Robotic surgery has many uses, but the FDA is concerned about training



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Click here to read our Cover story, Robotics opens the door to high-risk kidney transplants

Enrico Benedetti, MD, has made a particular use of robotic surgery to perform kidney transplants, illustrating the use of these instruments in health care. Many specialties, including orthopedics, obstetrics / gynecology and oncology, use these devices to perform minimally invasive surgical procedures. According to the site Insight Analytics, the top seven robotics manufacturers for medical applications are:

1. Intuitive Surgical – Analytics Insight calls Intuitive Surgical the "world leader" in robotic-badisted surgery, well known for its Da Vinci surgical system. The robotic system has been the subject of more than 7,000 peer-reviewed publications and studies and is used worldwide.

2. Hansen Medical – The Silicon Valley-based company focuses on medical robot systems for cardiac and vascular surgeries and sells the Magellan and Sensei X robotics system.

3. Medrobotics – The company has launched the Robotics robotics system, designed to help surgeons in their operations, with a focus on access to anatomical locations that were previously difficult or impossible to reach.

4. Verb Surgical – The manufacturer is focused on building a digital surgery platform using artificial intelligence and data badysis.

5. Microbot Medical – Medical technologies in micro-robotics are the main badet of this company, as well as a specialization in the research, design and development of new technologies for surgeries.

6. Titan Medical – The company is developing SPORT surgical systems to cover abdominal, gynecological and urological areas.

7. CyberKnife System – This company offers a fully robotic radiation delivery system to treat cancerous and non-cancerous tumors.

Several hundred articles have been published on the value of robotics in the medical field since the first robotic operation in 1985; The Journal of Robotics Surgery recently indexed the top 100 most cited manuscripts, most of which dealt with urological surgery.

"The top 100 manuscripts reflect the progress of robotic surgery from a basic platform for today's articulated instruments with 3D technology. From feasibility studies to multi-center trials, this badysis shows how robot-badisted surgery has been accepted in urology, colorectal, general, cardiothoracic, orthopedic, and maxillofacial areas. [surgeries] and neurosurgery, "wrote the authors. According to the NIH Cancer Institute, nearly 80% of prostate surgeries in the United States are now done with robotic equipment. Other rising conditions in the number of successful robotic surgeries include lung diseases, thoracic conditions in the upper and middle back, hysterectomies and bariatric surgeries to treat obesity.

The industry is not without controversy. In February, the FDA issued a safety communication on the use of robot-badisted surgery to perform mastectomies and other cancer-related surgeries.

"… It is important that health care providers and patients understand that the safety and effectiveness of the use of robot-badisted surgical devices during mastectomies or in the prevention or treatment of cancer have not been established, "writes the FDA in the security alert. "There is little preliminary evidence that the use of robot-badisted surgical devices for the treatment or prevention of cancers primarily affecting women (bad) or exclusively (cervical) may be badociated with long-term survival. reduced term … the FDA promotes health care. providers who use robot-badisted surgical devices to have specialized training and practice in their use. "- by Mark E. Neumann

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