Surgeons from Scotland and the US Achieve World-First Stroke Procedure Via Automated Technology

Robotic Technology Display
Prof Iris Grunwald demonstrates the equipment which she says now shows that a specialist isn't required to be "on-site, or even within the nation, to assist patients"

Medical professionals from the Scottish region and America have performed what is believed to be a world-first stroke surgery employing automated systems.

Prof Iris Grunwald, working at a research center, performed the distant clot removal - the elimination of circulatory obstructions post a brain attack - on a human cadaver that had been contributed to medicine.

The expert was working from a medical facility in the Scottish city, while the specimen being treated while using the machine was across the city at the academic institution.

Research Group Observing Distant Surgery
The research group watch on as Ricardo Hanel executes the surgery from the United States

Hours later, a neurosurgeon from the American state employed the equipment to conduct the pioneering long-distance operation from his Florida location on a medical specimen in the Scottish city over 6,400km away.

The medical group has described it as a potential "game changer" if it gains clearance for clinical application.

The medics believe this system could change stroke care, as a slow access to specialist treatment can have a significant effect on the recovery prospects.

"It felt as if we were witnessing the first glimpse of the future," said Prof Grunwald.

"Where previously this was thought to be futuristic fantasy, we proved that each phase of the surgery can currently be accomplished."

The medical research center is the international education hub of the World Federation for Interventional Stroke Treatment, and is the only place in the United Kingdom where medical professionals can treat medical specimens with human blood flowing through the blood pathways to mimic treatment on a actual patient.

"This was the first time that we could conduct the entire surgical process in a actual human specimen to prove that each stage of the procedure are possible," said Prof Grunwald.

Juliet Bouverie, the head of a medical organization, labeled the intercontinental surgery as "an extraordinary advancement".

"During many years, individuals from countryside locations have been deprived of access to thrombectomy," she added.

"Such technological systems could rebalance the inequity which occurs in medical intervention across the UK."

Surgeon Discussing Innovative Equipment
Prof Grunwald says the new technology "might enable specialist brain care universally obtainable"

How does the system function?

An brain attack occurs when an vascular pathway is clogged by a obstruction.

This cuts off circulation and oxygenation to the cerebral tissue, and neurons lose function and deteriorate.

The best treatment is a surgical extraction, where a specialist uses surgical tools to extract the blockage.

But what happens when a person is unable to reach a expert who can perform the surgery?

The medical expert said the study demonstrated a robot could be linked with the same catheters and wires a surgeon would typically employ, and a medic who is with the patient could simply attach the instruments.

The surgeon, in another location, could then manipulate and control their personal instruments, and the mechanical device then executes exactly the same movements in immediate sequence on the individual to perform the thrombectomy.

The patient would be in a medical facility, while the specialist could conduct the surgery using the automated equipment from anywhere - even their personal residence.

The lead researcher and Ricardo Hanel could see live X-rays of the specimen in the trials, and observe results in live conditions, with the lead researcher saying it took merely twenty minutes of instruction.

Major corporations Nvidia and Ericsson were involved in the research to guarantee the communication link of the automated system.

"To perform surgery from the United States to Britain with a 120 millisecond lag - an instant - is genuinely extraordinary," said the neurosurgeon.

Technology Demonstration
In this earlier demonstration of the equipment, it shows how a surgeon - who could be any location - can move the wires, and the equipment records the movements
Robotic System Mirroring
In this comparable demonstration, the robot - which could be attached to a subject - replicates the action of the remote surgeon

The future of stroke treatment

Prof Grunwald, who has received recognition for her contributions and is also the executive member of the World Federation for Interventional Stroke Treatment, said there were key issues with a conventional clot removal - a global shortage of specialists who can conduct it, and intervention relies upon your physical place.

In Scotland, there are only three places people can receive the procedure - three major cities. If you don't live there, you must travel.

"The intervention is very time sensitive," explained the lead researcher.

"Each six-minute postponement, you have a 1% less chance of having a good outcome.

"This system would now provide a innovative method where you're not reliant upon where you live - preserving the crucial moments where your cerebral matter is otherwise dying."

Public health data revealed there were {9,625 ischaemic strokes|numerous cerebral events|

Aaron Collins
Aaron Collins

Maya Chen is a data scientist and tech writer specializing in AI applications for business analytics and digital transformation.