WO2004035270A1 - 位置決めユニット及びこれを用いた位置決めアーム - Google Patents
位置決めユニット及びこれを用いた位置決めアーム Download PDFInfo
- Publication number
- WO2004035270A1 WO2004035270A1 PCT/JP2003/013249 JP0313249W WO2004035270A1 WO 2004035270 A1 WO2004035270 A1 WO 2004035270A1 JP 0313249 W JP0313249 W JP 0313249W WO 2004035270 A1 WO2004035270 A1 WO 2004035270A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- output shaft
- unit
- movable member
- pinion
- positioning
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
-
- 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
Definitions
- the present invention relates to a positioning unit V for changing an arrangement angle of a movable member and positioning an end of the movable member at a predetermined position, for example, using an endoscope. Holds the surgical tool used for the surgical operation, and clearly positions the tip of the surgical tool inserted into the human body with respect to the treatment site.
- endoscope In recent years, as medical surgery on the human body, a bite camera, called an endoscope, has been introduced into the body, and laparotomy is performed based on the in-vivo image projected by the endoscope.
- endoscopy in which surgery is performed without help, is expanding.
- endoscopy for example, several holes of about several cm are drilled in the patient's abdomen at several locations HX, and through this hole an endoscope and a treatment tool such as a forceps laser tool are inserted into the abdominal cavity, and The patient is undergoing surgical treatment for the problem area, and the damage to the human body is smaller than in the case where the patient's abdomen is opened and surgical surgery is performed.
- Social rehabilitation rapidly becoming popular in recent years because it can make a return o
- Japanese Patent Application Laid-Open No. 7-194608 an arm that can be freely opened and closed at the tip of a pipe portion inserted into the body as described in Japanese Patent Application Laid-Open No. 7-194608. BX part, put it inside the body, open and close the arm, It is known to take measures such as holding down or pulling the tissue. Further, Japanese Patent Application Laid-Open No. 7-136173 discloses a surgical manipulator configured such that the tip of a pipe inserted into the body is bent back and forth like a human wrist.
- an affected part is searched using an endoscope inserted into a human body, and a laser beam or forceps or the like inserted into the human body with respect to the affected part is used.
- the need for surgical tools to be approached causes the need to move the tip of the surgical tool vertically and horizontally in the human body. It is not permissible to insert surgical instruments through holes of about a few cm and enlarge such holes. Therefore, in order to treat the affected part by scanning the tip of the surgical tool in the human body, the angle of the surgical tool is changed around the hole formed in the skin tissue, and the tip of the surgical tool is thereby changed. It is necessary to move vertically and horizontally
- endoscopy is performed by laparotomy compared to normal surgery. It requires a certain amount of skill for the doctor who performs the procedure, and it is difficult for the doctor to be a specialist and it is difficult to perform the procedure. There are times when endoscopy can only be performed in a limited number of hospitals, and in endoscopy, the in-vivo images shown on the monitor cannot be seen.
- the surgical tool is operated from the endoscope, and the video captured by the endoscope can be transmitted to the m side via a telephone line. -If possible, it is possible for the other specialist to perform endoscopy, and even in a local city where no specialist is present, it is possible to select endoscopy as a treatment method. Disclosure of useful inventions The present invention has been made in view of the above problems, and its purpose is to provide, for example, a surgical operation using an endoscope.
- the positioning unit of the present invention is pivotally moved in parallel to each other and reciprocally movable with its tip in contact with a movable member such as a surgical instrument.
- the output shaft of the second output shaft and the first output shaft are given an arbitrary amount of retreat, and the ratio of the output shaft of the first output shaft to the second output shaft is always a constant ratio.
- the first output shaft and the second output shaft thus arranged in parallel with each other.
- a movable mechanism When a movable mechanism is pivotally connected to the tip of the output shaft of No. 2 to form a link mechanism, and when the first and second output shafts are given different amounts of retreat, the reciprocation is reduced. If the angle of the movable member is changed accordingly, it is possible to position the tip of the movable member. At this time, the first output is always output to the output shaft of the whistle 2. If the amount of movement of the shaft and the movement of the fixed ratio are given, the movable member is always centered on one point because of the relationship with the triangular similarity rule.
- the angle at which the arrangement angle is changed is increased. If the center point is made to overlap the insertion port formed by cutting the human body, even if the HX angle for surgical operation is changed, the surgical tool recording insert P will be pushed and expanded. It allows the user to position the tip of a surgical tool inside the body at a site requiring treatment. Therefore, it becomes possible to handle the surgical tool without using the operator's hand-and it is also possible to realize the positioning operation of the surgical tool by remote control.
- the positioning unit of the present invention reduces the arrangement angle of the movable member.
- FIG. 1 is a schematic diagram showing the state of endoscopy performed using the positioning unit of the present invention.
- FIG. 2 is a perspective view showing the appearance of a positioning unit to which the present invention is applied.
- FIG. 3 is a perspective view showing the internal structure of the positioning kit shown in FIG.
- FIG. 4 is a perspective view showing another example of the connection section according to the embodiment.
- FIG. 5 is a cross-sectional view showing the internal structure of the positioning kit shown in FIG.
- Fig. 6 shows the relationship between the advance / retreat ratio of the first and second output shafts and the angle at which the surgical tools are arranged.
- Fig. 7 is a schematic diagram showing the mechanism for moving the output shaft forward and backward using a rack and pinion gear.
- FIG. 8 is a plan view showing a connection state between the first unit and the second unit.
- FIG. 9 shows a component discharging apparatus using the positioning unit of the present invention. It is a figure showing a schematic structure.
- FIG. 10 is a schematic diagram showing an operation state of the component discharging device shown in FIG.
- FIG. 1 shows a state in which surgical tools such as forceps and a laser tool are held by using the positioning unit of the present invention, and endoscopy is performed while operating the surgical tools with the positioning unit.
- FIG. 1 shows a state in which surgical tools such as forceps and a laser tool are held by using the positioning unit of the present invention, and endoscopy is performed while operating the surgical tools with the positioning unit.
- FIG. 10a which is a videoscope, is formed from the individual entrances formed by these incisions.
- This is performed by inserting the tip of a surgical tool 10 such as a surgical tool, forceps 10b, and laser beam 10c into the human body, and the operator monitors the image of the affected part of the human body taken by the endoscope 10a.
- the surgical operation is performed by operating other surgical tools 10b and 10c on the basis of the observation results, and appropriate treatments such as picking, pressing, and resecting the affected part are performed.
- each surgical tool 10 includes a rod 11 to be inserted into a human body, and the distal end of the rod 11 is used for each surgical tool.
- a mechanism 12 is provided according to the purpose, and the mechanism 12 is moved to the rear end of the rod 11.
- a driving Si section 13 is provided.
- each surgical tool 10 is held and laid by a positioning unit to which the present invention is applied.
- the first unit 20 is connected to the casing accommodating the drive unit 13 of each surgical tool 10, while the second unit 30 is connected to the first unit 20. 0 is connected, and the first and second units 20 and 30 constitute a positioning arm 1 for moving the surgical tool 10 vertically and horizontally.
- the second unit 30 is When the first unit 20 and the second unit 30 are fixed at a predetermined height and a predetermined position with respect to the patient P, the first unit 20 and the second unit 30 are held by the universal arm 2 fixed to the ceiling. Can be done
- FIG. 2 shows an external view of the unit 1 and FIG. 3 shows an internal structure thereof.
- the positioning unit 20 has a first output shaft 21 and a second output shaft 22 arranged in parallel with each other, and the output shafts 21 and 22 are interlocked with each other. -It is configured to advance and retreat from Singh 23.
- a contact portion 40 At the end of each output shaft 2 1 2 2, there is provided a contact portion 40 that is pivotally supported on the casing of the surgical tool 10.
- the structure of the connecting portion 40 may be the one drawn at the end of the first output shaft 21 in FIG. 2. However, a relatively connected structure drawn at the end of the second output shaft 22 may be used.
- the first pole screw nut 24 screwed to the output shaft 21 is a hollow motor 5
- the medium motor 50 housed in the housing 0 is a motor housing fixed to the casing 23 of the positioning unit 20.
- the first output shaft 21 passes through the hollow portion of the motor rotor 54, the first output shaft 21 becomes dth. Is fitted to the inner surface of the motor 54. Accordingly, when the motor monitor 52 is excited to rotate the motor ⁇ 54, the first ball screw nut fixed to the motor port 54 of ⁇ The first output shaft 2 1 on which 24 rotates
- the second ball screw nut 25 When the 1-pole screw nut 24 is rotationally driven by the hollow motor 50, the second ball screw nut 25 also rotates at the same rotation speed as the IRJ. (2)
- the output shaft 22 has its tip fixed to the surgical tool 10 and cannot rotate itself. Thus, when the second pole screw nut 25 rotates in this way, the The second output shaft 22 advances and retreats according to the number of rotations.
- the two-pole screw nut 25 is supported by a positioning project casing 23 via a support bearing 29.
- the journals of the first output shaft 21 and the second output shaft 22 are positioned by resin bearing sleeves 31.
- the helical male thread groove 22a formed on the second output shaft 22 is a helical groove formed on the whistle 1 output shaft 21. It is formed with a lead twice as large as the male thread groove 2 2a. Therefore, when the middle ⁇ fB motor 50 rotates and the first output shaft 21 moves forward and backward, the second output shaft 22 always moves forward and backward twice as much as the first output shaft 21.
- the surgical tool 10 pivotally attached to the distal ends of the first output shaft 21 and the second output shaft 22 has a disposition angle. Is changed, and it becomes possible to position the mechanism 12 located at the tip of the surgical tool 10 with respect to the affected part.
- the arrangement angle of the surgical tool 11 of 11 is changed around one point.
- a center point ⁇ ⁇ occurs at a position corresponding to the ratio of the amount of advance and retreat between the first output shaft 21 and the second output shaft 22 ⁇ .
- the center point o of U is the first output shaft 2
- the V-shape of the thread groove 21 a of the first output shaft 21 must be 2 It may be different from the lead of the thread groove 2 2a of the output shaft 22.o In addition, the lead must be the same later.1 Pole screw nut 24 Number of rotations of the second ball screw nut 25
- a combination of a rack formed on each output shaft 21 and 22 and a pinion gear may be used.
- the first pinion gear 61 is provided to be engaged with the rack 60 formed on the first output shaft 21.
- the rack 62 formed on the second output shaft 22 is provided.
- a second pinion 63 is provided, and one of the pinion gears is rotated by a motor, and the rotational power is distributed to the pinion gear force and the other pinion gear.
- the forward / backward ratio between the first output shaft 21 and the second output shaft 22 is ⁇
- the number of revolutions of the first pinion gear 61 and the second pinion gear 62 is the same, and the reference pitches of the racks 60 and 62 formed on the output shafts 21 and 22 are different. Also good, both racks 6 0
- the reference pitch of 62 may be the same, and the rotation speeds of the first pinion gear 61 and the second pinion gear 63 may be different.
- a hollow motor 50 is provided only for the first ball screw nut 24, and the motor 50 Although the power is distributed to the second ball screw nut 25, a separate motor may be provided for the second Bonore thread nut 25 as well. In this case, the motor that drives the first screw nut 24 and the motor that drives the second screw nut 25 are always connected to the second output shaft.
- the forward / backward and forward / backward speed of 22 has a certain ratio to the forward / backward travel and forward / backward speed of the first output shaft 21.
- the second unit 30 has exactly the same structure as the first unit 20, and the third output shaft 6 arranged in parallel with each other.
- the fourth and fourth output shafts 65 are configured to be able to move forward and backward at a constant forward / backward ratio.
- Figure 8 shows the surgical tools and the first
- FIG. 4 is a plan view showing a connection state between a unit and a second unit. As shown in this figure, each output shaft 6 4 of the second unit 30
- the output shafts 64 and 65 of the unit 30 are always orthogonal to the output shafts 21 and 22 of the first unit 20. That is, the plane including the first output shaft 21 and the second output shaft 22 of the first unit 20 is connected to the third output shaft 64 and the fourth output shaft 65 of the second unit 30. It is always orthogonal to the plane that contains it. When the output shafts 21 and 22 of the first unit 20 are advanced and retracted, the load of the surgical tool 10 is reduced.
- each output shaft of the second unit 30 4 changes the arrangement angle along the direction of the arrow X in FIG. 8, but in the connected state as described above, each output shaft of the second unit 30 4
- the rod 11 of the surgical tool 10 changes its disposition angle along the Y direction orthogonal to the X direction. Therefore, by connecting the first unit and the second unit to form a positioning arm as shown in FIG. 8, the opening of the surgical instrument held by the first unit can be achieved. It is possible to give movements in the X direction and the Y direction to the body, and it becomes possible to position the mechanism provided at the tip of the rod vertically and horizontally in the human body.
- FIGS. 9 and 10 show the positioning unit of the present invention used in other applications, specifically, machined parts such as body parts of automobiles.
- One The following shows an example in which the product 80 is removed from the jig 81 and applied to a component discharging device for discharging particles.
- Part The PP discharge device 70 is a mechanical part that has a smooth plate-like surface and is processed together.
- the first cutout 20 shown in FIG. 2 is used as V72.
- the first output shaft 21 and the second output shaft 22 have a tip.
- the shot 71 is lifted upward, and the machined component 80 that has been processed is removed from the jig 81. Further, since the first output shaft 21 and the second output shaft 22 are different in advancing and-when the hollow motor 50 rotates, the shot 71 rises upward and at the same time the arrangement angle thereof. Is changed, and the mechanical part 80 is discharged from the jig so as to slide down on the shot 71.
- the shoot 71 is one of the units.
- the installation angle can be changed as the center of motion, and a conveyor garment such as a belt conveyor can be installed next to the shoot 71 that is set at the standby position. If you do, you'll slip off your shot 71 Thus, the machine parts 80 discharged from the jig 81 are smoothly transported.
- the positioning unit of the present invention is also useful as various actuators in industrial mouth bots and the like.
- the movable member is pivotally connected to the distal ends of the first output shaft and the second output shaft arranged in parallel with each other, and thus the positioning unit is mounted.
- the link mechanism is configured, it is always given to the output shaft of 1 and the constant amount of movement to the second output shaft, and the arrangement angle of the movable member always changes around the-point.
- the surgical eye is formed by incising the human body. It is possible to position the distal end of the surgical tool within the body to the area where treatment is required by the as spacing operation.
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Claims
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/531,994 US20060142738A1 (en) | 2002-10-21 | 2003-10-16 | Positioning unit, and positioning arm using the same |
EP03756651A EP1568445A1 (en) | 2002-10-21 | 2003-10-16 | Positioning unit, and positioning arm using the same |
JP2004544968A JPWO2004035270A1 (ja) | 2002-10-21 | 2003-10-16 | 位置決めユニット及びこれを用いた位置決めアーム |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2002-305466 | 2002-10-21 | ||
JP2002305466 | 2002-10-21 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2004035270A1 true WO2004035270A1 (ja) | 2004-04-29 |
Family
ID=32105169
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/JP2003/013249 WO2004035270A1 (ja) | 2002-10-21 | 2003-10-16 | 位置決めユニット及びこれを用いた位置決めアーム |
Country Status (4)
Country | Link |
---|---|
US (1) | US20060142738A1 (ja) |
EP (1) | EP1568445A1 (ja) |
JP (1) | JPWO2004035270A1 (ja) |
WO (1) | WO2004035270A1 (ja) |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2006187410A (ja) * | 2005-01-05 | 2006-07-20 | Thk Co Ltd | 手術用具の位置決めユニット |
JP2008528130A (ja) * | 2005-01-24 | 2008-07-31 | インテュイティブ サージカル, インコーポレイテッド | ロボット手術のためのモジュールマニピュレーター支持体 |
US8500722B2 (en) | 2005-01-24 | 2013-08-06 | Intuitive Surgical Operations, Inc. | Methods for compact counter balance arms |
JP2021037301A (ja) * | 2012-06-01 | 2021-03-11 | インテュイティブ サージカル オペレーションズ, インコーポレイテッド | マルチポート手術ロボットシステム構造 |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2008120753A1 (ja) | 2007-03-30 | 2008-10-09 | Osaka University | 医療用マニピュレータ装置及びこれに適したアクチュエータ |
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WO1999056595A1 (en) * | 1998-05-05 | 1999-11-11 | Genmark Automation, Inc. | Tiltable z-axis platform based on uni-directional tilt platform |
WO2000030557A1 (en) * | 1998-11-23 | 2000-06-02 | Microdexterity Systems, Inc. | Surgical manipulator |
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JP2648274B2 (ja) * | 1993-01-28 | 1997-08-27 | 三鷹光器株式会社 | 医療用位置検出装置 |
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US5381196A (en) * | 1993-07-13 | 1995-01-10 | Leica Inc. | Contrast sensitivity tester |
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US5876325A (en) * | 1993-11-02 | 1999-03-02 | Olympus Optical Co., Ltd. | Surgical manipulation system |
IL107523A (en) * | 1993-11-07 | 2000-01-31 | Ultraguide Ltd | Articulated needle guide for ultrasound imaging and method of using same |
US6702805B1 (en) * | 1999-11-12 | 2004-03-09 | Microdexterity Systems, Inc. | Manipulator |
FR2821393B1 (fr) * | 2001-02-26 | 2005-10-28 | Eca | Actionneur compense a puissance optimisee |
-
2003
- 2003-10-16 US US10/531,994 patent/US20060142738A1/en not_active Abandoned
- 2003-10-16 JP JP2004544968A patent/JPWO2004035270A1/ja active Pending
- 2003-10-16 EP EP03756651A patent/EP1568445A1/en not_active Withdrawn
- 2003-10-16 WO PCT/JP2003/013249 patent/WO2004035270A1/ja active Application Filing
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
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WO1999056595A1 (en) * | 1998-05-05 | 1999-11-11 | Genmark Automation, Inc. | Tiltable z-axis platform based on uni-directional tilt platform |
WO2000030557A1 (en) * | 1998-11-23 | 2000-06-02 | Microdexterity Systems, Inc. | Surgical manipulator |
Cited By (20)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2006187410A (ja) * | 2005-01-05 | 2006-07-20 | Thk Co Ltd | 手術用具の位置決めユニット |
JP2008528130A (ja) * | 2005-01-24 | 2008-07-31 | インテュイティブ サージカル, インコーポレイテッド | ロボット手術のためのモジュールマニピュレーター支持体 |
JP2012020155A (ja) * | 2005-01-24 | 2012-02-02 | Intuitive Surgical Inc | ロボット手術のためのモジュールマニピュレーター支持体 |
JP2012143589A (ja) * | 2005-01-24 | 2012-08-02 | Intuitive Surgical Inc | ロボット手術のためのモジュールマニピュレーター支持体 |
EP2263590A3 (en) * | 2005-01-24 | 2012-12-12 | Intuitive Surgical Operations, Inc. | Modular manipulator support for robotic surgery |
EP2263591A3 (en) * | 2005-01-24 | 2012-12-19 | Intuitive Surgical Operations, Inc. | Modular manipulator support for robotic surgery |
US8500722B2 (en) | 2005-01-24 | 2013-08-06 | Intuitive Surgical Operations, Inc. | Methods for compact counter balance arms |
JP2014028296A (ja) * | 2005-01-24 | 2014-02-13 | Intuitive Surgical Inc | ロボット手術のためのモジュールマニピュレーター支持体 |
JP2014239923A (ja) * | 2005-01-24 | 2014-12-25 | インテュイティブ サージカル インコーポレイテッド | ロボット手術のためのモジュールマニピュレーター支持体 |
US9023060B2 (en) | 2005-01-24 | 2015-05-05 | Intuitive Surgical Operations, Inc. | Modular manipulator support for robotic surgery |
JP2016000360A (ja) * | 2005-01-24 | 2016-01-07 | インテュイティブ サージカル オペレーションズ, インコーポレイテッド | ロボット手術システム |
US9291793B2 (en) | 2005-01-24 | 2016-03-22 | Intuitive Surgical Operations, Inc. | Apparatus for compact counter balance arms |
EP2537483A3 (en) * | 2005-01-24 | 2016-12-21 | Intuitive Surgical Operations, Inc. | Modular manipulator support for robotic surgery |
US9877792B2 (en) | 2005-01-24 | 2018-01-30 | Intuitive Surgical Operations, Inc. | Compact counter balanced arms |
US9968405B2 (en) | 2005-01-24 | 2018-05-15 | Intuitive Surgical Operations, Inc. | Modular manipulator support for robotic surgery |
US10786318B2 (en) | 2005-01-24 | 2020-09-29 | Intuitive Surgical Operations, Inc. | Compact counter balanced arm |
US10898281B2 (en) | 2005-01-24 | 2021-01-26 | Intuitive Surgical Operations, Inc. | Modular manipulator support for robotic surgery |
JP2021037301A (ja) * | 2012-06-01 | 2021-03-11 | インテュイティブ サージカル オペレーションズ, インコーポレイテッド | マルチポート手術ロボットシステム構造 |
JP7155221B2 (ja) | 2012-06-01 | 2022-10-18 | インテュイティブ サージカル オペレーションズ, インコーポレイテッド | マルチポート手術ロボットシステム構造 |
US11576734B2 (en) | 2012-06-01 | 2023-02-14 | Intuitive Surgical Operations, Inc. | Multi-port surgical robotic system architecture |
Also Published As
Publication number | Publication date |
---|---|
EP1568445A1 (en) | 2005-08-31 |
JPWO2004035270A1 (ja) | 2006-02-09 |
US20060142738A1 (en) | 2006-06-29 |
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