Resource impact summary report
Resource impact summary report
Recommendation
Six technologies can be used in the NHS during the evidence generation period as options for robot-assisted surgery for knee or hip replacements. The technologies are:
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ApolloKnee System
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CORI Surgical System
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Mako SmartRobotics
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ROSA Knee Solution
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Skywalker Robotic-assisted Technology
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VELYS Robotic-Assisted Solution.
These technologies can only be used if the evidence outlined in the evidence generation plan for robot-assisted surgery for orthopaedic procedures is being generated. Depending on current local practice, areas that may need additional resources and result in additional costs include:
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the purchase or lease costs of the technology and any associated contracts
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time required for training NHS staff, so they are conversant with the technology
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time required to set up the technology
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costs associated with the service and maintenance of the technology
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additional consumable equipment costs per procedure
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additional preoperative CT images needed for some technologies.
The recommended technologies can only be used with specific implants made by that company, which may have financial implications.
A key potential benefit of the robot-assisted surgery is the precise positioning of the implant. This helps the surgeon to position and align the implants in the correct position for each person. This may:
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reduce the demand for revision surgery
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improve patient satisfaction and shorten recovery time, reducing the need for follow-up appointments with GPs, surgeons and physiotherapists, and the prescription of pain management medicines.
There is a learning curve associated with robot-assisted surgery. Patient outcomes and service efficiency may not be maximised until the end of the learning curve.
Other benefits may be identified during the evidence generation process.
Key information
| Commissioners |
Integrated Care Boards |
|---|---|
| Providers |
NHS hospital trusts |
About this resource impact summary report
This resource impact summary report accompanies the NICE Early Value Assessment guidance on Robot-assisted surgery for orthopaedic procedures and should be read with it. See terms and conditions on the NICE website.
ISBN: 978-1-4731-6966-1
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