Video guided stapling for endoluminal applications: The next step in the evolution of the surgical stapler
Sam Atallah, FACS, FASCRS. FLORIDA HOSPITALObjective: The purpose of video stapling is to provide a method to precisely navigate the stapler arm to target and to provide direct evaluation of the anastomosis. Description: Using the technique of circular stapling in which the arm of the stapler is mated to an anvil to create an anastomosis,… Continue Reading
Validation of a Laparoscopic Ferromagnetic Technology Based Vessel Sealing Device and Comparative Study to Ultrasonic and Bipolar Laparoscopic Devices
Jennwood Chen, MD1, Curtis R Jensen, MS2, Preston K Manwaring, MSEE, PhD2, Robert E Glasgow, MD1. 1University of Utah Hospitals, 2Domain Surgical IncIntroduction: Ferromagnetic heating is a new electrosurgery energy modality that has proven effective in hemostatic tissue dissection as well as sealing and dividing blood vessels and vascularized tissue. The purpose of this study… Continue Reading
Utilization of the ProAnalyst motion analysis software, in simulation-based performance assessment
John C Kubasiak, MD, Sam C Klonoski, MD, Samantha Millikan, Benjamin Veenstra, MD, Jose Velasco, MD, Minh B Luu, MD. Rush University Medical CenterTechnology Objective: The tools for objective assessment of operative skills, both in training and practice, are lacking. Motion analysis is an emerging field using various metrics aimed to reliably differentiate levels of… Continue Reading
Use Carbon Nanoparticles to Show Decision-making Lymph Nodes around Inferior Mesenteric Artery in Rectal Cancer
Jun Yan, MD1, Fangqin Xue2, Wenju Liu3, Zhangyuanzhu Liu1, Kai Li1, Dexin Chen1, Wei Jiang1. 1Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China, 2Department of Surgery, Fujian Provincial Hospital, Fuzhou,China, 3Department of Surgery, Fujian Provincial Tumor Hospital, Fuzhou,China Objective: Identification of whether lymph nodes around inferior mesenteric artery have metastasis is very… Continue Reading
Two-armed miniature robots for laparoendoscopic single-site abdominal surgeries
Lou Cubrich1, Spyridon Pagkratis, MD2, Dmitry Oleynikov, MD2, Shane Farritor, PhD1. 1University of Nebraska Lincoln, 2University of Nebraska Medical CenterOBJECTIVE: Minimally-invasive laparoscopic procedures have proven efficacy for a wide range of surgical procedures as well as benefits such as reducing scarring, infection, recovery time, and post-operative pain. While the procedures have many advantages, there are… Continue Reading
Turning Dis-Ease into Ease
Chris Landon, MD1, Michael Seres, CEO2, Larry Suarez2. 1Ventura County Medical Center, 211HealthProtocols based on evidence-based medicine must integrate realtime information from sensors, medical innovations, and patient profiles such as literacy, cultural background, and age. Social stigma associated with stomas must address all related issues including depression, body image, sleep problems, and infection to allow… Continue Reading
Transoral Platform for NOTES UGI Surgery, notably transoral cardiomyotomy for achalasia cardia
Sanjiv P Haribhakti, MS, DNB, MCh. Kaizen Hospital, Institute of GEObjective of the technology or device - Development of new Transoral rigid surgical platform for performing NOTES surgery of the UGI tract, notably transoral cardiomyotomy for achalasia cardia Description of the technology and: Transoral endoscopic surgery (TOES) of the oesophagus, GE junction & stomach using… Continue Reading
Tool exchanger for modular robotic surgical tools
Raul Garay-Romero1, Akshay Pratap, MD2, Crystal Krause, PhD2, Dmitry Oleynikov, MD2, Carl Nelson, PhD1. 1University of Nebraska Lincoln, 2University of Nebraska Medical CenterOBJECTIVE: We have designed and tested a laparoscopic tool-exchanger and modular tool base for our robotic laparoendoscopic surgical robot. DESCRIPTION: Minimally invasive surgery (MIS) allows access to the surgical site through small incisions,… Continue Reading
Three-Dimensional Modeling of Complex Visceral Malrotation Following Posttraumatic Diaphragmatic Hernia
Timothy J Schaffner, MD1, Richard L Izzo2, Ciprian N Ionita, PhD2, Steven D Schwaitzberg, MD1. 1Dept of Surgery, SUNY at Buffalo, 2Department of Biomedical Engineering, Toshiba Stroke and Vascular Research Center, SUNY at BuffaloINTRODUCTION: Three-dimensional (3D) modeling of complex vascular anatomy has been previously shown to be feasible and beneficial to the surgeon for operative… Continue Reading
The use of fluorescence for lymph node mapping in colorectal cancer.
Giuseppe Spinoglio, MD1, Dario Ribero1, Fabio Priora2, Wanda Petz1. 1European Institute of Oncology, 2Santi Antonio e Biagio e Cesare Arrigo Hospital Alessandria ItalyBackground: Although type and extent of lymphadenectomy in colorectal cancer surgery are well established, potential aberrant lymphatic drainage in rectal cancer and risk of missed identification of lymph node (LN) metastases, particularly micrometastases,… Continue Reading
The AutoLap System as a Promising Platform for Improving Laparoscopic Surgery
Aaron J Berkenwald, MD, Dmitry Nepomnayshy, MD, FACS, Mattew Rade, MD, Desmond H Birkett, MD. Lahey Medical Center1. Objective of the technology or device The AutoLap system, designed and manufactured by M.S.T Medical Surgery Technologies, is a robotic, table-mounted laparoscopic video camera system with a remote control. The system is designed to allow surgeons or… Continue Reading
Teaching Cues for Automated Virtual Coaching
Anand Malpani1, S. Swaroop Vedula1, Henry C Lin, PhD2, Gregory D Hager, PhD1. 1Johns Hopkins University, 2Intuitive Surgical Inc.Objectives: We developed the concept of teaching cues to demonstrate errors and expert behavior, and deficit metrics to measure performance deviations from such ideal behavior with the goal of delivering automated virtual coaching for enhanced learning and… Continue Reading
Surgical smoke as potential biohazard: is viral DNA contained?
Shigeyoshi Higashi1, Yasuhiro Miyazaki2, Tomonori Makino2, Tsuyoshi Takahashi2, Yukinori Kurokawa2, Makoto Yamasaki2, Shuji Takiguchi2, Masaki Mori2, Yuichiro Doki2, Kiyokazu Nakajima1. 1Division of Next Generation Endoscopic Intervention (Project ENGINE) Global Center for Medical Engineering and Informatics, Osaka University, Osaka, Japan, 2Department of Gastroenterological Surgery Osaka University Graduate School of Medicine, Osaka, JapanIntroduction: It is widely known… Continue Reading
Stray Energy Transfer during Single Incision Surgery: Robotic Platform is Superior to Laparoscopic
Douglas M Overbey, Edward L Jones, Brandon C Chapman, Sarah A Hilton, Teresa S Jones, Thomas N Robinson. University of ColoradoIntroduction: Stray energy transfer during use of the monopolar “Bovie” is recognized as a cause of potentially catastrophic complications during laparoscopic and single incision surgery. Recent data suggests single incision laparoscopic surgery to carry additional… Continue Reading
Standard Clamp Improves Staple Cartridge Utilization in Sleeve Gastrectomy
Jonathan R Thompson, MD1, Vikrom K Dhar, MD2, Dennis J Hanseman, PhD2, Brad M Watkins, MD2, Thomas Inge, MD, PhD3, John Morton, MD, MPH4, Tayyab Diwan, MD2. 1University of Cincinnati Research Institute, 2Department of Surgery, University of Cincinnati College of Medicine, 3Children's Hospital of Colorado, University of Colorado, Denver, 4Department of Surgery, Stanford UniversityObjective of… Continue Reading