Journal of Medical Systems

, Volume 32, Issue 3, pp 235–242

Field Testing of a Remote Controlled Robotic Tele-echo System in an Ambulance Using Broadband Mobile Communication Technology

  • Ryohei Takeuchi
  • Hiroshi Harada
  • Kohji Masuda
  • Gen-ichiro Ota
  • Masaki Yokoi
  • Nobuyasu Teramura
  • Tomoyuki Saito
Original Paper


We report the testing of a mobile Robotic Tele-echo system that was placed in an ambulance and successfully transmitted clear real time echo imaging of a patient's abdomen to the destination hospital from where this device was being remotely operated. Two-way communication between the paramedics in this vehicle and a doctor standing by at the hospital was undertaken. The robot was equipped with an ultrasound probe which was remotely controlled by the clinician at the hospital and ultrasound images of the patient were transmitted wirelessly. The quality of the ultrasound images that were transmitted over the public mobile telephone networks and those transmitted over the Multimedia Wireless Access Network (a private networks) were compared. The transmission rate over the public networks and the private networks was approximately 256 Kbps, 3 Mbps respectively. Our results indicate that ultrasound images of far higher definition could be obtained through the private networks.


Robotic tele-echo Broadband mobile communication technology Ambulance Seamless Ultrasound 


  1. 1.
    Chu, Y., and Ganz, A., A mobile teletrauma system using 3G network. IEEE Trans. Inf. Technol. Biomed 2:261–267, 1998.CrossRefGoogle Scholar
  2. 2.
    Gallego, J. R., Solana, A. H., Canales, M., Lafuente, J., Valdovinos, A., and Navajas, J. F., Performance analysis of multiplexed medial data transmission for mobile emergency care over the UMTS channel. IEEE Trans. Inf. Technol. Biomed 9:261–267, 2005.CrossRefGoogle Scholar
  3. 3.
    Mitsuishi, M., Warisawa, S., Tsuda, T., Higuchi, T., Koizumi, N., Hashizume, H., and Fujiwara, K., Remote ultrasound diagnosis system. Proc. IEEE Int. Conf. Robot. Autom 2:1567–1574, 2001.Google Scholar
  4. 4.
    Soyunca, S., Cete, Y., Bozan, H., Kartal, M., and Akyol, A. J., Accuracy of physical and ultrasonographic examinations by emergency physicians for the early diagnosis of intraabdominal haem4.orrhage in blunt abdominal trauma. Injury 38:564–569, 2007.CrossRefGoogle Scholar
  5. 5.
    Nagatuma, H., Development of an emergency medical video multiplexing transport system. J. Med. Syst 27:133–140, 2003.CrossRefGoogle Scholar
  6. 6.
    Funada, R., Harada, H., Kamio, Y., Shinoda, S., and Fujise, M., A new amplitude and phase compensation scheme under fast fading environment for OFDM packet transmission systems. Proc. IEEE VTS 54th Vehicular Technology Conference 4:2093–2097, 2001.CrossRefGoogle Scholar
  7. 7.
    Harada, H., and Funada, R., High-mobility OFDM transmission prototype for next generation mobile communication networks. The 6th International Symposium on Wireless Personal Multimedia Communications WPMC03 3:184–187, 2003.Google Scholar
  8. 8.
    Harada, H., A proposal of intra-system handover for new generation seamless wireless access systems. Technical Report of the IEICE125:31–36, 2004.Google Scholar
  9. 9.
    Kirkpatrick, A. W., Simons, R. K., Brown, R., Nicolaou, S., and Dulchavsky, S., The hand held FAST: experience with hand-held trauma sonography in a level-1 urban trauma center. Injury 23:303–308, 2002.CrossRefGoogle Scholar
  10. 10.
    Ohta, G., Kamada, F., Teramura, N., and Hojo, H., W-LAN Verification for public mobile applications—internet newspaper on train and advanced ambulance car. IEEE CCNC 2004 Proceedings Session A6-1, January, Las Vegas, USA, 2004.Google Scholar
  11. 11.
    Masuda, K., and Kato, H., Development of a twist pantograph mechanism for robotic tele-echography. Proc. of 3rd European Medical & Biological Engineering Conference (EMBEC'05). CD-ROM No.1847, 2005.Google Scholar
  12. 12.
    Masuda, K., Tateishi, N., and Suzuki, Y., Experiment of wireless tele-echography system by controlling echographic diagnosis robot. Proc. of the Medical Image Computing and Computer-Assisted Intervention—MICCAI 2002: 5th International Conference, Tokyo, Japan, 25–28 September, 130–137, 2002.Google Scholar
  13. 13.
    Abolmaesumi, P., Salcudean, S. E., Zhu, W. H., Sirouspour, M., and DiMaio, S., Image-guided control of a robot for medical ultrasound. IEEE Trans. Robot. Autom 18:11–23, 2002.CrossRefGoogle Scholar
  14. 14.
    Gourdon, A., Poignet, P., Poisson, G., Parmantier, Y., and March, P., Master–slave robotic system for ultrasound scanning. Proc. Eur. Med. Biol. Eng. Conf 2:1116–1117, 1999.Google Scholar
  15. 15.
    Strode, C. A., Rubal, B. J., Gerhardt, R. T., Christopher, F. L., Bulgrin, J. R., Kinkler, S. Jr, Bauch, T. D., and Boyd, S. Y. N., Satellite and mobile wireless transmission of focused assessment with sonography in trauma. Acad. Emerg. Med 10:1411–1414, 2003.CrossRefGoogle Scholar
  16. 16.
    Strode, C. A., Rubal, B. J., Gerhardt, R. T., Christopher, F. L., Bulgrin, J. R., and Boyd, S. Y. N., Wireless and satellite transmission of prehospital focused abdominal sonography for trauma. Prehosp. Emerg. Care 7:375–379, 2003.CrossRefGoogle Scholar
  17. 17.
    Vilchis, A., Troccaz, J., Cinquin, P., Masuda, K., and Pellissier, F., A new robot architecture for tele-echography. IEEE Trans. Robot. Autom 19:922–927, 2003.CrossRefGoogle Scholar
  18. 18.
    Radwan, M. M., and Abu-Zidan, F. M., Focussed assessment sonograph trauma (FAST) blunt abdominal trauma: surgeon's perspective. Afr. Health Sci 6:187–190, 2006.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Ryohei Takeuchi
    • 1
  • Hiroshi Harada
    • 2
  • Kohji Masuda
    • 3
  • Gen-ichiro Ota
    • 4
  • Masaki Yokoi
    • 5
  • Nobuyasu Teramura
    • 6
  • Tomoyuki Saito
    • 1
  1. 1.Department of Orthopedic SurgeryYokohama City University School of MedicineYokohamaJapan
  2. 2.National Institute of Information and Communications TechnologyKoganeiJapan
  3. 3.Graduate School of Bio-Application and Systems EngineeringTokyo University of Agriculture and TechnologyKoganeiJapan
  4. 4.Global Information & Telecommunication InstituteGraduate School of Waseda UniversityShinjukuJapan
  5. 5.Nomura Research InstituteChiyoda-kuJapan
  6. 6.Yokosuka Research Park R&D Promotion CommitteeYokosukaJapan

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