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公开(公告)号：US09500472B2
公开(公告)日：2016-11-22
申请号：US13602893
申请日：2012-09-04
IPC分类号： A61B1/01 , A61B1/04 , G01B11/16 , A61B5/06 , A61B6/12 , A61B1/00 , G01L1/24 , A61B8/08 , A61B18/08 , A61B8/00 , A61B5/00 , A61M25/01
CPC分类号： G01B11/16 , A61B1/00004 , A61B1/00013 , A61B1/00045 , A61B1/00057 , A61B1/00165 , A61B1/0017 , A61B5/0059 , A61B5/0064 , A61B5/06 , A61B5/065 , A61B5/066 , A61B5/4887 , A61B5/7285 , A61B6/12 , A61B8/00 , A61B8/48 , A61B18/082 , A61B34/20 , A61B34/30 , A61B34/37 , A61B34/71 , A61B34/77 , A61B90/39 , A61B90/96 , A61B90/98 , A61B2017/00725 , A61B2034/2061 , A61B2034/301 , A61B2034/715 , A61B2034/741 , A61B2090/374 , A61B2090/376 , A61B2090/378 , A61M2025/0166 , G01B11/165 , G01L1/242
摘要： An instrument system that includes a first optical fiber, a second optical fiber and a controller is provided. The first optical fiber is operatively coupled to an elongate body that is adapted to be placed inside a patient. The second optical fiber is operatively coupled to the patient, to an actuating element adapted to actuate the elongate body, or to a portion of an imaging system adapted to identify a location of the portion relative to the elongate body. The controller is operatively coupled to the first optical fiber and the second optical fiber and is adapted to receive a first signal from the strain sensor provided on the first optical fiber, receive a second signal from the strain sensor provided on the second optical fiber; and determine a position or orientation of the elongate body based on the first signal and based on the second signal.
摘要翻译： 提供一种包括第一光纤，第二光纤和控制器的仪器系统。 第一光纤可操作地耦合到适于放置在患者体内的细长主体。 第二光纤可操作地耦合到患者，适用于致动细长主体的致动元件，或适于识别该部分相对于细长主体的位置的成像系统的一部分。 控制器可操作地耦合到第一光纤和第二光纤，并且适于从设置在第一光纤上的应变传感器接收第一信号，从设置在第二光纤上的应变传感器接收第二信号; 并且基于第一信号并且基于第二信号来确定细长体的位置或取向。
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公开(公告)号：US09186046B2
公开(公告)日：2015-11-17
申请号：US12192033
申请日：2008-08-14
IPC分类号： A61B1/01 , A61B1/04 , A61B1/00 , A61B5/06 , A61B6/12 , A61B19/00 , G01B11/16 , G01L1/24 , A61B8/08 , A61B18/08 , A61B8/00 , A61B5/00
CPC分类号： G01B11/16 , A61B1/00004 , A61B1/00013 , A61B1/00045 , A61B1/00057 , A61B1/00165 , A61B1/0017 , A61B5/0059 , A61B5/0064 , A61B5/06 , A61B5/065 , A61B5/066 , A61B5/4887 , A61B5/7285 , A61B6/12 , A61B8/00 , A61B8/48 , A61B18/082 , A61B34/20 , A61B34/30 , A61B34/37 , A61B34/71 , A61B34/77 , A61B90/39 , A61B90/96 , A61B90/98 , A61B2017/00725 , A61B2034/2061 , A61B2034/301 , A61B2034/715 , A61B2034/741 , A61B2090/374 , A61B2090/376 , A61B2090/378 , A61M2025/0166 , G01B11/165 , G01L1/242
摘要： Robotic medical instrument systems and associated methods utilizing an optical fiber sensors such as Bragg sensor optical fibers. In one configuration, an optical fiber is coupled to an elongate instrument body and includes a fiber core having one or more Bragg gratings. A controller is configured to initiate various actions in response thereto. For example, a controller may generate and display a graphical representation of the instrument body and depict one or more position and/or orientation variables thereof, or adjust motors of an instrument driver to reposition the catheter or another instrument. Optical fibers having Bragg gratings may also be utilized with other system components including a plurality of working instruments that are positioned within a sheath lumen, an instrument driver, localization sensors, and/or an image capture device, and may also be coupled to a patient's body or associated structure that stabilizes the body.
摘要翻译： 机器人医疗仪器系统和利用诸如布拉格传感器光纤的光纤传感器的相关方法。 在一种配置中，光纤耦合到细长的仪器主体并且包括具有一个或多个布拉格光栅的光纤芯。 控制器被配置为响应于此而启动各种动作。 例如，控制器可以生成并显示仪器主体的图形表示并描绘其一个或多个位置和/或取向变量，或者调整仪器驱动器的马达以重新定位导管或另一个仪器。 具有布拉格光栅的光纤也可以与其他系统部件一起使用，包括定位在鞘腔内的多个工作仪器，仪器驱动器，定位传感器和/或图像捕获装置，并且还可以耦合到患者的 身体或相关结构，使身体稳定。
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公开(公告)号：US08811777B2
公开(公告)日：2014-08-19
申请号：US13594629
申请日：2012-08-24
CPC分类号： G02B6/022 , A61B5/1076 , A61B5/6852 , A61B2017/00039 , A61B2017/00053 , A61B2034/2061 , A61B2090/067
摘要： A method for measuring bending is provided. The method includes receiving a reflected signal from a strain sensor provided on an optical fiber; determining a spectral profile of the reflected signal; and determining bending of the optical fiber based on a comparison of the spectral profile of the reflected signal with a predetermined spectral profile.
摘要翻译： 提供了一种测量弯曲的方法。 该方法包括从设置在光纤上的应变传感器接收反射信号; 确定反射信号的光谱分布; 以及基于所述反射信号的光谱轮廓与预定光谱轮廓的比较来确定所述光纤的弯曲。
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公开(公告)号：US08715167B2
公开(公告)日：2014-05-06
申请号：US13324746
申请日：2011-12-13
IPC分类号： A61B1/05
CPC分类号： A61B1/00188 , A61B1/00149 , A61B1/0016 , A61B1/00193 , A61B34/30 , A61B34/35 , A61B34/37 , A61B34/70 , A61B34/77 , A61B90/361 , A61B90/50 , A61B2017/00477 , A61B2034/301 , A61B2034/305
摘要： Robotic, telerobotic, and/or telesurgical devices, systems, and methods take advantage of robotic structures and data to calculate changes in the focus of an image capture device in response to movement of the image capture device, a robotic end effector, or the like. As the size of an image of an object shown in the display device varies with changes in a separation distance between that object and the image capture device used to capture the image, a scale factor between a movement command input may be changed in response to moving an input device or a corresponding master/slave robotic movement command of the system. This may enhance the perceived correlation between the input commands and the robotic movements as they appear in the image presented to the system operator.
摘要翻译： 机器人，远程实验和/或远程手术设备，系统和方法利用机器人结构和数据来响应于图像捕获设备，机器人末端执行器等的运动来计算图像捕获设备的焦点的变化 。 随着显示装置中所示的对象的图像的尺寸随着该对象与用于捕捉图像的图像捕获装置之间的间隔距离的变化而变化，可以响应于移动而改变移动指令输入之间的比例因子 系统的输入设备或相应的主/从机器人移动命令。 这可以增强输入命令和机器人运动之间的感知相关性，因为它们出现在呈现给系统操作者的图像中。
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公开(公告)号：US20130090528A1
公开(公告)日：2013-04-11
申请号：US13602921
申请日：2012-09-04
IPC分类号： A61B1/00
CPC分类号： G01B11/16 , A61B1/00004 , A61B1/00013 , A61B1/00045 , A61B1/00057 , A61B1/00165 , A61B1/0017 , A61B5/0059 , A61B5/0064 , A61B5/06 , A61B5/065 , A61B5/066 , A61B5/4887 , A61B5/7285 , A61B6/12 , A61B8/00 , A61B8/48 , A61B18/082 , A61B34/20 , A61B34/30 , A61B34/37 , A61B34/71 , A61B34/77 , A61B90/39 , A61B90/96 , A61B90/98 , A61B2017/00725 , A61B2034/2061 , A61B2034/301 , A61B2034/715 , A61B2034/741 , A61B2090/374 , A61B2090/376 , A61B2090/378 , A61M2025/0166 , G01B11/165 , G01L1/242
摘要： A method for mapping an internal structure of a patient with an elongate body is provided. The method includes detecting, at a plurality of instances, contact between a distal portion of an elongate body and an internal structure of the patient; determining a plurality of geometric configurations of the distal portion, the plurality of geometric configurations corresponding to the plurality of instances of contact between the distal portion and the internal structure; determining a plurality of positions of the distal portion, the plurality of positions corresponding to the plurality of geometric configurations; and generating a map of the internal structure based on the plurality of positions of the distal portion.
摘要翻译： 提供了一种用于利用细长体映射病人内部结构的方法。 该方法包括在多个实例中检测细长主体的远端部分和患者的内部结构之间的接触; 确定所述远侧部分的多个几何构型，所述多个几何构型对应于所述远侧部分和所述内部结构之间的多个接触实例; 确定所述远端部分的多个位置，所述多个位置对应于所述多个几何构型; 以及基于所述远侧部分的所述多个位置生成所述内部结构的图。
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公开(公告)号：US08388556B2
公开(公告)日：2013-03-05
申请号：US13251370
申请日：2011-10-03
申请人： Daniel T. Wallace , Gregory J. Stahler , Alex Goldenberg , Gene Reis , Robert G. Younge , Mathew Clopp , David Camarillo , Toby St. John King
发明人： Daniel T. Wallace , Gregory J. Stahler , Alex Goldenberg , Gene Reis , Robert G. Younge , Mathew Clopp , David Camarillo , Toby St. John King
CPC分类号： A61M25/01 , A61B5/6885 , A61B17/3403 , A61B17/3476 , A61B2017/00243 , A61B2017/003 , A61B2017/00477 , A61B2034/301 , A61B2090/064 , A61B2090/065
摘要： A method for estimating the force on a distal end of a working catheter includes positioning a portion of a robotically controlled guide catheter and working catheter into a body lumen wherein a distal end of the working catheter projects distally from a distal end of the guide catheter. The working catheter and guide catheter are dithered with respect to one another using a dithering device operatively connected to a proximal portion of the working catheter. The coupling may occur directly to the working catheter or via a seal such as a Touhy seal. The force experienced by the working catheter at a proximal region is measured through at least one dithering cycle. The force at the distal end of the working catheter is then estimated based on the measured force at the proximal region. The estimated force may be displayed to a physician on, for example, a monitor.
摘要翻译： 用于估计工作导管的远端上的力的方法包括将机器人控制的引导导管和工作导管的一部分定位到体腔中，其中工作导管的远端从导向导管的远端远端突出。 工作导管和引导导管相对于彼此使用可操作地连接到工作导管的近端部分的抖动装置进行抖动。 联轴器可以直接发生在工作导管上，或通过诸如Touhy密封件的密封件。 通过至少一个抖动周期测量由近端区域上的工作导管所经受的力。 然后基于在近端区域处测量的力来估计工作导管远端处的力。 估计的力可以在例如监视器上向医生显示。
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公开(公告)号：US20120323116A1
公开(公告)日：2012-12-20
申请号：US13594600
申请日：2012-08-24
IPC分类号： A61B6/12
CPC分类号： A61B5/06 , A61B5/065 , A61B34/20 , A61B2017/00243 , A61B2034/2046 , A61B2034/2051 , A61B2034/2072 , A61B2090/0812
摘要： An instrument system that includes an elongate body, an optical fiber and a controller is provided. The optical fiber is at least partially separate from the elongate body. The controller is operatively coupled to the elongate body and to the optical fiber and the controller is adapted to receive a signal from the optical fiber, detect movement of the optical fiber based on the signal; and update a position of the elongate body relative to the optical fiber based on the detected movement.
摘要翻译： 提供了一种包括细长体，光纤和控制器的仪器系统。 光纤至少部分地与细长体分开。 控制器可操作地耦合到细长主体和光纤，并且控制器适于从光纤接收信号，基于该信号检测光纤的移动; 并且基于检测到的移动来更新细长主体相对于光纤的位置。
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公开(公告)号：US20120035481A1
公开(公告)日：2012-02-09
申请号：US13274141
申请日：2011-10-14
申请人： Frederico Barbagli , Aditya Koolwal , Christopher R. Carlson , Daniel T. Wallace , Robert G. Younge
发明人： Frederico Barbagli , Aditya Koolwal , Christopher R. Carlson , Daniel T. Wallace , Robert G. Younge
IPC分类号： A61B8/14
CPC分类号： A61B5/06 , A61B5/065 , A61B8/0833 , A61B8/12 , A61B8/4254 , A61B8/445 , A61B8/4477 , A61B8/4483 , A61B8/483 , A61B8/543 , A61B18/1492 , A61B90/36 , A61B2017/00252 , A61B2034/105 , A61B2034/107 , A61B2034/2051 , A61B2034/256 , A61B2090/0811 , A61B2090/367 , A61B2090/378 , A61B2090/3784 , A61B2090/3929
摘要： An automated medical system comprises a first instrument assembly including a first ultrasound transducer having a first transducer field of view that transmits and receives ultrasound signals in imaging planes disposed circumferentially about a guide instrument, and a second instrument assembly including a second ultrasound transducer having a second transducer field of view coupled to one of a second flexible guide instrument and a working instrument. A computing system is operatively coupled to the respective first and second transducers and configured to determine a relative spatial orientation of the respective first and second transducers based at least in part on detecting a signal transmitted by one of the first and second transducers and received by the other of the first and second transducers, the received signal having an amplitude indicating the receiving one of the transducers is in the field of view of the transmitting one of the transducers.
摘要翻译： 一种自动医疗系统包括第一仪器组件，该第一仪器组件包括第一超声换能器，该第一超声波换能器具有第一换能器视场，该第一超声波换能器在围绕导向器周围设置的成像平面中发射和接收超声信号;以及第二仪器组件， 传感器视场耦合到第二柔性引导仪器和工作仪器之一。 计算系统可操作地耦合到相应的第一和第二换能器并且被配置为至少部分地基于检测由第一和第二换能器中的一个发射的信号并由第一和第二换能器接收的信号来确定相应的第一和第二换能器的相对空间取向 第一和第二换能器中的另一个，具有指示换能器中的接收换能器之一的振幅的接收信号处于发射换能器之一的视野中。
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公开(公告)号：US08092397B2
公开(公告)日：2012-01-10
申请号：US11678001
申请日：2007-02-22
申请人： Daniel T. Wallace , Gregory Stahler , Alex Goldenberg , Gene Reis , Robert G. Younge , Mathew Clopp , David B. Camarillo , Toby St. John King
发明人： Daniel T. Wallace , Gregory Stahler , Alex Goldenberg , Gene Reis , Robert G. Younge , Mathew Clopp , David B. Camarillo , Toby St. John King
CPC分类号： A61M25/01 , A61B5/6885 , A61B17/3403 , A61B17/3476 , A61B2017/00243 , A61B2017/003 , A61B2017/00477 , A61B2034/301 , A61B2090/064 , A61B2090/065
摘要： A robotic catheter manipulator includes a guide catheter including proximal and distal ends and lumen extending there through. A flexible bellows is secured at one end to the proximal end of the guide catheter and at the other end to a seal configured to receive a working catheter. In a loaded state, the working catheter is fixed relative to the seal. A ditherer is operatively connected to the seal for dithering the working catheter relative to the guide catheter when placed therein. The robotic catheter manipulator includes at least one force sensor for measuring the force applied to the working catheter by the ditherer. Force measurements may be translated into an estimated force that is experienced at the distal end of the working catheter which may then be displayed to the physician via a monitor or display.
摘要翻译： 机器人导管操纵器包括导管，其包括近端和远端以及在其延伸的内腔。 柔性波纹管在一端固定到引导导管的近端，另一端固定在被构造成接收工作导管的密封件上。 在加载状态下，工作导管相对于密封件固定。 一个搅拌器可操作地连接到该密封件上，用于当将工作导管放置在其中时相对于导向导管进行高频抖动。 机器人导管操纵器包括至少一个力传感器，用于测量施加在工作导管上的力。 力测量可以被转换成在工作导管的远端处经历的估计力，然后可以经由监视器或显示器将其显示给医师。
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公开(公告)号：US20120004668A1
公开(公告)日：2012-01-05
申请号：US13118293
申请日：2011-05-27
申请人： Daniel T. Wallace , Frederic H. Moll , Robert G. Younge , Kenneth M. Martin , Gregory J. Stahler , David F. Moore , Daniel T. Adams , Michael R. Zinn , Gunter D. Niemeyer
发明人： Daniel T. Wallace , Frederic H. Moll , Robert G. Younge , Kenneth M. Martin , Gregory J. Stahler , David F. Moore , Daniel T. Adams , Michael R. Zinn , Gunter D. Niemeyer
IPC分类号： A61B19/00
CPC分类号： A61B34/37 , A61B5/042 , A61B5/066 , A61B5/6852 , A61B5/6885 , A61B5/7285 , A61B5/746 , A61B6/4423 , A61B6/503 , A61B6/504 , A61B6/541 , A61B8/0891 , A61B8/12 , A61B8/4254 , A61B8/4461 , A61B8/4466 , A61B8/543 , A61B10/06 , A61B34/20 , A61B34/25 , A61B34/30 , A61B34/35 , A61B34/71 , A61B34/76 , A61B34/77 , A61B46/10 , A61B90/50 , A61B2017/00247 , A61B2017/003 , A61B2017/00309 , A61B2017/00327 , A61B2018/00392 , A61B2034/102 , A61B2034/105 , A61B2034/107 , A61B2034/2051 , A61B2034/301 , A61B2034/715 , A61B2090/035 , A61B2090/367 , A61B2090/374 , A61B2090/378 , A61B2090/3925 , A61B2090/397 , A61M25/0113 , A61M25/09041
摘要： A robotic catheter system includes a controller with a master input device. An instrument driver is in communication with the controller and has a guide instrument interface including a plurality of guide instrument drive elements responsive to control signals generated, at least in part, by the master input device. An elongate guide instrument has a base, distal end, and a working lumen, wherein the guide instrument base is operatively coupled to the guide instrument interface. The guide instrument includes a plurality of guide instrument control elements operatively coupled to respective guide drive elements and secured to the distal end of the guide instrument. The guide instrument control elements are axially moveable relative to the guide instrument such that movement of the guide instrument distal end may be controlled by the master input device.
摘要翻译： 机器人导管系统包括具有主输入装置的控制器。 仪器驱动器与控制器通信，并且具有引导仪器接口，其包括响应于至少部分由主输入设备产生的控制信号的多个引导仪器驱动元件。 细长的引导器具具有底座，远端和工作腔，其中导向仪器底座可操作地连接到导向仪器接口。 导向仪器包括多个导向仪器控制元件，其可操作地联接到相应的引导驱动元件并固定到引导器械的远端。 引导仪器控制元件相对于引导仪器可轴向移动，使得引导器械远端的移动可由主输入装置控制。
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