AI & Robotics for Healthcare. Olivier Da Costa, PhD Program Officer Robotics & AI European Commission

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AI & Robotics for Healthcare Olivier Da Costa, PhD Program Officer Robotics & AI European Commission Olivier.da-costa@ec.europa.eu

Project / Program Officer 11 years in the "Robotics & AI" Unit / DG CNECT 42 projects / 12 in healthcare 170M

Some generalities on Robotics & Healthcare H2020 & some H2020 Projects Some outlook to the future, end of H2020, Horizon Europe & Digital Europe

Some generalities on Robotics & Healthcare H2020 & some H2020 Projects Some outlook to the future, end of H2020, Horizon Europe & Digital Europe

Trends in AI and Robotics AI can be: Purely in software systems, like automated trading systems or recommendation systems on shopping website Embodied in robots with perception and locomotion capabilities Affordable robots Adaptive robots

Constraints in Healthcare Population Aging Social security systems under stress Lack of qualified employable people: We don t have enough labour to manage everyone s health all the time with a doctor and a nurse."

Trends in Healthcare Diagnosis and treatment from the analysis of large health datasets (Big Data). European health data space: Standardisation and exchange of patient data across institutions and countries. Citizen empowerment and person-centred healthcare. Willingness to age in a healthy way (European Innovation Partnership on Active and Healthy Aging).

AI & Robotics as part of the solution? Iron triangle with three interlocking factors - access, affordability, and effectiveness - require inevitable and often negative trade-offs. Potential of AI & Robotics to cut costs, improve treatment, and bolster accessibility without degrading the other factors a path to unlocking the iron triangle". Transferring time-consuming human tasks to machines. Enabling patients to self-service their care needs when possible.

Some generalities on Robotics & Healthcare H2020 & some H2020 Projects Some outlook to the future, end of H2020, Horizon Europe & Digital Europe

AI POLICY: 1. Communication on Artificial Intelligence for Europe. 2. Coordinated Plan on Artificial Intelligence (COM(2018) 795 final)

EU strategy for AI A STRATEGY FOR EUROPE TO LEAD THE WAY Boost technological and industrial capacity & AI uptake Prepare for socioeconomic changes Ensure an appropriate ethical & legal framework AI FOR GOOD AND FOR ALL

EU investments in AI 2018-2020: 1.5 billion in = 70%+ of annual investment R&D and excellence centers AI-ondemand platform Digital Innovation Hubs Industrial data platforms Goal beyond 2020: Increasing investments from 4-5 billion / year today to 20 billion / year

Maximising benefits from AI Economic impact + Contribution to societal challenges Healthcare Energy efficiency Road safety Cybersecurity

The AI-on-demand-platform AI4EU - http://ai4eu.org/ - Provide central access point to AI ressources in Europe - Will have a Pilot Experiment in Healthcare to provide examples of how to use this platform for innovations with AI.

DIGITAL INNOVATION HUB: INGREDIENTS TECHNICAL SUPPORT (development, integration, etc.) INFRASTRUCTURE TESTING KNOWLEDGE BROKERAGE: USERS SUPPLIERS INVESTORS COMPETENCE CENTER ACCESS TO USERS DIH-HERO H2020 INNOVATION call-5 (2018) COACHING 16.0 M https://dih-hero.eu/ Digital Innovation Hubs in Healthcare Robotics TRAINING Ensure that every business ACCESS TO in Europe, whatever its FINANCE sector of activity, wherever located and whatever its size, can take full advantage of digital innovations and competences

EARTO HEALTHCARE 27 JUNE 2017 DIGITAL INNOVATION HUB: ACTORS Academia Entrepreneurs Incubators Industry Government Users Community: SMEs, citizens, local economic actors COMPETENCE CENTER SHARED PHYSICAL INFRASTRUCTURE & SUPPORT - Techno centric: rto, excellence centre - Use centric: testing facility in specific area (factory, hospital, farm, urban area, test-house ) Investors

EC-Funded Projects in AI & Robotics for Healthcare H2020 / LEIT / ICT Operating room (~26M ) Support in Hospitals (~4M ) Robotics Exoskeleton & Rehabilitation (~40M ) Support at Home (Assistive living) (~10M )

Exoskeleton & Rehabilitation (~40M ) Robotics

SoftPro H2020 call-2 (2015) 7.4 M (12 partners / 4 years) http://www.softpro.eu/ Soft robotics technologies to develop new prostheses, exoskeletons, and assistive devices for upper limb rehabilitation

XoSoft H2020 call-2 (2015) 3.7 M https://www.xosoft.eu/ Soft modular biomimetic exoskeleton to assist people with mobility impairments

SPEXOR H2020 call-2 (2015) 4.0 M http://www.spexor.eu/ Spinal exoskeletal robot for low back pain prevention and vocational reintegration Low-back pain is the leading cause of worker absenteeism after the common cold, accounting for 15% of sick leaves and hundreds of millions of lost work days annually.

RETRAINER H2020 call-1 (2014) 2.8 M http://www.retrainer.eu/ Wide clinical validation of robotics technologies for upperlimb rehabilitation

CYBERLEGs Plus Plus H2020 call-3 (2016) 4.3 M http://www.cyberlegs.eu/ CYBERnetic LowEr-Limb CoGnitive Ortho-prosthesis Validate the technical and economic viability of the powered robotic orthoprosthesis developed within the framework of the FP7-ICT- CYBERLEGs

MyLeg H2020 call-7 (2017) 4.0 M

DeTOP H2020 call-2 (2015) 4.3 M http://www.detopproject.eu/ Dexterous Transradial Osseointegrated Prosthesis with neural control and sensory feedback Recovery of hand function after amputation beyond the myoelectric prostheses controlled via superficial electrodes which do not provide sensory feedback and have poor functionality and controllability

INPUT H2020 call-2 (2015) 2.7 M http://www.input-h2020.eu/ Intuitive Natural Prosthesis Utilization Make the control of complex upper limb prostheses simple, natural and to be used on a daily basis by amputees effortlessly after donning -"don and play".

Operating room (~26M ) Robotics

SARAS H2020 call-4 (2017) 4.2 M https://saras-project.eu/ Smart Autonomous Robotic Assistant Surgeon Next-generation of surgical robotic systems that will allow a single surgeon to execute Robotic Minimally Invasive Surgery (R-MIS) without the need of an expert assistant surgeon

SMARTsurg H2020 call-3 (2016) 4.0 M http://www.smartsur g-project.eu SMart wearable Robotic Teleoperated Surgery Developing a novel robotic platform for assisting the surgeon in complex minimallyinvasive surgical operations

EDEN2020 H2020 call-2 (2015) 8.4 M https://www.eden2020. eu/ Enhanced Delivery Ecosystem for Neurosurgery in 2020 Developing one-stop diagnosis and minimally invasive treatment in neurosurgery

MURAB H2020 call-2 (2015) 4.0 M https://www.murabproj ect.eu/ MRI and Ultrasound Robotic Assisted Biopsy Revolutionise the way cancer screening and muscle diseases are researched for patients and has the potential to save lives by early detection and treatment

ENDOO (ex ENDOVESPA) H2020 call-2 (2015) 2.7 M http://www.endoo-project.eu/ Soft-tethered colonoscope capable of performing painless diagnosis and treatment. Colorectal cancer is one of the major causes of mortality but survival rate dramatically increase in case of early diagnosis.

EurEyeCase H2020 call-1 (2014) 2.6 M https://www.eureyeca se.eu Use Case for European Robotics in Ophthalmologic Micro- Surgery Going beyond human skills to treat vitreoretinal diseases

Robotics Support at Home (Assistive living) (~10M )

MoveCare H2020 call-3 (2016) 5.9 M http://www.movecareproject.eu Multiple-Actors Virtual Empathic Caregiver for the Elder Integrates an existing robotic platform with a domotic system, smart objects, a virtual community and an activity center, to provide assistance, activities and transparent monitoring to the elder at home /

EC-Funded Projects in AI & Robotics for Healthcare H2020 / LEIT / ICT Support in Hospitals (~4M ) Robotics

DREAM FP7 call-10 (2013) 6.7 M Development of Robot-Enhanced therapy for children with AutisM spectrum disorders https://www.dream2020.eu/ Mobile robot to live in the hospital (pediatric ward of an oncological hospital in Lisbon) and play with the children as part of its own routine

STRANDS FP7 call-9 (2012) 8.2 M Long-Term Scenarios http://strands.acin.tuwien.a c.at/ Robots able to run for months in dynamic human environments Home for elderly people

MOnarCH FP7 call-9 (2012) 3.3 M Multi-Robot Cognitive Systems Operating in Hospitals Mobile robot to live in the hospital (pediatric ward of an oncological hospital in Lisbon) and play with the children as part of its own routine

Some generalities on Robotics & Healthcare H2020 & some H2020 Projects Some outlook to the future, end of H2020, Horizon Europe & Digital Europe

End of H2020 - Robotics ICT-09-2019-2020: Robotics in Application Area ICT-10-2019-2020: Robotics Core Technology DT-ICT-12-2020: The smart hospital of the future Large scale pilot of technology in Hospital/ Home care environnement (to be published second half 2019) https://ec.europa.eu/info/fundingtenders/opportunities/portal/screen/opportunities

End of H2020 - Health SCI-DTH-03-2018: Adaptive smart working and living environments supporting active and healthy ageing SCI-DTH-01-2019: Big data and Artificial Intelligence for monitoring health status and quality of life after the cancer treatment SCI-DTH-05-2019: Large scale implementation of digital innovation for health and care in an ageing society SCI-DTH-11-2019: Large Scale pilots of personalised & outcome based integrated care DT-TDS-01-2019: Smart and healthy living at home SC1-DTH-04-2020: International cooperation in digital solutions and robotics for independent living SC1-DTH-02-2020: Personalised early risk prediction, prevention and intervention, RIA SC1-BHC-06-2020: Digital diagnostics developing tools for clinical decisions integrating in vitro and in vivo diagnostics Active and Assisted Living Programme - http://www.aal-europe.eu/wpcontent/uploads/2018/03/aal_call-2018_29march.pdf

Beyond H2020 : 2021-2027 Horizon Europe, follow up of H2020 Digital Europe & Connecting Europe Facility NEW: Capacity and Deployment European Social Fund & European Globalisation Adjustment Fund European Regional Development Fund InvestEU COST Program National Funding Regional Funding

Investing in the future: Digital Europe Programme 2.5 billion for Artificial intelligence Bring the power of the AI to businesses & public administrations Strengthen testing and experimentation facilities across the EU Facilitate safe access and storage of data and algorithms #EUBudget #DigitalEurope

Thank you!

Digital Innovation Hubs (DIH)? Commissioner Oettinger: "My objective is to have at least one world class digital innovation hub in every region in Europe." Objective: Ensure that every business in Europe, whatever its sector of activity, wherever located and whatever its size, can take full advantage of digital innovations and competences Access to digital technologies and expertise within "working distance" for any industry in Europe, especially SMEs, mid-caps, non-tech Regions and local authorities have a key role to play EU funding: at least 500 million in the next 5 years

EARTO HEALTHCARE 27 JUNE 2017 THE HUB = CENTER OF A NETWORK EXPLOIT COMPLEMENTARITIES (LOCAL AND EUROPEAN) 7

COLLABORATION AND NETWORKING BETWEEN CENTRES ONE-STOP-SHOP FOR EXPERTISE, COMPLEMENTARITY & SPECIALISATION

COMBINED FUNDING: PRIVATE & PUBLIC EARTO HEALTHCARE 27 JUNE 2017 National, regional, local Funding EU Regional funding EC Investment Plan 9

COMBINED FUNDING: PRIVATE & PUBLIC EARTO HEALTHCARE 27 JUNE 2017 National, regional, local Funding COMBINE FUNDING: PRIVATE PUBLIC LOCAL EU EU Regional funding EC Investment Plan PUBLIC SECTOR SHARING RISK WITH INDUSTRY IN INNOVATION 10

Digital Innovation Hubs: Towards organic Growth "Ensure that every business in Europe, whatever its sector of activity, wherever located and whatever its size, can take full advantage of digital innovations and competences" Member States & regions: build-up/strengthening of national and regional structures of digital innovation hubs particular attention to SMEs Ensure companies can access advanced technologies and enhance their digital competences 100 million per year (EU) of support to the hubs and 10 times more from the Member States and regions Commission: Set up a pan- European network of Digital Innovation Hubs Support activities such as cross-border experiments, catalogue and assistance in the creation of hubs 54

Opportunities offered by DIH-HERO There will be calls to engage with SMEs and healthcare providers to create technology transfer experiments and demonstrators that have the potential to stimulate uptake and to showcase excellence in healthcare robotics. This include a three-step funding approach: 1) Stimulation of cross-border cooperation by travel vouchers for SMEs, 2) Funding of experiments that enable transfer of technology to the robotic solutions for the healthcare domain and 3) Funding of the development of technology demonstrators in healthcare application domains. The main application domains targeted are: diagnostics, clinical intervention, rehabilitation, patient-support, and healthcare professional support. At least 50% of the DIH-HERO budget will be distributed to SMEs using such mechanisms.

Digital Europe Programme https://eur-lex.europa.eu/resource.html?uri=cellar:321918fd-6af4-11e8-9483- 01aa75ed71a1.0003.03/DOC_2&format=PDF Co-investment with Member States in world class reference sites for experimentation and testing in real setting focusing on the applications of AI in essential sectors such as health, earth/environment monitoring, mobility, security, manufacturing or finance, as well as in other areas of public interest. The sites should be open to all actors across Europe and connected to the Network of Digital Innovation Hubs. They should be equipped with large computing and data handling facilities as well as latest AI technologies including emerging areas such as neuromorphic computing, deep learning and robotics.»

Active reference-testing facilities TRANSPORT Electromobility Automated road transport / Traffic / Mobility / Freight and logistics / Automated trains / Security for personal vehicles / autonomous Maritime Ecosystem 5G / 5G & mobility HEALTHCARE Digital health innovations Home-based digital services for the elderly Biobanks INFRASTRUCTURES / UTILITIES / PUBLIC SERVICES Smart energy Smart cities Road maintenance and asset management Earth Observation data processing INDUSTRY Industry 4.0 - manufacturing and production Components

Prioritised Sectors (2021-2022) COORDINATED PLAN & D.E.P TECHNOLOGIES Harwdware for AI (= components?) MS INPUTS TECHNOLOGIES AI, data/image/text and language processing,5g, robotics, components APPLICATION AREAS Healthcare (smart hospital, etc.) Smart mobility (connected and autonomous driving /logistics) & Autonomous shipping Energy Manufacturing / Industrial production Security / Safety Smart cities Agrifood Finance APPLICATION AREAS Health (incl. elderly) Mobility / automotive / Aviation, Trains, Vessels Great global and social challenges, such as the climate change Energy Circular economy Cleantech Bio economy Manufacturing ICT Cybersecurity/Security Space applications Smart cities Road maintenance and asset mgt. Earth Observation