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ADVANCES IN SURGERY
SALMAN FAIZ
MEDICAL INFORMATICS
TELESURGERY
• DYNAMIC OR
• ALLIANCE BETWEEN COMPETENCIES
• FUTURE SURGEONS
• REMOTE LOCATIONS
TELESURGERY
• PROVIDE EXPERT ADVICE– TELECONFERENCING– TELERADIOLOGY– TELEPATHOLOGY
• ROBOT PERFORMANCE
• 5 FT. DISTANCE• 4k MILE DISTANCE
TELESURGERY
• ADVANCEMENT OF TELECOMMUNICATIONS AND ROBOTICS– TELECOMMUNICATIONS
• EXTENDED NETWORK
• BETTER EQUIPPED FACILITIES
• RECOGNITION OF NEED
– ROBOTICS• ACADEMIC PROGRESS
• GOVERNMENT SECTOR– NASA
• PRIVATE SECTOR– DA VINCI
PRE ROBOT-ASSISTED SURGERY
• Tremors– Dexterity– Precision
• OR Time
• Patient Recovery Time
• Resource Management– Expertise
POST ROBOT-ASSISTED SURGERY
• PRECISION PACKED– SCARRING
• TIMELINESS– OR TIME– PATIENT EXIT
• GLOBAL ASSISTANCE– TOP SURGEONS– TOP SPECIALISTS
ROBOT-ASSISTED SURGERY• Thoracic• Epicardial lead Placement • Chondroma • Esophagectomy • IMA Harvest • IMA Takedown • Lobectomy • Lung Biopsy • Nodulectomy • Thymectomy • Tumor resection
• Urology• Donor Nephrectomy • Prostatectomy • Ureter Harvest
• Vascular• Aortic Abdominal Aneurysm • Vena Cava Tumor
• Cardiac*• Atrial Septal Defect Repair • Mitral Valve Repair • TECAB - Totally endoscopic coronary artery
bypass
• General• Adrenalectomy • Cholecystectomy • Esophagatomy • Gastric Bypass • Heller Myotomy • Nissen Fundoplication
• Gynecology• Cystocele Repair • Hysterectormy • Tubal Ligation • Tubal Reanastomosis
DA VINCI SYSTEM
• FDA-cleared• Insite Vision System• Endowrist
Instruments• Video Tower• 210 +• Certification
DA VINCI CART
•ENDOWRIST INSTRUMENTS
•4 ROBOTIC ARMS
DA VINCI CONSOLE•3-D VISION
•MASTER CONTROLS
•CAMERA CONTROL
• surgery example
LINDBERGH OPERATION
• Laparoscopic Cholecystectomy
•Zeus Robotic Surgical System
COST•DA VINCI SYSTEM
•800k SYSTEM COST
•100K/YEAR MAINTENANCE
•2K EXTRA PER OPERATION
•LINDBERGH OPERATION
•1 MILLION +
•The operation lasted 45 minutes, drawing on the combined skills of a tightly coordinated team of 40 people
•Medical Team
•France Telecom Engineers
•Robotic System Specialists from Computer Motion.
TRANSMISSION
• 200 MILLESECONDS
• SAFE LAG-TIME 330 MS<
• FIBRE-OPTIC CONNECTION
• SATELLITE TECHNOLOGY
• ATM
SWOT
• STRENGTHS
• WEAKNESSES
• OPPURTUNITIES
• THREATS
• tele-companionship/scenario