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.