Robots surgeons

Robot Surgeons Market

Main Article: Robotic Surgeons (Global Market)

2024

For the first time in the world, they began to perform operations with the help of robotic surgeons controlled by an AR helmet and a 3D camera

In early November 2024, surgeons from Chile conducted the world's first robotic operations using the Levita MARS robot surgeon, the Quest 3 headset (developed by Meta, whose activities in Russia are recognized as extremist and prohibited) and the B. Braun Aesculap EinsteinVision 3D camera. Read more here.

A robot surgeon for heart operations has been commissioned. He treats arrhythmia

On November 6, 2024, Stereotaxis announced the start of operation of its Genesis robotic magnetic navigation (RMN) platform. It began to be used by doctors at the University of Kansas Health System in the treatment of arrhythmia. Read more here.

Robot surgeon who performs laser trepanation of skull to conscious patients released

On November 4, 2024, German scientists from the Fraunhofer Institute of Laser Technology in Aachen announced the development of a robotic surgical system that is capable of performing laser trepanation of the skull to patients in consciousness. The new technology is expected to help improve the effectiveness and safety of a number of procedures on the brain in the future. Read more here.

Robot surgeon who removes kidney stones without incisions commissioned

In early November 2024, Roen Surgical unveiled the world's first AI robot, Zamenix, to surgically remove kidney stones. The first robotic surgeons have already arrived at Samsung Medical Center. Read more here.

Robot surgeon released to remove prostate

At the end of October 2024, the MedBot surgical robot performed the first telesurgical operations to remove prostate tumors in Africa. MicroPort reported six cases of laparoscopic prostatectomy successfully performed using a surgical robot in Angola. Read more here.

Robotic surgeon released for suturing vessels

On October 18, 2024, the Dutch startup Microsure announced the development of a robot surgeon MUSA-3, designed specifically for reconstructive microsurgery. The device is capable of suturing blood and lymphatic vessels, as well as nerves, with the highest accuracy. Read more here

Moscow Regional Research Institute of Obstetrics and Gynecology named after Academician V.I. Krasnopolsky received a robot surgeon da Vinci

In October 2024, an integrated operating room with the da Vinci robotic system began work at the Moscow Regional Research Institute of Obstetrics and Gynecology named after Academician V.I. Krasnopolsky (MONIIAG). The complex combines the capabilities of robot assisted surgery, engineering systems and a modern 3D imaging system. Read more here

First robot surgeon to treat cataracts released

On October 16, 2024, Horizon Surgical Systems, separated from the University of California at Los Angeles in 2021, introduced the first robotic surgical system for the treatment of cataracts. The complex, called Polaris, aims to empower ophthalmologists by eliminating existing limitations. Read more here.

Robot surgeon began to operate in Vishnevsky hospital

On October 17, 2024, it became known that operations using a laparoscopic robotic digital system were first carried out at the National Medical Research Center for High Medical Technologies - the A. A. Vishnevsky Central Military Clinical Hospital (TsVKG). Read more here

Russian surgeons began performing coronary artery bypass grafting using a robot. The chest barely opens

Russian surgeons began to carry out coronary artery bypass grafting with the help of, robot surgeon da Vinci practically without opening the patient's chest. The first such operation was successfully performed at the cardiovascular surgery clinic Sechenov University in July 2024. More here

The surgeon performed the operation at a distance of 9,000 km using a gamepad from the game console

In mid-September 2024, it became known that researchers from the robotics center in Switzerland were able to successfully conduct remote endoscopy at a distance of 9300 km using a gamepad from the game console. The study was conducted as part of a collaboration between the University of China (CUHK) and the Swiss Federal Institute of Technology Zurich.

Using a game controller, the researchers successfully injected an endoscope and performed a biopsy of the stomach wall of a pig that was at that time at the University of China. This procedure was the first case of remotely controlled endoscopy using a magnetic navigation system.

The surgeon performed a remote operation using a gaming gamepad

Thanks to such technologies, in the future it will be possible to remotely conduct operations on patients from remote regions of developing countries who lack doctors. Professor Bradley Nelson, head of the Institute of Robotics and Intelligent Systems in Zurich, clarified that trials of the new technology with human participation will begin in about two years.

Professor Philippe Chiu Wai-yan, dean of the Faculty of Medicine at the University of China, noted that an endoscope of a new design was used for the operation, which made the instrument thinner, which means more flexible and manageable. In turn, the use of a game joystick means that the doctor does not need additional training in managing complex tools, and the use of magnetic fields has become a revolutionary technology that has allowed for more accurate control over remote operational intervention.

The researchers note that while much remains to be done, the use of remote surgery technologies could be a major help for patients from poor remote regions around the world.^[1]

For the first time, a person removed the pancreas using a robot. Now he lives without this gland

In early September 2024, Israeli specialists from the Galilee Medical Center in Naharia announced the first operation to completely remove the pancreas using a robotic system. The use of the robot provides a number of advantages over traditional surgery, including improving accuracy, reducing the risk of complications and speeding up the rehabilitation process of patients. Read more here

Robot surgeon released to treat prostate cancer

On August 21, 2024, Procept BioRobotics introduced the Hydros robotic system for the treatment of prostate cancer. The complex uses artificial intelligence algorithms to individually plan procedures taking into account the unique anatomy of each patient. Read more here

Robot dentist performed the world's first procedure on a person

At the end of July 2024, a robot dentist controlled by artificial intelligence, for the first time in the world, completely performed the procedure on a human patient. It took him eight times less time than a human dentist. Read more here

Robotic surgeons in Russia began to remove stones from the kidneys

In Russia, for the first time, a robot-assisted operation was carried out to remove a stone from a child's ureter using intraoperative ultrasound. The procedure in July 2024 was successfully carried out by specialists from the Irkutsk State Regional Children's Clinical Hospital. Read more here

A robot surgeon came out for urological operations for children

On July 23, 2024, Asensus Surgical announced the release of a version of the Senhance robotic surgical system that can be used for urological operations. Specialists will be able to perform such procedures for both adults and children. Read more here

A robot surgeon has appeared in Moscow hospital No. 13 for joint arthroplasty operations

On June 17, 2024, it became known that a new robotic surgical system was put into operation in the city clinical hospital No. 13, designed for joint replacement operations. This innovative solution will significantly increase the accuracy of implant placement and minimize the risk of complications, providing patients with long-term and comfortable use of prostheses. Read more here

In the Bashkir clinic, a South Korean robot surgeon began to be used for joint and knee operations

In early July 2024, in one of the clinics in Bashkiria, the South Korean robot surgeon Cuvis-joint began to be used for the first time to perform operations on the joints and knees. Read more here

Robotic surgeons begin to perform complex operations on the spine

In early June 2024, a research team at the University of Hong Kong unveiled a groundbreaking development of robotic spinal surgery. Since October 2023, the team has successfully performed complex spinal surgeries involving a robot surgeon in twenty patients.

The researchers note that the use of robotic technologies in spinal surgery provides an unprecedented accuracy, safety and minimally invasive approach, thereby reducing the risk of complications and the need for repeated surgeries.

The robotic system for spinal operations allows preoperative planning using CT images of the patient's spine. Thanks to this, the surgeon can choose the ideal entry point, screw size and trajectory, taking into account the unique anatomical features of each patient and the predicted position of the screw in the spine. During the operation, the robot surgeon allows the screws and other fastening materials to be accurately positioned in the planned position.

The robotic guidance system also allows surgeons to visualize the position of the patient's spine in real time, helping to achieve an unprecedented level of accuracy and accuracy when implanting a screw.

We believe that this revolutionary approach will completely change the approach to the prompt treatment of patients with scoliosis or other spinal diseases, increase the accuracy, effectiveness and safety of operations, reduce the number of revisions, reduce the frequency of postoperative complications and reduce the length of time patients stay in hospital. Ultimately, this will allow patients to receive the necessary care as early as possible, "said Dr. Kwan, head of the Department of Orthopedics and Traumatology at the University of Hong Kong.[2]

Robot surgeon da Vinci 5 released - with 3D support and high-precision navigation

In mid-March 2024, the American company Intuitive Surgical introduced a new generation robotic surgical system - the da Vinci 5 complex for minimally invasive operations. It is claimed to be Intuitive Surgical's most productive and intelligent platform. Read more here.

2023

Processor for creating robotic surgeons with ultrasound entered the market

On December 19, 2023, Butterfly Network and Mendaera announced an agreement to commercialize robotic surgical systems equipped with an Ultrasound-on-Chip specialized ultrasound processor. It is assumed that medical complexes of a new type will help increase the effectiveness of a wide range of intervention procedures. Read more here.

Knee replacement began in Russia with the help of a robot traumatologist

For the first time in Russia, Sechenov University performed knee replacement using a new generation robot. The university told about this in early December 2023. Read more here.

Named 8 main problems of the development of robotic surgeons

Robotic surgery has opened up many opportunities to improve patient outcomes in a wide variety of fields. However, industry participants face numerous obstacles, including the high complexity of basic systems, the enormous cost of implementing projects, and the need for strict compliance with security requirements. On October 25, 2023, the Medical Device + Diagnostic Industry (MD + DI) resource named eight key problems in the development of robotic surgeons.

1. Cross-functionality

This model assumes that teams of professionals with different skills and experience need to work together to achieve a common goal. The main task of creating cross-functional commands is to increase the efficiency, responsibility, performance and readiness for decision-making. For example, hardware developers can help programmers and vice versa.

2. Risk Management

Hardware failures, power loss, cybersecurity incidents, data delays and system conflicts are just a few factors that must be considered by robotic surgeon developers. Some problems can be solved by using several independent nodes designed for certain functions. In addition, experts recommend isolating critical processes.

3. Ensuring cybersecurity

The architecture of robotic surgical systems, as noted, should initially be designed with an eye to cyber defense. In particular, the most important modules should be shielded from network access in order to prevent deliberate intruder interference or unwanted side effects of atypical network traffic.

4. Using artificial intelligence

Against the background of the active introduction of AI applications in the healthcare sector, companies face additional requirements for data processing and generation. Therefore, experts say, developers should pay close attention to learning and checking their AI models. In addition, ethical requirements must be considered at each stage of AI development and implementation.

5. Remote Management and Monitoring

Robotic surgery often provides for the possibility of remote control of the procedure. Therefore, it is necessary to provide the most reliable network connection with the highest bandwidth and minimum delays. Disconnection during surgery can lead to the most negative consequences for the patient.

6. Systems testing

It can take as long or even longer to check the software and hardware components of robotic surgeons as it takes to develop a product. Therefore, Design For Verification, which takes into account the ease of detection, diagnosis and correction of bugs, should be one of the priority requirements for creating surgical systems.

7. The need for large-scale efforts

The development of a surgical robot is an extremely difficult and resource-intensive task. Projects in this area require the participation of teams of engineers from different disciplines with deep knowledge in a wide range of areas. Companies should prepare for huge financial and time costs.

8. Project planning

Time to market is one of the key factors in the future success of the project. Careful planning of the development process from the very first day, taking into account numerous factors, will provide the most effective way to create a competitive product.^[3]

Robot surgeon selectively killing cancer cells introduced

US Medical Innovations (USMI) has announced plans to showcase the artificial intelligence surgeon Canady next year. This was reported on September 22 by Mass Device. Read more here.

A bioprinter for printing with live cells was tested in Russia right in the operating room

Modified by scientists MISIS University bioprinter in a form robohands that can print live cells directly on a patient in the operating room, has successfully passed animal tests in a preclinical laboratory MNII named after P.A. Herzen and is ready for further stages of research. This was Zdrav.Expert announced on September 22, 2023 by representatives of MISIS. This technology of bioprinting in situ, i.e. directly into a defect, in the future may become a progressive therapeutic method, ulcers and burn treatment extensive soft tissue injuries. More. here

Robot surgeon out to treat prostate tumours

On September 12, 2023, the American company Procept BioRobotics announced the development of the Aquablation robotic surgical system for the treatment of prostate tumors. Read more here.

A mixed reality system for neurosurgical operations with millimeter accuracy has been released

On September 11, 2023, the American company Zeta Surgical introduced a mixed reality navigation platform for neurosurgical operations with millimeter accuracy. The solution was named Zeta Cranial Navigation System. Read more here.

A robot surgeon came out to remove tumors in the lungs

On September 7, 2023, French company Quantum Surgical announced the release of the Epione robotic surgical platform to remove malignancies in the lungs. Read more here.

Chinese company unveils surgeon's robot for laparoscopy

In early September 2023, the Chinese company Ronovo Surgical announced the release of the Carina robotic surgical platform for laparoscopic operations. Read more here.

A robotic arm has entered the market, which replaces surgical assistants on operations

On August 22, 2023, Levita Magnetics announced the release of the MARS robotic surgical platform - it replaces doctors with assistants on operations. Read more here.

Russian robotic complex for brain operations presented

In August 2023, the Central Research Institute Electric device"" presented a robotic complex for head operations. brain We are talking about the joint use of the Orbit manipulator and the cryodestructor "" Crystal to help neurosurgeons. More. here

For robotic surgeons, pressure sensors of unprecedented accuracy have appeared. They are created by the effect of a lotus leaf

On August 18, 2023, researchers from the National University of Singapore reported on the development of an aeroelastic eAir pressure sensor for robotic surgery systems. The product provides tactile feedback, which allows doctors to more accurately manipulate the patient's tissues. Read more here.

Global sales of robot surgeon for heart, neck and genital surgeries begin

On August 9, 2023, SS Innovations International announced the start of international sales of the SSi Mantra robotic surgical system. The complex is delivered to the Aster Hospital Clinic in Dubai, which is partly controlled by Aster DM Healthcare Limited - a public multinational commercial entity running 32 hospitals and a network of other health facilities in six countries. Read more here.

World's first robot liver transplant performed

On July 12, 2023, American researchers at Washington University School of Medicine in St. Louis reported performing the first successful liver transplant operation through. robot More. here

Stryker unveils world's first fully automatic knee implant system

On July 6, 2023, the American company Stryker announced the release of the world's first fully automatic knee implant system. The solution was called the Ortho Q Guidance System. Read more here.

World's first baby born after fully robotic uterine transplant

On May 25, 2023, the world's first child was born after a completely robotic uterine transplant. The boy, who is 49cm long and weighs just over 3kg, was born at Gothenburg University Hospital. Read more here.

Mini robot for complete knee replacement entered the market

In early June 2023, THINK Surgical, in collaboration with Sagentia Innovation, launched the TMINI miniature robotic system on the market. The device represents a surgical instrument for total knee replacement. Read more here.

Chinese company unveils analogue of Da Vinci robot surgeon

In early June 2023, it became known that the Chinese company Weigao Group has developed an advanced robotic surgery system, which is an analogue of the American Da Vinci complex developed by Intuitive Surgical. Read more here.

Compact robot surgeon for knee operations comes out

On May 30, 2023, the American company Think Surgical, based in Fremont, announced the compact robotic system Tmini, designed to perform complex knee operations. Read more here.

Siemens Healthineers discontinues production of robotic heart surgeons

On May 10, 2023, medical device supplier Siemens Healthineers AG announced the cessation of production of robots for cardiac surgery due to deteriorating financial performance. Read more here.

Da Vinci robot surgeons start removing prostate

On April 28, 2023, the American company Intuitive announced the start of using the da Vinci SP robotic surgical system to perform a so-called simple prostatectomy. Read more here.

Russian scientists have proposed a method for protecting robotic surgeons from cyber attacks

A team of Russian scientists has proposed an approach to ensuring cybersecurity of intelligent teleoperating surgical systems, taking into account modern requirements. As Zdrav.Expert was reported on April 3, 2023 by representatives of the Neurosputnik company, the approach has already been applied to ensure the safety of the company's development - a domestic intelligent robotic complex for endovascular neurosurgery LevshAI. Read more here.

Exoscope robot for oncoperations presented

On March 22, 2023, Toronto-headquartered medical technology company Synaptive Medical unveiled a next-generation robotic exoscope. The system, called Modus X, is designed to help surgeons perform complex cancer surgeries. Read more here.

Stryker unveils robotic surgeon for knee arthroplasty

In early March 2023, Stryker announced the release of the Mako Total Knee 2.0 total knee surgeon robot. The system was created based on the results of more than 500 thousand procedures, the manufacturer notes. Read more here.

Device for controlling sutures and needle removal in robotic surgery released

On February 21, 2023, Origami Surgical announced StitchKit's robotic surgery solution. device is intended for control of suturing and removal of needles. Read more here.

Johnson & Johnson robot surgeon begins removing kidney stones

In early February 2023, the company, Ethicon a subsidiary, Johnson & Johnson announced the first successful procedure under. robotic removal kidney stones The operation was carried out using the Monarch platform. More. here

2022

Out robot surgeon for soft tissue operations

On December 6, 2022, Moon Surgical announced the release of the Maestro robotic system for soft tissue operations. For the commercial implementation of the project, the manufacturer previously attracted investments. Read more here.

Robot surgeon released for dental operations

On November 15, 2022, Neocis announced the release of a robotic surgical system for dental operations. A robot called Yomi helps doctors during the planning and surgery stages when dental implants are installed. For example, the robot offers interactive digital planning software and physical guides for surgical instruments. Read more here.

Robot surgeon out for tremor surgeries

In early November 2022, medical technology specialist Medical Microinstruments introduced the Symani microsurgical robot. The robotic system is designed to assist in microsurgical operations and has a number of advanced functions to achieve this goal. Read more here.

Hospitals have started using robots that lay out surgical instruments in places

In mid-October 2022, hospitals in the United States began using robots that lay out surgical instruments in places. RIF Robotics aims to use a combination of AI and robotics to free healthcare professionals from the burden of routine tasks so they can focus on clinical work. Read more here.

The number of operations carried out in Moscow exceeded 4.5 thousand

In Moscow, the number of operations carried out with the help of robotic surgical complexes is growing. Over the past four years, as part of the provision of high-tech medical care, about 4.5 thousand minimally invasive robotic surgical interventions have been carried out in the capital's hospitals. Since the beginning of 2022, their number has already exceeded the indicators of 2019. This became known on August 26, 2022.

Modern technologies are used everywhere in Moscow medicine. Some of the most complex operations are performed by doctors using robotic complexes. Such equipment expands the capabilities of medical specialists several times. At the same time, operations performed with the help of robotic complexes are low-traumatic and allow patients to recover faster. The availability and number of such medical interventions in the capital is constantly growing. This became possible thanks to the purchase of new updated equipment, as well as a constant increase in the professional competencies of the capital's doctors. At the same time, the scope of use of robotic complexes is also expanding. If earlier they were operated on mainly by urologists, now this technology is actively used in abdominal and thoracic surgery, oncology, gynecology, proctology. Since the beginning of 2022, with the help of such complexes, as part of the provision of high-tech medical care, Moscow doctors have already performed more than 800 operations and exceeded the indicators of the entire dock-shaped 2019. And in just the last four years, about 4.5 thousand operations have been performed with the help of robotic surgical complexes in the capital, Anastasia Rakova told

Six Da Vinci robotic surgical complexes have been installed in Moscow hospitals, including two of the latest XI IS4000 model. They are used to perform highly accurate surgical operations without large external incisions. Da Vinci is used in the city clinical hospitals named after S.P. Botkin and S.I. Spasokukotsky, the Moscow Clinical Scientific Center named after A.S. Loginov, as well as in the city clinical hospital No. 31.

The device consists of two units: behind one is an operator who, using special joysticks, controls medical instruments installed on the second unit. The doctor at the console sees the operated area with a high-precision magnification. Surgeons practicing robotic operations constantly support and improve their skills, including on the equipment of the Personnel Center of the Moscow Department of Health and the medical simulation center of the Botkin Hospital.

In the hospitals of the Moscow Department of Health, topical methods of treatment are used, including endovascular treatment of ischemic stroke, coronary artery bypass and prosthetics of heart valves, operations to remove tumors, vascular formations in the skull cavity without incisions with the help of ionizing radiation, the most complex endoprosthetics and revision endoprosthesis of large joints, as well as many others. Today, high-tech medical care is available free of charge in over 40 city hospitals, it is provided in more than 20 profiles.^[4]

Robot surgeon introduced for complete knee replacement

In late August 2022, MicroPort introduced a fully knee replacement assisted surgery robot called SkyWalker. Read more here.

The first fully robotic microsurgical operations were carried out in Germany

On August 19, 2022, it became known that a team of specialists led by researchers Dr. Maximilian Kückelhaus and Professor Tobias Hirsch from the Center for Musculoskeletal Medicine at the University of Münster for the first time performed a fully robotic microsurgical operation on a person. The use of a new approach will exclude the operating surgeon from the area of ​ ​ the operation.

Experts have been using the robot for two months. During this time, five successful operations were carried out. The use of robots in clinical research is carried out in collaboration with the University Hospital of Munster and the Hornheide Specialty Clinic.

This new surgical technique allows operations to be performed with much greater caution and efficiency compared to conventional surgical techniques. As a result, fewer tissues undergo destruction, and patients recover faster, says Dr. Maximilian Kückelhaus.

This method is used by doctors, primarily for breast cancer patients who need complex breast reconstruction surgery, as well as after accidents when patients need tissue transplant surgery. With the help of a robot and a robotic microscope, surgeons can again suture thin anatomical structures, for example, blood vessels, nerves or lymphatic vessels, the diameter of which is often no more than 0.3 mm.

During the operation, the Symani surgical system uses electromagnetic fields and joysticks to carry out the movement of human hands. With the help of tools reduced by 20 times, the robot reproduces the movements of the operating surgeon, which allows you to get rid of the shaking inherent in human hands. A robotic microscope is also connected to the operating robot, which displays the operated area through an augmented 3D reality headset using two high-resolution monitors. The headset has a binocular that allows you to combine the real world with virtual information. Thanks to this, the movements of the surgeon's head can be fixed and transmitted to the robot, which allows you to use even complex viewing angles of the operated area. In addition, the operating surgeon can use various menu functions and use the functionality of the robot without using hands.^[5]

Doctors start using robot that removes kidney stones

As it became known in June 2022, doctors began to use a robot that removes kidney stones. We are talking about a device with artificial intelligence called Automated Needle Targeting with X-ray (ANT-X), developed by the Singapore company NDR Medical Technology. Read more here.

R-One performs coronary angioplasty with 0% complications

Published on May 18, 2022, a European study of 62 patients showed that coronary angioplasty using Robocath's R-One surgeon robot is safe and effective, and also reduces doctors' exposure to radiation. Read more here.

Excelsius3D with X-ray and 3D visualization began to carry out operations

On May 19, 2022, Globus Medical announced the first operations using its Excelsius3D imaging platform. Dr. Paul K. McAfee and Dr. Mesfin A. Lemma of Medstar Union Memorial Hospital (Baltimore), Dr. Roland Kent of Northwestern Specialty Hospital (Post Falls, Idaho), and Dr. Jeffrey A. Goldstein of NYU Langone Health (New York) conducted the first clinical cases using Excelsius3D along with the ExcelsiusGPS decision. Read more here.

First time robot surgeon performed laparoscopy without human help

In early February 2022, the Smart Tissue Autonomous Robot (STAR), developed by a team of researchers at Johns Hopkins University, performed laparoscopic surgery on pig soft tissues without human involvement. Read more here.

Launch of a robotic surgeon for total hip replacement

On January 26, 2022, Smith + Nephew announced the expansion of its Cori surgical system to include total hip replacement. Read more here.

2021

Zimmer Biomet recalls defective neurosurgeon robots

On October 29, 2021, information appeared that Zimmer Biomet was recalling defective robot neurosurgeons Rosa One 3.1 Brain Application for robot-assisted neurosurgical procedures, this review was attributed to class I. In total, three complaints were filed about a problem with the device, with no deaths or injuries reported. Read more here.

Rosa Hip robotic surgeon's announcement for hip replacement

In mid-August 2021, Zimmer Biomet released the Rosa Hip robotic surgical system for complete hip replacement. It's the fourth robotic system the company has launched, and it complements Rosa's portfolio of orthopedic devices, which includes Rosa Knee, Rosa Partial Knee and Rosa One. Read more here.

Medtronic robot surgeon begins to be used for gynecological operations

At the end of July 2021, Medtronic announced the first gynecological operations using the RAS Hugo robotic surgery system. The new system was successfully used during six procedures, including hysterectomy and myomectomy and performed at Pacifica Salud Hospital in Panama City (Panama). Read more here.

First use of magnetic robot surgeon to remove gallbladder

In early July 2021 Levita Magnetics , it announced that for the first time in history, surgery with the use robotics was performed using an innovative robotic platform. Levita The development of the company was used in laparoscopic cholecystectomy with a reduced incision (removal of the gallbladder). More. here

Announcement of Velys - robot surgeon for prosthetic knee joint

At the end of January 2021 Johnson & Johnson , the unit included in the group DePuy Synthes introduced a robot surgeon Velys for prosthetics of the knee joint. The Velys is a robotic system designed to fit the prosthesis Attune for appropriate indications, according to a press release. According to the developers, the system should enter the Velys digital surgical platform, which will provide control over the entire process, from preoperative manipulations to rehabilitation. More. here

2020

Dexter robot surgeon working with all laparoscopic instruments entered the market

In mid-January 2021, the Swiss company Distalmotion announced the launch on the European market of its surgical, robot Dexter which, according to the manufacturer, works with any laparoscopic instruments. More. here

Senhance robot surgeon working with reusable tools entered the Russian market

In December 2020, the Federal Service for Supervision in the Field health care () Roszdravnadzor issued an indefinite registration certificate to a robot surgeon Senhance being developed by an Italian company. TransEnterix An application for registration of a medical product was submitted to the department by MedRegistrar LLC. More. here

Johnson & Johnson unveils Ottava surgical robotic platform

In mid-November 2020, Johnson & Johnson presented the first data on the Ottava surgical robotic platform, which, according to the developers, provides unmatched flexibility and control. The new system consists of six manipulators integrated into the operating table. The platform takes up almost no room space, providing comprehensive access to the patient, increasing free space in the operating room and optimizing the workflow. Read more here.

MIRA robot surgeon announcement for complex abdominal surgeries

At the end of October 2020, Virtual Incision introduced the MIRA platform, which is positioned as a "miniature robot assistant in vivo." It is designed for complex abdominal surgeries. According to the developers, this is the first miniature surgical platform of its kind. Read more here.

Symani robot surgeon announcement for open microsurgical procedures

At the end of October 2020, the Italian company MMI SpA introduced a system called Symani, which is designed for open microsurgical procedures. According to the developers, the new system uses the world's smallest NanoWrist tool, which duplicates wrist movements. With seven degrees of freedom and mechanisms to reduce tremors and scale movements, this tool acts even more deftly than human hands. Read more here.

Announcement of the Moray Clipper TEER robotic catheter for heart disease

At the end of October 2020, it became known that the California company Moray Medical developed robotic catheter for the treatment of heart disease, and also introduced a number of technologies to facilitate the work of a cardiac surgeon, including - AR programs and a digital three-dimensional interface. More. here

Kuka Robotics Colonoscopy Robot Announcement

In mid-October 2020, it became known that Kuka, together with the University of Leeds in the UK, developed a robotic system that can help a doctor or nurse perform a colonoscopy. The system uses magnets to adjust the probe's progress through the gut, and its developers argue that this approach is easier for operators and less painful for patients. Read more here.

The start of sales of Aesculap Aeos - a digital robot microscope for surgeons

In mid-October 2020, the Aesculap Aeos robotic digital microscope manufactured by True Digital Surgery and Aesculap went on sale. The system consists of a robotic arm and digital displays and, according to the developers, allows surgeons to achieve better imaging and higher contrast than with standard optical microscopes. Read more here.

Neocis dental implant robot developer attracts tens of millions in investment

In mid-October 2020, the developer of medical robots Neocis raised $72 million as part of a series of investments D. The company plans to use the funds to continue work on its Yomi robotic system for surgical implantation of teeth. Read more here.

Sony microsurgical robot announcement

In early September 2020, researchers at Harvard's Wyss Institute and Sony Corporation unveiled a tiny robotic surgeon's assistant with which to perform very accurate microsurgery. It will allow not only to free up space in the operating room, but also to perform operations on especially fragile tissues and small anatomical structures that are not yet available for the tools of large robotic systems. Read more here.

Progress in treating laryngeal cancer with robotic surgeons

In early September 2020, researchers at Cedars-Sinai in Los Angeles presented a study that found the best long-term results were obtained in patients with early-stage oropharyngeal squamous cell carcinoma operated on transoral robotic systems. The researchers believe this may be due to better imaging, less need for subsequent radiotherapy and the ability to remove the tumor in one piece using minimally invasive methods. Read more here.

ActivEdge announcement - a platform that improves the accuracy of robotic surgeons

In mid-July 2020, the Boston startup Activ Surgical released a platform that improves the accuracy of robotic surgeons. To further develop and optimize, the startup raised $15 million in venture capital funding, including from companies such as LRVHealth, DNS Capital, GreatPoint Ventures, Tao Capital Partners and Rising Tide VC. Read more here.

Cori robot surgeon for knee prosthetics introduced

In mid-July 2020, the British company Smith & Nephew released Cori a new generation robotic surgical system. It is intended for total and single-component knee replacement. It should be much faster and more efficient than the previous system. Smith & Nephew Navio More detailed. here

Russian surgeons will be able to carry out operations with the participation of domestic robots

Innopolis University together Kazan Electrotechnical Plant (CETZ) with the development, medical robot which will be among the first to receive a registration certificate, Roszdravnadzor reported on June 16, 2020 in - TASS Information Agency of Russia Russian IT vuz. More. here

Da Vinci robot surgeons recall over defective software

In early June 2020, the Food and Drug Administration (FDA) announced the recall of the da Vinci SP robotic surgical system. Read more here.

Robotic surgeons start treating brain vessel aneurysm

In mid-March 2020, Canadian surgeons successfully performed surgery for a brain aneurysm using a robotic surgical system for the first time. Read more here.

The first hernia removal operation in Russia was carried out using a robot surgeon Da Vinci

At the end of January 2020, the first operation in Russia was carried out to remove a large hernia using the Da Vinci robot surgeon. It was produced by surgeons of the city hospital No. 31 in Moscow. Read more here.

2019

Virtual reality robot surgeon officially allowed to undergo operations for the first time

At the end of December 2019, the Food and Drug Administration (FDA) officially allowed a robot surgeon with virtual reality functions for the first time. The corresponding permission was received by Vicarious Surgical. Its device was not only approved by the regulator, but also received the status of a breakthrough technology - for the first time in the history of robotic surgery. Read more here.

Medtronic launches robotic neurosurgery platform

In mid-December 2019, Medtronic unveiled a robotic platform designed for neurosurgery. The Stealth Autoguide Platform is a guidance system that serves to spatially position and orient the holders and guide tools used in neurosurgical procedures. The accuracy provided by the Stealth Autoguide system will help neurosurgeons perform unique complex operations, the American manufacturer claims. Read more here.

Robot traumatologist at Sechenov University performs knee replacement without the participation of a surgeon

On December 11, 2019, Sechenov University told Zdrav.Expert that it was actively introducing a robot traumatologist into clinical practice. The programmed robot performs the main stages of the operation in automatic mode at the Clinic of Traumatology, Orthopedics and Joint Pathology. As of December 11, 2019, ten surgical interventions with his help have already been carried out. The robot is in the setup stage, and from mid-December 2019, the device will be officially put into active operation. Read more here.

Cardiologist via the Internet performed the first percutaneous coronary intervention

In late October 2019, Michigan cardiologist Ryan Madder performed the first transcontinental percutaneous coronary intervention in the United States. Read more here.

Siemens robot surgeon performs first brain surgery

In mid-November 2019, robot the surgeon of the company, Corindus which was bought a few weeks earlier, Siemens performed the first neurosvascular operation. The robot operated under the direction of Dr. Vitor Mendes Pereira, a neurosurgeon and neurorentgenologist at Western Hospital Toronto and the Krembil Brain Institute in more To Canada. here

RDIF invested in Russian developer of robotic surgeons

On November 9, 2019, the Russian Direct Investment Fund (RDIF) announced its investment in AST. The amount of the funding round has not been reported. Read more here

Medtronic introduced a robot surgeon and promises inexpensive operations with it

In late September 2019, Medtronic unveiled Hugo, a robotic surgical platform that has been in development for years. The company promises that the new robot surgeon with a modular configuration system will reduce the cost of many operations and expand the scope of surgical robotics. Read more here.

Zimmer Biomet admits marriage in robotic neurosurgeons

In mid-September 2019, Zimmer Biomet acknowledged the existence of a marriage in Rosa Brain 3.0 neurosurgeon robots. Due to a software glitch, they do inaccurate operations on the skull: according to the company's warning, an incorrect sequence of operations can cause "a discrepancy between the initial marking of the skin on the skull and the trajectory of the tool." Read more here.

SinaRobotics and Medical Innovators agreement with Russia on the production of robotic surgeons

On July 17, 2019, it became known that the robot surgeon Sina Surgery, developed by the Iranian startup Sina Robotics and Medical Innovators, will be produced in Russia. Read more here.

A robot surgeon stitches up a wine grape. Video

2018

US: Robotic surgeons are already doing 15% of all operations in Michigan

In mid-January 2020, it became known that robotic surgical procedures accounted for 15.1% of all total operations in 2018 (for comparison, in 2012 they accounted for only 1.8%). The scientific work is published in the journal JAMA Network Open.

The researchers analyzed data from the specialized clinical registry for the period January 1, 2012 to June 30, 2018. The registry included data from 169,404 patients who underwent robotic, open or laparoscopic procedures at 73 Michigan hospitals.

In hospitals that deployed robotic surgery programs, there was an immediate increase in the number of these procedures and a corresponding decrease in laparoscopic minimally invasive operations. The use of robotic surgery rose 8.8% in the first four years after the technology was introduced, while the frequency of laparoscopic procedures decreased from 53.2% to 51.3%. The study showed that before the use of robotic operating systems, the proportion of laparoscopic operations in hospitals increased steadily by 1.3% per year.

The authors of the study remind that the rapid introduction of the new technology into clinical practice requires careful monitoring of models of application of robotic surgery. So far, the researchers believe, enthusiasm for the technology outpaces the evidence base for its real effectiveness. They note that robotic surgery can be a more expensive option compared to traditional open-label or laparoscopic techniques, and its effectiveness has not been proven in all cases. For example, regulators oppose the use of robotic technologies in the treatment of breast cancer and cervical cancer, and laparoscopic operations to remove the gallbladder are more economically beneficial.^[6]

The world's smallest robot surgeon

In July 2018, CMR Surgical unveiled what the company claims is the world's smallest surgical robot. The model, called Versius, is three robotic arms attached to a mobile device the size of a bar. Read more here.

Robot performing brain surgery in MRI scanner created

On June 20, 2018, it became known that researchers from China created a robot capable of performing brain surgery during MRI scans.

According to the Standard, a group of scientists from the University of Hong Kong led by Guo Zi-yan concluded that the use of the robot increased the accuracy and effectiveness of surgery using implanted electrodes to restore brain activity. The discovery will help treat Parkinson's disease, brain tumors and depression. The robot consists of a liquid drive, a manipulator with two "hands" for inserting needles, as well as wireless trackers.

During surgery, surgeons will be able to locate the desired area using real-time imaging and then properly implant the electrodes. The electrodes will transmit signals to the affected area and restore normal cellular activity.

Danny Chan Tat-ming, a consultant from the Department of Surgery at the University of China in Hong Kong, said that the invention has changed the very concept of such a procedure, i.e., instead of a preliminary MRI scan performed before the operation, a real-time scan is now used. Thus, the robot avoids errors in determining the affected area. In addition, the invention relieves the psychological tension of the patient, since this procedure can be performed painlessly under general anesthesia instead of local anesthesia. Previously, doctors asked the patient not to sleep during surgery to maintain contact with him to accurately place the electrodes.

Robots used to perform such procedures abroad interfere with the operation of the scanner. According to scientists, this invention represents a "big breakthrough in the field of surgery." By June 2018, the robot is undergoing preclinical tests.^[7]

2017

Operations with robotic surgeons cost more and last longer

Robotic surgical systems like Da Vinci are considered more skillful, accurate and fast compared to humans. However, a study by Stanford University School of Medicine (Stanford University School of Medicine), published on October 24, 2017 in The Journal of the American Medical Association (JAMA), showed that in some cases traditional operations are more appropriate.^[8]

After analyzing almost 25 thousand operations performed in 416 American clinics from 2003 to 2015, experts found that during laparoscopic operations to remove the kidney with the help of robotic surgeons, the outcome for patients was no better than when they were performed in the usual way. It also found that robotic surgery was more likely to be longer.

With traditional laparoscopic removal of the kidney (radical nephrectomy), only 28% surgical interventions lasted more than 4 hours, while in cases of using robotic systems, operations were delayed twice as often - in 46 percent. Plus, procedures performed by robotic surgeons, on average, cost about $2.7 thousand more than traditional operations.

In the absence of a statistical difference in the results or length of stay in the hospital, robotic procedures were more expensive and had a higher probability of increasing the time of surgery, "emphasized one of the authors of the study, Doctor of Medical Sciences and Associate Professor of Urology Benjamin Chung.

In complex operations that require high accuracy of movement or a large number of internal sutures, surgical robots are certainly very useful. But in operations such as radical nephrectomy, the use of robotic systems may not be so advisable, experts summarized.^[9]

150 operations of the Senhance robot

In October 2017, it became known that Senhance a total of 150 operations were carried out with the help of a robot surgeon as part of test tests of the system. Its entry into the commercial market is just around the corner, as the novelty has received approval from the American authorities, who also noted that Senhance is not inferior to the more popular one. da Vinci More. here

First supermicrosurgical surgery

In early October 2017, it became known about the world's first successful supermicrosurgical operation to treat lymphedema using "robotic hands."

Lymphodema is a disease of the lymphatic system in which the outflow of lymphatic fluid from the lymphatic vessels is disturbed, which leads to increasing edema of the surrounding tissues. Secondary lymphedema is one of the common side effects after surgical and radiation treatment of cancer patients, in which supermicrosurgery is indicated - an operation to connect vessels with a diameter of 0.3-0.8 mm.

The procedure requires high precision of movement, and few surgeons are able to perform it. To increase the accuracy of manipulations and eliminate such a factor as surgeon hand tremors, specialists from the Dutch medical center Maastricht UMC + used a robotic surgical installation manufactured by Microsure. The system, which reproduces the surgeon's movements and turns them into smaller and more accurate manipulations, made it possible to sew microscopic vessels and restore the lymph cell in the patient's hand.

The patient is already on the mend, and doctors are talking with great enthusiasm about the prospects of supermicrochirugria using robots, reports The Engineer. According to the publication, experts spoke about the successful operation at the recently held World Congress of Lymphology in Barcelona. You can see how this robot surgeon works in the video below:

Microsure CTO Raimondo Cau called the operation a breakthrough and noted that in the future, "robotic hands" will be able to be used in other, more complex types of supermicrosurgery, in particular, in tissue reconstruction operations after tumor removal.

Our device will allow you to perform operations with greater accuracy and fewer complications, "the specialist emphasized.[10]

Creation of a robot surgeon in Russia

On April 5, 2017, the Institute of Design and Technological Informatics of the Russian Academy of Sciences (ICTI RAS) presented the first domestic assisting robot surgeon, which is an analogue of the American Da Vinci. Its cost will be about 600 thousand rubles, which is about five times cheaper than an imported installation. 

Sergei Sheptunov, who is the director of the institute, spoke about some of the features of the future invention. The fundamental difference between the domestic product and the foreign robot surgeon Da Vinci is weight. A foreign machine weighs one ton, while domestic developments will weigh 4.5 kg in total.

The manipulators of the device will also differ. Russian scientists plan that the length of the manipulations will be 20 centimeters, which is more than 10 times the accuracy of the Da Vinci manipulator. It will be possible to control a domestic robot surgeon either using 3D glasses or using a monitor.

The project is financed by the Federal Agency for Scientific Organizations (FANO of Russia) and the Moscow government. Sheptunov also noted that his personal funds, as well as funds from other developers, were invested in the project. Olga Kolotilova, Director of the Department for the Development of the Pharmaceutical and Medical Industry of the Ministry of Industry and Trade of the Russian Federation, announced the department's readiness to support this project within the framework of the state program for the development of the pharmaceutical and medical industry, allocating subsidies for organizing the production of robots, but did not disclose the amount of proposed funding.

The Industrial Development Fund can also provide the project with a loan at 5% per annum. The Institute of Design and Technological Informatics of the Russian Academy of Sciences plans to attract foreign investors.^[11]

Notes