Robotic Surg Mayo 0207 Optimized

7/21/2019 Robotic Surg Mayo 0207 Optimized

http://slidepdf.com/reader/full/robotic-surg-mayo-0207-optimized 1/31

Why Robots?

The Touch Lab, MITMovie: Alien



Why robotics, imaging and

modeling & simulation• Healthcare is the only industry without a

computer representation of its “product”

•A robot is not a machine . . .

it is an information system with arms . . .• A CT scanner is not an imaging system

it is an information system with eyes . . .thus

• An operating room is an information system with . . .





http://var/www/apps/conversion/tmp/scratch_1/C:%5CDocuments%20and%20Settings%5Crsatava%5CDesktop%5CSATAVA%200709%5CMimic%20-%20Anastomosis%20-%20Short.avi



The Fundamental Changes

%rom tissue and instrumentsto

Inormation and energy

E = m c' E = i c'

* “T

he Information ge is a!out changing from o!"ects an# atoms to !its & !ytes$

(icholas (egro)onte *+eing igital- . /001



“TriCorder” Point-of-care noninvasive therapy

2igh Intensity %ocused 3ltrasound or

(on.invasive Acoustic hemostasis

2I%3

Courtesy Larry Crum, 3niv Washington A))lied #hysics Lab

Mechanics to energy



Courtesy Larry Crum,

3niv Washington

A))lied #hysics Lab'445



The L"TATLie "u))ort or Trauma and Trans)ort

Courtesy o Integrated Medical "ystems, "ignal 2ill, CA

* 6 6 6ully unctional IC3 6 6 6-

7 eibrillator

7 8entilator

7 "uction

7 Monitoring7 +lood Chemistry

Analysis

7 5.Channel

%luid9rug Inusion

7ata "torage andTransmission

7 n.board +attery

7 n.board ;ygen

7 Acce)ts .+oard

#o<er and ;ygen

Total #atient A<areness

LTAT



212th MASH Deployed with LSTAT - Combat Support Hospital

LSTAT Deployment to Kosovo - Marh 2!!!

Courtesy o Integrated Medical "ystems, "ignal 2ill, CA



L"TAT Lite

%STT for far-forar# !attlefiel# ' less than () l!s

%STT ' ac+ pac+ version



Nightingale UAV Goal

Identify“optimum” VTOLUAV design

Create a new

VTOL UAVtailored to theoperational need

LTAT

Aeromedical e!acuation



!hy now" VTOL UAV te#hnology is maturing rapidly enough to minimi$e ris%&


http://slidepdf.com/reader/full/robotic-surg-mayo-0207-optimized 13/31=ric La#orta, +arcelona, ")ain '441

(e< Conce)ts or R o the %uture*The R Without Lights-



*#enelo)e- > robotic scrub nurse

Michael Treat M, Columbia 3niv, (C6 '445

R+T "3R@ICAL T=C2(L@I=", I(C

Currently in Clinical Trials



Integrating "urgical "ystems or Autonomy

The )erating Room )ersonnelB o the %uture

"urgeon Assistant "crub (urse Circulating nurse

/44,444

+orro<ing rom the standard )ractices o other industries





Demonstration o" #hase 1

$peratin% &oom with no #eople

"RI International, Menlo #ar$, CA !anuary, '44



Robotic Medical Assistant

"ATA8A !uly, /000AR#A

(ursing shortage crisis

A))licable at all levels

2os)itals

Clinics (ursing 2ome

Assisted living

Courtesy ulun Wang, InTouch Technologies, Inc, @oleta, CA





Trans Oral Intra-peritoneal Surgery - Future

Courtesy o ( Reddy, 2y)erbad India '4441



't( all about the 'nter"ae



Tele.endosco)y6 Controlling micro.robot

<hich has been inserted into the rectumB

rom endosco)e <or$station

Conventional colonosco)y

%uture =ndosco)icWor$station?

D Courtesy R "atava, @I Clinics (orth America, /0E5F

=ndo.vascular <or$ station > by 2ansen Medical, Inc

3RL htt):99hansenmedical6com %eb, '44

http://hansenmedical.com/

http://hansenmedical.com/



+iomimetic Micro.robot

Courtesy "andia (ational Labs

Ca)sule camera or gastrointestinal endosco)y

Courtesy #aul "<ain, London, =nglandCourtesy 6 leyn$ov, 3niv (ebras$a



Cold ")ring 2arbor Laboratory, Long Island, (

%emtosecond Laser / ; /4 >/1 secB

Time o %light ")ectrosco)y

Cellular o)to.)oration

Los Alamos (ational Labs, Los Alamos (M



Surgical console for cellular surgery

,ourtesy Prof ay#ev .esai/ .re0el 1niv/ Phila#elphia/ P 2))(



Surgical console for cellular surgery

,ourtesy Prof ay#ev .esai/ .re0el 1niv/ Phila#elphia/ P 2))(

Motion

Commands



%ig6 '6 To): %luorescent microgra)h o the actin cytos$eleton o an engineeredstriated muscle cell6 +ottom: A%M.acGuired to)ogra)hical ma)6 Wrin$les and

lines along the diagonals o the 54 micron sGuare are actin stress ibers under the

li)id membrane surace6

%ig6 56 "chematic illustrating the techniGue or unctionaliHing A%M

ti)s to identiy s)eciic molecules on the cell surace during rasterscanning6

%ig6 6 (anoincision by electro)oration6

3B The A%M cantilever is )ositioned above a region o interest in the cell6

3B =lectrical current is inJected through the cantilever ti), causing the

ormation o a nanometer scale )ore in the membrane, thru <hich the A%M

ti) can be dro))ed, or other instrumentation attached to the ti), )rior to the

membrane resealing6

New Surgical Tools

,ourtesy Prof 4it Par+er/ M./ 5arvar# 1niv/ oston/ M 2))(

Atomic "orce Microscope Manipulator

"emtosecond Lasers



Surgical ,oc+pit



Will Machines become *smarter than humans?

R B

2ans Moravec

Ray Kurzweil

2umans vs Machine

2umans 64K/4 /0 c)s

Red "torm 561K/4 /1 c)s

Moore s La<

*com)uter )o<er doubles

every /E months-

o the Math

Who is smarter no<??

The A%e o"

Spiritual

Mahines

)H*+ C$M#,T*&S *C**D

H,MA+ '+T*LL'.*+C*

"hould astronauts be )rovided <ith su)er.intelligent systems

2AL o *'44/: A ")ace deyssey



The ne< ace o *2al- > emotional and aective robotics

Courtesy avid 2anson, 2anson Robotics, Austin, TK



o Robots ream ?h $$d hi d $bi i l

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