CA2565040A1 - Apparatus and method for positioning and orientation of medical instruments - Google Patents
Apparatus and method for positioning and orientation of medical instruments Download PDFInfo
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- CA2565040A1 CA2565040A1 CA002565040A CA2565040A CA2565040A1 CA 2565040 A1 CA2565040 A1 CA 2565040A1 CA 002565040 A CA002565040 A CA 002565040A CA 2565040 A CA2565040 A CA 2565040A CA 2565040 A1 CA2565040 A1 CA 2565040A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
- A61N5/1001—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
- A61N5/1027—Interstitial radiation therapy
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00274—Prostate operation, e.g. prostatectomy, turp, bhp treatment
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
- A61B2017/3411—Needle locating or guiding means using mechanical guide means with a plurality of holes, e.g. holes in matrix arrangement
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3413—Needle locating or guiding means guided by ultrasound
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00547—Prostate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
- A61N5/1001—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
- A61N5/1007—Arrangements or means for the introduction of sources into the body
- A61N2005/1011—Apparatus for permanent insertion of sources
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- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- General Health & Medical Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Pathology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgery (AREA)
- Radiology & Medical Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Manipulator (AREA)
Abstract
This invention relates to a method and an apparatus for positioning, orientation and insertion of a medical device. The apparatus comprising a first pentagonal mechanism which offers two degrees of freedom, and a second pentagonal mechanism which offers three degrees of freedom of motion. The two are aligned along a first axis so as to permit them to hold an instrument driving means. The instrument driving means is adapted to hold a medical instrument and adapted to permit said instrument to move along and rotate on its own axis. The instrument driving means offers another two degrees of freedom of motion. The apparatus provides a total of six degrees of freedom.
Description
APPARATUS AND METHOD FOR POSITIONING AND ORIENTATION OF
MEDICAL INSTRUMENTS.
FIELD OF THE INVENTION
This invention relates to an apparatus and mcthod for positioning, orientation and insertion of a medical instrument. More specifically this application relates to an apparatus that enables positioning, orientation and insertion of medical instrument~ such as needles or laser sources.
BACKGROUND
On average 2,944 Canadians will be diagnosed with cancer every week, of that an average of 1,354 Canadians will die of it every week. Based on the current incidence rates, 38% of Canadian women will develop cancer during their lifetimes, and a staggering 44% of men.
One nzethod for treating certain cancers is to use internal or interstitial radiation therapy, or seed therapy, in which a radioactive implant is placed directly into a tumor. It involves surgical insertion of radiation source (radioactive seeds) into the treatment volume through tubular needles. Tubular needles loaded with radioactive seeds are inserted into the treatincnt volume, after which the radioactive seeds are left in the treatinent volunle, either permanently or for a specified amount of time.
This method is called brachytherapy. Bracllytherapy is used to treat various types of cancer throughout the human body, including the prostate, breast, cervix, and lungs.
Docuinented brachytherapy procedure is perforined manually: thc surgeon inserts brachytllerapy needles into the cancerous tissue by hand, pushing them through holes in a specially prepared grid template (illustrated in Figure 1).
US patent 6, 398, 711 by Green et al. teaches the use of such a needle grid template.
US patent 6, 540, 656 by Fontayne et al. discusses a targeting fixture again making use of a grid template. But this fixture can only provide 2-dimensional, translatoiy positioning of the instrument before insertion.
Another instrument making use of the grid template is illustratcd in PCT
application W098/56295 by Fanucci.
The main drawback of the manual procedure is that it is slow and not very accurate. The distance between two adjacent holes in the grid template limits achievable accuracy of needle tip placement. Further, as the holes in the grid template are long (compared with their diameter) and all parallel to each other, oblique trajectories of needle insertion are not achievable. To compensate for this, the surgeon would typically press the needle by hand from a side and/or rotate it during insertion. The surgeon does this while monitoring the actual position of the needle in a real-time image (typically collected by transrectal ultrasound imaging system) so the overall procedure is involved, requires extensive training, and takes time.
An emerging modality is the use of a robotic manipulator and a special end-effector called "iieedle driver" to perform the procedure (Figure 2). In robot-based systems, the robot is used to achieve quick and precise positioning and orientation of the needle driver (together with the brachytherapy needle that it holds). Once the specified position and orientation are achieved, the needle driver pushes the needle into the cancerous tissue. To increase the accuracy of the needle tip reaching the specified point inside the treatment volume, the needle may also be rotated along its axis during the insertion. Both the axial and rotary motion of the needle are driven by the needle driver.
Robot-based systems resolve somc of the problems associated with manual brachytherapy such as the coarse spacing among the holes in a grid template and they allow for oblique insertion trajectories. However, they have some drawbacks of their own:
- The robot takes a lot of space, it gets into surgcon's way, and its presence and motion can be intimidating to medical personnel involvcd in the procedure.
- Integrating the robot with the rest of the brachytherapy systcm (particularly the ultrasound imaging system) is difficult as the robot is physically detached from the rest of the system. The intcgration requires precise mounting of the robot as well as calibration of the complete system.
- The robot-based system is complex and the medical team needs extensive training to learn how to use it.
- Typically the robot has a large working area which can be hazardous (for example, it can hit the patient and/or surgeon if a large move is commanded by accident). Therefore the size of the robot's workspace has to be constrained by some safe means (typically by mechanical means).
The needs highlighted above are mostly for brachytherapy systems, but there are other medical instruments which require precise positioning and orientation. For example the proper positioning of a high-power laser source used for the treatment of enlarged prostate in a procedure termed benign prostate hyperplasia (BPH) is also needed.
SUMMARY OF THE INVENTION
It is an object of the invention to offer an apparatus that provides precise positioning and orientation of a medical instrument.
It is anothel- object of the invention to achievc oblique trajectories for a medical instrument; making it possible to attain hard to reach places.
It is anothet- object of the invention to offer a less obtrusive apparatus, leaving space for the surgeon and medical staff to access the operating site.
It is another object of the invention to offer an apparatus which can be integrated with existing medical systems.
These and other objccts of the invention are accomplished by an apparatus for the positioning and orientating of a medical instrument, comprising a first pentagonal mechanism which offers two degrees offrcedom, and a second pcntagonal mechanism which offers three degrees of freedom of motion. The two are aligned along a first axis so as to pei7nit them to hold an instrument driving means.
The instrument driving means is adapted to hold a medical instrument and adapted to permit said instrument to move along and rotate on its own axis. The instrument driving means offers another two degrees of freedom of motion. The apparatus is thus provided with a total of six degrees of freedom.
SHORT DESCRIPTION OF THE FIGURES
Figure 1(prior art) illustrates an embodiment of a brachytherapy method using a manual procedure Figure 2(prior art) illustrates an embodiment of brachytherapy method using a roboi Figure 3 illustrates an embodiment of the apparatus for positioning and orienting a medical device DETAILED DESCRIPTION OF THE INVENTION
This invention proposes the replacement of the serial-linkage robot with a specially designed parallel-kineinatics mechanism. The parallel-kinematics mechanism is designed as a compact device that is easy to integrate with the rest of the inedical systems (for example, it can be pennanently integrated with the brachystepper mcchanism used for support and positioning of the ultrasound imaging probe).
Furthermore, the size of its workspace is easily kept within desired limits by the design of its linkages, which significantly reduces hazards associated with the use of actuated dcvices in brachytherapy procedures.
An embodiment of this invention is illustrated in figure 3. It illustrates an apparatus for positioning and oricntating a medical instrument. The apparatus offers a total of six degrees of freedom which allow for the maneuverability and precision sought after in medical intcrvcntions.
Illustrated is a first and a second pentagonal mechanism (4 and 6 respectively) fixed to a base (2). The first pcntagonal mechanism offers two degrees of freedom and the second pentagonal mechanism oiTers three degrees of fi-eedom of motion.
The first pentagonal mechanism defines a first axis through it's center, illustrated in Figure 3 as the z axis. The first and the second pentagonal mechanisms are aligned along said first axis. (This is just to introduce axis z) Attached to the first (4) and the second (6) pentagonal mechanism is an instrument driving means (8). The instrument driving means is adapted to hold a medical instrument and is adapted to permit the instrument to move along and rotate on its own axis; the instrument's axis is illustrated in figure 3 as the w axis.
The first pentagonal mechanism (4) consists of four bars assembled so as to permit movement of the pentagonal mechanism in two degrees of freedom.
It (4) is connected to the base (2) by two actuated joints (26 and 28). The first bar (10) is connected to the first actuated joint (26). The other end of the first bar (10) is connected to the second bar (12) by a passive revolute joint (34). The other end of the second bar is connected to the third bai- (14) by a second passive revolute joint (36). The other end of the third bar (14) is connected to the fourtli bar (16) by a third passive revolute joint (38).
And finally the other end of the fourth bar is connected to the base by a second actuated joint (28).
The first (26) and the second (28) actuated joints can be driven by a first (54) and a second (56) driving means.
The second pentagonal mechanism (6) consists of four bars assembled so as to permit movement of the pentagonal mechanism in three degrees of freedom.
The second pentagonal mechanism (6) is connected to the base (2) by two actuated joints (30 and 32). The fifth bar (18) is connected to the third actuated joint (30).
The other end of the fifth bar (18) is connected to the sixth bar (20) by a passive universal joint (42).
The other end of the sixth bar (20) is connected to the seventh bar (22) by a passive revolute joint (40). The other end of the seventh bar (22) is connected to the eighth bar (24) by a second passive univetsal joint (44). And finally the other end of the eighth bar (24) is connected to the base (2) by a fourth actuated joint (32).
The third (30) and the fourth (32) actuated joints can be driven by a third (58) and a fourth (60) driving means.
The shape of the bars that constitute the first and second pentagonal mechanism can be adjusted so as to suite requirements of any particular application. They can be curved ("curved" is more suitable in geometrical sense) as illustrated in Figure 3, but they could also be straight, or any other shape to suite the requirements.
The instrument driving means (8) comprises an instrument holding means. The instrument holding means is adapted to hold instruments such as needles, lasers and other suitable devices. The instrument illustrated in Figure 3 is a brachytherapy needle (70).
It comprises a first connection means to connect it to the first pentagonal mechanism. In one embodiment of the invention two revolute joints are used (46 and 48). In another embodiment the first connection means could be designcd as a suitably positioned universal joint.
It also comprises a second connection means to connect it to the second pentagonal mechanism so as to permit rotation in all directions. In one embodiment of the invention a spherical joint is uscd (50).
It also comprises an instt-ument moving means, which moves the instrument holding means along the instrument's axis, and an instrument rotating means, to permit the instrument to rotate on its axis (illustrated in figure 3 as w axis).
The instrument moving means (62) and the instrument rotating means (64) can be driven by a fifth (66) and a sixth drivitig mcans (68). The fiftll driving means will cause the instrumcnt to move along the w axis and the sixth driving means will cause the instrumcnt to rotate on it.
The first (54) and the second (56) driving means permit movement of the first pentagonal mechanism so as to position the first connection means (46 and 48) as desired in a plane defined by a second axis and a third axis. Where the second axis is perpendicular to the first axis and the third axis is perpendicular to the first and the second axis; this plane is illustrated as the x y plane in figure 3; the second axis is illustrated as the x and the third axis is illustrated as they axis.
The third (30) and the fourth (32) driving means pennit movement of the second pentagonal mechanism (6) so as to position the second connection means (50) as desired in the x-y plane. And the universal joints (42 and 44) permit movement in a sagittal plane defined by the third and first axis; illustrated in figure 3 as the y-z plane.
As a result, when the instrument driving means (8) is assembled with the first and second pentagonal mechanism (4 and 6), it has four degrees of freedom of motion: its body can be moved up-down in the y-z plane, left-right in the x y plane, rotated around the axis of the revolute joint (46), and rotated around the revolute joint (48).
The instrument driving means itself provides two degrees of freedom of motion to the instrument, relative to the instrument driving means' body. Thus, the instrument has a total of six degrees of freedom of motion in the x-v-z space, which is necessaiy and sufficient for achieving any desired position and orientation for it within the workspace of the apparatus.
The driving means can be connected to a computer (not illustrated) which would control their movement.
MEDICAL INSTRUMENTS.
FIELD OF THE INVENTION
This invention relates to an apparatus and mcthod for positioning, orientation and insertion of a medical instrument. More specifically this application relates to an apparatus that enables positioning, orientation and insertion of medical instrument~ such as needles or laser sources.
BACKGROUND
On average 2,944 Canadians will be diagnosed with cancer every week, of that an average of 1,354 Canadians will die of it every week. Based on the current incidence rates, 38% of Canadian women will develop cancer during their lifetimes, and a staggering 44% of men.
One nzethod for treating certain cancers is to use internal or interstitial radiation therapy, or seed therapy, in which a radioactive implant is placed directly into a tumor. It involves surgical insertion of radiation source (radioactive seeds) into the treatment volume through tubular needles. Tubular needles loaded with radioactive seeds are inserted into the treatincnt volume, after which the radioactive seeds are left in the treatinent volunle, either permanently or for a specified amount of time.
This method is called brachytherapy. Bracllytherapy is used to treat various types of cancer throughout the human body, including the prostate, breast, cervix, and lungs.
Docuinented brachytherapy procedure is perforined manually: thc surgeon inserts brachytllerapy needles into the cancerous tissue by hand, pushing them through holes in a specially prepared grid template (illustrated in Figure 1).
US patent 6, 398, 711 by Green et al. teaches the use of such a needle grid template.
US patent 6, 540, 656 by Fontayne et al. discusses a targeting fixture again making use of a grid template. But this fixture can only provide 2-dimensional, translatoiy positioning of the instrument before insertion.
Another instrument making use of the grid template is illustratcd in PCT
application W098/56295 by Fanucci.
The main drawback of the manual procedure is that it is slow and not very accurate. The distance between two adjacent holes in the grid template limits achievable accuracy of needle tip placement. Further, as the holes in the grid template are long (compared with their diameter) and all parallel to each other, oblique trajectories of needle insertion are not achievable. To compensate for this, the surgeon would typically press the needle by hand from a side and/or rotate it during insertion. The surgeon does this while monitoring the actual position of the needle in a real-time image (typically collected by transrectal ultrasound imaging system) so the overall procedure is involved, requires extensive training, and takes time.
An emerging modality is the use of a robotic manipulator and a special end-effector called "iieedle driver" to perform the procedure (Figure 2). In robot-based systems, the robot is used to achieve quick and precise positioning and orientation of the needle driver (together with the brachytherapy needle that it holds). Once the specified position and orientation are achieved, the needle driver pushes the needle into the cancerous tissue. To increase the accuracy of the needle tip reaching the specified point inside the treatment volume, the needle may also be rotated along its axis during the insertion. Both the axial and rotary motion of the needle are driven by the needle driver.
Robot-based systems resolve somc of the problems associated with manual brachytherapy such as the coarse spacing among the holes in a grid template and they allow for oblique insertion trajectories. However, they have some drawbacks of their own:
- The robot takes a lot of space, it gets into surgcon's way, and its presence and motion can be intimidating to medical personnel involvcd in the procedure.
- Integrating the robot with the rest of the brachytherapy systcm (particularly the ultrasound imaging system) is difficult as the robot is physically detached from the rest of the system. The intcgration requires precise mounting of the robot as well as calibration of the complete system.
- The robot-based system is complex and the medical team needs extensive training to learn how to use it.
- Typically the robot has a large working area which can be hazardous (for example, it can hit the patient and/or surgeon if a large move is commanded by accident). Therefore the size of the robot's workspace has to be constrained by some safe means (typically by mechanical means).
The needs highlighted above are mostly for brachytherapy systems, but there are other medical instruments which require precise positioning and orientation. For example the proper positioning of a high-power laser source used for the treatment of enlarged prostate in a procedure termed benign prostate hyperplasia (BPH) is also needed.
SUMMARY OF THE INVENTION
It is an object of the invention to offer an apparatus that provides precise positioning and orientation of a medical instrument.
It is anothel- object of the invention to achievc oblique trajectories for a medical instrument; making it possible to attain hard to reach places.
It is anothet- object of the invention to offer a less obtrusive apparatus, leaving space for the surgeon and medical staff to access the operating site.
It is another object of the invention to offer an apparatus which can be integrated with existing medical systems.
These and other objccts of the invention are accomplished by an apparatus for the positioning and orientating of a medical instrument, comprising a first pentagonal mechanism which offers two degrees offrcedom, and a second pcntagonal mechanism which offers three degrees of freedom of motion. The two are aligned along a first axis so as to pei7nit them to hold an instrument driving means.
The instrument driving means is adapted to hold a medical instrument and adapted to permit said instrument to move along and rotate on its own axis. The instrument driving means offers another two degrees of freedom of motion. The apparatus is thus provided with a total of six degrees of freedom.
SHORT DESCRIPTION OF THE FIGURES
Figure 1(prior art) illustrates an embodiment of a brachytherapy method using a manual procedure Figure 2(prior art) illustrates an embodiment of brachytherapy method using a roboi Figure 3 illustrates an embodiment of the apparatus for positioning and orienting a medical device DETAILED DESCRIPTION OF THE INVENTION
This invention proposes the replacement of the serial-linkage robot with a specially designed parallel-kineinatics mechanism. The parallel-kinematics mechanism is designed as a compact device that is easy to integrate with the rest of the inedical systems (for example, it can be pennanently integrated with the brachystepper mcchanism used for support and positioning of the ultrasound imaging probe).
Furthermore, the size of its workspace is easily kept within desired limits by the design of its linkages, which significantly reduces hazards associated with the use of actuated dcvices in brachytherapy procedures.
An embodiment of this invention is illustrated in figure 3. It illustrates an apparatus for positioning and oricntating a medical instrument. The apparatus offers a total of six degrees of freedom which allow for the maneuverability and precision sought after in medical intcrvcntions.
Illustrated is a first and a second pentagonal mechanism (4 and 6 respectively) fixed to a base (2). The first pcntagonal mechanism offers two degrees of freedom and the second pentagonal mechanism oiTers three degrees of fi-eedom of motion.
The first pentagonal mechanism defines a first axis through it's center, illustrated in Figure 3 as the z axis. The first and the second pentagonal mechanisms are aligned along said first axis. (This is just to introduce axis z) Attached to the first (4) and the second (6) pentagonal mechanism is an instrument driving means (8). The instrument driving means is adapted to hold a medical instrument and is adapted to permit the instrument to move along and rotate on its own axis; the instrument's axis is illustrated in figure 3 as the w axis.
The first pentagonal mechanism (4) consists of four bars assembled so as to permit movement of the pentagonal mechanism in two degrees of freedom.
It (4) is connected to the base (2) by two actuated joints (26 and 28). The first bar (10) is connected to the first actuated joint (26). The other end of the first bar (10) is connected to the second bar (12) by a passive revolute joint (34). The other end of the second bar is connected to the third bai- (14) by a second passive revolute joint (36). The other end of the third bar (14) is connected to the fourtli bar (16) by a third passive revolute joint (38).
And finally the other end of the fourth bar is connected to the base by a second actuated joint (28).
The first (26) and the second (28) actuated joints can be driven by a first (54) and a second (56) driving means.
The second pentagonal mechanism (6) consists of four bars assembled so as to permit movement of the pentagonal mechanism in three degrees of freedom.
The second pentagonal mechanism (6) is connected to the base (2) by two actuated joints (30 and 32). The fifth bar (18) is connected to the third actuated joint (30).
The other end of the fifth bar (18) is connected to the sixth bar (20) by a passive universal joint (42).
The other end of the sixth bar (20) is connected to the seventh bar (22) by a passive revolute joint (40). The other end of the seventh bar (22) is connected to the eighth bar (24) by a second passive univetsal joint (44). And finally the other end of the eighth bar (24) is connected to the base (2) by a fourth actuated joint (32).
The third (30) and the fourth (32) actuated joints can be driven by a third (58) and a fourth (60) driving means.
The shape of the bars that constitute the first and second pentagonal mechanism can be adjusted so as to suite requirements of any particular application. They can be curved ("curved" is more suitable in geometrical sense) as illustrated in Figure 3, but they could also be straight, or any other shape to suite the requirements.
The instrument driving means (8) comprises an instrument holding means. The instrument holding means is adapted to hold instruments such as needles, lasers and other suitable devices. The instrument illustrated in Figure 3 is a brachytherapy needle (70).
It comprises a first connection means to connect it to the first pentagonal mechanism. In one embodiment of the invention two revolute joints are used (46 and 48). In another embodiment the first connection means could be designcd as a suitably positioned universal joint.
It also comprises a second connection means to connect it to the second pentagonal mechanism so as to permit rotation in all directions. In one embodiment of the invention a spherical joint is uscd (50).
It also comprises an instt-ument moving means, which moves the instrument holding means along the instrument's axis, and an instrument rotating means, to permit the instrument to rotate on its axis (illustrated in figure 3 as w axis).
The instrument moving means (62) and the instrument rotating means (64) can be driven by a fifth (66) and a sixth drivitig mcans (68). The fiftll driving means will cause the instrumcnt to move along the w axis and the sixth driving means will cause the instrumcnt to rotate on it.
The first (54) and the second (56) driving means permit movement of the first pentagonal mechanism so as to position the first connection means (46 and 48) as desired in a plane defined by a second axis and a third axis. Where the second axis is perpendicular to the first axis and the third axis is perpendicular to the first and the second axis; this plane is illustrated as the x y plane in figure 3; the second axis is illustrated as the x and the third axis is illustrated as they axis.
The third (30) and the fourth (32) driving means pennit movement of the second pentagonal mechanism (6) so as to position the second connection means (50) as desired in the x-y plane. And the universal joints (42 and 44) permit movement in a sagittal plane defined by the third and first axis; illustrated in figure 3 as the y-z plane.
As a result, when the instrument driving means (8) is assembled with the first and second pentagonal mechanism (4 and 6), it has four degrees of freedom of motion: its body can be moved up-down in the y-z plane, left-right in the x y plane, rotated around the axis of the revolute joint (46), and rotated around the revolute joint (48).
The instrument driving means itself provides two degrees of freedom of motion to the instrument, relative to the instrument driving means' body. Thus, the instrument has a total of six degrees of freedom of motion in the x-v-z space, which is necessaiy and sufficient for achieving any desired position and orientation for it within the workspace of the apparatus.
The driving means can be connected to a computer (not illustrated) which would control their movement.
Claims (13)
1. An apparatus for the positioning and orientating of a medical instrument, comprising;
a first pentagonal mechanism having two degrees of freedom, the first pentagonal mechanism defining a first axis through it's center, a second pentagonal mechanism having three degrees of freedom, the second pentagonal mechanism having said first axis through it's center, the first and the second pentagonal mechanism are rotationally connected to a base, an instrument driving means, said instrument driving means being held by said first and second pentagonal mechanism, the instrument driving means adapted to hold a medical instrument and adapted to permit said instrument to move along its own axis and to rotate on its own axis.
a first pentagonal mechanism having two degrees of freedom, the first pentagonal mechanism defining a first axis through it's center, a second pentagonal mechanism having three degrees of freedom, the second pentagonal mechanism having said first axis through it's center, the first and the second pentagonal mechanism are rotationally connected to a base, an instrument driving means, said instrument driving means being held by said first and second pentagonal mechanism, the instrument driving means adapted to hold a medical instrument and adapted to permit said instrument to move along its own axis and to rotate on its own axis.
2. The apparatus of claim 1 where;
said first pentagonal mechanism consists of a first, a second, a third and a fourth bar, said first bar being connected to the base by a first actuated revolute joint, the other end of said first bar and the second bar being connected by a first revolute joint, the other end of the second bar and the third bar being connected by a second revolute joint, the other end of the third bar and the fourth bar being connect by a third revolute joint, and the other end of the fourth arm being connect to the base by a second actuated revolute joint, thereby offering two degrees of freedom of motion in the x-v plane, said second pentagonal mechanism consists of a fifth, a sixth, a seventh and an eighth bar, said fifth bar being connected to the base by a third actuated revolute joint, the other end of said fifth bar and sixth bar being connected by a first universal joint, the other end of the sixth bar and the seventh bar being connected by a fourth revolute joint, the other end of the seventh bar and the eighth bar being connected by a second universal joint, and the other end of the eighth bar being connect to the base by a second actuated revolute joint.
said first pentagonal mechanism consists of a first, a second, a third and a fourth bar, said first bar being connected to the base by a first actuated revolute joint, the other end of said first bar and the second bar being connected by a first revolute joint, the other end of the second bar and the third bar being connected by a second revolute joint, the other end of the third bar and the fourth bar being connect by a third revolute joint, and the other end of the fourth arm being connect to the base by a second actuated revolute joint, thereby offering two degrees of freedom of motion in the x-v plane, said second pentagonal mechanism consists of a fifth, a sixth, a seventh and an eighth bar, said fifth bar being connected to the base by a third actuated revolute joint, the other end of said fifth bar and sixth bar being connected by a first universal joint, the other end of the sixth bar and the seventh bar being connected by a fourth revolute joint, the other end of the seventh bar and the eighth bar being connected by a second universal joint, and the other end of the eighth bar being connect to the base by a second actuated revolute joint.
3. The apparatus of claim 2 where said instrument driving means is held by said first pentagonal mechanism by a first connection means, and by said second pentagonal mechanism by a second connection means.
4. The apparatus of claim 3 where the first connection means is two revolute joints.
5. The apparatus of claim 3 where the first connection means is a universal joint.
6. The apparatus of claim 4 where the second connection means is a spherical joint.
7. The apparatus of claim 2 where the first actuated joint is driven by a first driving means, the second actuated joint is driven by a second driving means, the first and the second driving means permit movement of the first pentagonal mechanism so as to position the first connection means in a given position in the xy plane, the third actuated joint is driven by a third driving means and the fourth actuated joint is driven by a fourth driving means, the third and the fourth driving means permit movement of the second pentagonal mechanism so as to position the second connection means in a given position in the xy plane.
8. The apparatus of claim 1, 2, 3, 4, 5, 6 or 7 where the instrument driving means comprises;
a holding means, a connection means to connect said holding means to said first and second pentagonal mechanism, said holding means adapted to hold said instrument and to connect to said first and second pentagonal mechanism, a fifth driving means to move said holding means in the direction of the axis of said instrument, a sixth driving means to rotate said instrument about said instrument's axis.
a holding means, a connection means to connect said holding means to said first and second pentagonal mechanism, said holding means adapted to hold said instrument and to connect to said first and second pentagonal mechanism, a fifth driving means to move said holding means in the direction of the axis of said instrument, a sixth driving means to rotate said instrument about said instrument's axis.
9. The apparatus of claim 8 where said instrument is a laser beam delivering device.
10. The apparatus of claim 8 where said instrument is a needle.
11. A method for positioning and orientating a medical instrument, comprising the following steps:
a) adjusting a first and second actuated joint which act on a first pentagonal mechanism, b) adjusting a third and fourth actuated joint which act on a second pentagonal mechanism, c) moving the medical instrument along and about its axis so as to position the instrument in a given location.
a) adjusting a first and second actuated joint which act on a first pentagonal mechanism, b) adjusting a third and fourth actuated joint which act on a second pentagonal mechanism, c) moving the medical instrument along and about its axis so as to position the instrument in a given location.
12. The method of claim 11 where steps a and b are performed simultaneously.
13. The method of claim 12 where the steps a, b and c are performed under computer control.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CA2565040A CA2565040C (en) | 2006-10-20 | 2006-10-20 | Apparatus and method for positioning and orientation of medical instruments |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CA2565040A CA2565040C (en) | 2006-10-20 | 2006-10-20 | Apparatus and method for positioning and orientation of medical instruments |
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| Publication Number | Publication Date |
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| CA2565040A1 true CA2565040A1 (en) | 2008-04-20 |
| CA2565040C CA2565040C (en) | 2014-01-21 |
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| Application Number | Title | Priority Date | Filing Date |
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| CA2565040A Expired - Fee Related CA2565040C (en) | 2006-10-20 | 2006-10-20 | Apparatus and method for positioning and orientation of medical instruments |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105188560A (en) * | 2012-12-11 | 2015-12-23 | 生物机器人医疗有限公司 | An apparatus and method for biopsy and therapy |
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2006
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105188560A (en) * | 2012-12-11 | 2015-12-23 | 生物机器人医疗有限公司 | An apparatus and method for biopsy and therapy |
| EP2931134A4 (en) * | 2012-12-11 | 2017-01-11 | Biobot Surgical Pte. Ltd. | An apparatus and method for biopsy and therapy |
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| Publication number | Publication date |
|---|---|
| CA2565040C (en) | 2014-01-21 |
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