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WO2019107780A1 - Dispositif de laser médical - Google Patents

Dispositif de laser médical Download PDF

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Publication number
WO2019107780A1
WO2019107780A1 PCT/KR2018/013420 KR2018013420W WO2019107780A1 WO 2019107780 A1 WO2019107780 A1 WO 2019107780A1 KR 2018013420 W KR2018013420 W KR 2018013420W WO 2019107780 A1 WO2019107780 A1 WO 2019107780A1
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WO
WIPO (PCT)
Prior art keywords
laser
handpiece
region
irradiation
predetermined treatment
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/KR2018/013420
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English (en)
Korean (ko)
Inventor
이희철
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Lutronic Corp
Original Assignee
Lutronic Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Lutronic Corp filed Critical Lutronic Corp
Publication of WO2019107780A1 publication Critical patent/WO2019107780A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N5/0613—Apparatus adapted for a specific treatment
    • A61N5/0616—Skin treatment other than tanning
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/203—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser applying laser energy to the outside of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0077—Devices for viewing the surface of the body, e.g. camera, magnifying lens
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient; User input means
    • A61B5/742—Details of notification to user or communication with user or patient; User input means using visual displays
    • A61B5/7445—Display arrangements, e.g. multiple display units
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N5/067—Radiation therapy using light using laser light
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N2005/0626—Monitoring, verifying, controlling systems and methods

Definitions

  • Lasers are used in various fields such as industrial, medical and military.
  • medical laser devices are used in ophthalmology, dentistry, surgery, and dermatology.
  • a medical laser device is used to treat a lesion by examining a laser such as a skin disease or a vascular disease that occurs in the skin.
  • Korean Patent Laid-Open Publication No. 2010-0101420 discloses a treatment apparatus using electrical, physical and optical energy.
  • the laser provided in the medical laser device can improve the skin condition by raising the temperature of the skin tissue and improving the blood circulation of the skin tissue.
  • the laser transmits high-frequency energy, a method for controlling the medical laser device is required so that the laser is not irradiated to the site or object to which the laser should not be irradiated.
  • the medical laser apparatus can check whether the irradiation direction of the irradiated laser is targeted to a predetermined treatment site and control irradiation of the laser.
  • the medical laser device can control the operation of the handpiece so that the laser is not irradiated.
  • a laser irradiation apparatus comprising: a laser irradiation unit connected to a main body that oscillates a laser, A laser tip which contacts the predetermined treatment region of the object and guides the laser; A camera for photographing an irradiation area to which the laser is to be irradiated; And a control unit for checking whether the irradiation region is targeted to the predetermined treatment site based on the image photographed by the camera, determining whether to irradiate the laser based on the confirmation result, and controlling the operation of the laser irradiation unit
  • a medical handpiece is disclosed that includes a processor.
  • a laser processing apparatus including: a main body for oscillating a laser; A handpiece connected to the main body and irradiating the laser; A camera mounted on the handpiece for photographing an irradiation area to be irradiated with the laser; Based on the image photographed by the camera, whether or not the irradiation region is targeted to a predetermined treatment site of the object, and determines whether or not to irradiate the laser based on the confirmation result, A laser device for medical use is disclosed.
  • a computer-readable storage medium for storing a computer program for causing a computer to execute the steps of: capturing an irradiation area to be irradiated with laser light from a handpiece through a camera mounted on a handpiece; A command for confirming whether the irradiation region is targeted to a predetermined treatment site of the object based on the image photographed by the camera; Controlling an operation of the handpiece so that the laser is not irradiated if the irradiation region is determined not to be targeted to the predetermined treatment region, and outputting an alarm indicating that the direction of the handpiece should be reset; And controlling the operation of the handpiece such that the laser is irradiated onto the predetermined treatment site if it is determined that the irradiation area is targeted to the predetermined treatment site.
  • a readable storage medium is disclosed.
  • the medical laser apparatus can check whether the irradiation direction of the irradiated laser is targeted to a predetermined treatment site and control irradiation of the laser.
  • FIG. 1 is a view showing an appearance of a medical laser device according to an embodiment.
  • FIG. 2 is a block diagram showing the configuration of a medical laser apparatus according to one embodiment.
  • FIG. 3 is a block diagram showing the configuration of a handpiece according to one embodiment.
  • FIG. 4 is a view for explaining the operation of the handpiece when the irradiation area of the laser irradiated from the handpiece is targeted to a predetermined treatment site according to an embodiment.
  • FIG. 5 is a diagram for explaining the operation of a handpiece when an irradiation region of a laser irradiated from a handpiece is targeted to an area other than a region corresponding to a predetermined treatment site, according to an embodiment.
  • FIG. 6 is a view for explaining a process of confirming an irradiation area to which a laser is to be irradiated and irradiating the laser before the laser is irradiated in the medical laser device according to an embodiment.
  • FIG. 7 is a view for explaining a process of confirming an irradiation area to which a laser is to be irradiated before a laser is irradiated in a medical laser apparatus and irradiating the laser by guiding the direction of the handpiece according to a guide image .
  • FIG. 8 illustrates a process of identifying a radiation area to which a laser is to be irradiated before a laser is irradiated in a medical laser device and blocking the laser when the irradiation area is a part of a display of the medical laser device, according to an embodiment FIG.
  • FIG. 9 is a flowchart illustrating a method of controlling irradiation of a laser in a medical laser apparatus, according to an embodiment.
  • FIG. 10 is a flow chart illustrating a method of controlling irradiation of a laser in a medical laser apparatus, according to another embodiment.
  • the medical handpiece includes a laser irradiation unit connected to a main body for oscillating a laser and irradiating the laser to a target object; A laser tip which contacts the predetermined treatment region of the object and guides the laser; A camera for photographing an irradiation area to which the laser is to be irradiated; And a control unit for checking whether the irradiation region is targeted to the predetermined treatment site based on the image photographed by the camera, determining whether to irradiate the laser based on the confirmation result, and controlling the operation of the laser irradiation unit Lt; / RTI >
  • the medical laser device includes: a main body for oscillating a laser; A handpiece connected to the main body and irradiating the laser; A camera mounted on the handpiece for photographing an irradiation area to be irradiated with the laser; Based on the image photographed by the camera, whether or not the irradiation region is targeted to a predetermined treatment site of the object, and determines whether or not to irradiate the laser based on the confirmation result, Lt; / RTI >
  • FIG. 1 is a view showing an appearance of a medical laser device according to an embodiment.
  • the medical laser device 100 may include a main body 200 and a handpiece 300.
  • the medical laser apparatus 100 can be used to treat or treat a predetermined region (e.g., a human body, a jaw, a lesion, etc.) of a subject.
  • a predetermined region e.g., a human body, a jaw, a lesion, etc.
  • the main body 200 may include a power supply unit (not shown) capable of receiving power from the outside.
  • the main body 200 may include a laser oscillating unit that oscillates a therapeutic laser (hereinafter referred to as "laser”) irradiated to the skin of a subject using a power supplied from a power supply unit (not shown).
  • the main body 200 may include a processor for controlling the components of the medical laser device 100 or the medical laser device 100.
  • a control panel for operating the driving contents of the medical treatment apparatus, and a display 230 for displaying the driving contents of the medical treatment apparatus or images related to the treatment site can be included.
  • connection unit may be in the form of a link in which the position of the handpiece 300 can be adjusted by a user holding the handpiece 300.
  • the handpiece 300 connected to the main body 200 can be replaced with another handpiece 300 according to a procedure or a procedure. As shown in FIG. 1, the handpiece 300 can be replaced with a different shape or size of the laser tip according to a part or procedure to be performed.
  • the handpiece 300 is connected to the main body 200 and can be moved to a predetermined treatment site of a target object which is held by the user and needs to be irradiated with the laser.
  • the handpiece 300 can irradiate the laser provided from the laser oscillating portion of the main body 200 to a predetermined treatment region of the object.
  • the handpiece 300 may include a camera 330, and the camera 330 may photograph an irradiation area to which a laser is to be irradiated.
  • the handpiece 300 can be grasped by the user such that the laser oscillated in the laser oscillating portion is received through the refractive arm and the incident laser is irradiated to a predetermined treatment region in the skin of the object. Further, the handpiece 300 can convert the laser of the first wavelength oscillated from the laser oscillation section to the laser of the second wavelength and output it. Further, the handpiece 300 may include a filter that transmits only the light of the laser of the second wavelength.
  • FIG. 2 is a block diagram showing the configuration of a medical laser apparatus according to one embodiment.
  • the medical laser device 100 may include a main body 200 and a handpiece 300.
  • the main body 200 may include a processor 210, a laser oscillating unit 220, a display 230, and a control panel 240.
  • the handpiece 300 may include a laser irradiation unit 310 and a camera 330. Also, the main body 200 and the handpiece 300 may be connected by a cable (not shown). Not all illustrated components are required.
  • the medical laser device 100 can be implemented by a larger number of components than the illustrated components, and the medical laser device 100 can be implemented with fewer components. Hereinafter, the components will be described.
  • the processor 210 of the main body 200 may control the overall operation of the medical laser device 100 and the signal flow between the internal components of the medical laser device 100.
  • the processor 210 of the main body 200 may include a memory 210 storing a program or data for performing the function of the medical laser device 100, and a processor 210 processing a program or data.
  • the processor 210 of the main body 200 can receive control signals from the control panel 240 or an operation unit of the handpiece 300 to control the operation of the medical laser apparatus 100.
  • the laser oscillating unit 220 can oscillate a laser irradiated on a predetermined treatment region of the object.
  • the display 230 may display an image related to the driving content of the medical laser apparatus 100 or the treatment site.
  • the display 230 displays information on an operation mode operated in the medical laser apparatus 100, an image photographed by the camera 330 provided in the handpiece 300, or a detection signal sensed by the sensor .
  • the display 230 may be implemented with a touch screen in combination with a touch panel.
  • the control panel 240 may receive an input for operating the driving content of the medical laser device 100.
  • the control panel 240 may be implemented by a button, a trackball, a jog switch, a knob, and the like, but is not limited thereto.
  • the operation mode of the medical laser apparatus 100 is set via the control panel 240, the information of the set operation mode can be transmitted to the processor 210 of the main body 200.
  • the processor 210 of the main body 200 can control the laser oscillating unit 220 to oscillate the laser corresponding to the set operation mode.
  • the handpiece 300 may be connected to the main body 200 by a cable (not shown).
  • the cable (not shown) may include a laser transmitting portion (not shown) and a signal line (not shown).
  • the laser transmitting unit (not shown) may be formed as a circuit that can electrically connect the laser oscillating unit 220 of the main body 200 and the electrode unit of the handpiece 300 to provide a laser to a predetermined treatment site , But is not limited thereto.
  • a signal line (not shown) can transmit / receive various control signals or sensing signals between the main body 200 and the handpiece 300.
  • a signal line may be provided to the handpiece 300, such as a control signal operated by a user through an operation unit of the handpiece 300, an image captured by the camera 330 provided in the handpiece 300, And transmits the sensed signal sensed by the sensor to the processor 210 of the main body 200.
  • the processor 210 of the main body 200 may transmit a control signal for controlling the operation of the handpiece 300 to the handpiece 300 through a signal line (not shown).
  • the handpiece 300 is connected to the main body 200 and is capable of irradiating laser beams emitted from the main body 200.
  • the camera 330 can be mounted on the handpiece 300 and can photograph the irradiation area to which the laser is to be irradiated. Further, the camera 330 can photograph the irradiation area to be irradiated with the laser and the adjacent area of the irradiation area.
  • the handpiece 300 can transmit an image photographed by the camera 330 to the processor 210 of the main body 200 through a signal line (not shown).
  • the processor 210 of the main body 200 can confirm whether the irradiation region is targeted to a predetermined treatment region of the target object based on the image photographed from the camera 330. [ The processor 210 can control the operation of the handpiece 300 by determining whether to irradiate the laser based on the confirmation result.
  • the processor 210 of the main body 200 can prevent the laser from being irradiated
  • the operation of the handpiece 300 can be controlled.
  • a predetermined treatment area is set as a jaw line area, a pawl area, and a vicinity of a cheekbones, and a prohibited area can be set as an eye area and a nose area.
  • the above example is set for convenience of explanation, but is not limited thereto.
  • the processor 210 of the main body 200 can control the operation of the handpiece 300 so that the laser is not irradiated. Further, when the irradiation region is identified as a part of the configuration of the medical laser apparatus 100, the processor 210 of the main body 200 can control the operation of the handpiece 300 so that the laser is not irradiated. In this case, the processor 210 of the main body 200 can cut off the irradiation of the laser from the handpiece 300, even if a signal is emitted from the handpiece 300 to irradiate the laser.
  • the processor 210 of the main body 200 can control the laser oscillation unit 220 to prevent the laser irradiation unit 310 of the handpiece 300 from supplying the laser. Specifically, the processor 210 of the main body 200 can forcibly stop the operation of the laser oscillating unit 220 or forcibly block the path from the laser oscillating unit 220 to the laser irradiating unit 310.
  • the laser transfer unit (not shown) includes an element that performs a switching function, so that the processor 210 of the main body 200 can block the path through which the laser is transferred by opening the element.
  • the processor 210 of the main body 200 can control to output an alarm indicating that the direction of the handpiece 300 should be reset.
  • the display 230 may display an image related to a predetermined operation site.
  • the display 230 can display the irradiation region to be irradiated with the laser and the vicinity region of the irradiation region together based on the photographed image.
  • the camera 330 can photograph a predetermined area of the jaw, which is an irradiation area to which the laser is to be irradiated, and an area in the vicinity of a predetermined area of the jaw.
  • the display 230 can distinguish and display a predetermined area of the jaw and a vicinity area of a predetermined area of the jaw.
  • the processor 210 determines that the irradiation area of the laser It is possible to control the display unit 230 to display a guide image guiding the direction of the piece 300.
  • the processor 210 extracts at least two or more feature points from the captured image from the camera 330, and generates an image based on the position of at least two or more feature points, the arrangement of at least two or more feature points, You can determine the component.
  • the processor 210 can determine whether the determined component is a predetermined treatment site and confirm whether the irradiation region is targeted to a predetermined treatment site.
  • the camera 330 may be mounted on the handpiece 300 such that the photographing direction of the camera 330 coincides with the irradiation direction of the laser.
  • the camera 330 can photograph up to the vicinity of the irradiation area including the irradiation area to which the laser is to be irradiated.
  • the handpiece 300 may further include a sensor for sensing a change in the position or direction of the handpiece 300.
  • the sensor may be at least one of a geomagnetic sensor, an acceleration sensor, an infrared sensor, a gyro sensor, a position sensor and a proximity sensor, but is not limited thereto.
  • the function of each sensor can be intuitively deduced from the name by an ordinary technician, so a detailed description will be omitted.
  • the processor 210 of the main body 200 determines whether or not the direction of the handpiece 300 is set in a direction deviating from the predetermined treatment region based on the positional change or the directional change of the handpiece 300, Can be controlled.
  • the sensor senses that the handpiece 300 is facing upward, and transmits the sensed signal to the processor 210 of the main body 200 .
  • the processor 210 of the main body 200 determines that the handpiece 300 is not directed to a predetermined treatment region based on the sensed signal and supplies laser from the laser oscillation section 220 to the handpiece 300 Can be blocked.
  • the processor 210 of the main body 200 can also detect a position change or a direction change of the handpiece 300 sensed by the sensor and a signal indicating that the handpiece 300 300 is targeted to a predetermined treatment site, and the operation of the handpiece 300 can be controlled.
  • FIG. 3 is a block diagram showing in detail the configuration of a handpiece according to one embodiment.
  • the handpiece 300 may include a laser irradiation unit 310, a laser tip 320, a camera 330, a processor 340, and a sensor 350. Not all illustrated components are required.
  • the handpiece 300 can be implemented by more components than the components shown, and the handpiece 300 can be implemented by fewer components.
  • the handpiece 300 of FIG. 3 may perform the same function as the handpiece 300 of FIG.
  • the handpiece 300 of FIG. 3 may further include a processor than the handpiece 300 of FIG.
  • the processor 340 of the handpiece 300 may control the operation of the handpiece 300 and the signal flow between the internal components of the handpiece 300.
  • the processor 340 of the handpiece 300 may also transmit the signal or data obtained from the handpiece 300 to the main body 200 of the medical laser device 100.
  • the components will be described.
  • the laser irradiation unit 310 is connected to the main body 200 that oscillates the laser, and can irradiate the laser to the object.
  • the laser irradiation unit 310 may be provided with a laser of a first wavelength emitted from the laser oscillating unit 220 of the main body 200.
  • the laser irradiation unit 310 can convert the laser of the first wavelength into a laser of the second wavelength and output it.
  • the laser oscillating unit 220 of the main body 200 may include a medical Q-switching Nd: YAG laser oscillating a wavelength of 1064 nm.
  • the laser of the second wavelength outputted from the laser oscillating unit 220 may be 2700 to 3000 nm.
  • the range of the wavelength is merely an example, and the present invention is not limited thereto and can be understood by those skilled in the art.
  • the laser tip 320 can contact the predetermined treatment region of the object to guide the laser.
  • the laser tip 320 can press the inside of the vein in the irradiation area.
  • the laser tip 320 can be disposed along the longitudinal direction of the blood vessel inside the irradiation area, and can press one side in the longitudinal direction of the blood vessel so that the blood vessel in the irradiation area is inflated.
  • the laser tip 320 may be formed in an oblique cross-sectional shape or a curved cross-sectional shape.
  • the camera 330 can photograph the irradiation region to which the laser is to be irradiated and the adjacent region of the irradiation region.
  • the camera 330 can be disposed on the irradiation path of the laser or on a straight line parallel to the irradiation path so that the shooting direction of the camera 330 coincides with the irradiation direction of the laser irradiated by the laser irradiation unit 310.
  • the processor 340 can confirm whether the irradiation region is targeted to a predetermined treatment site based on the image photographed from the camera 330. [ The processor 340 can control the operation of the laser irradiation unit 310 by determining whether to irradiate the laser based on the confirmation result.
  • the processor 340 extracts at least two feature points from the image photographed from the camera 330 and generates an image based on the position of at least two or more feature points or an arrangement of at least two feature points or an outline connecting at least two feature points, You can determine the component.
  • the processor 340 may determine whether the determined component is a predetermined treatment site of the object, a treatment site is prohibited, or a target to which the laser should not be irradiated.
  • the predetermined treatment site, the site where the treatment site is prohibited, and the object to which the laser should not be irradiated can be set in advance.
  • the main body 200 of the medical laser device 100 can store a reference image corresponding to a predetermined treatment site, a site where the treatment site is prohibited, and a target object to which the laser should not be irradiated, or reference data.
  • the processor 340 can determine whether the irradiation region is a predetermined treatment site by comparing the image photographed by the camera 330 with the reference image or reference data stored in the main body 200. [
  • the processor 340 may extract at least two or more feature points from the captured image and the reference image from the camera 330, respectively, and compare the extracted feature points.
  • the processor 340 can control the laser irradiation unit 310 so that the laser is not irradiated. For example, even if the user presses the input button, if the input button is provided to irradiate the handpiece 300 with laser or adjust the irradiation of the laser, the processor 340 controls the laser irradiation unit 310 so that the laser is not irradiated, Can be controlled.
  • the processor 340 may control the laser irradiation unit 310 to output an alarm indicating that the direction of the laser irradiation unit 310 should be reset.
  • the alarm may be output as a warning message on the display 230 of the main body 200 of the medical laser device 100 or as a voice message in the speaker (not shown) of the main body 200, but is not limited thereto.
  • the sensor 350 may sense a position change or a direction change of the laser tip 320.
  • the sensor 350 may be at least one of a geomagnetic sensor, an acceleration sensor, an infrared sensor, a gyro sensor, a position sensor, and a proximity sensor, but is not limited thereto.
  • the sensor 350 may be mounted in the vicinity of the laser tip 320.
  • the processor 340 determines whether the direction of the laser tip 320 is set in a direction deviating from the predetermined treatment region based on the change in position or the change in the direction of the laser tip 320 sensed by the sensor 350, The operation of the irradiation unit 310 can be controlled.
  • the processor 340 also determines the position of the laser tip 320 based on the signal of the position change or direction change of the laser tip 320 sensed by the sensor 350 and the captured image of the irradiation area from the camera 330. [ It is possible to determine whether or not the direction of the laser irradiation unit 310 is targeted to a predetermined treatment site, and to control the operation of the laser irradiation unit 310.
  • the processor 340 can control the laser irradiation unit 310 so as not to irradiate the laser. Conversely, when the direction of the laser tip 320 is directed to a predetermined treatment site, the processor 340 can control the laser irradiation unit 310 to irradiate the laser.
  • the main body 200 of the medical laser apparatus 100 includes a processor 210, The display unit 230, the control panel 240, the laser irradiation unit 310 of the handpiece 300, the laser tip 320, the camera 330, the processor 340, and the sensor 350
  • the scope of rights of the main body 200 or the handpiece 300 is not limited by the name of the specific configuration or the physical / logical structure.
  • FIG. 4 is a view for explaining the operation of the handpiece when the irradiation area of the laser irradiated from the handpiece is targeted to a predetermined treatment site according to an embodiment.
  • the handpiece 300 can confirm whether the irradiation area to which the laser is to be irradiated is targeted to a predetermined treatment site before the laser is irradiated from the handpiece 300. [ When the irradiation region is targeted to a predetermined treatment site, the handpiece 300 can irradiate the laser to a predetermined treatment site.
  • the handpiece 300 can photograph the irradiation area to be irradiated with the laser through the camera 330 and determine the components in the photographed image.
  • the handpiece 300 may determine whether the determined component is a predetermined treatment site. 4
  • the handpiece 300 detects a predetermined jaw portion 15 of the patient 10 to be irradiated with the laser in the image photographed through the camera 330, 300 is targeted to the jaw region 15 to be treated.
  • the handpiece 300 extracts at least two minutiae from the facial image photographed in the photographed image, and based on the contours connecting the positions, arrangement, and minutiae points of the extracted minutiae, (15) can be detected.
  • the handpiece 300 can irradiate the jaw area 15 with laser according to the user's laser irradiation input.
  • the user can press the laser tip of the handpiece 300 in contact with the skin of the jaw portion 15 of the patient 10 and in the longitudinal direction of the jaw portion 15.
  • FIG. 5 is a diagram for explaining the operation of a handpiece when an irradiation region of a laser irradiated from a handpiece is targeted to an area other than a region corresponding to a predetermined treatment site, according to an embodiment.
  • the handpiece 300 can confirm whether the irradiation area to which the laser is to be irradiated is targeted to a predetermined treatment site before the laser is irradiated from the handpiece 300. [ As shown in FIG. 5, the handpiece 300 may determine a component in the image photographed through the camera 330 and determine that the determined component is not a predetermined treatment site of the patient 10. [ That is, when the irradiation region does not include the region corresponding to the predetermined treatment region or corresponds to the region different from the predetermined treatment region, the handpiece 300 is moved in the direction of the movement of the laser irradiation unit 310 Can be controlled. In this case, the handpiece 300 may be controlled to output an alarm indicating that the direction of the handpiece 300 should be reset.
  • FIG. 6 is a view for explaining a process of confirming an irradiation area to which a laser is to be irradiated and irradiating the laser before the laser is irradiated in the medical laser device according to an embodiment.
  • the user can use the medical laser apparatus 100 to perform a predetermined portion of the object. If the laser is irradiated to other parts of the object other than the part to be treated, other parts of the object may be fatal. In addition, even if the laser is irradiated with another object that the user does not intend, the other object may be damaged. Therefore, it is necessary to check whether the irradiation region to which the laser is to be irradiated is targeted to the region corresponding to the predetermined treatment region before the laser irradiation in the medical laser apparatus 100 is performed.
  • the medical laser apparatus 100 can determine whether the irradiation region to be irradiated with the laser beam is photographed and based on the minutiae points in the photographed image, the target portion of the target object is included in the image.
  • the medical laser apparatus 100 can display an irradiation area on which laser is to be irradiated, on the display. For example, when the direction of the handpiece 300 of the medical laser apparatus 100 indicates the face of the object, the medical laser apparatus 100 can display a face image of the object. Further, the medical laser apparatus 100 may display at least two minutiae on the facial image, and may display a predetermined area 621 of the jaw portion to which the laser is to be irradiated. In this case, the medical laser apparatus 100 can display a predetermined region 621 of the jaw portion, which is an irradiation region to be irradiated with the laser, on the facial image. The medical laser apparatus 100 can determine whether a predetermined region of the jaw line is a region corresponding to the treatment site and determine whether the laser to be irradiated is to be focused on the treatment region.
  • the medical laser apparatus 100 can control the laser to be irradiated to a predetermined region of the jaw region of the handpiece 300 have.
  • FIG. 7 is a view for explaining a process of confirming an irradiation area to which a laser is to be irradiated before a laser is irradiated in a medical laser apparatus and irradiating the laser by guiding the direction of the handpiece according to a guide image .
  • the medical laser apparatus 100 can photograph an irradiation area to be irradiated with a laser beam, and determine, based on the minutiae in the photographed image, whether or not the target part of the target material is included in the image have.
  • the medical laser apparatus 100 can display an irradiation area on which laser is to be irradiated, on the display. For example, when the direction of the handpiece 300 of the medical laser apparatus 100 indicates the face of the object, the medical laser apparatus 100 can display a face image of the object. In this case, the medical laser apparatus 100 can display a predetermined region 721 of the nose, which is an irradiation region to which the laser is to be irradiated, superimposed on the facial image.
  • the medical laser apparatus 100 may store a reference image corresponding to a predetermined treatment site, a site where the treatment site is prohibited, and a target object to which the laser should not be irradiated, or reference data.
  • the medical laser apparatus 100 can confirm that the predetermined region 721 of the nose corresponds to the region to be treated. If the nose is pre-set as the forbidden area, the medical treatment device may display a message instructing the handpiece 300 to re-orient.
  • the medical laser apparatus 100 may be configured such that "the irradiation area is a part for which the operation is prohibited. Message can be displayed together with the face image.
  • the medical laser apparatus 100 can superimpose and display the guide image displaying the operable region 731 on the facial image based on the reference image or the reference data.
  • the medical laser apparatus 100 can control the laser to be irradiated to the region corresponding to the operable region by confirming that the direction of the handpiece 300 is focused on the region corresponding to the operable region.
  • FIG. 8 illustrates a process of identifying a radiation area to which a laser is to be irradiated before a laser is irradiated in a medical laser device and blocking the laser when the irradiation area is a part of a display of the medical laser device, according to an embodiment FIG.
  • the medical laser apparatus 100 can photograph the irradiation area to which the laser is to be irradiated, and determine the components in the photographed image. For example, if the direction of the handpiece 300 of the medical laser device 100 is directed to the display 230 of the medical laser device 100, then the medical laser device 100 determines that the component in the captured image is the display 230 ). ≪ / RTI >
  • the medical laser device 100 can display a warning message.
  • the medical laser apparatus 100 may determine that the direction of the handpiece 300 is focused on the display 230 from the photographed image, and output a warning alarm.
  • the medical laser apparatus 100 may display the message "The direction of the handpiece 300 is pointing toward the display 230. Place the handpiece 300 in the correct position or face the treatment site.”
  • the medical laser apparatus 100 can control the operation of the handpiece 300 so that the laser is interrupted if the direction of the handpiece 300 is not focused on the predetermined treatment site even after the warning alarm is output.
  • FIG. 9 is a flowchart illustrating a method of controlling irradiation of a laser in a medical laser apparatus, according to an embodiment.
  • the medical laser apparatus 100 can photograph the irradiation area to which the laser is to be irradiated through the camera 330 mounted on the handpiece 300.
  • the medical laser device 100 can also take an adjacent area of the irradiation area to which the laser is to be irradiated.
  • the camera 330 may be mounted on the handpiece 300 of the medical laser apparatus 100 so as to coincide with the irradiation direction of the laser.
  • the medical laser apparatus 100 can confirm whether the irradiation area is targeted to a predetermined treatment site of the object. For example, the medical laser apparatus 100 may extract at least two feature points from the photographed image. The medical laser device 100 can determine the components in the image based on the position, arrangement, or contours of at least two feature points or two or more feature points. The medical laser apparatus 100 can determine whether the irradiated region is targeted to a predetermined treatment site by determining whether the determined component is a predetermined treatment site of the target object.
  • the medical laser apparatus 100 can operate in accordance with Step S930.
  • the irradiation region is a region where the treatment site is prohibited or a region corresponding to the object to which the laser should not be irradiated
  • the medical laser apparatus 100 can operate in accordance with Step S930.
  • the medical laser apparatus 100 can operate in accordance with Step S950.
  • the medical laser apparatus 100 can control the handpiece 300 so that the laser is not irradiated.
  • the medical laser apparatus 100 may cut off the path through which the laser is transmitted so that the laser is not supplied to the laser irradiating unit of the handpiece 300 at the laser oscillating unit.
  • the medical laser apparatus 100 may output an alarm indicating that the direction of the handpiece 300 should be reset.
  • an alarm may be output as an alert message on the display 230 of the medical laser device 100 or on an external display connected to the medical laser device 100.
  • the alarm may be outputted as a voice message or a certain sound from the speaker of the medical laser apparatus 100.
  • the medical laser apparatus 100 can control the handpiece 300 so that the laser is irradiated to a predetermined treatment site. For example, as the user presses the laser irradiation input button, the medical laser apparatus 100 can control the handpiece 300 so that the laser is irradiated to a predetermined treatment site.
  • FIG. 10 is a flow chart illustrating a method of controlling irradiation of a laser in a medical laser apparatus, according to another embodiment.
  • the medical laser apparatus 100 can display on the display 230 an irradiation area to which the laser is irradiated.
  • the medical laser apparatus 100 can display an irradiation region irradiated with a laser before the laser is irradiated on the handpiece 300, on the display 230, from the adjacent region of the irradiation region.
  • the medical laser apparatus 100 may display a guide image guiding the direction of the handpiece 300 to be reset. For example, when the direction of the handpiece 300 is targeted to a region where the operation is prohibited, the medical laser apparatus 100 can display the guide image indicating the operable region. For example, when the direction of the handpiece 300 is targeted to the configuration of the medical laser device 100, the medical laser device 100 can display the guide image indicating the warning message.
  • step S1030 the medical laser apparatus 100 can confirm whether the direction of the handpiece 300 is targeted to a predetermined treatment site of the object. If it is confirmed that the direction of the handpiece 300 is targeted to a predetermined treatment site of the object, the medical laser apparatus 100 can operate according to step S1040. If it is confirmed that the direction of the handpiece 300 is not targeted to the predetermined treatment site of the object, the medical laser apparatus 100 can operate according to step S1020.
  • step S1040 the medical laser apparatus 100 can control the handpiece 300 so that the laser is irradiated to a predetermined treatment site.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Physics & Mathematics (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Pathology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Electromagnetism (AREA)
  • Otolaryngology (AREA)
  • Laser Surgery Devices (AREA)

Abstract

L'invention concerne une pièce à main médicale qui peut comprendre : une partie d'irradiation laser qui est raccordée à un corps pour faire osciller un laser et émet le laser vers un objet ; une pointe laser qui est en contact avec une zone opératoire prédéterminée de l'objet et guide le laser ; une caméra pour capturer une image d'une zone d'irradiation sur laquelle le laser sera émis ; et un processeur qui vérifie, sur la base de l'image capturée par la caméra, si la zone d'irradiation est ciblée en tant que zone opératoire prédéterminée, et détermine, sur la base d'un résultat de la vérification, s'il faut ou non émettre le laser, de façon à commander le fonctionnement de la partie d'irradiation laser.
PCT/KR2018/013420 2017-11-30 2018-11-07 Dispositif de laser médical Ceased WO2019107780A1 (fr)

Applications Claiming Priority (2)

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KR1020170163696A KR20190064273A (ko) 2017-11-30 2017-11-30 의료용 레이저 장치 및 의료용 레이저 장치의 동작 방법을 저장한 컴퓨터 판독 가능 저장매체
KR10-2017-0163696 2017-11-30

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KR102538270B1 (ko) * 2023-02-07 2023-05-30 김재림 열화상 카메라 모듈을 구비한 리프팅 시술 시스템
KR102882477B1 (ko) * 2023-02-28 2025-11-07 원텍 주식회사 의료용 레이저 조사장치
KR102703020B1 (ko) * 2023-10-06 2024-09-04 유승민 레이저 리프팅 장치 및 레이저 리프팅 장치에 탈부착이 가능한 탈부착용 열감지 장치

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KR20130133969A (ko) * 2012-05-30 2013-12-10 주식회사 센바이텍 영상분석을 통해 자동으로 시술영역 및 조사강도가 조절되는 레이저 시술장치
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