suction irrigation

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Anonymous

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$1300 for a suction irrigation unit that needs an external power source???? Grasping for straws to gain revenue. Unreal. What hospital is going to shell out that kind of money when they can spend a third of that? Oh wait, it has a articulating tip that can be used as a retractor.....then lets spend the money. JOKE!
 






That is for a whole box of them. The instrument itself isn't anymore expensive than the other robotic instruments. Hospital's shouldn't open them for every case on the robot if the surgeons aren't going to use it. I think they should, as I see utility in the surgeon being able to control the device when necessary and allowing the assistant to use it when not. But unless the surgeon sees that he can perform his surgery better by having control of the suction/irrig, by no means should the OR staff throw that money down the drain when a much cheaper option can get the job done just the same.

Also, the device doesn't require external power. It can work on gravity or some kind of pressure cuff on the bag. That is not even close to being a problem.

I guess Intuitive should just quit supporting our platform and rest on our laurels. Trying to innovate and improve functionality/ease of use all in the name of patient outcomes and advancing the science of surgery is for pussies.
 






Anonymous said:
That is for a whole box of them. The instrument itself isn't anymore expensive than the other robotic instruments. Hospital's shouldn't open them for every case on the robot if the surgeons aren't going to use it. I think they should, as I see utility in the surgeon being able to control the device when necessary and allowing the assistant to use it when not. But unless the surgeon sees that he can perform his surgery better by having control of the suction/irrig, by no means should the OR staff throw that money down the drain when a much cheaper option can get the job done just the same.

Also, the device doesn't require external power. It can work on gravity or some kind of pressure cuff on the bag. That is not even close to being a problem.

I guess Intuitive should just quit supporting our platform and rest on our laurels. Trying to innovate and improve functionality/ease of use all in the name of patient outcomes and advancing the science of surgery is for pussies.
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"Trying to innovate????" Give me a break. $1300 for a case of 10 does not equate to $30-$50 for standard s/i. Why would a surgeon need to control his own s/i? It is a clearly a move to capitalize on "robot" fever and bully hospitals into buying yet another product that does not improve outcomes but increases costs. Does not require external power? What hospital uses gravity/pressure cuff for their s/i? They are going to use a million dollar robot but resort to a pressure cuff for s/i. More power to you if you can get them to buy it but do not call it innovation. Next will be color coordinated shoe covers to match the console and call that innovative.
 






Anonymous said:
"Trying to innovate????" Give me a break. $1300 for a case of 10 does not equate to $30-$50 for standard s/i. Why would a surgeon need to control his own s/i? It is a clearly a move to capitalize on "robot" fever and bully hospitals into buying yet another product that does not improve outcomes but increases costs. Does not require external power? What hospital uses gravity/pressure cuff for their s/i? They are going to use a million dollar robot but resort to a pressure cuff for s/i. More power to you if you can get them to buy it but do not call it innovation. Next will be color coordinated shoe covers to match the console and call that innovative.
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Wow! Why so bitter?
 


















Anonymous said:
A DB that works 40 hours a week less than you and makes the same if not more.
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Ugh! I love how you guys say we make the same! There is no way in hell anyone can meet what we get in stock options and ESPP. I got in at $96 douche! 40 hours more? So, basically you don't work. How very ambitious and driven of you!
 






Anonymous said:
A DB that works 40 hours a week less than you and makes the same if not more.
Click to expand...

My guess is that you work for Stryker (or maybe Ethicon or Covidien) and you just reached your breaking point and are starting to meltdown. What's the trouble? You just get your ass handed to you AGAIN by daVinci? I get it. You're frustrated. You don't know what to do. So you come on here and vent, as if anyone at Intuitive gives a damn. I don't understand your situation. If daVinci is so bad and is going to destroy the world, then surely and educated physician or hospital administrator will see this and you should have no problem selling to them. My suggestion to you is to stop crying and do somthing. Either sell your stuff or move on if you are not capable. Bitching on here just make you look desperate and pitiful.
 






Anonymous said:
My guess is that you work for Stryker (or maybe Ethicon or Covidien) and you just reached your breaking point and are starting to meltdown. What's the trouble? You just get your ass handed to you AGAIN by daVinci? I get it. You're frustrated. You don't know what to do. So you come on here and vent, as if anyone at Intuitive gives a damn. I don't understand your situation. If daVinci is so bad and is going to destroy the world, then surely and educated physician or hospital administrator will see this and you should have no problem selling to them. My suggestion to you is to stop crying and do somthing. Either sell your stuff or move on if you are not capable. Bitching on here just make you look desperate and pitiful.
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Where is he bitching? All he stated is what you call innovation is just another S/I for $130.

I guarantee you do not work only 40hrs a week at IS. You probably work that in just laptop time documenting your worth so your manager feels better. $200,000/yr divided by 52 weeks divided by 80 hours a week. Ha ha ha.

How does anyone get their ass handed to them by Da Vinci?? What competes??? How difficult is it to increase volume for eager young surgeons who want to play on the robot that one of your colleagues sold to the hospital? Here is the sweet spot doc, keep your tips in view, rotate your finger tips, come straight in nurse, watch the light...blah blah. You even have surgeons teach them how to use it. Come to think of it, what do you do??

Once you are used up and spit out by IS, then you can learn how to really sell. Right now, you wear a nice suit, lick every oraface of any surgeon you are told to, organize dinners, and complete all the reports needed for your sorry ass manager.
 






Anonymous said:
That is for a whole box of them. The instrument itself isn't anymore expensive than the other robotic instruments. Hospital's shouldn't open them for every case on the robot if the surgeons aren't going to use it. I think they should, as I see utility in the surgeon being able to control the device when necessary and allowing the assistant to use it when not. But unless the surgeon sees that he can perform his surgery better by having control of the suction/irrig, by no means should the OR staff throw that money down the drain when a much cheaper option can get the job done just the same.

Also, the device doesn't require external power. It can work on gravity or some kind of pressure cuff on the bag. That is not even close to being a problem.

I guess Intuitive should just quit supporting our platform and rest on our laurels. Trying to innovate and improve functionality/ease of use all in the name of patient outcomes and advancing the science of surgery is for pussies.
Click to expand...

I love when you guys cling onto the never ever proven theory of patient outcomes. 99% of the studies show no improvement or cost savings but the contrary.
 












"Trying to innovate????" Give me a break. $1300 for a case of 10 does not equate to $30-$50 for standard s/i. Why would a surgeon need to control his own s/i? It is a clearly a move to capitalize on "robot" fever and bully hospitals into buying yet another product that does not improve outcomes but increases costs. Does not require external power? What hospital uses gravity/pressure cuff for their s/i? They are going to use a million dollar robot but resort to a pressure cuff for s/i. More power to you if you can get them to buy it but do not call it innovation. Next will be color coordinated shoe covers to match the console and call that innovative.
Click to expand...

I didn't mean this so literally in reference to the s/i. Yes, it's something that has been around for decades technically. But not on the robot. If we're going to fully support our platform, we need to continue to develop instruments for it so that the surgeon has just as much autonomy as he would patient-side. It may not be useful to everyone, but I think it will for a lot of surgeons and especially at hospitals where bed-side assistance is poor.

Despite the common belief that ISRG is bullying hospitals and doctors around to use the system, my experience here has been to the contrary, and I have every right to be mad and angry at the company myself for reasons I'm not going to specify. Just my opinion, but you're blind and stupid if at this point you can't see the benefit of robotic technology in medicine. That's not to say that the Strykers, Ethicons, Covidiens, and Storzs of the world don't still have a place here. If they truly care about advancing the science of medicine and improving patient outcomes, they should either join the fray and compete directly with us, or work to complement our technology. Fighting this is going to be futile.

It's quite apparent that the people who post on cafe pharma are not the decision makers at the companies on this board. So many people have been proven wrong on here time and time again, when are people going to wise up and just admit to the fact that those people who are making the decisions at our places of employment are smarter than us?
 






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