1. Fetal tele-echography using a robotic arm and a satellite link Arbeille, P., Ruiz, J., Herve, P., Chevillot, M., Poisson, G., & Perrotin, F. (2008). Fetal tele‐echography using a robotic arm and a satellite link.Ultrasound in obstetrics & gynecology, 26(3), 221-226. Presenter ： Cheng-bang Shih Adviser: ： Dr.Yi-Chun Du Chairman: Date ： 2014/12/03 IBS LAB

2. Outline  Introduction  Materials and methods  Results  Discussion IBS LAB

3. Introduction (1/2)  Tele-echography  Objective to design a method for conducting fetal ultrasound examinations in isolated hospital.  Developing countries or areas  Reduced medical facilities  Non-sonographer 1 IBS LAB

4. Introduction (2/2)  Solve medical problems  Fetal examination is valuable information(fetal growth, intrauterine environment )  Communication  VSAT  ISDN 2 IBS LAB

5. Materials and methods (1/7) 3

6. Materials and methods (2/7) 4 IBS LAB

7. Materials and methods (3/7) The robotic arm being held by the future father, and a view of the expert is shown in the bottom right corner. 5 IBS LAB

8. Materials and methods (4/7)  Very Small Aperture Terminals(VSAT)  Small antenna ground station satellite communication system  Small  Cheap  Easy to install  Less demanding environment  Unrestricted terrestrial networks 6 IBS LAB

9. Materials and methods (5/7)  Integrated Services Digital Network(ISDN)  A typical circuit-switched network system (circuit- switching network).  Is popular in Europe in the form of a telephone network. 7 IBS LAB

10. Materials and methods (6/7)  Robotic arm  The system was designed for optimal use with sector scan probes.  The weight of the probe holder (2.5 kg) and with a ring of 7 cm in diameter.  Applies a pressure (15N) and maximum displacement is 1.5 cm. 8 IBS LAB

11. Materials and methods (7/7)  Echography 9

12. Results (1/3)  The system is easy to use  The expert (radiologist, obstetrician, midwife) needed no more than 1 hr to become familiar with the system. 10 IBS LAB

13. Results (2/3)  satellite link communication  Transferring pictures will be delayed one second.  Robot activation setup took 10–15 min 11 IBS LAB

14. Results (3/3)  The mean duration of the conventional ultrasound examination was 14 min.  Fetal tele-echography  Fetal tele-echography was 18 min.  The robotic arm was repositioned on the patient’s skin was 7min 12 IBS LAB

15. Discussion (1/2)  The surgical robotic arm  The surgical robotic arm is reproduce very accurately the complex movements of the surgeon’s hands 13 IBS LAB

16. Discussion (2/2)  Robotic-surgery is probably the most popular application of robotics in medicine.  Telemedicine also needs more improvement. 14 IBS LAB

17. Thanks for Your Attention