- How about you do surgery over here, now this surgeon over there, and now this surgeon. - You guys have bombarded my comment section saying I should check out Michael Reeves video of how he built a surgical robot, we're
going to react to it and throughout this video I'm going to be answering some frequently asked questions about the da Vinci robot. Da Vinci Surgical System is the most advanced streamlined surgical experience for minimally invasive surgery
available in the world today - I could build that (dramatic music) hey, how's everyone's
global health crisis going? - If this guy can build a da Vinci robot, he's going to get one of these golf claps from me. - let me tell you those da Vinci Surgery robotics rats, are ripping hospitals off look at this 2 million dollars for one robot they could spend that on a couple hundred bandages are like one ambulance ride in the US, we can build a better surgery robot for a lot less. - This sorry sarcasm here is heavy, but it's true like if you look at an itemized bill from a hospital, nothing makes sense a Tylenol dose is $50, a bandage like he said is a 1000 but those numbers are so horribly inaccurate because what the insurance actually ends up paying to the hospital is a completely different story. - [Michael] The biggest flaw in da Vinci's design is that, it relies on these clunky slow robotic arms for movements say you're operating on a patient's foot, he start screaming out in pain, you got to get up to his face smack him a little bit making shut up. - I don't know if you guys saw my surgery simulator video but I literally was smacking my patient around
trying to see if he's awake. - [Michael] slowly and they don't have any travel distance. Instead working about the surgical tools to a rail system that can move anywhere of an operating table. - Time out, I think the reason the da Vinci robot doesn't freely move around the patient is because you want it locked into place when you're doing a minimally invasive procedure. You want it done in a specific area, I mean like millimeters, millimeters matter, that's actually one of the selling points of these robotic machines is, that they have a better range of motion than the human hand, they also are more precise, and when the surgeon actually looks inside with the camera they can see 10 extra magnification so they could be more accurate. - This is the homing sequence it figure out the balance of the machine by measuring the amperage of the mode on the motors when they stop. (laughing) Yeah, you can make it you can make it do this, maybe not as stable as you'd want it to be, but yeah it's just a prototype. - Can you imagine if you're getting wheeled into a surgery as a patient and the thing is just shaking all over though, and the patient's like,
what that, that's what you're operating on doctor, don't worry we're just calibrating the x and y axis you'll be fine, I wouldn't be scared. - [Michael] it looks
like it's handling small movements pretty well, y-axis, x okay, it's not that bad, it's fine, it will be fine. We can probably just go ahead and make the final version. - All I'm thinking in the back of my head is, imagined this is how the actual da Vinci robot was created like someone was just sitting, and they were they were testing it with 10 pound plates from the gym. - I'm going to turn it on, oh God, oh boy, (machine draws sound) - For me I learned how to use a new iPhone app, I get excited. This guy created his own robot. - I got this VR hand tracking camera off of Amazon that works super goddamn well, so you just take the hand coordinates from this, pipe him in the surgery robot and bing-bang-boom. - Michael we need to connect and we need to do some kind of surgery simulator with this kind of VR technology we got to do something epic like we gotta perform surgery on a
grape, no, no, no on a peach no, no on a nut. - How about you do surgery over here, now this
surgeon over there, and now this surgeon! - Okay this is the most medically inaccurate part. We don't just start doing surgeries on different parts of the body and that's why this whole concept is horribly flawed to begin with (laughing), you
didn't need to be able to operate on all different parts of the patient at the same time that's why the da Vinci has all these little arms and gadgets that move around at different angles, because the area you want to go in, then you want to have the flexibility to move around in that area. But you don't want to be
in the patient's kidney and then in the patient's brain the next second, if you're doing that some shady stuff is going on. [Michael] Unlike some other
surgical systems we've run a gamut of tests to ensure our machine has power I'm going to stab a pineapple, mention the operation. - If you're going to be
operating on a patient, you want it like to be, if you move your, your little finger like this, it moves exactly like that, because if it does anything more than that you're going be cutting into an artery, patients not going to do well,
Insurance is going to go up for you because you've done malpractice and it's really a solution or a equation for disaster what's the term? That experiment was really fun but also really dangerous. Michael if you watch this video please do not ever stick your hand in where there's a sharp moving around, sporadically, back and forth. I was worried for your
digits, your digits. Terms of usability in
a hospital setting I'm going to give it a two. It might do really great in like the kids lab, when you're trying to get them interested in the da Vinci machine but they obviously can't play on a $2.6 million machine, but they can play on yours. Speaking of the da Vinci
machine, I actually saw that clip that he said of the grape, the performing surgery, and I see memes galore of it, but I've never actually seen the grape video. Is a red grape I'd preferred green. look at that lighting system. (upbeat music) (music draws sound) what kind of surgery is this? Do you think this is like
a prostate, by ah oh! they're doing a little flap on the grape. (upbeat music) Is this in slow motion or is that how fast the machine moves? I know minimally invasive
surgery generally takes longer and the patient has to be under anesthesia, longer sometimes that could make certain patients who want minimally invasive not good candidates if they can't be under anesthesia for a long time. I've had patients ruled out for robotic surgery just 'cause of that. No, are they skinning the grape? Oh that's good. You know sometimes I do that with my teeth before I eat the grape. These machines, the little
robots hands, have such amazing range of motion, it's better than our human hands and that's what makes this super special as a type of technology, because when you have to go into tight areas into tight crevices you need really great range of motion and remember when you're looking at this with the naked eye it's hard to see where the skin begins and the grape ends. - It's like that, reverse it. - Where the grape begins
and the skin ends. So you wouldn't be able
to do this but with that 10x magnification you can go in and really see the skin come off, and be super accurate. Wait so that's it, that's the whole viral grape video, how did all the memes start? L-0-L equals laughing out loud, T-M-I too much information, B-R-B equals be right back, T-T-Y-L talk to you later, T-D-S-O-A-G, they did surgery on a grape. I'm going to text my
nephew, let's see, T, I'm going to do all caps T-D-S-O-A-G. Oh my nephew incident
(laughing draws sound). You don't know what that means bro. It means they did surgery on a grape. He's typing, mad old. Did he just say mad? You're mad old, he just turned 16 he
thinks he's a tough guy now. Tom Hanks they did surgery on a grape, my beautiful wife was by my side throughout the whole surgery, my rock. This thing does not look like a grape, this looks like a gummy character. Nurse you've been in a
coma since 2012, patient they did, did they finally
do surgery on a grape? We can't do the surgery.
You're going to die. I thought I was next in line? Unfortunately, a grape came
in oh my god that's so funny I mean it's not funny it's dark but it, it would never happen. I want to answer some of
the top questions that I get from patients when they are either considering getting robotic surgery or someone has recommended it to them and they're afraid. - [Guest] who does the surgery, the doctor or the robot? - The surgeons are controlling
the robotic device a hundred, a hundred percent. - [Guest] what are the differences between robotic surgery and open surgery? - The difference between robotic surgery which is considered a minimally invasive surgery compared to open, is generally faster recovery times less bleeding less side-effects patients actually spend less time in the hospital as a result, basically you're making smaller incisions and at times you don't even need to make incisions obviously depending where the procedure is. Now not every patient is
a candidate for robotic surgery or minimally invasive surgery so it needs to be discussed on an individual level, but something to also keep in mind robotic surgery is really expensive even when compared to other minimally invasive surgeries. - [Guest] Are there any procedures where robotic
surgery doesn't work? - There's absolutely procedures where robotic surgery doesn't work and we have to tailor that to each individual patient. So when I have a patient that comes to me for a surgical clearance, one of the questions the surgeons ask is the cardiac status of the patient, comorbidities, what is the patient taking medication wise, all of these things are factored in, in addition to the type of surgery that needs to be performed. Some surgeries just fare better as open surgeries than minimally invasive. - [Guest] Can any doctor or surgeon use a DaVinci machine? Any doctor or surgeon that's trained on a DaVinci machine can use it, but you do need that level of training, you can't just come on and start using it like, Michael Reeves, where you can come on and figure out how it works. No it's more complicated that, you absolutely need to be trained and certified. - [Guest] We'll robotic surgical systems make doctors obsolete? Doctors are humans, humans need to treat humans, while there's certain things that we can allow the AI to do. Help us better identify certain things on radiographic images, help us find information faster, they cannot replace the mandatory human connection when treating a patient. - [Guest] Are the results of surgeries conducted with
da Vinci worth the cost? - This is one of the most important questions and why robotic surgery is actually a
hotly contested subject. Remember you have two different options for minimally invasive laparoscopic and robotic, robotic at times can be really expensive and not worth the benefit so where do we go from here, ideally we want to lower the cost of these robotic surgeries so that they can replace laparoscopic procedures, but not cost the healthcare system something like, 3 to 5 billion dollars a year. Also there are certain things that can be happening in the near future, where we can improve these systems and perhaps get the evidence to show that they're better than the laparoscopic minimally invasive surgery, we'll see. (phone beeping) - [On Phone] Doctor! - Yo, they did surgery on a grape - [On Phone] What does that even mean? - No they did surgery on
a grape, that's why I sent you the acronym. - [On phone] They did surgery on a grape, I still don't get it. - In 2018, they did surgery on a grape. - [On Phone] In 2018, they
did surgery on a grape. - Yeah - [On Phone] I don't get it bro. - What do you mean. - [On phone] (phone draws
sound), does that mean anything to you there, performing
surgery on a grape. Is it something to do with circumcising? (laughing) - What, my latest memes videos
absolutely hilarious it was quite nutty you'll get what I mean once you click on it or check out me playing minecraft. I actually reviewed some Hospital builds at other Minecrafters, mine crafting gamers have created. Click here for that one, and as always stay happy and healthy which one
you're clicking though. (upbeat music)
True