前言導讀
手術機器人是一種先進的醫(yī)療設備,借助微創(chuàng)傷手術及相關底層技術的發(fā)展而發(fā)明。手術機器人被用于在高于人類能力的微創(chuàng)傷手術領域中實現(xiàn)高于人類能力的對手術器械的精準操控。手術機器人通常由手術控制臺、配備機械臂的手術車及視像系統(tǒng)組成。外科醫(yī)生坐在手術控制臺,觀看由放置在患者體內腔鏡傳輸的手術區(qū)域三維影像,并操控機械臂的移動,以及該機械臂附帶的手術器械及腔鏡。機械臂模擬人類的手臂,為外科醫(yī)生提供一系列模擬人體手腕的動作,同時過濾人手本身的震顫。
機器人手術系統(tǒng)是集多項現(xiàn)代高科技手段于一體的綜合體,其用途廣泛,在臨床上外科上有大量的應用。外科醫(yī)生可以遠離手術臺操縱機器進行手術,完全不同于傳統(tǒng)的手術概念,在世界微創(chuàng)外科領域是當之無愧的革命性外科手術工具。
經過數十年發(fā)展,手術機器人現(xiàn)在主要用于五個快速增長的主要外科領域,其中的骨科、介入手術機器人是及其重要的一個版塊。
手術機器人市場概覽
ROSA 初探
ROSA(Robot of Stereotactic Assistant,ROSA)手術機器人是一種新的無框架立體定向手術機器人。
ROSA是由法國Medtech公司研發(fā)的新一代多功能手術機器人,自誕生以來就受到眾多外科醫(yī)生的青睞。在2016年時,Zimmer Biomet(捷邁邦美)以不低于1.32億美元的價格收購了法國手術機器人公司Medtech,擁有了ROSA Brain和ROSA Spine機器人輔助手術平臺的所有權。2019年1月,Zimmer Biomet獲得FDA批準用于膝關節(jié)手術應用的ROSA平臺和ROSA One Spine平臺,并宣布計劃在2019年中期ROSA Knee將正式進入膝關節(jié)市場。這一舉措使得Zimmer Biomet成為第一個獲得腦、脊柱、膝關節(jié)三大領域的FDA批準的公司。
專利分析
眾所周知的,ROSA家族共有三兄弟:ROSA Knee、ROSA One Brain、ROSA One Spine,對于ROSA手術機器人相關專利。筆者針對ROSA機器人所涉及的專利情況,進行了檢索,其結果進行如下展示:
專利地圖
上圖給出了ROSA手術機器人相關專利的專利地圖情況,從該專利地圖可以很明了的得到ROSA手術機器人相關專利的技術分支情況。
技術脈絡
ROSA Knee是一個機器人平臺,旨在協(xié)助矯形外科醫(yī)生進行骨切除,并評估軟組織狀態(tài),以便在全膝關節(jié)置換術中定位植入物。外科醫(yī)生可以在術前使用手術計劃軟件來計劃植入物的定位和大小。外科醫(yī)生也可使用 ROSA 膝關節(jié)系統(tǒng)內的無圖像選項,以實現(xiàn)與基于圖像的病例相同的目標。該設備由兩個單元組成,分別位于手術臺的兩側,分別為:由緊湊的機械臂和觸摸屏組成的機器人單元和光學單元和觸摸屏。
ROSA One Brain系統(tǒng)是一個動態(tài)平臺,可用于輔助微創(chuàng)神經外科手術,從活檢和立體腦電圖(SEEG)到深度腦刺激和心室及經鼻內鏡檢查。ROSA One Brain在癲癇手術領域有非常大的應用潛力,機器人的準確性使其非常適合于腦部手術。而且,機械臂提供的精度使ROSA One Brain成為神經外科手術的理想平臺——確保器械放置在計劃區(qū)域,同時避開關鍵結構。ROSA One Brain允許許多神經外科手術以微創(chuàng)方式進行,通常不需要剃掉整個頭部。
ROSA One Spine是一個機器人和手術導航系統(tǒng),旨在幫助外科醫(yī)生進行微創(chuàng)胸腰椎手術。ROSA One Spine旨在適應手術流程,利用機器人和導航來支持手術。除了導航技術套件之外,該平臺還配備了3D術中計劃軟件,旨在提高植入物以及器械放置的準確性和可預測性。ROSA One Spine擁有六個自由度,能夠靈活靈活地進入手術部位。一旦設定了軌跡,機械臂的剛性就提供了姿態(tài)穩(wěn)定性。獨特的“動態(tài)跟蹤”功能允許機器人實時移動,與患者的運動同步。
重要專利解析
筆者從ROSA手術機器人家族三兄弟涉及的相關專利分別進行了總結歸納分析,選擇了部分相對重要的專利進行了解析,如若獲取全部總結歸納分析結果,可與筆者取得聯(lián)系,部分相關結果如下:
ROSA Knee
公開/公告號 | US9585725B2 | 申請日 | 2013-06-21 |
發(fā)明名稱 | Robotic arthroplasty system | ||
解決的技術問題 | The present invention relates to a method of securing either hard or soft body tissue. A robotic mechanism or manual effort may be used to position a fastener relative to the body tissue. The fastener may be a suture, staple, screw, or other known device.It is contemplated that the robotic mechanism may advantageously be utilized to position surgical implants other than fasteners in a patient's body. For example, the robotic mechanism may be utilized to position a prosthesis in a patient's body. If desired, the robotic mechanism may be utilized to position a screw type fastener at a specific location in a patient's body. The robotic mechanism may be used to position a scaffold containing viable tissue compOnents relative to body tissue. | ||
技術方案 | Embodiments include a robotic mechanism that may be utilized to position prosthetic implants in a patient's body. During joint replacement surgery and other surgical procedures, prosthetic implants may be placed in a patient's body. The robotic mechanism may be utilized to control movement of a cutting tool during resection of bOne in a patient's body. The robotic mechanism includes a programmable computer which is connected with the force transmitting member by a motor. A force measurement assembly is connected with the force transmitting member and the computer. The output from the force measurement assembly is indicative of a resistance encountered by the force transmitting member. A position sensor is connected with the force transmitting member and the computer. The position sensor has an output indicative of the position of the force transmitting member. | ||
相關附圖 |
ROSA One Brain
公開/公告號 | US10881483B2 | 申請日 | 2016-05-19 |
發(fā)明名稱 | Neurosurgical assistance robot | ||
解決的技術問題 | One of the important aspects of a surgical robot of the type of the invention resides in the stability required by the accuracy of the surgical gesture, which stability should in this case be made to rhyme with a dimensional variability/modularity. The aim of optimal adaptation to the position of the head of the patient should not be met to the detriment of the mechanical rigidity guaranteeing this stability. Thus, a rigid reference structure has been set up, provided with an element (the plate), which the surgical robotic arm, on the One hand, and the head-supporting arm, on the other hand, are directly made integral with, their distribution with respect to this plate further reinforcing the mechanical rigidity and the stability of the assembly. | ||
技術方案 | The disclosed subject matter relates to a neurosurgical assistance robot including a movable box the chassis of which is provided with a rigid support arm for connection to a headrest supporting the head of a patient lying on an operating table. Accore invention disclosed subject matter, the support arm is movable with respect to the chassis between a position retracted in the volume of the box and a plurality of extended positions, and a mechanism for locking the arm in any iled being provided for. | ||
相關附圖 |
ROSA One Spine
公開/公告號 | US10159534B2 | 申請日 | 2017-01-30 |
發(fā)明名稱 | Robotic-assisted device for positioning a surgical instrument relative to the body of a patient | ||
解決的技術問題 | The aim of the invention is to cope with the drawbacks of the state of the art by providing a device for positioning a surgical instrument relative to the body of a patient using at least a first robotic arm supporting at least One surgical instrument and a second tracker arm, which is also a robotic arm. This second robotic arm is aimed at detecting in real time and accurately the movements of said body and to communicate them to said first arm, so that it compensates its position accordingly. In particular, said second arm permits to detect the internal and external movements of the anatomic area to be treated. | ||
技術方案 | The robotic device for positioning a surgical instrument relative to the body of a patient includes a first robotic arm with a device for rigidly connecting to at least One surgical instrument, a device for anatomical realignment of the first arm by realigning an image that is of an area of the anatomy of the patient, and a device for compensating the movements of the first arm on the basis of detected movements. One version of the device includes at least One second robotic arm having sensors for detecting inner movements of the anatomical area, and a device for controlling the positioning of the first arm relative to sensed inner movements and to the outer movements induced in the second arm. | ||
相關附圖 |
小 結
與傳統(tǒng)外科手術相比,ROSA 能夠輔助骨科、神經介入等臨床醫(yī)生實現(xiàn)高質高效的手術目標,相關技術可以造福那些要經歷高難度、高風險背部手術的患者。該技術使得關節(jié)、脊椎外科、神經介入手術更安全、更精確。顯然的,我國也是受益于ROSA公司技術的國家之一。
誠如領域內人士共同認識的那樣,外科手術機器人逐漸贏得市場追捧,站上了智能精細化發(fā)展、醫(yī)保政策利好的快車道,國內各大外科機器人廠商也必會將ROSA作為重要的標桿和對照,聯(lián)動產學研醫(yī)生多方力量,不斷創(chuàng)新,推動我國外科行業(yè)更智能化、精準化、微創(chuàng)化的發(fā)展,相關知識產權問題也必將會成為各大外科機器人廠商的研究重點課題,后續(xù)相關產品的的研發(fā)和專利事務值得持續(xù)關注。
智慧醫(yī)療網 ? 2022 版權所有 ICP備案號:滬ICP備17004559號-5