HP Innovation Journal Issue 13: Winter 2019 | Page 50

TRANSFORMING HEALTHCARE “Technologies like robotics, VR and 3D printing are making once complex, high-risk surgeries now commonplace and standard,” says Daniel Colling, HP’s global lead of clinical workflow and healthcare solutions. “The outcomes of this technology provide patients a lower risk of infection during and post-surgery, less time recovering, and better health outcomes. These advances are about patient quality of life.” Digital transformation sits at the heart of this new era. Smart sensors, instruments, and machines can generate volumes of patient data, from advanced imaging to vitals monitoring. These are the raw materials that robots and cutting-edge tools like virtual reality and surgical naviga- tion systems can use to speed procedures and make them more accurate. Also driving this new era forward: A global shift toward value-based healthcare that moves away from the old fee- for-service model to one that pays doctors and hospitals based on patient health outcomes. Colling points to once-complicated, time-consuming pro- cedures like an appendectomy or coronary artery bypass graft surgery (CABG) to illustrate how far new technolo- gies are pushing healthcare. “Cardiothoracic surgeons used to have to perform large incisions and crack open the entire sternum to access the heart,” he says. “Now it can be done with minimal inva- sion. That’s huge.” He sees a near future in which doctors 3D print anatomi- cal models to plan procedures and educate patients about what will be done to them, then go into VR to simulate important steps of the operation, and, finally, use robots to perform the procedure with pinpoint accuracy. ROBOTS AND AI BECOME SURGEONS’ INDISPENSABLE TOOLS About a dozen robots built for the OR already assist with hip and knee surgeries and specialized procedures like spinal, abdominal, or laparoscopic surgeries. Intuitive Surgical’s da Vinci robotic system has been in operation for almost two decades and has performed more than six million colorectal, thoracic, and other minimally invasive operations where major surgeries used to be required. While robots in the OR are not new, they will soon help doctors reach patients who otherwise wouldn’t benefit from them, thanks to the robust and hyperfast 5G cellular networks that are coming. As just one example, remote surgeons will be able to use robots as their eyes and hands in disaster zones and distant clinics. And the field is about to explode with new models designed to operate on eyes, hearts, and brains, according to Roger Smith, the CTO of Orlando, Florida’s AdventHealth Nich- olson Center, which trains more than 100 surgeons a year to use robotic systems. “Some 40 companies are making robots that we expect to see on the market in the next five years,” Smith says. “More surgeons will be adopting robotic assistance because they’re recognizing this is the next generation of tools to help them do their job better.” Smith also expects artificial intelligence to play a signifi- cant role in robotic and traditional surgeries. For example, AI systems could analyze thousands of hours of surgical videos to develop custom procedure planning. When com- bined with augmented reality, computer vision-equipped AI could detect anatomical structures such as major nerves and alert surgeons nearing them to keep their cut- ting instruments away. “Surgeons will be adopting robotic assistance because they’re recognizing this is the next generation of tools to help them do their job better.” —ROGER SMITH CTO of AdventHealth Nicholson Center 48 HP Innovation Journal Issue 13