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The lack of tactile feedback with robotic instrumentation has presented new challenges to the surgeon. Improvements in instrument longevity (current robotic instruments typically have a life span of 10–20 cases) will likely significantly reduce per case expense. A further increase in the range of instruments available will mean the operator will become less dependent on the tableside assistant for clip application and introduction of sutures as well as laparoscopic retraction, use of suction, and irrigation. Moving the focus of surgery provides particular advantages for those not adept at performing advanced laparoscopic moves.
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Design of such instruments has required considerable ingenuity to create instruments that are sufficiently delicate yet suitably robust to perform both delicate and coarse intracorporeal maneuvers.
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This shifts much of the manipulation that is predominantly extracorporeal in laparoscopy close to the site of surgery. A significant difference in the design of most robotic instruments has been the incorporation of distal articulation, likened to the human wrist. Many laparoscopic instruments have been adopted to function in robotic surgery. Nevertheless, laparoscopists will still complain that instrument design has not kept up with the demand for performing more complex surgeries. Numerous instruments are now available for grasping, dissection, cutting, retracting, and suturing, and more involved devices are available for intraoperative imaging, stapling, and application of various thermal energy forms. The range of instruments available for laparoscopy has continued to expand rapidly. Gill, in Robotics in Urologic Surgery, 2008 INSTRUMENTATION You also don't see the system boot-up messages until the IOS is fully reloaded. One of the key differences is that the status, logging, and debugging messages are not displayed on the AUX port unless you make some changes. You can use the AUX port as a second console port, but you will notice some differences once you log in to it the first few times. When you follow these steps, you will be able to enjoy some of the benefits of remote administration while reducing the chances of a compromise. Also, make sure the number is unpublished. Ensure that the dial-up number to the modem is available only to people on the staff who can be trusted, and who need to know such information. To keep your router from being pillaged you can start by setting appropriate passwords on the AUX port before the temptation sets in to connect your modem. When you connect a modem to a router's AUX port you take on some rather large security responsibilities and you have some work to do to mitigate possible points of attack. If you do this, however, practice due diligence and protect the AUX port and modem dial up, as every feature that is added to a network offers a computer attacker another method to get into the network and cause server trouble, and modem ports are no exception. You can also use the AUX port as your remote login facility if you connected a modem to it and put it on a phone line where you can dial in. When you connect using the AUX port, you normally don't get all the system status and debugging messages unless you make some changes and set the monitor setting to the AUX port. The auxiliary (AUX) port has some special uses when it comes to Cisco routers, and most of them are for remote administration. Dale Liu, in Cisco Router and Switch Forensics, 2009 The Auxiliary Port