The present invention relates generally to a puncture guiding system and method.
Techniques such as fine needle aspiration (FNA) biopy or percutaneous ablation usually need to be guided by diagnostic detection devices such as ultrasound or computed tomography (CT) before practitioners can determine the correct position of the cannula on the patient's body and the correct position of the needle on the cannula, and control the movement of the robotic arm through the control system. The robotic arm can control the cannula carrying the needle to move to the target to obtain tumor cells or complete ablation therapy.
Typically, the diagnostic testing device is near one end of the bed, and the robotic arm is near the side of the bed. The control system includes a table, a chair, an input device, an image capture device, and a screen. The chair is placed beside the table, the input device and the screen are located on the table, and the image capture device is put near the bed. The input device includes a computer, a keyboard, a mouse, a console, and a control panel. It is conceivable that except for the image capture device, the other components of the control system are arranged in groups, which are quite bulky and are not suitable to be installed on the side of the bed, otherwise the practitioners may be hindered by the bulky components from performing the operation.
However, if the practitioner is operating alone, after placing the cannula on the patient's body, the practitioner must walk from the side of the bed to the control system to confirm on the screen that the cannula is in the correct position.
Furthermore, if the practitioner is operating alone, after confirming that the cannula is placed in the correct position, the practitioner must walk from the side of the control system to the side of the bed to further manually move the position of the cannula to adjust the moving path of the cannula. After adjusting the moving path of the cannula, the practitioner must walk from the side of the bed to the control system to confirm on the screen whether the moving path of the cannula is correct. After confirming the moving path of the cannula, the practitioner can remotely control the robotic arm through the control system.
The problem with the above operation method is: first, the practitioners need to walk back and forth between the bed and the control system, which is time-consuming, laborious, and inefficient: second, the practitioners usually need to go through several corrections to adjust the moving path of the cannula, which is time-consuming and labor-intensive, and the efficiency is low.
In addition, the general robotic arm is usually fixed, and practitioners have no way to move the robotic arm arbitrarily.
Moreover, during walking, the practitioner's body is likely to collide with the robotic arm, causing the moving path of the cannula to deviate. Once the cannula moves on the deviated moving path, the needle on the cannula will excessively pull on the patient's wound.
In addition, the image capture device must constantly take pictures of the robot arm and send the photos to the computer, so that the computer can output the image of the real-time position of the robot arm to the screen, and the screen can display the moving trajectory of the robot arm and the cannula, which is costly and inefficient, as well as increases the patient's radiation exposure.
Finally, the average robotic arms tend to move too fast or too large, causing the needle on the cannula to bend or break, and excessively pulling on the patient's wound.
A primary objective of the present invention is to provide a puncture guiding system and method, wherein the cannula moves more stably, slowly and safely, and the movement accuracy of the robotic arm reaches millimeter level or less.
Another objective of the present invention is to provide a puncture guiding system and method, which can facilitate single-person bedside operation and observation of the position and moving trajectory of the robotic arm and cannula.
Another objective of the present invention is to provide a puncture guiding system and method, which can activate the robotic arm to be manually moved through a dual mechanism.
Yet another objective of the present invention is to provide a puncture guiding system and method, which is capable of sensing whether the robotic arm is impacted by an external force, and immediately controlling the robotic arm to stop moving.
A further objective of the present invention is to provide a puncture guiding system and method, which is capable of memorizing the real-time position of the robotic arm in space at any time, so as to calculate the target position of the robotic arm and set the moving path of the cannula.
Another objective of the present invention is to provide a puncture guiding system and method, which is capable of controlling the low-speed movement of the robotic arm.
For achieving the foregoing objectives, the present invention provides a puncture guiding system, comprising: a control device, a robotic arm, a diagnostic detection device, a screen, and a foot pedal. The control device has an image reconstruction module. The robotic arm is electrically connected to the control device, has a manual mode and a fixed mode, and is disposed with a cannula, which is to be placed at a first position a patient's body. The diagnosis detection device is electrically connected to the control device to scan the patient's body to obtain a plurality of two-dimensional (2D) images of the cannula and tissues near the first position. The image reconstruction module receives the plurality of 2D images and constructs a three-dimensional (3D) image. The screen is electrically connected to the control device, receives and displays the plurality of 2D images, 3D images, or a combination thereof. The foot pedal is electrically connected to the control device and includes a switching button, a first moving button, and a second moving button; wherein the control device controls the robotic arm to switch to the manual mode or the fixed mode according to the actuation of the switching button: wherein, in the manual mode, the robotic arm is manually moved to adjust the position of the cannula to a second position, and the control device sets the path between the first position and the second position as a moving path of the cannula: wherein, in the fixed mode, the control device controls the robotic arm to move according to the actuation of the first moving button to drive the cannula to move from the second position to the first position along the moving path, and the control device moves the cannula from the second position to the first position along the moving path according to the actuation of the second moving button, wherein the screen displays the movement trajectories of the robotic arm and the cannula.
In some embodiments, the image reconstruction module defines a spatial relationship between the cannula and a target object according to the plurality of 2D images and constructs a 3D image: when the cannula is at the first position, an axis of the cannula and an axis of the target object are not aligned; when the cannula is at the second position, the axis of the cannula is aligned with the axis of the target object.
In some embodiments, when the switching button is activated, the foot pedal transmits a first switching signal to the control device, and the control device controls the robotic arm to switch to the manual mode according to the first switching signal.
In some embodiments, when the switching button is not activated, the foot pedal transmits a second switching signal to the control device, and the control device controls the robotic arm to switch to the fixed mode according to the second switching signal.
In some embodiments, in the fixed mode, when the first moving button is activated and the second moving button is not activated, the foot pedal transmits a first moving signal to the control device, the control device controls the movement of the robotic arm according to the first moving signal, the robotic arm drives the cannula to move from the second position to the first position along the moving path, and the screen displays the movement trajectories of the robotic arm and the cannula.
In some embodiments, in the fixed mode, when the second moving button is activated and the first moving button is not activated, the foot pedal transmits a second moving signal to the control device, the control device controls the movement of the robotic arm according to the second moving signa, the robotic arm drives the cannula to move from the first position to the second position along the moving path, and the screen displays the movement trajectories of the robotic arm and the cannula.
In some embodiments, the puncture guiding system further comprises a force sensor, disposed on the robotic arm and electrically connected to the control device; wherein, when the robotic arm switches to manual mode and the force sensor detects that the robotic arm is manually moved, the force sensor sends a first sensing signal to the control device, and the control device controls the robotic arm to be manually moved according to the first sensing signal.
In some embodiments, the puncture guiding system further comprises a force sensor, disposed on the robotic arm and electrically connected to the control device; wherein, when the robotic arm switches to the fixed mode and the force sensor senses that the robotic arm is impacted by an external force, the force sensor sends a second sensing signal to the control device, and the control device controls the robotic arm to stop moving according to the second sensing signal.
In some embodiments, the puncture guiding system further comprises a register disposed on the robotic arm and electrically connected to the control device: wherein, when the robotic arm switches to manual mode, the register stores a real-time spatial position of the robotic arm, the control device recalculates a moving target position of the robotic arm according to the real-time spatial position of the robotic arm provided by the register, so as to set the moving path of the cannula, and the movement trajectories of the robotic arm and the cannula are displayed on the screen.
In some embodiments, in the fixed mode, a moving speed of the robotic arm is 0.2-1 cm per second in the fixed mode.
In order to achieve the aforementioned objectives, the present invention provides a puncture guiding method, comprising the following steps: controlling a robotic arm to drive a cannula to be placed at a first position on a patient's body, the cannula being installed on the robotic arm: providing a diagnostic detection device to scan the patient's body to obtain a plurality of 2D images of the cannula and tissues near the first position: constructing a 3D image based on the plurality of 2D images: providing a screen to display the plurality of 2D images and 3D images, or any combination of both: providing a foot pedal, the foot pedal comprising: a switching button, a first moving button, and a second moving button: according to the activation of the switching button, controlling the robotic arm to switch to a manual mode or a fixed mode: in the manual mode, the robotic arm being manually moved to adjust the position of the cannula to a second position, and the path between the first position and the second position being defined as a moving path of the cannula, and the screen displaying the movement trajectories of the cannula and the robotic arm; in the fixed mode, according to the activation of the first moving button, controlling the movement of the robotic arm to drive the cannula to move from the second position to the first position along the moving path, and the screen displaying the movement trajectories of the robotic arm and the cannula; and in the fixed mode, according to the activation of the second moving button, controlling the movement of the robotic arm to drive the cannula to move from the first position to the second position along the moving path, and the screen displaying the movement trajectories of the robotic arm and the cannula.
In some embodiments, the image reconstruction module defines a spatial relationship between the cannula and a target object according to the plurality of 2D images and constructs a 3D image: when the cannula is at the first position, an axis of the cannula and an axis of the target object are not aligned: when the cannula is at the second position, the axis of the cannula is aligned with the axis of the target object.
In some embodiments, when the switching button is activated, the foot pedal transmits a first switching signal to a control device, and the control device controls the robotic arm to switch to the manual mode according to the first switching signal.
In some embodiments, when the switching button is not activated, the foot pedal transmits a second switching signal to a control device, and the control device controls the robotic arm to switch to the fixed mode according to the second switching signal.
In some embodiments, in the fixed mode, when the first moving button is activated and the second moving button is not activated, the foot pedal transmits a first moving signal to a control device, the control device controls the movement of the robotic arm according to the first moving signal, the robotic arm drives the cannula to move from the second position to the first position along the moving path, and the screen displays the movement trajectories of the robotic arm and the cannula.
In some embodiments, in the fixed mode, when the second moving button is activated and the first moving button is not activated, the foot pedal transmits a second moving signal to a control device, the control device controls the movement of the robotic arm according to the second moving signa, the robotic arm drives the cannula to move from the first position to the second position along the moving path, and the screen displays the movement trajectories of the robotic arm and the cannula.
In some embodiments, when the robot arm is switched to the manual mode and a force sensor detects that the robot arm is manually moved, the force sensor sends a first sensing signal to the control device, and the control device controls the robotic arm to be moved manually according to the first sensing signal.
In some embodiments, when the robotic arm switches to the fixed mode and a force sensor detects that the robotic arm is impacted by an external force, the force sensor sends a second sensing signal to the control device, and the control device controls the robot arm to stop moving according to the second sensing signal.
In some embodiments, when the robotic arm is switched to the manual mode, a register stores the real-time spatial position of the robotic arm, and the control device recalculates the moving target position of the robotic arm according to the real-time spatial position of the robotic arm provided by the register, so as to set the moving path of the cannula, and the movement trajectories of the robotic arm and the cannula are displayed on the screen.
In some embodiments, in the fixed mode, a moving speed of the robotic arm is 0.2-1 cm per second.
The effect of the present invention is that the present invention can control the robotic arm through the foot pedal, the movement of the cannula is relatively stable, slow and safe, and the movement accuracy of the robotic arm reaches the millimeter level or less, and the cannula can move along the moving path to the destination without deviation.
Furthermore, the present invention can facilitate a practitioner to operate alone the entire surgical process such as fine needle puncture, scanning, and setting the moving path, and at the same time observe the position and movement trajectories of the robotic arm and cannula on the screen, and control the robotic arm by stepping on the foot pedal. As such, the practitioner can free up both hands to do things, save time and effort, achieve high operating efficiency, and save labor costs.
In addition, the present invention can activate the robotic arm through the dual mechanisms of the foot pedal and the force sensor, so that the robotic arm can be manually moved, thereby improving the operation safety.
Moreover, the present invention can detect whether the robotic arm is impacted by an external force in a fixed mode through the force sensor, and immediately control the robotic arm to stop moving, preventing the cannula from moving on the deviated path and causing the cannula to making the needle excessively pulls on the patient's wound.
Furthermore, the present invention can store the real-time spatial position of the robot arm at any time through the register to calculate the moving target position of the robot arm, and set the moving path of the cannula, as well as cooperate with the screen to display the movement trajectories of the robot arm and the cannula. While standing on the bedside and controlling the robotic arm by stepping on the foot pedal, the practitioner can observe on the screen whether the position of the cannula and the moving path are correct. As such, the practitioner can easily move the cannula to the correct position in one step, without repeated corrections, and the operation efficiency is high, and there is no need to install an additional image capture device and employ another person to assist in the operation: thereby, saving costs and reducing unnecessary radiation exposure for the patients.
In addition, the present invention can limit the movement of the robotic arm at a low speed in a fixed mode, which not only prevents the needle on the cannula from being bent or broken, but also avoids excessive pulling on the patient's wound.
The present invention will be apparent to those skilled in the art by reading the following detailed description of a preferred embodiment thereof, with reference to the attached drawings, in which:
The accompanying drawings are included to provide a further understanding of the invention, and are incorporated in and constitute a part of this specification. The drawings illustrate embodiments of the invention and, together with the description, serve to explain the principles of the invention.
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As such, the present invention can control the robotic arm 20 through the foot pedal 50, the movement of the cannula 90 is relatively stable, slow and safe, the movement accuracy of the robotic arm 20 reaches the millimeter level or less, and the cannula 90 can be moved very precisely along the moving path 92 to the target position without deviation.
Furthermore, step S1 actually has two operation modes. Regarding the first mode of operation, the cannula 90 is first installed on the robotic arm 20, and then the switching button 51 is stepped on to switch the robotic arm 20 to the manual mode 21. At this point, the practitioner can manually move the robotic arm 20, so that the cannula 90 is placed at a first location A on the body of the patient 100. Regarding the second mode of operation, the cannula 90 is first placed at the first position A of the body of the patient 100, and then the switching button 51 is stepped with the foot, so that the robotic arm 20 is switched to the manual mode 21. At this point, the practitioner can manually move the robotic arm 20 to beside the cannula 90, and finally install the cannula 90 on the robotic arm 20.
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In step S7 of the preferred embodiment, as shown in
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In step S9 of the preferred embodiment, as shown in
A practitioner may install a needle (not shown) on the cannula 90 before performing the above method. Therefore, in step S1, the needle is inserted into the first position A of the body of the patient 100; in steps S7-S9, the needle moves along with the cannula 90. In particular, after the cannula 90 is moved to the second position B, the needle is moved to the target object 200 in step S9.
The practitioner can also install a needle (not shown) on the cannula 90 after the cannula 90 moves to the second position B in step S9, and then insert the needle into the second position B of the patient's body. The needle moves to the target object 200.
As such, the present invention can provide a single practitioner to operate the entire surgical process such as puncture, scanning, and setting the moving path 92, and at the same time observe the position and movement trajectories of the robotic arm 20 and the cannula 90 through the screen 40, as well as step on the foot pedal 50 to control the robotic arm 20. Therefore, the practitioner can free up both hands to do things, save time and effort, achieve high operating efficiency, and save labor costs.
Furthermore, because the foot pedal 50 is small in size and placed on the ground, it will not affect the operation of the practitioners and does not take up space, so it is suitable to be placed on one side of the bed 80, and the screen 40 can be arranged on the other side of the bed 80. Therefore, the present invention can provide a practitioner standing on the side of the bed 80 to perform the surgical procedure without leaving the side of the bed 80 at all.
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In a preferred embodiment, in the fixed mode 22, the moving speed of the robotic arm 20 is 0.2-1 cm per second. Therefore, the present invention can limit the movement of the robotic arm 20 at a low speed in the state of the fixed mode 22, which not only prevents the needles on the cannula 90 from being bent or broken, but also prevents the needles on the cannula 90 from excessively pulling on the patient's 100 wound.
Although the present invention has been described with reference to the preferred embodiments thereof, it is apparent to those skilled in the art that a variety of modifications and changes may be made without departing from the scope of the present invention which is intended to be defined by the appended claims.
Filing Document | Filing Date | Country | Kind |
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PCT/CN2021/098590 | 6/7/2021 | WO |