The Future Of Surgical Robotics Is Microscopic

The NeuroArm, a non-ferrous microsurgical robot—shown here with an electrified cutting tool and suction instrument—was used to remove a patient's brain tumor in 2008, while she was being scanned with an MRI. University of Calgary

The Microscopic Future of Surgical Robotics -- Erik Sofge, Popular Science

Chances are, you aren’t, and never will be, an astronaut. So the recent revelation that NASA is funding the development of a somewhat gruesome-sounding surgical bot—a fist-size contraption that would enter a patient’s gas-engorged abdomen to staunch bleeding or remove a ruptured appendix—isn’t exactly news you can use. The more relevant announcement might be from Intuitive Surgical, which announced that its newest robo-surgeon has been approved by the FDA. With thinner and more maneuverable arms, the da Vinci Xi will turn more open surgeries into minimally-invasive, robot-assisted procedures. Instead of requiring large incisions to get at various portions of a patient’s anatomy, the Xi will let surgeons reach essentially anywhere in the abdomen through smaller less traumatic punctures. With this clearance, the likelihood that you’ll one day be under the robotic knife just jumped significantly.

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My Comment: A good review on robotic advances in microsurgery.

Nasa Is Developing Robots That Could Perform Surgery In Space

The Robots That Could Perform Surgery In SPACE: Tiny Doctor Droids Could Perform Complex Medical Procedures On Astronauts -- Daily Mail

* Prototype has been created by Nebraska-based Virtual Incision and Nasa
* 0.9lb (0.4kg) device has tools that can grab, cauterise and suture tissue
* Its head is fitted with a camera which sends a feed back to control station
* Nasa said astronauts could be trained to use the robot to perform select surgeries on each other

Imagine a miniature robo-surgeon sliding into your body through an incision in your stomach.

Once inside, the robot can expertly manoeuvre its way around the abdominal cavity, which has been filled with gas to make more room for work.

It can then perform procedures such as an emergency appendectomy or perforate a gastric ulcer.

This is the scenario being explored by Nasa in the hope that risky surgical operations in space will someday become a routine matter.

Working in collaboration with Virtual Incision in Lincoln, Nebraska, the space agency has developed a prototype of a remotely-operated fist-sized robot doctor.

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My Comment: They still have a long way to go .... but the advancements are impressive.

Telepresence Robots Will Soon Join Doctors On Their Rounds

CtrlWorks' Telepresence Puppet CtrlWorks

Telepresence Robots Will Join Doctors on Their Rounds in Singapore Next Month -- Popular Science

Deploying telepresence robots in a medical setting isn’t exactly a new notion, but a Singapore-based startup is easing the technology into the clinical setting in a clever way. While other telepresence platforms have largely focused on allowing doctors to examine patients and oversee care remotely, CtrlWorks envisions its Puppet as more of a remotely piloted assistant that will reduce doctor workloads, dutifully taking down case notes and filing them in the proper places as a doctor makes his rounds. And next month at Khoo Teck Puat Hospital in Singapore it will get a chance to prove its value.

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Better Surgery With New Surgical Robot With Force Feedback

Surgical robot Sofie. (Credit: Bart van Overbeeke)

From Science Daily:

ScienceDaily (Sep. 28, 2010) — Robotic surgery makes it possible to perform highly complicated and precise operations. Surgical robots have limitations, too. For one, the surgeon does not 'feel' the force of his incision or of his pull on the suture, and robots are also big and clumsy to use. Therefore TU/e researcher Linda van den Bedem developed a much more compact surgical robot, which uses 'force feedback' to allow the surgeon to feel what he or she is doing.

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The Rise Of Robodoc

The Acrobot Robot, which helps orthopaedic surgeons
to carry out computer navigated partial knee replacements

From The Independent:

Many operations are becoming less invasive and more efficient due to the growth of cyber-surgery. Nina Lakhani on a British medical success story.

While surgeons are often criticised for their brusque bedside manner, few could accurately be described as robots. This is going to change as surgical consultations increasingly involve robotic systems to help diagnose, plan operations and reassure patients.

The development of robotic systems, both active and passive, is enabling surgeons to use keyhole techniques in hard-to-reach areas not previously thought possible. Britain is at the forefront of many advances. Collaborations between NHS surgeons, universities and private companies enable Britain to develop robotics more quickly and cheaply than North American and European counterparts.

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Industrial Robot Hones Virtual Autopsies

Getting under the skin, virtually (Image: University of Bern)

From New Scientist:

THE small industrial robot that dominates the room is in many ways much like any other. A robotic arm smoothly wields grippers and probes - always accurate and never tired. But rather than working on cars or computers, this robot is processing human corpses.

A team of forensic pathologists at the University of Bern in Switzerland reckon it could make autopsies more accurate and also less distressing for families.

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Panasonic's Robotic Bed Transforms into a Mobile Chair, Makes Standing Up Obsolete

Robo-Bed: It will do everything but fix your bed hair. Panasonic

From Popular Science:

Mobility-impaired patients and layabouts alike can rejoice at the debut of Panasonic's robotic bed that transforms into a wheelchair. Human nurses and hospitals may also breathe a tiny sigh of relief.

The bed-shaped bot morphs upon command to sidestep the usual trouble of moving a bedridden person from bed to wheelchair, or vice versa. Yet unlike the Japanese bear bot nurse that carries patients, a self-controlled bed bot allows humans to regain some independence and dignity.

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Five New Robots March Into Hall Of Fame

From New Scientist:

The ground-breaking machines have been selected to join 18 real and fictional robots already included in the collection – meet the new entrants and the pick of the previous selections.

The Robot Hall of Fame honours real and fictional robots that have marked or inspired technical breakthroughs in the field. An international jury of of researchers, writers and designers has been adding to the list since 2003.

This year, five new robots have been selected. Click through the images to see them all

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Hospitals Open The Door To Sci-Fi's Medical Robots

From The Independent:

Exhibition reveals huge advances that are turning futuristic fantasies into surgical reality.

From the tiny submarine injected into the human body in the film Fantastic Voyage in 1966, to the hologram Doctor in Star Trek: Voyager in 1995, medical robots have long fuelled the imaginations of science fiction writers.

Now many of those fantasies are coming true and on Tuesday the Royal College of Surgeons will exhibit some of the advances that in just five years could see tiny robots going to work inside patients.

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Twendy-One Nursebot Says Sit Up And Eat Your Jell-O

Gentle Giant: Courtesy Sugano Laboratory/Waseda University

From Popsci.com:

At 245 pounds, Japan's Twendy-One is sturdy enough to lift its elderly patients clear off the ground, and force sensors in its fingertips and humanlike joints mean it can do it without crushing them.

In the movies, entrusting human life to robot helpers and sophisticated machines inevitable ends in fire, destruction and death. But in reality, the automatons are actually saving lives. We featured six Machines that Heal in our July issue, one of which is Twendy-One, a Japanese robot nurse straight out of the comic books built to assists the elderly.

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This Is How a Robot Will Crawl Through Your Veins

From Popsci.com:

Virob will twitch through your circulatory system performing microsurgery; a fantastically creepy voyage

There's something magnificently creepy about this tiny bot, just one millimeter wide, developed at Israel's Technion University. Maybe it's the resemblance to a twitching tick or flea, or the fact that it's so small there could be insectile bots all around you right now and you'd hardly notice. (The robot, called Virob, has no internal power source--it derives its power from external magnetic fields.

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Robot Invented To Crawl Through Veins

From PC Authority:

With a diameter of just one millimeter, a tiny robot has been unveiled that will crawl through the body to diagnose artery blockage

Scientists from Israel's Technion University have unveiled a tiny robot, made using Micro-Electro-Mechanical Systems (MEMS) technology, purportedly able to crawl through a person's veins in order to diagnose and potentially treat artery blockage and cancer.

The little robot - with a diameter of just one millimeter - has neither engine nor onboard controls, instead being propelled forward by a magnetic field wielded on it from outside the patient's body.

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Robot-Assisted Surgery Appears Useful For Removal Of Some Head And Neck Tumors

From Science Daily:

ScienceDaily (Apr. 24, 2009) — Robot-assisted surgery appears feasible for treatment of selected head and neck cancers, according to a new article.

"Since the introduction of the surgical robot in 1999, robot-assisted cardiac, gynecologic and urologic procedures have become widely accepted throughout the country," the authors write as background information in the article. In these specialties, robotic procedures have been associated with less blood loss, fewer complications, shorter surgery durations and fewer days in the hospital or in intensive care compared with traditional open procedures. "Robotic surgery in the head and neck offers the possibility of limited surgical morbidity [illness], reduced hospital stay and improved lesion visualization over open approaches and traditional transoral [through the mouth] techniques."

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World’s First Successful ViKY Robot-assisted Surgery For Pancreatic Tumors

Photo: "The new ViKY robotic laparoscope holder acts as an extra hand during surgery, giving me stability and steadiness," said Dr. Gumbs. (Credit: Image courtesy of Fox Chase Cancer Center)

From Science Daily:

ScienceDaily (Mar. 27, 2009) — This month Fox Chase Cancer Center performed the world's first successful minimally invasive distal pancreatectomy using the ViKY® system's revolutionary robotic, compact laparoscope holder. The technology, developed in France and tested on thousands of patients in Europe, made its debut in a cancer setting in the United States at Fox Chase.

"Fox Chase is among only a handful of institutions worldwide using robotics or laparoscopy to treat patients with nearly all types of cancer," says Robert G. Uzzo, MD, FACS, chairman of the department of surgery at Fox Chase. "The use of technology, like the ViKY system, reinforces our Center's commitment to excellence in minimally invasive surgical techniques for the care of patients with both benign and cancerous conditions."

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