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
mark.campbell@wales.nhs.uk