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[医疗多体位辅助支撑外骨骼机构设计与支撑性能评估]

[Design and support performance evaluation of medical multi-position auxiliary support exoskeleton mechanism].

作者信息

Qi Kaicheng, Yin Zhiyang, Zhang Jianjun, Song Jingke, Qiao Gaokun

机构信息

School of Mechanical Engineering, Hebei University of Technology, Tianjin 300401, P. R. China.

Hebei Provincial Key Laboratory of Robot Perception and Human-Machine Fusion, Tianjin 300401, P. R. China.

出版信息

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2024 Apr 25;41(2):295-303. doi: 10.7507/1001-5515.202210040.

Abstract

Aiming at the status of muscle and joint damage caused on surgeons keeping surgical posture for a long time, this paper designs a medical multi-position auxiliary support exoskeleton with multi-joint mechanism by analyzing the surgical postures and conducting conformational studies on different joints respectively. Then by establishing a human-machine static model, this study obtains the joint torque and joint force before and after the human body wears the exoskeleton, and calibrates the strength of the exoskeleton with finite element analysis software. The results show that the maximum stress of the exoskeleton is less than the material strength requirements, the overall deformation is small, and the structural strength of the exoskeleton meets the use requirements. Finally, in this study, subjects were selected to participate in the plantar pressure test and biomechanical simulation with the man-machine static model, and the results were analyzed in terms of plantar pressure, joint torque and joint force, muscle force and overall muscle metabolism to assess the exoskeleton support performance. The results show that the exoskeleton has better support for the whole body and can reduce the musculoskeletal burden. The exoskeleton mechanism in this study better matches the actual working needs of surgeons and provides a new paradigm for the design of medical support exoskeleton mechanism.

摘要

针对外科医生长时间保持手术姿势导致肌肉和关节损伤的现状,本文通过分析手术姿势并分别对不同关节进行构形研究,设计了一种具有多关节机构的医用多体位辅助支撑外骨骼。然后通过建立人机静态模型,本研究获得了人体穿戴外骨骼前后的关节扭矩和关节力,并用有限元分析软件对外骨骼的强度进行了校准。结果表明,外骨骼的最大应力小于材料强度要求,整体变形小,外骨骼的结构强度满足使用要求。最后,本研究选取受试者参与足底压力测试,并用人机静态模型进行生物力学模拟,从足底压力、关节扭矩和关节力、肌肉力量和整体肌肉代谢等方面对结果进行分析,以评估外骨骼的支撑性能。结果表明,该外骨骼对全身具有较好的支撑作用,能够减轻肌肉骨骼负担。本研究中的外骨骼机构更好地匹配了外科医生的实际工作需求,为医用支撑外骨骼机构的设计提供了一种新的范例。

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