Description du projet
Un énorme pas en avant pour la chirurgie mini-invasive
La chirurgie mini-invasive (MIS) a fait d’énormes progrès avec l’avènement des techniques assistées par robots. Cependant, le véritable potentiel de la chirurgie mini-invasive assistée par robots (RAMIS) demeure inexploité en raison de limitations importantes au niveau de l’instrumentation et du contrôle. Des difficultés telles que l’accès restreint, le manque d’application de force et l’utilisation d’outils rigides dans des espaces confinés entravent l’adoption généralisée de la RAMIS dans diverses procédures. Le projet SMARTsurg, financé par l’UE, rassemble des experts dans le but de développer des technologies qui libéreront le plein potentiel de la RAMIS. Il se concentre plus particulièrement sur trois scénarios chirurgicaux phares: l’urologie, la chirurgie vasculaire et la chirurgie orthopédique des tissus mous. L’équipe développera des technologies de pointe, notamment des instruments anthropomorphes dotés d’une dextérité accrue, un maître multisensoriel portable pour la téléopération et des lunettes intelligentes.
Objectif
Robot-assisted minimally invasive surgery (RAMIS) offers many advantages when compared to traditional MIS, including improved vision, precision and dexterity. While the popularity of RAMIS is steadily increasing, the potential for improving patient outcomes and penetrating into many procedures is not fully realised, largely because of serious limitations in the current instrumentation, control and feedback to the surgeon. Specifically, restricted access, lack of force feedback, and use of rigid tools in confined spaces filled with organs pose challenges to full adoption. We aim to develop novel technology to overcome barriers to expansion of RAMIS to more procedures, focusing on real-world surgical scenarios of urology, vascular surgery, and soft tissue orthopaedic surgery. A team of highly experienced clinical, academic, and industrial partners will collaborate to develop: i) dexterous anthropomorphic instruments with minimal cognitive demand ii) a range of bespoke end-effectors with embedded surgical tools using additive manufacturing methods for rapid prototyping and testing utilizing a user-centred approach, iii) wearable multi-sensory master for tele-operation to optimise perception and action and iv) wearable smart glasses for augmented reality guidance of the surgeon based on real-time 3D reconstruction of the surgical field, utilising dynamic active constraints and restricting the instruments to safe regions. The demonstration platform will be based on commercial robotic manipulators enhanced with the SMARTsurg advanced hardware and software features. Testing will be performed on laboratory phantoms with surgeons to bring the technology closer to exploitation and to validate acceptance by clinicians. The study will benefit patients, surgeons and health providers, by promoting safety and ergonomics as well as reducing costs. Furthermore, there is a potential to improve complex remote handling procedures in other domains beyond RAMIS.
Champ scientifique
Programme(s)
Régime de financement
RIA - Research and Innovation actionCoordinateur
BS16 1QY Bristol
Royaume-Uni