I can extract side effects - Chapter 647

c643 A New Era of Minimally Invasive Surgery

Clinical trials of surgical robots are in full swing.

From the most basic appendicitis surgery to the extremely difficult heart bypass surgery, they were all successfully completed with the assistance of robots.

Needless to say, appendicitis surgery, even coronary artery bypass surgery that required open chest and extracorporeal circulation in the past.

With the assistance of the robot, the cardiologist can also complete the entire operation by simply making a 4 cm incision on the patient’s chest wall with a 10-fold magnified 3D blood vessel stereoscopic view.

Not only is the surgical incision small, there is no need for blood transfusion throughout the operation, and there is almost no chest drainage after the operation. The patient can walk on the ground the next day and recover and leave the hospital within five days.

The same miracle also happened to an extremely dangerous penetrating wounded patient.

On a windy and dark night, the bloody patient was sent to the emergency department by 120.

The emergency doctor arrived in a hurry, and the first time he saw the patient, he was immediately stunned.

The patient fell from a high altitude, and two steel bars more than half a meter in length were inserted across his body.

One is inserted horizontally into the pelvis, the other is inserted through the base of the left thigh and exited through the base of the right thigh.

The whole scene was extremely dangerous, and even Director Sun of the emergency department who came later and had seen countless big scenes was shocked by it.

“I haven’t seen a penetrating injury of this level for several years. No matter what treatment method is adopted, it is a huge challenge for the hospital, the medical staff, and the patients.”

“The two steel bars are so long that they can’t even be placed on the operating table.”

Director Sun immediately took a deep breath, feeling deeply troubled, and quickly summoned experts for consultation.

The hospital pushed the patient for CT, ultrasound, cardiopulmonary and other comprehensive examinations in order to find out the injury, and at the same time asked the nearby fire brigade for help.

After the firefighters arrived, without affecting the patient’s body, they immediately used hydraulic pressure to cut off the protruding steel bars outside the patient’s body.

At this time, the medical staff can place the patient on the operating table.

At the same time, many experts from the Department of Orthopedics, General Surgery, Urology, Anesthesiology, Vascular Surgery, and Imaging also took the patient’s examination results, fully exchanged opinions, and formulated the final surgical plan.

“Because such penetrating injuries are very rare in China, steel bars penetrate the body, large blood vessels and major nerves are densely distributed, involving multiple important organs, and treatment is extremely difficult.”

“How to avoid intraoperative bleeding, how to avoid damage to the bladder and ureter, how to prevent intestinal damage during the operation, how to stabilize the patient’s blood pressure during the operation, and how to prevent postoperative infection…”

“These are issues we need to consider.”

“The surgical plan definitely requires multidisciplinary coordination and cooperation. First, orthopedic and vascular surgeons will conduct vascular and nerve examinations and perform foreign body removal from penetrating injuries.”

“DSA-guided balloon occlusion of the aorta was then performed, and penetrating wound debridement was performed by other surgeons.”

Director Liu of the Department of Vascular Surgery looked at the patient’s examination results, talked eloquently, and quickly proposed his own solution, which was unanimously approved.

After the surgical plan was determined, the doctors faced another problem.

During the process of removing the steel bar, the biggest risk is that it is easy to cause damage to the artery and cause massive bleeding.

In addition, there is a steel bar running through the pelvis, and the removal process may cause secondary damage to the bladder, rectum, ureter and densely packed nerves, and a little carelessness will lead to the failure of the operation.

In this case, the steel bars must be removed with sub-millimeter precision and absolutely without shaking hands.

A shake of the hand, a slight cheapness of the position, will cause a big problem.

In this case, doctors immediately thought of surgical robots.

What better option than a robot capable of performing multiple surgeries at the same time?

Is there a more stable and finer extraction tool than a robotic arm?

The answer is no.

Using surgical robots, doctors can remove the hip reinforcement while debridement of the thigh, and continue debridement and suturing.

Multiple surgeries are performed at the same time without interfering with each other at all.

Moreover, with the mechanical arm to pick up the steel bars, as long as the route and strength are set, the whole process can be done without any deviation. This accuracy is undoubtedly much better than that of human hands.

So, with the help of Sanqing, the hospital set up the operating room in the shortest possible time.

An extra console is added to the existing surgical robot, so that two doctors can control the robotic arm separately and perform different operations at the same time.

The orthopedic surgeon first controlled the robotic arm to remove the steel bars on the left and right thighs of the patient, then debrided and sutured.

The operation went very well, with just a little bleeding, and it was done.

On the other hand, vascular surgeons are faced with the more dangerous operation of removing the hip reinforcement.

In order to prevent massive bleeding during the operation, a surgical robot was used to place a balloon in the abdominal aorta before removing the steel bar.

In this way, once massive bleeding occurs during the operation, the balloon can be immediately expanded to block the blood vessel and block the blood supply, leaving about 30 minutes of golden time for medical staff for first aid.

Due to the adequate preparation in the early stage, the risk of vascular and nerve injury in patients is minimized.

As a result, the robotic arm precisely clamped the steel bars on the patient’s abdomen, and began to slowly exit the human body along the established route.

Under the dynamic monitoring of the endoscopic navigation system, the steel bar slowly exited the first 1cm.

At this moment, the air in the operating room seemed to freeze.

Everyone held their breath subconsciously, silently staring at the receding steel bars on the screen.

Although the initial penetrating injury did not cause fatal injury, as long as the extraction process is a little careless, the injury caused by excessive displacement may cause secondary bleeding at any time.

However, the mechanical arm didn’t seem to feel the tremendous pressure. Firmly but slowly, the steel bar was gradually withdrawn centimeter by centimeter according to the original wound path.

After 30 minutes, the last 1cm steel bar completely exited the patient’s body.

During the whole process, the mechanical arm did not have a slight deviation, nor did it tremble, and it completed the task extremely reliably.

No major hemorrhage occurred, and no damage to major blood vessels or nerves was caused.

Everyone present was relieved immediately.

Two hours later, debridement was successfully completed as the last knot of suture was secured and shortened in the tireless robotic arms.

This 4-hour arduous rescue finally came to an end in a thrilling but orderly atmosphere.

The injured kept stable vital signs, and was finally dragged back from the gate of hell, and he woke up smoothly that night.

After this battle, Sanqing’s full-featured surgical robot has completely captured the favor of surgeons.

They bid farewell to the era of barbaric spellcasting, just like the first batch of airplane pilots flying in the sky in human history, they plunged headlong into the new world of minimally invasive surgery and intelligence with an unstoppable posture.

Of course, if we want to rush into the intelligent era of minimally invasive surgery at a high speed, there is another important constraint.

That’s the price of surgical robots.

Prior to this, the high price of Da Vinci robots, which cost tens of millions, was the biggest obstacle to the popularization of minimally invasive intelligent surgery.

Fortunately, this time it was the domestic giant Sanqing.

When it comes to reducing costs and increasing efficiency, and ending sky-high prices, no one knows better than Huaxia people.

No matter what, when the Chinese people can’t produce it, it will be very expensive.

Once Huaxia can produce it, it will instantly become the price of cabbage.

Shield machines, LCD panels, chips, MRI… all of them.

Surgical robots are no exception.

*****

Kunming, Sanqing Headquarters.

“Mr. Wei, our surgical robot is really popular.”

“Doctors from many hospitals have come to visit and study, and they are all asking how much is a set?”

“Look, when will we fix the price and announce it?”

Wang Dali considered his words, tried his best to keep his tone calm, and asked.

However, his rapid breathing and the involuntary waving of his hands still revealed the excitement in his heart.

Wei Kang withdrew his gaze from the clinical experiment report in his hand, pondered for a while, and then gave the answer.

“It’s really time to set the price.”

“I remember Da Vinci’s surgical robot is 30 million units, so let’s set the price at one-tenth.”

“Huh?” Wang Dali couldn’t help being stunned when he heard this sentence.

Although he had prepared for a long time, his robot would definitely be sold cheaper than Da Vinci, probably at a price of one million, but he did not expect it to be so low.

After all, they are all priced in millions, 8 million and 3 million, there is still a big gap.

At this time, he couldn’t help but think of some of Lu Tingfeng’s complaints, and only then did he have a personal feeling for the old leader’s pain.

Just when he was hesitating how to tactfully put forward his objection without making the boss feel disgusted.

Wei Kang added a few more words, and then restrained the urge to run wild deep in his heart.

“Oh, by the way, this is only the price of the basic model, and the standard configuration should be a mechanical arm.”

Wei Kang said casually: “I remember that the robot should be a mechanical arm that can be equipped with various functions, and it can even be equipped with a console.”

“Then these additional functions will cost more.”

“Our mechanical arms are so fine, it’s not too much to sell one for 800,000.”

“There is also a console, which is so convenient to operate, it is reasonable to sell one for 500,000.”

“As for the supporting parts and software, these are also charged, such as scalpel heads, advanced AI assistance systems and the like.”

“Of course maintenance, as well as software and database upgrades, are free within the warranty period, and there must be a fee if the warranty period is exceeded.”

When Wang Dali heard the words, he immediately praised: “Mr. Wei, you are absolutely right. In the equipment industry, we do not rely on the equipment itself to make a lot of money, but rely on the follow-up accessories to make profits.”

“The price of the equipment itself is relatively low, especially the basic model, which is mainly used to seize the market and attract customers.”

“Usually, the situation of this kind of equipment is different in each hospital. Some hospitals only need laparoscopic surgery, and some hospitals can’t even do neurosurgery. Naturally, they need different configuration solutions.”

“We have to try our best to customize additional functions according to the needs of customers in order to earn enough profits.”

“Such a pricing strategy is suitable for high-end equipment.”

Wei Kang leaned back slightly, leaned on the soft back of the chair, raised the corners of his mouth, showing a smug smile, and said.

“Of course, with millions or tens of millions of machines, the needs of different users must be different. We must cover as many customer groups as possible in order to occupy the largest market share.”

“The cheap basic model is far below the market price, but its function is no worse than that of competitors. It can greatly stimulate customer demand and give them a feeling of taking advantage of it.”

“Sometimes, in the face of this kind of stimulation, customers will create demand even if there is no demand.”

“After placing the order, they saw a long list of robotic arms with rich functions, which can be installed on one machine and adapted to various types of surgery. accounted for ‘feeling.”

“After all, those competing robots are sold separately according to their functions. If you want to do orthopedic surgery, you must buy an orthopedic surgery robot, and if you want to do laparoscopic surgery, you must buy a da Vinci. Give you a single robotic arm.”

“Our products are stronger than competing products, not in robotic arms, consoles, and imaging systems.”

“These functions can also be provided by friends. Compared with us, there is a gap, but not that big.”

“However, we have an advantage that others do not have, and that is the extreme compatibility of distributed robotic arms and consoles, as well as the power of parallel AI-assisted systems.”

“Only by installing different robotic arms, one robot can be used to perform multi-department joint surgery, and even an additional console can be installed, so that multiple operations can be performed in parallel.”

“In this way, customers only need to compare multiple aspects to know the advantages of our products.”

“In the past, everyone was like this. Different functions were sold separately. Customers had no choice.”

“Now, customers have a choice. Huh.”

“At this time, what choice will they make, needless to say?”

Wang Dali smiled approvingly, nodded, and continued.

“In fact, this is also good for grassroots hospitals. I have received inquiries from some county-level hospitals. They have long wanted to buy surgical robots, but they are always discouraged by the high price of Da Vinci.”

“Our basic model comes standard with a robotic arm, which can be taken away for only 3 million yuan. Primary hospitals can buy it for some ordinary minimally invasive endoscopic surgery.”

“Their doctors’ ability is limited, and some difficult operations can’t be performed, so they have to be transferred to another hospital. With the assistance of robots, the threshold for many operations can be greatly reduced, and they can be performed directly in the county, saving patients from traveling. suffering.”

“When it comes to this, they are also very excited, saying that as long as the price is right, they will definitely place an order.”

“Furthermore, many county hospitals are not well-equipped with departments and can’t find suitable senior doctors. They dare not perform major surgeries in departments such as the Department of Neurosurgery, Interventional Surgery, and Cardiac Surgery.”

“When their word-of-mouth gradually builds up and patients gain confidence in the hospital, they can build special departments. At this time, they don’t need to buy more robots. They only need to install robotic arms or consoles.”

“It’s very cost-effective for them, and it’s also an attractive place.”

“As for the first- and second-tier tertiary hospitals, they are rich and powerful. If they know the price, they will definitely order several at one go, and each one is estimated to be fully equipped.”

Wei Kang smiled slightly and reminded: “There is one more thing, don’t forget.”

“That’s the telesurgery function.”

“This is also a major selling point for our primary hospitals in remote areas.”

Wang Dali nodded hastily: “Mr. Wei, don’t worry, I will never forget it.”

“It’s not that our robots haven’t been sold yet, and they haven’t been sold to primary hospitals, so we haven’t been able to show them.”

“When it goes on sale in the future, I will definitely promote it vigorously.”

Wei Kang pondered for a moment, then said, “Well, let’s donate a few surgical robots to remote areas.”

“Think of it as charity, and then let them experience the feeling of going to the countryside after surgery.”

“At the same time, we must do a good job in publicity so that the general public can see this scene.”

“In the past, they only accepted telemedicine, and they have not yet reached the step of telesurgery.”

“In fact, telesurgery is a part of telemedicine. When they see is believing and they can accept it, telesurgery will come into reality and become popular.” (End of this chapter)