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project:3dpb-med:start

Autonomous Wound Treatment Robot

Autonomous Wound Treatment Robot
unnamed.jpg
founder: artem
depends on: 3d_printed_robotics_initiative
interested:
software license:
hardware license:

~~META: status = planning ~~

Motivation

Late one evening, I arrived at an emergency department with a wound infection (7 days post-injury, clear signs: warmth, pain, redness). The waiting room was almost empty, two people total.

I sat by the door, exposed the wound, and asked the nurse: “Can you look at this for 5 seconds and tell me if it can wait until morning?”

She looked me in the eyes: “No. You're not from our district. Go to Prague 1.”

She could have lowered her head for 5 seconds. Instead, she sent me to reception for a taxi. It would have taken less time to assess the wound than to redirect me. The room was empty. Administrative boundaries mattered more than basic human compassion.

This project exists because:

  • Emergency systems fail patients over bureaucracy
  • Consistent, accessible first-line care shouldn't depend on luck
  • Technology can provide the baseline care that humans sometimes refuse to give

What We're Building

An open-source 3D-printed robotic system for autonomous wound assessment and treatment.

Core Functions:

  • AI vision assessment (infection detection, severity scoring)
  • Ultrasonic wound debridement (bacteria elimination, biofilm removal)
  • Automated cleaning and treatment application
  • Treatment recommendations

Potential Applications:

  • Emergency department triage (overnight/weekend shifts)
  • Rural clinics with limited staff
  • Veterinary clinics (easier regulatory pathway for initial testing)
  • Field medicine (refugee camps, disaster zones)

Open Source Philosophy:

  • All hardware designs (CAD files, STL files)
  • All software (control systems, AI models, protocols)
  • Full documentation for replication
  • MIT/Apache license

Technical Overview

Hardware

Robotic Arm:

  • 3D-printed structure (PETG/ABS for sterilization compatibility)
  • 6-DOF design based on existing open-source arms
  • Budget servo/stepper motors
  • Tool changer mechanism for multiple attachments

Four Tool Attachments:

  • Air nozzle — sterile compressed air (debris removal, drying)
  • Liquid dispenser — saline/antiseptic spray system
  • Ultrasonic probe — 20-40 kHz debridement head
  • Ointment applicator — automated dosing system

Vision System:

  • USB camera + depth sensor
  • AI-based wound assessment
  • Thermal imaging (optional, for infection detection)

Control:

  • Raspberry Pi 4 or Arduino-based controller
  • Force/distance sensors for safety
  • Emergency stop mechanism

Treatment Protocol

  1. AI scan → assess wound (size, depth, contamination, infection signs)
  2. Pre-cleaning → saline rinse + air debris removal
  3. Ultrasonic debridement → antiseptic bath + ultrasound (30-60 sec)
    • Critical: ultrasound requires liquid medium to work
  4. Final rinse → sterile saline flush
  5. Air dry → compressed air
  6. Apply ointment → levomekol or equivalent
  7. Verification scan → check cleaning quality, repeat if needed
  8. Output recommendation → antibiotic prescription yes/no

Software Stack

Vision & AI:

  • OpenCV for image processing
  • TensorFlow/PyTorch for ML models
  • Wound segmentation (U-Net architecture)
  • Infection classifier (CNN)

Control System:

  • Custom kinematics or MoveIt integration
  • Real-time force monitoring
  • Safety collision detection
  • Treatment protocol state machine

Data & Logging:

  • All treatments logged for quality analysis
  • Continuous model improvement from field data

Roadmap

Phase 1: Proof of Concept (Months 1-6)

  • ☐ Design 3D-printable arm structure
  • ☐ Source and test motors, sensors, components
  • ☐ Build single-axis test rig
  • ☐ Test each tool attachment independently:
    • ☐ Air nozzle pressure control
    • ☐ Liquid dispenser accuracy
    • ☐ Ultrasonic probe effectiveness
    • ☐ Ointment application consistency
  • ☐ Build AI vision system (target: 70%+ accuracy on synthetic wounds)
  • ☐ Create synthetic wound models for testing
  • ☐ First complete treatment cycle demonstration

Milestone: Working prototype treats synthetic wounds with basic automation

Phase 2: Integration & Testing (Months 7-12)

  • ☐ Assemble full 6-DOF robotic arm
  • ☐ Implement tool changer mechanism
  • ☐ Integrate all subsystems (vision, control, safety)
  • ☐ Improve AI accuracy to 85%+ on diverse wound types
  • ☐ Collect 100+ test treatments on synthetic models
  • ☐ Document full build process for replication
  • ☐ Explore partnerships:
    • ☐ Veterinary clinics (easier regulatory environment)
    • ☐ NGOs working in field medicine
    • ☐ University research collaboration

Milestone: System consistently treats wounds autonomously, documentation published

Phase 3: Real-World Validation (Months 13-24)

  • ☐ Partner with veterinary clinic for supervised testing
  • ☐ Collect real-world treatment data
  • ☐ Refine protocols based on feedback
  • ☐ Publish findings (blog posts, conference papers, videos)
  • ☐ Build community of replicators
  • ☐ Research regulatory pathways (veterinary first, then human)
  • ☐ Explore grant opportunities for continued development

Milestone: 3+ external sites testing replicated systems, peer-reviewed validation

Phase 4: Scale & Impact (Months 24+)

  • ☐ Support multiple deployment sites
  • ☐ Develop “enterprise” features for clinical integration
  • ☐ Pursue medical device certification (if feasible)
  • ☐ Expand to humanitarian applications
  • ☐ Continue open-source development with growing community

Bill of Materials

Estimated component sources (not final):

Component Category Examples
3D printed parts PETG/ABS filament, printed in-house
Motors & actuators Standard hobby servos or NEMA steppers
Electronics Raspberry Pi 4, Arduino, motor drivers
Vision USB camera, Intel RealSense or similar depth sensor
Ultrasonic system Medical/dental ultrasonic scaler heads
Pumps & dispensers Peristaltic pumps, syringe pump mechanisms
Sensors Force sensors, proximity sensors, limit switches
Pneumatics Small air compressor, tubing, nozzles
Consumables Saline, antiseptic, medical ointments

Cost target: Keep total build under €5,000 for full system to enable widespread replication

Success Metrics

Technical Goals:

  • AI wound assessment accuracy >85%
  • Treatment cycle time <10 minutes
  • Zero safety incidents during testing
  • System replicable by others following documentation

Community Goals:

  • 2-3 active collaborators by Month 6
  • Full documentation published by Month 12
  • 3+ external replications by Month 24
  • Published validation study (blog/paper/conference)

Impact Goals:

  • Demonstrate viability of autonomous wound care
  • Provide accessible healthcare option for underserved areas
  • Inspire similar open-source medical robotics projects

Team & Collaboration

Current Team:

  • Project Lead: artem (systems integration, project coordination)

Looking For:

  • Robotics engineer — arm design, kinematics, motor control
  • ML/AI developer — vision system, wound classification models
  • Medical advisor — protocol validation, safety review
  • Embedded systems — microcontroller programming, sensor integration
  • Documentation — technical writing, video tutorials, build guides
  • Anyone interested! — part-time contribution welcome

How to Contribute:

  • Join weekly robotics meetups at Brmlab
  • Check GitHub repository (to be created)
  • Join #robotics channel on Brmlab communication platform

Reference Projects

Ultrasonic Wound Technology:

  • SonicOne (Misonix) — clinical ultrasonic debridement
  • UltraMIST — portable ultrasonic wound therapy
  • QOUSTIC (Söring) — surgical ultrasonic systems

AI Wound Assessment:

  • FDA-approved smartphone wound apps
  • Academic research on diabetic ulcer classification
  • Thermal imaging infection detection studies

Open-Source Robotic Arms:

Medical Robotics Inspiration:

  • da Vinci Surgical System (tool changing mechanisms)
  • STAR robot (autonomous suturing research)

Safety & Ethics

Safety Measures:

  • Force-limited actuators to prevent injury
  • Patient-accessible emergency stop
  • Human oversight for all treatments
  • Automatic shutdown on error detection
  • Sterile single-use tips for wound contact

Ethical Principles:

  • Clear communication: system is an assistant, not a replacement for physicians
  • Patient consent required before any treatment
  • Edge cases automatically referred to human medical staff
  • Privacy: minimal data collection, no storage without consent
  • Accessibility: open-source ensures anyone can build and improve

Not Intended To:

  • Replace physicians or trained medical professionals
  • Handle complex medical cases
  • Provide definitive medical diagnoses
  • Operate without human oversight (initially)

Current Status & Next Steps

Status: Planning phase — recruiting initial team

Immediate Next Steps:

  1. [ ] Recruit 1-2 collaborators
  2. [ ] Select base robotic arm design (BCN3D Moveo or Thor)
  3. [ ] Source initial components (motors, camera, Raspberry Pi)
  4. [ ] Create synthetic wound models for testing
  5. [ ] Set up GitHub repository
  6. [ ] Schedule first build session

First Meeting: TBD — announce on Brmlab calendar

Discussion

Questions? Ideas? Want to help?

  • Weekly meetings: Part of 3d_printed_robotics_initiative sessions
  • Online discussion: Brmlab Slack/Discord #robotics
  • GitHub: (repository link to be added)

Open Questions:

  • Which robotic arm base should we use?
  • Anyone have experience with ultrasonic systems?
  • Contacts at veterinary clinics for future testing?
  • Tips on medical device regulations in Czech Republic/EU?

Last Updated: 2026-01-18

License: Hardware designs and software will be released under MIT/Apache 2.0 open-source licenses

project/3dpb-med/start.txt · Last modified: 2026/01/18 03:30 by gribaart