By Bernadette Wagner RN, CNOR

Surgical Robotics

Describe the use of Robots in performing surgery

Describe Hardware and Software programs

Assess the Role and Function of the Nurse

Describe the Advantages/Disadvantages from a Nursing perspective

Objectives

Surgical robot is a computer controlled device used by a surgeon

Surgical robotics is minimally invasive and precise

What is Robotic Surgery?

An alternative to open and laparoscopic surgery

Used successfully in over tens of thousands cases: Cardiothoracic, Gynecologic, Urology and Pediatric surgeries

Robotic Surgery

Robotic Arm-Automated Endoscopic System for Optimal Positioning (AESOP)

Haptic Sensor- a sensor that gives the surgeon a “sense” of touch during remote surgery

Computer Console with 3D high definition visualization

Teleoperated Surgical Instruments

Robotic Surgery Hardware

Computer Console Hardware

In Robotic Surgery

Voice Recognition

Depth Q Capture©

Depth Q Player©

Robotic Surgery Software

Depth Q Capture and Player©

Software Program

Criteria:

1. Human Computer Interaction(HCI)

2. Usability

3. Ergonomics

Evaluation : Hardware/Software Programs

Robotic Surgery Information Systems “The future is here. It’s just not evenly distributed…” (William Gibson, novelist and visionary)

Hardware, Software and Telecommunications Networks

What type of information system is this?

Special Purpose

Greater patient satisfaction and comfort

Revise patient education pre and post op

Nurses commitment to continued education

(Morris,2005)

Nursing Perspective

Nursing Perspective of Robotic Surgery

Advantages

Greater patient satisfaction and comfort

Nursing advancement and involvement in “cutting-edge” procedures and training

Disadvantages

Robots eliminate the need for nursing personnel ?

Expensive price tag

Legal liability from state to state

State Licensure

The Health Insurance Portability and Accountability Act (HIPPA)

Ethical and legal issues of Robotic Surgery

Informatics Nurse Specialist

Competencies required

Educator Consultant

System Specialist Project Manager

Informatics Nurse

Functions and Responsibilities of the Informatics Nurse in Robotic Surgery

Summary

Robotic Surgery

Refernces

American Association of Colleges of Nursing(AACN). (2009).Nursings aging population. Retrieved April 16, 2010, from http://www.aacn.nche.edu

Morris, B. (2005). Robotic Surgery: Applications, Limitations, and Impact on Surgical Education. Medscape General Medicine, 7(3). Retrieved March 2,2010, from http://www.medscape.com/viewarticle/511854

National Instruments Developer Zone. (2008). Robotic Surgery Moves from Science Fiction to Reality. Retrieved March 26, 2010, from http://zone.nicom/devzone/cda/pub/p/id/257

Social Science Research Network (SSRN). (2010). Legal and ethical issues in telemedicine and robotics. International Journal of Gynecology and Obstetrics. Vol.94,(pp.73-78). Retrieved April 17, 2010, from http://papersssrn.com/so13/papers.cfm?abstract-id=944833

References

Staggers, N., Gassert ,C., Curran, C.(2001). Informatics competencies for nurses at four levels of practice. Journal of Nursing Education, 40(7), 303-316.

Staggers, N.(2003). Human factors: Imperative concepts for information systems in critical are. AACN Clinical Issues, 14(3), 310-319.

References

References

Stair, R., & Reynolds, G. (2008). Principles of information systems (8th ed.). Boston,MA: Thompson Course Technology.