"The future of surgery is not about blood and guts; the future of surgery is about bits and bytes.”
/Dr. Richard Satava/

Wednesday, February 24, 2010

Florida Hospital's DoD grant for robotic surgery

"Florida Hospital’s Nicholson Center for Surgical Advancement, which focuses on robotic surgery and training, will start construction by June for its new $35 million, 50,000-square-foot facility in ­Celebration. The Nicholson Center, now housed in the 112-bed Florida Hospital Celebration Health, will relocate and add medical simulation to its roster once the new facility is built next to the hospital."
"A $4.2 million Congressional Directed Department of Defense Grant that will be used to revolutionize civilian and military capabilities in surgical robotic research. The grant was secured by Congressman Alan Grayson with additional support from Senator Bill Nelson to establish a “Global Center of Excellence in Medical Robotics and Simulation".
The Hospital houses the Global Robotics Institute, ran by Dr. Patel. They will hold the World Robotic symposium in April.
Media coverage.

Source: Orlando Business Journal, Facebook, GRI

Tuesday, February 16, 2010

CIS news

Interesting articles and news appeared on the web more recently. Excerpts:

Wednesday, February 10, 2010

Book on Robot Surgery

In Tech Publishing has released its latest open access e-book, Robot Surgery. (Direct download link.)
Chapters of the book:
  • Classification, Design and Evaluation of Endoscope Robots
  • Extreme Telesurgery
  • Telementoring and Telesurgery: Future or Fiction?
  • Simulation Model for the Dynamics Analysis of a Surgical Assistance Robot
  • Robotic Assisted Colorectal Surgery
  • Robotic Sacrocolpopexy and Sacrocervicopexy for the Correction of Pelvic Organ Prolapse
  • Robotic Assisted Laparoscopic Hysterectomy
  • Robotic Surgery for Lung Cancer
  • Robotic Surgery in Ophthalmology
  • Robot-assisted Laparoscopic Central Pancreatectomy with Pancreaticogastrostomy (Transgastric Approach)
Check out their previous book, titled Medical Robotics!

Friday, February 5, 2010

No responsibility for da Vinci error

U.S Court of Appeals dismiss charges that a software failure of the da Vinci might have caused post-operation complications of a patient in Philadelphia.
"A federal appeals court clears Intuitive Surgical Inc. in a case involving a malfunction of one of its da Vinci surgical robots during a prostatectomy.
A federal appeals court cleared Intuitive Surgical Inc. (NSDQ:ISRG) of any liability in a lawsuit alleging that one of its malfunctioning da Vinci surgical robots caused a Pennsylvania man's erectile dysfunction.
Roland Mracek sued Intuitive after undergoing a prostatectomy at Bryn Mawr hospital in June 2005. During the surgery, the da Vinci robot went on the fritz and displayed error messages; after his surgical team and an Intuitive rep couldn't make the robot work, surgeons performed a traditional laparoscopic prostatectomy, according to court documents. A week later Mracek suffered an episode of gross hematuria (visible blood in the urine) and later developed severe groin pain and erectile dysfunction.
The U.S Court of Appeals for the Third Circuit's three-judge panel upheld the U.S. District Court for Eastern Pennsylvania's March 2009 decision that Mracek failed to prove that the robot's malfunction caused his injury. (Read more)"

More about da Vinci failures.

Source: Mass Device
Illustration is from a previous case: Koliakos (2008)

Tuesday, February 2, 2010

Amadeus Surgical Robot

Intuitive may receive a competitor from Canada, however the engineering details of the new robot are not known yet. Neither the potential IP violation issues and clinical results. Stay tooned!
"In head to head competition with the da Vinci Surgical Robot Titan Medical, Inc. (Toronto, Canada) has introduced its Amadeus Surgical Robot, which supposedly has superior navigation and positioning, communications and vision. Both machines have four arms for different devices. While Intuitive has a head start of more than 1400 units in place, there is plenty of room for Titan, as the projected global market is about 6,000 machines ($3.4 billion) and there are few other competitors."
Titan Medical Inc. is a Canadian public company focused on the development and commercialization of robotic surgical technologies. The Company is currently developing Amadeus, a next generation 4-armed robotic surgical system, with the objective of enabling surgeons to remotely manipulate surgical instruments. The system is designed with a 16:9 format vision system that will eventually feature ultrasound vision in the scope. Another planned enhancement involves “multi-articulating” shafts. The Amadeus system has been designed in its core as an Internet protocol system, so whether it runs locally or by long distance, all the commands are programmed to be IP-compatible.
First, they have developed their first working prototype, and Titan Medical completed its “Phase B” telesurgery testing in March 2009 through a virtual private network that spanned from Toronto to Vancouverand back, an estimated round-trip distance of 4,300 miles, or 7,000 kilometers. During the test, they had a 45 Mbps connection, with a total latency of around 300 ms end to end. Next, they are moving forward to the final clinical device stage, which should be ready for clinical trials in 18 to 24 months-W.D. Boyd, head of the department of cardiothoracic surgery at Cleveland Clinic Florida will be the principal investigator of the trials.
In November 2008, Titan Medical Inc. has entered into an agreement with Bell Canada's Health unit to develop, integrate and service telesurgery capabilities for Amadeus. In december 2009, they signed an agreement with CAE Healthcare for various services. As part of the agreement, CAE Healthcare will deliver an engineering development management environment platform.
The agreement includes options, which if exercised would make CAE Healthcare the exclusive training provider for the Amadeus Robotic Surgical Platform.

Interview with Reiza Rayman MD, is the president of Titan Medical

Source: Titan Medical, Medical Automation, Health Technology Trends

Updates: - on the Amadeus
       - More recent news on the system