Yes- you have seen the da Vinci® S Surgery System on fictional TV show Grey's Anatomy, but did you know that it is a new cutting edge tool that JBEDs's very own Dr. Leveillee uses on a frequent basis to treat patients?
Read the Article Below to hear about the draw a DaVinci demonstration drew at UM and doctor's, including Dr. Leveille, thoughts about robotic surgery:
Throughout the day on Thursday, dozens of people stopped to gather in the lobby of the University of Miami Hospital. There was no emergency. Instead, the hospital was showing off its latest device to benefit patients, the da Vinci® S Surgery System in HD. The state-of-the-art robotic system, made by Intuitive Surgical, is only the second such device available to patients in all of Miami-Dade County.
This next generation of the da Vinci offers several key features that clearly benefit both patient and physician. Instead of the traditional 3-arm device, one being the camera, the da Vinci S contains an optional 4th arm. This gives the surgeon the ability to have another set of hands during any procedure. In addition, the camera provides the surgeon with a 3-dimensional view that is also high-definition. The University of Miami Hospital and Jackson Memorial Hospital have 2 robots already on staff, but neither incorporates the high definition capability.
“The resolution of high-def is significantly better,” said Alex Jimenez, clinical sales representative with Intuitive Surgical. “That means for each specialty, a critical portion of the procedure is enhanced.”
The surgeon sits at a console maneuvering two pincher-like devices, while peering through a viewfinder. The viewfinder provides the image from the robotic camera, along with the two-pronged robotic arms that serve as the doctor’s hands inside the patient. That same image is also displayed on a separate screen. There is also a special wrist device that offers more rotation than is possible with the human hand.
The da Vinci can be used for a wide variety of procedures, including prostatectomy (the removal of the prostate due to cancer), hysterectomy, ovarian and uterine removal, mitral valve repair, and gastric bypass.
Raymond Leveillee, M.D., professor of clinical urology and chief of the Division of Endourology, Laparoscopy and Minimally Invasive Surgery, says the benefit of robotic surgery is clear. “It gives us more precision, because of better imaging and 3-D, which allows for a better outcome for the patient.” Dr. Leveillee explained that robotics mean less scarring and less blood loss during the actual procedure, which means better visibility for surgeons such as himself, to save critical nerves in surrounding tissue.
Reduced scarring and bleeding also offer an advantage for gynecologic oncology procedures. Laurel King, M.D., a community physician practicing at the University of Miami Hospital, uses the da Vinci to treat precancerous conditions of the cervix and uterus.
In the lobby, hospital officials were not only showing off the da Vinci, but also allowing anyone to give it a test-run. Jorge Toledo, R.N., nurse director of 8-South at UMH, tried out his dexterity at using the da Vinci’s arms. “It felt very natural. It wasn’t cumbersome at all.”
Hospital officials are also hoping the day’s event will lead to a new name for the device. Visitors were invited to submit names which will then be considered by UMH leaders. The winner, to be announced next week, will receive a restaurant gift certificate.
The da Vinci is also able to serve as a teaching tool, as it incorporates a telestrator feature. A physician or student can point out precise sections on the screen, to explain a procedure or the next step they will perform. The device also has a built-in microphone so the physician can communicate remotely to the rest of the surgical team or with other people observing the procedure.
Between the benefits to the patient and as a teaching tool, many doctors are convinced that robotic surgery is helping to take UM to the next dimension in health care. Dr. Leveillee says “There’s no question that technology improves human lives.”
This next generation of the da Vinci offers several key features that clearly benefit both patient and physician. Instead of the traditional 3-arm device, one being the camera, the da Vinci S contains an optional 4th arm. This gives the surgeon the ability to have another set of hands during any procedure. In addition, the camera provides the surgeon with a 3-dimensional view that is also high-definition. The University of Miami Hospital and Jackson Memorial Hospital have 2 robots already on staff, but neither incorporates the high definition capability.
“The resolution of high-def is significantly better,” said Alex Jimenez, clinical sales representative with Intuitive Surgical. “That means for each specialty, a critical portion of the procedure is enhanced.”
The surgeon sits at a console maneuvering two pincher-like devices, while peering through a viewfinder. The viewfinder provides the image from the robotic camera, along with the two-pronged robotic arms that serve as the doctor’s hands inside the patient. That same image is also displayed on a separate screen. There is also a special wrist device that offers more rotation than is possible with the human hand.
The da Vinci can be used for a wide variety of procedures, including prostatectomy (the removal of the prostate due to cancer), hysterectomy, ovarian and uterine removal, mitral valve repair, and gastric bypass.
Raymond Leveillee, M.D., professor of clinical urology and chief of the Division of Endourology, Laparoscopy and Minimally Invasive Surgery, says the benefit of robotic surgery is clear. “It gives us more precision, because of better imaging and 3-D, which allows for a better outcome for the patient.” Dr. Leveillee explained that robotics mean less scarring and less blood loss during the actual procedure, which means better visibility for surgeons such as himself, to save critical nerves in surrounding tissue.
Reduced scarring and bleeding also offer an advantage for gynecologic oncology procedures. Laurel King, M.D., a community physician practicing at the University of Miami Hospital, uses the da Vinci to treat precancerous conditions of the cervix and uterus.
In the lobby, hospital officials were not only showing off the da Vinci, but also allowing anyone to give it a test-run. Jorge Toledo, R.N., nurse director of 8-South at UMH, tried out his dexterity at using the da Vinci’s arms. “It felt very natural. It wasn’t cumbersome at all.”
Hospital officials are also hoping the day’s event will lead to a new name for the device. Visitors were invited to submit names which will then be considered by UMH leaders. The winner, to be announced next week, will receive a restaurant gift certificate.
The da Vinci is also able to serve as a teaching tool, as it incorporates a telestrator feature. A physician or student can point out precise sections on the screen, to explain a procedure or the next step they will perform. The device also has a built-in microphone so the physician can communicate remotely to the rest of the surgical team or with other people observing the procedure.
Between the benefits to the patient and as a teaching tool, many doctors are convinced that robotic surgery is helping to take UM to the next dimension in health care. Dr. Leveillee says “There’s no question that technology improves human lives.”
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