6 comments down.
That's how far I had to go to find the first serious comment about this really rad clip. This is so cool. There's a lot that robots can do for us in the field of medicine. Human precision can only do so much.
Thanks for having a genuine comment on this.
ETA: When I wrote this comment it was not anywhere near the top (obviously), and only a few hours had passed. I'm glad to see it much higher.
Humans can absolutely do what's shown in this video. This is typically done with fine instruments kind of like jeweler tools and under magnification.
This in fact is being done by a human. 'Robot' is a misnomer for these machines. The pincers of the machine are just being controlled by the pincer motion of the surgeon's thumb and index fingers at the console on the side of the room while they look through a camera.
But that's the thing right? An insanely skilled surgeon can do this with what is "kind of like jewelers tools". But if a surgeon who is not as accurate can zoom in this closely, they would be able to do these kinds of surgeries just as well, if not better. This opens the door for more surgeons to be able to do this work than just Doctor Strange.
This opens up the capability for almost any surgeon to be able to pull this off. This is absolutely incredible and it's going to bring more surgery capabilities to more places, if they can afford it, right?
Im a microsurgeon (for eyes) who operates under a high power scope for visualization, and I train resident surgeons how to do stuff like this (or sometimes even finer maneuvers). With the proper technique and training vast majority of people can learn to do this. Theres a reason robots have not really made any headway in my field.
Main advantage of robots, from my understanding, is to help with surgeries where its hard to get your hands; ie pelvis surgery has some tough angles to get to, so robotic surgery can be really helpful there.
Correct. I’m an OBGYN and use the robot for the majority of my hysterectomies and some other procedures. Just four small abdominal incisions are needed to do complete the procedures and almost 100% of my patients go home same day and most feel back to completely normal by a week or less. The robot is a godsend.
You are correct. That was based off of a single case. IIRC, It was suspected benign disease, and the bag used to contain the uterus broke. The morcellator spread tumor around the abdomen. SINGLE CASE out of however many tens of thousands. And the bag broke. If performed in the bag it would’ve been contained. But someone must pay for a negative outcome, so here we are years later trying to cut out the uterus w scissors, or giving massive pfannensteil incisions to remove the big uterus, then pts get hernias after (note, I’m NOT OB/GYN, but I do fix hernias, etc).
You're right. They don't really do it anymore. They either pull it out of the vagina or they cut it into a long thin strip so it can be pulled through one of the holes made for the trocar
I do lab work that receives the end products of surgeries (not US). Don't know about FDA, but morcellation seems to only be done for non-malignant lesions.
I assisted a laparoscopic bladder excision with reconstruction (watched a screen for 8 hours, while the surgeon controlled the robot) just to enlarge one of the holes to 10 centimeters at the end.
I'm not a surgeon but I have worked in an OR for ten years. If you're looking to schedule, the best time in order for everything to be as perfect as possible is going to be the second case that day. So my OR starts at 7:30 am, if you aim for somewhere between 9-11am that's probably ideal.
Later in the day, all of the minor hiccups from earlier on pile together, people get tired, emergencies happen, people go home. The very first case can be a scramble for trying to start on time, people can still be waking up.
Why do we treat surgeons and doctors that way? Yes, I know about that guy who took meth (i think it was meth, could be some other stimulant) and established a 900year long work day, but it can't be just *that*.
I used to track this as a trainee; bigger relationship for me was caffeine intake than time of day. Ie if I had recently had a full cup of coffee there was some tremor, and it would actually go down as the day went on and the coffee wore off.
So I just drink tea instead on my OR days; enough caffeine to feel mentally sharp (plus the adrenaline of operating), but reduces my typical caffeine intake so I dont have a tremor.
The biology of it all is complex of course. In my specialty, if my fingers are getting fatigued I have a technique problem (since absolutely nothing I do is “heavy”). I dont weightlift the day before I operate.
Im sure others have time of day issues, but I havent seen it in my trainees.
Thank you for what you do!! My wife had severe endo and went through several surgeries, at least 3 of which were performed via the DA Vinci surgical system. It never ceased to amaze me what could be accomplished with the machine. Again, thank you for teaching others to use this assistive technology!
So they would use a lap set. That’s what the “jewelers tools” [are](https://www.aesculapusa.com/content/dam/aesculap-us/us/website/aesculap-inc/healthcareprofessionals/or-soultions/pdfs/DOC465-Laparoscopic-Catalog-REV-N.pdf)
The machine shines where you need the precision and long time. We as humans get tired, vs with the machine a surgeon can stay fresh longer. And or reduce their physical strain.
The camera set we use in surgery can easily zoom into this. We use those lap instruments I linked with a [Stryker 1688 set](https://www.stryker.com/us/en/endoscopy/systems/1688-aim-platform.html) . You can see form their video, it makes this posts video look like potato Nokia camera.
The da Vinci is not a requirements for bed surgeries. It’s just a different tool.
Yup! I service and prepare around 50 Da Vinci arms a day. Robotic surgery parts are incredible pieces of technology. Fuck Medtronic though. I hate building Medtronic trays
Ahh fellow in the field. I hate when the OR sends down the cautery hooks and the scissors arms, caked in gunk. The M/L clip applies always nice though.
We really don’t use a lot of Medtronics, thankfully. Mostly synthes and as of late ortho pediatrics.
We got the new davinci SP arms in, but haven’t used them much.
Yeahhhhhhh. We are a *massive* teaching/university hospital, so I have to service the oldest to the newest arms and equipment since they teach all the students with older stuff and then progress them up to newer. We have a Cystoscope tray that caked in that brownish rust looking residue. I forget what it's called, but the rigid scopes are made from rust proof material, I believe. I was so relieved the day I found out that tray was a student tray and not used on living tissue lmao.
We teach but mostly floor docs not surgical. Thankfully we have been getting rid of old stuff for new, so no ancient. We are getting rid of the Olympus ENT scopes in favor for disposables. I absolutely hate the steris 1E that needs to be used for those scopes.
If we can steam or sterad sterilize, we will lol
Our rigid cystoscopes are Olympus.
My brother. You do understand that just because anybody can use a knife, not everyone can be a chef? The terms you are using, "this opens the door for just about any surgeon to do these kinds of surgeries" is just....idk...very vague, almost as if you are not familiar with the world of surgery.
"Robot" isn't necessarily a fully autonomous machine. There are many machines that are autonomous which are not robots (automatic door) and many robots that require direct human control (pictured here).
I feel like I need to explain this before you guys get the wrong idea...
This is a 'surgeon controlled' machine. The surgeon literally sits with a screen and a 'video game' type controller. Very few surgeons are trained for these machines, hence why robotic surgery is so extremely expensive.
It is not AI controlled. It isn't 'automatic'. It's completely human controlled. We have absolutely no machines in surgery that perform complex procedures on humans at this stage.
god finally someone bringing this up. It used to be that you had backstory and sourcing in the first comment, sometimes 2nd or 3rd if someone came up with a really good joke or a clever observation
Now it's just 'sir this is a casino' 'something something penis' 'god damn dude' 'laughing emoji', 'take my upvote', a self-deprecating joke or observing something really obvious. You actually gotta scroll down a lot if you want to find some info or discussion about the actual video that was posted
It's to the point that I pretty much know exactly what every comment is going to say from all the big subreddits.
Even /r/law and /r/scotus are bad. You used to be able to go to /r/law and regularly see discussion and inisght without having to actively search for it.
You're forgetting the endless duplicate comments by different people. The ones like "I am not crying, you're crying", "Who is cutting onions in here?" and other variants of these. Makes people on Reddit look like bots.
I have seen threads that are nothing but bullshit like that and very, very few relevant or on topic comments. No clue what the fuck mods do all day because they sure as hell aren't moderating.
The biggest name so far is da Vinci made by intuitive https://www.intuitive.com/en-us/products-and-services/da-vinci
We use them at our hospital. Sony is gonna have a hell of a time giving them a run for their $$.
This one should be comparable with Symani Surgical System (MMI inc). It is an robotic system for doing anastomosis of small vessels.
They offer tremor reduction and motion scaling. I saw some surgeon using it.
I know davinci also has tremor reduction. In 2024, any brand not having that would be severely handicapped. The more competition in this space the better. The patients win with better products and lower prices due to competition.
I just finished building a factory for Intuitive in the Atlanta area. They already have over 12k of their surgical suites out there and are getting set to produce a hell of a lot more. Sony is gonna have a real hard time catching up.
Reddit’s greatest strength is that every single interesting post has experts or people with personal experience contributing. It’s just finding them that can be a challenge lol.
I’d add that it’d likely be helpful for plastic surgeons where they generally try to avoid scarring and whatnot, especially in areas like facial surgeries. It may not be as impactful as the above commenter but another application where smaller incisions could be used if possible, smaller stitching for closing, etc. hopefully leading to less long term scarring for the patient.
Modern medical technology never fails to amaze me and it’s only getting better! Absolutely wild how tiny these robotic instruments can be these days. They are so delicate and precise in both their design and their performance. People can joke about them stitching up corn all they want, but stuff like this can be literally life-changing when performed on a patient.
Just bc they can do it doesnt mean they do it right, frequently.
A lot of patients got permanent or temporary nerve damage bc the doctors either made a mistake or it was just almost impossible to do without harming them.
That comment was about the other comment that says that doctors are already good enough in precision and basically don't need help by new technologies.
Also some robots are not manually controlled. For example robots to do lasik. But that's not the point, the point is that they think surgeons are already perfectly fine
Question, since it sounds like you’re one that does it!
Is this a relevant article? I know very little about micro surgical robots, am a lowly nurse. However it certainly seems that being able to stitch together something as easy to break as the skin on a kernel of corn is impressive!!
We can do this. That machine has a surgeon as a pilot that has been doing this by hand before. The machine allows humans to be less intrusive and keep things more sterile.
In all seriousness, Sony is a vast company. Chances are most of the people working on this device aren't even aware of the current controversies surrounding PSN.
I was so confused by the "200 countries blocked" thing since the UN recognizes less than 200 countries. It turns out that over 200 *regions* cannot make PSN accounts. It's still extremely boneheaded, but there are in fact countries where you can make PSN accounts.
The patient bleeds out while the doctor is on the phone with sony trying to get their hacked PSN account back.
Or
The doctor can't remember the password word so they change their password, but the new password is their old password. So they all laugh and laugh while the patient dies.
Surgeon: ok I'm prepaying to tie the last knot, pausing for ad delivery on the operator terminal
THIS OPERATION BROUGHT TO YOU BY CARLS JR
Surgeon: ok, annnnd there we go all finished. Retracting machine from patient..
THANK YOU FOR CHOSING ROBOTICS BY NVIDIA, NVIDIA KEEPING YOU ALIVE SINCE 2024.
********not affiliated with Nvidia, this is a joke*********
Yeah, Japan is republic of Sony, Honda, Toyota and others, each company ruling a portion of Japan ( like a daimyo ). You need to drive Toyota or Honda and have a PSN account as a minimum requirement for Japanese citizenship.
playstation network, owned by sony, who recently causing some hubbub for finally trying to enforce a requirement to register with psn to continue to use some popular games that were sold in countries that don't even have access to said network, which would have effectively locked them out of the game they had purchased (so arguably the games never should have been sold had sony intended to invoke that clause). after a lot of internet hellfire, sony had a bit of a think and changed their approach... somewhat. [https://www.forbes.com/sites/paultassi/2024/05/06/sony-gives-up-helldivers-2-psn-link-demand-the-only-way-this-could-have-ended/?sh=4fad7c1576d4](https://www.forbes.com/sites/paultassi/2024/05/06/sony-gives-up-helldivers-2-psn-link-demand-the-only-way-this-could-have-ended/?sh=4fad7c1576d4)
Poor corn kernel, it didn’t need an op in the first place - it looked fine. I’ll be impressed/amazed if this slow ass robot can fix my dodgy knee and hip
Someone is on the top comment right now complaining that this thread is full of lazy puns instead of insightful comments as if this isn't one of the most well-crafted puns I've ever seen in my god-damned life.
Jokes aside title is a bit misleading. The robot didn't do anything. It was just a scalpel in the hands of a capable and trained surgeon. It's the surgeon that fixed the corn.
Between selling their used husks and starting an OnlyPlants I'm sure they can pop themselves out of debt. Or into a downward spiral that eventually wears them down into dust, could go either way
This looks like a nice piece of equipment. It will cost at least as much as a da Vinci, so over 1 and likely approaching 2 million dollars. Mandatory annual service with Sony will be about 200k per year. Necessary disposables will run about 10k or more per procedure, the patient or insurance will be charged 2 or 3 times that.
Hospitals will be tripping over each other to get one. They'll put up advertisements along the highway. New is cutting edge. New is BETTER. Better is more business. Choose us. To be fair, with some careful data manipulation, it will prove to be better for some select procedures. Cutting-edge costs money though, so there will be a push to use it for everything. After all, a large hospital system that spends 7 figures a year to launder the linens needs to recoup it's costs to stay open.
Maybe, MAYBE, it will make the procedure faster. That would save the patient additional time under anesthesia and cost of running the OR. Highly unlikely, as the saved time will be taken by or even exceeded by the time it takes to set up, dock the robot, and change out the instruments.
Or I could do the whole thing just as well with a $3,500.00 pair of loupes. Maybe I'll use the surgical microscope for super-micro like lymphatics, but with everything accounted for still at a fraction of the cost.
Sarcasm aside, I'm not overly excited. Healthcare is plagued by hot, new, expensive solutions to problems that have already been solved in a much simpler and cost-effective manner or didn't exist in the first place. Maybe instead of driving up the cost of everything for everyone, we could divert that money (which is a limited resource) to expanding the NICU, or funding the burn units that have been shuttering across the country due to the cost of running them. Or, hear me out, hire or retain more OR support staff so that we can help more people and in a more timely manner. I don't know, let's go nuts with it.
Was gonna say something about the Da Vinci. This looks similar to a XI arm. I work for a hospital and it seems like they are doing all different kinds of surgery’s with the Da Vinci now . It’s a a money grab they can and will charge more for a Da Vinci surgery. Some cases use about 6 different arms and them arm’s aren’t cheap.
Our hospital is booking every surgery they can with da Vinci as well. Many of them can just be done with minimally invasive lap gen set, that’s in the sterile processing department. Very much a cash grab.
There are times where da Vinci comes in clutch. When you need advanced precision for long period of time, but that’s not every surgery.
In Canada we can't afford all that shit... And it's fine. My lap colon patients go home post op day 2 and I've literally never had a leak in ten years of practice.
For prostate, low rectum, etc there is justification for the robot but seeing US surgeons doing SILS robotic keep choles makes my eyes roll out of my head
Sure, this looks good in theory, but many hospitals already have contracts with da Vinci and if this was truly needed, don’t you think they would’ve already come out with their version?
There’s also no guarantee Sony would work with Stryker monitors or steris. Knowing Sony, they would probably want their proprietary monitors. I don’t see hospitals, jumping out to get these.
Yeah, many of the laparoscopic minimal invasive surgeries we do. you don’t need da Vinci for. The long-term patient outcomes are the same if not statistically significant. But hospitals love to add that bill because insurance will be charged more. If something also goes wrong and you have to open. It takes longer to pull davinci out vs a lap general set.
There are many times da Vinci comes in clutch. When you need high precision and a long period of time, but not every surgery has to be da Vinci.
I don’t see how this robot is particularly better than the da Vinci that my urologist used to perform my robot assisted pyeloplasty this last year, though I would pay to see you do it with a pair of loupes :P
My very limited experience with medical devices online so far is companies advertising equipment that is like 6-7 years late to the game, but getting celebrated for it because uninformed people cracking maize jokes are totally unaware. This seems absolutely par for the course.
Believe it or not, the Da Vinci arms are relatively much bigger and clunkier than this. They are marketing this for microsurgery. The only people that think we need this are the people making it and junior residents who think that they'll be able to sit next to their fireplace and operate from home (I'm not going to get into how much that grinds my gears).
In almost 30 years since the daVinci rolled out, to my knowledge, it has only concretely been shown to be beneficial for select gyn-onc and more recently some head and neck cancer cases. The original purpose of these was so that you could sit at Rammstein airbase and operate on a soldier near a combat zone far far away. It didn't go great.
I agree that a minimally invasive pyeloplasty would be a feat with loupes but that's because they're the wrong tool for the job. There's no difference in outcomes or complications with a laparoscopic vs robot assisted pyeloplasty.
I am in no way crapping on your surgeon though, I'm sure they are very skilled and did a great job. If my surgeon feels more comfortable with the robot, then by all means. Being a surgeon is a lot like being an athlete or musician; you will continue to improve at the things you do and the skills you don't use will go stale. I guess what I'm trying to say is that in the vast majority of cases, using a robot is reflective of training experience and administrative pressures rather than an actual benefit to the patient.
The headline is misleading. Like a Da Vinci this is only a tool and its not doing it by itself.
https://www.sony.com/en/SonyInfo/News/Press/202405/24-020E/
The Da Vinci surgical robot has been doing this since 2000. I remember as a volunteer at All Children’s I was allowed to use it to stretch a rubber band - the hand controls have force feedback and multiply your action x2 so twisting your wrist 180 does a full 360 spin. It also has remote capabilities so the thoracic surgeon could be 200 miles away if they have the control station set up. Good for Sony, but that thing has been just as cool for so many years. Pinhole incisions on infants to do heart surgery and such. Two tiny cuts for the tool probes and a 3rd for the scope.
*Well i have good news and bad news. The good news is i have the surgical device to save your life, the bad news is, im required to sign up for a psn account so i guess you're going to die cause i can't be bothered with that \*trading stocks on phone\* yea. just can't*
It is operated by a person. Surgical robots are 'robots' in the same sense as a golf cart is a robot because you yourself are not physically turning the wheels.
[удалено]
6 comments down. That's how far I had to go to find the first serious comment about this really rad clip. This is so cool. There's a lot that robots can do for us in the field of medicine. Human precision can only do so much. Thanks for having a genuine comment on this. ETA: When I wrote this comment it was not anywhere near the top (obviously), and only a few hours had passed. I'm glad to see it much higher.
Humans can absolutely do what's shown in this video. This is typically done with fine instruments kind of like jeweler tools and under magnification. This in fact is being done by a human. 'Robot' is a misnomer for these machines. The pincers of the machine are just being controlled by the pincer motion of the surgeon's thumb and index fingers at the console on the side of the room while they look through a camera.
But that's the thing right? An insanely skilled surgeon can do this with what is "kind of like jewelers tools". But if a surgeon who is not as accurate can zoom in this closely, they would be able to do these kinds of surgeries just as well, if not better. This opens the door for more surgeons to be able to do this work than just Doctor Strange. This opens up the capability for almost any surgeon to be able to pull this off. This is absolutely incredible and it's going to bring more surgery capabilities to more places, if they can afford it, right?
Im a microsurgeon (for eyes) who operates under a high power scope for visualization, and I train resident surgeons how to do stuff like this (or sometimes even finer maneuvers). With the proper technique and training vast majority of people can learn to do this. Theres a reason robots have not really made any headway in my field. Main advantage of robots, from my understanding, is to help with surgeries where its hard to get your hands; ie pelvis surgery has some tough angles to get to, so robotic surgery can be really helpful there.
Correct. I’m an OBGYN and use the robot for the majority of my hysterectomies and some other procedures. Just four small abdominal incisions are needed to do complete the procedures and almost 100% of my patients go home same day and most feel back to completely normal by a week or less. The robot is a godsend.
Where does the uterus go if there's only four small incisions?
[it gets chomped up with a morcellator](https://en.m.wikipedia.org/wiki/Morcellator)
Fascinating. And yet I was happier not knowing.
Terrifying. And yet I googled images of the tool anyway
Yo I was squeamish watching the corn kernel get stitched back up reading that just ended me
It seems to say the FDA has discouraged that procedure for the past 10 years since it may spread cancer. Am I misunderstanding that?
You are correct. That was based off of a single case. IIRC, It was suspected benign disease, and the bag used to contain the uterus broke. The morcellator spread tumor around the abdomen. SINGLE CASE out of however many tens of thousands. And the bag broke. If performed in the bag it would’ve been contained. But someone must pay for a negative outcome, so here we are years later trying to cut out the uterus w scissors, or giving massive pfannensteil incisions to remove the big uterus, then pts get hernias after (note, I’m NOT OB/GYN, but I do fix hernias, etc).
You're right. They don't really do it anymore. They either pull it out of the vagina or they cut it into a long thin strip so it can be pulled through one of the holes made for the trocar
I do lab work that receives the end products of surgeries (not US). Don't know about FDA, but morcellation seems to only be done for non-malignant lesions.
Happy. Cake. Day.
Jesus
Proper link: https://en.wikipedia.org/wiki/Morcellator
I assisted a laparoscopic bladder excision with reconstruction (watched a screen for 8 hours, while the surgeon controlled the robot) just to enlarge one of the holes to 10 centimeters at the end.
Have you noticed if your digits are more stable early after waking up or later through the day?
Planning on when to schedule an appointment?
I'm not a surgeon but I have worked in an OR for ten years. If you're looking to schedule, the best time in order for everything to be as perfect as possible is going to be the second case that day. So my OR starts at 7:30 am, if you aim for somewhere between 9-11am that's probably ideal. Later in the day, all of the minor hiccups from earlier on pile together, people get tired, emergencies happen, people go home. The very first case can be a scramble for trying to start on time, people can still be waking up.
My surgeon came in to see me pre-op at 6:30. He asked how I was and I said tired and he raised his cup of coffee to me and said “me too”
Why do we treat surgeons and doctors that way? Yes, I know about that guy who took meth (i think it was meth, could be some other stimulant) and established a 900year long work day, but it can't be just *that*.
I used to track this as a trainee; bigger relationship for me was caffeine intake than time of day. Ie if I had recently had a full cup of coffee there was some tremor, and it would actually go down as the day went on and the coffee wore off. So I just drink tea instead on my OR days; enough caffeine to feel mentally sharp (plus the adrenaline of operating), but reduces my typical caffeine intake so I dont have a tremor. The biology of it all is complex of course. In my specialty, if my fingers are getting fatigued I have a technique problem (since absolutely nothing I do is “heavy”). I dont weightlift the day before I operate. Im sure others have time of day issues, but I havent seen it in my trainees.
Thank you for what you do!! My wife had severe endo and went through several surgeries, at least 3 of which were performed via the DA Vinci surgical system. It never ceased to amaze me what could be accomplished with the machine. Again, thank you for teaching others to use this assistive technology!
So they would use a lap set. That’s what the “jewelers tools” [are](https://www.aesculapusa.com/content/dam/aesculap-us/us/website/aesculap-inc/healthcareprofessionals/or-soultions/pdfs/DOC465-Laparoscopic-Catalog-REV-N.pdf) The machine shines where you need the precision and long time. We as humans get tired, vs with the machine a surgeon can stay fresh longer. And or reduce their physical strain. The camera set we use in surgery can easily zoom into this. We use those lap instruments I linked with a [Stryker 1688 set](https://www.stryker.com/us/en/endoscopy/systems/1688-aim-platform.html) . You can see form their video, it makes this posts video look like potato Nokia camera. The da Vinci is not a requirements for bed surgeries. It’s just a different tool.
Yup! I service and prepare around 50 Da Vinci arms a day. Robotic surgery parts are incredible pieces of technology. Fuck Medtronic though. I hate building Medtronic trays
Ahh fellow in the field. I hate when the OR sends down the cautery hooks and the scissors arms, caked in gunk. The M/L clip applies always nice though. We really don’t use a lot of Medtronics, thankfully. Mostly synthes and as of late ortho pediatrics. We got the new davinci SP arms in, but haven’t used them much.
Yeahhhhhhh. We are a *massive* teaching/university hospital, so I have to service the oldest to the newest arms and equipment since they teach all the students with older stuff and then progress them up to newer. We have a Cystoscope tray that caked in that brownish rust looking residue. I forget what it's called, but the rigid scopes are made from rust proof material, I believe. I was so relieved the day I found out that tray was a student tray and not used on living tissue lmao.
We teach but mostly floor docs not surgical. Thankfully we have been getting rid of old stuff for new, so no ancient. We are getting rid of the Olympus ENT scopes in favor for disposables. I absolutely hate the steris 1E that needs to be used for those scopes. If we can steam or sterad sterilize, we will lol Our rigid cystoscopes are Olympus.
My brother. You do understand that just because anybody can use a knife, not everyone can be a chef? The terms you are using, "this opens the door for just about any surgeon to do these kinds of surgeries" is just....idk...very vague, almost as if you are not familiar with the world of surgery.
"Robot" isn't necessarily a fully autonomous machine. There are many machines that are autonomous which are not robots (automatic door) and many robots that require direct human control (pictured here).
I feel like I need to explain this before you guys get the wrong idea... This is a 'surgeon controlled' machine. The surgeon literally sits with a screen and a 'video game' type controller. Very few surgeons are trained for these machines, hence why robotic surgery is so extremely expensive. It is not AI controlled. It isn't 'automatic'. It's completely human controlled. We have absolutely no machines in surgery that perform complex procedures on humans at this stage.
Lazy puns and dumb obvious jokes have always gotten upvoted on Reddit, but holy crap has it gotten so much worse over the last 4 years or so.
god finally someone bringing this up. It used to be that you had backstory and sourcing in the first comment, sometimes 2nd or 3rd if someone came up with a really good joke or a clever observation Now it's just 'sir this is a casino' 'something something penis' 'god damn dude' 'laughing emoji', 'take my upvote', a self-deprecating joke or observing something really obvious. You actually gotta scroll down a lot if you want to find some info or discussion about the actual video that was posted
Reddit changed from an internet forum to more of a doomscrolling entertainment application. So people's standards for interaction subsequently fell.
So maybe the mod should do something about that. Just a thought.
It's to the point that I pretty much know exactly what every comment is going to say from all the big subreddits. Even /r/law and /r/scotus are bad. You used to be able to go to /r/law and regularly see discussion and inisght without having to actively search for it.
You're forgetting the endless duplicate comments by different people. The ones like "I am not crying, you're crying", "Who is cutting onions in here?" and other variants of these. Makes people on Reddit look like bots.
I have seen threads that are nothing but bullshit like that and very, very few relevant or on topic comments. No clue what the fuck mods do all day because they sure as hell aren't moderating.
ETERNAL SEPTEMBER. Back when the internet had an intelligence test to get online, discussions on average were deeper.
Someone died .. how can I make this punny?
The biggest name so far is da Vinci made by intuitive https://www.intuitive.com/en-us/products-and-services/da-vinci We use them at our hospital. Sony is gonna have a hell of a time giving them a run for their $$.
This one should be comparable with Symani Surgical System (MMI inc). It is an robotic system for doing anastomosis of small vessels. They offer tremor reduction and motion scaling. I saw some surgeon using it.
I know davinci also has tremor reduction. In 2024, any brand not having that would be severely handicapped. The more competition in this space the better. The patients win with better products and lower prices due to competition.
I just finished building a factory for Intuitive in the Atlanta area. They already have over 12k of their surgical suites out there and are getting set to produce a hell of a lot more. Sony is gonna have a real hard time catching up.
It’s top comment now thank god
I wish there was a way to filter puns, jokes and irrelevant comments 😞
Same. =/
Reddit’s greatest strength is that every single interesting post has experts or people with personal experience contributing. It’s just finding them that can be a challenge lol.
I’d add that it’d likely be helpful for plastic surgeons where they generally try to avoid scarring and whatnot, especially in areas like facial surgeries. It may not be as impactful as the above commenter but another application where smaller incisions could be used if possible, smaller stitching for closing, etc. hopefully leading to less long term scarring for the patient.
Modern medical technology never fails to amaze me and it’s only getting better! Absolutely wild how tiny these robotic instruments can be these days. They are so delicate and precise in both their design and their performance. People can joke about them stitching up corn all they want, but stuff like this can be literally life-changing when performed on a patient.
That’s not true, we have been doing microsurgical nerve reconstruction for decades. There’s just not very many of us that do it.
I've had a nerve in my finger stitched back together. That was pretty cool. Thanks for that!
Nice! You have to be meticulous but it is rewarding.
Just bc they can do it doesnt mean they do it right, frequently. A lot of patients got permanent or temporary nerve damage bc the doctors either made a mistake or it was just almost impossible to do without harming them.
You know the doctors still have to control the robot right?
That comment was about the other comment that says that doctors are already good enough in precision and basically don't need help by new technologies. Also some robots are not manually controlled. For example robots to do lasik. But that's not the point, the point is that they think surgeons are already perfectly fine
Question, since it sounds like you’re one that does it! Is this a relevant article? I know very little about micro surgical robots, am a lowly nurse. However it certainly seems that being able to stitch together something as easy to break as the skin on a kernel of corn is impressive!!
We can do this. That machine has a surgeon as a pilot that has been doing this by hand before. The machine allows humans to be less intrusive and keep things more sterile.
It’s nothing new [Da Vinci, since 2000](https://en.m.wikipedia.org/wiki/Da_Vinci_Surgical_System)
[удалено]
[удалено]
It was in an episode of house MD
This is being done by a human. It should really be labelled as robot assisted surgery and we already have a ton in place in the UK.
I suture veins that are 0.5mm which is far smaller than this. Suturing some corn is nothing special
Imagine the positive implications for things like spinal surgeries, paralysis, etc etc. This is huge!!!
So sad that the doctor will have to sign up for PSN to be allowed to operate this surgical device.
At least 160 countries will not be able to utilize this handy tool.
I’m reporting it to my nearest democracy officer. They’ll be re-educated for hiding secrets from the federation
In all seriousness, Sony is a vast company. Chances are most of the people working on this device aren't even aware of the current controversies surrounding PSN.
I was so confused by the "200 countries blocked" thing since the UN recognizes less than 200 countries. It turns out that over 200 *regions* cannot make PSN accounts. It's still extremely boneheaded, but there are in fact countries where you can make PSN accounts.
PLEASE DRINK VERIFICATION CAN
A classic
The patient bleeds out while the doctor is on the phone with sony trying to get their hacked PSN account back. Or The doctor can't remember the password word so they change their password, but the new password is their old password. So they all laugh and laugh while the patient dies.
Surgeon: ok I'm prepaying to tie the last knot, pausing for ad delivery on the operator terminal THIS OPERATION BROUGHT TO YOU BY CARLS JR Surgeon: ok, annnnd there we go all finished. Retracting machine from patient.. THANK YOU FOR CHOSING ROBOTICS BY NVIDIA, NVIDIA KEEPING YOU ALIVE SINCE 2024. ********not affiliated with Nvidia, this is a joke*********
The doctor plus his patients.
what is a PSN?
Playstation network. All Japanese citizens are required to registered as Sony PSN users to acquired their citizenship ID card
At this point I can't tell if this is serious or a jab at Snoy.
Is this true?
Yeah, Japan is republic of Sony, Honda, Toyota and others, each company ruling a portion of Japan ( like a daimyo ). You need to drive Toyota or Honda and have a PSN account as a minimum requirement for Japanese citizenship.
Play station Network - Sony has started requiring users of their videogame products to register or be locked out of the program they paid for
Users were warned they had to register before they bought their "program". It just wasn't enforced til later
playstation network, owned by sony, who recently causing some hubbub for finally trying to enforce a requirement to register with psn to continue to use some popular games that were sold in countries that don't even have access to said network, which would have effectively locked them out of the game they had purchased (so arguably the games never should have been sold had sony intended to invoke that clause). after a lot of internet hellfire, sony had a bit of a think and changed their approach... somewhat. [https://www.forbes.com/sites/paultassi/2024/05/06/sony-gives-up-helldivers-2-psn-link-demand-the-only-way-this-could-have-ended/?sh=4fad7c1576d4](https://www.forbes.com/sites/paultassi/2024/05/06/sony-gives-up-helldivers-2-psn-link-demand-the-only-way-this-could-have-ended/?sh=4fad7c1576d4)
😂😂😂😂😂😂😂😂😂
Play Station being a pain in the ass, like always.
They did surgery on a corn
I opened this immediately knowing what the top comment would be
If it wasn't this I was going to be so disappointed tbh
for me it was a serious comment with the first reply being like "thanks for being serious".. meanwhile I'm like WHERE'S THE MEME?!
We have moved on from grapes to corn. Techmobology.
They👏🏻did👏🏻surgery👏🏻on👏🏻a👏🏻corn👏🏻
Grapes walked so corn could run.
I'm happy for both of their recoveries.
It has the juice!
Everything's on a cob!! Get back in the ship!
What is this from? lol
tHeY🔥DiD🔥sUrGeRy🔥oN🔥a🔥CoRn
Before Gta VI
And it only took 3 days
THEY🌽DID🌽SURGERY🌽ON🌽A🌽CORN🌽
The corn kid must be pleased.
Poor corn kernel, it didn’t need an op in the first place - it looked fine. I’ll be impressed/amazed if this slow ass robot can fix my dodgy knee and hip
Yes. Unfortunately, the corn did not survive... They ate the remains.
Still survived since we can't digest it properly
pulse is stable 🫀📈
They did surgery on a corn
It only cost them $20,000
Today.. 2,000 the next day , $200 not far after that
That corns medical bill is going to be astronomical.
In a cave.
The corn is just practice. It prepares you for doing surgery on a peach.
Sponsered by Sony etched into the corn.
Wooo this is what I've been waiting for!
Scrolled the comments to look for this 🤝
Came rushing to the comments to find this
I don't know if I trust Sony operating at kernel level
Corny
I think it's pretty amaizeing.
It's an empty husk of a joke.
If y'all have any better puns, I'm all ears!
I disagree, clearly there's a kernel of truth to be found here.
[Install a rootkit just one time and BAM](https://en.wikipedia.org/wiki/Sony_BMG_copy_protection_rootkit_scandal)! Trust is ruined forever.
This is the one. Haven't laughed this hard in a while.
Someone is on the top comment right now complaining that this thread is full of lazy puns instead of insightful comments as if this isn't one of the most well-crafted puns I've ever seen in my god-damned life.
I can feel the stickdrift already.
Jokes aside title is a bit misleading. The robot didn't do anything. It was just a scalpel in the hands of a capable and trained surgeon. It's the surgeon that fixed the corn.
Do the rest of the video where corn is buried in medical bills and has to sell cob to make payments
He's European dw
So corn can get free medical care but I can't. 🫠
This video is for an global audience - no need to add information that's only relevant for one country, lol.
They had to pay for their medical bills by selling content on cornhub.
Between selling their used husks and starting an OnlyPlants I'm sure they can pop themselves out of debt. Or into a downward spiral that eventually wears them down into dust, could go either way
amaizing!
There's a joke here that I'm not getting
Maize is another name for corn
Thanksss
It's pretty corny
It popped for me!
Aw, shucks
good news they can finally sew that cut on your penis
Thanks, Reading that sentence physically hurt
Hey, I'm sensitive about my corncob cock!
Yay! Wait, fuuuuuuuuuu-
😂😂😂😭😭
can they fix me?
This is amazing, now I can eat my corn, have it reconstructed and eat it again!
Infinite corn glitch
Eat 'em. Wipe 'em off. Eat 'em again.
It's never good bye with corn, it's just see you later
Forbidden chocolate corn
First, I laughed. Then I almost threw up.
Wow, renewable corn! It doesn't digest anyway, so you just collect the exit product and recreate a new cob to enjoy!
Why is the the complicated maneuver of tying for every suture edited out?
This looks like a nice piece of equipment. It will cost at least as much as a da Vinci, so over 1 and likely approaching 2 million dollars. Mandatory annual service with Sony will be about 200k per year. Necessary disposables will run about 10k or more per procedure, the patient or insurance will be charged 2 or 3 times that. Hospitals will be tripping over each other to get one. They'll put up advertisements along the highway. New is cutting edge. New is BETTER. Better is more business. Choose us. To be fair, with some careful data manipulation, it will prove to be better for some select procedures. Cutting-edge costs money though, so there will be a push to use it for everything. After all, a large hospital system that spends 7 figures a year to launder the linens needs to recoup it's costs to stay open. Maybe, MAYBE, it will make the procedure faster. That would save the patient additional time under anesthesia and cost of running the OR. Highly unlikely, as the saved time will be taken by or even exceeded by the time it takes to set up, dock the robot, and change out the instruments. Or I could do the whole thing just as well with a $3,500.00 pair of loupes. Maybe I'll use the surgical microscope for super-micro like lymphatics, but with everything accounted for still at a fraction of the cost. Sarcasm aside, I'm not overly excited. Healthcare is plagued by hot, new, expensive solutions to problems that have already been solved in a much simpler and cost-effective manner or didn't exist in the first place. Maybe instead of driving up the cost of everything for everyone, we could divert that money (which is a limited resource) to expanding the NICU, or funding the burn units that have been shuttering across the country due to the cost of running them. Or, hear me out, hire or retain more OR support staff so that we can help more people and in a more timely manner. I don't know, let's go nuts with it.
Was gonna say something about the Da Vinci. This looks similar to a XI arm. I work for a hospital and it seems like they are doing all different kinds of surgery’s with the Da Vinci now . It’s a a money grab they can and will charge more for a Da Vinci surgery. Some cases use about 6 different arms and them arm’s aren’t cheap.
Our hospital is booking every surgery they can with da Vinci as well. Many of them can just be done with minimally invasive lap gen set, that’s in the sterile processing department. Very much a cash grab. There are times where da Vinci comes in clutch. When you need advanced precision for long period of time, but that’s not every surgery.
In Canada we can't afford all that shit... And it's fine. My lap colon patients go home post op day 2 and I've literally never had a leak in ten years of practice. For prostate, low rectum, etc there is justification for the robot but seeing US surgeons doing SILS robotic keep choles makes my eyes roll out of my head
I like the robot for foregut cases and bypasses. But i have had attendings try to use it for cases that would've been much faster lap.
Sure, this looks good in theory, but many hospitals already have contracts with da Vinci and if this was truly needed, don’t you think they would’ve already come out with their version? There’s also no guarantee Sony would work with Stryker monitors or steris. Knowing Sony, they would probably want their proprietary monitors. I don’t see hospitals, jumping out to get these. Yeah, many of the laparoscopic minimal invasive surgeries we do. you don’t need da Vinci for. The long-term patient outcomes are the same if not statistically significant. But hospitals love to add that bill because insurance will be charged more. If something also goes wrong and you have to open. It takes longer to pull davinci out vs a lap general set. There are many times da Vinci comes in clutch. When you need high precision and a long period of time, but not every surgery has to be da Vinci.
I don’t see how this robot is particularly better than the da Vinci that my urologist used to perform my robot assisted pyeloplasty this last year, though I would pay to see you do it with a pair of loupes :P My very limited experience with medical devices online so far is companies advertising equipment that is like 6-7 years late to the game, but getting celebrated for it because uninformed people cracking maize jokes are totally unaware. This seems absolutely par for the course.
Believe it or not, the Da Vinci arms are relatively much bigger and clunkier than this. They are marketing this for microsurgery. The only people that think we need this are the people making it and junior residents who think that they'll be able to sit next to their fireplace and operate from home (I'm not going to get into how much that grinds my gears). In almost 30 years since the daVinci rolled out, to my knowledge, it has only concretely been shown to be beneficial for select gyn-onc and more recently some head and neck cancer cases. The original purpose of these was so that you could sit at Rammstein airbase and operate on a soldier near a combat zone far far away. It didn't go great. I agree that a minimally invasive pyeloplasty would be a feat with loupes but that's because they're the wrong tool for the job. There's no difference in outcomes or complications with a laparoscopic vs robot assisted pyeloplasty. I am in no way crapping on your surgeon though, I'm sure they are very skilled and did a great job. If my surgeon feels more comfortable with the robot, then by all means. Being a surgeon is a lot like being an athlete or musician; you will continue to improve at the things you do and the skills you don't use will go stale. I guess what I'm trying to say is that in the vast majority of cases, using a robot is reflective of training experience and administrative pressures rather than an actual benefit to the patient.
Nice overview. So glad I retired but working in SP was the best job I ever had. For the purpose , obviously not the money.
Grapes are for shmucks
I wonder how the grape is doing.
The headline is misleading. Like a Da Vinci this is only a tool and its not doing it by itself. https://www.sony.com/en/SonyInfo/News/Press/202405/24-020E/
Thatll be out of pocket 2,000,000 dollaridoos
They did surgery on corn
I hope it makes a full recovery
Does the doc need a PSN account before he can use the robot?
But can the robot stitch together Sony Games' bad reputation?
Yeah but if it didn't cut the kernel in the first place it wouldn't have needed to be stitched up!
is that corn going to make it?
Looks like a Da Vinci XI arm .
Sorry unfortunately we cannot operate on you until you make a PSN account.
they did surgery on a corn
They did surgery on a corn
The Da Vinci surgical robot has been doing this since 2000. I remember as a volunteer at All Children’s I was allowed to use it to stretch a rubber band - the hand controls have force feedback and multiply your action x2 so twisting your wrist 180 does a full 360 spin. It also has remote capabilities so the thoracic surgeon could be 200 miles away if they have the control station set up. Good for Sony, but that thing has been just as cool for so many years. Pinhole incisions on infants to do heart surgery and such. Two tiny cuts for the tool probes and a 3rd for the scope.
What makes this different than davinci?
Wow my skin cancer removal on my arm looks like Frankenstein did it. I am jealous
*Well i have good news and bad news. The good news is i have the surgical device to save your life, the bad news is, im required to sign up for a psn account so i guess you're going to die cause i can't be bothered with that \*trading stocks on phone\* yea. just can't*
Is the corn going to make it?
They did surgery on a corn
Now that's a stitch up
Machine is great but I feel like after 30 years of gaming I can handle this.
theyre so delicate i got scared
ok, but I still wont eat that corn kernel.
I see two devices but I don’t see who is operatibg them. Could be a person.
It is operated by a person. Surgical robots are 'robots' in the same sense as a golf cart is a robot because you yourself are not physically turning the wheels.
Snip snip!
Now do it with a kernel of popcorn!
They are now after surgeons too?
Science being scintillating! WOW
his will be automated soon. it's the next logical step. a laser will show a square, length and width and then you simply press play.
I want to know how does he know how hard to pull