The present disclosure relates to a surgical tool mounted to a surgical robot.
A surgical robot may include a surgical tool that is inserted into a patient to perform a surgical operation. However, when the power supply is stopped in a state in which the surgical tool grips a tissue of a patient, it is difficult to continue a surgical operation or to discontinue the surgical operation.
It is an aspect to provide a surgical tool that is mounted to a surgical robot, the surgical tool being capable of dealing with a case where power supply is stopped.
According to an aspect of one or more embodiments, there is provided a surgical tool mounted to a surgical robot, the surgical tool comprising a treatment portion used in surgical treatment, the treatment portion including a movable part that is configured to be displaced; a slider that generates a driving force to displace the movable part, the slider generating the driving force through reciprocating motion along a linear direction; and a manual releasing tool that is configured to displace the movable part, the manual releasing tool being detachably insertable into a main body in which the slider is accommodated.
According to another aspect of one or more embodiments, there is provided a surgical tool mounted to a surgical robot, the surgical tool comprising a treatment portion including a movable part that is configured to be displaced; a main body including a slider that generates a driving force to displace the movable part, the slider generating the driving force through reciprocating motion along a linear direction; and a manual releasing tool that is configured to displace the movable part, the manual releasing tool being detachably insertable into the main body.
According to yet aspect of one or more embodiments, there is provided a surgical tool comprising a forceps including a gripper; a main body including a slider that reciprocates to displace the gripper; and a manual releasing tool that is detachably insertable into the main body, wherein when power to the surgical tool is stopped, the manual releasing tool is inserted into the main body to manually displace the gripper.
The above and/or other aspects will become apparent and more readily appreciated from the following description of exemplary embodiments, taken in conjunction with the accompanying drawings in which
A medical support arm device may be capable of continuing a surgical operation even when power supply to the medical support arm device is stopped during the surgical operation.
Among those surgical tools mounted to a surgical robot, for example, a treatment instrument, such as forceps, is provided with a treatment portion such as a hand part (a gripper) on a distal end side. The treatment portion is provided with at least one movable part.
The movable part can be directly or indirectly displaced by an actuator using air pressure or electric power. Because of this configuration, if a supply of air pressure, or, power supply is stopped, and then the actuator is stopped, a state of the movable part is retained as the state is when the actuator is stopped.
As described above, for example, when the power supply is stopped in a state in which the gripper of forceps (a surgical tool) grips a tissue of a patient, it is difficult to continue the surgical operation or to discontinue the surgical operation.
The present disclosure provides an example of a surgical tool that is mounted to the surgical robot, the surgical tool being capable of dealing with a case where power supply is stopped.
According to some embodiments, a surgical tool mounted to a surgical robot may include a treatment portion used in surgical treatment, the treatment portion including at least one movable part that can be displaced; a slider that generates a driving force to displace the movable part, the slider generating the driving force through reciprocating motion along a linear direction; and a manual releasing tool for displacing the movable part, the manual releasing tool being detachably mountable to a main body at which the slider is accommodated.
Thus, in the surgical tool, when a user mounts the manual releasing tool to the main body, the user can displace the movable part by manual operation through the manual releasing tool. Therefore, the surgical tool makes it possible, for example, to continue the surgical operation or to discontinue the surgical operation to deal even with a case where the power supply is stopped.
In this specification, for at least a member or portion described with a reference numeral affixed thereto, there is at least one in number unless specified as “one” or the like. In other words, the member or portion may be two or more in number unless specified as “one”. The surgical robot and the surgical tool shown in the present disclosure comprises at least components such as members or portions described with reference numerals affixed thereto, and structural portions shown in the drawings.
As shown in
As shown in
The electric actuator 71 is configured by at least one electric motor and drives each of the joints. In some embodiments, each joint is provided with an electric motor. Thus, each electric motor is arranged at the robot arm 3.
As shown in
The pressure generating device 72A is a pressure supply source that supplies compressed air to the pneumatic cylinders 73A to 73C. Each of the pneumatic cylinders 73A to 73C is operated by receiving an air pressure. Each of the controller solenoid valves 74A to 74C controls the air pressure supplied to each of the pneumatic cylinders 73A to 73C, to thereby control operations of the corresponding pneumatic cylinders 73A to 73C.
In some embodiments, at least the pneumatic cylinders 73A to 73C are provided at the robot arm 3. As shown in
The control device 5 controls operations of the driver 7, more specifically the electric actuator 71, the pneumatic actuator 72, and the like. In some embodiments, the control device 5 may include a central processing unit (CPU), a read only memory (ROM) and a random access memory (RAM). The CPU reads program code from the ROM and/or the RAM and executes the program code to perform the functions of the control device described herein. In some embodiments, the control device may include one or more processors and one or more memories, or hardware control logic. In some embodiments, the one or more processors may be a microprocessor, an application specific integrated circuit (ASIC), or a microcontroller that reads program code from the one or more memories and executes the program code to perform the functions of the control device 5 described herein. In some embodiments, the hardware control logic may be arranged to perform the functions of the control device 5 described herein. More specifically, the control device 5 controls the controller solenoid valves 74A to 74C. The control device 5 receives a command signal output from a master-side input operation device (not shown) and operates the driver 7 according to the command signal.
At this time, as shown in
The trocar 14C is a cylindrical member. A trocar is also referred to as a trochar. The trocar may be also described a “cannula”. An operator inserts the surgical tool 10, such as an endoscope or forceps, into a body of the subject through the trocar 14C, and performs a surgical operation while looking at an image captured by the endoscope.
The surgical tool 10 comprises, as shown in
The insertion part 12 is a tubular part extending from the main body 11. The insertion part 12 is a part that is inserted into a body through the trocar 14C and formed from a material with a high bending rigidity, such as a metal.
At a distal end portion of the insertion part 12, the treatment portion 13 is provided. As shown in
The movable parts 13A and 13B are parts displaceable with respect to the insertion part 12. Specifically, the surgical tool 10 according to some embodiments is forceps. In other words, the treatment portion 13 according to some embodiments is a gripper that can grip a portion to be treated, a suturing needle, or the like.
The two movable parts 13A and 13B can be rotationally displaced or pivoted around a central axis O1 between a closed position (see,
The treatment portion 13 according to some embodiments is connected to a distal end of the insertion part 12 via the joint 14. The joint 14 is a mechanism for changing an angle of the treatment portion 13. Specifically, the joint 14 comprises rotational shafts 14A and 14B. While the example illustrated in
The joint 14 can be rotationally displaced around each of the rotational shafts 14A and 14B as a central axis. A first rotational shaft 14A is a shaft perpendicular to a longitudinal direction of the insertion part 12. A second rotational shaft 14B is a shaft perpendicular to the longitudinal direction of the insertion part 12 and the first rotational shaft 14A.
Inside the main body 11, as shown in
In some embodiments, each of the sliders 15 to 17 is displaced along a direction parallel to the longitudinal direction (specifically, an arrow direction shown in
The slider 15 makes a reciprocating motion, thereby generating a driving force to displace the movable part 13A. A first end 15A of a driving wire 15W and a second end 15B of the driving wire 15W are respectively connected to a first end and a second end of the slider 15 along a displacement direction.
The slider 16 makes a reciprocating motion, thereby generating a driving force to displace the movable part 13B. A first end 16A of a driving wire 16W and a second end 16B of the driving wire 16W are respectively connected to a first end and a second end of the slider 16 along a displacement direction.
The driving wire 15W is directly or indirectly connected to the movable part 13A. Therefore, when the slider 15 is displaced, the movable part 13A is displaced in conjunction with the displacement. Specifically, when the slider 15 makes the reciprocating motion, the movable part 13A of the treatment portion 13 configuring the gripper is displaced around the second rotational shaft 14B in conjunction with the reciprocating motion.
The driving wire 16W is directly or indirectly connected to the movable part 13B. Therefore, when the slider 16 is displaced, the movable part 13B is displaced in conjunction with the displacement. Specifically, when the slider 16 makes the reciprocating motion, the movable part 13B of the treatment portion 13 configuring the gripper is displaced around the second rotational shaft 14B in conjunction with the reciprocating motion.
In a case in which turning directions of the movable part 13A and the movable part 13B are opposite to each other, the treatment portion 13 opens and closes. In a case in which the turning directions of the movable part 13A and the movable part 13B are the same, the treatment portion 13 is displaced around the second rotational shaft 14B.
The slider 17 generates a driving force to operate the joint 14. A first end 17A of a driving wire 17W and a second end 17B of the driving wire 17W are respectively connected to a first end and a second end of the slider 17 along a displacement direction.
The driving wire 17W displaces the treatment portion 13 and the second rotational shaft 14B around the first rotational shaft 14A. Thus, the joint 14 is operated in conjunction with displacement of the sliders 15, 16 and 17.
A pulley 15C is a fixed pulley that redirects the driving wire 15W. A pulley 16C is a fixed pulley that redirects the driving wire 16W. A pulley 17C is a fixed pulley that redirects the driving wire 17W.
As shown in
On the slider 15, as shown in
The receiver 19 according to some embodiments is configured by a rack portion 19A that extends along a direction parallel to a sliding direction of the slider 15. Here, a rack is a sector gear whose curvature radius is infinite. Hereinafter, the receiver 19 will be also referred to as the rack portion 19A. In other words, the receiver 19 comprises the rack portion 19A.
The manual releasing tool 18 according to some embodiments is mounted to the main body 11 so as to be displaceable along a direction intersecting the displacement direction of the slider 15. In some embodiments, the manual releasing tool 18 may be mounted perpendicular to the main body 11 so as to be displaceable along a direction perpendicular to the displacement direction of the slider 15. The manual releasing tool 18 is provided with a rack portion 18A on its distal end side in a direction of insertion.
The main body 11 is provided with a pinion member 20A that is engageable with the rack portion 18A and a pinion member 20B that is engageable with the rack portion 19A. The pinion member 20A and the pinion member 20B are integrated together in such a manner that the respective rotational axes of the pinion member 20A and the pinion member 20B coincide. Hereinafter, the two integrated pinion members 20A and 20B will be referred to as a pinion 20. In other words, the pinion 20 comprises the pinion member 20A and the pinion member 20B. While two pinion members 20A and 20B are illustrated in
Thus, when the manual releasing tool 18 is displaced in a state in which the manual releasing tool 18 and the pinion member 20A are engaged with each other, the pinion member 20B is rotated, whereby the rotation is transmitted to the rack portion 19A.
In the pinion 20, a position of the rotational axis is immovable relative to the main body 11. Thus, when the manual releasing tool 18 is displaced in the state in which the manual releasing tool 18 and the pinion 20 are engaged with each other, the slider 15 is displaced along a linear direction by receiving a driving force from the rack portion 19A.
The pinion 20 functions as a transmitter that converts a mounting force received by the manual releasing tool 18 when the manual releasing tool 18 is mounted to the main body 11, and transmits the converted mounting force to the receiver 19. In some embodiments, when the manual releasing tool 18 is displaced in the direction of insertion (in other words, a direction of an arrow in
The mounting force corresponds to one example of an operating force.
As shown in
In a configuration in which two or more receiving portions 18B are provided in the main body 11, a first mounted portion 18B is arranged on a first side of the main body 11, and a second mounted portion 18B is arranged on a second side of the main body 11. The second mounted portion 18B is arranged at a position rotated by 180 degrees with respect to the first mounted portion 18B about the rotational axis of the pinion 20.
The surgical tool 10 according to some embodiments comprises the manual releasing tool 18 for displacing the movable part 13A, the manual releasing tool 18 being detachably mountable to the main body 11.
Thus, in the surgical tool 10 according to some embodiments, when the user inserts the manual releasing tool 18 to the main body 11, the user can displace the movable part 13A by manual operation through the manual releasing tool 18. Therefore, the surgical tool makes it possible, for example, to continue the surgical operation or to discontinue the surgical operation to deal even with a case where the power supply is stopped.
The slider 15 is provided with the receiver 19 that directly or indirectly receives the driving force from the manual releasing tool 18. The slider 15 can be displaced along the linear direction by receiving the driving force from the receiver 19. Thus, the user can reliably displace the movable part 13A by manual operation through the manual releasing tool 18.
In some embodiments, when the manual releasing tool 18 is inserted into the main body 11, the rack portion 18A and the pinion member 20A are engaged with each other, whereby the slider 15 is displaced. Specifically, in some embodiments, the mounting force received by the manual releasing tool 18 is converted into a force to displace the slider 15 at the transmitter and the receiver 19. The pinion 20 corresponds to one example of the transmitter.
Therefore, the user can displace the movable part 13A by only inserting the manual releasing tool 18 to the main body 11 in an inserting manner. This configuration and operation makes it possible for the user to quickly and reliably open the treatment portion 13. The treatment portion 13 corresponds to one example of the gripper.
The pinion member 20B is provided with a connecting member (not shown) that is detachably connectable with an axial member 21A shown in
In some embodiments, the transmitter (i.e., the pinion 20) may be omitted, and a pinion member may be configured to be arranged in the axial member 21A of the manual releasing tool 21. According to this configuration, when the manual releasing tool 21 is inserted into the main body 11, and the pinion member of the axial member 21A is engaged with the rack portion 19A, the slider 15 goes into a state in which it is displaceable by a manual operation of turning the manual releasing tool 21.
The sliders 15 to 17 each is configured to make the reciprocating motion along a direction parallel to the longitudinal direction of the insertion part 12. However, embodiments are not limited to this. For example, in some embodiments, the sliders 15 to 17 each may be configured to make the reciprocating motion along a direction intersecting the longitudinal direction of the insertion part 12.
The pinion member 20B and the rack portion 19A are provided, and the pinion member 20B and the rack portion 19A are configured to be engaged with each other, whereby operating forces of the manual releasing tools 18 and 21 are transmitted to the slider 15. However, embodiments are not limited to this. For example, in some embodiments, the pinion member 20B and the rack portion 19A may be omitted, and a friction force generated at a contact area between the transmitter and the slider 15 is used to transmit the operating forces to the slider 15.
The operating forces of the manual releasing tools 18 and 21 are configured to be transmitted to the slider 15 through the transmitter. However, embodiments are not limited to this. For example, in some embodiments, the manual releasing tool 18 or the manual releasing tool 21 may be configured to be detachably connectable to the slider 15.
In this configuration, the slider 15 may be configured to be displaced by the user displacing the manual releasing tool 18 or the manual releasing tool 21 along the sliding direction in a state in which the manual releasing tool 18 or the manual releasing tool 21 is connected to the slider 15.
The movable part 13A is configured to be displaced by displacing the slider 15 with the manual releasing tool 18 or the manual releasing tool 21. However, embodiments are not limited to this. For example, in some embodiments, a member other than the slider 15 such as the driving wire 15W can be operated with the manual releasing tool 18 or the manual releasing tool 21.
Mounting directions of the manual releasing tools 18 and 21 are perpendicular to the sliding direction of the slider 15. However, embodiments are not limited to this. For example, in some embodiments, the mounting directions of the manual releasing tool 18 or the manual releasing tool 21 may be parallel to the sliding direction.
In some embodiments, two receiving portions 18B to which the manual releasing tool 18 can be inserted are provided. However, as discussed above, embodiments are not limited to this. For example, in some embodiments, one, or three or more receiving portions 18B may be provided.
The displacement of the slider 15 is configured to be transmitted to the movable part 13A through the driving wire 15W. However, embodiments are not limited to this. For example, in some embodiments, the displacement of the slider 15 may be configured to be transmitted to the movable part 13A through a push-pull wire or a geared cable.
The treatment portion 13 may be configured by a so-called gripper and is a portion separate from the joint 14. However, embodiments are not limited to this. For example, in some embodiments, the treatment portion 13 may be configured by a component other than the gripper or may be configured such that the treatment portion 13 and the joint 14 are integrated together; in other words, in some embodiments, the joint 14 can also be operated with the manual releasing tool 18 or the manual releasing tool 21.
The manual releasing tools 18 and 21 are configured to displace the slider 15. However, embodiments are not limited to this. For example, in some embodiments, the manual releasing tool 18 or the manual releasing tool 21 can displace the sliders 16 and 17, as well.
The slider 15 is configured to be operated through the manual releasing tool 18 or the manual releasing tool 21. However, embodiments are not limited to this. For example, the slider 15 may be provided with a projecting operating part and may be configured such that a distal end side of the operating part protrudes from the main body 11 enough that it can be operated by the user. In this configuration, the manual releasing tool 18 or the manual releasing tool 21 are not necessary and may be omitted.
Further, the present disclosure is not limited to the aforementioned embodiments. Accordingly, the present disclosure may be configured in combination of at least two of the aforementioned embodiments, or may be configured without some of the components illustrated in the drawings or described with reference numerals in the aforementioned embodiments.
It should be understood that the present disclosure is not limited to the above embodiments, but various other changes and modifications may be made therein without departing from the spirit and scope of the appended claims.
This U.S. Application is a continuation application of International Application No. PCT/JP2020/014157 on filed Mar. 27, 2020, in the Japanese Patent Office, the contents of which being incorporated by reference herein in its entirety.
Number | Date | Country | |
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Parent | PCT/JP2020/014157 | Mar 2020 | US |
Child | 17952874 | US |