WO2020118704A1 - Multi-frequency planar-array endoscopic ultrasonography system - Google Patents

Multi-frequency planar-array endoscopic ultrasonography system Download PDF

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Publication number
WO2020118704A1
WO2020118704A1 PCT/CN2018/121282 CN2018121282W WO2020118704A1 WO 2020118704 A1 WO2020118704 A1 WO 2020118704A1 CN 2018121282 W CN2018121282 W CN 2018121282W WO 2020118704 A1 WO2020118704 A1 WO 2020118704A1
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WIPO (PCT)
Prior art keywords
frequency
ultrasonic
ultrasonic probe
low
ultrasound
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PCT/CN2018/121282
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French (fr)
Chinese (zh)
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马腾
李永川
王丛知
黄继卿
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深圳先进技术研究院
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Priority to PCT/CN2018/121282 priority Critical patent/WO2020118704A1/en
Publication of WO2020118704A1 publication Critical patent/WO2020118704A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy

Definitions

  • the present application relates to the technical field of endoscopes, and more particularly, to a multi-frequency area array ultrasound endoscope system.
  • Ultrasonic endoscopy is a medical device that combines ultrasound and endoscopy.
  • EUS Endoscopic Ultrasonography System
  • the endoscope enters the body cavity, perform a tomographic scan of the internal organ wall or adjacent organs under the direct view of the endoscope to obtain ultrasound images of various levels below the mucosa of the internal organ wall and surrounding adjacent organs, such as the mediastinum, pancreas, bile ducts and Lymph nodes, etc., have great advantages in staging of gastrointestinal tumors and judging the nature of tumors originating from the intestinal wall.
  • the ultrasound endoscopic system can also use ultrasound echo signals to generate ultrasound images to guide real-time fine needle aspiration biopsy (Fine-Needle Aspiration, FNA), tumor injection treatment, pancreatic cyst puncture and drainage surgery, etc.
  • FNA fine needle aspiration biopsy
  • the two-dimensional area array probe can not only perform real-time volume imaging, guide puncture and other biopsies, but also use the two-dimensional HIFU probe to perform precise ablation and other operations on the lesion after the diagnosis of the lesion, which provides powerful ultrasound imaging diagnosis and treatment for the ultrasound endoscope system. tool.
  • the two-dimensional area array probe can realize three-dimensional ultrasound imaging, which is more advantageous for displaying the coronal plane of related organs or lesions; it can display the overall anatomy of a certain organ more completely; it can accurately measure a certain organ or disease Quantitative diagnosis of the size and volume of the structure; can accurately display the three-dimensional shape and spatial position of the lesion for accurate ultrasound-guided interventional treatment; use color energy technology to reconstruct the three-dimensional blood vessel, display the three-dimensional shape, spatial structure and direction of the blood vessel, tumor and blood vessel The spatial position relationship, etc., which helps to judge the benign and malignant tumors and the choice of surgical plan.
  • the working frequency of ultrasound probes for volume imaging is generally higher, greater than 3MHz.
  • the orientation and distance that can be focused using the two-dimensional area array beam can be adjusted, and it can also be used to replace conventional puncture surgery with a treatment tool for tumor injection treatment through a biopsy channel.
  • the working frequency of HIFU probes is generally low (0.5MHz-3MHz).
  • Ultrasonic probes can achieve different functions at different operating frequencies.
  • the existing ultrasonic probes can only use one frequency in ultrasonic endoscopes, which cannot take into account imaging and treatment, resulting in a single ultrasonic probe function and increased patient burden.
  • an embodiment of the present invention provides a multi-frequency area array ultrasound endoscope system to take into account the imaging and treatment functions of the ultrasound endoscope.
  • a multi-frequency area array ultrasound endoscope system includes an insertion portion capable of being introduced into a subject, a front end portion of the insertion portion is provided with a treatment instrument channel penetration opening for guiding the treatment instrument to extend, and cooperates with the treatment instrument Ultrasonic probe section for ultrasonic scanning;
  • the ultrasonic probe section includes a high-frequency ultrasonic probe section that performs ultrasonic scanning on an affected part in the subject, and a low-frequency ultrasonic probe section that performs ultrasonic treatment on the affected part in the subject.
  • the ultrasound probe portion and the treatment instrument channel penetration are distributed on both sides of the front end portion in the radial direction, and the low frequency scanning area of the low frequency ultrasound probe portion
  • a high-frequency scanning area of the high-frequency ultrasonic probe portion covers the entrance and exit area of the treatment instrument, and the amplitude direction of the high-frequency ultrasonic probe portion and the amplitude direction of the low-frequency ultrasonic probe portion are orthogonally arranged.
  • the ultrasound end face of the ultrasound probe part and the insertion axis of the insertion part are arranged diagonally and crosswise.
  • the high-frequency ultrasonic probe section includes a plurality of high-frequency ultrasonic vibrators arranged in an arc-shaped array of ultrasonic end faces; the low-frequency ultrasonic probe section includes a plurality of ultrasonic end faces Low-frequency ultrasonic vibrators arranged in an arc-shaped array.
  • the high-frequency ultrasonic vibrator and the low-frequency ultrasonic vibrator are both piezoelectric elements using piezoelectric ceramics and their composite materials, single crystal ferroelectric materials and their composites Materials, such as single crystal materials, electrostrictive elements, or ultrasonic vibrators prepared by ultrasonic transducers using micromechanical technology.
  • the piezoelectric vibrators of the high-frequency ultrasonic probe portion and the low-frequency ultrasonic probe portion are arranged in an up-down structure, a left-right structure, or a high-frequency inner and outer low-frequency surrounding structure .
  • the high-frequency ultrasonic vibrator is independently driven, and the focus point of the high-frequency ultrasonic probe portion is controlled by the drive timing of the adjacent high-frequency ultrasonic vibrator before and after delayed drive control Adjustable.
  • the ultrasonic frequency of the high-frequency ultrasonic probe section is greater than 3 MHz; the ultrasonic frequency of the low-frequency ultrasonic probe section is 0.5-3 MHz.
  • the above-mentioned multi-frequency area array ultrasound endoscope system further includes a bending part, a flexure tube part and an operation part sequentially connected to the base end of the insertion part, and a fluid sending-out is also provided on the front end part of the insertion part Unit, imaging device, and lighting device; the operation unit is connected to an ultrasound observation control unit, an image display device, and a power ultrasound generation system.
  • the ultrasonic observation control section controls the high-frequency ultrasonic probe section to transmit ultrasonic waves to a specified area, and receives a reflection signal from the specified area.
  • the multi-frequency area array ultrasound endoscope system provided by the present invention includes an insertion portion that can be introduced into the subject, and a distal end portion of the insertion portion is provided with a treatment instrument channel penetration opening that guides the treatment instrument to extend and cooperates with the treatment instrument to perform ultrasound Ultrasonic probe section for scanning; the ultrasonic probe section includes a high-frequency ultrasonic probe section that performs ultrasonic scanning on the affected part in the subject, and a low-frequency ultrasonic probe section that performs ultrasonic treatment on the affected part in the subject.
  • the ultrasound endoscope system is introduced into the subject for ultrasound scanning by its insertion part.
  • the treatment instrument channel penetration is located at the front end of the insertion part.
  • An ultrasound probe part is also provided on the front end part.
  • the ultrasound probe part The treatment instruments protruding from the channel penetration opening are coordinated by ultrasound.
  • the ultrasound probe section is provided with a high-frequency ultrasound probe section and a low-frequency ultrasound probe section at the same time.
  • the high-frequency ultrasound probe section scans the affected area in the subject to obtain a predetermined treatment area.
  • the low-frequency ultrasonic probe section performs ultrasonic treatment on the affected area.
  • the high-frequency ultrasonic wave is scanned into the affected area in the subject
  • ultrasonic treatment can be carried out directly by low-frequency ultrasound.
  • an ultrasound endoscope system is inserted into the subject, and ultrasound imaging and treatment are performed at the same time, reducing the burden on the patient.
  • FIG. 1 is a structural diagram of a multi-frequency area array ultrasound endoscope system provided by the present invention
  • FIG. 2 is a schematic diagram of the structure of the insertion part in the multi-frequency area array ultrasonic endoscope system in FIG. 1;
  • Figure 3 is a cross-sectional view of Figure 2;
  • FIG. 4 is a projection view of the ultrasonic scanning area of the insertion part in FIG. 2;
  • FIG. 5 is a schematic diagram of a first arrangement structure of an ultrasonic probe part in a multi-frequency area array ultrasonic endoscope system provided by the present invention
  • FIG. 6 is a schematic diagram of a second arrangement structure of an ultrasonic probe part in a multi-frequency area array ultrasonic endoscope system provided by the present invention
  • FIG. 7 is a schematic diagram of a third arrangement structure of an ultrasonic probe part in a multi-frequency area array ultrasonic endoscope system provided by the present invention.
  • the invention discloses a multi-frequency area array ultrasonic endoscope system, which takes into account the imaging and treatment functions of the ultrasonic endoscope.
  • FIG. 1 is a structural diagram of a multi-frequency area array ultrasound endoscope system provided by the present invention
  • FIG. 2 is a schematic structural diagram of an insertion portion in the multi-frequency area array ultrasound endoscope system in FIG. 1
  • FIG. 3 is a cross-sectional view of FIG. 2
  • FIG. 4 is a projection view of the ultrasonic scanning area of the insertion portion in FIG.
  • the present application provides a multi-frequency area array ultrasound endoscope system, which includes an insertion portion 10 that can be introduced into a subject.
  • the front end portion 11 of the insertion portion 10 is provided with a treatment instrument channel through-hole 17 that guides the treatment instrument to extend
  • An ultrasound probe unit that performs ultrasound scanning in conjunction with a treatment instrument; the ultrasound probe unit includes a high-frequency ultrasound probe unit 21 that performs ultrasound scanning on an affected part in the subject, and a low-frequency ultrasound probe unit 20 that performs ultrasonic treatment on the affected part in the subject.
  • the ultrasound endoscope system is introduced into the subject by the insertion part 10 to perform ultrasound scanning.
  • the treatment instrument channel through-hole 17 is located at the front end 11 of the insertion part 10.
  • the front end 11 is also provided with an ultrasound probe part.
  • the ultrasound probe part In the process, the treatment instrument extending through the treatment instrument channel through-hole 17 is subjected to ultrasound coordination.
  • the ultrasound probe section is provided with a high-frequency ultrasound probe section 21 and a low-frequency ultrasound probe section 20 at the same time.
  • the high-frequency ultrasound probe section 21 scans the affected area in the subject
  • the low-frequency ultrasonic probe section 20 performs ultrasonic treatment on the affected area, by simultaneously performing high-frequency and low-frequency ultrasonic scanning on the ultrasonic probe section, and matching the ultrasonic scanning with the extended position of the treatment instrument, After the high-frequency ultrasound scans the affected part in the subject, the ultrasound treatment can be performed directly by the low-frequency ultrasound.
  • the ultrasound endoscopic system is inserted into the subject, and the ultrasound imaging and treatment are performed at the same time, reducing the burden on the patient.
  • the ultrasonic probe portion and the treatment instrument channel penetration opening 17 are distributed on both sides in the radial direction of the front end portion 11, the low frequency scanning area L2 of the low frequency ultrasonic probe portion 20 and the high frequency scanning of the high frequency ultrasonic probe portion 21
  • the area L1 covers the entry and exit area of the treatment instrument 50, and the amplitude direction of the high-frequency ultrasonic probe portion 21 and the amplitude direction of the low-frequency ultrasonic probe portion 20 are arranged orthogonally.
  • the scanning areas of the high-frequency ultrasonic probe portion 20 and the low-frequency ultrasonic probe portion 21 both cover the entry and exit areas of the treatment instrument 50. After the affected area is determined, the low-frequency ultrasonic probe portion 20 and the treatment instrument 50 can be used to treat the affected area.
  • the ultrasonic probe portion and the treatment instrument channel through-hole 17 are located on both sides of the radial direction of the front end portion 11, respectively, making full use of the space of the front end portion, and providing sufficient space for the ultrasonic probe portion to be arranged.
  • the ultrasonic probe section guides the treatment instrument to perform ultrasonic treatment
  • the high-frequency ultrasonic probe section 21 and the low-frequency ultrasonic probe section 20 need to accurately focus on the affected part in the subject, and the scanning of the high-frequency ultrasonic probe section 21 and the low-frequency ultrasonic probe section 20
  • the areas are all three-dimensional arc-shaped scanning areas.
  • the exit axis of the treatment instrument channel penetration 17 is the extension direction of the treatment instrument.
  • the length of the extension of the treatment instrument 50 should fall in both the low-frequency scanning area L2 and the high-frequency scanning area L1 .
  • the amplitude direction of the low-frequency ultrasonic probe portion 20 and the amplitude direction of the high-frequency ultrasonic probe portion are orthogonally arranged.
  • the access area of the treatment instrument is located in the center of the high-frequency scanning area L1 and the low-frequency scanning area L2, that is, the central area of the high-frequency scanning area L1 and the low-frequency scanning area L2 is arranged along the axial direction of the treatment instrument channel penetration, further Improve the accurate positioning of the affected area in the subject.
  • FIG. 4 shows the projection of the amplitude direction of the two along the axial section view of the insertion portion 10 .
  • the high frequency scanning area L1 and the low frequency scanning area L2 shown in FIG. 4 only represent the scanning area along the high and low frequency amplitude direction, where the low frequency scanning area represents the position of its focus point 80, and is not strictly expressed in the projection direction, the high and low frequency amplitude
  • the positional relationship of the directions is still orthogonal.
  • the ultrasound end face of the ultrasound probe part and the insertion axis of the insertion part 10 are arranged diagonally and crosswise.
  • the ultrasonic probe part includes an ultrasonic probe part mounting support protruding from the front end part 11, the mounting end surface of the mounting support is arranged obliquely to the axial direction of the insertion part 10, the ultrasonic vibrator of the ultrasonic probe part is mounted on the mounting bracket, and its ultrasonic end surface is It is the mounting end face of the mounting bracket.
  • the axial direction of the treatment instrument channel penetration opening 17 is substantially the same as the direction of the ultrasound end surface of the ultrasound probe part, so that after the treatment instrument is extended, its extended end is located in the ultrasound scanning area of the ultrasound probe part.
  • the ultrasonic probe parts (20, 21) are located in the mounting bracket, the insertion part 10 is inserted into the subject, and the affected part in the subject is located in the circumferential direction of the insertion part 10. Therefore, the treatment instrument channel through-hole 17 and the circumferential direction of the insertion part 10 are A certain angle is convenient for the treatment instrument 50 to extend to the affected area.
  • the ultrasound end surface is arranged obliquely with respect to the axial direction of the insertion portion 10, that is, the scanning direction of the ultrasound probe portion (20, 21) and the insertion shaft 10 are at a certain oblique angle, and the ultrasound treatment is performed in conjunction with the treatment instrument 50.
  • the high-frequency ultrasonic probe portion 21 includes a plurality of high-frequency ultrasonic vibrators arranged in a circular arc-shaped array of ultrasonic end faces;
  • the low-frequency ultrasonic probe portion 20 includes a plurality of low-frequency ultrasonic waves arranged in a circular arc-shaped array of ultrasonic end faces Vibrator.
  • the high-frequency ultrasonic probe portion 21 and the low-frequency ultrasonic probe portion 20 are both mounted on the mounting bracket of the ultrasonic probe portion of the front end portion 11, the high-frequency ultrasonic probe portion 21 is composed of a plurality of high-frequency ultrasonic vibrators, and a plurality of high-frequency ultrasonic vibrator arrays are arranged And, it has an arc-shaped structure on the ultrasonic end surface, specifically, the high-frequency ultrasonic probe portion 21 has a circular arc end surface that gradually protrudes from the edge to the middle.
  • the low-frequency ultrasonic probe section 20 is arranged by a plurality of low-frequency ultrasonic vibrator arrays, and its ultrasonic end face is also set as an arc-shaped ultrasonic end face.
  • the ultrasonic end faces of the low-frequency ultrasonic probe section 20 and the high-frequency ultrasonic probe section 21 can also be arranged in a planar structure, the ultrasonic end faces of the low-frequency ultrasonic transducer and the high-frequency ultrasonic transducer are flush, and two-dimensional scanning of the affected part in the subject can also be achieved .
  • the high-frequency ultrasonic probe section 21 and the low-frequency ultrasonic probe section 20 of the arc-shaped structure are such that the ultrasonic beams emitted by the high-frequency ultrasonic probe section and the low-frequency ultrasonic probe section are in a diffuse fan-shaped scanning area, expanding the high-frequency ultrasonic probe
  • the scanning range of the unit 21 and the low-frequency ultrasonic probe unit 20 is more conducive to the scanning and positioning of the affected area.
  • the high-frequency ultrasonic vibrator and the low-frequency ultrasonic vibrator are both piezoelectric elements such as piezoelectric ceramics and their composite materials, single crystal materials such as monocrystalline ferroelectric materials and their composite materials, electrostrictive elements or Ultrasonic vibrator prepared using micromachined ultrasonic transducer.
  • FIG. 5 is a schematic diagram of a first arrangement structure of an ultrasonic probe part in a multi-frequency area array ultrasound endoscope system provided by the present invention
  • FIG. 6 is a multi-frequency area array ultrasound endoscope system provided by the present invention
  • FIG. 7 is a schematic diagram of the third arrangement structure of the ultrasonic probe section in the multi-frequency area array ultrasonic endoscope system provided by the present invention.
  • the piezoelectric vibrators of the high-frequency ultrasonic probe portion 21 and the low-frequency ultrasonic probe portion 20 are arranged in an up-down structure, a left-right structure, or a surrounding structure with high frequencies inside and outside low frequencies.
  • the treatment instrument 50 is arranged on the top in a forward direction, and the ultrasound probe portion may be arranged in a high-frequency ultrasound probe portion 21 on top and a low-frequency ultrasound probe portion 20 on the bottom, and the two may also be arranged in reverse.
  • the high-frequency ultrasonic probe portion 21 is on the left and the low-frequency ultrasonic probe portion 20 is on the right, and the two may also be arranged in reverse.
  • the high-frequency ultrasonic probe portion 21 may be arranged in the middle, and the low-frequency ultrasonic probe portion 20 may be arranged around the periphery.
  • the high-frequency ultrasonic vibrator is independently driven, and the focus point of the high-frequency ultrasonic probe portion 21 is adjustable before and after the drive timing delay drive control of adjacent high-frequency ultrasonic vibrators.
  • the position can be adjusted back and forth, when the treatment operation is performed on the subject, the treatment instrument 50 is extended from the treatment instrument channel through-hole 17, specifically, if the treatment instrument 50 is a puncture needle, the front end of the insertion portion 10 of the ultrasonic endoscope system The distance between the part and the affected part is different.
  • the length of the puncture needle needs to be adjusted according to the distance between the affected part and the front end.
  • the puncture needle can be adjusted during the surgical operation.
  • Accurate three-dimensional data can be obtained at different distances in the treatment of the affected area, and higher-resolution three-dimensional images can be obtained to improve the treatment effect of the treatment operation.
  • the ultrasonic frequency of the high-frequency ultrasonic probe portion 21 is greater than 3 MHz; the ultrasonic frequency of the low-frequency ultrasonic probe portion 20 is 0.5-3 MHz.
  • the present case further includes a bending portion 12, a flexure tube portion 13 and an operation portion 30 connected to the base end of the insertion portion in sequence, and the front end portion 11 of the insertion portion 10 is further provided with a fluid delivery portion 14 and an imaging device 15 And the lighting device 16; the operation unit 30 is connected to the ultrasound observation control unit 3, the image display device 4, and the power ultrasound generation system 5.
  • the ultrasonic endoscope system provided in this case is sent into the subject by the insertion part 10 with the dual-frequency ultrasonic probe part, and the proximal end of the insertion part 10 is connected to the bending part 12 and the flexure tube part 13 to send the insertion part 10 into the test
  • the front end portion of the insertion portion 10 is composed of the fluid delivery portion 14, the imaging device 15, and the lighting device 16.
  • a treatment instrument through line 18 is provided, and the treatment instrument through the line 18 is communicated by the tube head 34, the puncture needle is inserted from the tube head through the treatment instrument channel through-out port 17, the tube head 34 is provided on the operation part 30, and the operation part 30 is provided with an angle knob for operating the bending of the bending part 12 31.
  • An air and water supply button 32 for controlling the operation of sending out the fluid from the fluid sending part 14 provided in the front end portion 10, and a suction button 33 for controlling the operation of sucking the fluid from the treatment instrument insertion port 17, Cooperate with the ultrasonic probe part and treatment equipment for ultrasonic imaging and treatment.
  • the ultrasound probe section is further provided with an ultrasound observation control section 3, an image display device 4 and a power ultrasound generating system 5.
  • the base end of the operation section 30 is connected to a universal cable 40, and the base end portion of the universal cable 40 is provided with a light source device 6
  • the connected endoscope connector 41 transmits the light emitted from the light source device 6 along the universal cable 40, the operation portion 30, and the optical fiber cable inserted into the insertion portion 10, and is emitted from the illumination device 16 of the front end portion 11.
  • the electric cable 42 and the high-frequency ultrasonic cable 44 and the low-frequency ultrasonic cable 46 extend from the endoscope connector 41.
  • the electrical cable 42 is detachably connected to the camera control unit via an electrical connector.
  • the camera control unit is electrically connected to the imaging device 15 provided at the front end portion 11 through an electric cable 42.
  • the camera control unit is electrically connected to the image display device 4, and outputs the image captured by the imaging device 15 to the image display device 4.
  • the high-frequency ultrasonic cable 44 is detachably connected to the ultrasonic observation control unit 3 via the ultrasonic connector 45, and the low-frequency ultrasonic cable 46 is detachably connected to the ultrasonic generating system 5 via the ultrasonic connector 47.
  • the ultrasonic observation control section 3 controls the high-frequency ultrasonic probe section 21 to transmit ultrasonic waves to a specified area, and receive the reflection signal of the specified area.
  • the high-frequency ultrasonic probe part 21 emits ultrasonic waves to a designated area in the subject, and performs two-dimensional ultrasonic scanning of the designated area to form a three-dimensional ultrasound image.
  • Volume imaging can include a high-frequency scanning area L1 and low frequency The area formed by the scanning area L2.
  • the low-frequency ultrasonic probe part 20 performs precise ablation and other operations on the affected area in the volume imaging formed by the high-frequency ultrasonic probe part 21, and the effect of the ablation and other operations can also be observed and tested through the volume imaging.

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Abstract

Disclosed is a multi-frequency planar-array endoscopic ultrasonography system. The system is provided with an ultrasonic probe portion, wherein the ultrasonic probe portion comprises a high-frequency ultrasonic probe portion (21) for ultrasonically scanning an affected part in a body being examined, and a low-frequency ultrasonic probe portion (20) for ultrasonically treating the affected part in the body being examined. An insertion portion (10) is led into the body being examined. During ultrasonic scanning, the ultrasonic probe portion is in ultrasonic cooperation with a handling instrument (50). The high-frequency ultrasonic probe portion (21) carries out scan imaging on the affected part in the body being examined, and after a pre-determined treatment area is obtained, and the low-frequency ultrasonic probe portion (20) is used to ultrasonically treat the affected part. After the affected part in the body being examined is scanned using a high-frequency ultrasonic wave, ultrasonic treatment can be directly carried out by means of a low-frequency ultrasonic wave, thus ultrasonic imaging and treatment can be simultaneously carried out by means of only inserting the endoscopic ultrasonography system into the body being examined once, and relieving the burden placed on patients.

Description

一种多频面阵超声波内镜系统Multi-frequency area array ultrasonic endoscope system 技术领域Technical field
本申请涉及内窥镜技术领域,更具体地说,涉及一种多频面阵超声波内镜系统。The present application relates to the technical field of endoscopes, and more particularly, to a multi-frequency area array ultrasound endoscope system.
背景技术Background technique
超声波内窥镜(Endoscopic Ultrasonography System,EUS)是一种集超声波与内镜检查为一身的医疗设备。当内镜进入体腔后,在内镜直视下对内脏器官壁或邻近脏器进行断层扫描,获得内脏器官壁黏膜以下各层次和周围邻近脏器的超声图像,如纵膈、胰腺、胆管及淋巴结等,它在胃肠道肿瘤的分期及判断肠壁起源肿瘤的性质方面具有极大的优势。不仅如此,超声波内镜系统还可以利用超声波回波信号生成超声图像实时引导细针吸引活检(Fine-Needle Aspiration,FNA)以及肿瘤注射治疗、胰腺囊肿穿刺引流手术等。Ultrasonic endoscopy (Endoscopic Ultrasonography System, EUS) is a medical device that combines ultrasound and endoscopy. When the endoscope enters the body cavity, perform a tomographic scan of the internal organ wall or adjacent organs under the direct view of the endoscope to obtain ultrasound images of various levels below the mucosa of the internal organ wall and surrounding adjacent organs, such as the mediastinum, pancreas, bile ducts and Lymph nodes, etc., have great advantages in staging of gastrointestinal tumors and judging the nature of tumors originating from the intestinal wall. Not only that, the ultrasound endoscopic system can also use ultrasound echo signals to generate ultrasound images to guide real-time fine needle aspiration biopsy (Fine-Needle Aspiration, FNA), tumor injection treatment, pancreatic cyst puncture and drainage surgery, etc.
二维面阵探头不仅可以实时容积成像,引导穿刺等活检,在病变确诊后也可以用二维HIFU探头对病变处实施精准消融等手术,为超声波内窥镜系统提供超声成像诊断和治疗的有力工具。The two-dimensional area array probe can not only perform real-time volume imaging, guide puncture and other biopsies, but also use the two-dimensional HIFU probe to perform precise ablation and other operations on the lesion after the diagnosis of the lesion, which provides powerful ultrasound imaging diagnosis and treatment for the ultrasound endoscope system. tool.
二维面阵探头能实现三维超声成像,从而对有关脏器或病变冠状面的显示更具优越性;可以较完整显示某一脏器的整体解剖形态;可精确地测量某一脏器或病变结构的大小、容积进行定量诊断;能较准确显示病变的三维形态与空间位置,进行精确超声导向介入治疗;利用彩色能量技术进行血管三维重建,显示血管三维形态、空间结构与走向,肿瘤与血管的空间位置关系等,从而有助于脏器良、恶性肿瘤的判断及手术方案的抉择,容积成像的超声探头工作频率一般较高,大于3MHz。The two-dimensional area array probe can realize three-dimensional ultrasound imaging, which is more advantageous for displaying the coronal plane of related organs or lesions; it can display the overall anatomy of a certain organ more completely; it can accurately measure a certain organ or disease Quantitative diagnosis of the size and volume of the structure; can accurately display the three-dimensional shape and spatial position of the lesion for accurate ultrasound-guided interventional treatment; use color energy technology to reconstruct the three-dimensional blood vessel, display the three-dimensional shape, spatial structure and direction of the blood vessel, tumor and blood vessel The spatial position relationship, etc., which helps to judge the benign and malignant tumors and the choice of surgical plan. The working frequency of ultrasound probes for volume imaging is generally higher, greater than 3MHz.
另一方面,利用二维面阵波束可以聚焦的方位和距离可以调整,还可以用来代替常规穿刺手术通过活检通道用处理器具进行肿瘤注射治疗。直接用HIFU探头在患处进行肿瘤消融、烧灭肿瘤处的癌细胞。HIFU探头的工作频率一般较低(0.5MHz-3MHz)。On the other hand, the orientation and distance that can be focused using the two-dimensional area array beam can be adjusted, and it can also be used to replace conventional puncture surgery with a treatment tool for tumor injection treatment through a biopsy channel. Use the HIFU probe directly to ablate the tumor in the affected area and burn out the cancer cells in the tumor. The working frequency of HIFU probes is generally low (0.5MHz-3MHz).
超声波探头在不同的工作频率,能够实现不同的功能,然而,现有的超声内窥镜中超声波探头仅能采用一个频率,无法兼顾成像和治疗,造成了超声波探头功能单一,增加了患者负担。Ultrasonic probes can achieve different functions at different operating frequencies. However, the existing ultrasonic probes can only use one frequency in ultrasonic endoscopes, which cannot take into account imaging and treatment, resulting in a single ultrasonic probe function and increased patient burden.
因此,如何兼顾超声波内窥镜的成像和治疗功能,是目前本领域技术人员亟待解决的问题。Therefore, how to balance the imaging and treatment functions of the ultrasonic endoscope is a problem that needs to be solved urgently by those skilled in the art.
发明内容Summary of the invention
有鉴于此,本发明实施例提供了一种提供了一种多频面阵超声波内镜系统,以兼顾超声波内窥镜的成像和治疗功能。In view of this, an embodiment of the present invention provides a multi-frequency area array ultrasound endoscope system to take into account the imaging and treatment functions of the ultrasound endoscope.
为了达到上述目的,本发明提供如下技术方案:In order to achieve the above objectives, the present invention provides the following technical solutions:
一种多频面阵超声波内镜系统,包括能够导入到被检体内的插入部,所述插入部的前端部上设置有引导处置器具伸出的处置器具通道贯穿口和与所述处置器具配合进行超声扫描的超声波探头部;A multi-frequency area array ultrasound endoscope system includes an insertion portion capable of being introduced into a subject, a front end portion of the insertion portion is provided with a treatment instrument channel penetration opening for guiding the treatment instrument to extend, and cooperates with the treatment instrument Ultrasonic probe section for ultrasonic scanning;
所述超声波探头部包括对所述被检体内的患处进行超声扫描的高频超声波探头部,和对所述被检体内的患处进行超声波治疗的低频超声波探头部。The ultrasonic probe section includes a high-frequency ultrasonic probe section that performs ultrasonic scanning on an affected part in the subject, and a low-frequency ultrasonic probe section that performs ultrasonic treatment on the affected part in the subject.
优选地,在上述多频面阵超声波内镜系统中,所述超声波探头部和所述处置器具通道贯穿口分布于所述前端部径向的两侧,所述低频超声波探头部的低频扫描区和所述高频超声波探头部的高频扫描区覆盖所述处置器具的进出区域,所述高频超声波探头部的振幅方向和所述低频超声波探头部的振幅方向正交布置。Preferably, in the above-mentioned multi-frequency area array ultrasound endoscope system, the ultrasound probe portion and the treatment instrument channel penetration are distributed on both sides of the front end portion in the radial direction, and the low frequency scanning area of the low frequency ultrasound probe portion A high-frequency scanning area of the high-frequency ultrasonic probe portion covers the entrance and exit area of the treatment instrument, and the amplitude direction of the high-frequency ultrasonic probe portion and the amplitude direction of the low-frequency ultrasonic probe portion are orthogonally arranged.
优选地,在上述多频面阵超声波内镜系统中,所述超声波探头部的超声端面与所述插入部的插入轴向倾斜交叉布置。Preferably, in the above-mentioned multi-frequency area array ultrasound endoscope system, the ultrasound end face of the ultrasound probe part and the insertion axis of the insertion part are arranged diagonally and crosswise.
优选地,在上述多频面阵超声波内镜系统中,所述高频超声波探头部包括多个超声端面呈圆弧状阵列布置的高频超声波振子;所述低频超声波探头部包括多个超声端面呈圆弧状阵列布置的低频超声波振子。Preferably, in the above-mentioned multi-frequency area array ultrasonic endoscope system, the high-frequency ultrasonic probe section includes a plurality of high-frequency ultrasonic vibrators arranged in an arc-shaped array of ultrasonic end faces; the low-frequency ultrasonic probe section includes a plurality of ultrasonic end faces Low-frequency ultrasonic vibrators arranged in an arc-shaped array.
优选地,在上述多频面阵超声波内镜系统中,所述高频超声波振子和所述低频超声波振子均为应用压电陶瓷及其复合材料等压电元件、单晶铁电材料及其复合材料等单晶材料、电致伸缩元件或者使用微机械技术的超声波换能器制备的超声波振子。Preferably, in the above multi-frequency area array ultrasonic endoscope system, the high-frequency ultrasonic vibrator and the low-frequency ultrasonic vibrator are both piezoelectric elements using piezoelectric ceramics and their composite materials, single crystal ferroelectric materials and their composites Materials, such as single crystal materials, electrostrictive elements, or ultrasonic vibrators prepared by ultrasonic transducers using micromechanical technology.
优选地,在上述多频面阵超声波内镜系统中,所述高频超声波探头部和所述低频超声波探头部的压电振子呈上下结构、左右结构或高频在内低频在外的环绕结构布置。Preferably, in the above-mentioned multi-frequency area array ultrasonic endoscope system, the piezoelectric vibrators of the high-frequency ultrasonic probe portion and the low-frequency ultrasonic probe portion are arranged in an up-down structure, a left-right structure, or a high-frequency inner and outer low-frequency surrounding structure .
优选地,在上述多频面阵超声波内镜系统中,所述高频超声波振子独立驱动,所述高频超声波探头部的聚焦点由相邻所述高频超声波振子的驱动时序延迟驱动控制前后可调。Preferably, in the above-mentioned multi-frequency area array ultrasonic endoscope system, the high-frequency ultrasonic vibrator is independently driven, and the focus point of the high-frequency ultrasonic probe portion is controlled by the drive timing of the adjacent high-frequency ultrasonic vibrator before and after delayed drive control Adjustable.
优选地,在上述多频面阵超声波内镜系统中,所述高频超声波探头部的超声频率大于3MHZ;所述低频超声波探头部的超声频率为0.5-3MHz。Preferably, in the above-mentioned multi-frequency area array ultrasonic endoscope system, the ultrasonic frequency of the high-frequency ultrasonic probe section is greater than 3 MHz; the ultrasonic frequency of the low-frequency ultrasonic probe section is 0.5-3 MHz.
优选地,在上述多频面阵超声波内镜系统中,还包括顺序连接至所述插入部基端的弯曲部、挠曲管部和操作部,所述插入部的前端部上还设置有流体送出部、摄像装置和照明装置;所述操作部连接有超声波观测控制部、图像显示装置和功率超声发生系统。Preferably, the above-mentioned multi-frequency area array ultrasound endoscope system further includes a bending part, a flexure tube part and an operation part sequentially connected to the base end of the insertion part, and a fluid sending-out is also provided on the front end part of the insertion part Unit, imaging device, and lighting device; the operation unit is connected to an ultrasound observation control unit, an image display device, and a power ultrasound generation system.
优选地,在上述多频面阵超声波内镜系统中,所述超声波观测控制部控制所述高频超声波探头部发射超声波至指定区域,并接收所述指定区域的反射信号。Preferably, in the above-mentioned multi-frequency area array ultrasonic endoscope system, the ultrasonic observation control section controls the high-frequency ultrasonic probe section to transmit ultrasonic waves to a specified area, and receives a reflection signal from the specified area.
本发明提供的多频面阵超声波内镜系统,包括能够导入到被检体内的插入部,插入部的前端部上设置有引导处置器具伸出的处置器具通道贯穿口和与处 置器具配合进行超声扫描的超声波探头部;超声波探头部包括对被检体内的患处进行超声扫描的高频超声波探头部,和对被检体内的患处进行超声波治疗的低频超声波探头部。超声波内镜系统由其插入部导入到被检体内进行超声波扫描,处置器具通道贯穿口位于插入部的前端部,前端部上同时设置超声波探头部,超声波探头部在超声扫描过程中,对处置器具通道贯穿口伸出的处置器具进行超声配合,超声波探头部同时设置高频超声波探头部和低频超声波探头部,由高频超声波探头部对被检体内的患处扫描成像,获得预定治疗区域后,由低频超声波探头部对患处进行超声波治疗,通过在超声波探头部上同时进行高频、低频两种超声波扫描,并使超声波扫描与处置器具的伸出位置配合,在高频超声波扫描到被检体内患处后,可直接通过低频超声波进行超声波治疗,同时实现了对被检体内进行一次超声波内镜系统插入,同时进行超声波成像和治疗,降低患者负担。The multi-frequency area array ultrasound endoscope system provided by the present invention includes an insertion portion that can be introduced into the subject, and a distal end portion of the insertion portion is provided with a treatment instrument channel penetration opening that guides the treatment instrument to extend and cooperates with the treatment instrument to perform ultrasound Ultrasonic probe section for scanning; the ultrasonic probe section includes a high-frequency ultrasonic probe section that performs ultrasonic scanning on the affected part in the subject, and a low-frequency ultrasonic probe section that performs ultrasonic treatment on the affected part in the subject. The ultrasound endoscope system is introduced into the subject for ultrasound scanning by its insertion part. The treatment instrument channel penetration is located at the front end of the insertion part. An ultrasound probe part is also provided on the front end part. During the ultrasound scanning process, the ultrasound probe part The treatment instruments protruding from the channel penetration opening are coordinated by ultrasound. The ultrasound probe section is provided with a high-frequency ultrasound probe section and a low-frequency ultrasound probe section at the same time. The high-frequency ultrasound probe section scans the affected area in the subject to obtain a predetermined treatment area. The low-frequency ultrasonic probe section performs ultrasonic treatment on the affected area. By performing both high-frequency and low-frequency ultrasonic scanning on the ultrasonic probe section at the same time, and matching the ultrasonic scan with the extended position of the treatment instrument, the high-frequency ultrasonic wave is scanned into the affected area in the subject After that, ultrasonic treatment can be carried out directly by low-frequency ultrasound. At the same time, an ultrasound endoscope system is inserted into the subject, and ultrasound imaging and treatment are performed at the same time, reducing the burden on the patient.
附图说明BRIEF DESCRIPTION
图1为本发明提供的多频面阵超声波内镜系统的组成结构图;1 is a structural diagram of a multi-frequency area array ultrasound endoscope system provided by the present invention;
图2为图1中多频面阵超声波内镜系统中插入部的结构示意图;2 is a schematic diagram of the structure of the insertion part in the multi-frequency area array ultrasonic endoscope system in FIG. 1;
图3为图2的剖视图;Figure 3 is a cross-sectional view of Figure 2;
图4为图2中插入部的超声波扫描区投影图;4 is a projection view of the ultrasonic scanning area of the insertion part in FIG. 2;
图5为本发明提供的多频面阵超声波内镜系统中超声波探头部的第一布置结构示意图;5 is a schematic diagram of a first arrangement structure of an ultrasonic probe part in a multi-frequency area array ultrasonic endoscope system provided by the present invention;
图6为本发明提供的多频面阵超声波内镜系统中超声波探头部的第二布置结构示意图;6 is a schematic diagram of a second arrangement structure of an ultrasonic probe part in a multi-frequency area array ultrasonic endoscope system provided by the present invention;
图7为本发明提供的多频面阵超声波内镜系统中超声波探头部的第三布 置结构示意图。7 is a schematic diagram of a third arrangement structure of an ultrasonic probe part in a multi-frequency area array ultrasonic endoscope system provided by the present invention.
具体实施方式detailed description
本发明公开了一种多频面阵超声波内镜系统,兼顾了超声波内窥镜的成像和治疗功能。The invention discloses a multi-frequency area array ultrasonic endoscope system, which takes into account the imaging and treatment functions of the ultrasonic endoscope.
下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整的描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solutions in the embodiments of the present invention will be described clearly and completely in conjunction with the drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, but not all the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by a person of ordinary skill in the art without making creative efforts fall within the protection scope of the present invention.
如图1-图4所示,图1为本发明提供的多频面阵超声波内镜系统的组成结构图;图2为图1中多频面阵超声波内镜系统中插入部的结构示意图;图3为图2的剖视图;图4为图2中插入部的超声波扫描区投影图。As shown in FIGS. 1-4, FIG. 1 is a structural diagram of a multi-frequency area array ultrasound endoscope system provided by the present invention; FIG. 2 is a schematic structural diagram of an insertion portion in the multi-frequency area array ultrasound endoscope system in FIG. 1; FIG. 3 is a cross-sectional view of FIG. 2; FIG. 4 is a projection view of the ultrasonic scanning area of the insertion portion in FIG.
本申请提供了一种多频面阵超声波内镜系统,包括能够导入到被检体内的插入部10,插入部10的前端部11上设置有引导处置器具伸出的处置器具通道贯穿口17和与处置器具配合进行超声扫描的超声波探头部;超声波探头部包括对被检体内的患处进行超声扫描的高频超声波探头部21,和对被检体内的患处进行超声波治疗的低频超声波探头部20。超声波内镜系统由其插入部10导入到被检体内进行超声波扫描,处置器具通道贯穿口17位于插入部10的前端部11,前端部11上同时设置超声波探头部,超声波探头部在超声扫描过程中,对处置器具通道贯穿口17伸出的处置器具进行超声配合,超声波探头部同时设置高频超声波探头部21和低频超声波探头部20,由高频超声波探头部21对被检体内的患处扫描成像,获得预定治疗区域后,由低频超声波探头部20对患处进行超声波治疗,通过在超声波探头部上同时进行高频、低频两种超声波扫描,并使超声波扫描与处置器具的伸出位置配合,在高频超声波扫描到被检体内患处后,可直接通过低频超声波进行超声波治疗,同时实现了对被检体内进行一次超声波内镜系统插入,同时进行超声波成像和治疗,降低患者负担。The present application provides a multi-frequency area array ultrasound endoscope system, which includes an insertion portion 10 that can be introduced into a subject. The front end portion 11 of the insertion portion 10 is provided with a treatment instrument channel through-hole 17 that guides the treatment instrument to extend An ultrasound probe unit that performs ultrasound scanning in conjunction with a treatment instrument; the ultrasound probe unit includes a high-frequency ultrasound probe unit 21 that performs ultrasound scanning on an affected part in the subject, and a low-frequency ultrasound probe unit 20 that performs ultrasonic treatment on the affected part in the subject. The ultrasound endoscope system is introduced into the subject by the insertion part 10 to perform ultrasound scanning. The treatment instrument channel through-hole 17 is located at the front end 11 of the insertion part 10. The front end 11 is also provided with an ultrasound probe part. During the ultrasound scanning process, the ultrasound probe part In the process, the treatment instrument extending through the treatment instrument channel through-hole 17 is subjected to ultrasound coordination. The ultrasound probe section is provided with a high-frequency ultrasound probe section 21 and a low-frequency ultrasound probe section 20 at the same time. The high-frequency ultrasound probe section 21 scans the affected area in the subject After imaging, after obtaining a predetermined treatment area, the low-frequency ultrasonic probe section 20 performs ultrasonic treatment on the affected area, by simultaneously performing high-frequency and low-frequency ultrasonic scanning on the ultrasonic probe section, and matching the ultrasonic scanning with the extended position of the treatment instrument, After the high-frequency ultrasound scans the affected part in the subject, the ultrasound treatment can be performed directly by the low-frequency ultrasound. At the same time, the ultrasound endoscopic system is inserted into the subject, and the ultrasound imaging and treatment are performed at the same time, reducing the burden on the patient.
在本案一具体实施例中,超声波探头部和处置器具通道贯穿口17分布于前端部11径向的两侧,低频超声波探头部20的低频扫描区L2和高频超声波探头部21的高频扫描区L1覆盖处置器具50的进出区域,高频超声波探头部21的振幅方向和低频超声波探头部20的振幅方向正交布置。高频超声波探头部20和低频超声波探头部21的扫描区均覆盖处置器具50的进出区域,在确定患处后,可通过低频超声波探头部20和处置器具50实现对患处的治疗。In a specific embodiment of the present case, the ultrasonic probe portion and the treatment instrument channel penetration opening 17 are distributed on both sides in the radial direction of the front end portion 11, the low frequency scanning area L2 of the low frequency ultrasonic probe portion 20 and the high frequency scanning of the high frequency ultrasonic probe portion 21 The area L1 covers the entry and exit area of the treatment instrument 50, and the amplitude direction of the high-frequency ultrasonic probe portion 21 and the amplitude direction of the low-frequency ultrasonic probe portion 20 are arranged orthogonally. The scanning areas of the high-frequency ultrasonic probe portion 20 and the low-frequency ultrasonic probe portion 21 both cover the entry and exit areas of the treatment instrument 50. After the affected area is determined, the low-frequency ultrasonic probe portion 20 and the treatment instrument 50 can be used to treat the affected area.
将超声波探头部和处置器具通道贯穿口17分别位于前端部11径向的两侧,充分利用前端部空间,为超声波探头部提供足够的布置空间。同时,由于超声波探头部引导处置器具进行超声治疗,高频超声波探头部21和低频超声波探头部20需要对被检体内的患处进行准确聚焦,高频超声波探头部21和低频超声波探头部20的扫描区均为三维弧形扫描区,处置器具通道贯穿口17的出口轴向为处置器具的伸出方向,处置器具50伸出的长度范围应同时落于低频扫描区L2和高频扫描区L1内。同时,将低频超声波探头部20的振幅方向和高频超声波探头部的振幅方向正交布置,通过超声波振幅正交布置,可在处置器具50的进出方向上,形成对患处进行扫描的焦点,从而进一步提高对患处的治疗和成像观察。The ultrasonic probe portion and the treatment instrument channel through-hole 17 are located on both sides of the radial direction of the front end portion 11, respectively, making full use of the space of the front end portion, and providing sufficient space for the ultrasonic probe portion to be arranged. At the same time, since the ultrasonic probe section guides the treatment instrument to perform ultrasonic treatment, the high-frequency ultrasonic probe section 21 and the low-frequency ultrasonic probe section 20 need to accurately focus on the affected part in the subject, and the scanning of the high-frequency ultrasonic probe section 21 and the low-frequency ultrasonic probe section 20 The areas are all three-dimensional arc-shaped scanning areas. The exit axis of the treatment instrument channel penetration 17 is the extension direction of the treatment instrument. The length of the extension of the treatment instrument 50 should fall in both the low-frequency scanning area L2 and the high-frequency scanning area L1 . At the same time, the amplitude direction of the low-frequency ultrasonic probe portion 20 and the amplitude direction of the high-frequency ultrasonic probe portion are orthogonally arranged. By orthogonally arranging the ultrasonic amplitude, a focal point for scanning the affected area can be formed in the direction of entry and exit of the treatment instrument 50, thereby Further improve the treatment and imaging observation of the affected area.
优选地,将处置器具的进出区域设置位于高频扫描区L1和低频扫描区L2的中央,即将高频扫描区L1和低频扫描区L2的中心区域沿处置器具通道贯穿口的轴向布置,进一步提高对被检体内患处的准确定位。Preferably, the access area of the treatment instrument is located in the center of the high-frequency scanning area L1 and the low-frequency scanning area L2, that is, the central area of the high-frequency scanning area L1 and the low-frequency scanning area L2 is arranged along the axial direction of the treatment instrument channel penetration, further Improve the accurate positioning of the affected area in the subject.
需要说明的是,高频超声波探头部21和低频超声波探头部20的超声扫描区均为圆弧状的三维立体结构,图4所示为二者的振幅方向沿插入部10轴向剖视图的投影,图4中所示高频扫描区L1和低频扫描区L2仅表示沿高低频振幅方向的扫描区域,其中,低频扫描区为表示其聚焦点80位置,未严格按投影方向表示,高低频振幅方向的位置关系仍为正交布置。It should be noted that the ultrasonic scanning areas of the high-frequency ultrasonic probe portion 21 and the low-frequency ultrasonic probe portion 20 are both arc-shaped three-dimensional structures. FIG. 4 shows the projection of the amplitude direction of the two along the axial section view of the insertion portion 10 , The high frequency scanning area L1 and the low frequency scanning area L2 shown in FIG. 4 only represent the scanning area along the high and low frequency amplitude direction, where the low frequency scanning area represents the position of its focus point 80, and is not strictly expressed in the projection direction, the high and low frequency amplitude The positional relationship of the directions is still orthogonal.
在本案一具体实施例中,超声波探头部的超声端面与插入部10的插入轴向倾斜交叉布置。超声波探头部包括伸出前端部11上的超声波探头部安装支座,安装支座的安装端面与插入部10的轴向倾斜布置,超声波探头部的超声 波振子安装于安装支架上,其超声端面即为安装支架的安装端面。处置器具通道贯穿口17的轴向与超声波探头部的超声端面方向大致同向,使得处置器具伸出后,其伸出端部位于超声波探头部的超声扫描区内。超声波探头部(20、21)位于安装支架内,插入部10插入被检体内,被检体内的患处位于插入部10的周向,因此将处置器具通道贯穿口17与插入部10的周向呈一定角度,便于处置器具50伸出至患处。对应地,将超声端面与插入部10的轴向倾斜布置,即,超声波探头部(20、21)的扫描方向与插入轴10呈一定倾斜夹角,配合处置器具50进行超声扫描。In a specific embodiment of the present case, the ultrasound end face of the ultrasound probe part and the insertion axis of the insertion part 10 are arranged diagonally and crosswise. The ultrasonic probe part includes an ultrasonic probe part mounting support protruding from the front end part 11, the mounting end surface of the mounting support is arranged obliquely to the axial direction of the insertion part 10, the ultrasonic vibrator of the ultrasonic probe part is mounted on the mounting bracket, and its ultrasonic end surface is It is the mounting end face of the mounting bracket. The axial direction of the treatment instrument channel penetration opening 17 is substantially the same as the direction of the ultrasound end surface of the ultrasound probe part, so that after the treatment instrument is extended, its extended end is located in the ultrasound scanning area of the ultrasound probe part. The ultrasonic probe parts (20, 21) are located in the mounting bracket, the insertion part 10 is inserted into the subject, and the affected part in the subject is located in the circumferential direction of the insertion part 10. Therefore, the treatment instrument channel through-hole 17 and the circumferential direction of the insertion part 10 are A certain angle is convenient for the treatment instrument 50 to extend to the affected area. Correspondingly, the ultrasound end surface is arranged obliquely with respect to the axial direction of the insertion portion 10, that is, the scanning direction of the ultrasound probe portion (20, 21) and the insertion shaft 10 are at a certain oblique angle, and the ultrasound treatment is performed in conjunction with the treatment instrument 50.
在本案一具体实施例中,高频超声波探头部21包括多个超声端面呈圆弧状阵列布置的高频超声波振子;低频超声波探头部20包括多个超声端面呈圆弧状阵列布置的低频超声波振子。高频超声波探头部21和低频超声波探头部20均安装于前端部11的超声波探头部的安装支架上,高频超声波探头部21由多个高频超声波振子组成,多个高频超声波振子阵列布置,且其在超声端面上呈圆弧状结构,具体为高频超声波探头部21由边缘至中部呈逐步凸出的圆弧端面。同时,设置低频超声波探头部20由多个低频超声波振子阵列布置,其超声端面同样设置为圆弧状超声端面。In a specific embodiment of the present case, the high-frequency ultrasonic probe portion 21 includes a plurality of high-frequency ultrasonic vibrators arranged in a circular arc-shaped array of ultrasonic end faces; the low-frequency ultrasonic probe portion 20 includes a plurality of low-frequency ultrasonic waves arranged in a circular arc-shaped array of ultrasonic end faces Vibrator. The high-frequency ultrasonic probe portion 21 and the low-frequency ultrasonic probe portion 20 are both mounted on the mounting bracket of the ultrasonic probe portion of the front end portion 11, the high-frequency ultrasonic probe portion 21 is composed of a plurality of high-frequency ultrasonic vibrators, and a plurality of high-frequency ultrasonic vibrator arrays are arranged And, it has an arc-shaped structure on the ultrasonic end surface, specifically, the high-frequency ultrasonic probe portion 21 has a circular arc end surface that gradually protrudes from the edge to the middle. At the same time, the low-frequency ultrasonic probe section 20 is arranged by a plurality of low-frequency ultrasonic vibrator arrays, and its ultrasonic end face is also set as an arc-shaped ultrasonic end face.
当然,低频超声波探头部20和高频超声波探头部21的超声端面也可以设置为平面结构,低频超声波振子和高频超声波振子的超声端面平齐,也可以实现对被检体内患处的二维扫描。Of course, the ultrasonic end faces of the low-frequency ultrasonic probe section 20 and the high-frequency ultrasonic probe section 21 can also be arranged in a planar structure, the ultrasonic end faces of the low-frequency ultrasonic transducer and the high-frequency ultrasonic transducer are flush, and two-dimensional scanning of the affected part in the subject can also be achieved .
优选地,圆弧状结构的高频超声波探头部21和低频超声波探头部20,使得高频超声波探头部和低频超声波探头部发出的超声波束均呈扩散状的扇形扫描区,扩大高频超声波探头部21和低频超声波探头部20扫描范围,更利于实现对患处的扫描定位。Preferably, the high-frequency ultrasonic probe section 21 and the low-frequency ultrasonic probe section 20 of the arc-shaped structure are such that the ultrasonic beams emitted by the high-frequency ultrasonic probe section and the low-frequency ultrasonic probe section are in a diffuse fan-shaped scanning area, expanding the high-frequency ultrasonic probe The scanning range of the unit 21 and the low-frequency ultrasonic probe unit 20 is more conducive to the scanning and positioning of the affected area.
在本案一具体实施例中,高频超声波振子和低频超声波振子均为应用压电陶瓷及其复合材料等压电元件、单晶铁电材料及其复合材料等单晶材料、电致伸缩元件或者使用微机械技术的超声波换能器制备的超声波振子。In a specific embodiment of this case, the high-frequency ultrasonic vibrator and the low-frequency ultrasonic vibrator are both piezoelectric elements such as piezoelectric ceramics and their composite materials, single crystal materials such as monocrystalline ferroelectric materials and their composite materials, electrostrictive elements or Ultrasonic vibrator prepared using micromachined ultrasonic transducer.
如图5-图7所示,图5为本发明提供的多频面阵超声波内镜系统中超声波 探头部的第一布置结构示意图;图6为本发明提供的多频面阵超声波内镜系统中超声波探头部的第二布置结构示意图;图7为本发明提供的多频面阵超声波内镜系统中超声波探头部的第三布置结构示意图。As shown in FIGS. 5-7, FIG. 5 is a schematic diagram of a first arrangement structure of an ultrasonic probe part in a multi-frequency area array ultrasound endoscope system provided by the present invention; FIG. 6 is a multi-frequency area array ultrasound endoscope system provided by the present invention FIG. 7 is a schematic diagram of the third arrangement structure of the ultrasonic probe section in the multi-frequency area array ultrasonic endoscope system provided by the present invention.
在本案一具体实施例中,高频超声波探头部21和低频超声波探头部20的压电振子呈上下结构、左右结构或高频在内低频在外的环绕结构布置。图图5中,以处置器具50布置于顶部为正向布置,超声波探头部可以设置为高频超声波探头部21在上,低频超声波探头部20在下的布置结构,二者也可以反向布置。In a specific embodiment of the present case, the piezoelectric vibrators of the high-frequency ultrasonic probe portion 21 and the low-frequency ultrasonic probe portion 20 are arranged in an up-down structure, a left-right structure, or a surrounding structure with high frequencies inside and outside low frequencies. In FIG. 5, the treatment instrument 50 is arranged on the top in a forward direction, and the ultrasound probe portion may be arranged in a high-frequency ultrasound probe portion 21 on top and a low-frequency ultrasound probe portion 20 on the bottom, and the two may also be arranged in reverse.
图6中,也可以设置为高频超声波探头部21在左,低频超声波探头部20在右的布置结构,二者也可以反向布置。In FIG. 6, it may be arranged that the high-frequency ultrasonic probe portion 21 is on the left and the low-frequency ultrasonic probe portion 20 is on the right, and the two may also be arranged in reverse.
图7中,也可以设置为高频超声波探头部21在中部,低频超声波探头部20在外围的环绕布置结构。In FIG. 7, the high-frequency ultrasonic probe portion 21 may be arranged in the middle, and the low-frequency ultrasonic probe portion 20 may be arranged around the periphery.
在本案一具体实施例中,高频超声波振子独立驱动,高频超声波探头部21的聚焦点由相邻高频超声波振子的驱动时序延迟驱动控制前后可调。高频超声波探头部21中阵列排布的高频超声波振子,每个超声波振子采用独立驱动结构,通过延迟控制各个高频超声波振子的启动驱动时序,使得高频超声波探头部21的聚焦点80的位置前后可调,则在对被检体进行治疗手术时,处置器具50由处置器具通道贯穿口17伸出,具体如处置器具50为穿刺针时,由于超声波内镜系统的插入部10的前端部与患处距离的不同,穿刺针伸出的长度需根据患处与前端部的距离进行调整,通过对高频超声波探头部的聚焦点前后可调控制,使得对于穿刺针在治疗手术时,可对治疗患处不同距离均能获得准确的三维立体数据,获得较高分辨率的三维图像,提高治疗手术的治疗效果。In a specific embodiment of the present case, the high-frequency ultrasonic vibrator is independently driven, and the focus point of the high-frequency ultrasonic probe portion 21 is adjustable before and after the drive timing delay drive control of adjacent high-frequency ultrasonic vibrators. The high-frequency ultrasonic transducers arranged in an array in the high-frequency ultrasonic probe section 21, each ultrasonic vibrator adopts an independent driving structure, and the start driving timing of each high-frequency ultrasonic vibrator is controlled by delay, so that the focus point 80 of the high-frequency ultrasonic probe section 21 The position can be adjusted back and forth, when the treatment operation is performed on the subject, the treatment instrument 50 is extended from the treatment instrument channel through-hole 17, specifically, if the treatment instrument 50 is a puncture needle, the front end of the insertion portion 10 of the ultrasonic endoscope system The distance between the part and the affected part is different. The length of the puncture needle needs to be adjusted according to the distance between the affected part and the front end. By adjusting the focus point of the high-frequency ultrasonic probe part forward and backward, the puncture needle can be adjusted during the surgical operation. Accurate three-dimensional data can be obtained at different distances in the treatment of the affected area, and higher-resolution three-dimensional images can be obtained to improve the treatment effect of the treatment operation.
在本案一具体实施例中,高频超声波探头部21的超声频率大于3MHZ;低频超声波探头部20的超声频率为0.5-3MHz。In a specific embodiment of the present case, the ultrasonic frequency of the high-frequency ultrasonic probe portion 21 is greater than 3 MHz; the ultrasonic frequency of the low-frequency ultrasonic probe portion 20 is 0.5-3 MHz.
在本案一具体实施例中,还包括顺序连接至插入部基端的弯曲部12、挠曲管部13和操作部30,插入部10的前端部11上还设置有流体送出部14、摄像装置15和照明装置16;操作部30连接有超声波观测控制部3、图像显示装 置4和功率超声发生系统5。In a specific embodiment of the present case, it further includes a bending portion 12, a flexure tube portion 13 and an operation portion 30 connected to the base end of the insertion portion in sequence, and the front end portion 11 of the insertion portion 10 is further provided with a fluid delivery portion 14 and an imaging device 15 And the lighting device 16; the operation unit 30 is connected to the ultrasound observation control unit 3, the image display device 4, and the power ultrasound generation system 5.
本案提供的超声波内镜系统,由具有双频超声波探头部的插入部10送入被检体内,插入部10的基端连接弯曲部12和挠曲管部13,将插入部10送入被检体,插入部10的前端部由流体送出部14、摄像装置15和照明装置16,插入部10、弯曲部12和挠曲管部13的内部设置处置器具贯通管路18,处置器具贯通管路18的由管头34连通,穿刺针由管头插入经处置器具通道贯穿口17伸出,管头34设置于操作部30上,操作部30上设置用于操作弯曲部12的弯曲的角旋钮31,用于对来自设置于前端部10的流体送出部14的流体的送出动作进行控制的送气送水按钮32,用于对来自处置器具贯穿口17的流体的吸引动作进行控制的吸引按钮33,配合超声波探头部和处置器具进行超声波成像和治疗。The ultrasonic endoscope system provided in this case is sent into the subject by the insertion part 10 with the dual-frequency ultrasonic probe part, and the proximal end of the insertion part 10 is connected to the bending part 12 and the flexure tube part 13 to send the insertion part 10 into the test The front end portion of the insertion portion 10 is composed of the fluid delivery portion 14, the imaging device 15, and the lighting device 16. Inside the insertion portion 10, the bending portion 12, and the flexure tube portion 13, a treatment instrument through line 18 is provided, and the treatment instrument through the line 18 is communicated by the tube head 34, the puncture needle is inserted from the tube head through the treatment instrument channel through-out port 17, the tube head 34 is provided on the operation part 30, and the operation part 30 is provided with an angle knob for operating the bending of the bending part 12 31. An air and water supply button 32 for controlling the operation of sending out the fluid from the fluid sending part 14 provided in the front end portion 10, and a suction button 33 for controlling the operation of sucking the fluid from the treatment instrument insertion port 17, Cooperate with the ultrasonic probe part and treatment equipment for ultrasonic imaging and treatment.
超声波探头部还设置超声波观测控制部3、图像显示装置4和功率超声波发生系统5,操作部30的基端连接通用线缆40,在通用线缆40的基端部设置有与光源装置6相连接的内窥镜连接器41,从光源装置6发出的光沿通用线缆40、操作部30以及插通在插入部10内的光纤线缆传导并从前端部11的照明装置16射出。The ultrasound probe section is further provided with an ultrasound observation control section 3, an image display device 4 and a power ultrasound generating system 5. The base end of the operation section 30 is connected to a universal cable 40, and the base end portion of the universal cable 40 is provided with a light source device 6 The connected endoscope connector 41 transmits the light emitted from the light source device 6 along the universal cable 40, the operation portion 30, and the optical fiber cable inserted into the insertion portion 10, and is emitted from the illumination device 16 of the front end portion 11.
电线缆42和高频超声波线缆44和低频超声波线缆46从内窥镜连接器41延伸出来。电线缆42通过电连接器,拆卸自由地连接于照相机控制单元上。照相机控制单元通过电线缆42与设置于前端部11的摄像装置15进行电连接。照相机控制单元与图像显示装置4进行电连接,将由摄像装置15拍摄得到的图像输出到图像显示装置4。The electric cable 42 and the high-frequency ultrasonic cable 44 and the low-frequency ultrasonic cable 46 extend from the endoscope connector 41. The electrical cable 42 is detachably connected to the camera control unit via an electrical connector. The camera control unit is electrically connected to the imaging device 15 provided at the front end portion 11 through an electric cable 42. The camera control unit is electrically connected to the image display device 4, and outputs the image captured by the imaging device 15 to the image display device 4.
高频超声波线缆44通过超声波连接器45拆卸自由地与超声波观测控制部3相连接,低频超声波线缆46通过超声波连接器47拆卸自由地与超声波发生系统5相连接。The high-frequency ultrasonic cable 44 is detachably connected to the ultrasonic observation control unit 3 via the ultrasonic connector 45, and the low-frequency ultrasonic cable 46 is detachably connected to the ultrasonic generating system 5 via the ultrasonic connector 47.
在本案一具体实施例中,超声波观测控制部3控制高频超声波探头部21发射超声波至指定区域,并接收所述指定区域的反射信号。高频超声波探头部 21随插入部10插入过程中,发出超声波至被检体内的指定区域,对指定区域进行超声波二维扫描,形成三维B超图像,容积成像能够包含高频扫描区L1和低频扫描区L2所构成的区域。低频超声波探头部20对高频超声波探头部21所形成的容积成像内患处实施精准消融等手术,经容积成像还可以观察和测试消融等手术的效果。In a specific embodiment of the present case, the ultrasonic observation control section 3 controls the high-frequency ultrasonic probe section 21 to transmit ultrasonic waves to a specified area, and receive the reflection signal of the specified area. During the insertion process of the insertion part 10, the high-frequency ultrasonic probe part 21 emits ultrasonic waves to a designated area in the subject, and performs two-dimensional ultrasonic scanning of the designated area to form a three-dimensional ultrasound image. Volume imaging can include a high-frequency scanning area L1 and low frequency The area formed by the scanning area L2. The low-frequency ultrasonic probe part 20 performs precise ablation and other operations on the affected area in the volume imaging formed by the high-frequency ultrasonic probe part 21, and the effect of the ablation and other operations can also be observed and tested through the volume imaging.
本文中应用了具体个例对本发明的原理及实施方式进行了阐述,以上实施例的说明只是用于帮助理解本发明的核心思想。应当指出,对于本技术领域的普通技术人员来说,在不脱离本发明原理的前提下,还可以对本发明进行若干改进和修饰,这些改进和修饰也落入本发明权利要求的保护范围内。In this article, specific examples are used to explain the principle and implementation of the present invention. The description of the above examples is only used to help understand the core idea of the present invention. It should be noted that, for those of ordinary skill in the art, without departing from the principles of the present invention, the present invention may also be subject to several improvements and modifications, and these improvements and modifications also fall within the protection scope of the claims of the present invention.

Claims (10)

  1. 一种多频面阵超声波内镜系统,其特征在于,包括能够导入到被检体内的插入部,所述插入部的前端部上设置有引导处置器具伸出的处置器具通道贯穿口和与所述处置器具配合进行超声扫描的超声波探头部;A multi-frequency area array ultrasound endoscope system, characterized in that it includes an insertion portion that can be introduced into the subject, a front end portion of the insertion portion is provided with a treatment instrument channel through-hole for guiding the extension of the treatment instrument and The ultrasonic probe part of the treatment instrument cooperating with the ultrasonic scanning;
    所述超声波探头部包括对所述被检体内的患处进行超声扫描的高频超声波探头部,和对所述被检体内的患处进行超声波治疗的低频超声波探头部。The ultrasonic probe section includes a high-frequency ultrasonic probe section that performs ultrasonic scanning on an affected part in the subject, and a low-frequency ultrasonic probe section that performs ultrasonic treatment on the affected part in the subject.
  2. 根据权利要求1所述的多频面阵超声波内镜系统,其特征在于,所述超声波探头部和所述处置器具通道贯穿口分布于所述前端部径向的两侧,所述低频超声波探头部的低频扫描区和所述高频超声波探头部的高频扫描区覆盖所述处置器具的进出区域,所述高频超声波探头部的振幅方向和所述低频超声波探头部的振幅方向正交布置。The multi-frequency area array ultrasonic endoscope system according to claim 1, wherein the ultrasonic probe portion and the treatment instrument channel penetration are distributed on both sides in the radial direction of the front end portion, and the low-frequency ultrasonic probe The low-frequency scanning area of the section and the high-frequency scanning area of the high-frequency ultrasonic probe section cover the entry and exit areas of the treatment instrument, and the amplitude direction of the high-frequency ultrasonic probe section and the amplitude direction of the low-frequency ultrasonic probe section are orthogonally arranged .
  3. 根据权利要求2所述的多频面阵超声波内镜系统,其特征在于,所述超声波探头部的超声端面与所述插入部的插入轴向倾斜交叉布置。The multi-frequency area array ultrasound endoscope system according to claim 2, wherein the ultrasound end surface of the ultrasound probe portion and the insertion axis of the insertion portion are arranged diagonally and crosswise.
  4. 根据权利要求3所述的多频面阵超声波内镜系统,其特征在于,所述高频超声波探头部包括多个超声端面呈圆弧状阵列布置的高频超声波振子;所述低频超声波探头部包括多个超声端面呈圆弧状阵列布置的低频超声波振子。The multi-frequency area array ultrasonic endoscope system according to claim 3, wherein the high-frequency ultrasonic probe section includes a plurality of high-frequency ultrasonic vibrators arranged in an arc-shaped array of ultrasonic end faces; the low-frequency ultrasonic probe section It includes a plurality of low-frequency ultrasonic vibrators arranged in an array of circular arc-shaped end faces.
  5. 根据权利要求4所述的多频面阵超声波内镜系统,其特征在于,所述高频超声波振子和所述低频超声波振子均为应用压电陶瓷及其复合材料等压电元件、单晶铁电材料及其复合材料等单晶材料、电致伸缩元件或者使用微机械技术的超声波换能器制备的超声波振子。The multi-frequency area array ultrasonic endoscope system according to claim 4, wherein the high-frequency ultrasonic vibrator and the low-frequency ultrasonic vibrator are both piezoelectric elements such as piezoelectric ceramics and their composite materials, single crystal iron Ultrasonic vibrators prepared from single crystal materials such as electrical materials and their composite materials, electrostrictive elements, or ultrasonic transducers using micromechanical technology.
  6. 根据权利要求2所述的多频面阵超声波内镜系统,其特征在于,所述高频超声波探头部和所述低频超声波探头部的压电振子呈上下结构、左右结构或高频在内低频在外的环绕结构布置。The multi-frequency area array ultrasonic endoscope system according to claim 2, wherein the piezoelectric vibrators of the high-frequency ultrasonic probe section and the low-frequency ultrasonic probe section have an up-down structure, a left-right structure, or a high frequency at an internal low frequency The outer surrounding structure is arranged.
  7. 根据权利要求4所述的多频面阵超声波内镜系统,其特征在于,所述高频超声波振子独立驱动,所述高频超声波探头部的聚焦点由相邻所述高频超声波振子的驱动时序延迟驱动控制前后可调。The multi-frequency area array ultrasonic endoscope system according to claim 4, wherein the high-frequency ultrasonic transducer is independently driven, and the focus point of the high-frequency ultrasonic probe section is driven by the adjacent high-frequency ultrasonic transducer Timing delay drive control is adjustable before and after.
  8. 根据权利要求1所述的多频面阵超声波内镜系统,其特征在于,所述高频超声波探头部的超声频率大于3MHZ;所述低频超声波探头部的超声频率为0.5-3MHz。The multi-frequency area array ultrasonic endoscope system according to claim 1, wherein the ultrasonic frequency of the high-frequency ultrasonic probe section is greater than 3MHZ; the ultrasonic frequency of the low-frequency ultrasonic probe section is 0.5-3MHz.
  9. 根据权利要求1所述的多频面阵超声波内镜系统,其特征在于,还包括顺序连接至所述插入部基端的弯曲部、挠曲管部和操作部,所述插入部的前端部上还设置有流体送出部、摄像装置和照明装置;所述操作部连接有超声波观测控制部、图像显示装置和功率超声发生系统。The multi-frequency area array ultrasound endoscope system according to claim 1, further comprising a bending part, a flexure tube part and an operation part connected to the base end of the insertion part in sequence, the front end part of the insertion part A fluid sending part, an imaging device, and a lighting device are also provided; the operation part is connected with an ultrasound observation control part, an image display device, and a power ultrasound generating system.
  10. 根据权利要求9所述的多频面阵超声波内镜系统,其特征在于,所述超声波观测控制部控制所述高频超声波探头部发射超声波至指定区域,并接收所述指定区域的反射信号。The multi-frequency area array ultrasonic endoscope system according to claim 9, wherein the ultrasonic observation control section controls the high-frequency ultrasonic probe section to transmit ultrasonic waves to a designated area, and receives a reflection signal from the designated area.
PCT/CN2018/121282 2018-12-14 2018-12-14 Multi-frequency planar-array endoscopic ultrasonography system WO2020118704A1 (en)

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