Creation of an innovation chair “Augmented operating room” at the Paul-Brousse hospital (AP-HP)

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Launched in January, this chair aims to transform the relationship to error in surgery and to “increase” the professionals. She wants to accelerate the development of digital technologies, in gestation or already existing, which allow to increase the senses (image, voice, touch and analysis of light) of the various actors of the block.

The devices to help improve practices are tested in a space of 158 m², including a “dummy operating room”, made available by the Paul-Brousse hospital (Villejuif, Val-de-Marne) . They are finalized and then 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.

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 “box block” (by analogy with the black box in aeronautics).

They cover the areas of communication between surgeon and patient, the capture of surgical images, the analysis of natural language in the operating room, augmented reality through the use of digital twins or fluorescent light, collaborative robotics or cobotics (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 twins of organs that reproduce the deformation of the tissues according to the surgeon’s movements on the real organ with cobots (assistance platforms) developed by the start- up Moon Surgical.

The Bopa chair is also developing, with the company Lettria, a conversational agent (or chatbot) and a device for analyzing 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.

The Bopa project is funded by the AP-HP Foundation and the Mines-Télécom Foundation, thanks to the sponsorship of Sham (Relyens group) and Boston Scientific Foundation Europe on the one hand, and Orange Healthcare, Medtronic and Richard Wolf on the other hand.

They support the project for 4 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.

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