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WO2019039612A2 - Dumpling system - Google Patents

Dumpling system Download PDF

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Publication number
WO2019039612A2
WO2019039612A2 PCT/JP2018/031461 JP2018031461W WO2019039612A2 WO 2019039612 A2 WO2019039612 A2 WO 2019039612A2 JP 2018031461 W JP2018031461 W JP 2018031461W WO 2019039612 A2 WO2019039612 A2 WO 2019039612A2
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WO
WIPO (PCT)
Prior art keywords
rotary motor
torque
motor
forceps system
forceps
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Ceased
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PCT/JP2018/031461
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French (fr)
Japanese (ja)
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WO2019039612A3 (en
Inventor
貴弘 溝口
誠通 下野
大西 公平
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Keio University
Yokohama National University NUC
Kanagawa Institute of Industrial Science and Technology
Original Assignee
Keio University
Yokohama National University NUC
Kanagawa Institute of Industrial Science and Technology
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Application filed by Keio University, Yokohama National University NUC, Kanagawa Institute of Industrial Science and Technology filed Critical Keio University
Publication of WO2019039612A2 publication Critical patent/WO2019039612A2/en
Publication of WO2019039612A3 publication Critical patent/WO2019039612A3/en
Anticipated expiration legal-status Critical
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery

Definitions

  • the present invention relates to a forceps system.
  • MIS minimally invasive surgery
  • Laparoscopic surgery which is a typical method of MIS, is performed by inserting a tool such as forceps from a hole formed in a patient's body.
  • a surgery support robot such as Intuitive Surgical's Da Vinci, which performs this laparoscopic surgery by remote control, has been developed.
  • an operation unit (master side) operated by the operator and a holding unit (slave side) installed at a remote place and actually holding the object are included.
  • a forceps system is described which controls the gripping part in response to the operation of the part.
  • remote operation type surgery support robots can dramatically improve the performance of the surgeon, they are generally expensive and expensive to install due to the complexity and size of the device. You need to ensure a large enough space for the Moreover, in order to master such a remote control type operation support robot, the operator had to build up a long-term operation training. For this reason, there is also a demand for a medical device that is simpler, can be used without special training, and is excellent in operability.
  • forceps for grasping and pulling tissues and organs etc. are routinely used in medical fields such as examinations and diagnoses other than surgery, so it is not limited to the remote control type and is simple and conventional. It is desirable that it can be used in the same sense as The present invention has been made in view of the above background, and an object thereof is to provide a forceps system which is simple, can be used in the same sense as conventional ones, and is excellent in operability.
  • a forceps system is pivotally supported by a head portion having a first rotation motor and a second rotation motor, and the head portion, and is coupled to the first rotation motor via a power transmission mechanism, and operated An operation unit operated by a user, and a shaft unit attached to the head unit;
  • a gripping portion disposed at the tip end of the shaft portion, which grips the object, penetrates the shaft portion, one end is connected to the gripping portion via a link mechanism, and the other end is power transmission with the second rotary motor
  • a control unit configured to control the first rotary motor and the second rotary motor, wherein the control unit is configured to control the first rotary motor by bilateral control based on acceleration;
  • the angular responses of the first and second rotary motors are controlled according to the angular deviation of the second rotary motor, and the torque responses of the first and second rotary motors are controlled according to the torque response of the first and second rotary motors.
  • the torque response of the first rotary motor and the second rotary motor is controlled.
  • FIG. 1 is a schematic view showing a schematic configuration of a forceps system according to the present embodiment.
  • FIG. 2 is a view showing the internal structure of the shaft in a region A indicated by a broken line in FIG.
  • FIG. 3 is a diagram showing a prototype of the forceps system according to the present embodiment.
  • FIG. 4 is a view showing the internal structure of the head in the prototype of the forceps system shown in FIG.
  • FIG. 5 is a view showing a state in which the prototype of the forceps system shown in FIG. 3 is held by the operator U.
  • FIG. 6 is a block diagram showing an outline of control in a control unit of the forceps system according to the present embodiment.
  • FIG. 1 is a schematic view showing a schematic configuration of a forceps system according to the present embodiment.
  • FIG. 2 is a view showing the internal structure of the shaft in a region A indicated by a broken line in FIG.
  • FIG. 3 is a diagram showing a prototype of the forceps system
  • FIG. 7 is a block diagram schematically showing control of DOB and RTOB in the block diagram shown in FIG.
  • FIG. 8 is a graph showing measurement results of torque response and angle response in the master and the slave when Experiment 1 was performed (without scaling).
  • FIG. 9 is a graph showing the measurement results of torque response and angle response in the master and the slave when Experiment 1 was performed (with scaling).
  • FIG. 10 is a diagram for explaining the experimental procedure in Experiment 2.
  • FIG. 11 is a diagram for explaining the experimental procedure in Experiment 2.
  • FIG. 12 is a diagram for explaining the experimental procedure in Experiment 2.
  • FIG. 13 is a diagram for explaining the experimental procedure in Experiment 2.
  • FIG. 14 is a graph showing measurement results for torque response and angular response at the master and slave during experiment 2.
  • FIG. 15 is a diagram showing an example of a screen on which data measured by the forceps system is displayed on a portable terminal.
  • FIG. 1 is a schematic view showing a schematic configuration of a forceps system 1 according to the present embodiment.
  • the forceps system 1 includes a shaft 2, a grip 3 (end effector), a head 4, and a controller 5.
  • the shaft portion 2 and the grip portion 3 provided at the tip of the shaft portion 2 are parts to be inserted into the patient's body, and the same ones as existing forceps can be used.
  • FIG. 2 is a view showing an internal structure of the shaft portion 2 in a region A indicated by a broken line in FIG. As shown in FIG.
  • the grip portion 3 is connected to an operation member 18 penetrating the inside of the shaft portion 2 via a link mechanism 19.
  • the link mechanism 19 is opened and the grip 3 is opened.
  • the link mechanism 19 is closed and the gripping portion 3 is closed.
  • the head unit 4 includes the operation unit 6, the grip unit 7, and the first rotation motor 8 and the second rotation motor 9.
  • the shaft 2 is attached to the head 4.
  • the operation unit 6 is a lever for the operator to operate the forceps system 1 and is rotatably supported by the rotating shaft 6 a in the head unit 4.
  • a hole 6b is formed for the operator to operate by putting a finger.
  • the operation unit 6 is connected to the first rotary motor 8 via gears as a power transmission mechanism housed in the head unit 4. That is, the pinion gear 13 a attached to the rotation shaft 6 a of the operation unit 6 is engaged with the pinion gear 13 b attached to the rotation shaft 8 a of the first rotation motor 8.
  • the operation force exerted on the operation unit 6 is transmitted to the first rotary motor 8.
  • the torque of the first rotary motor 8 is transmitted as a reaction force to the operator via the operation unit 6.
  • the invention is not limited to the case where the pinion gear 13a directly engages with the pinion gear 13b, and the pinion gear 13a may be engaged with the pinion gear 13b via some other pinion gears.
  • the operation member 18 is connected to the second rotary motor 9 through gears as a power transmission mechanism housed in the head unit 4. That is, in the operation member 18, the rack gear 14a attached to the other end opposite to the one end connected via the grip portion 3 and the link mechanism 19 (see FIG. 2) is the rotation shaft 9a of the second rotation motor 9. It is engaged with the attached pinion gear 14b.
  • the rack gear 14a and the pinion gear 14b convert the rotational motion of the second rotary motor 9 into a linear motion.
  • FIG. 3 is a diagram showing a prototype of the forceps system 1 according to the present embodiment.
  • the upper portion in FIG. 3 also shows the existing forceps 501 for comparison. As shown in FIG.
  • the external dimensions are larger than that of the conventional forceps by the size of the head portion 4 including the two rotating motors (the first rotating motor 8 and the second rotating motor 9). It has become.
  • the first rotary motor 8 and the second rotary motor 9 are connected to the control unit 5 (see FIG. 1) via the wiring 15.
  • the shaft 2 is detachably attached to the head 4 via the connection 12.
  • the operation member 18 shown in FIGS. 1 and 2 can be divided via a joint.
  • the gripping portions 3 having a shape according to the situation can be appropriately changed by replacing the shaft portions 2. It can be selected.
  • the existing forceps 501 like the forceps system 1, includes the shaft portion 502 and the grip portion 503, and further includes the handle portions 504 and 505 for opening and closing the grip portion 503.
  • the mechanism for opening and closing the gripping portion 503 is the same as the mechanism for opening and closing the gripping portion 3 of the forceps system 1 shown in FIG.
  • FIG. 4 is a view showing the internal structure of the head 4 in the prototype of the forceps system 1 shown in FIG. 4 shows the internal structure of the head 4 as viewed in the direction of arrow B in FIG.
  • the first rotary motor 8 and the second rotary motor 9 face each other across an imaginary plane parallel to a plane in which the operation unit 6 pivots, passing through a central axis in the longitudinal direction of the shaft portion 2.
  • the respective rotation axes are arranged coaxially, but they are not mechanically connected.
  • the first rotary motor 8 and the second rotary motor 9 it is difficult to apply an extra moment to the operator U who grips the grip portion 7, which improves operability, which is preferable.
  • the power transmission mechanism such as the pinion gear 13a and the pinion gear 13b coupled to the first rotation motor 8 and the power transmission mechanism such as the rack gear 14a and the pinion gear 14b coupled to the second rotation motor 9 have a small number of parts, and the head portion 4 can be stored compactly.
  • the first rotary motor 8 and the second rotary motor 9 occupy a large proportion in the total weight.
  • FIG. 5 is a view showing a state in which the prototype of the forceps system 1 is held by the operator U. As shown in FIG. 5, the user grips the grip portion 7 and operates by putting a finger on the hole formed in the operation portion 6. The grip 7 is sized to be gripped by the entire palm.
  • the operator U can hold the forceps system 1 stably, so the existing forceps 501 (see FIG. 3) can be recognized without being aware of the weight of the forceps system 1.
  • the forceps system 1 can be used in the same sense as in.
  • control of the first rotary motor 8 and the second rotary motor 9 in the control unit 5 shown in FIG. 1 will be described.
  • the first rotation motor 8 and the second rotation motor 9 are mutually controlled by the control unit 5 according to an acceleration-based bilateral control method.
  • the bilateral control is one of the general control methods, which responsively controls the position of the object and the force acting on the object to realize delicate work.
  • the operator can cause the slave (working side) to move according to the movement of the master by moving the master (operation side), and the slave receives the movement from the object.
  • the force can be fed back to the master operator.
  • the operation unit 6 actually operated by the operator and the first rotary motor 8 connected to the operation unit 6 via the power transmission mechanism are the master.
  • the grip 3 acting on the object and the second rotary motor 9 connected to the grip 3 via the power transmission mechanism, the operation member 18 and the like are slaves.
  • the acceleration reference means that angular acceleration, not torque, is used as a control amount.
  • a scaling function may be provided in the acceleration-based bilateral control applied to the control unit 5.
  • the scaling function is a function of enlarging or reducing the scale of the output position or force with respect to the input position or force.
  • a scaling gain is introduced to at least one of the torque and the angle, and scaling is applied to at least one of the torque and the angle between the first rotary motor 8 and the second rotary motor 9.
  • the scale of the torque or force output from the slave is reduced with respect to the torque or force input from the master by the operator. By doing this, operability can be further improved.
  • FIG. 6 is a block diagram showing an outline of control in the control unit 5 of the forceps system 1.
  • is a scaling gain of the angular response
  • is a scaling gain of the torque response
  • C p is a position controller
  • C f is a force controller.
  • the angular responses at the master and slave are denoted by ⁇ M res and ⁇ S res , respectively.
  • the reaction torque at the master and slave Represented by As shown in FIG. 6, the angles and torques of the first rotary motor 8 as the master and the second rotary motor 9 as the slave are disturbance observer (DOB: Disturbance Observer), and reaction torque estimation observer (RTOB: Reaction). Controlled using Torque Observer).
  • FIG. 7 is a block diagram showing an outline of control of DOB and RTOB.
  • ⁇ res is an angular response
  • I ref is a current reference
  • T reac is a reaction torque
  • T dis is a disturbance torque
  • K tn is a torque constant
  • g dis is a cut-off frequency of the low pass filter for the disturbance torque
  • g reac is a reaction The cutoff frequency of the low-pass filter with respect to torque
  • D is viscosity
  • J n is inertia
  • F c is coulomb friction.
  • DOBs are designed to quickly estimate and compensate for disturbances.
  • Robust acceleration control is achieved by DOB by estimating the sum of disturbance torques and performing compensation using the estimated disturbance torques. As shown in FIG.
  • RTOB is applied to estimate reaction torque without using a torque sensor.
  • the RTOB estimates the reaction torque applied to each rotary motor (the first rotary motor 8 and the second rotary motor 9) from the object based on the DOB. That is, in RTOB, the reaction torque is estimated by subtracting other forces such as internal friction that can be estimated in advance from the sum of disturbance torques estimated by DOB.
  • the bilateral control shown in FIG. 6 it is necessary to simultaneously satisfy two targets in order to transmit a clear sense of touch.
  • the horizontal axis represents elapsed time [s]
  • the vertical axis represents torque response [Nm].
  • the horizontal axis represents elapsed time [s]
  • the vertical axis represents angular response [rad].
  • a solid line indicates a torque response in the master, and a broken line indicates a torque response in the slave.
  • the solid line indicates the angular response at the master and the broken line indicates the angular response at the slave.
  • an open / close operation in which nothing is gripped by the grip unit 3 is performed between 0 seconds and 5 seconds.
  • the first rotary motor 8 as a master and the second rotary motor 9 as a slave rotate in accordance with the operation force acting on the master. For this reason, the torque response is small because nothing is gripped by the gripping unit 3 during the elapsed time from 0 seconds to 5 seconds. When the elapsed time is between 5 seconds and 10 seconds, the gripping portion 3 holds the sponge.
  • the horizontal axis represents elapsed time [s]
  • the vertical axis represents torque response [Nm].
  • the horizontal axis represents elapsed time [s], and the vertical axis represents angular response [rad].
  • the solid line indicates the torque response in the master, and the broken line indicates the torque response in the slave.
  • the solid line indicates the angular response at the master and the broken line indicates the angular response at the slave.
  • the torque response of the master and the angular response are respectively the torque response of the slave and the angular response. It has doubled. That is, in the forceps system 1, it was confirmed that scaling of force sense transmission was correctly realized.
  • FIGS. 10 to 13 are diagrams for explaining the experimental procedure in Experiment 2.
  • the forceps system 1 according to the present embodiment is used with the right hand (left side in FIG. 10) and the existing forceps 501 is used with the left hand (right side in FIG. 10).
  • the yarn 32 and the needle 33 were the same as those used in the actual surgery.
  • the pad 31 is a member that simulates the patient's organ and has appropriate softness.
  • the needle 33 is held by the gripping portion 3 in the forceps system 1, and the tip of the needle 33 is inserted into the pad 31. Subsequently, as shown in FIG.
  • the needle 33 is pulled out of the pad 31 by the gripping portion 3 in the forceps system 1.
  • the yarn 32 is held by the gripping portion 3 of the forceps system 1
  • the needle 33 is held by the existing forceps 501
  • the existing forceps 501 is moved, and the loop formed by the yarn 32 is Make and pass the needle 33 through the loop.
  • the yarn 32 held by the grip portion 3 of the forceps system 1 and the needle 33 held by the existing forceps 501 are pulled in opposite directions to form a knot.
  • FIG. 14 is a graph showing measurement results for torque response and angle at the master and slave during experiment 2.
  • the horizontal axis represents elapsed time [s]
  • the vertical axis represents torque response [Nm].
  • the horizontal axis represents elapsed time [s]
  • the vertical axis represents angular response [rad].
  • the solid line indicates the torque response in the master, and the broken line indicates the torque response in the slave.
  • the solid line indicates the angular response at the master, and the broken line indicates the angular response at the slave.
  • scaling gains ⁇ and ⁇ in bilateral control of the forceps system 1 were set to 1. That is, the torque response and the angular response are approximately equal for the master and the slave.
  • the periods indicated by (i), (ii), (iii) and (iv) in the graph correspond to the periods in which the procedures shown in FIG. 10, FIG. 11, FIG. 12 and FIG. Do. As shown in FIG. 14, in period (i) (during the procedure of FIG.
  • the torque response increases at an elapsed time of 8 seconds. This is because the operator strongly grips the needle 33 at the moment of inserting the needle 33 into the pad 31.
  • a large torque response of about 0.2 Nm is obtained at an elapsed time of 22 seconds. This indicates that a strong gripping force was required to pull out the needle 33 from the pad 31.
  • the forceps system 1 In period (iii) (during the procedure of FIG. 12), the forceps system 1 only holds the thread 32 and moves the existing forceps 501 to form a loop with the thread 32, and the needle 33 in the loop Through. For this reason, the torque response and the angular response in the forceps system 1 are constant.
  • the external analysis device is, for example, a personal computer or a portable terminal such as an iPhone (registered trademark) or an iPad (registered trademark).
  • the forceps system 1 further includes a transmitting unit, and the transmitting unit is from the controller 5 to each of the first rotation motor 8 and the second rotation motor 9. Data of torque and angle, and transmit the data to the portable terminal.
  • the transmission means may perform wired communication such as an electric wire and an optical fiber, or may perform wireless communication.
  • FIG. 15 is a view showing an example of a screen on which data measured by the forceps system 1 is displayed on the external analysis device. As for the display in the figure, Motor0 represents the first rotary motor 8 (see FIG.
  • Motor1 represents the second rotary motor 9 (see FIG. 1).
  • the position (Posisition), the velocity (Velocity) and the operating force (Force) of the first rotary motor 8 and the second rotary motor 9 may be confirmed in real time it can.
  • measurement data can be analyzed separately by recording measurement data by pressing the Start Record button. This makes it possible, for example, to quantify delicate force adjustments in the operation of the surgeon during surgery, and improve the skill of the surgeon.
  • the present invention is not limited to the above embodiment, and can be appropriately modified without departing from the scope of the present invention.
  • the forceps system of the present invention can be used as a medical device that is simpler, can be used in the same sense as conventional ones, and has excellent operability. In particular, it can be used as a forceps for grasping or pulling a tissue or an organ or the like by an operation etc., as well as an instrument for an inspection or a diagnosis. In addition, the forceps system of the present invention can quantify delicate force changes in the operation of the forceps during surgery and can also be used as a training tool for improving the skills of the surgeon.
  • This application claims priority based on Japanese Patent Application No. 2017-158330 filed on Aug. 21, 2017, the entire disclosure of which is incorporated herein.

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  • Heart & Thoracic Surgery (AREA)
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Abstract

Provided is a forceps system which is simple, can be used with the same sensation as conventional forceps systems, and has excellent operability. This forceps system is equipped with a head part having a first rotary motor and a second rotary motor, a manipulation part pivotally supported on the head part and coupled to the first rotary motor via a power transmission mechanism, a shaft part attached to the head part, a grasping part disposed on the distal end of the shaft part and for pinching a target, a manipulation member passing through the shaft part and having one end thereof coupled to the grasping part via a link mechanism and the other end thereof coupled to the second rotary motor via a power transmission mechanism, and a control unit controlling the first rotary motor and the second rotary motor. The control unit uses acceleration-based bilateral control to control the angular response of the first rotary motor and the second rotary motor in accordance with the angle deviation between the first rotary motor and the second rotary motor, and to control the torque response of the first rotary motor and the second rotary motor in accordance with the torque deviation between the first rotary motor and the second rotary motor.

Description

鉗子システムDumpling system

 本発明は、鉗子システムに関する。 The present invention relates to a forceps system.

 近年、医療分野において患者への負担が比較的少ない低侵襲手術(MIS)が注目されている。MISの典型的な方法である腹腔鏡手術は、患者の体に形成された穴から鉗子などの器具を挿入することによって行われる。この腹腔鏡手術を遠隔操作によって行う、Intuitive Surgical社製のダビンチなどの手術支援ロボットが開発されている。例えば、特許文献1や特許文献2には、操作者が操作する操作部(マスター側)と、遠隔地に設置され実際に対象物を把持する把持部(スレーブ側)と、から構成され、操作部の操作に応じて把持部を制御する鉗子システムが記載されている。 In recent years, minimally invasive surgery (MIS), which has a relatively low burden on patients in the medical field, has attracted attention. Laparoscopic surgery, which is a typical method of MIS, is performed by inserting a tool such as forceps from a hole formed in a patient's body. A surgery support robot such as Intuitive Surgical's Da Vinci, which performs this laparoscopic surgery by remote control, has been developed. For example, in Patent Document 1 and Patent Document 2, an operation unit (master side) operated by the operator and a holding unit (slave side) installed at a remote place and actually holding the object are included. A forceps system is described which controls the gripping part in response to the operation of the part.

国際公開第2005/109139号WO 2005/109139 国際公開第2015/041046号WO 2015/041046

 しかしながら、遠隔操作型の手術支援ロボットは、外科医のパフォーマンスを飛躍的に向上させることができるものの、一般的に、装置が複雑で大型であることから、導入のために多くの費用がかかるとともに設置のための十分に広いスペースを確保する必要がある。また、このような遠隔操作型の手術支援ロボットを使いこなすには、操作者は長期にわたる操作トレーニングを積む必要があった。このため、より簡易で、特別なトレーニングをしなくても使用でき、かつ操作性に優れた医療器具に対する要望も多い。特に、組織や臓器などをつかんだり牽引したりするための鉗子は、手術以外にも検査や診断など、医療現場において日常的に使用されることから、遠隔操作型に限らず、簡易で、従来のものと同じ感覚で使用できることが望まれる。
 本発明は、以上の背景に鑑みなされたものであり、簡易で、従来のものと同じ感覚で使用でき、かつ操作性に優れた鉗子システムを提供することを目的とする。
However, although remote operation type surgery support robots can dramatically improve the performance of the surgeon, they are generally expensive and expensive to install due to the complexity and size of the device. You need to ensure a large enough space for the Moreover, in order to master such a remote control type operation support robot, the operator had to build up a long-term operation training. For this reason, there is also a demand for a medical device that is simpler, can be used without special training, and is excellent in operability. In particular, forceps for grasping and pulling tissues and organs etc. are routinely used in medical fields such as examinations and diagnoses other than surgery, so it is not limited to the remote control type and is simple and conventional. It is desirable that it can be used in the same sense as
The present invention has been made in view of the above background, and an object thereof is to provide a forceps system which is simple, can be used in the same sense as conventional ones, and is excellent in operability.

 本発明の一態様にかかる鉗子システムは、第1回転モータおよび第2回転モータを有するヘッド部と、前記ヘッド部に軸支され、前記第1回転モータと動力伝達機構を介して連結され、操作者によって操作される操作部と、前記ヘッド部に取り付けられた軸部と、
 前記軸部の先端に配設され、対象物を挟む把持部と、前記軸部を貫通し、一端がリンク機構を介して前記把持部と連結され、他端が前記第2回転モータと動力伝達機構を介して連結された操作部材と、前記第1回転モータおよび前記第2回転モータを制御する制御部と、を備え、前記制御部は、加速度基準のバイラテラル制御により、前記第1回転モータと前記第2回転モータの角度偏差に応じて、前記第1回転モータと前記第2回転モータの角度応答を制御し、前記第1回転モータと前記第2回転モータのトルク偏差に応じて、前記第1回転モータと前記第2回転モータのトルク応答を制御するものである。
A forceps system according to an aspect of the present invention is pivotally supported by a head portion having a first rotation motor and a second rotation motor, and the head portion, and is coupled to the first rotation motor via a power transmission mechanism, and operated An operation unit operated by a user, and a shaft unit attached to the head unit;
A gripping portion disposed at the tip end of the shaft portion, which grips the object, penetrates the shaft portion, one end is connected to the gripping portion via a link mechanism, and the other end is power transmission with the second rotary motor A control unit configured to control the first rotary motor and the second rotary motor, wherein the control unit is configured to control the first rotary motor by bilateral control based on acceleration; And the angular responses of the first and second rotary motors are controlled according to the angular deviation of the second rotary motor, and the torque responses of the first and second rotary motors are controlled according to the torque response of the first and second rotary motors. The torque response of the first rotary motor and the second rotary motor is controlled.

 本発明によれば、簡易で、従来のものと同じ感覚で使用でき、かつ操作性に優れた鉗子システムを提供することができる。 According to the present invention, it is possible to provide a forceps system which is simple, can be used in the same sense as conventional ones, and is excellent in operability.

 図1は、本実施の形態にかかる鉗子システムの概略構成を示す模式図である。
 図2は、図1の破線で示す領域Aにおける軸部の内部構造を示す図である。
 図3は、本実施の形態にかかる鉗子システムのプロトタイプを示す図である。
 図4は、図3に示す鉗子システムのプロトタイプにおけるヘッド部の内部構造を示す図である。
 図5は、図3に示す鉗子システムのプロトタイプが操作者Uによって保持された状態を示す図である。
 図6は、本実施の形態にかかる鉗子システムの制御部における制御の概略を示すブロック図である。
 図7は、図6に示すブロック図における、DOBおよびRTOBの制御の概略を示すブロック図である。
 図8は、実験1を行ったときの、マスターとスレーブにおける、トルク応答と角度応答についての測定結果を示すグラフである(スケーリングなし)。
 図9は、実験1を行ったときの、マスターとスレーブにおける、トルク応答と角度応答についての測定結果を示すグラフである(スケーリングあり)。
 図10は、実験2における実験手順について説明する図である。
 図11は、実験2における実験手順について説明する図である。
 図12は、実験2における実験手順について説明する図である。
 図13は、実験2における実験手順について説明する図である。
 図14は、実験2を行っている間の、マスターおよびスレーブにおける、トルク応答と角度応答についての測定結果を示すグラフである。
 図15は、鉗子システムによって測定されたデータを携帯端末において表示させた画面の一例を示す図である。
FIG. 1 is a schematic view showing a schematic configuration of a forceps system according to the present embodiment.
FIG. 2 is a view showing the internal structure of the shaft in a region A indicated by a broken line in FIG.
FIG. 3 is a diagram showing a prototype of the forceps system according to the present embodiment.
FIG. 4 is a view showing the internal structure of the head in the prototype of the forceps system shown in FIG.
FIG. 5 is a view showing a state in which the prototype of the forceps system shown in FIG. 3 is held by the operator U.
FIG. 6 is a block diagram showing an outline of control in a control unit of the forceps system according to the present embodiment.
FIG. 7 is a block diagram schematically showing control of DOB and RTOB in the block diagram shown in FIG.
FIG. 8 is a graph showing measurement results of torque response and angle response in the master and the slave when Experiment 1 was performed (without scaling).
FIG. 9 is a graph showing the measurement results of torque response and angle response in the master and the slave when Experiment 1 was performed (with scaling).
FIG. 10 is a diagram for explaining the experimental procedure in Experiment 2.
FIG. 11 is a diagram for explaining the experimental procedure in Experiment 2.
FIG. 12 is a diagram for explaining the experimental procedure in Experiment 2.
FIG. 13 is a diagram for explaining the experimental procedure in Experiment 2.
FIG. 14 is a graph showing measurement results for torque response and angular response at the master and slave during experiment 2.
FIG. 15 is a diagram showing an example of a screen on which data measured by the forceps system is displayed on a portable terminal.

 以下、図面を参照して本発明の実施の形態について説明する。
 まず、図1を参照して本実施の形態にかかる鉗子システムの概略構成について説明する。図1は、本実施の形態にかかる鉗子システム1の概略構成を示す模式図である。図1に示すように、鉗子システム1は、軸部(シャフト)2と、把持部(エンドエフェクタ)3と、ヘッド部4と、制御部5と、を備えている。
 軸部2および軸部2の先端に設けられた把持部3は、患者の体内に挿入される部分で、既存の鉗子と同様のものを用いることができる。図2は、図1の破線で示す領域Aにおける軸部2の内部構造を示す図である。図2に示すように、把持部3は、軸部2内を貫通する操作部材18とリンク機構19を介して接続されている。図2の上段に示すように、操作部材18を把持部3の方に移動させるとリンク機構19が開いて把持部3が開く。また、図2の下段に示すように、操作部材18を把持部3とは反対の方に移動させるとリンク機構19が閉じて把持部3が閉じる。
 図1に戻り、ヘッド部4は、操作部6と、グリップ部7と、第1回転モータ8および第2回転モータ9と、を有する。また、軸部2はヘッド部4に取り付けられている。
 操作部6は、操作者が鉗子システム1を操作するためのレバーであり、ヘッド部4において、回転軸6aにより回転可能に軸支されている。また、操作部6には、操作者が指を掛けて操作するための穴6bが形成されている。操作部6は、ヘッド部4に収容された動力伝達機構としてのギヤ類を介して第1回転モータ8と連結されている。すなわち、操作部6の回転軸6aに取り付けられたピニオンギヤ13aが、第1回転モータ8の回転軸8aに取り付けられたピニオンギヤ13bに係合している。
 操作者が操作部6を回動すると、第1回転モータ8には操作部6に及ぼされた操作力が伝達される。反対に、操作者には、操作部6を介して第1回転モータ8のトルクが反力として伝達される。なお、当然のことながら、ピニオンギヤ13aがピニオンギヤ13bと直接係合する場合に限らず、ピニオンギヤ13aが幾つかの他のピニオンギヤを介してピニオンギヤ13bと係合するように構成してもよい。
 操作部材18は、ヘッド部4に収容された動力伝達機構としてのギヤ類を介して第2回転モータ9と連結されている。すなわち、操作部材18において、把持部3とリンク機構19(図2参照)を介して連結された一端と反対側の他端に取り付けられたラックギヤ14aが、第2回転モータ9の回転軸9aに取り付けられたピニオンギヤ14bに係合している。ラックギヤ14aおよびピニオンギヤ14bは、第2回転モータ9の回転運動を直線運動に変換する。すなわち、第2回転モータ9が回転すると操作部材18が直線運動し、この直線運動によりリンク機構19が駆動して把持部3を開閉させる。
 第2回転モータ9は、第1回転モータ8とは機械的に接続されていない。第1回転モータ8および第2回転モータ9は、それぞれ、制御部5に電気的に接続されている。第1回転モータ8と第2回転モータ9とは、制御部5において相互に制御される。制御部5における第1回転モータ8と第2回転モータ9の制御の詳細については後述する。
 図3は、本実施の形態にかかる鉗子システム1のプロトタイプを示す図である。なお、図3における上段には、比較のため、既存の鉗子501についても併せて示す。図3に示すように、鉗子システム1のプロトタイプでは、2つの回転モータ(第1回転モータ8、第2回転モータ9)を含むヘッド部4の大きさだけ、従来の鉗子よりも外形寸法が大きくなっている。第1回転モータ8および第2回転モータ9は、配線15を介して制御部5(図1参照)と接続されている。
 軸部2は、ヘッド部4に接続部12を介して着脱可能に取り付けられている。なお、ヘッド部4に対して軸部2を着脱可能に構成する場合、図1および図2に示す操作部材18は継ぎ手を介して分割できるようにする。このように構成すると、鉗子システム1において、形状の異なる把持部3が設けられた軸部2を複数用意すれば、軸部2を付け替えすることにより、状況にあった形状の把持部3を適宜選択することができる。
 一方、既存の鉗子501は、鉗子システム1と同様に、軸部502と、把持部503と、を備え、さらに、把持部503を開閉操作するための取手部504,505を備えている。把持部503を開閉するための機構は、図2に示した、鉗子システム1の把持部3を開閉するための機構と同様である。既存の鉗子501では、軸支された取手部505を操作者が動かして軸部502の内部の操作部材を直線運動させることにより把持部503を開閉する。
 図4は、図3に示す鉗子システム1のプロトタイプにおけるヘッド部4の内部構造を示す図である。なお、図4には、図3の矢印Bの方向から見たヘッド部4の内部構造を示している。図4に示すように、第1回転モータ8と第2回転モータ9とは、軸部2の長手方向の中心軸を通り、操作部6の回動する平面と平行な仮想面を隔てて対向し、夫々の回転軸が同軸線上になるように配置されているが、機械的には接続されていない。このように、第1回転モータ8と第2回転モータ9を配置することにより、グリップ部7を握る操作者Uに余分なモーメントが加わりにくくなるために操作性が向上して好ましいが、これに限定されず、他の配置とすることも可能である。第1回転モータ8に連結されたピニオンギヤ13aやピニオンギヤ13bなどの動力伝達機構、および、第2回転モータ9に連結されたラックギヤ14aやピニオンギヤ14bなどの動力伝達機構は、部品点数も少なく、ヘッド部4においてコンパクトに収納することができる。
 図3および図4に示すように、鉗子システム1のプロトタイプでは、第1回転モータ8および第2回転モータ9が、総重量において大きな割合を占めている。しかしながら、鉗子システム1のプロトタイプの総重量は、約0.625kgで、実際の医療現場において大きな支障なく使用できるレベルに抑えられている。本プロトタイプでは、第1回転モータ8および第2回転モータ9として、Microtech Laboratory製のMDH−4006を用いている。今後、第1回転モータ8および第2回転モータ9の軽量化を進めていくことなどにより、鉗子システム1のさらなる軽量化が可能である。
 図5は、鉗子システム1のプロトタイプが操作者Uによって保持された状態を示す図である。図5に示すように、グリップ部7を握り、操作部6に形成された穴に指をかけて操作する。グリップ部7は手のひら全体で握ることができる大きさにする。グリップ部7をこのように構成することで、操作者Uは、鉗子システム1を安定して保持することができるため、鉗子システム1の重量を意識することなく、既存の鉗子501(図3参照)と同様の感覚で鉗子システム1を使用することができる。
 次に、図1に示した制御部5における、第1回転モータ8と第2回転モータ9の制御について説明する。
 第1回転モータ8と第2回転モータ9とは、制御部5において、加速度基準のバイラテラル制御方式により相互に制御される。ここで、バイラテラル制御とは、一般的な制御方式の1つであり、対象物の位置と対象物に作用する力を応答性良く制御し、繊細な作業を実現するものである。すなわち、加速度基準のバイラテラル制御では、操作者がマスター(操作側)を動かすことによってスレーブ(作業側)にマスターの動きに対応する動きをさせることができるとともに、スレーブが対象物から受けた反力をマスターの操作者にフィードバックすることができる。本実施の形態にかかる鉗子システム1では、操作者が実際に操作する操作部6と、動力伝達機構を介して操作部6に連結された第1回転モータ8と、がマスターである。また、対象物に作用する把持部3と、動力伝達機構や操作部材18などを介して把持部3に連結された第2回転モータ9と、がスレーブである。また、加速度基準とは、トルクではなく角加速度を制御量として用いることを意味する。
 制御部5に適用される加速度基準のバイラテラル制御において、スケーリング機能を有していてもよい。ここで、スケーリング機能とは、入力された位置や力に対して、出力される位置や力のスケールを拡大または縮小する機能である。制御部5に適用されるバイラテラル制御において、トルクおよび角度の少なくとも一方にスケーリングゲインを導入し、第1回転モータ8と第2回転モータ9との間において、トルクおよび角度の少なくとも一方にスケーリングを生じさせる。例えば、繊細な作業を行う場合には、操作者がマスターから入力したトルクや力に対し、スレーブで出力されるトルクや力のスケールを縮小する。このようにすることで、操作性をより向上させることができる。
 図6は、鉗子システム1の制御部5における制御の概略を示すブロック図である。ここで、αは角度応答のスケーリングゲイン、βはトルク応答のスケーリングゲイン、Cは位置制御器、Cは力制御器を表す。マスター、スレーブにおける角度応答を、それぞれ、θ res、θ resで表す。また、マスター、スレーブにおける反作用トルクを、

Figure JPOXMLDOC01-appb-M000001
で表す。
 図6に示すように、マスターとしての第1回転モータ8およびスレーブとしての第2回転モータ9における角度、トルクは、外乱オブザーバ(DOB:Disturbance Observer)、および、反力トルク推定オブザーバ(RTOB:Reaction Torque Observer)を用いて制御される。
 図7は、DOBおよびRTOBの制御の概略を示すブロック図である。ここで、θresは角度応答、Irefは電流リファレンス、Treacは反作用トルク、Tdisは外乱トルク、Ktnはトルク定数、gdisは外乱トルクに対するローパスフィルタのカットオフ周波数、greacは反作用トルクに対するローパスフィルタのカットオフ周波数、Dは粘性、Jは慣性、Fはクーロン摩擦を表す。
 DOBは、外乱を、迅速に推定し補償を行うように設計されている。ロバストな加速度制御は、DOBによって、外乱トルクの総和を推定し、推定された外乱トルクを用いた補償を行うことにより達成される。図7に示すように、推定される外乱トルクの総和は、電流リファレンスおよび角加速度応答によって得られる。また、角加速度応答は、通常、エンコーダによって得られた角度応答の二次微分によって計算される。すなわち、外乱トルクの総和は以下の式で表される。
Figure JPOXMLDOC01-appb-M000002
 RTOBは、トルクセンサを用いないで反作用トルクを推定するために適用される。RTOBは、DOBに基づいて対象物から各回転モータ(第1回転モータ8、第2回転モータ9)に加えられる反作用トルクを推定する。すなわち、RTOBでは、DOBにより推定された外乱トルクの総和から、予め推定できる内部摩擦などの他の力を差し引くことにより反作用トルクを推定する。
 図6に示したバイラテラル制御では、鮮明な触覚を伝達するために2つの目標を同時に満たす必要がある。一つは、マスターとスレーブの位置応答を互いに追跡することである。もう一つは、マスターとスレーブとの間における作用反作用の法則を人工的に達成することである。これらの目標は、以下の式で表される。
 θ res−θ res=0・・・(式2)
 T reac+T reac=0・・・(式3)
すなわち、第1回転モータ8と第2回転モータ9の角度偏差に応じて、第1回転モータ8と第2回転モータ9の角度応答を制御する。また、第1回転モータ8と第2回転モータ9のトルク偏差に応じて第1回転モータ8と第2回転モータ9のトルク応答を制御する。モードの概念に基づく加速度基準のバイラテラル制御によれば、(式2)および(式3)を同時に実現することができる。
 さらに、加速度基準のバイラテラル制御により動きのスケーリングが実現される。バイラテラル制御のスケーリングの目標は次のように表される。
 θ res−αθ res=0・・・(式4)
 T reac+βT reac=0・・・(式5)
これらの目標は、斜交座標で記述することができる。バイラテラル制御は、斜交座標制御によって実現される。環境インピーダンスの再現性は、スケーリングゲインα、βを変更することにより任意に設定することができる。
 次に、本実施の形態にかかる鉗子システム1の力覚伝達の機能を評価する実験について以下に説明する。なお、以下の説明では、鉗子システム1の構成については図1を、鉗子システム1の制御については図6および図7を適宜参照する。
 図3に示した鉗子システム1のプロトタイプを用いて、力覚伝達の機能を評価するために2つの実験(実験1、実験2)を行った。バイラテラル制御の位置制御器Cp(s)=Kp+Kvs、力制御器Cf=Kfにおいて、各パラメータは、Kp=2500、Kvs=100.0、Kf=0.8000、gdis=472.1、greac=472.1にそれぞれ設定した。
 <実験1>
 まず、本実施の形態にかかる鉗子システム1の環境の剛性を認識する能力を検証するために行った実験について説明する。
 実験1では、鉗子システム1を用いて、何も把持しない開閉動作、柔らかい対象物(低剛性の環境)の把持、硬い対象物(高剛性の環境)の把持の順に操作される。柔らかい対象物としてスポンジを、硬い対象物としてアルミニウム製ブロックを使用した。
 把持部3で何も把持しない場合に対し、把持部3で対象物を把持する場合には、対象物から受ける反力によってトルク応答が大きくなるはずである。また、対象物としてのスポンジを把持部3でつかんだ場合には、対象物がつぶれるのに対し、対象物としてのアルミニウムブロックを把持部3でつかんだ場合には、対象物が非常に硬くほとんどつぶれない。このため、把持部3により、硬い対象物であるアルミニウムブロックをつかんだ場合には、柔らかい対象物であるスポンジをつかんだ場合よりも角度応答は小さくなるはずである。
 図8は、バイラテラル制御でスケーリングをせず(α=1、β=1)に実験1を行ったときの、マスターとしての第1回転モータ8およびスレーブとしての第2回転モータ9における、トルク応答と角度応答についての測定結果を示すグラフである。ここで、図8(a)では、横軸は経過時間[s]、縦軸はトルク応答[Nm]を表す。図8(b)では、横軸は経過時間[s]、縦軸は角度応答[rad]を表す。また、図8(a)において、実線はマスター(Master)におけるトルク応答を、破線はスレーブ(Slave)におけるトルク応答を示す。同様に、図8(b)において、実線はマスター(Master)における角度応答を、破線はスレーブ(Slave)における角度応答を示す。
 図8に示すように、経過時間が0秒から5秒の間においては、把持部3で何も把持しない開閉動作が行われる。マスターとしての第1回転モータ8、スレーブとしての第2回転モータ9は、マスターに作用する操作力に応じて回転する。このため、経過時間が0秒から5秒の間は、把持部3で何も把持していないためトルク応答は小さい。経過時間が5秒から10秒の間においては、把持部3でスポンジをつかむ。スポンジからの反力のため、何も把持しない開閉動作の場合よりもトルク応力が大きくなっている。経過時間が12秒から18秒の間においては、把持部3でアルミニウムブロックをつかむ。トルク応答はスポンジをつかんだ場合とほぼ同じだが、角度応答はスポンジをつかんだ場合よりも小さくなっている。
 図9は、バイラテラル制御でスケーリングをして(α=2、β=2)実験1を行ったときの、マスターとしての第1回転モータ8およびスレーブとしての第2回転モータ9における、トルク応答と角度応答についての測定結果を示すグラフである。ここで、図9(a)では、横軸は経過時間[s]、縦軸はトルク応答[Nm]を表す。図9(b)では、横軸は経過時間[s]、縦軸は角度応答[rad]を表す。また、図9(a)において、実線はマスター(Master)におけるトルク応答を、破線はスレーブ(Slave)におけるトルク応答を示す。同様に、図9(b)において、実線はマスター(Master)における角度応答を、破線はスレーブ(Slave)における角度応答を示す。
 図9(a)に示すように、角度応答のスケーリングゲインα、トルク応答のスケーリングゲインβをともに2に設定したので、マスターのトルク応答、角度応答は、それぞれ、スレーブのトルク応答、角度応答の約2倍になっている。すなわち、鉗子システム1において、力覚伝達のスケーリングが正しく実現されていることが確認できた。また、図9に示したスケーリングを行った場合のトルク応答、角度応答の挙動は、図8に示したスケーリングをしなかった場合のトルク応答、角度応答の挙動とほぼ同じである。
 以上より、スケーリングをした場合、スケーリングをしなかった場合のいずれについても、鉗子システム1を介して、環境の剛性の違いを操作者が認識できることが確認できた。
 <実験2>
 次に、本実施の形態にかかる鉗子システム1が既存の鉗子と同じように使用できるかどうかを確認するための実験2について説明する。実験2では、実際のMISを模擬するために、器官を模擬したパッドに糸のついた針を挿入し、結び目を作る動作を行った。
 図10から図13は、実験2における実験手順について説明する図である。実験2では、図10から図13に示すように、右手(図10では左側)で本実施の形態にかかる鉗子システム1を使用し、左手(図10では右側)で既存の鉗子501を使用した。糸32と針33は、実際の手術で使用されるものと同じものを用いた。また、パッド31は、患者の器官を模擬したもので、適度な柔らかさを有する部材である。
 まず、図10に示すように、鉗子システム1における把持部3で針33を保持し、針33の先端をパッド31に挿入する。続いて、図11に示すように、鉗子システム1における把持部3によりパッド31から針33を引き出す。続いて、図12に示すように、鉗子システム1の把持部3で糸32を保持し、既存の鉗子501で針33を保持し、既存の鉗子501を動かして、糸32で作ったループを作り、そのループに針33を通す。最後に、図13に示すように、鉗子システム1の把持部3に保持された糸32と、既存の鉗子501に保持された針33を互いに反対方向に引っ張って結び目を作る。
 本実施の形態にかかる鉗子システム1で結び目を作る動作を行ったときの操作者の使用感は、既存の鉗子501で当該動作を行ったときのものとほぼ同様であった。すなわち、本実施の形態にかかる鉗子システム1をMISなどの実際の医療行為に使用可能であることが確認できた。
 図14は、実験2を行っている間の、マスターおよびスレーブにおける、トルク応答と角度についての測定結果を示すグラフである。図14(a)では、横軸は経過時間[s]、縦軸はトルク応答[Nm]を表す。図14(b)では、横軸は経過時間[s]、縦軸は角度応答[rad]を表す。また、図14(a)において、実線はマスター(Master)におけるトルク応答を、破線はスレーブ(Slave)におけるトルク応答を示す。同様に、図14(b)において、実線はマスター(Master)における角度応答を、破線はスレーブ(Slave)における角度応答を示す。なお、実験2では、鉗子システム1のバイラテラル制御におけるスケーリングゲインα、βを1とした。すなわち、マスターとスレーブとで、トルク応答および角度応答はほぼ等しくなる。さらに、グラフ中において(i)、(ii)、(iii)、(iv)で示された期間は、それぞれ、図10、図11、図12、図13に示す手順を行っている期間に対応する。
 図14に示すように、期間(i)(図10の手順の期間)では、経過時間8秒においてトルク応答が増加している。これは、操作者がパッド31に針33を挿入する瞬間に針33を強く把持したためである。期間(ii)(図11の手順の期間)では、経過時間22秒において約0.2Nmの大きなトルク応答になっている。これは、パッド31から針33を引き出すために強い把持力が必要とされたことを示している。
 期間(iii)(図12の手順の期間)では、鉗子システム1では糸32を保持しているだけであり、既存の鉗子501の方を動かして糸32でループを作り、そのループに針33を通した。このため、鉗子システム1におけるトルク応答および角度応答は一定となっている。期間(iv)(図13の手順の期間)では、経過時間64秒においてトルク応答が約0.1Nmに増加している。これは、作業者が、鉗子システム1の把持部3にて保持された糸32を引っ張って結び目を作ったためである。このように、実験2において鉗子システム1により取得したデータは、一連の挙動と一致していることが確認できた。
 実験1および実験2の間に鉗子システム1によって測定された結果は、メモリなどの記憶媒体に保存することができる。記憶媒体は、鉗子システム1に設けられていても、鉗子システム1とは別体の外部解析装置に設けられていてもよい。外部解析装置は、例えば、パーソナルコンピュータ、iPhone(登録商標)やiPad(登録商標)などの携帯端末である。記憶媒体が鉗子システム1とは別体として設けられている場合、鉗子システム1は、送信手段をさらに備え、送信手段が、制御部5から、第1回転モータ8および第2回転モータ9のそれぞれにおける、トルクおよび角度のデータを取得し、当該データを携帯端末に送信する。送信手段は、電線及び光ファイバ等の有線通信を行うものであっても、無線通信を行うものであってもよい。
 図15は、鉗子システム1によって測定されたデータを外部解析装置において表示させた画面の一例を示す図である。図中の表示について、Motor0は第1回転モータ8(図1参照)を、Motor1は第2回転モータ9(図1参照)を表している。図15に示すように、鉗子システム1の操作中に、第1回転モータ8および第2回転モータ9における、位置(Posisition)、速度(Velocity)、操作力(Force)をリアルタイムで確認することができる。また、Start Recordボタンを押して測定データを記録すれば、測定データを別途解析することもできる。これにより、例えば、手術中の外科医の鉗子操作における繊細な力加減を定量化することなどが可能になり、外科医のスキルを向上させることができる。
 なお、本発明は上記実施の形態に限られたものではなく、趣旨を逸脱しない範囲で適宜変更することが可能である。 Hereinafter, embodiments of the present invention will be described with reference to the drawings.
First, a schematic configuration of a forceps system according to the present embodiment will be described with reference to FIG. FIG. 1 is a schematic view showing a schematic configuration of a forceps system 1 according to the present embodiment. As shown in FIG. 1, the forceps system 1 includes a shaft 2, a grip 3 (end effector), a head 4, and a controller 5.
The shaft portion 2 and the grip portion 3 provided at the tip of the shaft portion 2 are parts to be inserted into the patient's body, and the same ones as existing forceps can be used. FIG. 2 is a view showing an internal structure of the shaft portion 2 in a region A indicated by a broken line in FIG. As shown in FIG. 2, the grip portion 3 is connected to an operation member 18 penetrating the inside of the shaft portion 2 via a link mechanism 19. As shown in the upper part of FIG. 2, when the operation member 18 is moved toward the grip 3, the link mechanism 19 is opened and the grip 3 is opened. Further, as shown in the lower part of FIG. 2, when the operation member 18 is moved in the opposite direction to the gripping portion 3, the link mechanism 19 is closed and the gripping portion 3 is closed.
Returning to FIG. 1, the head unit 4 includes the operation unit 6, the grip unit 7, and the first rotation motor 8 and the second rotation motor 9. The shaft 2 is attached to the head 4.
The operation unit 6 is a lever for the operator to operate the forceps system 1 and is rotatably supported by the rotating shaft 6 a in the head unit 4. Further, in the operation unit 6, a hole 6b is formed for the operator to operate by putting a finger. The operation unit 6 is connected to the first rotary motor 8 via gears as a power transmission mechanism housed in the head unit 4. That is, the pinion gear 13 a attached to the rotation shaft 6 a of the operation unit 6 is engaged with the pinion gear 13 b attached to the rotation shaft 8 a of the first rotation motor 8.
When the operator rotates the operation unit 6, the operation force exerted on the operation unit 6 is transmitted to the first rotary motor 8. On the contrary, the torque of the first rotary motor 8 is transmitted as a reaction force to the operator via the operation unit 6. As a matter of course, the invention is not limited to the case where the pinion gear 13a directly engages with the pinion gear 13b, and the pinion gear 13a may be engaged with the pinion gear 13b via some other pinion gears.
The operation member 18 is connected to the second rotary motor 9 through gears as a power transmission mechanism housed in the head unit 4. That is, in the operation member 18, the rack gear 14a attached to the other end opposite to the one end connected via the grip portion 3 and the link mechanism 19 (see FIG. 2) is the rotation shaft 9a of the second rotation motor 9. It is engaged with the attached pinion gear 14b. The rack gear 14a and the pinion gear 14b convert the rotational motion of the second rotary motor 9 into a linear motion. That is, when the second rotary motor 9 rotates, the operation member 18 linearly moves, and the link mechanism 19 is driven by the linear movement to open and close the grip portion 3.
The second rotary motor 9 is not mechanically connected to the first rotary motor 8. The first rotation motor 8 and the second rotation motor 9 are each electrically connected to the control unit 5. The first rotation motor 8 and the second rotation motor 9 are mutually controlled by the control unit 5. Details of control of the first rotary motor 8 and the second rotary motor 9 in the control unit 5 will be described later.
FIG. 3 is a diagram showing a prototype of the forceps system 1 according to the present embodiment. The upper portion in FIG. 3 also shows the existing forceps 501 for comparison. As shown in FIG. 3, in the prototype of the forceps system 1, the external dimensions are larger than that of the conventional forceps by the size of the head portion 4 including the two rotating motors (the first rotating motor 8 and the second rotating motor 9). It has become. The first rotary motor 8 and the second rotary motor 9 are connected to the control unit 5 (see FIG. 1) via the wiring 15.
The shaft 2 is detachably attached to the head 4 via the connection 12. When the shaft portion 2 is configured to be detachable from the head portion 4, the operation member 18 shown in FIGS. 1 and 2 can be divided via a joint. According to this configuration, if a plurality of shaft portions 2 provided with gripping portions 3 having different shapes in the forceps system 1 are prepared, the gripping portions 3 having a shape according to the situation can be appropriately changed by replacing the shaft portions 2. It can be selected.
On the other hand, the existing forceps 501, like the forceps system 1, includes the shaft portion 502 and the grip portion 503, and further includes the handle portions 504 and 505 for opening and closing the grip portion 503. The mechanism for opening and closing the gripping portion 503 is the same as the mechanism for opening and closing the gripping portion 3 of the forceps system 1 shown in FIG. In the existing forceps 501, the operator moves the pivotally supported handle portion 505 to linearly move the operation member inside the shaft portion 502, thereby opening and closing the grip portion 503.
FIG. 4 is a view showing the internal structure of the head 4 in the prototype of the forceps system 1 shown in FIG. 4 shows the internal structure of the head 4 as viewed in the direction of arrow B in FIG. As shown in FIG. 4, the first rotary motor 8 and the second rotary motor 9 face each other across an imaginary plane parallel to a plane in which the operation unit 6 pivots, passing through a central axis in the longitudinal direction of the shaft portion 2. The respective rotation axes are arranged coaxially, but they are not mechanically connected. Thus, by arranging the first rotary motor 8 and the second rotary motor 9, it is difficult to apply an extra moment to the operator U who grips the grip portion 7, which improves operability, which is preferable. There is no limitation, and other arrangements are possible. The power transmission mechanism such as the pinion gear 13a and the pinion gear 13b coupled to the first rotation motor 8 and the power transmission mechanism such as the rack gear 14a and the pinion gear 14b coupled to the second rotation motor 9 have a small number of parts, and the head portion 4 can be stored compactly.
As shown in FIGS. 3 and 4, in the prototype of the forceps system 1, the first rotary motor 8 and the second rotary motor 9 occupy a large proportion in the total weight. However, the total weight of the prototype of the forceps system 1 is about 0.625 kg, which is suppressed to a level that can be used without any major problems in actual medical practice. In this prototype, MDH-4006 manufactured by Microtech Laboratory is used as the first rotation motor 8 and the second rotation motor 9. Further weight reduction of the insulator system 1 is possible by, for example, promoting weight reduction of the first rotation motor 8 and the second rotation motor 9 in the future.
FIG. 5 is a view showing a state in which the prototype of the forceps system 1 is held by the operator U. As shown in FIG. 5, the user grips the grip portion 7 and operates by putting a finger on the hole formed in the operation portion 6. The grip 7 is sized to be gripped by the entire palm. By configuring the grip portion 7 in this manner, the operator U can hold the forceps system 1 stably, so the existing forceps 501 (see FIG. 3) can be recognized without being aware of the weight of the forceps system 1. The forceps system 1 can be used in the same sense as in.
Next, control of the first rotary motor 8 and the second rotary motor 9 in the control unit 5 shown in FIG. 1 will be described.
The first rotation motor 8 and the second rotation motor 9 are mutually controlled by the control unit 5 according to an acceleration-based bilateral control method. Here, the bilateral control is one of the general control methods, which responsively controls the position of the object and the force acting on the object to realize delicate work. That is, in the bilateral control based on acceleration, the operator can cause the slave (working side) to move according to the movement of the master by moving the master (operation side), and the slave receives the movement from the object. The force can be fed back to the master operator. In the forceps system 1 according to the present embodiment, the operation unit 6 actually operated by the operator and the first rotary motor 8 connected to the operation unit 6 via the power transmission mechanism are the master. In addition, the grip 3 acting on the object and the second rotary motor 9 connected to the grip 3 via the power transmission mechanism, the operation member 18 and the like are slaves. The acceleration reference means that angular acceleration, not torque, is used as a control amount.
A scaling function may be provided in the acceleration-based bilateral control applied to the control unit 5. Here, the scaling function is a function of enlarging or reducing the scale of the output position or force with respect to the input position or force. In the bilateral control applied to the control unit 5, a scaling gain is introduced to at least one of the torque and the angle, and scaling is applied to at least one of the torque and the angle between the first rotary motor 8 and the second rotary motor 9. Make it happen. For example, when performing delicate work, the scale of the torque or force output from the slave is reduced with respect to the torque or force input from the master by the operator. By doing this, operability can be further improved.
FIG. 6 is a block diagram showing an outline of control in the control unit 5 of the forceps system 1. Here, α is a scaling gain of the angular response, β is a scaling gain of the torque response, C p is a position controller, and C f is a force controller. The angular responses at the master and slave are denoted by θ M res and θ S res , respectively. Also, the reaction torque at the master and slave
Figure JPOXMLDOC01-appb-M000001
Represented by
As shown in FIG. 6, the angles and torques of the first rotary motor 8 as the master and the second rotary motor 9 as the slave are disturbance observer (DOB: Disturbance Observer), and reaction torque estimation observer (RTOB: Reaction). Controlled using Torque Observer).
FIG. 7 is a block diagram showing an outline of control of DOB and RTOB. Here, θ res is an angular response, I ref is a current reference, T reac is a reaction torque, T dis is a disturbance torque, K tn is a torque constant, g dis is a cut-off frequency of the low pass filter for the disturbance torque, and g reac is a reaction The cutoff frequency of the low-pass filter with respect to torque, D is viscosity, J n is inertia, and F c is coulomb friction.
DOBs are designed to quickly estimate and compensate for disturbances. Robust acceleration control is achieved by DOB by estimating the sum of disturbance torques and performing compensation using the estimated disturbance torques. As shown in FIG. 7, the sum of the estimated disturbance torques is obtained by the current reference and the angular acceleration response. Also, the angular acceleration response is usually calculated by the second derivative of the angular response obtained by the encoder. That is, the total sum of disturbance torques is expressed by the following equation.
Figure JPOXMLDOC01-appb-M000002
RTOB is applied to estimate reaction torque without using a torque sensor. The RTOB estimates the reaction torque applied to each rotary motor (the first rotary motor 8 and the second rotary motor 9) from the object based on the DOB. That is, in RTOB, the reaction torque is estimated by subtracting other forces such as internal friction that can be estimated in advance from the sum of disturbance torques estimated by DOB.
In the bilateral control shown in FIG. 6, it is necessary to simultaneously satisfy two targets in order to transmit a clear sense of touch. One is to track the master and slave position responses from one another. The other is to artificially achieve the law of action and reaction between the master and the slave. These goals are expressed by the following equation.
θ M res −θ S res = 0 (Equation 2)
T M reac + T S reac = 0 (Equation 3)
That is, according to the angular deviation of the first rotary motor 8 and the second rotary motor 9, the angular response of the first rotary motor 8 and the second rotary motor 9 is controlled. Further, the torque response of the first rotary motor 8 and the second rotary motor 9 is controlled according to the torque deviation between the first rotary motor 8 and the second rotary motor 9. According to the acceleration-based bilateral control based on the concept of the mode, it is possible to realize (Equation 2) and (Equation 3) simultaneously.
Furthermore, motion scaling is realized by acceleration-based bilateral control. The goal of scaling bilateral control is expressed as follows.
θ M res −αθ S res = 0 (Equation 4)
T M reac + βT S reac = 0 (equation 5)
These goals can be described in oblique coordinates. Bilateral control is realized by oblique coordinate control. The reproducibility of the environmental impedance can be arbitrarily set by changing the scaling gains α and β.
Next, an experiment for evaluating the function of force sense transmission of the forceps system 1 according to the present embodiment will be described below. In the following description, FIG. 1 will be appropriately referred to for the configuration of the forceps system 1, and FIGS. 6 and 7 will be appropriately referred to for control of the forceps system 1.
Using the prototype of forceps system 1 shown in FIG. 3, two experiments (Experiment 1, Experiment 2) were performed to evaluate the function of force sense transmission. In the position controller Cp (s) = Kp + Kvs for bilateral control, and the force controller Cf = Kf, each parameter is Kp = 2500, Kvs = 100.0, Kf = 0.8000, g dis = 472.1, g Each was set to reac = 472.1.
<Experiment 1>
First, an experiment conducted to verify the ability to recognize the rigidity of the environment of the forceps system 1 according to the present embodiment will be described.
In Experiment 1, using the forceps system 1, operations are performed in the following order: open / close operation without gripping anything, gripping of a soft target (a low rigidity environment), and gripping of a hard target (a high rigidity environment). A sponge was used as a soft object and an aluminum block was used as a hard object.
In the case where the object is gripped by the gripping portion 3 as opposed to the case where nothing is gripped by the gripping portion 3, the torque response should be increased by the reaction force received from the object. In addition, the object is crushed when the sponge as the object is grasped by the grasping part 3, whereas the object is very hard and almost fixed when the aluminum block as the object is grasped by the grasping part 3 It does not go wrong. For this reason, when grasping the aluminum block which is a hard object by the grasping part 3, the angular response should be smaller than when grasping the sponge which is a soft object.
FIG. 8 shows torques of the first rotation motor 8 as a master and the second rotation motor 9 as a slave when experiment 1 is performed without scaling in bilateral control (α = 1, β = 1). It is a graph which shows the measurement result about a response and an angle response. Here, in FIG. 8A, the horizontal axis represents elapsed time [s], and the vertical axis represents torque response [Nm]. In FIG. 8B, the horizontal axis represents elapsed time [s], and the vertical axis represents angular response [rad]. Further, in FIG. 8A, a solid line indicates a torque response in the master, and a broken line indicates a torque response in the slave. Similarly, in FIG. 8B, the solid line indicates the angular response at the master and the broken line indicates the angular response at the slave.
As shown in FIG. 8, an open / close operation in which nothing is gripped by the grip unit 3 is performed between 0 seconds and 5 seconds. The first rotary motor 8 as a master and the second rotary motor 9 as a slave rotate in accordance with the operation force acting on the master. For this reason, the torque response is small because nothing is gripped by the gripping unit 3 during the elapsed time from 0 seconds to 5 seconds. When the elapsed time is between 5 seconds and 10 seconds, the gripping portion 3 holds the sponge. Because of the reaction force from the sponge, the torque stress is greater than in the case of the open / close operation where nothing is gripped. While the elapsed time is between 12 seconds and 18 seconds, the gripping portion 3 grips the aluminum block. The torque response is about the same as grabbing a sponge, but the angular response is smaller than when grabbing a sponge.
FIG. 9 shows torque response in the first rotary motor 8 as a master and the second rotary motor 9 as a slave when scaling is performed with bilateral control (α = 2, β = 2) and experiment 1 is performed. And a graph showing the measurement results for the angular response. Here, in FIG. 9A, the horizontal axis represents elapsed time [s], and the vertical axis represents torque response [Nm]. In FIG. 9B, the horizontal axis represents elapsed time [s], and the vertical axis represents angular response [rad]. Further, in FIG. 9A, the solid line indicates the torque response in the master, and the broken line indicates the torque response in the slave. Similarly, in FIG. 9B, the solid line indicates the angular response at the master and the broken line indicates the angular response at the slave.
As shown in FIG. 9A, since both the scaling gain α of the angular response and the scaling gain β of the torque response are set to 2, the torque response of the master and the angular response are respectively the torque response of the slave and the angular response. It has doubled. That is, in the forceps system 1, it was confirmed that scaling of force sense transmission was correctly realized. Further, the behavior of the torque response and the angular response when the scaling shown in FIG. 9 is performed is substantially the same as the behavior of the torque response and the angular response when the scaling shown in FIG. 8 is not performed.
From the above, it has been confirmed that the operator can recognize the difference in the rigidity of the environment through the forceps system 1 in any case where scaling is performed and when scaling is not performed.
<Experiment 2>
Next, Experiment 2 for confirming whether the forceps system 1 according to the present embodiment can be used in the same manner as existing forceps will be described. In Experiment 2, in order to simulate an actual MIS, a needle with a thread was inserted into a pad simulating an organ, and an operation was performed to make a knot.
10 to 13 are diagrams for explaining the experimental procedure in Experiment 2. In Experiment 2, as shown in FIGS. 10 to 13, the forceps system 1 according to the present embodiment is used with the right hand (left side in FIG. 10) and the existing forceps 501 is used with the left hand (right side in FIG. 10). . The yarn 32 and the needle 33 were the same as those used in the actual surgery. The pad 31 is a member that simulates the patient's organ and has appropriate softness.
First, as shown in FIG. 10, the needle 33 is held by the gripping portion 3 in the forceps system 1, and the tip of the needle 33 is inserted into the pad 31. Subsequently, as shown in FIG. 11, the needle 33 is pulled out of the pad 31 by the gripping portion 3 in the forceps system 1. Subsequently, as shown in FIG. 12, the yarn 32 is held by the gripping portion 3 of the forceps system 1, the needle 33 is held by the existing forceps 501, the existing forceps 501 is moved, and the loop formed by the yarn 32 is Make and pass the needle 33 through the loop. Finally, as shown in FIG. 13, the yarn 32 held by the grip portion 3 of the forceps system 1 and the needle 33 held by the existing forceps 501 are pulled in opposite directions to form a knot.
The feeling of use of the operator when the operation of making a knot is performed by the forceps system 1 according to the present embodiment is substantially the same as that when the operation is performed by the existing forceps 501. That is, it has been confirmed that the forceps system 1 according to the present embodiment can be used for actual medical practice such as MIS.
FIG. 14 is a graph showing measurement results for torque response and angle at the master and slave during experiment 2. In FIG. 14A, the horizontal axis represents elapsed time [s], and the vertical axis represents torque response [Nm]. In FIG. 14B, the horizontal axis represents elapsed time [s], and the vertical axis represents angular response [rad]. Further, in FIG. 14A, the solid line indicates the torque response in the master, and the broken line indicates the torque response in the slave. Similarly, in FIG. 14 (b), the solid line indicates the angular response at the master, and the broken line indicates the angular response at the slave. In Experiment 2, scaling gains α and β in bilateral control of the forceps system 1 were set to 1. That is, the torque response and the angular response are approximately equal for the master and the slave. Furthermore, the periods indicated by (i), (ii), (iii) and (iv) in the graph correspond to the periods in which the procedures shown in FIG. 10, FIG. 11, FIG. 12 and FIG. Do.
As shown in FIG. 14, in period (i) (during the procedure of FIG. 10), the torque response increases at an elapsed time of 8 seconds. This is because the operator strongly grips the needle 33 at the moment of inserting the needle 33 into the pad 31. In period (ii) (during the procedure of FIG. 11), a large torque response of about 0.2 Nm is obtained at an elapsed time of 22 seconds. This indicates that a strong gripping force was required to pull out the needle 33 from the pad 31.
In period (iii) (during the procedure of FIG. 12), the forceps system 1 only holds the thread 32 and moves the existing forceps 501 to form a loop with the thread 32, and the needle 33 in the loop Through. For this reason, the torque response and the angular response in the forceps system 1 are constant. In period (iv) (during the procedure of FIG. 13), the torque response increases to about 0.1 Nm at an elapsed time of 64 seconds. This is because the worker pulled a thread 32 held by the gripping portion 3 of the forceps system 1 to form a knot. Thus, it could be confirmed that the data acquired by the forceps system 1 in Experiment 2 was consistent with a series of behaviors.
The results measured by the forceps system 1 during Experiment 1 and Experiment 2 can be stored in a storage medium such as a memory. The storage medium may be provided in the forceps system 1 or in an external analyzer separate from the forceps system 1. The external analysis device is, for example, a personal computer or a portable terminal such as an iPhone (registered trademark) or an iPad (registered trademark). When the storage medium is provided separately from the forceps system 1, the forceps system 1 further includes a transmitting unit, and the transmitting unit is from the controller 5 to each of the first rotation motor 8 and the second rotation motor 9. Data of torque and angle, and transmit the data to the portable terminal. The transmission means may perform wired communication such as an electric wire and an optical fiber, or may perform wireless communication.
FIG. 15 is a view showing an example of a screen on which data measured by the forceps system 1 is displayed on the external analysis device. As for the display in the figure, Motor0 represents the first rotary motor 8 (see FIG. 1) and Motor1 represents the second rotary motor 9 (see FIG. 1). As shown in FIG. 15, during operation of the forceps system 1, the position (Posisition), the velocity (Velocity) and the operating force (Force) of the first rotary motor 8 and the second rotary motor 9 may be confirmed in real time it can. Also, measurement data can be analyzed separately by recording measurement data by pressing the Start Record button. This makes it possible, for example, to quantify delicate force adjustments in the operation of the surgeon during surgery, and improve the skill of the surgeon.
The present invention is not limited to the above embodiment, and can be appropriately modified without departing from the scope of the present invention.

 本発明の鉗子システムは、より簡易で、従来のものと同じ感覚で使用でき、かつ操作性に優れた医療器具として利用することができる。特に、手術等で組織や臓器などをつかんだり牽引したりするための鉗子として、それ以外にも検査や診断などの器具として使用することができる。また、本発明の鉗子システムは、手術中の外科医の鉗子操作における繊細な力加減を定量化することなどが可能であり、外科医のスキル向上のためのトレーニング・ツールに利用することもできる。
 本出願は、2017年8月21日に出願された日本国特許出願2017−158330を基礎とする優先権を主張し、その開示の全てをここに取り込む。
The forceps system of the present invention can be used as a medical device that is simpler, can be used in the same sense as conventional ones, and has excellent operability. In particular, it can be used as a forceps for grasping or pulling a tissue or an organ or the like by an operation etc., as well as an instrument for an inspection or a diagnosis. In addition, the forceps system of the present invention can quantify delicate force changes in the operation of the forceps during surgery and can also be used as a training tool for improving the skills of the surgeon.
This application claims priority based on Japanese Patent Application No. 2017-158330 filed on Aug. 21, 2017, the entire disclosure of which is incorporated herein.

1 鉗子システム
2 軸部
3 把持部
4 ヘッド部
5 制御部
6 操作部
6a、8a、9a 回転軸
6b 穴
7 グリップ部
8 第1回転モータ
9 第2回転モータ
12 接続部
13a、13b、14b ピニオンギヤ
14a ラックギヤ
15 配線
18 操作部材
19 リンク機構
Reference Signs List 1 forceps system 2 shaft portion 3 grip portion 4 head portion 5 control portion 6 operation portion 6a, 8a, 9a rotation shaft 6b hole 7 grip portion 8 first rotation motor 9 second rotation motor 12 connection portion 13a, 13b, 14b pinion gear 14a Rack gear 15 Wiring 18 Operation member 19 Link mechanism

Claims (4)

 第1回転モータおよび第2回転モータを有するヘッド部と、
 前記ヘッド部に軸支され、前記第1回転モータと動力伝達機構を介して連結され、操作者によって操作される操作部と、
 前記ヘッド部に取り付けられた軸部と、
 前記軸部の先端に配設され、対象物を挟む把持部と、
 前記軸部を貫通し、一端がリンク機構を介して前記把持部と連結され、他端が前記第2回転モータと動力伝達機構を介して連結された操作部材と、
 前記第1回転モータおよび前記第2回転モータを制御する制御部と、を備え、
 前記制御部は、加速度基準のバイラテラル制御により、前記第1回転モータと前記第2回転モータの角度偏差に応じて、前記第1回転モータと前記第2回転モータの角度応答を制御し、前記第1回転モータと前記第2回転モータのトルク偏差に応じて、前記第1回転モータと前記第2回転モータのトルク応答を制御する、鉗子システム。
A head portion having a first rotation motor and a second rotation motor;
An operation unit axially supported by the head unit, coupled to the first rotary motor via a power transmission mechanism, and operated by an operator;
A shaft attached to the head;
A gripping portion disposed at the tip of the shaft and sandwiching the object;
An operation member which penetrates the shaft, one end is connected to the grip through a link mechanism, and the other end is connected to the second rotary motor through a power transmission mechanism;
A control unit configured to control the first rotation motor and the second rotation motor;
The control unit controls angular responses of the first rotary motor and the second rotary motor according to an angular deviation of the first rotary motor and the second rotary motor by bilateral control based on acceleration, and A forceps system for controlling the torque response of the first rotary motor and the second rotary motor in accordance with the torque deviation of the first rotary motor and the second rotary motor.
 前記制御部は、前記第1回転モータと前記第2回転モータとの間において、トルクおよび角度の少なくとも一方にスケーリングを生じさせる、請求項1に記載の鉗子システム。 The forceps system according to claim 1, wherein the control unit causes scaling in at least one of a torque and an angle between the first rotation motor and the second rotation motor.  前記軸部は、前記ヘッド部に対して着脱可能に構成されている、請求項1または請求項2に記載の鉗子システム。 The forceps system according to claim 1, wherein the shaft portion is configured to be attachable to and detachable from the head portion.  送信手段をさらに備え、前記送信手段は、前記制御部から、前記第1回転モータおよび前記第2回転モータのそれぞれにおける、トルクおよび角度のデータを取得し、当該データを外部解析装置に送信する、請求項1から3のいずれか一項に記載の鉗子システム。 The information processing apparatus further includes transmission means, and the transmission means acquires torque and angle data of each of the first rotation motor and the second rotation motor from the control unit, and transmits the data to an external analysis device. The forceps system according to any one of claims 1 to 3.
PCT/JP2018/031461 2017-08-21 2018-08-20 Dumpling system Ceased WO2019039612A2 (en)

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