1. Kyle Bodily ME 537 April 24, 2013

2. Purpose  Enable surgeons to perform delicate and complex operations using a few tiny incisions with increased vision, precision, dexterity and control. [1]

3. System www.intuitivesurgical.com

4. Robot Information  FDA cleared for use in 2000 [1]  HD vision on one arm  Scaled, filtered movements  Four 8-axis arms Euler set EndoWrist 1 2 4 3 5 6 7 8

5. Surgical Specialties  Urology  Gynecology  Cardiothoracic  General Surgery  Colorectal  Head & Neck

6. Equipment  Surgeon console  Patient-side cart  EndoWrist Instruments  3D HD vision

7. Surgeon Console  Seated and more comfortable  Natural control position below display  Precise scaled hand, wrist, and finger movements  3D HD display with digital zoom http://www.intuitivesurgical.com /products/davinci_surgical_syst em/#components

8. Patient-Side Cart  Three surgical arms Fourth arm for vision system  Fixed rotation points increase precision  No automation: surgeon input required Safety checks www.ct-obesitysurgery.com

9. EndoWrist Instruments  Full range of motion  Specific instruments Incisions Clamping Suturing  Quick-release exchange http://www.intuitivesurgical.com/pro ducts/davinci_surgical_system/featu res_benefits/instrumentation.html

10. 3D HD Vision System  3D projection for surgeon  10x digital zoom  Separate display for assistants http://www.intuitivesurgic al.com/products/davinci_ surgical_system/features _benefits/ http://www.intuitivesurgical.com/products/davinci_sur gical_system/features_be nefits/3Dvision.html

11. Advantages  Seated  Precise, filtered movements  Two surgeons in same space

12. Limitations  No haptic feedback [2]  Slower instrument exchange time  $2.5 million initial cost [3] $100,000/year maintenance  Only one camera

13. Conclusion  Minimally invasive surgeries Bariatric surgeries for obese patients  Help to eliminate some surgeon error  High cost Only practical for large surgical institutions

14. References  [1] Intuitive Surgical. http://www.intuitivesurgical.com/ products/davinci_surgical_system/  [2] All about robotic surgery. http://allaboutrobotic surgery.com/hapticfeedback.html  [3] The Slow Rise of the Robot Surgeon http://www.technologyreview.com/news/418141/ the-slow-rise-of-the-robot-surgeon/page/2/

15. Questions?