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CN114288013A - Control method and device for radiofrequency ablation and radiofrequency ablation assembly - Google Patents
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CN114288013A - Control method and device for radiofrequency ablation and radiofrequency ablation assembly - Google Patents

Control method and device for radiofrequency ablation and radiofrequency ablation assembly Download PDF

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CN114288013A
CN114288013A CN202111603315.1A CN202111603315A CN114288013A CN 114288013 A CN114288013 A CN 114288013A CN 202111603315 A CN202111603315 A CN 202111603315A CN 114288013 A CN114288013 A CN 114288013A
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radio frequency
catheter
contact force
real
annular
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王俊
孙晶晶
杨志明
余坤璋
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Hangzhou Kunbo Biotechnology Co Ltd
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Abstract

本发明提供了一种射频消融的控制方法、装置与射频消融组件,射频消融所使用的射频消融导管包括导管本体、连接于所述导管本体一端的环形导管段,所述环形导管段设有力传感器与射频电极,所述控制方法,包括:获取所述力传感器检测到的实时接触力;所述实时接触力指所述环形导管段与气道壁之间的接触力;基于所述实时接触力,调节所述环形导管段的半径;在所述调节完成后触发所述射频电极射频消融。

Figure 202111603315

The invention provides a control method, device and radio frequency ablation component for radio frequency ablation. A radio frequency ablation catheter used in radio frequency ablation includes a catheter body and an annular catheter segment connected to one end of the catheter body, and the annular catheter segment is provided with a force sensor and a radio frequency electrode, the control method includes: acquiring the real-time contact force detected by the force sensor; the real-time contact force refers to the contact force between the annular catheter segment and the airway wall; based on the real-time contact force , adjust the radius of the annular catheter segment; trigger the radiofrequency ablation of the radiofrequency electrode after the adjustment is completed.

Figure 202111603315

Description

射频消融的控制方法、装置与射频消融组件Radiofrequency ablation control method, device and radiofrequency ablation component

技术领域technical field

本发明涉及医疗领域,尤其涉及一种射频消融的控制方法、装置与射频消融组件。The present invention relates to the medical field, in particular to a control method, a device and a radio frequency ablation component for radio frequency ablation.

背景技术Background technique

射频消融导管中,可设有环形导管段,该环形导管段设有消融电极,进而可利用射频消融导管上的消融电极实现对外的消融。该类射频消融导管可应用于多种场景,例如,靶向肺去神经技术(targeted lung denervation,TLD)中,常会使用到该类射频消融导管。In the radiofrequency ablation catheter, an annular catheter segment may be provided, and the annular catheter segment is provided with an ablation electrode, and further external ablation may be realized by using the ablation electrode on the radiofrequency ablation catheter. This type of radiofrequency ablation catheter can be applied in various scenarios, for example, in targeted lung denervation (targeted lung denervation, TLD), this type of radiofrequency ablation catheter is often used.

现有的相关技术中,环形导管段进入人体后,一般由操作者根据支气管镜下的观察情况,手动调节环形导管的大小。然而,操作者的手动操作难以保障环形导管段的消融电极能够充分与生理内壁贴合,从而不利于充分、有效的消融。In the existing related art, after the annular catheter segment enters the human body, the operator generally manually adjusts the size of the annular catheter according to the observation under the bronchoscope. However, the operator's manual operation is difficult to ensure that the ablation electrode of the annular catheter segment can fully adhere to the physiological inner wall, which is not conducive to sufficient and effective ablation.

发明内容SUMMARY OF THE INVENTION

本发明提供一种射频消融的控制方法、装置与射频消融组件,以解决难以保障环形导管段的消融电极能够充分与生理内壁贴合的问题。The present invention provides a radio frequency ablation control method, a device and a radio frequency ablation component, so as to solve the problem that it is difficult to ensure that the ablation electrode of the annular catheter segment can fully fit with the physiological inner wall.

根据本发明的第一方面,提供了一种射频消融的控制方法,其中,射频消融所使用的射频消融导管包括导管本体、连接于所述导管本体一端的环形导管段,所述环形导管段设有力传感器与射频电极,According to a first aspect of the present invention, a method for controlling radiofrequency ablation is provided, wherein a radiofrequency ablation catheter used for radiofrequency ablation includes a catheter body and an annular catheter segment connected to one end of the catheter body, and the annular catheter segment is provided with Force sensors and RF electrodes,

所述控制方法,包括:The control method includes:

获取所述力传感器检测到的实时接触力;所述实时接触力为所述环形导管段与气道壁之间的接触力;obtaining the real-time contact force detected by the force sensor; the real-time contact force is the contact force between the annular catheter segment and the airway wall;

基于所述实时接触力,调节所述环形导管段的半径;adjusting the radius of the annular conduit segment based on the real-time contact force;

在所述调节完成后触发所述射频电极的射频消融。Radiofrequency ablation of the radiofrequency electrode is triggered after the adjustment is completed.

可选的,所述基于所述实时接触力,调节所述环形导管段的半径,包括:Optionally, the adjusting the radius of the annular conduit segment based on the real-time contact force includes:

若所述实时接触力小于预设的目标阈值,则调大所述环形导管段的半径;If the real-time contact force is less than a preset target threshold, increasing the radius of the annular conduit segment;

在所述实时接触力不小于所述目标阈值时,确定所述调节已完成。When the real-time contact force is not less than the target threshold, it is determined that the adjustment has been completed.

可选的,所述调大所述环形导管段的半径,包括:Optionally, increasing the radius of the annular conduit segment includes:

确定所述实时接触力与所述目标阈值之间的差值;determining the difference between the real-time contact force and the target threshold;

基于所述差值,确定调节步长;based on the difference, determining an adjustment step size;

基于所述调节步长,调大所述半径。Based on the adjustment step, the radius is adjusted larger.

可选的,基于所述差值,确定调节步长,包括:Optionally, based on the difference, determining an adjustment step, including:

基于区间范围与调节步长的对应关系,确定所述差值所属的区间范围对应的调节步长,在所述对应关系中,所述区间范围的数值越大,对应的调大步长越大。Based on the corresponding relationship between the interval range and the adjustment step size, the adjustment step size corresponding to the interval range to which the difference value belongs is determined. In the corresponding relationship, the larger the value of the interval range, the larger the corresponding adjustment step size. .

可选的,所述基于所述实时接触力,调节所述环形导管段的半径,还包括:Optionally, the adjusting the radius of the annular conduit segment based on the real-time contact force further includes:

若所述实时接触力大于上限阈值,则调小所述环形导管段的半径;所述上限阈值大于所述目标阈值;If the real-time contact force is greater than an upper threshold, the radius of the annular conduit segment is reduced; the upper threshold is greater than the target threshold;

确定所述调节已完成之前,还包括:确定所述实时接触力小于所述上限阈值。可选的,所述获取所述力传感器检测到的实时接触力之前,还包括:Before determining that the adjustment has been completed, the method further includes determining that the real-time contact force is less than the upper threshold. Optionally, before acquiring the real-time contact force detected by the force sensor, the method further includes:

确定所述环形导管段已到达目标对象体内的目标位置。It is determined that the annular catheter segment has reached a target location within the target subject.

根据本发明的第二方面,提供了一种射频消融组件,包括射频消融导管、数据处理部、射频控制部与操控部;所述射频消融导管包括导管本体、连接于所述导管本体一端的环形导管段,所述环形导管段设有力传感器与射频电极;According to a second aspect of the present invention, a radio frequency ablation assembly is provided, comprising a radio frequency ablation catheter, a data processing part, a radio frequency control part and a manipulation part; the radio frequency ablation catheter comprises a catheter body, a ring-shaped ring connected to one end of the catheter body A catheter segment, the annular catheter segment is provided with a force sensor and a radio frequency electrode;

所述操控部被配置为能够在所述数据处理部的控制下调节所述环形导管段的半径;the manipulation portion is configured to be capable of adjusting the radius of the annular conduit segment under the control of the data processing portion;

所述射频控制部直接或间接电连接所述射频电极,并能够在所述数据处理部的控制下向所述射频电极输出射频能量;The radio frequency control part is directly or indirectly electrically connected to the radio frequency electrode, and can output radio frequency energy to the radio frequency electrode under the control of the data processing part;

所述数据处理部用于执行第一方面及其可选方案涉及的射频消融的控制方法。The data processing unit is configured to execute the radio frequency ablation control method related to the first aspect and its optional solution.

可选的,所述力传感器可拆卸地嵌套于所述环形导管段的远离中心的外侧。Optionally, the force sensor is detachably nested outside the annular conduit section away from the center.

可选的,所述环形导管段设有连通孔,所述射频消融导管中流通的指定介质能够经所述连通孔送出。Optionally, the annular catheter segment is provided with a communication hole, and the specified medium circulating in the radiofrequency ablation catheter can be sent out through the communication hole.

可选的,所述的射频消融组件,还包括具有工作通道的支气管镜,所述导管本体穿设于所述工作通道。Optionally, the radio frequency ablation assembly further includes a bronchoscope with a working channel, and the catheter body is penetrated through the working channel.

根据本发明的第三方面,提供了一种射频消融的控制装置,其中,射频消融所使用的射频消融导管包括导管本体、连接于所述导管本体一端的环形导管段,所述环形导管段设有力传感器与射频电极,According to a third aspect of the present invention, a control device for radiofrequency ablation is provided, wherein the radiofrequency ablation catheter used in the radiofrequency ablation includes a catheter body and an annular catheter segment connected to one end of the catheter body, and the annular catheter segment is provided with Force sensors and RF electrodes,

所述控制装置,包括:The control device includes:

获取模块,用于获取所述力传感器检测到的实时接触力;所述实时接触力为所述环形导管段与气道壁之间的接触力;an acquisition module for acquiring the real-time contact force detected by the force sensor; the real-time contact force is the contact force between the annular catheter segment and the airway wall;

调节模块,用于基于所述实时接触力,调节所述环形导管段的半径;an adjustment module for adjusting the radius of the annular conduit segment based on the real-time contact force;

消融触发模块,用于在所述调节完成后触发所述射频电极射频消融。An ablation triggering module, configured to trigger radiofrequency ablation of the radiofrequency electrode after the adjustment is completed.

根据本发明的第四方面,提供了一种电子设备,包括处理器与存储器,According to a fourth aspect of the present invention, there is provided an electronic device including a processor and a memory,

所述存储器,用于存储代码;the memory for storing code;

所述处理器,用于执行所述存储器中的代码用以实现第一方面及其可选方案的控制方法。The processor is configured to execute the code in the memory to implement the control method of the first aspect and its optional solutions.

根据本发明的第五方面,提供了一种存储介质,其上存储有计算机程序,该程序被处理器执行时实现第一方面及其可选方案的控制方法。According to a fifth aspect of the present invention, there is provided a storage medium on which a computer program is stored, and when the program is executed by a processor, implements the control method of the first aspect and its optional solutions.

本发明提供的射频消融的控制方法、装置与射频消融组件中,在射频消融之前,检测了所述环形导管段与气道壁之间的实时接触力,而实时接触力能反应出环形导管段与气道壁之间的贴合程度,基于此而对环形导管段半径的调节,可有助于达到射频消融所需的贴合程度,进而,射频电极可便于在该贴合程度满足需求时进行射频消融。In the radio frequency ablation control method, device and radio frequency ablation assembly provided by the present invention, before the radio frequency ablation, the real-time contact force between the annular catheter segment and the airway wall is detected, and the real-time contact force can reflect the annular catheter segment The degree of fit with the airway wall, and the adjustment of the radius of the annular catheter segment based on this can help to achieve the degree of fit required for radiofrequency ablation, and further, the radiofrequency electrode can facilitate when the degree of fit meets the requirements. Perform radiofrequency ablation.

附图说明Description of drawings

为了更清楚地说明本发明实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动性的前提下,还可以根据这些附图获得其他的附图。In order to explain the embodiments of the present invention or the technical solutions in the prior art more clearly, the following briefly introduces the accompanying drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description are only These are some embodiments of the present invention, and for those of ordinary skill in the art, other drawings can also be obtained from these drawings without any creative effort.

图1是本发明一示例性的实施例中射频消融组件的构造示意图;FIG. 1 is a schematic structural diagram of a radio frequency ablation assembly in an exemplary embodiment of the present invention;

图2是本发明另一示例性的实施例中射频消融组件的构造示意图;2 is a schematic structural diagram of a radio frequency ablation assembly in another exemplary embodiment of the present invention;

图3是本发明一示例性的实施例中射频消融的控制方法的流程示意图;3 is a schematic flowchart of a control method for radiofrequency ablation in an exemplary embodiment of the present invention;

图4是本发明另一示例性的实施例中射频消融的控制方法的流程示意图;4 is a schematic flowchart of a control method for radiofrequency ablation in another exemplary embodiment of the present invention;

图5是本发明又一示例性的实施例中射频消融的控制方法的流程示意图;图6是本发明一示例性的实施例中调节环形导管段半径的流程示意图;FIG. 5 is a schematic flowchart of a control method for radiofrequency ablation in another exemplary embodiment of the present invention; FIG. 6 is a schematic flowchart of adjusting the radius of an annular catheter segment in an exemplary embodiment of the present invention;

图7是本发明一示例性的实施例中调大环形导管段的半径的流程示意图;7 is a schematic flow chart of increasing the radius of the annular conduit segment in an exemplary embodiment of the present invention;

图8是本发明另一示例性的实施例中调节环形导管段的半径的流程示意图;FIG. 8 is a schematic flowchart of adjusting the radius of the annular conduit segment in another exemplary embodiment of the present invention;

图9是本发明一示例性的实施例中射频消融的控制装置的程序模块示意图;9 is a schematic diagram of a program module of a control device for radiofrequency ablation in an exemplary embodiment of the present invention;

图10是本发明另一示例性的实施例中射频消融的控制装置的程序模块示意图;10 is a schematic diagram of a program module of a control device for radiofrequency ablation in another exemplary embodiment of the present invention;

图11是本发明一示例性的实施例中电子设备的构造示意图。FIG. 11 is a schematic structural diagram of an electronic device in an exemplary embodiment of the present invention.

具体实施方式Detailed ways

下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, but not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.

本发明的说明书和权利要求书及上述附图中的术语“第一”、“第二”、“第三”“第四”等(如果存在)是用于区别类似的对象,而不必用于描述特定的顺序或先后次序。应该理解这样使用的数据在适当情况下可以互换,以便这里描述的本发明的实施例能够以除了在这里图示或描述的那些以外的顺序实施。此外,术语“包括”和“具有”以及他们的任何变形,意图在于覆盖不排他的包含,例如,包含了一系列步骤或单元的过程、方法、系统、产品或设备不必限于清楚地列出的那些步骤或单元,而是可包括没有清楚地列出的或对于这些过程、方法、产品或设备固有的其它步骤或单元。The terms "first", "second", "third", "fourth", etc. (if present) in the description and claims of the present invention and the above-mentioned drawings are used to distinguish similar objects and are not necessarily used to Describe a particular order or sequence. It is to be understood that the data so used may be interchanged under appropriate circumstances such that the embodiments of the invention described herein can be practiced in sequences other than those illustrated or described herein. Furthermore, the terms "comprising" and "having" and any variations thereof, are intended to cover non-exclusive inclusion, for example, a process, method, system, product or device comprising a series of steps or units is not necessarily limited to those expressly listed Rather, those steps or units may include other steps or units not expressly listed or inherent to these processes, methods, products or devices.

下面以具体地实施例对本发明的技术方案进行详细说明。下面这几个具体的实施例可以相互结合,对于相同或相似的概念或过程可能在某些实施例不再赘述。The technical solutions of the present invention will be described in detail below with specific examples. The following specific embodiments may be combined with each other, and the same or similar concepts or processes may not be repeated in some embodiments.

请参考图1,本发明实施例提供了一种射频消融组件,包括射频消融导管110、数据处理部140、射频控制部150与操控部160。Referring to FIG. 1 , an embodiment of the present invention provides a radio frequency ablation assembly, including a radio frequency ablation catheter 110 , a data processing unit 140 , a radio frequency control unit 150 and a manipulation unit 160 .

所述射频消融导管110包括导管本体111、连接于所述导管本体111一端的环形导管段112,环形导管段112与导管本体111的内腔可以是连通的,环形导管段112与导管本体111可以是一体的,也可以是装配在一起的。The radiofrequency ablation catheter 110 includes a catheter body 111, an annular catheter segment 112 connected to one end of the catheter body 111, the annular catheter segment 112 and the inner cavity of the catheter body 111 may be in communication, and the annular catheter segment 112 and the catheter body 111 may be It is one piece, or it can be assembled together.

所述操控部160被配置为能够与所述数据处理部140通信,以在所述数据处理部140的控制下调节所述环形导管段的半径;其中,操控部160可以有线和/或无线方式与数据处理部140通信。The manipulation portion 160 is configured to be able to communicate with the data processing portion 140 to adjust the radius of the annular conduit segment under the control of the data processing portion 140; wherein the manipulation portion 160 may be wired and/or wireless Communication with the data processing unit 140 .

例如,操控部160可通过牵引丝连接于环形导管段112,进而,通过牵引丝的运动,可带动环形导管段112发生形变,从而改变其半径,牵引丝的运动可例如是伸缩运动,操控部160可被配置为:通过数据处理部140控制下发生运动(例如直线运动、弧线运动、旋转运动),带动牵引线完成伸缩运动。为便于实现传动,导管本体111可设有用于供牵引丝穿过的牵引孔。For example, the control portion 160 can be connected to the annular catheter segment 112 through a pulling wire, and further, through the movement of the pulling wire, the annular catheter segment 112 can be deformed to change its radius. The 160 may be configured to generate motion (eg, linear motion, arc motion, and rotational motion) under the control of the data processing unit 140 to drive the traction wire to complete the telescopic motion. In order to facilitate transmission, the catheter body 111 may be provided with a pulling hole for the pulling wire to pass through.

所述环形导管段112可设有射频电极130;该射频电机130的形状、材料、位置、分布方式等可以根据射频消融所需的强度而任意变化。The annular catheter section 112 may be provided with a radio frequency electrode 130; the shape, material, location, distribution, etc. of the radio frequency motor 130 may be arbitrarily changed according to the intensity required for radio frequency ablation.

所述射频控制部150直接或间接电连接所述射频电极130,以向所述射频电极输出射频能量,例如,各射频电极130可串联后连接于射频控制部150,其他部分举例中,部分射频电极130也可以并联连接。The radio frequency control part 150 is directly or indirectly electrically connected to the radio frequency electrodes 130 to output radio frequency energy to the radio frequency electrodes. For example, each radio frequency electrode 130 can be connected to the radio frequency control part 150 in series. The electrodes 130 may also be connected in parallel.

射频控制部150被配置为能够与所述数据处理部140通信,以在所述数据处理部的控制下向所述射频电极输出射频能量;具体的,数据处理部140可控制射频控制部150是否输出射频能量,部分举例中,也可通过射频控制部150而控制射频能量的电参数(例如功率、电压、电流等)。The radio frequency control part 150 is configured to be able to communicate with the data processing part 140 to output radio frequency energy to the radio frequency electrodes under the control of the data processing part; specifically, the data processing part 140 can control whether the radio frequency control part 150 To output the radio frequency energy, in some examples, the radio frequency control unit 150 can also control the electrical parameters (such as power, voltage, current, etc.) of the radio frequency energy.

射频控制部150可例如包括射频发生单元、电源单元与开关单元,射频发生单元的输出侧可直接或间接连接射频电机,进而,射频发生单元可基于电源单元所提供的电源,产生射频能量,开关单元可连接于射频发生单元与电源单元之间,或者射频发生单元与射频电极之间,进而,开关单元可在数据处理部的控制下实现通断变化,进而,在导通时,射频发生单元可向射频电极输出射频能量,在断开时,射频电极停止获取到射频能量。The radio frequency control unit 150 may include, for example, a radio frequency generating unit, a power supply unit, and a switching unit. The output side of the radio frequency generating unit may be directly or indirectly connected to a radio frequency motor. Further, the radio frequency generating unit may generate radio frequency energy based on the power provided by the power supply unit, and switch The unit can be connected between the radio frequency generating unit and the power supply unit, or between the radio frequency generating unit and the radio frequency electrode, and further, the switch unit can realize on-off changes under the control of the data processing unit, and further, when the radio frequency generating unit is turned on, the radio frequency generating unit The radio frequency energy can be output to the radio frequency electrode, and when disconnected, the radio frequency electrode stops acquiring the radio frequency energy.

所述环形导管段112可设有力传感器120;The annular conduit section 112 may be provided with a force sensor 120;

所述力传感器120可用于检测其与所接触对象(例如气管壁)之间的接触力大小,所述力传感器120还被配置为能够与所述数据处理部通信,进而将测得的信号反馈至数据处理部140。The force sensor 120 can be used to detect the magnitude of the contact force between the force sensor 120 and the object in contact (for example, the tracheal wall), and the force sensor 120 is also configured to be able to communicate with the data processing unit, so as to feed back the measured signal to the data processing unit 140 .

其中一种实施方式中,由于气管壁环设于环形导管段112沿径向的外侧,所以,所述力传感器120可设于环形导管段的远离中心的外侧,从而实现实时接触力的有效检测。In one embodiment, since the trachea wall is arranged on the radially outer side of the annular catheter segment 112, the force sensor 120 can be arranged at the outer side away from the center of the annular catheter segment, so as to realize effective detection of real-time contact force .

其中一种实施方式中,力传感器120可拆卸地嵌套于所述环形导管段的远离中心的外侧。进而,可在无需使用力传感器120时将其取出,也可适配于不同需求而选择不同数量、分布方式的力传感器120。In one embodiment, the force sensor 120 is removably nested on the outer side of the annular conduit segment away from the center. Furthermore, the force sensors 120 can be taken out when they are not needed, and different numbers and distribution of the force sensors 120 can also be selected according to different requirements.

所述数据处理部140可以为具有数据处理能力的任意部件或部件的组合,其可用于执行本发明实施例的射频消融的控制方法。The data processing unit 140 may be any component or combination of components with data processing capability, which may be used to execute the control method for radiofrequency ablation according to the embodiment of the present invention.

请参考图2,其中的射频消融导管210、导管本体211、环形导管段212相同或相似于图1所示实施例中的射频消融导管110、导管本体111与环形导管段112,射频电极240相同或相似于图1所示实施例中的射频电极130,力传感器250相同或相似于图1所示实施例中的力传感器120,对于相同或相似的内容,在此不再赘述。Please refer to FIG. 2 , wherein the radiofrequency ablation catheter 210 , the catheter body 211 , and the annular catheter segment 212 are the same or similar to the radiofrequency ablation catheter 110 , the catheter body 111 , the annular catheter segment 112 , and the radiofrequency electrode 240 in the embodiment shown in FIG. 1 . Or similar to the radio frequency electrode 130 in the embodiment shown in FIG. 1 , the force sensor 250 is the same or similar to the force sensor 120 in the embodiment shown in FIG. 1 , and the same or similar content will not be repeated here.

图2所示实施例中,所述的射频消融组件,还包括具有工作通道的支气管镜230,所述导管本体211穿设于所述工作通道。In the embodiment shown in FIG. 2 , the radiofrequency ablation assembly further includes a bronchoscope 230 having a working channel, and the catheter body 211 is passed through the working channel.

此外,其中一种实施方式中,所述环形导管段212设有连通孔(未图示),所述射频消融导管中流通的指定介质(例如生理盐水)能够经所述连通孔送出。In addition, in one of the embodiments, the annular catheter section 212 is provided with a communication hole (not shown), and a designated medium (eg, normal saline) circulating in the radiofrequency ablation catheter can be sent out through the communication hole.

具体举例中,该连通孔可设于射频电极处,可用于释放生理盐水,实现调节阻抗和进行降温。为了可拆卸的力传感器,也可预留相应的孔位,经过该孔位,力传感器250可嵌套在射频消融导管210,进而与气道壁220接触,测得对应的接触力,若力传感器电连接于数据处理部,则力传感器检测得到的信号可传输到尾部的数据处理部,进行当前接触力大小的计算。In a specific example, the communication hole can be provided at the radio frequency electrode, which can be used to release physiological saline, adjust impedance and perform cooling. For the detachable force sensor, a corresponding hole can also be reserved. Through the hole, the force sensor 250 can be nested in the radiofrequency ablation catheter 210 and then contact with the airway wall 220 to measure the corresponding contact force. The sensor is electrically connected to the data processing unit, and the signal detected by the force sensor can be transmitted to the data processing unit at the tail to calculate the current contact force.

基于以上射频消融导管210的一种举例中,可应用于TLD手术(即靶向肺去神经技术)。An example based on the above radiofrequency ablation catheter 210 can be applied to TLD surgery (ie, targeted lung denervation technology).

在TLD手术中,可以将一种射频消融导管210通过支气管镜230的工作通道进入肺部。支气管镜允许医生看到病人气道的内部情况,并使用射频消融导管210向气道外部的神经输送做射频能量的电荷,阻断肺部副交感神经信号传递并减少乙酰胆碱释放,产生类似抗胆碱能药物的作用,降低气道平滑肌张力和气道黏液的产生,进而减轻整个肺部的气道阻塞,达到治疗慢阻肺的作用。完成射频消融后,可取出射频消融导管210和支气管镜230。In TLD surgery, a radiofrequency ablation catheter 210 can be introduced into the lungs through the working channel of the bronchoscope 230 . The bronchoscope allows the doctor to see the inside of the patient's airway and use the radiofrequency ablation catheter 210 to deliver a charge of radiofrequency energy to the nerves outside the airway, blocking the transmission of parasympathetic nerve signals in the lungs and reducing the release of acetylcholine, producing a similar anticholinergic It can reduce the tension of airway smooth muscle and the production of airway mucus, thereby reducing the airway obstruction in the whole lung and achieving the effect of treating COPD. After the radiofrequency ablation is completed, the radiofrequency ablation catheter 210 and the bronchoscope 230 can be removed.

在治疗过程中,射频消融导管210可以在主气道附近舒张成圆圈形状,和气道壁紧密贴合,然后进行射频操作。During the treatment process, the radiofrequency ablation catheter 210 can be dilated into a circle shape near the main airway, closely fit with the airway wall, and then the radiofrequency operation is performed.

在一些工作过程中,可以根据病人的术前CT数据进行测算主气道半径大小,然后对射频消融导管210进行选型,在射频消融导管210到达气道附近时,未采用本发明实施例的射频消融的控制方法的情况下,需要医生手动进行调圈(即改变其中环形导管段212的半径),这是一个耗时耗力的过程,同时在支气管镜下观察以保证射频消融导管210和主气道的气道壁贴合,经过调节后在进行后续的手术过程,并要求一直保持导管姿势,以免滑动导致未完全贴合。In some working processes, the radius of the main airway can be calculated according to the patient's preoperative CT data, and then the radiofrequency ablation catheter 210 can be selected. In the case of the control method of radiofrequency ablation, the doctor needs to manually adjust the circle (ie, change the radius of the annular catheter segment 212), which is a time-consuming and labor-intensive process, while observing under the bronchoscope to ensure that the radiofrequency ablation catheter 210 and The airway wall of the main airway fits, and after adjustment, the follow-up procedure is performed, and the catheter position is required to be maintained all the time, so as not to slip and cause incomplete fit.

可见,该方式中,即便医生的操作能力精湛,依旧会带来手术复杂,手术时间长等缺陷,同时,消融结果依赖于医生的操作能力,难以保障到气管壁与环形导管段212之间的有效、充分的贴合。It can be seen that in this method, even if the doctor's operation ability is exquisite, it will still bring defects such as complicated operation and long operation time. At the same time, the ablation result depends on the operation ability of the doctor, and it is difficult to ensure the safety between the tracheal wall and the annular catheter segment 212. Effective, adequate fit.

为解决以上问题,请参考图3,本发明实施例提供了一种射频消融的控制方法,包括:To solve the above problems, please refer to FIG. 3 , an embodiment of the present invention provides a control method for radiofrequency ablation, including:

S301:获取所述力传感器检测到的实时接触力;S301: Obtain the real-time contact force detected by the force sensor;

所述实时接触力为所述环形导管段与气道壁之间的接触力;具体的,力传感器的数量可以为一个,也可以为多个,若力传感器的数量为多个,则:步骤S301所获取的实时接触力可以是各力传感器所检测到的接触力的统计值(例如平均值、中位数、总数值等至少之一);The real-time contact force is the contact force between the annular conduit segment and the airway wall; specifically, the number of force sensors may be one or multiple, and if the number of force sensors is multiple, then: step The real-time contact force acquired in S301 may be a statistical value of the contact force detected by each force sensor (for example, at least one of an average value, a median value, a total value, etc.);

S302:基于所述实时接触力,调节所述环形导管段的半径;S302: Based on the real-time contact force, adjust the radius of the annular conduit segment;

S303:在所述调节完成后触发所述射频电极射频消融。S303: Trigger the radiofrequency ablation of the radiofrequency electrode after the adjustment is completed.

其中,对射频消融的触发,可以指:在触发之前,射频电极未获取到射频能量(或未获取到足够强度的射频能量),在触发之后,射频电极获取到射频能量(或获取到足够强度的射频能量)。The triggering of radiofrequency ablation may refer to: before the triggering, the radiofrequency electrode does not acquire radiofrequency energy (or does not acquire sufficient intensity of radiofrequency energy), and after the triggering, the radiofrequency electrode acquires radiofrequency energy (or acquires sufficient intensity of radiofrequency energy). radio frequency energy).

以上方案中,在射频消融之前,检测了所述环形导管段与气道壁之间的实时接触力,而实时接触力能反应出环形导管段与气道壁之间的贴合程度,基于此而对环形导管段半径的调节,可有助于达到射频消融所需的贴合程度,进而,射频电极可便于在该贴合程度满足需求时进行射频消融。In the above scheme, before the radiofrequency ablation, the real-time contact force between the annular catheter segment and the airway wall is detected, and the real-time contact force can reflect the degree of fit between the annular catheter segment and the airway wall. Based on this The adjustment of the radius of the annular catheter segment can help to achieve the degree of fit required for radiofrequency ablation, and further, the radiofrequency electrode can facilitate radiofrequency ablation when the degree of fit meets the requirements.

请参考图4,其中的步骤S402相同或相似于图3所示实施例中的步骤S301,步骤S403相同或相似于图3所示实施例中的步骤S302,步骤S404相同或相似于图3所示实施例中的步骤S303,对于相同或相似的内容,在此不再赘述。Referring to FIG. 4 , step S402 is the same or similar to step S301 in the embodiment shown in FIG. 3 , step S403 is the same or similar to step S302 in the embodiment shown in FIG. 3 , and step S404 is the same or similar to that shown in FIG. 3 . Step S303 in the exemplary embodiment, the same or similar content is not repeated here.

其中一种实施方式中,请参考图4,步骤S402之前,还可包括:In one of the embodiments, please refer to FIG. 4, before step S402, it may further include:

S401:确定所述环形导管段已到达目标对象体内的目标位置。S401: Determine that the annular catheter segment has reached a target position within a target object.

其中的目标对象,可以指需接受射频消融的人体;The target object may refer to the human body that needs to undergo radiofrequency ablation;

其中的目标位置,可以指目标对象中需接受射频消融的位置;具体可以指气道内需接受射频消融的位置。The target position may refer to a position in the target object that needs to undergo radiofrequency ablation; specifically, it may refer to a position in the airway that needs to undergo radiofrequency ablation.

具体的,步骤S401中,可先对射频消融导管在目标对象内的位置进行定位,得到当前位置,然后自动判断当前位置是否到达目标位置;其中射频消融导管可设于支气管镜,进而随支气管镜进入人体,故而,可通过对支气管镜和/或射频消融导管的定位,判断当前位置。Specifically, in step S401, the position of the radiofrequency ablation catheter in the target object can be located first to obtain the current position, and then it is automatically determined whether the current position reaches the target position; wherein the radiofrequency ablation catheter can be set in the bronchoscope, and then along with the bronchoscope Entering the human body, therefore, the current position can be determined by positioning the bronchoscope and/or the radiofrequency ablation catheter.

一种举例中,可基于支气管镜所采集到的图像而进行定位,例如,可将支气管镜采集到的术中图像与目标对象的虚拟模型(例如目标对象的虚拟支气管树)的虚拟切片图做配准,在虚拟模型的虚拟切片图中,确定匹配于术中图像的目标图像,然后基于目标图像在虚拟模型中的位置表征出支气管镜在目标对象中的位置,并以此位置作为所述当前位置;In one example, the positioning can be performed based on the images acquired by the bronchoscope, for example, the intraoperative images acquired by the bronchoscope can be compared with the virtual slice map of the virtual model of the target object (for example, the virtual bronchial tree of the target object). For registration, in the virtual slice map of the virtual model, determine the target image that matches the intraoperative image, and then characterize the position of the bronchoscope in the target object based on the position of the target image in the virtual model, and use this position as the current position;

另一举例中,也可基于设于支气管镜或射频消融导管的其他传感器(例如磁传感器、光纤传感器等)而进行定位,例如,可将光纤传感器的形状与目标对象的虚拟模型(例如目标对象的虚拟支气管树)的形状做配准,在虚拟模型中,确定匹配于光纤传感器的形状的目标模型部分,然后基于目标模型部分在虚拟模型中的位置表征出支气管镜在目标对象中的位置,并以此作为所述当前位置。In another example, positioning can also be performed based on other sensors (such as magnetic sensors, optical fiber sensors, etc.) provided in the bronchoscope or radiofrequency ablation catheter. For example, the shape of the optical fiber sensor can be correlated with the virtual model of the target object (such as the target object The shape of the virtual bronchial tree) is registered, in the virtual model, the target model part that matches the shape of the fiber optic sensor is determined, and then the position of the bronchoscope in the target object is characterized based on the position of the target model part in the virtual model, and use this as the current position.

除以上举例外其他任意的定位方式,均可作为步骤S401的一种可选方案。部分实施方式中,也可人工根据操控的经验而判断射频消融导管是否到达目标位置,进而,在人工判断到达目标位置后,可通过与数据处理部交互的人机交互部件向数据处理部反馈信息,从而确定所述环形导管段已到达目标对象体内的目标位置。Any other positioning methods other than the above examples can be used as an optional solution of step S401. In some embodiments, it is also possible to manually judge whether the radiofrequency ablation catheter has reached the target position according to the manipulation experience, and further, after manually judging that the target position has been reached, the information can be fed back to the data processing section through the human-computer interaction component that interacts with the data processing section. , thereby determining that the annular catheter segment has reached the target position within the target object.

请参考图5,其中的步骤S502相同或相似于图3所示实施例中的步骤S301,步骤S503相同或相似于图3所示实施例中的步骤S302,步骤S504相同或相似于图3所示实施例中的步骤S303,对于相同或相似的内容,在此不再赘述。Please refer to FIG. 5 , wherein step S502 is the same or similar to step S301 in the embodiment shown in FIG. 3 , step S503 is the same or similar to step S302 in the embodiment shown in FIG. 3 , and step S504 is the same or similar to that shown in FIG. 3 Step S303 in the exemplary embodiment, the same or similar content is not repeated here.

其中一种实施方式中,请参考图5,步骤S502之前,还可包括:In one embodiment, please refer to FIG. 5, before step S502, it may further include:

S501:将所述环形导管段的半径自零调大指定长度。S501: Increase the radius of the annular conduit section from zero by a specified length.

其中的指定长度,可以为任意的预先指定的长度,该指定长度至少需设计为小于目标对象体内气道壁的半径。The specified length may be any pre-specified length, and the specified length must at least be designed to be smaller than the radius of the airway wall in the target object.

基于步骤S501的处理过程中,可在将射频消融导管送入人体的相应位置后,控制环形导管段先调大指定长度,再开始基于实时接触力调节该半径,因步骤S501的过程中无需进行检测、调节的闭环控制,避免了检测、调节的信号响应、信号传递、信号处理带来的延时,可有助于提高半径的调节速度。In the processing based on step S501, after the radio frequency ablation catheter is sent into the corresponding position of the human body, the annular catheter segment can be controlled to increase the specified length first, and then start to adjust the radius based on the real-time contact force. The closed-loop control of detection and adjustment avoids the delay caused by the signal response, signal transmission and signal processing of detection and adjustment, which can help to improve the adjustment speed of the radius.

其中一种实施方式中,请参考图6,基于所述实时接触力,调节所述环形导管段的半径的过程,可以包括:In one embodiment, please refer to FIG. 6 , based on the real-time contact force, the process of adjusting the radius of the annular conduit segment may include:

S601:所述实时接触力是否小于预设的目标阈值;S601: Whether the real-time contact force is less than a preset target threshold;

若是,即所述实时接触力小于预设的目标阈值时,则可实施步骤S602:调大所述环形导管段的半径;If so, that is, when the real-time contact force is less than the preset target threshold, step S602 may be implemented: increasing the radius of the annular conduit segment;

若否,即所述实时接触力不小于预设的目标阈值时,则可实施步骤S603:确定所述调节已完成;If no, that is, when the real-time contact force is not less than the preset target threshold, step S603 may be implemented: determining that the adjustment has been completed;

执行步骤S603的同时,可停止调整所述环形导管段的半径。While performing step S603, the adjustment of the radius of the annular conduit segment may be stopped.

其中,力传感器反馈的接触力大小可体现出导管和主气道壁贴合程度,通过设定目标阈值(相当于目标接触力),在当前接触力小于目标阈值时,通过操控部控制射频消融导管进行扩张,从而调节环形通道段的半径,直到接触力满足设定的目标阈值,然后再进行后续的射频消融。Among them, the contact force fed back by the force sensor can reflect the degree of fit between the catheter and the main airway wall. By setting the target threshold (equivalent to the target contact force), when the current contact force is less than the target threshold, the control unit controls the radiofrequency ablation The catheter is expanded, thereby adjusting the radius of the annular channel segment until the contact force meets the set target threshold before subsequent radiofrequency ablation is performed.

其中一种实施方式中,请参考图7,调大所述环形导管段的半径的过程,包括:In one embodiment, referring to FIG. 7 , the process of increasing the radius of the annular conduit segment includes:

S701:确定所述实时接触力与所述目标阈值之间的差值;S701: Determine the difference between the real-time contact force and the target threshold;

S702:基于所述差值,确定调节步长;S702: Based on the difference, determine an adjustment step size;

S703:基于所述调节步长,调大所述半径。S703: Based on the adjustment step, increase the radius.

其中的调节步长,在调大所述半径时,可通过一次或多次调大半径而实现,其中每次调大半径时的调大量(或能表征出该调大量的其他信息)可理解为调大半径时的调节步长。与之对应的,调小所述半径时,也可通过一次或多次调小半径而实现,其中每次调小半径时的调小量(或能表征出该调小量的其他信息)可理解为调小半径时的调节步长。具体举例中,可在每次调大半径后判断所述实时接触力是否小于预设的目标阈值。The adjustment step size, when increasing the radius, can be achieved by increasing the radius one or more times, wherein the amount of adjustment (or other information that can characterize the amount of adjustment) when the radius is increased each time is understandable It is the adjustment step size when increasing the radius. Correspondingly, when the radius is reduced, it can also be achieved by reducing the radius one or more times, wherein the amount of reduction (or other information that can characterize the amount of reduction) when the radius is reduced each time can be reduced. It is understood as the adjustment step size when reducing the radius. In a specific example, it may be determined whether the real-time contact force is smaller than a preset target threshold after each time the radius is increased.

步骤S702中差值与调节步长的关系可例如:差值越大,调节步长越大,一种举例中,差值与调节步长的以上关系可以呈线性的关系,也可呈二次函数关系;另一举例中,步骤S702的过程可例如:基于区间范围与调节步长的对应关系,确定所述差值所属的区间范围对应的调节步长,在所述对应关系中,所述区间范围的数值越大,对应的调大步长越大。The relationship between the difference value and the adjustment step size in step S702 may be, for example: the larger the difference value, the larger the adjustment step size. In an example, the above relationship between the difference value and the adjustment step size may be linear or quadratic. In another example, the process of step S702 may be, for example: based on the corresponding relationship between the interval range and the adjustment step length, determine the adjustment step size corresponding to the interval range to which the difference value belongs. In the corresponding relationship, the The larger the value of the interval range, the larger the corresponding step size.

进而,可在实时接触力与目标阈值间差距较大时以更大的调节步长进行调节,在实时接触力与目标阈值间差距较小时以更小的调节步长进行调节,从而有效兼顾调节效率与调节的准确性。Furthermore, when the gap between the real-time contact force and the target threshold is large, it can be adjusted with a larger adjustment step, and when the gap between the real-time contact force and the target threshold is small, it can be adjusted with a smaller adjustment step, so as to effectively take into account the adjustment. Efficiency and Adjustment Accuracy.

图8所示的实施例中,步骤S801与图6所示的步骤S601相同或相似,步骤S802与图6所示的步骤S602相同或相似,步骤S803与图6所示的步骤S603相同或相似,对于相同或相似的内容,在此不再赘述。In the embodiment shown in FIG. 8 , step S801 is the same or similar to step S601 shown in FIG. 6 , step S802 is the same or similar to step S602 shown in FIG. 6 , and step S803 is the same or similar to step S603 shown in FIG. 6 , and the same or similar content will not be repeated here.

其中一种实施方式中,请参考图8,基于所述实时接触力,调节所述环形导管段的半径,还包括:In one embodiment, please refer to FIG. 8 , based on the real-time contact force, adjusting the radius of the annular conduit segment, further comprising:

步骤S801判断结果为否的情况下,可执行步骤S804:所述实时接触力是否大于上限阈值;If the judgment result of step S801 is no, step S804 can be executed: whether the real-time contact force is greater than the upper limit threshold;

若步骤S804的判断结果为是,则可执行步骤S805:调小所述环形导管段的半径;然后返回步骤S801;If the judgment result of step S804 is yes, step S805 can be executed: reduce the radius of the annular conduit segment; then return to step S801;

若步骤S804的判断结果为否,则可执行步骤S803。If the judgment result of step S804 is no, step S803 can be executed.

步骤S805的一种举例中,可以指定调节步长调小环形导管段的半径。In an example of step S805, an adjustment step may be specified to reduce the radius of the annular conduit segment.

其中,所述上限阈值大于所述目标阈值。此外,指定调节步长可被设计为小于上限阈值与目标阈值的差值,进而,可避免调小过程中一次将半径调节到小于目标阈值以下,再进一步的,指定调节步长可小于调大所述半径时的最小调节步长。Wherein, the upper limit threshold is greater than the target threshold. In addition, the specified adjustment step can be designed to be smaller than the difference between the upper limit threshold and the target threshold, and further, it can be avoided that the radius is adjusted to be smaller than the target threshold at one time in the process of reducing, and further, the specified adjustment step can be smaller than the adjustment. Minimum adjustment step size at the stated radius.

通过以上调小半径的机制,可避免半径调节过大而对气道壁产生损伤或其他不利影响。Through the above mechanism of reducing the radius, damage or other adverse effects on the airway wall due to excessive adjustment of the radius can be avoided.

请参考图9,本发明实施例还提供了一种射频消融的控制装置900,包括:Referring to FIG. 9 , an embodiment of the present invention further provides a control device 900 for radiofrequency ablation, including:

获取模块901,用于获取所述力传感器检测到的实时接触力;所述实时接触力为所述环形导管段与气道壁之间的接触力;an acquisition module 901, configured to acquire the real-time contact force detected by the force sensor; the real-time contact force is the contact force between the annular catheter segment and the airway wall;

调节模块902,用于基于所述实时接触力,调节所述环形导管段的半径;an adjustment module 902, configured to adjust the radius of the annular conduit segment based on the real-time contact force;

消融触发模块903,用于在所述调节完成后触发所述射频电极射频消融。The ablation triggering module 903 is configured to trigger the radiofrequency ablation of the radiofrequency electrode after the adjustment is completed.

可选的,所述调节模块602,具体用于:Optionally, the adjustment module 602 is specifically used for:

若所述实时接触力小于预设的目标阈值,则调大所述环形导管段的半径;If the real-time contact force is less than a preset target threshold, increasing the radius of the annular conduit segment;

在所述实时接触力不小于所述目标阈值时,确定所述调节已完成。When the real-time contact force is not less than the target threshold, it is determined that the adjustment has been completed.

可选的,所述调节模块,具体用于:Optionally, the adjustment module is specifically used for:

若所述实时接触力小于预设的目标阈值,则调大所述环形导管段的半径;If the real-time contact force is less than a preset target threshold, increasing the radius of the annular conduit segment;

在所述实时接触力不小于所述目标阈值时,确定所述调节已完成。When the real-time contact force is not less than the target threshold, it is determined that the adjustment has been completed.

可选的,所述调节模块,具体用于:Optionally, the adjustment module is specifically used for:

确定所述实时接触力与所述目标阈值之间的差值;determining the difference between the real-time contact force and the target threshold;

基于所述差值,确定调节步长;based on the difference, determining an adjustment step size;

基于所述调节步长,调大所述半径。Based on the adjustment step, the radius is adjusted larger.

可选的,所述调节模块,具体用于:Optionally, the adjustment module is specifically used for:

基于区间范围与调节步长的对应关系,确定所述差值所属的区间范围对应的调节步长,在所述对应关系中,所述区间范围的数值越大,对应的调大步长越大。Based on the corresponding relationship between the interval range and the adjustment step size, the adjustment step size corresponding to the interval range to which the difference value belongs is determined. In the corresponding relationship, the larger the value of the interval range, the larger the corresponding adjustment step size. .

可选的,所述调节模块,还用于:Optionally, the adjustment module is also used for:

若所述实时接触力大于上限阈值,则调小所述环形导管段的半径;所述上限阈值大于所述目标阈值;If the real-time contact force is greater than an upper threshold, the radius of the annular conduit segment is reduced; the upper threshold is greater than the target threshold;

确定所述调节已完成之前,确定所述实时接触力小于所述上限阈值。Before determining that the adjustment has been completed, it is determined that the real-time contact force is less than the upper threshold.

请参考图10,其中的获取模块1002相同或相似于图9所示实施例中的获取模块901,调节模块1003相同或相似于图9所示实施例中的调节模块902,消融触发模块1004相同或相似于图9所示实施例中的消融触发模块,对于相同或相似的内容,在此不再赘述。请参考图10,射频消融的控制装置1000,还包括:Please refer to FIG. 10 , the acquisition module 1002 is the same or similar to the acquisition module 901 in the embodiment shown in FIG. 9 , the adjustment module 1003 is the same or similar to the adjustment module 902 in the embodiment shown in FIG. 9 , and the ablation trigger module 1004 is the same or similar to the ablation triggering module in the embodiment shown in FIG. 9 , and the same or similar content will not be repeated here. Please refer to FIG. 10 , a control device 1000 for radiofrequency ablation, further comprising:

到位确定模块1001,用于确定所述环形导管段已到达目标对象体内的目标位置。The in-position determination module 1001 is used to determine that the annular catheter segment has reached the target position in the target object.

请参考图11,提供了一种电子设备1100,包括:Referring to FIG. 11, an electronic device 1100 is provided, including:

处理器1101;以及,processor 1101; and,

存储器1102,用于存储所述处理器的可执行指令;a memory 1102 for storing executable instructions of the processor;

其中,所述处理器1101配置为经由执行所述可执行指令来执行以上所涉及的方法。Wherein, the processor 1101 is configured to execute the above-mentioned method by executing the executable instructions.

处理器1101能够通过总线1103与存储器1102通讯。The processor 1101 can communicate with the memory 1102 via the bus 1103 .

本发明实施例还提供了一种计算机可读存储介质,其上存储有计算机程序,该程序被处理器执行时实现以上所涉及的方法。Embodiments of the present invention also provide a computer-readable storage medium, on which a computer program is stored, and when the program is executed by a processor, the above-mentioned method is implemented.

本领域普通技术人员可以理解:实现上述各方法实施例的全部或部分步骤可以通过程序指令相关的硬件来完成。前述的程序可以存储于一计算机可读取存储介质中。该程序在执行时,执行包括上述各方法实施例的步骤;而前述的存储介质包括:ROM、RAM、磁碟或者光盘等各种可以存储程序代码的介质。Those of ordinary skill in the art can understand that all or part of the steps of implementing the above method embodiments may be completed by program instructions related to hardware. The aforementioned program can be stored in a computer-readable storage medium. When the program is executed, the steps including the above method embodiments are executed; and the aforementioned storage medium includes: ROM, RAM, magnetic disk or optical disk and other media that can store program codes.

最后应说明的是:以上各实施例仅用以说明本发明的技术方案,而非对其限制;尽管参照前述各实施例对本发明进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分或者全部技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本发明各实施例技术方案的范围。Finally, it should be noted that the above embodiments are only used to illustrate the technical solutions of the present invention, but not to limit them; although the present invention has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand that: The technical solutions described in the foregoing embodiments can still be modified, or some or all of the technical features thereof can be equivalently replaced; and these modifications or replacements do not make the essence of the corresponding technical solutions deviate from the technical solutions of the embodiments of the present invention. scope.

Claims (13)

1. A control method for radio frequency ablation, wherein a radio frequency ablation catheter used for radio frequency ablation comprises a catheter body and an annular catheter section connected to one end of the catheter body, the annular catheter section is provided with a force sensor and a radio frequency electrode, and the control method comprises the following steps:
acquiring real-time contact force detected by the force sensor; the real-time contact force is the contact force between the annular conduit section and the airway wall;
adjusting the radius of the annular conduit section based on the real-time contact force;
triggering the radiofrequency electrode radiofrequency ablation after the adjustment is completed.
2. The control method according to claim 1,
said adjusting a radius of said looped conduit segment based on said real-time contact force, comprising:
if the real-time contact force is smaller than a preset target threshold value, the radius of the annular pipe section is increased;
determining that the adjustment is complete when the real-time contact force is not less than the target threshold.
3. The control method according to claim 2,
said enlarging of the radius of said annular duct section comprises:
determining a difference between the real-time contact force and the target threshold;
determining an adjustment step size based on the difference;
and increasing the radius based on the adjusting step length.
4. The control method according to claim 3,
determining an adjustment step size based on the difference, comprising:
and determining the adjusting step length corresponding to the interval range to which the difference belongs based on the corresponding relation between the interval range and the adjusting step length, wherein in the corresponding relation, the larger the numerical value of the interval range is, the larger the corresponding increasing step length is.
5. The control method according to claim 2,
said adjusting a radius of said looped conduit segment based on said real-time contact force, further comprising:
if the real-time contact force is larger than the upper limit threshold value, the radius of the annular conduit section is reduced; the upper threshold is greater than the target threshold;
before determining that the adjustment is complete, further comprising: determining that the real-time contact force is less than the upper threshold.
6. The control method according to any one of claims 1 to 5,
before the obtaining of the real-time contact force detected by the force sensor, the method further includes:
determining that the looped catheter segment has reached a target location within a body of a target subject.
7. A radio frequency ablation assembly is characterized by comprising a radio frequency ablation catheter, a data processing part, a radio frequency control part and a control part; the radiofrequency ablation catheter comprises a catheter body and an annular catheter section connected to one end of the catheter body, wherein the annular catheter section is provided with a force sensor and a radiofrequency electrode;
the manipulation section is configured to be capable of adjusting the radius of the annular tube section under the control of the data processing section;
the radio frequency control part is directly or indirectly electrically connected with the radio frequency electrode and can output radio frequency energy to the radio frequency electrode under the control of the data processing part;
the data processing part is used for executing the control method of the radio frequency ablation according to any one of claims 1 to 6.
8. A radio frequency ablation assembly according to claim 7, wherein the force sensor is removably nested outside of the annular catheter segment away from the center.
9. The radiofrequency ablation assembly of claim 7, wherein the annular catheter segment is provided with a communication aperture through which a desired medium circulated within the radiofrequency ablation catheter can be delivered.
10. The radio frequency ablation assembly of claim 7, further comprising a bronchoscope having a working channel through which the catheter body is disposed.
11. A control device for radio frequency ablation, wherein a radio frequency ablation catheter used for radio frequency ablation comprises a catheter body and an annular catheter section connected to one end of the catheter body, the annular catheter section is provided with a force sensor and a radio frequency electrode, and the control device comprises:
the acquisition module is used for acquiring the real-time contact force detected by the force sensor; the real-time contact force is the contact force between the annular conduit section and the airway wall;
an adjustment module for adjusting the radius of the looped conduit segment based on the real-time contact force;
and the ablation triggering module is used for triggering the radio-frequency electrode to perform radio-frequency ablation after the adjustment is completed.
12. An electronic device, comprising a processor and a memory,
the memory is used for storing codes;
the processor is configured to execute the codes in the memory to implement the control method of any one of claims 1 to 6.
13. A storage medium having stored thereon a computer program which, when executed by a processor, implements the control method of any one of claims 1 to 6.
CN202111603315.1A 2021-12-24 2021-12-24 Control method and device for radiofrequency ablation and radiofrequency ablation assembly Pending CN114288013A (en)

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