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CN112674812A - Minimally invasive surgery system for treating skin lesions - Google Patents

Minimally invasive surgery system for treating skin lesions Download PDF

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Publication number
CN112674812A
CN112674812A CN202110205192.XA CN202110205192A CN112674812A CN 112674812 A CN112674812 A CN 112674812A CN 202110205192 A CN202110205192 A CN 202110205192A CN 112674812 A CN112674812 A CN 112674812A
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adsorption
negative pressure
unit
laser
minimally invasive
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张磊
李娟�
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Guiyang Demandoo Medical Technology Co ltd
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Guiyang Demandoo Medical Technology Co ltd
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Abstract

本发明提供了一种用于治疗皮肤病变的微创手术系统,包括探测单元、表皮吸附固定单元、治疗单元、清洁单元、控制单元和电源单元。探测单元包括超声探测器,表皮吸附固定单元包括气泵机、吸附头和负压传输管,治疗单元包括激光发射器,清洁单元包括负压清洁器。本系统可通过可靠的负压吸附方式固定皮肤病变组织,实时超声成像监测,智能化较高地操作治疗单元和清洁单元,使皮肤病变的去除实现自动化、微创化。

Figure 202110205192

The invention provides a minimally invasive surgery system for treating skin lesions, comprising a detection unit, an epidermis adsorption and fixation unit, a treatment unit, a cleaning unit, a control unit and a power supply unit. The detection unit includes an ultrasonic detector, the epidermal adsorption and fixation unit includes an air pump, an adsorption head and a negative pressure transmission tube, the treatment unit includes a laser transmitter, and the cleaning unit includes a negative pressure cleaner. The system can fix skin lesions through reliable negative pressure adsorption, real-time ultrasonic imaging monitoring, and intelligently operate the treatment unit and cleaning unit, so that the removal of skin lesions can be automated and minimally invasive.

Figure 202110205192

Description

Minimally invasive surgery system for treating skin lesions
Technical Field
The invention belongs to the field of medical machinery, and particularly relates to a minimally invasive surgery system for treating skin lesion.
Background
Currently, if the tumor under the dermis is removed by a traditional operation method, a skin flap transplantation may be needed for the larger tumor. Skin flap transplantation on the one hand leads to scar formation and possibly skin flap necrosis; on the other hand, the anatomical position of possible residual tumor tissue is changed in the skin flap transplantation process, which brings difficulty to treatment after recurrence. In another category of skin diseases, such as bromhidrosis, hematoma and skin necrosis occur in a considerable portion of patients after radical surgical treatment, mainly due to damage to major blood vessels of the skin while the apocrine sweat glands are removed, or hematoma due to incomplete hemostasis.
Disclosure of Invention
The invention aims to solve the technical problems and provides a minimally invasive surgery system which has small surgical trauma and can automatically complete accurate excision of subcutaneous lesions.
The technical scheme adopted by the invention is as follows.
A minimally invasive surgery system for treating skin lesion comprises a detection unit, a epidermis adsorption fixing unit, a treatment unit, a cleaning unit, a control unit and a power supply unit, and is characterized in that:
a detection unit comprising an ultrasound probe provided with an ultrasound probe for detection and monitoring of a lesion area;
the epidermis adsorption fixing unit comprises an air pump, an adsorption head and a negative pressure transmission pipe, wherein the adsorption head is provided with an adsorption port and a negative pressure port which are communicated with each other; the negative pressure port of the adsorption head is connected with the air suction port of the air pump machine through a negative pressure transmission pipe, so that the adsorption port of the adsorption head can adsorb and fix the skin above the focus and keep the skin in a flattened state;
the treatment unit comprises a laser transmitter, wherein a transmitting part of the laser transmitter is provided with a laser probe, and the angle of the laser probe is adjustable, so that the laser probe can extend into the subcutaneous part through a cut formed by manual cutting and can perform laser excision on a subcutaneous lesion;
a cleaning unit comprising a negative pressure cleaner provided with a cleaning probe angularly adjustable for penetrating subcutaneously through said incision and for cleaning outwardly waste tissue resulting from the laser cutting;
the control unit comprises a detection controller, an air pump controller, a laser controller, a cleaning controller and an image controller, wherein the detection controller is used for regulating the starting, stopping and detection range of the ultrasonic detector, the air pump controller is used for regulating the starting, stopping and gas flow rate of the air pump, the laser controller is used for regulating the starting, stopping and laser intensity of the laser emitter, the cleaning controller is used for regulating the starting, stopping and suction intensity of the negative pressure cleaner, and the image controller is used for obtaining a real-time monitoring image of the surgical process through the ultrasonic detector;
the power supply unit comprises a power supply source and a power supply line, wherein the power supply source comprises a battery and an external power supply and is used for supplying power to each electrical device.
The air pump is an air suction pump or an air suction and inflation integrated pump, and the air suction port is arranged on the pump.
In the adsorption head, the fixed cover in absorption mouth surface has the absorption sieve, should adsorb the sieve surface and be equipped with a plurality of sieve mesh.
The sieve pores of the adsorption sieve plate are uniformly distributed, the diameter of each sieve pore is 0.1cm-0.3cm, and the distance between every two adjacent sieve pores is 0.1cm-0.5 cm.
The ultrasonic probe is arranged in the cavity in the middle of the adsorption head, so that the detection, monitoring and adsorption can be carried out simultaneously.
The negative pressure air access source of the negative pressure cleaner is the air suction port of the air suction pump machine, and the negative pressure cleaner is also provided with a waste residue container for collecting sucked waste tissues.
The laser transmitter comprises a carbon dioxide laser transmitter and an erbium laser transmitter.
The image controller is also provided with a display for displaying the images detected and analyzed by the detection unit and monitoring the real-time images in the operation process.
The system is mainly used for the operation treatment of normal epidermis and dermis, tumor with focus on subcutaneous fat, or bromhidrosis. The technical effect of the system is as follows:
1. the skin lesion tissue is fixed in a reliable negative pressure adsorption mode, so that fine operation is facilitated; real-time ultrasonic imaging monitoring, and intelligently and relatively high-effectively operating the treatment unit and the cleaning unit to realize automation and minimally invasive removal of skin lesions;
2. whether the device is used for subcutaneous tumor excision or bromhidrosis, as the ultrasonic monitoring can find larger blood vessels, the robot is operated accurately, and the damage to the larger blood vessels can be avoided, the formation of bleeding and hematoma is reduced, and the tissue necrosis occurrence probability is reduced;
3. if the device is used for tumor resection, real-time monitoring of pathological changes in preoperative operation, accurate operation of a robot, direct pressurization and bandaging after tumor resection can avoid skin transplantation, not only is the complete tumor tissue resection facilitated, but also the wound and the scar formation can be reduced.
Drawings
FIG. 1 is a schematic structural diagram of the present invention.
Illustration of the drawings: 1-air pump, 2-air suction port, 3-negative pressure transmission pipe, 4-adsorption head, 5-ultrasonic probe, 6-laser emitter, 7-negative pressure cleaner, 8-cleaning probe, 9-waste residue container and 10-display.
Detailed Description
The invention will be further described with reference to the accompanying drawings.
The minimally invasive surgical system for treating skin lesion shown in fig. 1 is provided with a detection unit, a epidermis adsorption fixing unit, a treatment unit, a cleaning unit, a control unit and a power supply unit.
The control unit consists of a detection controller, an air pump machine (1) controller, a laser controller, a cleaning controller and an image controller. The detection controller is used for regulating and controlling the starting and stopping of the ultrasonic detector and the detection range. The air pump machine (1) controller is used for regulating and controlling the starting and stopping of the air pump machine (1) and the gas flow rate. The laser controller is used for regulating and controlling the starting and stopping of the laser emitter (6) and the laser intensity. The cleaning controller is used for regulating and controlling the starting and stopping and the suction intensity of the negative pressure cleaner (7). The image controller is also provided with a display (10) which is used for obtaining real-time monitoring images of the operation process through the ultrasonic detector. The power supply unit consists of a power supply and a power supply line, wherein the power supply comprises a battery and an external power supply and is used for supplying power to each electrical device.
The system is provided with a epidermis fixing and adsorbing unit and is used before subcutaneous laser operation. The unit is also provided with an air pump machine (1), an adsorption head (4) and a negative pressure transmission pipe (3), wherein the adsorption head (4) is provided with an adsorption port and a negative pressure port, the adsorption port and the negative pressure port are internally communicated, the negative pressure port is connected with an air suction port (2) of the air pump machine (1) through the negative pressure transmission pipe (3), the surface of the adsorption port is fixedly covered with an adsorption sieve plate, and the surface of the adsorption sieve plate is uniformly provided with a plurality of fine and dense sieve meshes. The diameter of the sieve pore is 0.2cm, and the distance between adjacent sieve pores is 0.3 cm. The adsorption head (4) can be made of organic glass and other materials, negative pressure airflow passes through fine sieve pores to adsorb and fix the skin above the focus and keep the skin in a flattening state, and the sieve pores of the adsorption head (4) can also enable ultrasonic waves to smoothly pass through for detection.
The system is also provided with a detection unit, an ultrasonic detector is arranged in the detection unit, the ultrasonic detector is provided with an ultrasonic probe (5), and the ultrasonic probe (5) is embedded in the cavity in the middle of the adsorption head (4), so that the detection, monitoring and adsorption work can be carried out simultaneously. Through fine mesh, the ultrasonic wave can detect and monitor the epidermis and the focus in the area below the adsorption head (4) under the condition of no damage or low loss, can accurately detect and obtain the position and the range of the subcutaneous focus, determine the epidermis separation and the operation area, monitor the subsequent laser minimally invasive operation process, and display and implement the monitoring through a display (10) in the control unit.
The system is internally or externally connected with a skin cutting device, such as a metal scalpel, an electrotome and other surgical cutters, scissors and the like. When the ultrasonic detector is used, the epidermis is adsorbed and fixed outwards, and the position of the incision of the epidermis and the size of the incision are accurately determined by an operator according to the detection area of the ultrasonic detector.
The system is provided with a treatment unit comprising a carbon dioxide laser emitter (6), an erbium laser emitter (6) and other lasers aimed at vaporizing tissue. The emitting part of the laser emitter (6) is provided with a laser probe, the angle of the laser probe is adjustable, and the laser probe extends into the subcutaneous part through the incision and carries out laser excision to the subcutaneous focus through monitoring images.
The system is provided with a cleaning unit which is a negative pressure cleaner (7), and the negative pressure gas access source of the negative pressure cleaner (7) is the air suction port (2) of the air suction and inflation integrated pump machine. The device is simultaneously provided with a cleaning probe (8) and a waste residue container (9), the angle of the cleaning probe (8) is adjustable, and after laser elimination of a focus is completed, the cleaning probe (8) extends into the subcutaneous part through a cut and sucks out waste tissues eliminated by laser and cleans the waste tissues into the waste residue container (9).
Through the sequential work of the units, after the incision is sutured, the minimally invasive surgery for treating skin lesion is completed by locally pressurizing and binding, and the integrated intelligent assistance and implementation of the minimally invasive surgery process are realized.
The foregoing merely represents preferred embodiments of the invention, which are described in some detail and detail, and therefore should not be construed as limiting the scope of the invention. It should be noted that, for those skilled in the art, various changes, modifications and substitutions can be made without departing from the spirit of the present invention, and these are all within the scope of the present invention. Therefore, the protection scope of the present patent shall be subject to the appended claims.

Claims (8)

1.一种用于治疗皮肤病变的微创手术系统,包括探测单元、表皮吸附固定单元、治疗单元、清洁单元、控制单元和电源单元,其特征在于:1. a minimally invasive surgery system for the treatment of skin lesions, comprising a detection unit, an epidermis adsorption and fixation unit, a treatment unit, a cleaning unit, a control unit and a power supply unit, characterized in that: —探测单元,包括超声探测器,该超声探测器设有超声探头,用于对病灶区域的探测和监测;- a detection unit, including an ultrasonic detector, which is provided with an ultrasonic probe for detection and monitoring of the lesion area; —表皮吸附固定单元,包括气泵机、吸附头和负压传输管,所述吸附头设有吸附口和负压口,二者间内部贯通;所述吸附头的负压口通过负压传输管与所述气泵机的吸气口连接,使所述吸附头的吸附口可将病灶上方皮肤吸附固定,保持皮肤处于展平状态;—Skin adsorption and fixing unit, including air pump, adsorption head and negative pressure transmission pipe, described adsorption head is provided with adsorption port and negative pressure port, and the two are connected internally; the negative pressure port of described adsorption head passes through negative pressure transmission pipe It is connected with the suction port of the air pump machine, so that the suction port of the suction head can absorb and fix the skin above the lesion and keep the skin in a flat state; —治疗单元,包括激光发射器,所述激光发射器的发射部设有激光探头,该激光探头角度可调,用于通过人工切割形成的切口伸入皮下并对皮下病灶进行激光切除;- a treatment unit, comprising a laser transmitter, the emitting part of the laser transmitter is provided with a laser probe, the angle of the laser probe is adjustable, and is used for extending into the subcutaneous through an incision formed by manual cutting and performing laser ablation of the subcutaneous lesion; —清洁单元,包括负压清洁器,该负压清洁器设有清洁探头,该清洁探头角度可调,用于通过所述切口伸入皮下并将已激光清除的废弃组织向外清理;- a cleaning unit, including a negative pressure cleaner, the negative pressure cleaner is provided with a cleaning probe, the angle of the cleaning probe is adjustable, and is used for extending into the subcutaneous through the incision and cleaning the waste tissue that has been removed by the laser to the outside; —控制单元,包括探测控制器、气泵机控制器、激光控制器、清洁控制器和图像控制器,所述探测控制器用于调控所述超声探测器的启停和探测范围,所述气泵机控制器用于调控所述气泵机的启停和气体流速,所述激光控制器用于调控所述激光发射器的启停和激光强度,所述清洁控制器用于调控所述负压清洁器的启停和吸入强度,所述图像控制器用于通过所述超声探测器获得手术过程的实时监测图像;a control unit, including a detection controller, an air pump controller, a laser controller, a cleaning controller and an image controller, the detection controller is used to regulate the start-stop and detection range of the ultrasonic probe, and the air pump controls The controller is used to regulate the start and stop of the air pump and the gas flow rate, the laser controller is used to regulate the start and stop of the laser emitter and the laser intensity, and the cleaning controller is used to regulate the start and stop of the negative pressure cleaner. Inhalation intensity, the image controller is used to obtain real-time monitoring images of the surgical process through the ultrasonic detector; —电源单元,包括供电电源和供电线路,所述供电电源包含电池和外接电源,用于为各电性装置供电。- A power supply unit, including a power supply and a power supply circuit, the power supply includes a battery and an external power supply, and is used to supply power to each electrical device. 2.根据权利要求1所述的一种用于治疗皮肤病变的微创手术系统,其特征在于,所述气泵机为吸气泵机或吸气充气一体泵机,并在泵机上设有所述吸气口。2. A minimally invasive surgery system for treating skin lesions according to claim 1, wherein the air pump is a suction pump or a suction-inflating integrated pump, and the pump is provided with a Describe the suction port. 3.根据权利要求1所述的一种用于治疗皮肤病变的微创手术系统,其特征在于,所述吸附头中,所述吸附口表面固定覆盖有吸附筛板,该吸附筛板表面设有若干个筛孔。3 . The minimally invasive surgery system for treating skin lesions according to claim 1 , wherein, in the adsorption head, the surface of the adsorption port is fixedly covered with an adsorption sieve plate, and the surface of the adsorption sieve plate is provided with an adsorption sieve plate. 4 . There are several meshes. 4.根据权利要求3所述的一种用于治疗皮肤病变的微创手术系统,其特征在于,所述吸附筛板的筛孔均匀分布,筛孔直径为0.1cm-0.3cm,相邻筛孔间距为0.1cm-0.5cm。4. A minimally invasive surgical system for treating skin lesions according to claim 3, wherein the sieve holes of the adsorption sieve plate are evenly distributed, the diameter of the sieve holes is 0.1cm-0.3cm, and the adjacent sieves are The hole spacing is 0.1cm-0.5cm. 5.根据权利要求1或3所述的一种用于治疗皮肤病变的微创手术系统,其特征在于,所述超声探头安装于所述吸附头中部的腔体内,使探测、监测与吸附工作可同时进行。5. A minimally invasive surgical system for treating skin lesions according to claim 1 or 3, wherein the ultrasonic probe is installed in the cavity in the middle of the adsorption head, so that detection, monitoring and adsorption work can be performed simultaneously. 6.根据权利要求1或2所述的一种用于治疗皮肤病变的微创手术系统,其特征在于,所述负压清洁器的负压气体接入来源为所述气泵机的吸气口,该负压清洁器还设有用于收集吸入废弃组织的废渣容器。6. A minimally invasive surgical system for treating skin lesions according to claim 1 or 2, wherein the negative pressure gas access source of the negative pressure cleaner is the suction port of the air pump machine , the negative pressure cleaner is also provided with a waste residue container for collecting and sucking waste tissue. 7.根据权利要求1所述的一种用于治疗皮肤病变的微创手术系统,其特征在于,所述激光发射器包括二氧化碳激光发射器和铒激光发射器。7 . The minimally invasive surgery system for treating skin lesions according to claim 1 , wherein the laser emitters comprise carbon dioxide laser emitters and erbium laser emitters. 8 . 8.根据权利要求1所述的一种用于治疗皮肤病变的微创手术系统,其特征在于,所述图像控制器还设有显示器,用于显示探测单元所探测和分析的影像,以及监测手术过程中的实时影像。8. A minimally invasive surgical system for treating skin lesions according to claim 1, wherein the image controller is further provided with a display for displaying the images detected and analyzed by the detection unit, and monitoring the Live images during surgery.
CN202110205192.XA 2021-02-24 2021-02-24 Minimally invasive surgery system for treating skin lesions Pending CN112674812A (en)

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CN112220551A (en) * 2020-12-10 2021-01-15 上海微创医疗器械(集团)有限公司 Freezing fat-dissolving treatment assembly and device
CN215272972U (en) * 2021-02-24 2021-12-24 贵阳德漫多医疗科技有限公司 Minimally invasive surgery system for treating skin lesions

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140343574A1 (en) * 2006-03-29 2014-11-20 Edge Systems Llc Devices, systems and methods for treating the skin
CN103458817A (en) * 2011-02-11 2013-12-18 El.En.股份公司 Device and method for skin laser treatment
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CN112220551A (en) * 2020-12-10 2021-01-15 上海微创医疗器械(集团)有限公司 Freezing fat-dissolving treatment assembly and device
CN215272972U (en) * 2021-02-24 2021-12-24 贵阳德漫多医疗科技有限公司 Minimally invasive surgery system for treating skin lesions

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Application publication date: 20210420