Doctors To Control Robot Surgeon With Their Eyes 99
trogador writes "Researchers from Imperial College London are improving the Da Vinci surgical robot by installing an eye-tracker, which allows surgeons to control the robot's knife simply by looking at the patient's tissues on a screen. Tracking the eyes can generate a 3D map, which in turn can make moving organs — like a beating heart — appear to stand still for easier operation. Other features include 'see-through' tissues on the surgeon's screen (so tumors can be seen underneath tissues) and 'no-cut' zones, places where the robot won't allow the surgeon to cut by mistake. Says ICL Professor Guang Zhong Yang, 'We want to empower the robot and make it more autonomous.'"
Ah yes ... (Score:3, Funny)
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But the real question: (Score:4, Funny)
"AHHHH! NO, My eyes are UP HERE!"
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I hope they know what they're doing... (Score:1)
I hope they have some biologists or MDs working on this robot, to take into account all those thousands of things the body does wrong that are impossible to predict. Nevermind machine failure or glitches.
On a more ethical standpoint, being interested in Medicine and Machines myself, I feel this is going in the opposite direction of what I hope for medicine. Distancing doctors from patients,
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The human body is not a machine, and we cannot even come close to mimicking one, let alone thousands to millions.
Why isn't the human body a machine? I'll grant that we can't mimic it but that doesn't mean that the systems of the body aren't mechanical in nature. Would you argue against using titanium rods to help with fractures, the use of plastic joints to replace failed joints, or other technologies that attempt to repair some mechanical failure in the body (including the use of micro-robots to perform surgery)?
On a more ethical standpoint, being interested in Medicine and Machines myself, I feel this is going in the opposite direction of what I hope for medicine. Distancing doctors from patients, and life from reality may prove a nasty combo.
Ethical? I'm not sure that word means what you think it means. You are advocating an almost supersti
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Why isn't the human body a machine? I'll grant that we can't mimic it but that doesn't mean that the systems of the body aren't mechanical in nature. Would you argue against using titanium rods to help with fractures, the use of plastic joints to replace failed joints, or other technologies that attempt to repair some mechanical failure in the body (including the use of micro-robots to perform surgery)?
I guess I wasn't clear with my earlier statement. I simply meant that there is no way that I would trust a machine like this to work in a general hospital. The human body is too complex for a machine to encompass and predict all possible outcomes. I understand the need and advancement of machines in the practice of medicine, but the concept of a still image being presented to a doctor, while he may need to see the moving image to watch for signs of some other problem, is a scary one to me.
If the software
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It's too complex for a physician to predict all possible outcomes. Given the minimal time allowed each patient and the extreme pressure to see many patients while coping with all his/her other duties, technology as a medical "force multiplier" will become ever more necessary to empower the doctor as a "care supervisor".
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Wasn't that the whole point with using a machine?
A human can only hold a knife so still and accurate where a machine could cut on an accuracy scales below a millimeter.
I mean do we build planes with wings that flap like a bird? It would make sense to build a machine that does surgery without the flaws the inherit instability of the human hand.
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But what about the flaws of the human mind? If a human writes the software that doesn't work, then the machine, or plane or whatever, doesn't work in all the cases. We, as humans, tend to jump to application far too quickly without understanding it first. In this sense, a machine is no longer a perfection, not even close. Far too many people die in car crashes than a perfect machine would allow.
I know I hit on a few top
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I don't normally get so blunt with people's opinions, but I think you're way off base here.
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Well, it's a good thing most of us aren't hoping for the same things you are. Most sophisticated medical technology "distances" a doctor from his patient to some degree
The issue here is that the human body has
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Interesting that you should mention the stethoscope. I'm a few years out of my work as a nurse, but when I was working in that field there was considerable resistance to the use of electronically assist
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Again, I'm agreeing that augmentation is a good thing, but the idea of removing the movement for better care doesn't make sense to me. It's taking t
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On a more ethical standpoint, being interested in Medicine and Machines myself, I feel this is going in the opposite direction of what I hope for medicine. Distancing doctors from patients, and life from reality may prove a nasty combo.
First, you need some distance. If you are in respiratory failure, I have precious little time to get you intubated and ventilated. That is not the time you want active listening and human touch. You want technical skill and someone who does not dick around. You may even want someone who has toys like this hella sexy video laryngoscope: http://medgadget.com/archives/2006/10/mcgrath_series.html [medgadget.com]
Want.
Of course with that I am less in touch with you physically and less likely to end up spattered in the hal
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What about the incredibly common debate in House MD (I'm not being scientific, just generalized thinking here), which is background information. What if you don't know everything about your patient? What if I'm allergic to something in the process of that intubation and that quick thinking decision kills me?
More on topic, what if
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The you're dead, just like you'll be if that doctor doesn't have what it takes to help you. Put it this way: if you have a competent ER physician on hand with the right equipment, you have a chance. Personally, I want that doctor to have the best medical technology available, because I want to live.
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I'd rather have a stable "machine tool" used to cut me for surgery than a less-precise human hand. Let the surgeons brain have a better interface with my repair process than just his imprecise fingers.
This has nothing to do with "distancing" and everything to do with precision and control. If you want to use the tools they used on Mel Gibson in "Braveheart", have at it, but the point of advancing medical tech is to improve eff
jerky movement (Score:2, Insightful)
Re:jerky movement (Score:5, Informative)
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This effect is even more noticeable with people who suf
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I don't know why everyone on here seems to think that they're the first person to figure out that a robot shouldn't slice open a patient because the doctor blinked.
I for one welcome my robot surgeon! (Score:5, Interesting)
I asked some folks about it, and they said that one of the main benefits was that they used Fourier transforms and other filtering to significantly reduce the "jitter" of the doctor's hands, without aversely affecting intentional motions. I thought that was really interesting, and might save a lot of complications. A former boss of mine has a surgeon for a father, and he said it was quite common fifty years ago for them to have an alcoholic beverage before a surgery to steady their nerves, and seems to think this was effective. I suppose the robotic version wouldn't have all the downsides.
I also think an interesting possibility for this technology is plastic surgery - one of the biggest current problems with plastic surgery isn't expense (a lot of things people want aren't that expensive), it's the risk of complication, which can be quite significant. My brother did not get his face repaired after breaking a cheekbone due to this risk.
This would especially be good for individuals who have recently lost a lot of weight - there's a lot of self consciousness about excess skin, and being able to safely remove it with much reduced risk of complications would go a long way towards helping these people feel better about themselves (which is one way to help keep the weight off).
So yes, I for one welcome my robot surgeon. Some day it might save my life!
Imperial College London .. (Score:1, Troll)
Now that's a good, traditional British name. Wonder what his family crest looks like.
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You've never heard the phrase 'a good Englishman is 99% foreign'?
My Family are English, and have lived in the UK for centuries, yet my Surname is Nordic. Extremely so in fact, It hasn't been englicised at all, in all this time, which I find quite odd. I've had no end of problems over the years with it being spelled wrong.
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Cheers!
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Nope, but since the overwhelming majority of my exposure to the written word has been early american SF (can't help it, I worship at the alter of Gernsback) , I do find that my spelling is some sort of mutant hybrid between those of our two countries.
Add to that a fascination for pre eighteenth century European dictionaries, and you end up with a vocabulary which is positively weird. I gave up trying to conform to the language norms of my country a
Has to be said (Score:1)
Precision? (Score:4, Informative)
Lack of precision isn't the only reason surgeons remove large amounts of apparently "healthy" tissue along with a tumor
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So precision would definitely give you less tissue loss, if nothing else than by allowing a smaller target for margins.
Skynet, Cylons, etc (Score:2)
This won't end well.
Great research, but still only research! (Score:5, Interesting)
These kind of devices are very much experimental, and pop up in the news every couple of months (a slashdot search can reveal similar ideas), but quite far away from any sort of typical use. Right now heart bypass surgery is decidedly low-tech, with a surgeon viewing the beating heart with loupe glasses and very skillfully lasso-ing the coronary arteries. It is a great fantasy in the hearts of all doctors to have a machine that offsets any heart movement -- it would make things much easier if reliable. The article doesn't mention that the movement would also have to be coupled with respiratory movement, and have some sort of fail-safe in the case of patient or external movement.
However, standard surgery is still not done using these tools. There are way too many items required to make this feasible in the near future ( 10 years IMHO, although I hope I'm wrong!)
- Testing: This is literally a life-and-death situation, and any robot "error" in a real person is likely to set the technology back 5 years after it hits the press and hospital review boards. Very, very damaging PR.
- Education: Surgeons would have to essentially be re-trained to use such a system.
- Feedback: It is really, really difficult to give an operator feedback on how something "feels." Part of during surgery (no kidding) a surgeon will often run his finger along cardiac arteries -- you can almost "feel" the calcified plaque in a diseased vessel. It would be really hard to approximate anything like this with a virtual robot.
- Cost: Labor is relatively cheap compared to the capital expenditure to R&D something like this... of course, this will change as time goes by.
Exciting news, but incremental technology.
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I'm all for it too -- but again, I
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I agree, autonomous surgery, where the procedure is under the control of a computer is a long way off. Non-autonomous robotic surgery is not.
I notice that Massachusetts has nine Da Vinci robo
Da Vinci system and robots... (Score:2)
Dude, stop being the contrarian, it does not make you sound "smart," only childish and argumentative. People will treat you better in life if you ask questions for clarification instead of trying to trap somebody into silly fallacies to "prove your point," as the first sentence in your response. Occasionally we have trainees with your style, and gradually they socialize.
Again, I'm not sure the name of the GI device -- I saw a tech demo of it in one of our vir
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Since we're trading silly insults, I've heard some surgeons don't really like any hint they might be wrong, about anything, even if its just a silly mistake or outside their field of expertise.
For your information (or rather for someone else reading this who is actually interested), Da Vinci appears to be fully FDA certified, NOT as a research device, for some procedures since 2000 or 2001. I believe they have been certified for some endoscopic
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Google Surgery (Score:1)
Google Heart Surgery solved this with a "Beta" sticker.
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They are used somewhat routinely in many hospitals across the US, Canada and Europe. It's been several years since they were research-only. The only reason they aren't used more frequently is simply the cost and size, even the places that use them regularly only have one OR set up with the equipment, while they may be running two dozen ORs on a daily basis.
You're
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I recently had an OB/GYN professor (I'm a medical student) give us a lecture on using the Da Vinci for post-menopausal hysterectomies. Apparently he makes only 5 small incisions superior and lateral to the umbilicus (hence the post-menopausal, it can't be covered with a bikini). He said he uses it quite frequently, and that when hiring new physicians heavily considers whether they have been trained in robotic procedures during their residency/fellowship.
He also said that they expected to have force feed
Oh. My. God. (Score:4, Funny)
Re:breasts (Score:3, Interesting)
I was looking for some clinical experience between the first and second years of med school, so I shadowed a surgeon, who specialized in breast tumors, and wound up spending lots of time in a "breast clinic" (screening and followup) for about a month and a half. While I probably saw some great breasts, I never felt aroused. Given that I am a very sexually-active heterosexual man, I was amazed at how my mindset was able to adjust itself, and h
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Yeah. Me too.
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"Hey doc, what time is it?" (Score:1)
And then a nurse with an unbutton shirt walks in (Score:2)
Re:And then a nurse with an unbutton shirt walks i (Score:2)
Eye control? (Score:3, Informative)
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Why in the world would you want to control a robot with your eyes? You can't even tell it how hard or deep to cut.
Because most surgeons only have two hands. This represents a new means of input and control. Think of it as using both your hands and feet for driving. You can certainly drive with only your hands and a setup with the brake and gas on the steering wheel. However, having the break and gas operated by the feet gives the driver greater ability to use his hands for steering or drinking his coffee while shaving and eating a muffin.
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To use a slightly different example, you could give a guy in a tank a bunch of video cameras, eye controlled aiming (already exists) and a voice command fire control, plus the regular driving controls. You don't, you build tanks to use a crew of typically three. How come? Because when job performance counts it's best to use multiple people, not overload one. Particularly not with flakey, taxing things like eye control
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Hard stare = cut hard.
Deep and meaningful stare = cut deep, or kiss the surgeon.
1000-yard stare = sever an artery and go to sleep with the sweet sweet sounds of 'Nam ringing in your ears.
Although, really, it's a robot. How softly can it move a scalpel?
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sfd (Score:1)
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Da Vinci is mostly used for endoscopic surgery where you can't directly see the surgical field, robot or no. Even if you use some kind of 3D, do you really want your surgery to depend on where your surgeon looks?
Okay, I want to cut here, here and here, but NOT there... oh crap.
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The obligatory, "if they are controlling it..." (Score:2)
Video Game Surgery? (Score:1)
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Obligatory (Score:2)
Whoops! (Score:1)
"Heeeeey, how you doin'?? Whooops! Sorry dude! My bad."
'no-cut' zones (Score:1)
The white zone is for immediate prepping and recovery of patients only. There is no cutting in a red zone.
The red zone is for immediate prepping and recovery of patients only. There is no cutting in a white zone.
No, the white zone is for prepping. Now, there is no cutting in a RED zone.
The red zone has always been for prepping.
Don't you tell me which zone is for prepping, and which zone is for recovery.
Haptic Feedback (Score:1)
- Lack of Haptic Feedback
- No real proven procedural benefits
- Expensive device (1.5 million euro's)
- 150000 euro's each year for the service contract
- Instruments 2000-5000 euro a piece, with a chip that only enables them to be used 10 times
- Optics cost 700 euro to sterilize, takes a while and the hospita
probulator (Score:2)
surgeons with ADHD? (Score:1)
*flatline*
Good timing... (Score:2)
Was this for a bet.. (Score:2)
"Check it out - I even closed!"
"OK smart arse - so you can do an appendectomy with your eyes huh? - let's see you do one using your tongue then!"
FOLLOW THE MONEY! (Score:1)
An unfortunate trend in medicine (particularly when it comes to the heart), is that marketing an idea/gizmo (and owning stock in the company) is extremely lucrative, as the delivery of heart care is highly competitive, and lots of money can be made if you are the "first" in your area to have a "new" technology. Hence, there is high interest in offering the latest pro
I wont help you (Score:1)
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I wouldn't worry too much until you start hearing statements like "We want to empower the super-smart AI and make it more autonomous."
Uh Oh (Score:1)
I'm Sorry, Dave (Score:2)
DAVE: "But HAL, it's a tumor, it's got to come out!"
HAL: "My records show this patient hasn't paid their insurance premium this month. I'm very sorry Dave, I can't let you operate."