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UK Docs Perform First Remote-Control Heart Surgery

ByronScott writes "Doctors at a British hospital have just carried out the world's first surgery using a remote-controlled robot. The procedure fixed a patient's irregular heart rhythm, and although the doctor was in the same hospital as the patient — just through the wall in another room — developers of the RC surgery technology believe this is the first step toward long-distance operations. Imagine a doctor in London performing surgery on your heart in New York!"

142 comments

  1. Ping loss by Anonymous Coward · · Score: 0

    Gives new meaning to ping loss...

    1. Re:Ping loss by eihab · · Score: 1

      Imagine a doctor in London performing surgery on your heart in New York!

      Yes. Imagine, indeed. What could possibly go wrong?

      From: l33t h4xxor Mesho
      To: Daughter
      Subject: Your father's surgery

      Hi Michelle!

      We hacked into your father's machine and we know who he is. We know he's having a remote heart surgery at 12:32pm.

      We also happen to control a bot net of about 100,000 machines.

      Kindly, forward 6 million dollars to account #432532511155 in Bank Xyz in Switzerland, or else, we will instruct all 100k machines to DDOS the hospital.

      Yours truly,
      Meshko

      --
      If you can't mod them join them.
    2. Re:Ping loss by laughingcoyote · · Score: 2, Funny

      From: Daughter
      To: Mr. l33t h4xxor Mesho (by the way, is it Mesho or Meshko, you should really make up your mind.)
      Subject: Your extortion demand

      I am pleased to inform you that I have notified the hospital of the potential problem, and they have notified me that remote surgeries are done via a dedicated connection, not the public Internet. In light of this issue, however, they have assigned a doctor to this case. Good luck with your DDoS.

      I have also contacted the FBI, who will be in contact with Swiss authorities. I will also be pleased to inform you of exactly what you can do with your six million dollars, please contact me for further information.

      Yours truly,
      Not as dumb as you think.

      --
      To fight the war on terror, stop being afraid.
    3. Re:Ping loss by eihab · · Score: 1

      and they have notified me that remote surgeries are done via a dedicated connection, not the public Internet

      You make a valid point, but, you also seem to have a lot more faith in hospitals being security conscious than I do :)

      --
      If you can't mod them join them.
    4. Re:Ping loss by laughingcoyote · · Score: 1

      If they're not, it'll become an expensive oversight very quickly. Security precautions are a whole lot cheaper than just one lawsuit over a botched procedure, especially if they were notified in advance that someone was threatening extortion and intended to try to cause a problem. The jury would throw them straight under the bus on that one.

      --
      To fight the war on terror, stop being afraid.
  2. Too bad if the connection drops out... by Anonymous Coward · · Score: 5, Insightful

    in the middle of a critical action during a life threatening operation. I'd also be worried about lag as one would assume that some surgical procedures require timely precision.

    1. Re:Too bad if the connection drops out... by countertrolling · · Score: 1

      That's why we gotta get those dirty pirates and their bittorrents off the nets.

      --
      For justice, we must go to Don Corleone
    2. Re:Too bad if the connection drops out... by Joce640k · · Score: 2, Insightful

      This is why we need to demand more net neutrality!

      --
      No sig today...
    3. Re:Too bad if the connection drops out... by LucidBeast · · Score: 4, Funny

      Mod parent up! When I'm downloading smut, last thing I want is some heart surgery interfering.

    4. Re:Too bad if the connection drops out... by 1s44c · · Score: 1

      in the middle of a critical action during a life threatening operation. I'd also be worried about lag as one would assume that some surgical procedures require timely precision.

      Surely they would require a private virtual circuit for this. Doing this over the internet is asking for trouble.

    5. Re:Too bad if the connection drops out... by DaysSinceTheDoor · · Score: 1

      The requirements to perform this type of surgery is multiple redundant internet connections, and if a single one of them goes out before the surgery begins they do not perform it. There is also a back up surgeon ready to take over if there are complications with the connection / equipment during the surgery. That being said, I highly doubt that any sane surgeon would perform a heart surgery in London on a patent in New York for issues such as latency. I am betting it would be more likely a surgeon in Boston performing one on a patent in New York.

    6. Re:Too bad if the connection drops out... by g0bshiTe · · Score: 1

      I know right, I've live in the US and I've played on Jolt servers. Imagine, "Connection Dropped: due to packet loss, unable to complete left ventrical reconnection. Please try again in a few minutes".
      The worst would be if the IW devs had something to do with creating the system. Then you'd rejoin and be thrown into an appendix removal lobby instead of your bypass lobby.

      --
      I am Bennett Haselton! I am Bennett Haselton!
    7. Re:Too bad if the connection drops out... by EdIII · · Score: 1

      Doing this over the internet is asking for trouble.

      Doing this over a single connection is asking for somebody, at some point, to die.

      The only way this could achieve a reasonable level of safety is multiple circuits for load balancing and redundancy.

      There is no way this would be used on a regular basis anyways. I would imagine it is being developed for very remote and rural areas so that a surgeon could perform life saving surgery on a patient whose condition has high mortality rates increasing every minute it takes to get them into surgery.

      The method itself is patently insane. Surgery is an extremely delicate in any situation requiring telepresence like this. The scalpel hitching even a little bit could cause death. Even stopping the scalpel in a given spot due to loss of instructions can be deadly. A human body is still moving while under surgery, breathing, etc. This method will have its place of course, but not as routine method of surgery.

      Surgeons are performing much more skilled maneuvers than I think people are giving them credit for.

      Only way I would subject myself to a procedure like this is simply if i had no choice.

    8. Re:Too bad if the connection drops out... by nasch · · Score: 1

      Surgery is an extremely delicate in any situation requiring telepresence like this. The scalpel hitching even a little bit could cause death.

      In some ways this technique is actually superior to normal surgery, because the device can remove the natural slight shaking that anyone's hand, even a skilled surgeon, will exhibit. It can also scale the movements way down so that for example 1 centimeter of movement of the hand translates to one millimeter of movement of the instrument, allowing much greater precision. I'm not saying there aren't potential problems, but I think it's silly to think that /. commenters have thought of them and the people working on this technology have not.

    9. Re:Too bad if the connection drops out... by siwelwerd · · Score: 1

      Really? I think I'd be okay with prioritizing traffic carrying life saving instructions...

    10. Re:Too bad if the connection drops out... by Anonymous Coward · · Score: 0

      I would be MUCH more worried about international laws - screw the black helicopters, what if someone with any power dislikes you, or a hacker - best case scenario for surgery then becomes "oh, our network died, but its ok, your X had life insurance"

  3. High Ping Bastards by OnePumpChump · · Score: 5, Insightful

    Until I can get reliably get pings low enough to play intercontinental TF2, I won't want anyone playing Operation Online in my guts, thanks.

    1. Re:High Ping Bastards by izomiac · · Score: 1

      It seems to me this isn't for when you really have a choice. I'd expect it's more for people in Antarctica, or the ISS, or who are about to die in like 15 minutes without a highly specialized surgery in a rural/field hospital.

    2. Re:High Ping Bastards by tk · · Score: 2, Funny

      Assumption of familiar internet protocol connection layer and crappy consumer-quality routing services. Straw man joke. Laughter.

      --
      -tk
    3. Re:High Ping Bastards by Rogerborg · · Score: 1

      Yeah, kids these days, always playing their Napsters too loud on your LAN.

      --
      If you were blocking sigs, you wouldn't have to read this.
    4. Re:High Ping Bastards by Anonymous Coward · · Score: 0

      Then we'd REALLY see the angry german kid go ballistic.

    5. Re:High Ping Bastards by hvm2hvm · · Score: 1

      So a hospital without highly specialized surgery equipment will have instead the robot and all the infrastructure it needs?

      --
      ics
    6. Re:High Ping Bastards by insufflate10mg · · Score: 0

      After I read your parent's post I was thinking, "Correct, what could possibly go wrong!?" Then after reading yours, I said, "Oh."

    7. Re:High Ping Bastards by cnbrandshop · · Score: 1

      Until I can get reliably get pings low enough to play intercontinental TF2, I won't want anyone playing Operation Online in my guts, thanks.

      http://www.cnbrandshop.com/

    8. Re:High Ping Bastards by Tekfactory · · Score: 1

      The military and other organizations are working up shipping containers with these robots, so what if you're a highly paid specialist, and don't want to leave home, but want to offer your specialty to soldier's abroad, earthquake victims, people in Doctors without Borders countries but don't want to be shot at, or risk local diseases while offering the treatment.

      You take the $1 mil robot, pack it in a shipping container, and load it on a boat, plane or truck to your disaster of choice.

      Obviously if the cost of these things went down it could only be a good thing.

    9. Re:High Ping Bastards by Anonymous Coward · · Score: 0

      Antarctica doesn't have any undersea fiber. Round trip for data means going up to geosynchronous orbit and back, twice. The ISS is far far closer as you only need to go up to low earth orbit and back, once. Even talking over the delay is a pain if you're dealing with someone who's never done it before. Nor does it makes sense to buy a complex robot to serve such a small population. Anyway the budgets are so tight, it can be a fight to get the most basic resources. We've spent days arguing about how many sleeping bags we need, because they wanted to issue fewer than the number of people going to a remote field camp.

    10. Re:High Ping Bastards by timeOday · · Score: 1

      Until I can get reliably get pings low enough to play intercontinental TF2, I won't want anyone playing Operation Online in my guts, thanks.

      How important are quick reflexes to performing surgery? Not that important, as far as I know.

  4. Where art thou? by Anonymous Coward · · Score: 1, Insightful

    London and NY? More likely, imagine NHS outsourcing to India, China, lowest bidder etc....

  5. More worried about Malware by muphin · · Score: 1

    with malware popping up in fridges and ATM's, how long will it be before the malware infects one of these machines, maybe it will write web addresses on your incision.

    --
    It's not a typo if you understood the meaning!
    1. Re:More worried about Malware by Jeremi · · Score: 1

      how long will it be before the malware infects one of these machines, maybe it will write web addresses on your incision.

      Most likely it will either turn you into a zombie, or carve you up into spam.

      --


      I don't care if it's 90,000 hectares. That lake was not my doing.
  6. WCPGW? by greyblack · · Score: 1

    Imagine a doctor in London performing surgery on your heart in New York!

    Imagine a DDOS on the hospital server while your brit doc is performing surgery on your heart/brain/penis!

    --
    Everybody uses broad generalizations.
    1. Re:WCPGW? by Anonymous Coward · · Score: 1, Funny

      Imagine a hitman or terminator blowing up the hospital and trying to kill you while a team of hot lesbian *female doctors are scrubbing each other down as they prepare to perform your penis enlargement. Oh... I thought we were playing the what-if game..

    2. Re:WCPGW? by Cryacin · · Score: 1

      We were? That happened to me last Tuesday you insensitive clod!

      --
      Science advances one funeral at a time- Max Planck
    3. Re:WCPGW? by Fex303 · · Score: 1

      Imagine a hitman or terminator blowing up the hospital and trying to kill you while a team of hot lesbian *female doctors are scrubbing each other down as they prepare to perform your penis enlargement.

      Michael Bay? Is that you?

  7. But why long distance? by theY4Kman · · Score: 1

    I've always wondered the benefits of long distance remote controlled operations. Wouldn't you much rather have a skilled surgeon standing over you performing with all of his/her senses, instead of some doctor in London?

    1. Re:But why long distance? by Fex303 · · Score: 3, Funny

      Wouldn't you much rather have a skilled surgeon standing over you performing with all of his/her senses, instead of some doctor in London?

      All of his/her senses? Hmmm... I think I'd rather they don't use their sense of taste, if that's all the same to everyone else.

    2. Re:But why long distance? by jayke · · Score: 1

      You obviously would prefer that, but the technology becomes really useful when you don't have immediate access to a particular specialist who can perform that procedure. You probably wouldn't use it to remove an appendix :)

    3. Re:But why long distance? by Anonymous Coward · · Score: 0

      *breeep* *breeep* *breeep*

      "God-damn-it!! I can't think of a worse time for this to happen! Guys, I'm really sorry about this. Here, caddy! Hold my clubs. Now, where's that R/C box....?"

    4. Re:But why long distance? by Anonymous Coward · · Score: 0

      Not to mention his/her sense of humor, or fair play or...

    5. Re:But why long distance? by necro81 · · Score: 1

      It is possible that, despite the sensory shortcomings of long-distance surgery, that a well-trained telesurgeon could be better at a particular procedure than anyone who is actually there at the hospital. Rather than paying for such a highly qualified surgeon to always be there on staff, the hospital could have a telesurgery suite and bring in the expertise when needed.

      I find this a dubious argument personally, but it is one argument that can be made. A more likely situation is a surgeon, who is the best at a particularly tricky procedure, helps out a local surgeon do that procedure, but via telepresence.

    6. Re:But why long distance? by Dr.+Evil · · Score: 2, Insightful

      Think about enhanced reality. No shaky hands, no rubber gloves, surface-track a beating heart and the surgeon could operate as though it weren't even moving. Scale reality to 100x, and arteries become sewer pipes.

      But yeah, I don't really understand the tele-part of this. It seems like it would only be useful in the scenario that a remote hospital has a state-of-the-art medical facility with robotic surgeons and for some reason doesn't have a heart surgeon on hand.

    7. Re:But why long distance? by JesseMcDonald · · Score: 1

      But yeah, I don't really understand the tele-part of this. It seems like it would only be useful in the scenario that a remote hospital has a state-of-the-art medical facility with robotic surgeons and for some reason doesn't have a heart surgeon on hand.

      There are specialties among heart surgery as with anything else. No hospital can afford to employ every kind of specialist full-time, even assuming there were enough of each to go around. The ability to operate remotely allows a hospital to obtain the help of a specialist from another hospital on short notice, as may be required in an emergency—even mid-surgery, in the even something unexpectedly goes wrong.

      Even in the cases where the specialist would have had enough time to travel to the patient's hospital (assuming the patient can't travel to them), why should they waste their valuable, life-saving time on the road, between hospitals, when they can just perform the operation remotely and move on to the next patient, who may also be half-a-world away?

      --
      "The state is that great fiction by which everyone tries to live at the expense of everyone else." - Bastiat
  8. World first, hey? by scdeimos · · Score: 3, Informative

    From: http://www.pbs.org/wnet/innovation/episode7_essay1.html

    Telesurgery made international news on September 7, 2001, when the first transatlantic surgical procedure took place between New York City and Strasbourg, France at a distance of nearly 4,000 miles. Dubbed "Operation Lindbergh" after Charles Lindbergh's first solo nonstop flight across the Atlantic, the surgery was a landmark in experimental long distance telesurgery.

    This was also reported in the BBC News, so the English really should know better: http://news.bbc.co.uk/2/hi/science/nature/1552211.stm

    1. Re:World first, hey? by countertrolling · · Score: 1

      I can't any link, but it wasn't too long after they robots operating on beating hearts, perfectly matching the heartbeat, that humans can't possibly do. What's new here?

      --
      For justice, we must go to Don Corleone
    2. Re:World first, hey? by Anonymous Coward · · Score: 0

      Seems to be first world heart surgery. Slashdot is not clear about it.

    3. Re:World first, hey? by LordLucless · · Score: 4, Insightful

      RTFH: This claims to be the world first heart surgery performed remotely. Your link is for a gall bladder removal.

      --
      Just because you're paranoid doesn't mean there isn't an invisible demon about to eat your face
    4. Re:World first, hey? by Anonymous Coward · · Score: 0

      I'm honestly trying to figure out how hard it is to get people to agree to this or to other similar operations.

      "Excuse me, we have a PERFECTLY ORDINARY PROCEDURE we could do, or we could use this EXPERIMENTAL AND HIGHLY WORRISOME NEW TECHNIQUE we could try on you. Which would you like us to do?"

      Albeit not phrased exactly in that way...

    5. Re:World first, hey? by CondeZer0 · · Score: 1

      Maybe the parent post thought the gallbladder is part of the heart... never underestimate people's anatomical illiteracy ;)

      --
      "When in doubt, use brute force." Ken Thompson
    6. Re:World first, hey? by Anonymous Coward · · Score: 0

      TFA reads "heart surgery" but the TITLE on the front page of SLASHDOT reads "first surgery"

      --- not quite as cut-and-dry (pun intended) as you might have thought...

    7. Re:World first, hey? by cnbrandshop · · Score: 0, Troll
    8. Re:World first, hey? by RobertLTux · · Score: 1

      I think this would mostly be used for surgeons that are in the top 0.5% of their field.
      Besides it also allows for you to have the services of say a "Dr Gregory House" without having to deal with his well know excellent social graces.

      --
      Any person using FTFY or editing my postings agrees to a US$50.00 charge
    9. Re:World first, hey? by tibit · · Score: 1

      I'd actually like to have a good bastard doctor like House. So far my experience has been with lots of residents, who -- when subjected to any sort of unknown/unexpected stuff that they don't have an instant answer to -- turn into clueless bastards.

      I'd much rather have a clueful bastard, than a clueless bastard who is a bastard to mask his/her cluelessness.

      BTW, this is all from recent experience at a big ten ED. I think by now even I would know how to do a less painful pelvic exam than that girl had done.

      --
      A successful API design takes a mixture of software design and pedagogy.
    10. Re:World first, hey? by TheRaven64 · · Score: 1

      Nope, the title is 'UK Docs Perform First Remote-Control Heart Surgery'. Now, admittedly the word 'Heart' is right near the end, so you need to have an attention span longer than that of a chipmunk on methamphetamine to get to it, but it is there.

      --
      I am TheRaven on Soylent News
  9. Well, not quite... by Cragen · · Score: 1

    Well, that and how many other nurses and doctors, a *clean* operating theater, a first-rate hospital, an amazing supply system and so on. Not quite a "robotic operation", quite yet. But, still, grats!

  10. Don't use Comcast by T+Murphy · · Score: 3, Funny

    Ooh boy, the patient just flatlined! Wait.. nevermind, lagspike. Well, we better be careful- I hear this Comcast service can cost you an arm an a leg.

  11. Stupid LPBs by Anonymous Coward · · Score: 0

    Stupid LPBs and their lame lag kills.

  12. This will lead to robotics to do this by WindBourne · · Score: 2, Insightful

    Simply put, they are building the machinery to allow the cutting, but the next step will be to replace the physical ppl. What that translate into, a guaranteed job USE to be a medical doc. The future says no.

    --
    I prefer the "u" in honour as it seems to be missing these days.
    1. Re:This will lead to robotics to do this by lcllam · · Score: 1

      I agree. This will happen about the time technology can do a full physiological reading in seconds over thousands (millions?) of markers and tie that to a huge knowledge system - probably not in our lifetimes. At this point, doctors will only elicit symptoms (such as discomfort levels, but this will eventually also be quantified and handled by machine) and key the 'soft' data into the system.

    2. Re:This will lead to robotics to do this by locofungus · · Score: 2, Informative

      This was reported on BBC R4 today program yesterday morning.

      The reason for the remote operation is because they're using X-rays. Previously, surgeons have had to wear heavy lead aprons while doing this. When these operations take 6 hours+ that's a physical demand it would be preferable they didn't have to suffer.

      Tim.

      --
      God said, "div D = rho, div B = 0, curl E = -@B/@t, curl H = J + @D/@t," and there was light.
    3. Re:This will lead to robotics to do this by TheMeuge · · Score: 1

      As soon as robots can perform multivariable analysis and perceive and identify objects. By then, we'll all be wired and the concept will be irrelevant.

    4. Re:This will lead to robotics to do this by myocardialinfarction · · Score: 1

      Robotic surgery was mentioned on Radio 4's "News Quiz" last lear I think, with the robot operating and real-life surgeons standing by. Jeremy Hardy quipped "and they didn't try to stop it? [What is the world coming to when robots can march around performing surgery willy-nilly]." As Bender said: "And I need a heart. A human heart. (I need to pump a lot of blood out of my basement.)"

    5. Re:This will lead to robotics to do this by Anonymous Coward · · Score: 0

      Simply put, they are building the machinery to allow the cutting, but the next step will be to replace the physical ppl.
      What that translate into, a guaranteed job USE to be a medical doc. The future says no.

       
      Oh yes, this absolutely is a milestone on the way to eliminating doctors. The same way that demonstrating a rig that allows a human to remotely fly a Predator drone and launch Hellfire missiles at wedding parties in Pakistan is a milestone on the way to eliminating pilots.

      Oh, and the next step is to replace people, like the next step from building a glider is to fly to the moon.
       
      Admit it, you hadn't had your coffee before you posted, right?
       
      "The future says no." What where place did you am lern Inglish?

    6. Re:This will lead to robotics to do this by WindBourne · · Score: 1

      This is about surgery; Cutting. No physiological work needed. My guess is that vet work will start in this decade and human trials will start by 2030, possibly 2025.

      --
      I prefer the "u" in honour as it seems to be missing these days.
    7. Re:This will lead to robotics to do this by Anonymous Coward · · Score: 0

      could the bot do it inside an MRI chamber? (non ferrous metals and ceramics, no magnetic materials, pneumatic and hydraulic actuators, all sophisticated electronics outside the chamber)

  13. Only on bypass by Chris+Snook · · Score: 2, Insightful

    If we're talking about heart surgery that happens while your heart is stopped, then a transatlantic session wouldn't be a problem, but 100 ms latency links plus moving parts are a bad combination.

    --
    There's no failure quite as dissatisfying as a complete and total solution to the wrong problem.
    1. Re:Only on bypass by tibit · · Score: 1

      Some control happens at the local (OR) site. For example, if you want to maintain a frame of reference that's locked onto the moving heart surface, then there's no reason to have the loop closed across the ocean. Locally is just fine. All that the remote (surgeon) site has to do is to flip a bit to enable the lock.

      --
      A successful API design takes a mixture of software design and pedagogy.
    2. Re:Only on bypass by CityZen · · Score: 1

      Indeed, latency is big issue that makes remote operation difficult. We notice this all the time with the video-conferencing system we use that lets us aim the remote camera: push the left arrow, and the remote camera moves left a bit, and eventually you see the result on video (after a 1-2 second delay). If you hold down the left arrow and only let go when you see what you want to see on the feedback video, then you'll way overshoot, since once you let go, the camera keeps moving for another second or so. If you do this enough, you "learn" the latency, and learn exactly how early to stop the input to get the right feedback. Still, it's much trickier than when feedback is nearly instant.

    3. Re:Only on bypass by TheRaven64 · · Score: 1

      Depends. You could work around this quite easily by having a two-stage setup. The remote doctor controls a haptic rig and performs surgery on the model. The local surgeon, who isn't a specialist, follows has their rig follow the commands of the remote surgeon on the model, feels the same feedback, and then does the same operation on the real patient. The local surgeon is the one actually making the cuts, but the remote one gives them instructions a few seconds earlier on exactly how to do this step of the surgery.

      A lot of operations are mostly routine. You could do a large percentage of them almost automatically - you only need the guy with the expensive education there when something goes wrong. Unfortunately, you need to put him in there all the time, because you can't predict when something will go wrong. With this kind of system in hospitals across the world, you could switch in the world expert in the field as soon as something starts to go wrong.

      --
      I am TheRaven on Soylent News
  14. More like China... by Anonymous Coward · · Score: 0

    How long until its outsourced to China to cut costs?

  15. Things you don't want to hear during a remote proc by n1hilist · · Score: 2, Funny

    Connection reset by peer.

    No route to host.

    %!@JQJA^NO CARRIER

    "Installing service pack 3"

    etc;

  16. Not New York by JakartaDean · · Score: 1

    Imagine a doctor in London performing surgery on your heart in New York!

    I left my heart...

    ...In San Francisco.

    --
    The subject who is truly loyal to the Chief Magistrate will neither advise nor submit to arbitrary measures (Junius)
  17. Kind of missing the point by Anonymous Coward · · Score: 0

    Imagine a doctor in London performing surgery on your heart in New York!

    Isn't the point that excellent surgeons (often found in big cities) can perform operations in remote areas often enduring poorer quality medical equipment and professionals?

    1. Re:Kind of missing the point by westlake · · Score: 1

      Isn't the point that excellent surgeons (often found in big cities) can perform operations in remote areas often enduring poorer quality medical equipment and professionals?

      How does this solve the problem of on-site facilities and support?

      The robot and its support team. The cardiac surgery unit. Nurses, assistant surgeons or full surgical back-up teams.

  18. Re:Things you don't want to hear during a remote p by dudpixel · · Score: 3, Funny

    "I see you're writing a letter..."

    or what about the sound windows makes when you plug in or unplug a usb device?

    --
    This seemed like a reasonable sig at the time.
  19. Do we really need this? by Bearhouse · · Score: 1

    "Imagine a doctor in London performing surgery on your heart in New York!"

    I'd rather not, frankly. I'd rather imagine my tax money being used to provide adequate local services such that this kind of tech was not needed.

    1. Re:Do we really need this? by Anonymous Coward · · Score: 0

      The idea is that you have the expensive rare medical specialities in the capital city hospital and the robots in regional hospitals.

      The expensive doctor is probably only needed occasionally so you can't employ one everywhere but with the remote system you can have a few per state or even nationally and you're set.

      Really, people are forgetting that doctors themselves tend to like these as the experiments they did with them found that the robot had a far steadier hand and much more precision then a human surgeon so things were less likely to go wrong (less risk of cutting the wrong thing; or leaving tools inside the patient which is annoyingly common as well).

    2. Re:Do we really need this? by TheRaven64 · · Score: 1

      There's local, and there's local. A lot of the time, if you need an unusual non-emergency procedure on the NHS, they'll transfer you to a different hospital, often on the other side of the country, where there is an expert specialist. They could save a lot of money by letting a surgeon in Bristol operate on a patient in York, for example.

      The biggest benefit, however, is going to be when they can get this kind of equipment into a slightly more portable form. Imagine an accident victim being able to go straight into surgery as soon as the ambulance arrives at the scene, instead of having to be patched up, bounced in a moving vehicle for twenty minutes, and then rushed to the operating theatre.

      --
      I am TheRaven on Soylent News
  20. Re:Things you don't want to hear during a remote p by n1hilist · · Score: 1

    ..or receiving a letter from your ISP because you were downloading illicit wetware upgrades.

    Hey, a guy can dream :)

  21. And don't use Windows by T+Murphy · · Score: 1

    If they use windows, after every hip replacement, kidney transplant or other hardware modification, you'll have to reboot the system.

    Also, watch out for McAfee, as it might shut off vital processes.

  22. First? More like first successful by billsayswow · · Score: 1

    They tried this back in 1867. The doctor would pass his instructions by telegraph out to the coast, where someone would use semaphore flags out to a ship, where a spotter would interpret to an operator of an all-brass, steam-powered robot, through in intricate system of valves and gear shifts. It was a failure, after the spotter had to look up the letter P, and failed to relay the command "STOP" while the robot was sawing through the patient's chest. It was all the way through to the operating table by the time the command was received. Moral of the story? Lag sucks, but human error kills.

  23. URGENT!!!! by Hognoxious · · Score: 4, Funny

    London and NY? More likely, imagine NHS outsourcing to India, China, lowest bidder etc....

    Coming soon on alt.medicine.heart-surgery...

    Ha folks, Sunesh here. I am surgeon at Chennai Instatute of Cardiology and needing to do some bypass. Pls to explaining difference between vain and artery. Patient is already opened, so reply quickly kthank's.

    --
    Confucius say, "Find worm in apple - bad. Find half a worm - worse."
    1. Re:URGENT!!!! by Anonymous Coward · · Score: 1, Insightful

      I would love to see that comment modded funny... Sadly I think +5 (all too likely to happen) is more reasonable.

    2. Re:URGENT!!!! by TheDugong · · Score: 0

      "Sunesh here. I am surgeon at Chennai Instatute of Cardiology and needing to do some bypass. Pls to explaining difference between vain and artery. Patient is already opened so please do the needful and revert with same kthank's."

      Fixed that for you.

    3. Re:URGENT!!!! by daem0n1x · · Score: 2, Insightful

      Why not -1 Bigot?

    4. Re:URGENT!!!! by Anonymous Coward · · Score: 0

      Is that you, Gordon? You're going to lose, LOL!

  24. Not a first by Anonymous Coward · · Score: 0

    It's not a world first. There has been a transatlantic surgery ("ablation de la vésicule biliaire") in September 2001 between New York and Strasbourg. Full disclosure: some of my France Telecom colleagues that were part of the team had planned to visit WTC the 12th September.
    See here.

    1. Re:Not a first by compro01 · · Score: 1

      That's why the title of the story says "heart surgery". Your link is about a gallbladder removal.

      --
      upon the advice of my lawyer, i have no sig at this time
    2. Re:Not a first by Anonymous Coward · · Score: 1, Funny

      GP is French. To him it's all the same - they'll make pate out of anything.

  25. The New York / London example by silentcoder · · Score: 1

    Is interesting... but perhaps a more humanitarian use could be the one that sees doctors from rich countries able to assist with delicate operations in poor countries where the needed specialists skills are simply too rare ?

    As for all the "risks of the web" posts... my logic is much like with the side-effects of a drug that cures a terminal disease... when the other option is certain death - it's worth the risk.

    --
    Unicode killed the ASCII-art *
    1. Re:The New York / London example by Anonymous Coward · · Score: 0

      The New York / London example was bogus. You got the rich/poor thing partly right: it will be in the other direction. Doctors in Bangalore or China will operate on patients in the US under the glorious insurance dystopia.

  26. The doctor will be in Bangalore not London by Anonymous Coward · · Score: 0

    in case it wasn't obvious. Do you get it now?

  27. Sounds like... by djupedal · · Score: 1

    'Doctors Without Borders' is going to be giving up their domain sooner than they anticipated...

    1. Re:Sounds like... by RobertLTux · · Score: 1

      not really since this will allow for DWB to pull off even more tricky operations. you still would need some local staff to do some of the more common things

      1 remove critters from the OR
      2 remove the folks with guns from the OR
      3 basic stitching and bandaging
      4 making sure the patient is at a correct level of consciousness

      its not like they are at the level of "Please state the nature of the Medical Emergency"

      --
      Any person using FTFY or editing my postings agrees to a US$50.00 charge
  28. Stargate Universe Reference by martijnd · · Score: 2, Informative

    As usual science fiction is faster than reality -- although by just 2 weeks this time.

    Heart surgery was performed in Stargate Universe "Divided" (S0112) on Dr Rush to remove an alien tracking device. The earth surgeon arrived by out-of-body experience while their ship was being bombarded by an alien fleet. ("Welcome to destinty. We are under attack by aliens, shields are holding, for now")

    And yes, the connection was lost just before the device was removed leaving the clueless body double to do the actual removal.

    1. Re:Stargate Universe Reference by VShael · · Score: 2, Funny

      And yes, the connection was lost just before the device was removed

      Wait a minute... Are they using Verizon on the Destiny?

    2. Re:Stargate Universe Reference by Anonymous Coward · · Score: 0

      The dweeb meter just went off the scale.

  29. India do it can cheaper! by Anonymous Coward · · Score: 0

    Hello, my name is Chandaravanaravanra from India.

    Our team of surgeons can do this cheaper muchly for you, yes?

  30. Is this often necessary? by dohzer · · Score: 1

    How often to surgeons need to do this? I'm definitely no expert, but I always thought majour surgery was generally planned a while in advance, which would allow time for travel. Is it only emergencies where this would be really useful?

    1. Re:Is this often necessary? by alabandit · · Score: 1

      3rd world, doctor could volunteer from any wear to do surgery. space, the Antarctic. during an emergency - eg. thousand injured, doctors from around the world could work continually on one/multiple machine(s). specialist for you surgery - some case there only a hand full of doctors world wide and patients can be moved, the machine would save try to fly those doctors every were. there are numerous reasons, except in first world hospital dealing with standard day today surgeries.

      --
      "You are still innocent until proven guilty. What's changed is what they do to innocent people." by notnAP (846325)
  31. this is where TTL can get a whole new meaning by Anonymous Coward · · Score: 3, Funny

    http://en.wikipedia.org/wiki/Time_to_live

  32. Re:Things you don't want to hear during a remote p by L4t3r4lu5 · · Score: 1

    The *Boink boink boink* sound you get when you finish a game of Solitaire?

    --
    Finally had enough. Come see us over at https://soylentnews.org/
  33. I'm worried by Artem+S.+Tashkinov · · Score: 1

    I just hope the Internet connection and electricity on both sides don't accidentally vanish. The more I think about this innovation, the more I get worried about possible outcomes of some piece of communication or electricity going awry. No, I don't fancy being a patient of such a contrivance.

    1. Re:I'm worried by alabandit · · Score: 1

      I work in the film industry. we have directors working from over seas - to our local studio directing actors and so forth. we have two completely separate uplinks in case on goes down (fibre sea cables and satellite). our back up generators take 15 seconds to kick in and ups normally hold the machines up for more more than 2 minutes with ease. there are no lives on the line over here and we mange to keep the systems up.

      --
      "You are still innocent until proven guilty. What's changed is what they do to innocent people." by notnAP (846325)
  34. Liability? by lcllam · · Score: 1

    So who're they going to sue if the thing goes offline? Should all network engineers for major medical facilities ask for larger risk remuneration, or just quit their jobs now?

  35. BSOD by rodch · · Score: 1

    Says it all, no?

  36. The reason for doing it remotely - X-rays by NoNeeeed · · Score: 1

    The whole operating remotely thing has interesting potential for allowing specialist surgeons to operate on patients from a distance and therefore make possible operations that might not have been possible for that patient.

    However in this case the reason was because the patient was being x-rayed during the operation to allow the surgeon to see where the catheter was in the heart.

    Repeated and prolonged exposure to x-rays, even low levels, is not a good thing so surgeons normally have to wear lead aprons to protect themselves during an operation like this. That get's pretty knackering after a few hours. By operating from another room the surgeon could be shielded better, while not getting tired out by the weight of protective clothing.

    All in all a really interesting operation.

    And not a death panel in sight :)

  37. the real deal. by gomoku · · Score: 1

    ....... carrier lost. is the real deal.

    --
    Track your fitness and strength gains with www.trackmytraining.net
  38. Don't imagine it by erroneus · · Score: 1

    Imagine, instead, your insurance company not paying for an expensive local doctor but will pay for medical outsourcing from a surgical clearing house in India somewhere.

    We didn't want to believe it when they commoditized IT services and shipped them overseas. Now they will want to do it with medicine.

  39. Forget a doctor in London by Anonymous Coward · · Score: 0

    Imagine a cheap outsourced doctor in India hired in by your HMO for your surgery.

  40. Why remote? by JambisJubilee · · Score: 1

    So does anyone know what the advantage of doing the procedure via remote control would be? I mean, if it works fine with the doctor in the room, why another layer of abstraction? Seems as though complications that could arise during surgery would discourage this sort of thing.

    1. Re:Why remote? by Anonymous Coward · · Score: 0

      RTFA - the type of operation involves frequent use of X-Rays and the surgical team can reduce their exposure to radiation over time by working remotely in a separate shielded room

    2. Re:Why remote? by tehcyder · · Score: 1

      I can't believe that they set up all this additional complication just because the surgeon was too fucking lazy to walk to the next room!

      --
      To have a right to do a thing is not at all the same as to be right in doing it
  41. Image a doctor in India performing surgery... by St.Creed · · Score: 4, Insightful

    " Imagine a doctor in London performing surgery on your heart in New York!"

    Yeah, that might happen. Or it might just go the way things already are moving and see some outsourcing to China and India. Which wouldn't have to be all that bad, since (a) you get Western hygiene and staff during the operation and while recovering, and you (may/might) get the benefit of a doctor who treats 10 patients a day and is really, really experienced. This is actually a good reason for Chinese people in The Netherlands to go to China for certain procedures, like operations on joints and other non-life threatening stuff. Whereas a Dutch doctor might treat a few patients a week with and never see arare complication, his Chinese colleague will treat a dozen a day and is likely to have handled that complication several times in the last month. And in this type of surgery, experience matters.

    Where I see most use for this though, is to get an expert online for a very difficult surgery, who does the really tricky stuff then leaves the opening and closing procedures to the staff at hand. I think the military might be the biggest users for this type of machinery.

    --
    Therefore, by the (faulty) logic you're using, you're just a cow with a keyboard - osu-neko (2604)
  42. NY Docs *that* bad? by flyingfsck · · Score: 1

    I doubt that trans-atlantic surgery would ever catch on. Remote surgeries in little burgs, maybe.

    --
    Excuse me, but please get off my Pennisetum Clandestinum, eh!
  43. Just imagine by Bat+Dude · · Score: 0

    I can see it now!. Pop up ( Do you really want to cut here) or you have been redirected, this Ad brought to you by republic of china. or worse still Blue screen of death.

  44. London to New York surgery too costly by Anonymous Coward · · Score: 1, Informative

    London to New York surgery? That's not cost effective enough ! I think New Delhi-New York offers much better value proposition. Would you like this week special? Kidney transplant only $29.99. And they could have surgery pods in Walmart with direct connection to "top" offshore surgeons !!

  45. Since no other MDs appear to be commenting... by demonlapin · · Score: 5, Informative
    There are several things to note here::
    • This is a heart catheterization, not an open procedure.
    • The surgeon is present to perform the vascular access and leaves the room only to avoid the frankly huge amounts of radiation necessary to perform the procedure.
    • It's not done over the Internet.
    • You can't do this remotely because you still need a surgeon and anesthesiologist on site (remember, the surgeon has to get into the vessel in the first place, and if anything goes wrong, he's going to have to run upstairs to do emergency heart surgery). This thing isn't mobile in any common sense of the word.
    1. Re:Since no other MDs appear to be commenting... by Anonymous Coward · · Score: 0

      I love how, until now, there are no replies to your post. It's as if a post full of facts is this weird sort of bastard child, and everyone just wants to pretend like it isn't really there... :)

  46. Cost issues by Anonymous Coward · · Score: 0

    "Imagine a doctor in London performing surgery on your heart in New York!"

    I did imagine. And it cost me much less than if a NY surgeon was involved.

    That's why it will/won't happen.

  47. Outsourced by meyekul · · Score: 1

    This may sound like a winner now, but just wait until they start outsourcing your surgeries to sweat shops in China.

  48. No wonder by xednieht · · Score: 0

    No wonder medical care is so expensive. Is there only one heart surgeon in the world? The whole medical/pharmaceutical industry is long overdue for an enema IMO. Time to democratize medicine.

    --

    Hope is the currency of fools
    1. Re:No wonder by Tekfactory · · Score: 1

      Well, despite your intent you might be on to something.

      Sometimes doctors 'invent' new procedures/techniques, and at that time they may be the ONLY person in the world qualified to perform that procedure.

      So maybe a doc at a one of the big research hospitals has a life saving procedure, but you are stuck in podunk nowhere and can't be flown there in time, or as is common with some conditions can't be flown at all.

      This technology could very well be all about sharing knowledge and experience, despite the actual facts of the article talking about radiation exposure, and all the comments on outsourcing to India.

    2. Re:No wonder by xednieht · · Score: 0

      Oh please.... Doctors are just not that special - "and at that time they may be the ONLY person in the world qualified to perform that procedure". The reason the US ranks so low in terms of value gained per dollar spent on medical care is because medical professional are overrated.

      Sorry but they are just not that special, get over it.

      --

      Hope is the currency of fools
  49. First robotic surgery ever? I think not! by Anonymous Coward · · Score: 0

    Maybe not heart surgery but robotic surgery is OLD news in the Great White North:

    http://www.lhsc.on.ca/About_Us/LHSC/Media_Room/Media_Releases/2003/january17.htm

    We've been doing it since 2003.

  50. surgeons, not equipment by TheMeuge · · Score: 2, Insightful

    It's not the equipment, it's the surgeon. Depending on the type of procedure, some surgeons can be highly specialized in a specific kind of surgery. Even the large medical centers don't always have all the specialists on staff at all times.

    So $1'000'000 for the robot is a lot cheaper for a regional-level center than maintaining a dedicated surgical staff who are trained in every kind of specialized surgery. Furthermore, specialists need to practice, and in a smaller hospital they may not get enough cases to maintain their specialization. Remote control would allow a hospital to draw on the the expertise of a much wider variety of specialists than they themselves can staff, even if they limit the operations to a radius of 20ms ping (say 200 miles away).

    1. Re:surgeons, not equipment by Tekfactory · · Score: 1

      First surgery - Brain surgery to remove tumor requiring specialist from out of state/country, specialist doesn't have to waste time flying to different hospitals.

      Surgery over, the specialist in his network connected RC lab takes a break, gets a gatorade. And gets ready for his next surgery in another part of the world.

      At the remote hospital they hose down the Robot and get a fresh pack of instruments from the autoclave, restock the surgical theater and prep for an open heart surgery via another telepresence specialist in another city/country.

      The specialists are able to help more people in more places, productivity for the doctors goes up.

      The $1 mil for the robot replaces the annual salary of just 3 specialists, anything more than that is gravy, and next year the robot is free.

      I worked on a network that was MPLS connected over the Verizon backbone, not the Intarwebs and my ping time from Washington DC to Los Angeles was 60ns. Playing Wow from my Comcast in DC to a West Coast server I never beat 120ns, and frequently double that.

      What's an MPLS drop cost, peanuts for a Doctor that doesn't have to travel to see his patients, or a hospital that can offer WORLD CLASS surgeons to suburbia.

    2. Re:surgeons, not equipment by TheMeuge · · Score: 1

      The thing is that it doesn't replace the annual salary of anyone. As I mentioned, it is rather unlikely that a hospital that has the requisite specialist on staff will go for a machine instead.

      Nothing replaces being on site, and looking and touching the patient in medicine... and any hospital that has the specialist on staff has sufficient number of cases for that surgeon to operate on. Therefore, rather than eliminating surgical jobs, it would likely add some, by allowing a larger center to staff surgeons who will now subspecialize in remote surgery in their field.

      What the technology WILL do, is reduce the necessity to transport very sick patients hundreds of miles, and as you said, will increase the productivity of specialists.

    3. Re:surgeons, not equipment by Yamata+no+Orochi · · Score: 1

      I worked on a network that was MPLS connected over the Verizon backbone, not the Intarwebs and my ping time from Washington DC to Los Angeles was 60ns. Playing Wow from my Comcast in DC to a West Coast server I never beat 120ns, and frequently double that.

      60 ns? That's fucking miraculous.

    4. Re:surgeons, not equipment by DadLeopard · · Score: 2, Funny

      Too bad people are such individuals when it come to component placement! Otherwise they could just run a tape of the first successful operation and automate the process like they do in the automotive industry! An operator controls the robot till they get the job done perfect once, then they just play that recorded session over for each job! Lack of standardization in human anatomy really makes thing tough! 8-)

    5. Re:surgeons, not equipment by RobVB · · Score: 1

      Exactly. Having a 60 ns ping to anything more than 9 meters (29.5 feet) away would be Nobel prize-worthy.

      --
      I'd rather you rationally disagree than irrationally agree.
  51. This gives a whole new meaning... by Anonymous Coward · · Score: 0

    ... to the term 'being hacked'...

  52. End Result: by Anonymous Coward · · Score: 0

    Now even your surgery can be outsourced to India.

  53. First? Not according to Slashdot. by leoc · · Score: 1

    In 2008 a story was posted on slashdot about a woman getting brain surgery remotely in Calgary Alberta Canada. And here's a story in SciAm about remote surgery done across the Atlantic ocean between NY and Strasbourg France in 2001.

    --
    STFU about slashdot bias.
  54. Good News and Bad news by Sanat · · Score: 1

    Well there is good news and bad news. The technology is developed and working... that is the good news.

    It is manufactured by Toyota ... that is the bad news.

    Hope they have a black box attached like the government mandates the aircraft industry to have.

    --
    And in the end, the love you take is equal to the love you make
  55. Imagine.... by Hasai · · Score: 1

    "Imagine a doctor in London performing surgery on your heart in New York!"

    ....And imagine that backhoe operator on the outskirts of town who "don't need no stinkin' utility markers...."
    ];)

    --

    Regards;

    Hasai

  56. Remote = ... by raeb · · Score: 1

    Scary totally paranoid scenario: outsource surgeries...

  57. advanced lawsuit avoidance by hydrodog · · Score: 0

    This is a major technical innovation, enabling people out of the jurisdiction to do the surgery and avoid the consequences if they kill the patient. With blind signature, we can even ensure that the surgeon is completely anonymous! The stream controlling your surgery could be an Indian doctor, a 6 year old girl in Thailand, a robot in china, or just a pipeline of numbers from random.com

  58. Surgery Surcharge by RimfoMan · · Score: 1

    So if ISPs get their way and charge more for certain types of traffic.. I wounder how much the surcharge will be. Do you think they will have a negotiated rate for Health Insurance providers ?

  59. If it works, though by VernonNemitz · · Score: 1

    News flash! U.S. health care costs drop dramatically as patients discover they can hire overseas doctors to do remote surgery!

  60. robotic surgery on-line... by seekertom · · Score: 1

    .... then comes comcaste shutting them down in the middle of it 'cause they were using too much bandwidth downloading the streaming images... thanks fer lis'nin' seekertom