About lesliedinaberg

When she's not busy working as an editor on a variety of magazine and book projects, Leslie Dinaberg writes feature articles, columns and grocery lists.

Shades of Silicon Valley: Q&A With Michael Pfau

Michael Pfau, photo by Daniel Dreifuss for Santa Barbara Independent.

Michael Pfau, photo by Daniel Dreifuss for Santa Barbara Independent.

Representing tech-sector businesses for more than 30 years, attorney Michael Pfau, who is a founding partner of Reicker, Pfau, Pyle & McRoy LLP, provides a unique vantage point of the Santa Barbara scene.

HOW HAS OUR TECH SECTOR EVOLVED? The same way it did in Silicon Valley. What happened was that the university attracted some real national quality talent to its faculty. Many of those people were entrepreneurially inclined, and they exported technology from the university and formed companies. Some of those were sold off and were successful; they put money into people’s hands.

Over time, you have a collection of technology, engineering, and management talent that has some money in its pocket and wants to do it again. One success begets two successes and four successes, which beget eight successes, and it just evolves naturally that way.

In parallel with that, we had the build-up of infrastructure to support these companies: angel investing, like the Santa Barbara Angel Alliance; venture firms like Kevin O’Connor’s ScOp Venture Capital and Entrada Ventures; and law firms and CPAs that are used to dealing with these things. It becomes a self-perpetuating cycle.

ARE TECH ENTREPRENEURS DIFFERENT FROM PEOPLE WHO START OTHER KINDS OF BUSINESSES? Maybe, but the answer is probably no. The analysis for any opportunity is (a) what is the problem you are trying to solve? (b) how do you solve it? and (c) what is your sustainable competitive advantage? In other words, why are you different from everybody else?

You have to be solving a real-world problem. What they all have in common is they believe they can go through brick walls, and they will do it to get to their outcome.

SO ENTREPRENEURS ARE ENTREPRENEURS THEN? It’s just grit and gristle, and in the end, a disciplined approach to business always pays off. The technology guys are more successful because they’re building companies with what we call fatter revenues — lower expenses to higher net revenue — so they are more profitable, and that’s why people think that maybe there is something better about it. But no, I’m just selling something or creating something that can be sold as more valuable.

reickerpfau.com

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

 

Tech Talk Special Issue for the Santa Barbara Independent, originally published on October 1, 2020.

To read the issue as it appeared in print, please click here, Tech Talk 768_10_01_20

 

How FLIR Steals Moments in Spotlight

FLIR's technology used in the 2018 film Rampage, courtesy photo.

FLIR’s technology used in the 2018 film Rampage, courtesy photo.

With appearances in Sicario, Ozark, Silicon Valley, The Haunting of Hill House, Transformers: The Last Knight, Speechless, and Extinct or Alive, among others, FLIR is more than familiar with the on-screen close-up.

The thermal imaging tech company, which employs approximately 450 of its 3,000 employees in Goleta, uses product placement as an important part of its marketing strategy. “We really approach placement in a collaborative way,” said Vatche Arabian, director of content marketing. “While some companies may actually go out and buy a placement on a show, we don’t typically do that. Often, it’s cases where folks want to achieve something unique, and we partner with them to help them do that.”

Of course, sometimes opportunity just knocks. “The crazy, last minute ones are the ones that we seem to get the biggest lift out of,” said Arabian, referring to the 2017 VMA performance of 30 Seconds to Mars, in which actor/musician Jared Leto wanted to do the thing with thermal cameras. “We had maybe a week-and-a-half notice for that one. Trying to realize what they were trying to do and find the best way to do that was terrifying, but then the end result was amazing.”

FLIR cameras were also used on the two Sicario movies. “In the tunnel, when it’s in thermal vision, we worked with Roger Deakins to have him use the FLIR science camera, and he couldn’t have told that story without it,” said Stacy Jones, CEO and founder of Hollywood

Branded, the marketing agency that works with FLIR. “They were in a pitch-black tunnel, and he was trying to actually show what it is like for the military and for those people who were running from across the border.”

In the movie Rampage, FLIR provided a pilot and its plane, fully kitted out with all the FLIR technology, usually reserved for large-scale demonstrations of their product line to military or government buyers.

“There was a fictional big quarry scene,” said Jones. “It existed, but they made it look way bigger than it was through movie magic. And they had the plane sweeping over it, filming in thermal and feeding a livestream down to the director at the same time, so they could get the vision and the day scenes and the night scenes and the thermal all captured while the big ravaging beast that they put in later on was able to storm in with special effects.”

Product placement works best on-screen when it’s helping to tell the story, said Jones, who founded her agency in 2007, with BlackBerry as her first client. “Technology is something that is a great storyteller when it’s contributing to who the character is, to driving a story element, and contributing to making that scene more real,” she explained.

flir.com

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

 

Tech Talk Special Issue for the Santa Barbara Independent, originally published on October 1, 2020.

To read the issue as it appeared in print, please click here, Tech Talk 768_10_01_20

 

Invoca Applies AI and Analytics to Phone Calls

Nathan Ziv of Invoca, photo by Daniel Dreifuss for Santa Barbara Independent.

Nathan Ziv of Invoca, photo by Daniel Dreifuss for Santa Barbara Independent.

As a SaaS (or “software as a service”) company that connects the dots between branding campaigns and customer phone calls through AI and analytics, Invoca is experiencing massive changes to its business during the pandemic.

“We have really had to remain agile for the last few months since March and COVID,” said Nathan Ziv, the company’s VP of product management. “And not just learning internal ways to adapt, but consumer buying behaviors have shifted a ton.”

With a client list that includes big-name brands such as Samsung, Mayo Clinic, LendingTree, Blue Cross/Blue Shield, and Open Table, Invoca specializes in studying the behaviors of their “customers’ customers.” For obvious reasons, they’re seeing a lot more online and phone-call buying now.

“We’re seeing that the volume of calls from consumers calling into these brands has never been higher,” explained Ziv. “We know those conversations are more important than ever. Luckily, we’re in a good place to help brands do that.” Some sectors, though, like the travel industry, are hurting despite Invoca’s help.

Invoca’s team, which includes about 200 people headquartered in Santa Barbara with offices in Denver and San Francisco, is very used to meeting with customers in person, whether in quarterly meet-and-greets or taking clients out to dinner to review their portfolios. With the pandemic restrictions, said Ziv, “We’ve had to learn to do all of that over Zoom and find different ways to keep engaged with them.”

Invoca has ramped up webinars as one tool to engage their customers. “We’ve helped a lot of our clients understand that they have a lot of customers calling and talking about the pandemic,” said Ziv, explaining that healthcare clients are receiving insights into the confusion over elective surgeries.

“What’s great about our software is, we can be agile and be adapting to all of that,” he explained. “All we’re trying to do is keep adapting so our customers can maintain healthy business with their consumers and that we can all get over this weird time.”

invoca.com

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

 

Tech Talk Special Issue for the Santa Barbara Independent, originally published on October 1, 2020.

To read the issue as it appeared in print, please click here, Tech Talk 768_10_01_20

 

Insight From HG Insights’ Elizabeth Cholawsky

HG Insights' Elizabeth Cholawsky, photo by Daniel Dreifuss for Santa Barbara Independent.

HG Insights’ Elizabeth Cholawsky, photo by Daniel Dreifuss for Santa Barbara Independent.

A global leader in technology intelligence, HG Insights (formerly HG Data) recently hit a benchmark that CEO Elizabeth Cholawsky is justifiably excited about. “We just topped 100 employees, which is fantastic,” she said. “We were half that about when I got here two and a half years ago, and about three quarters of those employees are in Santa Barbara.”

The former CEO of Support.com and a VP at Citrix Online, Cholawsky jumped at the opportunity in 2018 to work at HG, which is known as a “data as a service,” or DaaS, company, in 2018. “It was way too good to pass up, because the company is just a growing blockbuster,” she said. “It’s really been fun.”

One of her first moves was purchasing Pivotal iQ, a London-based partner that’s now home to much of her sales team. “When we could travel, one of the things that I did was make sure there was a lot of back and forth, so that we could cross-pollinate,” Cholawsky explained. “People from Santa Barbara were thrilled to go spend a week or two in London. And for the London team, we keep one of the apartments at El Escorial, so we can house people coming over. We really encourage that to keep the bicoastal thing going. I do encourage my executive team to get out of what I call the four walls of Santa Barbara and make sure you get that influence from other things going on.”

She’s never felt “too disadvantaged” as a woman in the traditionally male-dominated tech industry, and she has seen increasing opportunities open for women to progress within organizations. “But I don’t think Santa Barbara is immune from the problems, or from the progress that we’re making,” she said.

She’s a fan of basing companies on the Central Coast, where the culture centers on enjoying the outdoors and natural beauty. “I’m not talking about taking time off to go surfing,” she said. “You have more time here. You don’t have the congestion and the traffic problems. And for your life, you just have more hours. That impacts the culture of companies because the stress level goes down and people have both more time to invest in themselves as well as in the company.”

hginsights.com

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

 

Tech Talk Special Issue for the Santa Barbara Independent, originally published on October 1, 2020.

To read the issue as it appeared in print, please click here, Tech Talk 768_10_01_20

 

TIA: Where Inventions Meet Industry

Sherylle Mills Englander, photo by Daniel Dreifuss for Santa Barbara Independent.

Sherylle Mills Englander, photo by Daniel Dreifuss for Santa Barbara Independent.

From filament LED lighting and cloud computing to medical diagnostics, virtual reality, and everything in between, researchers at UCSB have played a key role in developing technologies that improve our lives. Tasked with building relationships between UCSB and industry is the Office of Technology & Industry Alliances (TIA), which was established in 2005 with Sherylle Mills Englander as director. She answered some questions about the office’s role.

HOW DOES TIA WORK? A lot of our discoveries are what’s called curiosity-based research, aimed at getting a fundamental understanding. The more we understand fundamentally how things work, the more innovation we can place on top of that. A lot of the research we do is extremely important and not necessarily ready for a commercial partnership.

CAN YOU GIVE AN EXAMPLE? Let’s say we have a new way of sorting cells for diagnostics where we can really quickly separate out cancer cells from any other cell and we can do it very rapidly and very effectively, so that’s got a definite benefit. If our researchers publish in scientific journals to let others learn about it and build upon it, that’s great; we’ve given a whole new process to the world.

But if absolutely anybody can use it commercially, that can be a disincentive for a company to develop it. We need a company partner to invest in making that initial discovery something that can be used in every doctor’s office.

SO THE SCIENCE AND THE PRODUCT ARE TWO DIFFERENT THINGS. It’s a very different question. How do you sort cells quickly and rapidly without hurting them? Or how do you build a machine for it that is going to be affordable, reimbursable, and easy enough to use to be in everybody’s office?

If we simply publish, would a company invest the millions of dollars it takes to create a product only to have the fundamental discovery of that product be able to be used by competitors? Most likely not. So to encourage it to be translated into actual commercial products, we apply for a patent on that original idea and then we go to a company who has a strong passion and expertise for it. If they commit to developing something that will benefit the public, we will give you the exclusive access to that patent.

What we’re basically doing is using the intellectual property scheme of patents and copyrights to encourage and facilitate companies to create products and services based on our discoveries.

DOES UCSB GET COMPENSATED FOR SUCCESSES? What we do is called a license, effectively giving permission for a company to use it. There are some standard deal structures. Obviously, we require royalties. Essentially, we want to assure that if they do succeed with the technology, the University of California shares in that success in a reasonable way. We are looking to make sure our innovation and our contribution to their company is fairly compensated, but it’s structured in a way that allows them to spend the money to develop a product and to get it out there.

HOW ABOUT THE INVENTORS THEMSELVES? Most of our innovations have students named as an inventor or author because they are so active in our research. The university will give the inventors 35 percent of our net revenue, and they share it equally. Just because you are a faculty member doesn’t mean you get more. If there are three inventors, they each get a third of that net revenue.

Their job is to teach and to discover science, and it takes an enormous amount of help to make that innovation happen. So that 35 percent back is a recognition of the effort of the effort that they are doing to take this invention out.

IS THIS A BIG MONEYMAKER? This is not a scenario where tons of money is coming in. The university has over 12,000 active inventions. The top 25 patents earn anywhere from 70 to 80 percent of our income in a given year.

We want our contribution to be respected, and we want the California taxpayers to get a return on that investment. Every bit of money we get in royalties is reinvested to support future research at UCSB, and we want to keep that going.

SO THE MOTIVATION IS NOT THE FINANCIAL RETURN. The reason we are doing this fundamentally is we want our innovations to turn into products that actually help people.

tia.ucsb.edu

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

 

Tech Talk Special Issue for the Santa Barbara Independent, originally published on October 1, 2020.

To read the issue as it appeared in print, please click here, Tech Talk 768_10_01_20

 

UCSB Technology Management Program’s Startups

A List of More Than 30 Companies Whose Founders Participated in the Certificate Program

This is a select list of startups that were formed by UCSB alumni who went through the school’s Technology Management Program at UCSB. Unless otherwise specified, these companies are still located on the Central Coast.

58phases (affiliate marketing coupon websites): Houston, TX; 58phases.com

Active Life Scientific (bone density measurement without radiation): activelifescientific.com

Apeel Sciences (plant-based edible coating to preserve fruits and vegetables longer): apeelsciences.com

AppScale (open source cloud computing platform): appscale.com

Aptitude (medical diagnostics — aptamers): aptitudemedical.com

Because of Hope (BOH) (handmade jewelry site supporting widows and orphans in Uganda): becauseofhope.org

BioIQ (health measurement technology): primary location in Atlanta, GA; bioiq.com

Compandent (telecommunications and secure voice software and hardware): Los Altos Hills, CA; compandent.com

DejaLearn (app to help students with memorization tasks): dejalearn.com/#4

Emergency Medical Technologies (medical alert “WriskWatch”): North Miami Beach, FL; emergencymedtech.com/index.cfm

Endotronix (wireless heart health monitoring): Lisle, IL, and Dublin, Ireland; endotronix.com

EVmatch (peer-to-peer electric-vehicle charging network): evmatch.com

Fluency Lighting Technologies (laser diode lighting): fluencylighting.com

Groundswell Technologies (software for natural resource management): groundswelltech.com

iCracked (iPhone and iPad repairs and buybacks), acquired by SquareTrade: squaretrade.com

Infanttech (baby monitor for cars): Montebello, CA; infanttech.com

Inogen (portable oxygen therapy): inogen.com

Life Cube (portable instant shelters): lifecubeinc.com

Milo Sensors (wearable alcohol-sensor technologies): www.milosensor.com

NEXT (organic photovoltaics): nextenergytech.com

Nitride Solutions (manufacturing materials that enable solutions to critical problems in electronics): Wichita, KS; nitridesolutions.com

PeraHealth (healthcare efficiency software): Charlotte, NC; perahealth.com

Polar Pro (accessories for GoPro Cameras): Costa Mesa, CA; polarprofilters.com

Sirigen (High Sensitivity Fluorescence): La Jolla, CA; sirigen.com

StudySoup (peer-to-peer learning marketplace): San Francisco, CA; studysoup.com

SyncIn (mobile time tracking): Van Nuys, CA; syncinnow.com

Tamarisc (early-stage venture investment): Boston, MA; tamarisc.com

TrackR (Bluetooth tracker): thetrackr.com

Ubersense (sports analysis tool): hudl.com

Vanguard Computer Technology Labs (VCT) (engineering services): vctlabs.com

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

 

Tech Talk Special Issue for the Santa Barbara Independent, originally published on October 1, 2020.

To read the issue as it appeared in print, please click here, Tech Talk 768_10_01_20

 

TMP: Practical Education for an Evolving World

Students in UCSB’s Technology Management Program listen to a recent presentation on Nectir, a new system for connecting classrooms. | Credit: Courtesy

Students in UCSB’s Technology Management Program listen to a recent presentation on Nectir, a new system for connecting classrooms. | Credit: Courtesy

Preparation meets opportunity in UCSB’s Technology Management Program (TMP), which trained 2,400 undergraduate students last year alone.

The certificate program covers subjects such as business strategy, entrepreneurship, marketing, management, finance, and startup business models as well as current issues in technology, business, and society.

“Because UCSB doesn’t have a business school, students aren’t really exposed to the basics about what it’s like to work in an organization,” explained Kyle Lewis, TMP’s chair. “So we have courses that the students would otherwise not get.”

TMP is technically part of the College of Engineering, but it’s open to all students, and 80 percent who enroll are not engineers. “Often, these are very motivated students, and they’re taking our courses because they believe it will help them get jobs, and in fact it does,” she explained. “So we have a lot of students who have gone through the certificate who have been very, very successful on the job market with majors that could have made it more challenging for them to get good jobs.”

Lewis said that a primary goal is to keep students of all backgrounds aware of how technology is changing our world. “What we’re able to bring to the classroom is research that we’ve been doing for a long time that’s now very, very relevant,” she said. “How does tech influence human behavior and decision making? And how do humans affect technology?”

The COVID pandemic is making this sort of training all the more relevant. “Change equals opportunities in this type of environment,” said Dave Adornetto, the executive director of TMP’s entrepreneurship program. “So there’s just going to be all sorts of new problems to solve with technology.” He sees that revolutions are particularly underway for healthcare and education.

“The challenges, of course, are around engagement,” he explained, “how to keep people engaged when they are remote.”

Michael Curtis, who completed his Masters of Technology Management degree in June, is seeing these changes firsthand in his new job as an associate project manager at Apeel Sciences, which itself was launched after winning TMP’s New Venture Competition in 2012. He was hired in April, right as everyone went into full lockdown. “We had a virtual online orientation, and it went a lot better than I was anticipating,” Curtis said.

“I’ve been very pleasantly surprised with how much of a relationship I’ve been able to build with a lot of my coworkers. I thought that being online would be a little weird, but I do feel like I’ve been absorbed into the community and culture of Apeel.”

This kind of training and connection is becoming the new social norm. “With so much change happening in the world right now,” said Adornetto, “I’m excited to see what’s going to come out in terms of student creativity and ideas, because I think natural applications will emerge from their experiences with these technologies.”

Though TMP has long been associated with startups, that’s not the program’s only application. “A lot of the students are thinking about joining established firms, and they’re joining in positions where innovation is required,” said Lewis. “The skills and the learning are absolutely portable to all kinds of organizations where innovation has to occur constantly, and they are learning how to do that.”    tmp.ucsb.edu

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

 

Tech Talk Special Issue for the Santa Barbara Independent, originally published on October 1, 2020.

To read the issue as it appeared in print, please click here, Tech Talk 768_10_01_20

 

Communication is Key for WELL Health

WELL Health’s CEO Guillaume de Zwirek first discovered healthcare tech as a patient. During an Ironman triathlon, he landed in the back of an ambulance, suffering from acute heatstroke. In the months after his hospital discharge, he navigated a complex medical system full of antiquated communication practices. Seeing an opportunity, de Zwirek created WELL to solve those challenges.

“WELL enables health systems, private practices, and vendors to conduct seamless conversations with patients across multiple channels, including texting, email, telephone, and live chat,” said Pamela Ellgen, WELL’s health editor.

Through WELL, patients receive all of their healthcare communication from one trusted source—their provider—and service providers can converse with patients in real time.

The first WELL office opened in 2015 in Redwood City, the heart of Silicon Valley. “I quickly realized that wasn’t the right thing for the company, or for our team,” said de Zwirek.

“The Bay Area was overcrowded with way too many people willing to make crazy commutes. Even though our office was right on the train route, some of our team still had to travel more than an hour and a half just to get to work.

And the cost of living was out of control. In addition, turnover is a way of life in Silicon Valley. It wasn’t what I wanted for WELL. I want to build a community of people who are happy to be here and excited to help build this company.”

WELL relocated its headquarters to Santa Barbara in 2017 and now operates on Chapala Street in Invoca’s former headquarters. Listed as number 170 on the Inc. 500 list of the fastest growing privately held companies in the U.S., WELL employs 102 people, with 62 of them in Santa Barbara.

In March 2020, WELL unveiled its Rapid Release Program, which allows health systems to manage urgent COVID-19 patient communications at scale. A technology that seems tailor-made for our time, it can be deployed by users in just 48 hours, which is far quicker than a typical implementation. Seeking to address the pandemic as effectively as possible, WELL offered the program below cost and was able to serve an additional 2.5 million patients within weeks of launch.  wellapp.com

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

 

Tech Talk Special Issue for the Santa Barbara Independent, originally published on October 1, 2020.

To read the issue as it appeared in print, please click here, Tech Talk 768_10_01_20

 

Virtual Health Care: Right Here at Home

After the July 2020 acquisition of Goleta-based InTouch Health—for approximately $150 million in cash and 4.6 million shares of stock—Teladoc Health is well positioned in the global telehealth market and also a large employer here, with about 230 positions in Santa Barbara County. Joe DeVivo, Teladoc’s president of hospitals and health systems, discussed the technology, ever more important during COVID.

WHAT DOES TELADOC DO? The mission of Teladoc Health is to transform how people access and experience health-care around the world. With virtual care, we are enabling patients to access care on their terms—from general medical issues like cold and flu to chronic conditions, including mental health, and complicated medical issues.

HOW HAS THE COMPANY GROWN? Teladoc Health was established for what has come to be known as virtual urgent care: providing access to board-certified physicians via phone, app, or website for acute health needs like cold, flu, upper respiratory issues, pinkeye, and more.

Through multiple acquisitions, the company not only expanded globally, now operating in 175 countries, but also added clinical capabilities, covering more health conditions across the spectrum of care, including dermatology, mental health, expert medical services, and more.

HOW IS THE PANDEMIC AMPLIFYING THINGS? COVID-19 has exponentially increased the number of hospitals and health systems utilizing virtual-care platforms as well as expanded the use cases for those who had already deployed a virtual-care platform. While we knew in January that the InTouch transaction would play a key role in our growth, we couldn’t have predicted the level of need it’s enabling us to meet for hospital systems now motivated to create comprehensive virtual-care strategies.

Our pipeline with hospitals and health systems remains strong for the rest of 2020 and 2021, set to grow over 35 percent in 2020. Teladoc Health is now partnering with more than 60 of the top 100 hospitals.

WHAT IS INTOUCH FOUNDER YULUN WANG’S CURRENT ROLE? In his capacity as fellow with Teladoc Health, Yulun Wang will now focus on the importance of growing virtual health-care opportunities for underserved populations around the globe with the World Telehealth Initiative. We will continue to foster the Teladoc Health relationship with UCSB, and we also see expanding opportunities for students to participate in Yulun’s work with the World Telehealth Initiative.  intouchhealth.com

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

 

Tech Talk Special Issue for the Santa Barbara Independent, originally published on October 1, 2020.

To read the issue as it appeared in print, please click here, Tech Talk 768_10_01_20

 

The Cutting Edge of Robotic Surgery

Robots are no longer a futuristic notion. In fact, they’re becoming more and more common in nearby operating rooms. Robotic surgery is an advanced form of minimally invasive surgery that makes use of computer-controlled robots to do what humans can’t—and also to do what surgeons can, only better.

Think about how bulky human hands are when compared to a robot’s. “The robotic instruments are articulated at the end of the instrument where the working end is, so the working end can move like a hand would, as if it had a wrist,” explained Dr. Anne Rodriguez, a gynecologic oncologist and breast surgeon who heads up the Cottage Health Robotic Surgery team.

“That gives you the ability to maneuver much more than you would with a straight instrument. And that ability can get you into small spaces, can get you into difficult spaces, and can allow you to do a lot finer technique, so to speak.”

In 2019, the Cottage Robotic Surgery Center performed 574 robotic surgery procedures with the da Vinci XI manufactured by Intuitive. The most common surgery was hysterectomy, with 117 of them performed last year, said Maria Zate, the hospital’s public relations manager, followed by prostatectomy and hernia.

Dr. William Gallivan of the Orthopedic Institute of Santa Barbara is a big proponent of the technology. “In 2005, I started using computer navigation,” said Gallivan. “It was new technology back then, and I haven’t gone back.” He’s performed robotic surgeries on knees since 2014, tallying 350 surgeries as of August 2020, using the NAVIO Surgical System and recently the MAKO Robotic-Arm System.

The precision advantages of robotics for knee surgeries are critical. “When we use robotics, we can actually do a better preservation of bone,” he said. “For young people who want to be active, they will be able to have a very high level of activity. We’ve got this technology that allows better preservation and maintenance of bone and other soft tissues and is very effective.”

Rodriguez also pointed out the advantages of the robots for surgeons themselves. “You’re basically sitting at a console to control the instrument rather than controlling the instrument at the bedside,” she said. “So ergonomically, it’s easier on the surgeon and that gives advantages both short-term and long-term in terms of your ability to continue to do surgery.”

Other advantages include shorter hospital stays and faster recoveries, in part because there is less need for narcotic pain medicine.

“About 95 percent of my patients are wide awake with a spinal anesthetic,” said Gallivan. “It’s the safest way to do it, and the patients have more fun being awake.” Patients can listen to music (“unless it’s something bad,” he laughed) and watch 3D models and cartoon versions of the operation.

Virtually scar-less, single-site surgeries can also be handled by robots, such as single-incision hysterectomies. Rather than making several incisions, the robotic process makes just one incision through the belly button, which decreases blood loss and shortens recovery time.

“Robots have obviously been used for a long time by the aviation, automotive, and military [sectors], and then health care,” said Gallivan. “But the robotic technology has never diminished or exited from an industry that’s adopted it. It’s not going anywhere. I’m a firm believer that this technology we’re using is here to stay.”

THE BIRTHPLACE OF MODERN SURGICAL ROBOTICS

UCSB graduate Dr. Yulun Wang is considered one of the fathers of modern surgical robotics. The founder of both InTouch Health and Computer Motion, Wang developed AESOP, the first FDA-approved surgical robot (1990), and the ZEUS Robotic Surgical System. ZEUS was used in the world’s first tele-surgery procedure, known as the Lindbergh Operation, in 2001. The da Vinci surgical system now used by Cottage Health was developed by Intuitive Surgical following its merger with Computer Motion in 2003.

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

Tech Talk Special Issue for Santa Barbara Independent, published October 1, 2020.

 

Tech Talk Special Issue for the Santa Barbara Independent, originally published on October 1, 2020.

To read the issue as it appeared in print, please click here, Tech Talk 768_10_01_20