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    • 32. 发明公开
    • DEPTH CONTROLLABLE AND MEASURABLE MEDICAL DRIVER DEVICES AND METHODS OF USE
    • 深度可控且可测量的医疗驾驶装置及使用方法
    • EP2303148A1
    • 2011-04-06
    • EP09770650.1
    • 2009-05-29
    • Anderson, Wayne
    • Anderson, Wayne
    • A61B17/16
    • A61B17/1624A61B17/162A61B17/1633A61B17/17A61B90/06A61B2090/036A61B2090/062A61B2090/066A61B2217/007
    • The devices and methods described involve driving a working tool in an axial direction such that linear movement is controlled and measurable and injury to structures surrounding a bone to be drilled can be avoided. A medical drilling device (200) comprises a housing (210) comprising a proximal end of the housing and a distal end, an axial drive shaft extending through a region of the housing between the proximal and distal ends and engaged with an axial drive motor (230), a rotational drive shaft extending through a region of the housing between the proximal and distal ends and engaged with a rotational drive motor (260) configured to rotate the rotational drive shaft around a longitudinal axis of the rotational drive shaft, a coupler (290) configured to rotate with the rotational drive shaft around the longitudinal axis of the rotational drive shaft and removably couple with a working tool (310), a drill guide assembly coupled to the axial drive shaft and comprising a drill guide (370) configured to receive the working tool (310) therethrough, a transducer interfaced to the axial drive shaft and an electronics package in electronic communication with the transducer. The electronics package is configured to control actuation of the axial drive motor to cause the axial drive shaft to drive the drill guide assembly in an axial direction towards the proximal end of the housing thereby revealing a portion of the working tool (310) beyond a distal end of the drill guide available to engage a target tissue. The axial drive shaft is axially aligned with the longitudinal axis of the rotational drive shaft.
    • 所描述的装置和方法涉及在轴向方向上驱动工作工具,使得线性移动被控制并且可测量,并且可以避免对待钻的骨周围的结构的伤害。 所述装置包括延伸穿过壳体(20,210)的区段的轴向驱动轴(40),联接到轴向驱动轴的区段的第一驱动元件(30,230),延伸到驱动轴 通过壳体的区域,联接到旋转驱动轴的区段的第二驱动元件(60,260),联接到工作工具(110,310)并联接到旋转驱动轴的联接器(90,290) 以及可选地包围所述加工工具的钻孔引导件(370)组件。 轴向驱动轴联接到第二驱动元件或联接到钻子引导器组件,使得当第一驱动元件被致动时,工作工具从壳体或钻子引导器组件朝向壳体离开的轴向行进被获得。 换能器(39)测量这种运动。
    • 37. 发明公开
    • ROBOT ASSISTED VOLUME REMOVAL DURING SURGERY
    • 手术中机器人辅助的体积去除
    • EP3226781A2
    • 2017-10-11
    • EP15816096.0
    • 2015-12-02
    • KB Medical SA
    • KOSTRZEWSKI, SzymonPATEL, ChetanMASON, Alexander
    • A61B17/16A61B34/30
    • A61B34/30A61B17/1671A61B17/3403A61B90/50A61B2017/00017A61B2017/00477A61B2034/2059A61B2090/064A61B2090/066A61B2090/508A61B2576/00
    • Described herein is a device and method used to effectively remove volume inside a patient in various types of surgeries, such as spinal surgeries (e.g. laminotomy), neurosurgeries (various types of craniotomy), ENT surgeries (e.g. tumor removal), and orthopedic surgeries (bone removal). Robotic assistance linked with a navigation system and medical imaging it can shorten surgery time, make the surgery safer and free surgeon from doing repetitive and laborious tasks. In certain embodiments, the disclosed technology includes a surgical instrument holder for use with a robotic surgical system. In certain embodiments, the surgical instrument holder is attached to or is part of an end effector of a robotic arm, and provides a rigid structure that allows for precise removal of a target volume in a patient.
    • 本文描述了用于在诸如脊柱手术(例如椎板切开术),神经外科手术(各种类型的开颅手术),耳鼻喉手术(例如肿瘤切除)和整形外科手术(诸如手术)之类的各种类型的手术中有效地去除患者体内的容积的装置和方法 去除骨)。 机器人辅助与导航系统和医学成像相结合,可缩短手术时间,使手术更安全,免费从事重复性和艰苦任务的外科医生。 在某些实施例中,所公开的技术包括与机器人手术系统一起使用的手术器械保持器。 在某些实施例中,手术器械保持器附接到机器人臂的端部执行器或者是机器人臂的端部执行器的一部分,并且提供允许精确移除患者体内的目标体积的刚性结构。