WO2012075709A1 - Système d'endoscopie anale et intestinale intégrant un dispositif de balayage thermique infrarouge - Google Patents

Système d'endoscopie anale et intestinale intégrant un dispositif de balayage thermique infrarouge Download PDF

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Publication number
WO2012075709A1
WO2012075709A1 PCT/CN2011/070554 CN2011070554W WO2012075709A1 WO 2012075709 A1 WO2012075709 A1 WO 2012075709A1 CN 2011070554 W CN2011070554 W CN 2011070554W WO 2012075709 A1 WO2012075709 A1 WO 2012075709A1
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WO
WIPO (PCT)
Prior art keywords
infrared thermal
thermal scanning
infrared
anorectal
integrated
Prior art date
Application number
PCT/CN2011/070554
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English (en)
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 WO2012075709A1 publication Critical patent/WO2012075709A1/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
    • A61B1/00163—Optical arrangements
    • A61B1/00165—Optical arrangements with light-conductive means, e.g. fibre optics
    • 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
    • A61B1/044—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 for absorption imaging
    • 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
    • A61B1/046—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 for infrared imaging
    • 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
    • A61B1/31—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 rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes

Definitions

  • the invention belongs to the field of medical instruments, and particularly relates to an integrated infrared thermal scanning anorectal 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 anorectal system, which integrates an infrared thermal scanning probe into an anorectal system through an infrared thermal scanning probe.
  • Stereoscopic scanning of the anorectal 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 blood vessels of the anorectal according to different display images obtained.
  • the image has an unexpected diagnostic effect on understanding the function and pathology of the anorectal.
  • the integrated infrared thermal scanning anorectal system of the present invention comprises an infrared thermal scanning anorectoscope 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 anorectoscope is set according to the optical system and the instrument channel used therein. Different, it is divided into the following three forms:
  • the first form is: the infrared thermal scanning anorectal is a rigid anorectal with an electronic CCD optical system, which is provided with a working end, a cold light source connector, a data connector, a linear instrument channel, and a water inlet channel and a water outlet.
  • the data connector is connected to the camera host and the infrared thermal scanning processing system host;
  • the linear instrument channel has a diameter of 3.0 mm, and the water inlet channel and the water outlet channel are located on both sides of the anorectal mirror, and the diameter is 1.0 mm.
  • the second form is: the infrared thermal scanning anorectal is a rigid anorectal 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 data connector is connected to the host of the infrared thermal scanning processing system;
  • the eyepiece input end is connected to the camera host; and
  • the water inlet channel and the water outlet channel are located on both sides of the anorectal mirror, and the diameter is 1.0 mm.
  • the third form is: the infrared thermal scanning anorectal is a rigid anorectal mirror using an electronic CCD optical system without any channel, and is provided with a working end portion, a cold light source connector and a data connector for diagnosis;
  • the data connector is connected to the camera host and the infrared thermal scanning processing system host.
  • the infrared thermal scanning anorectal mirror of the invention has a working end portion which is made of a hard material and has non-bendability, and has a diameter of 20.0 mm and a length of 300 mm to 450 mm. In order to avoid damage to the mucosal tissue, the tip end portion is designed to be blunt. type.
  • the electronic CCD optical system is disposed at the front end of the working end portion, and adopts an optical lens with a diameter of 3.0 mm, and the CCD chip adopts a size of 1/4 ⁇ and at least 480,000 effective pixels.
  • the CCD has a lens field of view of 100 ° or more.
  • an optical lens having a diameter of 3.0 mm is used.
  • the infrared thermal scanning anorectoscope is integrated with 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 anorectal can also be provided with a micro motor.
  • the infrared thermal scanning probe can extend the plane of the apex end of the anorectal lens by 10mm ⁇ 50mm 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 control buttons. , including switch button, mode selection button, infrared intensity fine-tuning function button and monitor menu button.
  • 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 No endoscope cold Under the illumination of the light source and the infrared light source, depending on the radiation intensity of the tissue itself, 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 anorectal system has the following working principle: the anorectal wall is covered with abundant blood vessels, the arterial blood temperature is high, the venous blood temperature is low, and there is a certain heat exchange mechanism between the two. Both of them radiate different wavelengths of infrared rays.
  • the temperature of the tissue in the anorectal tract is not only affected by blood flow in the blood vessels, but also by its own metabolism. Therefore, the temperature of the anorectal 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.
  • the temperature is significantly higher than normal due to its active metabolism.
  • blood components serum, plasma, hemoglobin, albumin, red blood cells, lymphocytes, platelets
  • the absorption effect is very small, the accuracy of the infrared system is less than or equal to 0.05 degrees, and the spatial resolution is at least 0.8 mmd.
  • the infrared thermal scanning probe scans at a close distance in the anorectal tract to obtain a fine and precise infrared image.
  • the integrated infrared thermal scanning anorectal system has the following working process: the blood flow in the blood vessel and the infrared radiation radiated from the anorectal wall tissue, and the infrared infrared scanning probe of the infrared thermal scanning probe entering the anorectal cavity-infrared receiving lens
  • 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 apex of the anorectal lens, and is rotated by the micro-motor to perform circular scanning on the anorectal 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 image of the anorectal blood vessels.
  • image analysis the doctor can find that the anorectal tract is rich in blood vessels, the blood vessels are abnormally sparse or there is a blood vessel missing area. In case of abnormal conditions, the doctor is provided with an immediate diagnosis basis.
  • the integrated infrared thermal scanning anorectal system has the following clinical surgical methods: The doctor first asks the patient to take the lithotomy position, and after disinfecting the drape, the infrared thermal scanning anorectal enters the anorectal passage through the patient's anus, through infrared heat. Scanning an anorectal can clearly observe images of multiple times of the anorectal tract, and can treat the symptoms of the anorectal tract through the instrument channel, the water inlet channel and the water outlet channel.
  • an infrared thermal scanning probe located at the tip end of the infrared thermal scanning anorectal can be activated, and the infrared thermal scanning probe is activated and extended.
  • 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 anorectal mirror, and the infrared thermal scanning probe is rotated by the micro motor to extend the apex of the anorectal mirror, and the infrared radiation formed by the temperature difference of the blood movement of the anorectal 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 anorectal is clearly displayed, which provides a reliable objective basis for the doctor to judge the lesion and functional state of the anorectal and surrounding tissues, and enriches The diagnosis of anorectal diseases effectively improves the accuracy of diagnosis.
  • FIG. 1 is a schematic view showing the structure of an integrated infrared thermal scanning anorectal system according to the present invention.
  • Fig. 2A is a schematic view showing the structure of an infrared thermal scanning hard anorectal using an electronic CCD optical system.
  • Fig. 2B is a schematic view showing the structure of an infrared thermal scanning hard anorectal using a prism optical system.
  • Fig. 2C is a schematic view showing the structure of an infrared thermal scanning hard anorectal using an electronic CCD optical system without a channel.
  • Fig. 3A is a schematic view showing the end structure of the infrared thermal scanning hard anorectal mirror shown in Fig. 2A.
  • Fig. 3B is a schematic view showing the end structure of the infrared thermal scanning hard anorectal shown in Fig. 2B.
  • Fig. 3C is a schematic view showing the end structure of the infrared thermal scanning hard anorectal shown in Fig. 2C.
  • 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 anorectal system according to the present invention. detailed description
  • the integrated infrared thermal scanning anorectal system of the present invention comprises an infrared thermal scanning anorectal lens 1, a cold light source host 2, a camera host 3, an infrared thermal scanning processing system host 4, an operating keyboard or a handheld operation.
  • the infrared thermal scanning processing system host 4 is also 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.
  • 2A, 2B and 2C respectively show schematic diagrams of three different forms of infrared thermal scanning anorectal lens 1, wherein: 2A is a schematic view showing the structure of an infrared thermal scanning hard anorectal using an electronic CCD optical system having a hard working end portion 11, a cold light source connector 12, a data connector 13, and a linear instrument channel. 14. The water inlet channel 15 and the water outlet channel 16, wherein the cold light source connector 12 is connected to the cold light source host 2, and the data connector 13 is connected to the camera host 3 and the infrared thermal scanning processing system host 4.
  • the hard working end portion 11 has non-bendability, and has a diameter of 20.0 mm and a length of 300 mm to 450 mm.
  • 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 3.0 mm, and the CCD chip adopts a CCD with a size of 1/4 inch and at least 480,000 effective pixels, and the lens field of view is at 100 ° or more.
  • the linear instrument channel 14 has a diameter of 3.0 mm, and the water inlet channel 15 and the water outlet channel 16 are respectively located on both sides of the infrared thermal scanning hard anorectal lens, and each has a diameter of 1.0 mm.
  • 2B is a schematic view showing the structure of an infrared thermal scanning hard anorectal using a prism optical system, the infrared thermal scanning hard anorectal having a rigid working end portion 11, a cold light source connector 12, a data connector 13, and an eyepiece input end 17,
  • the hard working end portion 11 has an inflexibility, and has a diameter of 20.0 mm and a length of 300 mm to 450 mm. In order to avoid damage to the mucosal structure, the tip end portion is designed to be blunt.
  • the prism optical system uses an optical lens having a diameter of 3.0 mm.
  • the water inlet channel 15 and the water outlet channel 16 are respectively located on both sides of the infrared thermal scanning hard anorectal lens, and each has a diameter of 1.0 mm.
  • 2C is a schematic view showing the structure of an infrared thermal scanning hard anorectal using an electronic CCD optical system without any channel, the infrared thermal scanning hard anorectal having a rigid working end portion 11, a cold light source connector 12 and a data connector 13
  • the cold light source connector 12 is connected to the cold light source host 2
  • the data connector 13 is connected to the camera host 3 and the infrared thermal scanning processing system host 4.
  • the hard working end portion 11 has non-bendability, and has a diameter of 20.0 mm and a length of 300 mm to 450 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 3.0 mm, and the CCD chip adopts a CCD with a size of 1/4 inch and at least 480,000 effective pixels, and the lens field of view is at 100 ° or more.
  • FIGS. 2A to 2C are schematic views showing the end structures of the infrared thermal scanning anorectoscope shown in Figs. 2A to 2C, respectively, in which:
  • 3A is a schematic view showing the end structure of the infrared thermal scanning hard anorectal mirror shown in FIG. 2A.
  • the infrared thermal scanning hard anorectal lens 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 having a diameter of 3.0 mm.
  • the infrared thermal scanning probe 132 has a diameter of 3.0 mm.
  • 3B is a schematic view showing the end structure of the infrared thermal scanning hard anorectal mirror shown in FIG. 2B.
  • the infrared thermal scanning hard anorectal lens has an endoscope lens 171 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 a water inlet passage outlet 151 and a water outlet passage outlet 161.
  • the endoscope lens 171 is an optical lens of a straight @ ⁇ 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 hard anorectal mirror shown in FIG. 2C.
  • the infrared thermal scanning hard anorectal lens has an endoscope lens 131 integrated in the tip end portion 111 of the hard working end portion 11, and infrared thermal scanning. Probe 132 and light guiding fiber 121.
  • the endoscope lens 131 is an optical lens having a diameter of 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 infrared thermal scanning anorectal tip 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 anorectal system according to the present invention.
  • the doctor first asks the patient to take the stone cutting position. After disinfecting the drape, the infrared thermal scanning anorectal lens 1 enters the anorectal tract 8 through the patient's anus 81. By scanning the anorectal lens with infrared heat, the image of the anorectal 8 can be clearly observed several times. And can treat the symptoms of the anorectal tract through the instrument channel 14, the water inlet channel 15, and the water outlet channel 16.
  • the infrared thermal scanning probe 132 located at the apex portion 111 of the infrared thermal scanning anorectal lens 1 can be activated, and the infrared thermal scanning probe 132 is extended to extend a certain distance from the apex portion 111 of the anorectal lens.
  • An infrared thermal scan for rotating the anorectal tract 8 is output to an infrared thermal scanning system monitor 6, which provides a basis for the doctor to diagnose the state of the anorectal tract and surrounding tissues.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
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  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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Abstract

L'invention concerne un système d'endoscopie anale et intestinale intégrant un dispositif de balayage thermique infrarouge, qui comprend un endoscope anal et intestinal (1) auquel sont reliés le dispositif de balayage thermique infrarouge, une source de lumière froide hôte (2), une caméra hôte (3), un moniteur endoscopique (7) et un système de balayage thermique infrarouge. Le système de balayage thermique infrarouge comprend un système hôte de traitement par balayage thermique infrarouge (4) et un moniteur de système de balayage thermique infrarouge (6). Le système d'endoscopie anale et intestinale intègre une sonde de balayage thermique infrarouge (132) pouvant effectuer un balayage circulaire tridimensionnel des tissus des parois anales et intestinales. Les données acquises sont transmises au système hôte de traitement par balayage thermique infrarouge (4) pour traitement des images. Le système de traitement par balayage thermique infrarouge offre plusieurs modes de fonctionnement, dont un mode d'affichage normal et un mode d'affichage en vision nocturne.
PCT/CN2011/070554 2010-12-10 2011-01-25 Système d'endoscopie anale et intestinale intégrant un dispositif de balayage thermique infrarouge WO2012075709A1 (fr)

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CN201010581844.1A CN102100539B (zh) 2010-12-10 2010-12-10 一体化红外线热扫描肛肠镜系统
CN201010581844.1 2010-12-10

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CN102100537B (zh) * 2010-12-10 2013-01-02 广州宝胆医疗器械科技有限公司 具有红外线热扫描功能的肛肠镜系统
CN102697469A (zh) * 2012-01-18 2012-10-03 广州宝胆医疗器械科技有限公司 一体化oct硬质肛肠镜系统
CN112120664A (zh) * 2020-09-22 2020-12-25 刘庆伟 一体化红外线热扫描肛肠镜

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