WO2021000541A1 - Dual-loop, automatic health managing, multi-output minimally invasive surgery system - Google Patents

Dual-loop, automatic health managing, multi-output minimally invasive surgery system Download PDF

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Publication number
WO2021000541A1
WO2021000541A1 PCT/CN2019/127135 CN2019127135W WO2021000541A1 WO 2021000541 A1 WO2021000541 A1 WO 2021000541A1 CN 2019127135 W CN2019127135 W CN 2019127135W WO 2021000541 A1 WO2021000541 A1 WO 2021000541A1
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tool
output
circuit
control
minimally invasive
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PCT/CN2019/127135
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French (fr)
Chinese (zh)
Inventor
马振尉
刘富春
李威谕
邓浮池
戚锦磊
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广州易和医疗技术开发有限公司
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Publication of WO2021000541A1 publication Critical patent/WO2021000541A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320082Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for incising tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589Coagulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00642Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00702Power or energy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00732Frequency
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00755Resistance or impedance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/1206Generators therefor
    • A61B2018/1246Generators therefor characterised by the output polarity
    • A61B2018/1253Generators therefor characterised by the output polarity monopolar
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/1206Generators therefor
    • A61B2018/1246Generators therefor characterised by the output polarity
    • A61B2018/126Generators therefor characterised by the output polarity bipolar
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1412Blade

Definitions

  • the invention relates to the technical field of medical devices, and in particular to a multi-output minimally invasive surgery system for double-ring self-health management.
  • the ultrasonic knife system includes a host, a handle, an ultrasonic transducer, an ultrasonic energy amplifier, an ultrasonic energy transmission part and a knife.
  • the handle controls the ultrasonic transducer to convert the electrical energy of the host into ultrasonic oscillation.
  • the amplitude of the energy oscillation is amplified by the ultrasonic energy amplifier and the energy is transmitted to the tool through the ultrasonic energy transmission part.
  • the tool vibrates at an amplitude of 55.5KHZ, generating instantaneous low pressure and hollowing effect. Under the action of, the water in the tissue is vaporized, the hydrogen bond of the protein is broken, and the protein is solidified, and the cell ruptures the tissue to open or free and close the small vessels.
  • the tool vibration also generates secondary energy to solidify the deep protein to seal the large vessels.
  • the ultrasonic knife passes through the patient's body without current.
  • the tissue is eschar and low in dryness during use. It can achieve precise cutting with minimal thermal damage.
  • the amount of smoke generated during the cutting process is minimal. It has multiple functions such as cutting, freeing and hemostasis. In one, the clinical advantage is obvious.
  • the radio frequency knife system uses radio frequency waves with a higher operating frequency (1.5MHZ ⁇ 4.5MHZ) for high frequency stable output.
  • the radio frequency waves are directionally emitted by emitter knives of different shapes.
  • the tissue After contacting the body tissue, the tissue itself generates impedance.
  • the water molecules in the target tissue are instantly oscillated and vaporized under the action of radio frequency waves, causing the cells to rupture and evaporate, and realize the functions of cutting, hemostasis, mixed cutting, electrocautery, ablation, and electrocoagulation at a low temperature and constant temperature of 40°C.
  • the transmitting electrode has fast cutting speed, good hemostasis effect, fine incision, small thermal injury wound, no carbonization and no smoke at low temperature, and it is very suitable for the application of minimally invasive surgery.
  • the combined application of the ultrasonic radio frequency knife system in minimally invasive surgery has been realized, forming a dual output or even multi-output ultrasonic radio frequency minimally invasive scalpel system .
  • the dual-output and multi-output ultrasonic radio frequency minimally invasive scalpel system it is necessary to accurately control the tool frequency and tool power through an additional mechanism to ensure accurate and timely control of the tool output frequency and power, and improve the control accuracy of minimally invasive surgery.
  • the multi-output ultrasonic radio frequency minimally invasive surgery system realizes a variety of functional outputs by connecting multiple types of minimally invasive surgical tools.
  • the connected tools often need to be replaced according to actual use needs, the work of the tools The frequency also changes frequently.
  • the present invention proposes a self-health management minimally invasive method using double-loop sampling measurement.
  • Surgical system through the establishment of a double-loop measurement management organization for the inner ring and outer ring, double-loop sampling of the working data of the minimally invasive tool improves the real-time performance and accuracy of the sampled data, and ensures the stability and safe operation of the multi-output minimally invasive surgery system. performance.
  • the present invention proposes a self-health management minimally invasive surgery system using double-ring sampling measurement.
  • the double-ring sampling of minimally invasive tool working data is performed by setting up an inner ring and an outer ring double-ring measurement management mechanism to improve the real-time and accuracy of the sampled data , To ensure the stability and safe operation performance of the multi-output minimally invasive surgery system.
  • the present invention provides the following technical solutions:
  • a self-health management multi-output minimally invasive surgery system including a control system and a tool system.
  • the control system includes a control module and an isolation module that are connected to each other through an optocoupler;
  • the control module includes a controller, a control circuit, and an amplifier drive A circuit and a power field effect tube,
  • the isolation module includes an isolation step-up transformer, a measurement module MCU, a measurement circuit, and a tool output circuit;
  • the measurement circuit includes an inner loop measurement circuit and an outer loop measurement circuit;
  • the controller is connected to the input end of the isolation step-up transformer through the control circuit, the amplifying drive circuit and the power FET in turn, and the controller is also connected to the power FET through a BUCK regulating circuit ;
  • the output end of the isolation transformer is connected to the tool output circuit; the input end and the output end of the isolation step-up transformer are respectively connected to the controller through the inner loop measurement circuit and the outer loop measurement circuit;
  • the tool system includes a minimally invasive tool and an ADRC frequency controller; the minimally invasive tool is an ultrasonic tool or a radio frequency tool, the radio frequency tool is a bipolar output radio frequency tool or a unipolar output radio frequency tool; the minimally invasive tool is set There is an ID chip.
  • the ADRC frequency controller includes:
  • a tracking differentiator receiving the target phase difference of the tool at the resonance operating point and outputting a tracking signal, the tracking signal being the rate of change of the phase difference and the rate of change of the phase difference;
  • the expansion state observer receives the actual phase difference of the tool at the resonance operating point and outputs an expansion signal, observes the real-time disturbance of the tool at the resonance operation point and outputs the disturbance compensation, the expansion signal is the change speed of the phase and the phase Rate of change
  • State error feedback control law receiving the comparison variable of the tracking signal and the expansion signal and outputting a state signal
  • a direct digital frequency synthesizer which receives the mixed phase value of the state signal after the disturbance compensation and outputs the digital sine wave amplitude to the connection circuit of the tool interface, and outputs the actual phase difference of the tool at the resonance operating point to The expanded state observer.
  • the PID control algorithm uses the reference power as the input value of the control system, and uses the power calculated by the amplitude of the collected voltage and current as the feedback information, by reducing the feedback information The deviation value from the reference power value of the input system to achieve accurate control of the tool power.
  • the present invention uses the ADRC automatic disturbance rejection control algorithm.
  • the final control quantity includes the feedforward control quantity, the compensation control quantity and the feedback control quantity.
  • control circuit includes a frequency control circuit and an amplitude control circuit, and the frequency control circuit and the amplitude control circuit are connected in parallel to the output terminal of the controller and the input terminal of the amplifying drive circuit.
  • the frequency control circuit and the amplitude control circuit connected in parallel are arranged to simultaneously manage the circuit information in real time, reduce working errors, and realize low error real-time control.
  • the input terminal of the BUCK regulating circuit is connected to a switching power supply.
  • the working circuit can achieve steady-state operation, and the capacitor charging and discharging can be balanced through the stable balance circuit, maintaining the voltage constant, achieving smooth transition and avoiding the influence of external switching power supplies.
  • an ID read-write circuit is also provided between the tool output circuit and the measurement module MCU.
  • the use method of the self-health management multi-output minimally invasive surgery system includes steps S1 to S12:
  • the minimally invasive tool is connected to the control board including the control module and the isolation module through the tool interface.
  • the tool is one of an ultrasonic tool, a bipolar output radio frequency tool or a unipolar output radio frequency tool; when a unipolar output radio frequency tool is used ,
  • the control main board is connected to an external neutral plate through a connecting line, and the neutral plate is arranged on the surface of the patient and forms a circulating current loop with the unipolar output radio frequency tool.
  • the BUCK regulating circuit keeps the current and voltage of the switching power supply input to the power FET stable.
  • the foot switch controls the input state of the switching power supply.
  • the control module and the isolation module are respectively in the weak power supply and isolation Work under the support of the power supply; the ID read-write circuit in the isolation module recognizes the internal ID chip of the minimally invasive tool, and judges the connected tool type through ID verification according to the working mode and working parameters set by the interactive module. If it is incorrect, a prompt will be issued. If it is correct, the data will be transmitted to the control MCU system through the isolation test MCU system under the action of the optocoupler;
  • the control MCU system outputs the control signal of the tool work through the power control circuit and the frequency driver with the support of the strong power supply.
  • the control signal is transmitted to the isolation step-up transformer of the isolation module under the action of the optocoupler, and the isolation step-up transformer will step-up and transform the voltage
  • the signal is transmitted to the relay, and the relay directly receives the control signal transmitted by the control MCU system through the optocoupler and outputs the ultrasonic signal and the radio frequency signal to the tool output circuit according to the needs of use;
  • the comparator collects and compares the voltage and current waves when the tool is working and outputs a voltage square wave signal and a current square wave signal.
  • the microcontroller captures the voltage square wave signal and the current square wave signal to calculate and output the voltage square wave signal.
  • the rising edge time t 1 of the wave signal and the rising edge time t 2 of the current square wave signal are calculated by formula (1) and formula (2) to output the target phase value ⁇ t and the actual phase difference y r when the tool is working. .
  • the tracking differentiator smoothly processes the actual phase difference y r through the calculation of formula (3), and outputs a tracking signal and a feedforward control quantity r 3 , the tracking signal includes the change speed of the phase difference r 1 and the change of the phase difference Rate r 2 ,
  • R is an adjustable parameter, and the value of R indicates the tracking speed of y r ; the tracking differentiator is a non-linear tracking differentiator, which is not sensitive to the value of R.
  • the expanded state observer processes the output value b 0 u and the actual output value y of the control process input value u amplified by b 0 through the calculation of formula (4), and outputs the expanded signal and the system total equivalent to the input side Perturbation z 3 , the expansion signal includes a phase change rate z 1 and a phase change rate z 2 ,
  • the expanded state observer used is the linear expanded state observer 3; and z 1 and z 2 are used to obtain the tracking error and its derivative, and z 3 is used to directly compensate the disturbance; ⁇ 1 , ⁇ 2 and ⁇ 3 are adjustable parameters.
  • k 1 and k 2 are adjustable parameters.
  • S7 The state signal is input to the direct digital frequency synthesizer after disturbance compensation by the expanded state observer, and the final control input process of the system is formula (6).
  • S8 The direct digital frequency synthesizer is connected to the tool interface circuit, and the actual output value y of the tool is directly input to the expanded state observer, and real-time feedback loop control is performed on the working frequency of the tool.
  • S9 Switch the output power of the tool by using different control buttons to control the resistance value output to the tool, thereby realizing the multi-function use of the tool; when using a unipolar output RF tool, switch the control button to change the output RF waveform, In this way, the electrocutting or electrocoagulation function is changed; when the bipolar output radio frequency tool is used, the control button is switched to change the output radio frequency waveform, thereby realizing the enhancement or weakening of the coagulation function.
  • the inner loop measurement circuit uses the tool output circuit to locally sample the local working data at the input of the isolation step-up transformer during tool work and form the inner loop local measurement data to output to the controller
  • the outer loop measuring circuit samples the isolated communication data, the isolated output voltage, the isolated output current, and the isolated output phase of the isolated step-up transformer, and forms the outer loop data and outputs it to the controller, which is set according to the host computer.
  • Data processing and health assessment are performed on the local measurement data of the inner loop and the data of the outer loop at a fixed value, that is, real-time measurement of tool work data and health conditions and output to the interactive module for self-health processing.
  • S12 The controller that recognizes self-health data, that is, real-time measurement of tool working data and health data, performs voltage deviation control and synchronous control of tool working frequency and working amplitude on the BUCK regulating circuit based on the setting value of the host computer, and then passes through The amplifier drive circuit and the power field effect tube adjust the working state of the isolation step-up transformer in real time, thereby performing self-health management on the output waveform and output power of the tool output circuit.
  • the PID control algorithm uses the reference power as the input value of the control system, and uses the power calculated from the amplitude of the collected voltage and current as the feedback information, by reducing the The deviation value between the feedback information and the reference power value of the input system to achieve accurate control of the tool power.
  • the present invention uses the ADRC automatic disturbance rejection control algorithm.
  • the final control quantity includes the feedforward control quantity, the compensation control quantity and the feedback control It has strong decoupling and internal and external disturbance estimation supplementary capabilities, quick response, small error, and high-precision real-time control of frequency;
  • Fig. 1 is a working principle diagram of the multi-output minimally invasive surgery system for Shuanghuan self-health management of the present invention
  • Figure 2 is a working principle diagram of the isolation module in the present invention.
  • Figure 3 is a schematic diagram of the working principle of self-health management in the present invention.
  • Figure 4 is a flowchart of self-health management in the present invention.
  • FIG. 5 is a working principle diagram of the ADRC frequency controller in the present invention.
  • a self-health management multi-output minimally invasive surgery system includes a control system 1 and a cutter system 2.
  • the control system 1 includes a control module 11 and an isolation module 12 that are connected to each other through optocouplers;
  • the control module 11 includes a controller 6, a control circuit, an amplifying drive circuit 63, and a power FET 64, and the isolation module 12 includes an isolation step-up transformer 126, a measurement module MCU 122, a measurement circuit, and a tool output circuit 124;
  • the measurement circuit includes an inner loop measurement circuit 7 and an outer loop measurement circuit 8;
  • the controller 6 is connected to the input end of the isolation step-up transformer 126 through the control circuit, the amplifying drive circuit 63 and the power FET 64 in turn, and the controller 6 is also connected through a BUCK adjustment circuit 65 The power field effect tube 64;
  • the output end of the isolation transformer is connected to the tool output circuit 124; the input end and output end of the isolation step-up transformer 126 are respectively connected to the controller through the inner loop measurement circuit 7 and the outer loop measurement circuit 8 6;
  • the tool system 2 includes a minimally invasive tool and an ADRC frequency controller 621; the minimally invasive tool is an ultrasonic tool or a radio frequency tool, the radio frequency tool is a bipolar output radio frequency tool or a unipolar output radio frequency tool; the minimally invasive tool All are equipped with an ID chip.
  • the ADRC frequency controller 21 includes:
  • Tracking differentiator 211 receiving the target phase difference of the tool at the resonance operating point and outputting a tracking signal, where the tracking signal is the rate of change of the phase difference and the rate of change of the phase difference;
  • the expansion state observer 213 receives the actual phase difference of the tool at the resonance operating point and outputs an expansion signal, observes the real-time disturbance of the tool at the resonance operation point and outputs the disturbance compensation, the expansion signal is the change speed of the phase and the phase The rate of change;
  • State error feedback control law 212 receiving the comparison variable of the tracking signal and the expansion signal and outputting a state signal
  • a direct digital frequency synthesizer 214 which receives the mixed phase value of the state signal after the disturbance compensation and outputs the digital sine wave amplitude to the connection circuit of the tool interface, and outputs the actual phase difference of the tool at the resonance operating point To the expanded state observer 213.
  • the PID control algorithm uses the reference power as the input value of the control system 1, and uses the power calculated by the amplitude of the collected voltage and current as the feedback information, by reducing the feedback The deviation value between the information and the reference power value of the input system in order to achieve accurate control of the tool power.
  • the present invention uses the ADRC automatic disturbance rejection control algorithm.
  • the final control value includes the feedforward control value, the compensation control value and the feedback control value ,
  • the error feedback control law 212 combined with disturbance compensation realizes real-time operating frequency control, real-time response, real-time compensation control, and real-time tracking, which ensures the high-precision operation and reliability of the surgical system.
  • the control circuit includes a frequency control circuit 61 and an amplitude control circuit 62.
  • the frequency control circuit 61 and the amplitude control circuit 62 are connected in parallel to the output terminal of the controller 6 and the input terminal of the amplifying drive circuit 63 .
  • the frequency control circuit 61 and the amplitude control circuit 62 connected in parallel are arranged to simultaneously manage the circuit information in real time, reduce working errors, and realize low error real-time control.
  • the input terminal of the BUCK adjusting circuit 65 is connected to the switching power supply 3.
  • the working circuit can achieve steady-state operation, and the capacitor charging and discharging can be balanced through the stable balance circuit, maintaining the voltage constant, achieving a smooth transition and avoiding external switching power supplies3 Affect the work balance of minimally invasive surgery system.
  • An ID read-write circuit 123 is also provided between the tool output circuit 124 and the measurement module MCU122. By setting the ID read-write circuit 123 and the ID chip on the minimally invasive tool to perform the identification operation, the corresponding instrument encryption is realized, and the safety of the instrument is improved.
  • the use method of the self-health management multi-output minimally invasive surgery system includes steps S1 to S12:
  • the minimally invasive tool is connected to the control board including the control module 11 and the isolation module 12 through the tool interface.
  • the tool is one of an ultrasonic tool, a bipolar output radio frequency tool or a unipolar output radio frequency tool; the unipolar output radio frequency is used
  • the control main board is connected to an external neutral plate through a connecting line, and the neutral plate is arranged on the patient's body surface to form a circulating current loop with the unipolar output radio frequency tool.
  • the control MCU system outputs the control signal of the tool work through the power control circuit and the frequency driver with the support of the strong power supply.
  • the control signal is transmitted to the isolation step-up transformer 126 of the isolation module 12 under the action of the optocoupler, and the isolation step-up transformer 126 will step up
  • the voltage-transformation signal is transmitted to the relay 125, and the relay 125 directly receives the control signal transmitted by the control MCU system through the optocoupler and outputs the ultrasonic signal and the radio frequency signal to the tool output circuit 124 according to the needs of use;
  • the comparator collects and compares the voltage and current waves when the tool is working and outputs a voltage square wave signal and a current square wave signal.
  • the microcontroller captures the voltage square wave signal and the current square wave signal to calculate and output the voltage square wave signal.
  • the rising edge time t 1 of the wave signal and the rising edge time t 2 of the current square wave signal are calculated by formula (1) and formula (2) to output the target phase value ⁇ t and the actual phase difference y r when the tool is working. .
  • the tracking differentiator 211 smoothly processes the actual phase difference y r through the calculation of formula (3), and outputs a tracking signal and a feedforward control variable r 3 , the tracking signal includes the change speed of the phase difference r 1 and the phase difference Rate of change r 2 ,
  • R is an adjustable parameter, and the value of R indicates the tracking speed of y r ; the tracking differentiator 211 is a non-linear tracking differentiator 211, which is not sensitive to the value of R.
  • the expanded state observer 213 processes the output value b 0 u and the actual output value y of the control process input value u amplified by b 0 through the calculation of formula (4), and outputs the expanded signal and equivalent to the input side system
  • the total disturbance z 3 , the expansion signal includes the phase change rate z 1 and the phase change rate z 2 ,
  • the expanded state observer 213 used is a linear expanded state observer 2133; and z 1 and z 2 are used to obtain tracking errors and their derivatives, and z 3 is used to directly compensate for disturbances; ⁇ 1 , ⁇ 2 and ⁇ 3 are adjustable parameters.
  • k 1 and k 2 are adjustable parameters.
  • S7 The state signal is input to the direct digital frequency synthesizer 214 after disturbance compensation by the expanded state observer 213, and the final control input process of the system is formula (6).
  • the direct digital frequency synthesizer 214 is connected to the tool interface circuit, and the actual output value y of the tool is directly input to the expanded state observer 213, and real-time feedback loop control is performed on the working frequency of the tool.
  • S9 Switch the output power of the tool by using different control buttons to control the resistance value output to the tool, thereby realizing the multi-function use of the tool; when using a unipolar output RF tool, switch the control button to change the output RF waveform, In this way, the electrocutting or electrocoagulation function is changed; when the bipolar output radio frequency tool is used, the control button is switched to change the output radio frequency waveform, thereby realizing the enhancement or weakening of the coagulation function.
  • the inner loop measurement circuit 7 uses the tool output circuit 124 to locally sample the local working data at the input of the isolation step-up transformer 126 during tool work and form the inner loop local measurement data output
  • the outer loop measuring circuit 8 samples the isolated communication data, isolated output voltage, isolated output current, and isolated output phase of the output terminal of the isolation step-up transformer 126 and forms the outer loop data to output to the controller 6.
  • the controller 6 performs data processing and health evaluation on the inner loop local measurement data and the outer loop data according to the setting value of the host computer, that is, real-time measurement of tool working data and health conditions and output to the interactive module 5 for self-health processing .
  • S12 The controller 6 that identifies self-health data, that is, real-time measurement of tool working data and health data, performs voltage deviation control on the BUCK adjustment circuit 65 and synchronous control of the tool working frequency and working amplitude on the basis of the setting value of the host computer.
  • the working state of the isolation step-up transformer 126 is adjusted in real time through the amplifying drive circuit 63 and the power FET 64 in turn, so as to perform self-health management on the output waveform and output power of the tool output circuit 124.
  • the PID control algorithm uses the reference power as the input value of the control system 1, and uses the power calculated by the amplitude of the collected voltage and current as the feedback information.
  • the deviation value between the feedback information and the reference power value of the input system in order to achieve accurate control of the tool power.
  • the present invention uses the ADRC automatic disturbance rejection control algorithm.
  • the final control quantity includes the feedforward control quantity, the compensation control quantity and the feedback Control quantity, with strong decoupling and internal and external disturbance estimation supplementary capabilities, quick response, small error, and high-precision real-time control of frequency;
  • control module 11 Separate the control module 11 from the isolation module 12 to prevent the control program of the control module 11 from being affected by the isolation module 12 to the greatest extent, avoid the collapse of the control system 1 caused by external program errors, and ensure the accuracy and safe operation of the system.

Abstract

A dual-loop, automatic health managing, multi-output minimally invasive surgery system, comprising a control system (1) and a cutter system (2), the control system (1) comprising a control module (11) and an isolated module (12) connected by means of an optocoupler. The control module (11) comprises a controller (6), control circuits (61, 62), an amplification drive circuit (63) and a power MOSFET (64). The isolated module (12) comprises an isolated step-up transformer (126), a measurement module MCU (122), measurement circuits (7, 8) and a cutter output circuit (124). The measurement circuit comprises an inner loop measurement circuit (7) and an outer loop measurement circuit (8). An output terminal of an isolated transformer connects to the cutter output circuit (124), and an input terminal and an output terminal of the isolated step-up transformer (126) connect to the controller (6) by means of the inner loop measurement circuit (7) and the outer loop measurement circuit (8) respectively. The cutter system (2) comprises a minimally invasive cutter and an ADRC frequency controller (621). The minimally invasive cutter is an ultrasonic cutter or a radio frequency cutter, the radio frequency cutter being a bipolar output radio frequency cutter or a monopolar output radio frequency cutter. By means of establishing a dual-loop measurement management mechanism having an inner loop and an outer loop to perform dual-loop sampling on minimally invasive cutter working data, the real-time performance and accuracy of sampling the data is improved, ensuring stability and and safe operating performance in the working process of a multi-output minimally invasive surgery system.

Description

一种双环自健康管理的多输出微创手术系统A double-loop self-health management multi-output minimally invasive surgery system 技术领域Technical field
本发明涉及医疗器械技术领域,具体涉及一种双环自健康管理的多输出微创手术系统。The invention relates to the technical field of medical devices, and in particular to a multi-output minimally invasive surgery system for double-ring self-health management.
背景技术Background technique
医疗器械领域高新技术应用密集,具有技术交叉集成应用的特点。手术刀作为一种外科手术必不可少的工具,在整个手术过程中都发挥着极其重要的作用。超声刀系统和射频刀系统作为全球创伤最小的两种手术设备系统,因其术中出血少、术后恢复快等良好的医疗效果,在医疗领域中也获得了极大的反响。In the field of medical equipment, high-tech applications are intensive, with the characteristics of technical cross-integration applications. As an indispensable tool for surgery, the scalpel plays an extremely important role in the entire operation. Ultrasonic knife system and radio frequency knife system are the two smallest surgical equipment systems in the world. Because of their good medical effects such as less intraoperative bleeding and quick postoperative recovery, they have also received great responses in the medical field.
超声刀系统包括主机、手柄、超声换能器、超声能量放大器、超声能量传导部分和刀具。手柄控制超声换能器将主机电能转换成超声振荡,能量振荡振幅通过超声能量放大器放大并通过超声能量传导部分将能量传导至刀具,刀具以55.5KHZ的振幅振动,产生瞬间低压并在空洞化效应的作用下使组织内水分汽化、蛋白氢键断裂使蛋白凝固,细胞破裂组织打开或游离并封闭小脉管;同时,刀具振动还产生二级能量使深层的蛋白凝固以封闭大脉管。超声刀在应用上无电流通过病人躯体,使用过程组织焦痂、干燥程度低,可实现最小热损伤下的精准切割,切割过程中产生烟雾量极少,同时具备切割、游离和止血等多功能于一体,临床优势明显。The ultrasonic knife system includes a host, a handle, an ultrasonic transducer, an ultrasonic energy amplifier, an ultrasonic energy transmission part and a knife. The handle controls the ultrasonic transducer to convert the electrical energy of the host into ultrasonic oscillation. The amplitude of the energy oscillation is amplified by the ultrasonic energy amplifier and the energy is transmitted to the tool through the ultrasonic energy transmission part. The tool vibrates at an amplitude of 55.5KHZ, generating instantaneous low pressure and hollowing effect. Under the action of, the water in the tissue is vaporized, the hydrogen bond of the protein is broken, and the protein is solidified, and the cell ruptures the tissue to open or free and close the small vessels. At the same time, the tool vibration also generates secondary energy to solidify the deep protein to seal the large vessels. In application, the ultrasonic knife passes through the patient's body without current. The tissue is eschar and low in dryness during use. It can achieve precise cutting with minimal thermal damage. The amount of smoke generated during the cutting process is minimal. It has multiple functions such as cutting, freeing and hemostasis. In one, the clinical advantage is obvious.
射频刀系统则采用具有较高工作频率(1.5MHZ~4.5MHZ)的射频电波进行高频稳定输出,由不同形状的发射极刀具定向发出射频电波,在接触身体组织后,由组织本身产生阻抗,使目标组织内的水分子在射频电波的作用下瞬间振 荡汽化,引起细胞破裂蒸发,并在40℃的低温恒温状态下实现切割、止血、混切、电灼、消融和电凝等功能。发射电极在低温状态下切割速度快、止血效果好、切口精细,热损伤创口小,无炭化无烟雾,十分适应微创手术的运用。The radio frequency knife system uses radio frequency waves with a higher operating frequency (1.5MHZ~4.5MHZ) for high frequency stable output. The radio frequency waves are directionally emitted by emitter knives of different shapes. After contacting the body tissue, the tissue itself generates impedance. The water molecules in the target tissue are instantly oscillated and vaporized under the action of radio frequency waves, causing the cells to rupture and evaporate, and realize the functions of cutting, hemostasis, mixed cutting, electrocautery, ablation, and electrocoagulation at a low temperature and constant temperature of 40°C. The transmitting electrode has fast cutting speed, good hemostasis effect, fine incision, small thermal injury wound, no carbonization and no smoke at low temperature, and it is very suitable for the application of minimally invasive surgery.
随着医疗水平的日渐提高,根据超声刀系统与射频刀系统的临床特性,在微创手术上实现了超声射频刀系统的合并运用,形成双输出甚至多输出功率的超声射频微创手术刀系统。在双输出及多输出的超声射频微创手术刀系统中,需通过外加机构对刀具频率以及刀具功率进行准确控制,保证刀具输出频率与功率实现精确及时控制,提升微创手术的控制精度。With the gradual improvement of the medical level, according to the clinical characteristics of the ultrasonic knife system and the radio frequency knife system, the combined application of the ultrasonic radio frequency knife system in minimally invasive surgery has been realized, forming a dual output or even multi-output ultrasonic radio frequency minimally invasive scalpel system . In the dual-output and multi-output ultrasonic radio frequency minimally invasive scalpel system, it is necessary to accurately control the tool frequency and tool power through an additional mechanism to ensure accurate and timely control of the tool output frequency and power, and improve the control accuracy of minimally invasive surgery.
多输出功率的超声射频微创手术系统通过连接多种类型的微创手术刀具实现多种功能输出,在实际运用的过程中,由于经常需要根据实际的使用需要对连接刀具进行更换,刀具的工作频率亦经常产生变化,为保证微创手术系统的使用安全度,需要对微创刀具使用过程中的使用数据进行测量采样管理,因此本发明提出了一种运用双环采样测量的自健康管理微创手术系统,通过设立内环和外环的双环测量管理机构对微创刀具工作数据进行双环采样,提升采样数据的实时性与准确性,保证多输出微创手术系统工作过程的稳定性与安全操作性能。The multi-output ultrasonic radio frequency minimally invasive surgery system realizes a variety of functional outputs by connecting multiple types of minimally invasive surgical tools. In the actual application process, because the connected tools often need to be replaced according to actual use needs, the work of the tools The frequency also changes frequently. In order to ensure the safety of the minimally invasive surgery system, it is necessary to perform measurement and sampling management on the use data of the minimally invasive tool during use. Therefore, the present invention proposes a self-health management minimally invasive method using double-loop sampling measurement. Surgical system, through the establishment of a double-loop measurement management organization for the inner ring and outer ring, double-loop sampling of the working data of the minimally invasive tool improves the real-time performance and accuracy of the sampled data, and ensures the stability and safe operation of the multi-output minimally invasive surgery system. performance.
发明内容Summary of the invention
本发明提出了一种运用双环采样测量的自健康管理微创手术系统,通过设立内环和外环的双环测量管理机构对微创刀具工作数据进行双环采样,提升采样数据的实时性与准确性,保证多输出微创手术系统工作过程的稳定性与安全操作性能。The present invention proposes a self-health management minimally invasive surgery system using double-ring sampling measurement. The double-ring sampling of minimally invasive tool working data is performed by setting up an inner ring and an outer ring double-ring measurement management mechanism to improve the real-time and accuracy of the sampled data , To ensure the stability and safe operation performance of the multi-output minimally invasive surgery system.
为解决上述技术问题,本发明提供了如下的技术方案:In order to solve the above technical problems, the present invention provides the following technical solutions:
一种自健康管理的多输出微创手术系统,包括控制系统和刀具系统,所述 控制系统包括通过光耦相互连接的控制模块和隔离模块;所述控制模块包括控制器、控制电路、放大驱动电路和功率场效应管,所述隔离模块包括隔离升压变压器、测量模块MCU、测量电路和刀具输出电路;所述测量电路包括内环测量电路和外环测量电路;A self-health management multi-output minimally invasive surgery system, including a control system and a tool system. The control system includes a control module and an isolation module that are connected to each other through an optocoupler; the control module includes a controller, a control circuit, and an amplifier drive A circuit and a power field effect tube, the isolation module includes an isolation step-up transformer, a measurement module MCU, a measurement circuit, and a tool output circuit; the measurement circuit includes an inner loop measurement circuit and an outer loop measurement circuit;
所述控制器依次通过所述控制电路、所述放大驱动电路和所述功率场效应管连接所述隔离升压变压器的输入端,所述控制器还通过BUCK调节电路连接所述功率场效应管;The controller is connected to the input end of the isolation step-up transformer through the control circuit, the amplifying drive circuit and the power FET in turn, and the controller is also connected to the power FET through a BUCK regulating circuit ;
所述隔离变压器的输出端连接所述刀具输出电路;所述隔离升压变压器的输入端和输出端分别通过所述内环测量电路和所述外环测量电路连接所述控制器;The output end of the isolation transformer is connected to the tool output circuit; the input end and the output end of the isolation step-up transformer are respectively connected to the controller through the inner loop measurement circuit and the outer loop measurement circuit;
所述刀具系统包括微创刀具和ADRC频率控制器;所述微创刀具为超声波刀具或射频刀具,所述射频刀具为双极输出射频刀具或单极输出射频刀具;所述微创刀具均设置有ID芯片。The tool system includes a minimally invasive tool and an ADRC frequency controller; the minimally invasive tool is an ultrasonic tool or a radio frequency tool, the radio frequency tool is a bipolar output radio frequency tool or a unipolar output radio frequency tool; the minimally invasive tool is set There is an ID chip.
进一步的,所述ADRC频率控制器包括:Further, the ADRC frequency controller includes:
跟踪微分器,接收所述刀具在谐振工作点的目标相位差并输出追踪信号,所述追踪信号为相位差的变化速度和相位差的变化率;A tracking differentiator, receiving the target phase difference of the tool at the resonance operating point and outputting a tracking signal, the tracking signal being the rate of change of the phase difference and the rate of change of the phase difference;
扩张状态观测器,接收所述刀具在谐振工作点的实际相位差并输出扩张信号,观测所述刀具在谐振工作点的实时扰动并输出扰动补偿,所述扩张信号为相位的变化速度和相位的变化率;The expansion state observer receives the actual phase difference of the tool at the resonance operating point and outputs an expansion signal, observes the real-time disturbance of the tool at the resonance operation point and outputs the disturbance compensation, the expansion signal is the change speed of the phase and the phase Rate of change
状态误差反馈控制律,接收所述追踪信号和所述扩张信号的对比变量并输出状态信号;State error feedback control law, receiving the comparison variable of the tracking signal and the expansion signal and outputting a state signal;
以及直接数字式频率合成器,接收所述状态信号经所述扰动补偿后的混合相位值并输出数字化正弦波幅至所述刀具接口的连接电路,输出所述刀具在谐 振工作点的实际相位差至所述扩张状态观测器。And a direct digital frequency synthesizer, which receives the mixed phase value of the state signal after the disturbance compensation and outputs the digital sine wave amplitude to the connection circuit of the tool interface, and outputs the actual phase difference of the tool at the resonance operating point to The expanded state observer.
对比传统的工作频率及频率追踪方法,即PID控制算法将参考功率作为控制系统的输入值,利用将采集到的电压和电流的幅值计算出的功率作为反馈信息,通过减小所述反馈信息与输入系统的参考功率值之间的偏差值以实现对刀具功率的准确控制,本发明运用了ADRC自抗扰控制算法,最终的控制量包括前馈控制量、补偿控制量和反馈控制量,具有强解耦和内外扰动估算补充能力,反应敏捷、误差小,频率实现高精度的实时控制,通过跟踪微分器与扩张状态观测器实时观测刀具在谐振工作点处的相位变化,状态误差反馈控制律结合扰动补偿实现即时的工作频率控制,即时响应、即时补偿控制、即时追踪,保证了手术系统的高精度操作和可靠程度。Compared with the traditional working frequency and frequency tracking method, the PID control algorithm uses the reference power as the input value of the control system, and uses the power calculated by the amplitude of the collected voltage and current as the feedback information, by reducing the feedback information The deviation value from the reference power value of the input system to achieve accurate control of the tool power. The present invention uses the ADRC automatic disturbance rejection control algorithm. The final control quantity includes the feedforward control quantity, the compensation control quantity and the feedback control quantity. It has strong decoupling and internal and external disturbance estimation supplementary capabilities, quick response, small error, high-precision real-time control of frequency, real-time observation of the phase change of the tool at the resonance operating point through the tracking differentiator and expansion state observer, state error feedback control The law combines disturbance compensation to realize real-time working frequency control, real-time response, real-time compensation control, and real-time tracking, ensuring the high-precision operation and reliability of the surgical system.
进一步的,所述控制电路包括频率控制电路和幅值控制电路,所述频率控制电路和所述幅值控制电路并联连接所述控制器的输出端与所述放大驱动电路的输入端。设置并联的频率控制电路与幅值控制电路同时对电路信息进行实时同步管理,减少工作误差,实现低误差实时控制。Further, the control circuit includes a frequency control circuit and an amplitude control circuit, and the frequency control circuit and the amplitude control circuit are connected in parallel to the output terminal of the controller and the input terminal of the amplifying drive circuit. The frequency control circuit and the amplitude control circuit connected in parallel are arranged to simultaneously manage the circuit information in real time, reduce working errors, and realize low error real-time control.
进一步的,所述BUCK调节电路的输入端连接开关电源。通过低压式变换BUCK电路的小波纹近似原理与电感伏秒平衡原理使工作电路实现稳态工作,通过稳定平衡电路使电容充放电达到平衡,维持电压不变,实现过渡平滑,避免外接开关电源影响微创手术系统工作平衡。Further, the input terminal of the BUCK regulating circuit is connected to a switching power supply. Through the small ripple approximation principle of the low-voltage conversion BUCK circuit and the inductance volt-second balance principle, the working circuit can achieve steady-state operation, and the capacitor charging and discharging can be balanced through the stable balance circuit, maintaining the voltage constant, achieving smooth transition and avoiding the influence of external switching power supplies. Minimally invasive surgery system work balance.
进一步的,所述刀具输出电路与所述测量模块MCU之间还设置ID读写电路。通过设置ID读写电路与微创刀具上带有的ID芯片进行识别操作实现对应的仪器加密,提升仪器使用安全性。Further, an ID read-write circuit is also provided between the tool output circuit and the measurement module MCU. By setting the ID read-write circuit and the ID chip on the minimally invasive tool for identification operations, the corresponding instrument encryption is realized, and the security of the instrument is improved.
自健康管理的多输出微创手术系统的使用方法,包括步骤S1~S12:The use method of the self-health management multi-output minimally invasive surgery system includes steps S1 to S12:
S1:微创刀具通过刀具接口与包括控制模块和隔离模块的控制主板连接, 所述刀具为超声波刀具、双极输出射频刀具或单极输出射频刀具中的一种;使用单极输出射频刀具时,控制主板通过连接线外接中性极板,所述中性极板设置在患者体表与所述单极输出射频刀具形成循环电流回路。S1: The minimally invasive tool is connected to the control board including the control module and the isolation module through the tool interface. The tool is one of an ultrasonic tool, a bipolar output radio frequency tool or a unipolar output radio frequency tool; when a unipolar output radio frequency tool is used , The control main board is connected to an external neutral plate through a connecting line, and the neutral plate is arranged on the surface of the patient and forms a circulating current loop with the unipolar output radio frequency tool.
S2:打开开关电源为控制系统通电,BUCK调节电路使开关电源的输入至功率场效应管的电流电压保持稳定,脚踏开关控制开关电源的输入状态,控制模块和隔离模块分别在弱电源与隔离电源的支持下进行工作;隔离模块内的ID读写电路对所述微创刀具的内部ID芯片进行识别,依据交互模块设定的工作模式与工作参数,通过ID核对判断连接的刀具类型,若不正确则发出提示,若正确相符则将数据通过隔离测试MCU系统在光耦作用下传输到控制MCU系统;S2: Turn on the switching power supply to energize the control system. The BUCK regulating circuit keeps the current and voltage of the switching power supply input to the power FET stable. The foot switch controls the input state of the switching power supply. The control module and the isolation module are respectively in the weak power supply and isolation Work under the support of the power supply; the ID read-write circuit in the isolation module recognizes the internal ID chip of the minimally invasive tool, and judges the connected tool type through ID verification according to the working mode and working parameters set by the interactive module. If it is incorrect, a prompt will be issued. If it is correct, the data will be transmitted to the control MCU system through the isolation test MCU system under the action of the optocoupler;
控制MCU系统在强电源的支持下通过功率控制电路和频率驱动器输出刀具工作的控制信号,控制信号在光耦作用下传输至隔离模块的隔离升压变压器内,隔离升压变压器将升压变压信号传递到继电器,继电器直接接收控制MCU系统通过光耦作用传输的控制信号并根据使用需要分别输出超声信号和射频信号至刀具输出电路;The control MCU system outputs the control signal of the tool work through the power control circuit and the frequency driver with the support of the strong power supply. The control signal is transmitted to the isolation step-up transformer of the isolation module under the action of the optocoupler, and the isolation step-up transformer will step-up and transform the voltage The signal is transmitted to the relay, and the relay directly receives the control signal transmitted by the control MCU system through the optocoupler and outputs the ultrasonic signal and the radio frequency signal to the tool output circuit according to the needs of use;
S3:比较器采集比较所述刀具工作时的电压电流波并输出电压方波信号和电流方波信号,微控制器捕捉所述电压方波信号和电流方波信号进行计算并输出所述电压方波信号的上升沿时间t 1和所述电流方波信号的上升沿时间t 2,通过公式(1)和公式(2)的运算后输出刀具工作时的目标相位值Δt和实际相位差y rS3: The comparator collects and compares the voltage and current waves when the tool is working and outputs a voltage square wave signal and a current square wave signal. The microcontroller captures the voltage square wave signal and the current square wave signal to calculate and output the voltage square wave signal. The rising edge time t 1 of the wave signal and the rising edge time t 2 of the current square wave signal are calculated by formula (1) and formula (2) to output the target phase value Δt and the actual phase difference y r when the tool is working. .
Δt=t 1-t 2        (1) Δt=t 1 -t 2 (1)
Δt=y r       (2) Δt=y r (2)
S4:跟踪微分器经过公式(3)的运算对实际相位差y r进行光滑处理,输出追踪信号和前馈控制量r 3,所述追踪信号包括相位差的变化速度r 1和相位差的 变化率r 2S4: The tracking differentiator smoothly processes the actual phase difference y r through the calculation of formula (3), and outputs a tracking signal and a feedforward control quantity r 3 , the tracking signal includes the change speed of the phase difference r 1 and the change of the phase difference Rate r 2 ,
Figure PCTCN2019127135-appb-000001
Figure PCTCN2019127135-appb-000001
其中,R为可调参数,R的取值表示y r的跟踪快慢;所述跟踪微分器为非线性跟踪微分器,对R取值不敏感。 Among them, R is an adjustable parameter, and the value of R indicates the tracking speed of y r ; the tracking differentiator is a non-linear tracking differentiator, which is not sensitive to the value of R.
S5:扩张状态观测器经过公式(4)的运算对控制过程输入值u经过b 0放大后的输出值b 0u和实际输出值y进行处理,输出扩张信号和等效到输入侧的系统总扰动z 3,所述扩张信号包括相位的变化速度z 1和相位的变化率z 2S5: The expanded state observer processes the output value b 0 u and the actual output value y of the control process input value u amplified by b 0 through the calculation of formula (4), and outputs the expanded signal and the system total equivalent to the input side Perturbation z 3 , the expansion signal includes a phase change rate z 1 and a phase change rate z 2 ,
Figure PCTCN2019127135-appb-000002
Figure PCTCN2019127135-appb-000002
其中,为了简化计算,采用的所述扩张状态观测器为线性扩张状态观测器3;而z 1和z 2用于求取跟踪误差及其导数,z 3用于直接对扰动进行补偿;β 1、β 2和β 3为可调参数。 Among them, in order to simplify the calculation, the expanded state observer used is the linear expanded state observer 3; and z 1 and z 2 are used to obtain the tracking error and its derivative, and z 3 is used to directly compensate the disturbance; β 1 , Β 2 and β 3 are adjustable parameters.
S6:状态误差反馈控制律经过公式(5)的运算后输出状态信号u 0S6: The state error feedback control law outputs the state signal u 0 after the calculation of formula (5),
u 0=k 1(r 1-z 1)+k 2(r 2-z 2)      (5) u 0 =k 1 (r 1 -z 1 )+k 2 (r 2 -z 2 ) (5)
其中,k 1和k 2为可调参数。 Among them, k 1 and k 2 are adjustable parameters.
S7:所述状态信号由所述扩张状态观测器扰动补偿后输入直接数字式频率合成器,最终系统的控制输入过程为公式(6)。S7: The state signal is input to the direct digital frequency synthesizer after disturbance compensation by the expanded state observer, and the final control input process of the system is formula (6).
Figure PCTCN2019127135-appb-000003
Figure PCTCN2019127135-appb-000003
S8:直接数字式频率合成器与刀具接口电路连接,刀具的实际输出值y直 接输入到所述扩张状态观测器,对所述刀具的工作频率进行实时反馈环形控制。S8: The direct digital frequency synthesizer is connected to the tool interface circuit, and the actual output value y of the tool is directly input to the expanded state observer, and real-time feedback loop control is performed on the working frequency of the tool.
S9:通过使用不同的控制按钮控制输出到刀具的电阻值从而切换刀具的输出功率,进而实现刀具的多功能使用;运用单极输出射频刀具时,切换所述控制按钮,改变输出的射频波形,从而实现电切或电凝功能的改变;运用双极输出射频刀具时,切换所述控制按钮,改变输出的射频波形,从而实现凝血功能的增强或减弱。S9: Switch the output power of the tool by using different control buttons to control the resistance value output to the tool, thereby realizing the multi-function use of the tool; when using a unipolar output RF tool, switch the control button to change the output RF waveform, In this way, the electrocutting or electrocoagulation function is changed; when the bipolar output radio frequency tool is used, the control button is switched to change the output radio frequency waveform, thereby realizing the enhancement or weakening of the coagulation function.
S10:使用需求变更需要更换新规格的刀具时,解除需求变更前使用的刀具与所述刀具接口的连接关系,重复步骤S1~S9,重新对所述刀具的工作频率进行实时反馈环形控制。通过刀具接口直接对刀具进行连接装卸和更换操作,可拆卸方便更换的刀具方便在使用过程中根据不同的使用需求对使用刀具进行更换,同时亦能对使用的刀具快速实现工作频率的实时反馈控制;通过更换类型刀具实现手术系统的多功能多输出操作的同时亦方便快捷地对手术系统的操作精度与操作稳定性实现可靠地提升。S10: When a tool of a new specification needs to be replaced with a change in demand, the connection relationship between the tool used before the change in demand and the tool interface is released, steps S1 to S9 are repeated, and the working frequency of the tool is re-executed in real-time feedback loop control. The tools can be directly connected, loaded, unloaded and replaced through the tool interface. The detachable and easy-to-replace tool is convenient to replace the used tools according to different usage requirements during use. At the same time, it can also quickly realize the real-time feedback control of the working frequency of the used tools. ; The operation accuracy and stability of the operation system can be reliably improved while the operation accuracy and operation stability of the operation system are easily and quickly realized by changing the type of knives.
S11:依据交互程序内设定的本地ID读写信息,内环测量电路通过刀具输出电路对刀具工作中隔离升压变压器输入端的本地工作数据进行本地采样并形成内环本地测量数据输出至控制器内,同时外环测量电路对隔离升压变压器输出端的隔离通信数据、隔离输出电压、隔离输出电流与隔离输出相位进行采样并形成外环数据输出至控制器内,所述控制器根据上位机设定值对所述内环本地测量数据和所述外环数据进行数据处理和健康评估,即实时测量刀具工作数据以及健康情况并输出至交互模块进行自健康处理。S11: Read and write information according to the local ID set in the interactive program. The inner loop measurement circuit uses the tool output circuit to locally sample the local working data at the input of the isolation step-up transformer during tool work and form the inner loop local measurement data to output to the controller At the same time, the outer loop measuring circuit samples the isolated communication data, the isolated output voltage, the isolated output current, and the isolated output phase of the isolated step-up transformer, and forms the outer loop data and outputs it to the controller, which is set according to the host computer. Data processing and health assessment are performed on the local measurement data of the inner loop and the data of the outer loop at a fixed value, that is, real-time measurement of tool work data and health conditions and output to the interactive module for self-health processing.
S12:识别自健康数据即实时测量刀具工作数据以及健康情况数据的控制器在上位机设定值的基础上对BUCK调节电路进行电压偏差控制与刀具工作频率、工作幅值的同步控制,依次通过放大驱动电路和功率场效应管对隔离升压变压 器的工作状态进行实时调整,从而对刀具输出电路的输出波形和输出功率进行自健康管理。S12: The controller that recognizes self-health data, that is, real-time measurement of tool working data and health data, performs voltage deviation control and synchronous control of tool working frequency and working amplitude on the BUCK regulating circuit based on the setting value of the host computer, and then passes through The amplifier drive circuit and the power field effect tube adjust the working state of the isolation step-up transformer in real time, thereby performing self-health management on the output waveform and output power of the tool output circuit.
与现有技术相比,本发明的有益效果如下:Compared with the prior art, the beneficial effects of the present invention are as follows:
1、对比传统的工作频率及频率追踪方法,即PID控制算法将参考功率作为控制系统的输入值,利用将采集到的电压和电流的幅值计算出的功率作为反馈信息,通过减小所述反馈信息与输入系统的参考功率值之间的偏差值以实现对刀具功率的准确控制,本发明运用了ADRC自抗扰控制算法,最终的控制量包括前馈控制量、补偿控制量和反馈控制量,具有强解耦和内外扰动估算补充能力,反应敏捷、误差小,频率实现高精度的实时控制;1. Compared with the traditional working frequency and frequency tracking method, that is, the PID control algorithm uses the reference power as the input value of the control system, and uses the power calculated from the amplitude of the collected voltage and current as the feedback information, by reducing the The deviation value between the feedback information and the reference power value of the input system to achieve accurate control of the tool power. The present invention uses the ADRC automatic disturbance rejection control algorithm. The final control quantity includes the feedforward control quantity, the compensation control quantity and the feedback control It has strong decoupling and internal and external disturbance estimation supplementary capabilities, quick response, small error, and high-precision real-time control of frequency;
2、提供一种带有ADRC自抗扰频率控制技术同时基于自健康管理工作的多输出微创手术系统,在实时监控刀具工作频率功率的同时,对微创刀具工作数据进行双环取样,根据设定的本地数据和工作参数值对手术系统的本地工作数据与输出通信数据进行对比监控,实现多层次、完整并且及时的自健康管理,提升了手术系统的高精度低误差性能以及操作安全性;2. Provide a multi-output minimally invasive surgery system with ADRC active interference rejection frequency control technology and based on self-health management work. While monitoring the working frequency and power of the tool in real time, double-loop sampling of the working data of the minimally invasive tool is carried out according to the design The set local data and working parameter values compare and monitor the local working data and output communication data of the surgical system, realize multi-level, complete and timely self-health management, and improve the high-precision, low-error performance and operational safety of the surgical system;
3、将控制模块与隔离模块分离,最大程度避免控制模块的控制程序被隔离模块影响,避免外部程序错误引起的控制系统崩溃保证系统的精度以及安全操作性能。3. Separate the control module from the isolation module to avoid the control program of the control module being affected by the isolation module to the greatest extent, avoid the collapse of the control system caused by external program errors, and ensure the accuracy and safe operation of the system.
附图说明Description of the drawings
为了更清楚地说明本发明实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据附图获得其他的附图。附图中各零件或结构的形状不代表其真实工作条件下的真实情况,仅为说明本发明而做的说明示意图。In order to explain the embodiments of the present invention or the technical solutions in the prior art more clearly, the following will briefly introduce the drawings that need to be used in the description of the embodiments or the prior art. Obviously, the drawings in the following description are only It is an embodiment of the present invention. For those of ordinary skill in the art, other drawings can be obtained according to the drawings without creative work. The shape of each part or structure in the drawings does not represent the real situation under real working conditions, and is only a schematic diagram for explaining the present invention.
图1为本发明的双环自健康管理的多输出微创手术系统工作原理图;Fig. 1 is a working principle diagram of the multi-output minimally invasive surgery system for Shuanghuan self-health management of the present invention;
图2为本发明中隔离模块工作原理图;Figure 2 is a working principle diagram of the isolation module in the present invention;
图3为本发明中自健康管理工作原理示意图;Figure 3 is a schematic diagram of the working principle of self-health management in the present invention;
图4为本发明中自健康管理工作流程图;Figure 4 is a flowchart of self-health management in the present invention;
图5为本发明中ADRC频率控制器的工作原理图,Figure 5 is a working principle diagram of the ADRC frequency controller in the present invention,
图中:1-控制系统;11-控制模块;12-隔离模块;121-隔离电源;122-测量模块MCU;123-ID读写电路;124-刀具输出电路;125-继电器;126-隔离升压变压器;2-刀具系统;21-ADRC频率控制器;211-跟踪微分器;212-状态误差反馈控制律;213-扩张状态观测器;214-直接数字式频率合成器;3-开关电源;4-脚踏开关;5-交互模块;6-控制器;61-频率控制电路;62-幅值控制电路;63-放大驱动电路;64-功率场效应管;65-BUCK调节电路;7-内环测量电路;8-外环测量电路。In the figure: 1-control system; 11-control module; 12-isolation module; 121-isolated power supply; 122-measurement module MCU; 123-ID read-write circuit; 124-tool output circuit; 125-relay; 126-isolation Voltage transformer; 2-tool system; 21-ADRC frequency controller; 211-tracking differentiator; 212-state error feedback control law; 213-expanded state observer; 214-direct digital frequency synthesizer; 3-switching power supply; 4-foot switch; 5-interaction module; 6-controller; 61-frequency control circuit; 62-amplitude control circuit; 63-amplification drive circuit; 64-power field effect tube; 65-BUCK adjustment circuit; 7- Inner loop measuring circuit; 8-outer loop measuring circuit.
具体实施方式Detailed ways
下面将对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅是本发明的一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其它实施例,都属于本发明保护的范围。The technical solutions in the embodiments of the present invention will be described clearly and completely below. Obviously, the described embodiments are only a part of the embodiments of the present invention, rather than all the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative work shall fall within the protection scope of the present invention.
本发明实施例:The embodiment of the present invention:
如图1~5所示,一种自健康管理的多输出微创手术系统,包括控制系统1和刀具系统2,所述控制系统1包括通过光耦相互连接的控制模块11和隔离模块12;所述控制模块11包括控制器6、控制电路、放大驱动电路63和功率场效应管64,所述隔离模块12包括隔离升压变压器126、测量模块MCU122、测量电路和刀具输出电路124;所述测量电路包括内环测量电路7和外环测量电路8;As shown in Figures 1 to 5, a self-health management multi-output minimally invasive surgery system includes a control system 1 and a cutter system 2. The control system 1 includes a control module 11 and an isolation module 12 that are connected to each other through optocouplers; The control module 11 includes a controller 6, a control circuit, an amplifying drive circuit 63, and a power FET 64, and the isolation module 12 includes an isolation step-up transformer 126, a measurement module MCU 122, a measurement circuit, and a tool output circuit 124; The measurement circuit includes an inner loop measurement circuit 7 and an outer loop measurement circuit 8;
所述控制器6依次通过所述控制电路、所述放大驱动电路63和所述功率场效应管64连接所述隔离升压变压器126的输入端,所述控制器6还通过BUCK调节电路65连接所述功率场效应管64;The controller 6 is connected to the input end of the isolation step-up transformer 126 through the control circuit, the amplifying drive circuit 63 and the power FET 64 in turn, and the controller 6 is also connected through a BUCK adjustment circuit 65 The power field effect tube 64;
所述隔离变压器的输出端连接所述刀具输出电路124;所述隔离升压变压器126的输入端和输出端分别通过所述内环测量电路7和所述外环测量电路8连接所述控制器6;The output end of the isolation transformer is connected to the tool output circuit 124; the input end and output end of the isolation step-up transformer 126 are respectively connected to the controller through the inner loop measurement circuit 7 and the outer loop measurement circuit 8 6;
所述刀具系统2包括微创刀具和ADRC频率控制器621;所述微创刀具为超声波刀具或射频刀具,所述射频刀具为双极输出射频刀具或单极输出射频刀具;所述微创刀具均设置有ID芯片。The tool system 2 includes a minimally invasive tool and an ADRC frequency controller 621; the minimally invasive tool is an ultrasonic tool or a radio frequency tool, the radio frequency tool is a bipolar output radio frequency tool or a unipolar output radio frequency tool; the minimally invasive tool All are equipped with an ID chip.
所述ADRC频率控制器21包括:The ADRC frequency controller 21 includes:
跟踪微分器211,接收所述刀具在谐振工作点的目标相位差并输出追踪信号,所述追踪信号为相位差的变化速度和相位差的变化率;Tracking differentiator 211, receiving the target phase difference of the tool at the resonance operating point and outputting a tracking signal, where the tracking signal is the rate of change of the phase difference and the rate of change of the phase difference;
扩张状态观测器213,接收所述刀具在谐振工作点的实际相位差并输出扩张信号,观测所述刀具在谐振工作点的实时扰动并输出扰动补偿,所述扩张信号为相位的变化速度和相位的变化率;The expansion state observer 213 receives the actual phase difference of the tool at the resonance operating point and outputs an expansion signal, observes the real-time disturbance of the tool at the resonance operation point and outputs the disturbance compensation, the expansion signal is the change speed of the phase and the phase The rate of change;
状态误差反馈控制律212,接收所述追踪信号和所述扩张信号的对比变量并输出状态信号;State error feedback control law 212, receiving the comparison variable of the tracking signal and the expansion signal and outputting a state signal;
以及直接数字式频率合成器214,接收所述状态信号经所述扰动补偿后的混合相位值并输出数字化正弦波幅至所述刀具接口的连接电路,输出所述刀具在谐振工作点的实际相位差至所述扩张状态观测器213。And a direct digital frequency synthesizer 214, which receives the mixed phase value of the state signal after the disturbance compensation and outputs the digital sine wave amplitude to the connection circuit of the tool interface, and outputs the actual phase difference of the tool at the resonance operating point To the expanded state observer 213.
对比传统的工作频率及频率追踪方法,即PID控制算法将参考功率作为控制系统1的输入值,利用将采集到的电压和电流的幅值计算出的功率作为反馈信息,通过减小所述反馈信息与输入系统的参考功率值之间的偏差值以实现对 刀具功率的准确控制,本发明运用了ADRC自抗扰控制算法,最终的控制量包括前馈控制量、补偿控制量和反馈控制量,具有强解耦和内外扰动估算补充能力,反应敏捷、误差小,频率实现高精度的实时控制,通过跟踪微分器211与扩张状态观测器213实时观测刀具在谐振工作点处的相位变化,状态误差反馈控制律212结合扰动补偿实现即时的工作频率控制,即时响应、即时补偿控制、即时追踪,保证了手术系统的高精度操作和可靠程度。Compared with the traditional working frequency and frequency tracking method, the PID control algorithm uses the reference power as the input value of the control system 1, and uses the power calculated by the amplitude of the collected voltage and current as the feedback information, by reducing the feedback The deviation value between the information and the reference power value of the input system in order to achieve accurate control of the tool power. The present invention uses the ADRC automatic disturbance rejection control algorithm. The final control value includes the feedforward control value, the compensation control value and the feedback control value , With strong decoupling and internal and external disturbance estimation and supplementary capabilities, quick response, small error, high-precision real-time control of frequency, real-time observation of the phase change and state of the tool at the resonance operating point through the tracking differentiator 211 and the expansion state observer 213 The error feedback control law 212 combined with disturbance compensation realizes real-time operating frequency control, real-time response, real-time compensation control, and real-time tracking, which ensures the high-precision operation and reliability of the surgical system.
所述控制电路包括频率控制电路61和幅值控制电路62,所述频率控制电路61和所述幅值控制电路62并联连接所述控制器6的输出端与所述放大驱动电路63的输入端。设置并联的频率控制电路61与幅值控制电路62同时对电路信息进行实时同步管理,减少工作误差,实现低误差实时控制。The control circuit includes a frequency control circuit 61 and an amplitude control circuit 62. The frequency control circuit 61 and the amplitude control circuit 62 are connected in parallel to the output terminal of the controller 6 and the input terminal of the amplifying drive circuit 63 . The frequency control circuit 61 and the amplitude control circuit 62 connected in parallel are arranged to simultaneously manage the circuit information in real time, reduce working errors, and realize low error real-time control.
所述BUCK调节电路65的输入端连接开关电源3。通过低压式变换BUCK电路的小波纹近似原理与电感伏秒平衡原理使工作电路实现稳态工作,通过稳定平衡电路使电容充放电达到平衡,维持电压不变,实现过渡平滑,避免外接开关电源3影响微创手术系统工作平衡。The input terminal of the BUCK adjusting circuit 65 is connected to the switching power supply 3. Through the small ripple approximation principle of the low-voltage conversion BUCK circuit and the inductance volt-second balance principle, the working circuit can achieve steady-state operation, and the capacitor charging and discharging can be balanced through the stable balance circuit, maintaining the voltage constant, achieving a smooth transition and avoiding external switching power supplies3 Affect the work balance of minimally invasive surgery system.
所述刀具输出电路124与所述测量模块MCU122之间还设置ID读写电路123。通过设置ID读写电路123与微创刀具上带有的ID芯片进行识别操作实现对应的仪器加密,提升仪器使用安全性。An ID read-write circuit 123 is also provided between the tool output circuit 124 and the measurement module MCU122. By setting the ID read-write circuit 123 and the ID chip on the minimally invasive tool to perform the identification operation, the corresponding instrument encryption is realized, and the safety of the instrument is improved.
自健康管理的多输出微创手术系统的使用方法,包括步骤S1~S12:The use method of the self-health management multi-output minimally invasive surgery system includes steps S1 to S12:
S1:微创刀具通过刀具接口与包括控制模块11和隔离模块12的控制主板连接,所述刀具为超声波刀具、双极输出射频刀具或单极输出射频刀具中的一种;使用单极输出射频刀具时,控制主板通过连接线外接中性极板,所述中性极板设置在患者体表与所述单极输出射频刀具形成循环电流回路。S1: The minimally invasive tool is connected to the control board including the control module 11 and the isolation module 12 through the tool interface. The tool is one of an ultrasonic tool, a bipolar output radio frequency tool or a unipolar output radio frequency tool; the unipolar output radio frequency is used When cutting tools, the control main board is connected to an external neutral plate through a connecting line, and the neutral plate is arranged on the patient's body surface to form a circulating current loop with the unipolar output radio frequency tool.
S2:打开开关电源3为控制系统1通电,BUCK调节电路65使开关电源3的 输入至功率场效应管64的电流电压保持稳定,脚踏开关4控制开关电源3的输入状态,控制模块11和隔离模块12分别在弱电源与隔离电源121的支持下进行工作;隔离模块12内的ID读写电路123对所述微创刀具的内部ID芯片进行识别,依据交互模块5设定的工作模式与工作参数,通过ID核对判断连接的刀具类型,若不正确则发出提示,若正确相符则将数据通过隔离测试MCU系统在光耦作用下传输到控制MCU系统;S2: Turn on the switching power supply 3 to energize the control system 1, the BUCK regulating circuit 65 keeps the current and voltage input from the switching power supply 3 to the power FET 64 stable, the foot switch 4 controls the input state of the switching power supply 3, the control module 11 and The isolation module 12 works under the support of the weak power supply and the isolation power supply 121 respectively; the ID read-write circuit 123 in the isolation module 12 recognizes the internal ID chip of the minimally invasive tool, according to the working mode set by the interactive module 5 and The working parameters are checked by ID to determine the connected tool type. If it is incorrect, a prompt will be issued. If it is correct, the data will be transmitted to the control MCU system through the isolation test MCU system under the action of the optocoupler;
控制MCU系统在强电源的支持下通过功率控制电路和频率驱动器输出刀具工作的控制信号,控制信号在光耦作用下传输至隔离模块12的隔离升压变压器126内,隔离升压变压器126将升压变压信号传递到继电器125,继电器125直接接收控制MCU系统通过光耦作用传输的控制信号并根据使用需要分别输出超声信号和射频信号至刀具输出电路124;The control MCU system outputs the control signal of the tool work through the power control circuit and the frequency driver with the support of the strong power supply. The control signal is transmitted to the isolation step-up transformer 126 of the isolation module 12 under the action of the optocoupler, and the isolation step-up transformer 126 will step up The voltage-transformation signal is transmitted to the relay 125, and the relay 125 directly receives the control signal transmitted by the control MCU system through the optocoupler and outputs the ultrasonic signal and the radio frequency signal to the tool output circuit 124 according to the needs of use;
S3:比较器采集比较所述刀具工作时的电压电流波并输出电压方波信号和电流方波信号,微控制器捕捉所述电压方波信号和电流方波信号进行计算并输出所述电压方波信号的上升沿时间t 1和所述电流方波信号的上升沿时间t 2,通过公式(1)和公式(2)的运算后输出刀具工作时的目标相位值Δt和实际相位差y rS3: The comparator collects and compares the voltage and current waves when the tool is working and outputs a voltage square wave signal and a current square wave signal. The microcontroller captures the voltage square wave signal and the current square wave signal to calculate and output the voltage square wave signal. The rising edge time t 1 of the wave signal and the rising edge time t 2 of the current square wave signal are calculated by formula (1) and formula (2) to output the target phase value Δt and the actual phase difference y r when the tool is working. .
Δt=t 1-t 2       (1) Δt=t 1 -t 2 (1)
Δt=y r       (2) Δt=y r (2)
S4:跟踪微分器211经过公式(3)的运算对实际相位差y r进行光滑处理,输出追踪信号和前馈控制量r 3,所述追踪信号包括相位差的变化速度r 1和相位差的变化率r 2S4: The tracking differentiator 211 smoothly processes the actual phase difference y r through the calculation of formula (3), and outputs a tracking signal and a feedforward control variable r 3 , the tracking signal includes the change speed of the phase difference r 1 and the phase difference Rate of change r 2 ,
Figure PCTCN2019127135-appb-000004
Figure PCTCN2019127135-appb-000004
其中,R为可调参数,R的取值表示y r的跟踪快慢;所述跟踪微分器211为非线性跟踪微分器211,对R取值不敏感。 Among them, R is an adjustable parameter, and the value of R indicates the tracking speed of y r ; the tracking differentiator 211 is a non-linear tracking differentiator 211, which is not sensitive to the value of R.
S5:扩张状态观测器213经过公式(4)的运算对控制过程输入值u经过b 0放大后的输出值b 0u和实际输出值y进行处理,输出扩张信号和等效到输入侧的系统总扰动z 3,所述扩张信号包括相位的变化速度z 1和相位的变化率z 2S5: The expanded state observer 213 processes the output value b 0 u and the actual output value y of the control process input value u amplified by b 0 through the calculation of formula (4), and outputs the expanded signal and equivalent to the input side system The total disturbance z 3 , the expansion signal includes the phase change rate z 1 and the phase change rate z 2 ,
Figure PCTCN2019127135-appb-000005
Figure PCTCN2019127135-appb-000005
其中,为了简化计算,采用的所述扩张状态观测器213为线性扩张状态观测器2133;而z 1和z 2用于求取跟踪误差及其导数,z 3用于直接对扰动进行补偿;β 1、β 2和β 3为可调参数。 Among them, in order to simplify the calculation, the expanded state observer 213 used is a linear expanded state observer 2133; and z 1 and z 2 are used to obtain tracking errors and their derivatives, and z 3 is used to directly compensate for disturbances; β 1 , β 2 and β 3 are adjustable parameters.
S6:状态误差反馈控制律212经过公式(5)的运算后输出状态信号u 0S6: The state error feedback control law 212 outputs the state signal u 0 after the calculation of formula (5),
u 0=k 1(r 1-z 1)+k 2(r 2-z 2)      (5) u 0 =k 1 (r 1 -z 1 )+k 2 (r 2 -z 2 ) (5)
其中,k 1和k 2为可调参数。 Among them, k 1 and k 2 are adjustable parameters.
S7:所述状态信号由所述扩张状态观测器213扰动补偿后输入直接数字式频率合成器214,最终系统的控制输入过程为公式(6)。S7: The state signal is input to the direct digital frequency synthesizer 214 after disturbance compensation by the expanded state observer 213, and the final control input process of the system is formula (6).
Figure PCTCN2019127135-appb-000006
Figure PCTCN2019127135-appb-000006
S8:直接数字式频率合成器214与刀具接口电路连接,刀具的实际输出值y直接输入到所述扩张状态观测器213,对所述刀具的工作频率进行实时反馈环形 控制。S8: The direct digital frequency synthesizer 214 is connected to the tool interface circuit, and the actual output value y of the tool is directly input to the expanded state observer 213, and real-time feedback loop control is performed on the working frequency of the tool.
S9:通过使用不同的控制按钮控制输出到刀具的电阻值从而切换刀具的输出功率,进而实现刀具的多功能使用;运用单极输出射频刀具时,切换所述控制按钮,改变输出的射频波形,从而实现电切或电凝功能的改变;运用双极输出射频刀具时,切换所述控制按钮,改变输出的射频波形,从而实现凝血功能的增强或减弱。S9: Switch the output power of the tool by using different control buttons to control the resistance value output to the tool, thereby realizing the multi-function use of the tool; when using a unipolar output RF tool, switch the control button to change the output RF waveform, In this way, the electrocutting or electrocoagulation function is changed; when the bipolar output radio frequency tool is used, the control button is switched to change the output radio frequency waveform, thereby realizing the enhancement or weakening of the coagulation function.
S10:使用需求变更需要更换新规格的刀具时,解除需求变更前使用的刀具与所述刀具接口的连接关系,重复步骤S1~S9,重新对所述刀具的工作频率进行实时反馈环形控制。通过刀具接口直接对刀具进行连接装卸和更换操作,可拆卸方便更换的刀具方便在使用过程中根据不同的使用需求对使用刀具进行更换,同时亦能对使用的刀具快速实现工作频率的实时反馈控制;通过更换类型刀具实现手术系统的多功能多输出操作的同时亦方便快捷地对手术系统的操作精度与操作稳定性实现可靠地提升。S10: When a tool of a new specification needs to be replaced with a change in demand, the connection relationship between the tool used before the change in demand and the tool interface is released, steps S1 to S9 are repeated, and the working frequency of the tool is re-executed in real-time feedback loop control. The tools can be directly connected, loaded, unloaded and replaced through the tool interface. The detachable and easy-to-replace tool is convenient to replace the used tools according to different usage requirements during use. At the same time, it can also quickly realize the real-time feedback control of the working frequency of the used tools. ; The operation accuracy and stability of the operation system can be reliably improved while the operation accuracy and operation stability of the operation system are easily and quickly realized by changing the type of knives.
S11:依据交互程序内设定的本地ID读写信息,内环测量电路7通过刀具输出电路124对刀具工作中隔离升压变压器126输入端的本地工作数据进行本地采样并形成内环本地测量数据输出至控制器6内,同时外环测量电路8对隔离升压变压器126输出端的隔离通信数据、隔离输出电压、隔离输出电流与隔离输出相位进行采样并形成外环数据输出至控制器6内,所述控制器6根据上位机设定值对所述内环本地测量数据和所述外环数据进行数据处理和健康评估,即实时测量刀具工作数据以及健康情况并输出至交互模块5进行自健康处理。S11: Read and write information according to the local ID set in the interactive program, the inner loop measurement circuit 7 uses the tool output circuit 124 to locally sample the local working data at the input of the isolation step-up transformer 126 during tool work and form the inner loop local measurement data output At the same time, the outer loop measuring circuit 8 samples the isolated communication data, isolated output voltage, isolated output current, and isolated output phase of the output terminal of the isolation step-up transformer 126 and forms the outer loop data to output to the controller 6. The controller 6 performs data processing and health evaluation on the inner loop local measurement data and the outer loop data according to the setting value of the host computer, that is, real-time measurement of tool working data and health conditions and output to the interactive module 5 for self-health processing .
S12:识别自健康数据即实时测量刀具工作数据以及健康情况数据的控制器6在上位机设定值的基础上对BUCK调节电路65进行电压偏差控制与刀具工作频 率、工作幅值的同步控制,依次通过放大驱动电路63和功率场效应管64对隔离升压变压器126的工作状态进行实时调整,从而对刀具输出电路124的输出波形和输出功率进行自健康管理。S12: The controller 6 that identifies self-health data, that is, real-time measurement of tool working data and health data, performs voltage deviation control on the BUCK adjustment circuit 65 and synchronous control of the tool working frequency and working amplitude on the basis of the setting value of the host computer. The working state of the isolation step-up transformer 126 is adjusted in real time through the amplifying drive circuit 63 and the power FET 64 in turn, so as to perform self-health management on the output waveform and output power of the tool output circuit 124.
与现有技术相比,本发明的有益效果如下:Compared with the prior art, the beneficial effects of the present invention are as follows:
1、对比传统的工作频率及频率追踪方法,即PID控制算法将参考功率作为控制系统1的输入值,利用将采集到的电压和电流的幅值计算出的功率作为反馈信息,通过减小所述反馈信息与输入系统的参考功率值之间的偏差值以实现对刀具功率的准确控制,本发明运用了ADRC自抗扰控制算法,最终的控制量包括前馈控制量、补偿控制量和反馈控制量,具有强解耦和内外扰动估算补充能力,反应敏捷、误差小,频率实现高精度的实时控制;1. Compared with the traditional working frequency and frequency tracking method, that is, the PID control algorithm uses the reference power as the input value of the control system 1, and uses the power calculated by the amplitude of the collected voltage and current as the feedback information. The deviation value between the feedback information and the reference power value of the input system in order to achieve accurate control of the tool power. The present invention uses the ADRC automatic disturbance rejection control algorithm. The final control quantity includes the feedforward control quantity, the compensation control quantity and the feedback Control quantity, with strong decoupling and internal and external disturbance estimation supplementary capabilities, quick response, small error, and high-precision real-time control of frequency;
2、提供一种带有ADRC自抗扰频率控制技术同时基于自健康管理工作的多输出微创手术系统,在实时监控刀具工作频率功率的同时,对微创刀具工作数据进行双环取样,根据设定的本地数据和工作参数值对手术系统的本地工作数据与输出通信数据进行对比监控,实现多层次、完整并且及时的自健康管理,提升了手术系统的高精度低误差性能以及操作安全性;2. Provide a multi-output minimally invasive surgery system with ADRC active interference rejection frequency control technology and based on self-health management work. While monitoring the working frequency and power of the tool in real time, double-loop sampling of the working data of the minimally invasive tool is carried out according to the design The set local data and working parameter values compare and monitor the local working data and output communication data of the surgical system, realize multi-level, complete and timely self-health management, and improve the high-precision, low-error performance and operational safety of the surgical system;
3、将控制模块11与隔离模块12分离,最大程度避免控制模块11的控制程序被隔离模块12影响,避免外部程序错误引起的控制系统1崩溃保证系统的精度以及安全操作性能。3. Separate the control module 11 from the isolation module 12 to prevent the control program of the control module 11 from being affected by the isolation module 12 to the greatest extent, avoid the collapse of the control system 1 caused by external program errors, and ensure the accuracy and safe operation of the system.
需要说明的是,当元件被称为“固定于”另一个元件,它可以直接在另一个元件上或者也可以存在居中的元件。当一个元件被认为是“连接”另一个元件,它可以是直接连接到另一个元件或者可能同时存在居中元件。本文所使用的术语“垂直的”、“水平的”、“左”、“右”以及类似的表述只是为了说明的目的。It should be noted that when an element is referred to as being "fixed to" another element, it may be directly on the other element or a central element may also exist. When an element is considered to be "connected" to another element, it can be directly connected to the other element or an intermediate element may be present at the same time. The terms "vertical", "horizontal", "left", "right" and similar expressions used herein are for illustrative purposes only.
以上所述仅为本发明的实施例,并非因此限制本发明的专利范围,凡是利用本发明说明书内容所作的等效结构或等效流程变换,或直接或间接运用在其它相关的技术领域,均同理包括在本发明的专利保护范围内。The above are only the embodiments of the present invention and do not limit the scope of the present invention. Any equivalent structure or equivalent process transformation made by using the content of the present invention description, or directly or indirectly applied to other related technical fields, are all The same reason is included in the scope of patent protection of the present invention.

Claims (5)

  1. 一种双环自健康管理的多输出微创手术系统,包括控制系统和刀具系统,其特征在于,A dual-loop self-health management multi-output minimally invasive surgery system, including a control system and a knife system, characterized in that:
    所述控制系统包括通过光耦相互连接的控制模块和隔离模块;所述控制模块包括控制器、控制电路、放大驱动电路和功率场效应管,所述隔离模块包括隔离升压变压器、测量模块MCU、测量电路和刀具输出电路;所述测量电路包括内环测量电路和外环测量电路;The control system includes a control module and an isolation module connected to each other through an optocoupler; the control module includes a controller, a control circuit, an amplifying drive circuit, and a power field effect tube, and the isolation module includes an isolation step-up transformer and a measurement module MCU 2. Measuring circuit and tool output circuit; said measuring circuit includes an inner loop measuring circuit and an outer loop measuring circuit;
    所述控制器依次通过所述控制电路、所述放大驱动电路和所述功率场效应管连接所述隔离升压变压器的输入端,所述控制器还通过BUCK调节电路连接所述功率场效应管;The controller is connected to the input end of the isolation step-up transformer through the control circuit, the amplifying drive circuit and the power FET in turn, and the controller is also connected to the power FET through a BUCK regulating circuit ;
    所述隔离变压器的输出端连接所述刀具输出电路;所述隔离升压变压器的输入端和输出端分别通过所述内环测量电路和所述外环测量电路连接所述控制器;The output end of the isolation transformer is connected to the tool output circuit; the input end and the output end of the isolation step-up transformer are respectively connected to the controller through the inner loop measurement circuit and the outer loop measurement circuit;
    所述刀具系统包括微创刀具和ADRC频率控制器;所述微创刀具为超声波刀具或射频刀具,所述射频刀具为双极输出射频刀具或单极输出射频刀具。The tool system includes a minimally invasive tool and an ADRC frequency controller; the minimally invasive tool is an ultrasonic tool or a radio frequency tool, and the radio frequency tool is a bipolar output radio frequency tool or a unipolar output radio frequency tool.
  2. 根据权利要求1中所述的一种双环自健康管理的多输出微创手术系统,其特征在于,所述ADRC频率控制器包括:The dual-loop self-health management multi-output minimally invasive surgery system according to claim 1, wherein the ADRC frequency controller comprises:
    跟踪微分器,接收所述刀具在谐振工作点的目标相位差并输出追踪信号,所述追踪信号为相位差的变化速度和相位差的变化率;A tracking differentiator, receiving the target phase difference of the tool at the resonance operating point and outputting a tracking signal, the tracking signal being the rate of change of the phase difference and the rate of change of the phase difference;
    扩张状态观测器,接收所述刀具在谐振工作点的实际相位差并输出扩张信号,观测所述刀具在谐振工作点的实时扰动并输出扰动补偿,所述扩张信号为相位的变化速度和相位的变化率;The expansion state observer receives the actual phase difference of the tool at the resonance operating point and outputs an expansion signal, observes the real-time disturbance of the tool at the resonance operation point and outputs the disturbance compensation, the expansion signal is the change speed of the phase and the phase Rate of change
    状态误差反馈控制律,接收所述追踪信号和所述扩张信号的对比变量并输出状态信号;State error feedback control law, receiving the comparison variable of the tracking signal and the expansion signal and outputting a state signal;
    以及直接数字式频率合成器,接收所述状态信号经所述扰动补偿后的混合相位值并输出数字化正弦波幅至所述刀具接口的连接电路,输出所述刀具在谐振工作点的实际相位差至所述扩张状态观测器。And a direct digital frequency synthesizer, which receives the mixed phase value of the state signal after the disturbance compensation and outputs the digital sine wave amplitude to the connection circuit of the tool interface, and outputs the actual phase difference of the tool at the resonance operating point to The expanded state observer.
  3. 根据权利要求1中所述的一种双环自健康管理的多输出微创手术系统,其特征在于,所述控制电路包括频率控制电路和幅值控制电路,所述频率控制电路和所述幅值控制电路并联连接所述控制器的输出端与所述放大驱动电路的输入端。The dual-loop self-health management multi-output minimally invasive surgery system according to claim 1, wherein the control circuit includes a frequency control circuit and an amplitude control circuit, and the frequency control circuit and the amplitude The control circuit is connected in parallel with the output terminal of the controller and the input terminal of the amplifying drive circuit.
  4. 根据权利要求1中所述的一种双环自健康管理的多输出微创手术系统,其特征在于,所述BUCK调节电路的输入端连接开关电源。The dual-loop self-health management multi-output minimally invasive surgery system according to claim 1, wherein the input end of the BUCK adjustment circuit is connected to a switching power supply.
  5. 根据权利要求1中所述的一种双环自健康管理的多输出微创手术系统,其特征在于,所述刀具输出电路与所述测量模块MCU之间还设置ID读写电路。The dual-loop self-health management multi-output minimally invasive surgery system according to claim 1, wherein an ID read-write circuit is also provided between the tool output circuit and the measurement module MCU.
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