WO2023030255A1 - Interventional surgical robot slave end device - Google Patents
Interventional surgical robot slave end device Download PDFInfo
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- WO2023030255A1 WO2023030255A1 PCT/CN2022/115517 CN2022115517W WO2023030255A1 WO 2023030255 A1 WO2023030255 A1 WO 2023030255A1 CN 2022115517 W CN2022115517 W CN 2022115517W WO 2023030255 A1 WO2023030255 A1 WO 2023030255A1
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- WO
- WIPO (PCT)
- Prior art keywords
- driving mechanism
- catheter
- guide wire
- robot according
- surgery robot
- Prior art date
Links
- 230000007246 mechanism Effects 0.000 claims abstract description 187
- 238000001356 surgical procedure Methods 0.000 claims description 37
- 238000000034 method Methods 0.000 claims description 19
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- 210000004204 blood vessel Anatomy 0.000 description 13
- 230000010339 dilation Effects 0.000 description 11
- 230000003902 lesion Effects 0.000 description 8
- 239000002872 contrast media Substances 0.000 description 6
- 238000002583 angiography Methods 0.000 description 5
- 201000010099 disease Diseases 0.000 description 5
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 5
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 5
- 238000010586 diagram Methods 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 3
- 229960002897 heparin Drugs 0.000 description 3
- 229920000669 heparin Polymers 0.000 description 3
- 238000003384 imaging method Methods 0.000 description 3
- 230000002792 vascular Effects 0.000 description 3
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- 230000010102 embolization Effects 0.000 description 2
- 230000036541 health Effects 0.000 description 2
- 238000002360 preparation method Methods 0.000 description 2
- 230000024883 vasodilation Effects 0.000 description 2
- 206010002329 Aneurysm Diseases 0.000 description 1
- 208000005189 Embolism Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 240000007594 Oryza sativa Species 0.000 description 1
- 235000007164 Oryza sativa Nutrition 0.000 description 1
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 208000007536 Thrombosis Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
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- 238000003745 diagnosis Methods 0.000 description 1
- 238000004090 dissolution Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 210000001105 femoral artery Anatomy 0.000 description 1
- 238000011010 flushing procedure Methods 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000000653 nervous system Anatomy 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 210000005259 peripheral blood Anatomy 0.000 description 1
- 239000011886 peripheral blood Substances 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 210000002321 radial artery Anatomy 0.000 description 1
- 238000002601 radiography Methods 0.000 description 1
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- 238000013151 thrombectomy Methods 0.000 description 1
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- 208000019553 vascular disease Diseases 0.000 description 1
- 231100000216 vascular lesion Toxicity 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B34/35—Surgical robots for telesurgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0116—Steering means as part of the catheter or advancing means; Markers for positioning self-propelled, e.g. autonomous robots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M25/09041—Mechanisms for insertion of guide wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B2034/303—Surgical robots specifically adapted for manipulations within body lumens, e.g. within lumen of gut, spine, or blood vessels
Definitions
- the present application relates to the field of medical robots, and is applied to a master-slave vascular interventional surgery robot, in particular to a slave end device of an interventional surgery robot.
- Minimally invasive vascular interventional surgery means that under the guidance of the digital subtraction angiography (DSA) system, the doctor manipulates the catheter guide wire to move in the human blood vessel, treats the lesion, and achieves embolization of malformed blood vessels, dissolution of thrombus, and expansion of narrow blood vessels. etc. purpose.
- DSA digital subtraction angiography
- interventional surgery has played an important role in the diagnosis and treatment of hundreds of diseases such as tumors, peripheral blood vessels, large blood vessels, digestive tract diseases, nervous system, and non-vascular diseases.
- the scope of interventional surgery can be said to cover the human body “from head to toe”. "The treatment of all diseases, and has become the first choice for the treatment of some diseases.
- Interventional surgery does not need to cut human tissue, and its incision (puncture point) is only the size of a grain of rice. It can treat many diseases that could not be treated or had poor curative effect in the past. It has the characteristics of no surgery, small trauma, fast recovery, and good curative effect. Medical circles at home and abroad attach great importance to it.
- the technical problem to be solved in this application is to provide a slave device for an interventional surgery robot that assists doctors in performing interventional surgery.
- a slave device for an interventional surgery robot which includes:
- the first drive mechanism is used to hold and rotate the catheter, and the second drive mechanism is used to hold and rotate the guide wire;
- the first driving mechanism and the second driving mechanism move along the same axis on the main body to drive Catheter, guidewire movement.
- This application allows the doctor to remotely control the first driving mechanism and the second driving mechanism to move along the same axis on the main body, thereby driving the catheter and the guide wire to move in coordination, preventing X-ray radiation from affecting health, and the robot controls the catheter ,
- the movement of the guide wire is more precise, which not only reduces the work intensity, but also avoids major mistakes.
- Fig. 1 is a schematic diagram of an embodiment of an interventional surgery robot slave device of the present application
- Fig. 2 is another schematic diagram of Fig. 1;
- Fig. 3 is the schematic diagram when adding two driving mechanisms in Fig. 1;
- Fig. 4 is a schematic diagram when only two driving mechanisms are left in Fig. 1 .
- an embodiment of a slave device for an interventional surgical robot in the present application includes a main body 10, a drive mechanism 20, 30, 40, 50, 60 movably mounted on the main body 10, and a gripper 70 and rapid exchange mechanism 80.
- the main body 10 is narrow and long, and has a straight channel 102 .
- These driving mechanisms 20, 30, 40, 50, 60 are successively placed in the channel 102 and can move along the channel.
- these driving mechanisms 20, 30, 40, 50, 60 can slide directly on the main body 10, such as fixing a linear guide rail on the main body 10, these driving mechanisms 20, 30, 40, 50, 60 can be Slide along the rails.
- Each driving mechanism is used to clamp, push (including forward and backward) and rotate (including forward and reverse) catheter or guide wire, and can also be used to simultaneously clamp, push (including forward and backward) and rotate (including Forward rotation and reverse rotation) catheters and guide wires to realize coordinated movement of multiple catheters and one guide wire.
- Each drive mechanism includes a clamping assembly for clamping the catheter or guidewire, a rotating assembly for rotating the catheter or guidewire, and the rotating assembly can be either actively driven or passively followed, or all actively driven , or some are actively driven, and the other is passively followed, and the clamping of the catheter by the driving mechanism 20, 40 does not affect its rotation.
- the clamping assembly and the rotating assembly of the driving mechanism 20, 30, 40, 50, 60 can be an interventional surgery robot guide wire catheter rubbing device as described in Chinese patent application 202110674959.3, the entire content of which is incorporated into this application.
- the specific structures of the driving mechanisms 20 , 30 , 40 , 50 , 60 are not limited to being the same, and may also be different, as long as they can realize the clamping, pushing and/or rotating of the catheter and guide wire. It is also possible that only the clamping components are the same and the rotating components are different, or the clamping components are different and the rotating components are the same, or multiple clamping components and rotating components are the same, and other clamping components and rotating components are different.
- the driving mechanisms 20 and 30 are spaced at a certain distance back and forth, and are used to clamp, push and rotate the same guiding catheter 90 (ie, the first catheter) so as not to bend.
- drive mechanisms 20 and 30 preferably move guide catheter 90 synchronously so that it straightens and does not bend.
- the driving mechanisms 40 and 50 cooperate with each other at a certain distance, and are used to clamp, push and rotate the same multifunctional tube 91 (that is, the second conduit, also called the middle conduit).
- the driving mechanism 60 is used to clamp, push and rotate the guide wire 92 .
- the holder 70 is used to hold and push the guide wire 92 .
- the quick exchange mechanism 80 is detachably fixed together with the driving mechanism 50, and is used for clamping and pushing the quick exchange catheter.
- preoperative preparations are required, including selecting appropriate (such as length and diameter) guiding catheter 90, multifunctional tube 91, and guiding wire 92, and flushing and draining the guiding catheter 90 and multifunctional tube 91 with normal saline. gas.
- main console such as the main operating handle of the interventional surgery robot described in Chinese patent application 202110654379.8 and the main control module of the interventional surgery robot described in 202110649908.5, the entire content of which is incorporated into this application
- the main console to remotely operate the drive mechanism 20, 30, 40, 50, 60, gripper 70 and quick exchange mechanism 80 movement.
- the driving mechanisms 20 and 30 clamp the guide tube 90 together and move along the channel 102 to drive the guide tube 90 to advance, while or not at the same time, the rotating components of the drive mechanisms 20 and 30 rotate the guide tube 90, when the drive mechanism 20 moves
- the driving mechanism 30 clamps the guiding catheter 90 and does not move.
- the clamping assembly of the driving mechanism 20 clamps the guiding catheter 90 again, so that the driving mechanisms 20 and 30 together drive the guiding catheter 90 forward, simultaneously or not at the same time.
- the rotating assembly of 20 and 30 rotates the guide tube 90, and so on, until advancing into place.
- the driving mechanisms 40 and 50 clamp the multifunctional tube 91 and move along the channel 102 to drive the multifunctional tube 91 forward, and at the same time or not at the same time, the rotating components of the driving mechanisms 40 and 50 rotate the multifunctional tube 91 , when the driving mechanism 40 moves to a limit position (for example, the distance from the driving mechanism 30 is close to the threshold value) to be reset and the multifunctional tube 91 is released, the driving mechanism 50 clamps the multifunctional tube 91 and does not move.
- a limit position for example, the distance from the driving mechanism 30 is close to the threshold value
- the clamping assembly of the driving mechanism 40 clamps the multifunctional tube 91 again, so that the driving mechanism 40 and 50 together drive the multifunctional tube 91 forward, simultaneously or not at the same time.
- the rotating assembly of 40 and 50 rotates the multi-functional pipe 91, so reciprocating, until advancing in place.
- the driving mechanism 60 and the clamper 70 clamp the guide wire 92 and move along the channel 102 to drive the guide wire 92 forward, and at the same time or at different time, the rotating assembly of the driving mechanism 60 rotates the guide wire 92.
- the driving mechanism 60 moves to a limit position (for example, the distance from the driving mechanism 50 is close to the threshold) to be reset and the guide wire 92 is released, the guide wire 92 is clamped by the clamper 70 and does not move.
- the clamping assembly of the drive mechanism 60 clamps the guide wire 92 again, so that the drive mechanism 60 and the clamper 70 together drive the guide wire 92 forward, and the rotating assembly of the drive mechanism 60 rotates at the same time or at different times.
- the guide wire 92 reciprocates in this way until it advances in place. In other embodiments, initially, only the guide wire 92 is gripped by the drive mechanism 60 and the gripper 70 is not gripped.
- the driving mechanism 60 is to be reset, the guide wire 92 is clamped by the clamper 70 instead.
- the clamper 70 releases the guide wire 92 , so reciprocating, the driving mechanism 60 and the clamper 70 clamp the guide wire 92 alternately.
- How to remotely control the movement of the drive mechanism 20, 30, 40, 50, 60, the gripper 70 and the quick exchange mechanism 80 by the main console can be the same as the main control module of the interventional surgery robot described in Chinese patent application 202110649908.5. It includes two operating levers, one of which is used to control the driving mechanism 20, 30, 40, 50 and the quick exchange mechanism 80, and the operating lever can control the driving mechanism 20, 30, and the driving mechanism 40, 50 in time through the switching device and quick exchange mechanism 80 , another lever is used to manipulate drive mechanism 60 and gripper 70 . It may also be that the main console includes more than two operating levers, such as four operating levers, which are used to remotely control the driving mechanism 20, 30, the driving mechanism 40, 50, the driving mechanism 60 and the gripper 70, the fast switching mechanism 80 .
- the driving mechanisms 30 and 50 respectively clamp the guiding catheter 90 and the multifunctional tube 91 through the Y valve. That is, the guide tube 90 and the multifunctional tube 91 are respectively connected to the Y valve, and the Y valve is fixed to the driving mechanism 30, 50, and the clamping assembly of the driving mechanism 30, 50 clamps the Y valve, and the rotating assembly rotates the Y valve Luer connector. Drive guide tube 90, multifunctional tube 91 to rotate.
- the multifunctional tube 91 and the guiding wire 92 In the process of moving the guiding catheter 90, the multifunctional tube 91 and the guiding wire 92 together, it is necessary to keep the multifunctional tube 91 protruding from the guiding catheter 90 by a certain distance, and the guiding wire 92 extending from the multifunctional tube 91 by a certain distance. .
- the guide catheter 90, the multifunctional tube 91 and the guide wire 92 reach certain parts of the blood vessel, it may be necessary to remotely control the driving mechanism 20, 30, 40, 50, 60 and the holder 70 through the console at the main end, so that the guide The guide tube 90, the multifunctional tube 91 and the guide wire 92 are forwarded, retreated, forward rotated and reversed for many times.
- the guiding catheter 90 After the guiding catheter 90 is advanced to the right position, the guiding catheter 90 is fixed and does not move, and the driving mechanism 40, 50, 60 and the holder 70 are remotely controlled through the console at the main end, so that the multifunctional tube 91 and the guiding wire 92 are moved back and forth.
- the process is similar to the above-mentioned forward process.
- the heads of the multifunctional tube 91 and the guide wire 92 retreated to the puncture sheath the multifunctional tube 91 and the guide wire 92 were manually taken out from the clamping assembly of the driving mechanism 40, 50, 60 and the holder 70 and Soak in heparin water.
- microcatheter 94 and microguide wire 96 (such as 0.014 in). Manually thread the micro guide wire 96 into the micro catheter 94 and the guide catheter 90 together, and the micro guide wire 96 extends out of the micro catheter 94 for a certain distance, so that the micro catheter 94 and the micro guide wire 96 are respectively clamped on the driving mechanism 40, 50 The clamping assembly of the driving mechanism 60 and the clamper 70, so as to realize the fixation of the microcatheter 94 and the micro guide wire 96.
- the microcatheter 94 is connected to the Y valve, the Y valve is fixed to the driving mechanism 50 and clamped by its clamping component, and the rotating component rotates the Luer connector of the Y valve to drive the microcatheter 94 to rotate.
- the movement of the driving mechanisms 40 , 50 , 60 and the holder 70 is remotely controlled by the console at the main end.
- the specific process is the same as that of the multifunctional tube 91 and the guide wire 92 described above, and will not be repeated here.
- the microcatheter 94 and the microguidewire 96 advance to the head of the guide catheter 90, the microcatheter 94 and the microguidewire 96 are further pushed to the lesion of the surgical patient (also called the stenosis of the target vessel).
- Angiography confirms the position of the micro-guide wire 96, and if it reaches the designated position (generally, the micro-guide wire 96 has to pass through the lesion of the surgical patient, except for the possible treatment of aneurysm embolism), then the driving mechanisms 50 and 60 fix the micro-catheter 94 and the micro-guide wire respectively. Wire 96 does not move. If the specified position is not reached, the remote control driving mechanism 40 , 50 , 60 and the gripper 70 are repeatedly moved until the micro guide wire 96 reaches the specified position.
- the driving mechanism 40, 50 is controlled remotely through the console at the main end to make the micro-catheter 94 retreat while keeping the micro-guide wire 96 from moving.
- the device 70 clamps the micro guide wire 96 and does not move.
- the microcatheter head retreats to the puncture sheath, the microcatheter 94 is manually taken out from the driving mechanism 40, 50 and soaked in heparin water.
- the micro guide wire 96 can be clamped by the driving mechanism 60, and the driving mechanisms 20, 30 and the driving mechanism 60 can be fixed to fix the guide catheter 90 and the micro guide wire 96 respectively so that they do not move.
- the tail of the micro guide wire 96 is manually inserted into the rapid exchange balloon dilation catheter 98, and the rapid exchange balloon dilation catheter 98 advances along the micro guide wire 96, at this time, the rapid exchange balloon dilation catheter is clamped by the rapid exchange mechanism 80 98.
- the rapid exchange mechanism 80 is remotely controlled by the console at the main end, so that the rapid exchange balloon dilation catheter 98 is advanced to the lesion of the surgical patient (not beyond the head of the micro guide wire 96 ). During this process, pay attention to the position and angle of the micro-guide wire 96 at all times, and adjust it in time through forward rotation, reverse rotation, forward and backward rotation if necessary.
- the rapid exchange balloon dilation catheter 98 arrives at the lesion of the surgical patient, the rapid exchange balloon dilation catheter 98 is filled with a contrast agent in the catheter room for pre-dilation, and angiography is performed to confirm the vasodilation effect. If the vasodilation effect is achieved, the contrast medium is extracted from the rapid exchange balloon dilation catheter 98 .
- console at the main end to remotely control the fast exchange mechanism 80 to retreat to the puncture sheath.
- the position of the microguide wire 96 is kept unchanged.
- multiple blood vessel dilations may be required, so the above-mentioned rapid exchange balloon dilation catheter 98 advances and retreats multiple times.
- the rapid exchange mechanism 80 is remotely controlled by the console at the main end, so as to push the rapid exchange ball expansion stent catheter along the micro-guide wire 96 to the patient's lesion (extended blood vessel). During this process, pay attention to the position and angle of the micro-guide wire 96 at all times, and adjust it in time through forward rotation, reverse rotation, forward and backward rotation if necessary.
- the rapid exchange ball expansion stent catheter reaches the patient's lesion (extended blood vessel)
- the position of the rapid exchange ball expansion stent catheter is fine-tuned, and after confirmation, the rapid exchange ball expansion stent catheter is filled with contrast medium in the catheterization room to allow the stent to form.
- the contrast agent can be drawn out and the rapid exchange mechanism 80 is controlled to drive the rapid exchange ball expansion stent catheter back to the puncture sheath, while the ball expansion stent remains at the lesion of the surgical patient.
- the rapid exchange balloon dilator catheter is manually removed from the rapid exchange mechanism 80 and placed in heparinized water.
- the movement of the driving mechanism 20, 30, 40, 50, 60 and the holder 70 is remotely controlled by the console at the main end, so that the guide catheter 90 and the micro guide wire 96 are retracted to the puncture sheath. Finally, the guide catheter 90 and the micro guide wire 96 are manually taken out from the clamping assembly of the driving mechanism 20, 30, 60 and the holder 70, and withdrawn from the puncture sheath and placed in heparin water, and then the puncture sheath is pulled out And post-operative treatment to complete the operation.
- the quick-exchange mechanism 80 needs to be used to clamp, push and rotate. If it is a coaxial exchange catheter, after the tail of the micro guide wire 96 is inserted into the coaxial exchange catheter, the coaxial exchange mechanism clamps, pushes and rotates the coaxial exchange catheter, so that the coaxial exchange catheter advances along the micro guide wire 96 to the proper position or back to the puncture sheath. Regardless of the quick exchange mechanism 80 or the coaxial exchange mechanism, the roller driving method can be used to realize the clamping, shifting and rotation of the quick exchange catheter and the coaxial exchange catheter.
- the above is to illustrate the motion and control process of the present application by taking the "ball expansion stent forming operation" as an example.
- the application can also be used in various operations such as radiography, embolization, and thrombectomy.
- the driving mechanism 20, 30, 40, 50, 60, the holder 70 and the quick exchange mechanism 80 can be freely deployed according to the actual needs of the operation, that is, the driving mechanism 20, 30, 40, 50, 60, the holder 70 and the quick exchange mechanism
- the exchange mechanism 80 can be easily disassembled. For more complicated operations, more driving mechanisms, holders and quick exchange mechanisms can be added. For example, after adding more driving mechanisms and holders, multiple catheters can correspond to one guide wire or multiple catheters.
- the console at the main end When starting the operation, use the console at the main end to remotely operate the drive mechanism 30, 60 to move.
- the guiding catheter and the guiding wire are respectively advanced to the target blood vessel in coordination.
- the driving mechanism 30 is allowed to clamp the guiding catheter without moving, and the driving mechanism 60 is remotely operated to retreat, so that the guiding wire is withdrawn to the puncture sheath.
- the guide wire is manually removed from the clamp assembly of the drive mechanism 60 and soaked in heparinized water.
- the contrast agent is injected into the guiding catheter, and radiographic imaging is performed to obtain complete image information at different angles of the target blood vessel.
- another guide wire is selected to be inserted into the guide catheter and advanced to the puncture sheath, and the guide wire is clamped to the clamping assembly of the driving mechanism 60 .
- the driving mechanisms 30 and 60 come to the operating table outside the catheter room, and then use the main console to remotely operate the driving mechanisms 30 and 60 to move the guiding catheter and guiding wire respectively to the other target blood vessel, and then retract the guiding wire to the puncture position.
- the sheath is taken out, and the contrast agent is injected into the guiding catheter again, and radiographic imaging is performed to obtain complete image information at different angles of another target vessel. So many times, until the complete image information of all target blood vessels is obtained.
- the remote control driving mechanism 30 retreats, driving the guiding catheter to withdraw to the puncture sheath. Manually take out the guide catheter and the guide wire used for the last time respectively from the clamping assembly of the driving mechanism 30, 60, and withdraw from the puncture sheath.
- the driving mechanism 20 can be pushed and rotated together with the drive mechanism 30 to guide the guide catheter, and the holder 70 can be pushed and rotated together with the drive mechanism 60 to guide the guide wire.
- the console at the main end and the console for placing the console at the main end are located outside the catheterization chamber. In fact, they can also be placed in a separate space in the catheterization room, as long as they can isolate X-ray radiation and allow doctors to avoid X-ray radiation.
- the application can remotely control the driving mechanism, the gripper and the quick exchange mechanism, so as to drive the catheter guide wire to move cooperatively, not only avoid X-ray radiation from affecting health, but also the robot controls the catheter guide wire movement more accurately, reducing work Intensity can also avoid big mistakes.
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Abstract
An interventional surgical robot slave end device, comprising a main body (10) and a first driving mechanism and a second driving mechanism mounted on the main body (10). The first driving mechanism is configured to clamp and rotate a catheter, and the second driving mechanism is configured to clamp and rotate a guide wire (92); when the guide wire (92) passes through the catheter, and the catheter and the guide wire (92) are respectively clamped by the first driving mechanism and the second driving mechanism, the first driving mechanism and the second driving mechanism move along the same axial direction on the main body (10) to drive the catheter and the guide wire (92) to move. A doctor can remotely control the robot, thereby protecting the body from X-ray radiation. Moreover, the first catheter (90) and the guide wire (92) are controlled to move more accurately, not only reducing the working intensity, but also avoiding a large error.
Description
本申请要求于2021年08月31日提交中国专利局、申请号为202111009999.2,发明名称为“一种介入手术机器人从端装置”的中国专利申请的优先权,其全部内容通过引用结合在本申请中。This application claims the priority of the Chinese patent application with the application number 202111009999.2 submitted to the China Patent Office on August 31, 2021, and the title of the invention is "a slave device for interventional surgery robot", the entire content of which is incorporated in this application by reference middle.
本申请涉及医疗机器人领域,应用于主从式血管介入手术机器人,尤其涉及一种介入手术机器人从端装置。The present application relates to the field of medical robots, and is applied to a master-slave vascular interventional surgery robot, in particular to a slave end device of an interventional surgery robot.
微创血管介入手术是指医生在数字减影血管造影成像(DSA)系统的导引下,操控导管导丝在人体血管内运动,对病灶进行治疗,达到栓塞畸形血管、溶解血栓、扩张狭窄血管等目的。目前介入手术治疗已经在肿瘤、外周血管、大血管、消化道疾病、神经系统、非血管等数百种疾病的诊疗中发挥着重要作用,介入手术治疗范围可以说是囊括了人体“从头到脚”的所有疾病治疗,并且已经成为部分疾病治疗的首选方案。介入手术不用切开人体组织,其切口(穿刺点)仅有米粒大小,就可治疗许多过去无法治疗或疗效欠佳的疾病,具有不开刀、创伤小、恢复快、疗效好的特点,受到了国内外医学界高度重视。Minimally invasive vascular interventional surgery means that under the guidance of the digital subtraction angiography (DSA) system, the doctor manipulates the catheter guide wire to move in the human blood vessel, treats the lesion, and achieves embolization of malformed blood vessels, dissolution of thrombus, and expansion of narrow blood vessels. etc. purpose. At present, interventional surgery has played an important role in the diagnosis and treatment of hundreds of diseases such as tumors, peripheral blood vessels, large blood vessels, digestive tract diseases, nervous system, and non-vascular diseases. The scope of interventional surgery can be said to cover the human body "from head to toe". "The treatment of all diseases, and has become the first choice for the treatment of some diseases. Interventional surgery does not need to cut human tissue, and its incision (puncture point) is only the size of a grain of rice. It can treat many diseases that could not be treated or had poor curative effect in the past. It has the characteristics of no surgery, small trauma, fast recovery, and good curative effect. Medical circles at home and abroad attach great importance to it.
当前,微创血管介入手术辅助机器人,由于涉及高端医疗设备和机器人技术,发展迅猛。我们也投入了研发。At present, minimally invasive vascular interventional surgery assisting robots are developing rapidly due to the involvement of high-end medical equipment and robotic technology. We also invest in research and development.
本申请要解决的技术问题是提供一种辅助医生进行介入手术的介入手术机器人从端装置。The technical problem to be solved in this application is to provide a slave device for an interventional surgery robot that assists doctors in performing interventional surgery.
为了解决上述问题,本申请提供了一种介入手术机器人从端装置,其包括:In order to solve the above problems, the present application provides a slave device for an interventional surgery robot, which includes:
主体及安装于主体上的第一驱动机构和第二驱动机构;a main body and a first driving mechanism and a second driving mechanism installed on the main body;
第一驱动机构用于夹持和转动导管,第二驱动机构用于夹持和转动导丝;The first drive mechanism is used to hold and rotate the catheter, and the second drive mechanism is used to hold and rotate the guide wire;
当导丝穿入导管且导管、导丝分别被夹持于第一驱动机构、第二驱动机构时,所述第一驱动机构和第二驱动机构在所述主体上沿同一轴向运动而带动导管、导丝运动。When the guide wire is inserted into the catheter and the catheter and the guide wire are respectively clamped by the first driving mechanism and the second driving mechanism, the first driving mechanism and the second driving mechanism move along the same axis on the main body to drive Catheter, guidewire movement.
本申请可让医生通过远程操控第一驱动机构和第二驱动机构在所述主体上沿同一轴向运动,从而带动导管、导丝协同运动,免受X射线辐射而影响健康,而且机器人控制导管、导丝运动更精准,不仅减轻工作强度,也可避免大的失误。This application allows the doctor to remotely control the first driving mechanism and the second driving mechanism to move along the same axis on the main body, thereby driving the catheter and the guide wire to move in coordination, preventing X-ray radiation from affecting health, and the robot controls the catheter , The movement of the guide wire is more precise, which not only reduces the work intensity, but also avoids major mistakes.
图1是本申请一种介入手术机器人从端装置的实施例示意图;Fig. 1 is a schematic diagram of an embodiment of an interventional surgery robot slave device of the present application;
图2是图1的另一示意图;Fig. 2 is another schematic diagram of Fig. 1;
图3是图1中增加两个驱动机构时的示意图;Fig. 3 is the schematic diagram when adding two driving mechanisms in Fig. 1;
图4是图1中拆除只剩两个驱动机构时的示意图。Fig. 4 is a schematic diagram when only two driving mechanisms are left in Fig. 1 .
如图1和图2所示,本申请一种介入手术机器人从端装置的实施例包括主体10、可运动地安装于主体10上的驱动机构20、30、40、50、60、夹持器70和快速交换机构80。As shown in Figures 1 and 2, an embodiment of a slave device for an interventional surgical robot in the present application includes a main body 10, a drive mechanism 20, 30, 40, 50, 60 movably mounted on the main body 10, and a gripper 70 and rapid exchange mechanism 80.
所述主体10呈狭长型,设有直线型通道102。这些驱动机构20、30、40、50、60先后渐次地置于通道102内并可沿通道移动。在本实施例中,这些驱动机构20、30、40、50、60可直接在主体10上滑动,如在主体10上固定一线性导轨,这些驱动机构20、30、40、50、60均可沿导轨滑动。The main body 10 is narrow and long, and has a straight channel 102 . These driving mechanisms 20, 30, 40, 50, 60 are successively placed in the channel 102 and can move along the channel. In this embodiment, these driving mechanisms 20, 30, 40, 50, 60 can slide directly on the main body 10, such as fixing a linear guide rail on the main body 10, these driving mechanisms 20, 30, 40, 50, 60 can be Slide along the rails.
每一驱动机构用于夹持、推移(包括前进和后退)和转动(包括正转与反转)导管或导丝,也可以用于同时夹持、推移(包括前进和后退)和转动(包括正转与反转)导管、导丝,实现多个导管、一个导丝协同运动。每一驱动机构包括用于夹持导管或导丝的夹持组件、转动导管或导丝的转动组件,所述转动组件既可以为主动驱动型也可以为被动跟随型、或者全部为主动驱动型、亦或部分为主动驱动型、另外的为被动跟随型,驱动机构20、40对导管的夹持不影响其转动。Each driving mechanism is used to clamp, push (including forward and backward) and rotate (including forward and reverse) catheter or guide wire, and can also be used to simultaneously clamp, push (including forward and backward) and rotate (including Forward rotation and reverse rotation) catheters and guide wires to realize coordinated movement of multiple catheters and one guide wire. Each drive mechanism includes a clamping assembly for clamping the catheter or guidewire, a rotating assembly for rotating the catheter or guidewire, and the rotating assembly can be either actively driven or passively followed, or all actively driven , or some are actively driven, and the other is passively followed, and the clamping of the catheter by the driving mechanism 20, 40 does not affect its rotation.
驱动机构20、30、40、50、60的夹持组件和转动组件可为如中国专利申请202110674959.3描述的一种介入手术机器人从端导丝导管搓动装置,其全部内容引入本申请。The clamping assembly and the rotating assembly of the driving mechanism 20, 30, 40, 50, 60 can be an interventional surgery robot guide wire catheter rubbing device as described in Chinese patent application 202110674959.3, the entire content of which is incorporated into this application.
在其它实施例中,驱动机构20、30、40、50、60的具体结构不限于相同,也可以不同,只要能实现导管、导丝的夹持、推移和/或转动。也可以只是夹持组件相同、转动组件不相同,或者夹持组件不相同、转动组件相同,亦或多个夹持组件、转动组件相同、另外的夹持组件、转动组件不相同。In other embodiments, the specific structures of the driving mechanisms 20 , 30 , 40 , 50 , 60 are not limited to being the same, and may also be different, as long as they can realize the clamping, pushing and/or rotating of the catheter and guide wire. It is also possible that only the clamping components are the same and the rotating components are different, or the clamping components are different and the rotating components are the same, or multiple clamping components and rotating components are the same, and other clamping components and rotating components are different.
在本实施例中,驱动机构20和30前后间隔一定距离、用于配合夹持、推移和转动同一导引导管90(即第一导管),让其不致弯曲。事实上,驱动机构20和30最好同步推移导引导管90,以便使其拉直不弯曲。同样地,驱动机构40和50前后间隔一定距离配合、用于配合夹持、推移和转动同一多功能管91(即第二导管,亦称中间导管)。驱动机构60用于夹持、推移和转动导引导丝92。夹持器70用于夹持和推移导引导丝92。快速交换机构80与驱动机构50可拆卸地固定在一起,用于夹持和推移快速交换导管。In this embodiment, the driving mechanisms 20 and 30 are spaced at a certain distance back and forth, and are used to clamp, push and rotate the same guiding catheter 90 (ie, the first catheter) so as not to bend. In fact, drive mechanisms 20 and 30 preferably move guide catheter 90 synchronously so that it straightens and does not bend. Likewise, the driving mechanisms 40 and 50 cooperate with each other at a certain distance, and are used to clamp, push and rotate the same multifunctional tube 91 (that is, the second conduit, also called the middle conduit). The driving mechanism 60 is used to clamp, push and rotate the guide wire 92 . The holder 70 is used to hold and push the guide wire 92 . The quick exchange mechanism 80 is detachably fixed together with the driving mechanism 50, and is used for clamping and pushing the quick exchange catheter.
准备手术时需进行术前准备,包括选用合适(比如长度、直径)的导引导管90、多功能管91和导引导丝92,对导引导管90、多功能管91进行生理盐水冲水排气。手动将多功能管91穿入导引导管90并伸出导引导管90一定距离、将导引导丝92穿入多功能管91并伸出多功能管91一定距离,如导引导丝92头部超出多功能管91约10cm左右。使驱动机构20、30、40、50、60处于合理位置,将导引导管90、多功能管91和导引导丝92一起置入穿入手术病人的穿刺鞘(如穿入股动脉、桡动脉或者其他)内,让驱动机构20和30的夹持组件夹持导引导管90、驱动机构40和50的夹持组件夹持多功能管91、驱动机构60的夹持组件和后夹持器70夹持导引导丝92,从而实现导引导管90、多功能管91和导引导丝92的固定。When preparing for surgery, preoperative preparations are required, including selecting appropriate (such as length and diameter) guiding catheter 90, multifunctional tube 91, and guiding wire 92, and flushing and draining the guiding catheter 90 and multifunctional tube 91 with normal saline. gas. Manually thread the multifunctional tube 91 into the guide catheter 90 and extend the guide catheter 90 for a certain distance, and guide the guide wire 92 into the multifunctional tube 91 and extend the multifunctional tube 91 for a certain distance, such as the head of the guide wire 92 It is about 10cm beyond the multifunctional tube 91. Make the driving mechanism 20, 30, 40, 50, 60 in a reasonable position, put the guide catheter 90, the multifunctional tube 91 and the guide wire 92 into the puncture sheath of the patient for surgery (such as penetrating into the femoral artery, radial artery or Others), let the clamping assembly of the driving mechanism 20 and 30 clamp the guide tube 90, the clamping assembly of the driving mechanism 40 and 50 clamp the multifunctional tube 91, the clamping assembly of the driving mechanism 60 and the rear clamper 70 The guiding wire 92 is clamped, so that the guiding catheter 90 , the multifunctional tube 91 and the guiding wire 92 are fixed.
术前准备结束后,利用主端操控台(如中国专利申请202110654379.8描述的介入手术机器人主端操作手柄和202110649908.5描述的介入手术机器人主端控制模组,其全部内容引入本申请)远程操作驱动机构20、30、40、50、60、夹持器70和快速交换机构80运动。具体地,驱动机构20和30一起夹持导引导管90沿通道102移动而带动导引导管90前进、同时或者不同时驱动机构20和30的转动组件转动导引导管90,当驱动机构20移动到极限位置(比如驱动机构20运动至通道102的远端)要复位而松开导引导管90时,驱动机构30夹持导引导管90不运动。待驱动机构20复位到更靠近驱动机构30的位置时,驱动机构20的夹持组件再次夹持导引导管90,让驱动机构20和30一起带动导引导管90前进、同时或者不同时驱动机构20和30的转动组件转动导引导管90,如此往复,直到前进到位。After the preoperative preparation is completed, use the main console (such as the main operating handle of the interventional surgery robot described in Chinese patent application 202110654379.8 and the main control module of the interventional surgery robot described in 202110649908.5, the entire content of which is incorporated into this application) to remotely operate the drive mechanism 20, 30, 40, 50, 60, gripper 70 and quick exchange mechanism 80 movement. Specifically, the driving mechanisms 20 and 30 clamp the guide tube 90 together and move along the channel 102 to drive the guide tube 90 to advance, while or not at the same time, the rotating components of the drive mechanisms 20 and 30 rotate the guide tube 90, when the drive mechanism 20 moves When the guiding catheter 90 is released after reaching the limit position (for example, the driving mechanism 20 moves to the distal end of the channel 102 ), the driving mechanism 30 clamps the guiding catheter 90 and does not move. When the driving mechanism 20 is reset to a position closer to the driving mechanism 30, the clamping assembly of the driving mechanism 20 clamps the guiding catheter 90 again, so that the driving mechanisms 20 and 30 together drive the guiding catheter 90 forward, simultaneously or not at the same time. The rotating assembly of 20 and 30 rotates the guide tube 90, and so on, until advancing into place.
在此过程中,同时或者不同时驱动机构40和50一起夹持多功能管91沿通道102移动而带动多功能管91前进、同时或者不同时驱动机构40和50的转动组件转动多功能管91,当驱动机构40移动到极限位置(比如与驱动机构30的距离接近阈值)要复位而松开多功能管91时,驱动机构50夹持多功能管91不运动。待驱动机构40复位到更靠近驱动机构50的位置时,驱动机构40的夹持组件再次夹持多功能管91,让驱动机构40和50一起带动多功能管91前进、同时或者不同时驱动机构40和50的转动组件转动多功能管91,如此往复,直到前进到位。During this process, simultaneously or not at the same time, the driving mechanisms 40 and 50 clamp the multifunctional tube 91 and move along the channel 102 to drive the multifunctional tube 91 forward, and at the same time or not at the same time, the rotating components of the driving mechanisms 40 and 50 rotate the multifunctional tube 91 , when the driving mechanism 40 moves to a limit position (for example, the distance from the driving mechanism 30 is close to the threshold value) to be reset and the multifunctional tube 91 is released, the driving mechanism 50 clamps the multifunctional tube 91 and does not move. When the driving mechanism 40 is reset to a position closer to the driving mechanism 50, the clamping assembly of the driving mechanism 40 clamps the multifunctional tube 91 again, so that the driving mechanism 40 and 50 together drive the multifunctional tube 91 forward, simultaneously or not at the same time. The rotating assembly of 40 and 50 rotates the multi-functional pipe 91, so reciprocating, until advancing in place.
在上述过程中,同时或者不同时驱动机构60和夹持器70一起夹持导引导丝92沿通道102移动而带动导引导丝92前进、同时或者不同时驱动机构60的转动组件转动导引导丝92。当驱动机构60移动到极限位置(比如与驱动机构50的距离接近阈值)要复位而松开导引导丝92时,由夹持器70夹持导引导丝92不运动。待驱动机构60复位后,驱动机构60的夹持组件再次夹持导引导丝92,让驱动机构60和夹持器70一起带动导引导丝92前进、同时或者不同时驱动机构60的转动组件转动导引导丝92,如此往复,直到前进到位。在其它的实施例中,开始时,只由驱动机构60夹持导引导丝92,而夹持器70不夹持。待驱动机构60要复位时,换由夹持器70夹持导引导丝92。当驱动机构60复位后而再次夹持导引导丝92时,夹持器70松开导引导丝92,如此往复,驱动机构60和夹持器70交替夹持导引导丝92。During the above process, simultaneously or not at the same time, the driving mechanism 60 and the clamper 70 clamp the guide wire 92 and move along the channel 102 to drive the guide wire 92 forward, and at the same time or at different time, the rotating assembly of the driving mechanism 60 rotates the guide wire 92. When the driving mechanism 60 moves to a limit position (for example, the distance from the driving mechanism 50 is close to the threshold) to be reset and the guide wire 92 is released, the guide wire 92 is clamped by the clamper 70 and does not move. After the drive mechanism 60 is reset, the clamping assembly of the drive mechanism 60 clamps the guide wire 92 again, so that the drive mechanism 60 and the clamper 70 together drive the guide wire 92 forward, and the rotating assembly of the drive mechanism 60 rotates at the same time or at different times. The guide wire 92 reciprocates in this way until it advances in place. In other embodiments, initially, only the guide wire 92 is gripped by the drive mechanism 60 and the gripper 70 is not gripped. When the driving mechanism 60 is to be reset, the guide wire 92 is clamped by the clamper 70 instead. When the driving mechanism 60 is reset and clamps the guide wire 92 again, the clamper 70 releases the guide wire 92 , so reciprocating, the driving mechanism 60 and the clamper 70 clamp the guide wire 92 alternately.
对于主端操控台如何远程操控驱动机构20、30、40、50、60、夹持器70和快速交换机构80运动,可如中国专利申请202110649908.5描述的介入手术机器人主端控制模组一样,其包括两个操作杆,其中一操作杆用于操控驱动机构20、30、40、50和快速交换机构80,且该操作杆可通过切换装置分时操控驱动机构20、30、驱动机构40、50和快速交换机构80,另一操作杆用于操控驱动机构60和夹持器70。也可以为,所述主端操控台包括两个以上操作杆,如四个操作杆,分别用于远程操控驱动机构20、30、驱动机构40、50、驱动机构60和夹持器70、快速交换机构80。How to remotely control the movement of the drive mechanism 20, 30, 40, 50, 60, the gripper 70 and the quick exchange mechanism 80 by the main console can be the same as the main control module of the interventional surgery robot described in Chinese patent application 202110649908.5. It includes two operating levers, one of which is used to control the driving mechanism 20, 30, 40, 50 and the quick exchange mechanism 80, and the operating lever can control the driving mechanism 20, 30, and the driving mechanism 40, 50 in time through the switching device and quick exchange mechanism 80 , another lever is used to manipulate drive mechanism 60 and gripper 70 . It may also be that the main console includes more than two operating levers, such as four operating levers, which are used to remotely control the driving mechanism 20, 30, the driving mechanism 40, 50, the driving mechanism 60 and the gripper 70, the fast switching mechanism 80 .
在其它的实施例中,驱动机构30、50通过Y阀来分别夹持导引导管90、多功能管91。即导引导管90、多功能管91分别连接于Y阀,Y阀固定于驱动机构30、50,驱动机构30、50的夹持组件夹持Y阀、转动组件转动Y阀鲁尔连接器而带动导引导管90、多功能管91转动。In other embodiments, the driving mechanisms 30 and 50 respectively clamp the guiding catheter 90 and the multifunctional tube 91 through the Y valve. That is, the guide tube 90 and the multifunctional tube 91 are respectively connected to the Y valve, and the Y valve is fixed to the driving mechanism 30, 50, and the clamping assembly of the driving mechanism 30, 50 clamps the Y valve, and the rotating assembly rotates the Y valve Luer connector. Drive guide tube 90, multifunctional tube 91 to rotate.
在上述将导引导管90、多功能管91和导引导丝92协同推移过程中,需要始终保持多功能管91伸出导引导管90一定距离、导引导丝92伸出多功能管91一定距离。当导引导管90、多功能管91和导引导丝92到达血管某些部位时,可能需要通过主端操控台远程操控驱动机构20、30、40、50、60和夹持器70,让导引导管90、多功能管91和导引导丝92多次进行前进、后退、正转、反转调换。In the process of moving the guiding catheter 90, the multifunctional tube 91 and the guiding wire 92 together, it is necessary to keep the multifunctional tube 91 protruding from the guiding catheter 90 by a certain distance, and the guiding wire 92 extending from the multifunctional tube 91 by a certain distance. . When the guide catheter 90, the multifunctional tube 91 and the guide wire 92 reach certain parts of the blood vessel, it may be necessary to remotely control the driving mechanism 20, 30, 40, 50, 60 and the holder 70 through the console at the main end, so that the guide The guide tube 90, the multifunctional tube 91 and the guide wire 92 are forwarded, retreated, forward rotated and reversed for many times.
当导引导管90前进到位后,固定导引导管90不运动,通过主端操控台远程操控驱动机构40、50、60和夹持器70,让多功能管91、导引导丝92后退,后退过程跟上述前进过程类似。当多功能管91、导引导丝92的头部后退到穿刺鞘时,手动将多功能管91和导引导丝92从驱动机构40、50、60的夹持组件和夹持器70上取出并浸泡于肝素水中。After the guiding catheter 90 is advanced to the right position, the guiding catheter 90 is fixed and does not move, and the driving mechanism 40, 50, 60 and the holder 70 are remotely controlled through the console at the main end, so that the multifunctional tube 91 and the guiding wire 92 are moved back and forth. The process is similar to the above-mentioned forward process. When the heads of the multifunctional tube 91 and the guide wire 92 retreated to the puncture sheath, the multifunctional tube 91 and the guide wire 92 were manually taken out from the clamping assembly of the driving mechanism 40, 50, 60 and the holder 70 and Soak in heparin water.
选用更细的微导管94和微导丝96(如0.014 in)。手动将微导丝96穿入微导管94并一起穿入导引导管90,且微导丝96伸出微导管94一定距离,让微导管94、微导丝96分别夹持于驱动机构40、50的夹持组件以及驱动机构60的夹持组件和夹持器70,从而实现微导管94、微导丝96的固定。在其它实施例中,微导管94连接于Y阀,Y阀固定于驱动机构50并由其夹持组件夹持Y阀、转动组件转动Y阀鲁尔连接器而带动微导管94转动。Select finer microcatheter 94 and microguide wire 96 (such as 0.014 in). Manually thread the micro guide wire 96 into the micro catheter 94 and the guide catheter 90 together, and the micro guide wire 96 extends out of the micro catheter 94 for a certain distance, so that the micro catheter 94 and the micro guide wire 96 are respectively clamped on the driving mechanism 40, 50 The clamping assembly of the driving mechanism 60 and the clamper 70, so as to realize the fixation of the microcatheter 94 and the micro guide wire 96. In other embodiments, the microcatheter 94 is connected to the Y valve, the Y valve is fixed to the driving mechanism 50 and clamped by its clamping component, and the rotating component rotates the Luer connector of the Y valve to drive the microcatheter 94 to rotate.
进一步地,利用主端操控台远程操控驱动机构40、50、60和夹持器70运动。具体过程同上述多功能管91和导引导丝92的前进过程,在此不再赘述。微导管94、微导丝96前进到导引导管90头部时,进一步将微导管94、微导丝96推移至手术病人病灶处(也称靶血管狭窄处)。造影确认微导丝96位置,若到达指定位置(一般而言微导丝96要穿过手术病人病灶处,可能治疗动脉瘤栓塞除外)则由驱动机构50、60分别固定微导管94、微导丝96不运动。若没有到达指定位置,则重复远程操控驱动机构40、50、60和夹持器70运动,直到微导丝96到达指定位置。Further, the movement of the driving mechanisms 40 , 50 , 60 and the holder 70 is remotely controlled by the console at the main end. The specific process is the same as that of the multifunctional tube 91 and the guide wire 92 described above, and will not be repeated here. When the microcatheter 94 and the microguidewire 96 advance to the head of the guide catheter 90, the microcatheter 94 and the microguidewire 96 are further pushed to the lesion of the surgical patient (also called the stenosis of the target vessel). Angiography confirms the position of the micro-guide wire 96, and if it reaches the designated position (generally, the micro-guide wire 96 has to pass through the lesion of the surgical patient, except for the possible treatment of aneurysm embolism), then the driving mechanisms 50 and 60 fix the micro-catheter 94 and the micro-guide wire respectively. Wire 96 does not move. If the specified position is not reached, the remote control driving mechanism 40 , 50 , 60 and the gripper 70 are repeatedly moved until the micro guide wire 96 reaches the specified position.
在微导丝96到达指定位置后,通过主端操控台远程操控驱动机构40、50,让微导管94后退,同时保持微导丝96不运动,比如驱动机构60随着后退时换由夹持器70夹持微导丝96不运动。当微导管头部后退到穿刺鞘时,手动将微导管94从驱动机构40、50上取出并浸泡于肝素水中。这时,可换由驱动机构60夹持微导丝96,并保持驱动机构20、30和驱动机构60分别固定导引导管90、微导丝96不运动。After the micro-guide wire 96 reaches the designated position, the driving mechanism 40, 50 is controlled remotely through the console at the main end to make the micro-catheter 94 retreat while keeping the micro-guide wire 96 from moving. The device 70 clamps the micro guide wire 96 and does not move. When the microcatheter head retreats to the puncture sheath, the microcatheter 94 is manually taken out from the driving mechanism 40, 50 and soaked in heparin water. At this time, the micro guide wire 96 can be clamped by the driving mechanism 60, and the driving mechanisms 20, 30 and the driving mechanism 60 can be fixed to fix the guide catheter 90 and the micro guide wire 96 respectively so that they do not move.
进一步地,手动让微导丝96尾部穿入快速交换球囊扩张导管98,快速交换球囊扩张导管98顺着微导丝96前进,这时由快速交换机构80夹持快速交换球囊扩张导管98。Further, the tail of the micro guide wire 96 is manually inserted into the rapid exchange balloon dilation catheter 98, and the rapid exchange balloon dilation catheter 98 advances along the micro guide wire 96, at this time, the rapid exchange balloon dilation catheter is clamped by the rapid exchange mechanism 80 98.
利用主端操控台远程操控快速交换机构80,从而让快速交换球囊扩张导管98前进至手术病人病灶处(不超出微导丝96头部)。在此过程中,时刻注意微导丝96的位置和角度,有需要及时通过正转、反转、前进、后退来调整。当快速交换球囊扩张导管98到达手术病人病灶处时,在导管室内给快速交换球囊扩张导管98充填造影剂做预扩张,造影确认血管扩张效果。若达到血管扩张效果,则从快速交换球囊扩张导管98内抽出造影剂。利用主端操控台远程操控快速交换机构80后退至穿刺鞘处。此快速交换球囊扩张导管98后退过程中,保持微导丝96位置不变。对于某些手术,可能需要多次血管扩张,因此上述快速交换球囊扩张导管98前进和后退会进行多次。The rapid exchange mechanism 80 is remotely controlled by the console at the main end, so that the rapid exchange balloon dilation catheter 98 is advanced to the lesion of the surgical patient (not beyond the head of the micro guide wire 96 ). During this process, pay attention to the position and angle of the micro-guide wire 96 at all times, and adjust it in time through forward rotation, reverse rotation, forward and backward rotation if necessary. When the rapid exchange balloon dilation catheter 98 arrives at the lesion of the surgical patient, the rapid exchange balloon dilation catheter 98 is filled with a contrast agent in the catheter room for pre-dilation, and angiography is performed to confirm the vasodilation effect. If the vasodilation effect is achieved, the contrast medium is extracted from the rapid exchange balloon dilation catheter 98 . Use the console at the main end to remotely control the fast exchange mechanism 80 to retreat to the puncture sheath. During the retraction process of the rapid exchange balloon dilatation catheter 98, the position of the microguide wire 96 is kept unchanged. For some operations, multiple blood vessel dilations may be required, so the above-mentioned rapid exchange balloon dilation catheter 98 advances and retreats multiple times.
需手工将快速交换球囊扩张导管98从快速交换机构80取下,再手动将快速交换球扩支架导管穿设于微导丝96并夹持到快速交换机构80上,具体过程同上述快速交换球囊扩张导管98,不再赘述。It is necessary to manually remove the rapid exchange balloon dilation catheter 98 from the rapid exchange mechanism 80, and then manually pass the rapid exchange balloon expansion catheter through the micro guide wire 96 and clamp it to the rapid exchange mechanism 80. The specific process is the same as the above rapid exchange The balloon dilatation catheter 98 will not be described in detail.
利用主端操控台远程操控快速交换机构80,从而顺着微导丝96将快速交换球扩支架导管推移至手术病人病灶处(已经扩展的血管处)。在此过程中,时刻注意微导丝96的位置和角度,有需要及时通过正转、反转、前进、后退来调整。当快速交换球扩支架导管到达手术病人病灶处(已经扩展的血管处)时,微调快速交换球扩支架导管位置,确定后在导管室内给快速交换球扩支架导管充填造影剂,让支架成形。造影确认球扩支架放置无误,即可抽出造影剂并操控快速交换机构80带动快速交换球扩支架导管后退至穿刺鞘处,而球扩支架留在手术病人病灶处。手动将快速交换球扩支架导管从快速交换机构80上取出并放入肝素水中。The rapid exchange mechanism 80 is remotely controlled by the console at the main end, so as to push the rapid exchange ball expansion stent catheter along the micro-guide wire 96 to the patient's lesion (extended blood vessel). During this process, pay attention to the position and angle of the micro-guide wire 96 at all times, and adjust it in time through forward rotation, reverse rotation, forward and backward rotation if necessary. When the rapid exchange ball expansion stent catheter reaches the patient's lesion (extended blood vessel), the position of the rapid exchange ball expansion stent catheter is fine-tuned, and after confirmation, the rapid exchange ball expansion stent catheter is filled with contrast medium in the catheterization room to allow the stent to form. After angiography confirms that the ball expansion stent is placed correctly, the contrast agent can be drawn out and the rapid exchange mechanism 80 is controlled to drive the rapid exchange ball expansion stent catheter back to the puncture sheath, while the ball expansion stent remains at the lesion of the surgical patient. The rapid exchange balloon dilator catheter is manually removed from the rapid exchange mechanism 80 and placed in heparinized water.
利用主端操控台远程操控驱动机构20、30、40、50、60和夹持器70运动,让导引导管90、微导丝96后退至穿刺鞘处。最后手动将导引导管90、微导丝96从驱动机构20、30、60的夹持组件和夹持器70上取出,并从穿刺鞘中撤出放入肝素水中,然后进行穿刺鞘拔出及手术后处理,完成手术。The movement of the driving mechanism 20, 30, 40, 50, 60 and the holder 70 is remotely controlled by the console at the main end, so that the guide catheter 90 and the micro guide wire 96 are retracted to the puncture sheath. Finally, the guide catheter 90 and the micro guide wire 96 are manually taken out from the clamping assembly of the driving mechanism 20, 30, 60 and the holder 70, and withdrawn from the puncture sheath and placed in heparin water, and then the puncture sheath is pulled out And post-operative treatment to complete the operation.
以上选用的是快速交换导管,因此需要用快速交换机构80来夹持、推移和转动。若是同轴交换导管,则让微导丝96尾部穿入同轴交换导管后,由同轴交换机构来夹持、推移和转动同轴交换导管,让同轴交换导管顺着微导丝96前进至合适位置或后退至穿刺鞘处。不管是快速交换机构80,还是同轴交换机构,都可以采用滚轮驱动方式来实现快速交换导管和同轴交换导管的夹持、推移和转动。What is selected above is the quick-exchange catheter, so the quick-exchange mechanism 80 needs to be used to clamp, push and rotate. If it is a coaxial exchange catheter, after the tail of the micro guide wire 96 is inserted into the coaxial exchange catheter, the coaxial exchange mechanism clamps, pushes and rotates the coaxial exchange catheter, so that the coaxial exchange catheter advances along the micro guide wire 96 to the proper position or back to the puncture sheath. Regardless of the quick exchange mechanism 80 or the coaxial exchange mechanism, the roller driving method can be used to realize the clamping, shifting and rotation of the quick exchange catheter and the coaxial exchange catheter.
以上是以“球扩支架成形手术”为例说明本申请的运动和控制过程。事实上,本申请也可以用于造影、栓塞、取栓等等多种手术。驱动机构20、30、40、50、60、夹持器70和快速交换机构80可以根据手术实际需要,自由调配,也即驱动机构20、30、40、50、60、夹持器70和快速交换机构80均可方便地拆装。如实施更复杂的手术时,可以增设更多的驱动机构、夹持器和快速交换机构,如增设更多的驱动机构、夹持器后,可以实现多个导管对应一个导丝或者多个导管对应多个导丝的协同运动,如图3中增加两个驱动机构来夹持、转动更多的导管,具体可参上述“球扩支架成形手术”;对应始终夹持导管的每一驱动机构均设置快速交换机构,其可拆卸地安装于驱动机构或者与驱动机构制成一体化机构。而在实施简单的检查手术比如血管造影手术时,只使用驱动机构20、30、40、50、60中的两个,如驱动机构30和60,参图4,则把其他驱动机构、夹持器70和快速交换机构80从主体10拆除。以下以血管造影手术为例,描述本申请只有驱动机构30和60时的一个导管、一个导丝协同运动和控制过程:The above is to illustrate the motion and control process of the present application by taking the "ball expansion stent forming operation" as an example. In fact, the application can also be used in various operations such as radiography, embolization, and thrombectomy. The driving mechanism 20, 30, 40, 50, 60, the holder 70 and the quick exchange mechanism 80 can be freely deployed according to the actual needs of the operation, that is, the driving mechanism 20, 30, 40, 50, 60, the holder 70 and the quick exchange mechanism The exchange mechanism 80 can be easily disassembled. For more complicated operations, more driving mechanisms, holders and quick exchange mechanisms can be added. For example, after adding more driving mechanisms and holders, multiple catheters can correspond to one guide wire or multiple catheters. Corresponding to the coordinated movement of multiple guide wires, as shown in Figure 3, two driving mechanisms are added to clamp and rotate more catheters. For details, please refer to the above-mentioned "ball expansion stent forming operation"; corresponding to each driving mechanism that always clamps catheters All are provided with a quick exchange mechanism, which is detachably mounted on the driving mechanism or made into an integrated mechanism with the driving mechanism. And when implementing simple inspection operations such as angiography, only two of the driving mechanisms 20, 30, 40, 50, 60 are used, such as the driving mechanisms 30 and 60, referring to Fig. 4, then the other driving mechanisms, clamping The device 70 and the quick exchange mechanism 80 are removed from the main body 10. Taking angiographic surgery as an example, the following describes the cooperative movement and control process of a catheter and a guide wire when only the driving mechanisms 30 and 60 are used in this application:
准备手术时,根据血管病灶位置选用合适直径和长度的导引导管、导引导丝、造影导管,对导引导管、造影导管进行生理盐水冲水排气。启动介入手术机器人,完成初始化。对手术病人进行穿刺鞘置入。手动将导引导丝穿入导引导管并伸出导引导管一定距离,如导引导丝头部超出导引导管10cm左右,并将它们一起置入穿刺鞘内。让驱动机构30、60的夹持组件分别夹持导引导管、导引导丝,从而实现导引导管、导引导丝的固定。When preparing for the operation, select a guide catheter, guide wire, and contrast catheter with an appropriate diameter and length according to the location of the vascular lesion, and flush and exhaust the guide catheter and contrast catheter with normal saline. Start the interventional surgery robot and complete the initialization. Insertion of the puncture sheath in surgical patients. Manually thread the guide wire into the guide catheter and extend out of the guide catheter for a certain distance, for example, the head of the guide wire exceeds the guide catheter by about 10 cm, and put them together into the puncture sheath. Let the clamping components of the driving mechanisms 30 and 60 respectively clamp the guide catheter and the guide wire, so as to realize the fixation of the guide catheter and the guide wire.
开始手术时,利用主端操控台远程操作驱动机构30、60运动。分别让导引导管、导引导丝协同前进到靶血管处。过程参前述“球扩支架成形手术”。保持导引导管、导引导丝的头部在影像视野范围内。这时,让驱动机构30夹持导引导管不移动,远程操作驱动机构60后退,让导引导丝撤出至穿刺鞘处。When starting the operation, use the console at the main end to remotely operate the drive mechanism 30, 60 to move. The guiding catheter and the guiding wire are respectively advanced to the target blood vessel in coordination. Refer to the aforementioned "ball expansion stent forming operation" for the process. Keep the head of the guiding catheter and guiding wire within the imaging field of view. At this time, the driving mechanism 30 is allowed to clamp the guiding catheter without moving, and the driving mechanism 60 is remotely operated to retreat, so that the guiding wire is withdrawn to the puncture sheath.
手动将导引导丝从驱动机构60的夹持组件上取出并浸泡在肝素水中。向导引导管内输入造影剂,进行放射线造影,取得靶血管处的不同角度的完整影像信息。The guide wire is manually removed from the clamp assembly of the drive mechanism 60 and soaked in heparinized water. The contrast agent is injected into the guiding catheter, and radiographic imaging is performed to obtain complete image information at different angles of the target blood vessel.
若需要取得多处靶血管的影像信息,则再选用另一导引导丝穿入导引导管内并前进至穿刺鞘处,将该导引导丝夹持于驱动机构60的夹持组件。这时来到导管室外的操作台前,再利用主端操控台远程操作驱动机构30、60运动,分别将导引导管、导引导丝协同前进到另一靶血管处,后退导引导丝至穿刺鞘处并取出,再次向导引导管内输入造影剂,进行放射线造影,取得另一靶血管处的不同角度的完整影像信息。如此多次,直至取得所有靶血管的完整影像信息为止。If image information of multiple target blood vessels needs to be acquired, another guide wire is selected to be inserted into the guide catheter and advanced to the puncture sheath, and the guide wire is clamped to the clamping assembly of the driving mechanism 60 . At this time, come to the operating table outside the catheter room, and then use the main console to remotely operate the driving mechanisms 30 and 60 to move the guiding catheter and guiding wire respectively to the other target blood vessel, and then retract the guiding wire to the puncture position. The sheath is taken out, and the contrast agent is injected into the guiding catheter again, and radiographic imaging is performed to obtain complete image information at different angles of another target vessel. So many times, until the complete image information of all target blood vessels is obtained.
远程操控驱动机构30后退,带动导引导管撤出至穿刺鞘处。再手动将导引导管和最后一次所用导引导丝分别从驱动机构30、60的夹持组件上取出,并从穿刺鞘中撤出。The remote control driving mechanism 30 retreats, driving the guiding catheter to withdraw to the puncture sheath. Manually take out the guide catheter and the guide wire used for the last time respectively from the clamping assembly of the driving mechanism 30, 60, and withdraw from the puncture sheath.
若为了导引导管、导引导丝在前进过程中不发生弯曲,可让驱动机构20配合驱动机构30一起推移和转动导引导管、让夹持器70配合驱动机构60一起推移和转动导引导丝。If in order to guide the guide catheter, the guide wire does not bend during the advancement process, the driving mechanism 20 can be pushed and rotated together with the drive mechanism 30 to guide the guide catheter, and the holder 70 can be pushed and rotated together with the drive mechanism 60 to guide the guide wire. .
上面的描述中,主端操控台和放置主端操控台的操作台位于导管室外。其实,它们也可以放置于导管室内一个独立的空间,只要能够隔离X射线辐射,让医生免除X射线辐射即可。In the above description, the console at the main end and the console for placing the console at the main end are located outside the catheterization chamber. In fact, they can also be placed in a separate space in the catheterization room, as long as they can isolate X-ray radiation and allow doctors to avoid X-ray radiation.
以上仅是描述了一些情况下导管导丝的拆换方式。实际上,导管导丝的拆换完全可由医生根据手术实际需要以及个人操作习惯而定。并不仅以以上导管导丝的拆换方式而限。The above only describes how to replace the catheter guide wire in some cases. In fact, the removal and replacement of the catheter guide wire can be completely determined by the doctor according to the actual needs of the operation and personal operating habits. It is not limited to the above-mentioned replacement methods of the catheter guide wire.
由此可见,本申请可远程操控驱动机构、夹持器和快速交换机构,从而带动导管导丝协同运动,不仅免受X射线辐射而影响健康,而且机器人控制导管导丝运动更精准,减轻工作强度,也可避免大的失误。It can be seen that the application can remotely control the driving mechanism, the gripper and the quick exchange mechanism, so as to drive the catheter guide wire to move cooperatively, not only avoid X-ray radiation from affecting health, but also the robot controls the catheter guide wire movement more accurately, reducing work Intensity can also avoid big mistakes.
本领域普通技术人员可以理解上述方法中的全部或部分步骤可通过程序来指令相关硬件完成,所述程序可以存储于计算机可读存储介质中,如只读存储器、磁盘或光盘等。可选地,上述实施例的全部或部分步骤也可以使用一个或多个集成电路来实现。相应地,上述实施例中的各模块/单元可以采用硬件的形式实现,也可以采用软件功能模块的形式实现。本申请不限制于任何特定形式的硬件和软件的结合。Those skilled in the art can understand that all or part of the steps in the above method can be completed by instructing relevant hardware through a program, and the program can be stored in a computer-readable storage medium, such as a read-only memory, a magnetic disk or an optical disk, and the like. Optionally, all or part of the steps in the foregoing embodiments may also be implemented using one or more integrated circuits. Correspondingly, each module/unit in the foregoing embodiments may be implemented in the form of hardware, or may be implemented in the form of software function modules. This application is not limited to any specific form of combination of hardware and software.
当然,本申请还可有其他多种实施例,在不背离本申请精神及其实质的情况下,熟悉本领域的技术人员当可根据本申请作出各种相应的改变和变形,但这些相应的改变和变形都应属于本申请的权利要求的保护范围。Of course, the present application can also have other various embodiments. Without departing from the spirit and essence of the present application, those skilled in the art can make various corresponding changes and deformations according to the present application, but these corresponding Changes and deformations should fall within the protection scope of the claims of the present application.
以上所述仅为本申请的较佳实施例而已,并不用以限制本申请,凡在本申请的精神和原则之内所作的任何修改、等同替换和改进等,均应包含在本申请的保护范围之内。The above descriptions are only preferred embodiments of the application, and are not intended to limit the application. Any modifications, equivalent replacements and improvements made within the spirit and principles of the application should be included in the protection of the application. within range.
Claims (16)
- 一种介入手术机器人从端装置,其中,包括主体及安装于主体上的第一驱动机构和第二驱动机构;A slave device for an interventional surgery robot, including a main body and a first drive mechanism and a second drive mechanism installed on the main body;第一驱动机构用于夹持和转动导管,第二驱动机构用于夹持和转动导丝;The first drive mechanism is used to hold and rotate the catheter, and the second drive mechanism is used to hold and rotate the guide wire;当导丝穿入导管且导管、导丝分别被夹持于第一驱动机构、第二驱动机构时,所述第一驱动机构和第二驱动机构在所述主体上沿同一轴向运动而带动导管、导丝运动。When the guide wire is inserted into the catheter and the catheter and the guide wire are respectively clamped by the first driving mechanism and the second driving mechanism, the first driving mechanism and the second driving mechanism move along the same axis on the main body to drive Catheter, guidewire movement.
- 如权利要求1所述的一种介入手术机器人从端装置,其中,还包括安装于主体上的第三驱动机构,所述第三驱动机构与第一驱动机构配合带动导管运动。The slave device of an interventional surgery robot according to claim 1, further comprising a third driving mechanism installed on the main body, and the third driving mechanism cooperates with the first driving mechanism to drive the catheter to move.
- 如权利要求2所述的一种介入手术机器人从端装置,其中,当所述第三驱动机构运动到极限位置要复位而松开导管时,所述第一驱动机构用于夹持导管不运动。A slave end device of an interventional surgery robot according to claim 2, wherein, when the third driving mechanism moves to the limit position to be reset and the catheter is released, the first driving mechanism is used to clamp the catheter and not move .
- 如权利要求2所述的一种介入手术机器人从端装置,其中,所述第三驱动机构与所述第一驱动机构和第二驱动机构沿同一轴向运动。The slave device of an interventional surgery robot according to claim 2, wherein the third driving mechanism moves along the same axis as the first driving mechanism and the second driving mechanism.
- 如权利要求2所述的一种介入手术机器人从端装置,其中,所述第三驱动机构位于第一驱动机构远离第二驱动机构的一侧。A slave device for an interventional surgery robot according to claim 2, wherein the third drive mechanism is located on a side of the first drive mechanism away from the second drive mechanism.
- 如权利要求2所述的一种介入手术机器人从端装置,其中,所述第一驱动机构、第二驱动机构和第三驱动机构均为主动驱动型。A slave device for an interventional surgery robot according to claim 2, wherein the first drive mechanism, the second drive mechanism and the third drive mechanism are all active drive types.
- 如权利要求2所述的一种介入手术机器人从端装置,其中,所述第一驱动机构和第二驱动机构主动驱动型,所述第三驱动机构为被动跟随型。A slave device for an interventional surgery robot according to claim 2, wherein the first driving mechanism and the second driving mechanism are active driving, and the third driving mechanism is passive following.
- 如权利要求1所述的一种介入手术机器人从端装置,其中,所述第一驱动机构包括夹持组件,所述夹持组件用于夹持连接于导管的Y阀来夹持导管。The slave device of an interventional surgery robot according to claim 1, wherein the first driving mechanism comprises a clamping assembly, and the clamping assembly is used to clamp a Y valve connected to the catheter to clamp the catheter.
- 如权利要求8所述的一种介入手术机器人从端装置,其中,所述第一驱动机构还包括转动组件,所述转动组件用于转动Y阀鲁尔连接器而带动导管转动。The slave end device of an interventional surgery robot according to claim 8, wherein the first driving mechanism further comprises a rotating assembly, and the rotating assembly is used to rotate the Y-valve Luer connector to drive the catheter to rotate.
- 如权利要求1所述的一种介入手术机器人从端装置,其中,还包括夹持器,当所述第二驱动机构运动到极限位置要复位而松开导丝时,所述夹持器用于夹持导丝不运动。The slave end device of an interventional surgery robot according to claim 1, further comprising a clamper, when the second drive mechanism moves to the limit position to be reset and the guide wire is released, the clamper is used for The clamping wire does not move.
- 如权利要求1所述的一种介入手术机器人从端装置,其中,还包括交换机构,所述交换机构为快速交换机构或者同轴交换机构。The slave device of an interventional surgery robot according to claim 1, further comprising a switching mechanism, the switching mechanism being a fast switching mechanism or a coaxial switching mechanism.
- 如权利要求11所述的一种介入手术机器人从端装置,其中,所述交换机构可拆卸地固定于所述第一驱动机构,或者所述交换机构与所述第一驱动机构为一体化设计。A slave device for an interventional surgery robot according to claim 11, wherein the exchange mechanism is detachably fixed to the first drive mechanism, or the exchange mechanism and the first drive mechanism are designed integrally .
- 如权利要求11所述的一种介入手术机器人从端装置,其中,所述交换机构采用滚轮驱动方式实现导管的夹持、推移和转动。The slave end device of an interventional surgery robot according to claim 11, wherein the switching mechanism adopts a roller driving method to realize clamping, pushing and rotating of the catheter.
- 如权利要求1所述的一种介入手术机器人从端装置,其中,所述主体上设置有通道,所述第一驱动机构和第二驱动机构置于所述通道内,并可沿所述通道移动。A slave device for an interventional surgery robot according to claim 1, wherein a channel is provided on the main body, and the first driving mechanism and the second driving mechanism are placed in the channel and can be moved along the channel move.
- 如权利要求14所述的一种介入手术机器人从端装置,其中,所述通道为直线型通道。The slave device of an interventional surgery robot according to claim 14, wherein the channel is a straight channel.
- 如权利要求10所述的一种介入手术机器人从端装置,其中,所述夹持器为可拆卸结构。The slave device of an interventional surgery robot according to claim 10, wherein the holder is a detachable structure.
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CN113729962B (en) * | 2021-07-05 | 2023-07-25 | 深圳市爱博医疗机器人有限公司 | From end device of intervention operation robot |
WO2023280048A1 (en) * | 2021-07-05 | 2023-01-12 | 深圳市爱博医疗机器人有限公司 | Slave end apparatus of interventional surgical robot |
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CN115517776A (en) * | 2022-01-29 | 2022-12-27 | 深圳市爱博医疗机器人有限公司 | A master device, system and operation method of an interventional surgical robot |
CN115517666B (en) * | 2022-11-03 | 2024-09-24 | 合肥综合性国家科学中心人工智能研究院(安徽省人工智能实验室) | Abnormal gait behavior detection system, method, electronic device, and readable storage medium |
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