WO2021114219A1 - High-frequency bipolar unrecoverable electroporation system - Google Patents

High-frequency bipolar unrecoverable electroporation system Download PDF

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WO2021114219A1
WO2021114219A1 PCT/CN2019/125104 CN2019125104W WO2021114219A1 WO 2021114219 A1 WO2021114219 A1 WO 2021114219A1 CN 2019125104 W CN2019125104 W CN 2019125104W WO 2021114219 A1 WO2021114219 A1 WO 2021114219A1
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discharge
bipolar
voltage
pulse
unit
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PCT/CN2019/125104
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French (fr)
Chinese (zh)
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张晓辰
薛志孝
李红刚
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天津市鹰泰利安康医疗科技有限责任公司
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Priority to PCT/CN2019/125104 priority Critical patent/WO2021114219A1/en
Publication of WO2021114219A1 publication Critical patent/WO2021114219A1/en

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    • 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

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  • the invention relates to the technical field of medical equipment and equipment for treating tumors, in particular to a high-frequency bipolar non-recoverable electroporation system.
  • Tumors are a common and frequently-occurring disease, among which malignant tumors are the most serious type of disease that endangers human health. Since the pathogenesis and etiology of malignant tumors are not yet fully understood, fundamental preventive measures are lacking. So far, humans have not been able to cure malignant tumors like other common and frequently-occurring diseases. Due to the refractory nature of malignant tumors, scholars from various countries have used a combination of surgery and radiotherapy and chemotherapy to treat malignant tumors in order to achieve a longer survival time for centuries. However, radiotherapy and chemotherapy have a great impact on human immunity and seriously affect the quality of life.
  • Irreversible Electroporation is an emerging non-thermal ablation technique for tumor treatment. It uses microsecond-level high-voltage discharge pulses to form nano-scale pores in the cell membrane of the affected cell, thereby changing the permeability of the cell membrane, destroying the internal balance of the cell, and leading to cell death. This process is called irreversible electroporation.
  • a typical treatment plan for irreversible electroporation is to deliver a square wave pulse with a voltage of 1500v/cm and a pulse width of 50-100 ⁇ s between two electrode needles in one direction. The number of pulses is 70-100. During the treatment, the number of electrodes, electrode spacing and electrode exposure length can be adjusted according to the size and shape of the tumor.
  • IRE When using IRE, the most important thing is that while the electric field destroys the cell membrane, it will not cause thermal effects and thus cause tissue damage. Therefore, it has a wide range of clinical applications, especially for lesions near important blood vessels and nerves. Injury and ablation, improve the safety of treatment.
  • IRE has good clinical prospects
  • the existing irreversible electroporation uses unipolar high-voltage discharge pulses to act on cells.
  • this technology is used to irreversibly ablate tumor cells in the human body, at the moment of pulse discharge It will cause the patient's muscles to twitch greatly, induce the patient's limbs to move greatly, and seriously affect the fixation of the position of the discharge electrode and the treatment effect. Therefore, the current implementation of such operations requires tracheal intubation, general anesthesia, injection of muscle relaxants, and ventilator assistance to perform such operations. It cannot be performed under local anesthesia as easily as most interventional minimally invasive surgery currently used in clinical practice. However, the operation process is cumbersome and expensive, which increases the complexity and risk of ablation surgery, and may cause some complications, thus limiting the application and promotion of this technology.
  • the present invention provides a high-frequency bipolar non-recoverable electroporation system to realize tumor ablation surgery under the conditions of local anesthesia, no muscle relaxant injection, and mechanical ventilation without a ventilator. Improve the safety and quality of surgery.
  • the invention provides a high-frequency bipolar unrecoverable electroporation system, which includes an upper-level information management module, a lower computer control module and a bipolar high-voltage pulse discharge circuit;
  • the upper-level information management module receives the set working parameters and transmits them to the lower computer control module;
  • the lower computer control module generates a control signal according to the working parameters transmitted by the upper-level information management module, and transmits the control signal to the bipolar high-voltage pulse discharge circuit to control the charging of the bipolar high-voltage pulse discharge circuit. Discharge parameters, enabling the bipolar high voltage pulse discharge circuit to generate bipolar high voltage pulses;
  • the bipolar high-voltage pulse discharge circuit generates positive and negative bipolar high-voltage pulses, which are discharged by electrodes in the circuit, and feedback signals are transmitted back to the upper-level information management module.
  • the upper-level information management module includes an operation unit, a data processing unit, a display unit, and a transmission unit;
  • the operating unit provides an interactive way for setting working parameters
  • the data processing unit processes the data to obtain a processing result
  • the display unit displays the interactive interface and the processing result
  • the transmission unit is used to transmit working parameters and/or control signals.
  • a compiling unit for providing a programming environment to control the discharge sequence of the system.
  • the lower computer control module further includes a high-frequency bipolar pulse generation control unit, a timing function control unit, and an acquisition unit;
  • the high-frequency bipolar pulse generation control unit is used to generate a high-frequency bipolar pulse sequence
  • the sequential function control unit is used to control the charge and discharge switches in the charge and discharge circuit
  • the collection unit is used to monitor and collect the voltage and/or current during the charging and discharging process.
  • charge and discharge parameters include charge voltage, discharge pulse voltage, pulse width, number of pulse groups, and number of pulse groups.
  • a power amplifying circuit which is used to amplify the power of the control signal and transmit it to the bipolar high-voltage pulse discharge circuit.
  • a voltage/current detection circuit for detecting system charging voltage feedback signals, high-voltage pulse discharge voltages, and current feedback signals, and at the same time uploading the detection results to the upper-level information management module.
  • the photoelectric isolation module including a first photoelectric isolation unit and a second photoelectric isolation unit;
  • the first photoelectric isolation unit performs photoelectric isolation for the control signal
  • the second photoelectric isolation unit performs photoelectric isolation for the feedback signal.
  • a signal filtering unit which performs filtering processing on the feedback signal input by the bipolar high-voltage pulse discharge circuit.
  • the bipolar high-voltage pulse discharge circuit includes a charging power supply, an energy storage capacitor group, a fast electronic switch group, and a discharge electrode;
  • the energy storage capacitor group is connected to the charging power source through a charging switch, and is connected to the discharging electrode through the fast electronic switch group;
  • the fast electronic switch group is connected with the discharge electrode through a discharge switch.
  • the energy storage capacitor group includes one or more large-capacity capacitors and one or more small-capacity capacitors;
  • the large-capacity capacitor and the small-capacity capacitor are connected in parallel;
  • the capacity of the large-capacity capacitor is 100uF ⁇ 400uF; the capacity of the small-capacity capacitor is 0.1uF ⁇ 1uF.
  • a first feedback signal point is set between the two resistors, and the generated first feedback signal is fed back to the upper-level information management module.
  • each discharge switch is connected to a discharge electrode, and discharges in bipolar alternately;
  • a second feedback signal point is set between the two resistors R2 and R3, and the generated second feedback signal is fed back to the upper-level information management module.
  • each discharge switch is connected to a discharge electrode
  • the selection of discharge electrodes and the sequence of discharge are controlled by the setting of working parameters.
  • the charging voltage is 1000v-5000v
  • the discharge pulse voltage is 1000v-5000v
  • the pulse pulse width is 2 ⁇ s-50 ⁇ s
  • the number of pulse groups is 1-15
  • the number of pulse groups is 1-250 groups.
  • the present invention provides a high-frequency bipolar unrecoverable electroporation system, which includes an upper-level information management module, a lower-level computer control module, and a bipolar high-voltage pulse discharge circuit; the upper-level information management module receives the set The working parameters are transmitted to the lower computer control module, and then the control signal is generated and transmitted to the bipolar high voltage pulse discharge circuit to generate the bipolar high voltage pulse.
  • the present invention can better and more uniformly increase the induced transmembrane potential of closely-packed cells to the simulated electroporation threshold, thereby making the ablation area more uniform.
  • the invention can achieve good tumor ablation effects and inhibit tumor growth, and has good safety and effectiveness.
  • the present invention has the following advantages:
  • the patient only needs to undergo local anesthesia before the patient is treated.
  • the present invention can make the patient's tumor ablation area more uniform.
  • the present invention can accurately set bipolar pulse parameters.
  • the present invention is based on a high-speed digital signal microprocessor, high-speed real-time acquisition of high-voltage pulse feedback signals, real-time monitoring of high-voltage pulse discharge in the entire treatment process, and meets the real-time requirements in the working process of the system.
  • the present invention adopts bipolar pulse discharge of multiple electrodes.
  • the high-voltage steep pulse forms a network discharge area in the tissue, so that the effective irreversible electric field covers the tumor tissue as much as possible, reduces the blind area of ablation, and enhances the treatment.
  • the effectiveness of the plan is the following:
  • the output pulse form of the present invention is a form in which pulses with the same pulse width between 2us and 50us are alternately conducted between two electrodes.
  • the present invention has a good software and hardware protection mechanism to ensure the safety of the entire surgical treatment.
  • Figure 1 is a structural block diagram of the high-frequency bipolar unrecoverable electroporation system of the present invention
  • FIG. 2 is a structural block diagram of a high-frequency bipolar non-recoverable electroporation system according to a specific embodiment of the present invention
  • FIG. 3 is a flowchart of a control method of a high-frequency bipolar non-recoverable electroporation system according to a specific embodiment of the present invention
  • Fig. 4 is a circuit principle diagram of a bidirectional high-voltage pulse discharge circuit according to a specific embodiment of the present invention.
  • the present invention provides a high-frequency bipolar unrecoverable electroporation system, as shown in Figure 1, comprising an upper-level information management module, a lower computer control module and a bipolar high-voltage pulse discharge circuit; the upper-level information management module receives the set The working parameters are transmitted to the lower computer control module; the lower computer control module generates control signals according to the working parameters transmitted by the upper information management module, and transmits the control signals to the bipolar high-voltage pulse discharge circuit to Control the charging and discharging parameters of the bipolar high-voltage pulse discharge circuit so that the bipolar high-voltage pulse discharge circuit generates bipolar high-voltage pulses; the bipolar high-voltage pulse discharge circuit generates positive and negative bipolar high-voltage pulses.
  • the electrodes in the middle discharge, and the feedback signal is sent back to the upper information management module.
  • the upper-level information management module includes an operating unit, a data processing unit, a display unit, and a transmission unit; the operating unit provides an interactive way for the operator to set various working parameters, and the The parameters are downloaded to the lower computer control module.
  • the data processing unit processes the data to obtain the processing results; for example, processes various data collected by the control module and draws them into a curve.
  • the display unit displays the interactive interface and the processing result, makes the data visible, and provides the operator with information such as the charging and discharging process.
  • the transmission unit is used to transmit working parameters and/or control signals.
  • the upper-level information management module is a medical computer.
  • the upper-level information management module further includes a compiling unit, which is used to provide a programming environment for the operator to realize the intelligent control of the discharge sequence of the system.
  • control module of the lower computer uses FPGA or CPLD and digital signal processor (DSP) as the central controller to control the charge and discharge of the bipolar high voltage pulse discharge circuit and control the charge and discharge feedback signal. Monitoring and collection.
  • the lower computer control module includes a high-frequency bipolar pulse generation control unit, a timing function control unit and an acquisition unit.
  • the high-frequency bipolar pulse generation control unit is used to generate a corresponding high-frequency bipolar pulse sequence according to the pulse parameters set by the upper-level information management module.
  • timing function control unit is used to control the charge and discharge switches in the charge and discharge circuit.
  • the collection unit is used to monitor and collect the voltage and/or current during the charging and discharging process.
  • charge and discharge parameters include charge voltage, discharge pulse voltage, pulse width, number of pulse groups, and number of pulse groups.
  • a power amplifying circuit which is used to amplify the power of the control signal and transmit it to the bipolar high-voltage pulse discharge circuit.
  • a voltage/current detection circuit for detecting the voltage signal at the feedback signal point of the charging circuit of the system and the voltage and current signal at the feedback signal point of the bipolar high voltage pulse discharge circuit.
  • the photoelectric isolation module includes a first photoelectric isolation unit and a second photoelectric isolation unit; the first photoelectric isolation unit performs photoelectric isolation for the control signal; and the second photoelectric isolation unit performs photoelectric isolation for the feedback signal.
  • a signal filtering unit which performs filtering processing on the feedback signal input by the bipolar high-voltage pulse discharge circuit.
  • the system includes an upper-level information management module and a bipolar high-voltage pulse discharge circuit.
  • the upper-level information management module generates a corresponding control based on the input working parameters through the lower computer control module, the first photoelectric isolation unit and the power amplifier circuit.
  • the signal is transmitted to the bipolar high voltage pulse discharge circuit; the bipolar high voltage pulse discharge circuit transmits the feedback signal back to the upper information management module through the voltage/current detection circuit, the second photoelectric isolation unit and the signal filter unit.
  • the bipolar high-voltage pulse discharge circuit includes a charging power supply, an energy storage capacitor group, a fast electronic switch group and a discharge electrode; the energy storage capacitor group is connected to the charging power supply through a charging switch, and The fast electronic switch group is connected with the discharge electrode; the fast electronic switch group is connected with the discharge electrode through a discharge switch.
  • the fast electronic switch uses insulated gate bipolar transistors and is equipped with an IGBT drive circuit.
  • the energy storage capacitor group includes one or more large-capacity capacitors and one or more small-capacity capacitors; the large-capacity capacitors are connected in parallel with the small-capacity capacitors; the capacity of the large-capacity capacitors is 100uF-400uF; The capacity of the small capacitance capacitor is 0.1uF ⁇ 1uF.
  • the first feedback signal point is set between the two resistors, and the first The feedback signal is fed back to the upper-level information management module, and the first feedback signal is used for the detection of the charging voltage.
  • the discharge switches each of which is connected to a discharge electrode to alternately discharge in bipolar; after the two resistors are connected in series, one end is connected between the fast electronic switch group and one of the discharge switches, and the other end is grounded A second feedback signal point is set between the two resistors, the generated second feedback signal is fed back to the upper-level information management module, and the second feedback signal is used for the detection of the discharge voltage.
  • charge voltage is 1000v-5000v
  • discharge pulse voltage is 1000v-5000v
  • pulse width is 2 ⁇ s-50 ⁇ s
  • the number of group pulses is 1-15
  • the number of pulse groups is 1-250 groups; among them, the number of group pulses is the number of pulses in each pulse group.
  • each discharge switch is connected to a discharge electrode; in this way, the selection of discharge electrodes and the discharge sequence can be controlled by setting the working parameters of the upper-level information management module.
  • Fig. 4 is a circuit principle diagram of a bipolar high voltage pulse discharge circuit according to a specific embodiment of the present invention.
  • the bipolar high voltage pulse discharge circuit includes energy storage capacitor groups C1-C6 and C1 connected to the charging power supply U1.
  • the pair of discharge electrodes 1 and 2 are connected to the energy storage capacitor group through fast electronic switch groups K1-K4.
  • G1 and G2 are the control signals of KJ1 respectively
  • G3 and G4 are the control signals of KJ2 respectively.
  • a discharge is provided between the fast electronic switch and the discharge electrode.
  • Switches KJ3 and KJ4, where G5 and G6 are the control signals of KJ3 respectively, and G7 and G8 are the control signals of KJ4 respectively.
  • the charging switches KJ1 and KJ2 and the discharging switches KJ3 and KJ4 may adopt relays.
  • the energy storage capacitor group is composed of one or more large-capacity capacitors of 100uF ⁇ 400uF in parallel with one or more small-capacity capacitors of 0.1uF ⁇ 1uF, which can supply large current in a short time and realize the rapid rise of current pulse.
  • the energy storage capacitor group includes three large-capacity capacitors C1, C3, and C5 in series, and three small-capacity capacitors C2, C4, and C6 are connected in series and then connected in parallel.
  • the fast electronic switch group includes 4 fast electronic switches K1-K4, which use insulated gate bipolar transistors IGBTs and are equipped with IGBT drive circuits.
  • K1 and K3 are connected in series, and K2 and K4 are connected in series respectively in parallel with the energy storage capacitor group; one end of the discharge switch KJ3 is connected between K1 and K3, and the other end is connected to one of the discharge electrode pairs;
  • One end of the switch KJ4 is connected between K2 and K4, and the other end is connected to the other discharge electrode in the pair of discharge electrodes.
  • the discharge switch KJ4 is connected to K2 and K4 through a resistor R5, and the resistor R5 acts as a current limiter.
  • the resistance range of R5 can be selected as 0.05 ⁇ 0.3 ⁇ , and the power limit is 5OW.
  • the first feedback signal point is set between the resistors R1 and R4, and the voltage/current detection circuit measures the first feedback signal point The signal is used to detect the charging voltage; J1 and J2 are the feedback signals of the charging voltage.
  • the two resistors R2 and R3 are connected in series, one end is connected between the midpoint of the fast electronic switches K1 and K3 and KJ3, and the other end is grounded and connected to KJ4 through R5.
  • a second feedback signal point is set between the resistors R3 and R4.
  • the voltage/current detection circuit measures the signal of the second feedback signal point for the detection of the discharge voltage; where J3 and J4 are the feedback signals of the discharge voltage.
  • the resistance range of R1 can be 750K ⁇ 1M ⁇ , and the power limit is 15W;
  • the resistance range of R2 can be 75K ⁇ 100K ⁇ , and the power limit is 15W;
  • the resistance range of R3 can be 100 ⁇ 1000 ⁇ , and the power limit is 1W;
  • the resistance of R4 The value range can be 1K ⁇ 10K ⁇ , and the power limit is 1W.
  • the fast electronic switch forms high-frequency and high-voltage pulses under the action of the IGBT drive circuit.
  • the pulse width can be set between 2us and 50 ⁇ s, and pulses with the same pulse width are alternately conducted between the two discharge electrodes.
  • Multiple discharge electrodes can be selected for bipolar pulse discharge.
  • the high-voltage steep pulse forms a network-like discharge area in the tissue, so that the effective irreversible electric field covers the tumor tissue as much as possible, reduces the blind area of ablation, and enhances the treatment plan Effectiveness; on the rising edge of the pulse, the perforation of the cell is realized, and the perforation process is irreversible, thus realizing the cell inactivation.
  • the high-frequency bipolar non-recoverable electroporation system of the present invention uses a bipolar high-voltage pulse with a nanosecond-level rising edge to perform nanometer-level electroporation on the outer membrane of a biological cell to achieve an inactivation effect on the biological cell.
  • the system is applied to tumor treatment, not only can realize the inactivation treatment of the tumor, but also can achieve the effect of minimally invasive and no thermal deposition.
  • irreversible electroporation can only perforate general tissue cells, it has no effect on connective tissue cells such as blood vessels and nerves.
  • high-frequency bipolar irreversible electroporation achieves local anesthesia, no muscle relaxant injection, and no breathing. Tumor ablation surgery under mechanical and mechanical ventilation fundamentally improves the safety and quality of surgery.
  • the present invention adopts the form of charging and discharging the capacitor bank, uses FPGA or CPLD and digital signal processor (DSP) as the central controller, and uses insulated gate bipolar transistor (IGBD) as the steep pulse generation switch. It produces bipolar high voltage pulses with a frequency of up to 250kHZ, the output voltage is 1000v-5000v, and the positive and negative pulses can be adjusted within the range of 2 ⁇ s-50 ⁇ s.
  • DSP digital signal processor
  • IGBD insulated gate bipolar transistor
  • the present invention provides a high-frequency bipolar unrecoverable electroporation system, which includes an upper-level information management module, a lower computer control module, and a bipolar high-voltage pulse discharge circuit; the upper-level information management module receives the set The working parameters are transmitted to the lower computer control module, and then the control signal is generated and transmitted to the bipolar high voltage pulse discharge circuit to generate the bipolar high voltage pulse.
  • the present invention can better and more uniformly increase the induced transmembrane potential of closely-packed cells to the simulated electroporation threshold, thereby making the ablation area more uniform.
  • the invention can achieve a good tumor ablation effect and the purpose of inhibiting tumor growth, and has good safety and effectiveness.

Abstract

A high-frequency bipolar unrecoverable electroporation system. The system comprises an upper layer information management module, a lower computer control module and a bipolar high-voltage pulse discharging circuit, wherein the upper layer information management module receives set working parameters and then transmits same to the lower computer control module, and then generates a control signal and transmits same to the bipolar high-voltage pulse discharging circuit so as to produce a bipolar high-voltage pulse. Compared with a conventional unipolar irreversible electroporation pulse sequence, the high-frequency bipolar unrecoverable electroporation system can better and more uniformly increase the induced transmembrane potential of tightly arrayed cells to a simulation electroporation threshold, such that an ablation region is more uniform. The high-frequency bipolar unrecoverable electroporation system can achieve a better tumor ablation effect and the aim of restraining the growth of tumors, and has better safety and validity.

Description

一种高频双极性不可恢复电穿孔系统A high-frequency bipolar unrecoverable electroporation system 技术领域Technical field
本发明涉及治疗肿瘤的医疗器械设备技术领域,尤其是涉及一种高频双极性不可恢复电穿孔系统。The invention relates to the technical field of medical equipment and equipment for treating tumors, in particular to a high-frequency bipolar non-recoverable electroporation system.
背景技术Background technique
肿瘤是一类常见病、多发病,其中恶性肿瘤是目前危害人类健康最严重的一类疾病。由于恶性肿瘤的发病机制和病因尚未完全了解,因而缺乏根本的预防措施。迄今为止,人类尚无法像治疗其他常见多发病那样地治愈恶性肿瘤。由于恶性肿瘤的难治性,数世纪以来,各国学者除通过手术和放化疗相结合的方法,对恶性肿瘤进行治疗,以取得更长的生存期。但放疗和化疗对人体免疫力影响很大,严重影响生存质量。Tumors are a common and frequently-occurring disease, among which malignant tumors are the most serious type of disease that endangers human health. Since the pathogenesis and etiology of malignant tumors are not yet fully understood, fundamental preventive measures are lacking. So far, humans have not been able to cure malignant tumors like other common and frequently-occurring diseases. Due to the refractory nature of malignant tumors, scholars from various countries have used a combination of surgery and radiotherapy and chemotherapy to treat malignant tumors in order to achieve a longer survival time for centuries. However, radiotherapy and chemotherapy have a great impact on human immunity and seriously affect the quality of life.
不可逆电穿孔(Irreversible Electroporation,IRE)是一种新兴的治疗肿瘤的非热消融技术。其运用微秒级高压放电脉冲,使受作用细胞的细胞膜上形成纳米级孔隙,从而改变细胞膜的通透性,破坏细胞的内平衡,进而导致细胞调亡,这一过程称为不可逆电穿孔。不可逆电穿孔的一个典型的治疗方案是在两个电极针之间单向传送电压为1500v/cm,脉冲宽度为50-100μs的方波脉冲,脉冲个数为70–100个。治疗过程中可根据肿瘤的大小和形状调整电极数量、电极间距和电极暴露长度。在使用IRE时,最重要的是电场在破坏细胞膜的同时,不会引起热效应,从而引起的组织损伤,因此在临床中有着广泛的应用前景,尤其对于临近重要血管和神经的病灶,可以进行微创消融,提高治疗的安全性。Irreversible Electroporation (IRE) is an emerging non-thermal ablation technique for tumor treatment. It uses microsecond-level high-voltage discharge pulses to form nano-scale pores in the cell membrane of the affected cell, thereby changing the permeability of the cell membrane, destroying the internal balance of the cell, and leading to cell death. This process is called irreversible electroporation. A typical treatment plan for irreversible electroporation is to deliver a square wave pulse with a voltage of 1500v/cm and a pulse width of 50-100μs between two electrode needles in one direction. The number of pulses is 70-100. During the treatment, the number of electrodes, electrode spacing and electrode exposure length can be adjusted according to the size and shape of the tumor. When using IRE, the most important thing is that while the electric field destroys the cell membrane, it will not cause thermal effects and thus cause tissue damage. Therefore, it has a wide range of clinical applications, especially for lesions near important blood vessels and nerves. Injury and ablation, improve the safety of treatment.
尽管IRE在临床中具有良好的前景,但是现有的不可逆电穿孔均采用单 极性的高压放电脉冲作用于细胞,当用这项技术对人体的肿瘤细胞进行不可逆消融时,在脉冲放电的瞬间会引起患者的肌肉大幅度的抽搐,诱发患者的肢体发生大幅度移动,严重影响到放电电极的位置固定和治疗效果。因此,目前在实施这样的手术需要对患者进行气管插管、全身麻醉、注射肌肉松弛剂与呼吸机辅助进行,无法像目前应用于临床的大多数介入微创手术那样方便地在局部麻醉下进行,手术过程繁琐、费用高且增加了消融手术的复杂度与危险性,并可能引起一些并发症,因此限制了这项技术的应用与推广。Although IRE has good clinical prospects, the existing irreversible electroporation uses unipolar high-voltage discharge pulses to act on cells. When this technology is used to irreversibly ablate tumor cells in the human body, at the moment of pulse discharge It will cause the patient's muscles to twitch greatly, induce the patient's limbs to move greatly, and seriously affect the fixation of the position of the discharge electrode and the treatment effect. Therefore, the current implementation of such operations requires tracheal intubation, general anesthesia, injection of muscle relaxants, and ventilator assistance to perform such operations. It cannot be performed under local anesthesia as easily as most interventional minimally invasive surgery currently used in clinical practice. However, the operation process is cumbersome and expensive, which increases the complexity and risk of ablation surgery, and may cause some complications, thus limiting the application and promotion of this technology.
发明内容Summary of the invention
本发明为了解决上述现有IRE技术中存在的问题,提供高频双极性不可恢复电穿孔系统,实现局部麻醉、不注射肌松剂、无呼吸机机械通气条件下的肿瘤消融手术,从根本上提高手术的安全性和质量。In order to solve the above-mentioned problems in the existing IRE technology, the present invention provides a high-frequency bipolar non-recoverable electroporation system to realize tumor ablation surgery under the conditions of local anesthesia, no muscle relaxant injection, and mechanical ventilation without a ventilator. Improve the safety and quality of surgery.
本发明由下述技术方案实现:The present invention is realized by the following technical solutions:
本发明提供了一种高频双极性不可恢复电穿孔系统,包括上层信息管理模块、下位机控制模块和双极性高压脉冲放电电路;The invention provides a high-frequency bipolar unrecoverable electroporation system, which includes an upper-level information management module, a lower computer control module and a bipolar high-voltage pulse discharge circuit;
所述上层信息管理模块接收设置的工作参数、并传输至所述下位机控制模块;The upper-level information management module receives the set working parameters and transmits them to the lower computer control module;
所述下位机控制模块根据所述上层信息管理模块传输的工作参数生成控制信号,并将控制信号传输至所述双极性高压脉冲放电电路,以控制所述双极性高压脉冲放电电路的充放电参数,使所述双极性高压脉冲放电电路产生双极性高压脉冲;The lower computer control module generates a control signal according to the working parameters transmitted by the upper-level information management module, and transmits the control signal to the bipolar high-voltage pulse discharge circuit to control the charging of the bipolar high-voltage pulse discharge circuit. Discharge parameters, enabling the bipolar high voltage pulse discharge circuit to generate bipolar high voltage pulses;
所述双极性高压脉冲放电电路产生正负双极性高压脉冲,由其电路中的电极放电,并将反馈信号回传至所述上层信息管理模块。The bipolar high-voltage pulse discharge circuit generates positive and negative bipolar high-voltage pulses, which are discharged by electrodes in the circuit, and feedback signals are transmitted back to the upper-level information management module.
进一步的,所述上层信息管理模块包括操作单元、数据处理单元、显示单元和传输单元;Further, the upper-level information management module includes an operation unit, a data processing unit, a display unit, and a transmission unit;
所述操作单元为设置工作参数提供交互途径;The operating unit provides an interactive way for setting working parameters;
所述数据处理单元对数据进行处理得到处理结果;The data processing unit processes the data to obtain a processing result;
所述显示单元显示交互界面以及处理结果;The display unit displays the interactive interface and the processing result;
所述传输单元用于传输工作参数和/或控制信号。The transmission unit is used to transmit working parameters and/or control signals.
进一步的,还包括编译单元,用于提供编程环境,以控制系统的放电顺序。Further, it also includes a compiling unit for providing a programming environment to control the discharge sequence of the system.
进一步的,所述下位机控制模块还包括高频双极性脉冲发生控制单元、时序功能控制单元和采集单元;Further, the lower computer control module further includes a high-frequency bipolar pulse generation control unit, a timing function control unit, and an acquisition unit;
所述高频双极性脉冲发生控制单元用于产生高频双极性脉冲序列;The high-frequency bipolar pulse generation control unit is used to generate a high-frequency bipolar pulse sequence;
所述时序功能控制单元用于对充放电电路中的充放电开关进行控制;The sequential function control unit is used to control the charge and discharge switches in the charge and discharge circuit;
所述采集单元用于对充放电过程中电压和/或电流进行监测和采集。The collection unit is used to monitor and collect the voltage and/or current during the charging and discharging process.
进一步的,所述充放电参数包括充电电压、放电脉冲电压、脉冲宽度、组脉冲个数和脉冲组数。Further, the charge and discharge parameters include charge voltage, discharge pulse voltage, pulse width, number of pulse groups, and number of pulse groups.
进一步的,还包括功率放大电路,用于将控制信号进行功率放大后传输至所述双极性高压脉冲放电电路。Further, it also includes a power amplifying circuit, which is used to amplify the power of the control signal and transmit it to the bipolar high-voltage pulse discharge circuit.
进一步的,还包括电压/电流检测电路,用于系统充电电压反馈信号、高压脉冲放电电压及电流反馈信号的检测,同时将检测结果上传至上层信息管理模块。Further, it also includes a voltage/current detection circuit for detecting system charging voltage feedback signals, high-voltage pulse discharge voltages, and current feedback signals, and at the same time uploading the detection results to the upper-level information management module.
进一步的,还包括光电隔离模块,所述光电隔离模块包括第一光电隔离单元和第二光电隔离单元;Further, it also includes a photoelectric isolation module, the photoelectric isolation module including a first photoelectric isolation unit and a second photoelectric isolation unit;
所述第一光电隔离单元为所述控制信号做光电隔离;The first photoelectric isolation unit performs photoelectric isolation for the control signal;
所述第二光电隔离单元为所述反馈信号做光电隔离。The second photoelectric isolation unit performs photoelectric isolation for the feedback signal.
进一步的,还包括信号滤波单元,信号滤波单元为由双极性高压脉冲放电电路输入的反馈信号进行滤波处理。Further, it also includes a signal filtering unit, which performs filtering processing on the feedback signal input by the bipolar high-voltage pulse discharge circuit.
进一步的,所述双极性高压脉冲放电电路包括充电电源、储能电容组、快速电子开关组和放电电极;Further, the bipolar high-voltage pulse discharge circuit includes a charging power supply, an energy storage capacitor group, a fast electronic switch group, and a discharge electrode;
所述储能电容组通过充电开关与所述充电电源连接,通过所述快速电子开关组与所述放电电极连接;The energy storage capacitor group is connected to the charging power source through a charging switch, and is connected to the discharging electrode through the fast electronic switch group;
所述快速电子开关组通过放电开关与所述放电电极连接。The fast electronic switch group is connected with the discharge electrode through a discharge switch.
进一步的,所述储能电容组包括一个或多个大容量电容以及一个或多个小容量电容;Further, the energy storage capacitor group includes one or more large-capacity capacitors and one or more small-capacity capacitors;
所述大容量电容与所述小容量电容并联连接;The large-capacity capacitor and the small-capacity capacitor are connected in parallel;
所述大容量电容的容量为100uF~400uF;所述小容量电容的容量为0.1uF~1uF。The capacity of the large-capacity capacitor is 100uF˜400uF; the capacity of the small-capacity capacitor is 0.1uF˜1uF.
进一步的,包括两个所述充电开关KJ1和KJ2;Further, it includes two charging switches KJ1 and KJ2;
两个电阻R1和R4串联后一端设置在所述两个充电开关KJ1和KJ2之间,另一端接地;After the two resistors R1 and R4 are connected in series, one end is arranged between the two charging switches KJ1 and KJ2, and the other end is grounded;
所述两个电阻之间设置第一反馈信号点,产生的第一反馈信号反馈至所述上层信息管理模块。A first feedback signal point is set between the two resistors, and the generated first feedback signal is fed back to the upper-level information management module.
进一步的,包括两个所述放电开关KJ3和KJ4,每个放电开关连接一个放电电极,以双极性交替放电;Further, it includes two of the discharge switches KJ3 and KJ4, each discharge switch is connected to a discharge electrode, and discharges in bipolar alternately;
两个电阻R2和R3串联后一端连接在快速电子开关组与KJ3之间,另一端接地;After the two resistors R2 and R3 are connected in series, one end is connected between the fast electronic switch group and KJ3, and the other end is grounded;
所述两个电阻R2和R3之间设置第二反馈信号点,产生的第二反馈信号反馈至所述上层信息管理模块。A second feedback signal point is set between the two resistors R2 and R3, and the generated second feedback signal is fed back to the upper-level information management module.
进一步的,包括多个放电开关,每个放电开关连接一个放电电极;Further, it includes a plurality of discharge switches, and each discharge switch is connected to a discharge electrode;
通过工作参数的设置控制放电电极的选择以及放电顺序。The selection of discharge electrodes and the sequence of discharge are controlled by the setting of working parameters.
进一步的,充电电压为1000v-5000v、放电脉冲电压为1000v-5000v、脉冲脉宽为2μs-50μs、组脉冲个数为1-15个和脉冲组数为1-250组。Further, the charging voltage is 1000v-5000v, the discharge pulse voltage is 1000v-5000v, the pulse pulse width is 2μs-50μs, the number of pulse groups is 1-15, and the number of pulse groups is 1-250 groups.
综上所述,本发明提供了一种高频双极性不可恢复电穿孔系统,该系统包括上层信息管理模块、下位机控制模块和双极性高压脉冲放电电路;上层信息管理模块接收设置的工作参数后传输至下位机控制模块,然后生成控制信号并传输至双极性高压脉冲放电电路,以产生双极性高压脉冲。与传统的单极性不可逆电穿孔脉冲序列相比,本发明能更好、更均匀地将紧密排列的细胞的诱导跨膜电位提高到模拟电穿孔阈值,从而使消融区域更加均匀。本发明可以达到良好的肿瘤消融效果以及抑制肿瘤生长的目的,具有良好的安 全性和有效性。In summary, the present invention provides a high-frequency bipolar unrecoverable electroporation system, which includes an upper-level information management module, a lower-level computer control module, and a bipolar high-voltage pulse discharge circuit; the upper-level information management module receives the set The working parameters are transmitted to the lower computer control module, and then the control signal is generated and transmitted to the bipolar high voltage pulse discharge circuit to generate the bipolar high voltage pulse. Compared with the traditional unipolar irreversible electroporation pulse sequence, the present invention can better and more uniformly increase the induced transmembrane potential of closely-packed cells to the simulated electroporation threshold, thereby making the ablation area more uniform. The invention can achieve good tumor ablation effects and inhibit tumor growth, and has good safety and effectiveness.
与现有技术相比,本发明具有以下优点:Compared with the prior art, the present invention has the following advantages:
1、本发明在对病人实施治疗前,病人只需进行局部麻醉。1. In the present invention, the patient only needs to undergo local anesthesia before the patient is treated.
2、本发明能使病人肿瘤消融区域更加均匀。2. The present invention can make the patient's tumor ablation area more uniform.
3、本发明能够精确化设置双极性脉冲参数。3. The present invention can accurately set bipolar pulse parameters.
4、本发明基于高速数字信号微处理器,高速实时采集高压脉冲反馈信号,实现整个治疗过程中高压脉冲放电的实时监测,满足系统工作过程中对实时性的要求。4. The present invention is based on a high-speed digital signal microprocessor, high-speed real-time acquisition of high-voltage pulse feedback signals, real-time monitoring of high-voltage pulse discharge in the entire treatment process, and meets the real-time requirements in the working process of the system.
5、本发明采用多个电极双极性脉冲放电,在治疗区域设定上,高压陡脉冲在组织内形成网状放电区域,使有效不可逆电场尽可能的覆盖肿瘤组织,减少消融盲区,增强治疗计划的有效性、5. The present invention adopts bipolar pulse discharge of multiple electrodes. In the setting of the treatment area, the high-voltage steep pulse forms a network discharge area in the tissue, so that the effective irreversible electric field covers the tumor tissue as much as possible, reduces the blind area of ablation, and enhances the treatment. The effectiveness of the plan,
6、本发明输出脉冲形式为2us-50us之间脉宽相同的脉冲在两个电极之间交替传导的形式。6. The output pulse form of the present invention is a form in which pulses with the same pulse width between 2us and 50us are alternately conducted between two electrodes.
7、本发明具有良好的软硬件保护机制,确保整个手术治疗的安全性。7. The present invention has a good software and hardware protection mechanism to ensure the safety of the entire surgical treatment.
附图说明Description of the drawings
图1是本发明的高频双极性不可恢复电穿孔系统的结构框图;Figure 1 is a structural block diagram of the high-frequency bipolar unrecoverable electroporation system of the present invention;
图2是本发明的具体实施例的高频双极性不可恢复电穿孔系统的结构框图;2 is a structural block diagram of a high-frequency bipolar non-recoverable electroporation system according to a specific embodiment of the present invention;
图3是本发明的具体实施例的高频双极性不可恢复电穿孔系统的控制方法流程图;3 is a flowchart of a control method of a high-frequency bipolar non-recoverable electroporation system according to a specific embodiment of the present invention;
图4是本发明的具体实施例的双向高压脉冲放电电路的电路原理图。Fig. 4 is a circuit principle diagram of a bidirectional high-voltage pulse discharge circuit according to a specific embodiment of the present invention.
具体实施方式Detailed ways
为使本发明的目的、技术方案和优点更加清楚明了,下面结合具体实施方式并参照附图,对本发明进一步详细说明。应该理解,这些描述只是示例性的,而并非要限制本发明的范围。此外,在以下说明中,省略了对公知结 构和技术的描述,以避免不必要地混淆本发明的概念。In order to make the objectives, technical solutions, and advantages of the present invention clearer, the present invention will be further described in detail below in conjunction with specific embodiments and with reference to the accompanying drawings. It should be understood that these descriptions are only exemplary, and are not intended to limit the scope of the present invention. In addition, in the following description, descriptions of well-known structures and technologies are omitted to avoid unnecessarily obscuring the concept of the present invention.
本发明提供了一种高频双极性不可恢复电穿孔系统,如图1所示,包括上层信息管理模块、下位机控制模块和双极性高压脉冲放电电路;该上层信息管理模块接收设置的工作参数、并传输至所述下位机控制模块;该下位机控制模块根据所述上层信息管理模块传输的工作参数生成控制信号,并将控制信号传输至所述双极性高压脉冲放电电路,以控制该双极性高压脉冲放电电路的充放电参数,使该双极性高压脉冲放电电路产生双极性高压脉冲;该双极性高压脉冲放电电路产生正负双极性高压脉冲,由其电路中的电极放电,并将反馈信号回传至上层信息管理模块。The present invention provides a high-frequency bipolar unrecoverable electroporation system, as shown in Figure 1, comprising an upper-level information management module, a lower computer control module and a bipolar high-voltage pulse discharge circuit; the upper-level information management module receives the set The working parameters are transmitted to the lower computer control module; the lower computer control module generates control signals according to the working parameters transmitted by the upper information management module, and transmits the control signals to the bipolar high-voltage pulse discharge circuit to Control the charging and discharging parameters of the bipolar high-voltage pulse discharge circuit so that the bipolar high-voltage pulse discharge circuit generates bipolar high-voltage pulses; the bipolar high-voltage pulse discharge circuit generates positive and negative bipolar high-voltage pulses. The electrodes in the middle discharge, and the feedback signal is sent back to the upper information management module.
进一步的,如图2所示,所述上层信息管理模块包括操作单元、数据处理单元、显示单元和传输单元;操作单元为操作者提供设置各种工作参数的交互途径,并将设置好的工作参数下传到下位机控制模块中。数据处理单元对数据进行处理得到处理结果;例如对控制模块采集的各种数据进行处理,并绘制成曲线。显示单元显示交互界面以及处理结果,使得数据可视化,为操作者提供充电和放电过程等信息。传输单元用于传输工作参数和/或控制信号。在一具体的实施例中,所述的上层信息管理模块为医用计算机。Further, as shown in Figure 2, the upper-level information management module includes an operating unit, a data processing unit, a display unit, and a transmission unit; the operating unit provides an interactive way for the operator to set various working parameters, and the The parameters are downloaded to the lower computer control module. The data processing unit processes the data to obtain the processing results; for example, processes various data collected by the control module and draws them into a curve. The display unit displays the interactive interface and the processing result, makes the data visible, and provides the operator with information such as the charging and discharging process. The transmission unit is used to transmit working parameters and/or control signals. In a specific embodiment, the upper-level information management module is a medical computer.
进一步的,所述上层信息管理模块还包括编译单元,用于为操作者提供编程环境,实现对系统放电顺序的智能化控制。Further, the upper-level information management module further includes a compiling unit, which is used to provide a programming environment for the operator to realize the intelligent control of the discharge sequence of the system.
进一步的,下位机控制模块以现场可编程门阵列(FPGA or CPLD)和数字信号处理器(DSP)作为中央控制器,实现对双极性高压脉冲放电电路充放电的控制和充放电反馈信号的监测和采集。所述下位机控制模块包括高频双极性脉冲发生控制单元、时序功能控制单元和采集单元。Further, the control module of the lower computer uses FPGA or CPLD and digital signal processor (DSP) as the central controller to control the charge and discharge of the bipolar high voltage pulse discharge circuit and control the charge and discharge feedback signal. Monitoring and collection. The lower computer control module includes a high-frequency bipolar pulse generation control unit, a timing function control unit and an acquisition unit.
进一步的,所述高频双极性脉冲发生控制单元,用于根据上层信息管理模块所设置的脉冲参数产生相应的高频双极性脉冲序列。Further, the high-frequency bipolar pulse generation control unit is used to generate a corresponding high-frequency bipolar pulse sequence according to the pulse parameters set by the upper-level information management module.
进一步的,所述时序功能控制单元,用于对充放电电路中的充放电开关进行控制。Further, the timing function control unit is used to control the charge and discharge switches in the charge and discharge circuit.
进一步的,所述采集单元,用于对充放电过程中电压和/或电流进行监测 和采集。Further, the collection unit is used to monitor and collect the voltage and/or current during the charging and discharging process.
进一步的,所述充放电参数包括充电电压、放电脉冲电压、脉冲宽度、组脉冲个数及脉冲组数。Further, the charge and discharge parameters include charge voltage, discharge pulse voltage, pulse width, number of pulse groups, and number of pulse groups.
进一步的,还包括功率放大电路,用于将控制信号进行功率放大后传输至所述双极性高压脉冲放电电路。Further, it also includes a power amplifying circuit, which is used to amplify the power of the control signal and transmit it to the bipolar high-voltage pulse discharge circuit.
进一步的,还包括电压/电流检测电路,用于检测系统充电电路的反馈信号点的电压信号和双极性高压脉冲放电电路的反馈信号点的电压和电流信号。Further, it also includes a voltage/current detection circuit for detecting the voltage signal at the feedback signal point of the charging circuit of the system and the voltage and current signal at the feedback signal point of the bipolar high voltage pulse discharge circuit.
进一步的,还包括光电隔离模块,为所有的输入输出信号做光电隔离,以减小外部噪声信号对内部控制模块的噪声干扰,提高控制模块的可靠性。具体的,所述光电隔离模块包括第一光电隔离单元和第二光电隔离单元;第一光电隔离单元为控制信号做光电隔离;第二光电隔离单元为所述反馈信号做光电隔离。Furthermore, it also includes a photoelectric isolation module, which performs photoelectric isolation for all input and output signals to reduce the noise interference of external noise signals on the internal control module and improve the reliability of the control module. Specifically, the photoelectric isolation module includes a first photoelectric isolation unit and a second photoelectric isolation unit; the first photoelectric isolation unit performs photoelectric isolation for the control signal; and the second photoelectric isolation unit performs photoelectric isolation for the feedback signal.
进一步的,还包括信号滤波单元,信号滤波单元为由双极性高压脉冲放电电路输入的反馈信号进行滤波处理。Further, it also includes a signal filtering unit, which performs filtering processing on the feedback signal input by the bipolar high-voltage pulse discharge circuit.
下面以一具体实施例对本发明的高频双极性不可恢复电穿孔系统进行进一步的说明。如图3所示,该系统包括上层信息管理模块和双极性高压脉冲放电电路,上层信息管理模块通过下位机控制模块、第一光电隔离单元和功率放大电路将由输入的工作参数产生对应的控制信号传送至双极性高压脉冲放电电路;双极性高压脉冲放电电路通过电压/电流检测电路、第二光电隔离单元和信号滤波单元将反馈信号回传至上层信息管理模块。In the following, a specific embodiment is used to further illustrate the high-frequency bipolar non-recoverable electroporation system of the present invention. As shown in Figure 3, the system includes an upper-level information management module and a bipolar high-voltage pulse discharge circuit. The upper-level information management module generates a corresponding control based on the input working parameters through the lower computer control module, the first photoelectric isolation unit and the power amplifier circuit. The signal is transmitted to the bipolar high voltage pulse discharge circuit; the bipolar high voltage pulse discharge circuit transmits the feedback signal back to the upper information management module through the voltage/current detection circuit, the second photoelectric isolation unit and the signal filter unit.
进一步的,如图2所示,所述双极性高压脉冲放电电路包括充电电源、储能电容组、快速电子开关组和放电电极;储能电容组通过充电开关与所述充电电源连接,通过所述快速电子开关组与所述放电电极连接;所述快速电子开关组通过放电开关与所述放电电极连接。其中,快速电子开关采用绝缘栅双极型晶体管,并设有IGBT驱动电路。其中,储能电容组包括一个或多个大容量电容以及一个或多个小容量电容;所述大容量电容与所述小容量电容 并联连接;所述大容量电容的容量为100uF~400uF;所述小容量电容的容量为0.1uF~1uF。Further, as shown in FIG. 2, the bipolar high-voltage pulse discharge circuit includes a charging power supply, an energy storage capacitor group, a fast electronic switch group and a discharge electrode; the energy storage capacitor group is connected to the charging power supply through a charging switch, and The fast electronic switch group is connected with the discharge electrode; the fast electronic switch group is connected with the discharge electrode through a discharge switch. Among them, the fast electronic switch uses insulated gate bipolar transistors and is equipped with an IGBT drive circuit. Wherein, the energy storage capacitor group includes one or more large-capacity capacitors and one or more small-capacity capacitors; the large-capacity capacitors are connected in parallel with the small-capacity capacitors; the capacity of the large-capacity capacitors is 100uF-400uF; The capacity of the small capacitance capacitor is 0.1uF~1uF.
进一步的,包括两个所述充电开关;两个电阻串联后一端设置在所述两个充电开关之间,另一端接地;所述两个电阻之间设置第一反馈信号点,产生的第一反馈信号反馈至所述上层信息管理模块,该第一反馈信号用于充电电压的检测。Further, it includes two charging switches; after the two resistors are connected in series, one end is set between the two charging switches, and the other end is grounded; a first feedback signal point is set between the two resistors, and the first The feedback signal is fed back to the upper-level information management module, and the first feedback signal is used for the detection of the charging voltage.
进一步的,包括两个所述放电开关,每个放电开关连接一个放电电极,以双极性交替放电;两个电阻串联后一端连接在快速电子开关组与其中一个放电开关之间,另一端接地;所述两个电阻之间设置第二反馈信号点,产生的第二反馈信号反馈至所述上层信息管理模块,该第二反馈信号用于放电电压的检测。Further, it includes two of the discharge switches, each of which is connected to a discharge electrode to alternately discharge in bipolar; after the two resistors are connected in series, one end is connected between the fast electronic switch group and one of the discharge switches, and the other end is grounded A second feedback signal point is set between the two resistors, the generated second feedback signal is fed back to the upper-level information management module, and the second feedback signal is used for the detection of the discharge voltage.
进一步的,充放电参数的设置可选择为如下:充电电压为1000v-5000v、放电脉冲电压为1000v-5000v、脉冲脉宽为2μs-50μs、组脉冲个数为1-15个及脉冲组数为1-250组;其中,组脉冲个数为每个脉冲组里的脉冲个数。Further, the settings of the charge and discharge parameters can be selected as follows: charge voltage is 1000v-5000v, discharge pulse voltage is 1000v-5000v, pulse width is 2μs-50μs, the number of group pulses is 1-15, and the number of pulse groups is 1-250 groups; among them, the number of group pulses is the number of pulses in each pulse group.
进一步的,可以包括多个放电开关,每个放电开关连接一个放电电极;这样可以通过上层信息管理模块的工作参数的设置来控制放电电极的选择以及放电顺序。Further, a plurality of discharge switches may be included, and each discharge switch is connected to a discharge electrode; in this way, the selection of discharge electrodes and the discharge sequence can be controlled by setting the working parameters of the upper-level information management module.
下面以一个具体实施例对本发明的双极性高压脉冲放电电路进行说明,其中以采用两个放电电极为例,但实际应用中也可以根据需要选择多个放电电极。图4是本发明的具体实施例的双极性高压脉冲放电电路的电路原理图,如图4所示,双极性高压脉冲放电电路包括与充电电源U1连接的储能电容组C1-C6和通过快速电子开关组K1-K4与储能电容组连接的成对的放电电极1和2。储能电容组与充电电源之间设置有充电开关KJ1和KJ2,其中,G1、G2分别为KJ1的控制信号,G3、G4分别为KJ2的控制信号;快速电子开关与放电电极之间设置有放电开关KJ3和KJ4,其中,G5、G6分别为KJ3的控制信号,G7、G8分别为KJ4的控制信号。具体的,充电开关KJ1和KJ2以及放电开关KJ3和KJ4可采用继电器。储能电容组由一个或多个100uF~400uF的大 容量电容与一个或多个0.1uF~1uF的小容量电容并联组成,可以在短时间内供应大电流,实现电流脉冲的快速上升。如图所示,储能电容组包括三个大容量电容C1、C3和C5串联、三个小容量电容C2、C4和C6串联后,再行并联组成。The bipolar high-voltage pulse discharge circuit of the present invention is described below with a specific embodiment, in which two discharge electrodes are used as an example, but in practical applications, multiple discharge electrodes can also be selected as required. Fig. 4 is a circuit principle diagram of a bipolar high voltage pulse discharge circuit according to a specific embodiment of the present invention. As shown in Fig. 4, the bipolar high voltage pulse discharge circuit includes energy storage capacitor groups C1-C6 and C1 connected to the charging power supply U1. The pair of discharge electrodes 1 and 2 are connected to the energy storage capacitor group through fast electronic switch groups K1-K4. There are charging switches KJ1 and KJ2 between the energy storage capacitor group and the charging power supply. Among them, G1 and G2 are the control signals of KJ1 respectively, and G3 and G4 are the control signals of KJ2 respectively. A discharge is provided between the fast electronic switch and the discharge electrode. Switches KJ3 and KJ4, where G5 and G6 are the control signals of KJ3 respectively, and G7 and G8 are the control signals of KJ4 respectively. Specifically, the charging switches KJ1 and KJ2 and the discharging switches KJ3 and KJ4 may adopt relays. The energy storage capacitor group is composed of one or more large-capacity capacitors of 100uF~400uF in parallel with one or more small-capacity capacitors of 0.1uF~1uF, which can supply large current in a short time and realize the rapid rise of current pulse. As shown in the figure, the energy storage capacitor group includes three large-capacity capacitors C1, C3, and C5 in series, and three small-capacity capacitors C2, C4, and C6 are connected in series and then connected in parallel.
快速电子开关组包括4个快速电子开关K1-K4,采用绝缘栅双极型晶体管IGBT,并设有IGBT驱动电路。其中K1和K3串联、K2和K4串联后分别与储能电容组并联;所述放电开关KJ3的一端连接于K1和K3之间,另一端连接放电电极对之中的一个放电电极;所述放电开关KJ4的一端连接于K2和K4之间,另一端连接放电电极对之中的另一个放电电极,其中,放电开关KJ4与K2和K4之间通过电阻R5连接,电阻R5起到限流作用。其中,R5的阻值范围可取为0.05~0.3Ω,功率限额5OW。The fast electronic switch group includes 4 fast electronic switches K1-K4, which use insulated gate bipolar transistors IGBTs and are equipped with IGBT drive circuits. K1 and K3 are connected in series, and K2 and K4 are connected in series respectively in parallel with the energy storage capacitor group; one end of the discharge switch KJ3 is connected between K1 and K3, and the other end is connected to one of the discharge electrode pairs; One end of the switch KJ4 is connected between K2 and K4, and the other end is connected to the other discharge electrode in the pair of discharge electrodes. The discharge switch KJ4 is connected to K2 and K4 through a resistor R5, and the resistor R5 acts as a current limiter. Among them, the resistance range of R5 can be selected as 0.05~0.3Ω, and the power limit is 5OW.
两个电阻R1和R4串联后,一端连接在两充电开关KJ1和KJ2之间,另一端接地,电阻R1和R4之间设置第一反馈信号点,电压/电流检测电路测量该第一反馈信号点的信号,用于进行充电电压的检测;其中J1、J2为充电电压的反馈信号。两个电阻R2和R3串联后,一端连接在快速电子开关K1和K3的中点与KJ3之间,另一端接地,并通过R5与KJ4连接,电阻R3和R4之间设置第二反馈信号点,电压/电流检测电路测量该第二反馈信号点的信号,用于进行放电电压的检测;其中J3、J4为放电电压的反馈信号。其中,R1的阻值范围可取为750K~1MΩ,功率限额15W;R2的阻值范围可取为75K~100KΩ,功率限额15W;R3的阻值范围可取为100~1000Ω,功率限额1W;R4的阻值范围可取为1K~10KΩ,功率限额1W。After the two resistors R1 and R4 are connected in series, one end is connected between the two charging switches KJ1 and KJ2, the other end is grounded, the first feedback signal point is set between the resistors R1 and R4, and the voltage/current detection circuit measures the first feedback signal point The signal is used to detect the charging voltage; J1 and J2 are the feedback signals of the charging voltage. After the two resistors R2 and R3 are connected in series, one end is connected between the midpoint of the fast electronic switches K1 and K3 and KJ3, and the other end is grounded and connected to KJ4 through R5. A second feedback signal point is set between the resistors R3 and R4. The voltage/current detection circuit measures the signal of the second feedback signal point for the detection of the discharge voltage; where J3 and J4 are the feedback signals of the discharge voltage. Among them, the resistance range of R1 can be 750K~1MΩ, and the power limit is 15W; the resistance range of R2 can be 75K~100KΩ, and the power limit is 15W; the resistance range of R3 can be 100~1000Ω, and the power limit is 1W; the resistance of R4 The value range can be 1K~10KΩ, and the power limit is 1W.
系统工作时,将放电电极插入病灶部位,首先闭合充电开关KJ1和KJ2,为储能电容组充电。当点J1即第一反馈信号点的电压达到预定值时,断开充电开关KJ1和KJ2,闭合放电开关KJ3和KJ4,储能电容组放电。快速电子开关在IGBT驱动电路作用下,形成高频高电压的脉冲,脉冲的宽度可以设定为2us和50μs之间,脉宽相同的脉冲在两个放电电极之间交替传导。When the system is working, insert the discharge electrode into the lesion, and first close the charging switches KJ1 and KJ2 to charge the energy storage capacitor bank. When the voltage at point J1, that is, the first feedback signal point, reaches a predetermined value, the charging switches KJ1 and KJ2 are opened, and the discharging switches KJ3 and KJ4 are closed, and the energy storage capacitor group is discharged. The fast electronic switch forms high-frequency and high-voltage pulses under the action of the IGBT drive circuit. The pulse width can be set between 2us and 50μs, and pulses with the same pulse width are alternately conducted between the two discharge electrodes.
可以选择多个放电电极进行双极性脉冲放电,在治疗区域设定上,高压 陡脉冲在组织内形成网状放电区域,使有效不可逆电场尽可能的覆盖肿瘤组织,减少消融盲区,增强治疗计划的有效性;在脉冲的上升沿,实现对细胞的穿孔,该穿孔的过程是不可逆的,从而实现了细胞灭活。Multiple discharge electrodes can be selected for bipolar pulse discharge. In the setting of the treatment area, the high-voltage steep pulse forms a network-like discharge area in the tissue, so that the effective irreversible electric field covers the tumor tissue as much as possible, reduces the blind area of ablation, and enhances the treatment plan Effectiveness; on the rising edge of the pulse, the perforation of the cell is realized, and the perforation process is irreversible, thus realizing the cell inactivation.
本发明的高频双极性不可恢复电穿孔系统,使用纳秒级上升沿的双极性高电压脉冲,对生物细胞的外膜进行纳米数量级的电击穿孔,实现对生物细胞的灭活效果。该系统应用于肿瘤治疗中,不仅能够实现对肿瘤细施的灭活治疗,还可以做到微创和无热沉积的效果。另外,由于不可逆电穿孔只能对一般组织细胞进行穿孔,对血管、神经等结缔组织细胞不起作用,同时高频双极性不可恢复电穿孔实现了局部麻醉、不注射肌松剂、无呼吸机机械通气条件下的肿瘤消融手术,从根本上提高手术的安全性和质量。The high-frequency bipolar non-recoverable electroporation system of the present invention uses a bipolar high-voltage pulse with a nanosecond-level rising edge to perform nanometer-level electroporation on the outer membrane of a biological cell to achieve an inactivation effect on the biological cell. The system is applied to tumor treatment, not only can realize the inactivation treatment of the tumor, but also can achieve the effect of minimally invasive and no thermal deposition. In addition, because irreversible electroporation can only perforate general tissue cells, it has no effect on connective tissue cells such as blood vessels and nerves. At the same time, high-frequency bipolar irreversible electroporation achieves local anesthesia, no muscle relaxant injection, and no breathing. Tumor ablation surgery under mechanical and mechanical ventilation fundamentally improves the safety and quality of surgery.
本发明采用电容组充放电的形式,以现场可编程门阵列(FPGA or CPLD)和数字信号处理器(DSP)为中央控制器,以绝缘栅双极晶体管(IGBD)为陡脉冲生成开关,可以产生频率高达250kHZ的双极性的高压脉冲,输出电压为1000v-5000v,正负脉冲均可在2μs-50μs范围内调节。通过用户操作界面选择要使用的探针数(即放电电极的个数)和探针组合(即放电电极的选择),通过电极间距设置电压(1000v-5000v)、正脉冲脉宽(2μs-50μs)、负脉冲脉宽(2μs-50μs)、组内脉冲个数(1个-15个)、脉冲组数(1组-250组)等参数。The present invention adopts the form of charging and discharging the capacitor bank, uses FPGA or CPLD and digital signal processor (DSP) as the central controller, and uses insulated gate bipolar transistor (IGBD) as the steep pulse generation switch. It produces bipolar high voltage pulses with a frequency of up to 250kHZ, the output voltage is 1000v-5000v, and the positive and negative pulses can be adjusted within the range of 2μs-50μs. Select the number of probes to be used (ie the number of discharge electrodes) and probe combinations (ie the selection of discharge electrodes) through the user interface, and set the voltage (1000v-5000v) and positive pulse width (2μs-50μs) through the electrode spacing ), negative pulse pulse width (2μs-50μs), the number of pulses in the group (1-15), the number of pulse groups (1 group-250 groups) and other parameters.
综上所述,本发明提供了一种高频双极性不可恢复电穿孔系统,该系统包括上层信息管理模块、下位机控制模块和双极性高压脉冲放电电路;上层信息管理模块接收设置的工作参数后传输至下位机控制模块,然后生成控制信号并传输至双极性高压脉冲放电电路,以产生双极性高压脉冲。与传统的单极性不可逆电穿孔脉冲序列相比,本发明能更好、更均匀地将紧密排列的细胞的诱导跨膜电位提高到模拟电穿孔阈值,从而使消融区域更加均匀。本发明可以达到良好的肿瘤消融效果以及抑制肿瘤生长的目的,具有良好的安全性和有效性。In summary, the present invention provides a high-frequency bipolar unrecoverable electroporation system, which includes an upper-level information management module, a lower computer control module, and a bipolar high-voltage pulse discharge circuit; the upper-level information management module receives the set The working parameters are transmitted to the lower computer control module, and then the control signal is generated and transmitted to the bipolar high voltage pulse discharge circuit to generate the bipolar high voltage pulse. Compared with the traditional unipolar irreversible electroporation pulse sequence, the present invention can better and more uniformly increase the induced transmembrane potential of closely-packed cells to the simulated electroporation threshold, thereby making the ablation area more uniform. The invention can achieve a good tumor ablation effect and the purpose of inhibiting tumor growth, and has good safety and effectiveness.
应当理解的是,本发明的上述具体实施方式仅仅用于示例性说明或解释 本发明的原理,而不构成对本发明的限制。因此,在不偏离本发明的精神和范围的情况下所做的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。此外,本发明所附权利要求旨在涵盖落入所附权利要求范围和边界、或者这种范围和边界的等同形式内的全部变化和修改例。It should be understood that the above-mentioned specific embodiments of the present invention are only used to exemplarily illustrate or explain the principle of the present invention, and do not constitute a limitation to the present invention. Therefore, any modifications, equivalent substitutions, improvements, etc. made without departing from the spirit and scope of the present invention should be included in the protection scope of the present invention. In addition, the appended claims of the present invention are intended to cover all changes and modifications that fall within the scope and boundary of the appended claims, or equivalent forms of such scope and boundary.

Claims (15)

  1. 一种高频双极性不可恢复电穿孔系统,其特征在于,包括上层信息管理模块、下位机控制模块和双极性高压脉冲放电电路;A high-frequency bipolar unrecoverable electroporation system, which is characterized by comprising an upper-level information management module, a lower-level computer control module and a bipolar high-voltage pulse discharge circuit;
    所述上层信息管理模块接收设置的工作参数、并传输至所述下位机控制模块;The upper-level information management module receives the set working parameters and transmits them to the lower computer control module;
    所述下位机控制模块根据所述上层信息管理模块传输的工作参数生成控制信号,并将控制信号传输至所述双极性压脉冲放电电路,以控制所述双极性高压脉冲放电电路的充放电参数,使所述双极性高压脉冲放电电路产生双极性高压脉冲;The lower computer control module generates a control signal according to the working parameters transmitted by the upper information management module, and transmits the control signal to the bipolar voltage pulse discharge circuit to control the charging of the bipolar high voltage pulse discharge circuit. Discharge parameters, enabling the bipolar high voltage pulse discharge circuit to generate bipolar high voltage pulses;
    所述双极性高压脉冲放电电路产生正负双极性高压脉冲,由其电路中的电极放电,并将反馈信号回传至所述上层信息管理模块。The bipolar high-voltage pulse discharge circuit generates positive and negative bipolar high-voltage pulses, which are discharged by electrodes in the circuit, and feedback signals are transmitted back to the upper-level information management module.
  2. 根据权利要求1所述的系统,其特征在于,所述上层信息管理模块包括操作单元、数据处理单元、显示单元和传输单元;The system according to claim 1, wherein the upper-level information management module includes an operation unit, a data processing unit, a display unit, and a transmission unit;
    所述操作单元为设置工作参数提供交互途径;The operating unit provides an interactive way for setting working parameters;
    所述数据处理单元对数据进行处理得到处理结果;The data processing unit processes the data to obtain a processing result;
    所述显示单元显示交互界面以及处理结果;The display unit displays the interactive interface and the processing result;
    所述传输单元用于传输工作参数和/或控制信号。The transmission unit is used to transmit working parameters and/or control signals.
  3. 根据权利要求2所述的系统,其特征在于,还包括编译单元,用于提供编程环境,以控制系统的放电顺序。3. The system according to claim 2, further comprising a compiling unit for providing a programming environment to control the discharge sequence of the system.
  4. 根据权利要求1-3任一项所述的系统,其特征在于,所述下位机控制模块还包括高频双极性脉冲发生控制单元、时序功能控制单元和采集单元;The system according to any one of claims 1 to 3, wherein the lower computer control module further comprises a high-frequency bipolar pulse generation control unit, a timing function control unit, and an acquisition unit;
    所述高频双极性脉冲发生控制单元用于产生高频双极性脉冲序列;The high-frequency bipolar pulse generation control unit is used to generate a high-frequency bipolar pulse sequence;
    所述时序功能控制单元用于对充放电电路中的充放电开关进行控制;The sequential function control unit is used to control the charge and discharge switches in the charge and discharge circuit;
    所述采集单元用于对充放电过程中电压和/或电流进行监测和采集。The collection unit is used to monitor and collect the voltage and/or current during the charging and discharging process.
  5. 根据权利要求1所述的系统,其特征在于,所述充放电参数包括充电电压、放电脉冲电压、脉冲宽度、组脉冲个数和脉冲组数。The system according to claim 1, wherein the charging and discharging parameters include charging voltage, discharging pulse voltage, pulse width, number of pulse groups, and number of pulse groups.
  6. 根据权利要求1-5任一项所述的系统,其特征在于,还包括功率放大电路,用于将控制信号进行功率放大后传输至所述双极性高压脉冲放电电路。The system according to any one of claims 1 to 5, further comprising a power amplifier circuit, configured to amplify the power of the control signal and transmit it to the bipolar high voltage pulse discharge circuit.
  7. 根据权利要求1-6任一项所述的系统,其特征在于,还包括电压/电流检测电路,用于系统充电电压反馈信号、高压脉冲放电电压及放电电流反馈信号的检测,同时将检测结果上传至上层信息管理模块。The system according to any one of claims 1-6, further comprising a voltage/current detection circuit, which is used to detect the system charging voltage feedback signal, the high-voltage pulse discharge voltage and the discharge current feedback signal, and at the same time, the detection result Upload to the upper information management module.
  8. 根据权利要求1-7任一项所述的系统,其特征在于,还包括光电隔离模块,所述光电隔离模块包括第一光电隔离单元和第二光电隔离单元;The system according to any one of claims 1-7, further comprising a photoelectric isolation module, the photoelectric isolation module comprising a first photoelectric isolation unit and a second photoelectric isolation unit;
    所述第一光电隔离单元为所述控制信号做光电隔离;The first photoelectric isolation unit performs photoelectric isolation for the control signal;
    所述第二光电隔离单元为所述反馈信号做光电隔离。The second photoelectric isolation unit performs photoelectric isolation for the feedback signal.
  9. 根据权利要求1-8任一项所述的系统,其特征在于,还包括信号滤波单元,信号滤波单元为由双极性高压脉冲放电电路输入的反馈信号进行滤波处理。8. The system according to any one of claims 1-8, further comprising a signal filtering unit, which performs filtering processing on the feedback signal input by the bipolar high voltage pulse discharge circuit.
  10. 根据权利要求1-9任一项所述的系统,其特征在于,所述双极性高压脉冲放电电路包括充电电源、储能电容组、快速电子开关组和放电电极;The system according to any one of claims 1-9, wherein the bipolar high-voltage pulse discharge circuit comprises a charging power supply, an energy storage capacitor group, a fast electronic switch group and a discharge electrode;
    所述储能电容组通过充电开关与所述充电电源连接,通过所述快速电子开关组与所述放电电极连接;The energy storage capacitor group is connected to the charging power source through a charging switch, and is connected to the discharging electrode through the fast electronic switch group;
    所述快速电子开关组通过放电开关与所述放电电极连接。The fast electronic switch group is connected with the discharge electrode through a discharge switch.
  11. 根据权利要求10所述的系统,其特征在于,所述储能电容组包括一个或多个大容量电容以及一个或多个小容量电容;The system according to claim 10, wherein the energy storage capacitor group comprises one or more large-capacity capacitors and one or more small-capacity capacitors;
    所述大容量电容与所述小容量电容并联连接;The large-capacity capacitor and the small-capacity capacitor are connected in parallel;
    所述大容量电容的容量为100uF~400uF;所述小容量电容的容量为 0.1uF~1uF。The capacity of the large-capacity capacitor is 100 uF to 400 uF; the capacity of the small-capacity capacitor is 0.1 uF to 1 uF.
  12. 根据权利要求10或11所述的系统,其特征在于,包括两个所述充电开关KJ1和KJ2;The system according to claim 10 or 11, characterized by comprising two charging switches KJ1 and KJ2;
    两个电阻R1和R4串联后一端设置在所述两个充电开关KJ1和KJ2之间,另一端接地;After the two resistors R1 and R4 are connected in series, one end is arranged between the two charging switches KJ1 and KJ2, and the other end is grounded;
    所述两个电阻之间设置第一反馈信号点,产生的第一反馈信号反馈至所述上层信息管理模块。A first feedback signal point is set between the two resistors, and the generated first feedback signal is fed back to the upper-level information management module.
  13. 根据权利要求11-12任一项所述的系统,其特征在于,包括两个所述放电开关KJ3和KJ4,每个放电开关连接一个放电电极,以双极性交替放电;The system according to any one of claims 11-12, comprising two of the discharge switches KJ3 and KJ4, each of which is connected to a discharge electrode to alternately discharge in bipolar;
    两个电阻R2和R3串联后一端连接在快速电子开关组与KJ3之间,另一端接地;After the two resistors R2 and R3 are connected in series, one end is connected between the fast electronic switch group and KJ3, and the other end is grounded;
    所述两个电阻R2和R3之间设置第二反馈信号点,产生的第二反馈信号反馈至所述上层信息管理模块。A second feedback signal point is set between the two resistors R2 and R3, and the generated second feedback signal is fed back to the upper-level information management module.
  14. 根据权利要求10所述的系统,其特征在于,包括多个放电开关,每个放电开关连接一个放电电极;The system according to claim 10, characterized by comprising a plurality of discharge switches, each of which is connected to a discharge electrode;
    通过工作参数的设置控制放电电极的选择以及放电顺序。The selection of discharge electrodes and the sequence of discharge are controlled by the setting of working parameters.
  15. 根据权利要求1-14任一项所述的系统,其特征在于,充电电压为1000v-5000v,放电脉冲电压为1000v-5000v、脉冲脉宽为2μs-50μs、组脉冲个数为1-15个,脉冲组数为1-250组。The system according to any one of claims 1-14, wherein the charging voltage is 1000v-5000v, the discharge pulse voltage is 1000v-5000v, the pulse width is 2μs-50μs, and the number of group pulses is 1-15 , The number of pulse groups is 1-250 groups.
PCT/CN2019/125104 2019-12-13 2019-12-13 High-frequency bipolar unrecoverable electroporation system WO2021114219A1 (en)

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