CN205197954U - Magnetism anchoring peritoneoscope system based on diagnosis of near infrared vision - Google Patents

Magnetism anchoring peritoneoscope system based on diagnosis of near infrared vision Download PDF

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CN205197954U
CN205197954U CN201520981701.8U CN201520981701U CN205197954U CN 205197954 U CN205197954 U CN 205197954U CN 201520981701 U CN201520981701 U CN 201520981701U CN 205197954 U CN205197954 U CN 205197954U
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near infrared
infrared light
hydraulic pressure
peritoneoscope
magnetic
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吕毅
董鼎辉
吴荣谦
朱皓阳
徐向华
杨桓
马锋
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Chonghao Technology Co.,Ltd.
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First Affiliated Hospital of Xian Jiaotong University
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Abstract

The utility model provides a magnetism anchoring peritoneoscope system based on diagnosis of near infrared vision, includes: two light source magnetism anchoring peritoneoscopes, built -in interior magnet, white light LED, near infrared LED, CCD camera and hydraulic pressure biopsy forceps, hydraulic pressure biopsy forceps contain hydraulic pressure chamber no. 1 and elasticity biopsy forceps, and the binding clip stretches out outside two light source magnetism anchoring peritoneoscopes, external magnetic cell is with the cooperation of interior magnet, the location of realizing two light source magnetism anchoring peritoneoscopes, the hydraulic pressure button sets up in external, opens and shuts through hydraulic pressure line and its binding clip of hydraulic pressure biopsy forceps connection control, external workstation, it is continuous through data line and white light LED, near infrared LED and CCD camera including display and treater, the utility model discloses combine peritoneoscope technique, magnetism anchoring technique and near infrared tumour developing technique, small in size adopts magnetism anchoring mode location, can not stab the card space through not occuping in traditional peritoneoscope stamp card and the art to can stab under the card condition at single traditional peritoneoscope, accomplish liver neoplasms and explore and get the biopsy.

Description

A kind of magnetic grappling laparoscope system based near infrared light visual diagnostic
Technical field
The invention belongs to medical equipment laparoscopic technique field, particularly a kind of magnetic grappling laparoscope system based near infrared light visual diagnostic.
Background technology
Surgery is introduced Wicresoft's epoch by the laparoscopic technique that last century, the nineties was risen, for cholecystectomy, Tradtional laparotomy needs the otch of about 15cm, and laparoscopic surgery only needs the stamp card of 3-4 diameter 5-10mm can complete to insert peritoneoscope, tractive apparatus and cutting device.On this basis, surgeon is exploring the modus operandi of more Wicresoft always, thus makes patient obtain maximum value with minimally invasive.Developed recently get up through umbilicus single-hole laparoscopic surgery (LESS) be the practice result that surgeon pursues ultra micro woundization.In single-hole laparoscopic surgery, because peritoneoscope, tractive apparatus and cutting device all enter from the holding of unique stamp, make single-hole laparoscopic stab card diameter all at about 30mm, be obviously greater than conventional laparoscopic stamp card.In addition, 3 kinds of apparatuses are inserted same stamp card simultaneously and different apparatus are in operation disturbed mutually, are difficult to be formed effectively operate triangle, thus strengthen operating difficulty, increase operation risk.Due to peritoneoscope largest diameter in 3 kinds of apparatuses, if peritoneoscope can be made not take stamp card space in operation will at utmost reduce the size of single-hole laparoscopic stamp card and the operability improving single-hole laparoscopic surgery.In addition, current peritoneoscope only possesses illumination camera function, and more information can not be provided to carry out Diagnosis of Liver Neoplasm, and make the biopsy of detecting and get of liver neoplasm usually need to carry out opening under abdomen condition, this has increased the weight of the wound of patient greatly.
Realize interacting by the form of " field " between Magnet, between Magnet, directly can not contact the effect just producing power.Application magnetic anchoring techniques, by the control of external magnetic anchoring system, in operation process, magnetic grappling operating theater instruments can not take stamp card space, realizes Intraabdominal position & navigation.
Indocyanine green is a kind of medical soluble dye, and biological safety is high, and it to be injected in patient body by intravenous route and to go out external through hepatic route metabolism, is usually used in the inspection of liver function chi clinically.
Summary of the invention
In order to overcome the shortcoming of above-mentioned prior art, the object of the present invention is to provide a kind of magnetic grappling laparoscope system based near infrared light visual diagnostic, laparoscopic technique, magnetic anchoring techniques and near infrared light tumor imaging technology are combined, this system is made up of with outer body part in body, wherein body inside is divided into wired design, compact also adopts magnetic anchored mode to locate, can card be stabbed by conventional laparoscopic 10mm and not take stamp card space in operative process, reduce single-hole laparoscopic stamp card size and operation technique; In addition, in body, part also comprises near-infrared light source and hydraulic pressure biopsy forceps, coordinates intravenous injection indocyanine green, under single conventional laparoscopic stamp card article part, can complete liver neoplasm and detect and get biopsy.
To achieve these goals, the technical solution used in the present invention is:
Based on a magnetic grappling laparoscope system near infrared light visual diagnostic, comprising:
Two light source magnetic grappling peritoneoscope 1, for hollow cylindrical structure, built-in inner magnet, white light LEDs 11, near infrared light LED12, CCD photographic head 13 and hydraulic pressure biopsy forceps 14, hydraulic pressure biopsy forceps 14 comprises hydraulic cavities 1 and clamps 22 with elastic biopsy, and the binding clip of elastic biopsy pincers 22 stretches out outside two light source magnetic grappling peritoneoscope 1;
External magnetic cell 2, coordinates with described inner magnet, realizes two light source magnetic grappling peritoneoscope 1 location in vivo;
Hydraulic pressure button 3, is arranged at external, is connected with hydraulic pressure biopsy forceps 14 by hydraulic line 6, controls its binding clip folding;
External work station 4, comprises display 19 and processor 20, and processor 20 is connected with white light LEDs 11, near infrared light LED12 and CCD photographic head 13 by data wire 5.
The case material of described pair of light source magnetic grappling peritoneoscope 1 is photosensitive resin, described inner magnet comprises inner magnet 1 and inner magnet 2 10, from tail end to head end, arrange in two light source magnetic grappling peritoneoscope 1 and be followed successively by: inner magnet 2 10, near infrared light LED12, hydraulic pressure biopsy forceps 14, CCD photographic head 13, white light LEDs 11, inner magnet 1.
Described couple of light source magnetic grappling peritoneoscope 1 internal diameter 10mm, length 70mm, inner magnet 1 and inner magnet 2 10 shape, material are consistent, and be cylinder, diameter is 10mm, is highly 5mm, and material is N50 neodymium iron boron, surperficial row titanium nitride coating.
Described white light LEDs 11 sends colour temperature 6000K white light, and it is 790nm near infrared light that near infrared light LED12 sends wavelength.
Described external magnetic cell 2 comprises external magnet group 16 and the magnetic shield shell 15 be arranged on outside external magnet group 16, external magnet group 16 is made up of several identical cylinder-shaped magnets, and the diameter of each cylinder-shaped magnet is 30mm, is highly 50mm, material is N50 neodymium iron boron, surperficial row titanium nitride coating.
Described external magnet group 16 has two groups, corresponding with inner magnet 1 and inner magnet 2 10 respectively, often organizes outside external magnet group 16 and configures independently magnetic shield shell 15 respectively.
Described hydraulic pressure button 3 comprises button 17 and hydraulic cavities 2 18, and button 17 is pressed or pull-up in hydraulic cavities 2 18, causes the stressed change of elastic biopsy pincers 22 in hydraulic cavities 1, the final folding driving binding clip by hydraulic pressure.
The Sample Storehouse based on the gray level image that develops based on the near infrared light of indocyanine green by dissimilar liver neoplasm is prestored in described processor 20, when the near infrared light image receiving CCD photographic head 13 and gather, contrast with data in Sample Storehouse, adopt gray scale recognizer automatically to mark the position of suspicious lesions on the display 19.
Compared with prior art, the invention has the beneficial effects as follows:
1. in body, part (two light source magnetic grappling peritoneoscope) adopts magnetic anchored mode to locate, stamp card space is not taken: single-hole laparoscopic can be made on the one hand to stab card diameter and reduce to 12mm from existing 30mm, improve single-hole laparoscopic surgery invasive in operative process; Can promote that tractive apparatus and cutting device are formed operates triangle on the other hand, improves single-hole laparoscopic surgery operability.
2. in body, part (two light source magnetic grappling peritoneoscope) adopts wired design, by external for date processing backstage, thus compact, diameter 10mm, length 50mm, card can be stabbed by conventional laparoscopic 10mm, therefore not only may be used for single-hole laparoscopic surgery environment, also can be applicable to conventional laparoscopic surgical environments, under the prerequisite not reducing operability, reduce the stamp card number of conventional laparoscopic operation.
3. in body, part (two light source magnetic grappling peritoneoscope) adopts two light source design, freely can switching: when being switched to high color temperature white light LEDs, can ensure the video quality in operative process; When being switched near infrared light LED, coordinating indocyanine green intravenous injection, the visual diagnostic of liver neoplasm can be carried out under single conventional laparoscopic stamp card article part, avoid abdominal.
4. in body, part (two light source magnetic grappling peritoneoscope) comprises hydraulic pressure biopsy forceps, and unique hydraulic Design can realize getting biopsy operation and make a definite diagnosis to reach tumor, and ensures that in body, part is in the motility of intraperitoneal motion.
Accompanying drawing explanation
Fig. 1 is the laparoscopically structural representation of of the present invention pair of light source magnetic grappling.
Fig. 2 is the structural representation of external magnetic cell of the present invention.
Fig. 3 is the structural representation of hydraulic pressure button of the present invention.
Fig. 4 is the structural representation of hydraulic pressure biopsy forceps of the present invention.
Fig. 5 is the structural representation of external work station of the present invention.
Fig. 6 is working state schematic representation of the present invention.
Detailed description of the invention
Embodiments of the present invention are described in detail below in conjunction with drawings and Examples.
Based on a magnetic grappling laparoscope system near infrared light visual diagnostic, mainly comprise two light source magnetic grappling peritoneoscope 1, external magnetic cell 2, hydraulic pressure button 3 and external work station 4.
The structure of of the present invention pair of light source magnetic grappling peritoneoscope 1 as shown in Figure 1, two light source magnetic grappling peritoneoscope 1, for cylindrical structure, interior diameter 10mm, length 70mm, case material is photosensitive resin, inner from head end to tail end, is followed successively by inner magnet 1, the white light LEDs 11 of high color temperature, CCD photographic head 13, hydraulic pressure biopsy forceps 14, near infrared light LED12 and inner magnet 2 10; Wherein inner magnet 1 and inner magnet 2 10 shape, material are consistent, and be cylinder, diameter is 10mm, is highly 5mm, and material is N50 neodymium iron boron, surperficial row titanium nitride coating; The white light LEDs 11 of high color temperature can send colour temperature 6000K white light; It is 790nm near infrared light that near infrared light LED12 can send wavelength; White light LEDs 11 is connected with external work station 4 by data wire 5 with near infrared light LED12; CCD photographic head 13 is also connected with external work station 4 by data wire 5; Hydraulic pressure biopsy forceps 14 is connected with hydraulic pressure button 3 by hydraulic line 6.The outside seal of two light source magnetic grappling peritoneoscope 1, sterilizes by oxirane mode, by conventional laparoscopic stamp card; It realizes intraperitoneal by inner magnet 1, inner magnet 2 10 with the interaction of outer magnetic cell 2 and locate and motion, thus in working order under do not take stamp card space, can reduce to stab card diameter and reduce the mutual interference of the interior apparatus of stamp card; Send colour temperature 6000k white light by white light LEDs 11, ensure the operational quality in operative process; Because the indocyanine green carrying out the inspection of liver function chi can deposit at liver cancer tissue internal specific, excite can produce fluorescence by near infrared light, therefore can send 790nm near infrared light by near infrared light LED12, intravenous injection indocyanine green before cooperation operation in patients, can realize the visual diagnostic of liver neoplasm.The image under the white light LEDs 11 of high color temperature, near infrared light LED12 lighting condition can be gathered by CCD photographic head 13, and be transferred to external work station 4 by data wire 5, be shown by display 19; Carry out where necessary getting biopsy operation by hydraulic pressure biopsy forceps 14, because hydraulic pressure biopsy forceps 14 is connected with hydraulic pressure button 3 by flexible hydraulic line 6, while guarantee realizes getting biopsy operation, do not affect two light source magnetic grappling peritoneoscope 1 at Intraabdominal kinematic dexterity.
As shown in Figure 2, external magnetic cell 2 comprises magnetic shield shell 15 and external magnet group 16 to the structure of external magnetic cell 2 of the present invention.External magnet group 16 is made up of several identical cylinder-shaped magnets, and diameter is 30mm, is highly 50mm, and material is N50 neodymium iron boron, surperficial row titanium nitride coating.External magnetic cell 2 can select according to the height and weight index (BMI) of the patient of patient the Magnet number forming external magnet group 16, thus while ensureing magnetic force, reduce the latent lesion to patient's stomach wall; It can reduce the interference between external magnet group 16 by magnetic shield shell 15, improves operability, realizes two light source magnetic grappling peritoneoscope 1 in Intraabdominal reliable location and flexible motion.
As shown in Figure 3, hydraulic pressure button 3 comprises button 17 and hydraulic cavities 2 18 to the structure of hydraulic pressure button 3 of the present invention, and is connected with hydraulic pressure biopsy forceps 14 by hydraulic line 6.
As shown in Figure 4, hydraulic pressure biopsy forceps 14 comprises hydraulic cavities 1 and clamps 22 with elastic biopsy the structure of hydraulic pressure biopsy forceps 14 of the present invention, and it is connected with hydraulic pressure button 3 by hydraulic line 6.Make hydraulic oil in hydraulic cavities 2 18 enter hydraulic cavities 1 by hydraulic line 6 by the button 17 of pressing hydraulic pressure button 3, thus promotion elastic biopsy pincers 22 open; When release button 17, elastic biopsy pincers 22 are closed under the effect of elastic-restoring force, and the hydraulic oil in hydraulic cavities 1 enters hydraulic cavities 2 18 through hydraulic line 6.
The structure of external work station 4 of the present invention as shown in Figure 5, external work station 4 comprises display 19 and processor 20, it is by the white light LEDs 11 of data wire 5 with high color temperature, near infrared light LED12 and CCD photographic head 13 are connected, by processor 20, surgeon can control the white light LEDs 11 of high color temperature and the open and close of near infrared light LED12 as required, in addition, the visible images that CCD photographic head 13 gathers and near infrared light image also show on the display 19 by processor 20, the Sample Storehouse based on the gray level image that develops based on the near infrared light of indocyanine green by dissimilar liver neoplasm is comprised in processor 20, for the near infrared light image that CCD photographic head 13 gathers, processor 20 can contrast set up Sample Storehouse, automatically the position of suspicious lesions is marked on the display 19 for doctor's reference based on gray scale recognizer.
Operation principle of the present invention is:
As shown in Figure 6, two light source magnetic grappling peritoneoscope 1 enters in abdominal cavity of patients by the conventional laparoscopic stamp card 8 on stomach wall 7, under the effect of magnetic cell 2 outside, be anchored on stomach wall by inner magnet 1, inner magnet 2 10, two light source magnetic grappling peritoneoscope 1 can be realized at Intraabdominal position & navigation by operating outer magnetic cell 2, not taking stamp card space in operation, two light source magnetic grappling peritoneoscope 1 is connected with external work station 4 by data wire 5, the white light LEDs 11 of high color temperature in two light source magnetic grappling peritoneoscope 1 can be controlled by external work station 4, the open and close of near infrared light LED12, owing to carrying out the inspection of liver function chi through intravenous injection indocyanine green before operation in patients, liver neoplasm is organized under near infrared light LED12 irradiates can send fluorescence, the image produced gathers through CCD photographic head 13, show by external work station 4, in addition, in operative process, natural light image under white light LEDs 11 irradiates also shows by external work station 4, two light source magnetic grappling peritoneoscope 1 is also connected with hydraulic pressure button 3 by hydraulic line 6, by pressing, unclamps hydraulic pressure button 3, and the hydraulic pressure biopsy forceps 14 in two light source magnetic grappling peritoneoscope 1 can complete gets biopsy operation.
Two light source magnetic grappling peritoneoscope 1 adopts magnetic anchored mode to locate, in operative process, do not take stamp card space: single-hole laparoscopic can be made on the one hand to stab card diameter and reduce to 12mm from existing 30mm, improve single-hole laparoscopic surgery invasive; Can promote that tractive apparatus and cutting device are formed operates triangle on the other hand, improves single-hole laparoscopic surgery operability.Two light source magnetic grappling peritoneoscope 1 adopts wired design, by external for date processing backstage, thus compact, diameter 10mm, length 50mm, card can be stabbed by conventional laparoscopic 10mm, therefore not only may be used for single-hole laparoscopic surgery environment, also can be applicable to conventional laparoscopic surgical environments, under the prerequisite not reducing operability, reduce the stamp card number of conventional laparoscopic operation.Two light source magnetic grappling peritoneoscope 1 adopts two light source design, freely can switching: when being switched to the white light LEDs 11 of high color temperature, can ensure the video quality in operative process; When being switched near infrared light LED12, coordinating indocyanine green intravenous injection, the visual diagnostic of liver neoplasm can be carried out under single conventional laparoscopic stamp card article part, avoid abdominal.Two light source magnetic grappling peritoneoscope 1 comprises hydraulic pressure biopsy forceps 14, and unique hydraulic Design can realize getting biopsy operation and make a definite diagnosis to reach tumor, and ensures that in body, part is in the motility of intraperitoneal motion.This magnetic grappling laparoscope system can not only reduce stamp card size and the operating difficulty of single-hole laparoscopic surgery, the visual diagnostic of liver neoplasm can also be carried out and get biopsy operation under condition detected by chamber mirror, improve chamber mirror and detect validity, avoid the carrying out of abdominal, greatly promote the development of minimally invasive surgery.

Claims (8)

1., based on a magnetic grappling laparoscope system near infrared light visual diagnostic, it is characterized in that, comprising:
Two light source magnetic grappling peritoneoscope (1), for hollow cylindrical structure, built-in inner magnet, white light LEDs (11), near infrared light LED (12), CCD photographic head (13) and hydraulic pressure biopsy forceps (14), hydraulic pressure biopsy forceps (14) comprises hydraulic cavities one (21) and clamps (22) with elastic biopsy, and the binding clip of elastic biopsy pincers (22) stretches out two light source magnetic grappling peritoneoscope (1) outward;
External magnetic cell (2), coordinates with described inner magnet, realizes two light source magnetic grappling peritoneoscope (1) location in vivo;
Hydraulic pressure button (3), is arranged at external, is connected with hydraulic pressure biopsy forceps (14) by hydraulic line (6), controls its binding clip folding;
External work station (4), comprise display (19) and processor (20), processor (20) is connected with white light LEDs (11), near infrared light LED (12) and CCD photographic head (13) by data wire (5).
2. according to claim 1 based on the magnetic grappling laparoscope system of near infrared light visual diagnostic, it is characterized in that, the case material of described pair of light source magnetic grappling peritoneoscope (1) is photosensitive resin, described inner magnet comprises inner magnet one (9) and inner magnet two (10), from tail end to head end, in two light source magnetic grappling peritoneoscope (1), arrangement is followed successively by: inner magnet two (10), near infrared light LED (12), hydraulic pressure biopsy forceps (14), CCD photographic head (13), white light LEDs (11), inner magnet one (9).
3. according to claim 2 based on the magnetic grappling laparoscope system of near infrared light visual diagnostic, it is characterized in that, described couple of light source magnetic grappling peritoneoscope (1) internal diameter 10mm, length 70mm, inner magnet one (9) and inner magnet two (10) shape, material are consistent, are cylinder, diameter is 10mm, be highly 5mm, material is N50 neodymium iron boron, surperficial row titanium nitride coating.
4. according to claim 1 or 2 based on the magnetic grappling laparoscope system of near infrared light visual diagnostic, it is characterized in that, described white light LEDs (11) sends colour temperature 6000K white light, and it is 790nm near infrared light that near infrared light LED (12) sends wavelength.
5. according to claim 2 based on the magnetic grappling laparoscope system of near infrared light visual diagnostic, it is characterized in that, described external magnetic cell (2) comprises external magnet group (16) and is arranged on external magnet group (16) magnetic shield shell (15) outward, external magnet group (16) is made up of several identical cylinder-shaped magnets, the diameter of each cylinder-shaped magnet is 30mm, be highly 50mm, material is N50 neodymium iron boron, surperficial row titanium nitride coating.
6. according to claim 5 based on the magnetic grappling laparoscope system of near infrared light visual diagnostic, it is characterized in that, described external magnet group (16) has two groups, corresponding with inner magnet one (9) and inner magnet two (10) respectively, often organize external magnet group (16) and configure independently magnetic shield shell (15) outward respectively.
7. according to claim 1 based on the magnetic grappling laparoscope system of near infrared light visual diagnostic, it is characterized in that, described hydraulic pressure button (3) comprises button (17) and hydraulic cavities two (18), button (17) is pressed or pull-up in hydraulic cavities two (18), elastic biopsy is caused to clamp (22) stressed change in hydraulic cavities one (21) by hydraulic pressure, the final folding driving binding clip.
8. according to claim 1 based on the magnetic grappling laparoscope system of near infrared light visual diagnostic, it is characterized in that, the Sample Storehouse based on the gray level image that develops based on the near infrared light of indocyanine green by dissimilar liver neoplasm is prestored in described processor (20), when the near infrared light image receiving CCD photographic head (13) and gather, contrast with data in Sample Storehouse, adopt gray scale recognizer on display (19), automatically mark the position of suspicious lesions.
CN201520981701.8U 2015-11-30 2015-11-30 Magnetism anchoring peritoneoscope system based on diagnosis of near infrared vision Active CN205197954U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105326470A (en) * 2015-11-30 2016-02-17 西安交通大学第一附属医院 Magnetic anchoring laparoscope system based on near-infrared light vision diagnosis
CN108553077A (en) * 2018-03-07 2018-09-21 黄达元 A kind of wireless laparoscopic and application method
WO2022091124A1 (en) * 2020-10-26 2022-05-05 Adarsh Malagouda Patil Portable disposable microperitoneoscope for direct visualisation of peritoneal cavity of a patient at the point-of-care

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105326470A (en) * 2015-11-30 2016-02-17 西安交通大学第一附属医院 Magnetic anchoring laparoscope system based on near-infrared light vision diagnosis
CN105326470B (en) * 2015-11-30 2017-03-29 西安交通大学第一附属医院 A kind of magnetic grappling laparoscope system based near infrared light visual diagnostic
CN108553077A (en) * 2018-03-07 2018-09-21 黄达元 A kind of wireless laparoscopic and application method
CN108553077B (en) * 2018-03-07 2024-04-12 黄达元 Wireless laparoscope and using method
WO2022091124A1 (en) * 2020-10-26 2022-05-05 Adarsh Malagouda Patil Portable disposable microperitoneoscope for direct visualisation of peritoneal cavity of a patient at the point-of-care

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