WO2023197941A1 - 外科手术植入成像方法及成像系统 - Google Patents
外科手术植入成像方法及成像系统 Download PDFInfo
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- WO2023197941A1 WO2023197941A1 PCT/CN2023/086819 CN2023086819W WO2023197941A1 WO 2023197941 A1 WO2023197941 A1 WO 2023197941A1 CN 2023086819 W CN2023086819 W CN 2023086819W WO 2023197941 A1 WO2023197941 A1 WO 2023197941A1
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- observation object
- light
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- 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
- A61B90/20—Surgical microscopes characterised by non-optical aspects
- A61B90/25—Supports therefor
-
- 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
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
-
- 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
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
- A61B90/35—Supports therefor
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
-
- 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
- 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
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
- A61B2090/309—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using white LEDs
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B2090/364—Correlation of different images or relation of image positions in respect to the body
- A61B2090/365—Correlation of different images or relation of image positions in respect to the body augmented reality, i.e. correlating a live optical image with another image
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/371—Surgical systems with images on a monitor during operation with simultaneous use of two cameras
-
- 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
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
Definitions
- the present application relates to the field of surgical imaging, and in particular to a surgical implant imaging method and imaging system.
- this application provides a surgical implant imaging method and imaging system, which enables the imaging device to perform imaging away from the working area, which is more conducive to the visualization of the surgical cavity by the surgical team and facilitates the operation.
- this application provides an imaging system for surgical implantation.
- an imaging system for surgical implantation including:
- a mechanical arm, the first end of the mechanical arm is rotatably connected to the bracket;
- the imaging device is connected to the second end of the robotic arm.
- the imaging device rotates freely under the driving of the robotic arm and is used to obtain the light signal reflected by the observation object and perform imaging, in which the reflection of the observation object
- the emitted light signal is transmitted from the surgical incision to the imaging device through the channel established by the retractor, where the lens of the imaging device can be a combination of an optical zoom and a digital zoom camera to achieve greater magnification.
- a light source providing device One end of the light source providing device is arranged on the bracket. Some or all of the light signals provided by the light source providing device are transmitted to the observation object through the surgical incision and reflected to the imaging device through the observation object to assist the imaging device in imaging;
- the controller is electrically connected to the robotic arm, the light source providing device and the imaging device.
- the controller obtains the position and direction of the surgical incision to adjust the posture, and adjusts the aerial posture of the robotic arm according to the position and direction of the surgical tool so that the imaging device The reflected light signal can be accurately obtained.
- the imaging device is controlled by a robotic arm, and a light source is provided remotely to the imaging device through a light source providing device, so that the imaging device can clearly obtain an image of an observation object at a relatively long distance.
- this application sets the light source closer to the surgical position, which greatly improves the lighting efficiency. It can achieve a working distance of more than 1 meter between the microscope lens and the surgical working area, and still be able to see clearly.
- the image of the observation object is obtained to facilitate the operation.
- the imaging system further includes: a retractor, the retractor is used to be placed within the surgical incision to establish a transmission channel inside and outside the surgical incision, and the controller obtains the position of the retractor and Adjust the attitude in the direction, and adjust the aerial attitude of the robotic arm according to the position and direction of the retractor, so that the imaging device can accurately obtain the reflected light signal from the channel established by the retractor.
- a retractor the retractor is used to be placed within the surgical incision to establish a transmission channel inside and outside the surgical incision
- the controller obtains the position of the retractor and Adjust the attitude in the direction, and adjust the aerial attitude of the robotic arm according to the position and direction of the retractor, so that the imaging device can accurately obtain the reflected light signal from the channel established by the retractor.
- the imaging device includes: an optical filter used to separate optical signals of preset wavelengths; and an imaging camera that acquires wavelengths within a preset range and uses them for imaging.
- the filter in this application can separate infrared and visible light, realize imaging in different wavebands, and infrared navigation functions.
- the robotic arm has at least six joints to achieve at least six degrees of freedom of rotation.
- This structure can realize the free rotation of the robotic arm in space, avoid the surgical area during adjustment, avoid blocking the surgical operator's line of sight, and drive the imaging device to better obtain images of the observation object.
- the bracket includes: a fixed bracket; a supporting bracket; The first end of the support frame is connected to the fixed frame, and the second end extends outward toward the side away from the fixed frame. The second end of the support frame is connected to the mechanical arm to increase the space range that the mechanical arm can reach.
- the bracket further includes: a connecting piece fixed on the second end of the supporting frame and used to connect the first supporting arm and the supporting frame.
- the light source providing device includes: a light-emitting diode (LED).
- the LED is installed on the fixed frame.
- the light-emitting surface of the LED is located on the same side of the fixed frame as the mechanical arm, and is used to establish light through the retractor. channel is transmitted to the observation object.
- the light source providing device further includes: a light pipe, one end of the light pipe is arranged opposite to the LED, and the other end is used to connect to the retractor to transmit the light signal emitted by the LED to the retractor. , so that the optical signal reaches the observation object through the channel.
- This structure facilitates the introduction of light into the surgical incision and improves the lighting brightness in the surgical incision, which not only facilitates the doctor's operation, but also helps the imaging device to clearly obtain the image of the observation object.
- the imaging system further includes: a display, connected to the controller, for displaying images acquired through the imaging device.
- At least three displays there are at least three displays, and at least two of the at least three displays have different orientations. It is convenient for surgical operators to observe images from different positions, and it is convenient for the surgical team to perform precise operations.
- the imaging system further includes:
- the base, the bracket is fixed on the base, and there are multiple rollers under the base.
- this application also discloses an imaging method for surgical implantation, which is applied to an imaging system.
- the imaging system includes: a robotic arm, an imaging device connected to the robotic arm, and a controller electrically connected to the robotic arm and the imaging device.
- the method includes: the controller obtains the position and direction of the retractor; the controller adjusts the position and direction of the mechanical arm according to the position and direction of the retractor, so that the acquisition end of the imaging device is aligned with the channel established by the retractor, and the retractor is retracted.
- the opener is used to establish a channel to assist the imaging device in imaging; the imaging device obtains the light signal reflected by the observation object through the channel and uses it for imaging.
- the robotic arm is controlled to drive the imaging device to acquire the image of the observation object, and the light source providing device remotely provides a light source for the imaging device, so that the imaging device can clearly obtain observations at a long distance. image of the object.
- this application places the light source closer to the surgical position, which greatly improves illumination. With high efficiency, it can achieve a working distance of more than 1 meter between the microscope lens and the surgical working area, and still be able to clearly obtain the image of the observation object, which facilitates the operation.
- the imaging method further includes: the imaging device acquires an optical signal of a preset wavelength from the reflected optical signal, and performs imaging based on the optical signal of the preset wavelength.
- the imaging system further includes a light source provider that emits a light signal and transmits part or all of the light signal to the observation object through the channel, so that the imaging device obtains the light reflected by the observation object. light signal.
- the imaging system further includes multiple displays, and the interface orientations of the multiple displays have at least two or more orientations.
- the method further includes: the controller acquires the imaging data acquired by the imaging device, and The data is sent to multiple displays so that multiple displays with different orientations can display images corresponding to the observation object.
- the imaging device is controlled by the robotic arm, and
- the light source providing device remotely provides a light source for the imaging device, so that the imaging device can clearly obtain an image of the observation object at a relatively long distance.
- this application sets the light source closer to the surgical position, which greatly improves the lighting efficiency. It can achieve a working distance of more than 1 meter between the microscope lens and the surgical working area, and still be able to see clearly.
- the image of the observation object is obtained to facilitate the operation.
- Figure 1 is a schematic three-dimensional structural diagram of an imaging system for surgical implantation according to one embodiment of the present application
- Figure 2 is a front view of an imaging system for surgical implantation according to one embodiment of the present application
- Figure 3 is a left view of an imaging system for surgical implantation according to one embodiment of the present application.
- Figure 4 is a right view of an imaging system for surgical implantation according to one embodiment of the present application.
- Figure 5 is a schematic three-dimensional structural diagram of a retractor according to an embodiment of the present application.
- Figure 6 is a front view of the retractor according to one embodiment of the present application.
- Figure 7 is a schematic cross-sectional structural diagram of a retractor according to an embodiment of the present application.
- Figure 8 is a system architecture diagram of an imaging system for surgical implantation according to one embodiment of the present application.
- Figure 9 is a flow chart of an imaging method for surgical implantation according to an embodiment of the present application.
- Bracket 10 fixed frame 11; connector 12; support frame 13;
- Retractor 30 first channel 31, second channel 32;
- intraoperative imaging is often required, such as C-arm imaging. Due to the structure and configuration of the existing surgical microscope, the distance between the lens and the surgical area is very short. During the operation, it must be moved before imaging. Open the microscope to perform imaging with the C-arm machine. After imaging, remove the C-arm machine and put it back into the microscope. The operation is complicated and delays the surgical process. In addition, because traditional microscopes require a very short working distance between the surgical area and the microscope objective, this makes the intraoperative imaging operation complex, the viewing angle uncomfortable for the entire surgical team, and the visualization of the surgery is limited, affecting the surgical effect.
- the imaging system 100 for surgical implantation according to the embodiment of the present application will be described in detail below with reference to the accompanying drawings.
- the imaging system 100 for surgical implantation includes a bracket 10 , a robotic arm 20 , an imaging device 40 , a light source providing device, and a controller 50 .
- the first end of the robotic arm 20 is rotatably connected to the bracket 10 , and the second end is connected to the imaging device 40 .
- the robotic arm 20 can drive the imaging device 40 to move, so that the imaging device 40 can obtain the light signal reflected by the observation object and perform imaging.
- the observation object may refer to the internal tissues of the human body, or surgical tools, etc.
- the light signal reflected by the observation object is transmitted from the surgical incision (that is, the surgical cavity) to the imaging device 40 .
- the surgical incision may be assisted by a surgical tool to establish a channel, for example, a retractor 30 may be used to establish a channel.
- One end of the light source providing device is disposed on the bracket 10 .
- Some or all of the light signals provided by the light source providing device are transmitted to the observation object through the channel (which can be understood as a surgical incision) established by the retractor 30 , and are reflected by the observation object to the imaging device 40 , used to assist the imaging device 40 in imaging.
- the controller 50 is electrically connected to the robot arm 20 , the light source providing device and the imaging device 40 . During surgery, the controller 50 controls the light source providing device to provide a light source.
- the time for controlling the provision of the light source may be before or after the position of the robotic arm 20 is adjusted, which is not a limitation here.
- the light source providing device may not be controlled by the controller 50, for example, it may be manually operated, or may be manually operated or controlled by the controller, etc.
- the controller 50 first obtains the position and direction of the surgical incision.
- the controller 50 can obtain the position and direction of the retractor 30 (which can be understood as the position and direction corresponding to the surgical incision).
- the surgical incision that is, the channel inside and outside the surgical cavity, is explained by taking the retractor to establish the channel as an example.
- the position and direction of the retractor 30 can be identified by identification methods in the prior art, for example, it can be identified based on the position sensor, or it can be identified based on the image acquired by the imaging device 40, where Not as a limitation.
- the controller 50 adjusts the position and direction of the robotic arm 20 according to the position and direction of the retractor 30 so that the imaging device 40 can accurately acquire the light signal reflected from the channel established by the retractor 30 . Therefore, when the position and direction of the retractor 30 changes, the robotic arm 20 follows the position and direction of the retractor 30 to adjust the aerial posture, such as horizontal movement, up and down movement, adjustment of the depression angle and elevation angle, etc., which facilitates the imaging device 40 to adjust the position and direction of the retractor 30 . Observe the shooting of objects and realize multi-angle imaging to facilitate the operation.
- the imaging system 100 for surgical implantation by arranging the robotic arm 20 and the imaging device 40 , the direction and position of the surgical channel can be adjusted and positioned, and the robotic arm 20 can be adjusted through the position and attitude of the retractor 30
- the aerial posture is convenient for the imaging device 40 connected with the robotic arm 20 to take pictures and to facilitate the operation.
- the light source providing device provides a light source to the imaging device 40 remotely, so that the imaging device 40 can clearly obtain an image of the observation object at a relatively long distance.
- this application sets the light source closer to the surgical position, which greatly improves the lighting efficiency. It can achieve a working distance of more than 1 meter between the microscope lens and the surgical working area, and still be able to see clearly.
- the image of the observation object is obtained to facilitate the operation.
- imaging system 100 may include retractor 30 .
- the retractor 30 can be a tubular structure, one end of which is a trumpet-shaped structure that spreads outward from the axis.
- a first channel 31 is provided in the middle of the retractor 30.
- a second channel 32 is provided at one end. The second channel 32 is finally connected with the first channel 31.
- the imaging device 40 acquires the image to facilitate imaging.
- the position and direction of the retractor mentioned may refer to the orientation of the trumpet-shaped end of the retractor, the position of the trumpet shape relative to space, or the position from the bracket, etc.
- the retractor 30 can be placed in the surgical incision to open the incision to form a channel that connects the outside world with the surgical cavity inside the human body, such as the first channel 31 and the second channel 32 shown in Figure 8 .
- the first channel 31 can be used as a channel for operation by a surgical operator and as a channel for observing light reflected by an object.
- the second channel 32 can introduce external light into the first channel 31 , and then enter the surgical incision to illuminate the observation object. The light reflected by the observation object is reflected through the first channel 31 and finally captured by the imaging device 40 .
- multiple second channels 32 may be provided.
- the description in this application takes two second channels 32 as an example.
- the robot arm 20 has at least six switches. 21, each joint 21 can rotate freely, so that the robotic arm 20 has at least six degrees of freedom of rotation angle, which is more free when shooting, does not limit the operation, and is conducive to the operation.
- the imaging device 40 includes an optical filter and an imaging camera, wherein the optical filter can acquire the optical signal reflected by the observation object and filter out the optical signal that conforms to the preset wavelength in the optical signal.
- optical filters can separate visible light and infrared light, thereby realizing the collection of optical signals in different wavebands, facilitating imaging according to the waveband, and conducive to the realization of optical navigation. Convenient for long-distance imaging.
- the imaging camera in order to improve the imaging effect of the imaging camera, is a lens with a high magnification.
- the lens of the imaging camera can be a combination of an optical zoom camera and a digital zoom camera to achieve a greater magnification, so that within a range of 1 meter, the imaging camera can clearly obtain an image of the object being observed.
- the distance between the lens and the working area can be increased to prevent the imaging device 40 from blocking other necessary intraoperative imaging devices (such as C-arm machines, etc.) and the surgical operator's line of sight, which facilitates the operation. .
- the light source providing device can provide variable intensity light, and can realize remote control.
- the controller 50 is connected to the light source providing device, and the remote computer is connected to the network of the controller 50 to realize remote control. Light source intensity.
- the light source providing device may include a light emitting diode 70 (Light
- Emitting Diode LED
- light pipe not shown.
- the LED is installed on the bracket 10 , one end of the light pipe is arranged opposite to the LED, and the other end is used to connect with the retractor 30 .
- the light signal emitted by the LED is transmitted to the retractor 30, so that the light signal reaches the observation object through the channel.
- the end of the light pipe can be connected to the second channel 32 , and the light enters from the trumpet-shaped end of the retractor 30 , exits from the other end, and illuminates the observation object.
- the inner wall of the retractor 30 may be an inner surface with high reflective properties, which facilitates the light incident from the light guide to illuminate the observation object.
- the light guide can be a fiber optic light guide, through which the light emitted by the LED light can be collected and introduced into the retractor 30.
- the inner surface of the retractor 30 has a highly reflective inner surface.
- the light signal introduced by the light pipe is emitted to the observation object through the highly reflective inner surface. Since the light emitted by the LED is some distance away from the surgical work area, the light emitted by the LED will not affect the surgical work area. The surgery has some effects, such as no light and shadow.
- the use of a light pipe facilitates the introduction of a long-distance light source into the retractor 30, accurately irradiates the light source on the observation object, and facilitates imaging by the imaging device 40.
- the bracket 10 may include a fixing bracket 11 and a supporting bracket 13 .
- the fixed frame 11 and the supporting frame 13 can be made of steel.
- the first end of the support frame 13 is connected to the fixed frame 11 and extends in a direction away from the fixed frame 11.
- the support frame 13 is distanced from the farthest end of the fixed frame 11 (corresponding to the second end of the support frame).
- This structure can make The robotic arm 20 connected to the second end covers a larger spatial range as much as possible, making it easier to stay away from the surgical area during surgery and avoid blocking the surgical operator's line of sight.
- the fixing frame 11 and the supporting frame 13 in this application can be two connected objects, or they can be formed in one piece.
- the farthest end of the support frame 13 is connected to a connector 12.
- the support frame 13 and the robotic arm 20 are connected through the connector 12.
- This structure facilitates the connection of the robotic arm 20 and the support frame, which is beneficial to the robotic arm.
- the imaging system 100 also includes a display, which is connected to the controller 50.
- the controller 50 sends the image data of the observation object obtained by the imaging device 40 to the display, and the display further displays an image corresponding to the image data. out so that the surgical team can analyze and operate based on the images displayed on the monitor.
- the display includes a first display 61, a second display 62 and a third display 63.
- the first display 61 is fixed on the host (including the controller 50), and the interface is placed upward to facilitate standing on the host.
- the medical staff nearby observed from this angle.
- the second display 62 and the third display 63 are respectively provided on both sides of the support 10 and are arranged symmetrically.
- the medical staff located on both sides of the support 10 view the interface. This makes it easier for different medical staff to view the unified observation object from different angles, and facilitates teamwork to complete the operation.
- a base 80 can be provided below the bracket 10 for fixing the host and the bracket 10, and a roller 81 is provided below the base.
- an automatic roller 81 can be selected to facilitate the integration of the entire imaging system 100. Movement and positioning.
- the architecture diagram includes a processor 810 (corresponding to the controller 50, the processor may be a part of the controller 50), a robotic arm 20 control unit 820 (corresponding to the robotic arm 20) respectively connected to the processor 810,
- the imaging unit 850 (corresponding to the imaging device 40 in FIG. 1 )
- the light source control unit 830 (corresponding to the light source providing device), and the display unit 840 (corresponding to the display).
- the control unit 820 of the robot arm 20 may be a combination of the robot arm 20 and multiple drive units.
- the drive unit may be part of the robot arm 20 .
- the processor 810 controls the drive unit to adjust the free angle of the robotic arm 20 .
- the driving unit can be a motor, a cylinder, a motor and other driving units.
- the imaging unit 850 may include an imaging camera or the like.
- the light source providing device may include an LED lamp.
- the display unit 840 may include a display controller 50 and a display screen.
- the display controller 50 is connected to the processor.
- the processor obtains the image data of the observation object captured by the imaging unit and sends it to the display controller 50.
- the display controller 50 The image is processed and rendered, and the image corresponding to the observation object is finally displayed on the display screen.
- This application also discloses an imaging method for surgical implantation, which method is applied to the imaging system 100 for surgical implantation described in the above embodiments.
- the specific structure of the imaging system 100 has been described in detail in the above embodiments. No further details will be given.
- the method specifically includes S910-S940.
- the controller 50 obtains the position and direction of the retractor 30.
- the position and direction of the retractor 30 can be obtained by using a distance sensor, such as an infrared sensor, or using a depth camera to collect images. This application does not limit this.
- the controller 50 adjusts the position and direction of the robotic arm 20 according to the position and direction of the retractor 30, so that the acquisition end of the imaging device 40 is aligned with the channel established by the retractor 30.
- the imaging device 40 acquires the light signal reflected by the observation object through the channel and uses it for imaging.
- the direction and position of the robotic arm 20 are The settings are automatically controlled so that the imaging device 40 follows the position and direction of the retractor 30 to take pictures, which facilitates image acquisition.
- the robotic arm can bypass the surgical area to facilitate the operation.
- the imaging device 40 acquires an optical signal of a preset wavelength from the reflected optical signal, and performs imaging based on the optical signal of the preset wavelength.
- the light source provider emits a light signal, and transmits part or all of the light signal to the observation object through the channel, so that the imaging device 40 obtains the light signal reflected by the observation object, thereby improving the clarity of the shooting, and at the same time Remotely transmit light signals to avoid light affecting surgical operators.
- the controller 50 acquires the imaging data acquired by the imaging device 40 and sends the imaging data to multiple displays, so that the displays display images corresponding to the observation objects to facilitate medical personnel to observe the images.
- the monitors can be set at different positions, making it easier for medical staff in different positions to observe images of the same observation object on different monitors, which is beneficial to the operation.
- the robotic arm is controlled to drive the imaging device 40 to acquire an image of the observation object, and a light source is provided remotely to the imaging device 40 through a light source providing device, so that the imaging device 40 can see clearly even at a relatively long distance. Get the image of the observed object.
- this application sets the light source closer to the surgical position, which greatly improves the lighting efficiency. It can achieve a working distance of more than 1 meter between the microscope lens and the surgical working area, and still be able to see clearly.
- the image of the observation object is obtained to facilitate the operation.
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- Public Health (AREA)
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Abstract
Description
Claims (14)
- 一种外科手术植入成像系统,其特征在于,包括:支架;机械臂,所述机械臂的第一端与所述支架可旋转连接;成像装置,与所述机械臂的第二端连接,所述成像装置在所述机械臂的带动下自由转动,用于获取观察对象反射的光信号,并进行成像,其中,所述观察对象反射的光信号为从手术切口内传输至所述成像装置;光源提供装置,所述光源提供装置的一端设置在所述支架上,所述光源提供装置提供的部分或全部光信号通过手术切口传输至所述观察对象,并经过所述观察对象反射至所述成像装置,用于辅助所述成像装置成像;控制器,所述控制器与所述机械臂、光源提供装置和所述成像装置电连接,所述控制器获取所述手术切口的位置和方向调整姿态,并根据所述手术工具的位置和方向,调整所述机械臂的空中姿态,以使所述成像装置能够准确的获取反射的光信号。
- 根据权利要求1所述的成像系统,其特征在于,还包括:牵开器,所述牵开器用于放置在所述手术切口内,以建立手术切口内部和外部的传输通道;所述控制器获取牵开器的位置和方向调整姿态,并根据所述牵开器的位置和方向,调整所述机械臂的空中姿态,以使所述成像装置能够准确的从所述牵开器建立的通道获取反射的光信号。
- 根据权利要求1所述的成像系统,其特征在于,所述成像装置包括:滤光片,所述滤光片用于分离出预设波长的光信号;成像相机,所述成像相机获取所述预设范围内的波长,并用于成像。
- 根据权利要求1或2所述的成像系统,其特征在于,所述机械臂为至少具有六个关节,以实现至少具有六个自由度旋转角度。
- 根据权利要求1所述的成像系统,其特征在于,所述支架包括:固定架;支撑架,所述支撑架的第一端与所述固定架连接,第二端朝背离所述固定架的一侧向外延伸,所述支撑架的第二端与所述机械臂与连接,以使 增大所述机械臂能够触及的空间范围。
- 根据权利要求5所述的成像系统,其特征在于,所述支架还包括:连接件,所述连接件固定在所述支撑架的第二端,用于连接所述机械臂和所述支撑架。
- 根据权利要求5或6所述的成像系统,其特征在于,所述光源提供装置包括:发光二极管LED,所述LED安装在所述固定架上,所述LED的发光面与所述支撑架的第二端位于所述固定架的同侧,用于将光线传输至观察对象。
- 根据权利要求7所述的成像系统,其特征在于,所述光源提供装置还包括:光导管,所述光导管的一端与所述LED相对设置,另一端用于向手术切口内传递的光信号至所述观察对象。
- 根据权利要求8所述的成像系统,其特征在于,还包括显示器,所述显示器至少三个,至少三个所述显示器的至少有两个显示器的朝向不同,用于经由所述成像装置获取的图像进行显示。
- 根据权利要求1所述的成像系统,其特征在于,还包括:底座,所述支架固定在所述底座上,所述底座下方设有多个滚轮。
- 一种外科手术植入用成像方法,其特征在于,应用于成像系统,所述成像系统包括:机械臂成像装置以及控制器,所述方法包括:所述控制器获取牵开器的位置和方向,所述牵开器为用于建立手术切口内部和外部的通道,以辅助所述成像装置成像;所述控制器根据所述牵开器的位置和方向调整所述机械臂的位置和方向,以使所述成像装置的获取端对准所述牵开器建立的通道;所述成像装置通过所述通道获取经由观察对象的反射的光信号,并用于对所述观察对象成像。
- 根据权利要求11所述的成像方法,其特征在于,还包括:所述成像装置从所述反射的光信号中获取预设波长的光信号,并基于所述预设波长的光信号进行成像。
- 根据权利要求11或12所述的成像方法,其特征在于,所述成像 系统还包括光源提供器,所述光源提供器发射光信号,并将部分或全部光信号经过所述通道传输到所述观察对象,以使所述成像装置获取经由所述观察对象反射的光信号。
- 根据权利要求11所述的成像方法,其特征在于,所述成像系统还包括多个显示器,多个显示器的界面朝向至少具有两个以上的朝向,所述方法还包括:所述控制器获取所述成像装置获取的成像数据,并将所述成像数据发送至多个所述显示器,以使多个不同朝向的所述显示器显示所述观察对象对应的图像。
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| CA3246067A CA3246067A1 (en) | 2022-04-14 | 2023-04-07 | SURGICAL IMPLANTATION IMAGING METHOD AND IMAGING SYSTEM |
| AU2023252176A AU2023252176B2 (en) | 2022-04-14 | 2023-04-07 | Surgical implantation imaging method and imaging system |
| JP2024552682A JP7731176B2 (ja) | 2022-04-14 | 2023-04-07 | 外科手術インプラントイメージング方法及びイメージングシステム |
| EP23787586.9A EP4473930A4 (en) | 2022-04-14 | 2023-04-07 | Surgical implantation imaging method and imaging system |
| KR1020247030204A KR20240142561A (ko) | 2022-04-14 | 2023-04-07 | 수술적 이식을 위한 이미징 방법 및 이미징 시스템 |
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| CN202210389241.4A CN114699181B (zh) | 2022-04-14 | 2022-04-14 | 外科手术植入成像方法及成像系统 |
| CN202210389241.4 | 2022-04-14 |
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| CN114699181B (zh) * | 2022-04-14 | 2025-12-23 | 春风化雨(苏州)智能医疗科技有限公司 | 外科手术植入成像方法及成像系统 |
| CN115005996B (zh) * | 2022-08-04 | 2022-11-01 | 珠海康弘医疗科技有限公司 | 一种手术机器人通用移动平台 |
| CN115363655B (zh) * | 2022-09-22 | 2025-12-19 | 中南大学湘雅医院 | 一种甲状腺手术拉钩调节装置 |
| CN115644768B (zh) * | 2022-10-25 | 2025-09-02 | 山东第一医科大学第一附属医院(山东省千佛山医院) | 一种可固定的导光显微直肠镜 |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20110316994A1 (en) * | 2010-06-24 | 2011-12-29 | Lemchen Marc S | Exam-cam robotic systems and methods |
| US20170238962A1 (en) * | 2015-07-21 | 2017-08-24 | 3Dintegrated Aps | Cannula assembly kit |
| US20190199915A1 (en) * | 2017-12-22 | 2019-06-27 | Medtech S.A. | Scialytic light navigation |
| CN113081311A (zh) * | 2021-03-04 | 2021-07-09 | 首都医科大学附属北京安贞医院 | 手术视频智能采集系统 |
| CN114340470A (zh) * | 2019-09-12 | 2022-04-12 | 索尼集团公司 | 医疗支撑臂和医疗系统 |
| CN114699181A (zh) * | 2022-04-14 | 2022-07-05 | 春风化雨(苏州)智能医疗科技有限公司 | 外科手术植入成像方法及成像系统 |
| CN217938392U (zh) * | 2022-04-14 | 2022-12-02 | 春风化雨(苏州)智能医疗科技有限公司 | 外科手术植入成像系统 |
Family Cites Families (15)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2000262458A (ja) | 1999-03-17 | 2000-09-26 | Fuji Photo Optical Co Ltd | 手術観察用撮像システム |
| US7223233B2 (en) * | 2002-08-02 | 2007-05-29 | Warsaw Orthopedic, Inc. | Systems and techniques for illuminating a surgical space |
| AU2004303424C1 (en) * | 2003-12-18 | 2009-11-05 | Depuy Spine, Inc. | Surgical retractor systems, illuminated cannulae, and methods of use |
| US7522322B2 (en) * | 2004-08-19 | 2009-04-21 | Carestream Health, Inc. | Apparatus for dental shade measurement |
| US8105236B2 (en) * | 2005-07-11 | 2012-01-31 | Kyphon Sarl | Surgical access device, system, and methods of use |
| US20070225568A1 (en) * | 2006-03-22 | 2007-09-27 | Dennis Colleran | Surgical retractor device and method of use |
| US8430813B2 (en) | 2006-05-26 | 2013-04-30 | Depuy Spine, Inc. | Illuminated surgical access system including a surgical access device and integrated light emitter |
| GB0800835D0 (en) * | 2008-01-17 | 2008-02-27 | Cardioprec Ltd | Retractor |
| US9827054B2 (en) | 2014-03-14 | 2017-11-28 | Synaptive Medical (Barbados) Inc. | Intelligent positioning system and methods therefore |
| CN203493774U (zh) * | 2013-09-06 | 2014-03-26 | 陈鸣宇 | 一种小动物照明式插管装置 |
| US11207139B2 (en) * | 2016-10-31 | 2021-12-28 | Synaptive Medical Inc. | 3D navigation system and methods |
| US20190069957A1 (en) * | 2017-09-06 | 2019-03-07 | Verily Life Sciences Llc | Surgical recognition system |
| JP7151109B2 (ja) | 2018-03-19 | 2022-10-12 | ソニーグループ株式会社 | 医療用撮像装置及び医療用観察システム |
| CN211560197U (zh) * | 2020-02-14 | 2020-09-25 | 上海交通大学医学院附属仁济医院 | 一种具有辅助照明装置的手术牵开器 |
| CN114302130B (zh) * | 2021-12-06 | 2023-03-17 | 嘉兴智瞳科技有限公司 | 一种智能显微手术成像装置控制方法及系统 |
-
2022
- 2022-04-14 CN CN202210389241.4A patent/CN114699181B/zh active Active
-
2023
- 2023-04-07 WO PCT/CN2023/086819 patent/WO2023197941A1/zh not_active Ceased
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- 2023-04-07 EP EP23787586.9A patent/EP4473930A4/en active Pending
- 2023-04-07 KR KR1020247030204A patent/KR20240142561A/ko active Pending
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Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20110316994A1 (en) * | 2010-06-24 | 2011-12-29 | Lemchen Marc S | Exam-cam robotic systems and methods |
| US20170238962A1 (en) * | 2015-07-21 | 2017-08-24 | 3Dintegrated Aps | Cannula assembly kit |
| US20190199915A1 (en) * | 2017-12-22 | 2019-06-27 | Medtech S.A. | Scialytic light navigation |
| CN114340470A (zh) * | 2019-09-12 | 2022-04-12 | 索尼集团公司 | 医疗支撑臂和医疗系统 |
| CN113081311A (zh) * | 2021-03-04 | 2021-07-09 | 首都医科大学附属北京安贞医院 | 手术视频智能采集系统 |
| CN114699181A (zh) * | 2022-04-14 | 2022-07-05 | 春风化雨(苏州)智能医疗科技有限公司 | 外科手术植入成像方法及成像系统 |
| CN217938392U (zh) * | 2022-04-14 | 2022-12-02 | 春风化雨(苏州)智能医疗科技有限公司 | 外科手术植入成像系统 |
Non-Patent Citations (1)
| Title |
|---|
| See also references of EP4473930A4 |
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| Publication number | Publication date |
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| CN114699181A (zh) | 2022-07-05 |
| AU2023252176A1 (en) | 2024-09-12 |
| AU2023252176B2 (en) | 2026-03-05 |
| EP4473930A1 (en) | 2024-12-11 |
| JP2025507989A (ja) | 2025-03-21 |
| EP4473930A4 (en) | 2025-05-14 |
| KR20240142561A (ko) | 2024-09-30 |
| CN114699181B (zh) | 2025-12-23 |
| CA3246067A1 (en) | 2025-06-13 |
| JP7731176B2 (ja) | 2025-08-29 |
| WO2023197941A4 (zh) | 2023-12-07 |
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