Decontamination of the Davinci Robot from the SSD Perspective
Decontamination of the Davinci Robot from the SSD Perspective Mark Campbell Decontamination Service Manager Davinci from a SSD Perspective • Explaining the Davinci System • Highlighting the issues with decontamination • Giving an overview of the Decontamination Project and solutions to resolve the issues The Davinci System Davinci Robotic Surgery • Launched in 1999 • Over 1000 World Wide Install’s highest in America • 33 UK Installs • Cardiff first for Wales Davinchi Display System Control System Xi 3D Endoscope 4 x Robotic Arms Surgical Benefits to Da-vinci • Strong evidence base for radical prostatectomy • Single Surgeon • Minimal Invasive • Patient home same day / next day • Lower Blood Loss • Currently being considered for other surgical specialities Complaints of the System • Decontamination issues • Expensive capital outlay approx £2 million, costly consumables • Some surgeons using system without comprehensive training • There have been complaints relating to: Bowel Perforation, nerve damage, sepsis, death Three Components of Davinci • 3d Rigid Laparoscope Three Components of Davinchi • The endowrist robotic arm attachments Three Components of Davinchi • Additional laparoscopic instrument tray The chosen 3 Decontamination Processes The endoscope • The scope goes through a neutral enzymatic manual decon process • Washer disinfection cycle with thermal process set at 68˚ • Packed in KC, sterilised through low temperature gaseous sterilisation Steris V-Pro • Compliant for Davinci System • Large Chamber • Lower Concentration Hydrogen Peroxide • Cost • Bi release every load The endowrists • Manual Decontamination • Designated Davinci Cycle Medisafe Sonic (High Pressure) • Designated rack wash cycle • Steam Sterilisation Endowrist Reprocessing Endowrist Reprocessing Flexible bone reamer.avi Endo wrist reprocessing Laparoscopic Extras • Standard decontamination process Da-vinci Xi System XI SYSTEM Xi Endowrist The Amendments to the Process Designated XI Rack from Bellimed Budget • Robot System – 1.6million • Decontamination – 150k • Designated Theatre 900k • Clinical Staff – 60k • Additional kit – 600k • Total 3.3 million Thanks for Listening Any Questions? Mark Campbell [email protected]
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