Key to Buying an Orthopaedic surgical Robot - SICOT Muscat
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Talk delivered at SICOT Muscat gives an insight on how to choose a surgical robot for arthroplasties. It compares various available robotic platform and suggests a process on how to go about procuring one.
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Result:
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Right candidates for vertebroplasty include:
1. Elderly patients who are suffering from osteoporosis, compression fractures or a weakened vertebrae due to cancer.
2. Younger patients who have developed osteoporosis after long-term use of steroid treatment, cigarettes or metabolic disorder.
3. Individuals with malignant tumors on the spine.
Some common use of Vertebroplasty surgery procedure:
Vertebroplasty surgery is used to treat pain caused by vertebral compression fractures in the spine. Typically, vertebroplasty is recommended after simpler treatment such as bed rest, a back brace or pain medication have been ineffective or once medications have begun to cause other problems such as stomach ulcers. Vertebroplasty can be performed immediately in patients who have severe pain requiring hospitalization or conditions that limit bed rest and medications.
How does the procedure work?
Vertebroplasty surgery involves injecting a special cement mixture into the small holes in weakened vertebrae to strengthen the spinal bones making them less likely to fracture again and providing relief from pain. Using image-guidance, a hollow needle called a trocar is passed through the skin into the spinal bone and a cement mixture is then injected into the vertebra.
Vertebroplasty surgery procedure:
Since Vertebroplasty main indication is to treat osteoporosis, which is the weakening of the bones due to tiny porous holes that form as a result of genetics, ethnicity or diet. Medical-grade spine cement is inserted into the fractured vertebral body with a tiny needle, filling up the porous areas of the bone.
Recovery from Vertebroplasty surgery:
Most patients prefer Vertebroplasty surgery over any other orthopedic procedure that treats the spine because there is no incision. Only a tiny prick in the skin is made for the special needle-like camera to be inserted for optimum visualization. Stitches are not needed. Recovery time is minimal. Normally the pain from osteoporosis or slightly fractured vertebrae is relieved immediately after this procedure.
Result:
Success rates for treating osteoporotic fractures are high. The percentage of individuals who experience complications after Vertebroplasty surgery is less than 1%.
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This document discusses how technological innovations are transforming healthcare delivery. It outlines several innovations like telehealth, 3D printing, robotics, nanotechnology, and artificial intelligence that could change the healthcare system. These technologies may allow up to 50% of healthcare visits to be conducted remotely via telemedicine in the next 5 years. The document argues that the current healthcare system is experiencing a paradigm shift from traditional to more modern approaches as a result of disruptive technologies.
Media project social impact of technology
The document discusses how medical technologies have improved lives by preventing disease and enabling organ transplants and surgeries. However, these advances raise ethical issues. Preimplantation genetic diagnosis allows screening embryos but raising concerns about controlling traits. Organ transplants are limited but tissue engineering may one day make them unnecessary. Major surgeries like bypass now cure many but were sometimes due to avoidable lifestyle factors. Overall medical technology preserves life but society must address associated challenges like healthcare costs as the population ages.
The stem cell therapy racket in India
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UCSF Life Sciences Week 1 diagnostics
This document provides an overview of a Lean LaunchPad cohort focused on diagnostics. It discusses how the definition and nature of diagnostics has changed with advances in biology and technology. Diagnostics can now detect changes over time, stratify conditions, and predict outcomes. Value propositions are more complex with varied testing approaches for medical, consumer, and industrial uses. Business models in diagnostics are also changing, with large companies focusing on established markets and smaller companies pursuing niche technologies. The document outlines challenges specific to diagnostics like regulation, reimbursement, and multisided healthcare markets. It emphasizes generating hypotheses from market insights rather than just technical insights to create customer value.
TMJ surgery / dental implant courses
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
eHealth Summit: "The Impact of Wet Paint on Health Informatics" by Neil O'Hare
Slides from National eHealth Summit, 30 Sept 2015 at Carton House, Kildare: Neil O'Hare, Director of Informatics, St James Hospital.
#eHealthSummit15
http://www.ehealthsummit.ie
http://mhealthinsight.com/2015/09/25/mhealth-insights-from-the-ehealth-summit/
Healthcare Express
Dr Himadri Sikhor Das pursued radiology after becoming fascinated by the vast knowledge of anatomy and pathophysiology demonstrated by radiology residents while he was a surgery resident. He now owns his own successful radiology practice. Some of the benefits of owning his own practice include freedom and flexibility to set his own protocols. Some challenges in setting up a radiology lab included securing funding for equipment, finding an appropriate location, and obtaining necessary government clearances and approvals. He deals with challenges by fully understanding the problem and then working to find solutions without shortcuts. His advice for radiology students is to work hard to build a strong foundation in disease anatomy and pathology.
The Clinical and Economic Impact of Value-Based Implants in Orthopaedic Traum...
Learn about the market forces driving value-based care in orthopaedics (ASCs, bundled payments), and the clinical outcomes and economic impacts imparted by the use of value-based implants.
Atrium preso final
The document provides information about Joe Ryan's business plan for becoming an Atrium Medical Sales Representative. It includes summaries of interviews with hospital surgeons and current Atrium sales reps. It also covers additional research on hernia anatomy and Atrium's product range. The business plan outlines Joe's 30, 60, and 90 day goals which include completing training, establishing his territory routing, scheduling speaker programs, maintaining contact with his manager, and closing new business.
Telehealth user adoption: Blackholes & bullseyes - Douglas Shinsato, Anthill ...
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Bone Grafting is a standard reconstructive procedure. With better understanding of the reconstruction process in the body many alternate options are available today. This talk by Dr Vaibhav Bagaria details about the various alternatives.
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Total Hip replacement for Ankylosing Spondylitis: Planning & Execution
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Fractures after Knee replacement can be challenging. An algorithmic approach would help manage them better. The presentation defines correct approach towards the same.
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Correcting Varus Deformity of the Knee in Total Knee Replacement
This document discusses the varus knee, including:
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2. The sequential approach to correction involves assessing and classifying the deformity, performing a medial release through multiple structures, osteophyte removal, and bone realignment through techniques like shift and resect or pie crusting if needed.
3. Key steps are creating a medial sleeve through layered release of the MCL and other medial structures, complete removal of osteophytes that can impede correction, and balancing flexion and extension gaps.
Algorithm to correct Varus Knee in a TKR
This document discusses the surgical anatomy and treatment of varus knee deformities. It describes Maquet's line and how it is medialized in varus knees. It then classifies varus deformities into 5 categories and details the surgical steps to correct it, including: creating a medial sleeve; removing osteophytes; checking and releasing ligaments like PCL, semimembranosus, and superficial MCL if gaps remain tight; and lateralizing the tibial component by shifting and reducing it. The goal is to create symmetrical extension and flexion gaps and restore the mechanical axis.
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Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Key to Buying an Orthopaedic surgical Robot - SICOT Muscat
- 1. My First Robot: Key to choosing right Playmate! Dr Vaibhav Bagaria Director - Orthopaedics Sir HN Reliance Foundation Hospital President & ND - SICOT India Mumbai, India
- 4. Our Wish list SURGEON: I am the BEST, Simply the best, most experienced, have the best results but I do not want any hassles & Yes definitely quick in quick out without compromising results! HOSPITAL/ STAFF:Less Inventory, Quick turn around time, Less COST
- 5. What?
- 7. What does experience tell us about TKR? • The goal of a knee arthroplasty is to restore the knee joint to a functional and pain-free state. • TKA is a successful procedure when pain relief and restoration of patient mobility with 10- to 15-year implant survival rates is greater than 90% • However, patients are far from fully satisfied, especially in the case of younger patients. Patient satisfaction remains at only 82% to 89% after TKA, and patients who received UKA are satisfied only 80% to 83% of the time
- 8. Known Knowns Both implant survival and patient satisfaction are dependent on multiple factors, including • patient selection, • implant design, • the preoperative condition of the joint, • surgical technique, • rehabilitation.
- 9. Alignment & Balancing The holyGrail!
- 13. Why am I even talking about this?
- 16. Era of Robotics
- 17. Available platform • Stryker: Mako • Medtronics: Mazor X Stealth • J& J Depuy Synthes: Orthotaxy • Zimmer Biomet: ROSA • Smith & nephew; Navio • Globus Medical: ExcelsiusGPS • Nuvasive: Pulse
- 18. How to compare?
- 21. When to buy? • Unique Dilemma • Does it make a difference? • technology likely to make a difference to people who can not afford it! • Early buyers will be able to make it as a marketing pitch
- 22. Does it Make a difference?
- 24. Does it make difference?
- 26. Does it make difference?
- 27. Does it make difference?
- 28. Dose it justify the expense?
- 30. Marketing!
- 31. HISTORY OF FUTURE • The Shape of the world to come is Visible today!
- 34. Debate Rages!!!
- 35. •Don’t wait time will never be just right! - Napoleon Hill
- 37. Who? • Rich Nation vs Poor Nation? • Govt/ Public Hospitals vs Private hospital • New kid on block vs experienced surgeon?
- 41. Road Ahead.. • Truly Onwards & Upwards • Thirst for innovation = Thrust for progress by humankind • While no superiority has been yet demonstrated in term of clinical outcome - ability of surgeon to improve their positioning has been demonstrated!
- 42. CHANDRAYAAN - Triumph & Tragedy go Hand in Hand!