참여 기관 및...
TRANSCRIPT
![Page 1: 참여 기관 및 증례수plan.medone.co.kr/42_strongkorea/data/Session1_2.pdf역사적발명(Historical Inventions) • 20세기 자동차(1908; 헨리포드) 라디오/텔레비젼](https://reader031.vdocuments.site/reader031/viewer/2022011815/5e66e0f5052cb7639e6e5a98/html5/thumbnails/1.jpg)
“난치병도척척”
의료로봇기술여기까지왔다
나군호세브란스병원로봇수술센터/비뇨의학과
연세대학교의과대학
![Page 2: 참여 기관 및 증례수plan.medone.co.kr/42_strongkorea/data/Session1_2.pdf역사적발명(Historical Inventions) • 20세기 자동차(1908; 헨리포드) 라디오/텔레비젼](https://reader031.vdocuments.site/reader031/viewer/2022011815/5e66e0f5052cb7639e6e5a98/html5/thumbnails/2.jpg)
역사적발명 (Historical Inventions)
• 20세기자동차 (1908; 헨리포드)
라디오/텔레비젼컴퓨터/반도체
• 21세기이동통신(mobile communications)
나노기술 (nanobiotech)
로봇공학(robotics)
![Page 3: 참여 기관 및 증례수plan.medone.co.kr/42_strongkorea/data/Session1_2.pdf역사적발명(Historical Inventions) • 20세기 자동차(1908; 헨리포드) 라디오/텔레비젼](https://reader031.vdocuments.site/reader031/viewer/2022011815/5e66e0f5052cb7639e6e5a98/html5/thumbnails/3.jpg)
최초의의료로봇개발Early Surgical Robots
1995 제1차중동전Gulf (Iraq) War
화성탐사선계획Mars Mission
(NASA/ Stanford Univ)
![Page 4: 참여 기관 및 증례수plan.medone.co.kr/42_strongkorea/data/Session1_2.pdf역사적발명(Historical Inventions) • 20세기 자동차(1908; 헨리포드) 라디오/텔레비젼](https://reader031.vdocuments.site/reader031/viewer/2022011815/5e66e0f5052cb7639e6e5a98/html5/thumbnails/4.jpg)
정형외과용로봇Robodoc (IBM; Curexo, Korea)
• 1992 –uncemented hip prosthesis first surgical robot
– cavity accurate to 0.4 mm (10x better than
manual reaming)
– 90% surface contact allows uncemented replacement
![Page 5: 참여 기관 및 증례수plan.medone.co.kr/42_strongkorea/data/Session1_2.pdf역사적발명(Historical Inventions) • 20세기 자동차(1908; 헨리포드) 라디오/텔레비젼](https://reader031.vdocuments.site/reader031/viewer/2022011815/5e66e0f5052cb7639e6e5a98/html5/thumbnails/5.jpg)
Johns Hopkins Hospital : 2003
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• Urology : 8093 (3010 Rha) • Gynecology : 755 • General surgery : 11207 • -- Colorectal : 1398• -- HBP : 715• -- Thyroid : 6789• -- Stomach : 2093• -- Ped surg: 173• -- Breast : 39• ENT (TORS) : 1804 • Thoracic Surgery : 403 • Cardiac Surgery : 31• Neurosurgery : 13• Orthopedic : 125• Oromaxillary /Dental: 3• Plastic Surgery : 15
•22447 Cases at Yonsei Severance
•From July, 2005 – March 2019
•2014 daVinci Xi•2005 first daVinci
![Page 8: 참여 기관 및 증례수plan.medone.co.kr/42_strongkorea/data/Session1_2.pdf역사적발명(Historical Inventions) • 20세기 자동차(1908; 헨리포드) 라디오/텔레비젼](https://reader031.vdocuments.site/reader031/viewer/2022011815/5e66e0f5052cb7639e6e5a98/html5/thumbnails/8.jpg)
•Yonsei Surgeons ‘ Contribution to Robotic Surgery
![Page 9: 참여 기관 및 증례수plan.medone.co.kr/42_strongkorea/data/Session1_2.pdf역사적발명(Historical Inventions) • 20세기 자동차(1908; 헨리포드) 라디오/텔레비젼](https://reader031.vdocuments.site/reader031/viewer/2022011815/5e66e0f5052cb7639e6e5a98/html5/thumbnails/9.jpg)
전립선암수술임파선절제술
(Lymph Node Dissection)• 1st Step
• High Stage
![Page 10: 참여 기관 및 증례수plan.medone.co.kr/42_strongkorea/data/Session1_2.pdf역사적발명(Historical Inventions) • 20세기 자동차(1908; 헨리포드) 라디오/텔레비젼](https://reader031.vdocuments.site/reader031/viewer/2022011815/5e66e0f5052cb7639e6e5a98/html5/thumbnails/10.jpg)
• Intra-operative
Ultrasound : Tile-pro
• Advantage in
Parenchymal Suture
Reconstruction
• Advantage in repair
of resection margin
로봇신장수술
![Page 11: 참여 기관 및 증례수plan.medone.co.kr/42_strongkorea/data/Session1_2.pdf역사적발명(Historical Inventions) • 20세기 자동차(1908; 헨리포드) 라디오/텔레비젼](https://reader031.vdocuments.site/reader031/viewer/2022011815/5e66e0f5052cb7639e6e5a98/html5/thumbnails/11.jpg)
최초국내개발 : 인터넷기반수술로봇Korea’s 1st Internet Based Surgical Robot (SR-1)
Seoul – Suwon (35km)
![Page 12: 참여 기관 및 증례수plan.medone.co.kr/42_strongkorea/data/Session1_2.pdf역사적발명(Historical Inventions) • 20세기 자동차(1908; 헨리포드) 라디오/텔레비젼](https://reader031.vdocuments.site/reader031/viewer/2022011815/5e66e0f5052cb7639e6e5a98/html5/thumbnails/12.jpg)
Robotic Architectures -
Microsurgical Robotics
![Page 13: 참여 기관 및 증례수plan.medone.co.kr/42_strongkorea/data/Session1_2.pdf역사적발명(Historical Inventions) • 20세기 자동차(1908; 헨리포드) 라디오/텔레비젼](https://reader031.vdocuments.site/reader031/viewer/2022011815/5e66e0f5052cb7639e6e5a98/html5/thumbnails/13.jpg)
Microsuturing
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Robotic surgery: ALF-X
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Robotic surgery: Medrobotics 2018
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Robot for cardiology
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Robotic surgery: MicroHand S China
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The Korean Robotic Platform : REVO-I
![Page 26: 참여 기관 및 증례수plan.medone.co.kr/42_strongkorea/data/Session1_2.pdf역사적발명(Historical Inventions) • 20세기 자동차(1908; 헨리포드) 라디오/텔레비젼](https://reader031.vdocuments.site/reader031/viewer/2022011815/5e66e0f5052cb7639e6e5a98/html5/thumbnails/26.jpg)
First Case : Revo-iRetzius-Sparing
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Yonsei daVinci SP 2018. 10.
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ENT• Transoral access to Oropharynx, Larynx,
Hypopharynx, Nasopharynx
• Retroauricular access to Neck, Thyroid
![Page 29: 참여 기관 및 증례수plan.medone.co.kr/42_strongkorea/data/Session1_2.pdf역사적발명(Historical Inventions) • 20세기 자동차(1908; 헨리포드) 라디오/텔레비젼](https://reader031.vdocuments.site/reader031/viewer/2022011815/5e66e0f5052cb7639e6e5a98/html5/thumbnails/29.jpg)
Transanal Colorectal
Full Thickness Local Excision Total Mesorectal Excision
![Page 30: 참여 기관 및 증례수plan.medone.co.kr/42_strongkorea/data/Session1_2.pdf역사적발명(Historical Inventions) • 20세기 자동차(1908; 헨리포드) 라디오/텔레비젼](https://reader031.vdocuments.site/reader031/viewer/2022011815/5e66e0f5052cb7639e6e5a98/html5/thumbnails/30.jpg)
간호/회진로봇Rounding(Nursing) Robots
SATAVA 7 July, 1999
DARPA
Nursing shortage crisis
Applicable at all levels
Hospitals
Clinics
Nursing Home
Assisted living
Courtesy Yulun Wang, InTouch Technologies, Inc, Goleta, CA
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Cold Spring Harbor Laboratory, Long Island, NY
세포수술용레이저(1 x 10 –15 sec)
Time of Flight Spectroscopy
Cellular opto-poration
Los Alamos National Labs, Los Alamos NM
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세포수술
Satava September 2003
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Surgical console for cellular surgery
Courtesy Prof Jaydev Desai, Drexel Univ, Philadelphia, PA 2005
Motion
Commands
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0
5
10
15
20
25
30
35
40
1950 1960 1970 1980 1990 2000 2005 2010 2020 2030 2050
Italy
Korea
Japan
Africa
Asia
North America
World
고령화사회 Aging Population
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Rheo Bionic knee Ossur, Reyknavik, Iceland C-leg Otto Bock, Minneapolis, MN
보형물 Intelligent Prostheses
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재활로봇 Rehabilitation Machines
for Robot-mediated Therapy
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가사도우미로봇Robotics for
Personal AssistanceDevar/Provar
Master-Raid
Fixed Workstations
URMAD Project CareOBot
Mobile Robotic Systems
Helpmate
Wheelchair Mounted Manipulators and
Intelligent Wheelchairs
Sprint Immediate
TIDE-Omni
Modular Distributed Systems
TIDE-MOVAID
INAIL-RTR P3
TOU
HWRS ERC system
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General Purpose Robotic Aid
Exact
Dynamics BV,
The
Netherlands,
1991
The MANUS Manipulator
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가사로봇시스템 Mobile Manipulator :
Intelligent Assistive System
Docking Facilities
DedicatedInterfaces for
StandardAppliances
Electronic Appliances
Fixed Workstationsfor Control
Robotic Aid
BedroomKitchen
Typical household environment
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식사보조로봇 Assistive Robot
Handy 1
Neater eater
SelFeed: Usability test
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휴먼노이드 Humanoid Robots
Bicentennial Man
HRP-2
TMSUK IV, TMSUK Inc., Japan
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600만불의사나이Wearable Biomechanics
Micera et al., 2005
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Korea Institute of Science and Technology
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CAS
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미래를예측하며Predicting Future (1943)
“세계에는 5대의컴퓨터면충분할것임There is room for 5 computers in the
world”
Thomas Watson
Chairman IBM, 1943
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미래에는 Vision (1975)
“집집마다컴퓨터가오는세상이열릴것임A computer on every desk and in every
home”
Bill Gates, Microsoft, 1975
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Vision 2019
“모든병원과수술실에로봇이있을것임A robot in every OR (operation room) and in
every hospital” 11robots/68units
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