CN113077662A - Laparoscopic surgery and training system based on 5G network technology application - Google Patents
Laparoscopic surgery and training system based on 5G network technology application Download PDFInfo
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Abstract
The invention discloses a laparoscopic surgery and training system based on 5G network technology application.A holographic projection device is respectively arranged at a training foreground and an expert background; at least one patient lies on a corresponding operating table, when a laparoscopic device is used for operation, the acquired data are transmitted to a data management module in real time through a 5G network, and after processing, virtual stereo images are formed in a virtual space for observation and control of surgeons, and are used for background experts, evaluation, monitoring and training, and relevant feedback information is integrally displayed on the virtual stereo images of the front table, interaction among the virtual stereo images is realized in real time, and finally, operation training results are displayed on a training scoring system in real time for improvement according to the specific requirements of national approved laparoscopic operation standard teaching materials; by adopting the scheme, the standardized training of multiple surgeons can be realized simultaneously by means of professional guidance of background experts and according to relevant laparoscopic surgery standard teaching materials, and the purpose of quickly improving the surgical skills is achieved.
Description
Technical Field
The invention relates to the technical field of network control and laparoscopy, in particular to a laparoscopic surgery and training system based on 5G network technology application.
Background
With the rapid advance of industrial manufacturing technology and the fusion of related subjects, a firm foundation is laid for the development of new technology and new method, and more skillful operation of doctors is added, so that many past open operations are replaced by intracavity operations, and the operation selection opportunities are greatly increased.
The laparoscopic surgery is a newly developed minimally invasive method, is an inevitable trend for the development of future surgical methods,
the laparoscopic surgery is to make a plurality of small incisions with the diameter of 5-12 mm at different parts of the abdomen, insert a camera lens and various special surgical instruments through the small incisions, transmit images of various organs in the abdominal cavity shot by a camera inserted into the abdominal cavity to a television screen, and complete the surgery by operating various surgical instruments outside the body by observing the images by a surgeon.
However, in the process of popularization, there are many defects, which mainly appear as follows:
1. laparoscopic devices are expensive and complicated to operate. Requiring re-training in laparoscopic surgery places greater technical demands on the operating surgeon.
2. The operation time is difficult to estimate before the operation, and the operation is changed into an open operation in the special case.
3. Laparoscopic surgery has increased surgical risk in special cases.
Disclosure of Invention
In order to solve the defects, the invention utilizes the characteristics of large data transmission quantity and high speed of the 5G network, and realizes the purpose of quickly improving the surgical skill by means of professional guidance of background experts, referring to the displayed virtual image and according to the standard teaching material requirements of related laparoscopic surgery and through standardized training of surgeons, thereby finally effectively solving the defects.
In order to achieve the aim, the invention provides a laparoscopic surgery and training system based on 5G network technology application, which comprises laparoscopic equipment, a data management module, an expert background, holographic projection equipment and a training scoring system, wherein the laparoscopic equipment is connected with the data management module; the holographic projection equipment is respectively arranged at a training foreground and an expert background; at least one patient lies on a corresponding operating table, a surgeon training a front desk operates the laparoscope equipment to carry out operation training, in the operation training process, the laparoscope equipment collects audio and video data of visceral organs and tissues of the patient, transmits the audio and video data to the data management module in real time through a 5G network, is processed by the data management module and transmits the data to the holographic projection equipment, virtual stereo images respectively formed in a virtual space are provided for the surgeon through the holographic projection equipment, in the operation process, the virtual stereo images are observed and controlled, and a background expert of an expert background timely feeds back opinion information in a voice and/or image prompting mode, through the processing of the data management module, the interaction between the background expert and the surgeon is realized in real time through the integrated display of the virtual stereo image on the holographic projection equipment arranged on the training foreground, the monitoring and the training guidance of the operation process of the surgeon are realized by the background expert, the operation training result is finally displayed on the training scoring system in real time according to the specific requirements of the laparoscopic operation standard teaching materials approved by the relevant national health administration, and the relevant defects are pointed out for the continuous improvement of the surgeon.
Further, the backend expert can control the virtual stereo image according to the specific operation position required on the displayed virtual stereo image, particularly label the virtual stereo image with colors, and finally transmit the related virtual stereo image to the virtual stereo image arranged on the training foreground in real time through a 5G network to prompt and guide the specific operation of the surgeon.
The background expert marks the part to be concerned on the virtual stereo image by color and transmits the part to the virtual stereo image of the training foreground in real time, so that the surgeon on the training foreground can quickly identify the part and accurately operate according to the opinion of the background expert, and the effect of improving the operation accuracy is achieved.
Further, the laparoscopic device comprises a laparoscopic detection system, a function execution system and a surgical instrument, wherein the function execution system comprises a CO2 pneumoperitoneum system, an electric cutting system and an irrigation-suction system; the laparoscope detection system is used for detecting abdominal visceral organs of a patient; the function execution system, wherein the CO2 pneumoperitoneum system fills the abdominal cavity required by the scheduled operation with carbon dioxide at 12-15mmHg, providing a wide space and visual field for the operation; the electric cutting system is used for cutting pathological tissues in an operation; the flushing-sucking system is used for cleaning the visceral organs and leading out cleaning fluid in the operation process; the surgical instrument is used for specific surgical operation and can be correspondingly configured according to the requirements of performing operations on different visceral organs and tissues.
The laparoscope equipment can achieve the effect of ensuring normal and reliable implementation of the laparoscopic surgery on the basis of selecting different appropriate surgical instruments according to the needs.
Furthermore, the laparoscope detection system comprises a miniature camera probe, a lighting cold light source, an insertion rod, a1 st data transceiver, a data processor and a2 nd data transceiver which are integrally arranged, wherein the miniature camera probe is arranged at one end of the insertion rod, the lighting cold light source is arranged along the outer surface of the miniature camera probe, the lighting cold light source is an led light source, the other end of the miniature camera probe is provided with an optical fiber, the optical fiber penetrates through an inner cavity of the insertion rod communicated with the miniature camera probe and is finally connected with a receiving end of the 1 st data transceiver arranged at the other end of the insertion rod; the miniature camera probe penetrates into the abdomen of a patient to detect related visceral organs, detected audio and video data are transmitted to the 1 st data transceiver through the optical fiber, and are transmitted to the data processor through the 5G network by using the 1 st data transceiver, and the data processor is wirelessly transmitted to the data management module through the 2 nd data transceiver and the 5G network, and finally transmitted to the training foreground and the expert background.
Firstly, the lighting device, the camera shooting device and the data repeater are integrally arranged, and are finally transmitted to a training foreground and an expert background through a 5G network by means of the forwarding of the data transceiver and the data processor and a data management module, so that compared with conventional equipment, the effects of greatly simplifying the equipment, and being more intelligent and simpler to control can be achieved; secondly, the illumination cold light source is arranged along the outer surface of the miniature camera probe, so that the effect of more comprehensive and clear illumination on visceral organs can be achieved; finally, the led light source is arranged, so that the visceral organs can be clearly illuminated, and the shooting definition is improved.
Furthermore, the shell of the miniature camera probe is a cylinder, a transparent transmission window is arranged on one end face of the cylinder, the transmission window displays an arc shape protruding outwards, and the miniature camera probe is placed in the cylinder and can rotate up and down around the central axis of the cylinder.
The above arrangement can achieve the effect of facilitating the penetration into the abdomen of a patient and detecting with a larger observation angle. The camera is arranged in the cylinder and can rotate up and down, so that the effect of increasing the observed visual field when the camera penetrates into the visceral organs; and secondly, the transparent transmission window with the arc-shaped bulges can increase the observation definition, smoothly push open the visceral organs and bring convenience to clear shooting.
Furthermore, a1 st driving motor is further arranged, the 1 st driving motor is connected with the miniature camera head, is connected with the miniature camera probe and is arranged in the cylindrical shell in a built-in mode, and can control the miniature camera probe to rotate up and down and rotate by a rotation angle of +/-10 degrees along the central axis of the insertion rod through the 1 st data transceiver according to signals fed back by the data management module.
The 1 st driving motor controls the miniature camera to rotate by +/-10 degrees from top to bottom, so that the angle of the adjustable camera in a wider range can be achieved, a larger visual angle is facilitated, and the effect of large-range observation is achieved.
Further, still set up 2 driving motor, 2 nd driving motor sets up miniature camera probe and inserted bar junction, and the surface of junction adopts flexible medical sealing material to seal, through 1 st data transceiver, control is placed miniature camera probe's cylindrical shell is followed the inserted bar axis, the tilting, turned angle is 30 degrees.
Firstly, the 2 nd driving motor is arranged to control the cylindrical shell of the miniature camera to rotate at an angle of +/-30 degrees up and down, so that the effect of further adjusting the camera shooting angle in a wider range according to the requirement can be achieved, and the observation at a wider viewing angle is facilitated; secondly, the connection part is sealed by a flexible sealing material, so that the visceral organs can be prevented from being accidentally injured during rotation, and the visceral organs can be prevented from being infected; finally, the 2 nd driving motor can be used for rotating force, so that the visceral organs are pushed away more conveniently, and a clearer observation effect is achieved.
Further, the training scoring system comprises a scoring wireless receiver and a scoring display, wherein a background expert in the background of the expert gives out specific evaluation scoring information according to the specific requirements of the laparoscopic surgery normative teaching materials according to the operation conditions of different surgeons in a training foreground, the evaluation scoring information is finally displayed on the scoring display after being received by the scoring wireless receiver through the data management module, the evaluation scoring display is further refined and processed by a qualification teacher configured in the training scoring system, and then the evaluation scoring information is integrally displayed to different surgeons through a virtual image of the training foreground through the data management module, so that the technology is improved, and the communication between the background expert and/or the qualification teacher arranged in the training scoring system is realized.
The scoring system is arranged, scoring is performed by a background expert, then scoring is further refined by a senior teacher, and finally an operable and improved scheme is formed for the improvement of the self technology of the surgical doctor; secondly, through mutual communication, the surgical surgeon can quickly know the technical defects of the surgical surgeon and quickly improve the surgical surgeon, so that the standardized surgical level is quickly improved, and the required training time is greatly shortened.
Furthermore, the plurality of laparoscopic devices can be modularly arranged through a qualification teacher of the training scoring system, the data processor of the laparoscopic device, which is set as a main module, firstly receives the data in a centralized manner and processes the data processors of the laparoscopic devices of other sub-modules, the acquired data and the scoring information of the qualification teacher of the training scoring system are transmitted to the data management module in a centralized manner through a 5G network, and then the data management module is used for monitoring and improving the operation of a surgeon who performs teaching and training and the scoring details of the qualification teacher by using the plurality of laparoscopic devices through the displayed virtual stereo image by a background expert at the expert background; the surgery performed by the surgeon of the laparoscopic device, which is configured as a master module, selected as a senior surgeon, may be used as a standard surgical teaching demonstration for guiding the surgeon's surgery for the other sub-modules.
According to the modularized arrangement, firstly, the effects of optimizing network data transmission and processing and further improving monitoring efficiency can be achieved; secondly, when a certain device breaks down, the device is convenient to replace in time, and the adverse effect on the operation is greatly reduced, so that the effect of the stability of the quality of a plurality of operations is improved; thirdly, the teaching and training quality can be further ensured by monitoring of background experts and real-time mutual communication, so that the level of standardized operation of a surgeon can be improved, and finally, a solid foundation effect is laid for stable operation quality; finally, the surgeon operating the main module laparoscopic device is set as a qualified surgeon, so that standard operation example guidance can be provided for the surgeons operating the sub-module laparoscopic devices, perceptual knowledge can be improved, and the defects of the surgeons can be found in time according to the example operation, so that the effect of rapidly improving the standard operation level of the surgeons can be achieved.
Furthermore, inexperienced surgeons or medical students are used for teaching and training the operation patients, such as simulators or human body specimens; and the surgeon who is experienced and qualified by the physician and who is in compliance can further train the patient through the way the patient is operated clinically.
Firstly, inexperienced surgeons or medical students can quickly and standardly master operation skills and greatly shorten the time required by training the operation of a dummy or a human body specimen; secondly, the surgeon who has experience, and holds the qualification of the doctor and is in compliance can directly carry out the operation on the patient, and the effect of further and rapidly improving the self-standardized operation level can be achieved through the accumulation of the real clinical operation experience; finally, different training is required for the different stages, and the effect of greatly shortening the training period of the surgeon can be achieved.
Further, the holographic projection device is a laser projection device.
By adopting the laser projection equipment, the laser projection equipment is used on a large scale at present, so that the effect of scale popularization at a lower price can be achieved on the basis of improving the reliability of the equipment.
By adopting the technical scheme, the characteristics of large and quick data transmission quantity of the 5G network are utilized, the displayed virtual three-dimensional image is referred by virtue of professional guidance of a background expert, real-time communication between a surgeon and the expert is realized, the monitoring and training of the expert are realized, and the generated effect is as follows:
through standardized professional training, the technical level of surgeons can be quickly improved, and the effect that the operation levels are not greatly different from each other and the operation quality is stable particularly in batch operation is finally achieved;
2, the time required by the operation time can be reduced, and the probability that the operation is changed into an open operation in a special situation can be reduced;
the operation training is completely in an intelligent monitoring state in real time, so that the intelligent level of the operation is greatly improved, and the effect of the probability of increasing the operation risk under special conditions can be effectively reduced;
4, 5G network resources are fully utilized, and the effect of accurately and effectively training one surgeon and effectively training multiple surgeons in batches can be achieved with lower training cost;
5, the standard teaching materials approved by the national health administration are used for guiding the training, so that the effect of effectively improving the operation level of a surgeon and reducing the influence of personal factors on the success rate of the operation in the operation process by the standardized training can be achieved, and finally the operation quality is more stable.
Drawings
Fig. 1 is a working principle diagram of the present invention.
FIG. 2 is a schematic diagram of the operation of the laparoscope detection system of the present invention.
FIG. 3 is a schematic view of the large angle rotation of the laparoscope probing system of the present invention.
In the figure, 1-operation table A, 1 a-operation table B, 2-patient A, 2 a-patient B, 3-laparoscope device A, 3 a-laparoscope device B, 31-operation apparatus A, 31 a-operation apparatus B, 32-laparoscope detection system A, 32 a-laparoscope detection system B, 321-outer shell, 3211-transmission window, 3212-illumination cold light source, 32121-transmission window side cold light source, 32122-outer shell surface cold light source, 3213-miniature camera probe, 3214-1 st driving motor, 322-2 nd driving motor, 3221-flexible medical sealing material, 323-insertion rod, 3231-control button, 3232-lithium battery, 324-optical fiber, 325-1 st data transceiver A, 33-function execution system A, 33 a-function execution system B, 34-data processor A, 34 a-data processor B, 35-2 nd data transceiver A, 35 a-2 nd data transceiver B, 4-training front A, 4 a-training front B, 41-1 st holographic projection device A, 41 a-1 st holographic projection device B, 42-1 st virtual stereo image A, 42 a-1 st virtual stereo image B, 5-surgeon A, 5 a-surgeon B, 6-data management module, 7-expert back, 71-2 nd holographic projection device, 72-2 nd virtual stereo image, 73-back expert, 8-training scoring system, 81-display, 811-3 rd data transceiver, 82-training scoring system data processor, 83-senior teacher.
Detailed Description
In order to make those skilled in the art better understand the technical solution of the present invention, the technical solution of the present invention will be described in detail below with reference to the accompanying drawings and specific embodiments.
As shown in fig. 1, the invention provides a laparoscopic surgery and training system based on 5G network technology application, comprising a laparoscopic device A3, a laparoscopic device B3a, a data management module 6, an expert back table 7, a1 st holographic projection device a41, a1 st holographic projection device B41a, a2 nd holographic projection device 71, and a training scoring system 8.
1 st holographic projection device a41, set at training front a4, for surgeon a 5; the 1 st holographic projection device B41a is arranged at a training foreground B4a for a surgeon B5a, the 2 nd holographic projection device 71 is arranged at an expert background 7, and a background expert 73 can manage the 2 nd virtual stereo image 72 generated by projection of the 2 nd holographic projection device 71, namely directly on the 2 nd virtual stereo image 72 to complete required control.
A patient A2, lying on an operating table A1, is trained by a surgeon A5 at a training front desk A4 to operate a laparoscopic device A3 for surgical training; the patient B2a is then placed on the operating table B1a, trained by the surgeon B5a at the training front desk B4a, operating the laparoscopic device B3a, and performing surgical training.
When a surgeon A5 operates the laparoscope device A3 to perform surgical training, collected audio and video data of visceral organs of a patient A2 and collected audio and video data of visceral organs of a surgeon B2a are respectively transmitted to the data management module 6 through a 5G network in real time when the surgeon B5a operates the laparoscope device B3a to perform surgical training, and after the audio and video data are processed by the data management module 6, on one hand, the audio and video data are transmitted to a1 st holographic projection device A41 of a training foreground A4, and a1 st virtual stereo image A42 displayed by a1 st holographic projection device A41 is used for observation of the surgeon A5; meanwhile, the audio and video data are also sent to the 1 st holographic projection device B41a of the training foreground B4a in real time, and the 1 st virtual stereo image B42a displayed by the 1 st holographic projection device B41a is observed by a surgeon B5 a; on the other hand, audio and video data are synchronously transmitted to the 2 nd holographic projection device 71 of the expert background 7, the 2 nd virtual stereo image 72 displayed by the 2 nd holographic projection device 71 is provided for a background expert 73 to observe operations of the surgeon A5 and the surgeon B5a in real time, and meanwhile, the assessment, monitoring and training of the operations of the surgeon A5 and the surgeon B5a are finally realized in a mode of directly operating on the 2 nd virtual stereo image 72.
At this time, the background expert 73 timely transmits opinion information in a voice mode, an image mode and a voice and image mixed mode according to related evaluation, monitoring and training information, feeds back the opinion information through the data management module 6, processes the opinion information through the data management module 6, and finally transmits the opinion information to the 1 st holographic projection device A41 and the 2 nd holographic projection device 71 respectively, and integrally displays the opinion information on the 1 st virtual stereo image A42 through the 1 st holographic projection device A41 for observation of a surgeon A5; and integrally displayed in the 1 st virtual stereoscopic image B42a by the 1 st holographic projection device B41a for the surgeon B5a to observe.
The surgeon A5 can see the audio and video image data of the laparoscopic surgery of the surgeon in real time through the 1 st virtual stereo image A42 and the feedback information of the opinions of the backstage expert 73 on the surgery of the surgeon; the surgeon B5a can also see the audio-video image data of his own laparoscopic surgery in real time through the 1 st virtual stereo image B42a, and the backend expert 73 can feed back the information about his own surgery.
Meanwhile, the surgeon A5 can interact with the backend expert 73 in an audio and/or video manner through the manipulation of the 1 st virtual stereo image A42 and the manipulation of the 1 st virtual stereo image B42a by the surgeon B5 a.
Meanwhile, in the process of monitoring the operation process of the surgeon A5 and the surgeon B5a and training and guiding, the backend expert 73 can finally display the operation training result on the training scoring system 8 in real time according to the specific requirements of relevant laparoscopic operation standard teaching materials through the evaluation of the backend expert 73 and indicate relevant defects for the continuous improvement of the surgeon A5 and the surgeon B5 a.
The practical operation of the training scoring system 8 is that, on one hand, the background expert 73 transmits the assessment results to the training scoring system data processor 82 through the data management module 6 and by using a 5G network, in addition to the 1 st holographic projection device A41 and the 2 nd holographic projection device 71, the assessment results are simultaneously transmitted to the training scoring system data processor 82 in real time, the training scoring system data processor 82 transmits the assessment results to the display 81 through the reception of the 3 rd data transceiver 811, the assessment results are finally displayed on the display 81 for the senior teacher 83 of the training scoring system 8, the background expert 73 is further supplemented and perfected with the details of the assessment results, the related information is transmitted to the data management module 6 through the training scoring system data processor 82, the results are fed back to the background expert 73 through the processing of the data management module 6, and on the other hand, the assessment results are also displayed on the 1 st virtual stereo image A42, the background expert 73 in real time and the real time, The 1 st virtual stereo image B42a is referenced by surgeon a5 and surgeon B5a, respectively, and at the same time, surgeon a5, surgeon B5a and backend expert 73 can also communicate with each other with the senior teacher 83.
The background expert 73 can select experts with advanced technical levels in the industry, such as professors of university and the like, and the senior teachers 83 can select teachers with abundant operation experiences or doctors to play a role, so that the purpose of setting is that in order to reduce the workload of the background expert 73, the background expert 73 only carries out overall evaluation on the operations of a surgeon A5 and a surgeon B5a, so as to realize overall grasp, and the specific detail part content is operated by the senior teachers 83, so that the utilization of teaching resources can be maximized, one background expert 73 can simultaneously guide hundreds of operations, even more, and the senior teachers 83 can simultaneously complete the improvement of the evaluation details of hundreds of operations, and in actual use, a plurality of ways of senior teachers 83 can be configured, each senior teacher 83 can be responsible for the operation evaluation of a certain number of operations, the training system can be flexibly set according to the training difficulty, for example, 100 operations can be trained simultaneously, 2 senior teachers 83 can be set, each teacher is responsible for 50 operations, or 100 operations are trained, wherein 80 operators are trained for inexperienced surgeons and the like, 20 operators are further trained for experienced surgeons, 1 senior teacher 83 can be responsible for 60 operations, and the other operator is only responsible for 20 operations, and the training system is mainly based on the training of the inexperienced surgeons and the like, is not difficult, and is more difficult to consider for the experienced surgeons; meanwhile, when a more serious and difficult operation is encountered and the senior teacher 83 cannot succeed, the problem can be solved directly by the background expert 73, so that the training efficiency is greatly improved.
The scoring system 8 is arranged to score by the background expert 73, further refine the scoring by the senior teacher 83 and finally form an operable and improved scheme for the improvement of the surgeon on the self technology, firstly, the workload of the background expert can be reduced, and more surgeons can be served at the same time, so that the training efficiency is improved; secondly, through mutual communication, the technical defects of the surgeons can be quickly known, so that the surgical surgeons can quickly improve the surgical defects, the standardized surgical level is quickly improved, and the required training time is greatly shortened.
When there are few trained surgeons or the trained surgeons are of a higher rank, such as surgeons with a higher job title, to save resources, the training can be performed directly by the back-end specialist 73 without intervention of the senior teacher 83; the display 81 used by the senior teacher 83 may be a suitable device such as a video tube type, a liquid crystal display, or a projection display, or may be a virtual stereo image.
The projection equipment used by surgeons A5 and B5a mainly aims to display on a large screen according to the needs of actual operation occasions, so that observation is more careful in the operation, misoperation of the operation is avoided to be reduced, meanwhile, a virtual stereo image is used, the virtual stereo image is set on the basis of the characteristics that the data transmission quantity of a 5G network is large and rapid, real-time display and communication can be realized, risks caused by untimely image transmission due to data delay are effectively avoided, and in actual use, other suitable modes can be selected to display patterns.
In the embodiment, only 2 patients are set for operation training, and in the actual operation training, the number of the patients can be set for operation training by only one patient, and certainly, if the conditions are appropriate, the operation training of more patients can be set at the same time, for example, hundreds of operation training can be set at the same time, and the number can be determined according to specific conditions.
The standard teaching materials approved by the national health administration department can be used for guiding training, so that the standard training can be realized, the operation level of a surgeon can be effectively improved, the operation success rate is reduced due to the influence of personal factors on the operation in the operation process, the operation quality is ensured to be more stable, and the standard teaching materials approved by the national health administration department can be compiled by an authoritative hospital or an authoritative specialist besides the direct organization and compilation of the national health administration department.
In order to realize rapid identification and perform an operation accurately according to the opinions of the background expert 73, and improve the accuracy rate of the operation, preferably, the background expert 73 can label specific parts on the 2 nd virtual stereo image 72 with colors by controlling the 2 nd virtual stereo image 72 according to the specific operation parts required on the displayed 2 nd virtual stereo image 72, and finally display the 2 nd virtual stereo image 72 with the labeled colors on the 1 st virtual stereo image A42 of the training foreground A4 through a 5G network, so as to prompt and guide the operation of the surgeon A5; alternatively, the 1 st virtual stereoscopic image B42a displayed on the training front B4a prompts and guides the surgeon B5a for surgery.
The color marking can be performed by adopting deeper color to mark the organ tissue part to be operated, for example, purple color can be used, so that the surgeon can be clear at a glance on the virtual stereo image of the operation foreground, or under the condition that only the color expression is not clear, the method can be matched with the text and voice mode to solve the problem, so that a background expert 73 can guide the surgeon to operate more accurately, especially to perform more complicated operation training, and the effect is better.
In addition, in addition to the color labeling, the surgeon a5, the surgeon B5a, and the backend expert 73 operate the displayed virtual stereo image, and also perform other operations such as real-time zooming on local organ tissues of the image, adding of matched audio/video information, and overall zooming-in or zooming-out of the displayed data in order to realize clearer observation and communication.
In order to realize reliable use of the laparoscopic device and facilitate the surgeon to master the target skillfully, preferably, the laparoscopic device A3 comprises a laparoscopic detection system A32, a function execution system A33, a surgical instrument A31 and a function execution system A33, wherein the function execution system A33 comprises a CO2 pneumoperitoneum system, an electric cutting system and an irrigation-suction system; the laparoscope detection system A32 is used for detecting abdominal visceral organs of a patient; the function execution system a33 specifically realizes the following functions:
the CO2 pneumoperitoneum system fills carbon dioxide with 12-15mmHg pressure in the abdominal cavity required by the scheduled operation to provide wide space and visual field for the operation, and generally comprises a spring pneumoperitoneum needle (Veness needle), an inflation conduit, a pneumoperitoneum machine and a CO2 steel cylinder in the current operation;
the electric cutting system is used for cutting pathological tissues in the operation, for example, common equipment such as an ultrasonic knife or a high-frequency electric knife can be used;
the flushing-sucking system is used for cleaning the viscera tissue and leading out the cleaning fluid in the operation process, and mainly comprises two parts:
1) washing: the functions are observation and tissue protection, adhesion prevention, hemostasis, tissue repair and the like;
2) suction: suction by catheter effect, sometimes with a filter;
the surgical instrument A31 is used for specific operation, and can be configured according to the requirements of different visceral organs, for example, in cholecystectomy, the surgical instrument A31 is mainly composed of a trocar, an instrument converter, a non-traumatic grasping forceps, a bent dissecting forceps, a pneumoperitoneum needle, scissors, a titanium clamp, a flushing-suction tube, an electrocoagulation separation shovel, a separation hook, etc.
Similarly, the laparoscope device B3a, which includes the laparoscope detection system B32a, the function execution system B33a, the surgical instrument B31a, and the function execution system B33a, is required to be the same as the function execution system a33, and will not be described in detail here.
In actual use, the function execution system can upload related audio and video data through a 5G network, and can realize mutual communication among a surgeon A5, a surgeon B5a, a background expert 73 and a senior teacher 83 of a training scoring system 8; further, other functional systems may be used as long as they can realize the above-described function execution system a33 and function execution system B33 a.
Laparoscopic surgical procedures, such as uterine surgery, generally include the steps of:
step 1, artificial pneumoperitoneum
The skin is cut at 1cm below the patient's umbilicus, a pneumoperitoneum needle is inserted from the cut at 45 degrees, a needle tube is connected after blood is withdrawn, if the physiological saline smoothly flows in, the puncture is successful, and the needle head is in the abdominal cavity. The CO2 inflator is connected, the air inlet speed is not more than 1L/min, and the total amount is preferably 2-3L. Intra-abdominal pressure not exceeding 2.13KPa (16 mmHg);
step 2, trocar puncture
The laparoscope is inserted into the abdominal cavity from a cannula, and the trocar is firstly punctured. The laparoscope cannula is thick and the incision should be 1.5 cm. Lifting the abdominal wall under the umbilicus, vertically and slowly inserting the trocar into the abdominal cavity after the trocar is inclined, and when the trocar enters the abdominal cavity, having a breakthrough feeling, pulling out the cannula core, inserting the trocar into the laparoscopic cavity after hearing the gas in the abdominal cavity rushes out, switching on a light source, adjusting the position of a patient to be a position with a head lower than the hip and a height of 15 degrees, and continuously and slowly inflating the trocar;
step 3, observation by laparoscope
The surgeon holds the laparoscope and the ocular lens observes the uterus and various ligaments, ovary and fallopian tube, rectum and uterus pouch. During observation, the assistant can move the uterine manipulator to change the position of the uterus for matching examination. If necessary, suspicious lesion tissues can be taken for pathological examination;
step 4, taking out the laparoscope
The laparoscope can be taken out to remove the sleeve after the gas in the abdominal cavity is exhausted, the abdominal incision is sutured, and the abdominal incision is covered with sterile gauze and adhesive plaster for fixation.
The operations of other organs and tissues can also refer to the above introduction, and standard operations meeting the relevant national operation specifications can be performed, and the relevant national operation specifications can be directly searched, and are not described again.
In order to achieve the objectives of simplified, convenient to master, and reliable operation and use of the laparoscopic probing system, the laparoscopic probing system a32 preferably comprises an illumination cold light source 3212, a miniature camera probe 3213, an insertion rod 323, a1 st data transceiver 325, a data processor a34, and a2 nd data transceiver a35, which are integrally disposed.
The micro image pickup probe 3213 is disposed at the left end of the insertion rod 323, connected through the insertion rod 323, and has a light source 3212, disposed along the outer surface of the micro image pickup probe 3213, and an optical fiber 324 is disposed at the other end of the micro image pickup probe 3213, penetrating through the inner cavity of the insertion rod 323 communicating with the micro image pickup probe 3213, and finally connected to the right end of the insertion rod 323 and the receiving end of the 1 st data transceiver 325.
In practical use, the micro camera probe 3213 extends into the abdomen of the patient a2 to detect the visceral organs, and the detected audio/video data is transmitted to the 1 st data transceiver 325 through the optical fiber 324, transmitted to the data processor a34 through the 1 st data transceiver 325 and the 5G network, transmitted to the data management module 6 through the 2 nd data transceiver a35 and the 5G network in a wireless manner, and finally transmitted to the training foreground a4 and the background expert 73.
In order to facilitate the flexible and convenient penetration of the micro camera probe 3213 into the abdomen of the patient for detecting at a larger observation angle, preferably, the outer shell 321 of the micro camera probe 3212 is a cylinder, a transparent transmission window 3211 is disposed on the left end surface of the outer shell 321, and the micro camera probe 3213 is disposed inside the outer shell 321 and can rotate up and down around the central axis of the outer shell 321.
The working principle of the miniature camera probe 3213 can be seen in the schematic diagram of fig. 2.
In order to increase the observation definition, smoothly push the visceral organs open and facilitate clear shooting, preferably, the transparent transmission window 3211 displays an outwardly convex arc shape, and the arc line is arranged to play a focusing role, so that the visceral organs can be shot more clearly by adjusting the focal length of the miniature camera probe 3213.
In the use of miniature camera probe 3213, for the more angle of adjustment miniature camera probe 3213 of wider scope, be convenient for bigger visual angle, observe on a large scale, preferably, still set up 1 st driving motor 3214, 1 st driving motor 3214 is connected with miniature camera head 3213 one end, with miniature camera probe 3213 together, built-in inside outer casing 321, can be according to the signal that data management module 6 fed back, through 1 st data transceiver 325, along the axis of inserted bar 323, control miniature camera probe 3213, rotate from top to bottom.
In order to further realize the adjustment of the camera angle in a wider range and facilitate the observation in a wider range, preferably, a2 nd driving motor 322 is further provided, the 2 nd driving motor 322 is arranged at the connection position of the micro camera 3213 and the insertion rod 323, i.e. the connection position of the insertion rod 323 and the outer shell 321, and the outer surface of the connection position is sealed by a flexible medical sealing material 3221, and the cylindrical outer shell 321 where the micro camera head 3213 is placed is controlled to rotate up and down along the central axis of the insertion rod 323 through a1 st data transceiver 325.
The 2 nd driving motor 322 is arranged, so that the visceral organs can be pushed away more conveniently by means of the rotating force of the 2 nd driving motor 322, the purpose of more clear observation is achieved, in addition, the outer surface of the joint is sealed by the flexible medical sealing material 3221, the visceral organs can be effectively prevented from being accidentally injured during rotation, and the probability of infecting the visceral organs is reduced.
The 1 st driving motor 3214 and the 2 nd driving motor 322 are arranged and can be simultaneously arranged to realize image pickup at a larger angle, and certainly, the driving motors can be independently arranged and simultaneously controlled independently or simultaneously controlled by 2 platforms, and the driving motors can be arranged in different specifications and types according to specific use occasions to meet the operation requirements.
In practical use, for controlling the angle, it is preferable that the 1 st driving motor 3214 rotates up and down along the central axis of the insertion rod 323 by an angle of ± 10 degrees; the 2 nd driving motor 322 rotates up and down along the central axis of the insertion rod 323 by an angle of ± 30 degrees.
The angle can be set to realize quick positioning when the image of the visceral organs is shot, so that the operation efficiency is improved, of course, the rotation angle can be selected out of the angle data to realize the purpose of better service operation, and the angle is only better data.
In order to further illuminate the visceral organs clearly and improve the shooting clarity, the illumination cold light source 3212 is preferably an led light source, but other cold light sources meeting the hygienic standard may be adopted.
In this embodiment, the illumination cold light sources 3212 are respectively disposed on the outer surface of the outer housing 321 at different positions, namely, a transmission window side cold light source 32121 and an outer housing surface cold light source 32122, the transmission window side cold light source 32121 is disposed at the edge of the transmission window 3211, and the outer housing surface cold light source 32122 is disposed on the cylindrical surface of the outer housing 321, and the light sources can be turned on simultaneously for illumination.
The appearance of the outer shell 321, except the cylinder, can also select other suitable appearances that are convenient for clearly make a video recording, for example shapes such as spheroid, when selecting the spheroid, the cold light source of illumination can set up in the spheroid inboard, miniature camera 3213 surface department, the spheroid can directly adopt transparent material to make this moment, outer shell 321 and transmission window 3211 are integrated as an organic whole promptly, both can protect the miniature camera 3213 of built-in spheroid, can play the effect of perspective window again.
The transparent material can be medical organic glass or other suitable transparent high molecular materials.
In the actual operation, in order to avoid the influence of 5G network blockage on the normal operation, a control button 3231 is further provided at the middle rear portion of the insertion rod 323, near the optical fiber 324, and when the surgeon holds the middle rear portion of the insertion rod 323 for operation, the control button 3231 controls the 1 st driving motor 3214, the 2 nd driving motor 322, and the illumination cold light source 3212 through the control button 3231, and the 1 st driving motor 3214, the 2 nd driving motor 322, and the illumination cold light source 3212 are powered, so that the lithium batteries 3232, 3232 can be provided at the middle rear portion internal position of the insertion rod 323, which is used for the surgeon to hold, and does not need to be inserted into the abdominal cavity of the patient, and the lithium batteries 3232 can be repeatedly charged for use, or used in a battery replacement manner, of course, besides the lithium batteries, other suitable batteries, such as graphene batteries, etc. can be used, the graphene battery is adopted, so that the size is small, the battery capacity is large, and the replacement or charging time can be greatly prolonged.
The 2 nd driving motor 322 rotates up and down around the central axis of the insertion rod 323, as shown in fig. 3.
Fig. 2 and 3 are schematic diagrams illustrating an embodiment of a micro camera probe 3213, and similarly, the micro camera probe of the laparoscopic probing system B32a, and a data processor B34a and a2 nd data transceiver B35a are provided, which are not repeated herein.
In the practical use of the training scoring system 8, in order to achieve the purposes of transmitting and processing through a 5G network, improving the monitoring efficiency, reducing the fault rate of equipment, reducing the influence on the operation, being more beneficial to improving the level of the standardized operation of a surgeon, and finally laying a solid foundation for the stable operation quality, preferably, when the operation monitoring training is carried out on a plurality of laparoscopic equipment, the modular arrangement can be carried out on the plurality of laparoscopic equipment through 5 networks by a senior teacher 83 in the training scoring system 8.
For example, in this embodiment, when the laparoscopic device A3 is configured as a main module, the laparoscopic device A3 data processor firstly receives the data collected by the laparoscopic device A3, processes the data collected by the laparoscopic device B3a configured as a sub-module and the scoring information of the senior teacher 83 of the training scoring system 8, and transmits the data to the data management module 6 through the 5G network, and then monitors and refines the surgery of the surgeon performing teaching and training, respectively, using a plurality of laparoscopic devices through the background expert 73 of the expert background 7 and the displayed 2 nd virtual stereo image 72, and improves the scoring details of the senior teacher; the advantages of the adoption of the modularized setting are many, firstly, the network data transmission and processing can be more optimized, and the monitoring efficiency can be further improved; secondly, when a certain device breaks down, the device is convenient to replace in time, and the adverse effect on the operation is greatly reduced, so that the stability of the quality of a plurality of operations is improved; finally, the teaching and training quality can be further ensured by monitoring of background experts and real-time mutual communication, so that the standard operation level of surgeons can be improved, and a solid foundation is finally laid for stable operation quality.
In order to further improve the efficiency of teaching and training, relevant teaching demonstration training can be performed to deepen the impression of the trained shell surgeon, preferably, the surgeon a5 of the laparoscopic device A3 which can be set as the main module is selected as a qualified surgeon, the qualified surgeon not only has a high medical level, but also has the standard operation, the operation performed at the moment can be used as standard operation teaching demonstration data for guiding the operation of the surgeon B5a of the submodule, and through the standard teaching demonstration, the standard operation example guidance can be provided for the surgeon B5a, so that the perceptual knowledge of the surgeon can be improved, the defect of the surgeon can be found timely according to the example operation, and the standard operation level of the surgeon can be improved rapidly.
The embodiment is only set to 2 operations, and in practical use, more sets can be used, and the principle is the same as that of the embodiment, and the description is not repeated here.
In order to further realize the rapid entrance of inexperienced surgeons or medical students for operation training and on the basis, the inexperienced surgeons B5a or medical students, the operation patients B2a during teaching training are preferably simulators or human body specimens, namely teaching models are selected for training so as to reduce risks for the experienced surgeons or the surgeons with medical students who are in compliance with doctors and can further rapidly improve the standard operation level of the surgeons; meanwhile, a surgeon A5 who is experienced, has doctor qualification and is in compliance can be further trained in a clinical operation mode of a patient A2, at the moment, the patient A2 is a living patient and is not a teaching model, so that through the setting of different training stages, firstly, inexperienced surgeons or medical students can quickly, standardly and risk-free master operation skills, and the time required by training is greatly shortened; secondly, the surgeon who has experience, and holds the qualification of the doctor and is in compliance can directly carry out the operation on the patient, and the self-standardized operation level can be further and rapidly improved through the accumulation of the real clinical operation experience; finally, different training is required in different stages, and the training period of the surgeon can be greatly shortened finally, so that the requirement of the increasingly growing operation is met under the condition of ensuring the operation quality.
The above settings for surgeon A5, surgeon B5a, for the assumed settings, may all be selected as experienced and holding physician qualifications, a compliant surgeon, or all be selected as inexperienced surgeons.
On the basis of improving the reliability of the holographic projection device, the holographic projection device can be popularized in a relatively low price and large scale, preferably, the 1 st holographic projection device a41, the 1 st holographic projection device B41a and the 2 nd holographic projection device 71 are laser projection devices and laser projection devices, are currently used in a large scale, are low in cost, have good reliability and are convenient to popularize, and besides the laser projection devices, other types of holographic projection devices can be adopted.
The laparoscope detection system A32 used in the invention comprises an illumination cold light source 3212, a miniature camera probe 3213, an insertion rod 323, a1 st data transceiver 325, a data processor A34 and a2 nd data transceiver A35 which are integrally arranged, can be directly controlled through a 5W network, does not need wired connection, is greatly convenient for the operation of a surgeon, and is convenient to move.
Of course, a wired connection is also possible, but the device is more complex.
The invention can be used for operation training of surgeons A5 and B5a, can also directly guide laparoscopic operations of the surgeons A5 and B5a through a background expert 73, can be directly used for operations without starting the training scoring system 8, and has flexible operation and wide application range.
The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any changes or substitutions that can be easily conceived by those skilled in the art within the technical scope of the embodiment of the present invention are included in the scope of the present invention. Therefore, the protection scope of the present invention shall be subject to the protection scope of the claims.
Claims (11)
1. A laparoscope operation and training system based on 5G network technology application comprises laparoscope equipment, a data management module, an expert background, holographic projection equipment and a training scoring system; the holographic projection equipment is respectively arranged at a training foreground and an expert background; the system is characterized in that at least one patient lies on a corresponding operating table, the laparoscope equipment is operated by a surgeon training a front stage to perform operation training, the laparoscope equipment collects audio and video data of visceral organs and tissues of the patient and transmits the audio and video data to the data management module in real time through a 5G network in the operation training process, the data management module processes the data and transmits the data to the holographic projection equipment, virtual stereo images respectively formed in a virtual space are provided for the surgeon through the holographic projection equipment to observe and control the virtual stereo images in the operation process, background experts of the expert background evaluate, monitor and train the operation process of the surgeon, and the background experts use the data management module to prompt in a voice mode and/or an image mode, and feeding back opinion information in time, and finally realizing interaction between the background expert and the surgeon in real time on holographic projection equipment arranged on the training foreground through the integrated display of the virtual stereo image and the monitoring and training guidance of the background expert on the surgical process of the surgeon through the processing of the data management module, and finally displaying an operation training result on the training scoring system in real time through the evaluation of the background expert according to the specific requirements of laparoscopic operation standard teaching materials approved by relevant national health administration departments and indicating relevant defects for the continuous improvement of the surgeon.
2. The laparoscopic surgery and training system based on 5G network technology application as claimed in claim 1, wherein said back-end specialist can prompt and guide the surgeon's specific surgery operation on said displayed virtual stereo image by manipulating said virtual stereo image, specially labeling it with colors on said virtual stereo image according to the specific surgery site required, and finally transmitting the relevant virtual stereo image to the virtual stereo image set on said training front-end in real time through 5G network.
3. The laparoscopic surgery and training system based on 5G network technology application of claim 2, wherein said laparoscopic devices comprise a laparoscopic detection system, a function execution system, a surgical instrument, said function execution system comprises a CO2 pneumoperitoneum system, an electric cutting system, an irrigation-suction system; the laparoscope detection system is used for detecting abdominal visceral organs of a patient; the function execution system, wherein the CO2 pneumoperitoneum system fills the abdominal cavity required by the scheduled operation with carbon dioxide at 12-15mmHg, providing a wide space and visual field for the operation; the electric cutting system is used for cutting pathological tissues in an operation; the flushing-sucking system is used for cleaning the visceral organs and leading out cleaning fluid in the operation process; the surgical instrument is used for specific surgical operation and can be correspondingly configured according to the requirements of performing operations on different visceral organs and tissues.
4. The laparoscopic surgery and training system based on 5G network technology application of claim 3, wherein the laparoscopic detection system comprises a miniature camera probe, an illumination cold light source, an insertion rod, a1 st data transceiver, a data processor, a2 nd data transceiver, which are integrally arranged, the miniature camera probe is arranged at one end of the insertion rod, the illumination cold light source is arranged along the outer surface of the miniature camera probe, the illumination cold light source is an led light source, an optical fiber is arranged at the other end of the miniature camera probe, penetrates through the inner cavity of the insertion rod communicated with the miniature camera probe and is finally connected with the receiving end of the 1 st data transceiver arranged at the other end of the insertion rod; the miniature camera probe penetrates into the abdomen of a patient to detect related visceral organs, detected audio and video data are transmitted to the 1 st data transceiver through the optical fiber, and are transmitted to the data processor through the 5G network by using the 1 st data transceiver, and the data processor is wirelessly transmitted to the data management module through the 2 nd data transceiver and the 5G network, and finally transmitted to the training foreground and the expert background.
5. The laparoscopic surgery and training system based on 5G network technology application of claim 4, wherein the micro camera probe housing is a cylinder, a transparent transmission window is arranged on one end face of the cylinder, the transmission window displays an outwardly convex circular arc shape, and the micro camera probe is placed inside the cylinder and can rotate up and down around the central axis of the cylinder.
6. The laparoscopic surgery and training system based on 5G network technology application of claim 5, further comprising a1 st driving motor, wherein the 1 st driving motor is connected with the miniature camera head, is integrated with the miniature camera probe, is built in the cylindrical shell, and can control the miniature camera probe to rotate up and down along the central axis of the insertion rod through the 1 st data transceiver according to the signal fed back by the data management module, and the rotation angle is +/-10 degrees.
7. The laparoscopic surgery and training system based on 5G network technology application of claim 6, wherein a2 nd driving motor is further provided, the 2 nd driving motor is provided at the joint of the miniature camera probe and the insertion rod, the outer surface of the joint is sealed by a flexible medical sealing material, and a cylindrical shell for placing the miniature camera probe is controlled by the 1 st data transceiver to rotate up and down along the central axis of the insertion rod by a rotation angle of +/-30 degrees.
8. The laparoscopic surgery and training system based on 5G network technology application as claimed in claim 1, wherein the training scoring system comprises a scoring wireless receiver, a scoring display, a back-end expert in the back-end of the expert, according to the surgery condition of different surgeons at the training front-end, according to the specific requirement of the laparoscopic surgery standard teaching material, giving specific evaluation scoring information, through the data management module, through the receiving of the scoring wireless receiver, finally displaying on the scoring display, through the further refinement processing of the skill teacher configured at the training scoring system, then through the data management module, finally through the virtual image of the training front-end, integrating and displaying to different surgeons, improving the technology, and simultaneously realizing the function with the back-end expert, and/or setting between the skill teacher of the training scoring system, communicate with each other.
9. The laparoscopic surgery and training system based on 5G network technology application of claim 8, it is characterized in that a plurality of the laparoscope devices can be arranged in a modularized way through the senior teacher of the training scoring system, the data processors of the laparoscope devices which are arranged as a main module firstly receive in a centralized way, and processes the data processor of the laparoscope equipment of other sub-modules, the acquired data and the scoring information of the senior teacher of the training scoring system, after the data are transmitted to the data management module in a centralized manner through a 5G network, a background expert in an expert background is used for uniformly monitoring the operation of a surgeon who performs teaching and training on a plurality of laparoscope devices through the displayed virtual stereo image and completing the grading details of the qualification teacher; the surgery performed by the surgeon of the laparoscopic device, which is configured as a master module, selected as a senior surgeon, may be used as a standard surgical teaching demonstration for guiding the surgeon's surgery for the other sub-modules.
10. The laparoscopic surgery and training system based on 5G network technology application as claimed in claim 1, wherein inexperienced surgeons, or medical students, operating patients in teaching training, are dummy persons, or human body specimens; and the surgeon who is experienced and qualified by the physician and who is in compliance can further train the patient through the way the patient is operated clinically.
11. The laparoscopic surgery and training system based on 5G network technology application according to any one of claims 1 to 11, wherein the holographic projection device is a laser projection device.
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