WO2016152987A1 - 医療用観察装置、手術用観察装置及び医療用観察システム - Google Patents
医療用観察装置、手術用観察装置及び医療用観察システム Download PDFInfo
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- WO2016152987A1 WO2016152987A1 PCT/JP2016/059431 JP2016059431W WO2016152987A1 WO 2016152987 A1 WO2016152987 A1 WO 2016152987A1 JP 2016059431 W JP2016059431 W JP 2016059431W WO 2016152987 A1 WO2016152987 A1 WO 2016152987A1
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- actuator
- joint
- unit
- rotation
- support
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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
- A61B90/20—Surgical microscopes characterised by non-optical aspects
- A61B90/25—Supports therefor
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
-
- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B21/00—Microscopes
- G02B21/36—Microscopes arranged for photographic purposes or projection purposes or digital imaging or video purposes including associated control and data processing arrangements
- G02B21/362—Mechanical details, e.g. mountings for the camera or image sensor, housings
-
- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B7/00—Mountings, adjusting means, or light-tight connections, for optical elements
- G02B7/001—Counterbalanced structures, e.g. surgical microscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2046—Tracking techniques
- A61B2034/2059—Mechanical position encoders
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/371—Surgical systems with images on a monitor during operation with simultaneous use of two cameras
-
- 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
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
- A61B2090/5025—Supports for surgical instruments, e.g. articulated arms with a counter-balancing mechanism
- A61B2090/504—Supports for surgical instruments, e.g. articulated arms with a counter-balancing mechanism with a counterweight
-
- 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
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
- A61B2090/506—Supports for surgical instruments, e.g. articulated arms using a parallelogram linkage, e.g. panthograph
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- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B21/00—Microscopes
- G02B21/0004—Microscopes specially adapted for specific applications
- G02B21/0012—Surgical microscopes
Definitions
- the present disclosure relates to a medical observation apparatus, a surgical observation apparatus, and a medical observation system.
- an optical observation device observation device
- a magnifying optical system for magnifying and observing a minute part of a patient's surgical site is provided at the tip of a support portion of a support arm device.
- a surgeon such as a doctor performs an operation while directly observing the surgical site via an eyepiece provided in the magnifying optical system.
- Patent Document 1 discloses a stand device for holding a medical optical device such as a magnifying optical system, and includes a first link pivotally supported by a holding unit by a first rotary joint, A second link rotatably coupled to the first link via two rotary joints, the second link being a third rotary joint in the front section thereof , Supporting a receiving unit for holding the medical optical instrument, the receiving unit having a front link, and the front link is connected to the second rotary joint via the third link and the fourth link.
- a stand device of the combined type, wherein the receiving unit and the fourth link are prevented from changing the orientation of the front link when the first link moves by the gear transmission. Linked with and stand apparatus is disclosed.
- frictional surface contact with high internal friction can be obtained by connecting the receiving unit and the fourth link via the gear transmission.
- the vibration of the receiving unit due to the shaking of the floor surface (building) on which the stand device is installed is significantly attenuated, so that the vibration of the medical optical device held by the stand device can be suppressed.
- an electronic imaging observation apparatus (observation apparatus) in which a microscope unit having a function of magnifying and photographing an operation part is provided at the tip of a support unit )
- an image of the surgical site taken by the microscope is displayed on a display device installed in the operating room, and the surgeon views the image on the display device. While performing surgery.
- the distal end of the microscope unit and the support unit to which the microscope unit is attached are located in the vicinity of the surgical site. Therefore, if the configuration near the tip of the support portion is large, the operator's work space is limited, and it may be difficult to perform treatment smoothly. Further, in the electronic imaging type observation device, as described above, since the surgeon performs an operation while viewing the image of the display device installed in the operating room, it is supported between the surgeon and the display device. The part can be located. Therefore, if the structure near the tip of the support portion is large, the field of view of the operator who visually recognizes the display device is blocked, and the operator's smooth work may be hindered.
- a medical observation device in particular, a support portion of an electronic imaging observation device is required to be smaller.
- a support portion of an electronic imaging observation device it has not been sufficiently studied to reduce the size of the support portion.
- an observation apparatus has been proposed in which an actuator is provided for each joint part constituting the support part, and the operation of the support part is realized by rotationally driving each joint part by the actuator. Yes.
- an observation apparatus provided with an actuator at a joint, there is a concern that the support portion will be further increased in size as the actuator is mounted. That is, it is considered that it is more difficult to reduce the size of the support portion when an actuator is provided for each joint portion.
- the present disclosure proposes a new and improved medical observation apparatus, surgical observation apparatus, and medical observation system that can further reduce the size of the support portion.
- the imaging unit that captures an observation target and outputs a video signal
- the support unit configured to connect the plurality of arm units so as to be rotatable with respect to each other via the joint unit, support the imaging unit.
- an actuator that provides a driving force for rotation around a rotation axis in at least one joint that defines the posture of the imaging unit among the plurality of joints that constitute the support unit,
- a medical observation apparatus in which one joint portion and the actuator are connected via a power transmission mechanism that transmits rotational motion between two rotation axes that are substantially orthogonal to each other and are spaced apart from each other.
- a microscope unit that captures an image of an observation target and outputs a video signal and a plurality of arm units are configured to be pivotably connected to each other via a joint unit, and support the microscope unit.
- An actuator that provides a driving force for rotation about the rotation axis in at least one joint that defines the posture of the microscope unit among the plurality of joints that constitute the support.
- a surgical observation apparatus in which the at least one joint portion and the actuator are connected via a power transmission mechanism that transmits rotational motion between two rotation axes that are substantially orthogonal to each other and are spaced apart from each other. Is done.
- an imaging unit that captures an image of an observation target and outputs a video signal
- a support unit configured to connect the plurality of arm units to each other via a joint unit so as to be rotatable.
- a display device that displays an image of the observation object photographed by the imaging unit based on the video signal, and the observation device constitutes the support unit
- An actuator for providing a driving force for rotation around the rotation axis in at least one joint that defines the posture of the imaging unit among a plurality of joints is provided, and the at least one joint and the actuator are mutually
- a medical observation system is provided that is connected via a power transmission mechanism that transmits rotational motion between two substantially orthogonal rotation axes and is spaced apart from each other.
- At least one joint part of joint parts that can define the posture of the microscope part and an actuator that applies a driving force to the at least one joint part are provided via the power transmission mechanism. Are spaced apart from each other.
- the joint part that can define the posture of the microscope part is often provided in the vicinity of the microscope part, in this way, at least one joint part of the joint parts that can define the posture of the microscope part, By disposing the actuators apart from each other, it is possible to further reduce the size of the configuration near the microscope unit.
- the configuration of the support portion can be further downsized.
- the above effects are not necessarily limited, and any of the effects shown in the present specification, or other effects that can be grasped from the present specification, together with the above effects or instead of the above effects. May be played.
- FIG. 5 is a cross-sectional view illustrating a configuration example of the actuator illustrated in FIG. 4.
- 1st Embodiment it is a figure which shows one structural example of the power transmission mechanism which connects a 2nd joint part and an actuator.
- sectional drawing which shows the structural example of the actuator which concerns on the modification of 1st Embodiment.
- observation unit a unit for observing a surgical part provided in an observation apparatus, such as a microscope section of an electronic imaging observation apparatus and a magnifying optical system of an optical observation apparatus. And collectively referred to as an observation unit.
- FIG. 1 and 2 are diagrams schematically showing a state of surgery using an electronic imaging observation device.
- a configuration in the vicinity of the distal end of the support unit 801 of the observation apparatus, a microscope unit 802 attached to the distal end of the support unit 801, and an image captured by the microscope unit 802 are displayed during surgery.
- the positional relationship between 803 and the imaging range 805 by the microscope unit 802 is schematically shown.
- an operation part of a patient who is an observation target that is, a target for surgery
- the microscope unit 802 can be positioned in the vicinity of the imaging range 805, that is, in the vicinity of the surgical site. Since the surgeon performs various treatments on the surgical site, if the support unit 801 supporting the microscope unit 802 has a large configuration, the operator's hand performing the treatment and the support unit 801 interfere with each other. This may hinder smooth work.
- the surgeon performs an operation while viewing an image displayed on the display device 803.
- the head of the operator 807 is simulated and added to the configuration shown in FIG. 1.
- the operator 807 passes through the support unit 801 and the microscope unit 802 as shown in FIG. You will see 803. Therefore, if the structure of the support part 801 is large, the field of view of the operator 807 viewing the display device 803 may be blocked by the support part 801, and the smooth operation of the operator 807 may be hindered.
- the configuration of the support portion 801, particularly the configuration near the tip of the support portion 801, is smaller. It is demanded.
- the request for downsizing can be similarly demanded for an optical observation apparatus, but in an electronic imaging observation apparatus, the operator 807 performs an operation while looking at the display device 803 as described above. From the viewpoint of securing the field of view of the operator 807, there is a greater demand for downsizing of the support portion 801.
- the three rotation axes orthogonal to each other for defining the posture of the observation unit are relative to the observation unit so that the surgical unit can be observed from any angle by the observation unit. It is common to be provided.
- the attitude of the microscope unit means the direction of the optical axis of the microscope unit with respect to the observation target. Therefore, considering that the actuators are provided for the joints corresponding to these rotation axes, the actuators are arranged in the vicinity of the observation unit. There is a concern that
- FIG. 3 shows an example of a general configuration of a support portion provided with an actuator.
- FIG. 3 is a diagram illustrating an example of a general configuration of a support portion provided with an actuator.
- a region near the observation unit in the support unit of the observation apparatus is also referred to as a tip region for convenience.
- FIG. 3 only the configuration of the tip region of a general support portion 820 provided with an actuator is shown.
- a microscope unit 810 and a first axis O that is a rotation axis substantially parallel to the imaging direction (optical axis direction) of the microscope unit 810.
- a second joint portion 823 that holds the first joint portion 821 so as to be rotatable about a second axis O 2 that is a rotation axis substantially parallel to the extending direction of the first arm portion 822, and the second joint portion 823.
- a second arm portion 824 extending in a direction one end of the base end side are perpendicular to each other and the first axis O 1 and the second shaft O 2 is fixed, it is shown.
- the first arm portion 822 and the second joint portion 823 are configured as an integral member.
- the base end side of the second arm portion 824, the rotatably to the third about the shaft O 3 is a stretching direction substantially parallel to the rotation axis of the second arm portion 824 first
- a third joint that holds the two-arm portion 824 may be provided.
- rotation of the first about the shaft O 1 it is controlled, so that the orientation of the image taken by the microscope unit 810 is controlled.
- the posture of the microscope unit 810 is controlled by controlling the rotation about the second axis O 2 and the third axis O 3, respectively. That is, the second axis O 2 and the third axis O 3 may be rotation axes that define the posture of the microscope unit 810.
- the actuator providing a driving force is provided for rotation around the first axis O 1 and the second shaft O 2.
- the support part 820 actuators can be similarly provided to other joint parts.
- the first joint portion 821 and the second joint portion 823 become larger than the case where the actuator is not provided because the actuator is provided.
- the configuration of the tip region is increased by providing the actuator.
- the electronic imaging observation device in order to secure the operator's work space and field of view, it is required to further reduce the size of the support portion, particularly the tip region of the support portion. ing.
- the configuration of the tip region of the support portion is increased by providing the actuator. There is a tendency to end. Therefore, assuming a case where an operation is performed using an electronic imaging observation device in which an actuator is provided at a joint portion of the support portion, it is considered that it is more difficult to secure the operator's work space and visibility.
- FIG. 4 is a diagram illustrating a configuration example of the observation system according to the first embodiment.
- the observation system 1 supports a microscope unit 110, an observation apparatus 10 that images a patient's surgical part with the microscope unit 110, and an operation imaged by the observation apparatus 10. And a display device 20 for displaying the video of the part.
- the surgeon observes the surgical site while referring to the video imaged by the observation device 10 and displayed on the display device 20, and performs various treatments on the surgical site.
- the display device 20 displays an image of the surgical site of the patient taken by the observation device 10.
- the display device 20 is installed in a place where it can be visually recognized by an operator, such as a wall surface of an operating room.
- the type of the display device 20 is not particularly limited. Examples of the display device 20 include various known displays such as a CRT (Cathode Ray Tube) display device, a liquid crystal display device, a plasma display device, and an EL (Electro-Luminescence) display device.
- An apparatus may be used.
- the display device 20 does not necessarily have to be installed in the operating room, and is mounted on a device worn by the surgeon such as a head mounted display (HMD) or a glasses-type wearable device. May be.
- HMD head mounted display
- a glasses-type wearable device May be.
- the imaging unit 111 of the microscope unit 110 of the observation apparatus 10 is configured as a stereo camera or configured to be capable of high-resolution imaging
- 3D display is correspondingly performed.
- a display device 20 capable of displaying at a high resolution is possible.
- the observation apparatus 10 includes a microscope unit 110 for magnifying and observing a patient's surgical site, a support unit 120 (arm unit 120) that supports the microscope unit 110, and one end of the support unit 120 connected to each other.
- movement of the observation apparatus 10 are provided.
- the observation apparatus 10 is a medical observation apparatus for magnifying and observing a site to be treated by an operator at the time of surgery or examination with the microscope unit 110.
- the base unit 130 is a base of the observation apparatus 10 that supports the microscope unit 110 and the support unit 120.
- the base part 130 includes a pedestal 131 having a plate shape and a plurality of casters 132 provided on the lower surface of the pedestal 131.
- One end of the support unit 120 is connected to the upper surface of the gantry 131, and the microscope unit 110 is connected to the other end (tip) of the support unit 120 extending from the gantry 131.
- the observation apparatus 10 is configured to be in contact with the floor surface via the caster 132 and to be movable on the floor surface by the caster 132.
- a direction perpendicular to the floor on which the observation apparatus 10 is installed is defined as a z-axis direction.
- the z-axis direction is also referred to as the vertical direction or the vertical direction.
- Two directions orthogonal to the z-axis direction are defined as an x-axis direction and a y-axis direction, respectively.
- a direction parallel to the xy plane is also referred to as a horizontal direction.
- the microscope unit 110 is configured by a microscope body for magnifying and observing a patient's surgical site.
- the optical axis direction of the microscope unit 110 substantially coincides with the z-axis direction.
- the microscope unit 110 has a configuration corresponding to an electronic imaging type microscope unit, and includes a cylindrical part 112 having a substantially cylindrical shape, and an imaging unit 111 provided in the cylindrical part 112.
- the imaging unit 111 includes an optical system such as an objective lens and a zoom lens, and an imaging element that captures an image of a subject (that is, an operation part) using light that has passed through the optical system.
- a cover glass for protecting the imaging unit 111 is provided on the opening surface at the lower end of the cylindrical portion 112.
- a light source is also provided inside the cylindrical portion 112, and illumination light is emitted from the light source to the subject through the cover glass during photographing. The reflected light from the subject of the illumination light is incident on the imaging unit 111 through the cover glass, whereby a signal (video signal) indicating an image of the surgical site is acquired by the imaging unit 111.
- the configuration corresponding to various known electronic imaging microscope units may be applied as the microscope unit 110, detailed description thereof is omitted here.
- various known imaging elements such as a CCD (Charge Coupled Device) sensor and a CMOS (Complementary Metal-Oxide-Semiconductor) sensor may be applied as the imaging element of the imaging unit 111.
- the imaging unit 111 may be configured as a so-called stereo camera including a pair of imaging elements.
- Various known configurations can also be applied to the optical system of the imaging unit 111.
- the imaging unit 111 can be equipped with various functions that are generally provided in an electronic imaging type microscope unit, such as an AF (Auto Focus) function and an optical zoom function.
- the imaging unit 111 may be configured to be capable of shooting at a high resolution such as 4K or 8K.
- the imaging unit 111 is configured to be capable of shooting at a high resolution, so that a predetermined resolution (for example, Full HD image quality) is ensured and a video is displayed on the display device 20 having a large screen of 50 inches or more, for example. Therefore, the visibility of the operator is improved.
- a predetermined resolution for example, Full HD image quality
- a video is displayed on the display device 20 having a large screen of 50 inches or more, for example. Therefore, the visibility of the operator is improved.
- a predetermined resolution can be ensured.
- the microscope unit 110 is not required to have an optical zoom function up to that point, and the optical system of the microscope unit 110 can be simplified. Therefore, the microscope unit 110 can be configured more compactly. .
- the video signal acquired by the microscope unit 110 is transmitted to the control device 140, and the control device 140 performs, for example, gamma correction, white balance adjustment, enlargement and inter-pixel correction for the electronic zoom function on the video signal.
- Various image processing is performed. In the image processing, various types of image processing that are generally performed to display video may be performed.
- a video signal subjected to various types of image processing is transmitted to a display device 20 provided in the operating room, and an image of the surgical site is transmitted to the display device 20 by using, for example, an optical zoom function and / or an electronic zoom function.
- the image is enlarged and displayed as appropriate.
- the communication between the control device 140 and the display device 20 may be realized by various known wired or wireless methods.
- a processing circuit for performing the above-described image processing may be provided in the microscope unit 110, and the above-described image processing may not be performed by the control device 140 but may be performed by the processing circuit of the microscope unit 110. .
- image information after image processing is appropriately performed in the processing circuit mounted on the microscope unit 110 can be transmitted from the microscope unit 110 to the display device 20 provided in the operating room.
- communication between the microscope unit 110 and the display device 20 may be realized by various known wired or wireless methods.
- the microscope unit 110 includes a zoom switch 151 (zoom SW 151) and a focus switch 152 (focus SW 152) for adjusting imaging conditions of the microscope unit 110, and an operation for changing the operation mode of the support unit 120.
- a mode change switch 153 (operation mode change SW 153) is provided.
- the surgeon can adjust the magnification and the focal length of the microscope unit 110 by operating the zoom SW 151 and the focus SW 152, respectively. Further, the surgeon can switch the operation mode of the support unit 120 to either the fixed mode or the free mode by operating the operation mode change SW 153.
- the fixed mode is an operation mode in which the position and posture of the microscope unit 110 are fixed by restricting rotation of each rotation shaft provided in the support unit 120 by a brake.
- the free mode is a state in which rotation on each rotation shaft provided in the support unit 120 is freely possible by releasing the brake, and the position and posture of the microscope unit 110 can be adjusted by direct operation by the operator.
- Operation mode means an operation in which the operator holds the microscope unit 110 by hand and moves the microscope unit 110 directly.
- the operation mode of the support unit 120 is in the free mode while the operator presses the operation mode change SW 153, and the operation mode of the support unit 120 is fixed while the operator releases the operation mode change SW 153. It becomes a mode.
- switches are not necessarily provided in the microscope unit 110.
- a mechanism for accepting an operation input having a function equivalent to those of the switches may be provided in the observation apparatus 10, and the specific configuration of the mechanism is not limited.
- these switches may be provided in other parts of the observation apparatus 10.
- commands corresponding to these switches may be remotely input to the observation apparatus 10 using an input device such as a remote controller or a foot switch.
- the cylindrical portion 112 of the microscope unit 110 is illustrated as a simple cylindrical member in FIG. 4, but the cylindrical portion 112 has a gripping portion to be gripped by the operator.
- the gripping part can be realized by forming a structure such as a handle gripped by the operator on the outer periphery of the cylindrical part 112.
- the gripping portion can be realized by forming the shape of the cylindrical portion 112 into a shape that can be easily gripped by an operator. For example, as described above, in the free mode, an operation in which the operator moves the microscope unit 110 while directly holding the tubular unit 112 with a hand can be assumed.
- the shape of the cylindrical portion 112 and the arrangement position of the operation mode change SW 153 are the same as those in the free mode. It can be appropriately determined in consideration of the operability of the operator. Similarly, the arrangement positions of the zoom SW 151 and the focus SW 152 may be appropriately determined in consideration of the operator's operability.
- the control device 140 can be, for example, a processor such as a CPU (Central Processing Unit) or a DSP (Digital Signal Processor), or a control board on which these processors and storage elements are mounted.
- the operation of the observation apparatus 10 is controlled by executing arithmetic processing according to a predetermined program.
- Each function in the control device 140 is realized by a processor constituting the control device 140 executing arithmetic processing according to a predetermined program.
- the control device 140 controls the driving of actuators 321 to 326 provided for the joints (the first joint part 210 to the sixth joint part 260) that configure the support part 120 described later, thereby controlling each joint.
- the rotation angle in the unit is controlled, and the operation of the support unit 120 is controlled.
- each of the actuators 321 to 326 is provided with an encoder for detecting the rotation angle of each joint and a torque sensor for detecting torque acting on each joint.
- the control device 140 grasps the current state (position, posture, speed, etc.) of the support part 120 based on the detected values of the encoder and the torque sensor, and based on the grasped state of the support part 120 by the operator.
- a control amount for example, rotational torque if the control method is force control
- the support part 120 is controlled by driving each joint part according to the control amount.
- the operation of the support part 120 is preferably controlled by force control.
- force control the force applied to the support unit 120 according to a direct operation by the surgeon (an operation in which the surgeon grips the microscope unit 110 by hand and moves the microscope unit 110 directly, for example).
- the operation of the support part 120 can be controlled such that the support part 120 moves in the direction of.
- the control method of the support part 120 is not particularly limited, and the operation of the support part 120 may be controlled by various control methods such as position control.
- the observation apparatus 10 may be provided with an input device such as a controller for operating the support unit 120. Since various known methods may be used as a specific control method of the support part 120, detailed description thereof is omitted.
- control device 140 controls the driving of the brakes provided in the joint portions of the support portion 120 in accordance with the operation input of the operator via the operation mode change SW 153, so that the support portion 120 described above. Has a function of switching the operation mode.
- control device 140 appropriately drives the optical system of the imaging unit 111 of the microscope unit 110 in accordance with an operation input from the operator via the zoom SW 151 and the focus SW 152, and the magnification and focal length of the microscope unit 110. It has a function to adjust.
- control device 140 controls driving of an imaging element mounted on the imaging unit 111 of the microscope unit 110 and controls timing of starting and ending imaging.
- the control device 140 has a function of performing various types of image processing on the video signal acquired by the microscope unit 110 and causing the display device 20 to display a video based on the processed video signal.
- the control device 140 may have various functions provided in a control device of a general observation device.
- communication between the components in the observation device 10 for example, communication between the microscope unit 110 and the control device 140, and actuators 321 to 326 and control devices of joint portions 210 to 260 of the support unit 120 described later
- communication with the network 140 is performed in a wired manner via a cable. Since the cable is extended between the control device 140 and the joint portions 210 to 260 and between the control device 140 and the microscope unit 110, if the cable is exposed to the outside, There is a risk of hindering the operator's work space and view. Therefore, in the first embodiment, the cable is preferably extended inside the support portion 120. Thereby, it is possible to avoid a situation where the operator's work space and field of view are obstructed by the cable, and the convenience of the operator is improved.
- the control device 140 is provided as a different configuration from the microscope unit 110, the support unit 120, and the base unit 130, and is connected to the base unit 130 by a cable, but the first embodiment is applied. It is not limited to examples.
- a processor, a control board, or the like that realizes the same function as that of the control device 140 may be disposed in the base unit 130.
- the control device 140 and the microscope unit 110 may be integrally configured by incorporating a processor, a control board, and the like that realize the same function as the control device 140 into the microscope unit 110.
- a processor, a control board, and the like are arranged at each joint portion that constitutes the support unit 120, and the plurality of processors, the control board, and the like cooperate with each other, thereby realizing the same function as the control device 140. Also good.
- the support unit 120 holds the microscope unit 110, moves the microscope unit 110 three-dimensionally, and fixes the position and posture of the microscope unit 110 after the movement.
- the support portion 120 is configured as a balance arm having six degrees of freedom.
- the support part 120 may be comprised so that it may have another different number of degrees of freedom.
- the support unit 120 includes six rotation axes (first axis O 1 , second axis O 2 , third axis O 2 , fourth axis O 4 , fifth axis O 5, and sixth axis corresponding to six degrees of freedom. O 6 ) is provided.
- a portion that constitutes each rotation shaft and rotatably connects between each member is referred to as a joint portion.
- the joint portion may be configured by a bearing and a shaft that is rotatably inserted into the bearing.
- a parallelogram link mechanism 240 to be described later can also be regarded as one of the joint portions.
- the support part 120 includes a first joint part 210, a second joint part 220, a third joint part 230, a fourth joint part 240, a fifth joint part 250, and a sixth joint part 260 corresponding to the respective rotation axes,
- the first arm part 271, the second arm part 272, the third arm part 273, the fourth arm part 274, and the fifth arm part 275 are connected to each other by the first joint part 210 to the sixth joint part 260 so as to be rotatable.
- a counterweight 280 for balancing the moments of the microscope unit 110 and the support unit 120 as a whole.
- the fourth joint part 240 corresponds to the parallelogram link mechanism 240.
- the side on which the microscope unit 110 is provided is also referred to as the distal end side or the distal end portion, and the side closer to the base unit 130 is the proximal end side or the proximal end portion.
- the first joint portion 210 has a substantially cylindrical shape, and is connected to the proximal end portion of the cylindrical portion 112 of the microscope portion 110 so that the central axis thereof substantially coincides with the central axis of the cylindrical portion 112 of the microscope portion 110. Is done.
- the first joint portion 210 a direction substantially coincident with the optical axis of the microscope section 110 as a rotation axis direction (first axis O 1 direction), to support the microscope 110 rotatably.
- the first axis O 1 is provided as a rotation axis substantially parallel to the z axis.
- a part of the imaging unit 111 of the microscope unit 110 is stored in a substantially cylindrical casing constituting the first joint unit 210. That is, the microscope unit 110 and the first joint unit 210 are configured as an integral member.
- 1st Embodiment is not limited to this example, The 1st joint part 210 and the microscope part 110 may be comprised as a mutually separate member.
- the first joint portion 210 is connected to the tip of a first arm portion 271 that extends in a direction substantially perpendicular to the first axis O 1 . Further, the proximal end of the first arm portion 271, a first arm portion 271 rotatably stretching direction substantially parallel to the direction of the first arm portion 271 as a rotation axis direction (second axis O 2 direction) A supporting second joint portion 220 is provided.
- the second axis O 2 is a rotation axis that is substantially perpendicular to the first axis O 1, and is provided as a rotation axis that is substantially parallel to the y axis in the example shown in FIG.
- the position of the microscope unit 110 in the x-axis direction is adjusted by the second joint unit 220 rotating the microscope unit 110 and the first arm unit 271 about the second axis O 2 as a rotation axis.
- the second joint portion 220 is connected to the tip of a second arm portion 272 that extends in a direction substantially perpendicular to the first axis O 1 and the second axis O 2 .
- This proximal end of the second arm portion 272 supports the second arm portion 272 extending direction a direction substantially parallel with the rotational axis direction (third axis O 3 direction) of the second arm portion 272 rotatably
- a third joint 230 is provided.
- the second arm portion 272 and the third joint portion 230 are connected in a state where the central axes of both are shifted. That is, the connection part of the 2nd arm part 272 and the 3rd joint part 230 comprises what is called a crank shape.
- the third axis O 3 is a rotation axis substantially perpendicular to the first axis O 1 and the second axis O 2, and is provided as a rotation axis substantially parallel to the x axis in the example shown in FIG.
- the support unit 120 is configured to control the posture of the microscope unit 110 by controlling the rotation about the second axis O 2 and the third axis O 3, respectively. That is, the second joint part 220 and the third joint part 230 may be joint parts that define the posture of the microscope unit 110.
- the third joint portion 230 is connected to the tip end of the third arm portion 273 extending in a direction substantially parallel to the third axis O 3 .
- the top end of the parallelogram link mechanism 240 is connected to the base end of the third arm portion 273.
- the parallelogram link mechanism 240 includes four arms (arms 241, 242, 243, 244) arranged in a parallelogram shape, and four rotations provided at positions corresponding to substantially the apexes of the parallelogram. Part (rotating parts 245, 246, 247, 248).
- the rotating parts 245 to 248 are mechanisms for connecting two members to each other so as to be rotatable.
- the distal end of the arm 241 extending in a direction substantially parallel to the third axis O 3 is connected to the proximal end of the third arm portion 273.
- a rotating portion 245 is provided near the distal end of the arm 241, and a rotating portion 246 is provided near the proximal end.
- the rotating portions 245 and 246 are connected to the ends of the arms 242 and 243, respectively, so as to be rotatable about rotation axes (fourth axis O 4 ) that are substantially perpendicular to the extending direction of the arm 241 and substantially parallel to each other.
- rotating portions 247 and 248 are provided at the base ends of the arms 242 and 243, respectively.
- the distal ends and proximal ends of the arms 244 are connected to the rotating portions 247 and 248 so as to be rotatable about the fourth axis O 4 and substantially parallel to the arm 241.
- the four rotating portions 245 to 248 constituting the parallelogram link mechanism 240 have rotation axes (fourth axis O 4 ) in substantially the same direction that are substantially parallel to each other, and around the fourth axis O 4. Operate in conjunction with each other.
- the fourth axis O 4 is provided as a rotation axis that is substantially parallel to the y axis. That is, the parallelogram link mechanism 240 is configured to have a plurality of rotating portions that are arranged at different positions and rotate in conjunction with each other on the rotation shaft in the same direction, and transmits the operation at one end to the other end. Act as a mechanism.
- the fifth axis O 5 is a rotation axis substantially parallel to the fourth axis O 4, and is provided as a rotation axis substantially parallel to the y axis in the example shown in FIG.
- the distal end of a fourth arm portion 274 extending in the z-axis direction is connected to the fifth joint portion 250.
- the fourth arm portion 274 has a substantially L-shaped shape, and the base end side thereof is bent so as to be substantially parallel to the floor surface.
- a sixth joint 260 capable of rotating the fourth arm 274 about a rotation axis (sixth axis O 6 ) parallel to the vertical direction is connected to a surface substantially parallel to the floor surface of the fourth arm 274. Is done.
- the sixth joint portion 260 is integrally formed with a fifth arm portion 275 extending in the vertical direction. That is, the distal end of the fifth arm portion 275 is connected to a surface substantially parallel to the floor surface of the base end of the fourth arm portion 274. Further, the base end of the fifth arm portion 275 is connected to the upper surface of the gantry 131 of the base portion 130. With this configuration, the configuration on the tip side of the fourth arm portion 274 is rotated with respect to the base portion 130 about the sixth axis O 6 via the sixth joint portion 260.
- the arm 244 constituting the lower side of the parallelogram link mechanism 240 is formed to be longer than the arm 241 constituting the upper side, and the third joint portion 230 of the parallelogram link mechanism 240 of the arm 242 is connected.
- An end located diagonally to the portion to be formed is extended to the outside of the parallelogram link mechanism 240.
- a counterweight 280 is provided at the end of the extended arm 244.
- the counterweight 280 is disposed on the tip side of itself (that is, the microscope unit 110, the first joint unit 210, the second joint unit 220, the third joint unit 230, the first arm unit 271, and the second arm). part 272, by the mass of the third arm portion 273 and the parallelogram link mechanism 240), so as to be offset the rotation moment and the rotational moment generated fifth axis O 5 about to occur around the fourth shaft O 4, The mass and arrangement position are adjusted.
- the arrangement position of the fifth joint portion 250 is adjusted so that the center of gravity of each component arranged on the distal end side with respect to the fifth joint portion 250 is located on the fifth axis O 5 .
- the arrangement position of the sixth joint part 260 is adjusted so that the center of gravity of each component arranged on the distal end side with respect to the sixth joint part 260 is located on the sixth axis O 6 .
- the rotation of the members around the respective rotation axes (the first axis O 1 to the sixth axis O 6 ) in the support unit 120 is configured to be driven by the actuator.
- the first joint part 210 to the sixth joint part 260 are provided with actuators 321, 322, 323, 324, 325, and 326 for applying a driving force to the rotation around each rotation axis, respectively.
- the first joint portion 210, the third joint portion 230, and the fifth joint respectively.
- Actuators 321, 323, 325, and 326 are provided inside the part 250 and the sixth joint part 260.
- the parallelogram link mechanism 240 corresponding to the fourth joint portion 240 the four rotating portions (rotating portions 245 to 248) rotate in conjunction with each other, and therefore any one of these rotating portions 245 to 248 has an actuator.
- 324 is provided.
- an actuator 324 is provided in the rotating unit 245 (strictly speaking, the actuator 324 can be provided in the arm 241, but is not shown in FIG. 4 for simplicity).
- the first embodiment is not limited to such an example, and in the parallelogram link mechanism 240, the actuator 324 may be provided in any of the other rotating units 246 to 248.
- an actuator 322 is provided at a position separated from the second joint portion 220 with respect to the second axis O 2 .
- the actuator 322 is disposed at the proximal end portion of the second arm portion 272, and the second joint portion 220 is disposed at the distal end portion of the second arm portion 272.
- the second joint portion 220 and the actuator 322 are connected by a power transmission mechanism (not shown) provided in the second arm portion 272, and the driving force of the actuator 322 is transmitted to the second joint by the power transmission mechanism. Is transmitted to the unit 220.
- the second joint portion 220 and the actuator 322 that gives a driving force to the rotation of the second joint portion 220 around the second axis O 2 are interposed via the power transmission mechanism.
- the actuator 322 can be arrange
- a power transmission mechanism capable of transmitting rotational motion between two rotation axes substantially orthogonal to each other is used as the power transmission mechanism for connecting the second joint unit 220 and the actuator 322. It is done. Accordingly, the actuator 322 is arranged so that the second axis O 2 that is the rotation axis in the second joint unit 220 and the drive axis of the actuator 322 (hereinafter also referred to as a rotation axis for convenience) are orthogonal to each other. Is possible. In other words, the actuator 322 can be arranged so that the rotation axis thereof is in a direction substantially parallel to the extending direction of the second arm portion 272. Thereby, the protrusion amount of the actuator 322 in the direction substantially orthogonal to the extending direction of the second arm portion 272 can be suppressed.
- the actuator 322 is arranged so that the rotation axis thereof is directed in a direction substantially orthogonal to the extending direction of the second arm portion 272. Then, the actuator 322 may protrude toward the operator's body, which may hinder the operator's work. Since the actuator 322 is arranged so that the second axis O 2 and the rotation axis of the actuator 322 are substantially orthogonal to each other as in the first embodiment, such a protruding portion can be almost eliminated. The convenience for the person can be further improved.
- the first joint part 210 to the sixth joint part 260 may be provided with a brake for stopping the rotation of each joint part.
- the fourth joint 240 that is, the parallelogram link mechanism 240, since the four rotating parts 245 to 248 rotate in conjunction with each other, at least one of these rotating parts 245 to 248 is provided with a brake.
- the brakes may be provided in the actuators 321 to 326 corresponding to the first joint part 210 to the sixth joint part 260, respectively.
- the driving of these brakes is controlled by the control device 140.
- these brakes are activated all at once under the control of the control device 140.
- the rotation axis is constrained. Further, when an instruction to shift the operation mode of the support unit 120 to the free mode is input via the operation mode change SW 153, these brakes are released simultaneously by the control from the control device 140.
- non-excited electromagnetic brakes that release the brake when energized and operate the brake when de-energized are preferably used. Thereby, even in an emergency such as a power failure, the support unit 120 can maintain the posture. In addition, since it is not necessary to energize in the fixed mode in which the brake is operated, it is possible to reduce power consumption.
- the first embodiment is not limited to such an example, and various brake mechanisms used for a general balance arm may be applied as these electronically controlled brake mechanisms.
- these electronically controlled brake mechanisms may be electromagnetic brakes or mechanically driven.
- FIG. 5 is a cross-sectional view showing a configuration example of the actuators 321 to 326 shown in FIG. Since all of the actuators 321 to 326 have substantially the same configuration, FIG. 5 illustrates the configuration of the actuator 322 that rotates the second joint unit 220 as an example. Further, FIG. 5 shows a state of a cross section passing through the rotation axis of the actuator 322.
- the actuator 322 includes a motor 331, a motor driver 332, a speed reducer 333, an encoder 334, and a torque sensor 335.
- the motor 331 is a prime mover in the actuator 322 and generates rotational torque.
- various motors generally used as a servo motor can be used.
- the motor 331 is a brushless DC motor.
- the motor driver 332 is a driver circuit (driver IC (Integrated Circuit)) that rotates the motor 331 by supplying current to the motor 331.
- the motor driver 332 adjusts the amount of current supplied to the motor 331 in accordance with the control amount of the second joint unit 220 calculated by the control device 140, and rotates the motor 331.
- the speed reducer 333 is provided on a drive shaft (output shaft) on the output side of the motor 331, and generates a predetermined rotational torque by reducing the rotation of the output shaft generated by the motor 331 with a predetermined reduction ratio.
- a backlashless high-performance reducer as the reducer 333.
- the reducer 333 for example, a reduction gear having a relatively large reduction ratio of about 1/100 is used so that the rotation speed of the second joint portion 220 does not become too high. It is preferable.
- a harmonic drive registered trademark
- the rotational torque generated by the speed reducer 333 is transmitted to the second joint unit 220 via the power transmission mechanism described above, and the second joint unit 220 is rotated.
- the encoder 334 is provided on the drive shaft (input shaft) on the input side of the motor 331, and detects the rotation speed of the input shaft.
- the detection value by the encoder 334 is transmitted to the control device 140 and used to grasp the state of the support unit 120.
- the control device 140 rotates the second joint unit 220 based on the relationship between the rotational speed of the input shaft detected by the encoder 334, the reduction ratio of the speed reducer 333, the gear ratio of the power transmission mechanism, and the like. Information such as angle, rotational angular velocity and rotational angular acceleration can be obtained.
- the torque sensor 335 is provided on the output shaft of the speed reducer 333, and detects torque generated by the speed reducer 333, that is, rotational torque (generated torque) generated by the actuator 322.
- the torque sensor 335 can detect not only torque generated by the actuator 322 but also external torque applied from the outside.
- the detection value by the torque sensor 335 is transmitted to the control device 140 and used to grasp the state of the support unit 120.
- the configuration example shown in FIG. 5 corresponds to force control.
- the torque sensor 335 is not necessarily provided in the actuator 322.
- FIG. 6 is a diagram illustrating a configuration example of a power transmission mechanism that connects the second joint unit 220 and the actuator 322 in the first embodiment.
- FIG. 6 only the configuration in the vicinity of the second joint unit 220, the second arm unit 272, and the actuator 322 is extracted from the configuration of the support unit 120 of the observation apparatus 10 illustrated in FIG. 4.
- the side wall of the second arm portion 272 is shown in a simulated manner in order to represent the configuration provided inside the second arm portion 272.
- the second joint portion 220 is disposed on the distal end side of the second arm portion 272 such that the second axis O 2 is substantially orthogonal to the extending direction of the second arm portion 272.
- the actuator 322 is disposed on the proximal end side of the second arm portion 272 so that the rotation axis of the actuator 322 is substantially parallel to the extending direction of the second arm portion 272.
- the power transmission mechanism 330 provided inside the second arm portion 272 extends along a direction substantially parallel to the rotation axis of the actuator 322 (that is, the extending direction of the second arm portion 272), and the power transmission mechanism 330 extends to the rotation axis of the actuator 322.
- a drive shaft 235 having one end connected and rotating coaxially with the rotation shaft, a first bevel gear 233 provided at the other end of the drive shaft 235 and rotating coaxially with the rotation shaft of the actuator 322, and a first bevel A second bevel gear 231 that meshes with the gear 233 and rotates coaxially with the second axis O 2 corresponding to the second joint portion 220.
- the rotation of the rotation shaft of the actuator 322 is transmitted to the second joint unit 220 by the first bevel gear 233 and the second bevel gear 231.
- the actuator 322 can be disposed so that the rotation axis thereof is substantially parallel to the extending direction of the second arm portion 272. Therefore, the protrusion amount of the actuator 322 in the direction substantially orthogonal to the extending direction of the second arm portion 272 can be suppressed, and the protruding actuator 322 interferes with the operator's body and hinders the operator's smooth work. The situation can be avoided.
- the power transmission mechanism 330 may be provided with a backlashless mechanism 237, a thrust bearing 239, linear guides 251 and 253, an Oldham coupling 255, and the like.
- the backlash-less mechanism 237 is provided at the end of the drive shaft 235, and reduces the clearance between the first bevel gear 233 and the second bevel gear 231 (that is, the first bevel gear 233 is moved to the first position). It is constituted by a spring that biases the first bevel gear 233 (in the direction of pressing toward the second bevel gear 231). Since the first bevel gear 233 is pressed toward the second bevel gear 231 by the spring, the clearance between the first bevel gear 233 and the second bevel gear 231 is reduced. The occurrence of backlash in meshing between the bevel gear 233 and the second bevel gear 231 is suppressed.
- an operation part may be imaged at a high magnification by the microscope unit 110. Therefore, when backlash occurs in driving of the support unit 120, it is difficult to position the microscope unit 110 with high accuracy. There is a risk that it will not be possible to observe the region smoothly.
- the power transmission mechanism 330 with the backlash-less mechanism 237, the occurrence of backlash can be suppressed and the position of the microscope unit 110 can be controlled with higher accuracy.
- the linear guides 251 and 253 various known ones may be used.
- the linear guides 251 and 253 have a plate-like member provided with an opening through which the drive shaft 235 is inserted, on the inner periphery of the opening (that is, the portion that contacts the outer periphery of the drive shaft 235).
- a bearing that realizes sliding in the insertion direction of the drive shaft 235 is attached. Since the linear guides 251 and 253 are provided, the drive shaft 235 is smoothly moved in the extending direction as the first bevel gear 233 and the second bevel gear 231 are rotated. The first bevel gear 233 and the second bevel gear 231 rotate smoothly, and the operation of the support unit 120 is performed smoothly. Accordingly, the positioning accuracy of the microscope unit 110 is improved. In addition, the operability when operating the support portion 120 is improved.
- the drive shaft 235 may be provided with a thrust bearing 239.
- the thrust bearing 239 suppresses friction loss during rotation of the drive shaft 235 due to the thrust load applied to the drive shaft 235 as the first bevel gear 233 and the first bevel gear 233 rotate.
- the first bevel gear 233 and the second bevel gear 231 can be rotated more smoothly.
- Oldham coupling 255 may be used for connection between the rotation shaft of actuator 322 and drive shaft 235.
- various known ones can be used.
- rotation transmission between the rotation shaft of the actuator 322 and the drive shaft 235 is performed more smoothly, that is, the power of the actuator 322 is more smoothly transmitted to the second joint portion 220. Will be transmitted.
- the actuator 322 that applies a driving force to the rotation around the second axis O 2 in the second joint unit 220 that can define the attitude of the microscope unit 110, and the second The joint portion 220 is disposed so as to be separated from each other via the power transmission mechanism 330.
- the actuator 322 and the second joint unit 220 are arranged separately from each other in this way.
- the configuration in the vicinity of the microscope unit 110 can be reduced in size. Therefore, when performing a medical practice such as surgery or examination using the observation apparatus 10 according to the first embodiment, it is possible to further secure the operator's work space and field of view.
- the power transmission mechanism 330 a power transmission mechanism capable of transmitting rotation between two rotation shafts substantially orthogonal to each other is used. Accordingly, the actuator 322 is arranged such that the second axis O 2 and the rotation axis of the actuator 322 are orthogonal to each other, that is, the rotation axis of the actuator 322 faces a direction substantially parallel to the extending direction of the second arm portion 272. Can be arranged. Therefore, the situation in which the actuator 322 greatly protrudes in the direction orthogonal to the extending direction of the second arm portion 272 and the protruding portion interferes with the operator can be suitably prevented.
- a link, a wire, or the like is installed between the rotating shafts, and rotation of one rotating shaft is performed.
- the structure which transmits to another rotating shaft through the linear motion to the extending direction of a wire can be considered.
- the transmittable rotation angle may be limited. Therefore, when the power transmission mechanism using a link, a wire, or the like is applied to the transmission of the rotational motion between the actuator 322 and the second joint unit 220 described above, the rotation angle on the second axis O 2 is within a predetermined range. It will be limited to. In order to be able to photograph the observation object from all directions, the movable range of the microscope unit 110 is required to be as wide as possible. Therefore, it is not preferable that the rotation angle on the second axis O 2 is limited in this way.
- the rotation of the drive shaft 235 that rotates in synchronization with the rotation of the rotation shaft of the actuator 322 is transmitted via the first bevel gear 233 and the second bevel gear 231. Transmitted to the second joint 220. Therefore, since the transmittable rotation angle is not limited, the angle range in which the second axis O 2 can be rotated can be widened, and a wider movable range of the microscope unit 110 can be secured. Become.
- power is provided between the second joint portion 220 and the actuator 322 that provides a driving force with respect to rotation around the second axis O 2 that is the rotation axis of the second joint portion 220.
- the transmission mechanism 330 is provided, the first embodiment is not limited to such an example.
- the joint portions provided in the support portion 120 the power transmission mechanism 330 is interposed, and the joint portion to be arranged separately from the actuator is not limited to the second joint portion 220, and is not limited to the microscope portion 110.
- Other joint portions may be used as long as they are joint portions that define the posture and can be disposed in the vicinity of the microscope unit 110.
- the third joint portion 230, an actuator 323 applying a driving force to the rotation of the third about the shaft O 3 is the rotational axis of the third joint portion 230, the power transmission mechanism 330 is provided between,
- the third joint part 230 and the actuator 323 may be spaced apart from each other.
- a configuration in which the distance from the actuator via the power transmission mechanism 330 is separated from a plurality of joint portions such as the second joint portion 220 and the third joint portion 230 may be provided.
- the joint part and the actuator are arranged separately from each other via the power transmission mechanism 330 with respect to at least one of the joint parts that can define the posture of the microscope part 110, the microscope part The effect of downsizing the configuration near 110 can be obtained.
- the first bevel gear 233 and the second bevel gear 231 are used as the power transmission mechanism 330.
- the power transmission mechanism 330 may be any configuration that can transmit rotation between rotation axes that are orthogonal to each other. May be used.
- the power transmission mechanism 330 may be configured by a worm gear.
- the worm gear for example, one end connected to the rotary shaft of the actuator 322, a worm for rotating the rotation axis coaxial with the actuator 322, meshed surface and the tooth of the worm, the second axis O 2 coaxially And a rotating worm wheel.
- the actuator 322 described with reference to FIG. 5 corresponds to relatively advanced control that can realize a servo mechanism.
- the actuator 322 configured to cope with such advanced control is relatively expensive and tends to be large in the radial direction (in-plane direction perpendicular to the drive shaft).
- the actuator 322 has the inside of the second arm portion 272 such that the drive shaft (rotating shaft) faces a direction substantially parallel to the extending direction of the second arm portion 272. Placed in. Therefore, if the outer diameter of the actuator 322 is large, the outer diameter of the second arm portion 272 also becomes large, and there is a possibility that the configuration in the vicinity of the microscope portion 110 cannot be effectively reduced in size.
- the size of the actuator 322 may be made smaller. Therefore, if the second joint part 220 and / or the third joint part 230 that are required to be downsized are subjected to simpler control, the actuators 322 and 323 provided in these joint parts are made smaller. Can be configured.
- the actuators 322 and 323 a configuration example of smaller actuators 322a and 323a will be described.
- FIG. 7 and 8 are cross-sectional views showing a configuration example of actuators 322a and 323a according to a modification of the first embodiment.
- the second arm portion 272 and the configuration in the vicinity of the second arm portion 272 are shown cut along a cross section passing through the extending direction of the second arm portion 272 and the rotation axis direction of the second joint portion 220.
- FIG. 8 illustrates a state in which the configuration of the third arm portion 273 and the vicinity of the third arm portion 273 is cut by a cross section passing through the extending direction of the third arm portion 273 and the rotation axis direction of the third joint portion 230. .
- This modification corresponds to the configuration according to the above-described embodiment in which the actuators 322 and 323 are replaced with the actuators 322a and 323a, and other configurations such as the power transmission mechanism 330 are substantially the same as those of the above-described embodiment. It is the same. Therefore, in the following description of the present modification, the configuration of the actuators 322a and 323a that are different from the above-described embodiment will be mainly described, and detailed description of the other configurations will be omitted. In FIG. 7, for the sake of simplicity, some members shown in FIG. 6 may be omitted.
- the actuators 322a and 323a are configured so that at least an xy movement operation can be performed in the second joint part 220 and the third joint part 230. Therefore, the configuration examples of the actuators 322a and 323a shown in FIGS. 7 and 8 also correspond to the xy movement operation.
- the xy movement operation means that the display on the display device 20 moves in parallel in the left-right direction or the up-down direction in accordance with an operation for instructing the direction of the operator via an input device such as a cross key or a lever.
- the control device 140 is an operation of driving the second joint unit 220 and the third joint unit 230 and moving the microscope unit 110.
- the actuator 322a provided in the second joint unit 220.
- the actuator 322a according to this modification is configured by connecting a motor 341, a speed reduction mechanism 342, a clutch 343, and a brake 344 in series (that is, arranged in one direction) in this order.
- a brake can be provided in the second joint unit 220.
- the brake 344 is mounted on the actuator 322a itself. Therefore, it is not necessary to provide a separate brake for the second joint portion 220.
- the rotation of the output shaft of the motor 341 is appropriately decelerated by the speed reduction mechanism 342 and transmitted to the drive shaft 345 through the clutch 343.
- One end of a drive shaft 235 of the power transmission mechanism 330 is connected to the tip of the drive shaft 345 via an Oldham coupling 255.
- the rotation of the drive shaft 345 is transmitted to the second joint unit 220 via the drive shaft 235, the first bevel gear 233, and the second bevel gear 231.
- the drive shaft 345 is provided with a brake 344. When the drive shaft 345 is released and restrained by the brake 344, rotation and stop of the second joint portion 220 are controlled.
- a stepping motor is used as the motor 341.
- the stepping motor is less expensive than the brushless DC motor used for the actuator 322 described above, although the resolution of the rotation angle is low.
- a cheaper stepping motor can be preferably used as the motor 341.
- the motor 341 has a radial size (area in a plane perpendicular to the extending direction of the drive shaft 345) smaller than the radial size of the clutch 343 or the brake 344. Preferably it is comprised. The reason for this will be described later.
- the clutch 343 an electromagnetic clutch that can electrically control transmission and interruption of rotation is used.
- the clutch 343 is a so-called excitation operation type clutch that transmits rotation when energized.
- the operation of the clutch 343 is controlled by the control device 140.
- the type of the clutch 343 is not limited, and various known electromagnetic clutches can be used.
- the excitation operation type clutch as in the present embodiment, it is possible to further improve the safety of surgery and examination. For example, in the unlikely event that the power supply is lost due to some cause, if the motor 341 and the subsequent member are connected by the clutch 343, the rotation of the second joint portion 220 is locked, and the support portion 120 is moved manually. Inability to continue surgery and examinations. On the other hand, if the excitation operation type clutch is used, the connection between the motor 341 and the subsequent member is released when the power is lost, so that it is possible to manually move the support unit 120 and continue the operation or examination. Higher safety can be realized.
- an electromagnetic brake that can electrically control the release and restraint of the drive shaft 345 is used.
- the brake 344 is a so-called non-excitation actuated brake that restrains the drive shaft 345 when not energized.
- the operation of the brake 344 is controlled by the control device 140.
- the type of the brake 344 is not limited, and various known electromagnetic brakes can be used.
- the non-excitation operation type brake as in the first embodiment, for example, even if the power supply is lost for some reason, the brake 344 operates and the rotation at the second joint unit 220 stops. Therefore, it becomes possible to further improve the safety of surgery and examination.
- the time during which the posture of the support unit 120 is fixed (that is, the time during which the brake 344 and the brakes of other joints are operated) is the time during which the support unit 120 is moved. Since it is overwhelmingly longer than this, by using a non-excitation actuated brake, power consumption can be reduced and the life of the brake 344 can be extended.
- the deceleration mechanism 342 is composed of a plurality of gears, and decelerates the rotation of the output shaft of the motor 341 at a predetermined reduction ratio.
- the speed reduction mechanism 342 only needs to be configured to have a predetermined speed reduction ratio capable of realizing the rotational torque desired to be finally obtained, and the specific configuration is not limited.
- the speed reduction mechanism 342 has a radial size (area in a plane perpendicular to the extending direction of the drive shaft 345) in the radial direction of the clutch 343 or the brake 344. It is preferable to be configured to be smaller than the size of.
- the motor 341 and the speed reduction mechanism 342 are configured in this manner is that the stepping motor is used as the motor 341 as described above, the excitation type clutch is used as the clutch 343, and the non-excitation type brake is used as the brake 344.
- the outer diameter of the actuator 322a depends on the outer diameter of the clutch 343 or the brake 344. That is, the outer diameter of the actuator 322a can be minimized by configuring the motor 341 and the speed reduction mechanism 342 so that the size in the radial direction is smaller than the size in the radial direction of the clutch 343 or the brake 344. As shown in FIG.
- the actuator 322a is provided inside the second arm portion 272 so that its drive shaft 345 is substantially parallel to the extending direction of the second arm portion 272. Can be minimized, the outer diameter of the second arm portion 272 can be minimized. That is, the second arm portion 272 can be further downsized.
- the speed reduction mechanism 342 is also compared with, for example, 1/100 in order to realize the rotation of the second joint portion 220 at a lower speed.
- a large reduction ratio is required. That is, the reduction mechanism 342 is required to have a large reduction ratio while having a small radial size.
- it has been found that such a request can be realized by making all the gears constituting the speed reduction mechanism 342 into spur gears. That is, by configuring the speed reduction mechanism 342 using only a spur gear, it is possible to realize a speed reduction mechanism 342 having a smaller size and a relatively large speed reduction ratio.
- the speed reduction mechanism 342 is configured using a gear other than a spur gear, such as a worm gear, it is possible to achieve a large speed reduction ratio with a simpler configuration with a smaller number of gears.
- the size of the speed reduction mechanism 342 in the radial direction is set to the diameter of the clutch 343 or the brake 344. It was extremely difficult to make it smaller than the size of the direction.
- the speed reduction mechanism 342 is substantially parallel to the rotation shafts of the plurality of gears constituting the speed reduction mechanism 342, as in the configuration including only the spur gear described above. It is preferable to be configured as such.
- the actuator 322a provided in the second joint unit 220 has been described above with reference to FIG.
- the radial direction size can be reduced as compared with the actuator 322 in the above-described embodiment, while the drive shaft 345 extends in the extending direction.
- the length can be longer.
- the actuator 322 a is provided inside the second arm portion 272 such that the drive shaft 345 is substantially parallel to the extending direction of the second arm portion 272. Since the second arm portion 272 is originally a long member due to the characteristic of the “arm”, the actuator is arranged so that the drive shaft 345 is substantially parallel to the extending direction of the second arm portion 272.
- the size (length) of the second arm portion 272 itself in the extending direction is not affected.
- the length of the drive shaft 345 in the extending direction may be increased while the size of the radial direction can be decreased.
- the configuration of the actuator 322a includes the actuator 322a and the second joint portion. It can be said that 220 is suitably compatible with the structure according to the first embodiment in which 220 are arranged so as to be separated from each other and their rotation axes are orthogonal to each other.
- the actuator 323a provided in the third joint portion 230
- the configuration of the actuator 323a is substantially the same as the configuration of the actuator 322a described above.
- the actuator 323a according to the present modification includes a motor 351, a speed reduction mechanism 352, a clutch 353, and a brake 354 connected in series in this order (that is, arranged in one direction). Configured.
- the brake 354 is mounted on the actuator 323a itself, so that it is not necessary to provide a separate brake on the third joint part 230. Absent.
- the rotation of the output shaft of the motor 351 is appropriately decelerated by the speed reduction mechanism 352 and transmitted to the drive shaft 355 via the clutch 353.
- the rotation of the drive shaft 355 is transmitted to the third joint portion 230 via the transmission member.
- the drive shaft 355 is provided with a brake 354. When the drive shaft 355 is released and restrained by the brake 354, rotation and stop of the third joint portion 230 are controlled.
- the configuration of the motor 351, the speed reduction mechanism 352, the clutch 353, and the brake 354 is the same as that of the motor 341, the speed reduction mechanism 342, the clutch 343, and the brake 344 of the actuator 322a.
- the actuator 322a can be configured such that its outer diameter is as small as possible. Therefore, the outer diameter of the third arm portion 273 is minimized, that is, the third arm portion 273 is further downsized. It becomes possible. In this way, by applying the actuator 322a as the actuator provided in the second joint portion 220 and applying the actuator 323a as the actuator provided in the third joint portion 230, the second arm portion is compared with the above-described embodiment.
- the 272 and the third arm portion 273 can be further reduced in size, and the configuration in the vicinity of the microscope unit 110 can be further reduced in size.
- the actuators 322a and 323a are not provided with an encoder.
- a potentiometer 346 for detecting the rotation angle of the second joint unit 220 is provided in the vicinity of the second joint unit 220 instead of providing an encoder in the actuator 322a.
- the third joint unit 230 also detects the rotation angle of the third joint unit 230 in the vicinity of the third joint unit 230 instead of providing an encoder in the actuator 323a.
- a potentiometer is provided.
- Detected values of these potentiometers are transmitted to the control device 140.
- the control device 140 grasps the state of the support unit 120 based on the detected value and the detected values of the encoders of the actuators 321, 324, 325, and 326 of the other joints, and xy corresponding to the operation of the operator
- the control amount of each joint unit 210 to 260 for realizing the operation can be calculated.
- the control device 140 drives the actuators 321, 322 a, 323 a, 324, 325, and 326 of the joint portions 210 to 260 according to the control amount, whereby the xy movement operation can be realized.
- the actuators 322a, 323a described above and the actuators 321, 324, 325, 326 and brakes provided in the other joint portions 210, 240 to 260 and the brakes are controlled by the control device 140, thereby supporting the actuator.
- the operation mode of the unit 120 is switched to any one of the fixed mode, the all-free mode, and the xy movement operation mode for performing the xy movement operation. Note that the switching of these operation modes may be performed by an instruction input from the operator via the above-described operation mode change SW or any other input device.
- control of the actuators 322a and 323a in the fixed mode, the all-free mode, and the xy movement operation mode will be described.
- the control device 140 switches driving of the motors 341 and 351, the clutches 343 and 353, and the brakes 344 and 354 of the actuators 322a and 323a according to each mode.
- the clutches 343 and 353 are assumed to be excitation-actuated clutches, so “ON” means a state in which rotation is transmitted, and the brakes 344 and 354 have no-excitation operation. Since the type brake is assumed, “ON” means that the drive shafts 345 and 355 are released.
- the second joint part 220 and the third joint part 230 are connected to the actuators 322a and 323a by the clutches 343 and 353, and the second joint part 220 and the third joint part 230 are the actuator 322a, Driven by H.323a.
- the motors 341 and 351 are excited, the clutches 343 and 353 are connected, and the brakes 344 and 354 are released in this order. Then, the rotation of the motors 341 and 351 is started.
- FIG. 9 is a diagram illustrating a configuration example of an observation system according to the second embodiment.
- the observation system 2 supports the microscope unit 110, an observation device 30 that images a patient's surgical part with the microscope unit 110, and an operation imaged by the observation device 30. And a display device 20 for displaying the video of the part. Note that the configuration and functions of the display device 20 are the same as those in the first embodiment, and thus detailed description thereof is omitted here.
- the observation device 30 includes a microscope unit 110 for magnifying and observing a surgical site of a patient, a support unit 420 (arm unit 420) that supports the microscope unit 110, and one end of the support unit 420 connected to each other.
- movement of the observation apparatus 30 are provided.
- the configurations and functions of the microscope unit 110, the base unit 130, and the control device 140 are the same as those in the first embodiment, detailed descriptions thereof are omitted here.
- the configuration of the support unit 420 is also substantially the same as the configuration of the support unit 120 according to the first embodiment. However, in the support part 420, as described above, the configuration of the power transmission mechanism that transmits the driving force of the actuator to the second joint part 220 is different from that of the first embodiment. Accordingly, in the support portion 420, an actuator 327 is provided instead of the actuator 322 provided for the second joint portion 220 in the support portion 120.
- the actuator 327 is provided at a position separated from the second joint portion 220. Specifically, the actuator 327 is provided at the base end portion of the second arm portion 272, and a power transmission mechanism (not shown) provided inside the second arm portion 272 causes the second arm portion 272. It is connected to a second joint part 220 provided at the tip part. As described above, in the second embodiment, similarly to the first embodiment, the second joint unit 220 is driven with respect to the rotation around the second axis O 2 that is the rotation axis of the second joint unit 220. Actuators 327 for applying force are arranged apart from each other via a power transmission mechanism. Therefore, the actuator 327 can be disposed at a position away from the second joint portion 220, and the configuration of the second joint portion 220, that is, the distal end region can be reduced in size.
- the actuator 327 is arranged so that the second axis O 2 and the rotation axis of the actuator 327 are substantially parallel. That is, in the first embodiment, the actuator 322 is arranged so that the direction of the rotation axis thereof is parallel to the extending direction of the second arm portion 272. However, in the second embodiment, the actuator 322 As the configuration is different, the actuator 327 is arranged so that the direction of the rotation axis thereof is substantially orthogonal to the extending direction of the second arm portion 272 as illustrated.
- the configuration of the actuator 327 itself may be the same as that of the actuator 323. That is, the actuator 327 has a configuration shown in FIG. 5, for example.
- FIG. 10 is a diagram illustrating a configuration example of a power transmission mechanism that connects the second joint unit 220 and the actuator 327 in the second embodiment. 10, only the configuration in the vicinity of the second joint unit 220, the second arm unit 272, and the actuator 327 is extracted from the configuration of the support unit 420 illustrated in FIGS. Further, in FIG. 10, in order to represent a configuration provided inside the second arm portion 272, the side wall of the second arm portion 272 is schematically shown through. Further, for the sake of explanation, a part of the side wall of the second arm portion 272 is opened for illustration.
- the power transmission mechanism 360 provided in the second arm portion 272 extends along the extending direction of the second arm portion 272, and rotates the rotation axis of the actuator 327 and the drive shaft of the second joint portion 220 ( That is, the belt 361 wound around the drive shaft corresponding to the second shaft O 2 is included. As described above, in the second embodiment, the rotation of the rotation shaft of the actuator 327 is transmitted to the second joint unit 220 by the belt 361.
- the rotation of the rotation shaft of the actuator 327 is transmitted to the second joint portion 220 by the belt 361 extending along the extending direction of the second arm portion 272, between the actuator 327 and the second joint portion 220. A predetermined distance can be provided. Therefore, since the actuator 327 can be disposed away from the tip region of the support portion 420, the configuration of the tip region can be further reduced.
- the actuators provided in the joint portions 210 to 260 may have the same configuration as the actuator 322 described with reference to FIG. 5, or the above (2-3.
- the actuator may have the same configuration as the actuators 322a and 323a described in (Modification Example of Actuator).
- FIG. 10 as an example, a configuration example in which an actuator 327 having the same configuration as the actuator 322 illustrated in FIG. 5 is used is illustrated.
- the actuator 327 that gives a driving force to the rotation around the second axis O 2 that is the rotation axis in the second joint unit 220 that can regulate the posture of the microscope unit 110;
- the second joint part 220 is disposed so as to be separated from each other via the power transmission mechanism 360. Accordingly, as in the first embodiment, the configuration in the vicinity of the microscope unit 110 can be reduced in size. Therefore, when performing a medical practice such as surgery or examination using the observation apparatus 30 according to the second embodiment. It becomes possible to secure the operator's work space and field of view.
- the rotation of the rotation shaft of the actuator 327 is directly transmitted to the second joint unit 220 by the belt 361, the power using a link, a wire, or the like, as in the first embodiment.
- the transmission mechanism is used, a wider angular range in which the second axis O 2 can be rotated can be obtained. Therefore, the movable range of the microscope unit 110 can be made wider.
- a power transmission mechanism 360 is interposed, and the actuator is spaced apart from the actuator.
- the joint part to be a target is not limited to the second joint part 220 and may be another joint part as long as the joint part can define the posture of the microscope unit 110.
- the specific configuration of the power transmission mechanism 360 is not limited to that using the belt 361 described above.
- the power transmission mechanism 360 only needs to be configured to transmit rotation between rotation axes substantially parallel to each other, and other mechanical elements may be used as the specific configuration.
- the second joint portion 220 and the actuators 322 and 327 can be spaced apart from each other by providing the power transmission mechanisms 330 and 360.
- the configuration of the tip region can be reduced in size.
- the arrangement of the actuators 322 and 327 in the second arm portion 272 is different.
- the power transmission mechanism 330 is configured to be able to transmit rotation between two rotation shafts substantially orthogonal to each other. Therefore, the actuator 322 can be disposed with respect to the second arm portion 272 such that the extending direction of the second arm portion 272 and the rotation axis direction of the actuator 322 are substantially parallel. Therefore, the actuator 322 and the second arm portion 272 can be arranged so that the protruding amount of the actuator 322 from the second arm portion 272 is small.
- the power transmission mechanism 360 according to the second embodiment is configured to be able to transmit rotation between two rotation shafts substantially parallel to each other. Therefore, the actuator 327 is disposed with respect to the second arm portion 272 so that the extending direction of the second arm portion 272 and the rotation axis direction of the actuator 327 are substantially orthogonal to each other. Therefore, there is a possibility that the actuator 327 greatly protrudes from the second arm portion 272 in a direction orthogonal to the extending direction of the second arm portion 272. Such a protruding portion may interfere with the operation of the operator when performing an operation or examination using the observation apparatus 30 according to the second embodiment.
- FIG. 11 schematically shows a state of surgery using the observation apparatus 30 according to the second embodiment.
- FIG. 11 is a schematic diagram showing the positional relationship between the support section 420 and the operator during surgery using the observation apparatus 30 according to the second embodiment.
- an operation is performed with reference to the configuration of the distal end side of the second arm portion 272 of the support unit 420 of the observation device 30 and the image of the surgical part taken by the microscope unit 110 of the observation device 30.
- the positional relationship of the operator 701 is schematically shown.
- the second arm portion 272 and the actuator 327 can be positioned in the vicinity of the operator's body (in the illustrated example, the face).
- the support unit 420 of the observation apparatus must be kept clean, while the body of the operator 701 belongs to an unclean area, so that the support unit 420 and the body of the operator 701 are in contact with each other. Is not allowed.
- the actuator 327 can largely protrude in the direction orthogonal to the extending direction of the second arm portion 272, the risk of contact between the actuator 327 and the body of the operator 701 increases. Further, for example, when the operator 701 moves his / her body for work, the operator 701 must work while avoiding the actuator 327 so that the actuator 327 and his / her body do not come into contact with each other. There is no fear.
- the actuator 322 and the second arm portion 272 can be arranged so that the protruding amount of the actuator 322 from the second arm portion 272 becomes small. Therefore, the danger that the support part 120 and the operator's 701 body contact can be reduced.
- a power transmission mechanism 330 capable of transmitting rotation between two rotation shafts substantially orthogonal to each other is used as in the first embodiment. preferable.
- the power transmission mechanism 360 according to the second embodiment is realized by a relatively simple configuration of the belt 361, a bevel gear is used like the power transmission mechanism 330 according to the first embodiment.
- the linear guides 251 and 253, etc. in order to transmit rotation more smoothly, as described in (2-2. Configuration of the power transmission mechanism) above. Can be provided. Therefore, there is a possibility that the configuration of the power transmission mechanism 330 may be complicated, and the cost may be increased.
- Which of the power transmission mechanism 330 according to the first embodiment and the power transmission mechanism 360 according to the second embodiment is adopted depends on the manufacturing cost of the observation device, the operability of the support portions 120 and 420, It may be appropriately determined in consideration of various conditions such as ease of securing a clean area at the time of surgery.
- FIG. 12 is a diagram schematically showing a state of surgery using the observation systems 1 and 2 according to the first and second embodiments.
- FIG. 12 as an example, the state of the operation using the observation system 1 according to the first embodiment is shown, but the observation according to the second embodiment except that the configuration of the observation device 10 is changed.
- the situation of the operation using the system 2 is the same.
- FIG. 12 there is shown a situation where the operator 701 is operating the head of a patient 703 lying on the operating table.
- An observation apparatus 10 is installed beside the operating table, and each joint part of the support part 120 is so photographed that the surgical part of the head of the patient 703 is photographed by the microscope part 110 attached to the tip of the support part 120. Driving of the provided actuator is controlled, and the position and orientation of the microscope unit 110 are controlled.
- the observation apparatus 10 illustrated in FIG. 12 has the same configuration as the observation apparatus 10 described with reference to FIG.
- the display device 20 is provided in the operating room, and an image of the surgical part taken by the microscope unit 110 of the observation device 10 is enlarged at a predetermined magnification and displayed on the display device 20.
- the surgeon 701 grasps the state of the surgical part while viewing the image displayed on the display device 20, and performs various treatments on the surgical part with his / her hand.
- the microscope unit 110 of the observation apparatus 10 can be located in the vicinity of the surgical part, that is, in the vicinity of the hand of the operator 701. Further, the distal end region of the support part 120 of the observation device 10 can be located between the operator 701 and the display device 20.
- the observation apparatus 10 according to the first embodiment is shown, but as described in (3. Second Embodiment), the observation apparatus 30 according to the second embodiment is used. Even in this case, similarly, since the configuration of the distal end region of the support portion 420 can be further downsized, the working space and field of view of the operator 701 can be further secured, and smooth operation can be performed. Is done.
- the microscope unit 110 is provided at the tip of the support units 120 and 420, but the present technology is not limited to such an example.
- the microscope unit 110 may be held at a position in the middle of the support units 120 and 420.
- the joint portion and the actuator are separated via the power transmission mechanisms 330 and 360 with respect to at least one of the joint portions that can define the posture of the microscope unit 110.
- actuators are provided for all the joint portions 210 to 260 constituting the support portions 120 and 420.
- the present technology is not limited to such an example.
- only a part of the joint portions 210 to 260 constituting the support portions 120 and 420 may be provided with an actuator that applies a driving force to the rotation at the joint portion.
- the present technology can be applied to the at least one joint portion and the actuator when the actuator is provided to at least one joint portion of the joint portions that can define the posture of the microscope unit. Therefore, in the configuration of the support unit to which the present technology can be applied, the actuator may be arbitrarily installed on the joint unit other than the joint unit that can regulate the posture of the microscope unit.
- An imaging unit that shoots an observation target and outputs a video signal; and a support unit that is configured such that a plurality of arm units are pivotally connected to each other via a joint unit, and supports the imaging unit.
- An actuator that provides a driving force for rotation around a rotation axis in at least one joint that defines the posture of the imaging unit among the plurality of joints that form the support unit, and the at least one joint.
- the medical observation apparatus wherein the unit and the actuator are connected via a power transmission mechanism that transmits rotational motion between two rotation axes that are substantially orthogonal to each other, and are spaced apart from each other.
- the at least one joint portion is arranged on one side of one predetermined arm portion of the arm portions constituting the support portion so that the rotation axis is substantially orthogonal to the extending direction of the predetermined arm portion.
- the actuator is disposed on the other side of the predetermined arm portion such that a rotation axis is substantially parallel to an extending direction of the predetermined arm portion, and the power transmission mechanism.
- the medical observation apparatus according to (1) which is provided inside.
- the actuator includes a motor, a speed reduction mechanism, a clutch, and a brake arranged in series in this order.
- the actuator has an in-plane size perpendicular to the extending direction of the predetermined arm portion of the clutch or the brake, the size in the in-plane direction perpendicular to the extending direction of the predetermined arm portion of the motor and the speed reduction mechanism.
- the medical observation apparatus according to (3) configured to be smaller than a size in a direction.
- the at least one joint portion is provided with a potentiometer that detects a rotation angle at the at least one joint portion, and the image of the observation object that is captured by the imaging unit based on a detection value of the potentiometer.
- the medical observation device according to (3) or (4), wherein driving of the at least one joint portion is controlled such that the display of is moved in a horizontal direction or a vertical direction.
- One end of the power transmission mechanism is connected to the rotation shaft of the actuator, the drive shaft extends in a direction substantially parallel to the rotation shaft of the actuator, and the other end of the drive shaft.
- a first bevel gear that rotates coaxially with the rotation shaft, and a second bevel gear that meshes with the first bevel gear and rotates coaxially with the rotation shaft of the at least one joint.
- the medical observation apparatus according to any one of (1) to (5).
- the power transmission mechanism further includes a spring that biases the first bevel gear in a direction that reduces a clearance between the first bevel gear and the second bevel gear.
- the medical observation apparatus further includes a linear guide that guides the movement of the drive shaft in the axial direction.
- the power transmission mechanism further includes a thrust bearing provided on the drive shaft.
- the power transmission mechanism further includes an Oldham coupling that connects a rotation shaft of the actuator and the drive shaft. .
- the imaging unit is provided at a distal end of the support unit, and the at least one joint unit is a joint unit provided second from the distal end side where the imaging unit is provided in the support unit.
- the power transmission mechanism has one end connected to the rotation shaft of the actuator, the worm rotating coaxially with the rotation shaft of the actuator, and the tooth surface of the worm, and the at least one joint portion.
- the medical observation apparatus according to any one of (1) to (5), including a worm gear configured by a worm wheel that rotates coaxially with a rotation axis of the worm wheel.
- a microscope unit that captures an observation target and outputs a video signal, and a support unit that is configured such that a plurality of arm units are rotatably connected to each other via a joint unit, and supports the microscope unit.
- An actuator that provides a driving force for rotation about a rotation axis in at least one joint that defines the posture of the microscope unit among the plurality of joints that constitute the support unit, and the at least one joint
- the surgical observation apparatus wherein the unit and the actuator are connected via a power transmission mechanism that transmits rotational motion between two rotational axes that are substantially orthogonal to each other and are spaced apart from each other.
- an imaging unit that captures an image of an observation target and outputs a video signal; and a support unit configured to support a plurality of arm units that are rotatably connected to each other via joints.
- An observation device, and a display device that displays an image of the observation object photographed by the imaging unit based on the video signal.
- a plurality of joint portions constituting the support unit an actuator for providing a driving force with respect to rotation around the rotation axis in at least one joint that defines the posture of the imaging unit is provided, and the at least one joint and the actuator are substantially perpendicular to each other.
- a medical observation system that is connected via a power transmission mechanism that transmits rotational motion between rotating shafts and is spaced apart from each other.
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Abstract
Description
1.本開示に想到した背景
1-1.電子撮像式の観察装置に対する考察
1-2.関節部にアクチュエータを備える観察装置に対する考察
2.第1の実施形態
2-1.観察システム及び観察装置の構成
2-2.動力伝達機構の構成
2-3.アクチュエータについての変形例
3.第2の実施形態
3-1.観察システム及び観察装置の構成
3-2.動力伝達機構の構成
4.第1及び第2の実施形態の比較
5.使用例
6.補足
本開示の好適な実施形態に係る観察装置及び観察システムの構成について詳細に説明するに先立ち、本開示をより明確なものとするために、本発明者らが本開示に想到した背景について説明する。
上述したように、近年、医療用の観察装置においては、支持部の先端に術部を拡大して撮影する機能を有する顕微鏡部が設けられた、電子撮像式の観察装置が提案されている。電子撮像式の観察装置を用いて手術を行う場合には、顕微鏡部によって撮影された術部の画像が手術室内に設置された表示装置に表示され、術者は、当該表示装置の画像を見ながら手術を行う。
一方、近年、観察装置においては、支持部を構成する各関節部に対してアクチュエータが設けられたものが提案されている。このような関節部にアクチュエータが設けられた観察装置では、例えば位置制御又は力制御等の各種の制御方式によって、各関節部に設けられたアクチュエータの駆動がそれぞれ制御されることにより、支持部の先端に取り付けられた観察ユニットが所望の位置及び姿勢を取るように、支持部の動作が制御される。
(2-1.観察システム及び観察装置の構成)
図4を参照して、本開示の第1の実施形態に係る観察システムの構成について説明するとともに、当該観察システムを構成する観察装置の構成について説明する。図4は、第1の実施形態に係る観察システムの一構成例を示す図である。
表示装置20は、上述したように、観察装置10によって撮影された患者の術部の映像を表示する。表示装置20は、例えば手術室の壁面等、術者によって視認され得る場所に設置される。表示装置20の種類は特に限定されず、表示装置20としては、例えばCRT(Cathode Ray Tube)ディスプレイ装置、液晶ディスプレイ装置、プラズマディスプレイ装置、EL(Electro-Luminescence)ディスプレイ装置等、公知の各種の表示装置が用いられてよい。また、表示装置20は、必ずしも手術室内に設置されなくてもよく、ヘッドマウントディスプレイ(HMD:Head Mounted Display)や眼鏡型のウェアラブルデバイスのように、術者が身に付けて使用するデバイスに搭載されてもよい。
観察装置10は、患者の術部を拡大観察するための顕微鏡部110と、顕微鏡部110を支持する支持部120(アーム部120)と、支持部120の一端が接続され顕微鏡部110及び支持部120を支持するベース部130と、観察装置10の動作を制御する制御装置140と、を備える。観察装置10は、手術時や検査時において術者が処置する対象となる部位を顕微鏡部110によって拡大して観察するための、医療用観察装置である。
ベース部130は、顕微鏡部110及び支持部120を支持する、観察装置10の基台である。ベース部130は板状の形状を有する架台131と、架台131の下面に設けられる複数のキャスター132と、を有する。架台131の上面に支持部120の一端が接続され、架台131から延伸される支持部120の他端(先端)に顕微鏡部110が接続される。また、観察装置10は、キャスター132を介して床面と接地し、当該キャスター132によって床面上を移動可能に構成されている。
顕微鏡部110は、患者の術部を拡大観察するための顕微鏡鏡体によって構成される。図示する例では、顕微鏡部110の光軸方向は、z軸方向と略一致している。顕微鏡部110は、電子撮像式の顕微鏡部に対応する構成を有しており、略円筒形状を有する筒状部112と、筒状部112内に設けられる撮像部111と、から構成される。また、撮像部111は、対物レンズ、ズームレンズ等の光学系と、当該光学系を通過した光により被写体(すなわち術部)の像を撮影する撮像素子と、から構成される。
制御装置140は、例えばCPU(Central Processing Unit)やDSP(Digital Signal Pocessor)等のプロセッサ、又はこれらのプロセッサと記憶素子等がともに搭載された制御基板等であり得る。所定のプログラムに従った演算処理を実行することにより、観察装置10の動作を制御する。制御装置140を構成するプロセッサが所定のプログラムに従って演算処理を実行することにより、制御装置140における各機能が実現される。
支持部120は、顕微鏡部110を保持し、顕微鏡部110を3次元的に移動させるとともに、移動後の顕微鏡部110の位置及び姿勢を固定する。第1の実施形態では、支持部120は、6自由度を有するバランスアームとして構成されている。ただし、第1の実施形態はかかる例に限定されず、支持部120は他の異なる数の自由度を有するように構成されてもよい。支持部120をバランスアームとして構成し、顕微鏡部110及び支持部120全体としてモーメントの釣り合いが取れた構成とすることにより、術者は、直接的な操作においてあたかも無重力であるかのようなより小さい力で顕微鏡部110を移動させることが可能となり、当該術者の操作性をより向上させることができる。
図6を参照して、第2関節部220とアクチュエータ322とを接続する動力伝達機構の構成についてより詳細に説明する。図6は、第1の実施形態において、第2関節部220とアクチュエータ322とを接続する動力伝達機構の一構成例を示す図である。図6では、図4に示す観察装置10の支持部120の構成のうち、第2関節部220、第2アーム部272及びアクチュエータ322近傍の構成のみを抜き出して図示している。また、図6では、第2アーム部272の内部に設けられる構成を表すために、模擬的に、第2アーム部272の側壁を透過して図示している。
図5を参照して説明したアクチュエータ322は、サーボ機構を実現し得る、いわば比較的高度な制御に対応したものであった。しかしながら、このように高度な制御に対応し得るように構成されるアクチュエータ322は、比較的高価であり、また、特に径方向(駆動軸と垂直な面内方向)において大型化しやすい傾向がある。図6を参照して説明したように、アクチュエータ322は、その駆動軸(回転軸)が、第2アーム部272の延伸方向と略平行な方向を向くように、当該第2アーム部272の内部に配置される。従って、アクチュエータ322の外径が大きければ、第2アーム部272の外径も大きくなることとなり、顕微鏡部110近傍の構成を効果的に小型化できない恐れがある。
本開示の第2の実施形態について説明する。第2の実施形態においても、第1の実施形態と同様に、第2関節部と、当該第2関節部における回転軸である第2軸O2まわりの回転に対して駆動力を与えるアクチュエータとが離隔して配置されることにより、先端領域の構成がより小型化された観察装置が実現される。ただし、第2の実施形態では、アクチュエータの駆動力を第2関節部に伝達する動力伝達機構の構成が、第1の実施形態とは異なる。第2の実施形態において、当該動力伝達機構以外の構成は、第1の実施形態と同様であってよいため、以下の第2の実施形態についての説明では、第1の実施形態と相違する事項について主に説明することとし、第1の実施形態と同様の事項についてはその詳細な説明を省略する。
図9を参照して、本開示の第2の実施形態に係る観察システムの構成について説明するとともに、当該観察システムを構成する観察装置の構成について説明する。図9は、第2の実施形態に係る観察システムの一構成例を示す図である。
図10を参照して、第2関節部220とアクチュエータ327とを接続する動力伝達機構の構成についてより詳細に説明する。図10は、第2の実施形態において、第2関節部220とアクチュエータ327とを接続する動力伝達機構の一構成例を示す図である。図10では、図10及び図11に示す支持部420の構成のうち、第2関節部220、第2アーム部272及びアクチュエータ327近傍の構成のみを抜き出して図示している。また、図10では、第2アーム部272の内部に設けられる構成を表すために、模擬的に、第2アーム部272の側壁を透過して図示している。また、説明のため、模擬的に、第2アーム部272の側壁の一部を開口して図示している。
以上説明したように、第1及び第2の実施形態では、動力伝達機構330、360を介設することにより、第2関節部220とアクチュエータ322、327とを互いに離隔して配置することができ、先端領域の構成を小型化することができる。ただし、第1の実施形態と第2の実施形態とでは、動力伝達機構330、360の構成が異なるため、第2アーム部272におけるアクチュエータ322、327の配置が相違する。
図12を参照して、第1及び第2の実施形態に係る観察システム1、2の使用例として、当該観察システム1、2を用いて行われる手術の概要について説明する。図12は、第1及び第2の実施形態に係る観察システム1、2を用いた手術の状況を概略的に示す図である。図12では、一例として、第1の実施形態に係る観察システム1を用いた手術の状況を示しているが、観察装置10の構成が変更されること以外は、第2の実施形態に係る観察システム2を用いた手術の状況も同様である。
以上、添付図面を参照しながら本開示の好適な実施形態について詳細に説明したが、本開示の技術的範囲はかかる例に限定されない。本開示の技術分野における通常の知識を有する者であれば、特許請求の範囲に記載された技術的思想の範疇内において、各種の変更例または修正例に想到し得ることは明らかであり、これらについても、当然に本開示の技術的範囲に属するものと了解される。
(1)観察対象を撮影し、映像信号を出力する撮像部と、複数のアーム部が関節部を介して互いに回動可能に接続されて構成され、前記撮像部を支持する支持部と、を備え、前記支持部を構成する複数の関節部のうち前記撮像部の姿勢を規定する少なくとも1つの関節部における回転軸まわりの回転に対して駆動力を与えるアクチュエータが設けられ、前記少なくとも1つの関節部と前記アクチュエータとは、互いに略直交する2つの回転軸間において回転運動を伝達する動力伝達機構を介して接続され、互いに離隔して配置される、医療用観察装置。
(2)前記少なくとも1つの関節部は、前記支持部を構成するアーム部のうちの1つの所定のアーム部の一側に、回転軸が前記所定のアーム部の延伸方向と略直交するように配置され、前記アクチュエータは、前記所定のアーム部の他側に、回転軸が前記所定のアーム部の延伸方向と略平行となるように配置され、前記動力伝達機構は、前記所定のアーム部の内部に設けられる、前記(1)に記載の医療用観察装置。
(3)前記アクチュエータは、モータ、減速機構、クラッチ及びブレーキが、この順に直列に配列されて構成される、前記(2)に記載の医療用観察装置。
(4)前記アクチュエータは、モータ及び減速機構の前記所定のアーム部の延伸方向に垂直な面内方向の大きさが、前記クラッチ又は前記ブレーキの前記所定のアーム部の延伸方向に垂直な面内方向の大きさよりも小さくなるように、構成される、前記(3)に記載の医療用観察装置。
(5)前記少なくとも1つの関節部には、前記少なくとも1つの関節部における回転角度を検出するポテンショメータが設けられ、前記ポテンショメータの検出値に基づいて、前記撮像部によって撮影された前記観察対象の画像の表示が左右方向又は上下方向に移動するように、前記少なくとも1つの関節部の駆動が制御される、前記(3)又は(4)に記載の医療用観察装置。
(6)前記動力伝達機構は、一端が前記アクチュエータの回転軸に接続され、前記アクチュエータの回転軸と略平行な方向に延伸するドライブシャフトと、前記ドライブシャフトの他端に設けられ、前記アクチュエータの回転軸と同軸で回転する第1のかさ歯車と、前記第1のかさ歯車と歯合して、前記少なくとも1つの関節部の回転軸と同軸で回転する第2のかさ歯車と、を含む、前記(1)~(5)のいずれか1項に記載の医療用観察装置。
(7)前記動力伝達機構は、前記第1のかさ歯車と前記第2のかさ歯車との間のクリアランスを減少させる方向に前記第1のかさ歯車を付勢するバネ、を更に含む、前記(6)に記載の医療用観察装置。
(8)前記動力伝達機構は、前記ドライブシャフトの軸方向への移動をガイドするリニアガイド、を更に含む、前記(6)又は(7)に記載の医療用観察装置。
(9)前記動力伝達機構は、前記ドライブシャフトに設けられるスラスト軸受、を更に含む、前記(6)~(8)のいずれか1項に記載の観察装置。
(10)前記動力伝達機構は、前記アクチュエータの回転軸と前記ドライブシャフトとを接続するオルダムカップリング、を更に含む、前記(6)~(9)のいずれか1項に記載の医療用観察装置。
(11)前記撮像部は、前記支持部の先端に設けられ、前記少なくとも1つの関節部は、前記支持部において、前記撮像部が設けられる先端側から2つ目に設けられる関節部である、前記(1)~(10)のいずれか1項に記載の医療用観察装置。
(12)前記動力伝達機構は、一端が前記アクチュエータの回転軸に接続され、前記アクチュエータの回転軸と同軸で回転するウォームと、前記ウォームの歯面と歯合して、前記少なくとも1つの関節部の回転軸と同軸で回転するウォームホイールと、によって構成されるウォームギアを含む、前記(1)~(5)のいずれか1項に記載の医療用観察装置。
(13)観察対象を撮影し、映像信号を出力する顕微鏡部と、複数のアーム部が関節部を介して互いに回動可能に接続されて構成され、前記顕微鏡部を支持する支持部と、を備え、前記支持部を構成する複数の関節部のうち前記顕微鏡部の姿勢を規定する少なくとも1つの関節部における回転軸まわりの回転に対して駆動力を与えるアクチュエータが設けられ、前記少なくとも1つの関節部と前記アクチュエータとは、互いに略直交する2つの回転軸間において回転運動を伝達する動力伝達機構を介して接続され、互いに離隔して配置される、手術用観察装置。
(14)観察対象を撮影し映像信号を出力する撮像部と、複数のアーム部が関節部を介して互いに回動可能に接続されて構成され前記撮像部を支持する支持部と、を有する、観察装置と、前記映像信号に基づいて、前記撮像部によって撮影された前記観察対象の画像を表示する表示装置と、を備え、前記観察装置においては、前記支持部を構成する複数の関節部のうち前記撮像部の姿勢を規定する少なくとも1つの関節部における回転軸まわりの回転に対して駆動力を与えるアクチュエータが設けられ、前記少なくとも1つの関節部と前記アクチュエータとは、互いに略直交する2つの回転軸間において回転運動を伝達する動力伝達機構を介して接続され、互いに離隔して配置される、医療用観察システム。
10、30 観察装置
20 表示装置
110 顕微鏡部
120、420 支持部
130 ベース部
140 制御装置
210 第1関節部
220 第2関節部
230 第3関節部
240 第4関節部
250 第5関節部
260 第6関節部
271 第1アーム部
272 第2アーム部
273 第3アーム部
274 第4アーム部
275 第5アーム部
330、360 動力伝達機構
231 第2のかさ歯車
233 第1のかさ歯車
235 ドライブシャフト
237 バックラッシレス機構
239 スラスト軸受
251、253 リニアガイド
255 オルダムカップリング
321、322、322a、323、323a、324、325、326、327 アクチュエータ
341、351 モータ
342、352 減速機構
343、353 クラッチ
344、354 ブレーキ
345、355 駆動軸
346 ポテンショメータ
361 ベルト
Claims (14)
- 観察対象を撮影し、映像信号を出力する撮像部と、
複数のアーム部が関節部を介して互いに回動可能に接続されて構成され、前記撮像部を支持する支持部と、
を備え、
前記支持部を構成する複数の関節部のうち前記撮像部の姿勢を規定する少なくとも1つの関節部における回転軸まわりの回転に対して駆動力を与えるアクチュエータが設けられ、
前記少なくとも1つの関節部と前記アクチュエータとは、互いに略直交する2つの回転軸間において回転運動を伝達する動力伝達機構を介して接続され、互いに離隔して配置される、
医療用観察装置。 - 前記少なくとも1つの関節部は、前記支持部を構成するアーム部のうちの1つの所定のアーム部の一側に、回転軸が前記所定のアーム部の延伸方向と略直交するように配置され、
前記アクチュエータは、前記所定のアーム部の他側に、回転軸が前記所定のアーム部の延伸方向と略平行となるように配置され、
前記動力伝達機構は、前記所定のアーム部の内部に設けられる、
請求項1に記載の医療用観察装置。 - 前記アクチュエータは、モータ、減速機構、クラッチ及びブレーキが、この順に直列に配列されて構成される、
請求項2に記載の医療用観察装置。 - 前記アクチュエータは、モータ及び減速機構の前記所定のアーム部の延伸方向に垂直な面内方向の大きさが、前記クラッチ又は前記ブレーキの前記所定のアーム部の延伸方向に垂直な面内方向の大きさよりも小さくなるように、構成される、
請求項3に記載の医療用観察装置。 - 前記少なくとも1つの関節部には、前記少なくとも1つの関節部における回転角度を検出するポテンショメータが設けられ、
前記ポテンショメータの検出値に基づいて、前記撮像部によって撮影された前記観察対象の画像の表示が左右方向又は上下方向に移動するように、前記少なくとも1つの関節部の駆動が制御される、
請求項3に記載の医療用観察装置。 - 前記動力伝達機構は、
一端が前記アクチュエータの回転軸に接続され、前記アクチュエータの回転軸と略平行な方向に延伸するドライブシャフトと、
前記ドライブシャフトの他端に設けられ、前記アクチュエータの回転軸と同軸で回転する第1のかさ歯車と、
前記第1のかさ歯車と歯合して、前記少なくとも1つの関節部の回転軸と同軸で回転する第2のかさ歯車と、
を含む、
請求項1に記載の医療用観察装置。 - 前記動力伝達機構は、前記第1のかさ歯車と前記第2のかさ歯車との間のクリアランスを減少させる方向に前記第1のかさ歯車を付勢するバネ、を更に含む、
請求項6に記載の医療用観察装置。 - 前記動力伝達機構は、前記ドライブシャフトの軸方向への移動をガイドするリニアガイド、を更に含む、
請求項7に記載の医療用観察装置。 - 前記動力伝達機構は、前記ドライブシャフトに設けられるスラスト軸受、を更に含む、
請求項7に記載の医療用観察装置。 - 前記動力伝達機構は、前記アクチュエータの回転軸と前記ドライブシャフトとを接続するオルダムカップリング、を更に含む、
請求項6に記載の医療用観察装置。 - 前記撮像部は、前記支持部の先端に設けられ、
前記少なくとも1つの関節部は、前記支持部において、前記撮像部が設けられる先端側から2つ目に設けられる関節部である、
請求項1に記載の医療用観察装置。 - 前記動力伝達機構は、
一端が前記アクチュエータの回転軸に接続され、前記アクチュエータの回転軸と同軸で回転するウォームと、
前記ウォームの歯面と歯合して、前記少なくとも1つの関節部の回転軸と同軸で回転するウォームホイールと、
によって構成されるウォームギアを含む、
請求項1に記載の医療用観察装置。 - 観察対象を撮影し、映像信号を出力する顕微鏡部と、
複数のアーム部が関節部を介して互いに回動可能に接続されて構成され、前記顕微鏡部を支持する支持部と、
を備え、
前記支持部を構成する複数の関節部のうち前記顕微鏡部の姿勢を規定する少なくとも1つの関節部における回転軸まわりの回転に対して駆動力を与えるアクチュエータが設けられ、
前記少なくとも1つの関節部と前記アクチュエータとは、互いに略直交する2つの回転軸間において回転運動を伝達する動力伝達機構を介して接続され、互いに離隔して配置される、
手術用観察装置。 - 観察対象を撮影し映像信号を出力する撮像部と、複数のアーム部が関節部を介して互いに回動可能に接続されて構成され前記撮像部を支持する支持部と、を有する、観察装置と、
前記映像信号に基づいて、前記撮像部によって撮影された前記観察対象の画像を表示する表示装置と、
を備え、
前記観察装置においては、
前記支持部を構成する複数の関節部のうち前記撮像部の姿勢を規定する少なくとも1つの関節部における回転軸まわりの回転に対して駆動力を与えるアクチュエータが設けられ、
前記少なくとも1つの関節部と前記アクチュエータとは、互いに略直交する2つの回転軸間において回転運動を伝達する動力伝達機構を介して接続され、互いに離隔して配置される、
医療用観察システム。
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JP2018063309A (ja) * | 2016-10-11 | 2018-04-19 | カイロス株式会社 | 顕微鏡装置 |
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JP2018063309A (ja) * | 2016-10-11 | 2018-04-19 | カイロス株式会社 | 顕微鏡装置 |
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JP2020116442A (ja) | 2020-08-06 |
EP3275393A1 (en) | 2018-01-31 |
US20180110581A1 (en) | 2018-04-26 |
JP6970780B2 (ja) | 2021-11-24 |
US10925685B2 (en) | 2021-02-23 |
EP3275393A4 (en) | 2018-11-21 |
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CN107427333A (zh) | 2017-12-01 |
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