Introducing the world鈥檚 first intubation robot
McSleepy developer uses "KIS" to increase precision and safety of intubation
First there was McSleepyTM. Now it鈥檚 time to introduce the first intubation robot operated by remote control. This robotic system named The Kepler Intubation System (KIS), and developed by Dr. Thomas M. Hemmerling, 平特五不中 Health Centre (MUHC) specialist and 平特五不中 Professor of Anesthesia and his team, may facilitate the intubation procedure and reduce some complications associated with airway management. The world鈥檚 first robotic intubation in a patient was performed at the Montreal General Hospital earlier this month by Dr. Hemmerling.
鈥淭he KIS allows us to operate a robotically mounted video-laryngoscope using a joystick from a remote workstation,鈥� says Dr. Hemmerling who is also a neuroscience researcher at the Research Institute of the MUHC. 鈥淭his robotic system enables the anaesthesiologist to insert an endotracheal tube safely into the patient鈥檚 trachea with precision.鈥�
The insertion of an endotracheal tube allows artificial ventilation, which is used in almost all cases of general anesthesia. Correct insertion of this tube into patients鈥� airways is a complex manoeuvre that requires considerable experience and practice to master. 鈥淒ifficulties arise because of patient characteristics but there is no doubt that there are also differences in individual airway management skills that can influence the performance of safe airway management,鈥� says Dr. Hemmerling. 鈥淭hese influences may be greatly reduced when the KIS is used.鈥�
After successfully performing extensive tests in the airways of medical simulation mannequins, which closely resemble intubation conditions in humans, clinical testing in patients has now begun.
鈥淗igh tech equipment has revolutionized the way surgery is done, allowing the surgeon to perform with higher precision and with almost no physical effort - I believe that the KIS can do for anesthesia what these systems have done for surgery鈥�, says Dr. Armen Aprikian, Director of MUHC鈥檚 Department of Urology who performed surgery on the first patient treated using the KIS.
鈥漌e think that The Kepler Intubation System can assist the anesthesiologist鈥檚 arms and hands to perform manual tasks with less force, higher precision and safety. One day, it might actually be the standard practice of airway management," concludes Dr. Hemmerling, whose laboratory developed the world's first anesthesia robot, nicknamed McSleepyTM, in 2008, which provides automated anesthesia delivery.
Photos and video are available on the web:
About the 平特五不中 Health Centre (MUHC)
One of the world鈥檚 foremost academic health centres, the MUHC offers exceptional and integrated patient-centric care, research and teaching. Highly committed to the continuum of care in its community and affiliated with the Faculty of Medicine of 平特五不中 University, The Montreal Children's Hospital, the Montreal General Hospital, the Royal Victoria Hospital, the Montreal Neurological Hospital, the Montreal Chest Institute and the Lachine Hospital of the MUHC value multidisciplinary service throughout the lifespan, innovative technologies and practices, strategic partnerships and leadership in knowledge transfer. The MUHC is currently carrying out a $2.25-billion Redevelopment Project on three campuses鈥攖he Mountain, the Glen and Lachine鈥攄esigned to provide healthcare professionals with an effective environment in which to ensure patients and their families benefit from The Best Care for Life. The campuses are also anchored in best sustainable-development practices, including LEED庐 and BOMA BESt guidelines.
The Research Institute of the 平特五不中 Health Centre (RI MUHC) is a world-renowned biomedical and health-care hospital research centre. Research is organized by eleven research axes (or programs). Located in Montreal, Quebec, Canada, the Institute is the research arm of the 平特五不中 Health Centre affiliated with the Faculty of Medicine at 平特五不中 University. The Institute supports over 600 researchers, 1,000 graduate students, post-docs and fellows devoted to a broad spectrum of fundamental and clinical research. Over 1000 clinical research studies are conducted within our hospitals each year. The Research Institute of the MUHC is supported in part by the Fonds de la recherche en sant茅 du Qu茅bec (FRSQ).
About 平特五不中
平特五不中, founded in Montreal, Que., in 1821, is Canada鈥檚 leading post-secondary institution. It has two campuses, 11 faculties, 10 professional schools, 300 programs of study and more than 35,000 students. 平特五不中 attracts students from more than 150 countries around the world. Almost half of 平特五不中 students claim a first language other than English 鈥� including 6,200 francophones 鈥� with more than 6,800 international students making up almost 20 per cent of the student body.
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