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Print 12 comment(s) - last by Moishe.. on Nov 8 at 3:03 PM

Some of these problems have resulted in the injury or death of patients

A new study shows that some problems and even deaths caused by surgical robots were not accurately reported (or in some cases, not reported at all) to the U.S. Food and Drug Administration (FDA). 

According to PBS, the study looked at the da Vinci Robotic Surgical System specifically, which is made by Intuitive Surgical. It's designed to perform complex surgeries with a minimally invasive approach while being controlled by a surgeon from a console. Medical professionals say the system provides smaller incisions, shorter hospital stays and less pain post-operation.

The study searched through several data bases over about a 12-year period of use of the da Vinci Robotic Surgical System. The study found 245 incidents reported to the FDA, including 71 deaths and 174 nonfatal injuries. 
 
However, they also found eight cases where reports were inaccurate, including five cases where no FDA report was filed at all.

This is a pretty big deal, considering hospitals are required to report the incident to the manufacturer if a device malfunctions in any way, and then the manufacturer reports it to the agency. From there, the FDA creates a report for its Manufacturer and User Facility Device Experience database. 


Da Vinci Robotic Surgical System

"The Journal for Healthcare Quality article gives the misleading impression that Intuitive Surgical has systematically failed in its obligation to timely report known adverse events to the FDA," said Intuitive Surgical in a statement last month. "Intuitive Surgical can only report adverse events after it becomes aware of them. We take this requirement very seriously and make every effort to account for all reportable events--even those from several years prior."

One such case was a patient's injury and death in 2009, but the incident couldn't be found in the FDA's database for that year. The study's authors found a "very late" report matching the patient's case in 2010. The FDA received the report two weeks after The Wall Street Journal ran a story about it.

This has raised questions for the need of a better standardized system for reporting malfunctions and other problems regarding the surgical robots

It also raises another important question: if problems occur during robotic surgery, is the doctor, the hospital or the manufacturer responsible? According to PBS, this introduces the potential issue of product liability. 
 
Intuitive Surgical also called for the study's authors to conduct a study that compares the under reporting of traditional open and laparoscopic surgical issues with robotic-assisted surgery.

The use of robots for laparoscopic surgery, which uses smaller incisions than in traditional surgery, was approved by the FDA in 2000. From 2007 to 2011, the number of da Vinci systems installed was boosted by 75 percent in the U.S. (compared to about 800 to 1,400 prior).

Source: PBS



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RE: very misleading
By room200 on 11/6/2013 7:07:48 AM , Rating: 3
Maybe it's just me, but I don't want my surgery performed by a doctor who, when told of unreported deaths, and injuries, responds "sh!t happens".


RE: very misleading
By Bubbacub on 11/6/2013 7:36:53 AM , Rating: 1
want doesnt come into it.

shit can and does happen

you can duck your head into the sand but the reality is that surgeons are human beings.


RE: very misleading
By kingmotley on 11/6/2013 11:01:42 AM , Rating: 1
And I would counter that shit doesn't just happen.

Unexpected things happen because we don't (yet) have the capability to account for everything that can and does happen. Given enough information and the ability to use all the information, there should be no unexpected results, but we aren't there yet.

Doctors do the best they can with what information is available using the best methods available to them. In 400 years, doctors will look at what we do today as being as barbaric as our doctors look at what was done 400 years ago. Such is progress and human knowledge and advancement.


RE: very misleading
By milktea on 11/6/2013 4:33:24 PM , Rating: 2
Agree on the fact that doctors/surgeons are human too. But just don't drink before the surgery ;)


RE: very misleading
By Moishe on 11/8/2013 3:03:29 PM , Rating: 2
He's got a great point. sh1t does happen and Americans are way too quick to assign blame and then assign a dollar value to that blame.

Americans are generally anti-risk, they want to live in a safe bubble. But that only works well when applied to things we don't "need." We can avoid the risk associated with new by sticking with old because the old is usually good enough. No big deal. But something like surgery is necessary. It's risky, but without it, you'll die. Do you want to take the risk or not?

You might think surgeons don't care, but it's not that. It's accepting reality and understanding that there are simply some things that blame cannot be assigned for.

Sh1t just happens sometimes. Unfortunately, Americans will falsely assign blame and ruin someone's life over it because we've been taught that we are "owed" or that we can't have closure without it.


"The whole principle [of censorship] is wrong. It's like demanding that grown men live on skim milk because the baby can't have steak." -- Robert Heinlein

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