1. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Chapter 7 Information Technology in Surgery

2. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Computer-Assisted Surgery Computer-Assisted Surgical Planning Virtual reality technology provides accurate models. Models are used for planning and practice. Predictive element in some models.

3. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Minimally Invasive Surgery Endoscopic surgery Performed through small incisions Endoscope projects image of the surgical field on a monitor Used to treat many conditions including gall bladder disease

4. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Computer-Assisted Surgery and Robotics Robots under the control of software and a surgeon aid in surgery Scale down movements Hold instruments steady Force feedback mechanisms let robot determine proper pressure for a particular object

5. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Computer-Assisted Surgery and Robotics (cont.) Robots used in several surgeries Gall bladder surgery Trauma surgery Knee replacements Hip replacements Beginning to be more widely used, e.g., in heart surgery

6. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Robots ROBODOC—cementless hip replacements AESOP—for endoscopic procedures ZEUS—minimally invasive microsurgery Da Vinci—minimally invasive heart surgery MINERVA—neurosurgical procedures ARTEMIS—minimally invasive breast biopsies HERMES—software that allows the surgeon to use speech commands to control OR equipment

7. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Augmented Reality Computer-assisted surgery is image-guided. Augmented reality uses computer-generated images to enhance what the surgeon sees. Images from CT or MRI scans are fused with the image of the patient allowing the surgeon to virtually see inside the patient.

8. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Telepresence (Distance) Surgery First developed by NASA Successful distance surgeries: Gall bladder removal Prostate cancer surgery Acid reflux disease repair Canadian federal government investing in distance surgery

9. Information Technology for the Health Professions, 2/e By Lillian Burke and Barbara Weill ©2005 Pearson Education, Inc. Pearson Prentice Hall Upper Saddle River, NJ 07458 Lasers in Surgery Light amplification by the stimulated emission of radiation. Can cut, vaporize tumors, seal small blood vessels. Beam can be narrowed to the size of a few cells. Used in gynecology, orthopedics, urology, ENT, cardiovascular, gastroenterology. LASIK corrects vision by changing the shape of the cornea.