Every day, we happily entrust more
of our lives to automated machines at home and in our cities. But you could be
forgiven for blanching at the prospect of a four-armed robot bearing over you,
scalpel glinting.
But fear not, a human, and a
highly-trained one at that, is at the controls of the da Vinci robotic surgical
system.
"I think it's very important
to explain robotic surgery," says David Rosa from da Vinci creators,
Intuitive Surgical.
"The robot doesn't do anything
on its own. Every movement, all of its controls are controlled by a surgeon who
sits at a console."
The company's tele-operated robots
have performed more than
1.5 million operations from abdominal general surgery
and gynaecology procedures to thoracic and lung operations.
The robotic mechanisms and the 3-D
vision that come along with it (means) you can manipulate tissue and perform
surgery like no one else can. - David Rosa, Intuitive Surgical
"The benefit is minimally
invasive surgery. The patient will feel less pain, need less time to recover,
generally (lose) less blood depending on the operation. There's just a raft, a
whole host of benefits to the patient," Rosa said.
Three components form the
operating core of da Vinci: a patient cart -- which house the robotic arms, the
surgeon console and a vision system that provides all the connections, which
allow the console and instruments to communicate.
Every movement of the surgeon's
hand is relayed to the four arms that control up to 50 different instruments,
from the basics like scissors and needle drivers to more advanced
instrumentation that include electrocautery and staplers.
"When you sit down at da
Vinci console, it can do things that you cannot do through other means,"
Rosa says. "The robotic mechanisms and the 3-D vision that come along with
it (means) you can manipulate tissue and perform surgery like no one else
can."
Rosa has been with the
California-based company from its beginnings in the mid-1990s and has seen the
da Vinci system develop from concept to the 10,000-component, $1 million-plus
machine it is today. He still remembers the first time he saw it in action.
"I was nervous. There were
ten engineers in the room. I remember a few people would joke about me in terms
of my gloves being filled with sweat ... but we were all nervous in those days.
We had a lot riding on the successful outcomes in terms of continuing to fund
the company," Rosa said.
But anxiety soon turned to
optimism as the benefits to patients became clear.
Consultant surgeon and chief
medical adviser to Intuitive Surgical, Dr Myriam Curet has pioneered the use of
the robot in hospitals.
"I spent several months
developing a robotic procedure for operating on morbidly obese patients and
then we did it on our first patient," Curet said.
"Things went extremely well,
we were really, really pleased at what it allowed us to do that we couldn't do
with traditional methods."
Since making their first sale in
1998 -- to German customers at the Leipzig Heart Center -- the company has sold
more than 2,500 robots to hospitals all over the world and reported revenues in
excess of $2 billion last year.
As for the future, Rosa predicts
that surgeons and their patients will be even further apart -- an idea that not
so long ago would have seemed like a remote possibility.
"I can imagine being a
surgeon in San Francisco and working on a patient in another state, even New
York," Rosa says.
Source: CNN
No comments:
Post a Comment