Discovery of the “Augmented Operating Room” innovation chair

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The AP-HP and the Institut Mines-Télécom (IMT) have forged a partnership by launching the “Augmented Operating Room” (BOPA) innovation chair to improve operating practices using innovative digital technologies. Discovery.

Installed at the Paul-Brousse hospital, within the GHU AP-HP. Paris-Saclay University, BOPA identifies the problems of the operating room and provides human and technological solutions: transforming the relationship to error in surgery and increasing the number of professionals by accelerating the use of digital technology in the operating room. By humanly and technologically modernizing the operating room, the actors of BOPA want to transform the analysis and the learning of the surgical act.

The BOPA chair was born from the meeting between Prof. Eric Vibert, surgeon at the Hepato-Biliary Center of the Paul-Brousse AP-HP Hospital and professor at the Faculty of Medicine of the University of Paris-Saclay, and Prof. Patrick Duvaut, Director of Innovation at IMT, continuing the work of the “Surgical Innovation Weekends”. The WIC, a Think Tank that brings together surgeons, anesthetists, engineers, mathematicians and sociologists, aims to reflect on the future of surgery, which is built around more transparency and a new relationship to error that must be recognized. , dare to say and document.

Launched in January 2020, the BOPA chair accelerates the development of digital technologies, in gestation or already existing, which make it possible to increase the senses (vision, speech and touch) of the various actors in the block. These devices to help improve practices are tested in a 158 m2 space – including a “dummy operating room” – made available by the Paul-Brousse AP-HP hospital. They are finalized and then quickly validated in the operating room of the Hepato-Biliary Center. The solutions tested are then distributed to the entire AP-HP, in all surgical, adult and pediatric disciplines.

In this perspective, the teams of the chair work in close collaboration with Prof. Sabine Sarnacki, head of the pediatric visceral and urological surgery department of the Necker-Enfants Malades AP-HP hospital, Prof. Souhayl Dahmani, head of the department of anesthesia-resuscitation of the Robert-Debré AP-HP hospital, and Dr Geoffroy Canlorbe, of the gynecological and breast surgery department of the Pitié-Salpêtrière AP-HP hospital.

BOPA is structured around six systemic blocks: the Human Factor Block, the Viz Block, the Bot Block, the Light Block, the Touch Block and the Block Box (by analogy with the black box in aeronautics). They cover the fields of communication between surgeon and patient, the capture of surgical images, the analysis of natural language in the operating room, realityenhanced by the use of digital twins or fluorescent light, collaborative or cobotic robotics (design of collaborative robots) and the protection of operating room and patient data.

These tools allow greater precision of the gesture by coupling, for example, digital organ twins that reproduce the deformation of the tissues according to the surgeon’s movements on the real organ with cobots developed by the start-up Moon Surgical. Among the other projects under development, the BOPA chair is developingalso, with the company Lettria, a conversational agent (or “chatbot”) and a device making it possible to analyze the surgeon’s vision during the operation.

The collection of data and the capture of images also make it possible to enrich the protocols and retrace, step by step, the stages of an intervention, while facilitating the transmission of knowledge to surgeons in training, health professionals. and patients. The latter will be able to better understand the context of their intervention.

In order to develop these innovative tools, the BOPA innovation chair sets up unique multi-business and multidisciplinary partnerships, combining advances in knowledge and proof of concept (PoC), of which IMT is the initiator. Like research on surgery today which is opening up to other disciplines, the teams ofBOPA collaborates in the field of human sciences with the Institut Mines-Télécom Business School and the Humanity and Health chair of the National Conservatory of Arts and Crafts (Cnam). In the area of ​​technology, in addition to IMT schools (IMT Atlantique, Télécom Paris, Télécom SudParis and Mines Saint-Etienne), they work with INRIA.

A partnership with Bpifrance is also being set up, in particular to facilitate the selection of start-ups that can meet identified needs in digital innovations. This collaborative ecosystem, made up of students, industrialists, start-ups, researchers from all disciplines, surgeons, anesthetists, and operating room nurses, allowsto speed up the cycle of putting new technologies and new protocols into use or on the market.

The work of the innovation chair involves technological partners at the forefront of their sector. BOPA is funded by the AP-HP Foundation and the Mines-Télécom Foundation, thanks to the patronage of Sham (Relyens group) and Boston Scientific Foundation Europe on the one hand, and Orange Healthcare, Medtronic and Richard Wolf of somewhere else.

They support the project for four years and each undertake to make contributions each year for an amount of nearly 200,000 euros. In addition, there is sponsorship of skills and donation of equipment from Getinge and Capgemini Invent.

Source: Institut Mines-Télécom

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