Viewing a single comment thread. View all comments

Blacklight_sunflare t1_iz0fm15 wrote

Reply to comment by jlesnick in New type of surgical robot used to remove throat tumour by diacewrb

Robotic esophageal surgery is already pretty common using the Da Vinci platform. Not sure if this is a new surgical approach or just using a new robot to do the same procedure

88

WilliamMurderfacex3 t1_iz0lcod wrote

It looks like a new robot doing the same thing. The article doesn't have a ton of detail.

35

kobylaz t1_iz0w83j wrote

Versius is getting peddled pretty hard but it is doing the same surgery just with a different ‘robot’. Its probably the closest competitor to Intuitives machines but they also probably have an unassailable market share till peoples machines come to the end of their working life.

29

lofixlover t1_iz126yo wrote

from the images, I wonder if versius is meant to be a single-arm robot versus the multi-arm-options of davinci? like, smaller and more affordable?

8

awardwinningbanana t1_iz17nt5 wrote

I've had a play with Versius- the arms are separate units which means you can use as many or as few as you want, and you can share them between operating theatres if e.g. your hospital has two 'brain' units. It also means you can get rid of one arm without having to move the whole robot. I haven't played with the DaVinci, but found the Versius very intuitive.

12

Jai_Cee t1_iz21r41 wrote

It is a modular unit. You have the endoscope (camera) plus as many arms as you need which is typically two or three. It is smaller and portable so you can move it easily between theatres or even different hospitals.

8

Jai_Cee t1_iz21g61 wrote

New robot. Presumably a Da Vinci could do the same procedure the article isn't clear. There are a lot of hospitals Da Vinci wouldn't be suitable for though as you essentially need to build an operating theatre around one.

7

borkborkington t1_iz2c8ss wrote

You don’t actually have to build the OR around the Davinci however. The consoles and robot itself are all able to be worked out of the room and stored elsewhere if needed. And it fits through normal OR doors that would also fit a regular bed.

5

slimboc t1_iz2tdos wrote

I designed a new DaVinci OR in an existing hospital this year. FGI has minimum guidelines for the room, the issue becomes robot positioning and use for staff. Trip hazards for the circulating and patient nurse are a major concern from the wires from the patient cart, vision cart, and surgeon console. You’re able to better contain them with overhead boom coordination that gets them off the floor. There’s also concerns about the robot approach to the patient because the operating table’s head isn’t going to do a 180 if you have a floor fed anesthesia machine / medgas. You have to plan for the robot to have good positioning at both sides. Other concerns were MEP related to make sure the robot would perform correctly in the room / not hit the overhead boom system when fully deployed.

What I’d personally be interested in is how easy it is to clean the new robot’s arms. Current DaVinci’s take a long time to be sterilized compared to conventional instruments. If the new robot can be sterilized quicker it would allow for more either more cases to be preformed or allow your sterile processing department to have some breathing room in their workflow.

4

Jai_Cee t1_iz3m7mb wrote

Versius arms are draped. Obviously the instruments need to be sterilised but you have multiple sets of them since they are consumables.

2

slimboc t1_iz3nkfs wrote

That’s a great move and exciting to hear. DaVinci arms take so much more to process in SPD since you can’t cram multiple arms into a sink basin or ultrasonics due to their size.

1

nyqs81 t1_iz2m5dw wrote

As an OR nurse you can absolutely move a DaVinci from room to room.

2