Medical Robotics: Opportunities in China

Guo, Yufeng; Chen, Weidong; Zhao, Jie; Yang, Guang‐Zhong

doi:10.1146/annurev-control-061521-070251

Cited by 15 publications

(3 citation statements)

References 128 publications

(109 reference statements)

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“…Concerning the Chinese market, the import of foreign robots is subject to a very limited quota, which was fully covered by Intuitive Surgical before the arrival of new competitors. The increasing complexity in the regulations will likely cut out expensive imported robots from the local market in favor of newly developed Chinese systems but it is not clear whether other countries will benefit from the commercialization of these platforms [ 130 , 131 ]. Access to the new technologies from China is extremely limited mainly due to the language barrier and the limited sharing of technical information, but currently several devices appear to be under testing and commercialization [ 132 , 133 , 134 ].…”

Section: Discussionmentioning

confidence: 99%

New Robotic Platforms in General Surgery: What’s the Current Clinical Scenario?

et al. 2023

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Background and Objectives: Robotic surgery has been widely adopted in general surgery worldwide but access to this technology is still limited to a few hospitals. With the recent introduction of new robotic platforms, several studies reported the feasibility of different surgical procedures. The aim of this systematic review is to highlight the current clinical practice with the new robotic platforms in general surgery. Materials and Methods: A grey literature search was performed on the Internet to identify the available robotic systems. A PRISMA compliant systematic review was conducted for all English articles up to 10 February 2023 searching the following databases: MEDLINE, EMBASE, and Cochrane Library. Clinical outcomes, training process, operating surgeon background, cost-analysis, and specific registries were evaluated. Results: A total of 103 studies were included for qualitative synthesis after the full-text screening. Of the fifteen robotic platforms identified, only seven were adopted in a clinical environment. Out of 4053 patients, 2819 were operated on with a new robotic device. Hepatopancreatobiliary surgery specialty performed the majority of procedures, and the most performed procedure was cholecystectomy. Globally, 109 emergency surgeries were reported. Concerning the training process, only 45 papers reported the background of the operating surgeon, and only 28 papers described the training process on the surgical platform. Only one cost-analysis compared a new robot to the existing reference. Two manufacturers promoted a specific registry to collect clinical outcomes. Conclusions: This systematic review highlights the feasibility of most surgical procedures in general surgery using the new robotic platforms. Adoption of these new devices in general surgery is constantly growing with the extension of regulatory approvals. Standardization of the training process and the assessment of skills’ transferability is still lacking. Further studies are required to better understand the real clinical and economical benefit.

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Section: Discussionmentioning

confidence: 99%

New Robotic Platforms in General Surgery: What’s the Current Clinical Scenario?

et al. 2023

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“…Digital health technology allows various outlying medical facilities to offer telemedicine and remote diagnosis to their patients. Hospitals in China, for instance, have used 5G to conduct remote surgery, such as liver procedures and deep brain stimulation implants for Parkinson's illness [42].…”

Section: Aiding Medical Professionalsmentioning

confidence: 99%

A Sustainable Digital Transformation in Healthcare and Well-Being: An Overview, Integration, Design and Security Challenges, Blockchain Technology, Applications, and Future Research Directions

Hameed,

Hameed

2023

Preprint

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Good health and well-being is one of the essential SDGs that ensure healthy lives and promote well-being for all ages and further entails providing substantial medical services to the public at low cost and with minimal adverse effects on the environment. Information and communication technologies (ICTs) have taken on an increasingly important function as significant facilitators of healthcare reform, with the goals of enhancing access to health services, the quality of treatment provided, and the overall productivity of the healthcare system. However, the integration of ever-increasing ICT technologies into the healthcare systems, also referred to as digital transformation, is not a straightforward process, but it comes with different types of challenges from integration level to application design level and security level. Although several studies have been proposed to address the integration of ICT technologies into healthcare systems, there is still a need for a comprehensive research study on the integration and design challenges, security and privacy challenges, application areas, and possible positive and negative impacts. Therefore, this paper contributes as the research literature study covering an important SDG, "Good health and well-being," and its digital transformation, along with summarising our research findings in a detailed and taxonomical way. To start with, firstly, we present a detailed comparison of existing studies on healthcare and well-being, mainly focusing on integrating ICT technologies in healthcare in terms of sustainable aspects, security and privacy challenges, design and integration challenges, E-health-related applications, and future directions. We also present an overview and the need for digital transformation in healthcare, discuss its significant components, highlight E-health's importance and benefits, explore its integration and design challenges, and categorise the security and privacy challenges. Next, we present an in-depth discussion on the role of Blockchain technology as today's leading technology in E-health, discussing Blockchain technology and its characteristics, highlighting its benefits, and describing the possible types of Blockchain-based E-health use cases. Furthermore, we discuss the positive and negative impact of ICT integration along with identifying open issues and challenges of integrating ICT technologies into the healthcare systems and discuss future research directions, which provide the strength for researchers to address the issues in future solutions.

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“…The diagnosis and the patient's specific circumstances will determine the best course of action because endoluminal procedures cannot be employed to address all issues. It is vital to consult a medical specialist when deciding on the best course of treatment for a particular condition (Guo et al 2022). The term "versatile robot technology" refers to the creation and implementation of robotic systems that are capable of carrying out a variety of activities in a variety of fields and applications.…”

Section: Introductionmentioning

confidence: 99%

Improvement in endoluminal procedures using versatile robot technology

Krishnamoorthy,

Kumar,

Gupta

2023

Multidiscip. Sci. J.

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Recent Interventional medicine has been radically altered by end luminal procedures, which can be thought of as minimally invasive surgeries carried out within blood arteries or other hollow structures. The development of multipurpose robot technology has enabled substantial advancements in the performance of various treatments, leading to improvements in precision, maneuverability, and the outcomes for patients. In this study, we investigate the recent developments in the field of end luminal treatments and the benefits that come along with using adaptable robot technology. Recent technical breakthroughs in robotics and the growing emphasis on less invasive procedures have led to the development of highly adaptable surgical robots. These bendable robots can navigate tight spaces, increasing the accessibility of robotic surgery and perhaps decreasing the number of incisions required. This article describes new flexible surgical robot systems and discusses the most pressing technological challenges in this sector, with a focus on their potential uses in end luminal surgery. Furthermore, the form and force sensing of flexible robots, as well as the difficulties and recent developments in these areas, are also highlighted as important technological topics. The clinical benefits and technological advancements of new flexible surgical robot systems are also presented, along with their medical applications.

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Medical Robotics: Opportunities in China

Cited by 15 publications

References 128 publications

New Robotic Platforms in General Surgery: What’s the Current Clinical Scenario?

New Robotic Platforms in General Surgery: What’s the Current Clinical Scenario?

A Sustainable Digital Transformation in Healthcare and Well-Being: An Overview, Integration, Design and Security Challenges, Blockchain Technology, Applications, and Future Research Directions

Improvement in endoluminal procedures using versatile robot technology

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