From the Intuitive Surgical website:
The da Vinci Xi® is the next frontier for minimally invasive surgery. With this addition, Intuitive Surgical® can now offer a full range of da Vinci Systems optimized for highly complex, multi-quadrant surgery and simpler, single-quadrant surgery.
VF: The completely redesigned da Vinci Xi patient cart has several features aiding the surgeon in optimal port placement, longer arm reach and overhead design. It has been designed to adapt to new robotic surgery technologies as they are developed.
Image: copyright, 2017 Intuitive Surgical, inc.
The da Vinci® Surgical System is the most recognized robotic surgery platform in use today. Thanks to the research initiated at the Vattikuti Urology Institute at Henry Ford Hospital by Dr. Mani Menon, the da Vinci® Surgical System has become the preferred tool for numerous procedures and specialties. First known for providing surgeons and patients benefits for the robotic prostatectomy, it is now used for renal tumors and transplants, bariatric, cardiac, head & neck, thyroid, colorectal and many other specialties.
Image: Partner Surgeon Prof. Khurshid Guru, MD, Director of Robotic Surgery, Roswell Park Cancer Institute, Buffalo, NY, training Vattikuti Fellow Dr. Shabnam Bashir in the Roswell ATLAS lab, August, 2016.
From Intuitive Surgical:
Dual console capability
An available second console allows two surgeons to collaborate during a procedure. Surgeons can exchange control of the instrument arms and endoscope using the surgeon touchpad, while a built-in intercom system facilitates communication. The addition of a second console enables:
* Two surgeons of the same or different specialties to collaborate on a single case.
* An immersive environment for training new da Vinci surgeons.
* A platform for existing da Vinci surgeons to more efficiently refine techniques and learn new procedures directly from their peers.
Image: copyright 2017, Intuitive Surgical, Inc.
From Intuitive Surgical: The TilePro™ multi-input display allows the surgeon and the OR team to view 3D video of the operative field along with up to two additional video sources such as ultrasound and EKG.
Image: TilePro screen image of an ultrasound during robotic partial nephrectomy surgery. Copyright 2017, Dave Meinhard, Vattikuti Foundation
From Intuitive Surgical: The da Vinci® Si™ Surgical System now has integrated fluorescence imaging capability providing real-time, image-guided identification of key anatomical landmarks using near-infrared technology.
Image: Vessel identification in FireFly® Fluorescence Imaging mode (view of renal hilum) during da Vinci® Partial Nephrectomy. Copyright 2017, Intuitive Surgical, Inc.
Stryker is the manufacturer of the Mako orthopedic robotic system. From the website: Mako enables you to have a more predictable surgical experience when performing joint replacement surgery. The current Mako System offers Partial Knee, Total Hip and Total Knee applications. Surgeons can execute the individualized intra-operative plan using robotic-arm assisted bone preparation to achieve functional implant positioning.
Surgeon-controlled intra-operative adjustments can be made to optimize implant placement.8 Kinematic and soft tissue data are collected intra-operatively and applied to the virtual CT model.
Surgeons can review the pre-op plan and can modify it if necessary based on the intra-operative data to virtually balance the joint and achieve individualized placement.
The system allows surgeons to execute individualized intra-operative plans using robotic-arm assisted bone preparation to achieve functional implant positioning.
Yomi is changing implant dentistry as the world’s first robot-assisted dental surgical system. Neocis developed Yomi to increase accuracy and aesthetics in dental implant procedures through visual and physical guidance and a simple digital workflow. Yomi is cleared by the FDA and is in clinical use with leading dental surgeons.
Yomi provides guidance throughout surgery, with the dental surgeon retaining control at all times. Without the constraints of cameras or physical guides, Yomi provides assistance to the surgeon in the planning and placement of the implants, with an unprecedented level of instrument precision and control. At the same time, Yomi allows for intraoperative adjustments, allowing the surgeon to retain control of the surgical plan. Yomi combines the surgeon’s clinical expertise with the benefits of robotic surgery.
The Medtronic Mazor X Stealth Edition uses robotic-based technology for spinal and brain surgery. From the Medtronic website: The Mazor X Stealth Edition robotic guidance system allows for pre-operative or intra-operative planning and robotic and image-guided execution of multiple trajectories. The power of the platform is a preoperative planning suite with 3D analytics and tools that allow surgeons to work towards construct optimization. With our innovative imaging cross-modality registration process, each vertebral body registers independently, and the robotic system analyzes and pairs images from different modalities, such as matching a preoperative CT with intraoperative fluoroscopy or 3D surgical imaging. On surgery day, the plan is realized using robotic-guided execution and real-time visualization, enabling a predictable procedure with defined trajectories, preselected implants, and no anatomical surprises.
From the company website: Utilizing Mazor Robotics Renaissance® Guidance System in a spine program can improve the execution and outcomes in a wide variety of procedures, including minimally-invasive and percutaneous degenerative repair, pedicle screw fixation for complex spinal deformity, and vertebral augmentation.
Mazor Robotics Renaissance® Guidance System can be used for a variety of stereotactic brain procedures. The system’s advanced technology provides highly accurate access to the areas of the brain where intervention is needed. Utilizing a small, frameless platform the Renaissance system provides a 360 degree working volume for surgeons to easily change trajectories intraoperatively.
From the Intuitive Surgical May 31, 2018 press release:
SUNNYVALE, Calif., May 31, 2018 (GLOBE NEWSWIRE) -- Intuitive Surgical, Inc. (ISRG), today announced a new U.S. Food and Drug Administration (FDA) clearance for the da Vinci SP surgical system for urologic surgical procedures that are appropriate for a single port approach.
The da Vinci SP system provides surgeons with robotic-assisted technology designed for deep and narrow access to tissue in the body. The ability to enter the body through a single, small incision helps surgeons perform more complex procedures. Intuitive anticipates pursuing further regulatory clearances for da Vinci SP, including transoral, transanal, and extraperitoneal applications, broadening the applicability of the SP platform over time. “The da Vinci SP is the latest in our integrated product family that shows our commitment to improving minimally invasive surgery with technology that can positively impact patient outcomes,” said Gary Guthart, chief executive officer for Intuitive. “Our da Vinci SP compliments da Vinci X® and Xi® systems by enabling surgeons to access narrow workspaces while maintaining high quality vision, precision, and control that surgeons have come to trust from da Vinci® systems.”
The da Vinci SP system includes three, multi-jointed, wristed instruments and the first da Vinci fully wristed 3D HD camera. The instruments and the camera all emerge through a single cannula and are properly triangulated around the target anatomy to avoid external instrument collisions that can occur in narrow surgical workspaces. The system enables flexible port placement and excellent internal and external range of motion (e.g., 360-degrees of anatomical access) through the single SP arm. Surgeons control the fully articulating instruments and the camera on the da Vinci SP system, which uses the same surgeon console as the da Vinci X and Xi systems. “Intuitive continues to bring tomorrow’s surgery today by addressing surgeon and patient needs, as well as working closely with hospitals to systematically improve the overall experience in the operating room,” said Salvatore J. Brogna, Intuitive executive vice president and chief operating officer. Since the initial U.S. FDA clearance in April 2014 for the da Vinci SP surgical system, Intuitive invested in important platform refinements. Intuitive plans to launch the da Vinci SP surgical system in the United States in a measured fashion, with customer shipments beginning in the third quarter of 2018.
About Intuitive Surgical, Inc. Intuitive Surgical, Inc. (ISRG), headquartered in Sunnyvale, Calif., is the pioneer and a global leader in robotic-assisted, minimally invasive surgery. Intuitive Surgical develops, manufactures and markets the da Vinci® surgical system.
About the da Vinci Surgical System
There are several models of the da Vinci surgical system. The da Vinci surgical systems are designed to help surgeons perform minimally invasive surgery. Da Vinci systems are not programmed to perform surgery on their own. Instead, the procedure is performed entirely by a surgeon who controls the system. Da Vinci systems offer surgeons high-definition 3D vision, a magnified view, and robotic and computer assistance. They use specialized instrumentation, including a miniaturized surgical camera and wristed instruments (i.e., scissors, scalpels and forceps) that are designed to help with precise dissection and reconstruction deep inside the body.
Representative Uses: The da Vinci SP Surgical System may be used in the following procedures: Radical prostatectomy, pyeloplasty, nephrectomy, partial nephrectomy
For Important Safety Information, indications for use, risks, full cautions and warnings, please refer to http://www.davincisurgery.com/safety and www.intuitivesurgical.com/safety
Here is a link to the website, with more information and a promotional video:
Images courtesy Intuitive Surgical, Copyright 2018, Intuitive Surgical
This year (2019) medical giant Johnson & Johnson acquired Auris Health, manufacturer of the Monarch robotic platform. From Auris Health website:
If your physician has discovered a spot on your lung, often called a small mass or nodule, you may need to have it tested to find out what it is. This is called a lung biopsy. Although most lung nodules are not cancer, it is important to find out what it is. There are a few options available for reaching small nodules in the lung. These small masses can be very difficult to reach with manual bronchoscopes. The Monarch™ Platform featuring robotic-assisted bronchoscopy was introduced in 2018 to help physicians reach hard-to-reach nodules for biopsy. Additional published information: The Magellan robotic system is a platform that drives Magellan robotic catheters and guidewires during minimally-invasive endovascular procedures. (+Mass Device)
From the Siemens-Corindus website:
CORPATH: THE WORLD’S 1st ROBOTIC-ASSISTED PLATFORM FOR PCI AND PVI
The CorPath System is the first FDA-cleared robotic platform designed for interventional physicians. During a CorPath Robotic-assisted intervention, physicians sit in a radiation-shielded workstation and use a set of joysticks and touchscreen controls that translate the physician’s movements into device control. Robotic-assisted intervention enables precise measurement of anatomy and device positioning with the added benefit of radiation protection for the physician and the potential to reduce radiation exposure for staff and patients.
From '+Mass Device:' "In using the system, the surgeon operates CorPath 200 from behind a radiation-shielded “cockpit.” Rather than standing over a patient while clad in a lead apron, the operator is seated behind an operating station, manipulating surgical tools with a series of touch-screen and joystick controls."
Siemens acquired Corindus in October, 2019
From the Stereotaxis website:
The Genesis System utilizes smaller magnets that rotate along their center of mass. This allows for unprecedented responsiveness to physician control. Across a broad range of navigational routines, the Genesis System is 70% to 80% faster than Niobe.1 . Genesis is a leap forward in Robotic Magnetic Navigation technology and represents the future of robotics in electrophysiology. We have completely redesigned the magnets and the way they are manipulated, providing patients, physicians and hospitals with the differentiated benefits of Niobe in an architecture that is smaller, lighter, faster, and more flexible.
The entire System is significantly smaller and designed to improve the patient experience while on the operating table, provide physicians and nurses with greater access to the patient during the procedure, and increase space in the labs for an enhanced work environment.
Zimmer Biomet manufactures Joint Replacement products for many Orthopedic categories, including the ROSA Knee System, which supports surgeons in performing Total Knee Arthroplasty (TKA) with features to assist with the bone resections, as well as assessing the state of the soft tissues to facilitate implant positioning intraoperatively. ROSA was recently acquired as part of the purchase of French firm Medtech.
From the Transenterix website:
The Senhance® Surgical System is intended to assist in the accurate control of laparoscopic instruments for visualization and endoscopic manipulation of tissue including grasping, cutting, blunt and sharp dissection, approximation, ligation, electrocautery, suturing, mobilization and retraction. The Senhance Surgical System is intended for use in laparoscopic gynaecological surgery, colorectal surgery, cholecystectomy, and inguinal hernia repair. The system is indicated for adult use. It is intended for use by trained physicians in an operating room environment in accordance with the Instructions for Use.
The Titan SPORT System is still not approved for sale, but has been in use in trial runs in the US and Europe. The company appears to be poised to seek EU and USFDA approval. From the website:
The SPORT Surgical System is a versatile single incision advanced robotic surgical system that features state-of the-art multi-articulated instruments with single-use replaceable tips, 3D high definition visualization on a flat-screen monitor, ergonomic open workstation and a single-arm mobile patient cart for ease of set up while enabling broad applications of single and multi-quadrant surgeries previously not possible with current robotic solutions.
From Smith + Nephew website:
Using NAVIO in total knee arthroplasty: Total knee arthroplasty failures are mostly attributable to instability and malalignment, with stability and proprioception shown to affect patient satisfaction- particularly for high-demand patients.
NAVIO has demonstrated more accurate bone resection and alignment, through intraoperative planning, surface mapping and full range-of-motion data collection, for reduced wear and higher implant survivorship. Reports claim that its design allows it to be partnered with 8-different knee systems.
From the Medtronics website:
The Flex® Robotic System gives physicians the ability to access anatomical locations that were previously difficult or impossible to reach minimally invasively. And because it is affordable and efficient, the Flex® Robotic System allows hospitals to expand the patient population that they serve and improve the productivity of their facilities.
From +Mass Device: The system is designed for robot-assisted visualization and surgical site access to the oropharynx, hypopharynx and larynx in adult patients.
Surgeons now have a magnified, HD view of anatomical structures for minimally invasive procedures. The Flex Robotic System’s snakelike design also means it can reach challenging surgical targets by creating a 180º path
From the website:
The ARTAS iX Robotic Hair Restoration System is the world’s only intelligent solution to offer precise, and repeatable harvesting with simultaneous recipient site-making and implantation functionality in one compact platform. The ARTAS System eliminates the fatigue, linear scarring and human error associated with other methods.
Company statement: THINK Surgical, Inc. has obtained clearance from the U.S. Food and Drug Administration (FDA) to market the TSolution One® Total Knee Application for use in total knee arthroplasty (TKA) in the United States. TSolution One® is a fully active robot which was previously awarded CE Marking and has been actively marketed in Asia Pacific and European markets. More than 550 TKA procedures have been successfully completed worldwide with the TSolution One® Total Knee Application to date. (10-2019)
From the PRECEYES website:
PRECEYES Surgical System High-Precision Assistance For Eye Surgery
The PRECEYES Surgical System is a robotic assistant for eye surgery. The system provides surgeons with a precision better than 20 μm to position and hold instruments. This high surgical precision aims to improve treatment outcomes and empowers surgeons to establish new innovative surgical techniques, including delivery of advanced therapeutics.
From the CMR Surgical website:
Versius has created 21st-century laparoscopy. It gives you the freedom of port placements, but with the benefits of fully wristed instruments, 3D HD vision, natural instrument control and a choice of ergonomic working positions that have the potential to reduce stress and fatigue. Versius is both portable and transportable. Its modular design allows individual arms to be moved effortlessly around the operating room, between suites and even between floors of a hospital, to maximise efficiency within the OR suite. With a uniquely small footprint of just 38cm x 38cm, Versius fits comfortably around the operating table, giving surgical teams access to the patient at all times.
From +MASS Device:
Medtronic plans to launch the Hugo system in undisclosed places outside the U.S. early (in 2020), allowing the company to start gathering clinical data. SVB Leerink analysts after the meeting said Medtronic’s entry into the soft tissue robot-assisted surgery space represented a significant opportunity for growth — not only for Medtronic but also for Intuitive Surgical because it represented an expanding market. The Hugo system includes a tower, surgeon console, surgical end effectors, and robotic arm carts.
Reports claim the company hopes to have it approved for the U. S. by 2022.
From the IDx website:
IDx-DR is intended for use by health care providers to automatically detect more than mild diabetic retinopathy (mtmDR) in adults (22 years of age or older) diagnosed with diabetes who have not been previously diagnosed with diabetic retinopathy. IDx-DR is indicated for use with the Topcon NW400. IDx-DR is an AI diagnostic system that autonomously analyzes images of the retina for signs of diabetic retinopathy
- Designed and tested for use in primary care
- Immediate diagnosis at the point of care
- No need for specialist overread or telemedicine callbacks
- Image analysis with integrated quality assessment