TeCaRob: TeleCare Robotic Assistant

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TeCaRob TeleCare Robotic Assistant
Tele-Care using Tele-presence and Robotic
Technology for Assisting People with Special
Needs

• Bessam Abdulrazak, Ph.D.
• Mobile and Pervasive Computing Laboratory
• Computer and Information Science and Engineering
  DepartmentUniversity of Florida, Gainesville,
  FL-32611, USA.

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Content

• Motivation
• HealthCare system Tele-Care
• TeCaRob vision of Tele-Care
• TeCaRob Toolbox
• Scenarios
• Conclusion

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Imminent Crisis in HealthCare
Population 85 1910 to 2050
Percent with Disabilities by Age
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Motivation

• Increasing aging population around the world
• In 2002 Around 13 in the US and 20.0 in
  Europe.
• By 2030 Number of the elderly will be more than
  double.
• Insure independent living without sacrificing
  quality of life or health care quality
• Increasing need for nursing
• Nurses shortage problem
• In the US
• Exceeds 10
• 56 of hospitals report problems with nurse
  recruitment
• Shortage by 2010 ? 1 million
• Shortage by 2020 ? 1.5 million

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Existing Solutions

• Assistive Robots have a limited number of tasks
  to perform
• Smart spaces / Smart Houses do not offer close
  physical interaction with the end-user

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HealthCare System

• Critical role of home care delivery in
  maintaining a decent quality of life for older
  adults
• Continuity of health assistance
• Requires more nursing services
• Requires more travel between the caregiver
  centers and senior residences
• Seniors have to move to care centers
• Caregivers have to move to senior residence
• Cost of health assistance includes
• Travels of nurses or caregivers to seniors homes
• Nurse duty time
• Facilities and resources used
• Legal settlement due to inadequate response of
  care giver

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Tele-nursing
The practice of nursing using telecommunications
technology

• Pearl
• University of Pittsburgh and Carnegie
  Mellon University

• RP-6 system
• (or rounding-robot)
• InTouch Health
• (California)

Wakamaru Robot Nurse Mitsubishi Heavy Industries,
Japan
No physical assistance
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Vision of Tele-nursing
Customized on-demand remote assistance
Design and adaptation of remote care center
Integration of robotics in an assistive
environment
Extend the tele-nursing definition Virtual
physical presence, to provide care.
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Senior Residences

• A robot system is acting, behaving and
  communicating as a nurse
• Mobil Robotic platform
• Environment-sensing platform
• Interaction platform

Patent pending
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Mobile Robotic Platform
Patent pending
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Health Care Centers

• Nurse wears the robot, to be transferred
  in the environment of seniors (residences) and
  interact remotely with them
• Representation of senior environments
• Feeling of the seniors and their environments
• Control the robot remotely

Patent pending
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Functional characteristics

• The TeCaRob system is under the complete control
  of the caregiver,
• The TeCaRob system is acting, behaving and
  communicating as a caregiver
• The TeCaRob is able to assist performing a large
  subset of tasks done by a human nurse at home
• Transfer and move end-user
• Perform tasks in end-user environment
• Close interaction with end-user body
• Communicate with seniors
• Monitor seniors

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Technical characteristics

• QoS
• Privacy
• Safety
• Security
• Precision
• Real time processing
• Friendly interaction

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Scenarios
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Scenarios
Ms. Mary is not very dependent Ms. Muusa needs
assistance Ms. Sulaymaan needs intensive
assistance

• Getting up
• Mobility
• Hygiene
• Eating and drinking
• Check conditions
• Administer medications
• Dressing undressing
• Emergency rescues

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Getting up
Getting up from bed or chair
Scenarios
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Mobility
Scenarios
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Hygiene
Use the toilet, cleaning and take a shower
Scenarios
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Eating Drinking
Senior started to use more pre-prepared food.
Many technologies offer features in the
kitchens, including food preparation
Scenarios
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Check Conditions
Seniors need more examination and check Nurses
used to move to EUs for diverse check levels
Scenarios
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Administer medications
Seniors are forgetful
Scenarios
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Dressing Undressing
Scenarios
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Emergency Rescues
Scenarios
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Technological Research Areas Challenges

• Robotic
• Human Machine Interaction (HMI)
• Pervasive Computing (Environment sensing)
• Communication Networking
• Health care
• Nursing

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Toolbox

• Set of tools to enable remote assistance
• Appropriate set of instruments to implement a
  remote action or gesture
• Plugging solution vs. Gripper
• Personalized tool for each task of the ADL

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ADL Basic tasks

• Picking-up objects
• bottle, box,
• Communication
• Voice technology
• Video technology
• VoIP
• Requirements
• Force feedback sensor
• Precise location sensor

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ADL Complex tasks Feeding 1/3

• Preparing food
• Open a cabinet or a fridge.
• Pickup food
• Open a bottle, a box,
• Open a microwave or an oven
• Cook the food (heat, boil, roast)
• Requirement
• Force feedback sensor
• Precise location sensor
• smart space sensors

Electric Can Opener
Manus
ABOR Autonomous Bottle Opener Robot
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ADL Complex tasks Feeding 2/3

• Drinking
• Use of a cup or a bottle
• Serve the liquid (water, milk, soda, etc.) in a
  cup
• Deliver a drink to a person
• Help user to drink
• Requirements
• Force feedback sensor
• Precise location sensor
• smart space sensors

Manus
Care-O-bot
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ADL Complex tasks Feeding 3/3

• Eating
• Use of a spoon or a fork
• Serve food in a dish
• Deliver food to a user
• Help user to eat (Design of the robotic gesture)
• Requirements
• Force feedback sensor
• Precise location sensor
• smart space sensors

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ADL Complex tasks Health Check

• Examination and Monitoring
• Wearable jacket
• Blood Pressure sensors, diabetes sensors,
• Administrating medications
• Liquid (cough syrup),
• pills
• Medical injection
• Give an insulin injection to an person with
  diabetes
• Requirements
• Force feedback sensor
• Precise location sensor
• smart space sensors

jet injector
Ped-O-Jet
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ADL Complex tasks Mobility

• Rising
• Moving with the elderly to get off the bed
  smoothly
• Give the patient a hand to rise from bed and
  settle into a wheel chair smoothly
• Adapted arms to raise the patient from the bed
  smoothly
• Lifting
• walking
• Assist patient in walking with smooth moves

KAIST
HAPTICA
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Conclusion

• The TeCaRob concept creates a Health Care System
• Allows remote physical interactions with
  end-users
• Provides continuous care assistance
• Allows extra checks
• Supports independent living

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Plan

• Form a multidisciplinary research consortium to
  address the problems in a multidimensional way
  from the user needs definition to prototyping and
  evaluation.
• Computer Science Engineering
• Mechanical Engineering
• School of Nursing
• Form partnerships
• Home HealthCare Providers
• Related Research Centers