The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring
The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring
The next generation of surgical robotics is poised to disrupt healthcare systems worldwide, requiring new frameworks for evaluation. However, evaluation during a surgical robot’s development is challenging due to their complex evolving nature, potential for wider system disruption and integration with complementary technologies like artificial intelligence. Comparative clinical studies require attention to intervention context, learning curves and standardized outcomes. Long-term monitoring needs to transition toward collaborative, transparent and inclusive consortiums for real-world data collection. Here, the Idea, Development, Exploration, Assessment and Long-term monitoring (IDEAL) Robotics Colloquium pro- poses recommendations for evaluation during development, comparative study and clinical monitoring of surgical robots—providing practical recommendations for developers, clinicians, patients and healthcare systems. Multiple perspectives are considered, including economics, surgical training, human factors, ethics, patient perspectives and sustainability. Further work is needed on standardized metrics, health economic assessment models and global applicability of recommendations.
robot, robotic surgery, ideal
Marcus, Hani J.
c01be349-c698-442e-9033-9be3ab167659
Ramirez, Pedro T.
2e9efeb8-f865-469e-8eb1-02ed9c2badbe
Khan, Danyal Z.
584e37c1-0b93-4116-898c-e67db9f8f522
Cook, Andrew
ab9c7bb3-974a-4db9-b3c2-9942988005d5
on behalf of the IDEAL Robotics Colloquium
Marcus, Hani J.
c01be349-c698-442e-9033-9be3ab167659
Ramirez, Pedro T.
2e9efeb8-f865-469e-8eb1-02ed9c2badbe
Khan, Danyal Z.
584e37c1-0b93-4116-898c-e67db9f8f522
Cook, Andrew
ab9c7bb3-974a-4db9-b3c2-9942988005d5
Marcus, Hani J., Ramirez, Pedro T. and Khan, Danyal Z.
,
et al. and on behalf of the IDEAL Robotics Colloquium
(2023)
The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring.
Nature Medicine.
(doi:10.1038/s41591-023-02732-7).
(In Press)
Abstract
The next generation of surgical robotics is poised to disrupt healthcare systems worldwide, requiring new frameworks for evaluation. However, evaluation during a surgical robot’s development is challenging due to their complex evolving nature, potential for wider system disruption and integration with complementary technologies like artificial intelligence. Comparative clinical studies require attention to intervention context, learning curves and standardized outcomes. Long-term monitoring needs to transition toward collaborative, transparent and inclusive consortiums for real-world data collection. Here, the Idea, Development, Exploration, Assessment and Long-term monitoring (IDEAL) Robotics Colloquium pro- poses recommendations for evaluation during development, comparative study and clinical monitoring of surgical robots—providing practical recommendations for developers, clinicians, patients and healthcare systems. Multiple perspectives are considered, including economics, surgical training, human factors, ethics, patient perspectives and sustainability. Further work is needed on standardized metrics, health economic assessment models and global applicability of recommendations.
Text
IDEAL Robotics Framework Manuscript - PM231023 HJM251023
- Accepted Manuscript
More information
Accepted/In Press date: 20 November 2023
Additional Information:
H.J.M is supported by grants from the Wellcome (203145Z/16/Z) EPSRC (NS/A000050/1) Centre for Interventional and Surgical Sciences, National Institute for Health Research (NIHR) Biomedical Research Centre at University College London and the National Brain Appeal. He also declares stocks in Panda Surgical, and has previously received consulting fees from Intuitive Ventures.
D.Stoyanov is supported by grants from the Wellcome Trust, UKRI, European Commission and RAEng and employment from Digital Surgery Ltd (Medtronic) and declares stocks in Odin Vision Ltd (Olympus) and Panda Surgical.
P.D is supported by grants from the UKRI, The Urology Foundation and the Recordati Foundation and declares consulting fees from Proximie, MysteryVibe and Jiva.AI.
D.Stocken is supported by grants from NIHR, CRUK, YCR and BHF. She declares travelling funding from RCSEng and AntiCancer Fund Belgium for conference attendance.
Keywords:
robot, robotic surgery, ideal
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Local EPrints ID: 486280
URI: http://eprints.soton.ac.uk/id/eprint/486280
ISSN: 1078-8956
PURE UUID: 3d0be583-415d-444a-b5b0-393c1b4fb348
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Date deposited: 16 Jan 2024 17:43
Last modified: 18 Mar 2024 05:03
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Contributors
Author:
Hani J. Marcus
Author:
Pedro T. Ramirez
Author:
Danyal Z. Khan
Corporate Author: et al.
Corporate Author: on behalf of the IDEAL Robotics Colloquium
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