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Presentatie Dhr Ruiter

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  • 1. Tele FLEX : Telemanipulation for flexible surgical endoscopes 11 november 2010 Jeroen Ruiter Tele FLEX
  • 2.
    • Partners
      • DEMCON advanced mechatronics
      • University Twente: - Control Engineering
    • - Mechanical automation
    • - Design, production and management
    • - Technical medicine
      • Meander Medical Centre Amersfoort, Prof. Dr. I.A.M.J. Broeders
      • University Medical Centre Groningen, Prof. Dr. M.A. Mariani
      • User group of medical specialists
    • ‘ Pieken in de delta’ grant
    • Planning 2009 – end 2012
    Project structure TeleFLEX Tele FLEX
  • 3. Introduction Tele FLEX Comfort patient improves  Comfort surgeon Open surgery Robot surgery rigid instruments Robot surgery flexible instruments Endoscopic surgery rigid instruments Endoscopic surgery flexible instruments Tele FLEX Tele FLEX
  • 4.
    • Current instruments not suitable for advanced tasks
    Problem area Limited degrees of freedom Bad ergonomics Large teams Tele FLEX
  • 5. State of the art instruments Tele FLEX
  • 6. Telemanipulation Master optimized for surgeon, slave optimized for intervention Tele FLEX
  • 7.
    • Endoluminal Transluminal (NOTES)
    Interventions
      • Focus area: Endoluminal non-sterile interventions with advanced manipulation in a limited space, e.g. removal of superficial tumors in the colon.
      • But……
      • Prepared for sterile interventions.
    Tele FLEX
  • 8. Social value! Tele FLEX
  • 9. Public resistance ?
    • A robot with a knife. Threat or opportunity?
    Tele FLEX
  • 10.
    • Mechanical decoupling of doctor and patient:
      • Optimize posture
      • Tremor filtering
      • Motion scaling
    Potential of robotics Tele FLEX
  • 11.
    • Automatic guidance
    Potential of robotics Tele FLEX
  • 12.
    • Proof-of-principles of critical functions
    • Validation of proof-of-principles in scientific experiments
    • Integrated prototype
    • Clinical validation of prototype
    Future developments Tele FLEX
  • 13. PoP 1 - Handheld Not ergonomic Tele FLEX
  • 14. PoP 2 - Instruments Limited DOFs Large teams Tele FLEX
  • 15. PoP 3 – Insertion endoscope Uncomfortable insertion Tele FLEX
  • 16. PoP 4 – Surgeon’s cockpit Data overload Tele FLEX
  • 17. Integrated prototype Tele FLEX
  • 18. Thanks for your attention! Tele FLEX