WO2012075706A1 - Cholecystoscope system integrated with infrared thermal scanner - Google Patents

Cholecystoscope system integrated with infrared thermal scanner Download PDF

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Publication number
WO2012075706A1
WO2012075706A1 PCT/CN2011/070550 CN2011070550W WO2012075706A1 WO 2012075706 A1 WO2012075706 A1 WO 2012075706A1 CN 2011070550 W CN2011070550 W CN 2011070550W WO 2012075706 A1 WO2012075706 A1 WO 2012075706A1
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WO
WIPO (PCT)
Prior art keywords
infrared thermal
thermal scanning
infrared
gallbladder
gallbladder mirror
Prior art date
Application number
PCT/CN2011/070550
Other languages
French (fr)
Chinese (zh)
Inventor
乔铁
Original Assignee
广州宝胆医疗器械科技有限公司
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Publication of WO2012075706A1 publication Critical patent/WO2012075706A1/en

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    • 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
    • A61B1/273—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 upper alimentary canal, e.g. oesophagoscopes, gastroscopes
    • A61B1/2733—Oesophagoscopes
    • 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
    • A61B1/00163—Optical arrangements
    • A61B1/00172—Optical arrangements with means for scanning
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
    • A61B5/0086—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters using infrared radiation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/42—Detecting, measuring or recording for evaluating the gastrointestinal, the endocrine or the exocrine systems
    • A61B5/4222—Evaluating particular parts, e.g. particular organs
    • A61B5/4233—Evaluating particular parts, e.g. particular organs oesophagus

Definitions

  • the invention belongs to the field of medical instruments, and particularly relates to an integrated infrared thermal scanning gallbladder mirror system with infrared thermal scanning function. current technology
  • infrared imaging comes from military technology. It has been used for more than 40 years. With the development of various technologies such as medicine, infrared imaging and multimedia, the temperature resolution of infrared imaging has reached 0.05 degrees, and the spatial resolution has reached 1.5mrad. The image sharpness has been greatly improved, and the analysis of the results is intuitive and convenient, so its clinical application range is gradually expanding.
  • infrared imaging diagnosis shows certain advantages in the following aspects: 1) judging the location and nature of tissue pain; 2) judging the location, extent and extent of acute and chronic inflammation; 3) monitoring the blood supply function of vascular lesions; 4) Tumor warning instructions, full-course monitoring and efficacy evaluation. It can be seen that infrared imaging is an important supplement to other morphological diagnostic methods such as B-ultrasound, CT, and MR.
  • the object of the present invention is to overcome the deficiencies of the prior art and provide an integrated infrared thermal scanning gallbladder mirror system, which integrates an infrared thermal scanning probe into a gallbladder mirror system through an infrared thermal scanning probe.
  • the stereoscopic scanning of the gallbladder wall tissue, the obtained data is transmitted to the infrared thermal scanning processing system host for image processing, and provides different display mode selections, so that the doctor can analyze the stereoscopic structure of the gallbladder wall tissue according to different display images obtained.
  • Static images of blood vessels have an unexpected diagnostic effect on understanding the function and pathology of the gallbladder.
  • the integrated infrared thermal scanning gallbladder mirror system of the present invention comprises an infrared thermal scanning gallbladder mirror and a cold light source host, a camera host, an endoscope monitor and an infrared thermal scanning system connected thereto, wherein the infrared thermal scanning system comprises Infrared thermal scanning processing system host and infrared thermal scanning system monitor.
  • the infrared thermal scanning gallbladder mirror is divided into the following four forms according to the nature of the working end portion and the optical system used:
  • the first form is: the infrared thermal scanning gallbladder mirror is a rigid gallbladder mirror using an electronic CCD optical system, and has a working end portion, a cold light source connector, a data connector, a linear instrument channel, and a water inlet channel and a water outlet.
  • the working end is made of hard material and has non-bendability.
  • the diameter is 12.0mm and the length is 250mm ⁇ 300mm.
  • the tip end is designed to be blunt; the electronic CCD optical system is set at work.
  • the front end of the end adopts an optical lens with a diameter of 1.5mm ⁇ 3.0mm
  • the CCD chip adopts a CCD with a size of 1/4 ⁇ and at least 480,000 effective pixels, and the lens field of view is above 100°
  • the linear instrument channel The diameter of 3.0mm, the inlet channel and the outlet channel are located on both sides of the gallbladder mirror, and its diameter is 1.0mm.
  • the infrared thermal scanning gallbladder mirror is a rigid gallbladder mirror using a prism optical system, and has a working end portion, a cold light source connector, a data connector, an eyepiece input end, and a water inlet channel and a water outlet channel;
  • the working end is made of hard material, the diameter is 12.0mm, the length is 250mm ⁇ 300mm, the tip end is designed to be blunt;
  • the prism optical system uses an optical lens with a diameter of 1.5mm ⁇ 3.0mm; the water inlet channel and the water outlet channel It is located on both sides of the gallbladder mirror and has a diameter of 1.0 mm.
  • the infrared thermal scanning gallbladder mirror is a soft gallbladder mirror using an electronic CCD optical system, and has a working end portion, a data joint, an operating handle and an instrument passage; the working end is made of soft fiber
  • the material is manufactured with a diameter of 12.0mm and a length of 500mm.
  • the electronic CCD optical system is disposed at the front end of the working end, and adopts an optical lens with a diameter of 1.5mm ⁇ 3.0mm.
  • the CCD chip is 1/4 inch in size and at least 480,000 effective. Pixel CCD with a lens field of view above 100 °; the instrument channel has a diameter of 3.0 mm.
  • the fourth form is: the infrared thermal scanning gallbladder mirror is a soft gallbladder mirror using an optical fiber optical system, and has a working end portion, a data connector, an eyepiece input end, an operating handle and an instrument channel; the working end portion Made of soft fiber material, the diameter is 12.0mm, the length is 500mm; the optical fiber optical system uses an optical lens with a diameter of 1.5mm ⁇ 3.0mm; the diameter of the instrument channel is 3.0mm.
  • the infrared thermal scanning gallbladder mirror integrates an infrared thermal scanning probe, an endoscope lens, and a light guiding optical fiber at a tip end portion of the working end portion thereof.
  • the infrared thermal scanning probe has a diameter of 3.0 mm, an infrared region is disposed therein, and a protective sleeve is disposed outside the infrared region, and at least one infrared device is installed in the infrared region, and the infrared device includes an infrared light source emitter and an infrared receiving lens.
  • the infrared thermal scanning gallbladder mirror may further be provided with a micro motor.
  • the infrared thermal scanning probe can extend from the front end of the gallbladder mirror to a plane of 10 mm to 50 mm under the driving of the micro motor.
  • three sets of identical infrared devices are installed in the infrared region, and the three sets of infrared devices are designed to each other at a 60 degree.
  • the infrared thermal scanning probe can be rotated by the micro motor to perform circular scanning on the scanned object.
  • the infrared thermal scanning system further includes an operation panel, an operation keyboard or a handheld operation device connected to the host of the infrared thermal scanning processing system, and the operation panel and the handheld operation device are provided with a control button.
  • Buttons including switch buttons, mode selection buttons, infrared intensity fine-tuning function buttons, and monitor menu buttons.
  • the mode selection button is used to switch between different display modes, including the normal display mode and the night vision display mode.
  • the normal display mode refers to the display mode of infrared scanning under the illumination of the endoscope cold light source and the infrared light source
  • the night vision display mode refers to Without the endoscope cold light source and the infrared light source, depending on the different radiation intensity of the tissue, the doctor can compare the images in the two modes to obtain a better diagnostic effect from another angle.
  • the infrared panel of the infrared thermal scanning processing system is provided with an output port, and the infrared thermal scanning system monitor, an operating keyboard or a handheld operating device is connected to the output port, and the infrared thermal scanning system monitor scans and infrared heat scans. The scanning of the probes is consistent, enabling simultaneous scanning.
  • the integrated infrared thermal scanning gallbladder mirror system of the present invention has the following working principle: the gallbladder wall is filled with abundant blood vessels, the arterial blood temperature is high, the venous blood temperature is low, and there is some heat exchange mechanism between the two. Both of them radiate infrared rays of different wavelengths.
  • the temperature of the gallbladder wall tissue is not only affected by blood flow in the blood vessels, but also by its own metabolism. Therefore, the temperature of the gallbladder wall tissue is rich or not due to blood vessels and metabolic activity. Different from each other, the wavelength of infrared rays radiated from the outside is also different. For the inflammatory lesions between the walls of the gallbladder, the temperature is significantly higher than normal due to its active metabolism.
  • blood components serum, plasma, hemoglobin, albumin, red blood cells, lymphocytes, platelets
  • infrared rays to the surrounding tissue.
  • the absorption effect is very small, the infrared system has an accuracy of less than or equal to 0.05 degrees, and the spatial resolution is at least 0.8 mrad.
  • the infrared thermal scanning probe scans at a close distance in the gallbladder cavity to obtain a fine and precise infrared image.
  • the integrated infrared thermal scanning gallbladder mirror system of the present invention has the following working processes: the blood flow in the gallbladder blood vessels and the infrared radiation radiated from the gallbladder wall tissue, and the infrared infrared scanning probe into the gallbladder cavity.
  • the processing chip converts the optical signal into an electrical signal, and after preprocessing (such as amplification, filtering, etc.), the preamplifier and the main amplifier are amplified to a certain level and then enter the infrared thermal scanning processing system host.
  • the signal input to the host also has a synchronization signal, a reference black body signal, and the like.
  • the micro-motor After the infrared thermal scanning probe is started, the micro-motor is driven to extend a certain distance from the tip end of the gallbladder mirror, and is rotated by the micro-motor to perform circular scanning on the gallbladder wall, and the data obtained by multi-plane continuous cross-cutting scanning is transmitted to the infrared ray.
  • the main body of the thermal scanning processing system performs image processing and outputs it to the infrared thermal scanning system monitor to clearly display the stereoscopic images of the gallbladder wall.
  • the doctor can find out that the blood vessels in the gallbladder wall are abnormally rich, the blood vessels are abnormally sparse or there are blood vessels. Abnormal conditions such as missing areas provide doctors with immediate diagnosis basis.
  • the integrated infrared thermal scanning gallbladder mirror system of the present invention has the following clinical surgical methods: After the patient disinfects the drape, the doctor makes an incision in the abdominal wall of the patient and passes through the piercing device, and passes through the laparoscope to make a gas. Abdominal, straight in laparoscope The gallbladder is taken out to the outside of the body, and a micro-incision is made at the bottom of the gallbladder, so that the infrared hot-scanning gallbladder mirror enters the gallbladder cavity, the bile is taken out and the saline is filled by the water inlet channel to fill the gallbladder, and the endoscope monitor outputs the gallbladder cavity.
  • the infrared resolution of the current medical infrared imaging technology is very high, and has been widely used in many fields, especially in the medical field.
  • the infrared thermal scanning probe is integrated on the gallbladder mirror, and the infrared thermal scanning probe is rotated by the micro motor to extend the tip end of the gallbladder mirror, and the infrared radiation formed by the temperature difference of the blood flow of the blood vessel of the gallbladder wall is scanned and monitored.
  • the data obtained by the plane continuous cross-cut scan is transmitted to the host of the infrared thermal scanning processing system for image processing, and the stereoscopic blood vessel static image of the gallbladder is clearly displayed, which provides a reliable objective basis for the doctor to judge the gallbladder wall lesion and functional state, and enriches the diagnosis of gallbladder disease. Means to effectively improve the accuracy of the diagnosis.
  • FIG. 1 is a schematic view showing the structure of an integrated infrared thermal scanning gallbladder mirror system according to the present invention.
  • Fig. 2A is a schematic view showing the structure of an infrared thermal scanning hard gallbladder mirror using an electronic CCD optical system.
  • 2B is a schematic view showing the structure of an infrared thermal scanning hard gallbladder mirror using a prism optical system.
  • Fig. 2C is a schematic view showing the structure of an infrared thermal scanning soft gallbladder mirror using an electronic CCD optical system.
  • 2D is a schematic view showing the structure of an infrared thermal scanning soft gallbladder mirror using an optical fiber optical system.
  • Fig. 3A is a schematic view showing the end structure of the infrared thermal scanning hard gallbladder mirror shown in Fig. 2A.
  • Fig. 3B is a schematic view showing the end structure of the infrared thermal scanning hard gallbladder mirror shown in Fig. 2B.
  • Fig. 3C is a schematic view showing the end structure of the infrared thermal scanning soft gallbladder mirror shown in Fig. 2C.
  • Fig. 3D is a schematic view showing the end structure of the infrared thermal scanning soft gallbladder mirror shown in Fig. 2D.
  • FIG. 4 is a schematic view showing the structure of an infrared thermal scanning probe according to the present invention.
  • Fig. 5 is a schematic view showing the surgical method of the integrated infrared thermal scanning gallbladder mirror system according to the present invention. detailed description
  • the integrated infrared thermal scanning gallbladder mirror system of the present invention comprises an infrared thermal scanning gallbladder
  • the mirror 1 the cold light source host 2, the camera host 3, the infrared thermal scanning processing system host 4, the operating keyboard or handheld operating device 5, the infrared thermal scanning system monitor 6 and the endoscope monitor 7.
  • the infrared thermal scanning processing system host 4 is further connected with an operation panel, and the handheld operation device 5 and the operation panel are provided with control buttons such as a switch button, a mode selection button, an infrared intensity fine adjustment function button, and a monitor menu button.
  • FIGS. 1A, 2B, 2C and 2D respectively show the structural diagrams of four different forms of the infrared thermal scanning gallbladder mirror 1, wherein:
  • FIG. 2A is a schematic view showing the structure of an infrared thermal scanning hard gallbladder mirror using an electronic CCD optical system, the infrared thermal scanning hard gallbladder mirror having a rigid working end portion 11, a cold light source connector 12, a data connector 13, and a linear instrument channel. 14. Water inlet channel 15 and water outlet channel 16.
  • the hard working end portion 11 has non-bendability, and has a diameter of 12.0 mm and a length of 250 mm to 300 mm. In order to avoid damage to the mucosal tissue, the tip end portion is designed to be blunt.
  • the electronic CCD optical system is disposed at the front end of the hard working end portion 11, and adopts an optical lens with a diameter of 1.5 mm to 3.0 mm, and the CCD chip adopts a CCD with a size of 1/4 inch and at least 480,000 effective pixels.
  • the field angle is above 100 °.
  • the linear mechanical passage 14 has a diameter of 3.0 mm, and the water inlet passage 15 and the water outlet passage 16 are respectively located on both sides of the infrared thermal scanning hard cholecystoscope, and each has a diameter of 1.0 mm.
  • FIG. 2B is a schematic view showing the structure of an infrared thermal scanning hard gallbladder mirror using a prism optical system, the infrared thermal scanning hard gallbladder mirror having a rigid working end portion 11, a cold light source connector 12, a data connector 13, and an eyepiece input end 17, The water inlet passage 15 and the water outlet passage 16.
  • the hard working end portion 11 has an inflexibility, and has a diameter of 12.0 mm and a length of 250 mm to 300 mm. In order to avoid damage to the mucosal tissue, the tip end portion is designed to be blunt.
  • the prism optical system uses an optical lens having a diameter of 1.5 mm to 3.0 mm.
  • the water inlet channel 15 and the water outlet channel 16 are respectively located on both sides of the infrared scanning hard gallbladder mirror, and the diameters thereof are 1. ( ⁇ 1 ⁇
  • 2C is a schematic view showing the structure of an infrared thermal scanning soft gallbladder mirror using an electronic CCD optical system having a soft working end portion 21, a data connector 22, an operating handle 23, and an instrument channel 24.
  • the soft working end portion 21 has a diameter of 12.0 mm and a length of 500 mm.
  • the electronic CCD optical system is disposed at the front end of the soft working end portion 21, and adopts an optical lens with a diameter of 1.5 mm to 3.0 mm, and the CCD chip adopts a CCD with a size of 1/4 inch and at least 480,000 effective pixels.
  • the field angle is above 100 °.
  • the instrument channel 24 has a diameter of 3.0 mm.
  • 2D is a schematic view showing the structure of an infrared thermal scanning soft gallbladder mirror using an optical fiber optical system having a soft working end portion 21, a data connector 22, an operating handle 23, an instrument channel 24, and an eyepiece. Input terminal 25.
  • the soft working end portion 21 has a diameter of 12.0 mm and a length of 500 mm.
  • the optical fiber optical system uses an optical lens having a diameter of 1.5 mm to 3.0 mm.
  • the instrument channel 24 has a diameter of 3.0 mm.
  • 3A to 3D are respectively a schematic view showing the end structure of the infrared thermal scanning gallbladder mirror shown in Figs. 2A to 2D, wherein:
  • FIG. 3A is a schematic view showing the end structure of the infrared thermal scanning hard gallbladder mirror shown in FIG. 2A.
  • the infrared thermal scanning hard gallbladder mirror has an endoscope lens 131 integrated in the tip end portion 111 of the hard working end portion 11, and infrared thermal scanning.
  • the probe 132 and the light guiding fiber 121 are also provided with an instrument channel outlet 141, a water inlet channel outlet 151 and a water outlet channel outlet 161.
  • the endoscope lens 131 is an optical lens of 1.5 mm to 3.0 mm.
  • the infrared thermal scanning probe 132 has a diameter of 3.0 mm.
  • FIG. 3B is a schematic view showing the end structure of the infrared thermal scanning hard gallbladder mirror shown in FIG. 2B.
  • the infrared thermal scanning hard gallbladder mirror has an endoscope lens 171 and an infrared thermal scanning probe integrated at the tip end portion of the hard working end portion 11. 132 and light guiding fiber 121, and further provided with a water inlet channel outlet 151 and a water outlet channel outlet 161.
  • the endoscope lens 171 is an optical lens of 1.5 mm to 3.0 mm.
  • the infrared thermal scanning probe 132 has a diameter of 3.0 mm.
  • FIG. 3C is a schematic view showing the end structure of the infrared thermal scanning soft gallbladder mirror shown in FIG. 2C.
  • the infrared thermal scanning soft gallbladder mirror has an endoscope lens 221 and an infrared thermal scanning probe integrated at the tip end portion of the soft working end portion 21. 132 and light guiding fiber 222, and an instrument channel outlet 241 is also provided.
  • the endoscope lens 221 is an optical lens of 1.5 mm to 3.0 mm.
  • the infrared thermal scanning probe 132 has a diameter of 3.0 mm.
  • 3D is a schematic view showing the end structure of the infrared thermal scanning soft gallbladder mirror shown in FIG. 2D.
  • the infrared thermal scanning soft gallbladder mirror has an endoscope lens 251 and an infrared thermal scanning probe integrated at the tip end portion of the soft working end portion 21. 132 and light guiding fiber 222, and an instrument channel outlet 241 is also provided.
  • the endoscope lens 251 is an optical lens of 1.5 mm to 3.0 mm.
  • the infrared thermal scanning probe 132 has a diameter of 3.0 mm.
  • the infrared thermal scanning probe 132 is provided with an infrared region 1322.
  • the infrared region 1322 is externally provided with a protective cover 1321, and the infrared region 1322 is provided with an infrared device 1323.
  • the infrared device 1323 includes an infrared light source emitter and an infrared receiving lens. Three sets of the same infrared device 1323 are installed in the infrared region 1322, and the three groups of infrared devices 1323 are designed to be 60 degrees.
  • the infrared thermal scanning probe 132 can be extended by the micro-motor to extend the front end of the infrared thermal scanning gallbladder lens by 10 mm to 50 mm, and rotate in the direction of the N-N' to perform circular scanning on the scanned body.
  • Fig. 5 is a schematic view showing the surgical method of the integrated infrared thermal scanning gallbladder mirror system according to the present invention.
  • the doctor makes an incision in the abdominal wall of the patient and passes through the sputum, through the laparoscopic laparoscopic and pneumoperitoneum, and extracts the gallbladder 8 to the outside of the body under the direct view of the laparoscope, at the bottom of the gallbladder 8.
  • make a small incision make the infrared thermal scanning gallbladder mirror 1 into the gallbladder cavity, extract the bile and use the influent channel 15 to pass the physiological saline to fill the gallbladder.
  • the endoscope monitor 7 outputs a clear image in the gallbladder cavity, through the instrument channel 14
  • the water inlet channel 15 and the water outlet channel 16 introduce various instruments, and can perform intracavitary intracavitary surgery to treat diseases such as stone polyps.
  • the infrared thermal scanning probe 132 located at the tip end portion 111 of the infrared thermal scanning gallbladder mirror 1 can be activated, and the infrared thermal scanning probe 132 is extended to extend a certain distance of the anterior end portion 111 of the gallbladder mirror, and performs infrared thermal scanning for rotating the gallbladder cavity, and outputs infrared heat.
  • the scanning system monitor 6 provides a basis for the doctor to diagnose the condition of the gallbladder wall and surrounding tissue.

Abstract

A cholecystoscope system integrated with an infrared thermal scanner includes a cholecystoscope (1) with the infrared thermal scanner, a cold light source host (2), a camera host (3), an endoscopic monitor (7) and an infrared thermal scanning system which are connected with the cholecystoscope. The infrared thermal scanning system includes an infrared thermal scanning processing system host (4) and an infrared thermal scanning system monitor (6). The cholecystoscope system is integrated with an infrared thermal scanning probe (132), and the infrared thermal scanning probe (132) can provide an annular three-dimensional scan to tissues in the gall bladder walls. The acquired data are transmitted to the infrared thermal scanning processing system host (4) for image processing operation. The infrared thermal scanning system provides several working modes including a normal display mode and a night vision display mode.

Description

一体化红外线热扫描胆囊镜系统 技术领域  Integrated infrared thermal scanning gallbladder mirror system
本发明属于医用器械领域，具体涉及具有红外线热扫描功能的一体化红外线热扫描胆 囊镜系统。 现有技术  The invention belongs to the field of medical instruments, and particularly relates to an integrated infrared thermal scanning gallbladder mirror system with infrared thermal scanning function. current technology
医用红外线成像来源于军工技术， 已有 40多年的使用历史， 随着医学、 红外线成像 及多媒体等多种技术的发展， 红外线成像的温度分辨率已经达到 0.05度， 空间分辨能力 已经达到 1.5mrad， 图像清晰度有了很大的提高， 结果分析直观方便， 因而其在临床上的 应用范围正逐渐扩大。 目前， 红外线成像诊断在以下方面显示出一定优势： 1 ) 判断组织 疼痛的部位和性质； 2)判断急、 慢性炎症的部位、 范围和程度； 3 )监测血管性病变的供 血功能状态； 4)肿瘤预警指示、全程监视及疗效评估。 由此可见， 红外线成像是对 B超、 CT、 MR等其它形态学诊断方法的重要补充。  Medical infrared imaging comes from military technology. It has been used for more than 40 years. With the development of various technologies such as medicine, infrared imaging and multimedia, the temperature resolution of infrared imaging has reached 0.05 degrees, and the spatial resolution has reached 1.5mrad. The image sharpness has been greatly improved, and the analysis of the results is intuitive and convenient, so its clinical application range is gradually expanding. At present, infrared imaging diagnosis shows certain advantages in the following aspects: 1) judging the location and nature of tissue pain; 2) judging the location, extent and extent of acute and chronic inflammation; 3) monitoring the blood supply function of vascular lesions; 4) Tumor warning instructions, full-course monitoring and efficacy evaluation. It can be seen that infrared imaging is an important supplement to other morphological diagnostic methods such as B-ultrasound, CT, and MR.
将红外线热扫描探头集成于胆囊镜之中，治疗的同时进行先进的红外线热扫描诊断的 新技术， 提供不同的显示模式， 为胆囊病的诊断提供新的视角和新的手段。 目前尚没有出 现两者结合的一体化内窥镜系统。 发明内容  Integrating the infrared thermal scanning probe into the gallbladder mirror, the new technology of advanced infrared thermal scanning diagnosis while providing different display modes provides a new perspective and new means for the diagnosis of gallbladder disease. There is currently no integrated endoscope system that combines the two. Summary of the invention
本发明的目的在于克服现有技术的不足， 提供一种一体化红外线热扫描胆囊镜系统， 该一体化红外线热扫描胆囊镜系统将红外线热扫描探头集成在胆囊镜系统中，通过红外线 热扫描探头对胆囊壁组织进行立体的扫描，得到的数据传输至红外线热扫描处理系统主机 进行图像处理， 并提供不同的显示模式选择， 使得医生能根据获得的不同的显示图像， 通 过分析胆囊壁组织的立体血管静态图像，对于了解胆囊的功能和病变情况，具有意想不到 的诊断效果。  The object of the present invention is to overcome the deficiencies of the prior art and provide an integrated infrared thermal scanning gallbladder mirror system, which integrates an infrared thermal scanning probe into a gallbladder mirror system through an infrared thermal scanning probe. The stereoscopic scanning of the gallbladder wall tissue, the obtained data is transmitted to the infrared thermal scanning processing system host for image processing, and provides different display mode selections, so that the doctor can analyze the stereoscopic structure of the gallbladder wall tissue according to different display images obtained. Static images of blood vessels have an unexpected diagnostic effect on understanding the function and pathology of the gallbladder.
本发明的目的是通过以下技术方案来实现的：  The object of the present invention is achieved by the following technical solutions:
本发明所述的一体化红外线热扫描胆囊镜系统，包括红外线热扫描胆囊镜以及与之连 接的冷光源主机、摄像主机、 内镜监视器和红外线热扫描系统， 所述的红外线热扫描系统 包括红外线热扫描处理系统主机和红外线热扫描系统监视器。  The integrated infrared thermal scanning gallbladder mirror system of the present invention comprises an infrared thermal scanning gallbladder mirror and a cold light source host, a camera host, an endoscope monitor and an infrared thermal scanning system connected thereto, wherein the infrared thermal scanning system comprises Infrared thermal scanning processing system host and infrared thermal scanning system monitor.
在本发明中，所述的红外线热扫描胆囊镜按其工作端部的性质及其所采用的光学系统 的不同， 分为以下四种形式： 第一种形式是： 所述红外线热扫描胆囊镜为采用电子 CCD光学系统的硬质胆囊镜， 其上设有工作端部、 冷光源接头、 数据接头、 直线型器械通道以及进水通道和出水通道; 该工作端部采用硬质材料制造， 具有不可弯曲性， 其直径 12.0mm， 长度为 250mm〜 300mm, 为了避免损伤粘膜组织， 其先端部设计成钝型； 该电子 CCD光学系统设置在工 作端部的前端， 采用直径为 1.5mm〜3.0mm的光学镜头， 其 CCD芯片采用尺寸 1/4〃 、 至少 48万有效像素的 CCD，镜头视场角在 100 ° 以上;该直线型器械通道的直径 3.0mm， 进水通道和出水通道则位于胆囊镜的两侧， 其直径 1.0mm。 In the present invention, the infrared thermal scanning gallbladder mirror is divided into the following four forms according to the nature of the working end portion and the optical system used: The first form is: the infrared thermal scanning gallbladder mirror is a rigid gallbladder mirror using an electronic CCD optical system, and has a working end portion, a cold light source connector, a data connector, a linear instrument channel, and a water inlet channel and a water outlet. The working end is made of hard material and has non-bendability. The diameter is 12.0mm and the length is 250mm~300mm. In order to avoid damage to the mucosal tissue, the tip end is designed to be blunt; the electronic CCD optical system is set at work. The front end of the end adopts an optical lens with a diameter of 1.5mm~3.0mm, and the CCD chip adopts a CCD with a size of 1/4〃 and at least 480,000 effective pixels, and the lens field of view is above 100°; the linear instrument channel The diameter of 3.0mm, the inlet channel and the outlet channel are located on both sides of the gallbladder mirror, and its diameter is 1.0mm.
第二种形式是：所述红外线热扫描胆囊镜为采用棱镜光学系统的硬质胆囊镜，其上设 有工作端部、冷光源接头、数据接头、 目镜输入端以及进水通道和出水通道； 该工作端部 采用硬质材料制造， 其直径 12.0mm， 长度为 250mm〜300mm， 先端部设计成钝型； 该 棱镜光学系统采用直径为 1.5mm〜3.0mm 的光学镜头； 进水通道和出水通道则位于胆囊 镜的两侧， 其直径 1.0mm。  The second form is: the infrared thermal scanning gallbladder mirror is a rigid gallbladder mirror using a prism optical system, and has a working end portion, a cold light source connector, a data connector, an eyepiece input end, and a water inlet channel and a water outlet channel; The working end is made of hard material, the diameter is 12.0mm, the length is 250mm~300mm, the tip end is designed to be blunt; the prism optical system uses an optical lens with a diameter of 1.5mm~3.0mm; the water inlet channel and the water outlet channel It is located on both sides of the gallbladder mirror and has a diameter of 1.0 mm.
第三种形式是： 所述红外线热扫描胆囊镜为采用电子 CCD光学系统的软质胆囊镜， 其上设有工作端部、数据接头、操作手柄和器械通道；该工作端部采用软质纤维材料制造， 其直径 12.0mm， 长度 500mm; 该电子 CCD光学系统设置在工作端部的前端， 采用直 径为 1.5mm〜3.0mm的光学镜头， 其 CCD芯片采用尺寸 1/4〃 、 至少 48万有效像素的 CCD, 镜头视场角在 100 ° 以上； 该器械通道的直径 3.0mm。  The third form is: the infrared thermal scanning gallbladder mirror is a soft gallbladder mirror using an electronic CCD optical system, and has a working end portion, a data joint, an operating handle and an instrument passage; the working end is made of soft fiber The material is manufactured with a diameter of 12.0mm and a length of 500mm. The electronic CCD optical system is disposed at the front end of the working end, and adopts an optical lens with a diameter of 1.5mm~3.0mm. The CCD chip is 1/4 inch in size and at least 480,000 effective. Pixel CCD with a lens field of view above 100 °; the instrument channel has a diameter of 3.0 mm.
第四种形式是：所述红外线热扫描胆囊镜为采用光导纤维光学系统的软质胆囊镜，其 上设有工作端部、数据接头、 目镜输入端、操作手柄和器械通道； 该工作端部采用软质纤 维材料制造，其直径 12.0mm，长度 500mm;该光导纤维光学系统采用直径为 1.5mm〜 3.0mm的光学镜头； 该器械通道的直径 3.0mm。  The fourth form is: the infrared thermal scanning gallbladder mirror is a soft gallbladder mirror using an optical fiber optical system, and has a working end portion, a data connector, an eyepiece input end, an operating handle and an instrument channel; the working end portion Made of soft fiber material, the diameter is 12.0mm, the length is 500mm; the optical fiber optical system uses an optical lens with a diameter of 1.5mm~3.0mm; the diameter of the instrument channel is 3.0mm.
在本发明中，所述红外线热扫描胆囊镜在其工作端部的先端部集成有红外线热扫描探 头、 内镜镜头和导光光纤。 所述红外线热扫描探头的直径 3.0mm， 其内设有红外区， 红 外区的外部设有保护套，红外区内至少安装有一组红外装置，所述红外装置包括红外光源 发射器和红外接收镜头。所述红外线热扫描胆囊镜内还可以设有微型电机，所述红外线热 扫描探头在微型电机的驱动下， 可以伸出胆囊镜先端部平面 10mm〜50mm。 优选地， 红 外区内安装有三组相同的红外装置， 该三组红外装置互成 60度设计。 所述红外线热扫描 探头可以在微型电机的驱动下旋转， 从而对被扫描体做环形扫描。  In the present invention, the infrared thermal scanning gallbladder mirror integrates an infrared thermal scanning probe, an endoscope lens, and a light guiding optical fiber at a tip end portion of the working end portion thereof. The infrared thermal scanning probe has a diameter of 3.0 mm, an infrared region is disposed therein, and a protective sleeve is disposed outside the infrared region, and at least one infrared device is installed in the infrared region, and the infrared device includes an infrared light source emitter and an infrared receiving lens. . The infrared thermal scanning gallbladder mirror may further be provided with a micro motor. The infrared thermal scanning probe can extend from the front end of the gallbladder mirror to a plane of 10 mm to 50 mm under the driving of the micro motor. Preferably, three sets of identical infrared devices are installed in the infrared region, and the three sets of infrared devices are designed to each other at a 60 degree. The infrared thermal scanning probe can be rotated by the micro motor to perform circular scanning on the scanned object.
在本发明中，所述红外线热扫描系统还包括有与所述红外线热扫描处理系统主机相连 接的操作面板、操作键盘或手持操作设备，所述的操作面板和手持操作设备上设有控制按 钮， 包括开关按钮、模式选择按钮、 红外强度微调功能按钮和监视器菜单按钮。模式选择 按钮用于切换不同的显示模式，包括普通显示模式和夜视显示模式，普通显示模式是指红 外扫描在内镜冷光源和红外光源的照射下进行的显示模式，夜视显示模式是指没有内镜冷 光源和红外光源的照射下，依靠组织物的自身不同辐射强度来成像， 医生对两种模式下的 图像对比分析，可以得到另外一个角度的更好的诊断效果。所述红外线热扫描处理系统主 机的后面板设有输出端口，所述的红外线热扫描系统监视器、操作键盘或手持操作设备连 接于该输出端口，红外线热扫描系统监视器的扫描与红外线热扫描探头的扫描相一致，实 现同步扫描。 In the present invention, the infrared thermal scanning system further includes an operation panel, an operation keyboard or a handheld operation device connected to the host of the infrared thermal scanning processing system, and the operation panel and the handheld operation device are provided with a control button. Buttons, including switch buttons, mode selection buttons, infrared intensity fine-tuning function buttons, and monitor menu buttons. The mode selection button is used to switch between different display modes, including the normal display mode and the night vision display mode. The normal display mode refers to the display mode of infrared scanning under the illumination of the endoscope cold light source and the infrared light source, and the night vision display mode refers to Without the endoscope cold light source and the infrared light source, depending on the different radiation intensity of the tissue, the doctor can compare the images in the two modes to obtain a better diagnostic effect from another angle. The infrared panel of the infrared thermal scanning processing system is provided with an output port, and the infrared thermal scanning system monitor, an operating keyboard or a handheld operating device is connected to the output port, and the infrared thermal scanning system monitor scans and infrared heat scans. The scanning of the probes is consistent, enabling simultaneous scanning.
本发明所述的一体化红外线热扫描胆囊镜系统，其工作原理如下：胆囊壁间布满了丰 富的血管， 动脉血温度较高， 静脉血温度较低， 两者存在某种热交换机制， 两者都向外辐 射不同波长的红外线，胆囊壁组织自身的温度不但受到血管内血流的影响，也受自身新陈 代谢的影响，所以胆囊壁组织的温度会由于血管丰富与否和新陈代谢活跃程度的不同而表 现出差异性，对外辐射的红外线的波长也各不相同，对于胆囊壁间的炎症病变等由于其新 陈代谢活跃， 其温度明显高于正常。 研究表明， 血液中的成分 （血清、 血浆、 血红蛋白、 白蛋白、 红细胞、 淋巴细胞、 血小板）在光谱中对红外光的吸收最低， 意味着血液除了对 外辐射红外线外， 还对周围组织的红外线的吸收影响很小， 红外线系统的精度小于等于 0.05度，空间分辨能力至少达到 0.8mrad，红外线热扫描探头在胆囊腔内近距离进行扫描， 得到精细精确的红外图像。  The integrated infrared thermal scanning gallbladder mirror system of the present invention has the following working principle: the gallbladder wall is filled with abundant blood vessels, the arterial blood temperature is high, the venous blood temperature is low, and there is some heat exchange mechanism between the two. Both of them radiate infrared rays of different wavelengths. The temperature of the gallbladder wall tissue is not only affected by blood flow in the blood vessels, but also by its own metabolism. Therefore, the temperature of the gallbladder wall tissue is rich or not due to blood vessels and metabolic activity. Different from each other, the wavelength of infrared rays radiated from the outside is also different. For the inflammatory lesions between the walls of the gallbladder, the temperature is significantly higher than normal due to its active metabolism. Studies have shown that blood components (serum, plasma, hemoglobin, albumin, red blood cells, lymphocytes, platelets) have the lowest absorption of infrared light in the spectrum, meaning that in addition to external radiation, the blood also has infrared rays to the surrounding tissue. The absorption effect is very small, the infrared system has an accuracy of less than or equal to 0.05 degrees, and the spatial resolution is at least 0.8 mrad. The infrared thermal scanning probe scans at a close distance in the gallbladder cavity to obtain a fine and precise infrared image.
本发明所述的一体化红外线热扫描胆囊镜系统，其工作过程如下：胆囊血管中血流及 胆囊壁组织辐射的红外线，经进入胆囊腔内的红外线热扫描探头的精密红外探测器 -红外 接收镜头接收后， 处理芯片将光信号转换成电信号， 经过预处理 （如放大、 滤波等）， 由 前置放大器和主放大器放大到一定电平之后便进入红外线热扫描处理系统主机。同时输入 主机的信号还有同步信号、参照黑体信号等。红外线热扫描探头启动后， 在微型电机的驱 动下伸出胆囊镜先端部若干距离， 并在微型电机的驱动下旋转， 对胆囊壁做环形扫描， 多 平面连续横切扫描得到的数据传输至红外线热扫描处理系统主机进行图像处理，并输出到 红外线热扫描系统监视器， 清晰地显示胆囊壁的立体血管静态图像， 医生通过图像分析， 可以发现胆囊壁内血管异常丰富、血管异常稀疏或者存在血管缺失区域等异常情况，给医 生及时提供即时的诊断依据。  The integrated infrared thermal scanning gallbladder mirror system of the present invention has the following working processes: the blood flow in the gallbladder blood vessels and the infrared radiation radiated from the gallbladder wall tissue, and the infrared infrared scanning probe into the gallbladder cavity. After the lens is received, the processing chip converts the optical signal into an electrical signal, and after preprocessing (such as amplification, filtering, etc.), the preamplifier and the main amplifier are amplified to a certain level and then enter the infrared thermal scanning processing system host. At the same time, the signal input to the host also has a synchronization signal, a reference black body signal, and the like. After the infrared thermal scanning probe is started, the micro-motor is driven to extend a certain distance from the tip end of the gallbladder mirror, and is rotated by the micro-motor to perform circular scanning on the gallbladder wall, and the data obtained by multi-plane continuous cross-cutting scanning is transmitted to the infrared ray. The main body of the thermal scanning processing system performs image processing and outputs it to the infrared thermal scanning system monitor to clearly display the stereoscopic images of the gallbladder wall. The doctor can find out that the blood vessels in the gallbladder wall are abnormally rich, the blood vessels are abnormally sparse or there are blood vessels. Abnormal conditions such as missing areas provide doctors with immediate diagnosis basis.
本发明所述的一体化红外线热扫描胆囊镜系统，其临床手术方法如下： 患者消毒铺巾 后， 医生在患者腹壁做切口并通入穿剌器， 经穿剌器通入腹腔镜并做气腹， 在腹腔镜的直 视下提取胆囊至体外， 在胆囊底部做微小切口， 使红外线热扫描胆囊镜进入胆囊腔内， 抽 取胆汁保存并利用进水通道通入生理盐水使得胆囊充盈，内镜监视器输出胆囊腔内的清晰 图像， 通过器械通道、进水通道和出水通道引入各种器械， 可以进行胆囊腔内手术， 处理 结石息肉等病症； 需要观察胆囊壁间的血管红外状态图，可以启动位于红外线热扫描胆囊 镜先端部的红外线热扫描探头，红外线热扫描探头启动后伸出胆囊镜先端部若干距离，为 胆囊腔做旋转的红外线热扫描，输出到红外线热扫描系统监视器，提供医生诊断胆囊壁及 周围组织状态的依据。 The integrated infrared thermal scanning gallbladder mirror system of the present invention has the following clinical surgical methods: After the patient disinfects the drape, the doctor makes an incision in the abdominal wall of the patient and passes through the piercing device, and passes through the laparoscope to make a gas. Abdominal, straight in laparoscope The gallbladder is taken out to the outside of the body, and a micro-incision is made at the bottom of the gallbladder, so that the infrared hot-scanning gallbladder mirror enters the gallbladder cavity, the bile is taken out and the saline is filled by the water inlet channel to fill the gallbladder, and the endoscope monitor outputs the gallbladder cavity. Clear images, through the instrument channel, water inlet channel and water outlet channel to introduce a variety of instruments, can perform intracavitary intracavitary surgery, treatment of stone polyps and other diseases; need to observe the blood vessel infrared state map between the gallbladder walls, can be activated in the infrared thermal scanning gallbladder mirror Infrared thermal scanning probe at the tip end, the infrared thermal scanning probe is extended to extend a certain distance from the apex of the gallbladder mirror, and the infrared thermal scanning is performed for the gallbladder cavity to be output to the infrared thermal scanning system monitor to provide a doctor to diagnose the gallbladder wall and surrounding tissue. The basis of the status.
与现有技术相比，本发明的有益效果是： 目前的医用红外成像技术的红外分辨率的精 度很高， 而且已经逐渐广泛应用在很多领域， 特别是医疗领域。将红外线热扫描探头集成 在胆囊镜上， 利用红外线热扫描探头在微型电机驱动下旋转， 伸出胆囊镜先端部， 对胆囊 壁血管血液运动产生的温度差异而形成的红外线辐射进行扫描监测，多平面连续横切扫描 得到的数据传输至红外线热扫描处理系统主机进行图像处理，清晰地显示胆囊的立体血管 静态图像，为医生判断胆囊壁病变及功能状态提供可靠的客观依据，丰富胆囊疾病的诊断 手段， 有效地提高诊断的准确性。 附图说明  Compared with the prior art, the beneficial effects of the present invention are: The infrared resolution of the current medical infrared imaging technology is very high, and has been widely used in many fields, especially in the medical field. The infrared thermal scanning probe is integrated on the gallbladder mirror, and the infrared thermal scanning probe is rotated by the micro motor to extend the tip end of the gallbladder mirror, and the infrared radiation formed by the temperature difference of the blood flow of the blood vessel of the gallbladder wall is scanned and monitored. The data obtained by the plane continuous cross-cut scan is transmitted to the host of the infrared thermal scanning processing system for image processing, and the stereoscopic blood vessel static image of the gallbladder is clearly displayed, which provides a reliable objective basis for the doctor to judge the gallbladder wall lesion and functional state, and enriches the diagnosis of gallbladder disease. Means to effectively improve the accuracy of the diagnosis. DRAWINGS
图 1是本发明所述的一体化红外线热扫描胆囊镜系统的结构示意图。  1 is a schematic view showing the structure of an integrated infrared thermal scanning gallbladder mirror system according to the present invention.
图 2A是采用电子 CCD光学系统的红外线热扫描硬质胆囊镜的结构示意图。  Fig. 2A is a schematic view showing the structure of an infrared thermal scanning hard gallbladder mirror using an electronic CCD optical system.
图 2B是采用棱镜光学系统的红外线热扫描硬质胆囊镜的结构示意图。  2B is a schematic view showing the structure of an infrared thermal scanning hard gallbladder mirror using a prism optical system.
图 2C是采用电子 CCD光学系统的红外线热扫描软质胆囊镜的结构示意图。  Fig. 2C is a schematic view showing the structure of an infrared thermal scanning soft gallbladder mirror using an electronic CCD optical system.
图 2D是采用光导纤维光学系统的红外线热扫描软质胆囊镜的结构示意图。  2D is a schematic view showing the structure of an infrared thermal scanning soft gallbladder mirror using an optical fiber optical system.
图 3A是图 2A所示红外线热扫描硬质胆囊镜的端部结构示意图。  Fig. 3A is a schematic view showing the end structure of the infrared thermal scanning hard gallbladder mirror shown in Fig. 2A.
图 3B是图 2B所示红外线热扫描硬质胆囊镜的端部结构示意图。  Fig. 3B is a schematic view showing the end structure of the infrared thermal scanning hard gallbladder mirror shown in Fig. 2B.
图 3C是图 2C所示红外线热扫描软质胆囊镜的端部结构示意图。  Fig. 3C is a schematic view showing the end structure of the infrared thermal scanning soft gallbladder mirror shown in Fig. 2C.
图 3D是图 2D所示红外线热扫描软质胆囊镜的端部结构示意图。  Fig. 3D is a schematic view showing the end structure of the infrared thermal scanning soft gallbladder mirror shown in Fig. 2D.
图 4是本发明所述的红外线热扫描探头的结构示意图。  4 is a schematic view showing the structure of an infrared thermal scanning probe according to the present invention.
图 5是本发明所述的一体化红外线热扫描胆囊镜系统的手术方法示意图。 具体实施方式  Fig. 5 is a schematic view showing the surgical method of the integrated infrared thermal scanning gallbladder mirror system according to the present invention. detailed description
下面结合附图对本发明作进一步的详述：  The present invention will be further described in detail below with reference to the accompanying drawings:
如图 1所示，本发明所述的一体化红外线热扫描胆囊镜系统包括有红外线热扫描胆囊 镜 1、冷光源主机 2、摄像主机 3、 红外线热扫描处理系统主机 4、操作键盘或手持操作设 备 5、 红外线热扫描系统监视器 6和内镜监视器 7。 其中， 红外线热扫描处理系统主机 4 还连接有操作面板， 手持操作设备 5和操作面板上设有开关按钮、模式选择按钮、红外强 度微调功能按钮和监视器菜单按钮等控制按钮。 As shown in FIG. 1, the integrated infrared thermal scanning gallbladder mirror system of the present invention comprises an infrared thermal scanning gallbladder The mirror 1, the cold light source host 2, the camera host 3, the infrared thermal scanning processing system host 4, the operating keyboard or handheld operating device 5, the infrared thermal scanning system monitor 6 and the endoscope monitor 7. The infrared thermal scanning processing system host 4 is further connected with an operation panel, and the handheld operation device 5 and the operation panel are provided with control buttons such as a switch button, a mode selection button, an infrared intensity fine adjustment function button, and a monitor menu button.
图 2A、 图 2B、 图 2C和图 2D分别显示了红外线热扫描胆囊镜 1的四种不同形式的 结构示意图， 其中：  2A, 2B, 2C and 2D respectively show the structural diagrams of four different forms of the infrared thermal scanning gallbladder mirror 1, wherein:
图 2A为采用电子 CCD光学系统的红外线热扫描硬质胆囊镜的结构示意图， 该红外 线热扫描硬质胆囊镜设有硬质工作端部 11、 冷光源接头 12、 数据接头 13、 直线型器械通 道 14、进水通道 15和出水通道 16。硬质工作端部 11具有不可弯曲性，其直径 12.0mm， 长度为 250mm〜300mm，为了避免损伤粘膜组织，其先端部设计成钝型。所述的电子 CCD 光学系统设置在硬质工作端部 11的前端，采用直径为 1.5mm〜3.0mm的光学镜头，其 CCD 芯片采用尺寸 1/4〃 、 至少 48万有效像素的 CCD, 镜头视场角在 100 ° 以上。 直线型器 械通道 14的直径 3.0mm， 进水通道 15和出水通道 16则分别位于所述红外线热扫描硬 质胆囊镜的两侧， 其直径均 1.0mm。  2A is a schematic view showing the structure of an infrared thermal scanning hard gallbladder mirror using an electronic CCD optical system, the infrared thermal scanning hard gallbladder mirror having a rigid working end portion 11, a cold light source connector 12, a data connector 13, and a linear instrument channel. 14. Water inlet channel 15 and water outlet channel 16. The hard working end portion 11 has non-bendability, and has a diameter of 12.0 mm and a length of 250 mm to 300 mm. In order to avoid damage to the mucosal tissue, the tip end portion is designed to be blunt. The electronic CCD optical system is disposed at the front end of the hard working end portion 11, and adopts an optical lens with a diameter of 1.5 mm to 3.0 mm, and the CCD chip adopts a CCD with a size of 1/4 inch and at least 480,000 effective pixels. The field angle is above 100 °. The linear mechanical passage 14 has a diameter of 3.0 mm, and the water inlet passage 15 and the water outlet passage 16 are respectively located on both sides of the infrared thermal scanning hard cholecystoscope, and each has a diameter of 1.0 mm.
图 2B为采用棱镜光学系统的红外线热扫描硬质胆囊镜的结构示意图， 该红外线热扫 描硬质胆囊镜设有硬质工作端部 11、冷光源接头 12、数据接头 13、 目镜输入端 17、进水 通道 15和出水通道 16。 硬质工作端部 11具有不可弯曲性， 其直径 12.0mm， 其长度为 250mm〜300mm， 为了避免损伤粘膜组织， 其先端部设计成钝型。 所述的棱镜光学系统 采用直径为 1.5mm〜3.0mm的光学镜头。 进水通道 15和出水通道 16则分别位于所述红 外线热扫描硬质胆囊镜的两侧， 其直径均 1.(^ 1^  2B is a schematic view showing the structure of an infrared thermal scanning hard gallbladder mirror using a prism optical system, the infrared thermal scanning hard gallbladder mirror having a rigid working end portion 11, a cold light source connector 12, a data connector 13, and an eyepiece input end 17, The water inlet passage 15 and the water outlet passage 16. The hard working end portion 11 has an inflexibility, and has a diameter of 12.0 mm and a length of 250 mm to 300 mm. In order to avoid damage to the mucosal tissue, the tip end portion is designed to be blunt. The prism optical system uses an optical lens having a diameter of 1.5 mm to 3.0 mm. The water inlet channel 15 and the water outlet channel 16 are respectively located on both sides of the infrared scanning hard gallbladder mirror, and the diameters thereof are 1. (^ 1^
图 2C为采用电子 CCD光学系统的红外线热扫描软质胆囊镜的结构示意图， 该红外 线热扫描软质胆囊镜设有软质工作端部 21、 数据接头 22、 操作手柄 23和器械通道 24。 软质工作端部 21的直径 12.0mm， 长度 500mm。 所述的电子 CCD光学系统设置在软 质工作端部 21的前端， 采用直径为 1.5mm〜3.0mm的光学镜头， 其 CCD芯片采用尺寸 1/4〃 、 至少 48万有效像素的 CCD, 镜头视场角在 100 ° 以上。 器械通道 24的直径 3.0mm。  2C is a schematic view showing the structure of an infrared thermal scanning soft gallbladder mirror using an electronic CCD optical system having a soft working end portion 21, a data connector 22, an operating handle 23, and an instrument channel 24. The soft working end portion 21 has a diameter of 12.0 mm and a length of 500 mm. The electronic CCD optical system is disposed at the front end of the soft working end portion 21, and adopts an optical lens with a diameter of 1.5 mm to 3.0 mm, and the CCD chip adopts a CCD with a size of 1/4 inch and at least 480,000 effective pixels. The field angle is above 100 °. The instrument channel 24 has a diameter of 3.0 mm.
图 2D为采用光导纤维光学系统的红外线热扫描软质胆囊镜的结构示意图，该红外线 热扫描软质胆囊镜设有软质工作端部 21、 数据接头 22、 操作手柄 23、 器械通道 24和目 镜输入端 25。 软质工作端部 21 的直径 12.0mm， 长度 500mm。 所述的光导纤维光学 系统采用直径为 1.5mm〜3.0mm的光学镜头。 器械通道 24的直径 3.0mm。 图 3A至图 3D分别显示了图 2A至图 2D所示的红外线热扫描胆囊镜的端部结构示意 图， 其中： 2D is a schematic view showing the structure of an infrared thermal scanning soft gallbladder mirror using an optical fiber optical system having a soft working end portion 21, a data connector 22, an operating handle 23, an instrument channel 24, and an eyepiece. Input terminal 25. The soft working end portion 21 has a diameter of 12.0 mm and a length of 500 mm. The optical fiber optical system uses an optical lens having a diameter of 1.5 mm to 3.0 mm. The instrument channel 24 has a diameter of 3.0 mm. 3A to 3D are respectively a schematic view showing the end structure of the infrared thermal scanning gallbladder mirror shown in Figs. 2A to 2D, wherein:
图 3A是图 2A所示红外线热扫描硬质胆囊镜的端部结构示意图， 该红外线热扫描硬 质胆囊镜在其硬质工作端部 11的先端部 111集成有内镜镜头 131、红外线热扫描探头 132 和导光光纤 121， 并且还设有器械通道出口 141， 进水通道出口 151和出水通道出口 161。 内镜镜头 131为 1.5mm〜3.0mm的光学镜头。 红外线热扫描探头 132的直径 3.0mm。  3A is a schematic view showing the end structure of the infrared thermal scanning hard gallbladder mirror shown in FIG. 2A. The infrared thermal scanning hard gallbladder mirror has an endoscope lens 131 integrated in the tip end portion 111 of the hard working end portion 11, and infrared thermal scanning. The probe 132 and the light guiding fiber 121 are also provided with an instrument channel outlet 141, a water inlet channel outlet 151 and a water outlet channel outlet 161. The endoscope lens 131 is an optical lens of 1.5 mm to 3.0 mm. The infrared thermal scanning probe 132 has a diameter of 3.0 mm.
图 3B是图 2B所示红外线热扫描硬质胆囊镜的端部结构示意图， 该红外线热扫描硬 质胆囊镜在其硬质工作端部 11的先端部集成有内镜镜头 171、 红外线热扫描探头 132和 导光光纤 121， 并且还设有进水通道出口 151 和出水通道出口 161。 内镜镜头 171 为 1.5mm〜3.0mm的光学镜头。 红外线热扫描探头 132的直径 3.0mm。  3B is a schematic view showing the end structure of the infrared thermal scanning hard gallbladder mirror shown in FIG. 2B. The infrared thermal scanning hard gallbladder mirror has an endoscope lens 171 and an infrared thermal scanning probe integrated at the tip end portion of the hard working end portion 11. 132 and light guiding fiber 121, and further provided with a water inlet channel outlet 151 and a water outlet channel outlet 161. The endoscope lens 171 is an optical lens of 1.5 mm to 3.0 mm. The infrared thermal scanning probe 132 has a diameter of 3.0 mm.
图 3C是图 2C所示红外线热扫描软质胆囊镜的端部结构示意图， 该红外线热扫描软 质胆囊镜在其软质工作端部 21的先端部集成有内镜镜头 221、 红外线热扫描探头 132和 导光光纤 222， 并且还设有器械通道出口 241。 内镜镜头 221为 1.5mm〜3.0mm的光学镜 头。 红外线热扫描探头 132的直径 3.0mm。  3C is a schematic view showing the end structure of the infrared thermal scanning soft gallbladder mirror shown in FIG. 2C. The infrared thermal scanning soft gallbladder mirror has an endoscope lens 221 and an infrared thermal scanning probe integrated at the tip end portion of the soft working end portion 21. 132 and light guiding fiber 222, and an instrument channel outlet 241 is also provided. The endoscope lens 221 is an optical lens of 1.5 mm to 3.0 mm. The infrared thermal scanning probe 132 has a diameter of 3.0 mm.
图 3D是图 2D所示红外线热扫描软质胆囊镜的端部结构示意图， 该红外线热扫描软 质胆囊镜在其软质工作端部 21的先端部集成有内镜镜头 251、 红外线热扫描探头 132和 导光光纤 222， 并且还设有器械通道出口 241。 内镜镜头 251为 1.5mm〜3.0mm的光学镜 头。 红外线热扫描探头 132的直径 3.0mm。  3D is a schematic view showing the end structure of the infrared thermal scanning soft gallbladder mirror shown in FIG. 2D. The infrared thermal scanning soft gallbladder mirror has an endoscope lens 251 and an infrared thermal scanning probe integrated at the tip end portion of the soft working end portion 21. 132 and light guiding fiber 222, and an instrument channel outlet 241 is also provided. The endoscope lens 251 is an optical lens of 1.5 mm to 3.0 mm. The infrared thermal scanning probe 132 has a diameter of 3.0 mm.
图 4是本发明所述的红外线热扫描探头 132的结构示意图，该红外线热扫描探头 132 内设有红外区 1322， 红外区 1322的外部设有保护套 1321， 红外区 1322内安装有红外装 置 1323， 该红外装置 1323包括有红外光源发射器和红外接收镜头。 红外区 1322内安装 有三组相同的红外装置 1323，三组红外装置 1323互成 60度设计。红外线热扫描探头 132 可以在微型电机的驱动下， 伸出所述红外线热扫描胆囊镜先端部 10mm〜50mm， 并且绕 着 N-N'的方向旋转， 从而对被扫描体做环形的扫描。  4 is a schematic structural view of the infrared thermal scanning probe 132 of the present invention. The infrared thermal scanning probe 132 is provided with an infrared region 1322. The infrared region 1322 is externally provided with a protective cover 1321, and the infrared region 1322 is provided with an infrared device 1323. The infrared device 1323 includes an infrared light source emitter and an infrared receiving lens. Three sets of the same infrared device 1323 are installed in the infrared region 1322, and the three groups of infrared devices 1323 are designed to be 60 degrees. The infrared thermal scanning probe 132 can be extended by the micro-motor to extend the front end of the infrared thermal scanning gallbladder lens by 10 mm to 50 mm, and rotate in the direction of the N-N' to perform circular scanning on the scanned body.
图 5是本发明所述的一体化红外线热扫描胆囊镜系统的手术方法示意图。患者消毒铺 巾后， 医生在患者腹壁做切口并通入穿剌器， 经穿剌器通入腹腔镜并做气腹， 在腹腔镜的 直视下提取胆囊 8至体外，在胆囊 8的底部做微小切口，使红外线热扫描胆囊镜 1进入胆 囊腔内， 抽取胆汁保存并利用进水通道 15通入生理盐水使得胆囊充盈， 内镜监视器 7输 出胆囊腔内的清晰图像， 通过器械通道 14、 进水通道 15和出水通道 16引入各种器械， 可以进行胆囊腔内手术， 处理结石息肉等病症。 需要观察胆囊壁间的血管红外状态图时， 可以启动位于红外线热扫描胆囊镜 1先端部 111的红外线热扫描探头 132， 红外线热扫描 探头 132启动后伸出胆囊镜先端部 111若干距离， 为胆囊腔做旋转的红外线热扫描，输出 到红外线热扫描系统监视器 6， 提供医生诊断胆囊壁及周围组织状态的依据。 Fig. 5 is a schematic view showing the surgical method of the integrated infrared thermal scanning gallbladder mirror system according to the present invention. After the patient disinfects the towel, the doctor makes an incision in the abdominal wall of the patient and passes through the sputum, through the laparoscopic laparoscopic and pneumoperitoneum, and extracts the gallbladder 8 to the outside of the body under the direct view of the laparoscope, at the bottom of the gallbladder 8. Make a small incision, make the infrared thermal scanning gallbladder mirror 1 into the gallbladder cavity, extract the bile and use the influent channel 15 to pass the physiological saline to fill the gallbladder. The endoscope monitor 7 outputs a clear image in the gallbladder cavity, through the instrument channel 14 The water inlet channel 15 and the water outlet channel 16 introduce various instruments, and can perform intracavitary intracavitary surgery to treat diseases such as stone polyps. When you need to observe the infrared state diagram of the blood vessels between the gallbladder walls, The infrared thermal scanning probe 132 located at the tip end portion 111 of the infrared thermal scanning gallbladder mirror 1 can be activated, and the infrared thermal scanning probe 132 is extended to extend a certain distance of the anterior end portion 111 of the gallbladder mirror, and performs infrared thermal scanning for rotating the gallbladder cavity, and outputs infrared heat. The scanning system monitor 6 provides a basis for the doctor to diagnose the condition of the gallbladder wall and surrounding tissue.

Claims

权 利 要 求 书 Claim
1、 一体化红外线热扫描胆囊镜系统， 其特征在于： 包括红外线热扫描胆囊镜以及与 之连接的冷光源主机、摄像主机、 内镜监视器和红外线热扫描系统， 所述的红外线热扫描 系统包括红外线热扫描处理系统主机和红外线热扫描系统监视器。 1. An integrated infrared thermal scanning gallbladder mirror system, comprising: an infrared thermal scanning gallbladder mirror and a cold light source host connected thereto, a camera host, an endoscope monitor and an infrared thermal scanning system, wherein the infrared thermal scanning system Including infrared thermal scanning processing system host and infrared thermal scanning system monitor.
2、 根据权利要求 1所述的一体化红外线热扫描胆囊镜系统， 其特征在于： 所述的红 外线热扫描胆囊镜设有工作端部、 冷光源接头和数据接头。  2. The integrated infrared thermal scanning gallbladder mirror system according to claim 1, wherein: the infrared thermal scanning gallbladder mirror is provided with a working end portion, a cold light source connector and a data connector.
3、 根据权利要求 2所述的一体化红外线热扫描胆囊镜系统， 其特征在于： 所述的红 外线热扫描胆囊镜在其工作端部的先端部集成有红外线热扫描探头、 内镜镜头和导光光 纤。  3. The integrated infrared thermal scanning gallbladder mirror system according to claim 2, wherein: the infrared thermal scanning gallbladder mirror integrates an infrared thermal scanning probe, an endoscope lens and a guide at a front end portion of the working end portion thereof. Optical fiber.
4、 根据权利要求 3所述的一体化红外线热扫描胆囊镜系统， 其特征在于： 所述的红 外线热扫描探头内设有红外区，所述红外区的外部设有保护套，所述的红外区内至少安装 有一组红外装置， 所述的红外装置包括红外光源发射器和红外接收镜头。  4. The integrated infrared thermal scanning gallbladder mirror system according to claim 3, wherein: the infrared thermal scanning probe is provided with an infrared region, and the infrared region is provided with a protective sleeve, the infrared At least one infrared device is installed in the zone, and the infrared device includes an infrared light source emitter and an infrared receiving lens.
5、 根据权利要求 4所述的一体化红外线热扫描胆囊镜系统， 其特征在于： 所述的红 外区内安装有三组红外装置， 该三组红外装置互成 60度设计。  5. The integrated infrared thermal scanning gallbladder mirror system according to claim 4, wherein: the infrared region is provided with three sets of infrared devices, and the three sets of infrared devices are designed to each other at a 60 degree.
6、 根据权利要求 3所述的一体化红外线热扫描胆囊镜系统， 其特征在于： 所述的红 外线热扫描胆囊镜内设有用于驱动所述红外线热扫描探头伸缩和旋转的电机。  6. The integrated infrared thermal scanning gallbladder mirror system according to claim 3, wherein: the infrared thermal scanning gallbladder mirror is provided with a motor for driving the infrared thermal scanning probe to expand and contract.
7、 根据权利要求 1所述的一体化红外线热扫描胆囊镜系统， 其特征在于： 所述的红 外线热扫描胆囊镜为采用电子 CCD光学系统的硬质胆囊镜或软质胆囊镜。  7. The integrated infrared thermal scanning gallbladder mirror system according to claim 1, wherein: the infrared thermal scanning gallbladder mirror is a rigid gallbladder mirror or a soft gallbladder mirror using an electronic CCD optical system.
8、 根据权利要求 1所述的一体化红外线热扫描胆囊镜系统， 其特征在于： 所述的红 外线热扫描胆囊镜为采用棱镜光学系统的硬质胆囊镜或者采用光导纤维光学系统的软质 胆囊镜， 其上还设有目镜输入端。  8. The integrated infrared thermal scanning gallbladder mirror system according to claim 1, wherein: said infrared thermal scanning gallbladder mirror is a rigid gallbladder mirror using a prism optical system or a soft gallbladder using an optical fiber optical system. The mirror also has an eyepiece input end.
9、 根据权利要求 1所述的一体化红外线热扫描胆囊镜系统， 其特征在于： 所述的红 外线热扫描胆囊镜还设有器械通道、 进水通道和出水通道。  9. The integrated infrared thermal scanning gallbladder mirror system according to claim 1, wherein: the infrared thermal scanning gallbladder mirror further comprises an instrument channel, a water inlet channel and a water outlet channel.
10、根据权利要求 1所述的一体化红外线热扫描胆囊镜系统， 其特征在于： 所述的红 外线热扫描系统还包括与所述红外线热扫描处理系统主机相连接的操作面板、操作键盘或 手持操作设备，所述的操作面板和手持操作设备上设有控制按钮，所述的控制按钮包括开 关按钮、设有普通显示模式和夜视显示模式的模式选择按钮、红外强度微调功能按钮和监 视器菜单按钮。  10. The integrated infrared thermal scanning gallbladder mirror system according to claim 1, wherein: said infrared thermal scanning system further comprises an operation panel, an operating keyboard or a hand-held unit connected to said infrared thermal scanning processing system main body. The operating device, the operation panel and the handheld operating device are provided with control buttons, the control button comprises a switch button, a mode selection button with a normal display mode and a night vision display mode, an infrared intensity fine adjustment function button and a monitor Menu button.
PCT/CN2011/070550 2010-12-10 2011-01-25 Cholecystoscope system integrated with infrared thermal scanner WO2012075706A1 (en)

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