The technology, which consists of prosthetic buttocks and rectum with in-built robotic technology, has been developed by scientists at Imperial College London.
The idea is the device helps train doctors and nurses to perform rectal examinations by accurately recreating the feel of a rectum, as well as providing feedback on their examination technique. The device contains small robotic arms that apply pressure to the silicone rectum, to recreate the shape and feel of the back passage.
The technology, which is being presented at the Eurohaptics conference this week at Imperial, is now being adapted for gynaecological exams.
Dr Fernando Bello, from the Department of Surgery and Cancer at Imperial College London, said: ‘Internal examinations are really challenging to learn – and to teach. Because the examinations occur in the body, the trainer cannot see what the trainee is doing, and vice versa. In addition to this, medics rarely get the chance to practise the examination, as few patients would volunteer as practice subjects. In fact there is only one person registered in the country as a test subject, called a Rectal Teaching Assistant (RTA) in the UK.
‘But the results of these examinations can have major implications for patients – they are very important for early diagnosis of various conditions such as prostate cancer.’
Although plastic models exist to help train medical staff, these do not feel like living flesh and tissue, added Dr Bello. Therefore to help doctors and nurses practice how to perform these examinations – and to ensure they are as comfortable as possible for patients, Dr Bello and his team have created a robotic ‘trainer rectum’.
When using the trainer, a doctor inserts his finger inside a silicone thimble attached to robotic technology able to recreate the exact sensation of the human rectum.
A computer screen behind the device can display a 3D model of the rectum and prostate, allowing the doctor, with the aid of 3D glasses, to see the anatomy while they perform the examination. The technology can be programmed for different scenarios, allowing the anatomy to be changed each time, explained Dr Alejandro Granados, also from the Department of Surgery and Cancer at Imperial and who is leading the development of the robotic rectum.
‘We scanned a number of volunteers with an MRI scan and used this to perfect the shape and geometry of the anatomy. We have already asked a number of doctors and nurses – including prostate specialists and cancer surgeons – to trial the technology. They commented on the great advantage of being able to alter the anatomy. The size and shape of the rectum and prostate can vary greatly from person to person, and this technology enables medics to practice their skills in many different virtual patients. They also observed that because these examinations are performed solely by feel, experiencing a realistic sensation is crucial.’
The team are now working towards building an affordable prototype for medical schools. Although each device may cost over £10,000, the team say a more affordable option may be to use the finger pressure sensors and 3D software on traditional plastic models, to enhance existing training facilities.
The device is being presented this week at the international Eurohaptics conference at Imperial, taking place 4-7 July.