History and development of robotics, current … · robotics, current indications for gynaecological oncology ... •Defense Advanced Research Project ... History and development

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