WO2021192291A1 - Surgical robot - Google Patents

Surgical robot Download PDF

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Publication number
WO2021192291A1
WO2021192291A1 PCT/JP2020/014277 JP2020014277W WO2021192291A1 WO 2021192291 A1 WO2021192291 A1 WO 2021192291A1 JP 2020014277 W JP2020014277 W JP 2020014277W WO 2021192291 A1 WO2021192291 A1 WO 2021192291A1
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WO
WIPO (PCT)
Prior art keywords
surgical robot
main body
base
hooking
support
Prior art date
Application number
PCT/JP2020/014277
Other languages
French (fr)
Japanese (ja)
Inventor
山本 円朗
Original Assignee
リバーフィールド株式会社
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 リバーフィールド株式会社 filed Critical リバーフィールド株式会社
Priority to PCT/JP2020/014277 priority Critical patent/WO2021192291A1/en
Priority to JP2021523764A priority patent/JP6982357B1/en
Publication of WO2021192291A1 publication Critical patent/WO2021192291A1/en

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    • 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

Definitions

  • the present invention relates to a surgical robot that holds an endoscope and has a pneumatically driven arm portion.
  • the medical robot system described in Patent Document 1 includes a surgical robot fixed at a fixed position, a movable bed, and a diagnostic imaging device, and the surgical robot includes a plurality of surgical robots to which a manipulator and an endoscope are attached to the tips, respectively.
  • the movable bed is configured so that its position, orientation, and posture can be changed with respect to a fixed station.
  • the relationship between the main body of the surgical robot and the movable bed is fixed, so if there is a change in the surgical procedure or affected area, the heavy surgical robot will be released from fixation and moved. Since it is necessary to perform operations such as re-fixing after moving, adjusting the position of the surgical robot with respect to the patient is extremely complicated, and requires a great deal of time and labor.
  • an object of the present invention is to provide a surgical robot that can be easily moved by a simple operation even when the surgical procedure or the affected area is changed.
  • the surgical robot of the present invention has a main body, an arm that is provided on the main body and holds an endoscope and is pneumatically driven, and a main body with respect to a bed base. It is characterized by including a mounting member for detachably mounting and a friction reducing member for reducing friction in the movement of the mounting member so that the mounting member can move along the outer circumference of the base portion.
  • a support portion is provided so as to extend along the outer circumference of the base portion of the bed, and the main body portion is movably attached to the support portion.
  • the mounting member is a hooking portion that detachably hooks the main body portion to the supporting portion.
  • the support portion is divided into a plurality of parts along the outer circumference, and the hook portion preferably has a length larger than the distance between adjacent support portions in the direction in which the support portion extends. ..
  • the hook portion includes a regulating member that regulates the movement of the hook portion along the outer circumference of the base portion of the bed, and the hook portion has an outer circumference when the regulation by the regulating member is released. It is preferable to be able to move along the line.
  • the friction reducing member is preferably a coating layer that reduces friction between the hooking portion and the supporting portion.
  • the friction reducing member is preferably a bearing member provided on the hook portion.
  • the hook portion has a recess for accommodating the upper portion of the support portion inside, and the friction reducing member is provided in the contact region of the recess with the upper portion of the support portion. ..
  • the surgical robot of the present invention includes a vertical drive mechanism that allows the main body to move along a direction perpendicular to the base, and a fixing member that regulates movement of the main body along the direction perpendicular to the base. Is preferable.
  • FIG. 1 It is a perspective view which shows the state which the surgical robot which concerns on embodiment of this invention is attached to the base part of a bed. It is a perspective view which shows the arm part of the surgical robot which concerns on embodiment of this invention in an enlarged manner. It is a perspective view which shows the main body part of the surgical robot which concerns on embodiment of this invention in an enlarged manner. It is a top view which shows the structure of the bed on which the surgical robot which concerns on embodiment of this invention is mounted. It is a perspective view seen from above which shows the mounting part of the main body part and the bed in the embodiment of this invention in an enlarged manner. It is a side view which shows the hooking part between a main body part and a support part in an enlarged manner.
  • an arm portion 20 for holding the endoscope 53 used for endoscopic surgery is given as an example.
  • XYZ coordinates are shown as reference coordinates.
  • the vertical direction is referred to as the Z1-Z2 direction (vertical direction)
  • the left-right direction and the front-back direction, which are orthogonal to each other in the horizontal plane orthogonal to the vertical direction are referred to as the X1-X2 direction and the Y1-Y2 direction, respectively.
  • the Y1 side is called the rear side or the back side
  • the Y2 side is called the front side or the front side
  • the state in which the lower side (Z2 side) is viewed from the upper side (Z1 side) is called a plan view.
  • the surgical robot 10 (hereinafter, abbreviated as “robot 10”) includes an arm portion 20, a pedestal portion 30 that supports the arm portion 20, and a base portion 40 provided with the pedestal portion 30. To be equipped.
  • the arm portion 20 for holding the endoscope is provided on a main body portion composed of a pedestal portion 30 and a base portion 40.
  • the robot 10 is attached to the base 40 with respect to the bases 61, 62, 63 of the bed 60 on which the patient to be operated on lies, so as to be removable and movable in a direction along the outer circumference of the base.
  • the camera head adapter 51 is held by the arm portion 20 via the holder 52, and the camera head adapter 51 holds the endoscope 53.
  • the holding form of the endoscope 53 by the arm portion 20 can be arbitrarily changed according to the form and use of the endoscope 53, and is not limited to the one shown in FIG.
  • the arm portion 20 includes a tip holding portion 21, a gimbal mechanism portion 22, a first joint portion 23, and a first portion in which the holder 52 is mounted, in this order from the holder 52 side to the pedestal portion 30 side.
  • An arm 24, a second joint portion 25, and a second arm 26 are provided.
  • the tip holding portion 21 is supported on the side by the gimbal mechanism portion 22 and holds the holder 52 detachably on the tip side, thereby holding the camera head adapter 51 attached to the holder 52.
  • the gimbal mechanism unit 22 rotatably supports the endoscope 53 held by the camera head adapter 51 about the first rotation axis AX1 along the observation optical axis of the endoscope 53, and also supports the first rotation axis AX1. It is rotatably supported around a second rotation axis AX2 extending in a direction intersecting with, preferably in an orthogonal direction.
  • the first joint portion 23 is such that the gimbal mechanism portion 22 rotates relative to the plane including the first rotation axis AX1 and the second rotation axis AX2, and more preferably the third rotation axis AX3 extending orthogonally. Support to be mobile.
  • the first arm 24 forms a parallel link mechanism together with the first joint portion 23 and the second joint portion 25, and is capable of relative movement while maintaining the relative postures of the first joint portion 23 and the second joint portion 25. Is what you do.
  • the first arm 24 includes a pair of first rods 24a, a pair of first pneumatic actuator portions 24b, and a first self-weight compensating portion 24c.
  • the first rod 24a is a pair of rod-shaped members, one end of which is rotatably attached to the first joint 23 and the other end of which is rotatable to the second joint 25. It is attached.
  • the first pneumatic actuator portion 24b moves the relative positions of the first joint portion 23 and the second joint portion 25.
  • the first pneumatic actuator unit 24b is an actuator including a cylinder and a piston, and slides the piston by receiving the supply of air with increased pressure.
  • One end of the first pneumatic actuator portion 24b is rotatably attached to or near the position where one first rod 24a is attached in the second joint portion 25, and the other end is the other. It is rotatably attached to the middle of the first rod 24a.
  • the first self-weight compensating portion 24c applies a force for moving the first joint portion 23 upward, and is composed of, for example, a tension spring.
  • One end of the first self-weight compensating portion 24c is attached to or near the position where one first rod 24a is attached in the first joint portion 23, and the other end is attached to the other first rod 24a. It is installed in the middle.
  • the second arm 26 forms a parallel link mechanism together with the second joint portion 25 and the pedestal portion 30, and enables relative movement while maintaining the relative posture of the second joint portion 25 and the pedestal portion 30.
  • the second arm 26 includes a pair of second rods 26a, a pair of second pneumatic actuator portions 26b, and a second self-weight compensating portion 26c.
  • the second rod 26a is a pair of rod-shaped members, one end of which is rotatably attached to the second joint 25 and the other end of which is rotatably attached to the pedestal 30. ing.
  • the second pneumatic actuator portion 26b moves the relative positions of the second joint portion 25 and the pedestal portion 30.
  • the second pneumatic actuator unit 26b is an actuator including a cylinder and a piston, and slides the piston by receiving the supply of air with increased pressure.
  • One end of the second pneumatic actuator portion 26b is rotatably attached to or near the position where one second rod 26a is attached on the pedestal portion 30, and the other end is the other. It is rotatably attached to the middle of the second rod 26a.
  • the second self-weight compensating unit 26c applies a force for moving the second arm 26 in the vertical direction as the first direction, and is composed of, for example, a tension spring.
  • One end of the second self-weight compensating portion 26c is attached to or near the position where one second rod 26a is attached on the pedestal portion 30, and the other end is inside the other second rod 26a. It is attached to the extent.
  • the first pneumatic actuator unit 24b receives the air supply with increased pressure from the first air supply unit 83
  • the second pneumatic actuator unit 26b receives the increased pressure from the second air supply unit 84.
  • the first air supply unit 83 and the second air supply unit 84 supply air of a predetermined pressure to each of the first pneumatic actuator unit 24b and the second pneumatic actuator unit 26b according to the control signal from the arm drive control unit 82. , Supply in a predetermined time or cycle.
  • the first arm 24 and the second arm 26 are driven, respectively, the arm portion 20 performs a predetermined drive, and the endoscope 53 is placed in a predetermined position at a predetermined position, or in a predetermined trajectory from that position. Can be moved.
  • the arm portion 20 is operated by pneumatic drive as described below.
  • the pistons of the first pneumatic actuator section 24b and the second pneumatic actuator section 26b are respectively projected or pulled in from the cylinder by being supplied with driving air having an increased pressure.
  • the piston protrudes from the cylinder for example, in the first arm 24, when the dimension of the first pneumatic actuator portion 24b in the longitudinal direction becomes longer, the first joint portion 23 of the first arm 24 moves upward. Rotate to do so.
  • the first rod 24a rotates so that the first joint portion 23 moves downward.
  • the first self-weight compensating portion 24c is attached to the first arm 24 in a state of being stretched so that the dimension in the longitudinal direction becomes longer, the urging force in the direction in which the dimension in the longitudinal direction thereof becomes shorter. Is being generated. This urging force acts as a force for the first joint portion 23 to rotate upward against the weight of the endoscope 53 or the like.
  • the posture of the first joint portion 23 is kept constant even if the arrangement position of the first joint portion 23 is changed. It becomes easy.
  • the first pneumatic actuator section 24b and the second pneumatic actuator section 26b support the endoscope 53 as compared with the case where they are not provided.
  • the driving force required to move the position of the first joint portion 23 can be reduced. Therefore, the first pneumatic actuator portion 24b and the second pneumatic actuator portion 26b can be easily miniaturized, and the weight of the robot 10 can be reduced.
  • the first pneumatic actuator unit 24b and the second pneumatic actuator unit 26b By using the first pneumatic actuator unit 24b and the second pneumatic actuator unit 26b, it becomes easy to increase the weight-to-output ratio, and a simple linear motion operation without using a reduction mechanism can be realized. As a result, it becomes easier to reduce the size and weight of the robot 10.
  • the mounting of the bed 60 on the bases 61 to 63 and the vertical drive mechanism for driving the robot 10 along the first direction perpendicular to the bases 61 to 63 of the bed 60 will be described.
  • the first direction is the direction along the vertical direction.
  • the base 40 of the robot 10 is provided with a hooking portion 42 on the rear surface 41a on the rear side (Y1 side) of the housing portion 41 via a linear guide 44 and a ball screw 45, and further.
  • a holding plate 43 supported so as to be relatively movable is provided on the hooking portion 42.
  • the hooking portion 42 and the pressing plate 43 form a mounting member for mounting the base portion 40 (main body portion) detachably on the base portions 61 to 63 of the bed 60.
  • the hooking portion 42 includes an extending portion 42a extending rearward from the rear surface 41a in a plate shape, and a tip hooking portion 42b extending downward from the rear tip of the extending portion 42a in a plate shape.
  • the hooking portion 42 has a length L1 in the left-right direction.
  • the robot 10 locks the hooking portion 42 to any of the plate-shaped support portions 71 to 76 (see FIG. 4) provided along the outer circumference of the base portions 61 to 63 of the bed 60, thereby engaging the bed. With respect to 60, it is arranged at a predetermined position according to the surgical procedure, the surgical site, the body shape of the patient, and the like.
  • the hooking portion 42 can detachably attach the main body portion composed of the pedestal portion 30 and the base portion 40 to the base portions 61 to 63 of the bed 60 as a mounting member, and depending on the treatment or the like, It is possible to move in the front-rear direction (Y1-Y2 direction) or the left-right direction (X1-X2 direction), that is, in a second direction different from the first direction (Z1-Z2 direction) perpendicular to the base 61 to 63 of the bed 60. Will be done.
  • the bed 60 has a first base 61 on the left side (X1 side), a second base 62 located on the back side on the right side, and a third base 63 located on the front side on the right side. (See FIG. 1).
  • the three bases 61 to 63 each have a substantially rectangular shape in a plan view from the Z1 side to the Z1 side, and are on a base 64 extending in a horizontal plane orthogonal to the vertical direction (Z1-Z2 direction). They are arranged respectively and can be individually moved in the left-right direction (X1-X2 direction).
  • the base 64 has a rectangular outer shape along the front-rear direction and the left-right direction in a plan view, and as shown in FIG. 1, the support portion 65 extending vertically from the foundation portion 66 mounted on the floor surface. Supported by.
  • plate-shaped support portions 71 to 76 are provided on the outer surface of the base 64.
  • the support portions 71 to 76 have a long plate shape having the same thickness, have a predetermined width in the vertical direction, and extend long in the horizontal direction.
  • the connecting portion 76a extending outward from the base 64 along the front-rear direction (Y1-Y2 direction) is fixed to the rear surface of the sixth support portion 76. , Supports the sixth support portion 76.
  • the connecting portion 76a In the front-rear direction, when the tip hooking portion 42b of the hooking portion 42 is hooked (locked) to the sixth support portion 76, the connecting portion 76a has a third rear side surface 42e of the tip hooking portion 42b. It has a length that substantially abuts on the outer surface of the portion 63.
  • the support portions 71, 72, 73 are arranged in order from left to right at the same positions in the front-rear direction, and the support portions 71, 72 are arranged along the rear surface 61a of the first base portion 61 in a plan view.
  • the third support portion 73 is arranged along the rear surface 62a of the second base portion 62.
  • the support portions 74, 75, 76 are arranged in order from left to right at the same position in the front-rear direction, and in a plan view, the support portions 74, 75 are arranged along the front surface 61b of the first base portion 61, and the sixth support is provided.
  • the portion 76 is arranged along the front surface 63a of the third base portion 63.
  • the rear side (Y1 side) support portions 71, 72, 73 and the front side (Y2 side) support portions 74, 75, 76 are arranged at positions facing each other in the front-rear direction, and the facing support portions are the same as each other. It is provided in width (horizontal direction).
  • the first support portion 71 and the second support portion 72 on the rear side are spaced apart from each other, and the second support portion 72 and the third support portion 73 are spaced apart from each other.
  • the fourth support portion 74 and the fifth support portion 75 on the front side have an interval L2
  • the fifth support portion 75 and the sixth support portion 76 have an interval L3.
  • These intervals L2 and L3 are shorter than the length L1 of the hooking portion 42.
  • the hooking portion 42 has a length larger than any of the distances between the two adjacent supporting portions in the left-right direction in which the supporting portions 71 to 76 extend.
  • the main body portion can be moved along the outer circumference of the base portions 61 to 63 of the bed 60 in a state where the hooking portion 42 is hooked on the support portions 71 to 76.
  • the arrangement, size, and spacing of the support portions are not limited to those shown in FIG. 4 and the like.
  • the support portions provided on the first base 61 are one or three or more on both front and rear surfaces. It may be provided.
  • the support portions 71 to 76 extending in the left-right direction are shown, but in addition to or instead of this, a support portion extending in the front-rear direction may be provided. Further, the support portion may be provided on the outer surface of the bed instead of the base 64.
  • the holding plate 43 of the base 40 is arranged so as to extend downward from an intermediate position in the front-rear direction of the extending portion 42a of the hooking portion 42.
  • the pressing plate 43 is supported by the hooking portion 42 so as to be relatively movable in the front-rear direction.
  • the pressing plate 43 is arranged so that the distance from the tip hooking portion 42b is wider than the thickness of the support portion to be hooked, and the pressing plate 43 is hooked. After that, by moving to the rear side, the distance from the tip hooking portion 42b is adjusted to a distance corresponding to the thickness of the hooked support portion, whereby the hooked support portion is sandwiched from the front-rear direction.
  • the extending portion 42a of the hooking portion 42 has a recess 42c having a length corresponding to the thickness of the sixth supporting portion 76 at a position where the sixth supporting portion 76 to be hooked is hooked.
  • the recess 42c is recessed upward from the lower surface of the extending portion 42a, and when the hooking portion 42 is hooked on the sixth supporting portion 76, the upper portion 76b of the sixth supporting portion 76 is accommodated therein. At the same time, it comes into contact with the sixth support portion 76 from the front and rear to determine the position in the front and rear direction.
  • the friction reducing member includes a lubricant, a coating layer formed by coating, a film / thin film formed by surface treatment or vapor deposition, a bearing member, and a surface surface that is subjected to uneven processing or groove processing so as to reduce the contact area.
  • a bearing member and a structure in which the convex portion of the uneven processing material is a curved surface.
  • the application location of the friction reducing member is all or a part of the above contact region in consideration of specifications and costs required for friction reduction.
  • a coating layer 91 as a friction reducing member is provided on the upper inner surface 42f in the recess 42c.
  • a ball bearing 92 (bearing member) as a friction reducing member is provided on the upper inner surface 42f in the recess 42c.
  • bearing member bearings other than ball bearings, for example, slide bearings, fluid bearings, and magnetic bearings can also be adopted.
  • the robot 10 can be easily moved by a simple operation of applying a force to move the main body portion along the outer circumference of the base portions 61 to 63 of the bed 60.
  • the sixth support portion 76 can be easily guided in the recess 42c and the recess 42c. It is preferable because the extension portion 42a and the sixth support portion 76 are less likely to be damaged when the 42c is inserted or removed.
  • An inclined surface 42d inclined upward from the rear side (Y1 side) to the front side (Y2 side) is formed at the front portion of the lower end of the tip hooking portion 42b. Even if the tip hooking portion 42b hits the sixth support portion 76 when the hooking portion 42 is locked to the sixth support portion 76, the tip hooking portion 42b supports the sixth support portion 42b according to the inclination of the inclined surface 42d. Since the guide is guided to the rear side of the portion 76, the hooking portion 42 can be smoothly and surely locked to the sixth support portion 76.
  • a protrusion 43a projecting to the rear side is provided at the rear portion of the lower portion of the holding plate 43.
  • the protrusion 43a is provided at a predetermined position in the vertical direction of the holding plate 43 so as to come into contact with the bottom surface 76c of the sixth support 76 when the upper portion 76b of the sixth support 76 is housed in the recess 42c. Has been done. Therefore, after the extension portion 42a is locked to the sixth support portion 76, the pressing plate 43 is moved to the rear side, and when the position where the pressing plate 43 comes into contact with the front surface of the sixth support portion 76 is reached, the protrusion 43a becomes the sixth. It contacts the bottom surface 76c of the support portion 76.
  • the sixth support portion 76 is regulated in the front-rear direction by the tip hooking portion 42b and the pressing plate 43, and is also regulated in the vertical direction by the protrusion 43a.
  • the displacement is regulated, a constant posture is maintained, and the vehicle can move in the left-right direction (X1-X2 direction) along the sixth support portion 76.
  • the shaft portion P1 penetrates the extending portion 42a up and down. Further, by using the fixing pin P that is inserted into the sixth support portion 76, the movement of the robot 10 in the left-right direction can be restricted.
  • the fixing pin P before being inserted into the sixth support portion 76 is shown by a solid line, and the state of being inserted into the sixth support portion 76 is shown by a broken line.
  • the hooking portion 42 is provided on the rear surface 41a of the housing portion 41 via a linear guide 44 and a ball screw 45 as a vertical drive mechanism.
  • the linear guide 44 is provided from the rear surface 41a of the housing portion 41 to the upper part of the pedestal portion 30 along the vertical direction, and a ball screw 45 having a screw shaft extending in the vertical direction is arranged inside the linear guide 44.
  • the screw shaft of the ball screw 45 is rotated by driving a motor 46 arranged below the rear surface 41a.
  • the screw shaft is provided with a nut portion (not shown) that is displaced up and down by the rotation of the screw shaft, and the housing portion 41 fixed to the nut portion is supported by the linear guide 44 while the hooking portion 42.
  • the robot 10 is moved up and down relative to the base 40, and the robot 10 supported by the base 40 is displaced up and down accordingly.
  • the housing portion 41 is provided with a self-weight compensation spring 47.
  • the self-weight compensation spring 47 is composed of, for example, a tension spring, and applies a force that displaces the housing portion 41 upward. By providing the self-weight compensation spring 47, the driving force of the motor 46 can be suppressed to be small and the robot 10 can be efficiently displaced up and down.
  • the motor 46 is driven according to a control signal from the main body drive control unit 49.
  • a brake 48 fixing member
  • the ball screw 45 is operated by the operation of the brake 48. The operation is stopped, the vertical movement of the base 40 is stopped, and the vertical position of the robot 10 is fixed.
  • the brake 48 for example, a brake 48 that acts on the rotation shaft of the ball screw 45 to regulate the rotation, or a brake 48 that sandwiches the nut portion to which the housing portion 41 is fixed and regulates the vertical movement of the nut portion.
  • the base 40 can be moved up and down. It may be regulated.
  • a control signal from the main body drive control unit 49 to the motor 46 is also sent to the brake 48, and the input of this control signal is input for a predetermined time when the power is lost. It is advisable to activate the brake 48 by using the above failure as a trigger.
  • the operation of the brake 48 is regulated, and when the above control signal is not input for a predetermined time or more due to a loss of power or the like, the operation of the brake 48 is regulated. It may be released and the brake 48 may be activated.
  • the control signal of the main body drive control unit 49 is also output to the cooperative drive control unit 81.
  • the cooperative drive control unit 81 is connected to the arm drive control unit 82, and control signals given by the arm drive control unit 82 to the first air supply unit 83 and the second air supply unit 84 are also input.
  • the cooperative drive control unit 81 links the movement of the base 40 in the vertical direction (first direction) with the drive of the arm unit 20.
  • the arm portion 20 is driven according to the vertical position of the base portion 40, and the endoscope 53 is adjusted to the optimum position and posture for the treatment or the like.
  • the posture of the endoscope 53 is changed accordingly to prevent troubles such as contact of the endoscope 53 and the arm 20 with the patient.
  • the cooperative drive control unit 81 stops at least one of the drive of the arm unit 20 and the vertical movement of the base unit 40 at the end of operation or in an emergency, or saves the endoscope 53 and the arm unit 20 to a predetermined position.
  • the arm portion 20 is driven so as to be driven.
  • the operations of the first pneumatic actuator unit 24b and the second pneumatic actuator unit 26b are fixed from each of the first air supply unit 83 and the second air supply unit 84.
  • a control signal for adjusting the air supply is output to the arm drive control unit 82.
  • the arm unit 20 is retreated from the first air supply unit 83 and the second air supply unit 84, respectively, calculated from the current posture of the arm unit 20 so that the arm unit 20 retreats to a predetermined position set in advance.
  • a control signal for adjusting the supply of air from the arm drive control unit 82 is output.
  • the surgical robot according to the present invention is useful in that the surgical robot can be easily moved by a simple operation even when the surgical method or the affected area is changed.
  • Robot (surgical robot) 20 Arm part 21 Tip holding part 22 Gimbal mechanism part 23 1st joint part 24 1st arm 24a 1st rod 24b 1st pneumatic actuator part 24c 1st self-weight compensating part 25 2nd joint part 26 2nd arm 26a 2nd rod 26b 2nd pneumatic actuator part 26c 2nd self-weight compensation part 30 Pedestal part (main body part) 40 base (main body) 41 Housing part 41a Rear surface 42 Hooking part 42a Extension 42b Tip Hooking part 42c Recess (contact area) 42d Inclined surface 42e Rear side surface 42f Upper inner surface (contact area) 42g inner surface (contact area) 42h, 42i Square 43 Pressing plate 43a Protrusion 44 Linear guide 45 Ball screw 46 Motor 47 Self-weight compensation spring 48 Brake (fixing member) 49 Main unit drive control unit 51 Camera head adapter 52 Holder 53 Endoscope 60 Bed 61, 62, 63 Base 61a, 62a Rear 61b Front 63a Front 64 Base 65 Support 66 Base

Abstract

Provided is a surgical robot that can easily move by a simple operation even when there is a change in the operative procedure or the affected part. The present invention comprises: a body part; an arm part which is provided to the body part, retains an endoscope, and is pneumatically driven; a mounting member for detachably mounting the body part to a stand part of a bed; and a friction reducing member for reducing friction in movement of the mounting member so that the mounting member can move along the outer periphery of the stand part. A support part is provided so as to extend along the outer periphery of the stand part of the bed, and the body part is mounted so as to be able to move relative to the support part.

Description

手術ロボットSurgical robot
 本発明は、内視鏡を保持し、空気圧駆動されるアーム部を有する手術ロボットに関する。 The present invention relates to a surgical robot that holds an endoscope and has a pneumatically driven arm portion.
 特許文献1に記載の医療用ロボットシステムは、一定の位置に固定された手術ロボットと、可動ベッドと、画像診断装置とを備え、手術ロボットはマニピュレータと内視鏡がそれぞれ先端に取り付けられた複数のアームを有する。可動ベッドは、固定されたステーションに対して、位置、向き、及び、姿勢が変更可能となるように構成されている。 The medical robot system described in Patent Document 1 includes a surgical robot fixed at a fixed position, a movable bed, and a diagnostic imaging device, and the surgical robot includes a plurality of surgical robots to which a manipulator and an endoscope are attached to the tips, respectively. Has an arm. The movable bed is configured so that its position, orientation, and posture can be changed with respect to a fixed station.
特開2012-5557号公報Japanese Unexamined Patent Publication No. 2012-5557
 しかしながら、特許文献1に記載の医療用ロボットシステムにおいては、可動ベッドを動かすことはできるものの、症例等に応じて、マニピュレータや処置具と患者との位置関係を自在に、かつ、迅速に変更することは難しく、また、前記位置関係の変更のためにベッドの位置等を変化させることは患者に対して負担を強いることとなり好ましくない。 However, in the medical robot system described in Patent Document 1, although the movable bed can be moved, the positional relationship between the manipulator or the treatment tool and the patient can be freely and quickly changed according to the case or the like. It is difficult to do so, and changing the position of the bed or the like for changing the positional relationship imposes a burden on the patient, which is not preferable.
 さらに、水平方向においては、手術ロボットの本体と可動ベッドの関係は固定されているため、術式や患部の変更があった場合には、重量の大きな手術ロボットの固定を解除して移動し、移動後に再固定するなどの操作が必要となり、患者に対する手術ロボットの位置の調整は非常に煩雑であり、多大な時間と労力を要していた。 Furthermore, in the horizontal direction, the relationship between the main body of the surgical robot and the movable bed is fixed, so if there is a change in the surgical procedure or affected area, the heavy surgical robot will be released from fixation and moved. Since it is necessary to perform operations such as re-fixing after moving, adjusting the position of the surgical robot with respect to the patient is extremely complicated, and requires a great deal of time and labor.
 そこで本発明は、術式や患部の変更があった場合にも、簡便な操作で容易に移動することができる手術ロボットを提供することを目的とする。 Therefore, an object of the present invention is to provide a surgical robot that can be easily moved by a simple operation even when the surgical procedure or the affected area is changed.
 上記課題を解決するために、本発明の手術ロボットは、本体部と、本体部に設けられ、内視鏡を保持し、空気圧駆動されるアーム部と、ベッドの台部に対して本体部を脱着可能に装着するための装着部材と、装着部材が台部の外囲に沿って移動可能となるように、装着部材の移動における摩擦を低減する摩擦低減部材とを備えることを特徴としている。 In order to solve the above problems, the surgical robot of the present invention has a main body, an arm that is provided on the main body and holds an endoscope and is pneumatically driven, and a main body with respect to a bed base. It is characterized by including a mounting member for detachably mounting and a friction reducing member for reducing friction in the movement of the mounting member so that the mounting member can move along the outer circumference of the base portion.
 本発明の手術ロボットにおいて、ベッドの台部の外囲に沿って延びるように支持部が設けられ、本体部は支持部に対して移動可能に装着されることが好ましい。 In the surgical robot of the present invention, it is preferable that a support portion is provided so as to extend along the outer circumference of the base portion of the bed, and the main body portion is movably attached to the support portion.
 本発明の手術ロボットにおいて、装着部材は、本体部を支持部に対して脱着可能に掛止する掛止部であることが好ましい。 In the surgical robot of the present invention, it is preferable that the mounting member is a hooking portion that detachably hooks the main body portion to the supporting portion.
 本発明の手術ロボットにおいて、支持部は、外囲に沿って複数に分割されており、掛止部は、支持部が延びる方向において、隣り合う支持部の間隔より大きな長さを有することが好ましい。 In the surgical robot of the present invention, the support portion is divided into a plurality of parts along the outer circumference, and the hook portion preferably has a length larger than the distance between adjacent support portions in the direction in which the support portion extends. ..
 本発明の手術ロボットにおいて、掛止部が、ベッドの台部の外囲に沿って移動することを規制する規制部材を備え、掛止部は、規制部材による規制を解除したときに、外囲に沿って移動可能となることが好ましい。 In the surgical robot of the present invention, the hook portion includes a regulating member that regulates the movement of the hook portion along the outer circumference of the base portion of the bed, and the hook portion has an outer circumference when the regulation by the regulating member is released. It is preferable to be able to move along the line.
 本発明の手術ロボットにおいて、摩擦低減部材は、掛止部と支持部との間の摩擦を低減するコーティング層であることが好ましい。 In the surgical robot of the present invention, the friction reducing member is preferably a coating layer that reduces friction between the hooking portion and the supporting portion.
 本発明の手術ロボットにおいて、摩擦低減部材は、掛止部に設けた軸受部材であることが好ましい。 In the surgical robot of the present invention, the friction reducing member is preferably a bearing member provided on the hook portion.
 本発明の手術ロボットにおいて、掛止部は、支持部の上部を内部に収容する凹部を有し、摩擦低減部材は、凹部における、支持部の上部との接触領域に設けられていることが好ましい。 In the surgical robot of the present invention, it is preferable that the hook portion has a recess for accommodating the upper portion of the support portion inside, and the friction reducing member is provided in the contact region of the recess with the upper portion of the support portion. ..
 本発明の手術ロボットにおいて、本体部を、台部に垂直な方向に沿って移動可能とする垂直駆動機構と、本体部の台部に垂直な方向に沿った移動を規制する固定部材とを備えることが好ましい。 The surgical robot of the present invention includes a vertical drive mechanism that allows the main body to move along a direction perpendicular to the base, and a fixing member that regulates movement of the main body along the direction perpendicular to the base. Is preferable.
 本発明によると、術式や患部の変更があった場合にも、簡便な操作で容易に移動することができる手術ロボットを提供することができる。 According to the present invention, it is possible to provide a surgical robot that can be easily moved by a simple operation even when the surgical procedure or the affected area is changed.
本発明の実施形態に係る手術ロボットをベッドの台部に装着した状態を示す斜視図である。It is a perspective view which shows the state which the surgical robot which concerns on embodiment of this invention is attached to the base part of a bed. 本発明の実施形態に係る手術ロボットのアーム部を拡大して示す斜視図である。It is a perspective view which shows the arm part of the surgical robot which concerns on embodiment of this invention in an enlarged manner. 本発明の実施形態に係る手術ロボットの本体部を拡大して示す斜視図である。It is a perspective view which shows the main body part of the surgical robot which concerns on embodiment of this invention in an enlarged manner. 本発明の実施形態に係る手術ロボットが装着されるベッドの構成を示す平面図である。It is a top view which shows the structure of the bed on which the surgical robot which concerns on embodiment of this invention is mounted. 本発明の実施形態における本体部とベッドとの装着部分を拡大して示す、上方から見た斜視図である。It is a perspective view seen from above which shows the mounting part of the main body part and the bed in the embodiment of this invention in an enlarged manner. 本体部と支持部との掛止部分を拡大して示す側面図である。It is a side view which shows the hooking part between a main body part and a support part in an enlarged manner. 本体部と支持部との掛止部分を拡大して示す側面図であって、固定ピンの挿入を説明する図である。It is a side view which shows the hooking part between a main body part and a support part in an enlarged manner, and is the figure explaining the insertion of the fixing pin. アーム部とボールねじの連携駆動に係る機能ブロック図である。It is a functional block diagram which concerns on the cooperative drive of an arm part and a ball screw. 本体部と支持部との掛止部分を拡大して示す側面図であって、掛止部の凹部にコーティング層を設けた構成を示す図である。It is an enlarged side view which shows the hooking part between a main body part and a support part, and is the figure which shows the structure which provided the coating layer in the recess of the hooking part. 本体部と支持部との掛止部分を拡大して示す側面図であって、掛止部の凹部にボール軸受を設けた構成を示す図である。It is an enlarged side view which shows the hooking part between a main body part and a support part, and is the figure which shows the structure which provided the ball bearing in the recess of the hooking part.
 以下、本発明の実施形態に係る手術ロボットについて図面を参照しつつ詳しく説明する。本実施形態では、内視鏡外科手術に用いる内視鏡53を保持するアーム部20を有するものを例として挙げている。各図には、基準座標としてX-Y-Z座標が示されている。以下の説明において、鉛直方向をZ1-Z2方向(上下方向)とし、鉛直方向に直交する水平面内で互いに直交する、左右方向及び前後方向をそれぞれ、X1-X2方向及びY1-Y2方向と称する。前後方向(Y1-Y2方向)において、Y1側を後側又は奥側、Y2側を前側又は手前側と呼び、上側(Z1側)から下側(Z2側)を見た状態を平面視と言うことがある。 Hereinafter, the surgical robot according to the embodiment of the present invention will be described in detail with reference to the drawings. In the present embodiment, an arm portion 20 for holding the endoscope 53 used for endoscopic surgery is given as an example. In each figure, XYZ coordinates are shown as reference coordinates. In the following description, the vertical direction is referred to as the Z1-Z2 direction (vertical direction), and the left-right direction and the front-back direction, which are orthogonal to each other in the horizontal plane orthogonal to the vertical direction, are referred to as the X1-X2 direction and the Y1-Y2 direction, respectively. In the front-rear direction (Y1-Y2 direction), the Y1 side is called the rear side or the back side, the Y2 side is called the front side or the front side, and the state in which the lower side (Z2 side) is viewed from the upper side (Z1 side) is called a plan view. Sometimes.
 手術ロボット10(以下、「ロボット10」と略記する。)は、図1に示すように、アーム部20と、アーム部20を支持する台座部30と、台座部30が設けられた基部40とを備える。内視鏡を保持するアーム部20は、台座部30と基部40により構成される本体部に設けられている。ロボット10は、基部40を、手術対象の患者が横たわるベッド60の台部61、62、63に対して、脱着可能、かつ、台部の外囲に沿った方向に移動可能に装着される。 As shown in FIG. 1, the surgical robot 10 (hereinafter, abbreviated as “robot 10”) includes an arm portion 20, a pedestal portion 30 that supports the arm portion 20, and a base portion 40 provided with the pedestal portion 30. To be equipped. The arm portion 20 for holding the endoscope is provided on a main body portion composed of a pedestal portion 30 and a base portion 40. The robot 10 is attached to the base 40 with respect to the bases 61, 62, 63 of the bed 60 on which the patient to be operated on lies, so as to be removable and movable in a direction along the outer circumference of the base.
 図1に示す例においては、アーム部20には、ホルダ52を介してカメラヘッドアダプタ51が保持され、カメラヘッドアダプタ51は内視鏡53を保持している。なお、アーム部20による内視鏡53の保持形態は、内視鏡53の形態、用途などに応じて任意に変更でき、図1に示すものに限定されない。 In the example shown in FIG. 1, the camera head adapter 51 is held by the arm portion 20 via the holder 52, and the camera head adapter 51 holds the endoscope 53. The holding form of the endoscope 53 by the arm portion 20 can be arbitrarily changed according to the form and use of the endoscope 53, and is not limited to the one shown in FIG.
 図2に示すように、アーム部20は、ホルダ52側から台座部30側へ順に、ホルダ52が装着される先端保持部21と、ジンバル機構部22と、第1関節部23と、第1アーム24と、第2関節部25と、第2アーム26とを備える。 As shown in FIG. 2, the arm portion 20 includes a tip holding portion 21, a gimbal mechanism portion 22, a first joint portion 23, and a first portion in which the holder 52 is mounted, in this order from the holder 52 side to the pedestal portion 30 side. An arm 24, a second joint portion 25, and a second arm 26 are provided.
 先端保持部21は、側方をジンバル機構部22に支持されると共に、先端側においてホルダ52を脱着可能に保持し、これによってホルダ52に装着されたカメラヘッドアダプタ51を保持する。 The tip holding portion 21 is supported on the side by the gimbal mechanism portion 22 and holds the holder 52 detachably on the tip side, thereby holding the camera head adapter 51 attached to the holder 52.
 ジンバル機構部22は、カメラヘッドアダプタ51が保持する内視鏡53を、内視鏡53の観察光軸に沿った第1回転軸AX1を中心として回転可能に支持するとともに、第1回転軸AX1に交差する方向、好ましくは直交する方向に延びる第2回転軸AX2を中心として回転可能に支持する。 The gimbal mechanism unit 22 rotatably supports the endoscope 53 held by the camera head adapter 51 about the first rotation axis AX1 along the observation optical axis of the endoscope 53, and also supports the first rotation axis AX1. It is rotatably supported around a second rotation axis AX2 extending in a direction intersecting with, preferably in an orthogonal direction.
 第1関節部23は、第1回転軸AX1及び第2回転軸AX2を含む平面に対して交差して、より好ましくは直交して延びる第3回転軸AX3を中心としてジンバル機構部22が相対回動可能となるように支持する。 The first joint portion 23 is such that the gimbal mechanism portion 22 rotates relative to the plane including the first rotation axis AX1 and the second rotation axis AX2, and more preferably the third rotation axis AX3 extending orthogonally. Support to be mobile.
 第1アーム24は、第1関節部23及び第2関節部25とともに平行リンク機構を形成するものであり、第1関節部23及び第2関節部25の相対姿勢を保ちつつ、相対移動可能とするものである。第1アーム24は、一対の第1ロッド24aと、一対の第1空気圧アクチュエータ部24bと、第1自重補償部24cとを備える。 The first arm 24 forms a parallel link mechanism together with the first joint portion 23 and the second joint portion 25, and is capable of relative movement while maintaining the relative postures of the first joint portion 23 and the second joint portion 25. Is what you do. The first arm 24 includes a pair of first rods 24a, a pair of first pneumatic actuator portions 24b, and a first self-weight compensating portion 24c.
 第1ロッド24aは、一対の棒状に形成された部材であり、一方の端部が第1関節部23に回動可能に取り付けられ、他方の端部が第2関節部25に回動可能に取り付けられている。 The first rod 24a is a pair of rod-shaped members, one end of which is rotatably attached to the first joint 23 and the other end of which is rotatable to the second joint 25. It is attached.
 第1空気圧アクチュエータ部24bは、第1関節部23及び第2関節部25の相対位置を移動させるものである。例えば、第1空気圧アクチュエータ部24bが、シリンダ及びピストンを備えたアクチュエータであり、圧力が高められた空気の供給を受けてピストンをスライド駆動する。第1空気圧アクチュエータ部24bの一方の端部は、第2関節部25において一方の第1ロッド24aが取り付けられた位置、又はその近傍に回動可能に取り付けられ、他方の端部は、他方の第1ロッド24aの中ほどに回動可能に取り付けられている。 The first pneumatic actuator portion 24b moves the relative positions of the first joint portion 23 and the second joint portion 25. For example, the first pneumatic actuator unit 24b is an actuator including a cylinder and a piston, and slides the piston by receiving the supply of air with increased pressure. One end of the first pneumatic actuator portion 24b is rotatably attached to or near the position where one first rod 24a is attached in the second joint portion 25, and the other end is the other. It is rotatably attached to the middle of the first rod 24a.
 第1自重補償部24cは、第1関節部23を上方に移動させる力を付与するものであって、例えば引っ張りバネで構成する。第1自重補償部24cの一方の端部は、第1関節部23において一方の第1ロッド24aが取り付けられた位置、又はその近傍に取り付けられ、他方の端部は、他方の第1ロッド24aの中ほどに取り付けられている。 The first self-weight compensating portion 24c applies a force for moving the first joint portion 23 upward, and is composed of, for example, a tension spring. One end of the first self-weight compensating portion 24c is attached to or near the position where one first rod 24a is attached in the first joint portion 23, and the other end is attached to the other first rod 24a. It is installed in the middle.
 第2アーム26は、第2関節部25及び台座部30とともに平行リンク機構を形成するものであり、第2関節部25及び台座部30の相対姿勢を保ちつつ、相対移動を可能とするものである。第2アーム26は、一対の第2ロッド26aと、一対の第2空気圧アクチュエータ部26bと、第2自重補償部26cとを備える。 The second arm 26 forms a parallel link mechanism together with the second joint portion 25 and the pedestal portion 30, and enables relative movement while maintaining the relative posture of the second joint portion 25 and the pedestal portion 30. be. The second arm 26 includes a pair of second rods 26a, a pair of second pneumatic actuator portions 26b, and a second self-weight compensating portion 26c.
 第2ロッド26aは、一対の棒状に形成された部材であり、一方の端部が第2関節部25に回動可能に取り付けられ、他方の端部が台座部30に回動可能に取り付けられている。 The second rod 26a is a pair of rod-shaped members, one end of which is rotatably attached to the second joint 25 and the other end of which is rotatably attached to the pedestal 30. ing.
 第2空気圧アクチュエータ部26bは、第2関節部25及び台座部30の相対位置を移動させるものである。例えば、第2空気圧アクチュエータ部26bが、シリンダ及びピストンを備えたアクチュエータであり、圧力が高められた空気の供給を受けてピストンをスライド駆動する。第2空気圧アクチュエータ部26bの一方の端部は、台座部30における一方の第2ロッド26aが取り付けられた位置、又はその近傍に回動可能に取り付けられており、他方の端部は、他方の第2ロッド26aの中ほどに回動可能に取り付けられている。 The second pneumatic actuator portion 26b moves the relative positions of the second joint portion 25 and the pedestal portion 30. For example, the second pneumatic actuator unit 26b is an actuator including a cylinder and a piston, and slides the piston by receiving the supply of air with increased pressure. One end of the second pneumatic actuator portion 26b is rotatably attached to or near the position where one second rod 26a is attached on the pedestal portion 30, and the other end is the other. It is rotatably attached to the middle of the second rod 26a.
 第2自重補償部26cは、第2アーム26を、第1方向としての鉛直方向へ移動させる力を付与するものであり、例えば引っ張りバネで構成する。第2自重補償部26cの一方の端部は、台座部30における一方の第2ロッド26aが取り付けられた位置、又はその近傍に取り付けられ、他方の端部は、他方の第2ロッド26aの中ほどに取り付けられている。 The second self-weight compensating unit 26c applies a force for moving the second arm 26 in the vertical direction as the first direction, and is composed of, for example, a tension spring. One end of the second self-weight compensating portion 26c is attached to or near the position where one second rod 26a is attached on the pedestal portion 30, and the other end is inside the other second rod 26a. It is attached to the extent.
 図8に示すように、第1空気圧アクチュエータ部24bは第1空気供給部83から圧力が高められた空気の供給を受け、第2空気圧アクチュエータ部26bは第2空気供給部84から圧力が高められた空気の供給を受ける。第1空気供給部83と第2空気供給部84は、アーム駆動制御部82からの制御信号にしたがって、第1空気圧アクチュエータ部24bと第2空気圧アクチュエータ部26bのそれぞれに、所定の圧力の空気を、所定の時間又はサイクルで供給する。これによって、第1アーム24と第2アーム26がそれぞれ駆動され、アーム部20が所定の駆動を行い、内視鏡53を所定の位置で所定の姿勢とし、又は、その位置から所定の軌道で移動させることができる。 As shown in FIG. 8, the first pneumatic actuator unit 24b receives the air supply with increased pressure from the first air supply unit 83, and the second pneumatic actuator unit 26b receives the increased pressure from the second air supply unit 84. Receive the supply of air. The first air supply unit 83 and the second air supply unit 84 supply air of a predetermined pressure to each of the first pneumatic actuator unit 24b and the second pneumatic actuator unit 26b according to the control signal from the arm drive control unit 82. , Supply in a predetermined time or cycle. As a result, the first arm 24 and the second arm 26 are driven, respectively, the arm portion 20 performs a predetermined drive, and the endoscope 53 is placed in a predetermined position at a predetermined position, or in a predetermined trajectory from that position. Can be moved.
 以上の構成からなるロボット10は、以下に説明するように空気圧駆動によりアーム部20が動作する。
 第1空気圧アクチュエータ部24bと第2空気圧アクチュエータ部26bは、それぞれ、圧力が高められた駆動用の空気が供給されることにより、シリンダからピストンが突出したり引き込まれたりする。シリンダからピストンが突出すると、例えば第1アーム24においては、第1空気圧アクチュエータ部24bの長手方向の寸法が長くなると、第1アーム24の第1ロッド24aは、第1関節部23が上方に移動するように回動する。逆に、第1空気圧アクチュエータ部24bの長手方向の寸法が短くなると、第1ロッド24aは、第1関節部23が下方に移動するように回動する。また、第1自重補償部24cは、長手方向の寸法が長くなるように引き延ばされた状態で第1アーム24に取り付けられているため、自らの長手方向の寸法が短くなる方向に付勢力を発生させている。この付勢力は、内視鏡53等の自重に逆らい、第1関節部23が上方向に回動する力として働く。
In the robot 10 having the above configuration, the arm portion 20 is operated by pneumatic drive as described below.
The pistons of the first pneumatic actuator section 24b and the second pneumatic actuator section 26b are respectively projected or pulled in from the cylinder by being supplied with driving air having an increased pressure. When the piston protrudes from the cylinder, for example, in the first arm 24, when the dimension of the first pneumatic actuator portion 24b in the longitudinal direction becomes longer, the first joint portion 23 of the first arm 24 moves upward. Rotate to do so. On the contrary, when the dimension of the first pneumatic actuator portion 24b in the longitudinal direction becomes shorter, the first rod 24a rotates so that the first joint portion 23 moves downward. Further, since the first self-weight compensating portion 24c is attached to the first arm 24 in a state of being stretched so that the dimension in the longitudinal direction becomes longer, the urging force in the direction in which the dimension in the longitudinal direction thereof becomes shorter. Is being generated. This urging force acts as a force for the first joint portion 23 to rotate upward against the weight of the endoscope 53 or the like.
 平行リンクを有する第1アーム24及び第2アーム26で第1関節部23を支持することにより、第1関節部23の配置位置を変更しても、第1関節部23の姿勢を一定に保つことが容易となる。 By supporting the first joint portion 23 with the first arm 24 and the second arm 26 having parallel links, the posture of the first joint portion 23 is kept constant even if the arrangement position of the first joint portion 23 is changed. It becomes easy.
 第1自重補償部24c、及び、第2自重補償部26cを設けることにより、これらを設けない場合と比較して、第1空気圧アクチュエータ部24b及び第2空気圧アクチュエータ部26bが内視鏡53を支持した第1関節部23の位置を移動させる際に必要となる駆動力を小さくすることができる。そのため、第1空気圧アクチュエータ部24b及び第2空気圧アクチュエータ部26bの小型化が容易となり、ロボット10の軽量化を実現することができる。 By providing the first self-weight compensating section 24c and the second self-weight compensating section 26c, the first pneumatic actuator section 24b and the second pneumatic actuator section 26b support the endoscope 53 as compared with the case where they are not provided. The driving force required to move the position of the first joint portion 23 can be reduced. Therefore, the first pneumatic actuator portion 24b and the second pneumatic actuator portion 26b can be easily miniaturized, and the weight of the robot 10 can be reduced.
 第1空気圧アクチュエータ部24b及び第2空気圧アクチュエータ部26bを用いることにより、重量対出力比を大きくすることが容易となり、また、減速機構を用いない簡素な直動動作が実現可能となる。その結果、ロボット10の小型化及び軽量化が更に容易になる。 By using the first pneumatic actuator unit 24b and the second pneumatic actuator unit 26b, it becomes easy to increase the weight-to-output ratio, and a simple linear motion operation without using a reduction mechanism can be realized. As a result, it becomes easier to reduce the size and weight of the robot 10.
 次に、ベッド60の台部61~63に対する装着、及び、ロボット10をベッド60の台部61~63に垂直な第1方向に沿って駆動させる垂直駆動機構に関して説明する。以下の説明では、ベッド60の台部61~63が水平方向に沿った例を説明するため、第1方向は鉛直方向に沿った方向となる。 Next, the mounting of the bed 60 on the bases 61 to 63 and the vertical drive mechanism for driving the robot 10 along the first direction perpendicular to the bases 61 to 63 of the bed 60 will be described. In the following description, in order to explain an example in which the base portions 61 to 63 of the bed 60 are along the horizontal direction, the first direction is the direction along the vertical direction.
 図3に示すように、ロボット10の基部40は、その筐体部41の後側(Y1側)の後面41aに、リニアガイド44とボールねじ45を介して掛止部42が設けられ、さらに、掛止部42に相対移動可能に支持された押さえ板43を備える。掛止部42と押さえ板43は、ベッド60の台部61~63に対して基部40(本体部)を脱着可能に装着するための装着部材を構成する。掛止部42は、後面41aから後方へ板状に延出した延出部42aと、延出部42aの後方先端から下方に板状に延びる先端掛止部42bとを備える。掛止部42は、左右方向において長さL1を有する。 As shown in FIG. 3, the base 40 of the robot 10 is provided with a hooking portion 42 on the rear surface 41a on the rear side (Y1 side) of the housing portion 41 via a linear guide 44 and a ball screw 45, and further. A holding plate 43 supported so as to be relatively movable is provided on the hooking portion 42. The hooking portion 42 and the pressing plate 43 form a mounting member for mounting the base portion 40 (main body portion) detachably on the base portions 61 to 63 of the bed 60. The hooking portion 42 includes an extending portion 42a extending rearward from the rear surface 41a in a plate shape, and a tip hooking portion 42b extending downward from the rear tip of the extending portion 42a in a plate shape. The hooking portion 42 has a length L1 in the left-right direction.
 ロボット10は、掛止部42をベッド60の台部61~63の外囲に沿うように設けた板状の支持部71~76(図4参照)のいずれかに係止させることによって、ベッド60に対して、術式、手術部位、患者の体型などに応じた所定の位置に配置される。これにより、掛止部42は、装着部材として、ベッド60の台部61~63に対して、台座部30と基部40により構成される本体部を脱着可能に装着でき、施術等に応じて、前後方向(Y1-Y2方向)又は左右方向(X1-X2方向)、すなわち、ベッド60の台部61~63に垂直な第1方向(Z1-Z2方向)とは異なる第2方向に移動可能とされる。 The robot 10 locks the hooking portion 42 to any of the plate-shaped support portions 71 to 76 (see FIG. 4) provided along the outer circumference of the base portions 61 to 63 of the bed 60, thereby engaging the bed. With respect to 60, it is arranged at a predetermined position according to the surgical procedure, the surgical site, the body shape of the patient, and the like. As a result, the hooking portion 42 can detachably attach the main body portion composed of the pedestal portion 30 and the base portion 40 to the base portions 61 to 63 of the bed 60 as a mounting member, and depending on the treatment or the like, It is possible to move in the front-rear direction (Y1-Y2 direction) or the left-right direction (X1-X2 direction), that is, in a second direction different from the first direction (Z1-Z2 direction) perpendicular to the base 61 to 63 of the bed 60. Will be done.
 図4に示すように、ベッド60は、左側(X1側)の第1台部61と、右側において奥側に位置する第2台部62と、右側において手前側に位置する第3台部63とを備える(図1参照)。3つの台部61~63は、Z1側からZ1側を見た平面視において、それぞれ略矩形状をなし、そして、鉛直方向(Z1-Z2方向)に直交する水平面内に延びる基台64上にそれぞれ配置され、左右方向(X1-X2方向)に個別に移動可能とされている。 As shown in FIG. 4, the bed 60 has a first base 61 on the left side (X1 side), a second base 62 located on the back side on the right side, and a third base 63 located on the front side on the right side. (See FIG. 1). The three bases 61 to 63 each have a substantially rectangular shape in a plan view from the Z1 side to the Z1 side, and are on a base 64 extending in a horizontal plane orthogonal to the vertical direction (Z1-Z2 direction). They are arranged respectively and can be individually moved in the left-right direction (X1-X2 direction).
 基台64は、平面視において、前後方向及び左右方向に沿った矩形状の外形形状を有し、図1に示すように、床面に載置される基礎部66から上下に延びる支柱部65によって支持される。 The base 64 has a rectangular outer shape along the front-rear direction and the left-right direction in a plan view, and as shown in FIG. 1, the support portion 65 extending vertically from the foundation portion 66 mounted on the floor surface. Supported by.
 図1又は図4に示すように、基台64の外側面には板状の支持部71~76が設けられている。支持部71~76は、同じ厚さの長板状をなし、上下方向に所定の幅を有し、左右方向に長く延びている。 As shown in FIG. 1 or 4, plate-shaped support portions 71 to 76 are provided on the outer surface of the base 64. The support portions 71 to 76 have a long plate shape having the same thickness, have a predetermined width in the vertical direction, and extend long in the horizontal direction.
 第6支持部76を例に挙げると、図6に示すように基台64から前後方向(Y1-Y2方向)に沿って外側へ延びた接続部76aが第6支持部76の後面に固定され、第6支持部76を支持している。接続部76aは、前後方向においては、掛止部42の先端掛止部42bを第6支持部76に掛止(係止)したときに、先端掛止部42bの後側面42eが第3台部63の外側面に略当接するような長さを有する。 Taking the sixth support portion 76 as an example, as shown in FIG. 6, the connecting portion 76a extending outward from the base 64 along the front-rear direction (Y1-Y2 direction) is fixed to the rear surface of the sixth support portion 76. , Supports the sixth support portion 76. In the front-rear direction, when the tip hooking portion 42b of the hooking portion 42 is hooked (locked) to the sixth support portion 76, the connecting portion 76a has a third rear side surface 42e of the tip hooking portion 42b. It has a length that substantially abuts on the outer surface of the portion 63.
 図4に示すように、支持部71、72、73は、前後方向の同じ位置において左から右へ順に配置され、平面視において、支持部71、72は第1台部61の後面61aに沿って配置され、第3支持部73は第2台部62の後面62aに沿って配置されている。支持部74、75、76は、前後方向の同じ位置において左から右へ順に配置され、平面視において、支持部74、75は第1台部61の前面61bに沿って配置され、第6支持部76は第3台部63の前面63aに沿って配置されている。 As shown in FIG. 4, the support portions 71, 72, 73 are arranged in order from left to right at the same positions in the front-rear direction, and the support portions 71, 72 are arranged along the rear surface 61a of the first base portion 61 in a plan view. The third support portion 73 is arranged along the rear surface 62a of the second base portion 62. The support portions 74, 75, 76 are arranged in order from left to right at the same position in the front-rear direction, and in a plan view, the support portions 74, 75 are arranged along the front surface 61b of the first base portion 61, and the sixth support is provided. The portion 76 is arranged along the front surface 63a of the third base portion 63.
 後側(Y1側)の支持部71、72、73と、前側(Y2側)の支持部74、75、76とはそれぞれ前後方向に対向する位置に配置され、対向する支持部は互いに同一の幅(左右方向)で設けられている。 The rear side (Y1 side) support portions 71, 72, 73 and the front side (Y2 side) support portions 74, 75, 76 are arranged at positions facing each other in the front-rear direction, and the facing support portions are the same as each other. It is provided in width (horizontal direction).
 支持部71~76の左右方向(X1-X2方向)の間隔については、後側の第1支持部71と第2支持部72は間隔L2、第2支持部72と第3支持部73は間隔L3とされ、前側の第4支持部74と第5支持部75は間隔L2、第5支持部75と第6支持部76は間隔L3とされている。これらの間隔L2、L3は、掛止部42の長さL1よりも短い。別言すると、掛止部42は、支持部71~76が延びる左右方向において、隣り合う2つの支持部の間隔のいずれよりも大きな長さを有している。よって、支持部71~76に掛止部42を掛止させた状態で、ベッド60の台部61~63の外囲に沿って本体部が移動可能となる。
 なお、支持部の配置、サイズ、間隔は図4等に示す形態に限定されず、例えば、第1台部61に設ける支持部は前後の両側面に対して1つずつ、又は、3つ以上設けてもよい。
Regarding the distance between the support portions 71 to 76 in the left-right direction (X1-X2 direction), the first support portion 71 and the second support portion 72 on the rear side are spaced apart from each other, and the second support portion 72 and the third support portion 73 are spaced apart from each other. The fourth support portion 74 and the fifth support portion 75 on the front side have an interval L2, and the fifth support portion 75 and the sixth support portion 76 have an interval L3. These intervals L2 and L3 are shorter than the length L1 of the hooking portion 42. In other words, the hooking portion 42 has a length larger than any of the distances between the two adjacent supporting portions in the left-right direction in which the supporting portions 71 to 76 extend. Therefore, the main body portion can be moved along the outer circumference of the base portions 61 to 63 of the bed 60 in a state where the hooking portion 42 is hooked on the support portions 71 to 76.
The arrangement, size, and spacing of the support portions are not limited to those shown in FIG. 4 and the like. For example, the support portions provided on the first base 61 are one or three or more on both front and rear surfaces. It may be provided.
 図4に示す例では、左右方向に沿ってそれぞれ延びる支持部71~76を示しているが、これに加えて、又は、これに代えて、前後方向に延びる支持部を設けても良い。また、支持部は、基台64ではなく、ベッドの外側面に設けても良い。 In the example shown in FIG. 4, the support portions 71 to 76 extending in the left-right direction are shown, but in addition to or instead of this, a support portion extending in the front-rear direction may be provided. Further, the support portion may be provided on the outer surface of the bed instead of the base 64.
 図5と図6に示すように、基部40の押さえ板43は、掛止部42の延出部42aの前後方向の途中位置から下方に延びるように配置されている。押さえ板43は、前後方向に相対移動可能となるように掛止部42に支持されている。押さえ板43は、基部40を支持部71~76に掛止する過程においては、先端掛止部42bとの間隔が掛止する支持部の厚さよりも広くなるように配置され、掛止させた後は、後ろ側への移動によって、先端掛止部42bとの間隔が掛止した支持部の厚さに対応する間隔に調整され、これによって、掛止した支持部を前後方向から挟持する。 As shown in FIGS. 5 and 6, the holding plate 43 of the base 40 is arranged so as to extend downward from an intermediate position in the front-rear direction of the extending portion 42a of the hooking portion 42. The pressing plate 43 is supported by the hooking portion 42 so as to be relatively movable in the front-rear direction. In the process of hooking the base portion 40 to the support portions 71 to 76, the pressing plate 43 is arranged so that the distance from the tip hooking portion 42b is wider than the thickness of the support portion to be hooked, and the pressing plate 43 is hooked. After that, by moving to the rear side, the distance from the tip hooking portion 42b is adjusted to a distance corresponding to the thickness of the hooked support portion, whereby the hooked support portion is sandwiched from the front-rear direction.
 図6に示すように、掛止部42の延出部42aは、掛止する第6支持部76を掛止する位置に、第6支持部76の厚みに対応する長さを有する凹部42cを備えている。この凹部42cは延出部42aの下面から上方向へ凹設されており、掛止部42を第6支持部76に掛止させたときに、第6支持部76の上部76bを内部に収容し、かつ、前後から第6支持部76に当接し、前後方向における位置を確定させる。 As shown in FIG. 6, the extending portion 42a of the hooking portion 42 has a recess 42c having a length corresponding to the thickness of the sixth supporting portion 76 at a position where the sixth supporting portion 76 to be hooked is hooked. I have. The recess 42c is recessed upward from the lower surface of the extending portion 42a, and when the hooking portion 42 is hooked on the sixth supporting portion 76, the upper portion 76b of the sixth supporting portion 76 is accommodated therein. At the same time, it comes into contact with the sixth support portion 76 from the front and rear to determine the position in the front and rear direction.
 凹部42cの内部に第6支持部76の上部76bを収容させたとき、凹部42c内の上側の内面42f及び内側面42gと、第6支持部76の上部76bの上面76d及び外側面76eとが、それぞれ接触する。これらの接触領域(内面42f、内側面42g、上面76d、及び、外側面76e)には、装着部材としての掛止部42を第6支持部76に沿って移動させるときの摩擦を低減するための摩擦低減部材が設けられている。 When the upper portion 76b of the sixth support portion 76 is housed inside the recess 42c, the upper inner surface 42f and the inner side surface 42g in the recess 42c and the upper surface 76d and the outer surface 76e of the upper portion 76b of the sixth support portion 76 are formed. , Each contact. In order to reduce friction when the hooking portion 42 as a mounting member is moved along the sixth support portion 76 in these contact regions (inner surface 42f, inner side surface 42g, upper surface 76d, and outer surface 76e). A friction reducing member is provided.
 上記摩擦低減部材としては、潤滑剤、コーティングによって形成されたコーティング層、表面処理や蒸着などによって形成された皮膜・薄膜、軸受部材、接触面積を減らすように表面に凹凸加工や溝加工を施された部材、凹凸加工材の凸部を曲面とした構造などが挙げられる。摩擦低減部材の適用箇所は、摩擦低減に求められる仕様やコストなどを考慮して、上記接触領域のすべて又は一部となる。 The friction reducing member includes a lubricant, a coating layer formed by coating, a film / thin film formed by surface treatment or vapor deposition, a bearing member, and a surface surface that is subjected to uneven processing or groove processing so as to reduce the contact area. Examples thereof include a bearing member and a structure in which the convex portion of the uneven processing material is a curved surface. The application location of the friction reducing member is all or a part of the above contact region in consideration of specifications and costs required for friction reduction.
 図9に示す例では、凹部42c内の上側の内面42fに、摩擦低減部材としてのコーティング層91を設けている。図10に示す例では、凹部42c内の上側の内面42fに、摩擦低減部材としてのボール軸受92(軸受部材)を設けている。なお、軸受部材としては、ボール軸受以外の軸受、例えば、すべり軸受、流体軸受、磁気軸受も採用可能である。 In the example shown in FIG. 9, a coating layer 91 as a friction reducing member is provided on the upper inner surface 42f in the recess 42c. In the example shown in FIG. 10, a ball bearing 92 (bearing member) as a friction reducing member is provided on the upper inner surface 42f in the recess 42c. As the bearing member, bearings other than ball bearings, for example, slide bearings, fluid bearings, and magnetic bearings can also be adopted.
 図9や図10に例示した構成により、内面42fと支持部76の上面76dとの間の摩擦を低減することが可能となり、支持部76上で掛止部42をスムーズに移動させることができる。したがって、ベッド60の台部61~63の外囲に沿って本体部を動かす力を与えるという簡便な操作で、ロボット10を容易に移動させることが可能となる。 With the configurations illustrated in FIGS. 9 and 10, it is possible to reduce the friction between the inner surface 42f and the upper surface 76d of the support portion 76, and the hooking portion 42 can be smoothly moved on the support portion 76. .. Therefore, the robot 10 can be easily moved by a simple operation of applying a force to move the main body portion along the outer circumference of the base portions 61 to 63 of the bed 60.
 なお、凹部42cの入口部分の角部42h、42iにおいて、下側へ向かうほど凹部から外側へ広がるような傾斜部を設けると、凹部42c内に第6支持部76を案内しやすくなるとともに、凹部42cに対する挿抜の際に延出部42aや第6支持部76を損傷させることが少なくなるため好ましい。 If the corners 42h and 42i of the entrance portion of the recess 42c are provided with an inclined portion that expands outward from the recess toward the lower side, the sixth support portion 76 can be easily guided in the recess 42c and the recess 42c. It is preferable because the extension portion 42a and the sixth support portion 76 are less likely to be damaged when the 42c is inserted or removed.
 先端掛止部42bの下端の前部には、後側(Y1側)から前側(Y2側)へ向かって、上側へ傾いた傾斜面42dが形成されている。掛止部42を第6支持部76に係止させるときに、先端掛止部42bが第6支持部76に当たったとしても、傾斜面42dの傾斜にしたがって先端掛止部42bが第6支持部76の後側へ案内されるため、第6支持部76への掛止部42の係止をスムーズかつ確実に行うことができる。 An inclined surface 42d inclined upward from the rear side (Y1 side) to the front side (Y2 side) is formed at the front portion of the lower end of the tip hooking portion 42b. Even if the tip hooking portion 42b hits the sixth support portion 76 when the hooking portion 42 is locked to the sixth support portion 76, the tip hooking portion 42b supports the sixth support portion 42b according to the inclination of the inclined surface 42d. Since the guide is guided to the rear side of the portion 76, the hooking portion 42 can be smoothly and surely locked to the sixth support portion 76.
 押さえ板43の下部の後部には、後側へ突出した突起部43aが設けられている。この突起部43aは、第6支持部76の上部76bが凹部42c内に収容された状態において、第6支持部76の底面76cに接触するような、押さえ板43の上下方向の所定位置に設けられている。よって、第6支持部76に延出部42aを係止させた後に、押さえ板43を後側へ移動させ、第6支持部76の前面に接触させる位置に至ると、突起部43aが第6支持部76の底面76cに接触する。これにより、第6支持部76は、先端掛止部42bと押さえ板43によって前後方向を規制されるとともに、突起部43aによって上下方向も規制されるため、ロボット10は、前後方向と上下方向の変位が規制されて一定の姿勢が保持され、また、第6支持部76に沿って左右方向(X1-X2方向)に移動可能な状態となる。 A protrusion 43a projecting to the rear side is provided at the rear portion of the lower portion of the holding plate 43. The protrusion 43a is provided at a predetermined position in the vertical direction of the holding plate 43 so as to come into contact with the bottom surface 76c of the sixth support 76 when the upper portion 76b of the sixth support 76 is housed in the recess 42c. Has been done. Therefore, after the extension portion 42a is locked to the sixth support portion 76, the pressing plate 43 is moved to the rear side, and when the position where the pressing plate 43 comes into contact with the front surface of the sixth support portion 76 is reached, the protrusion 43a becomes the sixth. It contacts the bottom surface 76c of the support portion 76. As a result, the sixth support portion 76 is regulated in the front-rear direction by the tip hooking portion 42b and the pressing plate 43, and is also regulated in the vertical direction by the protrusion 43a. The displacement is regulated, a constant posture is maintained, and the vehicle can move in the left-right direction (X1-X2 direction) along the sixth support portion 76.
 ここで、本体部が第1方向とは異なる第2方向に沿って移動することを規制する規制部材として、例えば、図7に示すように、軸部P1が延出部42aを上下に貫通し、さらに第6支持部76内に挿入されるような固定ピンPを用いると、ロボット10の左右方向の移動も規制することができる。図7においては、第6支持部76内へ挿入する前の固定ピンPを実線で示し、第6支持部76内に挿入された状態を破線で示している。 Here, as a regulating member that regulates the movement of the main body portion in a second direction different from the first direction, for example, as shown in FIG. 7, the shaft portion P1 penetrates the extending portion 42a up and down. Further, by using the fixing pin P that is inserted into the sixth support portion 76, the movement of the robot 10 in the left-right direction can be restricted. In FIG. 7, the fixing pin P before being inserted into the sixth support portion 76 is shown by a solid line, and the state of being inserted into the sixth support portion 76 is shown by a broken line.
 図3に示すように、掛止部42は、リニアガイド44と、垂直駆動機構としてのボールねじ45を介して筐体部41の後面41aに設けられている。リニアガイド44は、筐体部41の後面41aから上下方向に沿って台座部30の上部まで設けられ、その内部に、上下方向に沿ってねじ軸が延びるボールねじ45が配置されている。ボールねじ45のねじ軸は、後面41aの下部に配置されたモータ46の駆動によって回転する。上記ねじ軸には、ねじ軸の回転によって上下に変位するナット部(不図示)が設けられ、このナット部に固定された筐体部41が、リニアガイド44に支持されつつ、掛止部42に対して相対的に上下に昇降し、これに従って、基部40に支持されたロボット10が上下に変位する。 As shown in FIG. 3, the hooking portion 42 is provided on the rear surface 41a of the housing portion 41 via a linear guide 44 and a ball screw 45 as a vertical drive mechanism. The linear guide 44 is provided from the rear surface 41a of the housing portion 41 to the upper part of the pedestal portion 30 along the vertical direction, and a ball screw 45 having a screw shaft extending in the vertical direction is arranged inside the linear guide 44. The screw shaft of the ball screw 45 is rotated by driving a motor 46 arranged below the rear surface 41a. The screw shaft is provided with a nut portion (not shown) that is displaced up and down by the rotation of the screw shaft, and the housing portion 41 fixed to the nut portion is supported by the linear guide 44 while the hooking portion 42. The robot 10 is moved up and down relative to the base 40, and the robot 10 supported by the base 40 is displaced up and down accordingly.
 筐体部41には自重補償バネ47が設けられている。自重補償バネ47は、例えば引っ張りバネで構成され、筐体部41を上方に変位させる力を付与する。自重補償バネ47を設けることにより、モータ46の駆動力を小さく抑えて効率的にロボット10を上下に変位させることができる。 The housing portion 41 is provided with a self-weight compensation spring 47. The self-weight compensation spring 47 is composed of, for example, a tension spring, and applies a force that displaces the housing portion 41 upward. By providing the self-weight compensation spring 47, the driving force of the motor 46 can be suppressed to be small and the robot 10 can be efficiently displaced up and down.
 図8に示すように、モータ46は本体駆動制御部49からの制御信号に従って駆動される。一方、モータ46にはブレーキ48(固定部材)が接続されており、電源喪失時などにより本体駆動制御部49からモータ46への制御信号の供給が停止すると、ブレーキ48の作動によってボールねじ45の動作が停止し、基部40の上下動が停止され、ロボット10の上下方向位置は固定される。 As shown in FIG. 8, the motor 46 is driven according to a control signal from the main body drive control unit 49. On the other hand, a brake 48 (fixing member) is connected to the motor 46, and when the supply of the control signal from the main body drive control unit 49 to the motor 46 is stopped due to a loss of power or the like, the ball screw 45 is operated by the operation of the brake 48. The operation is stopped, the vertical movement of the base 40 is stopped, and the vertical position of the robot 10 is fixed.
 ブレーキ48としては、例えば、ボールねじ45の回動軸に作用して回動を規制するものや、筐体部41が固定されたナット部を挟持してナット部の上下動を規制するものが挙げられる。このほか、例えば前後方向に沿って筐体部41と掛止部42の両方に固定ピンを挿通させることで筐体部41と掛止部42を互いに固定することによって、基部40の上下動を規制してもよい。 As the brake 48, for example, a brake 48 that acts on the rotation shaft of the ball screw 45 to regulate the rotation, or a brake 48 that sandwiches the nut portion to which the housing portion 41 is fixed and regulates the vertical movement of the nut portion. Can be mentioned. In addition, for example, by inserting fixing pins into both the housing portion 41 and the hooking portion 42 along the front-rear direction to fix the housing portion 41 and the hooking portion 42 to each other, the base 40 can be moved up and down. It may be regulated.
 ブレーキ48の作動については、例えば、図8に示すように本体駆動制御部49からモータ46への制御信号をブレーキ48に対しても送出し、電源喪失時などにこの制御信号の入力が所定時間以上なかったことをトリガーとしてブレーキ48を作動させるようにするとよい。または、本体駆動制御部49からモータ46への制御信号があるときはブレーキ48の作動を規制し、電源喪失時などで上記制御信号の入力が所定時間以上なかったときには、ブレーキ48の作動規制を解除し、ブレーキ48を作動させるようにしてもよい。 Regarding the operation of the brake 48, for example, as shown in FIG. 8, a control signal from the main body drive control unit 49 to the motor 46 is also sent to the brake 48, and the input of this control signal is input for a predetermined time when the power is lost. It is advisable to activate the brake 48 by using the above failure as a trigger. Alternatively, when there is a control signal from the main body drive control unit 49 to the motor 46, the operation of the brake 48 is regulated, and when the above control signal is not input for a predetermined time or more due to a loss of power or the like, the operation of the brake 48 is regulated. It may be released and the brake 48 may be activated.
 本体駆動制御部49の制御信号は、連携駆動制御部81へも出力されている。連携駆動制御部81は、アーム駆動制御部82と接続されており、アーム駆動制御部82が第1空気供給部83と第2空気供給部84のそれぞれに与える制御信号も入力されている。 The control signal of the main body drive control unit 49 is also output to the cooperative drive control unit 81. The cooperative drive control unit 81 is connected to the arm drive control unit 82, and control signals given by the arm drive control unit 82 to the first air supply unit 83 and the second air supply unit 84 are also input.
 連携駆動制御部81は、基部40の鉛直方向(第1方向)の移動とアーム部20の駆動を連携させる。例えば、基部40の鉛直方向位置に応じて、アーム部20を駆動させ、内視鏡53を施術等に最適な位置や姿勢に調整する。基部40が上下に移動したときに、これに応じて内視鏡53の姿勢を変更することによって、内視鏡53やアーム部20が患者に接触するなどのトラブルが生じることを防止する。 The cooperative drive control unit 81 links the movement of the base 40 in the vertical direction (first direction) with the drive of the arm unit 20. For example, the arm portion 20 is driven according to the vertical position of the base portion 40, and the endoscope 53 is adjusted to the optimum position and posture for the treatment or the like. When the base 40 moves up and down, the posture of the endoscope 53 is changed accordingly to prevent troubles such as contact of the endoscope 53 and the arm 20 with the patient.
 連携駆動制御部81は、動作終了時や、緊急時などにおいて、アーム部20の駆動と基部40の上下動の少なくとも一方を停止させ、又は、内視鏡53やアーム部20を所定位置へ待避させるようにアーム部20を駆動する。アーム部20の駆動を停止させる場合には、第1空気圧アクチュエータ部24b及び第2空気圧アクチュエータ部26bの動作が固定されるように、第1空気供給部83と第2空気供給部84のそれぞれからの空気の供給を調整するための制御信号をアーム駆動制御部82に対して出力する。アーム部20の待避は、予め設定してある所定位置へアーム部20が待避するように、現在のアーム部20の姿勢から計算した、第1空気供給部83と第2空気供給部84のそれぞれからの空気の供給を調整するための制御信号をアーム駆動制御部82に対して出力する。
 本発明について上記実施形態を参照しつつ説明したが、本発明は上記実施形態に限定されるものではなく、改良の目的または本発明の思想の範囲内において改良または変更が可能である。例えば、上記の説明では、手術ロボットが保持するのは内視鏡であったが、これに限定されず、鉗子、メスなど他の処置具であってもよい。さらに、内視鏡に代えて患者の外観を観察するためのカメラを保持する医療用ロボットとすることもできる。
The cooperative drive control unit 81 stops at least one of the drive of the arm unit 20 and the vertical movement of the base unit 40 at the end of operation or in an emergency, or saves the endoscope 53 and the arm unit 20 to a predetermined position. The arm portion 20 is driven so as to be driven. When the drive of the arm unit 20 is stopped, the operations of the first pneumatic actuator unit 24b and the second pneumatic actuator unit 26b are fixed from each of the first air supply unit 83 and the second air supply unit 84. A control signal for adjusting the air supply is output to the arm drive control unit 82. The arm unit 20 is retreated from the first air supply unit 83 and the second air supply unit 84, respectively, calculated from the current posture of the arm unit 20 so that the arm unit 20 retreats to a predetermined position set in advance. A control signal for adjusting the supply of air from the arm drive control unit 82 is output.
Although the present invention has been described with reference to the above-described embodiment, the present invention is not limited to the above-described embodiment, and can be improved or modified within the purpose of improvement or the idea of the present invention. For example, in the above description, the surgical robot holds the endoscope, but the present invention is not limited to this, and other treatment tools such as forceps and a scalpel may be used. Further, instead of the endoscope, a medical robot that holds a camera for observing the appearance of the patient can be used.
 以上のように、本発明に係る手術ロボットは、術式や患部の変更があった場合にも、簡便な操作で容易に手術ロボットを移動することができる点で有用である。 As described above, the surgical robot according to the present invention is useful in that the surgical robot can be easily moved by a simple operation even when the surgical method or the affected area is changed.
 10  ロボット(手術ロボット)
 20  アーム部
 21  先端保持部
 22  ジンバル機構部
 23  第1関節部
 24  第1アーム
 24a 第1ロッド
 24b 第1空気圧アクチュエータ部
 24c 第1自重補償部
 25  第2関節部
 26  第2アーム
 26a 第2ロッド
 26b 第2空気圧アクチュエータ部
 26c 第2自重補償部
 30  台座部(本体部)
 40  基部(本体部)
 41  筐体部
 41a 後面
 42  掛止部
 42a 延出部
 42b 先端掛止部
 42c 凹部(接触領域)
 42d 傾斜面
 42e 後側面
 42f 上側の内面(接触領域)
 42g 内側面(接触領域)
 42h、42i 角部
 43  押さえ板
 43a 突起部
 44  リニアガイド
 45  ボールねじ
 46  モータ
 47  自重補償バネ
 48  ブレーキ(固定部材)
 49  本体駆動制御部
 51  カメラヘッドアダプタ
 52  ホルダ
 53  内視鏡
 60  ベッド
 61、62、63 台部
 61a、62a 後面
 61b 前面
 63a 前面
 64  基台
 65  支柱部
 66  基礎部
 71、72、73、74、75、76 支持部
 76a 接続部
 76b 上部
 76c 底面
 76d 上面(接触領域)
 76e 外側面(接触領域)
 81  連携駆動制御部
 82  アーム駆動制御部
 83  第1空気供給部
 84  第2空気供給部
 91  コーティング層(摩擦低減部材)
 92  ボール軸受(摩擦低減部材)
 AX1 第1回転軸
 AX2 第2回転軸
 AX3 第3回転軸
 L1  掛止部の長さ、
 L2、L3 隣り合う支持部の間隔
 P   固定ピン(規制部材)
 P1  軸部
10 Robot (surgical robot)
20 Arm part 21 Tip holding part 22 Gimbal mechanism part 23 1st joint part 24 1st arm 24a 1st rod 24b 1st pneumatic actuator part 24c 1st self-weight compensating part 25 2nd joint part 26 2nd arm 26a 2nd rod 26b 2nd pneumatic actuator part 26c 2nd self-weight compensation part 30 Pedestal part (main body part)
40 base (main body)
41 Housing part 41a Rear surface 42 Hooking part 42a Extension 42b Tip Hooking part 42c Recess (contact area)
42d Inclined surface 42e Rear side surface 42f Upper inner surface (contact area)
42g inner surface (contact area)
42h, 42i Square 43 Pressing plate 43a Protrusion 44 Linear guide 45 Ball screw 46 Motor 47 Self-weight compensation spring 48 Brake (fixing member)
49 Main unit drive control unit 51 Camera head adapter 52 Holder 53 Endoscope 60 Bed 61, 62, 63 Base 61a, 62a Rear 61b Front 63a Front 64 Base 65 Support 66 Base 71, 72, 73, 74, 75 , 76 Support 76a Connection 76b Top 76c Bottom 76d Top (contact area)
76e outer surface (contact area)
81 Coordinated drive control unit 82 Arm drive control unit 83 1st air supply unit 84 2nd air supply unit 91 Coating layer (friction reduction member)
92 Ball bearing (friction reduction member)
AX1 1st rotation axis AX2 2nd rotation axis AX3 3rd rotation axis L1 Length of hook,
L2, L3 Spacing between adjacent support parts P Fixing pin (regulatory member)
P1 shaft

Claims (9)

  1.  本体部と、
     前記本体部に設けられ、内視鏡を保持し、空気圧駆動されるアーム部と、
     ベッドの台部に対して前記本体部を脱着可能に装着するための装着部材と、
     前記装着部材が前記台部の外囲に沿って移動可能となるように、前記装着部材の移動における摩擦を低減する摩擦低減部材とを備えることを特徴とする手術ロボット。
    With the main body
    An arm portion provided on the main body portion that holds the endoscope and is pneumatically driven,
    A mounting member for detachably mounting the main body to the bed base, and
    A surgical robot comprising: a friction reducing member for reducing friction in the movement of the mounting member so that the mounting member can move along the outer circumference of the base portion.
  2.  前記ベッドの台部の外囲に沿って延びるように支持部が設けられ、前記本体部は前記支持部に対して移動可能に装着される請求項1に記載の手術ロボット。 The surgical robot according to claim 1, wherein a support portion is provided so as to extend along the outer circumference of the base portion of the bed, and the main body portion is movably attached to the support portion.
  3.  前記装着部材は、前記本体部を前記支持部に対して脱着可能に掛止する掛止部である請求項2に記載の手術ロボット。 The surgical robot according to claim 2, wherein the mounting member is a hooking portion that detachably hooks the main body portion to the support portion.
  4.  前記支持部は、前記外囲に沿って複数に分割されており、
     前記掛止部は、前記支持部が延びる方向において、隣り合う前記支持部の間隔より大きな長さを有する請求項3に記載の手術ロボット。
    The support portion is divided into a plurality of parts along the outer circumference.
    The surgical robot according to claim 3, wherein the hooking portion has a length larger than the distance between adjacent supporting portions in a direction in which the supporting portion extends.
  5.  前記掛止部が、前記ベッドの台部の外囲に沿って移動することを規制する規制部材を備え、
     前記掛止部は、前記規制部材による規制を解除したときに、前記外囲に沿って移動可能となる請求項3に記載の手術ロボット。
    A regulatory member that regulates the hooking portion from moving along the outer circumference of the bed base is provided.
    The surgical robot according to claim 3, wherein the hooking portion can move along the outer circumference when the regulation by the regulating member is released.
  6.  前記摩擦低減部材は、前記掛止部と前記支持部との間の摩擦を低減するコーティング層である請求項3に記載の手術ロボット。 The surgical robot according to claim 3, wherein the friction reducing member is a coating layer that reduces friction between the hooking portion and the supporting portion.
  7.  前記摩擦低減部材は、前記掛止部に設けた軸受部材である請求項3に記載の手術ロボット。 The surgical robot according to claim 3, wherein the friction reducing member is a bearing member provided on the hooking portion.
  8.  前記掛止部は、前記支持部の上部を内部に収容する凹部を有し、前記摩擦低減部材は、前記凹部における、前記支持部の上部との接触領域に設けられている請求項3から請求項7のいずれか1項に記載の手術ロボット。 The hooking portion has a recess for accommodating the upper portion of the support portion inside, and the friction reducing member is claimed from claim 3 provided in a contact region with the upper portion of the support portion in the recess. Item 6. The surgical robot according to any one of Item 7.
  9.  前記本体部を、前記台部に垂直な方向に沿って移動可能とする垂直駆動機構と、
     前記本体部の前記台部に垂直な方向に沿った移動を規制する固定部材とを備える請求項1から請求項8のいずれか1項に記載の手術ロボット。
    A vertical drive mechanism that allows the main body to move along a direction perpendicular to the base.
    The surgical robot according to any one of claims 1 to 8, further comprising a fixing member that regulates movement of the main body portion along a direction perpendicular to the base portion.
PCT/JP2020/014277 2020-03-27 2020-03-27 Surgical robot WO2021192291A1 (en)

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JPH08138332A (en) * 1994-11-10 1996-05-31 Nippon Seiko Kk Head moving mechanism for information memory
WO2008108289A1 (en) * 2007-03-01 2008-09-12 Tokyo Institute Of Technology Maneuvering system having inner force sense presenting function
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US20170135771A1 (en) * 2015-11-13 2017-05-18 Ethicon Endo-Surgery, Llc Robotic surgical system

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Publication number Priority date Publication date Assignee Title
US5372147A (en) * 1992-06-16 1994-12-13 Origin Medsystems, Inc. Peritoneal distension robotic arm
JPH08138332A (en) * 1994-11-10 1996-05-31 Nippon Seiko Kk Head moving mechanism for information memory
WO2008108289A1 (en) * 2007-03-01 2008-09-12 Tokyo Institute Of Technology Maneuvering system having inner force sense presenting function
WO2011155411A1 (en) * 2010-06-10 2011-12-15 オリンパスメディカルシステムズ株式会社 Endoscope-holding device
US20170135771A1 (en) * 2015-11-13 2017-05-18 Ethicon Endo-Surgery, Llc Robotic surgical system

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