Teleoperated multimodal robotic interface for telemedicine: A case study on remote auscultation

The remote examination is becoming more and more important as the population is aging and experts lack as ever before. We propose a novel system which is suitable for remote examination and in particular for remote auscultation. The system is located at two sites, at the patient site a robot holds a stethoscope which is placed on the patient while an RGB-D sensor streams a video of the scene. At the doctor site, the doctor interacts with a haptic interface that allows s/he to move the stethoscope while receiving haptic feedback when the stethoscope is in contact with the patient and looking at the remote scene on a screen. The doctor listens to the noise from the stethoscope thanks to a diaphragm and a headset where the audio stream from the patient site is played. After presenting this novel system, we show its effectiveness by means of experiments that involve auscultation-like tasks. We show the usability of the system to place the stethoscope, the usability to hear correctly the noise of the heart as well as the overall quality of the streamed audio signal.

[1]  Ruffaldi Emanuele,et al.  Co-located haptic interaction for virtual USG exploration , 2015, EMBC 2015.

[2]  Manfred Tscheligi,et al.  Towards a remote medical diagnostician for medical examination , 2014 .

[3]  Carlo Alberto Avizzano,et al.  Co-located haptic interaction for virtual USG exploration , 2015, 2015 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[4]  Antonio Frisoli,et al.  Design and validation of a complete haptic system for manipulative tasks , 2006, Adv. Robotics.

[5]  Takashi Kawamura,et al.  Tele-auscultation support system with mixed reality navigation , 2013, 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[6]  Massimo Bergamasco,et al.  A Low Cost Open-Controller for Interactive Robotic System , 2015, 2015 IEEE European Modelling Symposium (EMS).

[7]  Muhammad Owais Khan,et al.  An innovative approach towards E-health in development of tele auscultation system for heart using GSM mobile communication technology , 2013, 2013 IEEE 19th International Symposium for Design and Technology in Electronic Packaging (SIITME).

[8]  Carlo Alberto Avizzano,et al.  Encountered-type haptic interface for virtual interaction with real objects based on implicit surface haptic rendering for remote palpation , 2015, 2015 IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS).

[9]  Darwin G. Caldwell,et al.  Integrating Haptics with Augmented Reality in a Femoral Palpation and Needle Insertion Training Simulation , 2011, IEEE Transactions on Haptics.

[10]  Emanuele Ruffaldi,et al.  CoCo - A Framework for Multicore Visuo-Haptics in Mixed Reality , 2016, AVR.

[11]  G. Poisson,et al.  Use of a robotic arm to perform remote abdominal telesonography. , 2007, AJR. American journal of roentgenology.

[12]  Giuseppe De Pietro,et al.  A prototype of a real-time solution on mobile devices for heart tele-auscultation , 2015, PETRA.