KR20190082160A - Operating apparatus for sensing nerve and generating energy - Google Patents

Abstract

The present invention relates to a surgical device sensing nerves and irradiating energy, which a nerve sensing device for sensing nerves of the human body; and an ultrasonic generator for generating an ultrasonic wave by controlling the energy intensity so that the nerves are not damaged in an area where the nerves of the human body are sensed by the nerve sensing device.

Description

TECHNICAL FIELD [0001] The present invention relates to a surgical apparatus for detecting nerve,

BACKGROUND OF THE INVENTION 1. Field of the Invention [0001] The present invention relates to a treatment apparatus for irradiating energy, and more particularly, to a treatment apparatus for sensing nerve and irradiating energy.

Recently, skin cosmetics, skin diseases, obesity patients and cancer patients have been increasing day by day. Various medical devices are being developed in response to this trend.

The medical treatment for skin beauty and obesity diseases can be classified into a skin incision procedure and a skin incision incision procedure. The invasive procedure for cutting the skin is such that the patient's discomfort due to the stability problem is spread have. Therefore, interest in non-invasive procedures and related medical devices is increasing.

Non-invasive procedures for skin aesthetics or obesity include the use of RF, the use of vibration massage, the use of cryolipolysis, and the use of high intensity focused ultrasound (HIFU) ), And the like.

Among these methods, a method using a high-intensity focused ultrasound generates a thermal lesion due to a high-intensity focused ultrasonic wave to a skin tissue at a certain depth from the surface of the skin to intentionally damage a specific skin tissue or dissolve fat tissue . Accordingly, the method using high-intensity focused ultrasound can be applied to a selected specific site such as a superficial muscular-aponeurotic system (SMAS) or subcutaneous fat layer, and further, a tumor or cancer tissue, without damaging the epidermal layer of a subject to be treated. And a predetermined procedure can be performed in a manner that minimizes the influence on other parts.

However, all of the non-invasive procedures including the conventional method using the high-intensity ultrasound generating device generate ultrasound waves or high-frequency waves without the function of detecting the nerves in the body like the skin nerves, In particular, it produces ultrasound waves in areas where nerve is arranged close to the surface of thin skin, resulting in nerve irritation and damage due to ultrasound, causing discomfort to the subject, There is a limit to the problem of deforming or deforming.

Korean Patent No. 1226659 Korea Open Patent No. 2012-0116908

The problem to be solved by the present invention is to prevent the damage or deformation of the body tissue due to the nerve stimulation of the physician by automatically controlling the energy intensity by sensing the nerve, thereby preventing the inconvenience of the physician, Thereby providing a treatment device.

However, these problems are illustrative, and the problems to be solved by the present invention are not limited thereto.

An apparatus for detecting nerves and irradiating energy according to one aspect of the present invention includes a nerve sensing device for sensing the nerves of the human body and an energy sensing device for sensing the energy of the nerve And an ultrasonic generator for generating ultrasonic waves.

In some embodiments of the present invention, the neural sensing device may be one that senses an area in which nerves are arranged by generating an ultrasonic wave capable of sensing neurons.

In some embodiments of the present invention, the ultrasound generator may be one that reduces the intensity of the ultrasound in the area where the nerves are sensed by the neurosensor or stops the generation of the ultrasound.

In some embodiments of the present invention, the apparatus may further include a controller for controlling the intensity of the ultrasonic wave generated by the ultrasonic wave generator based on the signal regarding the neural array region received from the neuro-sensor.

In some embodiments of the present invention, the neural sensing device may be included in the handpiece along with the ultrasonic generator.

In some embodiments of the present invention, the control portion may be included in the handpiece together with the ultrasonic generator.

In some embodiments of the present invention, the ultrasonic generator may be a device that generates high intensity focused ultrasonic waves.

The apparatus for detecting energy of nerve according to one aspect of the present invention detects energy of the nerve and automatically controls the intensity of energy to prevent damage or deformation of the body tissue caused by nerve stimulation of the patient, It is possible to prevent tissue damage or deformation of muscles and the like.

However, the effects of the present invention are illustrative, and the scope of the present invention is not limited by these effects.

BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a view showing a treatment device for detecting nerve and irradiating energy according to an embodiment of the present invention. Fig.
FIG. 2 is a view showing a handpiece of a treatment device for sensing nerve and irradiating energy according to an embodiment of the present invention. FIG.
FIG. 3 is a view showing an internal configuration of a handpiece of a neural sensing device of a treatment device for sensing energy by nerve according to an embodiment of the present invention. FIG.
4 is a detailed configuration diagram of a treatment device for detecting nerve and irradiating energy according to an embodiment of the present invention.
FIG. 5 is a flowchart of a method of sensing nerve and examining energy according to another embodiment of the present invention.
FIG. 6 is a diagram illustrating a method of detecting ultrasonic waves by sensing a neural network in an embodiment of the present invention. FIG.

Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings. It will be apparent to those skilled in the art that the present invention may be embodied in many different forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the concept of the invention to those skilled in the art. The scope of technical thought is not limited to the following examples. Rather, these embodiments are provided so that this disclosure will be more thorough and complete, and will fully convey the scope of the invention to those skilled in the art. In the present specification, the same reference numerals denote the same elements. Further, various elements and regions in the drawings are schematically drawn. Accordingly, the technical spirit of the present invention is not limited by the relative size or spacing depicted in the accompanying drawings.

1 to 4, an operation device 10 for sensing nerve and irradiating energy according to an embodiment of the present invention includes a main body 100, a handpiece 200, (300).

The main body 100 includes a body 110, a display unit 120, and an operation unit 130.

The body 110 includes a receiving unit 111, a storage unit 112, an input unit 113, a display unit 114, and a control unit 115. The receiving unit 111 receives a signal from the handpiece 200 that senses the nerves of the human body. The storage unit 112 stores a signal that senses the nerves of the human body and other information. The input unit 113 receives a user's operation signal from the operation unit 130. [ The display unit 114 generates a signal to display on the display unit 120 a signal that senses the nerves of the human body. The control unit 115 receives and transmits data to and from the receiving unit 111, the storage unit 112, the input unit 113, and the display unit 114, and transmits ultrasonic generation signals to the handpiece 200. For example, the control unit 115 receives the nerve sensing signal from the receiving unit 111 and receives the basic data regarding the nerve of the human body from the storage unit 112, and then derives a coordinate value in which the nerves of the human body are arranged. The control unit 115 calculates data of the intensity, irradiation time, and irradiation depth of the ultrasound corresponding to each coordinate value based on the derived neural array coordinates, and transmits the calculated data to the handpiece 200. In addition, the control unit 115 receives the neural sensing signal from the receiving unit 111 and controls the display unit 114 to display the signal, or receives the user's input signal related to the ultrasonic generation from the input unit 113, It is possible to reflect this when calculating data on the ultrasonic intensity corresponding to the value. In another embodiment, the control unit 115 receives the neural sensing signal from the receiving unit 111 and calculates data such as the intensity of the ultrasonic waves, the examination time and the examination depth, and then remotely transmits the data to the doctor. The ultrasonic wave intensity, the irradiation time, the irradiation depth, and the like from the doctor through the ultrasonic probe, and irradiate ultrasonic waves according to the data received from the doctor. Accordingly, it is possible to control the intensity of the ultrasound wave so as not to affect the nerve of the human body more safely by further controlling the intensity of the ultrasound wave according to the data of the physician.

For example, the receiving unit 111 may include an ophthalmic branch, a supra-orbital branch, an infraorbital branch, and a jaw branch of the facial nerve detected by the neural sensing device. the control unit 115 transmits data such as coordinate values of the facial nerve, parotid gland, facial artery and the like to the control unit 115 as well as the tertiary nerve including the area where the mentalis branch is arranged. At the time of the procedure, it is controlled so that conditions such as the intensity of the ultrasonic waves, the irradiation time, the number of the lesions are formed and the like are controlled so as not to have a negative influence by irradiating a strong ultrasonic wave to such a nerve site.

At this time, the strength of the ultrasonic waves to be irradiated may be suggested to the physician who is the practitioner by display or voice, or automatically inputted by the matching table stored in advance in the storage unit 112, or may be received by the medical image information system (PACS) The medical image data can be exchanged with other medical devices in the hospital server connected to the hospital or through the hospital. Through this, the doctor's diagnosis order about the degree of the examination is ordered by the doctor's diagnosis, It is also possible to have the treatment proceed smoothly even if it operates at the position.

The control unit 115 may be included in the main body 100 but is not limited thereto and may be included in the handpiece 200 or the cartridge 300. The control unit 115 may be connected to a server located in a hospital, .

The display unit 120 displays data according to a data display signal of the display unit 114 of the body 110. The data displayed on the display unit 120 may include data on a signal that senses the nerves of the human body, data on the generation of ultrasonic waves, and the like.

The operation portion 120 is a portion for operating the operation of the treatment device 10. [ For example, the operation unit 120 can operate the neural sensing device 311 or the ultrasonic generator 312 of the cartridge 300. [

The handpiece 200 includes a body 210 and a connecting portion 220.

The body 210 couples the cartridge 300 detachably. For example, a detachable portion 212 of the body 210 is formed with a groove at the lower end of the body 210 to be detachably coupled to a protruding portion of the cartridge 300, so that the cartridge 300 is detachably coupled to the body 210 . A switch 212a for turning on and off the operation of the neural sensing device 310 of the cartridge 300 or the ultrasonic generator 320 may be installed at the upper end of the detachable part 212. [ The body 210 can mediate data communication from the cartridge 300 to the main body 100 or data communication from the main body 100 to the cartridge 300. [

The connection unit 220 connects the body 210 to the main body 100 so that the body 210 can mediate data communication between the main body 100 and the handpiece 300.

The cartridge 300 includes a body 310, a detachable portion 320, and a cover 330.

The body 310 is provided with a nerve sensor 311 and an ultrasonic generator 312 as a part detachably coupled to the handpiece 200.

The neural sensing device 311 is a device for sensing the nerves of the human body. There are many ways to detect human nerves. For example, the ultrasound generated by the neural sensing device 311 may be irradiated to a human body to detect an area where nerves are arranged inside the skin of the human body.

We will describe how to determine the position of a neural network in three-dimensional facial skin by taking depth into consideration. When the ultrasound is irradiated during the procedure, the data for each coordinate is detected so that the ultrasound is irradiated at the correct position, .

The actual physical coordinate values for the neural network positions in the facial skin are obtained, the three-dimensional image of the positions is obtained, the spatial coordinate values are obtained, and the data values for the exact coordinates are determined by referring to the data by the two methods .

3D images can be obtained by selecting from X-ray fluoroscopy, CT images, MRI images, PET images, PET / CT images, PET / MRI images, radioisotope imaging (RI) images and ultrasound images. For example, in order to reduce an error, a plurality of specific portions of a human body are set, and then a human body is placed on a treatment table marked with an actual scale to calculate first spatial coordinate values by setting specific portions as targets, Dimensional space coordinate values based on the first spatial coordinate value and the second spatial coordinate value are obtained by using the ultrasonic waves or the X-ray perspective to the second spatial coordinate values. For example, the average value of the first spatial coordinate value and the second spatial coordinate value can be determined as a three-dimensional spatial coordinate value. Here, such three-dimensional spatial coordinates may be an orthogonal coordinate system or a spherical coordinate system.

The concrete method of obtaining the data value according to the actual coordinates is as follows. That is, in order to obtain the first spatial coordinate value for a specific part of the human body, the coordinate values are obtained by setting the directions of x, y, and z as follows in a state where the treatment table is horizontally placed. In other words, the patient's upper head and lower jaw are in the upper and lower jaws, respectively, and the x-axis passes through the lower end of the treatment band and is parallel to the short axis of the treatment band and the y- The x-axis is a line that passes through the point and is perpendicular to the treatment strip and meets the x-axis. The z-axis passes through the point where the x-axis intersects the y-axis and can be a horizontal line parallel to the long axis of the procedure band.

In this manner, the ultrasound signal (hereinafter referred to as " ultrasound echo signal ") reflected from a tissue in the body, in particular, a neural network, is received by the ultrasound scan by the neuroimaging device and the ultrasound image of two- or three- .

On the other hand, in the case of widening the area by a procedure for a human body, not limited to facial surgery, a magnetic resonance imaging (MRI) apparatus, a computed tomography (CT) apparatus, an X- , And an angiography device alone or in combination to clearly identify the location of the neural network.

On the other hand, it is also possible to accumulate data for locating the neural network by a signal such as a radar and use it in real time during the procedure. That is, the neural sensing device 311 may be provided with a device for transmitting a radar signal to a neural network in the body and a sensor for receiving a radar signal reflected from a neural network in the body, so that the position of the neural network can be determined.

On the other hand, the neural sensing device 311 may sense an area in which the nerve is arranged by an electrophysiological method.

The ultrasonic wave generator 312 is an apparatus for generating ultrasonic waves by controlling the energy intensity so that the nerve is not damaged in the area where the nerve of the human body is sensed by the nerve sensor 311. The ultrasonic generator 312 can control the energy intensity so that the nerve is not damaged in the region where the human nerve is sensed by various methods. The ultrasonic generator 312 may reduce the intensity of the ultrasonic waves in the region where the nerves sensed by the neural sensing device 311 are arranged or stop the generation of the ultrasonic waves.

For example, the ultrasonic wave generator 312 may include an ultrasonic wave generator 312a for generating ultrasonic waves and a position controller 312b for adjusting the position of the ultrasonic wave generator 312a.

The ultrasonic wave generator 312a may be arranged to face the opening formed on the surface of the body 310 facing the skin of the human body as illustrated in FIG. The ultrasonic wave generator 312a may be a transducer for generating ultrasonic waves. The ultrasonic wave generating unit 312a includes a plurality of focal points 20 and a plurality of ultrasonic wave generating units 312a arranged in the skin of the human body by tilting the surface of the ultrasonic wave generating unit 312a facing the opening formed on the surface facing the skin of the human body, For example, the first focus 22 and the second focus 24 may be formed.

The ultrasound generating unit 312a may generate ultrasonic waves for the treatment, but the present invention is not limited thereto. The ultrasound generating unit 312a may generate ultrasound waves or generate high intensity focused ultrasound (HIFU) It may be something to do.

The neural sensing device 210 and the ultrasonic generator 314 may be included in one device, e.g., a handpiece.

The position adjusting unit 312b is connected to the ultrasonic wave generating unit 312a in the body 310 so that the position of the ultrasonic wave generating unit 312a is moved from the inside of the body 310 toward the opening formed on the surface facing the skin of the human body The position of the ultrasonic wave generator 312a in the body 310 may be controlled by controlling the position of the ultrasonic wave generator 312a in the body 310 toward the opening formed in the surface of the body 310 facing the skin of the body, And an actuator for controlling the tilting.

The position adjusting unit 312b receives the control signal from the control unit 115 of the main body 100 and automatically controls the position of the ultrasonic wave generating unit 312a so that the ultrasonic wave generating unit 312a can detect the position It is possible to prevent the ultrasonic waves generated by the ultrasonic wave generator 312a from affecting the area where the nerves of the human body are arranged.

On the other hand, the ultrasonic wave generating unit 312a receives the control signal directly from the control unit 115 of the main body 100 without being controlled by the position adjusting unit 312b, thereby reducing the intensity of the ultrasonic wave itself or stopping the ultrasonic wave irradiation . For example, the ultrasonic wave generator 312a may be configured to control the ultrasonic generator 312a based on a result of sensing a region where nerves are arranged by the nerve sensor 311, as shown in FIG. 6, The generation of the ultrasonic waves is automatically controlled so that the ultrasonic waves can not be irradiated to the region where the nerve is arranged or the intensity of the ultrasonic waves can be remarkably reduced.

When the ultrasonic wave generator 312a is not controlled by the controller 115, the ultrasonic wave generator 312a may generate a normal intensity of the ultrasonic wave for performing the operation of the skin.

The detachable portion 320 operates so that the cartridge 300 is coupled to or separated from the handpiece 200.

In addition, the cover 330 covers the opening formed in the surface of the cartridge 300 facing the skin of the human body. The cover 330 may be made of a material capable of transmitting ultrasonic waves generated by the neural sensing device 311 or the ultrasonic wave generator 312.

The ultrasonic wave generator 312 is not limited to the device for generating ultrasonic waves by controlling the energy intensity of the nerve sensed by the nerve sensor 311 so that the nerve is not damaged. (RF) by controlling the energy intensity so that the nerve is not damaged in the area where the nerve of the human body is sensed.

As shown in FIG. 5, the method for sensing the nerve according to another embodiment of the present invention includes sensing the nerve, controlling the intensity of the ultrasonic wave to be generated according to the sensed nerve, And reducing the intensity of the ultrasonic waves or stopping the generation of the ultrasonic waves according to the intensity of the ultrasonic waves.

It will be apparent to those skilled in the art that various modifications and variations can be made in the present invention without departing from the spirit or scope of the invention as defined in the appended claims. Will be apparent to those of ordinary skill in the art.

INDUSTRIAL APPLICABILITY The present invention can be applied to a treatment apparatus and an operation method for irradiating energy.

10:
100:
110: Body
111: Receiver
112:
113:
114:
115:
120:
130:
200: Handpiece
210: Body
220: Connection
300: Cartridge
310: Body
311: Neuro-sensing device
312: Ultrasonic generator

Claims (7)

A neural sensing device for sensing the nerves of the human body; And
An ultrasonic generator for generating ultrasonic waves by controlling the energy intensity so that the nerve is not damaged in the area where the nerve of the human body is sensed by the nerve sensor;
And the energy is detected. The method according to claim 1,
A neurosensor device is a device for sensing energy by irradiating nerve to detect an area where nerve is arranged by generating an ultrasonic wave capable of detecting nerve. The method according to claim 1,
Wherein the ultrasonic generator is configured to reduce the intensity of the ultrasonic waves in the area where the nerves sensed by the nervesensor are arranged or to stop the generation of the ultrasonic waves. The method according to claim 1,
And a controller for controlling intensity of an ultrasonic wave of the ultrasonic wave generator based on a signal related to a neural arrangement area received from the neuro-sensing device. The method according to claim 1,
A neurological sensing device is included in a handpiece together with an ultrasonic generator. The method of claim 4,
Wherein the control unit is included in the handpiece together with the ultrasonic wave generator. The method according to claim 1,
Wherein the ultrasonic wave generator generates high intensity focused ultrasonic waves.

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