MESROB th International Workshop on Medical and Service Robots

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1 Maxime EZEQUEL Innovation dept. Speaker July 9, 2015 MESROB th International Workshop on Medical and Service Robots Marteau GE 11:00-11:25 Experience feedback in medical mobile robots

2 Outline 01 Intralogistics 02 Imagery guided surgery 03 Rehabilitation to walking 2

3 Three main activities 3

4 01 Intralogistics solutions with AGV 4

business activity From specifications to

5 BA Systèmes Overview French leader in mobile robotic systems for logistics applications 35 years of experience in Automated Guided Vehicles (AGV) Vertical business activity From specifications to maintenance HW design and assembly SW developments (embedded and supervision) 160 employees (50% Ing & PhD) 8000sqm in Brittany, France Prototyping area Factories Test track 22 M of turnover 18% of turnover dedicated to R&D Open innovation model Diversification strategy (healthcare sister company) ISO 9001:2008 5

6 LES METIERS BA SYSTEMES Standard AGV Applications Optimization of the processes, better work conditions, goods safety ensured 6

7 Standard Technological Bricks Base Frame Safety Automatic Guidance Localization Tools Command Control Communication and supervision system Mobility Human-Machine Interfaces Reliability : 99,7% Duration : Hours Embedded Energy 7

8 From Industrial Logistics Activities To New Robotics Applications in the Medical Field

9 02 AGV for imagery guided surgery 9

10 Needs of Minimally Invasive Surgery Necessity to evaluate the surgical intervention in real time emerges Example : Stenting operations Surgery operations procedures demand extremely high precision Example : valves implant 10

11 New Trend : merging radiology & surgery rooms Radiology room Intervention system Surgery room Mobile surgical device Scanner Operations guided by imagery Microscope MRI minimally invasive surgery Endoscope Laparoscope Ultrasound scan Navigation system 11

12 Concept : AGV for imagery in mini-invasive surgery AGV designed to receive an X-ray machine in order to move an imagery device in surgery room with mm accuracy Mobility AGV Imagery X-ray hoop Navigation Control motion IT Interfaces Imagery chain C - X-ray Safety BA SYSTEMES GE HEALTHCARE 12

13 Three Stages for an Entrepreneurial Project April 2009 to October 2009 April 2010 to April 2012 March 2011 to January 2012 Demonstrator M 0,3 Collaborative Project IRIMI M 18 Industrialization B to B GE HEALTHCARE BA SYSTEMES Open innovation project B to B GE HEALTHCARE BA SYSTEMES BA SYSTEMES Factory 13

Laser guidance system Mobile system : easy access to the patient, easy to park Mobile

14 Product: Newest Image Guided System Answering surgery needs: 3D imagery Adapted to sterile environment Integrated with surgical equipment Safe and reliable Accurate Laser guidance system Mobile system : easy access to the patient, easy to park Mobile base designed by BA Systèmes The product Discovery IGS 730 commercialized by GE Healthcare 14

15 03 Mobile robot for rehabilitation to walking 15

16 Rehabilitation: a public health issue Stroke France 140,000 cases / year; 4.5 billion / year for the public health insurance ; United-states 795,000 cases / year ; 655,000 people survive with lesions Parkinson disease France 150,000 cases United-States 60,000 new cases / year ; This disease costs $25 billion each year; $ / year per patient ; $100,000 for a surgical operation World 10 million people Sclerosis France 8 cases a year every 100,000 people United-States 400,000 people, one person treatment during her whole life costs $1.2 million World 2.5 million people + ageing population Impairment of walking of neurological origins Need for solutions to help practitioners all along the rehabilitation process

17 Existing devices Défilement des pieds Mobilisation Pieds Jambes Avec déambulation Sans déambulation Mode d action Robo-K BAHC LiteGait Mobility research (USA) Thera trainer Medica (All) KineAssist Kinea design (USA) Unweighing system Biodex (USA) Cybercarpet LokoHelp Gait Trainer LokoHelp group (All) Gait Trainer Reha-Stim (All) Lokomat Hocoma (Suisse) WalkBot P&S Mechanics (Corée) Motion Maker Swortec (Suisse) GeoSystems Leica (All/suisse) Walk X projet européen Passif Boucle ouverte Boucle fermée Technicité

Robot for rehabilitation to walking End-users Patients: victim of walking malfunction from neurological diseases (stroke, Parkinson, sclerosis) Practitioners : Doctors in physical medicine and

18 Robot for rehabilitation to walking End-users Patients: victim of walking malfunction from neurological diseases (stroke, Parkinson, sclerosis) Practitioners : Doctors in physical medicine and rehabilitation (PM&R), physiotherapists, occupational therapists Use cases The patient follows the robot on a path. The robot helps the patient to follow a path. The robot follows the patient, making itself forgotten. Advantages Patients : rehabilitate to walking in such a way that it is repeatable and playful implying more efficiency Practitioners : Mastering the therapy protocol, reduce repetitive strain injuries (RSIs) Biofeedbacks Adaptative exercices Regulated suspension system Omnidirectional mobile platform

19 Collaborative project Robo-K First prototype x1 Demonstrators of the Robo-K project x2 Project overview: Duration: 36 month, in progress Total budget: M 3.6 Backers : FEDER (EU), BPI France, region Brittany, Rennes Metropolis

Thank you for your attention MESROB 2015 4th International Workshop on Medical and Service Robots Marteau GE

20 Thank you for your attention MESROB th International Workshop on Medical and Service Robots Marteau GE 11:00-11:25 Experience feedback in medical mobile robots Maxime EZEQUEL Innovation dept. Speaker July 9,

P.I.G.R.O. Pneumatic Interactive Gait Rehabilitation Orthosis

P.I.G.R.O. Pneumatic Interactive Gait Rehabilitation Orthosis Active exoskeleton for the neuro-rehabilitation of lower limbs Guido Belforte Terenziano Raparelli Gabriella Eula Silvia Appendino Silvia Sirolli