UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061842
Receipt number R000070767
Scientific Title Simulation-based evaluation of medical assistance using a physical AI-equipped robotic arm
Date of disclosure of the study information 2026/06/10
Last modified on 2026/06/09 11:41:59

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Basic information

Public title

Simulation-based evaluation of medical assistance using a physical AI-equipped robotic arm

Acronym

Robotic Arm Medical Assistance Study

Scientific Title

Simulation-based evaluation of medical assistance using a physical AI-equipped robotic arm

Scientific Title:Acronym

Robotic Arm Medical Assistance Study

Region

Japan


Condition

Condition

None

Classification by specialty

Anesthesiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Applying a robotic arm equipped with physical AI (a technology that integrates AI-based recognition and judgment with physical movement), this study evaluates the feasibility, accuracy, and safety of the following three points in a simulated environment: (1) instrument handover during central venous puncture, (2) autonomous puncture assistance for spinal anesthesia using a lumbar puncture simulator, and (3) autonomous puncture assistance for procedures such as peripheral nerve block, epidural anesthesia, and central venous puncture based on ultrasound image recognition. Through this, the study examines the contribution to reducing the workload of medical staff and decreasing human error.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Verification 1: accuracy of instrument handover (whether the correct item was delivered in the correct order and orientation). Verification 2: puncture success rate. Verification 3: puncture success rate.

Key secondary outcomes

Verification 1: number of errors (misdelivery, dropping, etc.), task duration. Verification 2: puncture site accuracy, task duration, safety assessment by physicians. Verification 3: puncture site accuracy, task duration, safety assessment by physicians.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

24 years-old <

Age-upper limit

65 years-old >=

Gender

Male and Female

Key inclusion criteria

Physicians affiliated with Yamagata University Hospital between May 1, 2026 and March 31, 2030 who provided consent to participate.

Key exclusion criteria

Those who did not provide consent to participate.

Target sample size

210


Research contact person

Name of lead principal investigator

1st name Hiroaki
Middle name
Last name Toyama

Organization

Yamagata University Faculty of Medicine

Division name

Department of Anesthesiology

Zip code

990-9585

Address

2-2-2 Iida-nishi, Yamagata City, Yamagata

TEL

023-628-5400

Email

hayasakatatsuya1101@gmail.com


Public contact

Name of contact person

1st name Tatsuya
Middle name
Last name Hayasaka

Organization

Yamagata University Faculty of Medicine

Division name

Department of Anesthesiology

Zip code

990-9585

Address

2-2-2 Iida-nishi, Yamagata city, Yamagata

TEL

023-628-5400

Homepage URL


Email

hayasakatatsuya1101@gmail.com


Sponsor or person

Institute

Yamagata University Faculty of Medicine

Institute

Department

Personal name



Funding Source

Organization

Takahashi Industry-Economy Research Foundation

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

The Ethical Review Committee of Yamagata University Faculty of Medicine

Address

2-2-2 Iida-nishi, Yamagata City, Yamagata

Tel

023-628-5015

Email

ikekenkyu@jm.kj.yamagata-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 06 Month 10 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2026 Year 05 Month 01 Day

Date of IRB


Anticipated trial start date

2026 Year 06 Month 10 Day

Last follow-up date

2030 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

In Japan, especially in rural areas, a serious shortage of medical staff persists, making it difficult to secure personnel for peripheral tasks such as instrument handover and drug preparation during surgery, as well as for high-difficulty puncture procedures such as epidural anesthesia and central venous puncture. This study applies a robotic arm equipped with physical AI, a technology integrating AI-based recognition and judgment with physical movement that is already in practical use in industry, to medicine, and conducts three verifications in a simulated environment. In Verification 1, the robotic arm hands over items (syringe, guidewire, catheter, etc.) to the physician in a simulated central venous puncture setting, and the accuracy of handover, number of errors, and task duration are evaluated. In Verification 2, using a commercial lumbar puncture simulator, the robotic arm performs autonomous puncture based on AI image recognition and motion planning (the physician makes the final decision for each puncture); the puncture success rate, puncture site accuracy, task duration, and safety assessment by physicians are measured. In Verification 3, using a commercial simulator, the robotic arm automatically recognizes nerves and targets from ultrasound images and performs autonomous puncture assistance for peripheral nerve block, epidural anesthesia, central venous puncture, and similar procedures (the physician makes the final decision); the puncture site is not restricted, and the success rate, puncture site accuracy, task duration, and safety assessment by physicians are measured. Participants are physicians affiliated with Yamagata University Hospital who have consented to participate; no patients are directly involved. Statistical analysis uses the chi-square test, Fisher's exact test, Mann-Whitney U test, and t-test, with a significance level of P<0.05.


Management information

Registered date

2026 Year 06 Month 09 Day

Last modified on

2026 Year 06 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070767