Performance-Guided Surgery: Digital Solutions and the Senhance Surgical System
Performance-guided surgery consists of digital solutions and the Senhance Surgical System and is designed to increase surgeon control and reduce surgical variability. The physical open architecture of the system is composed of independent robotic-assisted manipulator arms that are compatible with conventional trocars and familiar laparoscopic instruments—and thus takes advantage of the existing operating room and surgical suite ecosystem. Instrument movement is precise, scaled, and tremor-free with haptic feedback and familiar laparoscopic motions and technique. Digital 3D imaging with eye tracking provides continuous camera control by the surgical operator. Surgeon and support staff training includes learning the operation of the system and leveraging existing laparoscopic technique and equipment. Postoperative evaluation of the system is by postmarket registry. Clinical and cost outcomes are described and summarized. Digital laparoscopy fills the device-tissue-interaction information gap created by robotic telemanipulation and is designed to increase surgeon control, reduce variability, improve efficiencies, and eliminate waste.