Thursday, May 16, 2013

Da Vinci robots and liability


Robotics and Liability
Thesis – The Da Vinci surgical robot manufacturer is allegedly responsible for the harm caused to a patient by a doctor’s lack of training. By finding against Da Vinci we create a misplaced level of liability and unattainable responsibility by product manufacturers.
            Current robots are mostly of a variety that is directly controlled by a human, as opposed to the more futuristic versions of artificial intelligence shown in science fiction. This direction by humans implies a level of responsibility for the controller, not just the manufacturer. The manufacturer therefore would be responsible for the robot’s operations as if it were a tool in these circumstances.
            An example of this responsibility can be demonstrated by thinking of an automobile. The automobile is not driving itself [yet]; therefore the automobile manufacturer is not responsible for decisions made by the driver. The manufacturer is responsible for the operation of the vehicle and construction of its parts. Brakes are expected to stop a car with regular maintenance. Steering wheels are expected to turn the vehicle. If these items are in working order, and a car turns suddenly into opposing traffic, the fault of the accident would normally be found with the driver.
            This is the argument being made in Kitsap County by the makers of the Da Vinci surgical robot, “The defendant in the suit, da Vinci manufacturer Intuitive Surgical, says the robot worked as designed and the company isn’t responsible for surgical mistakes.”[1] The case before the courts is not one of debate about the damage done to the patient. It seems very clear that the injuries of Fred Taylor were clearer not normal complications of a prostate surgery, causing undue harm and ultimately speeding his death due to complications. Da Vinci is arguing that they are not liable for the misuse of their tool, the surgical robot, and that sole liability should be at the hands of the inexperienced doctor who used it.
            Complications in this case come with the assertions of the patients that Da Vinci is responsible for proper training and enforcement of a certain skill level with their robotics, which the expectation of the manufacturer extends to training and practices of the doctors using these machines. While raising certain questions, my belief is that this liability is not yet on Da Vinci. Due to the fact that the product is under direct operation of a human, the choices in the actions of the machine are at the fault of the human. This belief is based on the fact that an auto manufacturer is not liable for the actions of an unlicensed driver; a gun manufacturer is not responsible for a home shooting. There are additional agencies in place to enforce the licensing and use of these machines, and the use of a surgical robot would come under the same liability as that of other medical tools, not the manufacturer.
            In support of this argument also, Da Vinci has given guidelines for suggested processes to learn and best use their equipment; which in this case were not followed, violating the intended use of the machine. As a third supporting fact for the defense of Da Vinci, it does not seem that their instrument directly malfunctioned, which would be their responsibility. The arms, joints, and cameras all worked.
The lawsuit alleges that Da Vinci dumbed down training in order to sell more machines. I believe this does not imply negligence on the part of Da Vinci, although it may point to highly questionable morals and business practices. This is not to say there is not negligence in the lack of training on these robotic machines. Much as the responsibility for a driver’s license falls on the department of motor vehicles, the responsibility for training lies with medical authorities. By holding Da Vinci liable for the doctor’s damage in this case, an unobtainable precedent would be set requiring companies to create a self-regulatory division in charge of enforcement of skills in addition to manufacturing products.



[1] “Failed robotic surgery focus of Kitsap Trial”, The Seattle Times, Carol M Ostrom, May 3rd, 2013.

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