Medical optical fiber assembly applied to high-power high-photon energy laserTechnical Field
The invention relates to a medical optical fiber component, in particular to a medical optical fiber component applied to high-power high-photon energy laser.
Background
When the existing medical optical fiber assembly is used for surgery, once the light-emitting end face of the optical fiber is contacted with soft tissues or adsorbed by suspended tissue scraps, laser can be absorbed by organic substances adhered to the light-emitting end of the optical fiber. If the laser wavelength transmitted by the optical fiber is less than 500nm, the adhered human organic substances can generate strong absorption and scattering effects on the high photon energy laser, and further cause the laser energy to be gathered at the light outlet end of the optical fiber and generate local high temperature. When the laser power exceeds 100W, the strong absorption can rapidly heat the light-emitting end face of the optical fiber, so that the optical fiber is burnt in an avalanche mode from the light-emitting end face to the optical fiber body, and a doctor cannot normally perform an operation.
Disclosure of Invention
The invention aims to provide a medical optical fiber component applied to high-power high-photon energy laser, which aims to solve the technical problem that when the conventional medical optical fiber component transmits laser with the wavelength less than 500nm and the power more than 100W, an operation optical fiber is easy to burn due to organic substances of human bodies in operation adhered to a light outlet end of the operation optical fiber, so that the operation cannot be normally carried out.
The technical scheme adopted by the invention is that the medical optical fiber component applied to the high-power high-photon energy laser comprises an optical fiber, an end face protection tube and a heat-shrinkable tube; it is characterized in that:
the far end of the optical fiber extends into the end face protection tube from the small end of the end face protection tube and does not extend out of the large end of the end face protection tube; the small end of the end face protection tube is fixedly connected with the outer side face of the far end of the optical fiber;
the far end of the heat shrinkable tube is sleeved outside the optical fiber and the end face protection tube, and is fixedly connected with the large end of the end face protection tube; an annular gap fluid channel is formed between the heat shrink tube and the optical fiber; and fluid through holes are formed in the transition sections of the small end and the large end of the end face protection pipe.
Furthermore, in order to generate an effective positive pressure area, the light-emitting end face of the optical fiber in the operation is not caused to contact with vaporized target soft tissue or adsorb suspended tissue powder in the operation to cause the burning of the light-emitting end of the optical fiber, the light-emitting end of the optical fiber can be close enough to the target soft tissue to achieve the required laser power density on the surface of the target soft tissue, and the distance between the light-emitting end face of the optical fiber and the large end face of the end face protection tube is 0.5 mm-2 mm.
Or the ratio of the distance between the light emergent end face of the optical fiber and the end face of the large end of the end face protection tube to the diameter of the inner hole of the large end of the end face protection tube is 0.5-1 times of the tangent value of the light receiving cone angle of the optical fiber. Set up like this, the big end terminal surface of end face protection tube just does not shade, satisfies the treatment demand, and the light-emitting terminal surface of optic fibre can not contact the tissue or adsorb suspension tissue bits moreover, the light-emitting terminal surface of protection optic fibre that can be better.
Further, in order to keep the relative distance between the light-emitting end face of the optical fiber and the end face of the large end of the end face protection tube unchanged, the small end of the end face protection tube is fixedly connected with the quartz cladding of the far end of the optical fiber.
Furthermore, the small end of the end face protection tube is fixedly connected with the quartz cladding at the far end of the optical fiber through welding or UV curing glue bonding. When the UV curing adhesive is used, the adhesive which can effectively reflect light with the wavelength less than 500nm after UV curing is selected, so that laser is prevented from leaking or gathering from the bonding position, and the reliability of the bonding position in use is improved.
Further, the far end of the heat shrinkable tube is fixed with the outer part of the large end of the end face protection tube in a heat shrinkage mode, and the heat shrinkage fixing part does not exceed the end face of the large end.
Further, for convenience of machining and simple structure, the transition section is of a conical structure or a step structure.
Furthermore, the wavelength of the high-power high-photon energy laser is 400 nm-500 nm, and the average power is more than 100W.
Further, in order to facilitate the manipulation of the optical fiber and to achieve better effects of forming the positive pressure fluid at the light outlet end of the optical fiber, the optical fiber assembly may further include a handle;
the handle is provided with a water outlet pipe, an optical fiber through hole and a water connector;
the near end of the water outlet pipe is fixedly connected with or integrated with the far end of the handle, and the far end of the water outlet pipe extends out of the handle;
the optical fiber via hole is communicated with the inner cavity of the water outlet pipe;
the large end of the water joint extends out of the near end of the handle and is used for being externally connected with a fluid source; the small end of the water joint is communicated with the inner cavity of the water outlet pipe; the cross section area of the pipe hole on the large end surface of the water passing joint is larger than that of the fluid channel;
the near end of the optical fiber extends out of the heat-shrinkable tube, sequentially passes through the water outlet pipe and the optical fiber via hole and then extends out of the handle, and the outer side surface of the optical fiber is hermetically connected with the inner surface of the optical fiber via hole;
the near end of the heat-shrinkable tube is sleeved outside the far end of the water outlet tube, and the heat-shrinkable tube and the water outlet tube are fixedly connected in a heat-shrinkable sealing mode.
Further, for simple processing, the optical fiber via hole and the water outlet pipe are coaxially arranged.
The invention has the beneficial effects that:
(1) the medical optical fiber component is applied to medical laser with the laser wavelength less than 500nm and the power more than 100W. First, an end face protection tube and a positive pressure fluid flushing mode are adopted. Positive pressure fluid flows through the light-emitting end face of the optical fiber through the fluid channel, and the light-emitting end face of the optical fiber is retracted into the end face protection tube, so that the light-emitting end of the optical fiber is completely wrapped by the positive pressure fluid, and organic matters in surgery such as residues in surgery are prevented from being adsorbed on the light-emitting end face of the optical fiber; secondly, positive pressure fluid flows through the light-emitting end face of the optical fiber through the fluid channel, the flow channel is suddenly expanded at the tail end of the fluid channel to generate a jet flow line, a positive pressure area is formed in front of the light-emitting end face of the optical fiber, suspension tissue debris near the light-emitting end face of the optical fiber can be more efficiently washed, an isolation area is formed, the suspension tissue debris in a water environment is prevented from being adsorbed on the light-emitting end face of the optical fiber, and further, the vaporized tissue in the operation can be further effectively prevented from being adhered to the light-emitting end face of the optical fiber, so that the light-emitting end of the optical fiber is damaged and the optical fiber is burnt; moreover, the end face protection tube is fixedly connected with the heat shrinkable tube at the outer part and the optical fiber at the inner part, so that the end face protection tube is prevented from falling off, and the reliability is improved; under the synergistic effect of the three components, the light-emitting end face of the optical fiber is prevented from adsorbing suspended tissue powder to cause laser energy to be concentrated and heated at the light-emitting end of the optical fiber to cause the light-emitting end of the optical fiber to be burnt, and the light-emitting end of the optical fiber is close enough to a target soft tissue to achieve the required laser power density on the surface of the vaporized target soft tissue; therefore, the invention solves the technical problem that when the existing medical optical fiber component transmits laser with the wavelength less than 500nm and the power more than 100W, the optical fiber is easy to be burnt due to organic substances of human bodies in operation adhered to the light-emitting end of the optical fiber, so that the operation can not be normally carried out.
(2) The invention preferably selects the small end of the end face protection tube to be fixedly connected with the quartz cladding of the far end of the optical fiber, and the optical fiber is positioned outside the end face protection tube, and the optical fiber coating layer is reserved, so that the optical fiber can be protected, and the treatment effect of the optical fiber assembly is not influenced.
(3) The small end of the end face protection tube is preferably fixedly connected with the quartz cladding at the far end of the optical fiber through welding or UV curing glue bonding. When the UV curing adhesive is used, the adhesive which can effectively reflect light with the wavelength less than 500nm after UV curing is selected, so that laser is prevented from leaking or gathering from the bonding position, and the reliability of the bonding position in use is improved.
Drawings
FIG. 1 is a schematic structural diagram of an embodiment of the present invention;
FIG. 2 is an enlarged view of a portion of FIG. 1 at I;
fig. 3 is a front view of the end-face protection tube in the embodiment of the present invention;
FIG. 4 is a top view of FIG. 3;
FIG. 5 is a left side view of FIG. 3;
FIG. 6 is a schematic view of fluid flow lines for a medical fiber optic assembly using an embodiment of the present invention for high power high photon energy lasers;
fig. 7 is a partial enlarged view of fig. 6 at ii.
The reference numerals in the drawings are explained as follows:
1-handle, 10-optical fiber via hole, 2-optical fiber, 21-light-emitting end face, 22-coating layer, 23-quartz cladding, 3-heat-shrinkable tube, 4-end face protection tube, 41-fluid via hole, 5-fluid channel, 51-water-passing joint, 52-water outlet pipe, 53-diffusion flow line and 54-pressure water head.
Detailed Description
The present invention will be described in detail below with reference to the accompanying drawings and specific embodiments.
Referring to fig. 1, the medical optical fiber assembly applied to high-power high-photon energy laser of the present invention includes anoptical fiber 2, an endsurface protection tube 4 and aheat shrink tube 3. The high-power high-photon energy laser is a laser with the wavelength less than 500nm and the power more than 100W. Generally, for better therapeutic effect, the wavelength of the high-power high-photon energy laser is preferably 400nm to 500nm, and the average power is more than 100W.
Referring to fig. 1, the distal end of theoptical fiber 2 extends into the endface protection tube 4 from the small end thereof, and does not extend out of the large end of the endface protection tube 4; the small end of the endface protection tube 4 is fixedly connected with the outer side face of the far end of theoptical fiber 2. In order to generate an effective positive pressure region, and not only enable the light-emittingend face 21 of theoptical fiber 2 to adsorb suspended powder, and cause laser energy to gather and heat up at the light-emitting end of theoptical fiber 2, so as to cause the light-emitting end of theoptical fiber 2 to be burnt out, but also enable the light-emitting end of theoptical fiber 2 to be close enough to a target soft tissue, and not to influence the treatment effect, the distance between the light-emittingend face 21 of theoptical fiber 2 and the large-end face of the endface protection tube 4 can be preferably 0.5 mm-2 mm. The ratio of the distance between the light-emittingend face 21 of theoptical fiber 2 and the large-end face of the endface protection tube 4 to the diameter of the inner hole at the large end of the endface protection tube 4 is 0.5-1 times of the tangent value of the light receiving cone angle of theoptical fiber 2. In order to protect theoptical fiber 2 and not affect the treatment effect of the optical fiber assembly, the embodiment prefers that theoptical fiber 2 is located at the part outside the endface protection tube 4, thecoating layer 22 is retained, the part inside the endface protection tube 4 is stripped, thecoating layer 22 is stripped, the small end of the endface protection tube 4 is fixedly connected with thequartz cladding 23 at the far end of theoptical fiber 2, and theoptical fiber 2 is prevented from being burnt due to overheating of thecoating layer 22 of theoptical fiber 2. In order to ensure that the transmitted laser cannot leak and gather from the joint of theoptical fiber 2 and the endface protection tube 4, in the embodiment, the small end of the endface protection tube 4 is fixedly connected with thequartz cladding 23 at the far end of theoptical fiber 2 through the UV curing adhesive in a bonding manner, so that the stress of the cured ultraviolet adhesive on theoptical fiber 2 is very small, the light leakage of theoptical fiber 2 at the bonding position is avoided, and the cured ultraviolet adhesive can effectively reflect high photon energy laser and has the effects of ageing resistance and flame retardance. Besides the UV curing glue bonding and fixing of the embodiment, the UV curing glue bonding and fixing can also be achieved through welding. The outer diameter of thecoating layer 22 of theoptical fiber 2 selected in this embodiment is 1.1 mm, and after thecoating layer 22 is peeled off, the outer diameter of theinner quartz cladding 23 is 0.845 mm. The wall thickness of the endface protection tube 4 is about 0.2 mm, the length is about 15 mm, the inner diameter of the small end is about 0.85 mm, the inner diameter of the large end is about 1.8 mm, and the end face protection tube can be made of medical metal, quartz, ceramic and the like.
Referring to fig. 1, in order to facilitate manipulation of theoptical fiber 2, the medical optical fiber assembly applied to high-power high-photon energy laser of the present embodiment preferably further includes a handle 1. The handle 1 is provided with awater outlet pipe 52, an optical fiber viahole 10 and awater connector 51; the near end ofwater outlet pipe 52 is fixedly connected with or integrated with the far end of handle 1, and the far end ofwater outlet pipe 52 extends out of handle 1; the optical fiber viahole 10 is communicated with the inner cavity of thewater outlet pipe 52; the large end of thewater joint 51 extends out of the near end of the handle 1 and is used for being externally connected with a fluid source; the small end of thewater joint 51 is communicated with the inner cavity of thewater outlet pipe 52; the cross-sectional area of the pipe hole of the large end surface of thewater passing joint 51 is larger than that of thefluid channel 5; the near end of theoptical fiber 2 extends out of the heat-shrinkable tube 3, sequentially passes through thewater outlet pipe 52 and the optical fiber viahole 10 and then extends out of the handle 1, and the outer side surface of theoptical fiber 2 is hermetically connected with the inner surface of the optical fiber viahole 10; the near end of theheat shrink tube 3 is sleeved outside the far end of thewater outlet pipe 52, and the heat shrink tube and the water outlet pipe are fixedly connected through heat shrink sealing. In this embodiment, the handle 1 is a fibrous body-shaped handle with a cone-like shape, thewater outlet pipe 52 and the handle 1 are designed integrally, the optical fiber viahole 10 and thewater outlet pipe 52 are coaxially arranged, the handle 1 and theoptical fiber 2 are fixedly fastened by a buckle (not shown in the buckle), and thewater connector 51 is a funnel shape with a large end and a small end. Thus, thewater passage joint 51 generates a pressure head and a velocity head for thefluid passage 5, since the cross-sectional area of the tube hole of the large end surface of thewater passage joint 51 is larger than that of thefluid passage 5, the pressure loss of the entire fluid passage can be compensated, and theheat shrinkable tube 3 is preferably made of a material having a contact angle with the fluid close to 90 degrees, so that the capillary action is reduced, and the surface tension of the fluid is reduced. When transporting fluids, the viscosity should be reduced and the flow rate reduced.
Referring to fig. 2, a partial structure of the end surface protection tube region in the present embodiment is clearly seen from fig. 2. The far end of the heatshrinkable tube 3 is sleeved outside theoptical fiber 2 and the endface protection tube 4, and the far end of the heatshrinkable tube 3 is fixedly connected with the large end of the endface protection tube 4. In this embodiment, the distal end of the heatshrinkable tube 3 is fixed to the outside of the large end of the endsurface protection tube 4 by heat shrinkage, and the heat shrinkable fixing portion does not exceed the end surface of the large end. In this embodiment, the distal end surface of the heatshrinkable tube 3 is preferably flush with the middle section of the large end of the endsurface protection tube 4, and may also be flush with the end surface of the large end of the endsurface protection tube 4. An annulargap fluid channel 5 is formed between the heatshrinkable tube 3 and theoptical fiber 2. In this embodiment, the heatshrinkable tube 3 has a length of about 300 mm, an outer diameter of 2.3 mm, an inner diameter of 2mm, and low elasticity, and is made of FEP semi-rigid plastic.
Referring to fig. 3, fig. 3 is a front view of the end-face protection tube in the embodiment of the present invention. One or more fluid throughholes 41 are arranged at the transition section of the small end and the large end of the endface protection pipe 4, and preferably, the number of the fluid throughholes 41 is two and the fluid through holes are uniformly distributed. In this embodiment, the transition section between the small end and the large end of the endface protection tube 4 is preferably a tapered structure, and may also be a step structure.
Referring to fig. 4, fig. 4 is a top view of the end surface protection tube in the embodiment of the present invention corresponding to the case where fig. 3 is a front view.
Referring to fig. 5, fig. 5 is a left side view of the end surface protection tube in the embodiment of the present invention corresponding to the case where fig. 3 is a front view. The fluid vias 41 are uniformly distributed and preferably have the same curvature in profile cross section.
Referring to fig. 6, fig. 6 is a schematic fluid flow line diagram of a medical optical fiber assembly applied to high-power high-photon energy laser according to an embodiment of the present invention. In this embodiment, thefluid channel 5 belongs to a slit flow with a relatively small cross-sectional area, and since the light-emitting end of theoptical fiber 2 is retracted into the end-face protection tube 4, the fluid wraps the light-emitting end face of the optical fiber when flowing out from the end of thefluid channel 5, and forms a strong-actingdiffusion flow line 53. Thediffusive streamline 53 is formed by diffusion of the positive pressure fluid turbulence mode radially toward the optical axis of theoptical fiber 2.
Referring to fig. 7, it is clear from fig. 7 that the streamline diagram of the fluid in the area of the end face protection tube is shown when the medical optical fiber assembly applied to the high-power high photon energy laser according to the embodiment of the invention is used. The fluid forms adiffusion streamline 53 at the end of thefluid channel 5 due to the sudden enlargement of the inner boundary of the flow (the outer boundary is unchanged). The diffusingflow line 53 forms a positive pressure region at the light exit end face 21 of theoptical fiber 2, and the pressure of the diffusing flow line is derived from the residual pressure of thepressure head 54 connected to thewater passing connector 51 through thefluid channel 5. The distance between the light-emitting end face 21 of theoptical fiber 2 and the large-end face of the endface protection tube 4 influences the divergence angle of thediffusion flow line 53, and further influences the pressure distribution in the positive pressure region.
The medical optical fiber component applied to the high-power high-photon energy laser can be reliably and safely used under the laser conditions of ultraviolet to blue spectrum with the wavelength less than 500nm and the power more than 100W.