CN103494641A - Multifunctional laser treatment combined system and method - Google Patents
Multifunctional laser treatment combined system and method Download PDFInfo
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- CN103494641A CN103494641A CN201310486625.9A CN201310486625A CN103494641A CN 103494641 A CN103494641 A CN 103494641A CN 201310486625 A CN201310486625 A CN 201310486625A CN 103494641 A CN103494641 A CN 103494641A
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Abstract
The invention discloses a multifunctional laser treatment combined system and method. The system comprises a laser component used for generating laser beams, a laser combining component used for combining various laser beams, an operation optical fiber device, a cooling component, a cooling flushing attraction backflow device and a controller. The method comprises the steps of generating laser beams with various set wave lengths, combining the laser beams with the various set wave lengths, controlling cooling flushing, and recycling cooling water. According to the system and method, various surgeries are combined, one machine can be used for many purposes, medical cost is saved, and surgery efficiency is improved.
Description
Technical field
The present invention relates to a kind of composite and multi-purpose laser therapy aparatus, be particularly related to a kind of multifunctional laser therapeutic combined system and method, utilize the laser of one or more wavelength, realize the decomposition of melting of calculus with pulse or continuous wave, utilize the laser of one or more wavelength, realizing Soft tissue cutting and hemostasis with continuous or impulse wave, is the comprehensive micro-wound surgical operation system for (simultaneously) treatment calculus and benign prostate hyperplasia and other system exceptions.
Background technology
Laser has very unique application advantage in the minimally-invasive treatment field, and constantly changes the traditional surgery operation, and laser technology provides advanced technological means for the micro-wound surgical operation treatment.
What the intraluminal medical devices for the treatment of for calculosis both at home and abroad at present was the most frequently used is ultrasonic lithotrite and laser lithotripsy machine, and ultrasonic lithotrite is because the stress that sonic oscillation applies calculus is less, so lithotrity effect is poor, treatment time is longer.Ultrasonic feeler lever also can produce heat at intracavity in addition, and misapplication has damage to tissue.Laser lithotripsy machine is at present more advanced a kind of, it has that maximum impulse is pressed, average pulse is pressed and the advantage such as pulse frequency, and lasertripsy generally all carries out at Microendoscopic, so lithotrity effect is better, the rubble time is shorter than ultrasonic, and safe, few intercurrent disease.
Method for Laserbehandlung der benignen Prostatahyperplasie has holmium laser, green laser, semiconductor laser, thulium laser etc., Nd:YAG laser, semiconductor laser or Ho:YAG and thulium laser per urethra are caused to the prostatic of hypertrophy, vaporize or solidify hyperplastic tissue, to reach therapeutic purposes.This technology is more simple than routine operation, and damage and painful few, therefore have the important application prospect.
Although it is a lot of to treat the medical laser instrument of above two kinds of diseases occurred frequently, but be all simple function equipment usually, can only meet a kind of functional requirement, and have limitation separately more, when needing dissimilar laser means to solve different focus in an operation, cut as organized and stop blooding, the while rubble, single laser equipment will inevitably extend operating time, increases patient's body and mind misery, greatly increase medical treatment cost, therefore need a kind of combined therapy system simultaneously.
Summary of the invention
The objective of the invention is to propose a kind of multifunctional laser therapeutic combined system and method for the problems referred to above, not only can meet to greatest extent the needs of Wicresoft's interventional therapy overall process to different wave length laser by increasing multiwavelength laser, also can meet the treatment of different parts various disease.Laser is distinctive to the interactional result of biological tissue, can, in the cutting of vaporizing, realize hemostasis.Also can be heated tumor, it is solidified, thereby atrophy, tissue absorb.Realize vaporizing on a platform, cut, solidify, melt, the multiple treatment functions such as hemostasis, deactivation, welding.
To achieve these goals, technical scheme of the present invention is:
A kind of multifunctional laser therapeutic combined system, described system comprises:
Laser assembly: for generation of at least two kinds of laser beams of setting wavelength;
Light-integrating subassembly: close bundle for the laser beam of multiple setting wavelength that laser assembly is produced and become together
For a branch of light beam that contains different wave length outputs to optical fiber gang socket;
Operation fiber device: by being connected with described optical fiber gang socket with a branch of optical fiber, implement operation technique;
Cooling package: the surrounding tissue to the treatment part is carried out cooling;
Cooling flushing attracts reflux: for reclaiming the cooling water of cooling package;
Controller: be connected with described laser assembly, for controlling the laser of laser assembly output respective wavelength, attract reflux according to temperature control cooling package and the cooling flushing for the treatment of part simultaneously.
Scheme is further: described laser assembly comprises the first laser module and second laser module; Described the first laser module is for sending the first laser of the first setting wavelength; Described the second laser module is for sending the second laser of the second setting wavelength, wherein, described the first laser is the continuous wave laser for hemostasis and cutting soft tissue, described the second laser is for melting the continuous wave laser of calculus, described the first laser and the second laser are launched simultaneously and are realized rubble, hemostasis and cutting soft tissue, the wavelength difference of described the first laser, the second laser.
Scheme is further: the wavelength of described the first laser is 980nm, and the wavelength of described the second laser is 1470nm.
Scheme is further: the output end of described a branch of optical fiber is ball shape body, and this ball shape body is solid transparency silica glass ball.
Scheme is further: the diameter of the output end ball shape of described a branch of optical fiber and the ratio range of fibre diameter are 1 to 2.
Scheme is further: described light-integrating subassembly comprises a bundling device, many the fiber waveguides that intersect on one point that described bundling device is realized by the silicon oxide layer on silicon substrate form, in described many crossing fiber waveguides, one is the synthetic output optical waveguide of laser, all the other are the laser input waveguide, wherein, the cross-sectional area of output optical waveguide is greater than the cross-sectional area of input waveguide, be provided with laser at the output optical waveguide front end and derive the coupled lens group, be respectively arranged with laser at a plurality of input waveguide front ends and import the coupled lens group, the front end that imports the coupled lens group at a plurality of laser is respectively arranged with the laser input optical fibre, described laser input optical fibre connects described laser assembly, the front end that described laser is derived the coupled lens group is provided with laser derivation optical fiber, described laser is derived optical fiber and is connected described optical fiber gang socket.
Scheme is further: described input waveguide is two, the crossing angle of described two input waveguides is not more than 30 degree, the synthetic output optical waveguide of described laser equates with the angle of two input waveguides, and form each other the Y-shaped shape, described input waveguide and output optical waveguide cross section are square, wherein, the input waveguide cross section is the square that the length of side is 450um, the output optical waveguide cross section is the square that the length of side is 650um, it is the laser that 980nm and wavelength are 1470nm that two input waveguides pass into respectively wavelength, the distance that described laser imports coupled lens group and laser input optical fibre is 5mm, the distance that described laser is derived coupled lens group and laser derivation optical fiber is 5mm, the input of described two input waveguides is sphere, the outfan of the synthetic output optical waveguide of described laser is sphere.
Scheme is further: described system further is included on the Laser output optical fiber of operation fiber device distance measuring sensor is set, the distance measuring sensor signal is passed to controller, and described distance measuring sensor is to use single-mode fiber to be fixed in the place apart from fiber-optic output face 5mm by aseptic armor.
A kind of multifunctional laser therapeutic combined method based on described system: comprise the step that the laser beam that produces two kinds of setting wavelength is poly-, the laser beam of two kinds of setting wavelength is closed to bundle step, the step of controlling cooling flushing and recovery cooling water together, it is characterized in that, the process of described step is:
A. produce two kinds of laser beams of setting wavelength by laser assembly, described two kinds of laser beams of setting wavelength are respectively the laser beams that the wavelength laser beam that is 980nm and wavelength are 1470nm, and wherein: the laser beam of 1470nm and the laser beam of 980nm are respectively continuous light beam and pulsed beam can realize the light beam exchanged;
B. two kinds of laser beams are combined by an optical fiber and deliver to operation fiber device enforcement operation by light-integrating subassembly, wherein utilize continuously or pulse laser beam is realized the decomposition of melting of calculus, utilize continuously or pulsed beam is used alternatingly and realizes Soft tissue cutting and hemostasis;
C. in implementation step b in the process that melts decomposition and Soft tissue cutting and hemostasis to calculus, by the cooling water in cooling package connect the peripheral soft tissues place is carried out cooling, and the variation of real time monitoring soft tissue place temperature;
D. when specific temperature rise higher than when setting value, change continuous light beam into pulsed light beam, when temperature continues to continue to rise, reduce pulse frequency or reduce pulse duty factor, in like manner, the time increase gradually pulse duty factor or rising pulse frequency and change pulsed light beam into continuous light beam lower than setting value when temperature;
E. when carrying out water-cooled, synchronously attract reflux to start cooling flushing, reclaim the cooling water of cooling package.
Described method further comprises: it is to utilize the mode of negative pressure of vacuum to reclaim cooling water that described cooling flushing attracts reflux, and control to discharge flow and the flow velocity of water with effusion meter, when discharge water is greater than the cooling water of input, controls the discharge water yield and make to discharge water and input water all the time in poised state.
The present invention compared with prior art has following advantage: utilize laser distinctive to the interactional result of biological tissue, can, in the cutting of vaporizing, realize hemostasis.Also can be heated tumor, it is solidified, thereby atrophy, tissue absorb.Realize vaporizing on a platform, cut, solidify, melt, the multiple treatment functions such as hemostasis, deactivation, welding; Multiple surgical operation is integrated, realized a tractor serves several purposes, the Economy type medicine cost, improve operation efficiency.
Below in conjunction with drawings and Examples, the present invention is described in detail.
The accompanying drawing explanation
Fig. 1 is laser therapeutic system structural representation of the present invention;
Fig. 2 is bundling device structural representation in the present invention and optical assembly;
Fig. 3 is the spherical laser head work of the present invention schematic diagram;
Fig. 4 is the present invention's fiber work principle schematic of finding range;
Fig. 5 is a kind of light-integrating subassembly example schematic of the present invention.
The specific embodiment
Embodiment 1:
A kind of multifunctional laser therapeutic combined system, referring to Fig. 1, described system comprises:
Laser assembly 1: for generation of at least two kinds of laser beams of setting wavelength;
Light-integrating subassembly 2: close bundle for the laser beam of multiple setting wavelength that laser assembly is produced and become together
For a branch of light beam that contains different wave length outputs to optical fiber gang socket;
Operation fiber device 3: by being connected with described optical fiber gang socket with a branch of optical fiber, implement operation technique;
Cooling package 4: the surrounding tissue to the treatment part is carried out cooling;
Cooling flushing attracts reflux 5: for reclaiming the cooling water of cooling package;
Controller 6: be connected with described laser assembly, for controlling the laser of laser assembly output respective wavelength, attract reflux according to temperature control cooling package and the cooling flushing for the treatment of part simultaneously.
In embodiment: described laser assembly comprises the first laser module and second laser module; Described the first laser module is for sending the first laser of the first setting wavelength; Described the second laser module is for sending the second laser of the second setting wavelength, wherein, described the first laser is the continuous wave laser for hemostasis and cutting soft tissue, described the second laser is for melting the continuous wave laser of calculus, described the first laser and the second laser are launched combined effect simultaneously and are realized rubble, hemostasis and cutting soft tissue, the wavelength difference of described the first laser, the second laser.
In embodiment: the wavelength of described the first laser is 980nm, and the wavelength of described the second laser is 1470nm.
In embodiment: the output end of described a branch of optical fiber is ball shape body or bullet or deformable body, and wherein, described ball shape body is solid transparency silica glass ball.Wherein, scheme further: the diameter of the output end ball shape of described a branch of optical fiber and the ratio range of fibre diameter are 1 to 2.In embodiment: the output end of described optical fiber 14 is ball shape 15, and this spheroplast is solid transparency silica glass ball.Wherein, the diameter of the output end ball shape of described optical fiber and the ratio range of fibre diameter are 1 to 2, and optimum ratio is 1.5.Fig. 3 has illustrated its duty, during work, ball shape output is that a kind of laser beam 16 of directivity is to soft tissue 17 places, through overtesting, the spherical optical fibre end face is stronger on the energy output of optical fiber connector distributes than the plane fiber end face, and peripheral energy is more weak, what these characteristics can make that energy concentrates more carries out radiation ablation to calculus and focus, and less to the damage of surrounding tissue.
Scheme is further: described light-integrating subassembly comprises a bundling device, referring to Fig. 2, many the fiber waveguides that intersect on one point that described bundling device is realized by the silicon oxide layer on silicon substrate form, in described many crossing fiber waveguides, one is the synthetic output optical waveguide 13 of laser, all the other are the laser input waveguide, wherein, the cross-sectional area of output optical waveguide is greater than the cross-sectional area of input waveguide, be provided with laser at the output optical waveguide front end and derive coupled lens group 10, be respectively arranged with laser at a plurality of input waveguide front ends and import coupled lens group 11, the front end that imports the coupled lens group at a plurality of laser is respectively arranged with laser input optical fibre 12, described laser input optical fibre connects described laser assembly, the front end that described laser is derived the coupled lens group is provided with laser derivation optical fiber 14, described laser is derived optical fiber and is connected described optical fiber gang socket.Laser channeling described in embodiment is on the silicon oxide layer on silicon substrate, to utilize the method for photoetching to generate closing the waveguide of bundle laser light in the respective shapes bundling device.
Fig. 2 has illustrated the embodiment of an optimization, wherein, described input waveguide is two input waveguides 7 and 8, the crossing angle 9 of described two input waveguides is not more than 30 degree (the best is 25 degree), the synthetic output optical waveguide of described laser equates with the angle of two input waveguides, and form each other the Y-shaped shape, described input waveguide and output optical waveguide cross section are square, wherein, the input waveguide cross section is the square that the length of side is 450um, the output optical waveguide cross section is the square that edge lengths is 650um, it is 980nm that two input waveguides pass into respectively wavelength, the laser that maximum laser power is 180W and wavelength are 1470nm, the laser that maximum laser power is 120W, the distance that described laser imports coupled lens and laser input optical fibre is 5mm, the distance that described laser coupled lens and laser are derived optical fiber is 5mm.
In embodiment, for collimating optical fibre output light, the input of described two input waveguides is sphere, and the outfan of the synthetic output optical waveguide of described laser is also sphere.
Fig. 5 has illustrated another kind of optimization light-integrating subassembly, that is: described light-integrating subassembly is that the laser beam of setting wavelength for two kinds that laser assembly is produced closes bundle and becomes a branch of light beam that contains different wave length together and output to optical fiber gang socket, wherein: described light-integrating subassembly comprises a bundling device, described bundling device comprises two laser input optical fibres 29, 30, with the synthetic output optical fibre 35 of a laser, described two laser input optical fibres relatively are 0 degree angle and arrange, vertical the equating of angle of the synthetic output optical fibre of described laser and two laser input optical fibres, form each other the T word shape, between two laser input optical fibres and and the synthetic output optical fibre of laser between be provided with corner cube prism 33, be provided with battery of lens 31 between laser input optical fibre and corner cube prism, 32, be provided with condenser lens 34 between the synthetic output optical fibre of laser and corner cube prism, laser converges to two right angle faces of prism through battery of lens (collimating lens) from two laser input optical fibre outputs respectively, reflect the parallel optical axis of two bundles from two right angle faces of prism, described two bundle parallel optical axis focus on the synthetic output optical fibre of described laser through described condenser lens, wherein, described two laser input optical fibres are inputted respectively is the laser that the wavelength laser that is 980nm and wavelength are 1470nm, the laser of corresponding two kinds of wavelength, be coated with respectively 1470nm and 980nmHR film on two right angle faces of described prism, described two-beam wheelbase is from being 2mm, the focal length of described battery of lens is 10-25mm, the focal length of described condenser lens is 20-40mm.
In embodiment, described system further be included in the operation fiber device Laser output optical fiber on distance measuring sensor is set, the distance measuring sensor signal is passed to controller, and described distance measuring sensor is to use single-mode fiber to be fixed in the place apart from fiber-optic output face 5mm by aseptic armor.Spacing based between optical fiber and calculus and soft tissue, the output of control laser instrument.
In addition, described system also comprises retracting device, and this retracting device can help as one man to recall the optical fiber in being used for the treatment of.This technology is effectively for calculus, benign prostate hyperplasia treatment, and the treatment condition is based on from monitored difference and controls feedbacks parameter and previous definite structural parameters therapentic part.Can use such as translational speed, prostate or calculus size, the mass spectrum parameter of calculus, micro-spacing, temperature parameter are controlled the power that will carry.According to these parameters, by the automatic power ratio control density of controlling organization, there is important advantage in this mechanism to operation.As after treatment or when treatment reduce mistake, prevent the radiation control in non-control situation, and optimization treatment parameter.
Native system has proposed optical fiber connector and the calculus distant-control system comes the utilization rate of improving laser power and protection fiber end face to damage; utilize the method measuring distance of phase-shift laser rangefinder; laser to emission carries out light phase modulation; during by Laser Transmission, the phase space of modulation signal changes, and calculates phase place by phase discriminator and changes.According to respective wavelength, can calculate optical fiber connector to the calculus distance.According to the different distance of optical fiber and calculus, can calculate the spot diameter on calculus.Calculate the power demand density that calculus is pulverized.Thereby reach the purpose of setting best distance.Implementation method is as shown in Figure 4: by what use lasing light emitter 18, be coupled into optical fiber 19, scioptics 20 light-concentrating laser 21 direct projections are to calculus or organize 22 again, 22 reflector lasers 23 are to lens 24, and lens 24 focus the light into optical fiber 25, by phase discriminator 26, through line 27, are shown on complete machine 28.According to wavelength and phase calculation go out optical fiber connector and with the distance of calculus.Range measurement accuracy is the millimeter magnitude.Wherein optical fiber 19 is single-mode fiber with optical fiber 25, utilizes aseptic armor to be fixed on energy-transmission optic fibre.
A kind of multifunctional laser therapeutic combined method based on embodiment 1 described system: in embodiment 1, disclosed content also should be thought the present embodiment disclosure, described method comprises the step that the laser beam that produces two kinds of setting wavelength is poly-, the laser beam of two kinds of setting wavelength is closed to bundle step, the step of controlling cooling flushing and recovery cooling water together, wherein, the process of described step is:
A. produce two kinds of laser beams of setting wavelength by laser assembly, described two kinds of laser beams of setting wavelength are respectively the laser beams that the wavelength laser beam that is 980nm and wavelength are 1470nm, and wherein: the laser beam of 1470nm and the laser beam of 980nm are respectively continuous light beam and pulsed beam can realize the light beam exchanged;
B. two kinds of laser beams are combined by an optical fiber and deliver to operation fiber device enforcement operation by light-integrating subassembly, wherein utilize continuously or pulse laser beam is realized the decomposition of melting of calculus, utilize continuously or pulsed beam is used alternatingly and realizes Soft tissue cutting and hemostasis;
C. in implementation step b in the process that melts decomposition and Soft tissue cutting and hemostasis to calculus, by the cooling water in cooling package connect the peripheral soft tissues place is carried out cooling, and the variation of real time monitoring soft tissue place temperature;
D. when specific temperature rise higher than when setting value, change continuous light beam into pulsed light beam, when temperature continues to continue to rise, reduce pulse frequency or reduce pulse duty factor, in like manner, the time increase gradually pulse duty factor or rising pulse frequency and change pulsed light beam into continuous light beam lower than setting value when temperature;
E. when carrying out water-cooled, synchronously attract reflux to start cooling flushing, reclaim the cooling water of cooling package.
Described method further comprises: it is to utilize the mode of negative pressure of vacuum to reclaim cooling water that described cooling flushing attracts reflux, and control to discharge flow and the flow velocity of water with effusion meter, when discharge water is greater than the cooling water of input, controls the discharge water yield and make to discharge water and input water all the time in poised state.
Above-mentioned two embodiment provide a kind of multifunctional laser therapeutic combined system and method, the function that simultaneously possesses two kinds of different laser equipments, can use separately a certain function, two kinds of function combinations can also be used, adapt to the disease scope wide, easy to use, reduce in operation the more time of exchange device, reduce patient's discomfort, simultaneously the Economy type medicine equipment investment cost.
Embodiment is safety and efficient system and the method for for melting/cutting, decomposing calculus or other hardness of matter.
Embodiment provides the laser aid that comprises combination or single emission wavelength, and at least one in wherein said wavelength sent continuous wave, in order to melt/to cut, decomposes calculus, and its heat temperature raising by the restriction calculus reduces surrounding tissue damage, hemostasis simultaneously.Can realize that melting with intracavity of soft tissue stop blooding an operation stage simultaneously.Embodiment also can be used for treating prostatic hyperplasia and merges bladder or calculus of urethra disease, realizes the disposable elimination of focus by the combination of different wave length laser at a Surgery Platform.
According to clinical trial and the testing in vitro of histology's result, 1470nm is the wavelength band of eye-safe, and water has high absorbability to it.When the radiation by high absorption is applied to aqueous medium, hydrone obtains height and Fast Heating, and this extremely high speed and instant heating can cause that Quick steam expands, thereby produce high energy in part.Use the 1470nm and the continuous radiation that are very easily absorbed by water just can produce the superenergy that can destroy hardness of matter.
When this laser module is launched continuous radiation by the optical fiber of output unit to calculus, can be by high absorption in its around/overwrite media, thereby cause evaporation and cavitation effect that stone, calculus are destroyed, thereby effectively realize melting and decomposing of calculus, and excrete with body fluid.Therefore make operation process become feasible, rapidly and wound is little, very fast without wound, healing, solved the difficult problem on the laser medicine.
It is 180W that wavelength selects 980nm power, and this wavelength has excellent absorbability and have (medium) poor absorbability in water in blood, and it acts on structural infiltration is about 2-3mm, utilizes these characteristics can effectively realize melting of soft tissue.Utilize its low absorbability to water simultaneously, can produce the tissue vaporization relevant to hemostatic effect and transparent bleaching, therefore it also has effective strengthening hemostatic effect.The continuous radiation that in this example, laser module is crossed the optical fiber emission 980nm wavelength of output unit realizes melting of intracavity soft tissue, solidify surrounding tissue simultaneously, realize the hemostasis of tissue, surrounding tissue is maintained to minimum pyrolytic damage, shorten operating time simultaneously, improve operation efficiency.
It is the energy generating source that embodiment selects the laser array cooperation of 1470nm and two kinds of wavelength of 980nm, alternate emission continuous wave in the particular range of described laser energy under the absorption peak that is centered at particular organization's composition; Native system by unique optical fiber by these two kinds of different wave lengths and laser alternately output to tissue, the selection by wavelength and power realizes treating to the ill of different syndromes.980nm laser energy continuous radiation acts on soft tissue, and for the per urethra laser ablation treatment of prostatic hyperplasia, its purpose is to gasify a part of prostata tissue in order to allow that urethra flows.Simultaneously, the residual radiation of 980nm can be used for realizing the potent hemostasis in soft tissue.In therapeutic process or next stage, for the calculus of intracavity, can adopt the 1470nm laser energy to drive optical fiber to send continuous radiation acts on calculus, by water, it is had to high absorbability, make in its around/overwrite media by high absorption, can cause that by high speed and instant heating Quick steam expands, thereby produce the superenergy that can cause that calculus is destroyed in part, effectively realize melting and decomposing of calculus.
Therefore, the doctor can and want by the infiltration according to required on destination organization the effect that melts, solidifies to change emission wavelength and power with native system, makes Therapeutic Method control adjustment in preset range.
In the operation process of laser therapy calculus and prostatic hyperplasia, the temperature that generally adopts the method for bladder irrigation to reduce pipeline and intracavity comes protective tissue to sustain damage.Traditional laser surgery adopts sealed bottled 0.9% normal saline to connect disposable transfusion device, then, by aseptic drainage bag access transfusion device, connects the three-cavity air bag excrement tracting tube in joint, and another outlet of urinary catheter connects aseptic drainage bag, under the control of actuator, is rinsed.
Because native system sends lasting laser emission, can there is excess Temperature in part, so preferably should take to inject the normal saline of 5 ℃ after freezing, and the water of assurance discharge and the water equivalent of injection, or the water of discharging is slightly larger than the water of injection, control flow and the speed of normal saline by peristaltic pump, in order to guarantee the safety of operation.
The present invention is not limited to described accurate embodiment, and wherein under the prerequisite that does not break away from as claims defined scope of the present invention or spirit, those skilled in the art can carry out variations and modifications.
Claims (10)
1. a multifunctional laser therapeutic combined system, is characterized in that, described system comprises:
Laser assembly: for generation of at least two kinds of laser beams of setting wavelength;
Light-integrating subassembly: close bundle for the laser beam of multiple setting wavelength that laser assembly is produced and become together
For a branch of light beam that contains different wave length outputs to optical fiber gang socket;
Operation fiber device: by being connected with described optical fiber gang socket with a branch of optical fiber, implement operation technique;
Cooling package: the surrounding tissue to the treatment part is carried out cooling;
Cooling flushing attracts reflux: for reclaiming the cooling water of cooling package;
Controller: be connected with described laser assembly, for controlling the laser of laser assembly output respective wavelength, attract reflux according to temperature control cooling package and the cooling flushing for the treatment of part simultaneously.
2. a kind of multifunctional laser therapeutic combined system according to claim 1, is characterized in that, described laser assembly comprises the first laser module and second laser module; Described the first laser module is for sending the first laser of the first setting wavelength; Described the second laser module is for sending the second laser of the second setting wavelength, wherein, described the first laser is the continuous wave laser for hemostasis and cutting soft tissue, described the second laser is for melting the continuous wave laser of calculus, described the first laser and the second laser are launched simultaneously and are realized rubble, hemostasis and cutting soft tissue, the wavelength difference of described the first laser, the second laser.
3. a kind of multifunctional laser therapeutic combined system according to claim 2, is characterized in that, the wavelength of described the first laser is 980nm, and the wavelength of described the second laser is 1470nm.
4. a kind of multifunctional laser therapeutic combined system according to claim 1, is characterized in that, the output end of described a branch of optical fiber is ball shape body, and this ball shape body is solid transparency silica glass ball.
5. a kind of multifunctional laser therapeutic combined system according to claim 4, is characterized in that, the diameter of the output end ball shape of described a branch of optical fiber and the ratio range of fibre diameter are 1 to 2.
6. a kind of multifunctional laser therapeutic combined system according to claim 1, it is characterized in that, described light-integrating subassembly comprises a bundling device, many the fiber waveguides that intersect on one point that described bundling device is realized by the silicon oxide layer on silicon substrate form, in described many crossing fiber waveguides, one is the synthetic output optical waveguide of laser, all the other are the laser input waveguide, wherein, the cross-sectional area of output optical waveguide is greater than the cross-sectional area of input waveguide, be provided with laser at the output optical waveguide front end and derive the coupled lens group, be respectively arranged with laser at a plurality of input waveguide front ends and import the coupled lens group, the front end that imports the coupled lens group at a plurality of laser is respectively arranged with the laser input optical fibre, described laser input optical fibre connects described laser assembly, the front end that described laser is derived the coupled lens group is provided with laser derivation optical fiber, described laser is derived optical fiber and is connected described optical fiber gang socket.
7. a kind of multifunctional laser therapeutic combined system according to claim 6, it is characterized in that, described input waveguide is two, the crossing angle of described two input waveguides is not more than 30 degree, the synthetic output optical waveguide of described laser equates with the angle of two input waveguides, and form each other the Y-shaped shape, described input waveguide and output optical waveguide cross section are square, wherein, the input waveguide cross section is the square that the length of side is 450um, the output optical waveguide cross section is the square that the length of side is 650um, it is the laser that 980nm and wavelength are 1470nm that two input waveguides pass into respectively wavelength, the distance that described laser imports coupled lens group and laser input optical fibre is 5mm, the distance that described laser is derived coupled lens group and laser derivation optical fiber is 5mm, the input of described two input waveguides is sphere, the outfan of the synthetic output optical waveguide of described laser is sphere.
8. a kind of multifunctional laser therapeutic combined system according to claim 7, it is characterized in that, described system further be included in the operation fiber device Laser output optical fiber on distance measuring sensor is set, the distance measuring sensor signal is passed to controller, and described distance measuring sensor is to use single-mode fiber to be fixed in the place apart from fiber-optic output face 5mm by aseptic armor.
9. the multifunctional laser therapeutic combined method based on the described system of claim 1: comprise produce two kinds of laser beams of setting wavelength poly-, two kinds of laser beams of setting wavelength are closed to step together of bundle, control the step of cooling flushing and the step that reclaims cooling water, it is characterized in that, the process of described step is:
A. produce two kinds of laser beams of setting wavelength by laser assembly, described two kinds of laser beams of setting wavelength are respectively the laser beams that the wavelength laser beam that is 980nm and wavelength are 1470nm, and wherein: the laser beam of 1470nm and the laser beam of 980nm are respectively continuous light beam and pulsed beam can realize the light beam exchanged;
B. two kinds of laser beams are combined by an optical fiber and deliver to operation fiber device enforcement operation by light-integrating subassembly, wherein utilize continuously or pulse laser beam is realized the decomposition of melting of calculus, utilize continuously or pulsed beam is used alternatingly and realizes Soft tissue cutting and hemostasis;
C. in implementation step b in the process that melts decomposition and Soft tissue cutting and hemostasis to calculus, by the cooling water in cooling package connect the peripheral soft tissues place is carried out cooling, and the variation of real time monitoring soft tissue place temperature;
D. when specific temperature rise higher than when setting value, change continuous light beam into pulsed light beam, when temperature continues to continue to rise, reduce pulse frequency or reduce pulse duty factor, in like manner, the time increase gradually pulse duty factor or rising pulse frequency and change pulsed light beam into continuous light beam lower than setting value when temperature;
E. when carrying out water-cooled, synchronously attract reflux to start cooling flushing, reclaim the cooling water of cooling package.
10. a kind of multifunctional laser therapeutic combined method based on the described system of claim 1 according to claim 9, described method further comprises: it is to utilize the mode of negative pressure of vacuum to reclaim cooling water that described cooling flushing attracts reflux, and control to discharge flow and the flow velocity of water with effusion meter, when discharge water is greater than the cooling water of input, controls the discharge water yield and make to discharge water and input water all the time in poised state.
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Cited By (8)
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| CN103815963A (en) * | 2014-02-26 | 2014-05-28 | 爱科凯能科技（北京）股份有限公司 | Holmium laser medical instrument |
| CN104083212A (en) * | 2014-06-09 | 2014-10-08 | 爱科凯能科技（北京）股份有限公司 | High-hemostatic performance laser scalpel |
| CN104659650A (en) * | 2015-02-11 | 2015-05-27 | 西安炬光科技有限公司 | Semiconductor laser medical heating regulation and control method |
| CN105011974A (en) * | 2015-07-16 | 2015-11-04 | 南京理工大学 | Method and device for welding biological tissue by mixed laser beam |
| CN107864672A (en) * | 2015-05-13 | 2018-03-30 | 斯特拉斯堡大学 | Laser machining device and the work station including this device |
| CN113117247A (en) * | 2014-01-31 | 2021-07-16 | 宝镭适有限公司 | Multi-wavelength laser therapeutic equipment |
| CN113543420A (en) * | 2021-09-14 | 2021-10-22 | 四川大学华西医院 | Illumination imaging illumination control method and device |
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| CN113117247A (en) * | 2014-01-31 | 2021-07-16 | 宝镭适有限公司 | Multi-wavelength laser therapeutic equipment |
| CN103815965A (en) * | 2014-02-26 | 2014-05-28 | 爱科凯能科技（北京）股份有限公司 | Laser medical instrument |
| CN103815963A (en) * | 2014-02-26 | 2014-05-28 | 爱科凯能科技（北京）股份有限公司 | Holmium laser medical instrument |
| CN103815965B (en) * | 2014-02-26 | 2016-01-13 | 爱科凯能科技（北京）股份有限公司 | A kind of laser medical equipment |
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| CN104659650A (en) * | 2015-02-11 | 2015-05-27 | 西安炬光科技有限公司 | Semiconductor laser medical heating regulation and control method |
| CN107864672A (en) * | 2015-05-13 | 2018-03-30 | 斯特拉斯堡大学 | Laser machining device and the work station including this device |
| CN105011974A (en) * | 2015-07-16 | 2015-11-04 | 南京理工大学 | Method and device for welding biological tissue by mixed laser beam |
| CN113543420A (en) * | 2021-09-14 | 2021-10-22 | 四川大学华西医院 | Illumination imaging illumination control method and device |
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