Chair of Medical Engineering, RWTH Aachen University, Aachen, Germany.
Int J Comput Assist Radiol Surg. 2023 Sep;18(9):1639-1648. doi: 10.1007/s11548-023-02926-x. Epub 2023 May 13.
Since 2019, intraoperative networking with ISO IEEE 11073 SDC has, for the first time, enabled standardized multi-vendor data exchange between medical devices. For seamless plug-and-play integration of devices without previous configuration, further specifications for device profiles ("device specializations") on top of the existing core standards must be developed. These generic interfaces are then incorporated into the standardization process.
An existing classification scheme of robotic assistance functions is being adopted and used as a baseline to derive functional requirements for a universal interface for modular robot arms. Additionally, the robot system requires machine-machine interfaces (MMI) to a surgical navigation system and a surgical planning software in order to carry out its function. Further technical requirements are derived from these MMI. The functional and technical requirements motivate the design of an SDC-compatible device profile. The device profile is then assessed for feasibility.
We present a new modeling of a device profile for surgical robotic arms intended for neurosurgery and orthopedic surgery. The modeling in SDC succeeds for the most part. However, some details of the proposed model cannot yet be realized within the framework of the existing SDC standards. Some aspects can already be realized, but could be better supported in the future by the nomenclature system. These improvements are being presented as well.
The proposed device profile presents a first step toward a uniform technical description model for modular surgical robot systems. The current SDC core standards lack some functionality to fully support the proposed device profile. These could be defined in future work and then included in standardization efforts.
自 2019 年以来,通过 ISO IEEE 11073 SDC 的术中网络首次实现了医疗设备之间的标准化多供应商数据交换。为了实现设备的无缝即插即用集成,而无需进行先前的配置,必须在现有核心标准之上为设备配置文件(“设备专业化”)开发进一步的规范。然后将这些通用接口纳入标准化流程。
采用现有的机器人辅助功能分类方案,并将其作为基础,为模块化机器人手臂的通用接口推导出功能要求。此外,机器人系统需要机器对机器接口(MMI)才能与手术导航系统和手术规划软件进行交互,以执行其功能。进一步的技术要求是从这些 MMI 中得出的。功能和技术要求激发了 SDC 兼容设备配置文件的设计。然后评估设备配置文件的可行性。
我们提出了一种新的用于神经外科和骨科手术的手术机器人手臂设备配置文件的建模。在 SDC 中的建模在很大程度上是成功的。然而,所提出模型的一些细节目前还无法在现有的 SDC 标准框架内实现。有些方面已经可以实现,但将来可以通过命名系统更好地支持。我们还提出了这些改进。
所提出的设备配置文件代表了模块化手术机器人系统统一技术描述模型的第一步。当前的 SDC 核心标准缺乏完全支持所提出的设备配置文件的某些功能。这些功能可以在未来的工作中定义,并纳入标准化工作中。