ROBOT I C S YS TEMS & T ECHNO LOG I E S , I N C .

Hospital Robotics

smart robots

for smart hospitals

smart robots

for smart hospitals

Michael R Treat MD

Chairman & Founder

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .

New Direction

clinicians’ needs

Da Vinci

RoboDoc

4/28/2012 2AATS 2012

clinicians’ needs

hospitals’ needs

Lasik

CentralSupply

RoboDoc

Aesop

Zeus Hospi

Others

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .

Background

4/28/2012 3AATS 2012

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .

Penelope Robot Scrub Tech

4/28/2012 4AATS 2012

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .

Scrubbed In

4/28/2012 5AATS 2012

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .

Favorable Reaction

4/28/2012 6AATS 2012

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .

Economic Argument

NOT SCRUBBED: Performs non-sterile setup of room.

SCRUBBED: Helps to drape robot. Places sharps in

special sterile bins that robot can handle. Draws up

local in syringe and puts syringe into bin.

OR Nurse

Preop prep

Anesthesia induction

“Extra” Nurse Robot

OR setup

Sterile prep

prep

Fig.3. The robot enables parallel performance of non-operative tasks while keeping nursing personnel requirements at two FTE’s. This produces

the increased workflow of the parallel processing OR without the additional personnel costs.

NOT SCRUBBED: Performs traditional circulator functions,

including re-supply of robot as required.

PACU report

Prepare patient for

transport

Anesthetic emergence

Actual surgery

Dress wound

Transport to

PACU

4/28/2012 7AATS 2012

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .

Push Back

4/28/2012 8AATS 2012

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .

OR Instrument Supply CycleOR Instrument Supply Cycle

Operating Room

4/28/2012 9AATS 2012

Autoclave

Central Sterile Supply

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .

4/28/2012 10AATS 2012

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .Central Sterile Supply

TEAM

11AATS 20124/28/2012

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .PenelopeCS Prototype

TEAM

12AATS 20124/28/2012

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .

Load instrumentsRetrieve stringers

Functions

TEAM

Request instruments

134/28/2012 AATS 2012

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .Instrument Flow

TEAM

PenelopeCS instrument flow. Instruments are loaded into the system via the conveyor belt (1). An

overhead digital camera (2) acquires and identifies the instrument. The robotic arm picks the instrument

up off the conveyor (3) and places it in the instrument closer (4). It is then moved to the instrument

storage area (5) and the arm returns to retrieve the next instrument. When completed stringers are

needed, the system picks the instruments on the count sheet from the storage area and builds the

stringers (6).

14AATS 20124/28/2012

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .Our Focus in Sterile Supply

TEAM

15AATS 20124/28/2012

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .

Washer

Disinfector

+penelope tray

other instruments

• Tracking system• Pack container• Sterilization

Clean Side Flow

TEAM

+

stringer + instruments

• Sterilization• ...

4/28/2012 16AATS 2012

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .Product Benefits

• Labor Savings

– For every 2,200 Instruments Processed by PenelopeCS = 1 FTE

– Average mid-size hospital has ~4000 Instruments.

– Labor Saving ROI Less Than 12 Months

• Increased Efficiency

– Enables Just in Time Inventory and Bar-coding of Instruments

– Reduced Inventory Requirements

TEAM

17AATS 20124/28/2012

• Superior Instrument Care and Inventory Control

– Enables Better Attention to delicate Instrumentation Care (Less Breakage)

– Better Maintenance.

• Better Inspection

– Enforced Inspection of Instruments reduces Bio-Burden Risks which can cause HAI

• Reduced Error Rate

– Eliminate Counting Errors which can lead to Costly Delays in the OR ($64 per minute)

• Space Saving Inventory Storage

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .Courier Robots

18AATS 20124/28/2012

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .

Autonomous Delivery RobotAutonomous Delivery RobotAutonomous Delivery RobotAutonomous Delivery RobotPanasonic’s Autonomous Delivery Robot supports hospital workflow

and may reduce overall hospital management cost

Security Camera on RobotSecurity Camera on RobotSecurity Camera on RobotSecurity Camera on RobotTTTTransmitting the image around HOSPI to hospital control room

Product Specifications

Delivery of HospitalDelivery of HospitalDelivery of HospitalDelivery of Hospital• Medications• Lab Samples • Documentation• Confidential Information

New!

Dimensions600mm(W) X 725mm(D) X

1345mm(H)Weight

approx.120kg

Weight Capacity

20kg

R

Courier Robots

19AATS 20124/28/2012

FEATURES

Autonomous Travel Autonomous Travel Autonomous Travel Autonomous Travel Throughout the HospitalThroughout the HospitalThroughout the HospitalThroughout the Hospital

Safety and ReliabilitySafety and ReliabilitySafety and ReliabilitySafety and ReliabilityWith Secure DeliveryWith Secure DeliveryWith Secure DeliveryWith Secure Delivery

Independent Elevator Independent Elevator Independent Elevator Independent Elevator BoardingBoardingBoardingBoarding

Easy OperationEasy OperationEasy OperationEasy Operation

Multiple Robots & Multiple Robots & Multiple Robots & Multiple Robots & RealRealRealReal----time Supervisortime Supervisortime Supervisortime Supervisor

★★★★

★★★★

★★★★

★★★★

★★★★

* Per Full Battery Charge

** Max speed can be configurable

20kg

Operation Durationapprox. 7 Hours*

Maximum Speed1.0m/second**

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .Linkage to OR

20AATS 20124/28/2012

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .Other Technologies

21AATS 20124/28/2012

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .

CONTEXT MODEL Speech Output

Motor System

Speech Recognition

LTM

Vision System

assertion Rules

Output ComponentsInput Components

Central Intelligence

ENVIRONMENT

Position Sensors

Circulating Nurse Interface

LTM

LTM

Prediction Engine

LTM

assertion assertion

Fig. 7. Diagram showing the structure of the cognitive architecture, with the flow of information between the context model, environment, and components.

Components are grouped as input or output based on how they interact with the Context Model, with the middle two serving as both.

LTM = Long-Term

Memory

22AATS 20124/28/2012

R O B O T I C S Y S T E M S & T E C H N O L O G I E S , I N C .Cooperative Future

23AATS 20124/28/2012