Posted on

It’s a robot invasion —
in the operating room

Telehealth evolved rapidly during the COVID-19 pandemic, with phrases like tele-triage and tele-consultants becoming household words as governments adapted policies and encouraged remote services to manage an unprecedented health emergency. At the same time, a halt in most elective surgeries worldwide highlighted a need for advancements in robotic surgeries.

Now with progress in machine learning, AI the 5G network and robotic surgery equipment, surgeons can operate on patients from across the room and across the world.

As with most technology developments, there are kinks to iron out. Since the first telesurgery in 2001, skepticism, network issues, legislative differences between countries and the high cost of robotic equipment hindered growth. After the development of 5G, however, a team in China in 2019 performed successful telerobotic spinal surgeries on 12 patients from six cities.

While both robotic surgery and telesurgery offer more precision, are less invasive and result in quicker recovery time, telesurgery also eliminates logistical issues like travel health risks and cost of travel. It also offers better access to much needed surgeries for underserved countries.

CAPTION: Neurosurgeon remotely operates on a patient IMAGE: Shutterstock

The Lancet in 2015 published a study in which researchers estimate 5 billion people lack access to necessary surgical care. The main problem with this is not only the expense of the robotic systems, but also access to high-speed internet.

Gary Guthart, CEO of Intuitive — the company that created the Da Vinci surgical robotic system, which was the first to be approved by the U.S. Food and Drug Administration — said the company is developing innovative strategies to increase the number of surgically trained clinicians in low-resource regions.

“This is an urgent problem,” he says, “because of the significant global shortage of surgeons, particularly in low-resource countries. Every year, an estimated 16.9 million people die who might otherwise be treated.”

With the need for telesurgery development at the forefront, advancements in machine learning, AI and the 5G network, the market is expected to surge to an estimated compound annual growth rate of 11.9 percent between 2022 and 2029. The growth can be attributed to things like a desire for less invasive surgeries, precision ability, a 3D surgical viewpoint and the increasing volume of surgeries worldwide. A paper published in 2020 in Elsevier estimates that there are 310 million major surgeries each year.

Further benefits include data sharing ability between institutions, remote consultations and training surgeons.

Anthony Fernando, president and CEO of Asensus Surgical, a medical devices company that focuses on digitizing the interface between surgeon and patient, believes that using AI, machine learning and adding deep-learning abilities to robotics will result in “the best possible patient outcomes independent of surgeon skill level, training, and experience. This transition of thinking and innovation is what will drive the larger digital transformation needed to enable the future of telesurgery and other future surgical improvements that we have not even imagined yet.”

Robotic-assisted surgeries have been around for nearly four decades. The first procedure was a brain biopsy in 1985, which led the way for a gallbladder removal in 1997. This robot did not have a camera, so a human assistant had to hold the endoscope. The first telesurgery – also a gallbladder removal – was four years later.

Posted on

It’s not alive!

Whether it’s adhesions that mimic gecko toes or robotic technology inspired by land animals like cheetahs, many developments in science are inspired by nature. A team of mechanical engineers at Rice University in the United States took inspiration one step further, creating a new field of study called necrobiotics turning a dead wolf spider into a robot.

Spiders use their legs to walk and jump, but unlike most animals, they do so with the force of pressure rather than muscle contraction and extension. Spiders don’t have the ability to extend muscles in their legs, so after flexing, they push blood into their legs like a hydraulic system, allowing for powerful movements like jumping. When the spider dies, the legs curl up because there is no pressure present.

The team reintroduced pressure into the spider’s legs via a needle in its back, adding pressure to extend the legs and removing pressure to flex them. This allowed the researchers to use the legs as an actuator gripper to pick up items. They demonstrated the spider’s ability to pick up oddly shaped and delicate items and lift objects up to 130 percent above its body mass.

Its ability to pick things up isn’t the only benefit of using bio material: Nature will take care of the waste.

The actuator can camouflage in natural surroundings and the material would eventually fully biodegrade — unlike bioinspired or biohybrid mechanisms that use synthetic materials. The actuators were used in 700 actuation cycles before decaying — only one of the limitations of working with dead organisms.

Seven hundred actuation cycles is a low number compared with non-bio actuator grippers. A synthetic gripper used in farming to pick up lightweight food like mushrooms or berries, for example, would complete between 263,000 and 700,000 cycles.

In addition to limited performance, there are variables to consider when working with bio material.
Not all wolf spiders are exactly the same size so will not have the same longevity. Additionally, variation in size could affect the strength of the gripper.

“The concept of necrobiotics could play a role in inspiring more sustainable fabrication of actuators to reduce the accumulation of technological waste,” the team says in Advanced Science. Though this is a new area of research, they will continue to explore other organisms with similar hydraulic- movement systems.