1. Michael Ampuan Sorate Fongratanakul Lauren Parnell Tracey Ricker Olivia Solano

2. History of Robotic Surgery

3. PUMA 56

4. da Vinci System

6. Applications

7. Stereotaxis' Magnetic Navigation System (MNS)  Robotic System  Complex cardiology interventional procedures Arrhythmias Atrial fibrillation  Enhance patient care with potential advantages: More precise control Reduction in X-ray exposure

8. How It Works  Utilizes two permanent magnets mounted on pivoting arms  Generate magnetic navigation fields  Equipped with automated 3-D mapping software  Surgery case

9. NeuroArm Robot in Neurosurgery  Began in 2001 Investment: $2 million  Cost: $27 million  Official launch in April 17 2007  Performs microsurgery & stereotaxy  An MRI-compatible image-guided computer-assisted device  Surgery Case

10. The da Vinci System  Very expensive $15, 000 operation  Combines traditional open surgery & conventional minimally invasive surgery  Case Surgery: February 12, 2008

11. The da Vinci System

12. Advantages and Disadvantages

13. Advantages  Faster recovery time  Reduced scarring  Reduces loss of blood  Minimally Invasive

14. Advantages  Smaller surgical team  Reduces the need for surgeons  Prevents physician exposure to radiation

15. Disadvantages  Glitches  Cost and Maintenance  Lack of consensus about physician training

16. Where we are Today

17. Approved  The Intuitive Surgical da Vinci Surgical System  The Zeus Microwrist Surgical System

18. The Intuitive da Vinci Surgical System  There are 3 major components: A vision cart A master console A moveable cart

19. The Zeus Micro wrist Surgical System  The system is composed of : Surgeon control console 3 table mounted robotics arms

20. Future  long-distance intraoperative procedures  opportunities for teaching and assessment of new surgeons through mentoring and simulation

21. Signs for the Future  Utilized in many medical schools  Also used in research studies  More and more insurance companies are beginning to recognize robotic procedures

22. Eliminating Health Care Costs  Robotic mechanisms are expensive initially  less operators needed  shortens hospital stays  relieve exhaustion among doctors

23. Video http://www.youtube.com/watch?v=l0D69aUP3tA

24. Questions?