The doctor controls the robot
Remote surgery is expected
At 10 o 'clock yesterday morning, in Xiaxin No. 8 catheter room, a domestic self-developed cardiac surgery robot was busy in front of the operating table, in addition to the B-ultrasound doctor to provide real-time ultrasound image guidance, other medical staff were outside the operating room. Professor Wang Yan sat in front of the console, staring intently at the monitor and operating the joystick in his hand. Push, spin... With his actions, the robot's control system, according to the instructions, controls the catheter in the patient's body to carry out various precision operations, in just over an hour, on the beating heart, successfully for the 68-year-old heart failure patient's damaged mitral valve.
Professor Wang Yan operates the console rocker outside the operating room, giving the robot "orders" to carry out difficult operations. (Photo/Courtesy of Xiamen University Affiliated Hospital of Cardiovascular Diseases)
According to reports, this robotic surgical system has a high degree of flexible manipulation, the doctor can control it to the instrument more accurate positioning and movement, to deal with the operation of the smaller and complex anatomical situation, so as to improve the accuracy and safety of surgical operation, reduce the operation time, reduce the occurrence of intraoperative complications of patients, and further ensure the safety of patients.
The robot accurately performs minimally invasive transcranial mitral valve surgery according to doctor's instructions.
Robotic surgery has changed the traditional surgery model, and the doctor's battlefield is not on the operating table, but in front of the control table. To outsiders, it may seem like the doctor is focused on playing a video game, but in fact, every move is related to the surgical operation of the robot. There are two modes of console operation, one is a laptop-sized console and the other is a "gamepad" that can be held in your hand. Before the operation, Wang Yan had practiced on animals for many times and was familiar with the operation feel of the former. "Next, I'm going to practice my 'gamepad' with the younger kids. It's even cooler."
Of course, practicing the "gamepad" is not just for the pursuit of "cooler." The small, portable handle makes remote robotic surgery much easier. In the future, with the help of 5G communication technology, doctors in the field can remotely control robots to complete heart surgery in the operating room through the handle, which has positive significance for the sinking of high-quality medical resources.
The small and portable "gamepad" console greatly improves the convenience of remote robotic surgery.
Support domestic independent research and development
Shorten the doctor's learning curve
A distinguishing feature of this robotic surgery system is that it has standardized procedures, which is expected to shorten the learning curve of doctors for complex and difficult procedures.
With the aging of the population, the incidence of valvular heart disease is rising rapidly, and it is estimated that there are 25 million patients in China. Valvular disease has become a prominent challenge faced by the global cardiovascular medicine community. Among all valvular diseases, mitral valve disease has the highest incidence and the most difficult interventional treatment. In recent years, with the development of technology, the development of mitral valve repair has experienced the evolution from traditional surgical thoracotomy to minimally invasive intervention. However, interventional repair surgery has many and complex steps, and doctors have a long learning curve. Currently, there are still very few hospitals that can independently carry out mitral valve repair, and there is still a very large gap.
As a sub-center of the National Cardiovascular Disease Clinical Medical Research Center and the National Cardiovascular Disease Regional Medical Center jointly established by CPC, Xiaxin follows the forefront of technological development. Since 2014, Xiaxin has taken the lead in carrying out transcatheter minimally invasive valve surgery in Fujian Province, and has completed more than 800 cases of minimally invasive surgery for heart valve disease, accumulating rich experience in the field of minimally invasive treatment of heart valve disease. At present, the Xiaxin medical team regularly carries out minimally invasive mitral valve surgery, which is the first in the world to use robots to do this surgery, spending only more than an hour, and the first operation has reached the level of skilled surgery under the traditional mode. It can be predicted that the application of robotic surgery system can shorten the training and learning time of doctors, so as to better promote mitral valve minimally invasive surgery and benefit more patients.
Xiaxin also continues to innovate, keeping up with the international cutting-edge technology at the same time, but also will focus on the independent research and development of domestic devices, has been united with domestic medical device companies to complete the research and development of a number of innovative devices, and completed a number of national and global first human implants. According to reports, surgical robots have been widely used in clinical fields such as abdominal cavity and orthopedics, and leading international surgical robot companies have also begun to lay out cardiac surgery robot products. The deep cooperation between Xiaxin and domestic innovative medical device enterprise Wuji Medical has lasted more than a year to perfectly integrate robot technology and transcranial minimally invasive surgery, which has made an advance in the global scope and is of great significance to promote domestic independent research and development in the field of valves.