CN102139137A - External magnetic control drug release capsule system based on digital image navigation - Google Patents
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- 239000003814 drug Substances 0.000 title claims abstract description 165
- 229940079593 drug Drugs 0.000 title claims abstract description 158
- 239000002775 capsule Substances 0.000 title claims abstract description 103
- 210000001035 gastrointestinal tract Anatomy 0.000 claims abstract description 36
- 230000003287 optical effect Effects 0.000 claims description 6
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- 238000013267 controlled drug release Methods 0.000 abstract description 3
- 238000013269 sustained drug release Methods 0.000 abstract 1
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- 238000007726 management method Methods 0.000 description 6
- 238000010586 diagram Methods 0.000 description 5
- 238000001839 endoscopy Methods 0.000 description 5
- 239000003094 microcapsule Substances 0.000 description 5
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Abstract
一种医疗器械技术领域的基于数字图像导航的体外磁控制药物释放胶囊系统,包括:药物释放胶囊、体外磁驱动装置、体外施药控制装置和体外图像实时处理装置,药物释放胶囊位于消化道内进行药物缓释,体外施药控制装置与药物释放胶囊传输药物释放控制信息,体外图像实时处理装置与药物释放胶囊以无线方式连接并传输胶囊视频信息并以图形方式输出,体外磁驱动装置与药物释放胶囊通过磁力实现对药物释放胶囊姿态和位置的控制。本发明实现主动控制药物释放胶囊在消化道内的姿态和位置,可根据拍摄到的图像对消化道疾病开展详细的诊断,为操作者的体外磁控制和施药控制提供图像导航帮助,直至完成病灶部位的施药治疗全过程。
An in vitro magnetically controlled drug release capsule system based on digital image navigation in the technical field of medical devices, comprising: a drug release capsule, an in vitro magnetic drive device, an in vitro drug application control device, and an in vitro image real-time processing device. The drug release capsule is located in the digestive tract for Sustained drug release, in vitro drug administration control device and drug release capsule transmit drug release control information, in vitro image real-time processing device and drug release capsule are connected wirelessly and transmit capsule video information and output in graphic form, in vitro magnetic drive device and drug release The capsule controls the attitude and position of the drug release capsule through magnetic force. The present invention can actively control the attitude and position of the drug release capsule in the digestive tract, carry out detailed diagnosis of digestive tract diseases according to the captured images, and provide image navigation assistance for the operator's in vitro magnetic control and drug application control until the focus of the disease is completed The whole process of drug application and treatment of the site.
Description
技术领域technical field
本发明涉及的是一种医疗器械技术领域的装置,具体是一种基于数字图像导航的体外磁控制药物释放胶囊系统。The invention relates to a device in the technical field of medical devices, in particular to an in vitro magnetically controlled drug release capsule system based on digital image navigation.
背景技术Background technique
现代人由于工作节奏加快、饮食不均、导致消化道疾病的发病率日趋升高,消化道疾病成为影响现代人健康的常见的一种疾病,据统计分析发现,消化道疾病正在向低龄化和隐蔽化方向发展。消化道疾病的可视化检测对于消化道疾病的预防和诊疗具有非常重要的作用,而人体全消化道总长9米,由于消化道形状属于细长管道,分布于人体躯干各个器官之间,全消化道结构的不规则封闭性,给临床上消化道疾病的检测和治疗带来很大的挑战。Due to the accelerated pace of work and uneven diet of modern people, the incidence of digestive tract diseases is increasing day by day. Gastrointestinal diseases have become a common disease affecting the health of modern people. According to statistical analysis, digestive tract diseases are becoming younger and younger. The direction of concealment is developing. Visual detection of gastrointestinal diseases plays a very important role in the prevention, diagnosis and treatment of gastrointestinal diseases. The total length of the human digestive tract is 9 meters. Since the shape of the digestive tract is a slender pipe, it is distributed between various organs of the human body. The irregular closure of the structure brings great challenges to the clinical detection and treatment of gastrointestinal diseases.
临床上实施的消化道疾病的可视化检测主要有两种:胃肠、肠镜和胶囊内窥镜两大类。胃镜、肠镜检测属于主动检测,能够实现对全消化道疾病“定点”诊断,但胃镜、肠镜检测过程中可能存在导致胃创伤、肠创伤的风险,检测过程中会给病人带来巨大的痛苦。胶囊内窥镜检测属于无创检测方法,患者口服胶囊内窥镜后即可实施消化道疾病的检测,不会给患者带来不适或痛苦的感觉,但胶囊内窥镜在患者消化道内只能跟随消化道的蠕动开展诊断,胶囊内窥镜的运动完全属于被动运动方式,胶囊内镜对于消化道疾病的诊断也属于“局部性”和“随机性”诊断,不能对消化道疾病实施主动“定点”诊断,胶囊内窥镜诊断全过程存在很大的盲区,极大限制了胶囊内窥镜在全消化道疾病可视化诊断中的临床应用。There are mainly two types of visual detection of gastrointestinal diseases implemented clinically: gastrointestinal, colonoscopy and capsule endoscopy. Gastroscopy and colonoscopy detection are active detection, which can realize the "fixed-point" diagnosis of the whole digestive tract disease, but there may be risks of gastric trauma and intestinal trauma during the detection process of gastroscopy and colonoscopy, which will bring huge harm to the patient during the detection process. pain. Capsule endoscopy is a non-invasive detection method. After the patient takes the capsule endoscope orally, the detection of gastrointestinal diseases can be carried out without causing discomfort or pain to the patient. However, the capsule endoscope can only follow the The peristalsis of the digestive tract is used for diagnosis, and the movement of the capsule endoscope is completely passive. The diagnosis of digestive tract diseases by capsule endoscopy is also a "local" and "random" diagnosis, and cannot be actively "fixed" for digestive tract diseases. "Diagnosis, there is a large blind spot in the whole process of capsule endoscopy diagnosis, which greatly limits the clinical application of capsule endoscopy in the visual diagnosis of diseases of the whole digestive tract.
另一方面,在确诊消化道发现疾病等疾病时,临床上可以采用的治疗方案:对于胃部以上消化道和结肠以下消化道可在胃镜和肠镜的视频图像导航下开展治疗,但在治疗过程中仍然存在导致胃创伤、肠创伤的风险,治疗过程中患者需要承受巨大的痛苦;而对于小肠所在的消化道存在的疾病,无法采用传统的胃镜和肠镜进行治疗,对于小肠存在的疾病必须通过手术方法开展治疗,这对于患者而言造成的痛苦是可想而知的。而现有胶囊内镜仅仅具体消化道图像的拍摄功能,不具备发现消化道产生后对消化道疾病开展治疗的功能,因此无法对消化道疾病开展治疗。On the other hand, when the diagnosis of diseases such as digestive tract diseases is diagnosed, the treatment plan can be used clinically: for the digestive tract above the stomach and below the colon, treatment can be carried out under the video image navigation of gastroscopy and colonoscopy, but in the treatment There is still the risk of gastric trauma and intestinal trauma during the process, and the patient needs to bear great pain during the treatment process; for diseases of the digestive tract where the small intestine is located, traditional gastroscopy and enteroscopy cannot be used for treatment, and for diseases of the small intestine The treatment must be carried out by surgical methods, which is imaginable for the pain caused by the patients. However, the existing capsule endoscope only has the function of shooting specific images of the digestive tract, and does not have the function of treating digestive tract diseases after discovering the occurrence of the digestive tract, so it is impossible to treat digestive tract diseases.
经过对现有技术的检索发现,发表在《现代制造工程》2009年第8期上的学术论文“药物释放微胶囊控制电路的设计与研究”,公布了一种用于消化道药物释放的微胶囊结构,通过控制微型磁控制开关使药仓内的药物被压缩弹簧释放出来。After searching the existing technology, it was found that the academic paper "Design and Research of Drug Release Microcapsule Control Circuit" published in the 8th issue of "Modern Manufacturing Engineering" in 2009 published a microcapsule for drug release in the digestive tract. Capsule structure, by controlling the miniature magnetic control switch, the medicine in the medicine compartment is released by the compressed spring.
但该技术形成的微胶囊至少存在如下两个缺点:首先,没有消化道图像导航帮助,不能确定药物释放的位置;其次操作者缺乏体外操作控制微胶囊姿态和位置的能力,不能主动控制微胶囊姿态和位置,以上两个缺点的限制,使该发明专利无法应用于临床实际。However, the microcapsules formed by this technology have at least the following two disadvantages: first, without the aid of digestive tract image navigation, the position of drug release cannot be determined; second, the operator lacks the ability to control the posture and position of the microcapsules in vitro, and cannot actively control the microcapsules Posture and position, the limitations of the above two shortcomings make this invention patent unable to be applied to clinical practice.
发明内容Contents of the invention
本发明针对现有技术存在的上述不足,提供一种基于数字图像导航的体外磁控制药物释放胶囊系统,实现主动控制该药物释放胶囊系统在消化道内的姿态和位置,克服胶囊系统受消化道蠕动“被动”运行方式的缺陷,药物释放胶囊系统携带的数字图像传感器能够对消化道图像进行拍摄,并通过无线传输方式传送至体外,医生根据拍摄到的图像对消化道疾病开展详细的诊断,当发现有疾病时,通过体外磁场,操作者控制药物释放胶囊系统“定位”于疾病部位,药物释放胶囊系统可以将疾病部位的图像实时传送至体外,在胶囊数字图像的导航,操作者控制药物释放胶囊系统对疾病部位“耙向”施药治疗,在施药过程中的任意时刻,药物释放胶囊系统可以将图像系统传送至体外,为操作者的体外磁控制和施药控制提供图像导航帮助,直至完成病灶部位的施药治疗全过程。Aiming at the above-mentioned deficiencies in the prior art, the present invention provides an in vitro magnetically controlled drug release capsule system based on digital image navigation, which realizes active control of the posture and position of the drug release capsule system in the digestive tract, and overcomes the capsule system being affected by digestive tract peristalsis. The defect of the "passive" operation mode is that the digital image sensor carried by the drug release capsule system can take images of the digestive tract and transmit them to the outside of the body through wireless transmission. Doctors can carry out detailed diagnosis of digestive tract diseases based on the captured images. When a disease is found, the operator controls the drug release capsule system to "locate" the disease site through the external magnetic field. The drug release capsule system can transmit the image of the disease site to the outside of the body in real time. In the navigation of the capsule digital image, the operator controls the release of the drug The capsule system "targets" drug delivery to the disease site. At any time during the drug application process, the drug release capsule system can transmit the image system to the outside of the body, providing image navigation assistance for the operator's external magnetic control and drug application control. Until the whole process of drug application and treatment of the lesion site is completed.
本发明是通过以下技术方案实现的,本发明包括:药物释放胶囊、体外磁驱动装置、体外施药控制装置和体外图像实时处理装置,其中:药物释放胶囊位于消化道内进行药物缓释,体外施药控制装置与药物释放胶囊以无线方式连接并传输药物释放控制信息,体外图像实时处理装置与药物释放胶囊以无线方式连接并传输胶囊视频信息并以图形方式输出,体外磁驱动装置与药物释放胶囊通过磁力实现对药物释放胶囊姿态和位置的控制。The present invention is achieved through the following technical proposals. The present invention includes: a drug release capsule, an in vitro magnetic drive device, an in vitro drug application control device and an in vitro image real-time processing device, wherein: the drug release capsule is located in the The drug control device is wirelessly connected with the drug release capsule and transmits drug release control information. The in vitro image real-time processing device is wirelessly connected with the drug release capsule and transmits the capsule video information and outputs it in graphic form. The in vitro magnetic drive device and the drug release capsule The attitude and position of the drug release capsule are controlled by magnetic force.
所述的药物释放胶囊包括:照明系统、光学系统和药物释放装置、外壳及设置于其内部的主控制系统、数字图像传感器、图像无线发送装置、无线收发模块、电源管理模块、药仓、电池和永磁体,其中:药物释放装置安装在药物释放胶囊外壳的外表面以实现局部药物释放以及药物释放部位温度实时测量,永磁体安装在药物释放胶囊一端,并与体外磁驱动装置产生的永久磁场产生相互吸引或相互排斥的磁力,通过磁力改变药物释放胶囊的姿态和位置,电源管理模块与电池相连并将直流电压分别输出至数字图像传感器、照明系统、主控制系统、无线收发模块和药物释放装置,光学系统、照明系统和数字图像传感器依次串联并设置于外壳的端部,数字图像传感器与主控制系统相连并输出数字图像,无线收发模块与主控制系统相连并将数字图像传感器采集到的视频信息以及采集到的温度信息转化为电磁波并发送至体外,药物释放装置分别与药仓和主控制系统相连以获取药物并接收控制指令。The drug release capsule includes: an illumination system, an optical system, a drug release device, a casing and a main control system arranged inside it, a digital image sensor, a wireless image sending device, a wireless transceiver module, a power management module, a medicine compartment, a battery and a permanent magnet, wherein: the drug release device is installed on the outer surface of the drug release capsule shell to achieve local drug release and real-time measurement of the temperature of the drug release site; the permanent magnet is installed at one end of the drug release capsule and is connected with the permanent magnetic field generated by the external magnetic drive device Generate mutual attraction or mutual repulsion magnetic force, change the attitude and position of the drug release capsule through the magnetic force, the power management module is connected to the battery and output the DC voltage to the digital image sensor, lighting system, main control system, wireless transceiver module and drug release respectively The device, the optical system, the lighting system and the digital image sensor are serially connected in sequence and arranged at the end of the shell, the digital image sensor is connected with the main control system and outputs a digital image, and the wireless transceiver module is connected with the main control system and collects the data collected by the digital image sensor The video information and the collected temperature information are converted into electromagnetic waves and sent to the outside of the body, and the drug release device is connected to the drug store and the main control system to obtain the drug and receive control instructions.
所述的外壳为胶囊体状,两端部接近光滑球头状。The shell is in the shape of a capsule, and the two ends are close to the shape of a smooth ball.
所述的体外磁驱动装置包括:永磁体和位置调整机架,其中:永磁体固定设置于位置调整机架上并对药物释放胶囊提供磁场。The external magnetic driving device includes: a permanent magnet and a position adjustment frame, wherein the permanent magnet is fixedly arranged on the position adjustment frame and provides a magnetic field for the drug release capsule.
所述的体外施药控制装置包括:剩余药量显示屏、无线单元和施药操作装置,其中:剩余药量显示屏将药物释放胶囊系统内剩余的药量显示在屏幕上,施药操作装置发出施药控制信号,该控制信号通过无线单元传送到消化道内的药物释放胶囊系统,药物释放胶囊系统根据控制信号发出控制信号到药物释放装置,药物释放装置对病灶部位开展药物释放治疗。The external drug administration control device includes: a display screen for the remaining drug amount, a wireless unit and a drug application operation device, wherein: the display screen for the remaining drug amount displays the remaining drug amount in the drug release capsule system on the screen, and the drug application operation device A drug application control signal is sent, and the control signal is transmitted to the drug release capsule system in the digestive tract through the wireless unit. The drug release capsule system sends a control signal to the drug release device according to the control signal, and the drug release device performs drug release treatment on the lesion.
所述的体外图像实时处理装置包括:体外图像实时接收模块和计算机工作站,其中:体外图像实时接收模块实时接收由药物释放胶囊系统发送到体外的拍摄图像并传送到计算机工作站,计算机工作将图像显示在计算机屏幕上,为操作控制者实现药物释放胶囊系统姿态、位置控制和药物释放操作提供图像导航功能。The in vitro image real-time processing device includes: an in vitro image real-time receiving module and a computer workstation, wherein: the in vitro image real-time receiving module receives in real time the photographed image sent to the outside of the body by the drug release capsule system and transmits it to the computer workstation, and the computer works to display the image On the computer screen, an image navigation function is provided for the operator to realize the posture, position control and drug release operation of the drug release capsule system.
本发明与现有技术相比,体外操作控制者对体内药物释放胶囊系统的姿态和位置的能够主动控制,可以完成消化道图像的“定点”诊断,为药物释放操作实现“耙向”操作控制,同时体外主动控制体内药物释放胶囊系统的操作均在视频图像引导下进行,实现真正意义上的图像导航下的消化道疾病的无创诊疗。相比于现有胃镜、肠镜和图像胶囊系统,具有明显的优势,本发明在消化道疾病诊断和治疗方面具有非常重要的实际应用价值。Compared with the prior art, the present invention can actively control the posture and position of the drug release capsule system in the body by the external operation controller, and can complete the "fixed-point" diagnosis of the digestive tract image, and realize the "targeting" operation control for the drug release operation , and at the same time, the operation of the capsule system for actively controlling the drug release in the body is carried out under the guidance of video images, realizing the non-invasive diagnosis and treatment of digestive tract diseases under image navigation in the true sense. Compared with the existing gastroscope, colonoscope and image capsule system, the invention has obvious advantages, and the invention has very important practical application value in the diagnosis and treatment of digestive tract diseases.
附图说明Description of drawings
图1为本发明工作原理示意图。Fig. 1 is a schematic diagram of the working principle of the present invention.
图2为药物释放胶囊结构示意图。Figure 2 is a schematic diagram of the structure of the drug release capsule.
图3为体外磁驱动结构示意图。Fig. 3 is a schematic diagram of the magnetic drive structure in vitro.
图4体施药疗操作控制装置结构示意图。Fig. 4 Schematic diagram of the structure of the control device for body drug application.
图5为体外图像实时处理装置示意图。Fig. 5 is a schematic diagram of an in vitro image real-time processing device.
具体实施方式Detailed ways
下面对本发明的实施例作详细说明,本实施例在以本发明技术方案为前提下进行实施,给出了详细的实施方式和具体的操作过程,但本发明的保护范围不限于下述的实施例。The embodiments of the present invention are described in detail below. This embodiment is implemented on the premise of the technical solution of the present invention, and detailed implementation methods and specific operating procedures are provided, but the protection scope of the present invention is not limited to the following implementation example.
如图1所示,本实施包括:药物释放胶囊系统1、体外磁驱动装置2、体外施药控制装置3和体外图像实时处理装置4,其中:药物释放胶囊系统1位于消化道内进行药物缓释,体外施药控制装置3与药物释放胶囊系统1以无线方式连接并传输药物释放控制信息,体外图像实时处理装置4与药物释放胶囊系统1以无线方式连接并传输胶囊视频信息并以图形方式输出,体外磁驱动装置2与药物释放胶囊系统1通过磁力实现对药物释放胶囊系统1姿态和位置的控制。As shown in Figure 1, this implementation includes: a drug
所述的药物释放胶囊系统1包括:照明系统5、光学系统6和药物释放装置7、外壳8及设置于其内部的主控制系统9、数字图像传感器10、无线收发模块11、电源管理模块12、开关13、药仓14、电池15和永磁体16,其中:药物释放装置7安装在药物释放胶囊外壳8的外表面以实现局部药物释放以及药物释放部位温度实时测量,永磁体16安装药物释放胶囊1的一端,永磁体16产生的永久磁场与体外磁驱动装置2的永久磁场之间的磁力改变药物释放胶囊1的姿态和位置,电源管理模块12与电池15通过开关13相连,开关13闭合时,电源管理模块12将电池15电压转变为合适的直流电压分别输出至数字图像传感器10、照明系统5、主控制系统9、无线收发模块11和药物释放装置7,光学系统6、照明系统5和数字图像传感器10依次串联并设置于外壳8的端部,数字图像传感器10与主控制系统9相连并输出数字图像,无线收发模块11与主控制系统9相连并将数字图像传感器10采集到的视频信息以及采集到的温度信息转化为电磁波并发送至体外,药物释放装置7分别与药仓14和主控制系统9相连以获取药物并接收控制指令。The drug
所述的外壳8为胶囊体状,两端部接近光滑球头状。The
所述的体外磁驱动装置2包括:永磁体17和位置调整机架18,其中:永磁体17固定设置于位置调整机架18上并对药物释放胶囊提供永久磁场。The external
所述的体外施药控制装置3包括:剩余药量显示屏19、无线单元20和施药操作装置21,其中:剩余药量显示屏19将药物释放胶囊系统1内剩余的药量显示在屏幕上,施药操作装置21发出施药控制信号,该控制信号通过无线单元20传送到消化道内的药物释放胶囊系统1,药物释放胶囊系统1根据控制信号发出控制信号到药物释放装置7,药物释放装置7对病灶部位开展药物释放治疗。The in vitro drug
所述的体外图像实时处理装置4包括:体外图像实时接收模块22和计算机工作站23,其中:体外图像实时接收模块22由具有数字无线通讯功能的通用电子元器件构成并接收由药物释放胶囊发送的数字图像信息,体外图像实时接收模块22实时接收由药物释放胶囊系统1发送到体外的拍摄图像并传送到计算机工作站23,计算机工作将图像显示在计算机屏幕上,为操作控制者实现药物释放胶囊系统1姿态、位置控制和药物释放操作提供图像导航功能。The described in vitro image real-
本装置通过以下方式进行工作:患者通过吞服药物释放胶囊1,开关13关闭,电源管理模块12将电池15电压转化为合适电压,药物释放胶囊1开始工作,数字图像传感器10将采集到的消化道壁图像通过图像无线传送装置传送到体外,由体外图像实时接收模块22接收并传送到计算机工作站23,计算机工作站23将图像显示在屏幕上,操作者根据图像,控制体外磁驱动装置的永磁体17改变方向和位置,体内药物释放胶囊的永磁体16跟随体外永磁体17的位置和姿态发生改变,改变药物释放胶囊1在消化道内的位置和状态,数字图像传感器10可以检测不同姿态和位置情况下消化道壁的图像,并传送到体外,从而确保操作者在图像导航下对消化道开展“定点”和“定向”的诊断。在诊断过程中,当发现有疾病时,在图像引导下,操作者控制药物释放胶囊1停留在疾病表面,使药物释放胶囊1的药物释放装置7紧贴疾病表面,操作者利用体外施药控制装置3的施药调节系统21发出施药控制信号,该控制信号通过无线收发模块11传送药物释放胶囊,由药物释放胶囊系统1的无线收发模块11接收并传送到主控制系统9,主控制系统9启动药物释放装置7工作,对疾病表面开展药物“耙向”释放治疗,在施药过程中,主控系统实时检测药仓14内剩余药量,主控制系统9对剩余药量进行AD转换后传送到无线收发模块11,并由无线收发模块11传送到体外,体外施药控制装置3的无线单元20接收到该剩余药量信号后,传送到剩余药量显示屏19上,操作者可以实时掌握施药部位的剩余药量多少,并结合数字图像传感器10检测到的图像对疾病表面开展施药,在施药过程中,操作者可以操作体外磁驱动装置2改变药物释放胶囊的姿态和位置,借助于工作站23上的图像导航,以实现对疾病部位的全方位和“耙向”药物释放治疗。The device works in the following way: the patient swallows the
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