WELCOME TO HEAD & NECK ROBOTIC SURGERY IN THE H&N

Hugo RAS

Hugo is the device from Medtronic for Robotic Assisted Surgery (RAS). As is follows the concept and the design of the da Vinci, lets remark differences and contributions.

  • The surgeon´s console displays a 3D monitor instead of a visor. The open design allows anyone around to have a 3D view of the surgical field, but requires the use of polarized glasses (also for the surgeon).
  • The patient-side component is split in individual modules for each arm. The philosophy is to “robotize laparoscopic procedures” which should add flexibility but might at the same time miss part of the potential of robotization. Check the set-up for different procedures.
  • The instruments reproduce the da Vinci´s endowrist. The master manipulators have some minor differences. The general feeling is quite similar. Advanced energies are still to come.
  • The Hugo RAS tower (video cart) includes endoscopic technology from Karl Storz and the Valleylab™ FT10 energy platform (Medtronic). It can be used for conventional endoscopic surgery.
  • As a remarkable difference with Intuitive, the device includes a comprehensive solution for recording through an on-line service by Touch Surgery Enterprise. It is hosted on Amazon Web Services (AWS).
 

4th generation: da Vinci Xi

The currently available is the fourth generation, the da Vinci Xi. It was launched in 2014. Notice that the surgeons´s console is quite similar to that of the da Vinci Si. But a radical was change was this time introduced in the patient-side cart.

The most obvious modification is that the four arms are no longer at the sides of a column, but inserted at a platform that is suspended above the surgical field. The freedom for different set-up configurations and the change from one to another is radically improved. Moreover, the is no longer a fixed camera-arm. Every insertable tool, including the camera, is 8mm, and can be inserted in any arm, numbered 1 through 4.