MEDICAL SCREW SURGICAL DEVICE, SURGICAL ROBOT WITH THE SAME, AND SURGICAL METHOD OF USING SURGICAL ROBOT WITH MEDICAL SCREW SURGICAL DEVICE
20210059692 ยท 2021-03-04
Inventors
Cpc classification
A61B17/7082
HUMAN NECESSITIES
A61B2017/00367
HUMAN NECESSITIES
International classification
A61B17/17
HUMAN NECESSITIES
A61B17/70
HUMAN NECESSITIES
Abstract
A medical screw surgical device includes: a surgical device main body shaped like a bar and internally formed with an insertion passage; an extension member provided in a lower portion of the surgical device main body and internally formed with a guide hole; a guide member movably provided in the guide hole of the extension member; and a firing member provided in the insertion passage of the surgical device main body and controlling the guide member to move up and down. A surgical robot having a robot arm with the medical screw surgical device includes: a support arm provided in the robot arm; a surgical device holding member provided in the support arm; and the medical screw surgical device provided in the surgical device holding member.
Claims
1. A medical screw surgical device comprising: a surgical device main body shaped like a bar and internally formed with an insertion passage; an extension member provided in a lower portion of the surgical device main body and internally formed with a guide hole; a guide member movably provided in the guide hole of the extension member; and a firing member provided in the insertion passage of the surgical device main body and controlling the guide member to move up and down.
2. The medical screw surgical device according to claim 1, further comprising a tool connecting member provided in an upper portion of the surgical device main body and connecting with an operation tool for applying a tightening force and a releasing force to the surgical device main body.
3. The medical screw surgical device according to claim 2, wherein the tool connecting member comprises a connection body and a fixing bolt, the connection body comprising a main body connector which is inserted in a top portion of the surgical device main body and formed with a fixing-bolt insertion hole, and a tool connector to which the operation tool is connected, and the fixing bolt being inserted in the fixing-bolt insertion hole of the connection body, and the surgical device main body comprises a fixing bolt fastening hole in an upper portion thereof to which the fixing bolt is fastened.
4. The medical screw surgical device according to claim 1, wherein the guide member comprises a guide body shaped like a pin and a screw portion formed on an outer circumferential surface of a guide body, and the extension member comprises an extension member body shaped like a pin and a screw portion formed on an outer circumferential surface of an extension member and threaded in an opposite direction to the screw portion of the guide member.
5. The medical screw surgical device according to claim 4, wherein the guide member comprises a stopper protrusion formed in a top portion of the guide body, and the extension member comprises a protrusion-movement hole formed to have a cross-section corresponding to a cross-section of the stopper protrusion and communicating with the guide hole.
6. The medical screw surgical device according to claim 4, wherein the extension member comprises a cut-open portion having a height difference on the outer circumferential surface of the extension member body, and the insertion passage of the surgical device main body is formed with a cut-open portion insertion hole in which the cut-open portion is inserted and seated.
7. The medical screw surgical device according to claim 1, wherein the firing member comprises a firing member body shaped like a bar, a support bar protruding from a bottom portion of the firing member body and being in contact with the top portion of the guide member, and a moving piece formed in a top portion of the firing member body, and a movement guiding groove, which allows the moving piece to move up and down, and holding grooves, which communicate with the movement guiding groove and hold the moving piece in position, are formed to communicate with the insertion passage of the surgical device main body.
8. A surgical robot with a robot arm, comprising: a support arm provided in the robot arm; a surgical device holding member provided in the support arm; and the medical screw surgical device according to claim 1, provided in the surgical device holding member.
9. (canceled)
10. (canceled)
11. (canceled)
12. A surgical robot with a robot arm, comprising: a support arm provided in the robot arm; a surgical device holding member provided in the support arm; and the medical screw surgical device according to claim 2, provided in the surgical device holding member.
13. A surgical robot with a robot arm, comprising: a support arm provided in the robot arm; a surgical device holding member provided in the support arm; and the medical screw surgical device according to claim 3, provided in the surgical device holding member.
14. A surgical robot with a robot arm, comprising: a support arm provided in the robot arm; a surgical device holding member provided in the support arm; and the medical screw surgical device according to claim 4, provided in the surgical device holding member.
15. A surgical robot with a robot arm, comprising: a support arm provided in the robot arm; a surgical device holding member provided in the support arm; and the medical screw surgical device according to claim 5, provided in the surgical device holding member.
16. A surgical robot with a robot arm, comprising: a support arm provided in the robot arm; a surgical device holding member provided in the support arm; and the medical screw surgical device according to claim 6, provided in the surgical device holding member.
17. The surgical robot according to claim 8, wherein the support arm is structured to comprise a coupling hole at an end portion of the support arm body comprising a curved portion, and the surgical device holding member comprises a sleeve holder inserted in and locked to the coupling hole and formed with a sleeve insertion hole, and a sleeve inserted in the sleeve holder and comprising a surgical device insertion hole.
18. The surgical robot according to claim 12, wherein the support arm is structured to comprise a coupling hole at an end portion of the support arm body comprising a curved portion, and the surgical device holding member comprises a sleeve holder inserted in and locked to the coupling hole and formed with a sleeve insertion hole, and a sleeve inserted in the sleeve holder and comprising a surgical device insertion hole.
19. The surgical robot according to claim 13, wherein the support arm is structured to comprise a coupling hole at an end portion of the support arm body comprising a curved portion, and the surgical device holding member comprises a sleeve holder inserted in and locked to the coupling hole and formed with a sleeve insertion hole, and a sleeve inserted in the sleeve holder and comprising a surgical device insertion hole.
20. The surgical robot according to claim 14, wherein the support arm is structured to comprise a coupling hole at an end portion of the support arm body comprising a curved portion, and the surgical device holding member comprises a sleeve holder inserted in and locked to the coupling hole and formed with a sleeve insertion hole, and a sleeve inserted in the sleeve holder and comprising a surgical device insertion hole.
21. The surgical robot according to claim 15, wherein the support arm is structured to comprise a coupling hole at an end portion of the support arm body comprising a curved portion, and the surgical device holding member comprises a sleeve holder inserted in and locked to the coupling hole and formed with a sleeve insertion hole, and a sleeve inserted in the sleeve holder and comprising a surgical device insertion hole.
22. A surgical method of using the surgical robot with the medical screw surgical device according to claim 8, the method comprising: a surgical-device mounting step of mounting the surgical device holding member to the support arm and mounting the medical screw surgical device with an operation tool; a guide-member inserting step of controlling the firing member in a forward direction to move down and hold the guide member and controlling the operation tool to insert the guide member into a surgical site; a guide-member releasing step of controlling the firing member in a reverse direction to release a binding force applied to the guide member so that the guide member can move up; an extension-member inserting step of applying the tightening force to the operation tool after carrying out the guide-member releasing step so that the extension member can ream and tap a surgical site and form the screw insertion hole; and a medical-screw inserting step of removing the operation tool comprising the medical screw surgical device, installing and fastening the screw coupling tool with the medical screw to the surgical device holding member, and removing the screw coupling tool.
23. The method according to claim 22, wherein the guide-member inserting step is carried out by rotating the guide member in a certain direction based on the screw portion formed on the outer circumferential surface of the guide body shaped like a pin, and the extension-member inserting step is carried out by rotating the extension member in an opposite direction to the rotating direction for inserting the guide member, based on the screw portion formed on the outer circumferential surface of the extension member body shaped like a pin threaded in the opposite direction to the screw portion of the guide member.
Description
DESCRIPTION OF DRAWINGS
[0030]
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[0033]
[0034]
[0035]
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[0040]
[0041]
BEST MODE
[0042] Below, exemplary embodiments of the disclosure will be described in detail based on the accompanying drawings
[0043]
[0044] Referring to
[0045] Further, the medical screw surgical device according to the first embodiment of the disclosure is applicable to various orthopedic surgeries for a human body, but descriptions will be made based on an example of pedicle screw insertion surgery that a medial screw S typically called a pedicle screw is inserted in a pedicle P.
[0046] The surgical device main body 11 refers to an element that functions as a frame as shown in
[0047] Further, the surgical device main body 11 is provided with a tool connecting member 15 on the top thereof to which an operation tool T1 (e.g. the reamer in the BACKGROUND ART) for applying a tightening force and a releasing force can be connected.
[0048] The tool connecting member 15 and the surgical device main body 11 may be formed as a single body. However, as shown in
[0049] Here, the connection body 151 includes a main body connector 1511 to be inserted on the top of the surgical device main body 11, and a tool connector 1512 to connect with the operation tool T1 or the like. The main body connector 1511 includes a fixing-bolt insertion hole 1513 formed by transversely perforating a pin-shaped body thereof, and an annular stopper 1514 protruding like a ring to form a boundary with the tool connector 1512.
[0050] The tool connector 1512 may be variously shaped corresponding to a connector structure of the operation tool T1 to be connected thereto. In this embodiment, the tool connector 1512 is shaped like a round bar and formed with a stop protrusion 1515 and a holding groove 1516 at an end portion thereof to be used as being inserted in and connected to a connection hole of a control handle (see (c) in
[0051] The fixing bolt 152 is shaped like a usual bolt that includes a fastening portion inserted in and fastened to the fixing-bolt insertion hole 1513 of the connection body 151, and a head portion through which the tightening force is applied.
[0052] Meanwhile, the extension member 12 refers to an element that performs a reaming and tapping process to form a screw insertion hole P2, into which the medical screw S is inserted, in a surgical site such as the pedicle P as shown in
[0053] Further, the extension member 12 includes a protrusion-movement hole 124 that communicates with the guide hole 123 and has a cross-section corresponding to the cross-section of a stopper protrusion 133 of the guide member 13 to be described later.
[0054] Here, the protrusion-movement hole 124 is formed in an upper portion of the extension member body 121 and has a range as much as protrusion (i.e. a protruding length of the guide member protruding outward from the bottom of the extension member 12) of the guide member 13, as a hole having a quadrangular cross-section with which the stopper protrusion 133 can movably mesh because the stopper protrusion 133 of the guide member 13 has a quadrangular cross-section.
[0055] In particular, the extension member 12 is formed with a screw portion for reaming and tapping in a lower portion of the extension member body 121, and this screw portion is formed as a right-handed screw on the outer circumferential surface of the extension member body 121 shaped like a pin and has a thread 122 of which a direction is opposite to a threaded direction of the guide member.
[0056] The reason why the tread 122 is formed like this as the screw portion of the extension member 12 in a direction opposite to the threaded direction of the guide member is because the extension member and the guide member need to be prevented from being inserted and moved in the same direction even through the extension member 12 is rotated interlocking with the guide member 13 as shown in
[0057] Further, the extension member 12 includes a cut-open portion 127 with a height difference 126 on the outer surface of the extension member body 121 so that a portion thereof can be inserted and locked inside the surgical device main body 11. In this case, the cut-open portion 127 is symmetrically formed at opposite sides of the extension member body 121. Like this, the cut-open portions 127 are formed at the opposite sides, and therefore the outer appearance of the extension member 12 has an approximately oval-shaped cross-section in a portion where the cut-open portion is formed.
[0058] In addition, the surgical device main body 11 includes the cut-open portion insertion hole 113 in which the cut-open portion 127 is inserted and positioned and which communicates with the insertion passage 112. The cut-open portion insertion hole 113 is formed as a hole having an approximately oval-shaped cross-section to match the shape of the cut-open portion in the lower portion of the surgical device main body 11.
[0059] Meanwhile, the guide member 13 refers to an element that is inserted in a surgical site in an initial surgical stage and performs a base hole forming function to serve as a guide pin for setting a position for forming the screw insertion hole P2 and facilitate the reaming and tapping process using the extension member. The guide member 13 is movably installed in the guide hole 123 and the protrusion-movement hole 124 of the extension member 12.
[0060] Further, the guide member 13 includes a screw portion formed in a lower portion of a guide body 131 having a pin shape and inserted in a surgical site, and the stopper protrusion 133 on a top portion of the guide body 131.
[0061] In this case, the screw portion is formed as a left-handed screw in the guide member 13, and is characterized in that its thread 132 is formed in the opposite direction to the thread of the extension member 12. The reason why the tread 132 is formed like this in the direction opposite to the threaded of the extension member 12 is because the guide member and the extension member need to be prevented from being inserted and moved in the same direction even through the guide member 13 is rotated interlocking with the extension member 12 as described in the reason of forming the right-handed screw portion 122 in the extension member 12.
[0062] The stopper protrusion 133 is formed to have a quadrangular cross-section so as to move up and down along the protrusion-movement hole 124 of the extension member 12.
[0063] Meanwhile, the firing member 14 refers to an element that is installed in the insertion passage 112 of the surgical device main body 11 and applies or releases a binding force to and from the guide member 13 to control the guide member 13 to move up and down, and includes a firing member body 141 shaped like a bar, a support bar 142 protruding from a bottom portion of the firing member body 141 to be in contact with the top portion of the guide member 13 and shaped like a bar having a smaller external diameter than the firing member body 141, and a moving piece 143 connected to the top portion of the firing member body 141.
[0064] The moving piece 143 is provided to apply an external force for moving the firing member 14 up and down. Although there are no limits to the shape of the moving piece 143 as long as the structure of the moving piece 143 is gripped and easily movable by a user, this embodiment shows that the moving piece 143 is structured as a handle screw having a head portion and a screw portion, and the firing member body 141 is formed with a fastening hole 1411 to which the handle screw is fastened in the upper end portion thereof.
[0065] Meanwhile, the surgical device main body 11 includes a movement guiding groove 117 allowing the foregoing moving piece 143 to move up and down so that the support bar 142 of the firing member 14 can press and bind the top end of the guide member 13 or release the binding force, and a holding groove 118 formed communicate with the insertion passage 112 of the surgical device main body 11.
[0066] The movement guiding groove 117 is formed as cut up and down to communicate with the insertion passage 112 of the surgical device main body 11 so that the moving piece 143 can move up and down along the movement guiding groove 117.
[0067] The holding groove 118 may be provided in plural to communicate with the movement guiding groove 117, including a first holding groove 118a perpendicularly formed in a lower end portion of the movement guiding groove 117 so that the supporter 142 of the firing member 14 can keep pressing the top portion of the guide member 13, and a second holding groove 118b perpendicularly formed in an upper end portion of the movement guiding groove 117 so that the support bar 142 of the firing member can be separated from the top portion of the guide member 13.
[0068]
[0069] Referring to
[0070] The support arm 2 may be variously shaped corresponding to surgical sites. In this embodiment, the support arm 2 is structured to have a coupling hole 22 at an end portion of the support arm body 21 having a curved portion corresponding to the pedicle screw insertion surgery.
[0071] The surgical device holding member 3 includes a sleeve holder 31 inserted in and locked to the coupling hole 22 of the support arm 2 and formed with a sleeve insertion hole 312, and a sleeve 32 inserted in and locked to the sleeve holder 31 and shaped like a pipe having a surgical device insertion hole.
[0072] The sleeve holder 31 includes a holder 311 shaped like a cylinder and inserted in the coupling hole 22, and a seating protrusion 313 protruding like a ring from the top end of the holder 311 and seated on a circumferential portion of the coupling hole 22 of the support arm 2.
[0073] Meanwhile, publicly-known robots for surgery, of which robot arms are moved and rotated in x, y and z directions by a driver (not shown) to perform surgery, may be selected and used for the surgical robot (not shown) without limitations. Therefore, detailed descriptions of the surgical robot will be omitted.
[0074]
[0075]
[0076] Referring to
[0077] The surgical-device mounting step refers to a step of mounting the support arm 2 to the robot arm of the surgical robot, operating the robot arm to be in position on a surgical site, using the sleeve holder 31 to couple the sleeve 32 to the support arm 2, connecting the operation tool T1 as shown in (a) of
[0078] The guide-member inserting step refers to a step of moving the guide member 13 down in position by controlling the moving piece 143 of the firing member 14 in a forward direction, i.e. in a downward direction as shown in
[0079] In more detail, as shown in (b) of
[0080] The guide-member releasing step refers to a step of controlling the firing member 14 in a reverse direction, i.e. an upward direction, and releasing the binding force applied to the guide member 13 so that the guide member 13 can move upward. In other words, as shown in (a) of
[0081] The extension-member inserting step refers to a step of applying the tightening force to the operation tool T1 so that the extension member 12 can ream and tap the surgical site and form the screw insertion hole P2, in which, when the operation tool T1 is rotated clockwise as shown in (e) of
[0082] The medical-screw inserting step refers to a step of removing the operation tool T1 including the foregoing medical screw surgical device 1, inserting and fastening the screw coupling tool T2 (typically called the screw driver) with the medical screw S through the sleeve 332 of the surgical device holding member 3, and removing the screw coupling tool T2 when the medical screw S is completely inserted.
[0083] As described above, when the pedicle screw insertion is performed in the pedicle screw insertion surgery by the surgical method of using the surgical robot with the medical screw surgical device according to the first embodiment of the disclosure, the surgery is performed by the concise and simple steps including the surgical-device mounting step, the guide-member inserting step, the guide-member releasing step, the extension-member inserting step and the medical-screw inserting step.
[0084] Accordingly, surgical procedures and time taken in surgery are remarkably reduced, and only the surgical instruments such as the medical screw surgical device 1, the general operation tool T1 used as the reamer, and the screw coupling tool T2 called the screw driver are needed without many kinds of surgical instruments such as the guide pin, the reference wire, the first sleeve, the second sleeve, the third sleeve, the reamer, the hammer, etc. conventionally required in the surgery, thereby reducing management and maintenance costs and thus decreasing a burden of medical expenses on a patient.
[0085] Further, during the pedicle screw insertion surgery, the medical screw surgical device 1 is coupled to the support arm 2 mounted to the robot arm of the surgical robot, and the operation tool is coupled and rotated as described above to form the screw insertion hole, thereby having advantages of omitting manual operations such as striking the guide pin with a hammer. The guide member 13 is inserted only at a preset depth, thereby solving a conventional problem caused when it is unintentionally further deeply inserted. The medical screw is inserted through guide operations of the surgical robot, thereby preventing a defective surgery and securing accuracy. Radiography is minimized, thereby having advantages of reducing exposure to radiation.
[0086] The foregoing descriptions are merely one embodiment of carrying out a medical screw surgical device, a surgical robot with the same, and a surgical method of using the surgical robot with the medical screw surgical device, and the disclosure is not limited to the foregoing embodiment, but the technical concept of the disclosure covers up to a range in which various changes can be made by anyone having ordinary knowledge in the art to which the disclosure pertains without departing from the gist of the disclosure defined in the following claims.
[0087] The terms used in the foregoing embodiment are only used to describe a specific embodiment, and not intended to limit the disclosure. Singular forms are intended to include plural forms unless otherwise mentioned contextually. In the disclosure, it will be understood that the terms include, have, etc. are to include the presence of features, numbers, steps, operations, elements, components or combination thereof, but do not preclude the presence or addition of one or more other features, numbers, steps, operations, elements, components or combination thereof.