Transcript ADVANCES IN TELEMEDICINE

ADVANCES IN SURGERY
SALMAN FAIZ
MEDICAL INFORMATICS
TELESURGERY
• DYNAMIC OR
• ALLIANCE BETWEEN COMPETENCIES
• FUTURE SURGEONS
• REMOTE LOCATIONS
TELESURGERY
• PROVIDE EXPERT
ADVICE
– TELECONFERENCING
– TELERADIOLOGY
– TELEPATHOLOGY
• ROBOT
PERFORMANCE
• 5 FT. DISTANCE
• 4k MILE DISTANCE
TELESURGERY
• ADVANCEMENT OF TELECOMMUNICATIONS AND
ROBOTICS
– TELECOMMUNICATIONS
• EXTENDED NETWORK
• BETTER EQUIPPED FACILITIES
• RECOGNITION OF NEED
– ROBOTICS
• ACADEMIC PROGRESS
• GOVERNMENT SECTOR
– NASA
• PRIVATE SECTOR
– DA VINCI
PRE ROBOT-ASSISTED
SURGERY
• Tremors
– Dexterity
– Precision
• OR Time
• Patient Recovery Time
• Resource Management
– Expertise
POST ROBOT-ASSISTED
SURGERY
• PRECISION PACKED
– SCARRING
• TIMELINESS
– OR TIME
– PATIENT EXIT
• GLOBAL ASSISTANCE
– TOP SURGEONS
– TOP SPECIALISTS
ROBOT-ASSISTED SURGERY
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Thoracic
Epicardial lead Placement
Chondroma
Esophagectomy
IMA Harvest
IMA Takedown
Lobectomy
Lung Biopsy
Nodulectomy
Thymectomy
Tumor resection
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Urology
Donor Nephrectomy
Prostatectomy
Ureter Harvest
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Vascular
Aortic Abdominal Aneurysm
Vena Cava Tumor
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Cardiac*
Atrial Septal Defect Repair
Mitral Valve Repair
TECAB - Totally endoscopic coronary artery
bypass
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General
Adrenalectomy
Cholecystectomy
Esophagatomy
Gastric Bypass
Heller Myotomy
Nissen Fundoplication
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Gynecology
Cystocele Repair
Hysterectormy
Tubal Ligation
Tubal Reanastomosis
DA VINCI SYSTEM
• FDA-cleared
• Insite Vision System
• Endowrist
Instruments
• Video Tower
• 210 +
• Certification
DA VINCI CART
•ENDOWRIST INSTRUMENTS
•4 ROBOTIC ARMS
DA VINCI CONSOLE
•3-D VISION
•MASTER CONTROLS
•CAMERA CONTROL
• surgery example
LINDBERGH OPERATION
• Laparoscopic
Cholecystectomy
•Zeus Robotic Surgical System
COST
•DA VINCI SYSTEM
•800k SYSTEM COST
•100K/YEAR MAINTENANCE
•2K EXTRA PER OPERATION
•LINDBERGH OPERATION
•1 MILLION +
•The operation lasted 45 minutes, drawing on the combined skills of a
tightly coordinated team of 40 people
•Medical Team
•France Telecom Engineers
•Robotic System Specialists from Computer Motion.
TRANSMISSION
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200 MILLESECONDS
SAFE LAG-TIME 330 MS<
FIBRE-OPTIC CONNECTION
SATELLITE TECHNOLOGY
ATM
SWOT
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STRENGTHS
WEAKNESSES
OPPURTUNITIES
THREATS
• tele-companionship/scenario