Development And Implementation of a Vision Based Tele-Surgical Robotic System for Remote Wound Assessment: A Descriptive Study in a Tertiary Care Hospital in Mandya

This is a single arm interventional medical device and diagnostic feasibility study to evaluate a robotic depth camera based system for non contact wound assessment in a tertiary care hospital in Mandya, India. A teleoperated robotic arm carrying a close range three dimensional depth camera is used to capture colour and depth images of surface wounds without touching the patient. Machine learning based algorithms automatically estimate wound length, width and maximum depth and generate a three dimensional wound map. In each patient these automated measurements are compared with standard manual measurements made by the treating surgeon using a sterile measuring scale. The study plans to enroll about fifty patients aged ten years and above who present with surface wounds or minor soft tissue trauma and are clinically stable. Primary outcomes include diagnostic accuracy of the automated measurements. Secondary outcomes include the proportion of wounds within a predefined error range, time taken for assessment, image and segmentation quality, and usability and acceptability of the system among surgeons.