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borkborkington t1_iz2c8ss wrote

You don’t actually have to build the OR around the Davinci however. The consoles and robot itself are all able to be worked out of the room and stored elsewhere if needed. And it fits through normal OR doors that would also fit a regular bed.

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slimboc t1_iz2tdos wrote

I designed a new DaVinci OR in an existing hospital this year. FGI has minimum guidelines for the room, the issue becomes robot positioning and use for staff. Trip hazards for the circulating and patient nurse are a major concern from the wires from the patient cart, vision cart, and surgeon console. You’re able to better contain them with overhead boom coordination that gets them off the floor. There’s also concerns about the robot approach to the patient because the operating table’s head isn’t going to do a 180 if you have a floor fed anesthesia machine / medgas. You have to plan for the robot to have good positioning at both sides. Other concerns were MEP related to make sure the robot would perform correctly in the room / not hit the overhead boom system when fully deployed.

What I’d personally be interested in is how easy it is to clean the new robot’s arms. Current DaVinci’s take a long time to be sterilized compared to conventional instruments. If the new robot can be sterilized quicker it would allow for more either more cases to be preformed or allow your sterile processing department to have some breathing room in their workflow.

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Jai_Cee t1_iz3m7mb wrote

Versius arms are draped. Obviously the instruments need to be sterilised but you have multiple sets of them since they are consumables.

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slimboc t1_iz3nkfs wrote

That’s a great move and exciting to hear. DaVinci arms take so much more to process in SPD since you can’t cram multiple arms into a sink basin or ultrasonics due to their size.

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