WO2022198975A1 - Medical apparatus guidance and control system and method therefor - Google Patents

Medical apparatus guidance and control system and method therefor Download PDF

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WO2022198975A1
WO2022198975A1 PCT/CN2021/121625 CN2021121625W WO2022198975A1 WO 2022198975 A1 WO2022198975 A1 WO 2022198975A1 CN 2021121625 W CN2021121625 W CN 2021121625W WO 2022198975 A1 WO2022198975 A1 WO 2022198975A1
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medical device
subject
coil group
flexible cable
coil
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PCT/CN2021/121625
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French (fr)
Chinese (zh)
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史岩
王闯
王子华
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北京善行医疗科技有限公司
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/041Capsule endoscopes for imaging
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002Operational features of endoscopes
    • A61B1/00011Operational features of endoscopes characterised by signal transmission
    • A61B1/00018Operational features of endoscopes characterised by signal transmission using electrical cables
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00112Connection or coupling means
    • A61B1/00114Electrical cables in or with an endoscope
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/045Control thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/273Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
    • A61B1/2736Gastroscopes

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  • the present invention relates to the technical field of medical devices, and in particular, to a medical device guidance and control system and method.
  • capsule endoscope Medical devices that enter the body cavity of the subject, such as capsule endoscope, are an effective new technology for gastric diagnosis.
  • the driving mechanism generally includes peristaltic, motor, piezoelectric, magnetostrictive, memory alloy, bionic electrostatic driving and electromagnetic driving.
  • the control scheme of the existing mature magnetron capsule endoscope is to use the permanent magnet outside the subject to attract the permanent magnet inside the magnetron capsule endoscope, so that the tail end of the magnetron capsule endoscope is close to the stomach wall, and the end of the magnetron capsule endoscope is close to the stomach wall.
  • the stomach wall acts as a support point for movement.
  • a mechanical device is used to drive the external permanent magnet to rotate, so that the angle of the capsule endoscope relative to the stomach wall changes back and forth, so as to observe the stomach wall.
  • the attractive force between the external permanent magnet and the permanent magnet in the capsule is greatly affected by the distance, resulting in inflexible control and low precision.
  • the existing magnetron capsule endoscopes all use wireless transmission for data transmission. Therefore, the magnetron capsule endoscope is limited by battery capacity and radio frequency transmission quality, and its transmission efficiency does not exceed 10 frames per second.
  • the resolution is lower than 400X400dpi, which greatly affects the real-time feedback of the control system and the effectiveness of image diagnosis.
  • the present invention provides a medical device guidance and control system for solving the technical problems of the real-time feedback of the control system and the effectiveness of image diagnosis.
  • the present invention provides a medical device guidance and control system, comprising:
  • the medical device is a magnetron capsule endoscope.
  • the magnetron capsule endoscope is provided with an image processing system, the image processing system includes a camera capable of acquiring real-time images and a processor, and the processor converts the serial digital data acquired by the camera The signal is processed and sent to the display via a flexible cable.
  • Step 101 placing the medical device in the body cavity of the subject
  • the medical device entering the stomach can stay at any position and move freely at multiple angles, and the running trajectory of the capsule endoscope can be accurately and automatically controlled in the liquid-filled stomach.
  • the system and method can clearly photograph the stomach wall without dead angle, realize all-angle observation of stomach examination or operation process, and improve the accuracy of clinical diagnosis.
  • FIG. 1 is a schematic diagram of a use state of a medical device guidance and control system in an embodiment of the present invention
  • FIG. 2 is a perspective view of a medical device guidance and control system in an embodiment of the present invention
  • FIG. 5 is a schematic structural diagram of a flexible cable in an embodiment of the present invention.
  • FIG. 6 is a schematic structural diagram of a medical device in an embodiment of the present invention.
  • FIG. 7 is a schematic diagram of the force of the medical device in the body cavity of the subject according to the embodiment of the present invention.
  • the present invention provides a medical device guidance and control system, comprising a medical device 1 and a magnetic control mechanism 2 , and the medical device 1 is used to be placed on a subject 4 . into a body cavity and obtain information on a specified location within the body cavity.
  • the magnetic control mechanism 2 is used to generate a magnetic field outside the subject 4 and apply a force to the medical device 1 , and the medical device 1 can move in a designated direction under the action of multiple forces.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
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  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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Abstract

A medical apparatus guidance and control system and a method therefor, which are used to solve the technical problems of real-time feedback of a control system and effective image diagnosis. The medical apparatus guidance and control system comprises a medical apparatus (1) and a magnetic control mechanism (2), wherein a flexible cable (3) is fixedly connected to the medical apparatus (1), and the flexible cable (3) can supply power to the medical apparatus (1) and/or transmit information collected by the medical apparatus (1). The flexible cable (3) supplies power to the medical apparatus (1) and transmits data, such that the medical apparatus (1) can have the capability of supplying power for a long time, so that a test time is sufficient. In addition, when the flexible cable (3) performs wired data transmission, a data transmission rate can reach 700 Mbps, such that a higher transmission speed is achieved, higher-resolution real-time images and a higher video frame rate can be provided, and a better clinical test effect is brought.

Description

医疗装置引导和控制系统及方法Medical device guidance and control system and method
相关申请的交叉引用CROSS-REFERENCE TO RELATED APPLICATIONS
本申请要求享有于2021年3月25日提交的中国专利申请CN202110322258.3的优先权,上述申请的全部内容通过引用并入本文中。This application claims priority to Chinese patent application CN202110322258.3 filed on March 25, 2021, the entire contents of which are incorporated herein by reference.
技术领域technical field
本发明涉及医疗器械技术领域,特别地涉及一种医疗装置引导和控制系统及方法。The present invention relates to the technical field of medical devices, and in particular, to a medical device guidance and control system and method.
背景技术Background technique
进入受检者体腔内的医疗器械,例如胶囊内窥镜是一种有效的用于胃部诊断的新型技术手段。目前有不少关于胶囊内窥镜主动驱动机制的研究,其驱动机制大致有蠕动式、电机式,压电式、磁致伸缩式,记忆合金式、仿生式静电驱动式和电磁驱动式等。Medical devices that enter the body cavity of the subject, such as capsule endoscope, are an effective new technology for gastric diagnosis. At present, there are many studies on the active driving mechanism of capsule endoscope, and the driving mechanism generally includes peristaltic, motor, piezoelectric, magnetostrictive, memory alloy, bionic electrostatic driving and electromagnetic driving.
现有成熟磁控胶囊内窥镜的控制方案是利用受检者体外的永磁体吸引磁控胶囊内窥镜内部的永磁体,并使磁控胶囊内窥镜的尾端贴紧胃壁,并以胃壁作为运动的支撑点。采用机械装置带动体外永磁体旋转,使胶囊内窥镜相对胃壁的角度来回改变,从而对胃壁进行观察。该种方案体外永磁体和胶囊内永磁体之间的吸引力受到的距离的影响较大,导致控制不够灵活,且精度不高。The control scheme of the existing mature magnetron capsule endoscope is to use the permanent magnet outside the subject to attract the permanent magnet inside the magnetron capsule endoscope, so that the tail end of the magnetron capsule endoscope is close to the stomach wall, and the end of the magnetron capsule endoscope is close to the stomach wall. The stomach wall acts as a support point for movement. A mechanical device is used to drive the external permanent magnet to rotate, so that the angle of the capsule endoscope relative to the stomach wall changes back and forth, so as to observe the stomach wall. In this scheme, the attractive force between the external permanent magnet and the permanent magnet in the capsule is greatly affected by the distance, resulting in inflexible control and low precision.
中国专利CN200480003501.X公开了利用三维旋转磁场驱动带有螺旋状突起的胶囊,其通过控制外加磁场的强度和方向,驱动胶囊在人体肠道内进行螺旋状前进。但是采用该方式使用设备能耗消耗很大,且胶囊在肠道内旋转摩擦可能会造成组织黏连。中国CN211511733U公开了一种利用一对感应线圈电流的变化驱动磁控胶囊在胃部进行穿梭折返式运动,其运动过程过于繁复,且可能会存在漏诊的情况。且胶囊拍摄过程中会利用胃壁做稳定支撑,磁控力会对胃壁造成一定的压力。Chinese patent CN200480003501.X discloses the use of a three-dimensional rotating magnetic field to drive a capsule with helical protrusions, which drives the capsule to spiral forward in the human intestine by controlling the strength and direction of the external magnetic field. However, using the device in this way consumes a lot of energy, and the rotating friction of the capsule in the intestine may cause tissue adhesion. China CN211511733U discloses a method of using the change of a pair of induction coil currents to drive a magnetron capsule to perform a shuttle reentrant movement in the stomach, the movement process is too complicated, and there may be cases of missed diagnosis. In addition, the stomach wall will be used as a stable support during the capsule shooting process, and the magnetic control force will cause a certain pressure on the stomach wall.
现有上述磁控胶囊内窥镜均采用无线传输的方式进行数据传输,因此磁控胶囊内窥镜会受到电池容量和射频传输质量的限制,其传输效率不超过10帧/秒,回传影像分辨率低于400X400dpi,这极大的影响了控制系统反馈的实时性和图像诊断的有效性。The existing magnetron capsule endoscopes all use wireless transmission for data transmission. Therefore, the magnetron capsule endoscope is limited by battery capacity and radio frequency transmission quality, and its transmission efficiency does not exceed 10 frames per second. The resolution is lower than 400X400dpi, which greatly affects the real-time feedback of the control system and the effectiveness of image diagnosis.
发明内容SUMMARY OF THE INVENTION
本发明提供一种医疗装置引导和控制系统,用于解决控制系统反馈的实时性和图像诊断的有效性的技术问题。The present invention provides a medical device guidance and control system for solving the technical problems of the real-time feedback of the control system and the effectiveness of image diagnosis.
根据本发明的第一个方面,本发明提供一种医疗装置引导和控制系统,包括:According to a first aspect of the present invention, the present invention provides a medical device guidance and control system, comprising:
医疗装置,其用于置于受检者体腔内并获取体腔内指定位置的信息;以及A medical device for placing in a body cavity of a subject and obtaining information about a specified location in the body cavity; and
磁控机构,其用于在受检者外部产生磁场并对所述医疗装置施加作用力,所述医疗装置在多重作用力的作用下按照指定方向进行运动;a magnetic control mechanism for generating a magnetic field outside the subject and exerting a force on the medical device, and the medical device moves in a designated direction under the action of multiple forces;
其中,所述医疗装置上固定连接有柔性线缆,所述柔性线缆能够为所述医疗装置提供电能和/或传输所述医疗装置采集的信息。Wherein, a flexible cable is fixedly connected to the medical device, and the flexible cable can provide power to the medical device and/or transmit information collected by the medical device.
在一个实施方式中,所述柔性线缆盘绕在收放线机构上,所述柔性线缆的一端与所述医疗装置端部的固定结构相连,所述柔性线缆的另一端与连接器相连,所述收放线机构用于使所述柔性线缆伸长或收缩。In one embodiment, the flexible cable is coiled on the wire take-up and release mechanism, one end of the flexible cable is connected to the fixing structure at the end of the medical device, and the other end of the flexible cable is connected to the connector , the take-up and pay-out mechanism is used to extend or contract the flexible cable.
在一个实施方式中,所述磁控机构包括第一线圈组、第二线圈组和第三线圈组;In one embodiment, the magnetron mechanism includes a first coil group, a second coil group and a third coil group;
所述第一线圈组沿受检者的身体轴向设置,用于产生沿受检者身体轴向方向的梯度磁场或强度均匀的磁场;The first coil group is disposed along the axial direction of the subject's body, and is used to generate a gradient magnetic field or a magnetic field with uniform intensity along the axial direction of the subject's body;
所述第二线圈组和所述第三线圈组分别围绕受检者的身体四周分布,用于产生梯度磁场或强度均匀的磁场;The second coil group and the third coil group are respectively distributed around the body of the subject, for generating a gradient magnetic field or a magnetic field with uniform intensity;
其中,所述第一线圈组、所述第二线圈组和所述第三线圈组中的电流强度和/或方向发生改变可控制所述医疗装置的姿态与位置的改变。Wherein, the change of the current intensity and/or direction in the first coil group, the second coil group and the third coil group can control the change of the posture and position of the medical device.
在一个实施方式中,所述磁控机构还包括环绕受检者的身体轴向设置的螺线管线圈,其用于产生强度均匀的磁场;所述螺线管线圈设置在所述第一线圈组、所述第二线圈组和所述第三线圈组所围成的空间内;In one embodiment, the magnetron control mechanism further comprises a solenoid coil axially arranged around the body of the subject, which is used to generate a magnetic field with uniform intensity; the solenoid coil is arranged on the first coil within the space enclosed by the group, the second coil group and the third coil group;
所述螺线管线圈中的电流强度和/或方向发生改变,以控制所述医疗装置沿受检者的身体轴向旋转定向。The magnitude and/or direction of the current in the solenoid coil is changed to control the rotational orientation of the medical device along the body axis of the subject.
在一个实施方式中,所述第一线圈组、所述第二线圈组、所述第三线圈组和所述螺线管线圈分别与单独的电源相连,每个电源通过RS485串口协议与控制系统相连。In one embodiment, the first coil group, the second coil group, the third coil group, and the solenoid coil are respectively connected to separate power supplies, and each power supply communicates with the control system through the RS485 serial port protocol. connected.
在一个实施方式中,所述磁控机构还包括检查通道,所述检查通道用于使承 载有受检者的可移动检查床穿过。In one embodiment, the magnetron mechanism further comprises an examination channel for passing a movable examination couch carrying a subject.
在一个实施方式中,所述医疗装置为磁控胶囊内窥镜。In one embodiment, the medical device is a magnetron capsule endoscope.
在一个实施方式中,所述磁控胶囊内窥镜内设置有图像处理系统,所述图像处理系统包括可获取实时影像的摄像头和处理器,所述处理器将所述摄像头获取的串行数字信号进行处理后通过柔性线缆发送给显示器。In one embodiment, the magnetron capsule endoscope is provided with an image processing system, the image processing system includes a camera capable of acquiring real-time images and a processor, and the processor converts the serial digital data acquired by the camera The signal is processed and sent to the display via a flexible cable.
在一个实施方式中,所述磁控胶囊内窥镜的内部设置有永磁体,所述永磁体的极化方向平行于所述磁控胶囊内窥镜的轴向方向。In one embodiment, a permanent magnet is provided inside the magnetron capsule endoscope, and the polarization direction of the permanent magnet is parallel to the axial direction of the magnetron capsule endoscope.
根据本发明的第二个方面,本发明提供一种用于上述的医疗装置引导和控制系统的方法,其包括以下操作步骤:According to a second aspect of the present invention, the present invention provides a method for the above-mentioned medical device guidance and control system, comprising the following operation steps:
步骤101:将所述医疗装置置于受检者的体腔内;Step 101: placing the medical device in the body cavity of the subject;
步骤102:使第一线圈组产生沿受检者身体轴向方向的梯度磁场,以使医疗装置进行移动;Step 102: causing the first coil group to generate a gradient magnetic field along the axial direction of the subject's body, so as to move the medical device;
步骤103:判断所述医疗装置是否离开第一位置,若是,则执行步骤104;若否,则返回步骤102;Step 103: Determine whether the medical device has left the first position, if yes, go to Step 104; if not, go back to Step 102;
步骤104:使第二线圈组和第三线圈组产生强度均匀的磁场,并使柔性线缆伸长,以使所述医疗装置做螺旋线运动以扫描受检者的体腔;Step 104 : generating a magnetic field with uniform intensity in the second coil group and the third coil group, and extending the flexible cable, so that the medical device performs a helical motion to scan the body cavity of the subject;
步骤105:判断所述医疗装置是否到达第二位置,若是,则执行步骤106,若否,则返回步骤104;Step 105: Determine whether the medical device has reached the second position, if yes, go to Step 106, if not, go back to Step 104;
步骤106:使第二线圈组产生梯度磁场,并使柔性线缆伸长,以使所述医疗装置进行移动;Step 106: causing the second coil group to generate a gradient magnetic field, and extending the flexible cable, so as to move the medical device;
步骤107:判断所述医疗装置是否到达第三位置,若是,则执行步骤108,若否,则返回步骤106;Step 107: Determine whether the medical device has reached the third position, if yes, go to Step 108, if not, go back to Step 106;
步骤108:使第二线圈组和第三线圈组产生强度均匀的磁场,并使柔性线缆收缩,以使所述医疗装置再次做螺旋线运动以扫描受检者的体腔;Step 108: causing the second coil group and the third coil group to generate a magnetic field with uniform strength, and shrinking the flexible cable, so that the medical device performs a helical motion again to scan the body cavity of the subject;
步骤109:判断所述医疗装置是否返回第一位置,若是,则执行步骤110;若否,则返回步骤108;Step 109: Determine whether the medical device returns to the first position, if yes, go to Step 110; if not, go back to Step 108;
步骤110:使柔性线缆收缩,以使所述医疗装置离开受检者的体腔。Step 110: Retract the flexible cable so that the medical device leaves the body cavity of the subject.
与现有技术相比,本发明的优点在于:Compared with the prior art, the advantages of the present invention are:
(1)通过柔性线缆向医疗装置供电及传输数据,可以使医疗装置具备长时 间供电的能力,从而使检查时间很充足;并且柔性线缆进行有线数据传输时,数据传输速率可达700Mbps其拥有更快的传输速度,可以提供更高分辨率的实时影像,以及更快的视频帧率,带来更优的临床检测效果。(1) Power supply and data transmission to the medical device through the flexible cable can make the medical device have the ability to supply power for a long time, so that the inspection time is sufficient; and when the flexible cable is used for wired data transmission, the data transmission rate can reach 700Mbps. With a faster transmission speed, it can provide higher-resolution real-time images and a faster video frame rate, bringing better clinical detection results.
(2)通过磁控机构对医疗装置的控制,可实现对进入胃部内的医疗装置在任意位置的停留和多角度自由运动,充满液体的胃中可以精确自动控制胶囊内窥镜运行轨迹的系统和方法,并可以对胃壁无死角的进行清晰的拍摄,实现了胃部检查或者手术过程全角度观察,提高临床诊断的准确度。(2) Through the control of the medical device by the magnetic control mechanism, the medical device entering the stomach can stay at any position and move freely at multiple angles, and the running trajectory of the capsule endoscope can be accurately and automatically controlled in the liquid-filled stomach. The system and method can clearly photograph the stomach wall without dead angle, realize all-angle observation of stomach examination or operation process, and improve the accuracy of clinical diagnosis.
附图说明Description of drawings
在下文中将基于实施例并参考附图来对本发明进行更详细的描述。Hereinafter, the invention will be described in more detail on the basis of examples and with reference to the accompanying drawings.
图1是本发明的实施例中医疗装置引导和控制系统使用状态示意图;FIG. 1 is a schematic diagram of a use state of a medical device guidance and control system in an embodiment of the present invention;
图2是本发明的实施例中医疗装置引导和控制系统的立体图;2 is a perspective view of a medical device guidance and control system in an embodiment of the present invention;
图3和图4是本发明的实施例中医疗装置引导和控制系统隐藏了外壳的立体图;Figures 3 and 4 are perspective views of a medical device guidance and control system with a concealed housing in an embodiment of the present invention;
图5是本发明的实施例中柔性线缆的结构示意图;5 is a schematic structural diagram of a flexible cable in an embodiment of the present invention;
图6是本发明的实施例中医疗装置的结构示意图;6 is a schematic structural diagram of a medical device in an embodiment of the present invention;
图7是本发明的实施例中医疗装置在受检者体腔内的受力示意图;FIG. 7 is a schematic diagram of the force of the medical device in the body cavity of the subject according to the embodiment of the present invention;
图8是发明的实施例中医疗装置进入受试者的体腔内的示意图;8 is a schematic diagram of a medical device entering a body cavity of a subject in accordance with an embodiment of the invention;
图9是本发明的实施例中医疗装置引导和控制方法的流程图;9 is a flowchart of a medical device guidance and control method in an embodiment of the present invention;
图10是本发明的实施例中医疗装置引导和控制系统的各部件连接关系框图。Fig. 10 is a block diagram showing the connection relationship of each component of the medical device guidance and control system in the embodiment of the present invention.
附图标记:Reference number:
1-医疗装置;11-永磁体;12-摄像头;13-固定结构;1-medical device; 11-permanent magnet; 12-camera; 13-fixed structure;
2-磁控机构;21-第一线圈组;22-第二线圈组;23-第三线圈组;24-螺线管线圈;25-检查通道;26-外壳;2-magnetic control mechanism; 21-first coil group; 22-second coil group; 23-third coil group; 24-solenoid coil; 25-check channel; 26-case;
211-第一线圈;221-第二线圈;231-第三线圈;211-first coil; 221-second coil; 231-third coil;
3-柔性线缆;31-收放线机构;32-连接器3-flexible cable; 31-reeling and releasing mechanism; 32-connector
4-受检者;4 - Subject;
5-可移动检查床;5- Movable examination bed;
A1-第一位置;A2-第二位置;A3-第三位置。A1-first position; A2-second position; A3-third position.
具体实施方式Detailed ways
下面将结合附图对本发明作进一步说明。The present invention will be further described below with reference to the accompanying drawings.
如图1-8所示,根据本发明的第一个方面,本发明提供一种医疗装置引导和控制系统,包括医疗装置1和磁控机构2,医疗装置1用于置于受检者4体腔内并获取体腔内指定位置的信息。磁控机构2用于在受检者4外部产生磁场并对医疗装置1施加作用力,医疗装置1在多重作用力的作用下可按照指定方向进行运动。As shown in FIGS. 1-8 , according to a first aspect of the present invention, the present invention provides a medical device guidance and control system, comprising a medical device 1 and a magnetic control mechanism 2 , and the medical device 1 is used to be placed on a subject 4 . into a body cavity and obtain information on a specified location within the body cavity. The magnetic control mechanism 2 is used to generate a magnetic field outside the subject 4 and apply a force to the medical device 1 , and the medical device 1 can move in a designated direction under the action of multiple forces.
其中,医疗装置1上固定连接有柔性线缆3,柔性线缆3能够为医疗装置1提供电能和/或传输医疗装置1采集的指定位置的信息。具体地,柔性线缆3包括多股线缆,其中部分线缆(供电系统)为医疗装置1提供电能,通过柔性线缆3向医疗装置1提供电能,可以使医疗装置1具备超长时间的供电能力,因此可使检查时间很充足;而另外部分线缆为医疗装置1采集的串行数字信号提供数据传输,通过柔性线缆3可进行数据的有线传输,数据传输速率可达700Mbps,相比传统无线射频的传输速率(4Mbps),通过柔性线缆3进行数据传输可具有更快的传输速度,在此基础上可以提供更高分辨率的实时影像以及更快的视频帧率,从而带来更优的临床检测效果。The flexible cable 3 is fixedly connected to the medical device 1 , and the flexible cable 3 can provide the medical device 1 with electrical energy and/or transmit the information of the designated location collected by the medical device 1 . Specifically, the flexible cable 3 includes a multi-strand cable, and some of the cables (power supply system) provide power to the medical device 1, and the flexible cable 3 provides power to the medical device 1, so that the medical device 1 can have an ultra-long time The power supply capacity is sufficient, so the inspection time can be very sufficient; while the other part of the cable provides data transmission for the serial digital signal collected by the medical device 1, and the data can be transmitted by wire through the flexible cable 3, and the data transmission rate can reach 700Mbps. Compared with the transmission rate of traditional wireless radio frequency (4Mbps), the data transmission through the flexible cable 3 can have a faster transmission speed. for better clinical testing results.
医疗装置1可以是胶囊型医疗装置,例如磁控胶囊内窥镜,其可以进入受检者4的胃部进行扫描拍摄以获取胃部实时影像。The medical device 1 may be a capsule-type medical device, such as a magnetron capsule endoscope, which can enter the stomach of the subject 4 to scan and shoot to obtain a real-time image of the stomach.
下面以医疗装置1为磁控胶囊内窥镜为例,对本发明进行详细地说明。Hereinafter, the present invention will be described in detail by taking the medical device 1 as a magnetron capsule endoscope as an example.
如图5和6所示,柔性线缆3盘绕在收放线机构31上,柔性线缆3的一端与医疗装置1端部的固定结构13相连,柔性线缆3的另一端与连接器32相连,收放线机构31用于使柔性线缆3伸长或收缩。固定结构13可以是已知的任何能够将柔性线缆3与医疗装置1相连的结构。例如机械连接结构、焊接层结构或粘合剂层结构等。As shown in FIGS. 5 and 6 , the flexible cable 3 is coiled on the wire retracting mechanism 31 , one end of the flexible cable 3 is connected to the fixing structure 13 at the end of the medical device 1 , and the other end of the flexible cable 3 is connected to the connector 32 Connected, the take-up and pay-out mechanism 31 is used to extend or contract the flexible cable 3 . The fixing structure 13 may be any known structure capable of connecting the flexible cable 3 to the medical device 1 . For example, a mechanical connection structure, a welded layer structure or an adhesive layer structure, etc.
通过收放线机构31的驱动使柔性线缆3伸长,可使其连接有医疗装置1的一端远离收放线机构31,从而使医疗装置1能够更深入地进入受检者4的胃部,从而到达指定的位置。通过收放线机构31的驱动使柔性线缆3收缩,可使其连接有医疗装置1的一端靠近收放线机构31,从而使医疗装置1能够从受检者4 的胃部返回指定的位置或到达受检者4的体外。因此通过柔性线缆3可控制进入受检者4体内的长度,并联合外部磁控机构2所产生的变化磁场,从而对受检者4的体腔(例如食管和胃部)进行全方位的自动扫描拍摄。The flexible cable 3 is stretched by the driving of the retracting and unwinding mechanism 31 , so that the end connected with the medical device 1 can be kept away from the retracting and unwinding mechanism 31 , so that the medical device 1 can enter the stomach of the subject 4 more deeply , so as to reach the specified position. The flexible cable 3 is retracted by the drive of the retractable and unwinding mechanism 31 , and the end connected with the medical device 1 can be brought close to the retracting and unwinding mechanism 31 , so that the medical device 1 can be returned from the stomach of the subject 4 to a designated position or to the outside of the subject 4 . Therefore, the length of entering the subject 4 can be controlled through the flexible cable 3, and combined with the changing magnetic field generated by the external magnetic control mechanism 2, so that the body cavity (such as the esophagus and stomach) of the subject 4 can be fully automated. Scan to shoot.
需要说明的是,由于柔性线缆3是将非常柔软的塑料包裹于电线或电缆的外部而形成的,因此其弯曲应力很小,因此对磁控机构2控制医疗装置1受力方面的影响微弱。It should be noted that, since the flexible cable 3 is formed by wrapping a very soft plastic on the outside of the wire or cable, its bending stress is very small, so the influence on the force of the magnetic control mechanism 2 to control the medical device 1 is weak. .
如图1-4所示,磁控机构2包括外壳26以及设置在外壳26的内部且空间上相互正交的第一线圈组21、第二线圈组22和第三线圈组23。第一线圈组21沿受检者4的身体轴向设置,用于产生沿受检者4身体轴向方向的梯度磁场或强度均匀的磁场。第二线圈组22和第三线圈组23分别围绕受检者4的身体四周分布,用于产生梯度磁场或强度均匀的磁场。As shown in FIGS. 1-4 , the magnetron mechanism 2 includes a casing 26 and a first coil group 21 , a second coil group 22 and a third coil group 23 which are arranged inside the casing 26 and are orthogonal to each other in space. The first coil group 21 is disposed along the body axis of the subject 4 for generating a gradient magnetic field or a magnetic field with uniform strength along the body axis direction of the subject 4 . The second coil group 22 and the third coil group 23 are respectively distributed around the body of the subject 4 for generating a gradient magnetic field or a magnetic field with uniform intensity.
其中,通过位于受检者4的身体外部的第一线圈组21、第二线圈组22和第三线圈组23中的电流强度和/或方向发生改变可控制位于受检者4的体内的医疗装置1的姿态与位置的改变。Among them, the medical treatment located in the body of the subject 4 can be controlled by changing the intensity and/or direction of the current in the first coil set 21 , the second coil set 22 and the third coil set 23 located outside the body of the subject 4 . Changes in the posture and position of the device 1 .
具体来说,第一线圈组21可以设置至少两个第一线圈211,如图4所示,两个第一线圈211在Z向上相对设置。其中,Z向为受检者4的身体轴向方向(即沿受检者4的脚部至头部的方向)。其中,两个第一线圈211中的电流同向时,则产生强度均匀的磁场;两个第一线圈211中的电流反向时,则产生梯度磁场。同样地,第二线圈组22可以设置至少两个第二线圈221,两个第二线圈221在X向上相对设置,其中X向为沿受检者4的左臂至右臂的方向。其中,两个第二线圈221中的电流同向时,则产生强度均匀的磁场;两个第二线圈221中的电流反向时,则产生梯度磁场。第三线圈组23可以设置至少两个第三线圈231,两个第三线圈231在Y向上相对设置,其中Y向为沿受检者的背部至面部的方向。其中,两个第三线圈231中的电流同向时,则产生强度均匀的磁场;两个第三线圈231中的电流反向时,则产生梯度磁场。Specifically, the first coil group 21 may be provided with at least two first coils 211 . As shown in FIG. 4 , the two first coils 211 are disposed opposite to each other in the Z direction. The Z direction is the axial direction of the body of the subject 4 (ie, the direction from the feet to the head of the subject 4 ). Wherein, when the currents in the two first coils 211 are in the same direction, a magnetic field with uniform intensity is generated; when the currents in the two first coils 211 are in opposite directions, a gradient magnetic field is generated. Likewise, the second coil set 22 may be provided with at least two second coils 221 , and the two second coils 221 are disposed opposite to each other in the X direction, where the X direction is a direction along the left arm to the right arm of the subject 4 . Wherein, when the currents in the two second coils 221 are in the same direction, a magnetic field with uniform intensity is generated; when the currents in the two second coils 221 are in opposite directions, a gradient magnetic field is generated. The third coil group 23 may be provided with at least two third coils 231 , and the two third coils 231 are disposed opposite to each other in the Y direction, where the Y direction is a direction from the back to the face of the subject. Wherein, when the currents in the two third coils 231 are in the same direction, a magnetic field with uniform intensity is generated; when the currents in the two third coils 231 are in opposite directions, a gradient magnetic field is generated.
因此,第一线圈组21、第二线圈组22和第三线圈组23在空间上相互正交是指两个第一线圈211的连线、两个第二线圈221的连线以及两个第三线圈231的连线相互垂直。换言之,上述的X向、Y向和Z向为空间直角坐标系的三个坐标轴方向。Therefore, the fact that the first coil group 21 , the second coil group 22 and the third coil group 23 are orthogonal to each other in space refers to the connection line between the two first coils 211 , the connection line between the two second coils 221 and the two third coils 211 . The connecting lines of the three coils 231 are perpendicular to each other. In other words, the above-mentioned X direction, Y direction and Z direction are the three coordinate axis directions of the space rectangular coordinate system.
进一步地,磁控机构2还包括环绕受检者4的身体轴向设置的螺线管线圈24,其用于产生强度均匀的磁场;螺线管线圈24位于第一线圈组21、第二线圈组22和第三线圈组23所围成的空间内。如图4所示,螺线管线圈24的两端位于两个第一线圈211之间,使其轴向方向沿Z向方向;且螺线管线圈24的周向侧部位于两个第二线圈221和两个第三线圈231所围成的大致环形的空间内。Further, the magnetic control mechanism 2 also includes a solenoid coil 24 axially arranged around the body of the subject 4, which is used to generate a magnetic field with uniform intensity; the solenoid coil 24 is located in the first coil group 21, the second coil In the space enclosed by the group 22 and the third coil group 23 . As shown in FIG. 4 , both ends of the solenoid coil 24 are located between the two first coils 211 so that the axial direction thereof is along the Z direction; and the circumferential side of the solenoid coil 24 is located between the two second coils 211 . In the substantially annular space enclosed by the coil 221 and the two third coils 231 .
使用时,螺线管线圈24中的电流强度和/或方向发生改变,以控制医疗装置1在受检者4体内,沿受检者4的身体轴向旋转定向。In use, the magnitude and/or direction of the current in the solenoid coil 24 is changed to control the rotational orientation of the medical device 1 within the subject 4 in the axial direction of the body of the subject 4 .
第一线圈组21、第二线圈组22、第三线圈组23和螺线管线圈24分别与单独的电源(程控电源)相连,每个电源通过RS485串口协议与控制系统(控制计算机)相连,并且每个电源均与供电系统相连。每个电源按照计算机指令执行输出电流的强度和方向。The first coil group 21, the second coil group 22, the third coil group 23 and the solenoid coil 24 are respectively connected with a separate power supply (programmed power supply), and each power supply is connected with the control system (control computer) through the RS485 serial port protocol, And each power supply is connected with the power supply system. Each power supply executes the strength and direction of the output current according to computer instructions.
通过控制系统控制每个线圈中通过的电流强度和方向发生改变,可使相应的线圈组产生的磁场强度和方向发生改变。例如,第一线圈组21可以产生沿受检者4身体轴向方向的梯度磁场,从而可以控制医疗装置1在受检者4的体腔内沿其身体轴向方向的移动。第二线圈组22和第三线圈组23可以产生强度均匀的磁场(或梯度磁场),从而可以控制医疗装置1在受检者4的体腔内进行绕身体四周方向的旋转运动(或移动)。螺线管线圈24中通过的电流强度和方向发生改变时,线圈内的磁场强度和方向也会发生改变,从而可以控制医疗装置1沿受检者4身体轴向的旋转定向。The intensity and direction of the magnetic field generated by the corresponding coil group can be changed by controlling the change in the intensity and direction of the current passing through each coil by the control system. For example, the first coil set 21 can generate a gradient magnetic field along the body axial direction of the subject 4 , so that the movement of the medical device 1 in the body cavity of the subject 4 along the body axial direction can be controlled. The second coil group 22 and the third coil group 23 can generate a magnetic field (or gradient magnetic field) with uniform intensity, so that the medical device 1 can be controlled to rotate (or move) around the body in the body cavity of the subject 4 . When the strength and direction of the current passing through the solenoid coil 24 changes, the strength and direction of the magnetic field within the coil also changes, so that the rotational orientation of the medical device 1 along the body axis of the subject 4 can be controlled.
如图7所示,示出了医疗装置1的在受检者1的体腔内的受力示意图。由于医疗装置1是在充满液体中的胃部环境下使用,因此其受到液体的浮力F浮作用。医疗装置1端部与柔性线缆3相连,因此受到柔性线缆3的拖拽力F拉。磁控机构2通过线圈提供给医疗装置1磁力F磁以拖动医疗装置1移动和提供给医疗装置1磁转矩T磁以拖动医疗装置1旋转。另外,医疗装置1本身受到到自身重力G的作用。上述多重的作用力组合起来控制医疗装置1按照指定方向进行运动。As shown in FIG. 7 , a schematic diagram of the force exerted by the medical device 1 in the body cavity of the subject 1 is shown. Since the medical device 1 is used in the stomach environment filled with liquid, it is subject to the buoyancy F of the liquid. The end of the medical device 1 is connected with the flexible cable 3 , so it is pulled by the pulling force F of the flexible cable 3 . The magnetic control mechanism 2 provides the medical device 1 with a magnetic force F magnetic to drive the medical device 1 to move and provides the medical device 1 with a magnetic torque T magnetic to drive the medical device 1 to rotate. In addition, the medical device 1 itself is subjected to the action of its own gravity G. The above-mentioned multiple acting forces are combined to control the movement of the medical device 1 in a specified direction.
如图1和2所示,磁控机构2还包括检查通道25,检查通道25用于使承载有受检者4的可移动检查床5穿过。受检者4需要吞服医疗装置1后,平躺在可移动检查床5上。移动可移动检查床5,可以使受检者4的胃部居于磁控机构2 的磁场覆盖范围内。As shown in FIGS. 1 and 2 , the magnetron mechanism 2 further includes an examination channel 25 for passing the movable examination couch 5 carrying the subject 4 therethrough. The subject 4 needs to lie down on the movable examination bed 5 after swallowing the medical device 1 . By moving the movable examination bed 5 , the stomach of the subject 4 can be placed within the coverage of the magnetic field of the magnetron mechanism 2 .
如图6所示,医疗装置1(磁控胶囊内窥镜)的内部设置有图像处理系统,图像处理系统与柔性线缆3中用于提供数据传输的线缆相连。图像处理系统包括可获取实时影像的摄像头12和处理器,处理器将摄像头12获取的串行数字信号进行处理后通过柔性线缆3发送给显示器。连接器32可以与控制端的显示屏相连,从而将医疗装置1采集到的数据通过有线传输的方式传输至显示屏。As shown in FIG. 6 , an image processing system is provided inside the medical device 1 (magnetron capsule endoscope), and the image processing system is connected to the cable for providing data transmission in the flexible cable 3 . The image processing system includes a camera 12 capable of acquiring real-time images and a processor, and the processor processes the serial digital signal acquired by the camera 12 and sends it to the display through the flexible cable 3 . The connector 32 can be connected to the display screen of the control end, so as to transmit the data collected by the medical device 1 to the display screen by means of wired transmission.
此外,磁控胶囊内窥镜的内部还设置有永磁体11,永磁体11的极化方向平行于磁控胶囊内窥镜的轴向方向。永磁体11在磁控机构2产生的磁场的影响下,可对磁控胶囊内窥镜提供转矩及磁力,使之在受检者4的胃部进行旋转、移动、定向等运动。In addition, the interior of the magnetron capsule endoscope is further provided with a permanent magnet 11, and the polarization direction of the permanent magnet 11 is parallel to the axial direction of the magnetron capsule endoscope. Under the influence of the magnetic field generated by the magnetron mechanism 2 , the permanent magnet 11 can provide torque and magnetic force to the magnetron capsule endoscope to make it rotate, move, and orient in the stomach of the subject 4 .
本发明的磁控机构2通过电磁线圈可以产生任意方向的均匀磁场以及沿着受检者4的身体轴线方向的梯度磁场。磁控机构2通过改变各线圈中通过的电流强度和方向,从而改变磁场强度和梯度以及空间角度,进而可对磁控胶囊内窥镜中的永磁体11实施磁力和磁转矩,以控制受检者4的体腔中的磁控胶囊内窥镜在体腔中的旋转、移动和定向等运动,从而实现对进入受检者4体腔内的医疗装置1在任意位置的停留和多角度自由运动。同时,通过收放线机构31控制柔性线缆3进入受检者4的体腔内的长度,可对受检者4的食管和胃部进行全方位的自动扫描拍摄,由此可实现胃部检查或者手术过程中全角度观察。The magnetic control mechanism 2 of the present invention can generate a uniform magnetic field in any direction and a gradient magnetic field along the body axis direction of the subject 4 through the electromagnetic coil. The magnetron mechanism 2 changes the strength and gradient of the magnetic field and the spatial angle by changing the strength and direction of the current passing through each coil, so as to apply the magnetic force and magnetic torque to the permanent magnet 11 in the magnetron capsule endoscope to control the received magnetic field. The magnetic control capsule endoscope in the body cavity of the subject 4 rotates, moves and orients in the body cavity, thereby realizing the stay at any position and multi-angle free movement of the medical device 1 entering the body cavity of the subject 4 . At the same time, by controlling the length of the flexible cable 3 entering the body cavity of the subject 4 through the wire retracting mechanism 31, the esophagus and stomach of the subject 4 can be automatically scanned and photographed in an all-round way, thereby realizing gastric examination. Or observe from all angles during surgery.
因此,本发明的磁控机构2通过多个电磁线圈组产生叠加的均匀磁场以及梯度磁场,相比现有的机械结构带动永磁体的方式来控制医疗装置的运动,本发明的磁控机构2可使医疗装置1的运动速度更快、其控制精度更高,且给受试者4的体验更好。Therefore, the magnetic control mechanism 2 of the present invention generates a superimposed uniform magnetic field and a gradient magnetic field through a plurality of electromagnetic coil groups. Compared with the existing mechanical structure driving a permanent magnet to control the movement of the medical device, the magnetic control mechanism 2 of the present invention The movement speed of the medical device 1 can be made faster, the control precision thereof can be higher, and the experience for the subject 4 can be better.
如图9和10所示,本发明提供一种用于上述的医疗装置引导和控制系统的方法,其包括以下操作步骤。As shown in FIGS. 9 and 10 , the present invention provides a method for the above-mentioned medical device guidance and control system, which includes the following operation steps.
步骤101:受检者4吞服医疗装置1,以将医疗装置1置于受检者4的体腔(食道)内。Step 101 : The subject 4 swallows the medical device 1 to place the medical device 1 in the body cavity (esophagus) of the subject 4 .
步骤102:使第一线圈组21(Z轴线圈组)产生沿受检者4身体轴向方向的梯度磁场,以使医疗装置1进行移动。Step 102 : Make the first coil group 21 (Z-axis coil group) generate a gradient magnetic field along the body axial direction of the subject 4 to move the medical device 1 .
步骤103:判断医疗装置1是否离开第一位置A1(贲门),若是,则执行步骤104;若否,则返回步骤102。Step 103 : determine whether the medical device 1 leaves the first position A1 (cardia), if yes, go to Step 104 ; if not, go back to Step 102 .
步骤104:使第二线圈组22(X轴线圈组)和第三线圈组23(Y轴线圈组)产生强度均匀的磁场,并使柔性线缆3伸长,以使医疗装置1做螺旋线描运动以扫描受检者4的体腔(整个胃部空间)。Step 104: Make the second coil group 22 (X-axis coil group) and the third coil group 23 (Y-axis coil group) generate a magnetic field with uniform intensity, and extend the flexible cable 3, so that the medical device 1 can be a helix The movement is traced to scan the body cavity (entire stomach space) of the subject 4 .
步骤105:判断医疗装置1是否到达第二位置A2(胃窦),若是,则执行步骤106,若否,则返回步骤104。Step 105 : Determine whether the medical device 1 has reached the second position A2 (gastric antrum), if yes, go to Step 106 , if not, go back to Step 104 .
步骤106:使第二线圈组22(X轴线圈组)产生梯度磁场,并使柔性线缆3伸长,以使医疗装置1进行移动。Step 106 : The second coil group 22 (X-axis coil group) generates a gradient magnetic field, and the flexible cable 3 is extended to move the medical device 1 .
步骤107:判断医疗装置1是否到达第三位置A3(幽门),若是,则执行步骤108,若否,则返回步骤106。Step 107 : Determine whether the medical device 1 has reached the third position A3 (pylorus). If yes, go to Step 108 , if not, go back to Step 106 .
步骤108:使第二线圈组22(X轴线圈组)和第三线圈组23(Y轴线圈组)产生强度均匀的磁场,并使柔性线缆3收缩,以使医疗装置1再次做螺旋线描运动以扫描受检者4的体腔(整个胃部空间)。Step 108: Make the second coil group 22 (X-axis coil group) and the third coil group 23 (Y-axis coil group) generate a magnetic field with uniform intensity, and shrink the flexible cable 3, so that the medical device 1 is made a spiral again The movement is traced to scan the body cavity (entire stomach space) of the subject 4 .
步骤109:判断医疗装置1是否返回第一位置A1(贲门),若是,则执行步骤110;若否,则返回步骤108。Step 109 : determine whether the medical device 1 returns to the first position A1 (cardia), if yes, go to Step 110 ; if not, go back to Step 108 .
步骤110:医疗装置1进入受检者4的食道,使柔性线缆3收缩,以使医疗装置1离开受检者4的体腔(食道)并结束。Step 110: The medical device 1 enters the esophagus of the subject 4, and the flexible cable 3 is retracted, so that the medical device 1 leaves the body cavity (esophagus) of the subject 4 and ends.
如图9所示,并结合图8,对本发明的方法例进行说明。As shown in FIG. 9 and in conjunction with FIG. 8 , a method example of the present invention will be described.
首先,磁控机构2控制医疗装置1(磁控胶囊内窥镜)进入胃部的自动控制流程如下。受检者4吞服医疗装置1,使第一线圈组21(Z轴线圈组)产生沿受检者4身体轴向方向的梯度磁场,从而引导医疗装置1穿过受检者4的食道并进入其胃部。First, the automatic control process for the magnetic control mechanism 2 to control the medical device 1 (magnetic control capsule endoscope) to enter the stomach is as follows. The subject 4 swallows the medical device 1, so that the first coil set 21 (Z-axis coil set) generates a gradient magnetic field along the axial direction of the subject 4's body, thereby guiding the medical device 1 through the esophagus of the subject 4 and passing through the esophagus of the subject 4. into its stomach.
进入胃部以后,通过观察显示器确定医疗装置1是否离开贲门,如果离开贲门则使第二线圈组22(X轴线圈组)和第三线圈组23(Y轴线圈组)产生强度均匀的磁场,并使柔性线缆3伸长,以使医疗装置1做螺旋线运动同时扫描整个胃部空间,并可进入胃部更下方。若医疗装置1未离开贲门,则继续使医疗装置1在第一线圈组21产生的梯度磁场的作用下移动。After entering the stomach, determine whether the medical device 1 leaves the cardia by observing the display. If it leaves the cardia, the second coil group 22 (X-axis coil group) and the third coil group 23 (Y-axis coil group) generate a uniform magnetic field, And the flexible cable 3 is extended, so that the medical device 1 can perform a helical motion while scanning the entire stomach space, and can enter the lower part of the stomach. If the medical device 1 does not leave the cardia, continue to move the medical device 1 under the action of the gradient magnetic field generated by the first coil group 21 .
当医疗装置1继续深入进入胃部时,通过观察显示器确定医疗装置1是否到达胃窦。如果到达胃窦,则使第二线圈组22(X轴线圈组)产生梯度磁场,并使柔性线缆3伸长,以使医疗装置1移动同时拍摄影像,并继续进入胃部更下方。As the medical device 1 continues to penetrate deep into the stomach, it is determined by viewing the display whether the medical device 1 reaches the gastric antrum. If the gastric antrum is reached, the second coil group 22 (X-axis coil group) generates a gradient magnetic field, and the flexible cable 3 is extended to move the medical device 1 while capturing images, and continue to enter the lower part of the stomach.
当医疗装置1继续深入进入胃部时,通过观察显示器可确定医疗装置是否到达幽门。如果到达幽门,表示医疗装置1已经完成胃部扫描,则执行退出胃部操作;如果未到达幽门,则继续通过第二线圈组22和柔性线缆3伸长使医疗装置1移动。As the medical device 1 continues to penetrate deep into the stomach, it can be determined by viewing the display whether the medical device has reached the pylorus. If the pylorus is reached, it means that the medical device 1 has completed the stomach scan, and the operation of exiting the stomach is performed; if the pylorus is not reached, the medical device 1 is moved by extending the second coil group 22 and the flexible cable 3 .
磁控机构2控制医疗装置1(磁控胶囊内窥镜)退出胃部的自动控制流程如下。医疗装置1到达幽门后,通过第二线圈组22(X轴线圈组)和第三线圈组23(Y轴线圈组)产生强度均匀的磁场,并使柔性线缆3收缩使柔性线缆3的长度缩短,以使医疗装置1再次做螺旋运动扫描整个胃部空间,直到接近胃底。The automatic control process for the magnetic control mechanism 2 to control the medical device 1 (magnetic control capsule endoscope) to exit the stomach is as follows. After the medical device 1 reaches the pylorus, the second coil group 22 (X-axis coil group) and the third coil group 23 (Y-axis coil group) generate a uniform magnetic field, and the flexible cable 3 is contracted to make the flexible cable 3 . The length is shortened so that the medical device 1 scans the entire stomach space again in a helical motion until the fundus is approached.
医疗装置1接近胃底时,使其继续移动并返回贲门。通过观察显示器确定医疗装置1是否返回贲门,如果还未返回,则继续通过第二线圈组22、第三线圈组23和柔性线缆3收缩使医疗装置1返回。若果医疗装置1已经返回贲门,观察贲门并继续收缩柔性线缆3使柔性线缆3的长度缩短,从而使医疗装置1退出受检者4的胃部和食道,并结束操作。When the medical device 1 approaches the stomach fundus, it continues to move and returns to the cardia. Determine whether the medical device 1 returns to the cardia by observing the display, and if not, continue to return the medical device 1 by retracting the second coil group 22 , the third coil group 23 and the flexible cable 3 . If the medical device 1 has returned to the cardia, observe the cardia and continue to contract the flexible cable 3 to shorten the length of the flexible cable 3, so that the medical device 1 is withdrawn from the stomach and esophagus of the subject 4, and the operation is ended.
虽然已经参考优选实施例对本发明进行了描述,但在不脱离本发明的范围的情况下,可以对其进行各种改进并且可以用等效物替换其中的部件。尤其是,只要不存在结构冲突,各个实施例中所提到的各项技术特征均可以任意方式组合起来。本发明并不局限于文中公开的特定实施例,而是包括落入权利要求的范围内的所有技术方案。While the present invention has been described with reference to the preferred embodiments, various modifications may be made and equivalents may be substituted for parts thereof without departing from the scope of the invention. In particular, as long as there is no structural conflict, each technical feature mentioned in each embodiment can be combined in any manner. The present invention is not limited to the specific embodiments disclosed herein, but includes all technical solutions falling within the scope of the claims.

Claims (10)

  1. 一种医疗装置引导和控制系统,其特征在于,包括:A medical device guidance and control system, characterized in that it includes:
    医疗装置(1),其用于置于受检者(4)体腔内并获取体腔内指定位置的信息;以及a medical device (1) for placing in a body cavity of a subject (4) and acquiring information on a designated position in the body cavity; and
    磁控机构(2),其用于在受检者(4)外部产生磁场并对所述医疗装置(1)施加作用力,所述医疗装置(1)在多重作用力的作用下按照指定方向进行运动;A magnetic control mechanism (2) for generating a magnetic field outside the subject (4) and applying a force to the medical device (1), the medical device (1) following a specified direction under the action of multiple forces to exercise;
    其中,所述医疗装置(1)上固定连接有柔性线缆(3),所述柔性线(3)缆能够为所述医疗装置(1)提供电能和/或传输所述医疗装置(1)采集的信息。Wherein, a flexible cable (3) is fixedly connected to the medical device (1), and the flexible cable (3) cable can provide the medical device (1) with electrical energy and/or transmit the medical device (1) collected information.
  2. 根据权利要求1所述的医疗装置引导和控制系统,其特征在于,所述柔性线缆(3)盘绕在收放线机构(31)上,所述柔性线缆(3)的一端与所述医疗装置(1)端部的固定结构(13)相连,所述柔性线缆(3)的另一端与连接器(32)相连,所述收放线机构(31)用于使所述柔性线缆(3)伸长或收缩。The medical device guidance and control system according to claim 1, characterized in that, the flexible cable (3) is coiled on the wire take-up and pay-out mechanism (31), and one end of the flexible cable (3) is connected to the The fixing structure (13) at the end of the medical device (1) is connected, the other end of the flexible cable (3) is connected with the connector (32), and the wire retracting mechanism (31) is used to make the flexible wire The cable (3) is extended or retracted.
  3. 根据权利要求1或2所述的医疗装置引导和控制系统,其特征在于,所述磁控机构(2)包括第一线圈组(21)、第二线圈组(22)和第三线圈组(23);The medical device guidance and control system according to claim 1 or 2, wherein the magnetic control mechanism (2) comprises a first coil group (21), a second coil group (22) and a third coil group ( twenty three);
    所述第一线圈(21)组沿受检者(4)的身体轴向设置,用于产生沿受检者(4)身体轴向方向的梯度磁场或强度均匀的磁场;The first coil (21) group is disposed along the body axis of the subject (4), and is used to generate a gradient magnetic field or a magnetic field with uniform intensity along the body axial direction of the subject (4);
    所述第二线圈组(22)和所述第三线圈组(23)分别围绕受检者(4)的身体四周分布,用于产生梯度磁场或强度均匀的磁场;The second coil group (22) and the third coil group (23) are respectively distributed around the body of the subject (4) for generating a gradient magnetic field or a magnetic field with uniform intensity;
    其中,所述第一线圈组(21)、所述第二线圈组(22)和所述第三线圈组(23)中的电流强度和/或方向发生改变可控制所述医疗装置(1)的姿态与位置的改变。Wherein the medical device (1) can be controlled by changing the intensity and/or direction of the current in the first coil set (21), the second coil set (22) and the third coil set (23) changes in posture and position.
  4. 根据权利要求3所述的医疗装置引导和控制系统,其特征在于,所述磁控机构(2)还包括环绕受检者(4)的身体轴向设置的螺线管线圈(24),其用于产生强度均匀的磁场;所述螺线管线圈(24)设置在所述第一线圈组(21)、所述第二线圈组(22)和所述第三线圈组(23)所围成的空间内;The medical device guidance and control system according to claim 3, wherein the magnetic control mechanism (2) further comprises a solenoid coil (24) axially arranged around the body of the subject (4), which For generating a magnetic field with uniform intensity; the solenoid coil (24) is arranged around the first coil group (21), the second coil group (22) and the third coil group (23) into the space;
    所述螺线管线圈(24)中的电流强度和/或方向发生改变,以控制所述医疗装置(1)沿受检者(4)的身体轴向旋转定向。The magnitude and/or direction of the current in the solenoid coil (24) is varied to control the rotational orientation of the medical device (1) along the body axis of the subject (4).
  5. 根据权利要求4所述的医疗装置引导和控制系统,其特征在于,所述第一线圈组(21)、所述第二线圈组(22)、所述第三线圈组(23)和所述螺线管线圈(24)分别与单独的电源相连,每个电源通过RS485串口协议与控制系统相连。The medical device guidance and control system according to claim 4, wherein the first coil group (21), the second coil group (22), the third coil group (23) and the The solenoid coils (24) are respectively connected with separate power sources, and each power source is connected with the control system through the RS485 serial port protocol.
  6. 根据权利要求1或2所述的医疗装置引导和控制系统,其特征在于,所述磁控机构(2)还包括检查通道(25),所述检查通道(25)用于使承载有受检者(4)的可移动检查床(5)穿过。The medical device guidance and control system according to claim 1 or 2, characterized in that, the magnetic control mechanism (2) further comprises an inspection channel (25), and the inspection channel (25) is used to make the device carrying the inspected The movable examination bed (5) of the person (4) passes through.
  7. 根据权利要求1或2所述的医疗装置引导和控制系统,其特征在于,所述医疗装置(1)为磁控胶囊内窥镜。The medical device guidance and control system according to claim 1 or 2, wherein the medical device (1) is a magnetron capsule endoscope.
  8. 根据权利要求7所述的医疗装置引导和控制系统,其特征在于,所述磁控胶囊内窥镜内设置有图像处理系统,所述图像处理系统包括可获取实时影像的摄像头(12)和处理器,所述处理器将所述摄像头(12)获取的串行数字信号进行处理后通过柔性线缆(3)发送给显示器。The medical device guidance and control system according to claim 7, wherein an image processing system is provided in the magnetron capsule endoscope, and the image processing system comprises a camera (12) capable of acquiring real-time images and a processing The processor, after processing the serial digital signal obtained by the camera (12), sends it to the display through the flexible cable (3).
  9. 根据权利要求7所述的医疗装置引导和控制系统,其特征在于,所述磁控胶囊内窥镜的内部设置有永磁体(11),所述永磁体(11)的极化方向平行于所述磁控胶囊内窥镜的轴向方向。The medical device guidance and control system according to claim 7, wherein a permanent magnet (11) is provided inside the magnetron capsule endoscope, and the polarization direction of the permanent magnet (11) is parallel to the The axial direction of the magnetron capsule endoscope.
  10. 一种用于权利要求1-9中任一项所述的医疗装置引导和控制系统的方法,其特征在于,包括以下操作步骤:A method for the medical device guidance and control system according to any one of claims 1-9, characterized in that it comprises the following operation steps:
    步骤101:将所述医疗装置(1)置于受检者(4)的体腔内;Step 101: placing the medical device (1) in the body cavity of the subject (4);
    步骤102:使第一线圈(21)组产生沿受检者(4)身体轴向方向的梯度磁场,以使医疗装置(1)进行移动;Step 102: causing the first coil (21) group to generate a gradient magnetic field along the axial direction of the body of the subject (4), so as to move the medical device (1);
    步骤103:判断所述医疗装置(1)是否离开第一位置(A1),若是,则执行步骤104;若否,则返回步骤102;Step 103: determine whether the medical device (1) leaves the first position (A1), if so, go to step 104; if not, return to step 102;
    步骤104:使第二线圈组(22)和第三线圈组(23)产生强度均匀的磁场,并使柔性线缆(3)伸长,以使所述医疗装置(1)做螺旋线运动以扫描受检者(4)的体腔;Step 104: Make the second coil group (22) and the third coil group (23) generate a magnetic field with uniform intensity, and make the flexible cable (3) elongate, so that the medical device (1) performs a helical motion to scanning the body cavity of the subject (4);
    步骤105:判断所述医疗装置(1)是否到达第二位置(A2),若是,则执行步骤106,若否,则返回步骤104;Step 105: Determine whether the medical device (1) has reached the second position (A2), if so, execute step 106, if not, return to step 104;
    步骤106:使第二线圈组(22)产生梯度磁场,并使柔性线缆(3)伸长,以使所述医疗装置(1)进行移动;Step 106: causing the second coil group (22) to generate a gradient magnetic field, and extending the flexible cable (3), so as to move the medical device (1);
    步骤107:判断所述医疗装置(1)是否到达第三位置(A3),若是,则执行步骤108,若否,则返回步骤106;Step 107: Determine whether the medical device (1) has reached the third position (A3), if so, go to Step 108, if not, return to Step 106;
    步骤108:使第二线圈组(22)和第三线圈组(23)产生强度均匀的磁场, 并使柔性线缆(3)收缩,以使所述医疗装置(1)再次做螺旋线运动以扫描受检者(4)的体腔;Step 108: Make the second coil group (22) and the third coil group (23) generate a magnetic field of uniform intensity, and shrink the flexible cable (3), so that the medical device (1) performs a helical motion again to scanning the body cavity of the subject (4);
    步骤109:判断所述医疗装置(1)是否返回第一位置(A1),若是,则执行步骤110;若否,则返回步骤108;Step 109: Determine whether the medical device (1) returns to the first position (A1), if yes, go to Step 110; if not, go back to Step 108;
    步骤110:使柔性线缆(3)收缩,以使所述医疗装置(1)离开受检者(4)的体腔。Step 110: Retract the flexible cable (3) so that the medical device (1) leaves the body cavity of the subject (4).
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007110270A2 (en) * 2006-03-27 2007-10-04 Siemens Aktiengesellschaft Method and device for remote control of a working capsule having positioning coils
CN102240204A (en) * 2010-05-12 2011-11-16 无锡市华焯光电科技有限公司 Small-diameter endoscope
CN105662318A (en) * 2016-01-08 2016-06-15 大连理工大学 Man-machine interaction control method for space universal rotating magnetic field
CN111568348A (en) * 2020-06-04 2020-08-25 中国医学科学院生物医学工程研究所 Optical diagnosis and treatment capsule endoscope with external power supply and control
CN111631669A (en) * 2020-06-03 2020-09-08 湖北科技学院 Capsule type endoscope driving device based on three-dimensional orthogonal magnetic field and control method
CN211723078U (en) * 2019-11-21 2020-10-23 深圳市资福医疗技术有限公司 Capsule endoscope
CN113229770A (en) * 2021-03-25 2021-08-10 北京善行医疗科技有限公司 Medical device guidance and control system and method

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP5030392B2 (en) * 2004-06-14 2012-09-19 オリンパス株式会社 Medical device position detection system and medical device guidance system
KR101410214B1 (en) * 2012-11-23 2014-06-20 전남대학교산학협력단 Capsule endoscope actuation control system, and a capsule endoscope system having the same

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007110270A2 (en) * 2006-03-27 2007-10-04 Siemens Aktiengesellschaft Method and device for remote control of a working capsule having positioning coils
CN102240204A (en) * 2010-05-12 2011-11-16 无锡市华焯光电科技有限公司 Small-diameter endoscope
CN105662318A (en) * 2016-01-08 2016-06-15 大连理工大学 Man-machine interaction control method for space universal rotating magnetic field
CN211723078U (en) * 2019-11-21 2020-10-23 深圳市资福医疗技术有限公司 Capsule endoscope
CN111631669A (en) * 2020-06-03 2020-09-08 湖北科技学院 Capsule type endoscope driving device based on three-dimensional orthogonal magnetic field and control method
CN111568348A (en) * 2020-06-04 2020-08-25 中国医学科学院生物医学工程研究所 Optical diagnosis and treatment capsule endoscope with external power supply and control
CN113229770A (en) * 2021-03-25 2021-08-10 北京善行医疗科技有限公司 Medical device guidance and control system and method

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