Medical Robots in Central Europe R&D in Central Europe, traditions and barriers to commercialization

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1 Medical Robots in Central Europe R&D in Central Europe, traditions and barriers to commercialization Tamás Haidegger, Gernot Kronreif Laboratory of Biomedical Engineering Budapest University of Technology and Economics, Dept. of Control Engineering and IT; Austrian Center for Medical Innovation and Technology (ACMIT) Intl. Medical Robots Workshop Milan, July 3, 2012

2 Background A year at Johns Hopkins MSc in EE at Budapest Univ. of Technology and Economics (BME) 2008 MSc in Biomedical Engineering at BME 2011 PhD in EE visiting scholar at CISST ERC, Johns Hopkins Univ research area manager at ACMIT, Wiener Neustadt 2011 CEO/CTO Clariton Inc adjunct professor at BME, Budapest

3 Collaboration-based research 3 Research faculty at BME / Research manager at ACMIT Image-guided skull base drilling Electromagnetic tracker assessment Surgical skill analysis Classical /modern control algorithms for telesurgery to handle large latencies Credit: ISS Inc.

4 Where does a medical robot fit? 4 CIS: Computer-Integrated Surgery CIIM: Computer-Integrated Interventional Medicine CAS: Computer-Assisted Surgery Computer-Aided Surgery IGS(T): Image-Guided Surgery (Therapy) MIS(P): Minimally Invasive Surgery (Procedure) Surgical CAD/CAM CASD Computer Aided Surgical Design CASM Computer Aided Surgical Manufacturing Surgical Total Quality Management International Medical Robots Workshop July 3, 2012

5 Traditions in the A year region at Johns Hopkins 5 Strong focus on classical medicine Teaching universities in Vienna, Graz, Bratislava, Budapest, Debrecen, Szeged Slow adapters to med tech Dominance of seniority Current financial challenges MIS gradually took off International Medical Robots Workshop July 3, 2012

6 Creating a high-value system 6 Credit: Intuitive Surgical Inc.

7 Da Vinci world wide 7 International Medical Robots Workshop July 3, 2012

8 Da Vinci in Europe 8 Europe hosts 15% of total installations No major penetration in Central Europe (Czech are an exception) Health insurance structure does not allow it Many initiatives have been launched International Medical Robots Workshop July 3, 2012

9 New system development 9 Polish cardio-robot Robin Heart Remains a lab prototype Lack of continuous funding discouraged sustained development Endoscope holder in PT Timisoara NOTES robot at Semmelweis University III Credit: Nawrat, Kostka 2006 International Medical Robots Workshop July 3, 2012

10 EU FP6 7 projects 10 SCATh Active catetherization SAFROS Safety for surgical robots EuroSurge Coordination action International Medical Robots Workshop July 3, 2012

11 Rehabilitation robotics 11 REHAROB Robot Mediated Motion Therapy for the Brain Injured Motion Therapy with Industrial Robots ARMOR Anthropomorphic exoskeleton AIT Seibersdorf, AT Credit: AIT Credit: REHAROB cons.

12 Alternative approaches B-Rob I-II Modular robotic positioning unit - For percutaneous procedures - Modular control system - Integrated safety system - Dedicated user interface - Easy sterilization concept Austrian Center for Medical Innovation and Technology

13 Commercialization isys Medizintechnik and ACMIT Tech transfer to an Austrian company - Evaluation of concept, benchmarking - In-vitro, cadaver, in-vivo trials - Alternative version with dedicated interface for endoscope guidance Austrian Center for Medical Innovation and Technology

14 Follow the clinical need! Need for CIS in gyneacological brachytherapy Inaccurate needle positioning Needle bending Organ motion Human MR to Patient registration Enabling methods Intra-operative MRI Intra-op radiation treatment planning Robotic needle insertion Credit: Nucletron Austrian Center for Medical Innovation and Technology

15 Building collaborations NOTES robots MIS solution for pediatrics - Magnetic anchoring - Mechanical challenges Austrian Center for Medical Innovation and Technology

16 Applying medical robotics Virtobot autopsy robot Concept and component development for non-medical use - Integration planning and tissue harvesting phantom and cadaver trials with B-Rob and Staubli technology Austrian Center for Medical Innovation and Technology

17 Hurdles in Central Europe 17 High R&D costs da Vinci was created with $0.5B Long development time From idea to product: 8 10 years Universality vs. added value Low selling numbers National differences in regulations Surgeons compliance International Medical Robots Workshop July 3, 2012

19 Post script This presentation is available at tinyurl.com/medical-robots-milan SurgRob a blog on CIS and medical robotics

Medical Robots and their Control Paradigms

Medical Robots and their Control Paradigms Peter Kazanzides Associate Research Professor Dept. of Computer Science The Johns Hopkins University My Background 1983-1988 Ph.D. EE (Robotics), Brown University