We will let HAL do yoursurgery…TheimplicationsofroboticinnovationinmedicineMaja Segedi MD
Financial InterestsNone to declare
History of Surgical Innovation
Aseptic techniqueJoseph Lister – biggest advocate of sterility“Washing hands is as important before asafter surgery”
New frontiers in surgery becamepossible
Minimally Invasive Surgery
Da Vinci’s Mechanical Knight
Endo Wrist Instruments
Stereo Viewer
Imaging RobotToronto General Hospital OR 20
Toronto General HospitalProstate, kidney, bladder–  Sept 2008–  487 cases–  Prostatectomy, Partialand Radical Cystectomy,P...
Why not do all surgery withrobots?
Costda Vinci surgical system$2,500,00.00 USDdraping the robot/case$300.00 USDcost of one robotic instrument$300-500 USD
Ethical IssuesDo no harm
•  Computing technology is becoming cheaperand better•  Machines are becoming cleverer and moreindependent at completing h...
http://www.arjenborn.nl
Bomb diffusing military robot
KuratasReuters, Nov 2012
Asimov’s Laws of Robotics1.  protect humans2.  obey orders3.  preserve themselves
Integrating ethics may be more cautiousand less agile than a do first, thinklater (or worse do first, apologizelater) appr...
EPSRC Principles of RoboticsRobots are multi-use tools. Robots should not be designed solely or primarilyto kill or harm h...
Steps to doing robotics right1. More clarity (laws on what allowed to do)2. Clarity in the machines–  Black boxes to recor...
Technology has driven mankindsprogress, but each new advance hasposed troubling new questions.Autonomous machines are nodi...
Thank you
Questions?
SourcesÜ  Ted TV Catherine Mohr 2009 “Catherine Mohr:Surgerys past, present and robotic future”Ü  Intuitivesurgical.comÜ...
AcknowledgementsÜ  Dr. John Irish, University Health NetworkÜ  Anne Richards, Surgical Nurse Manager, UHNÜ  Kate Mlachak
Ü  Reach it allÜ  See diseaseÜ  Leave patient whole and intact and functionalÜ  When you get to your date with the sur...
Cyborg Camp YVR 2013: Dr. Maja Segedi: “Robots, Surgery and Society”
Cyborg Camp YVR 2013: Dr. Maja Segedi: “Robots, Surgery and Society”
Cyborg Camp YVR 2013: Dr. Maja Segedi: “Robots, Surgery and Society”
Cyborg Camp YVR 2013: Dr. Maja Segedi: “Robots, Surgery and Society”
Cyborg Camp YVR 2013: Dr. Maja Segedi: “Robots, Surgery and Society”
Cyborg Camp YVR 2013: Dr. Maja Segedi: “Robots, Surgery and Society”
Cyborg Camp YVR 2013: Dr. Maja Segedi: “Robots, Surgery and Society”
Cyborg Camp YVR 2013: Dr. Maja Segedi: “Robots, Surgery and Society”
Cyborg Camp YVR 2013: Dr. Maja Segedi: “Robots, Surgery and Society”
Cyborg Camp YVR 2013: Dr. Maja Segedi: “Robots, Surgery and Society”
Cyborg Camp YVR 2013: Dr. Maja Segedi: “Robots, Surgery and Society”
Cyborg Camp YVR 2013: Dr. Maja Segedi: “Robots, Surgery and Society”
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Cyborg Camp YVR 2013: Dr. Maja Segedi: “Robots, Surgery and Society”

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“Robots, Surgery and Society”

Robots have long been used in our daily lives, from helping with chores to fighting wars. In hospitals today, they walk on doctor rounds visiting patients and perform surgeries. Maja will provide an overview of current innovations in surgery and robotics, and explore how the future of robotics will have awesome implications for surgery and society. She will ask how far can we go before a surgeon’s ally becomes his achilles heal? And what is the trade off between robotic innovation and doing no harm?

Maja is a liver transplant surgeon, currently training in Toronto. She has performed numerous operations both with and without the assistance of laparoscopic instruments, robotic devices, and highly technical imaging tools and holds a Masters in Public Health and training in Clinical Ethics.

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Cyborg Camp YVR 2013: Dr. Maja Segedi: “Robots, Surgery and Society”

  1. 1. We will let HAL do yoursurgery…TheimplicationsofroboticinnovationinmedicineMaja Segedi MD
  2. 2. Financial InterestsNone to declare
  3. 3. History of Surgical Innovation
  4. 4. Aseptic techniqueJoseph Lister – biggest advocate of sterility“Washing hands is as important before asafter surgery”
  5. 5. New frontiers in surgery becamepossible
  6. 6. Minimally Invasive Surgery
  7. 7. Da Vinci’s Mechanical Knight
  8. 8. Endo Wrist Instruments
  9. 9. Stereo Viewer
  10. 10. Imaging RobotToronto General Hospital OR 20
  11. 11. Toronto General HospitalProstate, kidney, bladder–  Sept 2008–  487 cases–  Prostatectomy, Partialand Radical Cystectomy,Partial and RadicalNephrectomyGynecologic Oncology–  Nov 2008–  322 cases–  Hysterectomy, PelvicExenteration*Colon and rectal cancer–  June 2011–  22 cases–  Low Anterior Resection,AbdominoperinealResectionChest tumors–  Oct 2011–  38 cases–  Lobectomy*,Tracheo-bronchial plication,Thymectomy
  12. 12. Why not do all surgery withrobots?
  13. 13. Costda Vinci surgical system$2,500,00.00 USDdraping the robot/case$300.00 USDcost of one robotic instrument$300-500 USD
  14. 14. Ethical IssuesDo no harm
  15. 15. •  Computing technology is becoming cheaperand better•  Machines are becoming cleverer and moreindependent at completing human tasks–  Warfare robots for surveillance, diffusing bombs–  Cars that self-drive•  2012 Car can tell if a pedestrian in front and brake–  Robots for elder care and robotic surgery
  16. 16. http://www.arjenborn.nl
  17. 17. Bomb diffusing military robot
  18. 18. KuratasReuters, Nov 2012
  19. 19. Asimov’s Laws of Robotics1.  protect humans2.  obey orders3.  preserve themselves
  20. 20. Integrating ethics may be more cautiousand less agile than a do first, thinklater (or worse do first, apologizelater) approach, but it helps us win themoral high ground - perhaps the moststrategic of battlefields.Patrick Lin of the California Polytechnic State University in abriefing to CIA officials (Dec 2012)
  21. 21. EPSRC Principles of RoboticsRobots are multi-use tools. Robots should not be designed solely or primarilyto kill or harm humans, except in the interests of national security.Humans, not robots, are responsible agents. Robots should be designed &operated as far as is practicable to comply with existing laws & fundamentalrights & freedoms, including privacy.Robots are products. They should be designed using processes which assuretheir safety and security.Robots are manufactured artefacts. They should not be designed in adeceptive way to exploit vulnerable users; instead their machine natureshould be transparent.The person with legal responsibility for a robot should be attributed.http://www.epsrc.ac.uk/research/ourportfolio/themes/engineering/activities/Pages/principlesofrobotics.aspx
  22. 22. Steps to doing robotics right1. More clarity (laws on what allowed to do)2. Clarity in the machines–  Black boxes to record all•  Eg. driverless car has this (Nevada law)3. Machines need to embody the right ethical rules–  Cultural disputes–  Ethical principles–  Trolleyology – experimental philosophy (whatpercent of population prefers which principle)
  23. 23. Technology has driven mankindsprogress, but each new advance hasposed troubling new questions.Autonomous machines are nodifferent. The sooner the questionsof moral agency they raise areanswered, the easier it will be formankind to enjoy the benefits thatthey will undoubtedly bring.
  24. 24. Thank you
  25. 25. Questions?
  26. 26. SourcesÜ  Ted TV Catherine Mohr 2009 “Catherine Mohr:Surgerys past, present and robotic future”Ü  Intuitivesurgical.comÜ  Economist.com, Feb 2012 “Morals and themachine”Ü  Lin, P., Abney, K., Bekey, G.A. (Eds.). (2012).Robot Ethics: The Ethical and Social Implicationsof Robotics (Intelligent Robotics andAutonomous Agents series). Cambridge, MA:MIT Press.
  27. 27. AcknowledgementsÜ  Dr. John Irish, University Health NetworkÜ  Anne Richards, Surgical Nurse Manager, UHNÜ  Kate Mlachak
  28. 28. Ü  Reach it allÜ  See diseaseÜ  Leave patient whole and intact and functionalÜ  When you get to your date with the surgeonÜ  Facing the diagnosis of cancer or heart disease

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