Collaborative robot acting as scrub nurse for cataract surgery (CRASCS).

IF 2.2 3区 医学 Q2 SURGERY Journal of Robotic Surgery Pub Date : 2024-09-12 DOI:10.1007/s11701-024-02089-0
D Rekha, Harish Kumar Kaliyappan
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Abstract

Worldwide, healthcare systems are struggling to tackle a nursing shortage. As per the data released by the American Hospital Association, the healthcare workforce could face a loss of around 5 lakh nurses by the end of the year. Consequently, it could result in those deficiencies, which will be 1.1 million instead of 0.6 million. The current nursing scenario in India as per the Indian Nursing Council (INC), which is a board under the ministry and is responsible for legally confirming and maintaining universal standardized training for nursing, is that the 1.96 nurses out of every 1000 Indians that are there are much behind the World Health Organization's (WHO) recommended figure of 3 nurses per 1000. To mitigate the nurse shortage, a collaborative robotic system was designed that can assist with surgical procedures with a collaborative robot acting as a scrub nurse for cataract surgery (CRASCS) represented in Fig. 1. Accordingly, the model has been built to empower a customized 3d printed 5-Degree of freedom robotic arm by tracking the phase of surgery in real-time and automatically supplying the clinician with the ideal equipment that is needed for the particular phase of surgery. The system is supported with one more model which can identify where the surgical equipment is located within the arm range. The system is also supported with voice commands which help in picking up the right surgical equipment in the middle of any phase of the surgery. In this way, the system could be able to potentially handle the shortage of surgical nurses around the world and benefit humanity.

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协作机器人充当白内障手术的擦洗护士(CRASCS)。
全世界的医疗系统都在努力解决护士短缺的问题。根据美国医院协会公布的数据,到今年年底,医疗保健队伍可能面临约 50 万名护士的流失。因此,这将导致护士缺口从 60 万增加到 110 万。印度护理委员会(INC)是印度护理部下属的一个委员会,负责依法确认和维持普遍的标准化护理培训,根据该委员会的数据,印度目前的护理状况是,每 1000 名印度人中只有 1.96 名护士,远远落后于世界卫生组织(WHO)建议的每 1000 人中有 3 名护士的数字。为了缓解护士短缺的问题,我们设计了一个协作机器人系统,该系统可以协助外科手术,协作机器人充当白内障手术的擦洗护士(CRASCS),如图 1 所示。因此,该模型通过实时跟踪手术阶段,自动为临床医生提供特定手术阶段所需的理想设备,从而为定制的 3d 打印 5 自由度机械臂赋能。该系统还配有一个模型,可识别手术设备在机械臂范围内的位置。该系统还支持语音指令,有助于在手术的任何阶段提取正确的手术设备。这样,该系统就有可能解决全球外科护士短缺的问题,造福人类。
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来源期刊
CiteScore
4.20
自引率
8.70%
发文量
145
期刊介绍: The aim of the Journal of Robotic Surgery is to become the leading worldwide journal for publication of articles related to robotic surgery, encompassing surgical simulation and integrated imaging techniques. The journal provides a centralized, focused resource for physicians wishing to publish their experience or those wishing to avail themselves of the most up-to-date findings.The journal reports on advance in a wide range of surgical specialties including adult and pediatric urology, general surgery, cardiac surgery, gynecology, ENT, orthopedics and neurosurgery.The use of robotics in surgery is broad-based and will undoubtedly expand over the next decade as new technical innovations and techniques increase the applicability of its use. The journal intends to capture this trend as it develops.
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