A prospective, single-arm study on the use of the da Vinci® Table Motion with the Trumpf TS7000dV operating table

Luca Morelli (Lead / Corresponding author), Matteo Palmeri, Tommaso Simoncini, Vito Cela, Alessandra Perutelli, Cesare Selli, Piero Buccianti, Francesco Francesca, Massimo Cecchi, Cristina Zirafa, Luca Bastiani, Alfred Cuschieri, Franca Melfi

    Research output: Contribution to journalArticle

    2 Citations (Scopus)
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    Abstract

    Background: The da Vinci® Table Motion (dVTM) comprises a combination of a unique operating table (Trumpf Medical™ TruSystem® 7000dV) capable of isocenter motion connected wirelessly with the da Vinci Xi® robotic platform, thereby enabling patients to be repositioned without removal of instruments and or undocking the robot.

    Materials and methods: Between May 2015 to October 2015, the first human use of dVTM was carried out in this prospective, single-arm, post-market study in the EU, for which 40 patients from general surgery (GS), urology (U), or gynecology (G) were enrolled prospectively. Primary endpoints of the study were dVTM feasibility, efficacy, and safety.

    Results: Surgeons from the three specialties obtained targeting success and the required table positioning in all cases. Table movement/repositioning was necessary to gain exposure of the operating field in 106/116 table moves (91.3%), change target in 2/116 table moves (1.7%), achieve hemodynamic relief in 4/116 table moves (3.5%), and improve external access for tumor removal in 4/116 table moves (3.5%). There was a significantly higher use of tilt and tilt plus Trendelenburg in GS group (GS vs. U p = 0.055 and GS vs. G p = 0.054). There were no dVTM safety-related or adverse events.

    Conclusions: The dVTM with TruSystem 7000dV operating table in wireless communication with the da Vinci Xi is a perfectly safe and effective synergistic combination, which allows repositioning of the patient whenever needed without imposing any delay in the execution of the operation. Moreover, it is helpful in avoiding extreme positions and enables the anesthesiologist to provide immediate and effective hemodynamic relief to the patient when needed.

    Original languageEnglish
    Pages (from-to)4165-4172
    Number of pages8
    JournalSurgical Endoscopy
    Volume32
    Issue number10
    Early online date30 Mar 2018
    DOIs
    Publication statusPublished - Oct 2018

    Fingerprint

    Operating Tables
    Hemodynamics
    Moving and Lifting Patients
    Safety
    Urology
    Robotics
    Gynecology
    Communication

    Keywords

    • da Vinci Table Motion (dVTM)
    • da Vinci Xi
    • Robotic surgery

    Cite this

    Morelli, L., Palmeri, M., Simoncini, T., Cela, V., Perutelli, A., Selli, C., ... Melfi, F. (2018). A prospective, single-arm study on the use of the da Vinci® Table Motion with the Trumpf TS7000dV operating table. Surgical Endoscopy, 32(10), 4165-4172. https://doi.org/10.1007/s00464-018-6161-9
    Morelli, Luca ; Palmeri, Matteo ; Simoncini, Tommaso ; Cela, Vito ; Perutelli, Alessandra ; Selli, Cesare ; Buccianti, Piero ; Francesca, Francesco ; Cecchi, Massimo ; Zirafa, Cristina ; Bastiani, Luca ; Cuschieri, Alfred ; Melfi, Franca. / A prospective, single-arm study on the use of the da Vinci® Table Motion with the Trumpf TS7000dV operating table. In: Surgical Endoscopy. 2018 ; Vol. 32, No. 10. pp. 4165-4172.
    @article{2c2d414d0cee46709f997aec55590c7a,
    title = "A prospective, single-arm study on the use of the da Vinci{\circledR} Table Motion with the Trumpf TS7000dV operating table",
    abstract = "Background: The da Vinci{\circledR} Table Motion (dVTM) comprises a combination of a unique operating table (Trumpf Medical™ TruSystem{\circledR} 7000dV) capable of isocenter motion connected wirelessly with the da Vinci Xi{\circledR} robotic platform, thereby enabling patients to be repositioned without removal of instruments and or undocking the robot.Materials and methods: Between May 2015 to October 2015, the first human use of dVTM was carried out in this prospective, single-arm, post-market study in the EU, for which 40 patients from general surgery (GS), urology (U), or gynecology (G) were enrolled prospectively. Primary endpoints of the study were dVTM feasibility, efficacy, and safety.Results: Surgeons from the three specialties obtained targeting success and the required table positioning in all cases. Table movement/repositioning was necessary to gain exposure of the operating field in 106/116 table moves (91.3{\%}), change target in 2/116 table moves (1.7{\%}), achieve hemodynamic relief in 4/116 table moves (3.5{\%}), and improve external access for tumor removal in 4/116 table moves (3.5{\%}). There was a significantly higher use of tilt and tilt plus Trendelenburg in GS group (GS vs. U p = 0.055 and GS vs. G p = 0.054). There were no dVTM safety-related or adverse events.Conclusions: The dVTM with TruSystem 7000dV operating table in wireless communication with the da Vinci Xi is a perfectly safe and effective synergistic combination, which allows repositioning of the patient whenever needed without imposing any delay in the execution of the operation. Moreover, it is helpful in avoiding extreme positions and enables the anesthesiologist to provide immediate and effective hemodynamic relief to the patient when needed.",
    keywords = "da Vinci Table Motion (dVTM), da Vinci Xi, Robotic surgery",
    author = "Luca Morelli and Matteo Palmeri and Tommaso Simoncini and Vito Cela and Alessandra Perutelli and Cesare Selli and Piero Buccianti and Francesco Francesca and Massimo Cecchi and Cristina Zirafa and Luca Bastiani and Alfred Cuschieri and Franca Melfi",
    note = "Study supported by Intuitive Surgical, Inc",
    year = "2018",
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    doi = "10.1007/s00464-018-6161-9",
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    Morelli, L, Palmeri, M, Simoncini, T, Cela, V, Perutelli, A, Selli, C, Buccianti, P, Francesca, F, Cecchi, M, Zirafa, C, Bastiani, L, Cuschieri, A & Melfi, F 2018, 'A prospective, single-arm study on the use of the da Vinci® Table Motion with the Trumpf TS7000dV operating table', Surgical Endoscopy, vol. 32, no. 10, pp. 4165-4172. https://doi.org/10.1007/s00464-018-6161-9

    A prospective, single-arm study on the use of the da Vinci® Table Motion with the Trumpf TS7000dV operating table. / Morelli, Luca (Lead / Corresponding author); Palmeri, Matteo; Simoncini, Tommaso; Cela, Vito; Perutelli, Alessandra; Selli, Cesare; Buccianti, Piero; Francesca, Francesco; Cecchi, Massimo; Zirafa, Cristina; Bastiani, Luca; Cuschieri, Alfred; Melfi, Franca.

    In: Surgical Endoscopy, Vol. 32, No. 10, 10.2018, p. 4165-4172.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - A prospective, single-arm study on the use of the da Vinci® Table Motion with the Trumpf TS7000dV operating table

    AU - Morelli, Luca

    AU - Palmeri, Matteo

    AU - Simoncini, Tommaso

    AU - Cela, Vito

    AU - Perutelli, Alessandra

    AU - Selli, Cesare

    AU - Buccianti, Piero

    AU - Francesca, Francesco

    AU - Cecchi, Massimo

    AU - Zirafa, Cristina

    AU - Bastiani, Luca

    AU - Cuschieri, Alfred

    AU - Melfi, Franca

    N1 - Study supported by Intuitive Surgical, Inc

    PY - 2018/10

    Y1 - 2018/10

    N2 - Background: The da Vinci® Table Motion (dVTM) comprises a combination of a unique operating table (Trumpf Medical™ TruSystem® 7000dV) capable of isocenter motion connected wirelessly with the da Vinci Xi® robotic platform, thereby enabling patients to be repositioned without removal of instruments and or undocking the robot.Materials and methods: Between May 2015 to October 2015, the first human use of dVTM was carried out in this prospective, single-arm, post-market study in the EU, for which 40 patients from general surgery (GS), urology (U), or gynecology (G) were enrolled prospectively. Primary endpoints of the study were dVTM feasibility, efficacy, and safety.Results: Surgeons from the three specialties obtained targeting success and the required table positioning in all cases. Table movement/repositioning was necessary to gain exposure of the operating field in 106/116 table moves (91.3%), change target in 2/116 table moves (1.7%), achieve hemodynamic relief in 4/116 table moves (3.5%), and improve external access for tumor removal in 4/116 table moves (3.5%). There was a significantly higher use of tilt and tilt plus Trendelenburg in GS group (GS vs. U p = 0.055 and GS vs. G p = 0.054). There were no dVTM safety-related or adverse events.Conclusions: The dVTM with TruSystem 7000dV operating table in wireless communication with the da Vinci Xi is a perfectly safe and effective synergistic combination, which allows repositioning of the patient whenever needed without imposing any delay in the execution of the operation. Moreover, it is helpful in avoiding extreme positions and enables the anesthesiologist to provide immediate and effective hemodynamic relief to the patient when needed.

    AB - Background: The da Vinci® Table Motion (dVTM) comprises a combination of a unique operating table (Trumpf Medical™ TruSystem® 7000dV) capable of isocenter motion connected wirelessly with the da Vinci Xi® robotic platform, thereby enabling patients to be repositioned without removal of instruments and or undocking the robot.Materials and methods: Between May 2015 to October 2015, the first human use of dVTM was carried out in this prospective, single-arm, post-market study in the EU, for which 40 patients from general surgery (GS), urology (U), or gynecology (G) were enrolled prospectively. Primary endpoints of the study were dVTM feasibility, efficacy, and safety.Results: Surgeons from the three specialties obtained targeting success and the required table positioning in all cases. Table movement/repositioning was necessary to gain exposure of the operating field in 106/116 table moves (91.3%), change target in 2/116 table moves (1.7%), achieve hemodynamic relief in 4/116 table moves (3.5%), and improve external access for tumor removal in 4/116 table moves (3.5%). There was a significantly higher use of tilt and tilt plus Trendelenburg in GS group (GS vs. U p = 0.055 and GS vs. G p = 0.054). There were no dVTM safety-related or adverse events.Conclusions: The dVTM with TruSystem 7000dV operating table in wireless communication with the da Vinci Xi is a perfectly safe and effective synergistic combination, which allows repositioning of the patient whenever needed without imposing any delay in the execution of the operation. Moreover, it is helpful in avoiding extreme positions and enables the anesthesiologist to provide immediate and effective hemodynamic relief to the patient when needed.

    KW - da Vinci Table Motion (dVTM)

    KW - da Vinci Xi

    KW - Robotic surgery

    U2 - 10.1007/s00464-018-6161-9

    DO - 10.1007/s00464-018-6161-9

    M3 - Article

    VL - 32

    SP - 4165

    EP - 4172

    JO - Surgical Endoscopy

    JF - Surgical Endoscopy

    SN - 0930-2794

    IS - 10

    ER -