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Remote Surgery Using a Neuroendovascular Intervention Support Robot Equipped with a Sensing Function: Experimental

Shigeru Miyachi1,2, Yoshitaka Nagano3, Reo Kawaguchi1

  • 1Department of Neurological Surgery, Aichi Medical University, Nagakute, Japan.

Asian Journal of Neurosurgery
|July 16, 2021
PubMed
Summary

This study demonstrates the feasibility of remote catheter surgery using a novel robotic system, offering enhanced safety for medical staff and enabling remote medical interventions. The system shows promise for ubiquitous healthcare access.

Keywords:
Neuroendovascular interventionremote surgeryroboticssensor feedback

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Area of Science:

  • Medical Robotics
  • Endovascular Surgery
  • Telemedicine

Background:

  • Increasing demand for remote surgical solutions in endovascular treatments.
  • Need for innovative technologies to support remote surgical procedures.
  • Exploration of robotic assistance in minimally invasive interventions.

Purpose of the Study:

  • To conduct the world's first remote catheter surgery experiment using an endovascular treatment-supported robot.
  • To evaluate the feasibility, identify challenges, and propose solutions for practical implementation of remote robotic surgery.
  • To assess the system's performance in a simulated endovascular procedure.

Main Methods:

  • Development of a novel slave robot with an integrated insertion force-measuring device for haptic feedback.
  • Surgeon control from a separate room via HTTP communication over a local area network.
  • Operation using a personal computer monitor displaying angiography feed.
  • Catheterization and coil insertion in a silicon blood vessel model.

Main Results:

  • The robotic system demonstrated prompt response and accurate control during simulated surgery.
  • Audible feedback from the force-measuring device allowed surgeons to manage stress on model vessels.
  • Minor issues included a slight time lag and a gradient in achieving stable speed during initial movements.

Conclusions:

  • The remote robotic surgery system is sufficiently feasible for safe execution of procedures.
  • Potential benefits include prevention of viral infection and radiation exposure for medical personnel.
  • The technology holds promise for enabling remote medical operations and establishing a ubiquitous healthcare environment.