WO2023138394A1 - Auxiliary delivery device and controlled-end portion used for vascular interventional surgical robot - Google Patents
Auxiliary delivery device and controlled-end portion used for vascular interventional surgical robot Download PDFInfo
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- WO2023138394A1 WO2023138394A1 PCT/CN2023/070797 CN2023070797W WO2023138394A1 WO 2023138394 A1 WO2023138394 A1 WO 2023138394A1 CN 2023070797 W CN2023070797 W CN 2023070797W WO 2023138394 A1 WO2023138394 A1 WO 2023138394A1
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- Prior art keywords
- shaped tube
- shuttle
- catheter
- channel
- slideway
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B34/32—Surgical robots operating autonomously
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0113—Mechanical advancing means, e.g. catheter dispensers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0116—Steering means as part of the catheter or advancing means; Markers for positioning self-propelled, e.g. autonomous robots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M25/09041—Mechanisms for insertion of guide wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B2034/301—Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B2034/305—Details of wrist mechanisms at distal ends of robotic arms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M2025/0177—Introducing, guiding, advancing, emplacing or holding catheters having external means for receiving guide wires, wires or stiffening members, e.g. loops, clamps or lateral tubes
Definitions
- the invention relates to the technical field of medical instruments, in particular to a delivery auxiliary device and a slave end part for a vascular interventional surgery robot.
- Minimally invasive vascular interventional surgery is the basic method for the diagnosis and treatment of cardiovascular and cerebrovascular diseases. Most of the current vascular disease diagnosis and vascular reconstruction operations require the help of this technology.
- the operation of guide wire and catheter is the core content of minimally invasive vascular interventional surgery, which determines the quality of surgery.
- interventional doctors use digital silhouette angiography (DSA) to manually complete the positioning of guide wires and catheters in patients' blood vessels.
- DSA digital silhouette angiography
- Guidewires, catheters, and balloon catheters are the basic instruments used in surgery.
- robotic devices for positioning operations of guide wires, catheters or other devices is beneficial to improve the accuracy and stability of positioning operations, liberate medical staff from radiation, avoid additional injuries caused by medical staff wearing heavy lead clothing, avoid unreliable intraoperative operations caused by fatigue of medical staff, improve the situation that traditional interventional surgery relies heavily on doctors' personal experience, reduce the learning curve of interventional surgery, and provide more precise operations for vascular interventional surgery.
- the medical catheter is a hollow tubular structure, and the inner cavity is used as a contrast agent injection channel or a medical device delivery channel. Since the rigidity of the catheter makes it difficult to complete blood vessel selection, a solid guide wire with strong flexibility is used to guide the catheter into the targeted blood vessel.
- the doctor punctures a blood vessel in the femoral or radial artery and places a vascular sheath as an entrance for the catheter to enter the blood vessel.
- the catheter is inserted through a vascular sheath into a blood vessel in the patient's body, and a guide wire is passed through a channel inside the catheter into the blood vessel.
- the interventional doctor and his assistant complete the control operation on the advancement, withdrawal and rotation of the catheter and guide wire with two hands and four hands.
- Catheter delivery and rotation are the core functions of interventional surgical robots.
- To realize the long-distance delivery function of catheters it is necessary to provide long-distance passing channels for catheters, and the passing channels and catheters are non-concentric structures. Therefore, a support device must be required to provide favorable opening support for the delivery of catheters on the passing channels.
- the catheter clamping controller in the domestic "Luban” interventional surgery robot uses a delivery auxiliary device, which is mainly composed of a spring and a C-shaped tube.
- the spring is placed on the periphery of the C-shaped tube to prevent the catheter from deviating from the C-shaped tube during delivery.
- this kind of catheter delivery aid has a complex structure, the length of the delivery aid pipe is short, and the risk of the catheter deviating from the pipe is high. Therefore, there is a need in the industry for delivery assist devices with further improved structural properties
- the purpose of the present invention is to overcome the defects of the traditional technology, and its purpose is to provide a delivery aid with a simple structure and low cost, which can provide a long-distance passing channel for the catheter.
- a delivery assisting device for a vascular interventional surgery robot includes a gag and a support tube;
- the support tube has a C-shaped tube structure, forming a circumferentially extending slot, and the C-shaped tube can be self-shrinking, so that the two circumferential ends are butted with each other or staggered to form a closed "O" shape;
- the gag includes a first C-shaped tube support, a second C-shaped tube support, a conduit support and a shuttle slideway;
- the first C-shaped tube support portion is provided with a first C-shaped tube channel through which the C-shaped tube passes;
- the conduit support portion is disposed adjacent to the first C-shaped tube support portion and longitudinally behind the first C-shaped tube support portion, and a conduit channel through which the conduit passes is provided on it;
- the shuttle-type slideway is arranged on the front end of the catheter support part or a part close to the front end, and is arranged obliquely to the side and rear relative to the catheter channel and extends to one side of the robot body, so that the C-shaped tube deviates from the path of the catheter;
- the second C-shaped tube support part is arranged behind the side of the shuttle-type slideway, and is located on one side of the robot body relative to the shuttle-type slideway.
- the second C-shaped tube support part is provided with a second C-shaped tube passage for the C-shaped pipe to pass through, and the channel opening on the longitudinal front end of the second C-shaped pipe passage is basically aligned with the shuttle-type slideway;
- the various components of the mouth gag are fixed in place on the front of the instrument operation box, the front end and the rear end of the C-shaped tube are respectively fixed to the front end and the rear end of the robot body, and are in a stretched state or a tensioned state.
- the C-shaped tube extends backward from the front end of the robot body, passes through the first C-shaped tube channel, is sleeved on the shuttle-type slideway, and then passes through the second C-shaped tube channel and continues to extend backward to the rear end of the robot body; the C-shaped tube is located between the shuttle-type slideway and the guide tube support
- the part at the connection position where the two parts are connected to each other is in the shape of a "C”
- the part of the C-shaped tube in front of the outlet of the catheter channel front end of the catheter support part is in a closed "O" shape
- the part of the C-shaped tube behind the longitudinal rear end of the shuttle slide is also in a closed "O" shape;
- the mouth gag can move back and forth with the instrument operation box relative to the C-shaped tube, the catheter can extend forward into the C-shaped tube through the catheter channel of the catheter support part and protrude through the front end outlet of the C-shaped tube, and the C-shaped tube supports the part of the catheter between the front end outlet of the C-shaped tube and the catheter channel front end outlet of the catheter support part.
- a secondary end part of a robot for vascular interventional surgery which includes a robot body and an instrument operation box, and the secondary end part is also provided with a delivery auxiliary device according to the first aspect of the present invention.
- the delivery aid provided can provide a long-distance passing channel for the catheter, provide stable support for the catheter, and provide a guarantee for the long-distance delivery of the catheter;
- the use of a C-shaped tube to form a channel solves the problem of large bends in catheter delivery, and further improves the delivery accuracy;
- the delivery aid of the present invention is simple in structure, small in size, and low in cost, and can be used as a disposable product.
- FIG. 1 is a perspective view illustrating a partial structure of a slave end portion of a robot for vascular interventional surgery
- Fig. 2 is a perspective view illustrating the instrument operation box and the catheter delivery aid fixedly mounted on the instrument operation box;
- Figure 3A is a perspective view of a C-shaped tube
- Figure 3B is a cross-sectional view of a C-shaped tube
- Fig. 3C is a plan view after the C-shaped tube is deployed
- Figure 4 is a perspective view illustrating one embodiment of the gag of the catheter delivery aid of the present invention.
- Figure 5 is a perspective view of the gag of the catheter delivery aid shown in Figure 4, seen from the bottom side;
- Fig. 6 is a partial perspective view, illustrating the front part of the instrument operation box and the opener fitted thereon;
- Fig. 7 is a partial perspective view, illustrating the second C-shaped tube support portion fixed on the instrument operation box
- Fig. 8 is a perspective view illustrating the installation state of the gag on the instrument operation box
- Figure 9 is a perspective view illustrating another embodiment of the gag.
- Fig. 10A illustrates yet another embodiment of the mouth gag of the present invention, wherein the first C-shaped tube support part is arranged on the instrument operation box;
- Fig. 10B is a perspective view illustrating the structure of other parts of the gag used with the first C-shaped tube support portion provided on the instrument operation box;
- Fig. 11A is a perspective view of the front end securing device in an assembled state
- Fig. 11B is a perspective view of the fixed plug of the front fixed device
- Fig. 11C is a sectional view taken along line A-A in Fig. 11B;
- Figure 11D is a perspective view of a fixed receptacle of the front fixed device
- Figure 11E is a sectional view taken along line B-B in Figure 11A;
- Fig. 12A is a perspective view of the rear fixing device before assembly, and the positioning cover is in an open state;
- Fig. 12B is a perspective view of the assembled rear-end fixing device, and the positioning cover is in a closed state;
- Figure 12C is a perspective view of the positioning mechanism of the rear end fixation device.
- Fig. 12D is a cross-sectional view taken along line C-C in Fig. 12C.
- FIG. 1 it illustrates a partial structure of a slave end portion of a robot for vascular interventional surgery in a perspective view.
- the slave end part includes a robot body 1 and an instrument operation box 2 .
- the robot body 1 includes a base mechanism and a power unit 3, and the power unit 3 is installed on a slider arranged in the base mechanism and moves together with the slider.
- One lateral side of the instrument operation box 2 is laterally connected to an adjacent side of the power unit 3 , and the instrument operation box 2 moves longitudinally together with the power unit 3 .
- the moving direction of the instrument operation box is defined as the longitudinal direction, and the width direction of the instrument operation box perpendicular to the longitudinal direction is defined as the transverse direction; the end of the instrument operation box facing the human blood vessel in use is called the front end, and the end facing away from the blood vessel is called the rear end; the side where the instrument operation box is located is called the upper side, and the side opposite to the instrument operation box is called the lower side.
- FIG. 2 is a perspective view illustrating the instrument operation box and the catheter delivery auxiliary device fixedly installed on the instrument operation box.
- the catheter delivery assisting device 80 includes an opener 81 and a support tube in the form of a C-shaped tube 82 whose two ends are respectively fixed on the front and rear ends of the robot body.
- FIG. 3A, 3B and 3C illustrate the C-shaped tube used in the catheter delivery aid of the present invention, wherein FIG. 3A is a perspective view of the C-shaped tube, FIG. 3B is a cross-sectional view of the C-shaped tube, and FIG. 3C is a plan view of the C-shaped tube after deployment.
- the C-shaped tube is formed with a circumferentially extending slot.
- the C-shaped tube is an open self-shrinking harness tube, which is in a closed "O" shape in a natural state.
- the two circumferential ends 85 and 86 of the tube are butted or staggered; and under the action of the expansion element or the two circumferential ends are under tension, the two circumferential ends are separated from each other to form an opening in a "C" shape.
- FIG. 3C illustrates a preferred embodiment of the C-shaped tube.
- the C-shaped tube of this embodiment has a plurality of intermediate slots 83 arranged in the center and spaced apart in the axial direction, and a plurality of edge slots 84 respectively arranged on both sides of the circumference and spaced apart in the axial direction.
- the intermediate slots 83 and the edge slots 84 are arranged alternately in the axial direction.
- the C-shaped tube of this embodiment has better flexibility and extensibility.
- the C-shaped pipe may also be provided with only one of the middle slot and the edge slot. Therefore, the illustrated embodiment is only used to illustrate a specific example of the C-shaped tube and not to limit its specific structure.
- the two ends of the C-shaped tube are fixed to the front and rear ends of the robot body by the fixing device, and the C-shaped tube is in a stretched state, preferably in a tensioned state.
- a portion of the catheter between the front end of the C-shaped tube and the tail end of the tube passes through the C-shaped tube, thereby being supported by the C-shaped tube.
- the gag 800 includes a first C-shaped tube support 801 , a second C-shaped tube support 802 (see FIGS. 2 and 7 ), a conduit support 803 and a shuttle slide 804 .
- the first C-shaped tube support part 801 , the catheter support part 803 and the shuttle slideway 804 are integrally formed.
- the opener includes a main body 811, and a first C-shaped pipe support portion 801 is disposed at the front of the main body in the form of a tube, forming a first C-shaped pipe passage 805 through which the C-shaped pipe passes.
- the opener and thus the first C-tube channel 805 moves back and forth relative to the C-tube, therefore, the C-tube needs to be movably disposed in the first C-tube channel 805 .
- the cross -section of the first C -shaped pipe channel is preferably circular. Its diameter is not specially limited.
- the diameter of the first C -shaped pipeline 805 is equal to or slightly larger than the C -shaped pipe tube under stretching or tension. On the one hand, the diameter is conducive to the positioning of the C -shaped pipe, and on the other hand, it is conducive to the C -shaped pipe through the first C -shaped pipe channel 805.
- the conduit support part 803 is cylindrical, and its longitudinal rear end is fixed on the main body 811.
- the conduit support part 803 is arranged adjacent to the first C-shaped tube support part 801 and is positioned behind the first C-shaped tube support part 801 in the longitudinal direction.
- a conduit passage 806 through which the conduit passes is arranged on it.
- the conduit passage 806 is opposite to the first C-shaped pipe passage 805.
- the shuttle-type slideway 804 is arranged on the catheter support part 803, and is connected with the front end of the catheter support part or a part close to the front end.
- the shuttle-type slideway 804 is arranged obliquely to the side and rear relative to the catheter channel 806 and extends to the side of the robot body, so that the C-shaped tube deviates from the path of the catheter.
- the junction where the shuttle slide and the conduit support interconnects can peel the C-tube apart so that the two circumferential ends of the C-tube sandwich the junction, in other words, the junction separates the two circumferential ends of the C-tube.
- the second C-shaped tube support part 802 is in the form of a bent tube, and is arranged behind the side and rear of the shuttle-type slideway, and is located on one side of the robot body.
- the second C-shaped pipe support portion defines a second C-shaped pipe passage through which the C-shaped pipe passes, including a first pipe section 812 and a second pipe section 813.
- the first pipe section 812 extends toward the shuttle slideway 804, and its passage opening is substantially aligned with the shuttle slideway.
- the second pipe section 813 extends longitudinally backward.
- the second C-shaped tube supporting portion 802 is used to position the C-shaped tube and limit the direction of the C-shaped tube.
- the second C-shaped tube channel of the second C-shaped tube support part is a channel bent at an obtuse angle, and the channel part defined by the first tube segment 812 and the second tube segment 813 has a smooth transition.
- the second C-shaped tube support 802 includes a first tube section 812 and a second tube section 813 in the form of bent tubes, but it should be noted that although this is a preferred solution, the second tube section 813 can also be omitted.
- the components of the gag are fixedly installed on the instrument operation box.
- two threaded holes 809 are formed on the bottom surface of the gag main body 811;
- an engaging groove 814 is formed on the bottom surface of the opener main body 811 for engaging on the front end wall 815 of the instrument operation box.
- the second C-shaped tube supporting part 802 can be fixed on the instrument operation box by screws.
- Fig. 8 and Fig. 7 illustrate the installation state of the gag on the instrument operation box.
- the main body 811 of the mouth gag is fixed on the instrument operation box 2, so that the first C-shaped tube support part 801, the catheter support part 803 and the shuttle slide 804 are fixed on the instrument operation box together with the gag main body 811, wherein the first C-shaped tube support part 801 is located in the notch 816 formed on the front wall of the instrument operation box; and the second C-shaped tube support part 802 is fixed on the instrument operation box by screws.
- the front end 816 and the rear end 817 of the C-shaped tube 82 are fixed to the front end 818 and the rear end 819 of the robot body 1 respectively, and are in a stretched state or a tensioned state.
- the C-shaped tube extends backward from the front end of the robot body, passes through the first C-shaped tube channel 805, is sleeved on the shuttle slide 804, then passes through the second C-shaped tube channel and continues to extend backward to the rear end of the robot body.
- the part of the C-shaped tube located at the connection site where the shuttle-type slideway and the catheter support part are connected to each other is peeled off by the connection site, and the part of the C-shaped tube located in front of the outlet at the front end of the catheter channel of the catheter support part is in a closed "O" shape, and the part of the C-shaped tube located at the longitudinal rear end of the shuttle-type slideway is also in a closed "O" shape.
- the catheter is inserted into the catheter channel of the catheter support part from the rear end, then extends into the C-shaped tube and extends all the way forward, protruding through the front end of the C-shaped tube.
- the operating principle of the gag of the present invention is as follows.
- the C-shaped tube is always in a stretched state or a tensioned state, and the part of the C-shaped tube between the front end of the robot body and the front end outlet of the catheter channel of the catheter support part is in a closed "O" shape, forming a support tube, forming a stable support for the catheter part between the front end outlet of the C-shaped tube and the front end outlet of the catheter channel of the catheter support part.
- connection part can be in the shape of a cylinder, an ellipse or other similar shapes, as long as the C-shaped tube can be stretched to form a "C" shape and can be reliably attached to the inner peripheral surface of the C-shaped tube.
- the connecting portion 807 of the shuttle slideway connected to the conduit support portion 803 is approximately olive-shaped, and the olive-shaped portion includes a length whose outer contour size is set such that the C-shaped tube on the length is stretched by the shuttle slideway and fits the outer surface of the shuttle slideway to form a "C" shape.
- the shuttle-type slideway also includes tapered portions at both ends, preferably, the diameter of the free end of the tapered portion is smaller than the inner diameter of the C-shaped tube in a stretched or tensioned state, so as to guide the movement of the gag relative to the C-shaped tube.
- the end of the opener shuttle slideway is rounded.
- the opener further includes a stopper. 2, 7 and 8, since the channel opening of the first C-shaped tube channel 805 of the first C-shaped tube supporting part 801 and the channel opening of the first tube section 812 of the second C-shaped tube supporting part 802 are not aligned with each other, the connecting line of the two may not coincide with the shuttle slideway, so the C-shaped tube in a stretched state or a tensioned state tends to move to one side of the connecting line and deviates. If the deviation is too large, the operation of the catheter delivery auxiliary device will be affected.
- a stop portion is provided on one side of the connecting line to prevent the C-shaped tube from shifting.
- the blocking part 820 is integrally formed with the second C-shaped pipe support part 802, and is located at the front of the first pipe section 812, in the form of a circular arc plate, and its longitudinal front end is adjacent to the connecting part where the shuttle-type slideway and the conduit support part are connected to each other.
- the abutting portion may also be tubular, formed by the extension of the first pipe section 812; or, the abutting portion may also be an independent component, which is fixed on the instrument operation box during use.
- the first C-shaped tube supporting portion 801 is in the form of a tube, but in the embodiment shown in FIG. 9 , the first C-shaped tube supporting portion 821 is in the form of a rectangular block, on which the first C-shaped tube channel 822 is formed.
- Other aspects of the gag of this embodiment are the same as those of the previous embodiment, and the description thereof is omitted here.
- FIG. 10A and Fig. 10B another embodiment of the mouth gag of the present invention is illustrated.
- the first C-shaped tube support portion, the conduit support portion, and the shuttle slideway 804 are integrally formed, while in this embodiment, the conduit support portion 824 is integrally formed with the shuttle slideway 825, and the first C-shaped tube support portion 822 is disposed on the front wall of the instrument operation box.
- the assembly composed of the catheter support part 824 and the shuttle slideway 82 is fixed on the instrument operation box, and cooperates with the first C-shaped tube support part 822 arranged on the instrument operation box.
- the working principle of the embodiment shown in FIG. 10A and FIG. 10B is the same as that of the previous embodiment, and will not be repeated for the sake of brevity.
- the fixing device for fixing the front end and the rear end of the C-shaped pipe to the front end and the rear end of the robot body will be briefly described below in conjunction with the accompanying drawings. What needs to be emphasized here is that the specific fixing method and specific fixing device of the front end and rear end of the C-shaped tube on the front end and rear end of the robot body are not the invention point of the present invention, and the listed embodiments are only for the purpose of illustration.
- FIG. 11A-Fig. 11E it illustrates the front end fixing device that the front end of C-shaped pipe is fixed on the robot body front end, and wherein Fig. 11A is the perspective view of the front end fixing device in the assembled state; Fig. 11B is the perspective view of the fixed plug of the front end fixing device;
- the front-end fixing device 830 includes a fixed plug 840 and a fixed socket 850, the fixed plug 840 is fixedly installed on the front end of the C-shaped pipe 82, and the fixed socket 850 is fixedly installed on the front end 818 of the robot body, by inserting the fixed plug 840 on the fixed socket 850, the front end of the C-shaped pipe is fixed on the front end of the robot body.
- the fixed plug 840 includes a main body 841 and a sleeve 842.
- the main body 841 includes two opposite plate portions 843 spaced apart from each other and an arc portion 844 connecting the two plate portions.
- One of the two plate portions is formed with a screw hole 845, and the other is formed with a threaded hole (not shown in the figure), and the free ends of the two plate portions are respectively provided with engagement protrusions 846 and 847.
- the sleeve 842 When fixing the fixed plug 840 on the end of the C-shaped tube, the sleeve 842 is installed in the hole defined by the arc portion, the C-shaped tube 82 is arranged between the arc portion and the sleeve 842, and then the two plate portions 843 are fastened together by screws, and then the C-shaped tube is fixed on the fixed plug by clamping force.
- the fixed socket 850 includes a button 851 and a housing 852.
- the front of the housing is formed with a socket 853 for inserting the fixed plug 840.
- the top of the housing 852 is formed with an aperture 855.
- the button 851 is inserted in the aperture and can move up and down.
- a spring 854 is arranged between the lower surface of the bottom wall 856 of the button 851 and the upper surface of the housing bottom wall.
- the bottom wall 856 of the button 851 extends forward and forms a protrusion 857.
- the inner side of the protrusion 857 forms an engaging surface 858 abutted against the engaging protrusion 847 of the fixed plug 840;
- the fixed plug 840 When the front end of the C-shaped tube is fixed to the front end of the robot body, the fixed plug 840 is inserted into the socket 853 of the fixed socket 850, the engaging protrusion 847 of the fixed plug abuts against the protrusion 857 on the button and the button is pressed down through the protrusion 857. After the engaging protrusion 847 passes over the protrusion 857, the button 851 moves upward under the action of the spring 854, so that the engaging protrusions 846 and 847 respectively contact the engaging surfaces 859 and 857 on the fixed socket. 858, thereby completing the connection and fixation of the fixed plug to the fixed socket. When disassembling, the fixing plug can be removed by pressing down the button 851 to release the abutment between the engaging protrusion and the engaging surface.
- FIG. 12A-Fig. 12D it illustrates the rear end fixing device that the rear end of C-shaped tube is fixed on the rear end of the robot body, wherein Fig. 12A is a perspective view before assembly of the rear end fixing device, and the positioning cover is in an open state; Fig. 12B is a perspective view after the assembly of the end fixing device, and the positioning cover is in a closed state; Fig. 12C is a perspective view of the positioning mechanism of the rear end fixing device; Fig. 12D is a sectional view taken along line C-C in Fig. 12C.
- the rear-end fixing device 860 includes a positioning mechanism 861 fixed at the rear end of the robot body, and a blocking device 862 arranged at the rear end of the C-shaped tube.
- the stopper includes a sleeve member 863, a helical spring 864 and an end member 865.
- the sleeve member 863 is cylindrical and open toward one end of the end member 865.
- the other end includes an annular bottom wall 866.
- the annular bottom wall defines a circular hole 867 for the C-shaped tube to pass through.
- the inner diameter of the sleeve member is greater than or equal to the outer diameter of the helical spring 864.
- the diameter of the circular hole 867 is smaller than the outer diameter of the helical spring.
- the helical spring can be fixedly connected with the annular bottom wall 866; The longitudinal rear end of 864 and the C-shaped tube rear end are fixed to said end piece 865 .
- the coil spring is sleeved on the C-shaped tube and located between the bottom wall 866 of the sleeve member and the end member 865 , the sleeve member is sleeved on the C-shaped tube, and the open end faces the side of the coil spring.
- the positioning mechanism 861 includes a positioning main body 868 and a positioning cover 869, the positioning main body is fixed to the rear end of the robot body, and a positioning channel 871 for placing a C-shaped pipe is provided on it; the front lower side of the positioning cover is hinged with the positioning main body through a pivot 870, so that it can pivot between an open position and a closed position.
- the positioning cover includes a pressing member 872 and an operating rod 873 .
- the pressing member 872 includes two side walls 874 spaced apart in the longitudinal direction.
- the lower part of the two side walls 874 of the pressing member 872 is provided with a pressing portion 878, when the positioning cover 869 is closed, it presses against the C-shaped tube disposed between the positioning channel 871 of the positioning body and the positioning cover with moderate pressure.
- An engaging protrusion 876 is provided at the inner lower end of the operating rod 873 for abutting against an engaging surface 877 provided on the positioning main body 868 to lock the positioning cover on the positioning main body.
- a biasing spring 879 is disposed between the pressing member 872 and the operating rod 873 , and the biasing spring biases the operating rod 873 toward the locking position.
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Abstract
Description
本发明涉及医疗器械技术领域,特别是涉及一种用于血管介入手术机器人的递送辅助装置及从端部分。The invention relates to the technical field of medical instruments, in particular to a delivery auxiliary device and a slave end part for a vascular interventional surgery robot.
微创血管介入手术是心脑血管疾病诊断、治疗的基本手段,目前实施的多数血管病变诊断、血管重建手术都需借助这项技术。导丝、导管的操作是微创血管介入手术的核心内容,决定着手术质量。目前,介入医生借助数字剪影血管造影成像技术(DSA)手动完成导丝、导管在病人血管内的定位操作。导丝、导管和球囊导管是手术中使用的基本器械。使用机器人装置进行导丝、导管或其他器械定位操作,有利于提高定位操作精度与稳定度、将医护人员从辐射中解放出来、避免医护人员因穿厚重铅衣而带来的附加伤害、避免医护人员因疲倦而造成术中操作不可靠的情况、改善传统介入手术极度依赖医生个人经验的情况、降低介入手术的学习曲线、为血管介入手术提供更精确的操作。Minimally invasive vascular interventional surgery is the basic method for the diagnosis and treatment of cardiovascular and cerebrovascular diseases. Most of the current vascular disease diagnosis and vascular reconstruction operations require the help of this technology. The operation of guide wire and catheter is the core content of minimally invasive vascular interventional surgery, which determines the quality of surgery. At present, interventional doctors use digital silhouette angiography (DSA) to manually complete the positioning of guide wires and catheters in patients' blood vessels. Guidewires, catheters, and balloon catheters are the basic instruments used in surgery. The use of robotic devices for positioning operations of guide wires, catheters or other devices is beneficial to improve the accuracy and stability of positioning operations, liberate medical staff from radiation, avoid additional injuries caused by medical staff wearing heavy lead clothing, avoid unreliable intraoperative operations caused by fatigue of medical staff, improve the situation that traditional interventional surgery relies heavily on doctors' personal experience, reduce the learning curve of interventional surgery, and provide more precise operations for vascular interventional surgery.
医用导管为空腔管状结构,内部的空腔用作造影剂注射通道或医疗器械输送通道。由于导管硬度较强不便于完成血管选择,因而采用柔顺性较强的实心导丝引导导管进入靶定血管。手术过程中,医生在股动脉或桡动脉进行血管穿刺并留置血管鞘,作为导管进入血管的入口。导管经血管鞘入患者体内的血管,导丝从导管内部的通道进入血管。通常由介入医生与其副手两人四手完成对导管、导丝的前进、后撤以及旋转的控制操作。The medical catheter is a hollow tubular structure, and the inner cavity is used as a contrast agent injection channel or a medical device delivery channel. Since the rigidity of the catheter makes it difficult to complete blood vessel selection, a solid guide wire with strong flexibility is used to guide the catheter into the targeted blood vessel. During the procedure, the doctor punctures a blood vessel in the femoral or radial artery and places a vascular sheath as an entrance for the catheter to enter the blood vessel. The catheter is inserted through a vascular sheath into a blood vessel in the patient's body, and a guide wire is passed through a channel inside the catheter into the blood vessel. Usually, the interventional doctor and his assistant complete the control operation on the advancement, withdrawal and rotation of the catheter and guide wire with two hands and four hands.
导管递送与旋转是介入手术机器人中的核心功能,要实现导管的长距离递送功能,就需要为导管提供长距离的通过通道,而通过通道与导管又是非同心结构,因此就必须需要一个支撑装置为导管在通过通道上的递送提供有利的开口支撑。Catheter delivery and rotation are the core functions of interventional surgical robots. To realize the long-distance delivery function of catheters, it is necessary to provide long-distance passing channels for catheters, and the passing channels and catheters are non-concentric structures. Therefore, a support device must be required to provide favorable opening support for the delivery of catheters on the passing channels.
国内的“鲁班”介入手术机器人中的管丝夹持控制器应用了递送辅助 装置,该装置主要由弹簧和C形管构成,弹簧套在C形管外围,防止导管递送过程中偏离C形管管道。The catheter clamping controller in the domestic "Luban" interventional surgery robot uses a delivery auxiliary device, which is mainly composed of a spring and a C-shaped tube. The spring is placed on the periphery of the C-shaped tube to prevent the catheter from deviating from the C-shaped tube during delivery.
然而,该种导管递送辅助装置结构复杂,递送辅助管道长度短,导管偏离管道的风险大。因此,业内存在对结构性能进一步改善的递送辅助装置的需求However, this kind of catheter delivery aid has a complex structure, the length of the delivery aid pipe is short, and the risk of the catheter deviating from the pipe is high. Therefore, there is a need in the industry for delivery assist devices with further improved structural properties
发明内容Contents of the invention
本发明旨在克服传统技术存在的缺陷,其目的是提供一种递送辅助装置,其结构简单、成本低、能够为导管提供长距离的通过通道。The purpose of the present invention is to overcome the defects of the traditional technology, and its purpose is to provide a delivery aid with a simple structure and low cost, which can provide a long-distance passing channel for the catheter.
为实现上述目的,根据本发明第一方面,提供了一种用于血管介入手术机器人的递送辅助装置,该递送辅助装置包括开口器以及支撑管筒;In order to achieve the above object, according to the first aspect of the present invention, a delivery assisting device for a vascular interventional surgery robot is provided, the delivery assisting device includes a gag and a support tube;
所述支撑管筒呈C形管结构,形成有一条周向延伸的槽缝,该C形管可自收缩,使得两个周向端部彼此对接或者交错贴合而呈封闭的“O”形;The support tube has a C-shaped tube structure, forming a circumferentially extending slot, and the C-shaped tube can be self-shrinking, so that the two circumferential ends are butted with each other or staggered to form a closed "O" shape;
所述开口器包括第一C形管支承部、第二C形管支承部、导管支承部以及梭子式滑道;The gag includes a first C-shaped tube support, a second C-shaped tube support, a conduit support and a shuttle slideway;
所述第一C形管支承部上设置有供所述C形管从中穿过的第一C形管通道;The first C-shaped tube support portion is provided with a first C-shaped tube channel through which the C-shaped tube passes;
所述导管支承部与所述第一C形管支承部相邻设置并在纵向上位于所述第一C形管支承部后面,其上设置有导管从中穿过的导管通道;The conduit support portion is disposed adjacent to the first C-shaped tube support portion and longitudinally behind the first C-shaped tube support portion, and a conduit channel through which the conduit passes is provided on it;
所述梭子式滑道设置在所述导管支承部的前端部或靠近前端部的部分上,相对于所述导管通道向侧后方倾斜设置并伸向机器人本体一侧,使得C形管偏离开导管的路径;The shuttle-type slideway is arranged on the front end of the catheter support part or a part close to the front end, and is arranged obliquely to the side and rear relative to the catheter channel and extends to one side of the robot body, so that the C-shaped tube deviates from the path of the catheter;
所述第二C形管支承部设置在所述梭子式滑道的侧后方,相对于梭子式滑道位于机器人本体一侧,所述第二C形管支承部设置有供所述C形管从中穿过的第二C形管通道,所述第二C形管通道的纵向靠前的一端上的通道口与所述梭子式滑道基本对正;The second C-shaped tube support part is arranged behind the side of the shuttle-type slideway, and is located on one side of the robot body relative to the shuttle-type slideway. The second C-shaped tube support part is provided with a second C-shaped tube passage for the C-shaped pipe to pass through, and the channel opening on the longitudinal front end of the second C-shaped pipe passage is basically aligned with the shuttle-type slideway;
组装状态下,所述开口器的各个组成部件固定就位在器械操作盒的前部上,所述C形管的前端和后端分别固定于机器人本体的前端和后端,并处于伸展状态或张紧状态,所述C形管从机器人本体的前端向后延伸、穿过所述第一C形管通道、套设于所述梭子式滑道、随后穿过所述第二C形管通道并继续向后延伸至机器人本体的后端;所述C形管的位于所述梭子 式滑道与所述导管支承部相互连接的连接部位处的部分呈“C”形,而所述C形管的位于所述导管支承部的导管通道前端出口前面的部分呈封闭的“O”形状态,所述C形管的位于所述梭子式滑道纵向后端后面的部分也呈封闭的“O”形状态;In the assembled state, the various components of the mouth gag are fixed in place on the front of the instrument operation box, the front end and the rear end of the C-shaped tube are respectively fixed to the front end and the rear end of the robot body, and are in a stretched state or a tensioned state. The C-shaped tube extends backward from the front end of the robot body, passes through the first C-shaped tube channel, is sleeved on the shuttle-type slideway, and then passes through the second C-shaped tube channel and continues to extend backward to the rear end of the robot body; the C-shaped tube is located between the shuttle-type slideway and the guide tube support The part at the connection position where the two parts are connected to each other is in the shape of a "C", and the part of the C-shaped tube in front of the outlet of the catheter channel front end of the catheter support part is in a closed "O" shape, and the part of the C-shaped tube behind the longitudinal rear end of the shuttle slide is also in a closed "O" shape;
所述开口器随器械操作盒一起可相对于所述C形管前后移动,导管可经由导管支承部的导管通道向前伸入C形管中并经由C形管前端出口伸出,所述C形管对所述导管的位于C形管前端出口与所述导管支承部的导管通道前端出口之间的部分进行支撑。The mouth gag can move back and forth with the instrument operation box relative to the C-shaped tube, the catheter can extend forward into the C-shaped tube through the catheter channel of the catheter support part and protrude through the front end outlet of the C-shaped tube, and the C-shaped tube supports the part of the catheter between the front end outlet of the C-shaped tube and the catheter channel front end outlet of the catheter support part.
根据本发明另一方面,提供了一种用于血管介入手术机器人的从端部分,其包括机器人本体以及器械操作盒,该从端部分上还设置有根据本发明第一方面提供的递送辅助装置。According to another aspect of the present invention, there is provided a secondary end part of a robot for vascular interventional surgery, which includes a robot body and an instrument operation box, and the secondary end part is also provided with a delivery auxiliary device according to the first aspect of the present invention.
采用本发明技术方案,所提供的递送辅助装置能够为导管提供长距离的通过通道,对导管提供稳定的支撑,为导管长距离递送提供了保证;采用C型管来形成通道解决了导管递送中出现较大弯曲的问题,进一步提高了递送精度;本发明的递送辅助装置结构简单、尺寸小、成本低,可作为一次性用品使用。By adopting the technical scheme of the present invention, the delivery aid provided can provide a long-distance passing channel for the catheter, provide stable support for the catheter, and provide a guarantee for the long-distance delivery of the catheter; the use of a C-shaped tube to form a channel solves the problem of large bends in catheter delivery, and further improves the delivery accuracy; the delivery aid of the present invention is simple in structure, small in size, and low in cost, and can be used as a disposable product.
下面结合附图和实施例对本发明作进一步详细说明,其中Below in conjunction with accompanying drawing and embodiment the present invention is described in further detail, wherein
图1是透视图,图示了用于血管介入手术机器人的从端部分的部分结构;1 is a perspective view illustrating a partial structure of a slave end portion of a robot for vascular interventional surgery;
图2是透视图,图示了器械操作盒以及固定安装在器械操作盒上的导管递送辅助装置;Fig. 2 is a perspective view illustrating the instrument operation box and the catheter delivery aid fixedly mounted on the instrument operation box;
图3A是C形管的透视图;Figure 3A is a perspective view of a C-shaped tube;
图3B是C形管的横截面视图;Figure 3B is a cross-sectional view of a C-shaped tube;
图3C是C形管展开后的平面视图;Fig. 3C is a plan view after the C-shaped tube is deployed;
图4是透视图,图示了本发明的导管递送辅助装置的开口器的一个实施例;Figure 4 is a perspective view illustrating one embodiment of the gag of the catheter delivery aid of the present invention;
图5是从底侧看到的图4所示导管递送辅助装置的开口器的透视图;Figure 5 is a perspective view of the gag of the catheter delivery aid shown in Figure 4, seen from the bottom side;
图6是局部透视图,图示了器械操作盒前部与配装其上的开口器;Fig. 6 is a partial perspective view, illustrating the front part of the instrument operation box and the opener fitted thereon;
图7是局部透视图,图示了固定在器械操作盒上的第二C形管支承 部;Fig. 7 is a partial perspective view, illustrating the second C-shaped tube support portion fixed on the instrument operation box;
图8是透视图,图示了开口器在器械操作盒上的安装状态;Fig. 8 is a perspective view illustrating the installation state of the gag on the instrument operation box;
图9是透视图,图示了开口器的另一个实施例;Figure 9 is a perspective view illustrating another embodiment of the gag;
图10A图示了本发明开口器的又一个实施例,其中第一C形管支承部设置在器械操作盒上;Fig. 10A illustrates yet another embodiment of the mouth gag of the present invention, wherein the first C-shaped tube support part is arranged on the instrument operation box;
图10B是透视图,图示了与设置在器械操作盒上的第一C形管支承部配用的开口器的其它部分的结构;Fig. 10B is a perspective view illustrating the structure of other parts of the gag used with the first C-shaped tube support portion provided on the instrument operation box;
图11A是前端固定装置在组装状态下的透视图;Fig. 11A is a perspective view of the front end securing device in an assembled state;
图11B是前端固定装置的固定插头的透视图;Fig. 11B is a perspective view of the fixed plug of the front fixed device;
图11C是沿图11B中A-A线截取的剖视图;Fig. 11C is a sectional view taken along line A-A in Fig. 11B;
图11D是前端固定装置的固定插座的透视图;Figure 11D is a perspective view of a fixed receptacle of the front fixed device;
图11E是沿图11A中B-B线截取的剖视图;Figure 11E is a sectional view taken along line B-B in Figure 11A;
图12A是后端固定装置组装前的透视图,定位盖处于打开状态;Fig. 12A is a perspective view of the rear fixing device before assembly, and the positioning cover is in an open state;
图12B是后端固定装置组装后的透视图,定位盖处于闭合状态;Fig. 12B is a perspective view of the assembled rear-end fixing device, and the positioning cover is in a closed state;
图12C是后端固定装置的定位机构的透视图;以及Figure 12C is a perspective view of the positioning mechanism of the rear end fixation device; and
图12D是沿图12C中C-C线截取的剖视图。Fig. 12D is a cross-sectional view taken along line C-C in Fig. 12C.
下面对本发明的用于血管介入手术机器人的导管递送辅助装置进行详细的说明。在此,应当指出,本发明的实施例仅仅是例示性的,其仅用于说明本发明的原理而非限制本发明。The catheter delivery assisting device for a vascular interventional surgery robot of the present invention will be described in detail below. Here, it should be pointed out that the embodiments of the present invention are only illustrative, which are only used to explain the principle of the present invention rather than limit the present invention.
首先参见图1,其以透视图的形式图示了用于血管介入手术机器人的从端部分的部分结构。如图1所示,从端部分包括机器人本体1和器械操作盒2。机器人本体1包括基座机构和动力单元3,动力单元3安装在设置在基座机构中的滑块上并随滑块一起移动。器械操作盒2的横向一侧与所述动力单元3的相邻一侧侧向连接,器械操作盒2随动力单元3一起纵向移动。Referring first to FIG. 1 , it illustrates a partial structure of a slave end portion of a robot for vascular interventional surgery in a perspective view. As shown in FIG. 1 , the slave end part includes a
为了描述的方便,在以下的说明以及申请文件其它部分中,器械操作盒的移动方向定义为纵向,器械操作盒的与纵向垂直的宽度方向定义为横向;使用中器械操作盒朝向人体血管的一端称为前端,背离血管的一端称为后端;器械操作盒操作面所在一侧称为上侧,与器械操作盒操作 面相对的一侧称为下侧。For the convenience of description, in the following description and other parts of the application documents, the moving direction of the instrument operation box is defined as the longitudinal direction, and the width direction of the instrument operation box perpendicular to the longitudinal direction is defined as the transverse direction; the end of the instrument operation box facing the human blood vessel in use is called the front end, and the end facing away from the blood vessel is called the rear end; the side where the instrument operation box is located is called the upper side, and the side opposite to the instrument operation box is called the lower side.
下面参见图2,图2是透视图,图示了器械操作盒以及固定安装在器械操作盒上的导管递送辅助装置。如图2所示,导管递送辅助装置80包括开口器81和支撑管筒,支撑管筒呈C形管82的形式,其两端分别固定在机器人本体的前后两端。Referring now to FIG. 2 , FIG. 2 is a perspective view illustrating the instrument operation box and the catheter delivery auxiliary device fixedly installed on the instrument operation box. As shown in FIG. 2 , the catheter
图3A、图3B和图3C图示了本发明导管递送辅助装置所用的C形管,其中图3A是C形管的透视图,图3B是C形管的横截面图,而图3C是C形管展开后的平面视图。如图3A和图3B所示,C形管形成有一条周向延伸的槽缝,C形管是一种开放式可自收缩束线管,自然状态呈闭合的“O”形,管的两个周向端部85和86对接或者交错贴合;而在扩张元件作用下或者两个周向端部受拉力状态下,两个周向端部彼此分离形成开口而呈“C”形。3A, 3B and 3C illustrate the C-shaped tube used in the catheter delivery aid of the present invention, wherein FIG. 3A is a perspective view of the C-shaped tube, FIG. 3B is a cross-sectional view of the C-shaped tube, and FIG. 3C is a plan view of the C-shaped tube after deployment. As shown in Fig. 3A and Fig. 3B, the C-shaped tube is formed with a circumferentially extending slot. The C-shaped tube is an open self-shrinking harness tube, which is in a closed "O" shape in a natural state. The two circumferential ends 85 and 86 of the tube are butted or staggered; and under the action of the expansion element or the two circumferential ends are under tension, the two circumferential ends are separated from each other to form an opening in a "C" shape.
C形管可以表现为多种形式,最常见的一种形式是在完整圆管上形成一条周向延伸的贯穿槽缝。图3C图示了C形管一种优选实施方式,如图3C所示,在平面展开图中,该实施方式的C形管具有居中设置、沿轴向间隔开的多个中间槽缝83,以及分别设置在周向两侧、沿轴向间隔开的多个边缘槽缝84,中间槽缝83与边缘槽缝84沿轴向交错设置。该实施方式的C形管具有较好的挠性与伸展性。C-tubes can take a variety of forms, the most common being a full circular tube formed with a circumferentially extending through slot. Fig. 3C illustrates a preferred embodiment of the C-shaped tube. As shown in Fig. 3C, in the plan view, the C-shaped tube of this embodiment has a plurality of
作为图3C所示实施例的一种改型,C形管也可以仅只设置中间槽缝和边缘槽缝中的一种。因此,所示实施例仅只是用于说明C形管的具体实例而非限制其特定结构。As a modification of the embodiment shown in Fig. 3C, the C-shaped pipe may also be provided with only one of the middle slot and the edge slot. Therefore, the illustrated embodiment is only used to illustrate a specific example of the C-shaped tube and not to limit its specific structure.
在使用中,C形管两端通过固定装置固定在机器人本体的前后端,并使C形管处于伸展状态,且优选地处于张紧状态。导管的位于所述C形管前端与导管尾端之间的部分从C形管中穿过,从而受到C形管的支撑。In use, the two ends of the C-shaped tube are fixed to the front and rear ends of the robot body by the fixing device, and the C-shaped tube is in a stretched state, preferably in a tensioned state. A portion of the catheter between the front end of the C-shaped tube and the tail end of the tube passes through the C-shaped tube, thereby being supported by the C-shaped tube.
下面参见图4-图7以及图2,其图示了本发明的导管递送辅助装置的开口器的一个实施例。如图4、图7和图2所示,开口器800包括第一C形管支承部801、第二C形管支承部802(请参见图2和图7)、导管支承部803以及梭子式滑道804。Referring to Fig. 4-7 and Fig. 2, an embodiment of the gag of the catheter delivery aid of the present invention is illustrated. As shown in FIG. 4 , FIG. 7 and FIG. 2 , the
该实施例的导管递送辅助装置的开口器中,第一C形管支承部801、导管支承部803以及梭子式滑道804一体形成。In the opener of the catheter delivery auxiliary device in this embodiment, the first C-shaped
如图4所示,开口器包括主体811,第一C形管支承部801设置在主 体的前部并呈管筒形式,形成有C形管从中穿过的第一C形管通道805。操作期间,开口器从而第一C形管通道805相对于C形管前后移动,因此,C形管需要可移动地设置在第一C形管通道805中。第一C形管通道的通道截面优选地呈圆形,其直径不做特别限定,只要能够实现第一C形管通道805与C形管之间的相对运动以及C形管在第一C形管通道805中的定位即可,作为一种优选的方案,第一C形管通道805的直径等于或稍微大于使用中处于伸展或张紧状态下的C形管的直径,一方面有利于C形管的定位,另一方面有利于C形管从第一C形管通道805中穿行。As shown in FIG. 4 , the opener includes a
导管支承部803呈圆柱形,其纵向后端固定在主体811上,导管支承部803与所述第一C形管支承部801相邻设置并在纵向上位于所述第一C形管支承部801后面,其上设置有导管从中穿过的导管通道806,导管通道806与第一C形管通道805相对。The
所述梭子式滑道804设置在所述导管支承部803上,与导管支承部的前端部或靠近前端部的部分连接,梭子式滑道804相对于导管通道806向侧后方倾斜设置并伸向机器人本体一侧,使得C形管偏离开导管的路径。所述梭子式滑道与所述导管支承部相互连接的连接部分可将C形管剥离开,从而C形管的两个周向端部将该连接部分夹置其间,换句话说,该连接部分将C形管的两个周向端部隔开。The shuttle-
请参见图2和图7,所述第二C形管支承部802呈弯折管的形式,设置在所述梭子式滑道的侧后方,位于机器人本体一侧。所述第二C形管支承部限定所述C形管从中穿过的第二C形管通道,包括第一管段812和第二管段813,第一管段812朝向梭子式滑道804延伸,其通道口与所述梭子式滑道基本对正,所述第二管段813沿纵向向后延伸。所述第二C形管支承部802用以对C形管进行定位并限定C形管的走向。在图示实施例中,第二C形管支承部的第二C形管通道为呈钝角弯折的通道,第一管段812和第二管段813限定的通道部分呈平滑过渡。在所示实施例中,第二C形管支承部802包括呈弯折管形式的第一管段812和第二管段813,但需要指出的是,虽然这是一种优选的方案,第二管段813也可以省去不用。Please refer to FIG. 2 and FIG. 7 , the second C-shaped
使用状态下,开口器各组成部件固定地安装在器械操作盒上。为此,如图5所示,开口器主体811的底面上形成有两个螺纹孔809;与此相对应,如图6所示,器械操作盒的安装面上形成有两个贯穿的螺钉孔810,由 此开口器主体可利用螺钉固定在器械操作盒上。此外,如图4所示,开口器主体811的底面上还形成有卡槽814,用以卡装在器械操作盒的前端壁815上。第二C形管支承部802可通过螺钉固定在器械操作盒上。In the state of use, the components of the gag are fixedly installed on the instrument operation box. For this reason, as shown in Figure 5, two threaded holes 809 are formed on the bottom surface of the gag
下面参见图8和图7,其图示了开口器在器械操作盒上的安装状态。如图8所示,所述开口器的主体811固定在器械操作盒2上,从而第一C形管支承部801、导管支承部803以及梭子式滑道804连同开口器主体811一起固定就位在器械操作盒上,其中第一C形管支承部801位于器械操作盒前壁上形成的凹口816中;而第二C形管支承部802通过螺钉固定在器械操作盒上。Referring to Fig. 8 and Fig. 7 below, they illustrate the installation state of the gag on the instrument operation box. As shown in Figure 8, the
在导管递送辅助装置的组装状态下,请参见图2、图7和图8,所述C形管82的前端816和后端817分别固定于机器人本体1的前端818和后端819,并处于伸展状态或张紧状态。所述C形管从机器人本体的前端向后延伸、穿过第一C形管通道805、套设于所述梭子式滑道804、随后穿过所述第二C形管通道并继续向后延伸至机器人本体的后端。所述C形管的位于所述梭子式滑道与所述导管支承部相互连接的连接部位处的部分被该连接部位剥离开,所述C形管的位于所述导管支承部的导管通道前端出口前面的部分呈封闭的“O”形状态,而所述C形管的位于梭子式滑道纵向后端的部分也呈封闭的“O”形状态。此外,如图8所示,导管从后端插入导管支承部的导管通道、随后伸入C形管中并一路向前延伸,经由C形管的前端伸出。In the assembled state of the catheter delivery aid, please refer to FIG. 2 , FIG. 7 and FIG. 8 , the
本发明开口器的工作原理如下。The operating principle of the gag of the present invention is as follows.
如图2和7所示,当器械操作盒连同开口器一起沿箭头A所示纵向方向或与之相反的方向相对于C形管移动时,所述梭子式滑道与所述导管支承部相互连接的连接部分将C形管的相应部位剥离开,随着开口器的移动,C形管的被剥离开的部位相对于开口器向后移动,当移过所述梭子式滑道与所述导管支承部相互连接的连接部分后,C形管靠其自身的弹性恢复到呈“O”形的状态。因此,在操作期间,C形管始终处于伸展状态或张紧状态,所述C形管的位于机器人本体前端与导管支承部的导管通道前端出口之间的部分呈封闭的“O”形状态,形成支撑管筒,对位于所述C形管前端出口与所述导管支承部的导管通道前端出口之间的导管部分形成稳定的支撑。As shown in Figures 2 and 7, when the instrument operation box and the gag move relative to the C-shaped tube along the longitudinal direction indicated by the arrow A or in the opposite direction, the connecting part of the shuttle-type slideway and the catheter support portion will peel off the corresponding part of the C-shaped tube. With the movement of the gag, the stripped part of the C-shaped tube will move backward relative to the gag. . Therefore, during operation, the C-shaped tube is always in a stretched state or a tensioned state, and the part of the C-shaped tube between the front end of the robot body and the front end outlet of the catheter channel of the catheter support part is in a closed "O" shape, forming a support tube, forming a stable support for the catheter part between the front end outlet of the C-shaped tube and the front end outlet of the catheter channel of the catheter support part.
为了避免C形管行经梭子式滑道与导管支承部相互连接的连接部分时C形管周向边缘产生内卷,优选的是,如图4所示,梭子式滑道的与导管支承部803连接的连接部位807包括这样一段长度,该段长度的外轮廓尺寸设置成使得处于该部分上的C形管被所述梭子式滑道撑开而呈“C”形,C形管的内周面贴合于梭子式滑道外表面。所述连接部位可以呈圆柱形、椭圆柱形或其它类似的形状,只要能够将C形管撑开使之呈“C”形,并与C形管的内周面可靠贴合即可。In order to prevent the C-shaped tube from rolling inward at the circumferential edge of the C-shaped tube when it passes through the connecting portion where the shuttle-type slideway and the conduit support are connected, preferably, as shown in FIG. The connection part can be in the shape of a cylinder, an ellipse or other similar shapes, as long as the C-shaped tube can be stretched to form a "C" shape and can be reliably attached to the inner peripheral surface of the C-shaped tube.
作为一种优选的方案,所述梭子式滑道的与所述导管支承部803连接的连接部位807大致呈橄榄形,橄榄形部分包括这样一段长度,该段长度的外轮廓尺寸设置成使得处于该段长度上的C形管被所述梭子式滑道撑开并贴合梭子式滑道外表面而呈“C”形。此外,所述梭子式滑道还包括位于两端的锥形部,优选的是,锥形部自由端部的直径小于处于伸展状态或张紧状态的所述C形管的内径,以对开口器相对于C形管的移动进行导引。另外,为了便于开口器相对于C形管移动,作为一种优选的方案,开口器梭子式滑道的端部进行圆整。As a preferred solution, the connecting
为了防止C形管相对于梭子式滑道侧向偏移而不能与梭子式滑道确当地协同操作,所述开口器还包括挡靠部。请参见图2、图7和图8,由于第一C形管支承部801的第一C形管通道805的通道口与第二C形管支承部802的第一管段812的通道口彼此不对中,两者的连线与梭子式滑道可能不重合,因此处于伸展状态或张紧状态的C形管倾向于朝所述连线一侧移动而偏位,若偏移过大会影响导管递送辅助装置的操作。因此,作为一种优选的方案,在所述连线一侧设置挡靠部来防止C形管偏移。如图7和图8所示,在图示实施例中,挡靠部820与第二C形管支承部802一体形成,并位于第一管段812的前部,呈圆弧板的形式,其纵向前端邻近所述梭子式滑道与所述导管支承部相互连接的连接部位。作为一种选择,挡靠部也可以是管型,由第一管段812的延长部形成;亦或是,挡靠部也可以是独立的部件,使用时固定在器械操作盒上。In order to prevent the C-shaped tube from laterally shifting relative to the shuttle slide and not cooperating properly with the shuttle slide, the opener further includes a stopper. 2, 7 and 8, since the channel opening of the first C-shaped
下面参见图9,其图示了本发明开口器的另一实施例。在前述实施例中,第一C形管支承部801呈管筒形式,而在图9所示实施例中,第一C形管支承部821呈矩形块结构,其上形成有第一C形管通道822。该实施例开口器的其它方面与前述实施例相同,在此省略其描述。Referring to Fig. 9, it illustrates another embodiment of the gag of the present invention. In the foregoing embodiments, the first C-shaped
下面参见图10A和图10B,其图示了本发明开口器的又一实施例。在前面的实施例中,第一C形管支承部、导管支承部以及梭子式滑道804一体形成,而在该实施例中,导管支承部824与梭子式滑道825一体形成,而第一C形管支承部822设置在器械操作盒的前壁上。在组装状态下,导管支承部824与梭子式滑道82构成的组件固定在器械操作盒上,并与设置在器械操作盒上的第一C形管支承部822协同工作。图10A和图10B所示实施例的工作原理与前述实施例相同,为简明起见不在赘述。Referring to Fig. 10A and Fig. 10B, another embodiment of the mouth gag of the present invention is illustrated. In the previous embodiment, the first C-shaped tube support portion, the conduit support portion, and the
下面结合附图简要说明将C形管的前端和后端分别固定于机器人本体的前端和后端的固定装置。这里需要强调指出的是,C形管前端和后端于机器人本体前端和后端的具体固定方式和具体固定装置并非本发明的发明点所在,所列举的实施例仅是出于举例说明的目的。The fixing device for fixing the front end and the rear end of the C-shaped pipe to the front end and the rear end of the robot body will be briefly described below in conjunction with the accompanying drawings. What needs to be emphasized here is that the specific fixing method and specific fixing device of the front end and rear end of the C-shaped tube on the front end and rear end of the robot body are not the invention point of the present invention, and the listed embodiments are only for the purpose of illustration.
首先参见图11A-图11E,其图示了将C形管的前端固定于机器人本体前端的前端固定装置,其中图11A是前端固定装置在组装状态下的透视图;图11B是前端固定装置的固定插头的透视图;图11C是沿图11B中A-A线截取的剖视图;图11D是前端固定装置的固定插座的透视图;以及图11E是沿图11A中B-B线截取的剖视图。Referring first to Fig. 11A-Fig. 11E, it illustrates the front end fixing device that the front end of C-shaped pipe is fixed on the robot body front end, and wherein Fig. 11A is the perspective view of the front end fixing device in the assembled state; Fig. 11B is the perspective view of the fixed plug of the front end fixing device;
如图11A、图11B和图11C所示,前端固定装置830包括固定插头840和固定插座850,固定插头840固定安装在C形管82的前端,而固定插座850固定安装在机器人本体的前端818,通过将固定插头840插装在固定插座850上,将C形管的前端固定于机器人本体前端。As shown in Figure 11A, Figure 11B and Figure 11C, the front-
下面参见图11B和图11C,所述固定插头840包括主体部841以及套筒842,所述主体部841包括两块对置的彼此间隔开的板部843以及连接两块板部的圆弧部844,所述两块板部之一上形成有螺钉孔845,另一个上形成有螺纹孔(图中未示),且所述两块板部的自由端部上分别设置有卡合凸起846和847。在将固定插头840固定在所述C形管端部上时,将所述套筒842安装在圆弧部限定的孔中,所述C形管82设置在所述圆弧部与所述套筒842之间,然后通过螺钉将两块板部843紧固在一起,进而通过夹紧力将C形管固定在固定插头上。11B and 11C, the fixed
接下来参见图11D和图11E,固定插座850包括按钮851和壳体852,壳体前部形成有供固定插头840插入的插口853,壳体852顶部形成有孔口855,按钮851插装于该孔口中并可上下移动,按钮851的底壁856下表面 与壳体底壁的上表面之间设置有弹簧854,该弹簧用以向按钮851向上施加偏压。按钮851的底壁856向前延伸并形成有凸起857,凸起857的内侧形成与固定插头840的卡合凸起847抵接的卡合面858;此外,壳体插口853顶部的内沿处形成有卡合面859,用于与固定插头840的卡合凸起846抵接。11D and 11E, the fixed
在将C形管的前端固定于机器人本体前端时,将固定插头840插入固定插座850的插口853中,固定插头的卡合凸起847与按钮上的凸起857抵接并通过凸起857下压按钮,卡合凸起847越过凸起857之后,按钮851在弹簧854的作用下向上移动,使得卡合凸起846与847分别与固定插座上的卡合面859与858抵接,从而完成固定插头于固定插座的连接固定。在拆装时,只需向下按压按钮851解除卡合凸起与卡合面的抵接,即可将固定插头取下。When the front end of the C-shaped tube is fixed to the front end of the robot body, the fixed
下面参见图12A-图12D,其图示了将C形管的后端固定于机器人本体后端的后端固定装置,其中图12A是后端固定装置组装前的透视图,定位盖处于打开状态;图12B是端固定装置组装后的透视图,定位盖处于闭合状态;图12C是后端固定装置的定位机构的透视图;图12D是沿图12C中C-C线截取的剖视图。Referring to Fig. 12A-Fig. 12D below, it illustrates the rear end fixing device that the rear end of C-shaped tube is fixed on the rear end of the robot body, wherein Fig. 12A is a perspective view before assembly of the rear end fixing device, and the positioning cover is in an open state; Fig. 12B is a perspective view after the assembly of the end fixing device, and the positioning cover is in a closed state; Fig. 12C is a perspective view of the positioning mechanism of the rear end fixing device; Fig. 12D is a sectional view taken along line C-C in Fig. 12C.
首先参见图12A和图12B,后端固定装置860包括固定在机器人本体后端的定位机构861,以及设置在C形管后端的挡靠装置862。所述挡靠装置包括套筒件863、螺旋弹簧864以及端部件865,所述套筒件863呈圆筒形,朝向端部件865的一端敞开,另一端包括环形底壁866,环形底壁限定一圆孔867供C形管穿过,套筒件的内直径大于等于螺旋弹簧864的外直径,圆孔867的直径小于螺旋弹簧的外直径,螺旋弹簧可与环形底壁866固定连接;所述螺旋弹簧864的纵向后端以及C形管后端固定于所述端部件865。组装状态下,螺旋弹簧套在所述C形管上并位于套筒件底壁866与端部件865之间,所述套筒件套装在所述C形管上,敞开端朝向螺旋弹簧一侧。Referring first to FIG. 12A and FIG. 12B , the rear-
下面参见图12A、图12C和图12D,所述定位机构861包括定位主体868以及定位盖869,定位主体固定于机器人本体后端,其上设置有用于置放C形管的定位槽道871;所述定位盖的前下侧通过枢轴870与定位主体铰接,从而可在打开位置与闭合位置之间枢转。所述定位盖包括压靠件872 和操作杆873,压靠件872包括沿纵向间隔开设置的两个侧壁874,操作杆873设置在两个侧壁874之间,并通过枢轴875与两个侧壁枢转连接。此外,压靠件872的两个侧壁874的下部设置有靠压部878,在定位盖869闭合时,以适度压力靠压设置在定位主体定位槽道871与定位盖之间的C形管。操作杆873的内侧下端设置有卡合凸起876,用于与设置在定位主体868上的卡合面877抵接,将定位盖锁定在定位主体上。压靠件872与操作杆873之间设置有偏压弹簧879,该偏压弹簧朝向锁定位置对操作杆873施加偏压。Referring to Fig. 12A, Fig. 12C and Fig. 12D below, the
在将C形管的后端固定于机器人本体后端时,首先通过按压操作杆873来解除定位盖的锁定,并将定位盖向外翻转,然后将C形管放置在定位主体的定位槽道871中,并将挡靠装置的套筒件863的前端靠合在定位主体的后端面上,随后将定位盖扣合在定位主体上,此时操作杆873的卡合凸起876抵接于定位主体上的卡合面877,并在偏压弹簧879的作用下保持在锁定位置;于是,C形管被压靠件的靠压部878将靠压在定位槽道871中,同时挡靠装置的螺旋弹簧864压靠在端部件865与套筒件863之间,并对端部件865施加纵向向后的偏压力,使C形管处于张紧状态。When fixing the rear end of the C-shaped tube to the rear end of the robot body, firstly press the operating
上面参照附图接合具体实施例对本发明进行了描述,但这仅仅是为了说明的目的,而本发明并不局限于此。因此,对于本领域技术人员而言显而易见的是,可以在本发明的技术精神和范围内进行各种变化和修改,而这些变化和修改也应理解为属于本发明范畴,本发明的范围由要求保护的技术方案及其等同方案予以限定。The present invention has been described above in conjunction with specific embodiments with reference to the accompanying drawings, but this is for illustrative purposes only, and the present invention is not limited thereto. Therefore, it is obvious to those skilled in the art that various changes and modifications can be made within the technical spirit and scope of the present invention, and these changes and modifications should also be understood as belonging to the scope of the present invention, and the scope of the present invention is limited by the claimed technical solutions and equivalent solutions thereof.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210076747.X | 2022-01-24 | ||
| CN202210076747.XA CN114246674A (en) | 2022-01-24 | 2022-01-24 | Delivery aid and slave end portion for a vascular interventional robot |
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| Publication Number | Publication Date |
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| WO2023138394A1 true WO2023138394A1 (en) | 2023-07-27 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/CN2023/070797 Ceased WO2023138394A1 (en) | 2022-01-24 | 2023-01-06 | Auxiliary delivery device and controlled-end portion used for vascular interventional surgical robot |
Country Status (2)
| Country | Link |
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| CN (1) | CN114246674A (en) |
| WO (1) | WO2023138394A1 (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN117338432A (en) * | 2023-11-02 | 2024-01-05 | 广州灵云医疗科技有限公司 | Auxiliary tube placing robot for operation |
Families Citing this family (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114246674A (en) * | 2022-01-24 | 2022-03-29 | 微亚医疗科技(苏州)有限公司 | Delivery aid and slave end portion for a vascular interventional robot |
| CN115253022B (en) * | 2022-07-08 | 2024-04-09 | 上海神玑医疗科技有限公司 | Support guide structure, catheter conveying device and vascular intervention equipment |
| CN115300106B (en) * | 2022-07-25 | 2023-08-01 | 上海神玑医疗科技有限公司 | A catheter support device and a vascular interventional surgery robot |
| CN116158861A (en) * | 2023-01-17 | 2023-05-26 | 微亚医疗科技(苏州)有限公司 | Slave part for vascular interventional surgery robot |
| CN117398194B (en) * | 2023-12-15 | 2024-03-01 | 杭州脉流科技有限公司 | Vascular intervention operation robot |
| WO2025162275A1 (en) * | 2024-02-03 | 2025-08-07 | 杭州大士科技有限公司 | Telescopic sheath tube assembly with small inner diameter |
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| US20140228808A1 (en) * | 2006-01-26 | 2014-08-14 | Otira Medical | Deflection Control Catheters, Support Catheters and Methods of Use |
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| CN113558770A (en) * | 2021-07-26 | 2021-10-29 | 微亚医疗科技(苏州)有限公司 | Instrument operation box for vascular intervention surgical robot |
| CN114246674A (en) * | 2022-01-24 | 2022-03-29 | 微亚医疗科技(苏州)有限公司 | Delivery aid and slave end portion for a vascular interventional robot |
| CN217244783U (en) * | 2022-01-24 | 2022-08-23 | 微亚医疗科技(苏州)有限公司 | Delivery assistance device for vascular interventional surgical robot and slave end part |
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| AT405908B (en) * | 1997-05-15 | 1999-12-27 | Hassan Ali | HEMOSTATIC VALVE SYSTEM WITH INTEGRATED DEVICE FOR LONGITUDINAL SLIDING OF A CATHETER |
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| US20220125533A1 (en) * | 2019-02-11 | 2022-04-28 | Corindus, Inc. | Robotic catheter system adaptor |
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- 2022-01-24 CN CN202210076747.XA patent/CN114246674A/en active Pending
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| US20140228808A1 (en) * | 2006-01-26 | 2014-08-14 | Otira Medical | Deflection Control Catheters, Support Catheters and Methods of Use |
| CN105848703A (en) * | 2013-10-15 | 2016-08-10 | 科林达斯公司 | Guidance catheter control flexible track |
| CN110772701A (en) * | 2013-10-15 | 2020-02-11 | 科林达斯公司 | Guide catheter control flexible track |
| US20210008343A1 (en) * | 2019-01-07 | 2021-01-14 | Teleflex Life Sciences Limited | Guide extension catheter |
| CN109908453A (en) * | 2019-03-15 | 2019-06-21 | 兰州大学第一医院 | A device for assisting guide catheter through tortuous blood vessels |
| CN113558770A (en) * | 2021-07-26 | 2021-10-29 | 微亚医疗科技(苏州)有限公司 | Instrument operation box for vascular intervention surgical robot |
| CN114246674A (en) * | 2022-01-24 | 2022-03-29 | 微亚医疗科技(苏州)有限公司 | Delivery aid and slave end portion for a vascular interventional robot |
| CN217244783U (en) * | 2022-01-24 | 2022-08-23 | 微亚医疗科技(苏州)有限公司 | Delivery assistance device for vascular interventional surgical robot and slave end part |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN117338432A (en) * | 2023-11-02 | 2024-01-05 | 广州灵云医疗科技有限公司 | Auxiliary tube placing robot for operation |
| CN117338432B (en) * | 2023-11-02 | 2024-03-01 | 广州灵云医疗科技有限公司 | Auxiliary tube placing robot for operation |
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|---|---|
| CN114246674A (en) | 2022-03-29 |
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