2014 Even SemesterPresented by- Submitted to-Mayank Kataria Ms Madhu SharmaGuided by-Mr. Swapnil Soner

CHAMELI DEVI SCHOOL OF ENGINNERING

ROBOTIC SURGERY

CONTENTS• Introduction• Why Robots?• Surgerical Robot ”Da vinci”• Da vinci’s components• Speciality of Da vinci• Benefits of robotic Surgery• Legal/Ethical issue in Robotic surgery• Conclusion

INTRODUCTION

Robotic surgery is a type of minimally invasive surgery. “Minimally invasive” means that instead of operating on patients through large incisions, we use miniaturized surgical instruments that fit through a series of quarter-inch incisions. The main object of such smart instruments is to reduce or eliminate the tissue trauma traditionally associated with open surgery without requiring more than a few minutes' training on the part of surgeons.

Robotic surgery is Actually a more accurate in dealing with Surgical Parameters

Why Robots?

• A robot is not a machine . . .– it is an information system with arms– The robots are actually a more accurate then Human

beings

Total Integration of Surgical Care

Courtesy of Joel Jensen, SRI International, Menlo Park, CA

Minimally Invasive& Open Surgery

Pre-operative planningSurgical Rehearsal

Intra-operative navigation

Remote Surgery

Simulation & TrainingPre-operative Warmup

Surgical Robot- “Da vinci”

• Da vinci is the one of the most advancd Surgical bot in the world.

• Da vinci’s miniaturized instruments are mounted on three separate robotic arms, allowing the surgeon maximum range of motion and precision. The da Vinci’s fourth arm contains a magnified high-definition 3-D camera that guides the surgeon during the procedure.

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Da Vinci SystemVideodisplay

patient

surgeon

Robot arms

console

da Vinci robot consists

• A surgical console• Patient-side cart• Instruments and imaging processing equipment

Da Vinci ComponentsSurgeon’s Console

• Optimal hand-eye alignment• Immersive 3D stereo viewer• Comfortable seat posture – ergonomic• Motion scaling & tremor reduction

Master controller controls the motion of the end effector wrist

Da vinci Cart

•Endowrist instruments

•3-4 robotic arms

• Interchangeable end effectors

Da Vinci System

• Multiple robotic arms– For camera control and

end effector controlStereo endoscope

Tools at arms of bot

The Endoscope

• Fiber optic instrument• Inserted through a small incision• Has a very tiny video camera• Shows the surgeon a 3-dimensional,

magnified view• Projects to a television screen

Speciality of Da vinciThe surgeon controls these instruments and the camera from a console located in the operating room. Placing his fingers into the master controls, he is able to operateall four arms of the da Vinci simultaneously while looking through a stereoscopic high-definition monitor that literally places him inside the patient, giving him a better, more detailed 3-D view of the operating site than the human eye can provide

Lets See the Working of Da vinci and how gently it works and how it use by Surgeon .

Now we see Da vinci used for peeling the grape

Benefits of Robotic Surgery

• Operations through small incisions• Reduce loss of healthy tissue• Less pain, shorter hospital stay• Reduced cost • Patient returns to work sooner • Greater surgical precision• Less blood loss and transfusion.

Legal/Ethical issue in Robotic surgery

• Time lag between surgeons commands and action of robot could harm the patient

• Loss of power in an electrical failure• Robotics does not replace human intelligence,

skill and experience• Surgericals Robots are much costlier • Da vinic’s cost is 2.5 million euro.

Conclusion

• The rate of discovery of new technology is outpacing the ability of business, society, and healthcare to integrate and apply

• Robotic surgery is but one example of such technology that MAY reduce operative morbidity, hospital stay, and recovery, while POTENTIALLY improving clinical outcomes, but at what point do the BENEFITS justify the increased EXPENSE?

REFERENCES

• http://en.wikipedia.org/wiki/Robotic_surgery• http://www.medicalnewstoday.com/articles/15

3737.php• http://robotic-surgery.med.nyu.edu/for-patient

s/what-robotic-surgery• http://www.healthcommunities.com/female-ca

ncers/what-is-a-gynecologic-oncologist.shtml• http://www.davincisurgery.com