Telesurgery

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Rajesh Gupta - One of the best experts on this subject based on the ideXlab platform.

  • aayush a smart contract based Telesurgery system for healthcare 4 0
    International Conference on Communications, 2020
    Co-Authors: Rajesh Gupta, Arpit Shukla, Sudeep Tanwar
    Abstract:

    Telesurgery (TS) with 5G-enabled Tactile Internet (TI) has enormous potential to deliver real-time ultra-responsive surgical services remotely with high quality and accuracy. It is quite beneficial for society in the prospect of highly precise surgical diagnosis. However, the existing TS systems have security, privacy, latency, and blockchain (BC) storage cost issues, which restricts its applicability in surgical procedures across the world in the near future. To mitigate the above-mentioned issues, in this paper, we propose an approach named AaYusH (Ethereum smart contract (ESC) and IPFS-based TS system). The security and privacy issues in AaYusH can be resolved through ESC, whereas storage cost issues with the InterPlanetary File System (IPFS) protocol. Moreover, we present a real-time SC written in Solidity and deployed in Truffle suite. We test the security bugs of AaYusH in MyThril open-source tool and detect no issues. Finally, we evaluate the performance of AaYusH in context to latency and data storage cost, and it outperforms as compared to the traditional Telesurgery system.

  • Tactile-Internet-Based Telesurgery System for Healthcare 4.0: An Architecture, Research Challenges, and Future Directions
    IEEE Network, 2019
    Co-Authors: Rajesh Gupta, Sudeep Tanwar, Sudhanshu Tyagi, Neeraj Kumar
    Abstract:

    Telesurgery in the 5G era has huge potential to deliver healthcare surgical services to remote locations using high-speed data transfer with a wireless communication channel. It provides benefits to society in view of its improved precision and accuracy to diagnose patients even from remote locations. However, the existing traditional Telesurgery system has high communication latency and overhead, which limits its applicability in a wide range of future applications. To mitigate these issues, in this article, we analyze and give insights on the 5G-enabled Tactile Internet (TI)-based Telesurgery system for Healthcare 4.0. The URLCC service of 5G ensures ultra-low latency (< 1 ms) and ultra-high reliability (99.999 percent) communication channel for remote surgery. We propose an architecture for Telesurgery with two different aspects of communication channel: traditional network and 5G-enabled TI. Then we present a recent case study on the world's first successfully executed teleslanting heart surgery. The analysis shows that the proposed architecture with TI as a network backbone has faster response time and higher reliability in comparison to the existing system. Finally, some key open issues and research challenges of the traditional Telesurgery architecture in terms of latency and reliability are highlighted.

  • HaBiTs: Blockchain-based Telesurgery Framework for Healthcare 4.0
    2019 International Conference on Computer Information and Telecommunication Systems (CITS), 2019
    Co-Authors: Rajesh Gupta, Sudeep Tanwar, Sudhanshu Tyagi, Neeraj Kumar, Mohammad S. Obaidat, Balqies Sadoun
    Abstract:

    Telesurgery has a huge potential to deliver a real-time healthcare surgical services to the remote or distant locations with high quality and accuracy over the wireless communication channel. It provides benefits to the society with improved precision and accuracy in diagnosis procedures. However, the existing Telesurgery system has the security, privacy, and interoperability issues, which limits its applicability in healthcare centers across the world in future. To mitigate these issues, in this paper, we propose, a framework named as HaBiTs (blockchain-based secure and flawless inter-operable Telesurgery), where security can be achieved with immutability and interoperability by Smart Contracts (SCs). SC is a piece of code written in solidity or other blockchain specific languages to establish the trust between all the parties connected through blockchain and also eliminate the need of an intermediary for data sharing. Finally, we highlight some issues of the traditional Telesurgery system and how they are mitigated with usage of the proposed HaBiTs framework.

  • BATS: A Blockchain and AI-empowered Drone-assisted Telesurgery System towards 6G
    IEEE Transactions on Network Science and Engineering, 2024
    Co-Authors: Rajesh Gupta, Arpit Shukla, Sudeep Tanwar
    Abstract:

    Artificial Intelligence (AI) has great potential in diverse real-time mission-critical applications and one such application is Telesurgery or robotic surgery. However, some issues like security, throughput, reliability, trust, and transparency are still challenging in an AI-enabled Telesurgery system. Motivated from these challenges, in this paper, we propose a blockchain and AI-empowered Telesurgery system towards 6G called BATS, which is a self-manageable, secure, transparent, and trustable system with massive Ultra-Reliable Low-Latency Communication (mURLLC). BATS uses AI algorithms such as eXtreme Gradient Boosting (XGBoost) to classify the disease with their criticality score ranging from 0 to 1. Moreover, BATS uses UAVs to transport light-weight healthcare items such as medicines and surgical tools in an emergent situation (during surgical procedures) to avoid the road-traffic congestions.Results show that BATS achieves better prediction accuracy, high throughput when the number of users increases, extremely low packet loss ratio, low storage cost, high mining profit, and low bandwidth consumption by nterPlanetary File System (IPFS) compared to the traditional schemes.

Sudeep Tanwar - One of the best experts on this subject based on the ideXlab platform.

  • aayush a smart contract based Telesurgery system for healthcare 4 0
    International Conference on Communications, 2020
    Co-Authors: Rajesh Gupta, Arpit Shukla, Sudeep Tanwar
    Abstract:

    Telesurgery (TS) with 5G-enabled Tactile Internet (TI) has enormous potential to deliver real-time ultra-responsive surgical services remotely with high quality and accuracy. It is quite beneficial for society in the prospect of highly precise surgical diagnosis. However, the existing TS systems have security, privacy, latency, and blockchain (BC) storage cost issues, which restricts its applicability in surgical procedures across the world in the near future. To mitigate the above-mentioned issues, in this paper, we propose an approach named AaYusH (Ethereum smart contract (ESC) and IPFS-based TS system). The security and privacy issues in AaYusH can be resolved through ESC, whereas storage cost issues with the InterPlanetary File System (IPFS) protocol. Moreover, we present a real-time SC written in Solidity and deployed in Truffle suite. We test the security bugs of AaYusH in MyThril open-source tool and detect no issues. Finally, we evaluate the performance of AaYusH in context to latency and data storage cost, and it outperforms as compared to the traditional Telesurgery system.

  • Tactile-Internet-Based Telesurgery System for Healthcare 4.0: An Architecture, Research Challenges, and Future Directions
    IEEE Network, 2019
    Co-Authors: Rajesh Gupta, Sudeep Tanwar, Sudhanshu Tyagi, Neeraj Kumar
    Abstract:

    Telesurgery in the 5G era has huge potential to deliver healthcare surgical services to remote locations using high-speed data transfer with a wireless communication channel. It provides benefits to society in view of its improved precision and accuracy to diagnose patients even from remote locations. However, the existing traditional Telesurgery system has high communication latency and overhead, which limits its applicability in a wide range of future applications. To mitigate these issues, in this article, we analyze and give insights on the 5G-enabled Tactile Internet (TI)-based Telesurgery system for Healthcare 4.0. The URLCC service of 5G ensures ultra-low latency (< 1 ms) and ultra-high reliability (99.999 percent) communication channel for remote surgery. We propose an architecture for Telesurgery with two different aspects of communication channel: traditional network and 5G-enabled TI. Then we present a recent case study on the world's first successfully executed teleslanting heart surgery. The analysis shows that the proposed architecture with TI as a network backbone has faster response time and higher reliability in comparison to the existing system. Finally, some key open issues and research challenges of the traditional Telesurgery architecture in terms of latency and reliability are highlighted.

  • HaBiTs: Blockchain-based Telesurgery Framework for Healthcare 4.0
    2019 International Conference on Computer Information and Telecommunication Systems (CITS), 2019
    Co-Authors: Rajesh Gupta, Sudeep Tanwar, Sudhanshu Tyagi, Neeraj Kumar, Mohammad S. Obaidat, Balqies Sadoun
    Abstract:

    Telesurgery has a huge potential to deliver a real-time healthcare surgical services to the remote or distant locations with high quality and accuracy over the wireless communication channel. It provides benefits to the society with improved precision and accuracy in diagnosis procedures. However, the existing Telesurgery system has the security, privacy, and interoperability issues, which limits its applicability in healthcare centers across the world in future. To mitigate these issues, in this paper, we propose, a framework named as HaBiTs (blockchain-based secure and flawless inter-operable Telesurgery), where security can be achieved with immutability and interoperability by Smart Contracts (SCs). SC is a piece of code written in solidity or other blockchain specific languages to establish the trust between all the parties connected through blockchain and also eliminate the need of an intermediary for data sharing. Finally, we highlight some issues of the traditional Telesurgery system and how they are mitigated with usage of the proposed HaBiTs framework.

  • BATS: A Blockchain and AI-empowered Drone-assisted Telesurgery System towards 6G
    IEEE Transactions on Network Science and Engineering, 2024
    Co-Authors: Rajesh Gupta, Arpit Shukla, Sudeep Tanwar
    Abstract:

    Artificial Intelligence (AI) has great potential in diverse real-time mission-critical applications and one such application is Telesurgery or robotic surgery. However, some issues like security, throughput, reliability, trust, and transparency are still challenging in an AI-enabled Telesurgery system. Motivated from these challenges, in this paper, we propose a blockchain and AI-empowered Telesurgery system towards 6G called BATS, which is a self-manageable, secure, transparent, and trustable system with massive Ultra-Reliable Low-Latency Communication (mURLLC). BATS uses AI algorithms such as eXtreme Gradient Boosting (XGBoost) to classify the disease with their criticality score ranging from 0 to 1. Moreover, BATS uses UAVs to transport light-weight healthcare items such as medicines and surgical tools in an emergent situation (during surgical procedures) to avoid the road-traffic congestions.Results show that BATS achieves better prediction accuracy, high throughput when the number of users increases, extremely low packet loss ratio, low storage cost, high mining profit, and low bandwidth consumption by nterPlanetary File System (IPFS) compared to the traditional schemes.

J Hubert - One of the best experts on this subject based on the ideXlab platform.

  • determination of the latency effects on surgical performance and the acceptable latency levels in Telesurgery using the dv trainer simulator
    Surgical Endoscopy and Other Interventional Techniques, 2014
    Co-Authors: Song Xu, Manuela Perez, Kun Yang, Cyril Perrenot, Jacques Felblinger, J Hubert
    Abstract:

    Background The primary limitation of Telesurgery is the communication latency. Accurate and detailed data are lacking to reveal the latency effects on surgical performance; furthermore, the maximum acceptable latency in Telesurgery remains unclear.

  • Determination of the latency effects on surgical performance and the acceptable latency levels in Telesurgery using the dV-Trainer^® simulator
    Surgical Endoscopy, 2014
    Co-Authors: Manuela Perez, Kun Yang, Cyril Perrenot, Jacques Felblinger, J Hubert
    Abstract:

    Background The primary limitation of Telesurgery is the communication latency. Accurate and detailed data are lacking to reveal the latency effects on surgical performance; furthermore, the maximum acceptable latency in Telesurgery remains unclear. Methods Sixteen medical students performed an energy dissection exercise and a needle-driving exercise on the robotic simulator dV-Trainer^®, and latencies varying between 0 and 1,000 ms with a 100-ms interval were randomly and blindly presented. Task completion time, instrument motion, and errors were automatically recorded. The difficulty, security, precision, and fluidity of manipulation were self-scored by subjects between 0 and 4 (0 the best, 2 moderate, and 4 the worst). Results Task completion time, motion, and errors increased gradually as latency increased. An exponential regression was fit to the mean times and motions ( R ^2 > 0.98). Subjective scorings of the four items were similar. The mean scores were less than 1 at delays ≤200 ms, then increased from 1 to 2 at 300–700 ms, and finally approached 3 at delays above. In both exercises, latencies ≤300 ms were judged to be safe by all and 400–500 ms were accepted by 66–75 % of subjects. Less than 20 % of subjects accepted delays ≥800 ms. Conclusions The surgical performance deteriorates in an exponential way as the latency increases. The delay impact on instrument manipulation is mild at 0–200 ms, then increases from small to large at 300–700 ms, and finally becomes very large at 800–1,000 ms. Latencies ≤200 ms are ideal for Telesurgery; 300 ms is also suitable; 400–500 ms may be acceptable but are already tiring; and 600–700 ms are difficult to deal with and only acceptable for low risk and simple procedures. Surgery is quite difficult at 800–1,000 ms, telementoring would be a better choice in this case.

Neeraj Kumar - One of the best experts on this subject based on the ideXlab platform.

  • Tactile-Internet-Based Telesurgery System for Healthcare 4.0: An Architecture, Research Challenges, and Future Directions
    IEEE Network, 2019
    Co-Authors: Rajesh Gupta, Sudeep Tanwar, Sudhanshu Tyagi, Neeraj Kumar
    Abstract:

    Telesurgery in the 5G era has huge potential to deliver healthcare surgical services to remote locations using high-speed data transfer with a wireless communication channel. It provides benefits to society in view of its improved precision and accuracy to diagnose patients even from remote locations. However, the existing traditional Telesurgery system has high communication latency and overhead, which limits its applicability in a wide range of future applications. To mitigate these issues, in this article, we analyze and give insights on the 5G-enabled Tactile Internet (TI)-based Telesurgery system for Healthcare 4.0. The URLCC service of 5G ensures ultra-low latency (< 1 ms) and ultra-high reliability (99.999 percent) communication channel for remote surgery. We propose an architecture for Telesurgery with two different aspects of communication channel: traditional network and 5G-enabled TI. Then we present a recent case study on the world's first successfully executed teleslanting heart surgery. The analysis shows that the proposed architecture with TI as a network backbone has faster response time and higher reliability in comparison to the existing system. Finally, some key open issues and research challenges of the traditional Telesurgery architecture in terms of latency and reliability are highlighted.

  • HaBiTs: Blockchain-based Telesurgery Framework for Healthcare 4.0
    2019 International Conference on Computer Information and Telecommunication Systems (CITS), 2019
    Co-Authors: Rajesh Gupta, Sudeep Tanwar, Sudhanshu Tyagi, Neeraj Kumar, Mohammad S. Obaidat, Balqies Sadoun
    Abstract:

    Telesurgery has a huge potential to deliver a real-time healthcare surgical services to the remote or distant locations with high quality and accuracy over the wireless communication channel. It provides benefits to the society with improved precision and accuracy in diagnosis procedures. However, the existing Telesurgery system has the security, privacy, and interoperability issues, which limits its applicability in healthcare centers across the world in future. To mitigate these issues, in this paper, we propose, a framework named as HaBiTs (blockchain-based secure and flawless inter-operable Telesurgery), where security can be achieved with immutability and interoperability by Smart Contracts (SCs). SC is a piece of code written in solidity or other blockchain specific languages to establish the trust between all the parties connected through blockchain and also eliminate the need of an intermediary for data sharing. Finally, we highlight some issues of the traditional Telesurgery system and how they are mitigated with usage of the proposed HaBiTs framework.

Ulrich Seibold - One of the best experts on this subject based on the ideXlab platform.

  • dlr mirosurge a versatile system for research in endoscopic Telesurgery
    Computer Assisted Radiology and Surgery, 2010
    Co-Authors: Ulrich Hagn, Rainer Konietschke, Bernhard Kübler, Andreas Tobergte, Mathias Nickl, Stefan Jörg, Georg Passig, Martin Gröger, Florian Frohlich, Ulrich Seibold
    Abstract:

    Research on surgical robotics demands systems for evaluating scientific approaches. Such systems can be divided into dedicated and versatile systems. Dedicated systems are designed for a single surgical task or technique, whereas versatile systems are designed to be expandable and useful in multiple surgical applications. Versatile systems are often based on industrial robots, though, and because of this, are hardly suitable for close contact with humans. To achieve a high degree of versatility the Miro robotic surgery platform (MRSP) consists of versatile components, dedicated front–ends towards surgery and configurable interfaces for the surgeon. This paper presents MiroSurge, a configuration of the MRSP that allows for bimanual endoscopic Telesurgery with force feedback. While the components of the MiroSurge system are shown to fulfil the rigid design requirements for robotic Telesurgery with force feedback, the system remains versatile, which is supposed to be a key issue for the further development and optimisation.

  • DLR MiroSurge: a versatile system for research in endoscopic Telesurgery.
    International journal of computer assisted radiology and surgery, 2009
    Co-Authors: Ulrich Hagn, Florian Alexander Fröhlich, Bernhard Kübler, Andreas Tobergte, Mathias Nickl, Stefan Jörg, Georg Passig, Martin Gröger, Ulrich Seibold
    Abstract:

    Purpose Research on surgical robotics demands systems for evaluating scientific approaches. Such systems can be divided into dedicated and versatile systems. Dedicated systems are designed for a single surgical task or technique, whereas versatile systems are designed to be expandable and useful in multiple surgical applications. Versatile systems are often based on industrial robots, though, and because of this, are hardly suitable for close contact with humans. Method To achieve a high degree of versatility the Miro robotic surgery platform (MRSP) consists of versatile components, dedicated front‐ends towards surgery and configurable interfaces for the surgeon. Results This paper presents MiroSurge, a configuration of the MRSP that allows for bimanual endoscopic Telesurgery with force feedback. Conclusions While the components of the MiroSurge system are shown to fulfil the rigid design requirements for robotic Telesurgery with force feedback, the system remains versatile, which is supposed to be a key issue for the further development and optimisation.