Application of design rationale for a robotic system for single-incision laparoscopic surgery and natural orifice transluminal endoscopic surgery

Application of design rationale for a robotic system for single-incision laparoscopic surgery and natural orifice transluminal endoscopic surgery
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单切口腹腔镜手术和自然孔道腔内镜手术机器人系统设计原理的应用

DOI:
10.1177/0954411913486756
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发表时间:
2013
期刊:
Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine
影响因子:
--
通讯作者:
P. Childs
P. Childs
中科院分区:
--
文献类型:
--
作者:
Wei Yao;P. Childs

文献摘要

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目前的内窥镜和器械在某些方面不适合复杂的腹部手术,因为它们太灵活,不能提供强有力的抓取和解剖回缩。微创手术设备代表了一类复杂的机械设备,它利用集成到模块化平台中的一系列机制,可以组合在一起进行复杂的医疗程序。尽管相关的机械元件代表了经典的机械工程装置,但小型化、手术程序遵从性和位置控制等问题共同构成了设计挑战。为了捕获、记录和解决这一复杂应用程序的设计需求,质量功能部署与设计原理相结合,通过基于问题的信息系统映射来捕获。本文报告了如何使用这些工具制作具有改进的灵巧性和三角剖分的机器人设计,这些都是腹腔镜检查的基本要求。
Current endoscopes and instruments are inadequate in some respects for complex intra-abdominal surgery because they are too flexible and cannot provide robust grasping and anatomic retraction. Minimal invasive surgery devices represent a sophisticated class of mechanical instruments making use of a range of mechanisms integrated into modular platforms that can be combined to undertake complex medical procedures. Although the machine elements concerned represent classic mechanical engineering devices, issues of miniaturization, surgical procedure compliance and location control conspire to present a design challenge. In order to capture, document and resolve the design requirements for this complex application, quality functional deployment has been applied in combination with design rationale, captured through issue-based information system mapping. This article reports the use of these tools to produce robot designs with improved dexterity and triangulation that are basic requirements in laparoscopy.