磁外科器械结构规划原则及相关思考  

Principles and thoughts of magnetic surgical instrument structure planning

作　　者：王越[1,2,3] 李艳 汤博[4] 刘亚雄 史爱华[2,3] 寇博[6] 吕毅 Yue Wang;Yan Li;Bo Tang;Yaxiong Liu;Aihua Shi;Bo Kou;Yi Lü(Department of Hepatobiliary Surgery,the First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China;National Local Joint Engineering Research Center for Precision Surgery&Regenerative Medicine,the First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China;Shaanxi Provincial Center for Regenerative Medicine and Surgical Engineering,the First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China;Xi’an Magnetic Medical Technology Co.,Ltd.,Xi’an 710061,China;State Key Laboratory for Manufacturing Systems Engineering,Xi’an Jiaotong University,Xi’an 710049,China;Department of Otorhinolaryngology-Head and Neck Surgery,the First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China)

机构地区：[1]西安交通大学第一附属医院肝胆外科,西安710061 [2]西安交通大学第一附属医院精准外科与再生医学国家地方联合工程研究中心,西安710061 [3]西安交通大学第一附属医院陕西省再生医学与外科工程研究中心,西安710061 [4]西安迈格纳特医疗科技有限公司,西安710061 [5]西安交通大学机械制造系统工程国家重点实验室,西安710049 [6]西安交通大学第一附属医院耳鼻咽喉头颈外科,西安710061

出　　处：《科学通报》2020年第13期1213-1223,共11页Chinese Science Bulletin

基　　金：国家自然科学基金(81470896,81700545,30830099,81127005,51275387);陕西省自然科学基础研究计划(2017JQ8021);陕西省科技资源开放共享平台(S2016TFPT0024)资助。

摘　　要：自20世纪70年代第一个磁外科器械出现以来,在随后的近50年里,磁外科器械取得了巨大的发展,解决了一系列复杂的临床问题,进一步优化了传统手术方式. Levita和LINX等具有代表性的磁外科器械相关成果发表于行业顶尖期刊,在外科学界及理工科学界产生了深远的影响.经各行业专家总结相关理论和应用体系,逐渐形成了一门学科——磁外科学,这是外科学的一个重要分支.近年来,在磁外科(磁外科)理论体系的指导下,磁外科更是取得了蓬勃的发展,各种极具创新性的磁外科器械层出不穷.但不容忽视的是,磁外科发展将会不断遇到重重阻碍.由于磁外科是一门交叉学科,需要外科学与理工科学进行深度融合.在此过程中,难免因为双方信息不匹配而延误磁外科的发展,最为代表性的问题便是如何对磁性器械进行合理、有效的结构规划这一磁外科最基本的问题.因此,本文将对磁外科器械结构规划的原则展开讨论,总结过去磁外科器械结构规划中所遇到的问题,并提出解决相应问题的潜在方法.Since the first magnetic surgical instrument appeared in the 1970 s, magnetic surgical instruments have made great progress in the following 50 years. They solved a series of complex clinical problems, and optimized traditional surgical methods.The master works of magnetic surgical instruments, such as Levita and LINX, were published in the top journals, and made a profound impact on the surgical and scientific communities. After the magnetic surgery theories and its application systems raised by experts in surgical and engineering fields, magnetic surgery gradually becomes an important branch of surgery. In recent years, under the guidance of the magnetic surgery theory system, magnetic surgery has achieved vigorous development. A variety of highly innovative magnetic surgical instruments have emerged endlessly. However, it cannot be ignored that with the development of magnetic surgery, there will still be many obstacles in the future. Because magnetic surgery is an interdisciplinary discipline, it requires a deep integration of surgery and engineering. The most representative problem is how to make reasonable and effective structural planning of magnetic instruments. This is the most basic problem of magnetic surgery. Therefore, this article will discuss the principles of magnetic surgical instrument structure planning, summarize the problems encountered in the past, and propose potential solutions to the corresponding problems.In the early stage of the development of magnetic surgery, due to lack of experience and theoretical guidance, the irrational design of magnetic surgical instruments was common. The following four principles of structural design of magnetic surgical instruments could not be followed: Magnetic force to meet the function, safety without damage, minimum volume,and optimized shape. As a result, some magnetic surgical instruments failed to fully utilize their unique advantages, and even caused damage to patients, which greatly limits the promotion of magnetic surgery. The author concluded th

关 键 词：磁外科 永磁 软磁 电磁 电控永磁 

分 类 号：TH77[机械工程—仪器科学与技术]