Blood vessel detection device

• US 20050033276A1
• Filed: 06/21/2004
• Published: 02/10/2005
• Est. Priority Date: 07/07/2003
• Status: Active Grant

• Current Assignee: Olympus Corporation
• Original Assignee: Olympus Corporation
• Inventors: Adachi, Hideo
• Granted Patent: US 7,488,292 B2
• Time in Patent Office: Days
• US Class Current: 606/32
• CPC Class Codes: A61B 1/015 Control of fluid supply or evacuation
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 1/044 for absorption imaging
• CPC Class Codes: A61B 2018/00291 using suction
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 5/489 Blood vessels
• CPC Class Codes: A61B 5/7257 using Fourier transforms
• CPC Class Codes: A61B 7/023 for introduction into the body, e.g. into the oesophagus oesophageal ECG probes A61B5/285
• CPC Class Codes: A61B 7/045 Detection of Korotkoff sounds A61B5/0225 takes precedence; measuring blood pressure A61B5/021

Abstract

A blood-vessel detecting device includes a partially-deforming device which can be inserted into the body cavity so as to come into contact with the tissue surface in order to deform a part of the tissue surface so that turbulence is generated in a blood flow within blood vessels extending underneath the tissue surface, thereby enabling detection of the presence or absence of blood vessels underneath the tissue surface. Turbulent sound due to the turbulence generated at a part of the tissue surface deformed by the partially-deforming device is converted into electric signals by a converting device, following which the electric signals are subjected to signal processing such as amplification and so forth by a signal processing device.

Claims

1. A blood-vessel detection device for detecting the presence or absence of blood vessels underneath the tissue surface, the blood-vessel detection device comprising:

a partially-deforming device which can be inserted into the body cavity so as to be in contact with the tissue surface in order to deform a part of the tissue surface, thereby generating turbulence in blood passing through blood vessels extending underneath the tissue surface;

a converting device for converting turbulent sound due to the turbulence generated in a part of the tissue surface deformed by the partially-deforming device; and

a signal processing device for performing signal processing including at least amplification for the electric signals.

2. The blood-vessel detection device according to claim 1, wherein the converting device and the partially-deforming device for deforming a part of the tissue surface integrally form a single unit.

3. The blood-vessel detection device according to claim 1, wherein the partially-deforming device also has a function serving as a resecting device for resecting the tissue which is to be resected.

4. The blood-vessel detection device according to claim 1, wherein the partially-deforming device comprises a pressing device formed of a small-diameter rod.

5. The blood-vessel detection device according to claim 1, wherein the partially-deforming device comprises a device for binding a part of the tissue using a rope.

6. The blood-vessel detection device according to claim 1, wherein the partially-deforming device comprises a suctioning device formed of a generally cylindrical cup.

7. The blood-vessel detection device according to claim 4, wherein the small-diameter rod also has a function serving as a tissue-resecting device for resecting the tissue.

8. The blood-vessel detection device according to claim 7, wherein the tissue-resecting device comprises a needle knife.

9. The blood-vessel detection device according to claim 5, wherein the rope also has a function serving as a tissue-resecting device for resecting the tissue.

10. The blood-vessel detection device according to claim 9, wherein the tissue-resecting device comprises a high-frequency snare.

11. The blood-vessel detection device according to claim 6, wherein the cup also has a function serving as a tissue-resecting device for resecting the tissue.

12. The blood-vessel detection device according to claim 11, wherein the tissue-resecting device comprises a high-frequency snare integrally included within the cup.

13. The blood-vessel detection device according to claim 1, wherein the converting device comprises a sound-wave detecting device for detecting sound waves while being in contact with the tissue.

14. The blood-vessel detection device according to claim 13, wherein the sound-wave detecting device comprises a bimorph sensor using the piezo effect.

15. The blood-vessel detection device according to claim 14, wherein the bimorph sensor is formed of a high-polymer piezo device.

16. The blood-vessel detection device according to claim 1, wherein the converting device comprises a microphone serving as a non-contact-type wave-sound detector.

17. The blood-vessel detection device according to claim 16, wherein the microphone comprises a piezo bimorph microphone using the piezo effect, or an electrostatic microphone using the electrostatic effect.

18. The blood-vessel detection device according to claim 1, wherein the converting device is formed of a sound-interrupting unit for forming an acoustically isolated space with the part of the tissue surface as the bottom thereof, and a microphone disposed therewithin.

19. The blood-vessel detection device according to claim 1, wherein the converting device includes a background noise sensor.

20. The blood-vessel detection device according to claim 19, wherein the background noise sensor is disposed within a space distanced from the space including the acoustic sensor during observation in the body cavity.

21. The blood-vessel detection device according to claim 19, wherein the signal processing device includes a differential output device for outputting differential signal between the electric signal and the output signal from the background noise sensor.

22. The blood-vessel detection device according to claim 1, wherein the signal processing device includes an amplifying device for amplifying electric signals, and a signal processing device for converting the electric signals into digital signals.

23. The blood-vessel detection device according to claim 22, wherein the signal processing device includes a Fourier transformation device, and a device for calculating after the Fourier transmission the mid-band frequency and the lower- and upper-side cutoff frequencies which are lower than that of the mid-band frequency by a predetermined decibel.

24. The blood-vessel detection device according to claim 23, wherein the signal processing device includes a digital filter device designed using data such as the mid-band frequency and the lower- and upper-side cutoff frequencies which are lower than that of the mid-band frequency by a predetermined decibel calculated by the device for calculating the data.

25. The blood-vessel detection device according to claim 22, wherein the signal processing device includes an autocorrelation-function computation device for computing the autocorrelation function of the electric signals.

26. A blood-vessel detection device for detecting the presence or absence of blood vessels underneath the tissue surface comprising:

an endoscope including an inserting portion for being inserted into the body cavity;

a partially-deforming device which is inserted into a channel of the endoscope, or is mounted onto the tip of the inserting portion thereof, for deforming a part of the surface of the tissue within the body cavity in order to generate turbulence in a blood flow passing through blood vessels extending underneath the tissue;

a turbulent-sound sensor for detecting turbulent sound due to the turbulence; and

a signal processing device for performing signal processing for notifying the surgeon of the presence or absence of turbulent sound, or for displaying such information, based upon the electric signals detected by the turbulent-sound sensor.

27. The blood-vessel detection device according to claim 26, wherein an resecting tool is further inserted in another channel of the endoscope for resecting tissue such as an affected portion or the like which is to be resected.

28. The blood-vessel detection device according to claim 26, wherein the partially-deforming device comprises a small-diameter rod which can be inserted into the channel, or a cylindrical member which is mounted onto the tip of the inserting portion.

29. A blood-vessel detection device for detecting the presence or absence of blood vessels underneath the tissue surface comprising:

a partially-deforming device which can be inserted into a channel of an endoscope including an inserting portion for being inserted into the body cavity, or can be mounted onto the tip of the inserting portion thereof, for deforming a part of the surface of the tissue within the body cavity in order to generate turbulence in a blood flow passing through blood vessels extending underneath the tissue;

a turbulent-sound sensor for detecting turbulent sound due to the turbulence; and

a signal processing device for performing signal processing for notifying the surgeon of the presence or absence of turbulent sound, or for displaying such information, based upon the electric signals detected by the turbulent-sound sensor.

30. The blood-vessel detection device according to claim 29, further comprising an resecting tool, which can be inserted in the channel formed on the endoscope, for resecting tissue such as an affected portion or the like which is to be resected.

31. The blood-vessel detection device according to claim 29, wherein the partially-deforming device comprises a small-diameter rod which can be inserted into the channel, or a cylindrical member which can be mounted onto the tip of the inserting portion.