Surgical Automations | Sanket Chauhan, CEO

Sanket Chauhan  0:00  
Thank you so much the chocolates were delicious by the way, so my name is Sanket Chauhan and from Dallas, Texas, the founder and CEO of surgical automations. We are developing automated endoscopic robots for for procedures such as upper GI endoscopy, colonoscopy ureteroscopy. cystoscopy, bronchoscopy. So if there is a pipe in a body with a scope, we can automate that. We also have IOT infrastructure, which helps us what we what we call an integrated stakeholder experience. So imagine a patient who has to go for a colonoscopy, it goes to his physician, get the instructions for preparation before before the procedure, goes home looks at those instructions. And the first thing that comes into mind is Dang, I should have asked that question before, tries to call the physician's office didn't really gets the real answer goes to Dr. Google finds out he's going to die tomorrow, because he has cancer. So that is that what education there is under Education, all of that is a problem. From a physician's perspective, these these are complex procedures, you're holding the handle in one hand, you have the scope in other hand, and you're trying to navigate looking at a screen takes a lot of skill to do this takes a lot of time to develop those skills. And then you have to go to your desk and do the OR notes. hospital administration has the biggest problem that surgical robot is the highly underutilized capital equipment, the only way to get some revenue out of this is when when you actually kind of push up physicians to use this, who are under- trained to do these procedures. And they have to that's associated with all kinds of safety and, and quality issues. So our core technology is what we call AR guided automated endoscopic robotic navigation. These are different kinds of endoscopy, endoscopy scopes that we are building that are automated, there is a colonoscopy, the diameter is bigger, of course, then a bronchoscopy. And it is it is longer, the length is longer. In this case, the user ID user interfaces like a wireless tablet, your damage to the stand, it goes inside the stomach in this example, start scanning this the physician is controlling this case, it finds an ulcer and suggest to the physician that they recommend a biopsy in physicians, okay, go ahead and connect the biopsy forces next to the robot. And then it gives you a trajectory that this is where I'm going to take about the physicians like okay, go ahead, once it go has to take this bite out. I really want to make you understand that the user interface here is the tablet, a wireless tablet. And the only motion the physician is doing is this is what we are using consumer technology. In this case it's a colonoscopy find anatomical landmarks that we are trained to train the robot according to that start scanning in this case, it finds a pop it gives the project says that okay, we got to take it out. A snares is a patch next to the robot. Again, it gives the trajectory that this is where I'm going to shoot physician controls it says yes go goes there and takes it out. Another example of this is colonosc our upper GI and lower GI sorry, Cystoscopy and ureteroscopy. Again, the robot is attached it goes inside the bladder looks for the novel anatomical landmarks that we are trained to do in this case, looks for right urethral orifice looks around scans around this case finds the lesion recommends doing a biopsy physician side okay go ahead and attaches the biopsy forces next to it. Again gives you the trajectory of where it's going to shoot or take the bite from and it takes it out. This is all the tablet or wireless tablet and the only things they are doing is swiping left, right up and down. This gives the ureteroscopy slides left or right. The physician is on his wireless tablet again, pressing a button and goes up the kidney. This case finds a stone suggest they should blast it the laser fiber is put inside gives you the trajectory where it's gonna shoot. You can change your settings in your wireless interface. And when you're ready, press the pedal and blast us that's of course this can be collect this is exactly how we do it today. In the interest of time, please go to our website, go to our YouTube channel surgical automations find us there are a couple more animations go I'm sure you're going to enjoy bronchoscopy upper up and endotracheal intubation. The second part of what we are building is there an IoT core platform and these are all connected devices, the data from this console in our data warehouse. And these are interactive apps for every stakeholder What do I mean by that?

The patient goes and know that he is asked to schedule a colonoscopy he gets access to this app. This has everything that he says FAQs, this has bowel preparation instruction, this is bowel preparation as a checklist so they can do it has what to expect it has family apps, it has follow up information. For the physician, this is a completely automated robot, they go in they sign in on this, they have all the information of what the case is they have done in last six months, 10 weeks, whatever they want. This is completely automated wireless interface, they are not doing this anymore. They go back to their office, they log in, they have an OR dictation notes with them. They can edit it, they can send it goes connects to the EHR CHR compatible for the hospital, our revenue model is what we call robot as a service, we do not ask the hospitals to give a capital but high cost is a barrier to entry and we want to get over that. We give it to the physician we give it to the hospital because we are we are we are confident then once we have in the hands of physicians, they're going to use it. So this is the fundamental impact of what we are trying to do. Every procedure has needs some kind of specialized skills. And for doing in order to do this procedure, we have the specialized case there is a curve and we are trying to move this curves to the left. But what does it mean? Every man and woman here the years of 40 over the age of 40 needs to have a colonoscopy. They're not enough gi doctors to be able to do that. What if What if using our robot internal medicine physicians can do that? What if family medicine physicians can do that? What if when I'm in the operating room a patient is waiting for three hours for me to finish my case they have a cystoscopy, then my pas and nurse practitioners can do that. Two years back we started we decided to start with and tracheal intubation which is putting a cube inside your mouth for various number of reasons. Please meet us later we are happy to talk about that this is the robot. This is the very early version of the robot that's a proprietary blade. That's a trick as simulated that you see the endotracheal tube goes on top of on top of this this flexible part that you see the user interface. The user interface is something like this, all you have to do is track Start button, it detects it and then you have press pushing the other button it inserts it if it tries to hit the wall, it will automatically correct itself. When you are going on a highway there is a car in front of you. Your car gives you a warning to stop if you don't stop it stops for you. That's exactly what it's doing now. Now you will ask me that okay, trachea was visible in this case, what if it's hidden. So in this all these four cases the trachea is hidden is the other one on and in this case, it starts scanning at blood keep scanning till it finds the anatomy of interest. Wherever it is. click of a button it finds it without the click of a button. It will take you inside. We have 21 pending patents all over the world six issued trademarks. The market size is $9 billion United States 55% That colonoscopy it's a screening procedure, followed by upper GI endoscopy intubations but 12 percent of that we are raising $6 million. That will take the the that is going to take us through FDA for the intubation and 42% of that is going to go in r&d, which is I want you to look at the red line at the bottom for the pipeline robotic prototypes that's where 42% of the of the phrase is gonna go and FDA is going to take another 14% So this is the team I use. I'm a physician by training the Tambora Berkeley Law graduates. See this is She's a startup specialist. This is her third startup Jason Blackstone, Harvard trained intellectual property litigation attorney. Aditya he's a contractor is a senior scientist at NASA. He's the one who has developed all the AI and automation for us. This is our advisory board Dr. Gillian Schmitz, president of the American College of Physicians, Dr. Patel I trained with Dr. Patel 10 years back, they are on the on the on the process of getting him in on the board amid serial entrepreneur, Dr. Aziz, Oregon, Dr. Rosenblatt, Yale, Dr. Romesh, Mayo Clinic, primary critical care with us. Thank you so much for your time. I'll be in the next lab if you have any questions, and I look forward to talking to you. Thank you.