CN102440749B - Operating microscope auxiliary device and operating microscope system - Google Patents
Operating microscope auxiliary device and operating microscope system Download PDFInfo
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- CN102440749B CN102440749B CN201110267909XA CN201110267909A CN102440749B CN 102440749 B CN102440749 B CN 102440749B CN 201110267909X A CN201110267909X A CN 201110267909XA CN 201110267909 A CN201110267909 A CN 201110267909A CN 102440749 B CN102440749 B CN 102440749B
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Abstract
The invention discloses an operating microscope auxiliary device and an operating microscope system. The operating microscope auxiliary device comprises an image collector, a computer information processing device and a projecting device, wherein the computer information processing device is connected with the image collector, and the projecting device is connected with the computer information processing device; the image collector is used for collecting image information in operating view, and outputting image information to the computer information processing device; the computer information processing device is used for processing the image information for generating auxiliary information, projection shape information and projection position information, and outputting the auxiliary information, the projection shape information and the projection position information to the projecting device, wherein the projection shape information is used for controlling the projection shape of the auxiliary information, and projection position information is used for indicating the auxiliary information to be projected at projection positions in the operating view; and the projecting device is used for projecting the auxiliary information at the projection positions in the operating view according to the projection shape information and the projection position information. The operating microscope auxiliary device realizes real-time, precise and safe quantitative measurement.
Description
Technical field
The present invention relates to medical instruments field, particularly a kind of operating microscope auxiliary device and operation microscopic system.
Background technology
In microsurgery, often can relate to various meticulous operations, these operations usually require to carry out quantitative measurement, and wherein, quantitative measurement can comprise that linear measure longimetry, angular surveying Huo Dui center position etc.
The ophthalmologic operation of take is example: when the vitreous body puncture operation of carrying out ophthalmology, need to be by linear measure longimetry in the position of the accurate localised puncture point of eye table (that is: point of puncture is apart from the length of corneoscleral junction), particularly when measuring length, at first operator determines the distance needed on foot rule, then an end of foot rule is placed in to corneoscleral junction or other measurement starting points, the other end of foot rule is placed in to definite position, and determining that on destination organization corresponding to position, light compressing makes destination organization indenture occur, then according to the indenture occurred on destination organization, carry out rapidly follow-up operation technique, determine that wherein position is point of puncture or cut point, in cataract operation, implant while being used for the treatment of astigmatic artificial intraocular lenses, need to accurately locate the angle that the artificial intraocular lenses implants by angular surveying, particularly when taking measurement of an angle, at first before microsurgery, use dyestuff in the edge of cornea location of dyeing, in operation process, hands of operator is placed on anterior corneal surface by the protractor of hand-held, and then lip-deep labelling aligns with the scale on protractor in the mode of range estimation by the artificial intraocular lenses in the implantable artificial crystal, when carrying out corneal graft, need, by the mode that center is positioned, center-aligned is carried out in the position of trepan, when the Zai Dui center positions particularly, operator uses the protractor of hand-held, after the alignment angle limbus of sclera, oppress cornea, the cross hairs of protractor central authorities is imprinted on to cornea central authorities, then carries out rapidly follow-up operation technique.
In sum, in microsurgery, required various quantitative measurements are all to be completed by artificial mode by the hand-held simple survey tool of operator at present, thereby are difficult to realize real-time, accurate quantitative measurement; And due to operator, used the allogenic material contact patients such as survey tool, dyestuff, increased patient infection's risk, thereby be difficult to realize safe quantitative measurement.
Summary of the invention
The invention provides a kind of operating microscope auxiliary device and operation microscopic system, in order to realize real-time, accurate and safe quantitative measurement.
For achieving the above object, the invention provides a kind of operating microscope auxiliary device, it is characterized in that, comprising: image collecting device, the computer information processing device be connected with described image collecting device and the projection arrangement be connected with described computer information processing device;
Described image collecting device, be used to gathering the image information of surgical field of view, and export described image information to described computer information processing device;
Described computer information processing device, for described image information being processed to auxiliary information, projection shape information and the launching position information of generating, and by described auxiliary information, described projection shape information and described launching position information output to described projection arrangement, described projection shape information is for controlling the projection shape of described auxiliary information, and described launching position information is used to indicate the launching position that described auxiliary information projects surgical field of view;
Described projection arrangement, for projecting described auxiliary information the launching position of surgical field of view according to described projection shape information and described launching position information.
Further, described projection arrangement is specifically for directly projecting described launching position by described auxiliary information; Perhaps
Described projection arrangement specifically projects described launching position for the spectroscope by being arranged at described operating microscope inside by described auxiliary information.
Further, described computer information processing device also is connected with the patient monitoring instrument; The patient sign information that described computer information processing device also sends be used to receiving described patient monitoring instrument, and described patient sign information is carried out to analyzing and processing, when described patient sign information is abnormal, generate patient's early warning information, and export described patient's early warning information to described projection arrangement; Described projection arrangement is also for projecting to described surgical field of view by described patient's early warning information; And/or
Described computer information processing device also is connected with surgical unit; The Instrument working state information that described computer information processing device also sends be used to receiving described surgical unit, and described Instrument working state information is carried out to analyzing and processing, when described Instrument working state information is abnormal, generate the instrument early warning information, and export described instrument early warning information to described projection arrangement; Described projection arrangement is also for projecting to described surgical field of view by described instrument early warning information.
Further, the quantity of described projection arrangement is a plurality of, and a plurality of described projection arrangements are around described operating microscope setting, and the auxiliary information of a plurality of described projection arrangement projections overlaps on launching position.
Further, described computer information processing device also judges the whether distortion and judge whether described auxiliary information projects described launching position of described auxiliary information for the new image information of the surgical field of view according to described image collecting device collection, if judge described auxiliary information, when distortion and described auxiliary information project described launching position, described new image information is not processed to the new launching position information that generates, and by described new launching position information output to described projection arrangement, described projection arrangement is for projecting described launching position according to described projection shape information and described new launching position information by described auxiliary information, if when judging described auxiliary information distortion and described auxiliary information and projecting described launching position, described new image information is processed and is generated new projection shape information, and exporting described new projection shape information to described projection arrangement, described projection arrangement is for projecting described launching position according to described launching position information and described new projection shape information by described auxiliary information, if when judging described auxiliary information distortion and described auxiliary information and not projecting described launching position, described new image information is processed to new projection shape information and the new launching position information of generating, and by described new projection shape information and described new launching position information output to described projection arrangement, described projection arrangement is for projecting described launching position according to described new projection shape information and described new launching position information by described auxiliary information.
Further, also comprise: spectroscope and with the reflecting mirror of the corresponding setting of described spectroscope;
Described projection arrangement is specifically for projecting described spectroscope according to described projection shape information and described launching position information by described auxiliary information;
Described spectroscope is for carrying out light-splitting processing to described auxiliary information, described auxiliary information is projected respectively on described launching position and described reflecting mirror;
Described reflecting mirror is for described auxiliary information is projected to described launching position, and the auxiliary information of the auxiliary information of described spectroscope projection and the projection of described reflecting mirror overlaps on described launching position.
Further, described computer information processing device also judges the whether distortion and judge whether described auxiliary information projects described launching position of described auxiliary information for the new image information of the surgical field of view according to described image collecting device collection, if judge described auxiliary information, when distortion and described auxiliary information project described launching position, described new image information is not processed to the new launching position information that generates, and by described new launching position information output to described projection arrangement, described projection arrangement is for projecting described spectroscope according to described projection shape information and described new launching position information by described auxiliary information, if when judging described auxiliary information distortion and described auxiliary information and projecting described launching position, described new image information is processed and is generated new projection shape information, and exporting described new projection shape information to described projection arrangement, described projection arrangement is for projecting described spectroscope according to described launching position information and described new projection shape information by described auxiliary information, if when judging described auxiliary information distortion and described auxiliary information and not projecting described launching position, described new image information is processed to new projection shape information and the new launching position information of generating, and by described new projection shape information and described new launching position information output to described projection arrangement, described projection arrangement is for projecting described spectroscope according to described new projection shape information and described new launching position information by described auxiliary information.
Further, described computer information processing device is also for throwing standard auxiliary information, standard shape information and standard launching position information output to described projection arrangement, described standard projection shape information is for controlling the standard projection shape of described standard auxiliary information, and described standard launching position information is used to indicate the standard launching position that described standard auxiliary information projects surgical field of view;
Described projection arrangement is also for projecting described standard launching position according to described standard projection shape information and described standard launching position information by described standard auxiliary information.
Further, the light source of described projection arrangement comprises laser or LED.
For achieving the above object, the present invention also provides a kind of operation microscopic system, comprises operating microscope and the micro-auxiliary device of above-mentioned operation.
The present invention has following beneficial effect:
In the technical scheme of the operating microscope auxiliary device that the present embodiment provides and operation microscopic system, the operating microscope auxiliary device comprises image collecting device, computer information processing device and projection arrangement, image collecting device is used for gathering the image information of surgical field of view, and exports image information to the computer information processing device; The computer information processing device is for processing auxiliary information, projection shape information and the launching position information of generating to image information, and by auxiliary information, projection shape information and launching position information output to projection arrangement, the projection shape information is for controlling the projection shape of auxiliary information, and launching position information is used to indicate the launching position that auxiliary information projects surgical field of view; Projection arrangement is for projecting auxiliary information the launching position of surgical field of view according to projection shape information and launching position information.The operating microscope auxiliary device can project auxiliary information the launching position of surgical field of view, by this auxiliary information, can complete the quantitative measurement process, without by manual type, completing quantitative measurement by survey tool, thus by this auxiliary information realized in real time, accurate quantitative measurement; Operator, without using the allogenic material contact patients such as survey tool, dyestuff, has reduced patient infection's risk, thereby has realized safe quantitative measurement.
The accompanying drawing explanation
The structural representation of a kind of operating microscope auxiliary device that Fig. 1 provides for the embodiment of the present invention one;
The structural representation of a kind of operating microscope auxiliary device that Fig. 2 provides for the embodiment of the present invention two;
The structural representation of a kind of operating microscope auxiliary device that Fig. 3 provides for the embodiment of the present invention three;
The structural representation of a kind of operating microscope auxiliary device that Fig. 4 provides for the embodiment of the present invention four;
The structural representation of a kind of operating microscope auxiliary device that Fig. 5 provides for the embodiment of the present invention five.
The specific embodiment
For making those skilled in the art understand better technical scheme of the present invention, below in conjunction with accompanying drawing, operating microscope auxiliary device provided by the invention and operation microscopic system are described in detail.
The structural representation of a kind of operating microscope auxiliary device that Fig. 1 provides for the embodiment of the present invention one, as shown in Figure 1, this operating microscope auxiliary device comprises: image collecting device 1, the computer information processing device 2 be connected with image collecting device 1 and the projection arrangement 3 be connected with computer information processing device 2.
Computer information processing device 2 is for processing auxiliary information, projection shape information and the launching position information of generating to image information, and by auxiliary information, projection shape information and launching position information output to projection arrangement 3, the projection shape information is for controlling the projection shape of auxiliary information, and launching position information is used to indicate the launching position that described auxiliary information projects surgical field of view.Wherein, auxiliary information is the information that in microsurgery, the nondominant hand patient completes operation, and operator can carry out microsurgery according to this auxiliary information, and this auxiliary information can comprise image information and/or Word message etc.For example: auxiliary information can be quantitative measurement information, and quantitative measurement information can comprise surveyors' staff, angle or anchor point etc.Such as: the projection shape information can comprise length, width and/or the angle etc. of auxiliary information, therefore throw length, width and/or the angle etc. that shape information can be used for controlling auxiliary information, thereby the auxiliary information that guarantees to be projeced in surgical field of view shows with correct shape, the situation of distortion occurs to avoid auxiliary information.
Operating microscope auxiliary device in the present embodiment can project auxiliary information the launching position of surgical field of view, by this auxiliary information, can complete the quantitative measurement process, without by manual type, completing quantitative measurement by survey tool, thus by this auxiliary information realized in real time, accurate quantitative measurement; Operator, without using the allogenic material contact patients such as survey tool, dyestuff, has reduced patient infection's risk, thereby has realized safe quantitative measurement.
The structural representation of a kind of operating microscope auxiliary device that Fig. 2 provides for the embodiment of the present invention two, as shown in Figure 2, this operating microscope auxiliary device comprises: image collecting device 1, the computer information processing device 2 be connected with image collecting device 1 and the projection arrangement 3 be connected with computer information processing device 2.
As shown in Figure 2, operating microscope 4 comprises spectroscope 41 and object lens 42, image collecting device 1 can gather by spectroscope 41 and object lens 42 image information of surgical field of view, particularly, the image information of surgical field of view is imaged onto on spectroscope 41 by object lens 42, 41 pairs of these image informations of spectroscope are carried out light-splitting processing this image information is projected respectively on image collecting device 1 and reflecting mirror 43, thereby image collecting device 1 receives the image information that this image information realizes gathering surgical field of view, reflecting mirror 43 reflexes to the eyes of operator so that operator can be seen the image in surgical field of view by this image information.In the present embodiment, image collecting device 1 is arranged at the outside of operating microscope 4, is the image capture device arranged separately.Wherein, image collecting device 1 can (Charge-coupled Device be called for short: CCD) imageing sensor for charge coupled cell.
Perhaps, image collecting device 1 image capture device that can also carry for operating microscope.The image collecting device that adopts operating microscope to carry, without increasing independent image capture device, thereby saved cost.
Computer information processing device 2 is for processing auxiliary information, projection shape information and the launching position information of generating to image information, and by auxiliary information, projection shape information and launching position information output to projection arrangement 3, the projection shape information is for controlling the projection shape of auxiliary information, and launching position information is used to indicate the launching position that described auxiliary information projects surgical field of view.Wherein, auxiliary information is the information that in microsurgery, the nondominant hand patient completes operation, and operator can carry out microsurgery according to this auxiliary information, and this auxiliary information can comprise image information and/or Word message etc.For example: auxiliary information can be quantitative measurement information, and quantitative measurement information can comprise surveyors' staff, angle or anchor point etc.Particularly, computer information processing device 2 can carry out the image processing to generate auxiliary information, projection shape information and launching position information to image information.For example: image is processed and can be comprised: iris identification, Image Edge-Detection, image is affine or perspective transform.
In the present embodiment, computer information processing device 2 can comprise graphics processing unit, interactive command processing unit and information display unit.Wherein, graphics processing unit possesses the functions such as identification tissue location, correcting orthographic projection image's distortion, thereby can be used for image information is processed; The interactive command processing unit can comprise that assistant's input control interface, patient's speech recognition controlled interface, computer assisted surgery control interface etc. automatically, in order to switch and the displaying contents of control information figure layer; Information display unit is for showing above-mentioned auxiliary information.For example: while carrying out the quasi-molecule cornea refractive surgery in ophthalmologic operation, this computer information processing device 2 can be identified the corneoscleral junction position, utilizes iris recognition technology to position the position of eyeball, the position of synchronization control excimer laser treatment point.
Further, computer information processing device 2 also is connected with the patient monitoring instrument, the patient sign information that computer information processing device 2 also sends be used to receiving the patient monitoring instrument, and patient sign information is carried out to analyzing and processing, when patient sign information is abnormal, generate patient's early warning information, and export patient's early warning information to projection arrangement 3; Projection arrangement 3 is also for projecting to surgical field of view by patient's early warning information.And/or, computer information processing device 2 also is connected with surgical unit, the Instrument working state information that computer information processing device 2 also sends be used to receiving surgical unit, and Instrument working state information is carried out to analyzing and processing, when Instrument working state information is abnormal, generate the instrument early warning information, and export the instrument early warning information to projection arrangement 3; Projection arrangement 3 is also for projecting to surgical field of view by the instrument early warning information.Projection arrangement 3 projects surgical field of view by patient's early warning information and instrument early warning information, so that operator can be observed patient's early warning information and instrument early warning information in time.In the present embodiment, affect the demonstration of auxiliary information for avoiding patient's early warning information and instrument early warning information, projection arrangement 3 can project patient's early warning information and instrument early warning information the periphery of launching position in surgical field of view.
Operating microscope auxiliary device in the present embodiment can project auxiliary information the launching position of surgical field of view, by this auxiliary information, can complete the quantitative measurement process, without by manual type, completing quantitative measurement by survey tool, thus by this auxiliary information realized in real time, accurate quantitative measurement.Operator, without using the allogenic material contact patients such as survey tool, dyestuff, has reduced patient infection's risk, thereby has realized safe quantitative measurement.Operating microscope auxiliary device in the present embodiment can patient's early warning information occur when abnormal generating at patient sign, and patient's early warning information is projected on surgical field of view, thereby has realized to operator, providing the patient early warning information in time; And generate the instrument early warning information when the surgical unit appearance is abnormal, and the instrument early warning information is projected on surgical field of view, thereby realized to operator, providing the instrument early warning information in time.Operating microscope auxiliary device in the present embodiment directly projects auxiliary information the launching position of surgical field of view, operator in carrying out the microsurgery process without changing real sight line and carrying out quantitative measurement without taking both hands, thereby can better for the patient, perform the operation.
The structural representation of a kind of operating microscope auxiliary device that Fig. 3 provides for the embodiment of the present invention three, as shown in Figure 3, the difference of the present embodiment and above-described embodiment two is: the projection arrangement 3 in the present embodiment specifically projects auxiliary information the launching position of surgical field of view for the spectroscope 44 by being arranged at operating microscope 4 inside.Projection arrangement 3 projects auxiliary information on spectroscope 44, and spectroscope 44 projects this auxiliary information the launching position of surgical field of view.Description to other parts in the operating microscope auxiliary device can, referring to the description in embodiment bis-, repeat no more herein.
The structural representation of a kind of operating microscope auxiliary device that Fig. 4 provides for the embodiment of the present invention four, as shown in Figure 4, the difference of the present embodiment and above-described embodiment two is: in the present embodiment, the quantity of projection arrangement is a plurality of, and a plurality of projection arrangements arrange around operating microscope 4, the auxiliary information of a plurality of projection arrangement projections overlaps on launching position.The present embodiment be take two projection arrangements and is described as example, and two projection arrangements are respectively projection arrangement 31 and projection arrangement 32, and projection arrangement 31 and projection arrangement 32 are oppositely arranged.Projection arrangement 31 and projection arrangement 32 project auxiliary information respectively the launching position of surgical field of view, and the auxiliary information of the auxiliary information of projection arrangement 31 projections and projection arrangement 32 projections overlaps on launching position.
By projection in the auxiliary information of surgical field of view is carried out the process of microsurgery, when the hands of operator or operating theater instruments must enter surgical field of view while carrying out microsurgical procedure with special angle, the hands of operator or operating theater instruments can be blocked the light path of projection arrangement, in surgical field of view, produce shade, among shade, there is no auxiliary information, thereby cause the auxiliary information of surgical field of view to show imperfect.For the problems referred to above, the present embodiment adopts a plurality of projection arrangements to the launching position of surgical field of view, to throw auxiliary information from different perspectives, when the hands of operator or operating theater instruments have been blocked the light path of some projector equipments, other projector equipment can also be normally to launching position projection auxiliary information, guaranteed the integrity of auxiliary information on the launching position, thereby made the demonstration that the auxiliary information of surgical field of view can be complete.The present embodiment can suitably be adjusted according to dissimilar microsurgery the quantity of projection arrangement, to reach the purpose that is shown in surgical field of view that auxiliary information can be complete.
A plurality of projection arrangements are from different perspectives to the launching position of surgical field of view projection auxiliary information, and auxiliary information that must a plurality of projection arrangements of strict guarantee overlaps into a projected image on projected position.Auxiliary information does not overlap if occur in projection process, needs actual projected position and/or the actual projected shape of some or a plurality of auxiliary informations are proofreaied and correct, so that a plurality of auxiliary information can overlap on the launching position of surgical field of view.Particularly, computer information processing device 2 also judges whether distortion and judge whether auxiliary information projects launching position of auxiliary information for the new image information of the surgical field of view according to the image collecting device collection, if judge auxiliary information, when distortion and auxiliary information project launching position, new image information is not processed to the new launching position information that generates, and by new launching position information output to projection arrangement, projection arrangement is for projecting launching position according to projection shape information and new launching position information by auxiliary information; If when judging auxiliary information distortion and auxiliary information and projecting launching position, new image information is processed and is generated new projection shape information, and exporting new projection shape information to projection arrangement, projection arrangement is for projecting launching position according to launching position information and new projection shape information by auxiliary information; If when judging auxiliary information distortion and auxiliary information and not projecting launching position, new image information is processed to new projection shape information and the new launching position information of generating, and by new projection shape information and new launching position information output to projection arrangement, projection arrangement is for projecting launching position according to new projection shape information and new launching position information by auxiliary information.For example: if the auxiliary information distortion of projection arrangement 32 projection and departed from launching position in Fig. 4, computer information processing device 2 is judged the auxiliary information distortion of projection arrangement 32 projections and is not projected launching position according to the image information of image collecting device 2 collections, 2 pairs of image informations of computer information processing device are processed new projection shape information and the new launching position information of generating, and by new projection shape information and new launching position information output to projection arrangement 32, projection arrangement 32 projects launching position according to new projection shape information and new launching position information by auxiliary information, thereby the auxiliary information of projection arrangement 31 and projection arrangement 32 projections is coincided with on launching position.Again for example: if the equal distortion of auxiliary information of the auxiliary information of projection arrangement 31 projection and projection arrangement 32 projections and departed from launching position in Fig. 4, the new image information that computer information processing device 2 gathers according to image collecting device 2 is judged the auxiliary information distortion of projection arrangement 31 projections and is not projected launching position and the auxiliary information distortion of projection arrangement 32 projections and do not project launching position, 2 pairs of new image informations of computer information processing device are processed the new projection shape information of generation projection arrangement 31 correspondences and new launching position information and the new projection shape information of projection arrangement 32 correspondences and new launching position information, and by the new projection shape information of projection arrangement 31 correspondences and new launching position information output to projection arrangement 31 and by the new projection shape information of projection arrangement 32 correspondences and new launching position information output to projection arrangement 32, projection arrangement 31 projects launching position according to new projection shape information and new launching position information by auxiliary information, projection arrangement 32 projects launching position according to new projection shape information and new launching position information by auxiliary information, thereby the auxiliary information of projection arrangement 31 and projection arrangement 32 projections is coincided with on launching position.
The structural representation of a kind of operating microscope auxiliary device that Fig. 5 provides for the embodiment of the present invention five, as shown in Figure 5, the present embodiment is with the difference of above-described embodiment two: in the present embodiment, the operating microscope auxiliary device also comprises: spectroscope 34 and with the reflecting mirror 35 of the corresponding setting of spectroscope 34.Projection arrangement 33 is specifically for projecting spectroscope 34 according to projection shape information and launching position information by auxiliary information; Spectroscope 34 is for auxiliary information is carried out to light-splitting processing, auxiliary information is projected respectively on launching position and reflecting mirror 35; Reflecting mirror 35 is for projecting launching position by auxiliary information.The auxiliary information of the auxiliary information of spectroscope 34 projections and reflecting mirror 35 projections overlaps on launching position.The quantity of reflecting mirror 35 can be for a plurality of, and the present embodiment be take a reflecting mirror 35 and is described as example.
By projection in the auxiliary information of surgical field of view is carried out the process of microsurgery, when the hands of operator or operating theater instruments must enter surgical field of view while carrying out microsurgical procedure with special angle, the hands of operator or operating theater instruments can be blocked the light path of projection arrangement, in surgical field of view, produce shade, among shade, there is no auxiliary information, thereby cause the auxiliary information of surgical field of view to show imperfect.For the problems referred to above, the present embodiment throws auxiliary information to the launching position of surgical field of view from different perspectives by spectroscope and reflecting mirror realization, when the hands of operator or operating theater instruments have been blocked the light path of some projection auxiliary informations, the light path of other projection auxiliary information can also be normally to launching position projection auxiliary information, guaranteed the integrity of auxiliary information on the launching position, thereby made the demonstration that the auxiliary information of surgical field of view can be complete.The present embodiment can suitably be adjusted according to dissimilar microsurgery the quantity of reflecting mirror, to reach the purpose that is shown in surgical field of view that auxiliary information can be complete.
From different perspectives to the launching position projection auxiliary information of surgical field of view, auxiliary information that must a plurality of projections of strict guarantee overlaps into a projected image on projected position by spectroscope and reflecting mirror.Auxiliary information does not overlap if occur in projection process, needs actual projected position and/or the actual projected shape of some or a plurality of auxiliary informations are proofreaied and correct, so that a plurality of auxiliary information can overlap on the launching position of surgical field of view.Particularly, computer information processing device 2 also judges whether distortion and judge whether auxiliary information projects launching position of auxiliary information for the new image information of the surgical field of view according to the image collecting device collection, if judge auxiliary information, when distortion and auxiliary information project launching position, new image information is not processed to the new launching position information that generates, and by new launching position information output to projection arrangement 33, projection arrangement 33 is for projecting spectroscope 34 according to projection shape information and new launching position information by auxiliary information; If when judging auxiliary information distortion and auxiliary information and projecting launching position, new image information is processed and is generated new projection shape information, and exporting new projection shape information to projection arrangement 33, projection arrangement 33 is for projecting spectroscope 34 according to launching position information and new projection shape information by auxiliary information; If when judging auxiliary information distortion and auxiliary information and not projecting launching position, new image information is processed to new projection shape information and the new launching position information of generating, and by new projection shape information and new launching position information output to projection arrangement 33, projection arrangement 33 projects spectroscope 34 for the projection shape information according to new and new launching position information by auxiliary information.Further, 34 pairs of auxiliary informations of spectroscope are carried out light-splitting processing, auxiliary information is projected respectively on launching position and reflecting mirror 35, reflecting mirror 35 projects launching position by auxiliary information, thereby the auxiliary information of spectroscope 34 projections and the auxiliary information of reflecting mirror 35 projections are overlapped on launching position.For example: if the auxiliary information distortion of projection arrangement 33 projection and departed from launching position in Fig. 5, computer information processing device 2 is judged the auxiliary information distortion of projection arrangement 33 projections and is not projected launching position according to the new image information of image collecting device 2 collections, 2 pairs of new image informations of computer information processing device are processed new projection shape information and the new launching position information of generating, and by new projection shape information and new launching position information output to projection arrangement 33, projection arrangement 33 projects spectroscope 34 for the projection shape information according to new and new launching position information by auxiliary information, by 34 pairs of auxiliary informations of spectroscope, carry out light-splitting processing, auxiliary information is projected respectively on launching position and reflecting mirror 35, reflecting mirror 35 projects launching position by auxiliary information, thereby the auxiliary information of spectroscope 34 projections and the auxiliary information of reflecting mirror 35 projections are overlapped on launching position.
The embodiment of the present invention six provides a kind of operating microscope auxiliary device, the present embodiment is on the basis of above-described embodiment one, the computer information processing device is also for throwing standard auxiliary information, standard shape information and standard launching position information output to grenade instrumentation, standard projection shape information is for the standard projection shape of control criterion auxiliary information, and standard launching position information is used to indicate the standard launching position that the standard auxiliary information projects surgical field of view; Projection arrangement is also for projecting the standard launching position according to standard projection shape information and standard launching position information by the standard auxiliary information.In the present embodiment, the computer information processing device directly generates standard auxiliary information, standard projection shape information and standard launching position information, and by projection arrangement, the standard auxiliary information is projected to the standard launching position of surgical field of view.Operator, in carrying out the microsurgery process, can compare auxiliary information and whether the standard auxiliary information overlaps, to realize in the microsurgery process real-time inspection to corrective surgery position in surgical field of view.For example: in the operation process of corneal suture, projection arrangement throws auxiliary information to anterior corneal surface, this auxiliary information is equidistant annular or linear fringe, and because otch or the breach of anterior corneal surface causes anterior corneal surface irregular, so deformation can occur for this equidistant annular or linear fringe.Now, the computer information processing device can directly generate the standard auxiliary information, this standard auxiliary information is unstrained equidistant annular or linear fringe, and according to standard projection shape information and standard launching position information that the computer information processing device directly generates, unstrained equidistant annular or linear fringe is projected to anterior corneal surface by projection arrangement.Operator makes the striped of the deformation unstrained striped shown in auxiliary information that is near the mark as far as possible by controlling the suture dynamics when sewing up cornea, make the stressed uniform purpose of corneal incision thereby reach.
The operating microscope auxiliary device of below take is elaborated to patient's eye surface projection locating information as example each embodiment to above-mentioned operating microscope auxiliary device.
Operator sends instruction according to the microsurgery process to the computer information processing device, need to open or close a certain auxiliary information.For example: in ophthalmologic operation, measured loose optical axis angle in the time of need to be according to patient's seat when implanting the astigmatism correction artificial intraocular lenses, by the rotation of artificial intraocular lenses's particular axis to this angle.In operation, operator requires the angle scale of opening angle film edge, and image collecting device collects the image information in current surgical field of view and exports this image information to the computer information processing device by spectroscope and ccd image sensor; The computer information processing device utilizes image processing method, as rim detection scheduling algorithm commonly used in prior art, identify limbus of corneae real time position and the size etc. information, then according to information such as the real time position identified and sizes, calculate the position of CC and the position of limbus of corneae, generate cornea globosa location graduation scale, and export cornea globosa location graduation scale to projection arrangement.Wherein, 0 degree starting point of cornea globosa location graduation scale level, during according to patient's seat of prior collection, eye chart picture calculates, the error that the eyeball rotation causes when eliminating clinostatism, and calculate due to projection arrangement and the non-deformation coaxially caused of object lens by the image distortion correction algorithm.Finally, the cornea globosa location graduation scale after optical projection system will be corrected projects on the limbus of corneae of patient's eye in surgical field of view and shows, and makes operator can under operating microscope, observe directly this cornea globosa location graduation scale.After completing astigmatism correction artificial intraocular lenses implant procedure, operator sends instruction to the computer information processing device again, closes the cornea globosa location graduation scale that is incident upon limbus of corneae, in order to avoid it affects other operation techniques of ophthalmic.
The operating microscope auxiliary device that the various embodiments described above of the present invention provide can be used in various microsurgerys, and microsurgery includes but not limited to Ophthalimic microsurgery, plastic surgery's microsurgery, department of obstetrics and gynecology microsurgery, department of otorhinolaryngology microsurgery, department of neurology microsurgery or department of cerebral surgery microsurgery.
The embodiment of the present invention seven provides a kind of operation microscopic system, comprise operating microscope and the micro-auxiliary device of operation, this operating microscope auxiliary device can adopt the micro-auxiliary device of operation in arbitrary embodiment in above-described embodiment one to embodiment six, repeats no more herein.Wherein, operating microscope includes but not limited to: ophthalmic operating microscope, slit lamp operating microscope, ent surgery microscope, plastic surgery operations microscope, obstetrics and gynecology operation microscope or department of neurology operating microscope.
Be understandable that, above embodiment is only the illustrative embodiments adopted for principle of the present invention is described, yet the present invention is not limited thereto.For those skilled in the art, without departing from the spirit and substance in the present invention, can make various modification and improvement, these modification and improvement also are considered as protection scope of the present invention.
Claims (10)
1. an operating microscope auxiliary device, is characterized in that, comprising: image collecting device, the computer information processing device be connected with described image collecting device and the projection arrangement be connected with described computer information processing device;
Described image collecting device, be used to gathering the image information of surgical field of view, and export described image information to described computer information processing device;
Described computer information processing device, for described image information being processed to auxiliary information, projection shape information and the launching position information of generating, and by described auxiliary information, described projection shape information and described launching position information output to described projection arrangement, described projection shape information is for controlling the projection shape of described auxiliary information, and described launching position information is used to indicate the launching position that described auxiliary information projects surgical field of view;
Described projection arrangement, for projecting described auxiliary information the launching position of surgical field of view according to described projection shape information and described launching position information.
2. operating microscope auxiliary device according to claim 1, is characterized in that, described projection arrangement is specifically for directly projecting described launching position by described auxiliary information; Perhaps
Described projection arrangement specifically projects described launching position for the spectroscope by being arranged at described operating microscope inside by described auxiliary information.
3. operating microscope auxiliary device according to claim 1, is characterized in that,
Described computer information processing device also is connected with the patient monitoring instrument; The patient sign information that described computer information processing device also sends be used to receiving described patient monitoring instrument, and described patient sign information is carried out to analyzing and processing, when described patient sign information is abnormal, generate patient's early warning information, and export described patient's early warning information to described projection arrangement; Described projection arrangement is also for projecting to described surgical field of view by described patient's early warning information; And/or
Described computer information processing device also is connected with surgical unit; The Instrument working state information that described computer information processing device also sends be used to receiving described surgical unit, and described Instrument working state information is carried out to analyzing and processing, when described Instrument working state information is abnormal, generate the instrument early warning information, and export described instrument early warning information to described projection arrangement; Described projection arrangement is also for projecting to described surgical field of view by described instrument early warning information.
4. operating microscope auxiliary device according to claim 1, it is characterized in that, the quantity of described projection arrangement is a plurality of, and a plurality of described projection arrangements are around described operating microscope setting, and the auxiliary information of a plurality of described projection arrangement projections overlaps on launching position.
5. operating microscope auxiliary device according to claim 4, it is characterized in that, described computer information processing device also judges the whether distortion and judge whether described auxiliary information projects described launching position of described auxiliary information for the new image information of the surgical field of view according to described image collecting device collection, if judge described auxiliary information, when distortion and described auxiliary information project described launching position, described new image information is not processed to the new launching position information that generates, and by described new launching position information output to described projection arrangement, described projection arrangement is for projecting described launching position according to described projection shape information and described new launching position information by described auxiliary information, if when judging described auxiliary information distortion and described auxiliary information and projecting described launching position, described new image information is processed and is generated new projection shape information, and exporting described new projection shape information to described projection arrangement, described projection arrangement is for projecting described launching position according to described launching position information and described new projection shape information by described auxiliary information, if when judging described auxiliary information distortion and described auxiliary information and not projecting described launching position, described new image information is processed to new projection shape information and the new launching position information of generating, and by described new projection shape information and described new launching position information output to described projection arrangement, described projection arrangement is for projecting described launching position according to described new projection shape information and described new launching position information by described auxiliary information.
6. operating microscope auxiliary device according to claim 1, is characterized in that, also comprises: spectroscope and with the reflecting mirror of the corresponding setting of described spectroscope;
Described projection arrangement is specifically for projecting described spectroscope according to described projection shape information and described launching position information by described auxiliary information;
Described spectroscope is for carrying out light-splitting processing to described auxiliary information, described auxiliary information is projected respectively on described launching position and described reflecting mirror;
Described reflecting mirror is for described auxiliary information is projected to described launching position, and the auxiliary information of the auxiliary information of described spectroscope projection and the projection of described reflecting mirror overlaps on described launching position.
7. operating microscope auxiliary device according to claim 6, it is characterized in that, described computer information processing device also judges the whether distortion and judge whether described auxiliary information projects described launching position of described auxiliary information for the new image information of the surgical field of view according to described image collecting device collection, if judge described auxiliary information, when distortion and described auxiliary information project described launching position, described new image information is not processed to the new launching position information that generates, and by described new launching position information output to described projection arrangement, described projection arrangement is for projecting described spectroscope according to described projection shape information and described new launching position information by described auxiliary information, if when judging described auxiliary information distortion and described auxiliary information and projecting described launching position, described new image information is processed and is generated new projection shape information, and exporting described new projection shape information to described projection arrangement, described projection arrangement is for projecting described spectroscope according to described launching position information and described new projection shape information by described auxiliary information, if when judging described auxiliary information distortion and described auxiliary information and not projecting described launching position, described new image information is processed to new projection shape information and the new launching position information of generating, and by described new projection shape information and described new launching position information output to described projection arrangement, described projection arrangement is for projecting described spectroscope according to described new projection shape information and described new launching position information by described auxiliary information.
8. operating microscope auxiliary device according to claim 1, it is characterized in that, described computer information processing device is also for throwing standard auxiliary information, standard shape information and standard launching position information output to described projection arrangement, described standard projection shape information is for controlling the standard projection shape of described standard auxiliary information, and described standard launching position information is used to indicate the standard launching position that described standard auxiliary information projects surgical field of view;
Described projection arrangement is also for projecting described standard launching position according to described standard projection shape information and described standard launching position information by described standard auxiliary information.
9. according to the arbitrary described operating microscope auxiliary device of claim 1 to 8, it is characterized in that, the light source of described projection arrangement comprises laser or LED.
10. an operation microscopic system, comprise operating microscope, it is characterized in that, also comprises: described operating microscope auxiliary device as arbitrary as claim 1 to 9.
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| CN201110267909XA CN102440749B (en) | 2011-09-09 | 2011-09-09 | Operating microscope auxiliary device and operating microscope system |
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| CN201110267909XA CN102440749B (en) | 2011-09-09 | 2011-09-09 | Operating microscope auxiliary device and operating microscope system |
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| CN102440749A CN102440749A (en) | 2012-05-09 |
| CN102440749B true CN102440749B (en) | 2013-11-27 |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN102928971B (en) * | 2012-11-12 | 2015-09-09 | 杨勋 | Microscope |
| US20180271644A1 (en) * | 2015-09-30 | 2018-09-27 | Shenzhen Ainear Cornea Engineering Co., Ltd. | Cornea positioning system and positioning method |
| CN105411741A (en) * | 2015-11-17 | 2016-03-23 | 吉林大学 | Ophthalmic operation system |
| CN110007455B (en) * | 2018-08-21 | 2021-01-26 | 腾讯科技（深圳）有限公司 | Pathological microscope, display module, control method and device and storage medium |
| CN109996000A (en) * | 2019-03-15 | 2019-07-09 | 武汉千屏影像技术有限责任公司 | A kind of gross specimen imaging system of projection image information |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1045028A (en) * | 1989-02-06 | 1990-09-05 | 凤凰激光系统有限公司 | Method that precision surgery is used and instrument |
| CN2737304Y (en) * | 2004-10-28 | 2005-11-02 | 高建华 | Arrangement for optical measuring 3D form of mamma and conducting operation design by computer auxiliary |
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| US20020159621A1 (en) * | 2001-04-26 | 2002-10-31 | Memphis Eye & Cataract Associates Ambulatory Surgery Center (Dba Meca Laser And Surgery Center) | System for automatically detecting eye corneal striae using projected and reflected shapes |
| DE102007055919B4 (en) * | 2007-12-21 | 2023-08-10 | Carl Zeiss Meditec Ag | Eye viewing system and method therefor |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1045028A (en) * | 1989-02-06 | 1990-09-05 | 凤凰激光系统有限公司 | Method that precision surgery is used and instrument |
| CN2737304Y (en) * | 2004-10-28 | 2005-11-02 | 高建华 | Arrangement for optical measuring 3D form of mamma and conducting operation design by computer auxiliary |
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