{"page":"\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/resources-572d6a42.css\" /\u003e\n\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/lp_boclips_stylesheets-f4d0de30.css\" media=\"all\" /\u003e\n\u003cdiv data-title='Competition highlights the latest in robot surgery' data-url='/boclips/videos/5c54d4acd8eafeecae1f4940' data-video-url='/boclips/videos/5c54d4acd8eafeecae1f4940' id='bo_player_modal'\u003e\n\u003cdiv class='boclips-resource-page modal-dialog panel-container'\u003e\n\u003cdiv class='react-notifications-root'\u003e\u003c/div\u003e\n\u003cdiv class='rp-header'\u003e\n\u003cdiv class='rp-type'\u003e\n\u003ci aria-hidden='true' class='fai fa-regular fa-circle-play'\u003e\u003c/i\u003e\nVideo\n\u003c/div\u003e\n\u003ch1 class='rp-title' id='video-title'\u003e\nCompetition highlights the latest in robot surgery\n\u003c/h1\u003e\n\u003cdiv class='rp-actions'\u003e\n\u003cdiv class='mr-1'\u003e\n\u003ca class=\"btn btn-success\" data-posthog-event=\"Signup: LP Signup Activity\" data-posthog-location=\"body_link_boclips\" data-remote=\"true\" href=\"/subscription/new\"\u003e\u003cspan\u003e\u003cspan\u003eGet Free Access\u003c/span\u003e\u003cspan class=\"\"\u003e for 10 Days\u003c/span\u003e\u003cspan\u003e!\u003c/span\u003e\u003c/span\u003e\u003c/a\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-body'\u003e\n\u003cdiv class='rp-info'\u003e\n\u003cdiv aria-label='Hide resource details' class='rp-hide-info' role='button' tabindex='0'\u003e\u0026times;\u003c/div\u003e\n\u003ci aria-label='Expand resource details' class='rp-expand-info fai fa-solid fa-up-right-and-down-left-from-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003ci aria-label='Compress resource details' class='rp-compress-info fai fa-solid fa-down-left-and-up-right-to-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003cdiv class='rp-rating'\u003e\n\u003cspan class='resource-pool'\u003e\n\u003cspan class='pool-label'\u003ePublisher:\u003c/span\u003e\n\u003cspan class='pool-name'\u003e\n\u003cspan class='text'\u003e\u003ca data-publisher-id=\"30356011\" href=\"/search?publisher_ids%5B%5D=30356011\"\u003eCurated Video\u003c/a\u003e\u003c/span\u003e\n\u003c/span\u003e\n\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-description'\u003e\n\u003cspan class='short-description'\u003eLEADIN: A robotic revolution is taking place in the operating theatre, with a focus on miniaturizing medical devices to enable surgeons to tackle disease inside intricate spaces of the human body.Prototypes of the latest machines are in...\u003c/span\u003e\n\u003cspan class='full-description hide'\u003eLEADIN: A robotic revolution is taking place in the operating theatre, with a focus on miniaturizing medical devices to enable surgeons to tackle disease inside intricate spaces of the human body.Prototypes of the latest machines are in competition to win the Surgical Robot Challenge which kicked off the UK's week long showcase of robotic technology. STORYLINE: There are some eye diseases that are currently too difficult for eye surgeons to treat. But researchers say Leuven University say a robot like this can improve a surgeons precision by up to ten times.It's been designed to deliver drugs to a clot inside the extremely fine retinal vessels in the back of the eye.Bleeding or other blockages can cause irreversible blindness, but currently it is too difficult to operate.Phase one trials are already underway. Of four patients operated on this year, two have had improved sight and the sight of the other two has stabilised.It's far to soon to draw any meaningful conclusions, but later this year the researchers at the University of Leuven in Belgium will begin trials on a further 50 patients.Lead researcher Andy Gijbels explains: \"The robot will make sure that the hand vibrations of the surgeon are completely eliminated and the surgeon can still decide on any moment where the instrument goes inside the eye.\"Gijbels says: \"So each year there are 800,000 people around the world that have a disease where a clot is formed inside the retinal vein. The retinal vein is located at the backside of your eye and because of that clot being there people are getting blind and unfortunately there is no procedure available at the moment that surgeons can use to treat this disease and surgeons would like to treat it by going in the eye with a needle and try to inject a drug directly inside that blocked vein to free it again, but the problem is that these surgeons can't do it because these veins are thinner than a human hair.\"Gijbels says the robot informs the surgeon that they have pierced the vein with a beep. A second beep warns that they have punctured the other side of the vessel and won't deposit the drug successfully.\"With this system the surgeon has an auditory feedback on whether he's inside, or not. So if he's inside (the vein) he'll hear a beep tone, but when you double puncture it you'll hear beep, beep\", he says.Surgeons operating on breast cancer would like to use MRI imaging to get an accurate real time picture of a tumour, but are restricted to limited CT or ultrasound scans because the magnetic base of the MRI is not compatible with most surgical equipment which is metal.This team at Twente University in the Netherlands have developed biopsy equipment which is entirely plastic.Lead researcher Professor Stefano Stramigioli demonstrates how it works with a silicone breast.He says: \"You need to develop a technology which is completely MR compatible and that's what we did and we were able to make it very small as well and very fast and accurate so those are really the contributions, we made a technology which is all of plastic and pressured (compressed) air which allows us to move the needle very precisely, in real time under MR guidance.\"According to Stramigioli the machine could eventually be adapted into a surgical tool for breast cancer.He says: \"So what you have is basically a needle that you steer in exactly the same way, but then the tip of the needle can be made very hot or very cold, or in other ways so that it kills all the cells around the tip of the needle. So in that way if you can see where the tumour is, navigate to that. Instead of taking a biopsy you just kill the cells and you don't need to open the patient.\" This is a prototype however and not the only new tool aimed at improving outcomes for breast cancer.This robot controlled tool aims to give an accurate image of a tumour through the needle in real time.The breast model here is made up of layers including tissue which represents the cancer.On screen the image builds of the composition of this layer.Researcher Khushi Vyas Phd a robotics student Imperial College's Hamlyn Centre explains: \"The patient is always left in anxiety to know the out come of the result, so what if there is a system which can give you real time information of all the (breast) tissue architecture and whether there's cancer, or normal, or what stage. If you can find everything in real time when the patient is there you can improve the surgical outcome.\"The Da Vinci Robot made headlines around the world when it was introduced in 2000.Since then it has become a common sight in many operating theatres.What is new, however, are the various robot controlled instruments that are being designed for it.This team at the UK Robotics Week challenge have shown how it can be used for minimally invasive surgery on the liver for example. To demonstrate they've used a mango stuffed with a strawberry which gives you an idea without the unpleasant smell of cauterised flesh.This hand controlled robot looks like a snake and it is called the iiSNAKE which stands for Imaging Intuitive Navigative Kinetically Enhanced robot.Researcher Pierre Berthet-Rayne explains that the technology would allow surgeons to carry out operations in a much less invasive way.\"(For) standard surgery you do a large incision which is really invasive for the patient, it's a longer recovery time, so the reason why we want to use this kind of robot is because we can go through natural orifices and perform surgery from the inside. Let's say you need a thyroid surgery, the standard approach they will open you here (showing wide incision across the neck) a wide opening and work from there and you will end up with a scar your entire life. With such a robot (iiSNAKE) you can go inside and you leave no scar at all.\"The overall winner from the Surgical Robot Challenge will be announced on Friday June 30, with a full showcase of Robotics Week highlights in London.London, UK - 25 June 20171. Mid rear view of Andy Gijbels from Leuven University operating a prototype eye surgery robot called MYNUTIA2. Mid pan of robot arm 3. Mid over the shoulder of Gijbels operating robot with view of screen of illustration inside the model eye of a blocked retinal vein4. Close of eyes5. Close of robot needle going into model eyeball6. UPSOUND: (English) Andy Gijbels, researcher, robot assisted eye surgery, University of Leuven \"The robot will make sure that the hand vibrations of the surgeon are completely eliminated and the surgeon can still decide on any moment where the instrument goes inside the eye.\"7. Various of Gijbels putting needle into eye model 8. SOUNDBITE: (English) Andy Gijbels, researcher, robot assisted eye surgery, University of Leuven \"So each year there are 800,000 people around the world that have a disease where a clot is formed inside the retinal vein. The retinal vein is located at the backside of your eye and because of that clot being there people are getting blind and unfortunately there is no procedure available at the moment that surgeons can use to treat this disease and surgeons would like to treat it by going inside the eye with a needle and try to inject a drug directly inside that blocked vein to free it again, but the problem is that surgeons cannot do it because these veins are thinner than a human hair.\" 9. Various of Gijbels showing a second instrument which is able to tell the surgeon if they have punctured and exited the retinal vein 10. UPSOUND: (English) Andy Gijbels, researcher, robot assisted eye surgery, University of Leuven \"With this system the surgeon has an auditory feedback on whether he's inside, or not. So if he's inside (the vein) he'll hear a beep tone, but when you double puncture it you'll hear beep, beep.\"11. Various of Gijbels and monitor showing unwanted movement on the needle represented by sharpe peaks and troughs and audible beeps 12. Close of controller of biopsy robot which is MRI compatible 13. Various of biopsy robot made entirely of plastic being demonstrated with silicone breast 14. SOUNDBITE: (English) Professor Stefano Stramigioli, roboticist, University of Twente\"You need to develop a technology which is completely MR compatible and that's what we did and we were able to make it very small as well and very fast and accurate so those are really the contributions, we made a technology which is all of plastic and pressure (compressed) air which allows us to move the needle very precisely, in real time under MR guidance.\"15. Wide of Twente team with biopsy robot 16. Various close of robot's plastic parts in operation 17. SOUNDBITE: (English) Professor Stefano Stramigioli, roboticist, University of Twente\"So what you have is basically a needle that you steer in exactly the same way, but then the tip of the needle can be made very hot or very cold, or in other ways so that it kills all the cells around the tip of the needle. So in that way if you see where the tumour is, navigate to that. Instead of taking a biopsy you just kill the cells and you don't need to open the patient.\" 18. Various of breast tumour imaging robot going through layers of a model breast 19. Close of screen building an image of the texture of the material the robot is seeing inside the model breast 20. SOUNDBITE: (English) Khushi Vyas, Phd robotics student, Hamlyn Centre, Imperial College London \"The patient is always left in anxiety to know the outcome of the result, so what if there is a system which can give you real time information of all this (breast) tissue architecture and whether there's cancer, or normal, or what stage. If you can find everything in real time when the patient is there you can improve the surgical outcome.\"21. Various of surgical instruments designed to attach to a DaVinci robot demonstrating surgery on a mango stuffed with a strawberry, smoke coming out where it cauterises the flesh of the fruit 22. Various of people at the controls of the Da Vinci robot 23. Close of hand holding control for robot called the iiSNAKE (Imaging Intuitive Navigative Kinetically Enhanced) designed for ear, nose and throat surgery  24.  Wide of iiSNAKE  robot moving on model of patient 25. Camera point of view of the snake robot showing it researchers controlling it 26. Close of iiSNAKE robot descending into patient model 27. Wide pan from screen showing robot view 28. SOUNDBITE: (English) Pierre Berthet-Rayne, Hamlyn Robotics, Centre Imperial College London \"(For) standard surgery you do a large incision which is really invasive for the patient, it's a longer recovery time, so the reason why we want to use this kind of robot is because we can go through natural orifices and perform surgery from the inside. Let's say you need a thyroid surgery, the standard approach they will open you here (showing wide incision across the neck) a wide opening and work from there and you will end up with a scar your entire life. With such a robot (iiSNAKE) you can go inside and you leave no scar at all.\"29. 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