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CN104274244B - Haptic Feedback System for Minimally Invasive Surgical Instruments - Google Patents

Haptic Feedback System for Minimally Invasive Surgical Instruments Download PDF

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Publication number
CN104274244B
CN104274244B CN201310279281.4A CN201310279281A CN104274244B CN 104274244 B CN104274244 B CN 104274244B CN 201310279281 A CN201310279281 A CN 201310279281A CN 104274244 B CN104274244 B CN 104274244B
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minimally invasive
invasive surgery
surgery apparatus
elastic device
measuring cell
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CN104274244A (en
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张帆
刘燕
宋芳
张立方
顾斌
李彬彬
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Shanghai University of Engineering Science
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Shanghai University of Engineering Science
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Abstract

A kind of haptic feedback system of Minimally Invasive Surgery apparatus, including the elongate rod of Minimally Invasive Surgery apparatus and the end effector that is attached thereto, and the first elastic device, there is the connector of submissive deformability, the second elastic device, the first pair roller group, the second pair roller group, indication piece, measuring cell and computerized control system.Can be read the position of indication piece by the measuring cell being arranged in Minimally Invasive Surgery apparatus elongate rod, computerized control system reads the reading of measuring cell, converts and judge to be applied to the size of the power inside end effector.The present invention has simple in construction, advantage highly sensitive, with low cost.

Description

微创手术器械的触觉反馈系统Haptic Feedback System for Minimally Invasive Surgical Instruments

技术领域technical field

本发明涉及医疗器械,特别涉及一种微创手术器械的触觉反馈系统。The invention relates to medical instruments, in particular to a tactile feedback system for minimally invasive surgical instruments.

背景技术Background technique

在微创外科手术中,机器人协同的手术越来越普及。在此类手术中,外科医生将操作主动控制器从而控制在手术位置的手术器械的运动。主动件通常包括一个或多个手输入装置,如操作杆、手持件或类似物,它们的运动通过伺服马达驱动从动件实现。从动件穿过切口在手术位置(例如,病人的腹腔)进行操作。根据手术程序,采用抓钳、灼烧探针等器械,帮助外科医生进行各种操作,如缝合、打结、抓持血管或解剖、灼烧或凝固组织等。In minimally invasive surgery, robot-assisted surgery is becoming more and more popular. During such procedures, the surgeon will operate active controllers to control the movement of surgical instruments at the surgical site. The active member typically includes one or more hand input devices, such as joysticks, handpieces or the like, whose movement is achieved by servomotors driving the driven member. The follower operates at the surgical site (eg, the patient's abdominal cavity) through the incision. According to the surgical procedure, grasping forceps, cautery probes and other instruments are used to help the surgeon perform various operations, such as suturing, tying knots, grasping blood vessels or dissecting, cauterizing or coagulating tissues, etc.

但通过“非现场”方式实施机器人手术的方法也面临很多挑战。其中一种挑战是外科手术机器人系统不能提供精确“感觉”反馈给操作手术器械的外科医生。外科医生需要根据反馈的力(力矩)来精确控制从动件进行操作,以避免施加过大的力使器官或组织被夹伤。But the method of performing robotic surgery "off-site" also faces many challenges. One such challenge is the inability of surgical robotic systems to provide precise "feel" feedback to the surgeon manipulating surgical instruments. Surgeons need to precisely control the follower to operate according to the feedback force (torque), so as to avoid applying excessive force and causing organs or tissues to be pinched.

微创外科手术的触觉反馈问题颇具难度。虚拟现实、3D视觉可以部分代替触觉帮助医生了解手术器械的操作情况,但上述两种方法无法实现触诊,因而无法通过触碰器官、组织来检查肿瘤、病变组织。The problem of tactile feedback in minimally invasive surgery is challenging. Virtual reality and 3D vision can partially replace touch to help doctors understand the operation of surgical instruments, but the above two methods cannot achieve palpation, so it is impossible to check tumors and diseased tissues by touching organs and tissues.

采用传感器获取施加至器械尖端的力时,面临着空间受限、难以消毒的问题。为了减少病人的痛苦,腹腔镜手术器械和机器人微创手术器械的直径小于12mm,并且在病人腹腔以内操作部分需要高温消毒(在一个标准大气压,121℃的高温环境下消毒至少15分钟),这对大多数的商用传感器设备来说是难以接受的。部分可以适应高温环境的压力传感器价格不菲。因此,目前还未见一种商用的能集成在微创手术器械中的触觉反馈系统。When using sensors to acquire the force applied to the tip of the instrument, it faces the problem of limited space and difficult to sterilize. In order to reduce the pain of patients, the diameter of laparoscopic surgical instruments and robotic minimally invasive surgical instruments is less than 12mm, and the operating part in the patient’s abdominal cavity needs to be sterilized at high temperature (sterilized at a standard atmospheric pressure and a high temperature environment of 121°C for at least 15 minutes), which is Unacceptable for most commercially available sensor devices. Some pressure sensors that can adapt to high temperature environments are expensive. Therefore, there is no commercially available tactile feedback system that can be integrated in minimally invasive surgical instruments.

发明内容Contents of the invention

本发明的目的,就是为了提供一种结构简单,灵敏度高、成本低廉的微创手术器械的触觉反馈系统。The object of the present invention is to provide a tactile feedback system for minimally invasive surgical instruments with simple structure, high sensitivity and low cost.

本发明的目的是这样实现的:一种微创手术器械的触觉反馈系统,包括微创手术器械的细长杆和与之相连的末端执行器,末端执行器设有开合关节,微创手术器械的细长杆设有俯仰关节;还包括:The object of the present invention is achieved in this way: a tactile feedback system of a minimally invasive surgical instrument, comprising a slender rod of a minimally invasive surgical instrument and an end effector connected thereto, the end effector is provided with an opening and closing joint, and the minimally invasive surgery Apparatus with pitch joint on elongated shaft; also includes:

第一弹性装置,其远端与末端执行器的远端内侧相连;a first elastic device, the distal end of which is connected to the inner side of the distal end of the end effector;

具有柔顺变形能力的连接件,其远端与第一弹性装置的近端相连;A connector with flexible deformation capability, the distal end of which is connected to the proximal end of the first elastic device;

第二弹性装置,其远端与具有柔顺变形能力的连接件的近端相连,其近端安装在微创手术器械的细长杆内;The second elastic device, its distal end is connected with the proximal end of the connecting piece with flexible deformation ability, and its proximal end is installed in the elongated rod of the minimally invasive surgical instrument;

第一对滚轮组,其安装在末端执行器开合关节轴线的两侧,其滚轮轴线与开合关节的轴线平行;The first pair of roller sets are installed on both sides of the axis of the opening and closing joint of the end effector, and the axes of the rollers are parallel to the axis of the opening and closing joint;

第二对滚轮组,其安装在微创手术器械细长杆俯仰关节的轴线两侧,其滚轮轴线与俯仰关节的轴线平行;The second pair of roller sets are installed on both sides of the axis of the pitch joint of the slender rod of the minimally invasive surgical instrument, and the axis of the rollers is parallel to the axis of the pitch joint;

所述具有柔顺变形能力的连接件依次从上述两对滚轮中间穿过;The connecting piece with flexible deformation ability passes through the middle of the above two pairs of rollers in sequence;

指示件,其固定在具有柔顺变形能力的连接件上;An indicator, which is fixed on a connecting piece with a flexible deformation capability;

测量元件,其安装在微创手术器械细长杆内并与具有柔顺变形能力的连接件平行;A measuring element mounted in an elongated shaft of a minimally invasive surgical instrument parallel to a compliantly deformable connector;

电脑控制系统,其与测量元件电信号相连,读取测量元件的读数,转化并判断出施加在末端执行器内侧的力的大小。The computer control system is connected with the measuring element by electric signal, reads the reading of the measuring element, converts and judges the magnitude of the force exerted on the inner side of the end effector.

所述指示件为指针,该指针与测量元件接触相连,测量元件可通过电脑控制系统读出指针在测量元件上的位置。The indicator is a pointer, which is in contact with the measuring element, and the measuring element can read the position of the pointer on the measuring element through a computer control system.

所述第一对滚轮组和第二对滚轮组中的滚轮都是小直径长杆形滚柱。The rollers in the first pair of roller sets and the second pair of roller sets are all long rod-shaped rollers with small diameters.

所述第一弹性装置和第二弹性装置为弹簧、气囊或液囊。The first elastic device and the second elastic device are springs, air bags or liquid bags.

本发明的有益效果是:The beneficial effects of the present invention are:

1.利用一些简单的元器件,结构简单、安装方便、转动惯量小,运动响应快。1. Using some simple components, the structure is simple, the installation is convenient, the moment of inertia is small, and the motion response is fast.

2.标定容易,控制简单,从而降低了开发成本。2. It is easy to calibrate and control, thus reducing the development cost.

附图说明Description of drawings

图1是本发明微创手术器械的触觉反馈系统的结构示意图。Fig. 1 is a schematic structural view of the tactile feedback system of the minimally invasive surgical instrument of the present invention.

图2是本发明微创手术器械的触觉反馈系统的工作原理示意图。Fig. 2 is a schematic diagram of the working principle of the tactile feedback system of the minimally invasive surgical instrument of the present invention.

具体实施方式detailed description

参见图1,配合参见图2,本发明的微创手术器械的触觉反馈系统,包括微创手术器械的细长杆1和与之相连的末端执行器8,末端执行器设有开合关节,微创手术器械的细长杆设有俯仰关节;还包括第一弹性装置9、具有柔顺变形能力的连接件3、第二弹性装置2、第一对滚轮组7、第二对滚轮组6、指示件4、测量元件5和电脑控制系统10。Referring to Fig. 1, referring to Fig. 2, the tactile feedback system of the minimally invasive surgical instrument of the present invention includes the slender rod 1 of the minimally invasive surgical instrument and the end effector 8 connected thereto, the end effector is provided with an opening and closing joint, The slender rod of the minimally invasive surgical instrument is provided with a pitch joint; it also includes a first elastic device 9, a connecting piece 3 with flexible deformation capability, a second elastic device 2, a first pair of roller groups 7, a second pair of roller groups 6, Indicator 4, measuring element 5 and computer control system 10.

第一弹性装置9的远端与末端执行器的远端内侧相连;The distal end of the first elastic device 9 is connected to the distal inner side of the end effector;

具有柔顺变形能力的连接件3的远端与第一弹性装置的近端相连;The distal end of the connector 3 with flexible deformation capability is connected with the proximal end of the first elastic device;

第二弹性装置2的远端与具有柔顺变形能力的连接件3的近端相连,其近端安装在微创手术器械的细长杆1内;The distal end of the second elastic device 2 is connected to the proximal end of the connecting piece 3 with flexible deformation capability, and its proximal end is installed in the elongated rod 1 of the minimally invasive surgical instrument;

第一对滚轮组7安装在末端执行器8的开合关节轴线的两侧,其滚轮轴线与开合关节的轴线平行;The first pair of roller sets 7 are installed on both sides of the axis of the opening and closing joint of the end effector 8, and the axis of the rollers is parallel to the axis of the opening and closing joint;

第二对滚轮组6安装在微创手术器械细长杆1的俯仰关节的轴线两侧,其滚轮轴线与俯仰关节的轴线平行;The second pair of roller sets 6 are installed on both sides of the axis of the pitch joint of the minimally invasive surgical instrument slender rod 1, and the axis of the rollers is parallel to the axis of the pitch joint;

上述具有柔顺变形能力的连接件3依次从上述两对滚轮6、7中间穿过;The above-mentioned connecting piece 3 with flexible deformation ability passes through the middle of the above-mentioned two pairs of rollers 6, 7 in sequence;

指示件4固定在具有柔顺变形能力的连接件3上;The indicating part 4 is fixed on the connecting part 3 with flexible deformation capability;

测量元件5安装在微创手术器械细长杆1内并与具有柔顺变形能力的连接件3平行;The measuring element 5 is installed in the slender rod 1 of the minimally invasive surgical instrument and parallel to the connecting piece 3 with flexible deformation capability;

电脑控制系统10与测量元件5电信号相连,读取测量元件的读数,转化并判断出施加在末端执行器内侧的力的大小。The computer control system 10 is electrically connected with the measuring element 5, reads the reading of the measuring element, converts and judges the magnitude of the force exerted on the inside of the end effector.

本发明中的指示件4为指针,该指针与测量元件5接触相连,测量元件可通过电脑控制系统10读出指针在测量元件上的位置。The indicator 4 in the present invention is a pointer, which is in contact with the measuring element 5 , and the measuring element can read the position of the pointer on the measuring element through the computer control system 10 .

本发明中的第一对滚轮组7和第二对滚轮组6中的滚轮都是小直径长杆形滚柱。The rollers in the first pair of roller sets 7 and the second pair of roller sets 6 in the present invention are all small-diameter elongated rollers.

上述第一弹性装置和第二弹性装置为弹簧、气囊或液囊。The first elastic device and the second elastic device are springs, air bags or liquid bags.

本发明的工作原理可结合图2说明如下:Working principle of the present invention can be described as follows in conjunction with Fig. 2:

当末端执行器8绕开合关节或俯仰关节转动时,具有柔顺变形能力的连接件3在直径较小的滚轮组6、7作用下弯曲,但由于滚轮的直径较小,使具有柔顺变形能力的连接件3和安装在连接件3上的指示件4的位置发生微小变化,测量元件5读出指示件4的位置。When the end effector 8 rotates around the opening and closing joints or the pitch joints, the connecting piece 3 with compliant deformation capability bends under the action of the roller sets 6 and 7 with smaller diameters, but due to the smaller diameter of the rollers, it has compliant deformation capabilities The position of the connecting piece 3 and the indicating piece 4 installed on the connecting piece 3 changes slightly, and the measuring element 5 reads out the position of the indicating piece 4 .

当末端执行器8末端夹持物体时,第一弹性装置9在接触力的作用下发生变形,第一弹性装置9近端向后方移动,与第一弹性装置9近端连接的具有柔顺变形能力的连接件3在第一弹性装置9和第二弹性装置2的作用下向后移动,使安装在具有柔顺变形能力的连接件3上的指示件4发生较明显的移动,测量元件5读出指示件的位置。When the end effector 8 clamps an object, the first elastic device 9 deforms under the action of the contact force, the proximal end of the first elastic device 9 moves backward, and the proximal end of the first elastic device 9 is connected with a flexible deformation capability The connecting piece 3 moves backward under the action of the first elastic device 9 and the second elastic device 2, so that the indicator 4 installed on the connecting piece 3 with flexible deformation ability moves obviously, and the measuring element 5 reads Indicates the location of the piece.

当撤去夹持力时,在第一弹性装置9和第二弹性装置2作用下,连接件3回到初始位置,测量元件5读出指示件4的位置回到初始值。When the clamping force is removed, under the action of the first elastic device 9 and the second elastic device 2, the connecting part 3 returns to the initial position, and the position of the indicator 4 read by the measuring element 5 returns to the initial value.

Claims (4)

1. a haptic feedback system for Minimally Invasive Surgery apparatus, including elongate rod and the phase therewith of Minimally Invasive Surgery apparatus End effector even, end effector is provided with folding joint, and the elongate rod of Minimally Invasive Surgery apparatus is provided with pitching joint; It is characterized in that, also include:
First elastic device, its far-end is connected with the distal medial of end effector;
Having the connector of submissive deformability, the near-end of its far-end and the first elastic device is connected;
Second elastic device, its far-end is connected with the near-end of the connector with submissive deformability, and its near-end is installed In the elongate rod of Minimally Invasive Surgery apparatus;
First pair roller group, it is arranged on the both sides of end effector folding joints axes, its roller axis and folding The axis in joint is parallel;
Second pair roller group, it is arranged on the axis both sides in Minimally Invasive Surgery apparatus elongate rod pitching joint, its roller shaft Line is parallel with the axis in pitching joint;
The described connector with submissive deformability passes successively in the middle of above-mentioned two pair rollers;
Indication piece, it is fixed on the connector with submissive deformability;
Measuring cell, puts down in it is arranged on Minimally Invasive Surgery apparatus elongate rod and with the connector with submissive deformability OK;
Computerized control system, it is connected with the measuring cell signal of telecommunication, reads the reading of measuring cell, converts and judge Go out the size being applied to the power inside end effector;
The described connector with submissive deformability bends under the roller group effect that diameter is less.
The haptic feedback system of Minimally Invasive Surgery apparatus the most according to claim 1, it is characterised in that: described Indication piece is pointer, and this pointer contacts with measuring cell and is connected, and measuring cell reads pointer by computerized control system Position on measuring cell.
The haptic feedback system of Minimally Invasive Surgery apparatus the most according to claim 1, it is characterised in that: described Roller in first pair roller group and the second pair roller group is all small diameter long rod roller.
The haptic feedback system of Minimally Invasive Surgery apparatus the most according to claim 1, it is characterised in that: described First elastic device and the second elastic device are spring, air bag or liquid capsule.
CN201310279281.4A 2013-07-04 2013-07-04 Haptic Feedback System for Minimally Invasive Surgical Instruments Expired - Fee Related CN104274244B (en)

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CN108042162B (en) * 2017-12-21 2020-06-16 微创(上海)医疗机器人有限公司 Surgical robot system and surgical instrument thereof
CN111991087B (en) * 2020-09-10 2022-02-11 苏州大学 A minimally invasive surgical robot and its end effector
CN111991088B (en) * 2020-09-10 2022-02-11 苏州大学 Minimally invasive surgery robot and tail end clamp holder thereof
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