Novel Endovascular Interventional Surgical Robotic System Based on Biomimetic Manipulation

Song, Changcheng; Xia, Shibo; Zhang, Hao; Zhang, Lei; Li, Xiaoye; Wang, Kundong; Lu, Qingsheng

doi:10.3390/mi13101587

Cited by 8 publications

(5 citation statements)

References 20 publications

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“…Despite significant advances in endovascular technologies, the actual procedural methodology for EVAR has remained unaltered since the past 20 years. This novel endovascular robotic system might reduce the occupational risks associated with manual EVAR, in addition to contributing to a higher degree of precision and control during EVAR [ 29 ]. This study lays the foundation for the future development of efficient robotic platforms.…”

Section: Discussionmentioning

confidence: 99%

A novel endovascular robotic-assisted system for endovascular aortic repair: first-in-human evaluation of practicability and safety

et al. 2023

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Objectives To assess the practicability and safety of a novel endovascular robotic system for performing endovascular aortic repair in human. Methods A prospective observational study was conducted in 2021 with 6 months post-operative follow-up. Patients with aortic aneurysms and clinical indications for elective endovascular aortic repair were enrolled in the study. The novel developed robotic system is applicable for the majority of commercial devices and various types of endovascular surgeries. The primary endpoint was technical success without in-hospital major adverse events. Technical success was defined as the ability of the robotic system to complete all procedural steps based on procedural segments. Results The first-in-human evaluation of robot-assisted endovascular aortic repair was performed in five patients. The primary endpoint was achieved in all patients (100%). There were no device- or procedure-related complications or no in-hospital major adverse events. The operation time and total blood loss in these cases were equal to those in the manual procedures. The radiation exposure of the surgeon was 96.5% lower than that in the traditional position while the radiation exposure of the patients was not significantly increased. Conclusions Early clinical evaluation of the novel endovascular aortic repair in endovascular aortic repair demonstrated practicability, safety, and procedural effectiveness comparable to manual operation. In addition, the total radiation exposure of the operator was significantly lower than that of traditional procedures. Clinical relevance statement This study applies a novel approach to perform the endovascular aortic repair in a more accurate and minimal-invasive way and lays the foundation for the perspective automation of the endovascular robotic system, which reflects a new paradigm for endovascular surgery. Key Points • This study is a first-in-human evaluation of a novel endovascular robotic system for endovascular aortic repair (EVAR). • Our system might reduce the occupational risks associated with manual EVAR and contribute to achieving a higher degree of precision and control. • Early evaluation of the endovascular robotic system demonstrated practicability, safety, and procedural effectiveness comparable to that of manual operation.

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Section: Discussionmentioning

confidence: 99%

A novel endovascular robotic-assisted system for endovascular aortic repair: first-in-human evaluation of practicability and safety

et al. 2023

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“…The intersection of novel materials and robotics has catalyzed groundbreaking advancements in the cardiovascular field, promising innovative solutions for diagnosis, intervention, and postoperative care ( 46 , 47 ). The development and integration of novel materials, such as biocompatible polymers and shape memory alloys, offer unprecedented opportunities for designing cardiovascular devices with enhanced durability and tailored biomechanical properties.…”

Section: Novel Materialsmentioning

confidence: 99%

Evolutionary trends and innovations in cardiovascular intervention

Vento,

Kuntz,

Lejay

et al. 2024

Front. Med. Technol.

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Cardiovascular diseases remain a global health challenge, prompting continuous innovation in medical technology, particularly in Cardiovascular MedTech. This article provides a comprehensive exploration of the transformative landscape of Cardiovascular MedTech in the 21st century, focusing on interventions. The escalating prevalence of cardiovascular diseases and the demand for personalized care drive the evolving landscape, with technologies like wearables and AI reshaping patient-centric healthcare. Wearable devices offer real-time monitoring, enhancing procedural precision and patient outcomes. AI facilitates risk assessment and personalized treatment strategies, revolutionizing intervention precision. Minimally invasive procedures, aided by robotics and novel materials, minimize patient impact and improve outcomes. 3D printing enables patient-specific implants, while regenerative medicine promises cardiac regeneration. Augmented reality headsets empower surgeons during procedures, enhancing precision and awareness. Novel materials and radiation reduction techniques further optimize interventions, prioritizing patient safety. Data security measures ensure patient privacy in the era of connected healthcare. Modern technologies enhance traditional surgeries, refining outcomes. The integration of these innovations promises to shape a healthier future for cardiovascular procedures, emphasizing collaboration and research to maximize their transformative potential.

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“…Clamping maintains the endovascular device in a locked state, making it completely follow the movement of the manipulator to advance, retract, and rotate. Continuous rotation is helpful in speci c actions such as arterial navigation [34] and stent-graft deployment.…”

Section: Design Of the Endovascular Surgical Robotmentioning

confidence: 99%

“…On the basis of previous research [34], we rst reported automated TEVAR and EVAR performed by our novel endovascular surgical robot and elaborated on the automatic processes. We demonstrated the performance of the novel endovascular surgical robot of Level 3B.…”

Section: Introductionmentioning

confidence: 99%

First-in-Human Automated Endovascular Aortic Repair With the Novel Endovascular Surgical Robot

Lu¹

2023

Preprint

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Background Endovascular interventional robots have influenced the practice of vascular surgery. However, most of them remain at a low level of automation and cannot complete the whole process of endovascular surgeries automatically. Materials and Methods Two patients with thoracic and abdominal aortic aneurysm respectively confirmed by computed tomography angiography were enrolled in this study. Both patients were performed automated endovascular aortic repair with the novel endovascular surgical robot. We use the image processing software to generate preoperative planning pathways and lists of surgical steps and the endovascular surgical robot is programmed to execute the list automatically. The operation time, blood loss, total contrast volume, fluoroscopy time, and radiation exposure were measured during the operations. Technical success was defined as completion of surgeries without extra manual measures. The patients were followed up to six months after procedures. Results A 100% technical success rate was achieved in two operations. No adverse clinical effects associated with the endovascular robotic system were reported. Both patients had no documented in-hospital and six-month major adverse cardiac events. After surgeries, all patients were discharged within 72 hours. The surgeon radiation exposure was 96.5% lower than that at the procedure table and the other indices were in line with those reported in published literature. Conclusions The novel endovascular surgical robot can perform automated TEVAR and EVAR surgeries with acceptable accuracy and safety to provide standardized therapies, reduce empirical interference of surgeons and reduce workload of surgeons.

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Novel Endovascular Interventional Surgical Robotic System Based on Biomimetic Manipulation

Cited by 8 publications

References 20 publications

A novel endovascular robotic-assisted system for endovascular aortic repair: first-in-human evaluation of practicability and safety

A novel endovascular robotic-assisted system for endovascular aortic repair: first-in-human evaluation of practicability and safety

Evolutionary trends and innovations in cardiovascular intervention

First-in-Human Automated Endovascular Aortic Repair With the Novel Endovascular Surgical Robot

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