TWI847917B - Device, system and method for sensing surgical suture thread - Google Patents

Abstract

The present invention discloses device, system and method for sensing surgical suture thread. The sensing device is implanted on a bone to sense pulling force on a suture thread used to suture a soft tissue such as tendon. The sensing device includes a carrier and a wireless sensor which is mounted in a through hole of the carrier. The suture thread can be inserted through the through hole to contact the wireless sensor. The wireless sensor is activated by a wireless reader to send a resonance frequency signal. A pressure value can be calculated according to the resonance frequency signal to know the pulling force of the suture thread provided to suture the soft tissue.

Description

Translated fromChinese

手術縫合感測裝置、系統及方法Surgical suture sensing device, system and method

本發明關於一種手術縫合感測裝置、系統及方法，運用於手術縫合，以確認在手術中或手術後的一縫線縫合一軟組織(如肌腱等)的拉力。The present invention relates to a surgical suture sensing device, system and method, which are used in surgical suture to confirm the tension of a suture sutured to a soft tissue (such as a tendon, etc.) during or after surgery.

手術縫合是醫療過程常見的醫療手段，例如肌腱縫合手術是骨科手術的醫療手段之一，然手術中的縫線的拉力是否適當，需要根據醫生的經驗判斷，並無法於手術中得知，當縫線的拉力不當時，會影響病患手術後的舒適度。Surgical suture is a common medical procedure. For example, tendon suture surgery is one of the medical procedures in orthopedic surgery. However, whether the tension of the suture during surgery is appropriate depends on the doctor's experience and cannot be determined during surgery. When the tension of the suture is inappropriate, it will affect the patient's comfort after surgery.

本發明的主要目的是在提供一種手術縫合感測裝置、系統及方法，其用以在手術中或手術後感測一縫線縫合一軟組織(如肌腱等)的拉力。The main purpose of the present invention is to provide a surgical suture sensing device, system and method, which is used to sense the tension of a suture suturing a soft tissue (such as a tendon, etc.) during or after surgery.

本發明之一種手術縫合感測裝置，用以植接於一骨骼，以感測一縫線的拉力，該感測裝置包含一載具及一無線感測器，該載具具有一穿孔，該無線感測器設置於該穿孔中，該穿孔用以供該縫線穿過，並使該縫線觸壓該無線感測器，該無線感測器用以被一無線讀取裝置激發並產生一共振頻率訊號。The present invention discloses a surgical suture sensing device, which is implanted in a bone to sense the tension of a suture. The sensing device comprises a carrier and a wireless sensor. The carrier has a through hole, and the wireless sensor is arranged in the through hole. The through hole is used for the suture to pass through and the suture contacts the wireless sensor. The wireless sensor is used to be excited by a wireless reading device and generate a resonance frequency signal.

本發明之一種手術縫合感測系統，包含複數個感測裝置及一無線讀取裝置，該些感測裝置用以植接於一骨骼，以感測一縫線的拉力，各該感測裝置包含一載具及一無線感測器，該載具具有一穿孔，該無線感測器設置於該穿孔中，該穿孔用以供該縫線穿過，並使該縫線觸壓該無線感測器，各該感測裝置的該無線感測器分別具有不同的一共振頻率區間，且該些共振頻率區間不重疊，該無線讀取裝置包含一控制單元、一感應線圈、一讀取單元及一運算單元，該控制單元用以產生複數個振盪區間訊號至該感應線圈，各該振盪區間訊號分別具有一振盪頻率區間，且該些振盪頻率區間不重疊，各該振盪區間訊號分別包含複數個不同振盪頻率的振盪訊號，該些振盪訊號傳送至該感應線圈，用以激發各該感測裝置的該無線感測器，當其中一振盪區間訊號的其中一振盪訊號的該振盪頻率與其中一感測裝置的該共振頻率區間的其中一共振頻率相符時，產生一共振頻率訊號，該讀取單元讀取對應該共振頻率訊號的一相位值，該運算單元用以接收各該相位值，並將各該相位值轉換成一壓力值訊號。A surgical suture sensing system of the present invention comprises a plurality of sensing devices and a wireless reading device. The sensing devices are used to be implanted in a bone to sense the tension of a suture. Each of the sensing devices comprises a carrier and a wireless sensor. The carrier has a through hole. The wireless sensor is arranged in the through hole. The through hole is used for the suture to pass through and make the suture contact the wireless sensor. The wireless sensor of each sensing device has a different resonance frequency range, and the resonance frequency ranges do not overlap. The wireless reading device comprises a control unit, an induction coil, a reading unit and an operation unit. The control unit is used to generate a plurality of oscillation range signals. The oscillation interval signal is transmitted to the induction coil, each of the oscillation interval signals has an oscillation frequency interval, and the oscillation frequency intervals do not overlap, and each of the oscillation interval signals includes a plurality of oscillation signals with different oscillation frequencies. The oscillation signals are transmitted to the induction coil to excite the wireless sensor of each of the sensing devices. When one of the oscillation interval signals is When the oscillation frequency of one of the oscillation signals of the signal matches one of the resonance frequencies in the resonance frequency range of one of the sensing devices, a resonance frequency signal is generated, the reading unit reads a phase value corresponding to the resonance frequency signal, and the calculation unit is used to receive each of the phase values and convert each of the phase values into a pressure value signal.

本發明之一種手術縫合感測方法，其用感測一縫線縫合一軟組織的縫合力量，該感測方法包含：提供植接於一骨骼的一第一感測裝置及一第二感測裝置，該第一感測裝置包含一第一載具及一第一無線感測器，該第一無線感測器設置於該第一載具的一第一穿孔，該第一無線感測器具有一第一共振頻率區間，該第二感測裝置包含一第二載具及一第二無線感測器，該第二無線感測器設置於該第二載具的一第二穿孔，該第二無線感測器具有一第二共振頻率區間，該第一共振頻率區間與該第二共振頻率區間不重疊，該縫線穿設於該第一穿孔及該第二穿孔，並觸壓該第一無線感測器及該第二無線感測器，使該第一無線感測器形成一在該第一共振頻率區間中的第一共振頻率，使該第二無線感測器形成一在該第二共振頻率區間中的第二共振頻率；提供包含有一控制單元、一感應線圈、一讀取單元及一運算單元的一無線讀取裝置，該控制單元產生一第一振盪區間訊號及一第二振盪區間訊號至該感應線圈，該第一振盪區間訊號包含複數個不同振盪頻率的第一振盪訊號，使該第一振盪區間訊號具有一第一振盪頻率區間，該第二振盪區間訊號包含複數個不同振盪頻率的第二振盪訊號，使該第二振盪區間訊號具有一第二振盪頻率區間，且該第一振盪頻率區間與該第二振盪頻率區間不重疊；及進行激發該第一感測裝置或該第二感測裝置步驟，其包含：步驟一、以該第一振盪區間訊號的該些第一振盪訊號依序激發該第一感測裝置，當其中一第一振盪訊號的一振盪頻率與該第一無線感測器的該第一共振頻率相符時，產生一第一共振頻率訊號；或者，當該些第一振盪訊號的該振盪頻率與該第一無線感測器的該第一共振頻率不相符時，則以該第二振盪區間訊號的該些第二振盪訊號依序激發該第一感測裝置，當其中一第二振盪訊號的一振盪頻率與該第一無線感測器的該第一共振頻率相符時，產生該第一共振頻率訊號；步驟二、以該讀取單元讀取對應該第一共振頻率訊號的一第一相位值；步驟三、以該運算單元將該第一相位值換成一第一壓力值訊號，並於一顯示裝置顯示該第一壓力值訊號的一第一壓力值；步驟四、當其中一第一振盪訊號的該振盪頻率與該第一無線感測器的該第一共振頻率相符時，以該第二振盪區間訊號的該些第二振盪訊號依序激發該第二感測裝置，當其中一第二振盪訊號的該振盪頻率與該第二無線感測器的該第二共振頻率相符時，產生一第二共振頻率訊號；或者，當其中一第二振盪訊號的該振盪頻率與該第一無線感測器的該第一共振頻率相符時，以該第一振盪區間訊號的該些第一振盪訊號依序激發該第二感測裝置，當其中一第一振盪訊號的該振盪頻率與該第二無線感測器的其中一第二共振頻率相符時，產生一第二共振頻率訊號；步驟五、以該讀取單元讀取對應該第二共振頻率訊號的一第二相位值；及步驟六、以該運算單元將該第二相位值換成一第二壓力值訊號，並於該顯示裝置顯示該第二壓力值訊號的一第二壓力值。The present invention discloses a surgical suture sensing method for sensing the suture force of a suture thread suturing a soft tissue. The sensing method comprises: providing a first sensing device and a second sensing device implanted on a bone, wherein the first sensing device comprises a first carrier and a first wireless sensor, wherein the first wireless sensor is disposed in a first through-hole of the first carrier, and the first wireless sensor has a first resonance frequency range, and the second sensing device comprises a first wireless sensor. The second wireless sensor is provided in a second through hole of the second carrier, and has a second resonance frequency range. The first resonance frequency range and the second resonance frequency range do not overlap. The sew is provided in the first through hole and the second through hole, and contacts the first wireless sensor and the second wireless sensor, so that the first wireless sensor forms a first resonance in the first resonance frequency range. frequency, so that the second wireless sensor forms a second resonance frequency in the second resonance frequency range; providing a wireless reading device including a control unit, an induction coil, a reading unit and an operation unit, the control unit generates a first oscillation interval signal and a second oscillation interval signal to the induction coil, the first oscillation interval signal includes a plurality of first oscillation signals with different oscillation frequencies, so that the first oscillation interval signal has a The first oscillation frequency interval is a first oscillation frequency interval, and the second oscillation frequency interval signal includes a plurality of second oscillation signals with different oscillation frequencies, so that the second oscillation frequency interval signal has a second oscillation frequency interval, and the first oscillation frequency interval and the second oscillation frequency interval do not overlap; and the step of exciting the first sensing device or the second sensing device comprises: step 1, sequentially exciting the first sensing device with the first oscillation signals of the first oscillation frequency interval signal, when When an oscillation frequency of one of the first oscillation signals matches the first resonance frequency of the first wireless sensor, a first resonance frequency signal is generated; or, when the oscillation frequency of the first oscillation signals does not match the first resonance frequency of the first wireless sensor, the second oscillation signals of the second oscillation interval signal are used to sequentially excite the first sensing device, and when an oscillation frequency of one of the second oscillation signals matches the first resonance frequency of the first wireless sensor, the first resonance frequency signal is generated. The first resonance frequency signal is generated when the first resonance frequency of the first oscillation signal matches the first resonance frequency of the first wireless sensor; the second step is to use the reading unit to read a first phase value corresponding to the first resonance frequency signal; the third step is to use the calculation unit to convert the first phase value into a first pressure value signal, and display a first pressure value of the first pressure value signal on a display device; the fourth step is to use the calculation unit to calculate the first phase value when the oscillation frequency of one of the first oscillation signals matches the first resonance frequency of the first wireless sensor; When the oscillation frequency of one of the second oscillation signals matches the second resonance frequency of the second wireless sensor, a second resonance frequency signal is generated; or, when the oscillation frequency of one of the second oscillation signals matches the first resonance frequency of the first wireless sensor, the first oscillation signals of the first oscillation interval signal are used to sequentially excite the second sensing device. The second sensing device generates a second resonance frequency signal when the oscillation frequency of one of the first oscillation signals matches one of the second resonance frequencies of the second wireless sensor; in step 5, the reading unit reads a second phase value corresponding to the second resonance frequency signal; and in step 6, the calculation unit converts the second phase value into a second pressure value signal, and displays a second pressure value of the second pressure value signal on the display device.

本發明藉由設置於該穿孔中的該無線感測器，使該無線讀取裝置感測該無線感測器受壓的該壓力值，以藉由該壓力值確認該縫線的縫合拉力是否適當。The present invention uses the wireless sensor disposed in the perforation to enable the wireless reading device to sense the pressure value of the wireless sensor, so as to confirm whether the sewing tension of the seam is appropriate based on the pressure value.

10:感測系統10:Sensor system

100:感測裝置100:Sensor device

100a:第一感測裝置100a: first sensing device

100b:第二感測裝置100b: Second sensing device

110:載具110: Vehicles

110a:第一載具110a: First Vehicle

110b:第二載具110b: Second vehicle

110c:本體110c: Body

110d:結合柱110d: Binding column

111:穿孔111:Piercing

111a:第一穿孔111a: First perforation

111b:第二穿孔111b: Second perforation

120:無線感測器120: Wireless sensor

120a:第一無線感測器120a: First wireless sensor

120b:第二無線感測器120b: Second wireless sensor

130:基座130: Base

131:結合孔131: Binding hole

200:無線讀取裝置200: Wireless reading device

210:控制單元210: Control unit

220:感應線圈220: Induction coil

230:讀取單元230: Reading unit

240:運算單元240: Arithmetic unit

250:通訊單元250: Communication unit

260:顯示裝置260: Display device

301:步驟一301:Step 1

302:步驟二302:Step 2

303:步驟三303: Step 3

304:步驟四304: Step 4

305:步驟五305: Step 5

306:步驟六306: Step 6

L:縫線L: Seam

R1:第一共振頻率區間R1: First resonance frequency interval

R11-R20:第一共振頻率R11-R20: first resonance frequency

R2:第二共振頻率區間R2: Second resonance frequency interval

R21-R30:第二共振頻率R21-R30: Second resonance frequency

O:共振頻率訊號O: Resonance frequency signal

O1:第一共振頻率訊號O1: First resonance frequency signal

O2:第二共振頻率訊號O2: Second resonance frequency signal

S:振盪區間訊號S: Oscillation interval signal

S1:第一振盪區間訊號S1: First oscillation interval signal

S11-S20:第一振盪訊號S11-S20: First oscillation signal

S2:第二振盪區間訊號S2: Second oscillation interval signal

S21-S30:第二振盪訊號S21-S30: Second oscillation signal

T1:第一振盪頻率區間T1: First oscillation frequency interval

T2:第二振盪頻率區間T2: Second oscillation frequency interval

第1圖：本發明感測裝置的分解圖。Figure 1: Exploded view of the sensing device of the present invention.

第2圖：本發明感測裝置的組合圖。Figure 2: Assembly diagram of the sensing device of the present invention.

第3圖：本發明感測裝置及縫線的局部剖視圖。Figure 3: Partial cross-sectional view of the sensing device and seam of the present invention.

第4-6圖：本發明感測裝置及無線讀取裝置的示意圖。Figures 4-6: Schematic diagrams of the sensing device and wireless reading device of the present invention.

第7圖：本發明激發第一感測裝置及/或第二感測裝置步驟的示意圖。Figure 7: Schematic diagram of the steps of activating the first sensing device and/or the second sensing device of the present invention.

請參閱第1至3圖，本發明之一種手術縫合感測裝置100，用以植接於一骨骼(圖未繪出)，並感測一縫線L縫合一軟組織(如肌腱等)的拉力，該感測裝置100包含一載具110及一無線感測器120，該載具110具有一穿孔111，在本實施例中，該無線感測器120選自於無源LC壓力感測器，但不以此為限，該無線感測器120設置於該穿孔111中，該穿孔111用以供該縫線L穿過，且使該縫線L能觸壓該無線感測器120，請參閱第4圖，該無線感測器120能被一無線讀取裝置200激發並產生一共振頻率訊號。Referring to FIGS. 1 to 3, a surgicalsuture sensing device 100 of the present invention is used for implanting on a bone (not shown) and sensing the tension of a suture L sutured to a soft tissue (such as a tendon, etc.). Thesensing device 100 comprises acarrier 110 and awireless sensor 120. Thecarrier 110 has a throughhole 111. In the present embodiment, thewireless sensor 120 is selected from a passive LC pressure sensor, but is not limited thereto. Thewireless sensor 120 is disposed in the throughhole 111. The throughhole 111 is used for the seam L to pass through and enable the seam L to touch thewireless sensor 120. Please refer to FIG. 4. Thewireless sensor 120 can be excited by awireless reading device 200 and generate a resonant frequency signal.

請參閱第1及2圖，在本實施例中，該載具110具有一本體110c及一結合柱110d，該穿孔111位於該本體110c，該結合柱110d用以與植接於該骨骼(圖未繪出)的一基座130(如鉚釘)結合，該結合柱110d結合於該基座130的一結合孔131，使該感測裝置100與該基座130結合成一體，或者，在不同的實施例中，可不需使用該基座130，即以該結合柱110d植接於該骨骼(圖未繪出)。Please refer to Figures 1 and 2. In this embodiment, thecarrier 110 has abody 110c and acoupling post 110d. The throughhole 111 is located in thebody 110c. Thecoupling post 110d is used to couple with a base 130 (such as a rivet) implanted on the bone (not shown). Thecoupling post 110d is coupled to acoupling hole 131 of thebase 130, so that thesensing device 100 and the base 130 are integrated. Alternatively, in different embodiments, thebase 130 may not be used, that is, thecoupling post 110d is implanted on the bone (not shown).

請參閱第1及4圖，本發明之一種手術縫合感測系統10包含複數個該感測裝置100及該無線讀取裝置200，各該感測裝置100的該無線感測器120分別具有不同的一共振頻率區間，各該共振頻率區間包含複數個共振頻率，且該些共振頻率區間不重疊，該無線讀取裝置200包含一控制單元210、一感應線圈220、一讀取單元230及一運算單元240，較佳地，該無線讀取裝置200另包含一通訊單元250及一顯示裝置260。Please refer to Figures 1 and 4. A surgicalsuture sensing system 10 of the present invention includes a plurality ofsensing devices 100 and awireless reading device 200. Thewireless sensor 120 of eachsensing device 100 has a different resonance frequency range. Each resonance frequency range includes a plurality of resonance frequencies, and the resonance frequency ranges do not overlap. Thewireless reading device 200 includes acontrol unit 210, asensing coil 220, areading unit 230, and acomputing unit 240. Preferably, thewireless reading device 200 further includes acommunication unit 250 and adisplay device 260.

請參閱第4圖，該控制單元210用以產生複數個振盪區間訊號S(請參查第6圖，該些振盪區間訊號S包含一第一振盪區間訊號S1及一第二振盪區間訊號S2，該振盪區間訊號S的數量，不以此為限制)至該感應線圈220，各該振盪區間訊號S分別具有一振盪頻率區間(請參查第6圖，該些振盪頻率區間可定義為一第一振盪頻率區間T1及一第二振盪頻率區間T2，該振盪頻率區間的數量，不以此為限制)，且該些振盪頻率區間不重疊，各該振盪區間訊號S分別包含不同振盪頻率的複數個振盪訊號(請參查第6圖，該些振盪訊號可定義為一第一振盪訊號S11至S20及一第二振盪訊號S21至S30，但不以此為限制)，該些振盪訊號傳送至該感應線圈220，用以激發各該感測裝置100的該無線感測器120，當其中一振盪區間訊號S的其中一振盪訊號的該振盪頻率與其中一感測裝置100的該共振頻率區間的其中一共振頻率相符時，產生一共振頻率訊號O，該讀取單元230接收該共振頻率訊號O並讀取對應該共振頻率訊號O的一相位值，該運算單元240用以接收各該相位值，並將各該相位值轉換成一壓力值訊號，該通訊單元250用以將該壓力值訊號傳輸至該顯示裝置260，該顯示裝置260用以顯示該壓力值訊號的一壓力值，較佳地，該通訊單元250與該顯示裝置260的傳輸方式選自於無線傳輸，醫護人員可藉由該壓力值確認該縫線L縫合的拉力是否適當。Referring to FIG. 4 , thecontrol unit 210 is used to generate a plurality of oscillation interval signals S (refer to FIG. 6 , the oscillation interval signals S include a first oscillation interval signal S1 and a second oscillation interval signal S2, and the number of the oscillation interval signals S is not limited thereto) to theinduction coil 220, each of the oscillation interval signals S has an oscillation frequency interval (refer to FIG. 6 , the oscillation frequency intervals can be defined as a first oscillation interval signal S1 and a second oscillation interval signal S2, and the number of the oscillation interval signals S is not limited thereto) The oscillation frequency interval T1 and a second oscillation frequency interval T2, the number of the oscillation frequency intervals is not limited thereto), and the oscillation frequency intervals do not overlap, each of the oscillation interval signals S includes a plurality of oscillation signals of different oscillation frequencies (please refer to FIG. 6 , the oscillation signals can be defined as a first oscillation signal S11 to S20 and a second oscillation signal S21 to S30, but not limited thereto), and the oscillation signals transmit to theinduction coil 220 to excite thewireless sensor 120 of each of thesensing devices 100. When the oscillation frequency of one of the oscillation signals of one of the oscillation interval signals S matches one of the resonance frequencies of the resonance frequency interval of one of thesensing devices 100, a resonance frequency signal O is generated. Thereading unit 230 receives the resonance frequency signal O and reads a phase value corresponding to the resonance frequency signal O. Theoperation unit 2 40 is used to receive each phase value and convert each phase value into a pressure value signal. Thecommunication unit 250 is used to transmit the pressure value signal to thedisplay device 260. Thedisplay device 260 is used to display a pressure value of the pressure value signal. Preferably, thecommunication unit 250 and thedisplay device 260 are transmitted by wireless transmission. Medical staff can confirm whether the tension of the suture L is appropriate by the pressure value.

請參閱第1、4及5圖，使用該感測裝置100及該感測系統10的感測方法，包含提供複數個該感測裝置100及該無線讀取裝置200，在本實施例中，以提供二個該感測裝置100說明，但不以此為限，請參閱第5圖，該些感測裝置100包含一第一感測裝置100a及一第二感測裝置100b說明，其可依據需求增加該感測裝置100的數量。Please refer to Figures 1, 4 and 5. The sensing method using thesensing device 100 and thesensing system 10 includes providing a plurality of thesensing devices 100 and thewireless reading device 200. In this embodiment, twosensing devices 100 are provided for illustration, but not limited thereto. Please refer to Figure 5, where thesensing devices 100 include afirst sensing device 100a and asecond sensing device 100b. The number of thesensing devices 100 can be increased as needed.

請參閱第5圖，首先，提供植接於一骨骼的該第一感測裝置100a及該第二感測裝置100b，該第一感測裝置100a包含一第一載具110a及一第一無線感測器120a，該第一無線感測器120a設置於該第一載具110a的一第一穿孔111a，該第二感測裝置100b包含一第二載具110b及一第二無線感測器120b，該第二無線感測器120b設置於該第二載具110b的一第二穿孔111b。Please refer to Figure 5. First, thefirst sensing device 100a and thesecond sensing device 100b implanted on a bone are provided. Thefirst sensing device 100a includes afirst carrier 110a and afirst wireless sensor 120a. Thefirst wireless sensor 120a is disposed in a first throughhole 111a of thefirst carrier 110a. Thesecond sensing device 100b includes asecond carrier 110b and asecond wireless sensor 120b. Thesecond wireless sensor 120b is disposed in a second throughhole 111b of thesecond carrier 110b.

請參閱第5及6圖，該第一無線感測器120a具有一第一共振頻率區間R1，該第一共振頻率區間R1包含複數個第一共振頻率R11至R20，該第二無線感測器120b具有一第二共振頻率區間R2，該第二共振頻率區間R2包含複數個第二共振頻率R21至R30，該第一共振頻率區間R1與第二共振頻率區間R2不重疊，當該縫線L穿設於該軟組織(如肌腱等)及該第一穿孔111a及/或該第二穿孔111b並以一拉力拉動該縫線L時，該縫線L會觸壓該第一無線感測器120a及該第二無線感測器120b，使該第一無線感測器120a形成在該第一共振頻率區間R1中的一該第一共振頻率(即該些共振頻率R11至R20的其中之一)，使該第二無線感測器120b形成在該第二共振頻率區間中的一該第二共振頻率(即該些共振頻率R21至R30的其中之一)。Referring to FIGS. 5 and 6 , thefirst wireless sensor 120a has a first resonance frequency interval R1, and the first resonance frequency interval R1 includes a plurality of first resonance frequencies R11 to R20. Thesecond wireless sensor 120b has a second resonance frequency interval R2, and the second resonance frequency interval R2 includes a plurality of second resonance frequencies R21 to R30. The first resonance frequency interval R1 and the second resonance frequency interval R2 do not overlap. When the suture L is passed through the soft tissue (such as tendon, etc.) and the first throughhole 111a, When the second throughhole 111b is opened and the seam L is pulled with a pulling force, the seam L will press thefirst wireless sensor 120a and thesecond wireless sensor 120b, so that thefirst wireless sensor 120a forms a first resonance frequency in the first resonance frequency range R1 (i.e., one of the resonance frequencies R11 to R20), and thesecond wireless sensor 120b forms a second resonance frequency in the second resonance frequency range (i.e., one of the resonance frequencies R21 to R30).

請參閱第4、5及6圖，該無線讀取裝置200的該控制單元210用以產生複數個振盪區間訊號S，該些振盪區間訊號S的數量可依據該感測裝置100的數量配置，在本實施例中，以該控制單元210產生一第一振盪區間訊號S1及一第二振盪區間訊號S2說明，但不以此為限，該控制單元210產生的該第一振盪區間訊號S1及該第二振盪區間訊號S2用以傳送至該感應線圈220，該第一振盪區間訊號S1包含複數個不同振盪頻率的第一振盪訊號S11至S20，使該第一振盪區間訊號S1具有一第一振盪頻率區間T1，該第二振盪區間訊號S2包含複數個不同振盪頻率的第二振盪訊號S21至S30，使該第二振盪區間訊號S2具有一第二振盪頻率區間T2，且該第一振盪頻率區間T1與該第二振盪頻率區間T2不重疊。Please refer to FIGS. 4, 5 and 6. Thecontrol unit 210 of thewireless reading device 200 is used to generate a plurality of oscillation interval signals S. The number of the oscillation interval signals S can be configured according to the number of thesensing devices 100. In the present embodiment, thecontrol unit 210 generates a first oscillation interval signal S1 and a second oscillation interval signal S2 for illustration, but the present invention is not limited thereto. The first oscillation interval signal S1 and the second oscillation interval signal S2 generated by thecontrol unit 210 are used to transmit to the Theinduction coil 220, the first oscillation interval signal S1 includes a plurality of first oscillation signals S11 to S20 with different oscillation frequencies, so that the first oscillation interval signal S1 has a first oscillation frequency interval T1, the second oscillation interval signal S2 includes a plurality of second oscillation signals S21 to S30 with different oscillation frequencies, so that the second oscillation interval signal S2 has a second oscillation frequency interval T2, and the first oscillation frequency interval T1 and the second oscillation frequency interval T2 do not overlap.

請參閱第5、6及7圖，接著，進行激發該第一感測裝置100a或該第二感測裝置100b步驟，在步驟一301的「第一次激發」步驟中，以該第一振盪區間訊號S1的該些第一振盪訊號S11至S20依序激發該第一感測裝置100a，當其中一第一振盪訊號(即該些第一振盪訊號S11至S20的其中之一)的一振盪頻率與該第一無線感測器120a的其中一第一共振頻率(即該些共振頻率R11至R20的其中之一)相符時，產生一第一共振頻率訊號O1；或者，當該些第一振盪訊號S11至S20的該振盪頻率與該第一無線感測器120a的該些第一共振頻率(即該些共振頻率R11至R20的其中之一)不相符時，則以該第二振盪區間訊號S2的該些第二振盪訊號S21至S30依序激發該第一感測裝置100a，當其中一第二振盪訊號(即該些第二振盪訊號S21至S30的其中之一)的一振盪頻率與該第一無線感測器120a的其中一第一共振頻率(即該些共振頻率R11至R20的其中之一)相符時，產生該第一共振頻率訊號O1。Please refer to Figures 5, 6 and 7. Then, thefirst sensing device 100a or thesecond sensing device 100b is excited. In the "first excitation" step of step 1 301, thefirst sensing device 100a is excited in sequence with the first oscillation signals S11 to S20 of the first oscillation interval signal S1. When an oscillation frequency of one of the first oscillation signals (i.e., one of the first oscillation signals S11 to S20) matches one of the first resonance frequencies of thefirst wireless sensor 120a (i.e., one of the resonance frequencies R11 to R20), a first resonance frequency signal O1 is generated; or, when the first resonance frequencies R11 to R20 are equal to the resonance frequencies R11 to R20, a first resonance frequency signal O1 is generated. When the oscillation frequency of the first oscillation signal S11 to S20 does not match the first resonance frequencies of thefirst wireless sensor 120a (i.e., one of the resonance frequencies R11 to R20), the second oscillation signals S21 to S30 of the second oscillation interval signal S2 are sequentially excited to thefirst sensing device 100a. When the oscillation frequency of one of the second oscillation signals (i.e., one of the second oscillation signals S21 to S30) matches the first resonance frequency of thefirst wireless sensor 120a (i.e., one of the resonance frequencies R11 to R20), the first resonance frequency signal O1 is generated.

請參閱第6及7圖，接著，進行步驟二302的「第一次讀取」步驟，在步驟二302中，以該讀取單元230讀取對應該第一共振頻率訊號O1的一第一相位值，接著，進行步驟三303的「第一次運算」步驟，以該運算單元240將該第一相位值換成一第一壓力值訊號，並於一顯示裝置260顯示該第一壓力值訊號的一第一壓力值，在本實施例中，該運算單元240藉由該通訊單元250將該第一壓力值訊號傳輸至該顯示裝置260，該顯示裝置260顯示出該第一壓力值訊號的一第一壓力值，藉由該第一壓力值使一操作者(圖未繪出，如醫護人員)知悉該縫線L縫合該軟組織(如肌腱等)的拉力是否適當。Please refer to Figures 6 and 7. Then, the "first reading" step ofstep 2 302 is performed. Instep 2 302, thereading unit 230 reads a first phase value corresponding to the first resonance frequency signal O1. Then, the "first calculation" step of step 3 303 is performed. Thecalculation unit 240 converts the first phase value into a first pressure value signal, and displays the first pressure value signal on adisplay device 260. A first pressure value of the force value signal. In this embodiment, thecomputing unit 240 transmits the first pressure value signal to thedisplay device 260 via thecommunication unit 250. Thedisplay device 260 displays a first pressure value of the first pressure value signal. The first pressure value allows an operator (not shown, such as a medical staff) to know whether the tension of the suture L to suture the soft tissue (such as a tendon, etc.) is appropriate.

請參閱第6及7圖，進行步驟四304的「第二次激發」步驟，當其中一第一振盪訊號(即該些第一振盪訊號S11至S20的其中之一)的該振盪頻率與該第一無線感測器120a的其中一第一共振頻率(即該些共振頻率R11至R20的其中之一)相符時，以該第二振盪區間訊號S2的該些第二振盪訊號S21至S30依序激發該第二感測裝置100b，當其中一第二振盪訊號(即該些第二振盪訊號S21至S30的其中之一)的該振盪頻率與該第二無線感測器120b的其中一第二共振頻率(即該些共振頻率R21至R30的其中之一)相符時，產生一第二共振頻率訊號O2；或者，當其中一第二振盪訊號(即該些第二振盪訊號S21至S30的其中之一)的該振盪頻率與該第一無線感測器120a的該第一共振頻率(即該些共振頻率R11至R20的其中之一)相符時，以該第一振盪區間訊號S1的該些第一振盪訊號S11至S20依序激發該第二感測裝置100b，當其中一第一振盪訊號(即該些第一振盪訊號S11至S20的其中之一)的該振盪頻率與該第二無線感測器120b的其中一第二共振頻率(即該些共振頻率R21至R30的其中之一)相符時，產生該第二共振頻率訊號O2。Please refer to FIGS. 6 and 7, and perform the "second excitation" step of step 4 304. When the oscillation frequency of one of the first oscillation signals (i.e., one of the first oscillation signals S11 to S20) matches one of the first resonance frequencies of thefirst wireless sensor 120a (i.e., one of the resonance frequencies R11 to R20), the second oscillation interval is used. The second oscillation signals S21 to S30 of the signal S2 sequentially excite thesecond sensing device 100b. When the oscillation frequency of one of the second oscillation signals (i.e., one of the second oscillation signals S21 to S30) matches one of the second resonance frequencies of thesecond wireless sensor 120b (i.e., one of the resonance frequencies R21 to R30), a signal is generated. or, when the oscillation frequency of one of the second oscillation signals (i.e., one of the second oscillation signals S21 to S30) matches the first resonant frequency of thefirst wireless sensor 120a (i.e., one of the resonant frequencies R11 to R20), the first oscillation interval signal S1 is used to generate a second resonant frequency signal O2; or, when the oscillation frequency of one of the second oscillation signals (i.e., one of the second oscillation signals S21 to S30) matches the first resonant frequency of thefirst wireless sensor 120a (i.e., one of the resonant frequencies R11 to R20), the first oscillation interval signal S1 is used to generate a second resonant frequency signal O2; S11 to S20 sequentially excite thesecond sensing device 100b, and when the oscillation frequency of one of the first oscillation signals (i.e., one of the first oscillation signals S11 to S20) matches one of the second resonance frequencies of thesecond wireless sensor 120b (i.e., one of the resonance frequencies R21 to R30), the second resonance frequency signal O2 is generated.

請參閱第6及7圖，接著，進行步驟五305的「第二次讀取」步驟，在步驟五中，以該讀取單元230讀取對應該第二共振頻率訊號O2的一第二相位值，接著，進行步驟六306的「第二次運算」步驟，以該運算單元240將該第二相位值換成一第二壓力值訊號，並於該顯示裝置260顯示該第二壓力值訊號的一第二壓力值，藉由該第二壓力值使該操作者確認該縫線L縫合該軟組織(如肌腱等)的拉力是否適當。Please refer to Figures 6 and 7. Then, the "second reading" step of step 5 305 is performed. In step 5, thereading unit 230 reads a second phase value corresponding to the second resonance frequency signal O2. Then, the "second calculation" step of step 6 306 is performed. Thecalculation unit 240 converts the second phase value into a second pressure value signal, and displays a second pressure value of the second pressure value signal on thedisplay device 260. The second pressure value allows the operator to confirm whether the tension of the suture L to sew the soft tissue (such as tendon, etc.) is appropriate.

本發明在以該縫線L縫合該軟組織(如肌腱等)及穿設於該穿孔111時，藉由設置於該穿孔111中的該無線感測器120及該無線讀取裝置200感測該無線感測器120的該壓力值，以藉由該壓力值確認該縫線L的縫合拉力是否適當，以避免以個人經驗判斷，以增加病患手術後的舒適度，且在手術後，也可以該無線讀取裝置200讀取設置於體內的該感測裝置100，以確認該縫線L的縫合拉力。When the suture L is used to suture the soft tissue (such as tendons, etc.) and is inserted into theperforation 111, thewireless sensor 120 and thewireless reading device 200 set in theperforation 111 sense the pressure value of thewireless sensor 120 to confirm whether the suture tension of the suture L is appropriate by the pressure value, thereby avoiding personal experience judgment to increase the patient's comfort after surgery. After the surgery, thewireless reading device 200 can also read thesensing device 100 set in the body to confirm the suture tension of the suture L.

本發明之保護範圍當視後附之申請專利範圍所界定者為準，任何熟知此項技藝者，在不脫離本發明之精神和範圍內所作之任何變化與修改，均屬於本發明之保護範圍。The scope of protection of this invention shall be subject to the scope of the patent application attached hereto. Any changes and modifications made by anyone familiar with this technology without departing from the spirit and scope of this invention shall fall within the scope of protection of this invention.

100:感測裝置100:Sensor device

110:載具110: Vehicles

110c:本體110c: Body

110d:結合柱110d: Binding column

111:穿孔111:Piercing

120:無線感測器120: Wireless sensor

130:基座130: Base

131:結合孔131: Binding hole

Claims (5)

Translated fromChinese

一種手術縫合感測系統，包含：複數個感測裝置，各該感測裝置用以植接於一骨骼，以感測一縫線的拉力，各該感測裝置包含一載具及一無線感測器，各該載具具有一穿孔，各該無線感測器設置於各該穿孔中，該穿孔用以供該縫線穿過，並使該縫線觸壓該無線感測器，各該無線感測器用以被一無線讀取裝置激發並產生一共振頻率訊號，各該感測裝置的該無線感測器分別具有不同的一共振頻率區間，且該些共振頻率區間不重疊；及該無線讀取裝置，包含一控制單元、一感應線圈、一讀取單元及一運算單元，該控制單元用以產生複數個振盪區間訊號至該感應線圈，各該振盪區間訊號分別具有一振盪頻率區間，且該些振盪頻率區間不重疊，各該振盪區間訊號分別包含複數個不同振盪頻率的振盪訊號，該些振盪訊號傳送至該感應線圈，用以激發各該感測裝置的該無線感測器，當其中一振盪區間訊號的其中一振盪訊號的該振盪頻率與其中一感測裝置的該共振頻率區間的其中一共振頻率相符時，產生該共振頻率訊號，該讀取單元讀取對應該共振頻率訊號的一相位值，該運算單元用以接收各該相位值，並將各該相位值轉換成一壓力值訊號。A surgical suture sensing system comprises: a plurality of sensing devices, each of which is used to be implanted in a bone to sense the tension of a suture, each of which comprises a carrier and a wireless sensor, each of which has a through hole, each of which is arranged in each of which, the through hole is used for the suture to pass through and the suture to contact the wireless sensor, each of which is used to be excited by a wireless reading device and generate a resonance frequency signal, each of which has a different resonance frequency range, and the resonance frequency ranges do not overlap; and the wireless reading device comprises a control unit, an induction coil, a reading unit and an operation unit, the control unit The invention is used to generate a plurality of oscillation interval signals to the induction coil, each of which has an oscillation frequency interval, and the oscillation frequency intervals do not overlap, and each of which includes a plurality of oscillation signals with different oscillation frequencies. The oscillation signals are transmitted to the induction coil to excite the wireless sensor of each sensing device. When the oscillation frequency of one of the oscillation signals in the oscillation interval signal matches one of the resonance frequencies in the resonance frequency interval of one of the sensing devices, the resonance frequency signal is generated, the reading unit reads a phase value corresponding to the resonance frequency signal, and the calculation unit is used to receive each of the phase values and convert each of the phase values into a pressure value signal.如請求項1之手術縫合感測系統，其中該無線讀取裝置另包含一通訊單元，該通訊單元用以將該壓力值訊號傳輸至一顯示裝置，該顯示裝置用以顯示該壓力值訊號的一壓力值。As in claim 1, the surgical suture sensing system, wherein the wireless reading device further comprises a communication unit, the communication unit is used to transmit the pressure value signal to a display device, and the display device is used to display a pressure value of the pressure value signal.如請求項2之手術縫合感測系統，其中該通訊單元與該顯示裝置的傳輸方式選自於無線傳輸。As in claim 2, the surgical suture sensing system, wherein the transmission method between the communication unit and the display device is selected from wireless transmission.一種手術縫合感測方法，其用感測一縫線縫合一軟組織的縫合力量，該感測方法包含：提供植接於一骨骼的一第一感測裝置及一第二感測裝置，該第一感測裝置包含一第一載具及一第一無線感測器，該第一無線感測器設置於該第一載具的一第一穿孔，該第一無線感測器具有一第一共振頻率區間，該第二感測裝置包含一第二載具及一第二無線感測器，該第二無線感測器設置於該第二載具的一第二穿孔，該第二無線感測器具有一第二共振頻率區間，該第一共振頻率區間與該第二共振頻率區間不重疊，該縫線穿設於該第一穿孔及該第二穿孔，並觸壓該第一無線感測器及該第二無線感測器，使該第一無線感測器形成一在該第一共振頻率區間中的第一共振頻率，使該第二無線感測器形成一在該第二共振頻率區間中的第二共振頻率；提供包含有一控制單元、一感應線圈、一讀取單元及一運算單元的一無線讀取裝置，該控制單元產生一第一振盪區間訊號及一第二振盪區間訊號至該感應線圈，該第一振盪區間訊號包含複數個不同振盪頻率的第一振盪訊號，使該第一振盪區間訊號具有一第一振盪頻率區間，該第二振盪區間訊號包含複數個不同振盪頻率的第二振盪訊號，使該第二振盪區間訊號具有一第二振盪頻率區間，且該第一振盪頻率區間與該第二振盪頻率區間不重疊；及進行激發該第一感測裝置及/或該第二感測裝置步驟，其包含：步驟一：以該第一振盪區間訊號的該些第一振盪訊號依序激發該第一感測裝置，當其中一第一振盪訊號的一振盪頻率與該第一無線感測器的該第一共振頻率相符時，產生一第一共振頻率訊號；或者，當該些第一振盪訊號的該振盪頻率與該第一無線感測器的該第一共振頻率不相符時，則以該第二振盪區間訊號的該些第二振盪訊號依序激發該第一感測裝置，當其中一第二振盪訊號的一振盪頻率與該第一無線感測器的該第一共振頻率相符時，產生該第一共振頻率訊號；步驟二：以該讀取單元讀取對應該第一共振頻率訊號的一第一相位值；步驟三：以該運算單元將該第一相位值換成一第一壓力值訊號，並於一顯示裝置顯示該第一壓力值訊號的一第一壓力值；步驟四：當其中一第一振盪訊號的該振盪頻率與該第一無線感測器的該第一共振頻率相符時，以該第二振盪區間訊號的該些第二振盪訊號依序激發該第二感測裝置，當其中一第二振盪訊號的該振盪頻率與該第二無線感測器的該第二共振頻率相符時，產生一第二共振頻率訊號；或者，當其中一第二振盪訊號的該振盪頻率與該第一無線感測器的該第一共振頻率相符時，以該第一振盪區間訊號的該些第一振盪訊號依序激發該第二感測裝置，當其中一第一振盪訊號的該振盪頻率與該第二無線感測器的該第二共振頻率相符時，產生該第二共振頻率訊號；步驟五：以該讀取單元讀取對應該第二共振頻率訊號的一第二相位值；及步驟六：以該運算單元將該第二相位值換成一第二壓力值訊號，並於該顯示裝置顯示該第二壓力值訊號的一第二壓力值。A surgical suture sensing method is used to sense the suture force of a suture thread suturing a soft tissue. The sensing method comprises: providing a first sensing device and a second sensing device implanted on a bone, wherein the first sensing device comprises a first carrier and a first wireless sensor, wherein the first wireless sensor is disposed in a first through-hole of the first carrier, and the first wireless sensor has a first resonance frequency interval, and the second sensing device comprises a second carrier. and a second wireless sensor, the second wireless sensor being disposed in a second through hole of the second carrier, the second wireless sensor having a second resonance frequency range, the first resonance frequency range and the second resonance frequency range not overlapping, the sew being disposed in the first through hole and the second through hole, and contacting the first wireless sensor and the second wireless sensor, so that the first wireless sensor forms a first resonance frequency in the first resonance frequency range. , so that the second wireless sensor forms a second resonance frequency in the second resonance frequency range; providing a wireless reading device including a control unit, an induction coil, a reading unit and an operation unit, the control unit generates a first oscillation interval signal and a second oscillation interval signal to the induction coil, the first oscillation interval signal includes a plurality of first oscillation signals with different oscillation frequencies, so that the first oscillation interval signal has a first The second oscillation interval signal includes a plurality of second oscillation signals with different oscillation frequencies, so that the second oscillation interval signal has a second oscillation frequency interval, and the first oscillation frequency interval and the second oscillation frequency interval do not overlap; and the step of exciting the first sensing device and/or the second sensing device comprises: step 1: sequentially exciting the first sensing device with the first oscillation signals of the first oscillation interval signal, when When an oscillation frequency of one of the first oscillation signals matches the first resonance frequency of the first wireless sensor, a first resonance frequency signal is generated; or, when the oscillation frequency of the first oscillation signals does not match the first resonance frequency of the first wireless sensor, the second oscillation signals of the second oscillation interval signal are used to sequentially excite the first sensing device, and when an oscillation frequency of one of the second oscillation signals matches the first resonance frequency of the first wireless sensor, the first resonance frequency signal is generated. The first resonance frequency signal is generated when the first resonance frequency of the first oscillation signal matches the first resonance frequency of the first wireless sensor; Step 2: the reading unit reads a first phase value corresponding to the first resonance frequency signal; Step 3: the calculation unit converts the first phase value into a first pressure value signal, and displays a first pressure value of the first pressure value signal on a display device; Step 4: when the oscillation frequency of one of the first oscillation signals matches the first resonance frequency of the first wireless sensor, When the oscillation frequency of one of the second oscillation signals matches the second resonance frequency of the second wireless sensor, a second resonance frequency signal is generated; or, when the oscillation frequency of one of the second oscillation signals matches the first resonance frequency of the first wireless sensor, the first oscillation signals of the first oscillation interval signal are used to sequentially excite the second sensing device. When the oscillation frequency of one of the second oscillation signals matches the second resonance frequency of the second wireless sensor, a second resonance frequency signal is generated. The second sensing device is excited in sequence, and when the oscillation frequency of one of the first oscillation signals matches the second resonance frequency of the second wireless sensor, the second resonance frequency signal is generated; Step 5: the reading unit reads a second phase value corresponding to the second resonance frequency signal; and Step 6: the calculation unit converts the second phase value into a second pressure value signal, and displays a second pressure value of the second pressure value signal on the display device.如請求項4之手術縫合感測方法，其中該無線讀取裝置另包含一通訊單元，該通訊單元以無線傳輸方式傳輸該第一壓力值訊號及該第二壓力值訊號至該顯示裝置。As in claim 4, the surgical suture sensing method, wherein the wireless reading device further comprises a communication unit, and the communication unit transmits the first pressure value signal and the second pressure value signal to the display device by wireless transmission.

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