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The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring

  • Panel 6. Ethics
  • , Panel 5. Health economics
  • , Panel 4. Human factors
  • , Panel 3. Clinical evaluation
  • , Panel 2. Technical evaluation
  • , Panel 1. Artificial intelligence
  • , The IDEAL Robotics Colloquium
  • , Panel 7. Surgical training
  • University College London Hospitals NHS Foundation Trust
  • University College London
  • Houston Methodist
  • University of Oxford
  • Apollo Hospitals Group
  • Medical University of South Carolina
  • University of Southampton
  • Macquarie University
  • Western University
  • Trinity College Dublin
  • Radboud University Nijmegen
  • King's College London
  • King’s College London
  • Moon Surgical
  • University of Leeds
  • Bowel Research UK
  • University of Geneva
  • Stanford University
  • Manchester University NHS Foundation Trust
  • Abu Dhabi Health Services Company
  • Monash University
  • University of Washington
  • University of Warwick
  • University of York
  • University of Ottawa
  • University of Copenhagen
  • University of Barcelona
  • Adelaide University
  • Maastricht University
  • Cedars-Sinai Medical Center
  • Purdue University
  • University of Edinburgh
  • LP Human Factors Ltd

Research output: Contribution to journalArticlepeer-review

132 Scopus citations

Abstract

The next generation of surgical robotics is poised to disrupt healthcare systems worldwide, requiring new frameworks for evaluation. However, evaluation during a surgical robot’s development is challenging due to their complex evolving nature, potential for wider system disruption and integration with complementary technologies like artificial intelligence. Comparative clinical studies require attention to intervention context, learning curves and standardized outcomes. Long-term monitoring needs to transition toward collaborative, transparent and inclusive consortiums for real-world data collection. Here, the Idea, Development, Exploration, Assessment and Long-term monitoring (IDEAL) Robotics Colloquium proposes recommendations for evaluation during development, comparative study and clinical monitoring of surgical robots—providing practical recommendations for developers, clinicians, patients and healthcare systems. Multiple perspectives are considered, including economics, surgical training, human factors, ethics, patient perspectives and sustainability. Further work is needed on standardized metrics, health economic assessment models and global applicability of recommendations.

Original languageEnglish
Pages (from-to)61-75
Number of pages15
JournalNature Medicine
Volume30
Issue number1
DOIs
StatePublished - Jan 2024

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