Table 1B.
Japanese national guidelines for the calculation of the costs of advanced medical care10)
| • $3255000 (purchase price of the dVS) × 0.9 = $2929500 (repayment cost) |
| $2929500/5 years (service life) = $585900/year (repayment cost/year) |
| At an institution which perform the dVS operation A: 100 times, B: 200 times and C: 300 times in a year |
| A: ¥ 46872000/100 times (annual use) = $5859* (repayment cost/operation) |
| B: ¥ 46872000/200 times (annual use) = $2930* (repayment cost/operation) |
| C: ¥ 46872000/300 times (annual use) = $1953* (repayment cost/operation) |
| • Amount of maintenance cost/5 years = $1250000 |
| $1250000 × 0.9 = $1125000 → $1125000/5 year = $225000 (maintenance cost/year)† |
| A: $225000/100 times = $2250**(running cost/operation) |
| B: $225000/200 times = $1125**(running cost/operation) |
| C: $225000/300 times = $750**(running cost/operation) |
| • Pattern A: $3575# (medical materials cost/operation) + $2250** (running cost/operation) + $5859* (repayment cost/operation) |
| = $11684***/one-robotic case operation |
| • Pattern B $3575# (medical materials cost/operation) + $1125** (running cost/operation) + $2930* (repayment cost/operation) |
| = $7630***/one-robotic case operation |
| • Pattern C: $3575# (medical materials cost/operation) + $750** (running cost/operation) + $1953* (repayment cost/operation) |
| = $6278***/one-robotic case operation |
Table 1B shows a tentative calculation for the basis of costs associated with robotic medical care for institutions which perform the da Vinci® Surgical System (dVS) procedures 100 times (pattern A), 200 times (pattern B) and 300 times (pattern C) in a year, respectively. *repayment cost/operation, **running cost/operation, ***cost/one-robotic case operation, #medical materials cost for the dVS/operation; †Reduced by Intuitive Surgical to US$90000 (maintenance cost/year) from July 2012.