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At least 19 recordsLinked to original sources
PubMedDate not supplied

Does robotic technology make minimally invasive cardiac surgery too expensive? A hospital cost analysis of robotic and conventional techniques.

BACKGROUND: While potential benefits of robotic technology include decreased morbidity and improved recovery, some have suggested a prohibitively high cost. This study was undertaken to compare actual hospital costs of robotically assisted cardiac procedures with conventional techniques. METHODS: We conducted a retrospective review of clinical and financial data of 20 patients who underwent atrial septal defect (ASD) closure and 20 patients who underwent mitral valve repair (MVr) using either robotic techniques or a conventional approach with a sternotomy. Total hospital cost (actual resource consumption) was subdivided into operative and postoperative costs. RESULTS: Robotic technology did not significantly increase total hospital cost for ASD closure or MVr (p = 0.518 and p = 0.539). However, when including the initial capital investment for the robot through amortization of institutional costs, total hospital cost was increased by $3,773 for robotic ASD closure and $3,444 for robotic MVr (p = 0.021 and p = 0.004). The major driver of cost for robotic cases (operating room time) decreased over time. CONCLUSIONS: Robotic technology did not significantly increase hospital cost. While the absolute cost for robotic surgery was higher than conventional techniques after taking into account the institutional cost of the robot, the major driver of cost for robotic procedures will likely continue to decrease, as the surgical team becomes increasingly familiar with robotic technology. Furthermore, other benefits, such as improvement in postoperative quality of life and more expeditious return to work may make a robotic approach cost-effective. Thus, it is possible that the benefits of robotic surgery may justify investment in this technology.

Adult↗
PubMed2005

Can we talk to robots? Ten-month-old infants expected interactive humanoid robots to be talked to by persons.

As technology advances, many human-like robots are being developed. Although these humanoid robots should be classified as objects, they share many properties with human beings. This raises the question of how infants classify them. Based on the looking-time paradigm used by [Legerstee, M., Barna, J., & DiAdamo, C., (2000). Precursors to the development of intention at 6 months: understanding people and their actions. Developmental Psychology, 36, 5, 627-634.], we investigated whether 10-month-old infants expected people to talk to a humanoid robot. In a familiarization period, each infant observed an actor and an interactive robot behaving like a human, a non-interactive robot remaining stationary, and a non-interactive robot behaving like a human. In subsequent test trials, the infants were shown another actor talking to the robot and to the actor. We found that infants who had previously observed the interactive robot showed no difference in looking-time between the two types of test events. Infants in the other conditions, however, looked longer at the test event where the second experimenter talked to the robot rather than where the second experimenter talked to the person. These results suggest that infants interpret the interactive robot as a communicative agent and the non-interactive robot as an object. Our findings imply that infants categorize interactive humanoid robots as a kind of human being.

Cognition↗
PubMed2006

Control architecture for human-robot integration: application to a robotic wheelchair.

Completely autonomous performance of a mobile robot within noncontrolled and dynamic environments is not possible yet due to different reasons including environment uncertainty, sensor/software robustness, limited robotic abilities, etc. But in assistant applications in which a human is always present, she/he can make up for the lack of robot autonomy by helping it when needed. In this paper, the authors propose human-robot integration as a mechanism to augment/improve the robot autonomy in daily scenarios. Through the human-robot-integration concept, the authors take a further step in the typical human-robot relation, since they consider her/him as a constituent part of the human-robot system, which takes full advantage of the sum of their abilities. In order to materialize this human integration into the system, they present a control architecture, called architecture for human-robot integration, which enables her/him from a high decisional level, i.e., deliberating a plan, to a physical low level, i.e., opening a door. The presented control architecture has been implemented to test the human-robot integration on a real robotic application. In particular, several real experiences have been conducted on a robotic wheelchair aimed to provide mobility to elderly people.

Artificial Intelligence↗
PubMed2005

Robot-assisted pharyngeal and laryngeal microsurgery: results of robotic cadaver dissections.

OBJECTIVES/HYPOTHESIS: Robotic surgery has significant potential in pharyngeal and microlaryngeal surgery. We demonstrate the use of a surgical robot in pharyngeal and microlaryngeal surgery in a cadaver. STUDY DESIGN: Six experimental surgical dissections, modeled after commonly performed pharyngeal and microlaryngeal procedures, were performed in a cadaver with a commercially available surgical robot in an operating room suite to demonstrate proof of concept. METHODS: Using the daVinci Surgical Robot (Intuitive Surgical, Sunnyvale, CA), surgical procedures were performed on an edentulous, female cadaver. The procedures included 1) bilateral true vocal cord stripping, 2) rotation of a mucosal flap from the epiglottis to the anterior commissure, 3) partial vocal cordectomy, 4) arytenoidectomy, 5) partial epiglottectomy and thyrohyoid dissection and 6) partial resection of the base of tongue with primary closure. All procedures were timed and documented with still and video photography. RESULTS: The daVinci Surgical Robot, with currently available instruments, enabled performance of several laryngeal and pharyngeal surgical procedures on a cadaver. Laryngeal and pharyngeal exposure was excellent, instruments movement was unimpeded, tissue handling was delicate and precise, and endolaryngeal suturing was relatively easily performed. The duration of the different robotic cadaver dissections was comparable to procedure duration using conventional techniques. CONCLUSIONS: Using the daVinci Surgical Robot, six different pharyngeal and microlaryngeal dissections were successfully performed in a cadaver. The recent development of surgical robotics has a potential role in pharyngeal and microlaryngeal surgery. Surgical robots offer the ability to manipulate instruments at their distal ends with increased freedom of movement, scaled movement, tremor buffering, and under stereoscopic three-dimensional visualization. Surgical robots may increase the precision with which we perform currently described procedures; additionally, surgical robots may advance the field of endoscopic laryngeal and pharyngeal surgery.

Cadaver↗
PubMed1990

A robot safety experiment varying robot speed and contrast with human decision cost.

An industrial robot safety experiment was performed to find out how quickly subjects responded to an unexpected robot motion at different speeds of the robot arm, and how frequently they failed to detect a motion that should have been detected. Robotics technicians risk being fatally injured if a robot should trap them against a fixed object. The value of the experimentation lies in its ability to show that this risk can be reduced by a design change. If the robot is moving at a slow speed, during programming and troubleshooting tasks, then the worker has sufficient time to actuate an emergency stop device before the robot can reach the person. The dependent variable in the experiment was the overrun distance (beyond an expected stopping point) that a robot arm travelled before a person actuated a stop pushbutton. Results of this experiment demonstrated that the speed of the robot arm and the implied decision cost for hitting an emergency stop button had a significant effect on human reaction time. At a fairly high level of ambient lighting (560 lux), fixed-level changes in the luminance contrast between the robot arm and its background did not significantly affect human reaction time.

Journal Article↗
PubMed2005

Robotic microlaryngeal surgery: a technical feasibility study using the daVinci surgical robot and an airway mannequin.

OBJECTIVES/HYPOTHESIS: The trend toward minimally invasive surgery has led to the development and mastery of endoscopic and laparoscopic surgical techniques. These minimally invasive approaches, which only two decades ago were either novel or experimental, are now mainstream. More recently, robot-assisted surgery has evolved as an adjunct to open and endoscopic techniques. Surgical robots are now approved by the United States Food and Drug Administration for a variety of thoracic and abdominal/pelvic surgical procedures. The purpose of this study is to demonstrate the technical feasibility of robot-assisted microlaryngeal surgery. STUDY DESIGN: Experimental surgical manipulation of the larynx in an airway mannequin with a surgical robot. METHODS: A variety of laryngoscopes and mouthgags, coupled with the daVinci Surgical Robot's (Intuitive Surgical, Sunnyvale, CA) 0-degree and 30-degree, two-dimensional and three-dimensional endoscopes, were utilized to optimize visualization of the larynx in an airway mannequin. Five millimeter and 8 mm microinstruments compatible with the daVinci robot were utilized to manipulate different elements of the larynx. Experiments were recorded with both still and video photography. RESULTS: The endoscope and robotic arms of the daVinci robot are well suited to airway surgery. CONCLUSIONS: Robot-assisted laryngeal surgery can be performed with currently available technology. The potential for fine manipulation of tissues, increased freedom of instrument movement, and endolaryngeal suturing may increase the precision of endoscopic laryngeal microsurgery and offers the potential to increase the variety of laryngeal procedures that can be performed endoscopically.

Feasibility Studies↗
PubMed2002

Surgical robotics. Evaluation of the Computer Motion AESOP 3000 robotic endoscope holder.

The use of robots to manipulate surgical instruments inside the patient has already moved from the world of fiction to fact. While the widespread use of full-function surgical robots is still many years away, less sophisticated robots that perform very specific surgical functions are already at a stage where the typical hospital can consider their use. Currently, the most affordable and commonly used type of "surgical-assist" robot is the robotic endoscope holder, which is used to hold and position rigid endoscopes during minimally invasive surgery. In this study, we introduce readers to the topic of surgical robotics, focusing specifically on robotic endoscope holders. The study includes a Technology Management Guide, in which we discuss who should and who shouldn't consider implementing such robots, and it includes our evaluation protocol and findings for one such robot, the Computer Motion AESOP 3000. We judged the evaluated system based on its performance relative to the human scope holders it is designed to replace, as well as its safety and ease of use. While we found the AESOP 3000 to be an acceptable, and sometimes preferred, alternative to the use of a human scope holder, we caution that many healthcare facilities won't see sufficient clinical benefit to warrant its purchase at this time.

Electric Power Supplies↗
PubMed1998

Staff attitudes about the use of robots in pharmacy before implementation of a robotic dispensing system.

Hospital pharmacy staff members at a Mid-western university medical center were surveyed to determine their attitudes about the use of robots in pharmacy dispensing before a robotic system was implemented. A questionnaire seeking attitudes about the use of robots in pharmacy was distributed to 147 pharmacy staff (pharmacy managers, pharmacist practitioners, pharmacotherapists, pharmacy residents and fellows, pharmacy technicians, and salaried pharmacy students). Attitudinal items were scored on a 5-point scale ranging from very favorable to very unfavorable. The response rate was 75%. Overall, staff expressed favorable attitudes in terms of job security, professional impact, and general robotics orientation. Pharmacy managers and pharmacotherapists were the most likely to report feeling secure about their jobs; pharmacy technicians and salaried pharmacy students were slightly less positive. Favorable attitudes about the professional impact of the robotic system were demonstrated by all groups except pharmacist practitioners and pharmacy technicians. Attitudes about management issues were unfavorable; pharmacist practitioners demonstrated the least favorable attitudes. In general, responses to semantic-differential statements reflected favorable attitudes; where there were differences, pharmacy technicians showed the least positive and pharmacy managers the most positive attitudes. Respondents reported that pharmacist practitioners would be most positively affected and pharmacy technicians most negatively affected by robotic dispensing. Almost half of the respondents who provided general comments indicated that they needed more information about the use of robots. Pharmacy staff had generally favorable attitudes about the use of robots in pharmacy.

Analysis of Variance↗
PubMed2026

Delphi study robot consenso: Strategies for the implementation of robotic surgery in general surgery in the Spanish hospital network.

INTRODUCTION: The implementation of robotic surgery in public hospitals presents multiple logistical, educational, and organizational challenges. In the absence of unified guidelines, a national consensus is required to optimize its safe and efficient adoption. This study aimed to establish a set of consensus-based and measurable recommendations for the implementation of robotic surgery programs in hospitals within the Spanish National Health System, based on the experience of centres with established robotic programs and intended to serve as guidance for hospitals that are initiating or planning their implementation. METHODS: A national Delphi study was conducted with the participation of robotic surgery experts from 26 public hospitals. The expert panel was composed exclusively of digestive surgeons with experience in robotic surgery. Three iterative rounds of expert panel evaluation were conducted between March 2024 and March 2025. The questions were grouped into five thematic blocks. Consensus was defined as an agreement level of ≥66.7%. Kendall's W coefficient was used to assess concordance. RESULTS: High levels of consensus were achieved on key aspects related to infrastructure, structured training, cost evaluation, and quality assurance mechanisms. Areas of disagreement were also identified, such as the need for a dedicated anaesthesiologist, purchase of accessory instruments during the initial phase, and official accreditation pathways. CONCLUSIONS: This study provides a guideline for developing a national robotic surgery strategy focused on patient safety, program sustainability, and standardized training of surgical teams. These recommendations can guide hospitals at different stages of robotic technology adoption. Given that the consensus was reached from an exclusively surgical perspective, the recommendations focus on patient safety, program sustainability, and standardized training of the surgical team, and should be interpreted in an adaptable manner according to each centre's context, case volume, and available resources.

Cirugía Asistida por Robot↗
PubMed1994

Will robots ever replace attendants? Exploring the current capabilities and future potential of robots in education and rehabilitation.

This article describes the current capabilities and future potential of robots designed as supplements or replacements for human assistants or as tools for education and rehabilitation. A number of researchers have developed and tested a variety of robot assistants for individuals with disabilities. These robots can usually be classified as educational, vocational or independent-living assistants. Robots in all three categories are reviewed. A brief summary of the critical characteristics of human service robots is also presented and the limitations of current technology are discussed. Finally, current research aimed at addressing these limitations is described. White robots of all kinds have proven much more difficult to develop than people had expected, we conclude that it will eventually be possible to create an effective, reliable robot for human service tasks, but not as quickly as was predicted in the early 1980s.

Activities of Daily Living↗
PubMed2005

Simulation and robotics studies of salamander locomotion: applying neurobiological principles to the control of locomotion in robots.

This article presents a project that aims at understanding the neural circuitry controlling salamander locomotion, and developing an amphibious salamander-like robot capable of replicating its bimodal locomotion, namely swimming and terrestrial walking. The controllers of the robot are central pattern generator models inspired by the salamander's locomotion control network. The goal of the project is twofold: (1) to use robots as tools for gaining a better understanding of locomotion control in vertebrates and (2) to develop new robot and control technologies for developing agile and adaptive outdoor robots. The article has four parts. We first describe the motivations behind the project. We then present neuromechanical simulation studies of locomotion control in salamanders. This is followed by a description of the current stage of the robotic developments. We conclude the article with a discussion on the usefulness of robots in neuroscience research with a special focus on locomotion control.

Animals↗
PubMedDate not supplied

Robot-assisted movement training for the stroke-impaired arm: Does it matter what the robot does?

Robot-assisted movement training improves arm movement ability following acute and chronic stroke. Such training involves two interacting processes: the patient trying to move and the robot applying forces to the patient's arm. A fundamental principle of motor learning is that movement practice improves motor function; the role of applied robotic forces in improving motor function is still unclear. This article reviews our work addressing this question. Our pilot study using the Assisted Rehabilitation and Measurement (ARM) Guide, a linear robotic trainer, found that mechanically assisted reaching improved motor recovery similar to unassisted reaching practice. This finding is inconclusive because of the small sample size (n = 19), but suggest that future studies should carefully control the amount of voluntary movement practice delivered to justify the use of robotic forces. We are optimistic that robotic forces will ultimately show additional therapeutic benefits when coupled with movement practice. We justify this optimism here by comparing results from the ARM Guide and the Mirror Image Movement Enabler robotic trainer. This comparison suggests that requiring a patient to generate specific patterns of force before allowing movement is more effective than mechanically completing movements for the patient. We describe the engineering implementation of this "guided-force training" algorithm.

Algorithms↗
PubMed2001

A new robotic endoscope manipulator. A preliminary trial to evaluate the performance of a voice-operated industrial robot and a human assistant in several simulated and real endoscopic operations.

We report our learning experience in simulated and real surgical tasks with a new voice-controlled robotic endoscope manipulator: an industrial robot with the tool-holder arm modified to support the optic and camera. The manipulator control-card programs have been rewritten to meet the needs of endoscopic surgeons. For this preliminary work, systems engineers with an additional monitor monitored, recorded, and compared the percentage effectiveness and precision of the responses of the robotic and human assistant to successive oral commands during the several different experimental surgical tasks. Simultaneously, to help develop this voice-commanded system for future, more precise robotic manipulation of surgical instruments, they measured the cartesian and spherical coordinates of successive positions of the optic. In unexpectedly difficult experimental conditions, the tireless robot proved more precise and effective than the demonstrably fatigable human: the steadier screen images of the robotic manipulations helped the surgeon tie knots in 7-0 sutures.

Animals↗
PubMed1990

Development of a laboratory robotic system for automated bioanalytical methods--I. The determination of theophylline in human plasma: a comparison between the robotized and manual method.

The quality of bioanalytical methods is often determined by the quality of sample preparation. Using a robot for sample treatment may give better results than manual sample preparation, since the robot lacks human behaviour and incidental errors that are part of it. The use of a laboratory robot has the additional advantage of giving each sample the same analytical history, resulting in better reproducibility. An automated method has been developed for the analysis of drugs in plasma using a laboratory robot. Theophylline was used as a probe drug. Sample preparation was automated with a Zymate II robot, followed by separation and quantitation on an HPLC-system. The robotic method showed a good correlation with the manual method, while sample throughput was doubled.

Chemistry, Clinical↗
PubMed2006

Evolution of robotics in surgery and implementing a perioperative robotics nurse specialist role.

Use of robotics is expanding rapidly in the medical arena. Not only are a growing number of facilities purchasing robotic systems, but the number of surgeons using them also is increasing, which creates many challenges (eg, cost, training, safety). The evolution of robotics in surgery is presented within the context of virtual reality, telepresence, telemanipulation, and passive (ie, master-slave) robotic surgical systems. A new perioperative nursing role, the robotics nurse specialist, was developed and implemented at one facility. The need for a robotics nurse specialist and how this role can help the entire surgical team promote positive patient and facility outcomes also is discussed.

Education, Nursing, Continuing↗
PubMed2004

Robust and efficient vision system for group of cooperating mobile robots with application to soccer robots.

In this paper a global vision scheme for estimation of positions and orientations of mobile robots is presented. It is applied to robot soccer application which is a fast dynamic game and therefore needs an efficient and robust vision system implemented. General applicability of the vision system can be found in other robot applications such as mobile transport robots in production, warehouses, attendant robots, fast vision tracking of targets of interest and entertainment robotics. Basic operation of the vision system is divided into two steps. In the first, the incoming image is scanned and pixels are classified into a finite number of classes. At the same time, a segmentation algorithm is used to find corresponding regions belonging to one of the classes. In the second step, all the regions are examined. Selection of the ones that are a part of the observed object is made by means of simple logic procedures. The novelty is focused on optimization of the processing time needed to finish the estimation of possible object positions. Better results of the vision system are achieved by implementing camera calibration and shading correction algorithm. The former corrects camera lens distortion, while the latter increases robustness to irregular illumination conditions.

Algorithms↗
PubMed1986

Human factors of industrial robots and robot safety management in Japan.

Japan has the largest world market share of industrial robots and also two fatal accidents due to robots. Ergonomics points of view should be applied to robotics to prevent new types of accidents. The concern of this paper is to explain Japan's situation concerning the installation of robotics and current safety regulations. Three experiments about the possibility of unsafe behaviour are described, and the man-robot system failure is analysed based on Fault Tree Analysis and the actual data. The appropriate safety measures are compared in terms of their cost-effectiveness. Finally, ergonomics points of view are provided to prevent accidents due to industrial robots.

Journal Article↗
PubMed2005

Risk analysis and safety assessment in surgical robotics: a case study on a biopsy robot.

One of the most important issues in medical robotics is safety and integration into the clinical workflow. If a robot is not safe and its use is complicated by difficult handling and complex user interfaces physicians would not use a robotic system during clinical patient trials, whatever the other advantages are. However, there are only few publications on this topic, in particular on risk management in developing a robotic prototype (for clinical trials). In this paper risk management and the safety of using robot-assisted surgery equipment are discussed and demonstrated exemplarily in the process of developing a prototype biopsy robot.

Journal Article↗