Introduction to the Robotic System
The da Vinci® Surgical System is currently the most frequently used computer-enhanced endoscopic instrument control system capable of laparoscopic surgery. The system contains a surgical console, a surgical cart, and a vision cart. Core characteristics in
- PDF / 309,791 Bytes
- 7 Pages / 504.57 x 720 pts Page_size
- 93 Downloads / 220 Views
Introduction to the Robotic System Monika E. Hagen, Hubert Stein, and Myriam J. Curet
Historical Overview The da Vinci® Surgical System (Intuitive Surgical Inc., Sunnyvale, CA, USA) is currently the most frequently used computer-enhanced endoscopic instrument control system capable of laparoscopic surgery. The US Food and Drug Administration (FDA) has cleared this system for use in urological surgical procedures, general laparoscopic surgical procedures, gynecologic laparoscopic surgical procedures, transoral otolaryngology surgical procedures restricted to benign and malignant tumors classified as T1 and T2, general thoracoscopic surgical procedures, and thoracoscopically assisted cardiotomy procedures. Additionally, the system is approved to be employed with adjunctive mediastinotomy to M.E. Hagen, M.D., M.B.A. Intuitive Surgical International, Sunnyvale, CA, USA Department of Digestive Surgery, University Hospital Geneva, 14, rue Gabrielle-Perret-Gentil, Geneva 1211, Switzerland e-mail: [email protected] H. Stein, DIPL.-ING. B.M.T. Clinical Development Engineering, Intuitive Surgical Inc., 1266 Kifer Road, Sunnyvale, CA 94107, USA e-mail: [email protected] M.J. Curet, M.D. (*) Intuitive Surgical International, Sunnyvale, CA, USA Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA e-mail: [email protected]
perform coronary anastomosis during cardiac revascularization (as of July 2012). The design of the da Vinci® is the result of a long developmental process which integrated many ideas and technologies to produce a functional system. Much of the early work on telerobotic surgery was funded by the US Department of Defense, with the aim of providing injured soldiers with a frontline surgical suite controlled by surgeons operating from a safe remote location. Although at the time this proved impractical with the technology available, several prototypes showed promise and Intuitive Surgical International was founded in 1995 to license and develop this technology for civilian use. The ultimate goal of the company was to produce a reliable, intuitive system which would deliver the benefits of minimally invasive surgery to patients while preserving the benefits of open surgery to surgeons. The goal was to enable many difficult surgeries (such as cardiac surgery) to be performed through small incisions and also achieve better results for procedures already performed through ports. The technology specifically aimed to address port-access limitations in dexterity, intuitiveness, visualization, and ergonomics through advances in telepresence and stereoscopic capture as well as display. After securing venture capital, the relevant technologies were licensed from MIT, IBM, and SRI International and a team of engineers set to work on producing a prototype. Initial efforts using off-the-shelf and custom-built components that were passed on from SRI yielded a device
K.C. Kim (ed.), Robotics in General Surgery, DOI 10.1007/978-1-4614-8739-5_2, © Springer Science+Business Media New
Data Loading...
