HEALTHCARE
PURCHASING EWSN SELF-STUDY SERIES
November 2020 The self-study lesson on this central service topic was developed by STERIS. The lessons are admin- istered by Endeavor Healthcare Media.
Earn CEUs After careful study of the lesson, complete the examination at the end of this section. Mail the completed test and scoring fee to Healthcare Purchasing News for grading. We will notify you if you have a passing score of 70 percent or higher, and you will receive a certifi cate of completion within 30 days. Previous lessons are available at
www.hpnonline.com.
Certifi cation The CBSPD (Certification Board for Sterile Processing and Distribution) has pre-approved this in-service for one (1) contact hour for a period of fi ve (5) years from the date of original publication. Successful
completion of the lesson and post-test must be documented by facility management and those records maintained by the individual until recertifi cation is required. DO NOT SEND LESSON OR TEST TO CBSPD. For additional information regarding certifi cation, contact CBSPD - 148 Main Street, Suite C-1, Lebanon, NJ 08833 • www.
sterileprocessing.org.
IAHCSMM (International Association of Health- care Central Service Materiel Management)
has pre-approved this in-service for 1.0 Continuing Education Credits for a period of three years, until October 5, 2023. The approval number for this lesson is STERIS-HPN 200510. For more information, direct any questions to Healthcare Purchasing News (941) 259-0832.
LEARNING OBJECTIVES
1. Discuss the evolution of robot- assisted surgeries
2. Identify reprocessing challenges unique to robotic instrumentation
3. List practices and quality control methods to help address reprocessing challenges
Managing the by Tamara Behm and Chasity Seymour
reprocessing challenges of robotic instruments
t the conclusion of the 1980 movie “Star Wars: The Empire Strikes Back,” the hero, Luke Skywalker, gets a new hand courtesy of a robotic surgeon. Moviegoers were awed at the thought that someday, in the distant future, a robot would be able to surgically attach a robotic arm to a human being. mazingly, ust fi ve years after the movie was released, the fi rst surgical robots were assisting surgeons in performing biopsies! As we know, this was only the beginning of what robots are helping surgeons do today. Although robotic surgical tools seem like space-age technologies, they are prone to very down-to-earth process- ing challenges in our sterile processing departments.
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The evolution of robot-assisted surgery When developing advances in surgical technique, innovators have typically set two major clinical goals: to reduce inva- siveness (which decreases pain) and to reduce length of stay for patients. Robot- assisted procedures have offered oppor- tunities to provide both these benefi ts. Patients undergo less invasive procedures that result in less blood loss, and they are discharged sooner than with traditional versions of their surgeries. This is the very defi nition of surgical advancement. he fi rst robot-assisted procedure, per- formed in 1985, was a brain biopsy using the Programmable Universal Manipu- lation Arm (PUMA) 560 robot. Robot- assisted transurethral resection of the prostate and hip replacement surgeries soon followed, but robotic surgery did not yet enjoy widespread acceptance. In 1995, Intuitive Surgical launched an entirely new type of surgical robot that provided the added benefi ts of much greater preci- sion and ergonomic support for surgeons. With success comes competition. In 2006, TransEnterix Surgical launched their
48 November 2020 • HEALTHCARE PURCHASING NEWS •
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robotic solution for colorectal, gyneco- logical, gallbladder and hernia procedures. Stryker followed in 2013 with a robotic solu- tion for total and partial knee replacement surgeries. In 2018, robot-assisted surgery advanced again with the introduction of a hand-held robot from Human Xtensions and the fi rst eible endoscopic robot from Medrobotics. Most recently, CMR Surgical obtained FDA clearance for the Versius mobile surgical robot. The number of avail- able robotic systems is expected to continue to grow exponentially. Today, robots with specially designed instruments can assist in a variety of laparoscopic procedures. Due to their advanced precision, some procedures that were previously unsuitable for lapa- roscopic methods can be performed with less invasive robot-assisted versions. The following types of robot-assisted procedures are currently performed around the world: • Cardiac • Colorectal • Gynecological • Orthopedic • Thoracic • Urologic
As with traditional laparoscopic pro- cedures, patients receive the benefi ts of minimal tissue damage and blood loss from robot-assisted surgeries and diag- nostic procedures. In addition, the robotic devices enable a greater degree of surgical accuracy for delicate tasks. In the future, a greater number of traditional laparoscopic and endoscopic procedures are expected to be replaced by robotic versions. The many advantages of robot-assisted surgery come at a price. The main robotic system itself is about a $2-million invest- ment, and the surgical arms, staplers and other accessories are limited-use consum- ables that must be purchased repeatedly. Unlike traditional laparoscopic instrumen- tation, robotic instruments are designed
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