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Robotic Surgery

Robotic Surgery. Jane Zanzinger, RN. 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

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Robotic Surgery

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  1. Robotic Surgery Jane Zanzinger, RN 2010

  2. 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

  3. 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

  4. 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 2010

  5. Trends of Robotic Surgery • Telepresence Surgery • Telemonitoring (Emerging Image-Guided and Robot-Assisted Surgery (Technical Insights), 2006) 2010

  6. Robotic Surgery Hardware 2010

  7. Patient Side Cart • Surgical Arms • EndoWrist Technology • Endoscopic Camera • Monitor (da Vinci ... Changing The Experience of Surgery , 2008) 2010

  8. Robotic Surgery Software 2010

  9. DaVinci Multimedia Application Interface • Portability • Reusability • Consistent Software Interface 2010

  10. Usability of Software • Axiom #1 • Development of Design • Axiom #2 • Design Improvements • Axiom #3 • Experimental or Observational 2010

  11. Information Systems Dexterity (Taylor, 2001) 2010

  12. Information Systems • Type of Information System • Type of Healthcare Professionals • Function & Configuration • Data Standards & Classifications • Recommendation (All About Robotic Surgery, 2010) 2010

  13. Advantages Recovery Activities MIS Pain & Scarring Blood Loss Transfusion 2010

  14. Disadvantages • Learning period • High cost of equipment and maintenance  • Reduction in space • Lack of tactile sensation (All About Robotic Surgery, 2010)

  15. Legal/Ethical Legal Ethical • Education • Credentialing • Uniform Standards • Inexperienced Surgeon (All About Robotic Surgery, 2010)

  16. Competencies • Safety Protocols • Robotic messages • Emergency procedures • Proficient in basic computer applications • Care and handling of instruments (Francis, 2006)

  17. Informatics Nurse Specialist Clinical R e sea r ch Administration Education Professional (Francis, 2006)

  18. Summary • http://www.roboticoncology.com/online_videos/index.php?ELEMENT_ID=1081 • Click on link once (Samadi, n.d.) 2010

  19. 2010

  20. 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, fromhttp://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

  21. 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

  22. 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 Surgeryand 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

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