Robotic assisted surgery in pediatric clients
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Robotic-Assisted Surgery In Pediatric Clients . Cecelia Grogan Sara Pedley Jill Gordon. Objectives. Describe robotic-assisted surgery in pediatric clients Describe hardware List, Describe, and Evaluate software Describe and review the information system

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Robotic-Assisted Surgery In Pediatric Clients

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Robotic assisted surgery in pediatric clients

Robotic-Assisted Surgery In Pediatric Clients

Cecelia Grogan

Sara Pedley

Jill Gordon


Objectives

Objectives

Describe robotic-assisted surgery in pediatric clients

Describe hardware

List, Describe, and Evaluate software

Describe and review the information system

Describe advantages and disadvantages

Examine related ethical/legal issues

Describe the technology-related competencies of the professional nurse working with robotic-assisted surgery in pediatric clients

Describe the functions of the informatics nurse working with robotic-assisted surgery in pediatric clients


Robotic assisted surgery in pediatric clients1

Robotic-Assisted Surgery in Pediatric Clients

Robotic surgery:

is the use of robots in performing surgery

Allows patient to achieve shorter surgery, recovery, and duration of stay

Historically, robotic surgery was:

Developed first as programmable industrial manipulators

Pioneered by George Devol- late 1940s and early 1950s

(Krummel, Holman, & Ford, 2004)


Robotic assisted surgery in pediatric clients2

Robotic-Assisted Surgery in Pediatric Clients

Cases to date of robotic assisted pediatric surgery:

Fundoplication

Cholecystectomy

Oophorectomy

Splenectomy

Urachal resection

Lymphadenectomy

Tumor biopsy

Diaphragmatic hernia repair

Biopsy mediastinal mass

Heller myotomy

Choledochal cyst excision

Kasai

(Krummel, Holman, & Ford, 2004)


Hardware

Hardware

Types of robots used:

AESOP

CyberKnife

RoboDoc

Acrobot

NeuroMate

Zeus

DaVinci

Da Vinci Robot

(Cao & Rogers, 2006)


Davinci

DaVinci

comprehensive master-slave surgical robots with multiple arms

operated remotely from a console with video assisted visualization and computer enhancement

evolved from the telepresence machines developed for NASA and the US Army

3 components

vision cart that holds a dual light source and dual 3-chip cameras

master console where the operating surgeon sits

moveable cart, where 2 instrument arms and the camera arm are mounted

(Brown University, 2008)


Software

Software

VoXim™, IVS Software Engineering software system

NI LabVIEW software

(National Instruments Corporation, 2009)

(Brown University, 2008)


Ni labview

NI LabVIEW

Laboratory Virtual Instrumentation Engineering Workbench

programs/subroutines are called virtual instruments (VIs)

used for

data acquisition

instrument control

industrial automation

(Wikipedia, 2009)


Ni labview1

NI LabVIEW

No surveys or focus groups given to potential users

Uses discussion forums

No cognitive walkthrough

No heuristic evaluation

No formal usability

No apparent field study

(McGonigle & Mastrian, 2009)


Healthcare information systems

Healthcare Information Systems

Healthcare Management Systems (HMS)

integrates clinical and financial applications on a single IBM platform

Technology such as:

Pen tablets

Mobile carts

Bar coding

Document imaging

(Healthcare Management Systems Inc, 2009)


Hms review

HMS Review

Type of information system: Administrative/Clinical

Who can use this system: Any healthcare professional

HMS function: All aspects of hospital

Configuration: Local Area Network

Nursing Practice Standards: NANDA

Recommend: Yes

(Healthcare Management Systems Inc, 2009)


Advantages of robotic surgery

Advantages of Robotic Surgery

Major advantages of robotic surgery:

precision

miniaturization

smaller incisions

decreased blood loss

less pain

quicker healing time

(Holman , 2004)


Disadvantages of robotic surgery

Disadvantages of Robotic Surgery

New technology

Cost

Size of systems

Lack of compatible instruments and equipment

(Lanfranco, Castellanos, Desai, & Meyers, 2004)


Ethical legal issues

Ethical/Legal Issues

Ethical Issues

Malfunction of equipment

Replacement of human care by mechanical care

Not a lot of ethical issues

Legal Issues

Methodology for research on effectiveness and safety

(Butter, et. al, 2008)


Informatics competencies of the professional nurse

Informatics Competencies of the Professional Nurse

Ability to interpret information

Basic information about robots

Basic information about software

(Kaminski, 2007)


Functions and responsibilities of the informatics nurse

Functions and Responsibilities of the Informatics Nurse

More patient teaching

Interpret and organize information

Give information to surgeons

(Kaminski, 2007)


Summary

Summary

Surgery done by robots

Hardware

Types of robots

Da Vinci

Zeus

Software

Robots mostly contain own software

Examples

NI LabVIEW

VoXim

Advantages and disadvantages

Smaller incisions

High cost of robots

Ethical/Legal issues

Not many ethical legal issues because of lack of research on robotic surgery

Nursing competencies

Ability to use software

Basic information about robots


References

References

Brown University. (2008). Robotic Surgery. Retrieved February 16, 2009 from http://www.ask.com/bar?q=What+is+the+software+used+in+robotic+surgery&page=2&qsrc=0&zoom=Disadvantages+to+%3CKW%3ERobotic+Surgery%3C%2FKW%3E%7CInformation+%3CKW%3ERobotic+Surgery%3C%2FKW%3E%7C%3CKW%3ERobotic%3C%2FKW%3E+Heart+%3CKW%3ESurgery%3C%2FKW%3E&ab=0&u=http%3A%2F%2Fbiomed.brown.edu%2FCourses%2FBI108%2FBI108_2008_Groups%2Fgroup12%2FRoboticsurgery.html

Butter, M., Rensma, A. and Boxyl, J. (2008). Robotics for Healthcare. Retrieved February 23, 2009 from http://www.scribd.com/doc/10269005/Robotics-for-Healthcare

Cao, C. & Rogers, G. (Ed.) (2006). Handbook of Human Factors and Ergonomics in Healthcare and Patient Safety. Mahwah: Lawrence Erlbaum.

Healthcare Management Systems Inc. 2009. Retrieved February 23, 2009 from http://www.hmstn.com/

Kaminski, J. (2007). Nursing Informatics Competencies: Self – Assessment. Retrieved February 25, 2009 from http://nursing-informatics.com/niassess/competencies.html


References1

References

Krummel, T., Holman, E., & Ford, S. (2004). Surgical Robotics in Children’s Surgery [PowerPoint slides]. Retrieved from http://www.facs.org/education/gs2004/gs04krummel.pdf

Lanfranco, A., Castellanos, A., Desai, J., & Meyers W. (2004). Robotic Surgery, A Current Perspective. Annals of Surgery, 239, 14-21.

McGonigle, D. & Mastrian, K. (2009). Nursing Informatics and the Foundation of Knowledge. Massachusetts: Jones and Bartlett Publishers.

National Instruments Corporation. (2009). Robotic Surgery Moves from Science Fiction to Reality. Retrieved February 16, 2009 from http://www.ask.com/bar?q=software+for+robotic+surgery&page=1&qsrc=0&zoom=Disadvantages+to+%3CKW%3ERobotic+Surgery%3C%2FKW%3E%7CInformation+%3CKW%3ERobotic+Surgery%3C%2FKW%3E%7C%3CKW%3ERobotic%3C%2FKW%3E+Heart+%3CKW%3ESurgery%3C%2FKW%3E&ab=0&u=http%3A%2F%2Fzone.ni.com%2Fdevzone%2Fcda%2Fpub%2Fp%2Fid%2F257

Wikipedia. 2009. Robotic Surgery. Retrieved January 26, 2009 from http://en.wikipedia.org/wiki/Robotic_surgery#Pediatrics


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