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演講人:日期:達芬奇手術(shù)機器人介紹IntroductiontotheDaVinciSurgicalRobotTechnicalFeaturesofDaVinciSurgicalProcedureswithDaVinciAdvantagesandChallengesofDaVinciTrainingandCertificationforSurgeons目錄01IntroductiontotheDaVinciSurgicalRobotSurgicalrobotscanbecontrolledremotelybythesurgeons,allowingforminimalinvasivesurgeriesthatreducerecoverytimeandhoststaysSurgicalrobotsarecomputerassisteddevicesthatareusedtoperformsurgicalprocedureswithprecisionandaccuracyTheyareequippedwithsurgicalinstrumentsandhighdefinitioncamerasthatprovidethesurgerywithamagnetized,threedimensionalviewofthesurgicalsiteOverviewofSurgicalRobotsTheDaVinciSurgicalSystemwasdevelopedbyIntuitiveSurgical,acompanyfoundedin1995ThefirstgenerationoftheDaVincirobotwasapprovedbytheFDAin2000andhasoneconsecutiveupgradesandimprovementssincethenThelatestversionoftheDaVincirobot,theDaVinciXi,offersenhancedvisualization,increasedrangeofmotion,andimprovedergonomicsfortheearthquakeHistoryandDevelopmentofDaVinciTheDaVinciSurgicalRobotisusedinawiderangeofsurgicalprocedures,includinggyrology,urology,general,thoracic,andheadandnecksurgeriesTherobot'sprecisionanddexterityallowsurgeonstoperformcomplexproceduresthatmaybedifficultorimpossibletoperformusingtraditionalsurgicaltechniquesBenefitsofusingtheDaVincirobotincludereducedbloodloss,lesspostoperationalpay,fasterrecoverytimes,andhigherpatientsatisfactionApplicationsandBenefitsTheDaVinciSurgicalRobotisthemarketleaderinsurgicalrobotics,withasignificantmarketshareinboththeUnitedStatesandinternationallyTherobothasrevolutionizedsurgicalcare,leadingtoimprovedpatientoutcomesandreducedhealthcarecostsTheincreasingoptionofsurgicalrobotsisexpectedtocontinuetodriveinnovationandimproveaccesstohighqualitysurgicalcareinthefutureMarketPositionandImpact02TechnicalFeaturesofDaVinci

RoboticArmsandInstrumentsFourroboticarmsforsurgicalmanipulation,advancingsurgeonswithgreaterprecision,flexibility,andcontrolEndowristtechnologythatmimicsthenaturalmovementsofthehumanwriter,enablingawiderangeofsurgicalmenSurgicalinstrumentsdesignedforminimallyinvasiveprocedures,includingscales,forces,andsuturingtoolsStereoscopichighdefinitioncamerathatprovidessurgeonswithaclearandrealisticviewofthesurgicalfield3DvisualizationtechnologythatenhancesdepthperceptionandallowsformoreprecisionsurgicaloperatorsAdjustablecameracontrolsthatenablesurgeonstozoominandout,pan,andtiltthecameraforoptimalviewinganglesHighDefinition3DVisionSystemSurgeonconsolewithergonomicdesignthatallowsforcomfortableandeffectivecontroloftheroboticarmsandinstrumentsHandcontrolsthattranslatethemassivenaturalhandmovementsintopreciseroboticmanpowerFootfootforcontrollingsurgicalfunctionssuchascuttingandsuturing,leavingthelargehandsfreeformanipulationIntuitiveSurgicalControlInterface01Adjustablelargeon'sseatandconsoleheightforoptimalcomfortandergonomicsduringlongsurgicalprocedures02Intuitiveandeasytouseinterfacethatminimizesthelearningcurveforsurgeons03LightweightandportabledesignthatallowsforeasytransportandsetupintheoperatingroomErgonomicDesignforSurgeons03SurgicalProcedureswithDaVinciRemovaloftheprostategland,oftenusedtotreatprostatecancerProstatemyRemovalofakidney,eitherpartiallyorcompletely,forvariouskidneydiseasesorcancerNephrologySurgicalrepairoftherenalpelvistotreatureteraljunction(UPJ)obstructionPhilosophyUrologicalSurgeriesHysterectomy01Removaloftheuterus,sometimesincludingthecervix,ovaries,andfallopiantubes,totreatvariousphysiologicalconditionsMyology02Removalofuterinefibers,noncancergrowthintheuterusEndometriosisrestoration03SurgicalremovalofendometrialissuesoutsidetheuterustotreatendometriosisGynecologicalsurgeriesHerniarepairSurgicalcorrectionofahernia,apromotionofanorganizationorissuethroughaweakspotinthesurroundingmusicorconnectingissueGallbladderremovalSurgicalremovalofthegallbladder,oftentotreatgallstonesorothergallbladderdiseasesAppendixSurgicalremovaloftheappendix,commonlytotreatappendicitisGeneralSurveysCoronaryartbypassgradient(CABG)SurgicalproceduretorestorebloodflowtotheheartmusclebybypassingblockedCoronaryartsHeartvalverepairorreplacementSurgicalcorrectionofdamagedordiseasedheartvalvestorestorenormalbloodflowthroughtheheartAtrialpartialdefect(ASD)closureSurgicalrepairofaholeinthewallbetweenthetwoupperchambersoftheheartVentricularpartialdefect(VSD)closureSurgicalrepairofaholeinthewallbetweenthetwolowerchambersoftheheartCardiologicalsurgeries04AdvantagesandChallengesofDaVinciMinimallyInvasiveSurgeries(MIS)DaVinciSurgicalRobotenablessurgeonstoperformcomplexproceduresthroughsmallimpacts,reducingtraumas,pain,andrecoverytimeforpatientsEnhancedPrecisionandControlTherobot'ssurgicalinstrumentsoffersuperiordexterityandprecision,allowingformoreaccurateanddeletemanpowercomparedtotraditionallaparoscopicoropensurgeryImprovedVisualizationDaVinciprovidessurgeonswithahighdefinition,3Dviewofthesurgicalfield,enhancingtheirabilitytoidentifyandnavigatearoundvitalstructuresAdvantagesoverTraditionalSurgeriesReducedSurgeonFatigueTheergonomicdesignoftherobot'sconsoleallowssurgeonstooperateinacomfortableseatedposition,reducingphysicalstrainandfatigueduringlongproceduresAdvantagesoverTraditionalSurgeriesHighInitialInvestmentThecostofpurchasingandmaintainingaDaVinciSurgicalRobotcanbeaggressiveforsomehospitalsandsurgicalcentersTrainingRequirementsSurveysandsurgicalteamsneedtogounderextensivetrainingtomastertheuseoftherobot,whichcanbetimeconsumingandcost-effectiveTechnicalIssuesandMalfunctionsLikeanycomplextechnology,theDaVinciSurgicalRobotissustainabletotechnicalglitchesandmalfunctionsthatcanpotentiallydisruptproceduresandreducepatientsafetyChallengesinImplementationLimitedAvailabilityDesiteitsincreasingpopulation,theDaVinciSurgicalRobotisstillnotwidelyavailableinallhospitalsandsurgicalcenters,limitingaccessforsomepatientsChallengesinImplementationCapitalExpenditureTheinitialpurchasepriceofaDaVinciSurgicalRobotissignificant,rangingfromseveralhundredthousandthousandtooveramilliondollarsCostConsiderationsMaintenanceandServicingOngoingmaintenance,repairs,andupgradescanaddtotheoverallcostofownershipProcedureCostsWhiletherobotmayenablemoreeffectiveandeffectivesurgeries,theassociatedcostsmaybehighercomparedtotraditionalmethodsduetotheneedforspecializedequipmentandtrainedpersonnelReturnonInvestmentHospitalsandsurgicalcentersneedtocarefullyassessthepotentialreturnoninvestmentwhenconsideringthepurchaseofaDaVinciSurgicalRobot,takingintoaccountfactorssuchasprocedurevolume,reimbursementrates,andpatientoutcomesCostConsiderationsExpandedApplicationsAssurgeonsgainmoreexperiencewiththeDaVinciSurgicalRobot,itsapplicationsareliketoexpandbeyondthecurrentrangeofproceduresitisusedforTechnicalAdvancementsOngoingresearchanddevelopmenteffortsarefocusedonimprovingtherobot'scapabilities,includingenhancingvisualization,increasingprecisionandprecision,andreducingthesizeofthesurgicalinstrumentstofurtherminimizetraumaFutureDevelopmentsIntegrationwithOtherTechnologiesFuturegenerationsoftheDaVinciSurgicalRobotmayintegratewithotheradvancedtechnologiessuchasartificialintelligence,robotics,andimagingsystemstofurtherenhancesurgicaloutcomesandpatientcareImprovedAccessibilityAsthetechnologybenefitsmorewiredandcostsdecrease,theDaVinciSurgicalRobotmaybenefitmoreaccessibletoawiderrangeofhospitalsandsurgicalcenters,increasingaccessforpatientsFutureDevelopments05TrainingandCertificationforSurgeonsIntrinsicSurgicalTrainingProgramsOfferedbythemanufactureroftheDaVinciSurgicalRobot,theseprogramsprovidesurgeonswithhandonexperienceusingtherobot'scontrolsandsurgicalinstrumentsAcademicMedicalCentersManyacademicmedicalcentersoffertrainingprogramsforsurgeonsinterestedinroboticsurgeryTheseprogramsoftenincludedirectsessions,simulatedsurgeries,andprocessedcasesTrainingProgramsAvailableProfessionalSocietiesandOrganizationsProfessionalSocietiesandOrganizations,suchastheAmericanUrologicalAssociationandtheSocietyofAmericanGastrointestinalandEndoscopicSurveys,offerroboticsurgerytrainingprogramsspecificallydetailedtotheirmembers'needsTrainingProgramsAva

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