CN106128255A - A kind of cardiac electrophysiology signal imitation system and analogy method thereof - Google Patents

A kind of cardiac electrophysiology signal imitation system and analogy method thereof Download PDF

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Publication number
CN106128255A
CN106128255A CN201610415836.7A CN201610415836A CN106128255A CN 106128255 A CN106128255 A CN 106128255A CN 201610415836 A CN201610415836 A CN 201610415836A CN 106128255 A CN106128255 A CN 106128255A
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chambers
host computer
electrocardiosignal
heart model
conductor housing
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高跃技
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Individual
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    • GPHYSICS
    • G09EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09BEDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B23/00Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
    • G09B23/28Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine
    • G09B23/30Anatomical models
    • GPHYSICS
    • G09EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09BEDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B23/00Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
    • G09B23/28Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine

Abstract

The invention discloses a kind of cardiac electrophysiology signal imitation system and analogy method thereof, this system comprises: transparent chambers of the heart model, heart Wicresoft gets involved the pipe guide of operation, for positioning the alignment system of conductor housing position and the host computer containing electrocardiosignal host computer interpretive program;Its center cavity model connects host computer by alignment system, chambers of the heart model is also connected with pipe guide, according to the electrocardiosignal that prestores in host computer, the default binding relationship feature of endocardial position, electrocardiosignal corresponding to conductor housing touch points in utilizing electrocardiosignal host computer interpretive program to translate on host computer and showing chambers of the heart model and pipe guide.The present invention compensate for the blank in interventional cardiac procedures between theoretical training and zoopery, safety operating experience intuitively radiationless, transparent, feed back feel, in real time electrocardiosignal feedback the most accurately really, improve the training efficiency of doctor, such that it is able to provide more veteran doctor within the unit interval.

Description

A kind of cardiac electrophysiology signal imitation system and analogy method thereof
Technical field
The present invention relates to cardiac electrophysiology field, specifically a kind of cardiac electrophysiology signal imitation system and simulation side thereof Method.
Background technology
Due to the negligible amounts of skilled cardiac surgeon, current cardiac patient has an opportunity to obtain the probability of operative treatment Only 6%, wherein patient affects opportunity adversely during waiting and dies greatly, and Most patients is then in high-risk Survive in spite of illness.For releasing the sufferings of sufferer, cultivate enough surgeon at short notice and be just particularly important.And the heart The complexity of dirty operation self is with dangerous so that conduit is high in the operational risk of chambers of the heart model, real patient or other Living animal is difficult to satisfactorily complete medical clinical practice training.Electro physiology doctor skillfully to grasp catheter manipulation skill, is familiar with the heart Each region of anatomy of chamber model, needs the accumulation that hundreds of example is performed the operation.
The carto machine of Israel's invention at present can only be by drawing the three of chambers of the heart model in chambers of the heart model positioned internal sampling site Dimension electronic model, utilizes GPS magnetic navigation principle to place three pieces of magnetic poles outside patient's chambers of the heart model and imitates three satellites, and have reception The conductor housing of device can be with the position of real-time positioning self, such that it is able to draw, by Carto machine, the heart that living animal is tested Three-dimensional truthful data.Doctor, to obtain real operating experience, can only pass through patient or the heart hands of other living animals Art, is risked the danger being chronically exposed under X-ray radiation environment and is combined the current potential output of electrocardiograph by traditional two dimension film making, Operate conduit continuous intensive training memory character and feel.How to avoid the expensive of malpractice, move from live body Challenges of Ethics and the applied economics pressure of thing experiment, the threat of long-time radioactive exposure, very long cultivation cycle etc. is a series of asks Topic, the cultural method changing traditional cardiac surgery doctor is the most uneconomical the most unhealthy, and is difficult to meet current a large amount of doctors The present situation of the demand of teacher's breach, is present system and problem that method to solve emphatically.
Summary of the invention
It is an object of the invention to provide a kind of cardiac electrophysiology signal imitation system and analogy method thereof, the present invention is device Official, tissue excited produced action potential as activity indicators, the three-dimensional modeling of chambers of the heart model and real-time potential diagram Combine, make operator only can obtain operating experience during authentic simulation experiment made on the living by electricity physiological signal analog systems With true feel, substantially reducing intern becomes the training cycle required for skilled surgeon.
For achieving the above object, the present invention provides following technical scheme:
A kind of cardiac electrophysiology signal imitation system, comprises: transparent chambers of the heart model, and heart Wicresoft gets involved the conduit of operation Device, for positioning the alignment system of conductor housing position and the host computer containing electrocardiosignal host computer interpretive program;Wherein Chambers of the heart model connects host computer by alignment system, and chambers of the heart model is also connected with pipe guide, and alignment system is by bearing, sensing system System, integrated-circuit signal processor composition;According to the electrocardiosignal that prestores in host computer, the default binding relationship of endocardial position Feature, utilizes electrocardiosignal host computer interpretive program to translate on host computer and shows chambers of the heart model and conductor housing in pipe guide Electrocardiosignal corresponding to touch points.
As the further scheme of the present invention: user is specified by data base, interface, text corresponding relation input these three Any one in mode specifies the binding relationship of electrocardiosignal and chambers of the heart model interior location.
As the further scheme of the present invention: described alignment system uses optical camera video identification mode to position, sound Any one location mode that sound calculates in location to time difference, GPS magnetic navigation location, built in transparent circuit with sensor is determined The position of conductor housing in the pipe guide of position.
As the further scheme of the present invention: described alignment system forms by drawing desired signal at pipe guide tail end Loop, to judge whether the conductor housing in pipe guide is touched chambers of the heart model inwall and calculate chambers of the heart model corresponding to touch points Position.
As the further scheme of the present invention: by right for different characteristic regional compartmentalization coupling in integrated-circuit signal processor Answer electrocardiosignal, thus directly transfer the electrocardiosignal of display respective regions when obtaining touch points.
As the further scheme of the present invention: at the built-in spatial mode having chambers of the heart model of the response procedures that host computer is corresponding By locus, type, calculates whether reduction conductor housing is touched with chambers of the heart model inwall.
A kind of method that it is a further object of the present invention to provide cardiac electrophysiology signal imitation, comprises the following steps:
1) alignment system detection conductor housing position, and conductor housing positional information is sent to host computer;
2) described host computer judges whether conductor housing position is positioned at inside chambers of the heart model: if it was not then terminate this heart Dirty electricity physiological signal is simulated;If it is present perform step 3);
3) calculate conductor housing by locus, transducing signal feedback information, with chambers of the heart model inwall, putting of touching occurs Reliability;If confidence level is less than the touching confidence level preset, then terminate this cardiac electrophysiology signal imitation;If confidence level is not Less than the touching confidence level preset, then perform step 4);
4) data base, interface is used to specify any one inquiry mode in information or input text corresponding relation to look into Ask corresponding ecg signal data, and show ecg signal data by host computer display screen;Thus in completing chambers of the heart model not The electrocardiosignal reduction of co-located (position that i.e. current catheter head touches);
As the further scheme of the present invention: calculate conductor housing in described step (3) and occur to touch with chambers of the heart model inwall In the case of touching, by being close in microphone sensor, vibrating sensor or the internal circuit sensor with chambers of the heart model outer wall The signal of any one sensor acquisition judge whether that this signal amplitude exceedes the surge of preset multiple, carry further The high confidence level judging touching.
Compared with prior art, the invention has the beneficial effects as follows:
Present invention safety operating experience intuitively radiationless, transparent, feed back feel, in real time electrocardiosignal the most accurately really Feedback, make doctor broken away from by true sufferer or living animal try one's hand acquisition experience approach limit so that intern Can carry out anywhere or anytime emulating operative training, thus substantially increase the training efficiency of doctor, shorten their growth In the cycle, such that it is able to provide more veteran doctor within the unit interval, release in time for more cardiac Painful.
Advantage that the present invention is concrete or good effect
1. greatly reduce X-ray exposure amount;
The most transparent intuitively, it is simple to the foundation of three-dimensional theory;
3. can Real-time Feedback not concentric cavities model diverse location or electricity physiological signal under normal or pathological state, sensitive Degree height;
4. can analog feedback operation time true feel;
5. shorten learning curve, make the practical training cycle of clinician be greatly shortened;
6. avoid the ethical issues of living animal experiment, and greatly alleviate economy expenditure pressure;
7. simple and fast, can be simulated training whenever and wherever possible;
8. can drill in advance according to patient's personalized customization solution, improve safety during operation.
Accompanying drawing explanation
Fig. 1 is the structural representation of cardiac electrophysiology signal imitation system;
Fig. 2 is the method flow diagram of cardiac electrophysiology signal imitation system;
Fig. 3 is rank scanning method circuit arrangement schematic diagram;
Fig. 4 is rank scanning method flow diagram;
Fig. 5 is region detection method circuit arrangement schematic diagram;
Fig. 6 is method for detecting area flow chart.
Detailed description of the invention
Below in conjunction with the embodiment of the present invention, the technical scheme in the embodiment of the present invention is clearly and completely described, Obviously, described embodiment is only a part of embodiment of the present invention rather than whole embodiments.Based in the present invention Embodiment, the every other embodiment that those of ordinary skill in the art are obtained under not making creative work premise, all Belong to the scope of protection of the invention.
Embodiment 1
In the embodiment of the present invention, the cardiac electrophysiology signal imitation system of the present invention can be supplied to the surgeon one that practises Individual fully simulated surgical simulation environment, thus substantially reduce their growth cycle, it is achieved that cultivate in a short time enough skillfully The purpose of surgeon.
Refer to Fig. 1, a kind of cardiac electrophysiology signal imitation system, comprise: a transparent chambers of the heart model, heart Wicresoft Getting involved the pipe guide of operation, one for positioning the alignment system of conductor housing position and translating containing electrocardiosignal host computer The host computer of program;Its center cavity model connects host computer by alignment system, and chambers of the heart model is also connected with pipe guide, location system System is made up of bearing, sensor-based system, integrated-circuit signal processor;According to the electrocardiosignal that prestores in host computer, endocardial position The default binding relationship feature put, host computer utilizes electrocardiosignal host computer interpretive program translate and show chambers of the heart model with Electrocardiosignal corresponding to conductor housing touch points in pipe guide.The analog systems of the present invention according to the CT scan data of true man, Simulate human heart by the 1:1 chambers of the heart model printed, use special support and plastic flexible pipe to simulate human vas, join With the ablation catheter used in operation, enter inside chambers of the heart model and carry out fully simulated operative training.Chambers of the heart model uses complete Transparent material, makes doctor obtain more intuitive 3D vision operating experience.Chambers of the heart model and Normal Human Heart's structure complete Sample, reduces the feel of true operation to the full extent.
When this signal imitation system can make conductor housing not touch chambers of the heart model inwall (imitative cardiac muscle), host computer screen end in Existing electrocardiosignal is without electric potential signal;And during conductor housing touching chambers of the heart model inwall, be immediately invoked at by host computer procedure Screen end presents corresponding electrocardiosignal.So, surgeon can obtain real operating experience, simultaneously when operating conduit Also can obtain real-time and feed back electrocardiosignal really.Before real patient operates, can be standardized by analog systems Operation practice, is progressively transitioned into and only combines the Real-time Feedback of carto system and electrocardiosignal and just can complete each chambers of the heart model Three-dimensional reconstruction.Even if not utilizing carto system, only analog systems itself to may also function as operation conduit limit, limit feedback electricity physiological signal Training effect.The process of exercise had both improved catheter manipulation skill, had tempered three dimensions theory, more greatly reduce exposure spoke Penetrate, shorten learning cycle.
Once after present system work, can be by the position of alignment system detection current catheter head, then conductor housing Position send to host computer, so far slave computer completes work.Host computer be responsible for judging conductor housing whether inside chambers of the heart model, If not existing, terminating the simulation of this electrocardiosignal, if existing, continuing executing with forward, by the calculating of locus, if calculating The point position of conductor housing, on the inner surface of chambers of the heart model, judges that conductor housing occurs the confidence of touching with chambers of the heart model inwall accordingly Degree.If this confidence level is less than the touching confidence level preset, then terminate this cardiac electrophysiology signal imitation;If more than, under performing One step, the sensitivity that can increase or reduce touching by adjusting preset value (is adjusted according to the feel of doctor's practical operation Whole), specify information or a kind of electrocardiosignal going inquiry corresponding of text input relation from data base or interface, and by this signal Shown by interface data thus reach the purpose of the electrocardiosignal of reduction current catheter head present position.Pre-seting reliability Time, owing to the precision of modeling and location limits, mike or vibrating sensor can be fixed at chambers of the heart model outer wall, or by laying Internal circuit and sensor detect when whether the signal amplitude of eve exceedes the surge of preset multiple, assist further Judge whether to touch.If confirming to exceed the surge of preset multiple, then improve the confidence level that touching occurs;If not, Cut down confidence level, thus improve the accuracy judging whether touching.
As in figure 2 it is shown, current carto machine can utilize GPS magnetic navigation principle, use ablation catheter in chambers of the heart model Wall sampling site, thus obtain the three-dimensional data model of chambers of the heart model.And during sampling site, each chambers of the heart model diverse location is corresponding Electro physiology potential diagram cannot collect simultaneously.Utilize the electricity physiological signal analog systems sending out signals by each region of the present invention Line is received on integrated-circuit signal processor by simulator hold-down support, by default programme-control, it is possible to achieve upper Position machine end shows the electrocardio potential diagram of correspondence in real time.When ablation catheter head touches chambers of the heart model inwall, constitute loop, program May determine that touching and transfer corresponding potential diagram by data base, showing over the display.When ablation catheter head does not touches Encountering chambers of the heart model inwall, received by processor without the corresponding signal that triggers, processor can be transferred without letter immediately from data base Number potential diagram shows at display end.
So, being achieved that while chambers of the heart model modeling, correspondence goes out the characteristic potential figure at each position, has filled up current The blank of training of doctors, shortens learning curve.Even if not by carto machine, by ablation catheter, chambers of the heart model, simulator Hold-down support, integrated-circuit signal processor and host computer display screen end also can reach the effect of different electrocardio current potential, thus It is very easy to doctor and is simulated training whenever and wherever possible.
The present invention has to rely on true sufferer or the stage of living animal test during skipping current training of doctors, directly Lay transparent circuit and sensor sensing in utilizing transparent chambers of the heart model, reach 1, whole clearing, can be visually seen Conductor housing operation trace in model;2, real-time calling show the electricity physiological signal of zones of different;3, by the choosing of material Take, true feel during reduction operation.Thus only reducing light exposure by electricity physiological signal analog systems, skilled operation is led Pipe, shortens learning cycle, the purpose of the skilled doctor of fast culture.
For the region recognition of see-through model, the main implementation of current techniques has optically and electrically two kinds.Optics is Use the imaging apparatuss such as endoscope, the image observed by process, distinguish region residing for conduit.But this method has bright Aobvious inferior position, one, its focal length of camera element is limited, when conduit or the equidistant photographic head of chambers of the heart model inwall are close, meeting Impact observation;Its two, camera view is limited, the scrambling of organ, result in one or more photographic head and has still been difficult to The whole all regions observed within organ.Its three, the optically-based principle of photographic head, it is difficult to identify conduit contact the most truly On organ chambers of the heart model inwall.The most too much photographic head is laid, and also can bring permeability and the patient affecting chambers of the heart model Sight line, the situations such as cost increases, modelling difficulty.
The present invention is based on electrical principles, it is proposed that rank scanning positioning mode and region detection method two kinds judge to touch and location Scheme.Being characterized in, model modification is little, attachment device is few, easy to implement.Can accurately, stable, be timely detected conduit The model area touched.
Main operational principle:
(1) rank scanning positioning mode:
As it is shown on figure 3, the interior surface shape of reference model, make flexible, transparent circuit grid, be fitted in mould The inner surface of type.Circuit relates to such as lower part: one, horizontal wire, its two, longitudinal wire.Each at transverse and longitudinal wire Individual infall, passes through insulation processing, it is to avoid transverse and longitudinal wire turns on.By special interface, by horizontal line wire and longitudinal wire difference Extraction is connected to back-end processing device.As shown above, during actual laying, can want according to for regional positioning precision Ask, the transverse and longitudinal wire that density is different is set.
As shown in Figure 4, when the present invention works, processing means drives each horizontal wire line by line, meanwhile, detects each row and indulges Whether guiding line receives driving signal.When the contact with electric conductivity touches the i-th horizontal wire of row and the longitudinal wire of jth row Position, boundary near time, processing means can detect and occur in that the i-th horizontal wire of row, the most then on the jth longitudinal wire of row Can be determined that, conduit has touched this position, boundary.
(2) region detection method:
As it is shown in figure 5, the present invention proposes a kind of region detection scheme simultaneously.The program can be at complicated see-through model In, divide according to region, by dividing the forms such as border on the profile of regional, reach regional inner conductive, with Time zones of different between insulated from each other.By wire, regional is connected to processing means afterwards.During work, processing means is successively Output drive signal on regional.
On conduit, needing the process done is to carry out electric conductivity process on conductor housing, meanwhile, by catheter interior Process, the signal received can be led to the end of conductor housing, be then similarly connected in processing means at conductor housing.When Processing means detects when the signal that conductor housing transmits is the signal driving ith zone, then can be determined that current catheter touches Arrive ith zone.So, it is only necessary to the corresponding electrocardio current potential calling respective regions in a program can realize real-time connecing I.e. go out potential diagram on Chuing, when not contacting, no signal current potential, be truly realized true ring during Real-time and Dynamic stably sham operated Border.
In practical operation, in order to improve the sensitivity of detection further, the signal collected by conduit resupplies after amplifying Processing means, as shown in Figure 6.On the other hand, can the signal threshold value of triggering be set less in software, thus ensure conduit The upper chambers of the heart model inwall of head contact can collect required signal.For adjacent area boundary signal feed back, use with Machine algorithm, any some region of electrocardiosignal of exportable border boundary of institute.
It is obvious to a person skilled in the art that the invention is not restricted to the details of above-mentioned one exemplary embodiment, Er Qie In the case of the spirit or essential attributes of the present invention, it is possible to realize the present invention in other specific forms.Therefore, no matter From the point of view of which point, all should regard embodiment as exemplary, and be nonrestrictive, the scope of the present invention is by appended power Profit requires rather than described above limits, it is intended that all by fall in the implication of equivalency and scope of claim Change is included in the present invention.
Although moreover, it will be appreciated that this specification is been described by according to embodiment, but the most each embodiment only wraps Containing an independent technical scheme, this narrating mode of description is only that for clarity sake those skilled in the art should Description can also be formed those skilled in the art through appropriately combined as an entirety, the technical scheme in each embodiment May be appreciated other embodiments.

Claims (8)

1. a cardiac electrophysiology signal imitation system, it is characterised in that comprise: transparent chambers of the heart model, heart Wicresoft get involved The pipe guide of operation, for positioning the alignment system of conductor housing position and containing electrocardiosignal host computer interpretive program Position machine;Its center cavity model connects host computer by alignment system, and chambers of the heart model is also connected with pipe guide, and alignment system is by propping up Seat, sensor-based system, integrated-circuit signal processor form;According to the electrocardiosignal that prestores in host computer, endocardial position pre- If binding relationship feature, host computer utilize electrocardiosignal host computer interpretive program translate and show that chambers of the heart model fills with conduit Put the electrocardiosignal corresponding to conductor housing touch points.
Cardiac electrophysiology signal imitation system the most according to claim 1, it is characterised in that user passes through data base, boundary Any one in face appointment, text corresponding relation input these three mode specifies electrocardiosignal and chambers of the heart model interior location Binding relationship.
Cardiac electrophysiology signal imitation system the most according to claim 1, it is characterised in that described alignment system uses light Learn camera video recognition method location, sound to time difference, GPS magnetic navigation location, built in transparent circuit and sensor calculating Any one location mode in location positions the position of conductor housing in pipe guide.
Cardiac electrophysiology signal imitation system the most according to claim 1, it is characterised in that described alignment system is passed through Pipe guide tail end draws desired signal composition loop, to judge whether the conductor housing in pipe guide touches chambers of the heart model inwall And calculate chambers of the heart modal position corresponding to touch points.
Cardiac electrophysiology signal imitation system the most according to claim 1, it is characterised in that process at integrated circuit signal By corresponding for different characteristic regional compartmentalization coupling electrocardiosignal in device, thus directly transfer display respective regions when obtaining touch points Electrocardiosignal.
Cardiac electrophysiology signal imitation system the most according to claim 1, it is characterised in that in the reaction that host computer is corresponding By locus, the built-in spatial model having chambers of the heart model of program, calculates whether reduction conductor housing occurs with chambers of the heart model inwall Touching.
7. the method for a cardiac electrophysiology signal imitation as claimed in claim 1, it is characterised in that comprise the following steps:
1) alignment system detection conductor housing position, and conductor housing positional information is sent to host computer;
2) described host computer judges whether conductor housing position is positioned at inside chambers of the heart model: if it was not then terminate this cardiac electric Physiological signal is simulated;If it is present perform step 3);
3) confidence of conductor housing and the generation touching of chambers of the heart model inwall is calculated by locus, transducing signal feedback information Degree;If confidence level is less than the touching confidence level preset, then terminate this cardiac electrophysiology signal imitation;If confidence level is the least In default touching confidence level, then perform step 4);
4) data base, interface is used to specify any one inquiry mode in information or input text corresponding relation to inquire about right The ecg signal data answered, and show ecg signal data by host computer display screen;Thus not coordination in completing chambers of the heart model Put the electrocardiosignal reduction of (position that i.e. current catheter head touches).
The method of cardiac electrophysiology signal imitation the most according to claim 7, it is characterised in that count in described step (3) Calculate in the case of conductor housing and chambers of the heart model inwall touch, by being close to the mike sensing with chambers of the heart model outer wall The signal of any one sensor acquisition in device, vibrating sensor or internal circuit sensor judges whether this signal Amplitude exceedes the surge of preset multiple, improves the confidence level judging touching further.
CN201610415836.7A 2016-06-14 2016-06-14 A kind of cardiac electrophysiology signal imitation system and analogy method thereof Pending CN106128255A (en)

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CN110111631A (en) * 2019-05-05 2019-08-09 武汉湾流科技股份有限公司 A kind of esophageal electrode intubation training method and system based on mixed reality
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CN111150490B (en) * 2020-01-15 2021-01-29 陈挺 Intelligent assistant system for cardiac radio frequency ablation surgery based on AR and AI technologies

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Application publication date: 20161116

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