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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Related Experiment Video

Updated: Jan 17, 2026

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
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Enabling Technologies for Remote Surgery.

Nathan Bills1, Dennis Fowler2, Dmitry Oleynikov3,4

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|September 23, 2025
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Summary
This summary is machine-generated.

A miniature surgical robot, the Miniaturized In Vivo Robotic Assistant (MIRA), enables remote surgery for military operations. This low-mass, low-power system offers a viable solution for extending surgical capabilities in diverse and austere environments.

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Area of Science:

  • Robotics
  • Minimally Invasive Surgery
  • Military Medicine

Background:

  • Significant deficit in surgical capability in distributed military environments.
  • Remote surgery offers a force multiplier for expert surgeons.
  • Need for a low-mass, low-latency, secure surgical robot for remote operations.

Purpose of the Study:

  • To develop and test a rapidly deployable end-to-end remote surgery solution.
  • To evaluate the performance and capability of a miniature surgical robot system in remote surgical procedures.

Main Methods:

  • Development of the Miniaturized In Vivo Robotic Assistant (MIRA), a ~2-lb, low-power robot with dual motorized arms, integrated camera, and interchangeable end-effectors.
  • Testing the MIRA system across distances of 5-1,800 miles over fiber-optic networks.
  • Performing remote surgeries on porcine models to assess system performance and surgical capability.

Main Results:

  • Over 20 successful procedures completed, including colectomy, cholecystectomy, hysterectomy, partial hepatectomy, and nephrectomy.
  • Consistent low latency and high reliability of the fiber network across all tested distances.
  • Seamless communication and successful deployment in standard operating rooms with minimal infrastructure.

Conclusions:

  • Lightweight MIRA systems are rapidly deployable in military medical settings, including mass casualty events.
  • MIRA telesurgical systems can be operated over secure, low-bandwidth wireless networks, even in austere environments.
  • This novel platform expands surgical capability in military operations through remote expert intervention.