Evidence map›Paper›PMID 41272356›Full record

ArticleJournal of robotic surgery2025

SETY©: A next-generation robotic training platform for safe and autonomous surgery in space - surgical biomechatronics design and Hardware-Software integration within the SY-MIS project.

Jose Cornejo, Bernabé Oscco, Luis Gamarra-Vásquez, Jose Mayorga, Gabriel Tejada-Marroquin, Victor Cuyotupac, José Curioso, Jorge Castro, Jairo Sánchez Acuña, Martín Cangahuala-Navarro and 23 more

Abstract read
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In one paragraph

Article in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

33 authors.

Jose CornejoSpace Generation Advisory Council, Vienna, Austria. doctor.engineer@ieee.org.ORCID http://orcid.org/0000-0003-4096-9337
Bernabé OsccoProfessional School of Mechatronics Engineering, Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0007-9706-6151
Luis Gamarra-VásquezProfessional School of Mechatronics Engineering, Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0002-4749-993X
Jose MayorgaProfessional School of Mechatronics Engineering, Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0008-3013-8939
Gabriel Tejada-MarroquinProfessional School of Mechatronics Engineering, Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0004-5083-6030
Victor CuyotupacProfessional School of Mechatronics Engineering, Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0006-5992-9385
José CuriosoProfessional School of Mechatronics Engineering, Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0001-3506-6435
Jorge CastroProfessional School of Mechatronics Engineering, Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0001-6860-9926
Jairo Sánchez AcuñaProfessional School of Mechatronics Engineering, Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0005-4322-9926
Martín Cangahuala-NavarroProfessional School of Mechatronics Engineering, Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0001-0857-7264
Gustavo HuarazProfessional School of Mechatronics Engineering, Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0000-0002-0410-112X
Adrian NacarinoResearch Group of Advanced Robotics and Mechatronics (GI-ROMA), Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0000-1151-761X
Mathias ReateguiProfessional School of Mechatronics Engineering, Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0004-9130-1577
David AllccaProfessional School of Mechatronics Engineering, Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0005-3717-8739
Ronaldo CornejoProfessional School of Mechatronics Engineering, Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0004-3937-5704
Ricardo PalomaresResearch Group of Advanced Robotics and Mechatronics (GI-ROMA), Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0000-0001-9076-3674
Mariela VargasUniversidad Tecnológica del Perú, Lima, Peru.ORCID http://orcid.org/0000-0002-9155-9904
Jorge CornejoDepartment of Surgery, Mayo Clinic, Jacksonville, FL, USA.ORCID http://orcid.org/0000-0001-9703-3340
Leslie M Mendoza-AriasInstituto de Investigaciones en Ciencias Biomédicas (INICIB), Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0000-0003-2940-0561
Renzo R Maldonado-GómezInstituto de Investigaciones en Ciencias Biomédicas (INICIB), Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0004-5895-3557
Daira De La BarraInstituto de Investigaciones en Ciencias Biomédicas (INICIB), Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0007-2986-9243
Sandra CharapaquiInstituto de Investigaciones en Ciencias Biomédicas (INICIB), Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0008-8688-6303
Renzo CharapaquiInstituto de Investigaciones en Ciencias Biomédicas (INICIB), Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0000-0002-1982-4646
Bryan SanchezProfessional School of Mechatronics Engineering, Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0007-1279-285X
Anderson La-RosaProfessional School of Mechatronics Engineering, Ricardo Palma University, Lima, Peru.ORCID http://orcid.org/0009-0009-6074-6844
Raul SebastianDepartment of Surgery, The Johns Hopkins University, Baltimore, MD, USA.
Rafael J GrossmannDepartment of Surgery, Portsmouth Regional Hospital, Portsmouth, NH, USA.ORCID http://orcid.org/0000-0003-3109-3476
Adel Abou-MradTROGSS - The Robotic Global Surgical Society, Saint Jean de la Ruelle, Orléans, 45140, France.ORCID http://orcid.org/0000-0003-3408-4540
Adolfo Perez-BonetTROGSS - The Robotic Global Surgical Society, Saint Jean de la Ruelle, Orléans, 45140, France.ORCID http://orcid.org/0009-0003-9483-0311
Luigi MaranoTROGSS - The Robotic Global Surgical Society, Saint Jean de la Ruelle, Orléans, 45140, France.ORCID http://orcid.org/0000-0002-9777-9588
Aman GoyalTROGSS - The Robotic Global Surgical Society, Saint Jean de la Ruelle, Orléans, 45140, France.ORCID http://orcid.org/0000-0001-7336-1366
Christian A MaciasCenter for Space Systems (C-SET), Betta Aerospace, Betta International Corporation, Lima, Peru.ORCID http://orcid.org/0000-0003-0481-8187
Rodolfo J OviedoTROGSS - The Robotic Global Surgical Society, Saint Jean de la Ruelle, Orléans, 45140, France.ORCID http://orcid.org/0000-0003-3784-6555

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurgical capability in space is constrained by extreme conditions such as microgravity, communication latency, surgical training, and limited resources. Current robotic training platforms are optimized for terrestrial use. The objective is to explore The SETY© platform, developed under the SY-MIS program, designed as a compact and accessible mechatronic surgical platform for minimally invasive procedures with emphasis on operational feasibility in resource-limited and early robotic training exposure to prepare future surgeons for extreme and spaceflight conditions. The final goal is to overcome some barriers for surgeons in their initial phases of training such as earlier exposure to a robotic platform, limited training lab availability, portability issues, on demand practice, affordability of robotic platform, and improving overall surgical proficiency and patient care. DESIGN, SETTING, AND

participantsThis experimental feasibility study (2022-2024) involved the SETY© system in terrestrial analog environments simulating microgravity constraints. The system incorporated ergonomic considerations, low-cost components, and an open-source control architecture to enhance accessibility for academic and clinical training. The platform consisted of dual articulated robotic arms mounted on a compact 400 × 500 mm base, driven by servomechanism motors via a curved rail mechanism. Structural components were produced using 3D-printed PLA and validated via finite element analysis. The electrical system employed an ESP32 microcontroller for console input and an Arduino Nano for arm control, enabling real-time coordination of eight servomotors through potentiometer and joystick inputs. Primary platform outcomes were mechanical stability, kinematic precision (velocity and torque control), synchronization between console and arms, and robustness under repetitive cycles. Secondary platforms outcomes included compactness, energy efficiency, and feasibility for integration into training curricula.

resultsFinite element analysis confirmed a maximum Von Mises stress of 0.482 MPa and minimal deformation (0.0007 mm), yielding a safety factor of 15. The system maintained joint velocities below 10°/s and torques under 10 N·m. Simulation with sinusoidal inputs showed stable motion patterns, velocity peaks at ± 4°/s, torque oscillations around ± 0.05 N·m, and acceleration up to 1500°/s². Electrical integration achieved smooth real-time synchronization without predictive filtering, although the absence of ROS-based frameworks reduced interoperability and limited integration with higher-level control systems. Minor mechanical tolerances and sensor variance were observed but did not compromise functionality.

conclusionsThe SETY© platform demonstrated mechanical robustness, precise motion control, and functional reliability within a compact, energy-efficient design. Its low-cost, open-source configuration supports adoption in surgical and medical engineering education and has potential applicability for space mission surgical preparedness. Future refinements should optimize mechanical damping and material stiffness to enhance performance under high-load or rapid-maneuver conditions.

Indexed as

Minimally Invasive Surgical ProceduresRobotic Surgical ProceduresSoftwareSpace FlightEquipment DesignFeasibility StudiesHumansWeightlessnessAerospace medicineBioengineeringEngineering designMechatronicsRobotic surgerySurgical training.

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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.