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Date October 3rd, 2008Author(s) Maurits Butter (TNO)Arjan Rensma (TNO)Joey van Boxsel (TNO)Sandy Kalisingh (TNO)Marian Schoone (TNO)Miriam Leis (TNO)Gert Jan Gelderblom (Vilans)Ger Cremers (Vilans)Monique de Wilt (Vilans)Willem Kortekaas (EuroAct, Japan)Axel Thielmann & Kerstin Cuhls (FhG ISI, Germany)Anna Sachinopoulou & Ilkka Korhonen (VTT, Finland)Version no. 5.0No. of copies 1Number of pages 179Number of appendicesCustomer European Commission, DG Information Society
Projectnumber
The opinions expressed in this study are those of the authors and do notnecessarily reflect the views of the European Commission.
Interim repor 
 
 
Final Report 
 
 
2
Contents
Executive Summary........................................................................................................................4
 
1
 
Introduction to Robotics in Medicine and Healthcare.............................................10
 
1.1
 
Why this study and what will be its use.........................................................................10
 
1.2
 
What is Robotics in Medicine and Healthcare...............................................................11
 
1.3
 
What are the main objectives of the study.....................................................................12
 
1.4
 
What is the approach......................................................................................................13
 
1.5
 
The consortium..............................................................................................................16
 
1.6
 
Note to readers...............................................................................................................16
 
2
 
Societal issues and user needs.....................................................................................18
 
2.1
 
Introduction....................................................................................................................18
 
2.2
 
Societal issues................................................................................................................18
 
2.3
 
Needs of the health care sector......................................................................................32
 
3
 
Applications of robotics in healthcare........................................................................36
 
3.1
 
Introduction....................................................................................................................36
 
3.2
 
Major innovation themes...............................................................................................36
 
3.3
 
Robot assisted preventive therapies and diagnosis........................................................38
 
3.4
 
Robotic Assistive Technology.......................................................................................41
 
3.5
 
Robots supporting professional care..............................................................................47
 
3.6
 
Robotics for rehabilitation treatment.............................................................................51
 
3.7
 
Robotics for medical interventions................................................................................55
 
4
 
Cases..............................................................................................................................61
 
4.1
 
Introduction....................................................................................................................61
 
4.2
 
Methodological framework and approach.....................................................................61
 
4.3
 
Case 1: Robotised surgery.............................................................................................63
 
4.4
 
Case 2: Intelligent prosthetics........................................................................................74
 
4.5
 
Case 3: Robotised motor coordination analysis and therapy.........................................86
 
4.6
 
General conclusions of the cases.................................................................................100
 
5
 
Enabling technologies................................................................................................101
 
5.1
 
Introduction to enabling technologies..........................................................................101
 
5.2
 
Advanced sensory systems..........................................................................................102
 
5.3
 
Advanced Human-machine interfacing.......................................................................105
 
5.4
 
Mobile energy systems................................................................................................109
 
5.5
 
Control systems for complex mechanical movement..................................................111
 
5.6
 
Advances in mechatronics...........................................................................................115
 
5.7
 
Insight in medical therapies and human behaviour......................................................118
 
5.8
 
Conclusions..................................................................................................................120
 
6
 
Roadmaps...................................................................................................................122
 
6.1
 
Introduction: what is Technology Road Mapping?......................................................122
 
6.2
 
Selection of the innovation areas.................................................................................123
 
6.3
 
Smart medical capsules................................................................................................124
 
 
 
3
6.4
 
Patient monitoring robots.............................................................................................131
 
6.5
 
Robotised motor coordination analysis and therapy....................................................137
 
6.6
 
Intelligent prosthetics...................................................................................................145
 
6.7
 
Robot assisted mental, cognitive and social therapy....................................................151
 
6.8
 
Robotised surgery........................................................................................................158
 
6.9
 
General conclusions.....................................................................................................163
 
7
 
Vision, conclusions & recommendations.................................................................166
 
7.1
 
Vision on the application of robotics in healthcare......................................................166
 
7.2
 
Societal challenges and user needs..............................................................................167
 
7.3
 
21 innovation areas, 6 ½ priorities and many enabling technologies..........................168
 
7.4
 
Country perspective.....................................................................................................172
 
7.5
 
Ethical and legal aspects..............................................................................................173
 
7.6
 
Policy recommendations for EC research....................................................................173
 
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