美国食品和药物管理局批准的手术机器人的自主程度:系统性审查
Audrey Lee1,2, Turner S Baker1,2,3, Joshua B Bederson1,2
1Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
NPJ digital medicine
|April 26, 2024
概括
手术机器人的自主性正在进步,但分类系统落后. 一个新的LASR系统对机器人进行了分类,揭示了增加自主性的趋势和更新法规的需要.
科学领域:
- 医疗机器人 医疗机器人
- 手术技术 手术技术
- 监管科学 监管科学
背景情况:
- 手术机器人整合已经显著增长.
- 机器人自主性的进步超越了当前的分类和监管框架.
- 现代化分类对于理解趋势和规范手术机器人系统至关重要.
研究的目的:
- 从2015年到2023年,系统地审查FDA批准的手术机器人.
- 引入和应用手术机器人自主级别 (LASR) 分类系统.
- 分析手术机器人自主性和监管途径的趋势.
主要方法:
- 对FDA 510(k),De Novo和AccessGUDID数据库的系统审查 (2023年12月).
- 选了37,981个记录以识别49个手术机器人.
- 使用LASR系统进行分类的机器人 (一级:机器人辅助到五级:完全自主).
主要成果:
- 大多数审查的手术机器人是1级 (86%) 或3级 (6%) 自主.
- 两个机器人拥有FDA认可的机器学习能力;更多的人声称他们在营销中拥有这些能力.
- 510(k) 途径是最常见的,但De Novo提交正在增加.
结论:
- 手术机器人显示出一个明确的趋势,即提高自主性.
- 制定能够考虑不同级别的自治的监管框架至关重要.
- 更新的法规将支持自主手术机器人的安全和有效集成.
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