WO2020258281A1 - 气腹机、腹腔内手术设备及其烟雾自动排除的控制方法 - Google Patents
气腹机、腹腔内手术设备及其烟雾自动排除的控制方法 Download PDFInfo
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- WO2020258281A1 WO2020258281A1 PCT/CN2019/093818 CN2019093818W WO2020258281A1 WO 2020258281 A1 WO2020258281 A1 WO 2020258281A1 CN 2019093818 W CN2019093818 W CN 2019093818W WO 2020258281 A1 WO2020258281 A1 WO 2020258281A1
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- signal
- insufflator
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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
- A61B1/313—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 introducing through surgical openings, e.g. laparoscopes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
Definitions
- This application relates to the technical field of intra-abdominal surgery, and in particular to an insufflator, intra-abdominal surgery equipment and a control method for automatically removing smoke.
- Abdominal surgery is a minimally invasive surgery performed with related surgical instruments and a laparoscope with a miniature camera. It has the advantages of small surgical wounds, fewer complications, fast recovery, and low harm to patients.
- energy platforms such as high-frequency electrosurgical units, unipolar and bipolar electrocoagulation, and ultrasonic scalpels, are used in hemostasis and coagulation equipment, there are more and more by-products, such as smoke. , Condensation mist and various harmful gases, etc.
- smoke smoke.
- these by-products will cause the mirror surface of the miniature camera to be atomized, making the field of view poorer and affecting the smooth progress of the operation.
- these harmful gases are absorbed by the patient's tissues, which can cause the patient to vomit or headache after surgery.
- the traditional method of laparoscopic smoke removal is manual control, that is, artificially open the ball valve of the tube sheath of the insufflator, and directly discharge the smoke into the operating room, and close the ball valve after the surgical field of view is clear, thus harming the health of medical staff.
- the ball valve of the sheath is opened, due to the large exhaust flow, the decrease in the maintenance of the abdominal pressure will affect the quality of the operation, thereby reducing the efficiency of the operation.
- the present application provides a control method for automatically removing smoke from intra-abdominal surgery, intra-abdominal surgery equipment and an insufflator to solve the above-mentioned problems.
- the present application provides a control method for automatically removing smoke from intra-abdominal surgery, which is applied to an intra-abdominal surgery device.
- the intra-abdominal surgery equipment includes an energy platform, an insufflator, a signal sensor corresponding to the end of the energy platform, and a signal receiver corresponding to the end of the insufflator.
- the control method includes the following steps:
- the signal sensor detects the working state of the energy platform, and generates a first sensing signal when the energy platform is in an active state;
- the first induction signal is received by the signal receiver, and the energy platform is determined to be in the activated state according to the first induction signal, and the insufflator is controlled to perform a smoke removal work.
- the present application provides an intra-abdominal surgery device, including an energy platform, an insufflator, a signal sensor corresponding to the end of the energy platform, and a signal receiver corresponding to the end of the insufflator, the energy platform and
- the insufflator establishes a communication connection with the signal receiver through the signal sensor, and the signal sensor is used to detect the working state of the energy platform, and generate a first signal when the energy platform is in an active state.
- the insufflator includes a controller electrically connected to the signal sensor, and the controller is configured to receive the first induction signal through the signal receiver, and to determine the position according to the first induction signal.
- the energy platform is in the activated state, and the insufflator is controlled to start the smoke removal work.
- the present application provides an insufflator, including an insufflator main body, a signal receiver corresponding to the main body end of the insufflator, and a signal sensor communicatively connected to the signal receiver, and the signal sensor is used for
- the main body of the insufflator includes a controller electrically connected to the signal receiver, and the controller is used to pass The signal receiver receives the first induction signal, and according to the first induction signal, determines that the energy platform is in the activated state, and controls the main body of the insufflator to perform smoke removal work.
- the present application provides an intra-abdominal surgery device, including an energy platform, an insufflator and a signal cable.
- the energy platform has a first signal interface
- the insufflator has a second signal interface
- the signal Both ends of the cable are respectively connected to the first signal interface and the second signal interface to form a communication connection between the insufflator and the energy platform, so that when the energy platform is in the active state ,
- a control signal can be sent to the insufflator through a signal cable;
- the insufflator includes a controller for determining, according to the control signal, that the energy platform is in the The activated state, and control the insufflator to perform the start of smoke removal work.
- the present application provides an insufflator, including an insufflator body and a signal cable; one end of the signal cable is used to connect to the energy platform through a first signal interface provided on an energy platform , The other end of the signal cable is connected to the main body of the insufflator through a second signal interface provided on the main body of the insufflator to form communication between the energy platform and the main body of the insufflator Connection, so that when the energy platform is in the activated state, a control signal can be sent to the main body of the insufflator through the signal cable; the main body of the insufflator includes a controller for obtaining the control Signal, it is determined according to the control signal that the energy platform is in the activated state, and the insufflator is controlled to start the smoke removal work.
- the application provides a control method for automatically removing smoke from intra-abdominal surgery, intra-abdominal surgery equipment, and an insufflator.
- the intra-abdominal surgery equipment includes an energy platform, an insufflator, a signal sensor corresponding to the end of the energy platform, and a signal receiver corresponding to the end of the insufflator.
- the control method for automatically removing smoke from the abdominal cavity operation includes the following steps: establishing a communication connection between the signal sensor and the signal receiver; the signal sensor detects the working state of the energy platform, and then The first induction signal is generated when the energy platform is in the activated state; the first induction signal is received through the signal receiver, and the energy platform is determined to be in the activated state according to the first induction signal, and the gas is controlled Abdominal machine performs start-up smoke removal work.
- the controller can automatically control the pneumoperitoneum machine to start the smoke evacuation work, so as to realize the linkage work of the energy platform and the pneumoperitoneum machine, so as to be able to eliminate the abdominal cavity surgery.
- Smoke is discharged at any time without manual operation, thereby improving the efficiency and safety of the operation.
- Fig. 1 is a schematic structural diagram of an intra-abdominal surgery device provided by the first embodiment of the application.
- Fig. 2 is a schematic structural diagram of an intra-abdominal surgery device provided by a second embodiment of the application.
- Fig. 3 is a schematic structural diagram of an intra-abdominal surgery device provided by a third embodiment of the application.
- Fig. 4 is a schematic structural diagram of an intra-abdominal surgery device provided by the fourth embodiment of the application.
- Fig. 5 is a schematic structural diagram of an intra-abdominal surgery device provided by a fifth embodiment of the application.
- Fig. 6 is a flowchart of a control method for automatically removing smoke from intra-abdominal surgery according to the first embodiment of the application.
- FIG. 7 is a flowchart of a control method for automatically removing smoke from intra-abdominal surgery according to the second embodiment of the application.
- Fig. 8 is a flowchart of a control method for automatically removing smoke from intra-abdominal surgery according to the third embodiment of the application.
- the words indicating directions such as up, down, left, right, front, back, inside, and outside are only for the structure shown in the corresponding attachment. In terms of location in the picture.
- the terms “installed”, “connected”, “connected”, and “installed on” should be understood in a broad sense, unless clearly defined and limited otherwise.
- they can be
- the fixed connection can also be a detachable connection or an integral connection; it can be a mechanical connection; it can be a direct connection or an indirect connection through an intermediate medium, and it can be a connection between two components.
- the specific meanings of the above-mentioned terms in this application can be understood under specific circumstances.
- activated state in the description and claims of this application and the above-mentioned drawings refers to the working state of the energy platform that generates smoke in the abdominal cavity of the patient when it is used for surgery.
- intra-abdominal surgery equipment adds a smoke exhaust unit in the insufflator to expel the smoke during the intra-abdominal surgery from the patient's abdominal cavity.
- the method of removing smoke from intra-abdominal surgery is manually controlled, that is, the smoke exhaust unit of the insufflator is manually touched by pedals or other means, which makes the operation complicated and easy to cause misoperation, thereby reducing the efficiency of the operation.
- intra-abdominal surgery equipment generally includes an energy platform and an insufflator. Since manufacturers of energy platforms and insufflators on the market are different, and the communication protocols used by the hosts produced by each manufacturer are also different, the energy platform and insufflators cannot communicate directly, which reduces the efficiency of surgery.
- the embodiment of the application provides an intra-abdominal surgery device, including an energy platform, an insufflator, a signal sensor corresponding to the end of the energy platform and a signal receiver corresponding to the end of the insufflator, the energy platform and the
- the insufflator establishes a communication connection with the signal receiver through the signal sensor, and the signal sensor is used to detect the working state of the energy platform, and generate a first induction when the energy platform is in an active state Signal
- the insufflator includes a controller electrically connected to the signal sensor, and the controller is configured to receive the first induction signal through the signal receiver, and determine the first induction signal according to the first induction signal
- the energy platform is in the activated state, and the insufflator is controlled to start the smoke removal work.
- the intra-abdominal surgery device disclosed in the present application detects the working state of the energy platform through the signal sensor, and when the energy platform is in the active state, automatically controls the insufflator to start the smoke exhausting work, thereby The smoke generated during intra-abdominal surgery is automatically discharged without manual operation, thereby improving the efficiency and safety of the operation.
- the energy platform and the insufflator can receive signals through the signal sensor and the insufflator.
- the device establishes a communication connection to achieve barrier-free communication between the energy platform with incompatible communication protocols and the insufflator, thereby improving the efficiency of the operation.
- FIG. 1 is a schematic structural diagram of an intra-abdominal surgery device 1000 provided by the first embodiment of the application.
- the intra-abdominal surgery device 1000 includes an energy platform 100, an insufflator 200, a signal sensor 301 corresponding to the energy platform terminal 100, and a signal receiver 302 corresponding to the insufflator terminal 200.
- the signal sensor 301 and the signal receiver 302 can establish a communication connection, so that the energy platform 100 and the insufflator 200 establish a communication connection through the signal sensor 301 and the signal receiver 302.
- the signal sensor 301 is used to detect the working state of the energy platform 100 and generate a first sensing signal when the energy platform 100 is in the activated state.
- the insufflator 200 includes a controller 21 electrically connected to the signal sensor 302.
- the controller 21 receives the first induction signal through the signal receiver 302, determines that the energy platform 100 is in the activated state according to the first induction signal, and controls the insufflator 200 to start the smoke removal work.
- the energy platform 100 includes, but is not limited to, hemostatic and coagulation equipment such as high frequency electrosurgical knife, single and bipolar electrocoagulation, and ultrasonic knife.
- the energy platform 100 here generates smoke in the abdominal cavity of the patient during use. Because these smoke obstruct the vision of the operator, and release toxic and harmful substances into the air to pollute the operating environment and endanger the health of the personnel, the insufflator 200 in the embodiment of the present application has a smoke exhaust function to realize the abdominal cavity During the operation, smoke can be emitted at any time to maintain a clear vision, and it has the function of environmental protection and not endangering the health of medical staff and patients.
- the insufflator 200 further includes a smoke exhaust unit 22 electrically connected to the controller 21.
- the controller 21 is specifically configured to control the smoke exhaust unit 22 to start or stop smoke removal.
- the smoke exhaust unit 22 may adopt a smoke exhauster commonly used in the art, such as a controllable smoke exhauster.
- the smoke exhaust unit 22 includes an on-off valve, an electronic negative pressure pump, a mechanical negative pressure pump, an exhaust pipe and an exhaust joint, etc., which are not described in detail herein.
- the signal sensor 301 is also used to generate a second sensing signal when detecting that the energy platform 100 is in a disabled state.
- the controller 21 is further configured to receive the second induction signal through the signal receiver 302, determine that the energy platform 100 is in the deactivated state according to the second induction signal, and control the insufflator 200 to stop the smoke removal work.
- the signal sensor 301 includes, but is not limited to at least one of a magnetic sensor, an ultrasonic sensor, and a power sensor. In addition, in order to determine the accuracy of the working state of the energy platform 100, the signal sensor 301 may also include any two or more of a magnetic sensor, an ultrasonic sensor, and a power sensor at the same time.
- the first induction signal is the first magnetic induction signal generated by the magnetic sensor detecting the magnetic field of the surrounding environment when the energy platform 100 is in the activated state .
- the energy platform 100 is in the activated state, that is, when current flows through the energized coil of the energy platform 100, the energized coil generates a magnetic field.
- the magnetic sensor is, for example, a Hall sensor.
- the first magnetic induction signal includes, but is not limited to, magnetic field signals such as magnetic field frequency, magnetic field time, and magnetic field characteristics.
- the first sensing signal is the first ultrasonic signal generated by the ultrasonic sensor detecting the ultrasonic waves of the surrounding environment when the energy platform 100 is in the active state .
- the energy platform 100 may include the ultrasonic knife or other ultrasonic instruments, so the ultrasonic generator of the ultrasonic knife generates ultrasonic waves when it is in the activated state. Wherein, the greater the ultrasonic energy generated by the ultrasonic transducer, the stronger the first ultrasonic signal generated by the ultrasonic sensor.
- the first sensing signal is the first signal generated by the power sensor detecting the voltage or current of the powered unit when the energy platform 100 is in the active state. electric signal.
- the greater the current or voltage flowing through the energization unit the stronger the first electrical signal generated by the power sensor, and vice versa.
- the power sensor may include a voltmeter connected in parallel with the power-on unit to detect the voltage of the power-on unit, or the power sensor may include a current meter connected in series with the power-on unit to detect the current of the power-on unit.
- the signal sensor 301 is a sensor integrated with a communication unit to send the first induction signal or the second induction signal to the signal receiver 302.
- the communication unit is, for example, but not limited to a 2G, 3G, 4G, 5G, etc. communication unit that can be, but is not limited to, WiFi, Bluetooth, or mobile communication.
- the signal sensor 301 may be arranged around the energy platform 100.
- the signal receiver 302 may also be provided around the insufflator 200.
- the signal sensor 301 may also be connected to the host of the energy platform 100 through a signal cable.
- the signal sensor 301 may also be a chip with a communication function, such as a WiFi chip, so as to be directly connected to the host of the energy platform 100.
- the signal receiver 302 can also be connected to the controller 21 of the insufflator 200 through a signal cable.
- the signal receiver 302 may also be a chip with a communication function, such as a WiFi chip, so as to be directly connected to the controller 21 of the insufflator 200.
- FIG. 2 is a schematic structural diagram of an intra-abdominal surgery device 2000 provided by the second embodiment of the application.
- the intra-abdominal surgery equipment 2000 includes an energy platform 100A and an insufflator 200A.
- the structure of the intra-abdominal surgery device 2000 is similar to the intra-abdominal surgery device 1000 of the first embodiment, except that the signal sensor 301B is provided on the energy platform 100A, and the signal receiver 302B is provided on the pneumoperitoneum On the machine 200A.
- the signal sensor 301A can be integrated into the host of the energy platform 100A, thereby saving the signal sensor 301A occupying the space of the energy platform 100A.
- the signal receiver 302A can also be integrated in the controller 21, thereby saving the signal receiver 302A occupying the space of the insufflator 200A.
- the signal sensor 301 can also be arranged on the energy platform 100A, and the signal receiver 302 can be arranged around the insufflator 200A; or the signal sensor 301 can also be arranged around the energy platform 100A,
- the signal receiver 302 is provided on the insufflator 200A, which is not limited here.
- the controller 21 is specifically configured to determine that the energy platform 100 is in the activated state when the first sensing signal matches the first preset signal.
- the first preset signal is stored in the insufflator 200 in advance.
- the first preset signal may be a high-level signal.
- the first preset signal may also be a low-level signal.
- the controller 21 of the insufflator 200 determines whether the first induction signal received by the signal receiver 302 is the high-level signal or the low-level signal to further confirm the received first induction signal. Whether the signal is valid, that is, reconfirm whether the energy platform 100 is in the activated state. For example, when the first sensing signal does not match the first preset signal, it indicates that the first sensing signal is an invalid signal. When the first sensing signal matches the first preset signal, it indicates that the first sensing signal is a valid signal.
- the first sensing signal includes the type of the first sensing signal and the signal strength of the first sensing signal.
- the controller 21 is specifically used to compare the first sensing signal with surrounding environment signals to determine whether the first sensing signal is valid.
- the surrounding environment signal may be the corresponding surrounding environment signal acquired by the signal sensor 301 when the energy platform 100 is in a deactivated state. Specifically, when the first induction signal is less than the surrounding environment signal, it is determined that the first induction signal is an invalid signal; or when the first induction signal is greater than the surrounding environment signal, it is determined that the first induction signal is greater than the surrounding environment signal.
- the induction signal is a valid signal.
- the surrounding environment signal is usually very small, so by comparing the first induction signal with the surrounding environment signal, to exclude the first induction signal that does not meet the conditions, then the The first induction signal matches the first preset signal, and when the first induction signal meets the conditions, it is judged that the energy platform 100 is in the activated state, so as to improve the validity of the judgment, and thereby avoid false activation of pneumoperitoneum
- the smoke removal work of the machine 200 reduces the safety and efficiency of the operation.
- the controller 21 is also specifically configured to determine that the energy platform 100 is in the disabled state when the second induction signal matches the second preset signal, which will not be repeated here.
- the insufflator 200 further includes a memory 23 electrically connected to the controller 21.
- the first preset signal is stored in the memory 23 in advance.
- the memory 23 includes RAM and flash memory (ie, flash memory). The memory 23 is also used to store software programs and modules.
- the controller 21 is specifically configured to obtain the signal intensity level of the first induction signal according to the first induction signal, and determine the corresponding first induction signal according to the correspondence between the predefined signal intensity level and the smoke exhaust intensity gear
- the smoke exhaust intensity level of the signal strength level is determined, and the insufflation machine 200 is controlled to start the smoke elimination work according to the determined smoke exhaust intensity level.
- the memory 23 also pre-stores the signal strength level, so that the signal strength level of the first induction signal can be obtained according to the signal strength of the first induction signal.
- the mapping relationship between the signal intensity level and the smoke exhaust intensity gear is established in advance. Therefore, the controller 21 of the insufflator 200 can determine the corresponding relationship between the signal intensity level and the smoke exhaust intensity gear defined in advance.
- a smoke exhaust intensity gear of the signal strength level of the induction signal and according to the determined smoke exhaust intensity gear, the insufflator 200 is controlled to start the smoke elimination work, thereby speeding up the smoke emission speed and ensuring the operation
- the vision of the patient is clear and environmentally friendly, and does not endanger the health of medical staff and patients.
- the insufflator 200 also includes an air circuit unit 24 electrically connected to the controller 21.
- the gas path unit 24 is used to input the gas medium provided by the gas cylinder, such as CO2, into the abdominal cavity of the patient and maintain a certain pressure, so as to provide the operator with a good field of view and a large enough operating space.
- the controller 21 is also used to control the flow and pressure of the gas medium in the gas path unit 24.
- the controller 21 may be used to control the cooperation of various functional devices in the insufflator 200.
- the controller 21 is the control center of the insufflator 200. It uses various interfaces and lines to connect the various parts of the insufflator 200. By running or executing the programs stored in the memory 23 and calling the data stored in the memory 23, To perform various functions of the insufflator 200 and process data.
- the controller 21 can be composed of an integrated circuit (Integrated Circuit, IC for short), for example, can be composed of a single packaged IC, or can be composed of multiple packaged ICs with the same function or different functions.
- the controller 21 may only include a central processing unit (Central Processing Unit, CPU for short), or a CPU, a digital signal processor (digital signal processor, DSP for short), and a graphics processor (Graphic Processing Unit, GPU for short). ) And a combination of various control chips.
- the CPU may be a single computing core, or may include multiple computing cores.
- FIG. 1 is only an example of the intra-abdominal surgery device 1000, and does not constitute a limitation on the intra-abdominal surgery device 1000.
- the intra-abdominal surgery device 1000 may include more or less components than those shown in FIG. , Or a combination of some components, or different components, for example, the intra-abdominal surgery device 1000 may also include a laparoscope, a light source, a monitor, a video recorder, an insufflation needle, a gas cylinder, and the like.
- FIG. 3 is a schematic structural diagram of an intra-abdominal surgery device 3000 provided by the third embodiment of the application.
- the intra-abdominal surgery equipment 3000 includes an energy platform 100B and an insufflator 200B.
- the structure of the intra-abdominal surgery device 3000 is similar to that of the intra-abdominal surgery device 1000 of the first embodiment, except that the signal sensor 301B and the signal receiver 302B are provided in the insufflator 200B.
- the insufflator 200B includes an insufflator main body 201B, a signal receiver 302B corresponding to the end of the insufflator main body 201B, and a signal sensor 301B communicatively connected to the signal receiver 302B.
- the signal sensor 301B is used to detect the working state of the energy platform 100B, and generate a first sensing signal when the energy platform 100B is in the activated state.
- the insufflator main body 201B includes a controller 21 electrically connected to the signal receiver 302B.
- the controller 21 is configured to receive the first induction signal through the signal receiver 302B, determine that the energy platform 100B is in the activated state according to the first induction signal, and control the insufflator main body 201B to start the smoke removal work.
- FIG. 4 is a schematic structural diagram of an intra-abdominal surgery device 4000 provided by a fourth embodiment of the application.
- the intra-abdominal surgery equipment 4000 includes an energy platform 100C and an insufflator 200C.
- the structure of the intra-abdominal surgery device 4000 is similar to the intra-abdominal surgery device 1000 of the first embodiment, except that the intra-abdominal surgery device 4000 further includes a signal cable 400.
- the energy platform 100C has a first signal interface 103 and the insufflator 200C has a second signal interface 203.
- Both ends of the signal cable 400 are respectively connected to the first signal interface 103 and the second signal interface 203 to form a communication connection between the insufflator 200C and the energy platform 100C, so that the energy platform 100C can pass through
- the signal cable 400 sends a control signal to the insufflator 200C.
- the insufflator 200C includes a controller 21 for determining that the energy platform 100C is in the activated state according to the control signal when the control signal is obtained, and controlling the insufflator 200C to start the smoke removal work.
- the control signal may be a high-level signal. In some other embodiments, the control signal may be a low-level signal.
- the energy platform 100C includes a host and a switch electrically connected to the host. When the switch is on or off, the host will receive a high and low level signal respectively, so that according to the signal generated by the energy platform 100C, it can be determined whether the energy platform 100C is in the enabled state or the disabled state. For example, when the host of the energy platform 100C receives the high-level signal, it is determined that the energy platform 100C is in the activated state. When the host of the energy platform 100C receives the low-level signal, it is determined that the energy platform 100C is in the disabled state.
- one of the first signal interface 103 and the second signal interface 203 is pluggably connected to the signal cable 400, and the other of the first signal interface 103 and the second signal interface 203 It is fixedly connected to the signal cable 400.
- the first signal interface 103 and the second signal interface 203 are both pluggable and connectable to the signal cable 400.
- the signal cable 400 may also be omitted, that is, the first signal interface 103 and the second signal interface 203 are both wireless signal interfaces, such as, but not limited to, parallel interfaces, wifi, Bluetooth, or Ethernet. .
- the host of the energy platform 100C and the controller 21 of the insufflator 200C use the same communication protocol, so that the host of the energy platform 100C and the insufflator 200C can directly communicate through the signal cable 400, thereby improving Improve the efficiency of surgery.
- a control signal is sent to the insufflator 200C through the signal cable 400, so as to automatically control the insufflator to start the smoke evacuation work according to the control signal, so that the abdominal cavity can be The smoke generated during the operation is automatically discharged without manual operation, thereby improving the efficiency and safety of the operation.
- FIG. 5 is a schematic structural diagram of an intra-abdominal surgery device 5000 provided by a fifth embodiment of this application.
- the intra-abdominal surgery equipment 5000 includes an energy platform 100D and an insufflator 200.
- the structure of the intra-abdominal surgery device 5000 is similar to that of the intra-abdominal surgery device 4000 of the fourth embodiment, except that the signal cable 400D is provided in the insufflator 200D.
- the insufflator 200D includes an insufflator main body 201D.
- One end of the signal cable 400D is connected to the insufflator main body 201D through the second signal interface 203D provided on the insufflator main body 201D.
- the other end of the signal cable 400D is used to connect to the energy platform 100D through the first signal interface 103D provided on an energy platform 100D to form a communication connection between the energy platform 100D and the insufflator main body 201D, so that the energy platform 100D is When in the activated state, a control signal can be sent to the main body 201D of the insufflator through the signal cable 400D.
- the insufflator main body 201D includes a controller 21 for determining that the energy platform 100D is in the activated state according to the control signal when the control signal is obtained, and controlling the insufflation machine 200D to start the smoke removal work.
- the second signal interface 203D provided on the main body 201D of the insufflator is pluggably connected to the signal cable 400D.
- FIG. 6 is a flowchart of a control method for automatically removing smoke from intra-abdominal surgery according to the first embodiment of the application.
- the control method for automatically removing smoke from intra-abdominal surgery described in this embodiment can be applied to the intra-abdominal surgery device 1000 described in the first embodiment.
- the control method for automatically removing smoke from the abdominal cavity includes the following steps.
- Step S601 Establish a communication connection between the signal sensor and the signal receiver.
- the signal sensor 301 is a sensor integrated with a communication unit to send the first induction signal or the second induction signal to the signal receiver 302.
- the communication unit is, for example, but not limited to a 2G, 3G, 4G, 5G, etc. communication unit that can be, but is not limited to, WiFi, Bluetooth, or mobile communication.
- step S603 the signal sensor detects the working state of the energy platform, and generates a first sensing signal when the energy platform is in an active state.
- the signal sensor 301 includes, but is not limited to at least one of a magnetic sensor, an ultrasonic sensor, and a power sensor. In addition, in order to determine the accuracy of the working state of the energy platform 100, the signal sensor 301 may also include any two or more of a magnetic sensor, an ultrasonic sensor, and a power sensor at the same time.
- the first induction signal is the first magnetic induction signal generated by the magnetic sensor detecting the magnetic field of the surrounding environment when the energy platform 100 is in the activated state .
- the energy platform 100 is in the activated state, that is, when current flows through the energized coil of the energy platform 100, the energized coil generates a magnetic field.
- the magnetic sensor is, for example, a Hall sensor.
- the first magnetic induction signal includes, but is not limited to, magnetic field signals such as magnetic field frequency, magnetic field time, and magnetic field characteristics.
- the first sensing signal is the first ultrasonic signal generated by the ultrasonic sensor detecting the ultrasonic waves of the surrounding environment when the energy platform 100 is in the active state .
- the energy platform 100 may include the ultrasonic knife or other ultrasonic instruments, so the ultrasonic generator of the ultrasonic knife generates ultrasonic waves when it is in the activated state. Wherein, the greater the ultrasonic energy generated by the ultrasonic transducer, the stronger the first ultrasonic signal generated by the ultrasonic sensor.
- the first sensing signal is the first signal generated by the power sensor detecting the voltage or current of the powered unit when the energy platform 100 is in the active state. electric signal.
- the greater the current or voltage flowing through the energization unit the stronger the first electrical signal generated by the power sensor, and vice versa.
- the power sensor may include a voltmeter connected in parallel with the power-on unit to detect the voltage of the power-on unit, or the power sensor may include a current meter connected in series with the power-on unit to detect the current of the power-on unit.
- Step S605 Receive the first induction signal through the signal receiver, and determine that the energy platform is in the activated state according to the first induction signal, and control the insufflator to start the smoke removal work.
- the determining that the energy platform 100 is in the activated state according to the first induction signal specifically includes: determining that the energy platform 100 is in the activated state when the first induction signal matches a first preset signal .
- the first sensing signal includes the type of the first sensing signal and the signal strength of the first sensing signal.
- control method before determining that the energy platform 100 is in the activated state when the first induction signal matches a first preset signal, the control method further includes:
- the first sensing signal is compared with surrounding environment signals to determine whether the first sensing signal is valid.
- the surrounding environment signal may be the corresponding surrounding environment signal acquired by the signal sensor 301 when the energy platform 100 is in a deactivated state. Specifically, when the first induction signal is less than the surrounding environment signal, it is determined that the first induction signal is an invalid signal; or when the first induction signal is greater than the surrounding environment signal, it is determined that the first induction signal is greater than the surrounding environment signal.
- the induction signal is a valid signal.
- the surrounding environment signal is usually very small, so by comparing the first induction signal with the surrounding environment signal, to exclude the first induction signal that does not meet the conditions, then the The first induction signal matches the first preset signal, and when the first induction signal meets the conditions, it is judged that the energy platform 100 is in the activated state, so as to improve the validity of the judgment, and thereby avoid false activation of pneumoperitoneum
- the smoke removal work of the machine 200 reduces the safety and efficiency of the operation.
- control method further includes:
- the signal sensor 301 generates a second sensing signal when detecting that the energy platform 100 is in a disabled state
- the insufflator 200 receives the second induction signal through the signal receiver 302, and determines that the energy platform 100 is in the deactivated state according to the second induction signal, and controls the insufflator to stop the smoke Exclude work.
- the determining that the energy platform 100 is in the disabled state according to the second sensing signal specifically includes: determining that the energy platform 100 is in the stop state when the second sensing signal matches a second preset signal. Use state.
- the first preset signal may be a high-level signal. In some other embodiments, the first preset signal may also be a low-level signal.
- the intra-abdominal surgery devices 2000 and 3000 described in the second embodiment to the third embodiment are also applicable to the control method for automatically removing smoke from the intra-abdominal surgery described in this embodiment, and will not be repeated here.
- the control method for automatically removing smoke from intra-abdominal surgery disclosed in the embodiment of the present application includes: establishing a communication connection between the signal sensor and the signal receiver; the signal sensor detects the working state of the energy platform, and When the energy platform is in the activated state, a first induction signal is generated; the signal receiver receives the first induction signal, and according to the first induction signal, it is determined that the energy platform is in the activated state, and all The described insufflation machine performs start-up smoke removal work.
- the controller can automatically control the pneumoperitoneum machine to start the smoke evacuation work, so as to realize the linkage work of the energy platform and the pneumoperitoneum machine, so as to be able to eliminate the abdominal cavity surgery. Smoke is discharged at any time without manual operation, thereby improving the efficiency and safety of the operation.
- the energy platform and the insufflator can establish a communication connection with the signal receiver through the signal sensor, so as to achieve barrier-free communication between the energy platform and the insufflator that are incompatible with communication protocols, thereby reducing Improve the efficiency of surgery.
- the embodiment of the present application also provides another more detailed method flow, as shown in FIG. 7, including:
- Step S701 Establish a communication connection between the signal sensor and the signal receiver.
- step S703 the signal sensor detects the working state of the energy platform, and generates a first sensing signal when the energy platform is in an active state.
- Step S705 Receive the first induction signal by the signal receiver, and obtain the signal strength level of the first induction signal according to the first induction signal.
- Step S707 Determine the smoke exhaust intensity level corresponding to the signal intensity level of the first induction signal according to the correspondence between the predefined signal intensity level and the smoke exhaust intensity level.
- step S709 the insufflator is controlled to start the smoke elimination work according to the determined smoke exhaust intensity gear.
- FIG. 8 is a flowchart of a control method for automatically removing smoke from intra-abdominal surgery according to an embodiment of this application.
- the method for controlling automatic removal of intra-abdominal surgery smoke described in this embodiment can be applied to the intra-abdominal surgery device 4000 described in the fourth embodiment.
- the control method for automatically removing smoke from the abdominal cavity includes the following steps.
- Step S801 establishing a communication connection between the energy platform and the insufflator.
- the energy platform 100C and the insufflator 200C can establish a communication connection through the signal cable 400.
- a first signal interface 103 is provided on the energy platform 100C
- a second signal interface 203 is provided on the insufflator 200C.
- the two ends of the signal cable 400 are respectively connected to the first signal interface 103 and the second signal interface 203 to realize a communication connection between the energy platform 100C and the insufflator 200C.
- step S803 when the energy platform is in the activated state, a control signal is sent to the insufflator through a signal cable.
- the control signal may be a high-level signal. In some other embodiments, the control signal may be a low-level signal.
- the energy platform 100C includes a host and a switch electrically connected to the host. When the switch is on or off, the host will receive a high and low level signal respectively, so that according to the signal generated by the energy platform 100C, it can be determined whether the energy platform 100C is in the enabled state or the disabled state. For example, when the host of the energy platform 100C receives the high-level signal, it is determined that the energy platform 100C is in the activated state. When the host of the energy platform 100C receives the low-level signal, it is determined that the energy platform 100C is in the disabled state.
- step S805 when the control signal is obtained, it is determined according to the control signal that the energy platform is in the activated state, and the insufflator is controlled to start the smoke removal work.
- the intra-abdominal surgery device 5000 described in the fifth embodiment is also applicable to the control method for automatically removing smoke from the intra-abdominal surgery described in this embodiment, and will not be repeated here.
- the method for automatically removing smoke from intra-abdominal surgery disclosed in the embodiments of the present application includes: establishing a communication connection between an energy platform and an insufflator; when the energy platform is in an active state, sending a signal to the insufflator through a signal cable Control signal; and when the control signal is obtained, it is determined according to the control signal that the energy platform is in the activated state, and the insufflator is controlled to perform the start of smoke removal work.
- the controller can control the insufflator to start the smoke evacuation work, thereby automatically expelling the smoke generated during the intra-abdominal surgery without manual operation, thereby improving the efficiency and safety of the operation .
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Abstract
Description
Claims (17)
- 一种腹腔内手术烟雾自动排除的控制方法,应用于一腹腔内手术设备,其特征在于,所述腹腔内手术设备包括能量平台、气腹机、对应于所述能量平台端的信号感应器和对应于所述气腹机端的信号接收器;所述控制方法包括如下步骤:建立所述信号感应器和所述信号接收器的通信连接;所述信号感应器侦测所述能量平台的工作状态,并在所述能量平台处于启用状态时产生第一感应信号;通过所述信号接收器接收所述第一感应信号,以及根据所述第一感应信号确定所述能量平台处于所述启用状态,并控制所述气腹机执行启动烟雾排除工作。
- 如权利要求1所述的控制方法,其特征在于,所述控制方法还包括:所述信号感应器在侦测所述能量平台处于停用状态时而产生第二感应信号;通过所述信号接收器接收所述第二感应信号,以及根据所述第二感应信号确定所述能量平台处于所述停用状态,并控制所述气腹机执行停止烟雾排除工作。
- 如权利要求1所述的控制方法,其特征在于,所述根据所述第一感应信号确定所述能量平台处于所述启用状态,具体包括:在所述第一感应信号与第一预设信号匹配时确定所述能量平台处于所述启用状态。
- 如权利要求1所述的控制方法,其特征在于,所述控制所述气腹机执行启动烟雾排除工作,包括:根据所述第一感应信号得到所述第一感应信号的信号强度等级;根据预先定义的信号强度等级与排烟雾强度档位的对应关系,确定对应所述第一感应信号的信号强度等级的排烟雾强度档位;根据确定的所述排烟雾强度档位控制所述气腹机执行启动烟雾排除工作。
- 如权利要求1所述的控制方法,其特征在于,所述信号感应器包括磁感应器、超声波感应器、电量感应器中的至少一者,所述第一感应信号为所述磁感应器侦测所述能量平台处于所述启用状态时的周围环境的磁场而产生的第一磁感应信号;或者为所述超声波感应器侦测所述能量平台处于启用状态时的周围环境 的超声波而产生的第一超声波信号;或者为所述电量感应器侦测所述能量平台处于启用状态时的通电单元的电压或电流而产生的第一电信号。
- 一种腹腔内手术设备,其特征在于,包括能量平台、气腹机、对应于所述能量平台端的信号感应器和对应于所述气腹机端的信号接收器,所述能量平台和所述气腹机通过所述信号感应器和所述信号接收器建立通信连接,所述信号感应器用于侦测所述能量平台的工作状态,并在所述能量平台处于启用状态时产生第一感应信号,所述气腹机包括电连接于所述信号感应器的控制器,所述控制器用于通过所述信号接收器接收所述第一感应信号,以及根据所述第一感应信号确定所述能量平台处于所述启用状态,并控制所述气腹机执行启动烟雾排除工作。
- 如权利要求6所述的腹腔内手术设备,其特征在于,所述信号感应器还用于在侦测所述能量平台处于停用状态时而产生第二感应信号,所述控制器还用于通过所述信号接收器接收所述第二感应信号,以及根据所述第二感应信号确定所述能量平台处于所述停用状态,并控制所述气腹机执行停止烟雾排除工作。
- 如权利要求6所述的腹腔内手术设备,其特征在于,所述控制器具体用于在所述第一感应信号与第一预设信号匹配时确定所述能量平台处于所述启用状态。
- 如权利要求6所述的腹腔内手术设备,其特征在于,所述控制器具体用于:根据所述第一感应信号得到所述第一感应信号的信号强度等级;根据预先定义的信号强度等级与排烟雾强度档位的对应关系,确定对应所述第一感应信号的信号强度等级的排烟雾强度档位;根据确定的所述排烟雾强度档位控制所述气腹机执行启动烟雾排除工作。
- 如权利要求6所述的腹腔内手术设备,其特征在于,所述信号感应器包括磁感应器、超声波感应器、电量感应器中的至少一者,所述第一感应信号为所述磁感应器侦测所述能量平台处于所述启用状态时的周围环境的磁场而产生的第一磁感应信号;或者为所述超声波感应器侦测所述能量平台处于启用状态时的周围环境的超声波而产生的第一超声波信号;或者为所述电量感应器侦测所述能量平台处于启用状态时的通电单元的电压或电流而产生的第一电信号。
- 如权利要求6所述的腹腔内手术设备,其特征在于,所述信号感应器为集成有通信单元的感应器。
- 如权利要求6所述的腹腔内手术设备,其特征在于,所述信号感应器设置在所述能量平台上或设置在所述能量平台的周围。
- 如权利要求6所述的腹腔内手术设备,其特征在于,所述信号接收器设置于所述气腹机上或所述气腹机的周围。
- 如权利要求6或7所述的腹腔内手术设备,其特征在于,所述气腹机还包括与所述控制器电连接的排烟单元,所述控制器具体用于控制所述排烟单元执行启动或执行停止烟雾排除工作。
- 一种气腹机,其特征在于,包括气腹机主体、对应于所述气腹机主体端的信号接收器和通信连接于所述信号接收器的信号感应器,所述信号感应器用于侦测能量平台的工作状态,并在所述能量平台处于启用状态时产生第一感应信号,所述气腹机主体包括电连接于所述信号接收器的控制器,所述控制器用于通过所述信号接收器接收所述第一感应信号,以及根据所述第一感应信号确定所述能量平台处于所述启用状态,并控制所述气腹机主体执行启动烟雾排除工作。
- 一种腹腔内手术设备,其特征在于,包括能量平台、气腹机和信号线缆;所述能量平台具有第一信号接口,所述气腹机具有第二信号接口,所述信号线缆的两端分别连接到所述第一信号接口和所述第二信号接口,以在所述能量平台和所述气腹机之间形成通信连接,使得所述能量平台在处于启用状态时,可以通过信号线缆向所述气腹机发送一控制信号;所述气腹机包括控制器,用于在获取到所述控制信号时,根据所述控制信号确定所述能量平台处于所述启用状态,并控制所述气腹机执行启动烟雾排除工作。
- 一种气腹机,其特征在于,包括气腹机主体和信号线缆;所述信号线缆的一端用于通过设置在一能量平台上的第一信号接口连接至所述能量平台,所述信号线缆的另一端通过设置在所述气腹机主体上的第二信号接口连接至所述气腹机主体,以在所述能量平台和所述气腹机主体之间形成通信连接,使得所述能量平台在处于启用状态时,可以通过所述信号线缆向所述气腹机主体发送一控制信号;所述气腹机主体包括控制器,用于在获取到所述控制信号时,根据所述控制信号确定所述能量平台处于所述启用状态,并控制所述气腹机执行启动烟雾排除工作。
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| CN201980064581.6A CN112804934B (zh) | 2019-06-28 | 2019-06-28 | 气腹机、腹腔内手术设备及其烟雾自动排除的控制方法 |
| PCT/CN2019/093818 WO2020258281A1 (zh) | 2019-06-28 | 2019-06-28 | 气腹机、腹腔内手术设备及其烟雾自动排除的控制方法 |
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| US5476447A (en) * | 1983-06-28 | 1995-12-19 | Olympus Optical Co., Ltd. | Intraperitoneal therapy apparatus |
| CN201015601Y (zh) * | 2007-03-20 | 2008-02-06 | 蔡秀军 | 腹腔镜用同步吸烟钩状电凝器 |
| CN201200475Y (zh) * | 2008-07-11 | 2009-03-04 | 北京市亚可康达技术研究所 | 一种用于医疗手术中启动烟雾净化系统的自动探测启动装置 |
| CN201253257Y (zh) * | 2008-07-11 | 2009-06-10 | 北京市亚可康达技术研究所 | 用于启动烟雾净化系统的自动探测启动装置 |
| CN205072934U (zh) * | 2015-11-02 | 2016-03-09 | 王志向 | 一种用于腹腔镜手术的气腹机 |
-
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- 2019-06-28 CN CN201980064581.6A patent/CN112804934B/zh active Active
- 2019-06-28 WO PCT/CN2019/093818 patent/WO2020258281A1/zh not_active Ceased
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5476447A (en) * | 1983-06-28 | 1995-12-19 | Olympus Optical Co., Ltd. | Intraperitoneal therapy apparatus |
| CN201015601Y (zh) * | 2007-03-20 | 2008-02-06 | 蔡秀军 | 腹腔镜用同步吸烟钩状电凝器 |
| CN201200475Y (zh) * | 2008-07-11 | 2009-03-04 | 北京市亚可康达技术研究所 | 一种用于医疗手术中启动烟雾净化系统的自动探测启动装置 |
| CN201253257Y (zh) * | 2008-07-11 | 2009-06-10 | 北京市亚可康达技术研究所 | 用于启动烟雾净化系统的自动探测启动装置 |
| CN205072934U (zh) * | 2015-11-02 | 2016-03-09 | 王志向 | 一种用于腹腔镜手术的气腹机 |
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