As hospital administrators face shrinking operating margins, OR leaders are being called upon to create innovative approaches for boosting revenue. Adding a new service line is one option, but it carries both risks and rewards. Only by careful analysis and follow-through can OR leaders hope to tip the balance to…

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Editor's Note Automated performance metrics can distinguish surgeon expertise during anastomoses and create an objective, standardized way to train new surgeons, this study finds. Researchers used a data recorder plugged into a robotic surgery system to evaluate expert and novice surgeons’ movements for 70 vesicourethral anastomoses (total of 1,745 stitches)…

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Editor's Note A deal has been signed by Olympus with FlexDex Surgical to distribute its wrist-controlled Needle Driver robotic device, the August 23 Medical Design & Outsourcing reports. The FlexDex Needle Driver, which is used to streamline suturing in areas of the abdomen that are hard to access, will complement…

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Editor's Note Robot-assisted and open cystectomies are equally effective in treating bladder cancer, this 7-year study finds. Conducted at 17 institutions, 350 patients with bladder cancer were randomized to the open (175 patients) or the robot-assisted (175 patients) surgical approach. The researchers found lower blood loss and transfusion rates and…

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Robotic-assisted surgery offers many potential advantages, including shorter operative time, less morbidity, and faster patient recovery. But rigorous comparisons with traditional surgical methods and cost-effectiveness analyses are still limited, and the price tag of the robot (in the neighborhood of $1 million) and annual maintenance contract (roughly $150,000) may give…

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Editor's Note A Meddevicetracker analysis expects the global market for robotically assisted surgical devices to see an 11.7% compound annual growth rate, reaching $5.3 billon by 2021, the November 10 Medtech Insight reports The market is being led by Intuitive Surgical’s da Vinci systems, although the analysis predicts more competition…

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Editor's Note Robotic-assisted nephrectomy is more expensive and takes longer than conventional laparoscopic nephrectomy and confers no additional benefits, this study finds. The proportion of robotic-assisted nephrectomies increased from 1.5% in 2003 to 27% in 2015. Of 23,753 patients analyzed, no significant differences were found in major postoperative complications between…

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  Editor's Note The Food and Drug Administration (FDA) on October 13 cleared the Senhance System (TransEnterix Surgical Inc, Morrisville, North Carolina), a new robotically-assisted surgical device. The design of the Senhance System allows surgeons to sit at a console unit that provides a 3-D high-definition view of the surgical…

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Editor's Note Concepts from motor racing pit stops, including role definition, task allocation, task sequencing, and a visual cue for ease-of-use, created efficient and sustainable approaches for decreasing robotic OR turnover times in this study. Average turnover time was 99.2 minutes before introducing the pit stop model and 53.2 minutes…

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Researchers at the University of Michigan (U-M), Ann Arbor, have invented a new surgical instrument with the goal of addressing a vast, unmet need in minimally invasive surgery. For less than a thousand dollars, this platform technology—currently being commercialized by the start-up FlexDex Surgical—offers capabilities similar to those of the…

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