Document Detail

A Cyber-Physical Management System for Delivering and Monitoring Surgical Instruments in the OR.
MedLine Citation:
PMID:  23037804     Owner:  NLM     Status:  Publisher    
Background. The standard practice in the operating room (OR) is having a surgical technician deliver surgical instruments to the surgeon quickly and inexpensively, as required. This human "in the loop" system may result in mistakes (eg, missing information, ambiguity of instructions, and delays). Objective. Errors can be reduced or eliminated by integrating information technology (IT) and cybernetics into the OR. Gesture and voice automatic acquisition, processing, and interpretation allow interaction with these new systems without disturbing the normal flow of surgery. Methods. This article describes the development of a cyber-physical management system (CPS), including a robotic scrub nurse, to support surgeons by passing surgical instruments during surgery as required and recording counts of surgical instruments into a personal health record (PHR). The robot used responds to hand signals and voice messages detected through sophisticated computer vision and data mining techniques. Results. The CPS was tested during a mock surgery in the OR. The in situ experiment showed that the robot recognized hand gestures reliably (with an accuracy of 97%), it can retrieve instruments as close as 25 mm, and the total delivery time was less than 3 s on average. Conclusions. This online health tool allows the exchange of clinical and surgical information to electronic medical record-based and PHR-based applications among different hospitals, regardless of the style viewer. The CPS has the potential to be adopted in the OR to handle surgical instruments and track them in a safe and accurate manner, releasing the human scrub tech from these tasks.
Yu-Ting Li; Mithun Jacob; George Akingba; Juan P Wachs
Related Documents :
22973524 - Use of the bonfils intubation fiberscope in patients with limited mouth opening.
24669024 - Indications and complications of major limb amputations in kano, nigeria.
6829294 - Auditory evoked brainstem responses (abr) in coma due to severe head trauma.
23465434 - Intersphincteric resection for very low rectal cancer: clinical outcomes of open versus...
16677594 - Audit of preoperative and early complications of laparoscopic lymph node dissection in ...
25205324 - Surgical impact and speech outcome at 2.5 years after one- or two-stage cleft palate cl...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-4
Journal Detail:
Title:  Surgical innovation     Volume:  -     ISSN:  1553-3514     ISO Abbreviation:  Surg Innov     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101233809     Medline TA:  Surg Innov     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Assessment of In Vivo Behavior of Polymer Tube Nerve Grafts Simultaneously With the Peripheral Nerve...
Next Document:  Case Report: Free Combined Osteo-Tendo-Cutaneous Flap from the Medial Femoral Condyle for Coverage o...