Robotic technology in urology

Murphy, Declan; Challacombe, Benjamin; Khan, Mohammed Shamim; Dasgupta, Prokar

doi:10.1136/pgmj.2006.048140

Cited by 86 publications

(57 citation statements)

References 31 publications

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“…It evolved in the mid-1990s from a research project involving the US Department of Defence and the Stanford Research Institute. 11 This is a master-slave system rather than a true autonomous robot. The surgeon sits at a console remote from the patient, controlling three or four robotic arms, which are docked through laparoscopic ports.…”

Section: Master-slave Systemsmentioning

confidence: 99%

Robotic Technology in Surgery: Current Status in 2008

Murphy

Hall

Tong

et al. 2008

ANZ Journal of Surgery

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There is increasing patient and surgeon interest in robotic-assisted surgery, particularly with the proliferation of da Vinci surgical systems (Intuitive Surgical, Sunnyvale, CA, USA) throughout the world. There is much debate over the usefulness and cost-effectiveness of these systems. The currently available robotic surgical technology is described. Published data relating to the da Vinci system are reviewed and the current status of surgical robotics within Australia and New Zealand is assessed. The first da Vinci system in Australia and New Zealand was installed in 2003. Four systems had been installed by 2006 and seven systems are currently in use. Most of these are based in private hospitals. Technical advantages of this system include 3-D vision, enhanced dexterity and improved ergonomics when compared with standard laparoscopic surgery. Most procedures currently carried out are urological, with cardiac, gynaecological and general surgeons also using this system. The number of patients undergoing robotic-assisted surgery in Australia and New Zealand has increased fivefold in the past 4 years. The most common procedure carried out is robotic-assisted laparoscopic radical prostatectomy. Published data suggest that robotic-assisted surgery is feasible and safe although the installation and recurring costs remain high. There is increasing acceptance of robotic-assisted surgery, especially for urological procedures. The da Vinci surgical system is becoming more widely available in Australia and New Zealand. Other surgical specialties will probably use this technology. Significant costs are associated with robotic technology and it is not yet widely available to public patients.

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Section: Master-slave Systemsmentioning

confidence: 99%

Robotic Technology in Surgery: Current Status in 2008

Murphy

Hall

Tong

et al. 2008

ANZ Journal of Surgery

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“…A first series of nanotechnology prototypes for molecular machines are being investigated in different ways [18,36-38], and some interesting devices for propulsion and sensing have been presented [39-41]. More complex molecular machines, or nanorobots, having embedded nanoscopic features represent new tools for medical procedures [42-44]. …”

Section: Nanorobot Development For Defensementioning

confidence: 99%

Nanorobot Hardware Architecture for Medical Defense

Cavalcanti

Shirinzadeh

Zhang

et al. 2008

Sensors

111

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This work presents a new approach with details on the integrated platform and hardware architecture for nanorobots application in epidemic control, which should enable real time in vivo prognosis of biohazard infection. The recent developments in the field of nanoelectronics, with transducers progressively shrinking down to smaller sizes through nanotechnology and carbon nanotubes, are expected to result in innovative biomedical instrumentation possibilities, with new therapies and efficient diagnosis methodologies. The use of integrated systems, smart biosensors, and programmable nanodevices are advancing nanoelectronics, enabling the progressive research and development of molecular machines. It should provide high precision pervasive biomedical monitoring with real time data transmission. The use of nanobioelectronics as embedded systems is the natural pathway towards manufacturing methodology to achieve nanorobot applications out of laboratories sooner as possible. To demonstrate the practical application of medical nanorobotics, a 3D simulation based on clinical data addresses how to integrate communication with nanorobots using RFID, mobile phones, and satellites, applied to long distance ubiquitous surveillance and health monitoring for troops in conflict zones. Therefore, the current model can also be used to prevent and save a population against the case of some targeted epidemic disease.

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“…The image-processing/insufflation stack contains the camera-control units for the threedimensional imaging system, image-recording devices, a laparoscopic insufflator and a monitor allowing two-dimensional vision for the assistants. The three-dimensional vision, enhanced magnification, motion scaling and most importantly the endowrist technology makes easier for the operating surgeon to perform complex laparoscopic procedures (Murphy et al, 2006).…”

Section: The Da Vinci Systemsmentioning

confidence: 99%

“…This development will allow the compatibility of robotics with MR imaging, thus allowing MRI guided robotic procedures (Muntener, 2006). However the most exciting next generation of robots are nanorobots which are micron small robots which could be able to deliver targeted gene therapy (Murphy et al, 2006). Robotic surgery is in its infancy and certainly is growing fast.…”

Section: Futurementioning

confidence: 99%