TWI758959B - Ophthalmic laser apparatus - Google Patents

Ophthalmic laser apparatus Download PDF

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TWI758959B
TWI758959B TW109140368A TW109140368A TWI758959B TW I758959 B TWI758959 B TW I758959B TW 109140368 A TW109140368 A TW 109140368A TW 109140368 A TW109140368 A TW 109140368A TW I758959 B TWI758959 B TW I758959B
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laser
patient
eye
applicator
cabinet
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TW109140368A
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TW202220630A (en
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黃承好
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艾克夏醫療儀器股份有限公司
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Priority to CN202110093763.5A priority patent/CN114515223A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F9/00Methods 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
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories

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  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Ophthalmology & Optometry (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
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  • Optics & Photonics (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Laser Surgery Devices (AREA)

Abstract

The present invention relates to an ophthalmic laser apparatus, including: a first cabinet; a second cabinet provided separately from the first cabinet; a laser beam source disposed in the first cabinet for producing a laser beam; an orientating device provided on the second cabinet for orientating a patient’s eyes; a laser scan applying device provided on the second cabinet and configured to be moved responsive to an orientation result and thereby to be aimed at the patient’s eyes; a driving device provided on the second cabinet for separately driving the orientating device and the laser scan applying device into movement; a beam guidance device provided between the laser beam source and the laser scan applying device for redirecting the laser beam toward the laser scan applying device; and a controller provided in the first cabinet, the controller electrically connected to and thereby controlling the laser beam source, the driving device, and the laser scan applying device. The laser scan applying device converts the laser beam redirected from the beam guidance device into a substantially parallel laser beam so that the substantially parallel laser beam can be applied to the patient’s eyes.

Description

雷射眼科設備 Laser Ophthalmology Equipment

本發明關於一種雷射眼科設備。 The present invention relates to a laser ophthalmology device.

在眼睛的構造中,大約有三分之二的屈光度是由角膜前表面的曲率來決定的,因此,可藉由改變角膜的形狀來顯著地改善或消除眼睛的屈光不正。角膜為一種多層構造的薄膜,其前表面及後表面為幾乎同心的,且具有約0.5至0.6毫米的中心厚度、以及約0.6至0.8毫米的邊緣厚度。角膜的多層構造從前表面到後表面依序為上皮細胞層(Epithelium)、前彈力層(Bowman)、基質層(Stroma)、後彈力層(Descemet)、及內皮細胞層(Endothelium)。上皮細胞層的中心厚度約為70μm,且前彈力層的厚度約為12μm。基質層的厚度約占角膜總厚度的90%(約500μm),且主要由規則排列的膠原纖維和相互連接的角膜細胞所組成。內皮細胞層由一層六角形扁平細胞所構成。 In the structure of the eye, about two-thirds of the refractive power is determined by the curvature of the anterior surface of the cornea, therefore, the refractive error of the eye can be significantly improved or eliminated by changing the shape of the cornea. The cornea is a multi-layered constructed film, the anterior and posterior surfaces of which are nearly concentric, and have a central thickness of about 0.5 to 0.6 millimeters, and a peripheral thickness of about 0.6 to 0.8 millimeters. The multi-layered structure of the cornea consists of Epithelium, Bowman, Stroma, Descemet, and Endothelium in order from the anterior surface to the posterior surface. The central thickness of the epithelial cell layer is about 70 μm, and the thickness of the proelastic layer is about 12 μm. The thickness of the stromal layer accounts for about 90% of the total thickness of the cornea (about 500 μm), and is mainly composed of regularly arranged collagen fibers and interconnected corneal cells. The endothelial cell layer consists of a layer of hexagonal flat cells.

基於上面所說明的角膜構造,由於角膜的基質層具有足夠的厚度,為了矯正的目的,可切除基質層的前部分以改變其輪廓,進而改變眼睛的屈光度,同時保留大部分的基質組織。 Based on the corneal architecture described above, since the stromal layer of the cornea has sufficient thickness, for corrective purposes, the anterior portion of the stromal layer can be resected to change its contour, thereby changing the power of the eye, while preserving most of the stromal tissue.

各種雷射被廣泛地應用於眼科手術中,例如,青光眼、白內障、屈光手術等。例如,紫外光(UV)雷射被用於屈光手術(或角膜重塑術)中,其中,紫外光雷射的例子包括193nm的準分子雷射、五次諧波(213nm)的釹雅各雷射(Neodymium-Yttrium Aluminum Garnet;Nd-YAG laser)等。具體而言,這些紫外 光雷射被廣泛地運用於雷射屈光角膜切削術(PRK)、以及雷射原位層狀角膜塑形術(LASIK)等,其均利用雷射光切削角膜組織以改變其曲率,進而達到改變眼睛的屈光度(矯正視力)的效果。 Various lasers are widely used in ophthalmic surgery, such as glaucoma, cataract, refractive surgery, etc. For example, ultraviolet (UV) lasers are used in refractive surgery (or corneal reshaping), where examples of UV lasers include 193 nm excimer lasers, fifth harmonic (213 nm) neodymium lasers Various lasers (Neodymium-Yttrium Aluminum Garnet; Nd-YAG laser), etc. Specifically, these UV Light lasers are widely used in laser refractive keratectomy (PRK) and laser in situ lamellar orthokeratology (LASIK). The effect of changing the diopter of the eye (correcting vision).

目前市面上用於執行LASIK的雷射眼科設備都具有類似的設計,其都是藉由移動患者所在的手術台來使患者眼睛的視軸對準雷射光束。具體而言,患者會躺在可沿著XYZ軸精密地移動的手術台上,藉由此手術台使患者(亦即,其角膜的表面)移動,直到角膜的表面到達雷射眼科設備中的顯微鏡的聚焦點為止,並接著設置雷射光束傳輸路徑。在雷射眼科設備中,由於設置有雷射光源的主機櫃的體積相當龐大且移動不便,通常會透過光學系統來傳遞雷射光束,使雷射光束在經過光學系統之後在顯微鏡下方被轉向為向下方向,以對齊顯微鏡的光軸。在這種雷射眼科設備的使用過程中,為了使患者眼睛的視軸對準雷射光束,需要不斷地移動患者所在的手術台,在這樣的情況下,由於手術台的體積較為龐大,容易造成操作者(例如,醫生或手術助理)使用上的不方便,並欠缺操作上的靈活性。 The laser ophthalmic devices currently on the market for performing LASIK all have a similar design, in which the optical axis of the patient's eye is aligned with the laser beam by moving the patient's operating table. Specifically, the patient will lie on an operating table that is precisely movable along the XYZ axes, by which the patient (ie, the surface of his cornea) is moved until the surface of the cornea reaches the surface of the laser ophthalmology device. the focus point of the microscope, and then set the laser beam transmission path. In the laser ophthalmology equipment, because the main cabinet with the laser light source is quite bulky and inconvenient to move, the laser beam is usually transmitted through the optical system, so that the laser beam is turned under the microscope after passing through the optical system. Downward orientation to align the optical axis of the microscope. During the use of this laser ophthalmic equipment, in order to align the visual axis of the patient's eyes with the laser beam, it is necessary to constantly move the operating table where the patient is located. It is inconvenient for operators (eg, doctors or surgical assistants) to use and lacks operational flexibility.

另外,在傳統的雷射眼科設備中,如第五B圖所示,雷射束L1’~L3’在入射到患者的眼睛E時,由於中間和周圍位置之入射角度差異大,因此必須給予相應的光學補償,避免過大的入射角度差異對雷射眼科手術的進行造成不利的影響。 In addition, in the conventional laser ophthalmic equipment, as shown in Fig. 5B, when the laser beams L1'~L3' are incident on the patient's eye E, due to the large difference in the incident angle between the middle and the surrounding positions, it must be given Corresponding optical compensation avoids adverse effects on laser eye surgery due to excessive incident angle differences.

本發明的目的在於提供一種兼具使用上的便利性和操作上的靈活性的雷射眼科設備。具體而言,相較於傳統的雷射眼科設備是藉由使患者移動來達成兩者之間的對準,本發明所提供的雷射眼科設備是藉由分別將雷射眼科 設備的組成構件設置在不同的機櫃中並使其中的雷射掃描施用裝置相對於患者的眼睛移動,來達成兩者之間的對準,在這樣的情況下,由於不需要移動體積龐大的手術台(亦即,移動患者),而是僅使設置在其中一個機櫃的雷射掃描施用裝置相對於患者移動,本發明的雷射眼科設備在進行雷射眼科手術的過程中,可同時提供操作者使用上的便利性以及提升操作上的靈活性。此外,本發明所提供的雷射眼科設備在雷射束入射患者的眼睛前,可先將其轉換成大致平行的雷射束,而無需針對入射角度不同的雷射束進行額外的光學補償,即可避免對雷射眼科手術的進行造成不利的影響。 The purpose of the present invention is to provide a laser ophthalmic device with both convenience in use and flexibility in operation. Specifically, compared with the traditional laser ophthalmology device which achieves alignment between the two by moving the patient, the laser ophthalmology device provided by the present invention achieves the alignment between the two by moving the laser ophthalmology device separately. The components of the device are placed in separate cabinets and the laser scanning applicator therein is moved relative to the patient's eye to achieve alignment between the two, in which case there is no need to move the bulky procedure Instead of moving the patient table (that is, moving the patient), but only moving the laser scanning applicator disposed in one of the cabinets relative to the patient, the laser ophthalmic device of the present invention can simultaneously provide operation during laser eye surgery. User convenience and improved operational flexibility. In addition, the laser ophthalmic device provided by the present invention can convert the laser beam into a substantially parallel laser beam before the laser beam enters the patient's eyes, without additional optical compensation for laser beams with different incident angles. This can avoid adverse effects on the performance of laser eye surgery.

根據本發明所提供之雷射眼科設備,包括第一機櫃;與第一機櫃分開地設置的第二機櫃;雷射光源,設置在第一機櫃中,且配置為產生雷射束;定位裝置,設置在第二機櫃上,且配置來定位患者的眼睛的位置;雷射掃描施用裝置,設置在第二機櫃上,且配置為基於定位裝置的定位結果而被移動以對準患者的眼睛;驅動裝置,設置在第二機櫃中,且配置為分別驅動定位裝置及雷射掃描施用裝置,使其沿著X方向、Y方向及Z方向移動;光引導裝置,設置在雷射光源與雷射掃描施用裝置之間,且配置為將雷射光源產生的雷射束引導朝向雷射掃描施用裝置;以及控制器,設置在第一機櫃中,且配置為電性地連接並控制雷射光源、驅動裝置、及雷射掃描施用裝置,其中,雷射掃描施用裝置配置為將來自光引導裝置的雷射束轉換成大致平行的雷射束,並將大致平行的雷射束施加到患者的眼睛。 The laser ophthalmic equipment provided according to the present invention includes a first cabinet; a second cabinet provided separately from the first cabinet; a laser light source, which is arranged in the first cabinet and configured to generate a laser beam; a positioning device, disposed on the second cabinet and configured to locate the position of the patient's eye; a laser scanning applicator disposed on the second cabinet and configured to be moved to align the patient's eye based on the positioning result of the positioning device; actuated The device is arranged in the second cabinet and is configured to drive the positioning device and the laser scanning application device respectively to move along the X direction, the Y direction and the Z direction; the light guiding device is arranged between the laser light source and the laser scanning device between the applicators and configured to direct a laser beam generated by the laser light source toward the laser scanning applicator; and a controller disposed in the first cabinet and configured to electrically connect and control the laser light source, drive A device, and a laser scanning applicator, wherein the laser scanning applicator is configured to convert a laser beam from a light directing device into a substantially parallel laser beam and apply the substantially parallel laser beam to a patient's eye.

藉由本發明上述的雷射眼科設備,由於雷射眼科設備與患者的眼睛之間的對準僅藉由使設置在第二機櫃的雷射掃描施用裝置移動來達成,而不需要相對於雷射眼科設備移動患者的位置(亦即,不需要一再地移動患者所在之 體積龐大的手術台),在操作雷射眼科設備進行雷射眼科手術的過程中,根據本發明的雷射眼科設備在使用上較為便利,且更可靈活地使雷射掃描施用裝置移動到對準患者的眼睛的位置處,以利於用更高的精準度進行雷射眼科手術。 With the above-mentioned laser ophthalmic device of the present invention, since the alignment between the laser ophthalmic device and the patient's eye is achieved only by moving the laser scanning applicator disposed in the second cabinet, it does not need to be relative to the laser The ophthalmic device moves the patient's position (that is, does not need to move the patient In the process of operating the laser ophthalmic equipment for laser ophthalmic surgery, the laser ophthalmic equipment according to the present invention is more convenient to use, and can more flexibly move the laser scanning applicator to the opposite The exact position of the patient's eye to facilitate laser eye surgery with greater precision.

1:雷射眼科設備 1: Laser ophthalmic equipment

2:第一機櫃 2: The first cabinet

3:第二機櫃 3: Second cabinet

4:雷射光源 4: Laser light source

5:定位裝置 5: Positioning device

6:雷射掃描施用裝置 6: Laser scanning applicator

7:驅動裝置 7: Drive device

8:光引導裝置 8: Light guide device

9:控制器 9: Controller

60:眼追蹤系統 60: Eye Tracking System

62:掃描器 62: Scanner

63:透鏡 63: Lens

64:反射鏡 64: Reflector

80:導光模組 80: Light guide module

81:導光臂 81: light guide arm

100:使用者介面 100: User Interface

200:開關 200: switch

300:手術台 300: Operating table

400:操縱桿 400: Joystick

E:眼睛 E: eyes

L:雷射束 L: laser beam

L1~L3:雷射束 L1~L3: Laser beam

L1’~L3’:雷射束 L1'~L3': Laser beam

參照以下詳細說明,特別是當結合所附圖式來考量時,本發明之更完整的理解及其許多附帶的優點將變得容易理解,其中:[第一圖]為根據本發明的實施例之雷射眼科設備的立體示意圖。 A more complete understanding of the present invention and its many attendant advantages will become readily apparent with reference to the following detailed description, especially when considered in conjunction with the accompanying drawings, in which: [FIGURE 1] is an embodiment according to the present invention Three-dimensional schematic diagram of the laser ophthalmology equipment.

[第二圖]為根據本發明的實施例的雷射眼科設備從另一個角度觀看之立體示意圖。 [Fig. 2] is a perspective view of the laser ophthalmic device according to an embodiment of the present invention viewed from another angle.

[第三圖]為根據本發明的實施例之雷射眼科設備的方塊圖。 [FIG. 3] is a block diagram of a laser ophthalmic device according to an embodiment of the present invention.

[第四圖]顯示雷射束通過根據本發明的實施例之雷射眼科設備的雷射掃描施用裝置時的行進路徑之示意圖。 [FIG. 4] A schematic diagram showing a travel path of a laser beam when passing through a laser scanning applicator of a laser ophthalmic apparatus according to an embodiment of the present invention.

[第五A圖]為本發明採用大致平行的雷射束施加到患者的眼睛的示意圖。 [FIG. 5 A] is a schematic diagram of the present invention using substantially parallel laser beams applied to a patient's eye.

[第五B圖]為傳統採用非平行的雷射束施加到患者的眼睛的示意圖。 [FIG. 5 B] is a schematic diagram of a conventional non-parallel laser beam applied to the patient's eye.

將在下文中參照所附圖式描述本發明的實施例。 Embodiments of the present invention will hereinafter be described with reference to the accompanying drawings.

第一圖至第三圖顯示根據本發明的實施例之雷射眼科設備1。第一圖及第二圖為根據本發明的實施例的雷射眼科設備1分別從兩個不同的角度觀看之立體示意圖,且第三圖為根據本發明的實施例之雷射眼科設備1的方塊示意圖。 The first to third figures show a laser ophthalmic apparatus 1 according to an embodiment of the present invention. The first and second figures are three-dimensional schematic views of the laser ophthalmic device 1 according to the embodiment of the present invention viewed from two different angles, and the third figure is the laser ophthalmic device 1 according to the embodiment of the present invention. Block diagram.

如第一圖及第二圖所示,根據本發明之雷射眼科設備1包括第一機櫃2和與第一機櫃2分開地設置的第二機櫃3。較佳地,為了方便調整雷射眼科設備1的位置使其更符合操作者的需求,第一機櫃2和第二機櫃3均被設計為可在地面上移動的,例如,第一機櫃2和第二機櫃3分別具備各自的輪子,以便於在地面上移動。另一方面,第一機櫃2和第二機櫃3的最大長度(或寬度)僅有70公分,而能夠順利地進入大多數的電梯,對於根據本發明的雷射眼科設備1的運送是更為有利的。 As shown in the first and second figures, the laser ophthalmic equipment 1 according to the present invention includes a first cabinet 2 and a second cabinet 3 provided separately from the first cabinet 2 . Preferably, in order to easily adjust the position of the laser ophthalmic device 1 to make it more suitable for the operator's needs, the first cabinet 2 and the second cabinet 3 are both designed to be movable on the ground, for example, the first cabinet 2 and the second cabinet 3 are designed to be movable on the ground. The second cabinets 3 are provided with their own wheels to facilitate movement on the ground. On the other hand, the maximum length (or width) of the first cabinet 2 and the second cabinet 3 is only 70 cm, and they can enter most elevators smoothly, which is more convenient for the transportation of the laser ophthalmic equipment 1 according to the present invention. advantageous.

如第一圖至第三圖所示,在第一機櫃2中設置有雷射光源4及控制器9,而在第二機櫃3上設置有定位裝置5、雷射掃描施用裝置6、以及配置為分別驅動定位裝置5及雷射掃描施用裝置6使其能夠沿著X方向、Y方向及Z方向移動的驅動裝置7。要進一步說明的是,驅動裝置7可為,例如但不限於,藉由馬達驅動之線性滑軌;或者藉由馬達驅動之使用多關節的機械手臂,而上述定位裝置5及雷射掃描施用裝置6則分別裝設於此線性滑軌或不同的機械手臂上(應理解的是,上述驅動裝置的驅動方式為本領域技術人士所熟知的技術,本實施例及圖式中不再詳述其作動方式)。 As shown in the first to third figures, the first cabinet 2 is provided with a laser light source 4 and a controller 9, and the second cabinet 3 is provided with a positioning device 5, a laser scanning application device 6, and a configuration The driving device 7 is to drive the positioning device 5 and the laser scanning applicator 6 to move along the X direction, the Y direction and the Z direction, respectively. To be further illustrated, the driving device 7 can be, for example, but not limited to, a linear slide rail driven by a motor; or a multi-joint robotic arm driven by a motor, and the positioning device 5 and the laser scanning applicator described above are 6 are respectively installed on this linear slide rail or on a different mechanical arm (it should be understood that the driving method of the above-mentioned driving device is a technology well known to those skilled in the art, and will not be described in detail in this embodiment and the drawings. mode of action).

雷射光源4配置為產生雷射束L,例如,準分子雷射束,藉由此準分子雷射束,可對患者的眼睛E進行雷射眼科手術,例如,LASIK手術。 The laser light source 4 is configured to generate a laser beam L, eg, an excimer laser beam, by means of which laser eye surgery, eg, LASIK surgery, can be performed on the patient's eye E.

此外,雷射眼科設備1還包括光引導裝置8,其被設置在雷射光源4與雷射掃描施用裝置6之間,且配置為將來自雷射光源4的雷射束L引導朝向雷射掃描施用裝置6。具體而言,光引導裝置8包括導光模組80及導光臂81,導光模組80被設置在第一機櫃2中,且導光臂81連接第一機櫃2中的導光模組80與設置在第二機櫃3上的雷射掃描施用裝置6。換言之,第一機櫃2與第二機櫃3藉由導光 臂81(其連接第一機櫃2中的導光模組80與第二機櫃3上的雷射掃描施用裝置6)而被相互連接。 Furthermore, the laser ophthalmic apparatus 1 further comprises a light guiding device 8 which is arranged between the laser light source 4 and the laser scanning applicator 6 and is configured to guide the laser beam L from the laser light source 4 towards the laser Scan applicator 6 . Specifically, the light guide device 8 includes a light guide module 80 and a light guide arm 81 , the light guide module 80 is arranged in the first cabinet 2 , and the light guide arm 81 is connected to the light guide module in the first cabinet 2 80 and the laser scanning applicator 6 arranged on the second cabinet 3 . In other words, the first cabinet 2 and the second cabinet 3 are guided by the light The arms 81, which connect the light guide module 80 in the first cabinet 2 and the laser scanning applicator 6 on the second cabinet 3, are connected to each other.

定位裝置5配置為在驅動裝置5的驅動下沿著X方向、Y方向及Z方向移動,以定位患者的眼睛E的位置。在本發明的實施例中,定位裝置5包括顯微鏡和來自定位光源的定位光束(圖中未示),顯微鏡藉由定位光束來定位患者的眼睛E的位置。 The positioning device 5 is configured to move in the X, Y, and Z directions under the driving of the driving device 5 to locate the position of the patient's eye E. In the embodiment of the present invention, the positioning device 5 includes a microscope and a positioning light beam (not shown in the figure) from a positioning light source, and the microscope positions the position of the patient's eye E by the positioning light beam.

雷射掃描施用裝置6配置為基於定位裝置5的定位結果而在驅動裝置5的驅動下沿著X方向、Y方向及Z方向移動,以對準患者的眼睛E並對患者的眼睛E施加雷射束L。關於定位裝置5及雷射掃描施用裝置6的移動,將在後面的說明中詳細描述,此處暫不贅述。 The laser scanning applicator 6 is configured to move along the X direction, the Y direction, and the Z direction under the driving of the driving device 5 based on the positioning result of the positioning device 5 to align the patient's eye E and apply a laser to the patient's eye E. beam L. The movement of the positioning device 5 and the laser scanning applicator 6 will be described in detail in the following description, and will not be repeated here.

控制器9配置為電性地連接並控制雷射眼科設備1的各個部件。在根據本發明的雷射眼科設備1中,控制器9電性地連接並控制雷射光源4、驅動裝置7、及雷射掃描施用裝置6。 The controller 9 is configured to electrically connect and control various components of the laser ophthalmic apparatus 1 . In the laser ophthalmic apparatus 1 according to the present invention, the controller 9 electrically connects and controls the laser light source 4 , the driving device 7 , and the laser scanning applicator 6 .

進一步言之,控制器9包括儲存裝置,其當中儲存有與雷射眼科設備1執行雷射眼科手術所需的相關資訊。舉例而言,這些相關資訊包括欲對患者的眼睛E施加的雷射束L所應具備的密度、所應遵循的路徑等的預設資訊、以及關於雷射眼科設備1安裝定位之後的第一機櫃2、第二機櫃3、及手術台300的相對位置的預定位置資訊等等。此預定位置資訊可表示出當患者躺在手術台300上時其眼睛E所在的位置的大致範圍。 Further, the controller 9 includes a storage device, which stores relevant information required by the laser eye surgery apparatus 1 to perform laser eye surgery. For example, the relevant information includes preset information such as the density and the path that the laser beam L to be applied to the patient's eye E should have, and the first information about the laser ophthalmic device 1 after installation and positioning. Predetermined position information of the relative positions of the cabinet 2 , the second cabinet 3 , and the operating table 300 , and so on. The predetermined position information can represent the approximate range of the position of the eye E of the patient when the patient is lying on the operating table 300 .

控制器9配置為根據這些相關資訊來控制雷射光源4、驅動裝置7、及雷射掃描施用裝置6的運作。 The controller 9 is configured to control the operation of the laser light source 4 , the driving device 7 , and the laser scanning application device 6 according to the relevant information.

具體而言,控制器9配置為控制雷射光源4使其發出雷射束L,控制驅動裝置7使其依據預先儲存的預定位置資訊分別驅動定位裝置5和雷射掃描施用裝置6沿著X方向、Y方向及Z方向移動,並控制雷射掃描施用裝置6使其根據預先儲存的預設資訊對患者的眼睛E施加雷射束L。 Specifically, the controller 9 is configured to control the laser light source 4 to emit a laser beam L, and to control the driving device 7 to drive the positioning device 5 and the laser scanning applicator 6 along the X direction respectively according to the pre-stored predetermined position information. direction, Y direction and Z direction, and control the laser scanning applicator 6 to apply the laser beam L to the patient's eye E according to pre-stored preset information.

除此之外,根據本發明的雷射眼科設備1還包括與控制器9相互連接的使用者介面100及開關200。在根據本發明的實施例中,如第一圖及第二圖所示,使用者介面100包括螢幕及鍵盤,以供操作者將執行雷射眼科手術所需的相關資訊輸入到控制器9的儲存裝置中,並監控雷射眼科設備1的操作,例如,雷射掃描施用裝置6的粗調定位及細調定位等。此外,如第二圖所示,開關200較佳地為腳踏式開關,其可在使用者的操作下發出命令,經由控制器9使雷射光源4發出雷射束L。然而,本領域技術人士應能理解的是,本發明並不侷限於上述類型的使用者介面100及開關200,其他類型的使用者介面100及開關200亦能夠被使用,只要能達到上述的功能即可。 Besides, the laser ophthalmic device 1 according to the present invention further includes a user interface 100 and a switch 200 interconnected with the controller 9 . In the embodiment according to the present invention, as shown in the first and second figures, the user interface 100 includes a screen and a keyboard for the operator to input relevant information required for performing laser eye surgery into the controller 9 In the storage device, the operation of the laser ophthalmic apparatus 1 is monitored, for example, the coarse positioning and the fine positioning of the laser scanning applicator 6 and the like. In addition, as shown in the second figure, the switch 200 is preferably a foot switch, which can issue a command under the operation of the user to make the laser light source 4 emit the laser beam L through the controller 9 . However, those skilled in the art should understand that the present invention is not limited to the above-mentioned types of user interfaces 100 and switches 200, and other types of user interfaces 100 and switches 200 can also be used as long as the above-mentioned functions can be achieved That's it.

接下來,將說明操作根據本發明的實施例之雷射眼科設備1來進行雷射眼科手術的過程。 Next, the process of operating the laser ophthalmology apparatus 1 according to the embodiment of the present invention to perform laser eye surgery will be described.

首先,當患者已經躺在手術台300上之後(亦即,患者的眼睛E已處於固定的位置之後),依據控制器9中預先儲存的預定位置資訊,操作者(例如,醫生或手術助理)可透過使用者介面100經由控制器9來控制驅動裝置7,使驅動裝置7驅動定位裝置5將其移動到預定位置。當定位裝置5被移動到此預定位置之後,操作者(例如,醫生或手術助理)接著可藉由定位裝置5(亦即,顯微鏡及定位光束)對患者的眼睛E的位置進行定位。 First, after the patient has been lying on the operating table 300 (ie, after the patient's eyes E have been in a fixed position), according to the predetermined position information pre-stored in the controller 9, the operator (eg, a doctor or a surgical assistant) The driving device 7 can be controlled by the controller 9 through the user interface 100, so that the driving device 7 drives the positioning device 5 to move it to a predetermined position. After the positioning device 5 is moved to this predetermined position, an operator (eg, a doctor or surgical assistant) can then position the patient's eye E by means of the positioning device 5 (ie, microscope and positioning beam).

接著,在定位裝置5已完成對患者的眼睛E的定位之後,類似於驅動裝置7對定位裝置5的驅動,驅動裝置7會依據控制器9中預先儲存的預定位置資訊驅動雷射掃描施用裝置6將其移動到患者的眼睛E上方的預定位置(此定位亦可被稱為粗調定位)。除了依據控制器9中預先儲存的預定位置資訊的驅動之外,雷射掃描施用裝置6還可依據定位裝置5對患者的眼睛E的定位結果被進一步地移動到與患者的眼睛E更精確地對準的位置(此定位亦可被稱為細調定位)。詳而言之,此細調定位可由操作者手動地操作微調裝置(例如,第一圖及第二圖中所顯示的操縱桿400)以控制驅動裝置7驅動雷射掃描施用裝置6使其移動來達成。 Next, after the positioning device 5 has completed positioning the patient's eye E, similar to the driving device 7 driving the positioning device 5 , the driving device 7 will drive the laser scanning applicator according to the predetermined position information pre-stored in the controller 9 . 6 Move it to a predetermined position above the patient's eye E (this positioning may also be referred to as a coarse positioning). In addition to being driven according to the predetermined position information pre-stored in the controller 9, the laser scanning applicator 6 can be further moved to a more precise position with the patient's eye E according to the positioning result of the positioning device 5 on the patient's eye E. Aligned position (this positioning can also be called fine-tuned positioning). In detail, this fine adjustment position can be manually operated by the operator to the fine adjustment device (eg, the joystick 400 shown in the first and second figures) to control the driving device 7 to drive the laser scanning applicator 6 to move it to achieve.

需注意的是,在雷射掃描施用裝置6基於定位裝置5的定位結果而被移動到與患者的眼睛E對準的過程中,定位裝置5仍會持續地定位患者的眼睛E的位置,藉以持續地調整雷射掃描施用裝置6的位置,以維持定位的精準度。 It should be noted that, in the process that the laser scanning applicator 6 is moved to be aligned with the patient's eye E based on the positioning result of the positioning device 5, the positioning device 5 will continue to locate the position of the patient's eye E, thereby The position of the laser scanning applicator 6 is continuously adjusted to maintain the positioning accuracy.

在雷射掃描施用裝置6完成上述的粗調定位和細調定位之後,使用者可操作開關200發出命令,此命令透過控制器9被傳達到雷射光源4,使雷射光源4發出相應的雷射束L,且此雷射束L經由導光模組80、導光臂81傳遞到雷射掃描施用裝置6,此時,控制器9會根據控制器9中所儲存的預設資訊控制雷射掃描施用裝置6對患者的眼睛E施加雷射束L,以進行雷射眼科手術。 After the laser scanning applicator 6 completes the above-mentioned coarse adjustment positioning and fine adjustment positioning, the user can operate the switch 200 to issue a command, and the command is transmitted to the laser light source 4 through the controller 9, so that the laser light source 4 emits corresponding The laser beam L is transmitted to the laser scanning applicator 6 through the light guide module 80 and the light guide arm 81 . At this time, the controller 9 controls the controller 9 according to the preset information stored in the controller 9 The laser scanning applicator 6 applies a laser beam L to the patient's eye E for laser eye surgery.

然而,雖然雷射掃描施用裝置6經由上述的粗調定位和細調定位之後已達成與手術台300上的患者的眼睛E的對準,但在雷射眼科手術的過程中,由於患者的眼睛E仍然會有意或無意地轉動,使得其位置偏移被定位裝置5定位時的位置,在這樣的情況下,若未隨著眼睛E位置的偏移去調整雷射束L施加到患者的眼睛E的位置,將可能會在進行雷射眼科手術的過程中發生失真的問題。 However, although the laser scanning applicator 6 has achieved alignment with the patient's eye E on the operating table 300 after the above-mentioned coarse and fine positioning, during laser eye surgery, due to the patient's eye E will still be rotated intentionally or unintentionally, so that its position deviates from the position when positioned by the positioning device 5, in this case, if the laser beam L applied to the patient's eye is not adjusted with the deviation of the position of the eye E The position of E may be distorted during laser eye surgery.

因此,在根據本發明的雷射眼科設備1中,雷射掃描施用裝置6較佳地還包括眼追蹤系統60及掃描器62(參見第三圖),眼追蹤系統60可即時且不斷地再次定位(追蹤)患者的眼睛E(例如,瞳孔)的位置,且掃描器62可根據眼追蹤系統60的再次定位結果不斷地微調其中心位置,使雷射掃描施用裝置6所施加的雷射束L能夠更精確地對準患者的眼睛E。 Therefore, in the laser ophthalmic apparatus 1 according to the present invention, the laser scanning applicator 6 preferably further comprises an eye tracking system 60 and a scanner 62 (see the third figure), and the eye tracking system 60 can be instantly and continuously reapplied The position of the patient's eye E (eg, the pupil) is located (tracked), and the scanner 62 can continuously fine-tune its center position according to the repositioning results of the eye tracking system 60 so that the laser scans the laser beam applied by the applicator 6 L enables more precise alignment of the patient's eye E.

具體而言,在雷射掃描施用裝置6已被移動到對準患者的眼睛E之後,在雷射掃描施用裝置6對患者的眼睛E施加雷射束L的過程中,雷射掃描施用裝置6的眼追蹤系統60會在控制器9的控制下即時且不斷地再次定位(追蹤)患者的眼睛E(例如,瞳孔)的位置,並且,根據眼追蹤系統60的再次定位結果,控制器9控制雷射掃描施用裝置6的掃描器62使其不斷地微調其中心位置,以補償因患者的眼睛E的有意或無意移動所導致的眼睛E位置的偏移,使雷射掃描施用裝置6所施加的雷射束L更精確地即時對準患者的眼睛E,並藉由此雷射束L精確地對患者的眼睛E(例如,角膜)進行雷射眼科手術,例如,LASIK手術。如此一來,在進行雷射眼科手術的過程中,可確保不會因為患者的眼睛E位置的偏移而發生雷射切削角膜的失真問題。 Specifically, after the laser scanning applicator 6 has been moved to be aimed at the patient's eye E, the laser scanning applicator 6 is in the process of applying the laser beam L to the patient's eye E, the laser scanning applicator 6 The eye tracking system 60 relocates (tracks) the position of the patient's eye E (eg, the pupil) instantly and continuously under the control of the controller 9, and, according to the relocation result of the eye tracking system 60, the controller 9 controls The scanner 62 of the laser scanning applicator 6 makes it continuously fine-tune its center position to compensate for shifts in the position of the eye E caused by intentional or unintentional movement of the patient's eye E, so that the laser scanning applicator 6 applies The laser beam L of the is more precisely and instantly aimed at the patient's eye E, and the laser beam L is used to precisely perform laser eye surgery, such as LASIK surgery, on the patient's eye E (eg, cornea). In this way, during the laser eye surgery, it can be ensured that the distortion of the laser ablated cornea will not occur due to the deviation of the position of the patient's eye E.

接下來,參照第四圖說明雷射束L在通過雷射掃描施用裝置6時的行進路徑。 Next, the travel path of the laser beam L when passing through the laser scanning applicator 6 will be described with reference to the fourth figure.

如第四圖所示,根據本發明的雷射掃描施用裝置6較佳地還包括透鏡63及反射鏡64,其中,透鏡63在掃描器62與導光臂81之間被設置在雷射掃描施用裝置6之最遠離患者的眼睛E的遠側處,且配置為使來自光引導裝置8(第三圖)的導光臂81之雷射束L接著通過掃描器62及反射鏡64且轉換成大致平行的雷 射束(參見第五A圖中的雷射束L1~L3),此大致平行的雷射束L1~L3接著被施加朝向患者的眼睛E。 As shown in FIG. 4 , the laser scanning applicator 6 according to the present invention preferably further includes a lens 63 and a reflector 64 , wherein the lens 63 is arranged between the scanner 62 and the light guide arm 81 during the laser scanning at the distal side of the applicator 6 furthest away from the patient's eye E, and configured so that the laser beam L from the light guide arm 81 of the light guide 8 (third figure) is then passed through the scanner 62 and mirror 64 and converted into roughly parallel thunder beams (see laser beams L1-L3 in Figure 5A), the substantially parallel laser beams L1-L3 are then applied towards the eye E of the patient.

如第五A圖及第五B圖所示,相較於傳統的雷射眼科設備未將雷射束L轉換成大致平行的雷射束(參見第五B圖中的雷射束L1’~L3’),而需要對於以不同入射角度入射到患者的眼睛E之雷射束L1’~L3’(特別是針對入射到患者的眼睛E中間和周圍位置之入射角度差異最大的雷射束L1’~L3’)給予相應的光學補償,使得以不同入射角度入射到患者的眼睛E之雷射束L1’~L3’彼此之間的光學特性不要有太大的差異,避免過大的差異對雷射眼科手術的進行造成不利的影響,本發明的雷射眼科設備藉由將雷射束L轉換成大致平行的雷射束L1~L3並對患者的眼睛E施加此大致平行的雷射束L1~L3(參見第五A圖),將可有效地避免以不同入射角度入射到患者的眼睛E之雷射束L1’~L3’之間的差異對雷射眼科手術所造成的不利影響。 As shown in Fig. 5A and Fig. 5B, the laser beam L is not converted into a substantially parallel laser beam compared to the conventional laser ophthalmic equipment (see the laser beam L1'~ L3'), while the laser beams L1' to L3' incident on the patient's eye E at different incident angles (especially for the laser beam L1 with the largest difference in the incident angle between the middle and surrounding positions of the patient's eye E) are required. '~L3') to give corresponding optical compensation, so that the optical characteristics of the laser beams L1'~L3' incident on the patient's eye E at different incident angles should not be too different from each other, so as to avoid too large differences. The laser ophthalmology device of the present invention converts the laser beam L into substantially parallel laser beams L1-L3 and applies the substantially parallel laser beam L1 to the patient's eye E, which may adversely affect the performance of the ophthalmic surgery. ~L3 (see Fig. 5A), will effectively avoid the adverse effects on laser eye surgery caused by the difference between the laser beams L1'~L3' incident on the patient's eye E at different incident angles.

如第一圖至第三圖所示,此外,在本發明的雷射眼科設備1中,由於雷射掃描施用裝置6可被獨立地驅動以相對於患者的眼睛E移動到所欲的位置,相較於傳統上使得雷射眼科設備幾乎是整體地相對於患者的眼睛E移動,本發明的雷射掃描施用裝置6可被更靈活地操作或移動到較為接近患者的眼睛E的位置處,例如,本發明的雷射掃描施用裝置6較佳地可被移動到與患者的眼睛E距離約三公分的位置處。在這樣的情況下,由於患者的眼睛E與施加雷射束L的雷射掃描施用裝置6之間的距離較短,可大幅地減少雷射掃描施用裝置6所施加的雷射束L在抵達患者的眼睛E之前所受到的干擾,提升雷射眼科手術的精準度。 As shown in the first to third figures, in addition, in the laser ophthalmic apparatus 1 of the present invention, since the laser scanning applicator 6 can be independently driven to move to a desired position relative to the patient's eye E, Compared to conventionally moving the laser ophthalmic device almost entirely relative to the patient's eye E, the laser scanning applicator 6 of the present invention can be manipulated more flexibly or moved to a position closer to the patient's eye E, For example, the laser scanning applicator 6 of the present invention can preferably be moved to a position about three centimeters away from the eye E of the patient. In such a case, since the distance between the patient's eye E and the laser scanning applicator 6 applying the laser beam L is relatively short, the laser beam L applied by the laser scanning applicator 6 can be greatly reduced in reaching the The previous interference to the patient's eye E improves the precision of laser eye surgery.

綜上所述,在本發明的雷射眼科設備1中,由於對患者的眼睛E所施加的雷射束L是藉由雷射掃描施用裝置6所轉換之大致平行的雷射束L1~L3(參 見第五A圖),本發明的雷射眼科設備可有效地避免因不同入射角度入射到患者的眼睛的雷射束L1’~L3’(參見第五B圖)之間的差異所造成的不利影響,而不需要給予額外的光學補償,故而能夠達到提升雷射眼科設備1的使用效率的有利技術效果。 To sum up, in the laser ophthalmic apparatus 1 of the present invention, since the laser beam L applied to the patient's eye E is substantially parallel laser beams L1 to L3 converted by the laser scanning applicator 6 (see See Fig. 5 A), the laser ophthalmic device of the present invention can effectively avoid the laser beams L1'˜L3' (see Fig. 5 B) that are incident on the patient's eyes due to the difference between the different incident angles. It is not necessary to give additional optical compensation, so the advantageous technical effect of improving the use efficiency of the laser ophthalmic device 1 can be achieved.

此外,在本發明的雷射眼科設備1中,由於對患者的眼睛E施加雷射束L的雷射掃描施用裝置6可被獨立地驅動以相對於患者的眼睛E移動,而可被移動到距離患者的眼睛E較近的位置處,本發明的雷射眼科設備1可大幅地減少雷射掃描施用裝置6所施加的雷射束L在抵達患者的眼睛E之前所受到的干擾,故而還能夠達到提升雷射眼科手術的精準度的有利技術效果。 Furthermore, in the laser ophthalmic apparatus 1 of the present invention, since the laser scanning applicator 6 applying the laser beam L to the patient's eye E can be independently driven to move relative to the patient's eye E, it can be moved to At a position closer to the patient's eye E, the laser ophthalmic device 1 of the present invention can greatly reduce the interference of the laser beam L applied by the laser scanning applicator 6 before reaching the patient's eye E, so that the It can achieve a favorable technical effect of improving the accuracy of laser eye surgery.

最後,在本發明的雷射眼科設備1中,由於雷射眼科設備1(雷射掃描施用裝置6)與患者的眼睛E之間的對準是藉由移動雷射掃描施用裝置6來進行的,而非相對於雷射眼科設備使患者移動,操作者(亦即,醫生或手術助理)在操作雷射眼科設備1進行雷射眼科手術的過程中,只需要藉由驅動裝置7使雷射掃描施用裝置6移動到與患者的眼睛E對準的位置,而不需要一再地移動患者所在之體積相對龐大的手術台300,在操作上具備較佳的便利及靈活性,進而能夠以更高的精準度進行雷射眼科手術。 Finally, in the laser ophthalmic apparatus 1 of the present invention, since the alignment between the laser ophthalmic apparatus 1 (the laser scanning applicator 6 ) and the patient's eye E is performed by moving the laser scanning applicator 6 , instead of moving the patient relative to the laser ophthalmic device, the operator (ie, the doctor or the surgical assistant) only needs to use the driving device 7 to make the laser in the process of operating the laser ophthalmic device 1 for laser eye surgery The scanning applicator 6 is moved to the position aligned with the patient's eye E, without the need to repeatedly move the relatively bulky operating table 300 where the patient is located. precision laser eye surgery.

在本文中所描述的實施例的圖式旨在提供對於本發明的理解。換言之,圖式僅為代表性的且可能未按比例繪製。圖式中的某些比例可能被放大,而其他比例可能被縮小。據此,圖式應被視為示意性的而非限制性的。 The drawings of the embodiments described herein are intended to provide an understanding of the invention. In other words, the drawings are representative only and may not be drawn to scale. Some scales in the drawings may be exaggerated, while other scales may be reduced. Accordingly, the drawings are to be regarded as illustrative rather than restrictive.

雖然已於上述實施例中參照附圖說明本發明的各種實施例,但上述實施例僅為本發明的較佳實施例,並非意圖用來將本發明侷限於上文中所描述及附圖中所示的特徵及結構。應理解的是,在不偏離本發明的範疇的情況下, 熟知本領域的技術人士所能夠設想到各種其它的省略、置換、變化和修改亦被包含在本發明的範疇內。 Although various embodiments of the present invention have been described in the above-mentioned embodiments with reference to the accompanying drawings, the above-mentioned embodiments are only preferred embodiments of the present invention, and are not intended to limit the present invention to the above-mentioned descriptions and those shown in the accompanying drawings. features and structure shown. It should be understood that, without departing from the scope of the present invention, Various other omissions, substitutions, changes and modifications that can be conceived by those skilled in the art are also included within the scope of the present invention.

1:雷射眼科設備 1: Laser ophthalmic equipment

2:第一機櫃 2: The first cabinet

3:第二機櫃 3: Second cabinet

5:定位裝置 5: Positioning device

6:雷射掃描施用裝置 6: Laser scanning applicator

81:導光臂 81: light guide arm

100:使用者介面 100: User Interface

300:手術台 300: Operating table

400:操縱桿 400: Joystick

Claims (14)

一種雷射眼科設備,包括:第一機櫃;第二機櫃,與該第一機櫃分開地設置;雷射光源,設置在該第一機櫃中,且配置為產生雷射束;定位裝置,設置在該第二機櫃上,且配置來定位患者的眼睛的位置;雷射掃描施用裝置,設置在該第二機櫃上,且配置為基於該定位裝置的定位結果而被移動以對準該患者的眼睛;驅動裝置,設置在該第二機櫃中,且配置為分別驅動該定位裝置及該雷射掃描施用裝置,使其分別沿著X方向、Y方向及Z方向移動;光引導裝置,設置在該雷射光源與該雷射掃描施用裝置之間,且配置為將該雷射光源產生的該雷射束引導朝向該雷射掃描施用裝置;以及控制器,設置在該第一機櫃中,且配置為電性地連接並控制該雷射光源、該驅動裝置、及該雷射掃描施用裝置,其中,該雷射掃描施用裝置配置為使來自該光引導裝置的該雷射束轉換成大致平行的雷射束,並將該大致平行的雷射束施加到該患者的眼睛。 A laser ophthalmic equipment, comprising: a first cabinet; a second cabinet, arranged separately from the first cabinet; a laser light source, arranged in the first cabinet, and configured to generate a laser beam; a positioning device, arranged in on the second cabinet and configured to locate the position of the patient's eye; a laser scanning applicator disposed on the second cabinet and configured to be moved to align the patient's eye based on the positioning result of the positioning device a driving device, arranged in the second cabinet, and configured to drive the positioning device and the laser scanning application device respectively to move along the X direction, the Y direction and the Z direction respectively; a light guide device, arranged in the between a laser light source and the laser scanning applicator, and configured to direct the laser beam generated by the laser light source toward the laser scanning applicator; and a controller disposed in the first cabinet and configured To electrically connect and control the laser light source, the driving device, and the laser scanning applicator, wherein the laser scanning applicator is configured to convert the laser beam from the light guide into substantially parallel laser beam and apply the substantially parallel laser beam to the patient's eye. 如請求項1所述之雷射眼科設備,其中,該光引導裝置包括導光模組及導光臂,該導光模組被設置在該第一機櫃中,該導光臂連接設置在該第一機櫃中的該導光模組與設置在該第二機櫃上的該雷射掃描施用裝置。 The laser ophthalmic equipment according to claim 1, wherein the light guide device comprises a light guide module and a light guide arm, the light guide module is arranged in the first cabinet, and the light guide arm is connected to the light guide arm. The light guide module in the first cabinet and the laser scanning application device disposed on the second cabinet. 如請求項1之雷射眼科設備,其中,該雷射掃描施用裝置包括眼追蹤系統及掃描器,該眼追蹤系統配置為再次定位患者的眼睛的位置,該掃描器配置為根據該眼追蹤系統的再次定位結果來微調其中心位置,使該雷射掃描施用裝置所施加的雷射束精確地即時對準該患者的眼睛。 The laser ophthalmic apparatus of claim 1, wherein the laser scanning applicator includes an eye tracking system configured to relocate the position of the patient's eyes and a scanner configured to relocate the patient's eye according to the eye tracking system The result of repositioning is used to fine-tune its center position so that the laser beam applied by the laser scanning applicator is precisely and instantaneously aimed at the patient's eye. 如請求項3之雷射眼科設備,其中,該控制器還控制該眼追蹤系統及該掃描器,使該掃描器根據該眼追蹤系統的該再次定位結果自動地微調其中心位置。 The laser ophthalmic device of claim 3, wherein the controller further controls the eye-tracking system and the scanner, so that the scanner automatically fine-tunes its center position according to the repositioning result of the eye-tracking system. 如請求項1之雷射眼科設備,其中,該第一機櫃及該第二機櫃配置為可分開地在地面上移動。 The laser ophthalmic equipment of claim 1, wherein the first cabinet and the second cabinet are configured to be detachably movable on the ground. 如請求項1之雷射眼科設備,其中,該定位裝置在該雷射掃描施用裝置被移動到與該患者的眼睛對準的同時,持續地定位該患者的眼睛的位置,藉以持續地調整該雷射掃描施用裝置的位置。 The laser ophthalmic apparatus of claim 1, wherein the positioning device continuously positions the patient's eye while the laser scanning applicator is moved into alignment with the patient's eye, thereby continuously adjusting the patient's eye The laser scans the location of the applicator. 如請求項1所述之雷射眼科設備,其中,該定位裝置包括顯微鏡及來自定位光源的定位光束,該顯微鏡藉由該定位光束來定位該患者的眼睛的位置。 The laser ophthalmic equipment of claim 1, wherein the positioning device comprises a microscope and a positioning beam from a positioning light source, and the microscope positions the patient's eye position by the positioning beam. 如請求項1所述之雷射眼科設備,其中,該雷射掃描施用裝置配置為可被移動到與該患者的眼睛距離約三公分的位置處。 The laser ophthalmic apparatus of claim 1, wherein the laser scanning applicator is configured to be movable to a position about three centimeters away from the patient's eyes. 如請求項1所述之雷射眼科設備,其中,該雷射掃描施用裝置包括掃描器及透鏡,該透鏡在該掃描器與該光引導裝置之間被設置在該雷射掃描施用裝置之最遠離該患者的眼睛的遠側處,且配置為使來自該光引導裝置的該雷射束接著通過該掃描器且轉換成該大致平行的雷射束。 The laser ophthalmic apparatus of claim 1, wherein the laser scanning applicator comprises a scanner and a lens, the lens being disposed at the highest point of the laser scanning applicator between the scanner and the light guiding device at the distal side away from the patient's eye and configured to pass the laser beam from the light directing device then through the scanner and convert into the substantially parallel laser beam. 如請求項1所述之雷射眼科設備,還包括:使用者介面,該使用者介面連接到該控制器,使用者可透過該使用者介面將該雷射眼科設備的操作參數輸入到該控制器,並監控該雷射眼科設備的操作;以及開關,配置為在該操作參數被輸入到該控制器之後,回應於使用者的操作將發出該雷射束的命 令透過該控制器傳達到該雷射光源,使該雷射光源根據該操作參數發出該雷射束。 The laser ophthalmic device according to claim 1, further comprising: a user interface, the user interface is connected to the controller, and a user can input operating parameters of the laser ophthalmic device to the control through the user interface a controller and monitoring the operation of the laser ophthalmic device; and a switch configured to emit a command of the laser beam in response to a user's operation after the operating parameter is input to the controller It is communicated to the laser light source through the controller, so that the laser light source emits the laser beam according to the operating parameter. 如請求項10所述之雷射眼科設備,其中,該開關為腳踏式開關。 The laser ophthalmic device according to claim 10, wherein the switch is a foot switch. 如請求項1所述之雷射眼科設備,其中,該控制器還包括預定位置資訊,且配置為依據該預定位置資訊控制該驅動裝置使該定位裝置及該雷射掃描施用裝置分別移動到預定位置,並且,該雷射掃描施用裝置配置為在依據該預定位置資訊被移動到該預定位置之後,依據該定位裝置的該定位結果被進一步地移動到對準該患者的眼睛的位置。 The laser ophthalmic equipment according to claim 1, wherein the controller further includes predetermined position information, and is configured to control the driving device according to the predetermined position information to move the positioning device and the laser scanning applicator to predetermined positions respectively. position, and the laser scanning applicator is configured to be further moved to a position aligned with the patient's eye according to the positioning result of the positioning device after being moved to the predetermined position according to the predetermined position information. 如請求項1所述之雷射眼科設備,其中,該控制器還包括預設資訊,且配置為依據該預設資訊控制該雷射掃描施用裝置對該患者的眼睛施加該雷射束。 The laser ophthalmic equipment of claim 1, wherein the controller further includes preset information, and is configured to control the laser scanning applicator to apply the laser beam to the patient's eyes according to the preset information. 如請求項1所述之雷射眼科設備,還包括微調裝置,該微調裝置配置為根據該定位裝置的定位結果被手動地操作以控制該驅動裝置,使其驅動該雷射掃描施用裝置移動,以對準該患者的眼睛。 The laser ophthalmic equipment of claim 1, further comprising a fine-tuning device configured to be manually operated according to the positioning result of the positioning device to control the driving device to drive the laser scanning applicator to move, to align the patient's eye.
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