Photoelectric integrated patient interface box and surgical device

Through the photoelectric integrated patient interface box that integrates the detection functions of parathyroid and recurrent laryngeal nerves, the problem of large space and low efficiency of independent devices is solved, and efficient and accurate thyroid surgical detection is achieved.

CN223232814UActive Publication Date: 2025-08-19PEKING UNIVERSITY THIRD HOSPITAL (THE THIRD CLINICAL MEDICAL SCHOOL OF PEKING UNIVERSITY) +1
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Patent Information

Application Number
CN202422200899.3
Authority / Receiving Office
CN · China
Patent Type
Utility models(China)
Current Assignee / Owner
Filing Date
2024-09-09
Publication Date
2025-08-19
Estimated Expiration
2034-09-09

AI Technical Summary

Technical Problem

In existing thyroid surgery, the detection equipment of the recurrent laryngeal nerve and parathyroid gland are independent devices, occupying a large space, resulting in inefficient use and an increase in error rate.

Method used

A photoelectric integrated patient interface box is designed to integrate the parathyroid detection circuit and recurrent laryngeal nerve detection circuit, including a light source module, excitation light path module, reception light path module, spectrometer, acquisition electrode and stimulation electrode. The excitation light and current stimulation are introduced through the probe to realize the detection of the parathyroid and recurrent laryngeal nerve.

Benefits of technology

It reduces space occupation in the operating room, improves surgical efficiency, reduces the error rate, and achieves high-precision parathyroid and recurrent laryngeal nerve detection.

✦ Generated by Eureka AI based on patent content.

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Abstract

The utility model relates to the technical field of surgical equipment, and discloses a photoelectric integrated patient interface box and a surgical device. The patient interface box outputs exciting light with a specific wavelength, the exciting light is guided into a detected object through the probe, the detected object generates autofluorescence after being excited by the exciting light, the autofluorescence is guided into the patient interface box through the probe, and the patient interface box obtains a fluorescence value from the autofluorescence and transmits the fluorescence value to the host through the communication cable. Judging whether the detected object is parathyroid gland or not; the host sends out current which passes through the patient interface box and is connected with a tested object through a second wire, the probe contacts with the tested object, and the current is transmitted to the tested object to form a current loop. A detected object generates electromyographic signals after being electrically stimulated, the patient interface box collects the electromyographic signals through the first wire and transmits the electromyographic signals to the host along the cable, electromyographic waveforms are displayed on the host, and whether tissues are recurrent laryngeal nerves or not and whether the recurrent laryngeal nerves are damaged or not are judged through the electromyographic waveforms.
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Description

Technical Field

[0001] The utility model relates to the technical field of surgical equipment, in particular to a photoelectric integrated patient interface box and a surgical device. Background Art

[0002] During thyroid surgery, identifying and protecting the recurrent laryngeal nerve and parathyroid glands are two of the most pressing issues. Damage to the recurrent laryngeal nerve, which controls vocal cord movement, can lead to hoarseness and difficulty breathing. The recurrent laryngeal nerve connects to the vagus nerve, and damage anywhere along the nerve pathway can prevent the vocal cords from opening and closing properly. Inadvertent removal or damage of the parathyroid glands can lead to hypocalcemia, requiring lifelong medication and severely impacting quality of life.

[0003] Therefore, intraoperative detection of the recurrent laryngeal nerve and parathyroid glands has become extremely important. By detecting and monitoring the recurrent laryngeal nerve during surgery, surgeons can avoid nerve damage and promptly remedy any damage. Regarding the parathyroid glands, surgeons can use detection equipment to promptly locate and protect them during surgery. [The following appears to be unrelated and likely a separate topic:] Technical problems exist in existing technologies.

[0004] For laryngeal recurrent nerve monitoring, there are commercially available products that utilize electrical nerve stimulation combined with electromyographic signal acquisition. Meanwhile, for the parathyroid glands, a current technology utilizes their autofluorescence under near-infrared light to identify them. Terminal applications include cameras and probes.

[0005] The existing thyroid nerve monitoring and parathyroid gland detection equipment are two independent sets of equipment. When used together in the hospital, they will take up a large space, making the originally small operating room even more cramped. Utility Model Content

[0006] The purpose of the utility model is to provide a photoelectric integrated patient interface box and surgical device, which solves the problems of low efficiency and increased error rate caused by repeated replacement of split parathyroid gland detection equipment and recurrent laryngeal nerve detection equipment.

[0007] To solve the above problems, the first aspect of the present invention provides a photoelectric integrated patient interface box, wherein the photoelectric integrated patient interface box is connected to a probe and a host, and the photoelectric integrated patient interface box includes: a parathyroid gland detection circuit and a recurrent laryngeal nerve detection circuit;

[0008] The parathyroid gland detection circuit includes a light source module, an excitation optical path module, a control board, a receiving optical path module and a spectrometer, wherein the light source module is connected to the control board, the excitation optical path module is connected to the light source output end of the light source module, the receiving optical path module is connected to the spectrometer, and the spectrometer is connected to the control board;

[0009] The light source output end of the light source module outputs a light source, the excitation light path module adjusts the light source into excitation light and guides the excitation light into the object to be measured along the probe, the receiving light path module receives the fluorescence generated by the object to be measured in response to the excitation light through the probe, and transmits the fluorescence to the spectrometer, the spectrometer obtains the fluorescence value of the fluorescence and transmits the fluorescence value to the control board, and the control board transmits the fluorescence value to the host;

[0010] The recurrent laryngeal nerve detection circuit includes a collection electrode and a stimulation electrode. The stimulation electrode transmits a stimulation current to the object under test through the probe. The collection electrode collects the electromyographic signal generated by the object under test in response to the stimulation current and transmits the electromyographic signal to the host.

[0011] Preferably, the excitation light path module includes a first lens, a first filter, and a second lens, wherein the first lens, the first filter, and the second lens are sequentially arranged in the light path direction of the light source, and the first lens, the first filter, and the second lens are located on the same axis;

[0012] The first lens converts the light source into a first parallel light beam, the first filter filters the first parallel light beam, and the second lens focuses the filtered first parallel light beam to form excitation light.

[0013] Preferably, the receiving optical path module includes a third lens, a second filter and a fourth lens, wherein the third lens, the second filter and the fourth lens are sequentially arranged in the optical path direction of the fluorescence, and the third lens, the second filter and the fourth lens are located on the same axis;

[0014] The third lens converts the fluorescence into a second parallel light beam, the second filter filters the second parallel light beam, and the fourth lens focuses the filtered second parallel light beam.

[0015] Preferably, the collection electrode includes a first channel and a second channel;

[0016] The first channel includes a first collecting positive electrode and a first collecting negative electrode, and the second channel includes a second collecting positive electrode and a second collecting negative electrode.

[0017] Preferably, the collection electrode further includes a reference electrode, and the reference electrode is connected to the object to be measured.

[0018] Preferably, the stimulation electrode includes a stimulation channel positive electrode and a stimulation channel negative electrode, the stimulation channel positive electrode is connected to the object to be measured, and the stimulation channel negative electrode is connected to the probe.

[0019] Preferably, the patient interface box further comprises a connector provided on one side of the patient interface box, wherein the connector is connected to the probe and the negative electrode of the stimulation channel.

[0020] Preferably, the patient interface box further comprises cables, wherein the cables comprise an acquisition cable and a stimulation cable;

[0021] The acquisition cable connects the acquisition electrode and the host, and the stimulation cable connects the stimulation electrode and the host.

[0022] According to another aspect of the present invention, a surgical device is provided, comprising a patient interface box, a probe, a host, a first guide wire, and a second guide wire;

[0023] The probe is connected to the patient interface box, and the patient interface box is connected to the host through a cable, and the cable also includes a communication cable, and the communication cable connects the control board and the host;

[0024] One end of the first wire is connected to the nerve cannula, and the other end of the first wire is connected to the collection electrode; one end of the second wire is connected to the stimulation electrode, and the other end of the second wire is connected to the object being measured.

[0025] Preferably, the excitation optical path module is connected to the probe optical fiber, and the receiving optical path module is connected to the probe optical fiber.

[0026] The utility model controls the light source module to generate a light source through a control panel, and the light source is focused and filtered by the excitation light path module and then introduced into the object to be measured through a probe. After being stimulated by the excitation light, the object to be measured generates spontaneous fluorescence, which is introduced into the receiving light path module through the probe. After being focused and filtered by the receiving light path module, it is transmitted to the spectrometer. The spectrometer obtains the fluorescence value and transmits it to the control panel, and finally transmits it to the host, thereby determining whether the object to be measured is a parathyroid gland. On the other hand, the host current is transmitted to the stimulation electrode through the stimulation cable, and the stimulation electrode is connected to the object to be measured through the second wire. The probe contacts the object to be measured, and the current is transmitted to the object to be measured and forms a current loop. After being stimulated by the current, the object to be measured generates an electromyographic signal, and the electromyographic signal is transmitted along the first wire through the acquisition electrode to the host along the acquisition cable. The electromyographic waveform is displayed on the host, and the electromyographic waveform is used to determine whether the tissue is the recurrent laryngeal nerve and whether the recurrent laryngeal nerve is damaged.

[0027] The above technical solution of the present utility model has the following beneficial technical effects:

[0028] 1. Parathyroid gland detection and recurrent laryngeal nerve detection are achieved through an integrated patient interface box, reducing space usage in the operating room, eliminating the need to switch equipment back and forth, improving surgical efficiency and reducing error rates.

[0029] 2. Set up an excitation light path module and a receiving light path module. During the parathyroid gland detection process, the excitation light path module and the receiving light path module focus and filter the light to eliminate the influence of the light source and the stray light in the environment, thereby achieving highly accurate parathyroid gland detection. BRIEF DESCRIPTION OF THE DRAWINGS

[0030] Figure 1 is a schematic structural diagram of a patient interface box according to one embodiment of the present invention;

[0031] Figure 2 is a diagram of the collection electrodes, stimulation electrodes, and cable distribution of a patient interface box according to one embodiment of the present invention;

[0032] Figure 3 1 is a schematic structural diagram of an excitation optical path module according to an embodiment of the present utility model;

[0033] Figure 4 1 is a schematic structural diagram of a receiving optical path module according to an embodiment of the present invention;

[0034] Figure 5 is a schematic structural diagram of a surgical device according to one embodiment of the present utility model;

[0035] Reference numerals:

[0036] 100. Patient interface box;

[0037] 101. Light source module;

[0038] 102, excitation optical path module; 102a, first interface; 1021, first lens; 1022, first filter; 1023, second lens;

[0039] 103. Control panel;

[0040] 104, receiving optical path module; 104a, second interface; 1041, third lens; 1042, second filter; 1043, fourth lens;

[0041] 105. Spectrometer;

[0042] 106, collecting electrode; 1061, first collecting positive electrode; 1062, first collecting negative electrode; 1063, second collecting positive electrode; 1064, second collecting negative electrode; 1065, reference electrode;

[0043] 107, stimulation electrode; 1071, stimulation channel positive electrode; 1072, stimulation channel negative electrode;

[0044] 108, cable; 1081, acquisition cable; 1082, stimulation cable; 1083, communication cable;

[0045] 109, connector;

[0046] 200, probe;

[0047] 300. Host. DETAILED DESCRIPTION

[0048] To make the objectives, technical solutions, and advantages of the present invention more clearly understood, the present invention is further described below in conjunction with specific embodiments and with reference to the accompanying drawings. It should be understood that these descriptions are merely illustrative and are not intended to limit the scope of the present invention. Furthermore, descriptions of known structures and technologies are omitted in the following description to avoid unnecessary confusion regarding the concepts of the present invention.

[0049] The accompanying drawings illustrate schematic diagrams of layer structures according to embodiments of the present invention. These figures are not drawn to scale; for clarity, some details are exaggerated and some details may be omitted. The shapes, relative sizes, and positional relationships of the various regions and layers shown in the figures are merely illustrative and may deviate in practice due to manufacturing tolerances or technical limitations. Those skilled in the art may design regions / layers with different shapes, sizes, and relative positions based on actual needs.

[0050] Reference Figures 1 to 4 In one embodiment of the present invention, a photoelectric integrated patient interface box is provided, hereinafter referred to as patient interface box 100. Patient interface box 100 is connected to a probe 200 and a host 300. Patient interface box 100 includes: a parathyroid detection circuit and a recurrent laryngeal nerve detection circuit; wherein the parathyroid detection circuit includes a light source module 101, an excitation optical path module 102, a control board 103, a receiving optical path module 104 and a spectrometer 105. The light source module 101 is connected to the control board 103, the excitation optical path module 102 is arranged at the light source output end of the light source module 101, the receiving optical path module 104 is connected to the spectrometer 105, and the spectrometer 105 is connected to the control board 103. During operation of the parathyroid gland detection circuit, the light source module 101 outputs light, the excitation optical path module 102 adjusts the light source to excitation light and directs the excitation light into the subject along the probe 200, the receiving optical path module 104 receives the fluorescence generated by the subject in response to the excitation light through the probe 200, and transmits the fluorescence to the spectrometer 105. The spectrometer 105 obtains the fluorescence value of the fluorescence and transmits the fluorescence value to the control board 103, which transmits the fluorescence value to the host 300. Furthermore, the recurrent laryngeal nerve detection circuit includes a collection electrode 106 and a stimulation electrode 107. The stimulation electrode 107 transmits a stimulation current to the subject through the probe 200, and the collection electrode 106 collects the electromyographic signal generated by the subject in response to the stimulation current and transmits the electromyographic signal to the host 300.

[0051] Through this configuration, the patient interface box 100 can perform both parathyroid gland and recurrent laryngeal nerve testing, reducing operating room space, eliminating the need for switching equipment back and forth, improving surgical efficiency, and reducing error rates. The control board 103 controls the light source module 101 to generate light. This light is focused and filtered by the excitation optical path module 102 before being directed to the subject being tested via the probe 200. The subject being tested, stimulated by the excitation light, generates spontaneous fluorescence, which is then directed to the receiving optical path module 104 via the probe 200. The receiving optical path module 104 focuses and filters the fluorescence before transmitting it to the spectrometer 105. The spectrometer 105 obtains the fluorescence value and transmits it to the host computer 300 via the control board 103, thereby determining whether the subject being tested is a parathyroid gland. Furthermore, the current generated by the host computer 300 is transmitted to the subject being tested via the stimulation electrode 107, forming a current loop through the probe 200 contacting the subject. When stimulated by current, the subject generates electromyographic signals. These signals are transmitted to host computer 300 via acquisition electrodes 106, where the electromyographic waveform is displayed. This waveform is then used to determine whether the tissue is the recurrent laryngeal nerve and whether the recurrent laryngeal nerve is damaged. The specific placement and mounting method of the modules within patient interface box 100, as well as the specific connection method between the modules, are not limited herein; they only need to meet the requirements for the functionality and signal transmission of the modules within patient interface box 100.

[0052] Combine Figure 3 In a preferred case, the excitation light path module 102 includes a first lens 1021, a first filter 1022 and a second lens 1023. The first lens 1021, the first filter 1022 and the second lens 1023 are arranged in sequence in the light path direction of the light source, and the first lens 1021, the first filter 1022 and the second lens 1023 are located on the same axis; the first lens 1021 converts the light source into a first parallel light beam, the first filter 1022 filters the first parallel light beam, and the second lens 1023 focuses the filtered first parallel light beam to form excitation light. It should be noted that the specific parameters of the first lens 1021 and the second lens 1023 are not limited here. In an optional case, the first lens 1021 and the second lens 1023 with appropriate aperture and focal length are selected according to the size of the excitation light path module 102; the spacing between the first lens 1021 and the second lens 1023 and the first filter 1022 is also not limited. In a preferred case, the first lens 1021 and the second lens 1023 with the same parameters are used, and the first lens 1021 and the second lens 1023 are symmetrically arranged on both sides of the first filter 1022.

[0053] Combine Figure 4In a preferred embodiment, the receiving optical path module 104 includes a third lens 1041, a second filter 1042 and a fourth lens 1043. The third lens 1041, the second filter 1042 and the fourth lens 1043 are sequentially arranged in the optical path direction of the fluorescence, and the third lens 1041, the second filter 1042 and the fourth lens 1043 are located on the same axis; the third lens 1041 converts the fluorescence into a second parallel light beam, the second filter 1042 filters the second parallel light beam, and the fourth lens 1043 focuses the filtered second parallel light beam. It should be noted that the specific parameters of the third lens 1041 and the fourth lens 1043 are not limited here. In an optional case, the third lens 1041 and the fourth lens 1043 with an appropriate aperture and focal length are selected according to the size of the receiving optical path module 104; the spacing between the third lens 1041 and the fourth lens 1043 and the second filter 1042 is also not limited. In a preferred case, the third lens 1041 and the fourth lens 1043 with the same parameters are used, and the third lens 1041 and the fourth lens 1043 are symmetrically arranged on both sides of the second filter 1042.

[0054] In one embodiment, the point light beam emitted by the light source module 101 is converted into a parallel light beam through the first lens 1021. The parallel light beam is more conducive to the first filter 1022 to accurately filter out the parallel light beam of the specified wavelength. The filtered parallel light beam is focused after passing through the second lens 1023. After focusing, it is introduced into the object to be measured through the probe 200. The object to be measured generates fluorescence after being excited by the excitation light. The probe 200 introduces the fluorescence into the receiving light path module 104. The fluorescence entering the receiving light path module 104 is first converted into a parallel light beam through the third lens 1041. The parallel light beam fluorescence is more conducive to the second filter 1042 to accurately filter out the fluorescence of the specified wavelength. After passing through the fourth lens 1043, it is focused and the focused fluorescence is introduced into the spectrometer 105. In this embodiment, the focal lengths of the first lens 1021, the second lens 1023, the third lens 1041, and the fourth lens 1043 are all 10 mm. The filtering range of the first filter 1022 is 780-800 nm, and the filtering range of the second filter 1042 is 800-850 nm. The filtering range of 780-800 nm is the wavelength range of the excitation light filtered by the first filter 1022, and the filtering range of 800-850 nm is the wavelength range of the fluorescence filtered by the second filter 1042. Preferably, the parameters of each lens are consistent. Through such a configuration, the lenses are universal, making the structures of the excitation optical path module 102 and the receiving optical path module 104 simpler.

[0055] Combine Figure 1 and Figure 2In a preferred embodiment, the collection electrode 106 includes a first channel and a second channel for simultaneously collecting electromyographic signals from multiple locations. The first channel includes a first positive electrode 1061 and a first negative electrode 1062, and the second channel includes a second positive electrode 1063 and a second negative electrode 1064. The first positive electrode 1061, the first negative electrode 1062, the second positive electrode 1063, and the second negative electrode 1064 are connected to the cable 108. By providing the first and second channels, electromyographic signals from different locations of the measured object can be collected separately, thereby improving the accuracy of the judgment result. Furthermore, the collection electrode 106 also includes a reference electrode 1065, which is connected to the measured object and is used to provide a reference potential. The electromyographic signals of the measured object are collected through the first channel, the second channel, and the reference electrode 1065, and the electromyographic signals are transmitted to the host computer 300 via the cable 108.

[0056] In a preferred embodiment, stimulation electrode 107 includes a positive stimulation channel electrode 1071 and a negative stimulation channel electrode 1072. Positive stimulation channel electrode 1071 is connected to the subject being measured, while negative stimulation channel electrode 1072 is connected to probe 200. Furthermore, patient interface box 100 also includes a connector 109 disposed on one side of patient interface box 100. Connector 109 connects probe 200 and negative stimulation channel electrode 1072. Probe 200 includes a wire for current flow. After connector 109 and probe 200 are connected, probe 200 can introduce current from the subject being measured into patient interface box 100 through the connector. Current output from positive stimulation channel electrode 1071 is returned to negative stimulation channel electrode 1072 through connector 109, forming a current loop. Preferably, connector 109 and probe 200 are detachably connected to facilitate removal of probe 200 from patient interface box 100. Specifically, positive stimulation channel electrode 1071 and negative stimulation channel electrode 1072 are connected to cable 108. The host 300 transmits current from the positive electrode 1071 of the stimulation channel to the subject via the cable 108. The current then forms a loop along the negative electrode 1072 of the stimulation channel after the probe 200 contacts the subject. The subject generates electromyographic signals after being stimulated by the current, which are then collected by the collection electrodes 106.

[0057] In a preferred embodiment, cable 108 includes a data acquisition cable 1081 and a stimulation cable 1082. Data acquisition cable 1081 is connected to data acquisition electrode 106 and is used to transmit signals from data acquisition electrode 106 to host 300. Stimulation cable 1082 is connected to stimulation electrode 107 and is connected to host 300 to transmit current from host 300 to the subject. Cable 108 is divided into data acquisition cable 1081 and stimulation cable 1082, and is divided into two channels at one end of patient interface box 100 to facilitate connection and removal between patient interface box 100 and host 300. The two channels are separated and do not interfere with each other, thereby improving the efficiency of information and current transmission.

[0058] Combine Figures 1 to 5In one embodiment of the present invention, a surgical device is provided, which includes a patient interface box 100, a probe 200, a host 300, a first wire and a second wire; the probe 200 is connected to the connector 109, the first interface 102a is connected to the probe 200 via an optical fiber, and the light source is transmitted to the object to be measured; the second interface 104a is connected to the probe 200 via an optical fiber, and the receiving optical path module 104 obtains the fluorescence of the object to be measured collected by the probe 200 through the second interface 104a; the patient interface box 100 and the host 300 are connected via The cable 108 is connected, and the cable 108 also includes a communication cable 1083, which connects the control board 103 and the host 300; one end of the first wire is connected to the nerve cannula, and the other end of the first wire is connected to the collection electrode 106, wherein the nerve cannula is set on the object to be measured, and is used to monitor the electromyographic signal of the object to be measured, and transmit the electromyographic signal to the collection electrode 106 through the first wire to complete the collection of the electromyographic signal; one end of the second wire is connected to the stimulation electrode 107, and the other end of the second wire is connected to the object to be measured. During operation of the surgical device, the patient interface box 100 outputs excitation light of a specific wavelength. This excitation light is then directed through the probe 200 into the subject being tested. The subject, stimulated by the excitation light, produces autofluorescence, which is then directed through the probe 200 into the patient interface box 100. The patient interface box 100 then obtains the fluorescence value from the autofluorescence and transmits it to the host computer 300 via the communication cable 1083, thereby determining whether the subject is suffering from parathyroid glands. Furthermore, the host computer 300 generates an electric current, which passes through the patient interface box 100 and connects to the subject via a second conductor. When the probe 200 contacts the subject, the current is transferred to the subject, completing a current loop. The subject undergoing electrical stimulation generates an electromyographic signal, which the patient interface box 100 collects via the first conductor and transmits along the cable 108 to the host computer 300, where the waveform is displayed. The waveform is then used to determine whether the subject has the recurrent laryngeal nerve and whether the nerve is damaged. Furthermore, the first wire also includes a reference wire, one end of which is connected to the object under test, and the other end of which is connected to the collection electrode 106. By setting the reference wire, a reference point is provided for the collected electromyographic signal to determine whether the collected electromyographic signal is incorrect.

[0059] The interface form of the first interface 102a and the second interface 104a is not limited here. In an optional situation, two SMA connectors are provided on the same side of the patient interface box 100, and the two SMA connector box probes are connected via optical fiber. Preferably, the optical fiber uses a large-size, high-efficiency optical fiber with a core diameter of 0.37NA and 1mm to reduce light loss and improve the accuracy of the detection results. The specific arrangement and fixing method of the first and second wires and the object under test are also not limited, as long as they can complete the transmission and collection of the current signal of the object under test. Optionally, a subcutaneous needle is provided at the end of the second wire that contacts the object under test, and the human nerves are stimulated by the stimulation electrode 107 and the subcutaneous needle on the second wire.

[0060] It should be understood that the above-described specific embodiments of the present invention are merely illustrative of or explanation of the principles of the present invention and do not constitute limitations of the present invention. Therefore, any modifications, equivalent substitutions, improvements, etc. made without departing from the spirit and scope of the present invention shall be included within the scope of protection of the present invention. In addition, the appended claims of the present invention are intended to cover all variations and modifications that fall within the scope and metes and bounds of the appended claims, or equivalents thereof.

Claims

1. An optoelectronic integrated patient interface box, characterized in that: The optoelectronic integrated patient interface box is connected to the probe (200) and the host (300), and the optoelectronic integrated patient interface box includes: a parathyroid gland detection circuit and a recurrent laryngeal nerve detection circuit; The parathyroid gland detection circuit comprises a light source module (101), an excitation light path module (102), a control board (103), a receiving light path module (104) and a spectrometer (105), wherein the light source module (101) is connected to the control board (103), the excitation light path module (102) is connected to the light source output end of the light source module (101), the receiving light path module (104) is connected to the spectrometer (105), and the spectrometer (105) is connected to the control board (103); The light source output end of the light source module (101) outputs a light source, the excitation light path module (102) adjusts the light source to excitation light and guides the excitation light into the object to be measured along the probe (200), the receiving light path module (104) receives the fluorescence generated by the object to be measured in response to the excitation light through the probe (200), and transmits the fluorescence to the spectrometer (105), the spectrometer (105) obtains the fluorescence value of the fluorescence and transmits the fluorescence value to the control board (103), and the control board (103) transmits the fluorescence value to the host (300); The recurrent laryngeal nerve detection circuit includes a collection electrode (106) and a stimulation electrode (107). The stimulation electrode (107) transmits a stimulation current to the subject being tested through the probe (200). The collection electrode (106) collects the electromyographic signal generated by the subject being tested in response to the stimulation current and transmits the electromyographic signal to the host (300).

2. The patient interface box of claim 1, wherein: The excitation light path module (102) comprises a first lens (1021), a first filter (1022) and a second lens (1023), wherein the first lens (1021), the first filter (1022) and the second lens (1023) are sequentially arranged in the light path direction of the light source, and the first lens (1021), the first filter (1022) and the second lens (1023) are located on the same axis; The first lens (1021) converts the light source into a first parallel light beam, the first filter (1022) filters the first parallel light beam, and the second lens (1023) focuses the filtered first parallel light beam to form excitation light.

3. The patient interface box of claim 1 , wherein: The receiving optical path module (104) comprises a third lens (1041), a second optical filter (1042) and a fourth lens (1043), wherein the third lens (1041), the second optical filter (1042) and the fourth lens (1043) are sequentially arranged in the optical path direction of the fluorescence, and the third lens (1041), the second optical filter (1042) and the fourth lens (1043) are located on the same axis; The third lens (1041) converts the fluorescence into a second parallel light beam, the second filter (1042) filters the second parallel light beam, and the fourth lens (1043) focuses the filtered second parallel light beam.

4. The patient interface box of claim 1 , wherein: The collecting electrode (106) includes a first channel and a second channel; The first channel includes a first collecting positive electrode (1061) and a first collecting negative electrode (1062), and the second channel includes a second collecting positive electrode (1063) and a second collecting negative electrode (1064).

5. The patient interface box of claim 4, wherein: The collection electrode (106) further comprises a reference electrode (1065), and the reference electrode (1065) is connected to the object to be measured.

6. The patient interface box of claim 1, wherein: The stimulation electrode (107) comprises a stimulation channel positive electrode (1071) and a stimulation channel negative electrode (1072), wherein the stimulation channel positive electrode (1071) is connected to the object to be measured, and the stimulation channel negative electrode (1072) is connected to the probe (200).

7. The patient interface box of claim 6, wherein: The patient interface box further comprises a connector (109) provided on one side of the patient interface box, wherein the connector (109) connects the probe (200) and the negative electrode (1072) of the stimulation channel. 。 8. The patient interface box of claim 1 , wherein: The patient interface box further comprises a cable (108), wherein the cable (108) comprises an acquisition cable (1081) and a stimulation cable (1082); The acquisition cable (1081) connects the acquisition electrode (106) and the host (300), and the stimulation cable (1082) connects the stimulation electrode (107) and the host (300).

9. A surgical device, characterized in that: The surgical device comprises the patient interface box according to any one of claims 1 to 8, and further comprises a probe (200), a host (300), a first lead and a second lead; The probe (200) is connected to the patient interface box, and the patient interface box is connected to the host (300) via a cable (108). The cable (108) further includes a communication cable (1083). The communication cable (1083) connects the control board (103) and the host (300). One end of the first wire is connected to the nerve cannula, and the other end of the first wire is connected to the collection electrode (106); one end of the second wire is connected to the stimulation electrode (107), and the other end of the second wire is connected to the object being measured.

10. The surgical device according to claim 9, wherein: The excitation optical path module (102) and the probe (200) are connected via optical fiber, and the receiving optical path module (104) and the probe (200) are connected via optical fiber.