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We tried to tell him. Who wants to take his/her hand off the surgical instruments to turn dials and knobs? Not I. I also don't think it would be cheap to sterilize that big contraption after every case.
Something is going on there. It appears from their website that Todd Pope is no longer presenting at the Piper Jaffray Healthcare Conference.
The way we're made makes it hard to hold. I don't blame you EGR.
http://www.washingtonpost.com/business/even-if-you-could-pick-huge-winners-could-you-hold-them/2014/10/03/bd426e34-49ba-11e4-891d-713f052086a0_story.html
What happened with the Piper Jaffray Healthcare Conference? Why has it been taken off the website?
Yes he did.
I don't write blogs but I articulate my opinion on this board which is enough for me.
Kinda like the wishful thinking you had when you posted that article on the TRXC board that YOU wrote to bring up the pps?
ISRG's business model was great in the pre-cost conscious medical environment. The end to that era was inevitable. It's like coming out with the first automobile before there was a requirement for drivers license or traffic lights. I was part of that "successful" business model/marketing practice. They convinced me to do things to get my picture in the paper and add Intuitive's information to our website all so that they could market the robot. They did this at 2 different competing hospitals both of which I had privileges at. I was used a marketing tool. Yes this design made a lot of people a lot of money but that doesn't make it right. Marketing primarily to lay people (patients) goes against my core beliefs as a physician. No different than the Viagra commercials. On several occasions I have acquired referrals because the patient wanted to have a robotic surgery. I then have had to spend a significant amount of time convincing the patient that robotic surgery is of now benefit to them. It's the cart before the horse scenario. Their is Kool-Aid made by someone else and their is Kool-Aid that I make. SPORT is surgeon designed and developed. I don't care how long it takes to come to fruition. I will drink that Kool-Aid all day long.
It was also only going to be used for lap choles only which you don't need navigation for. If SPORT does have navigational ability, that would be icing on the cake. I think that's an ultimate goal. I would be pleasantly surprised.
....and for those who drink the Intuitive Kool-aid, the DaVinci SP may look really sexy in the video but I can't figure out how the third arm will retract. Most retraction for general surgery procedures is in an upward direction. The third arm is coming from the bottom. I have never done a case where I've had to retract downwards. Look at the SPORT videos again. Maybe this is why it has not been commercialized even though it has been existence since at least 2009.
1) No not yet.
2) No
It VERY frustrating! I have used it for doing lap choles. It's also the same thing used in Sandmans clip for SS hysterectomy. The set up can be longer than doing the lap chole. The DaVinci Si was never designed for SS and it has very limited range of motion. Imagine trying to tie your shoes with your wrists tied together. It was kind of cool being the first surgeon to do a SS robotic cholecystectomy in the hospital but after a while I didn't think it was worth the time and effort when I could do the same surgery in a fraction of the time with three small incisions. Now I will only do it if a thin young patient is very concerned about cosmesis.
Institutional investors: We also think that a Whoopee cushion would be a good idea to add to the surgeons console.
Titan Medical: Uhmm.....ok....we'll work on that. Thanks.
Institutional investors: Why should we invest in your company? You're only going to have one surgical application next year.
Titan Medical: Well, you might be right. We are currently meeting with Hospitals Systems, GPOs, MIS Surgeons and even the FDA. We are considering expanding the applications which may take longer. Give us a few months to make our decision.
Institutional investors: Ok. Get back with us when you have finalized your plan and time table. Your first generation robot would be a much more worthwhile investment if it had broad application since robotic surgery is now well established.
Just a General Surgeon.
I agree. Wednesday's early release was done for our small group of investor activists. Next week is about the wider investment community including institutional investors.IMO
.....some of us watch the scoreboard. Some of us watch the game.
....and that's fine IMO. SPORT solves many problems but not all. Hopefully and I believe this to be the case, with SPORTs modular design updates will be relatively easy and expensive without requiring the purchase of a whole new system. Titan is fully aware of how disgruntled hospitals are about being stuck in the corner with an old model that cannot be updated all while watching a new improved version coming to market secretively.
Don't bother. He doesn't believe anyone on here is surgeon or doctor.
Me too but probably trade secrets. I really wonder how the telemanipulator at the console translates human jointed motion into non-human snake like motions. Remember the movie Prometheus?
....and the surgeon has to take his hand off an instrument to adjust the camera or is the assistant supposed to do that? I know you don't believe that any of us are doctors but could please provide a list of surgeons who gave input to this design?
How do you change instruments?
Nope. I've never hunted.
Hook bovie is very common in laparoscopic surgery. It can help dissect. More focused energy. I prefer a spatula tip.
Me either. They tried it before full immersion.
Wonder why the dissector effector jaws never open during the chole video clip. Hiding something or not fully functional yet?
Good point. Probably just the tube.
Additional access ports are used with the multiport DaVinci. Not a big deal to me. As I've said before, I see SPORT as a very advanced laparoscopic camera with attached arms. I do wonder about upward angulation view in order to look at the abdominal wall to perform procedures like ventral hernia repairs. I will have to ask.
Please see IITFs and my posts from yesterday.
The site is available now.
There website is down the night before Thanksgiving. They better find more bandwidth for next week! Happy Thanksgiving to you all!
If you look at the end of the video there is space around the tube. I think eventually an auxiliary port will be there for a truly SS chole. Although I think many gallbladders can be done with the two instruments given their extreme mobility and dexterity. Other procedures might require auxiliary ports placed off axis. It is the technology that is Single port orifice technology. It can be used for different surgeries including some that may or may not require other ports. Think of it like a very advanced camera with instruments attached to it. This camera can be used with other ports if necessary.
As for comparing to lap chole. the video is superior (wide view). I can't compare the 3D view because you have to be at the console to view it. But the angle is far superior to the SS DaVinci chole because the view is from above the instruments as opposed to from under the instruments with a 30 degree camera. Dexterity doesn't even compare. No T-Rex effect.
If look closely at the end of the video you see a thin tube which I think is for irrigation fluid to clean the camera.
As an aside note. I don't mean to bring up the other company (cough, cough surgibot) but they tout that the 3D view can be seen by everyone in the OR BUT only the surgeon dissects vital structures like arteries and veins and really needs the 3D view for the depth perception. Everyone else gets a very nice widescreen view as you can see...without silly 3D glasses.
Why does it matter? It will be there next week as well. This is the only video out there of a robotic surgical device in action that is not made by intuitive surgical. But it's still an early prototype. Imagine what the final product will be like.
I believed you Duke.
I like the wide view. Definitely a tease video since they did not want to show too much.
No,I think a traditional 5mm clip applier, probably from another auxiliary trocar. Probably Ethicon's Ligamax. I'll assume that an incoorperated clip applier is one of the instruments that they still have to develop.
Nice. Thanks Point!
Opinion of who makes the best stapler is debatable but you may have more experience with the different brands.