TWI783339B - Medical device for manipulating surgical tools - Google Patents
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Abstract
Description
本公開總體上涉及醫療裝置,更具體地,涉及一種具有傳動軸的醫療裝置,該傳動軸位於並聯操縱器的端部平臺和基部平臺之間並被配置成傳遞機械力。 The present disclosure relates generally to medical devices, and more particularly, to a medical device having a drive shaft positioned between an end platform and a base platform of a parallel manipulator and configured to transmit mechanical forces.
並聯機構能夠以多達六個或更多的自由度來定位和定向端部平臺。並聯機構的端部平臺可用於支撐醫療裝置,例如診斷裝置或手術工具。由於並聯機構的端部平臺可以做得極小,因此該機構既可以用於通過大的手術開口進行外科手術,也可以用於通過小的手術開口或體孔進行內視鏡手術。 The parallel mechanism is capable of positioning and orienting the end stage with as many as six or more degrees of freedom. The end platforms of the parallel mechanism can be used to support medical devices, such as diagnostic devices or surgical tools. Since the end platform of the parallel mechanism can be made extremely small, the mechanism can be used for both surgical operations through large surgical openings and endoscopic surgery through small surgical openings or body holes.
由於端部平臺能夠高精度、靈巧地進行操縱,因此並聯機構特別適合用於通過遠程控制進行外科手術。該機構能夠調節端部平臺的位置,使得該機構適合用於需要精確微動的醫療應用。然而,其具有用於控制安裝在端部平臺上的手術工具的馬達,會在操作期間對端部平臺造成額外的重量和力。額外的重量和力可影響響應時間和操作計劃的範圍/路徑的精度。因此,為了提高醫療裝置的精度,需要將影響並聯操縱器的端部平臺的力減到最小。 Due to the high precision and dexterous manipulation of the end platform, the parallel mechanism is particularly suitable for surgical procedures via remote control. The mechanism is capable of adjusting the position of the end platform, making the mechanism suitable for use in medical applications requiring precise micro-motions. However, it has motors for controlling the surgical tools mounted on the end deck, which place additional weight and force on the end deck during operation. The extra weight and force can affect the response time and accuracy of the range/path of the maneuver plan. Therefore, in order to improve the accuracy of medical devices, the forces affecting the end platforms of parallel manipulators need to be minimized.
有鑑於此,有必要提供一種具有傳動軸的醫療裝置,以解決上述技術問題。 In view of this, it is necessary to provide a medical device with a transmission shaft to solve the above technical problems.
一種醫療裝置,其特徵在於,包括:並聯操縱器、適配器、傳 動軸以及軸馬達,所述並聯操縱器具有:端部平臺;以及機械地聯接到所述端部平臺的基部平臺,所述適配器具有:可拆卸地聯接至所述端部平臺的本體;以及由所述本體可旋轉地支撐的接收軸,所述接收軸具有接收軛;所述傳動軸由所述端部平臺可旋轉地支撐的傳動軸,所述傳動軸具有:配置成將機械力傳遞至所述接收軛的傳動軛;連接至所述傳動軛的柔性杆;以及連接至所述柔性杆的滑動件,所述軸馬達被配置成產生機械力以驅動所述傳動軸,所述軸馬達具有可滑動地接合到所述滑動件的驅動軸。 A medical device, characterized in that it includes: a parallel manipulator, an adapter, a drive shaft and a shaft motor, the parallel manipulator has: an end platform; and a base platform mechanically coupled to the end platform, the adapter has: a body detachably coupled to the end platform; and a receiving shaft rotatably supported by the body, the receiving shaft having a receiving yoke; and a transmission shaft rotatably supported by the end platform, the transmission shaft having: configured to transmit a mechanical force a transmission yoke to the receiving yoke; a flexible rod connected to the transmission yoke; and a slider connected to the flexible rod, the shaft motor configured to generate mechanical force to drive the transmission shaft, the shaft A motor has a drive shaft slidably engaged to the slider.
一種醫療裝置,其特徵在於,包括:並聯操縱器、機械附接到所述端部平臺的傳感器系統、可拆卸地聯接到所述傳感器系統的適配器、傳動軸以及軸馬達,所述並聯操縱器具有:端部平臺;以及機械連接到所述端部平臺的基部平臺,所述適配器具有:本體;以及由所述本體可旋轉地支撐的接收軸,所述傳動軸由所述端部平臺可旋轉地支撐並且被配置成將所述機械力傳遞到所述接收軸;所述軸馬達驅動地連接到傳動軸並且被配置成將所述機械力傳遞到所述傳動軸。 A medical device comprising: a parallel manipulator, a sensor system mechanically attached to the end platform, an adapter detachably coupled to the sensor system, a drive shaft, and a shaft motor, the parallel manipulator Having: an end platform; and a base platform mechanically connected to the end platform, the adapter has: a body; and a receiving shaft rotatably supported by the body, the transmission shaft being rotatable by the end platform rotatably supported and configured to transmit the mechanical force to the receiving shaft; the shaft motor is drivingly connected to the drive shaft and configured to transmit the mechanical force to the drive shaft.
1:醫療裝置 1:Medical device
11-1:端部平臺 11-1: End platform
11-2:基部平臺 11-2: Base platform
11-3:臂 11-3: Arm
12:傳動軸 12: Drive shaft
13:適配器 13: Adapter
14:傳感器系統 14: Sensor system
15:殼體 15: shell
16:手柄 16: handle
17:控制模塊 17: Control module
18-1:第一定位單元 18-1: The first positioning unit
18-2:第二定位單元 18-2: The second positioning unit
T1:工具 T1: Tool
40:傳動軸 40: drive shaft
41:傳動軛 41: Drive yoke
41-21、41-22、43-21、43-22:銷 41-21, 41-22, 43-21, 43-22: Pin
41-3:凸緣 41-3: Flange
42:柔性杆 42: flexible rod
43:滑動件 43: Slider
50:端部平臺 50: end platform
51:第一軸承 51: The first bearing
52:第二軸承 52:Second bearing
53:墊圈 53: Gasket
54:保持環 54: retaining ring
61:基座 61: Base
62:蓋 62: cover
63:第一軸承 63: The first bearing
64:第二軸承 64:Second bearing
65:保持環 65: retaining ring
66:接收軸 66: Receiving shaft
66-1:接收軛 66-1: Receive Yoke
66-2:卡盤 66-2: Chuck
66-3:凹槽 66-3: Groove
70:基部平臺 70: base platform
71:臂基座 71: Arm base
72:軸基座 72: shaft base
80:機器模塊 80: Machine Module
81:致動器 81: Actuator
82:軸馬達 82: shaft motor
91:軸基座 91: shaft base
92:軸馬達 92: shaft motor
92-1:轉子 92-1: Rotor
93:滑動件 93: Slider
94:驅動軸 94: drive shaft
95:圓筒 95: Cylinder
21:滑動件 21: Slider
21-1:插口 21-1: socket
22:驅動軸 22: drive shaft
102:傳動軛 102: drive yoke
102-1:突起 102-1: Protrusion
102-2:本體 102-2: Ontology
110:傳感器系統 110: Sensor system
111:力中繼器 111: Force Repeater
112:力傳感器 112: force sensor
113:緊固件 113: Fasteners
120:適配器 120: Adapter
121:接收軸 121: Receiving shaft
130:端部平臺 130: end platform
131:由軸承 131: By bearing
140:傳動軸 140: drive shaft
圖1示出了根據本公開的一些實施例的醫療裝置的3D表示視圖;圖2示出了根據本公開的一些實施例的醫療裝置的橫斷面圖;圖3示出了根據本公開的一些實施例的醫療裝置的分解圖;圖4A示出了根據本公開的一些實施例的傳動軸的透視圖;圖4B示出了根據本公開的一些實施例的傳動軸的剖視圖;圖5示出了根據本公開的一些實施例的傳動軸的分解圖;圖6示出了根據本公開的一些實施例的適配器的分解圖;圖7示出了根據本公開的一些實施例的機器模塊的透視圖;圖8示出了根據本公開的一些實施例的傳動軸、並聯操縱器和 機器模塊的分解圖;圖9示出了根據本公開的一些實施例的驅動軸和滑動件的橫斷面圖;圖10示出了根據本公開的一些實施例的接收軸和傳動軛的透視圖;圖11示出了根據本公開的一些實施例的力傳感器的橫斷面圖;圖12示出了根據本公開的一些實施例的力傳感器的分解圖。 1 shows a 3D representation of a medical device according to some embodiments of the present disclosure; FIG. 2 shows a cross-sectional view of a medical device according to some embodiments of the present disclosure; FIG. An exploded view of a medical device of some embodiments; FIG. 4A shows a perspective view of a drive shaft according to some embodiments of the present disclosure; FIG. 4B shows a cross-sectional view of a drive shaft according to some embodiments of the present disclosure; FIG. 5 shows Figure 6 shows an exploded view of an adapter according to some embodiments of the present disclosure; Figure 7 shows an exploded view of a machine module according to some embodiments of the present disclosure; Perspective view; FIG. 8 shows drive shafts, parallel manipulators and Exploded view of the machine module; Figure 9 shows a cross-sectional view of the drive shaft and slide according to some embodiments of the present disclosure; Figure 10 shows a perspective view of the receiving shaft and drive yoke according to some embodiments of the present disclosure Figures; Figure 11 shows a cross-sectional view of a force sensor according to some embodiments of the present disclosure; Figure 12 shows an exploded view of a force sensor according to some embodiments of the present disclosure.
以下描述將參考附圖以更全面地描述本發明。附圖中所示為本公開的示例性實施例。然而,本發明可以以許多不同的形式來實施,並且不應該被解釋為限於在此闡述的示例性實施例。提供這些示例性實施例是為了使本公開透徹和完整,並且將本發明的範圍充分地傳達給本領域技術人員。類似的附圖標記表示相同或類似的組件。 The following description will refer to the accompanying drawings in order to more fully describe the present invention. Illustrated in the drawings are exemplary embodiments of the present disclosure. This invention may, however, be embodied in many different forms and should not be construed as limited to the exemplary embodiments set forth herein. Rather, these exemplary embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art. Like reference numerals designate the same or similar components.
本文使用的術語僅用於描述特定示例性實施例的目的,而不意圖限制本發明。如本文所使用的,除非上下文另外清楚地指出,否則單數形式“一”,“一個”和“該”旨在也包含複數形式。此外,當在本文中使用時,“包含”和/或“包含”或“包含”和/或“包含”或“具有”和/或“具有”,整數,步驟,運作,元件和/或元件,但不排除存在或添加一個或多個其它特徵,區域,整數,步驟,運作,元件,元件和/或其群組。 The terminology used herein is for the purpose of describing particular exemplary embodiments only and is not intended to be limiting of the invention. As used herein, the singular forms "a", "an" and "the" are intended to include the plural forms as well, unless the context clearly dictates otherwise. Furthermore, as used herein, "comprises" and/or "comprises" or "comprises" and/or "comprises" or "has" and/or "has", integers, steps, operations, elements and/or elements , but does not preclude the presence or addition of one or more other features, regions, integers, steps, operations, elements, components and/or groups thereof.
除非另外定義,否則本文使用的所有術語(包含技術和科學術語)具有與本公開所屬領域的普通技術人員通常理解的相同的含義。此外,除非文中明確定義,諸如在通用字典中定義的那些術語應該被解釋為具有與其在相關技術和本公開內容中的含義一致的含義,並且將不被解釋為理想化或過於正式的含義。 Unless otherwise defined, all terms (including technical and scientific terms) used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs. In addition, terms such as those defined in general dictionaries should be interpreted as having meanings consistent with their meanings in the related art and the present disclosure, and will not be interpreted as idealized or overly formal unless clearly defined herein.
以下內容將結合附圖對示例性實施例進行描述。須注意的是, 參考附圖中所描繪的元件不一定按比例顯示;而相同或類似的組件將被賦予相同或相似的附圖標記表示或類似的技術用語。 The following content will describe exemplary embodiments with reference to the accompanying drawings. It should be noted that, Elements depicted in reference to the drawings are not necessarily shown to scale; instead, identical or similar components will be given identical or similar reference numerals or similar technical terms.
圖1示出了根據本公開的一些實施例的醫療裝置的3D表示視圖。圖2示出了根據本公開的一些實施例的醫療裝置的橫斷面圖。圖3示出了根據本公開的一些實施例的醫療裝置的分解圖。在一些實施例中,醫療裝置1包括並聯操縱器、傳動軸12和適配器13。並聯操縱器包括端部平臺11-1、基部平臺11-2以及可操作地聯接在端部平臺11-1和基部平臺11-2之間的多個臂11-3。傳動軸12設置在端部平臺11-1和基部平臺11-2之間。此外,傳動軸12由端部平臺11-1可旋轉地支撐。在一些實施例中,適配器13被配置成夾持手術工具T1,例如鑽頭、套管針或鋸片。在一些實施例中,醫療裝置1還包括設置在適配器13和端部平臺11-1之間的傳感器系統14。傳感器系統14被配置成監測由適配器13施加和接收的力。
Figure 1 shows a 3D representation of a medical device according to some embodiments of the present disclosure. Figure 2 illustrates a cross-sectional view of a medical device according to some embodiments of the present disclosure. Figure 3 shows an exploded view of a medical device according to some embodiments of the present disclosure. In some embodiments,
在一些實施例中,醫療裝置1還包括殼體15、手柄16和控制模塊17。基部平臺11-2機械地附接在殼體15,並且容納機器模塊80,該機器模塊80被配置成操縱多個臂11-3的移動,這進而控制端部平臺11-1的移動。機器模塊80包括用於相應地操縱多個臂11-3的多個致動器以及用於操縱傳動軸12的軸馬達。手柄16使得用戶可以在操作期間握住並操縱醫療裝置1。控制模塊17使得用戶可以觸發、停止或調整手術工具T1的動作或執行醫療裝置1的其他功能。
In some embodiments, the
可以基於自由度、臂的數量、每個臂中的接頭順序以及致動器的類型對並聯操縱器進行分類。在一些實施例中,並聯操縱器可以是具有六個自由度(6-DOF)的六自由度並聯操縱器。在一些實施例中,多個臂11-3包括六個臂。在一些實施例中,每個臂11-3具有聯接至基部平臺11-2底下的致動器的第一接頭、聯接至端部平臺11-1的第二接頭、以及在第一接頭和第二接頭之間的第三接頭。在一些實施例中,並聯操縱器是6-PUS並聯操縱器。在一些實施例中,第一接頭是棱柱形接頭(亦或,線性接頭)。在一些實施例中,第二 接頭是球形接頭。在一些實施例中,第三接頭是萬向接頭。其中,萬向接頭採用兩個轉動接頭形成。 Parallel manipulators can be classified based on degrees of freedom, number of arms, sequence of joints in each arm, and type of actuator. In some embodiments, the parallel manipulator may be a six degrees of freedom parallel manipulator having six degrees of freedom (6-DOF). In some embodiments, the plurality of arms 11-3 includes six arms. In some embodiments, each arm 11-3 has a first joint coupled to the actuator beneath the base platform 11-2, a second joint coupled to the end platform 11-1, and a joint between the first joint and the second joint. A third joint between two joints. In some embodiments, the parallel manipulator is a 6-PUS parallel manipulator. In some embodiments, the first joint is a prismatic joint (alternatively, a linear joint). In some embodiments, the second The joints are ball joints. In some embodiments, the third joint is a universal joint. Wherein, the universal joint is formed by two rotating joints.
在一些實施例中,醫療裝置1還包括第一定位單元18-1和第二定位單元18-2。第一定位單元18-1和第二定位單元18-2相應地包括用於發出電磁信號、聲波、熱或其他可感知信號的多個標記,以及用於將標記相對於裝置本體以特定方向/角度安裝的適配器。在一些實施例中,標記和適配器與空間傳感器配合使用,以在操作期間實現目標跟蹤功能。第二定位單元18-2可以設置在適配器13與端部平臺11-1之間的區域中。在一些實施例中,第二定位單元18-2設置在端部平臺11-1上。在另一些實施例中,第二定位單元18-2設置在適配器13上。在另一些實施例中,第二定位單元18-2設置在工具T1上。
In some embodiments, the
圖4A示出了根據本公開的一些實施例的傳動軸的透視圖。圖4B示出了根據本公開的一些實施例的傳動軸的剖視圖。在一些實施例中,傳動軸40由端部平臺可旋轉地支撐並且滑動地接合到基部平臺。在一些實施例中,傳動軸40包括配置成將機械力傳遞至手術工具(即,圖1中的手術工具T1)的傳動軛41、連接至傳動軛41的柔性杆42(Pliable rod)、以及連接至柔性杆42的滑動件43。在一些實施例中,柔性杆42是彈性結構。柔性杆42在結構上適應所施加的力,並且當力被移除時返回到原始結構。柔性杆42足夠硬以承受和傳遞來自軸馬達的機械力。在一個示例性實施例中,柔性杆42是具有多個層的彈簧管。在一些實施例中,柔性杆42具有四層(即,圖4B中的柔性杆42)。在一些實施例中,端部平臺和基部平臺之間的最大距離大於柔性杆的長度,並且端部平臺和基部平臺之間的最小距離與柔性杆的長度基本相同。這樣,當不使用醫療裝置時,柔性杆不會受到壓力。
Figure 4A shows a perspective view of a drive shaft according to some embodiments of the present disclosure. Figure 4B illustrates a cross-sectional view of a drive shaft according to some embodiments of the present disclosure. In some embodiments, drive
在一些實施例中,在操作醫療裝置期間,當端部平臺和基部平臺之間處於最小距離時,只有柔性杆暴露在端部平臺和基部平臺之間。在另一些實施例中,在操作醫療裝置期間,當端部平臺和基部平臺之間處於最小距離時,柔性杆和滑動件的一部分暴露在端部平臺和基部平臺之間。換言之,當端 部平臺和基部平臺之間處於最小距離時,滑動件相對於基部平臺基本上是平坦的。 In some embodiments, only the flexible rod is exposed between the end platform and the base platform when the distance between the end platform and the base platform is at a minimum during operation of the medical device. In other embodiments, the flexible rod and a portion of the slider are exposed between the end platform and the base platform when the distance between the end platform and the base platform is at a minimum during operation of the medical device. In other words, when At a minimum distance between the upper platform and the base platform, the slide is substantially flat relative to the base platform.
另一方面,當端部平臺和基部平臺之間的距離大於最小距離時,滑動件的一部分暴露在端部平臺與基部平臺之間。當端部平臺和基部平臺之間處於最大距離時,滑動件和驅動軸之間的重疊量不小於5mm。然而,在另一些實施例中,在端部平臺和基部平臺之間處於最大距離時,滑動件和驅動軸之間的重疊量可以小於5mm。換言之,滑動件和驅動軸之間的最小重疊量不超過5mm。在操作過程中,可能會向柔性杆施加力,導致變形。柔性杆的彈性允許它與滑動件的中心軸線有30°的角度偏差,而在移除施加的力時變回不變形的原形。 On the other hand, when the distance between the end platform and the base platform is greater than the minimum distance, a portion of the slider is exposed between the end platform and the base platform. When the distance between the end platform and the base platform is at maximum, the overlap between the slider and the drive shaft is not less than 5mm. However, in other embodiments, the amount of overlap between the slider and the drive shaft may be less than 5mm at the maximum distance between the end platform and the base platform. In other words, the minimum overlap between the slider and the drive shaft does not exceed 5 mm. During operation, forces may be applied to the flexible rod causing deformation. The elasticity of the flexible rod allows it to have an angular deviation of 30° from the slide's central axis, while returning to an undeformed shape when the applied force is removed.
在一些實施例中,當端部平臺和基部平臺之間處於最小距離時,滑動件相對於基部平臺基本上是平坦的。此外,柔性杆的長度與端部平臺和基部平臺之間的最小距離基本相同。在另一些實施例中,當端部平臺和基部平臺之間處於最小距離時,滑動件從基部平臺伸出。此外,柔性杆的長度小於端部平臺和基部平臺之間的最小距離。在另一些實施例中,當端部平臺和基部平臺之間處於最小距離時,滑動件從基部平臺凹入。此外,柔性杆的長度大於端部平臺和基部平臺之間的最小距離。但是,在端部平臺和基部平臺之間處於最小距離期間,柔性杆處於正常狀態。在一些實施例中,柔性杆的正常狀態是柔性杆處於相對不受力的狀態。因此,柔性杆在正常狀態下保持其原始形狀(即,無拉伸、彎曲或壓縮)。 In some embodiments, the slide is substantially flat relative to the base platform when the distance between the end platform and the base platform is at a minimum. Furthermore, the length of the flexible rod is substantially the same as the minimum distance between the end platform and the base platform. In other embodiments, the slider protrudes from the base platform when the distance between the end platform and the base platform is at a minimum. Furthermore, the length of the flexible rod is less than the minimum distance between the end platform and the base platform. In other embodiments, the slider is recessed from the base platform when the distance between the end platform and the base platform is at a minimum. Furthermore, the length of the flexible rod is greater than the minimum distance between the end platform and the base platform. However, during the minimum distance between the end platform and the base platform, the flexible rod is in a normal state. In some embodiments, the normal state of the flexible rod is that the flexible rod is in a relatively unstressed state. Thus, the flexible rod retains its original shape (ie, no stretching, bending or compression) under normal conditions.
在一個示例性實施例中,傳動軸40的長度L40基本上為11.5cm(即11.495cm)。在一個示例性實施例中,柔性杆42的長度L42基本上為5.5cm(即5.475cm)。在一個示例性實施例中,柔性杆42的直徑D42基本上為0.38cm。在一個示例性實施例中,滑動件43的直徑D43基本上為1cm。在一個示例性實施例中,滑動件43的長度L43基本上為3cm(即2.995cm)。在一個示例性實施例中,傳動軛41的加寬部的直徑D41基本上為
1.3cm。然而,上述尺寸僅是示例,並且不應被用來限制本公開的範圍。
In an exemplary embodiment, the length L40 of the
圖5示出了根據本公開的一些實施例的傳動軸的分解圖。在一些實施例中,傳動軛41和滑動件43相應地具有通孔,柔性杆42插入其中。為了將柔性杆42物理地附接到傳動軛41和滑動件43,相應地使用銷41-21、41-22、43-21和43-22。銷41-21和41-22用於將柔性杆42的一端按到或壓到傳動軛41的通孔的內表面。在一些實施例中,銷41-21和41-22彼此正交地設置。因此,柔性杆42可以設置成偏向傳動軛41的一側。銷43-21和43-22用於將柔性杆42的另一端按到或壓到滑動件43的通孔的內表面。在一些實施例中,銷43-21和43-22彼此正交地設置。因此,柔性杆42可以設置成偏向滑動件43的一側。雖然柔性杆42可以對應於傳動軛41和滑動件43偏離中心,但銷41-21、41-22、43-21和43-22的正交定位確保在操作過程中柔性杆42牢固地固定到傳動軛41和滑動件43上。
Figure 5 shows an exploded view of a drive shaft according to some embodiments of the present disclosure. In some embodiments, the
在一些實施例中,傳動軛41包括突起41-1,該突起被配置成將機械力傳遞到適配器(即,圖1中的適配器13)的接收軸。突起41-1被配置成在操作期間與適配器的接收軸的接觸最少,以防止在適配器上產生雜訊(也就是說,避免在適配器上產生不需要的力和力矩的輸入)。
In some embodiments, drive
如圖5所示,端部平臺50包括第一軸承51和第二軸承52。在一些實施例中,端部平臺50還包括墊圈53和保持環54。在一些實施例中,第一軸承51和第二軸承52是凸緣軸承,其中軸承的外圈上的延伸部或唇部被設計成幫助軸承的安裝和定位。在一些實施例中,第一軸承51的凸緣定位在端部平臺50的背離基部平臺的表面上(即,定位在圖3中的端部平臺11-1和適配器13之間)。在一些實施例中,第二軸承52的凸緣定位在端部平臺50的面向基部平臺的表面上(即,定位在圖3中的端部平臺11-1和基部平臺11-2之間)。
As shown in FIG. 5 , the
在一些實施例中,保持環54徑向安裝在傳動軛41的凹槽41-4上。保持環54可以是C形環。在一些實施例中,墊圈53設置在保持環54和
第二軸承52之間,以防止第二軸承52磨損。此外,墊圈53用於填充傳動軛41的凸緣41-3與保持環54之間的間隙。在一些實施例中,通過使用保持環54基本上去除了凸緣41-3、端部平臺50、墊圈53、第一軸承51和第二軸承52之間的間隙。軸承51和52可以被夾在傳動軛41的凸緣41-3和保持環54之間。因此,傳動軛41的凸緣41-3和保持環54用於幫助傳動軛41的安裝和定位。
In some embodiments, retaining
圖6示出了根據本公開的一些實施例的適配器的分解圖。在一些實施例中,適配器包括本體以及設置在本體內並由本體可旋轉地支撐的接收軸66。本體包括基座61和機械地附接到基座61的蓋62。接收軸66設置在基座61和蓋62之間。在一些實施例中,接收軸66包括接收軛66-1和與接收軛66-1相對的卡盤66-2。卡盤66-2被配置成夾持手術工具(即,圖1中的手術工具T1)。卡盤66-2與蓋62的通孔對準,手術工具可以插入該通孔中。接收軛66-1暴露在適配器的外部。這樣,接收軛66-1可以接收來自傳動軸的機械力。接收軛66-1與傳動軸之間的接觸被設計成盡可能最少,以防止產生雜訊。在一些實施例中,在接收軛66-1上形成凹槽(未示出),該凹槽與傳動軸的突起(即圖5中的突起41-1)互補,以接收機械力。
Figure 6 shows an exploded view of an adapter according to some embodiments of the present disclosure. In some embodiments, the adapter includes a body and a receiving
在一些實施例中,適配器還包括第一軸承63和第二軸承64。在一些實施例中,第一軸承63和第二軸承64是凸緣軸承,其中軸承的外圈上的延伸部或唇部被設計成幫助軸承的安裝和定位。在一些實施例中,第一軸承63的凸緣定位在基座61的面向蓋62的表面上。在一些實施例中,第二軸承64的凸緣定位在基座61的背離蓋62的表面上。
In some embodiments, the adapter also includes a
在一些實施例中,適配器還包括保持環65。在一些實施例中,保持環65徑向安裝在接收軸66的凹槽66-3上。保持環65可以是C形環。在一些實施例中,接收軛66-1的直徑大於卡盤66-2的直徑。這樣,接收軛66-1的直徑比第一軸承63和第二軸承64的內圈寬。第一軸承63和第二軸承64可以被夾在接收軛66-1和保持環65之間。因此,接收軛66-1和保持環65用於
幫助接收軸66的安裝和定位。
In some embodiments, the adapter also includes a retaining
圖7示出了根據本公開的一些實施例的機器模塊的等距視圖。在一些實施例中,機器模塊80機械地附接到並聯操縱器的基部平臺70。在一些實施例中,機器模塊80包括:多個致動器81,所述致動器被配置成控制並聯操縱器的多個臂(即,圖1中的臂11-3)的運動;以及軸馬達82,該軸馬達被配置成產生用於操縱手術工具(即圖1中的手術工具T1)的機械力。
Figure 7 shows an isometric view of a machine module according to some embodiments of the present disclosure. In some embodiments, the
在一些實施例中,如圖7所示,基部平臺70包括臂基座71和被臂基座71圍繞的軸基座72。臂基座71用於在並聯操縱器的多個臂與機器模塊80的致動器81之間提供結構支撐。軸基座72用於為軸馬達82提供結構支撐。在一些實施例中,傳動軸40設置在軸基座72的凹進區域內。軸馬達82的一部分可以暴露在軸基座72的凹進區域中。傳動軸40和軸馬達82可以滑動地接合在軸基座72的凹進區域內。
In some embodiments, as shown in FIG. 7 , the
圖8示出了根據本公開的一些實施例的傳動軸、並聯操縱器和機器模塊的分解圖。機器模塊的軸馬達92聯接到並聯操縱器的軸基座91。在一些實施例中,軸馬達92的轉子92-1插入到軸基座91的凹進區域中。驅動軸94附接到轉子92-1並且被配置成沿與轉子92-1相同的方向移動。傳動軸的滑動件93滑動接合到軸馬達92。在一些實施例中,滑動件93滑動接合到驅動軸94,其中由軸馬達產生的機械力通過驅動軸94傳遞到滑動件93。滑動件93具有插口,並且驅動軸94的截面形狀輪廓在結構上與插口的截面形狀輪廓互補。插口被配置成沿著驅動軸94滑動。驅動軸與滑動件之間的關係的進一步圖解和相關說明應在圖9中應公開。
Figure 8 shows an exploded view of a propshaft, parallel manipulator and machine module according to some embodiments of the present disclosure. The
在一些實施例中,在軸基座91的凹進區域內放置圓筒95。當組裝醫療裝置時,圓筒95圍繞滑動件93,而滑動件93圍繞驅動軸94。圓筒95、滑動件93和驅動軸94依次裝配在彼此內。
In some embodiments,
在一些實施例中,為了減少滑動件93和驅動軸94之間的摩擦,滑動件93和驅動軸94的材料彼此不同。驅動軸94的楊氏模量與滑動件
93的楊氏模量不同。在一些實施例中,滑動件93的材料是鋼,而驅動軸94的材料是銅。在一些實施例中,滑動件93和驅動軸94的材料是抗摩擦金屬聚合物。
In some embodiments, in order to reduce friction between the
在一些實施例中,為了減少滑動件93與驅動軸94之間的摩擦,在驅動軸94的外表面上塗覆潤滑劑。在一些實施例中,在滑動件93的內表面上塗覆潤滑劑。潤滑劑可以包括碳粉、潤滑油等中的至少一種。
In some embodiments, in order to reduce friction between the
在一些實施例中,為了減少滑動件93和圓筒95之間的摩擦,滑動件93和圓筒95的材料彼此不同。滑動件93的楊氏模量與圓筒95的楊氏模量不同。在一些實施例中,滑動件93的材料是鋼,而圓筒95的材料是銅。在一些實施例中,滑動件93和圓筒95的材料是抗摩擦金屬聚合物。
In some embodiments, in order to reduce friction between the
在一些實施例中,為了減少滑動件93與圓筒95之間的摩擦,在滑動件93的外表面上塗覆潤滑劑。在一些實施例中,在圓筒95的內表面上塗覆潤滑劑。潤滑劑可以包括碳粉、潤滑油等中的至少一種。
In some embodiments, in order to reduce the friction between the
圖9示出了根據本公開的一些實施例的驅動軸和滑動件的橫斷面圖。提供了滑動件21和驅動軸22的代表性圖示,以幫助描述它們之間的滑動接合。滑動件21具有插口21-1。驅動軸的表面22-1的截面形狀輪廓在結構上與插口21-1的截面形狀輪廓互補。插口21-1被配置成在操作醫療裝置期間在需要時沿著驅動軸22滑動。在另一些實施例中,在操作期間在驅動軸22和滑動件21之間需要重疊量,以確保在它們之間傳遞機械力。在操作期間驅動軸22與滑動件21之間的重疊量不小於5mm,以確保在它們之間傳遞機械力。在另一些實施例中,驅動軸22與滑動件21之間的最小重疊量不大於5mm。在另一些實施例中,驅動軸22與滑動件21之間的最小重疊量的範圍在0mm至5mm之間。在另一些實施例中,驅動軸22與滑動件21之間的最小重疊量的範圍在5mm至100mm之間。在一些實施例中,插口21-1的深度L1大於驅動軸22的高度L2。在另一些實施例中,插口21-1的深度L1與驅動軸22的高度L2基本相同。
Figure 9 illustrates a cross-sectional view of a drive shaft and slider according to some embodiments of the present disclosure. A representative illustration of the
在一些實施例中,插口21-1和驅動軸22的表面22-1的截面形狀輪廓是多邊形的形狀輪廓。驅動軸22具有彼此相交的多個小平面以形成角度的交叉部。在一些實施例中,兩個小平面之間的交叉部是圓形的或彎曲的以防止在插入期間造成損壞。插口21-1是一個封閉的開口,其可抓住驅動軸22的多個小平面。驅動軸22的小平面之間的角度為驅動滑動件21提供了抓力。
In some embodiments, the cross-sectional shape profile of the socket 21 - 1 and the surface 22 - 1 of the
在另一些實施例中,驅動軸和滑動件具有用於傳遞機械力的不同結構。驅動軸具有突起。滑動件具有對應於突起的凹槽。在組裝好的醫療裝置中,驅動軸的突起插入滑動件的凹槽中。凹槽的高度足以使得在操作期間滑動件滑離驅動軸時,突起留在凹槽內。突起被配置成沿著相應的凹槽滑動。此外,驅動軸被配置成在運動時通過與滑動件的凹槽內側壁相切的驅動軸的突起側壁將機械力傳遞至滑動件。 In other embodiments, the drive shaft and slider have different structures for transmitting mechanical force. The drive shaft has a protrusion. The slider has grooves corresponding to the protrusions. In the assembled medical device, the protrusion of the drive shaft is inserted into the groove of the slider. The height of the groove is sufficient so that the protrusion remains within the groove when the slider slides off the drive shaft during operation. The protrusions are configured to slide along corresponding grooves. Furthermore, the drive shaft is configured to transmit mechanical force to the slider when in motion through the protruding side walls of the drive shaft tangential to the inner side walls of the groove of the slider.
在一些實施例中,驅動軸具有沿彼此相反的方向延伸的兩個突起。滑動件具有與驅動軸的兩個突起互補的兩個凹槽。在一些實施例中,驅動軸具有狗骨式驅動接頭(dogbone drive joint),並且滑動件是驅動杯(drive cup)。 In some embodiments, the drive shaft has two protrusions extending in opposite directions to each other. The slider has two grooves complementary to the two protrusions of the drive shaft. In some embodiments, the drive shaft has a dogbone drive joint and the slide is a drive cup.
圖10示出了根據本公開的一些實施例的接收軸和傳動軛的透視圖。在一些實施例中,傳動軸的傳動軛102具有至少一個突起102-1。該至少一個突起102-1從傳動軛102的本體102-2延伸。在一些實施例中,突起102-1是圓柱形的。接收軸101具有接收軛101-1。接收軛101-1具有在結構上與傳動軛102的該至少一個突起102-1互補的凹槽101-2。在組裝醫療裝置時,將本體102-2的頂部插入接收軛101-1的凹進區域中。在操作期間,傳動軛102被配置成通過與凹槽101-2的內側壁相切的突起102-1的側壁將機械力傳遞至接收軛101-1。這樣,在操作期間接收軛101-1與傳動軛102之間的接觸最小,以防止傳動軛102產生多餘的雜訊。
10 illustrates a perspective view of a receiving shaft and drive yoke, according to some embodiments of the present disclosure. In some embodiments, the
在一些實施例中,傳動軛102具有兩個突起102-1。突起102-1從傳動軛102的側壁沿彼此相反的方向延伸。兩個突起102-1彼此間隔180。。接收軛101-1具有與兩個突起102-1互補的兩個凹槽101-2。以與兩個突起102-
1相同的方式,兩個凹槽101-2彼此相對設置。在一些實施例中,傳動軛102是狗骨式驅動接頭,並且接收軛101-1是驅動杯。
In some embodiments, the
在操作期間,把來自傳動軸的雜訊盡可能地減到最小,從而在監測手術工具的運動時不會引發問題。在一些實施例中,可以使用傳感器系統來監測手術工具。圖11示出了根據本公開的一些實施例的力傳感器的橫斷面圖。圖12示出了根據本公開的一些實施例的力傳感器的分解圖。在一些實施例中,傳感器系統110設置在端部平臺130與適配器120之間。傳感器系統110被配置成測量適配器120的力。傳感器系統110具有通孔,由軸承122可旋轉地支撐的接收軸121和由軸承131可旋轉地支撐的傳動軸140在該通孔中會合。
During operation, noise from the drive shaft is minimized so that it does not cause problems when monitoring the movement of the surgical tool. In some embodiments, a sensor system may be used to monitor the surgical tool. Figure 11 shows a cross-sectional view of a force sensor according to some embodiments of the present disclosure. Figure 12 shows an exploded view of a force sensor according to some embodiments of the present disclosure. In some embodiments,
在一些實施例中,傳感器系統110包括力中繼器111和機械地聯接到力中繼器111的力傳感器112。力中繼器111可拆卸地聯接到適配器120。在一些實施例中,力中繼器111具有與適配器120的凹槽和突起互鎖的凹槽和突起。
In some embodiments,
在一些實施例中,力傳感器112機械地附接到力中繼器111和端部平臺130,並且配置成將施加到適配器120的力轉換成電信號。在一些實施例中,力傳感器112利用在力傳感器112的通孔的外圍周圍嵌入的緊固件113機械地附接到力中繼器111和端部平臺130。在一些實施例中,在力傳感器112的前表面和後表面上形成多個孔,以相應地容納用於力中繼器111和端部平臺130的緊固件113。在一些實施例中,力繼電器111的緊固件113與端部平台130的緊固件113交錯。在一些實施例中,用於力中繼器111的緊固件113不與用於端部平臺130的緊固件113對準,並且不與它們在投影上重疊。
In some embodiments,
在一些實施例中,力傳感器112是環形稱重傳感器(也稱作負載墊圈或通孔稱重傳感器)。力傳感器112將諸如張力、壓縮、壓力或轉矩等力轉換成電信號。在一些實施例中,施加到力傳感器112的力與電信號的變化成比例。
In some embodiments,
在一些實施例中,除了預定力和預定轉矩之外,施加到適配器120的力還包括在操作期間測量的力偏差和轉矩偏差。力偏差表示在操作期間當設置在接收軸121上的手術工具與諸如骨骼的目標物體接觸並對其施加力時,在接收軸方向上的影響。轉矩偏差表示在操作期間當設置在接收軸121上的手術工具與諸如骨骼的目標物體接觸並對其施加力時,在接收軸的運動上的影響。
In some embodiments, the force applied to the
在一些實施例中,傳感器系統110用於在操作期間控制手術工具的位置和方向/角度。在一些實施例中,傳感器系統信號連接至控制器。在操作期間,由控制器接收具有預定範圍、預定路徑或其組合的操作計劃。傳感器系統測量力偏差、轉矩偏差或其組合。力偏差和轉矩偏差是與操作計劃的預定範圍(即,預定力和預定轉矩)的偏差。基於力偏差和轉矩偏差來調節手術工具的方向/角度和位置。通過控制使並聯操縱器移動的致動器來調節手術工具的方向/角度和位置。通過控制來自軸馬達的機械力來調節手術工具的運動。在一些實施例中,傳動軸可能在傳感器系統上引起雜訊。因此,在一些實施例中,低通濾波器進一步電聯接至傳感器系統以去除雜訊。
In some embodiments, the
因此,本公開的一個方面提供了一種醫療裝置,該醫療裝置包括:並聯操縱器,該並聯操縱器具有端部平臺和機械地聯接到端部平臺的基部平臺;適配器,該適配器具有可拆卸地聯接至端部平臺的本體和由本體可旋轉地支撐的接收軸,該接收軸具有接收軛;由端部平臺可旋轉地支撐的傳動軸,該傳動軸具有配置成將機械力傳遞至接收軛的傳動軛、聯接至傳動軛的柔性杆、和聯接至柔性杆的滑動件;以及軸馬達,該軸馬達被配置成產生機械力以驅動傳動軸,該軸馬達具有可滑動地接合到滑動件的驅動軸。 Accordingly, one aspect of the present disclosure provides a medical device comprising: a parallel manipulator having an end platform and a base platform mechanically coupled to the end platform; an adapter having a detachable A body coupled to the end platform and a receiving shaft rotatably supported by the body, the receiving shaft having a receiving yoke; a transmission shaft rotatably supported by the end platform, the transmission shaft having a configuration configured to transmit mechanical force to the receiving yoke a transmission yoke, a flexible rod coupled to the transmission yoke, and a slider coupled to the flexible rod; and a shaft motor configured to generate mechanical force to drive the transmission shaft, the shaft motor having a shaft motor slidably coupled to the slider drive shaft.
在一些實施例中,醫療裝置還包括設置在端部平臺與適配器之間的傳感器系統,該傳感器系統被配置成測量適配器上的力。 In some embodiments, the medical device further includes a sensor system disposed between the end platform and the adapter, the sensor system configured to measure force on the adapter.
在一些實施例中,傳感器系統包括力中繼器,該力中繼器可拆卸地聯接到適配器;力傳感器,該力傳感器機械地附接到力中繼器和端部平 臺,並且配置成將施加到適配器的力轉換成電信號。 In some embodiments, the sensor system includes a force relay detachably coupled to the adapter; a force sensor mechanically attached to the force relay and the end plate; and configured to convert force applied to the adapter into an electrical signal.
在一些實施例中,傳動軛具有突起,並且接收軛具有在結構上與突起互補的凹槽。在一些實施例中,傳動軛被配置成在運動時通過與凹槽相切的突起的側壁將機械力傳遞至接收軛。 In some embodiments, the drive yoke has a protrusion, and the receiving yoke has a groove complementary in structure to the protrusion. In some embodiments, the drive yoke is configured to transmit a mechanical force to the receiver yoke through the raised sidewall tangential to the groove when in motion.
在一些實施例中,滑動件具有插口。驅動軸的截面形狀輪廓在結構上與插口的截面形狀輪廓互補。插口被配置成沿著驅動軸滑動。 In some embodiments, the slider has a socket. The cross-sectional shape profile of the drive shaft is structurally complementary to the cross-sectional shape profile of the socket. The socket is configured to slide along the drive shaft.
在一些實施例中,插口和驅動軸的截面形狀輪廓是多邊形的形狀輪廓。 In some embodiments, the cross-sectional shape profile of the socket and drive shaft is a polygonal shape profile.
在一些實施例中,驅動軸具有突起,並且滑動件具有對應於突起的凹槽。在一些實施例中,突起被配置成沿著凹槽滑動。 In some embodiments, the drive shaft has a protrusion, and the slider has a groove corresponding to the protrusion. In some embodiments, the protrusion is configured to slide along the groove.
在一些實施例中,驅動軸和滑動件之間的最小重疊量不小於5mm。 In some embodiments, the minimum overlap between the drive shaft and the slide is no less than 5mm.
在一個實施例中,柔性杆包括具有多個層的彈簧管。 In one embodiment, the flexible rod comprises a spring tube having multiple layers.
在一些實施例中,醫療裝置還包括圍繞滑動件的圓筒。圓筒、滑動件和驅動軸依次裝配在彼此內。 In some embodiments, the medical device further includes a barrel surrounding the slider. The cylinder, slider and drive shaft are sequentially fitted within each other.
在一些實施例中,驅動軸的楊氏模量與滑動件的楊氏模量不同,並且滑動件的楊氏模量與圓筒的楊氏模量不同。 In some embodiments, the drive shaft has a different Young's modulus than the slider, and the slider has a different Young's modulus than the cylinder.
在一些實施例中,醫療裝置還包括潤滑劑,該潤滑劑被施用以塗覆圓筒、滑動件和驅動軸中的至少一者的表面。 In some embodiments, the medical device further includes a lubricant applied to coat a surface of at least one of the barrel, slide, and drive shaft.
在一些實施例中,在端部平臺和基部平臺之間處於最小距離時,柔性杆處於正常狀態。 In some embodiments, the flexible rod is in a normal state when the distance between the end platform and the base platform is at a minimum.
因此,本公開的另一方面提供了一種醫療裝置,該醫療裝置包括:並聯操縱器,該並聯操縱器具有端部平臺和機械地聯接到端部平臺的基部平臺;機械附接到端部平臺的傳感器系統;可拆卸地聯接到傳感器系統的適配器,該適配器具有本體和由本體可旋轉地支撐的接收軸;傳動軸,該傳動軸由端部平臺可旋轉地支撐並且被配置成將機械力傳遞到接收軸;以及軸馬達,該 軸馬達驅動地連接到傳動軸並且被配置成將機械力傳遞到傳動軸。 Accordingly, another aspect of the present disclosure provides a medical device comprising: a parallel manipulator having an end platform and a base platform mechanically coupled to the end platform; mechanically attached to the end platform a sensor system for the sensor system; an adapter detachably coupled to the sensor system, the adapter having a body and a receiving shaft rotatably supported by the body; a drive shaft, the drive shaft is rotatably supported by the end platform and is configured to apply a mechanical force to the receiving shaft; and the shaft motor, the A shaft motor is drivingly connected to the drive shaft and configured to transmit mechanical force to the drive shaft.
在一些實施例中,傳感器系統包括力中繼器,該力中繼器可拆卸地聯接到適配器;以及力傳感器,該力傳感器機械地附接到力中繼器和端部平臺。力傳感器被配置成將施加到適配器的力轉換成電信號。 In some embodiments, the sensor system includes a force relay detachably coupled to the adapter; and a force sensor mechanically attached to the force relay and the end platform. The force sensor is configured to convert force applied to the adapter into an electrical signal.
在一些實施例中,力傳感器是環形稱重傳感器。 In some embodiments, the force sensor is a ring load cell.
在一些實施例中,適配器還具有軸承,該軸承被配置成將接收軸可旋轉地附接到本體。在一些實施例中,端部平臺還具有軸承,該軸承被配置成將傳動軸可旋轉地附接到端部平臺。 In some embodiments, the adapter also has a bearing configured to rotatably attach the receiving shaft to the body. In some embodiments, the end platform also has a bearing configured to rotatably attach the drive shaft to the end platform.
在一些實施例中,傳動軸包括:傳動軛,該傳動軛被配置成將機械力傳遞到接收軸;滑動件,該滑動件滑動聯接到軸馬達;以及柔性杆,該柔性杆被按到傳動軛和滑動件上。 In some embodiments, the drive shaft includes: a drive yoke configured to transmit mechanical force to the receiving shaft; a slider slidably coupled to the shaft motor; and a flexible rod pressed to the drive shaft. yoke and slide.
在一些實施例中,醫療裝置還包括設置在基部平臺的中心區域上的圓筒。圓筒、滑動件和驅動軸依次裝配在彼此內。 In some embodiments, the medical device further includes a cylinder disposed on the central region of the base platform. The cylinder, slider and drive shaft are sequentially fitted within each other.
在一些實施例中,醫療裝置還包括潤滑劑,該潤滑劑被施用以塗覆圓筒、滑動件和驅動軸中的至少一者的表面。 In some embodiments, the medical device further includes a lubricant applied to coat a surface of at least one of the barrel, slide, and drive shaft.
最後所應說明的是,以上實施例僅用以說明本發明的技術方案而非限制,儘管參照以上較佳實施例對本發明進行了詳細說明,本領域的普通技術人員應當理解,可以對本發明的技術方案進行修改或等同替換,而不脫離本發明技術方案的精神和範圍。 Finally, it should be noted that the above embodiments are only used to illustrate the technical solutions of the present invention without limitation, although the present invention has been described in detail with reference to the above preferred embodiments, those of ordinary skill in the art should understand that the present invention can be The technical solution shall be modified or equivalently replaced without departing from the spirit and scope of the technical solution of the present invention.
1:醫療裝置 1:Medical device
11-1:端部平臺 11-1: End platform
11-2:基部平臺 11-2: Base platform
11-3:臂 11-3: Arm
12:傳動軸 12: Drive shaft
13:適配器 13: Adapter
14:傳感器系統 14: Sensor system
15:殼體 15: Housing
16:手柄 16: handle
17:控制模塊 17: Control module
18-1:第一定位單元 18-1: The first positioning unit
18-2:第二定位單元 18-2: The second positioning unit
T1:工具 T1: Tool
Claims (20)
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| TW109146955A TWI783339B (en) | 2020-12-30 | 2020-12-30 | Medical device for manipulating surgical tools |
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Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TW202010476A (en) * | 2017-09-18 | 2020-03-16 | 升鎏 林 | System and method for automated personalized brain modulation with photobiomodulation |
| US10758309B1 (en) * | 2019-07-15 | 2020-09-01 | Digital Surgery Limited | Methods and systems for using computer-vision to enhance surgical tool control during surgeries |
| US10799302B2 (en) * | 2014-07-10 | 2020-10-13 | Transenterix Europe S.A.R.L. | Interface for laparoscopic surgeries—movement gestures |
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Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10799302B2 (en) * | 2014-07-10 | 2020-10-13 | Transenterix Europe S.A.R.L. | Interface for laparoscopic surgeries—movement gestures |
| TW202010476A (en) * | 2017-09-18 | 2020-03-16 | 升鎏 林 | System and method for automated personalized brain modulation with photobiomodulation |
| US10758309B1 (en) * | 2019-07-15 | 2020-09-01 | Digital Surgery Limited | Methods and systems for using computer-vision to enhance surgical tool control during surgeries |
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