Top 10 Leading Robotic Surgery Solution Providers in 2023

Adam Clark
CEO
The International
Medical Robotics
Academy (IMRA)
June
Issue 03
2023
Robotics
Academy (IMRA)
Creating the Future of Surgical Training Today
The International Medical
Health are
www.healthcareeverything.com
Transforming Healthcare
Top 10 Leading Robo c Surgery Solu on Providers in 2023
Professor Tony Costello
Exec Director and
Founder of IMRA

O
ver the years, the landscape of surgical procedures
has seen remarkable transformations driven by
innovative technologies and breakthroughs.
Robotic surgery, in particular, has emerged as a game-
changer, enabling surgeons to perform complex procedures
with enhanced precision, skill, and control. As we embark
on this journey of discovery, we invite you to explore the
immense potential of these robotic solutions and witness the
future of surgery unfold before your eyes.
In our quest to curate the finest content for our readers, we
have partnered with some of the industry's most influential
experts, thought leaders, and solution providers. Their
expertise and dedication paved the way for integrating
robotics into various surgical specialties, ranging from
general surgery to urology, gynecology, and beyond.
In this edition, Top 10 Leading Robotic Surgery Solution
Providers in 2023 by Healthcare Everything, you will
find exclusive interviews with renowned surgeons who have
harnessed the power of robotics to overcome intricate
challenges and achieve superior patient outcomes. Their
experiences and insights offer a glimpse into these cutting-
edge technologies' profound impact on medical practice.
As we celebrate the accomplishments of these leading
robotic surgery solution providers, we must not forget the
human touch that lies at the heart of these innovations.
Behind every surgical success story is a skilled surgeon,
empowered by technology but driven by compassion,
empathy, and a commitment to healing.
With each passing year, the field of robotic surgery
continues to evolve, with breakthroughs and advancements
shaping the landscape. Through this edition, we hope to
provide you with a comprehensive understanding of the
state-of-the-art technologies propelling surgical practices
into the future.
Happy reading!
Pja Sh
-Pooja Shah
Robotic Solutions
Future of Surgery
Unlocking the
with Leading

The International
Medical Robotics
Academy (IMRA)
08
Crea ng the Future of
Surgical Training Today
Cover
Story

Robo c Surgery in
the Digital Age
Navigating the Future
16
Articles
The Role of Robots
in Healthcare
Revolutionizing
Patient Care
24
20
How to Ensure Adequate
Protein Intake for the
Golden-aged People?
CXO
Silver Cross Hospital
Advancing Healthcare with the
Rise of Robo c Surgery
28
Gynecologist.pk
Empowering Women’s
Healthcare through Robots
14

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June, 2023
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Brief
Company
AiM Medical Robotics
aimmedicalrobotics.com
Greg Cole
CTO
Auris Health
aurishealth.com
Eric Davidson
COO
Corindus Vascular
Robotics
corindus.com
Diligent Robotics
diligentrobots.com
Andrea Thomaz
Co-Founder, CEO
Greenslopes
Private Hospital
greenslopesprivate.com.au
Chris Went
Chief Executive
Officer
Featuring
Gynecologist.pk
gynecologist.pk
Mazor Robotics
mazorrobotics.com
silvercross.org
The International
Medical Robotics
Academy (IMRA)
imracademy.com
The Wesley Hospital
wesley.com.au
Prof. Dr Rehana
Aamer Khan
Founder
Ori Hadomi
CEO
Marybeth Antone
Vice President of
Clinical Operations
Adam Clark
CEO
Andrew Barron
Chief Executive
Officer
Auris Health engages in the development of
robotics technology for medical applications.
AiM Medical Robotics works to bring high
levels of precision, automation, and efficiency,
to the complex environment of neurosurgery.
Bernd Montag
CEO
Corindus designs, manufactures, and
commercializes remote robotic systems for
interventional procedures.
Diligent Robotics builds robots that
seamlessly work with human teams in
healthcare environments.
Greenslopes Private Hospital offers a
personalised approach to cancer care combined
with cutting edge scientific and clinical
research.
Gynecologist.pk provides comprehensive
medical care for pregnant women to ensure a
healthy pregnancy and delivery.
Mazor Robotics Guidance Systems enable
surgeons to conduct spine and brain procedures
in a more accurate and secure manner.
Silver Cross Hospital introduced the Ion
robotic bronchoscopy system that can
diagnose lung cancer
IMRA has developed a unique robotic surgery
education program to educate and upskill
surgeons in preparation for the operating theatre
of the future.
The Wesley Hospital provide individuals,
families, and communities with the best
possible health and life outcomes.

Story
Adam Clark
CEO
The International
Medical Robotics
Academy (IMRA)

Robotics
Academy (IMRA)
International Medical
The
Creating the Future of Surgical Training Today
IMRA eliminates the
ethical concern of harming
living animals and cadavers
in surgical training by using
synthetic models.

The expectations of modern healthcare call for
greater speed, precision, and timely delivery of
treatment in every aspect, and surgical processes
are no exception. Implementing emerging trends of
technology like robotics in the medical field enables a high
level of patient care, efficient processes in clinical settings,
and a safe environment for patients and healthcare workers.
Medical robots support minimally invasive procedures,
customized and frequent monitoring for patients with
chronic diseases, intelligent therapeutics, and social
engagement for elderly patients. In addition, as robots
alleviate workloads, nurses and other caregivers can offer
patients more empathy and human interaction, which can
promote long-term well-being.
Robotic-assisted surgery is becoming the standard of care in
many specialties where open and laparoscopic surgery was
once the standard. With more robots entering the market,
the increased competition is resulting in lower costs for
installation and greater uptake. Robotic surgery adoption
is increasing as surgical robots can reduce the physical
demands on surgeons in complex cases, and reduce patient
blood loss and adverse operating events, leading to shorter
hospital stays and quicker patient recovery.
However, a question arises—Are surgeons prepared for
such a technological advancement in the surgical chambers?
Realizing the crucial need to provide surgeons with
specialized training to incorporate robotic surgical patterns
and reshape their learning curve to reduce surgical
complications—International Medical Robotic Academy
(IMRA) aims to train surgeons with high-class robotic-
assisted training and research by utilizing Online Education,
Simulation and VR, away from the operating rooms.
Under the coherent leadership of Adam Clark, the CEO,
IMRA's training methods are pioneered by the aviation
industry and provide a virtual reality experience with 3D
imaging for surgeons to develop their duration, accuracy
and movement precision.
The Tale of Inception
The genesis of IMRA began approximately five years ago
with Professor Tony Costello, the Founder's vision
that—robotic surgery is the future and that the education of
surgeons on this modern technology should be surgeon to
surgeon—independent from industry.
With support from the Victoria government and
philanthropist's help, he built a world-class training facility
in Melbourne. Using Professor Costello's training
pedagogy, Adam built an expert surgeon-led curriculum and
has incorporated synthetic organ models and extensive
simulation into IMRA's online and in-person courses.
The adult learning principles today depict that using
innovative ways to build skills can be an easier way to train
surgeons. Although Halsted's "See one, Do one, Teach one"
model of surgical learning has merit, it's not well suited to
teaching on robotic platforms for several reasons, not the
least being that it is focused on practicing on patients.
For this reason, Adam and his team have developed a
simulation-based training protocol akin to the aviation
industry, adopting a lot of their safety principles, such as
preparation for adverse events, emergencies, skill repetition
and human factors, and simulation. This training is based on
the new adult learning principles whereby—physically
completing tasks away from the patient and practicing
alongside expert faculty—will support better patient
outcomes and make surgeons proficient in their skills.
IMRA eliminates the ethical concern of causing harm to
animals and cadavers in surgical training by using synthetic
models. These models replicate human tissue and are cost-
effective compared to animals and cadavers. To create this
option, IMRA works in collaboration with the top
universities and faculties. Being an agile company, it can
easily adjust to the surgeons' needs and design products that
meet their unique training requirements.
Surgeons today want more opportunities to physically
practice their surgeries and a level of flexibility to choose
when and where they train. IMRA manages to provide both
through its training structures.
The Victorian State
Government in Australia has
also awarded IMRA a grant
to build the curriculum for
robotic surgery in the public
hospital space.

Embracing the Tech-Advancements
Surgeons could seek the training they need if appropriate
technological advances are used. Recent innovations such
as tele-proctoring, image guidance, and open and dual
console robotic platforms allow a much more eﬃcient way
to teach surgeons procedural anatomy that is safer and more
supportive of learning capabilities.
IMRA's simulation-based
training protocol is based on the
new adult learning principles
whereby—physically completing
tasks, away from the patient and
practicing alongside expert
faculty—will support be er patient
outcomes and make surgeons
proﬁcient in their skills.

Leveraging the technological support, Adam says, "There is
no such thing as 'easy' when it comes to training for a
surgeon. However, I feel that new technological solutions
support a robust framework for training, which, if
implemented properly, will improve patient outcomes."
Challenges into Opportunities for Growth
Current robotic surgical training is generally provided by
robot manufacturers. With new entrants to the market and
more uptake in the overall technology, surgeons must attend
multiple training sessions at various companies to support
their own hospital's equipment. Surgeons and staff at
hospitals are time-poor, so allowing complete training in
robotic surgery that is agnostic to the device supports these
goals.
IMRA meets the proficiency goals using data metrics. It
enables surgeons to seek training in the hospital operating
theatre (not in a remote training facility). The concern of
practicing on patients is also eliminated through IMRA's
linear pathway, which includes anatomically correct
synthetic human tissue models that deliver a complete
training solution.
Words of Wisdom — "Bring It On and Go Big!"
Better patient outcomes in the world of surgery aren't
impossible to attain without the support of innovation.
According to Adam, "Robotic and digital surgery is the
present and the future of healthcare. We need as many
lateral thinkers as possible to revolutionize the way surgery
is done. The way I see it, the harder we all work together,
the better outcomes the patients will have. Isn't that our goal
in this industry?"
Continuum of Augmentation
Currently, IMRA has a robust product and technology
pipeline that the organization continues to
CEO's Thoughts
On His Journey of Medical Innovations
I've had a long career in the medical device industry. Starting as a rep
for J&J many years ago and working at some of the major medical
device companies globally, I found my passion for Robotic Surgery at
Intuitive Surgical in the USA. I wanted to continue working in the field,
addressing the lack of innovation around alternative options for training
surgeons without conducting pigs and cadavers.
The medical industry has come so far with technology, yet our training
options are still very limited. But IMRA will continue to work alongside
surgeons, medical device companies, surgical societies and
governments—to create a truly integrated and product-agnostic
approach to training—that accelerates the uptake of robotic surgery
across all specialties and ultimately creates better patient outcomes.
IMRA meets the
proficiency goals using
data metrics. It enables
surgeons to seek training in
the hospital operating
theatre (not in a remote
training facility).

develop—beginning with its online and self-paced
Foundations of Robotic Surgery course and extending to
more specialist procedural content.
The company has signed a 5-year agreement with the Royal
Australasian College of Surgeons to provide educational
content regarding robotic-assisted surgery with basic,
advanced and agnostic courses—along with the most
realistic synthetic organ models ever created for surgical
training. IMRA will launch these to the market in the
coming year, 2023, and will continue to take feedback and
drive innovation in this ﬁeld.
The Victorian State Government in Australia has also
awarded IMRA a grant to build the curriculum for robotic
surgery in the public hospital space. Reﬂecting on its
achievement, "We are excited to be an organization
recognized for building content for surgeons, by surgeons,
and validated by the Government and Medical Colleges,"
concludes Adam.

14
In today’s world, robots are doing us the day-to-day
tasks along with assistance in the field of medical
assisting surgeries. Powered by cutting-edge robotic
technology, gynecological robotic surgery offers numerous
benefits to enhance patient outcomes and redefine surgical
precision. It provides surgeons with enhanced precision,
surpassing the capabilities of traditional laparoscopic. This
increasing scope of robotic surgery is opening new
possibilities for patients and healthcare alike.
Gynecological robotic surgery has brought a transformative
shift in women’s healthcare, redefining the standard of
surgical care. Empowering this technology, Prof. Dr
Rehana Aamer Khan started Gynecologist.pk, where the
team promises to transform traditional open surgery into
advanced robotic techniques.
Set on the voyage of the Top 10 Leading Robotic Surgery
Solution Providers, we at Healthcare Everything
interviewed Dr Rehana to learn more about this technology
and how it will reshape the future of women’s healthcare.
Below are the highlights of the interview:
Kindly brief us about the company and the ideas that
led to its inception.
I started my company gynecologist.pk two years back. The
basic idea for making this company is to transform
traditional open surgery into advanced techniques through
laparoscopic and robotic surgery. Since Pakistan is a
developing country, advanced surgery techniques are not
available here for the general public. I am fortunate enough
to get opportunities of learning advanced techniques during
my studies, and I was able to continue that journey of
learning advanced techniques. The idea behind this was to
treat the disease processes that could not be possible with
conventional techniques due to lack of expertise.
Empowering Women’s Healthcare through Robots
Prof. Dr Rehana Aamer Khan
Founder
Gynecologist.pk
We are an ambassador for the promotion
of minimally invasive surgery in Pakistan.
With minimally invasive techniques,
surgeons can deal with gynecological issues
with better control and outcomes.
June 2023 www.healthcareeverything.com
Gynecologist.pk

15
What is the key operations run by the company to serve
the changing needs of modern surgeons?
We are running complete solutions for gynecological issues
through
• Laparoscopic surgeries
• Robotic surgeries
• Hysteroscopic surgeries
This includes gynecological cancer surgeries, grade 4
endometriosis, myomectomies, congenital uterine problems
solutions, neovaginal formation, septum resection, duel
channel tubal cannulation and many others routine
gynecological surgeries.
Could you please shed some light on yourself and your
journey so far?
Before starting this journey, I did my medical graduation
from Allama Iqbal Medical College Lahore and Post
Graduation from the College of Physicians and Surgeons
Pakistan. I completed my Laparoscopic fellowship from
Endoscopic Training Centre Antwerp Belgium. I completed
my robotic surgery fellowship from The University of
Sharjah Clinical Centre UAE with CMR surgical team in
the Versius Robotic system. I am the first gynecological
robotic surgeon in Pakistan.
How is the company’s unique approach encouraging
innovative ideas among modern surgeons when
approaching healthcare?
We encourage surgeons to transform surgery through
modern techniques for better cure diseases. We are an
ambassador for the promotion of minimally invasive
surgery in Pakistan. With minimally invasive techniques,
surgeons can deal with gynecological issues with better
control and outcomes.
How do you think, will the emerging technological
solutions in surgery ease the process for modern
surgeons?
Robotic surgery provides better control to the surgeon of his
activities. With the help of a robot, surgeons can have better
depth of invasion in tissues that are impossible with hands
or naked eyes. Much more increased precision and accuracy
in surgery due to magnifying imaging and highly accurate
control over the surgical equipment leads to minimal blood
loss, less risk of injuries to surrounding organs, avoidance
of fatigue to the surgeon during long surgeries, freedom of
movement for the surgeon during surgery and many other
associated benefits. The surgeon can reanalyze the surgery
after the completion of surgery leading to improvement. It
helps to avoid legal complications as well.
What are the current challenges faced by the company.
How are you transforming them into opportunities for
growth in the market?
Since we are based in a developing country, the biggest
challenge is surgery cost. Equipment cost is very high, and
since minimal invasive surgery is not part of the national
health service, so the cost of the procedure is very high.
Since only high-income groups can avail our service, these
techniques are getting very popular in this segment of
society. The second challenge is that conventional surgeons
are always spreading negative words about modern
techniques, and because of this educated segment of society
is reading about these techniques more and more online.
As an experienced leader, what advice would you like to
give to robotic enthusiasts aiming to transform the
healthcare industry?
Any person who wants to run a robotic program in an
organization, he/she needs to develop a dedicated team of
health professionals. Along with health professionals, you
need to develop are very accurate financial plan for the
robotic program if its not government-funded.
Secondly, new surgeons should have patience while
learning robotic and minimally invasive surgery. The
learning curve of robotic surgery is very long.
Thirdly, develop a continuous awareness plan for robotic
surgery through which you can give awareness about its
benefits for patients and health professionals.
What are the future goals of the organization? How do
you envision upscaling its operations and reach in 2023
and beyond?
Our future plan is to give awareness to everyone about the
benefits of robotic surgery. We will try to break the false
myths about modern techniques so that more and more
people can avail benefits of modern surgery.

16
Navigating the Future

17
Surgery
Rob tic
in the
Digital Age
The digital age has ushered in a new era of innovation,
transforming various industries, including healthcare.
One of the most remarkable advancements in the field
of medicine is robotic surgery. With cutting-edge technology
and sophisticated robotics, surgeons can perform complex
procedures with unprecedented accuracy and control.
Let's dive in deeper for further information!
The Current State of Robotic Surgery
Robotic surgery, also known as robot-assisted surgery, involves
the use of the robot system to assist surgeons during operations.
These systems consist of robotic arms equipped with surgical
instruments and a high-definition camera, providing a 3D view
of the surgical site. The surgeon operates the robotic arms in a
console, controlling their movements with utmost precision.
Since its inception in the early 2000s, robotic surgery has
witnessed rapid growth and adoption across various surgical
specialties. The da Vinci Surgical System, developed by
Intuitive Surgical, is one of the most widely used robotic
surgical platforms. It has been employed in urology,
gynecology, cardiothoracic surgery, and other fields, offering
minimally invasive options and improved patient outcomes.

18
Benefits of Robotic Surgery
Ÿ Enhanced Precision: One of the major advantages of
robotic surgery is its ability to offer enhanced precision.
The robotic arms can perform complex exercises with a
greater range of motion and stability, surpassing the
limitations of human hands. This precision reduces the
risk of errors and complications during surgery.
Ÿ Minimally Invasive: Robotic surgery enables
minimally invasive procedures, which involve smaller
incisions compared to traditional open surgeries. As a
result, patients experience less pain, reduced scarring,
and faster recovery times, allowing them to return to
their normal activities sooner.
Ÿ Improved Visualization: The high-definition 3D
visualization provided by robotic systems offers
surgeons a detailed and magnified view of the surgical
site. This level of clarity helps in identifying critical
structures and enhancing surgical accuracy.
Ÿ Tremor Elimination: Human hands can be susceptible
to slight tremors, especially during intricate procedures.
Robotic surgery eliminates such tremors, ensuring
steady and stable movements throughout the operation.
Ÿ Surgeon Ergonomics: Robotic surgery consoles are
designed with ergonomics in mind, allowing surgeons to
operate comfortably while maintaining a natural
posture. Reduced physical strain can lead to better
surgical performance and fewer surgeon-related injuries.
Challenges and Limitation
While robotic surgery has demonstrated numerous benefits,
it also faces various challenges and limitations that need to
be addressed:
Ÿ Cost: Robotic surgical systems are expensive to acquire
and maintain, making them financially challenging for
some healthcare institutions. This cost factor can limit
their accessibility and widespread adoption.
Ÿ Learning Curve: Surgeons require specialized training
to become proficient in robotic surgery. The learning
curve for mastering the robotic system can be steep,
which may deter some healthcare professionals from
embracing this technology.
Ÿ Lack of Haptic Feedback: Unlike traditional surgery,
where surgeons can feel the tissues and organs they are
manipulating, robotic surgery lacks haptic feedback.
Surgeons rely solely on visual and auditory cues, which
can be a drawback in delicate procedures.
Ÿ Dependency on Technology: As with any technology,
robotic surgery relies on a stable and functioning
infrastructure. Technical malfunctions or system failures
can disrupt surgical procedures, emphasizing the need
for contingency plans.
The Future of Robotic Surgery
As technology continues to evolve, the future of robotic
surgery holds great promise for further advancements and
improvements. Some key areas of development include:
Ÿ AI Integration: Artificial intelligence (AI) is expected
to play a significant role in robotic surgery. AI
algorithms can assist surgeons in analyzing vast
amounts of data, providing real-time insights, and even
predicting potential complications during surgery.
Ÿ Remote Surgery: The concept of remote surgery, also
known as telesurgery, is gaining traction. With low-
latency communication networks and advanced robotics,
surgeons may be able to perform surgeries on patients
located in distant regions, expanding access to
specialized care.
Ÿ Nanorobotics: Researchers are exploring the use of
nanorobots, tiny robotic devices capable of performing
tasks at the cellular or molecular level. Nanorobotics
holds the potential for targeted drug delivery and precise
surgical interventions within the body.
Ÿ Mixed Reality Visualization: Mixed reality technology,
such as augmented reality and virtual reality, can
enhance surgical visualization further. Surgeons might
have the ability to overlay vital information onto their
field of view during surgery, improving decision-making
and efficiency.
Conclusion
Robotic surgery has already made a profound impact on the
healthcare landscape, revolutionizing patient care with its
precision and minimally invasive capabilities. As we
navigate the future of robotic surgery in the digital age,
addressing the challenges and embracing new developments
will be crucial to unlock its full potential. As we move
forward, the collaboration between medical professionals,
engineers, and researchers will be instrumental in shaping
the future of this transformative field.

20
dequate protein intake among elderly is a growing
Aconcern in healthcare. At the beginning of this
century scientific studies signaled malnutrition in
affluent countries up to 25% with hospital patients. Disease
related protein deficiency due to acute or chronic diseases
or decreased appetite and frailty were identified as the main
causes for malnutrition.
General dietary advice focused on adding high protein
snacks and oral nutritional supplements to the daily menu.
The disappointing result was that still less than 50% of
hospital patients would not meet the recommended protein
intake.
A consortium, lead by Wageningen University and
Research, started in 2012 to develop a new nutritional
strategy and products to solve malnutrition. Scientific
studies revealed that the standardized care focused both on
supplementation of energy and protein. As satiation was the
barrier for higher protein intake the current practice of both
energy and protein supplementation did not work.
To solve this problem, new products were developed,
focusing on protein enrichment instead of energy density.
These products were familiar basic foods, like bread and
pastry, fruit juice and soups, and ice-cream and small meals.
Al these products were tested in the foodhospital Gelderse
Valley, in residential care and among patients at home. RCT
studies concluded that 79% of patients reached the
recommended protein intake.
This study shows that the new nutritional strategy works:
substitution instead of supplementation. Substitute regular
basic nutrition with protein enriched basic nutrition.
The essence of the substitution strategy is the range of
familiar products people like to eat, replaced by the same
products containing 2 to 4 times the amount of protein,
tasting equally as good as their reference products.
The range of protein enriched products fits in all eating
moments of the day. Spreading the intake in 3 main meals
and 3 in-between moments results in an optimal protein
intake per moment and the highest intake per day. This was
all confirmed by RCT studies.
In 2015 Carezzo Nutrition, a start-up partner of the
consortium introduced this range of products in the Dutch
market. The success of the strategy was confirmed by
winning the Accenture Innovation Award for Fair Food, and
scientific proof of the effectiveness of the new nutritional
strategy of substitution was presented.
We first entered the Dutch hospital market, which
welcomed the good taste of these familiar products and the
high protein density versus regular protein-rich food. It also
adds to the quality of life as these products fit in regular
eating habits and do not look like medicine.

21
Since hospital length of stay gets shorter, 'better in is better
out' gets more important. Improving patients' nutritional
condition before hospitalization and after discharge, called
prehabilitation and rehabilitation, is seen as a direct
contribution to efficacy of medical treatment. Less
complications, shorter length of stay and successful
recovery potentially leads to increased benefits at decreased
costs. A RCT study on pre-operative nutritional support on
senior patients scheduled for heart surgery was conducted
by Nina Zipfel PhD in collaboration with Carezzo.
Participants received Carezzo products at home during 2
weeks. Their protein intake increased by 50-100%, due to
the protein enriched products and the high motivation to
self-manage nutritional condition improvement.
The group of people with a protein deficiency is much
larger than discussed so far. Frail elderly people with low
appetite tend to eat less. Since they are less physically
active their portions get smaller and so does the energy
intake. However, their protein intake recommendation is not
related to their activity, but to their body composition.
Knowing that their protein recommendation is 25% higher
than that of young adults, there is a high risk of protein
malnutrition. In practice we see that it is hard to finish a full
hot meal, and that 10-20% is left behind on the plate, or
worse one meal is consumed in two days, shared with a
partner or thrown in the trash. Protein intake then drops
under 20 g, as regular meals (500 g) contain 20-25 g
protein. Carezzo developed small meals of 350 g,
containing 30 g of protein.
Fred Bergmans is Co-founder of Carezzo
Nutri on, a Dutch start-up for protein
enriched food & drinks for malnutri on.
Fred started his marke ng career in food
companies, like Heineken, Mars, Kra Foods
and Perfe /van Melle. He founded an
innova on strategy consultancy, where he
first met the problem of malnutri on in
healthcare. Passionately he founded
Carezzo Nutri on.

22
There is a challenging goal, also for Carezzo, to improve
the protein quality of plant-based products also for the older
aged groups. We will develop new products combining
fruit, vegetables and hybride proteins.
We now have 80% of all Dutch hospitals as clients, which
is a fast-track record in institutional healthcare. It shows
that the new nutritional strategy is well accepted.
Unfortunately, due to healthcare insurance and
governmental regulations, there is no level playing field
with oral nutritional supplements. There is no
reimbursement on Carezzo products by health care
insurances, so people do not have an equal choice.
The 'Food as Medicine' theme acknowledges the
importance of the functionality of food in the prevention
and treatment of lifestyle related diseases. There is a huge
opportunity to change towards 'the food solution' and
reduce healthcare costs while improving the quality of life.
As a society we should embrace innovation to improve
healthcare:
Ÿ The technological innovation for better food products
Ÿ The social innovation for faster implementation
Ÿ The governance innovation to reduce barriers in finance
and regulation
We are committed to transfer academic insights into good
tasting functional food products, that is our practice.
We are deeply touched by the gratitude of patients that
finally reach their desired protein intake, because that is our
purpose.
Protein enriched products fit in maintaining the dietary
habits. Just change products to address the different protein
recommendations due to different circumstances.
To serve patients at home the Carezzo webshop was opened
which facilitates the substitution strategy in the home
setting and patients could continue the use of the products
they received in the hospital during the total period of
medical treatment; pre and post included. The webshop also
serves people with chronic diseases, such as age related
malnutrition, sarcopenia and COPD, which already used
Carezzo products for multiple years.
The combination of global trends 'better for the
environment = better for your health' boosts the shift
towards plant-based products, reducing meat and dairy
consumption. The protein quality for golden-aged people is,
however, a major concern. The advice for them is to not go
Vegan. Protein quality, defined by the amount and
completeness of essential amino-acid profile, from plant-
proteins is lower than the quality of animal-based proteins.

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24
obots
The Role of
in Healthcare
he field of healthcare is constantly evolving, driven
Tby advancements in technology. One of the most
significant developments in recent years has been
the integration of robots into various aspects of patient care.
These intelligent machines are transforming the way
medical professionals deliver services, improve patient
outcomes, and enhance the overall healthcare experience.
In this article, we will explore the role of robots in
healthcare and how they are revolutionizing patient care.
Robotic-Assisted Surgery
One of the most well-known applications of robots in
healthcare is robotic-assisted surgery. These advanced
systems enable surgeons to perform complex procedures
with greater precision and flexibility, resulting in lower
complications and faster patient recovery times. The robotic
arms can mimic the surgeon's movements with enhanced
dexterity, allowing for more delicate and precise
manoeuvres. Robotic-assisted surgery has been employed in
various fields, such as urology, gynaecology, and

25
Revolutionizing Patient Care

26
cardiothoracic surgery, providing minimally invasive
options and better patient outcomes.
AI-Driven Diagnostics
Artificial Intelligence (AI) plays a crucial role in
healthcare, and robots are at the forefront of leveraging AI
capabilities for diagnostics. AI-powered robots can explore
vast amounts of medical data, including images, lab results,
and patient histories, to provide accurate and timely
diagnoses. These systems identify the patterns and
anomalies that might be overlooked by human clinicians,
aiding in the early detection and treatment of diseases. This
not only improves patient care but also relieves healthcare
professionals, allowing them to focus on more complex
tasks.
Elderly Care and Assistance
The aging global population led to an increased demand for
elderly care and assistance. Robots are proving to be
invaluable companions in elderly care facilities, providing
emotional support, monitoring vital signs, and assisting
with daily tasks. Social robots with natural language
processing capabilities can engage in conversations with the
elderly, reducing feelings of loneliness and isolation.
Additionally, robotic exoskeletons are helping elderly
patients regain mobility and independence, improving their
overall quality of life.
Rehabilitation and Physical Therapy
Robots are also transforming the field of rehabilitation and
physical therapy. Robotic devices can aid patients in their
recovery after injuries or surgeries, providing consistent and
controlled movements during the rehabilitation process.
These machines can track progress, adjust therapy plans
based on real-time data, and offer personalized treatment,
all of which contribute to faster recovery and better
outcomes for patients.
Drug Dispensing and Administration
Robots are streamlining drug dispensing and administration
processes in busy healthcare settings, such as hospitals and
pharmacies. Automated robotic systems can accurately
pick, pack, and dispense prescriptions, reducing the risk of
errors and improving efficiency. Robots can also assist
nurses in administering medications to patients, ensuring
the right dosage and timing while freeing up nurses' time
for more patient-centred care.
Mental Health Support
Mental health conditions have become a significant concern
globally, and robots are now being utilized to provide
support and therapeutic interventions. These mental health
robots can engage in cognitive-behavioural therapy,
monitor patients' emotional states, and offer coping
mechanisms for stress and anxiety. While they are not a
replacement for human therapists, these robots can
supplement mental health services and provide additional
resources for patients in need.
Infectious Disease Management
During outbreaks and pandemics, robots have proven to be
vital tools in managing infectious and reducing the risk of
transmission. Autonomous robots equipped with UV-C
lights can efficiently disinfect hospital rooms and public
spaces, eliminating harmful pathogens. Additionally, robots
can be deployed for contactless temperature screenings and
monitoring compliance with infection control protocols in
crowded areas.
Remote Patient Monitoring
Telemedicine has gained popularity in recent years, and
robots are enhancing remote patient monitoring capabilities
further. Telepresence robots equipped with cameras and
screens can enable physicians to interact with patients in
real time, even from distant locations. These robots allow
doctors to conduct virtual rounds, provide consultations,
and oversee patients' progress, all while maintaining a
human touch in healthcare delivery.
Conclusion
The integration of robots into healthcare is not about
replacing human healthcare professionals but about
enhancing their capabilities and improving patient care.
Robots bring precision, efficiency, and automation to
various aspects of healthcare, allowing medical
practitioners to focus more on patient interactions and
complex decision-making. As technology advances, we can
expect robots to play an increasingly important role in
revolutionizing patient care and shaping the future of
healthcare for the better. However, as we embrace these
innovations, it's crucial to strike a balance between the
benefits of automation and the human touch that is essential
in delivering compassionate and empathetic care to
patients.
-Pja Shah

28
Silver Cross
Hospital
Advancing Healthcare with the Rise of Robo c Surgery
rdinary thinking doesn't lead to greatness; it's the
Oextraordinary efforts that bring about revolutions
in the world. Implementation of robots in the
industry has certainly been the result of one such
extraordinary effort, right from 3D technology to drones
and improving patient outcomes in healthcare. The number
of robotic surgical systems applied worldwide has been
steadily increasing. More and more medical facilities are
investing in robotic systems to utilize this advanced
technology.
Founded in 1895, Silver Cross Hospital in New Lenox is
home to one of the largest robotic surgery programs in the
Midwest – and in the nation. With four (4) da Vinci® XI®
surgical robots – the Midwest Institute for Robotic Surgery
(MIRS) at Silver Cross Hospital performs the most robotic
surgical procedures, hysterectomies, and colorectal
procedures in the Chicago metropolitan area. And in 2022,
MIRS introduced the Ion robotic bronchoscopy system
that's able to diagnose lung cancer sooner and with greater
accuracy than ever before.
The Institute is home to some of the most experienced
robotic surgeons in the region and nation. Several are
pioneers in their field mentoring other surgeons across the
50 states and around the world in advanced colorectal,
gynecological, and hernia repair and gallbladder removal
robotic techniques. Others help design the implants used
during joint replacement surgery.
Thus, in search of Top 10 Leading Robotic Surgery
Solution Providers in 2023, we at Healthcare Everything
featured Silver Cross Hospital and interviewed Marybeth
Antone - Vice President of Clinical Operations, to know
the capabilities of this technology.
Below are the highlights of the interview:
Kindly brief us about the company and the ideas that
led to its inception.
The Midwest Institute for Robotic Surgery (MIRS) at Silver
Cross Hospital in New Lenox is a virtual entity. It is a
group of expert surgeons who use Intuitive's DaVinci robot
at Silver Cross Hospital. To be included within the Institute,
these surgeons are distinct robotic surgery experts who
perform a high volume of robotic-assisted procedures and
meet specific quality metrics. The development of MIRS
was a collaboration between Silver Cross Hospital
Silver Cross Hospital's
mission is to con nue to advance
in key areas, each represented by
a point in our 5 Star Strategic Plan:
growth, quality, culture, alignment
with the medical staff and financial
performance.

29
Marybeth Antone
Vice President of
Clinical Opera ons

30
administration and the surgeons to help differentiate and
market our capabilities.
With four (4) da Vinci® XI® surgical robots – we perform
the most robotic surgical procedures, hysterectomies, and
colorectal procedures in the Chicago metropolitan area.
And, we are one of the Top 3 robotic surgery centers in the
Midwest with more than 15,000 procedures to date!
The Midwest Institute for Robotic Surgery at Silver Cross
Hospital was the only facility in Will County to offer
Mako™ robotic-arm assisted surgery for partial knee and
total hip replacement for adults living with early to mid-
stage osteoarthritis. This new technology helps provide
more accurate placement and alignment of a patient's
implant.
And in 2022, we introduced the Ion robotic bronchoscopy
system that's able to diagnose lung cancer sooner and with
greater accuracy than ever before.
Best of all, the Midwest Institute for Robotic Surgery at
Silver Cross Hospital is just 45 minutes southwest of
Chicago, with easy access to Midway and O'Hare airports.
What are the key operations run by the company to
serve the changing needs of modern surgeons?
Robotic surgeons at Silver Cross are engaged in decision-
making about program development. They work with the
administration and Operating Room leadership to improve
access to robotic technology and maintain the highest
excellence in clinical quality.
How is the company's unique approach encouraging
innovative ideas among modern surgeons when
approaching healthcare?
Silver Cross Hospital's mission is to continue to advance in
key areas, each represented by a point in our 5 Star
Strategic Plan: growth, quality, culture, alignment with the
medical staff and financial performance. One point of the
star cannot be sacrificed to meet an objective on another
point. We seek engagement from all of our surgeons, listen
intently to their ideas and suggestions, and ask them to
partner with us on execution. Sharing the risk is an
important tenet when considering innovation.
How do you think, will the emerging technological
solutions in surgery, ease its process for modern
surgeons?
Any technology that will contribute to improved efficiency
will be impactful as time is an important commodity for a
surgeon. Continued refinement in the DaVinci platform is
also important.
What are the current challenges faced by the company.
How are you transforming them into opportunities for
growth in the market?
Hospitals are still recovering from the effects of COVID-
19, and Silver Cross is no exception. Most notable is the
"early" retirement of tenured, experienced staff and the loss
of talent to agency work. Surgeons who use the DaVinci are
also seeing sicker patients who delayed care; surgeries are
more abundant and complex. Our teams are collectively
working on access.
As an experienced leader, what advice would you like to
give to robotic enthusiasts aiming to transform the
healthcare industry?
Be bold!
What are the future goals of the organization? How do
you envision upscaling its operations and reach in 2023
and beyond?
Our focus is on efficiency and access, leveraging
technology where we can.

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Top 10 Leading Robotic Surgery Solution Providers in 2023

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