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Towards fully automated robotic platform for remote auscultation.

Ryosuke Tsumura1, Yoshihiko Koseki1, Naotaka Nitta1

  • 1Health and Medical Research Institute, National Institute of Advanced Industrial Science and Technology, Tsukuba, Ibaraki, Japan.

The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS
|September 13, 2022
PubMed
Summary

This study introduces an automated robotic platform for remote auscultation. The system accurately positions a stethoscope for cardiac exams, offering a cost-effective healthcare screening solution.

Keywords:
auscultationforce controlmedical robotpoint cloud

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Area of Science:

  • Robotics
  • Healthcare Technology
  • Medical Diagnostics

Background:

  • Increasing patient-to-healthcare worker ratios in developed nations due to aging populations and declining birth rates.
  • Need for automated, remote diagnostic tools to alleviate healthcare system burdens.
  • Auscultation as a key diagnostic technique suitable for automation.

Purpose of the Study:

  • To develop and evaluate an automated robotic platform for remote auscultation.
  • To assess the platform's capability for autonomous stethoscope positioning and contact force maintenance.
  • To demonstrate the potential of robotic auscultation as a cost-effective screening tool.

Main Methods:

  • A 6-degree-of-freedom cooperative robotic arm equipped with an electric stethoscope and LiDAR camera.
  • Autonomous stethoscope positioning using LiDAR-based multi-way registration for body surface mapping.
  • A passive-actuated mechanism to ensure safe, flexible contact and controlled force application.

Main Results:

  • Successful estimation of cardiac examination landing positions using body surface depth and landmark data.
  • Robotic platform effectively handles the stethoscope while maintaining consistent contact force.
  • Preliminary results validate the feasibility of automated remote auscultation.

Conclusions:

  • The developed robotic platform demonstrates precise control for stethoscope placement and contact force management.
  • Automated remote auscultation shows significant potential for efficient and accessible healthcare screening.
  • This technology could enable remote diagnostic capabilities, reducing reliance on in-person specialist visits.