WO2023039931A1 - Control device for flexible surgical instrument, and endoscopic surgical robot system - Google Patents

Control device for flexible surgical instrument, and endoscopic surgical robot system Download PDF

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Publication number
WO2023039931A1
WO2023039931A1 PCT/CN2021/120622 CN2021120622W WO2023039931A1 WO 2023039931 A1 WO2023039931 A1 WO 2023039931A1 CN 2021120622 W CN2021120622 W CN 2021120622W WO 2023039931 A1 WO2023039931 A1 WO 2023039931A1
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WIPO (PCT)
Prior art keywords
drive assembly
drive
control device
surgical instrument
flexible
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PCT/CN2021/120622
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French (fr)
Chinese (zh)
Inventor
李凌
沈光国
辜嘉
李文超
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苏州中科华影健康科技有限公司
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Publication of WO2023039931A1 publication Critical patent/WO2023039931A1/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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00147Holding or positioning arrangements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00147Holding or positioning arrangements
    • A61B1/00149Holding or positioning arrangements using articulated arms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • 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
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • A61B2017/2912Handles transmission of forces to actuating rod or piston
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • 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
    • A61B2034/301Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
    • 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
    • A61B2034/305Details of wrist mechanisms at distal ends of robotic arms

Definitions

  • the invention relates to the field of medical instruments, in particular to a flexible surgical instrument control device and an endoscopic surgical robot system.
  • Endoscope is a testing instrument that integrates traditional optics, ergonomics, precision machinery, modern electronics, mathematics, and software. With image sensor, optical lens, light source lighting, mechanical device, etc., it can enter the stomach through the oral cavity or enter the body through other natural channels. Endoscopes can be used to see lesions that cannot be displayed by X-rays. Therefore, endoscopes play a very important role in medical diagnosis. Among them, flexible endoscopes use a built-in metal snake bone joint and are connected to it by pulling The method of manipulating the wire makes it bend to achieve the angular adjustment of the endoscope head.
  • Patent Application No. 201810353515.8 discloses a mirror-holding surgical robot based on the distal central motion mechanism, which combines the remote central motion mechanism to control the posture of the endoscope to visit the surgical area.
  • the accurate positioning of the human tissue in this way has the advantages of flexible movement and fine movement.
  • the operation can replace the doctor to hold the endoscope, and follow the surgical instruments to make timely and appropriate adjustments, so that the surgical field of view is accurately and stably presented to the doctor.
  • it can liberate the left hand of the doctor and change it from one-handed operation mode to two-handed operation mode, which reduces the labor intensity of the doctor, and combines the advantages of stability and precision of the robot with the experience of the doctor, ensuring the stability of the endoscope image at the same time , improving the quality of surgery.
  • the outer catheter of the surgical instrument on the surgical auxiliary robot is basically rigid and cannot be applied to a flexible endoscope, and it is not convenient to adjust the corresponding angle and position the flexible endoscope on the surgical auxiliary robot. It is also impossible to maintain a stable angle for a long time, and it is prone to slack.
  • the first aspect of the present invention provides a flexible surgical instrument control device, including:
  • the bending mechanism is connected to the actuator, and is used to drive the actuator to bend;
  • Adjust the pull cord one end of the adjust pull cord is connected to the bending mechanism, and is used to drive the bending mechanism to bend toward a preset direction by applying a pulling force;
  • a drive assembly the drive assembly includes a bottom plate, a rotation drive assembly and a deflection reset member, the rotation drive assembly is rotatably arranged relative to the bottom plate and is drivingly connected to the other end of the adjustment pull cord; the rotation drive assembly is driven by a drive motor Control the rotation angle;
  • Two ends of the deflection reset member are respectively fixedly connected with the bottom plate and the rotation drive assembly, and are used to provide the rotation drive assembly with a biasing torque toward an initial position.
  • the deflection reset member is a coil spring, one end of the outer side of the coil spring is clamped and fixed with the bottom plate, the rotation drive assembly passes through the deflection reset member, and the inner end of the deflection reset member is connected to the bottom plate The outer surface of the rotating drive assembly is fixedly connected.
  • connection positions of the four adjustment pull cords and the bending structure are evenly distributed, and the rotation drive components are in four groups, respectively connected to each of the adjustment pull cords. Connect the other end of the rope.
  • the drive assembly further includes a guide wheel, and the adjustment pull cord is wound around the guide wheel and connected to the rotation drive assembly.
  • the four rotating drive assemblies are arranged in a rectangular shape
  • the guide wheels are four, and are arranged in the middle of the four rotating drive assemblies
  • the guide wheels are symmetrically arranged in pairs up and down.
  • each of the adjustment drawcord sleeves is provided with a drawstring spring tube, and the adjustment drawcords extend out of the stay cord spring tubes and are wound around the guide wheels.
  • the actuator is an instrument forceps
  • one end of the actuator is connected to the actuator, and is used to drive the opening and closing of the instrument forceps, and the other end of the actuator is connected to the instrument forceps.
  • the opening and closing drive mechanism is connected.
  • the actuator is a hard steel wire
  • the actuator is sheathed in the wire spring tube
  • the actuator is connected to the opening and closing drive mechanism after passing through the wire spring tube
  • the A compression spring providing thrust is connected to the actuator driving member.
  • it also includes a flexible outer conduit, one end of the flexible outer conduit is connected to the bending structure, and the other end is connected to the pipe fixing seat of the bottom plate, and the adjustment pull cord passes through the flexible outer conduit and the bending structure connect;
  • the base plate is connected with an advance and retreat drive assembly, and the advance and retreat drive assembly is used to drive the base plate to drive the flexible outer conduit forward or backward.
  • the present application also provides an endoscopic surgical robot system, including a controller and the above-mentioned flexible surgical instrument control device, the controller is used to adjust the angle and direction according to the target of the actuator, and control the rotation drive component rotation.
  • the over-rotational drive assembly enables automatic control of the bending angle of the surgical instrument, which solves the technical problem that it is difficult to adjust the corresponding angle and position the flexible endoscope when it is set on the surgical auxiliary robot;
  • the motor can be connected with the controller, and the controller converts the corresponding direction and angle of the execution end required by the operator into the angle that the drive motor should rotate, and then the controller controls the rotation of the drive motor to achieve this without the need for users Consider how much to control the rotation of the shaft, the control is more convenient and precise;
  • the hard steel wire clamps the human tissue under the thrust of the compression spring and maintains the clamping state, without providing additional driving force. When it needs to be opened, directly push the actuator to control the movement of the actuator;
  • the lead screw mechanism drives the entire bottom plate and the components arranged on it to advance and retreat at the same time, so that the flexible outer catheter can move relative to the insertion tube of the mirror body, so that the driving components on the entire bottom plate also advance and retreat together to realize the push of the entire instrument automation.
  • FIG. 1 is a schematic diagram of the overall structure of an embodiment of the present invention.
  • Fig. 2 is a top view of an embodiment of the present invention.
  • Fig. 3 is a partially enlarged view of a rotary drive assembly according to an embodiment of the present invention.
  • Fig. 4 is a structural schematic diagram of the rotating drive assembly according to the embodiment of the present invention after removing the reel and the outer cover of the reel;
  • Fig. 5 is a structural schematic diagram of an embodiment of the present invention when a forward and backward drive assembly is provided;
  • Fig. 6 is a partially enlarged view of the instrument forceps and the bending mechanism of the embodiment of the present invention.
  • Fig. 7 is a schematic structural view of the bending of the instrument forceps in the scope insertion tube according to the embodiment of the present invention.
  • the flexible endoscope In order to solve the problem that the flexible endoscope is installed on the surgical auxiliary robot in the prior art, it is not convenient to adjust the corresponding angle and perform positioning, nor can it maintain a stable angle for a long time, and it is prone to loosening.
  • the The bending angle of the surgical instrument can be automatically controlled, which solves the technical problem that it is difficult to adjust the corresponding angle and position the flexible endoscope when it is set on the surgical auxiliary robot.
  • a flexible surgical instrument control device is included, which is used to control the internal bending direction and angle of the actuator after entering the human body cavity.
  • the instrument forceps 21 which can also be other instruments for performing surgical operations, such as an electric knife, and can also be used for other flexible tubular instruments with actuators that need to adjust the angle and bend during the operation.
  • the actuator can enter the human body through the instrument channel 29, extend out of the instrument channel 29 after entering, and then be bent after corresponding control, and then the actuator is driven and controlled by the actuator driver 27 to complete the operation.
  • the driving member 27 may be a hard steel wire rope that realizes opening and closing of the instrument forceps 21 by pushing and pulling.
  • a bending mechanism 22 is connected to the rear end of the actuator, and the mechanism 22 is connected to the actuator to drive the bending of the actuator; in this embodiment, the specific connection method is that the instrument clamp The rear end is welded on the bending mechanism 22, and other fixing methods are also possible.
  • One end of the adjusting pull cord used to control the bending mechanism to bend is connected to the bending mechanism 22, and is used to drive the bending mechanism 22 to bend toward a preset direction by applying a pulling force; specifically, the bending mechanism 22 is a snake bone structure , is specifically a four-way snake bone, which is driven in four directions by connecting four pull ropes; that is, the adjustment pull ropes correspondingly include the first steel wire rope 16, the second steel wire rope 17, the third steel wire rope 18 and the fourth steel wire rope 19, four adjustment wire ropes
  • the connecting positions of the stay cords and the bending mechanism 22 are evenly distributed.
  • a driving assembly is provided.
  • the driving assembly includes a bottom plate 1, a rotating driving assembly and a deflection reset member 25.
  • the rotating driving assembly is arranged to rotate relative to the bottom plate 1 and is drivingly connected to the other end of the adjustment pull cord; the rotating driving assembly passes through The driving motor controls the rotation angle.
  • the drive motor can be connected to the controller, and the controller converts the angle that the drive motor should rotate according to the corresponding direction and angle of the execution end required by the operator, and then controls the drive motor through the controller. Rotate to achieve.
  • the required direction and angle of the execution end can be input through artificial parameters, or manually operated through an external entity or virtual simulation device, which is more in line with the operator's feel, and then transformed into the actual execution end through the operator's virtual operation action.
  • Direction and angle to control can be connected to the controller, and the controller converts the angle that the drive motor should rotate according to the corresponding direction and angle of the execution end required by the operator, and then controls the drive motor through the controller. Rotate to achieve.
  • the required direction and angle of the execution end can be input through artificial parameters, or manually operated through an external entity or virtual simulation device, which is more in line with the operator's feel, and then transformed into the actual execution end through the operator's virtual operation action.
  • Direction and angle to control can be input through artificial parameters, or manually operated through an external entity or
  • the rotating drive assembly includes: a rotating shaft 20, a reel 2, a reel cover 3 and a bearing 4, the rotating shaft 20 is drivingly connected to the output shaft of the driving motor, and rotates according to the rotation of the driving motor, The reel 2 is fixed on the rotating shaft 20, and rotates together with the rotation.
  • the reel 2 is fixedly connected with an adjustment pull cord, which is used to drive and adjust the winding degree of the stay cord on the reel 2, thereby gradually tightening the adjustment pull.
  • the rope is used to control the corresponding bending direction of the snake bone; the bearing 4 is used to reduce the friction force during relative rotation between the parts.
  • the outer cover 3 of the reel 3 is fixedly connected to the reel 2 and the rotating shaft 20 through a fixing member, and can also compress and fix the wire rope on the reel at the same time.
  • a guide wheel is also included. 5.
  • the adjusting pull cord is wound around the guide wheel 5 and connected to the rotating drive assembly, which is used to guide each adjusting pull cord in different directions, ensuring the tension and direction change of the pull cord, so that the four rotating drive assemblies can
  • the bottom plate 1 is symmetrically divided, and the four rotating drive assemblies are arranged in a rectangular shape.
  • Each adjustment stay cord cover is provided with a stay cord spring tube 15, and the adjustment stay cord stretches out from the stay cord spring tube 15 and is wound on the guide wheel 5; Misalignment also increases the stiffness of the pulling snake; and, in the present embodiment, a drawstring spring tube fixing seat 9 is further provided to cooperate with the stay cord spring tube fixture 10, so that the stay cord spring tube 15 can be stably placed on the on base plate 1.
  • the bending of the snake bone is driven by adjusting the drawstring, which passes through the drawstring spring tube 15, and one end of the drawstring spring tube 15 is welded on the connecting shaft of the flexible outer catheter close to the snake bone section, and the other end is connected to the drawstring spring tube fixing seat 9 on.
  • the two ends of the deflection reset member 25 are respectively fixedly connected with the bottom plate 1 and the rotation drive assembly, and are used to provide the rotation drive assembly with a biasing torque toward the initial position, and the function is to keep the rotation shaft of the rotation drive assembly in the neutral position, and the rotation shaft Forced deflection, constant force spring plus reverse force, when the external force is eliminated, the rotating shaft 20 will return to the neutral position, so as to ensure that the steel wire rope on the snake bone is in a tensioned state, and the four corresponding steel wire ropes return to the neutral position on the four rotating shafts.
  • the snake bone can be quickly returned to the next adjustment control.
  • the first steel wire rope 16, the second steel wire rope 17, the third steel wire rope 18 and the fourth steel wire rope 19 are all in the position of the tight but not stretched bending mechanism (snake bone).
  • the rotating shaft 20 rotates in the tensioning direction, that is, when the rotating shaft corresponding to the first steel wire rope 16 and the second steel wire rope 17 rotates clockwise, and when the rotating shaft corresponding to the third steel wire rope 18 and the fourth steel wire rope 19 rotates counterclockwise , the steel wire rope will be pulled by tension, thus pulling the snake bone to bend; and when there is no external force from the drive motor, due to the pre-existing tension force in the steel wire rope, the rotating shaft may rotate in the opposite direction, resulting in the relaxation of the steel wire rope, and the deflection resets.
  • the existence of part 25 is that the rotating shaft keeps being subjected to the power of turning towards the neutral position, so that the steel wire rope is always in the initial tension state.
  • the deflection return member 25 is a coil spring, one end of the outer side of the coil spring is clamped and fixed with the bottom plate 1, the rotation drive assembly passes through the deflection return member 25, and the inner end of the coil spring is fixedly connected to the outer surface of the rotation drive assembly, preferably Ground, it may be that one end of the inner side of the coil spring is fixedly connected with the rotating shaft. In other embodiments, other forms of elastic devices can also be used to achieve reset.
  • the opening and closing drive mechanism 14 is specifically a connecting rod, which can push and pull the opening and closing of the instrument forceps 21 by manually or electrically controlling the action of the connecting rod.
  • the actuator is other When using a device, the linkage design can also be used to control the corresponding action of the device through the push-pull action.
  • the actuator driver 27 is a hard steel wire, and the actuator driver 27 is sheathed in the wire spring tube 28, and the actuator driver 27 passes through the wire spring tube 28 and is connected with the opening and closing drive mechanism 14 to execute
  • the driving member 27 is connected with a compression spring 12 that provides a thrust to it, so as to ensure that the initial state of the clip of the instrument forceps 21 is in a closed state. thrust, so that the instrument forceps 21 are opened, and after the tissue to be clamped is aligned, the opening and closing drive mechanism 14 is slowly released, and the hard steel wire clamps and maintains the human tissue under the thrust of the compression spring 12 In the clamping state, no additional driving force is required.
  • a wire spring tube fixing base 6 and a spring tube fixing base 7 are also provided, the spring tube fixing base 7 is provided with a wire spring tube fixing base 6, and the wire spring tube fixing base 6 is used for fixing steel wire spring tube 28.
  • a flexible outer conduit 23 is also included.
  • One end of the flexible outer conduit 23 is connected to the bending mechanism 22, and the other end is connected to the pipe fixing seat of the bottom plate 1.
  • the bottom plate 1 is fixedly provided with an outer conduit fixing Seat 8
  • flexible outer catheter 23 is fixedly arranged on the outer catheter fixing seat 8; the adjustment stay rope passes through the inside of the flexible outer catheter 23 and is connected to the snake bone, and the actuator 27 is connected to the instrument forceps 21 after passing through the inside of the flexible outer catheter 23.
  • the flexible outer catheter 23 is made of bendable flexible material, and can be inserted into the instrument channel 29 of the scope insertion tube 28, and enters the inside of the human body together with the insertion of the scope insertion tube 28, and then moves relative to the insertion scope insertion tube 28, and stretches out the scope.
  • the body is inserted into the tube 28, and the instrument forceps 21 are synchronously driven to enter the inside of the human body. Further bending control and clamping operation of the instrument forceps 21 are performed through the control of the rotating drive assembly and the control of the opening and closing drive mechanism 14 .
  • the base plate 1 is connected with an advance and retreat drive assembly 24, and the advance and retreat drive assembly 24 is used to drive the base plate 1 to drive the flexible tube.
  • the outer catheter 23 advances or retreats.
  • the advance and retreat drive assembly 24 includes a screw mechanism, which drives and connects a drive plate, and the drive plate is fixedly connected to the base plate 1, thereby driving the entire base plate 1 and the components arranged on it to advance and retreat at the same time, thereby realizing a flexible exterior.
  • the catheter is movable relative to the insertion scope insertion tube 28 .
  • a connecting column 11 is also provided on the base plate 1 for connecting a protective case or other mounting plates.
  • the lead screw mechanism in the advance and retreat drive assembly 24 starts to move, drives the bottom plate 1, drives the flexible outer catheter 23 fixed on the outer catheter fixing seat 8 to move relative to the insertion tube 28 of the mirror body, and stretches out the mouth of the mirror body insertion tube 28, so that the instrument The pliers reach the operating position;
  • Control the opening and closing driving mechanism 14 pull the opening and closing driving mechanism 14 to make it overcome the thrust of the compression spring 12, so that the instrument forceps 21 are opened;
  • the overdrive motor is connected to the controller, and the controller converts it into the angle that the drive motor should rotate according to the corresponding direction and angle of the actuator required by the operator, and then controls the rotation of the drive motor through the controller to realize the rotation of the drive assembly.
  • the steel wire rope drives the snake bone to bend in the corresponding direction, thereby further aligning the tissue to be strengthened;
  • the opening and closing drive mechanism 14 is slowly released, and the hard steel wire clamps the human tissue under the thrust of the compression spring 12 and maintains the clamping state, thereby performing the corresponding surgical operation , such as cutting, etc.
  • this embodiment also provides an endoscopic surgical robot system, including a controller and the aforementioned flexible surgical instrument control device, the controller is used to adjust the angle and direction of the actuator according to the target, and control the rotation of the rotary drive assembly.
  • a control method is also included, which is executed by the controller, including, according to the corresponding direction and angle of the execution end required by the operator, converting it into the angle that the drive motor should rotate, and then controlling the drive motor through the controller.
  • the motor rotates under control. After reaching the preset rotation angle, stop the driving force of the driving motor and keep it at the current position. After the operation is completed, cancel the corresponding motor driving force, so that the rotating shaft returns to the neutral position under the action of the coil spring.
  • the control program corresponding to the above control method can be stored in the storage medium of the controller;
  • the above-mentioned storage medium may include but not limited to: U disk, read-only memory (ROM, Read-Only Memory), random access memory (RAM, Random Access Memory), mobile hard disk, magnetic disk Various media that can store program codes such as discs or optical discs.
  • the present invention also provides a device, the device includes a processor and a memory, at least one instruction, at least one program, code set or instruction set are stored in the memory, the at least one instruction, the at least one program, The code set or instruction set is loaded and executed by the processor to realize the above control method.
  • the memory can be used to store software programs and modules, and the processor executes various functional applications and data processing by running the software programs and modules stored in the memory.
  • the memory can mainly include a program storage area and a data storage area, wherein the program storage area can store operating systems, application programs required by functions, etc.; the data storage area can store data created according to the use of the device, etc.
  • the memory may include high-speed random access memory, and may also include non-volatile memory, such as at least one magnetic disk storage device, flash memory device, or other volatile solid-state storage devices.
  • the memory may also include a memory controller to provide processor access to the memory.

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Abstract

A control device for a flexible surgical instrument, and an endoscopic surgical robot system. In the control device, a bending mechanism (22) is connected to an effector and is used for driving the effector to bend; one end of an adjustment pull cord is connected to the bending mechanism (22), and applies a pulling force to drive the bending mechanism (22) to bend in a preset direction; and a drive assembly comprises a base plate (1), a rotation drive assembly and a deflection resetting member (25), wherein the rotation drive assembly is rotatably arranged relative to the base plate (1) and connected to the other end of the adjustment pull cord in a driving manner; the rotation drive assembly controls the angle of rotation by means of a drive electric motor; two ends of the deflection resetting member (25) are respectively fixedly connected to the base plate (1) and the rotation drive assembly, and the deflection resetting member (25) is used to provide the rotation drive assembly with an eccentric tension torque towards an initial position. A bending angle of the surgical instrument can be automatically controlled by means of the rotation drive assembly, which solves the technical problem of inconvenient adjustment of the corresponding angle and positioning of a flexible endoscope arranged on a surgery assistant robot. In addition, the deflection resetting member (25) can ensure the resetting and maintain the tensioning of the adjustment pull cord.

Description

一种柔性手术器械控制装置及内镜手术机器人系统A flexible surgical instrument control device and endoscopic surgical robot system 技术领域technical field
本发明涉及医疗器械领域,具体涉及一种柔性手术器械控制装置及内镜手术机器人系统。The invention relates to the field of medical instruments, in particular to a flexible surgical instrument control device and an endoscopic surgical robot system.
背景技术Background technique
内窥镜是集中了传统光学、人体工程学、精密机械、现代电子、数学、软件等于一体的检测仪器。具有图像传感器、光学镜头、光源照明、机械装置等,它可以经口腔进入胃内或经其他天然孔道进入体内。利用内窥镜可以看到X射线不能显示的病变,因此,内窥镜在医学诊断上有着非常重大的作用,其中,柔性内窥镜通过采用内置一条金属蛇骨关节,通过牵拉与之连接的操纵线的方法使其弯曲,以实现内窥镜头部的角度调节。Endoscope is a testing instrument that integrates traditional optics, ergonomics, precision machinery, modern electronics, mathematics, and software. With image sensor, optical lens, light source lighting, mechanical device, etc., it can enter the stomach through the oral cavity or enter the body through other natural channels. Endoscopes can be used to see lesions that cannot be displayed by X-rays. Therefore, endoscopes play a very important role in medical diagnosis. Among them, flexible endoscopes use a built-in metal snake bone joint and are connected to it by pulling The method of manipulating the wire makes it bend to achieve the angular adjustment of the endoscope head.
随着微创手术的广泛发展,手术辅助机器人在内微创手术中扮演了越来越重要的角色,手术辅助机器人的出现,改变了以往在微创手术中,需要医生手动持镜,通过左手持内窥镜,右手持手术器械进行操作。减少了手术的难度,保证了手术过程中器械的稳定性,防止医生手部长时间的持镜会因疲劳而导致内窥镜画面的晃动,从而影响手术操作的安全性和质量。例如专利申请号201810353515.8公开了一种基于远端中心运动机构的持镜手术机器人,基于远端中心运动机构的持镜手术机器人及结合远端中心运动机构控制内窥镜的姿态以探视手术区域内的人体组织,如此实现准确的定位,具有运动灵活,动作精细等的优点,在手术中可以代替医生把持内窥镜,并跟随手术器械进行适时适度调整,使得手术视野精准、稳定的呈现在医生面前;同时可以解放医生的左手,变为单手操作模式为双手操作模式,减轻医生劳动强度,而且把机器人稳定精确的优点与医生的经验结合起来,在保证了内窥镜图像稳定性的同时,提高了手术的质量。With the extensive development of minimally invasive surgery, surgical assistant robots have played an increasingly important role in minimally invasive surgery. Hold an endoscope and operate with surgical instruments in your right hand. It reduces the difficulty of the operation, ensures the stability of the instrument during the operation, and prevents the shaking of the endoscope screen due to fatigue caused by the doctor's hand holding the mirror for a long time, thus affecting the safety and quality of the operation. For example, Patent Application No. 201810353515.8 discloses a mirror-holding surgical robot based on the distal central motion mechanism, which combines the remote central motion mechanism to control the posture of the endoscope to visit the surgical area. The accurate positioning of the human tissue in this way has the advantages of flexible movement and fine movement. During the operation, it can replace the doctor to hold the endoscope, and follow the surgical instruments to make timely and appropriate adjustments, so that the surgical field of view is accurately and stably presented to the doctor. At the same time, it can liberate the left hand of the doctor and change it from one-handed operation mode to two-handed operation mode, which reduces the labor intensity of the doctor, and combines the advantages of stability and precision of the robot with the experience of the doctor, ensuring the stability of the endoscope image at the same time , improving the quality of surgery.
然而,现有技术中,手术辅助机器人上的手术器械外导管基本是硬性的,不能应用于柔性内窥镜,柔性内窥镜设置于手术辅助机器人上也不便 于调节相应的角度以及进行定位,也无法长时间保持稳定的角度,容易出现松弛的情况。However, in the prior art, the outer catheter of the surgical instrument on the surgical auxiliary robot is basically rigid and cannot be applied to a flexible endoscope, and it is not convenient to adjust the corresponding angle and position the flexible endoscope on the surgical auxiliary robot. It is also impossible to maintain a stable angle for a long time, and it is prone to slack.
因此,需要提供一种在内镜手术机器上上能够实现稳定且精确调节柔性器械角度的装置来解决上述技术问题。Therefore, it is necessary to provide a device capable of stably and accurately adjusting the angle of the flexible instrument on the endoscopic surgical machine to solve the above technical problems.
发明内容Contents of the invention
为了解决上述技术问题,本发明第一方面提供了一种柔性手术器械控制装置,包括:In order to solve the above technical problems, the first aspect of the present invention provides a flexible surgical instrument control device, including:
执行件;Execution;
弯折结构,所述弯折机构与所述执行件连接,用于带动所述执行件弯折;a bending structure, the bending mechanism is connected to the actuator, and is used to drive the actuator to bend;
调节拉绳,所述调节拉绳的一端与所述弯折机构连接,用于通过施加拉力驱动所述弯折机构朝预设方向弯折;Adjust the pull cord, one end of the adjust pull cord is connected to the bending mechanism, and is used to drive the bending mechanism to bend toward a preset direction by applying a pulling force;
驱动组件,所述驱动组件包括底板、转动驱动组件和偏转复位件,所述转动驱动组件相对所述底板转动设置且与所述调节拉绳的另一端驱动连接;所述转动驱动组件通过驱动电机控制转动角度;A drive assembly, the drive assembly includes a bottom plate, a rotation drive assembly and a deflection reset member, the rotation drive assembly is rotatably arranged relative to the bottom plate and is drivingly connected to the other end of the adjustment pull cord; the rotation drive assembly is driven by a drive motor Control the rotation angle;
所述偏转复位件两端分别与所述底板和所述转动驱动组件固定连接,用于向所述转动驱动组件提供朝向初始位置的偏拉扭矩。Two ends of the deflection reset member are respectively fixedly connected with the bottom plate and the rotation drive assembly, and are used to provide the rotation drive assembly with a biasing torque toward an initial position.
进一步优选地:所述偏转复位件为卷簧,所述卷簧外侧的一端与所述底板卡接固定,转动驱动组件穿过所述偏转复位件,且所述偏转复位件的内侧的一端与转动驱动组件外表面固定连接。Further preferably: the deflection reset member is a coil spring, one end of the outer side of the coil spring is clamped and fixed with the bottom plate, the rotation drive assembly passes through the deflection reset member, and the inner end of the deflection reset member is connected to the bottom plate The outer surface of the rotating drive assembly is fixedly connected.
进一步优选地:所述调节拉绳为四根,四根所述调节拉绳与所述弯折结构的连接位置均布设置,所述转动驱动组件为四组,分别与每根所述调节拉绳的另一端连接。Further preferably: there are four adjustment pull cords, and the connection positions of the four adjustment pull cords and the bending structure are evenly distributed, and the rotation drive components are in four groups, respectively connected to each of the adjustment pull cords. Connect the other end of the rope.
进一步优选地:所述驱动组件还包括导向轮,所述调节拉绳绕设于所述导向轮后与所述转动驱动组件连接。Further preferably, the drive assembly further includes a guide wheel, and the adjustment pull cord is wound around the guide wheel and connected to the rotation drive assembly.
进一步优选地:四个所述转动驱动组件呈矩形布置,所述导向轮为四个,设置在四个所述转动驱动组件中间,所述导向轮两两上下对称设置。Further preferably, the four rotating drive assemblies are arranged in a rectangular shape, the guide wheels are four, and are arranged in the middle of the four rotating drive assemblies, and the guide wheels are symmetrically arranged in pairs up and down.
进一步优选地:每根所述调节拉绳套设有拉绳弹簧管,所述调节拉绳伸出所述拉绳弹簧管后绕设在所述导向轮上。Further preferably, each of the adjustment drawcord sleeves is provided with a drawstring spring tube, and the adjustment drawcords extend out of the stay cord spring tubes and are wound around the guide wheels.
进一步优选地:还包括执行驱动件,所述执行件为器械钳,所述执行驱动件一端与所述执行件连接,用于驱动所述器械钳的张合,所述执行驱动件另一端与张合驱动机构连接。Further preferably: it also includes an actuator, the actuator is an instrument forceps, one end of the actuator is connected to the actuator, and is used to drive the opening and closing of the instrument forceps, and the other end of the actuator is connected to the instrument forceps. The opening and closing drive mechanism is connected.
进一步优选地:所述执行驱动件为硬质钢丝,所述执行驱动件被套设在钢丝弹簧管内,所述执行驱动件穿过所述钢丝弹簧管后与所述张合驱动机构连接,所述执行驱动件上连接有向其提供推力的压缩弹簧。Further preferably: the actuator is a hard steel wire, the actuator is sheathed in the wire spring tube, the actuator is connected to the opening and closing drive mechanism after passing through the wire spring tube, the A compression spring providing thrust is connected to the actuator driving member.
进一步优选地:还包括柔性外导管,所述柔性外导管一端与弯折结构连接,另一端与所述底板的管件固定座连接,所述调节拉绳穿过所述柔性外导管与弯折结构连接;Further preferably: it also includes a flexible outer conduit, one end of the flexible outer conduit is connected to the bending structure, and the other end is connected to the pipe fixing seat of the bottom plate, and the adjustment pull cord passes through the flexible outer conduit and the bending structure connect;
所述底板连接有进退驱动组件,所述进退驱动组件用于驱动所述底板带动柔性外导管前进或后退。The base plate is connected with an advance and retreat drive assembly, and the advance and retreat drive assembly is used to drive the base plate to drive the flexible outer conduit forward or backward.
另外,本申请还提供一种内镜手术机器人系统,包括控制器和如上所述的柔性手术器械控制装置,所述控制器用于根据所述执行件的目标调节角度和方向,控制所述转动驱动组件的转动。In addition, the present application also provides an endoscopic surgical robot system, including a controller and the above-mentioned flexible surgical instrument control device, the controller is used to adjust the angle and direction according to the target of the actuator, and control the rotation drive component rotation.
实施本发明具有以下有益效果:Implementing the present invention has the following beneficial effects:
1.过转动驱动组件,使得手术器械的弯折角度能够自动控制,解决了柔性内窥镜设置于手术辅助机器人上也不便于调节相应的角度以及进行定位的技术问题;1. The over-rotational drive assembly enables automatic control of the bending angle of the surgical instrument, which solves the technical problem that it is difficult to adjust the corresponding angle and position the flexible endoscope when it is set on the surgical auxiliary robot;
2.在不受驱动电机的外力时,由于钢丝绳内的预存的绷紧力,可能造成转轴的反向转动,从而导致钢丝绳的松弛,而偏转复位件的存在,是的转轴保持受到朝向中位转动的力,使得钢丝绳一直处于初始绷紧状态;2. When there is no external force from the driving motor, due to the pre-stored tension force in the wire rope, the rotating shaft may rotate in the opposite direction, resulting in the relaxation of the wire rope, and the existence of the deflection reset part keeps the rotating shaft moving towards the neutral position. The force of rotation makes the wire rope always in the initial tension state;
3.动电机可以与控制器连接,控制器根据手术操作者需要的执行端对应方向和角度,转换为驱动电机应转动的角度,然后通过控制器对驱动电机进行控制转动来实现,无需使用者考虑具体控制转轴转动多少,控制更加方便和精确;3. The motor can be connected with the controller, and the controller converts the corresponding direction and angle of the execution end required by the operator into the angle that the drive motor should rotate, and then the controller controls the rotation of the drive motor to achieve this without the need for users Consider how much to control the rotation of the shaft, the control is more convenient and precise;
4.硬质钢丝在压缩弹簧的推力下对人体组织进行夹持并且保持夹持状态,不需要额外提供其他驱动力,在需要张开时,直接推动执行驱动件即可方便控制执行件的动作;4. The hard steel wire clamps the human tissue under the thrust of the compression spring and maintains the clamping state, without providing additional driving force. When it needs to be opened, directly push the actuator to control the movement of the actuator;
5.丝杠机构驱动整个底板和设置在其上的组件同时前进和后退,从而实 现柔性外导管能够相对插入镜体插入管运动,使得整个底板上的驱动组件也共同前进后退,实现整个器械推送的自动化。5. The lead screw mechanism drives the entire bottom plate and the components arranged on it to advance and retreat at the same time, so that the flexible outer catheter can move relative to the insertion tube of the mirror body, so that the driving components on the entire bottom plate also advance and retreat together to realize the push of the entire instrument automation.
本发明的附加方面和优点将在下面的描述中部分给出,部分将从下面的描述中变得明显,或通过本发明的实践了解到。Additional aspects and advantages of the invention will be set forth in the description which follows, and in part will be obvious from the description, or may be learned by practice of the invention.
附图说明Description of drawings
为了更清楚地说明本发明实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其它附图。In order to more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the following will briefly introduce the drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description are only These are some embodiments of the present invention. Those skilled in the art can also obtain other drawings based on these drawings without creative work.
图1为本发明实施例整体结构示意图;1 is a schematic diagram of the overall structure of an embodiment of the present invention;
图2为本发明实施例俯视图;Fig. 2 is a top view of an embodiment of the present invention;
图3为本发明实施例转动驱动组件局部放大图;Fig. 3 is a partially enlarged view of a rotary drive assembly according to an embodiment of the present invention;
图4为本发明实施例转动驱动组件去除绕线轮和绕线轮外盖后的结构示意图;Fig. 4 is a structural schematic diagram of the rotating drive assembly according to the embodiment of the present invention after removing the reel and the outer cover of the reel;
图5为本发明实施例设有进退驱动组件时的结构示意图;Fig. 5 is a structural schematic diagram of an embodiment of the present invention when a forward and backward drive assembly is provided;
图6为本发明实施例器械钳和弯折机构局部放大图;Fig. 6 is a partially enlarged view of the instrument forceps and the bending mechanism of the embodiment of the present invention;
图7为本发明实施例器械钳在镜体插入管中实现弯折的结构示意图。Fig. 7 is a schematic structural view of the bending of the instrument forceps in the scope insertion tube according to the embodiment of the present invention.
本申请实施例中附图标记对应如下:The corresponding reference signs in the embodiments of the present application are as follows:
底板1;绕线轮2;绕线轮外盖3;轴承4;导向轮5;钢丝弹簧管固定座6;弹簧管固定底座7;外导管固定座8;拉绳弹簧管固定座9;拉绳弹簧管固定件10;连接柱11;压缩弹簧12;压缩固定支架13;张合驱动机构14;拉绳弹簧管15;第一钢丝绳16;第二钢丝绳17;第三钢丝绳18;第四钢丝绳19;驱动转轴20;器械钳21;弯折机构22;柔性外导管23;进退驱动组件24;偏转复位件25;偏转连接座26;执行驱动件27;钢丝弹簧管28;镜体插入管28;器械通道29。 Bottom plate 1; reel 2; reel cover 3; bearing 4; guide wheel 5; steel wire spring tube fixing seat 6; spring tube fixing base 7; Rope spring tube fixing part 10; connecting column 11; compression spring 12; compression fixing bracket 13; opening and closing drive mechanism 14; pull rope spring tube 15; first steel wire rope 16; second steel wire rope 17; third steel wire rope 18; fourth steel wire rope 19; driving shaft 20; instrument forceps 21; bending mechanism 22; flexible outer catheter 23; ; Instrument channel 29 .
具体实施方式Detailed ways
为使本发明实施例的目的、技术方案和优点更加清楚,下面将结合本 发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。所述实施例的示例在附图中示出,其中自始至终相同或类似的标号表示相同或类似的元件或具有相同或类似功能的元件。In order to make the purpose, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the drawings in the embodiments of the present invention. Obviously, the described embodiments It is a part of embodiments of the present invention, but not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention. Examples of the described embodiments are shown in the drawings, wherein like or similar reference numerals designate like or similar elements or elements having the same or similar functions throughout.
本申请为了解决现有技术中柔性内窥镜设置于手术辅助机器人上也不便于调节相应的角度以及进行定位,也无法长时间保持稳定的角度,容易出现松弛的情况,通过转动驱动组件,使得手术器械的弯折角度能够自动控制,解决了柔性内窥镜设置于手术辅助机器人上也不便于调节相应的角度以及进行定位的技术问题。In order to solve the problem that the flexible endoscope is installed on the surgical auxiliary robot in the prior art, it is not convenient to adjust the corresponding angle and perform positioning, nor can it maintain a stable angle for a long time, and it is prone to loosening. By rotating the drive assembly, the The bending angle of the surgical instrument can be automatically controlled, which solves the technical problem that it is difficult to adjust the corresponding angle and position the flexible endoscope when it is set on the surgical auxiliary robot.
具体结合以下实施例说明对应效果:Specifically, the corresponding effects are described in conjunction with the following examples:
实施例Example
如图1-7所示:在本实施例中,包括一种柔性手术器械控制装置,其用于控制执行件在进入人体腔道后在内部的弯折方向和角度,执行件在本实施例中为器械钳21,也可以是其他执行手术操作的器械,例如电刀等,也可以用于其他在手术过程中需要调节角度弯折的带执行装置的柔性管状器械。本实施例中,执行件可以通过器械通道29进入人体体内,在进入后伸出器械通道29,然后进行相应的控制后弯折,再通过执行驱动件27进行执行件的驱动控制完成手术动作。具体地,驱动件27可以是通过推拉实现器械钳21开合的硬钢丝绳。As shown in Figures 1-7: In this embodiment, a flexible surgical instrument control device is included, which is used to control the internal bending direction and angle of the actuator after entering the human body cavity. In the center is the instrument forceps 21, which can also be other instruments for performing surgical operations, such as an electric knife, and can also be used for other flexible tubular instruments with actuators that need to adjust the angle and bend during the operation. In this embodiment, the actuator can enter the human body through the instrument channel 29, extend out of the instrument channel 29 after entering, and then be bent after corresponding control, and then the actuator is driven and controlled by the actuator driver 27 to complete the operation. Specifically, the driving member 27 may be a hard steel wire rope that realizes opening and closing of the instrument forceps 21 by pushing and pulling.
为了使得执行件的弯折可控,在执行件后端连接有弯折机构22,机构22与执行件连接,用于带动执行件弯折;本实施例中,具体连接方式为,器械钳的后端焊接在弯折机构22上,也可以是其他的固定方式。用于控制弯折机构进行弯折的调节拉绳的一端与弯折机构22连接,用于通过施加拉力驱动弯折机构22朝预设方向弯折;具体地,弯折机构22为蛇骨结构,具体为四向蛇骨,通过四根拉绳连接进行四个方向的驱动;即调节拉绳对应包括第一钢丝绳16、第二钢丝绳17、第三钢丝绳18和第四钢丝绳19,四根调节拉绳与弯折机构22的连接位置均布设置。In order to make the bending of the actuator controllable, a bending mechanism 22 is connected to the rear end of the actuator, and the mechanism 22 is connected to the actuator to drive the bending of the actuator; in this embodiment, the specific connection method is that the instrument clamp The rear end is welded on the bending mechanism 22, and other fixing methods are also possible. One end of the adjusting pull cord used to control the bending mechanism to bend is connected to the bending mechanism 22, and is used to drive the bending mechanism 22 to bend toward a preset direction by applying a pulling force; specifically, the bending mechanism 22 is a snake bone structure , is specifically a four-way snake bone, which is driven in four directions by connecting four pull ropes; that is, the adjustment pull ropes correspondingly include the first steel wire rope 16, the second steel wire rope 17, the third steel wire rope 18 and the fourth steel wire rope 19, four adjustment wire ropes The connecting positions of the stay cords and the bending mechanism 22 are evenly distributed.
现有技术中,手术操作者通常通过手动控制钢丝绳的拉动距离,来控制蛇骨的弯折,然而,该操作过程需要手术操作者具有一定的经验,而且容易发生控制精度不够或者稳定性不高的问题。并且该操作方法一般用于手动操作器械中,并未有用于手术机器人中进行蛇骨控制的有效方案。本实施例中,提供了一种驱动组件,驱动组件包括底板1、转动驱动组件和偏转复位件25,转动驱动组件相对底板1转动设置且与调节拉绳的另一端驱动连接;转动驱动组件通过驱动电机控制转动角度。具体地,本实施例中,通过驱动电机可以与控制器连接,控制器根据手术操作者需要的执行端对应方向和角度,转换为驱动电机应转动的角度,然后通过控制器对驱动电机进行控制转动来实现。需要的执行端对应方向和角度可以通过人为参数输入,也可以通过外部的实体或者虚拟的模拟装置进行手动操作,更加符合操作者的手感,再通过操作者的虚拟操作动作,转化为执行端实际需要控制的方向和角度。In the prior art, the operator usually controls the bending of the snake bone by manually controlling the pulling distance of the wire rope. However, this operation process requires the operator to have certain experience, and it is prone to insufficient control accuracy or low stability. The problem. And this operation method is generally used in manual operation instruments, and there is no effective solution for snake bone control in surgical robots. In this embodiment, a driving assembly is provided. The driving assembly includes a bottom plate 1, a rotating driving assembly and a deflection reset member 25. The rotating driving assembly is arranged to rotate relative to the bottom plate 1 and is drivingly connected to the other end of the adjustment pull cord; the rotating driving assembly passes through The driving motor controls the rotation angle. Specifically, in this embodiment, the drive motor can be connected to the controller, and the controller converts the angle that the drive motor should rotate according to the corresponding direction and angle of the execution end required by the operator, and then controls the drive motor through the controller. Rotate to achieve. The required direction and angle of the execution end can be input through artificial parameters, or manually operated through an external entity or virtual simulation device, which is more in line with the operator's feel, and then transformed into the actual execution end through the operator's virtual operation action. Direction and angle to control.
本实施例中,由于对应于四根调节拉绳,转动驱动组件为四组,分别与每根调节拉绳的另一端连接。控制器分别与四个转动驱动组件对应的驱动电机电连接,用于控制各个驱动电机的转动角度,各个电机的转动角度通过控制器根据手术操作者需要的执行端对应方向和角度换算而成。具体地,本实施例中,转动驱动组件包括:转轴20、绕线轮2、绕线轮外盖3和轴承4,转轴20与驱动电机的输出轴驱动连接,根据驱动电机的转动而转动,绕线轮2固定于转轴20上,随着转动共通转动,绕线轮2上固定连接有调节拉绳,用于带动调节拉绳在绕线轮2上的缠绕程度,从而逐步拉紧调节拉绳,从而控制蛇骨对应的弯折方向;轴承4则用于减少部件之间相对转动时的摩擦力。本实施例中,绕线轮外盖3通过固定件将绕线轮2和转轴20固定连接,并且还能够同时将钢丝绳压紧固定在绕线轮上。In this embodiment, since there are four sets of rotating drive assemblies corresponding to the four adjustment pull cords, they are respectively connected to the other end of each adjustment pull cord. The controller is electrically connected to the driving motors corresponding to the four rotating drive components, and is used to control the rotation angle of each driving motor. The rotation angle of each motor is converted by the controller according to the corresponding direction and angle of the execution end required by the operator. Specifically, in this embodiment, the rotating drive assembly includes: a rotating shaft 20, a reel 2, a reel cover 3 and a bearing 4, the rotating shaft 20 is drivingly connected to the output shaft of the driving motor, and rotates according to the rotation of the driving motor, The reel 2 is fixed on the rotating shaft 20, and rotates together with the rotation. The reel 2 is fixedly connected with an adjustment pull cord, which is used to drive and adjust the winding degree of the stay cord on the reel 2, thereby gradually tightening the adjustment pull. The rope is used to control the corresponding bending direction of the snake bone; the bearing 4 is used to reduce the friction force during relative rotation between the parts. In this embodiment, the outer cover 3 of the reel 3 is fixedly connected to the reel 2 and the rotating shaft 20 through a fixing member, and can also compress and fix the wire rope on the reel at the same time.
由于设置有四根调节拉绳,为了使得第一钢丝绳16、第二钢丝绳17、第三钢丝绳18、第四钢丝绳19驱动时不会互相缠绕影响,并且为了有效节约和集成空间,还包括导向轮5,调节拉绳绕设于导向轮5后与转动驱动组件连接,用于将每根调节拉绳导向不同的方向,保证了拉绳的张紧以及变向,使得四个转动驱动组件能够在底板1上对称分部,四个转动驱动组件 呈矩形布置,导向轮5为四个,设置在四个转动驱动组件中间,导向轮5两两上下对称设置,即导向轮上下各两个,然后上下对称设置,布置在四个转动驱动组件中间。Since there are four adjusting pull ropes, in order to make the first steel wire rope 16, the second steel rope 17, the third steel wire rope 18, and the fourth steel wire rope 19 not be intertwined and affect each other when driving, and in order to effectively save and integrate space, a guide wheel is also included. 5. The adjusting pull cord is wound around the guide wheel 5 and connected to the rotating drive assembly, which is used to guide each adjusting pull cord in different directions, ensuring the tension and direction change of the pull cord, so that the four rotating drive assemblies can The bottom plate 1 is symmetrically divided, and the four rotating drive assemblies are arranged in a rectangular shape. There are four guide wheels 5, which are arranged in the middle of the four rotating drive assemblies. It is arranged symmetrically up and down, and is arranged in the middle of the four rotating drive assemblies.
每根调节拉绳套设有拉绳弹簧管15,调节拉绳伸出拉绳弹簧管15后绕设在导向轮5上;拉绳弹簧管15可以使得调节拉绳保持在特定位置,不容易错位,也增加了拉动蛇骨的刚度;并且,本实施例中,还进一步地设有拉绳弹簧管固定座9,配合拉绳弹簧管固定件10,使得拉绳弹簧管15能够稳定安置在底板1上。蛇骨弯曲是通过调节拉绳驱动,调节拉绳穿过拉绳弹簧管15,拉绳弹簧管15一端焊接在柔性外导管靠近蛇骨段的连接轴上,一端连接在拉绳弹簧管固定座9上。Each adjustment stay cord cover is provided with a stay cord spring tube 15, and the adjustment stay cord stretches out from the stay cord spring tube 15 and is wound on the guide wheel 5; Misalignment also increases the stiffness of the pulling snake; and, in the present embodiment, a drawstring spring tube fixing seat 9 is further provided to cooperate with the stay cord spring tube fixture 10, so that the stay cord spring tube 15 can be stably placed on the on base plate 1. The bending of the snake bone is driven by adjusting the drawstring, which passes through the drawstring spring tube 15, and one end of the drawstring spring tube 15 is welded on the connecting shaft of the flexible outer catheter close to the snake bone section, and the other end is connected to the drawstring spring tube fixing seat 9 on.
本实施例中,偏转复位件25两端分别与底板1和转动驱动组件固定连接,用于向转动驱动组件提供朝向初始位置的偏拉扭矩,作用是保持转动驱动组件的转轴处于中位,转轴受力偏转,恒力弹簧加反向力,当外力消除,使转轴20恢复中位,从而保证蛇骨上的钢丝绳处于拉紧状态,四根对应的钢丝绳在四个转轴回复中位的共同作用下,可以使得蛇骨能够快速回位,以便下一次的调节控制。对应的,在安装设置时,在转轴处于中位时,第一钢丝绳16、第二钢丝绳17、第三钢丝绳18和第四钢丝绳19均处于绷紧但不拉弯弯折机构(蛇骨)的状态,在转轴20往拉紧方向转动时,即与第一钢丝绳16、第二钢丝绳17对应的转轴往顺时针转动,以及与第三钢丝绳18、第四钢丝绳19对应的转轴往逆时针转动时,钢丝绳会受到拉力,从而拉动蛇骨弯折;而在不受驱动电机的外力时,由于钢丝绳内的预存的绷紧力,可能造成转轴的反向转动,从而导致钢丝绳的松弛,而偏转复位件25的存在,是的转轴保持受到朝向中位转动的力,使得钢丝绳一直处于初始绷紧状态。In this embodiment, the two ends of the deflection reset member 25 are respectively fixedly connected with the bottom plate 1 and the rotation drive assembly, and are used to provide the rotation drive assembly with a biasing torque toward the initial position, and the function is to keep the rotation shaft of the rotation drive assembly in the neutral position, and the rotation shaft Forced deflection, constant force spring plus reverse force, when the external force is eliminated, the rotating shaft 20 will return to the neutral position, so as to ensure that the steel wire rope on the snake bone is in a tensioned state, and the four corresponding steel wire ropes return to the neutral position on the four rotating shafts. Next, the snake bone can be quickly returned to the next adjustment control. Correspondingly, when installing and setting, when the rotating shaft is in the middle position, the first steel wire rope 16, the second steel wire rope 17, the third steel wire rope 18 and the fourth steel wire rope 19 are all in the position of the tight but not stretched bending mechanism (snake bone). state, when the rotating shaft 20 rotates in the tensioning direction, that is, when the rotating shaft corresponding to the first steel wire rope 16 and the second steel wire rope 17 rotates clockwise, and when the rotating shaft corresponding to the third steel wire rope 18 and the fourth steel wire rope 19 rotates counterclockwise , the steel wire rope will be pulled by tension, thus pulling the snake bone to bend; and when there is no external force from the drive motor, due to the pre-existing tension force in the steel wire rope, the rotating shaft may rotate in the opposite direction, resulting in the relaxation of the steel wire rope, and the deflection resets. The existence of part 25 is that the rotating shaft keeps being subjected to the power of turning towards the neutral position, so that the steel wire rope is always in the initial tension state.
具体地,偏转复位件25为卷簧,卷簧外侧的一端与底板1卡接固定,转动驱动组件穿过偏转复位件25,且卷簧的内侧的一端与转动驱动组件外表面固定连接,优选地,可以是卷簧的内侧的一端与转轴固定连接。在其它实施例中,也可以采用其他形式的弹性装置来实现复位。Specifically, the deflection return member 25 is a coil spring, one end of the outer side of the coil spring is clamped and fixed with the bottom plate 1, the rotation drive assembly passes through the deflection return member 25, and the inner end of the coil spring is fixedly connected to the outer surface of the rotation drive assembly, preferably Ground, it may be that one end of the inner side of the coil spring is fixedly connected with the rotating shaft. In other embodiments, other forms of elastic devices can also be used to achieve reset.
另外,本实施例中,还包括执行驱动件27,当执行件为器械钳21时, 执行驱动件27一端与器械钳21连接,用于驱动器械钳21的张合,执行驱动件27另一端与张合驱动机构14连接,张合驱动机构14具体为连杆,可以通过手动或者电动控制连杆的动作,来推拉驱动器械钳21的张合,在其他实施例中,当执行件为其它器械时,也可以通过联动设计,来通过推拉动作控制器械的相应动作。In addition, in this embodiment, it also includes an execution driver 27. When the execution member is an instrument forceps 21, one end of the execution drive 27 is connected to the instrument forceps 21 for driving the opening and closing of the instrument forceps 21, and the other end of the execution drive 27 is Connected with the opening and closing drive mechanism 14, the opening and closing drive mechanism 14 is specifically a connecting rod, which can push and pull the opening and closing of the instrument forceps 21 by manually or electrically controlling the action of the connecting rod. In other embodiments, when the actuator is other When using a device, the linkage design can also be used to control the corresponding action of the device through the push-pull action.
优选地,本实施例中,执行驱动件27为硬质钢丝,执行驱动件27被套设在钢丝弹簧管28内,执行驱动件27穿过钢丝弹簧管28后与张合驱动机构14连接,执行驱动件27上连接有向其提供推力的压缩弹簧12,以使得保证器械钳21的夹子初始状态处于闭合状态,当需要夹持组织时,拉动张合驱动机构14,使其克服压缩弹簧12的推力,从而使得器械钳21张开,当对位好要夹持的组织后,再慢慢松开张合驱动机构14,硬质钢丝在压缩弹簧12的推力下对人体组织进行夹持并且保持夹持状态,不需要额外提供其他驱动力。Preferably, in this embodiment, the actuator driver 27 is a hard steel wire, and the actuator driver 27 is sheathed in the wire spring tube 28, and the actuator driver 27 passes through the wire spring tube 28 and is connected with the opening and closing drive mechanism 14 to execute The driving member 27 is connected with a compression spring 12 that provides a thrust to it, so as to ensure that the initial state of the clip of the instrument forceps 21 is in a closed state. thrust, so that the instrument forceps 21 are opened, and after the tissue to be clamped is aligned, the opening and closing drive mechanism 14 is slowly released, and the hard steel wire clamps and maintains the human tissue under the thrust of the compression spring 12 In the clamping state, no additional driving force is required.
进一步地,针对钢丝弹簧管28,本实施例中,还提供了钢丝弹簧管固定座6和弹簧管固定底座7,弹簧管固定底座7上架设有钢丝弹簧管固定座6,钢丝弹簧管固定座6用于固定钢丝弹簧管28。Further, for the wire spring tube 28, in the present embodiment, a wire spring tube fixing base 6 and a spring tube fixing base 7 are also provided, the spring tube fixing base 7 is provided with a wire spring tube fixing base 6, and the wire spring tube fixing base 6 is used for fixing steel wire spring tube 28.
另外,本申请实施例中,还包括柔性外导管23,柔性外导管23一端与弯折机构22连接,另一端与底板1的管件固定座连接,具体为,底板1上固定设置有外导管固定座8,柔性外导管23固定设置在外导管固定座8上;调节拉绳穿过柔性外导管23内部后与蛇骨相连,执行驱动件27穿过柔性外导管23内部后与器械钳21相连。In addition, in the embodiment of the present application, a flexible outer conduit 23 is also included. One end of the flexible outer conduit 23 is connected to the bending mechanism 22, and the other end is connected to the pipe fixing seat of the bottom plate 1. Specifically, the bottom plate 1 is fixedly provided with an outer conduit fixing Seat 8, flexible outer catheter 23 is fixedly arranged on the outer catheter fixing seat 8; the adjustment stay rope passes through the inside of the flexible outer catheter 23 and is connected to the snake bone, and the actuator 27 is connected to the instrument forceps 21 after passing through the inside of the flexible outer catheter 23.
柔性外导管23为可弯曲柔性材质制成,可以插入镜体插入管28的器械通道29,随着插入镜体插入管28一同进入人体内部,然后再相对插入镜体插入管28运动,伸出镜体插入管28,同步带动器械钳21进入人体内部。再通过转动驱动组件的控制和张合驱动机构14的控制,进行对器械钳21的进一步地弯折控制和夹持操作。The flexible outer catheter 23 is made of bendable flexible material, and can be inserted into the instrument channel 29 of the scope insertion tube 28, and enters the inside of the human body together with the insertion of the scope insertion tube 28, and then moves relative to the insertion scope insertion tube 28, and stretches out the scope. The body is inserted into the tube 28, and the instrument forceps 21 are synchronously driven to enter the inside of the human body. Further bending control and clamping operation of the instrument forceps 21 are performed through the control of the rotating drive assembly and the control of the opening and closing drive mechanism 14 .
为了实现柔性外导管能够相对插入镜体插入管28运动,伸出镜体插入管28的管口,本实施例中,底板1连接有进退驱动组件24,进退驱动组件24用于驱动底板1带动柔性外导管23前进或后退。In order to realize that the flexible outer catheter can move relative to the insertion tube 28 of the lens body and extend out of the nozzle of the lens body insertion tube 28, in this embodiment, the base plate 1 is connected with an advance and retreat drive assembly 24, and the advance and retreat drive assembly 24 is used to drive the base plate 1 to drive the flexible tube. The outer catheter 23 advances or retreats.
具体地,进退驱动组件24包含丝杠机构,丝杠机构驱动连接一驱动板,驱动板和底板1固定连接,从而驱动整个底板1和设置在其上的组件同时前进和后退,从而实现柔性外导管能够相对插入镜体插入管28运动。优选地,底板1上还设置有连接柱11,用于连接保护壳体或其他安装板。Specifically, the advance and retreat drive assembly 24 includes a screw mechanism, which drives and connects a drive plate, and the drive plate is fixedly connected to the base plate 1, thereby driving the entire base plate 1 and the components arranged on it to advance and retreat at the same time, thereby realizing a flexible exterior. The catheter is movable relative to the insertion scope insertion tube 28 . Preferably, a connecting column 11 is also provided on the base plate 1 for connecting a protective case or other mounting plates.
工作原理,根据上述实施例的描述,当使用本申请的柔性手术器械控制装置时,首先,将镜体插入管28插入人体腔道内,到达病灶位置,器械钳21、弯折机构22和柔性外导管23随着镜体插入管28共同进入;Working principle, according to the description of the above-mentioned embodiment, when using the flexible surgical instrument control device of the present application, first, insert the mirror body insertion tube 28 into the human body cavity to reach the lesion position, the instrument forceps 21, the bending mechanism 22 and the flexible outer The catheter 23 enters together with the scope insertion tube 28;
进退驱动组件24中的丝杠机构开始运动,驱动底板1,带动固定在外导管固定座8上的柔性外导管23相对插入镜体插入管28运动,伸出镜体插入管28的管口,使得器械钳到达操作位置;The lead screw mechanism in the advance and retreat drive assembly 24 starts to move, drives the bottom plate 1, drives the flexible outer catheter 23 fixed on the outer catheter fixing seat 8 to move relative to the insertion tube 28 of the mirror body, and stretches out the mouth of the mirror body insertion tube 28, so that the instrument The pliers reach the operating position;
控制张合驱动机构14,拉动张合驱动机构14,使其克服压缩弹簧12的推力,从而使得器械钳21张开;Control the opening and closing driving mechanism 14, pull the opening and closing driving mechanism 14 to make it overcome the thrust of the compression spring 12, so that the instrument forceps 21 are opened;
过驱动电机与控制器连接,控制器根据手术操作者需要的执行端对应方向和角度,转换为驱动电机应转动的角度,然后通过控制器对驱动电机进行控制转动来实现转动驱动组件的转动,从而带动第一钢丝绳16、第二钢丝绳17、第三钢丝绳18和第四钢丝绳19对应的绕线轮的转动角度,钢丝绳带动蛇骨进行对应方向的弯曲,从而更进一步地对准被加持组织;当对位好要夹持的组织后,再慢慢松开张合驱动机构14,硬质钢丝在压缩弹簧12的推力下对人体组织进行夹持并且保持夹持状态,从而进行相应的手术操作,例如切割等。The overdrive motor is connected to the controller, and the controller converts it into the angle that the drive motor should rotate according to the corresponding direction and angle of the actuator required by the operator, and then controls the rotation of the drive motor through the controller to realize the rotation of the drive assembly. Thus driving the rotation angles of the winding wheels corresponding to the first steel wire rope 16, the second steel wire rope 17, the third steel wire rope 18 and the fourth steel wire rope 19, the steel wire rope drives the snake bone to bend in the corresponding direction, thereby further aligning the tissue to be strengthened; After the tissue to be clamped is aligned, the opening and closing drive mechanism 14 is slowly released, and the hard steel wire clamps the human tissue under the thrust of the compression spring 12 and maintains the clamping state, thereby performing the corresponding surgical operation , such as cutting, etc.
另外,本实施例还提供一种内镜手术机器人系统,包括控制器和前述的柔性手术器械控制装置,控制器用于根据执行件的目标调节角度和方向,控制转动驱动组件的转动。In addition, this embodiment also provides an endoscopic surgical robot system, including a controller and the aforementioned flexible surgical instrument control device, the controller is used to adjust the angle and direction of the actuator according to the target, and control the rotation of the rotary drive assembly.
优选地,本实施例中,还包括一种控制方法,由控制器执行,包括,根据手术操作者需要的执行端对应方向和角度,转换为驱动电机应转动的角度,然后通过控制器对驱动电机进行控制转动,到达预设转动角度后,停止驱动电机的驱动力,保持在当前位置,操作结束后,撤销相应的电机驱动力,使得转轴在卷簧作用下恢复到中位。上述控制方法对应的控制程序可存储在控制器的存储介质中;Preferably, in this embodiment, a control method is also included, which is executed by the controller, including, according to the corresponding direction and angle of the execution end required by the operator, converting it into the angle that the drive motor should rotate, and then controlling the drive motor through the controller. The motor rotates under control. After reaching the preset rotation angle, stop the driving force of the driving motor and keep it at the current position. After the operation is completed, cancel the corresponding motor driving force, so that the rotating shaft returns to the neutral position under the action of the coil spring. The control program corresponding to the above control method can be stored in the storage medium of the controller;
可选地,在本实施例中,上述存储介质可以包括但不限于:U盘、只读存储器(ROM,Read-Only Memory)、随机存取存储器(RAM,Random Access Memory)、移动硬盘、磁碟或者光盘等各种可以存储程序代码的介质。Optionally, in this embodiment, the above-mentioned storage medium may include but not limited to: U disk, read-only memory (ROM, Read-Only Memory), random access memory (RAM, Random Access Memory), mobile hard disk, magnetic disk Various media that can store program codes such as discs or optical discs.
本发明还供了一种设备,所述设备包括处理器和存储器,所述存储器中存储有至少一条指令、至少一段程序、代码集或指令集,所述至少一条指令、所述至少一段程序、所述代码集或指令集由所述处理器加载并执行以实现上述的以实现上述的控制方法。The present invention also provides a device, the device includes a processor and a memory, at least one instruction, at least one program, code set or instruction set are stored in the memory, the at least one instruction, the at least one program, The code set or instruction set is loaded and executed by the processor to realize the above control method.
存储器可用于存储软件程序以及模块,处理器通过运行存储在存储器的软件程序以及模块,从而执行各种功能应用以及数据处理。存储器可主要包括存储程序区和存储数据区,其中,存储程序区可存储操作系统、功能所需的应用程序等;存储数据区可存储根据设备的使用所创建的数据等。此外,存储器可以包括高速随机存取存储器,还可以包括非易失性存储器,例如至少一个磁盘存储器件、闪存器件、或其他易失性固态存储器件。相应地,存储器还可以包括存储器控制器,以提供处理器对存储器的访问。The memory can be used to store software programs and modules, and the processor executes various functional applications and data processing by running the software programs and modules stored in the memory. The memory can mainly include a program storage area and a data storage area, wherein the program storage area can store operating systems, application programs required by functions, etc.; the data storage area can store data created according to the use of the device, etc. In addition, the memory may include high-speed random access memory, and may also include non-volatile memory, such as at least one magnetic disk storage device, flash memory device, or other volatile solid-state storage devices. Correspondingly, the memory may also include a memory controller to provide processor access to the memory.
在上述实施例中,对各实施例的描述都各有侧重,某各实施例中没有详述的部分,可以参见其它实施例的相关描述。In the above-mentioned embodiments, the descriptions of each embodiment have their own emphases, and for parts not described in detail in certain embodiments, reference may be made to relevant descriptions of other embodiments.
本领域技术人员还可以了解到本发明实施例列出的各种说明性逻辑块(illustrative logical block),单元,和步骤可以通过电子硬件、电脑软件,或两者的结合进行实现。为清楚展示硬件和软件的可替换性(interchangeability),上述的各种说明性部件(illustrative components),单元和步骤已经通用地描述了它们的功能。这样的功能是通过硬件还是软件来实现取决于特定的应用和整个系统的设计要求。本领域技术人员可以对于每种特定的应用,可以使用各种方法实现所述的功能,但这种实现不应被理解为超出本发明实施例保护的范围。Those skilled in the art can also understand that various illustrative logical blocks, units, and steps listed in the embodiments of the present invention can be implemented by electronic hardware, computer software, or a combination of both. To clearly demonstrate the interchangeability of hardware and software, the various illustrative components, units and steps above have generically described their functions. Whether such functions are implemented by hardware or software depends on the specific application and overall system design requirements. Those skilled in the art may use various methods to implement the described functions for each specific application, but such implementation should not be understood as exceeding the protection scope of the embodiments of the present invention.
以上所述的具体实施方式,对本发明的目的、技术方案和有益效果进行了进一步详细说明,所应理解的是,以上所述仅为本发明的具体实施方式而已,并不用于限定本发明的保护范围,凡在本发明的精神和原则之内,所做的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The specific embodiments described above have further described the purpose, technical solutions and beneficial effects of the present invention in detail. It should be understood that the above descriptions are only specific embodiments of the present invention and are not intended to limit the scope of the present invention. Protection scope, within the spirit and principles of the present invention, any modification, equivalent replacement, improvement, etc., shall be included in the protection scope of the present invention.

Claims (10)

  1. 一种柔性手术器械控制装置,其特征在于,包括:A flexible surgical instrument control device, characterized in that it comprises:
    执行件;Execution;
    弯折机构(22),所述弯折机构(22)与所述执行件连接,用于带动所述执行件弯折;a bending mechanism (22), the bending mechanism (22) is connected to the actuator, and is used to drive the actuator to bend;
    调节拉绳,所述调节拉绳的一端与所述弯折机构(22)连接,用于通过施加拉力驱动所述弯折机构(22)朝预设方向弯折;Adjust the pull cord, one end of the adjust pull cord is connected to the bending mechanism (22), and is used to drive the bending mechanism (22) to bend toward a preset direction by applying a pulling force;
    驱动组件,所述驱动组件包括底板(1)、转动驱动组件和偏转复位件(25),所述转动驱动组件相对所述底板(1)转动设置且与所述调节拉绳的另一端驱动连接;所述转动驱动组件通过驱动电机控制转动角度;A drive assembly, the drive assembly includes a bottom plate (1), a rotation drive assembly and a deflection reset member (25), the rotation drive assembly is arranged to rotate relative to the bottom plate (1) and is drivingly connected to the other end of the adjustment pull cord ; The rotation drive assembly controls the rotation angle through the drive motor;
    所述偏转复位件(25)两端分别与所述底板(1)和所述转动驱动组件固定连接,用于向所述转动驱动组件提供朝向初始位置的偏拉扭矩。Both ends of the deflection reset member (25) are respectively fixedly connected with the bottom plate (1) and the rotation drive assembly, and are used to provide the rotation drive assembly with a biasing torque toward an initial position.
  2. 根据权利要求1所述的柔性手术器械控制装置,其特征在于:所述偏转复位件(25)为卷簧,所述卷簧外侧的一端与所述底板(1)卡接固定,转动驱动组件穿过所述偏转复位件,且所述卷簧的内侧的一端与转动驱动组件外表面固定连接。The flexible surgical instrument control device according to claim 1, characterized in that: the deflection reset member (25) is a coil spring, and one end outside the coil spring is clamped and fixed with the base plate (1) to rotate the drive assembly Pass through the deflection reset member, and one end of the inner side of the coil spring is fixedly connected with the outer surface of the rotating drive assembly.
  3. 根据权利要求1所述的柔性手术器械控制装置,其特征在于:The flexible surgical instrument control device according to claim 1, characterized in that:
    所述调节拉绳为四根,四根所述调节拉绳与所述弯折机构(22)的连接位置均布设置,所述转动驱动组件为四组,分别与每根所述调节拉绳的另一端连接。There are four adjusting stay cords, and the connection positions between the four adjust stay cords and the bending mechanism (22) are evenly distributed, and the rotation drive components are in four groups, respectively connected to each of the adjust stay cords the other end of the connection.
  4. 根据权利要求3所述的柔性手术器械控制装置,其特征在于:The flexible surgical instrument control device according to claim 3, characterized in that:
    所述驱动组件还包括导向轮(5),所述调节拉绳绕设于所述导向轮(5)后与所述转动驱动组件连接。The drive assembly also includes a guide wheel (5), and the adjustment pull cord is wound around the guide wheel (5) and connected with the rotation drive assembly.
  5. 根据权利要求4所述的柔性手术器械控制装置,其特征在于:The flexible surgical instrument control device according to claim 4, characterized in that:
    四个所述转动驱动组件呈矩形布置,所述导向轮(5)为四个,设置在四个所述转动驱动组件中间,所述导向轮(5)两两上下对称设置。The four rotating drive assemblies are arranged in a rectangular shape, and there are four guide wheels (5), which are arranged in the middle of the four rotating drive assemblies, and the guide wheels (5) are symmetrically arranged in pairs up and down.
  6. 根据权利要求4所述的柔性手术器械控制装置,其特征在于:The flexible surgical instrument control device according to claim 4, characterized in that:
    每根所述调节拉绳套设有拉绳弹簧管(15),所述调节拉绳伸出所述拉绳弹簧管(15)后绕设在所述导向轮(5)上。Each of the adjusting stay cord sleeves is provided with a stay cord spring tube (15), and the adjust stay cord stretches out from the stay cord spring tube (15) and is wound on the guide wheel (5).
  7. 根据权利要求1所述的柔性手术器械控制装置,其特征在于:The flexible surgical instrument control device according to claim 1, characterized in that:
    还包括执行驱动件(27),所述执行件为器械钳(21),所述执行驱动件(27)一端与所述执行件连接,用于驱动所述器械钳(21)的张合,所述执行驱动件(27)另一端与张合驱动机构(14)连接。It also includes an execution drive member (27), the execution member is an instrument clamp (21), one end of the execution drive member (27) is connected to the execution member, and is used to drive the opening and closing of the instrument clamp (21), The other end of the actuating drive member (27) is connected with the opening and closing drive mechanism (14).
  8. 根据权利要求1所述的柔性手术器械控制装置,其特征在于:The flexible surgical instrument control device according to claim 1, characterized in that:
    所述执行驱动件(27)为硬质钢丝,所述执行驱动件(27)被套设在钢丝弹簧管(28)内,所述执行驱动件(27)穿过所述钢丝弹簧管(28)后与所述张合驱动机构(14)连接,所述执行驱动件(27)上连接有向其提供推力的压缩弹簧(12)。The actuator (27) is a hard steel wire, the actuator (27) is sleeved in the wire spring tube (28), and the actuator (27) passes through the wire spring tube (28) Afterwards, it is connected with the opening-closing drive mechanism (14), and a compression spring (12) providing thrust thereon is connected to the actuator drive member (27).
  9. 根据权利要求1所述的柔性手术器械控制装置,其特征在于:The flexible surgical instrument control device according to claim 1, characterized in that:
    还包括柔性外导管(23),所述柔性外导管(23)一端与弯折机构(22)连接,另一端与所述底板(1)的管件固定座连接,所述调节拉绳穿过所述柔性外导管(23)与弯折机构(22)连接;It also includes a flexible outer conduit (23), one end of the flexible outer conduit (23) is connected to the bending mechanism (22), and the other end is connected to the pipe fixing seat of the bottom plate (1), and the adjustment pull cord passes through the The flexible outer catheter (23) is connected with the bending mechanism (22);
    所述底板(1)连接有进退驱动组件(24),所述进退驱动组件(24)用于驱动所述底板(1)带动柔性外导管(23)前进或后退。The base plate (1) is connected with an advance and retreat drive assembly (24), and the advance and retreat drive assembly (24) is used to drive the base plate (1) to drive the flexible outer conduit (23) forward or backward.
  10. 一种内镜手术机器人系统,其特征在于,包括控制器和如权利要求1-9任一项所述的柔性手术器械控制装置,所述控制器用于根据所述执行件的目标调节角度和方向,控制所述转动驱动组件的转动。An endoscopic surgical robot system, characterized in that it includes a controller and the flexible surgical instrument control device according to any one of claims 1-9, the controller is used to adjust the angle and direction according to the target of the actuator , to control the rotation of the rotation drive assembly.
PCT/CN2021/120622 2021-09-15 2021-09-26 Control device for flexible surgical instrument, and endoscopic surgical robot system WO2023039931A1 (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115316913B (en) * 2022-06-30 2023-03-28 中国科学院自动化研究所 Tension device of flexible controllable instrument stay wire
CN116158855B (en) * 2023-02-01 2023-10-13 极限人工智能有限公司 Interventional catheter, driving system and surgical robot

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102596062A (en) * 2009-11-13 2012-07-18 直观外科手术操作公司 Curved cannula instrument
CN102697552A (en) * 2012-04-24 2012-10-03 王东 Executing instrument of flexible type endoscope system
CN105287002A (en) * 2015-12-02 2016-02-03 吉林大学 Flexible multi-joint operation micro instrument for robot-assisted minimally invasive surgery
WO2017188851A1 (en) * 2016-04-29 2017-11-02 Общество С Ограниченной Ответственностью "Мроботикс" End effector with an articulated joint and actuator of an endoscopic surgical device
CN108354668A (en) * 2018-03-16 2018-08-03 深圳市罗伯医疗科技有限公司 A kind of operation on digestive tract robotic system
CN113081091A (en) * 2021-05-20 2021-07-09 浙江理工大学 Minimally invasive surgical instrument based on flexible cable traction and serial elastic drive and use method thereof
CN113133806A (en) * 2021-03-15 2021-07-20 北京航空航天大学 Flexible surgical instrument

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6440062B1 (en) * 1999-11-10 2002-08-27 Asahi Kogaku Kogyo Kabushiki Kaisha Control wire driving mechanism for use in endoscope
JP4145464B2 (en) * 2000-05-10 2008-09-03 独立行政法人科学技術振興機構 Remote microsurgery system and slave manipulator insertion method.
WO2013158974A1 (en) * 2012-04-20 2013-10-24 Vanderbilt University Dexterous wrists for surgical intervention
CN102697553B (en) * 2012-04-24 2014-02-12 王东 Operation robot system with flexible type endoscope
CN106420058B (en) * 2016-08-31 2019-02-05 北京术锐技术有限公司 It is a kind of to drive preposition single-hole laparoscopic surgery system
CN107468339B (en) * 2017-08-04 2020-06-05 吉林大学 Flexible multi-joint surgical instrument for robot-assisted minimally invasive surgery
CN109700537B (en) * 2018-12-29 2021-07-30 天津大学 Flexible surgical instrument, operation arm system and minimally invasive surgery robot slave hand system

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102596062A (en) * 2009-11-13 2012-07-18 直观外科手术操作公司 Curved cannula instrument
CN102697552A (en) * 2012-04-24 2012-10-03 王东 Executing instrument of flexible type endoscope system
CN105287002A (en) * 2015-12-02 2016-02-03 吉林大学 Flexible multi-joint operation micro instrument for robot-assisted minimally invasive surgery
WO2017188851A1 (en) * 2016-04-29 2017-11-02 Общество С Ограниченной Ответственностью "Мроботикс" End effector with an articulated joint and actuator of an endoscopic surgical device
CN108354668A (en) * 2018-03-16 2018-08-03 深圳市罗伯医疗科技有限公司 A kind of operation on digestive tract robotic system
CN113133806A (en) * 2021-03-15 2021-07-20 北京航空航天大学 Flexible surgical instrument
CN113081091A (en) * 2021-05-20 2021-07-09 浙江理工大学 Minimally invasive surgical instrument based on flexible cable traction and serial elastic drive and use method thereof

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