CN218852800U - Surgical system - Google Patents
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Abstract
本公开提供了手术系统,包括:膨腔装置,用于向目标腔体输送膨腔液以对目标腔体执行膨腔操作并实时监测输送总量;回收装置,至少对手术系统的刨削操作的过程中产生的腔体组织废物及废液进行回收并实时监测回收总量;刨削装置,用于对目标腔体执行刨削操作;其中,手术系统包括计时器装置,计时器装置对膨腔操作的膨腔时长进行监测;膨腔装置包括:流量检测装置,流量检测装置实时测量膨腔装置向目标腔体输送的膨腔液的输送总量;回收装置包括:液体计量模块,液体计量模块用于实时测量回收装置的回收总量;手术系统还包括:控制器,控制器至少基于输送总量及回收总量获得目标腔体的膨腔液缺失量。
The present disclosure provides a surgical system, including: a cavity expansion device, used to deliver cavity expansion fluid to the target cavity to perform a cavity expansion operation on the target cavity and monitor the total delivery amount in real time; a recovery device, at least for the planing operation of the surgical system The cavity tissue waste and waste liquid generated in the process are recovered and the total amount of recovery is monitored in real time; the planing device is used to perform planing operations on the target cavity; wherein, the surgical system includes a timer device, and the timer device controls the expansion The cavity expansion time of the cavity operation is monitored; the cavity expansion device includes: a flow detection device, which measures in real time the total amount of cavity expansion liquid delivered by the cavity expansion device to the target cavity; the recovery device includes: a liquid metering module, a liquid metering The module is used to measure the total recovery amount of the recovery device in real time; the surgical system also includes: a controller, the controller obtains the missing amount of cavity expansion fluid in the target cavity at least based on the total delivery amount and the total recovery amount.
Description
技术领域technical field
本公开涉及医疗器械技术领域,本公开尤其涉及一种手术系统。The present disclosure relates to the technical field of medical devices, and in particular, the present disclosure relates to a surgical system.
背景技术Background technique
对于育龄期女性,子宫内膜息肉、子宫肌瘤及宫腔粘连是非常常见的妇科疾病,这些疾病均可引起异常子宫出血、月经过多导致失血性贫血,亦可引起不孕等症状,对妇女身心健康造成较大损害。育龄期女性中,子宫内膜息肉的患病率高达20%-25%。子宫肌瘤发病率为25%-30%(其中黏膜下肌瘤占子官肌瘤的10%-15%)。For women of childbearing age, endometrial polyps, uterine fibroids and intrauterine adhesions are very common gynecological diseases. These diseases can cause abnormal uterine bleeding, menorrhagia leading to hemorrhagic anemia, and infertility and other symptoms. Women's physical and mental health caused great damage. Among women of reproductive age, the prevalence of endometrial polyps is as high as 20%-25%. The incidence of uterine fibroids is 25%-30% (of which submucosal fibroids account for 10%-15% of uterine fibroids).
用于宫腔镜手术的内窥镜用动力系统适用于由经过训练的妇科医生在宫腔镜下进行子宫内手术,切除包括黏膜下肌瘤与子宫内膜息肉在内的子宫内组织。The power system for endoscope used in hysteroscopic surgery is suitable for intrauterine surgery performed by trained gynecologists under hysteroscope to remove intrauterine tissues including submucosal fibroids and endometrial polyps.
随着医疗技术的发展以及内窥镜技术的广泛应用,宫腔镜手术也随之发展,总体的趋势是更安全、无创或微创、更高效。With the development of medical technology and the wide application of endoscopic technology, hysteroscopic surgery has also developed, and the overall trend is safer, non-invasive or minimally invasive, and more efficient.
在进行宫腔镜手术前,先向子宫内灌注膨宫液,使宫腔充盈形成手术操作和视野空间。在手术进行期间,通过刨削手柄进行宫内肿瘤、息肉组织的切除,同时通过负压吸引功能将废液和组织排除体内,还有一部分膨宫液被人体吸收,因此需要不断向子宫内灌注膨宫液,使宫腔压力始终保持在预设值。但过度吸收膨宫液会导致严重的并发症,包括低钠血症、水中毒等并发症,甚至死亡。膨宫时间过长或膨宫压力过大均会导致膨宫液过度吸收。Before performing hysteroscopic surgery, the uterus is perfused with uterine distension fluid to fill the uterine cavity to form a space for operation and vision. During the operation, intrauterine tumors and polyps are removed through the planing handle, and waste fluid and tissues are removed from the body through the negative pressure suction function, and part of the uterine distention fluid is absorbed by the body, so it needs to be continuously perfused into the uterus The uterine distension fluid keeps the pressure of the uterine cavity at the preset value. However, excessive absorption of uterine distention fluid can lead to serious complications, including hyponatremia, water intoxication and other complications, and even death. Too long uterine distension time or excessive uterine distension pressure will lead to excessive absorption of uterine distention fluid.
预防宫腔镜手术并发症,需要对术中膨宫介质使用时间、膨宫压力、输入量和出量精准测量及发现不平衡时的快速终止,目前各家医院宫腔镜手术膨宫介质入量基本以膨宫泵加压输入,出量以简单下排为主,都未进行精准的出入量统计,膨宫介质使用时间则大多依靠医护人员人工计时。To prevent complications of hysteroscopic surgery, it is necessary to accurately measure the use time of intraoperative uterine distension medium, uterine distension pressure, input volume and output volume, and quickly terminate when an imbalance is found. The volume is basically input by pressurized uterine distension pump, and the output is mainly based on simple down-flow, without accurate statistics on the amount of in-out volume.
现有技术中也有一些对膨宫液的注液进行监测的方法,以下为一些现有的技术方案。There are also some methods for monitoring the injection of uterine distention fluid in the prior art, and the following are some existing technical solutions.
中国专利文献CN113739887A公开了一种注液监测和控制方法、装置和系统,包括:主机实时获取注液容器中液体的注液称量数据,确定注入人体的注液量;主机实时获取与治疗器械连接的第一回收容器中收集的液体的第一集液称量数据和与收集膜连接的第二回收容器中收集的液体的第二集液称量数据,根据第一集液称量数据和第二集液称量数据,确定排出人体的出液量;根据注液量和出液量,基于预设的损耗补偿原则,确定人体吸收的液体吸收量。Chinese patent document CN113739887A discloses a liquid injection monitoring and control method, device and system, including: the host obtains the liquid injection weighing data of the liquid in the liquid injection container in real time to determine the amount of liquid injected into the human body; The first liquid collection weighing data of the liquid collected in the connected first recovery container and the second collection liquid weighing data of the liquid collected in the second recovery container connected with the collection membrane, according to the first collection liquid weighing data and The second collection of liquid weighing data determines the amount of liquid discharged from the human body; determines the amount of liquid absorbed by the human body based on the preset loss compensation principle based on the liquid injection volume and liquid output volume.
中国专利文献CN114711927A公开了一种宫腔镜膨宫介质出入量统计与报警装置,包括壳体、膨宫泵和警告显示灯,壳体的前端面设有膨宫泵;膨宫泵的内部接入导液管;壳体的前端面设有警告显示灯;壳体的内部固连有第一液箱和第二液箱;第一液箱和第二液箱的底部固连有支撑板;支撑板的顶面固连有第一压力感应器;支撑板的底面固连有第二压力感应器;可以实现对入量和出量的重量数据的采集,术中增加的液体重量能够叠加累计,同时可以计算使用总时长,当使用时间和出入量差值达到某预设值时,能分别发出报警提示,当出入量差值达到最大阈值时,发出不同报警提示,便于及时处置,降低手术风险。Chinese patent document CN114711927A discloses a hysteroscope distension medium intake and output statistics and alarm device, including a housing, a distension pump and a warning indicator light, the front end of the housing is provided with a distension pump; the internal connection of the distension pump is Into the catheter; the front end of the housing is provided with a warning light; the inside of the housing is fixedly connected with the first liquid tank and the second liquid tank; the bottom of the first liquid tank and the second liquid tank is fixedly connected with a support plate; The top surface of the support plate is fixedly connected with the first pressure sensor; the bottom surface of the support plate is fixedly connected with the second pressure sensor; it can realize the collection of the weight data of the input and output, and the increased liquid weight during the operation can be superimposed and accumulated At the same time, it can calculate the total use time. When the use time and the difference between the in and out volume reach a certain preset value, an alarm prompt can be issued respectively. risk.
中国专利文献CN113974600B公开了一种宫腔镜膨宫用供液装置及监控方法,宫腔镜包括光源装置、供液装置、膨宫液袋、积液袋以及供液管道,供液管道设置于宫腔镜中,其与供液装置连通,用于向宫腔内供给液体,供液装置包括高压连接器、内部管道、减压机构、第一电磁阀、第一至第四压力传感器、供液连接器、控制部以及操作面板,高压软管的一端装卸自如地连接于供液装置的高压连接器,其另一端连接于作为膨宫液供给源的膨宫液袋,设置于供液装置内部的内部管道,用于向宫腔内输供液体,其一端连接于高压连接器,另一端与供液连接器连接,供液连接器与供液软管连接,供液软管连接到设置在宫腔镜内的供液管道,减压机构、第一电磁阀依次设置于内部管道中。Chinese patent document CN113974600B discloses a hysteroscope uterine distension liquid supply device and monitoring method, the hysteroscope includes a light source device, a liquid supply device, a uterine distention fluid bag, a effusion bag, and a liquid supply pipeline, and the liquid supply pipeline is arranged on In the hysteroscope, it communicates with the liquid supply device for supplying liquid into the uterine cavity. The liquid supply device includes a high-pressure connector, an internal pipeline, a decompression mechanism, a first solenoid valve, first to fourth pressure sensors, a supply Liquid connector, control unit and operation panel, one end of the high-pressure hose is detachably connected to the high-pressure connector of the liquid supply device, and the other end is connected to the distension liquid bag as the supply source of the distension liquid, and is set on the liquid supply device The internal internal pipeline is used to supply liquid into the uterine cavity, one end of which is connected to the high pressure connector, the other end is connected to the liquid supply connector, the liquid supply connector is connected to the liquid supply hose, and the liquid supply hose is connected to the setting In the liquid supply pipeline in the hysteroscope, the decompression mechanism and the first electromagnetic valve are sequentially arranged in the internal pipeline.
现有技术膨宫时仅监控膨宫液缺失值或膨宫时间,安全性不够高。The prior art only monitors the missing value of uterine distention fluid or the time of uterine distension during uterine distension, and the safety is not high enough.
实用新型内容Utility model content
本公开提供了手术系统,包括:The present disclosure provides surgical systems, including:
膨腔装置,所述膨腔装置用于向目标腔体输送膨腔液以对目标腔体执行膨腔操作并实时监测输送总量;A cavity expansion device, the cavity expansion device is used to deliver cavity expansion liquid to the target cavity to perform cavity expansion operation on the target cavity and monitor the total delivery amount in real time;
回收装置,所述回收装置至少对所述手术系统的刨削操作的过程中产生的腔体组织废物及废液进行回收并实时监测回收总量;A recovery device, the recovery device at least recovers the cavity tissue waste and waste liquid generated during the planing operation of the surgical system and monitors the total amount of recovery in real time;
刨削装置,所述刨削装置用于对目标腔体执行所述刨削操作;a planing device for performing said planing operation on a target cavity;
其中,所述手术系统包括计时器装置,所述计时器装置对所述膨腔操作的膨腔时长进行监测;Wherein, the surgical system includes a timer device, and the timer device monitors the cavity expansion duration of the cavity expansion operation;
其中,所述膨腔装置包括:Wherein, the cavity expansion device includes:
流量检测装置,所述流量检测装置实时测量所述膨腔装置向所述目标腔体输送的膨腔液的输送总量;A flow detection device, the flow detection device measures in real time the total delivery amount of the cavity expansion liquid delivered by the cavity expansion device to the target cavity;
其中,所述回收装置包括:Wherein, the recycling unit includes:
液体计量模块,所述液体计量模块用于实时测量所述回收装置的所述回收总量;A liquid metering module, the liquid metering module is used to measure the total recovery amount of the recovery device in real time;
所述手术系统还包括:The surgical system also includes:
控制器,所述控制器基于所述输送总量及所述回收总量获得所述目标腔体的膨腔液缺失量。A controller, the controller obtains the missing amount of cavity expansion fluid in the target cavity based on the total amount of delivery and the total amount of recovery.
根据本公开的至少一个实施方式的手术系统,包括:所述控制器包括微控制器(MCU)。The surgical system according to at least one embodiment of the present disclosure includes: the controller includes a microcontroller (MCU).
根据本公开的至少一个实施方式的手术系统,所述刨削装置包括吸引通道。According to the surgical system of at least one embodiment of the present disclosure, the planing device includes a suction channel.
根据本公开的至少一个实施方式的手术系统,回收装置包括:According to the surgical system of at least one embodiment of the present disclosure, the recovery device includes:
负压提供装置,负压提供装置基于控制器的控制信号提供负压,使得所述刨削装置的吸引通道能够基于负压对刨削操作的过程中产生的腔体组织废物及废液进行吸引。Negative pressure providing device, the negative pressure providing device provides negative pressure based on the control signal of the controller, so that the suction channel of the planing device can absorb cavity tissue waste and waste liquid generated during the planing operation based on the negative pressure .
根据本公开的至少一个实施方式的手术系统,所述计时器装置与所述控制器连接,以使得所述计时器装置基于所述膨腔装置的启动信号对所述膨腔时长开始计时。According to the surgical system in at least one embodiment of the present disclosure, the timer device is connected to the controller, so that the timer device starts counting the lumen inflation duration based on an activation signal of the lumen inflation device.
根据本公开的至少一个实施方式的手术系统,所述计时器装置与所述控制器连接,所述膨腔装置还包括压力测量装置,以使得所述计时器装置基于所述膨腔装置的压力测量装置的压力测量信号对所述膨腔时长开始计时。According to the surgical system of at least one embodiment of the present disclosure, the timer device is connected to the controller, and the cavity expansion device further includes a pressure measurement device, so that the timer device is based on the pressure of the cavity expansion device The pressure measurement signal of the measuring device starts timing the inflation period.
根据本公开的至少一个实施方式的手术系统,还包括:The surgical system according to at least one embodiment of the present disclosure, further comprising:
报警装置,当所述膨腔时长达到预设时长和/或所述膨腔液缺失量达到预设缺失量,所述报警装置生成并输出警告信号。An alarm device that generates and outputs a warning signal when the cavity-inflating duration reaches a preset duration and/or the cavity-expanding fluid loss reaches a preset missing amount.
根据本公开的至少一个实施方式的手术系统,所述报警装置包括与所述控制器连接的至少一个蜂鸣器及与所述控制器连接的至少一个发光器。According to the surgical system in at least one embodiment of the present disclosure, the alarm device includes at least one buzzer connected to the controller and at least one light emitter connected to the controller.
根据本公开的至少一个实施方式的手术系统,所述膨腔装置包括:According to the surgical system of at least one embodiment of the present disclosure, the cavity expansion device includes:
第一泵送装置;first pumping means;
第一驱动装置,所述第一驱动装置基于所述控制器的控制信号对所述第一泵送装置进行驱动以使得所述第一泵送装置将膨腔液经由输送管路输送至所述目标腔体。A first driving device, the first driving device drives the first pumping device based on the control signal of the controller so that the first pumping device delivers the cavity expansion liquid to the target cavity.
根据本公开的至少一个实施方式的手术系统,所述计时器装置基于所述控制器生成的第一驱动装置启动控制信号对所述膨腔时长开始计时。According to the surgical system in at least one embodiment of the present disclosure, the timer device starts counting the lumen inflation duration based on the first driving device activation control signal generated by the controller.
附图说明Description of drawings
附图示出了本公开的示例性实施方式,并与其说明一起用于解释本公开的原理,其中包括了这些附图以提供对本公开的进一步理解,并且附图包括在本说明书中并构成本说明书的一部分。The accompanying drawings illustrate exemplary embodiments of the present disclosure and, together with the description, serve to explain the principles of the disclosure, are included to provide a further understanding of the disclosure, and are incorporated in and constitute this specification. part of the manual.
图1是本公开的一个实施方式的手术系统的结构示意框图。Fig. 1 is a schematic block diagram of a surgical system according to an embodiment of the present disclosure.
图2是本公开的又一个实施方式的手术系统的结构示意框图。Fig. 2 is a schematic block diagram of a surgical system according to another embodiment of the present disclosure.
图3是本公开的一个实施方式的手术系统的详细结构示意图。FIG. 3 is a schematic diagram of a detailed structure of a surgical system according to an embodiment of the present disclosure.
图4是本公开的一个实施方式的压力测量装置的结构示意图。Fig. 4 is a schematic structural diagram of a pressure measurement device according to an embodiment of the present disclosure.
附图标记说明Explanation of reference signs
100 控制器100 controllers
200 膨腔装置200 cavity expansion device
201 膨腔液供应部201 Cavity Expansion Liquid Supply Department
202 第一泵送装置202 First pumping unit
203 第一驱动装置203 First drive unit
204 输送管路204 Delivery pipeline
205 压力测量装置205 pressure measuring device
206 流量检测装置206 flow detection device
210 计时器装置210 Timer device
300 刨削装置300 planing unit
301 吸引通道301 attraction channel
302 刨削刀头302 planer head
303 刨削操作部303 Planing Operations Department
304 电机304 motor
306 启动开关306 start switch
400 回收装置400 recovery unit
401 膨腔液收集部401 Cavity expansion fluid collection part
402 负压提供装置402 Negative pressure supply device
403 存储容器403 storage container
404 液体计量模块404 Liquid Metering Module
500 手术设备500 surgical equipment
600 报警装置600 alarm device
1000 手术系统1000 Surgical System
2021 第一微动开关2021 First Micro Switch
2051 压力室2051 Pressure chamber
2052 压力传感器2052 pressure sensor
2053 第二微动开关2053 Second micro switch
4031 第一口部4031 First mouth
4032 第二口部4032 Second mouth
A 第一壁A first wall
B 第二壁。B Second wall.
具体实施方式Detailed ways
下面结合附图和实施方式对本公开作进一步的详细说明。可以理解的是,此处所描述的具体实施方式仅用于解释相关内容,而非对本公开的限定。另外还需要说明的是,为了便于描述,附图中仅示出了与本公开相关的部分。The present disclosure will be further described in detail below with reference to the drawings and embodiments. It can be understood that the specific implementation manners described here are only used to explain relevant content, rather than to limit the present disclosure. It should also be noted that, for ease of description, only parts related to the present disclosure are shown in the drawings.
需要说明的是,在不冲突的情况下,本公开中的实施方式及实施方式中的特征可以相互组合。下面将参考附图并结合实施方式来详细说明本公开的技术方案。It should be noted that, in the case of no conflict, the implementation modes and the features in the implementation modes in the present disclosure can be combined with each other. The technical solutions of the present disclosure will be described in detail below with reference to the accompanying drawings and in combination with implementation manners.
除非另有说明,否则示出的示例性实施方式/实施例将被理解为提供可以在实践中实施本公开的技术构思的一些方式的各种细节的示例性特征。因此,除非另有说明,否则在不脱离本公开的技术构思的情况下,各种实施方式/实施例的特征可以另外地组合、分离、互换和/或重新布置。Unless otherwise specified, the illustrated exemplary embodiments/embodiments are to be understood as exemplary features providing various details of some manner in which the technical idea of the present disclosure can be implemented in practice. Therefore, unless otherwise stated, the features of various embodiments/embodiments may be additionally combined, separated, interchanged, and/or rearranged without departing from the technical concept of the present disclosure.
在附图中使用交叉影线和/或阴影通常用于使相邻部件之间的边界变得清晰。如此,除非说明,否则交叉影线或阴影的存在与否均不传达或表示对部件的具体材料、材料性质、尺寸、比例、示出的部件之间的共性和/或部件的任何其它特性、属性、性质等的任何偏好或者要求。此外,在附图中,为了清楚和/或描述性的目的,可以夸大部件的尺寸和相对尺寸。当可以不同地实施示例性实施例时,可以以不同于所描述的顺序来执行具体的工艺顺序。例如,可以基本同时执行或者以与所描述的顺序相反的顺序执行两个连续描述的工艺。此外,同样的附图标记表示同样的部件。The use of cross-hatching and/or shading in the figures is generally used to clarify the boundaries between adjacent features. As such, unless stated otherwise, the presence or absence of cross-hatching or shading conveys or indicates no specific material, material properties, dimensions, proportions, commonality between the illustrated components, and/or any other characteristic of the components, Any preferences or requirements for attributes, properties, etc. Also, in the drawings, the size and relative sizes of components may be exaggerated for clarity and/or descriptive purposes. While exemplary embodiments may be implemented differently, a specific process sequence may be performed in an order different from that described. For example, two consecutively described processes may be performed substantially simultaneously or in an order reverse to that described. In addition, the same reference numerals denote the same components.
当一个部件被称作“在”另一部件“上”或“之上”、“连接到”或“结合到”另一部件时,该部件可以直接在所述另一部件上、直接连接到或直接结合到所述另一部件,或者可以存在中间部件。然而,当部件被称作“直接在”另一部件“上”、“直接连接到”或“直接结合到”另一部件时,不存在中间部件。为此,术语“连接”可以指物理连接、电气连接等,并且具有或不具有中间部件。When an element is referred to as being "on" or "over", "connected to" or "coupled to" another element, the element may be directly on, directly connected to, or Or directly bonded to the other component, or intermediate components may be present. However, when an element is referred to as being "directly on," "directly connected to," or "directly coupled to" another element, there are no intervening elements present. To this end, the term "connected" may refer to a physical connection, an electrical connection, etc., with or without intervening components.
为了描述性目的,本公开可使用诸如“在……之下”、“在……下方”、“在……下”、“下”、“在……上方”、“上”、“在……之上”、“较高的”和“侧(例如,在“侧壁”中)”等的空间相对术语,从而来描述如附图中示出的一个部件与另一(其它)部件的关系。除了附图中描绘的方位之外,空间相对术语还意图包含设备在使用、操作和/或制造中的不同方位。例如,如果附图中的设备被翻转,则被描述为“在”其它部件或特征“下方”或“之下”的部件将随后被定位为“在”所述其它部件或特征“上方”。因此,示例性术语“在……下方”可以包含“上方”和“下方”两种方位。此外,设备可被另外定位(例如,旋转90度或者在其它方位处),如此,相应地解释这里使用的空间相对描述语。For descriptive purposes, this disclosure may use terms such as "under", "beneath", "below", "under", "above", "on", "on" ... above", "higher" and "side (e.g., in "side walls")", etc., to describe the relationship between one component and another (other) component as shown in the drawings relation. Spatially relative terms are intended to encompass different orientations of the device in use, operation and/or manufacture in addition to the orientation depicted in the figures. For example, if the device in the figures is turned over, elements described as "below" or "beneath" other elements or features would then be oriented "above" the other elements or features. Thus, the exemplary term "below" can encompass both an orientation of "above" and "beneath". In addition, the device may be otherwise positioned (eg, rotated 90 degrees or at other orientations), and as such, the spatially relative descriptors used herein are interpreted accordingly.
这里使用的术语是为了描述具体实施例的目的,而不意图是限制性的。如这里所使用的,除非上下文另外清楚地指出,否则单数形式“一个(种、者)”和“所述(该)”也意图包括复数形式。此外,当在本说明书中使用术语“包含”和/或“包括”以及它们的变型时,说明存在所陈述的特征、整体、步骤、操作、部件、组件和/或它们的组,但不排除存在或附加一个或更多个其它特征、整体、步骤、操作、部件、组件和/或它们的组。还要注意的是,如这里使用的,术语“基本上”、“大约”和其它类似的术语被用作近似术语而不用作程度术语,如此,它们被用来解释本领域普通技术人员将认识到的测量值、计算值和/或提供的值的固有偏差。The terminology used herein is for the purpose of describing particular embodiments and is not intended to be limiting. As used herein, the singular forms "a" and "the" are intended to include the plural forms as well, unless the context clearly dictates otherwise. In addition, when the terms "comprising" and/or "comprising" and their variants are used in this specification, it means that the stated features, integers, steps, operations, parts, components and/or their groups exist, but do not exclude One or more other features, integers, steps, operations, parts, components and/or groups thereof are present or in addition. Note also that, as used herein, the terms "substantially," "about," and other similar terms are used as terms of approximation and not as terms of degree, and as such, they are used to explain what one of ordinary skill in the art would recognize. Inherent deviations from measured, calculated and/or supplied values.
下文参考图1至图4对本公开的手术系统进行详细说明。The surgical system of the present disclosure will be described in detail below with reference to FIGS. 1 to 4 .
参考图1和图2,在本公开的一些实施方式中,本公开的手术系统1000,包括:Referring to FIG. 1 and FIG. 2, in some embodiments of the present disclosure, the
膨腔装置200,膨腔装置200用于向目标腔体输送膨腔液以对目标腔体执行膨腔操作并实时监测输送总量;The
回收装置400,回收装置400至少对手术系统1000的刨削操作的过程中产生的腔体组织废物及废液进行回收并实时监测回收总量;
刨削装置300,刨削装置300用于对目标腔体执行刨削操作。A
参考图1和图2,手术系统1000或者膨腔装置200包括计时器装置210,计时器装置210对膨腔操作的膨腔时长进行监测。Referring to FIG. 1 and FIG. 2 , the
其中,膨腔装置200包括:Wherein, the
流量检测装置206,流量检测装置206实时测量膨腔装置200向目标腔体输送的膨腔液的输送总量;
其中,回收装置400包括:Wherein,
液体计量模块404,液体计量模块404用于实时测量回收装置400的回收总量;The
手术系统1000还包括:
控制器100,控制器100至少基于输送总量及回收总量获得目标腔体的膨腔液缺失量。The
本公开的膨腔液缺失量可以基于目标腔体(例如宫腔)的预设膨腔液量(例如750mL)及上文描述的膨腔液的输送总量及回收总量获得,预设膨腔液量-(输送总量-回收总量)即膨腔液缺失量。The missing amount of cavity distending fluid in the present disclosure can be obtained based on the preset volume of cavity distending fluid (for example, 750 mL) of the target cavity (such as the uterine cavity) and the total amount of delivery and recovery of the cavity distending fluid described above. Cavity fluid volume - (total delivery volume - total recovery volume) is the missing volume of cavity expansion fluid.
其中,上文描述的回收包括吸引回收和自然流出回收。Among them, the recovery described above includes suction recovery and natural outflow recovery.
本公开的手术系统1000能够同时地对膨腔装置200的膨腔时长和目标腔体的膨腔液缺失量进行监测。The
在本公开的一些实施方式中,本公开的控制器100可以是微控制器(MCU)。In some embodiments of the present disclosure, the
在本公开的一些实施方式中,本公开的刨削装置300包括吸引通道。In some embodiments of the present disclosure, the
在本公开的一些实施方式中,本公开的回收装置400包括:In some embodiments of the present disclosure, the
负压提供装置402,负压提供装置402基于控制器100的控制信号提供负压,使得刨削装置300的吸引通道301能够基于负压对刨削操作的过程中产生的腔体组织废物及废液进行吸引。The negative
在本公开的一些实施方式中,本公开的计时器装置210与控制器100连接,以使得计时器装置210基于膨腔装置200的第一泵送装置202的启动信号对膨腔时长开始计时。In some embodiments of the present disclosure, the
在本公开的一些实施方式中,参考图1和图2,本公开的计时器装,210与控制器100连接,膨腔装置200还包括压力测量装置205,以使得计时器装置210基于膨腔装置200的压力测量装置205的压力测量信号对膨腔时长开始计时。In some embodiments of the present disclosure, referring to FIG. 1 and FIG. 2 , the
参考图2,在本公开的一些实施方式中,本公开的手术系统1000还包括:Referring to FIG. 2 , in some embodiments of the present disclosure, the
报警装置600,当膨腔时长达到预设时长和/或膨腔液缺失量达到预设缺失量,报警装置600生成并输出警告信号。The
其中,本公开的报警装置600可以包括与控制器100连接的至少一个蜂鸣器及与控制器100连接的至少一个发光器(例如LED)。Wherein, the
继续参考图1和图2,在本公开的一些实施方式中,本公开的膨腔装置200包括:Continuing to refer to FIG. 1 and FIG. 2 , in some embodiments of the present disclosure, the
第一泵送装置202;first pumping means 202;
第一驱动装置203,第一驱动装置203基于控制器100的控制信号对第一泵送装置202进行驱动以使得第一泵送装置202将膨腔液供应部201提供的膨腔液经由输送管路204输送至目标腔体。The
其中,计时器装置210可以基于控制器100生成的第一驱动装置启动控制信号对膨腔时长开始计时,即第一驱动装置控制信号作为上文描述的第一泵送装置202的启动信号。Wherein, the
图3是本公开的一个实施方式的手术系统的详细结构示意图。图4是本公开的一个实施方式的压力测量装置的结构示意图。FIG. 3 is a schematic diagram of a detailed structure of a surgical system according to an embodiment of the present disclosure. Fig. 4 is a schematic structural diagram of a pressure measurement device according to an embodiment of the present disclosure.
下文结合图3和图4对本公开的手术系统等进行更详细说明。The surgical system and the like of the present disclosure will be described in more detail below in conjunction with FIG. 3 and FIG. 4 .
参考图3,在本公开的一些实施方式中,本公开的手术系统1000,包括:Referring to FIG. 3 , in some embodiments of the present disclosure, the
控制器100;
膨腔装置200,膨腔装置200基于控制器100的控制信号向目标腔体输送膨腔液以对目标腔体执行膨腔操作;The
刨削装置300,刨削装置300基于控制器100的控制信号对目标腔体执行刨削操作,刨削装置300包括吸引通道301。The
其中,回收装置400优选地包括:Wherein,
膨腔液收集部401,膨腔液收集部401对目标腔体自然排出的膨腔液进行收集;The cavity expansion
负压提供装置402,负压提供装置402基于控制器100的控制信号对吸引通道301提供负压,使得吸引通道301基于负压对刨削操作的过程中产生的腔体组织废物及废液进行吸引;The negative
存储容器403,存储容器403与吸引通道301及膨腔液收集部401均流体连通,以对来自吸引通道301的腔体组织废物及废液和来自膨腔液收集部401的膨腔液进行容纳。The
本公开的手术系统1000可以执行对人体宫腔、膀胱腔等的手术操作。The
本公开通过在手术系统1000中配置膨腔装置200、刨削装置300、回收装置400,并基于一个控制器100对膨腔装置200、刨削装置300、回收装置400进行控制,提高了本公开的手术系统1000的自动化程度。The present disclosure improves the scope of the present disclosure by configuring the
本公开的控制器100可以是单片机或者微控制器(MCU),或者任何具有计算机程序处理功能的处理器,本公开不对控制器100的具体类型或者型号进行特别限定。The
参考图3,在本公开的一些实施方式中,本公开的手术系统1000的膨腔装置200还包括:Referring to FIG. 3 , in some embodiments of the present disclosure, the
膨腔液供应部201,膨腔液供应部201存储有膨腔液;The cavity expansion
第一泵送装置202;first pumping means 202;
第一驱动装置203,第一驱动装置203基于控制器100的控制信号对第一泵送装置202进行驱动以使得第一泵送装置202将膨腔液供应部201提供的膨腔液经由输送管路204输送至目标腔体。The
其中,膨腔液供应部201可以是灌注液袋的形式,本领域技术人员可以配置合适的液体供应袋/瓶等作为本公开的膨腔液供应部201。膨腔液可以是常用的医用膨腔液。Wherein, the cavity expansion
本公开的第一泵送装置202可以是常用的灌注泵头,例如蠕动泵。The
本公开的第一驱动装置203优选为步进电机,例如步进电机一体机。The
图3示例性地示出了控制器100的一些通讯接口,不应当理解为对控制器100的限制,本领域技术人员在本公开的启示下,可以对控制器100的型号等进行选择以具有相应的接口数量/型号。Fig. 3 exemplarily shows some communication interfaces of the
继续参考图3,在本公开的一些实施方式中,本公开的手术系统1000的膨腔装置200还包括:Continuing to refer to FIG. 3 , in some embodiments of the present disclosure, the
压力测量装置205,压力测量装置205用于对输送管路204内的液体压力进行测量,以监测目标腔体(例如人体宫腔)内的液体压力。The
由于目标腔体内的液体压力与输送管路204内的液体压力相同(采用蠕动泵),本公开的膨腔装置200通过对输送管路204内的压力进行监测来对目标腔体内的液体压力。Since the liquid pressure in the target cavity is the same as the liquid pressure in the delivery pipeline 204 (using a peristaltic pump), the
图4是本公开的一个实施方式的压力测量装置的结构示意图。Fig. 4 is a schematic structural diagram of a pressure measurement device according to an embodiment of the present disclosure.
在本公开的一些实施方式中,参考图4,本公开的手术系统1000的压力测量装置205包括:In some embodiments of the present disclosure, referring to FIG. 4 , the
压力室2051,压力室2051具有第一壁A及第二壁B,输送管路204的至少一部分能够配置在第一壁A及第二壁B之间的通道之内;A
至少一个压力传感器2052(例如包括第一压力传感器和第二压力传感器),压力传感器2052配置在第一壁A和/或第二壁B上,以对输送管路204内的液体压力进行测量。At least one pressure sensor 2052 (for example including a first pressure sensor and a second pressure sensor), the
本公开的压力室2051可以是具有中空腔道的圆柱体(也可以是其他形状),输送管路204能够穿过中空腔道。中空腔道的壁即作为上文描述的第一壁A和第二壁B,当输送管路204中有膨腔液输送时,输送管路204的外壁将与配置在压力室2051的中空腔道的壁上的至少一个压力传感器2052接触,以对输送管路204内的液体压力进行测量。The
本公开的压力室2051的中空腔道的横断面优选为圆形,也可以是椭圆形或矩形。The cross-section of the hollow channel of the
本公开的压力室2051的中空腔道可以是周向闭合的中空腔道,也可以是周向开口的中空腔道。The hollow channel of the
本公开上文描述的第一壁A和第二壁B可以是横断面为圆形的中空腔道的壁的两个区域,优选为位置相对的两个区域。The first wall A and the second wall B described above in the present disclosure may be two regions of the wall of a hollow cavity with a circular cross section, preferably two regions opposite to each other.
本领域技术人员在本公开技术方案的启示下,可以对压力室的具体形式进行调整,均落入本公开的保护范围。Under the enlightenment of the technical solutions of the present disclosure, those skilled in the art can adjust the specific form of the pressure chamber, all of which fall within the protection scope of the present disclosure.
本公开上文描述的输送管路204为柔性管路,例如橡胶管。The
在本公开的一些实施方式中,本公开的手术系统1000的压力传感器2052以嵌入的方式配置在第一壁A和/或第二壁B上。In some embodiments of the present disclosure, the
本公开的手术系统1000的压力测量装置205测量的液体压力可以实时传输给控制器100。The fluid pressure measured by the
在本公开的一些实施方式中,参考图3,本公开的手术系统1000的第一泵送装置202配置有第一微动开关2021,当输送管路204与第一泵送装置202配置就绪时,第一微动开关2021生成第一触发信号,第一触发信号传输给控制器100。In some embodiments of the present disclosure, referring to FIG. 3 , the
在本公开的一些实施方式中,优选地,参考图3和图4,本公开的手术系统1000的压力室2051配置有第二微动开关2053,当输送管路204在第一壁A及第二壁B之间配置就绪时,第二微动开关2053生成第二触发信号,第二触发信号传输给控制器100。In some embodiments of the present disclosure, preferably, referring to FIG. 3 and FIG. 4 , the
本公开的膨腔装置200通过配置上文描述的第一微动开关2021和第二微动开关2053,能够实时检测输送管路204的配置状态,是否已经与第一泵送装置202、压力室2051配置就绪。The
参考图3,本公开的上文描述的吸引通道301与存储容器403的第一口部4031连通,负压提供装置402与存储容器403的第二口部4032连通,负压提供装置402经由第一口部4031与第二口部4032之间的气体通道向吸引通道301提供负压(参见带箭头弧形虚线),以对刨削操作的过程中产生的腔体组织废物及废液进行吸引。Referring to FIG. 3 , the above-described
在本公开的一些实施方式中,本公开上文描述的膨腔液收集部401也与存储容器403的第一口部4031连通,负压提供装置402还经由第一口部4031与第二口部4032之间的气体通道向膨腔液收集部401提供负压,以对目标腔体自然排出的膨腔液进行收集。In some embodiments of the present disclosure, the cavity expansion
膨腔液收集部401可以是收集袋的形式。The cavity distension
在本公开的一些实施方式中,本公开的手术系统1000的回收装置400还包括液体计量模块404。In some embodiments of the present disclosure, the
液体计量模块404对存储容器403内的液体量进行实时测量,并将测量结果实时传输给控制器100。液体计量模块404可以是力传感器。The
在本公开的一些实施方式中,参考图3,本公开的手术系统1000的刨削装置300还包括:In some embodiments of the present disclosure, referring to FIG. 3 , the
启动开关306,启动开关306基于操作动作生成刨削装置启动信号并传输给控制器100,控制器100至少基于刨削装置启动信号生成电机驱动信号以对刨削操作部303的电机304进行驱动。Start the
其中,启动开关306优选为脚踏式开关。Wherein, the
在本公开的一些实施方式中,本公开的膨腔装置200还包括流量检测装置206,以实时测量膨腔装置200向目标腔体输送的膨腔液量并将测量值实时传输给控制器100。In some embodiments of the present disclosure, the
流量检测装置206可以是流量计,可以配置在第一泵送装置202的与输送管路204的连接处。The
在本公开的一些优选实施方式中,本公开的控制器100至少基于第一微动开关2021的第一触发信号及第二微动开关2053的第二触发信号生成用于控制第一驱动装置203的控制信号。In some preferred implementations of the present disclosure, the
即在输送管路204与第一泵送装置202配置就绪且输送管路与压力室2051配置就绪后,控制器100才能够控制第一驱动装置203对第一泵送装置202进行驱动,从而第一泵送装置202执行膨腔液的输送。That is, the
参考图3,本公开的手术系统1000部分部件可以以一体机的形式配置为手术设备500,即图3中的最大虚线框包括的部件。Referring to FIG. 3 , some components of the
手术设备500能够与上文描述的刨削装置300、回收装置400及膨腔液供应部201进行配合。The
参考图3,手术设备500可以配置吸气口、排气口以使得负压提供装置402能够工作。Referring to FIG. 3 , the
手术设备500还可以配置多个连接器,以使得控制器100能够经由连接器发送和接收信号。The
在本公开的一些实施方式中,手术设备500还配置有用于监测第一驱动装置203的工作温度的NTC。In some embodiments of the present disclosure, the
刨削装置300也可以配置有监测刨削操作部303的工作温度(例如电池温度)的NTC。The
在本公开的一些实施方式中,本公开的手术系统1000还包括第一操作接收部,第一操作接收部用于接收用户的操作动作(触摸操作或者按压操作)以生成第一操作信号并传输给控制器100,控制器100基于第一触发信号、第二触发信号及第一操作信号生成用于控制第一驱动装置203的控制信号。In some implementations of the present disclosure, the
其中,第一操作接收部可以是按键的形式,例如配置在手术设备500的壳体上的按键,也可以是触摸屏的形式,例如配置在手术设备500的壳体上的触摸屏的部分触摸区域。Wherein, the first operation receiving part may be in the form of a button, such as a button configured on the casing of the
第一操作接收部接收的操作动作可包括第一驱动装置203的启动操作,第一操作信号可以是第一驱动装置203的启动控制信号。The operation action received by the first operation receiving unit may include an activation operation of the
即在本公开的一些实施方式中,第一驱动装置203的启动依赖于第一触发信号和第二触发信号。That is, in some embodiments of the present disclosure, the activation of the
在本公开的一些实施方式中,本公开的手术系统1000还包括第二操作接收部,第二操作接收部用于接收用户的操作动作(触摸操作或者按压操作)以生成第二操作信号并传输给控制器100,控制器100至少基于第二操作信号生成用于控制负压提供装置402提供负压的控制信号。In some embodiments of the present disclosure, the
其中,第二操作接收部可以是按键的形式,例如配置在手术设备500的壳体上的按键,也可以是触摸屏的形式,例如配置在手术设备500的壳体上的触摸屏的部分触摸区域。Wherein, the second operation receiving part may be in the form of a button, such as a button configured on the casing of the
优选地,本公开的控制器100基于第二操作信号及控制器100生成的用于控制第一驱动装置203的控制信号生成用于控制负压提供装置402提供负压的控制信号。Preferably, the
其中,第二操作接收部接收的操作动作可包括负压提供装置402的启动操作,第二操作信号可以是负压提供装置402的启动控制信号。Wherein, the operation action received by the second operation receiving unit may include an activation operation of the negative
即在本公开的优选实施方式中,负压提供装置402的启动依赖于第一驱动装置203的启动。That is, in a preferred embodiment of the present disclosure, the activation of the negative
在本公开的一些实施方式中,本公开的手术系统1000还包括第三操作接收部,第三操作接收部用于接收用户的操作动作(触摸操作或者按压操作)以生成第三操作信号并传输给控制器100,控制器100基于第三操作信号关联预设的刨削刀头工作模式(转速等),控制器100基于刨削装置启动信号(启动开关306生成)及第三操作信号输出关联预设的刨削刀头工作模式的刨削控制信号,以控制刨削操作部303对内刀进行驱动。In some embodiments of the present disclosure, the
其中,第三操作接收部可以是按键的形式,例如配置在手术设备500的壳体上的按键,也可以是触摸屏的形式,例如配置在手术设备500的壳体上的触摸屏的部分触摸区域。Wherein, the third operation receiving part may be in the form of a button, such as a button configured on the casing of the
其中,第三操作接收部接收的操作动作可以包括选择刨削工作模式的操作。Wherein, the operation action received by the third operation receiving unit may include an operation of selecting a planing working mode.
需要说明的是,本公开的刨削装置300的刨削刀头302可以经由手术系统1000之外的内窥镜(未示出)进入目标腔体进行刨削操作。It should be noted that the planing
本公开上文描述的输送管路204也可以经由内窥镜向目标腔体输送膨腔液。The
在本说明书的描述中,参考术语“一个实施例/方式”、“一些实施例/方式”、“示例”、“具体示例”或“一些示例”等的描述意指结合该实施例/方式或示例描述的具体特征、结构、材料或者特点包含于本公开的至少一个实施例/方式或示例中。在本说明书中,对上述术语的示意性表述不必须针对的是相同的实施例/方式或示例。而且,描述的具体特征、结构、材料或者特点可以在任一个或多个实施例/方式或示例中以合适的方式结合。此外,在不相互矛盾的情况下,本领域的技术人员可以将本说明书中描述的不同实施例/方式或示例以及不同实施例/方式或示例的特征进行结合和组合。In the description of this specification, descriptions referring to the terms "one embodiment/mode", "some embodiments/modes", "examples", "specific examples" or "some examples" mean that the embodiments/modes or The specific features, structures, materials or features described in the examples are included in at least one embodiment/mode or example of the present disclosure. In this specification, the schematic representations of the above terms do not necessarily refer to the same embodiment/mode or example. Moreover, the described specific features, structures, materials or characteristics may be combined in any one or more embodiments/modes or examples in an appropriate manner. In addition, those skilled in the art may combine and combine different embodiments/modes or examples and features of different embodiments/modes or examples described in this specification without conflicting with each other.
此外,术语“第一”、“第二”仅用于描述目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”的特征可以明示或者隐含地包括至少一个该特征。在本公开的描述中,“多个”的含义是至少两个,例如两个,三个等,除非另有明确具体的限定。In addition, the terms "first" and "second" are used for descriptive purposes only, and cannot be interpreted as indicating or implying relative importance or implicitly specifying the quantity of indicated technical features. Thus, the features defined as "first" and "second" may explicitly or implicitly include at least one of these features. In the description of the present disclosure, "plurality" means at least two, such as two, three, etc., unless otherwise specifically defined.
本领域的技术人员应当理解,上述实施方式仅仅是为了清楚地说明本公开,而并非是对本公开的范围进行限定。对于所属领域的技术人员而言,在上述公开的基础上还可以做出其它变化或变型,并且这些变化或变型仍处于本公开的范围内。It should be understood by those skilled in the art that the above-mentioned embodiments are only for clearly illustrating the present disclosure, rather than limiting the scope of the present disclosure. For those skilled in the art, other changes or modifications can be made on the basis of the above disclosure, and these changes or modifications are still within the scope of the present disclosure.
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| CN117547339A (en) * | 2023-10-26 | 2024-02-13 | 邦士医疗科技股份有限公司 | A surgical power device and control method that can be controlled by constant pressure in the planing cavity |
| WO2024131455A1 (en) * | 2022-12-22 | 2024-06-27 | 新光维医疗科技(苏州)股份有限公司 | Surgical system having cavity distention, shaving and aspiration functions and control method |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| WO2024131455A1 (en) * | 2022-12-22 | 2024-06-27 | 新光维医疗科技(苏州)股份有限公司 | Surgical system having cavity distention, shaving and aspiration functions and control method |
| CN117547339A (en) * | 2023-10-26 | 2024-02-13 | 邦士医疗科技股份有限公司 | A surgical power device and control method that can be controlled by constant pressure in the planing cavity |
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