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CN119235236A - Endoscopic device and method for measuring hemoglobin concentration - Google Patents

Endoscopic device and method for measuring hemoglobin concentration Download PDF

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CN119235236A
CN119235236A CN202411415977.XA CN202411415977A CN119235236A CN 119235236 A CN119235236 A CN 119235236A CN 202411415977 A CN202411415977 A CN 202411415977A CN 119235236 A CN119235236 A CN 119235236A
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hemoglobin
narrow
band light
color image
light
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袁波
王立强
宋萌
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Zhejiang University ZJU
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Zhejiang University ZJU
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002Operational features of endoscopes
    • A61B1/00004Operational features of endoscopes characterised by electronic signal processing
    • A61B1/00009Operational features of endoscopes characterised by electronic signal processing of image signals during a use of endoscope
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/063Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements for monochromatic or narrow-band illumination
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/0646Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements with illumination filters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/0661Endoscope light sources
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/01Arrangements or apparatus for facilitating the optical investigation
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/17Systems in which incident light is modified in accordance with the properties of the material investigated
    • G01N21/25Colour; Spectral properties, i.e. comparison of effect of material on the light at two or more different wavelengths or wavelength bands
    • G01N21/31Investigating relative effect of material at wavelengths characteristic of specific elements or molecules, e.g. atomic absorption spectrometry
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N21/00Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
    • G01N21/84Systems specially adapted for particular applications
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/72Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving blood pigments, e.g. haemoglobin, bilirubin or other porphyrins; involving occult blood
    • G01N33/721Haemoglobin

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Abstract

本发明提供了一种血红蛋白浓度测量内窥镜装置及方法,涉及内窥镜技术领域。利用窄带光组合1和窄带光组合2交替照明目标组织,获得彩色图像1和彩色图像2,从中提取与浅层、中层和深层血红蛋白敏感的反射信息,利用散射校正和背景光校正得到浅层、中层和深层血红蛋白指数,并利用血红蛋白吸光系数对血红蛋白指数进行归一化校正,最后基于校正血红蛋白指数计算血红蛋白浓度并输出浓度分布图。本发明能更准确地反映浅层、中层、深层组织中血管的综合分布,进而更准确地测量组织的血红蛋白浓度,同时保证内窥镜实时图像观察的需要。

The present invention provides an endoscope device and method for measuring hemoglobin concentration, and relates to the technical field of endoscopes. The target tissue is alternately illuminated by narrow-band light combination 1 and narrow-band light combination 2 to obtain color images 1 and color images 2, from which reflection information sensitive to shallow, middle and deep hemoglobin is extracted, and the shallow, middle and deep hemoglobin indexes are obtained by scattering correction and background light correction, and the hemoglobin index is normalized and corrected by the hemoglobin absorption coefficient, and finally the hemoglobin concentration is calculated based on the corrected hemoglobin index and a concentration distribution map is output. The present invention can more accurately reflect the comprehensive distribution of blood vessels in shallow, middle and deep tissues, and thus more accurately measure the hemoglobin concentration of the tissue, while ensuring the need for real-time image observation of the endoscope.

Description

Endoscope device and method for measuring hemoglobin concentration
Technical Field
The present invention relates to an endoscope apparatus, and more particularly, to an endoscope apparatus and method for measuring hemoglobin concentration, which acquire hemoglobin concentration information in a biological tissue based on a narrow-band multispectral image of the biological tissue.
Background
With the advancement of medical science, the endoscope function is no longer limited to simple image observation, and the quantitative analysis of biological tissue components is gradually turned to, wherein hemoglobin is a key oxygen transport substance in blood, and concentration measurement is particularly focused.
In hemoglobin concentration measurement, an image is mostly captured by using illumination light around 500 to 600nm, and an index indicating the total hemoglobin concentration is calculated, thereby finally giving the distribution of the total hemoglobin concentration of the biological tissue. This is because the absorption band around 500 to 600nm of hemoglobin has a relatively large absorption coefficient and can reflect a change in tissue hemoglobin concentration relatively sensitively.
But the penetration depth of 500-600nm light in biological tissues is basically the same, and the comprehensive distribution of the hemoglobin concentration of the superficial, middle and deep blood vessels cannot be reflected more accurately.
For this reason, an endoscope apparatus for hemoglobin concentration measurement is proposed to more accurately measure the hemoglobin concentration of a tissue while ensuring that the endoscope can meet the need for real-time image observation.
Disclosure of Invention
The present specification provides an endoscope apparatus and method for measuring hemoglobin concentration, which obtains hemoglobin concentration information of shallow, middle and deep layers of biological tissue by utilizing different absorption characteristics of light with different wavelengths on hemoglobin and different penetration depths of the light in the biological tissue, so as to more accurately give out distribution of hemoglobin concentration, and simultaneously utilizes narrow-band light to combine illumination and synchronously obtain color images, thereby ensuring real-time observation of endoscopic images.
The present specification provides an endoscope apparatus for measuring hemoglobin concentration, comprising:
A light source unit that generates at least a narrow-band light combination 1 and a narrow-band light combination 2as illumination light;
An imaging unit that outputs a color image 1 and a color image 2 by imaging reflected light of a biological tissue under illumination of the narrowband light combination 1 and the narrowband light combination 2, respectively;
a processing unit for calculating and correcting a hemoglobin index pixel by pixel based on the color image 1 and the color image 2, and obtaining a hemoglobin concentration value in a biological tissue, specifically,
The processing part calculates hemoglobin indexes IHb1, IHb2 and IHb3 related to the contents of superficial, middle and deep hemoglobin of the tissue according to the color image 1 and the color image 2,
The processing part performs normalization correction on the hemoglobin index according to the hemoglobin light absorption coefficient at the corresponding wavelength to obtain IHb1', IHb2', IHb3',
The processing unit obtains a hemoglobin concentration value of the tissue from a relationship between the corrected hemoglobin indices IHb1', IHb2', IHb3' and the hemoglobin concentration.
Alternatively, the narrow-band light combination 1 includes a narrow-band light near the absorption peak of hemoglobin 415nm, a narrow-band light near the absorption peak of hemoglobin 540nm, and a narrow-band light near 650nm for background correction,
The center wavelength deviation of the narrow-band light is + -10 nm.
Optionally, the narrow-band light combination 2 includes a narrow-band light near 450nm for scatter correction and a narrow-band light near 590nm absorption peak of hemoglobin,
The center wavelength deviation of the narrow-band light is + -10 nm.
Optionally, the light source part comprises at least the narrow-band light sources in the narrow-band light combination 1 and the narrow-band light combination 2,
The full width at half maximum of each light source of the light source part is less than or equal to 40nm, the brightness of the light source can be adjusted,
The light source part is switched to emit the narrow-band light combination 1 and the narrow-band light combination 2 to illuminate the biological tissue.
Optionally, the photographing part is provided with a pixel array having sensitivity to illumination light of the light source part,
The imaging unit includes red, green and blue color filters, images the living tissue illuminated by the light from the light source unit, and generates a color image,
The photographing section is provided with a synchronous controller for synchronously recording the corresponding color image 1 and the corresponding color image 2 when the narrow-band light combination 1 and the narrow-band light combination 2 are illuminated.
Optionally, the processing part acquires red, green and blue components of corresponding pixels in the color image 1 and the color image 2, calculates the superficial, middle and deep hemoglobin indexes of the tissue pixel by pixel, specifically as follows,
Wherein Ib1 is a pixel blue component of the color image 1 obtained by shooting under the illumination of the narrow-band light combination 1,
Ig1 is a pixel green component of the color image 1 photographed under illumination of the narrow-band light combination 1,
Ir1 is the pixel red component of the color image 1 taken under illumination of the narrowband light combination 1,
Ib2 is the pixel blue component of the color image 2 captured under illumination of the narrowband light combination 2,
Irg2 is the sum of the pixel green component and the red component of the color image 2 obtained by photographing under illumination of the narrow-band light combination 2.
Optionally, the processing part uses IHb3 as a reference to normalize and correct the hemoglobin index as follows,
IHb3‘=IHb3
Wherein ε 1 is the integral value of the absorbance coefficient of hemoglobin of narrowband light around 415nm,
Epsilon 2 is the integral of the absorption coefficient of hemoglobin for narrowband light around 540nm,
Epsilon 3 is the integral of the absorption coefficient of hemoglobin for narrowband light around 590 nm.
Optionally, the processing unit includes a processor and a memory storing an executable program and a data table, wherein the executable program, when executed, causes the processor to execute the processing method in any one of the above-described apparatuses.
Further, the relationship of the corrected hemoglobin indices IHb1', IHb2', IHb3 'and hemoglobin concentrations in the present invention can be obtained by obtaining a color image 1 and a color image 2 based on the photographing section in the case of different known hemoglobin concentrations using a standard tissue sample capable of simulating the superficial, middle, and deep blood vessels, and calculating the corrected hemoglobin indices IHb1', IHb2', IHb3' of the standard tissue sample from the color image 1 and the color image 2 using the processing section, whereby a relationship numerical table or function of the corrected hemoglobin indices and the hemoglobin concentrations can be obtained.
Further, the standard tissue sample uses polymethyl methacrylate (PMMA) as a substrate, a cavity made of Polydimethylsiloxane (PDMS) material is embedded in the substrate to simulate blood vessels, and a film made of a PDMS material doped with titanium dioxide is covered on the substrate, wherein the film has three different thicknesses, and the film and the simulated blood vessels are combined to simulate deep, middle and shallow blood vessels respectively;
The simulated blood vessel, peristaltic pump and gas washing bottle are connected by plastic pipe to form circulation system, peristaltic pump is used to power blood circulation and control blood flow speed, pure blood and pure water in different proportions are added into gas washing bottle, and after mixing uniformly by circulation system, blood with different hemoglobin concentration is formed, in addition, oxygen or nitrogen can be introduced into gas inlet of gas washing bottle to change blood oxygen saturation.
A method of hemoglobin concentration measurement based on an endoscopic device, implemented with a device as claimed in any one of the preceding claims.
In the invention, the absorption characteristics and penetration depths of light with different wavelengths are comprehensively considered, the hemoglobin concentration information with different depths is acquired, and particularly, in order to more accurately measure, 650nm and 450nm narrow-band wave bands are introduced to reduce interference of tissue background reflection and scattering, 415nm, 540nm and 590nm narrow-band wave bands are combined to more comprehensively calculate the hemoglobin of shallow, medium and deep blood vessels, and simultaneously, a matched processing flow and a standard tissue sample for simulating the blood vessels are designed to accurately realize hemoglobin concentration measurement and greatly reduce experimental difficulty.
Drawings
For a clearer description of the technical solutions of the embodiments of the present application, the drawings used in the description of the embodiments are briefly introduced below, and the drawings described below are only some embodiments of the present application, from which other drawings can be obtained by those skilled in the art without the inventive effort.
Fig. 1 is a graph of absorption spectra of hemoglobin and penetration depths of light of different wavelengths.
Fig. 2 is a schematic view of penetration depths of light of different wavelengths in biological tissue of a layered structure.
Fig. 3 is a schematic diagram of the relative wavelength positions of the light source spectra of the narrowband light combination 1 and the narrowband light combination 2 with respect to the hemoglobin absorption spectrum and the penetration depth curve.
Fig. 4A is a schematic diagram of the relative wavelength positions of the light source spectrum of the narrow-band light combination 1 and the transmission spectrum of the filter of the imaging section image sensor.
Fig. 4B is a schematic diagram of the relative wavelength positions of the light source spectrum of the narrow-band light combination 2 and the transmission spectrum of the filter of the imaging section image sensor.
Fig. 5 is a structural view of the light source unit.
Fig. 6 is a block diagram of the image pickup unit.
Fig. 7 is a schematic diagram showing synchronization control of the light source unit, the imaging unit, and the processing unit.
Fig. 8 shows a sequence diagram of the combined illumination of the narrow-band light and the simultaneous acquisition of the color images.
FIG. 9 is a flow chart of hemoglobin concentration calculation of the present invention.
FIG. 10 is a schematic diagram of the structure of a standard tissue sample of hemoglobin.
FIG. 11A is a graph showing the concentration distribution of hemoglobin measured under violet illumination.
Fig. 11B is a graph showing the concentration distribution of hemoglobin measured under green illumination.
Fig. 11C is a graph showing the concentration distribution of hemoglobin measured under orange illumination.
FIG. 11D is a graph showing the concentration distribution of hemoglobin measured in accordance with the present invention.
Detailed Description
Hereinafter, modes for carrying out the present invention will be described with reference to the drawings.
The endoscopic device according to the embodiment of the present invention described below is a device that quantitatively calculates the hemoglobin concentration of a subject biological tissue based on two color images captured under illumination of a narrowband light combination 1 and a narrowband light combination 2, and displays the concentration distribution result in an image manner. In the quantitative analysis of hemoglobin concentration using the device, the property that absorption characteristics of hemoglobin by light having different penetration depths in biological tissues correspond to changes in hemoglobin concentration is utilized.
Before explaining the endoscope apparatus according to the embodiment of the present invention, spectral characteristics of hemoglobin and penetration depths of light of different wavelengths will be described.
Fig. 1 shows absorption spectra of hemoglobin and penetration depth curves of light of different wavelengths. In addition, fig. 2 shows the penetration depth of light of different wavelengths into biological tissue of the layered structure. The solid line in fig. 1 shows the absorption spectrum 11 of hemoglobin in the range of 400-700nm, and the dashed line in fig. 1 shows the penetration depth 12 of light in the range of 400-700nm in biological tissue. Absorption spectrum 11 shows that hemoglobin has absorption peaks at about 415nm 13, about 540nm 14 and about 580nm 15, respectively, and changes in hemoglobin concentration can be reflected relatively sensitively. The light near 415nm is equivalent to the light near 400-440nm in 16P, the light near 540nm is equivalent to the light near 470-580nm in 16G, the light near 540nm is equivalent to the light near 540nm in 22s, the light near 540nm is moderate in depth, the light near 21s is equivalent to the light near 470-580nm in 22m, but when the light is overlapped in the vertical direction, the information of the two can interfere with each other, the light near 580nm in 15 is equivalent to the light near 540nm in light absorption coefficient, no more information can be provided, the light near 480-610nm in 16O is deviated from the light near 540nm in 15 absorption peak, but the corresponding hemoglobin absorption coefficient can reflect the change of the hemoglobin concentration, the light penetration depth is obviously larger, the light 22m of the middle layer 21m and the light 22d of the deep layer 21d can be detected, and the light 22s of the surface layer 21s cannot be reflected well due to the fact that the hemoglobin absorption coefficient is relatively smaller and the surface blood vessel is thinner. In addition, the scattering effect is obvious in biological tissues, and the light in the range of 440-470nm 16B is sensitive to scattering, so that the tissue scattering is normalized and corrected by using the light. In addition, the light of the range of 610-700nm 16R has weaker absorption to hemoglobin and deeper penetration depth, is less affected by tissue and blood vessel absorption, and is used for normalizing and correcting the illumination background light.
From the above analysis, embodiments of the present invention select five narrowband lights for illumination, and combine color image sensors with color filters, using a combination illumination format for real-time measurement of hemoglobin concentration.
Fig. 3 shows the relative wavelength positions of the light source spectra of the narrowband light combination 1 and the narrowband light combination 2 with respect to the hemoglobin absorption spectrum and the penetration depth curve. Fig. 4A and 4B show the relative wavelength positions of the light source spectra of the narrow-band light combinations 1 and 2 and the transmission spectrum of the optical filter of the imaging unit image sensor, respectively.
As an example of the present invention, the narrowband light combination 1 is composed of narrowband light 31, narrowband light 32, and narrowband light 33, and the narrowband light combination 2 is composed of narrowband light 34 and narrowband light 35, the full width at half maximum of which is 40nm or less. The imaging unit image sensor includes a blue filter 41, a green filter 42, and a red filter 43, and a wavelength region having a transmittance of 10% or more in each color filter is defined as each color region. I.e., as shown in fig. 4A or 4B, the blue region is 400-525nm, the green region is 470-610nm, and the red region is 590-700nm.
The center wavelength of the narrowband light 31 is 415nm, which is sensitive to the change of the concentration of the surface layer hemoglobin, the center wavelength of the narrowband light 32 is 540nm, which is sensitive to the change of the concentration of the surface layer hemoglobin, the center wavelength of the narrowband light 33 is 650nm, which has a low hemoglobin absorption coefficient, and which is used for the correction of the background light. The narrowband light 31, the narrowband light 32 and the narrowband light 33 are respectively positioned in a blue area, a green area and a red area, the color image 1 is obtained under the illumination of the narrowband light combination 1, and reflection signals of the narrowband light 31, the narrowband light 32 and the narrowband light 33 after the tissue are respectively obtained by blue, green and red channel values of the color image 1.
The narrowband light 34 has a center wavelength of 450nm, which is sensitive to tissue scattering, for tissue scattering correction, and the narrowband light 35 has a center wavelength of 590nm, which is sensitive to deep hemoglobin concentration changes. The narrow-band light 34 is positioned in a blue region, the narrow-band light 35 is positioned at the junction of a green region and a red region, the color image 2 is obtained under the illumination of the narrow-band light combination 2, the reflection signal of the narrow-band light 34 after passing through tissues is obtained by the blue channel value of the color image 2, and the reflection signal of the narrow-band light 35 after passing through the tissues is obtained by the sum of the values of the green channel and the red channel of the color image 2.
The narrow-band light is generated by the light source unit, and fig. 5 shows an example of the structure of the light source unit. The light source section is composed of a light source box 51 and a light source control section 52.
The light source box contains at least five narrow-band light sources of the above-mentioned narrow-band light combination 1 and narrow-band combination 2, and the narrow-band light sources can be lasers or LEDs. The narrow-band light sources 511, 512, 513, 514, 515 are arranged according to the structure shown in fig. 5, the beams are combined by the beam combining mirror 516, and are collimated by the collimating mirror 517 and finally emitted from a unified outlet for illumination, so that a plurality of narrow-band light sources can be simultaneously lightened for illumination in a narrow-band light combination mode. The above light source box structure is merely an example, and many more light source box structures are possible to satisfy the use requirement according to the expert knowledge.
The light source control unit 52 is connected to the narrow-band light sources 511, 512, 513, 514, 515, and changes the luminance of the narrow-band light sources or the on/off of the light sources by changing the driving current or voltage. The light source control unit 52 can control the light source box to illuminate with the narrow-band light combination 1 or the narrow-band light combination 2.
Under the illumination of the narrow-band light combination, a color image is acquired using the imaging unit, and fig. 6 shows an example of the configuration of the imaging unit. The image pickup section is composed of an image sensor 61 and an image control section 62.
The image sensor 61 is a color image sensor, and separates the 3 wavelength regions of the blue region, the green region, and the red region, and generates a blue channel value, a green channel value, and a red channel value independently. The image sensor 61 may be a CMOS or CCD image sensor that covers a bayer array filter including a blue filter 41, a green filter 42, and a red filter 43.
The image control unit 62 is used for adjusting parameters such as exposure time and gain of the image sensor, controlling image acquisition, and outputting color image data.
The light source control unit 52 and the image control unit 62 are to operate under synchronous conditions, and fig. 7 is a schematic diagram of synchronous control. The synchronization controller 71 controls the light source control unit 52 to illuminate with the narrow-band light combination 1 or the narrow-band light combination 2, and synchronously controls the image control unit 62 to acquire the color image 1 or the color image 2, and synchronously controls the color image input processing unit 72 to calculate the hemoglobin concentration.
Fig. 8 is a sequence diagram of narrow-band light combination illumination and simultaneous acquisition of color images. Image acquisition is divided into odd and even frames. The color image 1 is obtained by illumination with the combination of narrowband light 1 at odd frames, i.e. simultaneously illuminating 415nm narrowband light 31, 540nm narrowband light 32 and 650nm narrowband light 33. The color image 2 is obtained with illumination of the narrow-band light combination 2 at even frames, i.e. with simultaneous illumination of the 450nm narrow-band light 34 and the 590nm narrow-band light 35. The processing unit processes the obtained color images 1 and 2 of two adjacent frames to give a hemoglobin concentration result in real time.
The odd and even frames can also be illuminated with the same principle by using the narrowband light combination 2 and the narrowband combination 1, respectively.
The processing section calculates the hemoglobin concentration based on the obtained color image, and fig. 9 is a flowchart of the hemoglobin concentration calculation, including 5 processing steps.
The image acquisition 91 acquires the color image 1 and the color image 2 of the adjacent two frames.
Information extraction 92 extracts reflected signals of the narrowband light after passing through the tissue from the color image. Specifically, the reflected signal Ib1 of 415nm light, the reflected signal Ig1 of 540nm light, and the reflected signal Ir1 of 650nm light are extracted from the blue, green, and red channels of the color image 1, respectively, the reflected signal Ib2 of 450nm light is extracted from the blue channel of the color image 2, and the sum of the green and red channel values of the color image 2 yields the reflected signal Irg2 of 590nm light.
Hemoglobin index calculation 93, the superficial hemoglobin index IHb1, the middle hemoglobin index IHb2, and the deep hemoglobin index IHb3 are calculated according to the following formulas.
The hemoglobin index correction 94 normalizes and corrects the hemoglobin index based on the integral epsilon 1 of the absorbance of the narrowband light near 415nm, the integral epsilon 2 of the absorbance of the narrowband light near 540nm, and the integral epsilon 3 of the absorbance of the narrowband light near 590nm, keeping the deep hemoglobin index unchanged. IHb1', IHb2', IHb3' are corrected superficial, middle and deep haemoglobin indices respectively.
IHb3‘=IHb3
Hemoglobin concentration calculation 95, obtaining a hemoglobin concentration value of the tissue from a numerical table or function of the corrected hemoglobin indices IHb1', IHb2', IHb3' and the relationship of hemoglobin concentrations. The numerical table or function used is calibrated in advance based on the endoscopic device and the standard tissue sample. The function may take the form of an n-degree polynomial with respect to IHb1', IHb2', IHb3', but n suggests no more than 3.
Fig. 10 is a schematic diagram showing an example of the structure of the standard tissue sample. Polymethyl methacrylate (PMMA) is used as the substrate 101. A channel made of Polydimethylsiloxane (PDMS) material was buried in the substrate 101 to simulate the blood vessel 102, and the diameters of the blood vessels 102 were different. To simulate tissue scattering, films 103a, 103b and 103c of titania (TiO 2) doped PDMS material are coated on the substrate 101, the films 103a, 103b and 103c being of different thickness, and in combination with the vessel 102, simulate deep, medium and shallow vessels, respectively.
The vessel 102, peristaltic pump 105 and gas washing bottle 106 are connected by a plastic tubing 104 to form a circulatory system. Peristaltic pump 105 provides motive force to blood circulation, controlling blood flow rate. Pure blood and pure water with different proportions are added into the gas washing bottle 106, and are uniformly mixed through a circulation system to form blood with different hemoglobin concentrations, and oxygen or nitrogen is introduced into the gas inlet 106a of the gas washing bottle 106 to change the blood oxygen saturation degree of the blood. In the simulated body structure, because PMMA and PDMS are high light-transmitting materials, the thickness influence of the PMMA and PDMS can be ignored, the PDMS film doped with titanium dioxide has a scattering effect and is used for simulating mucosal tissues covered on blood vessels, the thickness of the PDMS film is different, which means that the depths of the blood vessels in the tissues are different, in actual manufacturing, the doping amount of the titanium dioxide in the PDMS film can be controlled to control the normalized scattering coefficient of the obtained film so as to enable the PDMS film to be close to the tissues to be simulated, the thickness of the covered film is controlled to be close to the depths of the blood vessels in the tissues to be simulated so as to simulate deep, middle and shallow blood vessels, for example, when an endoscope is commonly used in a digestive organ, when a standard tissue sample simulating the digestive organ is manufactured, the film with the mass ratio of the titanium dioxide and the PDMS film is 0.8% -1.0%, the normalized scattering coefficient of the PDMS film is close to the gastric mucosa tissues, the thickness of the PDMS film is 50-200 mu m, the PDMS film can be used for simulating the shallow blood vessels, the PDMS film is used for simulating the substrate, the PDMS film is used for simulating the blood vessels, and the thickness of the PDMS film is used for simulating the blood vessels, and the film is used for the simulation. The shallower blood vessel in the actual tissue is usually thinner, but the thickness of the blood vessel is not required to be considered in the simulation, because the calculated hemoglobin index counteracts the influence of different optical paths caused by different thicknesses of the blood vessel, the diameter of the shallow blood vessel can be 100-300 mu m, the diameter of the middle blood vessel can be 300 mu m-1 mm, and the diameter of the deep blood vessel can be 1-3 mm for the convenience of manufacturing.
By using the standard tissue sample, the corrected hemoglobin indexes corresponding to the simulated shallow, middle and deep blood vessels can be determined by adopting the same method of the invention to perform experiments under the condition of different known hemoglobin concentrations, so that a relation value table or function of the corrected hemoglobin indexes and the hemoglobin concentrations can be obtained. The adoption of the imitation body structure of the invention greatly reduces the experimental difficulty required to be carried out in order to obtain the relation value table or the function.
FIGS. 11A, 11B and 11C are graphs showing the distribution of hemoglobin concentration of the tissue measured under illumination of 415nm narrow band light 31, 540nm narrow band light 32 and 590nm narrow band light 35, respectively. FIG. 11D is a graph showing the concentration profile of hemoglobin obtained in accordance with the present invention. They are gray-scale images, wherein the gray-scale values correspond to the hemoglobin concentration, and in some embodiments of the present invention, pseudo-color images may be used for the gray-scale images, and different colors correspond to different hemoglobin concentrations. By comparing fig. 11A to 11D, it can be seen that:
Only the hemoglobin concentration is measured by using the 415nm narrow band light 31, and only the hemoglobin information of the shallow capillary 22s can be extracted.
The hemoglobin concentration can be measured only by using 540nm narrow band light 32, and hemoglobin information of the superficial thin blood vessel 22s and the middle blood vessel 22m can be extracted, but in the case of blood vessel lamination, the information of both interfere with each other.
The hemoglobin information of the middle layer blood vessel 22m and the deep layer crude blood vessel 22d can be extracted by measuring the hemoglobin concentration only with the 590nm narrow band light 35, the shallow layer blood vessel 22s is difficult to extract the shallow layer blood vessel information because of the thin and small absorption coefficient of the hemoglobin to the 590nm narrow band light 35, and the middle layer and the deep layer information are also interfered with each other in the case of blood vessel lamination.
The method of the invention can more accurately obtain the hemoglobin concentration of biological tissues.
The hemoglobin information of the shallow thin blood vessel 22s is directly obtained from the 415nm narrow-band light 31 signal, the hemoglobin information of the middle blood vessel 22m is obtained by subtracting the signal contribution of the shallow thin blood vessel 22s from the 540nm narrow-band light 32 signal, and the hemoglobin information of the deep thick blood vessel 22d is obtained by subtracting the signal contributions of the shallow thin blood vessel 22s and the middle blood vessel 22m from the 590nm narrow-band light 35 signal. Therefore, in the case of using the tissue reflection signals of the 415nm narrow-band light 31, the 540nm narrow-band light 32, and the 590nm narrow-band light 35 at the same time, the embodiment of the present invention can independently extract the hemoglobin information of the shallow thin blood vessel 22s, the middle blood vessel 22m, and the deep thick blood vessel 22d, and thus can more accurately express the hemoglobin concentration of the tissue. The above effect also enables a more accurate response to the real situation in a numerical table or function of the relationship between the corrected hemoglobin indices IHb1', IHb2', IHb3' and hemoglobin concentrations obtained from calibration of standard tissue samples.
In addition, the signals of the 630nm narrow-band light 33 and the 450nm narrow-band light 34 are used for respectively carrying out normalization treatment on tissue background reflection and tissue scattering, so that deviation of a hemoglobin concentration calculation result caused by tissue difference is reduced. Meanwhile, by adopting the mode of alternately illuminating the narrow-band light combination 1 and the narrow-band light combination 2, the rapid calculation and real-time display of the hemoglobin concentration distribution map can be realized.

Claims (10)

1.一种血红蛋白浓度测量的内窥镜装置,其特征在于,具备:1. An endoscopic device for measuring hemoglobin concentration, characterized by comprising: 光源部,其至少产生窄带光组合1和窄带光组合2作为照明光;A light source unit that generates at least a narrow-band light combination 1 and a narrow-band light combination 2 as illumination light; 拍摄部,其通过拍摄在窄带光组合1和窄带光组合2分别照明下生物组织反射光,输出彩色图像1和彩色图像2;A photographing unit, which outputs a color image 1 and a color image 2 by photographing the reflected light of the biological tissue illuminated by the narrow-band light combination 1 and the narrow-band light combination 2 respectively; 处理部,其基于所述彩色图像1、彩色图像2,逐像素计算并校正血红蛋白指数,进而取得生物组织中血红蛋白浓度值;A processing unit, which calculates and corrects the hemoglobin index pixel by pixel based on the color image 1 and the color image 2, and then obtains the hemoglobin concentration value in the biological tissue; 其中,所述处理部根据彩色图像1和彩色图像2计算与组织浅层、中层、深层血红蛋白含量具有相关性的血红蛋白指数IHb1、IHb2、IHb3,The processing unit calculates the hemoglobin indexes IHb1, IHb2, and IHb3 that are correlated with the hemoglobin content in the superficial, middle, and deep layers of the tissue according to the color image 1 and the color image 2. 所述处理部根据对应波长处的血红蛋白吸光系数对血红蛋白指数进行归一化校正,得到IHb1‘、IHb2‘、IHb3‘,The processing unit performs normalization correction on the hemoglobin index according to the hemoglobin absorption coefficient at the corresponding wavelength to obtain IHb1', IHb2', and IHb3'. 所述处理部根据校正的血红蛋白指数IHb1‘、IHb2‘、IHb3‘和血红蛋白浓度的关系取得组织的血红蛋白浓度值。The processing unit obtains the hemoglobin concentration value of the tissue based on the relationship between the corrected hemoglobin indices IHb1', IHb2', IHb3' and the hemoglobin concentration. 2.如权利要求1所述血红蛋白浓度测量的内窥镜装置,其特征在于,2. The endoscopic device for measuring hemoglobin concentration according to claim 1, characterized in that: 所述窄带光组合1,包括峰值波长415nm附近的窄带光、峰值波长540nm附近的窄带光和峰值波长650nm附近的窄带光,The narrowband light combination 1 includes narrowband light near a peak wavelength of 415 nm, narrowband light near a peak wavelength of 540 nm, and narrowband light near a peak wavelength of 650 nm. 所述窄带光的中心波长偏差为±10nm。The central wavelength deviation of the narrow-band light is ±10 nm. 3.如权利要求1所述血红蛋白浓度测量的内窥镜装置,其特征在于,3. The endoscopic device for measuring hemoglobin concentration according to claim 1, characterized in that: 所述窄带光组合2,包括峰值波长450nm附近的窄带光和峰值波长590nm附近的窄带光,The narrowband light combination 2 includes narrowband light with a peak wavelength of about 450 nm and narrowband light with a peak wavelength of about 590 nm. 所述窄带光的中心波长偏差为±10nm。The central wavelength deviation of the narrow-band light is ±10 nm. 4.如权利要求1所述的血红蛋白浓度测量的内窥镜装置,其特征在于,4. The endoscopic device for measuring hemoglobin concentration according to claim 1, characterized in that: 所述光源部至少同时具备权利要求2所述装置中的窄带光组合1和权利要求3所述装置中的窄带光组合2,The light source unit at least comprises the narrow-band light combination 1 in the device of claim 2 and the narrow-band light combination 2 in the device of claim 3. 所述光源部的每个光源半高全宽≤40nm,光源亮度可调节,Each light source in the light source unit has a full width at half maximum of ≤40nm, and the brightness of the light source can be adjusted. 所述光源部切换发出窄带光组合1和窄带光组合2对生物组织进行照明。The light source unit switches between emitting narrow-band light combination 1 and narrow-band light combination 2 to illuminate biological tissue. 5.如权利要求1所述的血红蛋白浓度测量的内窥镜装置,其特征在于,5. The endoscopic device for measuring hemoglobin concentration according to claim 1, characterized in that: 所述拍摄部具备对所述光源部的照明光具有灵敏度的像素阵列,The imaging unit includes a pixel array having sensitivity to the illumination light of the light source unit. 所述拍摄部具备红、绿、蓝彩色过滤器,拍摄所述光源部的光照明的生物体组织,能够生成彩色图像,The imaging unit is provided with red, green, and blue color filters, and can capture the biological tissue illuminated by the light from the light source unit to generate a color image. 所述拍摄部具备同步控制器,在窄带光组合1和窄带光组合2照明时,同步记录对应的彩色图像1和彩色图像2。The imaging unit includes a synchronization controller, and synchronously records the corresponding color image 1 and color image 2 when the narrow-band light combination 1 and the narrow-band light combination 2 are illuminated. 6.如权利要求1所述的血红蛋白浓度测量的内窥镜装置,其特征在于,6. The endoscopic device for measuring hemoglobin concentration according to claim 1, characterized in that: 所述处理部,获取彩色图像1、彩色图像2中对应像素的红、绿、蓝分量,并逐像素计算组织浅层、中层、深层血红蛋白指数IHb1、IHb2、IHb3,如下,The processing unit obtains the red, green and blue components of the corresponding pixels in the color image 1 and the color image 2, and calculates the hemoglobin indexes IHb1, IHb2 and IHb3 of the shallow, middle and deep layers of the tissue pixel by pixel, as follows: 其中,Ib1为窄带光组合1照明下进行拍摄得到的彩色图像1的像素蓝分量,Wherein, Ib1 is the pixel blue component of the color image 1 obtained by photographing under the illumination of the narrow-band light combination 1, Ig1为窄带光组合1照明下进行拍摄得到的彩色图像1的像素绿分量,Ig1 is the pixel green component of color image 1 captured under the illumination of narrow-band light combination 1, Ir1为窄带光组合1照明下进行拍摄得到的彩色图像1的像素红分量,Ir1 is the pixel red component of color image 1 captured under the illumination of narrow-band light combination 1, Ib2为窄带光组合2照明下进行拍摄得到的彩色图像2的像素蓝分量,Ib2 is the pixel blue component of color image 2 captured under the illumination of narrow-band light combination 2, Irg2为窄带光组合2照明下进行拍摄得到的彩色图像2的像素绿分量和红分量之和。Irg2 is the sum of the green component and the red component of the pixel of the color image 2 captured under the illumination of the narrow-band light combination 2. 7.如权利要求1所述的血红蛋白浓度测量的内窥镜装置,其特征在于,7. The endoscopic device for measuring hemoglobin concentration according to claim 1, characterized in that: 所述处理部,以IHb3为基准,对血红蛋白指数按如下归一化校正,The processing unit, based on IHb3, normalizes and corrects the hemoglobin index as follows: IHb3‘=IHb3IHb3‘=IHb3 其中,ε1为峰值波长415nm附近窄带光的血红蛋白吸光系数的积分值,Among them, ε1 is the integral value of the hemoglobin absorption coefficient of narrow-band light near the peak wavelength of 415nm, ε2为峰值波长540nm附近窄带光的血红蛋白吸光系数的积分值,ε2 is the integral value of the hemoglobin absorption coefficient of narrow-band light near the peak wavelength of 540nm, ε3为峰值波长590nm附近窄带光的血红蛋白吸光系数的积分值。ε3 is the integrated value of the hemoglobin absorption coefficient of narrow-band light near the peak wavelength of 590 nm. 8.如权利要求1所述的血红蛋白浓度测量的内窥镜装置,其特征在于,8. The endoscope device for measuring hemoglobin concentration according to claim 1, characterized in that: 所述校正的血红蛋白指数IHb1‘、IHb2‘、IHb3‘和血红蛋白浓度的关系通过如下方法获得:利用能够模拟浅层、中层、深层血管的标准组织样本,在不同的已知血红蛋白浓度的情况下基于拍摄部获得彩色图像1和彩色图像2,并采用处理部根据彩色图像1和彩色图像2计算标准组织样本校正的血红蛋白指数IHb1‘、IHb2‘、IHb3‘,由此可以得到校正血红蛋白指数与血红蛋白浓度的关系数值表或函数。The relationship between the corrected hemoglobin indices IHb1', IHb2', IHb3' and the hemoglobin concentration is obtained by the following method: using standard tissue samples that can simulate shallow, middle and deep blood vessels, obtaining color images 1 and color images 2 based on the shooting unit under different known hemoglobin concentrations, and using the processing unit to calculate the corrected hemoglobin indices IHb1', IHb2', IHb3' of the standard tissue samples based on the color images 1 and the color images 2, thereby obtaining a numerical table or function of the relationship between the corrected hemoglobin indices and the hemoglobin concentration. 9.如权利要求8所述的血红蛋白浓度测量的内窥镜装置,其特征在于,9. The endoscopic device for measuring hemoglobin concentration according to claim 8, characterized in that: 所述标准组织样本,使用聚甲基丙烯酸甲酯(PMMA)作为基底,在基底中埋入聚二甲基硅氧烷(PDMS)材料制作的腔道以模拟血管,并在基底上面覆盖掺杂二氧化钛的PDMS材料制作的薄膜,所述薄膜有三种不同厚度,不同厚度所述薄膜与所述模拟血管结合分别模拟深层、中层和浅层血管;The standard tissue sample uses polymethyl methacrylate (PMMA) as a substrate, a cavity made of polydimethylsiloxane (PDMS) material is embedded in the substrate to simulate a blood vessel, and a film made of PDMS material doped with titanium dioxide is covered on the substrate, the film has three different thicknesses, and the films of different thicknesses are combined with the simulated blood vessels to respectively simulate deep, middle and superficial blood vessels; 利用塑料管道将模拟血管、蠕动泵和洗气瓶相连起来形成循环系统,蠕动泵用于为血液循环提供动力,控制血液流动速度,在洗气瓶处加入不同比例的纯血和纯水,经循环系统混合均匀后形成不同血红蛋白浓度的血液;此外,可向洗气瓶的气体入口通入氧气或氮气改变血液的血氧饱和度。Plastic pipes are used to connect simulated blood vessels, peristaltic pumps and washing bottles to form a circulation system. The peristaltic pump is used to provide power for blood circulation and control the blood flow rate. Pure blood and pure water in different proportions are added to the washing bottle, and after being evenly mixed through the circulation system, blood with different hemoglobin concentrations is formed. In addition, oxygen or nitrogen can be introduced into the gas inlet of the washing bottle to change the blood oxygen saturation. 10.一种基于内窥镜装置进行血红蛋白浓度测量的方法,其特征在于,采用如权利要求1-9任一项所述的方法实现。10. A method for measuring hemoglobin concentration based on an endoscope device, characterized in that it is implemented by the method according to any one of claims 1 to 9.
CN202411415977.XA 2024-10-11 2024-10-11 Endoscopic device and method for measuring hemoglobin concentration Pending CN119235236A (en)

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