Analysts: Japan approves 12 new procedures for Intuitive Surgical ’ s da Vinci

Intuitive Surgical (NSDQ:ISRG) recently won approval for an additional 12 procedures in Japan using its da Vinci robot-assisted surgery devices, according to analysts at Leerink Partners. The approvals could represent an additional 200,000 cases in Japan, up from 30,000, Leerink analysts Richard Newitter and Jaime Morgan wrote this morning in a note to investors, citing talks with management, company reports and Leerink Partners estimates. Previously only cleared for prostatectomy and nephrectomy in Japan, da Vinci is now approved for additional colorectal, gynecological and thoracic surgeries, plus gastrectomies, bladder cystectomies, esophagectomies and mitral valvuloplasty, The boost to worldwide procedure volumes could take time to realize, they cautioned, noting that Sunnyvale, Calif.-based Intuitive will have to invest in training and market development for each new area. And unlike the markets for prostatectomy and nephrectomy, which saw Intuitive convert from open to laparoscopic surgeries, many of the newer approvals are for procedures that are already being done laparoscopically, Newitter and Morgan wrote – making the adoption ramp slower for the new approvals. Final reimbursement rates in Japan haven’t been set, they wrote, “so the economic incentive to convert procedures in these categories to robotics is still a bit of an unknown (recall that prostatectomy was reimbursed at a significant premium, which likely steepened that proced...
Source: Mass Device - Category: Medical Devices Authors: Tags: Regulatory/Compliance Robotics Wall Street Beat Intuitive Surgical Source Type: news

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We present a case of a nodule on the earlobe of an elderly patient, without any known clinical history. Microscopic examination revealed a tumor with morphology reminiscent of metastatic clear cell renal cell carcinoma. The results of an extensive immunohistochemical (IHC) examination confirmed our initial diagnosis and further investigation of the patient's medical history revealed that a unilateral nephrectomy had been performed 27 years prior to the current tumor. We are reporting this case to emphasize the long interval between the primary tumor and its metastasis in an extremely unusual site, with a brief discussion o...
Source: Romanian Journal of Morphology and Embryology - Category: General Medicine Tags: Rom J Morphol Embryol Source Type: research
CONCLUSIONS: Laparoscopic access to RN in patients with renal cancer in ≤pT3a stage increased surgical time only in the first years, reduced hospital stayand postoperative complications and did not influence RFS, OS or CSS. PMID: 32240107 [PubMed - in process]
Source: Archivos Espanoles de Urologia - Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research
Authors: Aubert C, Rolley C, Mauny M, Heuveline J, Silve E, Humeau M, Le Corre V, Lebdai S, Brassart E, Culty T, Baize N, Rousselet MC, Nedelcu C, Aubé C, Bouvier A, Bigot P Abstract INTRODUCTION: Partial nephrectomy (NP) after embolization of tumor vessels (NPESH) in a hybrid room combines embolization of tumor vessels and enucleation of the tumor under laparoscopy in the same operative time. The purpose of this study was to assess the impact of the use of NPESH in the management of patients treated with surgery for a localized kidney tumor. MATERIAL AND METHODS: Using the uroCCR database, we included a...
Source: Progres en Urologie - Category: Urology & Nephrology Tags: Prog Urol Source Type: research
Publication date: Available online 2 April 2020Source: Urology Case ReportsAuthor(s): Kuniyasu Muraoka, Yuri Nishikawa, Tadahiro Isoyama
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
This report describes 2 cases of primary renal carcinoid tumor with unique presentations and management in our regional health care system. Because primary renal carcinoid tumors are quite uncommon, there are no clear established guidelines on preoperative imaging or posttreatment surveillance in patients with these tumors. There remains a large amount of variability in the diagnosis, workup, immunohistochemical analysis, treatment, and surveillance of patients with primary renal carcinoid tumors. As we learn more about this disease, we hope to optimize patient outcomes and standardize pretreatment workup and posttreatment...
Source: The Permanente journal - Category: General Medicine Tags: Perm J Source Type: research
Authors: Tani M, Tanaka S, Takamiya K, Sakaue M, Ito M Abstract Cardiovascular disease is a major cause of death among hemodialysis patients. Hyperphosphatemia induces cardiovascular disease through vascular endothelial dysfunction and calcification. Repetition of a short-term excessive-phosphorus (P) diet causes transient elevations in plasma P and subsequent vascular endothelial dysfunction in normal rats. The purpose of this study was to investigate the effects of the P fluctuation on vascular calcification and inflammation in rats after unilateral nephrectomy as an early-stage chronic kidney disease (CKD) model...
Source: Journal of Clinical Biochemistry and Nutrition - Category: Nutrition Tags: J Clin Biochem Nutr Source Type: research
Journal of Endourology, Ahead of Print.
Source: Journal of Endourology - Category: Urology & Nephrology Authors: Source Type: research
Condition:   Kidney Cancer Intervention:   Device: IRIS 1.0 Sponsor:   Intuitive Surgical Not yet recruiting
Source: - Category: Research Source Type: clinical trials
Series Type : Non-coding RNA profiling by array ; Expression profiling by arrayOrganism : Rattus norvegicusThis SuperSeries is composed of the SubSeries listed below.
Source: GEO: Gene Expression Omnibus - Category: Genetics & Stem Cells Tags: Non-coding RNA profiling by array Expression profiling by array Rattus norvegicus Source Type: research
Contributor : Kohei MatsushitaSeries Type : Expression profiling by arrayOrganism : Rattus norvegicusCompensation is a physiological response that occurs during chemical exposure to maintain homeostasis. Because compensatory responses are not usually considered adverse effects, it is important to understand compensatory mechanisms for chemical risk assessment. Although the kidney is a major target organ for toxicity, there is controversy over whether hyperplasia or hypertrophy contributes to the compensatory mechanism, and there is limited information to apply for chemical risk assessment. In the current study, compensator...
Source: GEO: Gene Expression Omnibus - Category: Genetics & Stem Cells Tags: Expression profiling by array Rattus norvegicus Source Type: research
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