首页|微创外科多自由度柔性超声手术刀研究进展

微创外科多自由度柔性超声手术刀研究进展

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超声手术刀作为一种广泛应用的高效精准的能量器械,具有同时切割止血、较小热损伤、几乎无烟雾、自净能力强等优势,但是由于现有超声手术刀结构的约束,其运动自由度少,限制了其应用在机器人操作中的灵活性.经过科研人员在结构方面的不断优化和改进,在原有刚性超声手术刀的基础上,加入柔性结构,衍生出更加灵活的多自由度柔性超声手术刀.本文综述了刚性超声手术刀的发展以及柔性超声手术刀现有的设计方案,对于刚性超声刀的研究主要集中在结构的轻便以及工作性能的提高,对于柔性超声刀的设计分为将微型化的超声换能器放置在手柄端和放置在执行末端两类,分别分析这2种设计方案的具体结构,并讨论其优势和局限性.最后,对微创外科多自由度柔性超声刀未来的发展趋势提出展望.
Research Progress on the Flexible Ultrasonic Scalpel in Minimally Invasive Surgery
As a widely used efficient and accurate energy instrument,the ultrasonic scalpel has the advantages of simultaneous cutting hemostasis,small thermal damage,nearly no smoke,and strong self-cleaning ability.However,due to the constraints of the existing ultrasonic scalpel structure,the lack of freedom of motion limits the flexibility of its application in robot operation.After the continuous optimization and improvement of the structure of scientific researchers,by adding flexible structure on the basis of the original rigid ultrasonic scalpel,the flexible ultrasonic scalpel with multiple degrees of freedom is developed.This paper reviews the development of rigid ultrasonic scalpel and the existing design scheme of flexible ultrasonic scalpel.The study of rigid ultrasonic knife mainly focus on the lightness of structure and the improvement of working performance.In terms of the design of flexible ultrasonic knife,it is divided into two categories:the miniaturized ultrasonic transducer is placed at the handle end and placed at the end of the execution.The specific structure of these two design schemes is analyzed respectively,and their advantages and limitations are discussed.Finally,the future development trend of multi-degree flexible ultrasound scalpel in minimally invasive surgery is prospected.

ultrasonic scalpelminimally invasive surgeryflexible ultrasonic scalpelmultiple degrees of freedommanipulable execution ends

邬苗、冯庆敏、刘胜林、陆雪松

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华中科技大学同济医学院附属协和医院 生物医学工程研究所,湖北 武汉 430022

中南民族大学 生物医学工程学院,湖北 武汉 430074

超声手术刀 微创外科 柔性超声刀 多自由度 可操纵执行末端

湖北省重点研发计划中南民族大学校级教学研究项目

2022BCA025JYX22022

2024

中国医疗设备
中国整形美容协会

中国医疗设备

CSTPCD
影响因子:0.825
ISSN:1674-1633
年,卷(期):2024.39(1)
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