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Advances in Telesurgery and Surgical Robotics Dr Sanjoy Sanyal MBBS, MS (Surgery), ADPHA, ADHRD Presented at 9 th  National Medical Dental Conference in Seychelles, February 2006
Preface (added 2009) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The research pioneers  ,[object Object],[object Object],[object Object],[object Object]
World’s first telesurgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Background ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Definitions ,[object Object],[object Object],[object Object],[object Object]
Definitions – cont’d ,[object Object],[object Object]
Definitions – cont’d ,[object Object],[object Object],[object Object]
Technical aspects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Haptic ,[object Object],[object Object]
Robotic vs. human arm ,[object Object],[object Object],[object Object],[object Object],[object Object]
Telesurg dynamics @ MIT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http:// web.mit.edu/hmsl/www/Telesurgery
Telesurg components @ MIT
Surgeon’s master tool handle @ MIT
Surgeon’s master tool handle @ MIT
Master phantom haptic interface arm
Slave phantom haptic interface arm
Tele-operation slave tool
Tele-operation slave tool
Tele-operational details – Tool
Tele-operational details – Interchangeable tool tips
Experimental task - grasp / transfer
Experimental task - Grasp and transfer with orientation
Experimental task - Clip application
Experimental task – grasper / gripper and shear / scissors
Lap experiment box @ MIT
Lap simulator-1 @ MIT
Lap simulator-2 @ MIT
Dynamics of robotics @ UC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http:// robotics.eecs.berkeley.edu /medical/
Details of robots ,[object Object],[object Object],[object Object]
Holding robots ,[object Object],[object Object],[object Object],[object Object],[object Object]
Holding robots – cont’d ,[object Object],[object Object],[object Object]
Companion / Milli-robots / Robotic manipulators ,[object Object],[object Object],[object Object],[object Object],[object Object]
Companion robot – cont’d ,[object Object],[object Object],[object Object],[object Object]
Setup @ UC Berkeley
Equipment @ UCB
Robotic manipulator @ UCB
Mini robot controls @ UCB Roll-pitch-roll ‘wrist’, gripper and multi-fingered manipulators
Robotic endo-manipulator Endo-platform with biopsy forceps
Minute threading
Threaded robotic instruments – knot tying
2-G RTWL @ UCSF In a joint project between  RIML  of  UCB  and  Department of Surgery  of  University of California San Francisco  ( UCSF ), a  Robotic Telesurgical Workstation for Laparoscopy   (RTWL) was developed
Lap interface @ UCSF
4-DOF lap haptic interface
Robotic Cardiac Surgery @ EHIRC  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgeon’s console @ EHIRC ,[object Object],[object Object],[object Object]
Robotic manipulators @ EHIRC ,[object Object],[object Object],[object Object],[object Object]
IMA – LAD CABG
Totally endoscopic CABG  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Technical innovations  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Teletactation – Tactile feedback ,[object Object]
CyberTouch – CyberGlove ® ,[object Object],[object Object]
CyberGlove ® ,[object Object]
Dextrous master glove ,[object Object],[object Object],[object Object]
Spatial cognition – Hand assist in telesurgery Non-dominant hand in-vivo possibly enhances spatial skills through tactile cues, which generate a more accurate 3-D representation of anatomy
Lap chole simulation Simulated fat and fascia Dissected away; cystic duct clipped
Lap chole simulation – cont’d Cystic artery and duct divided successfully in simulated conditions
Karlsruhe Gynec endo surgery simulations
Gynec surgery simulations – cont’d http://www- kismet.iai.fzk.de/VRTRAIN/phD_main.html   http://www- kismet.iai.fzk.de/VRTRAIN/GIF/PHD/surgSim.jpg
Dextrous mini robots ,[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object]
Future applications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cutting edge research today, surgical technology tomorrow
Conclusion ,[object Object],[object Object],[object Object]

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