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CN103340679A - Novel gynecological operation auxiliary system - Google Patents

Novel gynecological operation auxiliary system Download PDF

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Publication number
CN103340679A
CN103340679A CN2013102993565A CN201310299356A CN103340679A CN 103340679 A CN103340679 A CN 103340679A CN 2013102993565 A CN2013102993565 A CN 2013102993565A CN 201310299356 A CN201310299356 A CN 201310299356A CN 103340679 A CN103340679 A CN 103340679A
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expansion
software
pipe
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CN103340679B (en
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倪中华
易红
顾兴中
巨小龙
臧波
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Southeast University
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Southeast University
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Abstract

本发明公开了一种新型妇科手术辅助系统,包括扩宫模块、摄像模块、手术器械和软硬件支撑模块;所述的扩宫模块包括若干根扩张丝、内管、外鞘管和三通;所述的摄像模块包括固定架、摄像头和清洗喷头;所述的软硬件支撑模块用于全程显示手术过程的图像,以及进行信息收集与归档存储;固定架安装在扩宫模块的扩张丝上,摄像头与软硬件支撑模块连接;手术器械穿过内管和三通进入宫腔内。本发明能够系统地解决妇科手术中,宫腔扩张、可视化手术和信息归档存储等一系列问题。

The invention discloses a novel auxiliary system for gynecological surgery, which includes a uterine expansion module, a camera module, a surgical instrument, and a software and hardware support module; the uterine expansion module includes a plurality of expansion wires, an inner tube, an outer sheath tube and a tee; The camera module includes a fixed frame, a camera, and a cleaning nozzle; the software and hardware support module is used to display images of the operation process throughout the whole process, and to collect and archive information; the fixed frame is installed on the expansion wire of the uterine expansion module, The camera is connected with the software and hardware support module; the surgical instrument enters the uterine cavity through the inner tube and the tee. The invention can systematically solve a series of problems in gynecological surgery, such as uterine cavity expansion, visualized surgery, and information archiving and storage.

Description

一种新型妇科手术辅助系统A new auxiliary system for gynecological surgery

技术领域technical field

本发明属于医疗器械领域,具体涉及一种妇产科手术医疗器械,适用于可视化人流手术,以及其他一些宫腔内手术。The invention belongs to the field of medical devices, and in particular relates to a medical device for obstetrics and gynecology operations, which is suitable for visualized abortion operations and other intrauterine operations.

背景技术Background technique

膨宫技术广泛应用于妇科手术及宫内检查,其根本作用是将密闭的子宫腔扩张开,形成可视环境和操作环境。但是在目前的很多妇科手术中,例如人工流产手术,由于缺乏合适的膨宫手段,使得医生的可视化操作变得十分困难,这也在一定程度上提高了并发症发生的可能性。Uterine distension technology is widely used in gynecological operations and intrauterine examinations, and its fundamental function is to expand the closed uterine cavity to form a visual environment and an operating environment. However, in many current gynecological operations, such as artificial abortion, due to the lack of suitable uterine distension methods, it is very difficult for doctors to perform visual operations, which also increases the possibility of complications to a certain extent.

当能够得到一个合适的空腔环境后,如何“看”目标区域就显得十分重要。目前在临床上使用的主要有直接可视和间接可视。直接可视是指将目标的实时、真实的图像传递给操作者,例如:摄像头、光纤、硬质内窥镜、色素内镜、胶囊内镜等,其根本方法都是通过传感器来获取图像,而不同的是传感器、光源的位置有区别。间接可视是将相对于直接可视而言的,例如:超声可视、B超可视、CT、核磁共振等,一般获取的图像并不是直观的组织图像。When a suitable cavity environment can be obtained, how to "see" the target area is very important. There are mainly direct visualization and indirect visualization currently used clinically. Direct visualization refers to transmitting real-time and real images of the target to the operator, such as cameras, optical fibers, rigid endoscopes, chromoendoscopes, capsule endoscopes, etc. The fundamental method is to obtain images through sensors. The difference is that the positions of sensors and light sources are different. Indirect visualization is relative to direct visualization, such as: ultrasound visualization, B-ultrasound visualization, CT, nuclear magnetic resonance, etc. Generally, the images obtained are not intuitive tissue images.

目前的可视方法主要是:超声可视,或是B超可视。这种方法的缺点在于很难辨别的出胚囊是否完全被吸净,同时所采用的仪器较多,步骤繁琐,许多医生并不愿意花费大量的力气去实现一个间接可视的效果。因此在大量的医院,将这种可视方式受到部分医生的抵制。The current visualization methods are mainly: ultrasound visualization, or B-ultrasound visualization. The disadvantage of this method is that it is difficult to distinguish whether the embryo sac has been completely sucked. At the same time, many instruments are used and the steps are cumbersome. Many doctors are not willing to spend a lot of effort to achieve an indirect visible effect. Therefore, in a large number of hospitals, this visualization method is resisted by some doctors.

发明内容Contents of the invention

发明目的:为了克服现有技术中存在的不足,本发明提供一种新型妇科手术辅助系统,能够系统地解决妇科手术中,宫腔扩张、可视化手术和信息归档存储等一系列问题。Purpose of the invention: In order to overcome the deficiencies in the prior art, the present invention provides a new auxiliary system for gynecological surgery, which can systematically solve a series of problems in gynecological surgery, such as dilation of the uterine cavity, visual surgery, and information archiving and storage.

技术方案:为实现上述目的,本发明的技术方案如下:Technical scheme: in order to achieve the above object, the technical scheme of the present invention is as follows:

一种新型妇科手术辅助系统,包括扩宫模块、摄像模块、手术器械和软硬件支撑模块;所述的扩宫模块包括若干根扩张丝、内管、外鞘管和三通;所述的扩张丝为具有形状记忆功能材料构成的封闭环,所述的内管的前端与若干根扩张丝固定连接,所述的内管的末端与三通的主路端固定连接,所述的内管和三通为中空结构;所述的外鞘管套在内管的外面;移动外鞘管,扩张丝可收缩在外鞘管内,或伸出外鞘管,扩张成与宫腔相适配的形状;所述的摄像模块包括固定架,固定架上设置有摄像头、清洗喷头;所述的软硬件支撑模块用于全程显示手术过程的图像,以及进行信息收集与归档存储;固定架安装在扩宫模块的扩张丝上,摄像头与软硬件支撑模块连接;手术器械穿过内管和三通进入宫腔内。A new auxiliary system for gynecological surgery, including a uterine expansion module, a camera module, surgical instruments, and hardware and software support modules; The wire is a closed ring made of material with shape memory function, the front end of the inner tube is fixedly connected with several expansion wires, the end of the inner tube is fixedly connected with the main road end of the tee, the inner tube and The tee is a hollow structure; the outer sheath tube is sheathed outside the inner tube; the expansion wire can be shrunk in the outer sheath tube by moving the outer sheath tube, or stretched out of the outer sheath tube, and expanded into a shape suitable for the uterine cavity; The camera module described above includes a fixed frame, on which a camera and a cleaning nozzle are arranged; the software and hardware supporting module is used for displaying images of the operation process throughout the whole process, and for information collection and archiving; the fixed frame is installed on the On the expansion wire, the camera is connected with the hardware and software support module; surgical instruments pass through the inner tube and the tee into the uterine cavity.

更进一步的,所述的摄像模块还包括导线引脚,摄像模块的导线引脚通过信号线与软硬件支撑模块相连;本发明还可以采用无线通信方式,即采用一个可以将数据信息发送至软硬件支撑模块无线信息发送模块。Further, the camera module also includes wire pins, and the wire pins of the camera module are connected to the software and hardware support modules through signal lines; the present invention can also adopt a wireless communication method, that is, a device that can send data information to the software The hardware support module is a wireless information sending module.

更进一步的,所述的扩张丝沿圆周方向、呈放射状均匀设置在内管端部,扩张丝的材料为记忆功能良好的镍钛合金;更进一步的,所述的扩张丝的外围、内管的外围覆均有一层医用防水膜。Furthermore, the expansion wires are uniformly arranged radially at the end of the inner tube along the circumferential direction, and the material of the expansion wires is nickel-titanium alloy with good memory function; further, the periphery of the expansion wires, the inner tube There is a layer of medical waterproof membrane covering the periphery.

本发明通过扩宫模块、摄像模块、手术器械和软硬件支撑模块四个部分组成,在妇科手术中,实现了宫腔扩张、可视化手术和信息归档存储一整套的操作。The present invention is composed of four parts: a uterine expansion module, a camera module, a surgical instrument and a software and hardware support module, and realizes a complete set of operations of uterine cavity expansion, visual surgery and information archiving and storage in gynecological surgery.

有益效果:1.所述的扩张丝为具有形状记忆功能材料构成的封闭环,且扩张丝沿圆周、呈放射状均匀设置在内管端部,由于扩张丝自身的形状和材料特性,且在扩张丝外周覆有一层医用防水膜,极大的减小了对于宫腔的刺激。本发明通过扩宫模块能够有效的扩张宫腔,使宫腔刺激柔化;扩张后的宫腔的空间足以让摄像模块采集到清晰完整的信息图像和手术器械完成相应的妇科手术。Beneficial effects: 1. The expansion wire is a closed ring made of material with shape memory function, and the expansion wire is uniformly arranged at the end of the inner tube along the circumference and radially. The silk is covered with a layer of medical waterproof membrane, which greatly reduces the stimulation of the uterine cavity. The invention can effectively expand the uterine cavity through the uterine expansion module to soften the stimulation of the uterine cavity; the space of the expanded uterine cavity is sufficient for the camera module to collect clear and complete information images and surgical instruments to complete corresponding gynecological operations.

2.所述的软硬件支撑模块通过摄像模块在整个手术的过程中处于录像状态,记录患者各方面的信息,为医疗教学、手术评价及纠纷仲裁问题提供了事实依据。软硬件支撑模块为整个系统提供信息的存储和展示,能够完成对患者信息的收集与归档,手术治疗过程的数据保存以及手术报告自主生成等一整套功能。2. The software and hardware support module is in a video recording state during the whole operation through the camera module, and records all aspects of patient information, which provides a factual basis for medical teaching, operation evaluation and dispute arbitration. The software and hardware support module provides information storage and display for the entire system, and can complete a complete set of functions such as the collection and archiving of patient information, data storage during surgical treatment, and independent generation of surgical reports.

附图说明Description of drawings

附图1为本发明的结构示意图。Accompanying drawing 1 is the structural representation of the present invention.

附图2为本发明的扩宫模块的结构示意图。Accompanying drawing 2 is the structure schematic diagram of the expansion module of the present invention.

附图3为本发明的摄像模块的结构示意图。Accompanying drawing 3 is the structure schematic diagram of camera module of the present invention.

附图4为本发明的三通局部结构放大图。Accompanying drawing 4 is the enlarged view of the partial structure of the tee of the present invention.

附图5为本发明的扩宫模块处于压缩状态的结构示意图。Accompanying drawing 5 is the structural schematic diagram of the expansion module of the present invention in a compressed state.

具体实施方式Detailed ways

下面结合附图对本发明作更进一步的说明。The present invention will be further described below in conjunction with the accompanying drawings.

如附图1所示,一种新型妇科手术辅助系统,包括扩宫模块1、摄像模块2、手术器械3和软硬件支撑模块4。As shown in FIG. 1 , a new gynecological surgery auxiliary system includes a uterine expansion module 1 , a camera module 2 , surgical instruments 3 and a software and hardware support module 4 .

如附图2所示,所述的扩宫模块1包括若干根扩张丝1-1、内管1-4、外鞘管1-2和三通1-3。所述的扩张丝1-1为具有形状记忆功能材料构成的封闭环,如镍钛合金丝,所述的扩张丝1-1沿圆周方向、呈放射状均匀设置在内管1-4端部。扩张丝1-1的外围覆有一层医用防水膜,可以采用医用TPU膜、PU膜、PET膜。所述的内管1-4的前端与若干根扩张丝11固定连接,所述的内管1-4的末端与三通1-3的主路端固定连接,所述的内管1-4和三通1-3为中空结构,内管1-4的外围覆有一层医用防水膜,可以采用医用TPU膜、PU膜、PET膜;所述的外鞘管1-2套在内管1-4的外面。移动外鞘管1-2,扩张丝1-1可收缩在外鞘管1-2内,或伸出外鞘管1-2,扩张成与宫腔相适配的形状。As shown in Figure 2, the dilatation module 1 includes several dilation wires 1-1, an inner tube 1-4, an outer sheath 1-2 and a tee 1-3. The expansion wire 1-1 is a closed ring made of a material with shape memory function, such as a nickel-titanium alloy wire, and the expansion wire 1-1 is uniformly arranged radially at the end of the inner tube 1-4 along the circumferential direction. The periphery of the expansion wire 1-1 is covered with a medical waterproof film, which can be medical TPU film, PU film, PET film. The front end of the inner tube 1-4 is fixedly connected with several expansion wires 11, the end of the inner tube 1-4 is fixedly connected with the main road end of the tee 1-3, and the inner tube 1-4 The tee 1-3 is a hollow structure, and the outer periphery of the inner tube 1-4 is covered with a medical waterproof film, which can be medical TPU film, PU film, PET film; the outer sheath tube 1-2 is sleeved on the inner tube 1 -4 outside. Moving the outer sheath tube 1-2, the expansion wire 1-1 can be shrunk in the outer sheath tube 1-2, or extended out of the outer sheath tube 1-2, and expanded into a shape suitable for the uterine cavity.

如附图3所示,所述的摄像模块2包括固定架2-1,固定架2-1上设置有摄像头2-2、清洗喷头2-3;所述的软硬件支撑模块4用于全程显示手术过程的图像,以及进行信息收集与归档存储;固定架2-1安装在扩宫模块1的扩张丝1-1上,摄像头2-2与软硬件支撑模块4连接;手术器械3穿过内管1-4和三通1-3进入宫腔内。As shown in accompanying drawing 3, described camera module 2 comprises fixed frame 2-1, is provided with camera 2-2, cleaning nozzle 2-3 on fixed frame 2-1; Described software and hardware supporting module 4 is used for whole process Display the images of the operation process, and carry out information collection and archiving storage; the fixed frame 2-1 is installed on the expansion wire 1-1 of the uterine expansion module 1, and the camera 2-2 is connected with the software and hardware support module 4; the surgical instrument 3 passes through the The inner tube 1-4 and the tee 1-3 enter the uterine cavity.

所述的摄像模块2还包括导线引脚2-4,摄像模块2的导线引脚2-4通过信号线与软硬件支撑模块4相连。本发明的摄像模块2与软硬件支撑模块4可以通过有线或无线的方式连接:所述的导线引脚2-4通过信号线经过三通1-3的旁路端1-5与软硬件支撑模块4连接;采用无线通信方式连接:可以将数据信息发送至软硬件支撑模块4无线信息发送模块。The camera module 2 also includes wire pins 2-4, and the wire pins 2-4 of the camera module 2 are connected to the software and hardware support module 4 through signal wires. The camera module 2 of the present invention and the software and hardware support module 4 can be connected in a wired or wireless manner: the wire pins 2-4 pass through the signal line through the bypass end 1-5 of the tee 1-3 and the software and hardware support Module 4 is connected; connected by wireless communication: the data information can be sent to the software and hardware support module 4 wireless information sending module.

所述的手术器械3包含多种妇科手术器械,其中手术器材包括但不限于:负压吸引器,医用剪刀等。所述的软硬件支撑模块4用于全程显示手术过程的图像,以及进行信息收集与归档存储。The surgical instrument 3 includes a variety of gynecological surgical instruments, including but not limited to: negative pressure suction device, medical scissors and so on. The software and hardware support module 4 is used for displaying images of the operation process throughout the process, and for collecting and archiving information.

所述的手术器械3可通过扩宫模块1的内管1-4和三通13的内部通道进入宫腔内。The surgical instrument 3 can enter the uterine cavity through the inner tube 1-4 of the uterine expansion module 1 and the inner channel of the tee 13 .

系统工作时,如附图5所示,扩张丝1-1连同附属的摄像模块2均收敛位于外鞘管1-2内。初始状态下,扩宫模块1拥有一个较小的外径进入到宫腔的特定位置;此时外鞘管1-2向后运动,如附图2所示,由于扩张丝1-1其自身的材料特性,在逐渐减少的外鞘管1-2的束缚后,将会逐渐地恢复到原来定型好的宫腔轮廓形状,进而扩张宫腔。此时扩张过后的宫腔为摄像模块1和手术器械3形成一个足够的的空间。摄像模块2布局紧凑,在清洗喷头2-3的清水喷洗的作用下,降低了血污对于视野的影响。手术器械3通过扩宫模块1的内管1-4和三通1-3的主路端1-6进入到宫腔内进行相应的手术操作,整个手术过程均通过摄像模块录制的信息数据发送到软硬件支撑模块4。When the system is working, as shown in FIG. 5 , the expansion wire 1-1 and the attached camera module 2 are converged and located in the outer sheath tube 1-2. In the initial state, the expansion module 1 has a smaller outer diameter and enters a specific position in the uterine cavity; at this time, the outer sheath 1-2 moves backward, as shown in Figure 2, because the expansion wire 1-1 itself After the material properties of the outer sheath tube 1-2 are gradually reduced, it will gradually return to the original contour shape of the uterine cavity, thereby dilating the uterine cavity. At this time, the expanded uterine cavity forms a sufficient space for the camera module 1 and the surgical instrument 3 . The layout of the camera module 2 is compact, and the influence of blood stains on the visual field is reduced under the effect of cleaning the nozzles 2-3 with clean water. The surgical instrument 3 enters the uterine cavity through the inner tube 1-4 of the uterine expansion module 1 and the main road end 1-6 of the tee 1-3 to perform corresponding surgical operations. The entire surgical process is sent through the information data recorded by the camera module. To software and hardware support module 4.

手术完成后,撤出内管1-4中的手术器械3,推动外鞘管1-2向前移动,压缩扩张丝1-1,当扩张丝1-1完全收入内管1-4中,退出装置,完成手术。After the operation is completed, the surgical instrument 3 in the inner tube 1-4 is withdrawn, the outer sheath tube 1-2 is pushed forward, and the expansion wire 1-1 is compressed. When the expansion wire 1-1 is completely retracted into the inner tube 1-4, Withdraw the device and complete the procedure.

最后,医生对软硬件支撑模块4上的图像及录像信息进行保存和归档,打印手术报告,完成整个过程。Finally, the doctor saves and archives the image and video information on the software and hardware support module 4, prints the operation report, and completes the whole process.

以上所述仅是本发明的优选实施方式,应当指出:对于本技术领域的普通技术人员来说,在不脱离本发明原理的前提下,还可以做出若干改进和润饰,这些改进和润饰也应视为本发明的保护范围。The above is only a preferred embodiment of the present invention, it should be pointed out that for those of ordinary skill in the art, without departing from the principle of the present invention, some improvements and modifications can also be made, and these improvements and modifications are also possible. It should be regarded as the protection scope of the present invention.

Claims (7)

1. a novel gynecilogical operation aid system is characterized in that: comprise and expand palace module (1), photographing module (2), operating theater instruments (3) and software and hardware supporting module (4);
Described expansion palace module (1) comprises some expansion silk (1-1), interior pipe (1-4), epitheca pipe (1-2) and threeways (1-3); Described expansion silk (1-1) is for having the closed-loop that shape memory functional material constitutes, the front end of pipe (1-4) is fixedlyed connected with some expansion silks (1-1) in described, the end of pipe (1-4) is fixedlyed connected with the main road end of threeway (1-3) in described, and described interior pipe (1-4) and threeway (1-3) are hollow structure; Described epitheca pipe (1-2) is enclosed within the outside of interior pipe (1-4); Mobile epitheca pipe (1-2), expansion silk (1-1) is collapsible in epitheca pipe (1-2), or stretches out epitheca pipe (1-2), expands into and the uterine cavity shape adapting;
Described photographing module (2) comprises fixed mount (2-1), and fixed mount (2-1) is provided with photographic head (2-2), cleans shower nozzle (2-3);
Described software and hardware supporting module (4) is used for the omnidistance image that shows operation process, and the information of carrying out is collected and the filing storage;
Fixed mount (2-1) is installed on the expansion silk (1-1) that expands palace module (1), and photographic head (2-2) is connected with software and hardware supporting module (4); Operating theater instruments (3) passes interior pipe (1-4) and threeway (1-3) enters in the uterine cavity.
2. a kind of novel gynecilogical operation aid system according to claim 1, it is characterized in that: described photographing module (2) also comprises lead pin (2-4), and the lead pin (2-4) of photographing module (2) links to each other with software and hardware supporting module (4) by holding wire.
3. a kind of novel gynecilogical operation aid system according to claim 1, it is characterized in that: described photographing module (2) comprises that also can be sent to data message software and hardware supporting module (a 4) wireless messages sending module.
4. a kind of novel gynecilogical operation aid system according to claim 1 is characterized in that: described expansion silk (1-1) along the circumferential direction, be radial interior pipe (1-4) end that evenly is arranged on.
5. a kind of novel gynecilogical operation aid system according to claim 1 is characterized in that: the material of described expansion silk (1-1) is Nitinol.
6. a kind of novel gynecilogical operation aid system according to claim 1 is characterized in that: the periphery of described expansion silk (1-1) is covered with the medical waterproof membrane of one deck.
7. a kind of novel gynecilogical operation aid system according to claim 1 is characterized in that: the periphery of pipe (1-4) is covered with the medical waterproof membrane of one deck in described.
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