Chapter 7 Information Technology in SurgeryThe Cutting Edge

Multimedia Directory Slide 9 Da. Vinci Mitral Valve Surgery Video Information Technology for the

Computer-assisted Surgery ¡ Surgical planning: Virtual reality; virtual environments help teach and plan surgeries

Minimally Invasive Surgery (MIS) ¡ Endoscope— Projects an image of the surgical site onto

Minimally Invasive Surgery (MIS) (cont) ¡ Surgeon sees image on a monitor; MIS is

Robots ¡ ¡ ¡ Used to hold endoscopes To decide if tissue is normal

Computer-Aided Surgery (cont) ¡ Minerva—stereotactic neurosurgery ¡ HERMES—FDA-cleared system software that connects operating room

The 100 th Mitral Valve Surgery Using the da. Vinci System Mitrial Valve repair

Da. Vinci Mitral Valve Surgery Click here to view a video on “Da. Vinci

Augmented Reality ¡ Displaying radiological images of the inside of the body on the

CAVEman ¡ 4 -dimensional computer image ¡ 3, 000 body parts ¡ Viewed with

Telepresence Surgery ¡ Distance surgery Gall bladder (2001) l Prostate surgery (2002) l Correction

NEEMO ¡ NASA Extreme Environment Mission Operation ¡ NEEMO is a series of NASA

NEEMO (cont) ¡ Aquarius is the only undersea lab in the world ¡ It

NEEMO (cont) ¡ ¡ The major purpose of these projects is to enable astronauts

NEEMO (Courtesy: www. nasa. gov) Information Technology for the Health Professions, Third Edition Lillian

NEEMO 9 and 12 ¡ NEEMO 9 succeeded in assembling a surgical robot, and

NEEMO 12: Training ¡ Training for NEEMO 12: An astronaut or aquanaut uses a

NEEMO: Raven ¡ A two-armed remotely controlled surgical robot from the University of Washington

The Operating Room of the Future ¡ In the operating room of the future,

Operating Room of the Future (cont) ¡ Information displayed includes a patient’s vital statistics,

Lasers in Surgery ¡ Light amplification by the stimulated emission of radiation ¡ Can

Uses of Lasers in Surgery ¡ Used in: Gynecology l Orthopedics l Urology l

LASIK ¡ LASIK uses lasers to correct vision by changing the shape of the

Conclusion ¡ The use of augmented images to teach surgeons and plan and guide

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Chapter 7 Information Technology in Surgery—The Cutting Edge Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Multimedia Directory Slide 9 Da. Vinci Mitral Valve Surgery Video Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Computer-assisted Surgery ¡ Surgical planning: Virtual reality; virtual environments help teach and plan surgeries ¡ Minimally invasive surgery (MIS) Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Minimally Invasive Surgery (MIS) ¡ Endoscope— Projects an image of the surgical site onto a monitor ¡ MIS is performed through small incisions leading to less pain and shorter recovery time Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Image courtesy of Getty Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Minimally Invasive Surgery (MIS) (cont) ¡ Surgeon sees image on a monitor; MIS is image-directed ¡ Endoluminal surgery—Done through natural orifices Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Robots ¡ ¡ ¡ Used to hold endoscopes To decide if tissue is normal ROBODOC—hip replacements AESOP—first FDA-cleared surgical robot, holds endoscope ZEUS—minimally invasive microsurgery Da. Vinci—minimally invasive heart repair Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Computer-Aided Surgery (cont) ¡ Minerva—stereotactic neurosurgery ¡ HERMES—FDA-cleared system software that connects operating room hardware into a voice-controlled network Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

The 100 th Mitral Valve Surgery Using the da. Vinci System Mitrial Valve repair Using the da. Vinci System Introduction Video of Patients Courtesy of East Carolina University (photo by Cliff Hollis) Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Da. Vinci Mitral Valve Surgery Click here to view a video on “Da. Vinci Mitral Valve Surgery”. Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Augmented Reality ¡ Displaying radiological images of the inside of the body on the outside of the body provides surgeons with a look inside Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

CAVEman ¡ 4 -dimensional computer image ¡ 3, 000 body parts ¡ Viewed with height, width, depth ¡ Images can be displayed on body ¡ Can help plan surgeries and educate patients Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Telepresence Surgery ¡ Distance surgery Gall bladder (2001) l Prostate surgery (2002) l Correction of acid reflux (2003) l Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

NEEMO ¡ NASA Extreme Environment Mission Operation ¡ NEEMO is a series of NASA missions in which groups of scientists live in Aquarius Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

NEEMO (cont) ¡ Aquarius is the only undersea lab in the world ¡ It is 13 feet wide and 45 feet long with approximately 400 square feet of space for living and laboratory activities ¡ NEEMO 7 and 9 included doctors, but no surgeons Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

NEEMO (cont) ¡ ¡ The major purpose of these projects is to enable astronauts to be operated on in space from earth using wireless technology and robotics One of NEEMO 7’s goals was to see whether doctors with no training in surgical techniques could successfully perform surgery with the help of telementoring and telerobotics Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

NEEMO (Courtesy: www. nasa. gov) Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

NEEMO 9 and 12 ¡ NEEMO 9 succeeded in assembling a surgical robot, and completed surgeries controlled by a doctor in Canada ¡ NEEMO 12’s crew conducted advanced medical experiments using robotic telesurgery Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

NEEMO 12: Training ¡ Training for NEEMO 12: An astronaut or aquanaut uses a still camera to photograph plants in the undersea habitat for the 12 th NEEMO mission Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill (Courtesy: www. nasa. gov) Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

NEEMO: Raven ¡ A two-armed remotely controlled surgical robot from the University of Washington known as Raven is photographed inside the undersea habitat for the 12 th NEEMO mission Image courtesy of Corbis Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

The Operating Room of the Future ¡ In the operating room of the future, images from all sources will be available to surgeons and other personnel ¡ The display on four screens (called the wall of knowledge) shows integrated patient information in an easy-to-understand format, in one location Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Operating Room of the Future (cont) ¡ Information displayed includes a patient’s vital statistics, allergies, and the whereabouts of OR personnel ¡ Personnel, including doctors, are identified and tracked by RFID tags ¡ The OR of the future makes threedimensional real-time images available in surgery linking PACS with the operating room Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Lasers in Surgery ¡ Light amplification by the stimulated emission of radiation ¡ Can cut, vaporize tumors, seal small blood vessels ¡ Beam can be narrowed to the size of a few cells Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Uses of Lasers in Surgery ¡ Used in: Gynecology l Orthopedics l Urology l ENT l Cardiovascular l Gastroenterology l Image courtesy of Corbis Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

LASIK ¡ LASIK uses lasers to correct vision by changing the shape of the cornea Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Conclusion ¡ The use of augmented images to teach surgeons and plan and guide operations can reduce unnecessary cutting and make operations more precise and less invasive ¡ MIS is less invasive and minimizes hospital stays and recovery time Information Technology for the Health Professions, Third Edition Lillian Burke and Barbara Weill Copyright © 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.