Some Common Questions Answered about Intuitive Surgical
Thursday - January 12, 2012 7:42 pm
This is as opposed to traditional laparoscopic surgery, in which the surgeon must move the instrument handles within the other direction because the instrument tips - left means right and right means left. Many surgeons describe this approach to be counter-intuitive. Instead, when the da Vinci surgeon moves the console controls clockwise, the tiny wristed instruments inside the patient twist clockwise too. Surgeons state that they benefit from the user interface design, which is very much like the experience of performing open surgery. Their patients benefit from a non-invasive approach that provides better precision, visualization and control as compared to conventional laparoscopy. Q. Why is the product known as the da VinciÂ® Surgical System? A. The product is known as "da Vinci" partly because Leonardo da Vinci is credited with inventing the first robot. da Vinci used unparalleled anatomical accuracy and three-dimensional details to create his masterpieces alive. The da Vinci Surgical System similarly provides surgeons with such enhanced detail and precision that the System can simulate open surgery while allowing doctors to perform complex procedures through a few tiny incisions. Q. Is really a surgeon using the da Vinci Surgical System operating in "virtual reality"? A. Although seated at a console a few feet in the patient, choices views an actual image inside the patientâ€™s body while operating in real-time using electromechanically enhanced instruments. Never does the surgeon see a virtual image, or program the system to perform any independent maneuvers outside the surgeon's direct, real-time control. Q. Is this telesurgery? Are you able to operate over long distances? A. The da Vinci Surgical System could theoretically be employed to operate over long distances. This capability, however, isn't the primary focus of the company and is not provided with the present da Vinci Surgical System. Q. Is Intuitive Surgical developing the da Vinci System for telesurgical applications? Intuitive Surgical's goal is to extend the advantages of minimally invasive surgery to as numerous patients as possible. Our strategy to accomplish this includes the development of products that allow any doctors to rapidly expand their surgical techniques and capabilities. Our robotic surgical platforms currently allow surgeons to do complex procedures using a non-invasive approach. In the interest of improving the surgeon training experience and expanding training programs, we're exploring telesurgery in an effort to provide more convenient or expedient surgeon-to-surgeon proctoring and coaching. We see telesurgery as a way to permit surgeons to understand and optimize skills specific to robotic-assisted surgery under the guidance of leading specialists - with less disruption to clinical schedules and for that reason less impact on patients. Q: Where's the da Vinci Surgical System being used now? A: Currently, The da Vinci Surgical Product is becoming used worldwide, in main centers in the usa, Austria, Belgium, Bulgaria, Cypress, Czech Republic, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Holland, Norway, Romania, Spain, Sweden, Switzerland, Turkey, Uk, Canada, China, India, Japan, Malaysia, Singapore, Columbia, Thailand, Taiwan, Israel, Pakistan, Qatar, Saudi Arabia, Australia, New Zealand, Argentina, Brazil, Chile, Columbia, Venezuela, Mexico, Puerto Rico, and Russia. Q. Is Intuitive's technology patented? A. Intuitive has an extensive patent portfolio of internally developed technology, in addition to a number of patents acquired or exclusively licensed from leaders in surgical robotics. Q. Has the da Vinci Surgical System been cleared by the FDA? A. The U.S. Food and Drug Administration (FDA) has cleared the da Vinci Surgical System to be used in a wide range of procedures. Please visit the Regulatory Clearance page for specific clearances and representative uses. Q. What's minimally invasive surgery (MIS)? A. MIS is surgery typically performed through small incisions - also known as operating ports or keyhole incisions -- rather than large incisions required for direct, manual access to the target anatomy. For that patient, MIS means there's greater potential for less pain, less hemorrhaging, a shorter recovery, fewer complications, reduced hospitalization costs and faster go back to normal day to day activities. MIS is becoming standard-of-care for many surgical procedures. Intuitive Surgical's technology enables the use of MIS even for very complex procedures like cancer operations and open heart surgery. Q. Will the da Vinci Surgical System make the surgeon unnecessary? A. On the other hand, the da Vinci System is made to allow surgeons to use with greater precision, visualization, dexterity and control. It advances their techniques and enhances their ability to do complex minimally invasive surgery. The machine translates the surgeon's hand movements instantly to its miniaturized instruments, while using motion scaling and tremor reduction to enhance precision. The system can never be programmed to make decisions on its own or perform any surgical maneuvers with no surgeon's direct input via the console hand controls. Q. What are the advantages of choosing the da Vinci Surgical System compared to conventional methods of surgery? A. A few of the major benefits for the surgeon of using the da Vinci Surgical System over traditional surgery have been greater surgical precision, increased range of motion, improved dexterity, enhanced 3DHD vision and improved access. Potential benefits for the patients can include: a shorter hospital stay, less pain, less chance of infection, less hemorrhaging, fewer transfusions, less scarring, faster recovery and a quicker go back to normal daily activities. None of those benefits can be guaranteed, since surgical treatment is specific to every patient and procedure. Q. Is this "robotic surgery?" A. Robotic surgery devices are made to perform entirely independent movements after being programmed by a surgeon. The da Vinci Surgical Product is a computer-enhanced system that introduces a leading edge computer interface and 3DHD vision system between your surgeon's eyes, hands and the tips of micro-instruments. The machine mimics the surgeon's hand movements in real time. It can't be programmed, nor will it can make decisions on its own to move or perform any kind of surgical maneuver. So as the general term "robotic surgery" is often accustomed to make reference to our technology, it's not robotic surgery within the strictest feeling of the word. Q. Can surgeons perform complex procedures such as cardiac surgery using the da Vinci System? A. Cardiac surgery requires a great view of the chest cavity, control necessary to perform atraumatic procedures on delicate vasculature and valvular anatomy and the capability to maneuver instruments with great precision and control within the close confines of the heart. Surgeons historically used a wide open method of heart surgery through a sternotomy, which means splitting the breastbone and pulling back the ribs - producing a large, painful incision, potential for infections and complications along with a long recovery for that patient. Fortunately, the da Vinci Surgical System provides surgeons and patients using what could be the best, least invasive treatment choice for the most complex cardiothoracic procedures including coronary artery revascularization and mitral valve repair. Q: Why isn't Intuitive Surgical getting involved in the Defense Advanced Research Projects Agency (DARPA) Defense Sciences project to build up robotic technology to be used on the battlefield? A: The DARPA project was, actually, the project that inspired the development of the very first da Vinci System, and Intuitive Surgical's da Vinci Surgical System could theoretically be employed to operate over long distances. However, optimizing the da Vinci System for remote or telesurgery applications isn't the primary focus of the company's product design and development efforts, which capability isn't provided with the present da Vinci Surgical System. Q. While using the da Vinci Surgical System, can choices feel anything inside the patient's chest or abdomen? A. The machine relays some force feedback sensations from the operative field to the surgeon through the procedure. This force feedback provides a replacement for the actual sense of touch and is augmented through the enhanced vision provided by our prime definition 3D view. While surgeons aren't able to touch or have the anatomy as with open surgery, they indicate that the improved visualization, precision, dexterity and control that da Vinci provides more than compensates for that loss of touch. Q: What procedures have been performed using the da Vinci Surgical System? What additional procedures are possible? A: The da Vinci System is a robotic surgical platform made to enable complex procedures of all to be performed via a series of 1-2 cm incisions, also known as operating ports or keyhole surgery. To date, thousands of da Vinci procedures happen to be performed including general, urologic, gynecologic, transoral, cardiac, thoracoscopic, and thoracoscopically-assisted cardiac procedures. Q: Where's Intuitive headquartered? A:Intuitive's principal corporate offices can be found in Sunnyvale, California, Usa, which is within the Silicon Valley region near San Jose. Q: How are Intuitiveâ€™s products sold? A: Right now we market our bodies in the United States via a network marketing organization to Hospitals. We've European operations headquartered in Aubonne, Switzerland. We sell directly in certain Countries in europe and employ distributors and agents in the world. Q: What's the average price of the da Vinci Surgical System? A: The average selling price of the da Vinci System varies according to model, features, service contract, etc. Please visit our investor presentation for more details. Q: How many da Vinci Systems happen to be sold? A: Today, more than 1,840 da Vinci Systems are installed in over 1,450 hospitals worldwide. Please visit our investor presentation for more information. Q: The number of employees does Intuitive have? A: Today, we've approximately 1,729 employees.