CN114533201A - Novel in vitro broken blood clot auxiliary equipment - Google Patents

Novel in vitro broken blood clot auxiliary equipment Download PDF

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Publication number
CN114533201A
CN114533201A CN202210002449.6A CN202210002449A CN114533201A CN 114533201 A CN114533201 A CN 114533201A CN 202210002449 A CN202210002449 A CN 202210002449A CN 114533201 A CN114533201 A CN 114533201A
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module
blood clot
control
wave impact
external
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CN114533201B (en
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陈佳炜
侯亚信
董伟
王建黎
刘利龙
高新程
周袁成
熊鸣
魏志豪
陈凯磊
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Tongji Medical College of Huazhong University of Science and Technology
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Tongji Medical College of Huazhong University of Science and Technology
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/225Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/225Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves
    • A61B17/2256Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves with means for locating or checking the concrement, e.g. X-ray apparatus, imaging means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A61B8/0833Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures
    • A61B8/085Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures for locating body or organic structures, e.g. tumours, calculi, blood vessels, nodules
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/52Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/5207Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of raw data to produce diagnostic data, e.g. for generating an image
    • 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
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • 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
    • A61B2090/378Surgical systems with images on a monitor during operation using ultrasound

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  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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Abstract

The invention discloses a novel auxiliary device for breaking blood clots by external waves, which comprises a control device, a second height adjusting rod and a first height adjusting rod, wherein a second angle adjusting motor set is fixed on the second height adjusting rod, and a second external wave impact head is fixed on the second angle adjusting motor set; a first angle adjusting motor is further fixed on the first height adjusting rod, and a first external wave impact head is fixed on the first angle adjusting motor; the control equipment is electrically connected with the second external wave impact head and the first external wave impact head through leads; the second external body wave impact head is used for emitting external waves to the blood clot in one energy channel, and the first external body wave impact head is used for emitting external waves to the blood clot in the other energy channel; the straight line of the extracorporeal wave impact path in the energy channel of the second extracorporeal wave impact head and the straight line of the extracorporeal wave impact path in the energy channel of the first extracorporeal wave impact head are crossed, and the cross point is in a blood clot.

Description

Novel in vitro wave broken blood clot auxiliary equipment
Technical Field
The invention relates to a novel auxiliary device for breaking blood clots by external wave.
Background
Ultrasonic waves or shock waves are used as auxiliary medical treatment and are widely applied in the prior art, for example, SWL (shock wave laser) lithotripsy principle is that stones inside a human body are positioned at the focus of a shock wave generator (capable of generating and focusing shock waves) through an image positioning system (X-rays and ultrasonic waves), and the stones are crushed by utilizing a series of physical effects (stress effect, cracking effect, cavitation effect, extrusion effect and the like) of the shock waves on the local parts of the stones. The main lithotripsy effect is stress effect and cavitation effect, i.e. when the shock wave is propagated in the stone, the stone is compressed and stretched along with the wave motion, and when the compressive force and tensile force applied to the stone molecule exceed the limit of self-stress, the stone can be damaged. Stress effect lithotripsy is characterized by that the whole stone can be pulverized into larger fragments. Secondly, cavitation effect, namely, a large amount of cavitation bubbles can be generated when shock waves are transmitted in water. The 'micro-jet' caused by the cavitation bubble rupture repeatedly beats the calculus, and the surface of the calculus can be denuded. The cavitation effect is characterized by further crushing larger stone fragments.
1. Electrohydraulic shock wave stone crusher
The stone breaking principle is that the electrohydraulic shock wave generator mainly comprises a discharge electrode and a semi-ellipsoidal reflector. During SWL, the discharge electrode is placed at a first focus (F) of the semi-ellipsoidal reflector filled with water, shock waves generated by underwater high-voltage discharge are reflected by the ellipsoidal wall of the semi-ellipsoidal reflector and are converged and focused at a second focus (F2), and calculus is positioned at the second focus through an imaging system to complete calculus breaking. The hydroelectric shock wave stone crusher has the characteristics of higher shock wave peak pressure, strong penetrating power and obvious stone crushing effect. However, with the loss of the electrodes during SWL, there are phenomena of unstable energy output and focal shift (focal shift), and the electrodes must be replaced in time during treatment.
2. Electromagnetic shock wave stone crusher
The stone breaking principle is that the electromagnetic shock wave generator consists of a coil, a metal vibrating diaphragm and an acoustic lens. During SWL, pulse electric energy is converted into a pulse electromagnetic field through a coil, the electromagnetic coil interacts with the metal vibrating diaphragm to generate plane waves, and the plane waves are focused through a lens, so that the energy is highly concentrated, and the aim of crushing stones is fulfilled. Compared with a hydraulic-electric stone crusher, the electromagnetic type stone crusher has the characteristics of stable impact wave energy output, constant focal position and long service life of a wave source, and is gradually replacing the hydraulic-electric stone crusher to become a mainstream machine in the current market.
3. Piezoelectric shock wave stone crusher
The principle of stone breaking is that the piezoelectric shock wave generator is to place hundreds of piezoelectric ceramic elements on a specific curved surface, and the shock wave generated by each piezoelectric ceramic under the action of electric pulse is directly focused through the curved surface to form an energy-dense area enough for breaking stone.
In the related prior art, for example, CN112401978B discloses an external shock wave device for assisting the discharge of bladder blood clot, which includes an ultrasonic control box, a top fixedly connected with handle of the ultrasonic control box, a display screen arranged on the front side of the ultrasonic control box, a power plug arranged on the rear side of the ultrasonic control box, a power switch arranged on the bottom of the front side of the ultrasonic control box, a fixed seat fixedly connected to the bottom of the left side of the ultrasonic control box, a mounting groove arranged on the top of the fixed seat, an ultrasonic wave tube movably connected to the inner cavity of the mounting groove, and a protective shell movably connected to the top of the ultrasonic wave tube. Through the use of the limiting assembly and the telescopic mechanism, an ultrasonic wave tube can be fixedly placed, and an ultrasonic head is also protected, the ultrasonic head sends out ultrasonic waves with the frequency of 18kHz-25kHz and the amplitude of 30μm-100μm to break up blood clots and assist in discharging bladder blood clots, a wave energy passage is adopted in the similar technology of assisting in discharging bladder blood clots based on ultrasonic waves or shock waves in the prior art, and the technology is not only poor in impact effect, but also relatively large in extra tissue damage.
Disclosure of Invention
The invention aims to provide a novel auxiliary device for breaking blood clots in vitro, which adopts the following technical scheme in order to realize the aim: a novel auxiliary device for breaking blood clots by external waves comprises a control device, a second height adjusting rod and a first height adjusting rod, wherein a second angle adjusting motor set is fixed on the second height adjusting rod, and a second external wave impact head is fixed on the second angle adjusting motor set; a first angle adjusting motor is further fixed on the first height adjusting rod, and a first external wave impact head is fixed on the first angle adjusting motor; the control equipment is electrically connected with the second external wave impact head and the first external wave impact head through leads; the second external wave impact head is used for emitting external waves to the blood clot in one energy channel, and the first external wave impact head is used for emitting external waves to the blood clot in the other energy channel; the straight line of the extracorporeal wave impact path in the energy channel of the second extracorporeal wave impact head and the straight line of the extracorporeal wave impact path in the energy channel of the first extracorporeal wave impact head are crossed mutually, and the cross point is in a blood clot.
As a still further scheme of the invention: the external wave impact head of second include the arc dustcoat and set up the awl fill shape cover in arc dustcoat opening one side, awl fill shape cover and arc dustcoat form a confined cavity, the breach is seted up in the top department of awl fill shape cover, sets up external wave in the breach and triggers the head, the external wave generating unit is fixed through the support to the inside external wave that passes through of arc dustcoat, external wave generating unit include the transducer in the outside and the elastic fixation card that the middle part set up and the inboard control circuit board that sets up, transducer sound wave delivery outlet one side sold triggers first UNICOM with external wave through the extension pipe, control circuit board be connected with the transducer electricity, control circuit board still be connected with outside control device electricity through outer circuit connection pipe.
As a still further scheme of the invention: second height adjustment pole, first height adjustment pole structure the same, second height adjustment pole, first height adjustment pole all include the outer tube, the intraductal bottom of outer tube be fixed with electric putter motor group through electric putter fixed frame, electric putter motor group include the electric putter mobile jib, the intraductal middle part of outer tube be provided with the slide rail, the slide rail between set up gliding lift control seat from top to bottom, lift control seat upper portion set up the lifter, the top fixed connection of lower part and electric putter mobile jib of lift control seat.
As a still further scheme of the invention: the control device is used for acquiring an output signal of the B-phase control host machine so as to determine the specific position of the blood clot on the basis of spatial modeling, and is used for simultaneously controlling the second angle adjustment motor set and the rotation angle of the motor in the first angle adjustment motor, and is also used for simultaneously controlling the lifting heights of the first height adjustment rod and the second height adjustment rod so as to ensure that the straight line where the external wave impact path in the energy channel of the second external wave impact head is positioned is intersected with the straight line where the external wave impact path in the energy channel of the first external wave impact head, and the intersection point is positioned at the blood clot.
As a still further scheme of the invention: characterized in that the control equipment comprises an equipment host, an electric push rod PLC controller and a motor control circuit, wherein the equipment host is electrically connected with the electric push rod PLC controller and the motor control circuit, and the electric push rod PLC controller is electrically connected with the second height adjusting rod and the electric push rod motor set of the first height adjusting rod and is used for controlling the lifting height of the first height adjusting rod and the lifting height of the second height adjusting rod.
As a still further scheme of the invention: the motor control circuit comprises a pulse control circuit, a driving power circuit and a stepping motor circuit which are electrically connected, the stepping motor circuit is specifically a motor circuit in the second angle adjusting motor set and the first angle adjusting motor, and the motor control circuit is used for controlling the rotation angle of the motor.
As a still further scheme of the invention: the device host of the control device is provided with a B ultrasonic display digital signal denoising module, a signal position identification restoring module, a signal color display restoring module, a signal quantity difference module, a relative blood clot position restoring module, a space modeling restoring module, a modeling blood clot position calculating module and a control signal calculating module on an application layer, wherein the output end of the B ultrasonic display digital signal denoising module is connected with the signal position identification restoring module and the signal color display restoring module, the output ends of the signal position identification restoring module and the signal color display restoring module are connected with the signal quantity difference module, the output end of the signal quantity difference module is connected with the relative blood clot position restoring module, the output end of the relative blood clot position restoring module is connected with the space modeling restoring module and the modeling blood clot position calculating module, and the space modeling restoring module, The modeling blood clot position calculation modules are connected with each other and are connected with the control signal calculation module;
the B-ultrasonic display digital signal denoising module is used for denoising an output signal acquired from the B-ultrasonic control host;
the signal position identification restoring module is used for restoring the position identification of the recognition object in the denoised signal according to the coding rule so as to determine the position data of different objects;
the signal color display restoration module is used for restoring the color identification of the identification object in the denoised signal according to the coding rule so as to determine the color data of different objects;
the signal quantity difference module is used for carrying out difference calculation on the signals of the objects in the position data and the color data;
the relative blood clot position restoration module is used for determining the relative position of the blood clot based on the result of the difference calculation of the object signals in the position data and the color data;
the space modeling reduction module is used for establishing simulated space coordinates in advance and configuring corresponding parameters;
the modeling blood clot position calculating module is used for determining the modeling position of the blood clot in the simulated space coordinate through the relative position of the blood clot and the simulated space coordinate;
the control signal calculation module is used for determining the specific position of the blood clot based on the modeling position of the blood clot in the simulated space coordinate, determining a feedback control signal based on the specific position of the blood clot so as to control the rotation angle of the motors in the second angle adjustment motor set and the first angle adjustment motor, and determining the feedback control signal so as to control the lifting heights of the first height adjustment rod and the second height adjustment rod so as to ensure that the straight line where the extracorporeal wave impact path in the energy channel of the second extracorporeal wave impact head is intersected with the straight line where the extracorporeal wave impact path in the energy channel of the first extracorporeal wave impact head, and the intersection point is positioned at the blood clot; the control signal fed back by the angle for controlling the rotation of the motors in the second angle adjusting motor set and the first angle adjusting motor is transmitted to the motor control circuit by the control equipment, and the control signal fed back by the lifting height for controlling the first height adjusting rod and the second height adjusting rod is transmitted to the electric push rod PLC controller by the control equipment.
Compared with the prior art, the invention has the beneficial effects that:
this application external wave strikes the straight line at route place with among the energy passageway of the external wave impact head of second external wave impact head the straight line intercrossing and the crosspoint at route place are strikeed to external wave among the energy passageway of first external wave impact head, can carry out external wave through two energy passageways to the blood clot like this and strike in order to assist the clot and discharge, so this application can reduce the energy of every passageway, reduce extra tissue damage, and equipment such as controlgear in this application implementation, the high adjusting lever of second, first high adjusting lever and lift control seat, lift control seat all are portable can make things convenient for nimble operation to carry. The universal wheel can be installed to controlgear, second height adjustment pole, first height adjustment pole bottom of this application, can conveniently push away or remove at any time, and it is very portable to use.
This application can be accurately automatic at least and realize carrying out external wave through two energy passage and strike the clot and discharge in order to assist the clot, can reduce the energy of every passageway, reduce extra tissue damage and strike the effect better at the impact straight line intercrossing to the clot, can be better in the clot through the stress that wave energy effect destroyed the clot.
The application can realize that the straight line where the external wave impact path in the energy channel of the second external wave impact head is positioned and the straight line where the external wave impact path in the energy channel of the first external wave impact head is positioned are mutually crossed and the cross point is positioned at the blood clot. It is also possible to achieve that "the interaction within the blood clot of the straight line of the external wave impact path in the energy channel of the second external wave impact head and the straight line of the external wave impact path in the energy channel of the first external wave impact head destroys the internal clot stress maximally".
Drawings
Fig. 1 is a schematic overall structure diagram of an embodiment of the present application.
Fig. 2 is a schematic structural view of a second extracorporeal wave impact head according to an embodiment of the present application.
Fig. 3 is a schematic structural diagram in an embodiment of the present application.
FIG. 4 is a schematic view of a second height adjustment lever according to an embodiment of the present application.
Fig. 5 is a block diagram of a part of circuit components according to an embodiment of the present application.
Fig. 6 is a block diagram of a device host application layer according to an embodiment of the present application.
In the figure: 100. the control equipment comprises 200 parts of control equipment, a second height adjusting rod, 300 parts of a first height adjusting rod, 400 parts of a B-control host, 500 parts of a nursing bed, 600 parts of a B-ultrasonic signal probe, 201 parts of a second angle adjusting motor set, 301 parts of a first angle adjusting motor, 202 parts of a second external wave impact head, 302 parts of a first external wave impact head, 230 parts of an arc-shaped outer cover, 231 parts of an external wave trigger head, 232 extension tubes, 233 parts of a cone-shaped cover, 234 parts of an energy converter, 235 parts of a control circuit board, 236 parts of an elastic fixing clamp, 237 parts of an external wave generating unit, 238 parts of an external circuit connecting tube, 203 parts of a lifting control base, 204 parts of an electric push rod fixing base, 205 parts of an outer sleeve, 206 parts of an electric push rod motor set, 207 parts of a lifting rod, 208 parts of a sliding rail, 209 parts of an electric push rod main rod.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
In the concrete implementation, as shown in fig. 1, the present application includes a control device 100, a second height adjusting lever 200 and a first height adjusting lever 300, wherein a second angle adjusting motor set 201 is fixed on the second height adjusting lever 200, and a second extracorporeal wave impact head 202 is fixed on the second angle adjusting motor set 201; a first angle adjusting motor 301 is further fixed on the first height adjusting rod 300, and a first external wave impact head 302 is fixed on the first angle adjusting motor 301; the control device 100 is electrically connected with the second external body wave impact head 202 and the first external body wave impact head 302 through leads; the second extracorporeal wave impact head 202 is used to launch an external wave onto a blood clot in one energy channel, and the first extracorporeal wave impact head 302 is used to launch an external wave onto a blood clot in another energy channel; the straight line of the extracorporeal wave impact path in the energy channel of the second extracorporeal wave impact head 202 and the straight line of the extracorporeal wave impact path in the energy channel of the first extracorporeal wave impact head 302 intersect each other and the intersection point is at a blood clot, in the present application, when in implementation, the blood clot lies on the nursing bed 500, the medical staff determines the blood clot, such as the blood clot, particularly the blood clot in the bladder of the patient, on the body of the patient through the B-override host 400 and the B-override signal probe 600 electrically connected with the B-override host 400, then the second extracorporeal wave impact head 202 and the first extracorporeal wave impact head 302 are respectively aligned with the blood clot, and the extracorporeal wave impact is performed on the blood clot through the second extracorporeal wave impact head 202 and the first extracorporeal wave impact head 302 under the control of the control device 100, in the implementation, as described with reference to fig. 3, the straight line of the extracorporeal wave impact path in the energy channel of the second extracorporeal wave impact head 202 and the extracorporeal wave impact path in the energy channel of the first extracorporeal wave impact head 302 The straight line intercrossing and the intersect at the blood clot at place can carry out external wave through two energy passageways at least like this and strike in order assisting the blood clot to discharge to the blood clot, and this application can reduce the energy of every passageway like this, reduces extra tissue damage, and equipment such as controlgear 100, second height adjusting rod 200, first height adjusting rod 300 and lift control seat 203, lift control seat 203 in this application implementation are portable can conveniently nimble operation carry moreover. In implementation, universal wheels can be mounted at the bottoms of the control device 100, the second height adjusting rod 200 and the first height adjusting rod 300, and the control device can be pushed away or moved conveniently at any time and is very portable in use.
In specific implementations, the present application includes, but is not limited to, the following examples:
the control device 100, the second height adjusting rod 200 and the first height adjusting rod 300 can be placed in a cart together, and when the control device is needed to be used, the control device 100, the second height adjusting rod 200 and the first height adjusting rod 300 can be taken out of the cart to be placed independently and then used, and after the control device is used, the second height adjusting rod 200 and the first height adjusting rod 300 can be placed in the cart together to be placed continuously.
In the implementation, the external impact source point of the present application can be dynamically configured, for example, the external wave can be ultrasonic wave or shock wave, the number of channels is not limited to two, and multiple channels can be used to extract the intersection point of the blood clot fragments (reducing the energy of each channel and reducing the additional tissue damage); each channel can select ultrasonic waves or external shock waves; of course, in the case of two channels, one channel may be ultrasonic, another shockwave, or both channels may be ultrasonic or shockwave, as disclosed in the embodiments of the present application.
In a preferred embodiment, as shown in FIG. 2, the second external wave impact head 202, which is identical to the first external wave impact head, comprises an arc-shaped housing 230 and a cone-shaped housing 233 disposed at one side of the opening of the arc-shaped housing 230, the cone-shaped cover 233 and the arc-shaped cover 230 form a closed cavity, the top end of the cone-shaped cover 233 is provided with a notch, an external wave trigger head 231 is arranged in the notch, the external wave generating unit 237 is fixed in the arc-shaped cover 230 through a bracket, the external wave generating unit 237 comprises an outer transducer 234, a middle elastic fixing clip 236 and an inner control circuit board 235, wherein one side of the sound wave output port of the transducer 234 is communicated with an external wave trigger head 231 through an extension tube 232, the control circuit board 235 is electrically connected to the transducer 234, and the control circuit board 235 is further electrically connected to the external control device 100 through an external circuit connection tube 238.
In a preferred implementation, as shown in fig. 4, the second height adjustment rod 200 and the first height adjustment rod 300 have the same structure, the second height adjustment rod 200 and the first height adjustment rod 300 both include an outer sleeve 205, an electric push rod motor set 206 is fixed to the inner bottom of the outer sleeve 205 through an electric push rod fixing base 204, the electric push rod motor set 206 includes an electric push rod main rod 209, a slide rail 208 is arranged in the middle of the outer sleeve 205, a lifting control base 203 capable of sliding up and down is arranged between the slide rails 208, a lifting rod 207 is arranged on the upper portion of the lifting control base 203, the lower portion of the lifting control base 203 is fixedly connected with the top end of the electric push rod main rod 209, in a specific implementation, the electric push rod motor set 206 can control the vertical extension and retraction of the electric push rod main rod 209 to further control the lifting control base 203 to lift up and down, the vertical movement of the lifting rod 207 is controlled, and in the implementation, the vertical movement of the lifting rod 207 can control the vertical movement of the second angle adjustment motor set 201 or the first angle adjustment motor 301 on the second height adjustment rod 200 or the first height adjustment rod 300, and further control the vertical movement of the second external wave impact head 202 and the first external wave impact head 302.
In a preferred implementation, the control device 100 is configured to obtain an output signal of the B-level control host 400, and further determine a specific location of the blood clot on the basis of spatial modeling, the control device 100 is configured to simultaneously control the rotation angles of the motors in the second angle adjustment motor set 201 and the first angle adjustment motor 301, and the control device 100 is further configured to simultaneously control the lifting heights of the first height adjustment lever 300 and the second height adjustment lever 200, so as to ensure that "a straight line where an extracorporeal wave shock path in an energy channel of the second extracorporeal wave shock head 202 is located intersects a straight line where an extracorporeal wave shock path in an energy channel of the first extracorporeal wave shock head 302, and the intersection point is located the blood clot" is achieved.
Preferably, as shown in fig. 5, the control device 100 includes a device host, an electric push rod PLC controller, and a motor control circuit, the device host is electrically connected to both the electric push rod PLC controller and the motor control circuit, and the electric push rod PLC controller is electrically connected to both the second height adjusting rod 200 and the electric push rod motor set 206 of the first height adjusting rod 300 and is used for controlling the lifting height of the first height adjusting rod 300 and the second height adjusting rod 200. The motor control circuit comprises a pulse control circuit, a driving power circuit and a stepping motor circuit which are electrically connected, the pulse control circuit gives pulses to the driving power circuit to drive the stepping motor circuit to work, the stepping motor circuit is specifically a motor circuit in the second angle adjusting motor set 201 and the first angle adjusting motor 301, and the motor control circuit is used for controlling the rotation angle of the motor.
In a preferred implementation, as shown in fig. 6, the device host of the control device 100 configures a B-mode ultrasound digital signal denoising module, a signal position identifier restoring module, a signal color display restoring module, a signal quantity difference module, a relative blood clot position restoring module, a spatial modeling restoring module, a modeled blood clot position calculating module, and a control signal calculating module at an application layer, an output end of the B-mode ultrasound digital signal denoising module is connected with the signal position identifier restoring module and the signal color display restoring module, an output end of the signal position identifier restoring module and an output end of the signal color display restoring module are connected with the signal quantity difference module, an output end of the signal quantity difference module is connected with the relative blood clot position restoring module, an output end of the relative blood clot position restoring module is connected with both the spatial modeling restoring module and the modeled blood clot position calculating module, the space modeling restoration module and the modeling blood clot position calculation module are mutually connected, and the modeling blood clot position calculation module is connected with the control signal calculation module;
the B-mode ultrasonic display digital signal denoising module is used for denoising output signals acquired from the B-mode ultrasonic control host 400;
the signal position identification restoring module is used for restoring the position identification of the recognition object in the denoised signal according to the coding rule so as to determine the position data of different objects;
the signal color display restoration module is used for restoring the color identification of the identification object in the denoised signal according to the coding rule so as to determine the color data of different objects;
the signal quantity difference module is used for carrying out difference calculation on the signals of the objects in the position data and the color data;
the relative blood clot position restoration module is used for determining the relative position of the blood clot based on the result of the difference calculation of the object signals in the position data and the color data;
the space modeling reduction module is used for establishing simulated space coordinates in advance and configuring corresponding parameters;
the modeling blood clot position calculating module is used for determining the modeling position of the blood clot in the simulated space coordinate through the relative position of the blood clot and the simulated space coordinate;
the control signal calculation module is configured to determine a specific position of a blood clot based on a "modeling position of the blood clot in a simulated spatial coordinate", and further configured to determine a feedback control signal based on the specific position of the blood clot so as to control a rotation angle of motors in the second angle adjustment motor set 201 and the first angle adjustment motor 301, and determine a feedback control signal so as to control a lifting height of the first height adjustment lever 300 and the second height adjustment lever 200, so as to ensure that "a straight line where an external wave impact path in an energy channel of the second external wave impact head 202 intersects a straight line where an external wave impact path in an energy channel of the first external wave impact head 302, and an intersection point is located in the blood clot"; the control signal fed back by the angle for controlling the rotation of the motors in the second angle adjustment motor set 201 and the first angle adjustment motor 301 is transmitted to the motor control circuit by the control device 100, and the control signal fed back by the lifting height for controlling the first height adjustment rod 300 and the second height adjustment rod 200 is transmitted to the electric push rod PLC controller by the control device 100.
In specific implementation, the spatial modeling and restoring module establishes simulated spatial coordinates and configures corresponding parameters in advance;
the B-mode ultrasonic display digital signal denoising module is used for denoising an output signal acquired from the B-mode ultrasonic control host 400; the signal position identification restoring module restores the position identification of the recognition object in the denoised signal according to the coding rule so as to determine the position data of different objects; the signal color display restoration module restores the color identification of the identification object in the denoised signal according to the coding rule so as to determine the color data of different objects; the signal quantity difference module carries out difference calculation on the signals of the objects in the position data and the color data; the relative blood clot position restoration module determines the relative position of the blood clot based on the result of the difference calculation of the object signals in the position data and the color data; the modeling blood clot position calculating module determines the modeling position of the blood clot in the simulated space coordinate through the relative position of the blood clot and the simulated space coordinate; the control signal calculation module determines the specific position of the blood clot based on the 'modeling position of the blood clot in the simulated space coordinate', determines a feedback control signal based on the specific position of the blood clot so as to control the rotation angle of the motors in the second angle adjustment motor set 201 and the first angle adjustment motor 301, and determines a feedback control signal so as to control the lifting heights of the first height adjustment rod 300 and the second height adjustment rod 200, so as to ensure that 'a straight line where an external wave impact path in an energy channel of the second external wave impact head 202 is located and a straight line where an external wave impact path in an energy channel of the first external wave impact head 302 is located are intersected with each other, and the intersection point is located at the blood clot'; and the control signal for controlling the angle feedback of the motor rotation in the second angle adjustment motor set 201 and the first angle adjustment motor 301 is transmitted to the motor control circuit by the control device 100, and the control signal for controlling the lifting height feedback of the first height adjustment rod 300 and the second height adjustment rod 200 at a short time delay or simultaneously is transmitted to the electric push rod PLC controller by the control device 100, the motor control circuit controls the angle of the motor rotation in the second angle adjustment motor set 201 and the first angle adjustment motor 301 by the signal, the electric push rod PLC controller drives the electric push rod motor set 206 to further control the lifting control seat 203 and the lifting rod 207 to further control the lifting height of the first height adjustment rod 300 and the second height adjustment rod 200, and the straight line where the external wave impact path in the energy channel of the second external wave impact head 202 is located and the straight line where the external wave impact path in the energy channel of the first external wave impact head 302 is located are controlled by the cooperation of angle and height Intercrossing and intersect are at the blood clot, and this application can accurately realize at least carrying out external wave through two energy passageways and strikeing in order to assist the blood clot to discharge to the blood clot so this application, can reduce the energy of every passageway, reduces extra tissue damage and impact the effect better at strikeing sharp intercrossing to the blood clot, can be better in the blood clot through the stress of wave energy effect destruction blood clot.
In a more preferable implementation, the present application may further configure a mechanical operation module at an application layer of the main machine of the control apparatus 100, which is configured to determine an optimal failure stress impact point according to a spatial configuration of the blood clot and determine a feedback control signal according to the determined optimal failure stress impact point to control a rotation angle of the motors in the second angle adjustment motor set 201 and the first angle adjustment motor 301, and determine a feedback control signal to control a lifting height of the first height adjustment rod 300 and the second height adjustment rod 200, so as to ensure that "interaction between a straight line of an external wave impact path in the energy channel of the second external wave impact head 202 and a straight line of an external wave impact path in the energy channel of the first external wave impact head 302 maximally destroys an internal stress of the blood clot", rather than "a straight line of an external wave impact path in the energy channel of the second external wave impact head 202 and the first external wave impact path" are achieved The straight lines of the energy channels of head 302 where the extracorporeal wave shock path lies intersect each other and the intersection point is at the clot ".
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (7)

1. A novel auxiliary device for breaking blood clots by external waves comprises a control device, a second height adjusting rod and a first height adjusting rod, wherein a second angle adjusting motor set is fixed on the second height adjusting rod, and a second external wave impact head is fixed on the second angle adjusting motor set; a first angle adjusting motor is further fixed on the first height adjusting rod, and a first external wave impact head is fixed on the first angle adjusting motor; the control equipment is electrically connected with the second external wave impact head and the first external wave impact head through leads; the second external wave impact head is used for emitting external waves to the blood clot in one energy channel, and the first external wave impact head is used for emitting external waves to the blood clot in the other energy channel; the straight line of the extracorporeal wave impact path in the energy channel of the second extracorporeal wave impact head and the straight line of the extracorporeal wave impact path in the energy channel of the first extracorporeal wave impact head are crossed mutually, and the cross point is in a blood clot.
2. The novel auxiliary device for breaking blood clots by external waves as claimed in claim 1, wherein the second external wave percussion head includes an arc-shaped housing and a cone-shaped housing disposed at one side of the opening of the arc-shaped housing, the cone-shaped housing and the arc-shaped housing form a closed cavity, a gap is disposed at the top of the cone-shaped housing, an external wave trigger head is disposed in the gap, an external wave generating unit is fixed inside the arc-shaped housing by a bracket, the external wave generating unit includes an outer transducer and an elastic fixing clip disposed at the middle part and a control circuit board disposed at the inner side, the sound wave output port of the sold transducer is communicated with the external wave trigger head by an extension tube, the control circuit board is electrically connected with the transducer, and the control circuit board is electrically connected with an external control device by an external circuit connecting tube.
3. The novel in vitro crushing blood clot assisting device as claimed in claim 2, wherein the second height adjusting rod and the first height adjusting rod have the same structure, the second height adjusting rod and the first height adjusting rod both comprise outer sleeves, electric push rod motor sets are fixed at the bottoms of the inner tubes of the outer sleeves through electric push rod fixing bases, each electric push rod motor set comprises an electric push rod main rod, slide rails are arranged in the middle of the inner portions of the outer sleeves, a lifting control seat capable of sliding up and down is arranged between the slide rails, lifting rods are arranged on the upper portion of the lifting control seat, and the lower portion of the lifting control seat is fixedly connected with the top ends of the electric push rod main rods.
4. The novel extracorporeal wave blood clot breaking auxiliary device as claimed in claim 1, wherein the control device is configured to obtain an output signal of the B-phase control host to determine a specific position of a blood clot on the basis of spatial modeling, the control device is configured to simultaneously control the rotation angles of the motors in the second angle adjustment motor set and the first angle adjustment motor, and the control device is further configured to simultaneously control the lifting heights of the first height adjustment rod and the second height adjustment rod, so as to ensure that "a straight line where an extracorporeal wave impact path in the energy channel of the second extracorporeal wave impact head intersects a straight line where an extracorporeal wave impact path in the energy channel of the first extracorporeal wave impact head, and a crossing point is located at the blood clot" is realized.
5. The novel in vitro clot breaking assisting device as claimed in claim 4, wherein the control device comprises a device host, an electric push rod PLC controller and a motor control circuit, the device host is electrically connected with the electric push rod PLC controller and the motor control circuit, and the electric push rod PLC controller is electrically connected with the second height adjusting rod and the electric push rod motor set of the first height adjusting rod and is used for controlling the lifting height of the first height adjusting rod and the second height adjusting rod.
6. The novel in vitro clot breaking assist device as claimed in claim 5, wherein the motor control circuit comprises a pulse control circuit, a driving power circuit and a stepping motor circuit which are electrically connected, the stepping motor circuit is specifically a motor circuit in the second angle adjusting motor set and the first angle adjusting motor, and the motor control circuit is used for controlling the rotation angle of the motor.
7. The novel in vitro clot lysis assist device as claimed in claim 6, wherein the device host of the control device is configured with a B-mode ultrasound display digital signal denoising module, a signal position identification restoring module, a signal color display restoring module, a signal amount difference module, a relative clot position restoring module, a spatial modeling restoring module, a modeling clot position calculating module, and a control signal calculating module at an application layer, wherein the output end of the B-mode ultrasound display digital signal denoising module is connected with the signal position identification restoring module and the signal color display restoring module, the output end of the signal position identification restoring module and the output end of the signal color display restoring module are connected with the signal amount difference module, the output end of the signal amount difference module is connected with the relative clot position restoring module, the output end of the relative clot position restoring module is connected with the spatial modeling restoring module, and the output end of the relative clot position restoring module is connected with the spatial modeling restoring module, The modeling blood clot position calculation modules are connected, the spatial modeling reduction module and the modeling blood clot position calculation module are connected with each other, and the modeling blood clot position calculation module is connected with the control signal calculation module;
the B-ultrasonic display digital signal denoising module is used for denoising an output signal acquired from the B-ultrasonic control host;
the signal position identification restoring module is used for restoring the position identification of the recognition object in the denoised signal according to the coding rule so as to determine the position data of different objects;
the signal color display restoration module is used for restoring the color identification of the identification object in the denoised signal according to the coding rule so as to determine the color data of different objects;
the signal quantity difference module is used for carrying out difference calculation on the signals of the objects in the position data and the color data;
the relative blood clot position restoration module is used for determining the relative position of the blood clot based on the result of the difference calculation of the object signals in the position data and the color data;
the space modeling reduction module is used for establishing simulated space coordinates in advance and configuring corresponding parameters;
the modeling blood clot position calculating module is used for determining the modeling position of the blood clot in the simulated space coordinate through the relative position of the blood clot and the simulated space coordinate;
the control signal calculation module is used for determining the specific position of the blood clot based on the modeling position of the blood clot in the simulated space coordinate, determining a feedback control signal based on the specific position of the blood clot so as to control the rotation angle of the motors in the second angle adjustment motor set and the first angle adjustment motor, and determining the feedback control signal so as to control the lifting heights of the first height adjustment rod and the second height adjustment rod so as to ensure that the straight line where the extracorporeal wave impact path in the energy channel of the second extracorporeal wave impact head is intersected with the straight line where the extracorporeal wave impact path in the energy channel of the first extracorporeal wave impact head, and the intersection point is positioned at the blood clot; the control signal fed back by the angle for controlling the rotation of the motors in the second angle adjusting motor set and the first angle adjusting motor is transmitted to the motor control circuit by the control equipment, and the control signal fed back by the lifting height for controlling the first height adjusting rod and the second height adjusting rod is transmitted to the electric push rod PLC controller by the control equipment.
CN202210002449.6A 2022-01-05 2022-01-05 In-vitro broken blood clot auxiliary equipment Active CN114533201B (en)

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