Release date: 2015-07-30 According to a new study on mortality in medical procedures involving robotic devices and techniques, robotic surgery is far from perfect. According to the US FDA records, robotic surgeons involved 144 deaths between 2000 and 2013. And some forms of robotic surgery are particularly dangerous: the risk of head, neck, and chest surgery is almost 10 times that of other forms of surgery. Robotic surgery has increased dramatically in recent years. Between 2007 and 2013, 1.7 million patients in the United States underwent robotic surgery, most of which were in gynaecology and urology. Jai Raman of the Rush University Medical Center in Chicago and several colleagues said: "But there has been no comprehensive study of the safety and reliability of surgical robots." These people set out to analyze the FDA-preserved records to change the status quo, and the FDA is forced to report any robotic surgery accidents. The database, titled "Manufacturer and User Institutional Device Experience" (MAUDE), contains mandatory and voluntary reports from 2000 to 2013. Raman and colleagues have discovered more than 10,000 reports related to robotic treatments, of which more than 1,500 have described significant negative effects on patients. On average, this represents 550 adverse events per 100,000 treatments. The number of robotic treatments has increased significantly during this period. The number of deaths and injuries has also increased by 30 times since 2006. However, the number of treatment accidents has remained stable since 2007. Raman and colleagues say that adverse events can be divided into five types. These include equipment that arcs or fires during surgery. These events burned 193 patients between 2000 and 2013; in another accident classification, burnt or detached parts fell into the patient, more than 100 times and killed. Another classification involves the uncontrolled movement of the instrument, injuring 52 people and killing 2 of them. System errors like video card deaths contributed almost 800 other adverse events. Curiously, although the data contained 144 reports of deaths during robotic surgery, only a small percentage of cases described the situation in detail. However, more than 60% of these accidents are caused by equipment failure, and the rest are caused by factors such as misuse and inherent risks of surgery. The fact that some forms of surgery are at greater risk than other procedures is of concern. Raman and colleagues said: "In the heart, chest, head and neck surgery, higher adverse events caused by injury, mortality, can indirectly use these surgery for higher complexity, less commonly used robotic equipment, the field of robot expertise is not enough To explain." This probably can't comfort the potential patients. Not to mention the way the FDA collects this data means that these numbers almost certainly underestimate the true level of death and injury. For anyone who is going to do robotic surgery, this is an interesting study that pauses and thinks. The vast majority of these surgeries did not have any adverse events. But Raman and colleagues show that even if there is no injury or death, there is a significant proportion of problems that have been suffered. They concluded: "Device and instrument failures have affected thousands of patients and surgical teams, leading to complications and extended operative time." However, what Raman and colleagues can't discuss is how these injuries and lethalities compare to surgery without robotics. Without this information, it is difficult to determine whether the robot is helping. In any case, there is still room for improvement, Raman and colleagues said: "Improving accident investigation and reporting mechanisms, as well as safety design techniques should be developed to reduce accident rates in the future." Source: Omelette Net YT-H711 YT-H711 Shenzhen Sunshine Technology Co.,Ltd , https://www.shenzhenyatwin.com
Robot surgery has killed 144 people since the turn of the century.