Yonsei Med J.  2010 Jan;51(1):148-150. 10.3349/ymj.2010.51.1.148.

A Unique Instrumental Malfunction during Robotic Prostatectomy

• Park SY
• Ahn JJ
• Jeong W
• Ham WS
• Rha KH

• KMID: 1779623
• DOI: http://doi.org/10.3349/ymj.2010.51.1.148

Abstract

Over the past decade, the introduction of robotics in the field of medicine has provided a new approach to patients requiring surgery, and both its advantages and disadvantages are currently under study by many groups worldwide. The use of robotics has especially been considered by the urological community as a treatment option in radical prostatectomy. The current case report is one in which the da Vinci Surgical Systemtrade mark, with fourth arm use was employed in radical prostatectomy. This case presents a unique occurrence in which a bolt of the Prograsper forcep became loose during an operation, leading to diminished device functionality and later impedance of its removal. A circumstance such as this has not previously been reported, so we introduce for other robotic surgeons our unique instrumental malfunction case during a robotic prostatectomy.

Keyword

Prostatectomy; robotics; malfunction

MeSH Terms

*Equipment Failure
Humans
Male
Middle Aged
Prostatectomy/*instrumentation
Robotics/*instrumentation

Figure

• 

  Fig. 1 Prograsp Forcep with loosened bolt (encircled).

Reference

1. Muntener M, Ursu D, Patriciu A, Petrisor D, Stoianovici D. Robotic prostate surgery. Expert Rev Med Devices. 2006. 3:575–584.

2. Ficarra V, Cavalleri S, Novara G, Aragona M, Artibani W. Evidence from robot-assisted laparoscopic radical prostatectomy: a systematic review. Eur Urol. 2007. 51:45–55.

3. Badani KK, Kaul S, Menon M. Evolution of robotic radical prostatectomy: assessment after 2766 procedures. Cancer. 2007. 110:1951–1958.

4. Zorn KC, Gofrit ON, Orvieto MA, Mikhail AA, Galocy RM, Shalhav AL, et al. Da Vinci robot error and failure rates: single institution experience on a single three-arm robot unit of more than 700 consecutive robot-assisted laparoscopic radical prostatectomies. J Endourol. 2007. 21:1341–1344.

5. Esposito MP, Ilbeigi P, Ahmed M, Lanteri V. Use of fourth arm in da Vinci robot-assisted extraperitoneal laparoscopic prostatectomy: novel technique. Urology. 2005. 66:649–652.

6. Murphy D, Challacombe B, Khan MS, Dasgupta P. Robotic technology in urology. Postgrad Med J. 2006. 82:743–747.

7. Borden LS Jr, Kozlowski PM, Porter CR, Corman JM. Mechanical failure rate of da Vinci robotic system. Can J Urol. 2007. 14:3499–3501.

8. Andonia S, Okeke Z, Okeke DA, Rastinehad A, Vanderbrink BA, Richstone L, et al. Device failures associated with patient injuries during robot-assisted laparoscopic surgeries: a comprehensive review of FDA MAUDE database. Can J Urol. 2008. 15:3912–3916.