1. Field of the Invention
The present invention relates to a magnetic field generation apparatus and a capsule medical device guiding system for generating magnetic field for magnetically guiding a capsule medical device introduced into a subject.
2. Description of the Related Art
In the past, in the field of endoscopes, a capsule-type endoscope formed to have such size that can be introduced into a digestive tract of a subject such as a patient has been developed. The capsule-type endoscope has an image-capturing function and a wireless communication function inside of a capsule-shaped casing, and after the capsule-type endoscope is swallowed from the mouth of the subject, the capsule-type endoscope moves within the digestive tract due to peristaltic movement and the like, during which the digestive tract successively obtains image data of images inside of the internal organs of the subject (hereinafter also referred to as in-vivo images), and wirelessly transmits the image data to a reception apparatus provided outside of the subject. The image data received by the reception apparatus are retrieved into an image display apparatus and are subjected to predetermined image processing. Accordingly, the in-vivo images are displayed on a display as a still picture display or a motion picture display. A user such as a doctor or a nurse observes an in-vivo image displayed on the image display apparatus as described above to diagnoses the state of the internal organs of the subject.
In recent years, a guiding system for guiding a capsule-type endoscope introduced into a subject using magnetic force (which will be hereinafter referred to as magnetic guidance) has been suggested (for example, see JP 2006-68501 A and JP 2008-503310 W). In general, in such guiding system, a permanent magnet is provided inside of the capsule-type endoscope, and a guiding apparatus that has a magnetic field generation unit such as an electromagnet is provided outside of the subject. The magnetic field that is generated by the magnetic field generation unit is applied to the permanent magnet provided inside of the capsule-type endoscope, and the capsule-type endoscope is magnetically guided to a desired position by magnetic attraction occurred from the magnetic field.
The guiding apparatus may include a display unit for receiving image data obtained by the capsule-type endoscope and displaying the in-vivo image, an input device for operating the position, the posture of the capsule-type endoscope, and the like. In the case of the guiding apparatus, a user can refer to the in-vivo image displayed on the display unit, and use the input device to operate the magnetic guidance of the capsule-type endoscope.
A system has been developed, in which the magnetic field is applied to the capsule-type endoscope outside of the subject, so that the system performs signal control such as ON/OFF of the switch of the capsule-type endoscope (for example, see WO2007/083708 A).
A magnetic field generation apparatus for generating a guiding-magnetic field which is a magnetic field for magnetically guiding a target object according to one aspect of the present invention includes a plurality of permanent magnets configured to generate a magnetic field, and a switching unit configured to change relative relationship of the plurality of permanent magnets to switch between a first state in which the plurality of permanent magnets generate the guiding-magnetic field in a predetermined region and a second state in which a strength of the guiding-magnetic field in the predetermined region is less than a strength of the guiding-magnetic field in the first state.
A capsule medical device guiding system according to another aspect of the present invention includes: a magnetic field generation apparatus for generating a guiding-magnetic field which is a magnetic field for magnetically guiding a target object, wherein the magnetic field generation apparatus includes a plurality of permanent magnets configured to generate a magnetic field, and a switching unit configured to change relative relationship of the plurality of permanent magnets to switch between a first state in which the plurality of permanent magnets generate the guiding-magnetic field in a predetermined region and a second state in which a strength of the guiding-magnetic field in the predetermined region is less than a strength of the guiding-magnetic field in the first state; and a capsule medical device including a magnet and introduced into a subject, wherein the capsule medical device is magnetically guided by the guiding-magnetic field in the predetermined region.
The above and other features, advantages and technical and industrial significance of this invention will be better understood by reading the following detailed description of presently preferred embodiments of the invention, when considered in connection with the accompanying drawings.
Hereinafter, a magnetic field generation apparatus and a capsule medical device guiding system according to embodiments of the present invention will be explained with reference to drawings. In the explanation below, a guiding system for a capsule-type endoscope using a capsule-type endoscope serving as a capsule medical device introduced from the mouth of the subject into the subject and drifts about in a liquid accumulated in the stomach of a subject is used for example, but the present invention is not limited by the embodiments. More specifically, the present invention can be applied to systems for guiding various kinds of capsule medical devices, for example, a capsule-type endoscope that moves through the lumens from the esophagus to the anus of the subject, and a capsule-type endoscope introduced together with isotonic solution from the anus. In the explanation below, each drawing is nothing but schematically illustrates the relationship of the shape, the size, and the position in such a manner that the contents of the present invention can be understood. Therefore, the present invention is not limited to the relationship of the shape, the size, and the position as illustrated in each drawing, for example.
In the explanation below, for example, magnetic field generation apparatus according to the present invention is applied to a guiding apparatus generating magnetic field for magnetically guiding the capsule medical device (capsule-type endoscope) in the capsule medical device guiding system. The magnetic field generation apparatus of the present invention can also be applied to those other than the capsule medical device guiding system. For example, the magnetic field generation apparatus of the present invention may be applied to a guiding apparatus for magnetically guiding a target object other than a capsule-type endoscope.
In the present application, magnetic field for magnetically guiding a target object such as a capsule medical device may also be referred to as guiding-magnetic field.
It should be noted that, in the description of the drawings, the same portions are denoted with the same reference numerals.
The capsule-type endoscope 10 is introduced into the subject 101 by ingestion and the like together with predetermined liquid (for example, water), and thereafter, the capsule-type endoscope 10 moves inside of the digestive tract, and ultimately, the capsule-type endoscope 10 is discharged out of the subject 101. During this period, the capsule-type endoscope 10 drifts about in the liquid introduced into the inside of an internal organ of the subject 101 (for example, inside of the stomach), and the capsule-type endoscope 10 successively captures images in the subject 101 while the capsule-type endoscope 10 is magnetically guided by the magnetic field generated by the guiding apparatus 20, and the capsule-type endoscope 10 successively, wirelessly transmits image information (image data) corresponding to the in-vivo images obtained by image-capturing process.
The capsule-shaped casing 12 is an exterior case formed to be of the size so that the capsule-shaped casing 12 can be introduced into the inside of the internal organ of the subject 101, and is made by shielding the opening ends at both sides of a cylindrical casing 12a with dome-shaped casings 12b, 12c. The dome-shaped casings 12b, 12c are dome-shaped optical members which are transparent to light of a predetermined wavelength band such as visible light. The cylindrical casing 12a is a colored casing which is substantially opaque to the visible light. As illustrated in
The image-capturing unit 11A includes an illumination unit 13A such as LED, an optical system 14A such as a condenser lens, and an image-capturing device 15A such as a CMOS image sensor or a CCD. The illumination unit 13A emits illumination light such as white light to an image-capturing vision field of the image-capturing device 15A, and illuminates a subject within image-capturing vision field through the dome-shaped casing 12b. The optical system 14A condenses the reflected light from the image-capturing vision field onto the image-capturing surface of the image-capturing device 15A, and forms the subject image of the image-capturing vision field on the image-capturing surface of the image-capturing device 15A. The image-capturing device 15A receives the reflected light from the image-capturing vision field condensed on the image-capturing surface and performs photoelectric conversion processing on the light signal thus received, thus generating the subject image of the image-capturing vision field, more specifically, generating image information representing an in-vivo image of the subject 101.
Like the image-capturing unit 11A, the image-capturing unit 11B includes an illumination unit 13B such as LED, an optical system 14B such as a condenser lens, and an image-capturing device 15B such as a CMOS image sensor or CCD.
As illustrated in
The wireless communication unit 16 includes an antenna 16a, and successively, wirelessly transmits the image information obtained with the image-capturing units 11A, 11B explained above to the outside via the antenna 16a. More specifically, the wireless communication unit 16 obtains, from the control unit 17, an image signal based on the image information generated by the image-capturing unit 11A or the image-capturing unit 11B, and performs modulation processing and the like on the image signal, thus generating a wireless signal. The wireless communication unit 16 transmits this wireless signal to a reception unit 21, which is provided outside, via the antenna 16a.
The control unit 17 controls each operation of the image-capturing units 11A, 11B and the wireless communication unit 16, and controls input/output of signals between the constituent units. More specifically, the control unit 17 causes the image-capturing device 15A to capture an image of a subject in the image-capturing vision field which is illuminated by the illumination unit 13A, and causes the image-capturing device 15B to capture an image of a subject in the image-capturing vision field which is illuminated by the illumination unit 13B. The control unit 17 includes a signal processing function for generating an image signal. The control unit 17 obtains the image information from the image-capturing devices 15A, 15B, and on every such occasion, the control unit 17 performs the predetermined signal processing on the image information, and generates an image signal including image data. Further, the control unit 17 controls the wireless communication unit 16 so as to successively, wirelessly transmit the image signal to the outside in chronological order.
The power supply unit 18 is a battery unit such as a button-shaped battery or a capacitor, and includes a switch unit such as a magnetic switch and an optical switch. The power supply unit 18 switches the ON/OFF state of the power supply by the magnetic field that is applied from the outside, and when the ON/OFF state of the power supply is in the ON state, the power supply unit 18 provides, as necessary, the electric power of the battery unit to each constituent unit of the capsule-type endoscope 10 (image-capturing units 11A, 11B, wireless communication unit 16, and control unit 17). When the ON/OFF state of the power supply is in the OFF state, the power supply unit 18 stops the electric power provided to each constituent unit of the capsule-type endoscope 10.
The permanent magnet 19 is to enable magnetic guidance of the capsule-type endoscope 10 using the magnetic field MF generated by the guiding apparatus 20, and is arranged, in a fixed manner, inside of the capsule-shaped casing 12 so that the magnetization direction is inclined with respect to the longitudinal axis La. More specifically, the permanent magnet 19 is arranged so that the magnetization direction is perpendicular to the longitudinal axis La. The permanent magnet 19 operates so as to follow the magnetic field applied from the outside, and as a result, this achieves the magnetic guidance of the capsule-type endoscope 10 by the guiding apparatus 20.
As illustrated in
The reception unit 21 includes a plurality of antennas 21a, and successively receives wireless signals from the capsule-type endoscope 10 via the plurality of antennas 21a. The reception unit 21 selects an antenna of which reception electric field strength is the highest from among the plurality of antennas 21a, and performs demodulation processing and the like on the wireless signal from the capsule-type endoscope 10 received via the selected antenna. Accordingly, the reception unit 21 extracts image information (image data) about the subject 101 from the wireless signal. The reception unit 21 outputs the image signal including the extracted image data to the display unit 23a.
The position detection unit 22 performs calculation for estimating the position of the capsule-type endoscope 10 in the subject 101 on the basis of the signal strength of the wireless signal received by the reception unit 21.
The display unit 23a includes various kinds of displays such as a liquid crystal display, and generates and displays, on the display, a screen including an in-vivo image based on the image data which are input from the reception unit 21 and various other kinds of information. More specifically, for example, the display unit 23a successively displays, on the screen, an in-vivo image group of the subject 101 captured by the capsule-type endoscope 10, and displays information about guiding operation and information about the position and the posture of the capsule-type endoscope 10. At this occasion, the display unit 23a may display the position and the posture of the capsule-type endoscope 10 which are estimated from the magnetic field generated by the guiding apparatus 20, and on the basis of the position detection result of the position detection unit 22, the display unit 23a may display, on the screen, the position within the subject 101 corresponding to the in-vivo image which is displayed. For example, the display unit 23a displays a reduced image of an in-vivo image selected according to the control of the control unit 27, and patient information, inspection information, and the like of the subject 101. Further, in accordance with the control of the control unit 27, the display unit 23a displays, on the screen, a warning given to a user, and information about the state of the magnetic field MF generated by the guiding-magnetic field generation unit 25 (for example, whether or not the magnetic field MF is generated in the effective magnetic field region 100).
The notifying unit 23b includes an illumination device such as LED, an audio device such as a buzzer, and a driving circuit for operating under the control of the control unit 27 in order to control these devices. The notifying unit 23b notifies warning to the user using blinking of illumination, buzzer sound, and the like, or notifies the user of the state of the magnetic field MF generated by the guiding-magnetic field generation unit 25 using the illumination in a predetermined color.
The operation input unit 24 is achieved with an input device such as an operation board and a keyboard having a joy stick, various kinds of button, and various kinds of switch, and receives input of various kinds of information such as guiding instruction information for magnetically guiding the capsule-type endoscope 10 and setting information for setting a predetermined mode with the guiding apparatus 20. The guiding instruction information is information for controlling the position and the posture of the capsule-type endoscope 10 which is magnetic guidance operation target, and more specifically, the guiding instruction information includes operation for changing the position of the capsule-type endoscope 10, information about operation for changing inclination angle (the angle with respect to the vertical axis) of the capsule-type endoscope 10, information about operation for changing the azimuth (the angle about the vertical axis) of the capsule-type endoscope 10. In the explanation below, the azimuth of the vision field will be simply referred to as azimuth. The operation input unit 24 inputs the received information into the control unit 27.
As illustrated in
The guiding-magnetic field generation unit 25 includes a magnetic field generation unit 251 including a pair of permanent magnets 25a, 25b housed in cases 25d, 25e, respectively, a magnetic field state change driving unit 252 for changing the state of the magnetic field MF generated by the magnetic field generation unit 251, and also includes a flat plane position change unit 253, a vertical position change unit 254, an elevation angle change unit 255, and a traverse angle change unit 256, which serve as mechanisms for translationally moving the magnetic field generation unit 251 and rotating the magnetic field generation unit 251.
The permanent magnets 25a, 25b are supported so that the relation positional relationship of each of them can be changed using a support member 25c by means of the cases 25d, 25e. More specifically, the support member 25c supports the permanent magnets 25a, 25b in such a manner that at least one of them can slide along the support member 25c. The support member 25c is provided with a stopper 25f engaging with the cases 25d, 25e or the permanent magnets 25a, 25b to prevent the permanent magnets 25a, 25b from moving in order to prevent the permanent magnets 25a, 25b from moving closer to each other due to magnetic attraction. With this stopper 25f, in normal circumstances, the permanent magnets 25a, 25b are in such state that the positions thereof are fixed with respect to the support member 25c. The stopper 25f is cancelled with timing when the magnetic field state change driving unit 252 operates.
The magnetic field state change driving unit 252 changes the relative positional relationship of the permanent magnets 25a, 25b in order to change the state of the magnetic field MF generated by the magnetic field generation unit 251. More specifically, when the magnetic field MF is to be generated in the effective magnetic field region 100, the magnetic field state change driving unit 252 moves the permanent magnets 25a, 25b away from each other as illustrated in
On the other hand, when the magnetic field MF is not to be generated in the effective magnetic field region 100, the magnetic field state change driving unit 252 moves the permanent magnets 25a, 25b close to each other as illustrated in
While the relative positional relationship of the permanent magnets 25a, 25b arranged within the magnetic field generation unit 251 is maintained, the flat plane position change unit 253, the vertical position change unit 254, the elevation angle change unit 255, and the traverse angle change unit 256 translationally moves or rotates the magnetic field generation unit 251 as illustrated in
The flat plane position change unit 253 and the vertical position change unit 254 are achieved with a translational motion driving mechanism including, for example, a lifter and a slider. The flat plane position change unit 253 translationally moves the magnetic field generation unit 251 within the horizontal plane. The vertical position change unit 254 translationally moves the magnetic field generation unit 251 in the vertical direction.
The elevation angle change unit 255 rotates the magnetic field generation unit 251 with respect to the axis in the horizontal direction, and changes the angle of the upper surface of the magnetic field generation unit 251 with respect to the horizontal plane. Hereinafter, the angle formed by the upper surface of the magnetic field generation unit 251 and the horizontal plane will be referred to as an elevation angle θ.
The traverse angle change unit 256 rotates the magnetic field generation unit 251 with respect to the axis in the vertical direction passing through the center of the magnetic field generation unit 251. Hereinafter, the angle by which the magnetic field generation unit 251 rotates with respect to the initial state will be referred to as a traverse angle θ.
The azimuth and the inclination angle of the capsule-type endoscope 10 restrained by the magnetic field MF generated by the magnetic field generation unit 251 can be changed by causing the elevation angle change unit 255 to rotate the magnetic field generation unit 251 in such state that the traverse angle change unit 256 rotates the magnetic field generation unit 251 by the traverse angle θ.
The magnetic field state identifying unit 26 determines whether the guiding apparatus 20 is in the magnetic field generation state or the guiding apparatus 20 is in the magnetic field shielded state. The magnetic field state identifying unit 26 is achieved with, for example, a magnetic sensor provided in the effective magnetic field region 100 (for example, inside of the bed 102). When the output value of the magnetic sensor is equal to or more than a predetermined threshold value, the magnetic field state identifying unit 26 outputs an identification signal indicating that the guiding apparatus 20 is in the magnetic field generation state. On the other hand, when the output value of the magnetic sensor is less than the predetermined threshold value, the magnetic field state identifying unit 26 outputs an identification signal indicating that the guiding apparatus 20 is in the magnetic field shielded state.
The control unit 27 controls operation of the flat plane position change unit 253, the vertical position change unit 254, the elevation angle change unit 255, and the traverse angle change unit 256, on the basis of the guiding instruction information which is input from the detection result and operation input unit 24 of the position detection unit 22, thus realizing the position, the inclination angle, and the azimuth of the capsule-type endoscope 10 which are desired by the user. The control unit 27 controls the magnetic field state change driving unit 252 in accordance with the operation signal which is input from the operation input unit 24, thus changing the guiding apparatus 20 into a state according to the status of the capsule-type endoscope inspection (the magnetic field generation state or the magnetic field shielded state).
The storage unit 28 is achieved with a storage medium for saving information to a flash memory, a hard disk, or the like in a rewritable manner. The storage unit 28 stores not only image data of the in-vivo image group of the subject 101 captured by the capsule-type endoscope 10 but also information such as various kinds of programs and various kinds of parameters with which the control unit 27 controls each unit of the guiding apparatus 20.
Subsequently, the operation of the guiding system 1 as shown in
In step S102 subsequent thereto, the control unit 27 checks whether the magnetic field generation unit 251 is arranged at the position (initial position) at which the strength of the magnetic field in the effective magnetic field region 100 is the least. For example, as illustrated in
In step S103, when a signal indicating that the subject 101 lies on the bed 102 is input from the operation input unit 24, the control unit 27 recognizes that the subject 101 lies on the bed 102. This signal indicating that the subject 101 lies on the bed 102 may be input in response to a predetermined user operation (for example, by pressing a bed lie-down confirmation button).
Alternatively, this signal indicating that the subject 101 lies on the bed 102 may be input when the bed 102 is in a predetermined state (for example, when a pressure sensor is provided on a subject lie-down surface of the bed 102, and the output value of this pressure sensor is more than a predetermined threshold value).
In step S104, when the power supply of the capsule-type endoscope 10 is turned ON, the guiding apparatus 20 receives a wireless signal transmitted from the capsule-type endoscope 10, and confirms that the image captured by the capsule-type endoscope 10 can be obtained. In this case, the capsule-type endoscope 10 is turned ON when the magnetic switch or the optical switch of the power supply unit 18 provided in the capsule-type endoscope 10 is turned ON. More specifically, the magnetism or the light is applied from the outside in order to activate the magnetic switch or the optical switch.
In step S105, when a signal indicating that the subject 101 swallows the capsule-type endoscope 10 is input from the operation input unit 24, the control unit 27 recognizes that the capsule-type endoscope 10 is swallowed by the subject 101. This signal indicating that the capsule-type endoscope 10 is swallowed may be input in response to a predetermined user operation (for example, by pressing a capsule swallowing confirmation button). Alternatively, the signal may be input when image data transmitted from the capsule-type endoscope 10 attain a predetermined state (for example, the color feature amount of the image attains a predetermined state indicating in-vivo state).
In step S106, when a signal indicating that inspection is started is input from the operation input unit 24, the control unit 27 controls each unit so as to change the guiding apparatus 20 into the magnetic field generation state. This signal indicating that the inspection is started may be input in response to, for example, an action of pressing a predetermined button of the operation input unit 24 (for example, inspection start button) and operation with a joy stick and the like.
Accordingly, as illustrated in
In step S107, the control unit 27 receives information which is input from the operation input unit 24 (for example, posture information about the subject 101 such as left-side recumbent position), and displays the received information on the display apparatus 23a. At this occasion, the control unit 27 may obtain the relative coordinate system within the subject 101 on the basis of the absolute coordinate system of the capsule-type endoscope 10 (the coordinate system based on the gravity direction) and the information, and on the basis of the relative coordinate system, the control unit 27 may perform calculation processing such as estimation of the observation direction and the observation portion within the subject 101.
In step S108, each unit of the guiding-magnetic field generation unit 25 starts guiding of the capsule-type endoscope 10, and in accordance with the guiding instruction information which is input from the operation input unit 24, so that the position, the elevation angle θ, and the traverse angle φ of the magnetic field generation unit 251 are controlled. At this occasion, as illustrated in
In step S109, the control unit 27 causes the reception unit 21 to successively receive the wireless signal transmitted from the capsule-type endoscope 10, and causes the display unit 23a to display the image in the subject 101. While the user looks at the image, the user operates the operation input unit 24, so that the capsule-type endoscope 10 can be guided to the position, the inclination angle, and the azimuth desired by the user.
It should be noted that, as necessary the user may change the posture of the subject 101. In this case, the signal indicating that the posture of the subject 101 has been changed can be input into the guiding apparatus 20 by performing predetermined operation with the operation input unit 24 such as pressing down of the operation button and input of the posture information using a keyboard and the like. When a signal indicating that the posture of the subject 101 has been changed from the operation input unit 24 is input, the control unit 27 once returns the magnetic field generation unit 251 back to the initial position, so that it is in the weak magnetic field generation state. Accordingly, this can prevent strong magnetic field from being rapidly applied to the capsule-type endoscope 10 after the posture change.
In step S110, the control unit 27 determines whether an emergency stop trigger has been turned ON or not. In this case, the emergency stop trigger may be an emergency stop signal which is input from the operation input unit 24 in response to pressing of, for example, a predetermined button (emergency stop button) or may be a signal indicating that the subject 101 lying down who is once recognized in step S103 is no longer recognized (for example, decrease in the output value of a pressure sensor provided on the subject lie-down surface). In addition, detection due to vibration such as earthquake and the like and sudden decrease in the voltage in the guiding apparatus 20 may be adopted as the emergency stop trigger.
When the emergency stop trigger is turned ON (step S110: Yes), the control unit 27 causes the display unit 23a and the notifying unit 23b to execute notification indicating that the emergency stop trigger is turned on, and controls the magnetic field state change driving unit 252 to change the guiding apparatus 20 into the magnetic field shielded state (emergency shielded) (step S111). More specifically, the notifying method may be displaying a warning based on visual information such as “the system will emergency stop” on the display unit 23a, or the notifying unit 23b may be caused to execute warning based on other visual information such as blinking of illumination, or warning based on audio information such as voice or warning sound. Alternatively, both of them may be executed. Thereafter, in the operation of the guiding system 1, step S116 is subsequently performed. On the other hand, when the emergency stop trigger is not turned on (step S110: No), in the operation of the guiding system 1, step S112 is subsequently performed.
In step S112, the control unit 27 determines whether a signal indicting that all the images have been obtained is input from the operation input unit 24. The signal indicating that all the images have been obtained may be input in response to a predetermined user operation (for example, pressing down of an image acquisition-completion button or a guiding finish button). Alternatively, the signal may be input when a predetermined number of images have been received from the capsule-type endoscope 10 or when a predetermined period of time passes since the power supply of the capsule-type endoscope 10 is turned on.
When all the images have been obtained (step S112: Yes), the control unit 27 stops operation of the guiding-magnetic field generation unit 25 and stops guiding of the capsule-type endoscope 10, and returns the magnetic field generation unit 251 back to the initial position and changes the guiding apparatus 20 into the weak magnetic field generation state (see step S113,
On the other hand, when all the images have not yet been obtained (step S112: No), the control unit 27 determines whether new posture information is input from the operation input unit 24 (step S114). When new posture information is input (step S114: Yes), the control unit 27 returns the magnetic field generation unit 251 back to the initial position and changes the guiding apparatus 20 into the weak magnetic field generation state (step S115). Thereafter, in the operation of the guiding system 1, step S109 is subsequently performed. On the other hand, when new posture information is not input (step S114: No), step S109 is subsequently performed in the operation of the guiding system 1.
In step S116, the control unit 27 controls the magnetic field state change driving unit 252 and changes the guiding apparatus 20 into the magnetic field shielded state (see
As explained above, according to the first embodiment, in the guiding apparatus 20 which uses the permanent magnets 25a, 25b to generate the magnetic field MF for guiding the capsule-type endoscope 10, the positional relationship of the permanent magnets 25a, 25b is changed from the spaced apart state to the close proximity state, so that the guiding apparatus 20 can be changed from the magnetic field generation state to the magnetic field shielded state. Therefore, this achieves the small guiding apparatus 20 that can shielded the magnetic field when desired.
In addition, according to the first embodiment, the guiding-magnetic field generation unit 25 for guiding the capsule-type endoscope 10 is arranged below the bed 102 on which the subject 101 lies down, and therefore, the size of the entire capsule medical device guiding system can be further reduced.
In addition, according to the first embodiment, according to the status of the capsule-type endoscope inspection, the state of the magnetic field of the guiding apparatus 20 is changed with easy operation, and therefore, the inspection can be performed in a safe manner. For example, after the inspection is started, the guiding apparatus 20 is changed into the magnetic field generation state, and therefore, before and after the start of the inspection, the risk of attracting an unintended metal member with the magnetic field can be alleviated. In addition, for example, immediately after the guiding apparatus 20 is changed into the magnetic field generation state, the guiding apparatus 20 is changed into the state in which the strength of the magnetic field is the least, and therefore, the risk of abruptly applying strong magnetic field to the subject 101 can be avoided.
In addition, according to the first embodiment, when the inspection is started, or when the posture of the subject 101 is changed after the inspection was started, the magnetic field generation unit 251 is returned back to the initial position, and the guiding apparatus 20 is changed into the weak magnetic field generation state, and therefore, this can prevent strong magnetic field from being applied to the capsule-type endoscope 10, and prevent the capsule-type endoscope 10 from moving to the position which is not expected by the user.
It should be noted that, according to the first embodiment explained above, during transition from the magnetic field shielded state to the magnetic field generation state, it is necessary to use force for moving the permanent magnets 25a, 25b, and therefore, the load of the force can be reduced by making the cases 25d, 25e using a material of which frictional coefficient is small and improving the moving mechanism.
In addition, according to the first embodiment a multi-lens capsule having the image-capturing units 11A, 11B provided at both ends of the capsule-type endoscope 10 is used. Alternatively, a single lens capsule having an image-capturing unit provided at any one of the ends of the capsule-type endoscope may be used.
In addition, according to the first embodiment explained above, the permanent magnet 19 is arranged so that the magnetization direction is perpendicular to the longitudinal axis La of the capsule-type endoscope 10. Alternatively, the permanent magnet 19 may be arranged so that the magnetization direction matches the direction of the longitudinal axis La.
In addition, according to the first embodiment explained above, the guiding-magnetic field generation unit 25 is used to generate the magnetic field MF for guiding the capsule-type endoscope 10 introduced into the subject 101. Alternatively, magnetic fields giving various kinds of effects on the capsule-type endoscope 10 may be generated. For example, the magnetic switch may be incorporated into the capsule-type endoscope 10, and the magnetic switch may be turned ON/OFF by the guiding-magnetic field generation unit 25 in a remote control manner.
Modification 1-1
In modification 1-1 of the first embodiment, the magnetic field state identifying unit 26 may be achieved with a position sensor for detecting the position of the permanent magnets 25a, 25b. For example, when the interval between the permanent magnet 25a and the permanent magnet 25b is equal to or more than a predetermined threshold value (the state as shown in
Modification 1-2
The position detection of the capsule-type endoscope 10 within the subject 101 may be done by not only a method based on the strength of the wireless signal received from the capsule-type endoscope 10 as explained in the first embodiment but also various methods.
For example, a method for detecting the position of the capsule-type endoscope 10 on the basis of the acceleration applied to the capsule-type endoscope 10 may be employed. In this case, an acceleration sensor for detecting the acceleration applied to the capsule-type endoscope 10 in a three-dimensional manner is provided inside of the capsule-type endoscope 10, and the detection result given by the acceleration sensor is multiplexed with a wireless signal and is transmitted as necessary. On the basis of the detection result given by the acceleration sensor multiplexed with the wireless signal received, the guiding apparatus 20 adds the acceleration applied to the capsule-type endoscope 10 to derive the amount of relative change of the position of the capsule-type endoscope 10, and calculates the current position of the capsule-type endoscope 10 from this amount of change.
Modification 1-3
In another position detection method of the capsule-type endoscope 10 in the subject 101, a method for detecting an alternate current magnetic field may also be used. In this case, an alternate current magnetic field generation unit for generating an alternate current magnetic field is provided inside of the capsule-type endoscope 10. On the other hand, at the guiding apparatus 20, a plurality of magnetic field sensors for detecting the alternate current magnetic field are provided.
The guiding apparatus 20 uses each of the plurality of magnetic field sensors arranged at a plurality of positions to detect the alternate current magnetic field generated by the capsule-type endoscope 10, and on the basis of the detection results, the guiding apparatus 20 continuously calculates at least one of the position, the azimuth, and the inclination angle of the capsule-type endoscope 10. At this occasion, the guiding apparatus 20 may control the guiding-magnetic field generated by itself on the basis of at least one of the position, the azimuth, and inclination angle of the capsule-type endoscope 10 calculated. The guiding apparatus 20 may determine whether the position of the capsule-type endoscope 10 is located within the measurement region in the subject 101 (a region of the magnetic field generated by the guiding-magnetic field generation unit 25), and may control the operation of the magnetic field state change driving unit 252 on the basis of the determination result. For example, when the capsule-type endoscope 10 is located in the measurement region in the subject 101, the control unit 27 controls the magnetic field state change driving unit 252, and changes the permanent magnets 25a, 25b into the spaced apart state so as to attain the magnetic field generation state. On the other hand, when the capsule-type endoscope 10 is located outside of the measurement region in the subject 101, the control unit 27 controls the magnetic field state change driving unit 252, and changes the permanent magnets 25a, 25b into the close proximity state so as to attain the magnetic field shielded state.
Modification 1-4
Another method for detecting an alternate current magnetic field will be explained as a position detection method for detecting the capsule-type endoscope 10 in the subject 101. In this case, an LC circuit resonated by the alternate current magnetic field is provided inside of the capsule-type endoscope 10, and the guiding apparatus 20 is provided with an alternate current magnetic field generation apparatus and a plurality of magnetic field sensors for detecting an alternate current magnetic field.
The guiding apparatus 20 detects, in advance, a first alternate current magnetic field generated by an alternate current magnetic field generation apparatus in such state that the capsule-type endoscope 10 is not located in the measurement region in the subject 101 (a region of the magnetic field generated by the magnetic field generation unit 25). Then, when the capsule-type endoscope 10 is located in the measurement region in the subject 101, a second alternate current magnetic field including a resonant magnetic field generated by the LC circuit in the capsule-type endoscope 10 is detected, and the resonant magnetic field generated by the LC circuit in the capsule-type endoscope 10 is derived from the difference value of the detection value of the first alternate current magnetic field and the detection value of the second alternate current magnetic field. On the basis of the resonant magnetic field thus derived, the guiding apparatus 20 continuously calculates the position coordinate of the capsule-type endoscope 10 in the three-dimensional space.
Modification 1-5
In modification 1-5 of the first embodiment, the magnetic field state identifying unit 26 may be constituted by a sensor for detecting the force between the permanent magnets 25a, 25b (the magnetic attraction or the magnetic repulsive force).
In this case, in the magnetic field generation state and the magnetic field shielded state, the direction and the strength of the magnetic force between the permanent magnets 25a, 25b is different. For example, as illustrated in
Subsequently, the second embodiment of the present invention will be explained.
In the first embodiment explained above, the interval of the permanent magnets 25a, 25b is changed, whereby the magnetic field generation state and the magnetic field shielded state are changed from one another. Alternatively, using various methods other than the above, these states can be changed from one another.
As shown in
At the transition from the magnetic field generation state to the magnetic field shielded state, the magnetic field state change driving unit 252 (see
Modification 2-1
Like modification 1-5, modification 2-1 of the second embodiment is such that the magnetic field state identifying unit 26 may be constituted by a sensor for detecting the force between the permanent magnets 31a, 31b (the magnetic attraction or the magnetic repulsive force). In modification 2-1, whether the force exerted between the permanent magnets 31a, 31b is attracting force or repulsive force is determined from the detection value of the pressure sensor (the direction and the strength), so that whether the guiding apparatus is in the magnetic field generation state or in the magnetic field shielded state can be identified.
Subsequently, a third embodiment of the present invention will be explained.
As shown in
During the transition from the magnetic field generation state to the magnetic field shielded state, the magnetic field state change driving unit 252 (see
It should be noted that, during the transition from the magnetic field generation state to the magnetic field shielded state, the relative relationship with respect to the permanent magnets 41b, 42b may be changed by rotating the permanent magnets 41a, 42a instead of rotating the permanent magnets 41b, 42b.
Modification 3-1
In a modification of the third embodiment, when the magnetic field generation unit 40 as shown in
Modification 3-2
Like modification 2, another modification of the third embodiment may be configured such that the magnetic field state identifying unit 26 may be constituted by a sensor for detecting the force between the permanent magnets 41a, 41b or between the permanent magnets 42a, 42b (the magnetic attraction or the magnetic repulsive force).
Subsequently, a fourth embodiment of the present invention will be explained.
As shown in
During the transition from the magnetic field generation state to the magnetic field shielded state, the magnetic field state change driving unit 252 (see
It should be noted that, in the fourth embodiment, the same effects can be obtained even if a permanent magnet of which magnetization direction is specified is used instead of the magnetic shield member 52.
Subsequently, a fifth embodiment of the present invention will be explained.
On the lower surface of the subject lie-down unit 61a, a rail extending in the height direction of the subject 101 (the horizontal direction in
When the guiding apparatus 60 is changed into the magnetic field shielded state, the control unit 27 cooperates with the magnetic field state change driving unit 252 to operate the bed driving unit 62, and as illustrated in
According to the fifth embodiment explained above, when the guiding apparatus 60 is changed into the magnetic field shielded state, the effect exerted on the capsule-type endoscope 10 by the magnetic field generated by the magnetic field generation unit 251 can be further reduced.
It should be noted that the configuration of the bed 61 and the bed driving unit 62 explained in the fifth embodiment may be provided in the guiding apparatus according to the second to fourth embodiments.
As explained above, according to the first to fifth embodiments and the modifications thereof, in the magnetic field generation apparatus using the permanent magnets to generate the guiding-magnetic field for guiding the capsule medical device introduced into the subject, the relative relationship of a plurality of permanent magnets is changed with the switching unit to switch the first state in which the plurality of permanent magnets generate the guiding-magnetic field in the predetermined region and the second state in which the plurality of permanent magnets do not generate the guiding-magnetic field in the region, and therefore, the small magnetic field generation apparatus capable of shielding the magnetic field with desired timing can be realized, and further, the capsule medical device guiding system having the magnetic field generation apparatus can be realized.
The embodiments explained above are merely examples for carrying out the present invention, and the present invention is not limited thereto. In the present invention, various inventions can be generated by combining, as necessary, a plurality of constituent elements disclosed in each embodiment and modification. The present invention can be changed in various manners in accordance with specifications and the like, and further, it is understood from the above description that various other embodiments can be made within the scope of the present invention.
Additional advantages and modifications will readily occur to those skilled in the art. Therefore, the invention in its broader aspects is not limited to the specific details and representative embodiments shown and described herein. Accordingly, various modifications may be made without departing from the spirit or scope of the general inventive concept as defined by the appended claims and their equivalents.
Number | Date | Country | Kind |
---|---|---|---|
2012-106331 | May 2012 | JP | national |
This application is a continuation of PCT international application Ser. No. PCT/JP2013/062727 filed on May 1, 2013 which designates the United States, incorporated herein by reference, and which claims the benefit of priority from Japanese Patent Applications No. 2012-106331, filed on May 7, 2012, incorporated herein by reference.
Number | Date | Country | |
---|---|---|---|
Parent | PCT/JP2013/062727 | May 2013 | US |
Child | 14083686 | US |