TWI437973B - Automated skull drilling mechanism - Google Patents

Automated skull drilling mechanism Download PDF

Info

Publication number
TWI437973B
TWI437973B TW99120251A TW99120251A TWI437973B TW I437973 B TWI437973 B TW I437973B TW 99120251 A TW99120251 A TW 99120251A TW 99120251 A TW99120251 A TW 99120251A TW I437973 B TWI437973 B TW I437973B
Authority
TW
Taiwan
Prior art keywords
skull
power motor
drilling mechanism
measuring unit
force measuring
Prior art date
Application number
TW99120251A
Other languages
Chinese (zh)
Other versions
TW201036586A (en
Inventor
Yau Zen Chang
Original Assignee
Univ Chang Gung
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Univ Chang Gung filed Critical Univ Chang Gung
Priority to TW99120251A priority Critical patent/TWI437973B/en
Publication of TW201036586A publication Critical patent/TW201036586A/en
Application granted granted Critical
Publication of TWI437973B publication Critical patent/TWI437973B/en

Links

Description

自動化頭骨鑽孔機構Automated skull drilling mechanism

本發明係提供一種頭骨鑽孔機之技術領域,尤指其技術上提供一種自動化頭骨鑽孔機構,其得以自動鑽孔、自動切割,且機械手臂持其自動化頭骨鑽孔機構相當穩固,而鑽通瞬間即可感測到而立即停止進給,以保障病人腦部的安全者。The invention provides a technical field of a skull drilling machine, in particular to provide an automatic skull drilling mechanism, which can automatically drill, automatically cut, and the mechanical arm holds its automatic skull drilling mechanism quite stable, while drilling The feed can be sensed immediately and the feed can be stopped immediately to protect the patient's brain.

按,當病患發生柏金森式症、腦部腫瘤或須取出部分腦組織進行病理檢查時,通常會先藉由核磁共振(MRI)或電腦斷層(CT)確定病兆位置,然後在病患頭骨鑽出直徑約6mm的圓孔,醫師將直徑約2mm的探針或器械伸入腦組織中進行雷射燒灼治療或取出部分腦組織進行病理切片檢查。其中人體腦部皮膚下層是硬組織的頭骨,頭骨下方依序為硬腦膜、蜘蛛膜及軟腦膜,其間有無數的血管穿梭以供給腦部營養。因此在進行頭骨鑽孔時,必須要能控制鑽孔器械有效穿越硬組織的頭骨,當鑽穿硬組織時必須立即停止前進以避免傷害腦膜組織。According to the test, when a patient develops Parkinson's disease, a brain tumor or a part of the brain tissue to be taken for pathological examination, the position of the disease is usually determined by magnetic resonance imaging (MRI) or computed tomography (CT), and then the patient is diagnosed. The skull drills a circular hole with a diameter of about 6 mm. The physician inserts a probe or instrument with a diameter of about 2 mm into the brain tissue for laser ablation treatment or removes part of the brain tissue for pathological biopsy. The lower layer of the human brain is the skull of the hard tissue. The underside of the skull is the dura mater, the arachnoid membrane and the pia mater. There are numerous blood vessels in the middle to supply the brain for nutrition. Therefore, when drilling a skull, it is necessary to control the drilling device to effectively cross the skull of the hard tissue. When drilling through the hard tissue, it must stop immediately to avoid damage to the meningeal tissue.

目前執行頭骨鑽孔的器械主要可分為人工手搖鑽和手持電動鑽,其中人工手搖鑽的操作方式是醫師徒手轉動搖柄,機構帶動螺桿造成鑽頭旋轉並作上下移動,以達到(1)鑽孔圓洞或(2)切割頭骨的目的;而手持電動鑽的操作方式則如同一般的電鑽,由醫師徒手扶持電鑽來控制鑽孔方向與進給量。此外習知一種特殊電鑽設計有一組安全裝置,當主動件(馬達)與類似離合器機構的被動件(鑽頭)承受壓力會緊密配合,帶動鑽頭運轉以進行鑽頭骨行為,當鑽頭鑽穿頭骨時,因不再承受頭骨的反作用力使得主動件與被動件分離,導致電鑽停止運轉。At present, the instruments for performing skull drilling can be mainly divided into artificial hand drills and hand-held electric drills. The operation mode of the manual hand drill is that the doctor rotates the handle by hand, and the mechanism drives the screw to cause the drill bit to rotate and move up and down to achieve (1). The purpose of drilling a round hole or (2) cutting a skull; while the hand-held electric drill operates like a general electric drill, and the doctor supports the electric drill to control the drilling direction and the feed amount. In addition, it is known that a special electric drill is designed with a set of safety devices. When the active member (motor) and the passive member (bit) of the similar clutch mechanism are under pressure, the force is closely matched to drive the drill bit to perform the bit bone behavior. When the drill bit penetrates the skull, Because the reaction force of the skull is no longer absorbed, the active part is separated from the passive part, causing the electric drill to stop running.

然而這些方法均須憑藉醫師個人豐富的臨床經驗與手部感覺來判斷鑽頭骨過程中是否已穿越頭骨並手動停止;若是經由缺乏豐富經驗的醫師執行時,即使有上述特殊安全裝置的電鑽,稍有不慎也有可能在穿越頭骨的同時傷及頭骨下方的腦膜及神經組織。此外採用徒手方式鑽孔,亦可能因為手臂力量不足導致鑽孔過程產生震動,影響鑽孔過程的安全性、準確性與舒適性。However, these methods must rely on the physician's personal clinical experience and hand feeling to determine whether the bit bone process has passed through the skull and manually stopped; if it is performed by a lack of experienced physicians, even if there is an electric drill of the above special safety device, slightly Inadvertently, it is possible to damage the meninges and nerve tissue under the skull while crossing the skull. In addition, the use of hand-drilled holes may also cause vibrations in the drilling process due to insufficient arm strength, affecting the safety, accuracy and comfort of the drilling process.

是以,針對上述習知結構所存在之問題點,如何開發一種更具理想實用性之創新結構,實醫師與病患所殷切期盼,亦係相關醫師或業者須努力研發突破之目標及方向。Therefore, in view of the problems existing in the above-mentioned conventional structure, how to develop an innovative structure with more ideal and practicality, the doctors and patients are eagerly awaiting, and the relevant physicians or practitioners must work hard to develop breakthrough goals and directions. .

有鑑於此,發明人本於多年從事相關產品之使用經驗與設計改良經驗,針對上述之目標,詳加設計與審慎評估後,終得一確具實用性之本發明。In view of this, the inventor has been engaged in the experience of using related products and design improvement experience for many years. After detailed design and careful evaluation of the above objectives, the inventor has finally obtained the practical invention.

鑽孔圓洞或切割頭骨如果係一般材料,則無需多注意其鑽穿後的情形,但如果係要鑽人體的腦部,則因硬組織後就緊接著有腦膜組織與神經組織,不容有絲毫差錯,然而現今的鑽孔方法都是需要醫師手持工具鑽孔,其穩定性較不佳,且是否鑽穿還要依醫師的手感手部停止鑽孔,如此過於危險而使病患處於不利地位,也易生醫療糾紛。If the hole is round or the skull is cut, it is not necessary to pay attention to the situation after drilling. However, if the brain is to be drilled, the brain tissue and nerve tissue will be followed by the hard tissue. There is nothing wrong with it. However, today's drilling methods require the doctor to drill holes in the hand tool. The stability is not good, and whether the drill is worn or not depends on the hand of the doctor. The drill is too dangerous and the patient is disadvantaged. Status, but also prone to medical disputes.

提供一種自動化頭骨鑽孔機構,係包含有:一基座,該基座之上固定一動力馬達固定座及力量量測單元,該動力馬達固定座之動力馬達並以連接器連接該力量量測單元,而該動力馬達固定座之前端以鎖固器鎖固一鑽頭,該力量量測單元以線路連結一核心控制裝置,該核心控制裝置可為一電腦,而該基座並得以一連接板結合至一多軸式機械手臂之前端,據此,該核心控制裝置控制該多軸式機械手臂將鑽頭端點移動指向設定座標,並由該多軸式機械手臂前端之自動化頭骨鑽孔機構開始啟動鑽孔,進給或切割之座標亦由電腦控制多軸式機械手臂移動,當該力量量測單元測得因鑽通而壓力變化時,訊號經線路傳至核心控制裝置,核心控制裝置即在第一時間停止該多軸式機械手臂之進給,以確保不會傷到腦膜,而持用其自動化頭骨鑽孔機構亦相當穩固者。An automatic skull drilling mechanism is provided, comprising: a base on which a power motor mount and a force measuring unit are fixed, the power motor of the power motor mount is connected to the power by a connector a unit, and the front end of the power motor mount is locked with a drill by a locker. The force measuring unit is connected to a core control device by a line. The core control device can be a computer, and the base can be connected to the base plate. Combined with the front end of a multi-axis robot arm, the core control device controls the multi-axis robot to move the end point of the drill bit toward the set coordinate, and the automated skull drilling mechanism of the front end of the multi-axis robot arm begins The drilling is started, and the coordinates of the feeding or cutting are also controlled by the computer to control the movement of the multi-axis robot. When the force measuring unit measures the pressure change due to the drilling, the signal is transmitted to the core control device via the line, and the core control device is The multi-axis robotic arm is stopped at the first time to ensure that the meninges are not injured, and that the automated skull drilling mechanism is also quite stable.

先前技術以手持控制,但手持容易疲勞且不穩定,而其鑽通與否也是憑手感,如此容易有失誤情形,尤其對一個新手醫師更可能發生,而本發明利用一自動化頭骨鑽孔機構,配合一多軸式機械手臂,如此得以相當穩固的持用該自動化頭骨鑽孔機構,亦不會有疲勞的問題,而其自動化頭骨鑽孔機構設有力量量測單元,得在鑽通瞬間測得訊號,經電腦在第一時間停止進給,可確保病人的安全,而讓危險降至最低者。The prior art is controlled by hand, but the hand is easy to fatigue and unstable, and the drill is also based on the hand feeling, so it is easy to have a mistake, especially for a novice physician, and the present invention utilizes an automated skull drilling mechanism. With a multi-axis robot arm, the automatic skull drilling mechanism can be used with considerable stability, and there is no fatigue problem. The automatic skull drilling mechanism is provided with a force measuring unit, which can be measured at the moment of drilling. When the signal is received, the computer will stop feeding at the first time to ensure the safety of the patient and minimize the risk.

有關本發明所採用之技術、手段及其功效,茲舉一較佳實施例並配合圖式詳細說明於后,相信本發明上述之目的、構造及特徵,當可由之得一深入而具體的瞭解。The above-mentioned objects, structures and features of the present invention will be described in detail with reference to the preferred embodiments of the present invention. .

參閱第一至第五圖所示,本發明係提供一種自動化頭骨鑽孔機構(10),包括:一基座(11);一動力馬達(17);一動力馬達固定座(13),該基座(11)之上固定一動力馬達固定座(13)及一力量量測單元(12),該動力馬達固定座(13)並以一連接器(14)連接該力量量測單元(12);一鑽頭(15),該動力馬達固定座(13)之前端以一鎖固器(16)鎖固一鑽頭(15),該鎖固器(16)調鬆時得以更換不同的其他鑽頭(15);一力量量測單元(12),該基座(11)上並可裝設有一力量量測單元(12),以該力量量測單元(12)得以量測該鑽頭(15)鑽通頭骨瞬間之壓力變化;一核心控制裝置(20),該力量量測單元(12)以一線路(18)連結一核心控制裝置(20),該核心控制裝置(20)可為一電腦(21),該電腦(21)接收該力量量測單元(12)測得之壓力變化,得在第一時間停止鑽頭(15)進給,而該基座(11)並得以一連接板(30)結合至一多軸式機械手臂(40)之前端。Referring to the first to fifth figures, the present invention provides an automated skull drilling mechanism (10) comprising: a base (11); a power motor (17); a power motor mount (13), A power motor mount (13) and a power measuring unit (12) are fixed on the base (11), and the power motor mount (13) is connected to the power measuring unit by a connector (14). a drill bit (15), a drill bit (15) is locked at a front end of the power motor mount (13) with a locker (16), and the other drill bit can be replaced when the locker (16) is loosened (15); a force measuring unit (12), the base (11) can be equipped with a force measuring unit (12), and the force measuring unit (12) can measure the drill bit (15) The core pressure control unit (20) is connected to a core control device (20) by a line (18). The core control device (20) can be a computer. (21), the computer (21) receives the pressure change measured by the force measuring unit (12), and stops the feeding of the drill bit (15) at the first time, and the base (11) is provided with a connecting plate ( 30) Combined with a multi-axis machine Arm (40) of the front end.

據此,該核心控制裝置(20)控制該多軸式機械手臂(40)將鑽頭(15)端點移動指向設定座標,並由該多軸式機械手臂(40)前端之自動化頭骨鑽孔機構(10)開始啟動鑽孔,進給或切割之座標亦由核心控制裝置(20)之電腦(21)控制多軸式機械手臂(40)移動,當該力量量測單元(12)測得因鑽通而壓力變化時,訊號經線路(18)傳至核心控制裝置(20),核心控制裝置(20)即在第一時間停止該多軸式機械手臂(40)之進給,以確保不會傷到腦膜,而持用其自動化頭骨鑽孔機構(10)亦相當穩固者。Accordingly, the core control device (20) controls the multi-axis robot arm (40) to move the end point of the drill bit (15) toward the set coordinates, and the automated skull drilling mechanism at the front end of the multi-axis robot arm (40) (10) Start drilling, the coordinate of feeding or cutting is also controlled by the computer (21) of the core control device (20) to control the movement of the multi-axis robot arm (40). When the force measuring unit (12) measures the cause When the pressure is changed and the pressure changes, the signal is transmitted to the core control device (20) via the line (18), and the core control device (20) stops the feeding of the multi-axis robot arm (40) at the first time to ensure no It will hurt the meninges, and the automated skull drilling mechanism (10) is also quite stable.

本發明之作動原理,係該鑽頭(15)在鑽骨時,會產生一後作力,而將該動力馬達(17)往後推至力量量測單元(12),該力量量測單元(12)可量測出數值而將訊號傳輸至核心控制裝置(20)。The operating principle of the present invention is that the drill bit (15) generates a rear force when the bone is drilled, and the power motor (17) is pushed back to the force measuring unit (12), the force measuring unit ( 12) The value can be measured and the signal transmitted to the core control unit (20).

本發明利用一自動化頭骨鑽孔機構(10),配合一多軸式機械手臂(40),如此得以相當穩固的持用該自動化頭骨鑽孔機構(10),亦不會有疲勞的問題,而其自動化頭骨鑽孔機構(10)設有力量量測單元(12),得在鑽通瞬間測得訊號,經電腦(21)在第一時間停止進給,可確保病人的安全,而讓危險降至最低者。The present invention utilizes an automated skull drilling mechanism (10) in conjunction with a multi-axis robotic arm (40) so that the automated skull drilling mechanism (10) can be used with considerable stability without fatigue problems. The automatic skull drilling mechanism (10) is provided with a force measuring unit (12), which can measure the signal at the moment of drilling, and stops feeding at the first time by the computer (21), thereby ensuring the safety of the patient and making the danger To the lowest.

該自動化頭骨鑽孔機構(10)得利用一連接板(30)連接至一多軸式機械手臂(40)之前端,以該多軸式機械手臂(40)將該自動化頭骨鑽孔機構(10)送到所欲鑽孔之位置進行座標定位,其後之鑽孔動作即可由該自動化頭骨鑽孔機構(10)及該多軸式機械手臂(40)配合,而如果欲進行切割動作時,亦可由該自動化頭骨鑽孔機構(10)及該多軸式機械手臂(40)配合,就可進行切割頭骨行程與動作。The automated skull drilling mechanism (10) is connected to the front end of a multi-axis robot arm (40) by a connecting plate (30), and the automated skull drilling mechanism (10) is used by the multi-axis robot arm (40). Sending to the position where the hole is to be drilled for coordinate positioning, and then the drilling operation can be coordinated by the automatic skull drilling mechanism (10) and the multi-axis robot arm (40), and if the cutting action is to be performed, The automated skull drilling mechanism (10) and the multi-axis robot arm (40) can also be used to cut the skull stroke and movement.

前述該自動化頭骨鑽孔機構(10),其在鑽孔時,係動力馬達(17)產生旋轉動力及前後之震動力,得以順利進行鑽孔的動作。而在進行切割頭骨時,該前後之震動力係關閉的,此時只要動力馬達(17)動力帶動該鑽頭(15)旋轉即可切割。In the above-described automatic skull drilling mechanism (10), when drilling, the power motor (17) generates rotational power and front and rear vibration forces to smoothly perform the drilling operation. When the skull is cut, the vibration force of the front and rear is closed, and the power of the power motor (17) can be cut as long as the power of the power motor (17) is rotated.

前文係針對本發明之較佳實施例為本發明之技術特徵進行具體之說明;惟,熟悉此項技術之人士當可在不脫離本發明之精神與原則下對本發明進行變更與修改,而該等變更與修改,皆應涵蓋於如下申請專利範圍所界定之範疇中。The present invention has been described with reference to the preferred embodiments of the present invention. However, those skilled in the art can change and modify the present invention without departing from the spirit and scope of the invention. Such changes and modifications shall be covered in the scope defined by the following patent application.

(10)...自動化頭骨鑽孔機構(10). . . Automated skull drilling mechanism

(11)...基座(11). . . Pedestal

(12)...力量量測單元(12). . . Strength measuring unit

(13)...動力馬達固定座(13). . . Power motor mount

(14)...連接器(14). . . Connector

(15)...鑽頭(15). . . drill

(16)...鎖固器(16). . . Locker

(17)...動力馬達(17). . . Power motor

(18)...線路(18). . . line

(20)...核心控制裝置(20). . . Core control unit

(21)...電腦(twenty one). . . computer

(30)...連接板(30). . . Connection plate

(40)...多軸式機械手臂(40). . . Multi-axis robot

第一圖:係本發明其一實施例之立體示意圖。First Figure: A perspective view of an embodiment of the present invention.

第二圖:係本發明自動化頭骨鑽孔機構之立體示意圖。The second figure is a perspective view of the automated skull drilling mechanism of the present invention.

第三圖:係本發明之其一鑽孔定位實施狀態示意圖。The third figure is a schematic diagram of a drilling positioning implementation state of the present invention.

第四圖:係本發明之其一鑽通狀態示意圖。The fourth figure is a schematic diagram of a drill-through state of the present invention.

第五圖:係本發明之其一切割實施狀態示意圖。Fig. 5 is a schematic view showing a state of cutting of the present invention.

(10)...自動化頭骨鑽孔機構(10). . . Automated skull drilling mechanism

(11)...基座(11). . . Pedestal

(12)...力量量測單元(12). . . Strength measuring unit

(13)...動力馬達固定座(13). . . Power motor mount

(14)...連接器(14). . . Connector

(15)...鑽頭(15). . . drill

(16)...鎖固器(16). . . Locker

(17)...動力馬達(17). . . Power motor

(18)...線路(18). . . line

(30)...連接板(30). . . Connection plate

Claims (4)

一種自動化頭骨鑽孔機構,係包含有:一基座;一動力馬達固定座,該動力馬達固定座內設有一動力馬達,該基座之上固定該動力馬達固定座;一鑽頭,該動力馬達固定座之前端以一鎖固器鎖固一鑽頭,該鎖固器調鬆時得以更換不同的其他鑽頭;一力量量測單元,該基座上並可裝設有一力量量測單元,該動力馬達固定座並以一連接器連接該力量量測單元,以該力量量測單元得以量測該鑽頭鑽通頭骨瞬間之壓力變化;一核心控制裝置,該力量量測單元以一線路連結一核心控制裝置,該核心控制裝置接收該力量量測單元測得之壓力變化,得在第一時間停止鑽頭進給;及一多軸式機械手臂,該基座得以一連接板結合至該多軸式機械手臂之前端。 An automatic skull drilling mechanism includes: a base; a power motor mount; a power motor is disposed in the power motor mount, the power motor mount is fixed on the base; a drill bit, the power motor The front end of the fixing seat is locked with a locking device, and the locking device can be replaced with different other drill bits when the locking device is loosened; a force measuring unit can be equipped with a force measuring unit, the power The motor mount is connected to the force measuring unit by a connector, and the force measuring unit is configured to measure the pressure change of the drill bit through the skull; a core control device that connects the core with a line a control device that receives the pressure change measured by the force measuring unit to stop the bit feed at the first time; and a multi-axis robot arm that is coupled to the multi-axis by a connecting plate The front end of the robot arm. 如申請專利範圍第1項所述之自動化頭骨鑽孔機構,其中該動力馬達為一氣動馬達。 The automated skull drilling mechanism of claim 1, wherein the power motor is a pneumatic motor. 如申請專利範圍第1項所述之自動化頭骨鑽孔機構,其中該核心控制裝置可為一電腦。 The automated skull drilling mechanism of claim 1, wherein the core control device is a computer. 如申請專利範圍第1項所述之自動化頭骨鑽孔機構,其中該動力馬達為一電動馬達。 The automated skull drilling mechanism of claim 1, wherein the power motor is an electric motor.
TW99120251A 2010-06-22 2010-06-22 Automated skull drilling mechanism TWI437973B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
TW99120251A TWI437973B (en) 2010-06-22 2010-06-22 Automated skull drilling mechanism

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
TW99120251A TWI437973B (en) 2010-06-22 2010-06-22 Automated skull drilling mechanism

Publications (2)

Publication Number Publication Date
TW201036586A TW201036586A (en) 2010-10-16
TWI437973B true TWI437973B (en) 2014-05-21

Family

ID=44856317

Family Applications (1)

Application Number Title Priority Date Filing Date
TW99120251A TWI437973B (en) 2010-06-22 2010-06-22 Automated skull drilling mechanism

Country Status (1)

Country Link
TW (1) TWI437973B (en)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI505818B (en) * 2012-06-05 2015-11-01 Chow Shing Shin Method and system of monitoring abnormal usage state of a medical drill element

Also Published As

Publication number Publication date
TW201036586A (en) 2010-10-16

Similar Documents

Publication Publication Date Title
US10149686B2 (en) Depth controllable and measurable medical driver devices and methods of use
US11839385B2 (en) Driving devices and methods for determining material strength in real-time
JP6440177B2 (en) Puncture robot
TWI418327B (en) Medical electric drill
JP5350474B2 (en) Medical driver device whose depth is controllable and measurable and method of using the same
TWI548388B (en) A handheld robot for orthopedic surgery and a control method thereof
US20150374333A1 (en) Systems for cosmetic treatment
KR102352789B1 (en) Surgical robot system for integrated surgical planning and implant preparation, and associated method
US20110112405A1 (en) Hand Wand for Ultrasonic Cosmetic Treatment and Imaging
EP2552346A1 (en) A system and method for guiding dental treatment tools
BR112013021042B1 (en) MANUAL TOOL
JPH07184929A (en) Surgical instrument
US20180110569A1 (en) Surgical instrument with led lighting and absolute orientation
WO2015107520A1 (en) Dental guiding system and method
JP2021522902A (en) An electric surgical drilling device with a transducer assembly that includes at least two rotation sensor devices used to determine the depth of drilling formed by the drilling device.
JP5210457B1 (en) Surgical bone drill drill stopper
JP2003275223A (en) Surgical instrument unit
TWI437973B (en) Automated skull drilling mechanism
CN108324358A (en) Fracture fixation equipment and reduction of the fracture system
TWI417078B (en) Intelligent bone cutting device
CN208677437U (en) Crest of alveolar ridge position indicator
CN203122516U (en) Vertebral pedicle ultrasonic detecting instrument
CN102309354A (en) Automated skull drilling mechanism
Perry et al. Dual Motor Orthopaedic Drill Reduces Plunge and Provides Data for Safe and Accurate Screw Placement During Clavicle Fracture Fixation
WO2011108018A1 (en) Instrument for controlling and moving laparoscopic instruments and to drive precision biopsies under ecographic or fluoroscopic guidance

Legal Events

Date Code Title Description
MM4A Annulment or lapse of patent due to non-payment of fees