Simulated Hand-Assisted Laparoscopic Surgery (HALS) in Microgravity

Broderick, Timothy J.; Privitera, Mary Beth; Parazynski, Scott; Cuttino, Marsh

doi:10.1089/lap.2005.15.145

Cited by 8 publications

(6 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Edge TPU and other similar low-power AI ASICs (i.e., Google Coral Edge TPU, NVIDIA Jetson Nano, Intel Neural Compute Stick 2) could advance image segmentation AI models, allowing for these models to be feasibly deployed in ultrasound point-of-care settings (e.g., detection of DVT, structural heart disease, hemodynamic changes), even procedural guidance [100]. AI-based system designed to guide non-physicians on the proper acquisition of medical diagnostic testing using The Edge TPU and deep reinforcement learning AI-enhanced 3D-imaging technology (e.g., micro-CT scanners) [101] Utilization of the Edge TPU and other similar low-power AI ASICs to provide the necessary processing power for high-performance parallel-processing space research [102] Intervention AI-guided minor surgical procedures [such as incision and drainage (I&D)] using next-generation High Performance Spaceflight Computing (HPSC) [103] AI-assisted, remotely controlled robotic PCI and robotic laparoscopic surgery (e.g., telecholecystectomy and teleappendectomy); made possible by a reduction in communication latency beyond a lag of 200 ms [103][104][105][106][107] Using AI predictions of drug metabolism and effectiveness based on an individual's multiomic data prior to medication or supplement distribution (e.g., melatonin, immune supplements, probiotics) [108,109] Disease Prevention AI-integrated space suits (e.g., exoskeletons) to maximize EVA time and operating pressure, and minimize space radiation exposure [110,111] 3D printing of personalized devices (e.g., ear plugs to prevent noise source generated from man-made sources), space shields, space suits for use in emergency scenarios [112][113][114] AI-based chatbots or social media could potentially be used to prevent anxiety and depression during long-duration space travel. The Edge TPU could potentially be used in advancing an internet or social media for the moon, known as LunaNet [115].…”

Section: Medical Diagnostic Toolsmentioning

confidence: 99%

Human Health during Space Travel: State-of-the-Art Review

Krittanawong

Singh

Scheuring

et al. 2022

Cells

Self Cite

View full text Add to dashboard Cite

The field of human space travel is in the midst of a dramatic revolution. Upcoming missions are looking to push the boundaries of space travel, with plans to travel for longer distances and durations than ever before. Both the National Aeronautics and Space Administration (NASA) and several commercial space companies (e.g., Blue Origin, SpaceX, Virgin Galactic) have already started the process of preparing for long-distance, long-duration space exploration and currently plan to explore inner solar planets (e.g., Mars) by the 2030s. With the emergence of space tourism, space travel has materialized as a potential new, exciting frontier of business, hospitality, medicine, and technology in the coming years. However, current evidence regarding human health in space is very limited, particularly pertaining to short-term and long-term space travel. This review synthesizes developments across the continuum of space health including prior studies and unpublished data from NASA related to each individual organ system, and medical screening prior to space travel. We categorized the extraterrestrial environment into exogenous (e.g., space radiation and microgravity) and endogenous processes (e.g., alteration of humans’ natural circadian rhythm and mental health due to confinement, isolation, immobilization, and lack of social interaction) and their various effects on human health. The aim of this review is to explore the potential health challenges associated with space travel and how they may be overcome in order to enable new paradigms for space health, as well as the use of emerging Artificial Intelligence based (AI) technology to propel future space health research.

show abstract

Section: Medical Diagnostic Toolsmentioning

confidence: 99%

Human Health during Space Travel: State-of-the-Art Review

Krittanawong

Singh

Scheuring

et al. 2022

Cells

Self Cite

View full text Add to dashboard Cite

show abstract

“…Broderick et al [49] investigated simulating handassisted laparoscopy in parabolic flights. Use of Minilaparoscopes has also been proposed for peritoneal drainage with tele-monitoring.…”

Section: Spacecraft Emergenciesmentioning

confidence: 99%

Surgical Aspects of Space Medicine

Salem

2019

International Journal of Medical Arts

View full text Add to dashboard Cite

Although the perception of surgery in space may appear obscure, it is vital to initiate planning early if new frontiers in space travel are to be accomplished. Conditions necessitating surgery in space are rare, but they are challenging in their management. Telemedicine can allow consultation and instruction at the time of surgical intervention. This may permit optimal guidance for conduction of simple surgical maneuvers by non-medical crew members. Robots could be used for more complex interventions in the absence of a trained crew member. Earth-tospace telesurgery is yet to be attained. However, National Aeronautics and Space Administration [NASA] has successfully did several basic procedures at an underwater facility, simulated the space environment. The communication delay between craft and earth is the main potential issue affecting telesurgery. For example a communication delay of radio signals between 4 and 22 minutes is expected between earth and Mars. Thus, available telesurgical capabilities are not suitable for a Mars mission. In addition, to facilitate endogenous repair of injured structures, the use of absorbable nanoparticulate scaffolds could offer temporary structure support, while eluting drugs stimulate endogenous mesenchymal stem cells to differentiate into osteoblasts. Otherwise, direct delivery of extrinsic mesenchymal stem cells to injured sites via nanoparticulate delivery system provide a reasonable alternative. The use of 3D printing allows fabrication of complex surgical tools from a computer-aided design template from a digital database of nearly each instrument. In addition, 3D-printed surgical tools may be disposable, meaning no requirement for space-occupying sterilization appliances.

show abstract

“…This created more volume to operate. MIS has therefore been proposed as a potential option to reduce surgical morbidity in space [ 100 , 101 ]. Investigators have also considered potential techniques to reduce the skill-level required for the delivery of MIS in operational settings.…”

Section: Introductionmentioning

confidence: 99%

“…Investigators have also considered potential techniques to reduce the skill-level required for the delivery of MIS in operational settings. Broderick and colleagues [ 100 ] evaluated simulated hand-assisted laparoscopy in parabolic flight. Dulchavsky has also recently evaluated the potential for telementored non-surgeons to perform simple laparoscopic drainage procedures in parabolic flight using mini-laparoscopes to further reduce surgical injury.…”

Section: Introductionmentioning

confidence: 99%

Severe traumatic injury during long duration spaceflight: Light years beyond ATLS

Kirkpatrick¹,

Ball²,

Campbell

et al. 2009

J Trauma Manage Outcomes

View full text Add to dashboard Cite

Traumatic injury strikes unexpectedly among the healthiest members of the human population, and has been an inevitable companion of exploration throughout history. In space flight beyond the Earth's orbit, NASA considers trauma to be the highest level of concern regarding the probable incidence versus impact on mission and health. Because of limited resources, medical care will have to focus on the conditions most likely to occur, as well as those with the most significant impact on the crew and mission. Although the relative risk of disabling injuries is significantly higher than traumatic deaths on earth, either issue would have catastrophic implications during space flight. As a result this review focuses on serious life-threatening injuries during space flight as determined by a NASA consensus conference attended by experts in all aspects of injury and space flight.In addition to discussing the impact of various mission profiles on the risk of injury, this manuscript outlines all issues relevant to trauma during space flight. These include the epidemiology of trauma, the pathophysiology of injury during weightlessness, pre-hospital issues, novel technologies, the concept of a space surgeon, appropriate training for a space physician, resuscitation of injured astronauts, hemorrhage control (cavitary and external), surgery in space (open and minimally invasive), postoperative care, vascular access, interventional radiology and pharmacology.Given the risks and isolation inherent in long duration space flight, a well trained surgeon and/or surgical capability will be required onboard any exploration vessel. More specifically, a broadlytrained surgically capable emergency/critical care specialist with innate capabilities to problemsolve and improvise would be desirable. It will be the ultimate remote setting, and hopefully one in which the most advanced of our societies' technologies can be pre-positioned to safeguard precious astronaut lives. Like so many previous space-related technologies, these developments will also greatly improve terrestrial care on earth.

show abstract

Simulated Hand-Assisted Laparoscopic Surgery (HALS) in Microgravity

Cited by 8 publications

References 6 publications

Human Health during Space Travel: State-of-the-Art Review

Human Health during Space Travel: State-of-the-Art Review

Surgical Aspects of Space Medicine

Severe traumatic injury during long duration spaceflight: Light years beyond ATLS

Contact Info

Product

Resources

About