This invention relates to robotic devices. Specifically, the invention relates to medical robotics.
Surgical precision bone removal procedures are often invasive for the patient, time consuming, exhaustive for the surgeon and with high-risks on complications since the surgeon removes bone with a razor-sharp cutter within millimeters of vital structures. An area of interest is the lateral skull base/ear region, where multiple vital structures are located. Procedures to improve or restore hearing, e.g. cochlear implantations, are invasive for the patient where a lot of excessive bone has to be removed and have a high risk on complications, e.g. loss of facial expressions, loss of hearing, loss of balance, loss of taste, etc. Surgical procedures to remove lesions in this area are often, besides having high risks and being invasive, also very time consuming and exhausting for the surgeon; drilling towards the lesion, while trying to evade all vital structures, which are all hidden in bone, with a razor-sharp cutter up to six hours long. After this drilling and milling, the tumor still has to be removed.
Designing a surgical or medical robot is a balance between compactness, precision, force output and safety. The bone drilling procedures mentioned infra require precision and a relatively high force output. The present invention advances the art by providing a medical robot specifically designed for the demands in delicate bone drilling and milling procedures.
The present invention provides a seven-degrees of freedom robotic device for controlling an instrument with a precision of more or less of 50 μm and maximum force of 50 N. Examples of instruments are a bone-drilling or milling device, a 3D printing nozzle or a laser. The robotic device is a serial kinematic chain of six rotational degrees of freedom and one translational degree of freedom. The rotational degrees of freedom are designed using six circular cross-roller bearings. Each two adjacent circular cross-roller bearings are more or less perpendicularly (90±5 degrees) aligned and connected to each other such that the six circular cross-roller bearings form a stacked serial kinematic chain arrangement. Two adjacent circular cross-roller bearings are rigidly connected to each other through a rigid connection element which connects the inner ring of the first circular cross-roller bearing to the outer ring of the second circular cross-roller bearing in the more or less perpendicularly alignment. The serial kinematic chain is extended by one or two linear cross-roller bearings adding a translation (the seventh) degree of freedom. The one or two linear cross-roller bearings are connected to the inner ring of the top/last circular cross-roller bearing in the chain of six interconnected circular cross-roller bearings. An instrument is mounted to the two linear cross-roller bearings. Each one of the rotational degrees of freedom can be constrained by a locking element thereby reducing the total number of degrees of freedom and providing flexibility and modularity to the robotic device. Force and/or torque sensors could be added to aid in the control and feedback
The robotic design has several advantages, such as the:
The present invention provides a compact modular serial robot designed with which both relative high-precision (˜50 μm) could be obtained and which can cope with high forces (maximum of 50 N) in a compact design with 7 degrees of freedom as shown in
To introduce flexibility and modularity of the degrees of freedom as shown in
Control
The robotic device can be envisioned as modular rotational or translational units or building blocks whereby each modular unit represents a degree of freedom. Each unit has its own, where applicable/required/needed, motor, gearbox, electronic board and software to control the respective degree of freedom and measure the position between each combination of two cross roller bearings/units. Reference signals can be sent towards each unit from an external computer device. Communication between units and the main control computer is achieved using a communication system.
Variations
Multiple variations of perpendicular stacking of cross-roller bearings are possible. For practical reasons during bone removal one might prefer to use three cross-roller bearings, i.e. three degrees of freedom, for in-plane (2D) bone milling. Moreover, one might prefer not more than seven degrees of freedom to be able to move in all six degrees of freedom plus one seventh ‘redundant’ motion be able to avoid collisions with the patient, the robot itself (intra-collisions) and to extend its working range. When using a surgical drilling/milling tool, in most cases five degrees of freedom should suffice, since the orientation of the axisymmetric mill/drill burr is not important. Thus this results in the need to control only five degrees of freedom (assuming no redundancy is required for the task).
This application is a 371 of PCT application PCT/EP2016/077243 filed Nov. 10, 2016. PCT application PCT/EP2016/077243 claims the benefit of U.S. Provisional application 62/253,575 filed Nov. 10, 2015.
Filing Document | Filing Date | Country | Kind |
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PCT/EP2016/077243 | 11/10/2016 | WO | 00 |
Publishing Document | Publishing Date | Country | Kind |
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WO2017/081137 | 5/18/2017 | WO | A |
Number | Name | Date | Kind |
---|---|---|---|
2891829 | Irvin | Jun 1959 | A |
3060792 | Brunson | Oct 1962 | A |
4664539 | Li | May 1987 | A |
4697935 | Yasui | Oct 1987 | A |
5178031 | Orsi | Jan 1993 | A |
5193401 | Bridges | Mar 1993 | A |
6014909 | Fiora | Jan 2000 | A |
6568854 | Schleinitz | May 2003 | B2 |
7849761 | Forslund | Dec 2010 | B2 |
8347753 | Larsson | Jan 2013 | B2 |
8479893 | Nuissl | Jul 2013 | B2 |
9815210 | Takahashi | Nov 2017 | B2 |
10035261 | Johnson | Jul 2018 | B2 |
10335944 | Inoue | Jul 2019 | B2 |
20020037119 | Schleinitz | Mar 2002 | A1 |
20110019953 | Nuissl et al. | Jan 2011 | A1 |
20120011956 | Lundberg | Jan 2012 | A1 |
20120020792 | Frank | Jan 2012 | A1 |
20120174317 | Saracen | Jul 2012 | A1 |
20130081502 | Long | Apr 2013 | A1 |
20130096574 | Kang | Apr 2013 | A1 |
20140222198 | Emami et al. | Aug 2014 | A1 |
20140222207 | Bowling et al. | Aug 2014 | A1 |
20140276952 | Hourtash | Sep 2014 | A1 |
20160120611 | Lohmeier | May 2016 | A1 |
Number | Date | Country |
---|---|---|
104668958 | Jun 2015 | CN |
102013005982 | Oct 2014 | DE |
2974322 | Oct 2012 | FR |
Number | Date | Country | |
---|---|---|---|
20180318019 A1 | Nov 2018 | US |
Number | Date | Country | |
---|---|---|---|
62253575 | Nov 2015 | US |