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QuidWilson

06/05/18 11:09 AM

#70827 RE: urosurg #70822

I like your style - reusable trocars are more cost effective but the cost of generic trocars came down so low no one uses metal any more. Not all surgeons (especially robotic) are as coat conscious as you! The harmonics and general staplers would be used in either lap or robotic so I wouldn't consider them a robot specific cost - more the proprietary supplies. Instrument arms are reposable (reprocessable disposable), most having 10 uses. Some gyns will go through multiple maryland arms in one robo myomectomy case. The scopes can't seem to hold a seal and are quite costly to repair/exchange. The capital expenditure is the only *slightly negoiated cost. But as you mentioned, its a direct fixed expense allocated over a number of years; the more surgeries performed, the lower that cost per case. But, at the same time - most equipment that would be used in a regular lap case is nowhere near the 2+M you now pay for an Xi.