Cirurgia Robótica

Cirurgia
Robótica
Enfermeiro
Rodrigo Pinheiro
Clinical Sales Manager
Décadas de mudanças na formação cirúrgica
 1950
Anfiteatros Cirúrgicos
 1960
Cirurgia Experimental
 1970
Indústria de pesquisa laboratorial
 1980
Cirurgia Endoscópica
 1990
Cirurgia Laparoscópica
 2000
Cirurgia Robótica
Grandes Cirurgiões - Grandes Incisões
Laparoscopia alcança limites…
 Adoção limitada a procedimentos simples
Note – graph depicts today’s adoption of laparoscopic surgery by specialty. In the late 80s and early 90s, the
adoption would have been far less.
Anos 90…
Procedimentos Robóticos-versus laparoscopia?
 Oportunidade
MDI, 2002-2004 MIS forecast
Parâmetro histórico
 1994 –braço robótico - AESOP. (Computer Motion)
 Zeus (Computer Motion)
 2000 – FDA aprova o da Vinci ® Intuitive Surgical
Números de todos os procedimentos robóticos no
Brasil (2008-2012)
Total
F
E
D
C
B
A
0
500
1000
1500
2000
2500
2008
A
A
79
B
11
C
68
D
0
E
0
F
0
Total
158
2009
207
65
65
0
0
0
337
2010
171
167
37
0
0
0
375
2011
289
85
81
0
0
0
455
2012
330
111
135
105
14
16
711
Total
1076
439
386
105
14
16
2036
da Vinci® Si™ System
Instalações
Europe
Canada 22
430
Direct
France 63
Germany 61
UK 31
Belgium 30
Switzerland 20
Netherlands 17
Sweden 16
USA
1,957
Middle
East
Saudi Arabia 11 26
Brazil 10
Argentina 4
Chile 4
Venezuela 3
Mexico 3
Colombia 2
Panama 1
Uruguay 1
Latin
America
28
Israel 6
Qatar 4
Pakistan 2
Egypt 1
Kuwait 1
Lebanon 1
Denmark 15
Norway 10
Czech Republic 8
Finland 5
Austria 4
Ireland 3
Distribution
Italy 66
Spain 24
Turkey 19
Russia 15
Greece 8
Romania 7
Portugal 2
Bulgaria 1
Slovakia 1
Poland 1
Slovenia 1
Cyprus 1
Monaco 1
Asia
220
Japan 105
South Korea 36
China 23
India 22
Taiwan 16
Thailand 6
Singapore 6
Malaysia 4
Indonesia 1
Philippines 1
Intuitive sells directly to customers in the US, Korea, and the European countries indicated above. Sales are through
distributor partners in all other areas of the world including, Canada, Latin America, the Middle East, Asia and Australia.
Australia 29
Procedimentos por especialidade
Nefrectomias parciais
Pieloplatias
Prostatectomias
Cistectomias
Cirurgia Geral





Esplenectomias
Gastrectomias
Bariátricas
Duodenopancreatectomias
Ressecções Hepáticas
Cabeça e Pescoço
 Ressecção de Tumores de orofaringe e
base de Lingua
 Histerectomias Benignas e Oncologicas
 Sacrocolpopexias
Coloretal
 Colectomias
 Retossigmoidectomias
Cardíaca
 Reparação valvar
 Revascularização do Miocardio
Torácica
 Timectomias
 Lobectomias
 Resscção de TU Mediatinais
PN 875383 Rev B 3/12




 Ginecologia
876337 Rev A 4/12
Urologia
Equipe Muldisciplinar
 Cirurgiões integrantes do corpo clínico.

Enfermeiros
 Definição do grupo assistencial por período.
Grupo de Coordenadores treinados em Houston
Abril de 2013.
Treinamento
Treinamento
da Vinci Skills Simulator
Cuidados no posicionamento
Desenvolvimento de Rotinas
Desenvolvimento de Rotinas
Rodrigo Pinheiro
(Mobile) +55 11 98409-8007
(Office) +55 11 2185-2300
www.strattner.com.br
As with any program, individual results may vary, as the implementation of programs are customer-specific. Neither Intuitive Surgical nor any of its partners or licensees shall be liable for any losses, damages, or unrecovered charges as a result of using this program or receiving
care from a provider using this program. The clinical information and opinions, including any inaccuracies expressed by patients or doctors about da Vinci Surgery, are not necessarily those of Intuitive Surgical, Inc. and should not be considered as a substitute for medical advice
provided by a doctor. While clinical studies support the use of the da Vinci Surgical System as an effective tool for minimally invasive surgery, individual results may vary. Before performing any clinical procedure utilizing the System, physicians are responsible for receiving
sufficient training and proctoring to ensure that they have the requisite training, skill, and experience necessary to protect the health and safety of the patient. As with any program, individual results may vary. © 2011 Intuitive Surgical. All rights reserved. Intuitive, Intuitive
Surgical, da Vinci, da Vinci S HD, InSite, TilePro and EndoWrist are trademarks or registered trademarks of Intuitive Surgical. All other product names are trademarks or registered trademarks of their respective holders
PN 871845 Rev A 3/11