Surgeons from Scotland and the US Complete Groundbreaking Stroke Surgery Using Robotic System
Medical professionals from Scotland and the United States have performed what is believed to be a world-first stroke surgery employing a robot.
Prof Iris Grunwald, working at a Scottish university, executed the remote thrombectomy - the removal of circulatory obstructions following a cerebral event - on a donated body that had been provided for research.
The surgeon was located at a treatment center in the location, while the subject undergoing procedure with the device was separately situated at the academic institution.
Hours later, a neurosurgeon from the US location employed the system to conduct the initial intercontinental procedure from his American facility on a donated cadaver in Dundee over 4,000 miles away.
The medical group has described it as a potential "transformative advancement" if it receives authorization for medical treatment.
The medics consider this system could change stroke care, as a delay in accessing specialist treatment can have a direct impact on the recovery prospects.
"The experience was we were observing the initial vision of the future," commented Prof Grunwald.
"While in the past this was considered futuristic fantasy, we demonstrated that each phase of the surgery can now be performed."
The University of Dundee is the international education hub of the international stroke organization, and is the exclusive site in the United Kingdom where doctors can treat medical specimens with human blood circulated in the arteries to mimic treatment on a actual patient.
"This was the first time that we could perform the complete clot removal operation in a real human body to prove that every phase of the surgery are possible," said Prof Grunwald.
A healthcare leader, the head of a stroke charity, called the intercontinental surgery as "a remarkable innovation".
"Over extended periods, individuals from remote and rural areas have been denied availability to thrombectomy," she added.
"Robotics like this could address the disparity which occurs in stroke treatment across the UK."
How does the technology work?
An brain attack takes place when an vascular pathway is clogged by a blockage.
This cuts off vascular flow to the cerebral tissue, and brain cells cease working and expire.
The best treatment is a surgical extraction, where a specialist uses catheters and wires to clear the obstruction.
But what happens when a patient is unable to reach a professional who can do the procedure?
The lead researcher stated the trial showed a robot could be linked with the identical medical instruments a doctor would conventionally utilize, and a healthcare professional who is attending the case could simply attach the instruments.
The surgeon, in another location, could then hold and move their personal instruments, and the robot then executes comparable motions in live timing on the subject to conduct the thrombectomy.
The subject would be in a medical facility, while the doctor could carry out the surgery via the automated equipment from any place - even their own home.
The medical expert and Ricardo Hanel could see live X-rays of the body in the studies, and track developments in immediate feedback, with the Dundee expert saying it took just a brief period of instruction.
Tech giants Nvidia and Ericsson were involved in the project to secure the communication link of the automated system.
"To perform surgery from the America to the Scottish nation with a brief latency - an instant - is genuinely extraordinary," commented the neurosurgeon.
Advancements in brain care
The lead researcher, who has received recognition for her research and is also the senior official of the World Federation for Interventional Stroke Treatment, said there were key issues with a standard thrombectomy - a global shortage of surgeons who can do it, and treatment depends on your location.
In the region, there are merely three sites patients can receive the procedure - Dundee, Glasgow and Edinburgh. If you reside elsewhere, you must journey.
"The treatment is extremely time-critical," said the medical expert.
"Each six-minute postponement, you have a one percent reduced probability of having a positive result.
"This system would now deliver a new way where you're independent of where you reside - saving the precious time where your cerebral matter is otherwise dying."
Medical statistics indicated there were {9,625 ischaemic strokes|numerous cerebral events|