Positioning arm
20240058973 · 2024-02-22
Assignee
Inventors
Cpc classification
B25J18/002
PERFORMING OPERATIONS; TRANSPORTING
A61B90/08
HUMAN NECESSITIES
A61B2090/571
HUMAN NECESSITIES
International classification
Abstract
A positioning arm for positioning instruments, devices or tools, is disclosed. The positioning arm includes at least two arm elements pivotably connected to one another about a pivot axis via a central joint. At least one of the arm elements includes a further joint at an end opposite the central joint. The positioning arm includes a blocking device for blocking and releasing the central joint and the at least one further joint. The blocking device is arranged on the central joint and effects the blocking and release of the further joints via at least one transmission device formed on the arm elements. The transmission device is formed by a pair of gripper arms which also form the arm elements.
Claims
1. A positioning arm for positioning instruments, devices or tools, the positioning arm comprising: at least two arm elements arranged pivotably connected to one another about a pivot axis by means of a central joint, wherein at least one of the at least two arm elements comprises at least one further joint arranged at an end opposite to the central joint, a blocking device configured to block and release the central joint and the at least one further joint, wherein the blocking device is arranged at the central joint and is configured to effect the blocking and unblocking of the further joints via at least one transmission device formed at the arm elements, and wherein the transmission device comprises a pair of pincer arms arranged to simultaneously also form the arm elements.
2. The positioning arm according to claim 1, wherein: each of the at least two arm elements comprise one of the at least one further joint and wherein the blocking device comprises a transmission device associated with one of the at least one further joint.
3. The positioning arm according to claim 1, wherein the at least one further joint comprises a rotatable clamping body.
4. The positioning arm according to claim 3, the rotatable clamping body comprises at least one of a ball and a rotating sleeve.
5. The positioning arm according to claim 1, wherein: each of the pair of pincer arms comprises a lever arm and a gripping arm, the lever arm is configured to be connected with its rear ends aligned in a region of the central joint by means of the blocking device, and wherein the gripping arm is arranged to form a part of the at least one further joints.
6. The positioning arm according to claim 1, wherein the blocking device comprises an actuating element configured to displace in an axial direction of the central joint and connect to an actuating device.
7. The positioning arm according to claim 6, wherein the actuating device is comprises a rotary handle comprising a clamping handle connected to an eccentric or a motor.
8. The positioning arm according to claim 1, wherein one of the further joints comprises a fastening device configured to attach to an operating table, and another of the further joints is configured to connect to an adapter configured to attach to different instruments, devices or tools.
9. The positioning arm according to claim 1, wherein the pincer arms comprise identical parts.
10. The positioning arm according to claim 1, wherein the pincer arms comprise a light metal, a light metal alloy or a plastic material.
11. The positioning arm according to claim 1, wherein the blocking device comprises latching elements arranged or formed on the transmission device.
12. The positioning arm according to claim 8, wherein the adapter comprises at least one shaped body configured to cooperate with a complementarily shaped receptacle of a holder of the tool, device or instrument.
13. The positioning arm according to claim 12, wherein the shaped body is configured to be fixed in the receptacle by means of a slider arranged on the holder.
14. The positioning arm according to claim 1, wherein the blocking device is configured and arranged to time-delay lock the central joint and the further joints.
15. The positioning arm according to claim 1, wherein at least one spring element configured and arranged to counteract a closing force of the blocking device is arranged in a region of the central joint.
16. The positioning arm according to claim 1, wherein at least one spring element configured and arranged to preload at least one of the arm elements into a predetermined basic position is arranged in a region of the central joint.
17. The positioning arm according to claim 3, wherein the clamping body is arranged connected by means of a tie rod to a connecting joint connecting two pincer arms.
18. A positioning arm for positioning instruments or tools, the positioning arm comprising: at least two arm elements arranged pivotably connected to one another about a pivot axis by means of a central joint, wherein at least one of the arm elements comprises a further joint arranged at an end opposite to the central joint, a blocking device configured to block and release the central joint and the at least one further joint, wherein the blocking device is arranged at the central joint and is configured to effect blocking and unblocking of the further joints via at least one transmission device formed at the arm elements, and wherein one of the at least one further joints is configured to connect to a universal adapter suitable for fastening different tools.
19. The positioning arm according to claim 18, wherein the universal adapter comprises at least one shaped body configured to cooperate with a complementary shaped receptacle of a holder for a tool or instrument.
20. The positioning arm according to claim 19, wherein the at least one shaped body comprises a three-sided prism with rounded corners and edges, and wherein the shaped body and the receptable are configured to clamp non-destructively to a sterile foil at least partially surrounding the positioning arm or the tool.
21. (canceled)
Description
BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS
[0028] Further features, advantages and embodiments of the invention will be apparent from the following description based on the figures, wherein:
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DETAILED DESCRIPTION OF THE INVENTION
[0053] As used throughout the present disclosure, unless specifically stated otherwise, the term or encompasses all possible combinations, except where infeasible. For example, the expression A or B shall mean A alone, B alone, or A and B together. If it is stated that a component includes A, B, or C, then, unless specifically stated otherwise or infeasible, the component may include A, or B, or C, or A and B, or A and C, or B and C, or A and B and C. Expressions such as at least one of do not necessarily modify an entirety of the following list and do not necessarily modify each member of the list, such that at least one of A, B, and C should be understood as including not only one of A, only one of B, only one of C, or any combination of A, B, and C.
[0054] Similar elements are generally indicated in the figures with the same or similar reference numerals.
[0055] A positioning arm 100 shown in
[0056] At an end remote from the central joint 130, the second arm element 120 comprises a further joint 150 through which the positioning arm 100 is connectable to a universal adapter 170.
[0057] The first arm element 110 is formed by an outer pincer arm 111 and an inner pincer arm 112, which are connected to each other at a connecting joint 113 formed, for example, by a bolt 1131. The outer pincer arm 111 comprises a lever arm 1111 starting from the central joint 130 and a gripping arm 1112 between the connecting joint 113 and the further joint 140. The inner pincer arm 112 comprises a lever arm 1121 starting from the central joint 130 and a gripping arm 1122 behind the connecting joint 113 in the direction of the further joint 140.
[0058] At least one gripper 1113 is formed on the gripping arm 1112 and at least one gripper 1123 is formed on the gripping arm 1122. The inside of the gripping arm 1112 comprises a concave recess 1114 and the inside of the gripping arm 1122 comprises a concave recess 1124. The grippers 1113 of the gripping arm 1112 and the grippers 1123 of the gripping arm 1122 enclose a clamping body 141 of the further joint 140, which in
[0059] The ball 142 is connected to a cylindrical connecting piece 144, which preferably has an external thread formed thereon that is not shown and which can be screwed into a matching internal thread of the fastening device 160, which is also not shown.
[0060] The second arm element 120 is formed by an outer pincer arm 121 and an inner pincer arm 122, which are pivotably connected to one another in a connecting joint 123 formed, for example, by a bolt 1231. The outer pincer arm 121 comprises a lever arm 1211 starting from the central joint 130 and a gripping arm 1212 between the connecting joint 123 and the further joint 150. The inner pincer arm 122 comprises a lever arm 1222 starting from the central joint 130 and a gripping arm 1222 behind the connecting joint 123 in the direction of the further joint 150.
[0061] At least one gripper 1213 is formed on the gripping arm 1212 and at least one gripper 1223 is formed on the gripping arm 1222. The inside of the gripping arm 1212 comprises a concave recess 1214 and the inside of the gripping arm 1222 comprises a concave recess 1224. The grippers 1213 of the gripping arm 1212 and the grippers 1223 of the gripping arm 1222 enclose a clamping body 151 of the further joint 150, which in
[0062] The ball 152 is connected to a cylindrical connecting piece 154, which preferably comprises a male thread (not shown) that can be screwed into a matching female thread of a carrier 171 of the universal adapter 170, which is also not shown.
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[0064] At least two of the pincer arms 111, 112, 121 and 122 comprise latching elements 1115, 1125, 1215 and 1225. In
[0065] In an alternative embodiment shown in
[0066] The pincer arms 111, 112, 121 and 122 comprise an offset shape, with a transversely extending bore being provided approximately in the center of the offset for forming the connecting joints 113 and 123, respectively, by means of a through bolt. In these areas of the transversely extending bores, rectangular cutouts 1117, 1127, 1217 and 1227 are formed on the four pincer arms 111, 112, 121 and 122, which cutouts extend approximately to the center of the respective pincer arms and, in the assembled state, allow a respective pair of pincer arms 111 to engage with 112 and 121 with 122.
[0067] The pincer arms 111, 112, 121 and 122 can be manufactured inexpensively as identical parts in a robust design as an aluminum die casting or as a plastic injection molding.
[0068] The central joint 130 forms a pivot axis 131 for the first arm element 110 and the second arm element 120. The central or middle joint 130 connectsas best shown in
[0069] In each case, the outer pincer arm 121 of the second arm element 120, the inner pincer arm 112 of the first arm element 110, the inner pincer arm 122 of the second arm element 120 and the outer pincer arm 111 of the first arm element 110 lie alternately one above the other from bottom to top. The threaded rod 1322 is connected at its upper end to an operating element formed as a rotary handle 1321 or, as shown in
[0070] The lower end of the threaded rod 1322 is screwed eitheras shown in
[0071] The threaded rod 1322, in conjunction with the operating elements, namely the rotary handle 1321, the clamping handle 1324 or a motor 1326 indicated in
[0072] The motor 1326 is preferably driven by an accumulator arranged in the housing, which is preferably integrally formed on the pincer arm 111, wherein the operating elements 1327 are arranged in an ergonomically favorable manner and the housing, as shown in
[0073] Tightening the operating elements 1321, 1324 or 1326 presses the ends of the pincer arms 111, 112, 121 and 122 against each other. In an only slightly tightened state, a swiveling movement about the pivot axis 131 is still possible. If, on the other hand, the operating elements 1321, 1324 or 1326 are tightened strongly, the swiveling movement of the arm elements 110 and 120 relative to each other is blocked in the central joint 130.
[0074] This locking can be reinforced by the interlocking toothing 1116, 1126, 1216 and 1226 of the latching elements 1115, 1125, 1215 and 1225. Two variants are possible here. As shown in
[0075] On the other hand, as shown in
[0076] By blocking the middle joint 130 by means of the blocking device 132, the other joints 140 or 150 are also blocked simultaneously or with a slight time delay. When the pincer ends are pressed together at the lever arms 1111, 1121, 1211 and 1221 of the pincer arms 111, 112, 121 and 122, the gripping arms 1112 and 1122 of the first arm element 110 and the gripping arms 1212 and 1222 of the second arm element 120 are simultaneously pressed together. They thereby enclose the clamping bodies 141 and 151, respectively, which are formed either by balls 142 and 152, respectively, or by rotating sleeves 143 and 153, respectively, the rotating sleeves 143 and 153, respectively, in turn also being suitable for receiving balls 142 and 152, respectively, according to a particularly advantageous variant.
[0077] By means of different diameters of the balls 142 or 152 and/or by means of different thicknesses of spacer sleeves 133, it is possible to set very precisely which of the joints 130, 140 and or 150 locks first and which locks last when the blocking device 132 is actuated. According to an advantageous variant, for example, the joint 140 can block first after the positioning arm 100 has been roughly pivoted into the required position of use. When the blocking device 132 is further tightened, the central joint 130 can then block next, for example, and the further joint 150 last, after an instrument 190 arranged there on the universal adapter 170 has been rotated or pivoted into the target position. The sequence just described is only to be seen as an example. Any other sequence is also possible with a corresponding adjustment of the diameters or the diameters of the balls 142 or 152 and/or the rotating sleeves 143 or 153 and/or the thickness of the spacer washers 133. It is also possible to influence the timing of the locking of the respective joint 130, 140 or 150 by changing the length ratios of the lever arms to the gripping arms on the respective pair of pincer arms.
[0078] Instead of the latching elements 1115, 1125, 1215 and 1225, an outer cone 1118 on the pincer arm 111 engaging in an inner cone 1228 on the pincer arm 122 and an outer cone 1218 on the pincer arm 121 engaging in an inner cone 1128 on the pincer arm 112 can also assist the blocking device 132 in blocking the central joint 130, as shown in
[0079] To ensure that the blocking device 132 of the central joint 130 opens easily when the rotary handle 1321, the clamping handle 1324 or the motor 1326 is opened, it is advantageous if at least one spring element 134 counteracts the closing force. In
[0080] Handling of the positioning arm 100 according to the invention is advantageously additionally facilitated by the fact that, as shown in
[0081] As can be seen in
[0082] At the other end on the patient side, a universal adapter 170 is particularly preferably provided adjacent to the second joint 150, which can be connected to the connecting piece 154, for example, by screwing it into a carrier 171. The universal adapter 170 comprises a shaped body 173, which is particularly preferably designed in the manner of a three-sided prism. The shaped body 173 is configured to be positively connected to a receptacle 181 on a holder 180, the shaped body 173 thereby being pressed in a wedge shape against the two inclined front flanks of the receptacle 181 when a slider 184, which is displaceably mounted on the holder 180, is pressed against it from behind by means of a rotary handle 182. The universal adapter 170 may additionally comprise a rotation axis 172 formed by a screw 175 with a rotary handle 174 arranged thereon (
[0083] The prism of the shaped body 173 has no sharp corners and edges. If a sterile covering foil 200 (see
[0084] As can be seen from
[0085] The universal adapter 170 represents an independently inventive feature in its own right, as it is connectable by its shaped body 173 to any holders 180 for any tools 190, 191, 192, 193, 194 and 195. As a result, any tools 190, 191, 192, 193, 194 and 195 can be arbitrarily placed and quickly changed on a plurality of such positioning arms 100 as required during an operation. The positioning arm 100 according to the invention is also suitable for attaching preferably remotely operable robotic systems or patient positioning systems to the universal adapter 170. The locking of the joints 130, 140, 150 is so stable in the locked state that the entire operating table can be raised on the universal adapter 170 without the set position of the joints 130, 140, 150 changing in the slightest.
[0086] As can be seen from
[0087] Sterility can also be achieved in a simple manner by drawing a sterile covering foil 200 over the entire positioning arm 100. This is only indicated in
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[0089] After the tie rod 1423 is inserted into the bore of the ball 1420, a connecting piece 1440 with its thread 1441 attached to one end is screwed into the thread 1421 of the ball 1420.
[0090] The ball 1420 is pulled by means of the tie rod 1423 when the pincer arms 111 and 112 are pressed together against a recess 1114, which is flatter in this case, of a gripper 1113 at the end of the pincer arms 111 and 112, thereby arresting a movement of the ball 1420. The teeth of the gripper 1113 are designed to be shorter in this variant than in the variants described first, in which the teeth of the grippers 1113, 1123, 1213, 1223 engage around the clamping bodies 141, 151 or the balls 142, 152 to more than half their diameter.
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[0092] In
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[0094] The scope of protection of the present invention is given by the claims and is not limited by the features illustrated in the description or shown in the figures.