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Development of a support robot for neuroendovascular therapy

Research Project

Project/Area Number 18K08954
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 56010:Neurosurgery-related
Research InstitutionAichi Medical University

Principal Investigator

Miyachi Shigeru  愛知医科大学, 医学部, 教授 (00293697)

Co-Investigator(Kenkyū-buntansha) 松尾 直樹  愛知医科大学, 医学部, 准教授 (30465570)
永野 佳孝  愛知工科大学, 工学部, 教授(移行) (40610142)
Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2020: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2019: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2018: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords血管内治療 / ロボティクス / 挿入力 / カテーテル / ガイドワイヤー / フィードバックセンサー / リモートコントロール / テレサージェリー / 振動 / フィードバック / 遠隔手術 / センサー / ロボット / 脳血管内治療 / 自動化 / 遠隔操作
Outline of Final Research Achievements

We invented the porotype robotic systems for endovascular intervention and produced the compact machine with master-slave control system. Our support robot for neuroendovascular interventions demonstrated the accurate reproducibility of the operator’s maneuver and safe operation using the force sensor system to avoid the excessive power stress and motion causing the vessel penetration. We succeeded the remote experimental study with high -speed LAN system which enabled the quick reaction due to the minimum response delay. Remote operation appeared to be sufficiently feasible to perform the surgery safely. This system seems extremely promising for preventing virus infection and radiation exposure to the medical staff. It will also enable medical professionals to operate in remote areas and create a ubiquitous medical environment.

Academic Significance and Societal Importance of the Research Achievements

血管内治療は長時間X線透視下に行う作業であるため、従来医療者の被曝が問題で、その低減を目的として手術支援ロボットの開発が求められてきたが、現在コロナ禍の世界においては、医療者の感染を防ぎ、安全を守るため、患者への直接接触のない手術システムはさらに必要不可欠なツールである。リモート操作で遠隔地から卓越した専門医の治療を受けられることは、ユビキタスな医療環境のために有望なシステムである。血管内治療ロボットは二次元的なシンプルな動きで構成されており、ロボット化への道は極めて近い。また厚生労働省の「オンライン診療の指針」の中で、オンライン手術についても取り上げられており、今後の発展が期待されている。

Report

(5 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (34 results)

All 2022 2021 2020 2019 2018

All Journal Article (7 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 6 results,  Open Access: 6 results) Presentation (26 results) (of which Int'l Joint Research: 5 results,  Invited: 11 results) Book (1 results)

  • [Journal Article] Remote Surgery Using a Neuroendovascular Intervention Support Robot Equipped with a Sensing Function: Experimental Verification.2021

    • Author(s)
      Miyachi S, Nagano Y, Kawaguchi R, Ohshima T, Tadauchi H
    • Journal Title

      Asian J Neurosurg.

      Volume: 16(2) Issue: 02 Pages: 363-366

    • DOI

      10.4103/ajns.ajns_77_21

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] A Novel Technique of Microcatheter Shaping using Real Image Display for Endovascular Aneurysmal Coil Embolization.2021

    • Author(s)
      Ohshima T, Nagano Y, Miyachi S.
    • Journal Title

      Asian J Neurosurg.

      Volume: 16(3) Issue: 03 Pages: 645-647

    • DOI

      10.4103/ajns.ajns_90_21

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Experimental Study of Coil Compaction Impact of Pulsatile Stress2021

    • Author(s)
      Asai T, Nagano Y, Ohshima T, Miyachi S
    • Journal Title

      JNET Journal of Neuroendovascular Therapy

      Volume: -

    • NAID

      130008143355

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] emote surgery using a neuroendovascular intervention support robot equipped with a sensing function: Experimental verification2021

    • Author(s)
      Miyachi S, Nagano Y, Kawaguchi R, Ohshima T, Tadauchi H
    • Journal Title

      AJNS Asian Journal of Neurosurgery

      Volume: -

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Novel Operation Support Robot with Sensory-Motor Feedback System for Neuroendovascular Intervention.2019

    • Author(s)
      Miyachi S, Nagano Y, Hironaka T, Kawaguchi R, Ohshima T, Matsuo N, Maejima R, Takayasu M.
    • Journal Title

      World Neurosurg.

      Volume: 127 Pages: 617-623

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 医療機器開発STORY :カテーテルや医療機器開発者に聞くー 脳血管内治療遠隔操作ロボットの開発2019

    • Author(s)
      宮地 茂、永野佳孝、川口礼雄
    • Journal Title

      I Rad Fan

      Volume: 17 Pages: 63-66

    • Related Report
      2019 Research-status Report
  • [Journal Article] Novel operation support robot with sensory-motor feedback system for neuro-endovascular intervention2019

    • Author(s)
      Miyachi S, Nagano Y, Hironaka T, Kawaguchi R, Ohshima T, Matsuo N, Maejima R, Takayasu M
    • Journal Title

      World Neurosurg.

      Volume: 121 Pages: 30901-5

    • DOI

      10.1016/j.wneu.2019.03.221

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 脳血管内治療用遠隔操作ロボットの開発(第5報)2021

    • Author(s)
      忠内洋樹,永野佳孝,宮地 茂,川口礼雄,大島共貴,松尾直樹
    • Organizer
      第39回日本ロボット学会学術講演会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 脳血管内治療用テレサージェリーロボットの開発(第2報)―LANとWiFiを使った遠隔操作実験―2021

    • Author(s)
      永野佳孝,忠内洋樹,宮地 茂,川口礼雄,大島共貴,松尾直樹
    • Organizer
      第30回日本コンピュータ外科学会大会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 脳血管内治療用遠隔操作ロボットにおける挿入力センサの開発(第3報)2021

    • Author(s)
      忠内洋樹,真野竜一,永野佳孝,宮地 茂,川口礼雄,大島共貴,松尾直樹
    • Organizer
      第30回日本コンピュータ外科学会大会
    • Related Report
      2021 Annual Research Report
  • [Presentation] Remote surgery using a Neuroendovascular Intervention Support Robot equipped with a Sensing Function: Experimental Verification2021

    • Author(s)
      MIyachi S
    • Organizer
      The 13th Asian-Oceanian Congress of Neuroradiology (AOCNR 2021)
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 脳血管内治療の近未来2021

    • Author(s)
      宮地 茂
    • Organizer
      STROKE2021
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] 脳血管内治療の進化(デバイス、技術、戦略の進歩とロボティクス) ―抗血栓療法の消化管合併症の予防を含めて2021

    • Author(s)
      宮地 茂
    • Organizer
      第30回日本脳ドック学会総会
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] 脳血管内治療の進化 (デバイス、技術、戦略の進歩とロボティクス) - 抗血栓療法の消化管合併症の予防を含めて -2021

    • Author(s)
      宮地 茂
    • Organizer
      春日井脳神経疾患セミナー
    • Related Report
      2021 Annual Research Report
  • [Presentation] 脳血管内治療遠隔操作ロボットの開発2020

    • Author(s)
      川口礼雄、永野佳孝、大島共貴、松尾直樹、宮地 茂
    • Organizer
      STROKE2020(第49回日本脳卒中の外科学会)
    • Related Report
      2020 Research-status Report
  • [Presentation] 脳血管内治療ロボットを使用した遠隔手術実験と課題2020

    • Author(s)
      川口礼雄、永野佳孝、大島共貴、松尾直樹、宮地 茂
    • Organizer
      第79回日本脳神経外科学会総会
    • Related Report
      2020 Research-status Report
  • [Presentation] 脳血管内治療ロボットを使用した遠隔手術実験と課題 -操作性、画像遅延の検討2020

    • Author(s)
      川口礼雄、永野佳孝、大島共貴、松尾直樹、宮地 茂
    • Organizer
      第36回日本脳神経血管内治療学会
    • Related Report
      2020 Research-status Report
  • [Presentation] 脳血管内治療のデバイス、機器開発と医工連携2020

    • Author(s)
      宮地 茂
    • Organizer
      名古屋大学大学院医学研究科 令和元年度基盤医学特論
    • Related Report
      2020 Research-status Report
  • [Presentation] 脳血管内治療の最新TOPICS ~抗凝固療法を含めて~2020

    • Author(s)
      宮地 茂
    • Organizer
      第3回奈良県脳卒中地域連携懇話会
    • Related Report
      2020 Research-status Report
  • [Presentation] 脳血管内治療最新のTOPICS ~消化管マネージメントを含めて~2020

    • Author(s)
      宮地 茂
    • Organizer
      NEXt Web SymposIUM in Aichi
    • Related Report
      2020 Research-status Report
  • [Presentation] Novel Operation Support Robot with Sensory-motor Feedback System for Neuroendovascular Intervention2019

    • Author(s)
      Miyachi S, Kawaguchi R, Nagano Y, Hironaka T, Kawaguchi R, Ohshima T, Matsuo N, Maejima R, Takayasu M
    • Organizer
      WFITN2019
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Development of Support Robot for Neuroendovascular Intervention2019

    • Author(s)
      Kawaguchi R, Miyachi S, Nagano Y, Matsuo N, Ohshima T, Takayasu
    • Organizer
      The 14th. Korea-Japan Joint Conference on Surgery for Cerebral Stroke
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] 次世代の脳血管内治療 ~脳血管内治療遠隔操作ロボットの開発~2019

    • Author(s)
      川口 礼雄、永野佳孝、大島共貴、松尾直樹、宮地 茂
    • Organizer
      第78回日本脳神経外科学会総会
    • Related Report
      2019 Research-status Report
  • [Presentation] 脳血管内治療遠隔操作ロボットの開発2019

    • Author(s)
      宮地 茂、永野佳孝、大島共貴、松尾直樹、川口礼雄
    • Organizer
      第25回日本血管内治療学会学術総会
    • Related Report
      2019 Research-status Report
  • [Presentation] 脳血管内治療最新のTOPICS ~抗凝固療法を含めて~2019

    • Author(s)
      宮地 茂
    • Organizer
      第101回PONS CLUB
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 脳血管内治療 最新のトピックス ー抗凝固療法を含めてー2019

    • Author(s)
      宮地 茂
    • Organizer
      第24回福島県脳血管障害治療研究会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 脳卒中に対する最新の脳血管内治療2019

    • Author(s)
      宮地 茂
    • Organizer
      2019年度瀬戸ロータリークラブ卓話
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] Development of Support Robot for Neuroendovascular Intervention2018

    • Author(s)
      Miyachi S, Kawaguchi R, Nagano Y, Hironaka T, Matsuo N, Ohshima T, Takayasu M
    • Organizer
      ABC-WIN Seminar 2018
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] New Devices and Technology for Neuroendovascular Therapy2018

    • Author(s)
      Miyachi S
    • Organizer
      4th Winter Seminar on Cerebrovascular Diseases (CVD)
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] 脳卒中に対する最新の脳血管内治療2018

    • Author(s)
      宮地 茂
    • Organizer
      平成30年度愛知保険医協会・社保研究会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 脳血管内治療の最新情報2018

    • Author(s)
      宮地 茂
    • Organizer
      The 11th KVIC(鹿児島脳血管内治療カンファレンス)
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 脳血管内治療の最新のテクノロジー2018

    • Author(s)
      宮地 茂
    • Organizer
      第69回千葉神経外科研究会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 脳卒中に対する最新の脳血管内治療2018

    • Author(s)
      宮地 茂
    • Organizer
      名古屋北西部地域連携カンファレンス
    • Related Report
      2018 Research-status Report
    • Invited
  • [Book] 新・脳血管内治療兵法書2022

    • Author(s)
      宮地 茂
    • Total Pages
      576
    • Publisher
      メディカ出版
    • Related Report
      2021 Annual Research Report

URL: 

Published: 2018-04-23   Modified: 2023-01-30  

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