The innovation program "Minimally invasive robotic surgery systems (TREMIRS)" aims to solve the needs of the Extremadura and Spanish Health System in the field of minimally invasive surgery by developing innovative solutions in surgical robotics that improve systems already existing on the market for application in laparoscopic surgery and microsurgery. "TREMIRS" is aimed at improving the limitations of existing robotic surgical systems on the market for both laparoscopic surgery and microsurgery, in order to offer better patient service, better ergonomics for the surgeon and greater benefits for the surgical team, with the consequent improvement in the quality of the healthcare service provided. For the development of this project, two lines of action are proposed. The main objective of the first line of action is the development of a robotic platform for laparoscopic surgery that solves the limitations of the current systems for laparoscopic robotic surgery available on the market. In this sense, and as described in the previous section, the challenges to be faced are its application in new surgical approaches, the improvement of ergonomic conditions for the surgeon, the possibility of accessing 3D vision to all the surgical team, the recording of the 3D image of the surgical procedure for later reproduction, and the availability of training tools compatible with 3D vision technologies, mobile platforms and online services. Through this project it is proposed to carry out a series of research and development actions to be able to address these challenges present in current robotic systems for laparoscopic surgery. Regarding the second line of action, the aim is to develop a teleoperated robotic platform for reconstructive microsurgery, made up of robotic micro-instruments with high maneuverability and precision. This platform will be intended for the manipulation of soft tissues to perform microsurgical techniques such as anastomosis, suture and ligation in small anatomical structures such as blood vessels, nerves and lymphatic ducts in open surgery procedures.
