WO2015106378A1 - Multifunctional medical mems microprobe - Google Patents

Multifunctional medical mems microprobe Download PDF

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Publication number
WO2015106378A1
WO2015106378A1 PCT/CN2014/070554 CN2014070554W WO2015106378A1 WO 2015106378 A1 WO2015106378 A1 WO 2015106378A1 CN 2014070554 W CN2014070554 W CN 2014070554W WO 2015106378 A1 WO2015106378 A1 WO 2015106378A1
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Prior art keywords
microprobe
laser
probe
multifunctional medical
needle
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PCT/CN2014/070554
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French (fr)
Chinese (zh)
Inventor
刘胜
徐涌
戴宜全
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无锡慧思顿科技有限公司
武汉飞恩微电子有限公司
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Priority to PCT/CN2014/070554 priority Critical patent/WO2015106378A1/en
Publication of WO2015106378A1 publication Critical patent/WO2015106378A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0526Head electrodes
    • A61N1/0529Electrodes for brain stimulation
    • A61N1/0534Electrodes for deep brain stimulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/685Microneedles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0551Spinal or peripheral nerve electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/028Microscale sensors, e.g. electromechanical sensors [MEMS]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0075Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0502Skin piercing electrodes

Definitions

  • the invention relates to a medical micro-probe with multiple functions, which is mainly used for clinical diagnosis and neuroprosthetic support interconnection, and can also be used for neural signal feedback control research. Background technique
  • the present invention aims to provide a microprobe as a research platform, incorporating transdermal drug delivery, microelectrodes for shock stimulation and brain reaction potential signal collection, spectral efficacy tracking, tip pressure and stress strain measurement, etc. Technology, supporting the scientific quantitative research of acupuncture. Summary of the invention
  • a multifunctional medical MEMS microprobe is characterized in that an optical fiber and a micro flow tube are arranged inside the hollow needle tube, and a micro electrode and a micro flow tube outlet are formed on the side of the needle tip, and a flexible interconnection line and a control chip are arranged at the tail of the probe. Or the neuroprosthetic control system is interconnected while the fiber is connected to the fiber optic coupler at the tail.
  • the hollow needle tube may be used singly or in an array, and the material may be silicon or silicon dioxide, metal, or polymer.
  • the optical fiber is placed inside the hollow needle tube, and the front end is cemented with the front end of the needle, and is sharpened together to serve as a laser exit port.
  • the microfluidic tube is placed inside the needle tube for drug delivery, wherein a plurality of drug outlets are formed on the side of the needle tip, and a small amount of sustained release agent may also be stored at the outflow port.
  • the microelectrode is fixed to the outer side of the front end of the needle, and may be one or more for contacting a neuron to achieve nerve stimulation or sensing a nerve pulse signal, and may also be used to form an electric field at a local cell site for electrical breakdown.
  • the fiber coupler can be compatible with a single fiber single-wavelength laser access or a plurality of lasers with different wavelengths of laser input to realize laser input to the probe.
  • the light source may be a femtosecond laser, a picosecond laser, an infrared laser, a krypton laser or the like according to application requirements.
  • a phase retarder can be added before the laser coupler is connected to modulate the appropriate stimulated Raman input light or diagnostic light to achieve spectral focusing.
  • microprobe of the invention has important application value in transdermal administration, microelectrode and the like:
  • the main problems of oral administration are the degradation of the gastrointestinal tract and the first-pass effect of the liver.
  • Intravenous injection has a painful effect and requires medical personnel to operate.
  • Micro-probe arrays assisted transdermal administration can significantly increase the transdermal rate and absorption of macromolecular drugs, enabling efficient and painless administration.
  • the probe of the present invention has the functions of spectrum analysis of infrared spectrum or Raman spectrum, and the spectrum of the diseased cells and normal cells. The difference can identify the location of the lesion and the treatment of the lesion.
  • laser acupuncture can also be used with different lasers.
  • the micro-neural electrode at the front end of the micro-probe can extract neural signals and provide a control communication platform for the disabled, such as Parkinson's, epilepsy, blind people, etc., which is the key to study the human neural feedback signal and connect the intelligent prosthesis. bridge.
  • cell membrane lipid opening that is, electroporation
  • Raman spectroscopy is particularly effective for identifying cancer cells, and simultaneously binds to probe microtubules.
  • Drug macromolecules are electroporated in cells. In this case, it is easy to enter the interior of the cell, thereby achieving a combination of chemotherapy and electroporation therapy to improve the efficiency of treating cancer and to achieve local treatment.
  • the invention provides a novel neural probe and probe array.
  • the invention can be fabricated by an existing MEMS process such as electrochemical etching, and has low cost, high precision, longer probe and more assembly.
  • the electrodes are subjected to electric shock and feedback to form a three-dimensional electrode array having three-dimensional spatial resolution capability, and at the same time, a micro-flow tube drug delivery function is realized.
  • the experiments that have been completed show that the probe made based on the present invention succeeds when the mouse is in an artificial noise environment.
  • the pulse response potential signals of the two auditory neurons in the brain of the mouse were collected, as shown in Fig. 1 and 2. As can be seen from the figure, the probe has sufficient sensitivity to distinguish different neuronal response signals.
  • the invention has the beneficial effects that the probe of the invention can combine diagnosis, pathogenic spectrum identification, therapeutic effect monitoring, neural pulse communication and various treatment means, and can be applied to different applications. It is especially suitable for transdermal drug delivery, nerve pulse signal acquisition and shock input, neuroprosthetic interconnection, pathogen cell spectrum analysis and identification, and electrical breakdown therapy.
  • Fig.1 Pulse response potential signal of two auditory neurons in the brain of mice
  • Figure 3 is a schematic view of the structure of the present invention.
  • a multifunctional medical MEMS microprobe As shown in Fig. 1, a multifunctional medical MEMS microprobe, the microprobe tube 5 and the inner fiber 1 are cemented together and sharpened to obtain a microprobe tip.
  • the microelectrode 2 and the microfluidic tube outlet 3 are formed on the outer wall of the front end of the probe, wherein the electrode signal is led out through the gold plating wire in the outer wall groove of the needle tube for external control chip or intelligent prosthesis control system (not shown), and the electrode is
  • the application needs to be used as a neuron stimulation interconnect or to create a breakdown electric field at the local cells; the microfluidic tube outlet is used to contact the medicament in the microfluidic tube 4 or the sustained release medicament pre-existing in the orifice with the affected area.
  • the laser coupler 6 can meet the laser access of different wavelengths, wherein the laser can be a femtosecond laser, a picosecond laser, an infrared laser, a holmium laser, etc., and the selection is determined by the actual medical application.
  • Raman spectroscopy is used to identify diseased tissue, two different wavelengths of laser light can be coupled into the probe fiber, and one of the lasers can be first connected to the phase retarder before coupling, and the phase retarder can be adjusted in the probe.
  • the wavelength of the input light required for stimulated Raman scattering is generated in the fiber to achieve spectral focusing to improve spectral resolution.
  • the probe can be used for the collection of the optical signal generated by the excitation.
  • an avalanche diode, a photoelectric imaging probe, and the like are connected after the laser coupler, so that the space congestion caused by the accessories such as the lens can be greatly avoided.

Abstract

A multifunctional medical MEMS microprobe, the microprobe being hollow tube-shaped; the hollow needle (5) having arranged therein an optical fiber (1), a microfluidic tube (4), and microelectrodes (2) and microfluidic tube outlets (3) fabricated on the sides of the needle tip; the tail of the probe having a flexible interconnection cable connecting to a control chip or a neural prosthesis control system, and the optical fiber (1) being connected to the tail of an optical fiber coupler (6). All in one, the microprobe has diagnostics, pathogen spectral discrimination, therapeutic efficacy monitoring, nerve impulse communication, and various treatments, and is particularly suitable for use in transdermal administration, nerve impulse signal acquisition and electric shock input, neural prosthesis interconnection, pathogenic cell spectral analysis and discrimination, and electrical breakdown therapy.

Description

技术领域 Technical field
本发明涉及一种具有多种功能的医用微型探针, 主要用于临床诊疗和神经假肢支撑 互连, 也可用于神经信号反馈控制研究。 背景技术  The invention relates to a medical micro-probe with multiple functions, which is mainly used for clinical diagnosis and neuroprosthetic support interconnection, and can also be used for neural signal feedback control research. Background technique
虽然针灸目前已在上百个国家和地区应用, 但其精髓和相关技巧有时并未被真正理 解, 部分西方主流学界甚至质疑中医穴位的存在, 认为其疗效只是心理安慰效应并没有 实质疗效。 另一方面, 中医理论具有非实证的特点, 对穴位的大小都没有确切的认识, 也没有定量化的工具和反馈验证系统, 研究工具相当缺乏。 而且针灸手法作为历代不传 之术更是常被冠以繁琐神秘的名称, 甚至以 "只可意会、 不可言传"的世家密宗传承, 不 利于教学、 习练和深化研究。 例如, 即使是最基本的提插和捻转手法, 其中反复上提下 插的幅度、 频率和时间, 捻转的角度、 频率及时间等都与病人的感觉和医生的感觉相关, 问题是这种所谓"得气"感应本身就难以言表和准确理解。 因此, 作为国家抵御文化攻击 的重要工具, 如何构建适宜针灸特点的临床质量控制和疗效评价方法, 用国际学界接受 的科学数据展示针灸疗效是当务之急; 建立针灸疗法标准和规范, 通过通用临床实践指 南形式推广, 是针灸国际化的关键。  Although acupuncture is currently used in hundreds of countries and regions, its essence and related skills are sometimes not truly understood. Some Western mainstream academic circles even question the existence of acupuncture points of Chinese medicine, and believe that its efficacy is only a psychological comfort effect and has no substantial effect. On the other hand, TCM theory has non-positive characteristics, and there is no clear understanding of the size of acupoints. There is no quantitative tool and feedback verification system, and research tools are quite lacking. Moreover, as a technique of non-transmission, the acupuncture technique is often referred to as a cumbersome and mysterious name. It is even passed down to the family of the family, which can only be taught, practiced and deepened. For example, even the most basic interpolation and twirling techniques, in which the amplitude, frequency and time of the interpolation are repeated, the angle, frequency and time of the sway are related to the patient's feeling and the doctor's feeling. The problem is this. The so-called "getting angry" induction itself is difficult to understand and accurately understand. Therefore, as an important tool for national defense against cultural attacks, how to construct clinical quality control and efficacy evaluation methods suitable for acupuncture characteristics, it is imperative to display the efficacy of acupuncture with scientific data accepted by international scholars; establish standards and norms for acupuncture therapy, through general clinical practice guidelines Formal promotion is the key to the internationalization of acupuncture.
从现代医学的角度来讲, 针灸是通过物理刺激, 使人体内相应部位做出反应并产生 生物电信号传达到大脑, 而大脑在对传来的信息进行分析和整合之后, 会对身体做出相 应的调整, 有时还会分泌有治疗作用的神经递质。 这一系列调整作用会对整个身体的状 态产生影响, 从而使患者"自己治好自己的病"。 基于此思想, 本发明旨在提供一种微型 探针作为研究平台, 融合了透皮给药、 微电极用于电击刺激和脑反应电势信号收集、 光 谱疗效跟踪、 针尖压力与应力应变测量等高新技术, 为针灸的科学量化研究提供支撑。 发明内容  From the perspective of modern medicine, acupuncture uses physical stimulation to respond to the corresponding parts of the human body and generate bioelectrical signals to the brain. After the brain analyzes and integrates the information, it will make the body Corresponding adjustments sometimes secrete therapeutic neurotransmitters. This series of adjustments affects the state of the entire body, allowing the patient to "self-heal the disease." Based on this idea, the present invention aims to provide a microprobe as a research platform, incorporating transdermal drug delivery, microelectrodes for shock stimulation and brain reaction potential signal collection, spectral efficacy tracking, tip pressure and stress strain measurement, etc. Technology, supporting the scientific quantitative research of acupuncture. Summary of the invention
本发明目的在于提供一种融合了透皮给药、 微电极用于电击刺激和脑反应电势信号 收集、 光谱疗效跟踪、 针尖压力与应力应变测量的多功能医用 MEMS微型探针。  SUMMARY OF THE INVENTION It is an object of the present invention to provide a multifunctional medical MEMS microprobe incorporating transdermal drug delivery, microelectrodes for shock stimulation and brain response potential signal collection, spectral efficacy tracking, tip pressure and stress strain measurement.
本发明为实现上述目的, 采用如下技术方案:  In order to achieve the above object, the present invention adopts the following technical solutions:
一种多功能医用 MEMS微型探针, 其特征在于, 在中空针管内部布置有光纤、 微流 管, 在针尖侧面制作有微型电极和微流管出口, 在探针尾部有柔性互联线与控制芯片或 神经假肢控制系统互连, 同时光纤与尾部的光纤耦合器相连。 所述中空针管可以单根使用, 也可以阵列化使用, 材料可以是硅或二氧化硅、 金属、 聚合物。 A multifunctional medical MEMS microprobe is characterized in that an optical fiber and a micro flow tube are arranged inside the hollow needle tube, and a micro electrode and a micro flow tube outlet are formed on the side of the needle tip, and a flexible interconnection line and a control chip are arranged at the tail of the probe. Or the neuroprosthetic control system is interconnected while the fiber is connected to the fiber optic coupler at the tail. The hollow needle tube may be used singly or in an array, and the material may be silicon or silicon dioxide, metal, or polymer.
所述光纤置于中空针管内部, 前端与针的前端胶结, 并一起做尖锐化处理后作为激 光出射口。  The optical fiber is placed inside the hollow needle tube, and the front end is cemented with the front end of the needle, and is sharpened together to serve as a laser exit port.
所述微流管置于针管内部用于药物投送, 其中在针尖侧面制作有若干药剂流出口, 也可以在流出口处存放少量缓释药剂。  The microfluidic tube is placed inside the needle tube for drug delivery, wherein a plurality of drug outlets are formed on the side of the needle tip, and a small amount of sustained release agent may also be stored at the outflow port.
所述微型电极固定于针的前端外侧面, 可以是一个或多个, 用于与神经元接触实现 神经刺激或感应神经脉冲信号, 也可用于在局部细胞部位形成电场用于电击穿。  The microelectrode is fixed to the outer side of the front end of the needle, and may be one or more for contacting a neuron to achieve nerve stimulation or sensing a nerve pulse signal, and may also be used to form an electric field at a local cell site for electrical breakdown.
所述光纤耦合器可以兼容单根光纤单波长激光接入或多根光纤不同波长的激光接 入, 实现激光对探针的输入。 其中光源根据应用需要可以是飞秒激光、 皮秒激光、 红外 激光、 钬激光等。 为了得到更加合适波长的光, 在接入激光耦合器前可以加入相位延迟 器以便调制出合适的受激拉曼输入光或诊疗用光, 实现谱聚焦。  The fiber coupler can be compatible with a single fiber single-wavelength laser access or a plurality of lasers with different wavelengths of laser input to realize laser input to the probe. The light source may be a femtosecond laser, a picosecond laser, an infrared laser, a krypton laser or the like according to application requirements. In order to obtain a more suitable wavelength of light, a phase retarder can be added before the laser coupler is connected to modulate the appropriate stimulated Raman input light or diagnostic light to achieve spectral focusing.
本发明微型探针在透皮给药、 微电极等方面有重要应用价值:  The microprobe of the invention has important application value in transdermal administration, microelectrode and the like:
传统的给药方式包括口服和注射两种, 其中口服投药的主要问题在于胃肠道对药物 的降解作用和肝脏的首过效应; 静脉注射则有痛感, 且需要医护人员操作。 微探针阵列 辅助经皮给药则能显著提高大分子药物的透皮速率和吸收量, 可以实现高效、无痛投药。 另外, 由于目前微小局部的病变组织鉴别、 药效监测还非常困难, 本发明探针配合激光 器等设备后还兼具红外谱或拉曼谱等谱分析的功能, 根据病变细胞与正常细胞的光谱差 别可以鉴别病变位置及病变治疗情况。 同时采用不同的激光也可以进行激光针灸治疗。  Traditional methods of administration include oral administration and injection. The main problems of oral administration are the degradation of the gastrointestinal tract and the first-pass effect of the liver. Intravenous injection has a painful effect and requires medical personnel to operate. Micro-probe arrays assisted transdermal administration can significantly increase the transdermal rate and absorption of macromolecular drugs, enabling efficient and painless administration. In addition, since the microscopic local lesion tissue identification and drug effect monitoring are still very difficult, the probe of the present invention has the functions of spectrum analysis of infrared spectrum or Raman spectrum, and the spectrum of the diseased cells and normal cells. The difference can identify the location of the lesion and the treatment of the lesion. At the same time, laser acupuncture can also be used with different lasers.
微探针前端的微神经电极可以提取神经信号, 为伤残人士, 如帕金森、 癫痫患者、 盲人等提供与外界感应的控制通讯平台, 这是研究人体神经反馈信号以及接通智能假肢 的关键桥梁。 另外, 通过电极电场对细胞膜脂开孔, 即电穿孔, 也是目前治疗癌症的一 种方法, 而拉曼光谱对于鉴别癌细胞特别有效, 再同时结合探针微管药物大分子在细胞 处于电穿孔情况下易于进入细胞内部, 从而实现化学疗法和电穿孔疗法结合起来提高治 疗癌症的效率, 并实现局部治疗。  The micro-neural electrode at the front end of the micro-probe can extract neural signals and provide a control communication platform for the disabled, such as Parkinson's, epilepsy, blind people, etc., which is the key to study the human neural feedback signal and connect the intelligent prosthesis. bridge. In addition, cell membrane lipid opening, that is, electroporation, is also a current method for treating cancer, and Raman spectroscopy is particularly effective for identifying cancer cells, and simultaneously binds to probe microtubules. Drug macromolecules are electroporated in cells. In this case, it is easy to enter the interior of the cell, thereby achieving a combination of chemotherapy and electroporation therapy to improve the efficiency of treating cancer and to achieve local treatment.
本发明提出一种全新的神经探针和探针阵列, 相比于传统探针, 本发明可采用电化 学腐蚀等已有 MEMS工艺制作, 成本低、 精度高、 探针更长且可装配多电极进行电击和 反馈, 从而形成具有三维空间分辨能力的三维电极阵列, 同时实现了微流管药物投送功 能。 已经完成的实验表明, 当小白鼠处于人为噪声环境时, 基于本发明制作的探针成功 的采集到了小白鼠脑部两个听觉神经元的脉冲反应电位信号,如图 1、 2所示。由图可见, 该探针有足够的灵敏度, 足以区别不同神经元反应信号。 The invention provides a novel neural probe and probe array. Compared with the conventional probe, the invention can be fabricated by an existing MEMS process such as electrochemical etching, and has low cost, high precision, longer probe and more assembly. The electrodes are subjected to electric shock and feedback to form a three-dimensional electrode array having three-dimensional spatial resolution capability, and at the same time, a micro-flow tube drug delivery function is realized. The experiments that have been completed show that the probe made based on the present invention succeeds when the mouse is in an artificial noise environment. The pulse response potential signals of the two auditory neurons in the brain of the mouse were collected, as shown in Fig. 1 and 2. As can be seen from the figure, the probe has sufficient sensitivity to distinguish different neuronal response signals.
本发明的有益效果: 本发明所述探针可以兼有诊断、 病原光谱鉴别、 疗效监测、 神 经脉冲联通、 多种治疗手段于一体, 可以适用在不同的应用场合。 特别适合于透皮给药、 神经脉冲信号采集与电击输入、 神经假肢互连、 病原细胞谱分析及鉴别、 电击穿疗法等。 附图说明  The invention has the beneficial effects that the probe of the invention can combine diagnosis, pathogenic spectrum identification, therapeutic effect monitoring, neural pulse communication and various treatment means, and can be applied to different applications. It is especially suitable for transdermal drug delivery, nerve pulse signal acquisition and shock input, neuroprosthetic interconnection, pathogen cell spectrum analysis and identification, and electrical breakdown therapy. DRAWINGS
图 1 小白鼠脑部两个听觉神经元的脉冲反应电位信号  Fig.1 Pulse response potential signal of two auditory neurons in the brain of mice
图 2用分类程序进行有效差分处理后的脉冲反应信号  Figure 2: Pulse response signal after effective differential processing with classification program
图 3 为本发明结构示意图。  Figure 3 is a schematic view of the structure of the present invention.
具体实施方式 detailed description
如图 1所示, 一种多功能医用 MEMS微型探针, 微型探针管 5和内部的光纤 1胶结 在一起, 并进行尖锐化处理得到微型探针尖端。 在探针前端外壁制作有微型电极 2和微 流管出口 3,其中电极信号通过针管外壁槽中的镀金线引出用于外接控制芯片或智能假体 控制系统(图中未画出), 电极根据应用需要可以用作神经元刺激互连或在局部细胞处产 生击穿电场; 微流管出口则用于将微流管 4中的药剂或预存在管口的缓释药剂与患处接 触。 激光耦合器 6可以满足不同波长的激光接入, 其中激光可以是飞秒激光、 皮秒激光、 红外激光、 钬激光等, 其选择由实际诊疗应用决定。 当采用拉曼光谱鉴别病变组织时, 可以将两种不同波长的激光耦合进入探针光纤, 且在耦合前可以对其中一路激光先增接 位相延迟器, 借助位相延迟器的调节可以在探针光纤中产生受激拉曼散射所需要的输入 光波长, 实现谱聚焦以提高光谱分辨率。 另外, 受激而产生的光信号收集也可以采用该 探针, 此时在激光耦合器后连接雪崩二极管、 光电成像探头等, 这样可以极大地避免由 于镜头等配件造成的空间拥挤。  As shown in Fig. 1, a multifunctional medical MEMS microprobe, the microprobe tube 5 and the inner fiber 1 are cemented together and sharpened to obtain a microprobe tip. The microelectrode 2 and the microfluidic tube outlet 3 are formed on the outer wall of the front end of the probe, wherein the electrode signal is led out through the gold plating wire in the outer wall groove of the needle tube for external control chip or intelligent prosthesis control system (not shown), and the electrode is The application needs to be used as a neuron stimulation interconnect or to create a breakdown electric field at the local cells; the microfluidic tube outlet is used to contact the medicament in the microfluidic tube 4 or the sustained release medicament pre-existing in the orifice with the affected area. The laser coupler 6 can meet the laser access of different wavelengths, wherein the laser can be a femtosecond laser, a picosecond laser, an infrared laser, a holmium laser, etc., and the selection is determined by the actual medical application. When Raman spectroscopy is used to identify diseased tissue, two different wavelengths of laser light can be coupled into the probe fiber, and one of the lasers can be first connected to the phase retarder before coupling, and the phase retarder can be adjusted in the probe. The wavelength of the input light required for stimulated Raman scattering is generated in the fiber to achieve spectral focusing to improve spectral resolution. In addition, the probe can be used for the collection of the optical signal generated by the excitation. At this time, an avalanche diode, a photoelectric imaging probe, and the like are connected after the laser coupler, so that the space congestion caused by the accessories such as the lens can be greatly avoided.

Claims

权利要求书 Claim
1. 一种多功能医用 MEMS 微型探针, 其特征在于: 所述微型探针为中空针管形, 在中空针管内部布置有光纤、 微流管, 在针尖侧面制作有微型电极和微流管出 口, 在探针尾部有柔性互联线与控制芯片或神经假肢控制系统互连, 同时光纤与 尾部的光纤耦合器相连。 A multifunctional medical MEMS microprobe, characterized in that: the microprobe is in the shape of a hollow needle tube, an optical fiber and a micro flow tube are arranged inside the hollow needle tube, and a micro electrode and a micro flow tube outlet are formed on the side of the needle tip. A flexible interconnecting wire is connected to the control chip or the neuroprosthetic control system at the end of the probe, and the optical fiber is connected to the fiber coupler at the tail.
2. 根据权利要求 1 所述的多功能医用 MEMS微型探针, 其特征在于: 所述微型探 针其针管采用硅或二氧化硅或碳纳米管制作, 单根探针使用, 或组成微型探针阵 列使用。  2. The multifunctional medical MEMS microprobe according to claim 1, wherein: the microprobe has a needle tube made of silicon or silicon dioxide or carbon nanotubes, a single probe, or a microscopic probe. The needle array is used.
3. 根据权利要求 1或 2所述的多功能医用 MEMS微型探针, 其特征在于: 所述光 纤与探针前端进行胶结固定和尖锐化处理, 并从探针前端射出激光; 光纤在探针 的尾部与光纤耦合器相连, 根据应用不同将单波长激光或多种不同波长的激光耦 合进入所述光纤。  The multifunctional medical MEMS microprobe according to claim 1 or 2, wherein: the optical fiber and the probe tip are cemented and sharpened, and the laser is emitted from the front end of the probe; The tail is connected to a fiber coupler, and a single wavelength laser or a plurality of different wavelengths of laser light are coupled into the fiber depending on the application.
4. 根据权利要求 3所述的多功能医用 MEMS微型探针, 其特征在于: 所述激光为 激光针灸用激光、 红外光谱分析用激光或用于激励共振拉曼光谱的激光; 所述拉 曼光谱用于病理分析和病变组织鉴别。  The multifunctional medical MEMS microprobe according to claim 3, wherein the laser is a laser for laser acupuncture, a laser for infrared spectrum analysis, or a laser for exciting resonance Raman spectroscopy; Spectra were used for pathological analysis and lesion tissue identification.
5. 根据权利要求 1或 2所述的多功能医用 MEMS微型探针, 其特征在于: 所述微 流管置于针管内部用于药物投送, 微流管出口设置在针尖侧面, 在出口处存放少 量缓释药剂。  The multifunctional medical MEMS microprobe according to claim 1 or 2, wherein: the micro flow tube is placed inside the needle tube for drug delivery, and the micro flow tube outlet is disposed at the side of the needle tip at the exit Store a small amount of sustained release agent.
6. 根据权利要求 1或 2所述的多功能医用 MEMS微型探针, 其特征在于: 所述微 型电极固定于针的前端外侧面, 一个或多个, 用于与神经元接触实现神经刺激、 感应神经脉冲信号或用于在局部细胞部位形成电场用于电击穿。  The multifunctional medical MEMS microprobe according to claim 1 or 2, wherein: the microelectrode is fixed to an outer side of the front end of the needle, one or more, for contacting the neuron to achieve nerve stimulation, The nerve impulse signal is sensed or used to form an electric field at a localized cellular site for electrical breakdown.
PCT/CN2014/070554 2014-01-14 2014-01-14 Multifunctional medical mems microprobe WO2015106378A1 (en)

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