Remote Guidance Research Articles

Battling Fire and Ice: Remote Guidance Ultrasound (US) to Diagnose Injury on the International Space Station (ISS) and Ice Rink

Battling Fire and Ice: Remote Guidance Ultrasound (US) to Diagnose Injury on the International Space Station (ISS) and Ice Rink

A Remote Vision Guidance System for Visually Impaired Pedestrians

This paper presents research and development work on a novel system with a view of developing a navigation system for the guidance of visually impaired pedestrians. The prime aim of the new developed system is to enhance the mobility of visually impaired pedestrians using remote guidance provided by sighted person. However, the system can be used in many other applications. The system implementation is based on the integration of the Global Positioning System (GPS), Geographical Information System (GIS) database and a remote vision facility over the third generation (3G) of mobile networks, providing a technological platform enabling visually impaired pedestrians to be guided remotely by a sighted guide.

Left Ventricular Lead Placement Within a Coronary Sinus Side Branch Using Remote Magnetic Navigation of a Guidewire: A Feasibility Study

A novel magnetic navigation system (MNS) allowing remote guidance of catheters and guidewires might assist in implantation of left ventricular (LV) pacing leads. To assess the feasibility of deploying a LV pacing lead into a coronary sinus (CS) side branch using a magnetically guided wire and of performing the procedure without a CS guiding sheath. Twenty-one patients were included in this study. Nine underwent CRT device implantation using a MNS to steer the guidewire (MNS group) while 12 patients were conventionally implanted (control group). In 6 patients in the MNS group, the procedure was performed using a CS guiding sheath. In 3 others, the decision was to perform the procedure without a CS sheath. In these patients the wire was advanced manually, while the external magnets oriented it toward the CS os. In the CS, "vector based" navigation was used to guide the wire to the desired side branch. In all 9 patients in the MNS group, the target vessel could be successfully engaged by the magnetically guided wire. In 7, the LV lead was lodged in the target vessel. In 2 patients, the LV lead was repositioned in an anterolateral side branch due to instability or inability to engage the vessel with it. Mean total procedure time was 164 +/- 58 minutes (without sheath 229 +/- 52 vs with sheath 132 +/- 26 minutes; P = 0.007). Mean fluoroscopy time was 28 +/- 9 minutes. For control patients, the procedure and fluoroscopy time were similar (144 +/- 41 minutes and 26 +/- 12 minutes, respectively). No major complications occurred. LV lead implantation can be performed using a remote magnetically steered guidewire. Though the lead could be implanted without a CS guiding sheath, longer procedure times were required.

Ocular examination for trauma: clinical ultrasound aboard the International Space Station

BACKGROUND: Ultrasound imaging is a successful modality in a broad variety of diagnostic applications including trauma. Ultrasound has been shown to be accurate when performed by non-radiologist physicians; recent reports have suggested that non-physicians can perform limited ultrasound examinations. A multipurpose ultrasound system is installed on the International Space Station (ISS) as a component of the Human Research Facility (HRF). This report documents the first ocular ultrasound examination conducted in space, which demonstrated the capability to assess physiologic alterations or pathology including trauma during long-duration space flight. METHODS: An ISS crewmember with minimal sonography training was remotely guided by an imaging expert from Mission Control Center (MCC) through a comprehensive ultrasound examination of the eye. A multipurpose ultrasound imager was used in conjunction with a space-to-ground video downlink and two-way audio. Reference cards with topological reference points, hardware controls, and target images were used to facilitate the examination. Multiple views of the eye structures were obtained through a closed eyelid. Pupillary response to light was demonstrated by modifying the light exposure of the contralateral eye. RESULTS: A crewmember on the ISS was able to complete a comprehensive ocular examination using B- and M-mode ultrasonography with remote guidance from an expert in the MCC. Multiple anteroposterior, oblique, and coronal views of the eye clearly demonstrated the anatomic structures of both segments of the globe. The iris and pupil were readily visualized with probe manipulation. Pupillary diameter was assessed in real time in B- and M-mode displays. The anatomic detail and fidelity of ultrasound video were excellent and could be used to answer a variety of clinical and space physiologic questions. CONCLUSIONS: A comprehensive, high-quality ultrasound examination of the eye was performed with a multipurpose imager aboard the ISS by a non-expert operator using remote guidance. Ocular ultrasound images were of diagnostic quality despite the 2-second communication latency and the unconventional setting of a weightless spacecraft environment. The remote guidance techniques developed to facilitate this successful NASA research experiment will support wider applications of ultrasound for remote medicine on Earth including the assessment of pupillary reactions in patients with severe craniofacial trauma and swelling.

Ocular Examination For Trauma; Clinical Ultrasound Aboard The International Space Station

Ultrasound imaging is a successful modality in a broad variety of diagnostic applications including trauma. Ultrasound has been shown to be accurate when performed by non-radiologist physicians; recent reports have suggested that non-physicians can perform limited ultrasound examinations. A multipurpose ultrasound system is installed on the International Space Station (ISS) as a component of the Human Research Facility (HRF). This report documents the first ocular ultrasound examination conducted in space, which demonstrated the capability to assess physiologic alterations or pathology including trauma during long-duration space flight. An ISS crewmember with minimal sonography training was remotely guided by an imaging expert from Mission Control Center (MCC) through a comprehensive ultrasound examination of the eye. A multipurpose ultrasound imager was used in conjunction with a space-to-ground video downlink and two-way audio. Reference cards with topological reference points, hardware controls, and target images were used to facilitate the examination. Multiple views of the eye structures were obtained through a closed eyelid. Pupillary response to light was demonstrated by modifying the light exposure of the contralateral eye. A crewmember on the ISS was able to complete a comprehensive ocular examination using B- and M-mode ultrasonography with remote guidance from an expert in the MCC. Multiple anteroposterior, oblique, and coronal views of the eye clearly demonstrated the anatomic structures of both segments of the globe. The iris and pupil were readily visualized with probe manipulation. Pupillary diameter was assessed in real time in B- and M-mode displays. The anatomic detail and fidelity of ultrasound video were excellent and could be used to answer a variety of clinical and space physiologic questions. A comprehensive, high-quality ultrasound examination of the eye was performed with a multipurpose imager aboard the ISS by a non-expert operator using remote guidance. Ocular ultrasound images were of diagnostic quality despite the 2-second communication latency and the unconventional setting of a weightless spacecraft environment. The remote guidance techniques developed to facilitate this successful NASA research experiment will support wider applications of ultrasound for remote medicine on Earth including the assessment of pupillary reactions in patients with severe craniofacial trauma and swelling.

Left ventricular lead placement within a coronary sinus side branch is feasible using remote magnetic navigation of a guidewire

Background: A novel magnetic navigation system has been designed with the purpose of allowing remote guidance of catheters and guide-wires, with the aim of reaching areas or accessing vessels otherwise difficult to get to by conventional means.

Cholecystitis on mars: Remote guidance of bilary drainage for exploratory class missions

Cholecystitis on mars: Remote guidance of bilary drainage for exploratory class missions

Evaluation of Shoulder Integrity in Space: First Report of Musculoskeletal US on the International Space Station

Investigative procedures were approved by Henry Ford Human Investigation Committee and NASA Johnson Space Center Committee for Protection of Human Subjects. Informed consent was obtained. Authors evaluated ability of nonphysician crewmember to obtain diagnostic-quality musculoskeletal ultrasonographic (US) data of the shoulder by following a just-in-time training algorithm and using real-time remote guidance aboard the International Space Station (ISS). ISS Expedition-9 crewmembers attended a 2.5-hour didactic and hands-on US training session 4 months before launch. Aboard the ISS, they completed a 1-hour computer-based Onboard Proficiency Enhancement program 7 days before examination. Crewmembers did not receive specific training in shoulder anatomy or shoulder US techniques. Evaluation of astronaut shoulder integrity was done by using a Human Research Facility US system. Crew used special positioning techniques for subject and operator to facilitate US in microgravity environment. Common anatomic reference points aided initial probe placement. Real-time US video of shoulder was transmitted to remote experienced sonologists in Telescience Center at Johnson Space Center. Probe manipulation and equipment adjustments were guided with verbal commands from remote sonologists to astronaut operators to complete rotator cuff evaluation. Comprehensive US of crewmember's shoulder included transverse and longitudinal images of biceps and supraspinatus tendons and articular cartilage surface. Total examination time required to guide astronaut operator to acquire necessary images was approximately 15 minutes. Multiple arm and probe positions were used to acquire dynamic video images that were of excellent quality to allow evaluation of shoulder integrity. Postsession download and analysis of high-fidelity US images collected onboard demonstrated additional anatomic detail that could be used to exclude subtle injury. Musculoskeletal US can be performed in space by minimally trained operators by using remote guidance. This technique can be used to evaluate shoulder integrity in symptomatic crewmembers after strenuous extravehicular activities or to monitor microgravity-associated changes in musculoskeletal anatomy. Just-in-time training, combined with remote experienced physician guidance, may provide a useful approach to complex medical tasks performed by nonexperienced personnel in a variety of remote settings, including current and future space programs.

Recent advances in remote coal mining machine sensing, guidance, and teleoperation

This paper presents some recent applications of sensing, guidance and telerobotic technology in the coal mining industry. Of special interest is the development of semi or fully autonomous systems to provide remote guidance and communications for coal mining equipment. We consider the use of radar and inertial based sensors in an attempt to solve the horizontal and lateral guidance problems associated with mining equipment automation. We also describe a novel teleoperated robot vehicle with unique communications capabilities, called the Numbat, which is used in underground mine safety and reconnaissance missions.

Telematics and telemanipulation in surgery

SummaryTelematics applications are of big interest for research in various fields of medicine. In diagnosis, teleconsulting techniques for the remote interpretation of radiologic or histologic images is already clinical practice in several centres. In therapeutic areas, such as all surgical disciplines, telemedicine also has relevance, but is not yet as widespread as on the diagnostic side. Three levels of telematic applications in surgery can be distinguished: teleconsulting, teleassistance and telemanipulation. Whereas the first is solely based on intra-operative video-conferencing and bilateral audio-visual communications, the two other levels include remote guidance of an endoscope or even surgical instruments, by a remote expert. In surgery most telematic applications are still experimental and further technical progress is required. We estimate that teleconsulting techniques will enter the clinical routine of centres relatively soon, whereas teleassistance and telemanipulation technologies will not result in clinical breakthroughs within the next few years.

Human factors of 3D displays in advanced image communications

Three-dimensional displays provide an unambiguous visual representation of the spatial structure of natural scenes and computer-generated virtual environments and thus have proven substantial advantages over conventional displays in remote guidance and inspection tasks and in application fields such as medical imagery and architectural and molecular modelling. Recent years have seen increasing efforts to extend 3D technologies into the domain of image communications. These efforts received support from human factors studies indicating that 3D displays are highly appreciated by prospective users of image communications systems for their enhanced psychological effects (telepresence and communicative presence). On the other hand, these studies have revealed heavy technological requirements that must be met in order to avoid visible image distortions and increased visual strain.

Teleautonomous guidance for mobile robots

A novel technique for the remote guidance of fast mobile robots has been developed and implemented. With this method, the mobile robot follows the general direction prescribed by an operator. However, if the robot encounters an obstacle, it autonomously avoids collision with that obstacle while trying to match the prescribed direction as closely as possible. This novel implementation of shared control is completely transparent and transfers control between teleoperation and autonomous obstacle avoidance gradually. The method, called teleautonomous operation, allows the operator to steer vehicles and robots at high speeds and in cluttered environments, even without visual contact. Teleautonomous operation is based on the virtual force field (VFF) method, which was developed for autonomous obstacle avoidance. The VFF method is especially suited to the accommodation of inaccurate sensor data and sensor fusion, and allows the mobile robot to travel quickly without stopping for obstacles.< <ETX xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">&gt;</ETX>

A new catheter system with remote tip guidance for endobronchial brachytherapy.

Endobronchial brachytherapy is being used with increased frequency in the treatment of recurrent neoplastic obstruction of the major airways, alone or in combination with Nd-YAG laser ablation of the occluding tumor mass. Currently available catheter systems are not reliable with respect to accurate and simple bronchoscopic guidance during placement. Flexibility, wall strength and radiation transmission characteristics are not optimized. We describe a system that meets these goals which has been designed and tested in our department. It is composed of an external handle, deflecting guidewire, and catheter specially modified for endobronchial brachytherapy, with a tip that can be maneuvered in any direction with one hand from outside the patient. Major advantages of the system are ease of concurrent bronchoscopy and catheter guidance, good dosimetric characteristics of the catheter, reasonable cost, and ready availability for adaptation to various techniques of endobronchial brachytherapy.

End-Effector Guidance of Robot Arms

This paper deals with a robotic system in which the end-point is directly controlled. It consists of a remote guidance subsystem and a manipulator with an end-of-arm sensor subsystem. The guidance subsystem transmits and manipulates a laser beam in space, and the sensor detects the beam, sends the information to the robot controller, which, in turn, instructs the manipulator to follow the beam. The possible modifications in the manipulator structure, electronic hardware, and controller software of such systems are discussed. An experimental system consists of a SCARA-type flexible arm was constructed, and the results of the experiments are reported in the paper.

Transistorized Selective and Control Amplifier

A systematic work has been done in designing and fabricating a complete remote control guidance system, using FM-AM, for a flying vehicle. This paper deals with the selection of the proper channel following the guidance receiver on the vehicle, the necessary amplification of the command signal on that channel and the final servo stage.The channel discriminator consists of two selective amplifiers using twin-T in the feedback loops, followed by a differential amplifier. The frequency sensitive output is fed to a high current gain control amplifier with actuator coils as the loads. The complete circuit, its working, printed board layout and the results obtained are discussed.