基于磁导航技术的粘小管手术穿管操作系统设计与实现

      Design of Catheter Insertion System for Canaloplasty Based on Magnetic Navigation Technology

      • 摘要: 粘小管手术是治疗青光眼的一种新型有效的方法。在手术过程中,需要将一根带有导光纤维的柔性微导管插入并在粘小管内穿行,但由于在插入过程中导管的方向难以操控,手术成功率取决于外科医生的操作经验和熟练程度。该文提出一种基于电磁铁的磁导航系统,以引导导管穿行方向,辅助医生顺利地进行导管插入操作。基于手术操作要求设计了系统的布局,通过优化算法计算电磁铁电流,实现磁场的控制,通过仿真验证了导航过程磁场变化均在求解可行域内,即系统的解空间能够满足磁体沿目标路径导航的要求。最后,通过实验进行了进一步验证,实验表明,该系统可以实现导管的位置控制,引导磁体沿预设路径运动。

         

        Abstract: Canaloplasty is a new and effective method for the treatment of glaucoma. During the procedure, a flexible microcatheter equipped with an optical fiber must be inserted and navigated within the Schlemm's canal. However, due to the difficulty in controlling the direction of the catheter during insertion, the success rate of the surgery depends on the experience and proficiency of the surgeon. This paper proposed a magnetic navigation system based on electromagnets to guide the direction of the catheter and assist the surgeon in smoothly performing the catheter insertion operation. The layout of the system was designed based on the requirements of the operation, and the current of the electromagnet was calculated by the optimization algorithm to achieve the control of the magnetic field. Simulations confirmed that the magnetic field variations during the navigation process were within the feasible solution domain, indicating that the system's solution space could meet the requirements for navigating the magnet along the target path. Finally, experiments were conducted for further validation, demonstrating that the system could achieve positional control of the catheter, guiding the magnet along a predetermined path.

         

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