WO2023103780A1 - Medical catheter having visible light tracing device - Google Patents

Medical catheter having visible light tracing device Download PDF

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Publication number
WO2023103780A1
WO2023103780A1 PCT/CN2022/133759 CN2022133759W WO2023103780A1 WO 2023103780 A1 WO2023103780 A1 WO 2023103780A1 CN 2022133759 W CN2022133759 W CN 2022133759W WO 2023103780 A1 WO2023103780 A1 WO 2023103780A1
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WIPO (PCT)
Prior art keywords
light
catheter
medical
visible light
tracing device
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PCT/CN2022/133759
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French (fr)
Chinese (zh)
Inventor
周星
Original Assignee
周星
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Publication of WO2023103780A1 publication Critical patent/WO2023103780A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3904Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
    • A61B2090/3912Body cavities
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937Visible markers
    • A61B2090/3941Photoluminescent markers

Definitions

  • the invention relates to a medical catheter, in particular to a medical catheter with a visible light tracing device.
  • Medical catheters are commonly used tools in clinical treatment, including two categories: in vitro use and in vivo use. Medical catheters used in the body are usually in contact with tissues, body fluids, blood, etc. during use, so they are usually made of soft medical silicone rubber, latex and other materials.
  • the medical catheter used in the body usually enters the human body from the natural orifice of the human body, such as the urethra and esophagus
  • the current focus of the medical catheter in the body is usually: 1.
  • the surface performance is convenient, and it should be easy to insert into the body; 2.
  • Biological properties Requirements in terms of safety, non-toxic, will not cause inflammation and foreign body reactions, will not cause allergies, carcinogenic and other adverse effects; 3) Chemical and physical properties are stable, and there will be no performance changes such as hardening.
  • the existing technology is still unable to mark the blood vessels, ureters, fallopian tubes, vas deferens, trachea, etc. hidden in the tissue with visible light, which is not convenient for identification under laparoscopic surgery. Therefore, it is necessary to develop a visible light marking technology and device under a laparoscope, so as to identify lumens such as blood vessels, ureters, fallopian tubes, vas deferens, and trachea under a laparoscope.
  • the invention discloses a technology and a device for marking blood vessels, ureters, fallopian tubes, vas deferens, trachea and other lumens based on visible light technology.
  • the purpose of the present invention is to solve the problem that blood vessels and various lumens cannot be accurately marked under the endoscope in the existing clinical operation. Blood vessels or lumens that need to be protected during clinical operations can effectively avoid accidental injuries during the operation, so as to facilitate the effective implementation of clinical operations.
  • the medical catheter with a visible light tracing device of the present invention is characterized in that: the medical catheter with a visible light tracing device 900 includes a catheter 900-1, an interface 900-2 and a medical optical tracing system 500;
  • the catheter 900-1 is made of soft elastic medical material, and has a working channel 900-3 inside;
  • the medical catheter 900 with a visible light tracing device includes at least one interface 900-2, and the interface 900-2 is arranged at the proximal end 900-12 of the catheter 900-1;
  • the medical optical tracking system 500 is set on the catheter 900-1 to identify the location of the catheter 900-1.
  • the medical optical tracing system 500 can perform optical tracing on the catheter 900-1.
  • the light emitted by the light source 1 can be seen through the tissue.
  • the light passes through the lumen, and the illuminance of the light emitted by the medical optical tracing system 500 ensures that when the distance from the tube wall is about 0-30mm, the traced lumen is clearly visible, and the closer to the lumen, the stronger the light, prompting
  • the blood vessel tracing can be effectively carried out during the operation and the medical staff can be prompted to protect important lumens and prevent accidental injuries during the operation. It is very convenient and safe for clinical use.
  • the medical optical tracer system 500 includes a light source 1 and an optical tracer carrier 2;
  • the optical trace carrier 2 contains a light-guiding material
  • the light emitted by the light source 1 is transmitted through the optical trace carrier 2, and the optical trace carrier 2 is optically traced.
  • the light source 1 and the optical tracer carrier 2 can be traced by directly conducting the light emitted by the light source 1 through the light guide material of the optical tracer carrier 2 through direct contact.
  • the light source 1 can also pass the light emitted by the light source 1 through the energy carrier in the optical tracer 2 in a non-contact manner, such as the light-storing self-luminous body 21-1 for storage, and then pass through the energy carrier. Energy conversion emits light for tracing.
  • the light emitting end 11 - 1 of the light source 1 can also be packaged as a whole with the optical trace carrier 2 , and be directly arranged at the position where trace is required.
  • the light source 1 is an LED light source 11, and/or a medical cold light source 12, and/or natural light.
  • the light source 1 can be various light sources capable of emitting light, and the light emitted by the light source 1 can be traced after being transmitted through the optical trace carrier 1 .
  • the LED light source 11 has the characteristics of small size, high luminous efficiency, and strong light source directivity. Especially in terms of safety, LED light sources have incomparable advantages over ordinary light sources.
  • the LED light source is a low-voltage DC power supply, and the power supply voltage only needs to be 6 to 24V; secondly, no mercury is added to the LED light source, which will not cause poisoning or other harm to the human body; more importantly, the LED light source is a cold light source, which will not cause harm to the human body during work. Severe heat, safe to touch, will not cause unexpected high temperature burns to the human body.
  • the medical cold light source 12 is a commonly used light source in the existing operation process, and the light source 1 can be placed behind, which is easy to obtain in the operating room and does not require additional equipment.
  • the color of light emitted by the light source 1 can be set according to background color or penetration requirements. Through the setting of the light, in the clinical operation, the doctor can directly see the position of the optical tracer 2 through the tissue with the naked eye, and then accurately identify the blood vessels, tissues or organs that need to be protected during the clinical operation, effectively avoiding Accidental injury during surgery.
  • the light emitted by the light source 1 can be differentiated according to the background color in the body cavity or the tissue to be penetrated. When it is necessary to penetrate the tissue, red and yellow are the best, followed by purple and white. When it is necessary to display vascular tissue , the light is preferably green.
  • the light source 1 is a flashing type of light emitting.
  • the light source 1 can also be set in the form of intermittent lighting, flashing, etc. as required.
  • the intensity of light emitted by the light source 1 can be set.
  • the intensity of the light emitted by the light source 1 can also be adjusted as required to adapt to different clinical environments.
  • the illuminance of the light emitted by the light source 1 can reach 300,000 lux, preferably ranging from 5,000 lux to 150,000 lux.
  • the light source 1 includes a control system 13, the control system 13 includes a wavelength adjustment mechanism 13-1 and a light intensity adjustment mechanism 13-2, and the wavelength adjustment mechanism 13-1 can adjust the color of the emitted light by adjusting the wavelength , the light intensity adjusting mechanism 13-2 can adjust the illuminance of the emitted light.
  • the LED light source 11 is arranged inside the body and/or outside the body. Since the volume of the light-emitting end 11-1 of the LED light source 11 can be very small, the LED light source 11 can not only be installed outside the body, and transmit light to the human body through the optical tracer carrier 2, but also can be directly installed In the human body, the optical tracking carrier 2 is coated on the outside and placed directly on the part that needs to be tracked.
  • the light source 1 and the optical trace carrier 2 are connected in a non-contact or contact manner.
  • the light source 1 can be connected to the optical tracer carrier 2 through the light guide joint 26 to provide a light source, and can also illuminate the optical tracer carrier 2 without contact, such as the light-storing self-luminous tracer carrier 21
  • the tracking of the optical tracking carrier 2 is realized through the storage and conversion of light energy.
  • the LED light source 11 is contact-connected to the optical trace carrier 2 , and the LED light source 11 is arranged in the optical trace carrier 2 .
  • the optical trace carrier 2 is directly wrapped on the outside of the LED light source 11, and the LED light source 11 and the optical trace carrier 2 are put into the human body together to trace the lumen.
  • the optical tracer 2 is a light-storage self-luminous tracer 21 .
  • Self-luminous materials refer to materials that can absorb energy in a certain way and convert it into non-equilibrium light radiation. The process of converting the energy absorbed inside the material into non-equilibrium light radiation is the luminescence process.
  • light-storing self-luminescent materials can continue to emit light for more than 12 hours in a dark environment after a few minutes or tens of minutes under the action of external light, which can meet the tracing needs of most operations.
  • the light-storing self-illuminating tracer carrier 21 can directly absorb the energy of the light in the operating room, so that various external lights can form the light source 1, and there is no need to directly connect the light source 1, and the use process is very simple.
  • the light-storage self-luminous tracer carrier 21 includes a light-storage self-illuminator 21-1 and a protection carrier 21-2.
  • the protective carrier 21-2 is made of a transparent light-guiding material, and the light-storing self-luminous body 21-1 is closed and arranged in the protective carrier 21-2.
  • the light-storing self-luminous body 21-1 can absorb external energy and convert it into light.
  • the protective carrier 21-2 is made of transparent medical materials, which can be directly in contact with tissues.
  • the light energy converted from the light-storing self-illuminating body 21-1 effectively passes through for effective tracing, and at the same time ensures clinical Biosafety used.
  • the light-storing self-illuminating body 21-1 can be arranged in different positions and designed in different shapes, and can perform fixed-point tracking or overall tracking as required.
  • the optical trace carrier 2 is a light guiding fiber 22 .
  • the light-guiding optical fiber 22 has a good light-guiding effect, and guides the light to different positions as required, and can be switched on or off as required, which is very convenient for clinical use.
  • the optical trace carrier 2 contains at least one light guiding fiber 22 .
  • the optical trace carrier 2 is a combination of multiple light guiding fibers 22 .
  • the optical trace carrier 2 can be composed of a single light-guiding optical fiber 22, or can be a combination of multiple light-guiding optical fibers 22, such as forming an optical fiber bundle, weaving into a mesh, and arranging different lengths. .
  • the light guiding fiber 22 has a smooth surface.
  • the light outlet 22-2 of the light guiding fiber 22 is located at the far end of the light guiding fiber 22, which can Realize fixed-point tracing.
  • the light guiding fiber 22 has a non-smooth surface 22-1.
  • the non-smooth surface 22-1 is a non-smooth surface 22-11 capable of forming reflection and/or scattering.
  • the non-smooth surface 22-1 can realize the overall light emission of the non-smooth surface 22-1 through the reflection and/or scattering of light, so as to achieve the effect of overall tracking.
  • the light-guiding optical fiber 22 is intermittently provided with a light outlet 22-2.
  • Each of the light outlets 22-2 provided intermittently has a light transmission surface 22-21 and a reflection surface 22-22, the light is transmitted through the transmission surface 22-21, and when it reaches the reflection surface 22-22, The light is reflected and emitted from the light outlet 22-2 to form a tracer point, and a plurality of the light outlets 22-2 can form a chain tracer strip.
  • the light outlet 22 - 2 is a non-axial light outlet 22 - 21 , which is arranged on the side of the light guide fiber 22 along the length direction of the light guide fiber 22 .
  • the light guide fiber 22 can be lighted as a whole along the length direction of the light guide fiber 22 to realize the light guide fiber 22 overall tracer.
  • the light outlets 22 - 2 can mark the length dimension of the light guiding optical fiber 22 .
  • the regular arrangement of the distribution density of the light outlets 22 - 2 leads to different intensities of scattered light, and the length dimension of the light guiding optical fiber 22 is marked.
  • the emitted light is stronger and the visual effect is brighter; when the light outlets 22-2 are arranged scattered, the emitted light is weaker and the visual effect is darker.
  • a combination of light and shade can form a visual effect similar to a ruler, and at the same time of tracing, it can also achieve the effect of size marking.
  • the light-guiding optical fiber 22 is braided into a net shape, and light outlets 22-2 are scattered in different positions.
  • the light-guiding optical fiber 22 is braided into a net shape, and the length of each of the light-guiding optical fibers 22 can be set to be different, and the light outlets 22-2 of the light-guiding optical fiber 22 are also different thereupon, scattered and distributed, which can be To realize the overall tracking in the three-dimensional space, since the light outlet 22-1 does not need to be arranged in the middle of each light-guiding optical fiber 22, the light transmission effect is better, and the visual effect of a single tracking point is very bright.
  • the shape of mesh weaving can have good support, which is especially suitable for the support and tracking of large cavities, such as bladder and uterus.
  • the medical optical tracking system 500 has a coating 3 on its surface.
  • the coating 3 is an anticoagulation coating, and/or a hydrophilic coating, and/or a hydrophobic coating.
  • the coating 3 can be designed with different properties according to the needs, such as when the light guiding fiber 22 needs to enter the blood vessel, the coating 3 can be designed as an anticoagulation coating, when the light guiding fiber 22 needs When entering various cavities, the coating 3 can be designed as a hydrophilic coating or a hydrophobic coating as required.
  • the medical optical tracing system 500 also includes a developing mechanism 4 .
  • the developing mechanism 4 is made of metal material and has the function of heat conduction.
  • the heat conduction function of the developing mechanism 4 can prevent the temperature in the body from being too high due to the LED light source 11 , and usually the temperature needs to be controlled within 37°C.
  • the developing mechanism 4 is a developing line 41 , and/or a developing ring 42 , and/or a developing block 43 .
  • the applicant here only exemplifies the above-mentioned several developing methods. In practical applications, those skilled in the art can design different developing methods according to needs. The applicant does not give examples here, but they do not deviate from the scope of the application protected range.
  • the developing mechanism 4 performs developing under X-ray, and/or MRI, and/or B-ultrasound.
  • the development mechanism 4 can provide development prompts in X-ray, magnetic navigation, or B-ultrasound scenarios, and the development mechanism 4 facilitates the insertion of the optical tracking carrier 2 under the condition of visibility or navigation.
  • the optical tracer carrier 2 is made of flexible medical materials and can move along the cavities of blood vessels, ureters, esophagus, trachea, fallopian tubes, and vas deferens.
  • the optical trace carrier 2 has good flexibility and can move along the blood vessel or cavity, therefore, the optical trace carrier 2 can be placed in different positions as required.
  • the optical trace carrier 2 includes a shaping mechanism 25 .
  • the shaping mechanism 25 can shape the optical tracer carrier 2 , such as into various shapes such as circle, arc, and ball as required, so as to meet different traceability requirements.
  • the shaping mechanism 25 is a shape memory shaping mechanism 25-1.
  • the shape-memory shaping mechanism 25-1 has a simple structure such as a line or a strip at room temperature, so that it can be easily inserted. After entering the human body, it returns to the set shape under the action of body temperature.
  • the shape-memory shaping mechanism 25-1 is braided by shape-memory metal wires, and/or carved from shape-memory metal tubes or sheets.
  • the shape-memory shaping mechanism 25-1 can be braided into a desired shape by shape-memory metal wires, or can be directly carved into a desired shape by using a shape-memory alloy tube or a shape-memory alloy sheet.
  • the conduit 900-1 is made of a transparent material, constituting the protective carrier 21-2, and the light-storing self-luminous body 21-1 is arranged in the tube wall of the conduit 900-1.
  • the catheter 900 - 1 is made of transparent material, which constitutes the optical trace carrier 2 .
  • the light-emitting end 11-1 of the LED light source 11 is disposed inside the tube wall of the tube 900-1.
  • the light-emitting end 11-1 of the LED light source 11 is arranged at the distal end of the catheter 900-1 to track the distal end of the catheter 900-1.
  • the light-emitting ends 11-1 of the LED light sources 11 are dispersedly arranged in the tube wall of the catheter 900-1 to form LED light strips or LED light nets, and trace the catheter 900-1 as a whole.
  • the light-emitting end 11 - 1 of the LED light source 11 is arranged on the outer surface of the catheter 900 - 1 along the length direction of the catheter 900 - 1 , and is covered by the optical tracer 2 .
  • the proximal end of the light guiding fiber 22 is connected to the light source 1 through a light guiding connector 26, and the distal end is arranged along the length direction of the catheter 900-1 to track the catheter 900-1.
  • the light guiding fiber 22 has a smooth surface, and the light outlet 22-2 of the light guiding fiber 22 is arranged at the distal end 900-11 of the catheter 900-1.
  • the light guiding fiber 22 has a non-smooth surface 22-1, and the light guiding fiber 22 tracks the catheter 900-1 as a whole.
  • the medical catheter 900 with a visible light tracing device is a medical gastric tube 901, or a medical urinary catheter 902, or a medical vas deferens, or a medical fallopian tube, or a medical trachea.
  • the medical catheter 900 with a visible light tracing device is a medical gastric tube 901;
  • the medical gastric tube 901 includes a catheter 900-1, an interface 900-2 and a medical optical tracing system 500, the catheter 900-1
  • a working channel 900-3 is provided inside, and a working opening 900-11-1 is provided at the distal end 900-11; the medical optical tracking system 500 tracks the catheter 900-1.
  • the medical catheter 900 with a visible light tracing device is a medical catheter 902; the medical catheter 902 includes a catheter 900-1, an interface 900-2 and a medical optical tracing system 500, and the catheter 900-1
  • a working channel 900-3 is provided inside, and a working opening 900-11-1 is provided at the distal end 900-11; the medical optical tracking system 500 tracks the catheter 900-1.
  • the medical catheter 902 is a double-lumen catheter 902-1; the distal end 900-11 of the catheter 900-1 of the double-lumen catheter 902-1 is provided with a balloon 900-13; the working channel 900-3 is provided with two lumens 1-1, and each lumen 1-1 is provided with one interface 900-2; one of the lumens 1-1 constitutes a catheterization lumen 900- 14.
  • the distal end of the urinary catheterization cavity 900-14 is provided with the working opening 900-11-1, and the interface 900-2 provided at the proximal end constitutes a drainage port 900-21; the other one of the cavity channels 1-1 forms a water injection cavity 900-15, the distal end of the water injection cavity 900-15 is connected to the balloon 900-13, and the interface 900-2 connected to the proximal end forms a water injection port 900-22.
  • the medical catheter 902 is a three-lumen catheter 902-2; the distal end 900-11 of the catheter 900-1 of the three-lumen catheter 902-2 is provided with a balloon 900-13; the working channel 900-3 is provided with three lumens 1-1, and each lumen 1-1 is correspondingly provided with one said interface 900-2; wherein the first lumen 1-1 constitutes a catheterization lumen 900 -14, the distal end of the catheterization cavity 900-14 is provided with the working opening 900-11-1, and the interface 900-2 provided at the proximal end constitutes a drainage port 900-21; the second cavity Road 1-1 constitutes a water injection cavity 900-15, the distal end of the water injection cavity 900-15 is connected to the balloon 900-13, and the interface 900-2 connected to the proximal end constitutes a water injection port 900-22; Each of the lumens 1-1 constitutes an infusion flushing chamber 900-16, and the distal end of the infusion flushing chamber 900-16 is provided with a
  • the medical catheter 900 with a visible light tracing device is placed into the lumen as required, and the catheter 900 - 1 is traced under the illumination of the light source 1 .
  • the light emitted by the light source 1 can be seen through the tissue through the lumen, and the illuminance of the light emitted by the light source 1 is guaranteed to be within 0-30mm from the wall
  • the traced lumen is clearly visible, and the closer to the lumen, the stronger the light, and the more obvious the prompting effect.
  • the medical catheter with a visible light tracing device of the present invention includes a catheter 900 - 1 , an interface 900 - 2 and a medical optical tracing system 500 .
  • the catheter 900-1 is made of soft elastic medical material, the distal end 900-11 is provided with a working opening 900-11-1, and the medical catheter 900 with a visible light tracing device includes at least one interface 900- 2.
  • the interface 900-2 is disposed at the proximal end 900-12 of the catheter 900-1.
  • the medical optical tracking system 500 includes a light source 1 and an optical tracking carrier 2.
  • the optical tracking carrier 2 is set on the catheter 900-1 to identify the location of the catheter 900-1.
  • the light emitted by the light source 1 can be seen through the tissue through the lumen, and the illuminance of the light emitted by the light source 1 is guaranteed to be within 0-30mm from the wall
  • the traced lumen is clearly visible, and the closer to the lumen, the stronger the light, and the more obvious the prompting effect. It can effectively trace the blood vessels during the operation and remind the medical staff to protect the important lumen and prevent surgery. Accidental injury, clinical use is very convenient and safe.
  • Fig. 1 is a schematic perspective view of the three-dimensional structure of a medical gastric tube with a visible light tracing device of the present invention.
  • Fig. 1-1 is a sectional view of A-A in Fig. 1 .
  • Figure 1-2 is an enlarged view of A1 in Figure 1.
  • Figure 1-3 is a schematic diagram of the structure of Figure 1 after the LED light source is connected.
  • Figure 1-4 is a schematic diagram of the structure of Figure 1 after the cold light source is connected.
  • FIGS. 1-5 are structural schematic diagrams of a medical gastric tube containing a light-guiding optical fiber with a non-smooth surface.
  • Figure 1-6 is an enlarged view of A2 in Figure 1-5.
  • Figure 1-7 is an enlarged view of A3 in Figure 1-6.
  • 1-8 are structural schematic diagrams of a medical gastric tube provided with an LED light-emitting end at the end.
  • Figure 1-9 is an enlarged view of A4 in Figure 1-8.
  • Figure 1-10 is a schematic diagram of the structure of Figure 1-5 after connecting the LED light source.
  • Fig. 1-11 is a schematic structural view of a medical gastric tube provided with an LED light-emitting end as a whole.
  • Figure 1-12 is an enlarged view of A5 in Figure 1-11.
  • Figure 1-13 is a schematic structural view of a medical gastric tube with a hydrophilic coating.
  • 1-14 is a schematic structural view of a medical gastric tube containing a light-storage self-luminescence tracer carrier.
  • Figure 1-15 is an enlarged view of A6 in Figure 1-14.
  • Fig. 2 is a schematic diagram of the structure when the balloon of the 2-cavity medical catheter is inflated.
  • Fig. 2-1 is a schematic diagram of the structure of the balloon in Fig. 2 when it is deflated.
  • Figure 2-2 is the front view of Figure 2.
  • Fig. 2-3 is a B-B sectional view of Fig. 2-2.
  • Figure 2-4 is an enlarged view of B1 in Figure 2-3.
  • Figure 2-5 is a schematic diagram of the structure of Figure 2 when the LDE light source is connected.
  • Figure 2-6 is a schematic structural view of a 2-cavity medical catheter with an LED light-emitting end inside the tube wall.
  • Figure 2-7 is an enlarged view of B2 in Figure 2-6.
  • Fig. 3 is a schematic diagram of the structure of the balloon of the 3-cavity medical catheter when it is inflated.
  • Figure 3-1 is the front view of Figure 3.
  • Fig. 3-2 is a C-C sectional view of Fig. 3 .
  • Fig. 3-3 is a D-D sectional view of Fig. 3-1.
  • Figure 3-4 is an enlarged view of C1 in Figure 3-2.
  • Fig. 3-5 is a schematic diagram of the structure when the LED light source is connected in Fig. 3 .
  • Fig. 4 is a schematic diagram of the structure of the 3-cavity medical catheter connected to the LED light source when the optical fiber is woven into a mesh.
  • Figure 4-1 is an enlarged view of D1 in Figure 4.
  • Fig. 5 is a structural schematic diagram of a 3-cavity medical catheter when the optical fiber is woven into a mesh.
  • Fig. 5-1 is a sectional view along line E-E of Fig. 5 .
  • Fig. 6 is a structural schematic diagram of a medical catheter with a shaping mechanism.
  • Fig. 7 is a working principle diagram when the medical catheter is inserted into the bladder.
  • Fig. 8 is a working principle diagram when the medical catheter is inserted into the ureter.
  • 500 is the medical optical tracing system of the present invention
  • 900 is the medical catheter with tracing device of the present invention
  • 901 is the medical gastric tube
  • 902 is the medical urinary catheter.
  • 1 is the light source
  • 2 is the optical tracking carrier
  • 3 is the coating
  • 4 is the developing mechanism.
  • 11 is an LED light source
  • 12 is a medical cold light source
  • 11-1 is a light-emitting terminal
  • 11-2 is a circuit system
  • 11-21 is a flexible circuit board.
  • 21 is the light-storage self-illumination tracer carrier
  • 22 is the light-guiding optical fiber
  • 25 is the shaping mechanism
  • 26 is the light-guiding connector
  • 21-1 is the light-storage self-illumination body
  • 21-2 is the protection carrier
  • 22-1 is a non-smooth surface
  • 22-2 is a light outlet
  • 25-1 is a shape memory shaping mechanism
  • 22-11 is a non-smooth surface capable of forming reflection and/or scattering
  • 22-21 is a conductive surface
  • 22-22 is a reflective surface.
  • 41 is a developing line
  • 42 is a developing ring
  • 43 is a developing block.
  • 1-1 is the cavity
  • 900-1 is the catheter
  • 900-2 is the interface
  • 900-3 is the working channel
  • 902-1 is the double-lumen catheter
  • 902-2 is the three-lumen catheter
  • 900-11 is the The distal end
  • 900-12 is the proximal end
  • 900-13 is the balloon
  • 900-14 is the catheterization cavity
  • 900-15 is the water injection cavity
  • 900-16 is the infusion flushing cavity
  • 900-21 is the drainage port
  • 900- 22 is the water injection port
  • 900-23 is the flushing injection port
  • 900-11-1 is the working opening
  • 900-16-1 is the flushing port
  • 900-16-2 is the blocking valve
  • 900-22-2 is the closing valve .
  • Embodiment 1 Medical catheter with visible light tracing device of the present invention with single lumen
  • the medical catheter 900 with a visible light tracing device is a medical gastric tube 901 .
  • the medical catheter 900 with a visible light tracing device is a medical gastric tube 901 , including a catheter 900 - 1 , an interface 900 - 2 and a medical optical tracing system 500 .
  • the catheter 900-1 is made of soft elastic medical material, has a working channel 900-3 inside, and a working opening 900-11-1 at the distal end 900-11.
  • the medical gastric tube 901 includes one interface 900-2, and the interface 900-2 is arranged at the proximal end 900-12 of the catheter 900-1.
  • the medical optical tracking system 500 is set on the catheter 900-1 to identify the location of the catheter 900-1.
  • the medical optical tracer system 500 includes a light source 1 and an optical tracer carrier 2 .
  • the light source 1 may be an LED light source 11, and/or a medical cold light source 12, and/or natural light.
  • the light source 1 can be various light sources capable of emitting light, and the light emitted by the light source 1 can be traced after being conducted by the optical tracer carrier 1 .
  • the LED light source 11 has the characteristics of small size, high luminous efficiency, and strong light source directivity. Especially in terms of safety, LED light sources have incomparable advantages over ordinary light sources.
  • the LED light source is a low-voltage DC power supply, and the power supply voltage only needs to be 6 to 24V; secondly, no mercury is added to the LED light source, which will not cause poisoning or other harm to the human body; more importantly, the LED light source is a cold light source, which will not cause harm to the human body during work. Severe heat, safe to touch, will not cause unexpected high temperature burns to the human body.
  • the medical cold light source 12 is a commonly used light source in the existing operation process, and the light source 1 can be placed behind, which is easy to obtain in the operating room and does not require additional equipment.
  • the color of light emitted by the light source 1 can be set according to background color or penetration requirements. Through the setting of the light, in the clinical operation, the doctor can directly see the position of the optical tracer 2 through the tissue with the naked eye, and then accurately identify the blood vessels, tissues or organs that need to be protected during the clinical operation, effectively avoiding Accidental injury during surgery.
  • the light emitted by the light source 1 can be differentiated according to the background color in the body cavity or the tissue to be penetrated. When it is necessary to penetrate the tissue, red and yellow are the best, followed by purple and white. When it is necessary to display vascular tissue , the light is preferably green.
  • the light source 1 can also be set in the form of intermittent lighting, flashing, etc. as required, and the intensity of the light emitted by the light source 1 can also be adjusted as required to adapt to different clinical environments.
  • the illuminance of the light emitted by the light source 1 can reach 300,000 lux, preferably ranging from 5,000 lux to 150,000 lux.
  • the light source 1 includes a control system 13, the control system 13 includes a wavelength adjustment mechanism 13-1 and a light intensity adjustment mechanism 13-2, and the wavelength adjustment mechanism 13-1 can adjust the wavelength to To adjust the color of the emitted light, the light intensity adjustment mechanism 13-2 can adjust the illuminance of the emitted light.
  • the LED light source 11 can be arranged inside the body or outside the body. Since the volume of the light-emitting end 11-1 of the LED light source 11 can be very small, the LED light source 11 can not only be installed outside the body, and transmit light to the human body through the optical tracer carrier 2, but also can be directly installed In the human body, the optical tracking carrier 2 is coated on the outside and placed directly on the part that needs to be tracked.
  • the light source 1 and the optical trace carrier 2 are connected in contact.
  • the optical trace carrier 2 is a light guiding fiber 22 .
  • the light-guiding optical fiber 22 has a good light-guiding effect, and guides the light to different positions as required, and can be switched on or off as required, which is very convenient for clinical use.
  • the light source 1 is connected to the light-guiding optical fiber 22 through the light-guiding joint 26 to provide a light source.
  • the optical trace carrier 2 includes one light guiding fiber 22, and the light guiding fiber 22 is arranged along the length direction of the light guiding 900-1.
  • the light outlet 22-2 of the light guiding fiber 22 is located at The distal end of the light guiding fiber 22 implements fixed-point tracking on the distal end 90-11 of the catheter 900-1.
  • the light-guiding optical fiber 22 can also be arranged in a circular shape along the side wall of the catheter 900-1 in multiples, forming an aperture at the distal end of the catheter 900-1, and locally Tracer.
  • the non-smooth surface 22-1 is a non-smooth surface that can form reflection and/or scattering 22-11.
  • the non-smooth surface 22-1 can realize the overall light emission of the non-smooth surface 22-1 through the reflection and/or scattering of light, so as to achieve the effect of overall tracking.
  • the light-guiding optical fiber 22 is intermittently provided with a light outlet 22-2.
  • Each of the light outlets 22-2 provided intermittently has a light transmission surface 22-21 and a reflection surface 22-22, the light is transmitted through the transmission surface 22-21, and when it reaches the reflection surface 22-22, The light is reflected and emitted from the light outlet 22-2 to form a tracer point, and a plurality of the light outlets 22-2 can form a chain tracer strip.
  • the light outlet 22 - 2 is a non-axial light outlet 22 - 21 , which is arranged on the side of the light guide fiber 22 along the length direction of the light guide fiber 22 .
  • the light guide fiber 22 can be lighted as a whole along the length direction of the light guide fiber 22 to realize the light guide fiber 22 overall tracer.
  • the regular arrangement of the distribution density of the light outlets 22 - 2 leads to different intensities of scattered light, and the length dimension of the light guiding optical fiber 22 is marked.
  • the emitted light is stronger and the visual effect is brighter; when the light outlets 22-2 are arranged scattered, the emitted light is weaker and the visual effect is darker.
  • a combination of light and shade can form a visual effect similar to a ruler, and at the same time of tracing, it can also achieve the effect of size marking.
  • the light-guiding optical fiber 22 can also be braided into a net shape, and light outlets 22-2 are scattered in different positions, as shown in FIG. 4 to FIG. 5-1.
  • the light-guiding optical fiber 22 is braided into a net shape, and the length of each of the light-guiding optical fibers 22 can be set to be different, and the light outlets 22-2 of the light-guiding optical fiber 22 are also different thereupon, scattered and distributed, which can be To realize the overall tracking in the three-dimensional space, since the light outlet 22-1 does not need to be arranged in the middle of each light-guiding optical fiber 22, the light transmission effect is better, and the visual effect of a single tracking point is very bright.
  • the shape of mesh weaving can have good support, which is especially suitable for the support and tracking of large cavities, such as bladder and uterus.
  • the surface of the catheter 900 - 1 may contain a coating 3 .
  • Said coating 3 is usually a hydrophilic coating.
  • the medical optical tracing system 500 may also include a developing mechanism 4 .
  • the developing mechanism 4 is made of metal material and has the function of heat conduction.
  • the heat conduction function of the developing mechanism 4 can prevent the temperature in the body from being too high due to the LED light source 11 , and usually the temperature needs to be controlled within 37°C.
  • the developing mechanism 4 is a developing line 41 (refer to FIGS. 1-6 ), and/or a developing ring 42 (refer to FIGS. 1-9 ), and/or a developing block 43 (refer to FIGS. 1-2 ).
  • the applicant here only exemplifies the above-mentioned several developing methods. In practical applications, those skilled in the art can design different developing methods according to needs. The applicant does not give examples here, but they do not deviate from the scope of the application protected range.
  • the developing mechanism 4 performs developing under X-ray, and/or MRI, and/or B-ultrasound.
  • the development mechanism 4 can provide development prompts in X-ray, magnetic navigation, or B-ultrasound scenarios, and the development mechanism 4 facilitates the insertion of the optical tracking carrier 2 under the condition of visibility or navigation.
  • the optical tracer carrier 2 is made of flexible medical materials and can move along the cavities of blood vessels, ureters, esophagus, trachea, fallopian tubes, and vas deferens.
  • the optical trace carrier 2 has good flexibility and can move along the blood vessel or cavity, therefore, the optical trace carrier 2 can be placed in different positions as required.
  • the optical trace carrier 2 may also include a shaping mechanism 25 .
  • the shaping mechanism 25 can shape the optical tracer carrier 2 , such as into various shapes such as circle, arc, and ball as required, so as to meet different traceability requirements.
  • the shaping mechanism 25 is a shape memory shaping mechanism 25-1.
  • the shape-memory shaping mechanism 25-1 has a simple structure such as a line or a strip at room temperature, so that it can be easily inserted. After entering the human body, it returns to the set shape under the action of body temperature.
  • the shape-memory shaping mechanism 25-1 is made by weaving shape-memory metal wires, and/or carving shape-memory metal tubes or sheets.
  • the shape-memory shaping mechanism 25-1 can be braided into a desired shape by shape-memory metal wires, or can be directly carved into a desired shape by using a shape-memory alloy tube or a shape-memory alloy sheet.
  • the LED light source 11 adopts a miniature design, usually the size of the light-emitting end 11-1 is controlled below 2 mm, such as an LED lamp with a package size between 0.2 mm and 0.5 mm, the light-emitting end of the LED light source 11 can be set In the tube wall of the catheter 900-1, directly into the body. At this time, the catheter 900 - 1 constitutes the optical tracer 2 .
  • the circuit system 11-2 of the LED light source 11 adopts a flexible circuit board 11-21
  • the light-emitting terminals 11-1 can be dispersedly arranged on the flexible circuit board 11-21, and the flexible circuit board 11 -21 and the light-emitting end 11-1 are packaged together in the tube wall of the catheter 900-1 to form an LED light strip or an LED lamp network, and trace the catheter 900-1 as a whole.
  • the light-emitting end 11-1 of the LED light source 11 and the flexible circuit board can also be arranged on the outer surface of the guide tube 900-1 along the length direction of the guide tube 900-1, and the outside is covered with the optical Tracer carrier 2.
  • the light source 1 and the optical trace carrier 2 can also irradiate the optical trace carrier 2 in a non-contact manner, such as the light-storage self-luminous trace carrier 21, and the optical trace carrier 2 can be realized through the storage and conversion of light energy. Trace of tracer vector 2.
  • the optical tracer 2 is a light-storage self-luminous tracer 21 .
  • Self-luminous materials refer to materials that can absorb energy in a certain way and convert it into non-equilibrium light radiation. The process of converting the energy absorbed inside the material into non-equilibrium light radiation is the luminescence process.
  • light-storing self-luminescent materials can continue to emit light for more than 12 hours in a dark environment after a few minutes or tens of minutes under the action of external light, which can meet the tracing needs of most operations.
  • the light-storing self-illuminating tracer carrier 21 can directly absorb the energy of the light in the operating room, so that various external lights can form the light source 1, and there is no need to directly connect the light source 1, and the use process is very simple.
  • the light-storage self-luminous tracer carrier 21 includes a light-storage self-illuminator 21-1 and a protective carrier 21-2.
  • the protective carrier 21-2 is made of a transparent light-guiding material, and the light-storing self-luminous body 21-1 is closed and arranged in the protective carrier 21-2.
  • the light-storing self-luminous body 21-1 can absorb external energy and convert it into light.
  • the protective carrier 21-2 is made of transparent medical materials, which can be directly in contact with tissues.
  • the light energy converted from the light-storing self-illuminating body 21-1 effectively passes through for effective tracing, and at the same time ensures clinical Biosafety used.
  • the light-storing self-illuminating body 21-1 can be arranged in different positions and designed in different shapes, and can perform fixed-point tracking or overall tracking as required.
  • the conduit 900-1 is made of transparent material to form the protection carrier 21-2, and the light-storing self-illuminating body 21-1 is arranged in the tube wall of the conduit 900-1.
  • the medical gastric tube 901 is inserted into the stomach through the esophagus, the light source 1 is turned on, and the catheter 900-1 is traced.
  • the light emitted by the light source 1 can be seen through the tissue through the lumen.
  • the traced lumen is clearly visible, and the closer to the lumen, the stronger the light, and the more obvious the prompting effect, which can effectively trace and prompt medical staff during the operation.
  • the medical gastric tube of this embodiment contains the medical optical tracing system 500, it can be traced by visible light after entering the human body, prompting medical staff during the operation, protecting the important esophagus and stomach, and preventing accidental injuries during the operation. It is very convenient and safe to use.
  • Embodiment 2 The medical catheter with visible light tracing device of the present invention with double chambers
  • the difference between this embodiment and Embodiment 1 is that in this embodiment, the medical catheter 900 is a medical urinary catheter 902 .
  • the medical catheter 902 includes a catheter 900 - 1 , two interfaces 900 - 2 and a medical optical tracking system 500 .
  • the medical catheter 902 is a double-lumen catheter 902-1;
  • the end 900-11 is provided with a balloon 900-13;
  • the working channel 900-3 is provided with two lumens 1-1, and each of the lumens 1-1 is correspondingly provided with one interface 900-2;
  • One of the lumens 1-1 constitutes a catheterization chamber 900-14, the distal end of the catheterization chamber 900-14 is provided with the working opening 900-11-1, and the proximal end is provided with the interface 900- 2 constitute the liquid discharge port 900-21;
  • the other one of the lumens 1-1 constitutes the water injection chamber 900-15, the distal end of the water injection chamber 900-15 is connected to the balloon 900-13, and the proximal end is connected
  • the interface 900-2 forms a water injection port 900-22, and the water injection port 900-22 is provided with a closing valve 900-22-2.
  • the medical optical tracer system 500 includes a light source 1 and an optical tracer carrier 2 .
  • the light source 1 is an LED light source 11 .
  • LED light sources Compared with ordinary lighting sources, LED light sources have the characteristics of small size, high luminous efficiency, and strong light source directivity. Especially in terms of safety, LED light sources have incomparable advantages over ordinary light sources.
  • the LED light source is a low-voltage DC power supply, and the power supply voltage only needs to be 6 to 24V; secondly, no mercury is added to the LED light source, which will not cause poisoning or other harm to the human body; more importantly, the LED light source is a cold light source, which will not cause harm to the human body during work. Severe heat, safe to touch, will not cause unexpected high temperature burns to the human body.
  • the optical trace carrier 2 is a light-guiding optical fiber 22 .
  • the light-guiding optical fiber 22 is intermittently provided with a light outlet 22-2.
  • the light outlets 22-2 can be arranged intermittently along the light transmission direction of the light guide fiber 22, each of the light outlets 22-2 is provided with a reflective surface 22-21, and the light is transmitted to the light outlet 22-2 At this time, a part of the light is reflected by the reflective surface 22-21 to form a luminous point for tracing, and the remaining light continues to travel forward along the light-guiding optical fiber 22, forming intermittent point-like distribution of light along the guide tube 900-1. light to realize the overall tracking of the catheter 900-1.
  • the LED light source 11 when the LED light source 11 adopts a miniature design, usually the size of the light-emitting end 11-1 is controlled below 2 mm, such as an LED lamp with a package size between 0.2 mm and 0.5 mm , the light-emitting end of the LED light source 11 can be set in the tube wall of the catheter 900-1, directly into the body. At this time, the catheter 900 - 1 constitutes the optical tracer 2 .
  • the circuit system 11-2 of the LED light source 11 adopts a flexible circuit board 11-21, and the light-emitting terminals 11-1 can be dispersedly arranged on the flexible circuit board 11-21, and the flexible circuit board 11-21 Together with the light-emitting end 11-1, it is packaged in the tube wall of the catheter 900-1 to form an LED light strip or an LED lamp network, and trace the catheter 900-1 as a whole.
  • the catheter 900-1 is inserted into the bladder through the urethra, the closed valve 900-22-2 is opened, water is injected inward through the water injection port 900-22, and the balloon 900 is inflated -13. Fix the catheter 900-1 in the bladder to prevent slippage. Turn on the light source 1, and the overall direction and position of the catheter 900-1 can be seen with the naked eye.
  • the illuminance of the light emitted by the light source 1 ensures that when the distance from the tube wall is about 0-30mm, the traced lumen is clearly visible, and the closer to the lumen, the stronger the light, the more obvious the prompting effect, which can be effective in surgery trace and alert medical staff.
  • the catheter 900-1 when it is necessary to insert the medical catheter 902 into the ureter, the catheter 900-1 is provided with a development line 41, and under X-ray, the medical catheter 902 is delivered to the ureter that needs to be traced. position, and then turn on the light source 1, and under the action of the medical optical tracing system 500, the ureter is marked by visible light.
  • the medical gastric tube of this embodiment contains the medical optical tracing system 500, it can be traced by visible light after entering the human body, prompting medical staff during the operation, protecting the urethra and bladder, and preventing accidental injuries during the operation. Very convenient and safe.
  • Embodiment 3 The medical catheter with visible light tracing device of the present invention with three chambers
  • the medical catheter 902 is a three-lumen catheter 902-2.
  • the three-lumen urinary catheter 902 - 2 includes a catheter 900 - 1 , three interfaces 900 - 2 and a medical optical tracking system 500 .
  • the distal end 900-11 of the catheter 900-1 of the three-lumen urinary catheter 902-2 is provided with a balloon 900-13.
  • the working channel 900-3 is provided with three lumens 1-1, and each of the lumens 1-1 is correspondingly provided with one interface 900-2; wherein
  • the first lumen 1-1 forms a catheterization chamber 900-14, the distal end of the catheterization chamber 900-14 is provided with the working opening 900-11-1, and the proximal end is provided with the interface 900- 2 constitute the liquid discharge port 900-21;
  • the second cavity 1-1 constitutes the water injection cavity 900-15, the distal end of the water injection cavity 900-15 is connected to the balloon 900-13, and the proximal end is connected
  • the interface 900-2 forms a water injection port 900-22, and the water injection port 900-22 is provided with a closed valve 900-22-2;
  • the third cavity 1-1 forms an infusion flushing cavity 900-16, so
  • the far end of the infusion flushing chamber 900-16 is provided with a flushing port 900-16-1 and a blocking valve 900-16-2, and the interface 900-2 connected to the
  • the medical catheter 902 can be configured as the three-lumen catheter 902-2.
  • the proximal end of the infusion flushing cavity 900-16 is provided with the flushing injection port 900-23, the distal flushing port 900-16-1 communicates with the body cavity, and the flushing port 900-16-1 is provided with a
  • the blocking valve 900-16-2 when the drug is injected through the flushing injection port 900-23, under the action of pressure, the blocking valve 900-16-2 is opened, and the drug enters the body cavity. , under the action of body cavity pressure, the blocking valve 900-16-2 is automatically closed to prevent body fluid from entering the infusion flushing cavity 900-16 from the flushing port 900-16-1.
  • the medical optical tracer system 500 includes a light source 1 and an optical tracer carrier 2 .
  • the light source 1 is an LED light source 11 .
  • LED light sources Compared with ordinary lighting sources, LED light sources have the characteristics of small size, high luminous efficiency, and strong light source directivity. Especially in terms of safety, LED light sources have incomparable advantages over ordinary light sources.
  • the LED light source is a low-voltage DC power supply, and the power supply voltage only needs to be 6 to 24V; secondly, no mercury is added to the LED light source, which will not cause poisoning or other harm to the human body; more importantly, the LED light source is a cold light source, which will not cause harm to the human body during work. Severe heat, safe to touch, will not cause unexpected high temperature burns to the human body.
  • the optical trace carrier 2 is a light guiding fiber 22 .
  • the light guide fiber 22 is intermittently provided with a light outlet 22 - 2 .
  • the light outlets 22-2 can be arranged intermittently along the light transmission direction of the light guide fiber 22, each of the light outlets 22-2 is provided with a reflective surface 22-21, and the light is transmitted to the light outlet 22-2 At this time, a part of the light is reflected by the reflective surface 22-21 to form a luminous point for tracing, and the remaining light continues to travel forward along the light-guiding optical fiber 22, forming intermittent point-like distribution of light along the guide tube 900-1. light to realize the overall tracking of the catheter 900-1.
  • the light-guiding optical fiber 22 can also be braided into a net shape, and light outlets 22-2 are scattered in different positions.
  • the light-guiding optical fiber 22 is braided into a net shape, the length of each light-guiding optical fiber 22 is different, and the light outlet 22-2 of the light-guiding optical fiber 22 is also different accordingly, and the scattered distribution of the catheter 900-1
  • the body of the tube can realize the overall tracing of the catheter 900-1, and since the light outlet 22-2 does not need to be arranged in the middle of each light-guiding optical fiber 22, the light transmission effect is better, and the overall tracing effect is better. good.
  • the shape of mesh weaving can make the overall tube wall of the catheter 900-1 more flexible, better supporting, and less prone to collapse and deformation.
  • the LED light source 11 adopts a miniature design, usually the size of the light-emitting end 11-1 is controlled below 2 mm, such as an LED lamp with a package size between 0.2 mm and 0.5 mm, the light-emitting end of the LED light source 11 can be set In the tube wall of the catheter 900-1, directly into the body. At this time, the catheter 900 - 1 constitutes the optical tracer 2 .
  • the circuit system 11-2 of the LED light source 11 adopts a flexible circuit board 11-21, and the light-emitting terminals 11-1 can be dispersedly arranged on the flexible circuit board 11-21, and the flexible circuit board 11-21 Together with the light-emitting end 11-1, it is packaged in the tube wall of the catheter 900-1 to form an LED light strip or an LED lamp network, and trace the catheter 900-1 as a whole.
  • the medical catheter 902 can not only trace, but also flush the catheter 900 - 1 with medicine to ensure the sanitation and disinfection of the medical catheter 902 .

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Abstract

A medical catheter (900) having a visible light tracing device, the medical catheter comprising a catheter (900-1), a port (900-2) and a medical optical tracing system (500). The catheter (900-1) is made of a flexible elastic medical material, and is provided with an operating opening (900-11-1) at a distal end (900-11). The medical catheter (900) having a visible light tracing device includes at least one port (900-2), the port (900-2) being arranged at a proximal end (900-12) of the catheter (900-1). The medical optical tracing system (500) includes a light source (1) and an optical tracing carrier (2), the optical tracing carrier (2) being arranged on the catheter (900-1) to mark the position of the catheter (900-1). During a surgical operation, when the medical optical tracing system approaches the lumen to be traced, it is possible to observe, through the tissue, that the light emitted by the light source (1) passes through the lumen, and the illuminance of the light emitted by the light source (1) ensures that the traced lumen is clearly visible when the distance from the lumen wall is about 0-30 mm, and the closer to the lumen, the brighter the light becomes, and the better the prompting effect is, which can effectively trace blood vessels and prompt a medical worker during the surgical operation, protect important lumens, and prevent accidental injuries during the surgical operation, such that the medical catheter is convenient and safe for clinical use.

Description

带可见光示踪装置的医用导管Medical Catheter with Visible Light Tracer 技术领域technical field
本发明涉及一种医用导管,特别是一种带可见光示踪装置的医用导管。The invention relates to a medical catheter, in particular to a medical catheter with a visible light tracing device.
背景技术Background technique
医用导管是临床治疗中常用的工具,包括体外使用和体内使用两大类。体内使用的医用导管在使用过程中通常会与组织、体液、血液等接触,因此通常采用柔软的医用硅橡胶、乳胶等材料制造。Medical catheters are commonly used tools in clinical treatment, including two categories: in vitro use and in vivo use. Medical catheters used in the body are usually in contact with tissues, body fluids, blood, etc. during use, so they are usually made of soft medical silicone rubber, latex and other materials.
因体内使用的医用导管,通常是从人体自然腔道,如尿道、食道,进入人体,因此,目前体内医用导管的关注点通常是:1、表面性能方便,要便于插入体内;2、生物性能方面的要求,要安全,无毒,不会引起炎症和异物反应,不会带来过敏、致癌等不良作用;3)化学、物理性能稳定,不会出现硬化等性能改变。Because the medical catheter used in the body usually enters the human body from the natural orifice of the human body, such as the urethra and esophagus, the current focus of the medical catheter in the body is usually: 1. The surface performance is convenient, and it should be easy to insert into the body; 2. Biological properties Requirements in terms of safety, non-toxic, will not cause inflammation and foreign body reactions, will not cause allergies, carcinogenic and other adverse effects; 3) Chemical and physical properties are stable, and there will be no performance changes such as hardening.
但在临床手术过程中,由于血管、输尿管、输卵管、气管等腔管通常被组织包裹,外科医生需要经过长期训练,熟悉解剖结构,才能准确分离血管、输尿管、输卵管、气管等腔管。即便是经验丰富的外科医生,有时也会发生误伤血管、或输尿管、或输卵管、或气管等腔管的意外,因此,需要一种能够在组织中准确标识血管、或输尿管、或输卵管、或气管等腔管的装置。However, in the clinical operation process, since blood vessels, ureters, fallopian tubes, trachea and other lumens are usually wrapped by tissues, surgeons need long-term training and familiarity with anatomical structures to accurately separate blood vessels, ureters, fallopian tubes, trachea and other lumens. Even experienced surgeons sometimes accidentally injure blood vessels, ureters, fallopian tubes, or trachea. Therefore, a method that can accurately identify blood vessels, ureters, fallopian tubes, or trachea Device for isolumen tubes.
现有技术尚不能对隐藏在组织中的血管、输尿管、输卵管、输精管、气管等进行可见光标识,不便于在腔镜下手术的识别。因此,需要开发一种在腔镜下可见光标识技术和装置,以便于在腔镜下进行识别血管、输尿管、输卵管、输精管、气管等腔管。The existing technology is still unable to mark the blood vessels, ureters, fallopian tubes, vas deferens, trachea, etc. hidden in the tissue with visible light, which is not convenient for identification under laparoscopic surgery. Therefore, it is necessary to develop a visible light marking technology and device under a laparoscope, so as to identify lumens such as blood vessels, ureters, fallopian tubes, vas deferens, and trachea under a laparoscope.
本发明公开了一种基于可见光技术的血管、输尿管、输卵管、输精管、气管等腔管的标识技术和装置。The invention discloses a technology and a device for marking blood vessels, ureters, fallopian tubes, vas deferens, trachea and other lumens based on visible light technology.
发明内容Contents of the invention
本发明的目的在于解决现有临床手术中血管及各种腔管在腔镜下无法准确标识的问题,通过采用光学示踪方式的设置,在临床手术中,通过不同颜色光源的设置,准确辨别临床手术中需要重点保护的血管或腔管,有效避免手术过程中的意外伤害,以便于临床手术的有效实施。The purpose of the present invention is to solve the problem that blood vessels and various lumens cannot be accurately marked under the endoscope in the existing clinical operation. Blood vessels or lumens that need to be protected during clinical operations can effectively avoid accidental injuries during the operation, so as to facilitate the effective implementation of clinical operations.
本发明之带可见光示踪装置的医用导管,其特征在于:所述带可见光示踪装置的医用导管900含导管900-1、接口900-2和医用光学示踪系统500;The medical catheter with a visible light tracing device of the present invention is characterized in that: the medical catheter with a visible light tracing device 900 includes a catheter 900-1, an interface 900-2 and a medical optical tracing system 500;
A、所述导管900-1由柔软的弹性医用材料制成,内部设有工作通道900-3;A. The catheter 900-1 is made of soft elastic medical material, and has a working channel 900-3 inside;
B、所述带可见光示踪装置的医用导管900至少含1个所述接口900-2,所述接口900-2设置在所述导管900-1的近端900-12;B. The medical catheter 900 with a visible light tracing device includes at least one interface 900-2, and the interface 900-2 is arranged at the proximal end 900-12 of the catheter 900-1;
C、所述医用光学示踪系统500设置在所述导管900-1上,标识所述导管900-1所在的位置。C. The medical optical tracking system 500 is set on the catheter 900-1 to identify the location of the catheter 900-1.
所述医用光学示踪系统500能对所述导管900-1进行光学示踪,在临床手术过程中,当靠近被示踪的腔管时,就能透过组织见到所述光源1发出的光线透过腔管,所述医用光学示踪系统500发出的光线的照度保证在距离管壁0-30mm左右时,被示踪的腔管明显清晰可见,而且越接近腔管光线越强,提示效果越明显,可以在手术中有效地进行血管示踪并提示医护人员,保护重要腔管,防止手术中意外伤害,临床使用非常方便、安全。The medical optical tracing system 500 can perform optical tracing on the catheter 900-1. During the clinical operation, when approaching the traced lumen, the light emitted by the light source 1 can be seen through the tissue. The light passes through the lumen, and the illuminance of the light emitted by the medical optical tracing system 500 ensures that when the distance from the tube wall is about 0-30mm, the traced lumen is clearly visible, and the closer to the lumen, the stronger the light, prompting The more obvious the effect is, the blood vessel tracing can be effectively carried out during the operation and the medical staff can be prompted to protect important lumens and prevent accidental injuries during the operation. It is very convenient and safe for clinical use.
所述医用光学示踪系统500含光源1和光学示踪载体2;The medical optical tracer system 500 includes a light source 1 and an optical tracer carrier 2;
A、所述光学示踪载体2含导光材料;A. The optical trace carrier 2 contains a light-guiding material;
B、所述光源1发出的光经所述光学示踪载体2进行传导,并对所述光学示踪载体2进行光学示踪。B. The light emitted by the light source 1 is transmitted through the optical trace carrier 2, and the optical trace carrier 2 is optically traced.
所述光源1和所述光学示踪载体2可以通过直接接触的方式,将所述光源1发出的光经所述光学示踪载体2的导光材料直接传导进行示踪。所述光源1也可以通过非接触的方式,将所述光源1发出的光先经所述光学示踪载体2中的能量载体,如所述蓄光自发光体21-1进行存储后,再经能量转化发出光线进行示踪。所述光源1的发光端11-1还可以和所述光学示踪载体2封装成一个整体,直接设置在需要进行示踪的位置。The light source 1 and the optical tracer carrier 2 can be traced by directly conducting the light emitted by the light source 1 through the light guide material of the optical tracer carrier 2 through direct contact. The light source 1 can also pass the light emitted by the light source 1 through the energy carrier in the optical tracer 2 in a non-contact manner, such as the light-storing self-luminous body 21-1 for storage, and then pass through the energy carrier. Energy conversion emits light for tracing. The light emitting end 11 - 1 of the light source 1 can also be packaged as a whole with the optical trace carrier 2 , and be directly arranged at the position where trace is required.
所述光源1是LED光源11、和/或医用冷光源12、和/或自然光。所述光源1可以是各种能发出光线的光源,所述光源1发出的光线可以经所述光学示踪载体1传导后进行示踪。所述LED光源11与普通照明光源相比,具有体积小、发光效率高、光源指向性强等特点,尤其是在安全性方面,LED光源有普通光源无法比拟的优势。首先LED光源是低压直流供电,供电电压只需6到24V;其次LED光源中不添加汞,不会对人体造成中毒等伤害;此外更重要的是LED光源是冷光源,在工作过程中不会严重发热,可以安全触摸,不会对人 体造成意外的高温烫伤。所述医用冷光源12是现有手术过程中的常用光源,而且可以将所述光源1后置,手术室中容易获得,不需要额外的设备。The light source 1 is an LED light source 11, and/or a medical cold light source 12, and/or natural light. The light source 1 can be various light sources capable of emitting light, and the light emitted by the light source 1 can be traced after being transmitted through the optical trace carrier 1 . Compared with ordinary lighting sources, the LED light source 11 has the characteristics of small size, high luminous efficiency, and strong light source directivity. Especially in terms of safety, LED light sources have incomparable advantages over ordinary light sources. First of all, the LED light source is a low-voltage DC power supply, and the power supply voltage only needs to be 6 to 24V; secondly, no mercury is added to the LED light source, which will not cause poisoning or other harm to the human body; more importantly, the LED light source is a cold light source, which will not cause harm to the human body during work. Severe heat, safe to touch, will not cause unexpected high temperature burns to the human body. The medical cold light source 12 is a commonly used light source in the existing operation process, and the light source 1 can be placed behind, which is easy to obtain in the operating room and does not require additional equipment.
所述光源1发出的光线的颜色可以根据背景颜色或穿透要求进行设置。通过光线的设置,在临床手术中,医生可以直接通过肉眼透过组织看到所述光学示踪载体2所在的位置,进而准确辨别临床手术中,需要重点保护的血管、组织或器官,有效避免手术过程中的意外伤害。所述光源1发出的光线可以根据体腔内的背景颜色或需要穿透的组织进行差异化设置,当需要穿透组织时,红色和黄色为佳,紫色和白色次之,当需要显示血管组织时,光线以绿色为佳。The color of light emitted by the light source 1 can be set according to background color or penetration requirements. Through the setting of the light, in the clinical operation, the doctor can directly see the position of the optical tracer 2 through the tissue with the naked eye, and then accurately identify the blood vessels, tissues or organs that need to be protected during the clinical operation, effectively avoiding Accidental injury during surgery. The light emitted by the light source 1 can be differentiated according to the background color in the body cavity or the tissue to be penetrated. When it is necessary to penetrate the tissue, red and yellow are the best, followed by purple and white. When it is necessary to display vascular tissue , the light is preferably green.
所述光源1是闪烁型发光。所述光源1还可以根据需要设置成间断点亮、闪烁等形式。The light source 1 is a flashing type of light emitting. The light source 1 can also be set in the form of intermittent lighting, flashing, etc. as required.
所述光源1发出的光线的强度可以进行设置。所述光源1发出的光线的强度也可以根据需要进行调整,以适应不同的临床环境。The intensity of light emitted by the light source 1 can be set. The intensity of the light emitted by the light source 1 can also be adjusted as required to adapt to different clinical environments.
所述光源1发出的光线的照度可达30万lux,较佳范围在5千lux至15万lux。The illuminance of the light emitted by the light source 1 can reach 300,000 lux, preferably ranging from 5,000 lux to 150,000 lux.
所述光源1含控制系统13,所述控制系统13含波长调节机构13-1和光强调节机构13-2,所述波长调节机构13-1能通过波长的调节来调节发出的光线的颜色,所述光强调节机构13-2,能调节发出的光线的照度。The light source 1 includes a control system 13, the control system 13 includes a wavelength adjustment mechanism 13-1 and a light intensity adjustment mechanism 13-2, and the wavelength adjustment mechanism 13-1 can adjust the color of the emitted light by adjusting the wavelength , the light intensity adjusting mechanism 13-2 can adjust the illuminance of the emitted light.
所述LED光源11设置在体内、和/或体外。由于所述LED光源11的发光端11-1的体积可以非常小,因此,所述LED光源11不但能设置在体外,通过所述光学示踪载体2向人体内进行光线传导,而且可以直接设置在人体内,外部包覆所述光学示踪载体2,直接设置在需要示踪的部位。The LED light source 11 is arranged inside the body and/or outside the body. Since the volume of the light-emitting end 11-1 of the LED light source 11 can be very small, the LED light source 11 can not only be installed outside the body, and transmit light to the human body through the optical tracer carrier 2, but also can be directly installed In the human body, the optical tracking carrier 2 is coated on the outside and placed directly on the part that needs to be tracked.
所述光源1和所述光学示踪载体2非接触式连接或接触式连接。所述光源1可以通过所述导光接头26与所述光学示踪载体2进行连接以提供光源,也可以非接触的照射所述光学示踪载体2,如所述蓄光自发光示踪载体21,通过光能的存储、转化来实现对所述光学示踪载体2的示踪。The light source 1 and the optical trace carrier 2 are connected in a non-contact or contact manner. The light source 1 can be connected to the optical tracer carrier 2 through the light guide joint 26 to provide a light source, and can also illuminate the optical tracer carrier 2 without contact, such as the light-storing self-luminous tracer carrier 21 The tracking of the optical tracking carrier 2 is realized through the storage and conversion of light energy.
所述LED光源11和所述光学示踪载体2接触式连接,所述LED光源11设置在所述光学示踪载体2内。所述光学示踪载体2直接包裹在所述LED光源11的外部,将所述LED光源11和所述光学示踪载体2一起置入人体内,对腔管进行示踪。The LED light source 11 is contact-connected to the optical trace carrier 2 , and the LED light source 11 is arranged in the optical trace carrier 2 . The optical trace carrier 2 is directly wrapped on the outside of the LED light source 11, and the LED light source 11 and the optical trace carrier 2 are put into the human body together to trace the lumen.
所述光学示踪载体2是蓄光自发光示踪载体21。自发光材料是指能够以某种方式吸收能量,将其转化成非平衡光辐射的物质材料,材料内部吸收的能量转化为非平衡光辐射的过程就是发光过程。尤其是蓄光自发光材料在外界光照作用下几分钟或几十分钟之后,在黑暗的环境下可持续发光12小时以上,可以满足大多数手术时长的示踪需求。所述蓄光自发光示踪载体21可以直接吸收手术室中灯光的能量,使得各种外部光照都能构成所述光源1,不需要直接连接所述光源1,使用过程非常简单。The optical tracer 2 is a light-storage self-luminous tracer 21 . Self-luminous materials refer to materials that can absorb energy in a certain way and convert it into non-equilibrium light radiation. The process of converting the energy absorbed inside the material into non-equilibrium light radiation is the luminescence process. In particular, light-storing self-luminescent materials can continue to emit light for more than 12 hours in a dark environment after a few minutes or tens of minutes under the action of external light, which can meet the tracing needs of most operations. The light-storing self-illuminating tracer carrier 21 can directly absorb the energy of the light in the operating room, so that various external lights can form the light source 1, and there is no need to directly connect the light source 1, and the use process is very simple.
所述蓄光自发光示踪载体21含蓄光自发光体21-1和保护载体21-2。The light-storage self-luminous tracer carrier 21 includes a light-storage self-illuminator 21-1 and a protection carrier 21-2.
所述保护载体21-2由透明导光材料制成,所述蓄光自发光体21-1封闭设置在所述保护载体21-2内。The protective carrier 21-2 is made of a transparent light-guiding material, and the light-storing self-luminous body 21-1 is closed and arranged in the protective carrier 21-2.
所述蓄光自发光体21-1能吸收外部能量,并进行转化发光。所述保护载体21-2采用透明医用材料制成,可以直接和组织进行接触,所述蓄光自发光体21-1能量转化发出的光能有效透过进行有效示踪的同时,还保证了临床使用的生物安全性。所述蓄光自发光体21-1能设置在不同的位置,并设计成不同形状,根据需要进行定点示踪或进行整体示踪。The light-storing self-luminous body 21-1 can absorb external energy and convert it into light. The protective carrier 21-2 is made of transparent medical materials, which can be directly in contact with tissues. The light energy converted from the light-storing self-illuminating body 21-1 effectively passes through for effective tracing, and at the same time ensures clinical Biosafety used. The light-storing self-illuminating body 21-1 can be arranged in different positions and designed in different shapes, and can perform fixed-point tracking or overall tracking as required.
所述光学示踪载体2是导光光纤22。所述导光光纤22具有良好的导光效果,并根据需要将光线传导至各个不同的位置,而且可以根据需要接通或切断,临床使用非常方便。The optical trace carrier 2 is a light guiding fiber 22 . The light-guiding optical fiber 22 has a good light-guiding effect, and guides the light to different positions as required, and can be switched on or off as required, which is very convenient for clinical use.
所述光学示踪载体2至少含1根所述导光光纤22。The optical trace carrier 2 contains at least one light guiding fiber 22 .
所述光学示踪载体2是多根所述导光光纤22的组合。The optical trace carrier 2 is a combination of multiple light guiding fibers 22 .
所述光学示踪载体2可以由单根所述导光光纤22构成,也可以是多根所述导光光纤22的组合,如组成光纤束、编织成网状、不同长度排列等多种方式。The optical trace carrier 2 can be composed of a single light-guiding optical fiber 22, or can be a combination of multiple light-guiding optical fibers 22, such as forming an optical fiber bundle, weaving into a mesh, and arranging different lengths. .
所述导光光纤22具有光滑的表面。当所述导光光纤22具有光滑的表面时,由于所述导光光纤22良好的导光性能,所述导光光纤22的出光口22-2位于所述导光光纤22的远端,可以实现定点示踪。The light guiding fiber 22 has a smooth surface. When the light guiding fiber 22 has a smooth surface, due to the good light guiding performance of the light guiding fiber 22, the light outlet 22-2 of the light guiding fiber 22 is located at the far end of the light guiding fiber 22, which can Realize fixed-point tracing.
所述导光光纤22具有非光滑的表面22-1。The light guiding fiber 22 has a non-smooth surface 22-1.
所述非光滑的表面22-1是能形成反射、和/或散射的非光滑表面22-11。所述非光滑的表面22-1经过光线的反射、和/或散射,可以实现所述非光滑的表面22-1的整体发光,达到整体示踪的效果。The non-smooth surface 22-1 is a non-smooth surface 22-11 capable of forming reflection and/or scattering. The non-smooth surface 22-1 can realize the overall light emission of the non-smooth surface 22-1 through the reflection and/or scattering of light, so as to achieve the effect of overall tracking.
所述导光光纤22上间断式设置有出光口22-2。间断式设置的每个所述出光口22-2具有光线的传导面22-21和反射面22-22,光线经所述传导面22-21进行传导,至所述反射面22-22时,光线发生反射,从所述出光口22-2射出,形成一个示踪点,多个所述出光口22-2可形成链状示踪带。The light-guiding optical fiber 22 is intermittently provided with a light outlet 22-2. Each of the light outlets 22-2 provided intermittently has a light transmission surface 22-21 and a reflection surface 22-22, the light is transmitted through the transmission surface 22-21, and when it reaches the reflection surface 22-22, The light is reflected and emitted from the light outlet 22-2 to form a tracer point, and a plurality of the light outlets 22-2 can form a chain tracer strip.
所述出光口22-2是非轴向出光口22-21,沿所述导光光纤22的长度方向设置在所述导光光纤22的侧面。所述出光口22-2沿所述导光光纤22的长度方向完整设置时,就可以沿所述导光光纤22的长度方向将所述导光光纤22整体点亮,实现所述导光光纤22的整体示踪。The light outlet 22 - 2 is a non-axial light outlet 22 - 21 , which is arranged on the side of the light guide fiber 22 along the length direction of the light guide fiber 22 . When the light outlet 22-2 is completely set along the length direction of the light guide fiber 22, the light guide fiber 22 can be lighted as a whole along the length direction of the light guide fiber 22 to realize the light guide fiber 22 overall tracer.
通过所述出光口22-2的规律排列,所述出光口22-2可以对所述导光光纤22的长度尺寸进行标识。Through the regular arrangement of the light outlets 22 - 2 , the light outlets 22 - 2 can mark the length dimension of the light guiding optical fiber 22 .
通过所述出光口22-2的分布密度的规律排列,导致散射光的强度不同,对所述导光光纤22的长度尺寸进行标识。The regular arrangement of the distribution density of the light outlets 22 - 2 leads to different intensities of scattered light, and the length dimension of the light guiding optical fiber 22 is marked.
当所述出光口22-2排列紧密时,发出的光线就更强,视觉效果更加明亮,当所述出光口22-2排列分散时,发出的光线就更弱,视觉效果比较暗,通过这种明暗结合的排列方式,就可以形成类似标尺的视觉效果,在示踪的同时,还能达到尺寸标识的效果。When the light outlets 22-2 are closely arranged, the emitted light is stronger and the visual effect is brighter; when the light outlets 22-2 are arranged scattered, the emitted light is weaker and the visual effect is darker. A combination of light and shade can form a visual effect similar to a ruler, and at the same time of tracing, it can also achieve the effect of size marking.
所述导光光纤22编织成网状,不同位置散落状分布有出光口22-2。所述导光光纤22编织成网状,可以通过将每一根所述导光光纤22的长度设置成不同,所述导光光纤22的出光口22-2也随之不同,散落分布,可实现立体空间的整体示踪,由于每一根所述导光光纤22中间不需要设置所述出光口22-1,因此光线传导效果更好,单个示踪点的视觉效果非常明亮。也可以将侧面设置有所述出光口22-2,能整体点亮的所述导光光纤22编织成网状,实现整个腔体的全面积示踪。而且网状编织的形状可以具有良好的支撑性,尤其适合于大腔体,如膀胱、子宫等的支撑和示踪。The light-guiding optical fiber 22 is braided into a net shape, and light outlets 22-2 are scattered in different positions. The light-guiding optical fiber 22 is braided into a net shape, and the length of each of the light-guiding optical fibers 22 can be set to be different, and the light outlets 22-2 of the light-guiding optical fiber 22 are also different thereupon, scattered and distributed, which can be To realize the overall tracking in the three-dimensional space, since the light outlet 22-1 does not need to be arranged in the middle of each light-guiding optical fiber 22, the light transmission effect is better, and the visual effect of a single tracking point is very bright. It is also possible to weave the light-guiding optical fiber 22 that is provided with the light outlet 22-2 on the side and can be lighted as a whole into a net shape, so as to realize full-area tracing of the entire cavity. Moreover, the shape of mesh weaving can have good support, which is especially suitable for the support and tracking of large cavities, such as bladder and uterus.
所述医用光学示踪系统500表面含涂层3。The medical optical tracking system 500 has a coating 3 on its surface.
所述涂层3是抗凝血涂层、和/或亲水涂层、和/或疏水涂层。The coating 3 is an anticoagulation coating, and/or a hydrophilic coating, and/or a hydrophobic coating.
所述涂层3可以根据需要进行设计不同性质的涂层,如当所述导光光纤22需要进入血管时,所述涂层3可以设计成抗凝涂层,当所述导光光纤22需要进入各种腔体时,所述涂层3可以根据需要设计成亲水涂层或疏水涂层。The coating 3 can be designed with different properties according to the needs, such as when the light guiding fiber 22 needs to enter the blood vessel, the coating 3 can be designed as an anticoagulation coating, when the light guiding fiber 22 needs When entering various cavities, the coating 3 can be designed as a hydrophilic coating or a hydrophobic coating as required.
所述医用光学示踪系统500还含显影机构4。The medical optical tracing system 500 also includes a developing mechanism 4 .
所述显影机构4由金属材料制造,具有导热功能。所述显影机构4的导热功能能防止体内由于所述LED光源11导致温度过高,通常需要温度控制在37℃以内。The developing mechanism 4 is made of metal material and has the function of heat conduction. The heat conduction function of the developing mechanism 4 can prevent the temperature in the body from being too high due to the LED light source 11 , and usually the temperature needs to be controlled within 37°C.
所述显影机构4是显影线41、和/或显影环42、和/或显影块43。申请人在此只举例说明了上述几种显影方式,实际应用中,本领域的技术人员可以根据需要设计出不同的显影方式,申请人在此不一一举例说明,但都不脱离本申请的保护范围。The developing mechanism 4 is a developing line 41 , and/or a developing ring 42 , and/or a developing block 43 . The applicant here only exemplifies the above-mentioned several developing methods. In practical applications, those skilled in the art can design different developing methods according to needs. The applicant does not give examples here, but they do not deviate from the scope of the application protected range.
所述显影机构4在X光下、和/或MRI下、和/或B超下进行显影。所述显影机构4在X光、磁导航、或B超等场景下能进行显影提示,所述显影机构4便于所述光学示踪载体2能在可视或导航的情况下被置入。The developing mechanism 4 performs developing under X-ray, and/or MRI, and/or B-ultrasound. The development mechanism 4 can provide development prompts in X-ray, magnetic navigation, or B-ultrasound scenarios, and the development mechanism 4 facilitates the insertion of the optical tracking carrier 2 under the condition of visibility or navigation.
所述光学示踪载体2由柔顺的医用材料制成,能沿血管、输尿管、食道,气管,输卵管,输精管等腔体运动。所述光学示踪载体2具有良好的柔顺性,可以沿血管或腔体运动,因此,所述光学示踪载体2可以根据需要放置入不同的位置。The optical tracer carrier 2 is made of flexible medical materials and can move along the cavities of blood vessels, ureters, esophagus, trachea, fallopian tubes, and vas deferens. The optical trace carrier 2 has good flexibility and can move along the blood vessel or cavity, therefore, the optical trace carrier 2 can be placed in different positions as required.
所述光学示踪载体2含塑形机构25。所述塑形机构25可以对所述光学示踪载体2进行塑形,如根据需要塑造成圆形、弧形、球状等各种不同的形状,以适应不同的示踪需要。The optical trace carrier 2 includes a shaping mechanism 25 . The shaping mechanism 25 can shape the optical tracer carrier 2 , such as into various shapes such as circle, arc, and ball as required, so as to meet different traceability requirements.
所述塑形机构25是形状记忆塑形机构25-1。所述形状记忆塑形机构25-1在室温下呈线状、条状等简单结构,以便于置入,进入人体后,在体温作用下即恢复成设定的形状。The shaping mechanism 25 is a shape memory shaping mechanism 25-1. The shape-memory shaping mechanism 25-1 has a simple structure such as a line or a strip at room temperature, so that it can be easily inserted. After entering the human body, it returns to the set shape under the action of body temperature.
所述形状记忆塑形机构25-1由形状记忆金属丝编织制成、和/或形状记忆金属管或片雕 刻制成。所述形状记忆塑形机构25-1可以是形状记忆金属丝编织成需要的形状,也可以利用形状记忆合金管或者形状记忆合金片直接雕刻成需要的形状。The shape-memory shaping mechanism 25-1 is braided by shape-memory metal wires, and/or carved from shape-memory metal tubes or sheets. The shape-memory shaping mechanism 25-1 can be braided into a desired shape by shape-memory metal wires, or can be directly carved into a desired shape by using a shape-memory alloy tube or a shape-memory alloy sheet.
所述导管900-1采用透明材料制成,构成所述保护载体21-2,所述蓄光自发光体21-1设置在所述导管900-1的管壁内。The conduit 900-1 is made of a transparent material, constituting the protective carrier 21-2, and the light-storing self-luminous body 21-1 is arranged in the tube wall of the conduit 900-1.
所述导管900-1采用透明材料制成,构成所述光学示踪载体2。The catheter 900 - 1 is made of transparent material, which constitutes the optical trace carrier 2 .
所述LED光源11的发光端11-1设置在所述导管900-1的管壁内。The light-emitting end 11-1 of the LED light source 11 is disposed inside the tube wall of the tube 900-1.
所述LED光源11的发光端11-1设置在所述导管900-1的远端,对所述导管900-1的远端进行示踪。The light-emitting end 11-1 of the LED light source 11 is arranged at the distal end of the catheter 900-1 to track the distal end of the catheter 900-1.
所述LED光源11的发光端11-1分散地设置在所述导管900-1的管壁内,形成LED灯带或LED灯网,对所述导管900-1进行整体示踪。The light-emitting ends 11-1 of the LED light sources 11 are dispersedly arranged in the tube wall of the catheter 900-1 to form LED light strips or LED light nets, and trace the catheter 900-1 as a whole.
所述LED光源11的发光端11-1沿所述导管900-1的长度方向设置在所述导管900-1的外表面,被所述光学示踪载体2包覆。The light-emitting end 11 - 1 of the LED light source 11 is arranged on the outer surface of the catheter 900 - 1 along the length direction of the catheter 900 - 1 , and is covered by the optical tracer 2 .
所述导光光纤22的近端通过导光接头26和所述光源1连接,远端沿所述导管900-1的长度方向设置,对所述导管900-1进行示踪。The proximal end of the light guiding fiber 22 is connected to the light source 1 through a light guiding connector 26, and the distal end is arranged along the length direction of the catheter 900-1 to track the catheter 900-1.
所述导光光纤22具有光滑的表面,所述导光光纤22的出光口22-2设置在所述导管900-1的远端900-11。The light guiding fiber 22 has a smooth surface, and the light outlet 22-2 of the light guiding fiber 22 is arranged at the distal end 900-11 of the catheter 900-1.
所述导光光纤22具有非光滑的表面22-1,所述导光光纤22对所述导管900-1整体示踪。The light guiding fiber 22 has a non-smooth surface 22-1, and the light guiding fiber 22 tracks the catheter 900-1 as a whole.
所述带可见光示踪装置的医用导管900是医用胃管901、或医用导尿管902、或医用输精管、或医用输卵管、或医用气管。The medical catheter 900 with a visible light tracing device is a medical gastric tube 901, or a medical urinary catheter 902, or a medical vas deferens, or a medical fallopian tube, or a medical trachea.
所述带可见光示踪装置的医用导管900是医用胃管901;所述医用胃管901含导管900-1、1个接口900-2和医用光学示踪系统500,所述导管900-1的内部设有工作通道900-3,远端900-11设有工作开口900-11-1;所述医用光学示踪系统500对所述导管900-1进行示踪。The medical catheter 900 with a visible light tracing device is a medical gastric tube 901; the medical gastric tube 901 includes a catheter 900-1, an interface 900-2 and a medical optical tracing system 500, the catheter 900-1 A working channel 900-3 is provided inside, and a working opening 900-11-1 is provided at the distal end 900-11; the medical optical tracking system 500 tracks the catheter 900-1.
所述带可见光示踪装置的医用导管900是医用导尿管902;所述医用导尿管902含导管900-1、接口900-2和医用光学示踪系统500,所述导管900-1的内部设有工作通道900-3远端900-11设有工作开口900-11-1;所述医用光学示踪系统500对所述导管900-1进行示踪。The medical catheter 900 with a visible light tracing device is a medical catheter 902; the medical catheter 902 includes a catheter 900-1, an interface 900-2 and a medical optical tracing system 500, and the catheter 900-1 A working channel 900-3 is provided inside, and a working opening 900-11-1 is provided at the distal end 900-11; the medical optical tracking system 500 tracks the catheter 900-1.
所述医用导尿管902是双腔导尿管902-1;所述双腔导尿管902-1的导管900-1的远端900-11设有球囊900-13;所述工作通道900-3设有2个腔道1-1,每个所述腔道1-1相应设置有1个所述接口900-2;其中1个所述腔道1-1构成导尿腔900-14,所述导尿腔900-14的远端设置有所述工作开口900-11-1,近端设置的所述接口900-2构成排液口 900-21;另1个所述腔道1-1构成注水腔900-15,所述注水腔900-15的远端和所述球囊900-13连接,近端连接的所述接口900-2构成注水口900-22。The medical catheter 902 is a double-lumen catheter 902-1; the distal end 900-11 of the catheter 900-1 of the double-lumen catheter 902-1 is provided with a balloon 900-13; the working channel 900-3 is provided with two lumens 1-1, and each lumen 1-1 is provided with one interface 900-2; one of the lumens 1-1 constitutes a catheterization lumen 900- 14. The distal end of the urinary catheterization cavity 900-14 is provided with the working opening 900-11-1, and the interface 900-2 provided at the proximal end constitutes a drainage port 900-21; the other one of the cavity channels 1-1 forms a water injection cavity 900-15, the distal end of the water injection cavity 900-15 is connected to the balloon 900-13, and the interface 900-2 connected to the proximal end forms a water injection port 900-22.
所述医用导尿管902是三腔导尿管902-2;所述三腔导尿管902-2的导管900-1的远端900-11设有球囊900-13;所述工作通道900-3设有3个腔道1-1,每个所述腔道1-1相应设置有1个所述接口900-2;其中第1个所述腔道1-1构成导尿腔900-14,所述导尿腔900-14的远端设置有所述工作开口900-11-1,近端设置的所述接口900-2构成排液口900-21;第2个所述腔道1-1构成注水腔900-15,所述注水腔900-15的远端和所述球囊900-13连接,近端连接的所述接口900-2构成注水口900-22;第3个所述腔道1-1构成输液冲洗腔900-16,所述输液冲洗腔900-16的远端设置有冲洗口900-16-1和封堵阀900-16-2,所述输液冲洗腔900-16的近端连接的所述接口900-2构成冲洗注药口900-23。The medical catheter 902 is a three-lumen catheter 902-2; the distal end 900-11 of the catheter 900-1 of the three-lumen catheter 902-2 is provided with a balloon 900-13; the working channel 900-3 is provided with three lumens 1-1, and each lumen 1-1 is correspondingly provided with one said interface 900-2; wherein the first lumen 1-1 constitutes a catheterization lumen 900 -14, the distal end of the catheterization cavity 900-14 is provided with the working opening 900-11-1, and the interface 900-2 provided at the proximal end constitutes a drainage port 900-21; the second cavity Road 1-1 constitutes a water injection cavity 900-15, the distal end of the water injection cavity 900-15 is connected to the balloon 900-13, and the interface 900-2 connected to the proximal end constitutes a water injection port 900-22; Each of the lumens 1-1 constitutes an infusion flushing chamber 900-16, and the distal end of the infusion flushing chamber 900-16 is provided with a flushing port 900-16-1 and a blocking valve 900-16-2, and the infusion flushing The interface 900-2 to which the proximal end of the lumen 900-16 is connected constitutes a flushing injection port 900-23.
临床应用时,将所述带可见光示踪装置的医用导管900根据需要置入腔管内,在所述光源1的光照作用下,对所述导管900-1进行示踪。手术过程中,当靠近被示踪的腔管时,就能透过组织见到所述光源1发出的光线透过腔管,所述光源1发出的光线的照度保证在距离管壁0-30mm左右时,被示踪的腔管明显清晰可见,而且越接近腔管光线越强,提示效果越明显。In clinical application, the medical catheter 900 with a visible light tracing device is placed into the lumen as required, and the catheter 900 - 1 is traced under the illumination of the light source 1 . During the operation, when approaching the traced lumen, the light emitted by the light source 1 can be seen through the tissue through the lumen, and the illuminance of the light emitted by the light source 1 is guaranteed to be within 0-30mm from the wall When left or right, the traced lumen is clearly visible, and the closer to the lumen, the stronger the light, and the more obvious the prompting effect.
本发明之带可见光示踪装置的医用导管含导管900-1、接口900-2和医用光学示踪系统500。所述导管900-1由柔软的弹性医用材料制成,远端900-11设有工作开口900-11-1,所述带可见光示踪装置的医用导管900至少含1个所述接口900-2,所述接口900-2设置在所述导管900-1的近端900-12。所述医用光学示踪系统500含光源1和光学示踪载体2,所述光学示踪载体2设置在所述导管900-1上,标识所述导管900-1所在的位置。手术过程中,当靠近被示踪的腔管时,就能透过组织见到所述光源1发出的光线透过腔管,所述光源1发出的光线的照度保证在距离管壁0-30mm左右时,被示踪的腔管明显清晰可见,而且越接近腔管光线越强,提示效果越明显,可以在手术中有效地进行血管示踪并提示医护人员,保护重要腔管,防止手术中意外伤害,临床使用非常方便、安全。The medical catheter with a visible light tracing device of the present invention includes a catheter 900 - 1 , an interface 900 - 2 and a medical optical tracing system 500 . The catheter 900-1 is made of soft elastic medical material, the distal end 900-11 is provided with a working opening 900-11-1, and the medical catheter 900 with a visible light tracing device includes at least one interface 900- 2. The interface 900-2 is disposed at the proximal end 900-12 of the catheter 900-1. The medical optical tracking system 500 includes a light source 1 and an optical tracking carrier 2. The optical tracking carrier 2 is set on the catheter 900-1 to identify the location of the catheter 900-1. During the operation, when approaching the traced lumen, the light emitted by the light source 1 can be seen through the tissue through the lumen, and the illuminance of the light emitted by the light source 1 is guaranteed to be within 0-30mm from the wall When left or right, the traced lumen is clearly visible, and the closer to the lumen, the stronger the light, and the more obvious the prompting effect. It can effectively trace the blood vessels during the operation and remind the medical staff to protect the important lumen and prevent surgery. Accidental injury, clinical use is very convenient and safe.
附图说明Description of drawings
图1是本发明之带可见光示踪装置的医用胃管的立体结构示意图。Fig. 1 is a schematic perspective view of the three-dimensional structure of a medical gastric tube with a visible light tracing device of the present invention.
图1-1是图1的A-A剖视图。Fig. 1-1 is a sectional view of A-A in Fig. 1 .
图1-2是图1的A1处放大图。Figure 1-2 is an enlarged view of A1 in Figure 1.
图1-3是图1连接LED光源后的结构示意图。Figure 1-3 is a schematic diagram of the structure of Figure 1 after the LED light source is connected.
图1-4是图1连接冷光源后的结构示意图。Figure 1-4 is a schematic diagram of the structure of Figure 1 after the cold light source is connected.
图1-5是含不光滑表面的导光光纤的医用胃管的结构示意图。1-5 are structural schematic diagrams of a medical gastric tube containing a light-guiding optical fiber with a non-smooth surface.
图1-6是图1-5的A2处放大图。Figure 1-6 is an enlarged view of A2 in Figure 1-5.
图1-7是图1-6的A3处放大图。Figure 1-7 is an enlarged view of A3 in Figure 1-6.
图1-8是端部设有LED发光端的医用胃管的结构示意图。1-8 are structural schematic diagrams of a medical gastric tube provided with an LED light-emitting end at the end.
图1-9是图1-8的A4处放大图。Figure 1-9 is an enlarged view of A4 in Figure 1-8.
图1-10是图1-5连接LED光源后的结构示意图。Figure 1-10 is a schematic diagram of the structure of Figure 1-5 after connecting the LED light source.
图1-11是整体设有LED发光端的医用胃管的结构示意图。Fig. 1-11 is a schematic structural view of a medical gastric tube provided with an LED light-emitting end as a whole.
图1-12是图1-11的A5处放大图。Figure 1-12 is an enlarged view of A5 in Figure 1-11.
图1-13是含亲水涂层的医用胃管的结构示意图。Figure 1-13 is a schematic structural view of a medical gastric tube with a hydrophilic coating.
图1-14是含蓄光自发光示踪载体的医用胃管的结构示意图。1-14 is a schematic structural view of a medical gastric tube containing a light-storage self-luminescence tracer carrier.
图1-15是图1-14的A6处放大图。Figure 1-15 is an enlarged view of A6 in Figure 1-14.
图2是2腔医用导尿管的球囊膨胀时的结构示意图。Fig. 2 is a schematic diagram of the structure when the balloon of the 2-cavity medical catheter is inflated.
图2-1是图2的球囊收缩时的结构示意图。Fig. 2-1 is a schematic diagram of the structure of the balloon in Fig. 2 when it is deflated.
图2-2是图2的主视图。Figure 2-2 is the front view of Figure 2.
图2-3是图2-2的B-B剖视图。Fig. 2-3 is a B-B sectional view of Fig. 2-2.
图2-4是图2-3的B1处放大图。Figure 2-4 is an enlarged view of B1 in Figure 2-3.
图2-5是图2连接LDE光源时的结构示意图。Figure 2-5 is a schematic diagram of the structure of Figure 2 when the LDE light source is connected.
图2-6是管壁内设有LED发光端的2腔医用导尿管的结构示意图。Figure 2-6 is a schematic structural view of a 2-cavity medical catheter with an LED light-emitting end inside the tube wall.
图2-7是图2-6的B2处放大图。Figure 2-7 is an enlarged view of B2 in Figure 2-6.
图3是3腔医用导尿管的球囊膨胀时的结构示意图。Fig. 3 is a schematic diagram of the structure of the balloon of the 3-cavity medical catheter when it is inflated.
图3-1是图3的主视图。Figure 3-1 is the front view of Figure 3.
图3-2是图3的C-C剖视图。Fig. 3-2 is a C-C sectional view of Fig. 3 .
图3-3是图3-1的D-D剖视图。Fig. 3-3 is a D-D sectional view of Fig. 3-1.
图3-4是图3-2的C1处放大图。Figure 3-4 is an enlarged view of C1 in Figure 3-2.
图3-5是图3连接LED光源时的结构示意图。Fig. 3-5 is a schematic diagram of the structure when the LED light source is connected in Fig. 3 .
图4是光纤编织成网状时的3腔医用导尿管连接LED光源时的结构示意图。Fig. 4 is a schematic diagram of the structure of the 3-cavity medical catheter connected to the LED light source when the optical fiber is woven into a mesh.
图4-1是图4的D1处放大图。Figure 4-1 is an enlarged view of D1 in Figure 4.
图5是光纤编织成网状时的3腔医用导尿管的结构示意图。Fig. 5 is a structural schematic diagram of a 3-cavity medical catheter when the optical fiber is woven into a mesh.
图5-1是图5的E-E剖视图。Fig. 5-1 is a sectional view along line E-E of Fig. 5 .
图6是含塑形机构的医用导管的结构示意图。Fig. 6 is a structural schematic diagram of a medical catheter with a shaping mechanism.
图7是医用导尿管插入膀胱时的工作原理图。Fig. 7 is a working principle diagram when the medical catheter is inserted into the bladder.
图8是医用导尿管插入输尿管时的工作原理图。Fig. 8 is a working principle diagram when the medical catheter is inserted into the ureter.
上述图中:In the above figure:
500是本发明之医用光学示踪系统,900为本发明之带示踪装置的医用导管,901为医用胃管,902为医用导尿管。500 is the medical optical tracing system of the present invention, 900 is the medical catheter with tracing device of the present invention, 901 is the medical gastric tube, and 902 is the medical urinary catheter.
1为光源,2为光学示踪载体,3为涂层,4为显影机构。1 is the light source, 2 is the optical tracking carrier, 3 is the coating, and 4 is the developing mechanism.
11为LED光源,12为医用冷光源,11-1为发光端,11-2为电路系统,11-21为柔性电路板。11 is an LED light source, 12 is a medical cold light source, 11-1 is a light-emitting terminal, 11-2 is a circuit system, and 11-21 is a flexible circuit board.
2-1为工作部,21为蓄光自发光示踪载体,22为导光光纤,25为塑形机构,26为导光接头;21-1为蓄光自发光体,21-2为保护载体;22-1为非光滑的表面,22-2为出光口,25-1为形状记忆塑形机构;22-11为能形成反射、和/或散射的非光滑表面,22-21为传导面,22-22为反射面。2-1 is the working part, 21 is the light-storage self-illumination tracer carrier, 22 is the light-guiding optical fiber, 25 is the shaping mechanism, 26 is the light-guiding connector; 21-1 is the light-storage self-illumination body, and 21-2 is the protection carrier; 22-1 is a non-smooth surface, 22-2 is a light outlet, 25-1 is a shape memory shaping mechanism; 22-11 is a non-smooth surface capable of forming reflection and/or scattering, 22-21 is a conductive surface, 22-22 is a reflective surface.
41为显影线,42为显影环,43为显影块。41 is a developing line, 42 is a developing ring, and 43 is a developing block.
1-1为腔道,900-1为导管,900-2为接口,900-3为工作通道,902-1为双腔导尿管,902-2为三腔导尿管;900-11为远端,900-12为近端,900-13为球囊,900-14为导尿腔,900-15为注水腔,900-16为输液冲洗腔,900-21为排液口,900-22为注水口,900-23为冲洗注药口,900-11-1为工作开口,900-16-1为冲洗口,900-16-2为封堵阀,900-22-2为封闭阀。1-1 is the cavity, 900-1 is the catheter, 900-2 is the interface, 900-3 is the working channel, 902-1 is the double-lumen catheter, 902-2 is the three-lumen catheter; 900-11 is the The distal end, 900-12 is the proximal end, 900-13 is the balloon, 900-14 is the catheterization cavity, 900-15 is the water injection cavity, 900-16 is the infusion flushing cavity, 900-21 is the drainage port, 900- 22 is the water injection port, 900-23 is the flushing injection port, 900-11-1 is the working opening, 900-16-1 is the flushing port, 900-16-2 is the blocking valve, and 900-22-2 is the closing valve .
具体实施方式Detailed ways
实施例1:单腔的本发明之带可见光示踪装置的医用导管Embodiment 1: Medical catheter with visible light tracing device of the present invention with single lumen
参考图1至图1-14,本实施例中,所述带可见光示踪装置的医用导管900是医用胃管901。Referring to FIGS. 1 to 1-14 , in this embodiment, the medical catheter 900 with a visible light tracing device is a medical gastric tube 901 .
参考图1至1-4,所述带可见光示踪装置的医用导管900是医用胃管901,含导管900-1、接口900-2和医用光学示踪系统500。Referring to FIGS. 1 to 1-4 , the medical catheter 900 with a visible light tracing device is a medical gastric tube 901 , including a catheter 900 - 1 , an interface 900 - 2 and a medical optical tracing system 500 .
所述导管900-1由柔软的弹性医用材料制成,内部设有工作通道900-3,远端900-11设有工作开口900-11-1。The catheter 900-1 is made of soft elastic medical material, has a working channel 900-3 inside, and a working opening 900-11-1 at the distal end 900-11.
参考图1和图1-1,所述医用胃管901含1个所述接口900-2,所述接口900-2设置在所述导管900-1的近端900-12。Referring to Fig. 1 and Fig. 1-1, the medical gastric tube 901 includes one interface 900-2, and the interface 900-2 is arranged at the proximal end 900-12 of the catheter 900-1.
所述医用光学示踪系统500设置在所述导管900-1上,标识所述导管900-1所在的位置。The medical optical tracking system 500 is set on the catheter 900-1 to identify the location of the catheter 900-1.
所述医用光学示踪系统500含光源1和光学示踪载体2。The medical optical tracer system 500 includes a light source 1 and an optical tracer carrier 2 .
参考图1-3和图1-4,所述光源1可以是LED光源11、和/或医用冷光源12、和/或自然光。所述光源1可以是各种能发出光线的光源,所述光源1发出的光线可以经所述光学 示踪载体1传导后进行示踪。所述LED光源11与普通照明光源相比,具有体积小、发光效率高、光源指向性强等特点,尤其是在安全性方面,LED光源有普通光源无法比拟的优势。首先LED光源是低压直流供电,供电电压只需6到24V;其次LED光源中不添加汞,不会对人体造成中毒等伤害;此外更重要的是LED光源是冷光源,在工作过程中不会严重发热,可以安全触摸,不会对人体造成意外的高温烫伤。所述医用冷光源12是现有手术过程中的常用光源,而且可以将所述光源1后置,手术室中容易获得,不需要额外的设备。1-3 and 1-4, the light source 1 may be an LED light source 11, and/or a medical cold light source 12, and/or natural light. The light source 1 can be various light sources capable of emitting light, and the light emitted by the light source 1 can be traced after being conducted by the optical tracer carrier 1 . Compared with ordinary lighting sources, the LED light source 11 has the characteristics of small size, high luminous efficiency, and strong light source directivity. Especially in terms of safety, LED light sources have incomparable advantages over ordinary light sources. First of all, the LED light source is a low-voltage DC power supply, and the power supply voltage only needs to be 6 to 24V; secondly, no mercury is added to the LED light source, which will not cause poisoning or other harm to the human body; more importantly, the LED light source is a cold light source, which will not cause harm to the human body during work. Severe heat, safe to touch, will not cause unexpected high temperature burns to the human body. The medical cold light source 12 is a commonly used light source in the existing operation process, and the light source 1 can be placed behind, which is easy to obtain in the operating room and does not require additional equipment.
所述光源1发出的光线的颜色可以根据背景颜色或穿透要求进行设置。通过光线的设置,在临床手术中,医生可以直接通过肉眼透过组织看到所述光学示踪载体2所在的位置,进而准确辨别临床手术中,需要重点保护的血管、组织或器官,有效避免手术过程中的意外伤害。所述光源1发出的光线可以根据体腔内的背景颜色或需要穿透的组织进行差异化设置,当需要穿透组织时,红色和黄色为佳,紫色和白色次之,当需要显示血管组织时,光线以绿色为佳。The color of light emitted by the light source 1 can be set according to background color or penetration requirements. Through the setting of the light, in the clinical operation, the doctor can directly see the position of the optical tracer 2 through the tissue with the naked eye, and then accurately identify the blood vessels, tissues or organs that need to be protected during the clinical operation, effectively avoiding Accidental injury during surgery. The light emitted by the light source 1 can be differentiated according to the background color in the body cavity or the tissue to be penetrated. When it is necessary to penetrate the tissue, red and yellow are the best, followed by purple and white. When it is necessary to display vascular tissue , the light is preferably green.
所述光源1还可以根据需要设置成间断点亮、闪烁等形式,所述光源1发出的光线的强度也可以根据需要进行调整,以适应不同的临床环境。所述光源1发出的光线的照度可达30万lux,较佳范围在5千lux至15万lux。The light source 1 can also be set in the form of intermittent lighting, flashing, etc. as required, and the intensity of the light emitted by the light source 1 can also be adjusted as required to adapt to different clinical environments. The illuminance of the light emitted by the light source 1 can reach 300,000 lux, preferably ranging from 5,000 lux to 150,000 lux.
参考图1-4,所述光源1含控制系统13,所述控制系统13含波长调节机构13-1和光强调节机构13-2,所述波长调节机构13-1能通过波长的调节来调节发出的光线的颜色,所述光强调节机构13-2,能调节发出的光线的照度。Referring to Figures 1-4, the light source 1 includes a control system 13, the control system 13 includes a wavelength adjustment mechanism 13-1 and a light intensity adjustment mechanism 13-2, and the wavelength adjustment mechanism 13-1 can adjust the wavelength to To adjust the color of the emitted light, the light intensity adjustment mechanism 13-2 can adjust the illuminance of the emitted light.
参考图1-8至图1-12,所述LED光源11可以设置在体内,也可以设置在体外。由于所述LED光源11的发光端11-1的体积可以非常小,因此,所述LED光源11不但能设置在体外,通过所述光学示踪载体2向人体内进行光线传导,而且可以直接设置在人体内,外部包覆所述光学示踪载体2,直接设置在需要示踪的部位。Referring to Fig. 1-8 to Fig. 1-12, the LED light source 11 can be arranged inside the body or outside the body. Since the volume of the light-emitting end 11-1 of the LED light source 11 can be very small, the LED light source 11 can not only be installed outside the body, and transmit light to the human body through the optical tracer carrier 2, but also can be directly installed In the human body, the optical tracking carrier 2 is coated on the outside and placed directly on the part that needs to be tracked.
本实施例中,所述光源1和所述光学示踪载体2接触式连接。In this embodiment, the light source 1 and the optical trace carrier 2 are connected in contact.
当所述光源1设置在体外时,所述光学示踪载体2是导光光纤22。所述导光光纤22具有良好的导光效果,并根据需要将光线传导至各个不同的位置,而且可以根据需要接通或切断,临床使用非常方便。When the light source 1 is placed outside the body, the optical trace carrier 2 is a light guiding fiber 22 . The light-guiding optical fiber 22 has a good light-guiding effect, and guides the light to different positions as required, and can be switched on or off as required, which is very convenient for clinical use.
所述光源1通过所述导光接头26与所述导光光纤22进行连接以提供光源。The light source 1 is connected to the light-guiding optical fiber 22 through the light-guiding joint 26 to provide a light source.
参考图1-1,所述光学示踪载体2含1根所述导光光纤22,所述导光光纤22沿所述导光900-1的长度方向设置。Referring to FIG. 1-1, the optical trace carrier 2 includes one light guiding fiber 22, and the light guiding fiber 22 is arranged along the length direction of the light guiding 900-1.
参考图1-1和图1-2,当所述导光光纤22具有光滑的表面时,由于所述导光光纤22良好的导光性能,所述导光光纤22的出光口22-2位于所述导光光纤22的远端,对所述导管900-1的远端90-11实现定点示踪。1-1 and 1-2, when the light guiding fiber 22 has a smooth surface, due to the good light guiding performance of the light guiding fiber 22, the light outlet 22-2 of the light guiding fiber 22 is located at The distal end of the light guiding fiber 22 implements fixed-point tracking on the distal end 90-11 of the catheter 900-1.
所述导光光纤22还可以多根沿所述导管900-1的侧壁进行圆周状排列,在所述导管900-1的远端形成光圈,对所述导管900-1的远端进行局部示踪。The light-guiding optical fiber 22 can also be arranged in a circular shape along the side wall of the catheter 900-1 in multiples, forming an aperture at the distal end of the catheter 900-1, and locally Tracer.
参考图1-5至图1-7,当所述导光光纤22具有非光滑的表面22-1时,所述非光滑的表面22-1是能形成反射、和/或散射的非光滑表面22-11。所述非光滑的表面22-1经过光线的反射、和/或散射,可以实现所述非光滑的表面22-1的整体发光,达到整体示踪的效果。1-5 to 1-7, when the light guiding fiber 22 has a non-smooth surface 22-1, the non-smooth surface 22-1 is a non-smooth surface that can form reflection and/or scattering 22-11. The non-smooth surface 22-1 can realize the overall light emission of the non-smooth surface 22-1 through the reflection and/or scattering of light, so as to achieve the effect of overall tracking.
所述导光光纤22上间断式设置有出光口22-2。间断式设置的每个所述出光口22-2具有光线的传导面22-21和反射面22-22,光线经所述传导面22-21进行传导,至所述反射面22-22时,光线发生反射,从所述出光口22-2射出,形成一个示踪点,多个所述出光口22-2可形成链状示踪带。The light-guiding optical fiber 22 is intermittently provided with a light outlet 22-2. Each of the light outlets 22-2 provided intermittently has a light transmission surface 22-21 and a reflection surface 22-22, the light is transmitted through the transmission surface 22-21, and when it reaches the reflection surface 22-22, The light is reflected and emitted from the light outlet 22-2 to form a tracer point, and a plurality of the light outlets 22-2 can form a chain tracer strip.
参考图1-7,所述出光口22-2是非轴向出光口22-21,沿所述导光光纤22的长度方向设置在所述导光光纤22的侧面。所述出光口22-2沿所述导光光纤22的长度方向完整设置时,就可以沿所述导光光纤22的长度方向将所述导光光纤22整体点亮,实现所述导光光纤22的整体示踪。Referring to FIGS. 1-7 , the light outlet 22 - 2 is a non-axial light outlet 22 - 21 , which is arranged on the side of the light guide fiber 22 along the length direction of the light guide fiber 22 . When the light outlet 22-2 is completely set along the length direction of the light guide fiber 22, the light guide fiber 22 can be lighted as a whole along the length direction of the light guide fiber 22 to realize the light guide fiber 22 overall tracer.
通过所述出光口22-2的分布密度的规律排列,导致散射光的强度不同,对所述导光光纤22的长度尺寸进行标识。The regular arrangement of the distribution density of the light outlets 22 - 2 leads to different intensities of scattered light, and the length dimension of the light guiding optical fiber 22 is marked.
当所述出光口22-2排列紧密时,发出的光线就更强,视觉效果更加明亮,当所述出光口22-2排列分散时,发出的光线就更弱,视觉效果比较暗,通过这种明暗结合的排列方式,就可以形成类似标尺的视觉效果,在示踪的同时,还能达到尺寸标识的效果。When the light outlets 22-2 are closely arranged, the emitted light is stronger and the visual effect is brighter; when the light outlets 22-2 are arranged scattered, the emitted light is weaker and the visual effect is darker. A combination of light and shade can form a visual effect similar to a ruler, and at the same time of tracing, it can also achieve the effect of size marking.
此外,所述导光光纤22还可以编织成网状,不同位置散落状分布有出光口22-2,参考图4至图5-1。所述导光光纤22编织成网状,可以通过将每一根所述导光光纤22的长度设置成不同,所述导光光纤22的出光口22-2也随之不同,散落分布,可实现立体空间的整体示踪,由于每一根所述导光光纤22中间不需要设置所述出光口22-1,因此光线传导效果更好,单个示踪点的视觉效果非常明亮。也可以将侧面设置有所述出光口22-2,能整体点亮的所述导光光纤22编织成网状,实现整个腔体的全面积示踪。而且网状编织的形状可以具有良好的支撑性,尤其适合于大腔体,如膀胱、子宫等的支撑和示踪。In addition, the light-guiding optical fiber 22 can also be braided into a net shape, and light outlets 22-2 are scattered in different positions, as shown in FIG. 4 to FIG. 5-1. The light-guiding optical fiber 22 is braided into a net shape, and the length of each of the light-guiding optical fibers 22 can be set to be different, and the light outlets 22-2 of the light-guiding optical fiber 22 are also different thereupon, scattered and distributed, which can be To realize the overall tracking in the three-dimensional space, since the light outlet 22-1 does not need to be arranged in the middle of each light-guiding optical fiber 22, the light transmission effect is better, and the visual effect of a single tracking point is very bright. It is also possible to weave the light-guiding optical fiber 22 that is provided with the light outlet 22-2 on the side and can be lighted as a whole into a net shape, so as to realize full-area tracing of the entire cavity. Moreover, the shape of mesh weaving can have good support, which is especially suitable for the support and tracking of large cavities, such as bladder and uterus.
参考图1-13,本实施例中,所述导管900-1表面可以含涂层3。所述涂层3通常是亲水涂层。Referring to FIGS. 1-13 , in this embodiment, the surface of the catheter 900 - 1 may contain a coating 3 . Said coating 3 is usually a hydrophilic coating.
所述医用光学示踪系统500还可以含显影机构4。The medical optical tracing system 500 may also include a developing mechanism 4 .
所述显影机构4由金属材料制造,具有导热功能。所述显影机构4的导热功能能防止体内由于所述LED光源11导致温度过高,通常需要温度控制在37℃以内。The developing mechanism 4 is made of metal material and has the function of heat conduction. The heat conduction function of the developing mechanism 4 can prevent the temperature in the body from being too high due to the LED light source 11 , and usually the temperature needs to be controlled within 37°C.
所述显影机构4是显影线41(参考图1-6)、和/或显影环42(参考图1-9)、和/或显影块43(参考图1-2)。申请人在此只举例说明了上述几种显影方式,实际应用中,本领域的 技术人员可以根据需要设计出不同的显影方式,申请人在此不一一举例说明,但都不脱离本申请的保护范围。The developing mechanism 4 is a developing line 41 (refer to FIGS. 1-6 ), and/or a developing ring 42 (refer to FIGS. 1-9 ), and/or a developing block 43 (refer to FIGS. 1-2 ). The applicant here only exemplifies the above-mentioned several developing methods. In practical applications, those skilled in the art can design different developing methods according to needs. The applicant does not give examples here, but they do not deviate from the scope of the application protected range.
所述显影机构4在X光下、和/或MRI下、和/或B超下进行显影。所述显影机构4在X光、磁导航、或B超等场景下能进行显影提示,所述显影机构4便于所述光学示踪载体2能在可视或导航的情况下被置入。The developing mechanism 4 performs developing under X-ray, and/or MRI, and/or B-ultrasound. The development mechanism 4 can provide development prompts in X-ray, magnetic navigation, or B-ultrasound scenarios, and the development mechanism 4 facilitates the insertion of the optical tracking carrier 2 under the condition of visibility or navigation.
所述光学示踪载体2由柔顺的医用材料制成,能沿血管、输尿管、食道,气管,输卵管,输精管等腔体运动。所述光学示踪载体2具有良好的柔顺性,可以沿血管或腔体运动,因此,所述光学示踪载体2可以根据需要放置入不同的位置。The optical tracer carrier 2 is made of flexible medical materials and can move along the cavities of blood vessels, ureters, esophagus, trachea, fallopian tubes, and vas deferens. The optical trace carrier 2 has good flexibility and can move along the blood vessel or cavity, therefore, the optical trace carrier 2 can be placed in different positions as required.
参考图6,所述光学示踪载体2还可以含塑形机构25。所述塑形机构25可以对所述光学示踪载体2进行塑形,如根据需要塑造成圆形、弧形、球状等各种不同的形状,以适应不同的示踪需要。Referring to FIG. 6 , the optical trace carrier 2 may also include a shaping mechanism 25 . The shaping mechanism 25 can shape the optical tracer carrier 2 , such as into various shapes such as circle, arc, and ball as required, so as to meet different traceability requirements.
所述塑形机构25是形状记忆塑形机构25-1。所述形状记忆塑形机构25-1在室温下呈线状、条状等简单结构,以便于置入,进入人体后,在体温作用下即恢复成设定的形状。The shaping mechanism 25 is a shape memory shaping mechanism 25-1. The shape-memory shaping mechanism 25-1 has a simple structure such as a line or a strip at room temperature, so that it can be easily inserted. After entering the human body, it returns to the set shape under the action of body temperature.
所述形状记忆塑形机构25-1由形状记忆金属丝编织制成、和/或形状记忆金属管或片雕刻制成。所述形状记忆塑形机构25-1可以是形状记忆金属丝编织成需要的形状,也可以利用形状记忆合金管或者形状记忆合金片直接雕刻成需要的形状。The shape-memory shaping mechanism 25-1 is made by weaving shape-memory metal wires, and/or carving shape-memory metal tubes or sheets. The shape-memory shaping mechanism 25-1 can be braided into a desired shape by shape-memory metal wires, or can be directly carved into a desired shape by using a shape-memory alloy tube or a shape-memory alloy sheet.
当所述LED光源11采用微型设计时,通常所述发光端11-1大小控制在2mm以下,如封装尺寸在0.2mm~0.5mm之间的LED灯,所述LED光源11的发光端可以设置在所述导管900-1的管壁内,直接进入体内。此时,所述导管900-1构成所述光学示踪载体2。When the LED light source 11 adopts a miniature design, usually the size of the light-emitting end 11-1 is controlled below 2 mm, such as an LED lamp with a package size between 0.2 mm and 0.5 mm, the light-emitting end of the LED light source 11 can be set In the tube wall of the catheter 900-1, directly into the body. At this time, the catheter 900 - 1 constitutes the optical tracer 2 .
当所述LED光源11的发光端11-1设置在所述导管900-1的远端时,对所述导管900-1的远端进行局部定点示踪。When the light-emitting end 11-1 of the LED light source 11 is set at the distal end of the catheter 900-1, local fixed-point tracking is performed on the distal end of the catheter 900-1.
当所述LED光源11的电路系统11-2采用柔性电路板11-21时,所述发光端11-1可以分散地设置在所述柔性电路板11-21上,将所述柔性电路板11-21和所述发光端11-1一起封装在所述导管900-1的管壁内,形成LED灯带或LED灯网,对所述导管900-1进行整体示踪。When the circuit system 11-2 of the LED light source 11 adopts a flexible circuit board 11-21, the light-emitting terminals 11-1 can be dispersedly arranged on the flexible circuit board 11-21, and the flexible circuit board 11 -21 and the light-emitting end 11-1 are packaged together in the tube wall of the catheter 900-1 to form an LED light strip or an LED lamp network, and trace the catheter 900-1 as a whole.
此外,所述LED光源11的发光端11-1和所述柔性电路板还可以沿所述导管900-1的长度方向设置在所述导管900-1的外表面,外面再包覆所述光学示踪载体2。In addition, the light-emitting end 11-1 of the LED light source 11 and the flexible circuit board can also be arranged on the outer surface of the guide tube 900-1 along the length direction of the guide tube 900-1, and the outside is covered with the optical Tracer carrier 2.
所述光源1和所述光学示踪载体2也可以非接触的照射所述光学示踪载体2,如所述蓄光自发光示踪载体21,通过光能的存储、转化来实现对所述光学示踪载体2的示踪。The light source 1 and the optical trace carrier 2 can also irradiate the optical trace carrier 2 in a non-contact manner, such as the light-storage self-luminous trace carrier 21, and the optical trace carrier 2 can be realized through the storage and conversion of light energy. Trace of tracer vector 2.
所述光学示踪载体2是蓄光自发光示踪载体21。自发光材料是指能够以某种方式吸收能量,将其转化成非平衡光辐射的物质材料,材料内部吸收的能量转化为非平衡光辐射的过程就是发光过程。尤其是蓄光自发光材料在外界光照作用下几分钟或几十分钟之后,在 黑暗的环境下可持续发光12小时以上,可以满足大多数手术时长的示踪需求。所述蓄光自发光示踪载体21可以直接吸收手术室中灯光的能量,使得各种外部光照都能构成所述光源1,不需要直接连接所述光源1,使用过程非常简单。The optical tracer 2 is a light-storage self-luminous tracer 21 . Self-luminous materials refer to materials that can absorb energy in a certain way and convert it into non-equilibrium light radiation. The process of converting the energy absorbed inside the material into non-equilibrium light radiation is the luminescence process. In particular, light-storing self-luminescent materials can continue to emit light for more than 12 hours in a dark environment after a few minutes or tens of minutes under the action of external light, which can meet the tracing needs of most operations. The light-storing self-illuminating tracer carrier 21 can directly absorb the energy of the light in the operating room, so that various external lights can form the light source 1, and there is no need to directly connect the light source 1, and the use process is very simple.
参考图1-14和图1-15,所述蓄光自发光示踪载体21含蓄光自发光体21-1和保护载体21-2。Referring to Figures 1-14 and 1-15, the light-storage self-luminous tracer carrier 21 includes a light-storage self-illuminator 21-1 and a protective carrier 21-2.
所述保护载体21-2由透明导光材料制成,所述蓄光自发光体21-1封闭设置在所述保护载体21-2内。The protective carrier 21-2 is made of a transparent light-guiding material, and the light-storing self-luminous body 21-1 is closed and arranged in the protective carrier 21-2.
所述蓄光自发光体21-1能吸收外部能量,并进行转化发光。所述保护载体21-2采用透明医用材料制成,可以直接和组织进行接触,所述蓄光自发光体21-1能量转化发出的光能有效透过进行有效示踪的同时,还保证了临床使用的生物安全性。所述蓄光自发光体21-1能设置在不同的位置,并设计成不同形状,根据需要进行定点示踪或进行整体示踪。The light-storing self-luminous body 21-1 can absorb external energy and convert it into light. The protective carrier 21-2 is made of transparent medical materials, which can be directly in contact with tissues. The light energy converted from the light-storing self-illuminating body 21-1 effectively passes through for effective tracing, and at the same time ensures clinical Biosafety used. The light-storing self-illuminating body 21-1 can be arranged in different positions and designed in different shapes, and can perform fixed-point tracking or overall tracking as required.
此时,所述导管900-1采用透明材料制成,构成所述保护载体21-2,所述蓄光自发光体21-1设置在所述导管900-1的管壁内。At this time, the conduit 900-1 is made of transparent material to form the protection carrier 21-2, and the light-storing self-illuminating body 21-1 is arranged in the tube wall of the conduit 900-1.
临床使用时,将所述医用胃管901经食道置入胃内,开启所述光源1,对所述导管900-1进行示踪。手术中,当靠近食道和胃壁时,就能透过组织见到所述光源1发出的光线透过腔管,所述光源1发出的光线的照度保证在距离管壁0-30mm左右时,被示踪的腔管明显清晰可见,而且越接近腔管光线越强,提示效果越明显,可以在手术中有效地进行示踪并提示医护人员。In clinical use, the medical gastric tube 901 is inserted into the stomach through the esophagus, the light source 1 is turned on, and the catheter 900-1 is traced. During the operation, when it is close to the wall of the esophagus and stomach, the light emitted by the light source 1 can be seen through the tissue through the lumen. The traced lumen is clearly visible, and the closer to the lumen, the stronger the light, and the more obvious the prompting effect, which can effectively trace and prompt medical staff during the operation.
本实施例之医用胃管由于含所述医用光学示踪系统500,可以在进入人体后,通过可见光进行示踪,在手术中提示医护人员,保护重要食道和胃,防止手术中意外伤害,临床使用非常方便、安全。Since the medical gastric tube of this embodiment contains the medical optical tracing system 500, it can be traced by visible light after entering the human body, prompting medical staff during the operation, protecting the important esophagus and stomach, and preventing accidental injuries during the operation. It is very convenient and safe to use.
实施例2:双腔的本发明之带可见光示踪装置的医用导管Embodiment 2: The medical catheter with visible light tracing device of the present invention with double chambers
参考图2至图2-7,本实施例与实施例1的区别在于,本实施例中,所述医用导管900是医用导尿管902。Referring to FIGS. 2 to 2-7 , the difference between this embodiment and Embodiment 1 is that in this embodiment, the medical catheter 900 is a medical urinary catheter 902 .
参考图2至图2-3,所述医用导尿管902含导管900-1、2个所述接口900-2和医用光学示踪系统500。Referring to FIGS. 2 to 2-3 , the medical catheter 902 includes a catheter 900 - 1 , two interfaces 900 - 2 and a medical optical tracking system 500 .
参考图2-3和图2-4,本实施例中,所述医用导尿管902是双腔导尿管902-1;所述双腔导尿管902-1的导管900-1的远端900-11设有球囊900-13;所述工作通道900-3设有2个腔道1-1,每个所述腔道1-1相应设置有1个所述接口900-2;其中1个所述腔道1-1构成导尿腔900-14,所述导尿腔900-14的远端设置有所述工作开口900-11-1,近端设置的所述接口900-2构成排液口900-21;另1个所述腔道1-1构成注水腔900-15,所述注水腔 900-15的远端和所述球囊900-13连接,近端连接的所述接口900-2构成注水口900-22,所述注水口900-22上设有封闭阀900-22-2。Referring to Fig. 2-3 and Fig. 2-4, in this embodiment, the medical catheter 902 is a double-lumen catheter 902-1; The end 900-11 is provided with a balloon 900-13; the working channel 900-3 is provided with two lumens 1-1, and each of the lumens 1-1 is correspondingly provided with one interface 900-2; One of the lumens 1-1 constitutes a catheterization chamber 900-14, the distal end of the catheterization chamber 900-14 is provided with the working opening 900-11-1, and the proximal end is provided with the interface 900- 2 constitute the liquid discharge port 900-21; the other one of the lumens 1-1 constitutes the water injection chamber 900-15, the distal end of the water injection chamber 900-15 is connected to the balloon 900-13, and the proximal end is connected The interface 900-2 forms a water injection port 900-22, and the water injection port 900-22 is provided with a closing valve 900-22-2.
所述医用光学示踪系统500含光源1和光学示踪载体2。The medical optical tracer system 500 includes a light source 1 and an optical tracer carrier 2 .
参考图2-5,所述光源1是LED光源11。由于LED光源与普通照明光源相比,具有体积小、发光效率高、光源指向性强等特点,尤其是在安全性方面,LED光源有普通光源无法比拟的优势。首先LED光源是低压直流供电,供电电压只需6到24V;其次LED光源中不添加汞,不会对人体造成中毒等伤害;此外更重要的是LED光源是冷光源,在工作过程中不会严重发热,可以安全触摸,不会对人体造成意外的高温烫伤。Referring to FIGS. 2-5 , the light source 1 is an LED light source 11 . Compared with ordinary lighting sources, LED light sources have the characteristics of small size, high luminous efficiency, and strong light source directivity. Especially in terms of safety, LED light sources have incomparable advantages over ordinary light sources. First of all, the LED light source is a low-voltage DC power supply, and the power supply voltage only needs to be 6 to 24V; secondly, no mercury is added to the LED light source, which will not cause poisoning or other harm to the human body; more importantly, the LED light source is a cold light source, which will not cause harm to the human body during work. Severe heat, safe to touch, will not cause unexpected high temperature burns to the human body.
参考图2-3和图2-4,当所述LED光源设置在体外时,所述光学示踪载体2是导光光纤22。Referring to FIGS. 2-3 and 2-4, when the LED light source is placed outside the body, the optical trace carrier 2 is a light-guiding optical fiber 22 .
所述导光光纤22上间断式设置有出光口22-2。所述出光口22-2可以沿所述导光光纤22的光线传导方向间断式设置,每一个所述出光口22-2设有反光面22-21,光线传导至所述出光口22-2时,一部分经所述反光面22-21反射后形成发光点进行示踪,剩余光线沿所述导光光纤22继续向前传导,沿所述导管900-1形成间断式的点状分布的发光线,实现所述导管900-1的整体示踪。The light-guiding optical fiber 22 is intermittently provided with a light outlet 22-2. The light outlets 22-2 can be arranged intermittently along the light transmission direction of the light guide fiber 22, each of the light outlets 22-2 is provided with a reflective surface 22-21, and the light is transmitted to the light outlet 22-2 At this time, a part of the light is reflected by the reflective surface 22-21 to form a luminous point for tracing, and the remaining light continues to travel forward along the light-guiding optical fiber 22, forming intermittent point-like distribution of light along the guide tube 900-1. light to realize the overall tracking of the catheter 900-1.
参考图2-6和图2-7,当所述LED光源11采用微型设计时,通常所述发光端11-1大小控制在2mm以下,如封装尺寸在0.2mm~0.5mm之间的LED灯,所述LED光源11的发光端可以设置在所述导管900-1的管壁内,直接进入体内。此时,所述导管900-1构成所述光学示踪载体2。Referring to Figures 2-6 and 2-7, when the LED light source 11 adopts a miniature design, usually the size of the light-emitting end 11-1 is controlled below 2 mm, such as an LED lamp with a package size between 0.2 mm and 0.5 mm , the light-emitting end of the LED light source 11 can be set in the tube wall of the catheter 900-1, directly into the body. At this time, the catheter 900 - 1 constitutes the optical tracer 2 .
所述LED光源11的电路系统11-2采用柔性电路板11-21,所述发光端11-1可以分散地设置在所述柔性电路板11-21上,将所述柔性电路板11-21和所述发光端11-1一起封装在所述导管900-1的管壁内,形成LED灯带或LED灯网,对所述导管900-1进行整体示踪。The circuit system 11-2 of the LED light source 11 adopts a flexible circuit board 11-21, and the light-emitting terminals 11-1 can be dispersedly arranged on the flexible circuit board 11-21, and the flexible circuit board 11-21 Together with the light-emitting end 11-1, it is packaged in the tube wall of the catheter 900-1 to form an LED light strip or an LED lamp network, and trace the catheter 900-1 as a whole.
参考图7,临床使用中,将所述导管900-1经尿道插入膀胱中,打开所述封闭阀900-22-2,经所述注水口900-22向内注水,膨胀所述球囊900-13,将所述导管900-1固定在膀胱中,防止滑脱。开启所述光源1,所述导管900-1的整体走向和位置即可肉眼可见,手术中,当靠近尿道和膀胱时,就能透过组织见到所述光源1发出的光线透过腔管,所述光源1发出的光线的照度保证在距离管壁0-30mm左右时,被示踪的腔管明显清晰可见,而且越接近腔管光线越强,提示效果越明显,可以在手术中有效地进行示踪并提示医护人员。Referring to Fig. 7, in clinical use, the catheter 900-1 is inserted into the bladder through the urethra, the closed valve 900-22-2 is opened, water is injected inward through the water injection port 900-22, and the balloon 900 is inflated -13. Fix the catheter 900-1 in the bladder to prevent slippage. Turn on the light source 1, and the overall direction and position of the catheter 900-1 can be seen with the naked eye. During the operation, when it is close to the urethra and bladder, the light emitted by the light source 1 can be seen through the tissue through the lumen , the illuminance of the light emitted by the light source 1 ensures that when the distance from the tube wall is about 0-30mm, the traced lumen is clearly visible, and the closer to the lumen, the stronger the light, the more obvious the prompting effect, which can be effective in surgery trace and alert medical staff.
参考图8,当需要将所述医用导尿管902插入输尿管内时,所述导管900-1上设有显影线41,在X光下,将所述医用导尿管902递送至需要示踪的位置,然后开启所述光源1, 所述医用光学示踪系统500的作用下,输尿管被可视光进行标识。Referring to Fig. 8, when it is necessary to insert the medical catheter 902 into the ureter, the catheter 900-1 is provided with a development line 41, and under X-ray, the medical catheter 902 is delivered to the ureter that needs to be traced. position, and then turn on the light source 1, and under the action of the medical optical tracing system 500, the ureter is marked by visible light.
本实施例之医用胃管由于含所述医用光学示踪系统500,可以在进入人体后,通过可见光进行示踪,在手术中提示医护人员,保护尿道和膀胱,防止手术中意外伤害,临床使用非常方便、安全。Since the medical gastric tube of this embodiment contains the medical optical tracing system 500, it can be traced by visible light after entering the human body, prompting medical staff during the operation, protecting the urethra and bladder, and preventing accidental injuries during the operation. Very convenient and safe.
实施例3:三腔的本发明之带可见光示踪装置的医用导管Embodiment 3: The medical catheter with visible light tracing device of the present invention with three chambers
参考图3至图5-1,本实施例与实施例2的区别在于,本实施例中,所述医用导尿管902是三腔导尿管902-2。Referring to Fig. 3 to Fig. 5-1, the difference between this embodiment and embodiment 2 is that in this embodiment, the medical catheter 902 is a three-lumen catheter 902-2.
参考图3至图3-2,所述三腔导尿管902-2含导管900-1、3个所述接口900-2和医用光学示踪系统500。Referring to FIG. 3 to FIG. 3-2 , the three-lumen urinary catheter 902 - 2 includes a catheter 900 - 1 , three interfaces 900 - 2 and a medical optical tracking system 500 .
所述三腔导尿管902-2的导管900-1的远端900-11设有球囊900-13。The distal end 900-11 of the catheter 900-1 of the three-lumen urinary catheter 902-2 is provided with a balloon 900-13.
参考图3-2和图3-4,所述工作通道900-3设有3个腔道1-1,每个所述腔道1-1相应设置有1个所述接口900-2;其中第1个所述腔道1-1构成导尿腔900-14,所述导尿腔900-14的远端设置有所述工作开口900-11-1,近端设置的所述接口900-2构成排液口900-21;第2个所述腔道1-1构成注水腔900-15,所述注水腔900-15的远端和所述球囊900-13连接,近端连接的所述接口900-2构成注水口900-22,所述注水口900-22上设有封闭阀900-22-2;第3个所述腔道1-1构成输液冲洗腔900-16,所述输液冲洗腔900-16的远端设置有冲洗口900-16-1和封堵阀900-16-2,所述输液冲洗腔900-16的近端连接的所述接口900-2构成冲洗注药口900-23。Referring to Figure 3-2 and Figure 3-4, the working channel 900-3 is provided with three lumens 1-1, and each of the lumens 1-1 is correspondingly provided with one interface 900-2; wherein The first lumen 1-1 forms a catheterization chamber 900-14, the distal end of the catheterization chamber 900-14 is provided with the working opening 900-11-1, and the proximal end is provided with the interface 900- 2 constitute the liquid discharge port 900-21; the second cavity 1-1 constitutes the water injection cavity 900-15, the distal end of the water injection cavity 900-15 is connected to the balloon 900-13, and the proximal end is connected The interface 900-2 forms a water injection port 900-22, and the water injection port 900-22 is provided with a closed valve 900-22-2; the third cavity 1-1 forms an infusion flushing cavity 900-16, so The far end of the infusion flushing chamber 900-16 is provided with a flushing port 900-16-1 and a blocking valve 900-16-2, and the interface 900-2 connected to the proximal end of the infusion flushing chamber 900-16 constitutes a flushing Injection port 900-23.
为便于所述医用导尿管902留置期间的冲洗,尤其是药物冲洗和消毒,所述医用导尿管902可以设置成所述三腔导尿管902-2。所述输液冲洗腔900-16近端设有所述冲洗注药口900-23,远端的冲洗口900-16-1和体腔连通,在所述冲洗口900-16-1处设置有所述封堵阀900-16-2,当药物经所述冲洗注药口900-23注入时,在压力作用下,所述封堵阀900-16-2开启,药物进入体腔,当停止药物注射时,在体腔压力的作用下,所述封堵阀900-16-2自动关闭,防止体液从所述冲洗口900-16-1进入所述输液冲洗腔900-16内。In order to facilitate flushing during the indwelling of the medical catheter 902, especially drug flushing and disinfection, the medical catheter 902 can be configured as the three-lumen catheter 902-2. The proximal end of the infusion flushing cavity 900-16 is provided with the flushing injection port 900-23, the distal flushing port 900-16-1 communicates with the body cavity, and the flushing port 900-16-1 is provided with a The blocking valve 900-16-2, when the drug is injected through the flushing injection port 900-23, under the action of pressure, the blocking valve 900-16-2 is opened, and the drug enters the body cavity. , under the action of body cavity pressure, the blocking valve 900-16-2 is automatically closed to prevent body fluid from entering the infusion flushing cavity 900-16 from the flushing port 900-16-1.
所述医用光学示踪系统500含光源1和光学示踪载体2。The medical optical tracer system 500 includes a light source 1 and an optical tracer carrier 2 .
参考图3-5,所述光源1是LED光源11。由于LED光源与普通照明光源相比,具有体积小、发光效率高、光源指向性强等特点,尤其是在安全性方面,LED光源有普通光源无法比拟的优势。首先LED光源是低压直流供电,供电电压只需6到24V;其次LED光源中不添加汞,不会对人体造成中毒等伤害;此外更重要的是LED光源是冷光源,在工作过程中不会严重发热,可以安全触摸,不会对人体造成意外的高温烫伤。Referring to FIGS. 3-5 , the light source 1 is an LED light source 11 . Compared with ordinary lighting sources, LED light sources have the characteristics of small size, high luminous efficiency, and strong light source directivity. Especially in terms of safety, LED light sources have incomparable advantages over ordinary light sources. First of all, the LED light source is a low-voltage DC power supply, and the power supply voltage only needs to be 6 to 24V; secondly, no mercury is added to the LED light source, which will not cause poisoning or other harm to the human body; more importantly, the LED light source is a cold light source, which will not cause harm to the human body during work. Severe heat, safe to touch, will not cause unexpected high temperature burns to the human body.
当所述LED光源设置在体外时,所述光学示踪载体2是导光光纤22。When the LED light source is placed outside the body, the optical trace carrier 2 is a light guiding fiber 22 .
参考图3-4,所述导光光纤22上间断式设置有出光口22-2。所述出光口22-2可以沿 所述导光光纤22的光线传导方向间断式设置,每一个所述出光口22-2设有反光面22-21,光线传导至所述出光口22-2时,一部分经所述反光面22-21反射后形成发光点进行示踪,剩余光线沿所述导光光纤22继续向前传导,沿所述导管900-1形成间断式的点状分布的发光线,实现所述导管900-1的整体示踪。Referring to FIGS. 3-4 , the light guide fiber 22 is intermittently provided with a light outlet 22 - 2 . The light outlets 22-2 can be arranged intermittently along the light transmission direction of the light guide fiber 22, each of the light outlets 22-2 is provided with a reflective surface 22-21, and the light is transmitted to the light outlet 22-2 At this time, a part of the light is reflected by the reflective surface 22-21 to form a luminous point for tracing, and the remaining light continues to travel forward along the light-guiding optical fiber 22, forming intermittent point-like distribution of light along the guide tube 900-1. light to realize the overall tracking of the catheter 900-1.
参考图4和图4-1,所述导光光纤22还可以编织成网状,不同位置散落状分布有出光口22-2。所述导光光纤22编织成网状,每一根所述导光光纤22的长度不同,所述导光光纤22的出光口22-2也随之不同,散落分布的所述导管900-1的管身,可以实现导管900-1的整体示踪,而且由于每一根所述导光光纤22中间不需要设置所述出光口22-2,因此光线传导效果更好,整体示踪效果更好。而且网状编织的形状可以让所述导管900-1的管壁整体更加柔韧,支撑性更好,更不容易扁塌变形。Referring to FIG. 4 and FIG. 4-1 , the light-guiding optical fiber 22 can also be braided into a net shape, and light outlets 22-2 are scattered in different positions. The light-guiding optical fiber 22 is braided into a net shape, the length of each light-guiding optical fiber 22 is different, and the light outlet 22-2 of the light-guiding optical fiber 22 is also different accordingly, and the scattered distribution of the catheter 900-1 The body of the tube can realize the overall tracing of the catheter 900-1, and since the light outlet 22-2 does not need to be arranged in the middle of each light-guiding optical fiber 22, the light transmission effect is better, and the overall tracing effect is better. good. Moreover, the shape of mesh weaving can make the overall tube wall of the catheter 900-1 more flexible, better supporting, and less prone to collapse and deformation.
当所述LED光源11采用微型设计时,通常所述发光端11-1大小控制在2mm以下,如封装尺寸在0.2mm~0.5mm之间的LED灯,所述LED光源11的发光端可以设置在所述导管900-1的管壁内,直接进入体内。此时,所述导管900-1构成所述光学示踪载体2。When the LED light source 11 adopts a miniature design, usually the size of the light-emitting end 11-1 is controlled below 2 mm, such as an LED lamp with a package size between 0.2 mm and 0.5 mm, the light-emitting end of the LED light source 11 can be set In the tube wall of the catheter 900-1, directly into the body. At this time, the catheter 900 - 1 constitutes the optical tracer 2 .
所述LED光源11的电路系统11-2采用柔性电路板11-21,所述发光端11-1可以分散地设置在所述柔性电路板11-21上,将所述柔性电路板11-21和所述发光端11-1一起封装在所述导管900-1的管壁内,形成LED灯带或LED灯网,对所述导管900-1进行整体示踪。The circuit system 11-2 of the LED light source 11 adopts a flexible circuit board 11-21, and the light-emitting terminals 11-1 can be dispersedly arranged on the flexible circuit board 11-21, and the flexible circuit board 11-21 Together with the light-emitting end 11-1, it is packaged in the tube wall of the catheter 900-1 to form an LED light strip or an LED lamp network, and trace the catheter 900-1 as a whole.
本实施例中,所述医用导尿管902不但能示踪,还能对所述导管900-1进行药物冲洗,保证所述医用导尿管902的卫生消毒。In this embodiment, the medical catheter 902 can not only trace, but also flush the catheter 900 - 1 with medicine to ensure the sanitation and disinfection of the medical catheter 902 .
应该注意,本文中公开和说明的结构可以用其它效果相同的结构代替,同时本发明所介绍的实施例并非实现本发明的唯一结构。虽然本发明的优先实施例已在本文中予以介绍和说明,但本领域内的技术人员都清楚知道这些实施例不过是举例说明而已,本领域内的技术人员可以做出无数的变化、改进和代替,而不会脱离本发明,因此,应按照本发明所附的权利要求书的精神和范围来限定本发明的保护范围。It should be noted that the structures disclosed and described herein can be replaced by other structures with the same effect, and the embodiments described in the present invention are not the only structures for realizing the present invention. Although preferred embodiments of the present invention have been described and described herein, it is clear to those skilled in the art that these embodiments are for illustration only, and that numerous changes, modifications and improvements can be made by those skilled in the art. Instead, without departing from the present invention, therefore, the protection scope of the present invention should be defined according to the spirit and scope of the appended claims of the present invention.

Claims (48)

  1. 带可见光示踪装置的医用导管,其特征在于:所述带可见光示踪装置的医用导管(900)含导管(900-1)、接口(900-2)和医用光学示踪系统(500);A medical catheter with a visible light tracing device, characterized in that: the medical catheter with a visible light tracing device (900) includes a catheter (900-1), an interface (900-2) and a medical optical tracing system (500);
    A、所述导管(900-1)由柔软的弹性医用材料制成,内部设有工作通道(900-3);A. The catheter (900-1) is made of soft elastic medical material, with a working channel (900-3) inside;
    B、所述带可见光示踪装置的医用导管(900)至少含1个所述接口(900-2),所述接口(900-2)设置在所述导管(900-1)的近端(900-12);B. The medical catheter (900) with a visible light tracing device contains at least one interface (900-2), and the interface (900-2) is arranged at the proximal end of the catheter (900-1) ( 900-12);
    C、所述医用光学示踪系统(500)设置在所述导管(900-1)上,标识所述导管(900-1)所在的位置。C. The medical optical tracking system (500) is set on the catheter (900-1) to identify the location of the catheter (900-1).
  2. 根据权利要求1所述带可见光示踪装置的医用导管,其特征在于:所述医用光学示踪系统(500)含光源(1)和光学示踪载体(2);The medical catheter with a visible light tracing device according to claim 1, characterized in that: the medical optical tracing system (500) comprises a light source (1) and an optical tracing carrier (2);
    A、所述光学示踪载体(2)含导光材料;A, the optical tracer carrier (2) contains a light-guiding material;
    B、所述光源(1)发出的光经所述光学示踪载体(2)进行传导,并对所述光学示踪载体(2)进行光学示踪。B. The light emitted by the light source (1) is transmitted through the optical trace carrier (2), and the optical trace carrier (2) is optically traced.
  3. 根据权利要求2所述带可见光示踪装置的医用导管,其特征在于:所述光源(1)发出的光线的颜色可以根据背景颜色或穿透要求进行设置。The medical catheter with visible light tracing device according to claim 2, characterized in that: the color of the light emitted by the light source (1) can be set according to background color or penetration requirements.
  4. 根据权利要求1所述带可见光示踪装置的医用导管,其特征在于:所述光源(1)是闪烁型发光。The medical catheter with a visible light tracing device according to claim 1, characterized in that: the light source (1) is a flashing light.
  5. 根据权利要求1所述带可见光示踪装置的医用导管,其特征在于:所述光源(1)发出的光线的强度可以进行设置。The medical catheter with a visible light tracing device according to claim 1, characterized in that the intensity of the light emitted by the light source (1) can be set.
  6. 根据权利要求2所述带可见光示踪装置的医用导管,其特征在于:所述光源(1)是LED光源(11)、和/或医用冷光源(12)、和/或自然光。The medical catheter with a visible light tracing device according to claim 2, characterized in that: the light source (1) is an LED light source (11), and/or a medical cold light source (12), and/or natural light.
  7. 根据权利要求2所述带可见光示踪装置的医用导管,其特征在于:所述LED光源(11)设置在体内、和/或体外。The medical catheter with visible light tracing device according to claim 2, characterized in that: the LED light source (11) is arranged inside the body and/or outside the body.
  8. 根据权利要求2所述带可见光示踪装置的医用导管,其特征在于:所述光源(1)和所述光学示踪载体(2)非接触式连接或接触式连接。The medical catheter with a visible light tracing device according to claim 2, characterized in that: the light source (1) and the optical tracing carrier (2) are connected in a non-contact or contact manner.
  9. 根据权利要求8所述带可见光示踪装置的医用导管,其特征在于:所述LED光源(11)和所述光学示踪载体(2)接触式连接,所述LED光源(11)设置在所述光学示踪载体(2)内。The medical catheter with a visible light tracing device according to claim 8, characterized in that: the LED light source (11) is contact-connected to the optical tracing carrier (2), and the LED light source (11) is arranged on the in the optical tracer carrier (2).
  10. 根据权利要求2所述带可见光示踪装置的医用导管,其特征在于:所述光学示踪载体(2)是蓄光自发光示踪载体(21)。The medical catheter with a visible light tracing device according to claim 2, characterized in that: the optical tracing carrier (2) is a light-storing self-luminous tracing carrier (21).
  11. 根据权利要求10所述带可见光示踪装置的医用导管,其特征在于:所述蓄光自 发光示踪载体(21)含蓄光自发光体(21-1)和保护载体(21-2)。The medical catheter with a visible light tracing device according to claim 10, characterized in that: the light-storage self-luminous tracer carrier (21) contains a light-storage self-illuminator (21-1) and a protective carrier (21-2).
  12. 根据权利要求11所述带可见光示踪装置的医用导管,其特征在于:所述保护载体(21-2)由透明导光材料制成,所述蓄光自发光体(21-1)封闭设置在所述保护载体(21-2)内。The medical catheter with a visible light tracing device according to claim 11, characterized in that: the protective carrier (21-2) is made of a transparent light-conducting material, and the light-storing self-luminous body (21-1) is sealed and arranged on Inside the protection carrier (21-2).
  13. 根据权利要求2所述带可见光示踪装置的医用导管,其特征在于:所述光学示踪载体(2)是导光光纤(22)。The medical catheter with a visible light tracing device according to claim 2, characterized in that: the optical tracing carrier (2) is a light-guiding optical fiber (22).
  14. 根据权利要求13所述带可见光示踪装置的医用导管,其特征在于:所述导光光纤(22)的端部、和/或侧面都能发光。The medical catheter with a visible light tracing device according to claim 13, characterized in that: the end and/or side of the light guiding fiber (22) can emit light.
  15. 根据权利要求13所述带可见光示踪装置的医用导管,其特征在于:所述光学示踪载体(2)至少含1根所述导光光纤(22)。The medical catheter with a visible light tracing device according to claim 13, characterized in that: the optical tracing carrier (2) contains at least one light-guiding optical fiber (22).
  16. 根据权利要求14所述带可见光示踪装置的医用导管,其特征在于:所述光学示踪载体(2)是多根所述导光光纤(22)的组合。The medical catheter with a visible light tracing device according to claim 14, characterized in that: the optical tracing carrier (2) is a combination of a plurality of light guiding optical fibers (22).
  17. 根据权利要求13所述带可见光示踪装置的医用导管,其特征在于:所述导光光纤(22)具有光滑的表面。The medical catheter with visible light tracing device according to claim 13, characterized in that: the light guiding optical fiber (22) has a smooth surface.
  18. 根据权利要求13所述带可见光示踪装置的医用导管,其特征在于:所述导光光纤(22)具有非光滑的表面(22-1)。The medical catheter with a visible light tracing device according to claim 13, characterized in that: the light-guiding optical fiber (22) has a non-smooth surface (22-1).
  19. 根据权利要求17所述带可见光示踪装置的医用导管,其特征在于:所述非光滑的表面(22-1)是能形成反射、和/或散射的非光滑表面(22-11)The medical catheter with a visible light tracing device according to claim 17, characterized in that: the non-smooth surface (22-1) is a non-smooth surface (22-11) capable of forming reflection and/or scattering
  20. 根据权利要求13所述带可见光示踪装置的医用导管,其特征在于:所述导光光纤(22)上间断式设置有出光口(22-2)。The medical catheter with a visible light tracing device according to claim 13, characterized in that: the light-guiding optical fiber (22) is intermittently provided with a light outlet (22-2).
  21. 根据权利要求19所述带可见光示踪装置的医用导管,其特征在于:所述出光口(22-2)是非轴向出光口(22-21),沿所述导光光纤(22)的长度方向设置在所述导光光纤(22)的侧面。The medical catheter with a visible light tracing device according to claim 19, characterized in that: the light outlet (22-2) is a non-axial light outlet (22-21), along the length of the light guiding fiber (22) The direction is set on the side of the light guiding fiber (22).
  22. 根据权利要求20所述带可见光示踪装置的医用导管,其特征在于:通过所述出光口(22-2)的规律排列,所述出光口(22-2)可以对所述导光光纤(22)的长度尺寸进行标识。According to the medical catheter with visible light tracing device according to claim 20, it is characterized in that: through the regular arrangement of the light outlets (22-2), the light outlets (22-2) can guide the light guide fiber ( 22) The length dimension is marked.
  23. 根据权利要求21所述带可见光示踪装置的医用导管,其特征在于:通过所述出光口(22-2)的分布密度的规律排列,导致散射光的强度不同,对所述导光光纤(22)的长度尺寸进行标识。The medical catheter with a visible light tracing device according to claim 21, characterized in that: through the regular arrangement of the distribution density of the light outlet (22-2), the intensity of scattered light is different, and the light guide fiber ( 22) The length dimension is marked.
  24. 根据权利要求13所述带可见光示踪装置的医用导管,其特征在于:所述导光光纤(22)编织成网状,不同位置散落状分布有出光口(22-2)。The medical catheter with a visible light tracing device according to claim 13, characterized in that: the light-guiding optical fiber (22) is woven into a net shape, and light outlets (22-2) are scattered in different positions.
  25. 根据权利要求1所述带可见光示踪装置的医用导管,其特征在于:所述医用光学 示踪系统(500)表面含涂层(3)。The medical catheter with a visible light tracing device according to claim 1, characterized in that: the surface of the medical optical tracing system (500) contains a coating (3).
  26. 根据权利要求24所述带可见光示踪装置的医用导管,其特征在于:所述涂层(3)是抗凝血涂层、和/或亲水涂层、和/或疏水涂层。The medical catheter with a visible light tracing device according to claim 24, characterized in that: the coating (3) is an anticoagulant coating, and/or a hydrophilic coating, and/or a hydrophobic coating.
  27. 根据权利要求1所述带可见光示踪装置的医用导管,其特征在于:所述带可见光示踪装置的医用导管(900)还含显影机构(4)。The medical catheter with a visible light tracing device according to claim 1, characterized in that: the medical catheter with a visible light tracing device (900) further includes a developing mechanism (4).
  28. 根据权利要求27所述带可见光示踪装置的医用导管,其特征在于:所述显影机构(4)由金属材料制造,具有导热功能。The medical catheter with a visible light tracing device according to claim 27, characterized in that: the developing mechanism (4) is made of metal material and has a heat conduction function.
  29. 根据权利要求26所述带可见光示踪装置的医用导管,其特征在于:所述显影机构(4)是显影线(41)、和/或显影环(42)、和/或显影块(43)。The medical catheter with a visible light tracing device according to claim 26, characterized in that: the developing mechanism (4) is a developing line (41), and/or a developing ring (42), and/or a developing block (43) .
  30. 根据权利要求27所述带可见光示踪装置的医用导管,其特征在于:所述显影机构(4)在X光下、和/或MRI下、和/或B超下进行显影。The medical catheter with a visible light tracing device according to claim 27, characterized in that: the developing mechanism (4) develops under X-ray, and/or MRI, and/or B-ultrasound.
  31. 根据权利要求1所述带可见光示踪装置的医用导管,其特征在于:所述光学示踪载体(2)由柔顺的医用材料制成,能沿血管、输尿管、食道,气管,输卵管,输精管等腔体运动。According to claim 1, the medical catheter with visible light tracing device is characterized in that: the optical tracing carrier (2) is made of flexible medical materials, and can follow blood vessels, ureters, esophagus, trachea, fallopian tubes, vas deferens, etc. Cavity movement.
  32. 根据权利要求2所述带可见光示踪装置的医用导管,其特征在于:所述光学示踪载体(2)含塑形机构(25)。The medical catheter with a visible light tracing device according to claim 2, characterized in that: the optical tracing carrier (2) includes a shaping mechanism (25).
  33. 根据权利要求30所述带可见光示踪装置的医用导管,其特征在于:所述塑形机构(25)是形状记忆塑形机构(25-1)。The medical catheter with a visible light tracing device according to claim 30, characterized in that: the shaping mechanism (25) is a shape memory shaping mechanism (25-1).
  34. 根据权利要求31所述带可见光示踪装置的医用导管,其特征在于:所述形状记忆塑形机构(25-1)由形状记忆金属丝编织制成、和/或形状记忆金属管或片雕刻制成。The medical catheter with a visible light tracing device according to claim 31, characterized in that: the shape-memory shaping mechanism (25-1) is braided by shape-memory metal wires, and/or engraved by shape-memory metal tubes or sheets production.
  35. 根据权利要求11所述带可见光示踪装置的医用导管,其特征在于:所述导管(900-1)采用透明材料制成,构成所述保护载体(21-2),所述蓄光自发光体(21-1)设置在所述导管(900-1)的管壁内。The medical catheter with a visible light tracing device according to claim 11, characterized in that: the catheter (900-1) is made of transparent material to form the protective carrier (21-2), and the light-storing self-illuminating body (21-1) is disposed within the tube wall of said conduit (900-1).
  36. 根据权利要求2所述带可见光示踪装置的医用导管,其特征在于:所述导管(900-1)采用透明材料制成,构成所述光学示踪载体(2)。The medical catheter with a visible light tracing device according to claim 2, characterized in that: the catheter (900-1) is made of a transparent material, constituting the optical tracing carrier (2).
  37. 根据权利要求6所述带可见光示踪装置的医用导管,其特征在于:所述LED光源(11)的发光端(11-1)设置在所述导管(900-1)的管壁内。The medical catheter with a visible light tracing device according to claim 6, characterized in that: the light emitting end (11-1) of the LED light source (11) is arranged in the tube wall of the catheter (900-1).
  38. 根据权利要求35所述带可见光示踪装置的医用导管,其特征在于:所述LED光源(11)的发光端(11-1)设置在所述导管(900-1)的远端,对所述导管(900-1)的远端进行示踪。The medical catheter with a visible light tracing device according to claim 35, characterized in that: the light-emitting end (11-1) of the LED light source (11) is set at the distal end of the catheter (900-1), and the The distal end of the catheter (900-1) is traced.
  39. 根据权利要求35所述带可见光示踪装置的医用导管,其特征在于:所述LED光源(11)的发光端(11-1)分散地设置在所述导管(1)的管壁内,形成LED灯带或LED 灯网,对所述导管(900-1)进行整体示踪。The medical catheter with a visible light tracing device according to claim 35, characterized in that: the light-emitting ends (11-1) of the LED light sources (11) are dispersedly arranged in the tube wall of the catheter (1), forming LED light strips or LED light nets trace the catheter (900-1) as a whole.
  40. 根据权利要求6所述带可见光示踪装置的医用导管,其特征在于:所述LED光源(11)的发光端(11-1)沿所述导管(900-1)的长度方向设置在所述导管(900-1)的外表面,被所述光学示踪载体(2)包覆。The medical catheter with a visible light tracing device according to claim 6, characterized in that: the light-emitting end (11-1) of the LED light source (11) is arranged on the The outer surface of the catheter (900-1) is covered by the optical trace carrier (2).
  41. 根据权利要求13所述带可见光示踪装置的医用导管,其特征在于:所述导光光纤(22)的近端通过导光接头(26)和所述光源(1)连接,远端沿所述导管(900-1)的长度方向设置,对所述导管(900-1)进行示踪。According to the medical catheter with visible light tracing device according to claim 13, it is characterized in that: the proximal end of the light guiding fiber (22) is connected to the light source (1) through a light guiding joint (26), and the distal end is along the The catheter (900-1) is arranged in the length direction of the catheter (900-1), and the catheter (900-1) is traced.
  42. 根据权利要求39所述带可见光示踪装置的医用导管,其特征在于:所述导光光纤(22)具有光滑的表面,所述导光光纤(22)的出光口(22-2)设置在所述导管(900-1)的远端(900-11)。According to the medical catheter with a visible light tracing device according to claim 39, it is characterized in that: the light guiding fiber (22) has a smooth surface, and the light outlet (22-2) of the light guiding fiber (22) is arranged at The distal end (900-11) of the catheter (900-1).
  43. 根据权利要求39所述带可见光示踪装置的医用导管,其特征在于:所述导光光纤(22)具有非光滑的表面(22-1),所述导光光纤(22)对所述导管(900-1)整体示踪。According to the medical catheter with visible light tracing device according to claim 39, it is characterized in that: the light guiding fiber (22) has a non-smooth surface (22-1), and the light guiding fiber (22) is opposite to the catheter (900-1) Whole Tracer.
  44. 根据权利要求1所述带可见光示踪装置的医用导管,其特征在于:所述带可见光示踪装置的医用导管(900)是医用胃管(901)、或医用导尿管(902)、或医用输精管、或医用输卵管、或医用气管。The medical catheter with a visible light tracing device according to claim 1, characterized in that: the medical catheter (900) with a visible light tracing device is a medical gastric tube (901), or a medical urinary catheter (902), or Medical vas deferens, or medical fallopian tubes, or medical trachea.
  45. 根据权利要求42所述带可见光示踪装置的医用导管,其特征在于:所述带可见光示踪装置的医用导管(900)是医用胃管(901);所述医用胃管(901)含导管(900-1)、1个接口(900-2)和医用光学示踪系统(500),所述导管(900-1)的内部设有工作通道(900-3),远端(900-11)设有工作开口(900-11-1);所述医用光学示踪系统(500)对所述导管(900-1)进行示踪。The medical catheter with a visible light tracing device according to claim 42, characterized in that: the medical catheter (900) with a visible light tracing device is a medical gastric tube (901); the medical gastric tube (901) contains a catheter (900-1), 1 interface (900-2) and a medical optical tracer system (500), the inside of the catheter (900-1) is provided with a working channel (900-3), and the distal end (900-11 ) is provided with a working opening (900-11-1); the medical optical tracking system (500) tracks the catheter (900-1).
  46. 根据权利要求42所述带可见光示踪装置的医用导管,其特征在于:所述带可见光示踪装置的医用导管(900)是医用导尿管(902);所述医用导尿管(902)含导管(900-1)、接口(900-2)和医用光学示踪系统(500),所述导管(900-1)的内部设有工作通道(900-3),远端(900-11)设有工作开口(900-11-1);所述医用光学示踪系统(500)对所述导管(900-1)进行示踪。The medical catheter with a visible light tracing device according to claim 42, characterized in that: the medical catheter (900) with a visible light tracing device is a medical catheter (902); the medical catheter (902) Contains a catheter (900-1), an interface (900-2) and a medical optical tracer system (500), the inside of the catheter (900-1) is provided with a working channel (900-3), and the distal end (900-11 ) is provided with a working opening (900-11-1); the medical optical tracking system (500) tracks the catheter (900-1).
  47. 根据权利要求44所述带可见光示踪装置的医用导管,其特征在于:所述医用导尿管(902)是双腔导尿管(902-1);所述双腔导尿管(902-1)的导管(900-1)的远端(900-11)设有球囊(900-13);所述工作通道(900-3)设有2个腔道(1-1),每个所述腔道(1-1)相应设置有1个所述接口(900-2);其中1个所述腔道(1-1)构成导尿腔(900-14),所述导尿腔(900-14)的远端设置有所述工作开口(900-11-1),近端设置的所述接口(900-2)构成排液口(900-21);另1个所述腔道(1-1)构成注水腔(900-15),所述注水腔(900-15)的远端和所述球囊(900-13)连接,近端连接的所述接口(900-2)构成注水口(900-22)。According to the medical catheter with visible light tracing device according to claim 44, it is characterized in that: the medical catheter (902) is a double-lumen urinary catheter (902-1); the double-lumen urinary catheter (902- 1) The distal end (900-11) of the catheter (900-1) is provided with a balloon (900-13); the working channel (900-3) is provided with 2 lumens (1-1), each The lumen (1-1) is correspondingly provided with one interface (900-2); one of the lumens (1-1) constitutes a catheterization chamber (900-14), and the catheterization chamber (900-14) is provided with the working opening (900-11-1) at the far end, and the interface (900-2) provided at the proximal end constitutes the discharge port (900-21); the other one of the cavity The channel (1-1) constitutes a water injection cavity (900-15), the distal end of the water injection cavity (900-15) is connected to the balloon (900-13), and the proximal end is connected to the interface (900-2 ) form the water injection port (900-22).
  48. 根据权利要求44所述带可见光示踪装置的医用导管,其特征在于:所述医用导尿管(902)是三腔导尿管(902-2);所述三腔导尿管(902-2)的导管(900-1)的远端(900-11)设有球囊(900-13);所述工作通道(900-3)设有3个腔道(1-1),每个所述腔道(1-1)相应设置有1个所述接口(900-2);其中第1个所述腔道(1-1)构成导尿腔(900-14),所述导尿腔(900-14)的远端设置有所述工作开口(900-11-1),近端设置的所述接口(900-2)构成排液口(900-21);第2个所述腔道(1-1)构成注水腔(900-15),所述注水腔(900-15)的远端和所述球囊(900-13)连接,近端连接的所述接口(900-2)构成注水口(900-22);第3个所述腔道(1-1)构成输液冲洗腔(900-16),所述输液冲洗腔(900-16)的远端设置有冲洗口(900-16-1)和封堵阀(900-16-2),所述输液冲洗腔(900-16)的近端连接的所述接口(900-2)构成冲洗注药口(900-23)。The medical catheter with a visible light tracing device according to claim 44, characterized in that: the medical catheter (902) is a three-chamber catheter (902-2); the three-chamber catheter (902- 2) The distal end (900-11) of the catheter (900-1) is provided with a balloon (900-13); the working channel (900-3) is provided with 3 lumens (1-1), each The cavity (1-1) is correspondingly provided with one interface (900-2); wherein the first cavity (1-1) constitutes a catheterization cavity (900-14), and the catheterization The distal end of the cavity (900-14) is provided with the working opening (900-11-1), and the interface (900-2) provided at the proximal end constitutes a discharge port (900-21); the second The lumen (1-1) constitutes a water injection cavity (900-15), the distal end of the water injection cavity (900-15) is connected to the balloon (900-13), and the proximal end is connected to the interface (900- 2) Constitute a water injection port (900-22); the third cavity (1-1) constitutes an infusion flushing chamber (900-16), and the distal end of the infusion flushing chamber (900-16) is provided with a flushing port (900-16-1) and blocking valve (900-16-2), the interface (900-2) connected to the proximal end of the infusion flushing chamber (900-16) constitutes a flushing injection port (900- twenty three).
PCT/CN2022/133759 2021-12-10 2022-11-23 Medical catheter having visible light tracing device WO2023103780A1 (en)

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Citations (6)

* Cited by examiner, † Cited by third party
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US20070073160A1 (en) * 2005-09-13 2007-03-29 Children's Medical Center Corporation Light-guided transluminal catheter
US20070299334A1 (en) * 2006-06-16 2007-12-27 Stefan Vilsmeier Medical instrument with a touch-sensitive tip and light emission source
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CN112057129A (en) * 2020-09-21 2020-12-11 上海玄宇医疗器械有限公司 Vein closing system
CN217660169U (en) * 2021-12-10 2022-10-28 广州迪克医疗器械有限公司 Medical catheter with visible light tracking device

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070073160A1 (en) * 2005-09-13 2007-03-29 Children's Medical Center Corporation Light-guided transluminal catheter
US20070299334A1 (en) * 2006-06-16 2007-12-27 Stefan Vilsmeier Medical instrument with a touch-sensitive tip and light emission source
US20080027416A1 (en) * 2006-07-25 2008-01-31 Hamel Kory P Catheter with Light Source
US20170336483A1 (en) * 2014-11-12 2017-11-23 Sunnybrook Research Institute System and method for device tracking via magnetic resonance imaging with light-modulated magnetic susceptibility markers
CN112057129A (en) * 2020-09-21 2020-12-11 上海玄宇医疗器械有限公司 Vein closing system
CN217660169U (en) * 2021-12-10 2022-10-28 广州迪克医疗器械有限公司 Medical catheter with visible light tracking device

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