The SAGES Manual of Robotic Surgery by Ankit D. Patel & Dmitry Oleynikov

Author:Ankit D. Patel & Dmitry Oleynikov
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

The patient-side cart was redesigned into a lighter, more mobile, and easier to position platform (Fig. 15.5). The robotic arms are now placed on a boom system that can be extended out over the patient and rotated so that docking the patient-side cart can be done from any side or angle of the patient. This allows full access to the patient for the operative staff, ease of setup, and improved mobility to allow four-quadrant access without having to reposition the patient. This advancement has added more flexibility and ease when performing highly complex operations in multi-quadrants. In addition to placing the robotic arms on a boom, the arms themselves have been redesigned. The arms are lighter, thinner, and allow a longer reach with more range of motion. This again allows simplified and safer multi-quadrant surgery, as well as a more flexible port placement. Another innovation that was added to simplify the patient-side cart is a one-button setup (Fig. 15.6). This provides a guided walkthrough with voice assistance to help the OR staff safely and efficiently place the patient-side cart into position. Once the patient-side cart has been placed into position, the camera can be attached to any arm, pointed at the target anatomy, and the targeting system will arrange the boom and remainder of the robot arms for most efficient configuration for the operation being performed. This allows quick, optimal setup of the robotic arms.

Fig. 15.5da Vinci Xi patient-side cart. ©2016 Intuitive Surgical, Inc.

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