A New Japanese Endoscopic Surgical Robot Unveiled

A New Japanese Endoscopic Surgical Robot Unveiled

Japan’s New Energy and Industrial Technology Development Organization (NEDO) and Kyushu University have unveiled a new prototype robotic surgical system that they hope in a few years will be competing against Intuitive Surgical’s da Vinci systems. The device features three cameras at the working end that provide a 3D view of the entire scene to the surgeon and control board is simple and small enough to fit into a Japanese lunch box, according to one of the professors leading the project.

The team believes their device will be relatively cheap to produce and may be useful in applications where the da Vinci isn’t a practical option. They also envision it being used for true telemedicine during which the treated patient may be in an entirely different location from where the surgeon is with the controller. This gives us visions of a future where surgeons, like American presidents, travel with an emergency briefcase (or lunch box) that can be activated to save, instead of annihilate, people half a world away.

“As part of a comprehensive research and development equipment very early cancer diagnosis and treatment” of NEDO, doctors and nurses are easy to handle, with a focus group of Professor Makoto Hashizume, Kyushu University, can be preserved as much as possible the normal organ function We have developed a robot-assisted minimally invasive endoscopic surgery of a compact integral diagnosis and treatment.

What is called a master-slave expression operations (corresponding to the arms and hands of the robot) manipulator that the surgeon operates the (master) console hand, is inserted into the patient’s body. Such treatment can be captured in real surgical site through an endoscope (three-dimensional) 3D has been inserted into the patient, allowing safer operation.

With the development of robot-assisted surgery, the burden of these surgeons is reduced, and leads to the rehabilitation and early reduction of health care costs by shortening the length of hospital stay for patients, we are able to provide quality care more .

Panorama intelligent robot-assisted surgery for digestive surgery Figure 1

Panorama intelligent robot-assisted surgery for digestive surgery Figure 1

1 Background.

For surgical wound is small and less invasive, faster postoperative recovery, endoscopic surgery, early rehabilitation is possible. However, such technique is required surgical advanced in the field of view is limited due to a use of the endoscope and the surgical procedure fine when treating the affected area, using a surgical instrument dedicated inserted from outside the body, the surgeon, there is a problem of the burden of health care workers, such as medical staff is large.

The NEDO, “Research and Development of endoscopic surgery support system / equipment for Research Advancement of very early cancer diagnosis and treatment (formerly known as intelligent surgical instruments research and development)” from the year 2007 project research leader (Makoto Hashizume, Kyushu University working on) Professor, Faculty of Graduate School of Medicine, aim therapy techniques less onerous and more secure, more fusion endoscopic technique that Japan’s world-class, art after robot, and sensing technology, health care workers are easy to handle, the affected area We have carried out the development of robot-assisted endoscopic surgery, such as minimally invasive diagnosis and treatment a compact all-in-one to treat effectively with high precision, can be preserved as much as possible the normal organ function.

The robot-assisted surgery, less burden on patients, by both medical personnel, safe surgery can be more, and lead to rehabilitation and early reduction of health care costs by shortening the duration of hospitalization, medical care and higher quality provided. In addition, we confirmed that the future is also considered expansion into telemedicine utilizing technology IT, there is no gap between hospital and regional disparities, ready to accept medical treatment patients excellent equally be expected.

This achievement 2.

Robotic assisted surgery newly developed, in what is called the formula master-slave operation (corresponding to the arms and hands of the robot) manipulator operator operates the (master) console hand, is inserted into the patient’s body it is intended to. Eye to the role of the operator is an endoscope (three-dimensional) 3D that is inserted into the patient. In this project, we have developed a robot-assisted surgery three for neurosurgery, for thoracic surgery, and surgical gastroenterology, equipment, and control console is common, manipulator has a shape optimal target site for each you. Also manipulator either the sensor or the surgical instrument advanced is required depending on the target region are equipped, by using the 3D image more accurate, can be treated captured real surgical site, can be presented to an operator, such as ultrasound images in real time during surgery (such as MRI and CT) image for preoperative examination of the patient and biological information, allowing safer operation.

Prone to left lateral (Nagoya Institute of Technology, Nagoya University, National Institute of Advanced Industrial Science and Technology subcontractors), the target brain tumors, mainly in surgery under a conventional microscope, and the pursuit of minimally invasive neurosurgery subproject that can cope with the tumor, the suction tube used to remove the endoscope 3D switching side view face for enabling the suction accessed from lateral, tumor, bipolar ? 1, used for washing surgical field used for hemostasis technique was developed “intelligent robot-assisted surgery for neurosurgical procedures,” which consists of, in robotic endoscopic treatment tool that can be manipulated to deform laterally Irigeta ? 2.

And the occurrence of the side blind spot minimally invasive approach for tumors near the motor cortex and Figure 2

And the occurrence of the side blind spot minimally invasive approach for tumors near the motor cortex and Figure 2

And the distal end portion of the surgical instrument panorama intelligent robot-assisted surgery for Neurosurgery in Figure 3

And the distal end portion of the surgical instrument panorama intelligent robot-assisted surgery for Neurosurgery in Figure 3

Subprojects Thoracic Surgery (subcontractors: University of Tokyo, Olympus Corporation), the lung cancer and will be subject to a coronary artery bypass grafting for ischemic heart disease, resulting in restrictions on the scope and operation of the equipment due to the presence of the insertion angle of the ribs. Therefore, to control it with treatment tool that can be manipulated to develop a single-degree-of-freedom manipulator joint seven large degree of freedom than of the human hand, to access the desired location while avoiding obstacles “intelligent for Thoracic Surgery I have developed a robot technology “assisted surgery.

Intelligent robot-assisted surgery for thoracic surgery Figure 4

Intelligent robot-assisted surgery for thoracic surgery Figure 4

Sub-projects of Gastroenterological Surgery (subcontractors: Kyushu University, Inc. HOYA) in, and is intended for gastrointestinal cancers such as stomach cancer and liver cancer. Corresponding to the (single-port surgery), and a flexible endoscope stereoscopic SPS ? 3, digestion, “which combines ? 4 oscillation device focused ultrasound and forceps two have begun to spread rapidly worldwide in the past few years We have developed a robot technology “Intelligent surgical instrument assisted surgery.

Was issued a transmitting device and a focused ultrasonic tip forceps part robot-assisted surgery for digestive surgery intelligent Figure 5

Was issued a transmitting device and a focused ultrasonic tip forceps part robot-assisted surgery for digestive surgery intelligent Figure 5

Robot-assisted surgery for intelligent behavior CG image of Gastrointestinal Surgery 6 (Courtesy of Jikei University School of Medicine)

Robot-assisted surgery for intelligent behavior CG image of Gastrointestinal Surgery 6 (Courtesy of Jikei University School of Medicine)

Schedule 3.

We will continue to go for research and development to commercialize the results of this project at an early stage.

Contact 4.

Inquiries about the contents of this press release

Biotechnology and Medical Technology Department NEDO: Kokyo, TEL 044-520-5231 Yoshimura

Contact for general business other NEDO

Nedo_press@ml.nedo.go.jp: TEL :044-520-5151 E-mail Endo Contact: Public Relations Office NEDO

[Glossary: Reference]

1: Bipolar bipolar cautery (both polarities). A high-frequency electric cautery current flows across the tissue between the active electrode and an inert electrode. I do mainly coagulation and hemostasis.

2 Irigeta: those to be used when performing irrigation method, consisting of the tank and the outlet pipe elasticity, and washed with physiological saline, etc..

3 SPS: single-hole endoscopic surgery (Single Port Surgery). In general, whereas the insertion from the Port each incision surgical instruments such as forceps or laparoscopic, laparoscopic surgery is performed by inserting a laparoscope and forceps from the port of one place. Mainly from the umbilicus to insert, inconspicuous incision that is characterized by widely spread.

oscillation device focused ultrasound 4: By using that portion of its focal point is the temperature and to focus on one point the ultrasonic energy focusing such as cancer, a device treated to a high temperature only cancer. Cancer cells will be destroyed when heated to a high temperature, eliminating the need for resection, such as in the prior art, no effect on the tissues other than the focal point, it is possible bloodless surgery.

Source : http://www.nikkei.com/video/?bclid=67379774001&bctid=276248146002&scrl=1&t=1

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