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Minimally Invasive positioning Robot system of femoral neck hollow screw implants based on X-rays error correction

机译:基于X射线误差校正的股骨颈空心螺钉植入物微创定位机器人系统

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Aiming the high failure rate, the high radiation quantity and the poor positioning accuracy of femoral neck traditional surgery, this article develops a set of new positioning robot system of femoral neck hollow screw implants based on X-rays error correction, which bases on the study of x-rays perspective principle and the Motion Principle of 6 DOF(degree of freedom) series robot UR(Universal Robots). Compared with Computer Assisted Navigation System, this system owns better positioning accuracy and more simple operation. In addition, without extra Equipment of Visual Tracking, this system can reduce a lot of cost. During the surgery, Doctor can plan the operation path and the pose of mark needle according to the positive and lateral X-rays images of patients. Then they can calculate the pixel ratio according to the ratio of the actual length of mark line and the length on image. After that, they can calculate the amount of exercise of UR Robot according to the relative position between operation path and guide pin and the fixed relationship between guide pin and UR robot. Then, they can control UR to drive the positioning guide pin to the operation path. At this point, check the positioning guide pin and the planning path is coincident, if not, repeat the previous steps, until the positioning guide pin and the planning path coincide which will eventually complete the positioning operation. Moreover, to verify the positioning accuracy, this paper make an errors analysis aiming to thirty cases of the experimental model of bone. The result shows that the motion accuracy of the UR Robot is 0.15mm and the Integral error precision is within 0.8mm. To verify the clinical feasibility of this system, this article analysis on three cases of the clinical experiment. In the whole process of positioning, the X-rays irradiation time is 2-3s, the number of perspective is 3-5 and the whole positioning time is 7-10min. The result shows that this system can complete accurately femoral neck positioning surgery. Meanwhile, it can greatly reduce the X-rays radiation of medical staff and patients. To summarize, it has a significant value in clinical application.
机译:针对传统股骨颈手术失败率高,放射量高,定位精度差的问题,在此基础上,研究开发了一套基于X射线误差校正的新型股骨颈空心螺钉植入定位机器人系统。 X射线透视原理和6自由度系列机器人UR(通用机器人)的运动原理。与计算机辅助导航系统相比,该系统具有更好的定位精度和更简单的操作。另外,该系统无需额外的视觉跟踪设备,可以降低很多成本。在手术过程中,医生可以根据患者的正侧位X线照片规划手术路径和标记针的姿势。然后他们可以根据标记线的实际长度与图像上的长度之比来计算像素比。之后,他们可以根据操作路径与导销之间的相对位置以及导销与UR机器人之间的固定关系来计算UR机器人的运动量。然后,他们可以控制UR将定位导销驱动到操作路径。此时,检查定位导销和规划路径是否重合,如果不一致,请重复上述步骤,直到定位导销和规划路径重合,这将最终完成定位操作。另外,为了验证定位精度,针对30例骨实验模型进行了误差分析。结果表明,UR机器人的运动精度为0.15mm,积分误差精度在0.8mm以内。为了验证该系统的临床可行性,本文对3例临床实验进行了分析。在整个定位过程中,X射线照射时间为2-3s,透视数为3-5,整个定位时间为7-10min。结果表明,该系统可以准确完成股骨颈定位手术。同时,可以大大减少医护人员和患者的X射线辐射。综上所述,它在临床应用中具有重要价值。

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