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@#Objective To explore the feasibility of 5G remote robot-assisted pulmonary lobectomy through animal experiments. Methods In this research, the Toumai® surgical robot was manipulated remotely by the surgeon in the Control Center of the MedBot Company through the 5G network established by China Telecom, and the experimental pig underwent lobectomy in simulated operating room. Results The animal experiment surgery was successfully completed. The surgeon remotely manipulated the surgical robot to complete the lobectomy of right apical lobe and mediastinal lymph node dissection. The entire animal experiment took about 60 minutes, with an average round-trip network delay of 125 (110-155) ms, and no network interruption or robot malfunction occurred. Conclusion This animal experiment is the first attempt of 5G remote thoracic surgery, which preliminarily proves the feasibility of completing remote lobectomy through the Toumai® surgical robot 5G wireless network connection. The systematic surgical procedure is summarized, which lays a foundation for the subsequent experiments and clinical applications of 5G remote robot-assisted thoracic surgery.
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Medical homogenization in multi-campus hospital plays an essential role in leveraging the advantages of public hospitals, promoting the expansion of high-quality medical resources and balancing regional layout. The Second Affiliated Hospital Zhejiang University School of Medicine deeply used digital intelligence technology to build a new integrated mobile health service system consisting of internet hospital and 5G intelligent applications, which empowered medical efficiency in multi-campus hospital. This system broke the limitations of inconsistent medical resources, unbalanced discipline layout, and insufficient information connectivity in the construction of multi-campus hospitals, and achieved remarkable results in practice. It could provide reference for the multi-campus construction of other large public hospitals.
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Objective:To explore the new generation of intelligent ICU Unit based on 5G and artificial intelligence technology.Methods:This study was conducted at the Second Affiliated Hospital, Zhejiang University School of Medicine from May 2019 to August 2020. Based on a multidisciplinary team including medical, nursing, hospital management, clinical medical engineering, 5G technology, information technology, artificial intelligence technology, logistics service, etc, was assembled to intelligently design and reconstruct an intelligent ICU Unit of Emergency ICU.Results:Based on 5G technology, a new intelligent ICU unit environment was constructed to realize remote and high-speed interaction of multi-dimensional information in ICU, including intelligent assistance of remote monitoring, remote ward rounds, remote consultation and family visits. An intelligent hospital infection prevention and control system was established including automatic identification and alarm of hand hygiene and personal protection.Conclusions:The new generation of intelligent ICU unit combined with 5G and artificial intelligence technology has changed the mode of medical service for critically ill patients and improved the service level, which is worthy of further exploration and application.
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Objective@#To develop medical emergency support information system for large-scale social activities based on 5G communication technology to improve efficiency of emergency medical services.@*Methods@#The project was completed in Hangzhou, China, from March 2016 to September 2019. Based on the medical service of large social activities, five information terminals are constructed, including on-site mobile terminal, on-board first aid terminal, expert remote consultation terminal, hospital terminal, and command dispatch center. The system can realize the real-time communication of medical information, patient's vital signs, audio, picture and video information, and can also make intelligent scheduling decisions for patients.@*Results@#5G Emergency Medical information System for Large-scale Social Activities has been completed, which consists of three parts: command and control platform, on-site rescue platform, and evacuation support platform. The command and monitoring platform displays the information of on-site medical teams, ambulances, hospitals and experts through web pages, and realizes multi-party video communication at any time, as well as text, voice and image information of patients' current condition, so as to realize command, dispatch and display statistical summary information. On-site rescue terminal includes patient information input, video signal acquisition and physiological information acquisition equipment. It realizes multiple methods of patient information input, vital signs and physiological information acquisition, multi-angle video acquisition and transmission to the command center. The evacuation support platform includes vehicle emergency terminal, remote expert consultation terminal, hospital terminal and UAV system. Vehicle terminal can scan and transfer with on-site ambulance team, record physiological information during transit, and also acquire and transmit monitor, electrocardiogram and ultrasound information. Hospital terminals can obtain patient information at the first time and prepare for first-aid in hospital. The remote expert terminal can be dispatched by the command center and the hospital terminal, and can join the remote consultation at any time. Unmanned aerial vehicle (UAV) system can transfer medical material between any locations.@*Conclusions@#This system can guarantee the patients to be transported from the scene to the ambulance and finally to the hospital during the large-scale social activities. In the whole process, the information transmission and dispatching decision-making are initially realized, and the statistical report forms can be made. However, to fully exert its advantages, it still needs the support of the complete 5G network and continuous optimization in real scenarios.
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Objective To develop medical emergency support information system for large-scale social activities based on 5G communication technology to improve efficiency of emergency medical services.Methods The project was completed in Hangzhou,China,from March 2016 to September 2019.Based on the medical service of large social activities,five information terminals are constructed,including on-site mobile terminal,on-board first aid terminal,expert remote consultation terminal,hospital terminal,and command dispatch center.The system can realize the real-time communication of medical information,patient's vital signs,audio,picture and video information,and can also make intelligent scheduling decisions for patients.Results 5G Emergency Medical information System for Large-scale Social Activities has been completed,which consists of three parts:command and control platform,onsite rescue platform,and evacuation support platform.The command and monitoring platform displays the information of on-site medical teams,ambulances,hospitals and experts through web pages,and realizes multi-party video communication at any time,as well as text,voice and image information of patients' current condition,so as to realize command,dispatch and display statistical summary information.On-site rescue terminal includes patient information input,video signal acquisition and physiological information acquisition equipment.It realizes multiple methods of patient information input,vital signs and physiological information acquisition,multi-angle video acquisition and transmission to the command center.The evacuation support platform includes vehicle emergency terminal,remote expert consultation terminal,hospital terminal and UAV system.Vehicle terminal can scan and transfer with on-site ambulance team,record physiological information during transit,and also acquire and transmit monitor,electrocardiogram and ultrasound information.Hospital terminals can obtain patient information at the first time and prepare for first-aid in hospital.The remote expert terminal can be dispatched by the command center and the hospital terminal,and can join the remote consultation at any time.Unmanned aerial vehicle (UAV) system can transfer medical material between any locations.Conclusions This system can guarantee the patients to be transported from the scene to the ambulance and finally to the hospital during the large-scale social activities.In the whole process,the information transmission and dispatching decision-making are initially realized,and the statistical report forms can be made.However,to fully exert its advantages,it still needs the support of the complete 5G network and continuous optimization in real scenarios.