Telemedicine, telementoring, and telesurgery for surgical practices

Jin, Man Li; Brown, Meghan M.; Patwa, Dhir; Nirmalan, Aravindh; Edwards, Paul

doi:10.1016/j.cpsurg.2021.100986

Cited by 18 publications

(6 citation statements)

References 101 publications

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“…Examples : Six papers contain a high number of mentions ( n ≥ 3) ( 4 , 13 , 39 – 41 ), while concerns about privacy ( n = 12) and cybersecurity ( n = 11) are most frequently mentioned. These issues belong to confidentiality and are linked to legal and regulatory requirements that mandate the protection of patient data and the prevention of unauthorized access to it: Ethical aspects are also a major consideration when investigating new devices for surgical practice.…”

Section: Resultsmentioning

confidence: 99%

Intraoperative application of mixed and augmented reality for digital surgery: a systematic review of ethical issues

Ursin,

Timmermann,

Benzinger

et al. 2024

Front. Surg.

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IntroductionHead-mounted displays (HMDs) that superimpose holograms onto patients are of particular surgical interest as they are believed to dramatically change surgical procedures by including safety warning and allowing real-time offsite consultations. Although there are promising benefits of mixed and augmented reality (MR/AR) technologies in surgery, they also raise new ethical concerns. The aim of this systematic review is to determine the full spectrum of ethical issues that is raised for surgeons in the intraoperative application of MR/AR technology.MethodsFive bibliographic databases were searched for publications on the use of MR/AR, HMDs and other devices, their intraoperative application in surgery, and ethical issues. We applied qualitative content analysis to the n = 50 articles included. Firstly, we coded the material with deductive categories derived from ethical frameworks for surgical innovations, complications and research. Secondly, clinical aspects with ethical relevance were inductively coded as ethical issues within the main categories. Thirdly, we pooled the ethical issues into themes and sub-themes. We report our findings according to the reporting guideline RESERVE.ResultsWe found n = 143 ethical issues across ten main themes, namely patient-physician relationship, informed consent, professionalism, research and innovation, legal and regulatory issues, functioning equipment and optimal operating conditions, allocation of resources, minimizing harm, good communication skills and the ability to exercise sound judgement. The five most prevalent ethical issues are “Need for continuous research and innovation”, “Ensuring improvement of the learning curve”, “MR/AR enables new maneuvers for surgeons”, “Ensuring improvement of comfort, ergonomics, and usability of devices,” and “Not withholding MR/AR if it performs better”.ConclusionsRecognizing the evidence-based limitations of the intraoperative MR/AR application is of paramount importance to avoid ethical issues, but clinical trials in surgery pose particular ethical risks for patients. Regarding the digital surgeon, long-term impact on human workforce, potentially harmful “negative training,” i.e., acquiring inappropriate behaviors, and the fear of surveillance need further attention. MR/AR technologies offer not only challenges but significant advantages, promoting a more equitable distribution of surgical expertise and optimizing healthcare. Aligned with the core principle of social justice, these technologies enable surgeons to collaborate globally, improving training conditions and addressing enduring global healthcare inequalities.

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Section: Resultsmentioning

confidence: 99%

Intraoperative application of mixed and augmented reality for digital surgery: a systematic review of ethical issues

Ursin,

Timmermann,

Benzinger

et al. 2024

Front. Surg.

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“…Newer IoT devices will be integrated with AI‐enabled 6G‐ready technology that allows the use of these devices to overlay objects into the real world. In healthcare, applied AR with high‐speed 6G wireless communication will be used for telemedicine, telemonitoring and telesurgery practices (M. L. Jin et al, 2021). Major drawbacks have been identified in existing 5G telesurgery systems such as Virtual Interactive Presence and Augmented reality (VIPAR) (Davis et al, 2016), which include latency and poor data and network communication between remote and local stations.…”

Section: G Enabled Iot Environmentsmentioning

confidence: 99%

Digital forensics challenges and readiness for 6G Internet of Things (IoT) networks

Akinbi

2023

WIREs Forensic Science

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The development of sixth‐generation (6G) wireless communication technology is expected to provide super high‐speed data transmission, and advanced network performance than the current fifth‐generation (5G) and be fully functional by the 2030s. This development will have a significant impact and add improvements to digital extended reality (XR), autonomous systems, vehicular ad hoc networks (VANETs), artificial intelligence (AI), underwater communications, blockchain technology, pervasive biomedical informatics and smart cities built on the digital infrastructure backbone of the Internet of Things (IoT). The ubiquitous nature of this large‐scale 6G‐enabled IoT that offers faster connectivity capabilities and integrates both terrestrial and non‐terrestrial networks will not only create new data security and privacy issues but also provide a treasure trove of digital evidence useful for digital forensic examiners investigating security incidents and cybercrime. However, for digital forensic examiners, evidence collection, preservation and analysis will become a priority in the successful deployment of 6G IoT networks. In this study, we define key applications of 6G network technology to the Internet of Things and its existing architectures. The survey introduces potential digital forensic challenges and related issues affecting digital forensic investigations specific to 6G IoT networks. Finally, we highlight and discuss forensic readiness and future research directions for identified challenges within the 6G IoT network environments.This article is categorized under: Digital and Multimedia Science > IoT Forensics

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“…Moreover, establishing efficient maintenance and technical support systems in remote regions, where specialized technicians are scarce, is essential to guarantee the continuous and effective operation of telehealth robots. By proactively addressing these challenges, teleoperation technology can be successfully adapted to transform healthcare delivery in remote areas [72,73].…”

Section: Intuitive and Natural Teleoperationmentioning

confidence: 99%

Integrating Virtual, Mixed, and Augmented Reality into Remote Robotic Applications: A Brief Review of Extended Reality-Enhanced Robotic Systems for Intuitive Telemanipulation and Telemanufacturing Tasks in Hazardous Conditions

Su,

Chen,

Zhou

et al. 2023

Applied Sciences

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There is an increasingly urgent need for humans to interactively control robotic systems to perform increasingly precise remote operations, concomitant with the rapid development of space exploration, deep-sea discovery, nuclear rehabilitation and management, and robotic-assisted medical devices. The potential high value of medical telerobotic applications was also evident during the recent coronavirus pandemic and will grow in future. Robotic teleoperation satisfies the demands of the scenarios in which human access carries measurable risk, but human intelligence is required. An effective teleoperation system not only enables intuitive human-robot interaction (HRI) but ensures the robot can also be operated in a way that allows the operator to experience the “feel” of the robot working on the remote side, gaining a “sense of presence”. Extended reality (XR) technology integrates real-world information with computer-generated graphics and has the potential to enhance the effectiveness and performance of HRI by providing depth perception and enabling judgment and decision making while operating the robot in a dynamic environment. This review examines novel approaches to the development and evaluation of an XR-enhanced telerobotic platform for intuitive remote teleoperation applications in dangerous and difficult working conditions. It presents a strong review of XR-enhanced telerobotics for remote robotic applications; a particular focus of the review includes the use of integrated 2D/3D mixed reality with haptic interfaces to perform intuitive remote operations to remove humans from dangerous conditions. This review also covers primary studies proposing Virtual Reality (VR), Augmented Reality (AR), and Mixed Reality (MR) solutions where humans can better control or interact with real robotic platforms using these devices and systems to extend the user’s reality and provide a more intuitive interface. The objective of this article is to present recent, relevant, common, and accessible frameworks implemented in research articles published on XR-enhanced telerobotics for industrial applications. Finally, we present and classify the application context of the reviewed articles in two groups: mixed reality–enhanced robotic telemanipulation and mixed reality–enhanced robotic tele-welding. The review thus addresses all elements in the state of the art for these systems and ends with recommended research areas and targets. The application range of these systems and the resulting recommendations is readily extensible to other application areas, such as remote robotic surgery in telemedicine, where surgeons are scarce and need is high, and other potentially high-risk/high-need scenarios.

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Telemedicine, telementoring, and telesurgery for surgical practices

Cited by 18 publications

References 101 publications

Intraoperative application of mixed and augmented reality for digital surgery: a systematic review of ethical issues

Intraoperative application of mixed and augmented reality for digital surgery: a systematic review of ethical issues

Digital forensics challenges and readiness for 6G Internet of Things (IoT) networks

Integrating Virtual, Mixed, and Augmented Reality into Remote Robotic Applications: A Brief Review of Extended Reality-Enhanced Robotic Systems for Intuitive Telemanipulation and Telemanufacturing Tasks in Hazardous Conditions

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