CN113058071A - Intelligent surgical suture based on optical fiber sensor and structure construction method thereof - Google Patents

Intelligent surgical suture based on optical fiber sensor and structure construction method thereof Download PDF

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CN113058071A
CN113058071A CN202110489005.5A CN202110489005A CN113058071A CN 113058071 A CN113058071 A CN 113058071A CN 202110489005 A CN202110489005 A CN 202110489005A CN 113058071 A CN113058071 A CN 113058071A
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suture
optical fiber
sensor
fiber sensor
temperature
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CN113058071B (en
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谷江英
陈安
代岱
徐艳
李燕
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China Aerospace Science And Engineering Group 731 Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L17/00Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
    • A61L17/06At least partially resorbable materials
    • A61L17/10At least partially resorbable materials containing macromolecular materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166Sutures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L17/00Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L17/00Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
    • A61L17/06At least partially resorbable materials
    • A61L17/08At least partially resorbable materials of animal origin, e.g. catgut, collagen
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01LMEASURING FORCE, STRESS, TORQUE, WORK, MECHANICAL POWER, MECHANICAL EFFICIENCY, OR FLUID PRESSURE
    • G01L5/00Apparatus for, or methods of, measuring force, work, mechanical power, or torque, specially adapted for specific purposes
    • G01L5/04Apparatus for, or methods of, measuring force, work, mechanical power, or torque, specially adapted for specific purposes for measuring tension in flexible members, e.g. ropes, cables, wires, threads, belts or bands
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/84Systems specially adapted for particular applications

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Chemical & Material Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Materials Engineering (AREA)
  • Vascular Medicine (AREA)
  • Epidemiology (AREA)
  • General Physics & Mathematics (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
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  • Force Measurement Appropriate To Specific Purposes (AREA)
  • Materials For Medical Uses (AREA)

Abstract

The invention discloses an intelligent surgical suture based on an optical fiber sensor and a structure construction method thereof. The suture comprises an optical fiber sensor extending axially and a suture layer covering the optical fiber sensor, wherein the optical fiber sensor is a sensing type sensor; the suture thread in the suture thread layer comprises at least one material selected from polypropylene, polyester and silk. The method comprises the following steps: for the suture on the test body, recording the tension by using a force sensor and measuring the temperature by using a temperature meter, and respectively comparing the tension and the temperature measured by using an optical fiber sensor in the suture to measure the accuracy of the temperature and the tension measurement of the optical fiber sensor; comparing the interlayer interface strength and the bonding performance of the optical fiber sensors with different materials and structures through experiments; the material and structure of the suture are determined. Such sutures can be used for intraoperative control and postoperative monitoring, providing the surgeon with quantified tension during the suturing process. The method is used for researching the encapsulation of the optical fiber sensor and optimizing the parameters of the wrapping layer.

Description

Intelligent surgical suture based on optical fiber sensor and structure construction method thereof
Technical Field
The invention relates to a surgical suture and an optical fiber sensing technology, in particular to an intelligent surgical suture based on an optical fiber sensor and a structure construction method thereof.
Background
The suture may provide permanent or temporary tension for the healing of the incision during surgery. During the operation suture process, the tightness of the suture has important influence on the postoperative healing. If too loose, would affect the healing of the incision; if too tight, discomfort to the patient may result. At present, the surgical suture mainly depends on the experience of doctors, and the postoperative healing is influenced by great difference among different doctors. The tension of the suture is also related to the stage of healing of the incision, which is gradually decreasing as the incision heals. Therefore, if the tension of the suture thread can be known, the degree of healing of the incision can be determined. Similarly, the temperature of the incision can be used to determine whether the incision is infected.
To date, however, there is still no effective method of measuring suture tension and temperature. The only intelligent surgical suture in the world at present was invented by professor John Rogers (John Rogers) in materials science and engineering at champagne division, university of illinois. The surgical suture is wrapped with a sensor that monitors the wound, as shown in fig. 1. The electronic suture contains high molecular polymer or silk thread and is integrated with an ultrathin silicon sensor to measure the temperature. The disadvantage of this suture is that the exterior of the traditional suture is covered with new material, thus presenting a great challenge to how to achieve proper suture function. Also, the sensor can only measure temperature and not tension of the suture.
Compared with the traditional electrical sensor, the optical fiber sensor has many advantages, such as simple structure, small volume, high sensitivity, electric insulation, acid and alkali corrosion resistance, strong anti-electromagnetic interference capability, distributed real-time online detection, small interference to the detected substance and the like. Optical fiber sensors can be divided into two categories according to their sensing principles: one type is a light-transmitting sensor and the other type is a sensor of the sensing type. The main applications in medicine are light-transmitting optical fiber sensors. Medical image transmission is a very distinctive part of the application of transmission-type optical fiber sensors, for example, since the introduction of optical fibers into endoscopes, the scope of application of endoscopes is expanded not only for diagnosis but also entering the field of treatment.
Disclosure of Invention
The invention innovatively provides an intelligent surgical suture based on an optical fiber sensor and a structure construction method thereof.
In order to achieve the technical purpose, in one aspect, the invention discloses an intelligent surgical suture based on a fiber-optic sensor. The intelligent surgical suture based on the optical fiber sensor comprises an optical fiber sensor extending axially and a suture layer covering the optical fiber sensor, wherein the optical fiber sensor is a sensing type sensor; the suture thread in the suture thread layer comprises at least one material of polypropylene, polyester and silk.
Further, for the fiber optic sensor based smart surgical suture, the suture layer comprises at least one of a single suture strand weave and a multiple suture strand weave.
Further, for the fiber optic sensor-based smart surgical suture, the fiber optic sensor includes an optical fiber and a base layer, the optical fiber being implanted in the base layer.
Further, for the fiber optic sensor-based smart surgical suture, the base layer comprises a sheet of silicone composite material.
In order to achieve the technical purpose, the invention further discloses a structure construction method of the intelligent surgical suture line based on the optical fiber sensor. The structure construction method of the intelligent surgical suture line based on the optical fiber sensor comprises the following steps: for the suture on the test body, recording the tension by using a force sensor and measuring the temperature by using a temperature meter, and respectively comparing the tension and the temperature measured by using an optical fiber sensor in the suture to measure the accuracy of the temperature and the tension measurement of the optical fiber sensor; comparing the interlayer interface strength and the bonding performance of the optical fiber sensors with different materials and structures through experiments; the material and structure of the suture are determined.
Further, for the structure construction method, after the determining the material and the structure of the suture line, the method further comprises: establishing a specimen-sensing-suture line integrated finite element model, and carrying out stress and temperature finite element analysis on different parts of the suture line by adopting different unit types; optimizing grating distribution parameters in the optical fiber, and comparing numerical analysis results under different parameters; and selecting a structure with the optimal relative matching relation between the stitching interface and the grating position.
Further, for the structure construction method, the establishing of the specimen-sensing-suture line integrated finite element model comprises: and establishing a specimen-sensing-suture line integrated finite element model by using finite element software.
Further, for the structure construction method, the recording of the tension with a force sensor and the measuring of the temperature with a thermometer for the suture thread on the specimen includes: for sutures on the test body, recording the tension with a force sensor and measuring the temperature with a thermometer was carried out on a universal testing machine.
Further, for the structure construction method, the experimentally comparing the interlayer interface strength and the adhesion performance of the optical fiber sensors of different materials and structures includes: the interlayer interface strength and the bonding performance of the optical fiber sensor in the linear and annular conditions of the suture line are compared through experiments.
Further, with the structure construction method, the specimen includes an outer skin of an animal.
The invention has the beneficial effects that:
the intelligent surgical suture line based on the optical fiber sensor provided by the embodiment of the invention can be used for intraoperative control and postoperative monitoring, can provide quantitative tension for doctors in the suture process to achieve the optimal effect, and can be used for postoperative monitoring. The healing degree of the incision can be judged according to the tension of the suture, and whether the incision is infected or not can be judged according to the normality of the temperature.
The structure construction method of the intelligent surgical suture based on the optical fiber sensor researches the encapsulation of the optical fiber sensor, namely the interface strength between the sensor and the wrapping layer and the bonding performance, and optimizes the parameters of the wrapping layer.
Drawings
In the figure, the position of the upper end of the main shaft,
FIG. 1 illustrates one example of a prior art surgical suture that uses ultra-thin silicon sensors to measure temperature at a wound site;
FIG. 2 is a schematic structural view of a single suture strand weave and a multiple suture strand weave provided by an example of the present invention;
fig. 3 is a flowchart of a structure construction method of an intelligent surgical suture based on a fiber optic sensor according to a previous embodiment of the present invention;
fig. 4 is a flowchart of steps included after step S330 in the method for constructing a structure of an intelligent surgical suture based on a fiber optic sensor shown in fig. 3 according to an example of the present invention.
Detailed Description
The intelligent surgical suture based on the optical fiber sensor and the structure construction method thereof provided by the invention are explained and explained in detail in the following with the accompanying drawings of the specification.
The invention provides an intelligent surgical suture based on an optical fiber sensor, which can quantify the tension and temperature of the suture. The core diameter of a conventional single mode fiber is about 0.01 mm, whereas the diameter of a conventional suture is between 0.02 mm and 0.8 mm, so that it is feasible to embed the fiber in the suture.
An embodiment of the invention provides an intelligent surgical suture based on an optical fiber sensor, which comprises an axially extending optical fiber sensor and a suture layer covering the optical fiber sensor. Wherein, the optical fiber sensor is a sensing type sensor. The suture thread in the suture thread layer comprises at least one material selected from polypropylene, polyester and silk.
The sensing type optical fiber sensor has unique advantages and characteristics, and is used as a temperature and deformation sensor for medical sensing in the embodiment.
As an alternative embodiment, the suture layer may include at least one of a single suture strand weave 210 and a multiple suture strand weave 220, as shown in FIG. 2. The sutures in the suture layer may be non-absorbable sutures.
The fiber optic sensor may include an optical fiber and a substrate in which the optical fiber is embedded. The base layer may comprise a sheet of silicone composite material.
Fig. 3 is a flowchart of a method for constructing the above-mentioned intelligent surgical suture based on the optical fiber sensor according to another embodiment of the present invention.
As shown in fig. 3, for the suture on the specimen, tension is recorded using a force sensor and temperature is measured using a thermometer, respectively compared with tension and temperature measured by a fiber sensor in the suture, to measure the accuracy of the fiber sensor temperature and tension measurements, at step S310. As an alternative, recording the tension with a force sensor and measuring the temperature with a thermometer can be done on a universal testing machine. The sample may be animal skin.
In step S320, the interlayer interface strength and the adhesion performance of the optical fiber sensors of different materials and structures are compared through experiments. Wherein, the interlayer interface strength and the bonding performance of the optical fiber sensor in the linear and annular conditions of the suture can be compared through experiments. Specifically, the interlayer interface strength and the bonding performance of the sensor are compared through experiments, the packaging process is optimized, the temperature and the tension of the measured structural part are accurately measured by the optical fiber sensor, and the material and the structure of the suture line are finally determined. The goal is that the strength and stiffness of the smart suture is superior to similar sutures and can provide both tension and temperature values.
In step S330, the material and structure of the suture thread are determined.
As an alternative implementation, as shown in fig. 4, the method for constructing a structure of an intelligent surgical suture based on an optical fiber sensor according to this embodiment may further include, after step S330, the following steps:
step S410, establishing a specimen-sensing-suture line integrated finite element model, and performing stress and temperature finite element analysis on different parts of the suture line by adopting different unit types. In this case, a finite element model of the integrated specimen-sensing-suture can be created using finite element software.
Step S420, optimizing the grating distribution parameters in the optical fiber, and comparing the numerical analysis results under different parameters. Specifically, grating distribution parameters in the optical fiber are optimized, a relative matching relation rule of a stitching interface and a grating position is revealed through microscopic numerical simulation, the working efficiency and the precision of the optical fiber sensor are improved, and an optimal structure is selected on the basis.
And step S430, selecting a structure with the optimal relative matching relationship between the stitching interface and the grating position.
The problem of optical fiber packaging is solved, so that adverse reaction of a test body is not caused when the optical fiber packaging is applied, the interlayer interface strength and the bonding performance of the optical fiber sensor can be improved, and the accurate measurement of the optical fiber sensor on the temperature and the strain of the test body is realized.
The intelligent surgical suture based on the optical fiber sensor provided by the embodiment of the invention has the following effects: 1) the quantitative tension can be provided for the doctor in the suturing process so as to achieve the optimal effect; 2) post-operative monitoring may be performed. The healing degree of the incision can be judged according to the tension of the suture, and whether the incision is infected or not can be judged according to the normality of the temperature. The intelligent surgical suture is particularly suitable for infants, other people who can not express pain clearly, animals and the like.
In the description of the present invention, it is to be understood that the terms "central," "longitudinal," "lateral," "length," "width," "thickness," "upper," "lower," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," "clockwise," "counterclockwise," "axial," "radial," "circumferential," and the like are used in the orientations and positional relationships indicated in the drawings for convenience in describing the invention and to simplify the description, and are not intended to indicate or imply that the referenced devices or elements must have a particular orientation, be constructed and operated in a particular orientation, and are therefore not to be considered limiting of the invention.
In the present invention, unless otherwise expressly stated or limited, the terms "mounted," "connected," "secured," and the like are to be construed broadly and can, for example, be fixedly connected, detachably connected, or integrally formed; can be mechanically or electrically connected; they may be directly connected or indirectly connected through intervening media, or they may be connected internally or in any other suitable relationship, unless expressly stated otherwise. The specific meanings of the above terms in the present invention can be understood by those skilled in the art according to specific situations.
In the description herein, references to the description of the term "the present embodiment," "one embodiment," "some embodiments," "an example," "a specific example," or "some examples," etc., mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the present invention. In this specification, the schematic representations of the terms used above are not necessarily intended to refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples. Furthermore, various embodiments or examples and features of different embodiments or examples described in this specification can be combined and combined by one skilled in the art without contradiction.
Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include at least one such feature. In the description of the present invention, "a plurality" means at least two, e.g., two, three, etc., unless specifically limited otherwise.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents and simplifications made in the spirit of the present invention are intended to be included in the scope of the present invention.

Claims (10)

1. An intelligent surgical suture based on an optical fiber sensor, which is characterized by comprising an axially extending optical fiber sensor and a suture layer covering the optical fiber sensor, wherein,
the optical fiber sensor is a sensing type sensor;
the suture thread in the suture thread layer comprises at least one material of polypropylene, polyester and silk.
2. The fiber-optic sensor based smart surgical suture of claim 1, wherein the suture layer comprises at least one of a single suture strand weave and a multiple suture strand weave.
3. The fiber-optic sensor based smart surgical suture of claim 1, wherein the fiber-optic sensor comprises an optical fiber and a base layer, the optical fiber being implanted in the base layer.
4. The fiber sensor-based smart surgical suture of claim 3, wherein the base layer comprises a sheet of silicone composite.
5. A method of constructing a structure of a smart surgical suture based on a fiber optic sensor according to any one of claims 1-4, comprising:
for the suture on the test body, recording the tension by using a force sensor and measuring the temperature by using a temperature meter, and respectively comparing the tension and the temperature measured by using an optical fiber sensor in the suture to measure the accuracy of the temperature and the tension measurement of the optical fiber sensor;
comparing the interlayer interface strength and the bonding performance of the optical fiber sensors with different materials and structures through experiments;
the material and structure of the suture are determined.
6. The structure building method according to claim 5, further comprising, after the determining the material and structure of the suture line:
establishing a specimen-sensing-suture line integrated finite element model, and carrying out stress and temperature finite element analysis on different parts of the suture line by adopting different unit types;
optimizing grating distribution parameters in the optical fiber, and comparing numerical analysis results under different parameters;
and selecting a structure with the optimal relative matching relation between the stitching interface and the grating position.
7. The structure construction method according to claim 6, wherein the establishing of the specimen-sensing-suture integrated finite element model comprises: and establishing a specimen-sensing-suture line integrated finite element model by using finite element software.
8. The structure building method according to claim 5, wherein the recording of the tension with a force sensor and the measuring of the temperature with a thermometer for the suture thread on the specimen comprises: for sutures on the test body, recording the tension with a force sensor and measuring the temperature with a thermometer was carried out on a universal testing machine.
9. The structure construction method according to claim 5, wherein the experimentally comparing the interlayer interface strength and the bonding performance of the optical fiber sensors of different materials and structures comprises: the interlayer interface strength and the bonding performance of the optical fiber sensor in the linear and annular conditions of the suture line are compared through experiments.
10. The structure construction method according to claim 5, wherein the specimen includes an outer skin of an animal.
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116549035A (en) * 2023-02-02 2023-08-08 中国航天科工集团七三一医院 Intelligent surgical line and stress monitoring method thereof
CN117373681A (en) * 2023-10-30 2024-01-09 中国航天科工集团七三一医院 Fracture healing simulation method and system based on blood glucose regulation system effect

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EP0482960A1 (en) * 1990-10-26 1992-04-29 Philip Richardson Surgical apparatus for suture insertion
US20200129172A1 (en) * 2018-10-29 2020-04-30 Advanced Suture, Inc. Communicating smart sutures with tension feedback mechanism
CN215821827U (en) * 2021-04-29 2022-02-15 中国航天科工集团七三一医院 Intelligent surgical suture based on optical fiber sensor

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116549035A (en) * 2023-02-02 2023-08-08 中国航天科工集团七三一医院 Intelligent surgical line and stress monitoring method thereof
CN116549035B (en) * 2023-02-02 2024-09-10 中国航天科工集团七三一医院 Intelligent surgical line and stress monitoring method thereof
CN117373681A (en) * 2023-10-30 2024-01-09 中国航天科工集团七三一医院 Fracture healing simulation method and system based on blood glucose regulation system effect
CN117373681B (en) * 2023-10-30 2024-04-26 中国航天科工集团七三一医院 Fracture healing simulation method and system based on blood glucose regulation system effect

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