorter length of stay and successful recovery potentially leads to increased benefits at decreased June 2023 www.healthcareeverything.com

24. There is a challenging goal, also for Carezzo, to improve the protein quality of plant-based products also for the older aged groups. We will develop new products combining fruit, vegetables and hybride proteins. We now have 80% of all Dutch hospitals as clients, which is a fast-track record in institutional healthcare. It shows that the new nutritional strategy is well accepted. Unfortunately, due to healthcare insurance and governmental regulations, there is no level playing field with oral nutritional supplements. There is no reimbursement on Carezzo products by health care insurances, so people do not have an equal choice. 22 The 'Food as Medicine' theme acknowledges the importance of the functionality of food in the prevention and treatment of lifestyle related diseases. There is a huge opportunity to change towards 'the food solution' and reduce healthcare costs while improving the quality of life. Protein enriched products fit in maintaining the dietary habits. Just change products to address the different protein recommendations due to different circumstances. As a society we should embrace innovation to improve healthcare: Ÿ The technological innovation for better food products Ÿ The social innovation for faster implementation Ÿ The governance innovation to reduce barriers in finance and regulation To serve patients at home the Carezzo webshop was opened which facilitates the substitution strategy in the home setting and patients could continue the use of the products they received in the hospital during the total period of medical treatment; pre and post included. The webshop also serves people with chronic diseases, such as age related malnutrition, sarcopenia and COPD, which already used Carezzo products for multiple years. We are committed to transfer academic insights into good tasting functional food products, that is our practice. We are deeply touched by the gratitude of patients that finally reach their desired protein intake, because that is our purpose. The combination of global trends 'better for the environment = better for your health' boosts the shift towards plant-based products, reducing meat and dairy consumption. The protein quality for golden-aged people is, however, a major concern. The advice for them is to not go Vegan. Protein quality, defined by the amount and completeness of essential amino-acid profile, from plant- proteins is lower than the quality of animal-based proteins. June 2023 www.healthcareeverything.com

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26. The Role of obots in Healthcare T the integration of robots into various aspects of patient care. These intelligent machines are transforming the way medical professionals deliver services, improve patient outcomes, and enhance the overall healthcare experience. he field of healthcare is constantly evolving, driven by advancements in technology. One of the most significant developments in recent years has been 24 In this article, we will explore the role of robots in healthcare and how they are revolutionizing patient care. Robotic-Assisted Surgery One of the most well-known applications of robots in healthcare is robotic-assisted surgery. These advanced systems enable surgeons to perform complex procedures with greater precision and flexibility, resulting in lower complications and faster patient recovery times. The robotic arms can mimic the surgeon's movements with enhanced dexterity, allowing for more delicate and precise manoeuvres. Robotic-assisted surgery has been employed in various fields, such as urology, gynaecology, and June 2023 www.healthcareeverything.com

27. Revolutionizing Patient Care 25 June 2023 www.healthcareeverything.com

28. Mental Health Support cardiothoracic surgery, providing minimally invasive options and better patient outcomes. Mental health conditions have become a significant concern globally, and robots are now being utilized to provide support and therapeutic interventions. These mental health robots can engage in cognitive-behavioural therapy, monitor patients' emotional states, and offer coping mechanisms for stress and anxiety. While they are not a replacement for human therapists, these robots can supplement mental health services and provide additional resources for patients in need. AI-Driven Diagnostics Artificial Intelligence (AI) plays a crucial role in healthcare, and robots are at the forefront of leveraging AI capabilities for diagnostics. AI-powered robots can explore vast amounts of medical data, including images, lab results, and patient histories, to provide accurate and timely diagnoses. These systems identify the patterns and anomalies that might be overlooked by human clinicians, aiding in the early detection and treatment of diseases. This not only improves patient care but also relieves healthcare professionals, allowing them to focus on more complex tasks. Infectious Disease Management During outbreaks and pandemics, robots have proven to be vital tools in managing infectious and reducing the risk of transmission. Autonomous robots equipped with UV-C lights can efficiently disinfect hospital rooms and public spaces, eliminating harmful pathogens. Additionally, robots can be deployed for contactless temperature screenings and monitoring compliance with infection control protocols in crowded areas. Elderly Care and Assistance The aging global population led to an increased demand for elderly care and assistance. Robots are proving to be invaluable companions in elderly care facilities, providing emotional support, monitoring vital signs, and assisting with daily tasks. Social robots with natural language processing capabilities can engage in conversations with the elderly, reducing feelings of loneliness and isolation. Additionally, robotic exoskeletons are helping elderly patients regain mobility and independence, improving their overall quality of life. Remote Patient Monitoring 26 Telemedicine has gained popularity in recent years, and robots are enhancing remote patient monitoring capabilities further. Telepresence robots equipped with cameras and screens can enable physicians to interact with patients in real time, even from distant locations. These robots allow doctors to conduct virtual rounds, provide consultations, and oversee patients' progress, all while maintaining a human touch in healthcare delivery. Rehabilitation and Physical Therapy Robots are also transforming the field of rehabilitation and physical therapy. Robotic devices can aid patients in their recovery after injuries or surgeries, providing consistent and controlled movements during the rehabilitation process. These machines can track progress, adjust therapy plans based on real-time data, and offer personalized treatment, all of which contribute to faster recovery and better outcomes for patients. Conclusion The integration of robots into healthcare is not about replacing human healthcare professionals but about enhancing their capabilities and improving patient care. Robots bring precision, efficiency, and automation to various aspects of healthcare, allowing medical practitioners to focus more on patient interactions and complex decision-making. As technology advances, we can expect robots to play an increasingly important role in revolutionizing patient care and shaping the future of healthcare for the better. However, as we embrace these innovations, it's crucial to strike a balance between the benefits of automation and the human touch that is essential in delivering compassionate and empathetic care to patients. Drug Dispensing and Administration Robots are streamlining drug dispensing and administration processes in busy healthcare settings, such as hospitals and pharmacies. Automated robotic systems can accurately pick, pack, and dispense prescriptions, reducing the risk of errors and improving efficiency. Robots can also assist nurses in administering medications to patients, ensuring the right dosage and timing while freeing up nurses' time for more patient-centred care. -Pja Shah June 2023 www.healthcareeverything.com

30. Top 10 Leading Robo?c Surgery Solu?on Providers in 2023 Silver Cross Hospital Advancing Healthcare with the Rise of Robo?c Surgery rdinary thinking doesn't lead to greatness; it's the O industry has certainly been the result of one such extraordinary effort, right from 3D technology to drones and improving patient outcomes in healthcare. The number of robotic surgical systems applied worldwide has been steadily increasing. More and more medical facilities are investing in robotic systems to utilize this advanced technology. Below are the highlights of the interview: extraordinary efforts that bring about revolutions in the world. Implementation of robots in the Kindly brief us about the company and the ideas that led to its inception. The Midwest Institute for Robotic Surgery (MIRS) at Silver Cross Hospital in New Lenox is a virtual entity. It is a group of expert surgeons who use Intuitive's DaVinci robot at Silver Cross Hospital. To be included within the Institute, these surgeons are distinct robotic surgery experts who perform a high volume of robotic-assisted procedures and meet specific quality metrics. The development of MIRS was a collaboration between Silver Cross Hospital 28 Founded in 1895, Silver Cross Hospital in New Lenox is home to one of the largest robotic surgery programs in the Midwest – and in the nation. With four (4) da Vinci® XI® surgical robots – the Midwest Institute for Robotic Surgery (MIRS) at Silver Cross Hospital performs the most robotic surgical procedures, hysterectomies, and colorectal procedures in the Chicago metropolitan area. And in 2022, MIRS introduced the Ion robotic bronchoscopy system that's able to diagnose lung cancer sooner and with greater accuracy than ever before. Silver Cross Hospital's mission is to con?nue to advance in key areas, each represented by a point in our 5 Star Strategic Plan: growth, quality, culture, alignment with the medical staff and financial performance. The Institute is home to some of the most experienced robotic surgeons in the region and nation. Several are pioneers in their field mentoring other surgeons across the 50 states and around the world in advanced colorectal, gynecological, and hernia repair and gallbladder removal robotic techniques. Others help design the implants used during joint replacement surgery. Thus, in search of Top 10 Leading Robotic Surgery Solution Providers in 2023, we at Healthcare Everything featured Silver Cross Hospital and interviewed Marybeth Antone - Vice President of Clinical Operations, to know the capabilities of this technology. June 2023 www.healthcareeverything.com

31. 29 Marybeth Antone Vice President of Clinical Opera?ons Silver Cross Hospital June 2023 www.healthcareeverything.com

32. How do you think, will the emerging technological solutions in surgery, ease its process for modern surgeons? administration and the surgeons to help differentiate and market our capabilities. With four (4) da Vinci® XI® surgical robots – we perform the most robotic surgical procedures, hysterectomies, and colorectal procedures in the Chicago metropolitan area. And, we are one of the Top 3 robotic surgery centers in the Midwest with more than 15,000 procedures to date! Any technology that will contribute to improved efficiency will be impactful as time is an important commodity for a surgeon. Continued refinement in the DaVinci platform is also important. What are the current challenges faced by the company. How are you transforming them into opportunities for growth in the market? The Midwest Institute for Robotic Surgery at Silver Cross Hospital was the only facility in Will County to offer Mako™ robotic-arm assisted surgery for partial knee and total hip replacement for adults living with early to mid- stage osteoarthritis. This new technology helps provide more accurate placement and alignment of a patient's implant. Hospitals are still recovering from the effects of COVID- 19, and Silver Cross is no exception. Most notable is the "early" retirement of tenured, experienced staff and the loss of talent to agency work. Surgeons who use the DaVinci are also seeing sicker patients who delayed care; surgeries are more abundant and complex. Our teams are collectively working on access. And in 2022, we introduced the Ion robotic bronchoscopy system that's able to diagnose lung cancer sooner and with greater accuracy than ever before. As an experienced leader, what advice would you like to give to robotic enthusiasts aiming to transform the healthcare industry? Best of all, the Midwest Institute for Robotic Surgery at Silver Cross Hospital is just 45 minutes southwest of Chicago, with easy access to Midway and O'Hare airports. 30 What are the key operations run by the company to serve the changing needs of modern surgeons? Be bold! What are the future goals of the organization? How do you envision upscaling its operations and reach in 2023 and beyond? Robotic surgeons at Silver Cross are engaged in decision- making about program development. They work with the administration and Operating Room leadership to improve access to robotic technology and maintain the highest excellence in clinical quality. Our focus is on efficiency and access, leveraging technology where we can. How is the company's unique approach encouraging innovative ideas among modern surgeons when approaching healthcare? Silver Cross Hospital's mission is to continue to advance in key areas, each represented by a point in our 5 Star Strategic Plan: growth, quality, culture, alignment with the medical staff and financial performance. One point of the star cannot be sacrificed to meet an objective on another point. We seek engagement from all of our surgeons, listen intently to their ideas and suggestions, and ask them to partner with us on execution. Sharing the risk is an important tenet when considering innovation. June 2023 www.healthcareeverything.com

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