CN108938083A - A kind of cholangiography laser cure apparatus based on T-type drainage tube passage - Google Patents
A kind of cholangiography laser cure apparatus based on T-type drainage tube passage Download PDFInfo
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- CN108938083A CN108938083A CN201710367113.9A CN201710367113A CN108938083A CN 108938083 A CN108938083 A CN 108938083A CN 201710367113 A CN201710367113 A CN 201710367113A CN 108938083 A CN108938083 A CN 108938083A
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- 238000013189 cholangiography Methods 0.000 title claims abstract description 67
- 239000013307 optical fiber Substances 0.000 claims abstract description 53
- 238000002601 radiography Methods 0.000 claims abstract description 23
- 239000003795 chemical substances by application Substances 0.000 claims abstract description 9
- 238000004891 communication Methods 0.000 claims description 39
- 239000000835 fiber Substances 0.000 claims description 29
- 230000005284 excitation Effects 0.000 claims description 19
- 239000000463 material Substances 0.000 claims description 8
- 238000012360 testing method Methods 0.000 claims description 8
- 229910052788 barium Inorganic materials 0.000 claims description 6
- DSAJWYNOEDNPEQ-UHFFFAOYSA-N barium atom Chemical compound [Ba] DSAJWYNOEDNPEQ-UHFFFAOYSA-N 0.000 claims description 6
- 239000011248 coating agent Substances 0.000 claims description 6
- 238000000576 coating method Methods 0.000 claims description 6
- 230000006837 decompression Effects 0.000 claims description 6
- 239000000203 mixture Substances 0.000 claims description 4
- 230000000903 blocking effect Effects 0.000 claims description 3
- 239000007788 liquid Substances 0.000 claims description 3
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims 1
- 210000003445 biliary tract Anatomy 0.000 abstract description 39
- 206010020718 hyperplasia Diseases 0.000 abstract description 9
- 230000003902 lesion Effects 0.000 abstract description 9
- 230000006378 damage Effects 0.000 abstract description 8
- 230000002390 hyperplastic effect Effects 0.000 abstract description 8
- 238000005516 engineering process Methods 0.000 abstract description 6
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- 230000005855 radiation Effects 0.000 abstract description 3
- 238000012800 visualization Methods 0.000 abstract description 3
- 239000004065 semiconductor Substances 0.000 abstract description 2
- 230000001225 therapeutic effect Effects 0.000 abstract description 2
- 239000002872 contrast media Substances 0.000 description 8
- 210000000232 gallbladder Anatomy 0.000 description 7
- 238000000034 method Methods 0.000 description 6
- 238000012216 screening Methods 0.000 description 6
- 238000002679 ablation Methods 0.000 description 4
- 238000013461 design Methods 0.000 description 4
- 238000010586 diagram Methods 0.000 description 4
- 201000010099 disease Diseases 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
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- 238000002347 injection Methods 0.000 description 3
- 239000007924 injection Substances 0.000 description 3
- 210000004185 liver Anatomy 0.000 description 3
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- 238000003745 diagnosis Methods 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 210000000496 pancreas Anatomy 0.000 description 2
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- 239000000243 solution Substances 0.000 description 2
- 208000004998 Abdominal Pain Diseases 0.000 description 1
- 206010000060 Abdominal distension Diseases 0.000 description 1
- 208000015163 Biliary Tract disease Diseases 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
- A61B18/245—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter for removing obstructions in blood vessels or calculi
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M31/00—Devices for introducing or retaining media, e.g. remedies, in cavities of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00482—Digestive system
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B2018/2205—Characteristics of fibres
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1042—Alimentary tract
- A61M2210/1075—Gall bladder
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
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- Animal Behavior & Ethology (AREA)
- Surgery (AREA)
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- Optics & Photonics (AREA)
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- Laser Surgery Devices (AREA)
Abstract
A kind of cholangiography laser cure apparatus based on T-type drainage tube passage of the invention, remote control technology, cholangiography technology and semiconductor laser knife technology are combined；The system is made of function end and control terminal, wherein function end is under the wireless control of operating side, injecting for cholangiography agent can be carried out by T tube passage according to appropriate speed, to complete radiography operation, avoid doctor's therefore contact with X-ray radiation, furthermore, such as there is visualisation exception, prompt biliary duct stricture or obstruction, function end also can be under the wireless control of operating side, optical fiber is conveyed into patient's biliary tract by T tube passage, lesion locations are reached under radiography guidance, then by exciting hyperplastic tissue or calculus in 980nm laser damage biliary tract, therapeutic purposes are realized to contact symptom.
Description
Technical field
The invention belongs to medical equipment cholangiography field, in particular to a kind of biliary tract based on T-type drainage tube passage is made
Shadow laser cure apparatus.
Background technique
It is both needed to be related to biliary tract in the surgical procedures of liver and gallbladder pancreas region disease such as current liver and gallbladder pancreas malignant tumour, cholelithiasis
Rebuild, after Biliary reconstruction often through abdomen place T-type drainage tube (T pipe) so as to it is postoperative temporarily by biliary drainage to external, for gallbladder
The healing of road previous anastomotic creates conditions.In addition to drainage, another important function of T tube passage is to carry out cholangiography inspection.
Normal practice is in clinical position, and contrast agent is directly injected into patient's biliary tract through T tube passage under the conditions of radioscopy, makes gallbladder
The overall profile and lesion region in road can clearly show that on X-ray film, to check the degree of mobility of biliary tract, if there are narrow
Situations such as (biliary tract surrounding tissue hyperplasia causes), obstruction (Biliary Calculi causes), thus to surgical effect and patient's healing state
It is assessed.Currently, the cholangiography (i.e. T pipe radiography) through T tube passage has become the postoperative essential standard of related surgical
It checks.
However, there is obvious deficiency in terms of implementation method and application effect in current T pipe shadowgraph technique.Firstly, for observation
Contrast agent fills process in biliary tract to judge the unobstructed situation of biliary tract, and doctor need to be exposed under the conditions of radioscopy, although having
The safeguard procedures such as lead clothing, but high-intensitive workload contacts the frequency with highdensity ray, can still cause centainly to cure to doctor
Property radiation injury in source threatens doctor's health；Secondly, T pipe radiography is only able to display the unobstructed situation of biliary tract, for causing biliary duct stricture
Or the reason of obstruction, not can be carried out processing, in other words, T pipe radiography can only carry out the diagnosis of disease of biliary tract, not can be carried out biliary tract disease
The treatment of disease can not make patient release sufferer at the first time；Finally, traditional contrast agent injection process, mostly by operation doctor with
Feel " blind to push away ", the controlling of speed is poor, injects fast speed, and binary passage presyure power is easily made to rise sharply, and causes abdominal distension, abdominal pain, gallbladder
The symptoms such as pipe inflammation can also make bile reflux enter blood when pressure is excessive, cause fever, infection, the even serious conditions such as septicemia.
In conclusion needing to design a kind of fixed device of the central vein catheter for overcoming above-mentioned technical problem at present.
Summary of the invention
In order to overcome the disadvantages of the above prior art, the present invention is led remote control technology, cholangiography technology and partly
Volumetric laser knife technology combines, and it is an object of the present invention to provide a kind of cholangiography laser cure apparatus based on T-type drainage tube passage.This is
System is made of function end and control terminal, and wherein function end can be managed according to appropriate speed by T under the wireless control of operating side
Channel carries out injecting for cholangiography agent, to complete radiography operation, avoids doctor's therefore contact with X-ray radiation；In addition, as occurred
Visualisation is abnormal, prompts biliary duct stricture or obstruction, function end also can under the wireless control of operating side, by T tube passage to
Optical fiber is conveyed in patient's biliary tract, reaches lesion locations under radiography guidance, then passes through excitation 980nm laser damage biliary tract
Interior hyperplastic tissue or calculus, so that contacting symptom realizes therapeutic purposes.
To achieve the goals above, the technical solution adopted by the present invention is that: it is a kind of based on T-type drainage tube passage biliary tract make
Shadow laser cure apparatus,
Including operating side and control terminal；The operating side is by cholangiography module, laser knife treatment module and branch hold mode
Block is constituted；
The hollow ladder structure of right angle of the shell one of the support device；The laser knife treatment module is placed in the support
The upper bottom surface of device；On card slot on the outer surface of oblique waist of the cholangiography module card in the support device；
The first wireless communication module is equipped in the support device,
The control terminal is a control box, interior to be equipped with the second wireless telecommunications communicated with first wireless communication module
Module.
Further, the cholangiography module is by syringe, inner push-rod, fiber channel, injector push-rod and drive
Dynamic module composition；
The liquid outlet of the syringe is in T pipe and is connected；The inner push-rod is set to the inside of the syringe, centre bit
The channel for opening up and passing through for the fiber channel is set, tail portion is connected with injector push-rod；
The head end of the injector push-rod, which is set to, to be had pressure sensor and contacts with inner push-rod, and tail end is fixed on driving mould
On block；Drive module is fixed below the oblique waist of supporting module, is made of stepper motor and sliding rail, is fixedly arranged above syringe
Push rod is connect in a wired fashion with the first wireless communication module in supporting module.
Further, the laser knife treatment module is fine by laser generator, the light guide inside the supporting module
Tie up disk, optical fiber, rotation drive module, horizontal drive module and the rotary drive on the top surface of the supporting module
Module and horizontal conveyor module composition；
The output end of the laser generator and the tail portion of optical fiber connect, and are wound in institute in the middle part of the optical fiber
It states on optical fiber disk, it is laggard that head end passes sequentially through roller arm on top surface, rotation drive module, rotary drive module
Enter fiber channel；
The rotation drive module head end is connected with rotary drive module, the horizontal drive module head end and horizontal conveyor
Module is connected, and the middle part of the rotary drive module and horizontal conveyor module is passed through for optical fiber；The rotation drive module
It is connect in a wired fashion with the First Line communication module in supporting module respectively with the tail portion of horizontal drive module.
Further, the front side wall of the shell of the supporting module is equipped with first switch button, the first wireless telecommunications refer to
Show lamp, self-test indicator light and alarm lamp；The oblique waist of the supporting module is equipped with the card slot for blocking the syringe；
The junction of the oblique waist and top surface is equipped with multiple support rods, is used to support the fiber channel；
The roller arm is set to the top surface of shell close to one end of right angle waist；Further include attaching plug, passes through power supply line
Connect laser generator.
Further, the case surface of the control terminal is equipped with display screen, decompression button, radiography excitation button, pressurization
Button, power supply indicator, the second wireless telecommunications indicator light and second switch button；Further include, in the inverse time of cross arrangement
Needle spin button, backspace button rotate clockwise button and forwarding button and the laser excitation button set on center；
The second wireless communication module and battery are equipped in the shell；Second wireless communication module and pressure are shown
Screen, decompression button, radiography excitation button, pressurizing button, spin button counterclockwise, laser excitation button, backspace button, clockwise
Spin button and forwarding button connect in a wired fashion.
Further, the central wavelength of the laser generator is 980nm, peak power output 80w；
The outside of the optical fiber has barium agent coating；The diameter 0.4mm of the optical fiber；
The diameter of the optical fiber disk is 10cm, includes torsion spring, is fixed on inside supporting module.
Further, the material selection medical macromolecular materials of the inner push-rod；Its center is logical equipped with a diameter 3mm
Road is to pass through fiber channel.
Further, the head end of the fiber channel is equipped with one-way cock.
Compared with prior art, the beneficial effect that the present invention generates is mainly reflected in:
1. a kind of cholangiography laser cure apparatus based on T-type drainage tube passage of the invention, doctor can by control terminal
Cholangiography module in the Screening room external control manufacture indoor operating side of shadow completes cholangiography movement, avoids doctor because carrying out gallbladder
Road radiography operates and is exposed to X-ray environment, and the health of doctor is ensured under the premise of not damaging patients ' interest；
2. a kind of cholangiography laser cure apparatus based on T-type drainage tube passage of the invention, doctor can by control terminal
The biliary tract that laser knife treatment module in the Screening room external control manufacture indoor operating side of shadow completes optical fiber is built into and reaches
Lesion, by excitation 980nm laser damage biliary tract in hyperplastic tissue or calculus, the symptom of first time reduction of patient examining
Treatment is completed during disconnected, avoids the progress of secondary operation；
3. a kind of cholangiography laser cure apparatus based on T-type drainage tube passage of the invention, to improve cholangiography
Safety, the injector push-rod in cholangiography module have pressure sensor, the biliary tract resistance during cholangiography are led to
Control terminal Real-time Feedback is crossed to doctor, doctor can rule of thumb determine whether cholangiography module works on；
4. a kind of cholangiography laser cure apparatus based on T-type drainage tube passage of the invention, to improve laser knife treatment
Safety, there is outside optical fiber barium agent coating, enhance it and develop under x-ray environment, thus under x-ray guidance, light guide
Fiber can accurately reach the diseased region of biliary tract, avoid the damage because of caused by position inaccurate.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the supporting module of operating side of the invention.
Fig. 2 is the structural schematic diagram of the cholangiography module of operating side of the invention.
Fig. 3 is that the laser knife of operating side of the invention treats the structural schematic diagram of module.
Fig. 4 is the structural schematic diagram of control terminal of the invention.
Fig. 5 is working state schematic representation of the invention.
Description of symbols:
1, operating side 2, control terminal 3, cholangiography module
4, laser knife treats module 5, supporting module 6, syringe
7, inner push-rod 8, fiber channel 9, injector push-rod
10, drive module 11, T pipe 12, laser generator
13, optical fiber disk 14, optical fiber 15, rotation drive module
16, rotary drive module 17, horizontal drive module 18, horizontal conveyor module
19, first switch button 20, the first wireless communication module 21, the first wireless telecommunications indicator light
22, self-test indicator light 23, alarm lamp 24, card slot
25, support rod 26, roller arm 27, shell
28, attaching plug 29, shell 30, display screen
31, button 32 is depressurized, radiography excites button 33, pressurizing button
34, power supply indicator 35, the second wireless telecommunications indicator light 36, the second wireless communication module
37, second switch button 38, spin button counterclockwise 39, laser excitation button
40, backspace button 41, rotate clockwise button 42, forwarding button
Specific embodiment
Purpose, technical solution and its effect to facilitate the understanding of the present invention, now will in conjunction with the embodiments to the present invention do into
One step elaborates.
As shown in Figure 1, Figure 2, shown in Fig. 3, Fig. 4 and Fig. 5, a kind of cholangiography based on T-type drainage tube passage of the invention swashs
Near infrared-ray treating device, including operating side 1 and control terminal 2；The operating side 1 by cholangiography module 3, laser knife treatment module 4 and
Supporting module 5 is constituted；The hollow ladder structure of right angle of the shell 27 1 of the support device；The laser knife treatment module 4 is set
In the upper bottom surface of the support device；Card on the outer surface for the oblique waist that the cholangiography module 3 is stuck in the support device
On slot 24；The first wireless communication module 20 is equipped in the support device, the control terminal 2 is a control box, in be equipped with
Second wireless communication module 36 of 20 communication connection of the first wireless communication module.
As shown in Figure 1, a kind of cholangiography laser cure apparatus based on T-type drainage tube passage of the invention, the biliary tract
Radiography module 3 is made of syringe 6, inner push-rod 7, fiber channel 8, injector push-rod 9 and drive module 10；The injection
The liquid outlet of device 6 is in T pipe 11 and is connected；The inner push-rod 7 is set to the inside of the syringe 6, and center is opened up for institute
The channel that fiber channel 8 passes through is stated, tail portion is connected with injector push-rod 9；The head end of the injector push-rod 9, which is set to, to be had
Pressure sensor is simultaneously contacted with inner push-rod 7, and tail end is fixed in drive module 10；Drive module 10 is fixed on supporting module 5
Oblique waist below, be made of stepper motor and sliding rail, be fixedly arranged above injector push-rod 9, with first in supporting module 5
Wireless communication module 20 connects in a wired fashion.
As shown in Fig. 2, a kind of cholangiography laser cure apparatus based on T-type drainage tube passage of the invention, the laser
Knife treats module 4 by the laser generator 12 inside the supporting module 5, optical fiber disk 13, optical fiber 14, rotation
Drive module 10, horizontal drive module 17 and rotary drive module 16 and level on the top surface of the supporting module 5
Transmission module 18 is constituted；The output end of the laser generator 12 is connect with the tail portion of optical fiber 14, the optical fiber 14
Middle part be wound on the optical fiber disk 13, head end passes sequentially through roller arm 26 on top surface, rotation driving mould
Enter fiber channel 8 after block 10, rotary drive module 16；10 head end of rotation drive module and rotary drive module 16
It is connected, 17 head end of horizontal drive module is connected with horizontal conveyor module 18, the rotary drive module 16 and horizontal conveyor
The middle part of module 18 is passed through for optical fiber 14；It is described rotation drive module 10 and horizontal drive module 17 tail portion respectively with branch
The first wireless communication module 20 in hold mode block 5 connects in a wired fashion.
As shown in figure 3, a kind of cholangiography laser cure apparatus based on T-type drainage tube passage of the invention, the support
The front side wall of the shell 27 of module 5 is equipped with first switch button 19, the first wireless telecommunications indicator light 21,22 and of self-test indicator light
Alarm lamp 23；The oblique waist of the supporting module 5 is equipped with the card slot 24 for blocking the syringe 6；The oblique waist and
The junction of top surface is equipped with multiple support rods 25, is used to support the fiber channel 8；The roller arm 26 is set to shell
27 top surface is close to one end of right angle waist；Further include attaching plug 28, laser generator 12 is connected by power supply line.
As shown in figure 4, a kind of cholangiography laser cure apparatus based on T-type drainage tube passage of the invention, the control
29 surface of shell at end 2 is equipped with display screen 30, decompression button 31, radiography and excites button 32, pressurizing button 33, power supply indicator
34, the second wireless telecommunications indicator light 35 and second switch button 36；Further include, in the spin button counterclockwise of cross arrangement
38, backspace button 40, rotate clockwise button 41 and forwarding button 42 and the laser excitation button 39 set on center；
The second wireless communication module 36 and battery are equipped in the shell 29；Second wireless communication module 36 and pressure display screen
30, it depressurizes button 31, radiography excitation button 32, pressurizing button 33, spin button counterclockwise 38, laser excitation button 39, retreat
Button 40 rotates clockwise button 41 and forwarding button 42 connects in a wired fashion.
A kind of cholangiography laser cure apparatus based on T-type drainage tube passage of the invention, the laser generator 12
Central wavelength is 980nm, peak power output 80w；
The outside of the optical fiber 14 has barium agent coating；The diameter 0.4mm of the optical fiber 14；
The diameter of the optical fiber disk 13 is 10cm, includes torsion spring, is fixed on inside supporting module 5.
A kind of cholangiography laser cure apparatus based on T-type drainage tube passage of the invention, the material choosing of the inner push-rod 7
Use medical macromolecular materials；Its center is equipped with a channel diameter 3mm to pass through fiber channel 8.
A kind of cholangiography laser cure apparatus based on T-type drainage tube passage of the invention, the fiber channel 8
Head end is equipped with one-way cock.
The invention discloses a kind of cholangiography laser cure apparatus based on T-type drainage tube passage, are based on semiconductor laser
The 980nm laser of occurring principle can carry out the cutting of liver organization, for hyperplastic tissue's (including fibroplasia tissue in biliary tract
With tumor proliferative tissue) there is ablation, in addition, 980nm laser is contacted with Biliary Calculi, Biliary Calculi can be made to crush,
Gasification.
As shown in Figure 1, a kind of cholangiography laser cure apparatus based on T-type drainage tube passage of the invention, the biliary tract
Radiography module 3 is made of syringe 6, inner push-rod 7, fiber channel 8, injector push-rod 9 and drive module 10；Wherein infuse
Emitter 6 passes through the card slot 24 in supporting module 5 using the standard 20ml disposable sterilized injector being often used in clinical position
It is fixed on the inclined-plane of supporting module 5, the front end of syringe 6 is connected with the T pipe 11 of patient, and inner push-rod 7 is out of shape in it；Inner push-rod
7, material selection medical macromolecular materials, out of shape in syringe 6, center has a channel diameter 3mm to pass through light
Fiber channel 8 is led, tail portion is in contact with injector push-rod 9；Fiber channel 8 is out of shape in inner push-rod 7, and head end has unidirectionally
Valve design, tail portion are connected with the optical fiber 14 of laser knife treatment module 4, and middle part passes through the support rod of supporting module 5
25 are fixed in supporting module 5；The head end of injector push-rod 9 has mechanics sensor and contacts with inner push-rod 7, and tail end is fixed on
In drive module 10；Drive module 10 is fixed below the inclined-plane of supporting module 5, is made of stepper motor and sliding rail, top
It is fixed with injector push-rod 9, is connect in a wired fashion with the first wireless communication module 20 in supporting module 5.Cholangiography
Module 3 completes injecting for contrast agent under the control of control terminal 2, and wherein under working condition, contrast agent is contained inside syringe 6,
Control terminal 2 issues corresponding working signal, gives drive module 10 through the transmitting of the first wireless communication module 20, drive module 10 generates
Corresponding sports, which gives inner push-rod 7 by the transmitting of injector push-rod 9, under the action of inner push-rod 7, making inside syringe 6
Shadow agent can be entered in patient's biliary tract by T pipe 11, complete cholangiography, and the Resistance Pressure information of biliary tract gives note by the transmitting of inner push-rod 7
Pressure sensor on emitter push rod 9 is then shown in the pressure display screen 30 of control 2 by the first wireless communication module 20；
Since fiber channel 8 is fixed in supporting module 5 by support rod 25, because without being moved with inner push-rod 7, but it is
Contrast agent adverse current is prevented, 8 head end of fiber channel has one-way cock design.
As shown in Fig. 2, laser knife treats module 4 by laser generator 12, optical fiber disk 13, optical fiber 14, rotation
Drive module 15, rotary drive module 16, horizontal drive module 17 and horizontal conveyor module 18 are constituted；Wherein laser generator
12, central wavelength 980nm, peak power output 80w are fixed on inside supporting module 5, output end and optical fiber 14
Tail portion is connected, in addition, it connect in a wired fashion with the first wireless communication module 20 in supporting module 5；Optical fiber disk 13,
Its diameter 10cm is designed comprising torsion spring, is fixed on inside supporting module 5, optical fiber 14 is wound in inside it；Light guide is fine
14 diameter 0.4mm are tieed up, tail portion is connected with the output end of laser generator 12, and middle part is wound in inside optical fiber disk 13,
Its head enters fiber channel 8 after passing sequentially through rotation drive module 15, rotary drive module 16；Rotary drive module 16
Interior optical fiber out of shape 14, tail portion are connected with rotation drive module 15；Rotate 15 head end of drive module and rotary drive module
16 are connected, and tail portion is connect in a wired fashion with the first wireless communication module 20 in supporting module 5；In horizontal conveyor module 18
Optical fiber 14 out of shape, tail portion are connected with horizontal drive module 17；17 head end of horizontal drive module and horizontal conveyor module 18
It is connected, tail portion is connect in a wired fashion with the first wireless communication module 20 in supporting module 5.Laser knife treatment module 4 exists
The ablation of biliary tract hyperplastic tissue or biliary tract rubble are completed under the control of control terminal 2, wherein under working condition, the phase of the sending of control terminal 2
Motor message is answered to give rotation drive module 15 or horizontal drive module 17, the two difference by the transmitting of the first wireless communication module 20
By rotary drive module 16 or horizontal conveyor module 18 make optical fiber 14 be respectively completed in patient's biliary tract forward-reverse or
Person's clockwise and anticlockwise rotation movement, to reach lesions position；Then the relevant work signal that control terminal 2 issues is wireless by first
Laser generator 12 is given in the transmitting of communication module 20, and laser generator 12 issues corresponding laser and is transferred to lesion by optical fiber 14
Place completes operation；The torsion spring design of optical fiber disk 13 can make 14 ordered arrangement of optical fiber inside supporting module 5；
For the safety for improving laser knife treatment, there is outside optical fiber 14 barium agent coating, enhance it and develop under x-ray environment, from
And under x-ray guidance, optical fiber 14 can accurately reach the diseased region of biliary tract, avoid because of caused by position inaccurate
Damage.
The structure of supporting module 5 of the invention as shown in figure 3, supporting module 5 by first switch button 19, the first channel radio
Interrogate module 20, the first wireless telecommunications indicator light 21, self-test indicator light 22, alarm lamp 23, card slot 24, support rod 25, pulley
Bar 26, shell 27 and attaching plug 28 are constituted.First wireless communication module 20 is fixed on inside supporting module 5, with wired
Mode is connected with drive module 10, rotation drive module 15, horizontal drive module 17 and laser generator 12；Card slot 24 and gallbladder
The syringe 6 of road radiography module 3 is connected；Support rod is connected with the fiber channel 8 of cholangiography module 3；Roller arm 26 with
The optical fiber 14 that laser knife treats module 4 is connected；Supporting module 5 be operating side 1 provide structural support, wireless signal transmission with
And power supply；Wherein under working condition, switch button 19 and power supply rubbing head 28 are the power supply of operating side 1, when power supply starts, operating side 1
It will do it self-test, normally then self-test indicator light 22 lights for self-test；First wireless communication module 20 is cholangiography module 3, laser
The corresponding assembly of knife treatment module 4 provides wireless control signal to complete movement, function and feedback information accordingly, wireless telecommunications
When normal, wireless telecommunications indicator light 21 is lighted；When occurring abnormal in 1 course of work of operating side, alarm lamp 23 is lighted；Card
The syringe 6 of the fixed cholangiography module 3 of slot 24；The fiber channel 8 of the fixed cholangiography module 3 of support rod 25；Pulley
Bar 26 is that optical fiber 14 provides moving conduit；Shell 27 is class ladder structure of right angle, and cholangiography module 3 is located at its inclined-plane,
Laser knife treats module bottom surface disposed thereon.
As shown in figure 4, control terminal 2 excites button 32, pressurizing button by shell 29, display screen 30, decompression button 31, radiography
33, power supply indicator 34, the second wireless telecommunications indicator light 35, the second wireless communication module 36, second switch button 37, counterclockwise
Spin button 38, backspace button 40, rotates clockwise button 41 and the composition of forwarding button 42 at laser excitation button 39；Wherein
Second wireless communication module 36 is located inside shell 29, includes battery, and remaining component is located at 29 surface of shell, the second wireless telecommunications
Module 36 and pressure display screen 30, radiography excitation button 32, pressurizing button 33, spin button counterclockwise 38, swash at decompression button 31
Light excitation button 39, backspace button 40 rotate clockwise button 41 and forwarding button 42 connects in a wired fashion；Control terminal 2
Wireless control is carried out to operating side 1, operating side is made to complete corresponding function；Wherein under working condition, made by switch button 37
Control terminal 2 is powered, and the normal then power supply indicator 34 that is powered lights；Related control information is passed through branch by the second wireless communication module 36
Cholangiography module 3 is given in the first wireless communication module 20 transmitting of hold mode block 5 and laser knife treats module 4, to realize corresponding
Function, when wireless telecommunications are normal, wireless telecommunications indicator light 35 is lighted；By the second wireless communication module 36, radiography excitation is pressed
Button 32 can excite cholangiography module 3 to work, and display screen 30 can get pressure of biliary tract information, depressurize button 31, pressurizing button 33
It can increase, reduce the output power of drive module 10；By the second wireless communication module 36, button 41 and inverse time are rotated clockwise
Needle spin button 38, forwarding button 42 and 40 rotation-controlled drive module 15 of backspace button, horizontal drive module 17 work, point
Not Shi Xian clockwise and anticlockwise rotation of the optical fiber 14 in patient's biliary tract or forward-reverse movement, to reach lesions position,
Then laser generator 12 is triggered by laser excitation button 39 and carries out hyperplastic tissue's ablation or rubble.
The working principle of the invention is:
As shown in figure 5, under working condition after completing contrast agent supplement, operating side 1 being placed in by patient, biliary tract is passed through
Radiography module 3 realizes the connection with patient T tube passage, and after energization, doctor holds control terminal 2 and exits x-ray Screening room, outside Screening room
Cholangiography module 3 is excited to work by control terminal 2, so that contrast agent bolus is completed, according to the pressure of biliary tract information of feedback, doctor
Life can increase or reduce the output power of cholangiography module 3 by control terminal 2, when radiography shows biliary tract exception, Yi Shengke
It is controlled by control terminal 2 and is pushed in the biliary tract of the laser knife treatment progress optical fiber 14 of module 4, after reaching lesion, then excited
Laser generator 12 carries out hyperplastic tissue's ablation or rubble, to complete treatment operation.
In use, doctor can be made by control terminal 2 in the biliary tract that Screening room external control manufactures the indoor operating side 1 of shadow
Shadow module 3 completes cholangiography movement, avoids doctor from being exposed to X-ray environment because carrying out cholangiography operation, does not damage trouble
The health of doctor is ensured under the premise of person's interests.For the safety for improving cholangiography, the syringe in 3 pieces of cholangiography mould is pushed away
Bar 9 has pressure sensor, and the biliary tract resistance during cholangiography is anti-in real time by the pressure display module 30 of control terminal 2
Feed doctor, and doctor can rule of thumb determine it is to increase injection pressure by pressurizing button 33, or pass through cholangiography button
32 stop the work of cholangiography module.When visualisation exception, biliary duct stricture or obstruction are prompted, doctor can be by control terminal 2
The biliary tract that the laser knife treatment module 4 of the Screening room external control manufacture indoor operating side 1 of shadow completes optical fiber 14 is built into and arrives
Up to lesion, by hyperplastic tissue in excitation 980nm laser damage biliary tract or calculus, the symptom of first time reduction of patient,
Treatment is completed during diagnosis, avoids the progress of secondary operation.For the safety for improving laser knife treatment, outside optical fiber 14
With barium agent coating, enhance it and develop under x-ray environment, so that optical fiber 14 can accurately reach biliary tract under x-ray guidance
Diseased region, avoid the damage because of caused by position inaccurate.It can be kept away when ensureing patients ' interest by this device
Exempt from doctor by x-ray radiation, and solve the obstruction of biliary tract symptom of patient as early as possible, improves patient's prognosis.
Further narration is done to the present invention above in conjunction with embodiment, but present invention is not limited to the embodiments described above,
Within the knowledge of one of ordinary skill in the art, it can also make without departing from the purpose of the present invention
Various change.
Claims (8)
1. a kind of cholangiography laser cure apparatus based on T-type drainage tube passage, it is characterised in that:
Including operating side and control terminal；The operating side is by cholangiography module, laser knife treatment module and supporting module structure
At；
The hollow ladder structure of right angle of the shell one of the support device；The laser knife treatment module is placed in the support device
Upper bottom surface；On card slot on the outer surface of oblique waist of the cholangiography module card in the support device；
The first wireless communication module is equipped in the support device,
The control terminal is a control box, interior the second wireless telecommunications being equipped with the first wireless communication module communication connection
Module.
2. a kind of cholangiography laser cure apparatus based on T-type drainage tube passage according to claim 1, feature exist
In:
The cholangiography module is made of syringe, inner push-rod, fiber channel, injector push-rod and drive module；
The liquid outlet of the syringe is in T pipe and is connected；The inner push-rod is set to the inside of the syringe, and center is opened
If for the channel that the fiber channel passes through, tail portion is connected with injector push-rod；
The head end of the injector push-rod, which is set to, to be had pressure sensor and contacts with inner push-rod, and tail end is fixed on drive module
On；Drive module is fixed below the oblique waist of supporting module, is made of stepper motor and sliding rail, is fixedly arranged above syringe and pushes away
Bar is connect in a wired fashion with the first wireless communication module in supporting module.
3. a kind of cholangiography laser cure apparatus based on T-type drainage tube passage according to claim 2, feature exist
In:
Laser knife treatment module by be set to laser generator inside the supporting module, optical fiber disk, optical fiber,
Rotate drive module, horizontal drive module and rotary drive module and horizontal conveyor on the top surface of the supporting module
Module composition；
The output end of the laser generator and the tail portion of optical fiber connect, and are wound in the light in the middle part of the optical fiber
It leads in fiber disc, head end enters light after passing sequentially through roller arm on top surface, rotation drive module, rotary drive module
Lead fiber channel；
The rotation drive module head end is connected with rotary drive module, the horizontal drive module head end and horizontal conveyor module
It is connected, the middle part of the rotary drive module and horizontal conveyor module is passed through for optical fiber；The rotation drive module and water
The tail portion of flat drive module is connect with the First Line communication module in supporting module in a wired fashion respectively.
4. a kind of cholangiography laser cure apparatus based on T-type drainage tube passage according to claim 3, feature exist
In:
The front side wall of the shell of the supporting module is equipped with first switch button, the first wireless telecommunications indicator light, self-test instruction
Lamp and alarm lamp；The oblique waist of the supporting module is equipped with the card slot for blocking the syringe；The oblique waist and top
The junction in face is equipped with multiple support rods, is used to support the fiber channel；
The roller arm is set to the top surface of shell close to one end of right angle waist；Further include attaching plug, is connected by power supply line
Laser generator.
5. a kind of cholangiography laser cure apparatus based on T-type drainage tube passage according to claim 4, feature exist
In:
The case surface of the control terminal is equipped with display screen, decompression button, radiography and excites button, pressurizing button, power supply instruction
Lamp, the second wireless telecommunications indicator light and second switch button；Further include, in the spin button counterclockwise of cross arrangement, after
It moves back button, rotate clockwise button and forwarding button and the laser excitation button set on center；
The second wireless communication module and battery are equipped in the shell；Second wireless communication module and pressure display screen,
Depressurize button, radiography excitation button, pressurizing button, spin button counterclockwise, laser excitation button, backspace button, clockwise rotation
Turn button and forwarding button connects in a wired fashion.
6. a kind of cholangiography laser cure apparatus based on T-type drainage tube passage according to claim 5, feature exist
In:
The central wavelength of the laser generator is 980nm, peak power output 80w；
The outside of the optical fiber has barium agent coating；The diameter 0.4mm of the optical fiber；
The diameter of the optical fiber disk is 10cm, includes torsion spring, is fixed on inside supporting module.
7. a kind of cholangiography laser cure apparatus based on T-type drainage tube passage according to claim 6, feature exist
In:
The material selection medical macromolecular materials of the inner push-rod；Its center is equipped with a channel diameter 3mm to pass through light guide
Fiber channel.
8. a kind of cholangiography laser cure apparatus based on T-type drainage tube passage according to claim 7, feature exist
In:
The head end of the fiber channel is equipped with one-way cock.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710367113.9A CN108938083B (en) | 2017-05-23 | 2017-05-23 | Biliary tract radiography laser therapeutic machine based on T-shaped drainage tube channel |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710367113.9A CN108938083B (en) | 2017-05-23 | 2017-05-23 | Biliary tract radiography laser therapeutic machine based on T-shaped drainage tube channel |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN108938083A true CN108938083A (en) | 2018-12-07 |
| CN108938083B CN108938083B (en) | 2024-02-20 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710367113.9A Active CN108938083B (en) | 2017-05-23 | 2017-05-23 | Biliary tract radiography laser therapeutic machine based on T-shaped drainage tube channel |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109718412A (en) * | 2019-02-25 | 2019-05-07 | 南通市中医院 | It is a kind of through T pipe cholangiography agent infusing device |
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| Publication number | Publication date |
|---|---|
| CN108938083B (en) | 2024-02-20 |
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