Telesurgery and Robotic Surgery: Ethical and Legal Aspect

Valeriu, Angelescu

doi:10.4172/2161-0711.1000355

Cited by 9 publications

(8 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These issues are relevant also for other medical applications of robots, such as prosthetic devices, as reported by [2]. Finally, a few scholars focus on the need for hospitals and doctors to have insurance that covers robotic assisted surgery [42,43]. Indeed, it is questionable whether the robot fits in the existing contracts for medical doctors or as a consequence of new risks, new contracts should be devised.…”

Section: Service Robotsmentioning

confidence: 99%

On Robots and Insurance

Bertolini

Salvini

Pagliai³

et al. 2016

Int J of Soc Robotics

View full text Add to dashboard Cite

Does a robot producer, owner or user need insurance policy? What kind of risks derive from the use of robots? Are there any differences between insuring a robot and another product? And finally, who should bear the burden of paying the insurance premium? The objective of this article is to provide the reader with an overview on the issue of risk management of robotic applications through insurance contracts. Indeed, insurance products are essential for an effective technology transfer from research to market. As of today, the production, use and diffusion of robots, determines risks that can hardly be identified and assessed both with respect to the probability of their occurrence and to the consequences they might bring about. Thence, innovation causes existing insurance products to be inadequate, and often times, it leaves insurance companies in the complex position of needing to elaborate new solutions in the absence of complete information. This article discusses the reasons for those hindrances and identifies the essential issues that lawyers, economists and engineers need to address in their future research in order to overcome current limitations and ultimately develop efficient and adequate risk management tools. B Pericle Salvini

show abstract

Section: Service Robotsmentioning

confidence: 99%

On Robots and Insurance

Bertolini

Salvini

Pagliai³

et al. 2016

Int J of Soc Robotics

View full text Add to dashboard Cite

show abstract

“…One factor contributing to the lack of widespread adoption of tele‐proctoring is the legal limitations, such as personal information protection and responsibility. Confidentiality is an issue when using electronic systems, and special measures must be taken to prevent the improper communication of medical data 26,27 …”

Section: Discussionmentioning

confidence: 99%

“…Confidentiality is an issue when using electronic systems, and special measures must be taken to prevent the improper communication of medical data. 26 , 27 …”

Section: Discussionmentioning

confidence: 99%

Tele‐proctoring for minimally invasive surgery across Japan: An initial step toward a new approach to improving the disparity of surgical care and supporting surgical education

Takemasa,

Okuya,

Okita

et al. 2023

Annals of Gastroent Surgery

View full text Add to dashboard Cite

AimThe aim of this study was to verify the clinical feasibility of tele‐proctoring using our ultra‐low latency communication system with shared internet access.MethodsConnections between two multiple remote locations at various distances were established through the TELEPRO® tele‐proctoring system. The server records the latency between the two locations for tele‐proctoring using the annotations. Questionnaires were administered to the surgeons, assistants, and medical staff. Respondents rated the quickness and quality of communication in terms of latency and disturbances in the audio, video, and usefulness of the live telestrations with annotation.ResultsSeven hospitals tele‐proctored with Sapporo Medical University between January 2021 and September 2022. The median latency of annotation between the two locations ranged from 24.5 to 48.5 ms. No major technological problems occurred, such as streaming interruption, loss of video or audio, poor resolution. The video encoding time was 10 ms, and its decoding time was 0.8 ms. The total latency positively correlated with the distance between two locations (R = 0.55, p < 0.01). The quality of communication regarding latency, disturbance, and surgical education with intraoperative annotative instructions showed similar trends, with perfectly fine being the most common response. No significant differences in surgical quality, educational effect, or social impact were observed between the latency ≥30 and <30 ms groups for whether the size of latency affects surgical education.ConclusionThe feasibility of the tele‐proctoring system is expected to be a sustainable approach to help education for young surgeons and surgical supports in rural areas, thereby reducing disparities in health care.

show abstract

“…31 Regardless of cross-border care and lack of direct patient contact the standard of medical ethics which includes informed consent, confidentiality, answering all patient questions, recording, and storage of patient data should be the same as if they were in a standard setup. 32…”

Section: Legal and Ethical Concernsmentioning

confidence: 99%

Feasibility of telesurgery in the modern era

Malik

Brinjikji

2022

Neuroradiol J

View full text Add to dashboard Cite

Telesurgery is not a foreign concept and dates to as early as the 1920s. The use of robots in medicine has had a very positive effect and improved outcomes with little to no adverse effects. Having global access to telemedicine and telesurgery during the COVID-19 pandemic and being able to provide top medical care to gravely ill and contagious patients without compromising the safety of the medical team would be a very big achievement. We explore the hurdles needed to make it a realistic goal and give recommendations to achieve it utilizing the major advancements that have occurred over the past few years in the fields of engineering, communication etc. The biggest issues needed to be addressed are of financial investment, legal concerns, and availability of high-speed uninterrupted data connections.

show abstract

Telesurgery and Robotic Surgery: Ethical and Legal Aspect

Cited by 9 publications

References 6 publications

On Robots and Insurance

On Robots and Insurance

Tele‐proctoring for minimally invasive surgery across Japan: An initial step toward a new approach to improving the disparity of surgical care and supporting surgical education

Feasibility of telesurgery in the modern era

Contact Info

Product

Resources

About