WO2025156598A1 - Laser operation system with intraoperative monitoring functionality - Google Patents
Laser operation system with intraoperative monitoring functionalityInfo
- Publication number
- WO2025156598A1 WO2025156598A1 PCT/CN2024/110880 CN2024110880W WO2025156598A1 WO 2025156598 A1 WO2025156598 A1 WO 2025156598A1 CN 2024110880 W CN2024110880 W CN 2024110880W WO 2025156598 A1 WO2025156598 A1 WO 2025156598A1
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- Prior art keywords
- laser
- module
- optical fiber
- monitoring
- optical
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00904—Automatic detection of target tissue
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/0091—Handpieces of the surgical instrument or device
- A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
- A61B2018/00922—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device by switching or controlling the treatment energy directly within the hand-piece
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/0091—Handpieces of the surgical instrument or device
- A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
- A61B2018/00958—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device for switching between different working modes of the main function
Definitions
- the present application relates to the field of laser medicine technology, and in particular to a laser surgery system with an intraoperative monitoring function.
- Laser therapy devices and their treatment technologies have been widely used in various surgical procedures.
- lasers offer the advantages of small diameter and high energy, allowing them to be transmitted through thin, flexible, and bendable optical fibers.
- they can be inserted into the human body through puncture interventions and endoscopic channels to perform surgeries on deep tissues, making them ideal for minimally invasive treatments of vascular, tumor, neurological, and skin diseases.
- the absorption of lasers by these different absorption media produces different effects, resulting in significantly different therapeutic effects. Therefore, selecting lasers with different spectra and appropriate wavelengths, depending on the type of clinical disease and target tissue, is a prerequisite for safe and effective laser surgery for clinical diseases.
- laser therapy devices and technologies generally use laser technology with a single wavelength and a single light output channel.
- the same laser therapy device cannot output lasers of different wavelengths independently or alternately, making it impossible for doctors to selectively use lasers on the same device based on clinical disease treatment needs.
- laser therapy devices can only perform surgical treatments and cannot dynamically monitor the physiological indicators of lesion tissue in real time during surgery, nor can they assist doctors during the surgical process. This results in high surgical risks, low treatment safety, and an inability to achieve accurate, minimally invasive, safe, and controllable lesion removal and precision treatment.
- the present application provides a laser surgery system with intraoperative monitoring function, which can alternately output lasers of different wavelengths and dynamically monitor the physiological indicators of the lesion tissue in real time during the laser surgery, thereby achieving the unity of laser treatment and process monitoring, and achieving accurate, minimally invasive, safe and controllable removal of lesions, thereby realizing the purpose of precise treatment.
- an embodiment of the present application provides a laser surgery system with an intraoperative monitoring function, comprising an optical monitoring module, a human-computer interaction module, a laser module, and a laser output module;
- the human-computer interaction module is used to generate a control signal according to the set parameters and send it to the laser module; and receive a monitoring instruction and send it to the optical monitoring module;
- the optical monitoring module is used to emit multiple light signals according to the monitoring instructions and receive reflected light signals; analyze the reflected light signals according to the monitoring instructions, obtain physiological indicator data and send it to the human-computer interaction module;
- the laser module includes a plurality of laser generating devices of different wavelengths, and is used to drive the laser generating devices of corresponding wavelengths to generate working lasers according to the control signal;
- the laser output module includes a plurality of optical fiber instrument interfaces corresponding to each laser generating device, and is used to send working lasers to optical fiber instrument tools that are detachably connected to the corresponding optical fiber instrument interfaces.
- the laser module includes a power drive unit and three laser generating devices
- the power drive unit is connected to the human-machine interaction module and each laser generating device respectively; the power drive unit is used to supply power to each laser generating device and send a control signal to the corresponding laser generating device to generate a working laser;
- the first laser generating device is used to generate laser with a wavelength of 1940nm
- the second laser generating device is used to generate laser with a wavelength of 1470nm
- the third laser generating device is used to generate laser with a wavelength of 980nm or 635nm.
- the laser module also includes a temperature control unit, which includes a temperature controller, a heat pipe and a cooling fan;
- the temperature controller is connected to the power drive unit and each laser generating device respectively;
- the power drive unit is also used to obtain the operating temperature of the laser generating device in operation through the temperature controller after receiving the control signal, and control the operation of the cooling fan or heat pipe according to the operating temperature.
- the laser module also includes an emergency button and a key switch
- the emergency button is used to control the emergency stop of each laser generating device in the laser module
- the key switch is used to control the opening and closing of the power drive unit.
- the laser module also includes a foot control device; the foot control device is connected to the power drive unit and each laser generating device respectively, and is used to control the start and stop of the working laser generating device.
- the laser output module also includes a plurality of collimation adapters
- Each collimating adapter is connected to each laser generating device and each optical fiber instrument interface in a one-to-one correspondence;
- the collimating adapter is used to perform beam shaping on the working laser to obtain a collimated laser beam, and send the collimated laser beam to the fiber optic instrument tool that is detachably connected to the corresponding fiber optic instrument interface;
- Fiber optic instruments and tools include laser fibers, photon probes, and therapeutic handpieces;
- Laser optical fibers include sensing optical fibers and medical laser optical fibers.
- Medical laser optical fibers include single-mode optical fibers, multi-mode optical fibers, ring optical fibers or scattering optical fibers with different core diameters.
- Photon probes include multifunctional photon treatment probes.
- Treatment handpieces include laser knife handpieces and fractional scanning handpieces.
- Laser knife handpieces include open laser knife handpieces and laparoscope laser knife handpieces.
- the human-computer interaction module is also used to detect whether the connection between the fiber optic instrument tool and the fiber optic instrument interface is correct according to the set parameters; and when an incorrect connection is detected, a connection abnormality message is generated and displayed on the operation screen of the human-computer interaction module.
- the human-computer interaction module is also used to receive patient medical record information and intelligently generate setting parameters based on the patient medical record information.
- the laser setting parameters include laser wavelength, light mode, working mode, energy density, pulse time, pulse Pulse interval and pulse number; laser wavelength includes 1940nm, 1470nm, 980nm or 635nm laser wavelength;
- the light output mode includes continuous mode, single pulse mode or repetitive pulse mode
- the working modes include strong laser therapy mode, weak laser therapy mode or photodynamic therapy mode.
- the optical monitoring module includes a sensing optical fiber, a coupling unit, a demodulation unit, and an optical signal processing unit;
- the coupling unit is used to generate a monitoring optical signal according to the monitoring instruction, and perform light source branching on the monitoring optical signal to obtain a branched optical signal; and send the branched optical signal to the optical signal processing unit;
- the optical signal processing unit is used to process the branched optical signal into multiple optical signals and send them to the sensing optical fiber; and receive the reflected optical signal from the sensing optical fiber and send it to the demodulation unit through the coupling unit;
- the sensing optical fiber includes a temperature sensing optical fiber, a pressure sensing optical fiber and a pH value sensing optical fiber.
- the embodiment of the present application provides a laser surgery system with an intraoperative monitoring function, which can set parameters and monitoring instructions through a human-computer interaction module, realize the generation and output of multiple wavelength lasers through laser generators of different wavelengths in the laser module and multiple fiber optic instrument interfaces corresponding to each laser generator in the laser output module, and realize real-time monitoring of the patient's physiological indicators through the human-computer interaction module and the optical monitoring module.
- the laser module and the laser output module of the above system can realize the operation of different laser generators separately or alternately by setting parameters, and the different fiber optic instrument interfaces can freely switch the output laser, which reduces the workload of a single laser generator or a single light output channel and reduces the failure rate of the laser system; at the same time, the application of the sensing monitoring technology of the optical monitoring module realizes the unification of laser treatment and process monitoring, which not only makes laser surgery more accurate and effective, but also makes the surgical operation process safer and more controllable, improves the reliability of surgical treatment, reduces the risk of the operation process, and achieves accurate, minimally invasive, safe and controllable laser surgery, realizing precision medicine.
- FIG1 is a diagram showing the internal structure of a laser surgery system with an intraoperative monitoring function provided by one embodiment of the present application.
- FIG2 is a structural diagram of a laser module and a laser output module provided in yet another embodiment of the present application.
- FIG3 is a schematic diagram of the appearance of a laser surgery system with an intraoperative monitoring function provided by one embodiment of the present application.
- FIG4 is a structural diagram of an optical monitoring module provided in one embodiment of the present application.
- FIG5 is a diagram showing the internal structure of a laser surgery system with intraoperative monitoring function provided by another embodiment of the present application.
- an embodiment of the present application provides a laser surgery system with an intraoperative monitoring function, including an optical monitoring module 104 , a human-computer interaction module 101 , a laser module 102 , and a laser output module 103 .
- the human-computer interaction module 101 is configured to generate a control signal according to the setting parameters and send the control signal to the laser module 102 ; and receive a monitoring instruction and send the monitoring instruction to the optical monitoring module 104 .
- the optical monitoring module 104 is used to emit multiple light signals according to the monitoring instructions and receive reflected light signals; analyze the reflected light signals according to the monitoring instructions, obtain physiological indicator data and send it to the human-computer interaction module 101.
- the laser module 102 includes a plurality of laser generating devices of different wavelengths, and is configured to drive the laser generating devices of corresponding wavelengths to generate working lasers according to a control signal.
- the laser output module 103 includes a plurality of fiber optic instrument interfaces corresponding to each laser generating device, and is used to send the working laser to the fiber optic instrument tool detachably connected to the corresponding fiber optic instrument interface.
- the laser setting parameters include laser wavelength, light output mode, working mode, energy density, pulse time, pulse interval and pulse number; the laser wavelength includes 1940nm, 1470nm, 980nm or 635nm laser wavelength.
- the light emission modes include continuous mode, single pulse mode or repetitive pulse mode.
- the working modes include strong laser therapy mode, weak laser therapy mode or photodynamic therapy mode.
- the laser module 102 includes a power drive unit and three laser generating devices.
- the power drive unit is connected to the human-machine interaction module 101 and each laser generating device respectively; the power drive unit is used to supply power to each laser generating device and send a control signal to the corresponding laser generating device to generate a working laser.
- the first laser generating device is used to generate laser with a wavelength of 1940nm
- the second laser generating device is used to generate laser with a wavelength of 1470nm
- the third laser generating device is used to generate laser with a wavelength of 980nm or 635nm.
- the present application can adopt a three-core hybrid laser.
- the three-core hybrid laser is provided with three laser generating devices, which can generate four wavelengths of lasers at 1470nm, 1940nm, 980nm, and 635nm respectively. They can work individually or alternately without affecting each other and serving as backup for each other, ensuring strong output of laser energy and ensuring to the greatest extent that the operation is not interrupted in the event of a failure of a laser generating device. It not only reduces the workload of a single laser generator or a single light output channel, and reduces the system failure rate; it also makes the laser surgery process safer and improves the reliability of laser surgery.
- the control signal is generated according to the setting parameters and necessarily includes the above information. Therefore, the laser module 102 can select a laser generating device with a corresponding wavelength according to the laser wavelength in the control signal to operate according to the requirements of the setting parameters.
- the laser output module 103 also includes fiber optic instruments and tools such as laser optical fibers, photon probes, and therapeutic handpieces of various specifications and models; the light output channel of the laser output module 103 includes a first fiber optic instrument interface, a second fiber optic instrument interface, and a third fiber optic instrument interface, which output lasers with wavelengths of 1940nm, 1470nm, 980nm, and 635nm, respectively, and are all equipped with SMA905 interfaces. Laser optical fibers, photon probes, and therapeutic handpieces of various specifications can be detachably installed at each fiber optic instrument interface.
- the above embodiment provides a laser surgery system with intraoperative monitoring function, which can set parameters and monitoring instructions through the human-computer interaction module 101, and realize the generation and output of multiple wavelength lasers through laser generating devices of different wavelengths in the laser module 102 and multiple fiber optic instrument interfaces corresponding to each laser generating device in the laser output module 103.
- real-time monitoring of the patient's physiological indicators can be realized through the human-computer interaction module 101 and the optical monitoring module 104.
- the laser module 102 and the laser output module 103 of the above-mentioned laser surgery system can realize the independent or alternating operation of different laser generating devices by setting parameters, and the output laser of different optical fiber instrument interfaces can be freely switched, thereby reducing the workload of a single laser generating device or a single light output channel, and reducing the failure rate of the laser system; at the same time, the application of the sensing monitoring technology of the optical monitoring module 104 realizes the unification of laser treatment and process monitoring, which not only makes the laser surgery more accurate and effective, but also makes the surgical operation process safer and controllable, improves the reliability of the surgical treatment, reduces the risk of the operation process, and achieves accurate, minimally invasive, safe and controllable laser surgery, realizing precision medicine.
- the laser module 102 further includes a temperature control unit, which includes a temperature controller, a heat pipe, and a cooling fan; the temperature controller is respectively connected to the power drive unit and each laser generating device.
- a temperature control unit which includes a temperature controller, a heat pipe, and a cooling fan; the temperature controller is respectively connected to the power drive unit and each laser generating device.
- the power drive unit is also used to obtain the operating temperature of the laser generating device in operation through the temperature controller after receiving the control signal, and control the operation of the cooling fan or heat pipe according to the operating temperature.
- Cooling fans and heat pipes are set around each laser generating device to cool or heat the laser generating device to ensure a constant operating temperature of the laser generating device, increase the service life of the laser generating device, and further reduce the system failure rate.
- the laser module 102 further includes an emergency button and a key switch.
- the emergency button is used to control the emergency stop of each laser generating device in the laser module 102 .
- the key switch is used to control the opening and closing of the power drive unit.
- the power drive unit controls various devices and units in the laser module 102 , followed by an emergency button and a key switch.
- the power drive unit is provided with a signal receiver, a signal processor, and multiple communication interfaces.
- the power drive unit is connected to the external power supply and the key switch to supply power to the laser module 102, the optical monitoring module 104, and the laser output module 103.
- the key switch is used to turn on and off the power supply to the laser module 102, the optical monitoring module 104, the laser output module 103, and the human-computer interaction module 101.
- the signal receiver on the power drive unit receives the signal sent by the human-computer interaction module 101 and sends it to the signal processor for processing, and then outputs the processed instructions through other communication interfaces; the power drive unit is connected to the emergency button to ensure that the emergency button can be used to promptly control the laser generating device to stop emitting laser in an emergency.
- the provision of the key switch and the emergency button in the above embodiment further ensures the safety and reliability of laser surgery, ensures that the laser can be quickly turned off in an emergency, and reduces the risk of the operation process.
- the laser module 102 further includes a foot control device; the foot control device is connected to the power drive unit and each laser generating device respectively, and is used to control the start and stop of the working laser generating device.
- the foot switch when the foot control device is stepped on, the foot switch is turned on, and the corresponding laser generating device in the laser module 102 emits laser light.
- the foot switch is turned off, and the laser generating device in the laser module 102 stops emitting light.
- the human-computer interaction module 101 can also be used to receive treatment instructions. Only after the human-computer interaction module 101 enters the treatment interface, that is, receives the treatment instructions and sends them to the power drive unit; the power drive unit can start and stop the laser generating device according to the signal of the foot control device. When it is not in the treatment interface, the foot control cannot start and stop the laser emission.
- Each collimating adapter is connected to each laser generating device and each optical fiber instrument interface in a one-to-one correspondence.
- the collimating adapter is used to perform beam shaping on a working laser to obtain a collimated laser beam, and send the collimated laser beam to a fiber optic instrument tool that is detachably connected to a corresponding fiber optic instrument interface.
- Fiber optic instruments and tools include laser fibers, photon probes, and therapeutic handpieces.
- Laser optical fibers include sensing optical fibers and medical laser optical fibers.
- Medical laser optical fibers include single-mode optical fibers, multi-mode optical fibers, ring optical fibers or scattering optical fibers with different core diameters.
- Photon probes include multifunctional photon treatment probes; treatment handpieces include laser knife handpieces and dot matrix scanning handpieces, and laser knife handpieces include open laser knife handpieces and laparoscope laser knife handpieces.
- Laser optical fibers include sensing optical fibers for monitoring and medical laser optical fibers for treatment.
- Laser optical fibers for treatment include ring-emitting, direct-emitting, side-emitting, and ball-emitting types. You can also choose single-mode optical fibers, multi-mode optical fibers, or special optical fibers with different core diameters.
- the photon probe includes a multifunctional photon therapy probe, which can be connected to a high-power optical fiber wire through the light output channel SMA905 interface.
- the high-power optical fiber wire can be connected to the photon probe to output scattered light for photobiotherapy of wounds, ulcers and wounds.
- Treatment handpieces include laser knife handpieces and fractional scanning handpieces.
- Laser knife handpieces are available in both open and laparoscopic styles. Laser surgery can be performed by clamping medical laser fibers with the laser knife handpiece.
- the fractional handpiece is an auxiliary tool for fractional laser therapy, converting the working laser output of the laser generator into a fractional pattern. The shape, size, density, and other parameters of the fractional laser spot can be set using the human-computer interaction module 101.
- the fractional scanning handpiece can output fractional lasers for fractional laser therapy.
- the human-computer interaction module 101 is further configured to detect whether the fiber optic instrument tool is correctly connected to the fiber optic instrument interface according to the set parameters; and, if an incorrect connection is detected, generate a connection anomaly message and display it on the operation screen of the human-computer interaction module 101. Specifically, the human-computer interaction module 101 also detects which channel interface in the laser output module 103 is connected to the fiber optic instrument tool and compares it with the set parameters. If the interface corresponding to the connected instrument tool is not the fiber optic instrument interface corresponding to the laser wavelength in the set parameters, a connection anomaly message is displayed.
- the optical monitoring module 104 includes a sensing optical fiber, a coupling unit, a demodulation unit, and an optical signal processing unit; the coupling unit is used to generate a monitoring optical signal according to a monitoring instruction, and to branch the light source to obtain a branched optical signal; and, to send the branched optical signal to the optical signal processing unit.
- the optical signal processing unit is used to process the branched optical signal into multiple optical signals and send them to the sensing optical fiber; and to receive the reflected optical signal of the sensing optical fiber and send it to the demodulation unit through the coupling unit.
- the demodulation unit is used to analyze the reflected light signal according to the monitoring instruction to obtain physiological indicators, and send the physiological indicators to the operation screen of the human-computer interaction module 101 for display.
- the monitoring instruction includes requirements on which physiological indicators are to be monitored. Therefore, the physiological indicators analyzed by the demodulation unit are set by the operator in the human-computer interaction module 101 .
- the optical signal processing unit transmits all reflected light signals to the coupling unit, and the coupling unit transmits all reflected light signals to the demodulation unit.
- the demodulation unit analyzes all reflected light signals and calculates according to the change in optical path difference, and detects the temperature, pressure, pH value and other physiological indicators of the tissue contacted by the sensing optical fiber in real time, and sends them to the human-computer interaction module 101 through the laser module 102, and finally displays them on the operation screen of the human-computer interaction module 101, and can dynamically feedback the numerical changes of physiological indicators in real time.
- the end of the sensing optical fiber is a sensing probe, which can be configured in three ways: temperature sensing optical fiber, pressure sensing optical fiber and pH value sensing optical fiber. Therefore, physiological indicators can include temperature, pressure and pH value.
- the human-computer interaction module 101 is further configured to receive patient medical records and intelligently generate setting parameters based on the patient medical records.
- the patient medical records include basic patient information, medical history information, disease type, medical records, follow-up plans, patient introductions, examination reports, etc.
- the required medical records can be screened based on different disease types, relevant medical record content can be obtained, and laser setting parameters can be intelligently matched based on the medical record content.
- the human-computer interaction module 101 is mainly composed of an operation screen, laser working software, optical monitoring software, and patient management software.
- the operation screen is equipped with multiple communication interfaces and is connected to the laser module 102 through the communication interfaces; the operation screen is loaded with laser working software, optical monitoring software, and patient management software; through the laser working software, the laser wavelength (1940nm, 1470nm, 980nm, 635nm), light output mode (continuous, single pulse, repeated pulse), treatment mode (high-intensity laser therapy, low-intensity laser therapy (LLLT), photodynamic therapy (PDT)), energy density, pulse time, etc. required for laser treatment can be selected and set.
- the laser wavelength (1940nm, 1470nm, 980nm, 635nm
- light output mode continuous, single pulse, repeated pulse
- treatment mode high-intensity laser therapy, low-intensity laser therapy (LLLT), photodynamic therapy (PDT)
- energy density, pulse time, etc. required for laser treatment can be selected and set
- the laser setting parameters such as pulse interval, pulse interval and pulse number can be set to set the laser generator to work alone or alternately.
- surgeons can timely establish a patient management database during the surgical treatment of the disease, call it at any time, and naturally match the patient's treatment information before, during and after the operation. It can also be used as big data support for artificial intelligence algorithm analysis research and intelligent comparison to better track and manage patients after surgery.
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Abstract
Description
本申请涉及激光医学技术领域,尤其涉及一种具有术中监测功能的激光手术系统。The present application relates to the field of laser medicine technology, and in particular to a laser surgery system with an intraoperative monitoring function.
激光治疗仪及其治疗技术已广泛应用于各种外科手术,由于激光作为一种能量载体,具有小直径、大能量的优势,可以通过纤细柔韧可弯曲的光纤传输,特别是可通过穿刺介入、内镜腔镜通道进人体对深部组织实施手术,非常适合血管、肿瘤、神经、皮肤疾病的微创治疗。然而,由于激光的波长不同,在人体组织中的吸收介质不同,激光被不同吸收介质吸收产生的作用也不同,这种作用产生的治疗效果也不相同,而且差异很大。因此,根据临床疾病的类型和靶组织的不同,选择不同光谱、合适波长的激光是安全有效进行临床疾病激光手术治疗的前提。Laser therapy devices and their treatment technologies have been widely used in various surgical procedures. As an energy carrier, lasers offer the advantages of small diameter and high energy, allowing them to be transmitted through thin, flexible, and bendable optical fibers. In particular, they can be inserted into the human body through puncture interventions and endoscopic channels to perform surgeries on deep tissues, making them ideal for minimally invasive treatments of vascular, tumor, neurological, and skin diseases. However, due to the different wavelengths of lasers and the different absorption media in human tissue, the absorption of lasers by these different absorption media produces different effects, resulting in significantly different therapeutic effects. Therefore, selecting lasers with different spectra and appropriate wavelengths, depending on the type of clinical disease and target tissue, is a prerequisite for safe and effective laser surgery for clinical diseases.
然而,现有的激光治疗仪设备及其技术,由于受芯片技术、激光器制造技术和激光控制技术的限制,普遍采用波长单一、出光通道单一的激光器技术。同一台激光治疗仪设备无法单独或交替输出不同波长的激光,医生无法在同一台激光治疗仪设备上根据临床疾病治疗的需要选择性使用激光;并且激光治疗仪设备只能进行手术治疗,无法在术中对病灶组织的生理指标进行动态实时监测,不能辅助医生手术过程。存在手术风险高,治疗安全性低,无法达到精准、微创、安全、可控的清除病灶,实现精准治疗的问题。However, due to limitations in chip technology, laser manufacturing technology, and laser control technology, existing laser therapy devices and technologies generally use laser technology with a single wavelength and a single light output channel. The same laser therapy device cannot output lasers of different wavelengths independently or alternately, making it impossible for doctors to selectively use lasers on the same device based on clinical disease treatment needs. Furthermore, laser therapy devices can only perform surgical treatments and cannot dynamically monitor the physiological indicators of lesion tissue in real time during surgery, nor can they assist doctors during the surgical process. This results in high surgical risks, low treatment safety, and an inability to achieve accurate, minimally invasive, safe, and controllable lesion removal and precision treatment.
发明内容Summary of the Invention
本申请提供了一种具有术中监测功能的激光手术系统,能够交替输出不同波长的激光,同时在激光手术过程中对病灶组织的生理指标进行动态实时监测,做到了激光治疗和过程监测的统一,达到了精准、微创、安全、可控的清除病灶,实现精准治疗的目的。The present application provides a laser surgery system with intraoperative monitoring function, which can alternately output lasers of different wavelengths and dynamically monitor the physiological indicators of the lesion tissue in real time during the laser surgery, thereby achieving the unity of laser treatment and process monitoring, and achieving accurate, minimally invasive, safe and controllable removal of lesions, thereby realizing the purpose of precise treatment.
第一方面,本申请实施例提供了一种具有术中监测功能的激光手术系统,包括光学监测模块、人机交互模块、激光器模块和激光输出模块;In a first aspect, an embodiment of the present application provides a laser surgery system with an intraoperative monitoring function, comprising an optical monitoring module, a human-computer interaction module, a laser module, and a laser output module;
人机交互模块,用于根据设置参数生成控制信号,并发送到激光器模块;以及,接收监测指令,并发送到光学监测模块;The human-computer interaction module is used to generate a control signal according to the set parameters and send it to the laser module; and receive a monitoring instruction and send it to the optical monitoring module;
光学监测模块,用于根据监测指令发出多束光信号,并接收反射光信号;根据监测指令对反射光信号进行分析,得到生理指标数据并发送到人机交互模块; The optical monitoring module is used to emit multiple light signals according to the monitoring instructions and receive reflected light signals; analyze the reflected light signals according to the monitoring instructions, obtain physiological indicator data and send it to the human-computer interaction module;
激光器模块,包括多个不同波长的激光发生装置,用于根据控制信号驱动对应波长的激光发生装置生成工作激光;The laser module includes a plurality of laser generating devices of different wavelengths, and is used to drive the laser generating devices of corresponding wavelengths to generate working lasers according to the control signal;
激光输出模块,包括与各激光发生装置一一对应的多个光纤器械接口,用于将工作激光发送至与对应的光纤器械接口可拆卸连接的光纤器械工具。The laser output module includes a plurality of optical fiber instrument interfaces corresponding to each laser generating device, and is used to send working lasers to optical fiber instrument tools that are detachably connected to the corresponding optical fiber instrument interfaces.
进一步的,激光器模块包括电源驱动单元和三个激光发生装置;Furthermore, the laser module includes a power drive unit and three laser generating devices;
电源驱动单元分别与人机交互模块和各激光发生装置连接;电源驱动单元用于为各激光发生装置供电,并将控制信号发送给对应的激光发生装置,以使其生成工作激光;The power drive unit is connected to the human-machine interaction module and each laser generating device respectively; the power drive unit is used to supply power to each laser generating device and send a control signal to the corresponding laser generating device to generate a working laser;
其中,第一激光发生装置用于产生1940nm波长的激光,第二激光发生装置用于产生1470nm波长的激光,第三激光发生装置用于产生980nm或635nm波长的激光。Among them, the first laser generating device is used to generate laser with a wavelength of 1940nm, the second laser generating device is used to generate laser with a wavelength of 1470nm, and the third laser generating device is used to generate laser with a wavelength of 980nm or 635nm.
进一步的,激光器模块还包括温控单元,温控单元包括温度控制器、热管和制冷风扇;Furthermore, the laser module also includes a temperature control unit, which includes a temperature controller, a heat pipe and a cooling fan;
温度控制器分别与电源驱动单元和各激光发生装置连接;The temperature controller is connected to the power drive unit and each laser generating device respectively;
电源驱动单元还用于在接收控制信号后,通过温度控制器获取工作中的激光发生装置的工作温度,并根据工作温度控制制冷风扇或热管工作。The power drive unit is also used to obtain the operating temperature of the laser generating device in operation through the temperature controller after receiving the control signal, and control the operation of the cooling fan or heat pipe according to the operating temperature.
进一步的,激光器模块还包括紧急按钮和钥匙开关;Furthermore, the laser module also includes an emergency button and a key switch;
紧急按钮用于控制激光器模块中的各激光发生装置的急停;The emergency button is used to control the emergency stop of each laser generating device in the laser module;
钥匙开关用于控制电源驱动单元的开启和关停。The key switch is used to control the opening and closing of the power drive unit.
进一步的,激光器模块还包括脚踏控制装置;脚踏控制装置分别与电源驱动单元和各激光发生装置连接,用于控制工作中的激光发生装置的启停。Furthermore, the laser module also includes a foot control device; the foot control device is connected to the power drive unit and each laser generating device respectively, and is used to control the start and stop of the working laser generating device.
进一步的,激光输出模块还包括多个准直适配器;Furthermore, the laser output module also includes a plurality of collimation adapters;
各准直适配器分别与各激光发生装置和各光纤器械接口一一对应连接;Each collimating adapter is connected to each laser generating device and each optical fiber instrument interface in a one-to-one correspondence;
准直适配器用于对工作激光进行光束整形,得到准直激光束,并将准直激光束发送至与对应的光纤器械接口可拆卸连接的光纤器械工具;The collimating adapter is used to perform beam shaping on the working laser to obtain a collimated laser beam, and send the collimated laser beam to the fiber optic instrument tool that is detachably connected to the corresponding fiber optic instrument interface;
光纤器械工具包括激光光纤、光子探头和治疗手具;Fiber optic instruments and tools include laser fibers, photon probes, and therapeutic handpieces;
激光光纤包括传感光纤和医用激光光纤,医用激光光纤包括不同芯径的单模光纤、多模光纤、环形光纤或散射光纤;光子探头包括多功能光子治疗探头;治疗手具包括激光刀手具和点阵扫描手具,激光刀手具包括开放式激光刀手具和腔镜下激光刀手具。Laser optical fibers include sensing optical fibers and medical laser optical fibers. Medical laser optical fibers include single-mode optical fibers, multi-mode optical fibers, ring optical fibers or scattering optical fibers with different core diameters. Photon probes include multifunctional photon treatment probes. Treatment handpieces include laser knife handpieces and fractional scanning handpieces. Laser knife handpieces include open laser knife handpieces and laparoscope laser knife handpieces.
进一步的,人机交互模块还用于根据设置参数检测光纤器械工具与光纤器械接口的连接是否正确;以及,在检测到连接不正确时,生成连接异常信息并显示在人机交互模块的操作屏上。Furthermore, the human-computer interaction module is also used to detect whether the connection between the fiber optic instrument tool and the fiber optic instrument interface is correct according to the set parameters; and when an incorrect connection is detected, a connection abnormality message is generated and displayed on the operation screen of the human-computer interaction module.
进一步的,人机交互模块还用于接收患者病历信息,根据患者病历信息智能生成设置参数。Furthermore, the human-computer interaction module is also used to receive patient medical record information and intelligently generate setting parameters based on the patient medical record information.
进一步的,激光设置参数包括激光波长、出光模式、工作模式、能量密度、脉冲时间、脉 冲间隔和脉冲次数;激光波长包括1940nm、1470nm、980nm或635nm激光波长;Furthermore, the laser setting parameters include laser wavelength, light mode, working mode, energy density, pulse time, pulse Pulse interval and pulse number; laser wavelength includes 1940nm, 1470nm, 980nm or 635nm laser wavelength;
出光模式包括连续模式、单脉冲模式或重复脉冲模式;The light output mode includes continuous mode, single pulse mode or repetitive pulse mode;
工作模式包括强激光治疗模式、弱激光治疗模式或光动力治疗模式。The working modes include strong laser therapy mode, weak laser therapy mode or photodynamic therapy mode.
进一步的,光学监测模块包括传感光纤、耦合单元、解调单元和光信号处理单元;Furthermore, the optical monitoring module includes a sensing optical fiber, a coupling unit, a demodulation unit, and an optical signal processing unit;
耦合单元用于根据监测指令生成监测光信号,并对其进行光源分路,得到分路光信号;以及,将分路光信号发送至光信号处理单元;The coupling unit is used to generate a monitoring optical signal according to the monitoring instruction, and perform light source branching on the monitoring optical signal to obtain a branched optical signal; and send the branched optical signal to the optical signal processing unit;
光信号处理单元用于将分路光信号处理为多束光信号,并发送至传感光纤;以及接收传感光纤的反射光信号,并通过耦合单元发送到解调单元;The optical signal processing unit is used to process the branched optical signal into multiple optical signals and send them to the sensing optical fiber; and receive the reflected optical signal from the sensing optical fiber and send it to the demodulation unit through the coupling unit;
解调单元用于根据监测指令对反射光信号进行分析,得到生理指标,并将生理指标发送到人机交互模块的操作屏进行显示。The demodulation unit is used to analyze the reflected light signal according to the monitoring instruction, obtain physiological indicators, and send the physiological indicators to the operation screen of the human-computer interaction module for display.
进一步的,传感光纤包括测温传感光纤、测压传感光纤和测PH值传感光纤。Furthermore, the sensing optical fiber includes a temperature sensing optical fiber, a pressure sensing optical fiber and a pH value sensing optical fiber.
综上,与现有技术相比,本申请实施例提供的技术方案带来的有益效果至少包括:In summary, compared with the prior art, the technical solutions provided by the embodiments of the present application have at least the following beneficial effects:
本申请实施例提供了一种具有术中监测功能的激光手术系统,能通过人机交互模块设置参数和监测指令,通过激光器模块中不同波长的激光发生装置和激光输出模块中与各个激光发生装置一一对应的多个光纤器械接口实现多种波长激光的产生和输出,同时通过人机交互模块和光学监测模块实现对患者生理指标的实时监测。上述系统的激光器模块和激光输出模块可由设置参数实现不同激光发生装置单独或交替工作,不同光纤器械接口自由切换输出激光,减轻了单一激光发生装置或单一出光通道的工作负荷,降低了激光器系统故障率;同时光学监测模块传感监测技术的应用,实现了激光治疗和过程监测的统一,不仅让激光手术治疗更加的精准、有效,也让手术操作过程更加安全、可控,提高了手术治疗的可靠性、降低了操作过程的风险性,做到了精准、微创、安全、可控的激光手术治疗,实现精准医疗。The embodiment of the present application provides a laser surgery system with an intraoperative monitoring function, which can set parameters and monitoring instructions through a human-computer interaction module, realize the generation and output of multiple wavelength lasers through laser generators of different wavelengths in the laser module and multiple fiber optic instrument interfaces corresponding to each laser generator in the laser output module, and realize real-time monitoring of the patient's physiological indicators through the human-computer interaction module and the optical monitoring module. The laser module and the laser output module of the above system can realize the operation of different laser generators separately or alternately by setting parameters, and the different fiber optic instrument interfaces can freely switch the output laser, which reduces the workload of a single laser generator or a single light output channel and reduces the failure rate of the laser system; at the same time, the application of the sensing monitoring technology of the optical monitoring module realizes the unification of laser treatment and process monitoring, which not only makes laser surgery more accurate and effective, but also makes the surgical operation process safer and more controllable, improves the reliability of surgical treatment, reduces the risk of the operation process, and achieves accurate, minimally invasive, safe and controllable laser surgery, realizing precision medicine.
图1为本申请一个实施例提供的一种具有术中监测功能的激光手术系统的内部结构图。FIG1 is a diagram showing the internal structure of a laser surgery system with an intraoperative monitoring function provided by one embodiment of the present application.
图2为本申请又一个实施例提供的激光器模块和激光输出模块的结构图。FIG2 is a structural diagram of a laser module and a laser output module provided in yet another embodiment of the present application.
图3为本申请一个实施例提供的一种具有术中监测功能的激光手术系统的外表示意图。FIG3 is a schematic diagram of the appearance of a laser surgery system with an intraoperative monitoring function provided by one embodiment of the present application.
图4为本申请一个实施例提供的光学监测模块的结构图。FIG4 is a structural diagram of an optical monitoring module provided in one embodiment of the present application.
图5为本申请另一个实施例提供的一种具有术中监测功能的激光手术系统的内部结构图。FIG5 is a diagram showing the internal structure of a laser surgery system with intraoperative monitoring function provided by another embodiment of the present application.
下面将结合本申请实施例中的附图,对本申请实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本申请一部分实施例,而不是全部的实施例。The technical solutions in the embodiments of the present application will be clearly and completely described below in conjunction with the drawings in the embodiments of the present application. Obviously, the described embodiments are only part of the embodiments of the present application, rather than all the embodiments.
基于本申请中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本申请保护的范围。Based on the embodiments in this application, all other embodiments obtained by ordinary technicians in this field without making any creative work shall fall within the scope of protection of this application.
请参见图1,本申请实施例提供了一种具有术中监测功能的激光手术系统,包括光学监测模块104、人机交互模块101、激光器模块102和激光器输出模块103。Referring to FIG. 1 , an embodiment of the present application provides a laser surgery system with an intraoperative monitoring function, including an optical monitoring module 104 , a human-computer interaction module 101 , a laser module 102 , and a laser output module 103 .
人机交互模块101,用于根据设置参数生成控制信号,并发送到激光器模块102;以及,接收监测指令,并发送到光学监测模块104。The human-computer interaction module 101 is configured to generate a control signal according to the setting parameters and send the control signal to the laser module 102 ; and receive a monitoring instruction and send the monitoring instruction to the optical monitoring module 104 .
光学监测模块104,用于根据监测指令发出多束光信号,并接收反射光信号;根据监测指令对反射光信号进行分析,得到生理指标数据并发送到人机交互模块101。The optical monitoring module 104 is used to emit multiple light signals according to the monitoring instructions and receive reflected light signals; analyze the reflected light signals according to the monitoring instructions, obtain physiological indicator data and send it to the human-computer interaction module 101.
激光器模块102,包括多个不同波长的激光发生装置,用于根据控制信号驱动对应波长的激光发生装置生成工作激光。The laser module 102 includes a plurality of laser generating devices of different wavelengths, and is configured to drive the laser generating devices of corresponding wavelengths to generate working lasers according to a control signal.
激光器输出模块103,包括与各激光发生装置一一对应的多个光纤器械接口,用于将工作激光发送至与对应的光纤器械接口可拆卸连接的光纤器械工具。The laser output module 103 includes a plurality of fiber optic instrument interfaces corresponding to each laser generating device, and is used to send the working laser to the fiber optic instrument tool detachably connected to the corresponding fiber optic instrument interface.
其中,激光设置参数包括激光波长、出光模式、工作模式、能量密度、脉冲时间、脉冲间隔和脉冲次数;激光波长包括1940nm、1470nm、980nm或635nm激光波长。Among them, the laser setting parameters include laser wavelength, light output mode, working mode, energy density, pulse time, pulse interval and pulse number; the laser wavelength includes 1940nm, 1470nm, 980nm or 635nm laser wavelength.
出光模式包括连续模式、单脉冲模式或重复脉冲模式。The light emission modes include continuous mode, single pulse mode or repetitive pulse mode.
工作模式包括强激光治疗模式、弱激光治疗模式或光动力治疗模式。The working modes include strong laser therapy mode, weak laser therapy mode or photodynamic therapy mode.
请参见图2,激光器模块102包括电源驱动单元和三个激光发生装置。Referring to FIG. 2 , the laser module 102 includes a power drive unit and three laser generating devices.
电源驱动单元分别与人机交互模块101和各激光发生装置连接;电源驱动单元用于为各激光发生装置供电,并将控制信号发送给对应的激光发生装置,以使其生成工作激光。The power drive unit is connected to the human-machine interaction module 101 and each laser generating device respectively; the power drive unit is used to supply power to each laser generating device and send a control signal to the corresponding laser generating device to generate a working laser.
其中,第一激光发生装置用于产生1940nm波长的激光,第二激光发生装置用于产生1470nm波长的激光,第三激光发生装置用于产生980nm或635nm波长的激光。Among them, the first laser generating device is used to generate laser with a wavelength of 1940nm, the second laser generating device is used to generate laser with a wavelength of 1470nm, and the third laser generating device is used to generate laser with a wavelength of 980nm or 635nm.
具体地,本申请可以采用三核混合激光器,三核混合激光器设置有三个激光发生装置,能分别产生1470nm、1940nm、980nm、635nm四个波长的激光,可单独或交替工作,互不影响、互为备用,保证激光能量强劲输出,最大程度保障一个激光发生装置故障情况下手术不中断,不仅减轻了单一激光发生器或单一出光通道的工作负荷,降低了系统故障率;同时还让激光手术治疗过程更加安全,提高了激光手术治疗的可靠性。Specifically, the present application can adopt a three-core hybrid laser. The three-core hybrid laser is provided with three laser generating devices, which can generate four wavelengths of lasers at 1470nm, 1940nm, 980nm, and 635nm respectively. They can work individually or alternately without affecting each other and serving as backup for each other, ensuring strong output of laser energy and ensuring to the greatest extent that the operation is not interrupted in the event of a failure of a laser generating device. It not only reduces the workload of a single laser generator or a single light output channel, and reduces the system failure rate; it also makes the laser surgery process safer and improves the reliability of laser surgery.
控制信号根据设置参数生成,必然包括上述信息,因此,激光器模块102可以根据控制信号中的激光波长选择对应波长的激光发生装置按照设置参数的要求工作。 The control signal is generated according to the setting parameters and necessarily includes the above information. Therefore, the laser module 102 can select a laser generating device with a corresponding wavelength according to the laser wavelength in the control signal to operate according to the requirements of the setting parameters.
激光器输出模块103还包括多种规格型号的激光光纤、光子探头和治疗手具等光纤器械工具;激光器输出模块103的出光通道包括第一光纤器械接口、第二光纤器械接口、第三光纤器械接口,分别输出1940nm、1470nm、980nm、635nm波长的激光,均配置有SMA905接口,多种规格的激光光纤、光子探头、治疗手具可拆卸地安装在各光纤器械接口处。The laser output module 103 also includes fiber optic instruments and tools such as laser optical fibers, photon probes, and therapeutic handpieces of various specifications and models; the light output channel of the laser output module 103 includes a first fiber optic instrument interface, a second fiber optic instrument interface, and a third fiber optic instrument interface, which output lasers with wavelengths of 1940nm, 1470nm, 980nm, and 635nm, respectively, and are all equipped with SMA905 interfaces. Laser optical fibers, photon probes, and therapeutic handpieces of various specifications can be detachably installed at each fiber optic instrument interface.
上述实施例提供了一种具有术中监测功能的激光手术系统,能通过人机交互模块101设置参数和监测指令,通过激光器模块102中不同波长的激光发生装置和激光器输出模块103中与各个激光发生装置一一对应的多个光纤器械接口实现多种波长激光的产生和输出,同时通过人机交互模块101和光学监测模块104实现对患者生理指标的实时监测。The above embodiment provides a laser surgery system with intraoperative monitoring function, which can set parameters and monitoring instructions through the human-computer interaction module 101, and realize the generation and output of multiple wavelength lasers through laser generating devices of different wavelengths in the laser module 102 and multiple fiber optic instrument interfaces corresponding to each laser generating device in the laser output module 103. At the same time, real-time monitoring of the patient's physiological indicators can be realized through the human-computer interaction module 101 and the optical monitoring module 104.
上述激光手术系统的激光器模块102和激光器输出模块103可由设置参数实现不同激光发生装置单独或交替工作,不同光纤器械接口自由切换输出激光,减轻了单一激光发生装置或单一出光通道的工作负荷,降低了激光器系统故障率;同时光学监测模块104传感监测技术的应用,实现了激光治疗和过程监测的统一,不仅让激光手术治疗更加的精准、有效,也让手术操作过程更加安全、可控,提高了手术治疗的可靠性、降低了操作过程的风险性,做到了精准、微创、安全、可控的激光手术治疗,实现精准医疗。The laser module 102 and the laser output module 103 of the above-mentioned laser surgery system can realize the independent or alternating operation of different laser generating devices by setting parameters, and the output laser of different optical fiber instrument interfaces can be freely switched, thereby reducing the workload of a single laser generating device or a single light output channel, and reducing the failure rate of the laser system; at the same time, the application of the sensing monitoring technology of the optical monitoring module 104 realizes the unification of laser treatment and process monitoring, which not only makes the laser surgery more accurate and effective, but also makes the surgical operation process safer and controllable, improves the reliability of the surgical treatment, reduces the risk of the operation process, and achieves accurate, minimally invasive, safe and controllable laser surgery, realizing precision medicine.
在一些实施例中,激光器模块102还包括温控单元,温控单元包括温度控制器、热管和制冷风扇;温度控制器分别与电源驱动单元和各激光发生装置连接。In some embodiments, the laser module 102 further includes a temperature control unit, which includes a temperature controller, a heat pipe, and a cooling fan; the temperature controller is respectively connected to the power drive unit and each laser generating device.
电源驱动单元还用于在接收控制信号后,通过温度控制器获取工作中的激光发生装置的工作温度,并根据工作温度控制制冷风扇或热管工作。The power drive unit is also used to obtain the operating temperature of the laser generating device in operation through the temperature controller after receiving the control signal, and control the operation of the cooling fan or heat pipe according to the operating temperature.
制冷风扇和热管设置在各个激光发生装置的周围,用来为激光发生装置降温或升温,以保证激光发生装置的工作温度恒定,提高激光发生装置的使用寿命,进一步降低系统故障率。Cooling fans and heat pipes are set around each laser generating device to cool or heat the laser generating device to ensure a constant operating temperature of the laser generating device, increase the service life of the laser generating device, and further reduce the system failure rate.
请参见图2和图3,在一些实施例中,激光器模块102还包括紧急按钮和钥匙开关。2 and 3 , in some embodiments, the laser module 102 further includes an emergency button and a key switch.
紧急按钮用于控制激光器模块102中的各激光发生装置的急停。The emergency button is used to control the emergency stop of each laser generating device in the laser module 102 .
钥匙开关用于控制电源驱动单元的开启和关停。The key switch is used to control the opening and closing of the power drive unit.
具体地,在激光器模块102中,实现对激光器模块102内各个装置、单元控制作用的是电源驱动单元,其次还包括紧急按钮和钥匙开关。Specifically, in the laser module 102 , the power drive unit controls various devices and units in the laser module 102 , followed by an emergency button and a key switch.
电源驱动单元上设置有信号接收器、信号处理器、多个通讯接口。The power drive unit is provided with a signal receiver, a signal processor, and multiple communication interfaces.
电源驱动单元与外部电源连接和钥匙开关连接,给激光器模块102、光学监测模块104、激光器输出模块103供电,通过钥匙开关开启连接和关停断开激光器模块102、光学监测模块104、激光器输出模块103、人机交互模块101的供电。 The power drive unit is connected to the external power supply and the key switch to supply power to the laser module 102, the optical monitoring module 104, and the laser output module 103. The key switch is used to turn on and off the power supply to the laser module 102, the optical monitoring module 104, the laser output module 103, and the human-computer interaction module 101.
电源驱动单元上的信号接收器接收到人机交互模块101发出的信号,并发送给信号处理器进行处理,再通过其它通讯接口输出处理后的指令;电源驱动单元与紧急按钮连接,保障紧急情况下可以通过紧急按钮来及时控制激光发生装置停止发射激光。The signal receiver on the power drive unit receives the signal sent by the human-computer interaction module 101 and sends it to the signal processor for processing, and then outputs the processed instructions through other communication interfaces; the power drive unit is connected to the emergency button to ensure that the emergency button can be used to promptly control the laser generating device to stop emitting laser in an emergency.
上述实施例中钥匙开关和紧急按钮的设置,进一步保证了激光手术的安全性、可靠性,确保紧急情况能够迅速关闭激光,降低了操作过程的风险性。The provision of the key switch and the emergency button in the above embodiment further ensures the safety and reliability of laser surgery, ensures that the laser can be quickly turned off in an emergency, and reduces the risk of the operation process.
在一些实施例中,激光器模块102还包括脚踏控制装置;脚踏控制装置分别与电源驱动单元和各激光发生装置连接,用于控制工作中的激光发生装置的启停。In some embodiments, the laser module 102 further includes a foot control device; the foot control device is connected to the power drive unit and each laser generating device respectively, and is used to control the start and stop of the working laser generating device.
具体地,当踩下脚踏控制装置,脚踏开关打开,激光器模块102中对应的激光发生装置发出激光,释放脚踏控制装置,脚踏开关关闭,激光器模块102中的激光发生装置停止出光。Specifically, when the foot control device is stepped on, the foot switch is turned on, and the corresponding laser generating device in the laser module 102 emits laser light. When the foot control device is released, the foot switch is turned off, and the laser generating device in the laser module 102 stops emitting light.
在具体实施过程中,人机交互模块101还可以用于接收治疗指令,只有人机交互模块101进入到治疗界面后,即接收到治疗指令并将其发送到电源驱动单元后;电源驱动单元才能根据脚踏控制装置的信号启停激光发生装置,非治疗界面时,脚踏控制无法启停激光发射。During the specific implementation process, the human-computer interaction module 101 can also be used to receive treatment instructions. Only after the human-computer interaction module 101 enters the treatment interface, that is, receives the treatment instructions and sends them to the power drive unit; the power drive unit can start and stop the laser generating device according to the signal of the foot control device. When it is not in the treatment interface, the foot control cannot start and stop the laser emission.
请参见图2,在一些实施例中,激光器输出模块103还包括多个准直适配器。Referring to FIG. 2 , in some embodiments, the laser output module 103 further includes a plurality of collimation adapters.
各准直适配器分别与各激光发生装置和各光纤器械接口一一对应连接。Each collimating adapter is connected to each laser generating device and each optical fiber instrument interface in a one-to-one correspondence.
准直适配器用于对工作激光进行光束整形,得到准直激光束,并将准直激光束发送至与对应的光纤器械接口可拆卸连接的光纤器械工具。The collimating adapter is used to perform beam shaping on a working laser to obtain a collimated laser beam, and send the collimated laser beam to a fiber optic instrument tool that is detachably connected to a corresponding fiber optic instrument interface.
光纤器械工具包括激光光纤、光子探头和治疗手具。Fiber optic instruments and tools include laser fibers, photon probes, and therapeutic handpieces.
激光光纤包括传感光纤和医用激光光纤,医用激光光纤包括不同芯径的单模光纤、多模光纤、环形光纤或散射光纤。Laser optical fibers include sensing optical fibers and medical laser optical fibers. Medical laser optical fibers include single-mode optical fibers, multi-mode optical fibers, ring optical fibers or scattering optical fibers with different core diameters.
光子探头包括多功能光子治疗探头;治疗手具包括激光刀手具和点阵扫描手具,激光刀手具包括开放式激光刀手具和腔镜下激光刀手具。Photon probes include multifunctional photon treatment probes; treatment handpieces include laser knife handpieces and dot matrix scanning handpieces, and laser knife handpieces include open laser knife handpieces and laparoscope laser knife handpieces.
激光光纤包括监测用的传感光纤和治疗用的医用激光光纤,治疗用的激光光纤包括环射型、直射型、侧射型、球射型等,还可以选择不同芯径的单模光纤、多模光纤或特种光纤等。Laser optical fibers include sensing optical fibers for monitoring and medical laser optical fibers for treatment. Laser optical fibers for treatment include ring-emitting, direct-emitting, side-emitting, and ball-emitting types. You can also choose single-mode optical fibers, multi-mode optical fibers, or special optical fibers with different core diameters.
光子探头包括多功能光子治疗探头,通过出光通道SMA905接口可以连接高功率光纤导线,通过高功率光纤导线可连接光子探头输出散射光进行伤口、溃疡、创面的光生物治疗。The photon probe includes a multifunctional photon therapy probe, which can be connected to a high-power optical fiber wire through the light output channel SMA905 interface. The high-power optical fiber wire can be connected to the photon probe to output scattered light for photobiotherapy of wounds, ulcers and wounds.
治疗手具包括激光刀手具和点阵扫面手具,激光刀手具有开放式和腔镜下两种,通过激光刀手具夹持医用激光光纤可以进行外科激光手术。点阵手具是进行点阵激光治疗的辅助工具,可将激光发生装置输出的工作激光转换为点阵模式输出,通过人机交互模块101可设置点阵激光光斑的形状、大小、密度等参数,通过点阵扫描手具可以输出点阵激光进行点阵激光治疗。 Treatment handpieces include laser knife handpieces and fractional scanning handpieces. Laser knife handpieces are available in both open and laparoscopic styles. Laser surgery can be performed by clamping medical laser fibers with the laser knife handpiece. The fractional handpiece is an auxiliary tool for fractional laser therapy, converting the working laser output of the laser generator into a fractional pattern. The shape, size, density, and other parameters of the fractional laser spot can be set using the human-computer interaction module 101. The fractional scanning handpiece can output fractional lasers for fractional laser therapy.
在一些实施例中,人机交互模块101还用于根据设置参数检测光纤器械工具与光纤器械接口的连接是否正确;以及,在检测到连接不正确时,生成连接异常信息并显示在人机交互模块101的操作屏上。具体地,人机交互模块101还会检测激光器输出模块103中哪个通道的接口有连接光纤器械工具,并和设置参数进行比较,若连接的器械工具对应的接口不是此时设置参数中激光波长对应的光纤器械接口,则提示连接异常信息。In some embodiments, the human-computer interaction module 101 is further configured to detect whether the fiber optic instrument tool is correctly connected to the fiber optic instrument interface according to the set parameters; and, if an incorrect connection is detected, generate a connection anomaly message and display it on the operation screen of the human-computer interaction module 101. Specifically, the human-computer interaction module 101 also detects which channel interface in the laser output module 103 is connected to the fiber optic instrument tool and compares it with the set parameters. If the interface corresponding to the connected instrument tool is not the fiber optic instrument interface corresponding to the laser wavelength in the set parameters, a connection anomaly message is displayed.
请参见图4和图5,在一些实施例中,光学监测模块104包括传感光纤、耦合单元、解调单元和光信号处理单元;耦合单元用于根据监测指令生成监测光信号,并对其进行光源分路,得到分路光信号;以及,将分路光信号发送至光信号处理单元。Referring to Figures 4 and 5, in some embodiments, the optical monitoring module 104 includes a sensing optical fiber, a coupling unit, a demodulation unit, and an optical signal processing unit; the coupling unit is used to generate a monitoring optical signal according to a monitoring instruction, and to branch the light source to obtain a branched optical signal; and, to send the branched optical signal to the optical signal processing unit.
光信号处理单元用于将分路光信号处理为多束光信号,并发送至传感光纤;以及接收传感光纤的反射光信号,并通过耦合单元发送到解调单元。The optical signal processing unit is used to process the branched optical signal into multiple optical signals and send them to the sensing optical fiber; and to receive the reflected optical signal of the sensing optical fiber and send it to the demodulation unit through the coupling unit.
解调单元用于根据监测指令对反射光信号进行分析,得到生理指标,并将生理指标发送到人机交互模块101的操作屏进行显示。The demodulation unit is used to analyze the reflected light signal according to the monitoring instruction to obtain physiological indicators, and send the physiological indicators to the operation screen of the human-computer interaction module 101 for display.
其中,监测指令中包括了要监测哪些生理指标的要求,因此,解调单元分析的生理指标是操作者在人机交互模块101中所设置的。The monitoring instruction includes requirements on which physiological indicators are to be monitored. Therefore, the physiological indicators analyzed by the demodulation unit are set by the operator in the human-computer interaction module 101 .
具体地,当多束光信号传输至传感光纤的反射面时,会产生反射,光信号处理单元将所有的反射光信号传输至耦合单元,耦合单元将所有的反射光信号传输至解调单元,解调单元对所有的反射光信号进行分析,并根据光程差变化进行计算,实时检测传感光纤所接触组织的温度、压力、PH值等生理指标,通过激光器模块102发送到人机交互模块101,最终显示在人机交互模块101的操作屏上,并能实时动态反馈生理指标的数值变化。Specifically, when multiple light signals are transmitted to the reflective surface of the sensing optical fiber, reflection will occur. The optical signal processing unit transmits all reflected light signals to the coupling unit, and the coupling unit transmits all reflected light signals to the demodulation unit. The demodulation unit analyzes all reflected light signals and calculates according to the change in optical path difference, and detects the temperature, pressure, pH value and other physiological indicators of the tissue contacted by the sensing optical fiber in real time, and sends them to the human-computer interaction module 101 through the laser module 102, and finally displays them on the operation screen of the human-computer interaction module 101, and can dynamically feedback the numerical changes of physiological indicators in real time.
其中,传感光纤的末端为传感探头,具体可配置有三种,分别是测温传感光纤、测压传感光纤和测PH值传感光纤,因此生理指标可以包括温度、压力和PH值。Among them, the end of the sensing optical fiber is a sensing probe, which can be configured in three ways: temperature sensing optical fiber, pressure sensing optical fiber and pH value sensing optical fiber. Therefore, physiological indicators can include temperature, pressure and pH value.
在一些实施例中,人机交互模块101还用于接收患者病历信息,根据患者病历信息智能生成设置参数。其中,患者病历信息包括患者基本信息、就诊信息、疾病类型、诊疗记录、随访计划、患者内容介绍、检查报告等,因此可根据不同的疾病类型从而筛选所需病历,获得相关病历内容,根据病历内容智能匹配激光设置参数。In some embodiments, the human-computer interaction module 101 is further configured to receive patient medical records and intelligently generate setting parameters based on the patient medical records. The patient medical records include basic patient information, medical history information, disease type, medical records, follow-up plans, patient introductions, examination reports, etc. Thus, the required medical records can be screened based on different disease types, relevant medical record content can be obtained, and laser setting parameters can be intelligently matched based on the medical record content.
具体地,人机交互模块101主要由操作屏、激光工作软件、光学监测软件、患者管理软件组成。操作屏上配置有多个通讯接口,并通过通讯接口与激光器模块102连接;操作屏里装载有激光工作软件、光学监测软件、患者管理软件;通过激光工作软件可选择设置激光治疗所需的激光波长(1940nm、1470nm、980nm、635nm)、出光模式(连续、单脉冲、重复脉冲)、治疗模式(强激光治疗、弱激光治疗(LLLT)、光动力治疗(PDT))、能量密度、脉冲时 间、脉冲间隔和脉冲次数等激光设置参数,设置激光发生装置单独或交替工作。也可选择一键智能匹配参数模式快速、准确、智能匹配治疗参数;通过光学监测软件可以选择设置光学监测所需的传感光纤类型、监测指标参数,可满足外科医生在疾病手术治疗过程中根据诊疗需要对手术治疗过程中的关键生理指标进行动态实时监测;通过患者管理软件,可满足外科医生在疾病手术治疗过程中及时建立患者管理数据库,随时调用查看,术前术中术后患者治疗信息自然匹配,也可作为大数据支持,用于人工智能算法分析研究及智能比对,更好的进行患者术后跟踪管理。Specifically, the human-computer interaction module 101 is mainly composed of an operation screen, laser working software, optical monitoring software, and patient management software. The operation screen is equipped with multiple communication interfaces and is connected to the laser module 102 through the communication interfaces; the operation screen is loaded with laser working software, optical monitoring software, and patient management software; through the laser working software, the laser wavelength (1940nm, 1470nm, 980nm, 635nm), light output mode (continuous, single pulse, repeated pulse), treatment mode (high-intensity laser therapy, low-intensity laser therapy (LLLT), photodynamic therapy (PDT)), energy density, pulse time, etc. required for laser treatment can be selected and set. The laser setting parameters such as pulse interval, pulse interval and pulse number can be set to set the laser generator to work alone or alternately. You can also choose the one-key intelligent matching parameter mode to quickly, accurately and intelligently match the treatment parameters; through the optical monitoring software, you can choose to set the sensor fiber type and monitoring index parameters required for optical monitoring, which can meet the surgeon's needs for dynamic real-time monitoring of key physiological indicators during surgical treatment according to diagnosis and treatment needs during the surgical treatment of the disease; through the patient management software, surgeons can timely establish a patient management database during the surgical treatment of the disease, call it at any time, and naturally match the patient's treatment information before, during and after the operation. It can also be used as big data support for artificial intelligence algorithm analysis research and intelligent comparison to better track and manage patients after surgery.
以上实施例的各技术特征可以进行任意的组合,为使描述简洁,未对上述实施例中的各个技术特征所有可能的组合都进行描述,然而,只要这些技术特征的组合不存在矛盾,都应当认为是本说明书记载的范围。The technical features of the above embodiments can be combined arbitrarily. To make the description concise, not all possible combinations of the technical features in the above embodiments are described. However, as long as there is no contradiction in the combination of these technical features, they should be considered to be within the scope of this specification.
以上所述实施例仅表达了本申请的几种实施方式,其描述较为具体和详细,但并不能因此而理解为对发明专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本申请构思的前提下,还可以做出若干变形和改进,这些都属于本申请的保护范围。因此,本申请专利的保护范围应以所附权利要求为准。 The above-described embodiments merely represent several implementation methods of the present application. While the descriptions are relatively specific and detailed, they should not be construed as limiting the scope of the present invention. It should be noted that a person skilled in the art could make various modifications and improvements without departing from the spirit of the present application, all of which fall within the scope of protection of the present application. Therefore, the scope of protection of the present patent application shall be determined by the appended claims.
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Families Citing this family (5)
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| CN117618104B (en) * | 2024-01-25 | 2024-04-26 | 广州信筑医疗技术有限公司 | Laser surgery system with intraoperative monitoring function |
| CN117883711A (en) * | 2024-03-06 | 2024-04-16 | 武汉戴美激光科技有限公司 | Multi-wavelength laser therapy parameter adjustment device and method |
| CN118336496B (en) * | 2024-06-12 | 2024-10-01 | 苏州密尔光子科技有限公司 | Optical fiber laser and laser therapeutic instrument |
| CN118356592B (en) * | 2024-06-20 | 2024-09-13 | 广州信筑医疗技术有限公司 | Multi-wavelength laser therapeutic instrument control system |
| CN119627616A (en) * | 2025-02-12 | 2025-03-14 | 广州信筑医疗技术有限公司 | A multi-core hybrid laser system |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20090131921A1 (en) * | 2007-09-06 | 2009-05-21 | Lensx Lasers, Inc. | Precise Targeting of Surgical Photodisruption |
| CN102176878A (en) * | 2008-07-28 | 2011-09-07 | 科威中公司 | Multi-wavelength laser and method for contact ablation of tissue |
| US20190343584A1 (en) * | 2018-05-08 | 2019-11-14 | Convergent Laser Technologies | Surgical laser system |
| CN113274126A (en) * | 2021-06-28 | 2021-08-20 | 杭州佳量医疗科技有限公司 | Multi-wavelength multi-channel laser system for neurosurgical thermal ablation |
| CN115484888A (en) * | 2020-05-04 | 2022-12-16 | 美敦力导航股份有限公司 | Dual wavelength laser ablation system for MRI guided ablation procedures |
| CN116269743A (en) * | 2022-11-28 | 2023-06-23 | 厦门大学 | Laser ablation treatment system guided by intraoperative real-time optical coherence imaging |
| CN117618104A (en) * | 2024-01-25 | 2024-03-01 | 广州信筑医疗技术有限公司 | Laser surgery system with intraoperative monitoring function |
Family Cites Families (15)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5154707A (en) * | 1987-02-27 | 1992-10-13 | Rink Dan L | Method and apparatus for external control of surgical lasers |
| KR101152177B1 (en) * | 2009-04-09 | 2012-06-18 | 의료법인 우리들의료재단 | Method and System for Automatic Leading Surgery Position and Apparatus Having Surgery Position Leading Function |
| KR100938378B1 (en) * | 2009-07-28 | 2010-01-22 | 주식회사 비앤비시스템 | Laser scanner unit for detection of treatment area |
| CN104055520B (en) * | 2014-06-11 | 2016-02-24 | 清华大学 | Human organ motion monitoring method and operation guiding system |
| DE102014212913B4 (en) * | 2014-07-03 | 2017-12-14 | Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. | Method and device for intraoperative navigation |
| KR20160122585A (en) * | 2015-04-14 | 2016-10-24 | 김유인 | Laser irradiator for skin treatment and medical treatment method thereof |
| CN104970919B (en) * | 2015-08-06 | 2018-02-13 | 上海交通大学医学院附属第九人民医院 | Pre-control formula laser surgery system and its control method |
| TWI624243B (en) * | 2016-12-15 | 2018-05-21 | 神農資訊股份有限公司 | Surgical navigation system and instrument guiding method thereof |
| CN108836477B (en) * | 2018-05-14 | 2021-05-11 | 华科精准(北京)医疗科技有限公司 | Laser hyperthermia device and system based on magnetic resonance guidance |
| CN109106340A (en) * | 2018-09-20 | 2019-01-01 | 烟台龙驰光电技术有限公司 | A kind of insertion type optical acoustic imaging and laser thermal treatment system |
| CN111557734B (en) * | 2020-05-07 | 2021-11-02 | 徐州佳智信息科技有限公司 | Laser ablation navigation system based on VR scene |
| CN112221020A (en) * | 2020-10-14 | 2021-01-15 | 武汉博激世纪科技有限公司 | Semiconductor laser galvanometer treatment system |
| US12311195B2 (en) * | 2021-08-03 | 2025-05-27 | Modulight Corporation | Theranostic laser system |
| CN116407270A (en) * | 2021-12-31 | 2023-07-11 | 华科精准(北京)医疗科技有限公司 | Optical fiber with optical fiber fracture monitoring function and laser treatment system |
| CN114948206A (en) * | 2021-12-31 | 2022-08-30 | 华科精准(北京)医疗科技有限公司 | A surgical navigation system incorporating polarized light imaging |
-
2024
- 2024-01-25 CN CN202410100943.5A patent/CN117618104B/en active Active
- 2024-08-09 WO PCT/CN2024/110880 patent/WO2025156598A1/en active Pending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20090131921A1 (en) * | 2007-09-06 | 2009-05-21 | Lensx Lasers, Inc. | Precise Targeting of Surgical Photodisruption |
| CN102176878A (en) * | 2008-07-28 | 2011-09-07 | 科威中公司 | Multi-wavelength laser and method for contact ablation of tissue |
| US20190343584A1 (en) * | 2018-05-08 | 2019-11-14 | Convergent Laser Technologies | Surgical laser system |
| CN115484888A (en) * | 2020-05-04 | 2022-12-16 | 美敦力导航股份有限公司 | Dual wavelength laser ablation system for MRI guided ablation procedures |
| CN113274126A (en) * | 2021-06-28 | 2021-08-20 | 杭州佳量医疗科技有限公司 | Multi-wavelength multi-channel laser system for neurosurgical thermal ablation |
| CN116269743A (en) * | 2022-11-28 | 2023-06-23 | 厦门大学 | Laser ablation treatment system guided by intraoperative real-time optical coherence imaging |
| CN117618104A (en) * | 2024-01-25 | 2024-03-01 | 广州信筑医疗技术有限公司 | Laser surgery system with intraoperative monitoring function |
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