世界首个气管插管机器人系统诞生
加拿大麦吉尔大学的科学家们研发了世界首例通过遥控操纵的插管手术机器人。这款机器人由麦吉尔大学健康中心（McGill University Health Centre ，MUHC)的托马斯M· 赫莫林（Thomas M. Hemmerling）博士主理研发，他也是一位神经学专家。研究人员给这个机器人系统命名为开普勒插管系统（Kepler Intubation System,KIS）。
插入气管内导管过程主要用于全身麻醉手术，主要目的是营造出患者体内的呼吸流通。但是，将导管正确地插入到患者呼吸道是个复杂的操作，要求很高的操作娴熟程度。赫莫林博士说：“无疑给每个患者呼吸道的插入技巧都存在差异，而这提升了操作的难度，用KIS系统将大大降低这些影响。”使用这款KIS插入系统，医生们可以用远程使用控制杆对视频检喉镜进行操控，麻醉师可以安全地将气管内导管插入到患者的气管中。
在成功完成大量的医学仿真呼吸道测试后，这款插管机器人系统的真人临床测试已经正式开始，本月该系统将在加拿大蒙特利尔综合医院投入到手术使用中，帮助进行插管过程，减少手术中的呼吸道不畅并发症。
赫莫林博士说，“开普勒插管系统能够像手一样协助麻醉医师进行手动任务操作，而手法力度更轻，更精确也更安全。总有一天，这会成为呼吸道控制操作的常规做法。”赫莫林博士的实验室曾在2008年研发了世界首例麻醉机器人，命名为McSleepyTM，主要负责自动麻醉剂传递。 Introducing the world’s first intubation robot
McSleepy developer uses "KIS" to increase precision and safety of intubation
Apr 15, 2011
McSleepy developer uses "KIS" to increase precision and safety of intubationFirst there was McSleepyTM. Now it’s time to introduce the first intubation robot operated by remote control. This robotic system named The Kepler Intubation System (KIS), and developed by Dr. Thomas M. Hemmerling, McGill University Health Centre (MUHC) specialist and McGill University Professor of Anesthesia and his team, may facilitate the intubation procedure and reduce some complications associated with airway management. The world’s first robotic intubation in a patient was performed at the Montreal General Hospital earlier this month by Dr. Hemmerling. http://muhc.ca/sites/default/files/news/DrHHemmerling_KIS_20avril2011_120.jpgClick to enlarge
http://muhc.ca/sites/default/files/news/DrHemmerling_KIS_closeup_20avril2011_120.jpgClick to enlarge
“The KIS allows us to operate a robotically mounted video-laryngoscope using a joystick from a remote workstation,” says Dr. Hemmerling who is also a neuroscience researcher at the Research Institute of the MUHC. “This robotic system enables the anaesthesiologist to insert an endotracheal tube safely into the patient’s trachea with precision.”
The insertion of an endotracheal tube allows artificial ventilation, which is used in almost all cases of general anesthesia. Correct insertion of this tube into patients’ airways is a complex manoeuvre that requires considerable experience and practice to master. “Difficulties arise because of patient characteristics but there is no doubt that there are also differences in individual airway management skills that can influence the performance of safe airway management,” says Dr. Hemmerling. “These influences may be greatly reduced when the KIS is used.”
After successfully performing extensive tests in the airways of medical simulation mannequins, which closely resemble intubation conditions in humans, clinical testing in patients has now begun. “High tech equipment has revolutionized the way surgery is done, allowing the surgeon to perform with higher precision and with almost no physical effort - I believe that the KIS can do for anesthesia what these systems have done for surgery”, says Dr. Armen Aprikian, Director of MUHC’s Department of Urology who performed surgery on the first patient treated using the KIS.”We think that The Kepler Intubation System can assist the anesthesiologist’s arms and hands to perform manual tasks with less force, higher precision and safety. One day, it might actually be the standard practice of airway management," concludes Dr. Hemmerling, whose laboratory developed the world's first anesthesia robot, nicknamed McSleepyTM, in 2008, which provides automated anesthesia delivery. http://muhc.ca/newsroom/news/introducing-world%E2%80%99s-first-intubation-robot 有点太机械的感觉哦，而且还要有个麻醉师在旁辅助张开嘴巴，插管速度太慢了，病人心跳都开始上升了。手的力度怎么也比机器好控制吧？？？ 我也觉得没有什么好地。
那以后还要麻醉师干嘛 感觉好麻烦啊！ 本帖最后由 Bob 于 2012-1-19 22:03 编辑
“手法力度更轻，更精确也更安全”
希望真的能够像赫莫林博士说的那样，以后能够成为常规，我是不想再对着病人的那张*嘴了。
楼上的战友不用担心，有了这个东西，以后确实不要麻醉师了，需要的麻醉医生。
就像超声引导下的神经阻滞，最早是盲打，后来是神经刺激器，后来发展到超声，而且已经形成常规了，以后肯定还会发展，但是只会更好。
麻醉师确实靠手法操作吃饭，麻醉医生就不同了，靠知识吃饭的，对这些新技术千万不要有抵触，一不小心就落伍了，当然自己也要看好。 技术上应该不太复杂，机器人手臂抓着Pentax-AWS，与达芬奇相比简单许多，这个带给我们的启发与思考，更多的是理念上的.. 非常赞同楼上两位战友的观点，任何新事物发明之初看起来都很笨拙和不适用，就像坦克刚出现不久被全世界的将军不屑，但仅仅２０年之后古德里安的坦克大军就横扫整个欧洲大陆。个人认为插管机器人的价值：
1、让麻醉医生彻底摆脱呼吸性传染病的威胁，非典时候参与抢救的麻醉医生死亡率非常高。
2、机械控制系统还有很大的改进空间，对困难气道不失为一个研究方向
3、还记得阿凡达里面机械兵的场景么，当机械操作完全通过手部的传感器灵敏操控时，全自动化的麻醉机器人系统就不再是幻想了。
至于麻醉医生失业完全不必担心，先进的自动系统只会有助于麻醉医生摆脱体力劳动，对麻醉医生临床管理能力会有更高的要求，有哪位外科医生担心达芬奇系统的出现会导致其失业？ 回复 5# zhujiang22
麻醉医生或是麻醉医师麻醉师是骂人的叫法
真不知道你专业知识怎么样？ 还是人在操控，有点麻烦。了解学习了。