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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.
Cost Containment
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Related Experiment Video

Updated: Jan 17, 2026

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique

Published on: January 6, 2023

Enabling Technologies for Remote Surgery.

Nathan Bills¹, Dennis Fowler², Dmitry Oleynikov^3,4

¹Department of Surgery, University of Nebraska Medical Center, Omaha, NE 68198-6245, United States.

Military Medicine

|September 23, 2025

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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Published on: January 9, 2026

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.