1. Robotic Surgery Jane Zanzinger, RN 2010

2. 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

3. 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

4. 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

5. Trends of Robotic Surgery • Telepresence Surgery • Telemonitoring (Emerging Image-Guided and Robot-Assisted Surgery (Technical Insights), 2006) 2010

6. Robotic Surgery Hardware 2010

7. Patient Side Cart • Surgical Arms • EndoWrist Technology • Endoscopic Camera • Monitor (da Vinci ... Changing The Experience of Surgery , 2008) 2010

8. Robotic Surgery Software 2010

9. DaVinci Multimedia Application Interface • Portability • Reusability • Consistent Software Interface 2010

10. Usability of Software • Axiom #1 • Development of Design • Axiom #2 • Design Improvements • Axiom #3 • Experimental or Observational 2010

11. Information Systems Dexterity (Taylor, 2001) 2010

12. Information Systems • Type of Information System • Type of Healthcare Professionals • Function & Configuration • Data Standards & Classifications • Recommendation (All About Robotic Surgery, 2010) 2010

13. Advantages Recovery Activities MIS Pain & Scarring Blood Loss Transfusion 2010

14. Disadvantages • Learning period • High cost of equipment and maintenance  • Reduction in space • Lack of tactile sensation (All About Robotic Surgery, 2010)

15. Legal/Ethical Legal Ethical • Education • Credentialing • Uniform Standards • Inexperienced Surgeon (All About Robotic Surgery, 2010)

16. Competencies • Safety Protocols • Robotic messages • Emergency procedures • Proficient in basic computer applications • Care and handling of instruments (Francis, 2006)

17. Informatics Nurse Specialist Clinical R e sea r ch Administration Education Professional (Francis, 2006)

18. Summary • http://www.roboticoncology.com/online_videos/index.php?ELEMENT_ID=1081 • Click on link once (Samadi, n.d.) 2010

19. 2010

20. 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

21. 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

22. 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