Home Research The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring

The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring

Authors / Reviewer: Hani J. Marcus, Pedro T. Ramirez, Danyal Z. Khan, Hugo Layard Horsfall, John G. Hanrahan, Simon C. Williams, David J. Beard, Rani Bhat, Ken Catchpole, Andrew Cook, Katrina Hutchison, Janet Martin, Tom Melvin, Danail Stoyanov, Maroeska Rovers, Nicholas Raison, Prokar Dasgupta, David Noonan, Deborah Stocken, Georgia Sturt, Anne Vanhoestenberghe, Baptiste Vasey, Peter McCulloch & The IDEAL Robotics Colloquium / David Laith Rawaf, MD

Published:

12 May 2024

Article type:

Robotic Surgery

Keywords:
  • augmented reality
  • general
  • simulation
  • Virtual reality
  • Robotics
  • RAS
  • Robotic Assisted Surgery

The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring

Authors / Reviewer: Hani J. Marcus, Pedro T. Ramirez, Danyal Z. Khan, Hugo Layard Horsfall, John G. Hanrahan, Simon C. Williams, David J. Beard, Rani Bhat, Ken Catchpole, Andrew Cook, Katrina Hutchison, Janet Martin, Tom Melvin, Danail Stoyanov, Maroeska Rovers, Nicholas Raison, Prokar Dasgupta, David Noonan, Deborah Stocken, Georgia Sturt, Anne Vanhoestenberghe, Baptiste Vasey, Peter McCulloch & The IDEAL Robotics Colloquium / David Laith Rawaf, MD

Abstract

Introduction

The next generation of surgical robotics is poised to disrupt healthcare systems worldwide, requiring new frameworks for evaluation. However, evaluation during a surgical robot’s development is challenging due to their complex evolving nature, potential for wider system disruption and integration with complementary technologies like artificial intelligence. Comparative clinical studies require attention to intervention context, learning curves and standardized outcomes. Long-term monitoring needs to transition toward collaborative, transparent and inclusive consortiums for real-world data collection. 

Methods

Here, the Idea, Development, Exploration, Assessment and Long-term monitoring (IDEAL) Robotics Colloquium proposes recommendations for evaluation during development, comparative study and clinical monitoring of surgical robots—providing practical recommendations for developers, clinicians, patients and healthcare systems. Multiple perspectives are considered, including economics, surgical training, human factors, ethics, patient perspectives and sustainability. 

Results

Further work is needed on standardized metrics, health economic assessment models and global applicability of recommendations.