Intelligent operation system for spontaneous intracerebral hematoma

Abstract

The utility model provides an intelligent operation system for spontaneously intracerebral hematoma. The intelligent operation system comprises an endoscopic component, an endoscopic signal cable and an endoscopic probe, wherein the endoscopic component comprises an endoscopic signal cable and an endoscopic probe; comprising an ultrasonic signal cable and an ultrasonic probe; comprising a stretching-in end and a holding end, and a drainage channel, an ultrasonic channel and an endoscopic channel which are communicated are formed in the operation tube; an endoscopic probe of the endoscopic assembly is arranged at the extending end, and an endoscopic signal cable penetrates through the endoscopic channel and is electrically connected with the control assembly; an ultrasonic probe of the ultrasonic imaging assembly is arranged at the stretching-in end, and an ultrasonic signal cable penetrates through the ultrasonic channel to be electrically connected with the control assembly; the image display assembly is electrically connected with the control assembly and is used for displaying image information acquired by the endoscopic probe and the ultrasonic probe in real time; the problems that a traditional craniotomy hematoma removal operation is high in operation requirement and low in hematoma removal rate, brain tissue is prone to being damaged, and the operation effect is difficult to be universally homogenized are solved.

Description

Technical Field

[0001] The utility model relates to the technical field of neurosurgery auxiliary device design, in particular to a spontaneous intracerebral hematoma intelligent surgery system. Background Art

[0002] Cerebral hemorrhage is characterized by "high incidence, high recurrence rate, high disability rate, and high mortality rate". Since cerebral hemorrhage is more common in elderly patients and is difficult to treat, the economic and social losses caused are particularly huge.

[0003] Clinically, severe cerebral hemorrhage often requires intracerebral hematoma removal surgery. Under the current instrument or equipment conditions, the main surgical methods that can be performed clinically include: traditional craniotomy hematoma removal, small bone window craniotomy hematoma removal, hard and soft channel puncture and drainage, endoscopic hematoma removal, etc. The following will analyze the advantages, disadvantages and surgical efficacy of the four common surgical options.

[0004] Traditional craniotomy hematoma removal surgery takes a long time, causes great trauma, and results in relatively more intraoperative blood loss and postoperative complications. The universality of small bone window craniotomy hematoma removal surgery is very limited, requiring the surgeon to have good microsurgical skills and high technical requirements. However, due to the uneven skills of surgeons, the surgical efficacy varies greatly, making it difficult to achieve homogeneous promotion.

[0005] The hard (soft) channel intracerebral hematoma puncture and drainage under stereotactic or navigation has a low intraoperative hematoma clearance rate, and the catheterization operation is performed under non-direct vision, which may cause blood vessels to be damaged and bleed during the puncture path; and the existing equipment itself does not have the ability to stop bleeding, making it difficult to urgently control the increased intracranial pressure caused by bleeding.

[0006] Neuroendoscopic intracranial hematoma removal has certain application limitations. Since the space for endoscopic surgery is relatively small and intraoperative hemostasis is difficult, existing neuroendoscopic equipment lacks intelligent assisted adaptive control and still requires manual suction pressure to remove the hematoma. Especially in the process of removing the hematoma, it is easy to absorb and damage the surrounding normal brain tissue, making it impossible to achieve accurate protection of the brain tissue. Utility Model Content

[0007] In view of the shortcomings of the prior art mentioned above, the technical problem to be solved by the present invention is to provide an intelligent surgical system for spontaneous intracerebral hematoma, which solves the problem that the hematoma removal in the prior art requires manual suction pressure, and cannot clearly distinguish between damaged tissue and normal brain tissue, thereby causing the traditional craniotomy hematoma removal surgery to have high surgical operation requirements, high difficulty, low hematoma removal rate, easy damage to brain tissue, and difficulty in universalizing and homogenizing the surgical effect.

[0008] In order to solve the above technical problems, the utility model provides a spontaneous intracerebral hematoma intelligent surgery system, comprising:

[0009] An endoscope assembly, the endoscope assembly comprising an endoscope signal cable and an endoscope probe disposed at an end of the endoscope signal cable;

[0010] An ultrasonic imaging assembly, the ultrasonic imaging assembly comprising an ultrasonic signal cable and an ultrasonic probe arranged at an end of the ultrasonic signal cable;

[0011] A surgical tube, the surgical tube comprising an insertion end for inserting into the patient's skull and a holding end arranged outside the patient's skull, the surgical tube being provided with a through drainage channel, an ultrasound channel and an endoscope channel;

[0012] The control component, the endoscope probe of the endoscope component is arranged on the insertion end, and the endoscope signal cable passes through the endoscope channel and is electrically connected to the control component; the ultrasound probe of the ultrasound imaging component is arranged on the insertion end, and the ultrasound signal cable passes through the ultrasound channel and is electrically connected to the control component;

[0013] A negative pressure aspirator, which is arranged at the holding end of the surgical tube and communicated with the drainage channel to provide a negative pressure environment to suck out the hematoma, and is connected to the control component;

[0014] The image display component is electrically connected to the control component and is used for displaying the image information acquired by the endoscopic probe and the ultrasonic probe in real time.

[0015] As a more preferred solution, the spontaneous intracerebral hematoma intelligent surgical system also includes a neuroendoscope, and the surgical tube also includes a surgical channel; one end of the neuroendoscope is connected to the control component, and the other end passes through the surgical channel to enter the skull to complete electrocoagulation, flushing and drug administration operations.

[0016] As a more preferred solution, the spontaneous intracerebral hematoma intelligent surgical system also includes a stripping suction device, which is arranged at the insertion end of the surgical tube and connected to the drainage channel for stripping the hematoma.

[0017] As a more preferred solution, the end of the stripping suction device is a spherical non-damaging nerve stripping substructure, which is used to avoid damaging blood vessels while stripping hematoma, so as to reduce the chance of rebleeding.

[0018] As a more preferred solution, the endoscopic probe includes a CMOS image sensor and a NIR near-infrared spectral image sensor, which are used to collect visible light images and near-infrared images respectively. The visible light images and near-infrared images can further enhance the image acquisition capability of the spontaneous intracerebral hematoma intelligent surgical system of the utility model for the hematoma cavity. The doctor can make a comprehensive judgment on the distinction between hematoma and normal brain tissue through multiple image comparisons, thereby improving the resolution and hematoma clearance rate.

[0019] As a more preferred solution, the spontaneous intracerebral hematoma intelligent surgical system further includes a lighting component, and the surgical tube further includes a lighting channel; the lighting component includes a lighting cable and a light-emitting unit arranged at one end of the lighting cable, the light-emitting unit is arranged on the insertion end, and the lighting cable passes through the lighting channel to be electrically connected to the control component;

[0020] As a more preferred solution, the lighting cable adopts optical fiber, the light-emitting unit adopts LED optical fiber light source, and the LED optical fiber light source adopts multi-channel to customize the peak wavelength of the optical fiber so that each wavelength can be controlled separately.

[0021] As a more preferred solution, the insertion end of the surgical tube is also provided with a direction control guide wire connected to the control component, and the direction control guide wire is used to adjust the direction of the insertion end in the skull, thereby making the control of the insertion end of the surgical tube more flexible, increasing the doctor's operating flexibility and visual and operable range.

[0022] As a more preferred solution, a pressure sensor is integrated at the end of the direction control guide wire to display the intracranial pressure centered on the hematoma cavity in real time during the operation to ensure brain protection during the operation. At the same time, a pressure sensor is also integrated at the end of the drainage channel. Here, the value of the pressure sensor can be used to determine whether the insertion end of the surgical tube has accidentally contacted the inner wall of the brain tissue. The control component can turn off the main switch of the negative pressure aspirator in time according to the value of the pressure sensor and after determining the erroneous operation.

[0023] As a more preferred solution, the end of the ultrasound probe is fan-shaped and wide-angle, which is conducive to observing and identifying the hematoma and brain tissue interface in a larger range.

[0024] As described above, the intelligent surgical system for spontaneous intracerebral hematoma of the utility model has the following beneficial effects: when the doctor uses the intelligent surgical system for spontaneous intracerebral hematoma of the utility model to perform craniotomy and hematoma removal surgery on the patient, the doctor inserts the insertion end of the surgical tube into the patient's skull, uses the endoscope component to directly approach the hematoma cavity for real-time observation and identification, and accurately distinguishes the hematoma mass, blood vessels and brain tissue; at the same time, the ultrasonic imaging component uses the differential echo signals between the hematoma mass, hematoma thickness and brain tissue to obtain high-resolution visual identification ultrasonic imaging data; at the same time, the above imaging data is processed and analyzed by the control component and played in real time on the image display component, It helps doctors make comprehensive judgments based on different imaging data, and then accurately distinguish hematomas, blood vessels and brain tissues; when a hematoma mass is identified, the drainage channel of the surgical tube is aligned with the hematoma mass, and the control component controls the negative pressure aspirator to suck the hematoma mass into the drainage channel and discharge it. At the same time, the spontaneous intracerebral hematoma intelligent surgical system of the utility model uses richer image data and more control components and components that can assist in operation, so that when the utility model is used to perform hematoma removal surgery, the reliance on the doctor's own experience and ability is reduced, which is more conducive to the standardization of the hematoma removal surgery process and improves the consistency of the hematoma removal surgery effect.

[0025] In summary, the spontaneous intracerebral hematoma intelligent surgical system of the utility model uses real-time displayed multi-dimensional imaging data of the hematoma cavity to assist in judging the range of the hematoma and the boundary with normal tissue, and realizes real-time dynamic and accurate deep identification of intracerebral hematoma, including the thickness and residual amount of the hematoma during the operation and the proximity of the brain tissue interface and cerebral blood vessels, to assist doctors in accurately locating the position of the hematoma; at the same time, the control unit is used to parameterize the attraction of the negative pressure aspirator, which is more accurate. In the process of discharging the hematoma block from the drainage channel of the surgical tube, damage to normal brain tissue is avoided, and the removal of the cerebral hematoma is achieved while maximizing the protection of the brain tissue at the edge of the hematoma. At the same time, the difficulty of the operation of craniotomy hematoma removal surgery is reduced, and the hematoma removal rate is improved; it solves the problem that the hematoma removal in the prior art requires manual control of the aspirator pressure, and it is impossible to clearly distinguish between damaged tissue and normal brain tissue, which leads to the high operation requirements and difficulty of traditional craniotomy hematoma removal surgery, low hematoma removal rate, easy damage to brain tissue, and difficulty in universalizing and homogenizing the surgical effect. BRIEF DESCRIPTION OF THE DRAWINGS

[0026] Figure 1 Shown is a schematic diagram of the intelligent surgical system for spontaneous intracerebral hematoma of the present invention;

[0027] Figure 2 Shown is a schematic cross-sectional view of the surgical tube insertion end of the spontaneous intracerebral hematoma intelligent surgical system of the utility model;

[0028] Figure 3Shown is a connection diagram of the surgical tube, control components and display components of the spontaneous intracerebral hematoma intelligent surgical system of the present invention.

[0029] Component number description

[0030] 1 Surgical tube

[0031] 11 Endoscopic Channel

[0032] 12 Ultrasound channels

[0033] 13 Drainage channel

[0034] 14 Lighting Channels

[0035] 15 Surgical access

[0036] 16-way steering guidewire

[0037] 2 Endoscopic components

[0038] 3 Ultrasound imaging components

[0039] 4 Negative pressure suction device

[0040] 5 Lighting components

[0041] 6 Control components

[0042] 7 Graphics Display Components

[0043] 8 Neuroendoscopy

[0044] 9 Flow rate controller DETAILED DESCRIPTION

[0045] The following is a description of the implementation of the present invention by means of specific embodiments. People familiar with the art can easily understand other advantages and effects of the present invention from the contents disclosed in this specification.

[0046] It should be noted that the structures, proportions, sizes, etc. illustrated in the drawings of this specification are only used to match the contents disclosed in the specification for people familiar with this technology to understand and read, and are not used to limit the limiting conditions that can be implemented in this utility model, so they have no technical substantive significance. Any modification of the structure, change of the proportional relationship or adjustment of the size, without affecting the effects that can be produced by the utility model and the purposes that can be achieved, should still fall within the scope of the technical content disclosed by the utility model. The following detailed description should not be considered restrictive, and the scope of the embodiments of this application is limited only by the claims of the published patents. The terms used here are only for describing specific embodiments and are not intended to limit this application. Spatial related terms, such as "upper", "lower", "left", "right", "below", "below", "lower", "above", "upper", etc., can be used in the text to facilitate the description of the relationship between an element or feature shown in the figure and another element or feature.

[0047] In the present invention, unless otherwise clearly specified and limited, the terms "install", "connect", "connect", "fix", "hold" and the like should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection, or an indirect connection through an intermediate medium, or it can be the internal communication of two components. For ordinary technicians in this field, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.

[0048] Furthermore, as used herein, the singular forms "a", "an" and "the" are intended to include the plural forms as well, unless there is an indication to the contrary in the context. It should be further understood that the terms "comprise", "include" indicate the presence of the described features, operations, elements, components, items, kinds, and / or groups, but do not exclude the presence, occurrence or addition of one or more other features, operations, elements, components, items, kinds, and / or groups. The terms "or" and "and / or" used herein are interpreted as inclusive, or mean any one or any combination. Therefore, "A, B or C" or "A, B and / or C" means "any of the following: A; B; C; A and B; A and C; B and C; A, B and C". Exceptions to this definition will only occur when the combination of elements, functions or operations is inherently mutually exclusive in some way.

[0049] like Figures 1 to 3 As shown, the utility model provides a spontaneous intracerebral hematoma intelligent surgery system, comprising:

[0050] An endoscope component 2, the endoscope component 2 comprising an endoscope signal cable and an endoscope probe arranged at an end of the endoscope signal cable;

[0051] An ultrasonic imaging component 3, the ultrasonic imaging component 3 comprising an ultrasonic signal cable and an ultrasonic probe arranged at an end of the ultrasonic signal cable;

[0052] A surgical tube 1, the surgical tube 1 comprising an insertion end for inserting into the patient's skull and a holding end arranged outside the patient's skull, the surgical tube 1 being provided with a through drainage channel 13, an ultrasound channel 12 and an endoscope channel 11;

[0053] The control component 6, the endoscope probe of the endoscope component 2 is arranged on the insertion end, and the endoscope signal cable passes through the endoscope channel 11 and is electrically connected to the control component 6; the ultrasound probe of the ultrasound imaging component 3 is arranged on the insertion end, and the ultrasound signal cable passes through the ultrasound channel 12 and is electrically connected to the control component 6;

[0054] A negative pressure suction device 4, which is arranged at the holding end of the surgical tube 1 and communicated with the drainage channel 13, and is used to provide a negative pressure environment to suck out the hematoma, and the negative pressure suction device 4 is connected to the control component 6;

[0055] The image display component 7 is electrically connected to the control component 6 and is used for displaying the image information acquired by the endoscopic probe and the ultrasonic probe in real time.

[0056] In order to further introduce the intelligent surgical system for spontaneous intracerebral hematoma of the utility model, the following application specific description is combined: when the doctor uses the intelligent surgical system for spontaneous intracerebral hematoma of the utility model to perform craniotomy and hematoma removal surgery on the patient, the doctor inserts the insertion end of the surgical tube 1 into the patient's skull, uses the endoscope component 2 to directly approach the hematoma cavity for real-time observation and identification, and accurately distinguishes the hematoma mass, blood vessels and brain tissue; at the same time, the ultrasonic imaging component 3 uses the differential echo signals between the hematoma mass, hematoma thickness and brain tissue to obtain high-resolution visual recognition ultrasonic imaging data; at the same time, the above-mentioned imaging data is processed and analyzed by the control component 6 and displayed in real time on the image display component 7 Play, assist the doctor to make a comprehensive judgment based on different imaging data, and then accurately distinguish hematoma, blood vessels and brain tissue; when a hematoma mass is identified, the drainage channel 13 of the surgical tube 1 is aligned with the hematoma mass, and the control component 6 controls the negative pressure aspirator 4 to suck the hematoma mass into the drainage channel 13 and discharge it. At the same time, the spontaneous intracerebral hematoma intelligent surgical system of the utility model uses richer image data and more control components 6 and various components that can assist in operation, so that when the utility model is used to perform hematoma removal surgery, the dependence on the doctor's own experience and ability is reduced, which is more conducive to the standardization of the hematoma removal surgery process and improves the consistency of the hematoma removal surgery effect.

[0057] In this embodiment, the holding end of the surgical tube 1 is provided with a pulley structure connected to the control component 6. The suction force of the negative pressure aspirator 4 is controlled by rotating the pulley structure. Compared with the traditional separate negative pressure aspirator 4, which requires manual control by the doctor, the efficiency and accuracy of the suction control are improved.

[0058] Furthermore, in this embodiment, the control component 6 obtains and controls the current blood clot discharge speed through the flow rate controller 9 provided on the drainage channel 13. Meanwhile, in this embodiment, the negative pressure aspirator 4 can be replaced by a drainage bag.

[0059] In this embodiment, if Figure 2 As shown, the spontaneous intracerebral hematoma intelligent surgical system also includes a neuroendoscope 8, and the surgical tube 1 also includes a surgical channel 15; one end of the neuroendoscope 8 is connected to the control component 6, and the other end passes through the surgical channel 15 to enter the skull to complete the electrocoagulation, flushing and drug administration operations; further, in this embodiment, during the hematoma removal operation, the neuroendoscope 8 needs to be used to complete the electrocoagulation, flushing and drug administration operations as the operation progresses, and the holding end of the surgical tube 1 is provided with a function button connected to the control component 6, and the control component 6 is used to control the neuroendoscope 8 to realize different functional modules by pressing different buttons; wherein, the electrocoagulation operation is specifically for electrocoagulation hemostasis of intracranial bleeding points, the flushing operation is specifically for flushing the target position such as the bleeding point with saline, and the drug administration operation is specifically for the injection of hemostatic drugs, antibiotics and other drugs during or after the operation. It is worth mentioning that if the endoscope probe is contaminated by blood, the endoscope probe is directed toward the neuroendoscope 8, and saline is discharged from the neuroendoscope 8 to clean the camera and clean the field of view, thereby facilitating the operation.

[0060] In this embodiment, if Figures 1 to 3 As shown, the spontaneous intracerebral hematoma intelligent surgical system also includes a stripping suction device, which is arranged at the insertion end of the surgical tube 1 and is connected to the drainage channel 13 for stripping the hematoma; further, in the present embodiment, the stripping suction device is made of non-thermal conductive titanium alloy material, and the titanium alloy material has the advantages of light weight, non-magnetic, non-toxic, strong corrosion resistance, high strength and good toughness. Titanium and titanium alloys have excellent use characteristics and are recognized by the world as excellent metal materials in the biomedical field. Compared with the use of stainless steel, cobalt-based alloys and other metal materials, they have great application advantages.

[0061] In this embodiment, the end of the stripping suction device is a spherical non-damaging nerve stripping substructure, which is used to avoid damaging blood vessels while stripping hematomas and reduce the chance of rebleeding; further, in this embodiment, the spherical non-damaging nerve stripping substructure can rotate, thereby assisting in breaking up the hematoma for easy discharge.

[0062] In this embodiment, if Figures 1 to 3 As shown, the endoscopic probe includes a CMOS image sensor and a NIR near-infrared spectrum image sensor, which are used to collect visible light images and near-infrared images respectively. The visible light image and the near-infrared image can further enhance the image acquisition capability of the spontaneous intracerebral hematoma intelligent surgery system of the utility model for the hematoma cavity. The doctor can make a comprehensive judgment on the distinction between hematoma and normal brain tissue through multiple image comparisons, thereby improving the resolution and hematoma clearance rate. Furthermore, in the present embodiment, the endoscopic probe adopts a fisheye lens, which introduces barrel distortion and forcibly compresses a large range of space, thereby obtaining an ultra-wide-angle imaging with a viewing angle greater than 180°, or even reaching more than 270°. This can further increase the imaging field of view to ensure the field of view required for electrocoagulation, flushing and drug administration, so as to achieve hemostasis and hematoma clearance under direct vision during surgery.

[0063] In this embodiment, if Figures 1 to 3 As shown, the spontaneous intracerebral hematoma intelligent surgical system also includes a lighting component 5, and the surgical tube 1 also includes a lighting channel 14; the lighting component 5 includes a lighting cable and a light-emitting unit arranged at one end of the lighting cable, the light-emitting unit is arranged on the insertion end, and the lighting cable passes through the lighting channel 14 to be electrically connected to the control component 6.

[0064] In this embodiment, if Figures 1 to 3 As shown, the lighting cable adopts optical fiber, the light-emitting unit adopts LED optical fiber light source, and the LED optical fiber light source adopts multi-channel to customize the peak wavelength of the optical fiber so that each wavelength can be controlled separately.

[0065] In this embodiment, if Figures 1 to 3 As shown, the insertion end of the surgical tube 1 is also provided with a direction control guide wire 16 connected to the control component 6, and the direction control guide wire 16 is used to adjust the direction of the insertion end in the skull, thereby making the control of the insertion end of the surgical tube 1 more flexible, increasing the doctor's operating flexibility and visual and operable range.

[0066] In this embodiment, if Figures 1 to 3As shown, a pressure sensor is integrated at the end of the direction control guide wire 16 for real-time display of the intracranial pressure centered on the hematoma cavity during the operation to ensure intraoperative brain protection. At the same time, the value of the pressure sensor can be used to determine whether the insertion end of the surgical tube 1 has contacted the inner wall of the brain tissue by mistake. The control component 6 can turn off the main switch of the negative pressure suction device 4 in time according to the value of the pressure sensor and after judging the mistaken operation.

[0067] In this embodiment, if Figures 1 to 3 As shown, the end of the ultrasonic probe is a fan-shaped wide-angle, which is conducive to observing and identifying the interface between hematoma and brain tissue in a larger range; at the same time, the ultrasonic probe used in the utility model adopts a high-resolution miniature ultrasonic probe to more accurately distinguish hematoma and normal brain tissue.

[0068] In this embodiment, if Figures 1 to 3 As shown, the tube body of the surgical tube 1 is made of hard silicone material, which has sufficient hardness and certain flexibility. At the same time, in order to prevent the tube body from rubbing against the brain tissue when moving back and forth, thereby causing damage to the brain tissue, the surgical tube 1 includes a protective shell arranged on the outer layer; further, in this embodiment, the outer wall of the surgical tube 1 is also provided with scale lines, which are used to judge the insertion depth of the intracranial section of the surgical tube 1 during the operation, so that the doctor can more accurately control the moving range of the insertion end of the surgical tube 1, and further ensure the safety of the hematoma removal operation.

[0069] Furthermore, in this embodiment, if Figures 1 to 3 As shown, in order to ensure that the endoscope component 2, the ultrasonic imaging component 3, the neuroendoscope 8, the lighting component 5 and the drainage function can work properly, the size and shape of the endoscope channel 11, the ultrasonic channel 12, the surgical channel 15, the lighting channel 14 and the drainage channel 13 corresponding to the surgical tube 1 are clearly defined. In this embodiment, in order to facilitate the insertion end of the surgical tube 1 into the skull, the entire body of the surgical tube 1 must be controlled within a certain range, and its overall diameter is designed to be 6 to 8 mm, which greatly reduces the craniotomy window, thereby reducing damage to the patient. At the same time, in order to ensure that other components of the utility model can work properly, the channel size and contour requirements in the surgical tube 1 are as follows:

[0070] like Figure 2 As shown, the cross-sectional profile of the endoscope channel 11 at the insertion end of the surgical tube 1 is circular, and its diameter is required to be 2.8 mm, so that the endoscope signal cable can pass through and connect to the control component 6 well, and it is convenient to install the endoscope probe; Figure 2As shown, the cross-sectional profile of the ultrasonic channel 12 at the insertion end of the surgical tube 1 is an ellipse, and its major axis diameter is required to be 3 mm, and the minor axis diameter is required to be 2 mm, so that the ultrasonic signal cable can pass through well and connect with the control component 6. At the same time, since the end of the ultrasonic probe is a fan-shaped wide angle, the channel design with an elliptical cross section is also convenient for the installation of the ultrasonic probe; Figure 2 As shown, the cross-sectional profile of the surgical channel 15 at the insertion end of the surgical tube 1 is circular, and its diameter is required to be 2.2 mm, so that the endoscope signal cable can pass through and connect to the control component 6 well, and at the same time facilitate the neuroendoscope 8 to complete the electrocoagulation, flushing and drug administration operations; Figure 2 As shown, in this embodiment, in order to ensure a better lighting effect, two lighting channels 14 are provided in the surgical tube 1. The cross-sectional profile of the lighting channel 14 at the insertion end of the surgical tube 1 is circular, and its diameter is required to be 1 mm, so that the lighting cable can pass through well and connect with the control component 6, and it is convenient to install the light source; Figure 2 As shown, the cross-sectional profile of the drainage channel 13 at the insertion end of the surgical tube 1 is circular, and its diameter is required to be 2.5 mm, so that the negative pressure aspirator 4 can form sufficient suction to absorb the hematoma, and also ensure that the hematoma can be discharged through the drainage channel 13; further, in this embodiment, as Figure 2 As shown, the direction control guide wire 16 is arranged at the center position of the insertion end of the surgical tube 1, so that when the direction control guide wire 16 is used to control the steering of the insertion end, the force of the direction control guide wire 16 is evenly distributed on each area of ​​the insertion end, thereby improving the steering ability of the insertion end and the service life.

[0071] Furthermore, the working length of the surgical tube 1 is 40 cm. Since the normal size of an adult's head is generally 48-72 cm in length and 34-51 cm in width, this length can meet the operational requirements of most cerebral hemisphere surgeries.

[0072] Furthermore, in the present embodiment, the control component 6 may be a terminal with data processing capabilities such as a mobile phone, a computer device, a tablet device, a personal digital processing device, etc. In the present embodiment, for the sake of system stability and structural considerations, a computer device is selected as the control component 6, and a corresponding application is run thereon to ensure that the information sent back by each sensor and probe can be displayed in real time on the imaging component 7, such as insertion end pressure information, intracranial pressure information and drainage channel flow rate information, endoscopic imaging information, and ultrasonic imaging information.

[0073] In summary, this embodiment further provides a method for using a spontaneous intracerebral hematoma intelligent surgery system, including:

[0074] S01: Start the spontaneous intracerebral hematoma intelligent surgery system and check that all components are working properly;

[0075] S02: inserting the insertion end of the surgical tube 1 into the patient's craniotomy, and using the direction control guide wire 16 to control the insertion end to turn directly to the hematoma cavity for real-time observation and identification;

[0076] S03: Observe the real-time images obtained by the endoscope probe and the ultrasound probe displayed by the image display component 7 to distinguish the hemorrhagic mass from the normal brain tissue;

[0077] S04: using the stripping suction device at the insertion end of the surgical tube 1 to strip the blood clot;

[0078] S05: Start the negative pressure suction device 4 and adjust the flow rate to a suitable range, align the drainage channel 13 of the surgical tube 1 with the blood clot and discharge it;

[0079] S06: Using the neuroendoscope 8 to perform electrocoagulation, flushing and medication on the affected area to ensure that the blood clot is discharged smoothly;

[0080] S07: Take out the surgical tube 1, turn off the spontaneous intracerebral hematoma intelligent surgical system, and the operation is completed.

[0081] In summary, the utility model of the spontaneous intracerebral hematoma intelligent surgical system uses the real-time multi-dimensional imaging data of the hematoma cavity to assist in judging the scope of the hematoma and the boundary with normal tissue, realizes real-time dynamic and accurate deep identification of intracerebral hematoma, including the thickness and residual amount of the hematoma during the operation and the relationship between the brain tissue interface and the cerebral blood vessels, and assists the doctor to accurately locate the hematoma position; at the same time, the control unit is used to parameterize the attraction of the negative pressure aspirator 4, which is more accurate. In the process of discharging the hematoma block from the drainage channel 13 of the surgical tube 1, damage to normal brain tissue is avoided, and the removal of the cerebral hematoma is achieved while maximizing the protection of the brain tissue at the edge of the hematoma, while reducing the difficulty of the operation of the craniotomy hematoma removal surgery and improving the hematoma removal rate; solves the problem that the hematoma removal in the prior art requires the pressure of the manually controlled aspirator, and the damaged tissue and normal brain tissue cannot be clearly distinguished, which leads to the high requirements for the operation of the traditional craniotomy hematoma removal surgery, the high difficulty, the low hematoma removal rate, the easy damage of the brain tissue, and the difficulty of universal homogeneity of the surgical effect. Therefore, the utility model effectively overcomes the various shortcomings of the prior art and has a high industrial utilization value.

[0082] The above embodiments are merely illustrative of the principles and effects of the present invention, and are not intended to limit the present invention. Anyone familiar with the technology may modify or alter the above embodiments without departing from the spirit and scope of the present invention. Therefore, all equivalent modifications or alterations made by a person of ordinary skill in the art without departing from the spirit and technical concept disclosed in the present invention shall still be covered by the claims of the present invention.

Claims

1. A spontaneous intracerebral hematoma intelligent surgery system, characterized in that: include: An endoscope component (2), the endoscope component (2) comprising an endoscope signal cable and an endoscope probe arranged at an end of the endoscope signal cable; An ultrasonic imaging assembly (3), the ultrasonic imaging assembly (3) comprising an ultrasonic signal cable and an ultrasonic probe arranged at an end of the ultrasonic signal cable; A surgical tube (1), the surgical tube (1) comprising an insertion end for inserting into a patient's skull and a holding end arranged outside the patient's skull, the surgical tube (1) being provided with a through drainage channel (13), an ultrasound channel (12) and an endoscope channel (11); The control component (6) includes an endoscope probe of the endoscope component (2) disposed on the insertion end, and the endoscope signal cable passes through the endoscope channel (11) and is electrically connected to the control component (6); the ultrasound probe of the ultrasound imaging component (3) is disposed on the insertion end, and the ultrasound signal cable passes through the ultrasound channel (12) and is electrically connected to the control component (6); A negative pressure suction device (4), which is arranged at the holding end of the surgical tube (1) and communicates with the drainage channel (13) to provide a negative pressure environment to suck out the hematoma, and the negative pressure suction device (4) is connected to the control component (6); A graphic display component (7), wherein the graphic display component (7) is electrically connected to the control component (6) and is used for displaying image information acquired by the endoscopic probe and the ultrasonic probe in real time.

2. The spontaneous intracerebral hematoma intelligent surgery system according to claim 1, characterized in that: The spontaneous intracerebral hematoma intelligent surgical system also includes a neuroendoscope (8), and the surgical tube (1) also includes a surgical channel (15); one end of the neuroendoscope (8) is connected to the control component (6), and the other end passes through the surgical channel (15) to enter the skull to complete electrocoagulation, flushing and drug administration operations.

3. The spontaneous intracerebral hematoma intelligent surgery system according to claim 1, characterized in that: The spontaneous intracerebral hematoma intelligent surgical system also includes a stripping suction device, which is arranged at the insertion end of the surgical tube (1) and is connected to the drainage channel (13) for stripping the hematoma.

4. The spontaneous intracerebral hematoma intelligent surgery system according to claim 3, characterized in that: The end of the stripping suction device is a spherical non-damaging nerve stripping substructure, which is used to avoid damaging blood vessels when stripping hematomas and reduce the chance of rebleeding during surgery.

5. The spontaneous intracerebral hematoma intelligent surgery system according to claim 1, characterized in that: The endoscope probe includes a CMOS image sensor and a NIR near infrared spectrum image sensor, which are used to collect visible light images and near infrared images respectively.

6. The spontaneous intracerebral hematoma intelligent surgery system according to claim 1, characterized in that: The spontaneous intracerebral hematoma intelligent surgical system further comprises a lighting component (5), and the surgical tube (1) further comprises a lighting channel (14); the lighting component (5) comprises a lighting cable and a light-emitting unit arranged at one end of the lighting cable, the light-emitting unit being arranged on the insertion end, and the lighting cable passing through the lighting channel (14) is electrically connected to the control component (6).

7. The spontaneous intracerebral hematoma intelligent surgery system according to claim 6, characterized in that: The lighting cable adopts optical fiber, and the light emitting unit adopts LED optical fiber light source.

8. The spontaneous intracerebral hematoma intelligent surgery system according to claim 1, characterized in that: The insertion end of the surgical tube (1) is also provided with a direction control guide wire (16) connected to the control component (6), and the direction control guide wire (16) is used to adjust the direction of the insertion end in the skull.

9. The spontaneous intracerebral hematoma intelligent surgery system according to claim 8, characterized in that: The end of the direction control guide wire (16) is integrated with a pressure sensor for real-time display of the intracranial pressure centered on the hematoma cavity during the operation, so as to ensure brain protection during the operation.

10. The spontaneous intracerebral hematoma intelligent surgery system according to claim 1, characterized in that: The end of the ultrasonic probe is fan-shaped and wide-angle, which is conducive to observing and identifying the hematoma and brain tissue interface in a larger range.

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