On August 27th, with the support of China Telecom's 5G network and Huawei communication technology, Beijing Jishuitan Hospital was connected to Tianjin First Central Hospital, Karamay Central Hospital, and Zhangjiakou Second Hospital through a remote system control platform. Beijing Jishuitan Hospital Dean Field Wei alternately crawled the three surgical robots, planned the surgical plan and remotely operated it, and successfully performed remote surgery in the three places.

                                                    ▲5G connection three remote surgery

Remote surgery, 5G power smart medical landing

        5G, the 5th generation mobile communication technology, is the latest generation of cellular mobile communication technology, featuring high data rate, low latency, energy saving, cost reduction, system capacity and large-scale device connectivity. Although there have been many disputes about 5G in the industry, and it has not yet entered the homes of ordinary people, in the medical field, 5G applications have already taken the lead.

        5G's medical application has also acquired a new term - smart medical care. Although the definition of smart medical care is still controversial, it can be roughly described as smart medical care is the deep application and practice of the new generation of information technology and network technology in the medical field. Based on the 5th generation mobile communication technology, the limited use of medical personnel and Equipment resources, providing information, mobility and remote medical services in the diagnosis, monitoring and treatment of diseases. Therefore, smart medical care is a revolutionary upgrade of traditional medical and health information.

        Before the concept of smart medical care, it also relied on the Internet and information technology. There are many familiar terms and descriptions, such as Internet medical treatment, telemedicine and medical informationization. In 2014, it was called China's "Internet Medicine First Year."

        However, these terms and titles have basically disappeared in recent years for a number of reasons, because they have not really been realized. Now the emergence of 5G has connected with wisdom medical.

        From the core of smart healthcare, it is actually the 2.0 version of telemedicine, which relies on the emerging 5G technology to maximize and optimize medical resources. Now experts from Beijing's first-class hospitals are conducting operations at hospitals in Tianjin, Karamay, and Zhangjiakou, relying mainly on low-latency or non-delay of 5G technology. 5G can reach millisecond delay, which is a remote surgical belt. A leap in quality.

                                                                ▲Image source: Visual China

        Three patients outside Beijing are similar to the disease, and lumbar spine fractures in patients with lumbar spondylolisthesis, Zhangjiakou and Karamay in Tianjin. There are two large screens on the wall of the Robotic Remote Surgery Center of Beijing Jishuitan Hospital. The four screens on the right side of the screen show the scenes in real time. The doctors of Beijing Hospital use these images to design the surgery, direct the direction, position, size and thickness of the screws. The crawling and commanding robots are positioned in a three-dimensional space according to the design of the doctor of the Beijing Hospital, reaching the position of the nailing, and then the local doctor performs the screw implantation according to the positioning.

        Prior to this, on March 16, China Mobile teamed up with the Department of Neurosurgery of the First Medical Center of the Beijing General Hospital of PLA and the Neurosurgery of Hainan Hospital of the Sanya People's Liberation General Hospital. It successfully operated a human brain in a 5G environment for a patient with severe Parkinson's disease. Surgery, this operation is also the world's first 5G remote control of human craniotomy.

        The success of these operations means that the future 5G technology will be widely used in the medical field. Through 5G's large flow, large bandwidth, large connection, low latency, adapt to future medical needs, inter-institutional equipment interconnection, courtyard The development of medical services, as well as the organic combination of emergency treatment and regional medical systems.

                                                    ▲5G remote control of human craniotomy

Where is the difficulty of comprehensive medical wisdom?

        However, in terms of 5G technology, it is now in the trial stage, but it has only achieved breakthroughs in individual case treatment, and 5G technology itself needs to be improved.

        For remote surgery that relies on 5G, before each operation, telecommunications will place a “heavy policy” to provide important communication guarantees at important moments. For example, from the 5G base station of Jishuitan Hospital to the 5G base station of the other hospital, important end-to-end communication guarantees should be made, and the quality of the network should be stared by the special person, and other operations cannot be performed during the operation period. This seems to be a "line call" upgrade to a dedicated line network.

        In the future, to achieve the regularization of 5G surgery, it is obviously not enough to rely on the special line "heavy insurance policy". Only the normal operation of 5G telemedicine can achieve quality medical care for remote areas.

        The breakthrough of technology is certainly the bridge and foundation for human society to enter a new era. However, relying solely on technology is not enough to complete the transformation and gorgeous transformation of an era. It cannot be said that with 5G, China will enter the era of smart medical care and smart cities. Or a smart society. The reason why the telemedicine mentioned in the past is difficult to achieve today is not only because there is no 5G with high flow and low latency, but also because there are no supporting social rules and measures, such as the qualifications of medical institutions and doctors, responsibility and reimbursement of medical insurance. .

        5G can solve only technical problems, but there are several core issues that need to be solved in China. One is to cover the entire process of information management system within the medical institution; the other is to connect between medical institutions and patients, and between medical institutions. Telemedicine and grading diagnosis and treatment system; third, medical imaging AI-assisted diagnosis, medical robot and AI-assisted clinical medical decision-making system; fourth, remote settlement of medical insurance.

       The last issue has the greatest relationship with social mechanisms. Due to the unsynchronized economic development in various places, it is difficult for China's medical insurance to settle across regions, let alone simultaneous and real-time settlement as much as surgery. In fact, China advocated medical information construction as early as 1999, aiming to establish an improved information management system for medical institutions and improve the efficiency and effectiveness of medical services.

                                                             ▲Image source: Visual China

        Since then, with the help of the Internet, not only has telemedicine partially broken through, but also appointment registration, electronic payment, online consultation, online drug sales, online medical science, online medical professional re-education, etc., these phenomena have caused people to shout out The slogan of "subverting medical care".

        However, from the first year of the “China Internet Medical Year” in 2014 to the first round of the 2017 Internet medical bubble, medical subversion has not appeared, but it should also be seen that medical changes have emerged. And through the leadership of technological breakthroughs, it is possible to touch the threshold of smart medical care. To fully realize or achieve smart medical care, we cannot rely solely on 5G technology. We also need to adopt the "three-medical linkage" approach in the fields of medical care, medical insurance, and medicine. In the past, these three aspects were actually individual combat, even if there were 5G. Advancement will also be restricted to medical insurance medicine.

        Moreover, even if 5G realizes medical wisdom, it is only one aspect of the changing times. What needs to be promoted and promoted is the arrival and realization of a smart society. If first-class technology can be applied to afar, people will have a poetic life.

                                                                                                                            From: Beijing News

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