CN109875674A - Tumour ablation equipment - Google Patents
Tumour ablation equipment Download PDFInfo
- Publication number
- CN109875674A CN109875674A CN201711277595.5A CN201711277595A CN109875674A CN 109875674 A CN109875674 A CN 109875674A CN 201711277595 A CN201711277595 A CN 201711277595A CN 109875674 A CN109875674 A CN 109875674A
- Authority
- CN
- China
- Prior art keywords
- ablation
- host
- diagnosis
- treatment instrument
- superfine endoscope
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 238000002679 ablation Methods 0.000 title claims abstract description 105
- 206010028980 Neoplasm Diseases 0.000 title claims abstract description 82
- 238000011282 treatment Methods 0.000 claims abstract description 46
- 238000003745 diagnosis Methods 0.000 claims abstract description 36
- 238000001574 biopsy Methods 0.000 claims abstract description 28
- 239000000523 sample Substances 0.000 claims abstract description 24
- 238000000034 method Methods 0.000 claims abstract description 20
- 230000003287 optical effect Effects 0.000 claims description 48
- 238000012545 processing Methods 0.000 claims description 19
- 238000004891 communication Methods 0.000 claims description 16
- 230000005540 biological transmission Effects 0.000 claims description 11
- 239000000835 fiber Substances 0.000 claims description 6
- 238000002347 injection Methods 0.000 claims description 6
- 239000007924 injection Substances 0.000 claims description 6
- 239000013307 optical fiber Substances 0.000 claims description 6
- 238000000608 laser ablation Methods 0.000 claims description 4
- 238000002955 isolation Methods 0.000 claims description 3
- 238000007674 radiofrequency ablation Methods 0.000 claims description 2
- 239000000155 melt Substances 0.000 claims 1
- 238000010438 heat treatment Methods 0.000 abstract description 6
- 230000003902 lesion Effects 0.000 abstract description 4
- 230000010354 integration Effects 0.000 abstract description 2
- 210000001519 tissue Anatomy 0.000 description 23
- 230000000694 effects Effects 0.000 description 7
- 208000003174 Brain Neoplasms Diseases 0.000 description 5
- 239000003814 drug Substances 0.000 description 4
- 230000007170 pathology Effects 0.000 description 4
- 238000005086 pumping Methods 0.000 description 4
- 238000002585 cerebral angiography Methods 0.000 description 3
- 229940079593 drug Drugs 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 238000002844 melting Methods 0.000 description 3
- 230000008018 melting Effects 0.000 description 3
- 238000001959 radiotherapy Methods 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 230000001225 therapeutic effect Effects 0.000 description 3
- 238000010317 ablation therapy Methods 0.000 description 2
- 210000004204 blood vessel Anatomy 0.000 description 2
- 238000002512 chemotherapy Methods 0.000 description 2
- 238000010968 computed tomography angiography Methods 0.000 description 2
- 238000012790 confirmation Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000007917 intracranial administration Methods 0.000 description 2
- 230000001338 necrotic effect Effects 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 210000003625 skull Anatomy 0.000 description 2
- 230000001360 synchronised effect Effects 0.000 description 2
- 238000002604 ultrasonography Methods 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 208000026310 Breast neoplasm Diseases 0.000 description 1
- 206010019695 Hepatic neoplasm Diseases 0.000 description 1
- 235000018259 Solanum vestissimum Nutrition 0.000 description 1
- 240000002825 Solanum vestissimum Species 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 239000003005 anticarcinogenic agent Substances 0.000 description 1
- 229940030225 antihemorrhagics Drugs 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 238000003763 carbonization Methods 0.000 description 1
- 238000002651 drug therapy Methods 0.000 description 1
- 239000000284 extract Substances 0.000 description 1
- 238000002309 gasification Methods 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 230000000025 haemostatic effect Effects 0.000 description 1
- 230000003760 hair shine Effects 0.000 description 1
- 238000005286 illumination Methods 0.000 description 1
- 238000010191 image analysis Methods 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 208000037841 lung tumor Diseases 0.000 description 1
- 230000003211 malignant effect Effects 0.000 description 1
- 235000013372 meat Nutrition 0.000 description 1
- 230000001394 metastastic effect Effects 0.000 description 1
- 206010061289 metastatic neoplasm Diseases 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000001599 osteoclastic effect Effects 0.000 description 1
- 238000010827 pathological analysis Methods 0.000 description 1
- 244000144985 peep Species 0.000 description 1
- 230000005855 radiation Effects 0.000 description 1
- 238000009738 saturating Methods 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 239000013589 supplement Substances 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 210000005239 tubule Anatomy 0.000 description 1
- 230000004382 visual function Effects 0.000 description 1
- 208000008918 voyeurism Diseases 0.000 description 1
Abstract
A kind of tumour ablation equipment of the present invention includes host；Interposing catheter has inside been individually formed diagnosis and treatment instrument channel and superfine endoscope channel；Superfine endoscope is arranged in superfine endoscope channel and is detected, and probe result is sent to host, and host is for showing probe result；Biopsy device is arranged in diagnosis and treatment instrument channel and implements biopsy operation under the auxiliary of superfine endoscope；And ablating device is arranged in diagnosis and treatment instrument channel and carries out heating ablation operation, host is used to control the working condition of ablating device.Tumour ablation integration of equipments superfine endoscope, biopsy device and ablating device are integrated in the application, realization integrate detect, biopsy and the one-stop treatment of ablation operation；Meanwhile superfine endoscope is relied on during biopsy procedure, doctor can accurately obtain tumor tissues by biopsy device, convenient for the judgement of lesion nature；And superfine endoscope precision ablation is relied on during ablation operation.
Description
Technical field
The present invention relates to medical instruments field, in particular to a kind of tumour ablation equipment for oncotherapy.
Background technique
Tumour (such as brain tumor etc.) treatment means are mainly surgical operation at present, followed by radiation and chemotherapy.Wherein, hand
Art treats that the time it takes is long, blood loss is more and open surgery infection chance is big, medical expense is high；Radiotherapy has some patients unwise
Sense, and radiotherapy has more side effect；Most of tumour is usually insensitive to chemotherapy, and systemic side effects are obvious.
In view of the above-mentioned problems, foreign countries have tried to using thermal ablation therapies such as microwave, radio frequency, laser, though thermal ablation therapy
So overcome the side effects of above-mentioned three kinds of treatments, but traditional tumour ablation functions of the equipments it is single, it is entire it is preoperative detect and art in
Ablation procedure is cumbersome, and not can be carried out the lower observation of direct-view in operation.
Summary of the invention
Based on this, it is necessary to for the cumbersome problem of traditional tumour ablation apparatus, it is precisely convenient to provide a kind of operation
And the collection integrated tumour ablation equipment of diagnosis and treatment.
A kind of tumour ablation equipment comprising:
Host；
Interposing catheter has been individually formed diagnosis and treatment instrument channel and superfine endoscope channel in the interposing catheter；
Superfine endoscope, the superfine endoscope is arranged in the superfine endoscope channel and is detected, and will detect
As a result it is sent to the host, the host is for showing the probe result；
Biopsy device is arranged in the diagnosis and treatment instrument channel and lives under the auxiliary and direct-view of the superfine endoscope
Inspection operation；And
Ablating device is connect with the host communication；The ablating device is arranged in the diagnosis and treatment instrument channel and carries out
Heating ablation operation, the host are used to control the working condition of the ablating device.
In one of the embodiments, the interposing catheter include operation handle, guiding tube, for puncture puncture needle with
And interface, the guiding tube includes two intraluminal tracts being set side by side and two chamber Outer Tubes being set side by side, described in two
Straight line is formed through the diagnosis and treatment instrument channel respectively and the superfine endoscope is logical for intraluminal tracts and two chamber Outer Tubes
Road；Every chamber Outer Tube is connected to one end of the operation handle, and every intraluminal tracts are connected to every chamber
The other end of the Outer Tube far from the operation handle, the interface isolation are set to every intraluminal tracts and every chamber
Between Outer Tube.
The ablating device includes air extractor in one of the embodiments, is offered in the operation handle and institute
Diagnosis and treatment instrument channel connection aspirating hole is stated, the air extractor is assemblied in the aspirating hole and connect with the host communication.
The tumour ablation equipment includes suction device in one of the embodiments, and the suction device includes attracting
Pipe and the vacuum extractor being connect with the suction tube；The suction tube is arranged in the diagnosis and treatment instrument channel, the negative pressure
Aspirator is connect with the host communication, for providing negative pressure suction force under the control of the host for the suction tube.
The superfine endoscope is arranged in the superfine endoscope channel, and connect including camera lens and with the camera lens
Optic transmission fiber and image transmission optical fibre；The host includes processor and the display being connected to the processor, the biography light light
Fibre is for being camera lens illumination when carrying out Image Acquisition, image transmitting of the image transmission optical fibre for acquiring the camera lens
To the processor, the processor is used for will treated that image is sent to the display shows.
The host includes that processor and the energy with the processor communication connection mention in one of the embodiments,
For unit and optical signal processing unit, the energy provides unit and connect with the ablating device, the ablating device with it is described
Optical signal processing unit communication connection, the energy provide unit, the ablating device, the optical signal processing unit and institute
It states processor and closed-loop control system is collectively formed.
The ablating device includes providing the ablation needle and position that unit is connect with the energy in one of the embodiments,
The optical probe being adjustably assemblied on the ablation needle is set, the ablation needle and the optical probe go deep into the diagnosis and treatment jointly
In instrument channel, the optical probe and the optical signal processing unit are communicated, and are used in ablation procedure to tumor tissues area
The optical signal in domain is acquired and is transmitted to the optical signal processing unit.
The optical signal processing unit receives the optical signal of the optical probe acquisition in one of the embodiments,
And analyze and obtain real-time optical parameter value, the processor is for comparing the optical parameter value and default ablation value
Compared with, and the energy is controlled according to comparison result, the performance number of unit is provided.
The ablating device is laser ablation device or microwave ablation device or RF ablation device in one of the embodiments,.
The tumour ablation equipment includes medicine-filling device in one of the embodiments, and the medicine-filling device is examined with described
Control instrument channel connection.
Tumour ablation integration of equipments superfine endoscope, biopsy device and ablating device are integrated in the application, realize that collection is visited
Look into, biopsy and ablation operation are precisely treated in a station of one, operate conveniently and feature-rich；Meanwhile shape in interposing catheter
At having the superfine endoscope channel passed through respectively for superfine endoscope and instrument and diagnosis and treatment instrument channel, in biopsy procedure process
Middle to rely on superfine endoscope, doctor can accurately obtain tumor tissues by biopsy device, convenient for the judgement of lesion nature；And it is melting
Superfine endoscope precision ablation is relied in operating process.
Detailed description of the invention
Fig. 1 is tumour ablation EM equipment module schematic diagram in one embodiment of the invention；
Fig. 2 is the structural schematic diagram of interposing catheter in tumour ablation equipment shown in Fig. 1.
Specific embodiment
To facilitate the understanding of the present invention, a more comprehensive description of the invention is given in the following sections with reference to the relevant attached drawings.In attached drawing
Give preferred embodiment of the invention.But the invention can be realized in many different forms, however it is not limited to herein
Described embodiment.On the contrary, purpose of providing these embodiments is keeps the understanding to the disclosure more saturating
It is thorough comprehensive.
It should be noted that it can directly on the other element when element is referred to as " being fixed on " another element
Or there may also be elements placed in the middle.When an element is considered as " connection " another element, it, which can be, is directly connected to
To another element or it may be simultaneously present centering elements.Term as used herein " vertical ", " horizontal ", " left side ",
" right side " and similar statement are for illustrative purposes only.
Unless otherwise defined, all technical and scientific terms used herein and belong to technical field of the invention
The normally understood meaning of technical staff is identical.Term as used herein in the specification of the present invention is intended merely to description tool
The purpose of the embodiment of body, it is not intended that in the limitation present invention.Term " and or " used herein includes one or more phases
Any and all combinations of the listed item of pass.
Correlation before the tumour ablation equipment in the present invention is described in detail, first to the ablation of tumour
Content is illustrated, in order to which the technical solution of tumour ablation equipment in the present invention is better understood.
Wherein, image technology (for example, ultrasound, CT, MRI, cerebral angiography etc.) guide lower applied chemistry or heat
Method directly act on focal entity tumor (single or multiple), claimed with eradicating or damaging the treatment method of tumor tissues
For the ablation of tumour.Ablation can be used for human organ it is good/malignant entity tumor is (for example, brain tumor, liver tumour, lung
Tumour, tumor of breast), primary tumor and metastatic tumo(u)r etc..
In above-mentioned tumor therapeutic procedure, brain tumor because its lesions position different property, to entire treatment and operating process
It is required that very stringent.The present invention below by by tumour ablation equipment 100 be applied to brain tumor for tumour ablation equipment 100
Structure and principle are described in detail, but are not limiting upon technical scope of the invention.
Please refer to Fig. 1, in one embodiment of the invention, tumour ablation equipment 100 includes interposing catheter 10, superfine endoscope
20, biopsy device 30, ablating device 40 and host 50.Wherein, interposing catheter 10 is for providing treatment channel, and therapeutic equipment is isolated
Tool and body cavities avoid therapeutic device from causing to damage to positions other in body cavities.Superfine endoscope 20 and host 50 are logical
News, which connect, simultaneously can go deep into tumor region through interposing catheter 10, using as the visible mirror during ablation operation.Biopsy device 30 can be through
Interposing catheter 10 gos deep into tumor region, for interior peeping when superfine endoscope 20 gos deep into tumor region through interposing catheter 10 ultra-fine
Tumor tissues are carried out pathological diagnosis convenient for doctor by the auxiliary of mirror 20 and the lower acquisition tumor tissues of direct-view.Ablating device 40 is used for
Heating ablation operation is executed to tumor tissues, to treat to tumor tissues.Host 50 is used to carry out tumour ablation equipment 100
Complete machine control.
Incorporated by reference to referring to Fig. 2, diagnosis and treatment instrument channel 130 and superfine endoscope channel have been individually formed in interposing catheter 10
132, diagnosis and treatment instrument channel 130 and superfine endoscope channel 132 are not communicated between the two respectively for instrument (for example, biopsy device
30 and ablating device 40 etc.) and superfine endoscope 20 pass through, to go deep into tumor region.Wherein, diagnosis and treatment instrument channel 130 is for leading to
Cross the instruments such as biopsy device 30 and ablating device 40；Superfine endoscope channel 132 is only used for passing through for superfine endoscope 20, that is, guides
Pipe 13 be superfine endoscope 20 designated lane is provided so that in the preoperative in post-operative course under the direct-view of superfine endoscope 20
It carries out in real time and whole process is observed, improve the convenience and accuracy of surgical procedure.
Specifically, interposing catheter 10 includes operation handle (not shown), guiding tube 13, puncture needle (not shown) and interface
17.Guiding tube 13 includes two and is set side by side and the intraluminal tracts 134 goed deep into body cavities and two are set side by side and are located at
Straight line is formed through diagnosis and treatment respectively for chamber Outer Tube 136 outside body cavities, two intraluminal tracts 134 and two chamber Outer Tubes 136
Instrument channel 130 and superfine endoscope channel 132.Every chamber Outer Tube 136 is connected to one end of operation handle, every intracavitary pipe
Road 134 is connected to the every other end of chamber Outer Tube 136 far from operation handle.Puncture needle is for going deep into skull and wearing out brain
Film, the isolation of interface 17 is set between every intraluminal tracts 134 and every chamber Outer Tube 136, for therapeutic device and human body
Cavity is isolated.
In this embodiment, the outer diameter of superfine endoscope 20 is 0.46mm, so that guiding tube 13 has compared with tubule
Also twin-channel setting can be realized under the premise of diameter.Simultaneously as superfine endoscope 20 is set to designated lane (superfine endoscope
Channel 132) in so that doctor is in operative process, can the whole visual function provided in superfine endoscope 20 premise
Lower progress, improves the accuracy of surgical procedure.
It superfine endoscope 20 and is arranged in superfine endoscope channel 132, and deeply swollen through superfine endoscope channel 132
Probe result is sent to host 50 when tumor region is detected.Host 50 is for showing probe result, so that doctor passes through meat
Eye observation tumor presence avoids damage to blood vessel and provides information for subsequent operation judgement.
Specifically, superfine endoscope 20 includes camera lens and the Optic transmission fiber and image transmission optical fibre that connect with camera lens, host 50
Including processor 51 and the display being connect with processor 51 53.Optic transmission fiber is responsible for camera lens and shines when carrying out Image Acquisition
Bright, image transmission optical fibre is responsible for the image transmitting for acquiring camera lens to processor 51, and processor 51 is for by treated, image to be sent
It is shown to display 53, for doctor's viewing.
Wherein, processor 51 is used to receive the live video stream exported by camera lens, and carries out frame by frame to the received video of institute
Dismantling, then multiple still images after dismantling are sequentially exported and are shown to display 53.In addition, simultaneously, display 53 can
To collect the touch-control touching display screen integrated with display or only display screen with a display func, it is not limited thereto.
Biopsy device 30 be arranged in diagnosis and treatment instrument channel 130 and be assemblied in superfine endoscope channel 132 it is ultra-fine in peep
Tumor tissues are obtained under the guide of mirror 20, so that doctor can obtain tumor tissues by biopsy device 30 in the preoperative, are sentenced with doing pathology
It is disconnected.
Ablating device 40 and 51 communication connection of processor, and be arranged in diagnosis and treatment instrument channel 130 and carry out heating ablation operation.
Wherein, host 50 is used to control the working condition of ablating device 40, and further includes that energy with 51 communication connection of processor mentions
For unit 55 and optical signal processing unit 57, energy provides unit 55, ablating device 40, optical signal processing unit 57 and processing
Closed-loop control system is collectively formed in device 51.
Ablating device 40 includes that the ablation needle 43 connecting with energy offer unit 55 and position are adjustably set to ablation needle
Optical probe 45 on 43.Ablation needle 43 and optical probe 45 go deep into jointly in diagnosis and treatment instrument channel 130, to arrive at tumor area
Domain, and ablation needle 43 carries out heating ablation, optical probe to tumor tissues in the case where energy provides the energy effect that unit 55 provides
45 for being acquired the optical signal of tumor tissue sections in ablation procedure and being transmitted to optical signal processing unit 57.Its
In, 45 position of optical probe is adjustably assemblied on ablation needle 43, so that optical probe 45 can be suitable according to tumor tissues size
Answering property is installed on ablation needle 43, increases the application range of ablating device 40, improves the practicability of ablating device 40.
Specifically, optical signal processing unit 57 receives the optical signal of the acquisition of optical probe 45 and analysis obtains real-time optics
Parameter value, processor 51 control energy according to comparison result and mention for being compared optical parameter value with default ablation value
For the performance number of unit 55.For example, host 50 cuts off energy and provides unit 55 when optical parameter value reaches default ablation value,
Stop ablation work to control ablating device 40.
Host 50 is also used to be set according to the running parameter that user's operation provides unit 55 to energy, and grasps in user
Making lower control makes energy offer unit 55 start to work based on the running parameter of setting, and also obtains in optical singnal processing unit 57
When the optical parameter value taken reaches default ablation value, cutting energy provides unit 55, stops ablation work to control ablating device 40
Make.For example, preoperative, doctor sets energy according to tumor region size and provides the performance number of unit 55；In art, under doctor's control
(can be by virtual key on touch-control host 50 or operation setting in the entity mechanical key on host 50) makes ablation needle
43 carry out heating ablation to tumor tissues with preset temperature based on the performance number of setting；It is postoperative, it is main when ablation reaches desired effects
Machine 50 cuts off energy and provides the control stopping ablation work of ablating device 40 of unit 55.
In this embodiment, ablating device 40 is laser ablation device, and it is laser power source that energy, which provides unit 55, is disappeared
Melting needle 43 is laser ablation needle.It is to be appreciated that ablating device 40 can be microwave ablation device or penetrate in some other embodiment
Frequency ablation device, is not limited thereto.
In one embodiment, ablating device 40 includes air extractor 47, is offered and diagnosis and treatment instrument channel in operation handle
130 connection aspirating hole (not shown), air extractor 47 be assemblied in aspirating hole and with 50 communication connection of host.Specifically, it is evacuated
Device 47 includes the exhaust tube for being evacuated force piece and connecting with pumping force piece, and exhaust tube is inserted in aspirating hole, is evacuated power
Part and 51 communication connection of processor, processor 51 are used to be evacuated force piece according to the preset kinetic parameter control of user, with
Pumping driving force is provided for exhaust tube, so that exhaust tube can carry out the exhaust gas generated when melting under the driving for being evacuated force piece
Synchronous pumping process (central area tissue carbonization and gasification rapidly are wherein melted in ablation procedure).
In one embodiment, tumour ablation equipment 100 include suction device 70, suction device 70 include suction tube and with
The vacuum extractor of suction tube connection, suction tube go deep into tumor region, vacuum extractor and host 50 through diagnosis and treatment instrument channel 130
Communication connection supervises suction tube in superfine endoscope 20 for providing negative pressure suction force under the control of host 50 for suction tube
Vacuum suction is carried out to encephalic ablation object under survey to clean out to remove the necrotic tissue in ablation areas until object will be melted.
Specifically, vacuum extractor is connect with processor 51, and processor 51 is used for negative according to the preset attraction state modulator of user
Aspirator is pressed, to provide subnormal ambient for suction tube.In this embodiment, suction device 70 can be adjustable with infinite stages
Ultrasound/electronic impulse type negative pressure suction device.
In one embodiment, tumour ablation equipment 100 includes medicine-filling device 80, medicine-filling device 80 and diagnosis and treatment instrument channel
130 connections, for injecting drug into diagnosis and treatment instrument channel 130, are controlled with further realizing drug after diagnosis and operative treatment
The effect for the treatment of.Wherein, medicine-filling device 80 is the syringe being socketed in diagnosis and treatment instrument channel 130, also can be used for drug to be other
The device of injection, is not limited thereto.In addition, medicine-filling device 80 can be manual operation, it also can be intelligent control；Wherein intelligence control
It is made as the parameter set according to doctor and intelligent control is carried out to injection duration, injection rate and ratio of making up a prescription etc., realize injection
Precision.
In addition, tumour ablation equipment 100 further includes the input equipment (for example, keyboard, mouse) connecting with host 50, for
Doctor is set and is adjusted to relevant parameter in ablating device 40, air extractor 47 and suction device 70 by input equipment.
Wherein, above-mentioned relevant parameter can provide the output power value of unit 55 for energy in ablating device 40, be evacuated in air extractor 47
Suction power value and the attraction performance number of vacuum extractor of force piece etc., are not limited thereto.
Operation below by taking tumour ablation equipment 100 carries out ablation to brain tumor as an example, to tumour ablation equipment 100
Process is described in detail:
In advance, acquisition patient image learns data (MRI/CT/ cerebral angiography etc.), and picture signal is imported Use of Neuronavigation system
System, by iconography (MRI/CT/ cerebral angiography etc.) image analysis and carries out 3D reconstruction；Pass through emulation technology+3D technology, system
Fixed minimally invasive ablation plan (it determines inserting needle position, direction, depth, treatment parameter is determined according to ablation range, such as power,
Time etc.).
Secondly, opening host 50, after disinfection anesthesia, is guided using neuronavigation system, thrown in vitro in tumor center's skull
Position and mark at shadow, drill osteoclastic, wear out meninx using puncture needle, under Neuronavigation guide by biopsy needle guide insert to
At the predetermined diagnosis and treatment target of encephalic；Guiding tube 13 is fixed after puncture needle reaches predetermined position, extracts inner core；In will be ultra-fine
Sight glass 20 is arranged in the superfine endoscope channel 132 of guiding tube 13 and gos deep into intracranial tumors region and detected (can visually see
The case where examining tumour avoids damage to blood vessel, provides information for subsequent operation judgement)；By the examining by guiding tube 13 of biopsy device 30
It controls instrument channel 130 to enter after presumptive area to tumor tissues progress biopsy, and moves back biopsy device 30 after obtaining tumor tissues
Out, pathology judgement is carried out in order to which the tumor tissues that will acquire are sent to pathology portion.
Optical probe 45 is fixed on 43 corresponding position of ablation needle according to tumor tissues size, and guiding tube 13 is subjected to weight
New fixed (avoiding high-temperature region, that is, exiting outside tumor region)；The laser of power is corresponded to according to the parameter selection that treatment plan determines
Tissue contact ablation is carried out to intracranial tumors, optical signal processing unit 57 converts the optical signal that optical probe 45 acquires in real time
At corresponding optical parameter value and it is sent to host 50, after determining that boundary tissue reaches default ablation value, host 50 is timely certainly
Dynamic cutting energy provides unit 55；Wherein, in above-mentioned ablation procedure, the exhaust gas that when ablation generates is carried out by air extractor 47
Synchronous pumping process, current ablation terminates at this time.
Guiding tube 13 is retightened (to ablation front position), by ablation needle 43 and optical probe 45 synchronize exit
Afterwards, it replaces ultra-fine interior micro-pipe mirror 20 to observe ablation areas, whether confirmation ablation meets the requirements, and terminates in confirmation ablation
Afterwards, suction device 70 is connect with guiding tube 13, to carry out negative pressure suction to encephalic ablation object in the case where ultra-fine interior micro-pipe mirror 20 is monitored
Draw, remove the necrotic tissue in ablation areas, is cleaned out until object will be melted.
Finally, probing tumor chamber boundary by ultra-fine interior micro-pipe mirror 20, supplement ablation when necessary disappears until meeting tumor boundaries
Melt complete requirement；Meanwhile as biopsy pathology judging result be malignant tumour, by medicine-filling device 80 by diagnosis and treatment instrument channel 130
Anticarcinogen is injected to tumor chamber, achievees the effect that drug therapy；It can also be used for the injection of haemostatic medicament in art.
Tumour ablation equipment 100 of the present invention integrates superfine endoscope 20, biopsy device 30 and ablating device 40 and is integrated, real
Now integrate detect, biopsy and the one-stop treatment of ablation operation, operate conveniently and feature-rich；Meanwhile interposing catheter
The superfine endoscope channel 132 passed through respectively for superfine endoscope 20 and instrument and diagnosis and treatment instrument channel 130 are formed in 10, with
Superfine endoscope 20 is relied on during biopsy procedure, doctor can accurately obtain tumor tissues by biopsy device 30, be convenient for lesion
The judgement of property；And 20 precision ablation of superfine endoscope is relied on during ablation operation.
Each technical characteristic of embodiment described above can be combined arbitrarily, for simplicity of description, not to above-mentioned reality
It applies all possible combination of each technical characteristic in example to be all described, as long as however, the combination of these technical characteristics is not deposited
In contradiction, all should be considered as described in this specification.
The embodiments described above only express several embodiments of the present invention, and the description thereof is more specific and detailed, but simultaneously
It cannot therefore be construed as limiting the scope of the patent.It should be pointed out that coming for those of ordinary skill in the art
It says, without departing from the inventive concept of the premise, various modifications and improvements can be made, these belong to protection of the invention
Range.Therefore, the scope of protection of the patent of the invention shall be subject to the appended claims.
Claims (10)
1. a kind of tumour ablation equipment characterized by comprising
Host；
Interposing catheter has been individually formed diagnosis and treatment instrument channel and superfine endoscope channel in the interposing catheter；
Superfine endoscope, the superfine endoscope are arranged in the superfine endoscope channel and are detected, and by probe result
It is sent to the host, the host is for showing the probe result；
Biopsy device is arranged in the diagnosis and treatment instrument channel and carries out biopsy behaviour under the auxiliary and direct-view of the superfine endoscope
Make；And
Ablating device is connect with the host communication；The ablating device is arranged in progress heat in the diagnosis and treatment instrument channel and disappears
Melt operation, the host is used to control the working condition of the ablating device.
2. tumour ablation equipment according to claim 1, which is characterized in that the interposing catheter includes operation handle, draws
Conduit, puncture needle and interface for puncture, the guiding tube include that two intraluminal tracts being set side by side and two are arranged side by side
Straight line is formed through the diagnosis and treatment instrument respectively for the chamber Outer Tube of setting, two intraluminal tracts and two chamber Outer Tubes
Channel and the superfine endoscope channel；Every chamber Outer Tube is connected to one end of the operation handle, every chamber
Interior conduit is connected to the every other end of chamber Outer Tube far from the operation handle, and the interface isolation is set to every institute
It states between intraluminal tracts and every chamber Outer Tube.
3. tumour ablation equipment according to claim 2, which is characterized in that the ablating device includes air extractor, institute
It states to offer in operation handle and is connected to aspirating hole with the diagnosis and treatment instrument channel, the air extractor is assemblied in the aspirating hole
And it is connect with the host communication.
4. tumour ablation equipment according to claim 2, which is characterized in that the tumour ablation equipment includes attracting dress
It sets, the suction device includes suction tube and the vacuum extractor that connect with the suction tube；The suction tube is arranged in described
In diagnosis and treatment instrument channel, the vacuum extractor is connect with the host communication, for being described under the control of the host
Suction tube provides negative pressure suction force.
5. tumour ablation equipment according to claim 1, which is characterized in that the superfine endoscope is arranged in described ultra-fine
In endoscope path way, and the Optic transmission fiber and image transmission optical fibre including camera lens and being connect with the camera lens；The host includes place
Reason device and the display being connected to the processor, the Optic transmission fiber are used to shine for the camera lens when carrying out Image Acquisition
Bright, the image transmitting that the image transmission optical fibre is used to acquire on the camera lens to the processor, the processor will be for that will handle
Image afterwards is sent to the display and shows.
6. tumour ablation equipment according to claim 1, which is characterized in that the host include processor and with it is described
The energy of processor communication connection provides unit and optical signal processing unit, and the energy provides unit and the ablating device connects
Connect, the ablating device and the optical signal processing unit communication connection, the ablating device, the optical signal processing unit with
And closed-loop control system is collectively formed in the processor.
7. tumour ablation equipment according to claim 6, which is characterized in that the ablating device includes mentioning with the energy
The optical probe on the ablation needle, the ablation needle and the light are adjustably assemblied in for the ablation needle and position of unit connection
It learns probe to go deep into jointly in the diagnosis and treatment instrument channel, the optical probe and the optical signal processing unit communication connection are used
In being acquired in ablation procedure to the optical signal of tumor tissue sections and be transmitted to the optical signal processing unit.
8. tumour ablation equipment according to claim 7, which is characterized in that the optical signal processing unit receives the light
It learns the optical signal of probe collection and analyzes and obtain real-time optical parameter value, the processor is used for the optical parameter
Value is compared with default ablation value, and is controlled the energy according to comparison result and provided the performance number of unit.
9. tumour ablation equipment according to claim 1, which is characterized in that the ablating device is laser ablation device or micro-
Wave melts device or RF ablation device.
10. tumour ablation equipment according to claim 1, which is characterized in that the tumour ablation equipment includes injection dress
It sets, the medicine-filling device is connected to the diagnosis and treatment instrument channel.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711277595.5A CN109875674A (en) | 2017-12-06 | 2017-12-06 | Tumour ablation equipment |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711277595.5A CN109875674A (en) | 2017-12-06 | 2017-12-06 | Tumour ablation equipment |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109875674A true CN109875674A (en) | 2019-06-14 |
Family
ID=66923946
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201711277595.5A Pending CN109875674A (en) | 2017-12-06 | 2017-12-06 | Tumour ablation equipment |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109875674A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113952027A (en) * | 2021-11-09 | 2022-01-21 | 山东大学齐鲁医院(青岛) | Convenient buckle instrument and visual orthopedics pathological change ablation apparatus |
| CN114209425A (en) * | 2022-01-07 | 2022-03-22 | 武汉大学 | Device and method for treating cancer cells and tumors by laser |
Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20030187324A1 (en) * | 2002-03-25 | 2003-10-02 | Gatto Dominick L. | Apparatus and method for intraductal abalation |
| CN101563018A (en) * | 2006-04-27 | 2009-10-21 | 劳伦斯利弗莫尔国家安全有限责任公司 | Fiber optic evaluation of tissue modification |
| US20100204609A1 (en) * | 2009-02-10 | 2010-08-12 | Howard Worth | Microendoscope and methods of use |
| CN203483508U (en) * | 2012-10-02 | 2014-03-19 | 柯惠有限合伙公司 | Thermosensitive optical probe |
| US20140257036A1 (en) * | 2013-03-11 | 2014-09-11 | Ohio University | Method And Device For Detecting Thermal Effects Of Tissue Ablation On A Tissue Of A Patient |
| CN104688338A (en) * | 2013-12-04 | 2015-06-10 | 龙刚 | Integration holmium laser hose for endoscope |
| CN205795641U (en) * | 2016-06-16 | 2016-12-14 | 刘时助 | Bile duct exploration device based on ultra-fine scope |
| CN107028627A (en) * | 2017-06-05 | 2017-08-11 | 太仓市中医医院 | It is a kind of safely, be difficult the tumor biopsy device system of bleeding |
| CN206473393U (en) * | 2016-09-02 | 2017-09-08 | 杭州安杰思医学科技有限公司 | A kind of scope tissue dissection device |
| CN208541403U (en) * | 2017-12-06 | 2019-02-26 | 刘珈 | Tumour ablation equipment |
-
2017
- 2017-12-06 CN CN201711277595.5A patent/CN109875674A/en active Pending
Patent Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20030187324A1 (en) * | 2002-03-25 | 2003-10-02 | Gatto Dominick L. | Apparatus and method for intraductal abalation |
| CN101563018A (en) * | 2006-04-27 | 2009-10-21 | 劳伦斯利弗莫尔国家安全有限责任公司 | Fiber optic evaluation of tissue modification |
| US20100204609A1 (en) * | 2009-02-10 | 2010-08-12 | Howard Worth | Microendoscope and methods of use |
| CN203483508U (en) * | 2012-10-02 | 2014-03-19 | 柯惠有限合伙公司 | Thermosensitive optical probe |
| US20140257036A1 (en) * | 2013-03-11 | 2014-09-11 | Ohio University | Method And Device For Detecting Thermal Effects Of Tissue Ablation On A Tissue Of A Patient |
| CN104688338A (en) * | 2013-12-04 | 2015-06-10 | 龙刚 | Integration holmium laser hose for endoscope |
| CN205795641U (en) * | 2016-06-16 | 2016-12-14 | 刘时助 | Bile duct exploration device based on ultra-fine scope |
| CN206473393U (en) * | 2016-09-02 | 2017-09-08 | 杭州安杰思医学科技有限公司 | A kind of scope tissue dissection device |
| CN107028627A (en) * | 2017-06-05 | 2017-08-11 | 太仓市中医医院 | It is a kind of safely, be difficult the tumor biopsy device system of bleeding |
| CN208541403U (en) * | 2017-12-06 | 2019-02-26 | 刘珈 | Tumour ablation equipment |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113952027A (en) * | 2021-11-09 | 2022-01-21 | 山东大学齐鲁医院(青岛) | Convenient buckle instrument and visual orthopedics pathological change ablation apparatus |
| CN114209425A (en) * | 2022-01-07 | 2022-03-22 | 武汉大学 | Device and method for treating cancer cells and tumors by laser |
| CN114209425B (en) * | 2022-01-07 | 2023-12-22 | 武汉大学 | Device and method for treating cancer cells and tumors by laser |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US20200214739A1 (en) | Medical device having visual puncture apparatus | |
| CN103932656B (en) | A kind of endoscope assembly and armarium | |
| US20160256101A1 (en) | Device and System Device and System for Imaging Veins | |
| WO2008081438A1 (en) | Vascular access system and method | |
| CN208541403U (en) | Tumour ablation equipment | |
| JP2012152558A (en) | Mr compatible stereoscopic viewing device for use in bore of mr magnet | |
| CN101803900A (en) | Integrated confocal micro-rigid hysteroscope system | |
| CN109875674A (en) | Tumour ablation equipment | |
| KR20220038361A (en) | Image guidance method and device for glaucoma surgery | |
| CN108433757B (en) | Visible puncture sampler with combined inner sheath and outer sheath | |
| PT1639947E (en) | Arrangement for cell sampling | |
| US5925036A (en) | Apparatus for repairing bone structure using laser | |
| CN102133082B (en) | Integrated infrared ray thermal scanning hysteroscope system | |
| CN102100533A (en) | Integrated thermal-infrared scanning cystoscope system | |
| CN106419822A (en) | Integrated arthroscope apparatus | |
| CN102100542A (en) | Integrated infrared heat-scanning cholecystoscope system | |
| CN203873724U (en) | Endoscope assembly and medical equipment | |
| CN110251217A (en) | A kind of embryo transfer system | |
| CN109907805A (en) | Visualize chest and abdomen water injection and suction unit and its auxiliary device | |
| WO1995020341A1 (en) | Endoscope with insertable tool | |
| JP2021500198A (en) | Ophthalmic microsurgical instrument | |
| JP2020530325A (en) | Endoscopy sheath for urinary surgery | |
| Heinz et al. | A multiport illumination system for panoramic bi-manual vitreous surgery | |
| CN114469276A (en) | Visual puncture cryoablation system | |
| CN201899472U (en) | Integrated infrared-ray heat-scanning hysteroscope system |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination |