Cecelia Grogan Sara Pedley Jill Gordon Objectives Describe roboticassisted surgery in pediatric clients Describe hardware List Describe and Evaluate software Describe and review the information system ID: 777487
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Slide1
Robotic-Assisted Surgery In Pediatric Clients
Cecelia GroganSara PedleyJill Gordon
Slide2Objectives
Describe robotic-assisted surgery in pediatric clients
Describe hardware
List, Describe, and Evaluate software
Describe and review the information system
Describe advantages and disadvantages
Examine related ethical/legal issues
Describe the technology-related competencies of the professional nurse working with robotic-assisted surgery in
pediatric
clients
Describe the functions of the informatics nurse working with robotic-assisted surgery in
pediatric
clients
Slide3Robotic-Assisted Surgery in Pediatric Clients
Robotic surgery: is the use of robots in performing surgery
Allows patient to achieve shorter surgery, recovery, and duration of stay
Historically, robotic surgery
was:
Developed first as programmable industrial manipulators
Pioneered by George Devol- late 1940s and early 1950s(Krummel, Holman, & Ford, 2004)
Slide4Robotic-Assisted Surgery in Pediatric Clients
Cases to date of robotic assisted pediatric surgery:FundoplicationCholecystectomy
Oophorectomy
Splenectomy
Urachal resection
Lymphadenectomy
Tumor biopsyDiaphragmatic hernia repairBiopsy mediastinal mass
Heller myotomy
Choledochal cyst excision
Kasai(Krummel, Holman, & Ford, 2004)
Slide5Hardware
Types of robots used:AESOPCyberKnifeRoboDoc
Acrobot
NeuroMate
Zeus
DaVinci
Da Vinci Robot
(Cao & Rogers, 2006)
Slide6DaVincicomprehensive master-slave surgical robots with multiple arms
operated remotely from a console with video assisted visualization and computer enhancementevolved from the telepresence machines developed for NASA and the US Army3 components
vision cart that holds a dual light source and dual 3-chip cameras
master console where the operating surgeon sits
moveable cart, where 2 instrument arms and the camera arm are mounted
(Brown University, 2008)
Slide7SoftwareVoXim™, IVS Software Engineering software system
NI LabVIEW software
(National Instruments Corporation, 2009)
(Brown University, 2008)
Slide8NI LabVIEWLaboratory Virtual Instrumentation Engineering Workbench
programs/subroutines are called virtual instruments (VIs)used fordata acquisitioninstrument control
industrial automation
(Wikipedia, 2009)
Slide9NI LabVIEWNo surveys or focus groups given to potential users
Uses discussion forumsNo cognitive walkthrough
No heuristic
e
valuation
No f
ormal usability
No apparent field
s
tudy(McGonigle & Mastrian, 2009)
Slide10Healthcare Information SystemsHealthcare Management Systems (HMS)
integrates clinical and financial applications on a single IBM platform Technology such as:Pen tablets Mobile carts
Bar coding
Document imaging
(Healthcare Management Systems Inc, 2009)
Slide11HMS ReviewType of information system: Administrative/Clinical
Who can use this system: Any healthcare professionalHMS function: All aspects of hospital
Configuration: Local Area Network
Nursing Practice Standards: NANDA
Recommend: Yes
(Healthcare Management Systems Inc, 2009)
Slide12Advantages of Robotic SurgeryMajor advantages of robotic surgery:
precision
miniaturization
smaller incisions
decreased blood loss
less pain
quicker healing time(Holman , 2004)
Slide13Disadvantages of Robotic SurgeryNew technology
CostSize of systems
Lack of compatible instruments and equipment
(
Lanfranco, Castellanos, Desai, & Meyers, 2004)
Slide14Ethical/Legal IssuesEthical Issues
Malfunction of equipmentReplacement of human care by mechanical careNot a lot of ethical issues
Legal Issues
Methodology for research on effectiveness and safety
(Butter, et. al, 2008)
Slide15Informatics Competencies of the Professional NurseAbility to interpret information
Basic information about robots
Basic information about software
(Kaminski, 2007)
Slide16Functions and Responsibilities of the Informatics NurseMore patient teaching
Interpret and organize information
Give information to surgeons
(Kaminski, 2007)
Slide17SummarySurgery done by robots
HardwareTypes of robotsDa Vinci
Zeus
Software
Robots mostly contain own software
Examples
NI LabVIEWVoXim
Advantages and
disadvantages
Smaller incisionsHigh cost of robots
Ethical/Legal
issues
Not many ethical legal issues because of lack of research on robotic surgery
Nursing
competencies
Ability to use software
Basic information about robots
Slide18References
Brown University. (2008). Robotic Surgery. Retrieved February 16, 2009 from http://www.ask.com/bar?q=What+is+the+software+used+in+robotic+surgery&page=2&qsrc=0&zoom=Disadvantages+to+%3CKW%3ERobotic+Surgery%3C%2FKW%3E%7CInformation+%3CKW%3ERobotic+Surgery%3C%2FKW%3E%7C%3CKW%3ERobotic%3C%2FKW%3E+Heart+%3CKW%3ESurgery%3C%2FKW%3E&ab=0&u=http%3A%2F%2Fbiomed.brown.edu%2FCourses%2FBI108%2FBI108_2008_Groups%2Fgroup12%2FRoboticsurgery.html
Butter, M., Rensma, A. and Boxyl, J. (2008).
Robotics for Healthcare.
Retrieved February 23, 2009 from http://www.scribd.com/doc/10269005/Robotics-for-Healthcare
Cao, C. & Rogers, G. (Ed.) (2006).
Handbook of Human Factors and Ergonomics in Healthcare and Patient Safety. Mahwah: Lawrence Erlbaum.
Healthcare Management Systems Inc. 2009. Retrieved February 23, 2009 from
http://www.hmstn.com/
Kaminski, J. (2007).
Nursing Informatics Competencies: Self – Assessment
. Retrieved February 25, 2009 from http://nursing-informatics.com/niassess/competencies.html
Slide19ReferencesKrummel, T., Holman, E., & Ford, S. (2004). Surgical Robotics in Children’s Surgery
[PowerPoint slides]. Retrieved from http://www.facs.org/education/gs2004/gs04krummel.pdf
Lanfranco, A., Castellanos, A., Desai, J., & Meyers W. (2004). Robotic Surgery, A Current Perspective.
Annals of Surgery
,
239
, 14-21.McGonigle, D. & Mastrian, K. (2009). Nursing Informatics and the Foundation of Knowledge. Massachusetts:
Jones and Bartlett Publishers.
National Instruments Corporation. (2009).
Robotic Surgery Moves from Science Fiction to Reality. Retrieved February 16, 2009 from http://www.ask.com/bar?q=software+for+robotic+surgery&page=1&qsrc=0&zoom=Disadvantages+to+%3CKW%3ERobotic+Surgery%3C%2FKW%3E%7CInformation+%3CKW%3ERobotic+Surgery%3C%2FKW%3E%7C%3CKW%3ERobotic%3C%2FKW%3E+Heart+%3CKW%3ESurgery%3C%2FKW%3E&ab=0&u=http%3A%2F%2Fzone.ni.com%2Fdevzone%2Fcda%2Fpub%2Fp%2Fid%2F257
Wikipedia. 2009.
Robotic Surgery.
Retrieved January 26, 2009 from
http://en.wikipedia.org/wiki/Robotic_surgery#Pediatrics