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Presentatie Dhr Ruiter

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Presentatie Dhr Ruiter

  1. 1. TeleFLEX: Telemanipulation for flexible surgical endoscopes 11 november 2010 Jeroen Ruiter 1 TeleFLEX
  2. 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 TeleFLEX 2
  3. 3. Introduction TeleFLEX TeleFLEX 3 Comfort patient improves  Comfortsurgeon Open surgery Robot surgery rigid instruments Robot surgery flexible instruments Endoscopic surgery rigid instruments Endoscopic surgery flexible instruments TeleFLEX
  4. 4. Current instruments not suitable for advanced tasks Problem area TeleFLEX 4 Limited degrees of freedom Bad ergonomics Large teams
  5. 5. State of the art instruments TeleFLEX 5
  6. 6. Telemanipulation TeleFLEX 6 Master optimized for surgeon, slave optimized for intervention
  7. 7. Endoluminal Transluminal (NOTES) Interventions TeleFLEX 7  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.
  8. 8. Social value! TeleFLEX 8
  9. 9. Public resistance? TeleFLEX 9  A robot with a knife. Threat or opportunity?
  10. 10.  Mechanical decoupling of doctor and patient: – Optimize posture – Tremor filtering – Motion scaling Potential of robotics TeleFLEX 10
  11. 11.  Automatic guidance TeleFLEX 11 Potential of robotics
  12. 12.  Proof-of-principles of critical functions  Validation of proof-of-principles in scientific experiments  Integrated prototype  Clinical validation of prototype Future developments TeleFLEX 12
  13. 13. PoP 1 - Handheld TeleFLEX 13 Not ergonomic
  14. 14. PoP 2 - Instruments TeleFLEX 14Limited DOFs Large teams
  15. 15. PoP 3 – Insertion endoscope TeleFLEX 15 Uncomfortable insertion
  16. 16. PoP 4 – Surgeon’s cockpit TeleFLEX 16 Data overload
  17. 17. Integrated prototype TeleFLEX 17
  18. 18. Thanks for your attention! 18 TeleFLEX

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