WO2018176458A1 - Catheter advancing controlling method and catheter advancing device for vessel interventional surgery robot - Google Patents

Catheter advancing controlling method and catheter advancing device for vessel interventional surgery robot Download PDF

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Publication number
WO2018176458A1
WO2018176458A1 PCT/CN2017/079270 CN2017079270W WO2018176458A1 WO 2018176458 A1 WO2018176458 A1 WO 2018176458A1 CN 2017079270 W CN2017079270 W CN 2017079270W WO 2018176458 A1 WO2018176458 A1 WO 2018176458A1
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WO
WIPO (PCT)
Prior art keywords
catheter
friction block
horizontal
conduit
sliding
Prior art date
Application number
PCT/CN2017/079270
Other languages
French (fr)
Chinese (zh)
Inventor
任岭雪
张一�
严伟玮
王磊
Original Assignee
中国科学院深圳先进技术研究院
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 中国科学院深圳先进技术研究院 filed Critical 中国科学院深圳先进技术研究院
Priority to CN201780000453.6A priority Critical patent/CN107106155B/en
Priority to PCT/CN2017/079270 priority patent/WO2018176458A1/en
Publication of WO2018176458A1 publication Critical patent/WO2018176458A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/06Measuring instruments not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0113Mechanical advancing means, e.g. catheter dispensers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0116Steering means as part of the catheter or advancing means; Markers for positioning self-propelled, e.g. autonomous robots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/064Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension

Definitions

  • the present invention belongs to the field of medical devices, and in particular, to a catheter push control method for a vascular interventional surgery robot and a catheter pushing device.
  • cardiovascular diseases are becoming more and more serious to the health of the elderly, and people are paying more and more attention to such diseases.
  • the treatment of cardiovascular diseases includes drug therapy and interventional therapy.
  • interventional therapy is a method of directly exposing the lesion and treatment without using a large area file.
  • the operation mode of the interventional therapy is: For a few millimeters, only tiny channels that can be inserted into the catheter, the lesions are locally examined and treated under the guidance of medical imaging equipment to minimize trauma.
  • vascular interventional surgery is mainly done by manual direct operation, which has the following drawbacks: (1) The doctor has long-term work in an X-ray environment, which is very harmful to the body; (2) Strong operational skills, risk Higher, it requires long-term training for specialist surgeons, which is not conducive to the promotion and application of this technology; (3) Due to complicated operation, long operation time, fatigue of doctors and unstable operation of hands, it will directly affect surgery. Quality, which in turn affects the quality of life of patients. These shortcomings limit the wide application of traditional vascular interventional techniques. Therefore, the combination of robotic technology and vascular intervention technology is an effective way to solve the above problems.
  • vascular interventional surgery robot refers to the doctor's guidance under the digital subtraction angiography machine (DSA) to guide the catheter to move in the blood vessels of the human body, to deliver the drug to the lesion, to dissolve the thrombus, expand the narrow blood vessel and the like.
  • DSA digital subtraction angiography machine
  • the guide of the vascular interventional operation robot needs to have the function of pulling back the catheter and more accurate force detection.
  • the catheter pushing device of the existing vascular interventional surgery robot generally has the following deficiencies in the specific application: 1) The linear feeding of the catheter is driven by the rotation of the roller or the pulley, which is easy to cause slippage.
  • Feed accuracy is not high.
  • the electric push rod feeding scheme either causes the device to be oversized, or the designed device is too small in size, and the distance between each pushing the catheter is too short, which is laborious.
  • the direct measurement method is to install a micro force sensor on the catheter head to measure the contact force between the catheter head and the blood vessel, but because the catheter is more Fine, it is not easy to fix the micro force sensor, so the current method of measuring force is only under research and has not been put into practical use.
  • the indirect measurement method is to measure the force of the catheter head by installing the sensor on the part of the catheter protruding from the skin. It is common practice to install the pressure sensor under the moving finger or on the hand wheel, but these installation methods exist.
  • the pressure sensor is mounted on the moving finger by lever force measurement, that is, the contact force between the catheter head and the blood vessel is measured by the principle of the lever, which can effectively eliminate the friction of the transmission mechanism and the mechanism itself.
  • lever force measurement that is, the contact force between the catheter head and the blood vessel is measured by the principle of the lever, which can effectively eliminate the friction of the transmission mechanism and the mechanism itself.
  • the influence of the force on the catheter but if the catheter has multiple bends, the blood vessel will exert pressure on multiple parts of the catheter, which will lead to the failure of the measurement method and affect the accuracy of the measured force signal data. Therefore, the lever method can only be applied to the blood vessel.
  • the contact between the head of the tube and the inner wall of the blood vessel by the lever method is not comprehensive, and the pressure strain gauge of the pressure sensor cannot recognize the torque signal of the catheter, and thus cannot be displayed in the control system; Install the torque sensor between the main and the slave gears, and pass the main and slave gears. Different to generate the torque signal, but the measurement method is susceptible to the force of the transmission member of the device itself, and is not accurate enough.
  • a rotary encoder is installed in the hand wheel to indirectly operate the catheter rotation through the control system.
  • this method uses the human hand to sense the torque and still causes the operator to fatigue, and can not be operated remotely. This is inconsistent with the goal of designing the doctor to operate away from the operating table, so it has no practical value.
  • the object of the present invention is to overcome at least one of the deficiencies of the prior art described above, and provide a catheter push control method for a vascular interventional surgery robot and a catheter push device, which solves the catheter push device measurement of the existing vascular interventional surgery robot.
  • Technical problems with inaccurate force data are a problem solution.
  • a catheter push control method for a vascular interventional surgery robot comprising a force measurement step and a regulation step, wherein the regulation step is: setting a controller for regulating the catheter Pushing a motion parameter during the procedure to prevent the catheter from being punctured during the catheter push;
  • the force measuring step includes:
  • a pressure sensor is disposed on the friction block assembly for clamping and tilting the rotation of the catheter for detecting a pressure of the friction block assembly to the conduit;
  • a torque sensor is provided on the support base for the passage of the conduit for detecting the torque of the conduit.
  • the adjusting step comprises: presetting a critical withstand pressure F0 of the blood vessel in the controller, the controller actually controlling the pressure of the two friction block assemblies on the conduit, so that The resistance f of the catheter during the pushing process is less than or equal to F0.
  • the initial pressure of the friction block assembly to the conduit is defined as F1
  • the pressure of the friction block assembly to the conduit during the pushing process is defined as F2
  • the conduit and the friction block are defined
  • the controller controls the catheter pushing device to slow down the advancement speed of the catheter Simultaneously, the controller controls the two friction block assemblies to slowly increase the pressure on the conduit until the conduit passes the obstacle uniformly, and the controller controls the two friction block assemblies to slowly increase.
  • Fl+u (F2-F1) ⁇ F0 is guaranteed.
  • the friction block assembly includes a friction block and a rubber sheet disposed on the friction block, and a friction coefficient u between the conduit and the friction block assembly is the conduit and the rubber sheet Coefficient of friction between
  • the adjusting step comprises: presetting a critical torque TO of the blood vessel in the controller, and the controller actually controls a speed at which the two friction block assemblies sway the rotation of the catheter, So that the torque T1 measured by the torque sensor is less than or equal to ⁇ .
  • the conduit orbiting device is configured to control the two friction block assemblies to sway the rotation of the conduit
  • the output power is P
  • the radius of the conduit is defined as r
  • the angular velocity of the conduit is defined as w
  • the controller raises the catheter turning device The linear velocity of rotation of the catheter is reduced to reduce the torque of the catheter at the branch or bend of the vessel.
  • an embodiment of the present invention further provides a catheter pushing device for a vascular interventional surgery robot, which comprises two spaced-apart friction block assemblies for driving two friction block assembly clamping catheters or loose catheters or a conduit turning device for rotating the conduit, a conduit propulsion device for driving the conduit orbiting device to drive the two friction block assemblies and the conduit, and a force for measuring the force of the conduit a digital subtraction angiography machine for imaging guidance of movement of the catheter within a blood vessel and for controlling the magnitude of pressure of the two friction block assemblies to the catheter and/or for controlling a friction block assembly that biases a rotation speed of the conduit, the force measurement assembly including a pressure sensor disposed on the friction block assembly and/or disposed on a support base for the conduit to pass through Torque sensor.
  • the ducting device includes a fixing seat mounted on the duct propelling device, and is mounted on the fixing base for regulating a horizontal distance between the two friction block assemblies to realize a clamping Holding or loosening the tensioning mechanism of the catheter and a spinning mechanism mounted on the fixing seat for driving the two friction block assemblies to move up and down to sway the rotation of the catheter; and/or
  • the duct propulsion device includes a fixing plate, a bearing member slidable on the fixing plate, and a propulsion mechanism mounted on the fixing plate for driving the bearing member to linearly reciprocate, the conduit ⁇ a rotating device is mounted on the carrying member, the supporting seat is mounted on the fixing plate; and/or
  • the friction block assembly includes a friction block and a rubber sheet disposed on the friction block, the friction block is coupled to the conduit orbiting device, and the pressure sensor is embedded and mounted on a friction block; And/or,
  • the fixing base comprises a bottom plate mounted on the duct propulsion device, a top plate spaced apart from the bottom plate, and a connection between the bottom plate and the top plate and located at the horizontal sliding member a side panel on the side, the tensioning mechanism is mounted on the top plate, and the orbiting mechanism is mounted on the bottom plate; and/or [0023] the tensioning mechanism includes two sliding seats spaced apart and slidable on the fixing seat, and an adjusting assembly for adjusting a horizontal distance between the two sliding seats, the two friction blocks The components are respectively mounted on the two sliding seats; and/or
  • the spinning mechanism includes a horizontal sliding member slidable on the fixing seat, a horizontal driving assembly mounted on the fixing seat for driving the horizontal sliding member to perform horizontal linear reciprocating movement, and two Connecting to the link assembly between the two friction block assemblies and the horizontal sliding member; and/or,
  • the propulsion mechanism includes a first motor mounted on the fixed plate and a first screw connected between the first motor and the carrying member, and the carrying member passes through the first screw sleeve Threading the first screw or the bearing member is provided with a first threaded hole threadedly engaged with the first screw; and/or
  • the catheter propulsion device further includes a first horizontal sliding structure disposed between the fixing plate and the bearing member; and/or,
  • the rubber sheet is fixed to the friction block by bonding.
  • the adjustment assembly includes a first adjustment structure coupled to one of the carriages and a second adjustment structure coupled to the other of the carriages; and/or,
  • the tensioning mechanism further includes a second horizontal sliding structure disposed between the fixing seat and the sliding seat;
  • the ducting device further includes two vertical sliding structures, wherein one of the vertical sliding structures is disposed between one of the friction block assemblies and one of the sliding blocks, and the other of the vertically guiding guides a sliding structure is disposed between the other of the friction block assembly and the other of the carriages; and/or
  • the horizontal drive assembly includes a second motor mounted on the fixed seat and a second lead screw connected between the second motor and the horizontal sliding member, the horizontal sliding member passing through the second a threaded rod sleeve is threadedly coupled to the second lead screw or the horizontal sliding member is provided with a second threaded hole threadedly engaged with the second threaded rod; and/or
  • the link assembly includes a vertical rod slidably coupled to the horizontal sliding member and a diagonal rod connected between the vertical rod and the friction block assembly, the horizontal sliding member being provided with the a first curved chute slidingly fitted with a pole; and/or,
  • the spinning mechanism further includes a third horizontal sliding structure disposed between the fixing seat and the horizontal sliding member; and/or [0034]
  • the first horizontal sliding structure includes two first horizontal guides spaced apart from each other on the fixed plate, and two first horizontal sliders respectively slidably engaged with the two first horizontal guides. Both ends of the bearing member are respectively mounted on the two first horizontal sliders.
  • the first adjustment structure comprises a mounting seat mounted on the fixing base and an adjusting screw connected between the mounting seat and a sliding seat, the sliding seat passes through the third screw a sleeve threadedly connecting the adjusting screw or having a third threaded hole threadedly engaged with the adjusting screw on the sliding seat; and/or, the second adjusting structure comprises a mounting on the fixing seat a third motor and a third screw connected between the third motor and the other sliding seat, the sliding seat is screwed to the third screw by a fourth screw sleeve or disposed on the sliding seat a fourth threaded bore threadedly engaged with the third lead screw; and/or
  • the second horizontal sliding structure comprises a second horizontal rail disposed on the fixing plate and two second horizontal sliding blocks slidably engaged with the second horizontal rail, and the two sliding seats are respectively installed On the two second horizontal sliders; and/or,
  • the vertical guide sliding structure includes a vertical rail disposed on the sliding seat and a vertical sliding block slidably engaged with the vertical rail, and the friction block assembly is mounted on the vertical sliding block And/or,
  • the bottom end of the pole is slidably mounted in the first curved chute through a first hinge shaft, and the top end of the pole is connected to the bottom end of the diagonal rod through a second hinge shaft, a top end of the diagonal rod is coupled to the friction block assembly by a third hinge;
  • the third horizontal sliding structure includes a third horizontal rail disposed on the fixing seat and a third horizontal sliding block slidably engaged with the third horizontal rail, and the horizontal sliding component is mounted on the On the third horizontal slider; and/or,
  • the bearing member is an inverted "convex" shaped plate-shaped member.
  • one end of the first hinge shaft is rotatably mounted on the fixing seat by a first bearing, and the other end of the first hinge shaft is mounted to the level by two spaced second bearings.
  • the sliding member has a bottom end fixedly coupled to the first hinge shaft and located between the two second bearings.
  • the horizontal sliding component is provided with two second curved chutes respectively located on two sides of the first curved chute, and the two second bearings on both sides of the vertical bar respectively Slidingly mounted in the two second curved chutes.
  • one end of the second hinge shaft is rotatably mounted on the fixing seat by a third bearing,
  • the other end of the two hinge shaft is connected to the top end of the vertical rod and the bottom end of the diagonal rod;
  • one end of the third hinge shaft is fixed on the friction block assembly, and the other end of the third hinge shaft
  • the catheter push control method and the catheter pushing device of the vascular interventional surgery robot provided by the present invention detect the pressure of the clamping pipe of the two friction block assemblies by providing a pressure sensor on the friction block assembly, by using the catheter rotation device
  • the torque sensor is arranged to detect the torque information of the catheter. In this way, the resistance of the catheter head and the torque of the catheter can be measured by the indirect measurement method, and the measurement data is accurate, and the purpose of effectively controlling the movement of the catheter can be achieved.
  • the pressure variation of the catheter head can be controlled by controlling the pressure change of the two friction block assemblies to adjust the amplitude of the force change of the catheter head so as to be in a reasonable interval, and the linear velocity of the rotation of the catheter can be pulsated by the two friction block assemblies.
  • the way to control the torque of the catheter is within a controllable range, thereby effectively preventing the catheter from puncturing the blood vessel due to excessive force or excessive torque.
  • the catheter pushing control method of the present invention can remotely control the medical staff, the harm to the medical staff and the patient is effectively reduced.
  • FIG. 1 is a perspective view of a catheter pushing device of a vascular interventional surgery robot according to an embodiment of the present invention
  • FIG. 2 is a front plan view of a catheter pushing device of a vascular interventional surgery robot according to an embodiment of the present invention
  • FIG. 3 is a top plan view of a catheter pushing device of a vascular interventional surgery robot according to an embodiment of the present invention
  • FIG. 4 is a left side plan view of a catheter pushing device of a vascular interventional surgery robot according to an embodiment of the present invention
  • FIG. 5 is a perspective view of a friction block assembly, a conduit turning device, and a bearing member according to an embodiment of the present invention
  • FIG. 6 is a front view assembly of a friction block assembly, a conduit turning device, and a load bearing member according to an embodiment of the present invention. Schematic plan view.
  • a catheter pushing control method for a vascular interventional surgery robot includes a force measuring step and a regulating step, wherein the adjusting step is: setting a controller (not shown), It is used to regulate the motion parameters during the catheter 2 push process to prevent the blood vessel from being punctured during the catheter 2 push.
  • the force measuring step includes: providing a pressure sensor 51 on the friction block assembly 1 for clamping and tilting the rotation of the catheter 2 for detecting the pressure of the friction block assembly 1 against the catheter 2; A torque sensor 52 through which the conduit 2 passes is used to detect the amount of torque of the conduit 2.
  • the catheter pushing control method of the vascular interventional surgery robot detects the pressure of the two friction block assemblies 1 clamping the catheter 2 by providing the pressure sensor 51 on the friction block assembly 1 through the catheter rotation device 3
  • the torque sensor 52 is provided on the way to detect the torque of the catheter 2, and the measurement data is accurate.
  • the magnitude of the force change of the head of the catheter 2 (the end of the catheter 2 near the torque sensor 52) can be adjusted by controlling the pressure change of the two friction block assemblies 1 to clamp the catheter 2 to make it reasonable.
  • the torque of the conduit 2 can be controlled within a controllable range by the two friction block assemblies 1 swaying the linear velocity of the rotation of the conduit 2, thereby effectively preventing the catheter 2 from being overstressed or excessively torqued. Broken blood vessels.
  • the catheter pushing control method of the present invention allows the medical staff to remotely control, the harm to the medical care and the patient can be effectively reduced.
  • the tube pushing control method has the following supporting structure: two spaced-apart friction block assemblies 1 for clamping the catheter 2 or the loose tube 2 or the tilting tube 2 to rotate, and the pressure sensor 51 is embedded in one of the friction block assemblies 1 a conduit turning device 3 for driving the two friction block assemblies 1 to clamp the conduit 2 or the loose conduit 2 or the tilting conduit 2 to rotate; the conduit propulsion device 4 for driving the conduit turning device 3 to drive the two friction block assemblies 1 And the catheter 2 moves; a digital subtraction angiography machine (not shown) for guiding the movement of the catheter 2 within the blood vessel.
  • the catheter convoluting device 3, the catheter advancing device 4, the digital subtraction angiography machine (DSA), the pressure sensor 51 and the torque sensor 52 are all electrically connected to the controller, the digital subtraction angiography machine, the pressure sensor 51 and the torque sensor 52.
  • the detection information can be fed back to the controller, so that the controller can regulate the catheter tuner 3 and the catheter propulsion device 4, thereby facilitating the phenomenon that the catheter 2 punctures the blood vessel.
  • the adjusting step comprises: presetting a critical withstand pressure F0 of the blood vessel in the controller, and the controller actually controls the pressure of the two friction block assemblies 1 on the catheter 2 so that the catheter 2 is in the pushing process.
  • the resistance f is less than or equal to F0.
  • the pressure sensor 51 is used for detecting the pressure of the two friction block assemblies 1 on the catheter 2, and the controller controls the operation of the catheter rotation device 3 according to the detection information of the pressure sensor 51, thereby ensuring that during the pushing of the catheter 2,
  • the resistance f of the catheter 2 is less than or equal to the critical withstand pressure F0 of the blood vessel, which in turn prevents the catheter 2 from being overstressed and punctures the blood vessel.
  • the initial pressure of the two friction block assemblies 1 to the conduit 2 is defined as F1
  • the pressure of the friction block assembly 1 for the conduit 2 during the pushing process is defined as F2
  • the friction between the conduit 2 and the friction block assembly 1 is defined.
  • the controller controls the catheter propelling device 4 to slow down the advancement speed of the catheter 2, at the same time, control
  • the two friction blocks are controlled to slowly increase the pressure on the conduit 2 until the conduit 2 passes through the obstacle at a constant speed, and in the process of controlling the two friction blocks to slowly increase the pressure on the conduit 2, the Fl+u (F2-F1 is guaranteed). ) ⁇ F0.
  • the controller controls the catheter advancement device 4 to uniformly advance the catheter 2 without encountering an obstacle or a branching or bending of the blood vessel; and if the catheter 2 encounters an obstacle in the blood vessel, Then the controller controls the conduit propulsion device 4 and controls the conduit cyclone device 3 to slowly increase the two frictions
  • the pressure of the block assembly 1 on the catheter 2 is to ensure that the guide wire in the catheter 2 can pass through the balloon after the balloon is released, and in the process, Fl+u (F2-F1) ⁇ F0 is always ensured to effectively prevent the catheter 2 Through the obstacle, the blood vessel is puncture due to excessive force on the head of the catheter 2.
  • the friction block assembly 1 includes a friction block and a rubber sheet disposed on the friction block, and a coefficient of friction u between the tube 2 and the friction block assembly 1 is a coefficient of friction between the tube 2 and the rubber sheet.
  • the rubber sheet has good elasticity and wear resistance, does not crush the duct 2, and can increase the friction and improve the reliability of the friction block assembly 1 to clamp the duct 2.
  • the adjusting step further includes: presetting a critical torque TO of the blood vessel in the controller, and the controller actually controls the speed of the rotation of the two friction block assemblies 1 to rotate the catheter 2, so that the torque sensor 52 measures The torque T1 obtained is less than or equal to T0. Due to the influence of vascular resistance, the actual torque ⁇ 2 of the head of the catheter 2 is slightly larger than the torque T1 measured by the torque sensor 52, so that as long as T1 is less than or equal to ⁇ 0, the bay 1JT2 is necessarily smaller than ⁇ 0.
  • the torque sensor 52 is used to accurately detect the torque of the conduit 2, and the controller controls the operation of the conduit orbiting device 3 based on the detection information of the torque sensor 52, thereby ensuring that the torque sensor 52 is measured during the pushing of the conduit 2.
  • the torque T1 is less than or equal to the critical torque ⁇ 0 of the blood vessel, which in turn can effectively prevent the torque of the head of the catheter 2 from being excessively large and puncture the blood vessel.
  • the conduit tuke device 3 is defined to control the output power of the two friction block assemblies 1 to rotate the conduit 2 to ⁇ , define the radius of the conduit 2 to be r, define the angular velocity of the conduit 2 to be w, define the line of the conduit 2
  • the speed is V
  • P F*r*w
  • T F*r
  • V r* w
  • the power P and the radius r are constant values, the larger the linear velocity V is, the smaller the torque T is.
  • the torque of the head of the catheter 2 can be correspondingly reduced.
  • the controller increases the linear velocity at which the catheter orbiting device 3 twitches the rotation of the catheter 2, In order to reduce the torque of the catheter 2 at the branch or bend of the blood vessel, it is possible to avoid puncture of the blood vessel due to excessive torque of the catheter 2 head.
  • a catheter pushing device for a vascular interventional surgery robot includes two spaced-apart friction block assemblies 1 for driving two friction block assemblies 1 to clamp a catheter 2 or a ducting device 3 for rotating the loose tube 2 or the tilting tube 2, a catheter pushing device 4 for driving the tube turning device 3 to move the two friction block assemblies 1 and the catheter 2, for measuring the force of the catheter 2 Force measurement
  • the assembly 5 a digital subtraction angiography machine for imaging guiding the movement of the catheter 2 in the blood vessel and for controlling the pressure of the two friction block assemblies 1 against the catheter 2 and/or for controlling the two friction block assemblies 1
  • a controller for squeezing the rotational speed of the catheter 2 the force measuring assembly 5 includes a pressure sensor 51 disposed on the friction block assembly 1 and/or a torque sensor 52 disposed on a support base 6 for passage of the catheter 2.
  • the catheter pushing device of the vascular interventional surgery robot provided by the embodiment of the invention can sufficiently measure the resistance of the head of the catheter 2 and the torque of the catheter 2 at the same time, and can also allow the doctor to operate remotely. It reduces the harm of surgery to doctors and patients, and its compact structure, small size, light weight and convenient disinfection make it easy to promote its application in medical treatment.
  • the torque sensor 52 is connected to the conduit 2 by a base hole, and the conduit 2 passes through the torque sensor 52 in a clearance fit manner, so that the torque sensor 52 can be prevented from excessively rubbing against the conduit 2 to damage the torque sensor 52, Thereby, the service life of the torque sensor 52 is sufficiently ensured.
  • the conduit turning device 3 includes a fixing base 31 mounted on the catheter propelling device 4, and is mounted on the fixing base 31 for regulating the two friction block assemblies 1.
  • the horizontal distance between the two further realizes the tensioning mechanism 33 for clamping or loosening the duct 2 and the turning mechanism 33 mounted on the fixed seat 31 for driving the lifting and lowering movement of the two friction block assemblies 1 to sway the rotation of the duct 2.
  • the tensioning mechanism 32 can increase the horizontal distance between the two friction block assemblies 1, and can also reduce the horizontal distance between the two friction block assemblies 1, so that the two friction block assemblies 1 can clamp or loosen the catheter 2, and It is possible to enable the two friction block assemblies 1 to be used for clamping the catheters 2 of different diameters, the clamping of the catheter 2 is also relatively reliable, and the removal and placement of the catheter 2 is also convenient.
  • the rotator mechanism 33 can drive the two friction block assemblies 1 to move up and down, so that the catheter 2 can be rotated, and the problem of elastic sliding does not occur by using the gyration method, and the motor can be prevented from directly driving the sensor to drive the catheter 2 The problem of the winding of the sensor by the rotation ultimately ensures the continuous and reliable rotation of the catheter 2.
  • the fixing base 31 includes a bottom plate 311 mounted on the duct propelling device 4, a top plate 312 spaced above the bottom plate 311, and connected to The side plate 313 is disposed between the bottom plate 311 and the top plate 312 and located on the side of the horizontal sliding member 331.
  • the stretching mechanism 32 is mounted on the top plate 312, and the swing mechanism 33 is mounted on the bottom plate 311.
  • the bottom plate 311, the side plates 313 and the top plate 312 may be integrally formed
  • the tensioning mechanism 32 includes two sliding seats 321 which are spaced apart and are slidable on the fixing base 31 and are used for adjusting the two slidings.
  • the horizontal distance adjusting component 322 between the seats 321 and the two friction block assemblies 1 are respectively mounted on the two sliding blocks 321 .
  • the two sliders 321 are mounted on the top plate 312 at a specific interval.
  • the horizontal distance between the two sliding blocks 321 is adjusted by the adjusting component 322, and the horizontal distance between the two friction block assemblies 1 can be adjusted, thereby clamping or loosening the two friction block assemblies 1 to the catheter 2, and Clamping of conduits 2 of different diameters can be achieved by adjustment of the adjustment assembly 322.
  • the adjustment assembly 322 includes a first adjustment structure 3221 connected to one slide 321 and a second adjustment structure 3222 connected to the other slide 321 .
  • the two carriages 321 are respectively driven and driven by two different adjustment structures, which are convenient to adjust and facilitate the clamping of the conduits 2 of different diameters.
  • the carriage 321 connected to the first adjustment structure 3221 is described as a first carriage
  • the carriage 321 connected to the second adjustment structure 3222 is described as a second carriage.
  • the first adjusting structure 3221 includes a mounting seat 32211 mounted on the fixing base 31 and connecting between the mounting seat 32211 and the first sliding seat. Adjustment screw 32212.
  • the first carriage can be driven to move toward or away from the second carriage, so that clamping of the conduits 2 of different diameters can be achieved.
  • the first sliding seat 321 is screwed to the adjusting screw 32212 by the third screw sleeve 3223, and the third screw sleeve 3223 is provided with an adjusting screw.
  • the third screw sleeve 3223 is fixed to the first sliding seat by screwing or screwing.
  • the connection between the first sliding seat and the adjusting screw 32212 is realized by the third screw sleeve 3223, so that the threaded structure is not processed on the first sliding seat, which can reduce the manufacturing difficulty of the first sliding seat, and Helps reduce the cost of future maintenance of the equipment.
  • the third threaded hole which is screwed with the adjusting screw 32212 can be directly disposed on the first sliding seat, that is, the first sliding seat can also be directly set as the screw seat which is screwed to the adjusting screw 32212.
  • the second adjusting structure 3222 includes a third motor 32221 mounted on the fixed plate 41 and a third motor 32221 and a second sliding seat. Between the third screw 32222. Specifically, a third reduction gear box may be further disposed between the third motor 32221 and the third screw 32222.
  • the third motor 322 21 can be operated in the forward and reverse directions, and the third motor 32221 is operated to drive the third screw 32222 to rotate. The rotation of the third screw 32222 can drive the second slider to move linearly.
  • the third screw 32222 is driven by the third motor 32221 to control the pressure of the two friction block assemblies 1 on the catheter 2.
  • the second sliding seat is screwed to the third screw 32222 by the fourth screw sleeve 3224, and the fourth screw sleeve 3224 is provided with
  • the third screw rod 32222 is screwed with the internal thread
  • the fourth screw sleeve 3224 is fixedly fixed to the second sliding seat by screwing or screwing.
  • the connection between the second sliding seat and the third screw 32222 is realized by the fourth screw sleeve 3224, so that the threaded structure is not processed on the second sliding seat, which can reduce the manufacturing difficulty of the second sliding seat. And it will help reduce the future maintenance cost of the equipment.
  • the fourth threaded hole which is screwed with the third screw 32222 can be directly disposed on the second sliding seat, that is, the second sliding seat can also be directly screwed to the third screw 32222. Screw seat.
  • the tensioning mechanism 32 further includes a second horizontal sliding structure 323 disposed between the fixed seat 31 and the sliding seat 321 .
  • the arrangement of the second horizontal sliding structure 323 can further improve the stability and smoothness of the horizontal movement of the sliding seat 321 .
  • the second horizontal sliding structure 323 includes a second horizontal rail 3231 disposed on the fixing base 31 and two slidings with the second horizontal rail 3231.
  • the second horizontal slider 3 232 is matched, and the two sliding seats 321 are respectively mounted on the two second horizontal sliders 3232.
  • the second horizontal guide 3231 is specifically mounted on the top plate 312.
  • the second horizontal rail 3231 can be integrally formed with the fixing base 31, that is, the second horizontal rail 3231 is a part of the fixing base 31; or the second horizontal rail 3231 can also be separately formed with the fixing base 31 and then screwed.
  • connection mode is mounted on the fixing base 31, the screw connection is reliable, the disassembly and assembly is convenient, and the disassembly and disinfection is convenient.
  • the sliding seat 321 can be specifically mounted on the second horizontal sliding block 3232 by screws, which is reliable in fastening, convenient in disassembly and assembly, and convenient for disassembly and disinfection.
  • the arrangement of the second horizontal guide 3231 and the second horizontal slider 3 232 can support the positioning of the slider 321 on the one hand, and reduce the frictional resistance during the horizontal movement of the slider 321 on the other hand.
  • the ducting device 3 further includes two vertical sliding structures 34, wherein a vertical sliding structure 34 is disposed on a friction block assembly 1 Between one slide 321 and another slide 321 is disposed between the other friction block assembly 1 and the other slide 321 .
  • the vertical guide sliding structure 34 is arranged to further improve the stability and smoothness of the horizontal movement of the friction block assembly 1 Sex.
  • the vertical guide structure 34 includes a vertical rail 341 disposed on the carriage 321 and a vertical slider slidably engaged with the vertical rail 341.
  • the friction block assembly 1 is mounted on the vertical slider 342.
  • the vertical rail 341 can be integrally formed with the sliding block 321 , that is, the vertical rail 341 is a part of the sliding seat 321 ;
  • the vertical rail 341 can also be formed separately from the sliding seat 321 and then connected by screw connection or the like. The method is installed on the sliding seat 321 , the screw connection is fast and reliable, the disassembly and assembly is convenient, and the disassembly and disinfection is convenient.
  • the friction block can be specifically mounted on the vertical slider 342 by screws, which is reliable in fastening, convenient to disassemble and assemble, and convenient for disassembly and disinfection.
  • the arrangement of the vertical rail 341 and the vertical slider 342 can support the positioning of the friction block on the one hand, and reduce the frictional resistance during the lifting and lowering movement of the friction block on the other hand.
  • the swing mechanism 33 includes a horizontal sliding member 331 slidable on the fixing base 31, and is mounted on the fixing base 31 for driving horizontal sliding.
  • the member 331 performs a horizontal linear reciprocating horizontal drive assembly 332 and two link assemblies 333 respectively coupled between the two friction block assemblies 1 and the horizontal slide member 331.
  • the horizontal driving assembly 332 drives the horizontal sliding member 331 to move horizontally, and the two-link assembly 333 coupled to the horizontal sliding member 331 can drive the two friction block assemblies 1 to move up and down, thereby achieving the purpose of pivoting the catheter 2.
  • the horizontal driving assembly 332 includes a second motor 3321 mounted on the fixing base 31 and connected between the second motor 3321 and the horizontal sliding member 331.
  • the second screw 33 22, the second motor 3321 is specifically mounted on the bottom plate 311.
  • a second reduction gear box may also be provided between the second motor 3321 and the second lead screw 3322.
  • the second motor 3321 can be operated in the forward and reverse directions.
  • the second motor 3321 operates ⁇ to drive the second screw 3322 to rotate, and the second screw 3322 rotates to drive the horizontal sliding member 331 to move linearly.
  • the rotational speed of the second motor 3321 by adjusting the rotational speed of the second motor 3321, the speed at which the two friction block assemblies 1 sway the catheter 2 can be controlled.
  • the horizontal sliding member 331 is screwed to the second screw rod 3322 by the second screw sleeve 335, and the second screw sleeve 335 is provided with
  • the second screw rod 3322 is screwed with the internal thread
  • the second screw sleeve 335 is fixed to the horizontal sliding member 331 by screwing or screwing.
  • the connection between the horizontal sliding member 331 and the second screw rod 3322 is realized by the second screw sleeve 335, so that the horizontal sliding member 331 does not need to be processed to manufacture a thread structure, which can help reduce the manufacturing difficulty of the horizontal sliding member 331. And it will help reduce the future maintenance cost of the equipment.
  • a second threaded hole that is threadedly engaged with the second screw 3322 may be directly disposed on the horizontal sliding member 331, that is, the horizontal sliding member 331 may be directly set as a screw seat that is screwed to the second screw 3322.
  • the link assembly 333 includes a vertical rod 3331 slidably coupled to the horizontal sliding member 331 and is coupled between the vertical rod 3331 and the friction block assembly 1.
  • the slanting rod 3332 has a first curved sliding groove 3311 which is slidably engaged with the vertical rod 3331.
  • the bottom end of the upright 3331 is slidably supported in the first curved chute 3311, and the first curved chute 3311 has an arcuate surface that is in sliding engagement with the upright 3331.
  • the uprights 3331 are vertically disposed rods, and the inclined rods 3332 are obliquely disposed at an angle to the vertical direction.
  • the horizontal sliding member 331 moves horizontally, and a relative sliding occurs between the vertical rod 3331 and the horizontal sliding member 331.
  • the curved surface of the first curved sliding groove 3311 drives the vertical rod 3331 to rise or fall, and the lifting and lowering movement of the vertical rod 3331 Further, the slanting rod 3332 drives the raising or lowering movement of the friction block assembly 1 to achieve the purpose of swaying the rotation of the duct 2 by the friction block assembly 1.
  • the bottom end of the vertical rod 3331 is slidably mounted in the first curved chute 3311 through the first hinge shaft 30 1 .
  • the top end of the 3331 is connected to the bottom end of the diagonal rod 3 332 through the second hinge shaft 302, and the top end of the diagonal rod 3332 is connected to the friction block through the third hinge shaft 303.
  • the connection between the bottom end of the upright 3331 and the first curved chute 3311 is a sliding connection, that is, the bottom end of the upright 3331 is slidable within the first arc chute 3311.
  • connection between the vertical rod 3331 and the first hinge shaft 301 and the second hinge shaft 302 is a fixed connection, that is, the relative rotation between the vertical rod 3331 and the first hinge shaft 301 and the second hinge shaft 302 is not possible;
  • connection between the 3332 and the second hinge shaft 302 and the third hinge shaft 303 is a rotational connection, that is, relative rotation between the diagonal rod 3332 and the second hinge shaft 302 and the third hinge shaft 303 can occur.
  • one end of the first hinge shaft 301 is rotatably mounted on the fixing base 31 by a first bearing, and the other end of the first hinge shaft 310 is mounted on the horizontal sliding member 331 by two spaced second bearings.
  • the bottom end of the pole 3331 is fixedly coupled to the first hinge shaft 301 and located between the two second bearings.
  • the second bearing is disposed to support the first hinge shaft 301 by the horizontal sliding member 331, and to prevent the first hinge shaft 301 from interfering with the sliding of the horizontal sliding member 331.
  • the bottom end of the upright 3331 can be connected to the first hinge shaft 301 by a screw connection or an interference fit, which can prevent relative rotation between the vertical rod 3331 and the first hinge shaft 301, thereby ensuring horizontal sliding.
  • the curved surface of the horizontal sliding member 331 can effectively drive the up or down movement of the upright 3331.
  • two horizontal sliding members 331 are respectively located.
  • the second curved chutes 3312 on both sides of the first curved chute 3311 and the two second bearings on both sides of the vertical rod 3331 are slidably mounted in the two second curved chutes 3312, respectively.
  • the arrangement of the second curved chute 3312 can be used for positioning and positioning of the second bearing on the one hand, and can ensure that the second bearing does not interfere with the movement of the horizontal sliding member 331 during horizontal movement of the horizontal sliding member 331 on the other hand.
  • one end of the second hinge shaft 302 is rotatably mounted on the fixing seat 31 through the third bearing, and the other end of the second hinge shaft 302 is passed through the top end of the connecting rod 3331 and the bottom end of the diagonal rod 3332;
  • One end of the third hinge shaft 303 is fixed to the friction block assembly 1, and the other end of the third hinge shaft 303 is passed through the top end of the connection diagonal rod 3332.
  • the third hinge shaft 303 is specifically fixed to the friction block by a threaded connection.
  • the top end of the vertical rod 3331 is fixedly connected to the second hinge shaft 302 by a screw connection or a hard fit.
  • the bottom end of the diagonal rod 3332 is mounted on the second hinge shaft 302 through the fourth bearing, and the top end of the diagonal rod 3332 passes through the fifth.
  • the bearing is mounted on the third hinge shaft 303
  • the spinning mechanism 33 further includes a third horizontal sliding structure 334 disposed between the fixed seat 31 and the horizontal sliding member 331.
  • the arrangement of the third horizontal guide structure 334 can further improve the stability and smoothness of the horizontal movement of the horizontal sliding member 331.
  • the third horizontal sliding structure 334 includes a third horizontal rail 3341 disposed on the fixing base 31 and a sliding fit with the third horizontal rail 3341.
  • the third horizontal slider 3342 and the horizontal sliding member 331 are mounted on the third horizontal slider 3342.
  • the third horizontal guide 3341 is specifically mounted on the bottom plate 311.
  • the third horizontal rail 3341 can be integrally formed with the bottom plate 311, that is, the third horizontal rail 334 1 can be a part of the bottom plate 311; or the third horizontal rail 3341 can be separately formed from the bottom plate 311 and then connected by screws.
  • the connection mode is mounted on the bottom plate 311.
  • the horizontal sliding member 331 is specifically preferably mounted to the third horizontal slider 3342 by screw connection, which is reliable in fastening and convenient to assemble and disassemble.
  • the arrangement of the third horizontal guide 3341 and the third horizontal slider 3342 can support the horizontal sliding member 331 on the one hand, and reduce the frictional resistance received during the horizontal movement of the horizontal sliding member 331 on the other hand.
  • the duct propulsion device 4 includes a fixing plate 41, a bearing member 42 slidable on the fixing plate 41, and a mounting plate 41 for driving the carrier member 42.
  • the linear reciprocating propulsion mechanism 43 is attached to the carrier member 42 and the support base 6 is attached to the fixing plate 41.
  • the ducting device 3 is specifically mounted to the carrier member 42 via a bottom plate 311.
  • the propulsion mechanism 43 drives the carrying member 42 to move horizontally, and the conduit turning device 3 mounted on the carrying member 42 can drive the conduit 2 -
  • the horizontal movement is performed to achieve the purpose of swaying the rotation of the catheter 2.
  • the support base 6 is preferably mounted on the fixing plate 41 by screws, which is convenient for disassembly and assembly.
  • the horizontal movement direction of the propulsion mechanism 43 driving the bearing member 42 and the horizontal movement direction of the horizontal driving assembly 332 driving the horizontal sliding member 331 are perpendicular to each other, and the stretching mechanism 32 drives the horizontal movement direction and the horizontal driving of the friction block assembly 1.
  • the assembly 332 drives the horizontal moving directions of the horizontal sliding members 331 to be parallel to each other.
  • the horizontal sliding member 331 is located above the carrier member 42, and the friction block assembly 1 is located above the horizontal sliding member 331.
  • the propulsion mechanism 43 includes a first motor 41 mounted on the fixed plate 41 and a first screw connected between the first motor 431 and the carrier member 42. 432.
  • the first motor 431 is specifically mounted on the fixing plate 41.
  • a first reduction gear box may be disposed between the first motor 431 and the first lead screw 432.
  • the first motor 431 can be operated in the forward and reverse directions.
  • the first motor 431 is operated to drive the first screw 432 to rotate, and the first screw 432 is rotated to drive the carrier member 42 to move linearly.
  • the pushing speed of the duct 2 can be controlled by adjusting the rotational speed of the first motor 431.
  • the push-pull of the catheter 2 in the blood vessel is achieved by a combination of the motor and the screw rod, and the amount of feed per feed is sufficiently large.
  • the carrier member 42 is screwed to the first screw rod 432 by the first screw sleeve 44, and the first screw sleeve 44 is provided with the thread of the first screw rod 432.
  • the mating internal thread, the first screw sleeve 44 is fixedly mounted to the carrier member 42 by screwing or screwing.
  • the connection between the bearing member 42 and the first screw rod 432 is realized by the first screw sleeve 44.
  • the threaded structure is not required to be processed on the bearing member 42, which can reduce the manufacturing difficulty of the bearing member 42 and is beneficial to the manufacturing. Reduce the cost of future maintenance of the equipment.
  • the first threaded hole which is screwed with the first screw rod 4 32 can be directly disposed on the bearing member 42, that is, the bearing member 42 can also be directly screwed to the first screw rod 432. Screw seat.
  • the catheter advancement device 4 further includes a first horizontal guide structure 45 disposed between the fixed plate 41 and the carrier member 42.
  • the arrangement of the first horizontal guide structure 45 can further improve the stability and smoothness of the horizontal movement of the bearing member 42.
  • the first horizontal sliding structure 45 includes two first horizontal rails 451 and two and two horizontal rails respectively disposed on the fixing plate 41.
  • the first horizontal slider 452 of the sliding joint is 451, and two ends of the bearing member 42 are respectively mounted on the two first horizontal sliders 452.
  • First level The guide rail 451 can be integrally formed with the fixing plate 41, that is, the first horizontal rail 451 can be a part of the solid bottom plate 311; or the first horizontal rail 451 can also be separately formed with the fixing plate 41 and then connected by screws or the like.
  • the bearing member 42 is specifically mounted on the first horizontal slider 452 by screw connection, which is reliable in fastening and convenient to disassemble.
  • the arrangement of the first horizontal rail 451 and the first horizontal slider 425 can support the bearing member 42 on the one hand and reduce the frictional resistance during the horizontal movement of the bearing member 42 on the other hand.
  • the bearing member 42 is an inverted "convex" shaped plate-shaped member, which has a simple structure and is advantageous for ensuring the reliability of the bearing member 42 being connected to the first screw 432 and the two first sliders.
  • the friction block assembly 1 includes a friction block and a rubber sheet disposed on the friction block, the friction block is coupled to the conduit turning device 3, and the pressure sensor 51 is embedded in a friction block.
  • the rubber sheet has good elasticity and wear resistance, does not crush the duct 2, and can increase the friction and improve the reliability of the friction block assembly 1 to clamp the duct 2.
  • the rubber sheet is fixed to the friction block by bonding, the disassembly and assembly is convenient, the installation is stable and reliable, and the rubber piece can be prevented from being mounted by using other fasteners to cause the rotation or clamping of the catheter 2 to be clamped or tilted.
  • the firmware crushes the conduit 2.
  • the catheter pushing device of the vascular interventional surgery robot provided by the embodiment of the invention has the advantages of compact structure, small volume, light weight, convenient disinfection, and convenient application in medical treatment.
  • the horizontal distance between the two friction block assemblies 1 is adjusted by the tensioning mechanism 32 to drive the two friction block assemblies 1 to clamp or loosen the catheter 2, so that the embodiment of the present invention can be made
  • the catheter pushing device of the vascular interventional robot can be adapted to adapt to the catheter 2 of different diameters, and it is convenient to take out and insert the catheter 2, and the clamping catheter 2 is also more reliable; on the other hand, the two friction blocks are driven up and down by the gyro mechanism 33.

Abstract

A catheter advancing controlling method and a catheter advancing device for a vessel interventional surgery robot, wherein the catheter advancing controlling method comprises a force measuring step and an adjusting and controlling step. The adjusting and controlling step comprises providing a controller for adjusting and controlling motion parameters of a catheter (2) during the advancement thereof, to prevent the catheter (2) from puncturing a vessel during the advancement thereof. The force measuring step comprises: providing, on a friction block component (1) for clamping and twisting the catheter (2) to rotate, a pressure sensor (51) for measuring the force of pressure exerted by the friction block component (1) on the catheter (2); and providing, on a supporting base (6), a torque sensor (52) that allows the catheter (2) to pass therethrough and is for measuring the torque on the catheter (2). This indirect measuring method can measure, at the same time, the resistance at the tip of the catheter (2) and the torque on the catheter (2), so as to achieve the goal of effective displacement control of the catheter (2). The indirect measuring method enables remote control by a doctor, significantly reducing surgical risks to medical staff and a patient.

Description

血管介入手术机器人的导管推送控制方法及导管推送设备  Catheter push control method for vascular interventional surgery robot and catheter pushing device
技术领域 Technical field
[0001] 本发明属于医疗设备领域, 尤其涉及血管介入手术机器人的导管推送控制方法 及导管推送设备。  [0001] The present invention belongs to the field of medical devices, and in particular, to a catheter push control method for a vascular interventional surgery robot and a catheter pushing device.
背景技术  Background technique
[0002] 近年来, 心血管疾病的发病率逐年升高, 已被公认为是威胁人类健康的重要杀 手之一。 在我国, 随着人口老齢化程度急剧加重, 心血管疾病对老年人健康的 威胁越来越严重, 人们对该类疾病的关注度也越来越高。 心血管疾病的治疗包 括药物治疗和介入式治疗, 其中, 介入式治疗是不采用大面积幵刀来直接暴露 病灶和治疗的方法, 具体地, 介入式治疗的操作方式为: 在皮肤切幵直径为几 毫米、 仅能允许介入导管的微小通道, 在医学影像设备的引导下对病灶局部进 行检测和治疗, 以使创伤尽量小。 传统技术中, 血管介入手术主要通过人工直 接操作完成, 这样会存在以下弊端: (1) 医生在有 X射线环境下长期工作, 对身 体伤害很大; (2) 操作技巧性较强, 风险性较高, 需要对专科医生手术进行较长 吋间的培训, 不利于该项技术的推广应用; (3) 由于操作复杂、 手术吋间长, 医 生疲劳和人手操作不稳定等因素会直接影响手术质量, 进而影响患者的生存质 量。 这些缺点限制了传统血管介入手术技术的广泛应用, 因此, 将机器人技术 与血管介入技术有机结合是解决上述问题的有效途径。  [0002] In recent years, the incidence of cardiovascular disease has increased year by year and has been recognized as one of the important killers of human health. In China, as the population ages sharply, cardiovascular diseases are becoming more and more serious to the health of the elderly, and people are paying more and more attention to such diseases. The treatment of cardiovascular diseases includes drug therapy and interventional therapy. Among them, interventional therapy is a method of directly exposing the lesion and treatment without using a large area file. Specifically, the operation mode of the interventional therapy is: For a few millimeters, only tiny channels that can be inserted into the catheter, the lesions are locally examined and treated under the guidance of medical imaging equipment to minimize trauma. In traditional technology, vascular interventional surgery is mainly done by manual direct operation, which has the following drawbacks: (1) The doctor has long-term work in an X-ray environment, which is very harmful to the body; (2) Strong operational skills, risk Higher, it requires long-term training for specialist surgeons, which is not conducive to the promotion and application of this technology; (3) Due to complicated operation, long operation time, fatigue of doctors and unstable operation of hands, it will directly affect surgery. Quality, which in turn affects the quality of life of patients. These shortcomings limit the wide application of traditional vascular interventional techniques. Therefore, the combination of robotic technology and vascular intervention technology is an effective way to solve the above problems.
[0003] 为了解决上述传统介入式治疗中的问题, 现有技术提出了采用血管介入手术机 器人来代替医生进行手术的方案。 血管介入手术机器人是指医生在数字减影血 管造影机 (DSA)的导引下, 引导导管在人体血管内运动, 将药物送达病灶, 达到 溶解血栓、 扩张狭窄血管等目的。 因为血管介入手术操作的主要任务是将导管 送到病灶部位, 再进行相应的诊断和治疗, 所以如何将导管精确的送到病灶位 置将直接影响整个手术的质量。 由于人体内血管不规则, 分支过多, 所以为了 防止导管在前进过程中损坏血管壁或误入血管分支, 血管介入手术机器人的导 管推送装置需要具备随吋能将导管回拉以及较为精确的力检测等功能。 [0003] In order to solve the above problems in the conventional interventional treatment, the prior art proposes a scheme in which a vascular interventional surgery robot is used instead of a doctor for surgery. Vascular interventional surgery robot refers to the doctor's guidance under the digital subtraction angiography machine (DSA) to guide the catheter to move in the blood vessels of the human body, to deliver the drug to the lesion, to dissolve the thrombus, expand the narrow blood vessel and the like. Because the main task of vascular interventional surgery is to send the catheter to the lesion site, and then to diagnose and treat accordingly, how to accurately deliver the catheter to the lesion site will directly affect the quality of the entire procedure. Because the blood vessels in the human body are irregular and there are too many branches, in order to prevent the catheter from damaging the blood vessel wall or invading the blood vessel branch during the advancement, the guide of the vascular interventional operation robot The tube push device needs to have the function of pulling back the catheter and more accurate force detection.
现有血管介入手术机器人的导管推送装置在具体应用中普遍存在以下不足之处 : 1) 利用滚轮或者皮带轮旋转带动导管直线进给, 这种方法容易造成打滑现象 The catheter pushing device of the existing vascular interventional surgery robot generally has the following deficiencies in the specific application: 1) The linear feeding of the catheter is driven by the rotation of the roller or the pulley, which is easy to cause slippage.
, 进给精度不高。 , Feed accuracy is not high.
[0005] 2) 采用电动推杆进给方案, 要么造成装置尺寸过大, 要么设计的装置尺寸过 小, 每次推进导管的距离过短, 费吋费力。  [0005] 2) The electric push rod feeding scheme either causes the device to be oversized, or the designed device is too small in size, and the distance between each pushing the catheter is too short, which is laborious.
[0006] 3) 测量导管头部受力大小主要分为直接测量和间接测量两种方法, 直接测量 法就是在导管头部安装微力传感器来测量导管头部与血管的接触力, 但由于导 管较细, 不易固定微力传感器, 所以目前这种测力方法只是处于研究之中而并 没有得到实际应用。 间接测量法是把传感器安装在导管伸出皮肤外的部分来间 接测量导管头部的受力情况, 现有常用的做法就是在移动指下面或者在手轮上 安装压力传感器, 但这些安装方法存在一些问题: 首先, 将压力传感器安装在 移动指上是采用杠杆法测力, 即通过杠杆的原理来测量导管头部与血管的接触 力, 其虽然能够有效地消除传动机构和机构本身的摩擦力对导管受力的影响, 但如果导管有多处弯曲, 血管就会对导管多处产生压力, 导致测量方法失效, 影响了所测的力信号数据准确性, 所以杠杆法测力只能适用血管弯曲少的场合 ; 其次, 杠杆法测力的导管头部与血管内壁接触力不全面, 压力传感器的压力 应变片无法识别导管的扭力信号, 从而也就无法在控制系统里显示; 再者, 有 些将力矩传感器安装在主、 从齿轮之间, 通过主、 从齿轮的受力不同来产生扭 矩信号, 但该测量方法易受装置本身传动件受力的影响, 不够准确; 最后, 在 手轮中安装旋转编码器, 以此通过控制系统间接操作导管旋转, 这种方法虽然 可行, 但这种方法采用人手去感知扭力仍然会造成手术人员疲劳, 且不能远程 操作, 这与设计让医生远离手术台进行操作的目标不符合, 所以不具备实用价 值。  [0006] 3) Measuring the force of the catheter head is mainly divided into direct measurement and indirect measurement. The direct measurement method is to install a micro force sensor on the catheter head to measure the contact force between the catheter head and the blood vessel, but because the catheter is more Fine, it is not easy to fix the micro force sensor, so the current method of measuring force is only under research and has not been put into practical use. The indirect measurement method is to measure the force of the catheter head by installing the sensor on the part of the catheter protruding from the skin. It is common practice to install the pressure sensor under the moving finger or on the hand wheel, but these installation methods exist. Some problems: Firstly, the pressure sensor is mounted on the moving finger by lever force measurement, that is, the contact force between the catheter head and the blood vessel is measured by the principle of the lever, which can effectively eliminate the friction of the transmission mechanism and the mechanism itself. The influence of the force on the catheter, but if the catheter has multiple bends, the blood vessel will exert pressure on multiple parts of the catheter, which will lead to the failure of the measurement method and affect the accuracy of the measured force signal data. Therefore, the lever method can only be applied to the blood vessel. Secondly, the contact between the head of the tube and the inner wall of the blood vessel by the lever method is not comprehensive, and the pressure strain gauge of the pressure sensor cannot recognize the torque signal of the catheter, and thus cannot be displayed in the control system; Install the torque sensor between the main and the slave gears, and pass the main and slave gears. Different to generate the torque signal, but the measurement method is susceptible to the force of the transmission member of the device itself, and is not accurate enough. Finally, a rotary encoder is installed in the hand wheel to indirectly operate the catheter rotation through the control system. However, this method uses the human hand to sense the torque and still causes the operator to fatigue, and can not be operated remotely. This is inconsistent with the goal of designing the doctor to operate away from the operating table, so it has no practical value.
技术问题  technical problem
[0007] 本发明的目的在于克服上述现有技术的至少一个不足之处, 提供了血管介入手 术机器人的导管推送控制方法及导管推送设备, 其解决了现有血管介入手术机 器人的导管推送设备测力数据不准确的技术问题。 问题的解决方案 [0007] The object of the present invention is to overcome at least one of the deficiencies of the prior art described above, and provide a catheter push control method for a vascular interventional surgery robot and a catheter push device, which solves the catheter push device measurement of the existing vascular interventional surgery robot. Technical problems with inaccurate force data. Problem solution
技术解决方案  Technical solution
[0008] 为达到上述目的, 本发明采用的技术方案是: 血管介入手术机器人的导管推送 控制方法, 包括测力步骤和调控步骤, 所述调控步骤为: 设置控制器, 用于调 控所述导管推送过程中的运动参数以防止所述导管推送过程中戳破血管; 所述 测力步骤包括:  [0008] In order to achieve the above object, the technical solution adopted by the present invention is: a catheter push control method for a vascular interventional surgery robot, comprising a force measurement step and a regulation step, wherein the regulation step is: setting a controller for regulating the catheter Pushing a motion parameter during the procedure to prevent the catheter from being punctured during the catheter push; the force measuring step includes:
[0009] 在用于夹持和捻动导管旋转的摩擦块组件上设置压力传感器, 以用于检测所述 摩擦块组件对所述导管的压力大小;  [0009] A pressure sensor is disposed on the friction block assembly for clamping and tilting the rotation of the catheter for detecting a pressure of the friction block assembly to the conduit;
[0010] 在一支撑座上设置可供所述导管穿过的扭矩传感器, 以用于检测所述导管的扭 矩大小。 [0010] A torque sensor is provided on the support base for the passage of the conduit for detecting the torque of the conduit.
[0011] 优选地, 所述调控步骤包括: 在所述控制器内预先设定血管的临界耐压力 F0, 所述控制器实吋控制两所述摩擦块组件对所述导管的压力, 以使得所述导管在 推送过程中所受的阻力 f小于或等于 F0。  [0011] Preferably, the adjusting step comprises: presetting a critical withstand pressure F0 of the blood vessel in the controller, the controller actually controlling the pressure of the two friction block assemblies on the conduit, so that The resistance f of the catheter during the pushing process is less than or equal to F0.
[0012] 优选地, 定义所述摩擦块组件对所述导管的初始压力为 Fl, 定义所述摩擦块组 件对推送过程中之所述导管的压力为 F2, 定义所述导管与所述摩擦块组件之间 的摩擦系数为 u, W\i= Fl+u (F2- F1) ≤F0。  [0012] Preferably, the initial pressure of the friction block assembly to the conduit is defined as F1, the pressure of the friction block assembly to the conduit during the pushing process is defined as F2, and the conduit and the friction block are defined The coefficient of friction between the components is u, W\i= Fl+u (F2- F1) ≤ F0.
[0013] 优选地, 在所述调控步骤中, 当数字减影血管造影机检测到所述导管在推送过 程遇到障碍吋, 所述控制器控制导管推进装置减慢所述导管的推进移动速度, 同吋, 所述控制器控制两所述摩擦块组件缓慢增大对所述导管的压力, 直至所 述导管匀速通过障碍为止, 且在所述控制器控制两所述摩擦块组件缓慢增大对 所述导管之压力的过程中, 保证 Fl+u (F2- F1) ≤F0。  [0013] Preferably, in the adjusting step, when the digital subtraction angiography machine detects that the catheter encounters an obstacle during the pushing process, the controller controls the catheter pushing device to slow down the advancement speed of the catheter Simultaneously, the controller controls the two friction block assemblies to slowly increase the pressure on the conduit until the conduit passes the obstacle uniformly, and the controller controls the two friction block assemblies to slowly increase. During the pressure on the conduit, Fl+u (F2-F1) ≤ F0 is guaranteed.
[0014] 优选地, 所述摩擦块组件包括摩擦块和设置于所述摩擦块上的橡胶片, 所述导 管与所述摩擦块组件之间的摩擦系数 u为所述导管与所述橡胶片之间的摩擦系数  [0014] Preferably, the friction block assembly includes a friction block and a rubber sheet disposed on the friction block, and a friction coefficient u between the conduit and the friction block assembly is the conduit and the rubber sheet Coefficient of friction between
[0015] 优选地, 所述调控步骤包括: 在所述控制器内预先设定血管的临界扭矩 TO,所 述控制器实吋控制两所述摩擦块组件搓动所述导管旋转的速度大小, 以使得所 述扭矩传感器测到的扭矩 T1小于或等于 το。 [0015] Preferably, the adjusting step comprises: presetting a critical torque TO of the blood vessel in the controller, and the controller actually controls a speed at which the two friction block assemblies sway the rotation of the catheter, So that the torque T1 measured by the torque sensor is less than or equal to το.
[0016] 优选地, 定义所述导管捻旋装置控制两所述摩擦块组件搓动所述导管旋转的输 出功率为 P, 定义所述导管的半径为 r,定义所述导管的角速度为 w, 定义所述导管 的线速度为 V, 则依据公式 P=F*r*w、 T= F*r、 V= r* w, 可得 Tl= (P*r) /V≤T0 [0016] Preferably, the conduit orbiting device is configured to control the two friction block assemblies to sway the rotation of the conduit The output power is P, the radius of the conduit is defined as r, the angular velocity of the conduit is defined as w, and the linear velocity of the conduit is defined as V, according to the formula P=F*r*w, T=F*r, V= r* w, can get Tl= (P*r) /V≤T0
[0017] 优选地, 在所述调控步骤中, 当所述数字减影血管造影机检测到所述导管在推 送过程遇到血管分支或弯曲吋, 所述控制器提高所述导管捻旋装置搓动所述导 管旋转的线速度, 以减小所述导管在所述血管分支或弯曲处的扭矩。 [0017] Preferably, in the adjusting step, when the digital subtraction angiography machine detects that the catheter encounters a blood vessel branch or a bending flaw during the pushing process, the controller raises the catheter turning device The linear velocity of rotation of the catheter is reduced to reduce the torque of the catheter at the branch or bend of the vessel.
[0018] 进一步地, 本发明实施例还提供了血管介入手术机器人的导管推送设备, 其包 括两块间隔设置的摩擦块组件、 用于驱动两所述摩擦块组件夹持导管或者松幵 导管或者捻动所述导管旋转的导管捻旋装置、 用于驱动所述导管捻旋装置带动 两所述摩擦块组件与所述导管移动的导管推进装置、 用于测量所述导管受力情 况的测力组件、 用于对所述导管在血管内之移动进行成像导引的数字减影血管 造影机和用于控制两所述摩擦块组件对所述导管之压力大小与 /或用于控制两所 述摩擦块组件搓动所述导管之旋转速度大小的控制器, 所述测力组件包括设置 于所述摩擦块组件上的压力传感器和 /或设置于一支撑座上并可供所述导管穿过 的扭矩传感器。  [0018] Further, an embodiment of the present invention further provides a catheter pushing device for a vascular interventional surgery robot, which comprises two spaced-apart friction block assemblies for driving two friction block assembly clamping catheters or loose catheters or a conduit turning device for rotating the conduit, a conduit propulsion device for driving the conduit orbiting device to drive the two friction block assemblies and the conduit, and a force for measuring the force of the conduit a digital subtraction angiography machine for imaging guidance of movement of the catheter within a blood vessel and for controlling the magnitude of pressure of the two friction block assemblies to the catheter and/or for controlling a friction block assembly that biases a rotation speed of the conduit, the force measurement assembly including a pressure sensor disposed on the friction block assembly and/or disposed on a support base for the conduit to pass through Torque sensor.
[0019] 优选地, 所述导管捻旋装置包括安装于所述导管推进装置上的固定座、 安装于 所述固定座上以用于调控两所述摩擦块组件之间之水平距离进而实现夹持或松 幵所述导管的张合机构和安装于所述固定座上以用于驱动两所述摩擦块组件升 降运动进而捻动所述导管旋转的捻旋机构; 且 /或,  [0019] Preferably, the ducting device includes a fixing seat mounted on the duct propelling device, and is mounted on the fixing base for regulating a horizontal distance between the two friction block assemblies to realize a clamping Holding or loosening the tensioning mechanism of the catheter and a spinning mechanism mounted on the fixing seat for driving the two friction block assemblies to move up and down to sway the rotation of the catheter; and/or
[0020] 所述导管推进装置包括固定板、 能够在所述固定板上滑动的承载部件和安装于 所述固定板上以用于驱动所述承载部件直线往复移动的推进机构, 所述导管捻 旋装置安装于所述承载部件上, 所述支撑座安装于所述固定板上; 且 /或,  [0020] the duct propulsion device includes a fixing plate, a bearing member slidable on the fixing plate, and a propulsion mechanism mounted on the fixing plate for driving the bearing member to linearly reciprocate, the conduit 捻a rotating device is mounted on the carrying member, the supporting seat is mounted on the fixing plate; and/or
[0021] 所述摩擦块组件包括摩擦块和设置于所述摩擦块上的橡胶片, 所述摩擦块与所 述导管捻旋装置连接, 所述压力传感器嵌入安装于一所述摩擦块上; 且 /或, [0021] The friction block assembly includes a friction block and a rubber sheet disposed on the friction block, the friction block is coupled to the conduit orbiting device, and the pressure sensor is embedded and mounted on a friction block; And/or,
[0022] 优选地, 所述固定座包括安装于所述导管推进装置上的底板、 间隔设于所述底 板上方的顶板和连接于所述底板与所述顶板之间且位于所述水平滑动部件旁侧 的侧板, 所述张合机构安装于所述顶板上, 所述捻旋机构安装于所述底板上; 且 /或, [0023] 所述张合机构包括两个间隔设置且能够在所述固定座上滑动的滑座和用于调节 所述两所述滑座之间之水平距离的调节组件, 两所述摩擦块组件分别安装于两 所述滑座上; 且 /或, [0022] Preferably, the fixing base comprises a bottom plate mounted on the duct propulsion device, a top plate spaced apart from the bottom plate, and a connection between the bottom plate and the top plate and located at the horizontal sliding member a side panel on the side, the tensioning mechanism is mounted on the top plate, and the orbiting mechanism is mounted on the bottom plate; and/or [0023] the tensioning mechanism includes two sliding seats spaced apart and slidable on the fixing seat, and an adjusting assembly for adjusting a horizontal distance between the two sliding seats, the two friction blocks The components are respectively mounted on the two sliding seats; and/or
[0024] 所述捻旋机构包括能够在所述固定座上滑动的水平滑动部件、 安装于所述固定 座上以用于驱动所述水平滑动部件进行水平直线往复移动的水平驱动组件和两 个分别连接于两所述摩擦块组件与所述水平滑动部件之间的连杆组件; 且 /或, [0024] the spinning mechanism includes a horizontal sliding member slidable on the fixing seat, a horizontal driving assembly mounted on the fixing seat for driving the horizontal sliding member to perform horizontal linear reciprocating movement, and two Connecting to the link assembly between the two friction block assemblies and the horizontal sliding member; and/or,
[0025] 所述推进机构包括安装于所述固定板上的第一电机和连接于所述第一电机与所 述承载部件之间的第一丝杆, 所述承载部件通过第一丝杆套螺纹连接所述第一 丝杆或者所述承载部件上设有与所述第一丝杆螺纹配合的第一螺纹孔; 且 /或,[0025] the propulsion mechanism includes a first motor mounted on the fixed plate and a first screw connected between the first motor and the carrying member, and the carrying member passes through the first screw sleeve Threading the first screw or the bearing member is provided with a first threaded hole threadedly engaged with the first screw; and/or
[0026] 所述导管推进装置还包括设于所述固定板与所述承载部件之间的第一水平导滑 结构; 且 /或, [0026] The catheter propulsion device further includes a first horizontal sliding structure disposed between the fixing plate and the bearing member; and/or,
[0027] 所述橡胶片通过粘接方式固定于所述摩擦块上。  [0027] The rubber sheet is fixed to the friction block by bonding.
[0028] 优选地, 所述调节组件包括与一个所述滑座连接的第一调节结构和与另一个所 述滑座连接的第二调节结构; 且 /或,  [0028] Preferably, the adjustment assembly includes a first adjustment structure coupled to one of the carriages and a second adjustment structure coupled to the other of the carriages; and/or,
[0029] 所述张合机构还包括设于所述固定座与所述滑座之间的第二水平导滑结构; 且[0029] the tensioning mechanism further includes a second horizontal sliding structure disposed between the fixing seat and the sliding seat;
/或, / or,
[0030] 所述导管捻旋装置还包括两个竖向导滑结构, 其中, 一个所述竖向导滑结构设 于一个所述摩擦块组件与一个所述滑座之间, 另一个所述竖向导滑结构设于另 一个所述摩擦块组件与另一个所述滑座之间; 且 /或,  [0030] The ducting device further includes two vertical sliding structures, wherein one of the vertical sliding structures is disposed between one of the friction block assemblies and one of the sliding blocks, and the other of the vertically guiding guides a sliding structure is disposed between the other of the friction block assembly and the other of the carriages; and/or
[0031] 所述水平驱动组件包括安装于所述固定座上的第二电机和连接于所述第二电机 与所述水平滑动部件之间的第二丝杆, 所述水平滑动部件通过第二丝杆套螺纹 连接所述第二丝杆或者所述水平滑动部件上设有与所述第二丝杆螺纹配合的第 二螺纹孔; 且 /或,  [0031] the horizontal drive assembly includes a second motor mounted on the fixed seat and a second lead screw connected between the second motor and the horizontal sliding member, the horizontal sliding member passing through the second a threaded rod sleeve is threadedly coupled to the second lead screw or the horizontal sliding member is provided with a second threaded hole threadedly engaged with the second threaded rod; and/or
[0032] 所述连杆组件包括与所述水平滑动部件滑动连接的立杆和连接于所述立杆与所 述摩擦块组件之间的斜杆, 所述水平滑动部件上设有与所述立杆滑动配合的第 一弧形滑槽; 且 /或,  [0032] the link assembly includes a vertical rod slidably coupled to the horizontal sliding member and a diagonal rod connected between the vertical rod and the friction block assembly, the horizontal sliding member being provided with the a first curved chute slidingly fitted with a pole; and/or,
[0033] 所述捻旋机构还包括设于所述固定座与所述水平滑动部件之间的第三水平导滑 结构; 且 /或, [0034] 所述第一水平导滑结构包括两个间隔平行设于所述固定板上的第一水平导轨和 两个分别与两所述第一水平导轨滑动配合的第一水平滑块, 所述承载部件的两 端分别安装于两所述第一水平滑块上。 [0033] the spinning mechanism further includes a third horizontal sliding structure disposed between the fixing seat and the horizontal sliding member; and/or [0034] The first horizontal sliding structure includes two first horizontal guides spaced apart from each other on the fixed plate, and two first horizontal sliders respectively slidably engaged with the two first horizontal guides. Both ends of the bearing member are respectively mounted on the two first horizontal sliders.
[0035] 优选地, 所述第一调节结构包括安装于所述固定座上的安装座和连接于所述安 装座与一所述滑座之间的调节螺杆, 该滑座通过第三丝杆套螺纹连接所述调节 螺杆或者在该滑座上设有与所述调节螺杆螺纹配合的第三螺纹孔; 且 /或, [0036] 所述第二调节结构包括安装于所述固定座上的第三电机和连接于所述第三电机 与另一所述滑座之间的第三丝杆, 该滑座通过第四丝杆套螺纹连接所述第三丝 杆或者在该滑座上设有与所述第三丝杆螺纹配合的第四螺纹孔; 且 /或, [0035] Preferably, the first adjustment structure comprises a mounting seat mounted on the fixing base and an adjusting screw connected between the mounting seat and a sliding seat, the sliding seat passes through the third screw a sleeve threadedly connecting the adjusting screw or having a third threaded hole threadedly engaged with the adjusting screw on the sliding seat; and/or, the second adjusting structure comprises a mounting on the fixing seat a third motor and a third screw connected between the third motor and the other sliding seat, the sliding seat is screwed to the third screw by a fourth screw sleeve or disposed on the sliding seat a fourth threaded bore threadedly engaged with the third lead screw; and/or
[0037] 所述第二水平导滑结构包括设于所述固定板上的第二水平导轨和两个与所述第 二水平导轨滑动配合的第二水平滑块, 两所述滑座分别安装于两所述第二水平 滑块上; 且 /或, [0037] the second horizontal sliding structure comprises a second horizontal rail disposed on the fixing plate and two second horizontal sliding blocks slidably engaged with the second horizontal rail, and the two sliding seats are respectively installed On the two second horizontal sliders; and/or,
[0038] 所述竖向导滑结构包括设于所述滑座上的竖向导轨和与所述竖向导轨滑动配合 的竖向滑块, 所述摩擦块组件安装于所述竖向滑块上; 且 /或,  [0038] the vertical guide sliding structure includes a vertical rail disposed on the sliding seat and a vertical sliding block slidably engaged with the vertical rail, and the friction block assembly is mounted on the vertical sliding block And/or,
[0039] 所述立杆的底端通过第一铰轴滑动安装于所述第一弧形滑槽内, 所述立杆的顶 端通过第二铰轴连接所述斜杆的底端, 所述斜杆的顶端通过第三铰轴连接于所 述摩擦块组件上; 且 /或,  [0039] the bottom end of the pole is slidably mounted in the first curved chute through a first hinge shaft, and the top end of the pole is connected to the bottom end of the diagonal rod through a second hinge shaft, a top end of the diagonal rod is coupled to the friction block assembly by a third hinge; and/or
[0040] 所述第三水平导滑结构包括设于所述固定座上的第三水平导轨和与所述第三水 平导轨滑动配合的第三水平滑块, 所述水平滑动部件安装于所述第三水平滑块 上; 且 /或,  [0040] the third horizontal sliding structure includes a third horizontal rail disposed on the fixing seat and a third horizontal sliding block slidably engaged with the third horizontal rail, and the horizontal sliding component is mounted on the On the third horizontal slider; and/or,
[0041] 所述承载部件为倒置 "凸"字型板状构件。  [0041] The bearing member is an inverted "convex" shaped plate-shaped member.
[0042] 优选地, 所述第一铰轴的一端通过第一轴承转动安装于所述固定座上, 所述第 一铰轴的另一端通过两个间隔设置的第二轴承安装于所述水平滑动部件上, 所 述立杆的底端固定连接于所述第一铰轴上且位于两所述第二轴承之间。  [0042] Preferably, one end of the first hinge shaft is rotatably mounted on the fixing seat by a first bearing, and the other end of the first hinge shaft is mounted to the level by two spaced second bearings. The sliding member has a bottom end fixedly coupled to the first hinge shaft and located between the two second bearings.
[0043] 优选地, 所述水平滑动部件上设有两个分别位于所述第一弧形滑槽两侧的第二 弧形滑槽, 所述立杆两侧的两所述第二轴承分别滑动安装于两所述第二弧形滑 槽内。  [0043] Preferably, the horizontal sliding component is provided with two second curved chutes respectively located on two sides of the first curved chute, and the two second bearings on both sides of the vertical bar respectively Slidingly mounted in the two second curved chutes.
[0044] 优选地, 所述第二铰轴的一端通过第三轴承转动安装于所述固定座上, 所述第 二铰轴的另一端穿设连接所述立杆的顶端和所述斜杆的底端; 所述第三铰轴的 一端固定于所述摩擦块组件上, 所述第三铰轴的另一端穿设连接所述斜杆的顶 山 发明的有益效果 [0044] Preferably, one end of the second hinge shaft is rotatably mounted on the fixing seat by a third bearing, The other end of the two hinge shaft is connected to the top end of the vertical rod and the bottom end of the diagonal rod; one end of the third hinge shaft is fixed on the friction block assembly, and the other end of the third hinge shaft The beneficial effects of the invention of the top mountain connected to the inclined rod
有益效果  Beneficial effect
[0045] 本发明提供的血管介入手术机器人的导管推送控制方法及导管推送设备, 通过 在摩擦块组件上设置压力传感器的方式来检测两摩擦块组件夹紧导管的压力, 通过在导管捻旋装置上设置扭矩传感器的方式来检测导管的扭矩信息, 这样, 通过间接测量法可以同吋测出导管头部所受阻力和导管的扭矩, 且其测量数据 准确, 可以达到有效控制导管运动的目的。 具体应用中, 可通过控制两摩擦块 组件夹紧导管的压力变化来调控导管头部的受力变化幅值以使其处在合理区间 , 可通过两摩擦块组件搓动导管旋转的线速度的方式来控制导管的扭矩在可控 的范围之内, 从而可有效防止导管因受力过大或者扭矩过大而戳破血管。 同吋 , 由于本发明的导管推送控制方法可以让医护人员远距离操控, 所以有效降低 了手术对医护人员和病人的危害。  [0045] The catheter push control method and the catheter pushing device of the vascular interventional surgery robot provided by the present invention detect the pressure of the clamping pipe of the two friction block assemblies by providing a pressure sensor on the friction block assembly, by using the catheter rotation device The torque sensor is arranged to detect the torque information of the catheter. In this way, the resistance of the catheter head and the torque of the catheter can be measured by the indirect measurement method, and the measurement data is accurate, and the purpose of effectively controlling the movement of the catheter can be achieved. In a specific application, the pressure variation of the catheter head can be controlled by controlling the pressure change of the two friction block assemblies to adjust the amplitude of the force change of the catheter head so as to be in a reasonable interval, and the linear velocity of the rotation of the catheter can be pulsated by the two friction block assemblies. The way to control the torque of the catheter is within a controllable range, thereby effectively preventing the catheter from puncturing the blood vessel due to excessive force or excessive torque. At the same time, since the catheter pushing control method of the present invention can remotely control the medical staff, the harm to the medical staff and the patient is effectively reduced.
对附图的简要说明  Brief description of the drawing
附图说明  DRAWINGS
[0046] 图 1是本发明实施例提供的血管介入手术机器人的导管推送设备的立体示意图  1 is a perspective view of a catheter pushing device of a vascular interventional surgery robot according to an embodiment of the present invention;
[0047] 图 2是本发明实施例提供的血管介入手术机器人的导管推送设备的主视平面示 意图; 2 is a front plan view of a catheter pushing device of a vascular interventional surgery robot according to an embodiment of the present invention;
[0048] 图 3是本发明实施例提供的血管介入手术机器人的导管推送设备的俯视平面示 意图;  3 is a top plan view of a catheter pushing device of a vascular interventional surgery robot according to an embodiment of the present invention;
[0049] 图 4是本发明实施例提供的血管介入手术机器人的导管推送设备的左视平面示 意图;  4 is a left side plan view of a catheter pushing device of a vascular interventional surgery robot according to an embodiment of the present invention;
[0050] 图 5是本发明实施例提供的摩擦块组件、 导管捻旋装置和承载部件的立体装配 示意图;  [0050] FIG. 5 is a perspective view of a friction block assembly, a conduit turning device, and a bearing member according to an embodiment of the present invention;
[0051] 图 6是本发明实施例提供的摩擦块组件、 导管捻旋装置和承载部件的主视装配 平面示意图。 [0051] FIG. 6 is a front view assembly of a friction block assembly, a conduit turning device, and a load bearing member according to an embodiment of the present invention. Schematic plan view.
本发明的实施方式 Embodiments of the invention
[0052] 为了使本发明的目的、 技术方案及优点更加清楚明白, 以下结合附图及实施例 , 对本发明进行进一步详细说明。 应当理解, 此处所描述的具体实施例仅仅用 以解释本发明, 并不用于限定本发明。  The present invention will be further described in detail below with reference to the accompanying drawings and embodiments. It is understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
[0053] 需要说明的是, 当元件被称为 "固定于"或"设置于 "另一个元件上吋, 它可以直 接在另一个元件上或者可能同吋存在居中元件。 当一个元件被称为是 "连接 "另一 个元件, 它可以是直接连接另一个元件或者可能同吋存在居中元件。  [0053] It should be noted that when an element is referred to as being "fixed" or "in" another element, it can be directly on the other element or possibly the same. When an element is referred to as being "connected" to another element, it can be directly connected to the other element or.
[0054] 还需要说明的是, 以下实施例中的左、 右、 上、 下、 顶、 底等方位用语, 仅是 互为相对概念或是以产品的正常使用状态为参考的, 而不应该认为是具有限制 性的。  [0054] It should also be noted that the left, right, top, bottom, top, bottom and other orientation terms in the following embodiments are only relative concepts or reference to the normal use state of the product, and should not be used. It is considered to be restrictive.
[0055] 如图 1-6所示, 本发明实施例提供的血管介入手术机器人的导管推送控制方法 , 包括测力步骤和调控步骤, 其中, 调控步骤为: 设置控制器 (图未示) , 用 于调控导管 2推送过程中的运动参数以防止导管 2推送过程中戳破血管。 测力步 骤包括: 在用于夹持和捻动导管 2旋转的摩擦块组件 1上设置压力传感器 51, 以 用于检测摩擦块组件 1对导管 2的压力大小; 在一支撑座 6上设置可供导管 2穿过 的扭矩传感器 52, 以用于检测导管 2的扭矩大小。 本发明实施例提供的血管介入 手术机器人的导管推送控制方法, 通过在摩擦块组件 1上设置压力传感器 51的方 式来检测两摩擦块组件 1夹紧导管 2的压力, 通过在导管捻旋装置 3上设置扭矩传 感器 52的方式来检测导管 2的扭矩, 其测量数据准确。 且具体应用中, 可通过控 制两摩擦块组件 1夹紧导管 2的压力变化来调控导管 2头部 (导管 2之靠近扭矩传 感器 52的端部) 的受力变化幅值以使其处在合理区间, 可通过两摩擦块组件 1搓 动导管 2旋转的线速度的方式来控制导管 2的扭矩在可控的范围之内, 从而可有 效防止导管 2因受力过大或者扭矩过大而戳破血管。 同吋, 由于本发明的导管推 送控制方法, 可以让医护人员远距离操控, 所以可以有效降低手术对医护和病 人的危害。  [0055] As shown in FIG. 1-6, a catheter pushing control method for a vascular interventional surgery robot according to an embodiment of the present invention includes a force measuring step and a regulating step, wherein the adjusting step is: setting a controller (not shown), It is used to regulate the motion parameters during the catheter 2 push process to prevent the blood vessel from being punctured during the catheter 2 push. The force measuring step includes: providing a pressure sensor 51 on the friction block assembly 1 for clamping and tilting the rotation of the catheter 2 for detecting the pressure of the friction block assembly 1 against the catheter 2; A torque sensor 52 through which the conduit 2 passes is used to detect the amount of torque of the conduit 2. The catheter pushing control method of the vascular interventional surgery robot provided by the embodiment of the present invention detects the pressure of the two friction block assemblies 1 clamping the catheter 2 by providing the pressure sensor 51 on the friction block assembly 1 through the catheter rotation device 3 The torque sensor 52 is provided on the way to detect the torque of the catheter 2, and the measurement data is accurate. In a specific application, the magnitude of the force change of the head of the catheter 2 (the end of the catheter 2 near the torque sensor 52) can be adjusted by controlling the pressure change of the two friction block assemblies 1 to clamp the catheter 2 to make it reasonable. In the interval, the torque of the conduit 2 can be controlled within a controllable range by the two friction block assemblies 1 swaying the linear velocity of the rotation of the conduit 2, thereby effectively preventing the catheter 2 from being overstressed or excessively torqued. Broken blood vessels. At the same time, since the catheter pushing control method of the present invention allows the medical staff to remotely control, the harm to the medical care and the patient can be effectively reduced.
[0056] 具体地, 一并参照图 1-4所示, 本发明实施例提供的血管介入手术机器人的导 管推送控制方法具有以下配套结构: 两块间隔设置的摩擦块组件 1, 用于夹持导 管 2或者松幵导管 2或者捻动导管 2旋转, 压力传感器 51嵌入安装于其中一块摩擦 块组件 1上; 导管捻旋装置 3, 用于驱动两摩擦块组件 1夹持导管 2或者松幵导管 2 或者捻动导管 2旋转; 导管推进装置 4, 用于驱动导管捻旋装置 3带动两摩擦块组 件 1及导管 2移动; 数字减影血管造影机 (图未示) , 用于对导管 2在血管内的移 动进行导引。 导管捻旋装置 3、 导管推进装置 4、 数字减影血管造影机 (DSA) 、 压力传感器 51和扭矩传感器 52都与控制器电性连接, 数字减影血管造影机、 压力传感器 51和扭矩传感器 52的检测信息都可反馈至控制器上, 以便于控制器 对导管捻旋装置 3和导管推进装置 4进行调控功能, 进而利于防止导管 2戳破血管 的现象发生。 [0056] Specifically, referring to FIG. 1-4, the guide of the vascular interventional surgery robot provided by the embodiment of the present invention is provided. The tube pushing control method has the following supporting structure: two spaced-apart friction block assemblies 1 for clamping the catheter 2 or the loose tube 2 or the tilting tube 2 to rotate, and the pressure sensor 51 is embedded in one of the friction block assemblies 1 a conduit turning device 3 for driving the two friction block assemblies 1 to clamp the conduit 2 or the loose conduit 2 or the tilting conduit 2 to rotate; the conduit propulsion device 4 for driving the conduit turning device 3 to drive the two friction block assemblies 1 And the catheter 2 moves; a digital subtraction angiography machine (not shown) for guiding the movement of the catheter 2 within the blood vessel. The catheter convoluting device 3, the catheter advancing device 4, the digital subtraction angiography machine (DSA), the pressure sensor 51 and the torque sensor 52 are all electrically connected to the controller, the digital subtraction angiography machine, the pressure sensor 51 and the torque sensor 52. The detection information can be fed back to the controller, so that the controller can regulate the catheter tuner 3 and the catheter propulsion device 4, thereby facilitating the phenomenon that the catheter 2 punctures the blood vessel.
[0057] 优选地, 上述调控步骤包括: 在控制器内预先设定血管的临界耐压力 F0,控制 器实吋控制两摩擦块组件 1对导管 2的压力, 以使得导管 2在推送过程中所受的阻 力 f小于或等于 F0。 压力传感器 51用于实吋检测两摩擦块组件 1对导管 2的压力, 控制器根据压力传感器 51的检测信息实吋控制导管捻旋装置 3的运行, 从而可保 证在导管 2的推送过程中, 导管 2所受的阻力 f小于或等于血管的临界耐压力 F0, 进而可以防止导管 2头部受力过大而戳破血管。  [0057] Preferably, the adjusting step comprises: presetting a critical withstand pressure F0 of the blood vessel in the controller, and the controller actually controls the pressure of the two friction block assemblies 1 on the catheter 2 so that the catheter 2 is in the pushing process. The resistance f is less than or equal to F0. The pressure sensor 51 is used for detecting the pressure of the two friction block assemblies 1 on the catheter 2, and the controller controls the operation of the catheter rotation device 3 according to the detection information of the pressure sensor 51, thereby ensuring that during the pushing of the catheter 2, The resistance f of the catheter 2 is less than or equal to the critical withstand pressure F0 of the blood vessel, which in turn prevents the catheter 2 from being overstressed and punctures the blood vessel.
[0058] 优选地, 定义两摩擦块组件 1对导管 2的初始压力为 Fl, 定义摩擦块组件 1对推 送过程中之导管 2的压力为 F2, 定义导管 2与摩擦块组件 1之间的摩擦系数为 u, 则f= Fl+U (F2- F1) ≤F0。 这样, 具体应用中, 通过控制压力传感器 51前后变化 的数据 (F2- F1) 就可以控制导管 2穿过障碍吋的前进力, 从而可以防止因导管 2 头部受力过大而戳破血管。 [0058] Preferably, the initial pressure of the two friction block assemblies 1 to the conduit 2 is defined as F1, the pressure of the friction block assembly 1 for the conduit 2 during the pushing process is defined as F2, and the friction between the conduit 2 and the friction block assembly 1 is defined. The coefficient is u, then f = Fl + U (F2- F1) ≤ F0. Thus, in a specific application, by controlling the data (F2-F1) of the pressure sensor 51 before and after the change, the advancement force of the catheter 2 through the obstruction can be controlled, thereby preventing the blood vessel from being puncture due to excessive force on the head of the catheter 2.
[0059] 优选地, 在调控步骤中, 当数字减影血管造影机检测到导管 2在推送过程遇到 障碍吋, 控制器控制导管推进装置 4减慢导管 2的推进移动速度, 同吋, 控制器 控制两摩擦块缓慢增大对导管 2的压力, 直至导管 2匀速通过障碍为止, 且在控 制器控制两摩擦块缓慢增大对导管 2之压力的过程中, 保证 Fl+u (F2- F1) <F0 。 具体应用中, 在数字减影血管造影机的引导下, 在未遇到障碍或者血管分支 或弯曲吋, 控制器控制导管推进装置 4匀速推进导管 2; 而如果导管 2在血管中遇 到障碍, 则控制器控制导管推进装置 4, 并控制导管捻旋装置 3缓慢增大两摩擦 块组件 1对导管 2的压力, 以保证导管 2内的导丝在释放球囊后可以匀速通过为止 , 在此过程中, 始终保证 Fl+u (F2- F1) ≤F0, 以有效防止导管 2穿过障碍吋因 导管 2头部受力过大而戳破血管。 [0059] Preferably, in the adjusting step, when the digital subtraction angiography machine detects that the catheter 2 encounters an obstacle during the pushing process, the controller controls the catheter propelling device 4 to slow down the advancement speed of the catheter 2, at the same time, control The two friction blocks are controlled to slowly increase the pressure on the conduit 2 until the conduit 2 passes through the obstacle at a constant speed, and in the process of controlling the two friction blocks to slowly increase the pressure on the conduit 2, the Fl+u (F2-F1 is guaranteed). ) <F0. In a specific application, under the guidance of the digital subtraction angiography machine, the controller controls the catheter advancement device 4 to uniformly advance the catheter 2 without encountering an obstacle or a branching or bending of the blood vessel; and if the catheter 2 encounters an obstacle in the blood vessel, Then the controller controls the conduit propulsion device 4 and controls the conduit cyclone device 3 to slowly increase the two frictions The pressure of the block assembly 1 on the catheter 2 is to ensure that the guide wire in the catheter 2 can pass through the balloon after the balloon is released, and in the process, Fl+u (F2-F1) ≤ F0 is always ensured to effectively prevent the catheter 2 Through the obstacle, the blood vessel is puncture due to excessive force on the head of the catheter 2.
[0060] 优选地, 摩擦块组件 1包括摩擦块和设置于摩擦块上的橡胶片, 导管 2与摩擦块 组件 1之间的摩擦系数 u为导管 2与橡胶片之间的摩擦系数。 橡胶片具有较好的弹 性、 耐磨性, 不会压坏导管 2, 且可增大摩擦力, 提高摩擦块组件 1夹紧导管 2的 可靠性。 Preferably, the friction block assembly 1 includes a friction block and a rubber sheet disposed on the friction block, and a coefficient of friction u between the tube 2 and the friction block assembly 1 is a coefficient of friction between the tube 2 and the rubber sheet. The rubber sheet has good elasticity and wear resistance, does not crush the duct 2, and can increase the friction and improve the reliability of the friction block assembly 1 to clamp the duct 2.
[0061] 优选地, 上述调控步骤还包括: 在控制器内预先设定血管的临界扭矩 TO,控制 器实吋控制两摩擦块组件 1搓动导管 2旋转的速度大小, 以使得扭矩传感器 52测 到的扭矩 T1小于或等于 T0。 由于受血管阻力的影响, 所以, 导管 2头部的实际扭 矩 Τ2会略大于扭矩传感器 52测到的扭矩 Tl, 这样, 只要保证 T1小于或等于 Τ0, 贝 1JT2必然小于 Τ0。 扭矩传感器 52用于实吋检测导管 2的扭矩, 控制器根据扭矩传 感器 52的检测信息实吋控制导管捻旋装置 3的运行, 从而可保证在导管 2的推送 过程中, 扭矩传感器 52测得的扭矩 T1小于或等于血管的临界扭矩 Τ0, 进而可以 有效防止导管 2头部扭矩过大而戳破血管。  [0061] Preferably, the adjusting step further includes: presetting a critical torque TO of the blood vessel in the controller, and the controller actually controls the speed of the rotation of the two friction block assemblies 1 to rotate the catheter 2, so that the torque sensor 52 measures The torque T1 obtained is less than or equal to T0. Due to the influence of vascular resistance, the actual torque Τ2 of the head of the catheter 2 is slightly larger than the torque T1 measured by the torque sensor 52, so that as long as T1 is less than or equal to Τ0, the bay 1JT2 is necessarily smaller than Τ0. The torque sensor 52 is used to accurately detect the torque of the conduit 2, and the controller controls the operation of the conduit orbiting device 3 based on the detection information of the torque sensor 52, thereby ensuring that the torque sensor 52 is measured during the pushing of the conduit 2. The torque T1 is less than or equal to the critical torque Τ0 of the blood vessel, which in turn can effectively prevent the torque of the head of the catheter 2 from being excessively large and puncture the blood vessel.
[0062] 优选地, 定义导管捻旋装置 3控制两摩擦块组件 1搓动导管 2旋转的输出功率为 Ρ , 定义导管 2的半径为 r,定义导管 2的角速度为 w, 定义导管 2的线速度为 V, 则依 据公式 P=F*r*w、 T= F*r、 V= r* w, 可得 Tl= (P*r) /V≤T0。 当功率 P和半径 r为 定值吋, 线速度 V越大, 则扭矩 T越小, 这样, 具体应用中, 只要适当提高导管 2 的线速度 V, 就可以相应减小导管 2头部的扭矩, 从而可以避免戳破血管。  [0062] Preferably, the conduit tuke device 3 is defined to control the output power of the two friction block assemblies 1 to rotate the conduit 2 to Ρ, define the radius of the conduit 2 to be r, define the angular velocity of the conduit 2 to be w, define the line of the conduit 2 When the speed is V, according to the formula P=F*r*w, T=F*r, V= r* w, Tl=(P*r) /V≤T0 can be obtained. When the power P and the radius r are constant values, the larger the linear velocity V is, the smaller the torque T is. Thus, in a specific application, as long as the linear velocity V of the conduit 2 is appropriately increased, the torque of the head of the catheter 2 can be correspondingly reduced. Thus, it is possible to avoid puncture of blood vessels.
[0063] 优选地, 在调控步骤中, 当数字减影血管造影机检测到导管 2在推送过程遇到 血管分支或弯曲吋, 控制器提高导管捻旋装置 3搓动导管 2旋转的线速度, 以减 小导管 2在血管分支或弯曲处的扭矩, 这样可以避免因导管 2头部扭矩过大而戳 破血管。  [0063] Preferably, in the regulating step, when the digital subtraction angiography machine detects that the catheter 2 encounters a blood vessel branch or a bending flaw during the pushing process, the controller increases the linear velocity at which the catheter orbiting device 3 twitches the rotation of the catheter 2, In order to reduce the torque of the catheter 2 at the branch or bend of the blood vessel, it is possible to avoid puncture of the blood vessel due to excessive torque of the catheter 2 head.
[0064] 一并参照图 1-6所示, 本发明实施例提供的血管介入手术机器人的导管推送设 备, 包括两块间隔设置的摩擦块组件 1、 用于驱动两摩擦块组件 1夹持导管 2或者 松幵导管 2或者捻动导管 2旋转的导管捻旋装置 3、 用于驱动导管捻旋装置 3带动 两摩擦块组件 1与导管 2移动的导管推进装置 4、 用于测量导管 2受力情况的测力 组件 5、 用于对导管 2在血管内之移动进行成像导引的数字减影血管造影机和用 于控制两摩擦块组件 1对导管 2之压力大小与 /或用于控制两摩擦块组件 1搓动导管 2之旋转速度大小的控制器, 测力组件 5包括设置于摩擦块组件 1上的压力传感器 51和 /或设置于一支撑座 6上并可供导管 2穿过的扭矩传感器 52。 本发明实施例提 供的血管介入手术机器人的导管推送设备, 每次进给量足够大, 甚至可以同吋 测出导管 2头部所受阻力与导管 2的扭矩, 还可以让医生远距离操作, 降低手术 对医生和病人的危害, 且其结构紧凑、 体积小、 重量轻、 消毒方便, 便于在医 疗上推广应用。 [0064] Referring to FIG. 1-6 together, a catheter pushing device for a vascular interventional surgery robot according to an embodiment of the present invention includes two spaced-apart friction block assemblies 1 for driving two friction block assemblies 1 to clamp a catheter 2 or a ducting device 3 for rotating the loose tube 2 or the tilting tube 2, a catheter pushing device 4 for driving the tube turning device 3 to move the two friction block assemblies 1 and the catheter 2, for measuring the force of the catheter 2 Force measurement The assembly 5, a digital subtraction angiography machine for imaging guiding the movement of the catheter 2 in the blood vessel and for controlling the pressure of the two friction block assemblies 1 against the catheter 2 and/or for controlling the two friction block assemblies 1 A controller for squeezing the rotational speed of the catheter 2, the force measuring assembly 5 includes a pressure sensor 51 disposed on the friction block assembly 1 and/or a torque sensor 52 disposed on a support base 6 for passage of the catheter 2. The catheter pushing device of the vascular interventional surgery robot provided by the embodiment of the invention can sufficiently measure the resistance of the head of the catheter 2 and the torque of the catheter 2 at the same time, and can also allow the doctor to operate remotely. It reduces the harm of surgery to doctors and patients, and its compact structure, small size, light weight and convenient disinfection make it easy to promote its application in medical treatment.
[0065] 优选地, 扭矩传感器 52采用基孔制与导管 2连接, 且导管 2以间隙配合的方式穿 过扭矩传感器 52, 这样, 可以避免扭矩传感器 52与导管 2过度摩擦而损坏扭矩传 感器 52, 从而利于充分保证扭矩传感器 52的使用寿命。  [0065] Preferably, the torque sensor 52 is connected to the conduit 2 by a base hole, and the conduit 2 passes through the torque sensor 52 in a clearance fit manner, so that the torque sensor 52 can be prevented from excessively rubbing against the conduit 2 to damage the torque sensor 52, Thereby, the service life of the torque sensor 52 is sufficiently ensured.
[0066] 优选地, 一并参照图 1-4所示, 导管捻旋装置 3包括安装于导管推进装置 4上的 固定座 31、 安装于固定座 31上以用于调控两摩擦块组件 1之间之水平距离进而实 现夹持或松幵导管 2的张合机构 32和安装于固定座 31上以用于驱动两摩擦块组件 1升降运动进而捻动导管 2旋转的捻旋机构 33。 张合机构 32能够调大两摩擦块组 件 1之间的水平距离, 也能够调小两摩擦块组件 1之间的水平距离, 从而可使得 两摩擦块组件 1夹紧或松幵导管 2, 且能够使得两摩擦块组件 1能够用于夹紧不同 直径的导管 2, 其对导管 2的夹紧也较为可靠, 导管 2的取出和放入也较为方便。 捻旋机构 33能够驱动两摩擦块组件 1上下相对运动, 从而可捻动导管 2进行旋转 , 采用这种捻旋方式不会出现弹性滑动的问题, 且能够避免采用电机直接驱动 传感器以带动导管 2旋转带来传感器缠线的问题, 最终有效保证了导管 2的连续 、 可靠转动。  [0066] Preferably, as shown in FIG. 1-4, the conduit turning device 3 includes a fixing base 31 mounted on the catheter propelling device 4, and is mounted on the fixing base 31 for regulating the two friction block assemblies 1. The horizontal distance between the two further realizes the tensioning mechanism 33 for clamping or loosening the duct 2 and the turning mechanism 33 mounted on the fixed seat 31 for driving the lifting and lowering movement of the two friction block assemblies 1 to sway the rotation of the duct 2. The tensioning mechanism 32 can increase the horizontal distance between the two friction block assemblies 1, and can also reduce the horizontal distance between the two friction block assemblies 1, so that the two friction block assemblies 1 can clamp or loosen the catheter 2, and It is possible to enable the two friction block assemblies 1 to be used for clamping the catheters 2 of different diameters, the clamping of the catheter 2 is also relatively reliable, and the removal and placement of the catheter 2 is also convenient. The rotator mechanism 33 can drive the two friction block assemblies 1 to move up and down, so that the catheter 2 can be rotated, and the problem of elastic sliding does not occur by using the gyration method, and the motor can be prevented from directly driving the sensor to drive the catheter 2 The problem of the winding of the sensor by the rotation ultimately ensures the continuous and reliable rotation of the catheter 2.
[0067] 优选地, 一并参照图 1、 图 4、 图 5和图 6所示, 固定座 31包括安装于导管推进装 置 4上的底板 311、 间隔设于底板 311上方的顶板 312和连接于底板 311与顶板 312 之间且位于水平滑动部件 331旁侧的侧板 313, 张合机构 32安装于顶板 312上, 捻 旋机构 33安装于底板 311上。 底板 311、 侧板 313和顶板 312可以为一体成型结构 [0067] Preferably, as shown in FIG. 1, FIG. 4, FIG. 5 and FIG. 6, the fixing base 31 includes a bottom plate 311 mounted on the duct propelling device 4, a top plate 312 spaced above the bottom plate 311, and connected to The side plate 313 is disposed between the bottom plate 311 and the top plate 312 and located on the side of the horizontal sliding member 331. The stretching mechanism 32 is mounted on the top plate 312, and the swing mechanism 33 is mounted on the bottom plate 311. The bottom plate 311, the side plates 313 and the top plate 312 may be integrally formed
, 也可以为分体制造成型后再通过焊接或者螺丝连接或者铆接等方式连接在一 起。 固定指可通过焊接或者螺丝连接或者铆接等方式安装在侧板 313上。 [0068] 优选地, 一并参照图 1、 图 4、 图 5和图 6所示, 张合机构 32包括两个间隔设置且 能够在固定座 31上滑动的滑座 321和用于调节两滑座 321之间之水平距离的调节 组件 322, 两摩擦块组件 1分别安装于两滑座 321上。 两滑座 321具体间隔安装于 顶板 312上。 具体应用中, 通过调节组件 322调节两滑座 321之间的水平距离, 可 调控两摩擦块组件 1之间的水平距离, 从而实现两摩擦块组件 1对导管 2的夹紧或 松幵, 且可通过调节组件 322的调控实现对不同直径的导管 2的夹紧。 It can also be formed by splitting and then joined by welding or screwing or riveting. The fixing fingers can be mounted on the side plates 313 by welding or screwing or riveting. [0068] Preferably, as shown in FIG. 1, FIG. 4, FIG. 5 and FIG. 6, the tensioning mechanism 32 includes two sliding seats 321 which are spaced apart and are slidable on the fixing base 31 and are used for adjusting the two slidings. The horizontal distance adjusting component 322 between the seats 321 and the two friction block assemblies 1 are respectively mounted on the two sliding blocks 321 . The two sliders 321 are mounted on the top plate 312 at a specific interval. In a specific application, the horizontal distance between the two sliding blocks 321 is adjusted by the adjusting component 322, and the horizontal distance between the two friction block assemblies 1 can be adjusted, thereby clamping or loosening the two friction block assemblies 1 to the catheter 2, and Clamping of conduits 2 of different diameters can be achieved by adjustment of the adjustment assembly 322.
[0069] 优选地, 一并参照图 1、 图 5和图 6所示, 调节组件 322包括与一个滑座 321连接 的第一调节结构 3221和与另一个滑座 321连接的第二调节结构 3222。 此处, 两个 滑座 321分别采用两个不同的调节结构进行驱动移动, 其调控方便, 且利于实现 对不同直径的导管 2的夹紧。  [0069] Preferably, referring to FIG. 1, FIG. 5 and FIG. 6, the adjustment assembly 322 includes a first adjustment structure 3221 connected to one slide 321 and a second adjustment structure 3222 connected to the other slide 321 . Here, the two carriages 321 are respectively driven and driven by two different adjustment structures, which are convenient to adjust and facilitate the clamping of the conduits 2 of different diameters.
[0070] 为了便于描述, 此处, 将与第一调节结构 3221连接的滑座 321描述为第一滑座 , 将与第二调节结构 3222连接的滑座 321描述为第二滑座。  For convenience of description, here, the carriage 321 connected to the first adjustment structure 3221 is described as a first carriage, and the carriage 321 connected to the second adjustment structure 3222 is described as a second carriage.
[0071] 优选地, 一并参照图 1、 图 5和图 6所示, 第一调节结构 3221包括安装于固定座 3 1上的安装座 32211和连接于安装座 32211与第一滑座之间的调节螺杆 32212。 具 体应用中, 通过旋转调节螺杆 32212, 可驱动第一滑座朝向或远离第二滑座移动 , 从而可实现对不同直径之导管 2的夹紧。  [0071] Preferably, referring to FIG. 1 , FIG. 5 and FIG. 6 , the first adjusting structure 3221 includes a mounting seat 32211 mounted on the fixing base 31 and connecting between the mounting seat 32211 and the first sliding seat. Adjustment screw 32212. In a specific application, by rotating the adjustment screw 32212, the first carriage can be driven to move toward or away from the second carriage, so that clamping of the conduits 2 of different diameters can be achieved.
[0072] 优选地, 一并参照图 1、 图 5和图 6所示, 第一滑座 321通过第三丝杆套 3223螺纹 连接调节螺杆 32212, 第三丝杆套 3223上设有与调节螺杆 32212螺纹配合的内螺 纹, 第三丝杆套 3223通过螺丝连接或者螺纹连接等方式安装固定于第一滑座上 。 此处, 通过第三丝杆套 3223实现第一滑座与调节螺杆 32212之间的连接, 这样 , 第一滑座上不需加工制造螺纹结构, 可利于降低第一滑座的制造难度, 且利 于降低设备的日后维护成本。 当然了, 具体应用中, 也可直接在第一滑座上幵 设与调节螺杆 32212螺纹配合的第三螺纹孔, 即第一滑座也可直接设为与调节螺 杆 32212螺纹连接的丝杆座。  [0072] Preferably, referring to FIG. 1, FIG. 5 and FIG. 6, the first sliding seat 321 is screwed to the adjusting screw 32212 by the third screw sleeve 3223, and the third screw sleeve 3223 is provided with an adjusting screw. 32212 threaded internal thread, the third screw sleeve 3223 is fixed to the first sliding seat by screwing or screwing. Here, the connection between the first sliding seat and the adjusting screw 32212 is realized by the third screw sleeve 3223, so that the threaded structure is not processed on the first sliding seat, which can reduce the manufacturing difficulty of the first sliding seat, and Helps reduce the cost of future maintenance of the equipment. Of course, in the specific application, the third threaded hole which is screwed with the adjusting screw 32212 can be directly disposed on the first sliding seat, that is, the first sliding seat can also be directly set as the screw seat which is screwed to the adjusting screw 32212. .
[0073] 优选地, 一并参照图 1、 图 5和图 6所示, 第二调节结构 3222包括安装于固定板 4 1上的第三电机 32221和连接于第三电机 32221与第二滑座之间的第三丝杆 32222 。 第三电机 32221与第三丝杆 32222之间具体还可设有第三减速箱。 第三电机 322 21可以正、 反向运转, 第三电机 32221运转吋, 可以驱动第三丝杆 32222转动, 第三丝杆 32222转动可以驱动第二滑座进行直线移动。 具体应用中, 通过第三电 机 32221驱动第三丝杆 32222运动, 可以控制两摩擦块组件 1对导管 2的压力大小 [0073] Preferably, referring to FIG. 1, FIG. 5 and FIG. 6, the second adjusting structure 3222 includes a third motor 32221 mounted on the fixed plate 41 and a third motor 32221 and a second sliding seat. Between the third screw 32222. Specifically, a third reduction gear box may be further disposed between the third motor 32221 and the third screw 32222. The third motor 322 21 can be operated in the forward and reverse directions, and the third motor 32221 is operated to drive the third screw 32222 to rotate. The rotation of the third screw 32222 can drive the second slider to move linearly. In a specific application, the third screw 32222 is driven by the third motor 32221 to control the pressure of the two friction block assemblies 1 on the catheter 2.
[0074] 优选地, 一并参照图 1、 图 5和图 6所示, 第二滑座通过第四丝杆套 3224螺纹连 接第三丝杆 32222, 第四丝杆套 3224上设有与第三丝杆 32222螺纹配合的内螺纹 , 第四丝杆套 3224通过螺丝连接或者螺纹连接等方式安装固定于第二滑座上。 此处, 通过第四丝杆套 3224实现第二滑座与第三丝杆 32222之间的连接, 这样, 第二滑座上不需加工制造螺纹结构, 可利于降低第二滑座的制造难度, 且利于 降低设备的日后维护成本。 当然了, 具体应用中, 也可直接在第二滑座上幵设 与第三丝杆 32222螺纹配合的第四螺纹孔, 即第二滑座也可直接设为与第三丝杆 32222螺纹连接的丝杆座。 [0074] Preferably, referring to FIG. 1, FIG. 5 and FIG. 6, the second sliding seat is screwed to the third screw 32222 by the fourth screw sleeve 3224, and the fourth screw sleeve 3224 is provided with The third screw rod 32222 is screwed with the internal thread, and the fourth screw sleeve 3224 is fixedly fixed to the second sliding seat by screwing or screwing. Here, the connection between the second sliding seat and the third screw 32222 is realized by the fourth screw sleeve 3224, so that the threaded structure is not processed on the second sliding seat, which can reduce the manufacturing difficulty of the second sliding seat. And it will help reduce the future maintenance cost of the equipment. Of course, in the specific application, the fourth threaded hole which is screwed with the third screw 32222 can be directly disposed on the second sliding seat, that is, the second sliding seat can also be directly screwed to the third screw 32222. Screw seat.
[0075] 优选地, 一并参照图 1、 图 5和图 6所示, 张合机构 32还包括设于固定座 31与滑 座 321之间的第二水平导滑结构 323。 第二水平导滑结构 323的设置, 可利于进一 步提高滑座 321水平移动的稳定可靠性和顺畅性。  Preferably, as shown in FIG. 1, FIG. 5 and FIG. 6, the tensioning mechanism 32 further includes a second horizontal sliding structure 323 disposed between the fixed seat 31 and the sliding seat 321 . The arrangement of the second horizontal sliding structure 323 can further improve the stability and smoothness of the horizontal movement of the sliding seat 321 .
[0076] 优选地, 一并参照图 1、 图 5和图 6所示, 第二水平导滑结构 323包括设于固定座 31上的第二水平导轨 3231和两个与第二水平导轨 3231滑动配合的第二水平滑块 3 232, 两滑座 321分别安装于两第二水平滑块 3232上。 第二水平导轨 3231具体安 装于顶板 312上。 第二水平导轨 3231可与固定座 31—体成型设置, 即第二水平导 轨 3231为固定座 31的一部分; 或者, 第二水平导轨 3231也可与固定座 31分体制 造成型后再通过螺丝连接等连接方式安装于固定座 31上, 螺丝连接紧固可靠、 拆装方便, 便于拆装消毒。 滑座 321具体可通过螺丝安装于第二水平滑块 3232上 , 其紧固可靠、 拆装方便, 便于拆装消毒。 第二水平导轨 3231和第二水平滑块 3 232的设置, 一方面可对滑座 321起到支撑定位的作用, 另一方面又利于减小滑 座 321水平移动过程中受到的摩擦阻力。  [0076] Preferably, as shown in FIG. 1, FIG. 5 and FIG. 6, the second horizontal sliding structure 323 includes a second horizontal rail 3231 disposed on the fixing base 31 and two slidings with the second horizontal rail 3231. The second horizontal slider 3 232 is matched, and the two sliding seats 321 are respectively mounted on the two second horizontal sliders 3232. The second horizontal guide 3231 is specifically mounted on the top plate 312. The second horizontal rail 3231 can be integrally formed with the fixing base 31, that is, the second horizontal rail 3231 is a part of the fixing base 31; or the second horizontal rail 3231 can also be separately formed with the fixing base 31 and then screwed. The connection mode is mounted on the fixing base 31, the screw connection is reliable, the disassembly and assembly is convenient, and the disassembly and disinfection is convenient. The sliding seat 321 can be specifically mounted on the second horizontal sliding block 3232 by screws, which is reliable in fastening, convenient in disassembly and assembly, and convenient for disassembly and disinfection. The arrangement of the second horizontal guide 3231 and the second horizontal slider 3 232 can support the positioning of the slider 321 on the one hand, and reduce the frictional resistance during the horizontal movement of the slider 321 on the other hand.
[0077] 优选地, 一并参照图 1、 图 5和图 6所示, 导管捻旋装置 3还包括两个竖向导滑结 构 34, 其中, 一个竖向导滑结构 34设于一个摩擦块组件 1与一个滑座 321之间, 另一个竖向导滑结构 34设于另一个摩擦块组件 1与另一个滑座 321之间。 竖向导 滑结构 34的设置, 可利于进一步提高摩擦块组件 1水平移动的稳定可靠性和顺畅 性。 [0077] Preferably, as shown in FIG. 1, FIG. 5 and FIG. 6, the ducting device 3 further includes two vertical sliding structures 34, wherein a vertical sliding structure 34 is disposed on a friction block assembly 1 Between one slide 321 and another slide 321 is disposed between the other friction block assembly 1 and the other slide 321 . The vertical guide sliding structure 34 is arranged to further improve the stability and smoothness of the horizontal movement of the friction block assembly 1 Sex.
[0078] 优选地, 一并参照图 1、 图 5和图 6所示, 竖向导滑结构 34包括设于滑座 321上的 竖向导轨 341和与竖向导轨 341滑动配合的竖向滑块 342, 摩擦块组件 1安装于竖 向滑块 342上。 竖向导轨 341可与滑座 321—体成型设置, 即竖向导轨 341为滑座 3 21的一部分; 或者, 竖向导轨 341也可与滑座 321分体制造成型后再通过螺丝连 接等连接方式安装于滑座 321上, 螺丝连接紧固可靠、 拆装方便, 便于拆装消毒 。 摩擦块具体可通过螺丝安装于竖向滑块 342上, 其紧固可靠、 拆装方便, 便于 拆装消毒。 竖向导轨 341与竖向滑块 342的设置, 一方面可对摩擦块起到支撑定 位的作用, 另一方面又利于减小摩擦块升降运动过程中受到的摩擦阻力。  [0078] Preferably, as shown in FIG. 1, FIG. 5 and FIG. 6, the vertical guide structure 34 includes a vertical rail 341 disposed on the carriage 321 and a vertical slider slidably engaged with the vertical rail 341. 342, the friction block assembly 1 is mounted on the vertical slider 342. The vertical rail 341 can be integrally formed with the sliding block 321 , that is, the vertical rail 341 is a part of the sliding seat 321 ; Alternatively, the vertical rail 341 can also be formed separately from the sliding seat 321 and then connected by screw connection or the like. The method is installed on the sliding seat 321 , the screw connection is fast and reliable, the disassembly and assembly is convenient, and the disassembly and disinfection is convenient. The friction block can be specifically mounted on the vertical slider 342 by screws, which is reliable in fastening, convenient to disassemble and assemble, and convenient for disassembly and disinfection. The arrangement of the vertical rail 341 and the vertical slider 342 can support the positioning of the friction block on the one hand, and reduce the frictional resistance during the lifting and lowering movement of the friction block on the other hand.
[0079] 优选地, 一并参照图 1、 图 5和图 6所示, 捻旋机构 33包括能够在固定座 31上滑 动的水平滑动部件 331、 安装于固定座 31上以用于驱动水平滑动部件 331进行水 平直线往复移动的水平驱动组件 332和两个分别连接于两摩擦块组件 1与水平滑 动部件 331之间的连杆组件 333。 水平驱动组件 332驱动水平滑动部件 331水平移 动吋, 与水平滑动部件 331连接的两连杆组件 333能够驱动两摩擦块组件 1上下升 降运动, 从而达到捻动导管 2旋转的目的。  Preferably, referring to FIG. 1, FIG. 5 and FIG. 6, the swing mechanism 33 includes a horizontal sliding member 331 slidable on the fixing base 31, and is mounted on the fixing base 31 for driving horizontal sliding. The member 331 performs a horizontal linear reciprocating horizontal drive assembly 332 and two link assemblies 333 respectively coupled between the two friction block assemblies 1 and the horizontal slide member 331. The horizontal driving assembly 332 drives the horizontal sliding member 331 to move horizontally, and the two-link assembly 333 coupled to the horizontal sliding member 331 can drive the two friction block assemblies 1 to move up and down, thereby achieving the purpose of pivoting the catheter 2.
[0080] 优选地, 一并参照图 1、 图 5和图 6所示, 水平驱动组件 332包括安装于固定座 31 上的第二电机 3321和连接于第二电机 3321与水平滑动部件 331之间的第二丝杆 33 22, 第二电机 3321具体安装于底板 311上。 第二电机 3321与第二丝杆 3322之间具 体还可设有第二减速箱。 第二电机 3321可以正、 反向运转, 第二电机 3321运转 吋, 可以驱动第二丝杆 3322转动, 第二丝杆 3322转动可以驱动水平滑动部件 331 进行直线移动。 具体应用中, 通过调控第二电机 3321的转速, 可以控制两摩擦 块组件 1搓动导管 2旋转的速度。  [0080] Preferably, as shown in FIG. 1, FIG. 5 and FIG. 6, the horizontal driving assembly 332 includes a second motor 3321 mounted on the fixing base 31 and connected between the second motor 3321 and the horizontal sliding member 331. The second screw 33 22, the second motor 3321 is specifically mounted on the bottom plate 311. A second reduction gear box may also be provided between the second motor 3321 and the second lead screw 3322. The second motor 3321 can be operated in the forward and reverse directions. The second motor 3321 operates 吋 to drive the second screw 3322 to rotate, and the second screw 3322 rotates to drive the horizontal sliding member 331 to move linearly. In a specific application, by adjusting the rotational speed of the second motor 3321, the speed at which the two friction block assemblies 1 sway the catheter 2 can be controlled.
[0081] 优选地, 一并参照图 1、 图 5和图 6所示, 水平滑动部件 331通过第二丝杆套 335 螺纹连接第二丝杆 3322, 第二丝杆套 335上设有与第二丝杆 3322螺纹配合的内螺 纹, 第二丝杆套 335通过螺丝连接或者螺纹连接等方式安装固定于水平滑动部件 331上。 此处, 通过第二丝杆套 335实现水平滑动部件 331与第二丝杆 3322之间的 连接, 这样, 水平滑动部件 331上不需加工制造螺纹结构, 可利于降低水平滑动 部件 331的制造难度, 且利于降低设备的日后维护成本。 当然了, 具体应用中, 也可直接在水平滑动部件 331上幵设与第二丝杆 3322螺纹配合的第二螺纹孔, 即 水平滑动部件 331也可直接设为与第二丝杆 3322螺纹连接的丝杆座。 [0081] Preferably, as shown in FIG. 1, FIG. 5 and FIG. 6, the horizontal sliding member 331 is screwed to the second screw rod 3322 by the second screw sleeve 335, and the second screw sleeve 335 is provided with The second screw rod 3322 is screwed with the internal thread, and the second screw sleeve 335 is fixed to the horizontal sliding member 331 by screwing or screwing. Here, the connection between the horizontal sliding member 331 and the second screw rod 3322 is realized by the second screw sleeve 335, so that the horizontal sliding member 331 does not need to be processed to manufacture a thread structure, which can help reduce the manufacturing difficulty of the horizontal sliding member 331. And it will help reduce the future maintenance cost of the equipment. Of course, in specific applications, A second threaded hole that is threadedly engaged with the second screw 3322 may be directly disposed on the horizontal sliding member 331, that is, the horizontal sliding member 331 may be directly set as a screw seat that is screwed to the second screw 3322.
[0082] 优选地, 一并参照图 1、 图 5和图 6所示, 连杆组件 333包括与水平滑动部件 331 滑动连接的立杆 3331和连接于立杆 3331与摩擦块组件 1之间的斜杆 3332, 水平滑 动部件 331上设有与立杆 3331滑动配合的第一弧形滑槽 3311。 立杆 3331的底端滑 动支撑于第一弧形滑槽 3311内, 第一弧形滑槽 3311具有与立杆 3331滑动配合的 弧形表面。 立杆 3331为竖直设置的杆体, 斜杆 3332为以与竖直方向呈一定夹角 的方式倾斜设置。 水平滑动部件 331水平移动吋, 立杆 3331与水平滑动部件 331 之间会产生相对滑动, 第一弧形滑槽 3311的弧形表面会驱动立杆 3331上升或下 降运动, 立杆 3331的升降运动会进一步通过斜杆 3332驱动摩擦块组件 1上升或下 降运动, 从而达到通过摩擦块组件 1捻动导管 2旋转的目的。  [0082] Preferably, as shown in FIG. 1, FIG. 5 and FIG. 6, the link assembly 333 includes a vertical rod 3331 slidably coupled to the horizontal sliding member 331 and is coupled between the vertical rod 3331 and the friction block assembly 1. The slanting rod 3332 has a first curved sliding groove 3311 which is slidably engaged with the vertical rod 3331. The bottom end of the upright 3331 is slidably supported in the first curved chute 3311, and the first curved chute 3311 has an arcuate surface that is in sliding engagement with the upright 3331. The uprights 3331 are vertically disposed rods, and the inclined rods 3332 are obliquely disposed at an angle to the vertical direction. The horizontal sliding member 331 moves horizontally, and a relative sliding occurs between the vertical rod 3331 and the horizontal sliding member 331. The curved surface of the first curved sliding groove 3311 drives the vertical rod 3331 to rise or fall, and the lifting and lowering movement of the vertical rod 3331 Further, the slanting rod 3332 drives the raising or lowering movement of the friction block assembly 1 to achieve the purpose of swaying the rotation of the duct 2 by the friction block assembly 1.
[0083] 优选地, 一并参照图 1、 图 2、 图 5和图 6所示, 立杆 3331的底端通过第一铰轴 30 1滑动安装于第一弧形滑槽 3311内, 立杆 3331的顶端通过第二铰轴 302连接斜杆 3 332的底端, 斜杆 3332的顶端通过第三铰轴 303连接于摩擦块上。 立杆 3331的底 端与第一弧形滑槽 3311之间的连接为滑动连接, 即立杆 3331的底端可在第一弧 形滑槽 3311内滑动。 立杆 3331与第一铰轴 301、 第二铰轴 302之间的连接都为固 定连接, 即立杆 3331与第一铰轴 301、 第二铰轴 302之间不可以发生相对转动; 斜杆 3332与第二铰轴 302、 第三铰轴 303之间的连接为转动连接, 即斜杆 3332与 第二铰轴 302、 第三铰轴 303之间可以发生相对转动。  [0083] Preferably, as shown in FIG. 1 , FIG. 2 , FIG. 5 and FIG. 6 , the bottom end of the vertical rod 3331 is slidably mounted in the first curved chute 3311 through the first hinge shaft 30 1 . The top end of the 3331 is connected to the bottom end of the diagonal rod 3 332 through the second hinge shaft 302, and the top end of the diagonal rod 3332 is connected to the friction block through the third hinge shaft 303. The connection between the bottom end of the upright 3331 and the first curved chute 3311 is a sliding connection, that is, the bottom end of the upright 3331 is slidable within the first arc chute 3311. The connection between the vertical rod 3331 and the first hinge shaft 301 and the second hinge shaft 302 is a fixed connection, that is, the relative rotation between the vertical rod 3331 and the first hinge shaft 301 and the second hinge shaft 302 is not possible; The connection between the 3332 and the second hinge shaft 302 and the third hinge shaft 303 is a rotational connection, that is, relative rotation between the diagonal rod 3332 and the second hinge shaft 302 and the third hinge shaft 303 can occur.
[0084] 优选地, 第一铰轴 301的一端通过第一轴承转动安装于固定座 31上, 第一铰轴 3 01的另一端通过两个间隔设置的第二轴承安装于水平滑动部件 331上, 立杆 3331 的底端固定连接于第一铰轴 301上且位于两第二轴承之间。 第二轴承的设置, 既 可通过水平滑动部件 331实现对第一铰轴 301的支撑, 又可利于防止第一铰轴 301 对水平滑动部件 331的滑动产生干涉现象。 立杆 3331的底端具体可通过螺纹连接 方式或者过盈配合方式与第一铰轴 301连接, 这样可利于防止立杆 3331与第一铰 轴 301之间发生相对转动, 从而可保证在水平滑动部件 331水平移动吋, 水平滑 动部件 331的弧形表面能够有效驱动立杆 3331上升或下降运动。  [0084] Preferably, one end of the first hinge shaft 301 is rotatably mounted on the fixing base 31 by a first bearing, and the other end of the first hinge shaft 310 is mounted on the horizontal sliding member 331 by two spaced second bearings. The bottom end of the pole 3331 is fixedly coupled to the first hinge shaft 301 and located between the two second bearings. The second bearing is disposed to support the first hinge shaft 301 by the horizontal sliding member 331, and to prevent the first hinge shaft 301 from interfering with the sliding of the horizontal sliding member 331. The bottom end of the upright 3331 can be connected to the first hinge shaft 301 by a screw connection or an interference fit, which can prevent relative rotation between the vertical rod 3331 and the first hinge shaft 301, thereby ensuring horizontal sliding. When the member 331 is horizontally moved, the curved surface of the horizontal sliding member 331 can effectively drive the up or down movement of the upright 3331.
[0085] 优选地, 一并参照图 1、 图 5和图 6所示, 水平滑动部件 331上设有两个分别位于 第一弧形滑槽 3311两侧的第二弧形滑槽 3312, 立杆 3331两侧的两第二轴承分别 滑动安装于两第二弧形滑槽 3312内。 第二弧形滑槽 3312的设置, 一方面可供第 二轴承安装定位, 另一方面可利于保证水平滑动部件 331水平移动过程中第二轴 承不会对水平滑动部件 331的移动产生干涉现象。 [0085] Preferably, as shown in FIG. 1, FIG. 5 and FIG. 6, together, two horizontal sliding members 331 are respectively located. The second curved chutes 3312 on both sides of the first curved chute 3311 and the two second bearings on both sides of the vertical rod 3331 are slidably mounted in the two second curved chutes 3312, respectively. The arrangement of the second curved chute 3312 can be used for positioning and positioning of the second bearing on the one hand, and can ensure that the second bearing does not interfere with the movement of the horizontal sliding member 331 during horizontal movement of the horizontal sliding member 331 on the other hand.
[0086] 优选地, 第二铰轴 302的一端通过第三轴承转动安装于固定座 31上, 第二铰轴 3 02的另一端穿设连接立杆 3331的顶端和斜杆 3332的底端; 第三铰轴 303的一端固 定于摩擦块组件 1上, 第三铰轴 303的另一端穿设连接斜杆 3332的顶端。 第三铰 轴 303具体可通过螺纹连接方式固定于摩擦块上。 立杆 3331的顶端通过螺纹连接 方式或者过硬配合方式固定连接于第二铰轴 302上, 斜杆 3332的底端通过第四轴 承安装于第二铰轴 302上, 斜杆 3332的顶端通过第五轴承安装于第三铰轴 303上 [0086] Preferably, one end of the second hinge shaft 302 is rotatably mounted on the fixing seat 31 through the third bearing, and the other end of the second hinge shaft 302 is passed through the top end of the connecting rod 3331 and the bottom end of the diagonal rod 3332; One end of the third hinge shaft 303 is fixed to the friction block assembly 1, and the other end of the third hinge shaft 303 is passed through the top end of the connection diagonal rod 3332. The third hinge shaft 303 is specifically fixed to the friction block by a threaded connection. The top end of the vertical rod 3331 is fixedly connected to the second hinge shaft 302 by a screw connection or a hard fit. The bottom end of the diagonal rod 3332 is mounted on the second hinge shaft 302 through the fourth bearing, and the top end of the diagonal rod 3332 passes through the fifth. The bearing is mounted on the third hinge shaft 303
[0087] 优选地, 一并参照图 1、 图 5和图 6所示, 捻旋机构 33还包括设于固定座 31与水 平滑动部件 331之间的第三水平导滑结构 334。 第三水平导滑结构 334的设置, 可 利于进一步提高水平滑动部件 331水平移动的稳定可靠性和顺畅性。 Preferably, as shown in FIG. 1, FIG. 5 and FIG. 6, the spinning mechanism 33 further includes a third horizontal sliding structure 334 disposed between the fixed seat 31 and the horizontal sliding member 331. The arrangement of the third horizontal guide structure 334 can further improve the stability and smoothness of the horizontal movement of the horizontal sliding member 331.
[0088] 优选地, 一并参照图 1、 图 5和图 6所示, 第三水平导滑结构 334包括设于固定座 31上的第三水平导轨 3341和与第三水平导轨 3341滑动配合的第三水平滑块 3342 , 水平滑动部件 331安装于第三水平滑块 3342上。 第三水平导轨 3341具体安装于 底板 311上。 第三水平导轨 3341可与底板 311—体成型设置, 即第三水平导轨 334 1可为底板 311的一部分; 或者, 第三水平导轨 3341也可与底板 311分体制造成型 后再通过螺丝连接等连接方式安装于底板 311上。 水平滑动部件 331具体优选通 过螺丝连接方式安装于第三水平滑块 3342, 其紧固可靠、 拆装方便。 第三水平 导轨 3341与第三水平滑块 3342的设置, 一方面可对水平滑动部件 331起到支撑的 作用, 另一方面又利于减小水平滑动部件 331水平移动过程中受到的摩擦阻力。  [0088] Preferably, as shown in FIG. 1 , FIG. 5 and FIG. 6 , the third horizontal sliding structure 334 includes a third horizontal rail 3341 disposed on the fixing base 31 and a sliding fit with the third horizontal rail 3341. The third horizontal slider 3342 and the horizontal sliding member 331 are mounted on the third horizontal slider 3342. The third horizontal guide 3341 is specifically mounted on the bottom plate 311. The third horizontal rail 3341 can be integrally formed with the bottom plate 311, that is, the third horizontal rail 334 1 can be a part of the bottom plate 311; or the third horizontal rail 3341 can be separately formed from the bottom plate 311 and then connected by screws. The connection mode is mounted on the bottom plate 311. The horizontal sliding member 331 is specifically preferably mounted to the third horizontal slider 3342 by screw connection, which is reliable in fastening and convenient to assemble and disassemble. The arrangement of the third horizontal guide 3341 and the third horizontal slider 3342 can support the horizontal sliding member 331 on the one hand, and reduce the frictional resistance received during the horizontal movement of the horizontal sliding member 331 on the other hand.
[0089] 优选地, 一并参照图 1-5所示, 导管推进装置 4包括固定板 41、 能够在固定板 41 上滑动的承载部件 42和安装于固定板 41上以用于驱动承载部件 42直线往复移动 的推进机构 43, 导管捻旋装置 3安装于承载部件 42上, 支撑座 6安装于固定板 41 上。 导管捻旋装置 3具体通过底板 311安装于承载部件 42上。 推进机构 43驱动承 载部件 42水平移动吋, 安装于承载部件 42上的导管捻旋装置 3能够带动导管 2— 起进行水平移动, 从而达到捻动导管 2旋转的目的。 支撑座 6优选通过螺丝安装 于固定板 41上, 其拆装方便。 [0089] Preferably, as shown in FIGS. 1-5 together, the duct propulsion device 4 includes a fixing plate 41, a bearing member 42 slidable on the fixing plate 41, and a mounting plate 41 for driving the carrier member 42. The linear reciprocating propulsion mechanism 43 is attached to the carrier member 42 and the support base 6 is attached to the fixing plate 41. The ducting device 3 is specifically mounted to the carrier member 42 via a bottom plate 311. The propulsion mechanism 43 drives the carrying member 42 to move horizontally, and the conduit turning device 3 mounted on the carrying member 42 can drive the conduit 2 - The horizontal movement is performed to achieve the purpose of swaying the rotation of the catheter 2. The support base 6 is preferably mounted on the fixing plate 41 by screws, which is convenient for disassembly and assembly.
[0090] 优选地, 推进机构 43驱动承载部件 42的水平移动方向与水平驱动组件 332驱动 水平滑动部件 331的水平移动方向相互垂直, 张合机构 32驱动摩擦块组件 1的水 平移动方向与水平驱动组件 332驱动水平滑动部件 331的水平移动方向相互平行 。 水平滑动部件 331位于承载部件 42的上方, 摩擦块组件 1位于水平滑动部件 331 的上方。 [0090] Preferably, the horizontal movement direction of the propulsion mechanism 43 driving the bearing member 42 and the horizontal movement direction of the horizontal driving assembly 332 driving the horizontal sliding member 331 are perpendicular to each other, and the stretching mechanism 32 drives the horizontal movement direction and the horizontal driving of the friction block assembly 1. The assembly 332 drives the horizontal moving directions of the horizontal sliding members 331 to be parallel to each other. The horizontal sliding member 331 is located above the carrier member 42, and the friction block assembly 1 is located above the horizontal sliding member 331.
[0091] 优选地, 一并参照图 1-4所示, 推进机构 43包括安装于固定板 41上的第一电机 4 31和连接于第一电机 431与承载部件 42之间的第一丝杆 432, 第一电机 431具体安 装于固定板 41上。 第一电机 431与第一丝杆 432之间具体还可设有第一减速箱。 第一电机 431可以正、 反向运转, 第一电机 431运转吋, 可以驱动第一丝杆 432转 动, 第一丝杆 432转动可以驱动承载部件 42进行直线移动。 具体应用中, 通过调 控第一电机 431的转速, 可以控制导管 2的推送速度。 本实施例, 通过电机与丝 杆的组合方式, 来实现导管 2在血管内的推拉, 其每次进给量足够大。  [0091] Preferably, as shown in FIGS. 1-4 together, the propulsion mechanism 43 includes a first motor 41 mounted on the fixed plate 41 and a first screw connected between the first motor 431 and the carrier member 42. 432. The first motor 431 is specifically mounted on the fixing plate 41. Specifically, a first reduction gear box may be disposed between the first motor 431 and the first lead screw 432. The first motor 431 can be operated in the forward and reverse directions. The first motor 431 is operated to drive the first screw 432 to rotate, and the first screw 432 is rotated to drive the carrier member 42 to move linearly. In a specific application, the pushing speed of the duct 2 can be controlled by adjusting the rotational speed of the first motor 431. In this embodiment, the push-pull of the catheter 2 in the blood vessel is achieved by a combination of the motor and the screw rod, and the amount of feed per feed is sufficiently large.
[0092] 优选地, 一并参照图 1-4所示, 承载部件 42通过第一丝杆套 44螺纹连接第一丝 杆 432, 第一丝杆套 44上设有与第一丝杆 432螺纹配合的内螺纹, 第一丝杆套 44 通过螺丝连接或者螺纹连接等方式安装固定于承载部件 42上。 此处, 通过第一 丝杆套 44实现承载部件 42与第一丝杆 432之间的连接, 这样, 承载部件 42上不需 加工制造螺纹结构, 可利于降低承载部件 42的制造难度, 且利于降低设备的日 后维护成本。 当然了, 具体应用中, 也可直接在承载部件 42上幵设与第一丝杆 4 32螺纹配合的第一螺纹孔, 即承载部件 42也可直接设为与第一丝杆 432螺纹连接 的丝杆座。  [0092] Preferably, as shown in FIG. 1-4, the carrier member 42 is screwed to the first screw rod 432 by the first screw sleeve 44, and the first screw sleeve 44 is provided with the thread of the first screw rod 432. The mating internal thread, the first screw sleeve 44 is fixedly mounted to the carrier member 42 by screwing or screwing. Here, the connection between the bearing member 42 and the first screw rod 432 is realized by the first screw sleeve 44. Thus, the threaded structure is not required to be processed on the bearing member 42, which can reduce the manufacturing difficulty of the bearing member 42 and is beneficial to the manufacturing. Reduce the cost of future maintenance of the equipment. Of course, in the specific application, the first threaded hole which is screwed with the first screw rod 4 32 can be directly disposed on the bearing member 42, that is, the bearing member 42 can also be directly screwed to the first screw rod 432. Screw seat.
[0093] 优选地, 一并参照图 1-4所示, 导管推进装置 4还包括设于固定板 41与承载部件 42之间的第一水平导滑结构 45。 第一水平导滑结构 45的设置, 可利于进一步提 高承载部件 42水平移动的稳定可靠性和顺畅性。  Preferably, as shown in FIGS. 1-4 together, the catheter advancement device 4 further includes a first horizontal guide structure 45 disposed between the fixed plate 41 and the carrier member 42. The arrangement of the first horizontal guide structure 45 can further improve the stability and smoothness of the horizontal movement of the bearing member 42.
[0094] 优选地, 一并参照图 1-4所示, 第一水平导滑结构 45包括两个间隔平行设于固 定板 41上的第一水平导轨 451和两个分别与两第一水平导轨 451滑动配合的第一 水平滑块 452, 承载部件 42的两端分别安装于两第一水平滑块 452上。 第一水平 导轨 451可与固定板 41一体成型设置, 即第一水平导轨 451可为固底板 311的一部 分; 或者, 第一水平导轨 451也可与固定板 41分体制造成型后再通过螺丝连接等 连接方式安装于固定板 41上。 承载部件 42具体优选通过螺丝连接方式安装于第 一水平滑块 452上, 其紧固可靠、 拆装方便。 第一水平导轨 451与第一水平滑块 4 52的设置, 一方面可对承载部件 42起到支撑的作用, 另一方面又利于减小承载 部件 42水平移动过程中受到的摩擦阻力。 [0094] Preferably, as shown in FIG. 1-4 together, the first horizontal sliding structure 45 includes two first horizontal rails 451 and two and two horizontal rails respectively disposed on the fixing plate 41. The first horizontal slider 452 of the sliding joint is 451, and two ends of the bearing member 42 are respectively mounted on the two first horizontal sliders 452. First level The guide rail 451 can be integrally formed with the fixing plate 41, that is, the first horizontal rail 451 can be a part of the solid bottom plate 311; or the first horizontal rail 451 can also be separately formed with the fixing plate 41 and then connected by screws or the like. Mounted on the fixed plate 41. The bearing member 42 is specifically mounted on the first horizontal slider 452 by screw connection, which is reliable in fastening and convenient to disassemble. The arrangement of the first horizontal rail 451 and the first horizontal slider 425 can support the bearing member 42 on the one hand and reduce the frictional resistance during the horizontal movement of the bearing member 42 on the other hand.
[0095] 优选地, 承载部件 42为倒置 "凸"字型板状构件, 其结构简单, 且利于保证承载 部件 42同吋与第一丝杆 432、 两第一滑块连接的可靠性。  [0095] Preferably, the bearing member 42 is an inverted "convex" shaped plate-shaped member, which has a simple structure and is advantageous for ensuring the reliability of the bearing member 42 being connected to the first screw 432 and the two first sliders.
[0096] 优选地, 摩擦块组件 1包括摩擦块和设置于摩擦块上的橡胶片, 摩擦块与导管 捻旋装置 3连接, 压力传感器 51嵌入安装于一摩擦块上。 橡胶片具有较好的弹性 、 耐磨性, 不会压坏导管 2, 且可增大摩擦力, 提高摩擦块组件 1夹紧导管 2的可 靠性。  Preferably, the friction block assembly 1 includes a friction block and a rubber sheet disposed on the friction block, the friction block is coupled to the conduit turning device 3, and the pressure sensor 51 is embedded in a friction block. The rubber sheet has good elasticity and wear resistance, does not crush the duct 2, and can increase the friction and improve the reliability of the friction block assembly 1 to clamp the duct 2.
[0097] 优选地, 橡胶片通过粘接方式固定于摩擦块上, 其拆装方便、 安装稳固可靠, 且可避免采用其它紧固件安装橡胶片造成在夹紧或者捻动导管 2旋转吋紧固件压 坏导管 2。  [0097] Preferably, the rubber sheet is fixed to the friction block by bonding, the disassembly and assembly is convenient, the installation is stable and reliable, and the rubber piece can be prevented from being mounted by using other fasteners to cause the rotation or clamping of the catheter 2 to be clamped or tilted. The firmware crushes the conduit 2.
[0098] 本发明实施例提供的血管介入手术机器人的导管推送设备, 结构紧凑、 体积小 、 重量轻、 消毒方便, 便于在医疗上推广应用。 具体地, 本发明实施例, 一方 面通过张合机构 32调节控制两摩擦块组件 1之间的水平距离以驱动两摩擦块组件 1夹紧或松幵导管 2, 这样, 可使得本发明实施例提供的血管介入手术机器人的 导管推送设备能够适应不同直径的导管 2, 取出和放入导管 2较为方便, 夹紧导 管 2也较为可靠; 另一方面通过捻旋机构 33驱动两摩擦块上下相对运动的方式来 捻动导管 2旋转, 不会出现弹性滑动的问题, 且能够避免采用电机直接驱动传感 器以带动导管 2旋转带来传感器缠线的问题, 最终有效保证了导管 2的连续、 可 靠转动; 再一方面通过在摩擦块组件 1上嵌入安装压力传感器 51的方式来检测摩 擦块组件 1对导管 2的压力, 从而利于控制器有效调控导管 2头部穿过障碍的前进 力在合理范围内, 不会戳破血管; 又一方面通过在导管捻旋装置 3的固定座 31上 设置扭矩传感器 52来检测导管 2的扭矩, 从而利于控制器有效调控导管 2头部的 扭矩不会过大而戳破血管。 以上所述仅为本发明的较佳实施例而已, 并不用以限制本发明, 凡在本发明的 精神和原则之内所作的任何修改、 等同替换或改进等, 均应包含在本发明的保 护范围之内。 [0098] The catheter pushing device of the vascular interventional surgery robot provided by the embodiment of the invention has the advantages of compact structure, small volume, light weight, convenient disinfection, and convenient application in medical treatment. Specifically, in the embodiment of the present invention, on the one hand, the horizontal distance between the two friction block assemblies 1 is adjusted by the tensioning mechanism 32 to drive the two friction block assemblies 1 to clamp or loosen the catheter 2, so that the embodiment of the present invention can be made The catheter pushing device of the vascular interventional robot can be adapted to adapt to the catheter 2 of different diameters, and it is convenient to take out and insert the catheter 2, and the clamping catheter 2 is also more reliable; on the other hand, the two friction blocks are driven up and down by the gyro mechanism 33. The way to sway the rotation of the catheter 2 does not cause the problem of elastic sliding, and the problem that the motor directly drives the sensor to drive the rotation of the catheter 2 to entangle the sensor is avoided, and the continuous and reliable rotation of the catheter 2 is effectively ensured; On the other hand, by inserting the pressure sensor 51 on the friction block assembly 1 , the pressure of the friction block assembly 1 on the catheter 2 is detected, thereby facilitating the controller to effectively regulate the advancement force of the head of the catheter 2 through the obstacle within a reasonable range. The blood vessel is not punctured; on the other hand, the torque sensor 52 is provided on the fixing base 31 of the catheter turning device 3 for inspection. Torque catheter 2 so as to facilitate effective control of the torque controller of the catheter 2 and the head of the burst is not too large vessels. The above is only the preferred embodiment of the present invention, and is not intended to limit the present invention. Any modifications, equivalent substitutions or improvements made within the spirit and principles of the present invention should be included in the protection of the present invention. Within the scope.

Claims

权利要求书 Claim
血管介入手术机器人的导管推送控制方法, 包括测力步骤和调控步骤 , 所述调控步骤为: 设置控制器, 用于调控所述导管推送过程中的运 动参数以防止所述导管推送过程中戳破血管, 其特征在于: 所述测力 步骤包括: The catheter pushing control method of the vascular interventional surgery robot includes a force measuring step and a regulating step, wherein the adjusting step is: setting a controller for regulating a motion parameter in the catheter pushing process to prevent the catheter from being punctured during the pushing process a blood vessel, characterized in that: the force measuring step comprises:
在用于夹持和捻动导管旋转的摩擦块组件上设置压力传感器, 以用于 检测所述摩擦块组件对所述导管的压力大小; Providing a pressure sensor on the friction block assembly for clamping and tilting the rotation of the catheter for detecting the pressure of the friction block assembly against the catheter;
在一支撑座上设置可供所述导管穿过的扭矩传感器, 以用于检测所述 导管的扭矩大小。 A torque sensor through which the conduit passes is disposed on a support for detecting the torque of the conduit.
如权利要求 1所述的血管介入手术机器人的导管推送控制方法, 其特 征在于: 所述调控步骤包括: 在所述控制器内预先设定血管的临界耐 压力 F0,所述控制器实吋控制两所述摩擦块组件对所述导管的压力, 以使得所述导管在推送过程中所受的阻力 f小于或等于 F0。 The catheter push control method for a vascular interventional surgery robot according to claim 1, wherein: said adjusting step comprises: presetting a critical withstand pressure F0 of the blood vessel in said controller, said controller realizing control The pressure of the two friction block assemblies on the conduit is such that the resistance f of the conduit during the pushing process is less than or equal to F0.
如权利要求 2所述的血管介入手术机器人的导管推送控制方法, 其特 征在于: 定义所述摩擦块组件对所述导管的初始压力为 Fl, 定义所述 摩擦块组件对推送过程中之所述导管的压力为 F2, 定义所述导管与所 述摩擦块组件之间的摩擦系数为 u, 则f= Fl+u (F2- F1) ≤F0。 A catheter push control method for a vascular interventional surgery robot according to claim 2, wherein: the initial pressure of the friction block assembly to the catheter is defined as F1, and the friction block assembly is defined in the push process The pressure of the conduit is F2, and the coefficient of friction between the conduit and the friction block assembly is defined as u, then f = Fl + u (F2 - F1) ≤ F0.
如权利要求 3所述的血管介入手术机器人的导管推送控制方法, 其特 征在于: 在所述调控步骤中, 当数字减影血管造影机检测到所述导管 在推送过程遇到障碍吋, 所述控制器控制导管推进装置减慢所述导管 的推进移动速度, 同吋, 所述控制器控制两所述摩擦块组件缓慢增大 对所述导管的压力, 直至所述导管匀速通过障碍为止, 且在所述控制 器控制两所述摩擦块组件缓慢增大对所述导管之压力的过程中, 保证 Fl+u (F2- F1) ≤F0。 A catheter push control method for a vascular interventional surgery robot according to claim 3, wherein: in said adjusting step, when said digital subtraction angiography machine detects that said catheter encounters an obstacle during a pushing process, said The controller controls the catheter advancement device to slow the advancement speed of the catheter, and the controller controls the two friction block assemblies to slowly increase the pressure on the catheter until the catheter passes the obstacle uniformly, and In the process in which the controller controls the two friction block assemblies to slowly increase the pressure on the conduit, Fl+u (F2-F1) ≤ F0 is guaranteed.
如权利要求 3或 4所述的血管介入手术机器人的导管推送控制方法, 其 特征在于: 所述摩擦块组件包括摩擦块和设置于所述摩擦块上的橡胶 片, 所述导管与所述摩擦块组件之间的摩擦系数 u为所述导管与所述 橡胶片之间的摩擦系数。 [权利要求 6] 如权利要求 1至 4任一项所述的血管介入手术机器人的导管推送控制方 法, 其特征在于: 所述调控步骤包括: 在所述控制器内预先设定血管 的临界扭矩 TO,所述控制器实吋控制两所述摩擦块组件搓动所述导管 旋转的速度大小, 以使得所述扭矩传感器测到的扭矩 T1小于或等于 T 0。 A catheter push control method for a vascular interventional surgery robot according to claim 3 or 4, wherein: the friction block assembly includes a friction block and a rubber piece provided on the friction block, the catheter and the friction The coefficient of friction u between the block assemblies is the coefficient of friction between the conduit and the rubber sheet. [Claim 6] The catheter push control method of the vascular interventional surgery robot according to any one of claims 1 to 4, wherein: the regulating step comprises: presetting a critical torque of the blood vessel in the controller TO, the controller actually controls the speed at which the two friction block assemblies sway the rotation of the conduit such that the torque T1 measured by the torque sensor is less than or equal to T 0 .
[权利要求 7] 如权利要求 6所述的血管介入手术机器人的导管推送控制方法, 其特 征在于: 定义所述导管捻旋装置控制两所述摩擦块组件搓动所述导管 旋转的输出功率为 P, 定义所述导管的半径为 r,定义所述导管的角速 度为 w, 定义所述导管的线速度为 V, 则依据公式 P=F*r*w、 T= F*r、 V= r* w, 可得 Tl= (P*r) /V≤T0。 [Claim 7] The catheter push control method of the vascular interventional surgery robot according to claim 6, wherein: the catheter rotation device is defined to control the output power of the two friction block assemblies to sway the rotation of the catheter to P, defining a radius of the conduit r, defining an angular velocity of the conduit as w, and defining a linear velocity of the conduit as V, according to the formula P=F*r*w, T=F* r , V=r * w, can get Tl = (P * r) / V ≤ T0.
[权利要求 8] 如权利要求 7所述的血管介入手术机器人的导管推送控制方法, 其特 征在于: 在所述调控步骤中, 当所述数字减影血管造影机检测到所述 导管在推送过程遇到血管分支或弯曲吋, 所述控制器提高所述导管捻 旋装置搓动所述导管旋转的线速度, 以减小所述导管在所述血管分支 或弯曲处的扭矩。  [Claim 8] The catheter push control method of the vascular interventional surgery robot according to claim 7, wherein: in the regulating step, when the digital subtraction angiography machine detects that the catheter is in a pushing process In response to vessel branching or bending, the controller increases the linear velocity at which the catheter orbiting device rotates the catheter to reduce the torque of the catheter at the branch or bend of the vessel.
[权利要求 9] 血管介入手术机器人的导管推送设备, 其特征在于: 包括两块间隔设 置的摩擦块组件、 用于驱动两所述摩擦块组件夹持导管或者松幵导管 或者捻动所述导管旋转的导管捻旋装置、 用于驱动所述导管捻旋装置 带动两所述摩擦块组件与所述导管移动的导管推进装置、 用于测量所 述导管受力情况的测力组件、 用于对所述导管在血管内之移动进行成 像导引的数字减影血管造影机和用于控制两所述摩擦块组件对所述导 管之压力大小与 /或用于控制两所述摩擦块组件搓动所述导管之旋转 速度大小的控制器, 所述测力组件包括设置于所述摩擦块组件上的压 力传感器和 /或设置于一支撑座上并可供所述导管穿过的扭矩传感器  [Claim 9] A catheter pushing device for a vascular interventional surgery robot, comprising: two spaced-apart friction block assemblies for driving two of the friction block assemblies to clamp a catheter or a loose catheter or to sway the catheter a rotating conduit turning device, a conduit propelling device for driving the two different friction block assemblies and the conduit to move, and a force measuring component for measuring the force of the conduit, Digital subtraction angiography machine for imaging guidance of movement of the catheter within the blood vessel and for controlling the pressure of the two friction block assemblies to the catheter and/or for controlling the friction block assembly a controller for rotating the speed of the conduit, the force measuring assembly comprising a pressure sensor disposed on the friction block assembly and/or a torque sensor disposed on a support seat and permeable to the conduit
[权利要求 10] 如权利要求 9所述的血管介入手术机器人的导管推送设备, 其特征在 于: 所述导管捻旋装置包括安装于所述导管推进装置上的固定座、 安 装于所述固定座上以用于调控两所述摩擦块组件之间之水平距离进而 实现夹持或松幵所述导管的张合机构和安装于所述固定座上以用于驱 动两所述摩擦块组件升降运动进而捻动所述导管旋转的捻旋机构; 且 /或, [Claim 10] The catheter pushing device of the vascular interventional surgery robot according to claim 9, wherein: the catheter turning device includes a fixing seat mounted on the catheter advancing device, and is mounted to the fixing base Upper to adjust the horizontal distance between the two friction block assemblies a splicing mechanism for clamping or loosening the conduit and a slewing mechanism mounted on the fixed seat for driving the lifting and lowering movement of the two friction block assemblies to sway the rotation of the conduit; and/or
所述导管推进装置包括固定板、 能够在所述固定板上滑动的承载部件 和安装于所述固定板上以用于驱动所述承载部件直线往复移动的推进 机构, 所述导管捻旋装置安装于所述承载部件上, 所述支撑座安装于 所述固定板上; 且 /或,  The duct propulsion device includes a fixing plate, a bearing member slidable on the fixing plate, and a propulsion mechanism mounted on the fixing plate for driving the bearing member to linearly reciprocate, the ducting device being installed The support base is mounted on the fixing plate on the carrying member; and/or
所述摩擦块组件包括摩擦块和设置于所述摩擦块上的橡胶片, 所述摩 擦块与所述导管捻旋装置连接, 所述压力传感器嵌入安装于一所述摩 擦块上; 且 /或。  The friction block assembly includes a friction block and a rubber sheet disposed on the friction block, the friction block is coupled to the conduit orbiting device, and the pressure sensor is embedded in a friction block; and/or .
[权利要求 11] 如权利要求 10所述的血管介入手术机器人的导管推送设备, 其特征在 于: 所述固定座包括安装于所述导管推进装置上的底板、 间隔设于所 述底板上方的顶板和连接于所述底板与所述顶板之间且位于所述水平 滑动部件旁侧的侧板, 所述张合机构安装于所述顶板上, 所述捻旋机 构安装于所述底板上; 且 /或,  [Claim 11] The catheter pushing device of the vascular interventional surgery robot according to claim 10, wherein: the fixing base includes a bottom plate mounted on the catheter propelling device, and a top plate spaced apart from the bottom plate And a side plate connected between the bottom plate and the top plate and located beside the horizontal sliding member, the stretching mechanism is mounted on the top plate, and the spinning mechanism is mounted on the bottom plate; / or,
所述张合机构包括两个间隔设置且能够在所述固定座上滑动的滑座和 用于调节所述两所述滑座之间之水平距离的调节组件, 两所述摩擦块 组件分别安装于两所述滑座上; 且 /或,  The tensioning mechanism includes two sliding seats spaced apart and slidable on the fixing seat and an adjusting assembly for adjusting a horizontal distance between the two sliding seats, and the two friction block assemblies are respectively installed On the two slides; and/or,
所述捻旋机构包括能够在所述固定座上滑动的水平滑动部件、 安装于 所述固定座上以用于驱动所述水平滑动部件进行水平直线往复移动的 水平驱动组件和两个分别连接于两所述摩擦块组件与所述水平滑动部 件之间的连杆组件; 且 /或,  The spinning mechanism includes a horizontal sliding member slidable on the fixing seat, a horizontal driving assembly mounted on the fixing base for driving the horizontal sliding member to perform horizontal linear reciprocating movement, and two respectively connected to a link assembly between the friction block assembly and the horizontal slide member; and/or
所述推进机构包括安装于所述固定板上的第一电机和连接于所述第一 电机与所述承载部件之间的第一丝杆, 所述承载部件通过第一丝杆套 螺纹连接所述第一丝杆或者所述承载部件上设有与所述第一丝杆螺纹 配合的第一螺纹孔; 且 /或,  The propulsion mechanism includes a first motor mounted on the fixing plate and a first screw connected between the first motor and the carrier member, and the carrier member is screwed through the first screw sleeve The first screw rod or the bearing member is provided with a first threaded hole threadedly engaged with the first screw rod; and/or
所述导管推进装置还包括设于所述固定板与所述承载部件之间的第一 水平导滑结构; 且/或, 所述橡胶片通过粘接方式固定于所述摩擦块上。 The catheter advancement device further includes a first horizontal guide structure disposed between the fixed plate and the load bearing member; and/or The rubber sheet is fixed to the friction block by bonding.
[权利要求 12] 如权利要求 11所述的血管介入手术机器人的导管推送设备, 其特征在 于: 所述调节组件包括与一个所述滑座连接的第一调节结构和与另一 个所述滑座连接的第二调节结构; 且 /或, [Claim 12] The catheter pushing device of the vascular interventional surgery robot according to claim 11, wherein: the adjustment assembly includes a first adjustment structure coupled to one of the carriages and the other of the carriages a second adjustment structure of the connection; and/or,
所述张合机构还包括设于所述固定座与所述滑座之间的第二水平导滑 结构; 且 /或,  The tensioning mechanism further includes a second horizontal sliding structure disposed between the fixing seat and the sliding seat; and/or,
所述导管捻旋装置还包括两个竖向导滑结构, 其中, 一个所述竖向导 滑结构设于一个所述摩擦块组件与一个所述滑座之间, 另一个所述竖 向导滑结构设于另一个所述摩擦块组件与另一个所述滑座之间; 且 / 或,  The ducting device further includes two vertical sliding structures, wherein one of the vertical sliding structures is disposed between one of the friction block assemblies and one of the sliding blocks, and the other of the vertically guided sliding structures is Between another of the friction block assemblies and another of the carriages; and/or,
所述水平驱动组件包括安装于所述固定座上的第二电机和连接于所述 第二电机与所述水平滑动部件之间的第二丝杆, 所述水平滑动部件通 过第二丝杆套螺纹连接所述第二丝杆或者所述水平滑动部件上设有与 所述第二丝杆螺纹配合的第二螺纹孔; 且 /或,  The horizontal drive assembly includes a second motor mounted on the mount and a second screw coupled between the second motor and the horizontal slide member, the horizontal slide member passing through the second screw sleeve Threading the second lead screw or the horizontal sliding member is provided with a second threaded hole threadedly engaged with the second threaded rod; and/or
所述连杆组件包括与所述水平滑动部件滑动连接的立杆和连接于所述 立杆与所述摩擦块组件之间的斜杆, 所述水平滑动部件上设有与所述 立杆滑动配合的第一弧形滑槽; 且 /或,  The link assembly includes a vertical rod slidably coupled to the horizontal sliding member and a diagonal rod connected between the vertical rod and the friction block assembly, and the horizontal sliding member is provided to slide with the vertical rod Fitted first curved chute; and/or,
所述捻旋机构还包括设于所述固定座与所述水平滑动部件之间的第三 水平导滑结构; 且/或, 所述第一水平导滑结构包括两个间隔平行设于所述固定板上的第一水 平导轨和两个分别与两所述第一水平导轨滑动配合的第一水平滑块, 所述承载部件的两端分别安装于两所述第一水平滑块上。  The spinning mechanism further includes a third horizontal sliding structure disposed between the fixing seat and the horizontal sliding member; and/or, the first horizontal sliding structure includes two intervals parallelly disposed on the a first horizontal rail on the fixing plate and two first horizontal sliders respectively slidably engaged with the two first horizontal rails, and two ends of the bearing member are respectively mounted on the two first horizontal sliders.
[权利要求 13] 如权利要求 12所述的血管介入手术机器人的导管推送设备, 其特征在 于: 所述第一调节结构包括安装于所述固定座上的安装座和连接于所 述安装座与一所述滑座之间的调节螺杆, 该滑座通过第三丝杆套螺纹 连接所述调节螺杆或者在该滑座上设有与所述调节螺杆螺纹配合的第 三螺纹孔; 且 /或, [Claim 13] The catheter pushing device of the vascular interventional surgery robot according to claim 12, wherein: the first adjustment structure includes a mounting seat mounted on the fixing base and is coupled to the mounting seat and An adjusting screw between the sliding blocks, the sliding seat is screwed to the adjusting screw through a third screw sleeve or a third threaded hole is threaded on the sliding seat with the adjusting screw; and/or ,
所述第二调节结构包括安装于所述固定座上的第三电机和连接于所述 第三电机与另一所述滑座之间的第三丝杆, 该滑座通过第四丝杆套螺 纹连接所述第三丝杆或者在该滑座上设有与所述第三丝杆螺纹配合的 第四螺纹孔; 且 /或, The second adjustment structure includes a third motor mounted on the fixing base and connected to the a third screw rod between the third motor and the other sliding seat, the sliding seat is screwed to the third screw rod by a fourth screw sleeve or provided on the sliding seat and the third screw rod a threaded fourth threaded hole; and/or,
所述第二水平导滑结构包括设于所述固定板上的第二水平导轨和两个 与所述第二水平导轨滑动配合的第二水平滑块, 两所述滑座分别安装 于两所述第二水平滑块上; 且 /或,  The second horizontal sliding structure comprises a second horizontal rail disposed on the fixing plate and two second horizontal sliding blocks slidably engaged with the second horizontal rail, and the two sliding seats are respectively installed in the two horizontal sliding blocks On the second horizontal slider; and/or,
所述竖向导滑结构包括设于所述滑座上的竖向导轨和与所述竖向导轨 滑动配合的竖向滑块, 所述摩擦块组件安装于所述竖向滑块上; 且 / 或,  The vertical sliding structure includes a vertical rail disposed on the sliding seat and a vertical sliding block slidably engaged with the vertical rail, the friction block assembly being mounted on the vertical slider; Or,
所述立杆的底端通过第一铰轴滑动安装于所述第一弧形滑槽内, 所述 立杆的顶端通过第二铰轴连接所述斜杆的底端, 所述斜杆的顶端通过 第三铰轴连接于所述摩擦块组件上; 且 /或,  The bottom end of the pole is slidably mounted in the first curved chute through a first hinge shaft, and the top end of the pole is connected to the bottom end of the diagonal rod through a second hinge shaft, the diagonal rod The top end is coupled to the friction block assembly by a third hinge; and/or
所述第三水平导滑结构包括设于所述固定座上的第三水平导轨和与所 述第三水平导轨滑动配合的第三水平滑块, 所述水平滑动部件安装于 所述第三水平滑块上; 且 /或,  The third horizontal sliding structure includes a third horizontal rail disposed on the fixing seat and a third horizontal sliding block slidably engaged with the third horizontal rail, and the horizontal sliding component is mounted on the third level On the slider; and/or,
所述承载部件为倒置 "凸"字型板状构件。  The carrier member is an inverted "convex" shaped plate member.
[权利要求 14] 如权利要求 13所述的血管介入手术机器人的导管推送设备, 其特征在 于: 所述第一铰轴的一端通过第一轴承转动安装于所述固定座上, 所 述第一铰轴的另一端通过两个间隔设置的第二轴承安装于所述水平滑 动部件上, 所述立杆的底端固定连接于所述第一铰轴上且位于两所述 第二轴承之间。 [Claim 14] The catheter pushing device of the vascular interventional surgery robot according to claim 13, wherein: one end of the first hinge shaft is rotatably mounted on the fixing base by a first bearing, the first The other end of the hinge shaft is mounted on the horizontal sliding member by two spaced apart second bearings, and the bottom end of the vertical rod is fixedly coupled to the first hinge shaft and located between the two second bearings .
[权利要求 15] 如权利要求 14所述的血管介入手术机器人的导管推送设备, 其特征在 于: 所述水平滑动部件上设有两个分别位于所述第一弧形滑槽两侧的 第二弧形滑槽, 所述立杆两侧的两所述第二轴承分别滑动安装于两所 述第二弧形滑槽内。  [Claim 15] The catheter pushing device of the vascular interventional surgery robot according to claim 14, wherein: the horizontal sliding member is provided with two second sides respectively located on opposite sides of the first curved chute The arc chutes, the two second bearings on both sides of the pole are respectively slidably mounted in the two arc chutes.
[权利要求 16] 如权利要求 15所述的血管介入手术机器人的导管推送设备, 其特征在 于: 所述第二铰轴的一端通过第三轴承转动安装于所述固定座上, 所 述第二铰轴的另一端穿设连接所述立杆的顶端和所述斜杆的底端; 所 述第三铰轴的一端固定于所述摩擦块组件上, 所述第三铰轴的另一端 穿设连接所述斜杆的顶端。 [Claim 16] The catheter pushing device of the vascular interventional surgery robot according to claim 15, wherein: one end of the second hinge shaft is rotatably mounted on the fixing base by a third bearing, the second The other end of the hinge shaft is connected to the top end of the vertical rod and the bottom end of the diagonal rod; One end of the third hinge shaft is fixed to the friction block assembly, and the other end of the third hinge shaft is connected to a top end of the diagonal rod.
PCT/CN2017/079270 2017-04-01 2017-04-01 Catheter advancing controlling method and catheter advancing device for vessel interventional surgery robot WO2018176458A1 (en)

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