Freeman W David, Sanghavi Devang K, Sarab Masood S, Kindred Mary S, Dieck Elizabeth M, Brown Suzanne M, Szambelan Tom, Doty Justin, Ball Brendan, Felix Heidi M, Dove Jesse C, Mallea Jorge M, Soares Christy, Simon Leslie V
Department of Critical Care Medicine, Mayo Clinic, Jacksonville, FL.
Department of Nursing, Mayo Clinic, Jacksonville, FL.
Mayo Clin Proc Innov Qual Outcomes. 2021 Feb;5(1):161-170. doi: 10.1016/j.mayocpiqo.2020.12.005. Epub 2020 Dec 14.
The coronavirus disease 2019 (COVID-19) pandemic has strained health care systems and personal protective equipment (PPE) supplies globally. We hypothesized that a collaborative robot system could perform health care worker effector tasks inside a simulated intensive care unit (ICU) patient room, which could theoretically reduce both PPE use and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) exposures. We planned a prospective proof-of-concept feasibility and design pilot study to test 5 discrete medical tasks in a simulated ICU room of a COVID-19 patient using a collaborative robot: push a button on intravenous pole machine when alert occurs for downstream occlusion, adjust ventilator knob, push button on ICU monitor to silence false alerts, increase oxygen flow on wall-mounted flow meter to allow the patient to walk to the bathroom and back (dial-up and dial-down oxygen flow), and push wall-mounted nurse call button. Feasibility was defined as task completion robotically. A training period of 45 minutes to 1 hour was needed to program the system de novo for each task. In less than 30 days, the team completed 5 simple effector task experiments robotically. Selected collaborative robotic effector tasks appear feasible in a simulated ICU room of the COVID-19 patient. Theoretically, this robotic approach could reduce PPE use and staff SARS-CoV-2 exposure. It requires future validation and health care worker learning similar to other ICU device training.
2019年冠状病毒病(COVID-19)大流行使全球医疗系统和个人防护装备(PPE)供应不堪重负。我们假设,协作机器人系统可以在模拟重症监护病房(ICU)的患者房间内执行医护人员的执行任务,从理论上讲,这可以减少PPE的使用以及严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的暴露。我们计划进行一项前瞻性概念验证可行性和设计试点研究,以使用协作机器人在COVID-19患者的模拟ICU病房中测试5项不同的医疗任务:当出现下游阻塞警报时按下静脉输液杆机器上的按钮、调整呼吸机旋钮、按下ICU监护仪上的按钮以消除误报、增加壁挂式流量计上的氧气流量以便患者走到浴室再返回(调节氧气流量),以及按下壁挂式护士呼叫按钮。可行性定义为通过机器人完成任务。为每个任务重新编程系统需要45分钟到1小时的培训时间。在不到30天的时间里,该团队通过机器人完成了5项简单的执行任务实验。选定的协作机器人执行任务在COVID-19患者的模拟ICU病房中似乎是可行的。从理论上讲,这种机器人方法可以减少PPE的使用和工作人员接触SARS-CoV-2的机会。它需要未来的验证以及医护人员进行类似于其他ICU设备培训的学习。