Intuitive Surgery’s introduction of the da Vinci Robotic Surgery System brought 3D visualization to the OR

1. Operating Room VisualizationOperating Room Visualization

2. Paradigm ShiftParadigm Shift
InIn
Operating Room VisualizationOperating Room Visualization

3. 3D Development in Surgery3D Development in Surgery
Intuitive Surgery’s introduction of the da Vinci Robotic SurgeryIntuitive Surgery’s introduction of the da Vinci Robotic Surgery
System brought 3D visualization to the ORSystem brought 3D visualization to the OR

4. 3D Surgical Solutions
3D Bedside
Visualization
via Leonardo

5. Leonardo 3D Vision™ – Atlanticus Recording SystemLeonardo 3D Vision™ – Atlanticus Recording System
A 19” rack-mounted server that provides conjoining, convergence,A 19” rack-mounted server that provides conjoining, convergence,
and image format control thus allowing virtually any 3D input to beand image format control thus allowing virtually any 3D input to be
properly visualized on any type of 2D or 3D display. In addition, theproperly visualized on any type of 2D or 3D display. In addition, the
Atlanticus 3D RecorderAtlanticus 3D Recorder™ system is integrated within this chassis,™ system is integrated within this chassis,
allowing cases to be achieved and then transferred for editingallowing cases to be achieved and then transferred for editing
and/or long-term storage.and/or long-term storage.

6. Advantages of 3D Vision
for Robotic Team
Safer for the patient
Better bedside surgical technique
Improved eye/hand coordination
Faster procedure
Improved situational awareness
Shared mental model
Improved engagement
Better team dynamics

7. User CommentsUser Comments
““Why would any surgeon choose to estimate depth during a procedure or allow his team to be forced toWhy would any surgeon choose to estimate depth during a procedure or allow his team to be forced to
do so? Why would they choose to have crucial decisions based on an educated guess when actual 3Ddo so? Why would they choose to have crucial decisions based on an educated guess when actual 3D
depth information can be available in the visual field? Even the simplest endoscopic procedure can bedepth information can be available in the visual field? Even the simplest endoscopic procedure can be
done quicker, with more confidence, and with better results when both the surgeon and his team’s viewdone quicker, with more confidence, and with better results when both the surgeon and his team’s view
of the surgical field includes realistic depth parameters. I also believe that shortening the endoscopicof the surgical field includes realistic depth parameters. I also believe that shortening the endoscopic
learning curve is very real with 3D vision and this is a critical missing link in today’s operating roomlearning curve is very real with 3D vision and this is a critical missing link in today’s operating room
environment. Surgeons and their teams need this tool.”environment. Surgeons and their teams need this tool.”
Dr. Sam Balkhy, Chief, Cardiovascular Surgery, Wisconsin Heart InstituteDr. Sam Balkhy, Chief, Cardiovascular Surgery, Wisconsin Heart Institute
““The case was a mitral valve replacement, tricuspid valve repair, cryo maze, and closure of left atrial appendageThe case was a mitral valve replacement, tricuspid valve repair, cryo maze, and closure of left atrial appendage WeWe
started at 8:50am and were closing the left atrium at 12:30pm with all aspects of case completed. This was clearly ourstarted at 8:50am and were closing the left atrium at 12:30pm with all aspects of case completed. This was clearly our
fastest time for this procedure. This was due in great part to my ability as first assistant to hand off suture and suppliesfastest time for this procedure. This was due in great part to my ability as first assistant to hand off suture and supplies
with confidence, dexterity and much more quickly due to my having depth perception because of my 3D image.with confidence, dexterity and much more quickly due to my having depth perception because of my 3D image.
Dottie Krienbring, RN, Wisconsin Heart InstituteDottie Krienbring, RN, Wisconsin Heart Institute
Upon hearing over the intercom , “Doc, I’ve never seen it like this!”, “Ohhh, now I understand!”, “Doc, I neverUpon hearing over the intercom , “Doc, I’ve never seen it like this!”, “Ohhh, now I understand!”, “Doc, I never
understood why you used that last clip- now I get it!“, “I can see around the tissue…right-t-tunderstood why you used that last clip- now I get it!“, “I can see around the tissue…right-t-t therethere!” , Dr. Patel!” , Dr. Patel
commented, ”This team has over 2000 robotic procedures under their belt. If they see that much value fromcommented, ”This team has over 2000 robotic procedures under their belt. If they see that much value from
this, just imagine the impact on a newly established team!”this, just imagine the impact on a newly established team!”
Dr. Vipul Patel, Chief Urology, Florida Hospital, Global Robotics InstituteDr. Vipul Patel, Chief Urology, Florida Hospital, Global Robotics Institute
““This technology is very helpful. in these cases The bedside assistant has a very important role to playThis technology is very helpful. in these cases The bedside assistant has a very important role to play
in lobectomy and other intricate procedures. 3D will be helpful in orientation in the large thoracic cavity,in lobectomy and other intricate procedures. 3D will be helpful in orientation in the large thoracic cavity,
as well as, with the manipulation of staplers and other devices.”as well as, with the manipulation of staplers and other devices.”
Dr. Mario Gaspari, Thoracic Surgeon, Froedtert HospitalDr. Mario Gaspari, Thoracic Surgeon, Froedtert Hospital

8. 3D Value ChainThe Leonardo 3D Vision™
System provides an visualization tool that gives
the hospital leverage, mixing and matching 3D components to maximize
productivity.
The Atlanticus 3D Vision™
Recording System provides the surgeon with
new tools for teaching and medical conference presentations.
The Genius 3D Vision™
System provides an outstanding communication
format for education, proctoring, and teaching. The level of understanding
during instructional sessions is dramatically enhanced and procedural
prowess is more efficiently advanced.
The TeLisa 3D Vision™
platform allows the efficient learning, as described
by the Genius System, to be expanded from within the operating suite or
localized meeting environment to sites across the globe.
The Windsor 3D Vision™
Endoscopic System will allow 3D images to be
captured within the non-robotic endoscopy environment, potentially without
the necessity of a 3D endoscope. This, in itself, represents a spectacular
innovation in minimally invasive surgery.