Development of Surgical Staplers – Robot Staplers are the next big thing

07/08/2021

The successive evolution refers to the improvement in surroundings. In the medical industry, development occurs with the help of technology that brings changes to improve patient treatment. Every day, thousands of surgeries occur, and the need for medical equipment with more advanced elements is essential. The same goes for surgical staplers!

Surgical staplers are an important instrument when it comes to talking about regular basis treatments. Surgeons are widely used sutures and staples for the closure of the incision. But in the future, researchers reveal something more advanced. So let’s dive straight into the discussion!

What do you know about Surgical Staplers?

Surgical staplers are the devices used to seal the incisions after surgery instead of stitches or sutures. These staples do not dissolve from themselves as stitches or sutures do. But once the incision gets healed, your doctor will remove it with special techniques. 

In 1908, Victor Fischer and Hümér Hültlm were both responsible for the invention of surgical staplers. The early design seemed like a large size apparatus that is heavy to handle. But gradually, the evolution in surgical staplers arrives, although the initial concepts applied in the preliminary design are still in place. 

Today's gadgets are getting smaller and lighter, such as surgical staplers. Modern staplers have multiple sizes and are also available in varieties helping doctors to use suitable instruments in different cases. 

Today's advanced surgical staplers carry new features and function better than before. The additional features include better joint angles, ergonomic design, endurance, and other functional characteristics. Such features are crucial in determining which stapler to use for a particular surgical operation to avoid problems like blood loss and leaking during anastomosis.

How much time does it take to remain in your body?

Surgical staplers take 7 to 21 days and depend on some factors, such as 

  • How deep and severe the incision is
  • The surgery organ and direction
  • The surgical procedure that you underwent

In some cases, surgeons recommend removing staples within 3-4 days, or in some cases, it takes time. So, be patient and see the condition of your wound.

If you do not observe puss, blood, fluid, or other infection and it seems completely healed, you can get it removed. Your incision will not be open, though.

Robotic staplers - That's Something New Here

Robotic staplers, the latest addition in incisive surgical instruments, integrates with the software "SmartFire." It helps create straight staple lines by adjusting the firing process during the stapler of the wound or incisions. The software, SmartFire technology, has a measurement rate of over 1,000 per second. 

The advent of  EndoWrist Staples was the significant advancement that followed the new robotic instrument (da Vinci Xi). The robotic stapler is controlled, fully articulated, and provides stability with Da Vinci's quiver filtration and approx 120-degree joints larger than the human wrist.

"This is the pinnacle of robotic-assisted technology. Unlike other options in the market, the new robotic stapler allows for full surgeon control and wristed functionality," said Craig Rezac, M.D., Chief of Robotic Surgery and Associate Professor at Rutgers Robert Wood Johnson Medical School, as well as Chief of the Section of Colorectal Surgery at Rutgers Medical School in New Jersey.

The Structure Of Robotic Staplers

It is introducing a revolutionary 30 mm EndoWrist Stapler in the medical industry to enhance the credibility of surgeons' performance. The assistant surgeon introduces the EndoWrist Stapler, including 30 mm and 45 mm, into the operating area as a simple robotic tool through a 12 mm port. Research shows that the surgeons' hands entirely control the da Vinci Xi System and deliver fully wristed movement and SmartClamp output.

"The internal feedback of the equipment assures the surgeon that the stapling was done in the best possible conditions. Ultimately, it is a considerable technological advancement."- Craig Rezac.

It enables proper punched staples around the incisions. You can perform resection and transaction with a fully functional da Vinci surgeon instrumental panel. The fourth generation of the da Vinci operating system (OS4) brings lots of advancement such as continual monitoring and genuine surveys that boost operators' confidence. 

You can select predefined settings based on anatomy and methods particular to your expertise.

Log into your user account before surgery and modify user-adjustable parameters like ergonomic preferences. The software then allows you to alter energy parameters from the Surgeon Console touchpad, or the operating room team may change settings on the VIO DV generator during your procedure.

A Controllable and Accessible Surgical Staplers

Robotic surgical staplers are controllable instruments that access the deep and safe tissues staples with the help of surgeon consoles. As a result, the robot stapler removes complexities such as breakage, bleeding, incorrect launch angle, and any lag.

The most satisfactory surgical stapler outcomes are

  • To minimize damage,
  • Preserve proper blood flow,
  • Relieve stress, and provide minimum tissue incision and leak-free suture.

Surgeons observed that using the most appropriate stapler procedure helps to reduce the healing time of the stitches and quick recovery of the tissues. 

Research says that sealing with absorbable staples was about seven times quicker than closing with dissolved sutures for all surgical procedures. In addition, there were no significant changes in modified Vancouver Scar Scale (mVSS) values between stapled and sutured incisions.

The surgeon staff must take training before using the instrument. Then, practice more frequently until the surety of the correct operating technique appears. Furthermore, these robot staplers enhance incision by decreasing body openings, particularly in surgeries like esophagectomy. Thus, the patients have robot-assisted surgery, genuinely less invasive procedures, allowing patients to recover faster and strengthening their bodies.

Moreover, the advantages of robotic surgical staplers with SmartFire software technology make RAS more appealing to surgeons who want to employ the most advanced surgical equipment that is available worldwide. The most recent robot stapler provides an ease to the surgeons in operations and delivers better performance throughout the treatment. Patients also get positive results after having surgery.

How does Robotic Surgical Stapler work?

The cinematic arm and mechanical arms in surgical tools are used most frequently in robotic surgical stapler systems. While seated at a computer console beside the operating table, the surgeon controls the technical procedure. The console provides the surgeon with an enlarged, highly-magnified 3-D image of the operative organ. The rest of the team members who help throughout the surgery follow the surgeon's guidance.

Usage of Robotic Stapler in Major Surgeries

Robotic staplers mainly used it to conduct a wide range of complicated treatments with greater accuracy, agility, and controllability than traditional techniques. However, colorectal resection, video-assisted thoracoscopic surgery (VATS) lobectomy, esophagectomy, and weight reduction surgeries significantly revolutionized results for patients utilizing robotic staplers.

You can clearly know the thickness of tissues and the incisions' depth that helps you reduce human error throughout the surgery. A robotic surgical stapler makes the anastomosis process durable and safer if you use staplers more accurately. It is most effectively performed for the surgeries such as colectomy bronchoscopy, Rectopexy, lobectomy, gastrectomy, esophagectomy, etc.

Is robotic surgery the best option for you?

Not everyone is suitable for robotic surgery. Discuss the upsides and downsides of robotic surgery with your surgeon, as well as how it compares to other procedures such as various forms of laparoscopic surgery and traditional open surgery.

Conclusion

In this era of technology, scientists and researchers take the initiative to make people's lives easier, either for patients or doctors. The more problems you get, the more innovation you can see, just because of overcoming the challenges. The invention of robotic surgical staplers may increase the chances of safe and secure surgeries, and it will be the future trend in the medical industry. Robotic-assisted surgery with the Da Vinci surgery system evolves from OS1 to OS4, optimized with maximum functionality and features. Robotic staplers have the ability to heal incisions more quickly than traditional instruments. It is less painful and can work for deeper cuts, and easily staple tissues without any damage. 

It helps to reduce the inconvenience or mistreatment like drainage of blood, slit in the anastomosis, uneven sutures, or other complications. In addition, for extensive or complex surgeries, wounds, or incisions, staples provide numerous benefits over sutures. In certain circumstances, they may even reduce your risk of infection-related problems.

The increased efficiency of surgery, the safety of anatomic excision, and direct control over the sutures of anatomic structures must outweigh the concerns of robotic surgical stapler cost, availability, training, and lack of haptic input. 

Be aware there might be few risks! Before you have robotic surgical staples, see your surgeon. Make sure your doctor is aware of any sensitivities you may have, as well as any previous problems with surgical staples. Patients should consult their surgeons to determine whether da Vinci Surgery is appropriate for them or not. To make an enlightened decision, patients and surgeons must study all existing knowledge on non-surgical and surgical alternatives. We are looking forward to seeing the evolution in the medical industry, and one of the big changes will be robotic surgical staplers!