Release date: 2016-07-26 Surgical robot in film and television drama In Seoul, a magnitude 6.5 earthquake struck, and the city was extensively damaged. In the wreckage, the medical rescue team was still desperate to save the wounded. This is the background of the disaster medical series "D-Day" about the story of the medical rescue team. The protagonist of the cold surgeon, Dr. He, is an authoritative expert in surgical robots. He only believes in cutting-edge equipment and high-precision diagnosis. If you are not confident, you will simply give up surgery. Another male surgeon in the drama, Dr. Jin, is the opposite person: he is a person with a sense of justice. He always has "How can a doctor say that he can do nothing? As a doctor, he must solve it anyway." idea. Because of this personality, it has also made King Jin’s situation in the hospital always in a state of unseen. Passing through the emergency room and encountering an emergency operation with a lifeline, I can't help but go to the operating table, which will inevitably lead to various medical disputes after the operation. In order to highlight the effect of comedy, the dramas of the two doctors with different personalities were compared. When the camera was switched to the operating room scene that Dr. Kim was responsible for, it was always accompanied by a background music full of urgency, plus six colleagues who sweated and dissected the patient. The lens will then switch slowly, accompanied by elegant classical music. Dr. He leaned back on the chair, stretched his arms, and looked at the picture while operating the surgical robot to complete the entire operation. After a white surgical gown, he walked out of the operating room and was sighed and praised by everyone. The surgical robot that appeared in the play is the Da Vinci "da Vinci" surgical robot developed by Intuitive Surgical of the United States. Da Vinci surgical robots account for 68% of the global surgical robot market, with a profit margin of 30%. The company's products only have this surgical robot, but its sales in 2014 reached $4 billion, and the total market value is close to $26 billion. The Da Vinci surgical robot was recognized by the US Food and Drug Administration (FDA) in early 2000 and has performed more than 2.5 million operations worldwide since June 2015. In Korea, where I was the first, the Da Vinci robot was introduced in 2005, and 17 operations were performed that year. At present, there are 44 hospitals in Korea equipped with 55 surgical robots, all of which are Da Vinci robots. By 2014, the number of cases of robotic surgery had soared to 8,840 cases. As of June 2015, 3,398 Da Vinci surgical robots were sold worldwide, of which 2,223 were sold in the United States, followed by 549 in Europe and 350 in Asia. Surgical robot does not understand the operation? Surgical robots do not mean that the machine will complete the surgery itself. A more accurate definition should be the highly sophisticated surgical tools that doctors use during surgery. The doctor sits on the console and controls the joystick-like manipulator by watching the picture, controlling the micro pliers and scissors on the surgical arm and performing the operation. Compared with traditional open surgery, the surgical robot puts the camera and surgical tools into the body through 5-6 micro-holes, and achieves the same surgical effect through remote control. In Korea, the highest mortality rate of prostate cancer in cancer cases, because the surgical site is in the narrow space between the pelvis, general reclamation surgery and laparoscopy are difficult to apply. At this time, minimally invasive surgery by the surgical robot is very effective. Not only is the likelihood of bleeding and complications reduced, but the time to recovery and pain of surgical wounds is also much shorter; in addition, side effects such as urinary incontinence are greatly reduced. In the United States, 80-90% of prostate cancer surgery is performed by robots. Recently, the application of surgical robots has expanded to include thyroid cancer, rectal cancer, and uterine cancer. In 2011, the number of surgical robots used in Korea exceeded 6,000 times, and the attention of all sectors of society to surgical robots reached its peak. Just then, a medical accident occurred; a Korean artist in the process of using a surgical robot for nephrectomy, the sequelae caused by duodenal rupture, and the tragedy of death. The family members brought the hospital and the surgical team to court, but the prosecution department believed that the incident had no direct contact with the hospital and the surgical team, and the appeal was invalid. Subsequently, according to the request of the Korean National Assembly, the Korea Health and Medical Research Institute conducted a detailed investigation of all previous robotic surgery cases to prove the safety of the surgical robot. The results of the survey showed that patients who underwent surgical robot surgery had a mortality rate of 0.09% within 30 days after surgery, which was lower than that of open surgery and laparoscopic surgery. Intuitive Surgical, a manufacturer of Da Vinci's surgical robots, has also faced a dilemma in the face of dilemmas due to medical disputes caused by surgical robots. This is also an important reason why big global companies are cautious about entering surgical robots. Improve cost performance In addition to security issues, high costs are also a problem that needs to be solved. The new DaVinci Xi robot launched in 2014 is priced at nearly $4 million, and the annual maintenance cost is as high as $170,000. The machine arm that can be used for sale can only be used ten times, but the price is as high as tens of thousands. Renminbi. At present, South Korea's medical insurance can not cover the cost of surgical robots, so each patient needs to pay the cost of surgery of 3.5-80,000 yuan. There are also some research results that the cost performance of surgical robots is far from the stage of large-scale use. In 2014, the Korean Health and Medical Institute conducted an economic analysis of the surgical robot for the most common prostate cancer in the country. The results showed that although the cost was 2-3 times higher than the general surgery, there was no obvious advantage in the treatment effect. After the effect is also not expected. Professor KWON Dongsoo of the University of Science and Technology of Korea (KAIST) pointed out that the current price of Da Vinci surgical robots is unfounded and requires more and more surgical robots. It seems that Intuitive Surgical's profiteering business model is difficult to reproduce in the future. According to market research firm RnR MarketResearch, the market size of surgical robots will increase from $3.2 billion in 2014 to $20 billion in 2020. The battle for market competition among major companies around the world has also officially kicked off. Accuracy, Stryker, Hocoma and other medical equipment companies that entered the field in the early days have increased the development of efficient and low-cost products. A Canadian company called Titan Medical recently launched a $600,000 surgical robot "SPORT" at a price that is only available for existing products and is currently awaiting FDA certification. In 2015, Google is also planning to enter the medical robot market through its subsidiary AlphaBet. Google has divested the life sciences division, which was originally responsible for developing diabetes diagnostic contact lenses and cancer diagnostics, and established a subsidiary called "Verily." In December of the same year, the company established a joint venture with Ethicon, a medical equipment subsidiary of Johnson & Johnson, to establish Verb Surgical, a company specializing in medical robot development, and officially announced its entry into the field. In Korea, where I work, Hyundai Heavy Industries, Future Company, Goyong Tech-nology and other companies are preparing to enter the field. Among them, a laparoscopic surgery robot “Revo-I†launched by Company in the future successfully completed the full clinical trial and is currently awaiting the clinical trial results of the Korean Food and Drug Safety Department. DaVinci technical barriers have been hindered by latecomers entering the field, and a considerable number of patents will expire in 2016. As more and more companies enter the market and the development of related IT technologies, the cost performance of surgical robots will continue to increase. Although DaVinci will still dominate the market for a period of time to come, with the launch of low-cost products, a single big situation will no longer exist. One of the reasons for attracting global companies to enter the surgical robot market is because surgical robots have the potential to change the model of the existing surgical market – doctors can also perform remote surgery away from patients. So far, exemplary remote surgery has been put into use in many places; but there are still a lot of delays in the speed of the doctor's manipulation of the joystick and the response time of the remote operating table, which leads to some uncertainty in actual use. Sex. In 2015, according to the results of the experiment at the Nicholson Center of the Florida Hospital in the United States, the current remote surgery delay is about 0.3-0.5 seconds. If the delay is reduced to 0.2 seconds, the existing communication network environment is sufficient for remote operation. The need for surgery. Another issue that needs to be addressed is the network security of medical devices. If you can achieve 100% guaranteed network security technology, remote surgery on the other side of the globe will no longer be a fantasy. The collision of medical technology of robots, in addition to surgical robots, has opened up new possibilities for rehabilitation, nursing, health management and other new markets. Companies that have already struggled in the smartphone Red Sea market are looking for a break in the service-function robot market, such as surgical robots. Source: Economic Observer Seeding Machine,Seed Drill,Seed Planter,Drum Seeder Taizhou Yingtian Agricultural Machinery Manufacturing Co., Ltd. , https://www.sakuradaagc.com