WO2019175675A2

WO2019175675A2 - Dr robot medical artificial intelligence robotic arrangement

Info

Publication number: WO2019175675A2
Application number: PCT/IB2019/000545
Authority: WO
Inventors: Wasfi Alshdaifat
Original assignee: Individual
Current assignee: Individual
Priority date: 2019-07-01
Filing date: 2019-07-01
Publication date: 2019-09-19
Anticipated expiration: 2022-01-01
Also published as: CN114072258A; WO2019175675A3

Abstract

Robotic Artificial intelligence (Al) clinical unit (60) is customizing main medical diagnostic devices into a doctor robot (20), autonomous lab... working as part of a compact medical arrangement supported with servers, Al and UAVs. The fingers of the right-hand (21) of the robot (20) are replaced by retardable diagnosis and treatment tools: injection, syringe, gell tube, ultrasound transponder, camera and light rod, the middle of his hand palm have an X-Ray camera (32), the left hand and another two extra optional lower hands are for other supporting handling, measuring, sensing or semi-manipulator tasks. The eyes are replaced with computer vision camera and infrared camera, ears for hearing, mouth for talking... chest and abdomen space for compartment set (22) for storing: Blood samples, standby tubes, urgent injections, tablets... compartments are covered with smart screen (26). Al Drobotic unit (60) is either a clinic locally established inside building, company, train, ship... or a flying ambulance capsule (51 ) provided with twin robots (20).

Description

DR ROBOT MEDICAL ARTIFICIAL INTELLIGENCE ROBOTIC ARRANGEMENT

Description of the Invention

Technical Field of Invention

This invention relates to the implementation of robots, artificial intelligence, manipulators, and UAVs in compact clinical arrangement for medical services.

Background Art

Medical diagnosis is used to know the disease or condition explaining a person’s symptoms with the information collected from the person or his medical history and simple to highly complicated physical examinations, diagnostic tests, laboratory diagnosing, radiology diagnosis, principal diagnosis, during a visit or many visits, or even visiting many clinics, medical centers and hospitals inside a country or countries. In many cases the symptoms are either missleading or indicating many disorders, variable pieces of collected information should be correlated via differential diagnosis to explain or understand the medical case.

The capabilities either of the healthcare professionals, healthcare scientists, physicians, nurse practitioners, technical staff or the quality of the tools and devices, or the medical service, are slightly to extremely different in-between the countries, cities in the same countrey, hospitals or even inside the same medical unit. Meanwhile, People from same residence, building, company, family, tribe or compound are visiting different clinics or hospitals...

So, there are many complicated variables, different factors and criteria that make the whole process scattered and relatively poorly correlated at least from artificial intelligence (Al) point of view. As example differential diagnosis which is based on finding many candidate diseases or conditions that can possibly cause the signs or symptoms followed by a process of elimination of the less probable entries...until reaching one candidate disease or condition is sometimes long, boring and expensive process depending on human capability and manual handling in many aspects. Based on these, a sick person who is capable to search for best services may be trapped in-between the differences, data, diagnosis, history, files, judges, tests, medicines, recommendations and missed family history..etc, while the poor or unaware person may be limited to a specific number of choices, with no chance to upgrade the level of the service which he is receiving.

Diagnostic robots were developed in the 1970s in the form of a physical robot or a software expert system, IBM announced on 2013 Watson software system. A medical automatic diagnosis equipment induing robot arm for inspecting samples is disclosed in patent No.: KR100759079 B1 , and a meical endoscopic instrument for connection with robot is disclosed in: DE102013204677A1. From another side, Al systems are winning the competitions with specialists, for example Al neural networks can see patterns which humans can not see in tumor patterns. Efforts are spent to pump data into Al system with information of the most accurate details of diseases, as well as data on the pathology of the patient, a method for medical diagnosis utilizing PDA software Robots is disclosed in US patent application No.: US20110124975A1.

Medical manipulators are introduced in the art too, wherein a surgeon using a remote tele-manipulator do certain movements to move the robot associated with surgery. In computer-controlled systems, the surgeon uses a computer to control the robotic arms and its end effectors, though these systems can also still use tele-manipulators for their input, but in-computer controlled robotic systems, the surgeon can do surgery from anywhere in the world, while controlling a specific robot inside a surgery room, a medical robot system for surgeries is disclosed in PCT patent appl. No.: WO/2016/142050 A8. A western medicine robot doctor for obtaining direct images of the patient face and body plus hearing his voice is disclosed in patent application No.: CN201711497223A.

Non of the prior art is disclosing a robot using his fingers and hands as devices for medical diagnosis, nor depending on UAVs or Al arrangements which is the objective of this invention, like what machines did in the past, doctor robots can replace even the high skilled persons in the near future supported by the developments of Al and internet of things, wherein medical studies, jobs and service may be replaced and driven with Drobotic Al medical engineering. Disclosure of Invention

Brief Description

This inventions is customizing main medical diagnostic devices into a robot working as part of a compact medical arrangement supported with Local and Int. data servers, Al and UAVs.

The right-hand fingers of the robot are replaced by retardable tools: injection, syringe, gell tube, ultrasound transponder, camera and light rod, while at the middle of the palm of the robot’s hand an X-Ray camera is installed, the left hand of the robot is used as a supporting hand, similar to a human hand, grapping, carrying, pushing, pressing and sensing. Another extra two hands are installable under the waist of the robot for extra selectablae manipulator tasks.

The eyes of the robot are replaced with cameras, the face is similar to a human face, hearing is from the ears, talking from the mouth. While the chest and abdomen are replaced with four chambers, these chambers are used for storing: Blood samples and standby tubes, urgent injections, tablets, liquid drugs. The gates of the chambers open autonomously. The four doors of the chambers are covered with one smart tablet screen for demonstration.

Under the chest, a groove is made for a screen to be used in the contrary side of a person’s body when picking-up an X-ray image for any of his organs.

This doctor robot is based inside any facility (medical center, building, factory, aircraft...) and his clinic is called Al Drobotic unit. Drobot is capable to do home visits anytime, but for safety by riding a sterilized sealed motorized capsule.

While for emergencies, Drobot in another embodiment is a twin robot fixed over a rail inside a flying VTOL ambulance (capsule), it is provided with surgical hands, and can be computer controlled, while on the sides of the flying ambulance, a two external sub-capsules are installed for carrying the supporting robotic staff, who leaves their capsules to search, rid, and rescue an injured person from an accident, lay him down on the medical bed, and push him toward the ambulance capsule. Brief Description of the Drawings:

• FIG. 1 : Illustrates a 3-D view for the front side of the Drobot and its right- hand details.

• FIG. 2: Illustrates a view for the robot right-hand retractable fingered devices.

• FIG. 3: Illustrates a 3-D view for the Drobot storage compartments.

• FIG. 4: Illustrate a 3-D view for the Drobot right-hand finger devices configurations.

• FIG. 5: Illustrates multiple 3-D side views for the 4-handed Drobot configuration.

• FIG. 6: Illustrates multiple 3-D side views for the Drobot picking up an X- ray image for a patient.

• FIG. 7: Illustrates a foot anatomy image displayed on the Drobot screen.

• FIG. 8: Illustrates a block diagram for a built-up of the Drobot 20 data input sensors..., to the intelligent systems, and output actuators.

• FIG. 9: Illustrates a view for the adjustable hand grip and collapsible leg stand + foot/leg grip and collapsible leg stand.

• FIG. 10: Illustrates a view for the sterilized motorized wheel capsule occupied by a Drobot.

• FIG. 11 : Illustrates a flow chart of data in-between the Drobots, Subservers, local servers, city server, province server, country server, regional server and world server.

• FIG. 12: Illustrates two types for the flying ambulance capsule normally at flying configuration.

• FIG. 13: Illustrates two types for the flying ambulance capsule normally at landing or take-off configuration.

• FIG. 14: Illustrates views for the assistant technician robot.

• Fig. 15: Illustrates views for a method of vacating an injured person from a car which faced an accident.

• Fig. 16: Illustrates vacating the injured person to the flying ambulance.

• Fig. 17: Illustrates Drobots diagnosing/curing the injured person. Best Mode for Carrying out the Invention:

In order to make it easy to carry out the invention, a detailed description of the parts of the invention supported with figures is provided here, wherein the the main parts are arranged sequentially, according to the importance of the part, it is made easy to read, by referring to each feature with a number included in the parts description text and in the parts numbering list, the numbering of parts features is indicated here by starting it sequentially from number 20, whenever a part feature appears in text, it will be directly assigned its required serial number. As example in FIG. 1 , the features are arranged sequentially from number 20 to 21, 22, 23...But, excluded from these the artificial medical clinic (Drobotic unit) which is assigned number 60, this refers to both land or flying Artificial medical clinic (robotic unit). Also, Drobot will be the abbreviation for Dr. robot, while Drobotics is the abbreviation for the devices and tools related to the Drobot. Drobot (drone- robot) can be used too as an abbreviation to refer for any combination of a drone robot arrangement.

The Artificial medical clinic (robotic unit) 60 main unit is the Drobot 20. The Drobot’s 20 main featured parts are composed of his first right hand 21 , compartment set 22, first left hand 23, second lower right hand 24, second lower left hand 25 and the smart display screen 26 (Figures 1 , 5, 7).

The right-hand 21 traditional fingers are replaced with any set of customized compacted devices to carry out specific diagnostic tasks in addition to other urgent jobs such as providing injections and collecting blood samples (Figures 1 , 2, 3). As a result, one proposed anthropomorphic fingered device set includes: gel provider tube 27, injection 28, ultrasound transducer 29, rod ended with light and camera 30, blood sample tube (syringe) 31, while at the middle of the hand palm an X-ray camera 32 is installed.

The right-hand 21 of the Drobot 20 can be customized with more or less devices, the devices/tools can be retractable/storable inside a pocket 33 (Figure 2) when not in use and one or more is expandable when in use, or bendable (foldable) like in Figure 4 such that the fingered device or tool which is in use is on expandable configuration, while the gel tubes 27, injections 28, and syringes 31 are replaceable autonomously, wherein according to the medical CPU (central processing unit) 34, orders are sent to the DME (Digital motor electronics) 35 to move the motorized left hand 23 to remove the used gel tube 27, injection 28, or syringe 31 from the right-hand 21 , put it aside in the specified compartment and picks-up a new one, then installs it in the specific location of the right-hand 21.

The compartment set 22 is divided and structured according to demand and number of required compartments, a basic set is made from four compartments, a first compartment 36 for the emergency injections 28, a second compartment 37 for the blood samples 31, a third compartment 38 for emergency tablets or drug bottle samples, a forth compartment 39 for spare material accessories such as gel tubes 27, ultrasound transducers 29, thermometers 40, wounds antiseptic, bandages, adhesives ...etc (Figure 3).

While the first left-hand 23 palm, grasp and finger-tips are used for skin like sensors for tactile perception, sensing abdominal sounds, heartbeat rate, patient temperature..., the second lower right hand 24 is added as an option for extra tasks (Figure 5), such as measuring blood pressure and holding or supporting the patient body or human organs to assist the other hands to carry out their tasks over the patient body, this hand and the others are provided with all necessary devices and meters to assist in locating the position and location of a human organ and the coordinates of a specific point over it, they are provided with attitude meter 41, magnetometer 42, (accelerometer, gyroscope, GPS set) 43... and measuring angular speed, tilt angle, yaw angle, pitch angle... these are processed via algorithms in the CPU 34 to specify the specific points on a human body, and then to compare it with the set images for such organs which are scanned via the Drobot eyed cameras 44, to know where to diagnose, and to do a semi-naked eye visual test for the organs, urine... etc, and to spread gel, pass the transducer, drawing blood sample, injecting drug...

The left lower hand 25 is used mainly for wrapping adhesive around the bandages which are installed on wounds via the assistance of the first left 23 and second right hands 24, many traditional mechanisms can be adopted and accustomed in the left lower hand 25. One of the Drobot 20 eyed cameras 44 is of Computer vision camera type, it is processing the 3D images of the patient repeatedly with each movement to build up his body 3D image, these are carried out according to algorithms receiving data from the cameras an sensors.

The solid screen 45 is stored inside a grooved compartment 46 under the main compartment set 22. If the Drobot 20 finds that it needs to make an X-ray image for a patient back, it will instruct the patient verbally to stand in-between his hands with his back facing drobot’s extended right hand 23, then the Drobot 20 scans the positioning of the patient, when he is set right, the Drobot 20 uses his first left hand 23 to pull out the solid screen 45, raises it vertically up to face the chest of the patient, and with his right hand palm X-ray camera 32, starts imaging the back of the patient (Figure 6).

The display screen 26 is used for demonstration and clarification of the Drobot 20 instructions, explanations, clarifications...for the patient, either for educational means, or for images picked-up already by the Drobot 20 for the patient. Figure 7 shows anatomy of a right foot displayed by the Drobot 20 over its display screen 26.

So, the Drobot should use one eye with computerize eyed vision 44 and another infrared eye 47, ears 48, nose 49 and mouth 50 for seeing, hearing, smelling, talking successively, to assist him in visualization, talking and communication, these tools in addition to all other meters, sensors, control units devices and organs of the Drobot 20 should be harmonized to work together, some issues are already solved via the available conventional Al and mechanisms in the art, while the others are divided here into two parts: a- the mathematical part; wherein algorithms are to be build-up to govern the capability of locating the coordinates of each specific spot or point on the patient body, and to compare and instantly adjust the location and movement of the concerned part of the Drobot 20 to make it easy to engage with the organ spot in the proper required way. B- A highly complicated structured method of training to be carried out for the Drobot 20 in stages; wherein after passing each stage, a version of the robot is introduced, first to be assisting nurses, second to replace nurse practitioners, third to assists diagnostic physicians, forth to replace some diagnostic physicians, fifth to be located everywhere inside compounds or big residential buildings, sixth to visit people inside their residence, seventh to join flying ambulance capsule 51.

The training of the Drobot 20 and program updating via the trainers are not the only resource of exported human knowledge data and actuation, but many self- educative parameters are activated via the Drobot 20 intelligent learning system (ILS) 52 which is depending machine learning algorithms technologies (MLAT), Intelligent perception system (IPS) 53, experience and knowledge system (EKS) 54, health evaluation and failsafe system (HEFS) 55, search server advice system (SSAS) 56, observability vision and cognitive system (OVCS) 57, intuition, inspiration and innovation system (MIS) 58, mission decision making system (MDMS) 59... wherein these systems are already set to think intelligently and act independently beyond the human training and updated program instructions, Drobots 20 are doing that based on their internal built-in Al programs and systems which collect data, case by case via their sensors, meters, cameras... etc. Figure 8 is demonstrating a block diagram for the structure of the Drobot 20 data input sensors..., to the intelligent systems, and output actuators.

Up to here, the parts and tasks of the Drobot 20 are clarified, as a result, in the seventh version of a Drobot, the following set-ups can be established to make the Drobot 20 fully independent for following a diagnostic criteria to collect symptoms, gather signs, communicate, and take correct decision, wherein a method or methods of tasks can be carried out, results can be harvested in the shape of:

a- Drobots 20 distributed everywhere where there are human communities, such as buildings, towers, towns, villages, markets, companies, factories, trains, aircrafts, ships... etc.

b- A Drobotic unit (Al medical unit or Al clinic) 60 is established in each of these facilities provided with twin Drobots, one is settled in the unit to receive unhealthy visitors, while the other is visiting unhealthy persons who are uncapable to attend the unit or who will pay the expenses of the visit charges.

c- The Drobotic unit (Al medical unit) 60 is equipped with an autonomous blood test lab 61 , that receives the blood samples from the Drobot 20 hands, assign them reference numbers and autonomously do the tests, share the blood test panel results with the sub-server 62 of the Drobotic unit 60, which study, and do analysis for them, discuss the results and take advice from the city local server 63 if necessary, and pass the results and decisions to the Drobot 20, who shares them with the patient via an application, and assign another visit or appointment for him according to his schedule to discuss the results and decide what is next

d- The Drobotic unit 60 provides the Drobot 20 with the electrical charging, accessories, and all autonomous services,

e- The sub-server 62 of the Drobotic unit 60 is the communication connection center in-between the twin Drobots 20 and the local data server 63 of the town, city... etc.

f- If a Drobot 20 faces a problem, either related to a patient difficult case, or a failure in the Drobot 20 itself, the Drobotic unit 60 searches advice either from the nearby data servers, or assistance from the 2^nd Drobot 20 which is based in the unit 60 or from a nearby Al logistics centers g- Doing computer-aided detections (CADe): such that it is sharing directly or indirectly in the radiological and pathology image processing and interpretation of medical images: X-ray images or ultrasound digital images produced by the Drobot 20, which are studied and analyzed in the same by the Al medical unit sub-server 62, highlights the conspicuous sections, such as possible diseases, and share with the Drobot 20 to take a decision and share them with the patient... Meanwhile recommending and scheduling appointments with hospitals or external imaging centers, receiving the images from external imaging such as MRI or from a radiologist, and doing interpretation in the same to determine via its algorithm techniques the case... discussing the results with the external radiologist to get his final decision, transferring the patient when required to a hospital through autonomous appointment system,

h- The Drobotic unit 60 is provided with adjustable hand grip and collapsible leg stand 64 for holding firmly the hand of the patient at the suitable adjustable level and height (Figure 9), it is also supplied with the same tool but for the foot/leg of the patient (adjustable foot grip and collapsible leg 65 stand), such that over these tools the patient should lay his hand, arm, foot, leg. In the same other compact collapsible tools can be provided inside the capsule 63 for laying the patient head, body... etc on them, such that it can stay standstill, while the Drobot 20 is doing diagnosis, scanning a vein for drawing blood, injecting an injection, putting gel oh a specific body part to do ultrasound imaging...

i- The visitor Drobot 20 is capable to do home visits anytime, but for safety by riding a sterilized sealed motorized-wheel capsule 66 (Figure 10). This capsule 66 is provided with some adjustable hand grip and collapsible leg stands for the job as explained already,

j- The limited injections, tablets, and drugs which are provided with the Drobot 20 are related to serious diseases such as heart attacks, poisons such as food poison or snake bite... wherein the time is playing a crucial role in saving the life of a person.

k- After the visitor Drobot 20 issues the prescription to the patient, he can either collect the medicine from the Drobotic unit pharmacy or select to receive it home via a motorized autonomous deliver means from the pharmacy, things are arranged via the Drobot 20.

I- An automatic telephone exchange 67 is built-in inside the Drobot 20, wherein the Drobot 20 even while being busy with a patient can do many communications at the same time anytime from anywhere with his patients or with the Al clinic 60 all simultaneously,

m- Multiple choices are offered by the Drobot 20 to the patient either verbally or by texting... these include but not limited to: Sending a medical report to the employer or a certified examination results to an authority or medical file history to a specific Drobotic unit 60 nationally or internationally, scheduling next visit, to get permitted statistics about his disease similar case in the building, city, country or the world, so it is assisting in doing autonomous screening for specific diseases to know best practices shared by other patients who shared their experiences starting from the same building...ending with worldwide (some charges may be applied).

n- The Drobotic unit 60 is provided with nursery Drobots 68, who assist the Drobots 20, do cleaning, ...etc.

o- Drobots 20 themselves are capable to think and decide, study and analyze, watch and learn, build-up humanitarian relations with the humans, prepare schedules, do studies, researches, search for valuable data through the servers, and share in Drobotic communities, send their articles and researches about their local patients to be reviewed, published and shared in-between them and the professional persons who are searching for best practices and innovations.

As a result, the Drobot 20 is expected to be intelligently capable to carry out all kinds of diagnosis such as: differential diagnosis, diagnosis of exclusion, dual diagnosis, remote diagnosis, nursing diagnosis, computer-aided diagnosis...etc, wherein these with the upper mentioned methods of operation are to be technically productive via the following effects and results:

a- The persons who got lazy, delayed, busy, hesitated, away from visiting the physician or even may be relatively untrusting him, will find a Drobot 20 under their demand, anytime, and anywhere, in their flat, building entrance, office, company... etc (care to be considered regarding the purity of the place when collecting blood samples, or else the patient can pass by the Drobotic unit 60 lab which is available nearly everywhere nearby. The result of this is a booming preventive medical care, fix it right from the first time.

b- No more spending on the infrastructure of new traditional hospitals, because the accommodations built-in Drobotic units 50, work to save a lot of space in the current hospitals to be specified for the complicated diagnosing and surgeries which requires physicians and medical staff to work altogether beside the robotic equipment. Meanwhile, all hospital patient’s data will be pumped inside the local server 63 and sub-server 62 of the district and building from which the patient comes.

c- Persons from same building, village, compound, district, tribe, village will refer to same Drobots 20 or nearby local Drobotic units 60, that means it is so easy to collect a unique data base of medical history, which comes back with huge recommendations with regard to health, environment, medicine types... etc.

d- What is mentioned in point b expands and applies on all cities, provinces, countries and even the world itself, wherein a unique and united medical history for all the humanity is structured like a genetic map, finally united world medical history map (WMHP) 69 is available. These will considerably result in extending the humans expected survival.

e- Inside the IA units 60, there will be no different levels of physicians as it is currently happening, no variety of specializations, that is because the same single Drobot 20 can meet and diagnose psychopath, instruct and describe the medicine, then meet a skin patient, take images for his defected skin, compare it with his worldwide database and recommend the treatment, then to meet a person complaining from his abdomen lever side, make for him by himself an ultrasound and blood test, look inside the throat of another patient using the light and camera, take images, compare, prescribe and recommend the proper medicine, make a radiology X-ray image for a broken hand by himself as a radiologist... etc... ect, Multiple specializations all in one.

f- So, there is no need to travel to another city or country for other better diagnosis as everything will be in-hand and under demand, with the same level of diagnosis, the internet of things will make the diagnosing equal, as the open source diagnostic data from the world server is provided, communicated, and discussed autonomously online with every local server 63, sub-server 62, and single Drobot 20 anywhere and anytime. Of course highly complicated medical issues are communicated through the standstill hospitals, even with time it will decrease dramatically

g- Drobots 20 will not fly away at wars, earthquakes, chemical pollution, floods, who stays not defected will stay working in condition that electricity and internet is available, at these cases they can be a key tool for screening and testing the microbes spread in-between people to provide statistics about the focal points of microbes spread

h- Whenever, wherever you call them they answer, ask questions, share your observations, photos or recordings for your gait, skin, voice... etc. They receive instantly, then process directly and reply, you will never find them busy, in breaktime, lunchbreak, sleeping, on-leave, off, absent, sick, holiday, laying, business leave, sick-leave, terminated, fired, bad mode, jealous, in a hurry, annoyed, touched, sad, forgot, missed...etc. It stays awake watching calls from its patients, or any symptoms of serius case for those who are connected to medical devices, anywhere and anytime...no schedules...working 24/7...direct diagnosis...

i- If somebody is getting a heart attack, brain stroke... etc, they can be nearby him within a minute to 5 minutes and provide the required injections or tablets, this will decrease the morality resulting from that dramatically.

j- Drobots (20) can educate the patient about the etiology, progression, prognosis, other outcomes, and possible treatments of her or his ailments, as well as of providing advice to maintain his health... treatment plan may include therapy and follow-up consultations and tests to monitor the condition and the progress of the treatment,

k- Insurance companies’ complications related to physician bills; level differences will be considerably minimized.

I- Economically, the mass production of them, the time of incubating them and the mass use of them with their superiority over many medical professions, will make their values cheaper than the money and years of time spent to educate a physician, train him, and paying him a high salary too, the Drobots 20 salary is battery charging and periodic service, they can even do robot to robot training. That does not mean a profession will be lost, a Drobotic or Al medical engineering profession will appear to support developing, manufacturing, selling, installing the Drobotic units or ready autonomous doctors with huge memory and multiple skills.

m- Rented or bought Drobots 20 can be provided to join camps, convoys, private jets, or to be permanently resident or intermittently or periodically visiting some people upon their demand.

n- Each Drobot 20 can talk in many languages, with variable tones and pitches, man or female voice, even boy or child voice, whatever suitable. o- They remember all data about your case, they do not need to read or revise, and they already have the full medical file of your family, neighbors... etc. and get it from their memory within parts of a second. Of course, 5G is an added value for their work.

Figure 11 is a flow chart illustrating the flow of data in-between the Drobots 20, Sub-servers 62, local servers 63, city server 70, province server 71, country server 72, regional server 73, world server 74.

Note: It is obvious for the inventor that the Drobotic clinic 60 or even the capsule 66 can be equipped according to the available space with other customized replaceable and easily removeable / installable robotic hands, manipulators, or portable tools of any shape, to be picked up for use by the Drobot 20 or any other manipulator to perform some extra diagnosis and symptoms assessment using generally but not limitedly the following:

- Eyes compact diagnostic devices.

- Pulse and vital signs monitors.

- Dopplers.

- Dynamometers, measurement, pinch gauges, sensory evaluation, patient scales, pulse oximetry, ri-scope, blood pressure monitoring, convertible scope, stethoscopes, thermistors and temperatures probes, Welch Allen, telemetry pouches, skin surface microscope, Monotemp, led light.

- Symptom checker, compacted 2-modular diagnostic station. - Anatomic charts and models.

Drobot 20 is not limited to residential or sub-local or Drobotic units 60, its job is expanded to cover ambulance, here an embodiment for a twin Drobot 20 located inside a flying ambulance 51 as illustrated in figures 16, 17, wherein two opposite Drobots 20 are installed on a slidable rail 75, surrounding an area receiving a person recused from accident over a bed 76 inside the capsule 77 sterilized compartment.

The flying capsule is a VTOL capsule 51 , provided with four arms 78 ending with swingable jet propulsion engines 79 (vertical- take-off, horizontal- cruising) or with two swingable front canards 80 and rear two wings 81 , each ending with a jet propulsion engine 79 (vertical- take-off, horizontal- cruising) (Figure 12).

When the remotely controlled flying aircraft capsule 51 (ambulance) lands near an accident area (figure 13), its side small capsules 82 are swung into vertical configuration to open for two denter technician robots 83 which are provided on top of their heads with small UAVs 84 for assessment of the accident area specially around the humans (Figure 15), the technician robots 83 pulls out the rescue bed 76 and stretcher 85, using their preset data, programs, algorithms and the received images from the two small drones 81 , the two technician robots 83 use their cut tools 86 and shear tools 87 to remove the damaged pillars (figure 14, 15), doors, or roof from around the trapped person, then get him out and lay him down over the stretcher 85, then put him over the ambulance bed 76, push the bed 76 toward and inside the sterilized capsule 77, and return back to their small side capsules 82.

The flying ambulance 51 capsule closes autonomously its gate 88, and take-off, while the twin Drobots 20 collects data picked-up from the small assessment drones (quadcopters) 84, and the injured person if he is talking, or pointing by hand somewhere... in addition to making a quick scan for the whole body of the injured person, then via computer-controlled systems, remote surgeons use a computer to control the robotic arms 89 of the Drobots 20 and its end-effectors 90 and any other tele-manipulators 91. According to the case, the hands of the Drobots 20 can be replaced autonomously by any suitable familiar configuration of a standby autonomous smart instrument 92 stored inside the flying capsule 52, to perform some actions such as controlled rib spreading to reduce or eliminate tissue trauma traditionally associated with open surgery.

Note: It is obvious for the inventor that the side small capsules 82 can be used in other embodiment for launching an aircraft parachute, a search and rescue drone (UAV or multicopter)... etc.

Finally, the disclosed Drobot’s 20 method of operation can be expanded and implemented over other professions, the huge data base which it can be loaded with, the intelligent machine learning, the smart autonomous replaceable instruments which it can engage with, can make it run conferences, give lectures, answer any kind of question in his profession, teach/educate/train, research, advertise, sell, market, diagnose, inspect, maintain, service, advise, manage, rule and judge honestly and efficiently... etc, far away from bribes, corruption, racism, injustice, bias, hatred, tribulation, bad behavior, mismanagement of property. It may make reconciliation between the humans.

Industrial applicability

1- Hardware: Drobots and land or flying Drobotic units are manufactured, constructed and customized based on reassembly, re-modification, recreating, recompacting the available technologies of autonomous and non-autonomous, robotic and non-robotic, computer controlled or noncomputer-controlled devices, instruments and tools into new configurations.

2- Software: Artificial intelligence techniques and algorithm sciences, are available arts which are to be recreated to build the software programs of the Drobots and Drobotic units.

3- Other supporting accessories and technologies such as UAVs and quadcopters...are available technologies that can be complementary tools supporting the future needs for smart Drobots.

4- Efficiency and productivity: like automobiles mass production each Drobot unit can be produced within minutes, and put into operation quickly, compared to humans which needs years of education, teaching, training, gaining experience, meanwhile a Drobot can be all in one physician with multiple specialties and technical diagnosis capabilities.

5- Costs: their prices are their costs, their salaries are battery charging, their functional privileges are 1 sqm space and periodic service, their allowances are newly customized devices, their bonus is program updating, and their retirement is recycling.

6- Artificial telepathy: in the near future, it will be capable to do artificially telepathic communications, feeling, sensing and responding with the identified humans in its data base or its geographic circle.

7- Humans survivability (longevity) reduced infection rates...long survival rates for every one: using artificially intelligent physicians (Drobots) everywhere, cell stems, which will make humans recover their organs like young, and using extracted plasma which return for them youth energy, these with the coming technologies, successively may make the humans live for hundreds of years, and may retire after hundred years. Parts numbering index:

20 Drobot . 47 Infrared eye.

21 First right hand. 48 Ear.

22 Compartment set. 49 Nose.

23 First left hand. 50 Mouth.

24 Second lower right hand. 51 Flying ambulance capsule.

25 Second lower left hand. 52 intelligent learning system (ILS)

26 Smart display screen. 53 Intelligent perception system (IPS) 27 Gel provided tube. 54 Experience/knowledge system (EKS)

28 Injection. 55 Health evaluation/failsafe sys. (HEFS)

29 Ultrasound transducer. 56 Search server advice system (SSAS)

30 Rod ended with light/camera. 57 Observability/vision/cognitive (OVCS)

31 Blood sample tube (syringe). 58 Intuition/lnspiration/inov. Sys. (IMS) 32 X-ray camera. 59 Mission/decision making sys (MDMS)

33 Hand pocket. 60 Drobotic unit (Al medical unit).

34 CPU (central processing unit). 61 Al clinic sub-server.

35 DME (Digital motor electronics). 62 Autonomous blood test lab.

36 1 ^ST compartment (injections). 63 City local server.

37 2^ND compartment (blood tubes). 64 Adjustable hand grip.

38 3^RD compartment (tablets). 65 Adjustable foot/leg grip

39 4^TH compartment (accessories). 66 Sterilized motorized capsule.

40 Thermometers. 67 Automatic telephone exchange.

41 Attitude meter. 68 Nursery drobots.

42 Magnetometer. 69 World medical history map (WMHP).

43 3-Axis accelerometer. 70 City server.

44 Eyed cameras (computer vision). 71 Province server.

45 Solid screen. 72 Country server.

46 Grooved compartment. 73 Regional server 74 World server.

75 Slidable rail.

76 Bed.

77 Sterilized Capsule. 78 Swingable Arm.

79 Jet propulsion engines.

80 Front swingable canards.

81 Rear two wings.

82 Side small capsules.

83 Technician robots.

84 UAV (Quadcopter).

85 Stretcher.

86 cutting tool.

87 Shear tool.

88 Gate.

89 Computer-controlled robotic arms.

90 End-effectors.

91 Tele-manipulators.

92 Standby autonomous smart instrument.

Patent application cited documents:

Patent application / Publication number Publication date Inventors

KR100759079B 19.Sept,2007 KYUN et al

DE102013204677A1 07. Nov, 2013 WEHRHEIM, Frank

US20110124975A1 26. May, 2011 THOMPSON, Arthur

WO/2016/142050 A1 15.Sept,2016 LOHMEIR et al

CN201711497223A 17.Jul,2018 JIAN, Xu

WO2019025872 A2 07.Feb,2019 ALSHDAIFAT et al

Claims

Claims:

1- A land or flying Drobotic clinical unit (60) based on artificial intelligence, robots (20) and UAVs (51) comprising:

a customized robot (doctor robot Drobot) (20);

a customized first right hand (21);

a compartment set (22);

a customized first left hand (23);

a customized second lower right hand (24);

a customized second lower left hand (25);

a smart display screen (26);

a customized anthropomorphic gel provider finger (27);

a customized anthropomorphic injection (28);

a customized anthropomorphic ultrasound transducer finger (29);

a customized anthropomorphic rod ended light/camera (30);

a customized anthropomorphic blood sample tube (syringe) (31);

a customized X-ray camera (32);

a hand pocket (33);

an accelerometer, gyroscope, GPS set (43);

a computer vision camera (44);

a solid screen (45);

an infrared camera (47);

a flying ambulance capsule (51);

an intelligent learning system (ILS) (52);

an intelligent perception system (IPS) (53);

an experience/knowledge system (EKS) (54);

a health evaluation/failsafe system (HEFS) (55);

a search server advice system (SSAS) (56);

an Observability/vision/cognitive system (OVCS) (57);

an intuition/inspiration/innovation System (MIS) (58);

a mission/decision making system (MDMS) (59);

an Al clinic sub-server (61);

an Autonomous blood test lab (62); an adjustable hand grip (64);

a land sterilized motorized capsule (66);

an automatic telephone exchange (68);

a slidable rail (75);

a flying sterilized Capsule (77);

a side small capsule (82);

a denter technician robot (83);

a tele-manipulator (91).

2- The Drobotic unit (60) according to claim 1 , wherein the right-hand (21) of the Drobot (20) can be customized with more or less medical devices, the devices/tools are to be replaceable, conventionally and autonomously retractable and storable inside a pocket (33) and expandable when in use according to the medical CPU (central processing unit) (34) orders which are sent to the DME (Digital motor electronics) (35) to move the motorized left hand (23) to remove the used gel tube (27), injection (28), or syringe (31)... from the right-hand (21), put it aside in the specified compartment (22) and picks-up a new one or other different customized device, then installs it in the specific location of the right-hand (21), or in another embodiment replacing the whole hand with another different hand with different devices, or with a different manipulator to do the required diagnosis or treatment.

3- The Drobotic unit (60) according to claim 1 , wherein the compartment set (22) is divided and structured according to demand and number of required compartments, such that a basic set is made from four compartments, a first compartment (36) for emergency injections (28), a second compartment (37) for blood samples (31), a third compartment (38) for emergency tablets or drug bottle samples, and a forth compartment (39) for spare material accessories.

4- The Drobotic unit (60) according to claim 1 , wherein the first left-hand (23) palm, grasp and finger-tips are depending on conventional technologies to be skin like sensors, tactile perception, sensing abdominal sounds, heartbeat rate, patient temperature... 5- The Drobotic unit (60) according to claim 1 , wherein the second lower right hand (24) of the Drobot (20) is added as an option for extra tasks, such as measuring blood pressure and holding or supporting the patient body or human organs to assist the other hands to carry out their tasks over the patient’s body.

6- The Drobotic unit (60) according to claim 1, wherein the four hands of the Drobot (20) are provided with all necessary devices and meters such as attitude meter (41), magnetometer (42), and accelerometer, gyroscope, GPS set (43)... for measuring angular speed, tilt angle, yaw angle, pitch angle... to be processed via algorithmic programs inside the CPU (34) to specify the specific points on a human body, and then to compare it with the set images for such organs which are scanned via the Drobot eyed cameras (44) (47), to assist in locating the position and location of a human organ and the coordinates of a specific point over it to know where to diagnose, to spread gel, pass the transducer (29), drawing blood sample, injecting drug... and to do a semi-naked eye visual test for the organs, urine... etc.

7- The Drobotic unit (60) according to claim 1 , wherein the left lower robotic hand (25) is using accustomed available conventional mechanisms for wrapping adhesive around the bandages which are installed on wounds via the assistance of the first left hand (23) and second right hand (24).

8- The Drobotic unit (60) according to claim 1 , wherein the Drobot’s 20 1^st eyed camera (44) which is a computer vision camera type, and the 2nd infrared camera (eye) 47 are processing the 3D images of the patient repeatedly with each movement to build up his body 3D image, while the ears 48, nose 49 and mouth 50 are based on conventional mechanisms for seeing, hearing, smelling, talking successively, while all are harmonized to assist him in visualization, talking and communication.

9- The Drobotic unit (60) according to claim 1, wherein the solid screen (45) is stored inside a grooved compartment (46) under the main compartment set (22) of the Drobot (20), such that If the Drobot (20) finds that it needs to make an X-ray image it uses its first left hand (23) to pull out the solid screen (45), raises it vertically up to face the chest of the patient, and with his right hand palm X-ray camera (32), starts imaging the back of the patient.

10-The Drobotic unit (60) according to claim 1 , wherein the smart display screen (26) is installed over the compartments set (22) and used for demonstration and clarification of the Drobot’s (20) instructions, explanations, and clarifications... for the patient.

11 -The Drobotic unit (60) according to claim 1 , wherein the drobot’s (20) self- educative parameters which includes: intelligent learning system (ILS) (52) depending machine learning algorithms technologies (MLAT), Intelligent perception system (IPS) (53), experience and knowledge system (EKS) (54), health evaluation and failsafe system (HEFS) (55), search server advice system (SSAS) (56), Observability/vision/cognitive system (OVCS) (57), intuition, inspiration and innovation system (IMS) (58), and mission decision making system (MDMS) (59)... are installed and set to think intelligently and act independently beyond the human training and updated program instructions.

12- The Drobotic unit (60) according to claims 1 to 11 , wherein the Drobot (20) parts and systems are employed by the Drobot (20) for carrying out independently multiple types of diagnosis aiming toward principal diagnosis by collecting symptoms, gathering signs, communicating, and taking a correct decision.

13-The Drobotic unit (60) according to claim 1 , wherein the autonomous blood test lab (61) receives the blood samples from the Drobot (20) hands, assign them reference numbers and autonomously do the tests, share the blood test panel results with the sub-server (62) of the Drobotic unit (60), which study, and do analysis for them, discuss the results and take advice from the city local server (63) if necessary, and pass the results and decisions to the Drobot (20), who shares them with the patient via an application, and assign another visit or appointment for him according to his schedule to discuss the results and decide what is next. 14-The Drobotic unit (60) according to claim 1, wherein the Drobot (20) receives electrical charging, accessories, and all autonomous services from the land Drobotic unit (60).

15-The Drobotic unit (60) according to claim 1 , wherein the Drobot (20) is connected to a sub-server (62) in the Drobotic unit (60) which is the communication connection center in-between the Drobots (20) and the local data server (63) which is connected to the city server (70), province server (71), country server (72), regional server (73), world server open source data (74) and to the World medical history map (WMHP) (69) such that when a Drobot (20) faces a medical problem, either related to a patient difficult case, or a failure in the Drobot (20) itself, the Drobotic unit (60) searches advice either from the associated data servers, or assistance from the 2^nd Drobot (20) which is based in the unit 60 or from a nearby Al logistics center.

16-The Drobotic unit (60) according to claim 1, wherein the Drobot (20) is doing computer-aided detections (CADe) such that it is using built-in systems, microprocessors and telecommunications means to share directly or indirectly in the radiological and pathology image processing and interpretation of medical images, X-ray images or ultrasound digital images produced by the Drobot (20) itself, which are studied and analyzed in the same by the Al medical unit sub-server (62), highlighting the conspicuous sections, such as possible diseases, and share with the Drobot (20) to take a decision and share them with the patient... Meanwhile recommending and scheduling appointments with hospitals or external imaging centers, receiving the images from external imaging units such as MRI or from a radiologist, and doing interpretation in the same to determine via its algorithm techniques the case...discussing the results with the external radiologist to get his final decision, transferring the patient when required to a hospital through an autonomous appointment system.

17-The Drobotic unit (60) according to claim 1, wherein the Drobot (20) is provided with adjustable hand grip and collapsible leg stand (64) for holding firmly the hand of the patient at the suitable adjustable level and height and provided with a similar adjustable foot/leg grip and collapsible leg stand (65) to assist in doing diagnosis, scanning a vein to be located for drawing blood, injecting an injection, putting gel on a specific body part to do ultrasound imaging...

18-The Drobotic unit (60) according to claim 1 , wherein the visitor Drobot’s (20) sterilized sealed motorized-wheel capsule (66) is used as its an indoor transportation means provided with accessories.

19- The Drobotic unit (60) according to claim 1, wherein the Drobot’s (20) automatic telephone exchange (67) is built-in inside the Drobot 20 to do many instant communications at the same time anytime from anywhere while the Drobot (20) attending a patient or not, all simultaneously.

20-The Drobotic unit (60) according to claim 1, wherein the Drobot (20) is issuing and sending an electronic medical report to the employer, or an electronic certified examination results to an authority, or medical file history to a specific Drobotic unit (60) nationally or internationally, in addition to scheduling next visits, and assisting in doing autonomous screening and statistics for specific diseases.

2 -The Drobotic unit (60) according to claims 1 , 15 and 16, wherein the Drobots (20) according to their built-in machine learning and other intelligent systems think and decide, study and analyze, watch and learn, build-up humanitarian relations with the humans, prepare schedules, do studies, researches, search for valuable data through the servers, and share in Drobotic communities, send their articles and researches about their local patients to be reviewed, published and shared in-between them and other institutions and medical units, where professional persons are searching for best practices and innovations.

2-The Drobotic unit (60) according to claim 1 , wherein the Drobot (20) performs all in one multiple physician specialties and treatments sequentially by meeting diagnosing psychopath, instructing and describing the medicine, then meeting a patient with skin disease, take images for his defected skin, compare it with his worldwide database and recommend the treatment, then to meet a person complaining from his abdomen lever side, make for him by himself an ultrasound and blood test, look inside the throat of another patient using the light and camera, take images, compare, prescribe and recommend the proper medicine, make a radiology X-ray image for a broken hand by himself as a radiologist...etc.

-The Drobotic unit (60) according to claim 1, wherein the Drobots (20) during wars, earthquakes, chemical pollution, floods, who stays not defected from them, in condition that electricity and internet is available, launch screening and testing the microbes spread in-between people to provide statistics about the focal points of microbes spread.

-The Drobotic unit (60) according to claim 1, wherein the Drobot (20) receives any time 24/7 and anywhere telephone calls and answer, shares of patient’s observations, photos or recordings for their gait, skin, voice... instantly, then process directly and reply.

-The Drobotic unit (60) according to claim 1 , wherein the Drobot (20) is programmed with many languages listening and talking, with variable tones and pitches, man or female voice, even boy or child voice, whatever suitable, to be qualified for being rented or sold to any kind of facility or private entity.

-The Drobotic unit (60) according to claim 1 , wherein the Drobot (20) or the drobotic unit (60) are providable according to the available space with other customized replaceable and easily removeable / installable robotic hands, manipulators, or portable tools of any shape, to perform some extra diagnosis and symptoms assessment using generally but not limitedly the following: Eyes compact diagnostic devices, pulse and vital signs monitors, dopplers, dynamometers, measurement, pinch gauges, sensory evaluation, patient scales, pulse oximetry, ri-scope, blood pressure monitoring, convertible scope, stethoscopes, thermistors and temperatures probes, Welch Allen, telemetry pouches, skin surface microscope, Monotemp, led light, symptom checker, compacted 2- modular diagnostic station, anatomic charts and models, such that a main Drobotic unit (60) can be a compact medical diagnosing station.

27-The Flying Drobotic unit (60) according to claim 1, wherein the twin Drobots (20) are located inside a flying ambulance (51), by being installed oppositely on a slidable rail (75), surrounding an area receiving a person recused from accident over a bed (76) inside the capsule’s (77) sterilized compartment.

28-The Flying Drobotic unit (60) according to claim 1 , wherein the flying capsule (51) in one embodiment is a VTOL, provided with four arms (78) ending with swingable jet propulsion engines (79) (vertical- take-off, horizontal- cruising) or with two swingable front canards (80) and rear two wings (81), each ending with a jet propulsion engine (79) (vertical- take-off, horizontal- cruising).

29- The Flying Drobotic unit (60) according to claim 1 , wherein the flying capsule (51) lands near an accident area, swinging its side small capsules

(82) into vertical configuration to open for two denter technician robots

(83) which are provided on top of their heads with small UAVs (84) for assessment of the accident area specially around the humans.

30-The Flying Drobotic unit (60) according to claim 1 and 29, wherein the denter technician robots (83) pulls out the rescue bed (76) and stretcher (85), using their preset data, programs, algorithms and the received images from the two small drones (81), such that the two technician robots (83) use their cut tools (86) and shear tools (87) to remove the damaged pillars, doors, or roof from around the trapped person, then get him out and lay him down over the stretcher (85), then put him over the ambulance bed (76), push the bed (76) toward and inside the sterilized capsule (77), and return back to their small side capsules (82).

31-The Flying Drobotic unit (60) according to claim 1 , wherein the sterilized capsule (77) closes autonomously its gate (88), and take-off, while the twin Drobots (20) collects data picked-up from the small assessment drones (quadcopters) (84), and the injured person if he is talking, or pointing by hand somewhere... in addition to making a quick scan for the whole body of the injured person via their cameras (44) (47), then via computer-controlled systems, remote surgeons use a computer to control the robotic arms (89) of the slidable Drobots (20) and its end- effectors (90) and any other tele-manipulators (91), to perform some actions such as controlled rib spreading to reduce or eliminate tissue trauma traditionally associated with open surgery.

-A simulation method of operation wherein the disclosed Drobot (20) method of operation can be expanded and implemented over other professions, loading them similarly with huge data base of knowledge, experience, training and decision making according to profession, provided with similar intelligent machine learning (ILS) (52) depending machine learning algorithms technologies (MLAT), Intelligent perception system (IPS) (53), experience and knowledge system (EKS) (54), health evaluation and failsafe system (HEFS) (55), search server advice system (SSAS) (56), Observability/vision/cognitive system (OVCS) (57), intuition, inspiration and innovation system (IMS) (58), and mission decision making system (MDMS) (59), and using similar replaceable smart autonomous instruments which it can engage with to teach/educate/train, search, research, advertise, sell, market, diagnose, inspect, maintain, service, advise, manage, rule and judge honestly and efficiently... etc.