前言導讀

西門子醫療表示：“我們始終相信介入手術機器人技術將在未來血管治療中發揮重要作用。然而， 機器人在心臟介入領域的應用落后于我們最初的預期。經過過去幾個季度的分析決策后，西門子醫療決定停止CorPath GRX途靈（Corindus）介入手術機器人在心臟冠脈領域的業務。”

該公司還稱：“西門子醫療仍將繼續進行神經介入手術機器人的研發，已經開始著手開發新一代的機器人平臺，希望得以在關鍵的卒中發病早期，為患者帶來有效的治療。”

保留一顆敬畏產品和技術的心

對于血管介入手術機器人，筆者也在前幾日發表的文章（可點擊查看）中提到了自己的思考。

血管介入手術機器人是否會成為下一個內卷主戰場？對于血管介入機器人，醫療器械行業人士是存在不同認識的，有的專業人士認為血管介入機器人是“脫衣戰士”，能夠降低手術操作醫生的射線暴露，提高手術效率，不過又有專業人士發出不同的聲音，認為目前血管介入手術機器人實際上并不適合我國實情，醫生群體對于血管介入機器人的需求并不像宣傳里所提及的那么大，而且血管介入類的耗材器械種類繁多，血管介入機器人只能對數量較少的器械進行輸送，運用范圍有限。但是不管怎么樣，不論是切實解放醫生群體的好產品也好，還是能夠撬動資本講故事的好產品也罷，血管介入手術機器人就是這樣來了。

筆者認為，對于西門子Corindus途靈血管介入手術機器人，我們應當心存感謝。

是西門子這樣的大廠率先挖掘了血管介入手術機器人的市場潛力，在醫療器械領域公認的“帶頭大哥”的引領下，我們自信的聚焦于從事于血管介入手術機器人，大部分研發初始的產品競標和對照就是西門子Corindus途靈手術機器人，在國內激烈的內卷行情的洗禮下，各大血管介入手術機器人八仙過海，各顯神通，不斷的產品迭代，挖掘臨床痛點，已有產品實現了“青出于藍而勝于藍”，在我們血管介入機器的人技術發展路徑上，我們真的應當對西門子Corindus途靈手術機器人道一聲感謝。

現在，西門子Corindus途靈手術機器人主動退出市場競爭，一石激起千層浪，把當下血管介入手術機器人的現狀照進現實，撕開了當下血管介入機器人臨床痛點解決不利的面紗。不管輿論再怎么看再怎么說，筆者認為國內當下血管介入手術機器人各大廠家一定還會繼續將血管介入機器人做下去，雖有微調但目標一定不會變，保持這份定力和決心的一定是自信于自家產品和技術的先進性，這種先進性的實現一定會加快，這正是臨床痛點被放大之后的反饋。與其遮遮掩掩，不如痛痛快快的去面對，去克服這個挑戰，從這一點上我們也應當對西門子Corindus途靈手術機器人說一聲謝謝。

而且，西門子家大業大，放棄某一管線實際上對其影響是可控的甚至是不大的，但是對于我們的血管介入機器人廠家來講是做不到的，既然當下的大環境不允許我們廠家去任性，那么在血管介入手術機器人帶頭大哥的退出之下，是不是少了一個大競爭對手，有了更好的逐鹿中原的機會，筆者認為切實做好產品和技術的先進性機會還是很大的。

其實，西門子并未放棄Corindus途靈手術機器人，而是退出了PCI領域，人家也明確說了，會繼續做研發，聚焦于神經外科介入手術機器人，做產品的顛覆，可見人家還是保留了重回賽道的基礎的，這個基礎就是產品和技術的先進性，說不定哪一天來個王者歸來都不好說。而且筆者可以肯定的說，西門子Corindus途靈手術機器人的專利布局一定不會停止，在這個賽道上國內各大血管介入手術機器人廠家依然會感受到“帶頭大哥”的威懾力，國內各大血管介入機器人廠家不能被帶亂了節奏，要時刻保持警惕，保持一顆敬畏產品和技術的心。

西門子Corindus?技術探究

產品簡介

CorPath?GRX產品實物示意

技術脈絡

CorPath系統是第一個獲得 FDA 批準并獲得CE標志的機器人平臺，專為介入醫生設計。在 CorPath 機器人輔助干預期間，該產品是由硬件設備及耗材組合使用的系統，通過醫生坐在遠程工作區使用操作桿或控制臺上的觸摸屏，實現介入設備的遠程傳輸和操作。

Corindus途靈血管介入機器人整體系統圖如下所示：

Corindus途靈血管介入機器人整體系統圖

機器人裝置是Corindus途靈手術機器人的核心部件之一，其主要包括及其支撐臂及其一次性Cassette。如下附圖所示：

Corindus途靈血管介入機器人支撐臂系統圖

Corindus途靈血管介入機器人一次性Cassette系統圖

專利概覽

公開/公告號	US6726675B1	申請日	2000-12-12
發明名稱	Remote control catheterization
解決的技術問題	Catheterization procedures are very commonly performed for diagnosis and treatment of diseases of the heart and vascular system. The catheterization procedure is generally initiated by inserting a guide wire into a blood vessel in the patient's body. The guide wire is then guided to the desired location, most commonly in one of the heart vessels or elsewhere in the vascular system. At this point the catheter is slid over the guide wire into the blood vessel and/or heart. Once the catheter is in the desired position, the guide wire can then be removed, leaving the catheter in location. Alternatively, in some procedures, the catheter is inserted without using a guide wire. The catheter may be used to pass ancillary devices into the body, such as an angioplasty balloon, or to perform other diagnostic or therapeutic procedures.
技術方案	A remote control catheterization system (20) includes a propelling device (28), which controllably inserts a flexible, elongate probe (26) into the body of a patient (22). A control console (34), in communication with the propelling device, includes user controls (38, 40) which are operated by a user of the system remote from the patient to control insertion of the probe into the body by the propelling device.
相關附圖

02

公開/公告號	US7615042B2	申請日	2006-10-12
發明名稱	Transmission for a remote catheterization system
解決的技術問題	To insert a catheter manually, the physician applies torque and axial push force on the proximal end of a guide wire to effect tip direction and axial advancement at the distal end. However, it is difficult to control the distal tip of the catheter from the proximal end. Although these navigation techniques are effective, they are tedious, require extraordinary skill, and result in long medical procedures that fatigue the user.
技術方案	An apparatus for imparting motion from at least one of a plurality of motion sources into linear, rotary, or combined linear and rotary motion of an elongated device, the apparatus comprising a transmission for translating the motion to linear or rotary motion of the elongated device.
相關附圖

03

公開/公告號	US8828021B2	申請日	2009-11-25
發明名稱	Catheter system
解決的技術問題	Before performing an interventional procedure with the disclosed invention, a diagnostic procedure is typically performed. An exemplary diagnostic procedure performed before performing a PCI may include a number of steps. Starting in the femoral artery, a 0.038 guide wire is run over the top of the aortic arch. A diagnostic catheter is advanced over the 0.038 guide wire after which the 0.038 guide wire is removed allowing the diagnostic catheter (DC) to return to its preformed shape enabling the DC to access either the left or the right ostium of the aorta. A contrast media is injected through the DC and the heart is x-rayed to identify the existence and location of any lesion. A y-connector may be secured to the end of the DC outside of the patient. The y-connector provides a means for introducing the contrast media or medication. The y-connector employs a one way valve both at the y-connector leg and the free open end. The 0.038 guide is then reinserted into the DC advanced over the top of the aortic arch, and the diagnostic catheter is removed. When the diagnostic is completed the 0.038 guide wire may be left in place for use in a PCI procedure.
技術方案	A robotic catheter system is provided. The catheter system includes a housing, and the housing has a sidewall and a longitudinal axis. The catheter system includes a recess formed in the sidewall of the housing and a drive mechanism supported by the housing. The drive mechanism is configured to impart movement to a catheter device. The catheter system includes a first channel configured to receive a catheter device, and the first channel has a opening located within the recess.
相關附圖