A research review on clinical needs, technical requirements, and normativity in the design of surgical robots

Díaz, Carlos Eduardo; Fernández, Roemi; Armada, Manuel; García, F. J. Castillo

doi:10.1002/rcs.1801

Cited by 35 publications

(21 citation statements)

References 43 publications

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“…Despite these rigorous requirements, robots are widely used in many areas of medical care and are used in virtually all surgical specialties. Diaz and colleagues made a careful analysis of the specific needs for robotics in medicine in order to guide future development [26]. They point out cost reduction, time of intervention, set-up time and complexity, reduced operating room footprint, data integration, and improved decision-making as clinical needs for robots in the future.…”

Section: Robotic Surgerymentioning

confidence: 99%

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Robotic and laparoscopic surgery of the pancreas: an historical review

Lefor

2019

BMC biomed eng

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Surgery of the pancreas is a relatively new field, with operative series appearing only in the last 50 years. Surgery of the pancreas is technically challenging. The entire field of general surgery changed radically in 1987 with the introduction of the laparoscopic cholecystectomy. Minimally Invasive surgical techniques rapidly became utilized worldwide for gallbladder surgery and were then adapted to other abdominal operations. These techniques are used regularly for surgery of the pancreas including distal pancreatectomy and pancreatoduodenectomy. The progression from open surgery to laparoscopy to robotic surgery has occurred for many operations including adrenalectomy, thyroidectomy, colon resection, prostatectomy, gastrectomy and others. Data to show a benefit to the patient are scarce for robotic surgery, although both laparoscopic and robotic surgery of the pancreas have been shown not to be inferior with regard to major operative and oncologic outcomes. While there were serious concerns when laparoscopy was first used in patients with malignancies, robotic surgery has been used in many benign and malignant conditions with no obvious deterioration of outcomes. Robotic surgery for malignancies of the pancreas is well accepted and expanding to more centers. The importance of centers of excellence, surgeon experience supported by a codified mastery-based training program and international registries is widely accepted. Robotic pancreatic surgery is associated with slightly decreased blood loss and decreased length of stay compared to open surgery. Major oncologic outcomes appear to have been preserved, with some studies showing higher rates of R0 resection and tumor-free margins. Patients with lesions of the pancreas should find a surgeon they trust and do not need to be concerned with the operative approach used for their resection. The step-wise approach that has characterized the growth in robotic surgery of the pancreas, in contradistinction to the frenzy that accompanied the introduction of laparoscopic cholecystectomy, has allowed the identification of areas for improvement, many of which lie at the junction of engineering and medical practice. Refinements in robotic surgery depend on a partnership between engineers and clinicians.

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Section: Robotic Surgerymentioning

confidence: 99%

“…Some of the technologic challenges that have been identified include an increased number of degrees of freedom. Redundant motion with seven or more degrees of freedom may allow a more flexible arrangement of equipment [26]. Increased resolution of instrument motion will also benefit the surgeons.…”

Section: For the Biomedical Engineermentioning

confidence: 99%

Robotic and laparoscopic surgery of the pancreas: an historical review

Lefor

2019

BMC biomed eng

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“…One of this entails the use of needle-wielding robotic phlebotomy devices. The development of multi-axis arms industry has allowed to manufacture specific robots aimed to partially replace phlebotomist activity, more or less like surgical robots have partially relieved surgeons’ activity (16). The Veebot System (Veebot LLC, Mountain View, CA, USA), one of these new portable devices, actually resembles a modified version of Epson’s standard manipulator arms.…”

Section: Needle-wielding Robotic Phlebotomy Devicesmentioning

confidence: 99%

Novel Opportunities for Improving the Quality of Preanalytical Phase. A Glimpse to the Future?

Lippi¹,

Cadamuro²

2017

Journal of Medical Biochemistry

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SummaryThe preanalytical phase is crucial for assuring the quality of in vitro diagnostics. The leading aspects which contribute to enhance the vulnerability of this part of the total testing process include the lack of standardization of different practices for collecting, managing, transporting and processing biological specimens, the insufficient compliance with available guidelines and the still considerable number of preventable human errors. As in heavy industry, road traffic and aeronautics, technological advancement holds great promise for decreasing the risk of medical and diagnostic errors, thus including those occurring in the extra-analytical phases of the total testing process. The aim of this article is to discuss some potentially useful technological advances, which are not yet routine practice, but may be especially suited for improving the quality of the preanalytical phase in the future. These are mainly represented by introduction of needlewielding robotic phlebotomy devices, active blood tubes, drones for biological samples transportation, innovative approaches for detecting spurious hemolysis and preanalytical errors recording software products.

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“…To solve these problems and take account clinical needs and technical requirements [3], fully inserted laparoscopes are designed. The interferences and visual affection can be alleviated by keeping the laparoscope away from the surgical incision.…”

Section: Introductionmentioning

confidence: 99%

Design of a Laparoscopic Robot System Based on Spherical Magnetic Field

Wei

Dong

et al. 2019

Applied Sciences

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In single incision laparoscopic surgery (SILS), because the laparoscope and other surgical instruments share the same incision, the interferences between them constrain the dexterity of surgical instruments and affect the field of views of the laparoscope. Inspired by the structure of the spherical motor and the driving method of an intraocular micro robot, a fully inserted laparoscopic robot system is proposed, which consists of an inner laparoscopic robot and external driving device. The position and orientation control of the inner laparoscopic robot are controlled by a magnetic field generated by the driving device outside the abdominal wall. The instrumental interferences can be alleviated and better visual feedback can be obtained by keeping the laparoscopic robot away from the surgical incision. To verify the feasibility of the proposed structure and explore its control method, a prototype system is designed and fabricated. The electromagnetism model and the mechanical model of the laparoscopic robot system are established. Finally, the translational, rotational, and deflection motion of the laparoscopic robot are demonstrated in practical experiment, and the accuracy of deflection motion of the laparoscopic robot is verified in open-loop condition.

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A research review on clinical needs, technical requirements, and normativity in the design of surgical robots

Cited by 35 publications

References 43 publications

Robotic and laparoscopic surgery of the pancreas: an historical review

Robotic and laparoscopic surgery of the pancreas: an historical review

Novel Opportunities for Improving the Quality of Preanalytical Phase. A Glimpse to the Future?

Design of a Laparoscopic Robot System Based on Spherical Magnetic Field

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