By Billy Hammond (Copyright AELS)

I took an MOOC course in Thoracic Oncology from the University of Michigan about a year and a half ago.

 

One of the topics covered in the class was the use of the Da Vinci Robot System, which makes use of avant-guarde technology. I happened to be reading through my class notes today and recalled that the professor pointed out that the latest is not always the greatest.

 

Here are some facts from my notes.

Cost

Robot + Teaching Console: $25,000

Annual Service Contract: $165,000

Support Salary and Benefits: $75,000

Supplies per Case: $5,000

 

Adverse events reported to the FDA 1/2000 to 12/2012

4,798 adverse events

85 deaths

414 injuries

3,402 device malfunctions

 

The professor noted the safety critical (injuries or death) reports increased from 13.3/100,000 procedures in 2004 to 50/100,000 in 2012.

 

He compared this to the accidents in aviation which were constant through 1998-2011 with a rate of 0.01-1.81/100,000 flight departures.

 

Here in Japan, where hospitals tend to want to rush in the latest equipment, you might really want to think hard if your surgeon tells you he wants to do robot surgery on you.

 

ロボット支援手術

1年半前にミシガン大学から胸部腫瘍学のMOOCコースを受けた。

 

コース内のひとつの課題は最先端技術を利用するダ・ヴィンチ・ロボット・システムだった。今日、授業のノートを開いて読んでいたら、教授がそのとき、「最新は必ずしも一番いいとは限られない」と強調したことを思い出した。

 

当時のノートからのデータ

 

費用

ロボット本体+指導用のコンソール: 2,770,000

年間メンテナンス契約:18,282,000

サポートスタッフ賃金・福利費:8,310,000

1件当たりの消耗品:554,000

 

教授は安全性に関してFDA(米国食品医薬品局)に有害事象(死亡または傷害)レポートが2004年の13.3/100,000手術例から2012年の50/100,000手術例に増加したと語った。

彼は1998年~2011年の0.011.81/100,000出発件数の安定した飛行機事故比率と比べた。

 

日本では病院はすぐに最新機器を購入する傾向があるので万が一外科医の先生がロボット手術をしたいと言われたら先の数字を思い出した方がいいかも知らない。

By Billy Hammond (Copyright AELS)

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English books by Billy Hammond published by AELS

(AELS出版英語書籍リスト)

 

I. Majoh Gakuin and Hikari Juku – Japanese Witch Schools Trilogy

1. Majoh Gakuin & Hikari Juku – Japanese Witch Schools

2. Lost Witch (The second book)

3. Fate & Magic (The final book in the trilogy)

II. Brindle – Scryer Extraordinaire Trilogy

1. Brindle – Scryer Extraordinaire

2. Brindle – Scryer Extraordinaire – Returns

3. Brindle – Scryer Extraordinaire – Challenges (The final book in the trilogy)

III. Fantasy fiction set in Japan

1. 21st Century Ninja

2. Regressed

3. Japanese Woman

IV. Fantasy fiction set outside of Japan

1. Dimension Jumpers

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