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神经外科机器人系统手术床边主控台。

Surgical bedside master console for neurosurgical robotic system.

机构信息

Nagoya Institute of Technology, Gokiso-cho, Showa-ku, Nagoya 466-8555, Japan.

出版信息

Int J Comput Assist Radiol Surg. 2013 Jan;8(1):75-86. doi: 10.1007/s11548-012-0691-8. Epub 2012 May 15.

DOI:10.1007/s11548-012-0691-8
PMID:22585461
Abstract

PURPOSE

We are currently developing a neurosurgical robotic system that facilitates access to residual tumors and improves brain tumor removal surgical outcomes. The system combines conventional and robotic surgery allowing for a quick conversion between the procedures. This concept requires a new master console that can be positioned at the surgical bedside and be sterilized.

METHODS

The master console was developed using new technologies, such as a parallel mechanism and pneumatic sensors. The parallel mechanism is a purely passive 5-DOF (degrees of freedom) joystick based on the author's haptic research. The parallel mechanism enables motion input of conventional brain tumor removal surgery with a compact, intuitive interface that can be used in a conventional surgical environment. In addition, the pneumatic sensors implemented on the mechanism provide an intuitive interface and electrically isolate the tool parts from the mechanism so they can be easily sterilized.

RESULTS

The 5-DOF parallel mechanism is compact (17 cm width, 19cm depth, and 15cm height), provides a 505,050 mm and 90° workspace and is highly backdrivable (0.27N of resistance force representing the surgical motion). The evaluation tests revealed that the pneumatic sensors can properly measure the suction strength, grasping force, and hand contact. In addition, an installability test showed that the master console can be used in a conventional surgical environment.

CONCLUSION

The proposed master console design was shown to be feasible for operative neurosurgery based on comprehensive testing. This master console is currently being tested for master-slave control with a surgical robotic system.

摘要

目的

我们目前正在开发一种神经外科机器人系统,以帮助接触残留肿瘤并改善脑肿瘤切除手术的结果。该系统结合了传统手术和机器人手术,允许在两种手术之间快速转换。这一概念需要一个新的主控制台,可以放置在手术床边并进行消毒。

方法

主控制台采用新技术开发,如并联机构和气动传感器。并联机构是一种基于作者触觉研究的纯被动 5 自由度(自由度)操纵杆。该并联机构可实现传统脑肿瘤切除手术的运动输入,具有紧凑、直观的界面,可在传统手术环境中使用。此外,安装在机构上的气动传感器提供了直观的界面,并将工具部件与机构电隔离,因此可以轻松消毒。

结果

5 自由度并联机构体积小巧(宽 17cm,深 19cm,高 15cm),提供 505,050mm 和 90°工作空间,具有很高的反向驱动能力(0.27N 的阻力代表手术运动)。评估测试表明,气动传感器可以正确测量吸力、抓握力和手接触力。此外,安装测试表明,主控制台可以在传统的手术环境中使用。

结论

基于综合测试,所提出的主控制台设计被证明适用于手术神经外科。该主控制台目前正在与手术机器人系统进行主从控制测试。

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本文引用的文献

1
Neurosurgical robotic system for brain tumor removal.神经外科手术机器人系统,用于脑肿瘤切除。
Int J Comput Assist Radiol Surg. 2011 May;6(3):375-85. doi: 10.1007/s11548-010-0514-8. Epub 2010 Jul 13.
2
OpenIGTLink: an open network protocol for image-guided therapy environment.OpenIGTLink:一种用于图像引导治疗环境的开放网络协议。
Int J Med Robot. 2009 Dec;5(4):423-34. doi: 10.1002/rcs.274.
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Integrating an image-guided robot with intraoperative MRI: a review of the design and construction of neuroArm.将图像引导机器人与术中磁共振成像相结合:神经臂的设计与构建综述。
IEEE Eng Med Biol Mag. 2008 May-Jun;27(3):59-65. doi: 10.1109/EMB.2007.910272.
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Validation of the PathFinder neurosurgical robot using a phantom.使用体模对PathFinder神经外科手术机器人进行验证。
Int J Med Robot. 2007 Dec;3(4):372-7. doi: 10.1002/rcs.153.
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Robotics in neurosurgery: state of the art and future technological challenges.神经外科中的机器人技术:现状与未来技术挑战
Int J Med Robot. 2004 Jun;1(1):7-22. doi: 10.1002/rcs.2.
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Stereoelectroencephalography in the presurgical evaluation of focal epilepsy: a retrospective analysis of 215 procedures.立体定向脑电图在局灶性癫痫术前评估中的应用:215例手术的回顾性分析
Neurosurgery. 2005 Oct;57(4):706-18; discussion 706-18.
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Microsurgical robotic system for the deep surgical field: development of a prototype and feasibility studies in animal and cadaveric models.用于深部手术领域的显微外科机器人系统:原型开发及在动物和尸体模型中的可行性研究
J Neurosurg. 2005 Aug;103(2):320-7. doi: 10.3171/jns.2005.103.2.0320.
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Clinical application of robotic telemanipulation system in neurosurgery. Case report.机器人远程操作手术系统在神经外科中的临床应用。病例报告。
J Neurosurg. 2003 Dec;99(6):1082-4. doi: 10.3171/jns.2003.99.6.1082.
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Report of Brain Tumor Registry of Japan (1969-1996).日本脑肿瘤登记处报告(1969 - 1996年)
Neurol Med Chir (Tokyo). 2003 Sep;43 Suppl:i-vii, 1-111.