CN111568355A - A miniature in-ear imaging device - Google Patents
A miniature in-ear imaging device Download PDFInfo
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Abstract
Description
技术领域technical field
本发明涉及医疗检测器械领域,更具体地说,它涉及一种微型耳内成像装置。The present invention relates to the field of medical testing instruments, and more particularly, to a miniature in-ear imaging device.
背景技术Background technique
中耳手术植入人工听骨假体是治疗中耳炎所致听小骨破坏的主要治疗方法。然而中耳位置深邃,手术及视野范围狭小,临床上并不能在术中实时评估植入人工听骨假体的稳定性。The implantation of artificial ossicular prosthesis in middle ear surgery is the main treatment method for the destruction of ossicles caused by otitis media. However, the position of the middle ear is deep, and the scope of operation and field of view is narrow, so the stability of the implanted artificial ossicular prosthesis cannot be evaluated in real time during the operation.
目前植入人工听骨稳定性的判断主要通过在中耳手术过程中术者的视力和触觉作主观判断,或应用AABR/ASSR中耳术中采用扬声器给声术中行听力监测等间接方法检测植入人工听骨的稳定性,但存在术者经验不足、电磁场干扰、本底噪声、外耳道填塞物等影响判断效果。而目前国内外尚无技术能满足术中实时观察确保术中人工听小骨安放的稳定性。At present, the stability of implanted artificial ossicles is mainly judged by subjective judgment of the operator's vision and touch during middle ear surgery, or indirect methods such as hearing monitoring during AABR/ASSR middle ear surgery using loudspeaker sound surgery. The stability of artificial ossicles can be improved, but there are inexperienced operators, electromagnetic field interference, background noise, external auditory canal packing, etc., which affect the judgment effect. At present, there is no technology at home and abroad that can meet the requirement of real-time observation during operation to ensure the stability of artificial auditory ossicle placement during operation.
发明内容SUMMARY OF THE INVENTION
为解决上述技术问题,本发明提供一种微型耳内成像装置,结构简单,设备较小,且成本低廉,适合广泛推广。In order to solve the above technical problems, the present invention provides a miniature in-ear imaging device, which has a simple structure, small equipment and low cost, and is suitable for wide popularization.
本发明的上述技术目的是通过以下技术方案得以实现的:The above-mentioned technical purpose of the present invention is achieved through the following technical solutions:
一种微型耳内成像装置,包括图像传输组件、照明组件、成像模组和显示器,图像传输组件包括传输通道,传输通道两端分别为检测端和观察端,照明组件设置在传输通道观察端一侧,照明组件包括照明光源和反光镜,反光镜设置在传输通道的延伸方向上并相对延伸方向倾斜设置,反光镜位于照明光源的照射方向上并将光线反射至传输通道内;成像模组设置在反光镜相对传输通道的另一侧,成像模组与显示器信号连接。A miniature in-ear imaging device includes an image transmission component, an illumination component, an imaging module and a display, the image transmission component includes a transmission channel, the two ends of the transmission channel are respectively a detection end and an observation end, and the illumination component is arranged at the observation end of the transmission channel. On the side, the lighting assembly includes an illumination light source and a reflector, the reflector is arranged in the extension direction of the transmission channel and is inclined relative to the extension direction, and the reflector is located in the illumination direction of the illumination light source and reflects the light into the transmission channel; the imaging module is set On the other side of the mirror opposite to the transmission channel, the imaging module is signal-connected to the display.
在上述方案中,当进行检测时,将传输通道检测端探入耳内,照明组件一直处于外部位置,照明光源照射至反光镜,反光镜将光线反射入耳内,传输通道观察端用于观察,成像模组包括视频拍摄器,用于获取视频信息,拍摄器位于反光镜相对传输通道的另一侧,然后通过采集卡转换为数字信号,并将该信号发送至显示器显示出耳内的图像。可采用ezcap272视频录制盒以及其它相关配件,装置由专用数据线连接至液晶监视器BNC接口并从该接口分流至视频录制盒,可实现视频录制与实时监控同时进行。照明光源可采用高强度LED灯。选用微型化的显微成像电路和高强度LED灯,组成微型成像模组。In the above scheme, when performing detection, the detection end of the transmission channel is inserted into the ear, the lighting assembly is always in the external position, the illumination light source illuminates the reflector, the reflector reflects the light into the ear, and the observation end of the transmission channel is used for observation and imaging. The module includes a video camera for acquiring video information. The camera is located on the other side of the reflector relative to the transmission channel, and is then converted into a digital signal by the capture card, and the signal is sent to the monitor to display the image in the ear. The ezcap272 video recording box and other related accessories can be used. The device is connected to the BNC interface of the LCD monitor by a special data line and branched from the interface to the video recording box, which can realize video recording and real-time monitoring at the same time. The lighting source can be high-intensity LED lights. Miniaturized microscopic imaging circuits and high-intensity LED lights are selected to form a microscopic imaging module.
作为一种优选方案,传输通道为柔性传像光纤。As a preferred solution, the transmission channel is a flexible imaging optical fiber.
在上述优选方案中,柔性传像光纤采用单丝直径4um的像纤阵列,有效像纤直径为0.45mm,有效探测像素数==探测面积/单丝面积≈9935个,相当于100×100的图像阵列,基本可实现对目标的识别与判断。柔性光纤具有传输效果好,且能够在弯折情况下保证检测的效果。In the above preferred solution, the flexible image transmission fiber adopts an image fiber array with a monofilament diameter of 4um, the effective image fiber diameter is 0.45mm, and the number of effective detection pixels == detection area/monofilament area ≈ 9935, which is equivalent to 100×100 The image array can basically realize the recognition and judgment of the target. The flexible optical fiber has good transmission effect and can ensure the detection effect in the case of bending.
作为一种优选方案,光纤外径不大于0.8mm,光纤外套设有可弯折金属管。As a preferred solution, the outer diameter of the optical fiber is not greater than 0.8 mm, and the outer jacket of the optical fiber is provided with a bendable metal tube.
在上述优选方案中,柔性传像光纤的外径≤0.8mm,可安装进高强度金属管内。其具有一定的柔软度,安全弯折半径为10cm。金属管用于对光纤保护;光纤的长度可根据实际情况做具体设置。通过零距离光学传输,将耳内的成像目标传递到数十公分外的微型成像模组上。并通过分光光路,同时将照明光发送到耳内的成像目标上去。In the above preferred solution, the outer diameter of the flexible image-transmitting optical fiber is ≤0.8 mm, which can be installed in a high-strength metal tube. It has a certain degree of softness, and the safe bending radius is 10cm. The metal tube is used to protect the optical fiber; the length of the optical fiber can be set according to the actual situation. Through zero-distance optical transmission, the imaging target in the ear is transmitted to the miniature imaging module tens of centimeters away. And through the beam splitting light path, the illumination light is sent to the imaging target in the ear at the same time.
作为一种优选方案,金属管外径不大于1mm;以保证传输通道的顺利探入耳内。As a preferred solution, the outer diameter of the metal tube is not greater than 1 mm; to ensure the smooth penetration of the transmission channel into the ear.
作为一种优选方案,照明光源和反光镜均设置在外壳内,外壳与金属管固定连接。As a preferred solution, both the illumination light source and the reflector are arranged in the casing, and the casing is fixedly connected with the metal tube.
在上述优选方案中,将其与传像传光光路的末端进行精密调试,调试完成后,封闭为一个整体。该密闭腔室的预估外形为直径20mm,长度20mm的圆柱体。在密闭腔室的尾端设计微型插头,用于通电和传输图像。In the above preferred solution, it is precisely debugged with the end of the image transmission and light transmission optical path, and after the debug is completed, it is closed as a whole. The estimated shape of the closed chamber is a cylinder with a diameter of 20 mm and a length of 20 mm. A miniature plug is designed at the end of the closed chamber for energization and image transmission.
作为一种优选方案,光纤检测端设有90°视场角透镜;照明组件的外壳靠近成像模组的一端也设有90°视场角透镜。As a preferred solution, the optical fiber detection end is provided with a 90° field of view lens; the end of the housing of the lighting assembly close to the imaging module is also provided with a 90° field of view lens.
在上述优选方案中,透镜设计为90°视场角,其有效成像范围3mm-10mm,可实现超短距离成像。在成像距离为3mm时,其成像面直径达到4.24mm,成像面达到3mm×3mm。In the above preferred solution, the lens is designed with a field angle of 90°, and its effective imaging range is 3mm-10mm, which can realize ultra-short-distance imaging. When the imaging distance is 3mm, the diameter of the imaging surface reaches 4.24mm, and the imaging surface reaches 3mm×3mm.
作为一种优选方案,反光镜相对通道延伸方向倾斜角度为45°;能够使得照明光源的使用效果最大化;同时传输通道可不仅局限于光纤,可使用笔直的坚硬空管作为传输通道。As a preferred solution, the angle of inclination of the reflector relative to the extension direction of the channel is 45°, which can maximize the use effect of the illumination light source; at the same time, the transmission channel can not only be limited to optical fibers, but a straight and rigid hollow tube can be used as the transmission channel.
作为一种优选方案,成像模组还信号连接一存储装置;以便后期对视频作后续处理、参考和借鉴。ezcap272视频录制盒本身具有相应的储存设备,也可使用其他。As a preferred solution, the imaging module is also signally connected to a storage device, so as to perform subsequent processing, reference and reference to the video later. The ezcap272 video recording box itself has a corresponding storage device, and others can also be used.
作为一种优选方案,微型耳内成像装置还包括光纤固定支架。在使用过程中,光纤深入内耳后,必须要一名助手协助手扶固定,因人为操作,可能会出现细微抖动导致画面不稳定,影响效果判断,且手术台空间有限,助手可能会影响手术者操作空间,导致手术不顺畅。为解决这一问题,经过反复研究讨论,我们拟在手术台边装一个光纤固定支架。考虑因光纤有一定的硬度,所以插入的方向要在60度至90度之间,以降低应力带来的位移可能。成像光纤插入耳内后,先固定在支架上,然后微调支架,到合适位置后锁死。这样既能解决手术台空间狭小,固定助手可能干扰手术,同时又能解决光纤固定效果不稳定的问题。As a preferred solution, the miniature in-ear imaging device further includes an optical fiber fixing bracket. During use, after the optical fiber penetrates into the inner ear, an assistant must be assisted to fix it by hand. Due to manual operation, there may be slight jitters, which may cause the image to be unstable and affect the effect judgment. Moreover, the operating table space is limited, and the assistant may affect the operator. Operating space, resulting in the operation is not smooth. In order to solve this problem, after repeated research and discussion, we plan to install an optical fiber fixing bracket on the side of the operating table. Considering that the fiber has a certain hardness, the insertion direction should be between 60 degrees and 90 degrees to reduce the possibility of displacement caused by stress. After the imaging fiber is inserted into the ear, it is first fixed on the bracket, and then the bracket is fine-tuned, and locked in a suitable position. In this way, it can not only solve the problem that the space of the operating table is small and the fixation assistant may interfere with the operation, but also solve the problem that the fixation effect of the optical fiber is unstable.
综上所述,本发明具有以下有益效果:To sum up, the present invention has the following beneficial effects:
(1)本发明提供的微型耳内成像装置使用柔性光纤,可提高检测的效果;(1) The miniature in-ear imaging device provided by the present invention uses flexible optical fibers, which can improve the detection effect;
(2)本发明提供的微型耳内成像装置可录制视屏,便于后期对视频作后续处理、参考和借鉴;(2) The miniature in-ear imaging device provided by the present invention can record a video screen, which is convenient for subsequent processing, reference and reference of the video in the later stage;
(3)本发明提供的微型耳内成像装置可实时评估手术效果,调整治疗方案,提高手术成功率及患者术后康复率;(3) The miniature ear imaging device provided by the present invention can evaluate the surgical effect in real time, adjust the treatment plan, and improve the success rate of the operation and the postoperative recovery rate of the patient;
(4)本发明提供的微型耳内成像装置可有效避免患者因植入人工听骨假体不稳定而术后康复效果不佳,避免再次手术造成的二次伤害和额外经济负担;(4) The miniature in-ear imaging device provided by the present invention can effectively avoid poor postoperative rehabilitation effect of patients due to unstable implantation of artificial ossicular prosthesis, and avoid secondary injuries and additional economic burdens caused by reoperation;
(5)本发明提供的微型耳内成像装置设备组装简单、使用便捷,操作性和实用性极强,是耳科医师重要的手术辅助工具;(5) The miniature in-ear imaging device provided by the present invention is simple to assemble, convenient to use, and has strong operability and practicability, and is an important surgical auxiliary tool for otologists;
(6)本发明提供的微型耳内成像装置采用直径<1mm的微型传像设备,可伸入到狭窄深邃的中耳进行观察,且不影响手术操作及对患者产生其他不利影响;(6) The miniature intra-ear imaging device provided by the present invention adopts a miniature imaging device with a diameter of less than 1 mm, which can be extended into the narrow and deep middle ear for observation, and does not affect the surgical operation or cause other adverse effects on the patient;
(7)本发明提供的微型耳内成像装置能重复使用,可反复用于实时评估,能减少医院购买成本及患者经济负担;(7) The miniature in-ear imaging device provided by the present invention can be used repeatedly, and can be repeatedly used for real-time evaluation, which can reduce the purchase cost of the hospital and the economic burden of the patient;
(8)本发明提供的微型耳内成像装置具有很好的应用效果,同时具有很高的经济性。(8) The miniature in-ear imaging device provided by the present invention has good application effect and high economical efficiency.
附图说明Description of drawings
图1是本发明实施例微型耳内成像装置的结构示意图;1 is a schematic structural diagram of a miniature in-ear imaging device according to an embodiment of the present invention;
图2是本发明实施例微型耳内成像装置的结构示意图的原理框图;2 is a schematic block diagram of a schematic structural diagram of a miniature in-ear imaging device according to an embodiment of the present invention;
其中:in:
1、传输组件;2、成像模组;3、照明光源;4、反光镜;5、透镜;11、检测端;12、观察端。1. Transmission component; 2. Imaging module; 3. Lighting source; 4. Reflector; 5. Lens; 11. Detection end; 12. Observation end.
具体实施方式Detailed ways
以下结合附图对本发明作进一步详细说明。The present invention will be further described in detail below with reference to the accompanying drawings.
一种微型耳内成像装置,包括图像传输组件1、照明组件、成像模组2和显示器,图像传输组件1包括传输通道,传输通道两端分别为检测端11和观察端12,照明组件设置在传输通道观察端12一侧,照明组件包括照明光源3和反光镜4,反光镜4设置在传输通道的延伸方向上并相对延伸方向倾斜设置,反光镜4位于照明光源3的照射方向上并将光线反射至传输通道内;成像模组2设置在反光镜4相对传输通道的另一侧,成像模组2与显示器信号连接。A miniature in-ear imaging device includes an image transmission assembly 1, an illumination assembly, an
在上述实施例中,当进行检测时,将传输通道检测端11探入耳内,照明组件一直处于外部位置,照明光源3照射至反光镜4,反光镜4将光线反射入耳内,传输通道观察端12用于观察,成像模组2包括视频拍摄器,用于获取视频信息,拍摄器位于反光镜4相对传输通道的另一侧,然后通过采集卡转换为数字信号,并将该信号发送至显示器显示出耳内的图像。可采用ezcap272视频录制盒以及其它相关配件,装置由专用数据线连接至液晶监视器BNC接口并从该接口分流至视频录制盒,可实现视频录制与实时监控同时进行。照明光源3可采用高强度LED灯。选用微型化的显微成像电路和高强度LED灯,组成微型成像模组2。In the above embodiment, when the detection is performed, the
作为一种优选实施例,传输通道为柔性传像光纤。As a preferred embodiment, the transmission channel is a flexible imaging optical fiber.
在上述优选实施例中,柔性传像光纤采用单丝直径4um的像纤阵列,有效像纤直径为0.45mm,有效探测像素数==探测面积/单丝面积≈9935个,相当于100×100的图像阵列,基本可实现对目标的识别与判断。柔性光纤具有传输效果好,且能够在弯折情况下保证检测的效果。In the above preferred embodiment, the flexible image-transmitting optical fiber adopts an image fiber array with a single filament diameter of 4um, the effective image fiber diameter is 0.45 mm, and the number of effective detection pixels == detection area/monofilament area ≈ 9935, which is equivalent to 100×100 The image array can basically realize the recognition and judgment of the target. The flexible optical fiber has good transmission effect and can ensure the detection effect in the case of bending.
作为一种优选实施例,光纤外径不大于0.8mm,光纤外套设有可弯折金属管。As a preferred embodiment, the outer diameter of the optical fiber is not greater than 0.8 mm, and the outer jacket of the optical fiber is provided with a bendable metal tube.
在上述优选实施例中,柔性传像光纤的外径≤0.8mm,可安装进高强度金属管内。其具有一定的柔软度,安全弯折半径为10cm。金属管用于对光纤保护;光纤的长度可根据实际情况做具体设置。通过零距离光学传输,将耳内的成像目标传递到数十公分外的微型成像模组2上。并通过分光光路,同时将照明光发送到耳内的成像目标上去。In the above preferred embodiment, the outer diameter of the flexible image-transmitting optical fiber is less than or equal to 0.8 mm, which can be installed in a high-strength metal tube. It has a certain degree of softness, and the safe bending radius is 10cm. The metal tube is used to protect the optical fiber; the length of the optical fiber can be set according to the actual situation. Through zero-distance optical transmission, the imaging target in the ear is transmitted to the
作为一种优选实施例,金属管外径不大于1mm;以保证传输通道的顺利探入耳内。As a preferred embodiment, the outer diameter of the metal tube is not greater than 1 mm, so as to ensure the smooth penetration of the transmission channel into the ear.
作为一种优选实施例,照明光源3和反光镜4均设置在外壳内,外壳与金属管固定连接。As a preferred embodiment, both the
在上述优选实施例中,将其与传像传光光路的末端进行精密调试,调试完成后,封闭为一个整体。该密闭腔室的预估外形为直径20mm,长度20mm的圆柱体。在密闭腔室的尾端设计微型插头,用于通电和传输图像。In the above preferred embodiment, it and the end of the image transmission and light transmission optical path are precisely debugged, and after the debug is completed, they are closed as a whole. The estimated shape of the closed chamber is a cylinder with a diameter of 20 mm and a length of 20 mm. A miniature plug is designed at the end of the closed chamber for energization and image transmission.
作为一种优选实施例,光纤检测端11设有90°视场角透镜5;照明组件的外壳靠近成像模组2的一端也设有90°视场角透镜5。As a preferred embodiment, the optical
在上述优选实施例中,透镜5设计为90°视场角,其有效成像范围3mm-10mm,可实现超短距离成像。在成像距离为3mm时,其成像面直径达到4.24mm,成像面达到3mm×3mm。In the above preferred embodiment, the
作为一种优选实施例,反光镜4相对通道延伸方向倾斜角度为45°;能够使得照明光源3的使用效果最大化;同时传输通道可不仅局限于光纤,可使用笔直的坚硬空管作为传输通道。As a preferred embodiment, the angle of inclination of the
作为一种优选实施例,成像模组2还信号连接一存储装置;以便后期对视频作后续处理、参考和借鉴。ezcap272视频录制盒本身具有相应的储存设备,也可使用其他。As a preferred embodiment, the
作为一种优选实施例,微型耳内成像装置还包括光纤固定支架。As a preferred embodiment, the miniature in-ear imaging device further includes an optical fiber fixing bracket.
在上述优选实施例中,在使用过程中,光纤深入内耳后,必须要一名助手协助手扶固定,因人为操作,可能会出现细微抖动导致画面不稳定,影响效果判断,且手术台空间有限,助手可能会影响手术者操作空间,导致手术不顺畅。为解决这一问题,经过反复研究讨论,我们拟在手术台边装一个光纤固定支架。考虑因光纤有一定的硬度,所以插入的方向要在60度至90度之间,以降低应力带来的位移可能。成像光纤插入耳内后,先固定在支架上,然后微调支架,到合适位置后锁死。这样既能解决手术台空间狭小,固定助手可能干扰手术,同时又能解决光纤固定效果不稳定的问题。In the above preferred embodiment, during use, after the optical fiber penetrates into the inner ear, an assistant must be assisted to fix it by hand. Due to manual operation, there may be slight jitters, which may cause the image to become unstable, affect the effect judgment, and the operating table space is limited. , the assistant may affect the operator's operating space, resulting in unsmooth surgery. In order to solve this problem, after repeated research and discussion, we plan to install an optical fiber fixing bracket on the side of the operating table. Considering that the fiber has a certain hardness, the insertion direction should be between 60 degrees and 90 degrees to reduce the possibility of displacement caused by stress. After the imaging fiber is inserted into the ear, it is first fixed on the bracket, and then the bracket is fine-tuned, and locked in a suitable position. In this way, it can not only solve the problem that the space of the operating table is small and the fixation assistant may interfere with the operation, but also solve the problem that the fixation effect of the optical fiber is unstable.
需要有直径<1mm的微型传像设备,对耳内手术的效果进行评价。该设备穿过高强度金属管(外径1mm,内径>0.8mm)放置在患者耳内;放置位置距离观察对象约1mm—6mm,观察对象约为3mm×3mm,黑白成像。由于耳内无光,还需要通过该传像设备,进行照明。该设备能重复使用,高强度金属管的长度约为10cm,故该设备的长度应不少于15cm。A miniature imaging device with a diameter of <1mm is required to evaluate the effect of in-ear surgery. The device is placed in the patient's ear through a high-strength metal tube (outer diameter 1mm, inner diameter >0.8mm); the placement position is about 1mm-6mm away from the observation object, and the observation object is about 3mm × 3mm, with black and white imaging. Since there is no light in the ear, the imaging device also needs to be illuminated. The equipment can be reused, and the length of the high-strength metal pipe is about 10cm, so the length of the equipment should be no less than 15cm.
工作原理:利用光纤传感器检测听小骨假体植入后圆窗膜振动状态的实时检测系统,实现术中实时动态成像直观观察。可在术中实时检测听小骨植入后圆窗膜振动所导致的波动变化,进而实现听小骨假体植入后的实时功能验证。通过术中、填塞封闭术腔后的实时动态监测及术前、术后听力检查对比,证实术中安放听骨假体的稳定可靠性,为确保术中人工听小骨安放是否准确或避免假体移位提供有力工具。Working principle: A real-time detection system that uses optical fiber sensors to detect the vibration state of the round window membrane after the implantation of the auditory ossicle prosthesis, and realizes the intuitive observation of intraoperative real-time dynamic imaging. The fluctuation changes caused by the vibration of the round window membrane after the implantation of the ossicles can be detected in real time during the operation, so as to realize the real-time functional verification after the implantation of the ossicles prosthesis. The stability and reliability of intraoperative placement of the ossicular prosthesis was confirmed through the real-time dynamic monitoring during and after filling and sealing of the operative cavity, as well as the comparison of preoperative and postoperative audiological examinations. Displacement provides a powerful tool.
本具体实施例仅仅是对本发明的解释,其并不是对本发明的限制,本领域技术人员在阅读完本说明书后可以根据需要对本实施例做出没有创造性贡献的修改,但只要在本发明的权利要求范围内都受到专利法的保护。This specific embodiment is only an explanation of the present invention, and it does not limit the present invention. Those skilled in the art can make modifications without creative contribution to the present embodiment as required after reading this specification, but as long as the rights of the present invention are used All claims are protected by patent law.
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