CN101803953B - 用于识别和控制眼科手术设备及组件的系统和方法 - Google Patents

用于识别和控制眼科手术设备及组件的系统和方法 Download PDF

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CN101803953B
CN101803953B CN2010101292390A CN201010129239A CN101803953B CN 101803953 B CN101803953 B CN 101803953B CN 2010101292390 A CN2010101292390 A CN 2010101292390A CN 201010129239 A CN201010129239 A CN 201010129239A CN 101803953 B CN101803953 B CN 101803953B
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克里斯托弗·霍维瑟
T·S·洛维
弗莱德瑞克·M·瑞德
约翰·艾克沃
科尔克·W·托德
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Abstract

一种用于识别眼科手术设备的组件的系统和方法，其中该组件可以是光学探测器或气动剪刀。手术设备的组件包括标识符(102)，如RFID标签。来自RFID标签的数据被传送到设备中的RFID读取器。控制器(115)根据准则来确定与接收的数据相对应的组件是否可以与手术设备一起操作，其中该准则例如是该接收的数据是否与存储器中所存储数据匹配的授权码，或者该接收的数据是否解答或满足了一算法。该授权码是从更大的可用码集合中选出的。控制器根据准则是否被满足、组件使用次数、从使用组件时起经过的时间或地理位置来启用或禁用设备的操作。RFID数据还可以用于校准手术设备，以便与特定组件一起使用，以及用于盘存和监视目的。

Description

用于识别和控制眼科手术设备及组件的系统和方法
本发明专利申请是申请号为200580047292.3、申请日为2005年12月14日、发明名称为“用于识别和控制眼科手术设备及组件的系统和方法”的专利申请的分案申请。
技术领域
本发明涉及眼科手术设备，更具体的，涉及在眼科手术设备的组件上使用电子标识符，该电子标识符可用于发送和接收与所述组件相关的数据，还涉及将所述组件与眼科手术设备一起使用。
发明背景
很多手术设备都是使用组件来操作的，出于很多原因，这些组件被丢弃或替换。例如，由于组件受到污染或者由于组件超出了一定的使用寿命，这些组件可能被丢弃。因此，与永久性手术装置不同，某些组件只被使用一次或有限次数，随后出于安全和/或其它考虑，这些组件必须被更换。确定特定组件是否适合于特定手术设备一般是由技术人员或外科医生基于例如组件是否适合于或附于该手术设备以及该组件和该设备的操作规范来进行的。与特定组件的使用相关的其它方面也取决于用户的判断力，这些方面包括手术设备的激活，为了与特定组件一起操作而对设备进行的校准，以及设备与特定组件一起操作的方式。因此，组件的选择以及设备的操作往往取决于用户的判断力。
但是，用于匹配手术设备和组件的已知系统和技术可能容易出错，并且需要额外的时间和劳动来确保将正确的组件附于正确的手术设备。此外，对于用于替换原手术组件的第三方制造的组件而言，存在与之相关联的问题。第三方替换组件可能具有很多缺陷。例如，与原制造商的组件相比，其可能是质量相对低下的组件。此外，这些组件可能不以预期方式工作，并且可靠性比原制造商的组件低，由此导致系统操作和安全问题。另外，原设备的制造商还遭遇到来自制造和销售用以替换原装置的组件的第三方的不断增长的竞争。
已经尝试解决这些问题中的一些，但是只涉及特定类型的医疗设备并且具有有限的有效性。一种方法是使用射频标识(RFID)系统。RFID系统是众所周知的，它使用电子标签或转发器来存储数据。某些RFID系统使用无源标签，这些标签在被带到所发送的无线电信号附近时被激活，而其它RFID系统使用有源标签，这些标签包含独立电源以便独立操作。
RFID标签(设备)已经与特定类型的医疗设备一起使用，但是，据申请人所知，这些RFID标签并未与眼科手术设备一起使用。例如，一种已知系统将RFID设备与将光纤绞线(strand)插入体内的医疗激光系统中的一次性光纤组件一起使用。该光纤绞线暴露于体液，并且必须在每次使用之后被处理掉，或者完全消毒。其它已知系统将RFID设备与插入血管系统并被引导到心脏的导管一起使用。但是，这些已知系统将RFID设备用于特定的手术设备，并且提供用于对那些并非原设备组件的替换组件进行识别的有限功能。
另一种已知系统被使用来跟踪手术器具。传感器系统对取走/使用每一个手术器具的时间进行记录。当使用完手术器具时，该器具被放置在传感器上或附近，并且记录到达信息。该系统用于在一过程中跟踪手术器具，并且确保不会有医疗器具因疏忽而遗留在患者体内。
由此，用于识别手术装置、尤其是眼部手术装置的已知系统和技术可以得到改进。据申请人所知，RFID技术已被有效应用于眼部手术系统和组件。此外，RFID标签在其它医疗设备中的使用一般局限于基本的标识功能以及装置的启用或禁用。因此，已知的系统并未提供与组件及其功能相关的、可以在使用装置时为外科医生提供帮助的其它更有用的数据。这些信息可以包括例如校准数据以及与组件历史相关的数据。相应地，使用眼部手术系统组件和装置的方式可以得到改进，这其中包括集成诸如RFID设备之类的数据传输设备以便执行标识功能以及已知系统并未提供的其它功能，并且能够为外科医生提供与组件相关的附加信息。
发明内容
根据本发明的一个实施例，一种用于对与眼科手术设备一起使用的组件进行识别的系统包括：作为该组件一部分的射频标识(RFID)标签，包含在手术设备中的接收机、用于存储准则的存储器、以及控制器。来自RFID标签的数据被传送到眼部手术设备中的接收机。控制器根据接收的数据是否满足存储器中所存储准则来确定与该接收的数据相对应的组件是否可以与眼部手术设备一起使用。
在另一个实施例中，一种用于对与眼部手术设备一起使用的组件进行识别的系统包括：作为该组件一部分的射频标识(RFID)标签；包含在手术设备中的接收机、用于存储准则的存储器、以及控制器，其中该接收机、存储器和控制器包含在手术设备中。来自RFID标签的数据被传送到眼部手术设备中的接收机，并且控制器通过确定接收的数据是否为满足存储器中所存储准则的授权码来确定与该接收的数据相对应的组件是否可以与眼部手术设备一起使用。该授权码是从包含授权码和非授权码的更大码集合中选出的。
在另一个替换实施例中，一种用于对与眼部手术设备一起使用的组件进行识别的系统包括：该组件中的射频标识(RFID)标签，以及该手术设备中的接收机、用于存储准则的存储器、以及控制器。来自RFID标签的未加密数据被传送到接收机。基于接收到的未加密数据是否为满足存储器中的准则的授权码，控制器确定与接收到的未加密数据相对应的组件是否可以与眼科手术设备一起使用。授权码是从包含授权码和非授权码的更大的可用码集合中选出的。
另一个替换实施例是一种用于对可以与眼科手术设备一起使用的组件进行识别的方法。该方法包括：确立准则并且将准则存储在眼科手术设备的存储器中，并且将来自该组件中的标识符的数据传送到眼科手术设备中的接收机。从标识符中接收的数据被处理，以便确定接收数据是否为满足存储器中所存储准则的授权码，由此确定与该接收的数据相对应的组件是否可以与眼科手术设备一起使用。
在不同的实施例中，该准则可以是存储在存储器中的授权数据，如授权码。从标识符接收的数据与该授权数据进行比较，以便确定该组件是否可以与眼科手术设备一起使用。例如，如果接收数据与授权数据准则相匹配，则可以启用该设备。此外，该准则可以是算法、公式或其它预定义准则(统称为“算法”)。该算法被应用于从标识符接收的数据，以便根据例如接收数据是否解答或满足了该算法或公式来确定该组件是否可以与眼科手术设备一起使用。
在不同的实施例中，可以使用不同的眼科手术设备和组件。例如，眼科手术设备可以是激光器或激光控制台，并且组件可以是附于激光器的光学探测器。在其它实施例中，该眼科手术设备是玻璃体视网膜(vitreoretinal)手术设备，并且该组件可以是玻璃体视网膜手术(vitrectomy)探测器、气动或电动剪刀、或者附于玻璃体视网膜手术设备的内照明器(endoilluminator)探测器。
此外，在使用RFID组件的实施例中，接收机可以是RFID读取器，标识符可以是RFID标签，RFID标签或标识符中的数据可以是未加密的。
一种用于选择满足准则的授权码的方式是从包含授权码和非授权码的更大的可用码集合中选择授权码。例如，在一个实施例中，授权码的数量至少比可用码数量大三个数量级；例如，十亿个授权码是从一万亿个码中选出的。在一个实施例中，标识符数据包括14个字节。两个字节被用于标识组件的类型，而12个字节被用于标识一万亿个码。
系统实施例可以被配置成启用或禁用手术设备。如果从标识符接收的数据满足准则，则可以启用设备。还可以根据例如先前是否使用过组件或者根据从首次或前一次使用组件起经过的时间量，来有条件地启用该设备。可能允许重复使用组件一定次数，但是在经过了一定次数的使用或一定时间量之后，该设备可以被禁用。还可以实施其它的安全预防措施，例如向外科医生产生表明该组件先前已被使用的消息。此外，数据还可以写回到组件标识符中，以便在将来加以参考。该数据可以包括使用日期、组件使用次数、组件的使用持续时间，或者组件的功率设置。该设备还可以基于地理限制而被启用。
在不同的实施例中，标识符还可以包括校准数据，该校准数据指示应当如何配置眼科手术设备来与特定组件协作。此外，标识数据和/或校准数据还可以用于各种目的。例如，可以根据所使用的特定组件而产生在显示屏上呈现的用户界面。数据也可以用于启用与所标识组件相符的操作参数，以及禁用与所标识组件不符的操作参数。这些数据可以用于实现安全过程，例如限制功率值、曝光范围和其它操作参数，以及检查是否存在安全组件，例如与所标识组件相关联的过滤器。
附图说明
通过结合附图来参考以下描述，可以更完整地理解实施例及其优点，其中相同的参考标号指示相同的特征，并且其中：
图1是根据一个实施例的系统的框图，该系统包括眼科手术设备以及与该设备一起使用并且包含标识符的组件；
图2例示了可以与眼科手术设备及其组件一起使用的示例RFID系统；
图3例示了根据一个实施例的组件的标识符；
图4例示了根据一个实施例的组件的标识符以及未加密安全码或编号；
图5例示了根据一个实施例的系统，其中授权的未加密标识符码或编号是从更大的可用码或编号集合中选出的；
图6例示了一个替换实施例，其中眼科手术设备是根据组件使用次数而被禁用或有条件地启用的；
图7例示了另一个实施例，其中眼科手术设备是根据从组件的首次或早先使用起经过的时间量而被禁用或有条件地启用的；
图8例示了如何使未加密的授权码连续化来定义可以与手术设备一起使用的多群组件或多组组件；
图9例示了一个替换实施例，其中从组件中的标识符传送的数据包括用于校准眼科手术设备的信息；
图10例示了包含了读/写应用的另一个替换实施例，该应用涉及眼科手术设备中的收发信机以及与该设备一起使用的组件中的标识符；以及
图11A-B是例示根据不同实施例的识别组件以及控制眼科手术设备的方式的流程图。
具体实施方式
在以下描述中将对附图加以参考，这些附图构成了描述的一部分并且以例示方式显示了具体实施例。应该理解，在不脱离实施例范围的情况下，可以进行结构上的修改。
系统和方法实施例用于将电子标识符集成到眼科手术装置中。这些电子标识符可以执行各种功能，包括：识别可以与眼科手术设备一起使用的组件或配件，有选择地启用或禁用与组件一起使用的装置，识别非授权组件，例如不与设备相兼容的组件以及来自第三方制造商的组件，提供校准数据，以及在眼科手术设备以及与该设备一起使用的组件之间提供读/写应用。由此，实施例允许更精确地确定某些组件或配件是否可与某些手术设备相兼容。此外，实施例提供了增强的功能，由此通过确保仅仅将适当组件与该设备一起使用来提高眼科手术过程的有效性和安全性。此外，实施例允许原手术装置制造商对其库存以及原始和有效组件的使用保持更紧密的控制，由此提供改进的性能，管理顺应性以及产品的跟踪。在下文中将更详细地论述实施例的这些和其它方面。
参考图1，根据一个实施例，系统“S”包括眼科手术设备110以及眼科手术组件或配件110，其中眼科手术组件或配件附属于手术设备110，并且与之一起使用。组件100经由手术设备110的输入端口或连接器120以及组件100的连接器130而与手术设备110相连。在某些手术设备与组件之间也可以使用无线通信。
将标识符102集成到组件100中。标识符102向手术设备110的接收机112传送数据104。该标识符数据104可以用于确定组件100是否为可以与手术设备110一起使用的授权组件。特别地，每一个组件100都可以利用特定数据104而被编程。手术设备110包括存储准则116的存储器114，该准则例如是一组授权码或数据，或者算法、公式或其它预定义准则(统称为“算法”)。根据安全需要，该存储器可以是易于存取的存储器元件，或者是集成在其它系统组件内部的存储器元件。
控制器115，例如处理器或微控制器(统称为“控制器”)，是用软件和/或硬件117来编程的，其中所述软件和/或硬件对从标识符102接收的数据104以及存储在存储器114中的准则116进行处理，以便确定应该接受140还是拒绝142组件110以及应该启用还是禁用手术设备110。
在一个实施例中，手术设备110是眼科激光控制台，组件100是光学探测器。如图1中概括性例示的，光学探测器100包括用于经由控制台110的连接器120而附于控制台110的连接器130，外壳132以及光纤134。控制台110产生的光被提供给由外科医生操作的探测器100，以使得所述光被光纤134传递到手术现场。
可以通过本发明实施例使用的一个示例激光控制台110和光学探测器100的组合包括可以从Alcon Laboratories公司，6201 SouthFreeway，Fort Worth，Texas 76134获得的部件No.806550001的Eyelite激光系统。也可以使用来自Alcon Laboratories的其它激光控制台。用于连接到激光控制台110(例如Eyelite激光系统)的示例组件包括：与LIO-AT Headset系统一起使用的光纤探测器连接器，例如连接器部件No.8065741019、8065501003以及8065501101；配备了LIO-AT Headset系统的光纤，例如部件No.8065741106；以及各种内探测器光纤，例如部件No.8065010719、8065010503、8065010219、8065010203、8065010739、8065010419、8065010319、8065010403以及8065010404，所有这些设备都可以从Alcon Laboratories公司得到。
本领域技术人员将了解，这些实施例可以通过其它眼科手术设备110以及组件或配件110使用。另举一例，控制台110可以是玻璃体视网膜手术控制台，并且附于该控制台的组件100可以包括但不限于玻璃体视网膜手术探测器、气动或电动剪刀、内照明器探测器以及视网膜手术组件。示例玻璃体视网膜手术控制台110是可以从AlconLaboratories公司得到的部件No.8065741008。可以附于玻璃体视网膜手术控制台的示例组件包括玻璃体视网膜手术探测器部件No.8065741018，气动剪刀部件No.8065808101以及内照明器部件No.8065740264，所有这些部件都可以从Alcon Laboratories公司得到。出于说明而不是限制目的，本说明书参考作为激光控制台的眼科手术设备110，以及作为光学探测器的组件或配件100，其中该光学探测器连接到控制台110并且用于向手术现场传递激光能量。但是，本领域技术人员将理解，也可以使用玻璃体视网膜手术控制台和各种相关组件。
根据一个实施例，控制台110中的接收机112以及探测器100中的标识符102都是射频标识(RFID)组件。可以通过不同实施例使用的一个示例RFID系统包括可以从Microchip Technology公司得到的部件No.MCRF355，该部件如在规格说明书AN707，MCRF355/360Application中所描述的，通过引用将该规范说明书的内容完全并入于此，如同在本文中完全阐述的一样。
图2概括性地例示了可以与实施例一起使用的一个示例RFID系统200。RFID标签210通常包括诸如专用集成电路(ASIC)之类的集成电路(IC)，该集成电路包含用于存储数据的存储器。转发器212由来自读取器220的射频(RF)指令或信号224激活，该指令或信号例如响应于微控制器单元230而通过读取器天线226发送，并且由转发器212的天线216接收，以便以无线方式将数据写入转发器212的存储器中或者从转发器212的存储器中读取数据。
例如，当要读取RFID标签210时，读取器220向天线226发送持续大约50ms的134.2KHz功率脉冲。所产生的磁场由调谐到同一频率的标签210中的天线216来收集。这个接收的AC能量被校正并被存储在转发器212内的小型电容器中。在功率脉冲结束之后，转发器212使用电容器中存储的能量作为电源来回传其数据。在20ms的时段中总共发送128比特(包括检错信息)。该数据由天线226接收，并且由读取器单元220以及控制器230来进行解码。在传送了数据之后电容器被放电，转发器212被复位并且预备下一个读取周期。
由于转发器是由来自读取器的RF信号所产生的存储在电容器中的电力供电的，因此，上述RFID配置是“无源的”。由此，无源RFID标识符通常是非活动的，并且不具有独立电源。如果提供有独立的电源或电池，那么RFID系统也可以是活动的。关于RFID系统操作方式的更多细节在本领域中是众所周知的，因此在本说明书中不再对其进行更详细地论述。出于说明而不是限制目的，本说明书参考了用于在控制台110与探测器100之间传送数据的RFID组件。但是，本领域技术人员将认识到，也可以使用其它的发射机、接收机以及收发信机组件。
当将RFID组件应用于实施例来在激光控制台110与探测器组件100之间提供通信时，探测器组件100中的标识符102是RFID标签或转发器210，控制台110的接收机112是RFID读取器220。RFID标签或标识符102包含标识，以及如果适用的话，还包括涉及该组件的其它数据。控制器115包括用于执行准则116的软件和/或硬件117，以便确定由探测器100的RFID标签102发送并且由控制台110的RFID读取器112接收的数据104是否表明该探测器100可以与控制台110一起使用。
例如，如果数据104被接受140，则可以启用控制台110，如果数据104被拒绝142，则禁用控制台110。该控制台110还可以有条件地启用。例如，控制台110可以正常操作，或者替换地，在较低功率级别的情况下以安全模式操作。当例如先前已经多次使用同一探测器100时，也可以有条件地启用控制台110。控制器115可以对控制台110进行配置，以便于自探测器100可能因为例如不兼容规范、过多使用和损耗或者探测器100过期的原因而不按照预期方式工作起出于安全和其它考虑因素而使控制器110以不同的方式工作。
更为特别地，参考图3，根据一个实施例，RFID标签102发送的数据104包含两个字节的码或标识数据300。这两个字节的码可以表示编号00-99，以便识别100个不同类型的探测器100。控制器115可以将准则116应用于存储器114中所存储的数据300，以便确定数据104是被接受140还是拒绝142，以及控制台110应被启用还是禁用。
参考图4和5，根据另一个实施例，RFID标签或标识符102发送的数据104是14个字节的码。这14个字节分成了两组：两个字节的标识数据300(如上文中参考图3所述)以及12个字节的安全数据400。安全数据400是从更大的可能安全码510的集合中选出的。可能码510的子集被选作授权码520。本领域技术人员将了解，安全数据400和授权码510可以是数字、字母数字或其它表示。此外，它们还可以使用不同的编号系统，如二进制、十六进制或十进制。由此，“码”并不局限于特定类型的码。
安全码400中的该12个字节提供了一万亿个可能的安全码510，即编号000000000000至999999999999。这在图5中被表示为(A+U)510或授权码(A)520+非授权码(U)522。某些码被作为授权码520而从这一万亿个可能码510中选出。在一个实施例中，该可能安全码510的集合包括一万亿个码，并且有十亿个码被选作授权码(A)520。剩余的码则是非授权码(U)522。因此，在本实施例中，可能码510的数量至少比授权码(A)520的数量大三个数量级。这十亿个授权码(A)520可以通过使用例如随机数生成器或另一适当的算法或选择准则而选择。对不同的安全级别和应用来说，该选择算法可以具有不同的复杂度级别。
来自原制造商的每一个探测器100的标识符102都是利用授权码(A)520之一来编程的。授权码(A)520满足存储器114中存储的准则116。例如，如果准则116是存储在存储器114中的授权数据的集合，则授权数据116可能与授权码(A)520相同或匹配，而非授权码(U)522与授权数据准则116不匹配。另举一例，如果准则116是算法，那么授权码(A)520将满足或解答该算法，而非授权码(U)522则不解答或不满足该算法准则116。
在准则116是算法的实施例中，无需将授权数据集合存储在存储器中，这是因为该算法被应用于从标识符接收的安全数据。当存储器容量和安全性存在问题时，这种处理可能是非常有益的。可以将算法编程为具有使用不同的复杂度级别，以便提供不同级别的安全性。此外，算法可以存储在不同系统组件的存储器中，由此使得难于确定所述准则。相应地，虽然图5示出了将授权码(A)520存储到存储器，但这仅仅是对满足或解答算法的授权码的表示，这是因为在使用算法时授权码没有必要存储在存储器中的。
由此，存储在探测器100的RFID标签102中的安全数据400可能满足或不满足存储器114中存储的准则116。如果探测器100来自原制造商，那么标识符102包含满足准则116的授权码(A)520。但是，如果探测器100来自第三方制造商，那么如下文中更详细论述的，标识符102可能包含或不包含授权码(A)520。
在将探测器100与激光控制台110相连时，RFID标签102向RFID读取器112发送2位标识码300以及12位安全码400。控制器115确定这2位标识码和/或12位安全码400是否满足存储在控制台110的存储器114中的准则116。
例如，如果安全码400满足准则116，如安全码400与存储器116中存储的该十亿个授权码(A)520之一相匹配，或者满足或解答了算法，那么控制器115可以启用控制台110。与之相反，如果码400不满足准则116并且是非授权(U)码510或未辨别码之一，则该控制台100可被禁用。由此，如图5所示，探测器100A包含授权安全数据500，由此可以与控制台110一起使用，而探测器100U不能与控制台110一起使用，这是因为它是利用不满足准则116的非授权码(U)522来编程的。
从足够大的可能码510的集合中选择授权码520有助于原探测器组件100的制造能力，由此确保只有原组件得到使用，而来自第三方的替换组件有可能阻碍控制台110的操作。即使在不必使用可能增加系统成本和复杂度的加密/解密技术以及附加的加密/解密硬件和软件的情况下，该处理也是可以完成的。更确切的说，授权码(A)520可以保持未加密，授权码(A)的子集是从足够大的可能码(A+U)510的池中选择的，这样可以提供足够的安全性，由此第三方制造商选择授权码520的概率将足够低。这样做可以确保来自原制造商的组件是启用控制台110的主要组件，在使用控制台110时，考虑到某些第三方替换组件未必满足原组件规范，并且未必像来自原制造商的组件那样良好工作，因而产生安全性问题和不利条件，那么这种处理可能是特别有用的。当然，本领域技术人员将想到可以使用加密和解密组件来提供附加的安全性。
例如，在从一万亿个可能的码(A+U)510中选出十亿个不同授权码(A)520的实施例中，可能码510的总数至少比选定的授权码数量大三个数量级。在该实施例中，第三方替换组件满足准则116以及被控制台100的控制器115所接受并且由此允许控制台100与该组件一起工作的概率只有1/1000。这个概率可以通过调整安全码400的字节数量、授权码520的数量和/或非授权码522的数量而增大或减小。相应地，这个包含十亿个授权码(A)520以及总共一万亿个可能码(A+U)510的示例并不旨在进行限制。
由于可接受的探测器100包含授权码(A)520，因此第三方可以重复使用已被控制台100所接受的探测器100。第三方制造商还可以购买少量的原装探测器，然后使用来自这些探测器的安全数据400来对其它替换组件进行编程。但是，实施例可被配置成在特定安全码400的一定使用次数或出现次数之后或者从一个编号的首次实例起的预定时间之后禁用该控制台100。例如，当准则116是算法时，该算法116可以被配置或被编程为允许一定使用次数或某个时段内的应用。
例如，参考图6，当原始探测器100的RFID标签102向RFID读取器112发送安全码400时，该安全数据400匹配、满足或解答了该准则116。由此，控制台110将被允许与该组件100一起使用。由于该探测器具有满足准则116的授权码(A)520，因此还可以尝试再次使用该探测器。在某些情况下，多次使用探测器100可能是恰当的，但是为了确保遵循正确的管理和安全指导，所建议的是将每一个授权探测器100只使用一次。为了解决这个问题，控制器115可被编程为在将该同一探测器100使用了预定次数之后或者在该同一安全码400的预定次数的实例之后禁用该控制台110。由此，在正常情况下，控制台110是启用的，但在将同一探测器100重复使用了预定次数之后，该控制台可以被禁用。
在所例示的实施例中，控制台110被启用以允许将同一探测器100使用二次，但在尝试第三次使用该同一探测器时，控制台被禁用。实际上，可以对控制器115进行编程，以允许同一探测器100的不同重复使用次数。这样一来，由于同一探测器100不能再与控制台110一起使用，因此将需要新的探测器100。作为替换或是补充，控制器115可被编程为向用户产生表明在使用显示器600或扬声器610之前探测器100已被使用过的视觉或听觉警报或消息。控制器115还可以被配置成指示先前使用探测器100的次数。
另举一例，参考图7，同一个探测器100可以在预定义时段中被多次使用。这个预定义时段可以是例如小时、天、星期或月。如果在之前或前一次使用探测器100之后的预定义时段期间出现了二次或后续使用，则探测器100可以二次使用或后续使用。但是，如果在这个授权窗口之外使用探测器100，那么控制器115可以禁用控制台110，由此需要新的探测器100。此外，控制器115还可以被编程为产生参考图6所述的警报或消息。
另一个示例是将授权码与在预定义地理区域、国家或国家群中制造或使用的控制台100和/或组件110相关联。由此，当接收数据满足准则116，表明满足地理需求时，控制器115启用控制台110以与组件100一起使用。
参考图8，根据另一个实施例，可以使授权安全码520连续化800，由此可以根据连续化的码来识别特定的多组或多群810探测器100。例如如果存在对于一群探测器100的调用，那么这种处理可能是非常有用的。必须调用的探测器100可以使用连续化的安全码数据800以及定义的多组或多群810探测器而被快速识别。
在另一个实施例中，参考图9，RFID标签102可以包括如上所述的标识数据300以及安全数据400，此外它还包括校准数据900，该校准数据是为使控制台110能与特定探测器100或组件一起操作而对其进行校准所必需的。例如，该校准数据900可以是指令或参数设置，该指令或参数设置例如包括用于特定探测器或配件的激光器校准设置。每一个探测器或配件可能需要使用不同和唯一的光纤，而这将改变与探测器或配件的光耦合，并且由此产生特定的校准。
另举一例，在使用玻璃体视网膜手术控制台时，校准数据900可以包括与激光探测器透射率、气动玻璃体视网膜手术探测器启动压力点以及内照明器透射率相关的指令或参数设置。
实际上，根据所使用的眼科手术设备和组件，可以使用其它的校准。控制台110可以根据接收到的校准数据900而自动对其自身进行校准。作为替换，控制台110可以由外科医生使用接收到的校准数据900来进行校准。
此外，所述标识和/或校准数据还可以用于各种目的，这些目的例如包括启用或禁用与所识别组件相符的操作参数，以及调用与所识别组件相关联的某些安全特性。例如，在给出了特定类型的组件的情况下，系统可以被配置成限制功率范围和/或曝光范围。此外，系统还可以被配置成确定是否存在过滤器之类的安全附件，由此可以在不对外科医生造成伤害的情况下使用所识别的组件。另外，标识和/或校准数据还可以用于产生与特定组件相关并在显示屏上呈现给外科医生的用户界面。
在另一个实施例中，参考图10，系统和组件的RFID读取器以及标签可以被配置成双向或读/写应用1000。该应用可能需要较大的RFID标签102的数据容量，如＞100字节。在这个实施例中，读取器(或收发信机)可以将不同类型的数据写回到RFID标签102中，以便在将来加以使用或参考。例如，RFID读取器112可以写入信息，该信息例如是使用探测器100的日期，使用探测器100的次数，探测器100处于活动的时间，探测器100活动时的功率设置等等。当在以后使用该探测器100时，由于例如外科医生可以查看该信息并对探测器100的磨损和使用寿命进行评估，因此该信息可能非常有用。例如，当探测器100对于较长时间是活动的，以较高的功率设置被使用并且被多次使用时，探测器100的使用寿命可能缩短。
考虑到系统实施例的描述，在图11A-B中所示的流程图中概述了一种用于识别和控制眼科手术设备和组件的方法。以步骤1100为开始，选择可能标识码集合以及可能安全码集合。这个可能码集合包含授权和非授权码，而这些码满足或者不满足所设定的准则。在步骤1105，从更大的可能码集合中选出授权码集合。在步骤1110，授权组件(如来自原制造商的组件)的标识符或RFID标签将利用授权码之一而被编程。在步骤1115，如果控制器是基于授权数据与接收自标识符的数据的比较来实施准则的，则授权码被存储在眼科激光系统的存储器中，该系统例如是眼科激光器或玻璃体视网膜手术设备。如果使用的是算法，那么可以将该算法存储在存储器中，而不需要存储授权数据。
在步骤1120，提供一组件以便与激光设备相连。在步骤1125，来自该组件的RFID标签的数据被传送到激光设备中的接收机或RFID读取器。在步骤1130，从RFID标签接收的数据被用于识别组件。来自RFID设备的数据可以用于不同的目的，包括例如在显示屏上产生用于呈现的用户界面，启用或禁用与所识别组件相符的操作参数，以及调用与所识别组件相关联的某些安全特征。例如，某些参数(如功率和曝光)的值可以被限制，以便确保设备不是在规定的操作参数范围之外工作的。此外，该系统还可以被配置为检查与所述组件一起使用的安全装置，例如过滤器。
在步骤1135，来自RFID标签的数据被处理，以便确定其是否满足一定准则。在步骤1140，如果接收的数据不满足该准则，则禁用眼科手术设备。在步骤1145，控制器确定先前是否使用过该组件。如果是首次使用该组件，则在步骤1150中启用该眼科手术设备以与所述组件一起使用。如果先前使用过该组件，则在步骤1155中可以有条件地启用该眼科手术设备。
例如，如果先前已将探测器使用了一定次数1160或者先前在一定时段中使用了探测器1165，则可以启用眼科手术设备。控制器还可以为用户产生消息或警报1170以便表明先前使用过探测器，或者将激光设备设置成以安全模式(如以较低功率)来工作1175。
本领域技术人员将了解，在不脱离实施例范围的情况下，可以进行各种修改。实施例可以与其它类型的眼科手术设备一起使用。此外，实施例可以用于不同的目的，包括标识、校准、相符性以及锁定目的。由此，上面阐述的实施例并不是旨在进行限制。
虽然在前面描述中参考了不同实施例，但是本领域技术人员将意识到，在不脱离所附权利要求要求保护的发明的情况下，可以对所描述的实施例进行非实质性修改、变更和替换。

Claims (36)

1.一种用于识别与眼科手术设备一起使用的组件的系统，包括：
接收机；
标识符；
存储器，该存储器存储准则；以及
控制器，该控制器、存储器和接收机包含在眼科手术设备中，该标识符包含在与眼科手术设备一起使用的组件中，来自该组件中的标识符的数据被传送到眼科手术设备中的接收机；
该控制器根据接收的数据是否满足存储器中所存储准则来确定与该接收的数据相对应的组件是否可以与眼科手术设备一起使用，其中确立准则包括选择算法，该算法被应用于从标识符接收的数据，以便确定该组件是否可以与眼科手术设备一起使用，其中所述算法是随机数生成算法。
2.根据权利要求1所述的系统，眼科手术设备是激光器。
3.根据权利要求2所述的系统，该组件是附于激光器的光学探测器。
4.根据权利要求1所述的系统，眼科手术设备是玻璃体视网膜手术设备。
5.根据权利要求4所述的系统，该组件是附于玻璃体视网膜手术设备的玻璃体视网膜手术探测器。
6.根据权利要求4所述的系统，该组件是附于玻璃体视网膜手术设备的气动或电动剪刀。
7.根据权利要求4所述的系统，该组件是附于玻璃体视网膜手术设备的内照明器探测器。
8.根据权利要求1所述的系统，该接收的数据满足该准则，控制器允许眼科手术设备与该组件一起使用。
9.根据权利要求1所述的系统，控制器被配置成根据接收到同一标识符数据的次数来确定该组件已被使用的次数。
10.根据权利要求9所述的系统，该组件以该同一标识符数据满足该准则的方式被使用了一次以上，控制器在组件的预定使用次数之后禁止将眼科手术设备与该组件一起使用。
11.根据权利要求9所述的系统，该组件以该同一标识符数据满足该准则的方式被使用了一次以上，控制器向用户产生表明该组件先前已被使用的消息。
12.根据权利要求1所述的系统，在从使用该组件起的预定时间量之后，控制器禁止将眼科手术设备与该组件一起使用。
13.根据权利要求1所述的系统，该接收的数据不满足该准则，控制器禁止将眼科手术设备与该组件一起使用。
14.根据权利要求1所述的系统，该接收机是收发信机，其中该收发信机从该组件的标识符中读取数据，并且将数据写入该组件的标识符。
15.根据权利要求14所述的系统，该收发信机将涉及使用日期、组件使用次数、组件使用持续时间或组件功率设置的数据写入该组件的标识符。
16.根据权利要求1所述的系统，来自该组件的数据包括校准数据，该校准数据指示与该组件一起使用的眼科手术设备的配置。
17.根据权利要求1所述的系统，其中接收的数据包括满足所述准则的授权码，其中所述授权码被连续化，使得一组件与一批或一组组件相关联，该批或该组组件由与连续化的授权码群相关联的组件来定义。
18.根据权利要求1所述的系统，该准则与预定义地理区域相关联，当该接收的数据满足该准则时，控制器允许眼科手术设备与处于预定义地理区域中的该组件一起使用。
19.一种用于识别可以与眼科手术设备一起使用的组件的方法，包括：
提供眼科手术设备以及附于该眼科手术设备的组件；
确立准则并且将该准则存储在眼科手术设备的存储器中；
将数据从该组件中的标识符传送到眼科手术设备中的接收机；
根据接收的数据是否为满足存储器中所存储准则的授权码，来确定与该接收的数据相对应的组件是否可以与眼科手术设备一起使用，其中确立准则包括选择算法，该算法被应用于从标识符接收的数据，以便确定该组件是否可以与眼科手术设备一起使用，其中所述算法是随机数生成算法。
20.根据权利要求19所述的方法，提供眼科手术设备包括提供激光器。
21.根据权利要求20所述的方法，提供组件包括提供附于激光器的光学探测器。
22.根据权利要求19所述的方法，提供眼科手术设备包括提供玻璃体视网膜手术设备。
23.根据权利要求22所述的方法，提供组件包括提供附于玻璃体视网膜手术设备的玻璃体视网膜手术探测器。
24.根据权利要求22所述的方法，提供组件包括提供附于玻璃体视网膜手术设备的气动或电动剪刀。
25.根据权利要求22所述的方法，提供组件包括提供附于玻璃体视网膜手术设备的内照明器探测器。
26.根据权利要求19所述的方法，该接收的数据满足该准则，还包括允许眼科手术设备与该组件一起使用。
27.根据权利要求19所述的方法，还包括确定组件已被使用的次数。
28.根据权利要求27所述的方法，还包括在组件的预定使用次数之后禁止眼科手术设备与该组件一起使用。
29.根据权利要求27所述的方法，还包括产生表明先前已经使用过该组件的消息。
30.根据权利要求19所述的方法，还包括确定从使用组件起的持续时间。
31.根据权利要求30所述的方法，还包括在从使用组件起的预定时间量之后，禁止眼科手术设备与该组件一起使用。
32.根据权利要求19所述的方法，还包括将数据写入该组件的标识符。
33.根据权利要求32所述的方法，写入数据包括将使用日期、组件使用次数、组件使用持续时间或组件功率设置写入组件的标识符。
34.根据权利要求19所述的方法，来自该组件的标识符的数据包括校准数据，该方法还包括根据该校准数据对眼科手术设备进行校准，以便与该组件一起使用。
35.根据权利要求19所述的方法，还包括：
使授权码连续化；以及
根据连续化的码来定义一群组件或一组组件。
36.根据权利要求19所述的方法，还包括：
使用具有满足准则的授权码的数据来对该组件中的标识符进行编码；以及
传送数据包括将已编码数据从该组件中的标识符传送到眼科手术设备中的接收机。
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AU2005316445A1 (en) 2006-06-22
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CA2590152C (en) 2013-03-19
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