History and development of robotics, current indications for
gynaecological oncology
Dr Tom Manolitsas
Gynaecological Oncologist
1961
1967
1978
1991
Mid 1980’s to mid 90’s Collaboration of 3 major US Agencies
• NASA virtual reality and telepresence surgery
• Stanford Research Institute (SRI) collaboration with NASA developed telemanipulator
• Defense Advanced Research Project Agency (DARPA) “bring the surgeon to the soldier through telepresence”
• Developed the “SRI System” prototype
AESOP (Automated Endoscopic System for Optimal Positioning) voice commands to manipulate camera
1993
2001
Fred Moll & Robert Younge
Early Years at Intuitive
• 1995 “ Intuitive Surgical Devices “
• 1997 Refined the prototype “Lenny”
• 1999 litigation from “Computer Motion”
• 2000 public listing ($9 per share, now $690)
• 2003 Intuitive and Computer Motion merge
Early Electronics Chassis First Robotic Console
Early da Vinci® Components
Evolution of the da Vinci® System
Traditional
Laparoscopy
da Vinci® Si™ - 2009 • Dual Console option
• Enhanced HD Vision (1080i)
• Superior Ergonomics
• Increased Surgeon Control
• Advanced instruments
• Skills Simulator (2011)
• Fluorescence Imaging (2012)
• Single-Site (2013)
• Vessel Sealer (2014)
• Stapler (2014)
da Vinci® S™ - 2006 • 3D HD Vision (720p)
• Visual Inputs – TilePro
• Multi-quadrant access
• Streamlined set-up
• Procedure-specific
and energy instruments
da Vinci® - (1999)
•Eliminates lap compromises
•Introduction of 4th arm (2003)
•Simple instruments
2015
Robot in Gyn Oncology
• Endometrial Cancer
• Cervix cancer
• Morbid obesity
• Previous surgery / adhesions
• Complex surgery
• Learning curve
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