Neurological diagnosis and treatment system, control method of neurological diagnosis and treatment system and electronic equipment
Through the neural diagnosis and treatment system, the use of nerve stimulation signals is used to locate and combine continuous radio frequency or pulsed radio frequency signals for precise treatment, which solves the problems of difficulty in positioning, poor accuracy and incomplete ablation in the treatment of chronic low back pain in the prior art, and achieves high efficiency , accurate treatment of lumbar pain.
Patent Information
- Application Number
- CN202411309844.4
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2024-09-19
- Publication Date
- 2025-02-14
- Estimated Expiration
- Not applicable · inactive patent
AI Technical Summary
The prior art When using radiofrequency ablation technology to treat chronic low back pain caused by inflammation of the vertebral endplate, there are problems such as difficulty in positioning, poor accuracy, and incomplete ablation.
Provide a neural diagnosis and treatment system, including a control module, a continuous radio frequency module, a pulsed radio frequency module and a nerve stimulation module, to locate nerves in damaged areas through nerve stimulation signals, and to use continuous radio frequency signals or pulsed radio frequency signals for precise ablation and blocking or Analgesia and repair.
Accurate positioning and precise treatment of nerves in damaged areas are achieved, reducing the cost and complications of lumbar pain treatment, and improving the accuracy and effectiveness of treatment.
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Figure CN119423957A_ABST
Abstract
Description
Technical Field
[0001] The present application relates to the field of medical devices, and in particular to a neurological diagnosis and treatment system and a control method and electronic equipment of the neurological diagnosis and treatment system. Background Art
[0002] Chronic low back pain is the most common musculoskeletal disease worldwide and a major cause of disability and inability to continue working. In recent years, relevant studies have discovered and documented the rich nerve distribution in human vertebrae and indicated that low back pain may be related to damage to the vertebral endplates. The vertebral endplates are the upper and lower edges of the vertebral bodies. As an important tissue structure, they must be strong to prevent vertebral fractures and porous to facilitate the transport of substances between the intervertebral disc tissue and the vertebral capillaries. Therefore, the vertebral endplates are particularly susceptible to damage from inflammation, trauma and nerve proliferation, causing corresponding pain and discomfort.
[0003] Multiple independent studies and systematic reviews have shown that Modic changes are associated with low back pain. Intraosseous vertebral basal nerve radiofrequency ablation is an effective method for treating symptomatic low back pain caused by Modic changes. Currently, the treatment of chronic low back pain is mainly divided into conservative treatment and invasive treatment. After invasive procedures such as total disc replacement or lumbar fusion, the patient's pain and function have been improved in a short period of time, but long-term observations have found that patients are prone to low back stiffness and significant limitation of activity, leading to decreased social and psychological function and quality of life. Given the increasing number of patients with chronic low back pain, there is an urgent need to develop new minimally invasive, effective and cost-effective treatments.
[0004] The current use of radiofrequency ablation technology to treat chronic low back pain caused by vertebral endplate inflammation has problems such as difficult positioning, poor accuracy, and incomplete ablation, and no effective solution has been proposed yet. Summary of the invention
[0005] A neurological diagnosis and treatment system provided in an embodiment of the present application at least solves the problems of difficult positioning, poor accuracy, and incomplete ablation in the current use of radiofrequency ablation technology to treat chronic low back pain caused by vertebral endplate inflammation.
[0006] According to one aspect of an embodiment of the present application, a neurological diagnosis and treatment system is provided, including: a control module, a continuous radio frequency module, a pulsed radio frequency module and a neurostimulation module, wherein the control module is connected to the continuous radio frequency module, the pulsed radio frequency module and the neurostimulation module, respectively, wherein the neurostimulation module is configured to generate a neurostimulation signal and output the neurostimulation signal to a diagnosis and treatment probe; the continuous radio frequency module is configured to generate a continuous radio frequency signal and output the continuous radio frequency signal to the diagnosis and treatment probe; the pulsed radio frequency module is configured to generate a pulsed radio frequency signal and output the pulsed radio frequency signal to the diagnosis and treatment probe; the control module is configured to control the neurostimulation module to generate a neurostimulation signal, stimulate the nerves in the target area with the neurostimulation signal through the diagnosis and treatment probe, and determine the location of the nerves in the damaged area; and control the continuous radio frequency module to generate a continuous radio frequency signal, apply the continuous radio frequency signal to the nerves in the damaged area through the diagnosis and treatment probe, and ablate and block the nerves in the damaged area; or control the pulsed radio frequency module to generate a pulsed radio frequency signal, apply the pulsed radio frequency signal to the nerves in the damaged area through the diagnosis and treatment probe, and relieve pain and repair the nerves in the damaged area.
[0007] Optionally, the control module is configured to determine the working mode of the neurological diagnosis and treatment system according to the size of the damaged area, wherein the working mode includes a continuous radio frequency mode and a pulsed radio frequency mode, the continuous radio frequency mode corresponds to the operation of the continuous radio frequency module, and the pulsed radio frequency mode corresponds to the operation of the pulsed radio frequency module.
[0008] Optionally, the continuous RF module includes: an RF power amplifier module and an RF signal matching module, wherein the RF power amplifier module is connected to the RF signal matching module, configured to generate a continuous RF signal, and input the continuous RF signal to the RF signal matching module; the RF signal matching module is configured to match the output impedance of the continuous RF signal according to the electrical characteristics of the nerves in the damaged area.
[0009] Optionally, the pulsed RF module includes: an RF power amplifier module and an RF signal matching module, wherein the RF power amplifier module is connected to the RF signal matching module, configured to generate a pulsed RF signal, and input the pulsed RF signal to the RF signal matching module; the RF signal matching module is configured to match the output impedance of the pulsed RF signal according to the electrical characteristics of the nerves in the damaged area.
[0010] Optionally, the neurological diagnosis and treatment system also includes: a data acquisition module connected to the control module, configured to collect the radio frequency signal and temperature of the diagnosis and treatment probe in real time during the process of ablation, blocking, analgesia and repair of nerves in the damaged area; a control module, configured to control the energy of the continuous radio frequency signal generated by the continuous radio frequency module or control the energy of the pulsed radio frequency signal generated by the pulsed radio frequency module according to the radio frequency signal and temperature collected by the data acquisition module.
[0011] Optionally, the data acquisition module includes: a radio frequency signal acquisition unit, configured to collect the radio frequency signal of the diagnostic probe; a temperature signal acquisition unit, configured to collect the temperature of the diagnostic probe; a probe identification unit, configured to detect the model of the diagnostic probe and the connection channel between the diagnostic probe and the neurological diagnosis and treatment system, and set treatment parameters according to the model and the connection channel so that the connection channel outputs a neural stimulation signal, a continuous radio frequency signal or a pulsed radio frequency signal.
[0012] Optionally, the control module is further configured to detect the model of the diagnostic probe and whether the neurological diagnostic system is connected to the diagnostic probe.
[0013] Optionally, the neurological diagnosis and treatment system also includes: a power supply module, which is configured to supply power to other modules of the neurological diagnosis and treatment system and to control in real time the power of the continuous RF module to generate a continuous RF signal or to control in real time the power of the pulsed RF module to generate a pulsed RF signal; a display input module, which is connected to the control module and is configured to set treatment parameters and display parameters collected during the process of ablation, blocking, analgesia and repair of nerves in the damaged area; and an isolation module, which is arranged between the continuous RF module, the pulsed RF module, the nerve stimulation module, the data acquisition module and the diagnosis and treatment probe.
[0014] According to another aspect of an embodiment of the present application, a control method for a neurological diagnosis and treatment system is also provided. The method is applied to the above neurological diagnosis and treatment system, including: controlling the neurological diagnosis and treatment system to generate a nerve stimulation signal, and outputting the nerve stimulation signal to a diagnosis and treatment probe; using the nerve stimulation signal to stimulate the nerves in the target area through the diagnosis and treatment probe to determine the location of the nerves in the damaged area; controlling the neurological diagnosis and treatment system to generate a continuous radio frequency signal, and outputting the continuous radio frequency signal to the diagnosis and treatment probe; and applying the continuous radio frequency signal to the nerves in the damaged area through the diagnosis and treatment probe to ablate and block the nerves in the damaged area; or controlling the neurological diagnosis and treatment system to generate a pulsed radio frequency signal, and outputting the pulsed radio frequency signal to the diagnosis and treatment probe; and applying the pulsed radio frequency signal to the nerves in the damaged area through the diagnosis and treatment probe to relieve pain and repair the nerves in the damaged area.
[0015] Optionally, after stimulating the nerves in the target area with a nerve stimulation signal through a diagnostic probe and determining the location of the nerves in the damaged area, the method further includes: determining the size of the damaged area; determining the working mode of the neurodiagnosis and treatment system according to the size of the range, wherein the working modes include continuous radio frequency mode and pulsed radio frequency mode, the continuous radio frequency mode corresponds to the operation of a continuous radio frequency module, and the pulsed radio frequency mode corresponds to the operation of a pulsed radio frequency module.
[0016] Optionally, the above method also includes: in the process of ablation, blocking, analgesia and repair of nerves in the damaged area, real-time collection of the radio frequency signal and temperature of the diagnostic probe; controlling the energy of the continuous radio frequency signal generated by the neurodiagnosis and treatment system or controlling the energy of the pulsed radio frequency signal generated by the pulsed radio frequency module according to the collected radio frequency signal and temperature.
[0017] According to another aspect of an embodiment of the present application, there is provided an electronic device, comprising: a processor, and a memory for storing a program, wherein the program comprises instructions, and when the instructions are executed by the processor, the processor executes the above method.
[0018] According to another aspect of the embodiments of the present application, a non-transitory machine-readable medium storing computer instructions is provided, where the computer instructions are used to enable a computer to execute the above method.
[0019] According to another aspect of the embodiments of the present application, a computer program product is provided, including a computer program, and when the computer program is executed by a processor of a computer, the computer program is used to enable the computer to execute the above method.
[0020] Beneficial effects of the embodiments of the present application:
[0021] In an embodiment of the present application, a neurological diagnosis and treatment system is provided. The system acts on tissues through the same probe with a nerve stimulation signal and a continuous radio frequency signal or a pulsed radio frequency signal. Before treatment, the nerve stimulation signal is used to stimulate the nerves to locate the nerves in the damaged area. The continuous radio frequency signal or the pulsed radio frequency signal is then controlled to accurately act on the nerves in the damaged area for treatment, thereby achieving the technical effect of accurately locating the nerves in the damaged area, accurately controlling the treatment process of lumbar pain, and reducing the treatment cost of lumbar pain.
[0022] Details of one or more embodiments of the present application are set forth in the following drawings and description to make other features, objects, and advantages of the present application more readily apparent. BRIEF DESCRIPTION OF THE DRAWINGS
[0023] In order to more clearly illustrate the technical solutions in the embodiments of the present application or the prior art, the following briefly introduces the drawings required for use in the embodiments or the prior art descriptions. Obviously, the drawings described below are only some embodiments of the present application, and for ordinary technicians in this field, other embodiments can be obtained based on these drawings without creative work.
[0024] Figure 1 is a structural block diagram of a neurological diagnosis and treatment system according to an embodiment of the present application;
[0025] Figure 2is a flow chart of a control method of a neurological diagnosis and treatment system according to an embodiment of the present application;
[0026] Figure 3 is a schematic structural diagram of an electronic device of this embodiment;
[0027] Figure 4 It is a schematic diagram of vertebral lesions;
[0028] Figure 5a is a schematic diagram of stimulation positioning using a neural stimulation signal;
[0029] Figure 5b is a schematic diagram of stimulation positioning using a neural stimulation signal;
[0030] Figure 6 It is a schematic diagram of using continuous radio frequency signals or pulsed radio frequency signals to treat nerves in damaged areas. DETAILED DESCRIPTION
[0031] Embodiments of the present embodiment will be described in more detail below with reference to the accompanying drawings. Although certain embodiments of the present embodiment are shown in the accompanying drawings, it should be understood that the present embodiment can be implemented in various forms and should not be construed as being limited to the embodiments set forth herein, which are instead provided for a more thorough and complete understanding of the present embodiment. It should be understood that the drawings and embodiments of the present embodiment are only for exemplary purposes and are not intended to limit the scope of protection of the present embodiment.
[0032] In the related art, it is difficult for existing related medical devices to accurately locate damaged nerves, and it is impossible to effectively treat damaged nerves. In order to solve this problem, the embodiments of the present application provide related solutions, which are described in detail below.
[0033] Figure 1 is a structural block diagram of a neurological diagnosis and treatment system according to an embodiment of the present application, such as Figure 1 As shown, the system includes: a control module 11, a continuous radio frequency module 12, a pulse radio frequency module 18 and a neural stimulation module 13, and the control module 11 is connected to the continuous radio frequency module 12, the pulse radio frequency module 18 and the neural stimulation module 13 respectively, wherein:
[0034] The nerve stimulation module 13 is configured to generate a nerve stimulation signal and output the nerve stimulation signal to the diagnosis and treatment probe.
[0035] Figure 4 This is a schematic diagram of vertebral lesions. Figure 5a and Figure 5bIt is a schematic diagram of using nerve stimulation signals to stimulate positioning. In the embodiment of the present application, the nerve stimulation module 13 generates a low-frequency sine wave signal, which is then linearly amplified and isolated and output to the diagnosis and treatment probe to puncture the nerves, and the damaged area is determined based on the feedback of the punctured nerve signals, so as to find the nerves in the damaged area and perform targeted ablation therapy or analgesia and repair.
[0036] The nerve stimulation signal may be a voltage stimulation signal, and the parameters of the voltage stimulation signal are: frequency 200 Hz, pulse width 3 ms, voltage 10 V. The nerve stimulation signal may also be a current stimulation signal, and the parameters of the current stimulation signal are: frequency 200 Hz, pulse width 3 ms, current 10 mA.
[0037] Diagnostic probes usually refer to instruments or devices used for diagnosis and treatment in the medical field. They can be physical, such as endoscopes, ultrasonic probes, electrophysiological probes, etc., or molecular, such as fluorescent probes or nucleic acid probes for molecular imaging.
[0038] The continuous radio frequency module 12 is configured to generate a continuous radio frequency signal and output the continuous radio frequency signal to the diagnosis and treatment probe.
[0039] According to an optional embodiment of the present application, the continuous radio frequency module 12 generates a continuous radio frequency signal (eg, a sine wave signal) for radio frequency ablation, and outputs the generated continuous radio frequency signal to the diagnosis and treatment probe. Figure 6 It is a schematic diagram of using continuous radio frequency signals or pulsed radio frequency signals to treat nerves in damaged areas, such as Figure 6 As shown, the diagnostic and therapeutic probe accurately applies continuous radio frequency signals or pulsed radio frequency signals to the nerves in the damaged area, thereby treating the nerves in the damaged area.
[0040] A continuous RF signal refers to a RF signal that is continuously transmitted at a specified operating frequency and whose power remains constant over a long period of time.
[0041] In an optional embodiment of the present application, the parameters of the above-mentioned continuous radio frequency signal are as follows: temperature 110° C., frequency 475 kHz, power 50 W, slope time 180 s, and continuous output time 30 min.
[0042] The pulsed radio frequency module 18 is configured to generate a pulsed radio frequency signal and output the pulsed radio frequency signal to the diagnosis and treatment probe.
[0043] According to an optional embodiment of the present application, the pulsed radio frequency module 18 generates a pulsed radio frequency signal for analgesia and repair, and outputs the generated pulsed radio frequency signal to the diagnosis and treatment probe.
[0044] A pulsed RF signal refers to an RF signal transmitted in the form of pulses, that is, the signal is turned on and off at certain time intervals to form a periodic pulse sequence.
[0045] In an optional embodiment of the present application, the parameters of the pulsed radio frequency signal are as follows: temperature 95° C., frequency 10 Hz, output time 900 s, pulse duration 100 ms, and voltage 100 V.
[0046] The control module 11 is configured to control the nerve stimulation module 13 to generate a nerve stimulation signal, and use the nerve stimulation signal to stimulate the nerves in the target area through the diagnostic probe to determine the location of the nerves in the damaged area; and control the continuous radio frequency module 12 to generate a continuous radio frequency signal, and apply the continuous radio frequency signal to the nerves in the damaged area through the diagnostic probe to ablate and block the nerves in the damaged area; or control the pulse radio frequency module 18 to generate a pulse radio frequency signal, and apply the pulse radio frequency signal to the nerves in the damaged area through the diagnostic probe to relieve pain and repair the nerves in the damaged area.
[0047] The control module 11 is used to control the nerve stimulation module 13 to send out corresponding nerve stimulation signals to stimulate the nerves in the target area (for example, the lumbar nerves), detect the location of the nerves in the damaged area, and then control the continuous radio frequency module 12 to send out continuous radio frequency signals to accurately act on the nerves in the damaged area, thereby ablating and blocking the nerves in the damaged area.
[0048] Radiofrequency Ablation (RFA) is a technique that uses the thermal effects of high-frequency electrical current (radiofrequency energy) to destroy (ablate) diseased tissue. In nerve ablation, the target is usually the nerve fibers in the pain transmission pathway. RFA is achieved through the following steps:
[0049] 1) Catheterization: The doctor inserts a long, thin catheter (with electrodes) into the part of the body that needs treatment.
[0050] 2) Positioning the electrode: Using image-guided techniques, such as X-rays or ultrasound, the electrode is precisely placed near the nerve.
[0051] 3) Emitting RF energy: The electrode begins to emit RF energy, which generates heat around the electrode tip.
[0052] 4) Tissue heating: Heat is gradually increased until it is sufficient to destroy nerve tissue, usually in the temperature range of 60°C to 90°C.
[0053] 5) Tissue ablation: Nerve tissue is destroyed due to high temperature, thus preventing the transmission of pain signals.
[0054] The control module 11 is also used to control the pulsed radio frequency module 18 to emit a pulsed radio frequency signal to accurately act on the nerves in the damaged area, thereby relieving pain and repairing the nerves in the damaged area.
[0055] Pulsed radiofrequency signals are a newer variant that, unlike traditional radiofrequency ablation, do not directly heat nerve tissue, but instead modulate nerve activity through short radiofrequency pulses to achieve analgesic effects. This technology causes less damage to nerve tissue and has the effect of promoting repair.
[0056] In the embodiment of the present application, the control module 11 is based on an embedded microprocessor and is used to carry the control process and control algorithm of the entire system.
[0057] It is understandable that the nerve diagnosis and treatment system proposed in this application can not only diagnose and treat nerves in the damaged area of lumbar spine, but also diagnose and treat nerves in damaged areas of other parts of the body.
[0058] According to another optional embodiment of the present application, the control module 11 is configured to determine the working mode of the neurological diagnosis and treatment system according to the size of the damaged area, wherein the working mode includes a continuous radio frequency mode and a pulsed radio frequency mode, the continuous radio frequency mode corresponds to the operation of the continuous radio frequency module, and the pulsed radio frequency mode corresponds to the operation of the pulsed radio frequency module.
[0059] In an embodiment of the present application, the control module 11 determines whether to use a continuous RF module to emit continuous RF signals to ablate and block the nerves in the damaged area, or to use a pulsed RF module to emit pulsed RF signals to relieve pain and repair the nerves in the damaged area based on the size of the damaged area (i.e., the size of the pain range).
[0060] In an optional embodiment, when the pain range exceeds 10mm, the continuous radio frequency module is controlled to work, a continuous radio frequency signal is emitted and output to the diagnosis and treatment probe, and the nerves in the damaged area are ablated and blocked by the diagnosis and treatment probe. When the pain range is less than 10mm, the pulsed radio frequency module is controlled to work, a pulsed radio frequency signal is emitted and output to the diagnosis and treatment probe, and the nerves in the damaged area are analgesic and repaired by the diagnosis and treatment probe.
[0061] Through the above technical solution, a neurological diagnosis and treatment system is provided that integrates ablation, blocking, analgesia and repair of nerves in damaged areas, achieving the technical effect of reducing the treatment cost of lumbar pain.
[0062] According to an optional embodiment of the present application, the continuous RF module 12 includes: an RF power amplifier module and an RF signal matching module, wherein the RF power amplifier module is connected to the RF signal matching module, configured to generate a continuous RF signal, and input the continuous RF signal to the RF signal matching module; the RF signal matching module is configured to match the output impedance of the continuous RF signal according to the electrical characteristics of the nerves in the damaged area.
[0063] The continuous RF module 12 includes an RF power amplifier module and an RF signal matching module, wherein the RF power amplifier module generates a continuous RF signal (eg, a sine wave signal) of a certain power, and then inputs the generated continuous RF signal into the RF signal matching module.
[0064] The radio frequency signal matching module matches the output impedance of the continuous radio frequency signal to correspond to the electrical characteristics of the actual ablated nerve according to the electrical characteristics of the actual ablated nerve.
[0065] The electrical properties involved in the process of ablation of nerves are mainly related to the conductivity of nerve tissue and the application of radiofrequency ablation technology. Nerve tissue itself has a certain conductivity, which enables it to conduct electrical signals and is also the basis for the effect of RFA technology.
[0066] The electrical conductivity of neural tissue affects the efficiency of radiofrequency energy delivery during ablation. Different tissue types have different electrical conductivities, which means they have different abilities to absorb radiofrequency energy and convert it into heat. For example, fluid-rich tissue (such as muscle) conducts electricity better than dry tissue (such as fat), and therefore heats more easily.
[0067] In addition, the temperature of the tissue also affects its conductivity. As the temperature increases, the conductivity of the tissue may change, which can affect the ablation effect. To ensure safe and effective ablation, doctors need to precisely control the output of RF energy and monitor tissue temperature. During the process of ablating nerves, understanding these electrical properties is crucial to ensure the safety and effectiveness of treatment.
[0068] According to another optional embodiment of the present application, the pulsed RF module 18 includes: an RF power amplifier module and an RF signal matching module, wherein the RF power amplifier module is connected to the RF signal matching module, configured to generate a pulsed RF signal, and input the pulsed RF signal to the RF signal matching module; the RF signal matching module is configured to match the output impedance of the pulsed RF signal according to the electrical characteristics of the nerves in the damaged area.
[0069] The RF power amplifier module and the RF signal matching module included in the pulse RF module 18 have similar functions to those of the RF power amplifier module and the RF signal matching module included in the continuous RF module 12, wherein the RF power amplifier module generates a pulse RF signal of a certain power, and then inputs the generated pulse RF signal into the RF signal matching module. The RF signal matching module matches the output impedance of the pulse RF signal to correspond to the electrical characteristics of the nerves in the actual damaged area according to the electrical characteristics of the nerves in the actual damaged area.
[0070] like Figure 1 As shown, the neurological diagnosis and treatment system proposed in the embodiment of the present application also includes: a data acquisition module 14, which is connected to the control module 11 and is configured to collect the RF signal and temperature of the diagnosis and treatment probe in real time during the process of ablation, blocking, analgesia and repair of nerves in the damaged area; the control module 11 is configured to control the energy of the continuous RF signal generated by the continuous RF module 12 or the energy of the pulsed RF signal generated by the pulsed RF module 18 according to the RF signal and temperature collected by the data acquisition module 14.
[0071] In the process of treating the nerves in the damaged area (ablation, blocking, analgesia and repair), the data acquisition module 14 is used to collect the temperature and real-time RF voltage and current signals (i.e., the above-mentioned RF signals) on the diagnosis and treatment probe in real time, and feed them back to the control module 11. The control module 11 processes the collected signals and feeds them back to the RF energy precision control algorithm to achieve precise control of RF energy.
[0072] Through the above scheme, while using radio frequency energy to accurately ablate or relieve pain and repair the nerves in the damaged area, excessive treatment, damage to normal tissues, and damage to the body can be avoided.
[0073] As an optional embodiment of the present application, the data acquisition module 14 includes: a radio frequency signal acquisition unit, configured to collect the radio frequency signal of the diagnostic probe; a temperature signal acquisition unit, configured to collect the temperature of the diagnostic probe; a probe identification unit, configured to detect the model of the diagnostic probe and the connection channel between the diagnostic probe and the neurological diagnosis and treatment system, and set treatment parameters according to the model and the connection channel so that the connection channel outputs a neural stimulation signal, a continuous radio frequency signal or a pulsed radio frequency signal.
[0074] The data acquisition module 14 includes a radio frequency signal acquisition unit and a temperature signal acquisition unit, wherein the radio frequency signal acquisition unit is used to collect voltage signals and current signals in real time during the ablation, analgesia and repair process, and the temperature signal acquisition unit is used to detect the probe temperature in real time during the data acquisition process, and to feed back the real-time temperature during the ablation, analgesia and repair process, so as to accurately control the treatment process.
[0075] Through the above-mentioned data acquisition module 14, the temperature change rate during the ablation, analgesia and repair process is controlled in real time according to the temperature during the ablation, analgesia and repair process. According to the demand for the temperature change rate, the change of the radio frequency output power is quickly controlled, so that the temperature changes at a certain rate during the ablation process, thereby accurately controlling the treatment process of lumbar pain.
[0076] The data acquisition module 14 also includes a probe identification unit. When the probe is inserted into the main unit of the neurological diagnosis and treatment system instrument, it can automatically identify the model of the probe and the channel into which the probe is inserted, and then configure the treatment parameters according to the identified probe model and channel, allowing the channel to output neural stimulation signals, continuous radio frequency signals or pulsed radio frequency signals.
[0077] In some optional embodiments of the present application, the control module 11 is further configured to detect the model of the diagnostic probe and to detect whether the neurological diagnostic system is connected to the diagnostic probe.
[0078] In an embodiment of the present application, the control module 11 also includes an automatic identification unit for the diagnostic probe, which can automatically identify the model of the probe and whether the probe is connected, which is beneficial to the protection output of the continuous radio frequency signal and the control of the continuous radio frequency signal output according to the determined probe model.
[0079] like Figure 1 As shown, the neurological diagnosis and treatment system proposed in this application also includes:
[0080] The power supply module 15 is configured to supply power to other modules of the neurological diagnosis and treatment system and to control in real time the power of the continuous RF signal generated by the continuous RF module 12 or the power of the pulse RF signal generated by the pulse RF module 18.
[0081] The power module 15 includes an AC-DC medical power module and an adjustable RF control power module. After the network point is connected to the system, the AC-DC module converts the AC power into a DC power, and then the DC power is converted into a DC-DC power to power the entire system. And the control module 11 controls the adjustable RF control power module to output an adjustable RF control power supply, which is used to control the power of the continuous RF signal or the pulsed RF signal in real time.
[0082] The display input module 16 is connected to the control module 11 and is configured to set treatment parameters and display parameters collected during the process of ablation, blocking, analgesia and repair of nerves in the damaged area.
[0083] The display input module 16 may be a touch screen display, which is used to set the treatment parameters during the treatment process and to display the collected parameters during the treatment process in real time.
[0084] The isolation module 17 is arranged between the continuous radio frequency module 12, the pulse radio frequency module 18, the nerve stimulation module 13, the data acquisition module 14 and the diagnosis and treatment probe.
[0085] In an embodiment of the present application, the isolation module 17 is arranged between the continuous RF module 12, the pulsed RF module 18, the neural stimulation module 13, the data acquisition module 14 and the diagnostic probe, and is used to isolate the inside of the system from the outside of the system. For example, the neural stimulation module 13 generates a sinusoidal wave signal and performs linear amplification processing, and then isolates the output to the diagnostic probe through the isolation module 17.
[0086] The isolation module 17 uses a transformer to isolate the continuous radio frequency signal and uses a linear optical coupler to isolate the nerve stimulation signal.
[0087] The above isolation module can be used to isolate and output the diagnosis and treatment signals to the patient, thereby protecting the patient's safety during the diagnosis and treatment process.
[0088] The above-mentioned neurodiagnosis and treatment system provided in the present application accurately locates the nerves in the damaged area causing lumbar pain through percutaneous puncture of a probe, and then uses radiofrequency ablation signals to accurately control the ablation process in real time, or uses pulsed radiofrequency signals to accurately control the analgesia and repair process in real time, so that continuous radiofrequency signals or pulsed radiofrequency signals can accurately treat the nerves in the damaged area while avoiding overtreatment and damage to normal tissue.
[0089] Figure 2 is a flow chart of a control method of a neurological diagnosis and treatment system according to an embodiment of the present application, the method is applied to Figure 1 The neurological diagnosis and treatment system shown in Figure 2 As shown, the method comprises the following steps:
[0090] Step S202, controlling the nerve diagnosis and treatment system to generate a nerve stimulation signal, and outputting the nerve stimulation signal to the diagnosis and treatment probe.
[0091] In this step, the controller controls the nerve stimulation module to send out a corresponding nerve stimulation signal (eg, a sinusoidal wave signal), and then linearly amplifies the nerve stimulation signal and isolates and outputs it to the diagnosis and treatment probe.
[0092] Step S204, using the diagnosis and treatment probe to stimulate the nerves in the target area using the nerve stimulation signal to determine the location of the nerves in the damaged area.
[0093] In this step, the diagnostic probe is controlled to probe the nerves, and the damaged area is determined based on the feedback of the probed nerve signals, so as to find the nerves in the damaged area for targeted ablation treatment.
[0094] Step S206, controlling the nerve diagnosis and treatment system to generate a continuous radio frequency signal, and outputting the continuous radio frequency signal to the diagnosis and treatment probe; and applying the continuous radio frequency signal to the nerves in the damaged area through the diagnosis and treatment probe, thereby ablating and blocking the nerves in the damaged area.
[0095] When executing step S206, the continuous radio frequency module is controlled to generate a continuous radio frequency signal (eg, a sine wave signal) for radio frequency ablation, and the generated continuous radio frequency signal is output to the diagnosis and treatment probe.
[0096] After a continuous radio frequency signal is generated for radio frequency ablation, the nerves in the damaged area are ablated and blocked through the diagnostic and therapeutic probe.
[0097] Step S208, controlling the nerve diagnosis and treatment system to generate a pulsed radio frequency signal, and outputting the pulsed radio frequency signal to the diagnosis and treatment probe; and applying the pulsed radio frequency signal to the nerves in the damaged area through the diagnosis and treatment probe to relieve pain and repair the nerves in the damaged area.
[0098] Pulsed radio frequency signals refer to radio frequency signals transmitted in the form of pulses, that is, the signal is turned on and off at certain time intervals to form a periodic pulse sequence. After the pulsed radio frequency signal for pain relief and repair is generated, the diagnostic probe is used to relieve pain and repair the nerves in the damaged area.
[0099] According to an optional embodiment of the present application, step S204 is executed to stimulate the nerves in the target area using a nerve stimulation signal through a diagnostic probe, and after determining the location of the nerves in the damaged area, the size of the damaged area is determined; the working mode of the nerve diagnosis and treatment system is determined according to the size of the range, wherein the working mode includes a continuous radio frequency mode and a pulsed radio frequency mode, the continuous radio frequency mode corresponds to the operation of a continuous radio frequency module, and the pulsed radio frequency mode corresponds to the operation of a pulsed radio frequency module.
[0100] In an embodiment of the present application, it is determined according to the size of the damaged area (i.e., the size of the pain range) whether to use a continuous RF module to emit a continuous RF signal to ablate and block the nerves in the damaged area, or to use a pulsed RF module to emit a pulsed RF signal to relieve pain and repair the nerves in the damaged area.
[0101] In an optional embodiment, when the pain range exceeds 10mm, the continuous radio frequency module is controlled to work, a continuous radio frequency signal is emitted and output to the diagnosis and treatment probe, and the nerves in the damaged area are ablated and blocked by the diagnosis and treatment probe. When the pain range is less than 10mm, the pulsed radio frequency module is controlled to work, a pulsed radio frequency signal is emitted and output to the diagnosis and treatment probe, and the nerves in the damaged area are analgesic and repaired by the diagnosis and treatment probe.
[0102] Through the above technical solution, a neurological diagnosis and treatment system is provided that integrates ablation, blocking, analgesia and repair of nerves in damaged areas, achieving the technical effect of reducing the treatment cost of lumbar pain.
[0103] According to another optional embodiment of the present application, during the process of ablation, blocking, analgesia and repair of nerves in the damaged area, the RF signal and temperature of the diagnostic probe are collected in real time; the energy of the continuous RF signal generated by the neurodiagnosis and treatment system is controlled according to the collected RF signal and temperature, or the energy of the pulsed RF signal generated by the pulsed RF module is controlled.
[0104] During the treatment of the damaged nerves, the data acquisition module collects the temperature and real-time RF voltage and current signals (i.e., the above-mentioned RF signals) on the diagnostic probe in real time and feeds them back to the control module. The control module processes the collected signals and feeds them back to the RF energy precision control algorithm to achieve precise control of RF energy.
[0105] Through the above method, a probe is percutaneously punctured to accurately locate the nerves in the damaged area causing lumbar pain, and then the radiofrequency ablation signal or pulsed radiofrequency signal is used to accurately control the treatment process in real time, so that the continuous radiofrequency signal or pulsed radiofrequency signal can accurately treat the nerves in the damaged area while avoiding overtreatment and damage to normal tissue.
[0106] The embodiment of the present application also provides an electronic device, comprising: at least one processor; and a memory connected to the at least one processor in communication. The memory stores a computer program executable by the at least one processor, and the computer program is used to enable the electronic device to perform the method of the embodiment of the present application when executed by the at least one processor.
[0107] An embodiment of the present application also provides a non-transitory machine-readable medium storing a computer program, wherein the computer program, when executed by a processor of a computer, is used to cause the computer to execute the method of the embodiment of the present application.
[0108] The embodiment of the present application also provides a computer program product, including a computer program, wherein the computer program, when executed by a processor of a computer, is used to cause the computer to execute the method of the embodiment of the present application.
[0109] refer to Figure 3, the structural block diagram of the electronic device that can be used as the server or client of the embodiment of the present application will now be described, which is an example of the hardware device that can be applied to various aspects of the present application. The electronic device is intended to represent various forms of digital electronic computer equipment, such as laptop computers, desktop computers, workbenches, personal digital assistants, servers, blade servers, mainframe computers and other suitable computers. The electronic device can also represent various forms of mobile devices, such as personal digital processing, cellular phones, smart phones, wearable devices and other similar computing devices. The components shown herein, their connections and relationships, and their functions are only examples, and are not intended to limit the implementation of the present application described and / or required herein.
[0110] like Figure 3 As shown, the electronic device includes a computing unit 301, which can perform various appropriate actions and processes according to a computer program stored in a read-only memory (ROM) 302 or a computer program loaded from a storage unit 308 into a random access memory (RAM) 303. In the RAM 303, various programs and data required for the operation of the electronic device can also be stored. The computing unit 301, the ROM 302, and the RAM 303 are connected to each other via a bus 304. An input / output (I / O) interface 305 is also connected to the bus 304.
[0111] Multiple components in the electronic device are connected to the I / O interface 305, including: an input unit 306, an output unit 307, a storage unit 308, and a communication unit 309. The input unit 306 can be any type of device that can input information to the electronic device, and the input unit 306 can receive input digital or character information, and generate key signal input related to user settings and / or function control of the electronic device. The output unit 307 can be any type of device that can present information, and can include but is not limited to a display, a speaker, a video / audio output terminal, a vibrator, and / or a printer. The storage unit 308 can include but is not limited to a disk, an optical disk. The communication unit 309 allows the electronic device to exchange information / data with other devices through a computer network such as the Internet and / or various telecommunication networks, and can include but is not limited to a modem, a network card, an infrared communication device, a wireless communication transceiver, and / or a chipset, such as a Bluetooth device, a WiFi device, a WiMax device, a cellular communication device, and / or the like.
[0112] The computing unit 301 may be a variety of general and / or special processing components with processing and computing capabilities. Some examples of the computing unit 301 include, but are not limited to, a CPU, a graphics processing unit (GPU), various dedicated artificial intelligence (AI) computing chips, various computing units running machine learning model algorithms, digital signal processors (DSPs), and any appropriate processors, controllers, microcontrollers, etc. The computing unit 301 performs the various methods and processes described above. For example, in some embodiments, the method embodiments of the present application may be implemented as a computer program, which is tangibly contained in a machine-readable medium, such as a storage unit 308. In some embodiments, part or all of the computer program may be loaded and / or installed on an electronic device via a ROM 302 and / or a communication unit 309. In some embodiments, the computing unit 301 may be configured to perform the above method in any other appropriate manner (e.g., by means of firmware).
[0113] The computer program for implementing the method of the embodiment of the present application can be written in any combination of one or more programming languages. These computer programs can be provided to a processor or controller of a general-purpose computer, a special-purpose computer, or other programmable data processing device, so that when the computer program is executed by the processor or controller, the functions / operations specified in the flow chart and / or block diagram are implemented. The computer program can be executed entirely on the machine, partially on the machine, partially on the machine as a stand-alone software package and partially on a remote machine, or entirely on a remote machine or server.
[0114] In the context of the present application embodiment, machine-readable medium can be a tangible medium that can contain or store a program for use by an instruction execution system, device or equipment or used in combination with an instruction execution system, device or equipment. Machine-readable medium can be a machine-readable signal medium or a machine-readable storage medium. Machine-readable signal medium can include but is not limited to electronic, magnetic, optical, electromagnetic or infrared systems, devices or equipment, or any suitable combination of the above. More specific examples of machine-readable storage media can include electrical connections based on one or more lines, portable computer disks, hard disks, random access memories (RAM), read-only memories (ROM), erasable programmable read-only memories (EPROM or flash memory), optical fibers, portable compact disk read-only memories (CD-ROM), optical storage devices, magnetic storage devices, or any suitable combination of the above.
[0115] It should be noted that the term "including" and its variations used in the embodiments of the present application are open inclusions, that is, "including but not limited to". The term "based on" means "based at least in part on". The term "one embodiment" means "at least one embodiment"; the term "another embodiment" means "at least one other embodiment"; the term "some embodiments" means "at least some embodiments". The modifications of "one" and "multiple" mentioned in the embodiments of the present application are illustrative and not restrictive. Those skilled in the art should understand that unless otherwise clearly indicated in the context, it should be understood as "one or more".
[0116] The user information (including but not limited to user device information, user personal information, etc.) and data (including but not limited to data used for analysis, stored data, displayed data, etc.) involved in the embodiments of the present application are all information and data authorized by the user or fully authorized by all parties, and the collection, use and processing of relevant data must comply with relevant laws, regulations and standards of relevant countries and regions, and provide corresponding operation entrances for users to choose to authorize or refuse.
[0117] The various steps described in the method implementation methods provided in the embodiments of the present application can be performed in different orders and / or in parallel. In addition, the method implementation methods may include additional steps and / or omit the steps shown. The scope of protection of the present application is not limited in this respect.
[0118] The term "embodiment" in this specification refers to specific features, structures or characteristics described in conjunction with the embodiment that can be included in at least one embodiment of the present application. The appearance of this phrase in various places in the specification does not necessarily mean the same embodiment, nor does it mean that it is mutually exclusive with other embodiments and is independent or optional. The various embodiments in this specification are described in a related manner, and the same or similar parts between the various embodiments refer to each other. In particular, for the device, equipment, and system embodiments, since they are basically similar to the method embodiments, the description is relatively simple, and the relevant parts refer to the partial description of the method embodiment.
[0119] The above-mentioned embodiments only express several implementation methods of the present application, and the descriptions thereof are relatively specific and detailed, but they cannot be understood as limiting the scope of patent protection. It should be pointed out that, for a person of ordinary skill in the art, several variations and improvements can be made without departing from the concept of the present application, and these all belong to the scope of protection of the present application. Therefore, the scope of protection of the present application shall be subject to the attached claims.
Claims
1. A neurological diagnosis and treatment system, characterized in that: include: A control module, a continuous radio frequency module, a pulse radio frequency module and a neural stimulation module, wherein the control module is connected to the continuous radio frequency module, the pulse radio frequency module and the neural stimulation module respectively, wherein: The neural stimulation module is configured to generate a neural stimulation signal and output the neural stimulation signal to the diagnosis and treatment probe; The continuous radio frequency module is configured to generate a continuous radio frequency signal and output the continuous radio frequency signal to the diagnosis and treatment probe; The pulsed radio frequency module is configured to generate a pulsed radio frequency signal and output the pulsed radio frequency signal to the diagnostic probe; The control module is configured to control the nerve stimulation module to generate the nerve stimulation signal, use the nerve stimulation signal to stimulate the nerves in the target area through the diagnostic probe, and determine the location of the nerves in the damaged area; and control the continuous radio frequency module to generate the continuous radio frequency signal, apply the continuous radio frequency signal to the nerves in the damaged area through the diagnostic probe, and ablate and block the nerves in the damaged area; or control the pulse radio frequency module to generate the pulse radio frequency signal, apply the pulse radio frequency signal to the nerves in the damaged area through the diagnostic probe, and relieve pain and repair the nerves in the damaged area.
2. The neurological diagnosis and treatment system according to claim 1, characterized in that: The control module is configured to determine the working mode of the neurological diagnosis and treatment system according to the size of the damaged area, wherein the working mode includes a continuous radio frequency mode and a pulsed radio frequency mode, the continuous radio frequency mode corresponds to the operation of the continuous radio frequency module, and the pulsed radio frequency mode corresponds to the operation of the pulsed radio frequency module.
3. The neurological diagnosis and treatment system according to claim 1, characterized in that: The continuous radio frequency module includes: a radio frequency power amplifier module and a radio frequency signal matching module, wherein: The RF power amplifier module is connected to the RF signal matching module and is configured to generate the continuous RF signal and input the continuous RF signal to the RF signal matching module; The radio frequency signal matching module is configured to match the output impedance of the continuous radio frequency signal according to the electrical characteristics of the nerves in the damaged area.
4. The neurological diagnosis and treatment system according to claim 1, characterized in that: The pulse radio frequency module includes: a radio frequency power amplifier module and a radio frequency signal matching module, wherein: The RF power amplifier module is connected to the RF signal matching module and is configured to generate the pulsed RF signal and input the pulsed RF signal to the RF signal matching module; The radio frequency signal matching module is configured to match the output impedance of the pulse radio frequency signal according to the electrical characteristics of the nerves in the damaged area.
5. The neurological diagnosis and treatment system according to claim 1, characterized in that: The neurological diagnosis and treatment system further includes: A data acquisition module connected to the control module, configured to collect the radio frequency signal and temperature of the diagnosis and treatment probe in real time during the process of ablation, blocking, analgesia and repair of the nerves in the damaged area; The control module is configured to control the energy of the continuous RF signal generated by the continuous RF module or control the energy of the pulse RF signal generated by the pulse RF module according to the RF signal and temperature collected by the data collection module.
6. The neurological diagnosis and treatment system according to claim 5, characterized in that: The data acquisition module comprises: A radio frequency signal acquisition unit, configured to acquire the radio frequency signal of the diagnosis and treatment probe; A temperature signal acquisition unit, configured to acquire the temperature of the diagnosis and treatment probe; The probe identification unit is configured to detect the model of the diagnostic probe and the connection channel between the diagnostic probe and the neurological diagnosis and treatment system, and set treatment parameters according to the model and the connection channel so that the connection channel outputs the neural stimulation signal, the continuous radio frequency signal or the pulsed radio frequency signal.
7. The neurological diagnosis and treatment system according to claim 1, characterized in that: The control module is also configured to detect the model of the diagnosis and treatment probe and whether the neurodiagnosis and treatment system is connected to the diagnosis and treatment probe.
8. The neurological diagnosis and treatment system according to claim 5, characterized in that: The neurological diagnosis and treatment system further includes: A power supply module, configured to supply power to other modules of the neurological diagnosis and treatment system and to control in real time the power of the continuous radio frequency module to generate the continuous radio frequency signal or to control in real time the power of the pulse radio frequency module to generate the pulse radio frequency signal; A display input module connected to the control module, configured to set treatment parameters and display parameters collected during the process of ablation, blocking, analgesia and repair of nerves in the damaged area; The isolation module is arranged between the continuous radio frequency module, the pulse radio frequency module, the nerve stimulation module, the data acquisition module and the diagnosis and treatment probe.
9. A control method for a neurological diagnosis and treatment system, characterized in that: The method is applied to the neurological diagnosis and treatment system according to any one of claims 1 to 8, comprising: Controlling the nerve diagnosis and treatment system to generate a nerve stimulation signal, and outputting the nerve stimulation signal to the diagnosis and treatment probe; Stimulating the nerves in the target area by using the nerve stimulation signal through the diagnostic and therapeutic probe to determine the location of the nerves in the damaged area; Control the nerve diagnosis and treatment system to generate a continuous radio frequency signal, and output the continuous radio frequency signal to the diagnosis and treatment probe; and apply the continuous radio frequency signal to the nerves in the damaged area through the diagnosis and treatment probe to ablate and block the nerves in the damaged area; or The neurological diagnosis and treatment system is controlled to generate a pulsed radio frequency signal, and the pulsed radio frequency signal is output to the diagnosis and treatment probe; and the pulsed radio frequency signal is applied to the nerves in the damaged area through the diagnosis and treatment probe to relieve pain and repair the nerves in the damaged area.
10. The method according to claim 9, characterized in that After stimulating the nerves in the target area by using the nerve stimulation signal through the diagnosis and treatment probe and determining the location of the nerves in the damaged area, the method further includes: Determining the size of the damaged area; The working mode of the neurological diagnosis and treatment system is determined according to the size of the range, wherein the working mode includes a continuous radio frequency mode and a pulsed radio frequency mode, the continuous radio frequency mode corresponds to the operation of the continuous radio frequency module, and the pulsed radio frequency mode corresponds to the operation of the pulsed radio frequency module.
11. The method according to claim 9, characterized in that The method further comprises: In the process of ablation, blocking, analgesia and repairing the nerves in the damaged area, real-time collection of the radio frequency signal and temperature of the diagnosis and treatment probe; The energy of the continuous radio frequency signal generated by the neurological diagnosis and treatment system is controlled according to the collected radio frequency signal and temperature, or the energy of the pulsed radio frequency signal generated by the pulsed radio frequency module is controlled.
12. An electronic device comprising: A processor, and a memory storing a program, wherein the program comprises instructions, which, when executed by the processor, cause the processor to perform the method according to any one of claims 9 to 11.
13. A non-transitory machine-readable medium storing computer instructions, characterized in that: The computer instructions are used to cause the computer to execute the method according to any one of claims 9 to 11.
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