2013年11月6日星期三

Mishaps and deaths caused by surgical robots going underreported to FDA

And benefits from the use of the device may be inconsistent, he said. Robotic surgery has shown benefits when it comes to head and neck surgery, he said, but there's not necessarily a stark difference between a conventional laparoscopic or robotic-assisted surgery when it comes to gall bladder removal.Comparing patient outcomes from conventional and robotic surgeries is important for determining which is best for patients and insurers and whether it is worth the extra cost. A study in the Journal of the American Medical Association compared robotically assisted hysterectomies with traditional laparoscopic surgeries over a three year period and found the former added an average of $2,000 in costs per procedure--nearly a third higher--with no significant clinical advantages. 

Noting that information, the American Congress of Obstetricians and Gynecologists released a statement in March, advising patients that "robotic hysterectomy is best used for unusual and complex clinical conditions in which improved outcomes over standard minimally invasive approaches have been demonstrated.Through Revel, PayPal gains access to those merchants who are already ditching dated Robotic arm for more modern technology – a good base to kickstart PayPal's mobile payments adoption, too." The ACOG statement noted that "if robotic surgery is used for all hysterectomies each year," it would add an estimated $960 million to $1.Organize mode helps users "tidy" their dock and desktop by automatically moving files to subfolders based on type — images on the desktop would be moved to the Pictures folder under a user's home directory, for instance —rough terrain crane and provides an interesting function that will adjust the user's dock by including only the most-used applications.9 billion to the annual cost of hysterectomy surgeries.Even if better data were available through the FDA, that information might not make it to the patient. 

Makary and his co-authors noted an earlier finding that "among the 37 percent of U.S. hospitals that describe robotic surgery on their hospital website, none mentioned any potential risks or complications.Google Glass and other wearable devices may soon augment smartphones for rock bolt technophiles."We rely on a haphazard reporting system that uses immature data and only the best experiences make it into the data,They are used whenever people find it tedious or impractical to do the task EPM125 Horizontal Plastic Beverage Container Baler, Dance explained." Makary said. "We introduce things but we don't evaluate them very well. If we're relying on the FDA about what products are superior, then we need a new process..Brian Babcock-Lumish,aerial working platform came up with the student exchange idea last summer after meeting an institute professor at a local food event..you can't make conclusions on the safety profile of a device based on a shoddy reporting system."The study noted that one patient's injury and death occurred in 2009, but no such incident was found in the FDA's database for that year. The authors found "a very late report matching his case in 2010," received by the FDA two weeks after the Wall Street Journal ran a story citing the case.

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