CN116250940A - Optical fiber mechanism for medical optical tracing and medical optical tracing system - Google Patents

Optical fiber mechanism for medical optical tracing and medical optical tracing system Download PDF

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Publication number
CN116250940A
CN116250940A CN202111506577.6A CN202111506577A CN116250940A CN 116250940 A CN116250940 A CN 116250940A CN 202111506577 A CN202111506577 A CN 202111506577A CN 116250940 A CN116250940 A CN 116250940A
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optical
tracing
medical
optical fiber
light
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周星
徐华苹
苏文宇
罗丽飞
张武
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Guangzhou T K Medical Instrument Co ltd
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Guangzhou T K Medical Instrument Co ltd
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Priority to CN202111506577.6A priority Critical patent/CN116250940A/en
Priority to PCT/CN2022/133763 priority patent/WO2023103781A1/en
Publication of CN116250940A publication Critical patent/CN116250940A/en
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    • 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • 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
    • 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3904Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
    • 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937Visible markers

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
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Abstract

The optical fiber mechanism for medical optical tracing comprises a light guide optical fiber, wherein the light guide optical fiber has a non-smooth surface. A non-smooth surface is a non-smooth surface that can form reflections, and/or scattering. The non-smooth surface can realize the integral luminescence of the non-smooth surface through the reflection and/or scattering of light rays, thereby achieving the integral tracing effect. The medical optical tracing system comprises an optical fiber mechanism for medical optical tracing, and the optical fiber mechanism for medical optical tracing can carry out multi-position or integral tracing on an optical tracing carrier in a visible light mode under the action of a light source. The medical optical tracing system of the invention can be arranged on a medical catheter, a medical vascular tracing device or a solid tumor tracing device according to the requirement to trace a cavity tube, a blood vessel, a solid tumor or the like.

Description

Optical fiber mechanism for medical optical tracing and medical optical tracing system
Technical Field
The invention relates to an optical fiber mechanism for medical optical tracing and a medical optical tracing system using the optical fiber mechanism.
Background
In clinical operation, because the lumen such as blood vessel, ureter, oviduct, trachea etc. is often wrapped by the tissue, the surgeon needs to be trained for a long time, and is familiar with anatomy structure, just can accurately separate the lumen such as blood vessel, ureter, oviduct, trachea etc.. Even a surgeon with a great experience may accidentally injure a vessel, a ureter, a fallopian tube, a trachea or other lumen, and therefore, a device capable of accurately identifying a vessel, a ureter, a fallopian tube, a trachea or other lumen in a tissue is required.
In addition, when lymph node cleaning is performed, the blood vessel is usually closely attached, so that the position and the range of the blood vessel also need to be marked, and the surgical operation under a endoscope is convenient.
In summary, the prior art cannot perform visible light identification on blood vessels, ureters, fallopian tubes, vas deferens, trachea and the like hidden in tissues, which is inconvenient for the identification of the endoscopic surgery. Therefore, there is a need to develop a technique and apparatus for endoscopic visual identification to facilitate endoscopic identification of vessels, ureters, fallopian tubes, vas deferens, trachea and other lumens.
The invention discloses a visible light technology-based identification technology of lumen such as blood vessels, ureters, fallopian tubes, vas deferens, trachea and the like, and discloses a special optical fiber mechanism with an integral tracing function.
Disclosure of Invention
The invention aims to solve the problem that blood vessels, tissues and organs cannot be accurately identified under a endoscope in the existing clinical operation, and by the arrangement of the special optical fiber capable of integrally tracing, the optical fiber can accurately distinguish the blood vessels, tissues or organs which need to be mainly protected in the clinical operation through the arrangement of different color light sources in the clinical operation, so that accidental injury in the operation process is effectively avoided, and the effective implementation of the clinical operation is facilitated.
The invention relates to an optical fiber mechanism for medical optical tracing, which is characterized in that: the optical fiber mechanism 201 for medical optical tracing contains a light guide optical fiber 22, and the light guide optical fiber 22 can realize non-single-point optical tracing of the optical fiber mechanism 201 for medical optical tracing.
The light guide fiber 22 can realize multi-point optical tracing, and through the arrangement of the luminous points, the luminous points on the light guide fiber 22 can form chain shapes and dispersion shapes, and multi-range, long-distance or integral tracing is formed for the light guide fiber 22. By combining and braiding the light guide fibers 22, a light emitting net, a light emitting ball, or the like can be formed, and space three-dimensional tracking can be performed.
The optical fiber mechanism 201 for medical optical tracing contains at least 1 light guide optical fiber 22.
The ends, and/or sides of the light guide fiber 22 may be illuminated. The light guide fiber 22 can emit light not only at the end but also at the side, and the light guide fiber 22 can be lighted up and lighted up as a whole.
The optical fiber mechanism 201 for medical optical tracing is a combination of a plurality of the light guide optical fibers 22.
The optical fiber mechanism 201 for medical optical tracing may be formed by a single optical fiber 22, or may be a combination of a plurality of optical fibers 22, such as a plurality of modes of forming an optical fiber bundle, weaving into a net shape, arranging in different lengths, and the like.
The light guide fiber 22 has a non-smooth surface 22-1. The non-smooth surface 22-1 is a non-smooth surface 22-11 that is capable of forming reflection, and/or scattering. The non-smooth surface 22-1 can realize the whole luminescence of the non-smooth surface 22-1 through the reflection and/or scattering of light rays, so as to achieve the whole tracing effect.
The light guide fiber 22 is provided with a light outlet 22-2 in a discontinuous manner. Each light outlet 22-2 is provided with a light conducting surface 22-21 and a reflecting surface 22-22, the light is conducted through the conducting surface 22-21, when reaching the reflecting surface 22-22, the light is reflected and emitted from the light outlet 22-2 to form a tracing point, and a plurality of the light outlets 22-2 can form a chain tracing band.
The light outlet 22-2 is a non-axial light outlet 22-21, and is disposed on a side surface of the light guide fiber 22 along a length direction of the light guide fiber 22. When the light outlet 22-2 is integrally arranged along the length direction of the light guide fiber 22, the light guide fiber 22 can be integrally lightened along the length direction of the light guide fiber 22, so that the integral tracing of the light guide fiber 22 is realized.
By the regular arrangement of the light outlets 22-2, the light outlets 22-2 can identify the length of the light guide fiber 22.
The length of the light guide fiber 22 is marked by the regular arrangement of the distribution density of the light outlets 22-2, which causes the scattered light to have different intensities.
The light guide fiber 22 is woven into a net shape, and light outlets 22-2 are scattered at different positions.
The optical fiber mechanism 201 for medical optical tracing can be placed in various positions needing tracing, such as various lumen tubes of ureter, vas deferens, fallopian tube, etc., or solid tumors of hysteromyoma, pulmonary tumor (especially pulmonary nodule), liver tumor, etc., or blood vessel, especially by utilizing the characteristic that the light-guiding optical fiber 2 can emit light laterally to realize integral tracing, and various lumen tubes, blood vessels, solid tumors, etc. are identified.
When the light outlets 22-2 are arranged tightly, the emitted light is stronger and the visual effect is brighter, when the light outlets 22-2 are arranged and dispersed, the emitted light is weaker and the visual effect is darker, and the visual effect similar to a scale can be formed through the arrangement mode of light and shade combination, so that the effect of size identification can be achieved while tracing.
The surface of the optical fiber mechanism 201 for medical optical tracing contains a coating 3.
The coating 3 is an anticoagulant coating, and/or a hydrophilic coating, and/or a hydrophobic coating.
The coating 3 may be designed to have different properties according to the needs, for example, when the light guide fiber 22 needs to enter a blood vessel, the coating 3 may be designed to be an anticoagulant coating, and when the light guide fiber 22 needs to enter various cavities, the coating 3 may be designed to be a hydrophilic coating or a hydrophobic coating according to the needs.
The optical fiber mechanism 201 for medical optical tracing also comprises a developing mechanism 4.
The developing mechanism 4 is made of metal and has a heat conduction function. The heat conducting function of the developing mechanism 4 can prevent accidental injury caused by overhigh temperature of the part of the medical optical tracing system 500 entering the human body, and the temperature is controlled below 37 ℃.
The developing mechanism 4 is a developing line 41, and/or a developing ring 42, and/or a developing block 43. The applicant has only exemplified the above development modes, and in practical application, a person skilled in the art can design different development modes according to the needs, and the applicant does not exemplify the development modes herein, but does not depart from the protection scope of the present application.
The developing mechanism 4 performs development under X-ray, and/or MRI, and/or B-ultrasonic. The developing mechanism 4 can carry out developing prompt under the scenes of X-ray, magnetic navigation, B ultrasonic and the like, and the developing mechanism 4 is convenient for the optical fiber mechanism 201 for medical optical tracking to be placed under the condition of visualization or navigation, and is particularly suitable for the placement of important blood vessels, solid tumors and the like.
The optical fiber mechanism 201 for medical optical tracing also comprises a delivery portion 23. The delivery unit 23 can deliver the working unit 2-1 of the optical fiber tracer carrier 2 to a site such as a blood vessel, a cavity, a tumor operation site, etc. to be traced, as needed.
The delivery part 23 includes an operation handle 23-1.
The fiber optic mechanism for medical optical tracking includes a passageway 24 therein. The channel 24 may be used as a surgical instrument channel, a body fluid drainage channel, etc., as desired.
The optical fiber mechanism 201 for medical optical tracing is made of soft medical materials and can deform and move along a blood vessel or a cavity. The optical fiber mechanism 201 for medical optical tracing has good flexibility and can move along a blood vessel or a cavity, so that the optical fiber mechanism 201 for medical optical tracing can be placed at different positions according to requirements.
The optical fiber mechanism 201 for medical optical tracing comprises a shaping mechanism 25. The shaping mechanism 25 may shape the optical tracing carrier 2, such as round, arc, sphere, etc., according to the need, so as to adapt to different tracing needs.
The shaping mechanism 25 is a shape memory shaping mechanism 25-1. The shape memory shaping mechanism 25-1 has a simple structure such as a linear shape, a strip shape and the like at room temperature, so that the shape memory shaping mechanism can be conveniently placed into a human body and then can be restored to a set shape under the action of body temperature.
The shape memory shaping mechanism 25-1 is made of shape memory wire braiding, and/or shape memory metal tubes or sheets are engraved. The shape memory shaping mechanism 25-1 may be a shape memory wire woven into a desired shape, or may be a shape memory alloy tube or a shape memory alloy sheet directly engraved into a desired shape.
The medical optical tracing system of the invention comprises the optical fiber mechanism 201 for medical optical tracing.
The medical optical tracing system 500 comprises a light source 1 and an optical tracing carrier 2;
A. the optical tracing carrier 2 contains the optical fiber mechanism 201 for medical optical tracing;
B. the light emitted by the light source 1 is conducted through the optical tracing carrier 2, and the optical tracing carrier 2 is subjected to non-single-point optical tracing under the action of the optical fiber mechanism 201 for medical optical tracing.
The optical tracing carrier 2 can carry out linear tracing on the part needing tracing, such as multi-point dispersion and chain tracing, and can also realize three-dimensional space tracing such as net shape, sphere shape and the like by combining, braiding and the like.
The light source 1 is an LED light source 11 or a cold light source 12. The light source 1 may be various light sources capable of emitting light, and the light emitted by the light source 1 may be tracked after being conducted by the optical tracking carrier 1. Compared with a common illumination light source, the LED light source 11 has the characteristics of small volume, high luminous efficiency, strong light source directivity and the like, and particularly has the advantage in the aspect of safety, which is incomparable with the common light source. Firstly, the LED light source is powered by low-voltage direct current, and the power supply voltage is only 6 to 24V; secondly, mercury is not added into the LED light source, so that the harm such as poisoning and the like to a human body can be avoided; in addition, more importantly, the LED light source is a cold light source, can not seriously generate heat in the working process, can be touched safely, and can not cause unexpected high-temperature scalding to a human body. The cold medical light source 12 is a common light source in the existing operation process, and the light source 1 can be arranged at the rear, so that the cold medical light source is easy to obtain in an operating room and does not need extra equipment.
The color of the light emitted by the light source 1 can be set according to the background color or the penetration requirement. Through the arrangement of the light rays, in the clinical operation, a doctor can directly see the position of the optical tracer carrier 2 through the tissues by naked eyes, so that the blood vessels, tissues or organs which need to be protected in a key way in the clinical operation can be accurately distinguished, and the accidental injury in the operation process can be effectively avoided. The light emitted by the light source 1 can be differently set according to the background color in the body cavity or the tissue to be penetrated, when the tissue to be penetrated is required, the red color and the yellow color are better, the purple color and the white color are inferior, and when the vascular tissue to be displayed is required, the light is better.
The light source 1 emits light in a blinking manner. The light source 1 may also be configured to intermittently light, blink, etc. as needed.
The intensity of the light emitted by the light source 1 may be set. The intensity of the light emitted by the light source 1 can also be adjusted according to the needs so as to adapt to different clinical environments. The illuminance of the light emitted by the light source 1 can reach 30 kaleilux, and the preferable range is 5 kilolux to 15 kaleilux.
The light source 1 comprises a control system 13, the control system 13 comprises a wavelength adjusting mechanism 13-1 and a light intensity adjusting mechanism 13-2, the wavelength adjusting mechanism 13-1 can adjust the color of emitted light through wavelength adjustment, and the light intensity adjusting mechanism 13-2 can adjust the illumination of the emitted light.
The optical fiber mechanism 201 for medical optical tracing comprises a light guide connector 26, and the light guide connector 26 connects the light source 1 and the light guide optical fiber 22.
The medical optical tracing system 500 further comprises a protective sleeve 5.
The protective sleeve 5 is made of a transparent material and the optical trace carrier 2 is arranged inside the protective sleeve 5.
The medical optical tracing system 500 further comprises a separate developing mechanism 4, the optical tracing carrier 2 and the developing mechanism 4 being arranged within the protective sleeve 5.
The developing mechanism 4 may be provided on the light guide fiber 22 or may be provided separately. The optical tracing carrier 2 and the developing mechanism 4 are arranged in the protective sleeve 5. The outer part of the protective sleeve 5 may be provided with the coating 3 as desired.
In clinical use, the medical optical tracing system 500 can be arranged on a medical catheter, a medical vascular tracing device or a solid tumor tracing device according to the requirement to trace a lumen, a blood vessel, a solid tumor or the like.
The optical fiber mechanism 201 for medical optical tracing of the present invention comprises a light guiding optical fiber 22, the light guiding optical fiber 22 having a non-smooth surface 22-1. The non-smooth surface 22-1 is a non-smooth surface 22-11 that is capable of forming reflection, and/or scattering. The non-smooth surface 22-1 can realize the whole luminescence of the non-smooth surface 22-1 through the reflection and/or scattering of light rays, so as to achieve the whole tracing effect. The medical optical tracing system comprises the optical fiber mechanism 201 for medical optical tracing, and the optical fiber mechanism 201 for medical optical tracing can trace the optical tracing carrier 2 in a plurality of parts or in a whole in a visible light mode under the action of the light source 1. The medical optical tracing system of the invention can be arranged on a medical catheter, a medical vascular tracing device or a solid tumor tracing device according to the requirement to trace a cavity tube, a blood vessel, a solid tumor or the like.
Drawings
FIG. 1 is a schematic view of a non-smooth surface light guide fiber with irregular light exit.
Fig. 1-1 is an enlarged view at a of fig. 1.
Fig. 1-2 are enlarged views at B of fig. 1.
FIGS. 1-3 are cross-sectional views of the C-C of FIG. 1.
Fig. 1-4 are cross-sectional views of a channeled light guide fiber.
FIG. 2 is a schematic view of a non-smooth surface light guide fiber with an annular light exit.
Fig. 2-1 is an enlarged view at D of fig. 2.
Fig. 2-2 is an enlarged view at E of fig. 2.
FIG. 3 is a schematic view of a non-smooth surface light guide fiber with a spiral light exit.
Fig. 3-1 is an enlarged view at F of fig. 3.
Fig. 3-2 is an enlarged view at G of fig. 3.
Fig. 4 is a schematic structural view of a developing line and an optical fiber mechanism in which an optical fiber is disposed in a protective tube.
Fig. 4-1 is a section view H-H of fig. 4.
Fig. 4-2 is a cross-sectional view of an optical fiber mechanism including a plurality of light guide fibers.
Fig. 5 is a schematic view of the structure of the optical fiber mechanism including the developing block.
Fig. 5-1 is an enlarged view at I of fig. 5.
Fig. 6 is a schematic structural view of an optical fiber mechanism including a developing ring.
Fig. 6-1 is an enlarged view at J of fig. 6.
Fig. 7 is a schematic structural view of an optical fiber mechanism including a shaping mechanism.
FIG. 8 is a schematic view of a splice of a coated optical fiber mechanism.
Fig. 8-1 is a K-K cross-sectional view of fig. 8.
Fig. 9, a fiber optic mechanism woven into a mesh.
Fig. 10 is a medical optical tracing system of the invention containing a medical cold light source.
Fig. 11 is a medical optical tracking system of the present invention including an LED light source.
In the above figures:
reference numeral 201 denotes an optical fiber mechanism for medical optical tracking according to the present invention, and 500 denotes a medical optical tracking system according to the present invention.
1 is a light source, 2 is an optical tracing carrier, 3 is a coating, 4 is a developing mechanism, and 5 is a protective sleeve.
11 is an LED light source, 12 is a medical cold light source, 13 is a control system, 11-1 is a light emitting end, 11-2 is a circuit system, 11-3 is a driving plate, 11-4 is a power supply, 13-1 is a wavelength adjusting mechanism, 13-2 is a light intensity adjusting mechanism, and 11-21 is a flexible circuit board.
22 is a light guide optical fiber, 23 is a delivery part, 24 is a channel, 25 is a shaping mechanism, and 26 is a light guide joint; 22-1 is a non-smooth surface, 22-2 is a light outlet, 23-1 is an operating handle, and 25-1 is a shape memory shaping mechanism; 22-11 are non-smooth surfaces that are reflective, and/or scattering, 22-21 are conductive surfaces, and 22-22 are reflective surfaces.
Reference numeral 41 denotes a development line, 42 denotes a development ring, and 43 denotes a development block.
Detailed Description
Example 1: the invention relates to an optical fiber mechanism for medical optical tracing
Referring to fig. 1, the optical fiber mechanism for medical optical tracing of the present embodiment includes a light guiding optical fiber 22, and the light guiding optical fiber 22 can implement the non-single-point optical tracing of the optical fiber mechanism for medical optical tracing 201.
Referring to fig. 1, the optical fiber mechanism 201 for medical optical tracing contains 1 of the light guide optical fibers 22.
The ends, and/or sides of the light guide fiber 22 may be illuminated. The light guide fiber 22 can emit light not only at the end but also at the side, and the light guide fiber 22 can be lighted up and lighted up as a whole.
The light guide fiber 22 described with reference to fig. 1-4 has a non-smooth surface 22-1. The non-smooth surface 22-1 is a non-smooth surface 22-11 that is capable of forming reflection, and/or scattering. The non-smooth surface 22-1 can realize the whole luminescence of the non-smooth surface 22-1 through the reflection and/or scattering of light rays, so as to achieve the whole tracing effect.
Referring to fig. 1, the light guide fiber 22 is provided with a light outlet 22-2 intermittently. Each light outlet 22-2 is provided with a light conducting surface 22-21 and a reflecting surface 22-22, the light is conducted through the conducting surface 22-21, when reaching the reflecting surface 22-22, the light is reflected and emitted from the light outlet 22-2 to form a tracing point, and a plurality of the light outlets 22-2 can form a chain tracing band.
The light outlet 22-2 is a non-axial light outlet 22-21, and is disposed on a side surface of the light guide fiber 22 along a length direction of the light guide fiber 22. When the light outlet 22-2 is integrally arranged along the length direction of the light guide fiber 22, the light guide fiber 22 can be integrally lightened along the length direction of the light guide fiber 22, so that the integral tracing of the light guide fiber 22 is realized.
Referring to fig. 1 to 1-4, the non-axial light outlet 22-21 may be a point-like intermittent light outlet manufactured by a die-pressing method, or may be an annular light outlet or a spiral light outlet by integral injection molding or wire cutting, referring to fig. 2 to 3-2.
By the regular arrangement of the light outlets 22-2, the light outlets 22-2 can identify the length of the light guide fiber 22.
Referring to fig. 1 and 1-1, the length dimension of the light guide fiber 22 is identified by the regular arrangement of the distribution density of the light outlets 22-2, which results in different intensities of the scattered light.
When the light outlets 22-2 are arranged tightly, the emitted light is stronger and the visual effect is brighter, when the light outlets 22-2 are arranged and dispersed, the emitted light is weaker and the visual effect is darker, and the visual effect similar to a scale can be formed through the arrangement mode of light and shade combination, so that the effect of size identification can be achieved while tracing.
Furthermore, the optical fiber mechanism 201 for medical optical tracing may be a combination of a plurality of the light guide optical fibers 22.
The optical fiber mechanism 201 for medical optical tracing may be formed by a single optical fiber 22, or may be a combination of a plurality of optical fibers 22, such as a plurality of modes of forming an optical fiber bundle, weaving into a net shape, arranging in different lengths, and the like.
Referring to fig. 9, the light guide fiber 22 is woven into a net shape, and the light outlets 22-2 are scattered at different positions.
Referring to fig. 8, the surface of the optical fiber mechanism 201 for medical optical tracing contains a coating 3.
The coating 3 is an anticoagulant coating, and/or a hydrophilic coating, and/or a hydrophobic coating.
The coating 3 may be designed to have different properties according to the needs, for example, when the light guide fiber 22 needs to enter a blood vessel, the coating 3 may be designed to be an anticoagulant coating, and when the light guide fiber 22 needs to enter various cavities, the coating 3 may be designed to be a hydrophilic coating or a hydrophobic coating according to the needs.
Referring to fig. 4 and 4-1, the optical fiber mechanism 201 for medical optical tracing further comprises a developing mechanism 4.
The developing mechanism 4 is made of metal and has a heat conduction function. The heat conducting function of the developing mechanism 4 can prevent accidental injury caused by overhigh temperature of the part of the medical optical tracing system 500 entering the human body, and the temperature is controlled below 37 ℃.
Referring to fig. 4 to 6-1, the developing mechanism 4 is a developing line 41, and/or a developing ring 42, and/or a developing block 43. The applicant has only exemplified the above development modes, and in practical application, a person skilled in the art can design different development modes according to the needs, and the applicant does not exemplify the development modes herein, but does not depart from the protection scope of the present application.
The developing mechanism 4 performs development under X-ray, and/or MRI, and/or B-ultrasonic. The developing mechanism 4 can carry out developing prompt under the scenes of X-ray, magnetic navigation, B ultrasonic and the like, and the developing mechanism 4 is convenient for the optical fiber mechanism 201 for medical optical tracking to be placed under the condition of visualization or navigation, and is particularly suitable for the placement of important blood vessels, solid tumors and the like.
The optical fiber mechanism 201 for medical optical tracing also comprises a delivery portion 23. The delivery part 23 includes an operation handle 23-1. The delivery unit 23 can deliver the working unit 2-1 of the optical fiber tracer carrier 2 to a site such as a blood vessel, a cavity, a tumor operation site, etc. to be traced, as needed.
Referring to fig. 1-4, the optical fiber mechanism 201 for medical optical tracking includes a channel 24 therein. The channel 24 may be used as a surgical instrument channel, a body fluid drainage channel, etc., as desired.
The optical fiber mechanism 201 for medical optical tracing is made of soft medical materials and can deform and move along a blood vessel or a cavity. The optical fiber mechanism 201 for medical optical tracing has good flexibility and can move along a blood vessel or a cavity, so that the optical fiber mechanism 201 for medical optical tracing can be placed at different positions according to requirements.
Referring to fig. 7, the optical fiber mechanism 201 for medical optical tracking includes a shaping mechanism 25. The shaping mechanism 25 may shape the optical tracing carrier 2, such as round, arc, sphere, etc., according to the need, so as to adapt to different tracing needs.
The shaping mechanism 25 is a shape memory shaping mechanism 25-1. The shape memory shaping mechanism 25-1 has a simple structure such as a linear shape, a strip shape and the like at room temperature, so that the shape memory shaping mechanism can be conveniently placed into a human body and then can be restored to a set shape under the action of body temperature.
The shape memory shaping mechanism 25-1 is made of shape memory wire braiding, and/or shape memory metal tubes or sheets are engraved. The shape memory shaping mechanism 25-1 may be a shape memory wire woven into a desired shape, or may be a shape memory alloy tube or a shape memory alloy sheet directly engraved into a desired shape.
The optical fiber 22 used in the optical fiber mechanism for medical optical tracing of this embodiment has a non-smooth surface 22-1, and the side surface is provided with the light outlet 22-2, so that it is capable of realizing multi-point optical tracing, and the light emitting points on the optical fiber 22 can form a chain shape, a dispersion shape, and form multi-range, long-distance or integral tracing for the optical fiber 22 through the arrangement of the light emitting points. By combining and braiding the light guide fibers 22, a light emitting net, a light emitting ball, or the like can be formed, and space three-dimensional tracking can be performed.
The optical fiber mechanism for medical optical tracing in the embodiment can be placed in various positions needing tracing, such as various lumen tubes of ureter, vas deferens, fallopian tube and the like, or can be placed in solid tumors of hysteromyoma, pulmonary tumor (especially pulmonary nodule), liver tumor and the like, or can be placed in blood vessels, especially the characteristic that the light guide optical fiber 2 can emit light from side surface to realize integral tracing is utilized to mark various lumen tubes, blood vessels, solid tumors and the like.
Example 2: the present invention relates to a medical optical tracing system
Referring to fig. 6, the medical optical tracing system of this embodiment includes the optical fiber mechanism 201 for medical optical tracing described in embodiment 1.
The medical optical tracing system 500 comprises a light source 1 and an optical tracing carrier 2.
The optical tracer carrier 2 contains the optical fiber mechanism 201 for medical optical tracer.
The light emitted by the light source 1 is conducted through the optical tracing carrier 2, and the optical tracing carrier 2 is subjected to non-single-point optical tracing under the action of the optical fiber mechanism 201 for medical optical tracing.
The optical tracing carrier 2 can carry out linear tracing on the part needing tracing, such as multi-point dispersion and chain tracing, and can also realize three-dimensional space tracing such as net shape, sphere shape and the like by combining, braiding and the like.
Referring to fig. 10 and 11, the light source 1 is an LED light source 11 or a cold light source 12. The light source 1 may be various light sources capable of emitting light, and the light emitted by the light source 1 may be tracked after being conducted by the optical tracking carrier 1. Compared with a common illumination light source, the LED light source 11 has the characteristics of small volume, high luminous efficiency, strong light source directivity and the like, and particularly has the advantage in the aspect of safety, which is incomparable with the common light source. Firstly, the LED light source is powered by low-voltage direct current, and the power supply voltage is only 6 to 24V; secondly, mercury is not added into the LED light source, so that the harm such as poisoning and the like to a human body can be avoided; in addition, more importantly, the LED light source is a cold light source, can not seriously generate heat in the working process, can be touched safely, and can not cause unexpected high-temperature scalding to a human body.
The cold light source 12 is a common light source in the existing operation process, and the light source 1 can be arranged at the rear, so that the cold light source is easy to obtain in an operating room, no extra equipment is needed, and the cold light source 12 is not easy to cause the temperature rise of the optical tracing carrier 2.
The color of the light emitted by the light source 1 can be set according to the background color or the penetration requirement. Through the arrangement of the light rays, in the clinical operation, a doctor can directly see the position of the optical tracer carrier 2 through the tissues by naked eyes, so that the blood vessels, tissues or organs which need to be protected in a key way in the clinical operation can be accurately distinguished, and the accidental injury in the operation process can be effectively avoided. The light emitted by the light source 1 can be differently set according to the background color in the body cavity or the tissue to be penetrated, when the tissue to be penetrated is required, the red color and the yellow color are better, the purple color and the white color are inferior, and when the vascular tissue to be displayed is required, the light is better.
The light source 1 may also be configured to intermittently light, flash, etc. as desired.
The intensity of the light emitted by the light source 1 can also be adjusted according to the needs so as to adapt to different clinical environments. The illuminance of the light emitted by the light source 1 can reach 30 kaleilux, and the preferable range is 5 kilolux to 15 kaleilux.
The light source 1 comprises a control system 13, the control system 13 comprises a wavelength adjusting mechanism 13-1 and a light intensity adjusting mechanism 13-2, the wavelength adjusting mechanism 13-1 can adjust the color of emitted light through wavelength adjustment, and the light intensity adjusting mechanism 13-2 can adjust the illumination of the emitted light.
Referring to fig. 10 and 11, the optical fiber mechanism 201 for medical optical tracing includes a light guiding connector 26, and the light guiding connector 26 connects the light source 1 and the light guiding optical fiber 22.
Referring to fig. 4 and 4-1, in this embodiment, the medical optical tracing system 500 further comprises a protective sleeve 5.
The protective sleeve 5 is made of a transparent material and the optical trace carrier 2 is arranged inside the protective sleeve 5.
The developing mechanism 4 may be provided on the light guide fiber 22 or may be provided separately. The optical tracing carrier 2 and the developing mechanism 4 are arranged in the protective sleeve 5. The coating 3 may be disposed on the outer portion of the protective sleeve 5 according to need, for example, when the light guide fiber 22 needs to enter a blood vessel, the coating 3 may be designed as an anticoagulant coating, and when the light guide fiber 22 needs to enter various cavities, the coating 3 may be designed as a hydrophilic coating or a hydrophobic coating according to need.
The medical optical tracing system of the embodiment can be manufactured into a visible light tracing medical catheter, a visible light tracing solid tumor tracing device, a visible light tracing optical fiber or a visible light tracing vascular tracing device according to the requirements, and is used for tracing vessels, esophagus, ureter, urethra and other cavity tubes or tracing and calibrating the positions of solid tumors, such as hysteromyoma, lung tumor, liver tumor and the like in clinical operation, so that the accuracy of the operation is improved, and accidental injury in the operation process is avoided.
The described embodiments are not the only structures for implementing the present invention. Although preferred embodiments of the present invention have been described and illustrated herein, it will be apparent to those skilled in the art that these embodiments are merely illustrative, and that numerous changes, modifications and substitutions can be made herein by one skilled in the art without departing from the invention, and therefore the scope of the invention is to be defined by the spirit and scope of the appended claims.

Claims (31)

1. An optical fiber mechanism for medical optical tracking, characterized in that: the optical fiber mechanism (201) for medical optical tracing comprises a light guide optical fiber (22), and the light guide optical fiber (22) can realize non-single-point optical tracing of the optical fiber mechanism (201) for medical optical tracing.
2. The optical fiber mechanism for medical optical tracing of claim 1, wherein: the end and/or side of the light guide fiber (22) can emit light.
3. The optical fiber mechanism for medical optical tracing of claim 1, wherein: the optical fiber mechanism (201) for medical optical tracing comprises at least 1 light guide optical fiber (22).
4. A fiber optic mechanism for medical optical tracking as defined in claim 3, wherein: the optical fiber mechanism (201) for medical optical tracing is a combination of a plurality of the light guide optical fibers (22).
5. The optical fiber mechanism for medical optical tracing of claim 1, wherein: the light guide fiber (22) has a non-smooth surface (22-1).
6. The optical fiber mechanism for medical optical tracing of claim 5, wherein: the light guide fiber (22) is provided with a light outlet (22-2) in a discontinuous way.
7. The optical fiber mechanism for medical optical tracing of claim 6, wherein: the light outlet (22-2) is a non-axial light outlet (22-21) and is arranged on the side surface of the light guide fiber (22) along the length direction of the light guide fiber (22).
8. The optical fiber mechanism for medical optical tracing of claim 7, wherein: through the regular arrangement of the light outlets (22-2), the light outlets (22-2) can mark the length dimension of the light guide optical fiber (22).
9. The optical fiber mechanism for medical optical tracing of claim 8, wherein: the length dimension of the light guide fiber (22) is marked by the difference of the intensity of scattered light caused by the regular arrangement of the distribution density of the light outlets (22-2).
10. The optical fiber mechanism for medical optical tracing of claim 1, wherein: the light guide optical fibers (22) are woven into a net shape, and light outlets (22-2) are distributed in a scattered manner at different positions.
11. The optical fiber mechanism for medical optical tracing of claim 1, wherein: the surface of the optical fiber mechanism (201) for medical optical tracing contains a coating (3).
12. The optical fiber mechanism for medical optical tracing of claim 11, wherein: the coating (3) is an anticoagulant coating, and/or a hydrophilic coating, and/or a hydrophobic coating.
13. The optical fiber mechanism for medical optical tracing of claim 1, wherein: the optical fiber mechanism (201) for medical optical tracing also comprises a developing mechanism (4).
14. The optical fiber mechanism for medical optical tracing of claim 13, wherein: the developing mechanism (4) is made of metal and has a heat conduction function.
15. The optical fiber mechanism for medical optical tracing of claim 13, wherein: the developing mechanism (4) is a developing line (41), and/or a developing ring (42), and/or a developing block (43).
16. The optical fiber mechanism for medical optical tracing of claim 15, wherein: the developing mechanism (4) performs development under X-ray, MRI and/or B-ultrasonic.
17. The optical fiber mechanism for medical optical tracing of claim 1, wherein: the optical fiber mechanism (201) for medical optical tracing also comprises a delivery part (23).
18. A fiber optic mechanism for medical optical tracking as defined in claim 17, wherein: the delivery part (23) comprises an operating handle (23-1).
19. A fiber optic mechanism for medical optical tracking as defined in claim 1, wherein: the optical fiber mechanism for medical optical tracking includes a channel (24) therein.
20. The optical fiber mechanism for medical optical tracing of claim 1, wherein: the optical fiber mechanism (201) for medical optical tracing is made of soft medical materials and can deform and move along a blood vessel or a cavity.
21. The optical fiber mechanism for medical optical tracing of claim 1, wherein: the optical fiber mechanism (201) for medical optical tracing comprises a shaping mechanism (25).
22. Medical optical tracer system, its characterized in that: the medical optical tracing system (500) comprises the optical fiber mechanism (201) for medical optical tracing of claim 1.
23. The medical optical tracking system of claim 22, wherein: the medical optical tracing system (500) comprises a light source (1) and an optical tracing carrier (2);
A. the optical tracer carrier (2) contains the optical fiber mechanism (201) for medical optical tracer;
B. the light emitted by the light source (1) is conducted through the optical tracing carrier (2), and the optical tracing carrier (2) is subjected to non-single-point optical tracing under the action of the optical fiber mechanism (201) for medical optical tracing.
24. The medical optical tracking system of claim 21, wherein: the light source (1) is an LED light source (11) or a cold light source (12).
25. The medical optical tracking system of claim 23, wherein: the color of the light emitted by the light source (1) can be set according to the background color or the penetration requirement.
26. The medical optical tracking system of claim 23, wherein: the light source (1) emits light in a blinking manner.
27. The medical optical tracking system of claim 23, wherein: the intensity of the light emitted by the light source (1) can be set.
28. The medical optical tracking system of claim 23, wherein: the optical fiber mechanism (201) for medical optical tracing comprises a light guide connector (26), and the light guide connector (26) is connected with the light source (1) and the light guide optical fiber (22).
29. The medical optical tracking system of claim 23, wherein: the medical optical tracing system (500) also comprises a protective sleeve (5).
30. The medical optical tracking system of claim 29, wherein: the protective sleeve (5) is made of transparent material, and the optical tracing carrier (2) is arranged in the protective sleeve (5).
31. The medical optical tracking system of claim 29, wherein: the medical optical tracing system (500) further comprises a separate developing mechanism (4), and the optical tracing carrier (2) and the developing mechanism (4) are arranged in the protective sleeve (5).
CN202111506577.6A 2021-12-10 2021-12-10 Optical fiber mechanism for medical optical tracing and medical optical tracing system Pending CN116250940A (en)

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US6336904B1 (en) * 1998-04-07 2002-01-08 Pro Duct Health, Inc. Methods and devices for the localization of lesions in solid tissue
US20020038121A1 (en) * 2000-09-20 2002-03-28 Ytzhak Rozenberg Apparatus system and for identifying a treatment tool within a patient's body
US8954134B2 (en) * 2005-09-13 2015-02-10 Children's Medical Center Corporation Light-guided transluminal catheter
WO2020142518A1 (en) * 2019-01-02 2020-07-09 Acera LLC Positioning a tube in a lumen via transillumination
EP3685785A1 (en) * 2019-01-22 2020-07-29 Stryker European Holdings I, LLC Tracker for a surgical navigation system
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