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http://www.laparoscopyhospital.com/ - World Laparoscopy Hospital offer concentrated course in robotic and laparoscopic surgery designed for maximum laparoscopic learning and skill building, employing surgical videos and pelvic trainers. Participants are encouraged to attend with a colleague from their practice to increase their successful implementation of skills.
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Global Status of Robotic Surgery R. K. Mishra World Laparoscopy Hospital Gurgaon
First robot was shown in a Movie “Metropolis” 1926 Robot word was coined by Czech writer “Karel Capek”It stands for artificial humans Courtesy of Harald Fischer, Institute for Medical Technology and Biophysics, Frankfurt
First da Vinci Prototype • In 2001 after FDA approval first use on human
Master Slave Manipulator Robotic Surgery World Laparoscopy Hospital
Trans Atlantic MAS September 7, 2001, First transatlantic surgery took place from New York to Strasbourg. Globalization of Surgery
Seven Degree of Freedom World Laparoscopy Hospital
Three Dimension Vision 3D Vision
Telementoring & Remote Proctoring TILEPRO VIEW IN SURGEON CONSOLE REMOTE PROCTOR INTERFACE TELEMENTORING - is remote guidance or teaching TELEPROCTORING - supervision from a distance using error log technology
Clinical Limitations • Not cost effective over standard laparoscopic approach for simple surgery. • Increased operative time observed • Not necessary where precise is dissection not required • Large Operating room space required • Good Patient Side assistant is required World Laparoscopy Hospital
2nd Generation Competitor: Titan Medical Signs MOU with Apollo Hospitals for Amadeus Robotic Surgical System • Some of the notable features of the Amadeus System are: • Multi-articulating arms, • Sound communication system, • Enhanced vision systems and • Real-time feedback to surgeons to know the impact of their movements while performing surgery.
Internal Locomotion Robot Walking robot with legs
Micro Robots & Nano Robots Designed at Sandia National Laboratories, New Mexico • Miniaturization to extremes • Can roam within human body • Equipped with DNA joints and carbon nano tubes • Specific functions - Repairing/Destroying individual cells • 1.63 cm3 • Mounted with cameras, temperature sensors, microphones, micro tools
Protein & DNA based Nano Robot Powered autonomously by ATP Biomolecular Actuators World Laparoscopy Hospital
Conclusion • Technology is always good - it is neither angel nor evil • It is up to us to breathe the moral and ethical life into these technologies • We should apply them with empathy and compassion for each and every patient • Robotic surgery is one example of such technology that reduces operative morbidity, hospital stay, and recovery, while improving clinical outcomes, but at what point do the BENEFITS justify the increased EXPENSE? World Laparoscopy Hospital
Thanks! World Laparoscopy Hospital