Trauma Pod: a semi-automated telerobotic surgical system
Trauma Pod: a semi-automated telerobotic surgical system
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DOI：
10.1002/rcs.238
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发表时间：
2009-06-01
影响因子：
2.5
通讯作者：
Satava, Richard
中科院分区：
文献类型：
--
作者：
Garcia, Pablo;Rosen, Jacob;Satava, Richard
创伤吊舱（TP）的愿景是开发一种快速部署的机器人系统，以自主或远程操作模式对战场上的受伤士兵执行关键的急性稳定和/或外科手术，否则这些士兵可能会在战斗医院提供治疗之前死亡。为了实现这一愿景，在项目的第一阶段，开发了一个机器人TP系统，并通过对患者幻肢进行选定的外科手术来证明其能力。结果该系统证明了当患者是手术细胞中唯一的人类时进行急性稳定手术的可行性。远程手术机器人由自主机械臂和执行擦洗护理和循环护理功能的子系统支持。工具更换和供应是自动进行的，至少与护士手动操作一样快。物料的跟踪和计数是自动执行的。TP系统还包括用于患者诊断的层析x射线设备和用于支持干预措施的二维（2D）透视数据。TP系统生成的大量临床方案都是自动记录的。结论：自动化和远程操作能力构成了一个更全面的急性诊断和管理平台的基础，将在没有外科人员的环境中提供救生护理。版权所有John Wiley & Sons， Ltd. 2009
Background The Trauma Pod (TP) vision is to develop a rapidly deployable robotic system to perform critical acute stabilization and/or surgical procedures, autonomously or in a teleoperative mode, on wounded soldiers in the battlefield who might otherwise die before treatment in a combat hospital could be provided.Methods In the first phase of a project pursuing this vision, a robotic TP system was developed and its capability demonstrated by performing selected surgical procedures on a patient phantom.Results The system demonstrates the feasibility of performing acute stabilization procedures with the patient being the only human in the surgical cell. The teleoperated surgical robot is supported by autonomous robotic arms and subsystems that carry out scrub-nurse and circulating-nurse functions. Tool change and supply delivery are performed automatically and at least as fast as performed manually by nurses. Tracking and counting of the supplies is performed automatically. The TP system also includes a tomographic X-ray facility for patient diagnosis and two-dimensional (2D) fluoroscopic data to support interventions. The vast amount of clinical protocols generated in the TP system are recorded automatically.Conclusions Automation and teleoperation capabilities form the basis for a more comprehensive acute diagnostic and management platform that will provide life-saving care in environments where surgical personnel are not present. Copyright (C) 2009 John Wiley & Sons, Ltd.