CN113876407A - Fetal traction operation guidance system - Google Patents

Fetal traction operation guidance system Download PDF

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CN113876407A
CN113876407A CN202110803106.5A CN202110803106A CN113876407A CN 113876407 A CN113876407 A CN 113876407A CN 202110803106 A CN202110803106 A CN 202110803106A CN 113876407 A CN113876407 A CN 113876407A
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reference depth
fetal
mean value
field mean
image
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CN113876407B (en
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张太斌
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Taizhou Maternity Hospital Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B17/44Obstetrical forceps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/43Detecting, measuring or recording for evaluating the reproductive systems
    • A61B5/4306Detecting, measuring or recording for evaluating the reproductive systems for evaluating the female reproductive systems, e.g. gynaecological evaluations
    • A61B5/4343Pregnancy and labour monitoring, e.g. for labour onset detection
    • A61B5/4356Assessing uterine contractions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Gynecology & Obstetrics (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pregnancy & Childbirth (AREA)
  • Reproductive Health (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)

Abstract

The invention relates to a fetal traction operation guidance system, which comprises: the medical midwifery apparatus comprises a pair of midwifery forceps and a fetal head suction mechanism; the time-sharing judgment mechanism is used for acquiring a plurality of reference depth-of-field mean values corresponding to continuous multiframe three-time converted images, sequencing the reference depth-of-field mean values according to time sequence, taking the reference depth-of-field mean value corresponding to the three-time converted images corresponding to the current moment as the current reference depth of field, and sending a uterine contraction identification signal when the numerical reduction amplitude of the current reference depth-of-field mean value relative to the previous reference depth of field mean value exceeds the limit; and the voice playing mechanism is used for executing the playing operation of the voice notification file corresponding to the request traction operation. The fetal traction operation guidance system is simple in mode and effective in guidance. The internal condition of the obstetric canal of the parturient can be confirmed, and particularly the uterine contraction time of the obstetric canal of the parturient is judged, so that effective guidance is provided for the manual traction operation of the midwife.

Description

Fetal traction operation guidance system
Technical Field
The invention relates to the field of obstetrical equipment, in particular to a fetus traction operation guiding system.
Background
Obstetrics is one of four major subjects in clinical medicine, and is mainly used for researching the causes, pathology, diagnosis and prevention of female reproductive organ diseases, physiological and pathological changes of pregnancy and childbirth, prevention and diagnosis and treatment of high-risk pregnancy and dystocia, female reproductive internal secretion, family planning, female health care and the like.
The advanced research of the medical basic theories of modern molecular biology, oncology, genetics, reproductive endocrinology, immunology and the like and the progress of the clinical medical diagnosis and treatment detection technology widen and deepen the development of the gynecologic and obstetric science, and play an important role in ensuring the health and reproductive health of women and preventing and treating various gynecological diseases. The obstetrics and gynecology not only has close connection with clinical science such as surgery, internal medicine, pediatrics and the like, needs basic knowledge of multiple subjects such as modern diagnosis and treatment technology, clinical pharmacology, pathological embryology, anatomy, epidemiology and the like, but also is a subject with own characteristics and comprehensive clinical and basic knowledge.
In the prior art, when a parturient is difficult to produce, obstetric forceps need to be introduced to help the parturient to produce a newborn, however, as the parturient birth canal is in a closed mode, a midwife is difficult to know the internal condition of the parturient birth canal, and the key is that the uterine contraction time of the parturient birth canal cannot be known, so that the manual traction operation of executing a fetus lacks guidance.
Disclosure of Invention
In order to solve the technical problems in the prior art, the invention provides a fetus traction operation guidance system which can confirm the internal condition of a parturient birth canal by adopting a targeted picture processing mechanism and a picture identification mechanism, particularly judge the uterine contraction time of the parturient birth canal, thereby providing guidance for the artificial traction operation of a midwife and reducing the injury to the parturient birth canal.
Compared with the prior art, the invention at least needs to have the following outstanding substantive characteristics:
(1) adopting a time division detection mechanism to judge the depth of field of the whole image pixel points in the birth canal of the puerpera, so as to judge that the interior of the birth canal of the puerpera is in a uterine contraction state when the depth of field is reduced to a certain extent;
(2) when the situation that the interior of the birth canal of the parturient is in a uterine contraction state is determined, the prompting operation of manual traction of the obstetric forceps is triggered, and therefore real-time reference information is provided for the manual traction operation of medical staff.
According to an aspect of the present invention, there is provided a fetal traction operation guidance system, the system including:
the medical delivery assisting apparatus comprises a delivery assisting clamp and a fetal head suction mechanism, and is used for completing the delivery assisting operation of a fetus in a delivery passage of a lying-in woman;
the embedded acquisition instrument is arranged on the medical delivery aid instrument and is used for realizing the acquisition operation of video data inside the birth canal of the lying-in woman before medical care personnel perform the fetal traction operation using the medical delivery aid instrument every time so as to obtain continuous multi-frame instant acquisition images;
the primary conversion instrument is packaged at the tail end of the medical delivery assisting instrument, is connected with the embedded acquisition instrument and is used for carrying out sharpening processing on the image signal in the horizontal direction on each received frame of the immediately acquired image so as to obtain a corresponding primary conversion image;
the secondary conversion instrument is connected with the primary conversion instrument and used for executing artifact removing operation on the received primary conversion image so as to obtain a corresponding secondary conversion image;
the third conversion instrument is connected with the second conversion instrument and is used for successively removing Gaussian white noise and salt and pepper noise from the received second conversion image to obtain a corresponding third conversion image;
the content extraction mechanism is connected with the tertiary conversion instrument and is used for acquiring each imaging depth value of each pixel point in the tertiary conversion image and acquiring an arithmetic mean value of each imaging depth value to be used as a reference depth mean value corresponding to the tertiary conversion image;
the time-sharing judgment mechanism is connected with the content extraction mechanism and is used for acquiring a plurality of reference depth-of-field mean values corresponding to continuous multi-frame three-time converted images respectively corresponding to continuous multi-frame instant acquisition images, sequencing the plurality of reference depth-of-field mean values according to time sequence, taking the reference depth-of-field mean value corresponding to the three-time converted images corresponding to the current moment as the current reference depth of field, and sending a uterine contraction identification signal when the numerical reduction amplitude of the current reference depth-of-field mean value relative to the previous reference depth-of-field mean value exceeds the limit;
and the voice playing mechanism is connected with the time-sharing judging mechanism, is arranged on the medical delivery aid and is used for executing the playing operation of the voice notification file corresponding to the traction request operation when receiving the uterine contraction identification signal.
The fetal traction operation guidance system is simple in mode and effective in guidance. The internal condition of the obstetric canal of the parturient can be confirmed, and particularly the uterine contraction time of the obstetric canal of the parturient is judged, so that effective guidance is provided for the manual traction operation of the midwife.
Drawings
Embodiments of the invention will now be described with reference to the accompanying drawings, in which:
fig. 1 is an internal structural view of a fetal traction operation guidance system according to an embodiment of the present invention.
Detailed Description
An embodiment of the fetal traction operation guidance system of the present invention will be described in detail with reference to the accompanying drawings.
The intelligent control is a control mode with intelligent information processing, intelligent information feedback and intelligent control decision, is a high-level stage of control theory development, and is mainly used for solving the control problem of a complex system which is difficult to solve by using a traditional method. The main characteristics of an intelligent control research object are a mathematical model with uncertainty, high nonlinearity and complex task requirements. The idea of intelligent control has emerged in the 60's of the 20 th century. At that time, studies on learning control were actively conducted and achieved good application. Such as self-learning and adaptive methods, are developed to solve the random nature problem and model unknown problem of the control system.
In the prior art, when a parturient is difficult to produce, obstetric forceps need to be introduced to help the parturient to produce a newborn, however, as the parturient birth canal is in a closed mode, a midwife is difficult to know the internal condition of the parturient birth canal, and the key is that the uterine contraction time of the parturient birth canal cannot be known, so that the manual traction operation of executing a fetus lacks guidance.
In order to overcome the defects, the invention builds a fetus traction operation guiding system, and can effectively solve the corresponding technical problem.
Fig. 1 is an internal structural view of a fetal traction operation guidance system according to an embodiment of the present invention, the system including:
the medical delivery assisting apparatus comprises a delivery assisting clamp and a fetal head suction mechanism, and is used for completing the delivery assisting operation of a fetus in a delivery passage of a lying-in woman;
the embedded acquisition instrument is arranged on the medical delivery aid instrument and is used for realizing the acquisition operation of video data inside the birth canal of the lying-in woman before medical care personnel perform the fetal traction operation using the medical delivery aid instrument every time so as to obtain continuous multi-frame instant acquisition images;
the primary conversion instrument is packaged at the tail end of the medical delivery assisting instrument, is connected with the embedded acquisition instrument and is used for carrying out sharpening processing on the image signal in the horizontal direction on each received frame of the immediately acquired image so as to obtain a corresponding primary conversion image;
the secondary conversion instrument is connected with the primary conversion instrument and used for executing artifact removing operation on the received primary conversion image so as to obtain a corresponding secondary conversion image;
the third conversion instrument is connected with the second conversion instrument and is used for successively removing Gaussian white noise and salt and pepper noise from the received second conversion image to obtain a corresponding third conversion image;
the content extraction mechanism is connected with the tertiary conversion instrument and is used for acquiring each imaging depth value of each pixel point in the tertiary conversion image and acquiring an arithmetic mean value of each imaging depth value to be used as a reference depth mean value corresponding to the tertiary conversion image;
the time-sharing judgment mechanism is connected with the content extraction mechanism and is used for acquiring a plurality of reference depth-of-field mean values corresponding to continuous multi-frame three-time converted images respectively corresponding to continuous multi-frame instant acquisition images, sequencing the plurality of reference depth-of-field mean values according to time sequence, taking the reference depth-of-field mean value corresponding to the three-time converted images corresponding to the current moment as the current reference depth of field, and sending a uterine contraction identification signal when the numerical reduction amplitude of the current reference depth-of-field mean value relative to the previous reference depth-of-field mean value exceeds the limit;
and the voice playing mechanism is connected with the time-sharing judging mechanism, is arranged on the medical delivery aid and is used for executing the playing operation of the voice notification file corresponding to the traction request operation when receiving the uterine contraction identification signal.
Next, the further explanation of the specific structure of the fetal traction operation guidance system of the present invention will be continued.
In the fetal traction maneuver guidance system:
the method comprises the steps of obtaining a plurality of reference depth-of-field mean values corresponding to continuous multi-frame three-time converted images respectively corresponding to continuous multi-frame instant acquisition images, sequencing the reference depth-of-field mean values according to time sequence, taking the reference depth-of-field mean value corresponding to the three-time converted images corresponding to the current moment as the current reference depth of field, and sending a uterine contraction identification signal when the numerical reduction amplitude of the current reference depth-of-field mean value relative to the previous reference depth-of-field mean value exceeds a limit: the method comprises the steps of obtaining a plurality of reference depth of field mean values corresponding to continuous multi-frame three-time converted images respectively corresponding to continuous multi-frame instant acquisition images, sequencing the reference depth of field mean values according to time sequence, taking the reference depth of field mean value corresponding to the three-time converted images corresponding to the current moment as the current reference depth of field, and sending a uterine contraction identification signal when the numerical reduction amplitude of the current reference depth of field mean value relative to the previous reference depth of field mean value is larger than a set depth of field difference value.
In the fetal traction maneuver guidance system:
the time-sharing judging mechanism is also used for sending a uterine contraction unidentified signal when the numerical reduction amplitude of the current reference depth of field mean value relative to the previous reference depth of field mean value does not exceed the limit.
In the fetal traction maneuver guidance system:
the three-time conversion instrument comprises an image input unit, a first-layer denoising unit, a second-layer denoising unit, an image output unit and a motion coordination unit.
In the fetal traction maneuver guidance system:
in the three-conversion instrument, the image input unit, the first-layer denoising unit, the second-layer denoising unit and the image output unit are sequentially connected.
In the fetal traction maneuver guidance system:
the first-layer denoising unit is used for executing Gaussian white noise removing processing on the received image, and the second-layer denoising unit is used for executing salt and pepper noise removing processing on the received image.
In the fetal traction maneuver guidance system:
the motion coordination unit is respectively connected with the image input unit, the first layer denoising unit, the second layer denoising unit and the image output unit, and is used for realizing the synchronous control of the motions of the image input unit, the first layer denoising unit, the second layer denoising unit and the image output unit.
The fetal traction operation guidance system can further comprise:
and the manual input device is arranged at the tail end of the medical delivery aid and is used for sending an acquisition execution instruction under the pressing of the medical staff before the medical staff performs the fetal traction operation using the medical delivery aid once.
In the fetal traction maneuver guidance system:
the manual input equipment is electrically connected with the embedded acquisition instrument, and the embedded acquisition instrument is used for realizing the acquisition operation of video data inside the birth canal of the puerpera when receiving an acquisition execution instruction every time so as to obtain continuous multi-frame instant acquisition images.
In addition, in the fetal traction operation guidance system, before the medical staff performs each fetal traction operation using the medical delivery aid, the implementing of the video data acquisition operation on the inside of the birth canal of the parturient to obtain the continuous multiframe instant acquisition images includes: the continuous multi-frame instant acquisition images are uniformly arranged on the time axis at intervals;
in the fetal traction operation guidance system, before medical staff performs a fetal traction operation using the medical delivery aid once, the operation of acquiring video data inside a parturient birth canal is realized to obtain continuous multiframe instant acquisition images, and the operation comprises the following steps: the method adopts an image sensor and a timer to finish the video data acquisition operation inside the birth canal of the lying-in woman so as to obtain continuous multi-frame instant acquisition images.
It will be appreciated by those skilled in the art that various modifications could be made to the apparatus disclosed in the present invention without departing from the scope of the invention. Therefore, the scope of the present invention should be determined by the contents of the appended claims.

Claims (9)

1. A fetal traction procedure guidance system, the system comprising:
the medical delivery assisting apparatus comprises a delivery assisting clamp and a fetal head suction mechanism, and is used for completing the delivery assisting operation of a fetus in a delivery passage of a lying-in woman;
the embedded acquisition instrument is arranged on the medical delivery aid instrument and is used for realizing the acquisition operation of video data inside the birth canal of the lying-in woman before medical care personnel perform the fetal traction operation using the medical delivery aid instrument every time so as to obtain continuous multi-frame instant acquisition images;
the primary conversion instrument is packaged at the tail end of the medical delivery assisting instrument, is connected with the embedded acquisition instrument and is used for carrying out sharpening processing on the image signal in the horizontal direction on each received frame of the immediately acquired image so as to obtain a corresponding primary conversion image;
the secondary conversion instrument is connected with the primary conversion instrument and used for executing artifact removing operation on the received primary conversion image so as to obtain a corresponding secondary conversion image;
the third conversion instrument is connected with the second conversion instrument and is used for successively removing Gaussian white noise and salt and pepper noise from the received second conversion image to obtain a corresponding third conversion image;
the content extraction mechanism is connected with the tertiary conversion instrument and is used for acquiring each imaging depth value of each pixel point in the tertiary conversion image and acquiring an arithmetic mean value of each imaging depth value to be used as a reference depth mean value corresponding to the tertiary conversion image;
the time-sharing judgment mechanism is connected with the content extraction mechanism and is used for acquiring a plurality of reference depth-of-field mean values corresponding to continuous multi-frame three-time converted images respectively corresponding to continuous multi-frame instant acquisition images, sequencing the plurality of reference depth-of-field mean values according to time sequence, taking the reference depth-of-field mean value corresponding to the three-time converted images corresponding to the current moment as the current reference depth of field, and sending a uterine contraction identification signal when the numerical reduction amplitude of the current reference depth-of-field mean value relative to the previous reference depth-of-field mean value exceeds the limit;
and the voice playing mechanism is connected with the time-sharing judging mechanism, is arranged on the medical delivery aid and is used for executing the playing operation of the voice notification file corresponding to the traction request operation when receiving the uterine contraction identification signal.
2. The fetal traction procedure guidance system of claim 1 wherein:
the method comprises the steps of obtaining a plurality of reference depth-of-field mean values corresponding to continuous multi-frame three-time converted images respectively corresponding to continuous multi-frame instant acquisition images, sequencing the reference depth-of-field mean values according to time sequence, taking the reference depth-of-field mean value corresponding to the three-time converted images corresponding to the current moment as the current reference depth of field, and sending a uterine contraction identification signal when the numerical reduction amplitude of the current reference depth-of-field mean value relative to the previous reference depth-of-field mean value exceeds a limit: the method comprises the steps of obtaining a plurality of reference depth of field mean values corresponding to continuous multi-frame three-time converted images respectively corresponding to continuous multi-frame instant acquisition images, sequencing the reference depth of field mean values according to time sequence, taking the reference depth of field mean value corresponding to the three-time converted images corresponding to the current moment as the current reference depth of field, and sending a uterine contraction identification signal when the numerical reduction amplitude of the current reference depth of field mean value relative to the previous reference depth of field mean value is larger than a set depth of field difference value.
3. The fetal traction procedure guidance system of claim 1 wherein:
the time-sharing judging mechanism is also used for sending a uterine contraction unidentified signal when the numerical reduction amplitude of the current reference depth of field mean value relative to the previous reference depth of field mean value does not exceed the limit.
4. The fetal traction procedure guidance system of claim 1 wherein:
the three-time conversion instrument comprises an image input unit, a first-layer denoising unit, a second-layer denoising unit, an image output unit and a motion coordination unit.
5. The fetal traction procedure guidance system of claim 4 wherein:
in the three-conversion instrument, the image input unit, the first-layer denoising unit, the second-layer denoising unit and the image output unit are sequentially connected.
6. The fetal traction procedure guidance system of claim 5 wherein:
the first-layer denoising unit is used for executing Gaussian white noise removing processing on the received image, and the second-layer denoising unit is used for executing salt and pepper noise removing processing on the received image.
7. The fetal traction procedure guidance system of claim 6 wherein:
the motion coordination unit is respectively connected with the image input unit, the first layer denoising unit, the second layer denoising unit and the image output unit, and is used for realizing the synchronous control of the motions of the image input unit, the first layer denoising unit, the second layer denoising unit and the image output unit.
8. The fetal traction procedure guidance system of claim 1 wherein the system further comprises:
and the manual input device is arranged at the tail end of the medical delivery aid and is used for sending an acquisition execution instruction under the pressing of the medical staff before the medical staff performs the fetal traction operation using the medical delivery aid once.
9. The fetal traction procedure guidance system of claim 8 wherein:
the manual input equipment is electrically connected with the embedded acquisition instrument, and the embedded acquisition instrument is used for realizing the acquisition operation of video data inside the birth canal of the puerpera when receiving an acquisition execution instruction every time so as to obtain continuous multi-frame instant acquisition images.
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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1846233A (en) * 2003-08-06 2006-10-11 特里格医疗有限公司 Method and apparatus for monitoring labor parameters
CN201939324U (en) * 2011-01-07 2011-08-24 郝天羽 Integrated digital delivery monitor
CN102415905A (en) * 2011-09-02 2012-04-18 暨南大学 Electronic partogram system and parameter calculating method based on magnetic field tracing and positioning technology
CN110167434A (en) * 2016-11-21 2019-08-23 马克伊万斯 The systems, devices and methods of fetus risk level during monitoring and assessment childbirth
US20200196958A1 (en) * 2017-07-19 2020-06-25 Bloom Technologies NV Systems and methods for monitoring uterine activity and assessing pre-term birth risk

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1846233A (en) * 2003-08-06 2006-10-11 特里格医疗有限公司 Method and apparatus for monitoring labor parameters
CN201939324U (en) * 2011-01-07 2011-08-24 郝天羽 Integrated digital delivery monitor
CN102415905A (en) * 2011-09-02 2012-04-18 暨南大学 Electronic partogram system and parameter calculating method based on magnetic field tracing and positioning technology
CN110167434A (en) * 2016-11-21 2019-08-23 马克伊万斯 The systems, devices and methods of fetus risk level during monitoring and assessment childbirth
US20200196958A1 (en) * 2017-07-19 2020-06-25 Bloom Technologies NV Systems and methods for monitoring uterine activity and assessing pre-term birth risk

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