WO2022121964A1 - Surgical instrument guide and drive mechanism, guide device, and robot system - Google Patents

Surgical instrument guide and drive mechanism, guide device, and robot system Download PDF

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Publication number
WO2022121964A1
WO2022121964A1 PCT/CN2021/136603 CN2021136603W WO2022121964A1 WO 2022121964 A1 WO2022121964 A1 WO 2022121964A1 CN 2021136603 W CN2021136603 W CN 2021136603W WO 2022121964 A1 WO2022121964 A1 WO 2022121964A1
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WO
WIPO (PCT)
Prior art keywords
surgical tool
guide
base
power device
driving mechanism
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PCT/CN2021/136603
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French (fr)
Chinese (zh)
Inventor
葛银明
李涛
何超
陆天威
程武超
Original Assignee
苏州微创畅行机器人有限公司
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Publication of WO2022121964A1 publication Critical patent/WO2022121964A1/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
    • A61B34/32Surgical robots operating autonomously
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14Surgical saws ; Accessories therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14Surgical saws ; Accessories therefor
    • A61B17/142Surgical saws ; Accessories therefor with reciprocating saw blades, e.g. with cutting edges at the distal end of the saw blades
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14Surgical saws ; Accessories therefor
    • A61B17/15Guides therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14Surgical saws ; Accessories therefor
    • A61B17/15Guides therefor
    • A61B17/154Guides therefor for preparing bone for knee prosthesis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1657Bone breaking devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1732Guides or aligning means for drills, mills, pins or wires for bone breaking devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1764Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70Manipulators specially adapted for use in surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments

Definitions

  • the invention belongs to the technical field of medical instruments, and in particular relates to a surgical tool guiding and driving mechanism, a guiding device and a robot system.
  • an osteotomy guide tool is fixedly installed on the manipulator arm, and the osteotomy guide tool has no degree of freedom, and the position and posture of the osteotomy guide tool is adjusted by the manipulator arm.
  • manual osteotomy is performed by the operator operating a matching osteotomy tool, such as a pendulum saw.
  • the osteotomy method is affected by human factors, the accuracy of the osteotomy cannot be guaranteed, and the width of the osteotomy is also affected by the osteotomy guide tool.
  • the width of the osteotomy slot is limited. When the width of the osteotomy slot is too large, the osteotomy tool is likely to interfere with other human tissues.
  • the manipulator directly grips the osteotomy tool, and then the manipulator moves to drive the osteotomy tool and cut the bone.
  • the osteotomy tool is a ball grinding head, the osteotomy efficiency is low; if the osteotomy tool is a saw blade, the osteotomy accuracy will be deteriorated due to insufficient rigidity of the saw blade.
  • the purpose of the present invention is to provide a surgical tool guiding and driving mechanism, a guiding device and a robot system, aiming at improving the surgical precision and maintaining the consistency of the surgical operation.
  • the present invention provides a guide mechanism for a surgical tool, comprising a fixed seat and a guide portion matched with it, the fixed seat is used for loading the surgical tool, and the guide portion is provided with a part of the surgical tool.
  • a guide groove is passed through; the fixing seat is provided with a first interface for connecting with a driving mechanism, so that the fixing seat can move under the driving of the driving mechanism, thereby driving the surgical tool relative to the driving mechanism. At least a portion of the drive mechanism is in relative motion.
  • the present invention also provides a driving mechanism for connecting with the surgical tool guiding mechanism according to any one of the preceding items, characterized in that, the driving mechanism includes a driving mechanism for connecting with the fixing seat.
  • the matching part corresponding to the first interface also includes at least one motion module to drive at least a part of the surgical tool guiding mechanism to move, thereby driving the surgical tool to perform at least one degree of freedom movement.
  • the present invention also provides a surgical tool guiding device, comprising the surgical tool guiding mechanism described in any one of the preceding items and the driving mechanism described in any preceding item, wherein the driving mechanism and the surgical tool guiding mechanism
  • the mechanism is connected to drive at least a portion of the surgical tool guide mechanism to move, thereby driving the surgical tool loaded on the surgical tool guide mechanism to perform at least one degree of freedom movement.
  • the present invention also provides a surgical robot system, which is characterized in that it includes a mechanical arm and the surgical tool guiding mechanism as described in any one of the preceding items, and the end of the mechanical arm is used for connecting with the surgical robot. Tool guide mechanism connection.
  • the present invention also provides another surgical robot system, comprising a robotic arm and the drive mechanism as described in any one of the preceding items, and the distal end of the robotic arm is used for connecting with the drive mechanism.
  • the surgical tool guiding and driving mechanism, guiding device and robot system of the present invention have the following advantages:
  • the aforementioned surgical tool guiding device and the driving mechanism are used in cooperation with each other, and the surgical tool guiding mechanism is provided with a guide groove; the driving mechanism includes at least one multi-degree-of-freedom motion module; the multi-degree-of-freedom motion module is composed of a plurality of different It is composed of single-degree-of-freedom motion modules in one direction.
  • the surgical tool guide mechanism is used to install an osteotomy tool, and the osteotomy tool is partially penetrated in the guide groove; when the driving mechanism is connected with the surgical tool guide mechanism, it can drive the surgery At least a portion of the tool guide mechanism moves, thereby driving the osteotomy tool to perform at least one degree of freedom movement to perform a surgical operation.
  • the driving mechanism is used to drive at least a part of the surgical tool guiding mechanism to move, thereby driving the osteotomy tool to move, so as to perform automatic surgery, eliminate the influence of human factors, and improve the accuracy and consistency of surgery.
  • FIG. 1 is a schematic diagram of a surgical tool guiding device provided by the present invention when applied to knee joint replacement according to an embodiment
  • FIG. 2 is a schematic diagram of the distribution of the freedom of movement of an osteotomy tool in a surgical tool guiding device according to an embodiment of the present invention
  • FIG. 3 is a schematic diagram of the connection between the surgical tool guiding device and the robotic arm provided by the first embodiment of the present invention
  • Fig. 4 is the partial structure schematic diagram when the surgical tool guide device shown in Fig. 3 is connected with the mechanical arm;
  • FIG. 5 is a schematic structural diagram of an oscillating saw according to an embodiment of the present invention.
  • FIG. 6 is a schematic diagram of the connection/interrelation principle of the driving mechanism and the surgical tool guiding mechanism in the surgical tool guiding device provided by the first embodiment of the present invention
  • Fig. 7 is a partial structural schematic diagram of the surgical tool guiding device provided by the first embodiment of the present invention, showing a first base, a second base, a first single-degree-of-freedom motion module and part of the second single-degree-of-freedom motion module;
  • FIG. 8 is a partial structural schematic diagram of the surgical tool guiding device provided by the first embodiment of the present invention, showing a second base, a third base and a second single-degree-of-freedom motion module;
  • FIG. 9 is a partial structural schematic diagram of the surgical tool guiding device provided by the first embodiment of the present invention, showing a third base, a third single-degree-of-freedom motion module and a connecting seat;
  • FIG. 10 is a schematic diagram of the cooperation relationship between the surgical tool guiding mechanism and the osteotomy tool of the surgical tool guiding device provided by the first embodiment of the present invention
  • FIG. 11 is a schematic structural diagram of the first fixing seat of the surgical tool guide mechanism of the surgical tool guide device provided in the first embodiment of the present invention in one direction, and the figure also shows the guide column and the guide support plate of the floating mechanism;
  • FIG. 12 is a schematic structural diagram of the first fixing seat of the surgical tool guiding mechanism of the surgical tool guiding device provided in the first embodiment of the present invention in another direction;
  • FIG. 13 is a simplified schematic diagram of the driving mechanism of the surgical tool guiding device provided by the second embodiment of the present invention.
  • FIG. 14 is a schematic diagram of the connection/relationship between the driving mechanism and the surgical tool guiding mechanism in the surgical tool guiding device provided by the second embodiment of the present invention.
  • 15 is a schematic diagram of the cooperation relationship between the driving mechanism of the surgical tool guiding device and the surgical tool guiding mechanism provided by the third embodiment of the present invention.
  • Fig. 16 is a partial structural schematic diagram of the surgical tool guiding device provided by the third embodiment of the present invention, and the figure shows a schematic diagram of the cooperation relationship between the engaging device and the first single-degree-of-freedom motion module;
  • Fig. 17 is a partial structural schematic diagram of the surgical tool guiding device provided by the third embodiment of the present invention, and the figure shows a schematic diagram of a second single-degree-of-freedom motion module;
  • FIG. 18 is a schematic partial structural diagram of the surgical tool guiding device provided by the fourth embodiment of the present invention, and the figure shows a schematic diagram of the cooperation relationship between the osteotomy tool and the surgical tool guiding mechanism;
  • FIG. 19 is a schematic structural diagram of the second seat of the second fixing seat of the surgical tool guiding mechanism of the surgical tool guiding device according to the fourth embodiment of the present invention.
  • FIG. 20 is a schematic diagram showing the connection/relationship between the surgical tool guiding device, the robotic arm and the posture adjustment mechanism according to the fourth embodiment of the present invention.
  • 2000-Surgical tool guide mechanism 2001-Guide groove, 2002-First interface, 2003-Installation groove, 2100-First fixed seat, 2110-First seat body, 2111-First groove, 2112-Inner side, 2120 -First pressing plate, 2121-Second groove, 2200-Floating mechanism, 2210-Guide post, 2220-Elastic piece, 2300-First guide block, 2310-Sixth guide mechanism, 2400-Support guide plate, 2410-Second Five guide mechanisms, 2510-second seat, 2511-third groove, 2610-second guide block, 2611-second interface, 2620-eccentric crank, 2621-third interface;
  • 3000-drive mechanism 3010-first base, 3011-first connecting plate, 3012-second connecting plate, 3013-first guiding mechanism, 3020-second base, 3021-third connecting plate, 3022-first Four connecting plates, 3023-matching hole, 3024-second guiding mechanism, 3030-third base, 3040-connecting seat, 3041-matching part, 3042-fifth connecting plate, 3043-sixth connecting plate, 3031-first connecting plate Four-guide mechanism, 3110-first power unit, 3120-first transmission part, 3121-lead screw, 3122-nut, 3130-first linear motor assembly, 3131-first mounting plate, 3132-first working platform, 3210-Second power unit, 3220-Second transmission, 3221-First gear, 3222-Rack, 3230-Second linear motor assembly, 3310-Third power unit, 3320-Third transmission, 3330-Second Four power units, 3340 - the fourth transmission part, 3341 - the second gear, 33
  • each embodiment of the following description has one or more technical features, but this does not mean that the person using the present invention must implement all the technical features in any embodiment at the same time, or can only implement different embodiments separately.
  • One or all of the technical features of the .
  • those skilled in the art can selectively implement some or all of the technical features in any embodiment according to the disclosure of the present invention and depending on design specifications or implementation requirements, or The combination of some or all of the technical features in the multiple embodiments is selectively implemented, thereby increasing the flexibility of the implementation of the present invention.
  • the singular forms “a,” “an,” and “the” include plural referents, and the plural forms “a plurality” include two or more referents unless the content clearly dictates otherwise.
  • the term “or” is generally employed in its sense including “and/or” unless the content clearly dictates otherwise, and the terms “installed”, “connected”, “connected” shall be To be understood in a broad sense, for example, it may be a fixed connection, a detachable connection, or an integral connection. It can be a mechanical connection or an electrical connection. It can be directly connected, or indirectly connected through an intermediate medium, and it can be the internal communication between two elements or the interaction relationship between the two elements. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood according to specific situations.
  • the core idea of the present invention is to provide a surgical tool guiding mechanism, a driving mechanism, and a guiding device including the surgical tool guiding mechanism and the driving mechanism, wherein the surgical tool guiding mechanism is used for connecting with the surgical tool, and the The tool guiding mechanism is provided with a guiding groove for a part of the surgical tool to pass through; the driving mechanism surgical tool guiding mechanism is used to connect with the surgical tool guiding mechanism, and includes at least one motion module for driving At least a portion of the surgical tool guide mechanism moves, thereby urging the surgical tool to perform at least one degree of freedom movement relative to at least a portion of the drive mechanism.
  • the motion module may include at least one single-degree-of-freedom motion module, and may also include at least one multi-degree-of-freedom motion module.
  • the present invention also provides a surgical robot system including at least one of the surgical tool guide mechanism or the drive mechanism.
  • FIG. 1 shows a schematic diagram of a scene when the surgical tool guiding device provided by the present invention is applied to knee joint replacement according to an embodiment
  • Fig. 2 is a distribution diagram of the freedom of movement of an osteotomy tool during knee joint replacement
  • Fig. 3 shows The schematic diagram when the surgical tool guiding device is connected with the mechanical arm is shown
  • FIG. 4 is a partial enlarged schematic diagram of FIG. 3 .
  • the surgical tool guiding device is used to drive the surgical tool to perform movement of at least one degree of freedom, so as to realize the surgical operation.
  • the surgical tool guiding device includes a surgical tool guiding mechanism 2000 and a driving mechanism 3000 .
  • the surgical tool guide mechanism 2000 is provided with a guide groove 2001 and a first interface 2002 .
  • the drive mechanism 3000 includes at least one motion module.
  • the osteotomy tool is used to connect with the surgical tool guide mechanism 2000 , and the osteotomy tool is partially inserted into the guide groove 2001 .
  • the driving mechanism 3000 is configured to be connected with the first interface 2002 of the surgical tool guiding mechanism 2000 to drive at least a part of the surgical tool guiding mechanism 2000 to move, thereby driving the surgical tool to execute at least one degree of freedom movement for surgical operations.
  • the surgical tool guide may be combined with a navigable surgical system for knee replacement surgery, therefore, the surgical tool may be an osteotomy tool such as an oscillating saw 1100 (the surgical tool shown in FIGS. 1 and 3 is the oscillating saw 1100).
  • the navigation surgery system includes a robot system and a navigation system.
  • the robot system includes a robotic arm 10. According to actual requirements, the end of the robotic arm 10 can be connected to the driving mechanism 3000, or can be connected to the driving mechanism 3000.
  • the surgical tool guiding mechanism 2000 is connected, which will be described in detail later, so as to support the surgical tool guiding mechanism 2000 through the robotic arm 10 and adjust the spatial position and posture of the surgical tool guiding mechanism 2000 .
  • the navigation system is used to position the robotic arm 10 to realize the positioning of the surgical tool guiding mechanism 2000, and then the driving mechanism 3000 can drive the osteotomy tool to move to perform the osteotomy operation.
  • the driving mechanism The magnitude and direction of the driving force provided by the 3000 are controllable, which is beneficial to improve the motion precision of the osteotomy tool, thereby improving the osteotomy precision and consistency.
  • the navigation surgery system also includes a control device, which is actually a computer configured with a controller, a main display 21 and a keyboard 22 , and more preferably an auxiliary display 23 .
  • the contents displayed on the auxiliary display 23 and the main display 21 are consistent, for example, both are used to display the image of the osteotomy position.
  • the navigation system may be an electromagnetic positioning and navigation device or an optical positioning and navigation device. In the following description, an optical positioning and navigation device is used as an example for description, but it is not limited thereto.
  • the navigation system specifically includes a navigation marker and a tracker 31.
  • the navigation marker includes a base target 32 and a tool target 33.
  • the base target 32 is fixed, for example, the base target 32 is fixed on the operating trolley 40. It is used to provide a base coordinate system (or a base target coordinate system), and the tool target 33 is installed on the driving device 3000 or the surgical tool guiding mechanism 2000 to track the end of the robotic arm 10 . Location.
  • the tracker 31 is used to capture the signal reflected by the tool target 33 (preferably an optical signal) and record the position of the tool target 33 (that is, the position and attitude of the tool target under the base frame), and then store the signal in the controller.
  • the computer program controls the movement of the robotic arm 10 according to the current position and the desired position of the tool target 33.
  • the robotic arm 10 drives the surgical tool guide mechanism 2000 and the tool target 33 to move, and makes the tool target 33 reach the desired position.
  • the desired position of the tool target 33 corresponds to at the desired location of the surgical tool guide mechanism 2000. Therefore, the application of the orthopedic surgery system can realize automatic positioning of the surgical tool guiding mechanism 2000 , and the tool target 33 can track and feed back the real-time pose of the surgical tool guiding mechanism 2000 during the operation.
  • the orthopaedic surgery system further includes an operating trolley 40 and a navigation trolley 50 .
  • the control device and a part of the navigation device are installed on the navigation trolley 50, for example, the controller is installed inside the navigation trolley 50, the keyboard 22 is placed outside the navigation trolley 50 for operation, and the main
  • the display 21 , the auxiliary display 23 and the tracker 31 are all mounted on a bracket, the bracket is vertically fixed on the navigation trolley 50 , and the robotic arm 10 is mounted on the operating trolley 40 .
  • the use process of the orthopaedic surgery system of this embodiment roughly includes the following operations:
  • the navigation markers also include the femoral target 34, the tibial target 35), at least part of the surgical tool guide mechanism 2000, and other related components (eg, sterile bags);
  • the doctor 1 imports the bone CT/MR scan model of the patient 2 into the computer for preoperative planning, and obtains an osteotomy plan, which includes, for example, the coordinates of the osteotomy plane, the model of the prosthesis, and the installation orientation of the prosthesis, etc.
  • create a three-dimensional knee joint digital model according to the patient s knee joint image data obtained by CT/MR scan, and then create an osteotomy plan according to the three-dimensional knee joint digital model, so that the surgeon can perform preoperative evaluation according to the osteotomy plan, and more
  • the osteotomy plan is determined based on the three-dimensional digital model of the knee joint and in combination with the obtained size specifications of the prosthesis and the installation position of the osteotomy plate.
  • the osteotomy plan is finally output in the form of an operation report, which records the osteotomy plane
  • a series of reference data such as coordinates, osteotomy volume, osteotomy angle, prosthesis specification, prosthesis installation position, surgical aids, etc., especially a series of theoretical explanations, such as the reasons for selecting the osteotomy angle, etc.
  • the doctor provides reference; wherein, the three-dimensional knee joint digital model can be displayed through the main display 21, and the doctor can input surgical parameters through the keyboard 22 for preoperative planning;
  • the doctor 1 uses the target pen to mark the feature points on the patient's femur and tibia (that is, the doctor marks multiple femoral anatomical feature points on the patient's femur entity, and multiple tibia anatomical feature points on the tibia entity) , and the base target 32 is used as the benchmark by the tracker 31 to record the positions of all the feature points on the patient's tibia and femur, and send the positions of all the feature points to the controller, and then the controller obtains through the feature matching algorithm
  • the actual orientation of the femur and tibia which corresponds to the CT/MR image orientation on the femur and tibia;
  • the actual position of the femur and tibia is linked with the corresponding targets installed on the femur and tibia through the navigation device, so that the femoral target 34 and the tibia target 35 can track the actual position of the bone in real time, and during the operation, as long as the target and the bone are The relative position between the two is fixed, and the movement of the bones will not affect the surgical effect;
  • the coordinates of the preoperatively planned osteotomy plane are sent to the robotic arm 10 through the navigation device, and after the robotic arm 10 locates the osteotomy plane through the tool target 33 and moves to a predetermined position, the robotic arm 10 enters the holding state (that is, does not move. ), after that, the doctor can use an osteotomy tool such as an oscillating saw 1100 or an electric drill (not shown in the figure) to perform an osteotomy and/or drilling operation through the guidance of the surgical tool guide mechanism 2000 . After the osteotomy and drilling are completed, the doctor can install the prosthesis and perform other surgical procedures.
  • an osteotomy tool such as an oscillating saw 1100 or an electric drill (not shown in the figure)
  • the surgical tool guiding device of the present invention has no particular limitation on the application environment, and can be applied not only to knee joint replacement, but also to other orthopedic operations.
  • the surgical tool is an oscillating saw 1100 and the surgical tool guiding device is used for knee joint replacement as an example for illustration, but this should not be taken as a limitation of the present invention.
  • the structure of the oscillating saw 1100 is shown in FIG. 5 , the oscillating saw 1100 includes a saw blade 1101 and a housing part 1102 , wherein the housing part 1102 is used for fixedly connecting with the surgical tool guide mechanism 2000 , while the saw blade 1101 is partially inserted into the guide groove 2001 of the surgical tool guide mechanism 2000 (as shown in FIG. 3 and FIG. 4 ), and the free end of the saw blade 1101 (that is, the The end of the saw blade 1101 away from the housing portion 1102) protrudes out of the guide groove 2001 to cut the bone.
  • the movement of the oscillating saw 1100 is restricted by the guide groove 2001 .
  • the width of the guide groove 2001 extends along the first direction
  • the length of the guide groove 2001 extends along the second direction
  • the thickness of the guide groove 2001 extends along the third direction.
  • the first direction is the X direction
  • the second direction is the Y direction
  • the third direction is the Z direction.
  • the oscillating saw 1100 can perform translational motion along the X direction, or translational motion along the Y direction, or rotational motion around a rotation axis extending along the Z direction under the driving of the driving mechanism 3000 .
  • the driving mechanism 3000 may be configured to drive the oscillating saw 1100 to perform at least one of translational motion in the X direction, translational motion in the Y direction, and rotational motion about the rotation axis structure.
  • the motion module of the driving mechanism 3000 involved in the present invention includes at least one single-degree-of-freedom motion module, or includes at least one multi-degree-of-freedom motion module for multi-degree-of-freedom motion.
  • the single-degree-of-freedom motion modules are combined, and according to the number of the single-degree-of-freedom motion modules in operation, the driving mechanism 3000 can drive the oscillating saw 1100 to perform at least one degree of freedom motion
  • the driving mechanism 3000 includes a single-degree-of-freedom movement module, and the single-degree-of-freedom movement module is used to drive the osteotomy tool 1000 to move along the X direction, or move along the Y direction, or rotate around the rotation axis .
  • the driving structure 3000 includes two of the single-degree-of-freedom motion modules (that is, the two single-degree-of-freedom motion modules are combined into a two-degree-of-freedom motion module), and one of the single-degree-of-freedom motion modules uses
  • the other single-degree-of-freedom motion module is used to drive the osteotomy tool 1000 to move in the Y-direction; or, one of the single-degree-of-freedom motion modules is used to drive The osteotomy tool 1000 moves along the X direction, and the other single-degree-of-freedom motion module is used to drive the osteotomy tool 1000 to rotate around the rotation axis; or, one of the single-degree-of-freedom motion modules is used to drive The osteotomy tool 1000 moves along the Y direction, and the other single-degree-of-freedom motion module is used to drive the osteotomy tool 1000 to rotate around the rotation axis.
  • the driving mechanism 3000 includes three single-degree-of-freedom motion modules (that is, three single-degree-of-freedom motion modules form a three-degree-of-freedom motion module), and one of the single-degree-of-freedom motion modules is used for driving.
  • the osteotomy tool 1000 moves in the X direction
  • another single-degree-of-freedom motion module is used to drive the osteotomy tool 1000 to move in the Y-direction
  • another single-degree-of-freedom motion module is used to drive the osteotomy
  • the tool 1000 rotates about the axis of rotation.
  • this article will introduce the surgical tool guiding device by taking the driving mechanism 3000 including one multi-DOF motion module, and the multi-DOF motion module being composed of three single-DOF motion modules as an example.
  • the single-degree-of-freedom motion module used to drive the osteotomy tool 1000 to move in the X direction will be referred to as the first single-degree-of-freedom motion module, which will be used to drive the osteotomy tool
  • the single-degree-of-freedom motion module for moving the 1000 along the Y direction is called the second single-degree-of-freedom movement module
  • the single-degree-of-freedom movement module for driving the osteotomy tool 1000 around the rotational axis is called the third single-degree-of-freedom movement module. degrees of freedom motion module.
  • FIG. 3 shows a schematic diagram when the surgical tool guiding device provided in this embodiment is assembled with the robotic arm 10 .
  • FIG. 6 shows a schematic diagram of the connection principle of each part of the surgical tool guiding device provided in this embodiment.
  • the driving mechanism 3000 is connected to the mechanical arm 10 , and the driving mechanism 3000 further includes a first base 3010 , a second base 3020 and a third base 3030 .
  • the first single-degree-of-freedom motion module includes a first power device 3110 and a first transmission member 3120, and the first power device 3110 is arranged on the first base 3010.
  • the first transmission member 3120 connects the first power device 3110 and the second base 3020, and is used to transmit the driving force provided by the first power device 3110, so that the second base 3020 is relatively
  • the first base 3010 moves along the first direction.
  • the second single-degree-of-freedom motion module includes a second power device 3210 and a second transmission member 3220 .
  • the second power device 3210 is disposed on the third base 3030 .
  • the second transmission member 3220 is connected to the second power device 3210 and the second base 3020, and is used to transmit the driving force provided by the second power device 3210, so that the third base 3030 is opposite to each other.
  • the second base 3020 moves along the second direction.
  • the third single-degree-of-freedom motion module is used for connecting with the surgical tool guiding mechanism 2000 , and includes a third power device 3310 , and the third power device 3310 is arranged on the third base 3030 .
  • the first power device 3110, the second power device 3210 and the third power device 3310 are all rotating electrical machine assemblies.
  • the output shaft of the third power device 3310 can be directly connected to the surgical tool guide mechanism 2000, or indirectly connected to the surgical tool guide mechanism 2000 through a connecting seat 3040 (see the description below), so as to drive the The surgical tool guide mechanism 2000 rotates around the rotation axis, thereby causing the oscillating saw 1100 to rotate around the rotation axis.
  • the first base 3010 includes a first connecting plate 3011 and a second connecting plate 3012 that are perpendicular to each other.
  • the second base 3020 includes a third connecting plate 3021 and a fourth connecting plate 3022 that are perpendicular to each other.
  • the third base 3030 may include a flat plate.
  • the first power device 3110 is disposed on the first connecting plate 3011 , and the output shaft of the first power device 3110 is perpendicular to the first connecting plate 3011 .
  • the first transmission member 3120 includes a lead screw 3121 and a nut 3122.
  • the lead screw 3121 is connected to the output shaft of the first power device 3110 through a coupling, and can also be rotatably mounted on the first connecting plate. 3011 on.
  • the nut 3122 is used to fit on the lead screw 3121 and be fixed on the second base 3020, for example, on the third connecting plate 3021 of the second base 3020. When the lead screw 3121 is rotated, the nut 3122 is driven to move together with the second base 3020 .
  • the third connecting plate 3021 is also provided with a matching hole 3023 extending along the first direction and communicating with the inner hole of the nut 3122 , and the matching hole 3023 is used for the lead screw 3121 to pass through. and move in the matching hole 3023 . It can be understood that the lead screw 3121 can also be replaced with a screw.
  • the first connecting plate 3011 is used to connect with the robotic arm 10 (screw holes and/or pin holes may be provided on the first connecting plate 3011).
  • the surface of the second connecting plate 3012 facing the second base 3020 is further provided with a first guiding mechanism 3013 extending along the first direction.
  • the second base 3020 is provided with a second guide mechanism 3024 matching the first guide mechanism 3013, and the second guide mechanism 3024 is connected with the first guide mechanism 3013 to reduce the The shaking of the second base 3020 when moving relative to the first base 3010 improves the motion stability.
  • the first base 3010 includes two second connecting plates 3012 , and the two second connecting plates 3012 are symmetrically arranged on opposite sides of the first connecting plate 3011 .
  • the second base 3020 includes two third connecting plates 3021 , and the two third connecting plates 3021 are symmetrically arranged and are connected to the two second connecting plates 3012 , respectively.
  • the driving mechanism 3000 includes two of the first power devices 3110 and two of the transmission members 3120, which are arranged corresponding to the second connecting plate 3012 and the third connecting plate 3021, so as to improve the The force balance of the two bases 3020.
  • One of the first guide mechanism 3013 and the second guide mechanism 3024 is a guide bump, and the other is a guide groove.
  • the first guide mechanism 3013 shown in FIG. 7 is the guide bump.
  • the second guide mechanism 3024 is a guide groove.
  • the third base 3030 and the second base 3020 are movably connected, that is, the third base 3030 can move relative to the second base 3020 .
  • the fourth connecting plate 3022 of the second base 3020 is provided with a third guiding mechanism 3025 extending along the second direction.
  • the third base 3030 is provided with a fourth guide mechanism 3031, and the fourth guide mechanism 3031 is used to be connected with the third guide mechanism 3025 in a sliding fit, so that the third base 3030 is in the
  • the second power device 3210 can move in the second direction relative to the second base 3020 under the driving force provided by the second power device 3210 .
  • One of the third guide mechanism 3025 and the fourth guide mechanism 3031 is a guide bump, and the other is a guide groove.
  • the second transmission member 3220 includes a first gear 3221 and a rack 3222 for meshing with each other, wherein the first gear 3221 is arranged on the output shaft of the second power device 3210, and the rack 3222 is arranged at on the fourth connecting plate 3022 of the second base 3020 and extending along the second direction.
  • the second power device 3210 drives the first gear 3221 to rotate, the second power device 3210 enables the third base 3030 and the rack 3222 to move relative to the second direction , so that the third base 3030 moves relative to the second base 3020 in the second direction.
  • the output shaft of the third power device 3310 and the output shaft of the second power device 3210 are arranged parallel to each other.
  • the output shaft of the third power device 3310 may be provided with a connection seat 3040
  • the connection seat 3040 is provided with a fitting matched with the first interface 2002 on the surgical tool guide mechanism 2000 part 3041 so that the connecting seat 3040 can be connected with the surgical tool guiding mechanism 2000 .
  • connection base 3040 is in a U-shaped structure, and includes a fifth connection plate 3042 and two sixth connection plates 3043 extending from opposite sides of the fifth connection plate 3042, wherein the fifth connection plate 3043
  • the plate 3042 is used for connecting with the third power device 3310
  • the two sixth connecting plates 3043 are arranged on opposite sides of the fifth connecting plate 3042
  • the sixth connecting plate 3043 is provided with the
  • the matching portion 3041 is used for connecting with the surgical tool guide mechanism 2000 .
  • the surgical tool guide mechanism 2000 includes a fixed seat and a guide portion matched with it.
  • the fixed seat is called a first fixed seat 2100 for the convenience of distinguishing from other embodiments.
  • the first fixed seat The 2100 is provided with the first interface 2002 and an installation slot 2003 , and the installation slot 2003 is used for loading the oscillating saw 1100 .
  • the guide portion includes a first guide block 2300 , and the first guide block 2300 is provided with the guide groove 2001 .
  • the surgical tool guide mechanism 2000 includes a floating mechanism 2200, and the floating mechanism 2200 is used to cooperate with the first guide block 2300, so as to make the first guide block 2300 relative to the The first fixing seat 2100 moves.
  • the floating mechanism 2200 includes a guide column 2210 and an elastic member 2220. One end of the guide column 2210 is fixedly connected to the first fixing seat 2100, and the other end is movably connected to the first guide block 2300.
  • the elastic member 2220 is disposed between the first fixing seat 2100 and the guide block 2300, including but not limited to a spring.
  • the first guide block 2300 is provided with the guide groove 2001 .
  • the housing portion 1102 of the oscillating saw is installed in the first installation groove, and the oscillating saw is installed
  • the saw blade 1101 of the saw passes through the guide groove 2001 , and the distal end of the saw blade 1101 (that is, the end of the saw blade 1101 away from the housing of the oscillating saw) from the distal end of the guide groove 2001 (ie, the side of the guide groove 2001 away from the housing part 1102 of the oscillating saw) protrudes from the outside of the guide groove 2001 .
  • the driving mechanism 3000 drives the surgical tool guiding mechanism 2000 to move while being guided by the surgical tool guiding mechanism 2000 drives the osteotomy tool 1000 to move to realize automatic osteotomy.
  • the surgical tool guiding device when used for osteotomy, when the distal end of the first guide block 2300 touches the bone and receives a force directed towards the first fixing seat 2100, the first The guide block 2300 moves along the guide post 2210 toward the first fixing seat 2100, and compresses the elastic piece 2220, so that the elastic piece 2220 stores elastic potential energy; at the same time, the distal end of the saw blade 1101 The portion protruding from the guide groove 2001 becomes longer.
  • the usable length of the saw blade 1101 can be adjusted according to actual needs, the amplitude of the saw blade 1101 during osteotomy can be reduced, and the rigidity of the saw blade 1101 can be improved.
  • the elastic piece 2220 releases the elastic potential energy to drive the first guide block 2300 along the The guide post 2210 moves away from the first fixing seat 2100 until it returns to the original position.
  • the surgical tool guide mechanism 2000 further includes a support guide plate 2400 disposed on one end of the first fixing seat 2100 close to the first guide block 2300 .
  • the support guide plate 2400 is provided with a fifth guide mechanism 2410 extending along the axial direction of the first installation groove, and the first guide block 2300 is provided with a fifth guide mechanism 2410 matching the fifth guide mechanism 2410 .
  • Six guide mechanism 2310. The movement stability of the first guide block 2300 is improved by the cooperation of the guide support plate 2400 and the sixth guide mechanism 2310 .
  • One of the fifth guide mechanism 2410 and the sixth guide mechanism 2310 may be a guide protrusion, and the other may be a guide groove.
  • the structure of the first fixing seat 2100 in this embodiment may include a first seat body 2110 and a first pressing plate 2120 .
  • the first base body 2110 is in a stepped shape, and the first interface 2002 and the first groove 2111 are provided thereon (as shown in FIG. 15 ).
  • the first interface 2002 may be a screw hole and/or a pin hole, and correspondingly, the matching portion 3041 on the sixth connecting plate 3043 of the connection base 3040 is a corresponding screw hole and/or a pin hole, For example for screw/pin perforations to securely connect the two.
  • the first pressing plate 2120 is disposed on the first seat body 2110 and has a second groove 2121 (as shown in FIG. 15 ).
  • the second groove 2121 is spliced with the first groove 2111 to form the first installation slot.
  • the first groove 2111 has an inner side surface 2112 perpendicular to the axis of the first installation groove, and the inner side surface 2112 is used to restrict the osteotomy tool 1000 on the first fixing seat 2100 s position.
  • the tool target 33 can be arranged on the first base 3010 , for example, arranged on the first connecting plate 3011 .
  • the third single-degree-of-freedom motion module further includes a third transmission member 3320 , and the third transmission member 3320 is used to perform 90° of the driving force provided by the third power device 3310 °Steering.
  • the third transmission member 3320 may be a worm gear assembly.
  • the driving mechanism 3000 further includes an engaging device, and the engaging device includes an engaging portion 3410 and a mounting portion 3420 .
  • the joint portion 3410 is used to connect with the robot arm 10 (not shown in FIG. 15 ), so the joint portion 3410 may include a flange.
  • the third single-degree-of-freedom motion module includes a fourth power device 3330 and a fourth transmission member 3340 .
  • the fourth power plant 3330 may include a rotating electrical machine assembly mounted on the mounting portion 3420 .
  • the fourth transmission member 3340 includes a second gear 3341 and a slewing bearing 3342 .
  • the second gear 3341 is provided on the output shaft of the fourth power device 3330 .
  • the slewing bearing 3342 includes a first bearing ring 3342a and a second bearing ring 3342b arranged coaxially, and one of the first bearing ring 3342a and the second bearing ring 3342b is provided with the second gear 3341 .
  • the other teeth are engaged with the engaging portion 3410.
  • the first bearing ring 3342a is an inner ring
  • the second bearing ring 3342b is an outer ring
  • the teeth ie, the teeth
  • the slewing bearing 3342 is an internal gear slewing bearing
  • the fourth driving device 3330 can be arranged on the inner side of the first bearing ring 3342a
  • the second gear 3341 is located at the inner side of the first bearing ring 3342a. inside to engage with the teeth.
  • the advantage of this arrangement is to reduce the volume of the drive mechanism 3000 .
  • the teeth are provided on the outer surface of the second bearing ring (that is, the slewing support is an externally toothed slewing support), so that the fourth driving device is arranged on the outer surface of the second bearing ring. the outer side of the second bearing ring, so that the second gear meshes with the teeth (not shown in the figure).
  • the first single-degree-of-freedom motion module includes a first linear motor assembly 3130
  • the first linear motor assembly 3130 includes a first mounting plate 3131 and a first working platform 3132 .
  • the first mounting plate 3131 is connected to the bearing ring of the slewing bearing 3342 with the teeth, that is, when the first bearing ring 3342a is provided with the teeth, the first mounting plate 3131 is connected to the bearing ring 3342a.
  • the first bearing ring 3342a is connected.
  • the second single-degree-of-freedom motion module includes a second linear motor assembly 3230 .
  • the second linear motor assembly 3230 includes a second mounting plate (not marked in the figure) and a second working platform (not marked in the figure).
  • the second mounting plate is connected to the first work platform, and the second work platform is connected to the surgical tool guide mechanism 2000 .
  • the driving mechanism 3000 may also include a connecting seat 3040 .
  • a connecting seat 3040 for the structures of the connecting seat 3040 and the surgical tool guiding mechanism 2000, please refer to the introduction of the first embodiment, and details are not repeated here.
  • the difference between this embodiment and the first embodiment is that the structure of the surgical tool guiding mechanism 2000 is different, and the driving mechanism 3000 is not directly connected to the mechanical arm 10 .
  • the surgical tool guide mechanism 2000 includes a separate fixing seat and a guide portion, wherein the guide portion is provided with the guide groove 2001 , and one end of the guide portion is used for connecting with the guide portion.
  • the robotic arm is connected to position at least a portion of the surgical tool, ie, the saw blade 1101 of the oscillating saw 1100, by the robotic arm.
  • the saw blade 1101 is driven by the driving mechanism 3000 to move, and the saw blade 1101 is inserted into the guide groove 2001, so its movement range is limited by the guide groove 2001. Therefore, the The “robot positioning the saw blade 1101 of the oscillating saw 1100 ” actually refers to positioning the range of motion of the oscillating saw 1100 .
  • the fixing base is called a second fixing base, and the second fixing base is provided with the first interface 2002 and an installation groove (not marked in the figure), and the installation groove is used for installation The osteotomy tool 1000.
  • the guide portion includes a second guide block 2610 and an eccentric crank 2620, and the second guide block 2610 is provided with a second interface 2611 and the guide groove 2001.
  • One end of the eccentric crank 2620 is connected to the second guide block 2610, and the other end is provided with a third interface 2621, the third interface 2621 is used for connecting with the mechanical arm (not shown in FIG. 18 and FIG. 19 ). )connect.
  • the driving mechanism (not shown in FIG. 18 and FIG.
  • the guide part is first connected to the mechanical arm, and then the controller drives the mechanical arm to move to adjust the guide part to a desired position. Then assemble the oscillating saw 1100, the second fixing base and the driving mechanism, and then insert the saw blade 1101 of the oscillating saw 1100 into the guide groove 2001, and connect the driving mechanism to the The second fixed seat and the second guide block 2610.
  • the advantage of this embodiment is that the robotic arm only moves with the guide portion, without simultaneously driving the driving mechanism and the second fixing base to move synchronously, thereby reducing the end load of the robotic arm. It can be understood that, in this embodiment, the tool target should be arranged on the guide portion such as the second guide block 2610 .
  • the structure of the second fixing base is shown in FIG. 19 , including a second base body 2510 and a second pressing plate (not shown in the figure).
  • the second seat body 2510 is provided with a third groove 2511
  • the second pressing plate is provided with a fourth groove
  • the second pressing plate is arranged on the second seat body 2510, so that the first The four grooves are spliced with the third groove 2511 to form the installation groove.
  • the driving mechanism 3000 can also be connected with an external posture adjustment mechanism 3 , and the posture adjustment mechanism 3 preferably has multiple degrees of freedom, such as six degrees of freedom, and can drive the The driving mechanism 3000 moves to adjust the posture and adapts to different postures of the guide portion 2600 during the osteotomy process (the posture of the guide portion 2600 is changed due to the movement of the robotic arm).
  • the posture adjustment mechanism 3 By arranging the posture adjustment mechanism 3 , the force exerted by the driving mechanism 3000 on the guide portion can be reduced, and the deformation of the guide portion can be avoided.
  • the “cooperating” refers to the relationship between the fixed seat and the guide portion, including direct connection, indirect connection or mutual influence between the two. Independent relationships, such as those indicated in the various embodiments described above.
  • an embodiment of the present invention also provides a surgical robot system, including the robotic arm and the surgical tool guiding mechanism, and the distal end of the robotic arm is connected to the surgical tool guiding mechanism. It should be understood that the distal end of the robotic arm may be directly connected to the surgical tool guiding mechanism, or may be indirectly connected to the surgical tool guiding mechanism through other transition devices such as the driving mechanism.
  • an embodiment of the present invention further provides another surgical robot system, including a robotic arm and the driving mechanism, and the distal end of the robotic arm is connected to the driving mechanism.
  • the distal end of the robotic arm may be directly connected to the driving mechanism, or may be indirectly connected to the driving mechanism through a transition device such as the guide portion provided in the fourth embodiment.

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Abstract

A surgical instrument guide mechanism (2000) and drive mechanism (3000), a guide device, and a robot system. The drive mechanism (3000) drives at least a part of the surgical instrument guide mechanism (2000) to move so as to drive the surgical instrument loaded on the surgical instrument guide mechanism (2000) to perform at least one degree-of-freedom of movement to perform surgery. The surgical precision and the consistency of the surgical procedure are improved.

Description

手术工具导向及驱动机构、引导装置、机器人系统Surgical tool guide and drive mechanism, guide device, robot system 技术领域technical field
本发明属于医疗器械技术领域,具体涉及一种手术工具导向及驱动机构、引导装置、机器人系统。The invention belongs to the technical field of medical instruments, and in particular relates to a surgical tool guiding and driving mechanism, a guiding device and a robot system.
背景技术Background technique
目前导航引导下的一种截骨方式中,机械臂上固定安装有截骨导向工具,该截骨导向工具没有自由度,其由机械臂调整位姿。之后,由施术者操作与之配合的截骨工具例如摆锯进行手动截骨,该截骨方式受人为因素影响,截骨精度得不到保证,且截骨的宽度还受到截骨导向工具的截骨槽的宽度限制,截骨槽的宽度过大时,截骨工具容易与其他人体组织产生干涉。在另一种截骨方式中,机械臂直接夹持截骨工具,然后机械臂运动以驱使截骨工具运动并截骨。该方式中,若截骨工具为球磨头,其截骨效率低下;若截骨工具为锯片,则会因为锯片刚度不足而导致截骨精度变差。In a current osteotomy method under navigation guidance, an osteotomy guide tool is fixedly installed on the manipulator arm, and the osteotomy guide tool has no degree of freedom, and the position and posture of the osteotomy guide tool is adjusted by the manipulator arm. After that, manual osteotomy is performed by the operator operating a matching osteotomy tool, such as a pendulum saw. The osteotomy method is affected by human factors, the accuracy of the osteotomy cannot be guaranteed, and the width of the osteotomy is also affected by the osteotomy guide tool. The width of the osteotomy slot is limited. When the width of the osteotomy slot is too large, the osteotomy tool is likely to interfere with other human tissues. In another osteotomy method, the manipulator directly grips the osteotomy tool, and then the manipulator moves to drive the osteotomy tool and cut the bone. In this method, if the osteotomy tool is a ball grinding head, the osteotomy efficiency is low; if the osteotomy tool is a saw blade, the osteotomy accuracy will be deteriorated due to insufficient rigidity of the saw blade.
发明内容SUMMARY OF THE INVENTION
本发明的目的在于提供一种手术工具导向及驱动机构、引导装置、机器人系统,旨在提高手术精度,保持手术操作的一致性。The purpose of the present invention is to provide a surgical tool guiding and driving mechanism, a guiding device and a robot system, aiming at improving the surgical precision and maintaining the consistency of the surgical operation.
为实现上述目的,本发明提供的一种手术工具导向机构,包括固定座和与其配合的导向部,所述固定座用于装载手术工具,所述导向部上设有供所述手术工具的一部分穿设的导向槽;所述固定座上设有用于与驱动机构连接的第一接口,以使所述固定座能够在所述驱动机构的驱使下运动,进而驱使所述手术工具相对于所述驱动机构的至少一部分作相对运动。In order to achieve the above purpose, the present invention provides a guide mechanism for a surgical tool, comprising a fixed seat and a guide portion matched with it, the fixed seat is used for loading the surgical tool, and the guide portion is provided with a part of the surgical tool. A guide groove is passed through; the fixing seat is provided with a first interface for connecting with a driving mechanism, so that the fixing seat can move under the driving of the driving mechanism, thereby driving the surgical tool relative to the driving mechanism. At least a portion of the drive mechanism is in relative motion.
为实现上述目的,本发明还提供了一种驱动机构,用于与如前中任一项所述手术工具导向机构连接,其特征在于,所述驱动机构包括用于与所述固定座上的第一接口对应的配合部并且包括至少一个运动模块,以驱使所述手术工具导向机构的至少一部分运动,进而驱使所述手术工具执行至少一个自由度的运动。In order to achieve the above object, the present invention also provides a driving mechanism for connecting with the surgical tool guiding mechanism according to any one of the preceding items, characterized in that, the driving mechanism includes a driving mechanism for connecting with the fixing seat. The matching part corresponding to the first interface also includes at least one motion module to drive at least a part of the surgical tool guiding mechanism to move, thereby driving the surgical tool to perform at least one degree of freedom movement.
为实现上述目的,本发明还提供了一种手术工具引导装置,包括如前任一项所述的手术工具导向机构和如前任一项所述的驱动机构,所述驱动机构与所述手术工具导向机构连 接,以驱动所述手术工具导向机构的至少一部分运动,进而驱使装载在所述手术工具导向机构上的手术工具执行至少一个自由度的运动。In order to achieve the above object, the present invention also provides a surgical tool guiding device, comprising the surgical tool guiding mechanism described in any one of the preceding items and the driving mechanism described in any preceding item, wherein the driving mechanism and the surgical tool guiding mechanism The mechanism is connected to drive at least a portion of the surgical tool guide mechanism to move, thereby driving the surgical tool loaded on the surgical tool guide mechanism to perform at least one degree of freedom movement.
为实现上述目的,本发明还提供了一种手术机器人系统,其特征在于,包括机械臂和如前任一项所述的所述手术工具导向机构,所述机械臂的末端用于与所述手术工具导向机构连接。In order to achieve the above object, the present invention also provides a surgical robot system, which is characterized in that it includes a mechanical arm and the surgical tool guiding mechanism as described in any one of the preceding items, and the end of the mechanical arm is used for connecting with the surgical robot. Tool guide mechanism connection.
为实现上述目的,本发明还提供了另一种手术机器人系统,包括机械臂和如前任一项所述的驱动机构,所述机械臂的末端用于与所述驱动机构连接。In order to achieve the above object, the present invention also provides another surgical robot system, comprising a robotic arm and the drive mechanism as described in any one of the preceding items, and the distal end of the robotic arm is used for connecting with the drive mechanism.
与现有技术相比,本发明的手术工具导向及驱动机构、引导装置、机器人系统具有如下优点:Compared with the prior art, the surgical tool guiding and driving mechanism, guiding device and robot system of the present invention have the following advantages:
前述的手术工具导向装置与驱动机构相互配合使用,且所述手术工具导向机构上设有导向槽;所述驱动机构包括至少一个多自由度运动模块;所述多自由度运动模块由多个不同向的单自由度运动模块组合而成。所述手术工具导向机构用于装置截骨工具,且所述截骨工具部分地穿设在所述导向槽中;所述驱动机构在与所述手术工具导向机构连接时,可驱使所述手术工具导向机构的至少一部分运动,进而驱使所述截骨工具执行至少一个自由度的运动,以进行手术操作。利用所述驱动机构驱使所述手术工具导向机构的至少一部分运动,进而驱使所述截骨工具运动,以进行自动手术,排除人为因素的影响,有利于提高手术精度和一致性。The aforementioned surgical tool guiding device and the driving mechanism are used in cooperation with each other, and the surgical tool guiding mechanism is provided with a guide groove; the driving mechanism includes at least one multi-degree-of-freedom motion module; the multi-degree-of-freedom motion module is composed of a plurality of different It is composed of single-degree-of-freedom motion modules in one direction. The surgical tool guide mechanism is used to install an osteotomy tool, and the osteotomy tool is partially penetrated in the guide groove; when the driving mechanism is connected with the surgical tool guide mechanism, it can drive the surgery At least a portion of the tool guide mechanism moves, thereby driving the osteotomy tool to perform at least one degree of freedom movement to perform a surgical operation. The driving mechanism is used to drive at least a part of the surgical tool guiding mechanism to move, thereby driving the osteotomy tool to move, so as to perform automatic surgery, eliminate the influence of human factors, and improve the accuracy and consistency of surgery.
附图说明Description of drawings
附图用于更好地理解本发明,不构成对本发明的不当限定。其中:The accompanying drawings are used for better understanding of the present invention and do not constitute an improper limitation of the present invention. in:
图1是本发明根据一实施例所提供的手术工具引导装置的应用于膝关节置换时的示意图;1 is a schematic diagram of a surgical tool guiding device provided by the present invention when applied to knee joint replacement according to an embodiment;
图2是本发明根据一实施例所提供的手术工具引导装置中截骨工具的运动自由度分布示意图;2 is a schematic diagram of the distribution of the freedom of movement of an osteotomy tool in a surgical tool guiding device according to an embodiment of the present invention;
图3是本发明根据实施例一所提供的手术工具引导装置与机械臂连接的示意图;3 is a schematic diagram of the connection between the surgical tool guiding device and the robotic arm provided by the first embodiment of the present invention;
图4是图3所示手术工具引导装置与机械臂连接时的局部结构示意图;Fig. 4 is the partial structure schematic diagram when the surgical tool guide device shown in Fig. 3 is connected with the mechanical arm;
图5是本发明根据一实施例所提供的摆锯的结构示意图;5 is a schematic structural diagram of an oscillating saw according to an embodiment of the present invention;
图6是本发明根据实施例一所提供的手术工具引导装置中的驱动机构及手术工具导 向机构的连接/相互关系原理示意图;6 is a schematic diagram of the connection/interrelation principle of the driving mechanism and the surgical tool guiding mechanism in the surgical tool guiding device provided by the first embodiment of the present invention;
图7是本发明根据实施例一所提供的手术工具引导装置的局部结构示意图,图中示出第一基座、第二基座、第一单自由度运动模块及部分第二单自由度运动模块;Fig. 7 is a partial structural schematic diagram of the surgical tool guiding device provided by the first embodiment of the present invention, showing a first base, a second base, a first single-degree-of-freedom motion module and part of the second single-degree-of-freedom motion module;
图8是本发明根据实施例一所提供的手术工具引导装置的局部结构示意图,图中示出了第二基座、第三基座和第二单自由度运动模块;8 is a partial structural schematic diagram of the surgical tool guiding device provided by the first embodiment of the present invention, showing a second base, a third base and a second single-degree-of-freedom motion module;
图9是本发明根据实施例一所提供的手术工具引导装置的局部结构示意图,图中示出了第三基座、第三单自由度运动模块和连接座;9 is a partial structural schematic diagram of the surgical tool guiding device provided by the first embodiment of the present invention, showing a third base, a third single-degree-of-freedom motion module and a connecting seat;
图10是本发明根据实施例一所提供的手术工具引导装置的手术工具导向机构和截骨工具的配合关系示意图;10 is a schematic diagram of the cooperation relationship between the surgical tool guiding mechanism and the osteotomy tool of the surgical tool guiding device provided by the first embodiment of the present invention;
图11是本发明根据实施例一所提供的手术工具引导装置的手术工具导向机构之第一固定座在一个方向上的结构示意图,图中还示出了浮动机构的导向柱和导向支撑板;11 is a schematic structural diagram of the first fixing seat of the surgical tool guide mechanism of the surgical tool guide device provided in the first embodiment of the present invention in one direction, and the figure also shows the guide column and the guide support plate of the floating mechanism;
图12是本发明根据实施例一所提供的手术工具引导装置的手术工具导向机构之第一固定座在另一个方向上的结构示意图;12 is a schematic structural diagram of the first fixing seat of the surgical tool guiding mechanism of the surgical tool guiding device provided in the first embodiment of the present invention in another direction;
图13是本发明根据实施例二所提供的手术工具引导装置的驱动机构的简易示意图;13 is a simplified schematic diagram of the driving mechanism of the surgical tool guiding device provided by the second embodiment of the present invention;
图14是本发明根据实施例二所提供的手术工具引导装置中的驱动机构及手术工具导向机构的连接/相互关系原理示意图;14 is a schematic diagram of the connection/relationship between the driving mechanism and the surgical tool guiding mechanism in the surgical tool guiding device provided by the second embodiment of the present invention;
图15是本发明根据实施例三所提供的手术工具引导装置的驱动机构与手术工具导向机构的配合关系示意图;15 is a schematic diagram of the cooperation relationship between the driving mechanism of the surgical tool guiding device and the surgical tool guiding mechanism provided by the third embodiment of the present invention;
图16是本发明根据实施例三所提供的手术工具引导装置的局部结构示意图,图中示出了接合装置与第一单自由度运动模块的配合关系示意图;Fig. 16 is a partial structural schematic diagram of the surgical tool guiding device provided by the third embodiment of the present invention, and the figure shows a schematic diagram of the cooperation relationship between the engaging device and the first single-degree-of-freedom motion module;
图17是本发明根据实施例三所提供的手术工具引导装置的局部结构示意图,图中示出了第二单自由度运动模块的示意图;Fig. 17 is a partial structural schematic diagram of the surgical tool guiding device provided by the third embodiment of the present invention, and the figure shows a schematic diagram of a second single-degree-of-freedom motion module;
图18是本发明根据实施例四所提供的手术工具引导装置的局部结构示意图,图中示出了截骨工具与手术工具导向机构的配合关系示意图;18 is a schematic partial structural diagram of the surgical tool guiding device provided by the fourth embodiment of the present invention, and the figure shows a schematic diagram of the cooperation relationship between the osteotomy tool and the surgical tool guiding mechanism;
图19是本发明根据实施例四所提供的手术工具引导装置的手术工具导向机构的第二固定座之第二座体的结构示意图;19 is a schematic structural diagram of the second seat of the second fixing seat of the surgical tool guiding mechanism of the surgical tool guiding device according to the fourth embodiment of the present invention;
图20是本发明根据实施例四所提供的手术工具引导装置与机械臂及位姿调整机构的连接/相互关系原理示意图。FIG. 20 is a schematic diagram showing the connection/relationship between the surgical tool guiding device, the robotic arm and the posture adjustment mechanism according to the fourth embodiment of the present invention.
[附图标记说明如下]:[reference numerals are explained below]:
1-医生,2-患者,3-位姿调整装置;1-doctor, 2-patient, 3-posture adjustment device;
10-机械臂,21-主显示器,22-键盘,23-辅助显示器,31-跟踪仪,32-基座靶标,33-工具靶标,34-股骨靶标,35-胫骨靶标,40-手术台车,50-导航台车;10-Robot arm, 21-Main monitor, 22-Keyboard, 23-Auxiliary monitor, 31-Tracker, 32-Base target, 33-Tool target, 34-Femur target, 35-Tibia target, 40-Surgical trolley , 50-navigation trolley;
1100-摆锯,1101-锯片,1102-壳体部分;1100 - oscillating saw, 1101 - saw blade, 1102 - housing part;
2000-手术工具导向机构,2001-导向槽,2002-第一接口,2003-安装槽,2100-第一固定座,2110-第一座体,2111-第一凹槽,2112-内侧面,2120-第一压板,2121-第二凹槽,2200-浮动机构,2210-导向柱,2220-弹性件,2300-第一导向块,2310-第六导向机构,2400-支撑导向板,2410-第五导向机构,2510-第二座体,2511-第三凹槽,2610-第二导向块,2611-第二接口,2620-偏心曲柄,2621-第三接口;2000-Surgical tool guide mechanism, 2001-Guide groove, 2002-First interface, 2003-Installation groove, 2100-First fixed seat, 2110-First seat body, 2111-First groove, 2112-Inner side, 2120 -First pressing plate, 2121-Second groove, 2200-Floating mechanism, 2210-Guide post, 2220-Elastic piece, 2300-First guide block, 2310-Sixth guide mechanism, 2400-Support guide plate, 2410-Second Five guide mechanisms, 2510-second seat, 2511-third groove, 2610-second guide block, 2611-second interface, 2620-eccentric crank, 2621-third interface;
3000-驱动机构,3010-第一基座,3011-第一连接板,3012-第二连接板,3013-第一导向机构,3020-第二基座,3021-第三连接板,3022-第四连接板,3023-配合孔,3024-第二导向机构,3030-第三基座,3040-连接座,3041-配合部,3042-第五连接板,3043-第六连接板,3031-第四导向机构,3110-第一动力装置,3120-第一传动件,3121-丝杠,3122-螺母,3130-第一直线电机组件,3131-第一安装板,3132-第一工作平台,3210-第二动力装置,3220-第二传动件,3221-第一齿轮,3222-齿条,3230-第二直线电机组件,3310-第三动力装置,3320-第三传动件,3330-第四动力装置,3340-第四传动件,3341-第二齿轮,3342-回转支承,3342a-第一轴承圈,3342b-第二轴承圈,3410-接合部,3420-安装部。3000-drive mechanism, 3010-first base, 3011-first connecting plate, 3012-second connecting plate, 3013-first guiding mechanism, 3020-second base, 3021-third connecting plate, 3022-first Four connecting plates, 3023-matching hole, 3024-second guiding mechanism, 3030-third base, 3040-connecting seat, 3041-matching part, 3042-fifth connecting plate, 3043-sixth connecting plate, 3031-first connecting plate Four-guide mechanism, 3110-first power unit, 3120-first transmission part, 3121-lead screw, 3122-nut, 3130-first linear motor assembly, 3131-first mounting plate, 3132-first working platform, 3210-Second power unit, 3220-Second transmission, 3221-First gear, 3222-Rack, 3230-Second linear motor assembly, 3310-Third power unit, 3320-Third transmission, 3330-Second Four power units, 3340 - the fourth transmission part, 3341 - the second gear, 3342 - the slewing bearing, 3342a - the first bearing ring, 3342b - the second bearing ring, 3410 - the joint part, 3420 - the installation part.
具体实施方式Detailed ways
以下通过特定的具体实例说明本发明的实施方式,本领域技术人员可由本说明书所揭露的内容轻易地了解本发明的其他优点与功效。本发明还可以通过另外不同的具体实施方式加以实施或应用,本说明书中的各项细节也可以基于不同观点与应用,在没有背离本发明的精神下进行各种修饰或改变。需要说明的是,本实施例中所提供的图示仅以示意方式说明本发明的基本构想,遂图式中仅显示与本发明中有关的组件而非按照实际实施时的组件数目、形状及尺寸绘制,其实际实施时各组件的型态、数量及比例可为一种随意的改变,且其组件布局型态也可能更为复杂。The embodiments of the present invention are described below through specific specific examples, and those skilled in the art can easily understand other advantages and effects of the present invention from the contents disclosed in this specification. The present invention can also be implemented or applied through other different specific embodiments, and various details in this specification can also be modified or changed based on different viewpoints and applications without departing from the spirit of the present invention. It should be noted that the drawings provided in this embodiment are only to illustrate the basic concept of the present invention in a schematic way, so the drawings only show the components related to the present invention rather than the number, shape and the number of components in actual implementation. For dimension drawing, the type, quantity and proportion of each component can be changed at will in actual implementation, and the component layout may also be more complicated.
另外,以下说明内容的各个实施例分别具有一或多个技术特征,然此并不意味着使用 本发明者必需同时实施任一实施例中的所有技术特征,或仅能分开实施不同实施例中的一部或全部技术特征。换句话说,在实施为可能的前提下,本领域技术人员可依据本发明的公开内容,并视设计规范或实作需求,选择性地实施任一实施例中部分或全部的技术特征,或者选择性地实施多个实施例中部分或全部的技术特征的组合,借此增加本发明实施时的弹性。In addition, each embodiment of the following description has one or more technical features, but this does not mean that the person using the present invention must implement all the technical features in any embodiment at the same time, or can only implement different embodiments separately. One or all of the technical features of the . In other words, under the premise of possible implementation, those skilled in the art can selectively implement some or all of the technical features in any embodiment according to the disclosure of the present invention and depending on design specifications or implementation requirements, or The combination of some or all of the technical features in the multiple embodiments is selectively implemented, thereby increasing the flexibility of the implementation of the present invention.
如在本说明书中所使用的,单数形式“一”、“一个”以及“该”包括复数对象,复数形式“多个”包括两个以上的对象,除非内容另外明确指出外。如在本说明书中所使用的,术语“或”通常是以包括“和/或”的含义而进行使用的,除非内容另外明确指出外,以及术语“安装”、“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接。可以是机械连接,也可以是电连接。可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通或两个元件的相互作用关系。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本发明中的具体含义。As used in this specification, the singular forms "a," "an," and "the" include plural referents, and the plural forms "a plurality" include two or more referents unless the content clearly dictates otherwise. As used in this specification, the term "or" is generally employed in its sense including "and/or" unless the content clearly dictates otherwise, and the terms "installed", "connected", "connected" shall be To be understood in a broad sense, for example, it may be a fixed connection, a detachable connection, or an integral connection. It can be a mechanical connection or an electrical connection. It can be directly connected, or indirectly connected through an intermediate medium, and it can be the internal communication between two elements or the interaction relationship between the two elements. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood according to specific situations.
本发明的核心思想在于提供一种手术工具导向机构、驱动机构及包括所述手术工具导向机构和所述驱动机构的引导装置,其中,所述手术工具导向机构用于与手术工具连接,且所述工具导向机构上设有供所述手术工具的一部分穿设的导向槽;所述驱动机构手术工具导向机构用于与所述手术工具导向机构连接,并包括至少一个运动模块,以用于驱使所述手术工具导向机构的至少一部分运动,进而驱使所述手术工具相对于所述驱动机构的至少一部分执行至少一个自由度的运动。其中,所述运动模块可以包括至少一个单自由度运动模块,也可以包括至少一个多自由度运动模块。利用所述驱动机构代替人工驱使所述手术运动,提高手术工具的运动精度,继而提升手术精度和一致性。The core idea of the present invention is to provide a surgical tool guiding mechanism, a driving mechanism, and a guiding device including the surgical tool guiding mechanism and the driving mechanism, wherein the surgical tool guiding mechanism is used for connecting with the surgical tool, and the The tool guiding mechanism is provided with a guiding groove for a part of the surgical tool to pass through; the driving mechanism surgical tool guiding mechanism is used to connect with the surgical tool guiding mechanism, and includes at least one motion module for driving At least a portion of the surgical tool guide mechanism moves, thereby urging the surgical tool to perform at least one degree of freedom movement relative to at least a portion of the drive mechanism. Wherein, the motion module may include at least one single-degree-of-freedom motion module, and may also include at least one multi-degree-of-freedom motion module. Using the driving mechanism to replace the manual driving of the surgical movement improves the movement precision of the surgical tool, thereby improving the surgical precision and consistency.
不仅于此,本发明还提供了包括所述手术工具导向机构或所述驱动机构中至少一者的手术机器人系统。Not only this, the present invention also provides a surgical robot system including at least one of the surgical tool guide mechanism or the drive mechanism.
为使本发明的目的、优点和特征更加清楚,以下结合附图对本发明作进一步详细说明。需说明的是,附图均采用非常简化的形式且均使用非精准的比例,仅用以方便、明晰地辅助说明本发明实施例的目的。附图中相同或相似的附图标记代表相同或相似的部件。In order to make the objects, advantages and features of the present invention clearer, the present invention will be further described in detail below with reference to the accompanying drawings. It should be noted that, the accompanying drawings are all in a very simplified form and in inaccurate scales, and are only used to facilitate and clearly assist the purpose of explaining the embodiments of the present invention. The same or similar reference numbers in the drawings represent the same or similar parts.
图1示出了本发明根据一实施例所提供的手术工具引导装置应用于膝关节置换时的场景示意图;图2在进行膝关节置换时截骨工具的运动自由度分布图;图3示出了所述手术工具引导装置与机械臂连接时的示意图;图4是图3的局部放大示意图。Fig. 1 shows a schematic diagram of a scene when the surgical tool guiding device provided by the present invention is applied to knee joint replacement according to an embodiment; Fig. 2 is a distribution diagram of the freedom of movement of an osteotomy tool during knee joint replacement; Fig. 3 shows The schematic diagram when the surgical tool guiding device is connected with the mechanical arm is shown; FIG. 4 is a partial enlarged schematic diagram of FIG. 3 .
请参考图1至4,本实施例中,所述手术工具引导装置用于驱使手术工具执行至少一个自由度的运动,以实现手术操作。具体来说,所述手术工具引导装置包括手术工具导向机构2000和驱动机构3000。其中,所述手术工具导向机构2000上设有导向槽2001和第一接口2002。所述驱动机构3000包括至少一个运动模块。所述截骨工具用于与所述手术工具导向机构2000连接,且所述截骨工具部分地穿设在所述导向槽2001中。所述驱动机构3000用于与所述手术工具导向机构2000的所述第一接口2002相连接,以驱使所述手术工具导向机构2000的至少一部分运动,进而驱使所述手术工具执行至少一个自由度的运动,以进行手术操作。Referring to FIGS. 1 to 4 , in this embodiment, the surgical tool guiding device is used to drive the surgical tool to perform movement of at least one degree of freedom, so as to realize the surgical operation. Specifically, the surgical tool guiding device includes a surgical tool guiding mechanism 2000 and a driving mechanism 3000 . Wherein, the surgical tool guide mechanism 2000 is provided with a guide groove 2001 and a first interface 2002 . The drive mechanism 3000 includes at least one motion module. The osteotomy tool is used to connect with the surgical tool guide mechanism 2000 , and the osteotomy tool is partially inserted into the guide groove 2001 . The driving mechanism 3000 is configured to be connected with the first interface 2002 of the surgical tool guiding mechanism 2000 to drive at least a part of the surgical tool guiding mechanism 2000 to move, thereby driving the surgical tool to execute at least one degree of freedom movement for surgical operations.
所述手术工具引导装置可与导航手术系统相结合以进行膝关节置换术,因此,所述手术工具可以是截骨工具例如摆锯1100(图1及图3中所示出的手术工具即为摆锯1100)。请继续参考图1,所述导航手术系统包括机器人系统和导航系统,所述机器人系统包括机械臂10,根据实际需求,所述机械臂10的末端可与所述驱动机构3000连接,也可以与手术工具导向机构2000连接,后文中将对此进行详细的说明,以通过机械臂10来支撑所述手术工具导向机构2000,并调整所述手术工具导向机构2000的空间位置和姿态。所述导航系统用于对所述机械臂10进行定位,以实现对所述手术工具导向机构2000的定位,之后所述驱动机构3000可驱使所述截骨工具运动以执行截骨操作,驱动机构3000提供的驱动力的大小和方向可控,有利于改善所述截骨工具的运动精度,进而改善截骨精度和一致性。The surgical tool guide may be combined with a navigable surgical system for knee replacement surgery, therefore, the surgical tool may be an osteotomy tool such as an oscillating saw 1100 (the surgical tool shown in FIGS. 1 and 3 is the oscillating saw 1100). Please continue to refer to FIG. 1. The navigation surgery system includes a robot system and a navigation system. The robot system includes a robotic arm 10. According to actual requirements, the end of the robotic arm 10 can be connected to the driving mechanism 3000, or can be connected to the driving mechanism 3000. The surgical tool guiding mechanism 2000 is connected, which will be described in detail later, so as to support the surgical tool guiding mechanism 2000 through the robotic arm 10 and adjust the spatial position and posture of the surgical tool guiding mechanism 2000 . The navigation system is used to position the robotic arm 10 to realize the positioning of the surgical tool guiding mechanism 2000, and then the driving mechanism 3000 can drive the osteotomy tool to move to perform the osteotomy operation. The driving mechanism The magnitude and direction of the driving force provided by the 3000 are controllable, which is beneficial to improve the motion precision of the osteotomy tool, thereby improving the osteotomy precision and consistency.
所述导航手术系统还包括控制装置,所述控制装置实际为一台计算机,该计算机配置了控制器、主显示器21和键盘22,更优选还包括辅助显示器23。所述辅助显示器23和主显示器21所显示的内容一致,例如均用于显示截骨位置图像。所述导航系统可以是电磁定位导航装置、光学定位导航装置。以下描述中,以光学定位导航装置作为示例进行说明,但不以此为限。The navigation surgery system also includes a control device, which is actually a computer configured with a controller, a main display 21 and a keyboard 22 , and more preferably an auxiliary display 23 . The contents displayed on the auxiliary display 23 and the main display 21 are consistent, for example, both are used to display the image of the osteotomy position. The navigation system may be an electromagnetic positioning and navigation device or an optical positioning and navigation device. In the following description, an optical positioning and navigation device is used as an example for description, but it is not limited thereto.
所述导航系统具体包括导航标志物和跟踪仪31,所述导航标志物包括基座靶标32和工具靶标33,基座靶标32固定不动,例如基座靶标32被固定在手术台车40上而用于提供一个基坐标系(或称基座靶标坐标系),而工具靶标33安装在所述驱动装置3000或所述手术工具导向机构2000上而用于跟踪所述机械臂10的末端的位置。The navigation system specifically includes a navigation marker and a tracker 31. The navigation marker includes a base target 32 and a tool target 33. The base target 32 is fixed, for example, the base target 32 is fixed on the operating trolley 40. It is used to provide a base coordinate system (or a base target coordinate system), and the tool target 33 is installed on the driving device 3000 or the surgical tool guiding mechanism 2000 to track the end of the robotic arm 10 . Location.
实际中,利用跟踪仪31来捕捉工具靶标33反射的信号(优选光学信号)并记录工具 靶标33的位置(即工具靶标在基座标系下的位置和姿态),再由控制器内存储的计算机程序根据工具靶标33的当前位置和期望位置,控制机械臂10运动,机械臂10驱动手术工具导向机构2000和工具靶标33运动,并使工具靶标33到达期望位置,工具靶标33的期望位置对应于手术工具导向机构2000的期望位置。因此,骨科手术系统的应用,可实现手术工具导向机构2000的自动定位,且手术过程中由工具靶标33跟踪并反馈手术工具导向机构2000的实时位姿。In practice, the tracker 31 is used to capture the signal reflected by the tool target 33 (preferably an optical signal) and record the position of the tool target 33 (that is, the position and attitude of the tool target under the base frame), and then store the signal in the controller. The computer program controls the movement of the robotic arm 10 according to the current position and the desired position of the tool target 33. The robotic arm 10 drives the surgical tool guide mechanism 2000 and the tool target 33 to move, and makes the tool target 33 reach the desired position. The desired position of the tool target 33 corresponds to at the desired location of the surgical tool guide mechanism 2000. Therefore, the application of the orthopedic surgery system can realize automatic positioning of the surgical tool guiding mechanism 2000 , and the tool target 33 can track and feed back the real-time pose of the surgical tool guiding mechanism 2000 during the operation.
一般的,所述骨科手术系统还包括手术台车40和导航台车50。所述控制装置和一部分所述导航装置安装在导航台车50上,例如所述控制器安装在导航台车50的内部,所述键盘22放置在导航台车50的外部进行操作,所述主显示器21、辅助显示器23和跟踪仪31均安装在一个支架上,所述支架竖直固定在导航台车50上,而所述机械臂10安装在手术台车40上。Generally, the orthopaedic surgery system further includes an operating trolley 40 and a navigation trolley 50 . The control device and a part of the navigation device are installed on the navigation trolley 50, for example, the controller is installed inside the navigation trolley 50, the keyboard 22 is placed outside the navigation trolley 50 for operation, and the main The display 21 , the auxiliary display 23 and the tracker 31 are all mounted on a bracket, the bracket is vertically fixed on the navigation trolley 50 , and the robotic arm 10 is mounted on the operating trolley 40 .
在执行膝关节置换手术时,本实施例的骨科手术系统的使用过程大致包括以下操作:When performing knee replacement surgery, the use process of the orthopaedic surgery system of this embodiment roughly includes the following operations:
首先,将手术台车40及导航台车50移动至病床旁边合适的位置;First, move the operating trolley 40 and the navigation trolley 50 to a suitable position beside the hospital bed;
然后,安装导航标志物(导航标志物还包括股骨靶标34、胫骨靶标35)、至少部分手术工具导向机构2000以及其他相关部件(如无菌袋);Then, install the navigation markers (the navigation markers also include the femoral target 34, the tibial target 35), at least part of the surgical tool guide mechanism 2000, and other related components (eg, sterile bags);
之后,医生1将患者2的骨头CT/MR扫描模型导入所述计算机进行术前规划,得到截骨方案,该截骨方案例如包括截骨平面坐标、假体的型号以及假体的安装方位等信息;具体地,根据CT/MR扫描得到的患者膝关节影像数据,创建三维膝关节数字模型,进而根据三维膝关节数字模型创建截骨方案,以便手术医生根据截骨方案进行术前评估,更具体地,基于三维膝关节数字模型,并结合得到的假体的尺寸规格以及截骨板的安装位置等确定截骨方案,所述截骨方案最终以手术报告形式输出,其记录有截骨平面坐标、截骨量、截骨角度、假体规格、假体的安装位置、手术辅助工具等一系列参考数据,特别还包括一系理论说明,如选取该截骨角度的原因说明等,以为手术医生提供参考;其中,三维膝关节数字模型可通过主显示器21进行显示,且医生可通过键盘22输入手术参数,以便进行术前规划;After that, the doctor 1 imports the bone CT/MR scan model of the patient 2 into the computer for preoperative planning, and obtains an osteotomy plan, which includes, for example, the coordinates of the osteotomy plane, the model of the prosthesis, and the installation orientation of the prosthesis, etc. Specifically, create a three-dimensional knee joint digital model according to the patient’s knee joint image data obtained by CT/MR scan, and then create an osteotomy plan according to the three-dimensional knee joint digital model, so that the surgeon can perform preoperative evaluation according to the osteotomy plan, and more Specifically, the osteotomy plan is determined based on the three-dimensional digital model of the knee joint and in combination with the obtained size specifications of the prosthesis and the installation position of the osteotomy plate. The osteotomy plan is finally output in the form of an operation report, which records the osteotomy plane A series of reference data such as coordinates, osteotomy volume, osteotomy angle, prosthesis specification, prosthesis installation position, surgical aids, etc., especially a series of theoretical explanations, such as the reasons for selecting the osteotomy angle, etc. The doctor provides reference; wherein, the three-dimensional knee joint digital model can be displayed through the main display 21, and the doctor can input surgical parameters through the keyboard 22 for preoperative planning;
术前评估后,医生1再使用靶标笔在患者的股骨及胫骨上标定特征点(即医生于患者的股骨实体上标定多个股骨解剖特征点,在胫骨实体上标定多个胫骨解剖特征点),并通过跟踪仪31以基座靶标32为基准,记录患者胫骨和股骨上所有特征点的位置,并将所有 特征点的位置发送给所述控制器,然后所述控制器通过特征匹配算法得到股骨及胫骨的实际方位,并与股骨及胫骨上的CT/MR图像方位相对应;After the preoperative evaluation, the doctor 1 then uses the target pen to mark the feature points on the patient's femur and tibia (that is, the doctor marks multiple femoral anatomical feature points on the patient's femur entity, and multiple tibia anatomical feature points on the tibia entity) , and the base target 32 is used as the benchmark by the tracker 31 to record the positions of all the feature points on the patient's tibia and femur, and send the positions of all the feature points to the controller, and then the controller obtains through the feature matching algorithm The actual orientation of the femur and tibia, which corresponds to the CT/MR image orientation on the femur and tibia;
随后,通过导航装置将股骨及胫骨的实际方位与安装在股骨及胫骨上的相应靶标相联系,使得股骨靶标34和胫骨靶标35可以实时跟踪骨头的实际位置,且手术过程中,只要靶标与骨头间的相对位置固定,骨头移动不会影响手术效果;Then, the actual position of the femur and tibia is linked with the corresponding targets installed on the femur and tibia through the navigation device, so that the femoral target 34 and the tibia target 35 can track the actual position of the bone in real time, and during the operation, as long as the target and the bone are The relative position between the two is fixed, and the movement of the bones will not affect the surgical effect;
进而通过导航装置将术前规划的截骨平面坐标发送给机械臂10,所述机械臂10通过工具靶标33定位截骨平面并运动到预定位置后,使机械臂10进入保持状态(即不动),此后,医生即可采用截骨工具例如摆锯1100或电钻(图中未示出)通过手术工具导向机构2000的引导进行截骨和/或钻孔操作。完成截骨及钻孔操作后,医生即可安装假体及进行其他手术操作。Then, the coordinates of the preoperatively planned osteotomy plane are sent to the robotic arm 10 through the navigation device, and after the robotic arm 10 locates the osteotomy plane through the tool target 33 and moves to a predetermined position, the robotic arm 10 enters the holding state (that is, does not move. ), after that, the doctor can use an osteotomy tool such as an oscillating saw 1100 or an electric drill (not shown in the figure) to perform an osteotomy and/or drilling operation through the guidance of the surgical tool guide mechanism 2000 . After the osteotomy and drilling are completed, the doctor can install the prosthesis and perform other surgical procedures.
需要说明的是,本发明的手术工具引导装置对应用环境没有特别的限制,不仅可以应用于膝关节置换,也可应用于其他的骨科手术。以下描述中,以所述手术工具为摆锯1100,且所述手术工具引导装置用于膝关节置换为例进行说明,但不应以此作为对本发明的限制。在此,所述摆锯1100的结构如图5所示,所述摆锯1100包括锯片1101和壳体部分1102,其中所述壳体部分1102用于与所述手术工具导向机构2000固定连接,同时所述锯片1101部分地穿设在所述手术工具导向机构2000的所述导向槽2001中(如图3及图4所示),并且所述锯片1101的自由端(即所述锯片1101远离所述壳体部分1102的一端)伸出所述导向槽2001的外部,以切割骨头。It should be noted that the surgical tool guiding device of the present invention has no particular limitation on the application environment, and can be applied not only to knee joint replacement, but also to other orthopedic operations. In the following description, the surgical tool is an oscillating saw 1100 and the surgical tool guiding device is used for knee joint replacement as an example for illustration, but this should not be taken as a limitation of the present invention. Here, the structure of the oscillating saw 1100 is shown in FIG. 5 , the oscillating saw 1100 includes a saw blade 1101 and a housing part 1102 , wherein the housing part 1102 is used for fixedly connecting with the surgical tool guide mechanism 2000 , while the saw blade 1101 is partially inserted into the guide groove 2001 of the surgical tool guide mechanism 2000 (as shown in FIG. 3 and FIG. 4 ), and the free end of the saw blade 1101 (that is, the The end of the saw blade 1101 away from the housing portion 1102) protrudes out of the guide groove 2001 to cut the bone.
请继续参考图1至图4,所述锯片1101部分地穿设在所述导向槽2001中时,所述摆锯1100的运动受到所述导向槽2001的约束。具体来说,所述导向槽2001的宽度沿第一方向延伸,所述导向槽2001的长度沿第二方向延伸,所述导向槽2001的厚度沿第三方向延伸。以图2所示为例,所述第一方向为X方向,所述第二方向为Y方向,所述第三方向为Z方向。则所述摆锯1100可在所述驱动机构3000的驱动下沿X方向做平移运动、或沿Y方向做平移运动,或绕一沿Z方向延伸的旋转轴线做旋转运动。换句话说,所述驱动机构3000可以被构造成能够驱使所述摆锯1100做沿X方向的平移运动、沿Y方向的平移运动、绕旋转轴线的旋转运动的三者中的至少一者的结构。也即,本发明涉及的所述驱动机构3000的所述运动模块包括至少一个单自由度运动模块,或者包括至少一个多自由度运动的多自由度运动模块,所述多自由度运动模块可由多个所述单自由度运动模块组合而成,并 根据运行的所述单自由度运动模块的数量,所述驱动机构3000可驱使所述摆锯1100执行至少一个自由度的运动Please continue to refer to FIGS. 1 to 4 , when the saw blade 1101 is partially inserted into the guide groove 2001 , the movement of the oscillating saw 1100 is restricted by the guide groove 2001 . Specifically, the width of the guide groove 2001 extends along the first direction, the length of the guide groove 2001 extends along the second direction, and the thickness of the guide groove 2001 extends along the third direction. Taking FIG. 2 as an example, the first direction is the X direction, the second direction is the Y direction, and the third direction is the Z direction. Then, the oscillating saw 1100 can perform translational motion along the X direction, or translational motion along the Y direction, or rotational motion around a rotation axis extending along the Z direction under the driving of the driving mechanism 3000 . In other words, the driving mechanism 3000 may be configured to drive the oscillating saw 1100 to perform at least one of translational motion in the X direction, translational motion in the Y direction, and rotational motion about the rotation axis structure. That is, the motion module of the driving mechanism 3000 involved in the present invention includes at least one single-degree-of-freedom motion module, or includes at least one multi-degree-of-freedom motion module for multi-degree-of-freedom motion. The single-degree-of-freedom motion modules are combined, and according to the number of the single-degree-of-freedom motion modules in operation, the driving mechanism 3000 can drive the oscillating saw 1100 to perform at least one degree of freedom motion
例如,所述驱动机构3000包括一个所述单自由度运动模块,该单自由度运动模块用于驱使所述截骨工具1000沿X方向移动,或沿Y方向移动,或绕所述旋转轴线转动。又如,所述驱动结构3000包括两个所述单自由度运动模块(即两个所述单自由度运动模块组合成成一个两自由度运动模块),其中一个所述单自由度运动模块用于驱使所述截骨工具1000沿X方向移动,另一个所述单自由度运动模块用于驱使所述截骨工具1000沿Y方向移动;或者,其中一个所述单自由度运动模块用于驱使所述截骨工具1000沿X方向移动,另一个所述单自由度运动模块用于驱使所述截骨工具1000绕所述旋转轴线转动;或者,其中一个所述单自由度运动模块用于驱使所述截骨工具1000沿Y方向移动,另一个所述单自由度运动模块用于驱使所述截骨工具1000绕所述旋转轴线转动。再如,所述驱动机构3000包括三个所述单自由度运动模块(即三个所述单自由度运动模块组成一个三自由度运动模块),其中一个所述单自由度运动模块用于驱使所述截骨工具1000沿X方向移动,另一个所述单自由度运动模块用于驱使所述截骨工具1000沿Y方向移动,再一个所述单自由度运动模块用于驱使所述截骨工具1000绕所述旋转轴线转动。For example, the driving mechanism 3000 includes a single-degree-of-freedom movement module, and the single-degree-of-freedom movement module is used to drive the osteotomy tool 1000 to move along the X direction, or move along the Y direction, or rotate around the rotation axis . For another example, the driving structure 3000 includes two of the single-degree-of-freedom motion modules (that is, the two single-degree-of-freedom motion modules are combined into a two-degree-of-freedom motion module), and one of the single-degree-of-freedom motion modules uses In order to drive the osteotomy tool 1000 to move in the X direction, the other single-degree-of-freedom motion module is used to drive the osteotomy tool 1000 to move in the Y-direction; or, one of the single-degree-of-freedom motion modules is used to drive The osteotomy tool 1000 moves along the X direction, and the other single-degree-of-freedom motion module is used to drive the osteotomy tool 1000 to rotate around the rotation axis; or, one of the single-degree-of-freedom motion modules is used to drive The osteotomy tool 1000 moves along the Y direction, and the other single-degree-of-freedom motion module is used to drive the osteotomy tool 1000 to rotate around the rotation axis. For another example, the driving mechanism 3000 includes three single-degree-of-freedom motion modules (that is, three single-degree-of-freedom motion modules form a three-degree-of-freedom motion module), and one of the single-degree-of-freedom motion modules is used for driving. The osteotomy tool 1000 moves in the X direction, another single-degree-of-freedom motion module is used to drive the osteotomy tool 1000 to move in the Y-direction, and another single-degree-of-freedom motion module is used to drive the osteotomy The tool 1000 rotates about the axis of rotation.
接下去,本文将以所述驱动机构3000包括一个所述多自由度运动模块,且所述多自由度运动模块由三个所述单自由度运动模块组合而成为例介绍所述手术工具引导装置的结构,为了方便表述,后文中一律将用于驱使所述截骨工具1000沿X方向移动的单自由度运动模块称之为第一单自由度运动模块,将用于驱使所述截骨工具1000沿Y方向移动的单自由度运动模块称之为第二单自由度运动模块,以及将用于驱使所述截骨工具1000绕所述旋转轴线的单自由度运动模块称之为第三单自由度运动模块。Next, this article will introduce the surgical tool guiding device by taking the driving mechanism 3000 including one multi-DOF motion module, and the multi-DOF motion module being composed of three single-DOF motion modules as an example. For the convenience of description, the single-degree-of-freedom motion module used to drive the osteotomy tool 1000 to move in the X direction will be referred to as the first single-degree-of-freedom motion module, which will be used to drive the osteotomy tool The single-degree-of-freedom motion module for moving the 1000 along the Y direction is called the second single-degree-of-freedom movement module, and the single-degree-of-freedom movement module for driving the osteotomy tool 1000 around the rotational axis is called the third single-degree-of-freedom movement module. degrees of freedom motion module.
本领域技术人员应理解,以下实施例仅是以列举的方式对所述手术工具引导装置的可用结构进行说明,但并不是必须的选择,因此不应对本发明构成限制。It should be understood by those skilled in the art that the following embodiments are merely examples to illustrate the available structures of the surgical tool guiding device, but are not necessarily optional, and therefore should not limit the present invention.
<实施例一><Example 1>
图3示出了本实施例所提供的手术工具引导装置与所述机械臂10装配时的示意图。图6示出了本实施例所提供的手术工具引导装置的各个部分的连接原理示意图。FIG. 3 shows a schematic diagram when the surgical tool guiding device provided in this embodiment is assembled with the robotic arm 10 . FIG. 6 shows a schematic diagram of the connection principle of each part of the surgical tool guiding device provided in this embodiment.
请参考图3和图6,所述驱动机构3000与所述机械臂10连接,且所述驱动机构3000还包括第一基座3010、第二基座3020和第三基座3030。所述第一单自由度运动模块包括 第一动力装置3110和第一传动件3120,所述第一动力装置3110设置在所述第一基座3010上。所述第一传动件3120连接所述第一动力装置3110与所述第二基座3020,并用于传递所述第一动力装置3110提供的驱动力,以使所述第二基座3020相对于所述第一基座3010沿所述第一方向移动。所述第二单自由度运动模块包括第二动力装置3210和第二传动件3220。所述第二动力装置3210设置在所述第三基座3030上。所述第二传动件3220连接所述第二动力装置3210和所述第二基座3020,并用于传递所述第二动力装置3210所提供的驱动力,以使所述第三基座3030相对于所述第二基座3020沿所述第二方向移动。所述第三单自由度运动模块用于与所述手术工具导向机构2000连接,并包括第三动力装置3310,所述第三动力装置3310设置在所述第三基座3030上。可选地,所述第一动力装置3110、所述第二动力装置3210和所述第三动力装置3310皆为旋转电机组件。所述第三动力装置3310的输出轴可直接与所述手术工具导向机构2000连接,或通过连接座3040(详见后文的介绍)间接地与所述手术工具导向机构2000连接,以驱使所述手术工具导向机构2000绕所述旋转轴线旋转,进而使得所述摆锯1100绕所述旋转轴线旋转。Please refer to FIG. 3 and FIG. 6 , the driving mechanism 3000 is connected to the mechanical arm 10 , and the driving mechanism 3000 further includes a first base 3010 , a second base 3020 and a third base 3030 . The first single-degree-of-freedom motion module includes a first power device 3110 and a first transmission member 3120, and the first power device 3110 is arranged on the first base 3010. The first transmission member 3120 connects the first power device 3110 and the second base 3020, and is used to transmit the driving force provided by the first power device 3110, so that the second base 3020 is relatively The first base 3010 moves along the first direction. The second single-degree-of-freedom motion module includes a second power device 3210 and a second transmission member 3220 . The second power device 3210 is disposed on the third base 3030 . The second transmission member 3220 is connected to the second power device 3210 and the second base 3020, and is used to transmit the driving force provided by the second power device 3210, so that the third base 3030 is opposite to each other. The second base 3020 moves along the second direction. The third single-degree-of-freedom motion module is used for connecting with the surgical tool guiding mechanism 2000 , and includes a third power device 3310 , and the third power device 3310 is arranged on the third base 3030 . Optionally, the first power device 3110, the second power device 3210 and the third power device 3310 are all rotating electrical machine assemblies. The output shaft of the third power device 3310 can be directly connected to the surgical tool guide mechanism 2000, or indirectly connected to the surgical tool guide mechanism 2000 through a connecting seat 3040 (see the description below), so as to drive the The surgical tool guide mechanism 2000 rotates around the rotation axis, thereby causing the oscillating saw 1100 to rotate around the rotation axis.
所述驱动机构3000的更为详细结构可参考图7至图9。如图7所示,所述第一基座3010包括相互垂直的第一连接板3011和第二连接板3012。所述第二基座3020包括相互垂直的第三连接板3021和第四连接板3022。所述第三基座3030可包括一平板。The more detailed structure of the driving mechanism 3000 can be referred to FIG. 7 to FIG. 9 . As shown in FIG. 7 , the first base 3010 includes a first connecting plate 3011 and a second connecting plate 3012 that are perpendicular to each other. The second base 3020 includes a third connecting plate 3021 and a fourth connecting plate 3022 that are perpendicular to each other. The third base 3030 may include a flat plate.
所述第一动力装置3110设置在所述第一连接板3011上,且所述第一动力装置3110的输出轴与所述第一连接板3011垂直。所述第一传动件3120包括丝杠3121和螺母3122,所述丝杠3121与所述第一动力装置3110的输出轴通过联轴器连接,并还可转动地安装在所述第一连接板3011上。所述螺母3122用于套装在所述丝杠3121上,并固定于所述第二基座3020上,例如固定在所述第二基座3020的所述第三连接板3021上,当所述丝杠3121旋转时驱使螺母3122与第二基座3020一起移动。所述第三连接板3021上还开设有沿所述第一方向延伸的并与所述螺母3122的内孔相连通的配合孔3023,所述配合孔3023用于供所述丝杠3121穿设并在所述配合孔3023内移动。可理解,所述丝杠3121也可替换为螺杆。The first power device 3110 is disposed on the first connecting plate 3011 , and the output shaft of the first power device 3110 is perpendicular to the first connecting plate 3011 . The first transmission member 3120 includes a lead screw 3121 and a nut 3122. The lead screw 3121 is connected to the output shaft of the first power device 3110 through a coupling, and can also be rotatably mounted on the first connecting plate. 3011 on. The nut 3122 is used to fit on the lead screw 3121 and be fixed on the second base 3020, for example, on the third connecting plate 3021 of the second base 3020. When the lead screw 3121 is rotated, the nut 3122 is driven to move together with the second base 3020 . The third connecting plate 3021 is also provided with a matching hole 3023 extending along the first direction and communicating with the inner hole of the nut 3122 , and the matching hole 3023 is used for the lead screw 3121 to pass through. and move in the matching hole 3023 . It can be understood that the lead screw 3121 can also be replaced with a screw.
进一步地,所述第一连接板3011用于与所述机械臂10连接(第一连接板3011上可设置螺钉孔和/或销孔)。所述第二连接板3012朝向所述第二基座3020的表面上还设有沿所述第一方向延伸的第一导向机构3013。所述第二基座3020上设有与所述第一导向机构 3013相匹配的第二导向机构3024,所述第二导向机构3024与所述第一导向机构3013配合连接,以减少所述第二基座3020在相对于所述第一基座3010移动时的晃动,提高运动平稳性。更优地,所述第一基座3010包括两个所述第二连接板3012,两个所述第二连接板3012对称地设置在所述第一连接板3011的相对两侧。同理所述第二基座3020包括两个所述第三连接板3021,两个所述第三连接板3021对称设置,并分别与两个所述第二连接板3012配合连接。以及,所述驱动机构3000包括两个所述第一动力装置3110和两个所述传动件3120,以与所述第二连接板3012和所述第三连接板3021对应设置,提高所述第二基座3020的受力均衡性。所述第一导向机构3013和所述第二导向机构3024中的一个为导向凸块,另一个为导向凹槽,例如图7所示的第一导向机构3013为所述导向凸块,所述第二导向机构3024为导向凹槽。Further, the first connecting plate 3011 is used to connect with the robotic arm 10 (screw holes and/or pin holes may be provided on the first connecting plate 3011). The surface of the second connecting plate 3012 facing the second base 3020 is further provided with a first guiding mechanism 3013 extending along the first direction. The second base 3020 is provided with a second guide mechanism 3024 matching the first guide mechanism 3013, and the second guide mechanism 3024 is connected with the first guide mechanism 3013 to reduce the The shaking of the second base 3020 when moving relative to the first base 3010 improves the motion stability. More preferably, the first base 3010 includes two second connecting plates 3012 , and the two second connecting plates 3012 are symmetrically arranged on opposite sides of the first connecting plate 3011 . Similarly, the second base 3020 includes two third connecting plates 3021 , and the two third connecting plates 3021 are symmetrically arranged and are connected to the two second connecting plates 3012 , respectively. And, the driving mechanism 3000 includes two of the first power devices 3110 and two of the transmission members 3120, which are arranged corresponding to the second connecting plate 3012 and the third connecting plate 3021, so as to improve the The force balance of the two bases 3020. One of the first guide mechanism 3013 and the second guide mechanism 3024 is a guide bump, and the other is a guide groove. For example, the first guide mechanism 3013 shown in FIG. 7 is the guide bump. The second guide mechanism 3024 is a guide groove.
请再重点参考图8,所述第三基座3030和所述第二基座3020可活动地连接,即第三基座3030可相对于第二基座3020移动。可选地,所述第二基座3020的所述第四连接板3022上设有沿所述第二方向延伸的第三导向机构3025。所述第三基座3030上设有第四导向机构3031,所述第四导向机构3031用于与所述第三导向机构3025滑动配合地连接在一起,以使所述第三基座3030在所述第二动力装置3210所提供的驱动力下可相对于所述第二基座3020沿所述第二方向运动。所述第三导向机构3025和所述第四导向机构3031中的一个为导向凸块,另一个为导向凹槽。Referring again to FIG. 8 , the third base 3030 and the second base 3020 are movably connected, that is, the third base 3030 can move relative to the second base 3020 . Optionally, the fourth connecting plate 3022 of the second base 3020 is provided with a third guiding mechanism 3025 extending along the second direction. The third base 3030 is provided with a fourth guide mechanism 3031, and the fourth guide mechanism 3031 is used to be connected with the third guide mechanism 3025 in a sliding fit, so that the third base 3030 is in the The second power device 3210 can move in the second direction relative to the second base 3020 under the driving force provided by the second power device 3210 . One of the third guide mechanism 3025 and the fourth guide mechanism 3031 is a guide bump, and the other is a guide groove.
所述第二传动件3220包括用于相互啮合的第一齿轮3221和齿条3222,其中所述第一齿轮3221设置在所述第二动力装置3210的输出轴上,所述齿条3222设置在所述第二基座3020的所述第四连接板3022上,并沿所述第二方向延伸。当所述第二动力装置3210驱使所述第一齿轮3221旋转时,所述第二动力装置3210使得所述第三基座3030可与所述齿条3222产生沿所述第二方向的相对移动,从而所述第三基座3030相对于所述第二基座3020在所述第二方向上相对移动。The second transmission member 3220 includes a first gear 3221 and a rack 3222 for meshing with each other, wherein the first gear 3221 is arranged on the output shaft of the second power device 3210, and the rack 3222 is arranged at on the fourth connecting plate 3022 of the second base 3020 and extending along the second direction. When the second power device 3210 drives the first gear 3221 to rotate, the second power device 3210 enables the third base 3030 and the rack 3222 to move relative to the second direction , so that the third base 3030 moves relative to the second base 3020 in the second direction.
请返回参考图3,本实施例中,所述第三动力装置3310的输出轴与所述第二动力装置3210的输出轴相互平行地布置。请再参考图9,所述第三动力装置3310的输出轴上可设置有连接座3040,所述连接座3040上设有与所述手术工具导向机构2000上的第一接口2002相匹配的配合部3041,以使所述连接座3040可与所述手术工具导向机构2000连接。可选地,所述连接座3040呈U型结构,包括第五连接板3042和两个自所述第五连接板3042 的相对两侧分别延伸的第六连接板3043,其中所述第五连接板3042用于与所述第三动力装置3310连接,两个所述第六连接板3043设置在所述第五连接板3042的相对两侧,且所述第六连接板3043上设有所述配合部3041,以用于与所述手术工具导向机构2000连接。Referring back to FIG. 3 , in this embodiment, the output shaft of the third power device 3310 and the output shaft of the second power device 3210 are arranged parallel to each other. Please refer to FIG. 9 again, the output shaft of the third power device 3310 may be provided with a connection seat 3040 , and the connection seat 3040 is provided with a fitting matched with the first interface 2002 on the surgical tool guide mechanism 2000 part 3041 so that the connecting seat 3040 can be connected with the surgical tool guiding mechanism 2000 . Optionally, the connection base 3040 is in a U-shaped structure, and includes a fifth connection plate 3042 and two sixth connection plates 3043 extending from opposite sides of the fifth connection plate 3042, wherein the fifth connection plate 3043 The plate 3042 is used for connecting with the third power device 3310, the two sixth connecting plates 3043 are arranged on opposite sides of the fifth connecting plate 3042, and the sixth connecting plate 3043 is provided with the The matching portion 3041 is used for connecting with the surgical tool guide mechanism 2000 .
本实施例中,所述手术工具导向机构2000的结构如图10(其中摆锯1100安装于所述手术导向工具上)、11及12所示。所述手术工具导向机构2000包括固定座和与之配合的导向部,为便于与其他实施例进行区分,本实施例将所述固定座称之为第一固定座2100,所述第一固定座2100上设有所述第一接口2002和安装槽2003,所述安装槽2003用于装载所述摆锯1100。所述导向部包括第一导向块2300,所述第一导向块2300上设有所述导向槽2001。不仅如此,所述手术工具导向机构2000包括浮动机构2200,所述浮动机构2200用于与所述第一导向块2300配合,以在外力的作用下使所述第一导向块2300相对于所述第一固定座2100运动。详细地,所述浮动机构2200包括导向柱2210和弹性件2220,所述导向柱2210的一端与所述第一固定座2100固定连接,另一端与所述第一导向块2300可活动地连接,所述弹性件2220设置在所述第一固定座2100与所述导向块2300之间,包括但不限于弹簧。所述第一导向块2300上设有所述导向槽2001。如此设置,在装配所述手术工具导向机构2000和所述截骨工具1000即所述摆锯时,所述摆锯的壳体部分1102安装在所述第一安装槽中,并使所述摆锯的锯片1101穿过所述导向槽2001,且使所述锯片1101的远端(即所述锯片1101远离所述摆锯之壳体的一端)从所述导向槽2001的远端(即所述导向槽2001远离所述摆锯之壳体部分1102的一侧)伸出所述导向槽2001的外部。接着,通过所述第一接口2002与所述驱动机构3000的所述连接座3040连接,以使所述驱动机构3000在驱使所述手术工具导向机构2000运动的同时,由所述手术工具导向机构2000带动所述截骨工具1000运动,以实现自动截骨。不仅于此,利用所述手术工具引导装置进行截骨时,当所述第一导向块2300的远端碰触到骨头而受到指向所述第一固定座2100的作用力时,所述第一导向块2300沿所述导向柱2210朝向靠近所述第一固定座2100的方向移动,并压缩所述弹性件2220,以使所述弹性件2220存储弹性势能;同时所述锯片1101的远端伸出所述导向槽2001的部分变长。这样做,可以根据实际需要调节锯片1101的可用长度,并减小锯片1101在截骨时的振幅、改善锯片1101的刚度。当然,当所述第一导向块2300不再碰触骨头时(即所述作用力被取消时),所述弹性件2220释放所述弹性势能,以驱使所述第一导向块2300沿所述导向柱2210朝向远离所述第一固定座2100 的方向移动直至恢复至初始位置。In this embodiment, the structure of the surgical tool guide mechanism 2000 is shown in FIGS. 10 (where the oscillating saw 1100 is installed on the surgical guide tool), 11 and 12 . The surgical tool guide mechanism 2000 includes a fixed seat and a guide portion matched with it. In this embodiment, the fixed seat is called a first fixed seat 2100 for the convenience of distinguishing from other embodiments. The first fixed seat The 2100 is provided with the first interface 2002 and an installation slot 2003 , and the installation slot 2003 is used for loading the oscillating saw 1100 . The guide portion includes a first guide block 2300 , and the first guide block 2300 is provided with the guide groove 2001 . Not only that, the surgical tool guide mechanism 2000 includes a floating mechanism 2200, and the floating mechanism 2200 is used to cooperate with the first guide block 2300, so as to make the first guide block 2300 relative to the The first fixing seat 2100 moves. In detail, the floating mechanism 2200 includes a guide column 2210 and an elastic member 2220. One end of the guide column 2210 is fixedly connected to the first fixing seat 2100, and the other end is movably connected to the first guide block 2300. The elastic member 2220 is disposed between the first fixing seat 2100 and the guide block 2300, including but not limited to a spring. The first guide block 2300 is provided with the guide groove 2001 . In this way, when assembling the surgical tool guide mechanism 2000 and the osteotomy tool 1000, that is, the oscillating saw, the housing portion 1102 of the oscillating saw is installed in the first installation groove, and the oscillating saw is installed The saw blade 1101 of the saw passes through the guide groove 2001 , and the distal end of the saw blade 1101 (that is, the end of the saw blade 1101 away from the housing of the oscillating saw) from the distal end of the guide groove 2001 (ie, the side of the guide groove 2001 away from the housing part 1102 of the oscillating saw) protrudes from the outside of the guide groove 2001 . Next, connect with the connecting seat 3040 of the driving mechanism 3000 through the first interface 2002 , so that the driving mechanism 3000 drives the surgical tool guiding mechanism 2000 to move while being guided by the surgical tool guiding mechanism 2000 drives the osteotomy tool 1000 to move to realize automatic osteotomy. Not only that, when the surgical tool guiding device is used for osteotomy, when the distal end of the first guide block 2300 touches the bone and receives a force directed towards the first fixing seat 2100, the first The guide block 2300 moves along the guide post 2210 toward the first fixing seat 2100, and compresses the elastic piece 2220, so that the elastic piece 2220 stores elastic potential energy; at the same time, the distal end of the saw blade 1101 The portion protruding from the guide groove 2001 becomes longer. In this way, the usable length of the saw blade 1101 can be adjusted according to actual needs, the amplitude of the saw blade 1101 during osteotomy can be reduced, and the rigidity of the saw blade 1101 can be improved. Of course, when the first guide block 2300 no longer touches the bone (that is, when the force is cancelled), the elastic piece 2220 releases the elastic potential energy to drive the first guide block 2300 along the The guide post 2210 moves away from the first fixing seat 2100 until it returns to the original position.
优选地,所述手术工具导向机构2000还包括支撑导向板2400,其设置在所述第一固定座2100靠近所述第一导向块2300的一端上。所述支撑导向板2400上设有沿所述第一安装槽的轴向延伸的第五导向机构2410,同时所述第一导向块2300上设有与所述第五导向机构2410相匹配的第六导向机构2310。利用所述导向支撑板2400与所述第六导向机构2310的配合,提高所述第一导向块2300的运动平稳性。所述第五导向机构2410和所述第六导向机构2310中的一个可以是导向凸起,另一个是导向凹槽。Preferably, the surgical tool guide mechanism 2000 further includes a support guide plate 2400 disposed on one end of the first fixing seat 2100 close to the first guide block 2300 . The support guide plate 2400 is provided with a fifth guide mechanism 2410 extending along the axial direction of the first installation groove, and the first guide block 2300 is provided with a fifth guide mechanism 2410 matching the fifth guide mechanism 2410 . Six guide mechanism 2310. The movement stability of the first guide block 2300 is improved by the cooperation of the guide support plate 2400 and the sixth guide mechanism 2310 . One of the fifth guide mechanism 2410 and the sixth guide mechanism 2310 may be a guide protrusion, and the other may be a guide groove.
如本实施例中所述第一固定座2100的结构如图11及图12所示,可包括第一座体2110和第一压板2120。其中,所述第一座体2110呈阶梯形,且其上设有所述第一接口2002和第一凹槽2111(如图15所示)。所述第一接口2002可以是螺钉孔和/或销孔,相应地,所述连接座3040的所述第六连接板3043上的配合部3041为与之对应的螺钉孔和/或销孔,以供例如螺钉/销子穿孔而将二者固定连接。所述第一压板2120设置在所述第一座体2110上,并具有第二凹槽2121(如图15所示),所述第二凹槽2121与所述第一凹槽2111拼接以构成所述第一安装槽。较佳地,所述第一凹槽2111具有垂直于所述第一安装槽之轴线的内侧面2112,所述内侧面2112用于限制所述截骨工具1000在所述第一固定座2100上的位置。在装配所述摆锯时,首先取下所述第一压板2120,然后将所述摆锯的壳体部分1102插入所述第一凹槽中,当所述摆锯的所述壳体部分1102抵靠在所述内侧面2112时,表明所述摆锯已安装到位,再安装所述第一压板2120,以固定所述摆锯。As shown in FIG. 11 and FIG. 12 , the structure of the first fixing seat 2100 in this embodiment may include a first seat body 2110 and a first pressing plate 2120 . The first base body 2110 is in a stepped shape, and the first interface 2002 and the first groove 2111 are provided thereon (as shown in FIG. 15 ). The first interface 2002 may be a screw hole and/or a pin hole, and correspondingly, the matching portion 3041 on the sixth connecting plate 3043 of the connection base 3040 is a corresponding screw hole and/or a pin hole, For example for screw/pin perforations to securely connect the two. The first pressing plate 2120 is disposed on the first seat body 2110 and has a second groove 2121 (as shown in FIG. 15 ). The second groove 2121 is spliced with the first groove 2111 to form the first installation slot. Preferably, the first groove 2111 has an inner side surface 2112 perpendicular to the axis of the first installation groove, and the inner side surface 2112 is used to restrict the osteotomy tool 1000 on the first fixing seat 2100 s position. When assembling the oscillating saw, first remove the first pressing plate 2120, and then insert the housing part 1102 of the oscillating saw into the first groove, when the housing part 1102 of the oscillating saw When abutting against the inner side surface 2112, it indicates that the oscillating saw has been installed in place, and then the first pressing plate 2120 is installed to fix the oscillating saw.
此外,将本实施例所提供的手术工具引导装置应用于截骨时,所述工具靶标33可设置在所述第一基座3010上,例如设置在所述第一连接板3011上。In addition, when the surgical tool guiding device provided in this embodiment is applied to osteotomy, the tool target 33 can be arranged on the first base 3010 , for example, arranged on the first connecting plate 3011 .
<实施例二><Example 2>
本实施例与实施例一的区别之处在于,所述第三动力装置3310的输出轴与所述第二动力装置3210的输出轴相互垂直。如此,请参考图13和图14,所述第三单自由度运动模块还包括第三传动件3320,所述第三传动件3320用于对所述第三动力装置3310提供的驱动力进行90°转向。所述第三传动件3320可为蜗轮蜗杆组件。这样设置的好处在于,为所述第三动力装置3310提供另一种排布方式,以适应于不同的应用环境。The difference between this embodiment and the first embodiment is that the output shaft of the third power device 3310 and the output shaft of the second power device 3210 are perpendicular to each other. In this way, please refer to FIG. 13 and FIG. 14 , the third single-degree-of-freedom motion module further includes a third transmission member 3320 , and the third transmission member 3320 is used to perform 90° of the driving force provided by the third power device 3310 °Steering. The third transmission member 3320 may be a worm gear assembly. The advantage of this arrangement is that another arrangement is provided for the third power device 3310 to adapt to different application environments.
<实施例三><Example 3>
本实施例与实施例一的区别之处在于,所述驱动装置3000的具体结构不同。请参考图15至图17,所述驱动机构3000还包括接合装置,所述接合装置包括接合部3410和安装部3420。所述接合部3410用于与所述机械臂10(图15中未示出)连接,因此,所述接合部3410可包括法兰。The difference between this embodiment and the first embodiment is that the specific structure of the driving device 3000 is different. Referring to FIG. 15 to FIG. 17 , the driving mechanism 3000 further includes an engaging device, and the engaging device includes an engaging portion 3410 and a mounting portion 3420 . The joint portion 3410 is used to connect with the robot arm 10 (not shown in FIG. 15 ), so the joint portion 3410 may include a flange.
请重点参考图16,所述第三单自由度运动模块包括第四动力装置3330和第四传动件3340。所述第四动力装置3330可包括旋转电机组件,所述旋转电机组件安装在所述安装部3420上。所述第四传动件3340包括第二齿轮3341和回转支承3342。所述第二齿轮3341设置在所述第四动力装置3330的输出轴上。所述回转支承3342包括同轴布置的第一轴承圈3342a和第二轴承圈3342b,所述第一轴承圈3342a和所述第二轴承圈3342b中的一个上设有与所述第二齿轮3341啮合的齿,另一个与所述接合部3410连接。在一种较佳实现方式中,所述第一轴承圈3342a为内圈,所述第二轴承圈3342b为外圈,且所述第一轴承圈3342a的内表面上设有所述齿(即所述回转支承3342为内齿式回转支撑),所述第四驱动装置3330可设置在所述第一轴承圈3342a的内侧,并使所述第二齿轮3341位于所述第一轴承圈3342a的内侧以与所述齿啮合。当所述第四动力装置3330驱使所述第二齿轮3341旋转时,驱使所述第一轴承圈3342a相对于所述第二轴承圈3342b旋转(所述第二轴承圈3342b与所述接合部3410连接,而保持静止)。这样设置的好处是减小所述驱动机构3000的体积。在另一种替代性的实现方式中,所述第二轴承圈的外表面上设有所述齿(即所述回转支撑为外齿式回转支撑),这样所述第四驱动装置设置在所述第二轴承圈的外侧,以使所述第二齿轮与所述齿啮合(图中未示出)。Please refer to FIG. 16 , the third single-degree-of-freedom motion module includes a fourth power device 3330 and a fourth transmission member 3340 . The fourth power plant 3330 may include a rotating electrical machine assembly mounted on the mounting portion 3420 . The fourth transmission member 3340 includes a second gear 3341 and a slewing bearing 3342 . The second gear 3341 is provided on the output shaft of the fourth power device 3330 . The slewing bearing 3342 includes a first bearing ring 3342a and a second bearing ring 3342b arranged coaxially, and one of the first bearing ring 3342a and the second bearing ring 3342b is provided with the second gear 3341 . The other teeth are engaged with the engaging portion 3410. In a preferred implementation, the first bearing ring 3342a is an inner ring, the second bearing ring 3342b is an outer ring, and the teeth (ie, the teeth) are provided on the inner surface of the first bearing ring 3342a. The slewing bearing 3342 is an internal gear slewing bearing), the fourth driving device 3330 can be arranged on the inner side of the first bearing ring 3342a, and the second gear 3341 is located at the inner side of the first bearing ring 3342a. inside to engage with the teeth. When the fourth power device 3330 drives the second gear 3341 to rotate, the first bearing ring 3342a is driven to rotate relative to the second bearing ring 3342b (the second bearing ring 3342b and the engaging portion 3410 connected while remaining stationary). The advantage of this arrangement is to reduce the volume of the drive mechanism 3000 . In another alternative implementation manner, the teeth are provided on the outer surface of the second bearing ring (that is, the slewing support is an externally toothed slewing support), so that the fourth driving device is arranged on the outer surface of the second bearing ring. the outer side of the second bearing ring, so that the second gear meshes with the teeth (not shown in the figure).
请接着参考图17,所述第一单自由度运动模块包括第一直线电机组件3130,所述第一直线电机组件3130包括第一安装板3131和第一工作平台3132。所述第一安装板3131与所述回转支承3342设有所述齿的轴承圈连接,即当所述第一轴承圈3342a上设有所述齿时,所述第一安装板3131与所述第一轴承圈3342a连接。请返回参考图15,类似于所述第一单自由度运动模块,所述第二单自由度运动模块包括第二直线电机组件3230。所述第二直线电机组件3230包括第二安装板(图中未标注)和第二工作平台(图中未标注)。所述第二安装板与所述第一工作平台连接,所述第二工作平台与所述手术工具导向机构2000连接。Referring next to FIG. 17 , the first single-degree-of-freedom motion module includes a first linear motor assembly 3130 , and the first linear motor assembly 3130 includes a first mounting plate 3131 and a first working platform 3132 . The first mounting plate 3131 is connected to the bearing ring of the slewing bearing 3342 with the teeth, that is, when the first bearing ring 3342a is provided with the teeth, the first mounting plate 3131 is connected to the bearing ring 3342a. The first bearing ring 3342a is connected. Referring back to FIG. 15 , similar to the first single-degree-of-freedom motion module, the second single-degree-of-freedom motion module includes a second linear motor assembly 3230 . The second linear motor assembly 3230 includes a second mounting plate (not marked in the figure) and a second working platform (not marked in the figure). The second mounting plate is connected to the first work platform, and the second work platform is connected to the surgical tool guide mechanism 2000 .
为实现所述第二工作平台与所述手术工具导向机构2000的连接,所述驱动机构3000也可包括连接座3040。所述连接座3040及所述手术工具导向机构2000的结构请参考实施例一的介绍,此处不再赘述。In order to realize the connection between the second working platform and the surgical tool guiding mechanism 2000 , the driving mechanism 3000 may also include a connecting seat 3040 . For the structures of the connecting seat 3040 and the surgical tool guiding mechanism 2000, please refer to the introduction of the first embodiment, and details are not repeated here.
<实施例四><Example 4>
本实施例与实施例一的区别之处在于,所述手术工具导向机构2000的结构不同,同时所述驱动机构3000不与所述机械臂10直接相连。The difference between this embodiment and the first embodiment is that the structure of the surgical tool guiding mechanism 2000 is different, and the driving mechanism 3000 is not directly connected to the mechanical arm 10 .
请参考图18和图19,所述手术工具导向机构2000包括分离式的固定座和导向部,其中所述导向部上设有所述导向槽2001,且所述导向部的一端用于与所述机械臂相连接,以通过所述机械臂定位所述手术工具的至少一部分即所述摆锯1100的所述锯片1101。所述锯片1101在所述驱动机构3000的驱动下运动,而所述锯片1101穿设在所述导向槽2001内,故而其运动范围受到所述导向槽2001的限制,因此,此处所述的“机械臂定位所述摆锯1100的所述锯片1101”实际上指的是对所述摆锯1100的运动范围进行定位。Please refer to FIG. 18 and FIG. 19 , the surgical tool guide mechanism 2000 includes a separate fixing seat and a guide portion, wherein the guide portion is provided with the guide groove 2001 , and one end of the guide portion is used for connecting with the guide portion. The robotic arm is connected to position at least a portion of the surgical tool, ie, the saw blade 1101 of the oscillating saw 1100, by the robotic arm. The saw blade 1101 is driven by the driving mechanism 3000 to move, and the saw blade 1101 is inserted into the guide groove 2001, so its movement range is limited by the guide groove 2001. Therefore, the The “robot positioning the saw blade 1101 of the oscillating saw 1100 ” actually refers to positioning the range of motion of the oscillating saw 1100 .
本实施例中,所述固定座被称之为第二固定座,所述第二固定座上设有所述第一接口2002和安装槽(图中未标注),所述安装槽用于安装所述截骨工具1000。所述导向部包括第二导向块2610和偏心曲柄2620,所述第二导向块2610上设有第二接口2611和所述导向槽2001。所述偏心曲柄2620的一端与所述第二导向块2610连接,另一端上设有第三接口2621,所述第三接口2621用于与所述机械臂(图18及图19均未示出)连接。所述驱动机构(图18及图19均未示出)在与第二固定座的所述第一接口2002连接的同时,还与所述第二导向块2610的所述第三接口2611连接,一方面起到固定所述驱动机构3000的作用,另一方面还使得所述驱动机构3000的位姿随所述机械臂的运动而进行同步调整。In this embodiment, the fixing base is called a second fixing base, and the second fixing base is provided with the first interface 2002 and an installation groove (not marked in the figure), and the installation groove is used for installation The osteotomy tool 1000. The guide portion includes a second guide block 2610 and an eccentric crank 2620, and the second guide block 2610 is provided with a second interface 2611 and the guide groove 2001. One end of the eccentric crank 2620 is connected to the second guide block 2610, and the other end is provided with a third interface 2621, the third interface 2621 is used for connecting with the mechanical arm (not shown in FIG. 18 and FIG. 19 ). )connect. The driving mechanism (not shown in FIG. 18 and FIG. 19 ) is connected with the first interface 2002 of the second fixing base and is also connected with the third interface 2611 of the second guide block 2610, On the one hand, it serves to fix the driving mechanism 3000, and on the other hand, it also enables the posture of the driving mechanism 3000 to be adjusted synchronously with the movement of the robotic arm.
在利用所述截骨套件进行截骨时,首先将所述导向部连接至所述机械臂上,然后所述控制器驱使所述机械臂运动,以调整所述导向部至预期位置。然后装配所述摆锯1100、所述第二固定座以及所述驱动机构,再将所述摆锯1100的锯片1101穿设在所述导向槽2001中,同时将所述驱动机构连接至所述第二固定座和所述第二导向块2610。本实施例的优点在于,所述机械臂仅携带所述导向部运动,而不必同时带动所述驱动机构、所述第二固定座同步运动,减小所述机械臂的末端负载。可理解,本实施例中,所述工具靶标应设置在所述导向部例如所述第二导向块2610上。When using the osteotomy kit for osteotomy, the guide part is first connected to the mechanical arm, and then the controller drives the mechanical arm to move to adjust the guide part to a desired position. Then assemble the oscillating saw 1100, the second fixing base and the driving mechanism, and then insert the saw blade 1101 of the oscillating saw 1100 into the guide groove 2001, and connect the driving mechanism to the The second fixed seat and the second guide block 2610. The advantage of this embodiment is that the robotic arm only moves with the guide portion, without simultaneously driving the driving mechanism and the second fixing base to move synchronously, thereby reducing the end load of the robotic arm. It can be understood that, in this embodiment, the tool target should be arranged on the guide portion such as the second guide block 2610 .
所述第二固定座的结构如图19所示,包括第二座体2510和第二压板(图中未示出)。所述第二座体2510上设有第三凹槽2511,所述第二压板上设有第四凹槽,所述第二压板设置在所述第二座体2510上,以使所述第四凹槽与所述第三凹槽2511拼接构成所述安装槽。The structure of the second fixing base is shown in FIG. 19 , including a second base body 2510 and a second pressing plate (not shown in the figure). The second seat body 2510 is provided with a third groove 2511, the second pressing plate is provided with a fourth groove, and the second pressing plate is arranged on the second seat body 2510, so that the first The four grooves are spliced with the third groove 2511 to form the installation groove.
进一步地,请参考图20,所述驱动机构3000还可以与一外部的位姿调整机构3连接,所述位姿调整机构3优选具有多个自由度例如六自由度,并其可带动所述驱动机构3000运动以调整位姿,适应于截骨过程中所述导向部2600的不同位姿(因机械臂运动而带动所述导向部2600的位姿改变)。通过设置所述位姿调整机构3,可减小所述驱动机构3000施加在所述导向部上的作用力,避免所述导向部变形。Further, please refer to FIG. 20 , the driving mechanism 3000 can also be connected with an external posture adjustment mechanism 3 , and the posture adjustment mechanism 3 preferably has multiple degrees of freedom, such as six degrees of freedom, and can drive the The driving mechanism 3000 moves to adjust the posture and adapts to different postures of the guide portion 2600 during the osteotomy process (the posture of the guide portion 2600 is changed due to the movement of the robotic arm). By arranging the posture adjustment mechanism 3 , the force exerted by the driving mechanism 3000 on the guide portion can be reduced, and the deformation of the guide portion can be avoided.
如上所述,其中手术工具导向机构包括固定座和与其配合的导向部,此处的“配合”指固定座与导向部之间具有相互影响的关系,包括二者直接连接、非直接连接或者相互独立的关系,例如如上所述的不同实施例中所指出。As mentioned above, where the surgical tool guiding mechanism includes a fixed seat and a guide portion that cooperates with it, the “cooperating” here refers to the relationship between the fixed seat and the guide portion, including direct connection, indirect connection or mutual influence between the two. Independent relationships, such as those indicated in the various embodiments described above.
进一步地,本发明实施例还提供了一种手术机器人系统,包括所述机械臂和所述手术工具导向机构,且所述机械臂的末端与所述手术工具导向机构连接。应理解,所述机械臂的末端可直接与所述手术工具导向机构连接,也可以通过其他过渡装置例如所述驱动机构与所述手术工具导向机构间接连接。Further, an embodiment of the present invention also provides a surgical robot system, including the robotic arm and the surgical tool guiding mechanism, and the distal end of the robotic arm is connected to the surgical tool guiding mechanism. It should be understood that the distal end of the robotic arm may be directly connected to the surgical tool guiding mechanism, or may be indirectly connected to the surgical tool guiding mechanism through other transition devices such as the driving mechanism.
以及,本发明实施例还提供了另一种手术机器人系统,包括机械臂和所述驱动机构,所述机械臂的末端与所述驱动机构连接。同样地,所述机械臂的末端可直接与所述驱动机构连接,也可通过过渡装置例如所述实施例四所提供的导向部与所述驱动机构间接的连接。And, an embodiment of the present invention further provides another surgical robot system, including a robotic arm and the driving mechanism, and the distal end of the robotic arm is connected to the driving mechanism. Similarly, the distal end of the robotic arm may be directly connected to the driving mechanism, or may be indirectly connected to the driving mechanism through a transition device such as the guide portion provided in the fourth embodiment.
虽然本发明披露如上,但并不局限于此。本领域的技术人员可以对本发明进行各种改动和变型而不脱离本发明的精神和范围。这样,倘若本发明的这些修改和变型属于本发明权利要求及其等同技术的范围之内,则本发明也意图包含这些改动和变型在内。Although the present invention is disclosed above, it is not limited thereto. Various modifications and variations can be made in the present invention by those skilled in the art without departing from the spirit and scope of the invention. Thus, provided that these modifications and variations of the present invention fall within the scope of the claims of the present invention and their equivalents, the present invention is also intended to include these modifications and variations.

Claims (24)

  1. 一种手术工具导向机构,其特征在于,包括固定座和与其配合的导向部,所述固定座用于装载手术工具,所述导向部上设有供所述手术工具的一部分穿设的导向槽;所述固定座上设有用于与驱动机构连接的第一接口,以使所述固定座能够在所述驱动机构的驱使下运动,进而驱使所述手术工具相对于所述驱动机构的至少一部分作相对运动。A surgical tool guiding mechanism, characterized in that it comprises a fixed seat and a guide part matched with it, the fixed seat is used for loading the surgical tool, and the guide part is provided with a guide groove for a part of the surgical tool to pass through ; the fixing seat is provided with a first interface for connecting with a driving mechanism, so that the fixing seat can move under the driving of the driving mechanism, thereby driving the surgical tool relative to at least a part of the driving mechanism make relative motion.
  2. 根据权利要求1所述的手术工具导向机构,其特征在于,所述手术工具导向机构还包括浮动机构,所述导向部包括第一导向块,所述第一导向块上设置有所述导向槽;The surgical tool guide mechanism according to claim 1, wherein the surgical tool guide mechanism further comprises a floating mechanism, the guide portion comprises a first guide block, and the first guide block is provided with the guide groove ;
    所述固定座上还设有安装槽,所述安装槽用于安装所述手术工具;所述浮动机构用于与所述第一导向块配合,以在外力的作用下使所述第一导向块相对于所述固定座运动。The fixing seat is also provided with an installation groove, which is used for installing the surgical tool; the floating mechanism is used for cooperating with the first guide block to guide the first guide block under the action of external force The block moves relative to the mount.
  3. 根据权利要求2所述的手术工具导向机构,其特征在于,所述浮动机构包括导向柱和弹性件,所述导向柱沿所述安装槽的轴向延伸,且所述导向柱的一端与所述固定座连接,另一端与所述第一导向块可活动地连接;所述弹性件设置在所述固定座与所述第一导向块之间;The surgical tool guide mechanism according to claim 2, wherein the floating mechanism comprises a guide column and an elastic member, the guide column extends along the axial direction of the installation groove, and one end of the guide column is connected to the the fixed seat is connected, and the other end is movably connected with the first guide block; the elastic piece is arranged between the fixed seat and the first guide block;
    所述手术工具导向机构被配置为当所述第一导向块受到指向所述固定座的作用力时,所述第一导向块沿所述导向柱朝向靠近所述固定座的方向移动,以使所述弹性件变形并存储弹性势能;当所述作用力被取消后,所述弹性件释放所述弹性势能,以驱使所述第一导向块沿所述导向柱朝向远离所述固定座的方向移动。The surgical tool guide mechanism is configured such that when the first guide block is subjected to a force directed toward the fixed seat, the first guide block moves along the guide post toward the direction close to the fixed seat, so that the The elastic piece deforms and stores elastic potential energy; when the acting force is cancelled, the elastic piece releases the elastic potential energy to drive the first guide block to move away from the fixed seat along the guide post move.
  4. 根据权利要求3所述的手术工具导向机构,其特征在于,所述手术工具导向机构还包括支撑导向板,其设置在所述固定座靠近所述第一导向块的一端;所述支撑导向板上设有沿所述安装槽的轴向延伸的第五导向机构,所述第一导向块上设有与所述第五导向机构相匹配的第六导向机构。The surgical tool guiding mechanism according to claim 3, wherein the surgical tool guiding mechanism further comprises a support guide plate, which is disposed at one end of the fixing seat close to the first guide block; the support guide plate A fifth guide mechanism extending along the axial direction of the installation groove is provided thereon, and a sixth guide mechanism matched with the fifth guide mechanism is provided on the first guide block.
  5. 根据权利要求1所述的手术工具导向机构,其特征在于,所述固定座与所述导向部相互分离,所述导向部的一端用于与机械臂相连接以通过机械臂定位所述手术工具的至少一部分。The surgical tool guiding mechanism according to claim 1, wherein the fixing seat is separated from the guiding part, and one end of the guiding part is used for connecting with a mechanical arm to position the surgical tool by the mechanical arm at least part of it.
  6. 根据权利要求5所述的手术工具导向机构,其特征在于,所述固定座上还设有安装槽,所述安装槽用于装载所述手术工具;所述导向部包括第二导向块和偏心曲柄;所述第二导向块上设有第二接口和所述导向槽,所述第二接口用于与所述驱动机构连接;所述 偏心曲柄的一端与所述第二导向块连接,另一端用于与所述机械臂连接。The surgical tool guiding mechanism according to claim 5, wherein a mounting groove is further provided on the fixing seat, and the mounting groove is used for loading the surgical tool; the guide portion comprises a second guide block and an eccentric a crank; the second guide block is provided with a second interface and the guide groove, and the second interface is used to connect with the drive mechanism; one end of the eccentric crank is connected to the second guide block, and the other One end is used to connect with the robotic arm.
  7. 根据权利要求1所述的手术工具导向机构,其特征在于,所述固定座包括座体和压板,所述座体上开设有凹槽;所述压板设置在所述座体上,所述压板上也具有一凹槽,所述压板的凹槽与所述座体的凹槽相互拼接,以构成用于安装所述手术工具安装槽。The surgical tool guiding mechanism according to claim 1, wherein the fixing seat comprises a seat body and a pressing plate, the seat body is provided with a groove; the pressing plate is arranged on the seat body, and the pressing plate There is also a groove on the upper part, and the groove of the pressing plate and the groove of the seat body are spliced with each other to form an installation groove for installing the surgical tool.
  8. 根据权利要求7所述的手术工具导向机构,其特征在于,所述座体呈阶梯形,所述座体的凹槽具有一垂直于所述安装槽之轴线的内侧面,所述内侧面用于限制所述手术工具在所述固定座上的位置。The surgical tool guiding mechanism according to claim 7, wherein the seat body is stepped, the groove of the seat body has an inner side surface perpendicular to the axis of the installation groove, and the inner side surface is formed by To limit the position of the surgical tool on the fixed seat.
  9. 一种驱动机构,用于与如权利要求1-8中任一项所述手术工具导向机构连接,其特征在于,所述驱动机构包括用于与所述固定座上的第一接口对应的配合部并且包括至少一个运动模块,以驱使所述手术工具导向机构的至少一部分运动,进而驱使所述手术工具执行至少一个自由度的运动。A driving mechanism for connecting with the surgical tool guiding mechanism according to any one of claims 1 to 8, wherein the driving mechanism comprises a fitting corresponding to the first interface on the fixing seat The portion includes at least one motion module for driving at least a portion of the surgical tool guide mechanism to move, thereby driving the surgical tool to perform at least one degree of freedom movement.
  10. 根据权利要求9所述的驱动机构,其特征在于,所述运动模块使得所述手术工具具有多自由度。The drive mechanism of claim 9, wherein the motion module enables the surgical tool to have multiple degrees of freedom.
  11. 根据权利要求9所述的驱动机构,其特征在于,所述手术工具的运动包括相对于所述驱动机构的至少一部分的沿第一方向的平移运动、沿第二方向的平移运动、以及绕一旋转轴线的旋转运动中的至少一种,所述旋转轴线沿第三方向延伸,且所述第一方向、所述第二方向及所述第三方向与所述导向槽的宽度方向、长度方向及厚度方向分别对应。10. The drive mechanism of claim 9, wherein the movement of the surgical tool includes translational movement in a first direction, translational movement in a second direction, and orbiting relative to at least a portion of the drive mechanism At least one of the rotational motions of the rotational axis, the rotational axis extending in a third direction, and the first direction, the second direction and the third direction and the width direction and length direction of the guide groove and the thickness direction, respectively.
  12. 根据权利要求11所述的驱动机构,其特征在于,所述运动模块包括第一单自由度运动模块、第二单自由度运动模块及第三单自由度运动模块;其中,所述第一单自由度运动模块用于驱使所述手术工具执行沿所述第一方向的平移运动,第二所述单自由度运动模块用于驱使所述手术工具执行沿所述第二方向的平移运动,第三所述单自由度运动模块用于驱使所述手术工具执行绕所述旋转轴线的旋转运动。The driving mechanism according to claim 11, wherein the motion module comprises a first single-degree-of-freedom motion module, a second single-degree-of-freedom motion module, and a third single-degree-of-freedom motion module; wherein the first single-degree-of-freedom motion module The DOF movement module is used to drive the surgical tool to perform translational movement along the first direction, the second single-DOF movement module is used to drive the surgical tool to perform translational movement along the second direction, and the first Three of the single-degree-of-freedom motion modules are used to drive the surgical tool to perform a rotational motion around the rotational axis.
  13. 根据权利要求12所述的驱动机构,其特征在于,所述驱动机构还包括第一基座、第二基座和第三基座;The driving mechanism according to claim 12, wherein the driving mechanism further comprises a first base, a second base and a third base;
    所述第一单自由度运动模块包括第一动力装置和第一传动件;所述第一动力装置设置在所述第一基座上;所述第一传动件连接所述第一动力装置和所述第二基座,并用于传递所述第一动力装置提供的驱动力,以使所述第二基座相对于所述第一基座沿所述第一方向移动;The first single-degree-of-freedom motion module includes a first power device and a first transmission part; the first power device is arranged on the first base; the first transmission part connects the first power device and the first transmission part. the second base is used to transmit the driving force provided by the first power device, so that the second base moves relative to the first base along the first direction;
    所述第二单自由度运动模块包括第二动力装置和第二传动件;所述第二动力装置设置在所述第三基座上;所述第二传动件连接所述第二动力装置和所述第二基座,并用于传递所述第二动力装置提供的驱动力,以使所述第三基座相对于所述第二基座沿所述第二方向移动;The second single-degree-of-freedom motion module includes a second power device and a second transmission part; the second power device is arranged on the third base; the second transmission part connects the second power device and the second transmission part. the second base is used to transmit the driving force provided by the second power device, so that the third base moves relative to the second base along the second direction;
    所述第三单自由度运动模块用于与所述手术工具导向机构连接,并包括第三动力装置,所述第三动力装置设置在所述第三基座上。The third single-degree-of-freedom motion module is used for connecting with the surgical tool guiding mechanism, and includes a third power device, and the third power device is arranged on the third base.
  14. 根据权利要求13所述的驱动机构,其特征在于,所述第一传动件包括丝杠和螺母;所述丝杠相对于所述螺母可转动地设置在所述第一基座上,并沿所述第一方向延伸;所述螺母套装在所述丝杠上,并与所述丝杠螺纹配合,且所述螺母安装在所述第二基座上。The driving mechanism according to claim 13, wherein the first transmission member comprises a lead screw and a nut; the lead screw is rotatably arranged on the first base relative to the nut, and is arranged along the first base. The first direction extends; the nut is sleeved on the lead screw and is threadedly matched with the lead screw, and the nut is mounted on the second base.
  15. 根据权利要求14所述的驱动机构,其特征在于,所述第一基座包括相互垂直的第一连接板和第二连接板;所述第二连接板上设有沿所述第一方向延伸的第一导向机构;The driving mechanism according to claim 14, wherein the first base comprises a first connecting plate and a second connecting plate that are perpendicular to each other; and the second connecting plate is provided with extending along the first direction the first guiding mechanism;
    所述第二基座包括相互垂直的第三连接板和第四连接板;所述第三连接板上安装有所述螺母,且所述第三连接板上还设有与所述螺母的内孔相连通的配合孔,所述配合孔用于穿设所述丝杠;所述第三连接板上还设置有沿所述第一方向延伸并与所述第一导向机构相匹配的第二导向机构。The second base includes a third connecting plate and a fourth connecting plate that are perpendicular to each other; a matching hole connected with the holes, the matching hole is used to pass the lead screw; the third connecting plate is also provided with a second connecting plate extending along the first direction and matching with the first guiding mechanism guide agency.
  16. 根据权利要求15所述的驱动机构,其特征在于,所述第三基座与所述第二基座可活动地连接;所述第二传动件包括第一齿轮和齿条;所述第一齿轮设置在所述第二动力装置的输出端;所述齿条沿所述第二方向延伸,并设置在所述第二基座上,且与所述齿轮啮合。The driving mechanism according to claim 15, wherein the third base is movably connected to the second base; the second transmission member comprises a first gear and a rack; the first The gear is arranged at the output end of the second power device; the rack extends along the second direction, is arranged on the second base, and meshes with the gear.
  17. 根据权利要求16所述的驱动机构,其特征在于,所述第二基座的所述第四连接板上设有沿所述第二方向延伸的第三导向机构;所述第三基座上设有第四导向机构,所述第四导向机构与所述第三导向机构可活动地连接。The driving mechanism according to claim 16, wherein a third guide mechanism extending along the second direction is provided on the fourth connecting plate of the second base; A fourth guide mechanism is provided, and the fourth guide mechanism is movably connected with the third guide mechanism.
  18. 根据权利要求13所述的驱动机构,其特征在于,所述第一动力装置、所述第二动力装置及所述第三动力装置各包括旋转电机组件;所述第三动力装置的输出轴与所述第二动力装置的输出轴相互平行;或,The driving mechanism according to claim 13, wherein each of the first power device, the second power device and the third power device comprises a rotating electrical machine assembly; the output shaft of the third power device is connected to the The output shafts of the second power plant are parallel to each other; or,
    所述第三动力装置的输出轴与第二动力机构的输出轴相互垂直,且所述第三单自由度运动模块还包括第三传动件,所述第三传动件用于对所述第三动力装置提供的驱动力进行90°转向。The output shaft of the third power device and the output shaft of the second power mechanism are perpendicular to each other, and the third single-degree-of-freedom motion module further includes a third transmission member, and the third transmission member is used for the transmission of the third transmission member. The drive provided by the power unit performs 90° steering.
  19. 根据权利要求13所述的驱动机构,其特征在于,所述驱动机构还包括连接座,所述连接座与所述第三动力装置的输出轴连接,且所述连接座上设有所述配合部。The driving mechanism according to claim 13, wherein the driving mechanism further comprises a connecting seat, the connecting seat is connected with the output shaft of the third power device, and the connecting seat is provided with the matching seat department.
  20. 根据权利要求12所述的驱动机构,其特征在于,所述驱动机构还包括接合装置,所述接合装置包括接合部和安装部;The drive mechanism according to claim 12, wherein the drive mechanism further comprises an engagement device, the engagement device comprising an engagement portion and a mounting portion;
    所述第三单自由度运动模块包括第四动力装置和第四传动件;所述第四动力装置设置在所述安装部上;所述第四传动件包括第二齿轮和回转支承,所述第二齿轮设置在所述第四动力装置的输出端,所述回转支承包括同轴布置的第一轴承圈和第二轴承圈,所述第一轴承圈和所述第二轴承圈中的一个上设有与所述齿轮啮合的齿,另一个与所述接合部连接;The third single-degree-of-freedom motion module includes a fourth power device and a fourth transmission member; the fourth power device is arranged on the mounting portion; the fourth transmission member includes a second gear and a slewing bearing, the A second gear is provided at the output end of the fourth power device, the slewing bearing includes a coaxially arranged first bearing ring and a second bearing ring, one of the first bearing ring and the second bearing ring There is a tooth meshing with the gear, and the other is connected with the engaging part;
    所述第一单自由度运动模块包括第一直线电机组件,所述第一直线电机组件包括第一安装板和第一工作平台,所述第一安装板与所述回转支承的设有所述齿的轴承圈连接;The first single-degree-of-freedom motion module includes a first linear motor assembly, the first linear motor assembly includes a first mounting plate and a first working platform, and the first mounting plate and the slewing bearing are provided with the bearing ring connection of the teeth;
    所述第二单自由度运动模块包括第二直线电机组件,所述第二直线电机组件包括第二安装板和第二工作平台;所述第二安装板与所述第一工作平台连接,所述第二工作平台用于与所述手术工具导向机构连接。The second single-degree-of-freedom motion module includes a second linear motor assembly, and the second linear motor assembly includes a second mounting plate and a second working platform; the second mounting plate is connected to the first working platform, so The second working platform is used for connecting with the surgical tool guide mechanism.
  21. 根据权利要求20所述的驱动机构,其特征在于,所述驱动机构还包括连接座,所述连接座与所述第二工作平台连接,且所述连接座上设有所述配合部。The driving mechanism according to claim 20, wherein the driving mechanism further comprises a connecting seat, the connecting seat is connected with the second working platform, and the connecting seat is provided with the matching portion.
  22. 一种手术工具引导装置,其特征在于,包括如权利要求1-8中任一项所述的手术工具导向机构和如权利要求9-21中任一项所述的驱动机构,所述驱动机构与所述手术工具导向机构连接,以驱动所述手术工具导向机构的至少一部分运动,进而驱使装载在所述手术工具导向机构上的手术工具执行至少一个自由度的运动。A surgical tool guiding device, characterized by comprising the surgical tool guiding mechanism according to any one of claims 1-8 and the driving mechanism according to any one of claims 9-21, the driving mechanism It is connected with the surgical tool guide mechanism to drive at least a part of the surgical tool guide mechanism to move, thereby driving the surgical tool loaded on the surgical tool guide mechanism to perform at least one degree of freedom movement.
  23. 一种手术机器人系统,其特征在于,包括机械臂和如权利要求1-8中任一项所述的所述手术工具导向机构,所述机械臂的末端用于与所述手术工具导向机构连接。A surgical robot system, characterized in that it comprises a robotic arm and the surgical tool guiding mechanism according to any one of claims 1-8, and the distal end of the robotic arm is used to connect with the surgical tool guiding mechanism .
  24. 一种手术机器人系统,其特征在于,包括机械臂和如权利要求9-21中任一项所述的驱动机构,所述机械臂的末端用于与所述驱动机构连接。A surgical robot system, characterized in that it comprises a robotic arm and the driving mechanism according to any one of claims 9-21, wherein the distal end of the robotic arm is used for connecting with the driving mechanism.
PCT/CN2021/136603 2020-12-09 2021-12-08 Surgical instrument guide and drive mechanism, guide device, and robot system WO2022121964A1 (en)

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