WO2021057246A1 - Transurethral resectoscope surgical robot actuator - Google Patents

Transurethral resectoscope surgical robot actuator Download PDF

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Publication number
WO2021057246A1
WO2021057246A1 PCT/CN2020/105497 CN2020105497W WO2021057246A1 WO 2021057246 A1 WO2021057246 A1 WO 2021057246A1 CN 2020105497 W CN2020105497 W CN 2020105497W WO 2021057246 A1 WO2021057246 A1 WO 2021057246A1
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WO
WIPO (PCT)
Prior art keywords
surgical robot
supporting
robot actuator
resectoscope
operating handle
Prior art date
Application number
PCT/CN2020/105497
Other languages
French (fr)
Chinese (zh)
Inventor
王君臣
李汉忠
张学斌
Original Assignee
王君臣
李汉忠
张学斌
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
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Application filed by 王君臣, 李汉忠, 张学斌 filed Critical 王君臣
Publication of WO2021057246A1 publication Critical patent/WO2021057246A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • A61B34/35Surgical robots for telesurgery

Definitions

  • the invention belongs to the technical field of medical equipment, and specifically relates to a transurethral resection surgical robot actuator.
  • transurethral resection is generally performed by a surgeon holding a transurethral resection scope directly on the human body.
  • the transurethral resection scope in the prior art includes an endoscope, a manipulator 100 (or a resection device, as shown in FIG. 1), an outer sheath, an inner sheath, an obturator, and a resection
  • the main components such as the ring, the manipulator 100 includes a fixed operating handle 1, a movable operating handle 2, an optical fiber connector 3 and a cable connector 4.
  • the movable operating handle 2 is connected to the cable connector 4, the movable operating handle 2 can reciprocate, and the cable connector 4 is connected to the movable
  • the operating handle 2 moves synchronously.
  • the index finger and middle finger hook the fixed operation handle 1, the thumb pushes the movable operation handle 2, adjust the angle of the manipulator 100, push the movable operation handle 2 to push the electrosurgical ring, and step on the power pedal at the same time to complete the prostate and bladder Removal of tumors and other tissues.
  • the tissue may be insufficiently removed, which affects the treatment effect;
  • the doctor when performing surgery, the doctor is close to the patient, the perineum and the front of the urethra, which are easily contaminated by the patient’s body fluids, which poses safety risks and the doctor’s operating environment is poor.
  • transurethral resection of the prostate in order to obtain a good surgical vision Need to circulate perfusion and flushing, the flushing fluid is seriously polluted.
  • the prior art lacks a surgical robot actuator that connects the surgical robot and the transurethral resectoscope.
  • the embodiment of the present invention proposes a transurethral resection surgical robot actuator, which is used to connect the surgical robot and the transurethral resection scope.
  • a transurethral resectoscope surgical robot actuator which is used to connect a surgical robot and a transurethral resectoscope.
  • the surgical robot actuator includes a housing, a driving system, and a fixing system;
  • the housing defines an accommodating cavity
  • the driving system is used to drive the movable operating handle of the manipulator of the resectoscope to move;
  • the fixing system is used to fix the resectoscope on the surgical robot actuator, the fixing system includes a first supporting and fixing mechanism and a second supporting and fixing mechanism, and the first supporting and fixing mechanism is used to support and fix the surgical robot.
  • the fixed operating handle of the resectoscope manipulator, and the second supporting and fixing mechanism is used to support and fix the main body of the resectoscope manipulator.
  • the driving system includes a motor, a transmission device and a push rod, and the motor drives the push rod to make a reciprocating linear motion through the transmission device.
  • the housing is provided with a housing opening, the housing opening is provided with an opening cover, the opening cover has an escape opening, the push rod is drivingly connected to the motor through the housing opening, and the push rod The escape mouth stretched out.
  • the transmission device includes a lead screw, a lead screw nut, a sliding rail, and a sliding block; the distal end of the push rod is connected to the lead screw nut through the housing opening, and the proximal end of the push rod has a push rod clamping part
  • the push rod clamping portion has a clamping structure, and the clamping structure is used to drive the cable joint of the manipulator of the resectoscope to move.
  • an escape port seal is provided at the escape port, and the push rod is in sliding and sealing connection with the escape port seal.
  • the proximal end of the surgical robot actuator is provided with a first mounting seat and a second mounting seat, both ends of the lead screw are respectively provided on the first mounting seat and the second mounting seat, and the slide rail
  • the two ends of the slide rail are respectively fixedly mounted on the first mounting seat and the second mounting seat, the slide rail is arranged parallel to the lead screw, the slide block is slidably connected to the slide rail, and the slide block is connected to the slide rail.
  • the screw nut is fixedly connected.
  • first travel switch and a second travel switch are provided between the first mounting seat and the second mounting seat, and the travel switch is used to control the positioning of the screw nut on the first mounting seat and the second mounting seat. The limit travel between.
  • a housing mounting seat is also connected to the proximal end of the housing, the first supporting and fixing mechanism is arranged on the housing mounting seat, and the first supporting and fixing mechanism includes a fixed operating handle support seat and a fixed operating handle limiter.
  • the position structure and the pressure plate assembly, the fixed operating handle limiting structure is used to limit the movement of the manipulator of the resectoscope in its length direction, and the pressure plate assembly is used to press the fixed operating handle from the upper part of the fixed operating handle. Operation handle.
  • the pressure plate assembly includes a pressure plate and a pressure plate fastener, and the pressure plate fastener is used to apply pressure to the pressure plate so that the pressure plate presses the fixed operating handle.
  • the pressure plate fastener is a knob, the knob has a threaded rod, the fixed operating handle support seat is provided with a threaded hole, the pressure plate is provided with a through hole, and the threaded rod passes through the through hole of the pressure plate.
  • the hole is screw-fitted with the threaded hole, and the pressure plate can rotate around the threaded rod.
  • the limiting structure of the fixed operating handle is a limiting slot.
  • the fixing system further includes a second supporting and fixing mechanism, the second supporting and fixing mechanism is arranged on one side of the opening cover, and the opening cover is arranged side by side in the width direction of the surgical robot actuator;
  • the second supporting and fixing mechanism includes a first clamping portion and a first clamping portion support seat, the first clamping portion is provided on the first clamping portion support seat, and the first clamping portion is used for clamping Hold and fix the body of the resectoscope manipulator.
  • the fixing system further includes a third supporting and fixing mechanism for supporting and fixing the optical fiber connector of the manipulator of the resectoscope, and the third supporting and fixing mechanism includes a second clamping
  • the second clamping portion is provided on the second clamping portion support seat, and the second clamping portion is used for clamping and fixing the optical fiber connector.
  • the surgical robot actuator provided by the embodiments of the present invention has a reliable structure, can be stably and conveniently connected to the mechanical arm of the surgical robot, and firmly fix the resectoscope.
  • Other advantages of the surgical robot actuator of the embodiment of the present invention will be described in detail below.
  • Fig. 1 is a schematic structural diagram of a commonly used resectoscope in the prior art.
  • Fig. 2 is an exploded view of the surgical robot actuator proposed by the embodiment of the present invention.
  • Fig. 3 is a schematic diagram of the three-dimensional structure of the driving system of the surgical robot actuator proposed by the embodiment of the present invention.
  • Fig. 4 is a top view of the driving system of the surgical robot actuator proposed by the embodiment of the present invention.
  • Fig. 5 is a top view of the fixing system of the surgical robot actuator proposed by the embodiment of the present invention.
  • Fig. 6 is a schematic diagram of a three-dimensional structure of a fixing system for a surgical robot actuator provided by an embodiment of the present invention.
  • FIG. 7 is a schematic diagram of a three-dimensional structure of a surgical robot actuator equipped with a resectoscope according to an embodiment of the present invention.
  • Fig. 8 is a top view of the surgical robot actuator equipped with a resectoscope according to an embodiment of the present invention.
  • orientation or positional relationship indicated by the terms “length”, “width”, “upper”, “lower”, “far”, “near”, etc. is based on The orientation or positional relationship shown in the drawings is only for the convenience of describing the present invention and simplifying the description, and does not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and cannot be construed as limiting the present invention.
  • the specific scope of protection of the invention are only used for descriptive purposes and used to distinguish technical features without substantial meaning, and cannot be understood as indicating or implying relative importance or implicitly specifying the number of technical features.
  • the embodiment of the present invention proposes a transurethral resection surgical robot actuator, the surgical robot actuator can be connected to the robotic arm of the surgical robot and the transurethral resection scope to perform transurethral resection Endoscopic surgery for the removal of prostate, bladder tumors and other tissues.
  • the surgical robot actuator includes a housing, a driving system and a fixing system.
  • the housing encloses to form a accommodating cavity for accommodating various components of the surgical robot actuator, such as motors, transmission devices, and electrical components.
  • the driving system is used to drive the movable operating handle 2 of the manipulator 100 of the electric resection mirror to perform reciprocating motion, so as to push the resection loop to remove the tissue to be resected.
  • the fixing system is used to fix the resectoscope on the surgical robot actuator.
  • the reciprocating motion of the resection ring of the resection mirror (that is, the action of removing tissue) is driven by the actuator of the surgical robot, and other actions of the resection scope (such as position adjustment, posture adjustment, rotation, etc.) are performed by the operation
  • the robotic arm of the robot drives the surgical robot actuator, and then drives the electric resection mirror to complete.
  • the electric resection ring can be rotated by rotating the surgical robot actuator.
  • the housing includes an upper cover 11 and a lower housing 12, and the upper cover 11 and the lower housing 12 enclose and define a accommodating cavity with a distal opening at its distal end.
  • the distal opening of the housing may be closed by a connection system for connecting the robotic arm of the surgical robot, or, in another embodiment, the distal end of the upper cover 11 or the distal end of the lower housing 12 is provided with an integral molding
  • the distal end wall of the housing, that is, the distal end of the housing is a closed structure.
  • the upper cover 11 is substantially in the shape of a flat plate
  • the lower shell 12 is enclosed by a bottom plate, two opposite side plates and a proximal wall plate into a groove-shaped structure with an open upper part and a distal end.
  • the housing is provided with a housing opening, for example, a housing opening 111 is provided at the proximal end of the upper cover 11, and the push rod of the driving system is drivingly connected with the motor of the driving system through the housing opening 111.
  • the housing opening 111 is provided with an opening cover 112, the opening cover 112 is enclosed by a cover plate and a side plate, the proximal end of the opening cover 112 has an escape port 113, and the side plate of the opening cover 112 is provided with a fixed Part, the opening cover 112 is connected to the upper cover 11 via the fixing part, preferably a detachable connection.
  • the push rod extends from the avoidance opening 113.
  • the opening cover 112 can prevent patient body fluids or medical reagents from entering the inside of the housing.
  • a housing mounting seat 114 is further provided at the proximal end of the housing.
  • the housing mounting seat 114 is connected to the proximal end of the lower housing 12, and more preferably, the housing mounting seat 114 is connected to the lower housing 12
  • the housing mounting seat 114 is formed to extend outward from the proximal end of the lower housing 12 along the length direction of the lower housing 12.
  • the upper cover 11 and the lower shell 12 are fixedly connected, for example, screwed.
  • the upper cover 11 and the lower housing 12 are connected in a sealed manner, for example, a housing seal, such as a sealing ring, is provided at the junction of the upper cover 11 and the lower housing 12.
  • a housing seal such as a sealing ring
  • the sealed connection of the shell can prevent body fluids and medical reagents (such as washing fluid) from splashing into the shell and damaging the components installed in the shell.
  • the driving system is used to drive the movable operating handle 2 of the manipulator 100 of the electric resection mirror to perform reciprocating motion, so as to push the resection loop to remove the tissue to be resected.
  • the driving system includes a motor 21, a push rod 22 and a transmission device.
  • the motor 21 and the transmission device are arranged in the housing.
  • the motor 21 is used to drive the push rod 22 to make a reciprocating linear motion.
  • the motor 21 is a servo motor.
  • the transmission device includes a lead screw 23, a lead screw nut 24, a sliding rail 25 and a sliding block 26.
  • the screw is a ball screw, and the screw 23 can rotate in both forward and reverse directions under the drive of the motor 21.
  • the screw nut 24 is driven to reciprocate along the axial direction of the screw 23. movement.
  • the proximal end of the surgical robot actuator is provided with a first mounting seat 27 and a second mounting seat 28, and the first mounting seat 27 and the second mounting seat 28 are fixedly connected to the housing, for example, to the upper
  • the cover 11 and/or the lower shell 12 are fixedly connected.
  • the two ends of the screw 23 are respectively arranged on the first mounting seat 27 and the second mounting seat 28.
  • the two ends of the slide rail 25 are fixedly mounted on the first mounting seat 27 and the second mounting seat 28, respectively, the slide rail 25 is arranged parallel to the lead screw 23, and the slider 26 is connected to the slide
  • the rail 25 is slidably connected, and the sliding block 26 is fixedly connected to the screw nut 24.
  • the push rod 22 is connected to the lead screw nut 24.
  • the push rod 22 is connected to the lead screw nut 24 via the slider 26.
  • the screw nut 24 can drive the push rod 22 to reciprocate.
  • the slide rail 25 includes a first slide rail and a second slide rail that are arranged in parallel, and the first slide rail and the second slide rail are respectively provided on both sides of the lead screw 23.
  • the push rod 22 is L-shaped, the distal end of the push rod 22 is connected to the screw nut 24, the proximal end of the push rod 22 extends upward to form a push rod clamping portion 221, and the push rod clamping portion 221 There is a clamping structure at the top end of the, and the clamping structure is used to drive the cable joint 4 to move.
  • the clamping structure is used to clamp the external electrode that is electrically connected to the cable joint 4 of the resectoscope manipulator (
  • the external electrode is not shown in the figure, and the clamping state of the proximal end of the push rod only indicates the position of the clamping structure); in another embodiment, the clamping structure is used to clamp the cable connector 4 (when the external electrode When inserting the cable connector 4).
  • the clamping structure is U-shaped, for example. When in use, the cable connector 4 is inserted into the external electrode (or the external electrode is inserted into the cable connector 4). Therefore, the push rod 22 can drive the cable connector 4 when the push rod 22 performs reciprocating linear motion under the drive of the motor 21. Perform a reciprocating linear motion.
  • the push rod 22 drives the movement of the cable connector 4 to drive the movable operating handle 2 to reciprocate, thereby driving the resectoscope
  • the electric resection loop moves to perform tissue resection.
  • the distal end of the push rod 22 is connected to the screw nut 24 through the housing opening 111, and the push rod 22 extends through the escape opening 113 at the proximal end of the opening cover 112.
  • the avoidance port 113 is further provided with a avoidance port 113 sealing member, and the push rod 22 is slidingly and sealedly connected with the avoidance port 113 sealing member to prevent body fluids or medical reagents from splashing into the inside of the housing. Damage to the components installed inside the enclosure.
  • a first travel switch and a second travel switch are provided between the first mounting base 27 and the second mounting base 28, and the travel switch is used to control the lead screw nut 24 in the first position.
  • the limit stroke between the first mounting seat 27 and the second mounting seat 28 prevents the screw nut 24/slider 26 from hitting the first mounting seat 27 and the second mounting seat 28.
  • the first travel switch is provided on the first mounting base 27, and the second travel switch is provided on the second mounting base 28.
  • the fixing system is used to fix the resectoscope on the surgical robot actuator.
  • the fixing system includes a first supporting and fixing mechanism and a second supporting and fixing mechanism, and the first supporting and fixing mechanism and the second supporting and fixing mechanism can support and fix the manipulator 100 of the resectoscope in different directions.
  • the first supporting and fixing mechanism is used to support and fix the fixed operating handle 1 of the manipulator 100 of the resectoscope
  • the second support and fixing mechanism is used to support and fix the body of the resectoscope manipulator (such as Figure 8, the position shown in Figure 9).
  • the fixing system further includes a third supporting and fixing mechanism for supporting and fixing the optical fiber connector 3 of the manipulator 100 of the resectoscope.
  • the first supporting and fixing mechanism includes a fixed operating handle support seat 31, a fixed operating handle limiting structure 32, and a pressure plate assembly.
  • the first supporting and fixing mechanism is arranged on the housing mounting base 114.
  • the fixed operating handle limiting structure 32 is used to restrict the movement of the manipulator of the resectoscope in its length direction, and the pressing plate assembly is used to press the fixed operating handle from the upper part of the fixed operating handle.
  • the shape of the fixed operating handle support seat 31 is adapted to the shape of the fixed operating handle 1 of the resectoscope, so that the fixed operating handle 1 can be stably supported on the fixed operating handle support seat.
  • the fixed operating handle 1 of the resectoscope includes a first pressing portion 1a and a second pressing portion 1b, which are respectively located on both sides of the main axis of the manipulator 100, and the doctor's middle finger and ring finger are pressed against the first pressing portion 1a and the second pressing portion 1b.
  • the index finger is pressed against the second pressing portion 1b.
  • the fixed operating handle limiting structure 32 is used for limiting the fixed operating handle, such as a limiting slot.
  • the fixed operating handle protrudes out of the limiting slot.
  • the fixed operating handle limiting structure 32 is provided on the upper surface of the fixed operating handle supporting seat 31, and includes a first pressing portion limiting groove 32 (as shown in FIG.
  • the limiting groove of the pressing portion is defined by two protruding portions spaced apart on the upper part of the fixed operating handle support base 31), and/or the limiting groove of the second pressing portion (not shown in the figure).
  • the first pressing portion 1a protrudes beyond the limiting groove of the first pressing portion in its thickness direction (as shown in FIG. 8), and/or, the second pressing portion 1b is in its thickness It protrudes in the direction beyond the limiting groove of the second pressing portion.
  • the pressure plate assembly is used to press and fix the fixed operating handle 1, and includes a pressure plate 33 and a pressure plate fastener 34.
  • the pressure plate fastener 34 is used to apply pressure to the pressure plate 33 so that the pressure plate 33 is pressed against.
  • the pressure plate fastener 34 is a knob, the knob has a threaded rod, the fixed operating handle support seat 31 is provided with a threaded hole, the pressure plate 33 is provided with a through hole, and the threaded rod The through hole passing through the pressing plate 34 is screw-fitted with the threaded hole, and the pressing plate 33 can rotate around the threaded rod.
  • the pressure plate assembly includes a first pressure plate assembly, and/or a second pressure plate assembly.
  • the pressure plate includes a first pressure plate and/or a second pressure plate
  • the pressure plate fastener includes a first pressure plate and/or a second pressure plate.
  • the knob may include a first knob and/or a second knob.
  • the first pressing plate assembly is used for pressing and fixing the first pressing portion of the fixed operating handle
  • the second pressing plate assembly is used for pressing and fixing the second pressing portion of the fixed operating handle.
  • the second supporting and fixing mechanism is arranged on the upper cover 11.
  • the second supporting and fixing mechanism is arranged on one side of the opening cover 112, and the second supporting and fixing mechanism is connected to the
  • the opening covers 112 are arranged substantially side by side in the width direction of the surgical robot actuator.
  • the second supporting and fixing mechanism includes a first clamping portion 41 and a first clamping portion support seat 42.
  • the first clamping portion 41 is used to support and fix the body of the resectoscope manipulator 100, and the first clamping portion is, for example, a U-shaped elastic clamping piece.
  • the first clamping portion 41 is disposed on the first clamping portion support seat 42, the first clamping portion support seat 42 is disposed on the upper cover 11, and the first clamping portion 41 is used for clamping The main body of the resectoscope manipulator 100 is held and fixed.
  • the fixed operating handle limiting structure 32 of the first supporting and fixing mechanism and the second supporting and fixing mechanism respectively support and fix the fixed operating handle of the resectoscope in different directions (length direction and width direction) of the resectoscope manipulator.
  • the first clamping portion 41 is as shown in the figure In the structure, the manipulator body can be held tightly, thereby restricting the manipulator from moving in the direction away from the outer surface of the surgical implement.
  • the two supporting and fixing mechanisms fix and support the resectoscope manipulator in two different directions, which can firmly fix the resectoscope manipulator on the surgical robot actuator of this embodiment, which solves the problem of stabilizing the fixation of surgical instruments in a single direction.
  • the pressing plate assembly is convenient to operate, simple to process, low in cost, and good in fixing effect.
  • the third supporting and fixing mechanism is used to support and fix the optical fiber connector 3 of the resectoscope manipulator 100.
  • the third supporting and fixing mechanism includes a second clamping portion 51 and a second clamping portion support seat 52.
  • the second clamping portion 51 is used to support and fix the optical fiber connector 3 of the resectoscope manipulator 100
  • the second clamping portion 52 is, for example, a U-shaped elastic clamping piece.
  • the second clamping portion 51 is provided on the second clamping portion supporting seat 52, the second clamping portion supporting seat 52 is provided on the upper cover 11, and the second clamping portion 51 is used for To clamp and fix the optical fiber connector 3 of the manipulator 100.
  • the first clamping portion support seat 42 and the second clamping portion support seat 52 are an integral structure.
  • the optical fiber connector 3 of the resectoscope manipulator 100 extends from the manipulator body in the width direction of the manipulator.
  • a supporting and fixing point is added, which can make the supporting and fixing of the manipulator more stable.
  • an encoder which is used to record the rotation speed and the number of rotations to realize motion control
  • an adapter plate which is used to electrically connect internal circuits and external controls, for example. Circuit.
  • the surgical robot actuator is connected with the mechanical arm of the surgical robot via a connection system.
  • the robotic arm of the surgical robot has multiple degrees of freedom, and can complete the position adjustment, posture adjustment, and rotation of the surgical robot's actuator.
  • the operation of the resectoscope can be controlled by controlling the operation of the surgical robot's actuator.
  • the connection system can adopt various connection modes in the prior art to realize the detachable connection with the connection system.
  • the above-mentioned other electrical components and connection systems can all adopt mature solutions in the prior art. It has nothing to do with the innovation of the present invention, so it is unnecessary to repeat it.
  • the surgical robot actuator of the embodiment of the present invention can stably and firmly connect the surgical robot's mechanical arm and surgical instruments, such as a resectoscope.
  • the surgical robot actuator controls the straight line of the electrosurgical loop Movement, the overall movement of the actuator of the surgical robot is controlled by the mechanical arm to control the position and posture of the manipulator of the resectoscope, so as to realize the surgical process.

Abstract

A transurethral resectoscope surgical robot actuator, used for connecting a surgical robot and a transurethral resectoscope. The surgical robot actuator comprises a housing, a driving system, and a fixing system. The housing defines an accommodating cavity. The driving system is used to drive a movable operating handle (2) of a manipulator (100) of the resectoscope to move. The fixing system is used to fix the resectoscope on the surgical robot actuator. The fixing system comprises a first supporting and fixing mechanism and a second supporting and fixing mechanism. The first supporting and fixing mechanism is used to support and fix a fixed operating handle (1) of the manipulator (100) of the resectoscope, and the second supporting and fixing mechanism is used to support and fix the body of the manipulator (100) of the resectoscope. The surgical robot actuator can stably and firmly fix the resectoscope.

Description

一种经尿道电切镜手术机器人执行器Robot actuator for transurethral resection surgery
本申请要求2019年9月26日向中国国家知识产权局提交的专利申请号为201921619322.9,名称为“一种经尿道电切镜手术机器人执行器”的在先申请的优先权。所述在先申请的全文通过引用的方式结合于本申请中。This application claims the priority of the prior application with the patent application number 201921619322.9 filed with the State Intellectual Property Office of China on September 26, 2019, titled "A Transurethral Resection Robot Actuator". The full text of the prior application is incorporated into this application by reference.
技术领域Technical field
本发明属于医疗器械技术领域,具体涉及一种经尿道电切镜手术机器人执行器。The invention belongs to the technical field of medical equipment, and specifically relates to a transurethral resection surgical robot actuator.
背景技术Background technique
经尿道电切镜手术的实施一般由外科医生持经尿道电切镜直接在人体上操作。参照图1,通常,现有技术中的经尿道电切镜包括内窥镜、操作器100(或称电切器,如图1所示)、外鞘、内鞘、闭孔器、电切环等主要部件,操作器100包括固定操作柄1、活动操作柄2、光纤接头3和电缆接头4,活动操作柄2与电缆接头4连接,活动操作柄2能够往复运动,电缆接头4与活动操作柄2同步运动。实施手术时,食指和中指勾住固定操作柄1,拇指推动活动操作柄2,调整好操作器100角度,通过推动活动操作柄2来推动电切环,同时踩下通电踏板以完成前列腺、膀胱肿瘤等组织的切除。The implementation of transurethral resection is generally performed by a surgeon holding a transurethral resection scope directly on the human body. 1, generally, the transurethral resection scope in the prior art includes an endoscope, a manipulator 100 (or a resection device, as shown in FIG. 1), an outer sheath, an inner sheath, an obturator, and a resection The main components such as the ring, the manipulator 100 includes a fixed operating handle 1, a movable operating handle 2, an optical fiber connector 3 and a cable connector 4. The movable operating handle 2 is connected to the cable connector 4, the movable operating handle 2 can reciprocate, and the cable connector 4 is connected to the movable The operating handle 2 moves synchronously. During the operation, the index finger and middle finger hook the fixed operation handle 1, the thumb pushes the movable operation handle 2, adjust the angle of the manipulator 100, push the movable operation handle 2 to push the electrosurgical ring, and step on the power pedal at the same time to complete the prostate and bladder Removal of tumors and other tissues.
这种外科手术的实施方式存在两个重要缺陷,一是过于依赖外科医生的技术水平和经验,手术效果受医生个体影响大,难以保证手术的精准、安全,无法实现手术的标准化、规范化,手术过程往往费时费力,工作强度大,给医生和患者均带来痛苦,若医生经验欠缺、技术不熟练可能导致临近组织如直肠损伤或大出血等严重后果,同时可能组织切除不充分,影响治疗效果;二是实施手术时,医生紧邻患者,会阴部及尿道的前方,容易受到患者体液的污染,存在安全隐患,并且医生操作环境较差,例如,经尿道前列腺电切术,为了取得良好手术视野,需要循环灌注冲洗,冲洗液污染严重。There are two important shortcomings in the implementation of this surgical operation. One is that it relies too much on the technical level and experience of the surgeon. The effect of the operation is greatly affected by the individual doctor. It is difficult to ensure the accuracy and safety of the operation, and it is impossible to achieve the standardization and standardization of the operation. The process is often time-consuming and laborious, and the work intensity is high, which brings pain to both the doctor and the patient. If the doctor lacks experience and skills, it may cause serious consequences such as rectal injury or hemorrhage in the adjacent tissues. At the same time, the tissue may be insufficiently removed, which affects the treatment effect; Second, when performing surgery, the doctor is close to the patient, the perineum and the front of the urethra, which are easily contaminated by the patient’s body fluids, which poses safety risks and the doctor’s operating environment is poor. For example, transurethral resection of the prostate, in order to obtain a good surgical vision Need to circulate perfusion and flushing, the flushing fluid is seriously polluted.
通过手术机器人辅助外科医生进行手术是解决上述问题的一种方案,通过建立待手术部位的三维模型,预先进行手术规划,然后由医生控制手术机器人执行手术过程。由此,既使手术能够标准化、规范化,减轻医生负担,并且,医生可以远距离操作手术机器人,不必靠近患者,能够避免受到污染。Using surgical robots to assist surgeons to perform operations is a solution to the above-mentioned problems. By establishing a three-dimensional model of the site to be operated on, the surgical planning is performed in advance, and then the doctor controls the surgical robot to perform the surgical process. As a result, even if the operation can be standardized and standardized, the burden on the doctor can be reduced, and the doctor can operate the surgical robot at a long distance without being close to the patient, which can avoid contamination.
然而,现有技术中缺乏连接手术机器人与经尿道电切镜的手术机器人执行器。However, the prior art lacks a surgical robot actuator that connects the surgical robot and the transurethral resectoscope.
发明内容Summary of the invention
有鉴于此,本发明实施例提出了一种经尿道电切镜手术机器人执行器,用于连接手术机器人和经尿道电切镜。In view of this, the embodiment of the present invention proposes a transurethral resection surgical robot actuator, which is used to connect the surgical robot and the transurethral resection scope.
一种经尿道电切镜手术机器人执行器,用于连接手术机器人和经尿道电切镜,所述手术机器人执行器包括外壳、驱动系统和固定系统;A transurethral resectoscope surgical robot actuator, which is used to connect a surgical robot and a transurethral resectoscope. The surgical robot actuator includes a housing, a driving system, and a fixing system;
所述外壳限定出容置腔;The housing defines an accommodating cavity;
所述驱动系统用于驱动电切镜的操作器的活动操作柄运动;The driving system is used to drive the movable operating handle of the manipulator of the resectoscope to move;
所述固定系统用于将电切镜固定在所述手术机器人执行器上,所述固定系统包括第一支撑固定机构和第二支撑固定机构,所述第一支撑固定机构用于支撑并固定所述电切镜的操作器的固定操作柄,所述第二支撑固定机构用于支撑并固定所述电切镜操作器的本体。The fixing system is used to fix the resectoscope on the surgical robot actuator, the fixing system includes a first supporting and fixing mechanism and a second supporting and fixing mechanism, and the first supporting and fixing mechanism is used to support and fix the surgical robot. The fixed operating handle of the resectoscope manipulator, and the second supporting and fixing mechanism is used to support and fix the main body of the resectoscope manipulator.
进一步,所述驱动系统包括电机、传动装置和推杆,所述电机经所述传动装置驱动推杆做往复直线运动。Further, the driving system includes a motor, a transmission device and a push rod, and the motor drives the push rod to make a reciprocating linear motion through the transmission device.
进一步,所述外壳设置有外壳开口,所述外壳开口上设置有开口盖,所述开口盖具有避让口,所述推杆经所述外壳开口与所述电机驱动连接,所述推杆自所述避让口伸出。Further, the housing is provided with a housing opening, the housing opening is provided with an opening cover, the opening cover has an escape opening, the push rod is drivingly connected to the motor through the housing opening, and the push rod The escape mouth stretched out.
进一步,所述传动装置包括丝杠、丝杠螺母、滑轨和滑块;所述推杆远端经所述外壳开口连接所述丝杠螺母,所述推杆近端具有推杆夹持部,推杆夹持部具有夹持结构,所述夹持结构用于带动所述电切镜的操作器的电缆接头运动。Further, the transmission device includes a lead screw, a lead screw nut, a sliding rail, and a sliding block; the distal end of the push rod is connected to the lead screw nut through the housing opening, and the proximal end of the push rod has a push rod clamping part The push rod clamping portion has a clamping structure, and the clamping structure is used to drive the cable joint of the manipulator of the resectoscope to move.
进一步,在所述避让口处设置有避让口密封件,所述推杆与所述避让口密封件滑动密封连接。Further, an escape port seal is provided at the escape port, and the push rod is in sliding and sealing connection with the escape port seal.
进一步,所述手术机器人执行器的近端设置有第一安装座和第二安装座,所述丝杠的两端分别设置在所述第一安装座和第二安装座上,所述滑轨的两端分别固定安装在所述第一安装座和第二安装座上,所述滑轨与所述丝杠平行设置,所述滑块与所述滑轨滑动连接,所述滑块与所述丝杠螺母固定连接。Further, the proximal end of the surgical robot actuator is provided with a first mounting seat and a second mounting seat, both ends of the lead screw are respectively provided on the first mounting seat and the second mounting seat, and the slide rail The two ends of the slide rail are respectively fixedly mounted on the first mounting seat and the second mounting seat, the slide rail is arranged parallel to the lead screw, the slide block is slidably connected to the slide rail, and the slide block is connected to the slide rail. The screw nut is fixedly connected.
进一步,所述第一安装座和第二安装座之间设置有第一行程开关和第二行程开关,所述行程开关用于控制所述丝杠螺母的在第一安装座和第二安装座之间的极限行程。Further, a first travel switch and a second travel switch are provided between the first mounting seat and the second mounting seat, and the travel switch is used to control the positioning of the screw nut on the first mounting seat and the second mounting seat. The limit travel between.
进一步,所述外壳的近端部还连接有外壳安装座,所述第一支撑固定机构设置在所述外壳安装座上,所述第一支撑固定机构包括固定操作柄支撑座、固定操作柄限位结构和压板组件,所述固定操作柄限位结构用于限制所述电切镜的操作器在其长度方向上运动,所述压板 组件用于自所述固定操作柄上部抵压所述固定操作柄。Further, a housing mounting seat is also connected to the proximal end of the housing, the first supporting and fixing mechanism is arranged on the housing mounting seat, and the first supporting and fixing mechanism includes a fixed operating handle support seat and a fixed operating handle limiter. The position structure and the pressure plate assembly, the fixed operating handle limiting structure is used to limit the movement of the manipulator of the resectoscope in its length direction, and the pressure plate assembly is used to press the fixed operating handle from the upper part of the fixed operating handle. Operation handle.
进一步,所述压板组件包括压板和压板紧固件,所述压板紧固件用于向所述压板施加压力以使所述压板抵压所述固定操作柄。Further, the pressure plate assembly includes a pressure plate and a pressure plate fastener, and the pressure plate fastener is used to apply pressure to the pressure plate so that the pressure plate presses the fixed operating handle.
进一步,所述压板紧固件为旋钮,所述旋钮具有螺纹杆,所述固定操作柄支撑座上开设有螺纹孔,所述压板开设有通孔,所述螺纹杆穿过所述压板的通孔与所述螺纹孔螺接配合,所述压板能够绕所述螺纹杆转动。Further, the pressure plate fastener is a knob, the knob has a threaded rod, the fixed operating handle support seat is provided with a threaded hole, the pressure plate is provided with a through hole, and the threaded rod passes through the through hole of the pressure plate. The hole is screw-fitted with the threaded hole, and the pressure plate can rotate around the threaded rod.
进一步,所述固定操作柄限位结构为限位槽。Further, the limiting structure of the fixed operating handle is a limiting slot.
进一步,所述固定系统还包括第二支撑固定机构,所述第二支撑固定机构设置在所述开口盖的一侧,与所述开口盖在所述手术机器人执行器的宽度方向上并排设置;所述第二支撑固定机构包括第一夹持部和第一夹持部支撑座,第一夹持部设置在所述第一夹持部支撑座上,所述第一夹持部用于夹持固定所述电切镜操作器的本体。Further, the fixing system further includes a second supporting and fixing mechanism, the second supporting and fixing mechanism is arranged on one side of the opening cover, and the opening cover is arranged side by side in the width direction of the surgical robot actuator; The second supporting and fixing mechanism includes a first clamping portion and a first clamping portion support seat, the first clamping portion is provided on the first clamping portion support seat, and the first clamping portion is used for clamping Hold and fix the body of the resectoscope manipulator.
进一步,所述固定系统还包括第三支撑固定机构,所述第三支撑固定机构用于支撑并固定所述电切镜的操作器的光纤接头,所述第三支撑固定机构包括第二夹持部和第二夹持部支撑座,第二夹持部设置在所述第二夹持部支撑座上,所述第二夹持部用于夹持固定所述光纤接头。Further, the fixing system further includes a third supporting and fixing mechanism for supporting and fixing the optical fiber connector of the manipulator of the resectoscope, and the third supporting and fixing mechanism includes a second clamping The second clamping portion is provided on the second clamping portion support seat, and the second clamping portion is used for clamping and fixing the optical fiber connector.
本发明实施例的有益效果:本发明实施例提出的手术机器人执行器结构可靠,能够稳定、方便地连接手术机器人的机械臂,并牢固地固定电切镜。本发明实施例的手术机器人执行器的其他优点将在下文中详细说明。The beneficial effects of the embodiments of the present invention: the surgical robot actuator provided by the embodiments of the present invention has a reliable structure, can be stably and conveniently connected to the mechanical arm of the surgical robot, and firmly fix the resectoscope. Other advantages of the surgical robot actuator of the embodiment of the present invention will be described in detail below.
附图说明Description of the drawings
图1是现有技术中的一种常用的电切镜的结构示意图。Fig. 1 is a schematic structural diagram of a commonly used resectoscope in the prior art.
图2是本发明实施例提出的手术机器人执行器的爆炸图。Fig. 2 is an exploded view of the surgical robot actuator proposed by the embodiment of the present invention.
图3是本发明实施例提出的手术机器人执行器的驱动系统立体结构示意图。Fig. 3 is a schematic diagram of the three-dimensional structure of the driving system of the surgical robot actuator proposed by the embodiment of the present invention.
图4是本发明实施例提出的手术机器人执行器的驱动系统的俯视图。Fig. 4 is a top view of the driving system of the surgical robot actuator proposed by the embodiment of the present invention.
图5是本发明实施例提出的手术机器人执行器的固定系统的俯视图。Fig. 5 is a top view of the fixing system of the surgical robot actuator proposed by the embodiment of the present invention.
图6是本发明实施例提出的手术机器人执行器的固定系统的立体结构示意图。Fig. 6 is a schematic diagram of a three-dimensional structure of a fixing system for a surgical robot actuator provided by an embodiment of the present invention.
图7是本发明实施例提出的手术机器人执行器装配电切镜的立体结构示意图。FIG. 7 is a schematic diagram of a three-dimensional structure of a surgical robot actuator equipped with a resectoscope according to an embodiment of the present invention.
图8是本发明实施例提出的手术机器人执行器装配电切镜的俯视图。Fig. 8 is a top view of the surgical robot actuator equipped with a resectoscope according to an embodiment of the present invention.
具体实施方式detailed description
为使本发明的目的、技术方案和优点更加清楚明白,以下结合具体实施例,并参照附图,对本发明进一步详细说明。但本领域技术人员知晓,本发明并不局限于附图和以下实施例。In order to make the objectives, technical solutions, and advantages of the present invention clearer, the following further describes the present invention in detail in conjunction with specific embodiments and with reference to the accompanying drawings. However, those skilled in the art know that the present invention is not limited to the drawings and the following embodiments.
在发明的描述中,需要说明的是,对于方位词,如术语“长度”、“宽度”、“上”、“下”、“远”、“近”等所指示的方位或位置关系是基于附图所示的方位或位置关系,仅是为了便于叙述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定方位构造和操作,不能理解为限制本发明的具体保护范围。此外,术语“第一”、“第二”仅用于描述目的,用以区别技术特征,不具有实质含义,不能理解为指示或暗示相对重要性或隐含指明技术特征的数量。In the description of the invention, it should be noted that the orientation or positional relationship indicated by the terms "length", "width", "upper", "lower", "far", "near", etc., is based on The orientation or positional relationship shown in the drawings is only for the convenience of describing the present invention and simplifying the description, and does not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and cannot be construed as limiting the present invention. The specific scope of protection of the invention. In addition, the terms "first" and "second" are only used for descriptive purposes and used to distinguish technical features without substantial meaning, and cannot be understood as indicating or implying relative importance or implicitly specifying the number of technical features.
参照图2-图8,本发明实施例提出了一种经尿道电切镜手术机器人执行器,该手术机器人执行器能够连接手术机器人的机械臂和经尿道电切镜,以执行经尿道电切镜手术,用于前列腺、膀胱肿瘤等组织的切除等。2-8, the embodiment of the present invention proposes a transurethral resection surgical robot actuator, the surgical robot actuator can be connected to the robotic arm of the surgical robot and the transurethral resection scope to perform transurethral resection Endoscopic surgery for the removal of prostate, bladder tumors and other tissues.
所述手术机器人执行器包括外壳、驱动系统和固定系统。The surgical robot actuator includes a housing, a driving system and a fixing system.
所述外壳围合形成容置腔,以容纳手术机器人执行器的各部件,例如电机、传动装置、电气元件等。The housing encloses to form a accommodating cavity for accommodating various components of the surgical robot actuator, such as motors, transmission devices, and electrical components.
所述驱动系统用于驱动电切镜的操作器100的活动操作柄2进行往复运动,以推动电切环切除待切除的组织。The driving system is used to drive the movable operating handle 2 of the manipulator 100 of the electric resection mirror to perform reciprocating motion, so as to push the resection loop to remove the tissue to be resected.
所述固定系统用于将电切镜固定在所述手术机器人执行器上。The fixing system is used to fix the resectoscope on the surgical robot actuator.
由此,电切镜的电切环的往复运动(即切除组织的动作)由所述手术机器人执行器驱动完成,而电切镜的其他动作(如位置调整、姿态调整、旋转等)由手术机器人的机械臂带动手术机器人执行器,进而带动电切镜来完成,以旋转为例,通过旋转所述手术机器人执行器即可实现电切环的转动操作。As a result, the reciprocating motion of the resection ring of the resection mirror (that is, the action of removing tissue) is driven by the actuator of the surgical robot, and other actions of the resection scope (such as position adjustment, posture adjustment, rotation, etc.) are performed by the operation The robotic arm of the robot drives the surgical robot actuator, and then drives the electric resection mirror to complete. Taking rotation as an example, the electric resection ring can be rotated by rotating the surgical robot actuator.
外壳shell
在一个实施方式中,所述外壳包括上盖11和下壳12,所述上盖11和下壳12围合限定出其远端具有远端开口的容置腔。所述外壳的远端开口可以由用于连接手术机器人的机械臂的连接系统封闭,或者,在另一个实施方式中,所述上盖11的远端或下壳12的远端设置有一体成型的远端壁板,即,外壳的远端为封闭结构。外壳远端设置为开放结构的优点在于加工简单、成本低。In one embodiment, the housing includes an upper cover 11 and a lower housing 12, and the upper cover 11 and the lower housing 12 enclose and define a accommodating cavity with a distal opening at its distal end. The distal opening of the housing may be closed by a connection system for connecting the robotic arm of the surgical robot, or, in another embodiment, the distal end of the upper cover 11 or the distal end of the lower housing 12 is provided with an integral molding The distal end wall of the housing, that is, the distal end of the housing is a closed structure. The advantages of setting the distal end of the shell as an open structure are simple processing and low cost.
优选的,所述上盖11大致呈平板状,所述下壳12由底板、两个相对的侧板和近端壁板围合成上部和远端开放的槽形结构。Preferably, the upper cover 11 is substantially in the shape of a flat plate, and the lower shell 12 is enclosed by a bottom plate, two opposite side plates and a proximal wall plate into a groove-shaped structure with an open upper part and a distal end.
所述外壳上设置有外壳开口,例如,在所述上盖11的近端设置有外壳开口111,所述驱动系统的推杆经所述外壳开口111与驱动系统的电机驱动连接。所述外壳开口111上设置有开口盖112,所述开口盖112由盖板和侧板围合而成,开口盖112的近端部具有避让口113,开口盖112的侧板上设置有固定部,所述开口盖112经所述固定部与所述上盖11连接,优选为可拆卸连接。所述推杆自所述避让口113伸出。所述开口盖112能够防止患者体液或医疗试剂进入所述外壳内部。The housing is provided with a housing opening, for example, a housing opening 111 is provided at the proximal end of the upper cover 11, and the push rod of the driving system is drivingly connected with the motor of the driving system through the housing opening 111. The housing opening 111 is provided with an opening cover 112, the opening cover 112 is enclosed by a cover plate and a side plate, the proximal end of the opening cover 112 has an escape port 113, and the side plate of the opening cover 112 is provided with a fixed Part, the opening cover 112 is connected to the upper cover 11 via the fixing part, preferably a detachable connection. The push rod extends from the avoidance opening 113. The opening cover 112 can prevent patient body fluids or medical reagents from entering the inside of the housing.
所述外壳的近端部还设置有外壳安装座114,优选的,所述外壳安装座114连接于下壳12的近端部,更优选的,所述外壳安装座114与所述下壳12为一体结构,所述外壳安装座114自下壳12的近端部沿所述下壳12的长度方向向外延伸形成。A housing mounting seat 114 is further provided at the proximal end of the housing. Preferably, the housing mounting seat 114 is connected to the proximal end of the lower housing 12, and more preferably, the housing mounting seat 114 is connected to the lower housing 12 As an integral structure, the housing mounting seat 114 is formed to extend outward from the proximal end of the lower housing 12 along the length direction of the lower housing 12.
所述上盖11和下壳12固定连接,例如螺接固定。优选所述上盖11和下壳12密封连接,例如在上盖11和下壳12的相接处设置外壳密封件,例如密封圈。外壳密封连接能够防止体液、医疗用试剂(如冲洗液)等溅入外壳内,损坏安装在外壳内的部件。The upper cover 11 and the lower shell 12 are fixedly connected, for example, screwed. Preferably, the upper cover 11 and the lower housing 12 are connected in a sealed manner, for example, a housing seal, such as a sealing ring, is provided at the junction of the upper cover 11 and the lower housing 12. The sealed connection of the shell can prevent body fluids and medical reagents (such as washing fluid) from splashing into the shell and damaging the components installed in the shell.
驱动系统Drive System
所述驱动系统用于驱动电切镜的操作器100的活动操作柄2进行往复运动,以推动电切环切除待切除的组织。The driving system is used to drive the movable operating handle 2 of the manipulator 100 of the electric resection mirror to perform reciprocating motion, so as to push the resection loop to remove the tissue to be resected.
所述驱动系统包括电机21、推杆22和传动装置。所述电机21和传动装置设置在所述外壳内。The driving system includes a motor 21, a push rod 22 and a transmission device. The motor 21 and the transmission device are arranged in the housing.
所述电机21用于驱动所述推杆22做往复直线运动。优选的,所述电机21为伺服电机。The motor 21 is used to drive the push rod 22 to make a reciprocating linear motion. Preferably, the motor 21 is a servo motor.
所述传动装置包括丝杠23、丝杠螺母24、滑轨25和滑块26。优选所述丝杠为滚珠丝杠,所述丝杠23能够在所述电机21的驱动下向正反两个方向转动,丝杠23转动时带动丝杠螺母24沿丝杠23的轴向往复运动。The transmission device includes a lead screw 23, a lead screw nut 24, a sliding rail 25 and a sliding block 26. Preferably, the screw is a ball screw, and the screw 23 can rotate in both forward and reverse directions under the drive of the motor 21. When the screw 23 rotates, the screw nut 24 is driven to reciprocate along the axial direction of the screw 23. movement.
所述手术机器人执行器的近端设置有第一安装座27和第二安装座28,所述第一安装座27和所述第二安装座28与所述外壳固定连接,例如与所述上盖11和/或所述下壳12固定连接。所述丝杠23的两端分别设置在所述第一安装座27和第二安装座28上。所述滑轨25的两端分别固定安装在所述第一安装座27和第二安装座28上,所述滑轨25与所述丝杠23平行设置,所述滑块26与所述滑轨25滑动连接,所述滑块26与所述丝杠螺母24固定连接。The proximal end of the surgical robot actuator is provided with a first mounting seat 27 and a second mounting seat 28, and the first mounting seat 27 and the second mounting seat 28 are fixedly connected to the housing, for example, to the upper The cover 11 and/or the lower shell 12 are fixedly connected. The two ends of the screw 23 are respectively arranged on the first mounting seat 27 and the second mounting seat 28. The two ends of the slide rail 25 are fixedly mounted on the first mounting seat 27 and the second mounting seat 28, respectively, the slide rail 25 is arranged parallel to the lead screw 23, and the slider 26 is connected to the slide The rail 25 is slidably connected, and the sliding block 26 is fixedly connected to the screw nut 24.
所述推杆22连接所述丝杠螺母24,在一个实施方式中,所述推杆22经所述滑块26与所述丝杠螺母24连接。所述电机21转动时,丝杠螺母24能够带动所述推杆22往复运动。The push rod 22 is connected to the lead screw nut 24. In one embodiment, the push rod 22 is connected to the lead screw nut 24 via the slider 26. When the motor 21 rotates, the screw nut 24 can drive the push rod 22 to reciprocate.
更优选的,所述滑轨25包括平行设置的第一滑轨和第二滑轨,所述第一滑轨和第二滑轨分别设置在所述丝杠23的两侧。More preferably, the slide rail 25 includes a first slide rail and a second slide rail that are arranged in parallel, and the first slide rail and the second slide rail are respectively provided on both sides of the lead screw 23.
在一个实施方式中,所述推杆22呈L形,推杆22远端连接所述丝杠螺母24,推杆22近端向上延伸形成有推杆夹持部221,推杆夹持部221的顶端具有夹持结构,所述夹持结构用于带动所述电缆接头4运动,具体的,所述夹持结构用于夹紧与电切镜操作器的电缆接头4电连接的外部电极(图中未示出外部电极,推杆近端的夹持状态仅表示夹持结构所处的位置);在另一个实施方式中,所述夹持结构用于夹紧电缆接头4(当外部电极插入电缆接头4时)。所述夹持结构例如呈U形。使用时,电缆接头4插接在外部电极内(或者外部电极插接在电缆接头4内),由此,推杆22在所述电机21的驱动下进行往复直线运动时,能够带动电缆接头4进行往复直线运动,由于电缆接头4与电切镜的操作器100的活动操作柄2同步运动,推杆22带动电缆接头4运动即可带动活动操作柄2进行往复运动,进而带动电切镜的电切环动作,进行组织切除。In one embodiment, the push rod 22 is L-shaped, the distal end of the push rod 22 is connected to the screw nut 24, the proximal end of the push rod 22 extends upward to form a push rod clamping portion 221, and the push rod clamping portion 221 There is a clamping structure at the top end of the, and the clamping structure is used to drive the cable joint 4 to move. Specifically, the clamping structure is used to clamp the external electrode that is electrically connected to the cable joint 4 of the resectoscope manipulator ( The external electrode is not shown in the figure, and the clamping state of the proximal end of the push rod only indicates the position of the clamping structure); in another embodiment, the clamping structure is used to clamp the cable connector 4 (when the external electrode When inserting the cable connector 4). The clamping structure is U-shaped, for example. When in use, the cable connector 4 is inserted into the external electrode (or the external electrode is inserted into the cable connector 4). Therefore, the push rod 22 can drive the cable connector 4 when the push rod 22 performs reciprocating linear motion under the drive of the motor 21. Perform a reciprocating linear motion. Since the cable connector 4 moves synchronously with the movable operating handle 2 of the manipulator 100 of the resectoscope, the push rod 22 drives the movement of the cable connector 4 to drive the movable operating handle 2 to reciprocate, thereby driving the resectoscope The electric resection loop moves to perform tissue resection.
所述推杆22远端经外壳开口111与丝杠螺母24连接,推杆22经开口盖112近端部的避让口113伸出。优选的,在所述避让口113处还设置有避让口113密封件,所述推杆22与所述避让口113密封件滑动密封连接,以防止体液或医疗试剂溅入所述外壳内部,避免损坏安装在外壳内部的部件。The distal end of the push rod 22 is connected to the screw nut 24 through the housing opening 111, and the push rod 22 extends through the escape opening 113 at the proximal end of the opening cover 112. Preferably, the avoidance port 113 is further provided with a avoidance port 113 sealing member, and the push rod 22 is slidingly and sealedly connected with the avoidance port 113 sealing member to prevent body fluids or medical reagents from splashing into the inside of the housing. Damage to the components installed inside the enclosure.
优选的,所述第一安装座27和第二安装座28之间设置有第一行程开关和第二行程开关(图中未示出),所述行程开关用于控制丝杠螺母24在第一安装座27和第二安装座28之间的极限行程,避免丝杠螺母24/滑块26撞击第一安装座27和第二安装座28。在一个实施方式中,所述第一行程开关设置在所述第一安装座27上,所述第二行程开关设置在所述第二安装座28上。Preferably, a first travel switch and a second travel switch (not shown in the figure) are provided between the first mounting base 27 and the second mounting base 28, and the travel switch is used to control the lead screw nut 24 in the first position. The limit stroke between the first mounting seat 27 and the second mounting seat 28 prevents the screw nut 24/slider 26 from hitting the first mounting seat 27 and the second mounting seat 28. In one embodiment, the first travel switch is provided on the first mounting base 27, and the second travel switch is provided on the second mounting base 28.
固定系统Fixed system
所述固定系统用于将电切镜固定在所述手术机器人执行器上。The fixing system is used to fix the resectoscope on the surgical robot actuator.
所述固定系统包括第一支撑固定机构和第二支撑固定机构,所述第一支撑固定机构和第二支撑固定机构能够在不同方向上支撑固定电切镜的操作器100。The fixing system includes a first supporting and fixing mechanism and a second supporting and fixing mechanism, and the first supporting and fixing mechanism and the second supporting and fixing mechanism can support and fix the manipulator 100 of the resectoscope in different directions.
所述第一支撑固定机构用于支撑并固定所述电切镜的操作器100的固定操作柄1,所述第二支撑固定机构用于支撑并固定所述电切镜操作器的本体(如图8、图9所示的位置)。The first supporting and fixing mechanism is used to support and fix the fixed operating handle 1 of the manipulator 100 of the resectoscope, and the second support and fixing mechanism is used to support and fix the body of the resectoscope manipulator (such as Figure 8, the position shown in Figure 9).
进一步优选的,所述固定系统还包括第三支撑固定机构,所述第三支撑固定机构用于支撑并固定所述电切镜的操作器100的光纤接头3。Further preferably, the fixing system further includes a third supporting and fixing mechanism for supporting and fixing the optical fiber connector 3 of the manipulator 100 of the resectoscope.
所述第一支撑固定机构包括固定操作柄支撑座31、固定操作柄限位结构32和压板组件。所述第一支撑固定机构设置在所述外壳安装座114上。所述固定操作柄限位结构32用于限制 所述电切镜的操作器在其长度方向上运动,所述压板组件用于自所述固定操作柄上部抵压固定操作柄。The first supporting and fixing mechanism includes a fixed operating handle support seat 31, a fixed operating handle limiting structure 32, and a pressure plate assembly. The first supporting and fixing mechanism is arranged on the housing mounting base 114. The fixed operating handle limiting structure 32 is used to restrict the movement of the manipulator of the resectoscope in its length direction, and the pressing plate assembly is used to press the fixed operating handle from the upper part of the fixed operating handle.
所述固定操作柄支撑座31的形状与电切镜的固定操作柄1的形状相适配,使所述固定操作柄1能够稳定地被支撑在所述固定操作柄支撑座上。The shape of the fixed operating handle support seat 31 is adapted to the shape of the fixed operating handle 1 of the resectoscope, so that the fixed operating handle 1 can be stably supported on the fixed operating handle support seat.
通常,电切镜的固定操作柄1包括第一抵压部1a和第二抵压部1b,分别位于所述操作器100的主轴线的两侧,医生的中指和无名指抵压在第一抵压部1a,食指抵压在第二抵压部1b。Generally, the fixed operating handle 1 of the resectoscope includes a first pressing portion 1a and a second pressing portion 1b, which are respectively located on both sides of the main axis of the manipulator 100, and the doctor's middle finger and ring finger are pressed against the first pressing portion 1a and the second pressing portion 1b. In the pressing portion 1a, the index finger is pressed against the second pressing portion 1b.
所述固定操作柄限位结构32用于限位所述固定操作柄,例如为限位槽,优选的,所述固定操作柄突出至所述限位槽之外。在一个实施方式中,固定操作柄限位结构32设置在所述固定操作柄支撑座31的上表面上,包括第一抵压部限位槽32(如图6所示,所述第一抵压部限位槽由固定操作柄支撑座31上部间隔设置的两个突出部限定而成),和/或,第二抵压部限位槽(图中未示出)。所述第一抵压部1a在其厚度方向上突出至所述第一抵压部限位槽之外(如图8所示),和/或,所述第二抵压部1b在其厚度方向上突出至第二抵压部限位槽之外。The fixed operating handle limiting structure 32 is used for limiting the fixed operating handle, such as a limiting slot. Preferably, the fixed operating handle protrudes out of the limiting slot. In one embodiment, the fixed operating handle limiting structure 32 is provided on the upper surface of the fixed operating handle supporting seat 31, and includes a first pressing portion limiting groove 32 (as shown in FIG. The limiting groove of the pressing portion is defined by two protruding portions spaced apart on the upper part of the fixed operating handle support base 31), and/or the limiting groove of the second pressing portion (not shown in the figure). The first pressing portion 1a protrudes beyond the limiting groove of the first pressing portion in its thickness direction (as shown in FIG. 8), and/or, the second pressing portion 1b is in its thickness It protrudes in the direction beyond the limiting groove of the second pressing portion.
所述压板组件用于抵压固定所述固定操作柄1,包括压板33和压板紧固件34,所述压板紧固件34用于向所述压板33施加压力以使所述压板33抵压所述固定操作柄1。The pressure plate assembly is used to press and fix the fixed operating handle 1, and includes a pressure plate 33 and a pressure plate fastener 34. The pressure plate fastener 34 is used to apply pressure to the pressure plate 33 so that the pressure plate 33 is pressed against. The fixed operating handle 1.
在一个实施方式中,所述压板紧固件34为旋钮,所述旋钮具有螺纹杆,所述固定操作柄支撑座31上开设有螺纹孔,所述压板33开设有通孔,所述螺纹杆穿过所述压板34的通孔与所述螺纹孔螺接配合,所述压板33能够绕所述螺纹杆转动。使用时,先将电切镜的固定操作柄1卡入所述固定操作柄限位结构32,再转动压板33至所述固定操作柄1的上方,由于固定操作柄1的第一抵压部和/或第二抵压部突出至固定操作柄限位结构32之外,压板33能够抵压在固定操作柄1上表面,从而旋紧旋钮时,旋钮抵压所述压板33,能够压紧固定所述固定操作柄1。In one embodiment, the pressure plate fastener 34 is a knob, the knob has a threaded rod, the fixed operating handle support seat 31 is provided with a threaded hole, the pressure plate 33 is provided with a through hole, and the threaded rod The through hole passing through the pressing plate 34 is screw-fitted with the threaded hole, and the pressing plate 33 can rotate around the threaded rod. When in use, first snap the fixed operating handle 1 of the resectoscope into the fixed operating handle limiting structure 32, and then rotate the pressing plate 33 to the top of the fixed operating handle 1, because the first pressing part of the fixed operating handle 1 And/or the second pressing portion protrudes out of the fixed operating handle limiting structure 32, the pressing plate 33 can press against the upper surface of the fixed operating handle 1, so that when the knob is tightened, the knob presses against the pressing plate 33 to be able to press The fixed operating handle 1 is fixed.
优选的,所述压板组件包括第一压板组件,和/或,第二压板组件,与之相应的,所述压板包括第一压板和/或第二压板,所述压板紧固件包括第一压板紧固件和/或第二压板紧固件。所述压板紧固件为旋钮时,所述旋钮可以包括,第一旋钮和/或第二旋钮。所述第一压板组件用于抵压固定所述固定操作柄的第一抵压部,所述第二压板组件用于抵压固定所述固定操作柄的第二抵压部。Preferably, the pressure plate assembly includes a first pressure plate assembly, and/or a second pressure plate assembly. Correspondingly, the pressure plate includes a first pressure plate and/or a second pressure plate, and the pressure plate fastener includes a first pressure plate and/or a second pressure plate. The pressure plate fastener and/or the second pressure plate fastener. When the pressing plate fastener is a knob, the knob may include a first knob and/or a second knob. The first pressing plate assembly is used for pressing and fixing the first pressing portion of the fixed operating handle, and the second pressing plate assembly is used for pressing and fixing the second pressing portion of the fixed operating handle.
所述第二支撑固定机构设置在所述上盖11上,在一个实施方式中,所述第二支撑固定机构设置在所述开口盖112的一侧,所述第二支撑固定机构与所述开口盖112在所述手术机器人执行器的宽度方向上大致并排设置。The second supporting and fixing mechanism is arranged on the upper cover 11. In one embodiment, the second supporting and fixing mechanism is arranged on one side of the opening cover 112, and the second supporting and fixing mechanism is connected to the The opening covers 112 are arranged substantially side by side in the width direction of the surgical robot actuator.
所述第二支撑固定机构包括第一夹持部41和第一夹持部支撑座42。所述第一夹持部41用于支撑固定所述电切镜操作器100的本体,所述第一夹持部例如为U形弹性夹持件。所述第一夹持部41设置在所述第一夹持部支撑座42上,所述第一夹持部支撑座42设置在所述上盖11上,第一夹持部41用于夹持固定所述电切镜操作器100的本体。The second supporting and fixing mechanism includes a first clamping portion 41 and a first clamping portion support seat 42. The first clamping portion 41 is used to support and fix the body of the resectoscope manipulator 100, and the first clamping portion is, for example, a U-shaped elastic clamping piece. The first clamping portion 41 is disposed on the first clamping portion support seat 42, the first clamping portion support seat 42 is disposed on the upper cover 11, and the first clamping portion 41 is used for clamping The main body of the resectoscope manipulator 100 is held and fixed.
由此,所述第一支撑固定机构的固定操作柄限位结构32和第二支撑固定机构分别在电切镜操作器的不同方向上(长度方向和宽度方向)支撑固定电切镜操作器的固定操作柄1和操作器100的本体,使电切镜操作器在其长度方向上、宽度方向上被限位,而无法运动,当所述第一夹持部41采用如附图所示的结构时,能够抱紧操作器本体,从而限制了操作器向脱离所述手术执行器的外壳表面的方向运动。两支撑固定机构在两个不同的方向上固定支撑电切镜操作器,能够将电切镜操作器牢牢地固定在本实施例的手术机器人执行器上,解决了单一方向上固定手术器械稳定性不足的技术问题。并且,压板组件操作方便,加工简单,成本低,固定效果好。Thus, the fixed operating handle limiting structure 32 of the first supporting and fixing mechanism and the second supporting and fixing mechanism respectively support and fix the fixed operating handle of the resectoscope in different directions (length direction and width direction) of the resectoscope manipulator. Fix the operating handle 1 and the body of the manipulator 100, so that the resectoscope manipulator is restricted in its length and width directions, and cannot move. When the first clamping portion 41 is as shown in the figure In the structure, the manipulator body can be held tightly, thereby restricting the manipulator from moving in the direction away from the outer surface of the surgical implement. The two supporting and fixing mechanisms fix and support the resectoscope manipulator in two different directions, which can firmly fix the resectoscope manipulator on the surgical robot actuator of this embodiment, which solves the problem of stabilizing the fixation of surgical instruments in a single direction. The technical problem of lack of sex. In addition, the pressing plate assembly is convenient to operate, simple to process, low in cost, and good in fixing effect.
所述第三支撑固定机构用于支撑固定所述电切镜操作器100的光纤接头3。在一个实施方式中,所述第三支撑固定机构包括第二夹持部51和第二夹持部支撑座52。所述第二夹持部51用于支撑固定所述电切镜操作器100的光纤接头3,所述第二夹持部52例如为U形弹性夹持件。所述第二夹持部51设置在所述第二夹持部支撑座52上,所述第二夹持部支撑座52设置在所述上盖11上,所述第二夹持部51用于夹持固定所述操作器100的光纤接头3。优选的,所述第一夹持部支撑座42和所述第二夹持部支撑座52为一体结构。The third supporting and fixing mechanism is used to support and fix the optical fiber connector 3 of the resectoscope manipulator 100. In one embodiment, the third supporting and fixing mechanism includes a second clamping portion 51 and a second clamping portion support seat 52. The second clamping portion 51 is used to support and fix the optical fiber connector 3 of the resectoscope manipulator 100, and the second clamping portion 52 is, for example, a U-shaped elastic clamping piece. The second clamping portion 51 is provided on the second clamping portion supporting seat 52, the second clamping portion supporting seat 52 is provided on the upper cover 11, and the second clamping portion 51 is used for To clamp and fix the optical fiber connector 3 of the manipulator 100. Preferably, the first clamping portion support seat 42 and the second clamping portion support seat 52 are an integral structure.
所述电切镜操作器100的光纤接头3自操作器本体沿操作器的宽度方向延伸,设置第三支撑固定机构时,增加了一个支撑固定点,能够使操作器的支撑固定更加稳固。The optical fiber connector 3 of the resectoscope manipulator 100 extends from the manipulator body in the width direction of the manipulator. When the third supporting and fixing mechanism is provided, a supporting and fixing point is added, which can make the supporting and fixing of the manipulator more stable.
所述外壳内还设置有其他电气元件,例如编码器,用于记录转速、转动圈数,以实现运动控制,还例如转接板,所述转接板例如用于电连接内部电路和外部控制电路。Other electrical components are also provided in the housing, such as an encoder, which is used to record the rotation speed and the number of rotations to realize motion control, and also such as an adapter plate, which is used to electrically connect internal circuits and external controls, for example. Circuit.
所述手术机器人执行器经连接系统与手术机器人的机械臂连接。手术机器人的机械臂具有多个自由度,能够完成手术机器人执行器的位置调整、姿态调整、旋转等动作,通过控制手术机器人执行器动作来控制电切镜的动作。所述连接系统可以采用现有技术中的各种连接方式实现与所述可拆卸连接。上述其他电气元件和连接系统均可采用现有技术中的成熟方案。与本发明的创新点无关,不必赘述。The surgical robot actuator is connected with the mechanical arm of the surgical robot via a connection system. The robotic arm of the surgical robot has multiple degrees of freedom, and can complete the position adjustment, posture adjustment, and rotation of the surgical robot's actuator. The operation of the resectoscope can be controlled by controlling the operation of the surgical robot's actuator. The connection system can adopt various connection modes in the prior art to realize the detachable connection with the connection system. The above-mentioned other electrical components and connection systems can all adopt mature solutions in the prior art. It has nothing to do with the innovation of the present invention, so it is unnecessary to repeat it.
工作时,本发明实施例的手术机器人执行器能够稳定、牢固地连接手术机器人的机械臂和手术器械,例如电切镜,在控制系统的控制下,由手术机器人执行器控制电切环的直线运动,通过机械臂控制手术机器人执行器的整体运动进而控制电切镜的操作器的位置和姿态,从而实现手术过程。When working, the surgical robot actuator of the embodiment of the present invention can stably and firmly connect the surgical robot's mechanical arm and surgical instruments, such as a resectoscope. Under the control of the control system, the surgical robot actuator controls the straight line of the electrosurgical loop Movement, the overall movement of the actuator of the surgical robot is controlled by the mechanical arm to control the position and posture of the manipulator of the resectoscope, so as to realize the surgical process.
以上,对本发明的实施方式进行了说明。但是,本发明不限定于上述实施方式。凡在本发明的精神和原则之内,所做的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。In the foregoing, the embodiments of the present invention have been described. However, the present invention is not limited to the above-mentioned embodiment. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (13)

  1. 一种经尿道电切镜手术机器人执行器,用于连接手术机器人和经尿道电切镜,其特征在于,所述手术机器人执行器包括外壳、驱动系统和固定系统;A transurethral resection of the surgical robot actuator, used to connect a surgical robot and a transurethral resection of the surgical robot, characterized in that the surgical robot actuator includes a housing, a driving system and a fixing system;
    所述外壳限定出容置腔;The housing defines an accommodating cavity;
    所述驱动系统用于驱动电切镜的操作器的活动操作柄运动;The driving system is used to drive the movable operating handle of the manipulator of the resectoscope to move;
    所述固定系统用于将电切镜固定在所述手术机器人执行器上,所述固定系统包括第一支撑固定机构和第二支撑固定机构,所述第一支撑固定机构用于支撑并固定所述电切镜的操作器的固定操作柄,所述第二支撑固定机构用于支撑并固定所述电切镜操作器的本体。The fixing system is used to fix the resectoscope on the surgical robot actuator, the fixing system includes a first supporting and fixing mechanism and a second supporting and fixing mechanism, and the first supporting and fixing mechanism is used to support and fix the surgical robot. The fixed operating handle of the resectoscope manipulator, and the second supporting and fixing mechanism is used to support and fix the main body of the resectoscope manipulator.
  2. 如权利要求1所述的手术机器人执行器,其特征在于,所述驱动系统包括电机、传动装置和推杆,所述电机经所述传动装置驱动推杆做往复直线运动。The surgical robot actuator of claim 1, wherein the driving system includes a motor, a transmission device and a push rod, and the motor drives the push rod to make a reciprocating linear motion through the transmission device.
  3. 如权利要求2所述的手术机器人执行器,其特征在于,所述外壳设置有外壳开口,所述外壳开口上设置有开口盖,所述开口盖具有避让口,所述推杆经所述外壳开口与所述电机驱动连接,所述推杆自所述避让口伸出。The surgical robot actuator according to claim 2, wherein the housing is provided with a housing opening, the housing opening is provided with an opening cover, the opening cover has an escape port, and the push rod passes through the housing The opening is drivingly connected with the motor, and the push rod protrudes from the escape opening.
  4. 如权利要求2或3所述的手术机器人执行器,其特征在于,所述传动装置包括丝杠、丝杠螺母、滑轨和滑块;所述推杆远端经所述外壳开口连接所述丝杠螺母,所述推杆近端具有推杆夹持部,推杆夹持部具有夹持结构,所述夹持结构用于带动所述电切镜的操作器的电缆接头运动。The surgical robot actuator according to claim 2 or 3, wherein the transmission device includes a lead screw, a lead screw nut, a sliding rail and a sliding block; the distal end of the push rod is connected to the A screw nut, the proximal end of the push rod has a push rod clamping part, and the push rod clamping part has a clamping structure for driving the cable joint of the manipulator of the resectoscope to move.
  5. 如权利要求4所述的手术机器人执行器,其特征在于,在所述避让口处设置有避让口密封件,所述推杆与所述避让口密封件滑动密封连接。The surgical robot actuator according to claim 4, wherein an avoidance port seal is provided at the avoidance port, and the push rod is in sliding and sealing connection with the avoidance port seal.
  6. 如权利要求4所述的手术机器人执行器,其特征在于,所述手术机器人执行器的近端设置有第一安装座和第二安装座,所述丝杠的两端分别设置在所述第一安装座和第二安装座上,所述滑轨的两端分别固定安装在所述第一安装座和第二安装座上,所述滑轨与所述丝杠平行设置,所述滑块与所述滑轨滑动连接,所述滑块与所述丝杠螺母固定连接。The surgical robot actuator of claim 4, wherein the proximal end of the surgical robot actuator is provided with a first mounting seat and a second mounting seat, and both ends of the lead screw are respectively provided on the first mounting seat. A mounting seat and a second mounting seat, both ends of the slide rail are fixedly mounted on the first mounting seat and the second mounting seat, the slide rail is arranged parallel to the lead screw, the slider It is slidably connected to the sliding rail, and the sliding block is fixedly connected to the lead screw nut.
  7. 如权利要求6所述的手术机器人执行器,其特征在于,所述第一安装座和第二安装座之间设置有第一行程开关和第二行程开关,所述行程开关用于控制所述丝杠螺母的在第一安装座和第二安装座之间的极限行程。The surgical robot actuator according to claim 6, wherein a first travel switch and a second travel switch are provided between the first mounting seat and the second mounting seat, and the travel switch is used to control the The limit stroke of the screw nut between the first mounting seat and the second mounting seat.
  8. 如权利要求1所述的手术机器人执行器,其特征在于,所述外壳的近端部还连接有外壳安装座,所述第一支撑固定机构设置在所述外壳安装座上,所述第一支撑固定机构包括固定操作柄支撑座、固定操作柄限位结构和压板组件,所述固定操作柄限位结构用于限制所述电切镜的操作器在其长度方向上运动,所述压板组件用于自所述固定操作柄上部抵压所述固定操作柄。The surgical robot actuator of claim 1, wherein a housing mounting seat is further connected to the proximal end of the housing, the first supporting and fixing mechanism is provided on the housing mounting seat, and the first The supporting and fixing mechanism includes a fixed operating handle support seat, a fixed operating handle limiting structure, and a pressing plate assembly. The fixed operating handle limiting structure is used to restrict the movement of the operator of the resectoscope in its length direction. The pressing plate assembly It is used to press the fixed operating handle from the upper part of the fixed operating handle.
  9. 如权利要求8所述的手术机器人执行器,其特征在于,所述压板组件包括压板和压板紧固件,所述压板紧固件用于向所述压板施加压力以使所述压板抵压所述固定操作柄。The surgical robot actuator of claim 8, wherein the pressure plate assembly includes a pressure plate and a pressure plate fastener, and the pressure plate fastener is used to apply pressure to the pressure plate so that the pressure plate is pressed against the pressure plate. The fixed operating handle.
  10. 如权利要求9所述的手术机器人执行器,其特征在于,所述压板紧固件为旋钮,所述旋钮具有螺纹杆,所述固定操作柄支撑座上开设有螺纹孔,所述压板开设有通孔,所述螺纹杆穿过所述压板的通孔与所述螺纹孔螺接配合,所述压板能够绕所述螺纹杆转动。The surgical robot actuator according to claim 9, wherein the pressure plate fastener is a knob, the knob has a threaded rod, the fixed operating handle support seat is provided with a threaded hole, and the pressure plate is provided with a threaded hole. Through holes, the threaded rods pass through the through holes of the pressure plate to be screw-fitted with the threaded holes, and the pressure plate can rotate around the threaded rods.
  11. 如权利要求9或10所述的手术机器人执行器,其特征在于,所述固定操作柄限位结构为限位槽。The surgical robot actuator according to claim 9 or 10, wherein the limiting structure of the fixed operating handle is a limiting slot.
  12. 如权利要求3所述的手术机器人执行器,其特征在于,所述固定系统还包括第二支撑固定机构,所述第二支撑固定机构设置在所述开口盖的一侧,与所述开口盖在所述手术机器人执行器的宽度方向上并排设置;所述第二支撑固定机构包括第一夹持部和第一夹持部支撑座,第一夹持部设置在所述第一夹持部支撑座上,所述第一夹持部用于夹持固定所述电切镜操作器的本体。The surgical robot actuator according to claim 3, wherein the fixing system further comprises a second supporting and fixing mechanism, and the second supporting and fixing mechanism is arranged on one side of the opening cover, and the opening cover Are arranged side by side in the width direction of the surgical robot actuator; the second supporting and fixing mechanism includes a first clamping portion and a first clamping portion support seat, and the first clamping portion is disposed on the first clamping portion On the supporting seat, the first clamping portion is used for clamping and fixing the main body of the resectoscope manipulator.
  13. 如权利要求1所述的手术机器人执行器,其特征在于,所述固定系统还包括第三支撑固定机构,所述第三支撑固定机构用于支撑并固定所述电切镜的操作器的光纤接头,所述第三支撑固定机构包括第二夹持部和第二夹持部支撑座,第二夹持部设置在所述第二夹持部支撑座上,所述第二夹持部用于夹持固定所述光纤接头。The surgical robot actuator according to claim 1, wherein the fixing system further comprises a third supporting and fixing mechanism, and the third supporting and fixing mechanism is used to support and fix the optical fiber of the manipulator of the resectoscope The third supporting and fixing mechanism includes a second clamping portion and a second clamping portion support seat, the second clamping portion is provided on the second clamping portion support seat, and the second clamping portion is used for To clamp and fix the optical fiber connector.
PCT/CN2020/105497 2019-09-26 2020-07-29 Transurethral resectoscope surgical robot actuator WO2021057246A1 (en)

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