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Collaborative robot acting as scrub nurse for cataract surgery (CRASCS)
D Rekha1, Harish Kumar Kaliyappan2
1Centre for Automation, Vellore Institute of Technology, Chennai, 600127, India. rekha.d@vit.ac.in.
Journal of Robotic Surgery
|September 11, 2024
Summary
A new robotic system acts as a scrub nurse for cataract surgery, addressing global nursing shortages. This collaborative robot assists surgeons by providing the correct surgical equipment in real-time, potentially alleviating nurse deficits worldwide.
Area of Science:
- Robotics in Healthcare
- Surgical Assistance Systems
- Medical Technology Innovation
Background:
- Global healthcare systems face a critical nursing shortage, projected to cause significant workforce deficits.
- The current nurse-to-patient ratio in India falls considerably below the World Health Organization's recommendations.
- Existing nursing shortages impact healthcare delivery and patient outcomes worldwide.
Purpose of the Study:
- To design a collaborative robotic system to mitigate the shortage of surgical nurses.
- To develop a robotic scrub nurse assistant for cataract surgery.
- To enhance surgical procedure efficiency and support clinicians through automation.
Main Methods:
- A 5-degree of freedom robotic arm was customized and 3D printed.
- Real-time surgical phase tracking was implemented to predict equipment needs.
- A secondary model was developed for surgical equipment localization within the robot's range.
- Voice command integration was incorporated for intuitive equipment retrieval.
Main Results:
- The system successfully assists with surgical procedures by acting as a scrub nurse.
- It accurately tracks surgical phases and supplies the correct equipment in real-time.
- The robotic system demonstrates the potential to alleviate the shortage of surgical nurses.
Conclusions:
- The developed collaborative robotic system offers a viable solution to the global surgical nurse shortage.
- This technology can enhance surgical workflow efficiency and provide crucial support to healthcare professionals.
- The innovation has the potential to significantly benefit global healthcare by addressing critical workforce gaps.

