Surgery has come a long way with many facilities now using robotics to either assist or replace human tasks. Delicate procedures that require a lot of precision, repetition, and endurance can benefit from the use of such technology. A few years ago, CardioARM was developed for minimally invasive heart surgery. This device resembles a snake, which can travel to the target areas through insertion beneath the sternum and perform ablations of heart tissue that is disturbing heart rhythm. Ablation, meaning the target area of heart is burned away. This procedure replaces the more invasive task of opening the chest cavity and cutting away into your vitals. For anyone who has ever visualized the inside of a body, it is amazing that a device is not only able to navigate but reach a specific area of the heart and perform an ablation on target tissue.
CardioARM features 50 links which are connected by cables and can move in a combination of 105 different movements. The device can move forward and reverse, and is headed with a camera and light guide to allow for visualization. Once the CardioARM enters under the xyphoid process (bottom of the sternum), it is directed toward the specific region of troublesome heart tissue. Once it reaches its target, it delivers a “dot to dot” procedure for the ablation. Each lesion is delivered 30 watts of power for 30 seconds.
In 2011, this device was first successfully tested in human clinical trials. As it takes a long time for such devices to actually enter hospitals, this will hopefully become an option soon for surgeons dealing with life threatening arrhythmias.
Being a San Franciscan, I feel compelled to note that the first ablation performed on a human heart was by our own Dr. Mel Scheinman at UCSF. Dr. Scheinman is still practicing today.