CN113558735A - Robot puncture positioning method and device for biliary tract puncture - Google Patents
Robot puncture positioning method and device for biliary tract puncture Download PDFInfo
- Publication number
- CN113558735A CN113558735A CN202110951194.3A CN202110951194A CN113558735A CN 113558735 A CN113558735 A CN 113558735A CN 202110951194 A CN202110951194 A CN 202110951194A CN 113558735 A CN113558735 A CN 113558735A
- Authority
- CN
- China
- Prior art keywords
- puncture
- needle
- positioning
- needle insertion
- image
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 238000000034 method Methods 0.000 title claims abstract description 48
- 210000003445 biliary tract Anatomy 0.000 title abstract description 33
- 230000004888 barrier function Effects 0.000 claims abstract description 15
- 238000003780 insertion Methods 0.000 claims description 91
- 230000037431 insertion Effects 0.000 claims description 91
- 239000000523 sample Substances 0.000 claims description 65
- 238000002604 ultrasonography Methods 0.000 claims description 46
- 230000007246 mechanism Effects 0.000 claims description 42
- 238000001514 detection method Methods 0.000 claims description 22
- 238000012545 processing Methods 0.000 claims description 8
- 238000012544 monitoring process Methods 0.000 claims description 7
- 238000005452 bending Methods 0.000 claims description 4
- 229910000831 Steel Inorganic materials 0.000 claims description 3
- 238000011065 in-situ storage Methods 0.000 claims description 3
- 239000010959 steel Substances 0.000 claims description 3
- 210000000013 bile duct Anatomy 0.000 claims 3
- 210000004204 blood vessel Anatomy 0.000 description 15
- 230000003993 interaction Effects 0.000 description 9
- 230000008569 process Effects 0.000 description 8
- 238000003384 imaging method Methods 0.000 description 6
- 210000001519 tissue Anatomy 0.000 description 6
- 238000010586 diagram Methods 0.000 description 3
- 210000000779 thoracic wall Anatomy 0.000 description 3
- 206010049816 Muscle tightness Diseases 0.000 description 2
- 206010061876 Obstruction Diseases 0.000 description 2
- 230000017531 blood circulation Effects 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 210000000038 chest Anatomy 0.000 description 2
- 238000002591 computed tomography Methods 0.000 description 2
- 238000013170 computed tomography imaging Methods 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 239000000284 extract Substances 0.000 description 2
- 239000012530 fluid Substances 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000005855 radiation Effects 0.000 description 2
- 230000000241 respiratory effect Effects 0.000 description 2
- 238000000926 separation method Methods 0.000 description 2
- 210000004872 soft tissue Anatomy 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 230000003211 malignant effect Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000002285 radioactive effect Effects 0.000 description 1
- 238000002601 radiography Methods 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 238000005070 sampling Methods 0.000 description 1
- 230000008685 targeting Effects 0.000 description 1
- 238000012800 visualization Methods 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
-
- 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
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3413—Needle locating or guiding means guided by ultrasound
-
- 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
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
- A61B2034/107—Visualisation of planned trajectories or target regions
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Medical Informatics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Robotics (AREA)
- Pathology (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
Abstract
The invention relates to the field of intelligent medical equipment, in particular to a robot puncture positioning method and a robot puncture positioning device for biliary tract puncture, wherein the method comprises the following steps: receiving a scanning request, and scanning a scanning target; acquiring an ultrasonic image during scanning, and establishing a one-to-one correspondence relationship between the ultrasonic image and a spatial position during acquisition of the ultrasonic image; defining the ultrasonic image which is most consistent with the planning image layer in the ultrasonic image as a puncture layer; if the puncture layer surface has no barrier, taking the point with the shortest distance between the scanning target and the puncture target point as a needle entering point, and taking a connecting line between the needle entering point and the puncture target point as a planned needle entering track; and then, when the needle inserting positioning channel is not collinear with the planned needle inserting track, the needle inserting positioning channel is adjusted to be collinear with the planned needle inserting track, and positioning of the needle inserting positioning channel is completed. The invention is used for positioning the puncture channel, improves the precision of puncture positioning and reduces the times of needle threading.
Description
Technical Field
The invention relates to the field of intelligent medical equipment, in particular to a robot puncture positioning method and device for biliary tract puncture.
Background
The biliary tract intervention operation is an important operation type for treating biliary tract related diseases such as biliary tract radiography, biliary tract internal and external drainage, biliary tract malignant obstruction and the like, and whether the puncture operation can successfully penetrate into a specific part of the biliary tract is crucial to the whole treatment. Accurate targeting of the planned target in the biliary tract means smooth establishment of the interventional channel, and subsequent treatment means including a balloon dilatation catheter, an dilatation stent, a radioactive particle stent and the like can be smoothly performed. Prior to the puncture procedure, the physician plans the needle travel plane based on the patient's CT or MRI images. In the puncture surgery, a doctor needs to specify a target position for puncture by means of an image guidance device. The ultrasound can realize the real-time image guidance without radiation, and the Doppler image can be used for distinguishing the biliary tract from other cavity structures with liquid flowing rapidly, thereby being widely applied to the biliary tract puncture surgery.
When the walking plane of the puncture needle is consistent with the preoperative image scanning layer, the puncture is coplanar. Planning of the coplanar puncture needle insertion path, avoidance of important tissue structures and selection of material taking areas are easy to control. Therefore, after the biliary tract target region is determined by using ultrasound or CT, the puncture is preferentially carried out on the imaging layer. However, the layer may be obstructed by bony structures, blood vessels in chest wall, blood vessels in chest or other normal tissue structures, and is limited by the experience and manipulation of the operator, the influence of the soft tissue deformation of the patient (passive), the change of the muscle tension of the patient (active), the interference of the respiratory motion (active), and other factors, a non-coplanar puncture technique is often required, that is, after the cross section of the human body where the target is located is determined, the head side or the foot side is selected to be deviated, a proper needle insertion point is searched, and a needle insertion path is planned.
In coplanar and non-coplanar puncture, under the guidance of ultrasonic images, doctors can observe the relative relation between the target area of the biliary tract and the puncture needle in real time. However, the relation between the puncture path and the surrounding tissues is difficult to judge only by means of the two-dimensional ultrasonic image, and the hand shaking or the puncture needle bending easily causes the puncture needle to exceed the imaging plane, so that the puncture needle is lost, the puncture difficulty is increased, and the injury of a patient is increased. In the non-coplanar puncture process, the needle body and the needle point are invisible, so that the problems of separation of the puncture needle and puncture of blood vessels, complications and the like are easy to occur. In addition, in the two puncture scenes, when the puncture needle inserting point and the puncture needle inserting angle are determined, the doctor determines according to experience, and the distribution of the thoracic wall and the blood vessels in the chest in the puncture path cannot be mastered in time, so that the puncture accuracy and the puncture risk are difficult to control, and great hidden danger is brought.
The existing manual puncture mainly depends on the experience of doctors and a puncture frame to determine the needle inserting point, the needle inserting angle and the needle inserting depth. With CT imaging, intraoperative radiation is large, and thus it is difficult to apply real-time guidance techniques in non-coplanar punctures. Ultrasound can be used for real-time puncture guidance, but the scanning plane of the ultrasound is consistent with the puncture needle running plane to ensure that the puncture needle running path is detected in real time. In order to keep the running plane of the puncture needle consistent with the ultrasonic scanning plane, the ultrasonic probe and the puncture needle are fixed on the same plane by the conventional puncture frame, so that no important blood vessel and focus area in the running path of the puncture needle can be punctured. The puncture frame can be used for adjusting the needle inserting angle of the puncture needle, but the adjustment amplitude still depends on the experience of a clinician. In addition to using a puncture frame, there is a 3D printed personalized template for assisting puncture in combination with CT imaging, but once the puncture target position is inconsistent with the preoperative one, the puncture error is also increased.
Therefore, the prior art has shortcomings and needs to be improved and developed in response to the above circumstances.
The invention aims to automatically adjust the needle inserting point and the needle inserting angle of a puncture needle positioning channel and control the automatic scanning of an ultrasonic probe to track the needle point of the puncture needle by utilizing the provided mechanical structure and the control mechanism. The doctor pierces the puncture needle into the patient body through the puncture positioning channel, thereby realizing accurate puncture and reducing the damage and complication caused by mistaken puncture.
Disclosure of Invention
The embodiment of the invention provides a robot puncture positioning method and device facing biliary tract puncture, which at least solve the technical problem of low puncture positioning precision facing biliary tract puncture in the prior art.
According to an embodiment of the present invention, there is provided a robot puncture positioning method for biliary puncture, including the steps of:
receiving a scanning request, and scanning a scanning target, wherein the scanning request at least carries a scanning signal;
acquiring an ultrasonic image during scanning based on the scanning signal, and establishing a one-to-one correspondence relationship between the ultrasonic image and a spatial position during acquisition of the ultrasonic image;
transmitting the ultrasonic image to a display terminal for displaying so as to define the ultrasonic image which is most consistent with the planning image layer in the ultrasonic image as a puncture layer;
marking a puncture target point in the puncture layer, and if no barrier exists on the puncture layer, taking a point with the shortest distance between the scanning target and the puncture target point as a needle entering point, wherein a connecting line between the needle entering point and the puncture target point is a planned needle entering track;
and calculating the position information of the needle insertion positioning channel which needs to move when the needle insertion positioning channel is not collinear with the planned needle insertion track, and adjusting the needle insertion positioning channel to be collinear with the planned needle insertion track based on the position information to complete the positioning of the needle insertion positioning channel.
Further, after displaying the ultrasound image on the display terminal to define the ultrasound image in the ultrasound image that most fits the planning image layer as the puncture layer, the method further includes:
marking a puncture target point in the puncture layer, and if a barrier exists on the target image layer, moving the scanning area to a selected area;
performing in-situ rotation scanning in the selected area, acquiring an ultrasonic image in real time, and recording the spatial position of the acquired ultrasonic image;
displaying the ultrasonic image on a display terminal in a three-dimensional image mode;
selecting a puncture layer and a puncture target point from an ultrasonic image displayed in a three-dimensional image mode;
selecting and planning a needle inserting track based on the puncture layer surface and the puncture target point;
and calculating that when the needle insertion positioning passage is not collinear with the planned needle insertion track, the needle insertion positioning passage is adjusted to be collinear with the planned needle insertion track, and positioning the needle insertion positioning passage.
Further, after the positioning of the needle inserting positioning channel, the method also comprises the following steps:
performing puncture needle inserting operation by using a puncture needle inserting track, wherein the puncture needle inserting track is a needle inserting track after the positioning of the needle inserting positioning channel is completed;
monitoring the working state of the puncture needle in the puncture needle track in real time;
when the puncture needle is bent in the puncture layer surface, calculating the bending direction of the puncture needle;
when the puncture needle is bent in the left and right directions of the puncture layer surface, scanning rotation is performed to detect the needle head position of the puncture needle.
Further, before transmitting the ultrasound image to a display terminal for displaying, so as to define an ultrasound image in the ultrasound image that most coincides with the planning image layer as a puncture layer, the method further includes:
a planning image layer for comparison with the puncture layer is planned in advance.
Further, after the positioning of the needle entering positioning channel is completed, the method further comprises the following steps:
and detecting the planned needle inserting track to determine whether an interference object exists in the planned needle inserting track.
A robot puncture positioning device facing biliary tract puncture comprises: the system comprises a mechanical arm, an image acquisition module, a target identification module, a state calculation module and a motion control module;
the motion control module is used for controlling the six-degree-of-freedom motion of the manipulator, controlling the manipulator to scan a scanning target based on receiving a scanning request, wherein the scanning request at least carries a scanning signal;
the image acquisition module is used for acquiring ultrasonic images during scanning based on the scanning signals and establishing a one-to-one correspondence relationship between the ultrasonic images and the spatial positions during the acquisition of the ultrasonic images;
the target identification module is used for transmitting the ultrasonic images to the display terminal for displaying so as to define the ultrasonic images which are most consistent with the planning image layer in the ultrasonic images as puncture layers;
the state calculation module is used for calculating the position information of the needle insertion positioning channel needing to be moved when the needle insertion positioning channel is not collinear with the planned needle insertion track, adjusting the needle insertion positioning channel to be collinear with the planned needle insertion track based on the position information and completing the positioning of the needle insertion positioning channel; wherein, the planning needle-inserting track is selected from the puncture layer;
and the mechanical arm is used for scanning the scanning target and performing puncture work, and the ultrasonic image is acquired by the image processing module through scanning.
Further, the apparatus further comprises:
and the puncture needle detection module is used for monitoring the working state of the puncture needle in the puncture needle track in real time and monitoring the needle head position of the puncture needle when the puncture needle is bent.
Further, the apparatus further comprises:
and the collision detection module is used for detecting the planned needle inserting track so as to determine whether an interference object exists in the planned needle inserting track.
Further, the manipulator comprises a mechanical arm and a probe positioning mechanism arranged on the mechanical arm.
Furthermore, the probe positioning mechanism comprises a needle insertion angle adjusting mechanism, and a first flange plate, a second flange plate, a servo motor, a probe fixing frame and an ultrasonic probe which are sequentially connected;
the first flange plate is rotatably connected with the mechanical arm, and the needle inserting angle adjusting mechanism is connected to the first flange plate;
the first flange and the second flange are rotatably connected with each other.
Further, the needle insertion angle adjusting mechanism comprises a steering engine fixing piece, a servo steering engine, a steering engine gear, a sliding block fixing piece, a sliding block, a rack, a sliding rail and a needle guide;
the servo steering engine is arranged on the steering engine fixing piece, and the steering engine gear is arranged on the servo steering engine;
the sliding block is connected with the steering engine fixing piece, the sliding rail is connected with the sliding block, and steel balls are arranged in the sliding block so that the sliding block can move in the sliding rail conveniently;
the rack is arranged on the sliding rail, the steering gear is meshed with the rack, the servo motor drives the steering gear to rotate, and the steering gear drives the rack to move;
the needle guide is mounted on the rack, and the needle guide is driven by movement of the rack to adjust the angle of the needle guide.
Furthermore, the needle inserting angle adjusting mechanism also comprises a guider frame, the guider frame is arranged on the rack, and the needle guider is detachably arranged on the guider frame.
Further, the motion control module includes:
the mechanical arm control submodule is used for controlling the movement of the mechanical arm in different directions so as to realize that the ultrasonic probe scans a target;
and the motor control submodule is used for controlling the rotation of the servo motor and the servo steering engine.
The invention provides a robot puncture positioning method and device facing biliary tract puncture, wherein the method comprises the following steps: receiving a scanning request, and scanning a scanning target; acquiring an ultrasonic image during scanning, and establishing a one-to-one correspondence relationship between the ultrasonic image and a spatial position during acquisition of the ultrasonic image; defining the ultrasonic image which is most consistent with the planning image layer in the ultrasonic image as a puncture layer; if the puncture layer surface has no barrier, taking the point with the shortest distance between the scanning target and the puncture target point as a needle entering point, and taking a connecting line between the needle entering point and the puncture target point as a planned needle entering track; and then, when the needle inserting positioning channel is not collinear with the planned needle inserting track, the needle inserting positioning channel is adjusted to be collinear with the planned needle inserting track, and positioning of the needle inserting positioning channel is completed. The invention is used for positioning the puncture channel, improves the precision of puncture positioning and reduces the times of needle threading.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this application, illustrate embodiment(s) of the invention and together with the description serve to explain the invention without limiting the invention. In the drawings:
FIG. 1 is a flow chart of a robot puncture positioning method facing biliary tract puncture according to the present invention;
FIG. 2 is a schematic diagram of the biliary puncture-oriented robotic puncture positioning device of the present invention;
FIG. 3 is a view showing the structure of a robot according to the present invention;
FIG. 4 is a block diagram of the probe positioning mechanism of the present invention;
FIG. 5 is another block diagram of the probe positioning mechanism of the present invention.
Reference numerals: 1-a first flange plate, 2-a second flange plate, 3-a servo motor, 4-a probe fixing device, 5-an ultrasonic probe, 6-a steering engine fixing device, 7-a servo steering engine, 8-a steering engine gear, 9-a sliding block fixing device, 10-a sliding block, 11-a rack, 12-a sliding rail, 13-a needle guide, 14-a guide frame, 100-a puncture needle detection module, 200-an image acquisition module, 300-a target identification module, 400-a collision detection module, 500-a state calculation module, 600-a mechanical arm control submodule, 700-a motor control submodule, 800-a mechanical arm and 900-a probe positioning mechanism.
Detailed Description
In order to make the technical solutions of the present invention better understood, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
It should be noted that the terms "first," "second," and the like in the description and claims of the present invention and in the drawings described above are used for distinguishing between similar elements and not necessarily for describing a particular sequential or chronological order. It is to be understood that the data so used is interchangeable under appropriate circumstances such that the embodiments of the invention described herein are capable of operation in sequences other than those illustrated or described herein. Furthermore, the terms "comprises," "comprising," and "having," and any variations thereof, are intended to cover a non-exclusive inclusion, such that a process, method, system, article, or apparatus that comprises a list of steps or elements is not necessarily limited to those steps or elements expressly listed, but may include other steps or elements not expressly listed or inherent to such process, method, article, or apparatus.
Example 1
According to an embodiment of the present invention, a robot puncture positioning method facing a biliary tract puncture is provided, referring to fig. 1 and 2, including the following steps:
s101: receiving a scanning request, and scanning a scanning target, wherein the scanning request at least carries a scanning signal;
s102: acquiring an ultrasonic image during scanning based on the scanning signal, and establishing a one-to-one correspondence relationship between the ultrasonic image and a spatial position during acquisition of the ultrasonic image;
s103: transmitting the ultrasonic image to a display terminal for displaying so as to define the ultrasonic image which is most consistent with the planning image layer in the ultrasonic image as a puncture layer;
s104: marking a puncture target point in the puncture layer, and if no barrier exists on the puncture layer, taking a point with the shortest distance between the scanning target and the puncture target point as a needle entering point, wherein a connecting line between the needle entering point and the puncture target point is a planned needle entering track;
s105: and calculating the position information of the needle insertion positioning channel which needs to move when the needle insertion positioning channel is not collinear with the planned needle insertion track, and adjusting the needle insertion positioning channel to be collinear with the planned needle insertion track based on the position information to complete the positioning of the needle insertion positioning channel.
The invention provides a robot puncture positioning method and device facing biliary tract puncture, wherein the method comprises the following steps: receiving a scanning request, and scanning a scanning target; acquiring an ultrasonic image during scanning, and establishing a one-to-one correspondence relationship between the ultrasonic image and a spatial position during acquisition of the ultrasonic image; defining the ultrasonic image which is most consistent with the planning image layer in the ultrasonic image as a puncture layer; if the puncture layer surface has no barrier, taking the point with the shortest distance between the scanning target and the puncture target point as a needle entering point, and taking a connecting line between the needle entering point and the puncture target point as a planned needle entering track; and then, when the needle inserting positioning channel is not collinear with the planned needle inserting track, the needle inserting positioning channel is adjusted to be collinear with the planned needle inserting track, and positioning of the needle inserting positioning channel is completed. The invention is used for positioning the puncture channel, improves the precision of puncture positioning and reduces the times of needle threading.
Furthermore, compared with the prior art, the multi-degree-of-freedom ultrasonic scanning and real-time positioning can be realized, when the multi-degree-of-freedom ultrasonic scanning and real-time positioning device is used for puncture, if coplanar puncture is difficult, such as rib obstruction exists, the ultrasonic probe 5 and the puncture positioning device can independently rotate to realize non-coplanar puncture, and if the puncture needle is bent out of a plane, the ultrasonic probe 5 can independently move and detect the position of the needle point of the puncture needle, so that the relative position of the needle point of the puncture needle and a puncture target can be more accurately evaluated; the invention also adds an image processing unit and a collision detection function, and can be used for providing multi-decision information for doctors in the process of determining the focus and positioning the puncture channel, thereby improving the positioning precision and reducing the number of times of needle puncture.
The following describes in detail a method for positioning a robot for biliary tract puncture according to the present invention with reference to specific embodiments:
the method comprises the following steps: the mechanical arm 800 for positioning by controlling puncture moves to the upper part of the area of the punctured target, the autonomous scanning switch is pressed, and then the motion control module controls the ultrasonic probe 5 on the mechanical arm 800 to move downwards, so that the ultrasonic probe 5 contacts the skin of the scanned target to scan.
Step two: the contact force between the ultrasonic probe 5 and the skin of the scanned target is stabilized at a fixed value, an ultrasonic image is acquired through the image acquisition module 200, and the condition of the inside of the punctured tissue is observed in real time by displaying a clear image on the human-computer interaction target identification module 300. The human-computer interaction target recognition module 300 is mainly used for calibrating the straight line where the punctured target point and the needle inserting track are located on the computer screen by a doctor.
The biliary tract and other surrounding blood vessels appear as black hollow structures on the ultrasound image, and the flow of fluid in the biliary tract is very slow relative to the blood flow in the blood vessels, so that the biliary tract still appears black on the doppler image, and the doctor can identify the biliary tract by the surrounding blood vessel structure.
Step three: the ultrasonic probe 5 scans a rectangular area including a target point, and moves at a fixed speed while scanning.
In the scanning process, the image acquisition module 200 acquires an ultrasound image of the region of interest, and records the position of the end of the mechanical arm 800 at the same time, so as to establish a one-to-one correspondence relationship between the layer plane of the ultrasound image and the spatial position. The mechanical arm 800 controls the ultrasonic probe 5 to cling to the skin in a fixed direction for scanning until the boundary of the region of interest.
Step four: after scanning is finished, a doctor views an ultrasonic image formed by scanning by utilizing a human-computer interaction target recognition function, selects an ultrasonic image which is most consistent with a preoperative planned puncture layer, and defines the imaging plane as the layer where the punctured target is located, namely the puncture layer.
Step five: marking a puncture target on an ultrasonic image of a puncture layer, and determining whether coplanar puncture or non-coplanar puncture is adopted; checking whether barriers such as ribs exist on the ultrasonic image layer of the puncture target; if there is no barrier, coplanar piercing is used, and if there is a barrier, non-coplanar piercing is used.
The coplanar puncturing of the present invention is described in detail below with specific examples:
the distribution condition of the ribs and the great vessels in the scanning layer of the punctured target can be obtained based on the CT scanning before the operation of the patient. If the puncture layer surface has no rib and great vessel, the coplanar puncture can be carried out;
the first step is as follows: if the puncture layer surface has no barrier, the point on the body surface closest to the puncture target is the needle inserting point; and if so, the connecting line of the needle entering point and the target point is the needle entering track.
The second step is that: the collision detection module 400 detects needle entry trajectory safety.
Specifically, a straight line is dragged by using the man-machine interaction function of the target recognition module 300, and the straight line is defined as a needle insertion path of the puncture needle. This path is subjected to collision detection by collision detection module 400 in order to find out whether an interference with the important blood vessel occurs in the planned puncture path.
Specifically, after the doctor selects the needle insertion plane, the motion control module controls the mechanical arm 800 to move to the corresponding position according to the spatial position of each ultrasound image recorded in the previous image acquisition module 200. After the ultrasonic probe 5 is positioned to the puncture layer surface, the left and right sides of the human body in the plane move, and scanning is carried out to determine whether the needle insertion point is safe.
The third step: the state calculation function in the motion planning unit 102 calculates the angle that the servo steering engines 7 of the mechanical arm 800 and the mechanical arm 800 need to rotate when the central axis of the puncture needle positioning channel at the tail end of the mechanical arm 800 is collinear with the planned puncture needle trajectory, and installs the calculation result to make the axis of the puncture needle positioning channel collinear with the planned puncture needle trajectory.
Specifically, a motion control module controls a servo steering engine 7, the servo steering engine 7 drives a gear to rotate, and the gear drives a rack 11 to rotate, so that a puncture needle positioning channel is adjusted to a specified position, puncture positioning is completed, and a doctor starts puncturing by holding a puncture needle.
The fourth step: during the puncture process, if the puncture needle is bent, the needle point and part of the needle body will disappear. While the puncture needle is inserted, the puncture needle detection module 100 detects or monitors the puncture needle in real time, divides the shape of the puncture needle, and calculates the curvature. If the needle bends in the plane of the puncture, the computer extracts the needle profile and prompts the operator in the direction of the needle bend. If the puncture needle is bent towards the left side and the right side of the puncture plane, the motion control module controls the servo motor 3 to rotate and drives the ultrasonic probe 5 to rotate so as to detect the position of the needle point.
In an embodiment, after displaying the ultrasound image on the display terminal to define an ultrasound image in the ultrasound image that most coincides with the planning image layer as the puncture layer, the method further includes:
marking a puncture target point in the puncture layer, and if a barrier exists on the target image layer, moving the scanning area to a selected area;
performing in-situ rotation scanning in the selected area, acquiring an ultrasonic image in real time, and recording the spatial position of the acquired ultrasonic image;
displaying the ultrasonic image on a display terminal in a three-dimensional image mode;
selecting a puncture layer and a puncture target point from an ultrasonic image displayed in a three-dimensional image mode;
selecting and planning a needle inserting track based on the puncture layer surface and the puncture target point;
and calculating that when the needle insertion positioning passage is not collinear with the planned needle insertion track, the needle insertion positioning passage is adjusted to be collinear with the planned needle insertion track, and positioning the needle insertion positioning passage.
The invention can aim at coplanar puncture, but the puncture layer surface is usually sampling non-coplanar puncture when the separation object of bone structure, chest wall blood vessel, intrathoracic blood vessel or other normal tissue structure is probably; in addition, due to the limitation of the experienced manipulations of the operator, the influence of the soft tissue deformation of the patient (passive), the change of the muscle tension of the patient (active), and the interference of the respiratory motion (active), it is often necessary to adopt the non-coplanar puncture technique, i.e. after determining the cross section of the human body where the target is located, selecting the deviation towards the head side or the foot side, searching for the proper needle insertion point, and planning the needle insertion path.
The non-coplanar piercing of the present invention is described in detail below with specific examples:
the distribution condition of the ribs and the great vessels in the scanning layer of the punctured target can be obtained based on the CT scanning before the operation of the patient. If the puncture layer surface has barriers such as ribs and great vessels, or the needle insertion track is difficult to avoid passing through the great vessels, non-coplanar puncture is adopted.
The first step is as follows: the ultrasonic probe 5 controls the mechanical arm 800 to move to the cross section of the human body where the target selected by the doctor is located by the motion control module. And then, performing rotary scanning by taking the central axis of the ultrasonic probe 5 as a rotary central line to determine a walking plane of the puncture needle during non-coplanar puncture. An image acquisition module 200 in the image processing unit acquires the ultrasound image in real time and records the spatial position of the ultrasound image.
The second step is that: the three-dimensional graph mode is displayed in the human-computer interaction target recognition module 300, and the target and the puncture layer are selected. The selected puncture layer surface is transferred to a servo motor 3 at the tail end of the mechanical arm 800 controlled by the motion control module to rotate so as to drive the ultrasonic probe 5 to rotate to the selected puncture layer surface.
The third step: and selecting a puncture target point and a puncture needle inserting track on a puncture layer. It should be noted that, in order to avoid inaccurate selection of the needle insertion trajectory, the scanning target (the person to be punctured, or the patient) is required to hold his breath during the real-time imaging of the ultrasound probe 5, so as to prevent the puncture target from moving due to physiological motion.
The fourth step: the generated needle entering track can be directly transmitted to the motion control module, and the servo steering engine 7 is controlled to drive the sliding rail 12, so that the axis of the puncture needle entering positioning channel is superposed with the needle entering track.
The fifth step: the puncture needle is held by the doctor, inserted into the needle positioning channel and punctured into the scanning target.
And a sixth step: if the needle is bent in the ultrasound plane or out of the plane, the location of its tip is detected by the needle detection module 100 with reference to the in-plane puncture condition detection.
In an embodiment, after the positioning of the needle insertion positioning channel, the method further comprises:
performing puncture needle inserting operation by using a puncture needle inserting track, wherein the puncture needle inserting track is a needle inserting track after the positioning of the needle inserting positioning channel is completed;
monitoring the working state of the puncture needle in the puncture needle track in real time;
when the puncture needle is bent in the puncture layer surface, calculating the bending direction of the puncture needle;
when the puncture needle is bent in the left and right directions of the puncture layer surface, scanning rotation is performed to detect the needle head position of the puncture needle.
The puncturing operation is performed after the positioning of the needle inserting positioning channel, and the coplanar puncturing operation and the non-coplanar puncturing operation are described in detail above and will not be described herein again.
In an embodiment, before transmitting the ultrasound image to a display terminal for displaying, so as to define an ultrasound image in the ultrasound image that most coincides with the planning image layer as a puncture layer, the method further includes:
a planning image layer for comparison with the puncture layer is planned in advance.
And after scanning is finished, using a human-computer interaction target identification function to check ultrasonic images formed by scanning, selecting the ultrasonic image which is most consistent with the preoperative planned puncture layer, and defining the imaging plane as the layer where the punctured target is located.
In an embodiment, after completing the positioning of the needle insertion positioning channel, the method further comprises:
and detecting the planned needle inserting track to determine whether an interference object exists in the planned needle inserting track.
Needle entry trajectory safety is detected by the collision detection module 400. Specifically, an ultrasonic image is checked by utilizing a human-computer interaction function, a straight line is dragged, and a needle inserting path of the puncture needle is defined. The path is subjected to collision detection by a motion planning module so as to find whether the planned puncture path interferes with an important blood vessel or not.
Example 2
According to another embodiment of the present invention, there is provided a robotic puncture positioning device for biliary puncture, referring to fig. 2 to 5, including: the system comprises a manipulator, an image acquisition module 200, a target recognition module 300, a collision detection module 400, a state calculation module 500 and a motion control module;
the motion control module is used for controlling the six-degree-of-freedom motion of the manipulator, controlling the manipulator to scan a scanning target based on receiving a scanning request, wherein the scanning request at least carries a scanning signal;
the image acquisition module 200 is configured to acquire an ultrasound image during scanning based on the scanning signal, and establish a one-to-one correspondence relationship between the ultrasound image and a spatial position during the acquisition of the ultrasound image;
the target identification module 300 is configured to transmit the ultrasound image to a display terminal for displaying, so as to define an ultrasound image in the ultrasound image that most coincides with the planning image layer as a puncture layer;
the state calculation module 500 is used for calculating the position information that the needle insertion positioning channel needs to move when the needle insertion positioning channel is not collinear with the planned needle insertion track, adjusting the needle insertion positioning channel to be collinear with the planned needle insertion track based on the position information, and completing the positioning of the needle insertion positioning channel; wherein, the planning needle-inserting track is selected from the puncture layer;
and the mechanical arm is used for scanning the scanning target and performing puncture work, and the ultrasonic image is acquired by the image processing module through scanning.
The invention provides a robot puncture positioning method and device facing biliary tract puncture, wherein the method comprises the following steps: receiving a scanning request, and scanning a scanning target; acquiring an ultrasonic image during scanning, and establishing a one-to-one correspondence relationship between the ultrasonic image and a spatial position during acquisition of the ultrasonic image; defining the ultrasonic image which is most consistent with the planning image layer in the ultrasonic image as a puncture layer; if the puncture layer surface has no barrier, taking the point with the shortest distance between the scanning target and the puncture target point as a needle entering point, and taking a connecting line between the needle entering point and the puncture target point as a planned needle entering track; and then, when the needle inserting positioning channel is not collinear with the planned needle inserting track, the needle inserting positioning channel is adjusted to be collinear with the planned needle inserting track, and positioning of the needle inserting positioning channel is completed. The invention is used for positioning the puncture channel, improves the precision of puncture positioning and reduces the times of needle threading.
Compared with the prior art, the multi-degree-of-freedom ultrasonic scanning and real-time positioning can be realized, when the multi-degree-of-freedom ultrasonic scanning and real-time positioning device is used for puncture, if the coplanar puncture difficulty is high, the ultrasonic probe 5 and the puncture positioning device can independently rotate to realize non-coplanar puncture, and if the puncture needle is bent out of the plane, the ultrasonic probe 5 can independently move and detect the position of the needle point of the puncture needle, so that the relative position of the needle point of the puncture needle and a puncture target can be more accurately evaluated; the invention also adds an image processing unit and a collision detection function, and can be used for providing multi-decision information for doctors in the process of determining the focus and positioning the puncture channel, thereby improving the positioning precision and reducing the number of times of needle puncture.
Specifically, the biliary tract puncture positioning device provided by the invention mainly comprises an image processing unit, a motion planning unit and a motion control module; the mechanical structure part mainly comprises: the six-degree-of-freedom needle inserting positioning device comprises a six-degree-of-freedom mechanical arm 800, a six-degree-of-freedom main control end, a rotating motor, a needle inserting angle adjusting mechanism, an ultrasonic probe clamping mechanism and a needle inserting positioning channel of a puncture needle.
The image processing unit comprises an ultrasonic image acquisition module 200, a human-computer interaction target identification module 300 and a puncture needle detection module 100.
The image acquisition module 200: the ultrasonic imaging device is mainly used for acquiring ultrasonic images in an operation and enabling an operator to observe the condition of the interior of a punctured tissue in real time;
the object recognition module 300: the method is mainly used for calibrating the straight line where the punctured target point and the needle inserting track are located on a computer screen. The biliary tract and other surrounding blood vessels appear as black hollow structures on the ultrasound image, and the flow of fluid in the biliary tract is very slow relative to the blood flow in the blood vessels, so that the biliary tract still appears black on the doppler image, and the surrounding blood vessels appear red or blue, so that the doctor can identify the biliary tract.
The motion planning unit includes a collision detection module 400 and a puncture needle state calculation module 500.
The collision detection module 400: the method is mainly used for detecting whether the planned needle insertion track and the important organ have the interferent or not;
the state calculation module 500: the needle inserting device is mainly used for adjusting the posture of the puncture needle to enable the puncture needle to be collinear with a straight line where a planned needle inserting track is located.
The motion control module mainly includes a robot arm control sub-module 600 and a motor control sub-module.
The mechanical arm control sub-module 600: the mechanical arm 800 and the ultrasonic probe 5 carried thereon are mainly controlled to move in different directions in space, so that the ultrasonic probe 5 is stably contacted with the skin of a patient, and the ultrasonic probe 5 scans a target so as to obtain a stable ultrasonic image;
a motor control submodule: the needle inserting positioning mechanism is mainly used for controlling the servo motor 3 and the servo steering engine 7 which are arranged on the probe positioning mechanism 900 at the tail end of the mechanical arm 800 to move the puncture needle inserting positioning channel to a preset position, so that a doctor can accurately insert a human body along the puncture needle inserting positioning channel by using the puncture needle.
In the aspect of a mechanical structure, the manipulator is arranged on the movable machine table and is mainly responsible for relatively fixing the whole mechanism and the ground. The six-degree-of-freedom mechanical arm 800 is connected to a mobile station, and a doctor remotely controls the mechanical arm 800 by operating the mobile station equipment, so that the ultrasonic probe 5 is moved above a scanning target disease. The servo motor 3 is responsible for rotating the ultrasonic probe clamping device directly connected with the servo motor, so that the rotation of the ultrasonic scanning surface is realized. The probe positioning mechanism 900 on the six degree-of-freedom robotic arm 800 may spin about its central axis.
If the puncture is performed in the same plane, the servo motor 3 does not rotate, so that the ultrasonic probe 5 and the probe positioning mechanism 900 rotate together with the rotary joint at the tail end of the mechanical arm 800, and the plane scanned by the ultrasonic probe 5 is ensured to be consistent with the plane where the puncture needle positioning channel of the puncture needle is located.
If the puncture is performed in a non-coplanar manner, the probe positioning mechanism 900 at the tail end of the mechanical arm 800 rotates around the axis of the probe positioning mechanism, so that the puncture needle positioning channel walking plane rotates, and the purpose of changing the puncture path is achieved. At the same time, the servo motor 3 rotates in the opposite direction, thereby keeping the ultrasonic probe 5 stationary with respect to the scanning target. The puncture needle inserting angle adjusting mechanism is used for adjusting the angle of the puncture needle penetrating into the human body. The ultrasonic probe 5 clamping mechanism is used for fixing the ultrasonic probe 5 at the tail end of the mechanical arm 800. The puncture needle inserting positioning channel is used for ensuring that the extension line of the puncture needle and the planned puncture needle inserting track are on the same straight line.
In an embodiment, the apparatus further comprises:
and the puncture needle detection module 100 is used for monitoring the working state of the puncture needle in a puncture needle track in real time and monitoring the needle head position of the puncture needle when the puncture needle is bent.
During the puncture process, if the puncture needle is bent, the needle point and part of the needle body will disappear. While the puncture needle is inserted, the puncture needle detection module 100 detects or monitors the puncture needle in real time, divides the shape of the puncture needle, and calculates the curvature. If the needle bends in the plane of the puncture, the computer extracts the needle profile and prompts the operator in the direction of the needle bend. If the puncture needle is bent towards the left side and the right side of the puncture plane, the motion control module controls the servo motor 3 to rotate and drives the ultrasonic probe 5 to rotate so as to detect the position of the needle point.
As shown in fig. 4 and 5, in an embodiment, the robot comprises a robot arm 800 and a probe positioning mechanism 900 mounted on the robot arm 800.
The mechanical control sub-module controls the movement of the mechanical arm 800 to move the probe positioning mechanism 900 at the end of the mechanical arm 800 to a spatially specified position for scanning and puncturing.
In the embodiment, the probe positioning mechanism 900 comprises a needle angle adjusting mechanism, and a first flange plate 1, a second flange plate 2, a servo motor 3, a probe fixing frame 4 and an ultrasonic probe 5 which are connected in sequence;
the first flange plate 1 is rotatably connected with the mechanical arm 800, and the needle inserting angle adjusting mechanism is fixedly connected to the first flange plate 1;
the first flange 1 and the second flange 2 are rotatably connected with each other.
The probe positioning mechanism 900 mainly comprises a servo motor 3, a probe fixing support, a servo steering engine 7, a gear rack 11 movement mechanism consisting of a steering engine gear 8 and a rack 11, and a positioning sheath consisting of a needle guider 13 and a guider frame. The probe positioning mechanism 900 for puncture can be compatible with ultrasound medical image information; wherein, the probe fixing bracket is used for fixing the ultrasonic probe 5; when the ultrasonic scanning is finished, the human-computer interaction target recognition module 300 of the robot visualization finishes scanning target positioning according to the scanning result, provides puncture path planning information, determines puncture points and needle insertion angles, finishes pose adjustment by the probe positioning mechanism 900, establishes an extracorporeal channel so as to insert needles from the needle insertion positioning channel, and can reduce the problems of multiple and repeated needle insertion caused by inaccurate positioning and improve the puncture accuracy.
In the embodiment, the needle insertion angle adjusting mechanism comprises a steering engine fixing piece 6, a servo steering engine 7, a steering engine gear 8, a sliding block 10 fixing piece 9, a sliding block 10, a rack 11, a sliding rail 12 and a needle guide 13;
the steering engine fixing piece 6 is connected with the first flange plate 1, the servo steering engine 7 is installed on the steering engine fixing piece 6, and the steering engine gear 8 is installed on the servo steering engine 7;
the sliding block 10 is connected with the steering engine fixing piece 6, the sliding rail 12 is connected with the sliding block 10, and steel balls are arranged in the sliding block 10 so that the sliding block 10 can move in the sliding rail 12;
the rack 11 is arranged on the sliding rail 12, the steering gear 8 is meshed with the rack 11, the servo motor 3 drives the steering gear 8 to rotate, and the steering gear 8 drives the rack 11 to move;
the needle guide 13 is mounted on the rack 11, and the needle guide 13 is driven by the movement of the rack 11 to adjust the angle of the needle guide 13.
In an embodiment, the needle insertion angle adjusting mechanism further comprises a guide frame 14, the guide frame 14 is mounted on the rack 11, and the needle guide 13 is detachably mounted on the guide frame 14.
Specifically, the probe positioning mechanism 900 and the steering engine fixing part 6 are connected with the mechanical arm 800 through the first flange plate 1; wherein, first ring flange 1 and arm 800 end are threaded bolt connection, and first ring flange 1 and steering wheel mounting 6 are rigid connection, and this connected mode makes whole needle inserting angle adjustment mechanism can be along with arm 800 end carry out 360 degrees rotations, realizes the non-coplane puncture in many planes.
The second flange plate 2 is connected with the first flange plate 1 and the servo motor 3 through threaded bolts, and then the servo motor 3 is indirectly connected with a rotary joint at the tail end of the mechanical arm 800; the probe fixing support is connected with the servo motor 3 through a threaded bolt, and the ultrasonic probe 5 is rigidly fixed on the probe fixing support. When the rotating joint at the tail end of the mechanical arm 800 drives the needle inserting angle adjusting mechanism to rotate, the servo motor 3 can provide rotating motion in the opposite direction to offset, so as to ensure that the scanning plane of the ultrasonic probe 5 is kept unchanged.
In the needle insertion angle adjusting mechanism, a servo steering engine 7 is rigidly fixed in a steering engine fixing piece 6, and a steering engine gear 8 is connected to the servo steering engine 7 and driven by the servo steering engine 7; the sliding block 10 is rigidly connected with the steering engine fixing piece 6 through a threaded bolt, the sliding rail 12 is non-rigidly connected to the sliding block 10, a ball structure is arranged in the sliding block 10 so that the sliding rail 12 and the sliding block 10 can move relatively, and the rack 11 is rigidly fixed on the sliding rail 12; after the steering engine gear 8 is meshed with the rack 11, the gear rack 11 kinematic pair can be driven by the servo steering engine 7 to realize the motion of the rack 11 and the sliding rail 12;
the needle guide 13 is connected to the guide frame 14 by a detachable pin connection mode, the guide frame 14 is rigidly fixed on the rack 11, and when the rack 11 moves and the pinion moves, the needle guide 13 can complete the angle adjustment of the needle insertion channel, and the angle adjustment range is 0-90 degrees.
The foregoing is only a preferred embodiment of the present invention, and it should be noted that it is obvious to those skilled in the art that various modifications and improvements can be made without departing from the principle of the present invention, and these modifications and improvements should also be considered as the protection scope of the present invention.
Claims (13)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110951194.3A CN113558735A (en) | 2021-08-18 | 2021-08-18 | Robot puncture positioning method and device for biliary tract puncture |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110951194.3A CN113558735A (en) | 2021-08-18 | 2021-08-18 | Robot puncture positioning method and device for biliary tract puncture |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN113558735A true CN113558735A (en) | 2021-10-29 |
Family
ID=78172168
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202110951194.3A Pending CN113558735A (en) | 2021-08-18 | 2021-08-18 | Robot puncture positioning method and device for biliary tract puncture |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN113558735A (en) |
Cited By (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114287997A (en) * | 2021-12-17 | 2022-04-08 | 上海卓昕医疗科技有限公司 | Medical puncture robot |
| CN114668496A (en) * | 2022-03-10 | 2022-06-28 | 深圳高性能医疗器械国家研究院有限公司 | Skeleton resetting device, skeleton positioning method, skeleton positioning device, computer equipment and medium |
| CN114711964A (en) * | 2022-04-29 | 2022-07-08 | 华力创科学(深圳)有限公司 | Operation navigation system and method based on robot ultrasonic scanning |
| CN114711907A (en) * | 2022-03-08 | 2022-07-08 | 浙江大学 | Puncture needle cylinder fixing 3D printing system and method based on double-mechanical-arm operation |
| CN115054333A (en) * | 2022-06-20 | 2022-09-16 | 中国医学科学院北京协和医院 | Ultrasonic puncture device |
| CN115253098A (en) * | 2022-07-29 | 2022-11-01 | 上海微创医疗机器人（集团）股份有限公司 | Auxiliary insertion device for brachytherapy, control method and readable storage medium |
| CN115770104A (en) * | 2022-11-24 | 2023-03-10 | 中国医学科学院北京协和医院 | Method for positioning thoracic dorsal root ganglion and presetting puncture path |
| CN119205922A (en) * | 2024-11-14 | 2024-12-27 | 宁波大学 | A high-precision micromanipulation control method and system based on visual servoing |
| CN119257706A (en) * | 2024-12-09 | 2025-01-07 | 深圳惟德精准医疗科技有限公司 | Puncture method based on two-dimensional image and related products |
| WO2025007229A1 (en) * | 2023-07-03 | 2025-01-09 | 深圳华大智造云影医疗科技有限公司 | Remote interventional robotic system, control method, and device |
| WO2025082249A1 (en) * | 2023-10-19 | 2025-04-24 | 珠海横乐医疗科技有限公司 | End effector, surgical robot and control method for end effector |
| CN115253098B (en) * | 2022-07-29 | 2025-07-25 | 上海微创医疗机器人（集团）股份有限公司 | Brachytherapy auxiliary transplanting device, control method and readable storage medium |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1636520A (en) * | 2003-08-19 | 2005-07-13 | 株式会社东芝 | Ultrasonic diagnostic apparatus |
| CN106572836A (en) * | 2014-10-31 | 2017-04-19 | 株式会社丝蓓 | Ultrasonic probe injection device using rcm |
| CN111035437A (en) * | 2019-05-28 | 2020-04-21 | 上海交通大学医学院附属第九人民医院 | Blood vessel auxiliary puncture system, robot, method and storage medium |
| CN111297448A (en) * | 2020-02-24 | 2020-06-19 | 东软医疗系统股份有限公司 | Puncture positioning method, device and system |
| CN215874870U (en) * | 2021-08-18 | 2022-02-22 | 中国科学院深圳先进技术研究院 | A robotic puncture positioning device for biliary puncture |
-
2021
- 2021-08-18 CN CN202110951194.3A patent/CN113558735A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1636520A (en) * | 2003-08-19 | 2005-07-13 | 株式会社东芝 | Ultrasonic diagnostic apparatus |
| CN106572836A (en) * | 2014-10-31 | 2017-04-19 | 株式会社丝蓓 | Ultrasonic probe injection device using rcm |
| CN111035437A (en) * | 2019-05-28 | 2020-04-21 | 上海交通大学医学院附属第九人民医院 | Blood vessel auxiliary puncture system, robot, method and storage medium |
| CN111297448A (en) * | 2020-02-24 | 2020-06-19 | 东软医疗系统股份有限公司 | Puncture positioning method, device and system |
| CN215874870U (en) * | 2021-08-18 | 2022-02-22 | 中国科学院深圳先进技术研究院 | A robotic puncture positioning device for biliary puncture |
Cited By (15)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114287997A (en) * | 2021-12-17 | 2022-04-08 | 上海卓昕医疗科技有限公司 | Medical puncture robot |
| CN114287997B (en) * | 2021-12-17 | 2023-10-03 | 上海卓昕医疗科技有限公司 | Medical puncture robot |
| CN114711907A (en) * | 2022-03-08 | 2022-07-08 | 浙江大学 | Puncture needle cylinder fixing 3D printing system and method based on double-mechanical-arm operation |
| CN114668496A (en) * | 2022-03-10 | 2022-06-28 | 深圳高性能医疗器械国家研究院有限公司 | Skeleton resetting device, skeleton positioning method, skeleton positioning device, computer equipment and medium |
| CN114711964A (en) * | 2022-04-29 | 2022-07-08 | 华力创科学(深圳)有限公司 | Operation navigation system and method based on robot ultrasonic scanning |
| CN114711964B (en) * | 2022-04-29 | 2024-10-01 | 华力创科学(深圳)有限公司 | Surgical navigation system and method based on ultrasonic scanning of robot |
| CN115054333A (en) * | 2022-06-20 | 2022-09-16 | 中国医学科学院北京协和医院 | Ultrasonic puncture device |
| CN115253098B (en) * | 2022-07-29 | 2025-07-25 | 上海微创医疗机器人（集团）股份有限公司 | Brachytherapy auxiliary transplanting device, control method and readable storage medium |
| CN115253098A (en) * | 2022-07-29 | 2022-11-01 | 上海微创医疗机器人（集团）股份有限公司 | Auxiliary insertion device for brachytherapy, control method and readable storage medium |
| CN115770104A (en) * | 2022-11-24 | 2023-03-10 | 中国医学科学院北京协和医院 | Method for positioning thoracic dorsal root ganglion and presetting puncture path |
| WO2025007229A1 (en) * | 2023-07-03 | 2025-01-09 | 深圳华大智造云影医疗科技有限公司 | Remote interventional robotic system, control method, and device |
| WO2025082249A1 (en) * | 2023-10-19 | 2025-04-24 | 珠海横乐医疗科技有限公司 | End effector, surgical robot and control method for end effector |
| CN119205922A (en) * | 2024-11-14 | 2024-12-27 | 宁波大学 | A high-precision micromanipulation control method and system based on visual servoing |
| CN119257706A (en) * | 2024-12-09 | 2025-01-07 | 深圳惟德精准医疗科技有限公司 | Puncture method based on two-dimensional image and related products |
| CN119257706B (en) * | 2024-12-09 | 2025-02-25 | 深圳惟德精准医疗科技有限公司 | Puncture path determining method based on two-dimensional image and related product |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN113558735A (en) | Robot puncture positioning method and device for biliary tract puncture | |
| CN215874870U (en) | A robotic puncture positioning device for biliary puncture | |
| JP7588069B2 (en) | Ultrasound-guided positioning and insertion of a percutaneous cannulation device | |
| US11576746B2 (en) | Light and shadow guided needle positioning system and method | |
| JP5103658B2 (en) | Controlled operation of flexible needle | |
| CN104274194B (en) | Insertion type imaging system | |
| CA2772679C (en) | Manual instrumented medical tool system | |
| KR101758741B1 (en) | Guiding method of interventional procedure using medical images and system for interventional procedure for the same | |
| CN107970060A (en) | Surgical robot system and its control method | |
| US20090082784A1 (en) | Interventional medical system | |
| US12208220B2 (en) | Active distal tip drive | |
| WO2017050201A1 (en) | Minimally invasive medical robot system | |
| CN117083022A (en) | Device and method for brain biopsy | |
| CN208573801U (en) | Surgical robot system | |
| KR101758740B1 (en) | Guiding method of interventional procedure using medical images and system for interventional procedure for the same | |
| KR20230058119A (en) | Robotic controllable field generator | |
| EP3831328A1 (en) | Method for maintaining localization of distal catheter tip to target during ventilation and/or cardiac cycles | |
| CN117615724A (en) | Medical instrument guidance system and associated methods | |
| CN115003235A (en) | Planning and updating 3D trajectories of medical instruments in real time | |
| WO2023019479A1 (en) | Robot puncture positioning method and apparatus for biliary tract puncture | |
| CN103957814B (en) | The method of the assisted control of instrument and the assisted group piece installing of association | |
| US20240206862A1 (en) | Intelligent articulation management for endoluminal devices | |
| CN118695821A (en) | Systems and methods for integrating intraoperative image data with minimally invasive medical techniques | |
| CN116096313B (en) | Puncture positioning system and control method thereof | |
| KR20170030688A (en) | Guiding method of interventional procedure using medical images and system for interventional procedure for the same |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination |