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Intuitive Surgical, Inc. Message Board

  • fish_discover_water_last fish_discover_water_last Jan 10, 2011 5:37 PM Flag

    daVinci Back Surgery

    Interesting video talks about robotic back surgery. Neither the video clip nor the article mention the daVinci by name but the daVinci can be clearly seen in the background the Asian surgeon interviewed in the clip, Dr. Daniel Eun, is a daVinci surgeon form UPenn. I met him at an event I attended there last year.

    "With some approaches to back surgery, as many as 40 percent of male patients may experience fertility problems. With the robotic approach, urologists advance the surgical instruments, then neurosurgeons take over and fuse the spine endoscopically. "

    Read the full article and watch the video here.

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    • ITS NOT DAVINCI...IT IS MAKO..Stock is flying..MAKO..was featured on National Tv.

    • Thanks fish for an excellent article and video.

      One question regarding FDA approval on surgery. I assume spinal surgery with the da Vinci already has FDA approval if doctors are using it- correct? It surprises me that if it has approval why we are not seeing more spinal surgeries- one would think the da Vinci would offer significant advantages over other options.

      Just interest in your thoughts.


      • 3 Replies to tjzkfarrell
      • fish_discover_water_last fish_discover_water_last Jan 11, 2011 8:29 AM Flag

        When I first read the article I thought it said that the robot had been FDA approved for spine surgery which was news to me. I don't think it is.

        a closer read suggests another possible interpretation. The article says,

        "The ROBOT-ASSISTED APPROACH <emphasis mine> to spinal surgery is FDA approved, but neurologists do not use the robot during the spinal fusion itself."

        Since the robot is not actually doing the spinal part of the surgery and daVinci is approved for abdominal surgery it might not need approval for spinal surgery. This is just one several possibilities. I seem to recall one previous article about daVinci being used in a spinal surgery but I don't recall ever seeing anything touting an FDA approval for this area.

        I'll have to dig into my files and see if my recollection about previous spinal surgery is correct.

      • My wife works in the area of medical devices and she says surgeons can do off label uses of a device as long as their internal review board approves. This is how companies get enough data to support uses and or further studies. In a case like this the surgeon can do the work but Intuitive cannot promote it. ISRG can only promote procedures the FDA has approved. This type of stuff is called "off label uses."

    • Excellent post Fish. Thanks as always.

    • It is only a matter of time before the delicate control of daVinci is realized by surgeons for many more applications. This is a great piece to demonstrate the trend. Thank you for posting.

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