State of the art in surgical robotics: clinical applications and technology challenges.

Although it has been over 15 years since the first recorded use of a robot for a surgical procedure, the field of medical robotics is still an emerging one that has not yet reached a critical mass. Although robots have the potential to improve the precision and capabilities of physicians, the number of robots in clinical use is still very small. In this review article, we begin with a short historical review of medical robotics, followed by an overview of clinical applications where robots have been applied. The clinical applications are then discussed; they include neurosurgery, orthopedics, urology, maxillofacial surgery, radiosurgery, ophthalmology, and cardiac surgery. We conclude with a listing of technology challenges and research areas, including system architecture, software design, mechanical design, imaging compatible systems, user interface, and safety issues.

[1]  A L Benabid,et al.  Computer-driven robot for stereotactic surgery connected to CT scan and magnetic resonance imaging. Technological design and preliminary results. , 1987, Applied neurophysiology.

[2]  S. Hayati,et al.  A robot with improved absolute positioning accuracy for CT guided stereotactic brain surgery , 1988, IEEE Transactions on Biomedical Engineering.

[3]  S. Lavallee,et al.  A new system for computer assisted neurosurgery , 1989, Images of the Twenty-First Century. Proceedings of the Annual International Engineering in Medicine and Biology Society,.

[4]  R. E. Williams,et al.  Design of a surgeon-machine interface for teleoperated microsurgery , 1989, Images of the Twenty-First Century. Proceedings of the Annual International Engineering in Medicine and Biology Society,.

[5]  Yorktown Heights,et al.  An Image-directed Robotic System for Precise Orthopaedic Surgery , 1990 .

[6]  B.L. Davies,et al.  A surgeon robot for prostatectomies , 1991, Fifth International Conference on Advanced Robotics 'Robots in Unstructured Environments.

[7]  Phillip J. McKerrow,et al.  Introduction to robotics , 1991 .

[8]  Philippe Cinquin,et al.  Image guided operating robot: a clinical application in stereotactic neurosurgery , 1992, Proceedings 1992 IEEE International Conference on Robotics and Automation.

[9]  Lynette A. Jones,et al.  A Teleoperated Microsurgical Robot and Associated Virtual Environment for Eye Surgery , 1993, Presence: Teleoperators & Virtual Environments.

[10]  Dominique Glauser,et al.  Mechanical concept of the neurosurgical robot 'Minerva' , 1993, Robotica.

[11]  Jean-Claude Latombe,et al.  Image-Guided Robotic Radiosurgery , 1994, Modelling and Planning for Sensor Based Intelligent Robot Systems.

[12]  C. W. Burckhardt,et al.  Stereotactic brain surgery , 1995 .

[13]  H Iseki,et al.  Development of an MRI-compatible needle insertion manipulator for stereotactic neurosurgery. , 1995, Journal of image guided surgery.

[14]  Russell H. Taylor,et al.  An efficient needle injection technique and radiological guidance method for percutaneous procedures , 1997, CVRMed.

[15]  Russell H. Taylor,et al.  Robots as Surgical Assistants: Wher We Are, Wither We Are Tending, and How to Get There , 1997, AIME.

[16]  A. Hein,et al.  A surgical robot system for maxillofacial surgery , 1998, IECON '98. Proceedings of the 24th Annual Conference of the IEEE Industrial Electronics Society (Cat. No.98CH36200).

[17]  John Kenneth Salisbury,et al.  The Black Falcon: a teleoperated surgical instrument for minimally invasive surgery , 1998, Proceedings. 1998 IEEE/RSJ International Conference on Intelligent Robots and Systems. Innovations in Theory, Practice and Applications (Cat. No.98CH36190).

[18]  Russell H. Taylor,et al.  A Modular Surgical Robotic System for Image Guided Percutaneous Procedures , 1998, MICCAI.

[19]  Heinz Wörn,et al.  A surgical robotic system for maxillofacial surgery , 1998 .

[20]  Ulrich Rembold,et al.  Robot assisted craniofacial surgery: first clinical evaluation , 1999 .

[21]  Y. Matsuoka,et al.  Robotics for surgery. , 1999, Annual review of biomedical engineering.

[22]  H Das,et al.  Evaluation of a telerobotic system to assist surgeons in microsurgery. , 1999, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[23]  T Walther,et al.  Quality of computer enhanced totally endoscopic coronary bypass graft anastomosis--comparison to conventional technique. , 1999, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[24]  Russell H. Taylor,et al.  A Steady-Hand Robotic System for Microsurgical Augmentation , 1999 .

[25]  Russell H. Taylor,et al.  Performance of Robotic Augmentation in Microsurgery-Scale Motions , 1999, MICCAI.

[26]  Nobuhiko Hata,et al.  MR Compatible Surgical Assist Robot: System Integration and Preliminary Feasibility Study , 2000, MICCAI.

[27]  W. Kaiser,et al.  Robotic system for biopsy and therapy of breast lesions in a high-field whole-body magnetic resonance tomography unit. , 2000, Investigative radiology.

[28]  C. Detter,et al.  Clinical Use of a Computer-enhanced Surgical Robotic System for Endoscopic Coronary Artery Bypass Grafting on the Beating Heart1 , 2000, The Thoracic and cardiovascular surgeon.

[29]  John Kenneth Salisbury,et al.  The Intuitive/sup TM/ telesurgery system: overview and application , 2000, Proceedings 2000 ICRA. Millennium Conference. IEEE International Conference on Robotics and Automation. Symposia Proceedings (Cat. No.00CH37065).

[30]  B. Davies A review of robotics in surgery , 2000, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[31]  Dan Stoianovici,et al.  Robotically assisted spine needle placement: program plan and cadaver study , 2001, Proceedings 14th IEEE Symposium on Computer-Based Medical Systems. CBMS 2001.

[32]  D. Stoianovici URobotics--Urology Robotics at Johns Hopkins. , 2001, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[33]  R Bruce,et al.  CT-integrated robot for interventional procedures: preliminary experiment and computer-human interfaces. , 2001, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[34]  S Stella,et al.  [Robots in surgery]. , 2001, Il Giornale di chirurgia.

[35]  O Schneider,et al.  A six-degree-of-freedom passive arm with dynamic constraints (PADyC) for cardiac surgery application: preliminary experiments. , 2001, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[36]  R H Taylor,et al.  System for robotically assisted percutaneous procedures with computed tomography guidance. , 2001, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[37]  S. J. Harris,et al.  The first clinical application of a "hands-on" robotic knee surgery system. , 2001, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.