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Would You Let a Robot Stick You With a Needle?

An anonymous reader writes "IEEE Spectrum has a story about a robot that uses infra red and ultrasound to image veins, picks the one with best bloodflow, and then sticks a needle in. (video included). Veebot started as an undergrad project and the creators are aiming for better performance than a human phlebotimist before going for clinical trials. Robodracula anyone?"

209 comments

  1. Why yes, I would. by Anonymous Coward · · Score: 4, Insightful

    I'll always take a robot over a human when my safety is in question. I want a human involved, but predictable error that can be controlled is far preferable to unknowable error modes of humans.

    1. Re:Why yes, I would. by phantomfive · · Score: 4, Insightful

      predictable error that can be controlled is far preferable to unknowable error modes of humans.

      This is exactly backwards....a human will be aware enough to never jab the needle all the way through your arm. If there's a bug, the computer will do that happily and quickly.

      Therac-25 is an example of the dangers of improperly tested computers with lethal equipment.

      --
      "First they came for the slanderers and i said nothing."
    2. Re:Why yes, I would. by Isaac-1 · · Score: 1, Informative

      and repeatedly

    3. Re:Why yes, I would. by ShanghaiBill · · Score: 5, Informative

      Therac-25 is an example of the dangers of improperly tested computers with lethal equipment.

      The Therac-25 was the result of layer after layer of utter incompetence. They assigned a programmer who wasn't qualified to write a javascript button-click handler, to write life-critical sofware. Then no one else even looked at his code. There was no design review, no QA or bug tracking, and very little testing. Even after the defect was reported, there was no review or followup, or realization that it could even be a software problem. But the problem went much deeper. The hardware design was just as defective. There were no interlocks, in either hardware or firmware, to prevent defective software from killing patients. Many books on mission critical embedded system design devote an entire chapter to all the stupid mistakes that made up the Therac-25. If you make a list of the rules of sane system design, the Therac-25 design will have violated nearly every one of them.

    4. Re:Why yes, I would. by Rooked_One · · Score: 1

      The problem is that when you have so many different types, as lobotomist, it brings in the element of mistake more often than not.

    5. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      I've seen entire units in university courses that revolve around that one incident, it's literally become textbook.

    6. Re:Why yes, I would. by ozmanjusri · · Score: 5, Informative

      a human will be aware enough to never jab the needle all the way through your arm. If there's a bug, the computer will do that happily and quickly.

      And a bit of thought to the mechanical design of the robot will prevent it ever having the physical capability to do that.

      Which oddly enough, is how they've designed the robot in TFA....

      --
      "I've got more toys than Teruhisa Kitahara."
    7. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      I'll always take a robot over a human when my safety is in question. I want a human involved, but predictable error that can be controlled is far preferable to unknowable error modes of humans.

      If you weren't such a coward you would have given enough blood to know better.

    8. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      That's because you're an idiot.

    9. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      That is pretty unintentionally funny. The training for lobotomists kind of went like "morte de morte...ve stickensie needle up dyr nose, hard unteel de pop! Den weegle it aroond likeenso". Oh you meant phlebotomist...still there are some who are that bad. Poke poke oh I um vent all de vay true de vein...so sorry...let me get de doktor... (oh shit not the doctor...)

    10. Re:Why yes, I would. by davester666 · · Score: 0

      Somebody will manage to position their arm so the robot will jab all the way through.

      --
      Sleep your way to a whiter smile...date a dentist!
    11. Re:Why yes, I would. by Sun · · Score: 1

      For me, it's not the human error aspect, but rather the increased sensory equipment.

      I went through chemotherapy a few years ago. One of its (many) side effects was to obliterate my veins. Every time I need to have my blood taken (which is once a year at the very least), my usual nurse first breaths a heavy sigh, then asks me where would I like to be repeatedly stabbed.

      If the robot's extra sensors allowed it to stab just once, I'd take the risk of malfunction. Assuming proper hardware design, my robot's worst case cannot be all that worse than my human's typical case.

      Shachar

    12. Re:Why yes, I would. by DarkTempes · · Score: 2

      I'm fairly certain that you can make it mechanically impossible for this to happen in a needle jabbing machine.

      And a human could have a seizure or something and jab the needle all the way through your arm.

    13. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      Robotic awareness to external specific stimuli is significantly faster and what it can do (ie, move needle forward and back) is very simple action to perform. Human awareness is focused on surroundings on much larger scale and can fade when someone calls them etc. I can't help but to think of people as having very generic capabilities vs robotics as being specialized. The strength of a human being is in adaptability, but a robot can outperform a human in a controlled environment by a huge margin without errors.

      Also, there is an underlying assumption that the needle will need to be as long as it is for common syringes. It probably can be short enough for this particular purpose such that robot couldn't push it very deeply through the hand even if it tried. It could even be mechanically limited to some guessed size by human operator that depends on how big the arm is etc.

      Naturally, testing is required, but even 10 copies of equipment is sufficient to test enough to produce thousands of very secure and safe needle robots. What happened to Therac-25 is awful, but in this case we're talking about a tiny needle! It's like comparing dangers of testing a chainsaw to dangers of testing a screwdriver. The worst case scenario is breaking the needle inside an arm, but it would be something that is noticed immediately unlike in the case of Therac-25. So, automatic needle is quite safe because it is inherently not very dangerous regardless of operator.

      Finally, I haven't taken many blood tests, but out of those two times a nurse couldn't find my vein after 5 minutes trying to poke with the needle and I started losing consciousness. Then again, I am still not afraid of nurse doing it either and human contact has psychologically soothing aspect. Still, I'd let a robot poke me with a needle. Especially if I had to do it tens of times.

    14. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      This is more a question of testing, implementation, and oversight then. We allow computers to fly and land airplanes with proper oversight and that is far riskier than a needle being used. The question you need to ask is if a computer with proper oversight and testing can do the job better than a human.

      The types of errors made with humans and robots are different. The errors made by humans are more random and tougher to stamp out. Doctors today still give the wrong prescriptions, leave tools inside of patients during surgery, and amputate the wrong limbs. These types of errors can be reduced, but not eliminated, by having a second doctor review and agree with the actions being taken. Robots and computers have the benefit of being able to do labor intensive tasks rapidly and accurately. If a doctor orders the robot to cut off the left limb, the robot can object by saying that the medical file only says there is a problem with the right limb. And if a doctor orders a prescription that has a bad interaction with another prescription or medical condition, the computer can require an override command. Then again, the robot might have been programmed to mistake right for left or the computer to always prescribe strychnine*. But with oversight, that action would be stopped and the bug corrected.

      And as far as Therac-25, it should be noted that doctors and engineers learned from that lesson. Computers haven't been taken out of radiation treatment because of that, despite how dire the effects were.

      * I'm kidding, I'm kidding

    15. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      Not if the robot is programmed to account for such things. Easily done with various sensors and proper programming. There are a million things could cause a human to fuck up. I'll trust the robot, it's precise every single time.

    16. Re:Why yes, I would. by Splab · · Score: 1

      You sir, are an idiot. Plain and simple.

      Humans make quite a lot of errors when extracting blood, they put puncture the backside of the vein, they miss the vein - and this is on healthy adults with fairly visible veins.
      When it comes to getting a vein on a child or elderly, it can take them many tries, if a robot can find the vein faster and with less complications involved, then it could ultimately save lives.

      Personal experience: when I was a child they had 5 goes at my right hand and another 6 at my left, before hitting a vein. As an adult donating blood, I've had them miss my vein because they where too busy thinking about something else, I've had them puncture the backside of the vein, resulting in quite a huge "bruise" (the blood will flow out and collect in the elbow, which looks absolutely grim, but is not dangerous).

      A robot can do the same task over and over, never make mistakes due to personal problems etc. Sure, a malfunction *could* happen, but we have used robots along side humans for ages and we use them for surgeries now, with very few problems.

    17. Re:Why yes, I would. by Anonymous Coward · · Score: 1

      Not if they have to get into a restraint that forces them to be oriented in a particular way.

    18. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      A computer will suffer that bug until it's fixed, but after that, it will never happen again.
      A human will depend on a lot of practice, and basically, a lot of training. Nurse school in my home town uses oranges to practice on, but no matter how good the training is, they'll still need to do the real thing.

      If you look at computer programming as actual experience. You'll realize that, that experience only grows upwards and are able to pass it on with 100% accuracy to another computer. For humans, they get experience but they can pass very little of that experience, and worse than that, the recipients of that experience, will only learn a smaller of it.

    19. Re:Why yes, I would. by Dunbal · · Score: 1

      "If there is a bug". I doubt very much you'll see buggy equipment on hospital wards. Not in the medical profession. There's no shortage of money to buy machines that really work, versus massive company-breaking lawsuits for machines that are "buggy". And to be honest (I was just in the hospital last week), phlebotomy is a skill few people know how to exercise correctly. It took 4 pokes to get a single IV in my arm, and an average of 2 pokes for every blood test. When you're getting blood tests 2/3 times a day, you start to appreciate the guy/gal who knows where to do it. I'd take the machine, if it were proven to be better than a human.

      --
      Seven puppies were harmed during the making of this post.
    20. Re:Why yes, I would. by Dunbal · · Score: 3, Insightful

      You'd have to pick a very special case - like a mentally impaired, combative patient for example. But then that's why staff with brains exist. You have to know who can get the machine, and who can't.

      --
      Seven puppies were harmed during the making of this post.
    21. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      You forgot "bork bork bork"!

    22. Re:Why yes, I would. by Hadlock · · Score: 1

      No robot doctor discussion is complete without mention of short-film "Dr. Easy".

      --
      moox. for a new generation.
    23. Re:Why yes, I would. by stenvar · · Score: 1

      This is exactly backwards....a human will be aware enough to never jab the needle all the way through your arm.

      http://www.ehow.com/about_6595401_phlebotomy-injuries.html

      If there's a bug, the computer will do that happily and quickly.

      You would design the hardware not even to be capable of that.

    24. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      I know computers didn't have much in resources, but wouldn't it make sense to record what happened from a sensor rather than trust what you attempted is correct?
      Yes, it doesn't stop the problem, but a regular audit would show "hey. we cooked some patients with lethal radiation..."

    25. Re:Why yes, I would. by durrr · · Score: 1

      Yes well, clearly a robot is preferable as they've yet to kill and maim as many people as humans have.

    26. Re:Why yes, I would. by CastrTroy · · Score: 1

      I still don't see how it would "save lives". I don't think anybody has ever died from a badly done needle. Perhaps you can die from needing some live saving IV and them not being able to find the vein, but I'm pretty sure they'd just go for another target, like in the feet, if they were having lots problems in the hand or arms. The biggest problem I forsee from robots, is that it makes medical care more expensive. Which is becoming a big problem. Robots won't make it cheaper, since there won't be a situation where they would allow it without a qualified doctor or nurse present anyway. Also, the doctors and nurses will be out of practice when the machine inevitably breaks down, meaning they'd do an even worse job than they do now. They'd be better off developing some kind of realistic anatomical hand so that nurses and doctors can get more practice.

      --

      Anthropic principle: We see the universe the way it is because if it were different we would not be here to see it.
    27. Re:Why yes, I would. by Mike+Frett · · Score: 1

      Alright, now what about recent reports about how most equipment in Hospitals are infected by some sort of Malware?. It's safe to say when these Robots are placed in those facilities, they will become infected along with other equipment. You really want this infected Robot poking around your circulatory system?.

      Not only this, in my area I've been seeing advertisements on TV from Law Offices whom are seeking applicants who have been injured by Robotic Equipment. So the injuries have already started. You think about those things. What would be nice would be a safer, non-automated device for Blood extraction.

    28. Re:Why yes, I would. by cheesybagel · · Score: 1

      How about using augmented reality so the person collecting the blood can see the vein the same way the robot can and have annotations for the best spot instead of having the robot also do the decision of where to actually jab?

    29. Re:Why yes, I would. by Livius · · Score: 1

      They'd be better off developing some kind of realistic anatomical hand so that nurses and doctors can get more practice.

      Which would be great if there were such a thing. Everyone is different because blood vessels are created by a fractal-generating algorithm.

    30. Re:Why yes, I would. by Livius · · Score: 1

      Germs in a hospital are not going to corrupt robotic software.

    31. Re:Why yes, I would. by blackest_k · · Score: 1

      if its for blood a cannula i think its called can be installed if you need it doing 10's of times. Worst I have had was with a study it gets very sore after a lot of tests if its a needle being repeatedly inserted without time to heal.

      The third option which isn't mentioned is doing the injection yourself, quite often drugs do not need inserting in veins. I inject every week after having had a time when it was twice a day. its much less of a hassle.

      The key thing is that we are not equally covered in nerve endings some parts of the body are actually painless to inject in to. So nurse or robot is stabbing in the dark when they inject you. you on the other hand can feel for your nerve endings you soon find a painless spot after a gentle probe in the area.

      Apart from that there are pain numbing sprays and gels which can be used, medical staff seem reluctant to use them as it takes a little time for them to become effective. Personally I find a pretty nurse helps a lot, even thou it can hurt like hell you just don't want her to see you act like a wuss.

    32. Re:Why yes, I would. by jellomizer · · Score: 1

      Of course you can design a robot to not go too far in case of a system failure. You know by putting a mechanical stop in the flexibility of the joint.

      The thing is to properly test the equipment. You can have an improperly trained person cause just as much damage. The neat thing with robots, you can get it programmed to a particular degree of accuracy. then you can duplicate it over and over. For people it is like having to write a new program every time.

      --
      If something is so important that you feel the need to post it on the internet... It probably isn't that important.
    33. Re:Why yes, I would. by jellomizer · · Score: 1

      Rule 1 if you are going to get your blood drawn. DO NOT... I REPEATE... DO NOT GET IT DONE BY A DOCTOR, Get it done by a trained tech. a Doctor will screw up and you will have massive bruises. A tech will be in and out without much pain.

      --
      If something is so important that you feel the need to post it on the internet... It probably isn't that important.
    34. Re:Why yes, I would. by blackest_k · · Score: 1

      Theres quite a big difference between landing a plane which has a relatively large margin of error and trying to hit a precise spot on your arm. You can set up controls to ensure that the plane is going to land on the runway and not on the grass, but there wlll be differences in the location of that spot between people even between visits.

      A robot on the other hand could deliver a precise dose quite easily allowing for vital signs body mass ect and get it spot on through a drip feed or other tube. Would you prefer the computer calculated dose or by the Dr who's been working 80 hours and was on call through the previous night?

       

    35. Re:Why yes, I would. by blackest_k · · Score: 1

      Yes the robot is precise every single time to high definitions of precise, there is always some tolerance.

      However what you are missing is that robots do things which are repeatable thousands of times. Conditions have to be met in order for the robot to proceed, Sequences must be followed in order for the operation to be carried out successfully.

      There is a variable here which is difficult to measure and that is the variation in the human body your veins and nerves are not located precisely the same as a childs or a body builders, your skin tone might be a factor in how successful the robot is in identifying the right spot for example. A robot might have steadier hands than a surgeon but the surgeon has his own senses to guide his hands or the robots.

      We are not the same, which makes it difficult to achieve repeatable precise results. It might be possible to achieve this precision but I would have thought far from easy.

    36. Re:Why yes, I would. by pakar · · Score: 1

      And most cars are controlled by computers... so why does not the break's fail or the gas locked to the maximum all the time?

      You can design safe systems... If something invalid is detected then go to fail mode and safely stop the procedure. Failure detection can be a combination of both software and physical sensors and could be a secondary system that would operate completely separate from the main one.

      And Therac-25 is a really bad example of a poorly designed system.... But there is one interesting thing about it on wikipedia...
      "The system noticed that something was wrong and halted the X-ray beam, but merely displayed the word "MALFUNCTION" followed by a number from 1 to 64. The user manual did not explain or even address the error codes, so the operator pressed the P key to override the warning and proceed anyway."
      So here it was user-fault again... If something says "MALFUNCTION" and displays an undocumented error-message it might be a good idea to check with the manufacturer what is actually is instead of just proceeding...

      Also:
      "The software was written in assembly language that might require more attention for testing and good design. However the choice of language by itself is not listed as a primary cause in the report. The machine also used its own operating system."

      Why did they write this in assembly??? Make it much harder to do reviews on.... If they did it because they had to little cpu-resources then should have added more resources.

      Designing software for safety and/or graceful failures can be tricky, but it's not hard...

    37. Re:Why yes, I would. by pakar · · Score: 1

      Alright, now what about recent reports about how most equipment in Hospitals are infected by some sort of Malware?. It's safe to say when these Robots are placed in those facilities, they will become infected along with other equipment. You really want this infected Robot poking around your circulatory system?.

      Devices like this are usually not connected to any network in that sense.... For this one it would only have to be connected if they wanted the vein images from the machine...
      There already exists many types of automated systems in hospitals today, like heart-lung machines or how about pace-makers that people are walking around with outside... If they manage to keep the heart-lung machines working i think they can manage to keep this one running too...

      Not only this, in my area I've been seeing advertisements on TV from Law Offices whom are seeking applicants who have been injured by Robotic Equipment. So the injuries have already started. You think about those things. What would be nice would be a safer, non-automated device for Blood extraction.

      ehmm... "Robotic equipment"... quite broad statement... can be anything from someone tripping over an automated vaccum-cleaner to someone walking into the operating-zone of a factory robot...

    38. Re:Why yes, I would. by Anonymous Coward · · Score: 0
      ". so why does not the break's fail or the gas locked to the maximum all the time?"

      Clearly your English computer has failed.

    39. Re:Why yes, I would. by BitZtream · · Score: 4, Insightful

      And the exact same thing could happen to any other completely mechanical device. Unless you wrote the software or were closely involved with the development process, you have no fucking clue as an end user of medical devices if its actually safe to use.

      Yes, its an example of how to do it wrong, but you CAN NOT ignore the fact that IT HAPPENED.

      The example is mentioned not to show how it can be done wrong, but that even in the highly regulated medical industry, where lives are ALWAYS on the line, it slipped right through with a completely improper design and inadequate testing, where as even a 15 year old would be more reliable at noticing the missing filter when reconfiguring the machine more often than the T-25 failed.

      --
      Persistent Volume manager for Kubernetes - https://github.com/dwimsey/openshift-pvmanager
    40. Re: Why yes, I would. by turbidostato · · Score: 1

      Yeah you are rigth in everything you say. Now, what makes you think that's not exactly what will happen with your next needle robot? Greedy capitalism?

      At keast humans have that envelope protection called 'common sense'.

    41. Re:Why yes, I would. by Dcnjoe60 · · Score: 1

      I'll always take a robot over a human when my safety is in question. I want a human involved, but predictable error that can be controlled is far preferable to unknowable error modes of humans.

      And your safety is in question by getting a needle, how? Besides, how is your arm going to get lined up for the robot to stick you? Will another robot do that or will a person be involved, whether you yourself or another person?

      The problem with sticking people is not with finding the vein with the best blood flow, it is with the vein rolling to the side or collapsing. How is the robot going to improve upon that? It can't, it can only deal with it, like the nurse or phlebotomist and will do so most likely in the same way, by sticking you again.

    42. Re:Why yes, I would. by BitZtream · · Score: 1

      You need a new nurse!

      It is entirely unacceptable for a ANYONE to take more than one shot at getting into your veins, even entirely collapsed veins. When you do this many times a day, every day, if you don't know how to do it, you don't need to be in the medical profession.

      Note: My father had cancer and my wife is a doctor. Its just unacceptable to need more than one try. You shouldn't have gotten out of med school.

      --
      Persistent Volume manager for Kubernetes - https://github.com/dwimsey/openshift-pvmanager
    43. Re:Why yes, I would. by BitZtream · · Score: 1

      To add to your comment ...

      Commercials from a lawyer seeking applicants ... so ambulance chasers are how we judge medicine now days? Seriously?

      --
      Persistent Volume manager for Kubernetes - https://github.com/dwimsey/openshift-pvmanager
    44. Re:Why yes, I would. by Dcnjoe60 · · Score: 2

      You sir, are an idiot. Plain and simple.

      Humans make quite a lot of errors when extracting blood, they put puncture the backside of the vein, they miss the vein - and this is on healthy adults with fairly visible veins.
      When it comes to getting a vein on a child or elderly, it can take them many tries, if a robot can find the vein faster and with less complications involved, then it could ultimately save lives.

      Personal experience: when I was a child they had 5 goes at my right hand and another 6 at my left, before hitting a vein. As an adult donating blood, I've had them miss my vein because they where too busy thinking about something else, I've had them puncture the backside of the vein, resulting in quite a huge "bruise" (the blood will flow out and collect in the elbow, which looks absolutely grim, but is not dangerous).

      A robot can do the same task over and over, never make mistakes due to personal problems etc. Sure, a malfunction *could* happen, but we have used robots along side humans for ages and we use them for surgeries now, with very few problems.

      Most of the problems you describe aren't the problem of the person sticking you but a problem with the veins in the person. Veins roll, they collapse, people involuntarily twitch and all sorts of other factors come into play. A robot sticking a patient will not be immune to that, nor would this be something as simple as a robot doing a repetetive task over and over as each and every stick will be different and unique, even on the same patient from one day to the next as you can't use the same site twice in a row.

      Robots and computers are great for doing the exact same thing over and over again. However, differences in peoples anatomy, although similar, adds a layer of complexity that either will lower the efficiency of the automated process to account for it, or will still result in misses.

    45. Re:Why yes, I would. by mtempsch · · Score: 1

      Nah, while related, Swedish!= German (which I believe is what GP was aiming for)

    46. Re:Why yes, I would. by Dcnjoe60 · · Score: 1

      "If there is a bug". I doubt very much you'll see buggy equipment on hospital wards. Not in the medical profession. There's no shortage of money to buy machines that really work, versus massive company-breaking lawsuits for machines that are "buggy". And to be honest (I was just in the hospital last week), phlebotomy is a skill few people know how to exercise correctly. It took 4 pokes to get a single IV in my arm, and an average of 2 pokes for every blood test. When you're getting blood tests 2/3 times a day, you start to appreciate the guy/gal who knows where to do it. I'd take the machine, if it were proven to be better than a human.

      How true, but then again, we will replace a $7.00 charge for a blood draw with a $40.00 charge for the robotic blood draw to cover the cost of the equipment and then some. If you are averaging 2 pokes for every blood test, there is something wrong. At the local hospital here, the statistic is 1.2 sticks per draw. That's not bad considering that includes everything from newborns to elderly. I wonder how much better the robot will be and at what cost?

    47. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      Simpy call it Nurse Ratchet to make everyone feel at ease.

    48. Re:Why yes, I would. by wisnoskij · · Score: 1

      Or decide the the best blood flow is from a vein running through your eye.

      --
      Troll is not a replacement for I disagree.
    49. Re:Why yes, I would. by murdocj · · Score: 1

      I'll always take a human over a robot where my safety is in question. I want someone who can assess the situation and deal with what's happening in those cases where it's outside the unexpected.

    50. Re:Why yes, I would. by Dcnjoe60 · · Score: 1

      For me, it's not the human error aspect, but rather the increased sensory equipment.

      I went through chemotherapy a few years ago. One of its (many) side effects was to obliterate my veins. Every time I need to have my blood taken (which is once a year at the very least), my usual nurse first breaths a heavy sigh, then asks me where would I like to be repeatedly stabbed.

      If the robot's extra sensors allowed it to stab just once, I'd take the risk of malfunction. Assuming proper hardware design, my robot's worst case cannot be all that worse than my human's typical case.

      Shachar

      But that is the issue, your bad sticks aren't the fault of the nurse, but your own scarred veins. The robot can't fix your veins, so that problem will persist. The robot worst case may not be any worse than the human's, but if the veins are bad, it may not be any better, either. Face it, on good veins, either one should do fine. On bad veins, both will have problems. The only place it will make a difference are those in the middle.

      And chances are, in your case, where the veins are heavily scarred the robot will declare it is outside its tolerance level and nurse will still need to draw the blood. Of course by then, they will only be drawing blood once and awhile, so they will no longer be very experienced and when they do it, it will be even more painful than it is now.

    51. Re:Why yes, I would. by murdocj · · Score: 0

      So you have to have someone there to make sure the patient is in the right position, assess their health, make sure they are the right person getting the right treatment... remind me why that person can't do the needle stick?

    52. Re:Why yes, I would. by Anonymous Coward · · Score: 3, Insightful

      How many doctors have killed people? You can't ignore those either.

    53. Re:Why yes, I would. by wisnoskij · · Score: 2

      Honestly, I think the main problem was far simpler than high school level coding practices.

      When this happens: "The feeling was described by patient Ray Cox as "an intense electric shock", causing him to scream and run out of the treatment room."
      And then the patient dies of radiation poisoning.
      And you continue using the machine for years afterwards without understanding what happened, and patients continue to die over a 2 year period.

      That is your main problem, right there.

      --
      Troll is not a replacement for I disagree.
    54. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      You know what they say about building a fool-proof device...

    55. Re:Why yes, I would. by ArsenneLupin · · Score: 1
      There are (normally) 2 humans involved in needling: the needler (nurse, doctor), and the needlee (patient).

      So this robot does away with one of them (needler). But it still leaves you, the needlee. A movement of the arm at the wrong time, or just tensing up may make the thing lots more painful than they would otherwise be. Or worse: getting a shot in the ass while standing and then slipping and falling. Ouch!

    56. Re: Why yes, I would. by O('_')O_Bush · · Score: 1

      Assuming they care to use it... which there is no guarantee they do, and don't even get me started on serial killers in the medical industry.

      TBH, I'd much rather risk facing the one time the robot would stab my arm before the problem is universally fixed, than risk the ongoing problem of crazy or negligent humans.

      --
      while(1) attack(People.Sandy);
    57. Re:Why yes, I would. by Will.Woodhull · · Score: 1

      So you have to have someone there to make sure the patient is in the right position, assess their health, make sure they are the right person getting the right treatment... remind me why that person can't do the needle stick?

      Because that person is rather busy at the moment doing CPR?

      --
      Will
    58. Re:Why yes, I would. by phantomfive · · Score: 1

      Designing software for safety and/or graceful failures can be tricky, but it's not hard...

      This is clear evidence that you've never done it.

      Why did they write this in assembly??? Make it much harder to do reviews on.... If they did it because they had to little cpu-resources then should have added more resources.

      You have no idea how much this quote entertains me.

      --
      "First they came for the slanderers and i said nothing."
    59. Re:Why yes, I would. by phantomfive · · Score: 1

      "If there is a bug". I doubt very much you'll see buggy equipment on hospital wards.

      As someone who's worked on medical equipment, I guarantee you'll see buggy equipment on hospital wards.

      --
      "First they came for the slanderers and i said nothing."
    60. Re:Why yes, I would. by phantomfive · · Score: 1

      You sir, are an idiot. Plain and simple.

      Um, thanks, so are you. Also, your post didn't actually relate to mine at all, it was like an unrelated monologue about why you would like a robot to give you injections. It's like you didn't even read my post.

      --
      "First they came for the slanderers and i said nothing."
    61. Re:Why yes, I would. by Impy+the+Impiuos+Imp · · Score: 1

      Yes, but at the end of the day, it's all about statistics.

      The day will come, for both cars and surgery, when machines will do it more safely than humans. People will then begin to ask if it's ethical to even have humans do these things anymore.

      I can't imagine full banning in either case, but certainly after a generation who's grown up with it goes by, nobody will think twice about it. Passenger jets can (and possibly should) do the whole thing by robot, and have been able to for at least 20 years.

      A human-caused accident, well people fret and "let's improve it". But let a machine make a much rarer accident, people scream and politicians capitalize on it, making the world more, not less, dangerous.

      --
      (-1: Post disagrees with my already-settled worldview) is not a valid mod option.
    62. Re:Why yes, I would. by ShanghaiBill · · Score: 5, Insightful

      And the exact same thing could happen to any other completely mechanical device.

      You design the mechanism so that it is physically impossible for the software to do something dangerous. In the case of Therac-25, there should have been a mechanical interlock that cut power to the radiator when the shield was not in place. In the case of the needle sticking robot, you use an actuator with a stroke of, say, 5mm. Then there there is no way it could "jab through your arm". You also use a weak actuator, that doesn't have enough physical strength to push into bone, even when given full power. You put a spring-loaded (not software controlled) sheath over the needle, so the needle is never exposed unless it is pressed against skin. You design the hardware assuming the software is malicious. You design away any way you can think of for the software to do harm.

      Then you design the software assuming the all the mechanical interlocks have failed, and use sensors to double check everything.

    63. Re: Why yes, I would. by ShanghaiBill · · Score: 1

      Greedy capitalism?

      Greedy capitalists don't like expensive lawsuits.

    64. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      I went through chemotherapy a few years ago.

      And they didn't put in a port?

      which is once a year at the very least

      I've have blood draw much more frequently than that. Like once every two months. A good tech can do it so well that it doesn't scar and they can use the same location in 60 days.

    65. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      Therac-25 is an example of the dangers of improperly tested computers with lethal equipment.

      Yes, it killed people. The previous method of manually dosing patients also killed people. What makes Therac-25 a great tragedy was that those deaths were preventable at design time, despite the unsolved problem of human error at procedure time. Flawed as it was, it was still an improvement in medical care and it save many, many lives.

    66. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      So you can fix it or replace it after the first time.

    67. Re:Why yes, I would. by AmiMoJo · · Score: 2

      This is how much safety critical software is written. I used to do code for fire alarm and smoke extract systems. The company very clearly defined the circumstances under which it would work: one fire in one location. Two fires and you were screwed. No-body reviewed my code, and the only testing was when the guy installing it got on site and tried it. Finally a fire martial would ask for a demonstration of the agreed functionality, not bothering to check any more than the simplest of fault conditions, and then it was signed off.

      Companies see safety as something they are required to have by law and which gets in the way of their profits. Every building needs a fire alarm system but why waste money on a good one when the lowest bidder can supply something that meets the legal requirement. Fires are pretty rare and there is always someone else to blame - it's never the fire alarm's fault that people died.

      --
      const int one = 65536; (Silvermoon, Texture.cs)
      SJW, n: "Someone I don't like, and by the way I'm a fuckwit" - AC
    68. Re:Why yes, I would. by hairyfeet · · Score: 1

      Besides that there really is no need, a human that is good at drawing blood and setting up IVs is really not that rare and unlike the robot will actually listen to what you tell them.

      Hell if you went ONLY by bloodflow you'd think that big vein in my left arm would be the one to go for, as its hardly ever been stuck and even ray Charles can see it, but there is a reason why its almost never been used and that is because I had a major bike wreck when i was 16 and a lot of the impact was focused on my left arm. Now if you try to stick me in that left arm? All you'll do is end up having the vein to collapse and leave me with a VERY sore arm while not getting a drop of blood out. Jerome who draws the blood at my doctor's office already knows this so even though its harder to see the one on the right thanks to my freckles he always goes for the right which never fails to let him draw all the blood doc wants every time I show up.

      So I really don't see the point of this, if anything its not the patient that is at risk when drawing blood its the one doing the drawing and its not like they are getting paid crazy money so its really not gonna save much when you figure in the cost of the unit. finally as you point out if the machine ever screws up you could seriously hurt somebody so this seems, at least to me, like a solution in search of a problem.

      --
      ACs don't waste your time replying, your posts are never seen by me.
    69. Re:Why yes, I would. by jimbo · · Score: 1

      At my last infusion the nurse had to try seven times to put the IV into my clearly visible popping veins. Her thick podgy fingers would jab the large caliber needle it in next to the vein and then start digging the needle around under the skin. She exclaimed "In my twenty years I've never had this much trouble!". The patient nearby, who had just had her IV by the same nurse just looked at me and shook her head sadly.

    70. Re:Why yes, I would. by Macman408 · · Score: 1

      I'd still probably feel better, at least for the first couple of generations of such a device, if I could hold a remote control in my hand. Maybe 3 switches:
      1. Pause - I'm in pain, just hold still for a moment.
      2. Safety - in a controlled manner, remove the needle, apply pressure to stop the bleeding, whatever. Basically just return to a safe state.
      3. Kill - something is horribly wrong. Remove all power from the system. Yes, the needle might still be in my arm, but for whatever reason, even the safety may not work correctly, so manual human intervention may be needed.

      Of course, having those switches (especially the Kill switch) would probably make it less safe, as people would panic and press them when everything is really fine. Maybe give those switches to the machine's operator, I guess.

      I think people would probably be more comfortable with like an AR device for phlebotomists; it could use the same data to show them where the best vein is, and how to poke - but the needle is still in the human's hands.

    71. Re:Why yes, I would. by Ihlosi · · Score: 1
      I doubt very much you'll see buggy equipment on hospital wards.

      I hate to break it to you ... but do you believe in pink unicorns, too?

    72. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      Not if you get an intern who choose to practice on you*1. Then give you a script for supeudol because he is sorry that you are now in worst pain that you were before. Only so you can be in hell 2 weeks later when your prescription run out and you are kicked out of paradise...

      1-He was trying to do an arterial blood gas sample. Before I beefed up using push-up and levo-citruline, my veins were hard to see, my arteries even harder. He tried at least 3 times on my wrist and 2 times on my legs before the nurse asked him if he got a finger O2 measure before resorting to the arterial gas.... The nurse was right from the start, even if I had almost every symptoms of heart attack it was a chest muscle rupture caused by moving a barbeque alone 4 stories high.

    73. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      This is exactly backwards....a human will be aware enough to never jab the needle all the way through your arm. If there's a bug, the computer will do that happily and quickly.

      Please. I've donated blood on occasion. Humans have fucked up putting the needle into my arm more than they succeeded. Exactly ONCE did the person actually do everything correctly resulting in proper flow. In dozen other times, the fools mostly blame *me* for their failure including gems like "you must be dehydrated so your blood will flow slowly".

      And we call those people professionals.

      So please, I'd take a computer that will take one try at putting the needle in. It's actually quite simple to design a program that does

          do_insert_once();

      instead of

          while (true)
              do_insert_once();

      So unless a half-brain-dead-newt designs and a larger retard tests it, it should probably work better than humans and their stupid (and now discredited, if they read) notion about "make a fist!"

    74. Re: Why yes, I would. by crakbone · · Score: 1

      "At keast humans have that envelope protection called 'common sense'." If this were true we wouldn't have problems with people texting and driving. We wouldn't have warning labels on everything from plastic bags to baby toys, as well we wouldn't have a sign on airplane doors saying " do not open during flight" Always assume people are idiots, that way at least you arer surprised once in awhile when one isn't.

    75. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      Considering the lurid documentaries of human psychopaths, sociopaths and serial killers involving everything from flaying people while they are alive to eating human flesh, from conspiracy theory wackjobs to dictators pursuing genocide, from plain vanilla rape to theft and spouse abuse... What's the worst a buggy robot can do?

      Getting a needle jabbed too hard into your arm is a pretty mild form of abuse to suffer at the "hands" of a robot or anyone -- and indeed, anyone who has to go in for frequent lab work can tell you that humans definitely can do a horrible job at sticking your arm.

    76. Re:Why yes, I would. by crakbone · · Score: 1

      Because the robot essentially has X-ray vision. Infrared imaging will go right through skin and ultrasound can handle the fat in pudgier patients. The robot would actually look at the vein and see where to place the needle. Where a tech has to guess where the vein is and may try a couple times to hit it, or have the vein roll on them.

    77. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      The thing is, my blood has been taken about 100 times over the last 7 years. I'm down to 4 or 5 times a year now, but there were times where they took it dayly.

      So, with only about one major mis-probe, I would say that human reliability is better than 95% (but a good guess would be 99%, but I don't have enough data to substantiate that statistically). However the robot now has a reliability of 80% and they want it to go up to 90% before they start testing in the field.

    78. Re:Why yes, I would. by ecotax · · Score: 1

      This is exactly backwards....a human will be aware enough to never jab the needle all the way through your arm. If there's a bug, the computer will do that happily and quickly.

      True. However, humans make mistakes too, and their error rate won't decrease below a certain level. You could keep improving robots until they're near perfect.
      I've been a blood donor for many years, and have donated blood over 100 times. I have pretty 'easy' veins, and yet one time the needle was not inserted correctly, and went through the vein. From what I've seen happening to other donors during those donations, I can assure you that even under these near ideal conditions (experienced medical personal doing this all day, no emergencies, relaxed volunteer donors, etcetera) the success rate is 99% at best.

      --
      "Money is a sign of poverty." - Iain Banks
    79. Re:Why yes, I would. by gl4ss · · Score: 1

      So you have to have someone there to make sure the patient is in the right position, assess their health, make sure they are the right person getting the right treatment... remind me why that person can't do the needle stick?

      well.. I had my eyes lasered. the machine did all the work. would I have wanted to do it without the dr on the stop button? hell no.

      would I have let the doctor to laser my eyes by hand? hell no.

      --
      world was created 5 seconds before this post as it is.
    80. Re:Why yes, I would. by kermidge · · Score: 1

      "....a human will be aware enough to never jab the needle all the way through your arm."

      Through one's arm, yes. Through the vein, though? No. From two separate incidents, I can attest otherwise.

      This is one of those "it depends" things. A properly designed and built robot (and I'd need some convincing) I'd accept just a well as a competent nurse who's not in a rush. Anything or anyone else, no.

    81. Re:Why yes, I would. by phantomfive · · Score: 1

      its not like they are getting paid crazy money so its really not gonna save much when you figure in the cost of the unit.

      Good point. And you're still going to need to pay someone to operate the unit.

      --
      "First they came for the slanderers and i said nothing."
    82. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      It's a bit more subtle than that.

      When I trained as an MD, if you wanted a blood analysis, you had to draw it yourself. There were no phlebotomy techs, and nurses couldn't do it. If you wanted a patient to have a dose of IV antibiotics, you would have to dilute the antibiotic concentrate yourself, and administer the IV injection yourself, as nurses were not authorized to administer IV antibiotics.

      The result was that doctors, by the time they reached resident level, were highly skilled at drawing blood or administering IVs - essential emergency skills.

      What then happened was that someone worked out that having expensive doctors drawing blood and giving IVs was a waste of money, so they trained techs to do it. This worked fine, the techs got quite skilled, but were not given authorization to proceed in "difficult" cases, or if they had failed on more than 1 attempt.

      The result subsequently is that we now have a whole generation of doctors without experience in drawing blood or giving IVs. So, who do the techs call when they have a "difficult" case that is beyond their level of authorization? The doctor, who has never had experience in doing the procedure themselves.

    83. Re:Why yes, I would. by icebike · · Score: 2

      You design the mechanism so that it is physically impossible for the software to do something dangerous. In the case of Therac-25, there should have been a mechanical interlock that cut power to the radiator when the shield was not in place. In the case of the needle sticking robot, you use an actuator with a stroke of, say, 5mm. Then there there is no way it could "jab through your arm". You also use a weak actuator, that doesn't have enough physical strength to push into bone, even when given full power. You put a spring-loaded (not software controlled) sheath over the needle, so the needle is never exposed unless it is pressed against skin. You design the hardware assuming the software is malicious. You design away any way you can think of for the software to do harm.

      Then you design the software assuming the all the mechanical interlocks have failed, and use sensors to double check everything.

      Exactly.
      But you also make the output of the sensor system visible to the human attendant (who will be there anyway), and provide them a safety override switch, for when the needle breaks off in the patients arm due to a flinch or for what ever reason.

      Come to think of it, maybe just providing the human with the sensor system may yield better results, and probably provide faster service in a wider variety of situations.

      Unless you envision this as a self service device, you are going to have a nurse there anyway. Drawing blood is not all that dissimilar from any other use of needles for intravenous injections, transfusions or drips, other than that its in and out relatively quickly. So maybe a wearable sensor system would be more appropriate.

      --
      Sig Battery depleted. Reverting to safe mode.
    84. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      When I was a Navy Corpsman I did blood draws all the time. I also taught others how to do them by letting them use my arm for their first 'stick'. I can tell you that we are always just guessing that a vein will be good enough to draw blood. On men and women with large visible veins its a different issue. They are easy to see and they usually have good blood flow. However they tend to roll to one side or the other when you hit them with a needle. On those with veins that are hidden we are sticking 'blind'. We do our best to feel for a pulse in locations we know there to be veins and then stick the needle in until its hits the vein. Usually we hit the vein. Sometime though we don't and sometimes the vein just collapses.
       
      The tools this robot has are a major advantage. IR to see the veins and ultrasound to tell if there is good blood flow. Those two tools would help most any phlebotomist increase their accuracy rate. The only thing that would concern me is that I didn't see or read anything that indicates the robot can tell how deep the vein is located. Sometimes they are on or near the surface and other times they are much deeper.
       
      I would let the robot test on me just like I used to let new corpsman test on me.

    85. Re:Why yes, I would. by thejuggler · · Score: 1

      Drats - I wasn't logged in when I posted this.

    86. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      Thus the sensors that can clearly see through your body and locate exactly what it needs. No human can do that.

    87. Re:Why yes, I would. by murdocj · · Score: 1

      If you read the post I replied to, you'd see that the expectation is that medical people are monitoring the machine. The robot isn't going to be sticking people if the staff are all doing CPR.

    88. Re:Why yes, I would. by murdocj · · Score: 1

      Machines can do one medical procedure, so they should do all medical procedures? got it.

    89. Re:Why yes, I would. by Neuronwelder · · Score: 1

      Considering the over abundance of humans, wouldn't it be cheaper to use a human than a machine? ..Also, how do you sue a machine that is protected by a big corporation?

    90. Re:Why yes, I would. by Will.Woodhull · · Score: 1

      There is a bit of an attitude coloring parent post. It is consistent with the mental and emotional development of a healthy 14 year old, but the moderately low user number suggests someone much older than that. Strange.

      Be that as it may, during my career as an Intensive Care Unit RN I was involved in more than 100 codes-- too many to count. Often I was the one running the show until a physician arrived: I had had some pretty intense training in using some fancy protocols. Doing the chest compressions was often the best position for running the code, since with all the training the physical activity is an ingrained habit, and your mind and eyes are free to monitor what everyone else is doing and how the patient is responding. Keeping an eye on a robot phlebotomist would be easy. And using a robot phlebotomist that could identify veins with sensors that humans don't have would improve the patient's chances of survival. You need that life line in place ASAP; unless you can get the drugs on board, CPR and defibrilation often are not enough. What you don't need is two or three of the staff on the arms and legs, poking around for long minutes to find some vein somewhere that can carry the drugs to the heart.

      --
      Will
    91. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      The problem with a port is an increased risk of infection. I have one, and any time I get a fever, even a mild one, I've been instructed to go to the ER. You don't want one if you don't need it.

    92. Re:Why yes, I would. by wmac1 · · Score: 1

      I screamed NOOOOOO as soon as I saw the title of the browser window : "Would You Let a Robot Stick You With ...."

      Go stick your ... somewhere else mother fucker robot...

    93. Re:Why yes, I would. by Yvanhoe · · Score: 1

      If you want to use therac-25 to represent the state of surgery robotics, I am asking that we consider a drunken drug addict who lied on his surgery certifications as the human comparison.

      --
      The Wise adapts himself to the world. The Fool adapts the world to himself. Therefore, all progress depends on the Fool.
    94. Re: Why yes, I would. by Anonymous Coward · · Score: 0

      Drawing blood is the easiest thing to do with needels and veins. Injecting high volume contrast solution requires penetrative vein with less of an angle so the needle tip is further from penetration point.

    95. Re:Why yes, I would. by Dog-Cow · · Score: 1

      Retarded gerbils can mash keys so they should be allowed on slashdot?

      Apparently so.

    96. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      But since machines behave based upon their programming, robots could RELIABLY kill people.

    97. Re:Why yes, I would. by Meski · · Score: 1

      If they can insert cannulas the first time instead of the sixth (last time I had one that's how many it took, with 3 different people trying) I'll go for the bot every time.

    98. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      Yes. yes, that is the way it _should_ be done. Therac 25 and knowledge of software writing processes in general say that all of that will be ignored and the most convenient method of creating it will be used.

    99. Re:Why yes, I would. by pakar · · Score: 1

      To start with, not everyone are native English speakers, and when tired it can be hard to build sentences for some of us.... I can even sometimes surprise myself when reading it the day after..

      This is clear evidence that you've never done it.

      Have only been working for about 15 years in the field so i think i can say i do have some experience ... Buy of course nobody could be better than you, and any one else that contradicts you must be wrong...

      To design a system that is physically safe (factory robots and similar things) are quite easy to make safe... To start with it's both a combination of software and the physical setup.. If the thing is designed the correct way it can be extremely easy to write code making safe in the physical world... There are actually recommended ways you should follow when designing for physical security..

      Designing software for safety and/or graceful-failures is not hard.. It's on about on the same level as the rest of the system. If you design things in the correct way to begin with you don't have to hack together a safety system into it but can, with ease, implement a monitoring solution.

      Just for your information... Graceful failures is in use quite allot in the world... The simplest example of it is transactions in databases where you can do a rollback if something goes wrong.. .

      You have no idea how much this quote entertains me.

      And you seem to have a problem with understanding that sometimes people can have problems with their non-native language... The point i was making still got made, even if the sentence was screwed up...
      Main reasons why software is written in assembler. Resource issues / requirement for exact timing on limited hardware / some cpu's did not have any higher language available at the time this thing was built.
      If the problem was resources ie memory or available cpu-cycles, get a faster cpu and/or more memory.
      If the problem was timing issues on limited hardware then the hardware should be redesigned. Example would be slave cpu's that would take care of the timing-critical tasks and a main controller with some type of RTOS on it.
      If the problem was that the platform did not have any higher-level language available then the it should be switched out.

      The largest problem with systems written in assembler is that they become extremely hard to do code-review's on and when adding new features it's very hard to spot problematic areas. I have spent many hours reading assembly of old implementations just to figure out what they do, and since no one had touched it for 5 years no local knowledge existed. Just getting a understanding of the code-flow can be hell, and many developers do not write nice code or the system was written under time-pressure and that resulted in badly written code.

      And from looking at your comment-history it looks like all you can do is criticize other people without actually saying anything so my recommendation to you is to move out of your parents basement and get a life. (Just jumping to conclusions the same way as you seem to do in many of your posts..)

    100. Re:Why yes, I would. by phantomfive · · Score: 1
      Yeah, you're problem isn't a problem of expressing yourself in any language, it's that you are wrong. Designing software that is safe is brutally difficult.

      And from looking at your comment-history it looks like all you can do is criticize other people without actually saying anything

      I only criticize people when they say something extremely idiotic, sorry mate.

      --
      "First they came for the slanderers and i said nothing."
    101. Re:Why yes, I would. by jellomizer · · Score: 1

      Normally the Tech will call the tech with more experience. There is usually some one who is a good stick on call.

      --
      If something is so important that you feel the need to post it on the internet... It probably isn't that important.
    102. Re:Why yes, I would. by denbesten · · Score: 1

      ...patients continue to die over a 2 year period. That is your main problem, right there.

      When human life is involved, even the first preventable death is the "main problem". Had it not been for immature coding practices, the first patient could have been saved, and by extension, the 5 subsequent deaths.

      See the wiki page for a laundry list of the root causes.

    103. Re:Why yes, I would. by Anonymous Coward · · Score: 0

      I trust the robot to be vastly better than 80% of human applicants, as that seems to be the socially acceptable range a robot must outperform for approval. The robot will never reach the top 10% in the field.

      Unfortunately, most people who have been to a hospital a few times know that there are about 3 incompetents at every "technician" job position to every 1 competent person. This puts the robot way ahead of the curve.

    104. Re: Why yes, I would. by Anonymous Coward · · Score: 0

      Commons sense is not that fucking common. You would think the population of top 25% IQs constantly posting on this site would have figured that out by now.

  2. Sure I'll do it by phantomfive · · Score: 1

    As soon as it's been QA'd extremely well. I don't want to be a test subject for a poorly designed/constructed system.

    --
    "First they came for the slanderers and i said nothing."
    1. Re:Sure I'll do it by Anonymous Coward · · Score: 0

      I take a medication which requires that I get blood tested frequently. Twice I've gotten a brand new nurse and they've had to poke me several times and wiggle the needle around. People have to learn too.

    2. Re:Sure I'll do it by Dunbal · · Score: 1

      It's even more fun when you're anticoagulated and every poke ends up being a hematoma...

      --
      Seven puppies were harmed during the making of this post.
  3. I've seen this movie by Anonymous Coward · · Score: 0
  4. Honestly... by Anonymous Coward · · Score: 1

    Given some of the stories I've heard both from people studying to be pflebs, and both personal and secondhand accounts of *BAD* pflebotomists, I'd probably trust a robot much more to not fuck it up than a human. Honestly while one could do some damage if improperly programmed, there's plenty of pflebs who can manage just as bad of a job themselves.

    There's probably also a few that can do an suitably faster/better job, but they'll most likely keep work either in pediatrics or ER wards, where the human touch either is important, or more suitable for it's critical thinking capabilities in situations where robots would have difficulty operating.

  5. I'll give it a try by rgmoore · · Score: 3, Informative

    I'd be willing to give it a try. I've been stuck by enough nurses in my life that I'd be willing to give a robot a try. I wonder if it would identify the same spot that the human phlebotomists always use; I've given blood enough times that I have a nice scar to show where the needle ought to go.

    --

    There's no point in questioning authority if you aren't going to listen to the answers.

    1. Re:I'll give it a try by sumdumass · · Score: 1

      I had a short hospital stay (10 days) and needed blood drawn every 4 hours the first few days. They had to use a different spot each time too. I had a few who seemed that they couldn't stick a needle in a pin cushion if you put a magnet inside it. I remember asking one girl if she wanted me to give it a try after she missed 10 or so times. Then there was a few who would only need one shot and they had it.

      I would give it a try too. If it was mounted on a moveable cart, it wouldn't be too different then how they already do it.

    2. Re:I'll give it a try by Dunbal · · Score: 1

      Arterial blood gases are even more fun, very few people can get that right first go. I happen to be good at it and get it first time, every time. But I am the exception, and it took a lot of practice as an intern! :)

      --
      Seven puppies were harmed during the making of this post.
    3. Re:I'll give it a try by Impy+the+Impiuos+Imp · · Score: 1

      I'd like to get stuck by a nurse.

      > Would You Let a Robot Stick You

      Well, hell. I'm adventurous. Yes. Yes I would!

      > ...With A Needle

      Oh, right. Ummmm, ya, sure. What the hell.

      --
      (-1: Post disagrees with my already-settled worldview) is not a valid mod option.
    4. Re:I'll give it a try by mrprogrammerman · · Score: 1

      There's definitely an art to it. I remember one guy who was so good if I hadn't looked it would have been hard to realize he was actually drawing blood out of me.

    5. Re:I'll give it a try by AK+Marc · · Score: 1

      When I was 12, I needed an appendectomy. I come from a family that's always had trouble with needles. After the 4th miss with the IV (they didn't have the extra-small ones back then that I've seen since), the nurse walked out, and they brought an "expert" in who got it on his second try. The miss felt a lot like an ice-pick going all the way through (not that I've had that happen, but I stepped on a nail once that came out the top of my shoe).

  6. sadistic blood workers by bzipitidoo · · Score: 3, Insightful

    They used to jab the tip of your finger. That's just about the most sensitive, painful place they could choose to get a blood sample. Fingertips have the greatest concentration of nerves. Being medical professionals, they of all people should know that. So why couldn't they prick some other spot, like the forearm? It really seemed like they were at best indifferent to causing their patients unnecessary pain. At worst, I wondered if some of them were sadists.

    Some years ago, a change in this procedure came along. Now, they prick the side of the finger, not the tip. Much, much less painful.

    --
    Intellectual Property is a monopolistic, selfish, and defective concept. It is "tyranny over the mind of man"
    1. Re:sadistic blood workers by Anonymous Coward · · Score: 0

      So, I guess you don't play the guitar, ha? Cutting your fingers is trivial and doesn't permanently scar. More so since for 6 years old and under you can chop the tip off, and have the bone and flesh regrow.
      Personally there probably hasn't been a period stretching over a month in the last two decades I haven't had something like a paper cut, a stapler mishap, a screwdriver slip, or any sharp pointy metal bit in a PC that hasn't cut my hands. It's often my fingers and it's often so trivial I had a client asking about the blood stains I left on his GPU... I said it was a particularly tough one and charged him extra :)

    2. Re:sadistic blood workers by Bieeanda · · Score: 1

      Everyone who's taken a droplet sample from me, has taken it from my fingertip. There's usually a preemptive apology involved, because they know it stings like an SOB, but it's definitely still operating procedure where I am.

    3. Re:sadistic blood workers by Livius · · Score: 1

      It tests blood in circulation in delicate capillaries located far away from the heart.

    4. Re:sadistic blood workers by Anonymous Coward · · Score: 0

      You're assuming they care; last time I was pricked on the side of the finger, she the nurse used a big needle and went way deeper then she needed to. It literally bled for two days. At the time I was a bit upset, being diabetic I prick myself regularly and knew that was obsessive. Her response was it was easier to make me bleed to much and cause more pain then to risk having to stick me again. The pain or the fact that it meant routine doctors appointments prevent me from touch typing for a couple of days didn't matter.

    5. Re:sadistic blood workers by Anonymous Coward · · Score: 0

      That's why i ask them what they are going to do and then tell them how i want it done..... "Vårdcentralerna" here in Sweden are like small docor-offices, but the quality between them is horrific... Luckily they only do small investigations before sending you to a specialist, but sometimes you have to force them to send you to the specialist.... Especially with some doctors that think they know everything and then just messes up...

    6. Re:sadistic blood workers by BitZtream · · Score: 1

      The fingertips are also full of capillaries that allow a nice small droplet of blood to come out very easy, without a stream following it and needed bandaids.

      Your feet, equally painful and equally great for getting blood out, which is why they do it on newborns and babies, where fingers are just too tiny and movable to try and put them into a machine (since the baby rarely does what you ask him/her to do fresh out of the womb ;)

      --
      Persistent Volume manager for Kubernetes - https://github.com/dwimsey/openshift-pvmanager
    7. Re:sadistic blood workers by Dcnjoe60 · · Score: 1

      They used to jab the tip of your finger. That's just about the most sensitive, painful place they could choose to get a blood sample. Fingertips have the greatest concentration of nerves. Being medical professionals, they of all people should know that. So why couldn't they prick some other spot, like the forearm? It really seemed like they were at best indifferent to causing their patients unnecessary pain. At worst, I wondered if some of them were sadists.

      Some years ago, a change in this procedure came along. Now, they prick the side of the finger, not the tip. Much, much less painful.

      When using a lancet on the fingertip, the proper procedure is to twist it so it makes a small cut. Jabbing it, while making a cut, also bruises the underlying tissue, which causes lasting pain. As for causing unnesessary pain, well, I never knew a nurse or phlebotomist who went around sticking people without a doctor's order, so unless you know of a way to obtain a blood sample to fulfill that doctor's order that is painless, it is hardly unnecessary pain.

    8. Re:sadistic blood workers by Impy+the+Impiuos+Imp · · Score: 1

      I've heard the tip of the finger was because it didn't get scars. I've also heard because it had increased blood flow, and thus was more likely to have fresher blood, important for glucose measurements.

      If the latter, I would have to suggest malpractice. When your fingertips are cold, there ain't jack squat blood flowing through there. I also find it hard to believe that there was some study showing fingertip blood (especially cold fingers) was somehow superior to back of the forearm, when measured against a deeper proper draw.

      --
      (-1: Post disagrees with my already-settled worldview) is not a valid mod option.
    9. Re:sadistic blood workers by AK+Marc · · Score: 1

      I have a permanent scar on the tip of my index finger. Well, over 20 years old now. I don't even remember how I cut it, but it's clearly visible many years later. I have other scars on my hand, some from under 6 years old, but not as many on my fingers. Just a scrape on a knuckle from 1992 or so that's still clearly visible.

  7. Boy! by Anonymous Coward · · Score: 0

    I sure hope they tested it on animals! Amiright!?

  8. Does it have more tatoos than the human? by Anonymous Coward · · Score: 0

    Always, the one with the most tattoos sticks the needle in least painfully.

  9. Re: Robodracula anyone? by guttentag · · Score: 1

    I think you mean, "Robo-Dr. Acula!" (Video)

  10. In the future by Anonymous Coward · · Score: 0

    doctors won't be able to help anyone when there's a blackout.

    1. Re:In the future by Opportunist · · Score: 1

      Like they could today...

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    2. Re:In the future by Dunbal · · Score: 1

      That's why hospitals have generators. No blackouts in hospitals, unless the power is out so long the hospital runs out of fuel.

      --
      Seven puppies were harmed during the making of this post.
    3. Re:In the future by AK+Marc · · Score: 1

      Have you ever been in a hospital? ORs are usually interior rooms with no windows. The windows go in recovery rooms, and even then often sparingly. A doctor would be of little use with no lights. How's you EEG work with no power?

      Based on your definition of "future" the future has been here a while.

  11. Depends by Anonymous Coward · · Score: 0

    Does it use the same software as the Dead Space 2 Needle Machine?

  12. Yes. by drolli · · Score: 1

    I had a trombosis and got blood taken for amalysis more than once per week for half a year. Some nurses are good at it, some suck. And after hitting each of the standard places 10 times only the ones who are good at it will sudded without additional pain.

    I would recomment/prefer to build the system not as a robot but as scanner which guides the nurse and indicates the right position to her does the fine positioning on the mm scale.

    1. Re:Yes. by Nyder · · Score: 1

      ...

      I would recomment/prefer to build the system not as a robot but as scanner which guides the nurse and indicates the right position to her does the fine positioning on the mm scale.

      I've heard they have a machine for this actually. When i was at the hospital someone was supposed to bring some machine up to get blood from me, but they just took it from my artery instead. The specifics i do not know.

      --
      Be seeing you...
  13. Lol by Anonymous Coward · · Score: 0

    My veins had been destroyed so many times by nurses, I'd let the robot have his turn.

  14. Would You Let a Human Perform Surgery? by Snufu · · Score: 2

    Machines and computers are ideally suited to many of the tasks that make up medical care. Autonomous systems are already omnipresent throughout medicine and its only a matter of time before we trust them ahead of error-prone humans, especially for tasks that require fast reaction, repetition, or precision.

    Future generations may gasp at the thought that at one point in our history we went under the knife to mortal hands.

    1. Re:Would You Let a Human Perform Surgery? by Opportunist · · Score: 1

      The better question would be, do you want a human to be responsible for your intensive care? Would you want a human to replace the machines that might keep you alive one day? That do your dialysis?

      I sure as HELL would not!

      Machines are ideally suited for performing routine tasks that have little if any variation. It will of course take a time to perfect them and it will probably result in accidents and errors in the early stages, and I most certainly would want a qualified person there to oversee the whole operation in case the robot goes bananas. But there is simply nothing better than a machine for a routine task. They don't tire, they don't gloss over details because they get bored, they can't be distracted by personal problems or by external input or emergency calls, and most of all they won't start to chitchat to "distract" you. That alone is enough reason for me to prefer a machine...

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    2. Re:Would You Let a Human Perform Surgery? by Dcnjoe60 · · Score: 1

      Machines and computers are ideally suited to many of the tasks that make up medical care. Autonomous systems are already omnipresent throughout medicine and its only a matter of time before we trust them ahead of error-prone humans, especially for tasks that require fast reaction, repetition, or precision.

      Future generations may gasp at the thought that at one point in our history we went under the knife to mortal hands.

      Many of the machines and computers used in medicine today do not necessarily provide better care or more efficient care. In the US, there is a culture in medicine that new technology is better, even if it is not. 10 years ago, if you twisted your ankle, you maybe got an x-ray. Today you get a CT scan or an MRI. Studies show that the CT Scan and MRIs tend to occur if one has insurance and the x-ray if one does not. One Harvard Medical (I think) study showed that the prognosis/recovery rate was the same regardless of which diagnostic tool was used. It created quite a flurry of discussion, because the implication was that expensive tests were being done to increase the bottom line and not for real medical benefit.

      There is no doubt that the US has the best health care in the world, it's also the most expensive. What's the old slogan, the best health care money can buy.

  15. I'd do it by Anonymous Coward · · Score: 0

    A robot is less likely to miss, which is a good thing when it comes to finding veins in your arm or shoulder.

  16. Hellya! by Anonymous Coward · · Score: 0

    As apposed to the CVS employee or doctor who told me that it was okay that he was reusing gloves, because they were for his protection.

  17. If not, you enjoy driving your car? by mrmangosir559 · · Score: 1

    Your car was built by robots, yeah some parts are still done by hand. But a huge part of the manufacture process is done by robots. People are happy to assume the car is not going to break and risk their life every day. So why not a needle?

    1. Re:If not, you enjoy driving your car? by Dcnjoe60 · · Score: 1

      Your car was built by robots, yeah some parts are still done by hand. But a huge part of the manufacture process is done by robots. People are happy to assume the car is not going to break and risk their life every day.

      So why not a needle?

      And yet there are still quite a few defects in cars.

    2. Re:If not, you enjoy driving your car? by drinkypoo · · Score: 1

      Your car was built by robots, yeah some parts are still done by hand. But a huge part of the manufacture process is done by robots.

      Yeah, and somewhere between 5 and 25 percent of the pressure welds on those cars are inadequate, maybe complete failures, which will negatively impact their collision resistance and even their overall rigidity. Sadly, the humans aren't actually any better. Windshield seals are commonly applied incorrectly, and up to 40% of the force in a front-end collision is translated to the rear of the vehicle through the windshield — if it's glued in properly, that is. And you know the danger of making assumptions...

      --
      "You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
  18. Lack of Empathy by Celarent+Darii · · Score: 1

    One thing about a human doctor though is that they often know what it feels like to be in pain. A robot doesn't as it only has an algorithm. A nurse, when she sticks the needle in, will notice how you react, whether you feel pain or not. I would think the robot would need to have some manner of sensing if it is doing something harmful or painful to the patient.

    However, I have had doctors and nurses that are completely insensitive to their patients, so if the robot can get it right each time it might be a better alternative. I've had sessions where it took 4 tries for the nurse to get the intravenous in correctly. It was not a very pleasant experience. I'd let the robot give it a try after that.

    1. Re:Lack of Empathy by Anonymous Coward · · Score: 0

      I don't know about "this" robot, but if you're willing to let the robot immobilize your arm, a robot could in theory use IR spectrum to see your blood vessels and use stereo vision (or parallax mono) to build a 3D model of where they're located relative to the skin, and score a perfect dead-center stick without any risk of the dreaded push through. And EVERYONE would rate it "A++++ 10/10 would get stuck by robovampire again."

      Sure the nurse will "feel your pain", but the robot won't cause you any pain, so there's no need for empathy.

    2. Re:Lack of Empathy by Anonymous Coward · · Score: 0

      We stick USB sticks, memory, CPUs, motherboards into computers everyday, without a thought of humanity. We inject software into their run-time environments, which sometimes interrupt their thoughts completely, and at other times, adjunct to whatever they were thinking, slowing down what they were thinking about to dedicate resources for whatever we've added.
      Yet not once, do we think of the computer's humanity, even when it cries in pain, as CPU's TAC, memory overflows are manipulated, and networks time-out, due to a sloppy code or intentional malware.
      Humanity has a long way to suffer with machines before we can even answer a machine to human interface that comes close to a humane interface.

    3. Re:Lack of Empathy by Dunbal · · Score: 1

      The fun part comes with old people who have calcified veins that resist the needle so much you actually end up pushing the vein around instead of poking it. I wonder how the robot would handle that, heheh.

      --
      Seven puppies were harmed during the making of this post.
    4. Re:Lack of Empathy by Lotana · · Score: 1

      Hmm. Small drill bits?

    5. Re:Lack of Empathy by Dcnjoe60 · · Score: 1

      The fun part comes with old people who have calcified veins that resist the needle so much you actually end up pushing the vein around instead of poking it. I wonder how the robot would handle that, heheh.

      The same way as a human does. The problem is not with the needle and it is not with the nurse, it is with the patient's vein and unless the robot has a way to immobilize it, the vein will continue to roll and require a re-stick.

    6. Re:Lack of Empathy by Anonymous Coward · · Score: 0

      Even normal, healthy people can have difficult veins. My wife's are almost impossible for nurses to find; mine roll out from underneath the needle (from genetics & high levels of fitness).

    7. Re:Lack of Empathy by drinkypoo · · Score: 1

      The problem is not with the needle and it is not with the nurse, it is with the patient's vein

      The patient's vein is what it is, and the goal is to put a needle in it. The problem is with the entire process, but it sure ain't the patient's fault.

      --
      "You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
    8. Re:Lack of Empathy by Dcnjoe60 · · Score: 1

      The problem is not with the needle and it is not with the nurse, it is with the patient's vein

      The patient's vein is what it is, and the goal is to put a needle in it. The problem is with the entire process, but it sure ain't the patient's fault.

      If their is a problem drawing blood because the patient has "bad" veins, it isn't the blood drawer's fault, now is it? That is not to say the patient caused the problem, but, the fact of the matter is that people should accept that their own medical conditions make some treatments more difficult than others. If you are overweight, it will be more difficult to draw blood. If you are dehydrated, it will be more difficult to draw blood. If you are diabetic, it will be more difficult to draw blood. Those difficulties arise from the overall health condition of the patient so in a broad sense, yes, it is the patient's fault. This is not a blame game, but a recognition that there are natural consequences to certain physical conditions that we have and whether a human or robot is drawing the blood, it does not change those consequences. Most humans do not have a problem "finding" the vein, it is the condition of the vein that causes difficulty. So, unless a robot can somehow deal with that, from outside the body, the outcome will be similar regardless of how the blood is drawn.

    9. Re:Lack of Empathy by Anonymous Coward · · Score: 0

      If a screw's thread make it hard to put in the wall cleanly with my hammer, is that the hammer's fault? I'm a hammerer, is it my fault? Or should I be using a drill and or screw driver instead? Or maybe you shouldn't have a hammerer doing this with a screw in the first place. Maybe try a nail.

  19. I have hard to find veins by Nyder · · Score: 1

    Nurses, and whomever tries to take blood from me has a hell of a time and usually costs me a bit of pain. Recently I had to go to ER for some chest pains. It took them 2+ hours to get blood out of me. They never put an IV in me like they were planning.

    So yes, I'd take a robot doing this. Technology has advanced far enough that machines can be responsible enough to do stuff like this, imo.

    --
    Be seeing you...
    1. Re:I have hard to find veins by InfiniteLoopCounter · · Score: 1

      Whether or not a robot does your next jab you might consider drinking water an hour or so beforehand to get fully hydrated. This will help a lot in case you haven't been doing this and you can drink water even if you need to fast.

    2. Re:I have hard to find veins by Dcnjoe60 · · Score: 1

      Nurses, and whomever tries to take blood from me has a hell of a time and usually costs me a bit of pain. Recently I had to go to ER for some chest pains. It took them 2+ hours to get blood out of me. They never put an IV in me like they were planning.

      So yes, I'd take a robot doing this. Technology has advanced far enough that machines can be responsible enough to do stuff like this, imo.

      If it took 2 hours to get blood from you while they thought you were having a heart attack a robot won't do any better. See, that's the problem with robots, if the patient is outside the tolerance level of what it can do for a successful stick, it won't do it and a human being will need to make the stick. Of course, if the robot is now doing 80% of the sticks, exactly how much expertise will the human being have?

  20. Re: Robodracula anyone? by SeaFox · · Score: 1

    No, I think they mean IT-O from Star Wars.

  21. Eye sight is already corrected by machines by Anonymous Coward · · Score: 0

    LASIK relies for a machine to hit the eye several hundred times a second, so having a robot to take a blood sample is nothing. I hope more of these medical procedures could be done by robots as that reduces human error. No matter how well we train doctors and nurses they cannot compare to a robot that specializes in doing one task perfectly.

  22. We trust robots all the time. by Karmashock · · Score: 1

    I'm not worried about it. Robots like this could be great life savers for remote communities that have bad medical care. Or even great for people bedridden at home that need fairly consistent medical attention.

    What will be interesting is that at some point the robots will start automating more and more... and we might see some sophisticated autodocs. That's going to be a far future development. But this is where it starts folks.

    --
    I've decided to stop wasting my time responding to AC trolls/sockpuppets... so if you want a response from me... login.
  23. DWI Blood Collection Device? by bobthesungeek76036 · · Score: 1

    I could see something like this useful in law inforcement. Rather than train a LEO to draw blood or have a medical professional there, have a machine like this. I for one would NOT let a LEO stick me with a needle....

    --
    Karma: Bad
    1. Re:DWI Blood Collection Device? by Redmancometh · · Score: 1

      They usually radio a magistrate at the station and take you a hospital or clinic to have blood drawn. This little machine could prevent people from dropping below the limit in the interim

  24. As many horror stories I've heard... by Anonymous Coward · · Score: 0

    I'd give the robot a fair chance.

  25. half way there by pbjones · · Score: 1

    I'd let the robot show a human the vein, but it would stop there. just spent 3 months in hospital, needles every 3 days, only one nurse used an infra-red device to locate a vein, many were told to come back later, they only get 2 chances!

    --
    There was an unknown error in the submission.
  26. Yes. Absolutely. by flimflammer · · Score: 1

    A nurse once tried to draw blood from an acquaintance of mine, and ended up paralyzing him for over a year before he managed to get the use of his arm back. They were sure he was never going to have the feeling returned to his arm. If the machine can reliably find the right areas the stick then more power to them. With nurses and other individuals, it's still often a matter of trial an error, especially on certain patients with harder to find veins.

  27. Where's the big deal? by Opportunist · · Score: 1

    A druggy can do it, why should a robot fail where a dopehead succeeds?

    --
    We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
  28. There are good reasons... by sirwired · · Score: 4, Informative

    The skin on the tips of your fingers is both thick and generally well-vascularized, (but not so much that there is any chance of hitting a larger vessel).
    They don't have to pinch your skin to force sufficient blood to the surface to collect. (This causes bruising in people with fragile skin.)
    There is a very high concentration of nerve endings, the pain receptors are not nearly as dense.
    There's no muscle, which is sore for some time when injured.
    It's consistent from person to person; a forearm stick will vary widely depending on the thickness of the skin, fat, and muscle layers. That's not a worry on the fingertip, where everybody will have enough skin that that's the layer they'll always be drawing from.

    1. Re:There are good reasons... by Impy+the+Impiuos+Imp · · Score: 1

      You've obviously never done this with cold fingertips. You have to squeeze like a mofo to get a micro-C3PO's worth.

      I think there's too much argumentative baggage about this prick site*.

      * Insert double entendre reference here.

      --
      (-1: Post disagrees with my already-settled worldview) is not a valid mod option.
    2. Re:There are good reasons... by CastrTroy · · Score: 1

      I had a diabetic friend who used to prick his finger on the side of his finger. Pricks on the tips were bothersome, especially when you're typing a lot. on the side, you can get just as much blood, or at least enough for bloodsugar testing, and it's a lot easier on your fingers.

      --

      Anthropic principle: We see the universe the way it is because if it were different we would not be here to see it.
    3. Re:There are good reasons... by Anonymous Coward · · Score: 0

      40 years ago it wasn't that unusual to take blood samples from an earlobe instead of the finger tips. It's a lot less painful and provides just as good a sample http://news.bbc.co.uk/2/hi/health/811495.stm

      Really it's only disadvantage over drawing from a fingertip is that it takes slightly more skill. I guess causing patients unnecessary pain was less important than being able to use lower-skilled nurses because it fell into disuse for decades. It's only recently starting to get reexamined, particularly for easy measurement of arterial blood gasses.

  29. Would You Let a Robot Stick You With a Needle? by ignavus · · Score: 1

    Sure I would - after I had read the studies about its reliability and watched you do it first.

    I have had really good people take blood from a vein (including a nervous pathology collector who did a perfect job) and at least one agonising experience (medical registrar).

    At least you don't have to make inane conversation with robodracula while it drills for oil in your arm (oops, that was the medical registrar).

    --
    I am anarch of all I survey.
    1. Re:Would You Let a Robot Stick You With a Needle? by AK+Marc · · Score: 1

      They must have hit oil, because my arm was black and blue when they were done digging.

  30. Gladly..! by Anonymous Coward · · Score: 0

    Even if it were rusty and programmed by an idiot, it'll still give far better results than those talentless NHS idiots in UK.

  31. Upto 90% accuracy ? by giorgist · · Score: 1

    1 billion blood draws a year at 90% accuracy making 100 million blue of skin death events :-) G

  32. Would be better than most nurses... by Anonymous Coward · · Score: 0

    Seriously, who else had problems with nurses not being able to "find" the vein, only to stab you with the needle multiple time until she finally got it?
    I'd sooner trust a robot over another nurse after the last time.

    1. Re:Would be better than most nurses... by xushi · · Score: 1

      What if the robot was operated by the nurse? o_O

  33. I'd Give It A Chance... by Anonymous Coward · · Score: 0

    And if it didn't do it the first try I'd demand a real blood tech do it.

  34. Most definitely by WoLpH · · Score: 1

    Most of the times they screw up when tapping blood from me so I would have more faith in a robot

  35. Rule 34 by Aboroth · · Score: 1

    I haven't looked it up but there has got do be robot needle porn out there. Those guys would respond with a very enthusiastic "Yes!".

  36. It doesn't have to be perfect... by dkf · · Score: 1

    It just has to be better than the majority of junior medical staff that do this sort of thing, especially freshman medics and nursing students. Yes, some more experienced staff will not be helped by this, but improving the level of care for most people is still a worthwhile goal.

    --
    "Little does he know, but there is no 'I' in 'Idiot'!"
  37. Not as easy as you think by Anonymous Coward · · Score: 0

    As a doctor I've done a good few thousand blood draws & cannulas. Like many skills in medicine in can be very easy (you can learn the procedure in a few hours) but in some patients it is extremely challenging. Chemotherapy, diabetics, & obese patients make it difficult (if you want to avoid being stabbed multiple times I would advise not being overweight). Humans are capable of amazingly dexterous coordination that no robot can yet better, & I think that it will be many years before this robot is as good as a human in challenging patients. I doubt that it will be cheap enough for its use to become widespread, but it may find a niche somewhere.

    1. Re:Not as easy as you think by Anonymous Coward · · Score: 0

      Unless you have IR vision to find the vein and ultrasound in your hands to find out the depth of the vein i think the robot will beat you in many challenging patients with hard to find veins...

      But i have to agree that some have incredible skill in drawing blood and usually gets it right the first time, every time.. Had a period when i had a bad infection and they drew blood from me every day for about 10 days and the usual places just became worse and worse until even their best person could not find any vein on the first attempt...
      During the first day the really bad nurse attempted 6-7 times to find a vein but failed and called for her college that succeeded on the first attempt....
      Second day the good nurse did it on first attempt... Third day the bad nurse succeeded after about 5-attempts, and from here she was the one that where going to draw blood from me for the remainder.. and not a single time she managed to draw blood within 4 attempts.... And she has been working there for many years...

      I would take a robot any day over a human.....
      Humans: Have to learn, gets tired, goes to work angry/irritated, forgets things, makes mistakes over and over...
      Robots: Can copy experience from another, never gets tired, always follow procedure, whole robot population will get the fix after a single unit made a mistake.

      Don't think this would actually have to be that expensive.. Put the person in a chair with something holding his arm.. Now take a device that a nurse is holding and it has a display on it where it should be moved and in what direction it should be placed. When correct she pushes a button and it pushes the needed...
      Or if we take the more advanced version you could replace the robot-arm with something much less fancy... Simple ring that can move up and down the arm + a way to move the needed all the way around + tilt it in 2 dimentions..

    2. Re:Not as easy as you think by DeciDigi · · Score: 1

      As someone who has an incredibly difficult time having blood drawn and IVs inserted, I'd happily have a robot do the job. They're less likely to go fishing. Every. single. time I tell the person with the needle that my veins run and hide, roll, twist, and blow out, and I'm always told "aw, don't worry, I'll get it the first time". The only person to ever get my vein the first time was a peds ER nurse. I spent a week in the hospital 2 years ago and ended up with bruises up and down both arms..

  38. Please! by Anonymous Coward · · Score: 0

    The skill of the human putting in needles makes a huge difference. If this machine can perform close to the level of the better humans, bring it on! For a surgery I once had, nurse A put a HUGE permanent needle into my hand in a second with no pain. A few days later, nurse B needed to redo that, now with a much smaller needle. It took many tries and much pain, even though at this point I had been doped up with morphine to deal with pain in the days after the surgery. If the robot was even 90% as good as nurse A, that would have been much preferred. When humans do it, there is always going to be a period where they are learning like nurse B. Once the robot is good, a new robot will be good right away.

  39. You mean as part of BDSM? by nbritton · · Score: 1

    Would You Let a Robot Stick You With a Needle?

    Is BDSM Involved?

  40. Already in use by Charliemopps · · Score: 1

    My wife is in the medical field. She recently got a new job at a new place that uses a robotic needle. Having been the person that normally administers the needle she was a bit concerned about the whole robot thing but after she started using it she says it's far superior to doing it by hand. She's told me the robot is so good at it she's been told by the patients that they don't even feel the needle go in. Then there's the added benefit of no needle sticks. At least once a year my wife would have a needle stick accident. They are complex in the medical field, involve lots of paperwork, blood tests, co-operation from the patient to get tested for HIV etc... When you handle that many needles, that often it's just going to happen.

  41. If the machine is well-designed, of course I would by Bearhouse · · Score: 1

    Since it will be less error-prone, and potentially cleaner, than a human.
    After all, robotic hip replacement has been around for a while, and has proven both faster and better....

    You'd have to be pretty damn confident to sign up for a robotic vasectomy, tho...

  42. Re: Robodracula anyone? by oodaloop · · Score: 1

    You're both wrong. It's the Medic Droid.

    --
    Tic-Tac-Toe, Global Thermonuclear War, and relationships all have the same winning move.
  43. Comments are surprising by O('_')O_Bush · · Score: 1

    I'm actually really surprised that people are so paranoid about a needle jab machine, and not so worried about, say, the drive-by-wire systems in their own cars. I would expect that a medical machine would be at least as rigorously tested and reviewed, given the lessons learned from Therac.

    --
    while(1) attack(People.Sandy);
  44. Only if ... by aix+tom · · Score: 1

    ... the whole process doesn't start with the Jab-Bot asking "Please state the nature of the medical emergency" in a snarky voice.

  45. No thanks by RedHackTea · · Score: 1

    I'll keep my big-breasted nurse, thank you very much. ...unless you can add breasts and a nice ass to the robot? Hmmm...

    --
    The G
    1. Re:No thanks by PPH · · Score: 1

      I'll take a prostate exam with that, ma'am.

      --
      Have gnu, will travel.
  46. Depth of the problem. by Ihlosi · · Score: 1
    But the problem went much deeper.

    Even deeper than you think. It probably started with no one ever doing a hazard analysis on the design, which lead to no one ever realizing that the machine can and will kill people, given the wrong kind of malfunction.

    If no one ever says "Hey, this thing can kill people, what do we do to prevent that?", then no prevention is ever going to take place.

  47. Sorry, I DON'T TRUST THAT DESIGN! by Ihlosi · · Score: 1
    From the article:

    Inside the archway, an inflatable cuff tightens around the arm, holding it in place and restricting blood flow to make the veins easier to see.

    So far so goo, standard procedure ... but wait, a few lines later:

    The vein is examined with ultrasound to confirm that it is large enough and has sufficient blood flowing through it.

    How much blood do they expect to flow through veins that have been blocked by external pressure? I hope it's just a problem with the article, not with the actual design.

  48. robodracula? by TarPitt · · Score: 1

    After Sharknado, anything is possible

    --
    If your children ever found out how lame you are, they'd murder you in your sleep
  49. Sexbot? by g0bshiTe · · Score: 1

    Is this a medicalbot or a sexbot, I can't tell which due to the prick.

    Aside from that yes I'd allow a bot to needle me. It would probably be better than an unsteady hand of a tech and much more accurate. I really can't see it hurting worse than if a human were to do it.

    --
    I am Bennett Haselton! I am Bennett Haselton!
    1. Re:Sexbot? by Ihlosi · · Score: 1
      Is this a medicalbot or a sexbot, I can't tell which due to the prick.

      That all depends on your, err, preferences.

      The right programming could turn it into a fine torturebot, too.

  50. Heroin by sometext · · Score: 1

    Robot junkies are coming

  51. Normally I embrace new medical technology by jcrb · · Score: 1

    However visions of the Aesculaptor Mark 3 from Logan's Run may make me conclude that the good old fashioned Mark I Eye Ball is still up to the task.

    I think after years of surviving being stuck in the arm by humans I can decline to avail myself of this one particular advancement without feeling I've suddenly gone Luddite

    --
    -jon
  52. Oculus Rift to the rescue by marciot · · Score: 1

    I think having that machine draw my blood would make me nervous. They need to combine this with an Oculus Rift. The patient wears the goggles and gets to choose from a selection of sexy male or female virtual nurses, so that while the procedure is going on it feels and looks like there is an attractive person drawing their blood.

  53. hi by KomalErin · · Score: 1

    my co-worker's step-sister makes $83 hourly on the net. She has been discharged for 6 months however last month her pay check was $19589 simply acting on the net for a number of hours. Here's the location to scan additional Read more at... www.bay92.Com

  54. Who controls the robot? by Anonymous Coward · · Score: 0

    Wonder what Barnaby Jack would've had to say about this?

  55. I used to teach people how to draw blood,I would by thejuggler · · Score: 1

    When I was a Navy Corpsman I did blood draws all the time. I also taught others how to do them by letting them use my arm for their first 'stick'. I can tell you that we are always just guessing that a vein will be good enough to draw blood. On men and women with large visible veins its a different issue. They are easy to see and they usually have good blood flow. However they tend to roll to one side or the other when you hit them with a needle. On those with veins that are hidden we are sticking 'blind'. We do our best to feel for a pulse in locations we know there to be veins and then stick the needle in until its hits the vein. Usually we hit the vein. Sometime though we don't and sometimes the vein just collapses.

    The tools this robot has are a major advantage. IR to see the veins and ultrasound to tell if there is good blood flow. Those two tools would help most any phlebotomist increase their accuracy rate. The only thing that would concern me is that I didn't see or read anything that indicates the robot can tell how deep the vein is located. Sometimes they are on or near the surface and other times they are much deeper.

    I would let the robot test on me just like I used to let new corpsman test on me.

  56. No but that applies to everyone by Anonymous Coward · · Score: 0

    I would not but that is more about my emotional baggage than the quality of care. A good system could have a lot of care into its "casing" for psychological impact. Medical robots can easily end up something of horror, a good design should counteract this aspect and assure the opposite if possible.

  57. Robot will probably be better than doctors by manu0601 · · Score: 1

    In some countries, blood sampling is usually done by nurses, which means most doctors never practice with a needle. The robot may be a better pick than the doctor, here.

  58. Inisist on a butterfly needle by TheSeatOfMyPants · · Score: 1

    The trick is to insist that they use a butterfly needle, both based on my experience with veins damaged in childhood from tons of blood draws & IVs, and that of a nurse that advised me as a kid during one needlephobic freakout. Winged needles go in at an extremely shallow angle that's much less likely to make the vein roll or misbehave, they're held by the "wings" at the base of the needle with far more accuracy, and the syringe is at the other end of a long tube so it won't move the needle when they switch vials; IME as an adult, they also don't cause as much damage or scar tissue.

    --
    Now mostly at Usenet:comp.misc & SoylentNews.org (it's made of people!)
  59. after gall bladder removal and by Anonymous Coward · · Score: 0

    subsequent pulmonary embolisms this year, i eagerly await the robot

  60. Sure, I'll allow the 'bot. by intermodal · · Score: 1

    Get this technology to the point of viable deployment and I'll gladly let it go to work. The human has to rely on experience, instinct, and knowledge. The 'bot can actually see what's going on in ways a human can't with the naked eye.

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    In SOVIET RUSSIA... erm...NSA AMERICA, the Internet logs onto YOU!