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    • 7. 发明申请
    • SURGERY ASSISTANCE SYSTEM FOR GUIDING A SURGICAL INSTRUMENT
    • 用于引导手术仪器的手术辅助系统
    • US20110028992A1
    • 2011-02-03
    • US12935012
    • 2009-03-20
    • Robert GeigerJürgen Scherr
    • Robert GeigerJürgen Scherr
    • A61B19/00
    • B25J9/1664A61B34/70A61B90/11A61B90/50A61B2017/3409G05B2219/39389G05B2219/40415G05B2219/45123G05B2219/45166
    • The invention relates to a surgery assistance system for guiding a surgical instrument, in particular a camera system (2) having an endoscope (3) dependant on manual actuation of at least one function key (T1-T6) of a control element (BE). The surgical instrument (3) is fastened to an arm system (10, 12, 14) of the surgery assistance system (1) having an instrument mount (15) and at least the tip (S) of the surgical instrument (3) can be moved in a controlled manner by means of the arm system (10, 12, 14) in a Cartesian patient coordinate system (PKS), whereby at least one of the three spatial axes (x, y, z) of the Cartesian patient coordinate system (PKS) extends through the surgical opening or the trocar point (T) receiving the surgical instrument (3). Advantageously, the angle of inclination (w) of the surgical instrument (3) is determined with respect to the spatial axis (z) of the Cartesian patent coordinate system (PKS) extending through the trocar point (T) and the angle of inclination (w) so determined is compared with a predetermined set angle of inclination (wS). When the determined angle of inclination (w) exceeds the set angle of inclination (wS), the tip (S) of the surgical instrument (3) is guided on a semi-spherical surface (TK) which concentrically surrounds the trocar point (T) and which receives the tip (S) of the instrument (3), and when the determined angle of inclination (w) is below the set angle of inclination (wS), the tip (S) of the surgical instrument (3) is guided along a tangent (TG) which extends through the tip (S) of the instrument (3) and which rests on the semi-spherical surface (TK).
    • 本发明涉及用于引导外科器械的手术辅助系统,特别是具有取决于手动致动控制元件(BE)的至少一个功能键(T1-T6)的内窥镜(3)的照相机系统(2) 。 外科器械(3)被固定到手术辅助系统(1)的具有器械安装座(15)的臂系统(10,12,14)上,并且外科器械(3)的至少尖端(S)可以 通过笛卡尔患者坐标系(PKS)中的臂系统(10,12,14)以受控的方式移动,由此笛卡尔患者坐标的三个空间轴(x,y,z)中的至少一个坐标 系统(PKS)延伸通过外科手术开口或接收外科器械(3)的套管针点(T)。 有利地,外科器械(3)的倾斜角(w)相对于延伸穿过针刺点(T)的笛卡尔专利坐标系(PKS)的空间轴线(z)和倾斜角 w)与预定的倾斜角(wS)进行比较。 当确定的倾斜角(w)超过设定倾斜角(wS)时,手术器械(3)的尖端(S)被引导在同心围绕套管针点(T)的半球形表面(TK)上 ),并且其接收仪器(3)的尖端(S),并且当确定的倾斜角(w)低于设定倾斜角(wS)时,外科器械(3)的尖端(S)为 沿着延伸穿过仪器(3)的尖端(S)并且搁置在半球形表面(TK)上的切线(TG)引导。