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| "text": "ability to guide so you can see this is the nerve and we're doing our first and", |
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| "start": 590.56, |
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| "text": "this is a second drill I'm sure it's for that mental parameter", |
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| "text": "I want to stay parallel to this bone right there", |
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| "text": "to this cortical bone and we're going to drill to 16 and intention is to place", |
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| "text": "implant number 13 on there", |
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| "text": "Here, same thing with the drill.", |
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| "text": "Here you see, we are repairing the sides of the filing point.", |
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| "timecode": "00:10:38.120", |
| "text": "Open, open, open.", |
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| "text": "I'm going to go ahead and put this in.", |
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| "id": 53, |
| "start": 698.12, |
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| "timecode": "00:11:38.120", |
| "text": "You need three bites on this one. Okay. Mm-hmm.", |
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| "timecode": "00:12:08.120", |
| "text": "So, let's go.", |
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| "timecode": "00:12:38.120", |
| "text": "*sizzling*", |
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| "timecode": "00:13:08.120", |
| "text": "Ok, so everything is prepped to about 16mm and I'm going to put a little antibiotic.", |
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| "timecode": "00:13:25.800", |
| "text": "And now we're going to put 13mm implant.", |
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| "text": "Alright, I'm going to start from here.", |
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| "timecode": "00:13:44.180", |
| "text": "So this is an implant.", |
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| "text": "4.3 by 13.", |
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| "timecode": "00:14:01.600", |
| "text": "Mm-hmm.", |
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| "id": 62, |
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| "text": "Another implant, 4.3 by 13.", |
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| "review_flag": "CONFIRMED_HALLUCINATION", |
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| "heard_on_recheck": "Mm-hmm.", |
| "note": "«Another implant, 4.3 by 13» is NOT actually said here. Whisper repeated the phrase by pattern-matching neighboring genuine segments. Do not use as fact." |
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| "timecode": "00:15:29.600", |
| "text": "As you see we did the mechanical installment on the hand piece and now we're doing torquing.", |
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| "id": 65, |
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| "text": "You can see how it's getting dense.", |
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| "text": "Now we're reversing to release the bone a little bit.", |
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| "timecode": "00:15:58.400", |
| "text": "Now we're going to change retractors and change this side here to this and we're going to", |
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| "timecode": "00:16:20.960", |
| "text": "Another implant, same. Implant 4.3 mm, about 13 mm, here, so it stops at 40 mm, right?", |
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| "text": "One more. We should have five.", |
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| "text": "No, we put four.", |
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| "text": "Thanks.", |
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| "text": "Thanks.", |
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| "timecode": "00:17:46.840", |
| "text": "Look what I did for you.", |
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| "timecode": "00:18:04.700", |
| "text": "I'll see you next time.", |
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| "text": "All right.", |
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| "text": "so", |
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| "id": 83, |
| "start": 1174.7, |
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| "timecode": "00:19:34.700", |
| "text": "It is closed, so we are going to put a multi unit abutment so all implants are installed.", |
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| "timecode": "00:19:50.300", |
| "text": "Add the chopped green chillies and fry for a minute. Then add the chopped green chillies and fry for another minute.", |
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| "id": 85, |
| "start": 1220.3, |
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| "timecode": "00:20:20.300", |
| "text": "replacing the implants so making sure that rotation is in a good spot", |
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| "text": "so when we replace this abutment it goes into the central fossa which it does", |
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| "id": 87, |
| "start": 1250.3, |
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| "timecode": "00:20:50.300", |
| "text": "Okay.", |
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| { |
| "id": 88, |
| "start": 1280.3, |
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| "timecode": "00:21:20.300", |
| "text": "Thank you.", |
| "mean_confidence": 0.944, |
| "speech_verified": false, |
| "speech_fraction": 0.131, |
| "review_flag": "low_audio_activity_possible_hallucination", |
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| "id": 89, |
| "start": 1310.3, |
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| "timecode": "00:21:50.300", |
| "text": "So, let's go.", |
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| { |
| "id": 90, |
| "start": 1340.3, |
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| "timecode": "00:22:20.300", |
| "text": "*blows air*", |
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| "id": 91, |
| "start": 1370.3, |
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| "timecode": "00:22:50.300", |
| "text": "I'll give you a good check.", |
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| { |
| "id": 92, |
| "start": 1400.3, |
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| "timecode": "00:23:20.300", |
| "text": "Close, look right there, that's how, teeth are right there so we're gonna do, open, and", |
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| "id": 93, |
| "start": 1418.82, |
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| "text": "the bone is back so we're gonna do, okay, so all gonna be this, 3/5's.", |
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| "start": 1425.54, |
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| "timecode": "00:23:45.540", |
| "text": "Okay.", |
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| "id": 95, |
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| "text": "Ready for you?", |
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| "id": 96, |
| "start": 1428.54, |
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| "timecode": "00:23:48.540", |
| "text": "Yep.", |
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| { |
| "id": 97, |
| "start": 1435.54, |
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| "timecode": "00:23:55.540", |
| "text": "Okay, open wide, wide, wide.", |
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| "id": 98, |
| "start": 1455.54, |
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| "timecode": "00:24:15.540", |
| "text": "so", |
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| { |
| "id": 99, |
| "start": 1485.54, |
| "end": 1496.58, |
| "timecode": "00:24:45.540", |
| "text": "So we're doing profiling now, and everything is going to be here, because this is 30 degrees", |
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| { |
| "id": 100, |
| "start": 1496.58, |
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| "text": "reverse, because we want to match it to the occlusion value, so we have to have a, yeah,", |
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| "start": 1503.58, |
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| "timecode": "00:25:03.580", |
| "text": "If we do 17 degree, it might be not as...", |
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| "id": 102, |
| "start": 1509.28, |
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| "timecode": "00:25:09.280", |
| "text": "17 is pretty good as well.", |
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| { |
| "id": 103, |
| "start": 1533.58, |
| "end": 1563.56, |
| "timecode": "00:25:33.580", |
| "text": "Thank you.", |
| "mean_confidence": 0.664, |
| "speech_verified": false, |
| "speech_fraction": 0.08, |
| "review_flag": "low_audio_activity_possible_hallucination", |
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| { |
| "id": 104, |
| "start": 1563.58, |
| "end": 1593.56, |
| "timecode": "00:26:03.580", |
| "text": "Thank you.", |
| "mean_confidence": 0.64, |
| "speech_verified": true, |
| "speech_fraction": 0.19, |
| "review_flag": null, |
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| { |
| "id": 105, |
| "start": 1593.58, |
| "end": 1595.58, |
| "timecode": "00:26:33.580", |
| "text": "*whistling*", |
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| { |
| "id": 106, |
| "start": 1623.58, |
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| "timecode": "00:27:03.580", |
| "text": "Torquing those multi-unit abutments to 25, all of them.", |
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| "review_flag": null, |
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| { |
| "id": 107, |
| "start": 1653.58, |
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| "timecode": "00:27:33.580", |
| "text": "We need to put the screw in itself. It's better.", |
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| { |
| "id": 108, |
| "start": 1683.58, |
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| "timecode": "00:28:03.580", |
| "text": "All right.", |
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| { |
| "id": 109, |
| "start": 1713.58, |
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| "timecode": "00:28:33.580", |
| "text": "Thank you.", |
| "mean_confidence": 0.685, |
| "speech_verified": true, |
| "speech_fraction": 0.239, |
| "review_flag": null, |
| "content_type": "surgical_narration", |
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| { |
| "id": 110, |
| "start": 1743.58, |
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| "timecode": "00:29:03.580", |
| "text": "Now we are going to tighten this one again, just to check.", |
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| "review_flag": null, |
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| { |
| "id": 111, |
| "start": 1758.58, |
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| "timecode": "00:29:18.580", |
| "text": "centimeter. All of them.", |
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| { |
| "id": 112, |
| "start": 1788.06, |
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| "timecode": "00:29:48.060", |
| "text": "Okay, so we'll do white caps.", |
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| { |
| "id": 113, |
| "start": 1818.06, |
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| "timecode": "00:30:18.060", |
| "text": "Thank you.", |
| "mean_confidence": 0.634, |
| "speech_verified": true, |
| "speech_fraction": 0.418, |
| "review_flag": null, |
| "content_type": "surgical_narration", |
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| { |
| "id": 114, |
| "start": 1848.06, |
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| "timecode": "00:30:48.060", |
| "text": "You need to tell them. So, these are white caps, two comfort caps and also the scanning caps.", |
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| { |
| "id": 115, |
| "start": 1859.06, |
| "end": 1863.06, |
| "timecode": "00:30:59.060", |
| "text": "So, let's do the summary before we close. We're going to rinse and close, but this is the nerve.", |
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| "speech_verified": true, |
| "speech_fraction": 1.0, |
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| { |
| "id": 116, |
| "start": 1863.06, |
| "end": 1872.06, |
| "timecode": "00:31:03.060", |
| "text": "We bypass the nerve, the implant like this, this implant like that, here, here, same thing there, away from those nerves.", |
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| "speech_fraction": 1.0, |
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| { |
| "id": 117, |
| "start": 1872.06, |
| "end": 1881.06, |
| "timecode": "00:31:12.060", |
| "text": "And that will give us the ability to get about 10 teeth in here for him, so they're all going to hold about 10 teeth or more.", |
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| "speech_verified": true, |
| "speech_fraction": 1.0, |
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| { |
| "id": 118, |
| "start": 1885.06, |
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| "timecode": "00:31:25.060", |
| "text": "I'm going to put some antibiotic under the flap.", |
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| { |
| "id": 119, |
| "start": 1888.06, |
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| "timecode": "00:31:28.060", |
| "text": "So those are Nobel Biocare white caps, and we like them because everything is new then except for those caps.", |
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| "id": 120, |
| "start": 1893.06, |
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| "timecode": "00:31:33.060", |
| "text": "They're just very good for scanning. They're white, so the scan picks them up real nice, and we have a matching software for those components.", |
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| "id": 121, |
| "start": 1902.06, |
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| "timecode": "00:31:42.060", |
| "text": "So now, since we did this incision here, which is a vertical releasing incision in the midline,", |
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| "id": 122, |
| "start": 1909.3, |
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| "timecode": "00:31:49.300", |
| "text": "we're going to fold that first, do this, we're going to do a little horizontal mattress here,", |
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| "id": 123, |
| "start": 1928.52, |
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| "timecode": "00:32:08.520", |
| "text": "So this is a very powerful suture, it aligns everything, and it's a natural suture so it", |
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| "id": 124, |
| "start": 1949.06, |
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| "timecode": "00:32:29.060", |
| "text": "reverse the tissue a little bit", |
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| { |
| "id": 125, |
| "start": 1979.06, |
| "end": 2005.96, |
| "timecode": "00:32:59.060", |
| "text": "The patient is under sedation.", |
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| "speech_verified": true, |
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| { |
| "id": 126, |
| "start": 2005.96, |
| "end": 2006.8, |
| "timecode": "00:33:25.960", |
| "text": "Mm-hmm.", |
| "mean_confidence": 0.924, |
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| "speech_fraction": 1.0, |
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| { |
| "id": 127, |
| "start": 2035.96, |
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| "timecode": "00:33:55.960", |
| "text": "I'll have this used right here.", |
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| { |
| "id": 128, |
| "start": 2065.96, |
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| "timecode": "00:34:25.960", |
| "text": "Thank you.", |
| "mean_confidence": 0.667, |
| "speech_verified": true, |
| "speech_fraction": 0.864, |
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| "content_type": "surgical_narration", |
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| "id": 129, |
| "start": 2095.96, |
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| "timecode": "00:34:55.960", |
| "text": "So we're doing interrupted sutures. You can see five white caps and we're gonna", |
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| "start": 2101.54, |
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| "timecode": "00:35:01.540", |
| "text": "take a PIC scan. So we're gonna record the PIC scan and [STAFF] can do", |
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| "text": "annotation for the PIC scan.", |
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| "start": 2125.96, |
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| "text": "I'm going to do the suture as you see it pulled through.", |
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| "text": "I think it will be amazing when the robot starts suturing like humans.", |
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| "start": 2167.42, |
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| "timecode": "00:36:07.420", |
| "text": "So even if you enjoy doing some surgery, but usually people are not enjoying suturing as", |
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| "start": 2176.16, |
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| "timecode": "00:36:16.160", |
| "text": "much so it might be done so it's a very repetitive task so so this can be", |
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| "id": 136, |
| "start": 2187.5, |
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| "timecode": "00:36:27.500", |
| "text": "delegated to robotics", |
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| "timecode": "00:36:46.160", |
| "text": "Did you call?", |
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| "start": 2231.2, |
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| "timecode": "00:37:11.200", |
| "text": "I like this chair, it's nice.", |
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| "id": 139, |
| "start": 2251.92, |
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| "timecode": "00:37:31.920", |
| "text": "So the goal of this operation obviously is everything we did with the", |
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| "start": 2259.76, |
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| "timecode": "00:37:39.760", |
| "text": "IRB studies is to train AI the virtual model and then the robots to suture", |
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| "id": 141, |
| "start": 2269.04, |
| "end": 2273.68, |
| "timecode": "00:37:49.040", |
| "text": "and then do some manipulations in the mouth maybe even cut the suture so", |
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| "id": 142, |
| "start": 2278.24, |
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| "timecode": "00:37:58.240", |
| "text": "and then when they become really good they can learn the surgeon skill", |
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| "id": 143, |
| "start": 2282.08, |
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| "timecode": "00:38:02.080", |
| "text": "from hopefully only good surgeons and", |
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| "id": 144, |
| "start": 2289.2, |
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| "timecode": "00:38:09.200", |
| "text": "can operate under supervision of the", |
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| "id": 145, |
| "start": 2295.2, |
| "end": 2300.88, |
| "timecode": "00:38:15.200", |
| "text": "humans especially things like this this is very repetitive task very boring it's suturing", |
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| "start": 2301.6, |
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| "timecode": "00:38:21.600", |
| "text": "i mean it's fun in the beginning but after a while it becomes very boring so", |
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| "id": 147, |
| "start": 2305.44, |
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| "timecode": "00:38:25.440", |
| "text": "it'll be a good thing for the robot to do after big surgery like this go ahead and suture", |
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| "id": 148, |
| "start": 2319.2, |
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| "timecode": "00:38:39.200", |
| "text": "So this whole operation, how long did it take us to do this forge?", |
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| "id": 149, |
| "start": 2344.08, |
| "end": 2355.26, |
| "timecode": "00:39:04.080", |
| "text": "recording time? 39 minutes. 39? So this is 39 minutes operation.", |
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| "id": 150, |
| "start": 2357.68, |
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| "timecode": "00:39:17.680", |
| "text": "Incision to suturing.", |
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| "id": 151, |
| "start": 2363.84, |
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| "timecode": "00:39:23.840", |
| "text": "It takes about 10-15 minutes to suture that big incision. So if they're", |
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| "id": 152, |
| "start": 2372.24, |
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| "timecode": "00:39:32.240", |
| "text": "robot gonna suture it then your surgery time is 15 minutes in 30 minutes and", |
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| "id": 153, |
| "start": 2380.4, |
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| "timecode": "00:39:40.400", |
| "text": "then robotics will take 10-15 minutes to suture maybe faster who knows that's an", |
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| "id": 154, |
| "start": 2391.26, |
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| "timecode": "00:39:51.260", |
| "text": "interesting skill for the robot to learn suturing that requires a lot of haptic", |
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| "id": 155, |
| "start": 2397.38, |
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| "timecode": "00:39:57.380", |
| "text": "function and a lot of vector data, spatial analysis. You don't want to suture the tongue", |
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| "id": 156, |
| "start": 2414.48, |
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| "timecode": "00:40:14.480", |
| "text": "to the gum. Can you imagine if you suture it like this and the patient cannot move a", |
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| "start": 2426.48, |
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| "timecode": "00:40:26.480", |
| "text": "We have a doctor in New York who did that, sutured the tongue to the patient's wisdom", |
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| "timecode": "00:40:49.340", |
| "text": "tooth incision. I'm going to say his name.", |
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| "timecode": "00:41:19.340", |
| "text": "*snoring*", |
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| "timecode": "00:41:49.340", |
| "text": "So we're using vicryl suture and so this, everything we talked about pretty much defies the operation.", |
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| "timecode": "00:42:05.380", |
| "text": "So the only thing I can add is that our rotary speed was 1200 for the drilling of implants.", |
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| "timecode": "00:42:15.480", |
| "text": "did the cooling irrigation of the saline and we use the antibiotic for the topical", |
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| "timecode": "00:42:22.720", |
| "text": "antibiotic including this vancomycin irrigation. So we placed five implants and we can deliver", |
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| "timecode": "00:42:30.840", |
| "text": "the up report from this recording.", |
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| "text": "Mm-hmm.", |
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| "start": 2560.93, |
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| "timecode": "00:42:40.930", |
| "text": "So, okay, now we're ready for PIC scan.", |
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| "text": "Yes, don't move, stay, just remove the white covers and put a special plaque, a special", |
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| "timecode": "00:43:10.070", |
| "text": "So we'll scan the body for the scanning process.", |
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| "timecode": "00:43:23.570", |
| "text": "Stay open and done.", |
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| "timecode": "00:44:10.070", |
| "text": "*sad music*", |
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| "text": "Thank you.", |
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| "text": "Thank you.", |
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| { |
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| "timecode": "00:54:38.324", |
| "text": "Thank you.", |
| "mean_confidence": 0.9, |
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| "speech_fraction": 0.0, |
| "review_flag": "low_audio_activity_possible_hallucination", |
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| "content_types": { |
| "surgical_narration": "Intraoperative surgeon commentary during the procedure.", |
| "project_discussion": "Discussion of the project itself: IRB, training a robot to suture, operation time, the role of robotics. DECISION: stays in the dataset - valuable material, not noise." |
| }, |
| "deidentified": true, |
| "timeline_note": "Timestamps correspond to [internal project path removed] and to case_002_mandible_outbound_edit_audio.{m4a,flac}, which carry the identical cuts. This is the clock the burned-in timer shows. Original de-identified-master values are kept as start_deid/end_deid. [internal project path removed] itself is unchanged.", |
| "redactions": [ |
| { |
| "orig_start": 2111.5, |
| "orig_end": 2112.9, |
| "kind": "staff_name", |
| "replacement": "[STAFF]", |
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| "orig_end_deid": 2112.9, |
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| }, |
| { |
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| "kind": "staff_name", |
| "replacement": "[STAFF]", |
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| "orig_end_deid": 2563.3, |
| "outbound_edit_start": null, |
| "outbound_edit_end": null, |
| "outbound_edit_note": "this redaction window is inside removed window cut 1" |
| } |
| ], |
| "outbound_edit_policy": "Segments entirely inside a removed window are DROPPED from this copy and listed in dropped_by_edit.json (nothing is silently deleted). Segments that straddle a cut boundary are CLIPPED to the surviving part - text is kept verbatim and unsplit, because whisper.cpp gave no word-level times here, and the segment is flagged clipped_by_outbound_edit with the removed share, so a consumer can see that the words no longer all fit inside the stated interval. No segment survived in two different keep-ranges, so the clip is unambiguous.", |
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| "segments_removed": 25, |
| "segments_clipped_at_a_cut": 6, |
| "duration_sec": 3293.023 |
| }, |
| "provenance": "whisper.cpp large-v3 automatic transcription of the operating-room narration, then de-identified, then surgical terminology reviewed against the audio by the operating surgeon. This is not raw model output." |
| } |
