Skip to main content

Specific Risks Related to Robotic Surgery: Are They Real?

  • Conference paper
  • First Online:
Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) (IEA 2018)

Part of the book series: Advances in Intelligent Systems and Computing ((AISC,volume 818))

Included in the following conference series:

  • 2383 Accesses

Abstract

Robotic surgery, in recent years, has had an exponential increase, both as a number of procedures and as new indications to a robotic surgical approach. With the massive use of the robotic approach in surgery, the safety of this device and monitoring of any malfunctions play an increasingly important role. The goal of this literature review is to analyze different causes of unexpected complications or potential errors in the Da Vinci system, to increase patient and operator safety in the future. The complication rate directly related to robotic malfunction is very low, approximately from 0,02% to 4,97%. Splitting the data across studies MAUDE based and single or multi center experience will notice immediately that the rate is lowest among the MAUDE based (from 0,02% to 0,61% vs from 2,39% to 4,97%). Malfunctions are uncommon and the need to abort or convert to another modality is rare. Most importantly, while mechanical and electronic errors can happen, they do not appear to impact surgical outcomes or patient safety.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Hussain A, Malik A, Halim MU, Ali AM (2014) The use of robotics in surgery: a review. Int J Clin Pract 68(11):1376–1382

    Article  Google Scholar 

  2. Annual report 2016. http://www.annualreports.com/HostedData/AnnualReports/PDF/NASDAQ_ISRG_2016.pdf

  3. MAUDE: Manufacturer and User Facility Device Experience. U.S. Food and Drug Administration. http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfMAUDE/search.CFM

  4. Gurtcheff SE (2008) Introduction to the MAUDE database. Clin Obstet Gynecol 51(1):120–123. https://doi.org/10.1097/GRF.0b013e318161e657

    Article  Google Scholar 

  5. Rajih E (2017) Error reporting from the da Vinci surgical system in robotic surgery: a Canadian multispecialty experience at a single academic centre. Can Urol Assoc J 11(5):E197

    Article  Google Scholar 

  6. Gupta P (2017) Development of a classification scheme for examining adverse events associated with medical devices, specifically the DaVinci surgical system as reported in the FDA MAUDE database. J Endourol 31(1):27–31

    Article  MathSciNet  Google Scholar 

  7. Alemzadeh H, Raman J, Leveson N, Kalbarczy Z (2016) Adverse events in robotic surgery: a retrospective study of 14 years of FDA. PLoS ONE 11(4):e0151470

    Article  Google Scholar 

  8. Agcaoglu O (2012) Malfunction and failure of robotic systems during general surgical procedures. Surg Endosc 26(12):3580–3583

    Article  Google Scholar 

  9. Talamini M (2002) Robotic gastrointestinal surgery: early experience and system description. J Laparoendosc Adv Surg Tech Videosc 12(4):225–232

    Article  Google Scholar 

  10. Kim WT (2009) Failure and malfunction of da Vinci surgical systems during various robotic surgeries: experience from six departments at a single institute. Laparosc Robot

    Google Scholar 

  11. Chen CC (2012) Malfunction of the da Vinci robotic system in urology. Int J Urol. https://doi.org/10.1111/j.1442-2042.2012.03010.x

    Article  Google Scholar 

  12. Lucas SM, Pattison E, Sundaram CP (2012) Global robotic experience and the type of surgical system impact the types of robotic malfunctions and their clinical consequences. An FDA MAUDE review. BJU Int 109(8):1222–1227

    Article  Google Scholar 

  13. Cooper M, Ibrahim A, Lyu H, Makary MA (2015) Underreporting of robotic surgery complications. J Health Qual 37(2):133–138

    Article  Google Scholar 

  14. Andonian S (2008) Device failures associated with patient injuries during robot-assisted laparoscopic surgeries: a comprehensive review of FDA MAUDE database. Can J Urol 15(1):3912–3916

    Google Scholar 

  15. Dubeck D (2014) Robotic-assisted surgery: focus on training and credentialing. PA Patient Saf Advis 11(3):93–101

    Google Scholar 

  16. Catchpole KR (2018) Diagnosing barriers to safety and efficiency in robotic surgery. Ergonomics 61(1):26–39

    Article  Google Scholar 

  17. Ashwin N (2017) Sridhar training in robotic surgery—an overview. Urosurg Curr Urol Rep 18:58. https://doi.org/10.1007/s11934-017-0710-y

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Luca Moraldi .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Moraldi, L., Barbato, G., Coratti, A. (2019). Specific Risks Related to Robotic Surgery: Are They Real?. In: Bagnara, S., Tartaglia, R., Albolino, S., Alexander, T., Fujita, Y. (eds) Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). IEA 2018. Advances in Intelligent Systems and Computing, vol 818. Springer, Cham. https://doi.org/10.1007/978-3-319-96098-2_58

Download citation

Publish with us

Policies and ethics