WO2024016382A1 - Unmanned interventional surgery room system - Google Patents

Unmanned interventional surgery room system Download PDF

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Publication number
WO2024016382A1
WO2024016382A1 PCT/CN2022/109592 CN2022109592W WO2024016382A1 WO 2024016382 A1 WO2024016382 A1 WO 2024016382A1 CN 2022109592 W CN2022109592 W CN 2022109592W WO 2024016382 A1 WO2024016382 A1 WO 2024016382A1
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WIPO (PCT)
Prior art keywords
robot
catheter
interventional
room
finger
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PCT/CN2022/109592
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French (fr)
Chinese (zh)
Inventor
黄韬
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北京唯迈医疗设备有限公司
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Application filed by 北京唯迈医疗设备有限公司 filed Critical 北京唯迈医疗设备有限公司
Priority to DE112022000032.5T priority Critical patent/DE112022000032T5/en
Priority to US17/989,712 priority patent/US20230078240A1/en
Publication of WO2024016382A1 publication Critical patent/WO2024016382A1/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
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • A61B34/35Surgical robots for telesurgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • A61B34/32Surgical robots operating autonomously
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • 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
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G1/00Stretchers
    • A61G1/02Stretchers with wheels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G1/00Stretchers
    • A61G1/04Parts, details or accessories, e.g. head-, foot-, or like rests specially adapted for stretchers
    • 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
    • A61B2034/303Surgical robots specifically adapted for manipulations within body lumens, e.g. within lumen of gut, spine, or blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/70Cleaning devices specially adapted for surgical instruments

Definitions

  • the present invention relates to the technical field of minimally invasive vascular interventional surgery, and more specifically to an interventional unmanned operating room system.
  • Cardiovascular and cerebrovascular interventional therapy is the main treatment method for cardiovascular and cerebrovascular diseases. Compared with traditional surgery, it has obvious advantages such as smaller incisions and shorter postoperative recovery time. Cardiovascular and cerebrovascular interventional surgery is a process in which doctors manually insert catheters, guidewires, stents and other instruments into the patient's body to complete the treatment.
  • Interventional surgery has the following problems: First, during the operation, because the DSA emits X-rays, the doctor's physical strength decreases quickly, and his concentration and stability will also decrease, which will lead to a decrease in operating accuracy and prone to blood vessel damage caused by improper pushing force. Accidents such as intimal injury and blood vessel perforation and rupture can lead to life-threatening consequences for patients. Secondly, long-term cumulative damage from ionizing radiation will significantly increase doctors' chances of suffering from leukemia, cancer, and acute cataracts. The phenomenon that doctors continue to accumulate radiation due to interventional surgeries has become a problem that cannot be ignored, damaging doctors' professional lives and restricting the development of interventional surgeries.
  • the robot can complete the interventional surgery process without human intervention, effectively solving the above problems.
  • manual monitoring of the operation process is still necessary.
  • a variety of robots cooperate with each other to complete the entire interventional surgery process.
  • the establishment of interventional unmanned operating rooms is the future development trend.
  • the present invention aims to solve one of the above-mentioned technical problems in the prior art, at least to a certain extent.
  • the purpose of the present invention is to propose an interventional unmanned operating room system that first solves the above problems 1-3 and 6.
  • the invention provides an interventional unmanned operating room system, which includes:
  • Catheterization laboratory which is an area for interventional surgery and has a catheterization bed
  • control room the control room is provided immediately adjacent to the catheter room, and an observation window is provided between the catheter room and the control room;
  • Robot the catheter laboratory has an interventional surgery robot, a main control robot, a puncture robot, and a catheter guidewire replacement robot that work together;
  • the catheter bed is equipped with a DSA device and a contrast agent injection device;
  • the control room is equipped with the monitoring device that is communicatively connected to the above-mentioned robot, DSA device and contrast agent injection device. It is used to display information of each equipment and robot and update it synchronously in real time for doctors to supervise; and
  • a controller is provided in the control room for human-computer interaction between the doctor and the robot.
  • the present invention provides an interventional unmanned operating room system, in which the catheterization room and the control room are designed closely together, and multiple different functions are arranged in the catheterization room and cooperate with each other.
  • the operation improves the accuracy of the operation.
  • the control room is equipped with a monitoring device to monitor various status information and a controller for human-computer interaction between the doctor and the robot. This enables manual monitoring and the robot combination to achieve the purpose of unmanned interventional surgery and solves the problem.
  • Interventional surgery doctors have the problem of high pressure and heavy tasks. Doctors do not need to wear lead clothing for a long time in the control room. At the same time, they avoid long-term exposure to DSA radiation and reduce the impact of interventional surgery on doctors' health.
  • a transfer vehicle charging pile is fixed in the ward for charging the automatic transfer vehicle.
  • the robot further includes a consumables delivery robot, which records surgical consumables information and is used to deliver surgical consumables to the catheterization laboratory, and is communicatively connected with the monitoring device and the controller.
  • the robot also includes a fast charging robot, which is communicatively connected with multiple robots and is used to replace batteries with low power.
  • a charging area for charging the replaced low-power battery is provided outside the catheterization room, and a charging position for the fast charging robot is provided in the charging area.
  • a cleaning robot communicatively connected to the controller is included, and the cleaning robot is used to automatically clean the catheter chamber after the operation. Problem 4 is solved, no manpower is needed to frequently clean the cath lab, and cleaning efficiency is improved.
  • the monitoring device includes a plurality of display screens, supported by a screen bracket.
  • the permissions of the robot have priority
  • the master robot has the maximum permission and is the instructor of the surgery, used for image diagnosis, and instructs other robots to work together.
  • Figure 1 shows the overall layout of the interventional unmanned operating room system
  • Figure 2 shows the layout of the interventional unmanned operating room system in the catheterization room
  • Figure 3 illustrates the flow chart of the interventional unmanned operating room system
  • Figure 4 shows a schematic structural diagram of the main control robot
  • Figure 5 shows a schematic structural diagram of the finger device of the main control robot
  • Figure 6 shows an exploded diagram of the finger device of the main control robot
  • Figure 7 shows a schematic structural diagram of the puncture robot
  • Figure 8 shows a schematic structural diagram of the first finger device of the puncture robot
  • Figure 9 shows a schematic structural diagram of the second finger device of the puncture robot
  • Figure 10 shows a schematic structural diagram of the guidewire catheter replacement robot
  • Figure 11 shows a schematic structural diagram of the arm device and head of the guidewire catheter replacement robot
  • Figure 12 shows a top view of the arm device of the guidewire catheter replacement robot
  • Figure 13 shows a schematic diagram of replacing the guidewire catheter
  • Figure 14 shows a schematic structural diagram of the fast charging robot
  • Figure 15 shows a schematic structural diagram of the grabbing and pushing mechanism of the fast charging robot
  • Figure 16 shows a schematic structural diagram of the consumables delivery robot
  • Figure 17 shows a schematic structural diagram of the consumables delivery robot arm assembly
  • Figure 18 shows a schematic structural diagram of the cleaning robot
  • Figure 19 shows a schematic structural diagram of the cleaning robot base device
  • Figure 20 shows a schematic structural diagram of the automatic transfer vehicle
  • Figure 21 shows a schematic diagram of the bottom structure of the automatic transfer vehicle
  • Figure 22 shows a schematic structural diagram of the automatic charging and fixing device of the automatic transfer vehicle
  • Figure 23 shows a schematic structural diagram of the monitoring device.
  • first and second are used for descriptive purposes only and cannot be understood as indicating or implying relative importance or implicitly indicating the quantity of indicated technical features. Therefore, features defined as “first” and “second” may explicitly or implicitly include one or more of these features.
  • “plurality” means two or more than two, unless otherwise explicitly and specifically limited.
  • connection In the present invention, unless otherwise clearly stated and limited, the terms “installation”, “connection”, “connection”, “fixing” and other terms should be understood in a broad sense. For example, it can be a fixed connection or a detachable connection. , or integrated; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium; it can be an internal connection between two elements or an interaction between two elements.
  • connection connection
  • fixing and other terms should be understood in a broad sense. For example, it can be a fixed connection or a detachable connection. , or integrated; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium; it can be an internal connection between two elements or an interaction between two elements.
  • an embodiment of the present invention discloses an interventional unmanned operating room system, see Figures 1-3, including:
  • the catheterization laboratory 1 is an area for interventional surgery and has a catheterization bed 101 therein;
  • Control room 2 the control room 2 is provided immediately adjacent to the catheter room 1, and an observation window 201 is provided between the catheter room 1 and the control room 2;
  • the catheterization laboratory 1 has an interventional surgery robot Q1, a main control robot Q2, a puncture robot Q3, and a catheter guidewire replacement robot Q4 that work together in cooperation with each other;
  • the catheter bed 101 is equipped with a DSA device 3 and a contrast agent injection device 4;
  • the control room 2 is provided with the monitoring device 5 that is communicatively connected to the above-mentioned robot, DSA device 3 and contrast agent injection device 4. It is used to display the information of each equipment and robot and update it synchronously in real time. A physician provides supervision; and
  • Controller 6 is provided in the control room 2 for human-computer interaction between the doctor and the robot.
  • the present invention discloses an interventional unmanned operating room system, in which a catheter room and a control room are designed closely together, and multiple robots with different functions that work in conjunction with each other are arranged in the catheter room, and a DSA device and a contrast agent are installed on the catheter bed.
  • the injection device cooperates with the completion of the operation, including at least image diagnosis, surgical puncture, catheter guidewire insertion, catheter guidewire replacement, catheter guidewire movement, angiography and other operations, which improves the accuracy of the operation.
  • the control room is set up to monitor various status information.
  • the monitoring device and the human-computer interaction controller between the doctor and the robot realize manual monitoring, and the robot combination realizes the purpose of unmanned interventional surgery, solving the problem of high pressure and heavy tasks for interventional surgery doctors.
  • the doctor is controlling There is no need to wear lead clothing for a long time indoors, and it also avoids the harm of long-term exposure to DSA radiation, reducing the impact of interventional surgery on the doctor's health.
  • a ward 7 near the catheterization laboratory 2 for patients to rest. It is preferred that the ward and the cath lab be arranged opposite each other.
  • an automatic transfer vehicle 8 moves between the ward 7 and the catheterization laboratory 1 for automatically transporting patients; thus, there is no need to spend a lot of manpower to transport patients.
  • a transfer vehicle charging pile 81 is fixed in the ward 7 for charging the automatic transfer vehicle 8 .
  • the robot also includes a consumables delivery robot Q5.
  • the consumables delivery robot Q5 records surgical consumables information and is used to deliver surgical consumables to the catheterization laboratory 1. It communicates with the monitoring device 5 Communication connection with controller 6.
  • the robot also includes a fast charging robot Q6.
  • the fast charging robot Q6 is communicatively connected with multiple robots and is used to replace batteries with low battery power; thus solving the problem that the robot's battery power is low. Timely supplementary questions.
  • a charging area 9 for charging the replaced low-power battery is provided outside the cath lab 1 , and a charging position for the fast charging robot Q6 is provided in the charging area 9 .
  • a cleaning robot Q7 that is communicatively connected to the controller 6 is also included.
  • the cleaning robot Q7 is used to automatically clean the catheter laboratory 1 after the operation. This eliminates the need for manual labor to frequently clean the cath lab and improves cleaning efficiency.
  • the monitoring device 5 includes a plurality of display screens 51 supported by screen brackets 52 .
  • the permissions of the robots have priorities
  • the master robot Q2 has the maximum permissions and is the instructor of the surgery, used for image diagnosis and instructing other robots to work together.
  • the layout of the interventional unmanned operating room can be divided into four spaces.
  • a transfer vehicle charging pile is installed in the charging area.
  • charging devices In the charging area, there are charging devices.
  • the cath lab In the cath lab, there are interventional surgery robots, catheter beds, DSA devices, cleaning robots, main control robots, puncture robots, contrast agent injection devices, and guidewire catheter replacement robots.
  • monitoring devices and controllers In the control room, there are monitoring devices and controllers. Among them, there are several robots active in different areas. They are automatic transfer vehicles that move between wards and cath labs. A fast-charging robot that moves between the charging area and the cath lab. The consumable delivery robot moves between the cath lab and the control room.
  • the observation window 201 is made of lead glass, which is convenient for the control room to observe the catheterization laboratory.
  • the catheter bed 101 is installed in the center of the catheter room 1
  • the DSA device 3 is installed at the bedside of the catheter bed 101
  • the main control robot Q2 moves on the left side of the catheter bed 101.
  • the automatic transfer vehicle 8 enters the catheterization laboratory, it stops on the right side of the catheterization bed 101.
  • the automatic transfer vehicle 8 will exit the catheterization laboratory and wait at the door.
  • the interventional surgery robot Q1 is installed on the guide rail on the side of the catheter bed 101.
  • the contrast medium injection device 4 is placed on the catheter bed 101 .
  • the cleaning robot Q7, the guidewire replacement robot Q4, and the puncture robot Q3 are parked in the corners of the cath lab. Will be moved out to work when needed. After taking the consumables, the consumable delivery robot Q5 will place them on the catheter bed 101, and then exit and wait outside the catheter room.
  • the complete process of the entire interventional surgery is roughly as follows: First, the patient waits in the ward. After receiving the news that the surgery can be performed, the automatic transfer vehicle can move freely. The patient lies on the automatic transfer vehicle. The automatic transfer vehicle will automatically transport the patient to the catheterization room along the predetermined route based on GPS guidance and stop on the side of the catheterization bed. Then, after the patient moves from the transfer vehicle to the catheter bed, the transfer vehicle automatically exits the catheterization room and stays outside the catheterization room, waiting for the end of the operation. After the patient lies down, the main control robot will instruct the puncture robot to start action. The puncture robot will move to the side of the catheter bed and begin to gradually disinfect the patient, local anesthesia, puncture, and insert the outer sheath.
  • the main control robot begins to instruct the DSA device and the interventional surgery robot to prepare for action. With the assistance of the main control robot, the interventional robot cooperates with the image of the DSA device to complete the placement of the contrast guide wire and catheter at the appropriate position of the patient's blood vessel.
  • the main control robot instructs the contrast agent injection device to inject the contrast agent.
  • the image of blood vessels can be displayed on it. Adjust the angle of DSA and perform imaging in different postures to observe a more comprehensive vascular morphology.
  • the main control robot will analyze the condition based on the blood vessel images, and obtain the diagnosis result after comparing and analyzing with big data.
  • the DSA device and interventional robot will be used to insert the guiding catheter.
  • the main control robot will instruct the replacement guidewire and catheter robot to assist in completing the replacement of guidewires and catheters.
  • the main control robot will select the consumables required for the surgery and send them to the consumables delivery robot, or send instructions through the controller, and the consumables delivery robot will search for them. After finding the target consumables, the consumables delivery robot will place the surgical consumables on the catheter bed. The control robot will assist in installing the consumables on the interventional surgical robot.
  • the pushing of surgical consumables is completed step by step, during which the cooperation of the contrast agent injection device is required multiple times.
  • the main control robot can complete the control of the DSA foot pedal during the operation. After the step-by-step operation is completed, the surgical treatment is successfully completed.
  • the main control robot helps the patient complete the bandaging.
  • a message will be sent to let the automatic transfer vehicle enter the cath lab and stop on the side of the catheter bed.
  • the patient will return from the catheter bed to the transfer vehicle.
  • the transfer vehicle will take the patient back to the ward and stop in place.
  • the status and data of all equipment will be displayed on the monitoring device in the control room.
  • the doctor can supervise the entire operation. Once any abnormalities are found, the operation can be suspended at any time through the controller and adjustments made. Once the repair is complete, surgery can continue. Doctors can also use the controller to control the robot. After an operation is completed, the main control robot will instruct the cleaning robot to clean the cath lab, or the controller will send cleaning instructions to the cleaning robot to prepare for the next operation.
  • Each robot is powered by a lithium battery. If a robot detects that the battery is low, it will send a signal to the fast charging robot. The fast charging robot will move to the side of the robot with a fully charged lithium battery and replace it. Take the low-power battery and return it to the charging station for charging.
  • the robots and devices used in the above operation process can be existing robots that can achieve corresponding functions. Individual robots can also use the following robots. Only individual examples are used to illustrate the functions of the robots:
  • the interventional surgery robot Q1 can adopt a universal robot for interventional imaging and therapeutic surgery disclosed in the patent document CN112353491A, and connect it to the catheter bed.
  • the main control robot Q2 adopts a car body structure and can move in the catheter room.
  • the robot monitors various components including the DSA, catheter bed, and other robots, and can master the surgical process through machine learning, send instructions to guide each device to cooperate, and send various data to the monitoring system in real time. After the operation, the robot will move to the corner on its own without affecting other operations.
  • the main control robot Q2 includes: Q2100 base device, head and arm device Q2200 and finger device Q2300; the base device Q2100 has a walking device at the bottom for moving to the target area, and is provided with a A pedal device that simulates a doctor's feet to control the fluoroscopy and exposure actions of the DSA; the top of the base device Q2100 supports the head and arm device Q2200, which is used to complete identification information and positioning of fingers; the head and arms The finger device Q2300 is connected to the arm end of the device Q2200, which is used for grabbing, replacing and installing surgical equipment.
  • the finger device Q2300 includes:
  • Finger connection plate Q2301, the finger connection plate Q2301 is connected to the end of the arm;
  • Finger guide rail Q2303, the finger guide rail Q2303 is connected to the bottom of the finger connecting plate Q2301, and two finger sliders slide on the finger guide rail Q2303;
  • Finger screw motor Q2311 the finger screw motor Q2311 is fixed below the finger connection plate Q2301 through the finger motor bracket Q2310;
  • Connecting pieces Q2304, Q2309 Each of the finger sliders is connected to a connecting piece Q2304, Q2309.
  • the two connecting pieces Q2304, Q2309 respectively have clockwise threads and threads that match the threads of the finger screw motor Q2311. Counterclockwise thread; when the finger screw motor Q2311 rotates, the two fingers Q2307 and Q2306 will move relative to each other or in opposite directions.
  • Three-dimensional pressure sensors Q2305 and Q2308 are connected to one of the three-dimensional pressure sensors Q2305 and Q2308 below each of the connecting pieces Q2304 and Q2309;
  • Finger Q2306, Q2307 each of the three-dimensional pressure sensors Q2305, Q2308 is connected to one finger Q2306, Q2307 below.
  • the inner surface of the finger Q2306, Q2307 is soft medical silicone, which can prevent damage to surgical equipment.
  • the three-dimensional pressure sensor installed in the finger device can feel the grasping force and ensure the accuracy of grasping.
  • the finger connecting plate Q2301 extends outward obliquely to form a finger camera bracket. At least one finger camera Q2302 is connected to the finger camera bracket. The finger camera 302 is arranged toward the fingers Q2306 and Q2307.
  • the three-dimensional pressure sensors Q2305 and Q2308 After clamping the object, the three-dimensional pressure sensors Q2305 and Q2308 will feel the pressure value. After reaching a certain value, the finger screw motor Q2311 stops moving. During the grabbing process, the finger camera Q2302 will always pay attention to the shape of the object to ensure that the equipment will not be pinched. Finger camera Q2302 is used to observe the environment at the finger end, which can facilitate robots and doctors to better observe the distribution and accurate position of objects.
  • the main control robot Q2 will automatically move to the catheter bedside, supervise and guide the operation of each equipment, and be responsible for grabbing and replacing surgical equipment during the operation. After the operation, the robot can automatically move to the corner without affecting the use and cleaning of other equipment.
  • learning and training are required. The purpose is to make the robot adapt to the environment of the cath lab and become familiar with the current medical equipment such as DSA, catheter bed, and other robots, and learn to operate well with other equipment. After multiple trainings, the robot will gradually master and remember the knowledge it has learned. After it is fully learned, it can be used normally to perform automatic surgery or assisted surgery.
  • the robot system itself stores a large number of surgical images and standard surgical procedures, as well as numerous abnormal situation handling measures, which can be used in actual clinical practice. Moreover, the robot has an autonomous learning function and can record and analyze the scenarios of each subsequent surgery in order to select the optimal solution in subsequent surgeries.
  • the puncture robot Q3, see Figure 7, includes: a base device, a head and arm device and a puncture finger device.
  • the puncture finger device is connected to the first finger device Q3300 and the second finger device Q3400 through two mechanical arms respectively.
  • the base device receives information, stores information, processes information and sends instruction information through the puncture robot host.
  • the first finger device is used to locate the puncture point during puncture surgery, and the second finger device is used for puncture. Both of them cooperate with each other during the operation.
  • the grasping, replacement and installation of surgical equipment realizes robotic puncture surgery, which improves the accuracy of puncture, thereby reducing the occurrence of vasospasm due to repeated operations due to inaccurate puncture positions, and improving the safety of puncture surgery.
  • the first finger device Q3300 includes:
  • the first finger connection plate Q3302 is connected to the end of a robotic arm
  • First finger guide rail Q3303, the first finger guide rail 303 is connected to the bottom of the first finger connecting plate Q3302, and two first finger sliders slide on the first finger guide rail Q3303;
  • the first finger screw motor Q3305 is fixed below the first finger connecting plate Q3302 through the first finger motor bracket Q3304;
  • Each of the first finger sliders is connected to a corresponding first connecting piece Q3306, Q3312.
  • the two first connecting pieces Q3306, Q3312 are respectively provided with the first finger wires.
  • the Q3305 thread of the lever motor matches the clockwise thread and counterclockwise thread;
  • First three-dimensional pressure sensors Q3307, Q3311, each of the first connecting pieces Q3306, Q3312 is connected below one corresponding first three-dimensional pressure sensor Q3307, Q3311;
  • the first finger consumable Q3309 is connected below each of the first three-dimensional pressure sensors Q3307 and Q3311.
  • the inner surface of the first finger consumable Q3309 is made of soft medical silicone.
  • first electromagnets Q3308, Q3310 are fixed between the first three-dimensional pressure sensors Q3307, Q3311 and the first finger consumable Q3309, and the first finger consumable Q3309 has a structure connected to the first electromagnet.
  • First Finger consumables Q3309 are disposable consumables that have been sterilized by ethylene oxide, and a new set is used for each operation.
  • the inner surface of the first finger consumable Q3309 is processed with soft medical silicone, which can prevent slipping and damage to surgical equipment.
  • one side of the first finger connecting plate Q3302 is tilted outward to form a first finger camera bracket.
  • At least one first finger camera Q3301 is connected to the finger camera bracket, and the first finger camera Q3301 faces toward the finger camera bracket.
  • the first finger consumable Q3309 is arranged in the direction described above.
  • the first finger camera Q3301 is used to observe the environment at the finger end.
  • One of the first connecting pieces Q3306 and Q3312 is a clockwise thread, and the other first connecting piece Q3306 and Q3312 is a counterclockwise thread. Therefore, when the motor rotates, the two first finger consumables Q3309 will move relative or oppositely to achieve Clamping and opening of objects. After clamping the object, the first three-dimensional pressure sensors Q3307 and Q3311 will feel the pressure value. After reaching a certain value, the motor stops moving. During the grabbing process, the first finger camera Q3301 will always pay attention to the shape of the object to ensure that the equipment will not be pinched.
  • the second finger device Q3400 includes:
  • the second finger connecting plate Q3402 the top of the second finger connecting plate Q3402 is connected to the end of the other robotic arm, and the bottom of the second finger connecting plate Q3402 is formed with two parallel arranged and downwardly protruding mounting strips;
  • Two second finger guide rails Q3415, the second finger guide rails Q3415 are correspondingly installed below the installation strip, and at least two second finger sliders slide on each of the second finger guide rails Q3415;
  • a second finger screw motor Q3404 which is fixed below the second finger connection plate Q3402 through a second finger motor bracket and is located between the two installation strips;
  • Transition plate Q3406 the top of the transition plate Q3406 has a connecting block that is threadedly connected to the screw of the second finger screw motor Q3404, and the transition plate Q3406 is fixed to the bottom surface of the second finger slider;
  • Three third hand guide rails Q3405 are arranged parallel to the bottom of the transition plate Q3406 and perpendicular to the second hand guide rail Q3415. The lower part of each third hand guide rail Q3405 slides. At least two third finger sliders;
  • the third finger screw motor Q3407 is fixed between the two second finger guide rails Q3415 through a motor bracket;
  • the second connecting pieces Q3408, Q3414 are connected to each of the third finger sliders.
  • One second connecting piece Q3408, Q3414 is connected to the second connecting piece Q3408, Q3414.
  • the two second connecting pieces Q3408, Q3414 are respectively connected with the third finger wire.
  • the screw thread of the screw motor Q3407 matches the clockwise thread and the counterclockwise thread;
  • the second three-dimensional pressure sensors Q3409 and Q3412 are connected to one of the second three-dimensional pressure sensors Q3409 and Q3412 below each of the second connecting pieces Q3408 and Q3414; and
  • the second finger consumable Q3411 is connected below each of the second three-dimensional pressure sensors Q3409 and Q3412.
  • the inner surface of the second finger consumable Q3411 is made of soft medical silicone.
  • a groove is formed inside the second finger consumable Q3411, and the second iron piece is placed in the groove and magnetically connected with the electromagnet to facilitate the replacement of the consumable.
  • the second finger consumable Q3411 is a disposable consumable sterilized by ethylene oxide, and a new set is used for each operation.
  • the inner surface of the second finger consumable Q3411 is made of soft medical silicone, which can prevent slipping and damage to surgical equipment.
  • second electromagnets Q3410 and Q3413 are fixed between the second three-dimensional pressure sensors Q3409 and Q3412 and the second finger consumable Q3411, and the second finger consumable Q3411 has a structure connected to the second electromagnet.
  • the second finger connecting plate Q3402 extends obliquely to both sides to form a second finger camera bracket, and each of the second finger camera brackets is connected to at least one second finger camera Q3401, Q3403. Finger cameras Q3401 and Q3403 are arranged toward the second finger consumable Q3411.
  • a second connecting piece Q3408, Q3414 is a clockwise thread
  • the other second connecting piece Q3408, Q3414 is a counterclockwise thread. Therefore, in the third finger screw motor Q3407 (the third one refers to the sequence of the screw motor (not referring to the third finger)) when rotating, the two second finger consumables Q3411 will perform relative or opposite movements to clamp and open the object. After clamping the object, the second three-dimensional pressure sensors Q3409 and Q3412 will feel the pressure value. After reaching a certain value, the motor stops moving. During the grabbing process, the second finger cameras Q3401 and Q3403 will always pay attention to the shape of the object to ensure that the equipment will not be damaged.
  • the entire finger device below can move left and right.
  • the clamping action of the third finger screw motor Q3407 the reciprocating motion of the guide wire, outer sheath, etc. can be realized.
  • the rotation of the second finger screw motor Q3404 causes the second finger consumable Q3411 to move to the rightmost end
  • the rotation of the third finger screw motor Q3407 causes the second finger consumable Q3411 to clamp the guide wire or sheath
  • the second three-dimensional pressure sensor Q3409 , Q3412 is used to feel the clamping force.
  • turn the second finger screw motor Q3404 to move the finger to the left to the extreme left.
  • the third finger screw motor Q3407 opens the guide wire or outer sheath and turns the second finger screw motor.
  • Q3404 returns to its original position and repeats this cycle until it reaches the desired position.
  • the required puncture surgical consumables are placed on the catheter bed, and the robot moves to the side of the catheter bed.
  • the pulse detection process is: if the pressure value changes regularly, it means it is a pulse; if the pressure value does not change, it means it is not a pulse.
  • the three-dimensional pressure sensor can be FA702-D or silicon piezoresistive. The size of the pressure sensor depends on the use. choose.
  • the first finger device of the robot grabs a cotton ball dipped in alcohol and wipes the skin adjacent to the radial artery.
  • the first finger device of the robot grabs the syringe of anesthetic, moves it to the attachment of the radial artery, and gently penetrates the skin.
  • the robot's second finger device pushes the syringe to a certain dose and then stops.
  • the first finger device holds the syringe.
  • the robot After waiting for a moment, use the robot's first finger device to gently grasp the patient's arm, and the robot's second finger device to grab the puncture needle. After using the second finger camera to find the puncture point, driven by the second finger screw motor, the robot slowly Slowly insert the puncture needle into the skin, and at the same time, use the two cameras of the second finger device to observe whether there is blood return. If blood return is found, stop moving the motor.
  • the first finger device of the robot moves slowly to grasp the puncture needle, and the second finger device of the robot pulls out the needle core. The first finger device slowly lowers some, and then the second finger device grabs the puncture guidewire and inserts it into the puncture needle. Slowly push the guide wire back and forth for a certain distance.
  • the first finger device holds the puncture port, and the second finger device pulls out the puncture needle.
  • the second finger device grasps the outer sheath, and the first finger device grasps the distal end of the puncture guidewire.
  • the second finger device inserts the outer sheath into the guide wire, then the first finger device holds the puncture port, and the second finger device penetrates the outer sheath into the blood vessel along the guide wire, and pushes it forward until the outer sheath port reaches the puncture port. mouth place. This completes the entire puncture process. After the puncture is completed, the robot retreats to the corner without affecting subsequent operations of the surgery.
  • Catheter guidewire replacement robot Q4 is used in interventional surgery to replace interventional surgery consumables such as guidewires, balloons or stent catheters. It can be used with the interventional surgery robot to replace the guide wire catheter, or with the assistance of a doctor to complete the replacement of the guide wire catheter.
  • the invention is used to complete the insertion and withdrawal of the guide wire, the catheter is inserted into the guide wire and pushed into the Y valve, the catheter is withdrawn from the guide wire and other surgical operations. It can be ensured that during the replacement of the guide wire catheter, the catheter and the guide wire will not be displaced, ensuring the safety of the operation.
  • the catheter guidewire replacement robot Q4 includes a base device, a head and a driving arm device Q4400.
  • the driving arm device Q4400 is used to complete the action of replacing the guidewire catheter.
  • Three sets of arms are installed on a connecting plate.
  • the connecting plate can move forward and backward through two sets of screw motors and two sets of linear guide rails to extend and retract the arms.
  • the three sets of arms have basically the same structure and can all move left and right.
  • There is a clamping mechanism within each set of arms that clamps and releases the guidewire or catheter.
  • a pressure sensor is provided in the clamping device for detecting the clamping force.
  • the three sets of arms must coordinate with each other when working.
  • the driving arm device Q4400 includes an arm bracket Q4312.
  • the arm bracket Q4312 is a gantry-shaped frame, the lower part of which is connected to the base device.
  • Two sets of Y-axis linear guide rails Q4308 are fixed parallel to the top plane, and each of the Y-axis linear guide rails Q4308 A first slider slides on both of them, and a working plate Q4306 is fixed on the top surface of the first slider.
  • the top surface of the arm bracket Q4312 is located between the two Y-axis linear guide rails Q4308. There are two sets of Y-axis linear guide rails Q4308 arranged in parallel.
  • Axis screw motor Q4309 the screw of each group of Y-axis screw motor Q4309 is driven in conjunction with the corresponding first threaded hole on the working plate Q4306; the top surface of the working plate Q4306 is close to the catheter bed
  • the first arm mechanism, the second arm mechanism and the third arm mechanism are arranged in parallel directions in sequence, and the Y-axis screw motor Q4309 is connected to the driving device on the base. Driven by the Y-axis screw motor Q4309, the working plate Q4306 can move left and right to complete the extension and retraction of the entire arm.
  • the first arm mechanism, the second arm mechanism and the third arm mechanism have the same structure, and all include a right-angle frame Q4423.
  • the right-angle frame Q4423 includes an L-shaped connecting section and a clamping section, so The connecting section slides on the X-axis linear guide Q4419 fixed on the arm bracket Q4312.
  • a Y guide rail is installed on the top of the connecting section.
  • a third slider slides on the Y guide rail.
  • the third slider The top is fixedly connected to a right-angle connecting piece Q4422 with a third threaded hole.
  • the connecting section is located at the rear of the Y-direction rail.
  • the Y-direction screw motor Q4402 is fixed through the Y-direction motor bracket Q4401.
  • the Y-direction screw motor Q4402 cooperates with the third threaded hole for transmission, and the Y-direction screw motor Q4402 is connected to the driving device; a clamping piece Q4420 is connected to the front of the right-angle connecting piece Q4422, and the clamping piece Q4420 is connected to the The clamping sections cooperate to form the clamping mechanism.
  • the Y-direction screw motor Q4402 drives the third slider to move, thereby realizing the clamping of the clamping section and the clamping piece Q4420.
  • the front end of the right-angle connecting piece Q4422 has a first connecting boss
  • the clamping member Q4420 is a right-angled piece, and its upper part has a second connecting boss that matches the first connecting boss.
  • platform, the first connection boss and the second connection boss are connected, the clamping section is perpendicular to the connection section and downward, located in front of the working plate and arm support, close to the side of the catheter bed; the clamping
  • the lower part of piece Q4420 has the same shape as the clamping section, and a clamping area is formed between the two.
  • Medical silicone sheets Q4418 are fixed on the inner walls on both sides of the clamping area to prevent slipping.
  • the first connection boss and the second connection boss are arranged in a staggered manner and are used to connect the two ends of the pressure sensor Q4421, and the pressure sensor Q4421 is connected to the host of the base device for detecting the clamping force.
  • the clamping force is fed back to the host through the pressure sensor Q4421, and the host sends instructions to the control device to drive the corresponding motor. Ensure the clamping force is controllable.
  • the corresponding right-angle frame Q4423 in the first arm mechanism, the second arm mechanism and the third arm mechanism is connected to an X-direction drive plate Q44231 on the side away from the clamping section, and each of the X-direction drive plates Q44231 corresponds to a group of X
  • the X-direction driving mechanism Q44232 is connected to the driving device.
  • the three X-direction drive plates Q44231 are of different lengths according to the layout. There are three sets of drive screw motors (Q4404, Q4403, Q4407) and three sets of drive motor brackets (Q4405, Q4406, Q4408). ).
  • Figures 12 and 13 show from left to right the first arm mechanism, the second arm mechanism, and the third arm mechanism.
  • the arm device faces the catheter side, and the robot needs to control the first arm mechanism to clamp the guide wire at the front end Q4105. Then fix the first arm mechanism so that it remains stationary.
  • the third arm mechanism grabs the head end of the catheter Q4103, the second arm mechanism grabs the tail end of the guide wire Q4102, adjusts the position to penetrate the catheter Q4103 into the guide wire Q4102, and then the third arm mechanism pushes the catheter Q4103 forward and approaches
  • release the second arm mechanism then control the second arm mechanism to move about 2cm in the direction of the Y valve, control the second arm mechanism to clamp the guide wire, and control the third arm mechanism to continue pushing the catheter Q4103 forward.
  • both the catheter and the guide wire are in the human blood vessel.
  • Control the second arm mechanism to move backward until it is close to the third arm mechanism and then stop. Then release the third arm mechanism and move backward 2cm before clamping the guide wire.
  • Control the second arm mechanism to continue to move backward until it is close to the third arm mechanism and stop, and cycle in sequence until the head end of the catheter is 2-3cm away from the tail end of Y valve Q4106, and then control the first arm mechanism to move to Y valve Q4106 At the exit position, clamp the guide wire and make sure it does not move.
  • the second arm mechanism and the third arm mechanism are then controlled to move backward together until the catheter leaves the guide wire.
  • the first arm mechanism is controlled to clamp the Y valve Q4106 and keep its position unchanged.
  • Control the third arm mechanism to move to the outlet of Y valve Q4106, clamp the guide wire Q4102, and then move it backward until the head end of the guide wire Q4102 completely leaves the tail end of the Y valve Q4106. At this time, it is proved that the guide wire is completely take out.
  • the consumables delivery robot Q5 see Figure 16, is used to automatically manage and deliver surgical consumables.
  • the entire process is automated, saving human resources.
  • the overall device has a compact structure and small size, making it very suitable for the environment in the catheterization room. Including base device, head and execution device.
  • the execution device includes two arm assemblies symmetrically arranged on both sides of the head; the arm assembly includes an arm linear guide rail Q5226 fixed on the top surface of the U-shaped lifting frame Q5237, and an arm slider is slidingly connected to the arm linear guide rail Q5226.
  • the arm slider Q5230 is fixed with the connecting piece Q5224, and the connecting piece Q5224 is fixed with the rear arm Q5225; the front end of the rear arm Q5225 is rotatably connected to the middle arm connecting piece Q5229, and the fifth servo motor Q5222 is installed on the rear arm Q5225.
  • the power shaft of the servo motor Q5222 is fixed to the middle arm connecting piece Q5229; the middle arm connecting piece Q5229 is fixed to the middle arm Q5228.
  • the front end of the middle arm Q5228 is rotatably connected to the forearm Q5231.
  • the sixth servo motor Q5220 is installed on the middle arm Q5228.
  • the sixth servo motor The Q5220 power shaft is fixed to the forearm Q5231; the seventh servo motor Q5227 is fixed to the front end of the forearm Q5231, and the third electric gripper Q5232 is fixed to the power shaft of the seventh servo motor Q5227;
  • the arm screw motor Q5223 is installed on the U-shaped lifting frame Q5237.
  • the shaft end screw of the arm screw motor Q5223 is threadedly connected to the threaded hole on the side of the connecting piece Q5224.
  • the consumable delivery robot Q5 is used to deliver surgical consumables to interventional surgeries.
  • the base and the lifting part are mainly used to realize the movement of the robot and the lifting of the robot.
  • the base controls the movement of the entire robot, including four sets of wheel devices controlled by motors.
  • the lifting part can raise or lower the height of the system head assembly and arm assembly.
  • the head and execution device are mainly used to complete system identification and arm control.
  • the head is the observation and output end of the system.
  • a second touch screen is provided for providing information feedback to the user and receiving the user's instructions, and is the user's control terminal.
  • the head can move in all directions to better observe the environment.
  • the arm component is used to grasp objects.
  • the arm assembly can telescope forward and backward, and the arms can be expanded when grabbing is needed. After the grasp is complete, the arm is retracted. Through the arm assembly, the grabbing of surgical consumables and the opening of the packaging can be completed.
  • the consumables delivery robot Q5 can be used in conjunction with the existing consumables management system, or it can be equipped with a separate consumables management system. It can communicate wirelessly with the consumables management system through Bluetooth and other forms, and can work well together.
  • the fast charging robot Q6 quickly charges each robot in the operating room to ensure that each robot can continue to work.
  • the fast charging robot Q6 is used in conjunction with the charging cabinet in the charging area.
  • the charging cabinet is used to charge the battery and the charging robot itself.
  • Using a fast-charging robot to automatically change batteries for other robots the entire battery replacement process is fast and can be completed within 1 minute.
  • the charging robot can automatically carry a fully charged battery, drive to the robot that needs to replace the battery, replace its "old” battery, and install a "new” battery.
  • the "old” battery is then taken back to the charging cabinet outside the operating room and recharged.
  • the entire process can be automated by robots. Also includes base unit, head and torso units.
  • the charging cabinet Q6100 is located outside the operating room (charging area 9) and has a touch screen Q6103 for human-computer interaction.
  • the control host is installed in the shell of the charging cabinet Q6100 and is connected to the network where the interventional surgery robot is located, and can receive specific information.
  • the touch screen Q6103 receives and feedbacks the information, and transmits it to the control host for data processing and storage; a transformer for providing stable and appropriate power input is installed inside the housing; there are multiple external ones for charging Charging grid Q6102 can be equipped with ten charging grids to meet the needs of surgical robot battery charging; each of the charging grids Q6102 has a charging socket that matches the plug of the battery Q6105; there is a charging port below the charging grid Q6102 Robot charging hole; the fast charging robot Q6 is an autonomous walking robot that communicates with the control host. It is used to replace the battery of the low-power robot in the interventional surgery robot, and put the replaced battery into the charging slot Q6102 It is charged inside and has a charging head Q6204 that matches the charging hole.
  • the charging hole at the bottom of the battery Q6105 and the charging plug in the charging cabinet Q6100 are connected.
  • the system will automatically start charging the battery.
  • the battery When the battery is full, it will automatically cut off the power and give a prompt on the touch screen.
  • it At the same time, it will also send a message to the charging robot Q6200. , allowing the robot to quickly find a ready battery.
  • the system can support 10 sets of batteries to be charged at the same time, which can effectively meet the battery replacement needs of multiple robots.
  • the charging robot itself is out of power, it can be charged on the charging table under the charging cabinet.
  • There are two sets of charging stations on the charging cabinet which can allow two fast charging robots Q6 to charge at the same time.
  • the trunk device is used to push and retract the battery and lift the system.
  • the torso device can telescope front and back, up and down, and push out the battery when it needs to be pushed. After the action is completed, it can be withdrawn. Through the overall cooperation of the system, the battery replacement action can be completed.
  • the support plate Q6225 is located on the walking chassis of the base device.
  • the top of the support plate Q6225 has a relatively vertically movable accommodation grid Q62271.
  • the accommodation grid Q62271 has two horizontally arranged There are two accommodation compartments, one for accommodating and transporting a fully charged battery Q6105, and the other for accommodating and transporting a low-power battery Q6105; the top of the accommodation compartment Q62271 is connected to the head mechanism; one end of it is away from the head mechanism
  • a connecting plate Q6227 extends outward, and a retractable and movable grabbing and pushing mechanism is provided on the connecting plate Q6227 relative to the two accommodation compartments. The grabbing and pushing mechanism is connected to the driver.
  • brackets Q6226 fixed on the support plate Q6225 on both sides of the accommodation grid Q62271.
  • a vertical linear guide rail Q6224 is fixed on the inner surface of each bracket Q6226, and on each of the vertical linear guide rails Q6224 Both are slidingly connected with first sliders, and the first sliders on the two sets of brackets Q6226 are fixed to the outer wall of the accommodation grid Q62271; both sides of the connecting plate Q6227 have first threaded holes, which are fixed to the support plate.
  • the two vertical screw motor assemblies Q6212 and Q6228 on Q6225 are matched with the two first threaded holes, and the vertical screw motor assemblies Q6212 and Q6228 are electrically connected to the driver.
  • the vertical screw motor components Q6212 and Q6228 cooperate with the first threaded holes on the left and right sides of the connecting plate Q6227 to complete the lifting.
  • the grabbing and pushing mechanism includes two sets of horizontal linear guide rails Q6216.
  • the horizontal linear guide rails Q6216 are fixed on the connecting plate Q6227 and are located behind the accommodation grid Q62271.
  • Each of the horizontal linear guide rails Q6216 The guide rails Q6216 are slidingly connected with second slide blocks.
  • Each set of second slide blocks is fixed with a push rod Q6211.
  • Each push rod Q6211 has a second threaded hole at the bottom and an electromagnet at its end. , used to absorb the iron pieces on the battery Q6105; the connecting plate Q6227 is located outside the two sets of horizontal linear guides Q6216, and is fixed with two horizontal screw motor assemblies Q6229.
  • the screws of the horizontal screw motor assembly Q6229 are connected to The second threaded hole fits and is electrically connected to the driver. Therefore, the horizontal screw motor assembly Q6229 cooperates with the second threaded hole to realize the extension and retraction of the push rod.
  • the electromagnet at the front end of the push rod cooperates with the iron piece on the battery to grab the battery.
  • the cleaning robot Q7 see Figures 18 and 19, mainly consists of three parts, the base device Q7100, the torso device Q7200, and the head and arm device Q7300.
  • the overall device can move in the catheterization room of interventional surgery to complete the cleaning of the floor, catheter bed and other items in the catheterization room, ensuring a clean and sterile environment in the catheterization room.
  • the base device Q7100 is mainly used to realize the movement of the robot and complete the floor cleaning action. It consists of three parts: the movement device, the sweeping device Q7101, and the floor wiping device Q7102.
  • the movement device is used to control the overall robot movement, and the sweeping device Q7101 is used to complete the sweeping action of the robot.
  • the floor wiping device Q7102 is used to complete the robot's floor wiping action; the movement device, sweeping device Q7101, and floor wiping device Q7102 are integrally installed on a base plate Q7103, and each of the four corners of the upper surface of the base plate Q7103 is equipped with a Column Q7104 used to support the torso device Q7200.
  • the motion device consists of four sets of wheel assemblies with the same structure and driven by motors, one of which is explained below.
  • the wheel assembly includes a wheel Q7105, a wheel connecting plate Q7106, a first servo motor Q7107, and a second servo motor Q7108; the wheel connecting plate Q7106 is in a right-angled shape, and a wheel connecting plate through hole is provided on the lower vertical plate; the first servo motor Q7107 is fixed In the inner space of the wheel connecting plate Q7106, and its motor shaft passes through the through hole of the wheel connecting plate and is connected to the wheel Q7105 on the outside of the lower vertical plate.
  • the first servo motor Q7107 controls the forward and backward movement of the wheel Q7105; the four corners of the bottom plate Q7103 Each has a motor mounting hole.
  • the second servo motor Q7108 is fixed in the motor mounting hole at the corresponding position on the base plate Q7103, and its motor shaft passes through the motor mounting hole and is connected to the upper horizontal plate of the wheel connecting plate Q7106.
  • the second servo motor Q7108 controls the steering of wheel Q7105.
  • the first servo motor Q7107 and the second servo motor Q7108 cooperate, and the four sets of wheels Q7105 move together to achieve all-round movement of the entire robot.
  • the trunk device Q7200 is mainly used to support and lift the robot, including the support plate Q7210 and the control and power supply equipment, sweeping control device, mopping control device, and lifting device installed on the support plate Q7210; the bottom of the support plate Q7210 and the top of the column Q7104 connected; the control and power supply equipment supplies power to the system and serves as the control information processing center of the entire system; the sweeping control device is connected to the sweeping device Q7101 to control the height of the sweeping device Q7101 to realize different working modes of the system; the sweeping control device is connected The floor wiping device Q7102 is used to control the height of the floor wiping device Q7102 to realize different working modes of the system; the lifting device is connected to the head and arm device Q7300 and is used to raise or lower the height of the head and arm device Q7300.
  • the head and arm device Q7300 is mainly used to complete system identification and arm control, including the head and arm device bracket Q7301 and the head device and arm device installed on the head and arm device bracket Q7301.
  • the head and arm device bracket Q7301 Connected to the lifting device, the head device is the observation and output end of the system, and the arm device is used to complete the grabbing of objects.
  • the head device can move in all directions to achieve better observation of the environment.
  • the arm device is used to grasp objects.
  • the arm device can telescope forward and backward, and the arms can be unfolded when grabbing is needed. After the grasp is complete, the arm is retracted. Through the arm system, the cleaning of items on the catheter bed can be completed.
  • the structures of the base device and the head device of each of the above-mentioned robots can be the same, which is beneficial to reducing costs and improving the interchangeability of robot parts.
  • the base can realize automatic walking, and the head or head device can realize 360-degree horizontal rotation and pitching movement, making it convenient to flexibly observe the surrounding environment.
  • Each robot is equipped with a communication module to achieve communication of the entire system.
  • the contrast medium injection device can adopt existing technology, such as an electric contrast medium injection device disclosed in patent document CN215608391U.
  • the automatic transfer vehicle 8 can be an existing transfer vehicle or a transfer system with automatic charging function. See Figures 20-22, including the transfer vehicle 8100, automatic fixation and automatic charging device (equivalent to the transfer vehicle charging pile 81 ), in which the automatic fixing and automatic charging device includes: a shell, which is hidden and embedded in the ground 8101, and its cover 8316 can be opened to expose the accommodation cavity formed inside; a fixing mechanism 8304, the fixing mechanism 8304 Located in the accommodation cavity, it is used to automatically extend and fix the transfer vehicle; an automatic charging mechanism, the automatic charging mechanism is located inside the accommodation cavity, and its charging plug 8311 is connected to an external power supply and is retractable in the accommodation cavity, Used for charging the transfer vehicle; and a control cabinet 8200, the control cabinet 8200 is used for displaying, storing information, parameter settings and processing data, and is connected with the automatic charging mechanism and the fixing mechanism 304.
  • the automatic fixing and automatic charging device includes: a shell, which is hidden and embedded in the ground 8101, and its cover 8316 can be opened to expose
  • the bottom of the automatic transfer device has a fixing part that cooperates with the fixing mechanism 8304, and the bottom of the automatic transfer device has a charging head that cooperates with the charging plug 8311.
  • the two poles of the charging plug 8311 are connected to the live wire and neutral wire of the network power supply respectively, and a travel switch is also provided to detect whether the two plugs are connected.
  • the bottom of the automatic transfer device is provided with four fixing holes 8102 relative to the four fixing mechanisms 8304; the charging head 8110 is located in a flip cover 8103 at the bottom of the automatic transfer device, and the flip cover 8103 is opened downward. , a position sensor 8104 is installed next to it, and the position sensor 8104 is communicatively connected to the position sensor base station 8301.
  • the fixing rods of the fixing mechanism 8304 are inserted into the fixing holes, the automatic transfer device is firmly fixed and will not cause the car body to move randomly.
  • the position sensor 8104 is used to cooperate with the position sensor base station 8301 to assist the automatic transfer device in positioning. After receiving the coordinates of the position sensor base station 8301, the automatic transfer device controls the moving vehicle body so that the automatic transfer device reaches a determined position.
  • the DSA device can be implemented using existing technology.
  • references to the terms “one embodiment,” “some embodiments,” “an example,” “specific examples,” or “some examples” or the like means that specific features are described in connection with the embodiment or example. , structures, materials or features are included in at least one embodiment or example of the invention. In this specification, the schematic expressions of the above terms are not necessarily directed to the same embodiment or example. Furthermore, the specific features, structures, materials or characteristics described may be combined in any suitable manner in any one or more embodiments or examples. Furthermore, those skilled in the art may join and combine the different embodiments or examples described in this specification.

Abstract

An unmanned interventional surgery room system, comprising: a catheter room (1), said catheter room (1) being an area for interventional surgery, and a catheter table (101) being provided in the catheter room (1); a control room (2), said control room (2) being arranged adjacent to the catheter room (1), and an observation window (201) being arranged between the catheter room (1) and the control room (2); robots, the catheter room (1) being internally provided with an interventional surgical robot (Q1), a master control robot (Q2), a puncture robot (Q3) and a catheter and guide wire replacement robot (Q4) which cooperatively work with each other, and a DSA device (3) and a contrast agent injection device (4) being mounted on the catheter table (101); a monitoring device (5), the monitoring device (5) being arranged in the control room and being in communication connection with said robots, the DSA device (3) and the contrast agent injection device (4), so as to be used for displaying the information of each device and robot and synchronously updating same in real time for a doctor to monitor; and a controller (6), said controller (6) being arranged in the control room (2) and used for human-computer interaction between a doctor and the robots. The present invention achieves the objective of achieving unmanned intervention surgery by means of combining human monitoring and cooperation of robots, thereby reducing the effect of interventional surgery on the body health of doctors.

Description

一种介入无人手术室系统An interventional unmanned operating room system 技术领域Technical field
本发明涉及微创血管介入手术技术领域,更具体的说是涉及一种介入无人手术室系统。The present invention relates to the technical field of minimally invasive vascular interventional surgery, and more specifically to an interventional unmanned operating room system.
背景技术Background technique
心脑血管微创介入疗法是针对心脑血管疾病的主要治疗手段。和传统外科手术相比,有着切口小、术后恢复时间短等明显优势。心脑血管介入手术是由医生手动将导管、导丝以及支架等器械送入病患体内来完成治疗的过程。Minimally invasive cardiovascular and cerebrovascular interventional therapy is the main treatment method for cardiovascular and cerebrovascular diseases. Compared with traditional surgery, it has obvious advantages such as smaller incisions and shorter postoperative recovery time. Cardiovascular and cerebrovascular interventional surgery is a process in which doctors manually insert catheters, guidewires, stents and other instruments into the patient's body to complete the treatment.
介入手术存在以下问题:首先,在手术过程中,由于DSA会发出X射线,医生体力下降较快,注意力及稳定性也会下降,将导致操作精度下降,易发生因推送力不当引起的血管内膜损伤、血管穿孔破裂等事故,导致患者生命危险。其次,长期电离辐射的积累伤害会大幅地增加医生患白血病、癌症以及急性白内障的几率。医生因为做介入手术而不断积累射线的现象,已经成为损害医生职业生命、制约介入手术发展不可忽视的问题。Interventional surgery has the following problems: First, during the operation, because the DSA emits X-rays, the doctor's physical strength decreases quickly, and his concentration and stability will also decrease, which will lead to a decrease in operating accuracy and prone to blood vessel damage caused by improper pushing force. Accidents such as intimal injury and blood vessel perforation and rupture can lead to life-threatening consequences for patients. Secondly, long-term cumulative damage from ionizing radiation will significantly increase doctors' chances of suffering from leukemia, cancer, and acute cataracts. The phenomenon that doctors continue to accumulate radiation due to interventional surgeries has become a problem that cannot be ignored, damaging doctors' professional lives and restricting the development of interventional surgeries.
通过使用机器人技术,可以使得在无需人工参与的情况下,机器人能完成介入手术的操作过程,有效的解决上述的问题。当然在机器人自动完成手术过程中,人工进行监测其操作过程还是必须的。多种机器人通过相互配合,完成整个介入手术过程,建立介入无人手术室是未来发展的趋势。By using robotic technology, the robot can complete the interventional surgery process without human intervention, effectively solving the above problems. Of course, when the robot automatically completes the operation, manual monitoring of the operation process is still necessary. A variety of robots cooperate with each other to complete the entire interventional surgery process. The establishment of interventional unmanned operating rooms is the future development trend.
而现阶段介入手术中的存在如下几个方面的问题:(1)在介入手术中,从穿刺过程,手术中对导管导丝的控制、对患者的转运、对耗材的递送、对造影剂的注射,对手术器械的更换,对图像的分析等等,所有的手术过程都需要医生的亲自动手,医生压力大、任务重;(2)医生长期穿着铅衣对身体骨骼和肌肉有严重的损伤;(3)医生长期接受DSA辐射的伤害,对身体健康有严重影响;(4)导管室使用频繁,清洁常会出现问题;(5)对患者的转运常常需要较多的人力资源;(6)人工对导管导丝的控制精度不高,手术效率不高等。At present, there are several problems in interventional surgery: (1) In interventional surgery, from the puncture process to the control of catheter guidewires, patient transportation, delivery of consumables, and contrast agent Injections, replacement of surgical instruments, analysis of images, etc., all surgical procedures require the doctor's hands-on experience. The doctor is under great pressure and has heavy tasks; (2) Doctors wearing lead clothing for a long time can cause serious damage to the bones and muscles of the body. ; (3) Doctors are harmed by DSA radiation for a long time, which has a serious impact on their health; (4) Catheterization labs are used frequently and cleaning problems often occur; (5) The transportation of patients often requires more human resources; (6) The manual control of the catheter guidewire is not very precise and the surgical efficiency is not high.
因此,如何提供一种介入无人手术室系统,是本领域技术人员亟需解决的问题。Therefore, how to provide an interventional unmanned operating room system is an urgent problem that those skilled in the art need to solve.
发明内容Contents of the invention
本发明旨在至少在一定程度上解决现有技术中的上述技术问题之一。The present invention aims to solve one of the above-mentioned technical problems in the prior art, at least to a certain extent.
为此,本发明的目的在于提出一种介入无人手术室系统,首先解决上述问题1-3和6。To this end, the purpose of the present invention is to propose an interventional unmanned operating room system that first solves the above problems 1-3 and 6.
本发明提供了一种介入无人手术室系统,包括:The invention provides an interventional unmanned operating room system, which includes:
导管室,所述导管室为介入手术的区域,其内具有导管床;Catheterization laboratory, which is an area for interventional surgery and has a catheterization bed;
控制室,紧邻所述导管室设置有所述控制室,所述导管室和所述控制室之间设置有观察窗口;A control room, the control room is provided immediately adjacent to the catheter room, and an observation window is provided between the catheter room and the control room;
机器人,所述导管室内部具有相互配合工作的介入手术机器人,主控机器人,穿刺机器人,更换导管导丝机器人;所述导管床上安装有DSA装置和造影剂注射装置;Robot, the catheter laboratory has an interventional surgery robot, a main control robot, a puncture robot, and a catheter guidewire replacement robot that work together; the catheter bed is equipped with a DSA device and a contrast agent injection device;
监控装置,所述控制室内设置有与上述机器人、DSA装置和造影剂注射装置通信连接的所述监控装置,用于展示各个设备及机器人的信息,实时同步更新,用于医生进行监督;以及A monitoring device. The control room is equipped with the monitoring device that is communicatively connected to the above-mentioned robot, DSA device and contrast agent injection device. It is used to display information of each equipment and robot and update it synchronously in real time for doctors to supervise; and
控制器,所述控制室内设有控制器,用于医生和机器人之间的人机交互。A controller is provided in the control room for human-computer interaction between the doctor and the robot.
经由上述的技术方案可知,与现有技术相比,本发明公开提供了一种介入无人手术室系统,将导管室、控制室紧邻设计,并在导管室内布置多个不同功能、且相互配合工作的机器人,以及导管床上安装有DSA装置和造影剂注射装置,配合完成手术,至少包括图像诊断、手术穿刺、置入导管导丝、导管导丝的更换、导管导丝的移动、血管造影等操作,提高了操作精度,控制室内设置监测各状态信息的监测装置及医生和机器人之间的人机交互的控制器,由此实现了人工监测,机器人组合实现无人介入手术的目的,解决了介入手术医生压力大、任务重的问题,医生在控制室内无需长期穿着铅衣,同时避免了长期接受DSA辐射的伤害,降低了介入手术对医生身体健康的影响。It can be seen from the above technical solutions that, compared with the prior art, the present invention provides an interventional unmanned operating room system, in which the catheterization room and the control room are designed closely together, and multiple different functions are arranged in the catheterization room and cooperate with each other. The working robot, as well as the DSA device and contrast medium injection device installed on the catheter bed, cooperate to complete the operation, including at least image diagnosis, surgical puncture, catheter guide wire insertion, catheter guide wire replacement, catheter guide wire movement, angiography, etc. The operation improves the accuracy of the operation. The control room is equipped with a monitoring device to monitor various status information and a controller for human-computer interaction between the doctor and the robot. This enables manual monitoring and the robot combination to achieve the purpose of unmanned interventional surgery and solves the problem. Interventional surgery doctors have the problem of high pressure and heavy tasks. Doctors do not need to wear lead clothing for a long time in the control room. At the same time, they avoid long-term exposure to DSA radiation and reduce the impact of interventional surgery on doctors' health.
进一步地,所述导管室附近具有病房,用于供患者休息。Furthermore, there is a ward near the catheterization laboratory for patients to rest.
进一步地,所述病房和所述导管室之间移动有自动转运车,用于自动转运患者。解决了问题5,对患者的转运无需较多的人力资源。Furthermore, an automatic transfer vehicle moves between the ward and the catheterization laboratory for automatically transporting patients. Problem 5 is solved, and no more human resources are needed to transport patients.
进一步地,所述病房内固定有转运车充电桩,用于供所述自动转运车充电。Further, a transfer vehicle charging pile is fixed in the ward for charging the automatic transfer vehicle.
进一步地,所述机器人还包括耗材递送机器人,所述耗材递送机器人记录手术耗材信息,用于将手术耗材送至所述导管室,其与所述监控装置和控制器通信连接。Further, the robot further includes a consumables delivery robot, which records surgical consumables information and is used to deliver surgical consumables to the catheterization laboratory, and is communicatively connected with the monitoring device and the controller.
进一步地,所述机器人还包括快速充电机器人,所述快速充电机器人与多个机器人通信连接,用于更换电量低的电池。Further, the robot also includes a fast charging robot, which is communicatively connected with multiple robots and is used to replace batteries with low power.
进一步地,所述导管室外部设置有为更换下来电量低的电池充电的充电区域,所述充电区域内设置有供所述快速充电机器人的充电位置。Furthermore, a charging area for charging the replaced low-power battery is provided outside the catheterization room, and a charging position for the fast charging robot is provided in the charging area.
进一步地,还包括与所述控制器通信连接的清扫机器人,所述清扫机器人用于手术结束后对所述导管室内进行自动清扫。解决了问题4,无需人力频繁清洁导管室,提高清洁效率。Further, a cleaning robot communicatively connected to the controller is included, and the cleaning robot is used to automatically clean the catheter chamber after the operation. Problem 4 is solved, no manpower is needed to frequently clean the cath lab, and cleaning efficiency is improved.
进一步地,所述监控装置包括多个显示屏幕,通过屏幕支架支撑。Further, the monitoring device includes a plurality of display screens, supported by a screen bracket.
进一步地,所述机器人的权限具有优先级,所述主控机器人具有最大权限,是手术的指导员,用于图像诊断,指示其他机器人配合工作。Furthermore, the permissions of the robot have priority, and the master robot has the maximum permission and is the instructor of the surgery, used for image diagnosis, and instructs other robots to work together.
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,还可以根据提供的附图获得其他的附图。In order to explain the embodiments of the present invention or the technical solutions in the prior art more clearly, the drawings needed to be used in the description of the embodiments or the prior art will be briefly introduced below. Obviously, the drawings in the following description are only These are embodiments of the present invention. For those of ordinary skill in the art, other drawings can be obtained based on the provided drawings without exerting creative efforts.
图1示意出了介入无人手术室系统整体布局图;Figure 1 shows the overall layout of the interventional unmanned operating room system;
图2示意出了介入无人手术室系统在导管室内布局图;Figure 2 shows the layout of the interventional unmanned operating room system in the catheterization room;
图3示意出了介入无人手术室系统流程图;Figure 3 illustrates the flow chart of the interventional unmanned operating room system;
图4示意出了主控机器人结构示意图;Figure 4 shows a schematic structural diagram of the main control robot;
图5示意出了主控机器人的手指装置的结构示意图;Figure 5 shows a schematic structural diagram of the finger device of the main control robot;
图6示意出了主控机器人的手指装置爆炸示意图;Figure 6 shows an exploded diagram of the finger device of the main control robot;
图7示意出了穿刺机器人结构示意图;Figure 7 shows a schematic structural diagram of the puncture robot;
图8示意出了穿刺机器人第一手指装置的结构示意图;Figure 8 shows a schematic structural diagram of the first finger device of the puncture robot;
图9示意出了穿刺机器人第二手指装置的结构示意图;Figure 9 shows a schematic structural diagram of the second finger device of the puncture robot;
图10示意出了更换导丝导管机器人结构示意图;Figure 10 shows a schematic structural diagram of the guidewire catheter replacement robot;
图11示意出了更换导丝导管机器人的手臂装置和头部的结构示意图;Figure 11 shows a schematic structural diagram of the arm device and head of the guidewire catheter replacement robot;
图12示意出了更换导丝导管机器人的手臂装置俯视图;Figure 12 shows a top view of the arm device of the guidewire catheter replacement robot;
图13示意出了更换导丝导管的示意图;Figure 13 shows a schematic diagram of replacing the guidewire catheter;
图14示意出了快速充电机器人结构示意图;Figure 14 shows a schematic structural diagram of the fast charging robot;
图15示意出了快速充电机器人抓取推送机构结构示意图;Figure 15 shows a schematic structural diagram of the grabbing and pushing mechanism of the fast charging robot;
图16示意出了耗材递送机器人结构示意图;Figure 16 shows a schematic structural diagram of the consumables delivery robot;
图17示意出了耗材递送机器人手臂组件结构示意图;Figure 17 shows a schematic structural diagram of the consumables delivery robot arm assembly;
图18示意出了清扫机器人结构示意图;Figure 18 shows a schematic structural diagram of the cleaning robot;
图19示意出了清扫机器人底座装置结构示意图;Figure 19 shows a schematic structural diagram of the cleaning robot base device;
图20示意出了自动转运车的结构示意图;Figure 20 shows a schematic structural diagram of the automatic transfer vehicle;
图21示意出了自动转运车底部结构示意图;Figure 21 shows a schematic diagram of the bottom structure of the automatic transfer vehicle;
图22示意出了自动转运车的自动充电和固定装置的结构示意图;Figure 22 shows a schematic structural diagram of the automatic charging and fixing device of the automatic transfer vehicle;
图23示意出了监控装置结构示意图。Figure 23 shows a schematic structural diagram of the monitoring device.
主要附图标记如下:The main reference symbols are as follows:
1-导管室,101-导管床,2-控制室,201-观察窗口,3-DSA装置,4-造影剂注射装置,5-监控装置,51-显示屏幕,52-屏幕支架,6-控制器,7-病房,8-自动转运车,81-转运车充电桩,9-充电区域,Q1-介入手术机器人,Q2-主控机器人,Q3-穿刺机器人,Q4-更换导管导丝机器人,Q5-耗材递送机器人,Q6-快速充电机器人,Q7-清扫机器人。1-cath lab, 101-cath bed, 2-control room, 201-observation window, 3-DSA device, 4-contrast injection device, 5-monitoring device, 51-display screen, 52-screen bracket, 6-control device, 7-ward, 8-automatic transfer vehicle, 81-transfer vehicle charging pile, 9-charging area, Q1-interventional surgery robot, Q2-main control robot, Q3-puncture robot, Q4-catheter guidewire replacement robot, Q5 -Consumables delivery robot, Q6-quick charging robot, Q7-cleaning robot.
具体实施方式Detailed ways
下面详细描述本发明的实施例,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。下面通过参考附图描述的实施例是示例性的,旨在用于解释本发明,而不能理解为对本发明的限制。Embodiments of the present invention are described in detail below, examples of which are illustrated in the accompanying drawings, wherein the same or similar reference numerals throughout represent the same or similar elements or elements with the same or similar functions. The embodiments described below with reference to the drawings are exemplary and are intended to explain the present invention and are not to be construed as limiting the present invention.
在本发明的描述中,需要理解的是,术语“上”、“下”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。In the description of the present invention, it should be understood that the terms "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", The orientations or positional relationships indicated by "bottom", "inside", "outside", etc. are based on the orientations or positional relationships shown in the drawings. They are only for the convenience of describing the present invention and simplifying the description, and do not indicate or imply the device or device referred to. Elements must have a specific orientation, be constructed and operate in a specific orientation and therefore are not to be construed as limitations of the invention.
此外,术语“第一”、“第二”仅用于描述目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”的特征可以明示或者隐含地包括一个或者更多个该特征。在本发明的描述中,“多个”的含义是两个或两个以上,除非另有明确具体的限定。In addition, the terms “first” and “second” are used for descriptive purposes only and cannot be understood as indicating or implying relative importance or implicitly indicating the quantity of indicated technical features. Therefore, features defined as "first" and "second" may explicitly or implicitly include one or more of these features. In the description of the present invention, "plurality" means two or more than two, unless otherwise explicitly and specifically limited.
在本发明中,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”、“固定”等术语应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或成一体;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通或两个元件的相互作用关系。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本发明中的具体含义。In the present invention, unless otherwise clearly stated and limited, the terms "installation", "connection", "connection", "fixing" and other terms should be understood in a broad sense. For example, it can be a fixed connection or a detachable connection. , or integrated; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium; it can be an internal connection between two elements or an interaction between two elements. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.
由于现阶段介入手术存在背景技术中指出的多个问题,因此本发明实施例公开了一种介入无人手术室系统,参见附图1-3,包括:Since interventional surgery at this stage has multiple problems pointed out in the background technology, an embodiment of the present invention discloses an interventional unmanned operating room system, see Figures 1-3, including:
导管室1,所述导管室1为介入手术的区域,其内具有导管床101; Catheterization laboratory 1. The catheterization laboratory 1 is an area for interventional surgery and has a catheterization bed 101 therein;
控制室2,紧邻所述导管室1设置有所述控制室2,所述导管室1和所述控制室2之间设置有观察窗口201; Control room 2, the control room 2 is provided immediately adjacent to the catheter room 1, and an observation window 201 is provided between the catheter room 1 and the control room 2;
机器人,所述导管室1内部具有相互配合工作的介入手术机器人Q1,主控机器人Q2,穿刺机器人Q3,更换导管导丝机器人Q4;所述导管床101上安装有DSA装置3和造影剂注射装置4;Robot, the catheterization laboratory 1 has an interventional surgery robot Q1, a main control robot Q2, a puncture robot Q3, and a catheter guidewire replacement robot Q4 that work together in cooperation with each other; the catheter bed 101 is equipped with a DSA device 3 and a contrast agent injection device 4;
监控装置5,所述控制室2内设置有与上述机器人、DSA装置3和造影剂注射装置4通信连接的所述监控装置5,用于展示各个设备及机器人的信息,实时同步更新,用于医生进行监督;以及 Monitoring device 5. The control room 2 is provided with the monitoring device 5 that is communicatively connected to the above-mentioned robot, DSA device 3 and contrast agent injection device 4. It is used to display the information of each equipment and robot and update it synchronously in real time. A physician provides supervision; and
控制器6,所述控制室2内设有控制器6,用于医生和机器人之间的人机交互。 Controller 6. The controller 6 is provided in the control room 2 for human-computer interaction between the doctor and the robot.
本发明公开提供了一种介入无人手术室系统,将导管室、控制室紧邻设计,并在导管室内布置多个不同功能、且相互配合工作的机器人,以及导管床上安装有DSA装置和造影剂注射装置,配合完成手术,至少包括图像诊断、手术穿刺、置入导管导丝、导管导丝的更换、导管导丝的移动、血管造影等操作,提高了操作精度,控制室内设置监测各状态信息的监测装置及医生和机器人之间的人机交互的控制器,由此实现了人工监测,机器人组合实现无人介入手术的目的,解决了介入手术医生压力大、任务重的问题,医生在控制室内无需长期穿着铅衣,同时避免了长期接受DSA辐射的伤害,降低了介入手术对医生身体健康的影响。The present invention discloses an interventional unmanned operating room system, in which a catheter room and a control room are designed closely together, and multiple robots with different functions that work in conjunction with each other are arranged in the catheter room, and a DSA device and a contrast agent are installed on the catheter bed. The injection device cooperates with the completion of the operation, including at least image diagnosis, surgical puncture, catheter guidewire insertion, catheter guidewire replacement, catheter guidewire movement, angiography and other operations, which improves the accuracy of the operation. The control room is set up to monitor various status information. The monitoring device and the human-computer interaction controller between the doctor and the robot realize manual monitoring, and the robot combination realizes the purpose of unmanned interventional surgery, solving the problem of high pressure and heavy tasks for interventional surgery doctors. The doctor is controlling There is no need to wear lead clothing for a long time indoors, and it also avoids the harm of long-term exposure to DSA radiation, reducing the impact of interventional surgery on the doctor's health.
在本发明的一个实施例中,所述导管室2附近具有病房7,用于供患者休息。优选病房与导管室相对布置。In one embodiment of the present invention, there is a ward 7 near the catheterization laboratory 2 for patients to rest. It is preferred that the ward and the cath lab be arranged opposite each other.
在本发明的一个实施例中,所述病房7和所述导管室1之间移动有自动转运车8,用于自动转运患者;由此无需耗费大量的人力对患者进行转运。In one embodiment of the present invention, an automatic transfer vehicle 8 moves between the ward 7 and the catheterization laboratory 1 for automatically transporting patients; thus, there is no need to spend a lot of manpower to transport patients.
有利的是,所述病房7内固定有转运车充电桩81,用于供所述自动转运车8充电。Advantageously, a transfer vehicle charging pile 81 is fixed in the ward 7 for charging the automatic transfer vehicle 8 .
在本发明的一个实施例中,所述机器人还包括耗材递送机器人Q5,所述耗材递送机器人Q5记录手术耗材信息,用于将手术耗材送至所述导管室1,其与所述监控装置5和控制器6通信连接。In one embodiment of the present invention, the robot also includes a consumables delivery robot Q5. The consumables delivery robot Q5 records surgical consumables information and is used to deliver surgical consumables to the catheterization laboratory 1. It communicates with the monitoring device 5 Communication connection with controller 6.
在本发明的一个实施例中,所述机器人还包括快速充电机器人Q6,所述快速充电机器人Q6与多个机器人通信连接,用于更换电量低的电池;由此解决了机械人电池电量低无法及时补充的问题。In one embodiment of the present invention, the robot also includes a fast charging robot Q6. The fast charging robot Q6 is communicatively connected with multiple robots and is used to replace batteries with low battery power; thus solving the problem that the robot's battery power is low. Timely supplementary questions.
有利的是,所述导管室1外部设置有为更换下来电量低的电池充电的充电区域9,所述充电区域9内设置有供所述快速充电机器人Q6的充电位置。Advantageously, a charging area 9 for charging the replaced low-power battery is provided outside the cath lab 1 , and a charging position for the fast charging robot Q6 is provided in the charging area 9 .
在本发明的另一些实施例中,还包括与所述控制器6通信连接的清扫机器人Q7,所述清扫机器人Q7用于手术结束后对所述导管室1内进行自动清扫。由此无需人力频繁清洁导管室,提高清洁效率。In other embodiments of the present invention, a cleaning robot Q7 that is communicatively connected to the controller 6 is also included. The cleaning robot Q7 is used to automatically clean the catheter laboratory 1 after the operation. This eliminates the need for manual labor to frequently clean the cath lab and improves cleaning efficiency.
更有利的是,所述监控装置5包括多个显示屏幕51,通过屏幕支架52支撑。More advantageously, the monitoring device 5 includes a plurality of display screens 51 supported by screen brackets 52 .
上述各实施例中,所述机器人的权限具有优先级,所述主控机器人Q2具有最大权限,是手术的指导员,用于图像诊断,指示其他机器人配合工作。In the above embodiments, the permissions of the robots have priorities, and the master robot Q2 has the maximum permissions and is the instructor of the surgery, used for image diagnosis and instructing other robots to work together.
在本发明的一个具体的实施例中,介入无人手术室的布局,可以分为四个空间。在病房中,安装有转运车充电桩。在充电区,有充电装置。在导管室中,有介入手术机器人、导管床、DSA装置、清扫机器人、主控机器人、穿刺机器人、造影剂注射装置、更换导丝导管机器人、在控制室中,有监控装置、控制器。其中,还有几个机器人是不同区域中活动的。他们分别是自动转运车,在病房和导管室之间活动。快速充电机器人,在充电区和导管室之间活动。耗材递送机器人,在导管室和控制室之间活动。In a specific embodiment of the present invention, the layout of the interventional unmanned operating room can be divided into four spaces. In the ward, a transfer vehicle charging pile is installed. In the charging area, there are charging devices. In the cath lab, there are interventional surgery robots, catheter beds, DSA devices, cleaning robots, main control robots, puncture robots, contrast agent injection devices, and guidewire catheter replacement robots. In the control room, there are monitoring devices and controllers. Among them, there are several robots active in different areas. They are automatic transfer vehicles that move between wards and cath labs. A fast-charging robot that moves between the charging area and the cath lab. The consumable delivery robot moves between the cath lab and the control room.
参见附图2,在导管室1内,观察窗口201采用铅玻璃,便于控制室用于观察导管室。导管床101安装在导管室1的中央,DSA装置3安装在导管床101的床头,主控机器人Q2活动在导管床101的左侧。自动转运车8进入导管室后,停止导管床101的右侧,待患者上导管床101后,自动转运车8会退出导管室,在门口等候。介入手术机器人Q1安装在导管床101侧面的导轨上。造影剂注射装置4放置在导管床101上。清扫机器人Q7、更换导丝导管机器人Q4、穿刺机器人Q3,分别停放在导管室的角落里。在需要时会移动出来进行工作。耗材递送机器人Q5在拿取耗材后,会放置在导管床101上,然后会退出导管室外等候。Referring to Figure 2, in the catheterization laboratory 1, the observation window 201 is made of lead glass, which is convenient for the control room to observe the catheterization laboratory. The catheter bed 101 is installed in the center of the catheter room 1, the DSA device 3 is installed at the bedside of the catheter bed 101, and the main control robot Q2 moves on the left side of the catheter bed 101. After the automatic transfer vehicle 8 enters the catheterization laboratory, it stops on the right side of the catheterization bed 101. After the patient gets on the catheterization bed 101, the automatic transfer vehicle 8 will exit the catheterization laboratory and wait at the door. The interventional surgery robot Q1 is installed on the guide rail on the side of the catheter bed 101. The contrast medium injection device 4 is placed on the catheter bed 101 . The cleaning robot Q7, the guidewire replacement robot Q4, and the puncture robot Q3 are parked in the corners of the cath lab. Will be moved out to work when needed. After taking the consumables, the consumable delivery robot Q5 will place them on the catheter bed 101, and then exit and wait outside the catheter room.
整个介入手术的完整流程大致如下:首先,患者在病房等候,当接受到可以进行手术的消息后,自动转运车可以进行自由移动。患者躺在自动转运车上,自动转运车根据GPS指引会沿着预定的路线把患者自动运送到导管室内,停止在导管床的侧面。然后患者从转运车上移动到导管床上后,转运车自动退出导管室,停留在导管室外,等待手术结束。在患者躺好后,主控机器人会指示穿刺机器人开始动作,穿刺机器人会移动到导管床的侧面,开始逐步对患者消毒、局部麻醉、穿刺、置入外鞘等动作。动作完成后,会把消息传达给主控机器人。主控机器人开始指示DSA装置、介入手术机器人准备开动作。在主控机器人的辅助下,介入机器人配合DSA装置的图像依次完成对造影导丝、造影导管放置在患者血管的合适位置上,主控机器人指示造影剂注射装置进行注射造影剂动作,在DSA装置上就可以显示出血管的图像。调整DSA的角度,进行不同体位的成像,以便观察到更加全面的血管形态。在得到不同的血管影像后,主控机器人会根据血管的图像进行病情分析,在与大数据对比分析后,得到诊断结果。如果需要继续手术,则配合DSA装置 和介入机器人进行导引导管的置入。这时,主控机器人会指示更换导丝导管机器人来辅助完成更换导丝和导管。同时,主控机器人会选择手术所需的耗材,发送给耗材递送机器人,或通过控制器发送指令,耗材递送机器人查找,在找到目标耗材后,耗材递送机器人会把手术耗材放置在导管床上,主控机器人会辅助完成把耗材安装在介入手术机器人上。然后根据DSA的图像,一步步完成对手术耗材(如支架)的推送,期间需要多次造影剂注射装置的配合。主控机器人在手术期间可以完成对DSA脚踏的控制,在一步步操作完成后,手术的治疗就顺利完成了。The complete process of the entire interventional surgery is roughly as follows: First, the patient waits in the ward. After receiving the news that the surgery can be performed, the automatic transfer vehicle can move freely. The patient lies on the automatic transfer vehicle. The automatic transfer vehicle will automatically transport the patient to the catheterization room along the predetermined route based on GPS guidance and stop on the side of the catheterization bed. Then, after the patient moves from the transfer vehicle to the catheter bed, the transfer vehicle automatically exits the catheterization room and stays outside the catheterization room, waiting for the end of the operation. After the patient lies down, the main control robot will instruct the puncture robot to start action. The puncture robot will move to the side of the catheter bed and begin to gradually disinfect the patient, local anesthesia, puncture, and insert the outer sheath. After the action is completed, the message will be conveyed to the main control robot. The main control robot begins to instruct the DSA device and the interventional surgery robot to prepare for action. With the assistance of the main control robot, the interventional robot cooperates with the image of the DSA device to complete the placement of the contrast guide wire and catheter at the appropriate position of the patient's blood vessel. The main control robot instructs the contrast agent injection device to inject the contrast agent. In the DSA device The image of blood vessels can be displayed on it. Adjust the angle of DSA and perform imaging in different postures to observe a more comprehensive vascular morphology. After obtaining different blood vessel images, the main control robot will analyze the condition based on the blood vessel images, and obtain the diagnosis result after comparing and analyzing with big data. If the operation needs to continue, the DSA device and interventional robot will be used to insert the guiding catheter. At this time, the main control robot will instruct the replacement guidewire and catheter robot to assist in completing the replacement of guidewires and catheters. At the same time, the main control robot will select the consumables required for the surgery and send them to the consumables delivery robot, or send instructions through the controller, and the consumables delivery robot will search for them. After finding the target consumables, the consumables delivery robot will place the surgical consumables on the catheter bed. The control robot will assist in installing the consumables on the interventional surgical robot. Then, based on the DSA images, the pushing of surgical consumables (such as stents) is completed step by step, during which the cooperation of the contrast agent injection device is required multiple times. The main control robot can complete the control of the DSA foot pedal during the operation. After the step-by-step operation is completed, the surgical treatment is successfully completed.
然后,在主控机器人的辅助下,所有的导丝导管都撤出人体。主控机器人帮助患者完成包扎后。会发送消息让自动转运车进入导管室停止导管床的侧边,患者从导管床上回到转运车上,然后转运车会带着患者返回病房,停止到位。Then, with the assistance of the main control robot, all guide wire catheters are withdrawn from the human body. The main control robot helps the patient complete the bandaging. A message will be sent to let the automatic transfer vehicle enter the cath lab and stop on the side of the catheter bed. The patient will return from the catheter bed to the transfer vehicle. Then the transfer vehicle will take the patient back to the ward and stop in place.
手术期间,所有设备的状态和数据,都会现在在控制室内的监控装置上,医生可以全程监督手术的进行,一旦发现有任何异常,可以随时通过控制器暂停手术,进行调整。修复完成后,可以继续手术。医生也可以使用控制器对机器人进行控制。在一台手术结束后,主控机器人会指示清洁机器人打扫导管室,或控制器发送清洁机器人打扫指令,为下一台手术做好准备。During the operation, the status and data of all equipment will be displayed on the monitoring device in the control room. The doctor can supervise the entire operation. Once any abnormalities are found, the operation can be suspended at any time through the controller and adjustments made. Once the repair is complete, surgery can continue. Doctors can also use the controller to control the robot. After an operation is completed, the main control robot will instruct the cleaning robot to clean the cath lab, or the controller will send cleaning instructions to the cleaning robot to prepare for the next operation.
各个机器人都采用了锂电池供电,如果某个机器人当检测到电量低时,他会发送信号给快速充电机器人,快速充电机器人会携带一块充满电的锂电池移动到机器人旁边给机器人换上,并取走低电量的电池送回充电桩上进行充电。Each robot is powered by a lithium battery. If a robot detects that the battery is low, it will send a signal to the fast charging robot. The fast charging robot will move to the side of the robot with a fully charged lithium battery and replace it. Take the low-power battery and return it to the charging station for charging.
上述操作流程中应用到的机器人和装置,可以为现有能够实现对应功能的机械人,个别的机器人也可以采用如下机器人,仅以个别示例阐述机器人的功能:The robots and devices used in the above operation process can be existing robots that can achieve corresponding functions. Individual robots can also use the following robots. Only individual examples are used to illustrate the functions of the robots:
介入手术机器人Q1,可以采用专利文献CN112353491A公开的一种介入造影和治疗手术通用机器人,将其连接于导管床上。The interventional surgery robot Q1 can adopt a universal robot for interventional imaging and therapeutic surgery disclosed in the patent document CN112353491A, and connect it to the catheter bed.
主控机器人Q2,采用车体结构可以在导管室内移动。手术时机器人对包括DSA、导管床、其他机器人等各部件进行监视,并能通过机器学习掌握手术流程,发送指令指导各个设备进行配合动作,会把各种数据实时发送到监测系统上。手术结束后,机器人会自行移动到角落,不影响其他操作。The main control robot Q2 adopts a car body structure and can move in the catheter room. During surgery, the robot monitors various components including the DSA, catheter bed, and other robots, and can master the surgical process through machine learning, send instructions to guide each device to cooperate, and send various data to the monitoring system in real time. After the operation, the robot will move to the corner on its own without affecting other operations.
参见附图4-6,主控机器人Q2包括:Q2100底座装置,头部和手臂装置Q2200以及手指装置Q2300;所述底座装置Q2100底部具有行走装置,用于移动到目标区域,其上设置有用于模拟医生脚部来控制DSA的透视和曝光动作的踏板装置;所述底座装置Q2100顶部支撑有所述头部和手臂装置Q2200,用于完成识别信息和对手指的定位;所述头部和手臂装置Q2200的手臂端连接有所述手指装置Q2300,用于手术器材的抓取、更换及安装。Referring to Figure 4-6, the main control robot Q2 includes: Q2100 base device, head and arm device Q2200 and finger device Q2300; the base device Q2100 has a walking device at the bottom for moving to the target area, and is provided with a A pedal device that simulates a doctor's feet to control the fluoroscopy and exposure actions of the DSA; the top of the base device Q2100 supports the head and arm device Q2200, which is used to complete identification information and positioning of fingers; the head and arms The finger device Q2300 is connected to the arm end of the device Q2200, which is used for grabbing, replacing and installing surgical equipment.
其中,手指装置Q2300包括:Among them, the finger device Q2300 includes:
手指连接板Q2301,所述手指连接板Q2301与手臂端部连接;Finger connection plate Q2301, the finger connection plate Q2301 is connected to the end of the arm;
手指导轨Q2303,所述手指连接板Q2301底部连接有手指导轨Q2303,所述手指导轨Q2303上滑动有两个手指滑块;Finger guide rail Q2303, the finger guide rail Q2303 is connected to the bottom of the finger connecting plate Q2301, and two finger sliders slide on the finger guide rail Q2303;
手指丝杠电机Q2311,所述手指丝杠电机Q2311通过手指电机支架Q2310固定于所述手指连接板Q2301下方;Finger screw motor Q2311, the finger screw motor Q2311 is fixed below the finger connection plate Q2301 through the finger motor bracket Q2310;
连接片Q2304,Q2309,每一个所述手指滑块上对应连接一个连接片Q2304,Q2309,两个所述连接片Q2304,Q2309上分别具有与所述手指丝杠电机Q2311螺纹配合的顺时针螺纹和逆时针螺纹;在手指丝杠电机Q2311转动时,2个手指Q2307和Q2306会进行相对运动或相反运动。Connecting pieces Q2304, Q2309. Each of the finger sliders is connected to a connecting piece Q2304, Q2309. The two connecting pieces Q2304, Q2309 respectively have clockwise threads and threads that match the threads of the finger screw motor Q2311. Counterclockwise thread; when the finger screw motor Q2311 rotates, the two fingers Q2307 and Q2306 will move relative to each other or in opposite directions.
三维压力传感器Q2305,Q2308,每一个所述连接片Q2304,Q2309下方对应连接一个所述三维压力传感器Q2305,Q2308;以及Three-dimensional pressure sensors Q2305 and Q2308 are connected to one of the three-dimensional pressure sensors Q2305 and Q2308 below each of the connecting pieces Q2304 and Q2309; and
手指Q2306,Q2307,每一个所述三维压力传感器Q2305,Q2308下方连接一个所述手指Q2306,Q2307,所述手指Q2306,Q2307内表面为柔软的医用硅胶,可以防止损坏手术器材。Finger Q2306, Q2307, each of the three-dimensional pressure sensors Q2305, Q2308 is connected to one finger Q2306, Q2307 below. The inner surface of the finger Q2306, Q2307 is soft medical silicone, which can prevent damage to surgical equipment.
手指装置内安装的三维压力传感器,可以感受到抓取的力度,保证抓取的准确性。The three-dimensional pressure sensor installed in the finger device can feel the grasping force and ensure the accuracy of grasping.
有利的是,所述手指连接板Q2301向外倾斜延伸形成一个手指摄像头支架,所述手指摄像头支架上至少连接一个手指摄像头Q2302,所述手指摄像头302朝向所述手指Q2306,Q2307布置。Advantageously, the finger connecting plate Q2301 extends outward obliquely to form a finger camera bracket. At least one finger camera Q2302 is connected to the finger camera bracket. The finger camera 302 is arranged toward the fingers Q2306 and Q2307.
夹紧物体后,三维压力传感器Q2305,Q2308会感受到压力值,达到一定数值后,手指丝杠电机Q2311停止运动。在抓取的过程中,手指摄像头Q2302会时刻关注着物体的形态,以确保不会发送夹坏器材的情况。手指摄像头 Q2302用于观察手指端的环境,能够方便机器人和医生更好的观察物体的分布和准确位置。After clamping the object, the three-dimensional pressure sensors Q2305 and Q2308 will feel the pressure value. After reaching a certain value, the finger screw motor Q2311 stops moving. During the grabbing process, the finger camera Q2302 will always pay attention to the shape of the object to ensure that the equipment will not be pinched. Finger camera Q2302 is used to observe the environment at the finger end, which can facilitate robots and doctors to better observe the distribution and accurate position of objects.
值得说明的是,手术开始前,主控机器人Q2会自动移动到导管床旁,监督并指导各设备的运行,负责手术中的手术器材抓取、更换等动作。手术结束后,机器人能够自动移动到角落里,不影响其他设备的使用和清洁。在第一次使用机器人前,需要进行学习和训练,目的是让机器人适应导管室的环境和熟悉当前医用使用的DSA、导管床、其他机器人等设备,学习和其他设备进行良好的配合操作。经过多次训练后,机器人会逐步掌握并记忆所学的知识,待完全学习好后,就可以正常使用机器人来进行自动手术或辅助手术了。机器人系统内本身存储有大量的手术图像和标准手术流程,以及众多异常情况的处理措施,可以在实际临床中加以使用。并且机器人有自主学习功能,能够记录并分析之后的每一次手术的情景,以便在后续手术中选择最优解决方案。It is worth mentioning that before the operation begins, the main control robot Q2 will automatically move to the catheter bedside, supervise and guide the operation of each equipment, and be responsible for grabbing and replacing surgical equipment during the operation. After the operation, the robot can automatically move to the corner without affecting the use and cleaning of other equipment. Before using the robot for the first time, learning and training are required. The purpose is to make the robot adapt to the environment of the cath lab and become familiar with the current medical equipment such as DSA, catheter bed, and other robots, and learn to operate well with other equipment. After multiple trainings, the robot will gradually master and remember the knowledge it has learned. After it is fully learned, it can be used normally to perform automatic surgery or assisted surgery. The robot system itself stores a large number of surgical images and standard surgical procedures, as well as numerous abnormal situation handling measures, which can be used in actual clinical practice. Moreover, the robot has an autonomous learning function and can record and analyze the scenarios of each subsequent surgery in order to select the optimal solution in subsequent surgeries.
穿刺机器人Q3,参见附图7,包括:底座装置、头部和手臂装置及穿刺手指装置,穿刺手指装置通过两个机械臂,分别连接第一手指装置Q3300和第二手指装置Q3400。底座装置上通过穿刺机器人主机接收信息、储存信息、处理信息及发送指令信息,第一手指装置用于穿刺手术穿刺点定位,第二手指装置用于穿刺,两者在手术中相互配合,均可对手术器材抓取、更换及安装,实现了机器人穿刺手术,提高了穿刺的准确性,进而降低由于穿刺位置不准确导致重复操作,使血管痉挛的情况发生,提高了穿刺手术的安全性。The puncture robot Q3, see Figure 7, includes: a base device, a head and arm device and a puncture finger device. The puncture finger device is connected to the first finger device Q3300 and the second finger device Q3400 through two mechanical arms respectively. The base device receives information, stores information, processes information and sends instruction information through the puncture robot host. The first finger device is used to locate the puncture point during puncture surgery, and the second finger device is used for puncture. Both of them cooperate with each other during the operation. The grasping, replacement and installation of surgical equipment realizes robotic puncture surgery, which improves the accuracy of puncture, thereby reducing the occurrence of vasospasm due to repeated operations due to inaccurate puncture positions, and improving the safety of puncture surgery.
具体的,参见附图8,第一手指装置Q3300包括:Specifically, referring to Figure 8, the first finger device Q3300 includes:
第一手指连接板Q3302,所述第一手指连接板Q3302与一个机械臂的端部连接;The first finger connection plate Q3302 is connected to the end of a robotic arm;
第一手指导轨Q3303,所述第一手指连接板Q3302底部连接有第一手指导轨303,所述第一手指导轨Q3303上滑动有两个第一手指滑块;First finger guide rail Q3303, the first finger guide rail 303 is connected to the bottom of the first finger connecting plate Q3302, and two first finger sliders slide on the first finger guide rail Q3303;
第一手指丝杠电机Q3305,所述第一手指丝杠电机Q3305通过第一手指电机支架Q3304固定于所述第一手指连接板Q3302下方;The first finger screw motor Q3305 is fixed below the first finger connecting plate Q3302 through the first finger motor bracket Q3304;
第一连接片Q3306,Q3312,每一个所述第一手指滑块上对应连接一个第一连接片Q3306,Q3312,两个所述第一连接片Q3306,Q3312上分别具有与所述第一手指丝杠电机Q3305螺纹配合的顺时针螺纹和逆时针螺纹;First connecting pieces Q3306, Q3312. Each of the first finger sliders is connected to a corresponding first connecting piece Q3306, Q3312. The two first connecting pieces Q3306, Q3312 are respectively provided with the first finger wires. The Q3305 thread of the lever motor matches the clockwise thread and counterclockwise thread;
第一三维压力传感器Q3307,Q3311,每一个所述第一连接片Q3306,Q3312下方对应连接一个所述第一三维压力传感器Q3307,Q3311;以及First three-dimensional pressure sensors Q3307, Q3311, each of the first connecting pieces Q3306, Q3312 is connected below one corresponding first three-dimensional pressure sensor Q3307, Q3311; and
第一手指耗材Q3309,每一个所述第一三维压力传感器Q3307,Q3311下方连接一个所述第一手指耗材Q3309,所述第一手指耗材Q3309内表面为柔软的医用硅胶。The first finger consumable Q3309 is connected below each of the first three-dimensional pressure sensors Q3307 and Q3311. The inner surface of the first finger consumable Q3309 is made of soft medical silicone.
有利的是,所述第一三维压力传感器Q3307,Q3311和所述第一手指耗材Q3309之间固定有第一电磁铁Q3308,Q3310,所述第一手指耗材Q3309内具有与所述第一电磁铁Q3308,Q3310磁性连接的第一铁片。Advantageously, first electromagnets Q3308, Q3310 are fixed between the first three-dimensional pressure sensors Q3307, Q3311 and the first finger consumable Q3309, and the first finger consumable Q3309 has a structure connected to the first electromagnet. Q3308, the first iron piece of Q3310 magnetic connection.
其中,第一手指耗材Q3309内部形成凹槽,第一铁片放入凹槽内与电磁铁磁性连接,方便对耗材的更换。第一手指耗材Q3309为经过环氧乙烷灭菌的一次性耗材,每台手术使用一套新的。第一手指耗材Q3309的内表面为软性的医用硅胶加工,可以防止打滑和损坏手术器材。Among them, a groove is formed inside the first finger consumable Q3309, and the first iron piece is placed in the groove and magnetically connected with the electromagnet to facilitate the replacement of the consumable. First Finger consumables Q3309 are disposable consumables that have been sterilized by ethylene oxide, and a new set is used for each operation. The inner surface of the first finger consumable Q3309 is processed with soft medical silicone, which can prevent slipping and damage to surgical equipment.
更有利的是,所述第一手指连接板Q3302一侧向外倾斜延伸形成第一手指摄像头支架,所述手指摄像头支架上至少连接一个第一手指摄像头Q3301,所述第一手指摄像头Q3301朝向所述第一手指耗材Q3309方向布置。第一手指摄像头Q3301用于观察手指端的环境。More advantageously, one side of the first finger connecting plate Q3302 is tilted outward to form a first finger camera bracket. At least one first finger camera Q3301 is connected to the finger camera bracket, and the first finger camera Q3301 faces toward the finger camera bracket. The first finger consumable Q3309 is arranged in the direction described above. The first finger camera Q3301 is used to observe the environment at the finger end.
一个第一连接片Q3306,Q3312为顺时针螺纹,另一个第一连接片Q3306,Q3312为逆时针螺纹,因此,在电机转动时,两个第一手指耗材Q3309会进行相对运动或相反运动,实现对物体的夹紧和打开。在夹紧物体后,第一三维压力传感器Q3307,Q3311会感受到压力值,达到一定数值后,电机停止运动。在抓取的过程中,第一手指摄像头Q3301会时刻关注着物体的形态,以确保不会发送夹坏器材的情况。One of the first connecting pieces Q3306 and Q3312 is a clockwise thread, and the other first connecting piece Q3306 and Q3312 is a counterclockwise thread. Therefore, when the motor rotates, the two first finger consumables Q3309 will move relative or oppositely to achieve Clamping and opening of objects. After clamping the object, the first three-dimensional pressure sensors Q3307 and Q3311 will feel the pressure value. After reaching a certain value, the motor stops moving. During the grabbing process, the first finger camera Q3301 will always pay attention to the shape of the object to ensure that the equipment will not be pinched.
参见附图9,第二手指装置Q3400包括:Referring to Figure 9, the second finger device Q3400 includes:
第二手指连接板Q3402,所述第二手指连接板Q3402顶部与另一个机械臂的端部连接,其底部形成具有两个平行布置,且向下凸出的安装条带;The second finger connecting plate Q3402, the top of the second finger connecting plate Q3402 is connected to the end of the other robotic arm, and the bottom of the second finger connecting plate Q3402 is formed with two parallel arranged and downwardly protruding mounting strips;
两个第二手指导轨Q3415,所述第二手指导轨Q3415对应安装于所述安装条带下方,每一个所述第二手指导轨Q3415上均滑动有至少两个第二手指滑块;Two second finger guide rails Q3415, the second finger guide rails Q3415 are correspondingly installed below the installation strip, and at least two second finger sliders slide on each of the second finger guide rails Q3415;
第二手指丝杠电机Q3404,所述第二手指丝杠电机Q3404通过第二手指电机支架固定于所述第二手指连接板Q3402下方,且位于两个所述安装条带之间;a second finger screw motor Q3404, which is fixed below the second finger connection plate Q3402 through a second finger motor bracket and is located between the two installation strips;
过渡板Q3406,所述过渡板Q3406顶部具有与所述第二手指丝杠电机Q3404的丝杠螺纹连接的连接块,且所述过渡板Q3406固定于所述第二手指滑块底面;Transition plate Q3406, the top of the transition plate Q3406 has a connecting block that is threadedly connected to the screw of the second finger screw motor Q3404, and the transition plate Q3406 is fixed to the bottom surface of the second finger slider;
两个第三手指导轨Q3405,所述过渡板Q3406底部平行布置有两个第三手指导轨Q3405,且与所述第二手指导轨Q3415垂直布置,每一所述第三手指导轨Q3405下部滑动有至少两个第三手指滑块;Two third hand guide rails Q3405 are arranged parallel to the bottom of the transition plate Q3406 and perpendicular to the second hand guide rail Q3415. The lower part of each third hand guide rail Q3405 slides. At least two third finger sliders;
第三手指丝杠电机Q3407,两个所述第二手指导轨Q3415之间通过电机支架固定有所述第三手指丝杠电机Q3407;The third finger screw motor Q3407 is fixed between the two second finger guide rails Q3415 through a motor bracket;
第二连接片Q3408,Q3414,每一个所述第三手指滑块上对应连接一个第二连接片Q3408,Q3414,两个所述第二连接片Q3408,Q3414上分别具有与所述第三手指丝杠电机Q3407的丝杠螺纹配合的顺时针螺纹和逆时针螺纹;The second connecting pieces Q3408, Q3414 are connected to each of the third finger sliders. One second connecting piece Q3408, Q3414 is connected to the second connecting piece Q3408, Q3414. The two second connecting pieces Q3408, Q3414 are respectively connected with the third finger wire. The screw thread of the screw motor Q3407 matches the clockwise thread and the counterclockwise thread;
第二三维压力传感器Q3409,Q3412,每一个所述第二连接片Q3408,Q3414下方对应连接一个所述第二三维压力传感器Q3409,Q3412;以及The second three-dimensional pressure sensors Q3409 and Q3412 are connected to one of the second three-dimensional pressure sensors Q3409 and Q3412 below each of the second connecting pieces Q3408 and Q3414; and
第二手指耗材Q3411,每一个所述第二三维压力传感器Q3409,Q3412下方连接一个所述第二手指耗材Q3411,所述第二手指耗材Q3411内表面为柔软的医用硅胶。The second finger consumable Q3411 is connected below each of the second three-dimensional pressure sensors Q3409 and Q3412. The inner surface of the second finger consumable Q3411 is made of soft medical silicone.
其中,第二手指耗材Q3411内部形成凹槽,第二铁片放入凹槽内与电磁铁磁性连接,方便对耗材的更换。第二手指耗材Q3411为经过环氧乙烷灭菌的一次性耗材,每台手术使用一套新的。第二手指耗材Q3411的内表面为软性的医用硅胶加工,可以防止打滑和损坏手术器材。Among them, a groove is formed inside the second finger consumable Q3411, and the second iron piece is placed in the groove and magnetically connected with the electromagnet to facilitate the replacement of the consumable. The second finger consumable Q3411 is a disposable consumable sterilized by ethylene oxide, and a new set is used for each operation. The inner surface of the second finger consumable Q3411 is made of soft medical silicone, which can prevent slipping and damage to surgical equipment.
有利的是,所述第二三维压力传感器Q3409,Q3412和所述第二手指耗材Q3411之间固定有第二电磁铁Q3410,Q3413,所述第二手指耗材Q3411内具有与所述第二电磁铁Q3410,Q3413磁性连接的第二铁片。Advantageously, second electromagnets Q3410 and Q3413 are fixed between the second three-dimensional pressure sensors Q3409 and Q3412 and the second finger consumable Q3411, and the second finger consumable Q3411 has a structure connected to the second electromagnet. Q3410, the second iron piece magnetically connected to Q3413.
更有利的是,所述第二手指连接板Q3402向两侧倾斜延伸形成第二手指摄像头支架,每一个所述第二手指摄像头支架上至少连接一个第二手指摄像头Q3401,Q3403,所述第二手指摄像头Q3401,Q3403朝向所述第二手指耗材Q3411方向布置。More advantageously, the second finger connecting plate Q3402 extends obliquely to both sides to form a second finger camera bracket, and each of the second finger camera brackets is connected to at least one second finger camera Q3401, Q3403. Finger cameras Q3401 and Q3403 are arranged toward the second finger consumable Q3411.
一个第二连接片Q3408,Q3414为顺时针螺纹,另一个第二连接片Q3408,Q3414为逆时针螺纹,因此,在第三手指丝杠电机Q3407(其中第三是指对丝杠电机的顺序排号,不是指第三手指)转动时,两个第二手指耗材Q3411会进行相对运动或相反运动,实现对物体的夹紧和打开。在夹紧物体后,第二三维压力传感器Q3409,Q3412会感受到压力值,达到一定数值后,电机停止运动。在抓取的过程中,第二手指摄像头Q3401,Q3403会时刻关注着物体的形态,以确保不会发送夹坏器材的情况。在第二手指丝杠电机Q3404的带动下,下方的整个手指装置可以进行左右移动,配合第三手指丝杠电机Q3407的夹紧动作,可以实现对导丝、外鞘等的往复推进动作。具体为,第二手指丝杠电机Q3404转动使得第二手指耗材Q3411移动到最右端,第三手指丝杠电机Q3407转动使得第二手指耗材Q3411夹紧导丝或外鞘,第二三维压力传感器Q3409,Q3412用于感受夹紧力,夹紧后转动第二手指丝杠电机Q3404使得手指向左移动至最左端,第三手指丝杠电机Q3407打开导丝或外鞘,转动第二手指丝杠电机Q3404退回到原位,依此循环,直到到达所需的位置为止。A second connecting piece Q3408, Q3414 is a clockwise thread, and the other second connecting piece Q3408, Q3414 is a counterclockwise thread. Therefore, in the third finger screw motor Q3407 (the third one refers to the sequence of the screw motor (not referring to the third finger)) when rotating, the two second finger consumables Q3411 will perform relative or opposite movements to clamp and open the object. After clamping the object, the second three-dimensional pressure sensors Q3409 and Q3412 will feel the pressure value. After reaching a certain value, the motor stops moving. During the grabbing process, the second finger cameras Q3401 and Q3403 will always pay attention to the shape of the object to ensure that the equipment will not be damaged. Driven by the second finger screw motor Q3404, the entire finger device below can move left and right. With the clamping action of the third finger screw motor Q3407, the reciprocating motion of the guide wire, outer sheath, etc. can be realized. Specifically, the rotation of the second finger screw motor Q3404 causes the second finger consumable Q3411 to move to the rightmost end, the rotation of the third finger screw motor Q3407 causes the second finger consumable Q3411 to clamp the guide wire or sheath, and the second three-dimensional pressure sensor Q3409 , Q3412 is used to feel the clamping force. After clamping, turn the second finger screw motor Q3404 to move the finger to the left to the extreme left. The third finger screw motor Q3407 opens the guide wire or outer sheath and turns the second finger screw motor. Q3404 returns to its original position and repeats this cycle until it reaches the desired position.
手术穿刺机器人的穿刺工作过程中,以手腕的桡动脉穿刺为例说明:手术开始后,把所需的穿刺手术耗材放置在导管床上,机器人移动到导管床旁边。使用机器人的第一手指装置找到病人的手腕,定位到桡动脉的位置后,使用手指感受桡动脉的脉搏,可以采用其中一个手指感受脉搏,另外一个手指悬空,感受的手指耗材上的三维压力传感器查找脉搏,查找过程中如果位置不对,就更换位置继续查找,如果感受到脉搏,手指摄像头会定位这个位置,以此位置为穿刺点。脉搏检测过程是:如果压力值为有规律的变化数值,说明为脉搏;如果压力值不变,说明不是脉搏,三维压力传感器可以为FA702-D,或者硅压阻式,压力传感器体积大小根据使用选择。机器人第一手指装置抓取蘸取了酒精的棉球擦拭桡动脉附件的皮肤。机器人第一手指装置抓取麻醉剂的注射器,移动到桡动脉附件的地方,轻轻穿入皮肤。机器人第二手指装置推送注射器一定剂量后停止。第一手指装置把持注射器。等待片刻后,使用机器人第一手指装置轻轻抓住病人的手臂,机器人第二手指装置抓取穿刺针,使用第二手指摄像头找到穿刺点后,在第二手指丝杠电机的带动下,慢慢把穿刺针置入皮肤中,同时第二手指装置的两个摄像头观察是否 有回血现象,发现有回血后,停止移动电机。机器人第一手指装置慢慢移动抓住穿刺针,机器人第二手指装置拔出针芯。第一手指装置慢慢下降一些,然后第二手指装置抓取穿刺导丝,将其穿入穿刺针中。慢慢往复推送导丝一段距离后。第一手指装置按住穿刺口的地方,第二手指装置拔出穿刺针管。第二手指装置抓取外鞘,第一手指装置抓住穿刺导丝的末端。第二手指装置把外鞘穿入导丝中,然后第一手指装置按住穿刺口,第二手指装置把外鞘沿着导丝穿入到血管中,一直向前推送直到外鞘口到达穿刺口的地方。至此完成整个穿刺过程。穿刺完成后,机器人退回到角落,不影响手术的后续操作。During the puncture work of the surgical puncture robot, take the radial artery puncture of the wrist as an example: after the operation starts, the required puncture surgical consumables are placed on the catheter bed, and the robot moves to the side of the catheter bed. Use the robot's first finger device to find the patient's wrist. After locating the radial artery, use your fingers to feel the pulse of the radial artery. You can use one finger to feel the pulse and the other finger to hang in the air to feel the three-dimensional pressure sensor on the finger consumable. Search for the pulse. If the position is wrong during the search, change the position and continue searching. If the pulse is felt, the finger camera will locate this position and use this position as the puncture point. The pulse detection process is: if the pressure value changes regularly, it means it is a pulse; if the pressure value does not change, it means it is not a pulse. The three-dimensional pressure sensor can be FA702-D or silicon piezoresistive. The size of the pressure sensor depends on the use. choose. The first finger device of the robot grabs a cotton ball dipped in alcohol and wipes the skin adjacent to the radial artery. The first finger device of the robot grabs the syringe of anesthetic, moves it to the attachment of the radial artery, and gently penetrates the skin. The robot's second finger device pushes the syringe to a certain dose and then stops. The first finger device holds the syringe. After waiting for a moment, use the robot's first finger device to gently grasp the patient's arm, and the robot's second finger device to grab the puncture needle. After using the second finger camera to find the puncture point, driven by the second finger screw motor, the robot slowly Slowly insert the puncture needle into the skin, and at the same time, use the two cameras of the second finger device to observe whether there is blood return. If blood return is found, stop moving the motor. The first finger device of the robot moves slowly to grasp the puncture needle, and the second finger device of the robot pulls out the needle core. The first finger device slowly lowers some, and then the second finger device grabs the puncture guidewire and inserts it into the puncture needle. Slowly push the guide wire back and forth for a certain distance. The first finger device holds the puncture port, and the second finger device pulls out the puncture needle. The second finger device grasps the outer sheath, and the first finger device grasps the distal end of the puncture guidewire. The second finger device inserts the outer sheath into the guide wire, then the first finger device holds the puncture port, and the second finger device penetrates the outer sheath into the blood vessel along the guide wire, and pushes it forward until the outer sheath port reaches the puncture port. mouth place. This completes the entire puncture process. After the puncture is completed, the robot retreats to the corner without affecting subsequent operations of the surgery.
更换导管导丝机器人Q4,参见附图10-13,用在介入手术中,对于导丝、球囊或支架导管等介入手术耗材进行更换操作。配合介入手术机器人更换导丝导管,也可以配合医生辅助完成更换导丝导管。本发明用于完成导丝的穿入和退出,导管穿入导丝并推入到Y阀内,导管退出导丝等手术操作动作。可以保证在更换导丝导管过程中,导管和导丝不发生位移,保证手术安全。Catheter guidewire replacement robot Q4, see Figure 10-13, is used in interventional surgery to replace interventional surgery consumables such as guidewires, balloons or stent catheters. It can be used with the interventional surgery robot to replace the guide wire catheter, or with the assistance of a doctor to complete the replacement of the guide wire catheter. The invention is used to complete the insertion and withdrawal of the guide wire, the catheter is inserted into the guide wire and pushed into the Y valve, the catheter is withdrawn from the guide wire and other surgical operations. It can be ensured that during the replacement of the guide wire catheter, the catheter and the guide wire will not be displaced, ensuring the safety of the operation.
更换导管导丝机器人Q4包括底座装置、头部及驱动手臂装置Q4400,驱动手臂装置Q4400用于完成对更换导丝导管的动作。设置有3组手臂,各自可以独立运动。3组手臂安装在一块连接板上,连接板通过两组组丝杠电机和两组直线导轨可以进行前后移动,用于把手臂伸出和收回。三组手臂结构基本相同,都可以进行左右运动。每组手臂内都有一个夹紧机构,用于夹紧和松开导丝或导管。夹紧装置内设置有压力传感器,用于检测夹紧力。三组手臂在工作时要相互配合动作。The catheter guidewire replacement robot Q4 includes a base device, a head and a driving arm device Q4400. The driving arm device Q4400 is used to complete the action of replacing the guidewire catheter. There are 3 sets of arms, each of which can move independently. Three sets of arms are installed on a connecting plate. The connecting plate can move forward and backward through two sets of screw motors and two sets of linear guide rails to extend and retract the arms. The three sets of arms have basically the same structure and can all move left and right. There is a clamping mechanism within each set of arms that clamps and releases the guidewire or catheter. A pressure sensor is provided in the clamping device for detecting the clamping force. The three sets of arms must coordinate with each other when working.
驱动手臂装置Q4400包括手臂支架Q4312,所述手臂支架Q4312为龙门形架,其下部与底座装置连接,其顶平面上平行固定有两组Y轴直线导轨Q4308,每一个所述Y轴直线导轨Q4308上均滑动有第一滑块,所述第一滑块顶面固定工作板Q4306,所述手臂支架Q4312的顶平面上位于两个所述Y轴直线导轨Q4308之间,平行布置有两组Y轴丝杠电机Q4309,每一组所述Y轴丝杠电机Q4309的丝杠与所述工作板Q4306上对应设置的第一螺纹孔配合传动;所述工作板Q4306顶面上靠近所述导管床方向依次平行布置有所述第一手臂机构、所述第二手臂机构及所述第三手臂机构,所述Y轴丝杠电机Q4309与底座上的驱动装置连接。在Y轴丝杠电机Q4309的带动下,工作板Q4306可以进行左右移动,完成对整个手臂进行伸长和收回动作。The driving arm device Q4400 includes an arm bracket Q4312. The arm bracket Q4312 is a gantry-shaped frame, the lower part of which is connected to the base device. Two sets of Y-axis linear guide rails Q4308 are fixed parallel to the top plane, and each of the Y-axis linear guide rails Q4308 A first slider slides on both of them, and a working plate Q4306 is fixed on the top surface of the first slider. The top surface of the arm bracket Q4312 is located between the two Y-axis linear guide rails Q4308. There are two sets of Y-axis linear guide rails Q4308 arranged in parallel. Axis screw motor Q4309, the screw of each group of Y-axis screw motor Q4309 is driven in conjunction with the corresponding first threaded hole on the working plate Q4306; the top surface of the working plate Q4306 is close to the catheter bed The first arm mechanism, the second arm mechanism and the third arm mechanism are arranged in parallel directions in sequence, and the Y-axis screw motor Q4309 is connected to the driving device on the base. Driven by the Y-axis screw motor Q4309, the working plate Q4306 can move left and right to complete the extension and retraction of the entire arm.
参见附图11和12,所述第一手臂机构、第二手臂机构及第三手臂机构结构相同,均包括直角架Q4423,所述直角架Q4423包括形成L形的连接段和夹持段,所述连接段滑动于所述手臂支架Q4312上固定的X轴直线导轨Q4419上,所述连接段顶部安装有Y向导轨,所述Y向导轨上滑动有第三滑块,所述第三滑块顶部固定连接具有第三螺纹孔的直角连接片Q4422,所述连接段上位于所述Y向导轨后部,通过Y向电机支架Q4401固定有Y向丝杠电机Q4402,所述Y向丝杠电机Q4402的丝杠与所述第三螺纹孔配合传动,所述Y向丝杠电机Q4402与驱动装置连接;所述直角连接片Q4422前部连接有夹紧件Q4420,所述夹紧件Q4420与所述夹持段配合形成所述夹紧机构。Y向丝杠电机Q4402带动第三滑块移动,进而实现所述夹持段与夹紧件Q4420的夹紧。Referring to Figures 11 and 12, the first arm mechanism, the second arm mechanism and the third arm mechanism have the same structure, and all include a right-angle frame Q4423. The right-angle frame Q4423 includes an L-shaped connecting section and a clamping section, so The connecting section slides on the X-axis linear guide Q4419 fixed on the arm bracket Q4312. A Y guide rail is installed on the top of the connecting section. A third slider slides on the Y guide rail. The third slider The top is fixedly connected to a right-angle connecting piece Q4422 with a third threaded hole. The connecting section is located at the rear of the Y-direction rail. The Y-direction screw motor Q4402 is fixed through the Y-direction motor bracket Q4401. The Y-direction screw motor The screw of Q4402 cooperates with the third threaded hole for transmission, and the Y-direction screw motor Q4402 is connected to the driving device; a clamping piece Q4420 is connected to the front of the right-angle connecting piece Q4422, and the clamping piece Q4420 is connected to the The clamping sections cooperate to form the clamping mechanism. The Y-direction screw motor Q4402 drives the third slider to move, thereby realizing the clamping of the clamping section and the clamping piece Q4420.
有利的是,参见附图11,所述直角连接片Q4422前端具有第一连接凸台,所述夹紧件Q4420为直角片,其上部具有与所述第一连接凸台配合的第二连接凸台,所述第一连接凸台和所述第二连接凸台连接,所述夹持段垂直所述连接段向下,位于工作板和手臂支架前部,靠近导管床侧;所述夹紧件Q4420下部和所述夹持段形状相同,两者之间形成夹持区域,所述夹持区域两侧内壁上固定有医用硅胶片Q4418,防止打滑。Advantageously, as shown in Figure 11, the front end of the right-angle connecting piece Q4422 has a first connecting boss, and the clamping member Q4420 is a right-angled piece, and its upper part has a second connecting boss that matches the first connecting boss. platform, the first connection boss and the second connection boss are connected, the clamping section is perpendicular to the connection section and downward, located in front of the working plate and arm support, close to the side of the catheter bed; the clamping The lower part of piece Q4420 has the same shape as the clamping section, and a clamping area is formed between the two. Medical silicone sheets Q4418 are fixed on the inner walls on both sides of the clamping area to prevent slipping.
第一连接凸台和所述第二连接凸台错开布置,用于连接压力传感器Q4421的两端,且所述压力传感器Q4421与底座装置的主机连接,用于检测夹持力大小。由此通过压力传感器Q4421将夹紧力反馈至主机,主机发送指令给控制装置驱动对应的电机。保证夹紧力可控。The first connection boss and the second connection boss are arranged in a staggered manner and are used to connect the two ends of the pressure sensor Q4421, and the pressure sensor Q4421 is connected to the host of the base device for detecting the clamping force. As a result, the clamping force is fed back to the host through the pressure sensor Q4421, and the host sends instructions to the control device to drive the corresponding motor. Ensure the clamping force is controllable.
所述第一手臂机构、第二手臂机构及第三手臂机构中对应的直角架Q4423远离所述夹持段侧连接有X向驱动板Q44231,每一个所述X向驱动板Q44231对应一组X向驱动机构Q44232,所述X向驱动机构Q44232与驱动装置连接。X向驱动机构Q44232,为了方便驱动,根据布置,三个X向驱动板Q44231长短不同,对应布置有三组驱动丝杠电机(Q4404、Q4403、Q4407)及三组驱动电机支架(Q4405、Q4406、Q4408)。The corresponding right-angle frame Q4423 in the first arm mechanism, the second arm mechanism and the third arm mechanism is connected to an X-direction drive plate Q44231 on the side away from the clamping section, and each of the X-direction drive plates Q44231 corresponds to a group of X The X-direction driving mechanism Q44232 is connected to the driving device. X-direction drive mechanism Q44232. In order to facilitate driving, the three X-direction drive plates Q44231 are of different lengths according to the layout. There are three sets of drive screw motors (Q4404, Q4403, Q4407) and three sets of drive motor brackets (Q4405, Q4406, Q4408). ).
附图12和13从左到右,依次是第一手臂机构、第二手臂机构、第三手臂机构,手臂装置面向导管侧,需要机器人控制第一手臂机构在前端Q4105处进行夹持导丝,然后固定第一手臂机构使之保持不动。第三手臂机构抓取 导管Q4103的头端,第二手臂机构抓取导丝Q4102的尾端,调整位置把导管Q4103穿入导丝Q4102中,然后第三手臂机构推送导管Q4103向前移动,接近第二手臂机构时,松开第二手臂机构,然后控制第二手臂机构相Y阀方向移动约2cm,控制第二手臂机构夹紧导丝,控制第三手臂机构继续向前推送导管Q4103向前移动,依次循环直到导丝Q4102的尾端从导管Q4103中穿出3cm左右时,操作第三手臂机构后退,移动到后端Q4101处,夹持住从导管Q4103中间端露出来的导丝Q4102。然后控制第二手臂机构在中端Q4104处,夹持住导管Q4103向Y阀的方向推送,第二手臂机构把导管Q4103进行向前推送。操作第三手臂机构向后移动,直到把导丝Q4102拉成直线。当第二手臂机构移动到第一手臂机构处时,停止移动第二手臂机构,控制第一手臂机构抓住Y阀Q4106,然后控制第二手臂机构推送导管Q4103进入Y阀Q4106,到达Y阀后,松开第二手臂机构,并后退2cm左右,夹紧导管再向前移动,依次循环,直到导管Q4103的头端部分完全进入到Y阀Q4106内为止。Figures 12 and 13 show from left to right the first arm mechanism, the second arm mechanism, and the third arm mechanism. The arm device faces the catheter side, and the robot needs to control the first arm mechanism to clamp the guide wire at the front end Q4105. Then fix the first arm mechanism so that it remains stationary. The third arm mechanism grabs the head end of the catheter Q4103, the second arm mechanism grabs the tail end of the guide wire Q4102, adjusts the position to penetrate the catheter Q4103 into the guide wire Q4102, and then the third arm mechanism pushes the catheter Q4103 forward and approaches When using the second arm mechanism, release the second arm mechanism, then control the second arm mechanism to move about 2cm in the direction of the Y valve, control the second arm mechanism to clamp the guide wire, and control the third arm mechanism to continue pushing the catheter Q4103 forward. Move and cycle in sequence until the tail end of the guide wire Q4102 passes about 3cm from the catheter Q4103, operate the third arm mechanism to retreat, move to the rear end Q4101, and clamp the guide wire Q4102 exposed from the middle end of the catheter Q4103. Then control the second arm mechanism at the middle end Q4104, clamp the conduit Q4103 and push it in the direction of the Y valve, and the second arm mechanism pushes the conduit Q4103 forward. Operate the third arm mechanism to move backward until the guide wire Q4102 is pulled into a straight line. When the second arm mechanism moves to the first arm mechanism, it stops moving the second arm mechanism, controls the first arm mechanism to grasp the Y valve Q4106, and then controls the second arm mechanism to push the catheter Q4103 into the Y valve Q4106, and after reaching the Y valve , release the second arm mechanism, and move back about 2cm, clamp the catheter and move it forward, in sequence, until the head end of the catheter Q4103 completely enters the Y valve Q4106.
在需要把导管Q4103从导丝Q4102上取出时,此时,导管和导丝都在人体血管内。在撤出导管时,需要保证导丝的位移不发生变化。控制第三手臂机构夹紧距离Y阀Q4106出口处2-3cm的导丝Q4102,控制第一手臂机构夹紧Y阀Q4106,控制第二手臂机构夹紧Y阀Q4106出口处的导管Q4103,保证第三手臂机构的位置不动,控制第二手臂机构向后移动直到接近第三手臂机构处后停止,然后松开第三手臂机构向后移动2cm后夹紧导丝。控制第二手臂机构继续向后移动直到接近第三手臂机构处后停止,依次循环直到导管的头端离开Y阀Q4106的尾端2-3cm后为止,然后控制第一手臂机构移动到Y阀Q4106出口的位置,夹紧导丝并使之保证不动。然后控制第二手臂机构和第三手臂机构一起向后运动,直到导管离开导丝。When it is necessary to take out the catheter Q4103 from the guide wire Q4102, at this time, both the catheter and the guide wire are in the human blood vessel. When withdrawing the catheter, it is necessary to ensure that the displacement of the guidewire does not change. Control the third arm mechanism to clamp the guide wire Q4102 2-3cm away from the outlet of Y valve Q4106, control the first arm mechanism to clamp Y valve Q4106, and control the second arm mechanism to clamp the catheter Q4103 at the outlet of Y valve Q4106 to ensure the first The position of the three-arm mechanism does not move. Control the second arm mechanism to move backward until it is close to the third arm mechanism and then stop. Then release the third arm mechanism and move backward 2cm before clamping the guide wire. Control the second arm mechanism to continue to move backward until it is close to the third arm mechanism and stop, and cycle in sequence until the head end of the catheter is 2-3cm away from the tail end of Y valve Q4106, and then control the first arm mechanism to move to Y valve Q4106 At the exit position, clamp the guide wire and make sure it does not move. The second arm mechanism and the third arm mechanism are then controlled to move backward together until the catheter leaves the guide wire.
在更换导丝时,首先把导丝穿入Y阀Q4106内,控制第三手臂机构和第二手臂机构夹住导丝接近头端的位置,第一手臂机构夹住Y阀Q4106并使之位置保持不动,控制第三手臂机构和第二手臂机构向前推送导丝进入Y阀Q4106,第二手臂机构移动到Y阀出口处后停止,然后松开第三手臂机构,向后移动2cm,然后夹紧导丝,松开第二手臂机构,向后移动2cm后夹紧导丝。然后第三手臂机构和第二手臂机构一起向前移动直到第二手臂机构移动到Y阀出口处后停止,以此循环直到完成10-12组动作后停止。When replacing the guide wire, first insert the guide wire into the Y valve Q4106, control the third arm mechanism and the second arm mechanism to clamp the guide wire close to the head end, and the first arm mechanism clamps the Y valve Q4106 and maintains its position Without moving, control the third arm mechanism and the second arm mechanism to push the guide wire forward into the Y valve Q4106. The second arm mechanism moves to the exit of the Y valve and stops. Then release the third arm mechanism, move backward 2cm, and then Clamp the guide wire, release the second arm mechanism, move it backward 2cm and then clamp the guide wire. Then the third arm mechanism and the second arm mechanism move forward together until the second arm mechanism moves to the Y valve outlet and then stops. This cycle continues until 10-12 sets of movements are completed and then stops.
在需要把导丝Q4102取出时,控制第一手臂机构夹紧Y阀Q4106并使之位置保持不动。控制第三手臂机构移动到Y阀Q4106的出口处,夹紧导丝Q4102,然后向后移动,直到导丝Q4102的头端全部离开Y阀Q4106的尾端后为止,此时证明导丝已完全取出。When the guide wire Q4102 needs to be taken out, the first arm mechanism is controlled to clamp the Y valve Q4106 and keep its position unchanged. Control the third arm mechanism to move to the outlet of Y valve Q4106, clamp the guide wire Q4102, and then move it backward until the head end of the guide wire Q4102 completely leaves the tail end of the Y valve Q4106. At this time, it is proved that the guide wire is completely take out.
耗材递送机器人Q5,参见附图16,用于自动管理和递送手术耗材,全过程自动化,节省的人力资源,整体装置结构紧凑,体积小,非常适合导管室内的环境。包括底座装置、头部及执行装置。The consumables delivery robot Q5, see Figure 16, is used to automatically manage and deliver surgical consumables. The entire process is automated, saving human resources. The overall device has a compact structure and small size, making it very suitable for the environment in the catheterization room. Including base device, head and execution device.
参见附图17,执行装置包括对称布置在头部两侧的两个手臂组件;手臂组件包括固定在U型升降架Q5237顶面的手臂直线导轨Q5226,手臂直线导轨Q5226上滑动连接有手臂滑块Q5230,手臂滑块Q5230上固定有连接件Q5224,连接件Q5224上固定有后臂Q5225;后臂Q5225前端转动连接有中臂连接件Q5229,后臂Q5225上安装有第五伺服电机Q5222,第五伺服电机Q5222动力轴和中臂连接件Q5229固定;中臂连接件Q5229和中臂Q5228固定,中臂Q5228前端转动连接有前臂Q5231,中臂Q5228上安装有第六伺服电机Q5220,第六伺服电机Q5220动力轴和前臂Q5231固定;前臂Q5231前端固定有第七伺服电机Q5227,第七伺服电机Q5227的动力轴固定有第三电动抓手Q5232;U型升降架Q5237上安装有手臂丝杠电机Q5223,手臂丝杠电机Q5223的轴端丝杠和连接件Q5224侧面的螺纹孔螺纹连接。Referring to Figure 17, the execution device includes two arm assemblies symmetrically arranged on both sides of the head; the arm assembly includes an arm linear guide rail Q5226 fixed on the top surface of the U-shaped lifting frame Q5237, and an arm slider is slidingly connected to the arm linear guide rail Q5226. Q5230, the arm slider Q5230 is fixed with the connecting piece Q5224, and the connecting piece Q5224 is fixed with the rear arm Q5225; the front end of the rear arm Q5225 is rotatably connected to the middle arm connecting piece Q5229, and the fifth servo motor Q5222 is installed on the rear arm Q5225. The power shaft of the servo motor Q5222 is fixed to the middle arm connecting piece Q5229; the middle arm connecting piece Q5229 is fixed to the middle arm Q5228. The front end of the middle arm Q5228 is rotatably connected to the forearm Q5231. The sixth servo motor Q5220 is installed on the middle arm Q5228. The sixth servo motor The Q5220 power shaft is fixed to the forearm Q5231; the seventh servo motor Q5227 is fixed to the front end of the forearm Q5231, and the third electric gripper Q5232 is fixed to the power shaft of the seventh servo motor Q5227; the arm screw motor Q5223 is installed on the U-shaped lifting frame Q5237. The shaft end screw of the arm screw motor Q5223 is threadedly connected to the threaded hole on the side of the connecting piece Q5224.
耗材递送机器人Q5用于运送手术耗材给介入手术。其中,底座和升降部主要用于实现机器人的移动、升降机器人。底座控制整体机器人的移动,包括四组由电机控制的车轮装置。升降部可以抬升或下降系统头部组件和手臂组件的高度。头部和执行装置主要用于完成系统识别、手臂控制。头部为系统的观察和输出端。设置有2个摄像头,用于观察外部环境。设置有第二触摸屏用于给用户进行信息反馈,以及接收用户的指令,是用户的控制端。头部可以进行全方位的移动,以实现对环境更好地观察。手臂组件用于完成对物品的抓取。手臂组件可以进行前后的伸缩,在需要抓取时,手臂展开。抓取完成后,手臂收回。通过手臂组件,可以完成对手术耗材的抓取和对包装的打开动作。The consumable delivery robot Q5 is used to deliver surgical consumables to interventional surgeries. Among them, the base and the lifting part are mainly used to realize the movement of the robot and the lifting of the robot. The base controls the movement of the entire robot, including four sets of wheel devices controlled by motors. The lifting part can raise or lower the height of the system head assembly and arm assembly. The head and execution device are mainly used to complete system identification and arm control. The head is the observation and output end of the system. There are 2 cameras set up to observe the external environment. A second touch screen is provided for providing information feedback to the user and receiving the user's instructions, and is the user's control terminal. The head can move in all directions to better observe the environment. The arm component is used to grasp objects. The arm assembly can telescope forward and backward, and the arms can be expanded when grabbing is needed. After the grasp is complete, the arm is retracted. Through the arm assembly, the grabbing of surgical consumables and the opening of the packaging can be completed.
有利的是,耗材递送机器人Q5可以和现有的耗材管理系统匹配使用,也可以单独配备一套耗材管理系统,可以与耗材管理系统通过蓝牙等形式进行无线通讯,能够很好地协同工作。Advantageously, the consumables delivery robot Q5 can be used in conjunction with the existing consumables management system, or it can be equipped with a separate consumables management system. It can communicate wirelessly with the consumables management system through Bluetooth and other forms, and can work well together.
快速充电机器人Q6,参见附图14和15,对手术室内的各个机器人进行快速充电,保证各机器人能进行持续的工作。快速充电机器人Q6与充电区域内的充电柜配合使用,充电柜用于给电池和充电机器人自身进行充电。采用快速充电机器人自动给其他机器人换电池的方式,整个换电池过程快,1分钟内可以完成。充电机器人在接收到需要换电池的信号后,能自动携带一块充满电的电池,行驶到需要换电池的机器人旁边,把它的“旧”电池换下,安装上“新”的电池。然后把“旧”电池带回到手术室外的充电柜,并给其进行充电。整个过程可以由机器人自动完成。也包括底座装置、头部和躯干装置。The fast charging robot Q6, see Figures 14 and 15, quickly charges each robot in the operating room to ensure that each robot can continue to work. The fast charging robot Q6 is used in conjunction with the charging cabinet in the charging area. The charging cabinet is used to charge the battery and the charging robot itself. Using a fast-charging robot to automatically change batteries for other robots, the entire battery replacement process is fast and can be completed within 1 minute. After receiving the signal that the battery needs to be replaced, the charging robot can automatically carry a fully charged battery, drive to the robot that needs to replace the battery, replace its "old" battery, and install a "new" battery. The "old" battery is then taken back to the charging cabinet outside the operating room and recharged. The entire process can be automated by robots. Also includes base unit, head and torso units.
所述充电柜Q6100位于手术室外(充电区域9),其上具有人机交互的触摸屏Q6103,控制主机安装于所述充电柜Q6100的外壳内,并与介入手术机器人所在网络连接,能够接收到具体哪一个机器人需要换电池的信号,触摸屏Q6103接收和反馈信息,传递到控制主机进行数据处理和储存;所述外壳内部安装有用于提供稳定合适电源输入的变压器;其外部具有多个用于充电的充电格口Q6102,可以设置十个充电格口,满足手术机器人电池充电的需要;每一个所述充电格口Q6102上均具有与电池Q6105的插头配合的充电插口;所述充电格口Q6102下方具有机器人充电孔;快速充电机器人Q6为自动行走式的机器人,其与控制主机通讯连接,用与给介入手术机器人中电量低的机器人更换电池,并将更换后的电池放入所述充电格口Q6102内充电,其上具有与所述充电孔配合的充电头Q6204。The charging cabinet Q6100 is located outside the operating room (charging area 9) and has a touch screen Q6103 for human-computer interaction. The control host is installed in the shell of the charging cabinet Q6100 and is connected to the network where the interventional surgery robot is located, and can receive specific information. Which robot needs to change the battery signal, the touch screen Q6103 receives and feedbacks the information, and transmits it to the control host for data processing and storage; a transformer for providing stable and appropriate power input is installed inside the housing; there are multiple external ones for charging Charging grid Q6102 can be equipped with ten charging grids to meet the needs of surgical robot battery charging; each of the charging grids Q6102 has a charging socket that matches the plug of the battery Q6105; there is a charging port below the charging grid Q6102 Robot charging hole; the fast charging robot Q6 is an autonomous walking robot that communicates with the control host. It is used to replace the battery of the low-power robot in the interventional surgery robot, and put the replaced battery into the charging slot Q6102 It is charged inside and has a charging head Q6204 that matches the charging hole.
充电时,电池Q6105底部的充电孔和充电柜Q6100内的充电插头会进行连接。电池Q6105前端安装有铁片,会和充电柜内的电磁铁进行吸附连接,使得电池进行固定。当有电池Q6105放入充电单元格Q6102内时,系统会开始自动给电池进行充电,直到电池电量充满后,会自动切断电源,并在触摸屏上给于提示,同时也会发送信息给充电机器人Q6200,使得机器人能够快速找到准备就绪的电池。系统可以支持10组电池同时进行充电,这样可以有效的满足多个机器人的换电池需求。当充电机器人自身没电时,它可以在充 电柜下方的充电台上进行充电。充电柜上设置了2组充电台,可以使得2个快速充电机器人Q6进行同时充电。When charging, the charging hole at the bottom of the battery Q6105 and the charging plug in the charging cabinet Q6100 are connected. There is an iron piece installed on the front end of the battery Q6105, which will be adsorbed and connected to the electromagnet in the charging cabinet to fix the battery. When the battery Q6105 is placed in the charging cell Q6102, the system will automatically start charging the battery. When the battery is full, it will automatically cut off the power and give a prompt on the touch screen. At the same time, it will also send a message to the charging robot Q6200. , allowing the robot to quickly find a ready battery. The system can support 10 sets of batteries to be charged at the same time, which can effectively meet the battery replacement needs of multiple robots. When the charging robot itself is out of power, it can be charged on the charging table under the charging cabinet. There are two sets of charging stations on the charging cabinet, which can allow two fast charging robots Q6 to charge at the same time.
其中,躯干装置用于完成对电池的推送和收回、系统的升降。躯干装置可以进行前后、上下的伸缩,在需要推送时,把电池推出。动作完成后,可以收回。通过系统整体配合,可以完成对电池的更换动作。Among them, the trunk device is used to push and retract the battery and lift the system. The torso device can telescope front and back, up and down, and push out the battery when it needs to be pushed. After the action is completed, it can be withdrawn. Through the overall cooperation of the system, the battery replacement action can be completed.
参见附图15,具体包括支撑板Q6225,所述支撑板Q6225位于底座装置的行走底盘上,其顶部具有可相对竖直方向移动的容纳格架Q62271,所述容纳格架Q62271具有水平布置的两个容纳格,一个用于容纳运输充满电的电池Q6105,另一个用于容纳运输电量少的电池Q6105;所述容纳格架Q62271其顶部连接所述头部机构;其远离所述头部机构一端向外延伸有连接板Q6227,所述连接板Q6227上相对两个所述容纳格设置有可伸缩移动的抓取推送机构,所述抓取推送机构与驱动器连接。Referring to Figure 15, it specifically includes a support plate Q6225. The support plate Q6225 is located on the walking chassis of the base device. The top of the support plate Q6225 has a relatively vertically movable accommodation grid Q62271. The accommodation grid Q62271 has two horizontally arranged There are two accommodation compartments, one for accommodating and transporting a fully charged battery Q6105, and the other for accommodating and transporting a low-power battery Q6105; the top of the accommodation compartment Q62271 is connected to the head mechanism; one end of it is away from the head mechanism A connecting plate Q6227 extends outward, and a retractable and movable grabbing and pushing mechanism is provided on the connecting plate Q6227 relative to the two accommodation compartments. The grabbing and pushing mechanism is connected to the driver.
所述容纳格架Q62271两侧固定在所述支撑板Q6225上有两个支架Q6226,每个所述支架Q6226内侧面上均固定有竖直直线导轨Q6224,每一个所述竖直直线导轨Q6224上均滑动连接有第一滑块,两组所述支架Q6226上的第一滑块均与所述容纳格架Q62271外壁固定;所述连接板Q6227两侧均具有第一螺纹孔,固定于支撑板Q6225上的两个竖直丝杠电机组件Q6212,Q6228中的丝杠与两个所述第一螺纹孔配合,且所述竖直丝杠电机组件Q6212,Q6228电性连接驱动器。由此通过竖直丝杠电机组件Q6212和Q6228,分别和连接板Q6227的左右两侧的第一螺纹孔进行配合完成升降。There are two brackets Q6226 fixed on the support plate Q6225 on both sides of the accommodation grid Q62271. A vertical linear guide rail Q6224 is fixed on the inner surface of each bracket Q6226, and on each of the vertical linear guide rails Q6224 Both are slidingly connected with first sliders, and the first sliders on the two sets of brackets Q6226 are fixed to the outer wall of the accommodation grid Q62271; both sides of the connecting plate Q6227 have first threaded holes, which are fixed to the support plate. The two vertical screw motor assemblies Q6212 and Q6228 on Q6225 are matched with the two first threaded holes, and the vertical screw motor assemblies Q6212 and Q6228 are electrically connected to the driver. Thus, the vertical screw motor components Q6212 and Q6228 cooperate with the first threaded holes on the left and right sides of the connecting plate Q6227 to complete the lifting.
参见附图15,所述抓取推送机构包括两组水平直线导轨Q6216,所述水平直线导轨Q6216固定于所述连接板Q6227上,且位于所述容纳格架Q62271后方,每一个所述水平直线导轨Q6216上均滑动连接有第二滑块,每一组所述第二滑块上均固定有一个推杆Q6211,每一个推杆Q6211底部均具有第二螺纹孔,其端部均具有电磁铁,用于吸附电池Q6105上的铁片;所述连接板Q6227位于两组所述水平直线导轨Q6216外部、固定有两个水平丝杠电机组件Q6229,所述水平丝杠电机组件Q6229的丝杠与所述第二螺纹孔配合,且其电性连接驱动器。由此通过水平丝杠电机组件Q6229与第二螺纹孔配合,实现推杆的伸出及退回,推杆前端的电磁铁与电池上的铁片配合,用于抓取电池。Referring to Figure 15, the grabbing and pushing mechanism includes two sets of horizontal linear guide rails Q6216. The horizontal linear guide rails Q6216 are fixed on the connecting plate Q6227 and are located behind the accommodation grid Q62271. Each of the horizontal linear guide rails Q6216 The guide rails Q6216 are slidingly connected with second slide blocks. Each set of second slide blocks is fixed with a push rod Q6211. Each push rod Q6211 has a second threaded hole at the bottom and an electromagnet at its end. , used to absorb the iron pieces on the battery Q6105; the connecting plate Q6227 is located outside the two sets of horizontal linear guides Q6216, and is fixed with two horizontal screw motor assemblies Q6229. The screws of the horizontal screw motor assembly Q6229 are connected to The second threaded hole fits and is electrically connected to the driver. Therefore, the horizontal screw motor assembly Q6229 cooperates with the second threaded hole to realize the extension and retraction of the push rod. The electromagnet at the front end of the push rod cooperates with the iron piece on the battery to grab the battery.
清扫机器人Q7,参见附图18和19,主要由三部分组成,底座装置Q7100、躯干装置Q7200、头部和手臂装置Q7300。整体装置可以在介入手术导管室内活动,完成对导管室内的地面和导管床等物品的清洁,保证对导管室的整洁和无菌环境。The cleaning robot Q7, see Figures 18 and 19, mainly consists of three parts, the base device Q7100, the torso device Q7200, and the head and arm device Q7300. The overall device can move in the catheterization room of interventional surgery to complete the cleaning of the floor, catheter bed and other items in the catheterization room, ensuring a clean and sterile environment in the catheterization room.
底座装置Q7100主要用于实现机器人的移动、完成地面清洁动作,包括运动装置、扫地装置Q7101、擦地装置Q7102三部分,运动装置用以控制整体机器人移动,扫地装置Q7101用以完成机器人的扫地动作,打扫地面的垃圾和灰尘,擦地装置Q7102用以完成机器人的擦地动作;运动装置、扫地装置Q7101、擦地装置Q7102整体安装于一底板Q7103上,底板Q7103上表面的四角处各自安装有一用以支撑躯干装置Q7200的立柱Q7104。The base device Q7100 is mainly used to realize the movement of the robot and complete the floor cleaning action. It consists of three parts: the movement device, the sweeping device Q7101, and the floor wiping device Q7102. The movement device is used to control the overall robot movement, and the sweeping device Q7101 is used to complete the sweeping action of the robot. , to clean the garbage and dust on the ground, the floor wiping device Q7102 is used to complete the robot's floor wiping action; the movement device, sweeping device Q7101, and floor wiping device Q7102 are integrally installed on a base plate Q7103, and each of the four corners of the upper surface of the base plate Q7103 is equipped with a Column Q7104 used to support the torso device Q7200.
运动装置由四组结构相同并由电机驱动的车轮组件组成,下面就其中一组进行说明。车轮组件包括车轮Q7105、车轮连接板Q7106、第一伺服电机Q7107、第二伺服电机Q7108;车轮连接板Q7106呈直角形,其下部竖板上开设有车轮连接板通孔;第一伺服电机Q7107固定于车轮连接板Q7106的内侧空间内,且其电机轴穿过车轮连接板通孔与下部竖板外侧的车轮Q7105相连接,第一伺服电机Q7107控制车轮Q7105的前进和后退;底板Q7103的四角处各开设有一电机安装孔,第二伺服电机Q7108固定于底板Q7103上对应位置的电机安装孔内,且其电机轴穿过电机安装孔与车轮连接板Q7106的上部横板相连接,第二伺服电机Q7108控制车轮Q7105的转向。第一伺服电机Q7107与第二伺服电机Q7108进行配合,加之四组车轮Q7105一起运动,可以实现整个机器人的全方位移动。The motion device consists of four sets of wheel assemblies with the same structure and driven by motors, one of which is explained below. The wheel assembly includes a wheel Q7105, a wheel connecting plate Q7106, a first servo motor Q7107, and a second servo motor Q7108; the wheel connecting plate Q7106 is in a right-angled shape, and a wheel connecting plate through hole is provided on the lower vertical plate; the first servo motor Q7107 is fixed In the inner space of the wheel connecting plate Q7106, and its motor shaft passes through the through hole of the wheel connecting plate and is connected to the wheel Q7105 on the outside of the lower vertical plate. The first servo motor Q7107 controls the forward and backward movement of the wheel Q7105; the four corners of the bottom plate Q7103 Each has a motor mounting hole. The second servo motor Q7108 is fixed in the motor mounting hole at the corresponding position on the base plate Q7103, and its motor shaft passes through the motor mounting hole and is connected to the upper horizontal plate of the wheel connecting plate Q7106. The second servo motor Q7108 controls the steering of wheel Q7105. The first servo motor Q7107 and the second servo motor Q7108 cooperate, and the four sets of wheels Q7105 move together to achieve all-round movement of the entire robot.
躯干装置Q7200主要用于支撑和升降机器人,包括支撑板Q7210以及安装于支撑板Q7210上的控制和电源设备、扫地控制装置、擦地控制装置、升降装置;支撑板Q7210的底部与立柱Q7104的顶部相连接;控制和电源设备为系统供电,并作为整个系统的控制信息处理中心;扫地控制装置连接扫地装置Q7101,用以控制扫地装置Q7101的高度,实现系统的不同工作模式;擦地控制装置连接擦地装置Q7102,用以控制擦地装置Q7102的高度,实现系统的不同工作模式;升降装置与头部和手臂装置Q7300连接,用于抬升或下降头部和手臂装置Q7300的高度。The trunk device Q7200 is mainly used to support and lift the robot, including the support plate Q7210 and the control and power supply equipment, sweeping control device, mopping control device, and lifting device installed on the support plate Q7210; the bottom of the support plate Q7210 and the top of the column Q7104 connected; the control and power supply equipment supplies power to the system and serves as the control information processing center of the entire system; the sweeping control device is connected to the sweeping device Q7101 to control the height of the sweeping device Q7101 to realize different working modes of the system; the sweeping control device is connected The floor wiping device Q7102 is used to control the height of the floor wiping device Q7102 to realize different working modes of the system; the lifting device is connected to the head and arm device Q7300 and is used to raise or lower the height of the head and arm device Q7300.
头部和手臂装置Q7300主要用于完成系统识别、手臂控制,包括头部和 手臂装置支架Q7301以及安装于头部和手臂装置支架Q7301上的头部装置、手臂装置,头部和手臂装置支架Q7301与升降装置相连接,头部装置为系统的观察和输出端,手臂装置用于完成对物品的抓取。头部装置可以进行全方位的移动,以实现对环境更好观察。手臂装置用于完成对物品的抓取。手臂装置可以进行前后的伸缩,在需要抓取时,手臂展开。抓取完成后,手臂收回。通过手臂系统,可以完成对导管床上物品的清理。The head and arm device Q7300 is mainly used to complete system identification and arm control, including the head and arm device bracket Q7301 and the head device and arm device installed on the head and arm device bracket Q7301. The head and arm device bracket Q7301 Connected to the lifting device, the head device is the observation and output end of the system, and the arm device is used to complete the grabbing of objects. The head device can move in all directions to achieve better observation of the environment. The arm device is used to grasp objects. The arm device can telescope forward and backward, and the arms can be unfolded when grabbing is needed. After the grasp is complete, the arm is retracted. Through the arm system, the cleaning of items on the catheter bed can be completed.
上述各机器人的底座装置和头部装置结构都可以相同,有利于降低成本,提高了机器人部件的互换性。底座能够实现自动行走,头部或头部装置可以实现水平360度转动,及俯仰运动,方便灵活观察周围环境。各机器人上均设置有通信模块,实现整体系统的可通讯性。The structures of the base device and the head device of each of the above-mentioned robots can be the same, which is beneficial to reducing costs and improving the interchangeability of robot parts. The base can realize automatic walking, and the head or head device can realize 360-degree horizontal rotation and pitching movement, making it convenient to flexibly observe the surrounding environment. Each robot is equipped with a communication module to achieve communication of the entire system.
造影剂注射装置可以采用现有技术,如专利文献CN215608391U公开的一种电动造影剂注射装置。The contrast medium injection device can adopt existing technology, such as an electric contrast medium injection device disclosed in patent document CN215608391U.
自动转运车8,可以采用现有的转运车,也可以为具有自动充电功能的转运系统,参见附图20-22,包括转运车8100、自动固定和自动充电装置(相当于转运车充电桩81),其中自动固定和自动充电装置包括:壳体,所述壳体为隐藏式,嵌设于地下8101,其盖体8316可打开露出内部形成的容纳腔;固定机构8304,所述固定机构8304位于所述容纳腔内,用于自动伸出并固定转运车;自动充电机构,所述自动充电机构位于所述容纳腔内部,其充电插头8311连接外部电源、且可伸缩于所述容纳腔,用于供所述转运车充电;以及控制柜8200,所述控制柜8200用于显示、储存信息、参数设置及处理数据,且与所述自动充电机构及固定机构304。采用此方案可以保证自动转运装置充电,进而保证自动转运装置正常工作。The automatic transfer vehicle 8 can be an existing transfer vehicle or a transfer system with automatic charging function. See Figures 20-22, including the transfer vehicle 8100, automatic fixation and automatic charging device (equivalent to the transfer vehicle charging pile 81 ), in which the automatic fixing and automatic charging device includes: a shell, which is hidden and embedded in the ground 8101, and its cover 8316 can be opened to expose the accommodation cavity formed inside; a fixing mechanism 8304, the fixing mechanism 8304 Located in the accommodation cavity, it is used to automatically extend and fix the transfer vehicle; an automatic charging mechanism, the automatic charging mechanism is located inside the accommodation cavity, and its charging plug 8311 is connected to an external power supply and is retractable in the accommodation cavity, Used for charging the transfer vehicle; and a control cabinet 8200, the control cabinet 8200 is used for displaying, storing information, parameter settings and processing data, and is connected with the automatic charging mechanism and the fixing mechanism 304. Using this solution can ensure that the automatic transfer device is charged, thereby ensuring the normal operation of the automatic transfer device.
自动转运装置底部具有与所述固定机构8304配合的固定部,其底部具有与所述充电插头8311配合的充电头。充电插头8311的两极分别连接网电源的火线和零线,同时还设置有行程开关,用于检测两个插头是否已连接。The bottom of the automatic transfer device has a fixing part that cooperates with the fixing mechanism 8304, and the bottom of the automatic transfer device has a charging head that cooperates with the charging plug 8311. The two poles of the charging plug 8311 are connected to the live wire and neutral wire of the network power supply respectively, and a travel switch is also provided to detect whether the two plugs are connected.
具体而言,所述自动转运装置底部相对四个所述固定机构8304设置有四个固定孔8102;所述充电头8110位于所述自动转运装置底部的翻盖8103内,所述翻盖8103朝下打开,其旁边安装有位置传感器8104,所述位置传感器8104与位置传感器基站8301通讯连接。当固定机构8304的固定杆都插入固定孔后,自动转运装置就固定牢靠了,不会使得车体随意移动。Specifically, the bottom of the automatic transfer device is provided with four fixing holes 8102 relative to the four fixing mechanisms 8304; the charging head 8110 is located in a flip cover 8103 at the bottom of the automatic transfer device, and the flip cover 8103 is opened downward. , a position sensor 8104 is installed next to it, and the position sensor 8104 is communicatively connected to the position sensor base station 8301. When the fixing rods of the fixing mechanism 8304 are inserted into the fixing holes, the automatic transfer device is firmly fixed and will not cause the car body to move randomly.
位置传感器8104用于和位置传感器基站8301进行配合,辅助自动转运装置进行定位。自动转运装置接受到位置传感器基站8301的坐标后,控制移动车体,使得自动转运装置到达确定位置。The position sensor 8104 is used to cooperate with the position sensor base station 8301 to assist the automatic transfer device in positioning. After receiving the coordinates of the position sensor base station 8301, the automatic transfer device controls the moving vehicle body so that the automatic transfer device reaches a determined position.
DSA装置可以采用现有技术实现。The DSA device can be implemented using existing technology.
在本说明书的描述中,参考术语“一个实施例”、“一些实施例”、“示例”、“具体示例”、或“一些示例”等的描述意指结合该实施例或示例描述的具体特征、结构、材料或者特点包含于本发明的至少一个实施例或示例中。在本说明书中,对上述术语的示意性表述不必须针对的是相同的实施例或示例。而且,描述的具体特征、结构、材料或者特点可以在任何的一个或多个实施例或示例中以合适的方式结合。此外,本领域的技术人员可以将本说明书中描述的不同实施例或示例进行接合和组合。In the description of this specification, reference to the terms "one embodiment," "some embodiments," "an example," "specific examples," or "some examples" or the like means that specific features are described in connection with the embodiment or example. , structures, materials or features are included in at least one embodiment or example of the invention. In this specification, the schematic expressions of the above terms are not necessarily directed to the same embodiment or example. Furthermore, the specific features, structures, materials or characteristics described may be combined in any suitable manner in any one or more embodiments or examples. Furthermore, those skilled in the art may join and combine the different embodiments or examples described in this specification.
尽管上面已经示出和描述了本发明的实施例,可以理解的是,上述实施例是示例性的,不能理解为对本发明的限制,本领域的普通技术人员在本发明的范围内可以对上述实施例进行变化、修改、替换和变型。Although the embodiments of the present invention have been shown and described above, it can be understood that the above-mentioned embodiments are illustrative and should not be construed as limitations of the present invention. Those of ordinary skill in the art can make modifications to the above-mentioned embodiments within the scope of the present invention. The embodiments are subject to changes, modifications, substitutions and variations.

Claims (10)

  1. 一种介入无人手术室系统,其特征在于,包括:An interventional unmanned operating room system, which is characterized by including:
    导管室(1),所述导管室(1)为介入手术的区域,其内具有导管床(101);Catheterization room (1), the catheterization room (1) is an area for interventional surgery, and has a catheterization bed (101) therein;
    控制室(2),紧邻所述导管室(1)设置有所述控制室(2),所述导管室(1)和所述控制室(2)之间设置有观察窗口(201);A control room (2), the control room (2) is provided immediately adjacent to the catheter room (1), and an observation window (201) is provided between the catheter room (1) and the control room (2);
    机器人,所述导管室(1)内部具有相互配合工作的介入手术机器人(Q1),主控机器人(Q2),穿刺机器人(Q3),更换导管导丝机器人(Q4);所述导管床(101)上安装有DSA装置(3)和造影剂注射装置(4);Robot, the catheter laboratory (1) has an interventional surgery robot (Q1), a main control robot (Q2), a puncture robot (Q3), and a catheter guidewire replacement robot (Q4) that work together; the catheter bed (101 ) is equipped with a DSA device (3) and a contrast medium injection device (4);
    监控装置(5),所述控制室(2)内设置有与上述机器人、DSA装置(3)和造影剂注射装置(4)通信连接的所述监控装置(5),用于展示各个设备及机器人的信息,实时同步更新,用于医生进行监督;以及Monitoring device (5). The control room (2) is provided with the monitoring device (5) that is communicatively connected to the above-mentioned robot, DSA device (3) and contrast agent injection device (4), and is used to display various equipment and The robot's information is updated synchronously in real time for doctors to supervise; and
    控制器(6),所述控制室(2)内设有控制器(6),用于医生和机器人之间的人机交互。A controller (6) is provided in the control room (2) for human-computer interaction between the doctor and the robot.
  2. 根据权利要求1所述的一种介入无人手术室系统,其特征在于,所述导管室(2)附近具有病房(7),用于供患者休息。An interventional unmanned operating room system according to claim 1, characterized in that there is a ward (7) near the catheterization room (2) for patients to rest.
  3. 根据权利要求2所述的一种介入无人手术室系统,其特征在于,所述病房(7)和所述导管室(1)之间移动有自动转运车(8),用于自动转运患者。An interventional unmanned operating room system according to claim 2, characterized in that an automatic transfer vehicle (8) moves between the ward (7) and the catheterization laboratory (1) for automatically transferring patients. .
  4. 根据权利要求3所述的一种介入无人手术室系统,其特征在于,所述病房(7)内固定有转运车充电桩(81),用于供所述自动转运车(8)充电。An interventional unmanned operating room system according to claim 3, characterized in that a transfer vehicle charging pile (81) is fixed in the ward (7) for charging the automatic transfer vehicle (8).
  5. 根据权利要求1所述的一种介入无人手术室系统,其特征在于,所述机器人还包括耗材递送机器人(Q5),所述耗材递送机器人(Q5)记录手术耗材信息,用于将手术耗材送至所述导管室(1),其与所述监控装置(5)和控制器(6)通信连接。An interventional unmanned operating room system according to claim 1, characterized in that the robot further includes a consumables delivery robot (Q5), the consumables delivery robot (Q5) records surgical consumables information and is used to transfer the surgical consumables Sent to the catheterization laboratory (1), which is communicatively connected with the monitoring device (5) and the controller (6).
  6. 根据权利要求1所述的一种介入无人手术室系统,其特征在于,所述机器人还包括快速充电机器人(Q6),所述快速充电机器人(Q6)与多个机器人通信连接,用于更换电量低的电池。An interventional unmanned operating room system according to claim 1, characterized in that the robot further includes a fast charging robot (Q6), the fast charging robot (Q6) is communicatively connected with a plurality of robots for replacement Low battery.
  7. 根据权利要求6所述的一种介入无人手术室系统,其特征在于,所述导管室(1)外部设置有为更换下来电量低的电池充电的充电区域(9),所述充电区域(9)内设置有供所述快速充电机器人(Q6)的充电位置。An interventional unmanned operating room system according to claim 6, characterized in that a charging area (9) for charging replaced low-power batteries is provided outside the catheterization room (1), and the charging area (9) 9) is provided with a charging position for the fast charging robot (Q6).
  8. 根据权利要求1-7任一项所述的一种介入无人手术室系统,其特征在于,还包括与所述控制器(6)通信连接的清扫机器人(Q7),所述清扫机器人(Q7)用于手术结束后对所述导管室(1)内进行自动清扫。An interventional unmanned operating room system according to any one of claims 1-7, characterized in that it also includes a cleaning robot (Q7) communicatively connected with the controller (6), the cleaning robot (Q7) ) is used to automatically clean the catheter laboratory (1) after the operation.
  9. 根据权利要求1-7任一项所述的一种介入无人手术室系统,其特征在于,所述监控装置(5)包括多个显示屏幕(51),通过屏幕支架(52)支撑。An interventional unmanned operating room system according to any one of claims 1 to 7, characterized in that the monitoring device (5) includes a plurality of display screens (51) supported by a screen bracket (52).
  10. 根据权利要求1-7任一项所述的一种介入无人手术室系统,其特征在于,所述机器人的权限具有优先级,所述主控机器人(Q2)具有最大权限,是手术的指导员,用于图像诊断,指示其他机器人配合工作。An interventional unmanned operating room system according to any one of claims 1 to 7, characterized in that the authority of the robot has priority, and the main control robot (Q2) has the maximum authority and is the instructor of the operation. , used for image diagnosis and instructing other robots to work together.
PCT/CN2022/109592 2022-07-20 2022-08-02 Unmanned interventional surgery room system WO2024016382A1 (en)

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