Evidence map›Paper›PMID 39095639›Full record

ArticleCommunications medicine2024

Robotic scrub nurse to anticipate surgical instruments based on real-time laparoscopic video analysis.

Lars Wagner, Sara Jourdan, Leon Mayer, Carolin Müller, Lukas Bernhard, Sven Kolb, Farid Harb, Alissa Jell, Maximilian Berlet, Hubertus Feussner and 3 more

Abstract read
In one paragraph

Article in Communications medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Action recognition in medical environments for robotic assistance.International journal of computer assisted radiology and surgery · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. The Fusion of Robotics and Imaging: A Vision of the Future.Methodist DeBakey cardiovascular journal · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Lars Wagner *Technical University of Munich, TUM School of Medicine and Health, Klinikum rechts der Isar, Research Group MITI, Munich, Germany. lars.wagner@tum.de.ORCID http://orcid.org/0000-0002-3021-4152
Sara Jourdan *Technical University of Darmstadt, Software & Digital Business Group, Darmstadt, Germany.ORCID http://orcid.org/0000-0003-3799-0119
Leon MayerTechnical University of Munich, TUM School of Medicine and Health, Klinikum rechts der Isar, Research Group MITI, Munich, Germany.
Carolin MüllerTechnical University of Munich, TUM School of Medicine and Health, Klinikum rechts der Isar, Research Group MITI, Munich, Germany.ORCID http://orcid.org/0000-0001-6258-6172
Lukas BernhardTechnical University of Munich, TUM School of Medicine and Health, Klinikum rechts der Isar, Research Group MITI, Munich, Germany.ORCID http://orcid.org/0000-0002-9729-8928
Sven KolbTechnical University of Munich, TUM School of Medicine and Health, Klinikum rechts der Isar, Research Group MITI, Munich, Germany.ORCID http://orcid.org/0009-0002-3176-3206
Farid HarbTechnical University of Munich, TUM School of Medicine and Health, Klinikum rechts der Isar, Research Group MITI, Munich, Germany.ORCID http://orcid.org/0000-0001-8961-8752
Alissa JellTechnical University of Munich, TUM School of Medicine and Health, Klinikum rechts der Isar, Research Group MITI, Munich, Germany.ORCID http://orcid.org/0000-0002-7153-3803
Maximilian BerletTechnical University of Munich, TUM School of Medicine and Health, Klinikum rechts der Isar, Research Group MITI, Munich, Germany.ORCID http://orcid.org/0000-0002-4652-0904
Hubertus FeussnerTechnical University of Munich, TUM School of Medicine and Health, Klinikum rechts der Isar, Research Group MITI, Munich, Germany.
Peter BuxmannTechnical University of Darmstadt, Software & Digital Business Group, Darmstadt, Germany.
Alois KnollTechnical University of Munich, TUM School of Computation, Information and Technology, Chair of Robotics, Artificial Intelligence and Real-Time Systems, Garching, Germany.
Dirk WilhelmTechnical University of Munich, TUM School of Medicine and Health, Klinikum rechts der Isar, Research Group MITI, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMachine learning and robotics technologies are increasingly being used in the healthcare domain to improve the quality and efficiency of surgeries and to address challenges such as staff shortages. Robotic scrub nurses in particular offer great potential to address staff shortages by assuming nursing tasks such as the handover of surgical instruments.

methodsWe introduce a robotic scrub nurse system designed to enhance the quality of surgeries and efficiency of surgical workflows by predicting and delivering the required surgical instruments based on real-time laparoscopic video analysis. We propose a three-stage deep learning architecture consisting of a single frame-, temporal multi frame-, and informed model to anticipate surgical instruments. The anticipation model was trained on a total of 62 laparoscopic cholecystectomies.

resultsHere, we show that our prediction system can accurately anticipate 71.54% of the surgical instruments required during laparoscopic cholecystectomies in advance, facilitating a smoother surgical workflow and reducing the need for verbal communication. As the instruments in the left working trocar are changed less frequently and according to a standardized procedure, the prediction system works particularly well for this trocar.

conclusionsThe robotic scrub nurse thus acts as a mind reader and helps to mitigate staff shortages by taking over a great share of the workload during surgeries while additionally enabling an enhanced process standardization.

Identifiers

PMID39095639
PMCPMC11297199

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.