WO2016175489A1 - Console maître de robot de procédure d'intervention de type à introduction d'aiguille, et système de robot la comprenant - Google Patents

Console maître de robot de procédure d'intervention de type à introduction d'aiguille, et système de robot la comprenant Download PDF

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Publication number
WO2016175489A1
WO2016175489A1 PCT/KR2016/004026 KR2016004026W WO2016175489A1 WO 2016175489 A1 WO2016175489 A1 WO 2016175489A1 KR 2016004026 W KR2016004026 W KR 2016004026W WO 2016175489 A1 WO2016175489 A1 WO 2016175489A1
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WIPO (PCT)
Prior art keywords
needle
robot
robot system
interventional
user
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PCT/KR2016/004026
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English (en)
Korean (ko)
Inventor
김홍호
임흥순
우동기
최한철
차용엽
Original Assignee
현대중공업 주식회사
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Application filed by 현대중공업 주식회사 filed Critical 현대중공업 주식회사
Publication of WO2016175489A1 publication Critical patent/WO2016175489A1/fr

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03—Computed tomography [CT]

Definitions

  • the present invention relates to a master console and a robot system including the same of a needle-inserted interventional robot.
  • a robot system is configured of a diagnostic test device, a slave robot, and a master console, and the affected part photographed by the diagnostic test device is detected. While checking with a monitor, the master device and the control panel of the master console control the attachment, detachment and rotation of the needle mounted on the end effector of the slave robot arm, thereby inserting the needle into the affected part to perform biopsy or radiofrequency therapy, drug It relates to a master console of a needle-inserted interventional robot to perform the injection and the like and a robot system including the same.
  • a doctor may use a diagnostic test device such as ultrasound or computed tomography (CT) and conebeam computed tomography (CBCT) to monitor a needle in real time or non-real time. Perform needle insertion while checking the position.
  • CT computed tomography
  • CBCT conebeam computed tomography
  • the path of insertion of the needle is planned using the diagnosis image of the affected part previously photographed by ultrasound or CT or CBCT. And, according to the plan, the robot moves, while guiding the position and direction of the needle while watching the perspective image of the affected part, and inserts the needle until the end of the needle reaches the target point.
  • the present invention is to solve the above-mentioned problems, the purpose of the radiation exposure compared to the conventional needle-insertion intervention by controlling the slave robot inserting the needle by the master console while watching the image of the affected area photographed by the diagnostic test equipment Procedure is performed according to the prescribed procedure when the slave robot is operated by the master console to reduce the procedure (50% in the patient, the operator avoids the exposure), and maximize the procedure efficiency (50% the procedure time).
  • the present invention provides a master console of an interventional intervention robot including a planning system and a robot system including the same.
  • the needle-insertable interventional robot system of the present invention in the interventional robot system for performing the intervention by inserting the needle to the affected part, the image of the affected part to implement the image Diagnostic testing equipment to enable; A slave robot mounted on a robot arm and an end effector mounted on an end of the robot arm, the end effector capable of mounting, detaching and rotating the needle; And a master device for changing the position and posture of the robot arm and manipulating the end effector for mounting the needle, and using the image data captured by the diagnostic test equipment.
  • a planner that provides a segmented image and a multi-plane reconstruction image showing the calculated position of the needle, a control panel which is a user input device for inputting commands required for operating the robot system, and a multi-plane reconstruction image generated by the planner. And a master console having a monitor provided to the user.
  • the master console for controlling the interventional intervention robot the master device for changing the position and posture of the robot arm of the interventional robot, the master device for controlling the end effector for mounting the needle, etc .
  • a control panel which is a user input device capable of inputting a command required for operating the robot system.
  • the planner includes a planar reconstructed image in which a needle insertion path, a segmented image of major organs, and a calculated position of the needle are displayed. It provides a, and provides the image data to the monitor so that the user can check the multi-plane reconstructed image generated by the planner, characterized in that the overall control of the interventional robot.
  • the operation of the robot system is made by controlling the master device and the planar of the slave robot and the master console by the integrated operation software connected with the master device operating software, the robot control software and the procedure planning software, and the master device operating software. And the robot control software are directly connected to communicate with the master device and the slave robot for real time control.
  • the diagnostic test equipment is preferably a CT or conebeam computed tomography (CBCT).
  • CBCT conebeam computed tomography
  • the apparatus may further include an external measuring device used for spatial matching for measuring a relative position and a posture between the reference coordinate system of the CT or CBCT image and the reference coordinate system of the robot arm, and the external measuring device includes an optical position measuring system (OTS). Or electromagnetic location measurement system (EMTS).
  • OTS optical position measuring system
  • EMTS electromagnetic location measurement system
  • the robot arm is preferably composed of a multi-joint robot consisting of a travel shaft and a rotating shaft and a five-point link or six-point link.
  • a guide laser mounted on the end effector of the slave robot to indicate the needle entry point.
  • the planner is a user user interface (SUI) including the procedure planning software
  • the procedure planning software is a user inputs a command using a user input device while viewing the user user interface (SUI), the result is reversed It is desirable to be reflected to the user user interface (SUI) to be delivered to the user.
  • the planner, the master device and the monitor includes a user input device
  • the user input device is preferably one of a touch screen, a foot pedal, a keyboard, a mouse, a button or a switch.
  • the image data photographed by the diagnostic test equipment is preferably a CT fluoroscopy (CT-Fluoroscopy) screen for generating a needle insertion path and a navigation screen that displays the segmented image and the calculated position of the needle for the main organs Do.
  • CT fluoroscopy CT-Fluoroscopy
  • control panel is provided with a user input device for the operation of the robot system, it is preferable that the user input device has a power switch and an emergency stop switch of the robot arm and a port for extending the user input and monitoring device. Do.
  • the needle mounted on the end effector is a general intervention needle used in the conventional needle insertion intervention, and may be a smart needle capable of transmitting information and steering by installing a micro sensor at the tip of the needle.
  • the radiation exposure can be reduced by 50% or more in patients, In this case, the exposure itself can be avoided, and the procedure time can be reduced by about 50% or more, thereby maximizing the treatment efficiency, thereby more effectively and safely treating more patients.
  • Figure 1 is a schematic diagram of the installation state of the needle insertion interventional robot system according to the present invention.
  • Figure 2 is a block diagram of the configuration of the insertion intervention robot system according to the present invention.
  • Figure 3 is a block diagram of the configuration and functional insertion interventional robot system according to the present invention.
  • Figure 4 is a block diagram of the operating system of the needle insertion interventional robot system according to the present invention.
  • FIG. 1 is a schematic installation state diagram of a needle insertion interventional robot system according to the present invention
  • Figure 2 is a configuration and connection block diagram of a needle insertion interventional robot system according to the present invention
  • Figure 3 is a needle insertion type according to the present invention The configuration and functional block diagram of the interventional robot system is shown.
  • the needle-insertion interventional robot system is largely diagnostic imaging equipment (1) for imaging the affected part of the patient lying on the table (T) and the image of the affected part
  • the master is placed in a space away from the operator so that the user remotely controls the slave robot 2 installed near the table T to insert the needle into the affected part while the slave robot 2 inserting the needle. It is divided into consoles (3).
  • the diagnostic test equipment (1) is a CT or conebeam computed tomography (CBCT) to show the image around the affected area of the patient to insert the needle.
  • CBCT conebeam computed tomography
  • the slave robot 2 includes a robot arm 5 installed on the robot base 4 and an end effector 6 connected to the end of the robot arm 5 to hold the needle 6a.
  • the robot base 4 may be manufactured as a structure for mounting the robot arm 5 on the upper part, or may be manufactured to be movable or fixed.
  • a plurality of wheels are provided to move the brake and stop the movement.
  • a mechanism may be included, in this case a fixation and stabilization mechanism may be included to minimize movement of the robot base 4 when the robot arm 5 is driven.
  • a variety of devices, such as a motor and an electrical installation for driving the robot arm 5 are installed inside the robot base 4, and may be connected to an external separate device through a cable.
  • the stationary robot base it is fixedly installed at a specific place around the table T, for example.
  • the robot arm 5 may be composed of a multi-joint robot consisting of a travel axis, a rotation axis, four-point or five-point links, and change the position and posture of the end effector mounted at the end of the robot arm 5. It is supposed to be.
  • the robot arm 5 includes a motor, an encoder, a sensor, and is connected to a power supply device for supplying power to the motor.
  • the motor and the like are connected to a signal processing device and a motor driver, and a power supply device, a signal processing device, and a motor required for driving the robot arm 5.
  • a driver is configured inside or outside the robot base 4 and connected to the robot arm 5.
  • the end effector 6 mounted at the end of the robot arm 5 is moved to a target position and posture for inserting the needle 6a by the control of the robot arm 5, and is performed by a user input or an operator.
  • the needle 6a is inserted, removed or rotated according to the set program to insert the needle 6a into the affected part.
  • a foot pedal, a keyboard, a mouse, a button or a switch is used as a user input device for mounting, removing or rotating the needle 6a of the end effector 6.
  • the master device 7 of the master console 3 can be used to move (insert) or rotate the needle 6a in the axial direction as described above.
  • the end effector 6 is equipped with a guide laser to mark the entry point for inserting the needle 6a in the affected part.
  • the needle (6a) is a needle for the interventional procedure that can be steered by the master device 7 by installing a micro sensor at the end, it is also composed of a smart needle.
  • the master console 3 includes a master device 7 and a control panel 9 as a user input device for a user who is an operator to operate and monitor a slave robot 2 or the like which is the robot system of the present invention.
  • the master device 7 is a user input device that can change the position and posture of the robot arm within the operating area of the robot arm 5.
  • An end effector mounted at the end of the robot arm 5 as described above. (6) can be used to mount, remove, insert or rotate the needle 6a.
  • the master device 7 is provided with a function of causing a haptic reaction such as vibration or repulsive force when the needle 6a is inserted into the affected part when the dangerous organ approaches or comes into contact with the dangerous organ.
  • the control device controlled by the user is transmitted to the user.
  • the control panel 9 is provided with a user input device for operating the robot system of the present invention, the shape of the control panel 9 may be embedded on the master console 3, the upper part of the master console (3) It can also be placed in the master console (3). In addition, it may be provided with a power switch that can turn on / off the power supply of the robot system of the present invention, it may be provided with an emergency stop switch for emergency stop or retreat of the robot arm (5) in an emergency situation. On the other hand, it can be provided with a port for connecting with other devices to expand the user input and monitoring device.
  • the master console 3 may be associated with a planner 8 and a monitor 10, and provides a reconstructed image to the planner 8 by using image data captured by the diagnostic test equipment 1,
  • the monitor 10 provides the user with an image generated by the planner 8.
  • the planner 8 may generate a multi-planar reconstruction (MPR) image by using image data of the diagnostic test equipment 1 such as CT, and the multi-planar reconstruction image is displayed on the monitor 10.
  • MPR multi-planar reconstruction
  • the user may generate the insertion path of the needle by using the multi-plane reconstructed image, and the segmented image of the main organ and the calculated position of the needle are displayed on the navigation screen.
  • a caution and warning indication may be provided on the screen of the monitor 10
  • a CT-fluoroscopic CT may be used to provide a real-time cross-sectional image to the user.
  • -Fluoroscope to provide the image.
  • the monitor 10 is a means for providing a user who is an operator with images and information generated by the planner 8 or operating software, one or more monitors may be installed on the master console 3.
  • the monitor 10 is applied as a touch screen, a user input may be performed through the monitor, and a driving screen of each subsystem may be displayed on the monitor 10 for maintenance and repair of the robot system of the present invention. Can be.
  • the slave robot (2) that is, the robot arm (5) equipped with the end effector (6), is accurately moved to the position of the affected part.
  • a procedure called spatial matching is required.
  • the spatial registration refers to a procedure for measuring the relative position and attitude between the reference coordinate system of the multi-plane reconstructed image and the reference coordinate system of the robot arm 5, and for this spatial registration, OTS (optical position measurement system) or EMTS (electronic There is a method of estimating each reference coordinate system using an external measuring device 11 such as a conventional position measuring system), and a method of analyzing a perspective image by attaching a special shape to the end of the robot arm 5.
  • OTS optical position measurement system
  • EMTS electronic
  • Figure 4 shows the operating system block diagram of the needle insertion interventional robot system according to the present invention.
  • the above components of the robot system of the present invention are controlled and operated by separate operating software stored as a program in the master console 3.
  • operating software stored as a program in the master console 3.
  • the master device operating software and the robot control software.
  • procedure planning software and there is integrated operation software for operating the system.
  • the procedure planning software is connected to an operator user interface (SUI).
  • the integrated operating software of the robot system of the present invention is connected to the master device operating software, the robot control software, and the procedure planning software, and commands the respective subsystems of the master device 7, the robot arm 5, and the planner 8. It is responsible for getting off and monitoring the condition.
  • the master device operating software and the robot control software are directly connected to each other so that the command of the master device 7 and the robot arm are directly connected.
  • the status of (5) is directly connected and communicated without going through the integrated operating software.
  • the procedure planning software allows a user to input a command using a user input device while viewing the operator user interface (SUI), and the result is reflected to the operator user interface (SUI) and transmitted to a user who is an operator.
  • the user input device may be a device such as a touch screen, a keyboard, or a mouse.
  • a user who is an operator inputs a command to the robot system of the present invention using the user input device and the master device 7 while watching the operator user interface (SUI), and the result is reversed by the user's operator user interface (SUI) and the master device. (7) is passed to the user who is the operator.
  • a spatial registration procedure is performed using the OTS or EMTS to measure the relative position and posture of the multi-plane reconstructed image and the robot arm.
  • the needle insertion path defined based on the CT or CBCT multi-plane reconstructed image coordinate system is converted into data based on the coordinate system of the robot arm 5 on the basis of a previously performed spatial registration result, and includes the robot arm 5.
  • the slave robot 2 is automatically moved to the target needle insertion position.
  • the needle entry point is displayed by the guide laser mounted on the end effector 6 of the robot arm 5, and the user, the operator, performs the anesthesia and disinfection directly on the site.
  • the patient is moved back to the position that can be photographed by the diagnostic test equipment 1, such as CT or CBCT, and the slave robot 2 automatically moves to the insertion position of the needle.
  • the diagnostic test equipment 1 such as CT or CBCT
  • the slave robot 2 automatically moves to the insertion position of the needle.
  • the position and posture of the slave robot 2 are determined using the master device 7 of the master console 3. It is possible to move.
  • the needle 6a is inserted or rotated while driving the needle inserting end effector 6 mounted at the end of the robot arm 5 using the master device 7 of the master console 3.
  • the needle can be inserted or rotated while viewing the CT-Fluoroscopy screen and the navigation screen provided on the operator user interface (SUI) including the procedure planning software.
  • SAI operator user interface
  • the end effector 6 releases the needle 6a, and the slave robot 2 returns to its original position.
  • the biopsy or treatment is performed by inserting a biopsy gun or a high frequency thermal therapy probe using a needle insertion path secured by the operator.
  • control and operation of the robot arm 5 of the master device 7 and the slave robot 2 during the interventional procedure include the integrated operation software including the master device 7 operating software and the robot control software. Is made by the use of.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
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Abstract

La présente invention concerne un système de robot de procédure d'intervention de type à introduction d'aiguille comprenant : un équipement d'essai de diagnostic pour photographier une zone affectée de façon à la présenter sous forme d'image ; un robot esclave ayant un bras de robot prévu sur une base de robot, et un effecteur final monté au niveau d'une extrémité du bras de robot de manière à monter, détacher et tourner une aiguille ; et une console maître pour fournissant, à l'aide de données d'image photographiées par l'équipement d'essai de diagnostic, une image de reconfiguration multi-planaire sur laquelle une voie d'introduction de l'aiguille, des images divisées sur des organes vitaux, et une position de l'aiguille calculée sont affichées, et susceptible d'entrer une commande nécessaire pour faire fonctionner le système de robot.
PCT/KR2016/004026 2015-04-30 2016-04-18 Console maître de robot de procédure d'intervention de type à introduction d'aiguille, et système de robot la comprenant WO2016175489A1 (fr)

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KR1020150061235A KR20160129311A (ko) 2015-04-30 2015-04-30 바늘삽입형 중재시술 로봇시스템
KR10-2015-0061235 2015-04-30

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Cited By (3)

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CN114366304A (zh) * 2022-01-07 2022-04-19 苏州康多机器人有限公司 一种内窥镜手术机器人的一键启动系统及控制方法
WO2023124732A1 (fr) * 2021-12-30 2023-07-06 武汉联影智融医疗科技有限公司 Procédé et système de commande de dispositif pour des perforations interventionnelles guidées par image
US12029390B2 (en) 2018-02-13 2024-07-09 Auris Health, Inc. System and method for driving medical instrument

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KR102530566B1 (ko) * 2020-09-03 2023-05-11 전남대학교산학협력단 웨이-포인트 기반 생체의 강내 병변부 치료물질 전달 시스템 및 웨이-포인트 경로 데이터 생성 방법
KR102604615B1 (ko) * 2023-01-25 2023-11-22 서정원 진료 협업 로봇 운영 시스템 및 그 구동방법

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KR100731052B1 (ko) * 2006-01-23 2007-06-22 한양대학교 산학협력단 미세침습 수술을 위한 컴퓨터통합 수술 보조시스템
WO2010093153A2 (fr) * 2009-02-12 2010-08-19 주식회사 래보 Appareil de navigation chirurgicale et procédé associé
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Publication number Priority date Publication date Assignee Title
US12029390B2 (en) 2018-02-13 2024-07-09 Auris Health, Inc. System and method for driving medical instrument
WO2023124732A1 (fr) * 2021-12-30 2023-07-06 武汉联影智融医疗科技有限公司 Procédé et système de commande de dispositif pour des perforations interventionnelles guidées par image
CN114366304A (zh) * 2022-01-07 2022-04-19 苏州康多机器人有限公司 一种内窥镜手术机器人的一键启动系统及控制方法
CN114366304B (zh) * 2022-01-07 2024-01-30 苏州康多机器人有限公司 一种内窥镜手术机器人的一键启动系统及控制方法

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