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Robot Stitches Tissue By Itself Without A Real Doctor Pulling The Strings (seattletimes.com)

An anonymous reader writes: Scientists have created a robotic system that is capable of stitching up tissue in living animals without a human doctor pulling the strings. Wednesday's research brings us one step closer toward autonomous surgical robots. While doctors did supervise the robot, the robot performed as well, and in some cases a bit better, as some competing surgeons in stitching together intestinal tissue of pigs used in the tests. Wednesday's project is "the first baby step toward true autonomy," said Dr. Umamaheswar Duvvuri of the University of Pittsburgh Medical Center. He cautioned others to not expect to see doctors leave entire operations in a robot's digital hands -- yet. The tissue-stitching robot is designed to do one specific tasks, similar to machines in other industries. For example, robot arms do the welding and painting in most U.S. car assembly lines. The Smart Tissue Autonomous Robot (STAR) system is equipped with suturing equipment plus smart imaging technologies to let it track moving tissue in 3D and with an equivalent of night vision. Sensors have been added to help guide each stitch and tell how tightly to pull. All the surgeons have to do is place fluorescent markers on the tissue that needs stitching, and the robot takes aim. Human studies should begin within the next few years. The STAR system is just one of many up and coming robots to put surgery into the hands of non-surgeons.

53 comments

  1. Hmmm by Anonymous Coward · · Score: 0

    When Skynet goes live this isn't going to be good.

  2. The Forever War by Joe Halderman by rubycodez · · Score: 1

    just wonderful, first going to the battlefield so we can up our game attacking people who didn't attack us.

    1. Re:The Forever War by Joe Halderman by Ichijo · · Score: 2

      I haven't read that book, but it will be impressive when these battlefield robots will be able to rush out to the site of an explosion, gather up all the people parts, sort them by DNA, sew them back together and restart the heart before the brain runs out of oxygen.

      They should also put a couple of these on each airline flight, and build them out of the same stuff as the black boxes.

      --
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    2. Re:The Forever War by Joe Halderman by Anonymous Coward · · Score: 0

      And the surgeon bots on planes should have jet packs so that if the plane breaks up in mid-air, they can intercept the falling people-parts, sort them, reassemble them in flight, and place them gently on the ground afterwards.

      Also, their error handling routines should be able to match donors. That way, if not all parts can be retrieved, then at least the maximum number of living people will be reassembled.

      Captcha: biopsy

  3. What a waste by Anonymous Coward · · Score: 0

    What doctors can't be assed to stitch up a wound anymore either? Research dollars well spent.

    1. Re:What a waste by Anonymous Coward · · Score: 0

      This is a good thing if you consider that the third most likely way for an American to die is from a medical error AND that 25% of people entering a hospital receive an error in care...

      Then I say, Bring on the Robots!

      FWIW, Drs (particularly surgeons) have a serious god complex and refuse to listen to criticism or advice

    2. Re:What a waste by Calavar · · Score: 2

      Why in the world are engineers wasting money on developing these "automobiles"? They are slower than horses and can't carry as much weight as locomotives. It seems like the 19th century man can no longer be bothered to spend the time to properly saddle up a horse. What a waste of time and effort.

    3. Re:What a waste by 0100010001010011 · · Score: 1

      Most of them. Doctors have 'moved on'. If you're in a small rural town you may still get a doctor that does everything but you should be getting stitched up by an RN, PA or other medical professional with more hands on training in that area.

      You don't send a PhD CS candidate to be a code monkey, you don't send an MD to do trivial work.

  4. Gonna be so much fun by NotInHere · · Score: 0

    if your hospital is infected by a virus. And medical computer security is almost non-existent.

    1. Re:Gonna be so much fun by Anonymous Coward · · Score: 1

      Why would the stitching robot have access to the internet?

    2. Re:Gonna be so much fun by NotInHere · · Score: 1

      Well, there would be no direct access of course, but it certainly would be connected to the LAN. Then you can maybe upload data about how to conduct the operation from a nearby computer, or the robot wants to export a protocol file of how and where it did its stitches and add that to the patient's file. Especially interesting for insurances when there is the suspicion that something went wrong during the operation.

      You can think of many different things here, and when our current time we live in shows one thing, than its that we are so great at finding reasons why to connect stuff to the internet that doesn't need any connection at all.

    3. Re:Gonna be so much fun by Immerman · · Score: 1

      Why would an IV machine?

      It offers lots of little conveniences, and wouldn't be too much of a problem if the software was written to be properly paranoid about security.

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      --- Most topics have many sides worth arguing, allow me to take one opposite you.
    4. Re:Gonna be so much fun by thinkwaitfast · · Score: 1

      but it certainly would be connected to the LAN.

      Why?

    5. Re:Gonna be so much fun by Anonymous Coward · · Score: 0

      So that a highly specialised consultant can perform the procedure remotely whom otherwise could not do it due to location and or date constrains?

    6. Re:Gonna be so much fun by Anonymous Coward · · Score: 0

      Because the person who made it was so busy thinking about whether they could that they didn't think about whether they should.

    7. Re:Gonna be so much fun by Anonymous Coward · · Score: 0

      So it can gossip with the watercolor duh.

    8. Re:Gonna be so much fun by lawaetf1 · · Score: 1

      You evidently don't know that medical errors are the THIRD leading cause of death in the US. How much of that do you think is attributable to computer security? Yeah, not much.
       
      I would gladly go under the knife of a tested, proven robotic surgeon for most routine procedures when the time is right. A robot can integrate my vitals, look at the surgical area from n different angles, see in infrared, reference a thousand prior cases and on and on. It's a cute but defenseless argument that some computer worm is going to result in patients getting slashed to bits by a virus infecting a surgical machine.
       
      The main holdup for robotic surgery? The AMA which will look after its own.

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    9. Re:Gonna be so much fun by JustAnotherOldGuy · · Score: 1

      Why would the stitching robot have access to the internet?

      Because people are stupid.

      --
      Just cruising through this digital world at 33 1/3 rpm...
  5. Why is this new? by OzPeter · · Score: 2

    I thought that sewing machines had been doing this ever since they were invented!

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    1. Re:Why is this new? by vux984 · · Score: 1

      Go ahead then, show us a 100 year old sewing machine that can stitch together the intestines inside a living animal by itself.

    2. Re:Why is this new? by sims+2 · · Score: 1

      I think he was trying to be funny by pointing out that sewing machines have been stitching peoples hands ever since they were invented. Just not on purpose.

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    3. Re:Why is this new? by vux984 · · Score: 0

      I see SOOO many posts of "why is this news, we've been doing $OTHERTHING$ forever." where $OTHERTHING$, if you rubbed two brain cells together, is completely different.

      But yeah, maybe a ~whoosh~ is in order here. I can see it now that you raised it as a possibility.

      -cheers

  6. "without a human doctor pulling the strings" by friesofdoom · · Score: 1

    So this was perfectly possible before, as long as the was a doctor there putting tension on the strings? WTF does this mean? Could we avoid trying to spice things up with shitty puns in light of making thins clearer?

    1. Re:"without a human doctor pulling the strings" by Anonymous Coward · · Score: 0

      They are probably referring to the da vinci surgical system. Which is a system where the surgeon controls robotic arms for surgical procedures. The robot only mimics the movement of the surgeon's hands with the added benefit that tremor can be reduced by filtering as well as scaling movements. Just calm down.

    2. Re:"without a human doctor pulling the strings" by mi · · Score: 1

      WTF does this mean?

      It means bad use of metaphor. Not entirely unlike exclaiming "what the fuck", when no romance (much less sexual intercourse) is anywhere near the topic.

      --
      In Soviet Washington the swamp drains you.
  7. This is good news... by mi · · Score: 2

    A friend of mine had a child with a Cesarean. She was sewed up by two people afterwards — an experienced doctor on one side and a young "resident" on the other.

    The resident's side remained painful for two weeks longer than the experienced doctor's side. If a robot can do these things in the near future, it would be welcome progress indeed. We are very short on doctors.

    --
    In Soviet Washington the swamp drains you.
    1. Re:This is good news... by Anonymous Coward · · Score: 0

      DOn't expect anything like that in the "near future". They cherry picked a simple example, incision on an intestine. And even then the robot didn't do very well. Sewing up an incision like a C-Section is way more difficult.

    2. Re:This is good news... by Anonymous Coward · · Score: 1

      Wait and see how short on doctors we become once new ones are unable to train due to robot replacement.

    3. Re:This is good news... by guises · · Score: 1

      You sure they both used the same thread? That's typical when you compare silk sutures to nylon sutures - the silk gets absorbed, so they don't have to cut it off, but it causes inflammation as that happens, which is painful. Two weeks is expected.

      Not so much a factor of experience though, there are plenty of experienced doctors who will use silk just because it's less work.

  8. More surgeons are lower cost. by BlueCoder · · Score: 1

    Now surgeons won't necessarily need the steadiest of hands nor do they need to retire early in life. Good surgeons are more than steady hands.

    It should also allow all surgeons to do more delicate surgery.

    Makes a lot of sense. I'm surprised someone didn't think about this 10 years ago.

    Computers aren't getting that much faster even with multiple cores. So there is no reason to believe that a lot of tech 50 years from now couldn't be invented now.

    We have the tools and ability; we just have to imagine how to use it.

    1. Re:More surgeons are lower cost. by Anonymous Coward · · Score: 0

      Even if computers were not advancing at previous speeds, advanced mechatronics and micro-machinery are advancing in an amazing way and we are just at the beginning

    2. Re:More surgeons are lower cost. by thinkwaitfast · · Score: 1

      I'm surprised ...

      I did and assumed hat's what the DaVinci machine did, but it is only telemanipulators. Baby steps.

      For a similar technological use, think of a remote rover driving around autonomously with a few geologists monitoring the 360 degree video feed. When one sees an interesting rock, they click on it and the rover drives back to autonomously investigate further. On something like a planetary probe such a machine could easily out perform an astronaut (with enough eyeballs, all problems are shallow) even with 30 minute time delay.

  9. A couple decades late by Anonymous Coward · · Score: 0

    There are medical instruments that have done this for decades: http://medicalstapler.com/circular-stapler.html

    Used hundreds of thousands of times a year.

  10. Doctors don't pull the strings now by turkeydance · · Score: 1

    ObamaCare does.

  11. 500K student loan from med school and no jobs by Joe_Dragon · · Score: 2

    Dateline 2030
    750K student loan from med school and no jobs. And all the mc jobs in 50 miles of me don't want some with a masters much less an MD.

    What to do?

    1. Re:500K student loan from med school and no jobs by Anonymous Coward · · Score: 0

      Get fresher beats, or move.

    2. Re:500K student loan from med school and no jobs by NotInHere · · Score: 1

      Vote for Bernie. Probably he's dead by then but maybe you have luck.

    3. Re:500K student loan from med school and no jobs by Anonymous Coward · · Score: 0

      Sell telemedicine services to the battle zones of the Great Water Riots. Treat battle field injuries from the comfort of your living room! Just make sure you don't save lives of the wrong people or the government sends its agents, perma-dealing with you from the comfort of their living rooms.

    4. Re:500K student loan from med school and no jobs by crtreece · · Score: 1

      Don't worry, there will be a few jobs available doing service or maintenance on the robots. If you get one of those, and are frugal, you might have your loans paid off before you die.

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  12. This one goes in your mouth. The other goes in... by Anonymous Coward · · Score: 0

    nt

  13. I don't think I want this by Anonymous Coward · · Score: 0

    We have such a great track record with the software running normal desktop computers, and we insist we use the same extremely malware-sensitive utter crap for machines doing medical things to people. They don't work too well even when a medico is watching. Now we want to make them fully autonomous? No thanks.

    I think I do prefer a human in the loop somewhere. At least we know how to deal with blame on humans.

  14. LOGAN'S RUN! by Anonymous Coward · · Score: 0

    Well, now, the third-most likely way to die is at the hands of a medical "professional". Just page them: Dr. Kevorkian.

  15. looking forward to fully robotic surgeons by Gravis+Zero · · Score: 1

    seriously, when there is an alien about to burst out of you, do you really want to wait to get to a human surgeon?

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  16. Not Quite There Yet by Greyfox · · Score: 1

    We'll be there when the robot starts making racist remarks about not understanding why anyone would want to be made of meat. "Oh, I'm sorry, meatbag, did that hurt? I'd sympathize, but we robots are incapable of feeling pain! Plus I'm not programmed for sympathy!"

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    I'm trying to teach myself to set people on fire with my mind... Is it hot in here?

  17. show me a robot that can... by Anonymous Coward · · Score: 0

    Cut up a stomach, pull out a xenomorph then stable the stomach shut. Then we'll talk.

  18. meh by Anonymous Coward · · Score: 0

    not impressed until it can do an anal probe as well.

  19. What? by Dunbal · · Score: 1

    Is this supposed to be some kind of achievement? Suturing isn't hard - even medical students can do it :)

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    Seven puppies were harmed during the making of this post.
    1. Re:What? by Anonymous Coward · · Score: 0

      Medical student here. There is a big difference between a skilled surgeon or OBGYN and just about any doctor suturing. If there is a way to do it really well with a machine they would love it(some of them at least, mostly ER's and plastics). A big problem in robotic surgery is in most cases it slows you down. That is why it is used in only a few procedures.

    2. Re:What? by Dunbal · · Score: 1

      It's called a sense of humor. Get one. It really helps in our profession, doc.

      --
      Seven puppies were harmed during the making of this post.
  20. Sounds great until... by Anonymous Coward · · Score: 0

    ... Windows 10 tries to update mid surgery

  21. It's okay, animals don't feel pain.. by Anonymous Coward · · Score: 0

    ... and are nothing like humans at all. They don't have brains, don't think, don't fear, don't suffer, and you can do anything you want to them. After all, they can't TALK, so it's okay to torture them. Just like it's okay to torture unborn babies, because they can't talk, and can't vote, either.

    Why didn't they test this on a human volunteer, who was having an operation anyway?

  22. Silent Running by Anonymous Coward · · Score: 0

    Drone number two, report to sick bay.

  23. Watson Medical Algorithm by Anonymous Coward · · Score: 0

    xkcd has the flow chart for this https://xkcd.com/1619/