CN103006165B - Flexible endoscope robot with variable rigidity - Google Patents
Flexible endoscope robot with variable rigidity Download PDFInfo
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- CN103006165B CN103006165B CN201210546744.4A CN201210546744A CN103006165B CN 103006165 B CN103006165 B CN 103006165B CN 201210546744 A CN201210546744 A CN 201210546744A CN 103006165 B CN103006165 B CN 103006165B
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Abstract
Description
技术领域technical field
本发明涉及一种医疗内窥镜技术领域的内窥镜机器人系统,具体是一种刚度可变的柔性内窥镜机器人。The invention relates to an endoscope robot system in the technical field of medical endoscopes, in particular to a flexible endoscope robot with variable stiffness.
背景技术Background technique
一般地,内窥镜由操作部分与插入部分构成,插入部分又分为软质部分与弯曲部分。其中,软质部分为从操作部分延伸出来的细长软管,具有挠性;弯曲部分位于软质部分顶端,相对较短,通过操作部分可控制其在一个或两个方向上弯曲。Generally, an endoscope is composed of an operation part and an insertion part, and the insertion part is further divided into a soft part and a bending part. Wherein, the soft part is a slender flexible hose extending from the operating part; the bending part is located at the top of the soft part and is relatively short, and can be controlled to bend in one or two directions through the operating part.
目前,医用内窥镜的插入部分相对于人体组织较为坚硬,插入体腔的主要方法为在患者体外施力推进。推进过程中,当插入的导管在体腔深处遇到狭小、弯曲等复杂环境时,一方面由于软质部分无法主动弯曲,与人体组织间作用较大,患者不适感较强烈;另一方面,由于人体组织的柔韧性,外部推力一旦解除,插入部分会因组织反推力被推回,推进效果不佳。这些也导致了操作者难以精确控制导管末端位姿,在目标区域精细操作时可能需要反复调整,长时间工作易疲劳。At present, the insertion part of a medical endoscope is relatively hard compared to human tissue, and the main method of inserting it into a body cavity is to apply force outside the patient's body. During the advancement process, when the inserted catheter encounters a narrow and curved environment deep in the body cavity, on the one hand, because the soft part cannot actively bend, the interaction with human tissues is greater, and the patient feels a strong sense of discomfort; on the other hand, Due to the flexibility of human tissue, once the external thrust is released, the inserted part will be pushed back due to the anti-thrust of the tissue, and the propulsion effect is not good. These also make it difficult for the operator to precisely control the posture of the end of the catheter. Repeated adjustments may be required when performing fine operations in the target area, and fatigue is likely to occur after long hours of work.
为了解决上述问题,球囊式内窥镜及球囊插入辅助工具相继被提出,例如,日本专利公报特开昭59-181121号提出的,通过内窥镜器械通道插入一球囊装置至最前段,并可在远近方向上移动。该球囊装置能够在一定程度上减少推进中阻力,但由于球囊必须通过器械通道,实际可使用的球囊较小。另外,如日本专利公报特开平8-299261号所述的内窥镜,在插入部分外周安置有一气囊,通过管内的丝杠进给结构可在远近方向上移动气囊。虽然该装置中气囊体积有所增加,但其进退量依赖于丝杠结构的开孔大小,实际可移动量小,操作也比较费时。此外,还有如日本专利公报特开2002-301019号提出的一种双气囊式内窥镜装置,通过插入部及其外套管上的两气囊在腔内交替膨胀、收缩,实现了二者的交替固定、推进。In order to solve the above problems, balloon-type endoscopes and balloon insertion aids have been proposed one after another. For example, Japanese Patent Publication No. 59-181121 proposes to insert a balloon device through the instrument channel of the endoscope to the front end. , and can move in the far and near direction. The balloon device can reduce the propulsion resistance to a certain extent, but because the balloon must pass through the device channel, the actual usable balloon is small. In addition, in the endoscope described in Japanese Patent Laid-Open No. Hei 8-299261, an air bag is arranged on the outer periphery of the insertion part, and the air bag can be moved in the far-near direction by the screw feeding structure in the tube. Although the volume of the airbag in this device has increased, its advance and retreat amount depends on the size of the opening of the screw structure, the actual movable amount is small, and the operation is more time-consuming. In addition, there is also a double-balloon endoscope device such as Japanese Patent Publication No. 2002-301019, through which the two balloons on the insertion part and the outer tube alternately expand and contract in the cavity, realizing the alternate Fix, advance.
在上述内窥镜及现有产品实例中,球囊辅助部件大多数都固定在插入导管前端,或仅能够在前端小范围内移动,作用区域十分有限,而且也仍无法控制软质部分的刚度。摩擦大、推进难、操作繁琐等内窥镜常见的问题依然不同程度的存在。In the above-mentioned endoscopes and existing product examples, most of the balloon auxiliary parts are fixed at the front end of the insertion catheter, or can only move within a small range at the front end, the area of action is very limited, and the stiffness of the soft part cannot be controlled . The common problems of endoscopes such as high friction, difficult propulsion, and cumbersome operation still exist to varying degrees.
因此,为进一步改善内窥镜性能,降低操作者工作强度,减轻患者痛苦,自主式或半自主式内窥镜逐渐成为生物医疗器械行业竞相研究和开发的重点。如我国上海交通大学研制的,国内专利申请号为200410054206.9的主动式肠道内窥镜机器人系统,利用仿生学原理,采用直线电磁驱动方式,使机器人在肠道中蠕动。又如哈尔滨工业大学研制的,国内专利申请号为200910072751.3的连续体型半自主式内窥镜机器人,通过多个关节万向节环串联,采用钢丝与弹簧配合驱动,可实现十个自由度的复合弯曲运动以适应肠道复杂状况。此外,日本Tohoku大学利用记忆合金驱动,研制成适于肠道或血管环境的蛇形驱动装置;美国加州理工学院研制出气动型内窥镜机器人系统,通过气体压力的增大和减小来控制机体的前进与倒退。Therefore, in order to further improve the performance of endoscopes, reduce the workload of operators, and alleviate the pain of patients, autonomous or semi-autonomous endoscopes have gradually become the focus of research and development in the biomedical device industry. For example, the active intestinal endoscope robot system developed by Shanghai Jiaotong University in my country, whose domestic patent application number is 200410054206.9, utilizes the principle of bionics and adopts a linear electromagnetic drive method to make the robot wriggle in the intestinal tract. Another example is the continuous-body semi-autonomous endoscopic robot developed by Harbin Institute of Technology, whose domestic patent application number is 200910072751.3, which is connected in series through multiple joints and universal joints, driven by steel wires and springs, and can realize the composite of ten degrees of freedom. Flex motion to accommodate complex bowel conditions. In addition, Japan's Tohoku University has developed a serpentine drive device suitable for intestinal or vascular environments using memory alloy drives; the California Institute of Technology has developed a pneumatic endoscopic robot system that controls the body through the increase and decrease of gas pressure forward and backward.
上述几种内窥镜机器人系统,相对于传统内窥镜可控自由度明显增多,但现有实例中几乎全部采用了传统硬质材料,装置刚度均不可变。而且,大部分系统都采用形状记忆合金或者气流进行驱动。一方面,进行腔内操作的医疗器械采用硬质材料会存在一定的安全隐患,也会给患者带来一定不适感;另一方面,记忆合金或气流驱动的方式都难以精确控制,实用性较差。Compared with traditional endoscopes, the controllable degrees of freedom of the above-mentioned several endoscope robot systems have increased significantly, but in the existing examples, almost all of them use traditional hard materials, and the stiffness of the device is not variable. Also, most systems are actuated using shape memory alloys or airflow. On the one hand, the use of hard materials in medical devices for intracavitary operations will have certain safety hazards and will also bring some discomfort to patients; Difference.
发明内容Contents of the invention
本发明针对现有技术中存在的上述不足,提供了一种刚度可变的柔性内窥镜机器人。The present invention aims at the above-mentioned deficiencies in the prior art, and provides a flexible endoscopic robot with variable stiffness.
本发明是通过以下技术方案实现的。The present invention is achieved through the following technical solutions.
一种刚度可变的柔性内窥镜机器人,包括导管部件、驱动部件、流体供给部件以及球囊部件,其中,所述导管部件的一端与驱动部件相连接,所述球囊部件设置在导管部件自由端的端部,所述流体供给部件通过流体用管与球囊部件相连接;所述导管部件由软质硅胶制成,其内部设有若干内嵌绳线以及硬质固定节,所述内嵌绳线的第一端与硬质固定节相连接,所述内嵌绳线的第二端与驱动部件固定连接。A flexible endoscopic robot with variable stiffness, comprising a catheter part, a driving part, a fluid supply part and a balloon part, wherein one end of the catheter part is connected to the driving part, and the balloon part is arranged on the catheter part The end part of the free end, the fluid supply part is connected with the balloon part through a fluid tube; the catheter part is made of soft silicone, and a number of embedded ropes and hard fixing joints are arranged inside. The first end of the embedded rope is connected with the hard fixing joint, and the second end of the embedded rope is fixedly connected with the driving part.
所述导管部件内部还设有工作通道和转向通道,其中,所述工作通道位于中心部位,并轴向贯穿整个导管部件;所述若干转向通道分布于工作通道径向的外侧,用于放置内嵌绳线,所述硬质固定节为若干个,其中一个内嵌于导管部件顶端部位,其余根据需要灵活设置在导管部件内部的不同位置;所述内嵌绳线的数量与硬质固定节的数量相适配。The inside of the catheter part is also provided with a working channel and a turning channel, wherein the working channel is located at the center and runs through the entire catheter part in the axial direction; the several turning channels are distributed on the radially outer side of the working channel for placing Embedded ropes, the number of hard fixed joints is several, one of which is embedded in the top part of the catheter part, and the rest are flexibly arranged in different positions inside the catheter part according to needs; the number of the embedded ropes is different from that of the hard fixed joint match the quantity.
所述转向通道等角度圆周分布于工作通道径向的外侧。The turning channels are equiangularly distributed on the outer side of the working channel in the radial direction.
所述工作通道包括器械通道和光纤通道,其中,所述器械通道用于插置各类器械工具,所述光纤通道内嵌微型摄像头,其顶端设有照明部件,其末端与图像采集装置相连接;所述若干硬质固定节均为环状,所述器械通道和光纤通道从硬质固定节的中心通孔处穿过;所述转向通道包括顶端转向通道和中部转向通道,所述顶端转向通道和中部转向通道等角度圆周分布于导管部件内部。The working channel includes an instrument channel and an optical fiber channel, wherein the instrument channel is used to insert various instruments and tools, and the optical fiber channel is embedded with a miniature camera, and its top is provided with an illumination component, and its end is connected to an image acquisition device The plurality of hard fixation sections are ring-shaped, and the instrument channel and the fiber channel pass through the central through hole of the hard fixation section; the turning channel includes a top turning channel and a middle turning channel, and the top turning The channels and the central turning channel are distributed equiangularly around the interior of the conduit member.
所述球囊部件为中空结构,其可拆卸地安装在导管部件上,并可沿导管部件外周面移动;所述球囊部件包括可缩胀部件,所述可缩胀部件的两端设有固定部件,所述球囊部件侧壁内设有轴向设置的球囊流体通道和径向设置的吸盘流体通道,所述球囊部件的前端内嵌定型机构,所述球囊部件在与导管部件相接触处嵌有吸盘装置。The balloon part is a hollow structure, which is detachably installed on the catheter part and can move along the outer peripheral surface of the catheter part; A fixed part, the side wall of the balloon part is provided with an axially arranged balloon fluid channel and a radially arranged suction cup fluid channel, the front end of the balloon part is embedded with a shaping mechanism, and the balloon part is connected with the catheter A suction cup device is embedded in the parts where the parts meet.
所述驱动部件包括丝杠底座、丝杠滑块、微型电机、绕线轮盘、推进底座以及导管固定件,其中,所述微型电机固定在推进底座上,所述推进底座与丝杠滑块相对固定;所述导管固定件与推进底座相接触,其接触部分设有用于内嵌绳线与流体用管穿过的孔径;所述丝杠底座通过其内部安置的电机带动螺杆控制丝杠滑块直线运动;所述内嵌绳线的第二端与绕线盘轮固定连接,所述微型电机通过带动绕线轮盘完成对内嵌绳线的收放。The driving part includes a lead screw base, a lead screw slider, a micromotor, a winding reel, a propulsion base and a conduit fixture, wherein the micromotor is fixed on the propulsion base, and the propulsion base and the lead screw slider Relatively fixed; the catheter fixing part is in contact with the propulsion base, and the contact part is provided with an aperture for the embedded rope and the fluid pipe to pass through; the screw base drives the screw to control the sliding of the screw through the motor installed inside it. The block moves linearly; the second end of the embedded rope is fixedly connected with the winding wheel, and the micro motor completes the retraction and release of the embedded rope by driving the winding wheel.
所述流体供给部件包括球囊供给用结构和吸盘供给结构,所述球囊供给结构和吸盘供给结构均通过流体用管与球囊部件相连接,用于控制球囊部件膨胀和收缩。The fluid supply component includes a balloon supply structure and a suction cup supply structure, both of which are connected to the balloon component through fluid tubes for controlling the expansion and contraction of the balloon component.
所述导管部件端部与球囊部件之间设有用于防止球囊部件脱离导管部件的限位结构。A position-limiting structure for preventing the balloon component from detaching from the catheter component is provided between the end of the catheter component and the balloon component.
所述任一内嵌绳线外表面设有一层用于保护导管部件的软质硅胶细管。The outer surface of any one of the embedded ropes is provided with a layer of soft silicone tubing for protecting catheter components.
本发明降低了导管硬度,使得导管插入部分柔软易形变;同时,通过在其不同部位内嵌绳线,导管部件可以通过拉拽某一根或多根绳线来灵活调节自身刚度,并产生多自由度的弯曲形变。因此,本发明减小了插入部分与人体组织间相互作用,以减轻患者不适感;此外,球囊部件与导管部件相对独立,球囊可运动范围大,不再仅限于前端,增强了其在推进过程中的作用范围;球囊部件膨胀后如基座般固定于腔内,位于球囊部件前的一部分导管仍可以弯曲,使得导管末端弯曲时精确可控。The invention reduces the hardness of the catheter, making the insertion part of the catheter soft and easy to deform; at the same time, by embedding ropes in different parts of the catheter, the catheter parts can flexibly adjust their own stiffness by pulling one or more ropes, and produce multiple degrees of freedom in bending deformation. Therefore, the present invention reduces the interaction between the insertion part and human tissue, so as to reduce the patient's discomfort; in addition, the balloon part and the catheter part are relatively independent, and the balloon can move in a large range, which is no longer limited to the front end, which enhances its The scope of action during the advancement process; after the balloon component is inflated, it is fixed in the cavity like a base, and a part of the catheter located in front of the balloon component can still be bent, so that the bending of the catheter end is precise and controllable.
附图说明Description of drawings
图1是本发明装置的整体结构概略图;Fig. 1 is a general structure diagram of the device of the present invention;
图2是图1中区域A的局部放大图;Fig. 2 is a partial enlarged view of area A in Fig. 1;
图3是图1中导管部件的纵剖面视图;Fig. 3 is a longitudinal sectional view of the catheter part in Fig. 1;
图4是图1中导管部件的俯视图;Fig. 4 is a top view of the catheter part in Fig. 1;
图5是图1中导管部件的左视图;Fig. 5 is a left side view of the catheter part in Fig. 1;
图6是图3的A--A剖视图;Fig. 6 is A--A sectional view of Fig. 3;
图7是图3的C--C剖视图;Fig. 7 is a C--C sectional view of Fig. 3;
图8是图3的D--D剖视图;Fig. 8 is a D--D sectional view of Fig. 3;
图9是图3的E--E剖视图;Fig. 9 is the E--E sectional view of Fig. 3;
图10是图3中区域B的局部放大图;Fig. 10 is a partial enlarged view of area B in Fig. 3;
图11是图3中区域F的局部放大图;Fig. 11 is a partially enlarged view of area F in Fig. 3;
图12是图1中球囊部件的立体图;Figure 12 is a perspective view of the balloon component in Figure 1;
图13是图12球囊收缩时的示意图;Fig. 13 is a schematic diagram when the balloon in Fig. 12 is deflated;
图14是图12球囊膨胀时的示意图;Fig. 14 is a schematic diagram when the balloon in Fig. 12 is inflated;
图15是图12球囊的左视图;Figure 15 is a left side view of the balloon in Figure 12;
图16是图15中区域C的局部放大图;Fig. 16 is a partial enlarged view of area C in Fig. 15;
图17是图15的A--A剖视图;Fig. 17 is A--A sectional view of Fig. 15;
图18是图15的B--B剖视图;Fig. 18 is the B--B sectional view of Fig. 15;
图19是图18中区域F的局部放大图;Fig. 19 is a partially enlarged view of area F in Fig. 18;
图20是图1中驱动部件的内部结构概略图;Fig. 20 is a schematic diagram of the internal structure of the driving part in Fig. 1;
图21是本发明实施例中内窥镜刚进入腔内的示意图;Fig. 21 is a schematic diagram of the endoscope just entering the cavity in the embodiment of the present invention;
图22是本发明实施例中内窥镜遇到狭窄环境时的示意图;Fig. 22 is a schematic diagram of an endoscope encountering a narrow environment in an embodiment of the present invention;
图23是本发明实施例中内窥镜遇到拐角时的示意图;Fig. 23 is a schematic diagram when the endoscope encounters a corner in an embodiment of the present invention;
图24是本发明实施例中内窥镜先后遇到两个拐角时的示意图;Fig. 24 is a schematic diagram when the endoscope encounters two corners successively in the embodiment of the present invention;
图25是本发明实施例中内窥镜在目标区域精细操作的示意图;Fig. 25 is a schematic diagram of the fine operation of the endoscope in the target area in the embodiment of the present invention;
图中,1为球囊部件;2为导管部件;3为驱动部件;4为器械通道;5为光纤通道;6为顶端固定节;7为顶端转向通道;8为中部固定节;9为中部转向通道;10为球囊可缩胀部件;11为球囊流体通道;12为微型吸盘;13为球囊固定部件a;14为球囊固定部件b;15为吸盘流体通道;16为轻质弹簧;17为流体供给部件;18为流体用管;19为丝杠底座;20为丝杠滑块;21为微型电机;22为推进底座;23为绕线轮盘;24为导管固定件。In the figure, 1 is the balloon part; 2 is the catheter part; 3 is the driving part; 4 is the instrument channel; 5 is the fiber optic channel; 6 is the top fixing section; 7 is the top steering channel; Steering channel; 10 is the expandable part of the balloon; 11 is the fluid channel of the balloon; 12 is the micro-suction cup; 13 is the balloon fixing part a; 14 is the balloon fixing part b; 15 is the suction cup fluid channel; 16 is the light weight Spring; 17 is a fluid supply part; 18 is a fluid pipe; 19 is a lead screw base; 20 is a lead screw slider; 21 is a micro motor; 22 is a propulsion base;
具体实施方式Detailed ways
下面对本发明的实施例作详细说明:本实施例在以本发明技术方案为前提下进行实施,给出了详细的实施方式和具体的操作过程,但本发明的保护范围不限于下述的实施例。The embodiments of the present invention are described in detail below: the present embodiment is implemented under the premise of the technical solution of the present invention, and detailed implementation and specific operation process are provided, but the protection scope of the present invention is not limited to the following implementation example.
如图1所示,本实施例包括:导管部件2、驱动部件3、流体供给部件17以及球囊部件1,其中,导管部件2的一端与驱动部件3相连接,球囊部件1设置在导管部件2自由端的端部,流体供给部件17通过流体用管18与球囊部件相连接;导管部件2由软质硅胶制成,其内部设有较牢固的内嵌绳线以及硬质固定节,内嵌绳线的第一端与硬质固定节相连接,第二端与驱动部件3固定连接。本实施例中,内嵌绳线采用细钢丝,以下称作转向钢丝。As shown in Figure 1, this embodiment includes: a catheter part 2, a driving part 3, a fluid supply part 17 and a balloon part 1, wherein one end of the catheter part 2 is connected to the driving part 3, and the balloon part 1 is arranged on the catheter At the end of the free end of part 2, the fluid supply part 17 is connected with the balloon part through the fluid tube 18; the catheter part 2 is made of soft silicone, and its interior is provided with a firmer embedded rope and a hard fixing joint, The first end of the embedded rope is connected to the hard fixing joint, The second end is fixedly connected with the driving part 3 . In this embodiment, the embedded rope adopts a thin steel wire, hereinafter referred to as a steering wire.
导管部件2,其相当于传统内窥镜的插入部分,用于插入体腔内进行内窥镜检查;球囊部件1,其可装卸地安装在导管部件2上,用于辅助导管部件的插入与固定;驱动部件3,相当于传统内窥镜的操作部分,用于提供推进动力,并控制主体导管2完成相关动作;流体供给部件17,能够对球囊部件1进行流体的排给,以控制球囊的膨胀、收缩。Catheter part 2, which is equivalent to the insertion part of a traditional endoscope, is used to insert into the body cavity for endoscopic examination; balloon part 1, which is detachably installed on the catheter part 2, is used to assist the insertion of the catheter part and Fixed; the driving part 3 is equivalent to the operating part of the traditional endoscope, which is used to provide propulsion power and control the main catheter 2 to complete related actions; the fluid supply part 17 can discharge fluid to the balloon part 1 to control Inflation and deflation of the balloon.
导管部件2,由较为柔软的医用硅胶脱模而成,本实施例中采用的硅胶硬度在30A左右。医用硅胶对人体组织无过敏反应,排异反应极少;同时相当稳定,与体液以及组织接触过程中能保持其原有的弹性和柔软度,耐高温、可消毒。The catheter part 2 is made of relatively soft medical silica gel, and the hardness of the silica gel used in this embodiment is about 30A. Medical silica gel has no allergic reaction to human tissue, and has very little rejection reaction; at the same time, it is quite stable, and can maintain its original elasticity and softness when in contact with body fluids and tissues. It is high temperature resistant and can be sterilized.
导管2内还设有工作通道和转向通道。A working channel and a turning channel are also arranged in the catheter 2 .
如图2和图3所示,工作通道位于中心部位,轴向贯穿整个导管部件2,包含器械通道4、光纤通道5。器械通道4内可插入并更换各种窥镜辅助工具;光纤通道5内嵌微型摄像头,其顶端含LED灯以提供照明,末端直接连接图像采集装置,以实时获取腔体内图像。两种通道可以根据需要在尺寸上有不同规格。As shown in FIG. 2 and FIG. 3 , the working channel is located at the center, axially runs through the entire catheter component 2 , and includes an instrument channel 4 and an optical fiber channel 5 . Various endoscopic auxiliary tools can be inserted and replaced in the instrument channel 4; a micro camera is embedded in the fiber channel 5, the top of which contains LED lights to provide illumination, and the end is directly connected to the image acquisition device to obtain images in the cavity in real time. The two channels can have different specifications in size according to needs.
转向通道位于工作通道径向的外侧,内置转向钢丝,其一端与导管中硬质固定节连接,另一端固定在驱动部件3内绕线轮盘23上。附图中,除图23、24、25外,其他图内转向钢丝均未标出。The steering channel is located on the radially outer side of the working channel, and has a built-in steering steel wire, one end of which is connected with the hard fixing joint in the catheter, and the other end is fixed on the inner winding reel 23 of the driving part 3 . In the accompanying drawings, except Fig. 23,24,25, turning steel wire is all not marked in other figure.
硬质固定节为若干个,其中一个内嵌于导管部件顶端部位,以下称顶端硬质固定节;其余可根据需要灵活设置在导管部件中部的不同位置,以下称中部硬质固定节。转向钢丝的数量与硬质固定节的数量相适配,任一转向钢丝的第一端与某一特定硬质固定节相连接。There are several hard fixing joints, one of which is embedded in the top part of the catheter part, hereinafter referred to as the top hard fixing joint; the rest can be flexibly arranged in different positions in the middle of the catheter part according to needs, hereinafter referred to as the middle hard fixing joint. The number of steering wires matches the number of hard fixing joints, and the first end of any steering wire is connected with a specific hard fixing joint.
相应地,转向通道分为顶端转向通道和中部转向通道,其中,设置在顶端转向通道中的转向钢丝与顶端硬质固定节连接,设置在中部转向通道的转向钢丝与中部硬质固定节相连接,具体为,如图3所示,本实施例中硬质固定节采用两个:顶端硬质固定节6内嵌于导管顶端部位,转向钢丝通过顶端转向通道7与其固定连接,中部硬质固定节8内嵌于导管中部,转向钢丝通过中部转向通道9与其固定连接。两个硬质固定节均为环状,在导管内位置固定,器械通道4、光纤通道5从两者内部贯穿,如图6和图8所示。本实施例中,顶端转向通道7和中部转向通道9各为4个,等角度圆周分布于导管部件2内,如图7、图8所示,具体规格也可根据需要适当调整。转向钢丝外部均紧套一层软质硅胶细管,防止钢丝切割管壁损坏通道。Correspondingly, the steering channel is divided into a top steering channel and a middle steering channel, wherein the steering steel wire arranged in the top steering channel is connected with the top hard fixing joint, and the steering steel wire arranged in the middle steering channel is connected with the middle hard fixing joint Specifically, as shown in Figure 3, in this embodiment, two hard fixing joints are used: the top hard fixing joint 6 is embedded in the top part of the catheter, the steering wire is fixedly connected to it through the top steering channel 7, and the middle part is hard fixed Section 8 is embedded in the middle of the catheter, and the steering wire is fixedly connected to it through the middle steering channel 9 . The two hard fixation sections are ring-shaped, and their positions are fixed in the catheter. The instrument channel 4 and the fiber channel 5 run through both, as shown in Fig. 6 and Fig. 8 . In this embodiment, there are four turning passages 7 at the top and four turning passages 9 at the middle, and they are distributed in the conduit part 2 at equiangular circles, as shown in Fig. 7 and Fig. 8 . A thin layer of soft silicone tubing is tightly placed on the outside of the steering wire to prevent the wire from cutting the tube wall from damaging the channel.
在导管部件2上可装卸地安装有球囊部件1,用于辅助导管的插入与固定,可沿导管相对移动。如图12所示,该球囊部件主要结构包括:可缩胀部件10,球囊流体通道11,微型吸盘12,球囊固定部件13、14,吸盘流体通道15以及流体用管19。该球囊部件既可以是一次性使用的可处理品,也可以是使用后能够进行清洗消毒的重复使用品。The balloon part 1 is detachably mounted on the catheter part 2 for assisting the insertion and fixation of the catheter and can move relatively along the catheter. As shown in FIG. 12 , the main structure of the balloon component includes: an inflatable part 10 , a balloon fluid channel 11 , a micro suction cup 12 , balloon fixing parts 13 , 14 , a suction cup fluid channel 15 and a fluid tube 19 . The balloon part can be a disposable disposable product, or a reusable product that can be cleaned and disinfected after use.
如图13、14所示,球囊可缩胀部件10为中空袋状,采用伸缩性良好的材料如乳胶制成,通过球囊流体通道11充入或排出空气等流体。如图17所示,可缩胀部件10通过前后两个固定部件13、14固定,其材料采用具有挠性的硬质材料,如含氟树脂管或聚丙烯丝等,在接触处也可以使用粘接剂进一步密封。As shown in FIGS. 13 and 14 , the balloon inflatable part 10 is in the shape of a hollow bag made of a material with good stretchability such as latex, and fluids such as air are filled or discharged through the fluid channel 11 of the balloon. As shown in Figure 17, the expandable part 10 is fixed by two fixed parts 13, 14 at the front and back, and its material is made of flexible hard material, such as fluorine-containing resin tube or polypropylene wire, etc., and can also be used at the contact point The adhesive further seals.
如图17所示,球囊流体通道11一端通至可缩胀部件10,另一端连接流体用管19(未图示)。流体用管19与导管部件2相对独立,采用硬质挠性材料,如较硬质的塑料管或内嵌有硬质塑料的硅胶软管等制成。流体用管19一方面用于输送流体,另一方面可通过对其推拉来带动顶端相连的球囊部件1。球囊部件与导管部件之间相对独立,可在整个导管上移动,如图2所示,导管部件1前段还设有限位结构,防止球囊被过分推送而脱离导管。As shown in FIG. 17 , one end of the balloon fluid channel 11 leads to the inflatable component 10 , and the other end is connected to a fluid tube 19 (not shown). The fluid pipe 19 is relatively independent from the catheter part 2, and is made of hard flexible material, such as a relatively hard plastic pipe or a silicone hose embedded with hard plastic. On the one hand, the fluid tube 19 is used to transport fluid, and on the other hand, the balloon component 1 connected to the top can be driven by pushing and pulling it. The balloon part and the catheter part are relatively independent and can move on the entire catheter. As shown in FIG. 2 , the front part of the catheter part 1 is also provided with a limiting structure to prevent the balloon from being pushed too far and detached from the catheter.
如图17、图18所示,球囊部件1一端嵌有固定机构,本实施例中采用微型吸盘12。吸盘流体通道15与流体用管18相连,并通过流体供给部件17控制吸盘对导管吸附或放松。本实施例中球囊流体通道11、微型吸盘12与吸盘流体通道15各设有两个,对称的分布在球囊部件1上,如图15所示。As shown in FIG. 17 and FIG. 18 , one end of the balloon component 1 is embedded with a fixing mechanism, and a micro suction cup 12 is used in this embodiment. The suction cup fluid channel 15 is connected with the fluid pipe 18, and the suction cup is controlled to absorb or release the catheter through the fluid supply part 17. In this embodiment, there are two balloon fluid channels 11 , two micro suction cups 12 and two suction cup fluid channels 15 , which are symmetrically distributed on the balloon component 1 , as shown in FIG. 15 .
固定机构仅将球囊可控地与导管相固定,并不限于本实施例中吸盘装置及其规格,也可以采用记忆合金、挠性高分子材料等部件代替。The fixing mechanism only fixes the balloon to the catheter in a controllable manner, and is not limited to the sucker device and its specifications in this embodiment, and can also be replaced by components such as memory alloys and flexible polymer materials.
为使球囊部件1前段在推送过程中始终保持圆筒状,避免前端翻转或有异物进入其与导管间的缝隙,球囊前段设有定型结构。本实施例中采用一小段具有挠性的轻质弹簧16,如图17、图18所示。该弹簧仅用于保持外形,作为替代部件,也可以使用含氟树脂或其他高分子材料制成的韧性部件。In order to keep the front section of the balloon part 1 always in a cylindrical shape during the pushing process, and to prevent the front end from turning over or foreign matter entering the gap between it and the catheter, the front section of the balloon is provided with a shaped structure. In the present embodiment, a small section of flexible light spring 16 is adopted, as shown in Fig. 17 and Fig. 18 . The spring is only used to maintain the shape, and as an alternative, a flexible part made of fluorine-containing resin or other high-molecular materials can also be used.
如图20所示,驱动部件3与导管部件2末端相连,主要包括:丝杠底座19,丝杠滑块20,微型电机21,绕线轮盘23,推进底座22与导管固定件24。As shown in FIG. 20 , the driving part 3 is connected to the end of the catheter part 2 and mainly includes: a screw base 19 , a screw slider 20 , a micromotor 21 , a winding wheel 23 , a propulsion base 22 and a catheter fixing member 24 .
丝杠底座19通过其内部安置的电机带动螺杆,以控制丝杠滑块20直线运动。微型电机21通过带动绕线轮盘23完成对转向钢丝的收放,微型电机均固定在推进底座22上,推进底座22与丝杠滑块20相对固定。导管固定件24主要用于将导管部件2以及流体用管18与推进底座22连接固定,其与推进底座22接触部分留有相关孔径,转向钢丝以及流体用管18从中贯穿。The screw base 19 drives the screw through the motor arranged inside it to control the linear movement of the screw slider 20 . The micromotor 21 completes the retracting and unwinding of the steering wire by driving the winding wheel 23, and the micromotor is fixed on the propulsion base 22, and the propulsion base 22 is relatively fixed with the lead screw slider 20. The catheter fixing part 24 is mainly used to connect and fix the catheter part 2 and the fluid pipe 18 with the propulsion base 22 , and the part in contact with the propulsion base 22 has a relevant aperture through which the steering wire and the fluid pipe 18 penetrate.
如图1所示,流体用管18贯穿驱动部件3后与流体供给部件17相连。本实施例中流体供给部件分为球囊供给用泵和吸盘供给用泵,两者可单独控制。此外,可以使用注射器等装置代替流体供给用泵,直接手动控制。As shown in FIG. 1 , the fluid tube 18 passes through the drive member 3 and is connected to the fluid supply member 17 . In this embodiment, the fluid supply part is divided into a balloon supply pump and a sucker supply pump, both of which can be controlled independently. In addition, a device such as a syringe may be used instead of a pump for fluid supply, and direct manual control may be used.
下面,结合上述装置,针对插入体腔内进行内窥镜检查的情况进行说明。In the following, the case of inserting the device into a body cavity for endoscopic examination will be described in conjunction with the above-mentioned device.
进行内窥镜检查前,如图1所示,将球囊部件1安置在导管2前端,随后将导管2以及流体用管18通过导管固定件24固定在推送底座22上,如图20。最后将流体用管18与流体供给部件17相连,以及导管内的转向钢丝与驱动部件3内的绕线轮盘23相连,光纤通道5内的微型摄像头与图像采集装置相连。Before endoscopic examination, as shown in FIG. 1 , the balloon component 1 is placed on the front end of the catheter 2 , and then the catheter 2 and the fluid tube 18 are fixed on the push base 22 through the catheter fixing member 24 , as shown in FIG. 20 . Finally, the fluid pipe 18 is connected with the fluid supply part 17, and the steering wire in the catheter is connected with the reel 23 in the drive part 3, and the micro camera in the fiber channel 5 is connected with the image acquisition device.
在开始进行内窥镜检查时,如图2所示,球囊处于收缩的状态,并通过微型吸盘12固定在导管前段。接着,通过微创手术切口将导管部件2插入患者体内。此后内窥镜将在体腔内可能遇到不同情况,如图21至图24,对不同情况下本实施例的操作方法进行详细说明。When the endoscopic examination is started, as shown in FIG. 2 , the balloon is in a contracted state, and is fixed on the front section of the catheter by a micro suction cup 12 . Next, the catheter part 2 is inserted into the patient's body through a minimally invasive surgical incision. Thereafter, the endoscope may encounter different situations in the body cavity, as shown in Fig. 21 to Fig. 24 , and the operation method of this embodiment under different situations will be described in detail.
如图21所示,当内窥镜刚进入腔内,所处环境并不太狭窄、拥挤,阻力较小。此时球囊部件1仍保持收缩状态并通过吸盘12固定在导管2上,操作者主要控制驱动部件3对内窥镜进行推进。As shown in Figure 21, when the endoscope just enters the cavity, the environment is not too narrow and crowded, and the resistance is small. At this time, the balloon component 1 is still in a contracted state and is fixed on the catheter 2 through the suction cup 12 , and the operator mainly controls the driving component 3 to push the endoscope.
这种情况下若内窥镜与腔内某个接触部位的摩擦较大,加上导管自身柔软,推送时可能发生一定的弯曲形变,导致推进效果不佳。此时可以控制驱动部件3中的所有微型电机21均转过同一较小角度,使得转向钢丝均拉紧其相连的固定节。这样导管自身将在一定程度上收缩,刚度有所增加,整体上变得不易弯曲,以有利于推进。In this case, if the friction between the endoscope and a certain contact part in the cavity is large, and the catheter itself is soft, certain bending deformation may occur when pushing, resulting in poor propulsion effect. At this moment, it is possible to control all micromotors 21 in the driving part 3 to turn over the same small angle, so that the steering wires all tighten the fixed joints connected to them. In this way, the catheter itself will shrink to a certain extent, the rigidity will increase, and it will not be easy to bend as a whole, so as to facilitate advancement.
随着内窥镜的不断深入,腔内环境会变得狭窄、拥挤,阻力也会逐渐增大,此时推送开始变得困难。As the endoscope continues to deepen, the environment in the cavity will become narrow and crowded, and the resistance will gradually increase. At this time, pushing becomes difficult.
如图22所示,当操作者通过内嵌的微型摄像头,观察到导管前段空间较为狭窄难以前进时,首先可控制流体供给部件17将流体供至球囊部件1内,使其膨胀并固定在腔内,导管前端的体腔空间也将相应增大。随后,控制流体供给部件17将微型吸盘12转换至放松状态,进而,一方面保持球囊与腔体的相对固定,一方面可以继续推送导管部件2。当导管前半部分通过球囊后,停止推送并控制球囊收缩,再手动推送流体用管18,将其顶部相连的球囊部件1推回至导管前段。最后,控制微型吸盘12恢复至吸附状态,重新将球囊固定于导管前端。As shown in Figure 22, when the operator observes that the space in the front section of the catheter is relatively narrow and difficult to advance through the built-in micro-camera, he can first control the fluid supply part 17 to supply fluid into the balloon part 1, make it inflated and fixed in the balloon part 1. In the cavity, the body cavity space at the front end of the catheter will also increase accordingly. Subsequently, the fluid supply part 17 is controlled to switch the micro-suction cup 12 to a relaxed state, and then, on the one hand, keep the relative fixation between the balloon and the cavity, and on the one hand, continue to push the catheter part 2 . After the first half of the catheter passes through the balloon, stop pushing and control the contraction of the balloon, then manually push the fluid tube 18, and push the balloon part 1 connected to the top back to the front part of the catheter. Finally, control the micro suction cup 12 to return to the adsorption state, and fix the balloon to the front end of the catheter again.
如图23所示,当操作者发现内窥镜前方出现拐角或岔路时,可以主动控制导管2进行弯曲,减小内窥镜与人体组织作用。As shown in FIG. 23 , when the operator finds a corner or a fork in front of the endoscope, he can actively control the catheter 2 to bend to reduce the interaction between the endoscope and human tissue.
具体方法为,当导管需要朝某一方向弯曲时,拉拽相应侧连接至顶端的转向钢丝(图中虚线所示,以下简称顶端钢丝)即可,钢丝的拉拽通过微型电机21带动绕线轮盘23完成,拉拽后导管刚度也将会有所增加。随后,当导管前半部分通过拐角或岔路后,控制电机21放松顶端钢丝,使导管刚度复原。由于材质柔软,顶端钢丝放松至初位后,导管部件2仍能在腔体作用下被动地维持弯曲状态。The specific method is that when the catheter needs to bend in a certain direction, just pull the steering wire connected to the top on the corresponding side (shown by the dotted line in the figure, hereinafter referred to as the top wire), and the pulling of the wire is driven by the micro motor 21 to wind the wire The wheel disk 23 is completed, and the rigidity of the catheter will also increase after being pulled. Subsequently, after the first half of the catheter passes through a corner or a fork, the motor 21 is controlled to loosen the top steel wire, so that the rigidity of the catheter is restored. Due to the soft material, after the steel wire at the top is relaxed to the initial position, the catheter part 2 can still passively maintain the bent state under the action of the cavity.
同样的,拉拽某根连接在中部的转向钢丝(以下简称中部钢丝),导管后半段也能够弯曲。但由于前半段的限制作用,后半段弯曲程度有限,其作用主要在于辅助定形,以减小推进阻力,以下详细叙述。Similarly, if a certain steering wire (hereinafter referred to as the middle wire) connected to the middle is pulled, the second half of the catheter can also be bent. However, due to the restrictive effect of the first half section, the bending degree of the second half section is limited, and its function is mainly to assist in setting the shape to reduce the propulsion resistance, which will be described in detail below.
比图23所示情况更加复杂,当内窥镜刚通过某个拐角处或岔路后,前方继续又出现新的拐角或岔路,这种情况下如果直接拉拽顶端钢丝,导管整体的形变会增大其与人体组织的相互作用,特别是当前后两处拐角或岔路方向相反、整体行进路径呈S形时,推进会明显受阻,如图24所示。此时就需要利用本装置可控自由度高的特点,独立控制导管的某一部分弯曲,具体操作方法如下:It is more complicated than the situation shown in Figure 23. When the endoscope has just passed a certain corner or fork, a new corner or fork will continue to appear ahead. In this case, if the top wire is directly pulled, the overall deformation of the catheter will increase. Due to its interaction with human tissues, especially when the front and rear corners or forks are in opposite directions and the overall travel path is S-shaped, the advancement will be obviously hindered, as shown in Figure 24. At this time, it is necessary to take advantage of the high controllable degree of freedom of the device to independently control the bending of a certain part of the catheter. The specific operation method is as follows:
首先,当导管通过一个拐角或岔路后,已拉紧的某根顶端钢丝仍保持紧绷,刚度不变。同时,控制微型电机21适量拉拽相同侧的中部钢丝,使其也绷紧,如图24中虚线所示。随后,放松绷紧的顶端钢丝至初始位置,并拉拽接下来需要弯曲侧的顶端钢丝,如图24中点画线所示。由于中部钢丝的定形作用,导管后半部依然能够保持先前的弯曲趋势,而前半部则可以在顶端钢丝的作用下朝新的方向弯曲,整个导管主动弯曲为S形且刚度较大,推进时组织阻力相对减小,进行更为容易。接着,当导管2前部分通过第二个拐角或岔路后,控制绕线轮盘23相继放松中部钢丝与顶端钢丝,使导管2恢复柔软,以继续推进。First, when the catheter passes through a corner or fork, a tensioned top steel wire remains taut and its stiffness remains unchanged. At the same time, control the micro-motor 21 to pull the middle steel wire on the same side in an appropriate amount to make it tight, as shown by the dotted line in Figure 24 . Then, loosen the tight top wire to the initial position, and pull the top wire on the side that needs to be bent next, as shown by the dotted line in Figure 24. Due to the shape-setting effect of the steel wire in the middle, the second half of the catheter can still maintain the previous bending trend, while the front half can bend in a new direction under the action of the top steel wire. Tissue resistance is relatively reduced, and it is easier to carry out. Then, after the front part of the catheter 2 passes through the second corner or fork, the control winding wheel 23 loosens the middle steel wire and the top steel wire successively, so that the catheter 2 recovers softness to continue to advance.
如图25所示,当内窥镜前端到达目标区域后(图中虚线区域),操作者可能需要在一定区域内进一步精细操作,此时仅仅拉拽转向钢丝已经无法满足精确控制的要求。As shown in Figure 25, when the front end of the endoscope reaches the target area (the dotted line area in the figure), the operator may need to further fine-tune the operation in a certain area. At this time, only pulling the steering wire can no longer meet the requirements of precise control.
为提高控制精度,可将球囊部件1中微型吸盘12放松,再手动拉拽流体用管18,将其顶端相连的球囊部件1沿导管后移一小段距离。随后,控制流体供给部件17分别使球囊部件膨胀、微型吸盘吸附。球囊膨胀后将与腔体相对固定,吸盘吸附使得导管与球囊相对固定。此时,若拉动固定于顶端的转向钢丝(如图25中点画线所示),仅位于球囊前的小部分导管可弯曲形变,相当于传统窥镜顶端的弯曲部分。此外,由于球囊部件1相当于基座般固定于腔内,球囊前端可弯曲导管相比传统内窥镜弯曲部分,自身不易移动与扭转,位姿更容易控制,使得控制精度得到提高。In order to improve the control accuracy, the micro-suction cup 12 in the balloon part 1 can be loosened, and then the fluid tube 18 can be manually pulled, and the balloon part 1 connected to the top can be moved back a short distance along the catheter. Subsequently, the fluid supply part 17 is controlled to respectively inflate the balloon part and absorb the micro-suction cup. After the balloon is inflated, it will be relatively fixed to the cavity, and the suction cup will be absorbed to make the catheter and the balloon relatively fixed. At this time, if the steering wire fixed on the top is pulled (as shown by the dotted line in Figure 25), only a small part of the catheter located in front of the balloon can be bent and deformed, which is equivalent to the curved part of the top of a traditional speculum. In addition, since the balloon part 1 is fixed in the cavity like a base, the flexible catheter at the front end of the balloon is less likely to move and twist than the curved part of the traditional endoscope, and the position and posture are easier to control, which improves the control accuracy.
以上对本发明的具体实施例进行了描述。需要理解的是,本发明并不局限于上述特定实施方式,本领域技术人员可以在权利要求的范围内做出各种变形或修改,这并不影响本发明的实质内容。Specific embodiments of the present invention have been described above. It should be understood that the present invention is not limited to the specific embodiments described above, and those skilled in the art may make various changes or modifications within the scope of the claims, which do not affect the essence of the present invention.
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| CN109758104B (en) * | 2019-03-27 | 2021-08-10 | 杭州华移技术有限公司 | Flexible controllable endoscope |
| CN111920366B (en) * | 2020-06-24 | 2021-10-08 | 海南大学 | Confocal endoscope with fixing device |
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