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Surgical Endoscopy

, Volume 32, Issue 10, pp 4165–4172 | Cite as

A prospective, single-arm study on the use of the da Vinci® Table Motion with the Trumpf TS7000dV operating table

  • Luca Morelli
  • Matteo Palmeri
  • Tommaso Simoncini
  • Vito Cela
  • Alessandra Perutelli
  • Cesare Selli
  • Piero Buccianti
  • Francesco Francesca
  • Massimo Cecchi
  • Cristina Zirafa
  • Luca Bastiani
  • Alfred Cuschieri
  • Franca Melfi
Article

Abstract

Background

The da Vinci® Table Motion (dVTM) comprises a combination of a unique operating table (Trumpf Medical™ TruSystem® 7000dV) capable of isocenter motion connected wirelessly with the da Vinci Xi® robotic platform, thereby enabling patients to be repositioned without removal of instruments and or undocking the robot.

Materials and methods

Between May 2015 to October 2015, the first human use of dVTM was carried out in this prospective, single-arm, post-market study in the EU, for which 40 patients from general surgery (GS), urology (U), or gynecology (G) were enrolled prospectively. Primary endpoints of the study were dVTM feasibility, efficacy, and safety.

Results

Surgeons from the three specialties obtained targeting success and the required table positioning in all cases. Table movement/repositioning was necessary to gain exposure of the operating field in 106/116 table moves (91.3%), change target in 2/116 table moves (1.7%), achieve hemodynamic relief in 4/116 table moves (3.5%), and improve external access for tumor removal in 4/116 table moves (3.5%). There was a significantly higher use of tilt and tilt plus Trendelenburg in GS group (GS vs. U p = 0.055 and GS vs. G p = 0.054). There were no dVTM safety-related or adverse events.

Conclusions

The dVTM with TruSystem 7000dV operating table in wireless communication with the da Vinci Xi is a perfectly safe and effective synergistic combination, which allows repositioning of the patient whenever needed without imposing any delay in the execution of the operation. Moreover, it is helpful in avoiding extreme positions and enables the anesthesiologist to provide immediate and effective hemodynamic relief to the patient when needed.

Keywords

da Vinci Xi Robotic surgery da Vinci Table Motion (dVTM) 

Notes

Acknowledgements

Study supported by Intuitive Surgical, Inc.

Authors’ contributions

Study conception and design: Prof. ML, Dott. PM, Prof. ST, Dott. CV, Dott. PA, Prof. SC, Dott. BP, Dott. FF, Dott. CM, Dott. ZC, Dott. BL, Prof. CA, and Dott. MF; Acquisition of data: Prof. ML, Prof. ST, Dott. CV, Dott. PA, Prof. SC, Dott. BP, Dott. FF, Dott. CM, Dott. ZC, and Dott. MF; Analysis and interpretation of data: Prof. ML, Dott. PM, Prof. ST, Dott. ZC, Dott. BL, Prof. CA, and Dott. MF; Drafting of manuscript: Prof. ML, Dott. PM, Prof. ST, Dott. BL, and Prof. CA; Critical revision of manuscript: Prof. ML, Prof. ST, Prof. CA, and Dott. MF.

Compliance with ethical standards

Disclosures

Prof. Morelli Luca, Dr. Palmeri Matteo, Prof. Simoncini Tommaso, Dr. Cela Vito, Dr. Perutelli Alessandra, Prof. Selli Cesare, Dr. Buccianti Piero, Dr. Francesca Francesco, Dr. Cecchi Massimo, Dr. Zirafa Cristina, Dr. Bastiani Luca, Prof. Cuschieri Alfred, and Dr. Melfi Franca have no conflicts of interest or financial ties to disclose.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Luca Morelli
    • 1
    • 2
  • Matteo Palmeri
    • 1
  • Tommaso Simoncini
    • 3
  • Vito Cela
    • 3
  • Alessandra Perutelli
    • 3
  • Cesare Selli
    • 4
  • Piero Buccianti
    • 5
  • Francesco Francesca
    • 6
  • Massimo Cecchi
    • 7
  • Cristina Zirafa
    • 8
  • Luca Bastiani
    • 9
  • Alfred Cuschieri
    • 10
  • Franca Melfi
    • 8
  1. 1.General Surgery Unit, Department of Surgery, Translational and new Technologies in MedicineUniversity of PisaPisaItaly
  2. 2.EndoCAS (Center for Computer Assisted Surgery)University of PisaPisaItaly
  3. 3.Division of Obstetrics and Gynecology, Department of Experimental and Clinical MedicineUniversity of PisaPisaItaly
  4. 4.Division of Urology, Department of Translational ResearchUniversity of PisaPisaItaly
  5. 5.General Surgery, Department of SurgeryAzienda Ospedaliero-Universitaria PisanaPisaItaly
  6. 6.Urology Unit, Department of EndocrinologyAzienda Ospedaliero-Universitaria PisanaPisaItaly
  7. 7.General Surgery UnitVersilia HospitalViareggioItaly
  8. 8.Multidisciplinary Robotic CenterAzienda Ospedaliero-Universitaria PisanaPisaItaly
  9. 9.Institute of Clinical PhysiologyNational Council of ResearchPisaItaly
  10. 10.Institute for Medical Science and TechnologyUniversity of DundeeDundeeUK

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