WO2011136460A1 - Dispositif de protection pour la chirurgie endoscopique du sinus - Google Patents

Dispositif de protection pour la chirurgie endoscopique du sinus Download PDF

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Publication number
WO2011136460A1
WO2011136460A1 PCT/KR2010/009142 KR2010009142W WO2011136460A1 WO 2011136460 A1 WO2011136460 A1 WO 2011136460A1 KR 2010009142 W KR2010009142 W KR 2010009142W WO 2011136460 A1 WO2011136460 A1 WO 2011136460A1
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WO
WIPO (PCT)
Prior art keywords
endoscope
computed tomography
sinus surgery
unit
control unit
Prior art date
Application number
PCT/KR2010/009142
Other languages
English (en)
Korean (ko)
Inventor
조성호
Original Assignee
Cho Seong Ho
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Cho Seong Ho filed Critical Cho Seong Ho
Publication of WO2011136460A1 publication Critical patent/WO2011136460A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/233—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the nose, i.e. nasoscopes, e.g. testing of patency of Eustachian tubes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002—Operational features of endoscopes
    • A61B1/00004—Operational features of endoscopes characterised by electronic signal processing
    • A61B1/00009—Operational features of endoscopes characterised by electronic signal processing of image signals during a use of endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00097—Sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/05—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
    • A61B5/064—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • A61B5/065—Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/24—Surgical instruments, devices or methods, e.g. tourniquets for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2065—Tracking using image or pattern recognition

Definitions

  • the present invention relates to an endoscopic sinus surgery protection device, and more particularly, to an endoscopic sinus surgery protection device for linking the endoscopic image and the computed tomography (CT) photograph.
  • CT computed tomography
  • nasal cavity refers to the empty space inside the nose on the dorsal side of the nose, in front of the nasal cavity and into the outer space by the nasal cavity, and the posterior through the pharynx by the nasal cavity.
  • the outer side is in contact with the eye and the brain parenchyma.
  • sinusitis sinusitis
  • the paranasal sinuses which are important for sinusitis, are expanded while maintaining the cleansing function of the sinus mucosa and avoiding anatomical deformities, thereby allowing the discharge of the paranasal sinuses, ventilation, and restoration of pathological mucosa. Endoscopic sinus surgery is being performed.
  • Endoscopic sinus surgery is performed by looking at the image of the surgical site through the endoscope, but if the correct surgical site needs to be confirmed, the operation is stopped and the computed tomography photograph separately installed in the operating room is performed again.
  • the endoscopy image and the computed tomography image are not linked to each other to check the dangerous surgical region adjacent to the brain or the eye, or when the surgeon is inexperienced in operation, the surgical region displayed on the endoscopy image is confirmed through the computed tomography image. It takes a lot of time, there was a problem that the accuracy of the operation is poor.
  • a plurality of computed tomography photographs around a surgical site prepared in advance during endoscopy sinus surgery are simultaneously linked to images taken in real time while the endoscope moves the nasal cavity, thereby simultaneously operating the computed tomography image corresponding to the endoscope image without interruption of the operation. It is an object of the present invention to provide an endoscopy sinus surgical protective device that can be identified.
  • Endoscopic sinus surgery protective device comprises a reference setting unit for setting a starting point for measuring the endoscope position in the nasal cavity according to the user's input signal;
  • An endoscope position measuring unit configured to measure a distance from a starting point set by the reference setting unit to a position of a nasal cavity indicated by the endoscope image photographed;
  • a control unit for controlling a computer tomography photograph corresponding to the endoscope position measured by the endoscope position measurement unit to be displayed on a tomography monitor; It may include.
  • control unit includes a calculation control unit for calculating the distance from the start point set by the reference setting unit to the position of the nasal cavity indicated by the endoscope image taken according to the distance interval between a plurality of predetermined tomography pictures;
  • a computed tomography control unit for generating a control signal for displaying the computed tomography photograph on the computed tomography monitor according to the value calculated by the operation control unit and transmitting the generated control signal to the computed tomography apparatus; It may include.
  • the operation control unit may generate an integer value rounded off at the first decimal place with respect to a value obtained by dividing the distance measured by the endoscope position measuring unit by the distance interval between the plurality of predetermined tomography photographs. .
  • control unit is configured to change the distance between the predetermined plurality of computed tomography pictures when the distance between the plurality of computed tomography pictures is different from the distance between the predetermined plurality of computed tomography pictures.
  • Setting change unit may further include.
  • the starting point for measuring the endoscope position in the nasal cavity of the reference setting unit may be a nasal cavity.
  • the reference setting unit may be implemented as a switching circuit including any one selected from a diode and a transistor.
  • the endoscope image and the corresponding computed tomography photographs can be simultaneously confirmed, thereby enabling safe operation through accurate site identification in the case of dangerous surgery and reducing the overall operation time.
  • FIG. 1 is a schematic diagram of an endoscopic sinus surgery apparatus including an endoscopic sinus surgery protective device according to an embodiment of the present invention.
  • FIG. 2 is a view showing the endoscope sinus surgery protective device according to an embodiment of the present invention.
  • 3 to 6 are views illustrating an endoscope image and a computed tomography photograph corresponding thereto.
  • first and second may be used to describe various components, but the components should not be limited by the terms. The terms are only used to distinguish one component from another.
  • FIG. 1 is a schematic diagram of an endoscopic sinus surgery apparatus including an endoscopic sinus surgery protective device according to an embodiment of the present invention.
  • the endoscope sinus surgery apparatus may include an endoscope sinus surgery protection device 11, an endoscope device 12, a computed tomography monitor 13, and a surgical tool (not shown).
  • the endoscope sinus surgery protection device 11 may link the endoscope image and the computed tomography photographs corresponding thereto to shorten the operation time and secure the safety of the surgery.
  • the endoscope device 12 may include an endoscope 121, an image processor 122, and an endoscope monitor 123.
  • a distal end of the endoscope 121 is provided with a lens for capturing an image of the nasal cavity, and the captured image may be processed by the image processor 122 and displayed on the endoscope monitor 123. At this time, the operator checks the surgical site through the endoscope monitor 123 and proceeds to surgery.
  • the computed tomography monitor 13 can display a plurality of computed tomography photographs prepared in advance.
  • a plurality of computed tomography photographs are usually taken at regular intervals (for example, 3 mm intervals) from the anterior part of the nasal cavity to the area after the posterior nasal cavity, which are arranged in the order in which they are taken. (13) can be displayed.
  • FIG. 2 is a view showing the endoscope sinus surgery protective device according to an embodiment of the present invention.
  • the endoscope sinus surgery protection device 11 may include a reference setting unit 111, an endoscope position measuring unit 112, and a control unit 113.
  • the reference setting unit 111 may set a starting point for measuring the position of the endoscope in the nasal cavity according to the input signal of the user.
  • the position of the nasal cavity indicated by the endoscope image must be measured.
  • the starting point of the reference setting unit 111 may be set to the nostril, which is a front portion of the nasal cavity.
  • the reference setting unit 111 sets the starting point according to the input signal of the user, implementation thereof may be achieved through a switching circuit.
  • the starting point is transmitted to the endoscope position measuring unit 112 to measure the distance to the position of the nasal cavity indicated by the endoscope image based on the starting point. can do.
  • the switching circuit for implementing the reference setting unit 111 may include a diode or a transistor.
  • the endoscope position measuring unit 112 may measure the distance from the starting point set by the reference setting unit 111 to the position of the nasal cavity indicated by the captured endoscope image and transmit the measured distance to the arithmetic control unit 1131 to be described later.
  • the endoscope position measuring unit 112 may include various electronic devices or mechanical devices.
  • the position sensor may be implemented to measure the distance from the starting point to the position of the nasal cavity represented by the endoscope image by measuring the moving distance of the line.
  • the receiver is attached to the distal end of the endoscope, and the receiver located at a distance away from the endoscope using a wired or wireless communication system corresponding to the distance from the starting point detected by the position sensor to the location of the nasal cavity shown by the endoscope image It can be implemented to receive from.
  • the controller 113 may control the computer tomography photograph corresponding to the endoscope position measured by the endoscope position measuring unit 112 to be displayed on the CT monitor.
  • controller 113 may include an operation controller 1131 and a computed tomography controller 1132.
  • the calculation control unit 1131 may perform calculation based on a distance interval between a plurality of predetermined computed tomography photographs from the starting point measured by the endoscope position measuring unit 112 to the position of the nasal cavity indicated by the taken endoscope image. have.
  • the operation controller 1131 may generate an integer value rounded off at the first decimal place with respect to a value obtained by dividing the distance measured by the endoscope position measuring unit 112 by the distance interval between a plurality of predetermined computed tomography photographs. Can be.
  • the computed tomography control unit 1132 generates a control signal for displaying the computed tomography photograph on the computed tomography monitor according to the value calculated by the operation control unit 1131, and transmits the control signal to the computed tomography apparatus to correspond to the endoscope image. Computed tomography photography can be linked.
  • the distance measured by the endoscope position measuring unit 112 is 5.5 mm and the distance interval between a plurality of predetermined tomography photographs is 3 mm
  • the distance measured by the endoscope position measuring unit 112 is Dividing 5.5 mm by 3 mm, which is the distance interval between a plurality of predetermined computed tomography photographs, the value is 1.83 and the integer value rounded to one decimal place is 2.
  • the computed tomography control unit 1132 processes the computed tomography photographs taken at intervals of 3 mm from the anterior part of the nasal cavity to the part after the posterior nasal cavity.
  • the control signal for displaying the second computed tomography photograph corresponding to the serial number 2 on the computed tomography monitor can be transmitted to the computed tomography apparatus. Through this process, the endoscope image and the corresponding computed tomography photograph may be linked.
  • control unit 113 changes a setting for changing a distance interval between a plurality of predetermined computed tomography photographs when a distance interval between the plurality of computed tomography photographs is different from a predetermined distance interval between the plurality of computed tomography photographs.
  • a part 1133 may be further included.
  • the setting change unit 1133 may change the distance so that the endoscope image and the corresponding computed tomography photograph may correspond to each other.
  • 3 to 6 are views illustrating an endoscope image and a computed tomography photograph corresponding thereto.
  • the operator can identify the correct surgical site in real time as the operator performs the endoscopic sinus surgery.
  • identifying the correct surgical site in real time has the advantage of preventing medical accidents that may occur during surgery, reducing the variation of the operation time according to the operator, and reducing the overall operation time.
  • the endoscope image and the corresponding computed tomography photographs can be checked at a glance through a dual monitor, thereby allowing the operator to easily identify the correct surgical site.
  • the present invention relates to an endoscopic sinus surgery protective device that links an endoscopic image with a computed tomography (CT) image.
  • CT computed tomography

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Public Health (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Optics & Photonics (AREA)
  • Otolaryngology (AREA)
  • Signal Processing (AREA)
  • Human Computer Interaction (AREA)
  • Endoscopes (AREA)

Abstract

La présente invention concerne un dispositif de protection pour la chirurgie endoscopique du sinus comportant: une unité d'établissement de référence pour établir un point de départ pour rechercher une position d'un endoscope dans la cavité nasale en réponse à un signal d'entrée d'un utilisateur ; une unité de recherche de position d'endoscope pour mesurer une distance entre le point de départ établi par l'unité d'établissement de référence et une position sur la cavité nasale présentée par une image endoscopique capturée ; et une unité de commande pour commander une image de tomographie par ordinateur, qui correspond à la position d'endoscope détectée par l'unité de recherche de position d'endoscope, à afficher sur un moniteur de tomographie par ordinateur.
PCT/KR2010/009142 2010-04-27 2010-12-21 Dispositif de protection pour la chirurgie endoscopique du sinus WO2011136460A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2010-0038968 2010-04-27
KR1020100038968A KR101004392B1 (ko) 2010-04-27 2010-04-27 내시경 부비동 수술 보호 장치

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WO2011136460A1 true WO2011136460A1 (fr) 2011-11-03

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PCT/KR2010/009142 WO2011136460A1 (fr) 2010-04-27 2010-12-21 Dispositif de protection pour la chirurgie endoscopique du sinus

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WO (1) WO2011136460A1 (fr)

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KR101900786B1 (ko) 2017-06-23 2018-11-02 울산과학기술원 근적외선을 이용한 상악동 내의 유체 움직임 측정 방법 및 시스템

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2002200030A (ja) * 2000-12-27 2002-07-16 Olympus Optical Co Ltd 内視鏡位置検出装置
JP2009279250A (ja) * 2008-05-23 2009-12-03 Olympus Medical Systems Corp 医療機器
JP2010051390A (ja) * 2008-08-26 2010-03-11 Fujifilm Corp 光断層画像取得装置及び光断層画像取得方法

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2002200030A (ja) * 2000-12-27 2002-07-16 Olympus Optical Co Ltd 内視鏡位置検出装置
JP2009279250A (ja) * 2008-05-23 2009-12-03 Olympus Medical Systems Corp 医療機器
JP2010051390A (ja) * 2008-08-26 2010-03-11 Fujifilm Corp 光断層画像取得装置及び光断層画像取得方法

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