Description: Develop a robotic spine program using a multidisciplinary approach. During the development of this program we needed to collaborate with multiple departments across the medical center for a successful launch. Prior to bringing the new technology in, we needed to understand the impact to the budget as well as the benefits to our patients. New programs are multifaceted and need to have the engagement from all members of the team from the staff in the rooms to the contracting group. As this was a new procedure for our department, education was a large piece. Since staff had been exposed to numerous spine cases prior, we were able to apply our base knowledge and build from there. We also noticed similarities between the robot cases and our open lumbar cases, as well as MIS cases. This was beneficial not only in exceling through the education process but also in troubleshooting issues that would arise as we could apply concepts from various cases to the robot. Improved accuracy for screw placement. Ability to put screws as per preop plan even if there is difficult anatomy, smaller pedicles dimensions or in scoliosis patients Reduced wastage as the preop planning allows to determine diameter, length of the screws and also allows planning for rod placement trajectory MIS screw placement allows smaller incisions Decreased radiation requirement. In the beginning I worked with radiology and IT to securely set up a program that would allow for the safe transfer of patient CT scans from the CT scanner to the software that assist the surgeon with the planning and mapping. My standpoint as the coordinator of new technology I continue to be engaged as we explore new opportunities to securely transfer patient information from radiology to the robot console. As a Clinical Advisor standpoint, the most crucial part is coordinating with the multidisciplinary team as there are many factors that go into the planning phase. When a case is booked, the following factors are at the forefront of my mind; room staffing, radiology availability, equipment availability, vendor support staff availability. All of which must line up to successfully execute these cases as a team.
Co-Authors: Elena Canacari, Kelly Gamboa, Umesh Metkar, Brianna Nadeau