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TransEnterix makes minimally invasive robotic surgery systems. This specific system is the Senhance Surgical System
(Medgadget, 2019).

Digital Image of Senhance Logo (Senhance, 2018).

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January 15, 2019. TransEnterix released a press release announcing FDA approval (TransEnterix, 2018).

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1. Decreased need for post-operative narcotics for pain control due to decreased incision trauma and minimal tissue damage.
2. Environmentally and cost friendly due to reusable instruments.
3. 3D and haptic technology allow more surgeon control and a more precise surgery.
4. Robotic arm provides stabilization eliminating errors from tremors, etc.
5. Open concept set up that allows concurrent use of preexisting technologies
6. Allows the surgeon to sit, decreasing surgeon fatigue and related errors.

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1. Only available for use on adults
2. Decreased physician reliance on and communication with OR staff hampers decreases teamwork.
3. The camera is controlled via eye-tracking which may hinder an emergent situation.
4. The robotic arm may not move the way the physician needs to it for a specific patient, necessitating an invasive procedure.
5. Does not account for differences among patients. For example: a sensor will sound when a pressure point is reached, but the physician may know that this particular patient can tolerate a higher pressure.

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Opinion: I believe this is an excellent technology that surgeons should consider incorporating into their practices. It will can decrease recovery time, post operative pain medication use, and hospital admissions. It is no more expensive than currently existing robotic operating systems.
Rationale: Ultimately, it makes the perioperative experience easier on patients. Increasing laparoscopic technologies will enhance patient outcomes while not compromising the surgery itself. Decreasing inpatient admissions will decrease costs for the patient as well as mental anguish. The United States is in the middle of an opiod crisis, so utilizing any technology than can decrease narcotic prescriptions need to be taken into consideration. This technology will benefit the patient physically, mentally, and socially and should be considered.

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https://www.youtube.com/watch?v=IOtG67dKmsU

(Senhance Overview Video, 2018)

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Brief Overview of Senhance Surgical System

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1. Achiever
2. Intellection
3. Learner
4. Input
5. Competition

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1. Angelica: Analytical. She can see and think about all the factors associated with implementing the system that others may miss.
2. Chelsea: Command. She is inspiring, easy to understand and follow and can take control of a situation, which will come in helpful when educating on the technology.
3. Faith: Futuristic. She can see the ways in which this system can improve medicine and can convince others to see the same.
4. David: Deliberative. He will be a valuable asset by anticipating the obstacles and developing solutions.
5. William: Woo. He would be the best choice to present the evaluation because he takes pride in winning people other and will work hard to convince them of the benefits of this technology.

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Medgadget. (2019, January 15).

TransEnterix Wins FDA Clearance for Senhance Ultrasonic Instruments. Retrieved from https://www.medgadget.com/2019/01/transenterix-wins-fda-clearance-for-senhance-ultrasonic-instruments.html

Medgadget. (2019, January 15).

TransEnterix Wins FDA Clearance for Senhance Ultrasonic Instruments [Digital Image]. Retrieved from https://www.medgadget.com/2019/01/transenterix-wins-fda-clearance-for-senhance-ultrasonic-instruments.html

Nathan, M. (2018, February 23). Senhance Overview Video [Video]. Retrieved from https://www.youtube.com/watch?v=IOtG67dKmsU

Senhance. (2018). Retrieved from https://www.senhance.com/us/digital-laparoscopy

Senhance. (2018). [Digital Image]. Retrieved from https://www.senhance.com/us/digital-laparoscopy

TransEnterix. (2018). Retrieved from http://ir.transenterix.com/news-releases/news-release-details/transenterix-receives-fda-510k-clearance-senhance-ultrasonic

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Summary of TransEnterix Senhance Ultrasonic Instruments

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Summary of TransEnterix Senhance Ultrasonic Instruments

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This specific technology uses haptic remote control of laparoscopic tools which allows the surgeon to feel the anatomy they are working on. It also employs 3D visualization using a 3D capable monitor and an eye tracking camera. It is currently used for gynecologic and colorectal surgery, inguinal hernia repair, and cholecystectomy (Senhance, 2018).

Digital image of TransEnterix Senhance laparoscopic equipment (Senhance, 2018).

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(Medgadget, 2019)