JP6928089B2 - 可変照明開口数を有する照明付き手術用プローブ - Google Patents
可変照明開口数を有する照明付き手術用プローブ Download PDFInfo
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- JP6928089B2 JP6928089B2 JP2019530145A JP2019530145A JP6928089B2 JP 6928089 B2 JP6928089 B2 JP 6928089B2 JP 2019530145 A JP2019530145 A JP 2019530145A JP 2019530145 A JP2019530145 A JP 2019530145A JP 6928089 B2 JP6928089 B2 JP 6928089B2
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- light
- numerical aperture
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- surgical probe
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F9/009—Auxiliary devices making contact with the eyeball and coupling in laser light, e.g. goniolenses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/00736—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
- A61B2090/306—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/0008—Apparatus for testing the eyes; Instruments for examining the eyes provided with illuminating means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
- A61B3/13—Ophthalmic microscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00861—Methods or devices for eye surgery using laser adapted for treatment at a particular location
- A61F2009/00874—Vitreous
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F9/00825—Methods or devices for eye surgery using laser for photodisruption
- A61F9/0084—Laser features or special beam parameters therefor
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- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Physics & Mathematics (AREA)
- Optics & Photonics (AREA)
- Laser Surgery Devices (AREA)
Description
例示的な実施形態は、プローブニードルを有する手術用プローブと、プローブニードルに組み込まれた光ファイバであって、光ファイバの近位端が光源に接続され、光ファイバの遠位端がプローブニードルの先端を通じて光源からの照明光を投射する光ファイバと、硝子体の可視化を容易にする第一の開口数を有する第一のビームと背景照明を容易にする第二の開口数を有する第二のビームとの間で照明光を変化させる調整機構であって、第二の開口数は第一の開口数より大きい調整機構と、を含む手術用プローブシステムのための方法とシステムを提供する。
Claims (9)
- プローブニードルを有する手術用プローブと、
前記プローブニードルに組み込まれた光ファイバであって、前記光ファイバの近位端が光源に接続され、前記光ファイバの遠位端が前記プローブニードルの先端を通じて前記光源からの照明光を投射する光ファイバと、
硝子体の可視化を容易にする第一の開口数を有する第一のビームと背景照明を容易にする第二の開口数を有する第二のビームとの間で前記照明光を変化させる調整機構であって、前記第二の開口数は前記第一の開口数より大きい調整機構であって、前記第一のビームはナロービームを含み、前記第二のビームはワイドビームを含む、調整機構と、
を含む手術用プローブシステムであって、
該手術用プローブシステムは更に、
手術中に前記プローブニードルと網膜との間の近接又は距離を検出する網膜近接検出センサと、
前記網膜近接センサから受信した網膜近接検出信号に基づいて前記調整機構を制御するように構成されたプロセッサであって、前記プローブニードルが網膜からの第一の所定の距離より離れて配置されているときに前記第一のビームに切り替え、前記プローブニードルが網膜からの第二の所定の距離未満に配置されているときに前記第二のビームに切り替えるプロセッサと、
を含む手術用プローブシステム。 - 前記調整機構は、前記光源から前記光ファイバの近位端への前記照明光の発射角度を変化させることにより、前記照明光を前記第一及び第二のビームとの間で変化させる、請求項1に記載の手術用プローブシステム。
- 前記第一の開口数は約0.3以下の数値を有し、前記第二の開口数は約0.4より大きい数値を有する、請求項1に記載の手術用プローブシステム。
- 前記調整機構は、前記光源に組み込まれた、レーザ光を前記ファイバに集光させる1つ又は複数のレンズを含む、請求項1に記載の手術用プローブシステム。
- 前記調整機構は、前記照明光の、前記光ファイバに到達する前の経路内に設置された、前記照明光を発散させ、前記照明光の角度成分を変化させるための1つ又は複数の光学素子を含む、請求項1に記載の手術用プローブシステム。
- 前記プロセッサは、前記手術用プローブが接続されたコンソールで入力されたコマンド、及び前記手術用プローブ上のスイッチで入力されたコマンドに基づいて調整機構を制御するようにさらに構成されている、請求項1に記載の手術用プローブシステム。
- 前記調整機構は、光をそれぞれ異なる開口数で出力するように構成されている異なる二組の光学素子の間で光路を切り替えることによって、前記第一のビームと前記第二のビームとの間で前記照明光を変化させる、請求項1に記載の手術用プローブシステム。
- 前記調整機構は、白色光が前記第一のビームに使用されるとともに前記第二のビームから光の周波数の一部がフィルタにより除去されるように、光のタイプを変化させるようにさらに構成されている、請求項1に記載の手術用プローブシステム。
- 前記調整機構は、前記第一のビームよりも前記第二のビームに低い強度の光が使用されるように光の強度を変化させるようにさらに構成されている、請求項1に記載の手術用プローブシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201662434516P | 2016-12-15 | 2016-12-15 | |
US62/434,516 | 2016-12-15 | ||
PCT/IB2017/057140 WO2018109580A1 (en) | 2016-12-15 | 2017-11-15 | Illuminated surgical probe having a variable illumination numerical aperture |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2020500624A JP2020500624A (ja) | 2020-01-16 |
JP6928089B2 true JP6928089B2 (ja) | 2021-09-01 |
Family
ID=60629757
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2019530145A Active JP6928089B2 (ja) | 2016-12-15 | 2017-11-15 | 可変照明開口数を有する照明付き手術用プローブ |
Country Status (7)
Country | Link |
---|---|
US (1) | US10758419B2 (ja) |
EP (1) | EP3554434B1 (ja) |
JP (1) | JP6928089B2 (ja) |
CN (1) | CN110072496A (ja) |
AU (1) | AU2017376763A1 (ja) |
CA (1) | CA3043796A1 (ja) |
WO (1) | WO2018109580A1 (ja) |
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-
2017
- 2017-11-15 AU AU2017376763A patent/AU2017376763A1/en not_active Abandoned
- 2017-11-15 JP JP2019530145A patent/JP6928089B2/ja active Active
- 2017-11-15 CA CA3043796A patent/CA3043796A1/en not_active Abandoned
- 2017-11-15 EP EP17811714.9A patent/EP3554434B1/en active Active
- 2017-11-15 US US15/813,472 patent/US10758419B2/en active Active
- 2017-11-15 CN CN201780077408.0A patent/CN110072496A/zh active Pending
- 2017-11-15 WO PCT/IB2017/057140 patent/WO2018109580A1/en unknown
Also Published As
Publication number | Publication date |
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EP3554434B1 (en) | 2021-08-11 |
AU2017376763A1 (en) | 2019-05-23 |
US20180168861A1 (en) | 2018-06-21 |
WO2018109580A1 (en) | 2018-06-21 |
JP2020500624A (ja) | 2020-01-16 |
EP3554434A1 (en) | 2019-10-23 |
CA3043796A1 (en) | 2018-06-21 |
CN110072496A (zh) | 2019-07-30 |
US10758419B2 (en) | 2020-09-01 |
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