European Stars And Stripes (Newspaper) - July 21, 1985, Darmstadt, Hesse                                July 1985 the stars and stripes Page 17 his patient that a new robotic device was going to be added to the usual brain Biopsy because the surgeons do not feel that the use of the robot endangers the patient in any Way and in fact reduces the risks of such a Hospital spokesman the Standard surgical consent form was simply amended to say the patient would undergo a cat aided robotic stereo tactic brain bios the woman was Given a local aesthetic to her Scalp and a mild sedative to help her space out for a her doctor although she remained awake for the entire then three pins were driven into her clamping it to a special Frame called a stereo taxis such frames have been used by surgeons for decades to help them estimate three dimensional positions in the and in the past five years they have been hooked up to cat scanners to increase their the robotic Arm makes stereo taxis procedures More accurate than Ever Kwoh thus locked in she was moved beneath a cat scanner that took 34 picture slices of her brain with the Frame around markers on the Frame would help a com Puter locate coordinates in her in a nearby room doctors waited for the pictures to come up on a when Ceverha found a Good Pic Ture of the suspected he used a trackball the kind used in video to Roll the computer cursor the exact spot from which he wanted a tissue the instructions were keyed into a nearby which then calculated the three dimensional coordinates of the suspected tumor and printed them on the robotic Arm was moved into position be Hind the patients there were Many possible or through the brain that could be used to reach the suspected the physicians chose a path that they thought would be the robotic Arm was locked onto the head Frame in a Best guess and nurses shaved a Skullcap sized Patch on the woman Ceverha then put the device to the target coordinates identified by the cat scan and markers were fed into the robots the motors that control the devices six joints whirred softly As the Arm moved to its final a bushing or guide path at the end of the Arm now pointed Down the woman the robot knew exactly where to Drill a Hole through her where to insert the Biopsy Needle at what Angle and How deep the probe should the device was secured tightly to prevent runaway accidents that occasionally occur among Industrial to which have a reputation for going in some Industrial a person is not allowed to be in the same room with an activated said Kelly of the Mayo he it is important to secure any robot used in an operating room so that some glitch does not injure the surgeon or such a which did not cause any occurred in the second operation in Long Ceverha a fleeting Power surge while the computer was sending its instructions resulted in the robotic arms being off target by an in the Ceverha an Inch is As Good As a the neurosurgeon working with the robotic Arm that Day recognized there was a problem before the drilling and the device was since Kwoh a surge suppressor has been added to the Power the doctors and nurses were then ready to Start the Biopsy a nurse sterilized the woman and Ceverha opened a half Inch Slit of because brain tissue itself has no no further aesthetic was needed to prevent discomfort As the probe enters the in conventional Biopsy a surgeon would Drill a Hole in the Skull the size of a this allows the doctor More latitude in inserting Biopsy Needles by that the doctor must estimate As Best he can which Way to Point the each which May be along a slightly different increases the risk of Hemor but because the robot knows exactly where the target it does not need so Large a each time a probe is it follows exactly the same a Drill bit was placed through the arms and Ceverha gently pressed on Boring a tiny Hole through the woman Ceverha readied his probe and put a Collar on it at the precise depth indicated by the he inserted the probe into the bushing and gently pushed it along the guided penetrating the woman when the Collar reached the the tip of the probe Nee dle should have been at the neurosurgeons at the Hospital practice this Man Euver on four watermelons implanted with bus be fore trying it on each As shown by it the probe met its by target Ceverha suctioned some brain tissue from the target new York times the robotic Arm is faster and far less invasive than current surgical area and removed the he smeared the blood onto a plastic the doctors hunched around the studying the surgeon then recalibrate the probe and went in a tiny bit in the abnormal about the size of a was probed five times Over the next on the last two a cutting Needle was inserted that snipped a tiny piece of the suspected samples of blood and tissue were sent to a pathology room the answer came Back malignant the robot was released and pulled the patient was taken Back to the cat scanner and new pictures were Ceverha had left a Little air Bubble where he performed the last it showed up on the cat scan and proved he had been right on assistant surgeons undamped the woman two stitches closed her a Banda id was put Over the wound and she was taken Back to her she can go Home cd Crha said because of her we will offer conventional radiation therapy but nothing with a younger we might add Ceverha said robot assisted surgery is another adjunct to the vast number of techniques we have for treating i dont think it will revolutionize euro he but its applications Are probably limited by human after a moment he added in not sure i like the idea of telling a machine to operate on my brain All by its difficult to imagine such a thing without humans Cross checking it could be if a human was there evaluating the procedure As it went alcohol free Mouth Wash a photo Susan Kelley real need for this United press International your morning mouthwash Proba Bly contains More alcohol than an equal amount of says a recovering Susan who began drinking As a College is producing her own Brand of nonalcoholic mouthwash in Hopes of helping others avoid her in not trying to preach a message to warn the Moth ers of America that their kids Are going to get drunk on said i just Felt there was a real need for this most mouthwash contains significant amounts of Alco hol and Many recovering alcoholics cannot use regular mouthwash because they take the drug which makes them violently ill when they drink she listerine is scotch is Only 80 mouthwash is More alcoholic than said who began drinking in her freshman year at Stephens College in i was drinking eight or 10 shots a id also drink mouthwash so my husband  know i was but when youre passed out on the living room they figure it she when she stopped drinking two years ago she found few nonalcoholic mouthwashes were she decided to make her she and her husband have spent in devel Oping morning a mouthwash carried by a few drug and alcohol treatment such As the Betty Ford Center in Rancho and some health food