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NASA Performs Zero-G Robot Surgery for Mars, Iraq

An anonymous reader writes "With rapid-response surgery needed in Iraq and super-long-distance medicine a far-off necessity for a manned trip to Mars, NASA recently sent eight astronauts, roboticists and surgeons on its 'Vomit Comet,' pitting real doctors against new robotic ones. As if the prospect of a portable robo-OR deploying to Iraq by 2009 weren't enticing enough, one of the surgeons on board promised this in his flight blog: 'So far, surgery by hand is still the most efficient way to get the job done in a mobile, extreme environment. But robots are advancing rapidly... The solution that roboticists are working on now is to CAT scan a patient's entire body and beam the results back to Earth. Then a surgeon could program an operation and beam it back to upload into a robo-surgeon, which could carry out procedures like a player piano.'"

106 comments

  1. I'm sure by moogied · · Score: 2, Interesting
    I'm sure someone is going to write:

    "I don't know if I trust a robot to perform surgery on me.. i mean what if it crashes?"

    To them I will simply remind you that whenever you go under any type of surgery if the "system crashes" you're dead or at least in big trouble. Having heart surgery? If the pumping machine dies, you go with it. Having tonsils removed? What if the thermal blade(or laser) they are using suddenly goes ape shit and burns you too hot, or misfires? You're screwed.

    Point is, its more complex so more things can go wrong. HOWEVER, medical equipment is some of the most reliable and well backedup stuff around.

    P.S. What the hell, robots performing surgery but still no sex slaves? god damned capitalism..

    --
    So basically, -1 troll/offtopic is really slashdots way of saying "I hate that you thought of something before me."
    1. Re:I'm sure by trolltalk.com · · Score: 2, Interesting

      You're already in trouble if you need open heart surgery. The risks are "acceptable", considering the alternatives.

      The mars scenario, on the other hand - the idea of scanning someone and waiting for advice won't work. Even if they could be scanned in zero seconds, and a diagnostic reached in zero seconds, the time delay is between 10 and 50 minutes..Heck, look what happens with only a 4 minute delay http://www.jamesoberg.com/2004marsconquest.html

    2. Re:I'm sure by Sanat · · Score: 1

      that was some experience -simulated of course. Imagine what it would be like to have even a greater time lag between communication.

      Thanks for sharing the URL

      --
      And in the end, the love you take is equal to the love you make
    3. Re:I'm sure by Arthur+B. · · Score: 4, Funny

      A quick internet search will show there's no ground for your blame of capitalism. In the future we'll have robotic sex-slave with downloadable procedures. The day the bj.bite virus hits is going to be a very sad day.

      --
      \u262D = \u5350
    4. Re:I'm sure by Big+Hairy+Ian · · Score: 2, Funny

      It does give BSOD more emphasis

      --

      Build a Man a Fire, and He'll Be Warm for a Day. Set a Man on Fire, and He'll Be Warm for the Rest of His Life.

    5. Re:I'm sure by Starteck81 · · Score: 1

      A quick internet search will show there's no ground for your blame of capitalism. In the future we'll have robotic sex-slave with downloadable procedures. The day the bj.bite virus hits is going to be a very sad day.
      So you're telling me Lorena Bobbitt is teaching programming now?
      --
      "There are four boxes to be used in defense of liberty: soap, ballot, jury, and ammo. Please use in that order." -Ed H
    6. Re:I'm sure by buttle2000 · · Score: 0

      The thought of "downloadable procedures" turns me right on.

  2. Beware ... by foobsr · · Score: 3, Funny

    which could carry out procedures like a player piano.'

    ... if the patient is not well tuned.

    CC.

    --
    TaijiQuan (Huang, 5 loosenings)
  3. It will work like this: by 140Mandak262Jamuna · · Score: 4, Funny

    sternum cut... done. Pericardium incision ... done. Heart stop ... done. ....buffering.....

    --
    sed -e 's/Chuck Norris/Rajnikant/g' joke > fact
    1. Re:It will work like this: by Hanners1979 · · Score: 2, Funny

      If you don't have private health insurance, you'll end up with RealSurgeon, that fills you with tracking devices, then starts buffering data endlessly and kills you in the process.

    2. Re:It will work like this: by timeOday · · Score: 2, Informative

      "SRI wants to move away from remote telesurgery and closer to autonomy. The company plans to build a system for NASA that could treat an astronaut on Mars, where communication delays of more than 20 minutes would make telesurgery impossible. "

  4. Propogation Delay? by Anonymous Coward · · Score: 1, Insightful

    How do they plan on performing surgery to someone on mars? There is a rather large prorogation delay, even if data is sent at the speed of light, this is not fast enough to perform surgery. Things happen quickly, the surgeon needs feedback, etc. If the surgeon cuts a little too much, he won't know for 10 seconds, after cutting way too much? I'd rather have an untrained pilot (or the doctor they send to mars) perform surgery.

    1. Re:Propogation Delay? by aadvancedGIR · · Score: 1

      That's apparently the whole purpose of their work: to have the robot work solo from a human-produced procedure.

    2. Re:Propogation Delay? by Anonymous Coward · · Score: 0

      You've misunderstood. The surgeon is not performing the surgery while the robot cuts. The surgeon performs the entire surgery. The entire sequence is then uploaded to the robot before surgery even begins. The robot then performs the surgery autonomously.

      So you see, there is no prorogation delay. The only problems are the patient could be positioned incorrectly (resulting in deeper, shallower, or misplaced cuts), there could be complications, or there could be a hardware/software failure. No problem!

    3. Re:Propogation Delay? by Entropius · · Score: 3, Insightful

      Right, but the idea is that simply recording motions from the doctor and playing them back with a robot won't work.

      The player piano only works because a piano is a predictable, static thing. It responds in exactly the same way to the same stimulus, every time. The body is not. Fast-acting feedback mechanisms are important for all sorts of things, from maintaining balance to doing surgery.

      If we're using musical metaphors: if you take a choir and teach them a piece, then give them earplugs and ask them to perform it, they'll drift out of tune rather quickly; singers rely on constant aural feedback to stay in tune with each other.

    4. Re:Propogation Delay? by trolltalk.com · · Score: 1

      >" performing surgery to someone on mars? There is a rather large prorogation delay, even if data is sent at the speed of light, this is not fast enough to perform surgery. Things happen quickly, the surgeon needs feedback, etc. "

      The delay isn't 10 seconds - its between 10 and 50 minutes, depending on the relative positions of the two planets. By the time they see the cuts not in the right place, the problem will have solved itself - the patient will be dead.

    5. Re:Propogation Delay? by HTH+NE1 · · Score: 1

      You've misunderstood. The surgeon is not performing the surgery while the robot cuts. The surgeon performs the entire surgery. The entire sequence is then uploaded to the robot before surgery even begins. The robot then performs the surgery autonomously.

      So you see, there is no propagation delay. The only problems are the patient could be positioned incorrectly (resulting in deeper, shallower, or misplaced cuts), there could be complications, or there could be a hardware/software failure. No problem! That's all well and good so long as the machine is only performing an autopsy! Living patients tend to veer from the static model over time, regardless of how detailed your initial scan was. Surgery is an exercise in responding to minor complications.

      So unless you plan to kill the patient first and resurrect him after the surgery, I'd rather spend the money on giving an actual surgical team astronaut training.
      --
      Oh, say does that Star-Spangled Banner entwine / The myrtle of Venus with Bacchus's vine?
    6. Re:Propogation Delay? by Firethorn · · Score: 1

      So it's tough. Preferably the computer would be programmed to recognize things like bleeders and react accordingly.

      We're working on machines that can operate on an unrestrained eyeball - lids are clamped out of the way, but the eye is free to move. That's pretty awesome right there.

      --
      I don't read AC A human right
    7. Re:Propogation Delay? by Entropius · · Score: 1

      That machine is still only having to compensate for two degrees of freedom (phi, theta), though. It's frickin' cool, but not something I'd want doing general-purpose surgery where any number of things can happen.

  5. Well Duh by Wellington+Grey · · Score: 4, Funny

    the robot seemed to hold its own--until its compensation software was turned off. "The difference was huge," Kamler says. "It was virtually impossible [for it] to tie a knot."

    Well, you try turning off some vital part of the human surgon and see how well he does.

    The human surgon did very well until we removed his eyes. "The difference was huge," said the robotic overload. "Not only could he barely tie a knot, but he also couldn't stop screaming."

    -Grey

    1. Re:Well Duh by aadvancedGIR · · Score: 1

      On a serious but related side when using those robots on battlefield, a robot does not suffer from stress in a dangerous environment and will therefore stay at 100% efficiency until actually damaged (at this point, a human doctor won't be very usefull either).

    2. Re:Well Duh by Firethorn · · Score: 1

      Worse, a damaged human surgeon is likely to take out two surgeons (IE him and somebody to work on him), while you discard the robot and stick a spare(that you hopefully have) in.

      --
      I don't read AC A human right
  6. brilliant by circletimessquare · · Score: 2, Funny

    1. use robot surgeon to excise iraq from earth
    2. float iraq to mars in zero G
    3. use robot surgeon to graft iraq onto mars
    4. iraq problem solved!

    that's what the article was about, right?

    what is this RTFM acronym i keep seeing mean?

    --
    intellectual property law is philosophically incoherent. it is your moral duty to ignore it or sabotage it
    1. Re:brilliant by Obvius · · Score: 1

      ..unless you happen to live in Iraq.

    2. Re:brilliant by Grandiloquence · · Score: 1, Funny

      I'm guessing this is what it will take to finally get the neocons to support manned space exploration. After all, we'll need to fight the terrorists "over there" instead of "over here"!

    3. Re:brilliant by Anonymous Coward · · Score: 0

      If you really think that's what Fox is all about, then you're a bigger fucking idiot than the people you think you're lampooning.

    4. Re:brilliant by Anonymous Coward · · Score: 0

      you assume there is actually an 'iraq problem'

    5. Re:brilliant by rvw · · Score: 1

      what is this RTFM acronym i keep seeing mean? It means: Return To F*cking Mars, but strangely enough applies mostly to those posting it.
    6. Re:brilliant by mcrbids · · Score: 1


      what is this RTFM acronym i keep seeing mean?


      Wow. Not only not RTFA but not RTFC!?!? (comments) Ain't nobody here saying RTFM around here, but you wouldn't know that since you have to READ SOMETHING to find that out...

      This is like a fractal post - it recurses into itself to infinity...

      --
      I have no problem with your religion until you decide it's reason to deprive others of the truth.
    7. Re:brilliant by Anonymous Coward · · Score: 0

      If you really think that's what Fox is all about, then you're a bigger fucking idiot than the people you think you're lampooning.

      Whereas you have so brilliantly countered what I said. Wow, look at those links. That proves how great FOX really are and what a cuddly, brown-person loving, dude Rupert Murdoch is.

  7. Unfortunately by Anonymous Coward · · Score: 0

    Unfortunately unexpected things come up in surgeries. Combine this with the impossibility of remote control due the time lag (10 minutes for data to get to Mars, 10 minutes for back to Earth) and I can imagine a nickname "butcher" for these machines.

    1. Re:Unfortunately by Dunbal · · Score: 2, Interesting

      Unfortunately unexpected things come up in surgeries.

            Yeah, but it's usually anesthesiology's fault. What they REALLY need to be working on is the "robot anasthesiologist" because a 20 min delay is usually not good enough to respond to minute by minute changes in patient physiology. The surgery part is fairly mechanical and if you have excellent prior information and a very good bot, shouldn't be much of a problem. But what do you do when your "patient" develops a collapsed lung because whoever placed the endotracheal tube before the op put it just a little too far in and now the patient's saturation blood pressure is dropping fast, doctor...

      --
      Seven puppies were harmed during the making of this post.
  8. Yeah but wait till you see by sdkramer · · Score: 1

    the co-pay!

    --
    "I wish to God these calculations would have been made by steam." -Charles Babbage
  9. Progress by j-stroy · · Score: 1


    In Soviet Russia the robot operates YOU!

  10. "Like a player piano..."? by ibn_khaldun · · Score: 1

    hmm, most player pianos I'm familiar with aren't full of pulsating liquids and big squishy things -- some of which are rather important -- that move around when you touch them. Not clear the analogy works that well unless there are plans to freeze the patient solid before proceeding.

    --

    "All successful systems accumulate parasites" -- Hal Hixon

    1. Re:"Like a player piano..."? by nospam007 · · Score: 1

      hmm, most player pianos I'm familiar with aren't full of pulsating liquids and big squishy things -..
      ___

      Yep, those full of squishy things are piano players.

  11. Player piano? by FlyByPC · · Score: 1

    How do they propose to compensate for all of the uncountable variables involved in surgery? Humans are imperfect, messy, squishy things to work on. It would be tricky enough to get a robot to reliably do repair work on electronics that have been out in the field -- let alone to do repair work on nonstandard, moving, ill-defined human parts.

    Even if the surgeon back on Earth does a great job and is extremely careful, what happens if some part of the patient moves a bit? A surgeon would see this and make a correction; a robot which did not inherently understand surgery might have a very difficult time correcting without knowing what just happened. (Blood vessel sprang back in the way of the next incision -- which didn't happen on the CAT-scan simulation the surgeon worked on back Earthside.)

    I'll take my chances with a local medic, working in consultation with a surgeon at a remote site. Maybe the surgeon could even do the surgery as an example -- but a human should be there to interpret it, at least until we have good enough AI to grok what it is doing.

    --
    Paleotechnologist and connoisseur of pretty shiny things.
    1. Re:Player piano? by aadvancedGIR · · Score: 1

      On a general case, I would agree with you, but the robot is designed to be used in cases where there is no surgeon withing a million km radius (for an interplantary mission, do you want a real doctor plus his backup in case he will be injured or a machine and two more scientists? you may want the former, but the later means way more bang for the buck) or not enough to waste them on the battlefield, where some guys could be saved by a quick and dirty intervention aimed at stopping their bleeding and keeping them alive long enough to go to the hospital (each patrol could carry one of these robots and ideally deploy it almost instantly while the evac team is still en route).

    2. Re:Player piano? by Firethorn · · Score: 1

      At least for on earth combat use - you'd be able to have real surgeons standing on hand to make near realtime adjustments. You could even have him teleoperate, though ideally a surgeon robot wouldn't be limited to human movements.

      --
      I don't read AC A human right
    3. Re:Player piano? by datablaster · · Score: 2, Insightful

      ambitious plan--perhaps too ambitious. why not start with a robotic ointment-squeezer or band-aid applier...see how that works out first

    4. Re:Player piano? by FlyByPC · · Score: 1

      Teleoperations when there is no real delay seems fine; a human operator could easily correct for any changes. That sounds like a great idea. Where I don't see it working well is where you have large (say, >500ms) latency, and it becomes difficult or impossible for a surgeon to see what is happening in time to correct for it.

      --
      Paleotechnologist and connoisseur of pretty shiny things.
    5. Re:Player piano? by Firethorn · · Score: 1

      Which is why I specified on earth operations. It'd quickly become untenable for space work. You need a much more capable robot for that.

      --
      I don't read AC A human right
  12. Speaking of Player Piano and surgeons... by Chris+Burke · · Score: 1

    I don't remember Vonnegut mentioning the fate of that profession in Player Piano. I'm imagining it would have been replaced with machines like everything else but engineering and management. Though reading it in the early 2000s I realized that really, machines will eventually design machines (they already do a fair portion of the work with things like automatic place-and-route), and at least middle management is conceivably replaceable.

    Vonnegut's musings on the impact on the human soul aside, it's still pretty exciting to see robotic surgery start to bear fruit. It's a great advance that will help many people, and I think for the time being the surgeon's job is safe since even the best robot isn't doing better than pantomiming specific actions, and are a terribly long way from the reasoning capacity to adjust the plan by itself if there are complications.

    On the other hand, it -does- go against my general principle of not giving robots weapons.

    --

    The enemies of Democracy are
    1. Re:Speaking of Player Piano and surgeons... by Nazlfrag · · Score: 1

      Not give them weapons? Bah, a robot has no need for weapons! I ask you, what self respecting robot can't crush a puny meatbags skull with it's bare hydraulic fist?

    2. Re:Speaking of Player Piano and surgeons... by plague3106 · · Score: 1

      One that was blown to bits by a mortor fired from two miles away?

  13. open-loop surgery by radarsat1 · · Score: 1

    which could carry out procedures like a player piano.


    I'm pretty sure this must be an inaccurate way of describing it. A player piano works open-loop.. no feedback is involved. An open-loop surgical robot would simply carry out the instructed movements in a straight-forward way --- no matter whether it's cutting the right tissue or poking a hole in the wrong place.

    I think the article is trying to describe a more intelligent robot which actually uses visual and sensing feedback to tell whether it's doing the right thing. (I certainly hope so anyways.) This is not at all like a player piano.

    Note that there is a lot of research going on right now in using high-speed communication to allow a surgeon to STAY in the loop. Communication in both directions allows a person to manipulate a robot remotely, and also to feel when the robot is obstructed somehow. Think of tele-manipulation systems for handling dangerous materials, but over a high-speed network.

    I imagine the system described here is for when high-speed communication is an impossibility, so they have to program the robots, basically, to be as intelligent as the surgeon himself. A difficult task for sure.

    Anyways what the hell is NASA doing research for Iraq for??? Yay military funding.
    1. Re:open-loop surgery by DFDumont · · Score: 1

      High speed communications does not solve the issue of the speed of light limit. Latency measured in seconds can be achieved simply by bouncing a signal off an orbiting satellite. Even sub-second latency that you'd get by crossing a few states, or an ocean, would be enough to be the difference between stopping the scalpel before it nicked the heart muscle - or not. Without fully confining the motion within the scope of the area of treatment - i.e. the robot has to know what its doing and must know when to stop, or move, or adjust - any attempt would be a disaster.
      I know we do things now with remote operation in hazardous environments, like inside a nuclear reactor core, but lets not forget that metal cans and uranium pellets have significantly more structural stability and tensile strength than does anything organic.
      I think this is one of those quantized realms where the technology is completely ineffective until its perfect. I haven't seen perfect yet, and I'm not going under the knife of anyone (or thing) that doesn't breath.
      Just MHO.
      Dennis Dumont

  14. "Doctor Grievous will see you now?" by toby · · Score: 1

    You want to strap my anesthetised body on to a gurney over which crouches a robot on autopilot with scalpels for fingers and programmed to cut me up? No thanks... I'm ready to die the good old fashioned way...

    --
    you had me at #!
    1. Re:"Doctor Grievous will see you now?" by aadvancedGIR · · Score: 1

      An old french playwritter, Molliere, have one of his caracters say: "It's better to die accordingly to the medecine than to live despite it".

  15. Cool, but possibly taking the wrong approach. by moosesocks · · Score: 2, Interesting

    Forgive me for possibly being naive, but wouldn't it possibly be a LOT more practical to simply keep a highly-skilled physician on board the mission?

    After all, ocean ships have been doing this for hundreds of years. Today, Antarctic expeditions usually have a surgeon on hand, along with a minimally stocked OR, because it's virtually impossible to get anything to or from the interior regions of the continent in the wintertime.

    Given that a good portion of the research NASA does is biological in nature, I imagine that there are quite a few individuals who are already qualified for this role. Sending a trained doctor to Mars seems like a no-brainer.

    On the other hand, sending a CAT Scan machine up into orbit (and then to Mars) seems hilariously over the top. On the list of big and bulky machinery, CAT Scan machines are pretty high up there. Why not send a locomotive and some track up so that we can drive around on the surface once we get to Mars? After all, they're fast and energy-efficient!

    On the other hand, if they were developing a similar technology, but remained focused on keeping it cheap and portable, the applications for it would be HUGE. It'd still be fantastic on the battlefield, and could also be used in remote regions (especially in developing nations) where the local population cannot support having highly-specialized doctors in their area.

    --
    -- If you try to fail and succeed, which have you done? - Uli's moose
    1. Re:Cool, but possibly taking the wrong approach. by Jennifer+York · · Score: 1

      Agreed. A ship's surgeon seems like a better idea to me... is this another case of "the russians use a pencil"?

    2. Re:Cool, but possibly taking the wrong approach. by divided421 · · Score: 0

      Yes, and no. So far with going to Mars the primary concern is ship weight. An extra crew member + food + life support systems to sustain them is a difficult task to manage when they can have teams of highly skilled surgeons performing robotic surgery from earth. Only thing to worry about now is losing communications.

    3. Re:Cool, but possibly taking the wrong approach. by Anonymous Coward · · Score: 0

      wouldn't it possibly be a LOT more practical to simply keep a highly-skilled physician on board the mission?

      And what if the physician needs surgery? I'm being completely serious here.

    4. Re:Cool, but possibly taking the wrong approach. by Firethorn · · Score: 2, Interesting

      What if it's the surgeon who gets sick/injured and needs surgry? Killed in an accident? Now we're up to two needed.

      Surgeons are becomming specialized - what if the operation is a complicated one? A telepresence capable robot would be a better option.

      Given enough development, a robotic surgeon can do more complex tasks faster than a human. Like the one designed to be able to work on a mobile human eye. A heart would be easy after that. Imagine, open-heart surgury while the heart is still beating.

      --
      I don't read AC A human right
    5. Re:Cool, but possibly taking the wrong approach. by DerekLyons · · Score: 1

      Forgive me for possibly being naive, but wouldn't it possibly be a LOT more practical to simply keep a highly-skilled physician on board the mission?

      Not really - because after months-to-years of no surgical practice, he isn't going to be a highly skilled physician anymore. On top of which, there isn't going to be enough room on the crew who isn't wearing at least two hats, which mitigates against having more than average skill (if that) as a surgeon.
       

      After all, ocean ships have been doing this for hundreds of years.

      No they haven't.
       
       

      Today, Antarctic expeditions usually have a surgeon on hand, along with a minimally stocked OR, because it's virtually impossible to get anything to or from the interior regions of the continent in the wintertime.

      You are correct, today they have that - this has not always been true. (And I shouldn't have to point out the vast differences between an Antarctic base and a space station or Mars expedition.)
    6. Re:Cool, but possibly taking the wrong approach. by pintpusher · · Score: 1

      Dude, they covered that in "Master and Commander". Its called a mirror.

      oh. and good whiskey helps.

      --
      man, I feel like mold.
    7. Re:Cool, but possibly taking the wrong approach. by pintpusher · · Score: 1

      This implies a couple of things which I think are wrong.

      1. That skilled medical personnel are of no use when they aren't performing medical procedures, which is patently false. Highly skilled medical personnel are *at least* capable of reasoned thought and probably capable of carrying out all sorts of rigorous experimental procedures. They may not be qualified to analyze the data, but they are certainly qualified to operate equipment, take measurements etc etc. And don't forget that at least *some* of the scientific advancement of the last couple centuries was carried out by people initially educated in whatever passed for medicine at the time. Sure there was some quackery, but there were also good minds trying to solve problems. S

      2. That human life doesn't have the right to skilled medical care. This is obviously a philosophical point to be debated, but its totally reasonable that there should be a "ship's surgeon." Even if all he does is prance around in a skimpy bathrobe mackin' on the ladies, there's at least comic relief. Laughter is the best medicine!

      --
      man, I feel like mold.
    8. Re:Cool, but possibly taking the wrong approach. by Lothsahn · · Score: 1
      --
      -=Lothsahn=-
    9. Re:Cool, but possibly taking the wrong approach. by Anonymous Coward · · Score: 0

      is this another case of "the russians use a pencil"? You mean, a myth that has been thoroughly and repeatedly debunked?
    10. Re:Cool, but possibly taking the wrong approach. by Firethorn · · Score: 1

      I remember reading about her.

      I think that the best bet would be to have both - a human surgeon and an 'autodoc'. As long as the disaster doesn't take out both, you can still have surgury done by a trained professional.

      If it does take out both, odds are you're in deep, deep trouble. Oh yeah, in general keep the human doc away from the machine, or have two machines, one on either end of the ship/installation.

      --
      I don't read AC A human right
    11. Re:Cool, but possibly taking the wrong approach. by kabocox · · Score: 1

      On the other hand, if they were developing a similar technology, but remained focused on keeping it cheap and portable, the applications for it would be HUGE. It'd still be fantastic on the battlefield, and could also be used in remote regions (especially in developing nations) where the local population cannot support having highly-specialized doctors in their area.

      This is NASA. Cheap isn't in their vocabulary. They'll get a CAT scan machine the size of a book and be quad redundant as well. Only problem is that'll be 50-100 times more expensive then an existing CAT scan machine. So for an app where you have the money to burn, you'll be able to buy this super compact elite CAT scan machine, but you could have bought an entire mobile hospital almost for the price of that one piece of hardware.

    12. Re:Cool, but possibly taking the wrong approach. by NMerriam · · Score: 1

      Forgive me for possibly being naive, but wouldn't it possibly be a LOT more practical to simply keep a highly-skilled physician on board the mission?


      That's great, but what happens when the surgeon gets hurt? Or what happens when your highly skilled endocrine surgeon suddenly has to deal with brain damage? There are hundreds of surgical specialties, and no way any surgeon -- or team of surgeons -- could be prepared to handle them all. Unlike Antarctica, you can't get on the phone or video link with a specialist somewhere else and have them talk you through it, and you can't stabilize the patient and wait for a rescue when there's a break in the weather. You can't cut someone open and then ask "is this the one you said to clamp?" from Mars -- even at the speed of light, it can take 40 minutes for the answer.

      Disclaimer: I worked for 5 years with the NASA group doing this research and flew the Vomit Comet in some of the earlier tests.

      I can assure you that all this research being done focuses a lot of the energy on coming up with small, portable, low-cost systems that can be used in remote environments. I don't think anyone has ever suggested sending a CAT scan into space except as a joke -- what we HAVE been pushing for is the development of other 3d diagnostic imaging systems that don't weigh thousands of pounds. We test most of the gear in Africa, South America, etc, and part of NASA's project goal is to solve the problems of treating patients on Mars while also improving health care here on Earth. Terrestrial benefits are a top priority in all the research that goes on and the choice of projects that get funded -- being able to teach a doctor to perform an emergency procedure he's never done before from the other side of the Sun means that we'll also be able to teach a traveling nurse in remote Africa how to diagnose and treat something she's never seen before without having to send the patient back to a city, which could be days of hard travel that they'd never survive.
      --
      Recursive: Adj. See Recursive.
    13. Re:Cool, but possibly taking the wrong approach. by moosesocks · · Score: 1

      Hmm... I'm not entirely convinced...

      For one, TFA doesn't make any mention of the system being completely autonomous -- look at the picture right up front. Likewise, the trials certainly didn't have anything like a 30 minute delay added to them.

      I'd imagine that the cases where a semi-autonomous robot would require intervention would be the same cases where an inexperienced doctor would need to phone back for help.

      That said, the number of medical conditions you're even remotely likely to encounter in space with a crew of astronauts who have been put through what is likely to be the most comprehensive medical examination known to man. Murphy's law aside, what are the odds that they'll ever need to do anything more than an appendectomy? In my completely unqualified opinion, if I had to pick one specialized doctor to send, it'd probably be a Cardiologist. If you're halfway to Mars, and in need of brain surgery, I'm afraid that you're pretty screwed as it is.

      Other questions they'll eventually have to consider: What sort of space-accident is going to leave you maimed but not dead? What surgical techniques will even work in zero-gravity, and how will you deal with the geyser of blood that'll spout up and disperse throughout the room once you cut into somebody? What happens if one of the crew is permanently incapacitated? And then what happens if someone dies?

      I don't want to be overly critical and knock you for your work -- I have a *huge* appreciation for the work that's being done to bring modern medical care to all corners of the Earth. My gripes lie mainly with "poppy" science journalism ;-)

      --
      -- If you try to fail and succeed, which have you done? - Uli's moose
    14. Re:Cool, but possibly taking the wrong approach. by dotancohen · · Score: 1

      [snip]...and could also be used in remote regions (especially in developing nations) where the local population cannot support having highly-specialized doctors in their area. Not to be a dick, but why do you think that a doctor is needed in the sick, isolated, poor parts of the world? So that the population will grow at an even faster rate than it already does? They don't have the food or resources to sustain themselves now, why create a situation in which they will have to distribute their few resources about even more people?

      Or do you want to send them your food and your money as well? Including paying for the doctors who are ensuring that they will live to need it?
      --
      It is dangerous to be right when the government is wrong.
    15. Re:Cool, but possibly taking the wrong approach. by timeOday · · Score: 1

      Forgive me for possibly being naive, but wouldn't it possibly be a LOT more practical to simply keep a highly-skilled physician on board the mission?
      The latest technology is almost always impractical, by definition. Using robots to make cars used to be impractical. The point of R&D is to further technology with good prospects of becoming practical. I think this is great research. Using human surgeons with 16 years of training for every operation is simply not working. Many people worldwide die each year because they can't afford surgical procedures. This problem will be solved in the same way that hunger has been greatly reduced worldwide through farming technology, which allows 1 person to do the work of 100 primitive farmers.
    16. Re:Cool, but possibly taking the wrong approach. by NMerriam · · Score: 1

      This one particular experiment isn't intended to solve every problem in space medicine. There are dozens of groups working on different aspects of these problems.

      Nobody wants a completely autonomous system -- I don't think even a semi-autonomous one is on anyone's radar for actual use. But using robotics and haptics as a guide, as a training platform, as an assistant, those are all things very high on the list of medical schools around the world as well as NASA. Nobody is going to Mars without a pretty comprehensive, intense medical training program that will allow them to pitch in if necessary regardless of their background. If there's one things astronauts are selected for, it is the ability to learn new things very quickly, very well.

      As for the kinds of injuries you'd expect, trauma of all sorts. Nobody is concerned about cancer sprouting up overnight or some congenital disease. There is even discussion of prophylactic appendectomies before long-term missions. This isn't the care anyone is losing sleep over. But if a rock crushes someone's leg or a tool gets driven through a chest cavity, you need to be able to perform some immediate stabilizing procedures and then get comprehensive consultation and advice from specialists back on Earth so that in a few hours you'll be able to rehearse and perform whatever procedure is necessary to save the life and preserve maximum mission resources. Accidents happen everywhere in the universe, and many of them require surgical procedures. Indeed, most of the best astronaut candidates I know who have a shot at going on a Mars mission (assuming it happens in the next 20 years) are ER/trauma docs. Dealing with the consequences of car crashes every day for 20 years is probably the best training we could give someone for these missions. How many different ways can the human body be impaled, crushed, or burned because someone lost their concentration for a split-second at just the wrong time?

      Surgery in zero gravity is not very different than surgery on Earth, really. Sure, there are technical issues everyone has to learn to deal with, but that's a matter of a couple days of training, not a reinvention of medicine. Some things are a little harder in microgravity, some things are actually easier. Now we're just trying to improve it by putting in robotic assistants to reduce mistakes. Most of the research proper is going into how to provide for consultations, training, and practice in non-real time.

      --
      Recursive: Adj. See Recursive.
  16. New Amazon Service by nacturation · · Score: 2, Funny

    I'll wait until Amazon rolls out the sequel to its Mechanical Turk concept, the Mechanical Doc. You pay thousands of people $1 each to perform incisions, clamp stuff, remove this, stitch up that, and voila! Open source surgery! After all, one pair of eyes may not be able to spot a problem but thousands of eyes should be able to correct any ailment.

    --
    Want to improve your Karma? Instead of "Post Anonymously", try the "Post Humously" option.
  17. You mean? by iminplaya · · Score: 2, Interesting

    They can't be doing this in that big ol' fancy space station they got up there? Hmm, I thought this was the kind of stuff it was built for.

    --
    What?
    1. Re:You mean? by NMerriam · · Score: 1

      They can't be doing this in that big ol' fancy space station they got up there? Hmm, I thought this was the kind of stuff it was built for.


      It costs a couple thousand dollars to get space and time on the plane -- it costs a couple million to get space and time on the ISS. Most taxpayers would agree it's a good idea to make sure we only spend the millions on things that have already been tested as far as they can possibly go using less expensive means.
      --
      Recursive: Adj. See Recursive.
  18. Paging Dr. Joplin... by Rob+T+Firefly · · Score: 3, Funny

    I, for one, can't wait to have my life-saving surgery done with a ragtime score.

    1. Re:Paging Dr. Joplin... by pintpusher · · Score: 1

      Funny that is, but wait until you have to pay for the right to the "score" that is used to "perform" the surgery on you're loved one and SIAA (surgical industry AA) is knocking on your door wanting to look at your hard drive to see if you made that available over the internet for others to use. Sure it's one thing, and fair-use mind you, to go ahead and do the operation on you sister, kid, neighbor, they can't really stop that. But if you leave that thing lying on the front porch and people start doing their own appendectomies willy-nilly, well, you're in for a heap of trouble.

      --
      man, I feel like mold.
  19. Who needs a surgeon by GottliebPins · · Score: 1

    Simply send T-1000's into Iraq. If it moves, kill it!

  20. CAT-scan idea is slightly hazardous... by Urban+Garlic · · Score: 1

    One of the problems that human surgeons sometimes have when working from CAT scans is that the organs inside the body tend to move around and change shape after you cut it open. As the incision spreads, pressure is relieved and of course fluids can be released, changing the internal geometry. Are they really going to steer the scalpel with the pre-incision geometry?

    I suppose for massive trauma injuries, it might be OK, but it seems like interactivity is a pretty strong general requirement for surgery.

    --
    2*3*3*3*3*11*251
    1. Re:CAT-scan idea is slightly hazardous... by scottv67 · · Score: 1
      One of the problems that human surgeons sometimes have when working from CAT scans is that the organs inside the body tend to move around and change shape after you cut it open.

      ARF! ARF! ARF-ARF!

      "What is it, Lassie? Timmy fell in a well? Engineers have solved the problem of patients that move while they are being treated?"

      The present design of the CyberKnife derives from the original concept of a frameless alternative to frame-based radiosurgery. The CyberKnife consists of three key components: 1) an advanced, lightweight linear accelerator (LINAC) (this device is used to produce a high energy (6MV) "killing beam" of radiation), 2) a robot which can point the linear accelerator from a wide variety of angles, and 3) several x-ray cameras (imaging devices) that are combined with powerful software to track patient position. The cameras obtain frequent pictures of the patient during treatment, and use this information to target the radiation beam emitted by the linear accelerator.

      The robot is instrumental in precisely aiming this device. When a patient moves during treatment, the change in position is detected by the cameras, and the robot compensates by re-targeting the linear accelerator before administering the radiation beam. This process of continually checking and correcting ensures accurate radiation targeting throughout treatment.
      http://www.cksociety.org/PatientInfo/radiosurgery.asp

  21. Rapid response? by G-News.ch · · Score: 1

    Did I get that right, that they want a robot to perform rapid response surgery in space by having it CAT scan the patient, send the data back and wait for a real surgeon to program the actual surgery and then send it back? By the time the CAT scan results arrive on earth, the patient will already be dead. Then again, that makes the robot's work much easier, because he will have a stable, non-moving target to work on, when the surgery data arrives back on mars 4 hours later. Rapid response surgery is something that has to take place within minutes, not hours. The data delay alone makes rapid response on mars impossible this way, let alone the fact that the real surgeon has to perform the operation first. Actually solving the problem altogether is much easier though: Send a physician up to mars along with the other astronauts/cosmonauts, Mars problem solved. Stop going to war with every second oil producing country, Iraq problem solved too.

    1. Re:Rapid response? by Orange+Crush · · Score: 1

      Minor nitpick: the greatest distance between the Earth and mars is about 400 million kilometers. Signal time lag would then be 20mins each way (so 40 mins between sending a signal and receiving a response), not 4 hours.

    2. Re:Rapid response? by G-News.ch · · Score: 1

      I'm aware of this. What you seem to forget is that the real surgeon will not be able to perform the programming surgery in a nanosecond. So, assuming data travels 20 minute to earth, where a surgery team is ready to diagnose the problem and perform a dummy surgery, and then data travels back for another 20 minutes. you have 40 minutes for data travel alone, plus any amount of time it takes to diagnose and operate the ailment. Minor surgery might take only 15 minutes to operate, but the more complicated stuff can easily take several hours, in which case any help would come too late. In fact I wonder if there is any medical condition that couldn't be cared for faster on site. The only medical conditions that would allow for several hours of response time would be non critical issues such as cancers etc. Then again, I somehow doubt NASA would send anybody on a Mars mission before making sure they are 120% healthy. I restate my opinion: The proposed method for rapid response surgery is by no means rapid. Rabid, rather.

  22. Body armor by MMaestro · · Score: 1
    the robot seemed to hold its own--until its hydraulic fluid leaked out. "The difference was huge," Kamler says. "It was virtually impossible [for it] to tie a knot, let alone move its arms."

    On a more serious note, unless they plan on deploying these things in the rear lines of Iraq, this is going to turn into another armor and weight versus speed and efficiency battle. If AK-47's can punch through kevlar armor, what are the chances of a mobile-OR robot surviving a some shrapnel? One or two lucky hits can essentially cripple any robot.

    1. Re:Body armor by compro01 · · Score: 1

      one or two "lucky hits" can cripple tank, it's just a matter of how lucky they need to be.

      --
      upon the advice of my lawyer, i have no sig at this time
  23. No thanks by ObiWanStevobi · · Score: 1

    Just let me die on Mars without mutilating me with a robot. The damn thing wouldn't even know if I was knocked out or not. Just give me a good supply of morphine in the event of an emergency, I'll make sure I go peacefully. This sounds like doing surgery with a milling machine. When we have human level AI, maybe. A "blind knife", no way.

    In the event that I was to die on Mars, I'd request that you leave me there. My corpse would be smiling and flipping you all off from across the solar system.

  24. perhaps Molière did not anticipate Therac by toby · · Score: 1
    --
    you had me at #!
  25. obligatory by leomekenkamp · · Score: 1

    "Please state the nature of the medical emergency."

    --
    Wenn ist das Nunstueck git und Slotermeyer? Ja! Beiherhund das Oder die Flipperwaldt gersput.
    1. Re:obligatory by Sanat · · Score: 1

      Finally a real purpose for Clippy. Even the name is appropriate.

      "You seem to be trying to perform an open heart surgery..."

      --
      And in the end, the love you take is equal to the love you make
  26. Zero G by BlueshiftVFX · · Score: 1

    I didn't realise that Iraq had no gravity.

  27. Docs in SPAAAACCCEEE! by frankmu · · Score: 1

    as a physician, i realize how much resource you need to do things that are routine. when i perform surgery, there has to be nurses pre, inra and post operatively. we need anesthesia, sterile equipment,etc. it's amazing what has to run right in order to get things done. you then have to get that into space, and then do surgery? that's going to be an interest problem to overcome.

    --
    Supreme executive power derives from a mandate from the masses, not from some farcical aquatic ceremony.
    1. Re:Docs in SPAAAACCCEEE! by SomeoneGotMyNick · · Score: 1

      Your tagline: Supreme executive power derives from a mandate from the masses, not from some farcical aquatic ceremony

      A physician that can quote Monty Python...... As long as your next words aren't, "It will have to come out!!!!"

    2. Re:Docs in SPAAAACCCEEE! by frankmu · · Score: 1

      i do have a machine that goes "Ping"

      --
      Supreme executive power derives from a mandate from the masses, not from some farcical aquatic ceremony.
  28. Re:Zero G in Iraq? by Sanat · · Score: 1

    Sorry you were modded offtopic... it is a funny statement.

    Along the same lines it is rumored that California one day will simply go flying off the planet into space by centrifugal force as the earthquakes dislodge all of the earthly connections.

    This rumor may have been a metaphor but I am not sure.

    --
    And in the end, the love you take is equal to the love you make
  29. Perfect storm. by nobodyman · · Score: 1


    Many people are afraid of doctors, and many people are afraid of robots. And a few are hemophobic. Combine all three and you will have a very interesting situation if wakes up in the middle of surgery. Yikes.

  30. damnit by nobodyman · · Score: 1
    Hold on a sec:

    Combine all three and you will have a very interesting situation if the patient wakes up in the middle of surgery

    There we go. Why oh why do I never use the preview button?
  31. It's simple... by alienzed · · Score: 1

    All you need to do is replace the human with a robot human, that way he won't be so squishy, and moving.

    --
    Never say never. Ah!! I did it again!
  32. Yes, but .... by PPH · · Score: 1

    .... will it run Vista?

    --
    Have gnu, will travel.
  33. Interference by mattwarden · · Score: 1

    This guy either has 3 hearts or you should take your radio outside.

  34. Mars and Iraq by merikari · · Score: 1, Offtopic

    This is wildly off topic... wait no it isn't. Iraq and Mars in the title are just too excrucuiating for most people who want the a manned Mars mission to happen. Enough already. With the price of Iraq you USians would already be in Mars. For example, with Mars Direct, with the initial price tag of $55 million, you could have set up several missions already (even if the estimate would be doubled or tripled) for the price tag of the Iraq Invasion.

    Sadly, I believe that you have a president who really couldn't care less. I don't care what he says in public about going back to the Moon. He probably speaks with his god and god has agreed with him that Earth is the center of the universe

    --
    My other SIG is a Sauer.
  35. Do we really need an OR for a crew of 10? by lordsegan · · Score: 1

    It seems to me that sending an operating room to Mars to serve a crew of 10 or less is a HUGE waste of taxpayer dollars. With all due respect to the astronauts, Lewis and Clark did not have a mobile OR robot, and they did just fine.

    For the millions or billions this system would cost, we could build a couple Earthside hospitals and save some innocent kids or something.

    The ONLY possible rationale for building this would be if it would lead to expanded capabilities here on Earth, but I still don't think we should send a CT scan to Mars.

  36. De-skilling surgery by Tr0tskysGh0st · · Score: 1

    This is another example of capitalism's drive to de-skill the work force. Having lots of highly skilled and highly paid surgeons on staff is a drag to the enterprising HMO's bottom line. Instead the HMO-run hospital of the future will have one or two surgery programmers on call at any one time, being asked to program dozens of surgeries in one day. The modern surgeon will end up just like many machinists did when lathes and mills went CNC, out of work with an obsolete skill (but way more school loans).

    The idea of some surgeon in the future programming dozens of surgery robots in one day scares me. Especially if he programs the way I do, copy-paste past bits of code from old projects, but often forgetting to update little things here and there until after the 37th compile. At my engineering job all to often people copy-paste bits from other project's schematics, but miss some part they need to update to make it actually work with the project at hand (thank god we do probably about 15 peer reviews and have field change orders). What if the surgeon is programming an operation and forgets to take out an unnecessary step?

    My experience working for a few months as a medical equipment repair tech is that most medical equipment is programmed to shut down if anything is perceived to be out of safe parameters and then get a service call from a tech to check it out. So does this mean that we look forward to surgery robots freezing up in the middle of a surgery while the surgery robot programmer is out on lunch and the nurses are stuck on hold with tech support?

    20 years in the future this technology won't be used to improve surgeries in places with few skilled surgeons, but rather to cut labor costs in our metropolitan hospitals. I for one welcome our future robot bean counting overlords and their robot surgeon counterparts.

  37. BSOD by jeffti3 · · Score: 1

    It sure gives The Blue Screen of Death a whole new meaning!

  38. Well that will certainly put the "DEATH" ... by SubOptimalUseCase · · Score: 1

    ... in "Blue Screen of Death!"

  39. WAY WAY WAY better idea by ILuvRamen · · Score: 1

    I've got an idea. How about the troops don't get shot in the first place, lol. If they invented a powerful, mobile force shield generator, they could put it on troops and also use it on spaceships to Mars and it would be a better use of technological investment money.

    --
    Google's Super Secret Search Algorithm: SELECT @search_results FROM internet WHERE @search_results = 'good'
  40. I for one. . . by Hamoohead · · Score: 1

    . . .welcome our scalpel-wielding remote controlled robotic surgeon overlords. . .er. . .sumpin'. . .

    --
    "If your parents never had children, chances are you wonât either." -Dick Cavett
  41. Re:Zero G in Iraq? by famebait · · Score: 1

    Did Bush manage to break the Iraqi's gravity as well?

    I find your lack of faith disturbing. Bush decides whether there is gravity in Iraq or not, the same way he decides whether there's a civil war. Implementing the decision is a detail, so minor that it can profitably be skipped.

    --
    sudo ergo sum
  42. Re:Zero G in Iraq? by Quiet_Desperation · · Score: 1

    I think Slashdot mod points are now only handed out to people who are verified to be genetically free of any hint of a sense of humor.

    Seriously, lately I've been modded "Overrated" without having been modded up by anyone in the first place. WTF is that about?!

  43. Re:Zero G in Iraq? by Sanat · · Score: 1

    It is easy to mistake subtle humor for a flamebait type of statement if in a hurry to moderate or those who are not in the "know" while moderating.

    I am often surprised when reading a post and someone has already modded it funny and it takes a second for the humor to sink in... if it wasn't already marked "funny" then "whoose"... right over my head.

    I am constantly impressed with those that do immediately see the humor or the joke/parody that goes into the posts. There are a lot of smart people with quick minds here and then there are some that are not tuned in as well as others might be.

    Regardless of the mod points assigned, i enjoy your posts!

    --
    And in the end, the love you take is equal to the love you make