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Remote Work: Nothing Strange If a Patient in Brussels Is Operated on by a Surgeon in Zagreb

A surgeon no longer needs to be in the operating room next to the patient to perform surgery; they can do it from a great distance by controlling a robotic arm – remotely. Although telemedicine has been developing in the West for several decades, it was first used in China last year when a surgeon from a hospital in Shanghai performed a remote knee replacement surgery. With synchronized image and sound via 5G technology, he managed to replace the knee joint of a patient in the city of Kunming. In February of this year, a thirty-year-old woman had her gallbladder removed at Sir Run Run Shaw University Hospital in Zhejiang, and during the operation, the surgeon remotely controlled the robotic arm from four and a half thousand kilometers away in Hangzhou. The state magazine Science and Technology Daily reported that during the thirty-minute operation on the patient, the surgeon controlled a four-armed laparoscopic robot. The chief physician of Sir Run Run Shaw Hospital in Hangzhou Liang Xiao stated that the success demonstrates that remote surgery supported by robots can be widely performed.

Remote surgery can not only improve the quality of local medical services but can also be a valuable aid in teaching doctors in remote areas through live demonstrations of surgeries. Why is it interesting what is happening in the field of telemedicine and remote surgeries in China? Because the mentioned operation is part of large Chinese national plans to enhance the use of 5G-based robotics in medical care.

5G in Medicine

The Chinese National Health Commission and the Ministry of Industry and Information Technology have published guidelines for the development and application of robotics in ten sectors, encouraging hospitals to use robots for performing minimally invasive surgery, building operating rooms for robotic applications, and developing standards and specifications for the clinical use of robots. China also intends to develop medical robots for intensive care, emergency assistance, and rehabilitation, and this process is being accelerated by the introduction of 5G networks across the country. This technology offers a very reliable network but low latency, which is extremely important in telemedicine.

Working from a distance has also moved into operating rooms, where robots perform surgeries, and surgeons control them remotely. It has almost moved into all manufacturing and service activities

Advanced telecommunications, 5G networks, and robotics are the future of medical care for patients in the most remote parts of this vast Far Eastern country, according to some research that is technologically more powerful than the USA.

The Universe Underwater

However, what recently happened in China for the first time occurred in America twenty-two years ago when surgeons from New York performed the first remote surgery on a patient in France in 2001. However, in the early stages of development, telemedicine was not envisioned for widespread use but as a method for treating astronauts in space. The robot doctor project emerged alongside humanity’s conquest of space because, as soon as scientists began to think about space flight, the question arose of who would treat astronauts there in case of need. In the early 1970s, NASA developed the idea of robotic doctors, working with the U.S. military to create reliable robots that could perform surgery remotely. Soon, this idea was accepted in some other developed countries, and in 2006, Canadian surgeon Mehran Anvari used a robot to stitch a wound on a worker at the underwater base Aquarius, demonstrating what space tele-surgery could be like. The same surgeon began operating with this method less than ten years ago and performed a series of surgeries, from the colon, hernia, to others, controlling a surgical robot from St. Joseph’s Hospital in Hamilton, Canada, located 400 kilometers away.

Acceleration of Robotics

Today’s robots, supported by artificial intelligence, are much more efficient than those used in medical trials decades ago. Besides medicine, they are used in all industries, which is why every year more robots help people perform tasks or completely take them away. For example, China intends to accelerate the use of robotics and other advanced technologies not only in medical care but also in manufacturing, agriculture, and construction, planning to become a world leader and innovation hub in areas from robotics and artificial intelligence to 5G telecommunications, with its robotics industry growing about 15 percent annually.

According to the International Federation of Robotics (IFR), China has topped the charts for industrial robot density in recent years, installing 154,000. America, Japan, and South Korea have significantly lagged behind: America installed only 55,200 robots, Japan 40,400, and South Korea 37,800. However, these four countries are not the only ones using robots. According to a study by Oxford Economics, the number of robots worldwide has tripled in the last two decades to 2.25 million. Additionally, the stock of operational robots has reached a record of about three and a half million units, with the value of installations estimated at 15.7 billion dollars.

Five Trends

Therefore, the International Federation of Robotics analyzed the five biggest trends that will shape robotics and automation in 2023. These are energy efficiency, resilience, ease of use of robots, artificial intelligence, and the second life of robots, whose lifespan is thirty years.

– Robots play a fundamental role in meeting the changing demands of manufacturers worldwide. New trends in robotics attract users from small to large global companies – stated Marina Bill, president of the International Federation of Robotics.

The use of robots is changing business by increasing a company’s potential and revenue, aided by various software and applications widely used in manufacturing, logistics, medical care, and other activities. Their use will become increasingly widespread as the development of artificial intelligence (AI) and system automation progresses.

The success of mobile technology over the past decade has spurred advancements in object and voice recognition, much of which has been integrated into robotic technology. This development has been enabled by the increase in affordable computing power and the emergence of technologies such as the Internet of Things (IoT) and cloud storage. Robotic technology will merge with mobile technology based on artificial intelligence, forming a new automation ecosystem. The advantages of robotics and automation were particularly evident during the coronavirus pandemic when many companies quickly changed their business and production models. Many had to close facilities and lay off employees, while others, to remain competitive or survive in the market, adopted robotic technology in many cases as a substitute for humans. One of the most common industrial uses of robotics is assembly, such as automobile manufacturing, where the same functions and processes must be performed repeatedly with high precision. There are many advantages that robots bring to the future of business, primarily showing how human labor in some industries is backward compared to ‘perfect’ machines. A robot can work twenty-four hours a day without supervision, is fast and reliable, makes no mistakes, and is much more productive than a human.

The Matter of Supervision

Although there is a fear that robots will take jobs from humans, especially advanced generations of machines powered by artificial intelligence, this is only partially true. The consequence of technological development will be the disappearance of some jobs, as has happened in history, but in this case, robots will bring drastic changes to manufacturing and other activities. However, they will never completely replace a surgeon or those performing other jobs where humans are irreplaceable. Instead of employees performing monotonous and repetitive tasks, automated machines will be supervised, which is already being done, by supervisors. As the number of robots increases, more people will be needed to control their work.

Telemedicine in its infancy was not envisioned for widespread use but as a method for treating astronauts in space, and the robot doctor project was developed. However, today’s robots supported by artificial intelligence are much more efficient than those used in medical trials decades ago. They serve in all industries, and every year more of them help people perform tasks or completely take them away

Addressing this issue, the International Federation of Robotics published the results of a study that investigated the use of robots in China, Japan, India, and Brazil, whose results showed a significant positive effect of robots on employment. Experts believe that companies that invest money in technological and automated solutions as soon as possible will have the best chances for success in the future. Currently, among the largest users of robots are companies providing delivery services using autonomous robots and vehicles, such as Starship Technologies, a startup for autonomous delivery founded in 2014 by two co-founders of Skype, which has completed over 1.6 million commercial deliveries worldwide since the beginning of the coronavirus pandemic. Although the use of robots has many advantages, there are also many ethical and legal issues related to their application. And it is not just about whether they will eliminate jobs or not; it is also about responsibility. Who will, for example, be responsible if the robot controlled remotely by the surgeon makes a mistake during the operation?

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