Robotics

Use of rotobics in healthcare.

Eye Surgery

Rise of Robots in Eye Surgery

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Robots are taking over the world of surgery day by day. Alone in the U.S 570,000 surgeries through robots were performed in the year 2014. All of the departments are getting their specific technology made so they can benefit from it. Eye surgery is also leaping forward and they are developing robots that are revolutionizing how we go about eye surgeries.
Surgeons all over the world are always looking forward to innovations. When da Vinci robotic surgeries first came to the scene it blew everything away. Robots are now entering the world of eye surgery. They are presented with a 3D view of the eye via a microscope. An extremely trained surgeon who is extensively trained in the ways of this machine is required. Because the slightest of mistakes can result in vision loss. Robots allow them to do access to the places which are difficult to reach and provide the much needed stability that a human hand simply cannot fathom.

Past of Robotic Eye Surgery:
In the past robots were used to carry out a single task or play a second fiddle to the surgeons they were not as advanced as they are now in the present age. The earliest attempt was made in France dating back to the 1980s that aided in the surgery by allowing 3D movement and the hand could rotate up to 4 degrees to avoid any tissue damage. The scientists developed a steady hand manipulator that was pressure sensitive. There was a tool that allowed for better hand eye coordination and there were 52% fewer errors, because it removed uncontrolled tremors. All of these aid in the process of surgery but they made the duration of surgery longer.

Present of Robots in Eye Surgery:
The research has not come to an impasse still a lot of new technology is being introduced. Over the years the process has become faster and a little cumbersome. A 70 year old man in the UK was treated with the help of robots, this could have been done through the hand too but the precision required was immense. So, as we know the eye consists of membranes, the doctors made a small and precise incision was made in the eye with the help of a thin needle and removing a membrane that was microscopic. This was the first of its kind operation which relied on the robots. The doctors said I was relaxed during the surgery I could even let go and the robot would hold its position. A device like da Vinci is under testing stages that will allow the surgeons to perform lens capsulorhexis in cataract surgery and retinal vein microcannulation. All this can be done remotely after it passes the initial tests.

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Future of Robots in Eye Surgery:
A lot of new techniques are being tested and tried and the future of robotic surgeries looks solid. When paired up with laser surgery the robotic surgeries could prove a useful combination. The aim is to make the process faster without losing any precision and credibility. LASIK surgery is becoming fully automated and require little to no human help. All these procedures can help greatly in preserving the most precious gift of the human body the ability of sight.

Advantages of Robotic Eye Surgery:

  • Robotic surgery gives you far greater precision and accuracy as compared to conventional methods.
  • It allows a greater area to work for surgeons due to its design. They can easily work around difficult areas and can operate on areas that were hard to reach before.
  • Humans can make mistakes as sometimes the hand is not stable enough, but it doesn’t happen with robots as it holds its place.
  • As it involves computers, it can be accessed remotely giving rise to the option of teleoperation.

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Disadvantages of Robotic Eye Surgery:

  • As the equipment is not very common so it costs a lot to buy this equipment and it doesn’t stop there the maintenance of these machines is also very costly.
  • A lot of man-hours go into learning these machines, only the people who are trained extensively can be allowed to use these machines.
  • They can malfunction at any given point as they are only a mechanical component.
  • As the technology is relatively new the data collected from them can be shady and it can lead to poor decision making during a critical situation.

All these advancements in robotics are revolutionizing the way we deal with eye surgeries. Are you excited about what the future holds? The sense of vision is one of the most important senses and if these processes can help in preserving it we should be more open towards them.

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Written by…

M. Ahmad Zia

M. Ahmad Zia is a technology entrepreneur and a researcher in healthcare technology. Click the link below to get in touch with him.

robot-assisted-surgery

Robot Assisted Surgery with Modern Robots

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Surgical procedures that are performed via robotic systems are known as robot assisted surgeries. There are certain boundaries to what a conventional surgery can do, to overcome them robot assisted surgery is used. It aids the surgeons during an open surgery by increasing their capabilities.

A surgeon has access to the controls to the robots during a surgery. He uses them to move robots that are fitted with the tools required to perform the operation. These controls aid the surgeons operate accurately and can perform surgeries that are accurate. First time a robot was used it was for a surgery on a leg in Vancouver circa 1985, voice command was used to control the robot. Since then a lot of progress has been made, robotic surgeries have become more common over time. Studies show us after becoming approved in the 2000s it has been on the rise. When we look at the numbers from previous decade in 2014 only an excess of 570,000 surgeries involving robots took place. Big hospitals are opting more and more for surgeries that use robotics. It has been used in every department since its inception. Thoracic, heart, gastrointestinal, gynecology, spine, urology are the few departments that are befitting from robotic surgeries. Especially urology and gynecology are the biggest users of it.

The most common type of robot assisted surgery is called da Vinci. It consists of robotic arms, surgeons use these robotic arms to create the incisions. Camera and robotic arms, 4 in total are used which make incisions which are 1 to 2 centimeters long. A console consisting of hand and foot controls are used in this surgery. A 3D image is created with the help of lenses. Hand controls assist with the movements and the foot controls help with how much energy you want to perform the motion with. The advantages of this are a very minute amount of pain, size of scars are small & little blood loss because of the small size of incisions made.

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Pros of Robotic Assisted Surgery:

When we look at the advantages that surround surgeries done by robots they are quite a few. Surgeons can now be more precise with the help of 3D imaging, they feel more comfortable controlling the arms eliminating the hand tremors, and can focus more and maybe able to perform techniques not possible with the conventional surgery. The edges that of robot provide are simple yet effective, for the patient they include small size of cuts made and reduced blood loss which leads to faster recovery, hence a faster return to their normal life.
Many studies indicate that the advantages provided by surgeries through robots are short termed and there are no hard facts that support its role in the long run over the conventional way of performing surgery. We will take a short example here of laparoscopic prostatectomy that is performed by robots, it has all those things which we talked about before lower blood loss and shorter hospital stays. Some studies concluded that robotic assisted surgeries are more efficient at removing the cancerous tissue. U.S is performing well over 85% prostatectomies with the help of robots. Some report the added benefits of robotic surgeries to include fewer complications and with little or no wound infections as compared to the traditional method of surgery. Another study shows that people undergone robotic assisted surgery have less control over their urine and have an increased chance of erectile dysfunction as compared to those who go under the knife the more traditional way. But again there are no hard facts to support this claim.

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Cons of Robotic Assisted Surgery:

The obvious danger a mechanical thing can pose is that it can break down at any time and if it does that during surgery it will pose a larger threat instead of helping the cause. It costs a lot when patients opt for robotic surgery as the machinery used is expensive and requires to be maintained regularly. It is also tiresome for the surgeons as it requires a lot of time to learn. They have put in hundreds of hours before they can perform robotic surgeries. Finally they have a large footprint and they can congest the already tightly packed operating rooms.

The hospitals need to use robotics in this new technological era but they have to make sure they are hiring the right people for the job and create room for innovation so that the risk can be minimized and more complex and diverse surgeries can be done. Proper steps should be implemented so the patients receive what they are paying for. Do any other similar technology for Robot Assisted Surgery comes into your mind that can revolutionize the way we treat our patients and run our facilities? Write in the comment section to add that in the list as well. You can’t even imagine how much it can help the healthcare communities and save how lives.

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Written by…

M. Ahmad Zia

M. Ahmad Zia is a technology entrepreneur and a researcher in healthcare technology. Click the link below to get in touch with him.