1.Development of a flexible embedded neurostimulator for animal robots.
Zhenling SU ; Dongyun WANG ; Xiaomin QI ; Chenguang YANG ; Yexin ZHANG ; Kaige LIU ; Yue QIN ; Xinyu LIU
Journal of Biomedical Engineering 2023;40(2):327-334
The neural stimulator is a core component of animal robots. While the control effect of animal robots is influenced by various factors, the performance of the neural stimulator plays a decisive role in regulating animal robots. In order to optimize animal robots, embedded neural stimulators had been developed using flexible printed circuit board technology. This innovation not only enabled the stimulator to generate parameter-adjustable biphasic current pulses through control signals, but also optimized its carrying mode, material, and size, overcoming the disadvantages of traditional backpack or head-inserted stimulators, which have poor concealment and are prone to infection. Static, in vitro, and in vivo performance tests of the stimulator demonstrated that it not only had precise pulse waveform output capability, but also was lightweight and small in size. It had excellent in vivo performance in both laboratory and outdoor environments. Our study has high practical significance for the application of animal robots.
Animals
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Robotics
2.Review of Research Advances in Medical Service Robotics.
Jing DONG ; An'an WANG ; Kunpeng LI ; Xiaojian JI ; Tao LI ; Kunlun HE
Chinese Journal of Medical Instrumentation 2023;47(6):645-650
With the progress of science and technology and the increase of clinical demand, medical robots have developed rapidly and played a important role in promoting the medical cause. Service robot is a branch of medical robot, which is mainly oriented to medical service and assistance needs, and has been applied in many medical scenarios and achieved demonstration effects. This research first describes the development of medical service robots, and then summarizes the key technologies and clinical applications of robots. Finally, it points out the challenges and directions that medical service robots face at present, and puts forward prospects for their further development in the medical field.
Robotics
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Technology
3.Research on telerobotic laparoscopic surgery and its applications.
Guo-ping DING ; Li-yun WANG ; Li-ping CAO
Chinese Journal of Medical Instrumentation 2005;29(4):285-288
A general review is here presented on the development, composition, existing problems and prospects of telerobotic laparoscopic surgery systems, based on the related literatures and informations in recent years.
Laparoscopy
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methods
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Robotics
;
methods
4.Robotic Surgery for Rectal Cancer: An Update in 2015.
Jung Myun KWAK ; Seon Hahn KIM
Cancer Research and Treatment 2016;48(2):427-435
During the last decade, robotic surgery for rectal cancer has rapidly gained acceptance among colorectal surgeons worldwide, with well-established safety and feasibility. The lower conversion rate and better surgical specimen quality of robotic compared with laparoscopic surgery potentially improves survival. Earlier recovery of voiding and sexual function after robotic total mesorectal excision is another favorable outcome. Long-term survival data are sparse with no evidence that robotic surgery offers major benefits in oncological outcomes. Although initial reports are promising, more rigorous scientific evaluation in multicenter, randomized clinical trials should be performed to definitely determine the advantages of robotic rectal cancer surgery.
Laparoscopy
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Rectal Neoplasms*
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Robotics
5.Core Architecture and Clinical Application of Orthopedic Robot Based on Human-like Thinking.
Hui YANG ; Kai HU ; Jiansong XIA ; Wenwu ZHU ; Ting YANG
Chinese Journal of Medical Instrumentation 2022;46(2):156-159
Intelligent and precision medical treatment is the future development trend of surgical operations. We proposed a core architecture of orthopedic robots with human-like thinking based on the growing demand for orthopedic robots and disadvantages of current robots, it consists of brain, eyes and hands three modules according to functions. The architecture design is extremely in line with the doctor's logic so that the work process of the orthopedic robot is similar to the process of traditional surgery which is mainly done by the doctor's brain-eye-hand coordination. It realizes the digitization of the doctor's thinking, the immediacy and visualization of surgical information and the accuracy of surgical operation process. The clinical application proved that the orthopedic robot has the advantages of higher accuracy, less radiation and shorter operation time, which can be further promoted clinically.
Hand
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Humans
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Robotics
6.Robotically Assisted Microsurgery: Development of Basic Skills Course.
Philippe Andre LIVERNEAUX ; Sarah HENDRIKS ; Jesse C SELBER ; Sijo J PAREKATTIL
Archives of Plastic Surgery 2013;40(4):320-326
Robotically assisted microsurgery or telemicrosurgery is a new technique using robotic telemanipulators. This allows for the addition of optical magnification (which defines conventional microsurgery) to robotic instrument arms to allow the microsurgeon to perform complex microsurgical procedures. There are several possible applications for this platform in various microsurgical disciplines. Since 2009, basic skills training courses have been organized by the Robotic Assisted Microsurgical and Endoscopic Society. These basic courses are performed on training models in five levels of increasing complexity. This paper reviews the current state of the art in robotically asisted microsurgical training.
Arm
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Computer Simulation
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Microsurgery
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Robotics
7.Research Advances in Bacteria-based Microrobot.
Acta Academiae Medicinae Sinicae 2016;38(4):453-457
The concept of bacteria-based microrobot has been well recognized. It has shown great advantages and potentials for the early diagnosis and early treatment of malignant tumor and in reducing chemotherapy toxicities. In this article we review the concept,structure,and potential clinical applications of bacteria-based microrobot.
Bacteria
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Humans
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Neoplasms
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therapy
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Robotics
8.Robotic extralevator excision of a retrorectal giant aggressive angiomyxoma.
Obstetrics & Gynecology Science 2018;61(6):693-697
Aggressive angiomyxoma (AA) is a very rare mesenchymal tumor most commonly found in the pelvic and perineal regions. For the complete excision of retrorectal tumors, with extension through the levator muscle into the ischioanal space, open anterior and posterior approaches are typically required. Herein, we report our experience with robotic excision of a giant presacral AA with extralevator extension into the ischioanal space and extraction via Pfannenstiel incision, which we found to be technically feasible, efficacious, and safe to perform. Mayo Clinic Institutional Review Board exemption status was obtained for this study.
Ethics Committees, Research
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Myxoma*
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Robotics
9.Development of Surgical Robots in Recent Years.
Lixiao YANG ; Zhengsong HOU ; Wei TANG ; Sinan ZHU ; Qi BAO ; Jiabin TONG ; Xiuwen DING
Chinese Journal of Medical Instrumentation 2023;47(1):1-12
OBJECTIVE:
To study the development of surgical robots at home and abroad in recent years.
METHODS:
Through a large number of literature review and analysis, the qualification approval and technical function characteristics of domestic and foreign surgical robots from January 2019 to July 2022 were analyzed.
RESULTS:
The related situations of 39 surgical robots were analyzed and reported, and the shortcomings and future development direction of the current surgical robots were summarized.
CONCLUSIONS
The development of surgical robots in China is now in a rapid development stage. At present, surgical robots generally have the disadvantages of high cost, lack of tactile feedback (force feedback), large size, large space occupation and difficult to move. In the future, it will develop towards intelligent, miniaturized, remote, open and low-cost.
China
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Robotics
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Robotic Surgical Procedures
10.Basic performance of domestic surgical robot and the safety and effectiveness of integrated energy equipment.
Zhi SONG ; Guohui WANG ; Liyong ZHU ; Bo YI ; Pengzhou LI ; Shaihong ZHU ; Linli SUN
Journal of Central South University(Medical Sciences) 2023;48(2):221-230
OBJECTIVES:
Surgical robot system has broken the limitation of traditional surgery and shown excellent performance in surgery, and has been widely used in minimally invasive treatment in most areas of surgery. This study aims to verify the basic performance of the domestic surgical robot system and the safety and effectiveness of the integrated bipolar electrocoagulation and ultrasonic knife.
METHODS:
The basic performance of the domestic surgical robot system was evaluated by completing the square knot and surgical knot, vertical and horizontal perforation and right ring perforation and suture, as well as picking up beans. Compared with laparoscopy, the safety and effectiveness of the domestic surgical robot after integrated interconnection bipolar electrocoagulation and ultrasonic scalpel were evaluated by detecting the vascular closure performance and the degree of histopathological damage in animals.
RESULTS:
Compared with freehand knotting, domestic robot knotting speed and circumference were slightly worse, but better than laparoscopic knotting. There was no statistical significance in the tension difference of the surgical knots among the 3 methods (P>0.05), but the tension of the square knots made by the freehand and the domestic surgical robot was greater than that of the laparoscopy (P<0.05). The space required for both the left and right forceps heads of knots was smaller than that of laparoscopy (P<0.001), which successfully completed the 4 quadrant suture tasks, and the time of picking up beans was significantly less than that of laparoscopy (P<0.05). There was no significant difference in the temperature of the liver tissue after the bipolar electrocoagulation between the interconnected domestic surgical robot and the laparoscopy (P>0.05), and the acute thermal injury was observed under the light microscope. The temperature of the liver tissue treated by the domestic robotic ultrasound knife was higher than that of the laparoscopic ultrasound knife (P<0.05).
CONCLUSIONS
Domestic surgical robots are obviously superior to laparoscopy in suturing, knotting, and moving objects, and domestic surgical robots' interconnect bipolar electrocoagulation and ultrasonic knife have achieved success in animal experiments, and hemostasis is considered to be safe and effective.
Animals
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Robotics
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Laparoscopy/methods*
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Ultrasonography