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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

Robotic Surgery

Jane Zanzinger, RN

2010


Objectives
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


What is robotic surgery
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


What is robotic surgery1
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


    Trends of robotic surgery
    Trends of Robotic Surgery

    • Telepresence Surgery

    • Telemonitoring

    (Emerging Image-Guided and Robot-Assisted Surgery (Technical Insights), 2006)

    2010



    Patient side cart
    Patient Side Cart

    • Surgical Arms

    • EndoWrist Technology

    • Endoscopic Camera

    • Monitor

    (da Vinci ... Changing The Experience of Surgery , 2008)

    2010



    Davinci multimedia application interface
    DaVinci Multimedia Application Interface

    • Portability

    • Reusability

    • Consistent Software Interface

    2010


    Usability of software
    Usability of Software

    • Axiom #1

      • Development of Design

    • Axiom #2

      • Design Improvements

    • Axiom #3

      • Experimental or Observational

    2010


    Information systems
    Information Systems

    Dexterity

    (Taylor, 2001)

    2010


    Information systems1
    Information Systems

    • Type of Information System

    • Type of Healthcare Professionals

    • Function & Configuration

    • Data Standards & Classifications

    • Recommendation

    (All About Robotic Surgery, 2010)

    2010


    Advantages
    Advantages

    Recovery

    Activities

    MIS

    Pain & Scarring

    Blood Loss

    Transfusion

    2010


    Disadvantages
    Disadvantages

    • Learning period

    • High cost of equipment and maintenance 

    • Reduction in space

    • Lack of tactile sensation

    (All About Robotic Surgery, 2010)


    Legal ethical
    Legal/Ethical

    Legal

    Ethical

    • Education

    • Credentialing

    • Uniform Standards

    • Inexperienced Surgeon

      (All About Robotic Surgery, 2010)


    Competencies
    Competencies

    • Safety Protocols

    • Robotic messages

    • Emergency procedures

    • Proficient in basic computer applications

    • Care and handling of instruments

      (Francis, 2006)


    Informatics nurse specialist
    Informatics Nurse Specialist

    Clinical

    R

    e

    sea

    r

    ch

    Administration

    Education

    Professional

    (Francis, 2006)


    Summary
    Summary

    • http://www.roboticoncology.com/online_videos/index.php?ELEMENT_ID=1081

    • Click on link once

      (Samadi, n.d.)

    2010



    References
    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


    References1
    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


    References2
    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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