WO2012075712A1 - Système d'hystéroscopie intégrant une fonction de dispositif de balayage thermique infrarouge - Google Patents

Système d'hystéroscopie intégrant une fonction de dispositif de balayage thermique infrarouge Download PDF

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Publication number
WO2012075712A1
WO2012075712A1 PCT/CN2011/070570 CN2011070570W WO2012075712A1 WO 2012075712 A1 WO2012075712 A1 WO 2012075712A1 CN 2011070570 W CN2011070570 W CN 2011070570W WO 2012075712 A1 WO2012075712 A1 WO 2012075712A1
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WO
WIPO (PCT)
Prior art keywords
infrared thermal
thermal scanning
infrared
hysteroscope
integrated
Prior art date
Application number
PCT/CN2011/070570
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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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Filing date
Publication date
Application filed by 广州宝胆医疗器械科技有限公司 filed Critical 广州宝胆医疗器械科技有限公司
Publication of WO2012075712A1 publication Critical patent/WO2012075712A1/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
    • A61B1/303—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 vagina, i.e. vaginoscopes
    • 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
    • A61B5/0062—Arrangements 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
    • A61B5/43—Detecting, measuring or recording for evaluating the reproductive systems
    • A61B5/4306—Detecting, measuring or recording for evaluating the reproductive systems for evaluating the female reproductive systems, e.g. gynaecological evaluations
    • A61B5/4318—Evaluation of the lower reproductive system
    • A61B5/4325—Evaluation of the lower reproductive system of the uterine cavities, e.g. uterus, fallopian tubes, ovaries

Definitions

  • the invention belongs to the field of medical instruments, and particularly relates to an integrated infrared thermal scanning hysteroscope 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 infrared thermal scanning probe is integrated into the hard hysteroscope, and the advanced technology of advanced infrared thermal scanning diagnosis is provided at the same time, providing different display modes, providing a new perspective and a new means for the diagnosis of uterine cavity disease.
  • the object of the present invention is to overcome the deficiencies of the prior art and provide an integrated infrared thermal scanning hysteroscope system, which integrates an infrared thermal scanning probe into a hysteroscopic system through infrared rays.
  • the thermal scanning probe scans the wall of the uterine cavity three-dimensionally, and the obtained data is transmitted to the host of the infrared thermal scanning processing system for image processing, and provides different display mode selections, so that the doctor can analyze the palace according to different display images obtained.
  • the static image of the lumen of the lumen has an unexpected diagnostic effect on understanding the function and pathology of the uterine cavity.
  • the integrated infrared thermal scanning hysteroscopy system of the present invention comprises an infrared thermal scanning hysteroscope and a cold light source host, a camera host, an endoscope monitor and an infrared thermal scanning system connected thereto, and the infrared thermal scanning
  • the system includes an infrared thermal scanning processing system host and an infrared thermal scanning system monitor.
  • the infrared thermal scanning hysteroscope is arranged 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 hysteroscope is a rigid hysteroscope using an electronic CCD optical system, and the structure includes a sheath portion and a mirror body portion, and the working body portion and the cold light source are provided on the mirror body portion.
  • the second form is: the infrared thermal scanning hysteroscope is a rigid hysteroscope using a prism optical system, and the structure thereof comprises a sheath portion and a mirror body portion, and the working body portion and the cold light source connector are arranged on the mirror body portion.
  • the data connector and the eyepiece input end; the cold light source connector is connected to the cold light source host, and the data connector is connected to the infrared hot scan processing system host, and the eyepiece input end is connected to the camera host.
  • the infrared thermal scanning hysteroscope is a rigid hysteroscope using an electronic CCD optical system without any channel, and the structure includes a sheath portion and a mirror portion, and the mirror portion has a work The end, the cold light source connector and the data connector; the cold light source connector is connected to the cold light source host, and the data connector is connected to the camera host and the infrared thermal scanning processing system host.
  • the sheath portion and the working end portion of the mirror portion are made of a hard material and have non-bendability; the diameter of the sheath portion is 15.0 mm, and the length is 250 mm to 300 mm. There is also a water inlet channel and a water outlet channel. 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 working end portion of the mirror body portion, and an optical lens having a diameter of 1.5 mm to 3.0 mm is used, and the CCD chip is of size 1 /4 ⁇ , CCD with at least 480,000 effective pixels, the lens field of view is above 100 °.
  • an optical lens having a diameter of 1.5 mm to 3.0 mm is used.
  • the infrared thermal scanning hysteroscope 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 of the mirror body portion.
  • 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 micro-motor can also be disposed in the body portion of the infrared thermal scanning hysteroscope.
  • the infrared thermal scanning probe can extend from the front end of the lens body 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 groups 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 a circular scanning of 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 hysteroscopic system has the following working principles:
  • the uterine wall is covered with abundant blood vessels, the arterial blood temperature is high, the venous blood temperature is low, and there is some heat exchanger between the two. System, both of which radiate infrared rays of different wavelengths.
  • the temperature of the uterine wall tissue is not only affected by blood flow in the blood vessels, but also by its own metabolism. Therefore, the temperature of the uterine wall tissue is rich or not due to blood vessels.
  • the degree of metabolism is different and the difference is different.
  • the wavelength of infrared rays radiated from the outside is also different.
  • the temperature of the inflammatory lesions between the walls of the uterus 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 accuracy of the infrared system is less than or equal to 0.05 degrees, and the spatial resolution is at least 0.8mrad.
  • the infrared thermal scanning probe scans at a close distance in the uterine cavity to obtain a fine and precise infrared image.
  • the integrated infrared thermal scanning hysteroscopic system has the following working processes: the blood flow in the blood vessel and the infrared radiation of the uterine wall tissue, and the infrared detector of the infrared thermal scanning probe entering the uterine cavity-infrared
  • 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 end of the hysteroscope, and is rotated by the micro-motor to perform circular scanning on the uterine cavity wall and data transmission by multi-plane continuous cross-cut scanning.
  • the infrared heat scanning processing system host performs image processing and outputs it to the infrared thermal scanning system monitor to clearly display the stereoscopic blood vessel static image of the uterine cavity.
  • the doctor can find that the vascular wall is abnormally rich in blood vessels and the blood vessel is abnormally sparse. Or there are abnormal conditions such as vascular missing areas, to provide doctors with immediate diagnosis basis.
  • the integrated infrared thermal scanning hysteroscopic system has the following clinical surgical methods: the patient takes the lithotomy position, routinely disinfects the vulva and the vagina, uses the diffuser to enlarge the vagina, and finds the depth and direction of the uterine cavity, using glucose. Solution or physiology In the case of salt water expansion, the air between the sheath portion and the mirror portion of the hysteroscope is firstly evacuated, and the infrared heat scanning hysteroscope is slowly placed, the light source is turned on, and the uterine fluid is injected, after the uterine cavity is filled, The field of vision is bright and comprehensive observation is made.
  • instruments can be used for gynecological examination and treatment.
  • the infrared thermal scanning probe located at the tip end of the infrared thermal scanning hysteroscope is activated, and the infrared thermal scanning probe is extended to extend a certain distance from the apex end of the hysteroscope to perform infrared thermal scanning for the uterine cavity, and output to the infrared thermal scanning system monitor.
  • the infrared thermal scanning probe located at the tip end of the infrared thermal scanning hysteroscope is activated, and the infrared thermal scanning probe is extended to extend a certain distance from the apex end of the hysteroscope to perform infrared thermal scanning for the uterine cavity, and output to the infrared thermal scanning system monitor.
  • doctors Provide a basis for doctors to diagnose the state of the uterine wall and its surrounding tissues.
  • 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 hysteroscope, and the infrared thermal scanning probe is rotated by the micro motor to extend the apical end of the hysteroscope to scan the infrared radiation formed by the temperature difference generated by the blood movement of the uterine wall blood vessel.
  • FIG. 1 is a schematic view showing the structure of an integrated infrared thermal scanning hysteroscope system according to the present invention.
  • Fig. 2A is a schematic view showing the structure of an infrared thermal scanning hard hysteroscope using an electronic CCD optical system.
  • Fig. 2B is a schematic view showing the structure of an infrared thermal scanning hard hysteroscope using a prism optical system.
  • Fig. 2C is a schematic view showing the structure of an infrared thermal scanning hard hysteroscope 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 hysteroscope shown in Fig. 2A.
  • Fig. 3B is a schematic view showing the end structure of the infrared thermal scanning hard hysteroscope shown in Fig. 2B.
  • Fig. 3C is a schematic view showing the end structure of the infrared thermal scanning hard hysteroscope 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 hysteroscopic system according to the present invention. detailed description
  • the integrated infrared thermal scanning hysteroscopy system of the present invention comprises an infrared thermal scanning hysteroscope, a cold light source host 2, a camera host 3, an infrared thermal scanning processing system host 4, an operating keyboard or The hand-held operating device 5, the infrared thermal scanning system monitor 6, and the endoscope monitor 7 are provided.
  • infrared thermal scanning processing system host 4 An operation panel is also connected, and a control button such as a switch button, a mode selection button, an infrared intensity fine adjustment function button, and a monitor menu button are provided on the handheld operation device 5 and the operation panel.
  • FIG. 1 A schematic diagram of three different forms of infrared thermal scanning hysteroscopy 1, wherein:
  • 2A is a schematic view showing the structure of an infrared thermal scanning hard hysteroscope using an electronic CCD optical system, the infrared thermal scanning hard hysteroscope including a sheath portion and a mirror portion, and the working portion 11 is provided on the mirror portion.
  • the diameter of the linear instrument channel 14 is 3.0 mm.
  • FIG. 2B is a schematic structural view of an infrared thermal scanning hard hysteroscope using a prism optical system
  • the infrared thermal scanning hard hysteroscope includes a sheath portion and a mirror body portion, and the working body portion 11 is disposed on the mirror body portion.
  • 2C is a schematic view showing the structure of an infrared thermal scanning hard hysteroscope using an electronic CCD optical system without any channel, the infrared thermal scanning hard hysteroscope including a sheath portion and a mirror portion, and the mirror portion is provided There are a working end portion 11, a cold light source connector 12 and a data connector 13, 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 infrared thermal scanning hard hysteroscope shown in Figs. 2A, 2B and 2C has a sheath portion and a working end portion 11 of the mirror portion which are made of a hard material and are non-bendable.
  • the sheath portion has a diameter of 15.0 mm and a length of 250 mm to 300 mm, and is provided with a water inlet passage and a water outlet passage. 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 working end portion 11 of the lens body portion, and an optical lens having a diameter of 1.5 mm to 3.0 mm is used, and the CCD is used.
  • the chip uses a 1/4 inch CCD with at least 480,000 effective pixels, and the lens has an angle of view of 100 ° or more.
  • the prism optical system uses an optical lens having a diameter of 1.5 mm to 3.0 mm.
  • 3A, 3B and 3C respectively show the end structure diagrams of the infrared thermal scanning hard hysteroscope shown in Figs. 2A, 2B and 2C, wherein:
  • FIG. 3A is a schematic view showing the end structure of the infrared thermal scanning hard hysteroscope shown in FIG. 2A.
  • the infrared thermal scanning hard hysteroscope is integrated with an endoscope lens 131 and infrared rays at the tip end portion of the working end portion 11 of the mirror body portion.
  • the probe 132 and the light guiding fiber 121 are thermally scanned, and an instrument channel outlet 141 is also provided.
  • the infrared thermal scanning probe 132 has a diameter of 3.0 mm.
  • the endoscope lens 131 is an optical lens of 1.5 mm to 3.0 mm.
  • FIG. 3B is a schematic view showing the end structure of the infrared thermal scanning hard hysteroscope shown in FIG. 2B.
  • the infrared thermal scanning hard hysteroscope is integrated with an endoscope lens 151 and infrared rays at the tip end portion of the working end portion 11 of the mirror body portion.
  • the thermal scanning probe 132 and the light guiding fiber 121 are scanned.
  • the infrared thermal scanning probe 132 has a diameter of 3.0 mm
  • the endoscope lens 151 is an optical lens of 1.5 mm to 3.0 mm.
  • FIG. 3C is a schematic view showing the end structure of the infrared thermal scanning hard hysteroscope shown in FIG. 2C.
  • the infrared thermal scanning hard hysteroscope is integrated with an endoscope lens 131 and infrared rays at the tip end portion of the working end portion 11 of the mirror body portion.
  • the thermal scanning probe 132 and the light guiding fiber 121 are scanned.
  • the infrared thermal scanning probe 132 has a diameter of 3.0 mm
  • the endoscope lens 131 is an optical lens of 1.5 mm to 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 end of the infrared thermal scanning hysteroscope 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 hysteroscopic system according to the present invention.
  • the patient takes the lithotomy position, routinely disinfects the vulva and vagina 91, expands the vagina 91 with the diffuser 8, and finds the depth and direction of the uterine cavity 9, and uses the glucose solution or saline to expand the palace, first evacuating the infrared heat scanning hysteroscope 1
  • the air between the sheath portion and the body portion is slowly placed into the infrared thermal scanning hysteroscope 1, the light source is turned on, and the uterine fluid is injected. After the uterine cavity 9 is filled, the field of view is bright, and the whole field is observed.
  • the device can be used for gynecological examination and treatment.
  • the infrared thermal scanning probe 132 located at the tip end of the infrared thermal scanning hysteroscope 1 is activated, and the infrared thermal scanning probe 132 is extended to extend a certain distance from the apex end of the hysteroscope to perform infrared thermal scanning for the uterine cavity 9 to output infrared heat.
  • the scanning system monitor 6 provides a basis for the doctor to diagnose the state of the uterine wall and its surrounding tissues.

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

Abstract

L'invention concerne un système d'hystéroscopie intégrant un dispositif de balayage thermique infrarouge, qui comprend un hystéroscope (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'hystéroscopie intègre une sonde de balayage thermique infrarouge (132) pouvant effectuer un balayage circulaire tridimensionnel des tissus des parois de la cavité utérine. Les données acquises sont transmises au système hôte de traitement par balayage thermique infrarouge (4) pour traitement des images. Différents modes de fonctionnement peuvent être mis en oeuvre, notamment un mode d'affichage normal et un mode d'affichage en vision nocturne, qui permettent au médecin de s'informer des fonctions et des modifications pathologiques de la cavité utérine, et de poser un diagnostic approprié sur la base des différentes images d'affichage obtenues et de l'analyse du fond d'image tridimensionnel des vaisseaux sanguins de la cavité utérine.
PCT/CN2011/070570 2010-12-10 2011-01-25 Système d'hystéroscopie intégrant une fonction de dispositif de balayage thermique infrarouge WO2012075712A1 (fr)

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CN 201010581910 CN102133082B (zh) 2010-12-10 2010-12-10 一体化红外线热扫描宫腔镜系统
CN201010581910.5 2010-12-10

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CN102100519A (zh) * 2010-12-10 2011-06-22 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宫腔镜系统
CN102440751A (zh) * 2011-12-30 2012-05-09 广州宝胆医疗器械科技有限公司 具有夜视功能的宫腔镜系统
CN102697439A (zh) * 2012-01-18 2012-10-03 广州宝胆医疗器械科技有限公司 Oct硬质宫腔镜系统
CN113520833B (zh) * 2021-08-16 2023-12-29 苏州会禾电器有限公司 一种子宫按摩理疗仪

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US5445157A (en) * 1992-02-20 1995-08-29 Asahi Kogaku Kogyo Kabushiki Kaisha Thermographic endoscope
JP2001286436A (ja) * 2000-04-06 2001-10-16 Olympus Optical Co Ltd 内視鏡
CN101019758A (zh) * 2007-03-23 2007-08-22 天津大学 近红外漫射光无创早期宫颈癌检测系统及其检测方法
US20100036259A1 (en) * 2008-08-05 2010-02-11 Dicarlo Paul Uterine Infrared Thermal Imaging Device
CN101773377A (zh) * 2009-12-23 2010-07-14 徐州雷奥医疗设备有限公司 全程可视的流产手术用内窥镜
CN101803900A (zh) * 2010-02-12 2010-08-18 广州市番禺区胆囊病研究所 一体化共聚焦显微硬质宫腔镜系统
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