CN114391955B - Incision closure and closure nail removal medical robot - Google Patents
Incision closure and closure nail removal medical robot Download PDFInfo
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Abstract
Description
技术领域technical field
本发明涉及切口闭合及闭合钉移除医疗机器人,属于机器人技术领域,具体为机器人系统设计。The invention relates to a medical robot for incision closing and closing nail removal, belonging to the technical field of robots, and in particular to the design of a robot system.
背景技术Background technique
以下说明和示例并不因其被列入本节内而被承认是现有技术。The following description and examples are not admitted to be prior art by virtue of their inclusion in this section.
开放手术往往会产生各种切口,这些切口需要在手术后及时进行闭合。实际场景中比较常用的方式是根据外科医生的经验通过医疗工具手动闭合,这种方式的问题包括具有传染性、闭合钉间距分布不均等。机器人手术可以规避传统手术中的诸多弊端,是促进医疗实践发展的重要手段。目前,医疗机器人手术的理论和技术正处于蓬勃发展阶段,在肠吻合、取血、阴道袖带闭合、肿瘤切除、组织触诊、软组织抓握、激光消融、活检、胃肠道筛查、软组织切除等医疗操作中均取得了一定的成就。因此,用于切口闭合的医疗机器人因其具有可减少传染等优势而受到医学界的关注。Open surgery often creates various incisions that need to be closed promptly after surgery. The more commonly used method in actual scenarios is to manually close with medical tools according to the experience of the surgeon. The problems of this method include contagiousness and uneven distribution of closing nail spacing. Robotic surgery can avoid many drawbacks in traditional surgery and is an important means to promote the development of medical practice. At present, the theory and technology of medical robotic surgery are in the stage of vigorous development, in intestinal anastomosis, blood collection, vaginal cuff closure, tumor resection, tissue palpation, soft tissue grasping, laser ablation, biopsy, gastrointestinal screening, soft tissue Some achievements have been made in medical operations such as resection. Therefore, medical robots for incision closure have attracted the attention of the medical community due to their advantages such as reducing infection.
发明内容SUMMARY OF THE INVENTION
以下各种系统实施例的描述不以任何方式解释为限制所附权利要求的主题内容。The following description of various system embodiments is not to be construed in any way to limit the subject matter of the appended claims.
本发明提出切口闭合及闭合钉移除医疗机器人,具有该结构特征的机器人系统,总体上分为运动模块、执行模块、控制模块等部分。运动模块采用机械臂等装置,将执行模块送至所需位置以进行相关操作。控制模块中的多目相机用于采集切口或闭合钉的图像,计算机控制系统根据采集到的图像对切口或闭合钉进行定位,规划执行模块的运动路径,并驱动运动模块。执行模块包括切口闭合装置、进钉装置、拆钉装置,分别可以完成减小切口宽度或闭合切口、在切口处钉入闭合钉、拆除闭合钉操作。The present invention proposes a medical robot for incision closure and closure nail removal, and a robot system with this structural feature is generally divided into a motion module, an execution module, and a control module. The motion module uses a device such as a robotic arm to send the execution module to the required position for related operations. The multi-eye camera in the control module is used to collect the image of the incision or the closed nail, and the computer control system locates the incision or the closed nail according to the collected image, plans the movement path of the execution module, and drives the movement module. The execution module includes an incision closing device, a nail feeding device, and a nail removing device, which can respectively reduce the width of the incision or close the incision, insert the closure nail at the incision, and remove the closure nail.
切口闭合及闭合钉移除医疗机器人,总体上包括机械臂、甲连接件、乙连接件、进钉装置、切口闭合装置、甲多目相机、拆钉装置、废钉盒、组织、乙多目相机、计算机控制系统、气泵、甲气管、乙气管,进钉装置包括进钉装置固定件、压钉板驱动件、压钉板、闭合钉、外壳、推钉板、推钉板驱动件,切口闭合装置包括切口闭合装置固定件、甲直线模组驱动件、甲直线模组导轨、甲直线模组移动端、乙直线模组移动端、乙直线模组导轨、乙直线模组驱动件、甲吸盘固定件、乙吸盘固定件、甲吸盘、乙吸盘,拆钉装置包括拆钉装置固定件、丙直线模组驱动件、丁直线模组驱动件、丙直线模组导轨、丙直线模组移动端、甲抓取装置、丁直线模组导轨、丁直线模组移动端、乙抓取装置、伸缩装置。Incision closure and closure nail removal medical robot, generally including a robotic arm, a connecting piece, a connecting piece B, a nail feeding device, an incision closing device, a multi-eye camera, a nail-removing device, a waste nail box, tissue, a multi-eye Camera, computer control system, air pump, A trachea, B trachea, the nail feeding device includes the nail feeding device fixing part, the nail pressing plate driving part, the pressing nail plate, the closing nail, the shell, the nail pushing plate, the nail pushing plate driving part, the cutout The closing device includes a fixed part of the incision closure device, a linear module driving part, A linear module guide rail, A linear module moving end, B linear module moving end, B linear module guide rail, B linear module driving part, A Suction cup fixing parts, B suction cup fixing parts, A suction cup, B suction cup, the nail removal device includes nail removal device fixing parts, C linear module driving parts, D linear module driving parts, C linear module guide rails, C linear module moving parts End, A grasping device, D linear module guide rail, D linear module moving end, B grasping device, telescopic device.
切口闭合及闭合钉移除医疗机器人,总体上可分为运动模块、执行模块、控制模块等部分。The incision closure and closure nail removal medical robot can be generally divided into motion module, execution module, control module and other parts.
控制模块中,多目相机用于采集切口或闭合钉的图像以获取相关信息(具体包括在切口闭合阶段获取切口的宽度、位置、形态等,在拆钉阶段获取闭合钉的位置、形态等),计算机控制系统根据多目相机采集到的图像,分析要进行操作的对象(切口或闭合钉)的位置与形态,规划对应执行模块的运动路径,并驱动运动模块。In the control module, the multi-eye camera is used to collect the images of the incision or the closed nail to obtain relevant information (specifically, the width, position, shape, etc. of the incision are obtained in the incision closing stage, and the position and shape of the closed nail are obtained in the nail removal stage, etc.) , the computer control system analyzes the position and shape of the object to be operated (incision or closed nail) according to the image collected by the multi-eye camera, plans the motion path of the corresponding execution module, and drives the motion module.
运动模块采用机械臂等装置,将执行模块送至所需位置以进行相关操作。The motion module uses a device such as a robotic arm to send the execution module to the required position for related operations.
执行模块的切口闭合装置中,吸盘通过气泵抽气对切口两侧的皮肤进行吸附,并在直线模组(包括直线模组驱动件、直线模组导轨和直线模组移动端)的带动下做相向的直线运动,达到减小切口宽度或闭合切口的目的,为后续钉入闭合钉的工作做准备。进钉装置中,压钉板在对应驱动件作用下沿外壳的内壁做直线运动,并将当前处于外壳缺口位置的闭合钉按压进切口处的皮肤中;待闭合钉进入皮肤一定深度以后,压钉板收回,推钉板在对应驱动件的作用下沿外壳内壁做直线运动,并将下一枚闭合钉送至缺口处。拆钉装置中,抓取装置固定住闭合钉两端,伸缩装置的移动端按压闭合钉的中间部分,使其发生变形,同时抓取装置向上提拉,即可完成闭合钉拆除工作。In the incision closure device of the execution module, the suction cup sucks the skin on both sides of the incision through the air pump, and is driven by the linear module (including the linear module driver, the linear module guide and the linear module moving end). Opposite linear movement to reduce the width of the incision or close the incision, and prepare for the subsequent work of nailing the closure nail. In the nail feeding device, the nail pressing plate moves linearly along the inner wall of the casing under the action of the corresponding driving member, and presses the closed nail currently in the gap position of the casing into the skin at the incision; The nail plate is retracted, and the push nail plate moves linearly along the inner wall of the casing under the action of the corresponding driving member, and sends the next closed nail to the gap. In the nail removal device, the grasping device fixes both ends of the closed nail, the movable end of the telescopic device presses the middle part of the closed nail to deform it, and at the same time the grasping device is pulled upward to complete the removal of the closed nail.
废钉盒用于放置从皮肤上拆卸下来的闭合钉,以避免随意丢弃造成的隐患。The waste staple box is used to store closed staples removed from the skin to avoid the hidden dangers caused by random disposal.
本发明的优点在于:The advantages of the present invention are:
(1)可替代人工操作,实现切口闭合及闭合钉移除过程的自动化;(1) It can replace manual operation and realize the automation of incision closure and closure nail removal;
(2)可减少开放手术过程中的传染性;(2) It can reduce the infectivity during open surgery;
(3)提高切口闭合操作精度,使闭合钉间距分布均匀。(3) Improve the precision of the incision closing operation, so that the distance between the closing nails is evenly distributed.
附图说明Description of drawings
在阅读以下详细描述并参照其中附图之后,本发明的其它目的和优势将变得显而易见:Other objects and advantages of the present invention will become apparent upon reading the following detailed description with reference to the accompanying drawings therein:
图1是本发明的整体结构示意简图;Fig. 1 is the overall structure schematic diagram of the present invention;
图2是本发明的进钉装置结构简图;Fig. 2 is the structural diagram of the nail feeding device of the present invention;
图3是本发明的切口闭合装置结构简图;Figure 3 is a schematic structural diagram of the incision closure device of the present invention;
图4是本发明的拆钉装置结构简图;Fig. 4 is the structural diagram of the nail removing device of the present invention;
图5是本发明的切口闭合与钉入闭合钉操作工作流程图;Fig. 5 is the operation flow chart of the incision closure of the present invention and nailing the closure nail;
图6是本发明的闭合钉拆除工作流程图;Fig. 6 is the working flow chart of the closing nail dismantling of the present invention;
其中:1-机械臂、2-甲连接件、3-乙连接件、4-进钉装置、5-切口闭合装置、6-甲多目相机、7-拆钉装置、8-废钉盒、9-组织、10-乙多目相机、11-计算机控制系统、12-气泵、13-甲气管、14-乙气管、401-进钉装置固定件、402-压钉板驱动件、403-压钉板、404-闭合钉、405-外壳、406-推钉板、407-推钉板驱动件、501-切口闭合装置固定件、502-甲直线模组驱动件、503-甲直线模组导轨、504-甲直线模组移动端、505-乙直线模组移动端、506-乙直线模组导轨、507-乙直线模组驱动件、508-甲吸盘固定件、509-乙吸盘固定件、510-甲吸盘、511-乙吸盘、701-拆钉装置固定件、702-丙直线模组驱动件、703-丁直线模组驱动件、704-丙直线模组导轨、705-丙直线模组移动端、706-甲抓取装置、707-丁直线模组导轨、708-丁直线模组移动端、709-乙抓取装置、710-伸缩装置。Among them: 1-Robot arm, 2-A connector, 3-B connector, 4-Nail feeding device, 5-Incision closing device, 6-A multi-eye camera, 7-Nail removal device, 8-Waste nail box, 9-Tissue, 10-B multi-eye camera, 11-Computer control system, 12-Air pump, 13-A trachea, 14-B trachea, 401-Nail feeding device fixing piece, 402-Nail-pressing plate driver, 403-Pressure Nail Board, 404-Close Nail, 405-Shell, 406-Push Nail Plate, 407-Push Nail Plate Drive, 501-Incision Closure Fixture, 502-A Linear Module Drive, 503-A Linear Module Guide , 504-A linear module mobile end, 505-B linear module mobile end, 506-B linear module guide rail, 507-B linear module driver, 508-A suction cup fixing piece, 509-B suction cup fixing piece, 510-A suction cup, 511-B suction cup, 701-Nail removal device fixing part, 702-C linear module driver, 703-D linear module driver, 704-C linear module guide, 705-C linear module Mobile end, 706-A grasping device, 707-D linear module guide rail, 708-D linear module mobile end, 709-B grasping device, 710-Telescopic device.
此外,要注意,附图不一定是按比例绘制的,特定特征可以比其他特征按更大的比例来描绘,以表明其特性。Furthermore, it is noted that the drawings are not necessarily to scale and that certain features may be drawn on a larger scale than others to illustrate their identity.
具体实施方式Detailed ways
尽管本发明可受到各种修改和替换形式,但是其具体实施例藉由附图中的示例示出并且将在本文中详细描述。然而,应当理解,附图和对其的详细描述不旨在将本发明限制到所公开的特定形式,而是相反,其意图在于涵盖落入由所附权利要求所定义的本发明的精神和范围内的所有修改、等效物和替换物。While the invention is amenable to various modifications and alternative forms, specific embodiments thereof are illustrated by way of example in the drawings and will herein be described in detail. It should be understood, however, that the drawings and detailed description thereof are not intended to limit the invention to the particular form disclosed, but on the contrary, the intention is to cover the spirit and scope of the invention as defined by the appended claims. All modifications, equivalents and substitutions within the scope.
下面将结合附图和实施例对本发明作进一步的详细说明。The present invention will be further described in detail below in conjunction with the accompanying drawings and embodiments.
本发明是切口闭合及闭合钉移除医疗机器人,如图1-图4所示,该机器人系统总体上包括机械臂1、甲连接件2、乙连接件3、进钉装置4、切口闭合装置5、甲多目相机6、拆钉装置7、废钉盒8、组织9、乙多目相机10、计算机控制系统11、气泵12、甲气管13、乙气管14,进钉装置4包括进钉装置固定件401、压钉板驱动件402、压钉板403、闭合钉404、外壳405、推钉板406、推钉板驱动件407,切口闭合装置5包括切口闭合装置固定件501、甲直线模组驱动件502、甲直线模组导轨503、甲直线模组移动端504、乙直线模组移动端505、乙直线模组导轨506、乙直线模组驱动件507、甲吸盘固定件508、乙吸盘固定件509、甲吸盘510、乙吸盘511,拆钉装置7包括拆钉装置固定件701、丙直线模组驱动件702、丁直线模组驱动件703、丙直线模组导轨704、丙直线模组移动端705、甲抓取装置706、丁直线模组导轨707、丁直线模组移动端708、乙抓取装置709、伸缩装置710。The present invention is a medical robot for incision closure and closure nail removal. As shown in Figures 1 to 4, the robot system generally includes a
切口闭合及闭合钉移除医疗机器人中,机械臂1、废钉盒8、组织9、计算机控制系统11、气泵12放置在平台指定位置,以便进行相关操作。进钉装置4、切口闭合装置5分别安装在乙连接件3上,乙连接件3、拆钉装置7通过甲连接件2固接在机械臂1的末端。甲多目相机6、乙多目相机10分别安装于甲连接件2和平台指定位置,以保证可以正常地进行图像采集任务。In the medical robot for incision closure and staple removal, the
进钉装置4中,进钉装置固定件401与乙连接件3连接,使整个进钉装置4固定在机械臂1的末端。带有缺口的外壳405固接在进钉装置固定件401上。外壳405的一侧装有压钉板驱动件402,其运动端与压钉板403连接,以保证压钉板403可以沿着该侧外壳405的内壁做直线运动。外壳405的一侧装有推钉板驱动件407,其运动端与推钉板406连接,以保证推钉板406沿着该侧外壳405的内壁做直线运动。闭合钉404并排放置在缺口与推钉板406之间。In the
切口闭合装置5中,切口闭合装置固定件501与乙连接件3连接,使整个切口闭合装置5固定在机械臂1的末端。甲直线模组驱动件502、甲直线模组导轨503安装在切口闭合装置固定件501的一侧,甲直线模组移动端504可沿着甲直线模组导轨503做直线运动。装有甲吸盘510的甲吸盘固定件508与甲直线模组移动端504固接,以保证甲吸盘510可以做直线运动。乙直线模组移动端505、乙直线模组导轨506、乙直线模组驱动件507、乙吸盘固定件509、乙吸盘511以同样的方式安装在切口闭合装置固定件501的另一侧。气泵12分别通过甲气管13、乙气管14与甲吸盘510、乙吸盘511连接。In the
拆钉装置7中,拆钉装置固定件701与甲连接件2固接,使整个拆钉装置7固定在机械臂1的末端。丙直线模组驱动件702、丁直线模组驱动件703、丙直线模组导轨704、丁直线模组导轨707分别安装在拆钉装置固定件701上。固连甲抓取装置706的丙直线模组移动端705、固连乙抓取装置709的丁直线模组移动端708分别可以沿着丙直线模组导轨704、丁直线模组导轨707做直线运动。甲抓取装置706、乙抓取装置709之间的距离与闭合钉的宽度大致相同。伸缩装置710安装在拆钉装置固定件701上,且位于甲抓取装置706、乙抓取装置709之间。In the nail removal device 7 , the nail removal
计算机控制系统11通过线缆连接或无线传输方式,与机器人系统中的机械臂1、驱动装置、图像采集设备进行数据交换。The computer control system 11 exchanges data with the
所诉的切口闭合及闭合钉移除医疗机器人,可根据具体需求进行改装,以用于其他非医疗场景。The described incision closure and closure nail removal medical robot can be modified according to specific needs for use in other non-medical scenarios.
所述的机械臂1,可根据具体需求,选取或设计其他运动装置。For the
所述的甲多目相机6、乙多目相机10,可根据具体需求,选取其他种类定位方法和/或不同数量的定位装置,包括但不限于结构光扫描装置、激光扫描装置、可见光成像装置、红外成像装置等。The A-multi-
所述的进钉装置4,其中各处驱动可根据具体需求选取不同形式(包括但不限于电磁铁、气动、液压等);同时,对于进钉装置4,可根据具体需求,采用皮肤吻合器或其变形结构,或采用其他不同的机械结构,以实现将闭合钉钉入皮肤的功能。In the described
所述的切口闭合装置5,其中各处驱动可根据具体需求选取不同形式(包括但不限于电磁铁、气动、液压等);同时,对于切口闭合装置5,可根据具体需求设计其他形式,以实现抓取或吸附皮肤,并将切口两端聚拢的功能。For the
所述的拆钉装置7,其中各处驱动可根据具体需求选取不同形式(包括但不限于电磁铁、气动、液压等);同时,对于拆钉装置7,可根据具体需求,采用拆钉器或其变形结构,或设计其他的结构,以实现闭合钉变形使其脱离切口的功能。In the described nail removal device 7, different forms (including but not limited to electromagnets, pneumatics, hydraulics, etc.) can be selected according to specific needs for driving; meanwhile, for the nail removal device 7, a nail removal device can be used according to specific requirements. Or its deformed structure, or design other structures, so as to realize the function of the closed nail deforming to make it separate from the incision.
所述的废钉盒8,可根据具体需求,选择容器形式,固定方式,也可以根据具体需求省略废钉盒。For the
以上,此类公开不应解释成必然限制本文中描述的设计方式,本文所描述的系统的组成部分/部件/零件可具有任何尺寸和形状,取决于这些设备的设计规格。所采用的用于实现各种操作的结构可包括所涵盖的所有可能范围及其任何组合以及不同种类间的任何组合。Above, such disclosure should not be construed to necessarily limit the design approaches described herein, the components/components/parts of the systems described herein may have any size and shape, depending on the design specifications of these devices. The structures employed to effectuate the various operations may include all possible ranges encompassed and any combination thereof as well as any combination among different species.
工作过程:典型工作过程Work process: typical work process
机器人系统可替代人工完成三种操作,分别为切口闭合、在切口处钉入闭合钉、闭合钉拆除,通常钉入闭合钉应在切口闭合之后立即进行操作。Robotic systems can replace manual operations to complete three operations, namely incision closure, insertion of closure nails at the incision, and removal of closure nails. Usually, the insertion of closure nails should be performed immediately after the incision is closed.
在进行切口闭合与钉入闭合钉操作时,如图5所示,多目相机获取切口图像并传送给计算机控制系统,计算机控制系统分析图切口的位置、宽度、形态,规划出切口闭合装置和进钉装置的运动路径,并驱动机械臂等装置,将切口闭合装置和进钉装置送至切口起始点附近。切口闭合装置工作,吸盘吸附在切口两侧的皮肤上,并在直线模组的带动下将切口的两端聚拢。待切口宽度减小至一定程度,吸盘停止运动,进钉装置工作,压钉板在直线模组的驱动下通过压力将闭合钉钉进皮肤,同时推钉板在直线模组的驱动下将下一枚闭合钉送至工作区域。完成当前位置的切口闭合工作后,切口闭合装置和进钉装置恢复成初始状态,运动模块将二者送至下一个工作点。重复上述流程,直至整个切口闭合。When the incision is closed and the staples are inserted, as shown in Figure 5, the multi-eye camera captures the incision image and transmits it to the computer control system. The computer control system analyzes the position, width and shape of the incision, and plans the incision closure device and the shape of the incision. The movement path of the nail feeding device, and drive the mechanical arm and other devices to send the incision closing device and the nail feeding device to the vicinity of the incision starting point. The incision closure device works, the suction cups are adsorbed on the skin on both sides of the incision, and the two ends of the incision are brought together under the drive of the linear module. When the width of the incision is reduced to a certain extent, the suction cup stops moving, the nail feeding device works, the nail pressing plate drives the closed nails into the skin through pressure under the driving of the linear module, and at the same time, the nailing plate pushes down under the driving of the linear module. A closing nail is delivered to the work area. After completing the incision closing work at the current position, the incision closing device and the nail feeding device return to the initial state, and the motion module sends them to the next work point. Repeat the above process until the entire incision is closed.
在闭合钉拆除时,如图6所示,首先通过多目相机获取闭合钉的图像并传送给计算机控制系统,计算机控制系统分析出闭合钉的位置与形态,规划出拆钉装置的运动路径,并驱动机械臂等装置,将拆钉装置送至待拆除的闭合钉附近。拆钉装置工作,抓取装置将闭合钉两端向上提拉,伸缩装置向下按压闭合钉的中间部分,使闭合钉发生变形进而被拆除下来。计算机控制系统驱动运动模块,将拆下来的废钉弃置到废钉盒中。重复上述流程,直至所有闭合钉均被拆卸完毕。When the closed nail is removed, as shown in Figure 6, the image of the closed nail is first acquired by the multi-eye camera and transmitted to the computer control system. The computer control system analyzes the position and shape of the closed nail, and plans the movement path of the nail removal device. And drive the mechanical arm and other devices to send the nail removal device to the vicinity of the closed nail to be removed. When the nail-removing device works, the grabbing device pulls the two ends of the closing nail upwards, and the telescopic device presses down the middle part of the closing nail, so that the closing nail is deformed and then removed. The computer control system drives the motion module to dispose of the dismantled waste nails into the waste nail box. Repeat the above process until all closure pins have been removed.
得到本公开的益处的本领域技术人员将领会和获知不限于本说明书的实施例。本发明的各方面的进一步修改和替换性实施例对于本领域技术人员将是显而易见的。Those skilled in the art having the benefit of this disclosure will appreciate and appreciate that the examples in this specification are not limited. Further modifications and alternative embodiments of the various aspects of the invention will be apparent to those skilled in the art.
本说明书仅被解释成为解说性的,目的是教导本领域技术人员执行本发明的一般方式。要理解,本文中示出且描述的本发明的形式被采用为目前优选的实施例。可为本文中解说且描述的实施例替换元素和材料,部分和过程可被反转,并且本发明的某些特征可独立地利用,所有这些方面在本领域技术人员得到本发明的说明书的益处之后将变得显而易见。可在不脱离如以下权利要求所述的本发明的精神和范围的情况下对本文中描述的元素进行改变。This specification is to be interpreted as illustrative only, and is intended to teach one skilled in the art the general manner of carrying out the invention. It is to be understood that the forms of the invention shown and described herein are adopted as presently preferred embodiments. Elements and materials may be substituted for the embodiments illustrated and described herein, parts and processes may be reversed, and certain features of the invention may be utilized independently, all of which would come to one skilled in the art having the benefit of a description of the invention It will become obvious later. Changes may be made in elements described herein without departing from the spirit and scope of the invention as set forth in the following claims.
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