View Full Version : Dr. Ken Anderson sets NEW WORLD RECORD for ARTAS efficiency

Ken Anderson, MD
06-22-2016, 10:08 AM
New world record for ARTAS efficiency set today


Today was a fantastic day at our Center. On June 22, 2016, we set the ARTAS efficiency record with 1,239 grafts harvests in one hour and zero seconds. Shown are three screen shots taken on the day of the procedure of the ARTAS user interface screen, showing the time of the case, and the number of grafts harvested at that time. The red arrows point to the time and the graft count.

Figure 1: This shows where we started the clock for the efficiency test. The patient had to use the bathroom just as we started, so there was a minimal delay at the start of the case. For the purposes of the efficiency test, we started timing at 12 min and 55 seconds, when we were at 88 harvested grafts.

Figure 2: This shows the user interface screen at exactly 1 hour into the efficiency test. We are at 1,239 harvested grafts at exactly 1 hour and zero seconds.

Figure 3: Here we see the user interface screen again, this time at 1 hour, 2 minutes, and 15 seconds. It was at this time that we completed 1,300 harvested grafts.

This procedure was performed on June 22, 2016 by Dr. Ken Anderson, MD, at the Anderson Center for Hair in Atlanta, Georgia.

Is speed a good thing? Does it compromise quality?

About a month ago, when we did 999 grafts in an hour, I posted a screenshot of the computer screen on Facebook, and another hair restoration surgeon--one who does not offer FUE at all--made a comment about my post. His comment was, "Is it truly about setting "records"?- Or performing State of the Art, Natural Long-Lasting results? I wonder....."

I was doing a robot case this morning and I thought about this comment. This surgeon is very much correct, and I wanted to make a comment about it, because it seems even hair restoration surgeons themselves don't understand efficiency of robotic surgery vs. rushing a surgical procedure along for the sake finishing sooner.

The surgeon is absolutely correct: it isn't about setting records at all. It's about achieving objective efficiency with a very complex tool. The ARTAS system is not like a car wash where you just stick a patient in and *presto* out come the grafts and there you go. It's simply a tool. Like a paintbrush. No tool can guarantee good or even acceptable results, no more than any given paintbrush is going to result in the most beautiful paintings. It's the skill, talent, dedication and experience of the person using the tool. In this case it's an entire surgical team working in concert to provide the most optimal results for every single patient. I've been doing FUE surgery since 2003, and I've had an ARTAS system since 2013. We are certainly not new to FUE. To assume that achieving efficiency somehow automatically compromises anything "state-of-the-art" or "natural, long-lasting results" implies a greater concern about speed than quality. In the case of FUE, speed = quality (obviously, if we assume the same quality of grafts are being produced). It's not a NeoGraft or other hand held instrument where you can simply aim less and work faster. You can't rush the robot along, and the grafts are consistent because it's a robot. It's not going to aim less and work faster; it doesn't have a mode setting for that. It's the ARTAS Workflow that's critical. It's what happens in between the grids; the ARTAS will complete the grid as fast as it wants to, with guidance by me of course. When the grid is done, it's the knowledge and experience of the surgical team that will determine how quickly the next grid is initiated. There is absolutely zero compromise of any of the grafts, nor the quality of the work, and as we're using Planet Earth's only robotic hair transplant machine, it's most certainly state-of-the-art. Efficiency is key, however, especially for large cases. The grafts sitting in the Petri dishes are technically slowly perishing, and limiting their ischemia time is critical. In large cases, it becomes a workflow concern as without efficient workflow, the grafts will be left outside the body and "in the dish" for significantly longer times, which will clearly reflect in the survival rate and overall final appearance of the patient. I think a lot of people, apparently even some practicing hair restoration surgeons, assume speed would compromise quality. This is a different paradigm, however, and efficient graft harvesting indicates an experienced surgical team, not a rushed, compromised procedure.

Gabe Zingaretti, PhD
06-22-2016, 10:25 AM
it is really rewarding to see and read this type of synergy between a physician and the ARTAS system.