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I Belize you. That's why he was "begged" to go.
Fyi Dr. Fowler calls in at about 30:45 incase you want to fast forward.
I'm sure it was a pig.
I believe he was referring to Titan and the Surgibot company when he said that their were investors willing to spend tens of millions of dollars.
That was my post. The arrogant ISRG rep said that to diminish the validity of Titan medical after I asked about it. I am sure that if I had asked him to name the 30 companies he wouldn't have been able to. If you ever get time to listen to the webcast from this summer below please do. The presenter discusses the main companies that are developing robots. However, I question his Knowledge Base since he was totally off when he came to Titan. He thought that they were still working on Amedeus. What makes it worse is that he is based in Canada. All he had to do was go to the website for his research. Anyway...Dr. Fowler called in and said that he feels there about 10 companies including Covidien and J&J working on a robot. I believe he was referring to Titan and the Surgibot company (sorry I don't remember the name of that company). He also set the presenter straight.
http://www.clevelandclinicmeded.com/online/webcasts/surginnovations/surgery-2014/present-future-of-robotic-surgery/webcast.asp
Well, I guess that's just the difference between investors who just want to make money from Titan and investors who want make money and see an improved sustained development in surgical robotic technology with fair competition in the market place and the end to a ridiculous monopoly that exists in no other western world industry. This will improve patient care in a more affordable way. Patient care is my life. So as much as I really appreciate the valuable input of you, Honey and other investors who are in this only for the money, we will never agree on this point. We can agree to disagree...right.
No motive. As Duke was told...Their actions will not be dictated by PPS. They are trying to come out with the best first generation system possible. He said they are listening to the market place. Who is the market place? The SAB and other surgeons. I wouldn't be surprised if they are trying get features that were meant to be in later generations into this generation. 3D printing makes development faster. For example consider haptic feedback. SAB member, Dr. Dutson at UCLA has already developed an early form of haptic feedback that he has used on the DaVinci in his lab at CASIT. Maybe they want to incorporate that. Maybe I'm over confident but if I were them that's what I would do. Get the most out of the time and money that you have now! I wouldn't care about the short time PPS. They only have one shot.
If they don't care about surgeons they will feel our wrath because we would protect our own if they tried to bring down our colleagues invention. I'm a little fish but I wouldn't hesitate to tell my rep to her face that I am boycotting intuitive and I'm sure the big fish would do the same to protect our own. IMHO.
I don't know for sure but I assume it will be built into the trocar/tube similar to intuitive SS port only without the the crowding of the huge robot arms.
They should fit through the channel. If not you would have to remove the entire device from the trocar to insert the sutures. I'm sure they've thought of that and they will fit. Remember, it will have an assistant port as well. They will probably fit through that.
I agree. Instrument crowding would be remedied. Interestingly, I just talked to 2 intuitive reps. 1 from the Nashville area and one from Western Ky. They were beating their chests about how general surgery is really picking up....over %200. 88% of newly trained colorectal surgeons are robotically trained....bla,bla,bla. So of course I had to ask about Titan. One blew it off and said "they've been saying they had a robot for ever and they will probably need more financing". The other was about the same but added the "we welcome the competition because robotic surgery is the future but their are about 30 other companies trying to bring a robot to market". So basically...what ever. They are so arrogant. I'm buying more Titan shares this week!
Looks really good IITF. Thank you for all your work. Can you add that picture you got off Instagram/Ximedica. That's a good one too.
I was referring to the advantage of the immersive 3D vision for the fine dissection of the vessels and ureter. The rest of the mobilization is strait forward. You can always extend the port incision to retrieve the kidney right?
Duke. You mentioned a stapler. Was it attached to a snake arm? Do you think it a new stapler? Maybe their stapler? I believe the current staplers on the market would be big to fit on the SPORT snake arms.
You sound like the angry old lady of the board. What happened? You used to be so positive.
You just need an assistant instrument to retract while you mobilize the colon, maybe lift up the kidney etc. Look up hand assist nephroctomies. That's basically two effectors, one being the hand. To much to explain with a post. Let's just wait for the posted videos. This could be really helpful for doner nephroctomies during transplant surgery. This procedure is cost prohibitive with the da Vinci.
YES!
That's GREAT! I assume these will be posted soon? Did he say when? I knew SPORT would be used for multiple abdominal surgeries!
Did you see any new videos?
Thank you.
Looks private.
Please listen to Dr. Fowler when he called into a webcast about robotic surgery in August of this year. If you don't want to listen to whole thing you can fast-forward to 30.45. He says.. and I quote:
'....investors finally now have the appetite to put tens of millions of dollars into a couple of companies...." I'm pretty sure he was talking about Titan Medical.
http://www.clevelandclinicmeded.com/online/webcasts/surginnovations/surgery-2014/present-future-of-robotic-surgery/webcast.asp
How do you know Titan has a booth?
Instrument crowding and cost. Also the clutch that's required for a third arm is not intuitive. IMHO
That would be terrible for the industry. The monopoly would continue.
I agree. I think investors are eager to support the long overdue break in the monopoly in an industry in it's infancy. I have a feeling that if Titan needed more money tomorrow they could get it in a heartbeat if SPORT is a valid product. MIS surgeons and big hospital administrators have been complaining about the absence of completion with ISRG for years and the drum beat is getting louder.
Patient safety and outcome measurements are so important now in this new healthcare environment. Just can't go wrong with this kind of position.
I'm not. Surgeons like to keep busy. I don't think he's practicing and his many years experience in MIS, academic background and administration make him very sought after....good for Titan as they prepare to compete with a very big and influential company.
New leadership role for Dr. Fowler with patient safety. Titan will not repeat the mistakes of Intuitive:
http://www.sehealthcarequalityconsulting.com/about/news/press-releases/64-dr-dennis-fowler-to-lead-se-healthcare-quality-consulting-s-or-safety-platform
They live in a bubble.
Yes. But that's fine and it will decrease cost greatly. Most surgeons will tell you that four arms are rarely used in multiport general surgery robotic cases. I think it would be more cost effective for a well trained assistant who is already on the clock to provide retraction or suction. This is done in TORS procedures as well. SPORT will have an assistant port so another incision will not be required.
This is being echoed all over the country. I stopped doing SS gallbladders with the DaVinci because it was costing $2000-$3000 more per case. With the new global fee schedules, increased cost make me look bad. I can do a lap chole with 2 5mm ports and a 12mm ports (3 ports total) in between 15 and 30 minutes but the ergonomics are bad (my left thumb and right middle finger hurt after a long day and it's becoming chronic) Surgeons want to use new technology but the increased price can no longer justify it. Dr. Fowler and company are well aware of this.
I didn't think so either but that is the opinion of some of the leaders in MIS including Dr. Swanstrom, a member of our SAB. I wasn't able to copy the slides but if you want to watch the talk, he talks about it in the second half of the presentation, after Toby Gordon is finished.
http://www.clevelandclinicmeded.com/online/webcasts/surginnovations/surgery-2013/top-10-issues-innovations/webcast.asp
The time required for FDA and 510k clearance for new medical devices has been increasing over the past few years. This because of the presumed increased cost in health care they can bring. Hopefully this won't happen with SPORT since it is being designed to be at least cost neutral when compared to current laparoscopic surgery. Also, I would hope the FDA can see the benefit of ending the monopoly imposed by Intuitive which stifles robotic surgery innovation and drives up cost.
I wonder why Dr. Fowler didn't mention Intuitives SS technology in this presentation. His is the the last 10.30 minutes. Was he not aware?
http://www.clevelandclinicmeded.com/online/webcasts/surginnovations/surgery-2013/whats-new-with-robotic-surgery/webcast.asp
May 4th, 2014 article.
"Tissue testing will continue for
probably the next eight or nine months. The testing can vary from simply testing instruments by passing a needle through real tissue to an intended procedure, gall bladder surgery,” says Rayman. “We are testing with robotic surgeons in the field using several key opinion leaders.” The goal is to get their machines into operating rooms by 2015."
http://www.titanmedicalinc.com/making-human-repairs-with-precision/
Dr. Erik Dutson, one of the younger members of the SAB trained/worked at IRCAB for two years before joining UCLA. I watched a YouTube video of one of his lectures from last year. In his full disclosure he said that he didn't own any stocks in any of medical device companies associated with his talk, but he said he regretted not having bought stock in Intuitive Surgical early. Hint hint wink wink.
Very good point. I was also wondering why they would delay their SP design release which is already completed. I assumed it was an expense issue.
People selling AMZN and buying BABA?
I've been pondering that same question.