Intellijoint Surgical Inc. Case Study

Integrated Care Collaboration maintains a health information exchange called the ICare system. Through this system Integrated Care Collaboration has worked towards identifying needs of Central Texas and improving healthcare access to those who need it. Integrated Care collaboration has been nationally recognized and has been accredited with the the Texas Health Information Exchange Accreditation Program (TXHIEAP) and the Direct Trusted Agent Accreditation Program (DTAAP). Both accreditation programs are dedicated to ensuring proper use of HIEs and compliance with federal and state laws as well as HIPAA. Texas Health Information Exchange Accreditation program focuses on proper exchange of patient information while Direct Trusted Agent Accreditation Program is geared toward recognizing excellence in data processing and transactions

I can see myself sitting with my team evaluating the changing external environment in terms of public policy, as well as technological advances to determine the next best collaboration. One of the most needed collaborations is working with the Google’s, Pfizer's, Aetna’s to utilize the unlimited amounts of data across all to customize patient experience. With an appropriate amount of regulation, this will revolutionize the industry. Currently, everyone is analyzing their own data and under-utilizing the ability to partnering across function. The decisions we make will impact the future for the generations to

Technology has been advancing with the years, and it has changed how people live, communicate, travel, and learn. In particular, healthcare has changed due to the continuous technological advancements. Robotic advancements specifically have been transforming the health care industry. It is becoming noticeable that robotics are now being used for a variety of purposes in healthcare including drug making, moving supplies, administering drugs to patients, and monitoring patient vitals. A progressing form of robotics in healthcare is robotic surgery. One of the top functioning robotic surgery devices is the da Vinci Surgical System. Since 2000, surgical device has completed over 20,000 surgeries, which has set up the movement of using

robot assistance. If robotic device can be used in surgeries to improve the outcome of surgeries

Robotic surgery is playing a crucial role in the advancement of current medical technology. The cost effectiveness of these procedures, coupled with the rates of procedure safety, procedure failure or complications, and patient recovery has the potential to drive the success or failure of robotic use.

The da Vinci Surgical System developed by Intuitive Surgical was actually developed to help perform surgical procedures in adverse environmental conditions or remote places or zones of conflict where the safety of a surgical team could be compromised. But, as the system was used in practical situations it became evident that it would be best to use it in minimally invasive surgical procedures. The da Vinci converts the movements of a surgeon into electronic signals which are then relayed to instruments which are then able to perform surgical steps without the effect of tremors if any in the surgeon’s movements. It is also incorporated with a camera which relays a stereoscopic picture to the monitor through which the surgeon can see the events in real time. This system was approved by FDA in 2001. The various surgical procedures that the da Vinci has performed include heart bypass operations, renal transplant procedure, gall bladder operations and laparoscopic surgeries. The Endowrist was also developed by the same company and it resulted in a design which was similar to a human hand and could perform all the movements in all ranges like the surgeon’s hand but it was more flexible, accurate and provided better manipulation of instruments as compared to a human

Robotic-assisted surgery is a robotic machine that is designed to help assist in surgical procedures. It is programmed to help aid the surgeon with the placement and movement of surgical instruments. A surgeon’s hand movements control the robot. Each of the surgeon’s fingers is placed inside of a circular part designed for their hands to fit into. There are

Medgadget Kenan Raddawi: Before we get started, we would like to learn a little bit more about your carrier in robotic assisted surgery, and why did you decide to go into this field?

This robotic device can be used for several different surgical procedures ranging from gynecology surgeries to cancer procedures. Three components comprise the da Vinci surgery system: a high definition 3 dimensional vision system, a surgeon console and a patient cart. The patient cart contains four interactive robotic arms that are controlled by the surgeon during surgery. The robotic arms each hold the surgical instruments needed to perform the surgery. One of the robotic arms also holds a camera so the surgeon can view the surgical area he needs to perform on. While seated at the surgeon console, the da Vinci surgeon views the patient and the surgical field through a remarkable clear 3 dimensional screen. Forceps controls are also provided for the surgeon to manipulate the four interactive robotic arms. Each surgical instrument copies the surgeon’s movement to perform the surgery.

There is a “safe zone” for optical alignment that correlates to best patient outcome. Computer navigation systems are sometimes used in order to ensure the cup is aligned perfectly, however, this increases both the operation time and the cost. Hananouchi completed a study in which a surgical guide was created using RP. Surgical guides were designed on a computer directly from the CT scans of fractured pelvis, and then manufactured with RP, allowing 0.1-0.2 millimeters of accuracy. This guide was used in surgery after acetabular reaming, and the total time from set up to removal of the guide was 3.5 minutes. The total operation time was 106 minutes [Hananouchi, 2009]. Using these custom guides is helpful in surgery because it provides the same benefits of the computer navigation system in terms of alignment, but is a better option in terms of cost and operation time. Another benefit is that using these guides would not require the surgeon to look away from the surgical field like they would need to with a computer navigation system. More studies would need to be done directly comparing the two methods to determine which provides better alignment accuracy, but if the two are comparable, using the custom guide could potentially be a great option for both patient and surgeon. These models are not only helpful in creating surgical guides, but can also be beneficial for THA

Information technology in health care has a vast potential, but is currently years away from being proficient. If everyone in the health care and IT departments had the right intentions and were able to use these programs to better patient outcomes, there would not be this lack of technology in hospitals. Health care is one of the biggest industries in the world, yet we cannot create a better way to deliver and receive information using technology. In my honest opinion, I believe that if the health care system does not overcome these simple dilemmas then there will never be an advance in IT within the

They are also used in revision surgeries, which correct or improve the result of an original surgery.

Tom Davison, the company 's new president and CEO, recognized that although the prototype had served its basic purposes--proving the concept was technically viable and that surgeons were eager to use such an instrument for minimally invasive surgery--the prototype design was too costly for a commercially successful product in an era of managed care and other initiatives aimed at controlling health care costs. Because of limited cash and external resources and the need to enter the market as soon as possible with a viable product, Endius outsourced product development to Product Genesis, a product design consultancy. Now, Davison has to establish a target cost to ensure that the final product will achieve the market acceptance necessary to not only provide needed cash flow but also to build Endius 's reputation and customer base for follow-on products.

Technology is transforming the medical field with the design of robotic devices and multifaceted imaging. Even though these developments have made operations much less invasive, robotic systems have their own disadvantages that prevent them from replacing surgeons all together. Minimally Invasive Surgery (MIS) is a broad notion encompassing a lot of common procedures that existed prior to the introduction of robots. It refers to general procedures that keep away from long cuts by entering the body through small, usually about 1cm, entry incisions, through which surgeons use long-handled instruments to operate on tissue inside the body. Such operations are directed by viewing equipment and, therefore, do not automatically need the use of a robot. Yet, it is not incorrect to say that computer-assisted and robotic surgeries are categories that fall under minimally invasive surgery (Robotic Surgery, n.d.).

According to Ashish Chandra and Zachary D. Frank, surgeons have been trying to find a more effective method of performing