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Back to the Future: From Telesurgery to Translational Tools

Written by Ethan | Jun 27, 2025 10:05:27 AM

After a week at the Hamlyn Symposium on Medical Robotics, I’ve been reflecting on this year’s theme: “Back to the Future: Telesurgery in 2025.”

The first telesurgery took place on September 7, 2001, between New York and Strasbourg, France — using a robotic system that would later evolve under Intuitive Surgical. For over two decades, telesurgery remained more concept than reality.

Until this month.

In June 2025, the first FDA-approved telesurgery was successfully performed between Florida and Luanda, Angola. The tech has matured — and so have the use cases. I’ll admit I arrived a skeptic: surgeons are already overloaded, and remote cases add new complexity. But after this week at Imperial College, I see the future more clearly. Telesurgery’s near-term value is especially strong for training, supervision, and specialist support in regions where care gaps persist.

Fluorescence-Guided Surgery Is on the Same Curve

The trajectory feels familiar. When I entered university in 2005, fluorescence-guided surgery had just received its first FDA clearance. Since 2021, new agents have been approved, and imaging systems are evolving across form factors — from handhelds to robotic platforms.

At QUEL Imaging, we’re focused on accelerating this clinical translation. We <3 fluorescence, but <3 speeding up its adoption even more.

2016 - 6-months into my PhD.
✔️Gloves. ✔️Lab coat, ✔️safety glasses, ✔️Pipet, ✔️Huge graduated cylinder, ✔️Glass beaker,✔️(labeled and covered) Falcon tubes, ✔️Print-out of Python code for weights and volumes, ✔️IV bag of Intralipid, ✔️Selfie to proof 

A Phantom Flashback and a 3-Minute Fix

At the begining of my PhD (coming from working in software development and telecom industry for the previous 5 years), I was tasked with testing a fluorescence imaging system. The instruction: “Make a serial dilution phantom.”
I Googled every term:

  • Phantoms: Tissue stand-ins
  • PpIX: Fluorophore (powder I need to mix in liquid) used for tumor detection
  • Intralipid: Light-scattering fat emulsion, in an IV bag
  • Bovine and Porcine blood: Why not just say cow or pig? (And, kind of gross. Also, this is available in a catalog? 🤯)
  • Pipetting: Let’s just say my technique was… not ideal

I wrote Python scripts to calculate the dilution volumes, suited up in (too-much) PPE, and spent hours mixing and imaging. It was not fun. It was not fast. I repeated it (begrudgingly) throughout grad school.

Back to the Future

Today, QUEL Imaging manufactures solid Concentration Targets that replicate common clinical fluorophores like ICG, pafolacianine, IRDye 800CW, SGM-101, and Cy5.5 — with consistent optical properties and no mess.

Last week, we asked Edwin, our optical engineer, to use a concentration target to simulate a serial dilution on one of our systems.

⏱ Total time: under 3 minutes — from measurement to data!
<3 Fluorescence. <3 Speed. <3 Not cleaning expired (chunky) phantoms out of the fridge.
 

Our biggest competition is still the status quo. Anyone can build a phantom — and they should, once. But in industry or clinical R&D, your time is better spent solving the bigger problems.

📹 Check out the YouTube Short to see the proof:


And if you’re ready to move faster and get out of serial dilutions, we’d love to help! Please contact us