University of Central Florida Undergraduate Research Journal - A Practicality Analysis Pertaining to Minimally <br/> Invasive Robot-Assisted Urologic Surgery
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The da Vinci® Surgical System

The da Vinci® is currently the most commonly used robotic surgical system used in urology. Over 1,450 academic and community hospital sites have installed the system since its approval, and growth has come in excess of 25% annually. 11 The system's uses extend to various procedures within different medical fields, including urology, gynecology, otolaryngology, and cardiothoracics. The S-model system is separated into three general components: the surgeon's console, the patient side cart and the 3-D Vision System. The surgeon's console, located several feet from the patient, controls four electro-mechanical arms as well as a video endoscope. Inside the surgeon's console, a magnified three-dimensional image is displayed on the visual display system. The surgeon uses controls that relay motion to the robotic arms, which manage the specific instruments and video endoscope operating at the patient side cart. Intuitive Surgical has developed Endowrist technology, which allows the surgeon to use seven degrees of freedom, while extending the traditional angle of rotation allowed by the human arm and wrist. Many supporters of the da Vinci® believe that this added dexterity provided by Endowrist ® technology is the device's greatest advantage, which allows easier and more precise suturing. 12 The da Vinci® is considered to be a single quadrant system allowing for work to be performed on only one quadrant of the body at a time. However, the patient side cart is mobile and able to move freely when the system is not set to operate, allowing for numerous possible angles and locations for surgical entry. The da Vinci® has been redesigned several times since its creation, and will most likely be developed further as surgeons continue to incorporate the technology.

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