WO2025084693A1 - Pancreatic tumor diagnostic device - Google Patents
Pancreatic tumor diagnostic device Download PDFInfo
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- WO2025084693A1 WO2025084693A1 PCT/KR2024/015260 KR2024015260W WO2025084693A1 WO 2025084693 A1 WO2025084693 A1 WO 2025084693A1 KR 2024015260 W KR2024015260 W KR 2024015260W WO 2025084693 A1 WO2025084693 A1 WO 2025084693A1
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- endoscope cap
- pancreatic tumor
- insertion tube
- pancreatic
- diagnostic device
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
- A61B5/1455—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
- A61B5/1459—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using optical sensors, e.g. spectral photometrical oximeters invasive, e.g. introduced into the body by a catheter
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- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
- A61B1/00096—Optical elements
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- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
- A61B1/00097—Sensors
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- A61B1/00137—End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs
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- A61B5/14551—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using optical sensors, e.g. spectral photometrical oximeters for measuring blood gases
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- A61B2010/0061—Alimentary tract secretions, e.g. biliary, gastric, intestinal, pancreatic secretions
Definitions
- the present invention relates to a pancreatic tumor diagnostic device, and more particularly, to a pancreatic tumor diagnostic device that can be easily fixed to the duodenal mucosa and enables the early diagnosis of pancreatic cancer quickly and accurately.
- Pancreatic cancer is the fourth leading cause of cancer deaths in the United States, and is a fatal disease with a 1-year mortality rate of 74% and a 5-year mortality rate of 94%. In fact, surgical resection is only possible for about 20% of pancreatic cancer patients, and only about 20% of these patients can expect a 5-year survival rate.
- pancreatic cancer Therefore, early diagnosis of pancreatic cancer is very important.
- pancreatic cancer has no symptoms in the early stages and symptoms appear after the disease has progressed considerably, making early diagnosis of pancreatic cancer difficult.
- pancreatic cancer Various technologies, including various blood biomarkers and screening methods, are being developed for the early diagnosis of pancreatic cancer, but the actual early diagnosis rate of pancreatic cancer is still minimal.
- EIBS early increase in blood supply
- DHb deoxyhemoglobin concentration
- BVR blood vessel radius
- pancreatic tumor diagnostic device that can be easily fixed to the examination site, such as the duodenal mucosa, and can accurately and quickly measure various indicators.
- the present invention aims to provide a pancreatic tumor diagnosis device that can be easily fixed to a diagnostic site.
- the present invention aims to provide a pancreatic tumor diagnostic device capable of accurately and quickly diagnosing a tumor at an early stage.
- one aspect of the present invention may include an insertion tube formed to be extended to be inserted into a patient's body and including a distal portion and a proximal portion, an endoscope cap formed to be extended to have a length and arranged to surround an outer circumferential surface of the insertion tube and arranged at a position spaced apart from the distal portion of the insertion tube by a predetermined distance, and a plurality of LED sensors arranged on a surface of the endoscope cap.
- the present invention can provide a pancreatic tumor diagnosis device capable of accurately and quickly diagnosing a tumor at an early stage.
- the present invention can provide a pancreatic tumor diagnosis device that can be easily fixed to a diagnosis site.
- FIG. 1 is a schematic diagram illustrating a pancreatic tumor diagnosis device according to one embodiment of the present invention.
- Figure 2 is a drawing illustrating the insertion tube of Figure 1.
- Figure 3 is a drawing illustrating the endoscope cap of Figure 1.
- Fig. 4 is a modified example of the endoscope cap of Fig. 3.
- Figure 5 is a drawing for explaining how the endoscope cap irradiates light.
- FIG. 6 is a drawing for explaining an example of a pancreatic tumor diagnosis device according to the present invention being inserted into a patient's body and operated.
- FIG. 7 is a drawing for explaining one embodiment of the internal structure of the endoscope cap of FIG. 1.
- one aspect of the present invention may include an insertion tube formed to be extended to be inserted into a patient's body and including a distal portion and a proximal portion, an endoscope cap formed to be extended to have a length and arranged to surround an outer circumferential surface of the insertion tube and arranged at a position spaced apart from the distal portion of the insertion tube by a predetermined distance, and a plurality of LED sensors arranged on a surface of the endoscope cap.
- the insertion tube may include a linear portion extending linearly from the distal portion, a curved portion extending from the linear portion and formed to be bendable, and an extension portion extending proximally from the curved portion, and the endoscope cap may be arranged to surround at least a portion of the curved portion.
- the endoscope cap may be formed of a transparent material.
- the endoscope cap may be formed of an elastic material.
- the LED sensor can irradiate light of different wavelengths.
- the LED sensor can irradiate light in a wavelength range between 600 and 900 nm and a near-infrared wavelength range.
- the endoscope cap may include a port communicating with the outside through which pancreatic fluid and duodenal fluid flow.
- the device may further include a position sensor for detecting the position of the duodenum within the patient's body.
- the device may further include a pH sensor for detecting the type of duodenal fluid in the patient's body.
- first, second, etc. are not used in a limiting sense but are used for the purpose of distinguishing one component from another.
- the x-axis, y-axis, and z-axis are not limited to three axes on an orthogonal coordinate system, and can be interpreted in a broad sense that includes them.
- the x-axis, y-axis, and z-axis may be orthogonal to each other, but may also refer to different directions that are not orthogonal to each other.
- a particular process sequence may be performed in a different order than the one described.
- two processes described in succession may be performed substantially simultaneously, or in a reverse order from the one described.
- pancreatic tumor diagnosis device based on the above-described principles will be described in detail with reference to the drawings.
- FIG. 1 is a drawing schematically illustrating a pancreatic tumor diagnosis device according to one embodiment of the present invention
- FIG. 2 is a drawing illustrating an insertion tube (100) of FIG. 1
- FIG. 3 is a drawing illustrating an endoscope cap (200) of FIG. 1.
- a pancreatic tumor diagnosis device may include an insertion tube (100) and an endoscope cap (200).
- the insertion tube (100) can be connected to an external device and formed to extend so as to be inserted into a patient's body.
- the insertion tube (100) can be connected to an external device and supplied with power.
- the insertion tube (100) can be connected to an external device and inserted deep into a patient's body and can change direction during the insertion process.
- the insertion tube (100) may include a lighting unit that irradiates light inside the patient's body, a camera unit that photographs the inside of the patient's body, a nozzle unit that sprays water or gas, etc.
- the insertion tube (100) may include an air insufflation unit for spreading out the mucosal folds of the patient's organ through air insufflation inside the patient's body.
- an air insufflation unit for spreading out the mucosal folds of the patient's organ through air insufflation inside the patient's body.
- the folds of the duodenal mucosa may be spread through air insufflation.
- the insertion tube (100) may include a distal portion (101) and a proximal portion (102).
- the distal portion (101) may mean a portion that is distant from an external device.
- the distal portion (101) may mean a terminal portion that is inserted into a patient's body.
- the proximal portion (102) may mean a portion close to an external device.
- the proximal portion (102) may mean a portion connected to an external device.
- the insertion tube (100) may sequentially include a linear portion (110), a curved portion (120), and an extended portion (130) in a direction from the distal portion (101) to the proximal portion (102).
- the linear portion (110) is a portion that extends linearly from the distal portion (101).
- the linear portion (110) is formed in a straight line and may not be bent.
- a lighting portion, a camera portion, a nozzle portion, etc. may be arranged in the linear portion (110). Therefore, the linear portion (110) is formed so as not to be bent, and the lighting portion, the camera portion, the nozzle portion, etc. may not be damaged.
- the bent portion (120) is a portion extending from the linear portion (110).
- the bent portion (120) may be formed to extend from the end of the linear portion (110) toward the proximal portion (102).
- the bent portion (120) may be formed to be bendable. Accordingly, as the bent portion (120) bends inside the patient's body, the insertion tube (100) may be inserted deep into the patient's body while changing direction inside the patient's body.
- the extension portion (130) is a portion that extends from the bend portion (120).
- the extension portion (130) can be formed to extend from the end of the bend portion (120) toward the proximal portion (102).
- the extension portion (130) can play a role in connecting the linear portion (110) and the bend portion (120) to an external device. Accordingly, power or an electric signal, etc. can be transmitted from the external device to the linear portion (110) and the bend portion (120).
- the endoscope cap (200) is formed to be extended to have a length and can be positioned to surround the outer surface of the insertion tube (100).
- the endoscope cap (200) may be formed to be extended to have a length (L) of 5 to 15 cm. Accordingly, the endoscope cap (200) is placed inside the patient's duodenum, thereby having the effect of allowing a wide portion of the duodenum to be observed simultaneously.
- the endoscope cap (200) may include a body (210).
- the body (210) may form the overall outer shape of the endoscope cap (200).
- a hollow (220) may be formed in the body (210) of the endoscope cap (200).
- the hollow (220) may be formed to penetrate the central portion of the body (210) along the longitudinal direction of the endoscope cap (200).
- the endoscope cap (200) may be formed in the shape of a cylinder or cylindrical shape having a hole formed along the longitudinal direction therein. Accordingly, an insertion tube (100) may be inserted into the hollow (220) of the endoscope cap (200).
- the diameter of the hollow portion (220) of the endoscope cap (200) may be formed to be the same as the outer diameter of the insertion tube (100). Accordingly, the insertion tube (100) can be firmly fixed after being inserted into the hollow portion (220) of the endoscope cap (200).
- the diameter of the hollow portion (220) of the endoscope cap (200) may be formed to be larger than the outer diameter of the insertion tube (100), and in this case, a fastening member may be further formed on the endoscope cap (200) to be fixed to the insertion tube (100).
- the endoscope cap (200) since the endoscope cap (200) according to the present invention is formed in a cylindrical or cylinder shape, it can implement 3D mapping using a single pixel and an array through a hybrid channel (single and multichannel) to increase the accuracy of the duodenal optical biomarker and perform the function of OCT (Optical Coherence Tomography). Therefore, as an optional embodiment, the pancreatic tumor diagnosis device according to the present invention can configure various pixel arrays in the endoscope cap (200) and further include an OCT detector or an OCT camera.
- the endoscope cap (200) may be positioned at a predetermined distance from the distal end (101) of the insertion tube (100).
- the endoscope cap (200) may be positioned at a distance of 5 cm to 8 cm from the end of the distal end (101) of the insertion tube (100).
- the endoscope cap (200) may be positioned so as not to surround the curved portion (120) of the insertion tube (100), or may be positioned so as to surround at least a portion of it.
- the endoscope cap (200) may be positioned across the curved portion (120) of the insertion tube (100), or may be positioned so as to surround a portion of the linear portion (110) and a portion of the curved portion (120).
- the endoscope cap (200) can be bent together when the portion after the bend (120) of the insertion tube (100) is passively bent.
- the endoscope cap (200) may be formed of an elastic material. Accordingly, the endoscope cap (200) may be bent by an external force. That is, when the portion after the bend (120) of the insertion tube (100) is passively bent, the endoscope cap (200) may be bent to correspond to the portion after the bend (120).
- the endoscope cap (200) when the endoscope cap (200) reaches the patient's duodenum, the endoscope cap (200) can be bent to correspond to the shape of the duodenum. In addition, as described below, the endoscope cap (200) can observe the mucosa of the duodenum in more detail.
- the pancreatic tumor diagnosis device can maintain the mobility of the endoscope by wrapping at least a part of the bending portion (120) of the insertion tube (endoscope) or arranging the endoscope cap (200) behind the bending portion (120).
- the pancreatic tumor diagnosis device can observe and evaluate the entire range of the duodenum by placing an endoscope cap (200) composed of a flexible cap of 10 cm or more on a portion having passive flexibility of an insertion tube (endoscope), so that the flexible endoscope cap (200) can be appropriately moved to correspond to the passive flexibility of the insertion tube.
- an endoscope cap composed of a flexible cap of 10 cm or more on a portion having passive flexibility of an insertion tube (endoscope)
- the pancreatic tumor diagnosis device can also be used for endoscopic photobiomodulation and photodynamic/photothermal therapy.
- the endoscope cap (200) may be formed of a transparent material. Accordingly, while the LED sensor (230) of the endoscope cap (200) measures the Early Increase in Blood Supply (EIBS) of the pancreas, a general endoscopic examination can be performed simultaneously through the insertion tube (100). For example, while the LED sensor (230) of the endoscope cap (200) measures the Early Increase in Blood Supply (EIBS) of the pancreas, the camera unit equipped in the insertion tube (100) can measure the mucosa of the duodenum or other parts.
- EIBS Early Increase in Blood Supply
- the camera unit equipped in the insertion tube (100) can measure the mucosa of the duodenum or other parts.
- a pancreatic tumor diagnosis device may include a plurality of LED sensors (230) arranged on a surface of an endoscope cap (200).
- the LED sensor (230) may include a plurality of light sources.
- the light source may be an LED, an OLED, a micro LED, a mini LED, or as another example, the light source may be a flexible LED, or as yet another example, the light source may be a quantum dot LED.
- the various examples of the light sources described above will be collectively referred to as LEDs, and it should be understood that the term “LED sensor (230)” collectively refers to a sensor including at least one of the various light sources described above.
- the LED sensor (230) can perform a sensor function by including a part that irradiates light and a part that receives light.
- the light source of the LED sensor (230) may be configured in a form capable of spectroscopy. Therefore, as an optional embodiment, the LED sensor (230) according to the present invention may further be equipped with a CCD camera in the endoscope cap (200) to perform the function of a spectrometer.
- a plurality of LED sensors (230) may be arranged to form a plurality of rows and columns on the surface of the endoscope cap (200). Specifically, the LED sensors (230) may be arranged to cover the entire outer surface of the endoscope cap (200).
- the LED sensor (230) may be composed of one or more pixels, and the pixels may be composed of an LED that irradiates light with a wavelength of 600-900 nm or near-infrared light and an organic photodiode that obtains information obtained from a tissue by the light irradiation.
- These pixels may be arranged at positions 5 mm above and 1 cm below the major duodenal papilla and may measure the Deoxyhemoglobin Concentration (DHb) and the Blood Vessel Radius (BVR) of the duodenal mucosa.
- the LED sensor (230) can obtain additional information from the opposite part of the above-mentioned area to improve the accuracy of information obtained from the major duodenal papilla.
- the motion artifact motion artefact
- the transmission part of the insertion tube is turned off, the duodenal mucosa comes into close contact with the endoscope cap (200), so that the sensing of various parts of the duodenum can be maximized.
- the arrangement of these LEDs can be various, such as having an interval of 1 cm to 3 cm, and the accuracy of the examination can be increased and the sensing of the papilla can be made precise by using 3D mapping through the arrangement of LEDs using a surface light source such as OLED or a multi-channel and a cylindrical three-dimensional structure of the endoscope cap.
- the LED sensor (230) when the LED sensor (230) is placed at a specific location in the patient's body, it can observe the entire direction facing the outer surface of the endoscope cap (200), for example, the entire inside of the duodenal mucosa.
- the LED sensor (230) When the LED sensor (230) is positioned inside the duodenum, it can measure the DHb (Deoxyhemoglobin Concentration) and BVR (Blood Vessel Radius) of the duodenum. The specific measurement method of the LED sensor (230) will be described in detail later.
- DHb Deoxyhemoglobin Concentration
- BVR Blood Vessel Radius
- Fig. 4 is a modified example (200') of the endoscope cap (200) of Fig. 3.
- an endoscope cap (200') may be formed in the shape of a cylinder or cylindrical shape that can be opened and closed.
- the endoscope cap (200') is formed to be extended to have a length, and can be formed in a shape that can wrap around the outer surface of the insertion tube (100).
- the endoscope cap (200') may be formed to be extended to have a length (L) of 5 to 15 cm. Accordingly, the endoscope cap (200') is placed inside the patient's duodenum, and has the effect of allowing a wide portion of the duodenum to be observed simultaneously.
- the endoscope cap (200') may include a body (210').
- the body (210') may form the overall outer shape of the endoscope cap (200').
- the body (210') may be formed to be openable and closable.
- the body (210') may have a hinge formed along the longitudinal direction, and both sides may be rotatable based on the hinge.
- a hollow (220') may be formed in the body (210') of the endoscope cap (200').
- the hollow (220') may be formed to penetrate the central portion of the body (210') along the longitudinal direction of the endoscope cap (200').
- the endoscope cap (200') may be formed in a shape in which the hollow (220') is formed along the longitudinal direction inside and a cylinder or cylindrical body is cut along the longitudinal direction and then opened. Accordingly, the endoscope cap (200') may be folded to surround the outer surface of the insertion tube (100) and may wrap the outer surface of the insertion tube (100).
- the diameter of the hollow portion (220') of the endoscope cap (200') may be formed to be the same as the outer diameter of the insertion tube (100). Accordingly, the insertion tube (100) may be firmly fixed after being inserted into the hollow portion (220') of the endoscope cap (200').
- the diameter of the hollow space (220') of the endoscope cap (200') may be formed larger than the outer diameter of the insertion tube (100), and in this case, a fastening member may be further formed on the endoscope cap (200') to be fixed to the insertion tube (100).
- the endoscope cap (200') may further include a joining member for joining the cut portions of the bodies (210') on both sides after they are folded to form a cylindrical or cylindrical shape.
- the joining member may be a magnetic member joined or attached to the bodies (210') on both sides of the body (210').
- the joining member may be formed in the shape of a hook or a ring.
- the joining member may be formed in the form of a groove with a protrusion formed in a forced-fit manner.
- the present invention is not limited thereto, and any structure that can join the bodies (210') on both sides after the endoscope cap (200') is arranged to surround the outer surface of the insertion tube (100) may be adopted.
- FIG. 5 is a drawing for explaining that the endoscope cap (200) irradiates light
- FIG. 6 is a drawing for explaining an example of a pancreatic tumor diagnosis device according to the present invention being inserted into a patient's body and operated.
- the LED sensor (230) according to the present invention can irradiate light.
- a pancreatic tumor diagnosis device can be inserted into a patient's body to measure various indicators of the body.
- the pancreatic tumor diagnosis device according to the present invention can measure various indicators of the patient's body while the endoscope cap (200) is inserted into the patient's duodenum.
- the pancreatic tumor diagnosis device can measure DHb (Deoxyhemoglobin Concentration) and BVR (Blood Vessel Radius) in the duodenum through the LED sensor (230) arranged on the outside of the endoscope cap (200). This is to measure EIBS (Early Increase in Blood Supply) of the duodenum in the patient's duodenum.
- EIBS Early Increase in Blood Supply
- DHb Deoxyhemoglobin Concentration
- BVR Blood Vessel Radius
- the pancreatic tumor diagnosis device can measure the stiffness of blood vessels by recognizing the contraction/relaxation state of blood vessels.
- the pancreatic tumor diagnosis device can measure the stiffness of blood vessels through an LED sensor (230) placed on the outside of the endoscope cap (200).
- the pancreatic tumor diagnosis device can measure DHb (Deoxyhemoglobin Concentration) and BVR (Blood Vessel Radius) through the LED sensor (230) placed on the surface of the endoscope cap (200), and by measuring blood vessel stiffness, the user can diagnose the pancreatic tumor of the patient at an early stage.
- DHb Deoxyhemoglobin Concentration
- BVR Blood Vessel Radius
- the pancreatic tumor diagnosis device may further include a position sensor, although not shown in the drawing.
- the position sensor may sense the duodenal papilla inside the duodenum.
- the position sensor may sense the major duodenal papilla corresponding to the pancreas head among the duodenal papilla.
- the position sensor may be a sensor for measuring whether the mucosa protrudes inside the duodenum, and thereby senses the protruding mucosal structure, thereby sensing the duodenal papilla of the duodenum, and as a preferred example, the major duodenal papilla.
- a medical metal hemoclip commonly used through an endoscope may be attached near the major duodenal papilla, and this clip may be used as a landmark for the position sensor of the endoscope cap (200) to identify the position of the major duodenal papilla.
- the position of the endoscope cap (200) and the position of the major duodenal papilla to which the clip is attached may be identified using X-ray fluoroscopy equipment.
- pancreatic tumor diagnosis device According to the present invention, it is possible to assign weights to various indicators according to their positions and improve the accuracy of diagnosis.
- DHb deoxyhemoglobin concentration
- BVR blood vessel radius
- vascular stiffness increase around the major duodenal papilla
- DHb deoxyhemoglobin concentration
- BVR blood vessel radius
- vascular stiffness increase far from the major duodenal papilla or in the opposite direction to the major duodenal papilla.
- the pancreatic tumor diagnosis device can accurately sense the location of the major duodenal papilla through the location sensor and the camera unit placed in the insertion tube (100).
- the endoscope cap (200) to the major papilla, the DHb (Deoxyhemoglobin Concentration), BVR (Blood Vessel Radius) and vascular stiffness according to each location of the duodenum can be measured, thereby improving the diagnostic accuracy of pancreatic tumors.
- the user places the endoscope cap (200) close to or in contact with the major duodenal papilla of the duodenum, and then compares the DHb (Deoxyhemoglobin Concentration), BVR (Blood Vessel Radius) and vascular stiffness measured through the LED sensor (230) placed on the opposite side of the major duodenal papilla with the DHb (Deoxyhemoglobin Concentration), BVR (Blood Vessel Radius) and vascular stiffness measured through the LED sensor (230) placed around the major duodenal papilla, thereby enabling early diagnosis of pancreatic tumors.
- DHb Deoxyhemoglobin Concentration
- BVR Blood Vessel Radius
- vascular stiffness measured through the LED sensor (230) placed around the major duodenal papilla thereby enabling early diagnosis of pancreatic tumors.
- the LED sensor (230) can irradiate light having a wavelength of 500 to 1000 nm and light having a near-infrared wavelength, and preferably can irradiate light having a wavelength of 600 to 900 nm and light having a near-infrared wavelength.
- the LED sensor (230) can irradiate light of different wavelengths. Assuming that the major duodenal papilla is arranged on the upper side of the endoscope cap (200) of FIG. 5, the LED sensor (230) arranged in a direction toward the major duodenal papilla can irradiate the first light (L1), and the LED sensor (230) arranged in a direction opposite to the major duodenal papilla can irradiate the second light (L2).
- the first light (L1) may be light having a wavelength of 800 to 900 nm and a near-infrared wavelength.
- the first light (L1) may be light having a wavelength of 850 nm.
- the second light (L2) may be light having a wavelength of 680 to 780 nm.
- the second light (L2) may be light having a wavelength of 630 nm.
- the LED sensor (230) may each include a light source irradiating first light (L1) and a light source irradiating second light (L2).
- the light source irradiating the first light (L1) may be positioned at a position oriented toward the duodenum when the endoscope cap (200) according to the present invention is positioned at the correct position by sensing the major duodenal papilla of the duodenum.
- the light source irradiating the second light (L2) may be positioned at a position oriented toward the opposite direction of the duodenum when the endoscope cap (200) according to the present invention is positioned at the correct position by sensing the major duodenal papilla of the duodenum.
- DHb deoxyhemoglobin concentration
- BVR blood vessel radius
- the pancreatic tumor diagnosis device may further include an indicator, although not shown in the drawing.
- the indicator may be an element configured to be confirmed through the camera of the insertion tube (100). Accordingly, the user can confirm the directionality of the endoscope cap (200) by confirming the indicator through the camera of the insertion tube (100).
- the endoscope cap (200) may be formed of an elastic material as described above, and may be positioned so as not to cover, or at least partially cover, the curved portion (120) of the insertion tube (100). Accordingly, the endoscope cap (200) may be partially bent to correspond to the shape of the duodenum, and thus, the user may observe the duodenal mucosa more accurately.
- FIG. 7 is a drawing for explaining one embodiment of the internal structure of the endoscope cap (200) of FIG. 1.
- the pancreatic tumor diagnosis device may further include a configuration for collecting pancreatic juice and duodenal fluid within the duodenum.
- the pancreatic tumor diagnostic device may further include a passage (241) formed in the endoscope cap (200) and communicating with the outside.
- the passage (241) may be a passage through which pancreatic fluid and duodenal fluid flow in by communicating with the outside.
- the endoscope cap (200) according to the present invention is positioned adjacent to or in contact with the major duodenal papilla and is used to directly collect pancreatic juice and duodenal fluid discharged from the major duodenal papilla.
- the endoscope cap (200) may further include a sensor for detecting the type of body fluid flowing into the port (241).
- the endoscope cap (200) may detect if the body fluid flowing into the port (241) is pancreatic fluid and/or duodenal fluid and provide an alarm to the user.
- a sensor included in the endoscope cap (200) may be a pH sensor. Since pancreatic fluid is alkaline with a pH>8, the pH sensor disposed in the endoscope cap (200) may detect the type of body fluid flowing into the port (241).
- the endoscope cap (200) according to the present invention may further include a fluid storage hole (242) for storing pancreatic fluid introduced through the hole (241).
- the fluid storage hole (242) can be communicated with the passage hole (241). Therefore, pancreatic fluid flowing in through the passage hole (241) can be stored in the fluid storage hole (242).
- the fluid storage hole (242) may further include a valve that blocks the flow of pancreatic fluid and duodenal fluid to prevent the introduced pancreatic fluid from leaking out.
- the endoscope cap (200) according to the present invention may further include a suction hole (243) to provide suction force to more efficiently collect pancreatic juice discharged from the major duodenal papilla.
- the pancreatic tumor diagnostic device includes an endoscope cap (200) formed to be extended to have a length and having a hole formed on the inside into which an insertion tube (100) is inserted, so that it can be introduced into the body of a patient during an endoscopic procedure and perform various functions.
- a pancreatic tumor diagnosis device can measure DHb (Deoxyhemoglobin Concentration), BVR (Blood Vessel Radius) and vascular stiffness inside the duodenum of a patient by including a plurality of LED sensors (230) arranged on the outside of an endoscope cap (200).
- DHb Deoxyhemoglobin Concentration
- BVR Bood Vessel Radius
- vascular stiffness inside the duodenum of a patient by including a plurality of LED sensors (230) arranged on the outside of an endoscope cap (200).
- the pancreatic tumor diagnosis device is formed so that the endoscope cap (200) is positioned at a position spaced apart from the distal portion (101) of the insertion tube (100) by a predetermined distance, preferably, to surround at least a portion of the curved portion (120) of the insertion tube (100), and is extended to have a length, so that there is an effect of improving the diagnostic length of the duodenum inside the duodenum.
- DHb Deoxyhemoglobin Concentration
- BVR Blood Vessel Radius
- the pancreatic tumor diagnosis device can more accurately measure DHb (Deoxyhemoglobin Concentration), BVR (Blood Vessel Radius) and vascular stiffness by irradiating light of different wavelengths with an LED sensor (230) placed in an endoscope cap (200), thereby more accurately and quickly diagnosing the presence of a pancreatic tumor, etc.
- DHb Deoxyhemoglobin Concentration
- BVR Blood Vessel Radius
- vascular stiffness by irradiating light of different wavelengths with an LED sensor (230) placed in an endoscope cap (200), thereby more accurately and quickly diagnosing the presence of a pancreatic tumor, etc.
- the pancreatic tumor diagnosis device has an endoscope cap (200) formed of a transparent material so that diagnosis of a pancreatic tumor can be performed simultaneously with a general endoscopic procedure, and includes a through hole (241) for collecting pancreatic fluid and duodenal fluid during the procedure so that collection of pancreatic fluid and duodenal fluid can also be performed simultaneously.
- pancreatic cancer Through the collected fluids, the possibility of early diagnosis of pancreatic cancer can be maximized by analyzing the changes in the composition of the intestinal microbiome and the microRNA of the extracellular vesicles, which are helpful for the early diagnosis of pancreatic cancer.
- the user can also inject the patient with secretin, a hormone that increases pancreatic secretion, during the procedure to efficiently collect pancreatic and duodenal fluids.
- optical and fluid biomarker information obtained through these pancreatic tumor diagnostic devices can be obtained during a routine endoscopic examination, and if an abnormality is found, a detailed examination such as CT/MRI can be performed.
- a detailed examination such as CT/MRI
- early pancreatic cancer can be diagnosed using the changes in optical and fluid biomarkers obtained during endoscopic examinations every 6 months or 1 year.
- a pancreatic tumor diagnosis device can be provided.
- embodiments of the present invention can be applied to a welding information providing device used in industry.
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Abstract
Description
본 발명은 췌장 종양 진단 장치에 관한 것으로서, 십이지장 점막에 쉽게 고정할 수 있고, 신속하고 정확하게 췌장암의 조기 진단이 가능한 췌장 종양 진단 장치에 관한 것이다.The present invention relates to a pancreatic tumor diagnostic device, and more particularly, to a pancreatic tumor diagnostic device that can be easily fixed to the duodenal mucosa and enables the early diagnosis of pancreatic cancer quickly and accurately.
췌장암은 미국에서 암 사망률 4위에 달하는 질환으로 1년 사망률은 74%, 5년 사망률은 94%에 달하는 치명적인 질환이다. 실제로, 췌장암에 대한 치료방법으로서 수술적 절제는 전체 환자의 20% 정도에서만 가능하며, 이 환자 중에서도 20% 정도만이 5년의 생존율을 기대할 수 있다.Pancreatic cancer is the fourth leading cause of cancer deaths in the United States, and is a fatal disease with a 1-year mortality rate of 74% and a 5-year mortality rate of 94%. In fact, surgical resection is only possible for about 20% of pancreatic cancer patients, and only about 20% of these patients can expect a 5-year survival rate.
따라서, 췌장암은 조기 진단이 매우 중요하다. 그러나, 췌장암은 조기에 증상이 없고, 질환이 상당부분 진행된 후에 증상이 발생하는 특성이 있어 췌장암의 조기 진단은 어려운 현실이다.Therefore, early diagnosis of pancreatic cancer is very important. However, pancreatic cancer has no symptoms in the early stages and symptoms appear after the disease has progressed considerably, making early diagnosis of pancreatic cancer difficult.
이러한 췌장암의 조기 진단을 위해 다양한 혈액 바이오마커, 스크리닝 방법 등 다양한 기술이 개발되고 있으나, 현재까지 실질적 췌장암 조기 진단율은 미미한 실정이다.Various technologies, including various blood biomarkers and screening methods, are being developed for the early diagnosis of pancreatic cancer, but the actual early diagnosis rate of pancreatic cancer is still minimal.
한편, 췌장암 초기에는 정상 십이지장 점막의 EIBS(Early Increase in Blood Supply)가 관찰된다고 알려져 있고, EIBS(Early Increase in Blood Supply)를 측정하기 위해서는 DHb(Deoxyhemoglobin Concentration)과 BVR(Blood Vessel Radius)를 측정하여야 한다.Meanwhile, it is known that early increase in blood supply (EIBS) of normal duodenal mucosa is observed in the early stage of pancreatic cancer, and in order to measure early increase in blood supply (EIBS), deoxyhemoglobin concentration (DHb) and blood vessel radius (BVR) must be measured.
다만, 종래의 내시경 장치 등을 통해서는 십이지장의 연동운동, 환자의 호흡에 따른 움직임 등에 의해 진단 장치를 검사 부위에 고정하는 것이 어렵고, 정확하고 신속한 DHb(Deoxyhemoglobin Concentration)와 BVR(Blood Vessel Radius)의 측정이 어렵다는 한계가 있다.However, there are limitations in that it is difficult to fix the diagnostic device to the examination site using conventional endoscopic devices due to the peristalsis of the duodenum, movement due to the patient's breathing, etc., and it is difficult to accurately and quickly measure DHb (Deoxyhemoglobin Concentration) and BVR (Blood Vessel Radius).
이에, 십이지장 점막 등 검사 부위에 쉽게 고정할 수 있고, 정확하고 신속하게 여러 지표를 측정할 수 있는 췌장 종양 진단 장치의 개발이 요구되고 있는 실정이다.Accordingly, there is a need for the development of a pancreatic tumor diagnostic device that can be easily fixed to the examination site, such as the duodenal mucosa, and can accurately and quickly measure various indicators.
본 발명은 진단 부위에 쉽게 고정할 수 있는 췌장 종양 진단 장치를 제공하는 것을 목적으로 한다.The present invention aims to provide a pancreatic tumor diagnosis device that can be easily fixed to a diagnostic site.
또한, 본 발명은 정확하고 신속하게 종양을 조기에 진단할 수 있는 췌장 종양 진단장치를 제공하는 것을 목적으로 한다.In addition, the present invention aims to provide a pancreatic tumor diagnostic device capable of accurately and quickly diagnosing a tumor at an early stage.
다만, 이러한 과제는 예시적인 것으로서 본 발명이 해결하고자 하는 과제는 이에 한정되지 않는다.However, these tasks are exemplary and the tasks to be solved by the present invention are not limited thereto.
상기 목적을 달성하기 위하여, 본 발명의 일 측면은 환자의 체내로 삽입되도록 연장되어 형성되고, 원위부와 근위부를 포함하는 삽입관, 상기 삽입관의 외주면을 감싸도록 배치되고, 길이를 갖도록 연장되어 형성되며, 상기 삽입관의 원위부로부터 소정의 거리만큼 이격된 위치에 배치되는 내시경 캡 및 상기 내시경 캡의 표면에 배치되는 복수의 LED센서를 포함할 수 있다.In order to achieve the above object, one aspect of the present invention may include an insertion tube formed to be extended to be inserted into a patient's body and including a distal portion and a proximal portion, an endoscope cap formed to be extended to have a length and arranged to surround an outer circumferential surface of the insertion tube and arranged at a position spaced apart from the distal portion of the insertion tube by a predetermined distance, and a plurality of LED sensors arranged on a surface of the endoscope cap.
본 발명은 정확하고 신속하게 종양을 조기에 진단할 수 있는 췌장 종양 진단 장치를 제공할 수 있다.The present invention can provide a pancreatic tumor diagnosis device capable of accurately and quickly diagnosing a tumor at an early stage.
또한, 본 발명은 진단 부위에 쉽게 고정할 수 있는 췌장 종양 진단 장치를 제공할 수 있다.In addition, the present invention can provide a pancreatic tumor diagnosis device that can be easily fixed to a diagnosis site.
다만, 이러한 효과는 예시적인 것으로서 본 발명의 효과는 이에 한정되지 않는다.However, these effects are exemplary and the effects of the present invention are not limited thereto.
도 1은 본 발명의 일 실시예에 따른 췌장 종양 진단 장치를 개략적으로 도시한 도면이다.FIG. 1 is a schematic diagram illustrating a pancreatic tumor diagnosis device according to one embodiment of the present invention.
도 2는 도 1의 삽입관을 도시한 도면이다.Figure 2 is a drawing illustrating the insertion tube of Figure 1.
도 3은 도 1의 내시경 캡을 도시한 도면이다.Figure 3 is a drawing illustrating the endoscope cap of Figure 1.
도 4는 도 3의 내시경 캡의 일 변형예이다.Fig. 4 is a modified example of the endoscope cap of Fig. 3.
도 5는 내시경 캡이 빛을 조사하는 것을 설명하기 위한 도면이다.Figure 5 is a drawing for explaining how the endoscope cap irradiates light.
도 6은 본 발명에 따른 췌장 종양 진단 장치가 환자의 신체로 삽입되어 구동되는 예를 설명하기 위한 도면이다.FIG. 6 is a drawing for explaining an example of a pancreatic tumor diagnosis device according to the present invention being inserted into a patient's body and operated.
도 7은 도 1의 내시경 캡의 내부 구조의 일 실시예를 설명하기 위한 도면이다.FIG. 7 is a drawing for explaining one embodiment of the internal structure of the endoscope cap of FIG. 1.
상기 목적을 달성하기 위하여, 본 발명의 일 측면은 환자의 체내로 삽입되도록 연장되어 형성되고, 원위부와 근위부를 포함하는 삽입관, 상기 삽입관의 외주면을 감싸도록 배치되고, 길이를 갖도록 연장되어 형성되며, 상기 삽입관의 원위부로부터 소정의 거리만큼 이격된 위치에 배치되는 내시경 캡 및 상기 내시경 캡의 표면에 배치되는 복수의 LED센서를 포함할 수 있다.In order to achieve the above object, one aspect of the present invention may include an insertion tube formed to be extended to be inserted into a patient's body and including a distal portion and a proximal portion, an endoscope cap formed to be extended to have a length and arranged to surround an outer circumferential surface of the insertion tube and arranged at a position spaced apart from the distal portion of the insertion tube by a predetermined distance, and a plurality of LED sensors arranged on a surface of the endoscope cap.
또한, 상기 삽입관은 상기 원위부로부터 선형으로 연장되는 선형부, 상기 선형부로부터 연장되며 휘어질 수 있도록 형성되는 굴곡부 및 상기 굴곡부로부터 근위부로 연장되는 연장부를 포함하고, 상기 내시경 캡은 상기 굴곡부의 적어도 일부를 감싸도록 배치될 수 있다.Additionally, the insertion tube may include a linear portion extending linearly from the distal portion, a curved portion extending from the linear portion and formed to be bendable, and an extension portion extending proximally from the curved portion, and the endoscope cap may be arranged to surround at least a portion of the curved portion.
또한, 상기 내시경 캡은 투명한 재질로 형성될 수 있다.Additionally, the endoscope cap may be formed of a transparent material.
또한, 상기 내시경 캡은 탄성을 갖는 재질로 형성될 수 있다.Additionally, the endoscope cap may be formed of an elastic material.
또한, 상기 LED센서는 서로 다른 파장대의 빛을 조사할 수 있다.Additionally, the LED sensor can irradiate light of different wavelengths.
또한, 상기 LED센서는 600 내지 900nm 사이의 파장대 및 근적외선 파장대의 빛을 조사할 수 있다.Additionally, the LED sensor can irradiate light in a wavelength range between 600 and 900 nm and a near-infrared wavelength range.
또한, 상기 내시경 캡은 외부와 연통되며 췌장액 및 십이지장 체액이 유입되는 통공을 포함할 수 있다.Additionally, the endoscope cap may include a port communicating with the outside through which pancreatic fluid and duodenal fluid flow.
또한, 상기 환자의 체내에서 십이지장의 위치를 감지하기 위한 위치센서를 더 포함할 수 있다.Additionally, the device may further include a position sensor for detecting the position of the duodenum within the patient's body.
또한, 상기 환자의 체내에서 십이지장 체액의 종류를 감지하는 pH 센서를 더 포함할 수 있다.Additionally, the device may further include a pH sensor for detecting the type of duodenal fluid in the patient's body.
본 발명은 다양한 변환을 가할 수 있고 여러 가지 실시예를 가질 수 있는 바, 특정 실시예들을 도면에 예시하고 상세한 설명에 상세하게 설명하고자 한다. 본 발명의 효과 및 특징, 그리고 그것들을 달성하는 방법은 도면과 함께 상세하게 후술되어 있는 실시예들을 참조하면 명확해질 것이다. 그러나 본 발명은 이하에서 개시되는 실시예들에 한정되는 것이 아니라 다양한 형태로 구현될 수 있다. The present invention can be modified in various ways and has various embodiments, and specific embodiments are illustrated in the drawings and described in detail in the detailed description. The effects and features of the present invention and the methods for achieving them will become clear with reference to the embodiments described in detail below together with the drawings. However, the present invention is not limited to the embodiments disclosed below, and can be implemented in various forms.
이하, 첨부된 도면을 참조하여 본 발명의 실시예들을 상세히 설명하기로 하며, 도면을 참조하여 설명할 때 동일하거나 대응하는 구성 요소는 동일한 도면부호를 부여하고 이에 대한 중복되는 설명은 생략하기로 한다. Hereinafter, embodiments of the present invention will be described in detail with reference to the attached drawings. When describing with reference to the drawings, identical or corresponding components are given the same drawing reference numerals and redundant descriptions thereof are omitted.
이하의 실시예에서, 제1, 제2 등의 용어는 한정적인 의미가 아니라 하나의 구성 요소를 다른 구성 요소와 구별하는 목적으로 사용되었다. In the examples below, the terms first, second, etc. are not used in a limiting sense but are used for the purpose of distinguishing one component from another.
이하의 실시예에서, 단수의 표현은 문맥상 명백하게 다르게 뜻하지 않는 한, 복수의 표현을 포함한다. In the examples below, singular expressions include plural expressions unless the context clearly indicates otherwise.
이하의 실시예에서, 포함하다 또는 가지다 등의 용어는 명세서상에 기재된 특징, 또는 구성요소가 존재함을 의미하는 것이고, 하나 이상의 다른 특징들 또는 구성요소가 부가될 가능성을 미리 배제하는 것은 아니다. In the examples below, terms such as “include” or “have” mean that a feature or component described in the specification is present, and do not exclude in advance the possibility that one or more other features or components may be added.
도면에서는 설명의 편의를 위하여 구성 요소들이 그 크기가 과장 또는 축소될 수 있다. 예컨대, 도면에서 나타난 각 구성의 크기 및 두께는 설명의 편의를 위해 임의로 나타내었으므로, 본 발명이 반드시 도시된 바에 한정되지 않는다. In the drawings, the sizes of components may be exaggerated or reduced for convenience of explanation. For example, the sizes and thicknesses of each component shown in the drawings are arbitrarily shown for convenience of explanation, and therefore the present invention is not necessarily limited to what is shown.
이하의 실시예에서, x축, y축 및 z축은 직교 좌표계 상의 세 축으로 한정되지 않고, 이를 포함하는 넓은 의미로 해석될 수 있다. 예를 들어, x축, y축 및 z축은 서로 직교할 수도 있지만, 서로 직교하지 않는 서로 다른 방향을 지칭할 수도 있다. In the following examples, the x-axis, y-axis, and z-axis are not limited to three axes on an orthogonal coordinate system, and can be interpreted in a broad sense that includes them. For example, the x-axis, y-axis, and z-axis may be orthogonal to each other, but may also refer to different directions that are not orthogonal to each other.
어떤 실시예가 달리 구현 가능한 경우에 특정한 공정 순서는 설명되는 순서와 다르게 수행될 수도 있다. 예를 들어, 연속하여 설명되는 두 공정이 실질적으로 동시에 수행될 수도 있고, 설명되는 순서와 반대의 순서로 진행될 수 있다.In some embodiments, where the implementation is otherwise feasible, a particular process sequence may be performed in a different order than the one described. For example, two processes described in succession may be performed substantially simultaneously, or in a reverse order from the one described.
이하, 상술한 원칙에 기초하여 본 발명에 따른 췌장 종양 진단 장치를 도면을 참조하여 자세하게 설명하기로 한다.Hereinafter, a pancreatic tumor diagnosis device according to the present invention based on the above-described principles will be described in detail with reference to the drawings.
도 1은 본 발명의 일 실시예에 따른 췌장 종양 진단 장치를 개략적으로 도시한 도면이고, 도 2는 도 1의 삽입관(100)을 도시한 도면이고, 도 3은 도 1의 내시경 캡(200)을 도시한 도면이다.FIG. 1 is a drawing schematically illustrating a pancreatic tumor diagnosis device according to one embodiment of the present invention, FIG. 2 is a drawing illustrating an insertion tube (100) of FIG. 1, and FIG. 3 is a drawing illustrating an endoscope cap (200) of FIG. 1.
도 1 내지 도 3을 참조하면, 본 발명의 일 실시예에 따른 췌장 종양 진단 장치는 삽입관(100)과 내시경 캡(200)을 포함할 수 있다.Referring to FIGS. 1 to 3, a pancreatic tumor diagnosis device according to one embodiment of the present invention may include an insertion tube (100) and an endoscope cap (200).
삽입관(100)은 외부 장치와 연결되고, 환자의 체내로 삽입되도록 연장되어 형성될 수 있다. 삽입관(100)은 외부 장치와 연결되어 전력을 공급받을 수 있다. 또한, 삽입관(100)은 외부 장치와 연결되어 환자의 신체 내부 깊숙이 삽입될 수 있고, 삽입되는 과정에서 방향 전환을 할 수 있다.The insertion tube (100) can be connected to an external device and formed to extend so as to be inserted into a patient's body. The insertion tube (100) can be connected to an external device and supplied with power. In addition, the insertion tube (100) can be connected to an external device and inserted deep into a patient's body and can change direction during the insertion process.
도면에 도시하지 않았으나, 삽입관(100)은 환자의 신체 내부에서 빛을 조사하는 조명부, 환자의 신체 내부를 촬영하는 카메라부, 물 또는 기체 등을 분사하는 노즐부 등을 포함할 수 있다.Although not shown in the drawing, the insertion tube (100) may include a lighting unit that irradiates light inside the patient's body, a camera unit that photographs the inside of the patient's body, a nozzle unit that sprays water or gas, etc.
일 실시예로서, 삽입관(100)은 환자의 신체 내부에서 송기(air insufflation)를 통해 환자의 장기의 점막 주름을 펴기 위한 송기부를 포함할 수 있다. 예를 들면, 후술하는 바와 같이 본 발명에 따른 내시경 캡(200)이 십이지장에 도달한 후 송기를 통해 십이지장 점막의 주름을 펼 수 있다.As an example, the insertion tube (100) may include an air insufflation unit for spreading out the mucosal folds of the patient's organ through air insufflation inside the patient's body. For example, as described below, after the endoscope cap (200) according to the present invention reaches the duodenum, the folds of the duodenal mucosa may be spread through air insufflation.
삽입관(100)은 원위부(101)와 근위부(102)를 포함할 수 있다.The insertion tube (100) may include a distal portion (101) and a proximal portion (102).
원위부(101)는 외부 장치와 먼 부분을 의미할 수 있다. 예를 들면, 원위부(101)는 환자의 신체 내부로 삽입되는 끝단 부분을 의미할 수 있다.The distal portion (101) may mean a portion that is distant from an external device. For example, the distal portion (101) may mean a terminal portion that is inserted into a patient's body.
근위부(102)는 외부 장치와 가까운 부분을 의미할 수 있다. 예를 들면, 근위부(102)는 외부 장치와 연결되는 부분을 의미할 수 있다.The proximal portion (102) may mean a portion close to an external device. For example, the proximal portion (102) may mean a portion connected to an external device.
삽입관(100)은 원위부(101)로부터 근위부(102)를 향한 방향으로 차례로 선형부(110), 굴곡부(120) 및 연장부(130)를 포함할 수 있다.The insertion tube (100) may sequentially include a linear portion (110), a curved portion (120), and an extended portion (130) in a direction from the distal portion (101) to the proximal portion (102).
선형부(110)는 원위부(101)로부터 선형으로 연장되는 부분이다. 예를 들면, 선형부(110)는 직선형으로 형성되며, 휘어지지 않을 수 있다. 선형부(110)에는 조명부, 카메라부, 노즐부 등이 배치될 수 있다. 따라서, 선형부(110)는 휘어지지 않도록 형성되며, 조명부, 카메라부, 노즐부 등이 파손되지 않을 수 있다.The linear portion (110) is a portion that extends linearly from the distal portion (101). For example, the linear portion (110) is formed in a straight line and may not be bent. A lighting portion, a camera portion, a nozzle portion, etc. may be arranged in the linear portion (110). Therefore, the linear portion (110) is formed so as not to be bent, and the lighting portion, the camera portion, the nozzle portion, etc. may not be damaged.
굴곡부(120)는 선형부(110)로부터 연장되는 부분이다. 굴곡부(120)는 선형부(110)의 끝단으로부터 근위부(102)를 향해 연장되어 형성될 수 있다. 굴곡부(120)는 휘어질 수 있도록 형성될 수 있다. 따라서, 굴곡부(120)가 환자의 신체 내부에서 휘어짐으로써 삽입관(100)은 환자의 신체 내부에서 방향을 전환하면서 환자의 신체 내부로 깊숙하게 삽입될 수 있다.The bent portion (120) is a portion extending from the linear portion (110). The bent portion (120) may be formed to extend from the end of the linear portion (110) toward the proximal portion (102). The bent portion (120) may be formed to be bendable. Accordingly, as the bent portion (120) bends inside the patient's body, the insertion tube (100) may be inserted deep into the patient's body while changing direction inside the patient's body.
연장부(130)는 굴곡부(120)로부터 연장되는 부분이다. 연장부(130)는 굴곡부(120)의 끝단으로부터 근위부(102)를 향해 연장되어 형성될 수 있다. 연장부(130)는 선형부(110) 및 굴곡부(120)를 외부 장치와 연결하는 역할을 수행할 수 있다. 따라서, 외부 장치로부터 전원이나 전기 신호 등을 선형부(110) 및 굴곡부(120)에 전달할 수 있다.The extension portion (130) is a portion that extends from the bend portion (120). The extension portion (130) can be formed to extend from the end of the bend portion (120) toward the proximal portion (102). The extension portion (130) can play a role in connecting the linear portion (110) and the bend portion (120) to an external device. Accordingly, power or an electric signal, etc. can be transmitted from the external device to the linear portion (110) and the bend portion (120).
내시경 캡(200)은 길이를 갖도록 연장되어 형성되며, 삽입관(100)의 외주면을 감싸도록 배치될 수 있다.The endoscope cap (200) is formed to be extended to have a length and can be positioned to surround the outer surface of the insertion tube (100).
일 실시예로서, 내시경 캡(200)은 5 내지 15cm의 길이(L)를 갖도록 연장되어 형성될 수 있다. 따라서, 내시경 캡(200)은 환자의 십이지장의 내부에 배치되어 십이지장의 넓은 부분을 동시에 관찰할 수 있는 효과가 있다.As an example, the endoscope cap (200) may be formed to be extended to have a length (L) of 5 to 15 cm. Accordingly, the endoscope cap (200) is placed inside the patient's duodenum, thereby having the effect of allowing a wide portion of the duodenum to be observed simultaneously.
내시경 캡(200)은 몸체(210)를 포함할 수 있다. 몸체(210)는 내시경 캡(200)의 전체 외형을 이룰 수 있다.The endoscope cap (200) may include a body (210). The body (210) may form the overall outer shape of the endoscope cap (200).
내시경 캡(200)의 몸체(210)에는 중공(220)이 형성될 수 있다. 중공(220)은 내시경 캡(200)의 길이 방향을 따라 몸체(210)의 중앙 부분을 관통하도록 형성될 수 있다. 예를 들면, 내시경 캡(200)은 내부에 길이 방향을 따라 구멍이 형성된 원기둥 또는 원통의 형상으로 형성될 수 있다. 따라서, 내시경 캡(200)의 중공(220)에는 삽입관(100)이 삽입될 수 있다.A hollow (220) may be formed in the body (210) of the endoscope cap (200). The hollow (220) may be formed to penetrate the central portion of the body (210) along the longitudinal direction of the endoscope cap (200). For example, the endoscope cap (200) may be formed in the shape of a cylinder or cylindrical shape having a hole formed along the longitudinal direction therein. Accordingly, an insertion tube (100) may be inserted into the hollow (220) of the endoscope cap (200).
선택적 실시예로서, 내시경 캡(200)의 중공(220)의 직경은 삽입관(100)의 외경과 동일하게 형성될 수 있다. 따라서, 삽입관(100)이 내시경 캡(200)의 중공(220)에 삽입된 후 견고하게 고정될 수 있다.As an optional embodiment, the diameter of the hollow portion (220) of the endoscope cap (200) may be formed to be the same as the outer diameter of the insertion tube (100). Accordingly, the insertion tube (100) can be firmly fixed after being inserted into the hollow portion (220) of the endoscope cap (200).
다른 선택적 실시예로서, 내시경 캡(200)의 중공(220)의 직경은 삽입관(100)의 외경보다 크게 형성될 수도 있고, 이 경우, 내시경 캡(200)에는 삽입관(100)과 고정되기 위한 체결부재가 더 형성될 수도 있다.As another optional embodiment, the diameter of the hollow portion (220) of the endoscope cap (200) may be formed to be larger than the outer diameter of the insertion tube (100), and in this case, a fastening member may be further formed on the endoscope cap (200) to be fixed to the insertion tube (100).
한편, 본 발명에 따른 내시경 캡(200)은 원기둥 또는 원통 형상으로 형성되므로, 하이브리드 채널 (single and multichannel)을 통한 단일 픽셀과 어레이를 이용한 3D mapping을 구현하여 십이지장 광학 바이오마커의 정확도를 높이고 OCT(Optical Coherence Tomography)의 기능을 수행할 수 있다. 따라서, 선택적 실시예로서, 본 발명에 따른 췌장 종양 진단 장치는 내시경 캡(200)에 다양한 픽셀 어레이를 구성하며, OCT 디텍터 또는 OCT 카메라를 더 포함할 수 있다.Meanwhile, since the endoscope cap (200) according to the present invention is formed in a cylindrical or cylinder shape, it can implement 3D mapping using a single pixel and an array through a hybrid channel (single and multichannel) to increase the accuracy of the duodenal optical biomarker and perform the function of OCT (Optical Coherence Tomography). Therefore, as an optional embodiment, the pancreatic tumor diagnosis device according to the present invention can configure various pixel arrays in the endoscope cap (200) and further include an OCT detector or an OCT camera.
일 실시예로서, 내시경 캡(200)은 삽입관(100)의 원위부(101)로부터 소정의 거리만큼 이격된 위치에 배치될 수 있다. 예를 들면, 내시경 캡(200)은 삽입관(100)의 원위부(101)의 끝단으로부터 5cm 내지 8cm 만큼 이격된 위치에 배치될 수 있다.As an example, the endoscope cap (200) may be positioned at a predetermined distance from the distal end (101) of the insertion tube (100). For example, the endoscope cap (200) may be positioned at a distance of 5 cm to 8 cm from the end of the distal end (101) of the insertion tube (100).
이 경우, 내시경 캡(200)은 삽입관(100)의 굴곡부(120)를 감싸지 않도록 배치되거나 적어도 일부를 감싸도록 배치될 수 있다. 예를 들면, 내시경 캡(200)은 삽입관(100)의 굴곡부(120)에 걸쳐 배치될 수도 있고, 선형부(110)의 일부와 굴곡부(120)의 일부를 감싸도록 배치될 수도 있다.In this case, the endoscope cap (200) may be positioned so as not to surround the curved portion (120) of the insertion tube (100), or may be positioned so as to surround at least a portion of it. For example, the endoscope cap (200) may be positioned across the curved portion (120) of the insertion tube (100), or may be positioned so as to surround a portion of the linear portion (110) and a portion of the curved portion (120).
이에 따라, 후술하는 바와 같이 내시경 캡(200)은 같이 삽입관(100)의 굴곡부(120) 이후 부분이 수동적으로 휘어지게 되면 함께 휘어질 수 있게 된다.Accordingly, as described later, the endoscope cap (200) can be bent together when the portion after the bend (120) of the insertion tube (100) is passively bent.
일 실시예로서, 내시경 캡(200)은 탄성을 갖는 재질로 형성될 수 있다. 따라서, 내시경 캡(200)은 외부의 힘에 의해 휘어질 수 있다. 즉, 삽입관(100)의 굴곡부(120) 이후 부분이 수동적으로 휘어지는 경우 내시경 캡(200)은 굴곡부(120) 이후 부분과 대응되도록 휘어질 수 있다.As an example, the endoscope cap (200) may be formed of an elastic material. Accordingly, the endoscope cap (200) may be bent by an external force. That is, when the portion after the bend (120) of the insertion tube (100) is passively bent, the endoscope cap (200) may be bent to correspond to the portion after the bend (120).
이에 의해, 내시경 캡(200)이 환자의 십이지장에 도달하였을 때, 내시경 캡(200)은 십이지장의 형태에 대응되도록 굴곡지게 변형될 수 있다. 또한, 후술하는 바와 같이 내시경 캡(200)은 십이지장의 점막을 더욱 상세하게 관찰할 수 있다.Accordingly, when the endoscope cap (200) reaches the patient's duodenum, the endoscope cap (200) can be bent to correspond to the shape of the duodenum. In addition, as described below, the endoscope cap (200) can observe the mucosa of the duodenum in more detail.
예를 들면, 통상적인 방법인 내시경 선단부 및 굴곡부에 걸쳐서 5cm이상 길이의 내시경 캡을 부착하는 경우 내시경 시술자에 의해 체외에서 조절하는 내시경의 4-way, 90도 이상의 능동적인 굴곡율을 가지는 삽입관(100)의 원위부(101)로부터 5-7cm 정도 이격된 위치에 있는 굴곡부(120) 부분의 가동성을 저해할 수 있다는 문제가 있다. 따라서, 본 발명에 따른 췌장 종양 진단 장치는 삽입관(내시경)의 굴곡부(120)의 적어도 일부를 감싸거나, 굴곡부(120)의 이후로 내시경 캡(200)을 배치하여 내시경의 가동성을 유지할 수 있다. 나아가, 본 발명에 따른 췌장 종양 진단 장치는 삽입관(내시경)의 수동적인 굴곡성을 가지는 부위에 10cm이상의 플렉서블 캡으로 구성된 내시경 캡(200)을 배치함으로써 삽입관의 수동성 굴곡성에 대응되도록 플랙서블 내시경 캡(200)이 적절히 가동되어 십이지장 전 범위의 관찰 및 평가가 가능할 수 있다. 또한, 이러한 삽입관의 수동성 굴곡성 부위에 플렉서블 내시경 캡을 장착하는 경우, 본 발명에 따른 췌장 종양 진단 장치는 내시경 광생물조절, 광역학/광열 치료에도 이용될 수 있다.For example, in the case of attaching an endoscope cap longer than 5 cm across the distal end and the bending portion of the endoscope, which is a conventional method, there is a problem that the mobility of the bending portion (120) located about 5-7 cm away from the distal end (101) of the insertion tube (100) which has a 4-way, 90-degree or greater active bending rate of the endoscope that is controlled externally by an endoscopist may be hindered. Therefore, the pancreatic tumor diagnosis device according to the present invention can maintain the mobility of the endoscope by wrapping at least a part of the bending portion (120) of the insertion tube (endoscope) or arranging the endoscope cap (200) behind the bending portion (120). Furthermore, the pancreatic tumor diagnosis device according to the present invention can observe and evaluate the entire range of the duodenum by placing an endoscope cap (200) composed of a flexible cap of 10 cm or more on a portion having passive flexibility of an insertion tube (endoscope), so that the flexible endoscope cap (200) can be appropriately moved to correspond to the passive flexibility of the insertion tube. In addition, when the flexible endoscope cap is mounted on the passive flexibility portion of the insertion tube, the pancreatic tumor diagnosis device according to the present invention can also be used for endoscopic photobiomodulation and photodynamic/photothermal therapy.
일 실시예로서, 내시경 캡(200)은 투명한 재질로 형성될 수 있다. 따라서, 내시경 캡(200)의 LED센서(230)가 췌장의 EIBS(Early Increase in Blood Supply)를 측정하는 도중에도 삽입관(100)을 통해 일반 내시경 검사를 동시에 수행할 수 있게 된다. 예를 들면, 내시경 캡(200)의 LED센서(230)가 췌장의 EIBS(Early Increase in Blood Supply)를 측정하는 도중에도 삽입관(100)에 구비된 카메라부는 십이지장의 점막이나 그 외의 부분을 측정할 수 있다.As an example, the endoscope cap (200) may be formed of a transparent material. Accordingly, while the LED sensor (230) of the endoscope cap (200) measures the Early Increase in Blood Supply (EIBS) of the pancreas, a general endoscopic examination can be performed simultaneously through the insertion tube (100). For example, while the LED sensor (230) of the endoscope cap (200) measures the Early Increase in Blood Supply (EIBS) of the pancreas, the camera unit equipped in the insertion tube (100) can measure the mucosa of the duodenum or other parts.
본 발명의 일 실시예에 따른 췌장 종양 진단 장치는 내시경 캡(200)의 표면에 배치되는 복수의 LED센서(230)를 포함할 수 있다. LED센서(230)는 복수의 광원을 포함할 수 있다. 예를 들면, 광원은 LED, OLED, micro LED, mini LED일 수 있고, 다른 예로서, 광원은 플렉시블(flexible) LED일 수도 있고, 또 다른 예로서 광원은 양자점 LED일 수 있다. 이하에서는, 설명의 편의를 위해 전술한 다양한 광원의 예를 LED로 통칭하기로 하고, LED센서(230)라 칭하는 것은 전술한 다양한 광원 중 적어도 어느 하나를 포함하는 센서를 통칭하는 것으로 이해되어야 한다.A pancreatic tumor diagnosis device according to one embodiment of the present invention may include a plurality of LED sensors (230) arranged on a surface of an endoscope cap (200). The LED sensor (230) may include a plurality of light sources. For example, the light source may be an LED, an OLED, a micro LED, a mini LED, or as another example, the light source may be a flexible LED, or as yet another example, the light source may be a quantum dot LED. Hereinafter, for the convenience of explanation, the various examples of the light sources described above will be collectively referred to as LEDs, and it should be understood that the term “LED sensor (230)” collectively refers to a sensor including at least one of the various light sources described above.
또한, LED센서(230)는 빛을 조사하는 부분과 빛을 수광하는 부분을 포함하여 센서 기능을 수행할 수 있다.Additionally, the LED sensor (230) can perform a sensor function by including a part that irradiates light and a part that receives light.
또한, LED센서(230)의 광원은 분광법(spectroscopy)이 가능한 형태로 구성될 수도 있다. 따라서, 선택적 실시예로서, 본 발명에 따른 LED센서(230)는 내시경 캡(200)에 CCD 카메라를 더 구비하여 분광기(spectrometer)의 기능을 수행할 수도 있다.In addition, the light source of the LED sensor (230) may be configured in a form capable of spectroscopy. Therefore, as an optional embodiment, the LED sensor (230) according to the present invention may further be equipped with a CCD camera in the endoscope cap (200) to perform the function of a spectrometer.
일 실시예로서, 복수의 LED센서(230)는 내시경 캡(200)의 표면에 복수의 행과 열을 이루도록 배치될 수 있다. 구체적으로, LED센서(230)는 내시경 캡(200)의 외주면을 모두 커버하도록 배치될 수 있다. LED센서(230)는 한개 또는 여러개의 픽셀로 구성되며 픽셀은 600-900nm의 파장 또는 근적외선의 빛을 조사하는 LED와 광조사로 조직에서 얻어진 정보를 얻는 유기 포토다이오드 (organic photodiode)로 구성될 수 있다. 이러한 픽셀은 주유두부(major duodenal papilla), 주유두부(major duodenal papilla) 근처 위 아래 5mm 및 1cm위치에 배열되어 십이지장 점막의 DHb(Deoxyhemoglobin Concentration), BVR(Blood Vessel Radius)을 측정할 수 있다. 또한, LED센서(230)는 위와 같은 부위의 반대 부분의 정보를 추가로 얻어 주유두부(major duodenal papilla)에서 얻어진 정보의 정확성을 제고할 수 있다.As an example, a plurality of LED sensors (230) may be arranged to form a plurality of rows and columns on the surface of the endoscope cap (200). Specifically, the LED sensors (230) may be arranged to cover the entire outer surface of the endoscope cap (200). The LED sensor (230) may be composed of one or more pixels, and the pixels may be composed of an LED that irradiates light with a wavelength of 600-900 nm or near-infrared light and an organic photodiode that obtains information obtained from a tissue by the light irradiation. These pixels may be arranged at positions 5 mm above and 1 cm below the major duodenal papilla and may measure the Deoxyhemoglobin Concentration (DHb) and the Blood Vessel Radius (BVR) of the duodenal mucosa. In addition, the LED sensor (230) can obtain additional information from the opposite part of the above-mentioned area to improve the accuracy of information obtained from the major duodenal papilla.
또한, 탐침형(probe) 센싱에 비해 이러한 내시경 캡 형태의 경우에는 내시경 캡이 십이지장 점막에 접촉이 가능하므로 통상의 LED 센싱 과정에서 발생하는 모션 아티팩트(Motion artifact, Motion artefact)를 최소화할 수 있다. 특히, 삽입관의 송기부를 오프(off)하는 경우 십이지장 점막은 내시경 캡(200)에 밀착하게 되어 십이지장 여러 부위의 체내 센싱을 극대화할 수 있다. 이러한 LED의 배열은 1cm-3cm의 간격을 갖는 등 다양한 배열을 할 수 있으며, OLED와 같은 면광원 또는 멀티채널 및 내시경 캡의 원통형 삼차원 구조를 이용한 LED의 배열을 통한 3D-mapping을 이용하여 검사의 정확도를 높이고 주유두부의 센싱을 정교하게 할 수 있다.In addition, compared to probe-type sensing, in the case of this endoscope cap type, since the endoscope cap can come into contact with the duodenal mucosa, the motion artifact (motion artefact) that occurs in the normal LED sensing process can be minimized. In particular, when the transmission part of the insertion tube is turned off, the duodenal mucosa comes into close contact with the endoscope cap (200), so that the sensing of various parts of the duodenum can be maximized. The arrangement of these LEDs can be various, such as having an interval of 1 cm to 3 cm, and the accuracy of the examination can be increased and the sensing of the papilla can be made precise by using 3D mapping through the arrangement of LEDs using a surface light source such as OLED or a multi-channel and a cylindrical three-dimensional structure of the endoscope cap.
따라서, LED센서(230)는 환자의 체내의 특정 위치에 배치되는 경우, 내시경 캡(200)의 외주면이 바라보는 방향 전체, 예를 들면 십이지장의 점막 내부를 전체적으로 관찰할 수 있다.Accordingly, when the LED sensor (230) is placed at a specific location in the patient's body, it can observe the entire direction facing the outer surface of the endoscope cap (200), for example, the entire inside of the duodenal mucosa.
LED센서(230)는 십이지장 내부에 위치하게 되면, 십이지장의 DHb(Deoxyhemoglobin Concentration), BVR(Blood Vessel Radius)을 측정할 수 있다. LED센서(230)의 구체적인 측정 방법에 대해서는 자세하게 후술한다.When the LED sensor (230) is positioned inside the duodenum, it can measure the DHb (Deoxyhemoglobin Concentration) and BVR (Blood Vessel Radius) of the duodenum. The specific measurement method of the LED sensor (230) will be described in detail later.
도 4는 도 3의 내시경 캡(200)의 일 변형예(200')이다.Fig. 4 is a modified example (200') of the endoscope cap (200) of Fig. 3.
도 4를 참조하면, 본 발명의 일 변형예에 따른 내시경 캡(200')은 개폐가 가능한 원기둥 또는 원통의 형상으로 형성될 수 있다.Referring to FIG. 4, an endoscope cap (200') according to one modified example of the present invention may be formed in the shape of a cylinder or cylindrical shape that can be opened and closed.
내시경 캡(200')은 길이를 갖도록 연장되어 형성되며, 삽입관(100)의 외주면을 감쌀 수 있는 형상으로 형성될 수 있다.The endoscope cap (200') is formed to be extended to have a length, and can be formed in a shape that can wrap around the outer surface of the insertion tube (100).
일 실시예로서, 내시경 캡(200')은 5 내지 15cm의 길이(L)를 갖도록 연장되어 형성될 수 있다. 따라서, 내시경 캡(200')은 환자의 십이지장의 내부에 배치되어 십이지장의 넓은 부분을 동시에 관찰할 수 있는 효과가 있다.As an example, the endoscope cap (200') may be formed to be extended to have a length (L) of 5 to 15 cm. Accordingly, the endoscope cap (200') is placed inside the patient's duodenum, and has the effect of allowing a wide portion of the duodenum to be observed simultaneously.
내시경 캡(200')은 몸체(210')를 포함할 수 있다. 몸체(210')는 내시경 캡(200')의 전체 외형을 이룰 수 있다. 이때, 몸체(210')는 개폐 가능하도록 형성될 수 있다. 예를 들면, 몸체(210')는 길이 방향을 따라 힌지부가 형성될 수 있고, 힌지부를 기준으로 양 측 부분이 회전 가능할 수 있다.The endoscope cap (200') may include a body (210'). The body (210') may form the overall outer shape of the endoscope cap (200'). At this time, the body (210') may be formed to be openable and closable. For example, the body (210') may have a hinge formed along the longitudinal direction, and both sides may be rotatable based on the hinge.
내시경 캡(200')의 몸체(210')에는 중공(220')이 형성될 수 있다. 중공(220')은 내시경 캡(200')의 길이 방향을 따라 몸체(210')의 중앙 부분을 관통하도록 형성될 수 있다. 예를 들면, 내시경 캡(200')은 내부에 길이 방향을 따라 중공(220')이 형성되고, 원기둥 또는 원통이 길이 방향을 따라 절개된 후 벌어진 형상으로 형성될 수 있다. 따라서, 내시경 캡(200')은 삽입관(100)의 외주면을 감싸도록 오므라들며 삽입관(100)의 외주면을 감쌀 수 있다.A hollow (220') may be formed in the body (210') of the endoscope cap (200'). The hollow (220') may be formed to penetrate the central portion of the body (210') along the longitudinal direction of the endoscope cap (200'). For example, the endoscope cap (200') may be formed in a shape in which the hollow (220') is formed along the longitudinal direction inside and a cylinder or cylindrical body is cut along the longitudinal direction and then opened. Accordingly, the endoscope cap (200') may be folded to surround the outer surface of the insertion tube (100) and may wrap the outer surface of the insertion tube (100).
선택적 실시예로서, 내시경 캡(200')의 중공(220')의 직경은 삽입관(100)의 외경과 동일하게 형성될 수 있다. 따라서, 삽입관(100)이 내시경 캡(200')의 중공(220')에 삽입된 후 견고하게 고정될 수 있다.As an optional embodiment, the diameter of the hollow portion (220') of the endoscope cap (200') may be formed to be the same as the outer diameter of the insertion tube (100). Accordingly, the insertion tube (100) may be firmly fixed after being inserted into the hollow portion (220') of the endoscope cap (200').
다른 선택적 실시예로서, 내시경 캡(200')의 중공(220')의 직경은 삽입관(100)의 외경보다 크게 형성될 수도 있고, 이 경우, 내시경 캡(200')에는 삽입관(100)과 고정되기 위한 체결부재가 더 형성될 수도 있다.As another optional embodiment, the diameter of the hollow space (220') of the endoscope cap (200') may be formed larger than the outer diameter of the insertion tube (100), and in this case, a fastening member may be further formed on the endoscope cap (200') to be fixed to the insertion tube (100).
일 실시예로서, 도면에 도시하지 않았으나 내시경 캡(200')은 양 측의 몸체(210')가 원기둥 또는 원통의 형상을 이루도록 오므라진 후 서로 절개된 부분을 체결하기 위한 결합부재를 더 포함할 수 있다. 예를 들면, 결합부재는 몸체(210')의 양 측의 몸체(210')에 결합 또는 부착된 자성부재일 수 있다. 또는, 결합부재는 후크 또는 고리의 형태로 형성되는 것일 수 있다. 또는, 결합부재는 강제 끼움 방식으로 형성되는 돌출부가 홈의 방식으로 형성될 수도 있다. 다만, 이에 한정되는 것은 아니고, 삽입관(100)의 외주면을 감싸도록 내시경 캡(200')이 배치된 후, 양 측의 몸체(210')를 결합할 수 있는 구조라면 채용될 수 있다.As an example, although not shown in the drawing, the endoscope cap (200') may further include a joining member for joining the cut portions of the bodies (210') on both sides after they are folded to form a cylindrical or cylindrical shape. For example, the joining member may be a magnetic member joined or attached to the bodies (210') on both sides of the body (210'). Alternatively, the joining member may be formed in the shape of a hook or a ring. Alternatively, the joining member may be formed in the form of a groove with a protrusion formed in a forced-fit manner. However, the present invention is not limited thereto, and any structure that can join the bodies (210') on both sides after the endoscope cap (200') is arranged to surround the outer surface of the insertion tube (100) may be adopted.
도 5는 내시경 캡(200)이 빛을 조사하는 것을 설명하기 위한 도면이고, 도 6은 본 발명에 따른 췌장 종양 진단 장치가 환자의 신체로 삽입되어 구동되는 예를 설명하기 위한 도면이다.FIG. 5 is a drawing for explaining that the endoscope cap (200) irradiates light, and FIG. 6 is a drawing for explaining an example of a pancreatic tumor diagnosis device according to the present invention being inserted into a patient's body and operated.
도 5 및 도 6을 참조하면, 본 발명에 따른 LED센서(230)는 빛을 조사할 수 있다. Referring to FIGS. 5 and 6, the LED sensor (230) according to the present invention can irradiate light.
본 발명의 일 실시예에 따른 췌장 종양 진단 장치는 환자의 신체의 내부로 삽입되어 신체의 다양한 지표를 측정할 수 있다. 구체적으로, 본 발명에 따른 췌장 종양 진단 장치는 내시경 캡(200)이 환자의 십이지장에 삽입된 상태에서 환자의 신체의 다양한 지표를 측정할 수 있다.A pancreatic tumor diagnosis device according to one embodiment of the present invention can be inserted into a patient's body to measure various indicators of the body. Specifically, the pancreatic tumor diagnosis device according to the present invention can measure various indicators of the patient's body while the endoscope cap (200) is inserted into the patient's duodenum.
본 발명에 따른 췌장 종양 진단 장치는 내시경 캡(200)의 외측에 배치된 LED센서(230)를 통해 십이지장에서 DHb(Deoxyhemoglobin Concentration) 및 BVR(Blood Vessel Radius)을 측정할 수 있다. 이는, 환자의 십이지장에서 십이지장의 EIBS(Early Increase in Blood Supply)를 측정하기 위한 것이다. 이에 대해 부연하면, 췌장암의 경우 초기에는 정상 십이지장 점막에서 EIBS(Early Increase in Blood Supply)가 관찰된다. 따라서, 췌장암의 조기 진단(예를 들면, 췌장 종양의 조기 진단)을 위해 십이지장 점막에서 DHb(Deoxyhemoglobin Concentration) 및 BVR(Blood Vessel Radius)을 측정하는 것이다.The pancreatic tumor diagnosis device according to the present invention can measure DHb (Deoxyhemoglobin Concentration) and BVR (Blood Vessel Radius) in the duodenum through the LED sensor (230) arranged on the outside of the endoscope cap (200). This is to measure EIBS (Early Increase in Blood Supply) of the duodenum in the patient's duodenum. To elaborate, in the case of pancreatic cancer, EIBS (Early Increase in Blood Supply) is initially observed in normal duodenal mucosa. Therefore, DHb (Deoxyhemoglobin Concentration) and BVR (Blood Vessel Radius) are measured in the duodenal mucosa for early diagnosis of pancreatic cancer (e.g., early diagnosis of pancreatic tumor).
나아가, 본 발명에 따른 췌장 종양 진단 장치는 혈관의 수축/이완 상태를 인식하여 혈관 경직도(stiffness)를 측정할 수 있다. 예를 들면, 본 발명에 따른 췌장 종양 진단 장치는 내시경 캡(200)의 외측에 배치된 LED센서(230)를 통해 혈관 경직도(stiffness)를 측정할 수 있다.In addition, the pancreatic tumor diagnosis device according to the present invention can measure the stiffness of blood vessels by recognizing the contraction/relaxation state of blood vessels. For example, the pancreatic tumor diagnosis device according to the present invention can measure the stiffness of blood vessels through an LED sensor (230) placed on the outside of the endoscope cap (200).
이처럼, 본 발명에 따른 췌장 종양 진단 장치는 내시경 캡(200)의 표면에 배치된 LED센서(230)를 통해 DHb(Deoxyhemoglobin Concentration) 및 BVR(Blood Vessel Radius)을 측정할 수 있고, 혈관 경직도(stiffness)를 측정함으로써 사용자는 환자의 췌장 종양을 조기에 진단할 수 있다.In this way, the pancreatic tumor diagnosis device according to the present invention can measure DHb (Deoxyhemoglobin Concentration) and BVR (Blood Vessel Radius) through the LED sensor (230) placed on the surface of the endoscope cap (200), and by measuring blood vessel stiffness, the user can diagnose the pancreatic tumor of the patient at an early stage.
선택적 실시예로서, 본 발명에 따른 췌장 종양 진단 장치는 도면에 도시하지는 않았으나 위치 센서를 더 포함할 수 있다. 위치 센서는 십이지장의 내부에서 십이지장의 유두부(duodenal papilla)를 센싱할 수 있다. 바람직한 예로서, 위치 센서는 십이지장의 유두부(duodenal papilla) 중 췌장 두부(pancreas head)에 해당하는 주유두부(major duodenal papilla)를 센싱할 수 있다.As an optional embodiment, the pancreatic tumor diagnosis device according to the present invention may further include a position sensor, although not shown in the drawing. The position sensor may sense the duodenal papilla inside the duodenum. As a preferred example, the position sensor may sense the major duodenal papilla corresponding to the pancreas head among the duodenal papilla.
예를 들면, 위치 센서는 십이지장의 내부에서 점막의 돌출 여부를 측정하기 위한 센서일 수 있고, 이에 따라 돌출형의 점막 구조를 센싱함으로써 십이지장의 유두부(duodenal papilla)를 센싱할 수 있고, 바람직한 예로서 주유두부(major duodenal papilla)를 센싱할 수 있다. 구체적 예로서, 내시경을 통한 통상적으로 사용하는 의료용 금속 헤모클립을 주유두부(major duodenal papilla) 근처에 부착시키고 이 클립을 내시경 캡(200)의 위치센서가 주유두부(major duodenal papilla)의 위치를 파악하기 위한 랜드마크로 사용할 수 있다. 또는, X-ray투시 장비를 이용하여 내시경 캡(200)의 위치와 클립이 부착된 주유두부(major duodenal papilla)의 위치를 파악할 수 도 있다.For example, the position sensor may be a sensor for measuring whether the mucosa protrudes inside the duodenum, and thereby senses the protruding mucosal structure, thereby sensing the duodenal papilla of the duodenum, and as a preferred example, the major duodenal papilla. As a specific example, a medical metal hemoclip commonly used through an endoscope may be attached near the major duodenal papilla, and this clip may be used as a landmark for the position sensor of the endoscope cap (200) to identify the position of the major duodenal papilla. Alternatively, the position of the endoscope cap (200) and the position of the major duodenal papilla to which the clip is attached may be identified using X-ray fluoroscopy equipment.
이를 통해, 본 발명에 따른 췌장 종양 진단 장치를 이용함으로써 여러 지표의 위치별 가중치를 부여하고, 진단의 정확성을 향상시킬 수 있다.Through this, by using the pancreatic tumor diagnosis device according to the present invention, it is possible to assign weights to various indicators according to their positions and improve the accuracy of diagnosis.
구체적으로, 주유두부(major duodenal papilla)의 주위에서 DHb(Deoxyhemoglobin Concentration), BVR(Blood Vessel Radius) 및 혈관 경직도(stiffness)가 증가하는 경우 췌장 종양의 존재 가능성이 높아지지만, 주유두부(major duodenal papilla)와 멀거나 주유두부(major duodenal papilla)의 반대 방향에 DHb(Deoxyhemoglobin Concentration), BVR(Blood Vessel Radius) 및 혈관 경직도(stiffness)가 증가하는 경우 위양성의 가능성이 높아진다.Specifically, the possibility of the presence of a pancreatic tumor increases when the deoxyhemoglobin concentration (DHb), blood vessel radius (BVR), and vascular stiffness increase around the major duodenal papilla, but the possibility of a false positive increases when the deoxyhemoglobin concentration (DHb), blood vessel radius (BVR), and vascular stiffness increase far from the major duodenal papilla or in the opposite direction to the major duodenal papilla.
즉, 본 발명에 따른 췌장 종양 진단 장치는 위치 센서와 삽입관(100)에 배치된 카메라부를 통해 십이지장의 주유두부(major duodenal papilla)의 위치를 정확하게 센싱할 수 있다. 또한, 내시경 캡(200)을 주유두부(duodenal papilla)에 부착시켜 십이지장의 각 위치에 따른 DHb(Deoxyhemoglobin Concentration), BVR(Blood Vessel Radius) 및 혈관 경직도(stiffness)를 측정할 수 있고, 췌장 종양의 진단 정확도를 향상시킬 수 있다.That is, the pancreatic tumor diagnosis device according to the present invention can accurately sense the location of the major duodenal papilla through the location sensor and the camera unit placed in the insertion tube (100). In addition, by attaching the endoscope cap (200) to the major papilla, the DHb (Deoxyhemoglobin Concentration), BVR (Blood Vessel Radius) and vascular stiffness according to each location of the duodenum can be measured, thereby improving the diagnostic accuracy of pancreatic tumors.
예를 들면, 본 발명에 따른 췌장 종양 진단 장치에 따르면, 사용자는 십이지장의 주유두부(major duodenal papilla)에 내시경 캡(200)을 근접하게 배치하거나 접촉 하게한 후, 주유두부(major duodenal papilla)의 반대편에 배치된 LED센서(230)를 통해 측정된 DHb(Deoxyhemoglobin Concentration), BVR(Blood Vessel Radius) 및 혈관 경직도(stiffness)와 주유두부(major duodenal papilla)의 주변에 배치된 LED센서(230)를 통해 측정된 DHb(Deoxyhemoglobin Concentration), BVR(Blood Vessel Radius) 및 혈관 경직도(stiffness)를 비교함으로써 췌장 종양의 조기 진단이 가능하게 된다.For example, according to the pancreatic tumor diagnosis device according to the present invention, the user places the endoscope cap (200) close to or in contact with the major duodenal papilla of the duodenum, and then compares the DHb (Deoxyhemoglobin Concentration), BVR (Blood Vessel Radius) and vascular stiffness measured through the LED sensor (230) placed on the opposite side of the major duodenal papilla with the DHb (Deoxyhemoglobin Concentration), BVR (Blood Vessel Radius) and vascular stiffness measured through the LED sensor (230) placed around the major duodenal papilla, thereby enabling early diagnosis of pancreatic tumors.
본 발명의 일 실시예에 따른 LED센서(230)는 500 내지 1000nm의 파장대의 빛과 근적외선 파장대의 빛을 조사할 수 있고, 바람직하게는 600 내지 900nm의 파장대 및 근적외선의 빛을 조사할 수 있다.The LED sensor (230) according to one embodiment of the present invention can irradiate light having a wavelength of 500 to 1000 nm and light having a near-infrared wavelength, and preferably can irradiate light having a wavelength of 600 to 900 nm and light having a near-infrared wavelength.
선택적 실시예로서, 본 발명의 일 실시예에 따른 LED센서(230)는 서로 다른 파장대의 빛을 조사할 수 있다. 도 5의 내시경 캡(200)의 상측에는 십이지장의 주유두부(major duodenal papilla)가 배치되는 것으로 가정하면, 십이지장의 주유두부(major duodenal papilla)를 향한 방향으로 배치된 LED센서(230)는 제1 광(L1)을 조사할 수 있고, 십이지장의 주유두부(major duodenal papilla)의 반대쪽을 향한 방향으로 배치된 LED센서(230)는 제2 광(L2)을 조사할 수 있다.As an optional embodiment, the LED sensor (230) according to one embodiment of the present invention can irradiate light of different wavelengths. Assuming that the major duodenal papilla is arranged on the upper side of the endoscope cap (200) of FIG. 5, the LED sensor (230) arranged in a direction toward the major duodenal papilla can irradiate the first light (L1), and the LED sensor (230) arranged in a direction opposite to the major duodenal papilla can irradiate the second light (L2).
이때, 제1 광(L1)은 800 내지 900nm의 파장대 및 근적외선 파장대의 빛일 수 있다. 바람직하게는 제1 광(L1)은 850nm의 파장을 갖는 빛일 수 있다. 또한, 제2 광(L2)은 680 내지 780nm의 파장대의 빛일 수 있다. 바람직하게는 제2 광(L2)은 630nm의 파장을 갖는 빛일 수 있다.At this time, the first light (L1) may be light having a wavelength of 800 to 900 nm and a near-infrared wavelength. Preferably, the first light (L1) may be light having a wavelength of 850 nm. In addition, the second light (L2) may be light having a wavelength of 680 to 780 nm. Preferably, the second light (L2) may be light having a wavelength of 630 nm.
다른 선택적 실시예로서, 본 발명에 따른 LED센서(230)는 제1 광(L1)을 조사하는 광원과 제2 광(L2)을 조사하는 광원을 각각 포함할 수 있다.As another optional embodiment, the LED sensor (230) according to the present invention may each include a light source irradiating first light (L1) and a light source irradiating second light (L2).
이 경우, 제1 광(L1)을 조사하는 광원은 본 발명에 따른 내시경 캡(200)이 십이지장의 주유두부(major duodenal papilla)를 센싱하여 정위치에 배치된 경우 십이지장을 향한 방향으로 배치되는 위치에 배치될 수 있다. 또한, 제2 광(L2)을 조사하는 광원은 본 발명에 따른 내시경 캡(200)이 십이지장의 주유두부(major duodenal papilla)를 센싱하여 정위치에 배치된 경우 십이지장의 반대 방향을 향한 방향으로 배치되는 위치에 배치될 수 있다.In this case, the light source irradiating the first light (L1) may be positioned at a position oriented toward the duodenum when the endoscope cap (200) according to the present invention is positioned at the correct position by sensing the major duodenal papilla of the duodenum. In addition, the light source irradiating the second light (L2) may be positioned at a position oriented toward the opposite direction of the duodenum when the endoscope cap (200) according to the present invention is positioned at the correct position by sensing the major duodenal papilla of the duodenum.
이와 같이, 서로 다른 파장의 빛을 십이지장의 주유두부(major duodenal papilla)를 향한 방향 및 반대 방향에 각각 조사함으로써 DHb(Deoxyhemoglobin Concentration), BVR(Blood Vessel Radius) 및 혈관 경직도(stiffness)를 더욱 정확하게 측정할 수 있다.In this way, by irradiating light of different wavelengths toward and away from the major duodenal papilla, deoxyhemoglobin concentration (DHb), blood vessel radius (BVR), and vascular stiffness can be measured more accurately.
선택적 실시예로서, 본 발명에 따른 췌장 종양 진단 장치는 도면에 도시하지 않았으나 인디케이터를 더 포함할 수 있다. 인디케이터는 삽입관(100)의 카메라를 통해 확인할 수 있도록 구성되는 요소일 수 있다. 따라서, 사용자는 삽입관(100)이 카메라를 통해 인디케이터를 확인함으로써 내시경 캡(200)의 방향성을 확인할 수 있다.As an optional embodiment, the pancreatic tumor diagnosis device according to the present invention may further include an indicator, although not shown in the drawing. The indicator may be an element configured to be confirmed through the camera of the insertion tube (100). Accordingly, the user can confirm the directionality of the endoscope cap (200) by confirming the indicator through the camera of the insertion tube (100).
한편, 본 발명에 따른 내시경 캡(200)은 전술한 바와 같이 탄성을 갖는 재질로 형성될 수 있고, 삽입관(100)의 굴곡부(120)를 커버하지 않거나 적어도 일부를 커버하도록 배치될 수 있다. 이에 따라, 내시경 캡(200)은 십이지장의 형상에 대응되도록 일부가 굴곡지게 변형될 수 있고, 이에 따라 사용자는 십이지장 점막을 더욱 정확하게 관찰할 수 있다.Meanwhile, the endoscope cap (200) according to the present invention may be formed of an elastic material as described above, and may be positioned so as not to cover, or at least partially cover, the curved portion (120) of the insertion tube (100). Accordingly, the endoscope cap (200) may be partially bent to correspond to the shape of the duodenum, and thus, the user may observe the duodenal mucosa more accurately.
도 7은 도 1의 내시경 캡(200)의 내부 구조의 일 실시예를 설명하기 위한 도면이다.FIG. 7 is a drawing for explaining one embodiment of the internal structure of the endoscope cap (200) of FIG. 1.
도 7을 참조하면, 본 발명의 실시예에 따른 췌장 종양 진단 장치는 십이지장 내에서 췌장액 및 십이지장 체액을 수집하는 구성을 더 포함할 수 있다.Referring to FIG. 7, the pancreatic tumor diagnosis device according to an embodiment of the present invention may further include a configuration for collecting pancreatic juice and duodenal fluid within the duodenum.
일 실시예로서, 췌장 종양 진단 장치는 내시경 캡(200)에 형성되며 외부와 연통되는 통공(241)을 더 포함할 수 있다. 통공(241)은 외부와 연통됨으로써 췌장액 및 십이지장 채액이 유입되는 통로일 수 있다.As an example, the pancreatic tumor diagnostic device may further include a passage (241) formed in the endoscope cap (200) and communicating with the outside. The passage (241) may be a passage through which pancreatic fluid and duodenal fluid flow in by communicating with the outside.
이는, 본 발명에 따른 내시경 캡(200)은 십이지장의 주유두부(major duodenal papilla)에 인접하거나 접촉되도록 배치되어 이용되므로, 주유두부(major duodenal papilla)에서 배출되는 췌장액 및 십이지장 체액을 직접 채집하기 위한 것이다.This is because the endoscope cap (200) according to the present invention is positioned adjacent to or in contact with the major duodenal papilla and is used to directly collect pancreatic juice and duodenal fluid discharged from the major duodenal papilla.
즉, 본 실시예에 따른 췌장 종양 진단 장치는 주유두부(major duodenal papilla)에서 배출되는 췌장액 및 십이지장 체액이 유입되도록 통공(241)을 구비함으로써 시술 과정에서 췌장액을 채집할 수 있다.That is, the pancreatic tumor diagnosis device according to the present embodiment is provided with a hole (241) to allow pancreatic fluid and duodenal fluid discharged from the major duodenal papilla to flow in, thereby allowing pancreatic fluid to be collected during the procedure.
선택적 실시예로서, 도면에 도시하지 않았으나 내시경 캡(200)은 통공(241)에 유입되는 체액의 종류를 감지하는 센서를 더 포함할 수 있다. 예를 들면, 내시경 캡(200)은 통공(241)에 유입되는 체액이 췌장액 및/또는 십이지장 체액인 경우 사용자에게 이를 감지하여 사용자에게 알람을 제공할 수 있다. 구체적 예로서, 내시경 캡(200)이 포함하는 센서의 일 예는 pH 센서일 수 있다. 췌장액의 경우 pH>8의 알칼리성 이므로 내시경 캡(200)에 배치된 pH 센서는 통공(241)에 유입되는 체액의 종류를 검출 할 수 있다.As an optional embodiment, although not shown in the drawing, the endoscope cap (200) may further include a sensor for detecting the type of body fluid flowing into the port (241). For example, the endoscope cap (200) may detect if the body fluid flowing into the port (241) is pancreatic fluid and/or duodenal fluid and provide an alarm to the user. As a specific example, an example of a sensor included in the endoscope cap (200) may be a pH sensor. Since pancreatic fluid is alkaline with a pH>8, the pH sensor disposed in the endoscope cap (200) may detect the type of body fluid flowing into the port (241).
선택적 실시예로서, 본 발명에 따른 내시경 캡(200)은 통공(241)을 통해 유입된 췌장액을 저장하는 체액 저장공(242)을 더 포함할 수 있다.As an optional embodiment, the endoscope cap (200) according to the present invention may further include a fluid storage hole (242) for storing pancreatic fluid introduced through the hole (241).
체액 저장공(242)은 통공(241)과 연통될 수 있다. 따라서, 통공(241)을 통해 유입된 췌장액은 체액 저장공(242)에 저장될 수 있다.The fluid storage hole (242) can be communicated with the passage hole (241). Therefore, pancreatic fluid flowing in through the passage hole (241) can be stored in the fluid storage hole (242).
이때, 바람직한 실시예로서, 체액 저장공(242)에는 유입된 췌장액이 외부로 유출되지 않도록 췌장액 및 십이지장 체액의 유동을 차단하는 밸브를 더 포함할 수 있다.At this time, as a preferred embodiment, the fluid storage hole (242) may further include a valve that blocks the flow of pancreatic fluid and duodenal fluid to prevent the introduced pancreatic fluid from leaking out.
선택적 실시예로서, 본 발명에 따른 내시경 캡(200)은 주유두부(major duodenal papilla)에서 배출되는 췌장액을 더욱 효율적으로 채집하기 위해 흡인력을 제공하기 위한 흡입공(243)을 더 포함할 수 있다.As an optional embodiment, the endoscope cap (200) according to the present invention may further include a suction hole (243) to provide suction force to more efficiently collect pancreatic juice discharged from the major duodenal papilla.
이는, 내시경 흡입을 이용하기 위한 구성으로서, 외부 장치를 통해 흡입공(243)에 압력을 가할 수 있다. 이를 통해 내시경 캡(200) 내측에 음압이 발생하도록 할 수 있으며, 이에 따라 주유두부(major duodenal papilla)에서 배출된 췌장액 및 십이지장 체액은 통공(241)을 통해 더욱 효율적으로 유입될 수 있게 된다.This is a configuration for utilizing endoscopic suction, and can apply pressure to the suction hole (243) through an external device. Through this, negative pressure can be generated inside the endoscope cap (200), and accordingly, pancreatic fluid and duodenal fluid discharged from the major duodenal papilla can be introduced more efficiently through the perforation (241).
이와 같이, 본 발명에 일 실시예에 따른 췌장 종양 진단 장치는 길이를 갖도록 연장되어 형성되고 내측에는 삽입관(100)이 삽입되는 구멍이 형성된 내시경 캡(200)을 포함하여 내시경 시술 중에 환자의 신체의 내부로 유입되어 다양한 기능을 수행할 수 있다.In this way, the pancreatic tumor diagnostic device according to one embodiment of the present invention includes an endoscope cap (200) formed to be extended to have a length and having a hole formed on the inside into which an insertion tube (100) is inserted, so that it can be introduced into the body of a patient during an endoscopic procedure and perform various functions.
또한, 본 발명의 일 실시예에 따른 췌장 종양 진단 장치는 내시경 캡(200)의 외측에 배치된 복수의 LED센서(230)를 포함하여 환자의 십이지장 내측에서 DHb(Deoxyhemoglobin Concentration), BVR(Blood Vessel Radius) 및 혈관 경직도(stiffness)를 측정할 수 있다.In addition, a pancreatic tumor diagnosis device according to one embodiment of the present invention can measure DHb (Deoxyhemoglobin Concentration), BVR (Blood Vessel Radius) and vascular stiffness inside the duodenum of a patient by including a plurality of LED sensors (230) arranged on the outside of an endoscope cap (200).
또한, 본 발명의 일 실시예에 따른 췌장 종양 진단 장치는 내시경 캡(200)이 삽입관(100)이 원위부(101)로부터 소정의 거리만큼 이격된 위치, 바람직하게는 삽입관(100)의 굴곡부(120)의 적어도 일부를 감싸도록 배치되고, 길이를 갖도록 연장되어 형성되므로 십이지장의 내부에서 십이지장의 진단 길이가 향상되는 효과가 있다. 즉, 십이지장의 넓은 범위를 한 번에 관찰함으로써 여러 부위의 DHb(Deoxyhemoglobin Concentration), BVR(Blood Vessel Radius) 및 혈관 경직도(stiffness) 등을 비교함으로써 췌장 종양의 존재 여부 등을 더욱 정확하고 신속하게 진단할 수 있다.In addition, the pancreatic tumor diagnosis device according to one embodiment of the present invention is formed so that the endoscope cap (200) is positioned at a position spaced apart from the distal portion (101) of the insertion tube (100) by a predetermined distance, preferably, to surround at least a portion of the curved portion (120) of the insertion tube (100), and is extended to have a length, so that there is an effect of improving the diagnostic length of the duodenum inside the duodenum. That is, by observing a wide range of the duodenum at once, the presence of a pancreatic tumor can be diagnosed more accurately and quickly by comparing the DHb (Deoxyhemoglobin Concentration), BVR (Blood Vessel Radius), and vascular stiffness of various areas.
또한, 본 발명의 일 실시예에 따른 췌장 종양 진단 장치는 내시경 캡(200)에 배치된 LED센서(230)가 서로 다른 파장대의 빛을 조사함으로써 DHb(Deoxyhemoglobin Concentration), BVR(Blood Vessel Radius) 및 혈관 경직도(stiffness)를 더욱 정확하게 측정할 수 있고, 이에 따라 췌장 종양의 존재 여부 등을 더욱 정확하고 신속하게 진단할 수 있다.In addition, the pancreatic tumor diagnosis device according to one embodiment of the present invention can more accurately measure DHb (Deoxyhemoglobin Concentration), BVR (Blood Vessel Radius) and vascular stiffness by irradiating light of different wavelengths with an LED sensor (230) placed in an endoscope cap (200), thereby more accurately and quickly diagnosing the presence of a pancreatic tumor, etc.
또한, 본 발명의 일 실시예에 따른 췌장 종양 진단 장치는 내시경 캡(200)이 투명한 재질로 형성되어 일반적인 내시경 시술과 동시에 췌장 종양의 진단을 수행할 수 있으며, 시술 과정 중에서 췌장액 및 십이지장 체액을 채집하기 위한 통공(241) 등을 포함하여 췌장액 및 십이지장 체액의 채집 또한 동시에 수행할 수 있다.In addition, the pancreatic tumor diagnosis device according to one embodiment of the present invention has an endoscope cap (200) formed of a transparent material so that diagnosis of a pancreatic tumor can be performed simultaneously with a general endoscopic procedure, and includes a through hole (241) for collecting pancreatic fluid and duodenal fluid during the procedure so that collection of pancreatic fluid and duodenal fluid can also be performed simultaneously.
이렇게 수집된 체액을 통해, 췌장암 조기진단에 도움이 되는 장내 마이크로바이옴 구성 변화 등과 extracellular vesicle의 microRNA를 분석함으로써 췌장암 조기진단 가능성은 극대화될 수 있다. 사용자는 췌장액 및 십이지장 체액의 수집을 효율적으로 하기 위해 췌장액 분비를 중가시키는 호르몬인 secretin을 시술 도중에 환자에게 주사할 수도 있다.Through the collected fluids, the possibility of early diagnosis of pancreatic cancer can be maximized by analyzing the changes in the composition of the intestinal microbiome and the microRNA of the extracellular vesicles, which are helpful for the early diagnosis of pancreatic cancer. The user can also inject the patient with secretin, a hormone that increases pancreatic secretion, during the procedure to efficiently collect pancreatic and duodenal fluids.
예를 들면, 이러한 췌장 종양 진단기를 통해 얻어진 광학 및 체액 바이오마커 정보는 통상적인 내시경 검사를 하면서 얻어지게 되며, 이상치가 발견되는 경우 CT/MRI등 정밀 검사가 수행될 수 있다. 또한, 췌장 낭종, 췌장암 가족력, 55세 이후 발생한 제2형 당뇨병 및 전당뇨등 췌장암 고위험군 환자를 대상으로는 6개월 또는 1년 단위로 내시경 검사를 하면서 얻어진 광학 및 체액 바이오마커의 변화를 이용하여 췌장암 조기 진단을 할 수 있다.For example, optical and fluid biomarker information obtained through these pancreatic tumor diagnostic devices can be obtained during a routine endoscopic examination, and if an abnormality is found, a detailed examination such as CT/MRI can be performed. In addition, for patients at high risk for pancreatic cancer, such as those with pancreatic cysts, a family history of pancreatic cancer, type 2 diabetes and prediabetes that developed after the age of 55, early pancreatic cancer can be diagnosed using the changes in optical and fluid biomarkers obtained during endoscopic examinations every 6 months or 1 year.
이와 같이 본 발명은 도면에 도시된 실시예를 참고로 설명되었으나 이는 예시적인 것에 불과하며, 당해 기술 분야에서 통상의 지식을 가진 자라면 이로부터 다양한 변형 및 균등한 다른 실시예가 가능하다는 점을 이해할 것이다. 따라서, 본 발명의 진정한 기술적 보호 범위는 첨부된 특허청구범위의 기술적 사상에 의하여 정해져야 할 것이다.Although the present invention has been described with reference to the embodiments shown in the drawings, these are merely exemplary, and those skilled in the art will understand that various modifications and equivalent other embodiments are possible. Accordingly, the true technical protection scope of the present invention should be determined by the technical idea of the appended claims.
실시예에서 설명하는 특정 실행들은 일 실시 예들로서, 어떠한 방법으로도 실시 예의 범위를 한정하는 것은 아니다. 명세서의 간결함을 위하여, 종래 전자적인 구성들, 제어 시스템들, 소프트웨어, 상기 시스템들의 다른 기능적인 측면들의 기재는 생략될 수 있다. 또한, 도면에 도시된 구성 요소들 간의 선들의 연결 또는 연결 부재들은 기능적인 연결 및/또는 물리적 또는 회로적 연결들을 예시적으로 나타낸 것으로서, 실제 장치에서는 대체 가능하거나 추가의 다양한 기능적인 연결, 물리적인 연결, 또는 회로 연결들로서 나타내어질 수 있다. 또한, "필수적인", "중요하게" 등과 같이 구체적인 언급이 없다면 본 발명의 적용을 위하여 반드시 필요한 구성 요소가 아닐 수 있다.The specific implementations described in the embodiments are only exemplary embodiments and do not limit the scope of the embodiments in any way. For the sake of brevity of the specification, descriptions of conventional electronic components, control systems, software, and other functional aspects of the systems may be omitted. In addition, the connections or lack of connections of lines between components illustrated in the drawings are merely exemplary representations of functional connections and/or physical or circuit connections, and may be replaced or represented as various additional functional connections, physical connections, or circuit connections in an actual device. In addition, if there is no specific mention such as “essential,” “important,” etc., the component may not be absolutely necessary for the application of the present invention.
실시예의 명세서(특히 특허청구범위에서)에서 "상기"의 용어 및 이와 유사한 지시 용어의 사용은 단수 및 복수 모두에 해당하는 것일 수 있다. 또한, 실시 예에서 범위(range)를 기재한 경우 상기 범위에 속하는 개별적인 값을 적용한 발명을 포함하는 것으로서(이에 반하는 기재가 없다면), 상세한 설명에 상기 범위를 구성하는 각 개별적인 값을 기재한 것과 같다. 마지막으로, 실시 예에 따른 방법을 구성하는 단계들에 대하여 명백하게 순서를 기재하거나 반하는 기재가 없다면, 상기 단계들은 적당한 순서로 행해질 수 있다. 반드시 상기 단계들의 기재 순서에 따라 실시 예들이 한정되는 것은 아니다. 실시 예에서 모든 예들 또는 예시적인 용어(예들 들어, 등등)의 사용은 단순히 실시 예를 상세히 설명하기 위한 것으로서 특허청구범위에 의해 한정되지 않는 이상 상기 예들 또는 예시적인 용어로 인해 실시 예의 범위가 한정되는 것은 아니다. 또한, 당업자는 다양한 수정, 조합 및 변경이 부가된 특허청구범위 또는 그 균등물의 범주 내에서 설계 조건 및 팩터에 따라 구성될 수 있음을 알 수 있다.The use of the term "above" and similar referential terms in the specification of the embodiments (especially in the claims) may refer to both the singular and the plural. In addition, when a range is described in the embodiments, it is intended that the invention includes the application of individual values falling within the range (unless otherwise stated), and each individual value constituting the range is described in the detailed description. Finally, unless the order is explicitly stated or otherwise stated to the contrary for the steps constituting the method according to the embodiments, the steps may be performed in any suitable order. The embodiments are not necessarily limited by the order in which the steps are described. The use of all examples or exemplary terms (e.g., etc.) in the embodiments is merely intended to describe the embodiments in detail, and the scope of the embodiments is not limited by the examples or exemplary terms unless otherwise defined by the claims. In addition, those skilled in the art will recognize that various modifications, combinations, and alterations may be made according to design conditions and factors within the scope of the appended claims or their equivalents.
본 발명의 일 실시예에 의하면 췌장 종양 진단 장치를 제공할 수 있다. 또한, 산업상 이용하는 용접 정보 제공 장치에 본 발명의 실시예들을 적용할 수 있다.According to one embodiment of the present invention, a pancreatic tumor diagnosis device can be provided. In addition, embodiments of the present invention can be applied to a welding information providing device used in industry.
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Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2001224554A (en) * | 2000-02-15 | 2001-08-21 | Asahi Optical Co Ltd | Drainage tube for endoscope |
| WO2016047191A1 (en) * | 2014-09-25 | 2016-03-31 | オリンパス株式会社 | Endoscope system |
| JP2019150388A (en) * | 2018-03-05 | 2019-09-12 | 五稜化薬株式会社 | Applicator device for endoscope |
| JP2019534766A (en) * | 2016-09-23 | 2019-12-05 | セイフビュー メディカル, エルエルシーSafeview Medical, Llc | Apparatus and method for in-vivo imaging |
| KR20220145685A (en) * | 2021-04-22 | 2022-10-31 | 재단법인 아산사회복지재단 | LED-cap assisted endoscopic low-level laser therapy |
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Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2001224554A (en) * | 2000-02-15 | 2001-08-21 | Asahi Optical Co Ltd | Drainage tube for endoscope |
| WO2016047191A1 (en) * | 2014-09-25 | 2016-03-31 | オリンパス株式会社 | Endoscope system |
| JP2019534766A (en) * | 2016-09-23 | 2019-12-05 | セイフビュー メディカル, エルエルシーSafeview Medical, Llc | Apparatus and method for in-vivo imaging |
| JP2019150388A (en) * | 2018-03-05 | 2019-09-12 | 五稜化薬株式会社 | Applicator device for endoscope |
| KR20220145685A (en) * | 2021-04-22 | 2022-10-31 | 재단법인 아산사회복지재단 | LED-cap assisted endoscopic low-level laser therapy |
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