Industry 5.0 and its applications in orthopaedics

SMART (self- monitoring analysis and reporting technology) and sensor based technology applications in trauma and orthopaedic surgery

Background

Innovations in implant designs and computer technology have led to the development of smart implants and prostheses in the field of orthopedics and trauma. Sensor-guided devices enable close monitoring of physical, chemical and biological environment around the implants, which has been purported to meliorate the intra-operative precision and post-operative surveillance of patients.

Objective

We evaluate the current applications of sensor-based technology in the management of patients with a spectrum of musculoskeletal conditions.

Material and methods

A thorough search of literature was performed on May 1, 2023, using the 5 databases (Embase, PubMed, Google Scholar, Cochrane Library and Web of Science) in order to identify suitable studies published between 2000 and 2023. All the studies which reported on SMART implants and Sensor based technology in the diverse sub-specialties of orthopedics like trauma, arthroplasty, spine surgery, infections, arthroscopy or sports medicine and paediatric orthopedics were considered. The keywords used for the search included 'Sensor technology', 'SMART implant' and "Orthopedics".

Results

Thirty articles were considered for this narrative review. A generation of SMART implants has been developed due to advancements in the microchip technology. Sensor based technology has been utilised in various subspecialties of arthroplasty (in assessing ligament balancing intra-operatively; or prosthetic loosening and gait analysis during follow-up), trauma surgery (as SMART instruments intra-operatively; or in the assessment of bone healing, distraction osteogenesis and functional recovery during follow-up), spine surgery (identification and protection of neural elements from iatrogenic injuries intra-operatively; and assessment of fusion across the instrumented levels during follow-up), paediatric orthopedics (compliance assessment for foot abduction orthosis in congenital talipes equinovarus), infection (monitoring of infection and biofilm formation), rehabilitation (gait analysis) and sports medicine (rotational stability and ligament compliance in patients with ligament injuries or reconstruction).

Conclusion

SMART implants and Sensor based technology have applications in the surgical planning, intra-operative performance, post-operative monitoring and patient surveillance diverse subspecialties of orthopedics and trauma. Future research in newer designs, cost-effective SMART implants and refinement of Sensor based technology will enhance Patient Related Outcome Measures (PROMs).

Industry 5.0 in Orthopaedics

Background

Industrial revolutions play a major role in the development of technologies in various fields. Currently, the world is marching towards softwarization and digitalization. There is an emerging need for conversion of Industry 4.0 to Industry 5.0 for technological development and implementation of the same in the digital era. In health care, digitalization emerged in Industry 4.0 revolution. To enhance patient care and quality of life, Industry 5.0 plays a major role in providing patient-centric care and customization and personalization of products. The integration of human intelligence with artificial intelligence provides a precise diagnosis and enhances the recovery and functional outcome of the patients.

Materials and methods

In this manuscript, the domains and limitations of Industry 5.0 and further research on Industry 6.0 were elaborated on to bring out technologies in better health care.

Results

Industry 5.0 lessens the work of medical professionals and integrates software-based diagnosis and management. It provides cost-effective manufacturing solutions with limited resources compared to Industry 4.0. Industry 5.0 focuses on SMART and additive manufacturing of implants, and the development of bio-scaffolds, prosthetics, and instruments. In this manuscript, the domains and limitations of Industry 5.0 and further research on Industry 6.0 were elaborated on to bring out technologies in better health care.

Conclusion

'The personalization and customization of products' are the hallmarks of this evolving Industry 5.0 revolution. The major uplifts in various domains of industry 5.0 such as advanced automation, digitalization, collaborative robots, and personalization bring this an inevitable mechano-scientific technological revolution in this current medical era.

Future of industry 5.0 in society: human-centric solutions, challenges and prospective research areas

Industry 4.0 has been provided for the last 10 years to benefit the industry and the shortcomings; finally, the time for industry 5.0 has arrived. Smart factories are increasing the business productivity; therefore, industry 4.0 has limitations. In this paper, there is a discussion of the industry 5.0 opportunities as well as limitations and the future research prospects. Industry 5.0 is changing paradigm and brings the resolution since it will decrease emphasis on the technology and assume that the potential for progress is based on collaboration among the humans and machines. The industrial revolution is improving customer satisfaction by utilizing personalized products. In modern business with the paid technological developments, industry 5.0 is required for gaining competitive advantages as well as economic growth for the factory. The paper is aimed to analyze the potential applications of industry 5.0. At first, there is a discussion of the definitions of industry 5.0 and advanced technologies required in this industry revolution. There is also discussion of the applications enabled in industry 5.0 like healthcare, supply chain, production in manufacturing, cloud manufacturing, etc. The technologies discussed in this paper are big data analytics, Internet of Things, collaborative robots, Blockchain, digital twins and future 6G systems. The study also included difficulties and issues examined in this paper head to comprehend the issues caused by organizations among the robots and people in the assembly line.

Technical Considerations for the Conformation of Specific Competences in Mechatronic Engineers in the Context of Industry 4.0 and 5.0

The incursion of disruptive technologies, such as the Internet of Things, information technologies, cloud computing, digitalization and artificial intelligence, into current production processes has led to a new global industrial revolution called Industry 4.0 or Manufacturing 4.0. This new revolution proposes digitization from one end of the value chain to the other by integrating physical assets into systems and networks linked to a series of technologies to create value. Industry 4.0 has far-reaching implications for production systems and engineering education, especially in the training of mechatronic engineers. In order to face the new challenges of the transition from manufacturing 3.0 to Industry 4.0 and 5.0, it is necessary to implement innovative educational models that allow the systematic training of engineers. The competency-based education model has ideal characteristics to help mechatronic engineers, especially in the development of specific competencies. This article proposes 15 technical considerations related to generic industrial needs and disruptive technologies that serve to determine those specific competencies required by mechatronic engineers to meet the challenges of Industry 4.0 and 5.0.

Investigating Industry 5.0 and Its Impact on the Banking Industry: Requirements, Approaches and Communications

Technology, along with political and economic factors, is one of the main drivers of the future of banking. Banking managers urgently need to know technological trends to make strategic decisions, know the future accurately, and make the most of existing opportunities. Industry 5.0 is the dream of modern banking, based on strategies for successful entry into the field in a completely different way. Using a complex literature survey, 49 indicators were identified to enter Industry 5.0 and were classified into three categories of insignificant indicators, essential indicators, and very necessary indicators. Then, based on the opinions of 10 experts from ten countries with modern banking in the world, the researchers focused on 14 essential indicators. To analyze the drawn space, structural-interpretive modeling and MICMAC analysis were used and the model was classified into nine levels. The results showed that low-level indices are the most influential (TMBE and HEMS) and higher-level indices are the most influenced (PZM and RNC). Finally, researchers analyzed how to use new technologies in the banking industry with the entry of the Industry 5.0 and revealed what the characteristics of the impact of these indicators on entering Industry 5.0 are.

State of Industry 5.0—Analysis and Identification of Current Research Trends

The term Industry 4.0, coined to be the fourth industrial revolution, refers to a higher level of automation for operational productivity and efficiency by connecting virtual and physical worlds in an industry. With Industry 4.0 being unable to address and meet increased drive of personalization, the term Industry 5.0 was coined for addressing personalized manufacturing and empowering humans in manufacturing processes. The onset of the term Industry 5.0 is observed to have various views of how it is defined and what constitutes the reconciliation between humans and machines. This serves as the motivation of this paper in identifying and analyzing the various themes and research trends of what Industry 5.0 is using text mining tools and techniques. Toward this, the abstracts of 196 published papers based on the keyword “Industry 5.0” search in IEEE, science direct and MDPI data bases were extracted. Data cleaning and preprocessing were performed for further analysis to apply text mining techniques of key terms extraction and frequency analysis. Further topic mining i.e., unsupervised machine learning method was used for exploring the data. It is observed that the terms artificial intelligence (AI), big data, supply chain, digital transformation, machine learning, internet of things (IoT), are among the most often used and among several enablers that have been identified by researchers to drive Industry 5.0. Five major themes of Industry 5.0 addressing, supply chain evaluation and optimization, enterprise innovation and digitization, smart and sustainable manufacturing, transformation driven by IoT, AI, and Big Data, and Human-machine connectivity were classified among the published literature, highlighting the research themes that can be further explored. It is observed that the theme of Industry 5.0 as a gateway towards human machine connectivity and co-existence is gaining more interest among the research community in the recent years.

Digital transformation of the mobile connected pharmacy: a first step toward community pharmacy 5.0

Community pharmacies have made significant advances in digital technology; however, mobile systems are only emerging in this sector and mostly focusing patient-centric connections. This study reveals a case of digital transformation in a mobile connected pharmacy, balancing efficient pharmaceutical services and digital innovation. A mobile connected pharmacy solution (mPharmaCare) is developed for a community of near 100.000. The first stage includes a bibliometric analysis and a structured literature review of the mobile connected pharmacy. In the second stage, action research was conducted to evaluate mPharmaCare adoption. A dual organizational structure was tested to cope with innovation and efficient exploration of pharmacy services. Community Pharmacy 5.0 is an inspiring vision that will take advantage of mobility. However, there are tensions between the core pharmacy business and the new technology layers of community connections. Community pharmacies require both client-centric and community-centric approaches to achieve individualization of patient care and horizontal and end-to-end digital integration of pharmacy data. Digital transformation can remove silos in the community pharmacy. Creating an - internal or outsourced - innovation division may be suitable for medium and large community pharmacies. Moreover, pharmacies must consider shifting to a product-service system offer, deploying synchronization mechanisms with different stakeholders.

An Exploratory Bibliometric Analysis of the Birth and Emergence of Industry 5.0

This study provides an exploratory bibliometric analysis of the emerging literature on Industry 5.0, which is a new visionary concept on the future of industry. Industry 5.0 has in recent years begun to attract the interest of both practitioners and academics, but this new field can still be considered embryonic and not well documented. Therefore, this study aims to map the field and provide a preliminary picture of the emergence and status of the scientific literature on Industry 5.0. Bibliometric data covering the period from 2015 to 2021 were extracted from the Scopus database. Bibliometric analyses of overall publication volume and growth trajectory, influential documents, authors, sources and countries are performed. The exploratory analysis provides a preliminary overview of the birth and emergence of this new research area. The results are discussed in relation to theories on the emergence and evolution of new management concepts. The article closes with some speculations about the future trajectory of Industry 5.0.

Special Issue “Industry 5.0: The Prelude to the Sixth Industrial Revolution”

While a significant number of companies around the world are still trying to adapt to Industry 4 [...]

Internet of Things (IoT) enabled healthcare helps to take the challenges of COVID-19 Pandemic

BACKGROUND/OBJECTIVES

The Internet of Things (IoT) can create disruptive innovation in healthcare. Thus, during COVID-19 Pandemic, there is a need to study different applications of IoT enabled healthcare. For this, a brief study is required for research directions.

METHODS

Research papers on IoT in healthcare and COVID-19 Pandemic are studied to identify this technology's capabilities. This literature-based study may guide professionals in envisaging solutions to related problems and fighting against the COVID-19 type pandemic.

RESULTS

Briefly studied the significant achievements of IoT with the help of a process chart. Then identifies seven major technologies of IoT that seem helpful for healthcare during COVID-19 Pandemic. Finally, the study identifies sixteen basic IoT applications for the medical field during the COVID-19 Pandemic with a brief description of them.

CONCLUSIONS

In the current scenario, advanced information technologies have opened a new door to innovation in our daily lives. Out of these information technologies, the Internet of Things is an emerging technology that provides enhancement and better solutions in the medical field, like proper medical record-keeping, sampling, integration of devices, and causes of diseases. IoT's sensor-based technology provides an excellent capability to reduce the risk of surgery during complicated cases and helpful for COVID-19 type pandemic. In the medical field, IoT's focus is to help perform the treatment of different COVID-19 cases precisely. It makes the surgeon job easier by minimising risks and increasing the overall performance. By using this technology, doctors can easily detect changes in critical parameters of the COVID-19 patient. This information-based service opens up new healthcare opportunities as it moves towards the best way of an information system to adapt world-class results as it enables improvement of treatment systems in the hospital. Medical students can now be better trained for disease detection and well guided for the future course of action. IoT's proper usage can help correctly resolve different medical challenges like speed, price, and complexity. It can easily be customised to monitor calorific intake and treatment like asthma, diabetes, and arthritis of the COVID-19 patient. This digitally controlled health management system can improve the overall performance of healthcare during COVID-19 pandemic days.

Internet of Things—A Novel Innovation in Dentistry

We are living in an era where medicine and dentistry are evolving. Dental caries, tooth malalignment and periodontal diseases are being encountered by dental specialists in their daily practices. New digital technologies are emerging in dentistry for diagnostic and treatment purposes. Digitization enhances our efficiency and saves time. One of the recent smart technological innovation in healthcare field is the Internet of Things (IoT). IoT consists of a network of physical gadgets embedded with instrumentation electronics, mounted chips and sensors. Through cloud web technology and internet connectivity, the required data collection is enabled. Acquired data is then exchanged to the doctors and analysis is done. This review article deals about the concept of IoT and its futuristic role in dentistry. The review article is based on the electronic searching and analysis of various international and national publications on the IoT concept in dentistry, medicine and biomedical engineering. A bench marking analysis was made on various applications, pros and cons of IoT in dentistry. IoT will play a paramount role in the clinical advancement aspects of diagnosis and management of various oral diseases in the forthcoming decades.

Industry 5.0: Potential Applications in COVID-19

Industry 5.0, the fifth industrial revolution, consists of smart digital information and manufacturing technologies. This industrial revolution generates effective processes and makes rapid improvement in industries and healthcare. Solutions to challenges posed by COVID-19 pandemic can be identified with the deployment of Industry 5.0-based technologies. It helps to provide personalized therapy and treatment processes to the COVID-19 patients if a detailed patient’s information is available. The aim of Industry 5.0 technologies is to create a smart healthcare environment with real-time capabilities. During the COVID-19 pandemic, these technologies can provide a remote monitoring system in healthcare. This paper identifies and studies major technologies of Industry 5.0 helpful for the COVID-19 pandemic. The supportive features of Industry 5.0 for the COVID-19 pandemic are discussed diagrammatically. Finally, we identified and studied significant challenges faced in the context of Industry 5.0 technologies for the COVID-19 pandemic. The literature revealed that this technological innovation allows a high personalization level to fulfill personal specific demands of the patient and doctors. These technologies play a significant role in making the life of doctors better. Further, doctors can use this technology to focus on critically infected patients and provide proper appropriate information regarding their better treatment. Moreover, Industry 5.0 technologies can help doctors and medical students for required medical training during this COVID-19 outbreak.

Impact of industry 4.0 to create advancements in orthopaedics

Scientists and health professional are focusing on improving the medical sciences for the betterment of patients. The fourth industrial revolution, which is commonly known as Industry 4.0, is a significant advancement in the field of engineering. Industry 4.0 is opening a new opportunity for digital manufacturing with greater flexibility and operational performance. This development is also going to have a positive impact in the field of orthopaedics. The purpose of this paper is to present various advancements in orthopaedics by the implementation of Industry 4.0. To undertake this study, we have studied the available literature extensively on Industry 4.0, technologies of Industry 4.0 and their role in orthopaedics. Paper briefly explains about Industry 4.0, identifies and discusses the major technologies of Industry 4.0, which will support development in orthopaedics. Finally, from the available literature, the paper identifies twelve significant advancements of Industry 4.0 in orthopaedics. Industry 4.0 uses various types of digital manufacturing and information technologies to create orthopaedics implants, patient-specific tools, devices and innovative way of treatment. This revolution is to be useful to perform better spinal surgery, knee and hip replacement, and invasive surgeries.

Research, Technology, Education & Scholarship in the Fourth Industrial Revolution [4IR] : Influences in Nursing and the Health Sciences

The Fourth Industrial Revolution (4IR) generated considerable interests among scholars, informaticists and educational leaders around the globe. This industry shift brings with it exciting opportunities and inevitable challengesto various industries and professional practices including the health sciences. The purpose of the article is to illuminate the influences of the Fourth Industrial Revolution on the research,education and technology on Nursing and the Health Sciences. This article is organized as follows : the historical developments in the evolution of nursing images, industries and technologies in healthcare praxis, juxtaposing of current and impending trends and their impact on education, research and scholarship, and education in the healthcare sector. This article concludes with shared insights on several creative and proactive solutions in preparing for, creating new technologies, and mitigating the effects of the upcoming revolution. J. Med. Invest. 66 : 3-7, February, 2019.