Maria Iliakova, MD, MSc,

Bariatric & General Surgeon

SURGE, co-founder

State of Emerging Technology:

Bariatric Medicine & Surgery

CONFLICT OF INTEREST DISCLOSURE

I have served as consultant for Atheneum, GLG, Medtronic, & Ethicon (J&J).

I own and operate Surge Medical Corp.

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Emerging tech in bariatric medicine & surgery | ILIAKOVA

Emerging technology: what comes to mind?

Emerging tech in bariatric medicine & surgery | ILIAKOVA

vs

Where emerging tech is now: ROBOTICS

Emerging tech in bariatric medicine & surgery | ILIAKOVA

7,000+ robotic systems in US

1.5M+ cases annually

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25+ new entrants in development

Where emerging tech is now: ROBOTICS

Emerging tech in bariatric medicine & surgery | ILIAKOVA

Pending FDA approval: Ottava (J&J), Hugo (Medtronic)

Where our emerging tech is now: ARTIFICIAL INTELLIGENCE

Emerging tech in bariatric medicine & surgery | ILIAKOVA

Recognition

Ranking

Recommendation

Prediction

Emerging tech principles

Emerging tech in bariatric medicine & surgery | ILIAKOVA

Precision

Connection

Remote access

Autonomous function

Emerging tech principles: PRECISION

Emerging tech in bariatric medicine & surgery | ILIAKOVA

Precision

Emerging tech principles: CONNECTION

Emerging tech in bariatric medicine & surgery | ILIAKOVA

Connection

Intuitive Hub

Emerging tech principles: REMOTE ACCESS

Emerging tech in bariatric medicine & surgery | ILIAKOVA

Remote access

Emerging tech principles: AUTONOMOUS FUNCTION

Emerging tech in bariatric medicine & surgery | ILIAKOVA

Autonomous

function

Emerging tech principles: AUTONOMOUS FUNCTION

Emerging tech in bariatric medicine & surgery | ILIAKOVA

Autonomous

function

Considerations: Accuracy | Limitations | Liability | Risk

Types of AI: descriptive and generative

INFORMATION

DESCRIPTIVE AI

+

GENERATIVE AI

Training

Emerging tech in bariatric medicine & surgery | ILIAKOVA

AI: Recognition | Ranking | Recommendation | Prediction

How can AI improve existing workflows?

Emerging tech in bariatric medicine & surgery | ILIAKOVA

Patient workflow

Referral →

Insurance validation + Onboarding →

Evaluations + Workup: Consults + Procedures + Labs →

PA →

OR →

Follow-up + Maintenance

OR workflow

OR scheduling request (elective vs urgent) →

Schedule: staff + room + tools →

Pre-op: protocol + meds + staff + check-in + consent →

OR: staff + tools + room + turnover →

Post-op: protocol + meds + staff + orders + notes + transfer

Admin workflow

Physician recruitment →

Credentialing + Onboarding →

Scheduling →

Tracking work product →

Billing + Monitoring

Using AI to improve existing workflows

Emerging tech in bariatric medicine & surgery | ILIAKOVA

RECOGNITION

RANKING

RECOMMENDATION

PREDICTION

Patient treatment option ranking

Physician/ program selection ranking

Referral ranking

Prior authorization evaluation

Patient cost analytics

Hospital cost vs revenue analytics

Patient outcomes prediction

Hospital resource allocation

Surgical automation

Patient treatment recommendations

Remote evaluations & procedures

Dynamic staffing

Intraoperative detection

Ambient voice & video capture

Digital navigation: Endoscopy

Remote evaluations & procedures

Future AI applications in bariatric medicine & surgery

Ranking

Recognition

Recommendation

Prediction

ANNOTATE

SAVE

Emerging tech in bariatric medicine & surgery | ILIAKOVA

Thank you!

Maria Iliakova, MD, MSc

Bariatric & General Surgeon

Co-Founder, SURGE

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iliakova@gmail.com

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https://www.linkedin.com/in/mariailiakova/

http://surgephysicians.com

Emerging tech in bariatric medicine & surgery | ILIAKOVA

CITATIONS

1. Eloy. (n.d.). Driverless cars: The 5 levels of automation. Eloy. https://www.eloy.co.uk/insights/driverless-cars-the-5-levels-of-automation/
2. Iliakova, M. Soriano, I. Medical Tech Outlook. (n.d.). An overview of robotic surgical systems in 2023. Medical Tech Outlook. https://robotics.medicaltechoutlook.com/cxoinsight/an-overview-of-robotic-surgical-systems-in-2023-nwid-2923.html
3. Iliakova, M. (2023, Nov 28). System For Storage and Sorting of Surgical Instruments. Provisional patent application, 63/603,410. United States.
4. Intuitive Hub photo: https://www.intuitive.com/en-us/products-and-services/intuitive-hub
5. Marescaux J, Leroy J, Rubino F, Smith M, Vix M, Simone M, Mutter D. Transcontinental robot-assisted remote telesurgery: feasibility and potential applications. Ann Surg. 2002 Apr;235(4):487-92. doi: 10.1097/00000658-200204000-00005. PMID: 11923603; PMCID: PMC1422462.
6. MedTech Dive. (2023, November 7). J&J targets FDA submission for Ottava surgical robot trials in 2024. MedTech Dive. https://www.medtechdive.com/news/jj-fda-ide-ottava-surgical-robot/699013/
7. Pal P, Singh AP, Kanuri ND, Banerjee R. Electronic chromo-endoscopy: technical details and a clinical perspective. Transl Gastroenterol Hepatol. 2022 Jan 25;7:6. doi: 10.21037/tgh-19-373. PMID: 35243115; PMCID: PMC8826039.
8. Photo: https://developer.nvidia.com/blog/autonomous-robot-improves-surgical-precision-using-ai/
9. Saeidi H, Opfermann JD, Kam M, Wei S, Leonard S, Hsieh MH, Kang JU, Krieger A. Autonomous robotic laparoscopic surgery for intestinal anastomosis. Sci Robot. 2022 Jan 26;7(62):eabj2908. doi: 10.1126/scirobotics.abj2908. Epub 2022 Jan 26. PMID: 35080901; PMCID: PMC8992572.
10. Strategic Market Research. (n.d.). Top robotic surgery statistics to follow in 2023. Strategic Market Research. https://www.strategicmarketresearch.com/blogs/robotic-surgery-statistics
11. Surgical Robotics Technology. (2023, July 10). Medtronic announces clinical studies for Hugo RAS system. Surgical Robotics Technology. https://www.surgicalroboticstechnology.com/news/medtronic-announces-clinical-studies-for-hugo-ras-system/
12. Zhang T, Chen YZ, Jiang X, He C, Pan J, Zhou W, Hu JP, Liao Z, Li ZS. 5G-based remote magnetically controlled capsule endoscopy for examination of the stomach and small bowel. United European Gastroenterol J. 2023 Feb;11(1):42-50. doi: 10.1002/ueg2.12339. Epub 2022 Nov 23. PMID: 36416805; PMCID: PMC9892422.

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Images were generated using Dall-E on slides 3, 9, and 16. There is no other AI-generated content in this presentation.

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AI in medicine: applications to bariatric surgery | ILIAKOVA