CN111429775B - A training device for ophthalmic surgery operation - Google Patents

A training device for ophthalmic surgery operation Download PDF

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CN111429775B
CN111429775B CN202010365288.8A CN202010365288A CN111429775B CN 111429775 B CN111429775 B CN 111429775B CN 202010365288 A CN202010365288 A CN 202010365288A CN 111429775 B CN111429775 B CN 111429775B
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田大鹏
王昱棠
王中石
王福超
温静
贾平
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Changchun Institute of Optics Fine Mechanics and Physics of CAS
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Abstract

本发明涉及医疗手术技术领域,具体涉及眼科手术操作的培训装置。该装置可以实现基于力/位混合信息的主从双向眼科手术操作培训,并且实时保存操作过程中的运动信息。同时,系统在学员眼科手术操作培训中加入了教师进行相同操作过程中的运动信息,通过操作权重参数调节按钮调节操作权重参数,可以调节教师在眼科手术培训过程中的操作权重,使学员可以从教师完全“手把手”教学到逐渐增加自主参与度的不同程度的操作练习,更好地提高眼科手术培训效果。

Figure 202010365288

The invention relates to the technical field of medical surgery, in particular to a training device for ophthalmic surgery operations. The device can realize master-slave bidirectional ophthalmic surgery operation training based on force/position mixed information, and save motion information during the operation in real time. At the same time, the system adds the motion information of the teacher during the same operation process to the training of the students' ophthalmic surgery operation. By adjusting the operation weight parameters through the operation weight parameter adjustment button, the teacher's operation weight in the ophthalmic surgery training process can be adjusted, so that the students can change from Teachers completely "hand-in-hand" teaching to gradually increase the degree of independent participation in different degrees of operation practice, which can better improve the training effect of ophthalmic surgery.

Figure 202010365288

Description

一种眼科手术操作的培训装置A training device for ophthalmic surgery operation

技术领域technical field

本发明涉及医疗手术技术领域,具体而言,涉及一种眼科手术操作的培训装置。The invention relates to the technical field of medical surgery, in particular to a training device for ophthalmic surgery operations.

背景技术Background technique

手术培训系统是近年来医学培训技术领域的研究热点。通过使学员在培训上进行虚拟手术操作,可以有效提高学员对于某些医学操作的熟练度,节约医疗培训的费用和时间。Surgical training system is a research hotspot in the field of medical training technology in recent years. By enabling trainees to perform virtual surgical operations in training, the trainees' proficiency in certain medical operations can be effectively improved, and the cost and time of medical training can be saved.

眼睛是人类重要的器官,由于其结构复杂、手术时操作空间有限,且眼科手术往往需要极为精细的操作,因而,眼科医生的培训难度也要难于常规手术。目前全国的眼科医生中能够开展精细内眼手术很少,眼科医生资源十分匮乏,国内眼部疾病的治疗受到极大限制。一直以来,如果能够更有效、更快地培训能够进行精细眼部手术的医生是行业内十分关注的问题。The eye is an important organ of human beings. Due to its complex structure, limited operating space during surgery, and ophthalmic surgery often requires extremely delicate operations, the training difficulty for ophthalmologists is also more difficult than conventional surgery. At present, there are very few ophthalmologists in the country who can perform fine intraocular surgery, and the resources of ophthalmologists are very scarce, and the treatment of domestic eye diseases is greatly limited. It has always been a matter of great interest in the industry to train doctors who can perform delicate eye surgery more efficiently and quickly.

例如一种现有的眼角膜手术培训系统,使学员可以进行虚拟的眼角膜手术培训,该系统中采用力传感器采集力的信息,而且教师和学员操作数据仅能在双方操作后进行对比;或是一种现有的眼角膜智能手术培训系统,培训人员通过AR眼镜实时获取手术目标对象和其使用的手术器械情况,该系统仅能使学员对自身的操作感受更精确;或是一种现有的脊柱微创手术培训系统,该系统侧重于使学员感受到自身操作中的力反馈,从而对于目标有更精准的定位。以上现有的眼科类的培训系统都无法让学员在操作过程中真实、同步地感受教师进行相同操作过程中的位置和力信息,导致无法实现更加精细的眼科培训。For example, an existing corneal surgery training system enables trainees to conduct virtual corneal surgery training, in which force sensors are used to collect force information, and the operation data of the teacher and trainee can only be compared after both operations; or It is an existing corneal intelligent surgery training system. The trainer obtains the surgical target object and the surgical instruments used in real time through AR glasses. This system can only make the trainees feel more accurate about their own operation; In some spinal minimally invasive surgery training systems, the system focuses on making students feel the force feedback in their own operations, so that they can have more precise positioning of the target. None of the above existing ophthalmology training systems can allow students to truly and synchronously experience the position and force information of the teacher during the same operation process, resulting in the inability to achieve more refined ophthalmology training.

发明内容SUMMARY OF THE INVENTION

有鉴于此,本发明实施例提供了一种眼科手术操作的培训装置,以至少解决现有眼科手术培训过程中学员无法真实、同步地接受教师不同权重的操作指导的问题。In view of this, the embodiments of the present invention provide a training device for ophthalmic surgery operation, so as to at least solve the problem that trainees cannot truly and synchronously receive operation guidance of different weights from teachers in the existing ophthalmic surgery training process.

本发明提供了一种眼科手术操作的培训装置,所述培训装置包括:显示器、总控制台、主机培训系统和从机培训系统;其中:The invention provides a training device for ophthalmic surgery operation, the training device includes: a display, a master console, a host training system and a slave training system; wherein:

所述的主机培训系统和从机培训系统为两套配置相同、操作尺度可以相同也可以成一定比例的操作系统。操作者直接对主机培训系统进行操作,从机培训系统可以同步地以与操作尺度成比例的位置、力等运动信息完成对眼科操作对象的相同手术操作。The host training system and the slave training system are two sets of operating systems with the same configuration and the same operating scale or a certain proportion. The operator directly operates the host training system, and the slave training system can synchronously complete the same surgical operation on the ophthalmic operation object with motion information such as position and force proportional to the operation scale.

所述总控制台分别与所述显示器、所述主机培训系统和所述从机培训系统相连接,所述主机培训系统包括主机操作器械、主机控制单元、主机传感器单元和主机通讯单元,所述从机培训系统包括从机操作器械、从机控制单元、从机传感器单元和从机通讯单元;The master console is respectively connected with the display, the host training system and the slave training system. The host training system includes a host operating apparatus, a host control unit, a host sensor unit and a host communication unit. The slave training system includes a slave operating device, a slave control unit, a slave sensor unit and a slave communication unit;

所述总控制台用于接收所述主机培训系统和所述从机培训系统发送的运动信息;对所述运动信息进行检验并控制所述显示器显示所述信息,其中,所述运动信息包括所述主机操作器械和所述从机操作器械的位置、运动速度、加速度以及所受到的作用力等运动信息;The master console is used for receiving the exercise information sent by the host training system and the slave training system; checking the exercise information and controlling the display to display the information, wherein the exercise information includes all the information. Movement information such as the position, movement speed, acceleration, and applied force of the host operating device and the slave operating device;

所述总控制台包括一个操作权重参数调节按钮,用于在学员手术操作过程中,调节教师参与学员操作过程中的操作权重,以调节学员操作过程中教师的指导程度。可选地,眼科手术操作过程的操作权重参数选择可以通过直接调节所述的操作权重参数调节按钮,可以在总控制台系统内进行设置。The general console includes an operation weight parameter adjustment button, which is used to adjust the operation weight of the teacher participating in the operation of the student during the operation of the student, so as to adjust the degree of guidance of the teacher during the operation of the student. Optionally, the operation weight parameter selection of the ophthalmic surgery operation process can be set in the main console system by directly adjusting the operation weight parameter adjustment button.

可选地,所述总控制台还包括系统处理单元、系统通讯单元和电源单元,用于统筹管理整个手术操作培训装置的运作。Optionally, the general console further includes a system processing unit, a system communication unit and a power supply unit, which are used for overall management of the operation of the entire surgical operation training device.

所述主机控制单元用于存储和处理眼科手术过程中主机所产生的数据,生成相应的操作命令,控制主机传感器单元和主机通讯单元工作;The host control unit is used to store and process the data generated by the host during the ophthalmic surgery, generate corresponding operation commands, and control the host sensor unit and the host communication unit to work;

所述主机传感器单元与所述主机控制单元相连接,用于检测主机操作器械的操作数据,并将所述操作数据发送至所述主机控制单元;The host sensor unit is connected with the host control unit, and is used for detecting the operation data of the host operating instrument, and sending the operation data to the host control unit;

所述主机通讯单元与从机通讯单元连接,用于与从机培训系统的进行数据交互。可选地,所述主机传感器单元包括位置传感器、速度传感器和加速度传感器以及力传感器、力矩传感器中的一种或多种。The host communication unit is connected with the slave communication unit for data interaction with the slave training system. Optionally, the host sensor unit includes one or more of a position sensor, a speed sensor, an acceleration sensor, a force sensor, and a torque sensor.

所述从机控制单元用于存储和处理眼科手术过程中从机所产生的数据,生成相应的操作命令,控制从机传感器单元和从机通讯单元工作;The slave control unit is used to store and process the data generated by the slave during the ophthalmic surgery, generate corresponding operation commands, and control the work of the slave sensor unit and the slave communication unit;

所述从机传感器单元与所述从机控制单元相连接,用于从机操作器械的操作数据,并将所述操作数据发送至所述从机控制单元;The slave sensor unit is connected with the slave control unit, and is used for the operation data of the slave operation instrument, and sends the operation data to the slave control unit;

所述从机通讯单元与主机通讯单元连接,用于与主机培训系统的进行数据交互。The slave communication unit is connected with the host communication unit for data interaction with the host training system.

所述从机传感器单元的传感器为与主机传感器单元传感器类别相同,测量量程与主从操作单元操作尺度成比例。The sensor of the slave sensor unit is of the same sensor type as the master sensor unit, and the measurement range is proportional to the operation scale of the master-slave operation unit.

可选地,所述主机控制单元和从机控制单元的核心芯片为ARM或DSP。可选地,所述总控制台中的系统通讯单元分别与所述主机通讯单元和所述从机通讯单元进行数据交互。Optionally, the core chips of the master control unit and the slave control unit are ARM or DSP. Optionally, the system communication unit in the main console performs data interaction with the master communication unit and the slave communication unit respectively.

可选地,所述操作者包括教师和学员。当所述操作者为教师时,教师进行某一眼科手术操作,主机控制单元记录教师操作过程的运动信息,并将其通过主机通信单元发送给总控制台存储;当所述操作者为学员时,学员选择某一眼科手术操作,并根据需求操作所述操作权重参数调节按钮调节系统存储的教师操作权重。学员在进行眼科手术操作时,教师进行相同操作的数据按操作权重参数同步加入到学员操作中。Optionally, the operators include teachers and trainees. When the operator is a teacher, the teacher performs a certain ophthalmic surgery operation, and the host control unit records the motion information of the teacher's operation process, and sends it to the main console for storage through the host communication unit; when the operator is a student , the student selects an ophthalmic surgery operation, and operates the operation weight parameter adjustment button to adjust the teacher operation weight stored in the system according to the requirements. When students perform ophthalmic surgery operations, the data of the same operation performed by the teacher is added to the students' operations synchronously according to the operation weight parameters.

当所述操作权重参数为0时,学员完全自主操作,完成手术操作。当所述操作权重参数为1时,学员完全由教师存储的操作数据带着完成手术操作;当所述操作权重参数为0-1之间时,学生操作过程中,教师存储的操作数据也按比例参与进来,使学生能够在感受教师操作特点的同时,逐渐进行自主的操作。When the operation weight parameter is 0, the trainee operates completely autonomously and completes the surgical operation. When the operation weight parameter is 1, the trainee completes the surgical operation with the operation data stored by the teacher; when the operation weight parameter is between 0 and 1, the operation data stored by the teacher also presses Proportional participation enables students to gradually operate autonomously while feeling the characteristics of the teacher's operation.

本申请提供的眼科手术操作的培训装置,该装置可以实现基于力/位混合信息的主从双向眼科手术操作培训,并且实时保存操作过程中的运动信息。。同时,系统在学员眼科手术操作培训中加入了教师进行相同操作过程中的运动信息,通过操作权重参数调节按钮调节操作权重参数,可以调节教师在眼科手术培训过程中的操作权重,使学员可以从教师完全“手把手”教学到逐渐增加自主参与度的不同程度的操作练习,更好地提高眼科手术培训效果。The present application provides a training device for ophthalmic surgery operation, which can realize master-slave bidirectional ophthalmic surgery operation training based on force/position mixed information, and save motion information during the operation in real time. . At the same time, the system adds the motion information of the teacher during the same operation process to the training of the students' ophthalmic surgery operation. By adjusting the operation weight parameters through the operation weight parameter adjustment button, the teacher's operation weight in the ophthalmic surgery training process can be adjusted, so that the students can change from Teachers completely "hand-in-hand" teaching to gradually increase the degree of independent participation in different degrees of operation practice, which can better improve the training effect of ophthalmic surgery.

附图说明Description of drawings

此处所说明的附图用来提供对本发明的进一步理解,构成本申请的一部分,本发明的示意性实施例及其说明用于解释本发明,并不构成对本发明的不当限定。在附图中:The accompanying drawings described herein are used to provide a further understanding of the present invention and constitute a part of the present application. The exemplary embodiments of the present invention and their descriptions are used to explain the present invention and do not constitute an improper limitation of the present invention. In the attached image:

图1为本发明提供的眼科手术操作的培训装置的结构框图;Fig. 1 is the structural block diagram of the training device for ophthalmic surgery operation provided by the present invention;

图2为本发明实施例提供的培训装置的硬件示意图;2 is a schematic diagram of hardware of a training device provided by an embodiment of the present invention;

图3为本发明实施例提供的培训装置运行时的人机互动示意图。FIG. 3 is a schematic diagram of human-machine interaction when the training device according to an embodiment of the present invention is running.

图中,1-显示器;2-主机培训系统;21-主机控制单元;22-主机传感器单元;23-主机通讯单元;24-主机操作器械;3-从机培训系统;31-从机控制单元;32-从机传感器单元;33-从机通讯单元;34-从机操作器械;35-操作对象;4-总控制台;41-系统处理单元;42-系统通讯单元;43-操作权重参数调节按钮;44-电源单元。In the figure, 1-display; 2-host training system; 21-host control unit; 22-host sensor unit; 23-host communication unit; 24-host operating equipment; 3-slave training system; 31-slave control unit 32-slave sensor unit; 33-slave communication unit; 34-slave operating equipment; 35-operating object; 4-general console; 41-system processing unit; 42-system communication unit; 43-operation weight parameter Adjustment button; 44 - Power supply unit.

具体实施方式Detailed ways

为了使本技术领域的人员更好地理解本发明方案,下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分的实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都应当属于本发明保护的范围。In order to make those skilled in the art better understand the solutions of the present invention, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only Embodiments are part of the present invention, but not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.

实施例一Example 1

本发明实施例提供了一种眼科手术操作的培训装置,参见图1至图3,包括:An embodiment of the present invention provides a training device for ophthalmic surgery operation, referring to FIG. 1 to FIG. 3 , including:

显示器1、总控制台4、主机培训系统2和从机培训系统3;其中,Display 1, master console 4, host training system 2 and slave training system 3; among them,

主机培训系统2包括主机控制单元21、主机传感器单元22、主机通讯单元23和主机操作器械24,用于手术操作过程中主机的数据的采集、处理、传输和存储。The host training system 2 includes a host control unit 21 , a host sensor unit 22 , a host communication unit 23 and a host operating instrument 24 , and is used for the collection, processing, transmission and storage of host data during surgical operations.

在本实施例中,显示器1可实时显示眼科手术操作的培训过程中操作图像及视频,以及主机操作器械和从机操作器械的位置、速度、加速度以及作用力等运动信息。In this embodiment, the display 1 can display in real time the operation images and videos during the training process of the ophthalmic surgery operation, as well as the motion information such as the position, speed, acceleration and force of the master operation instrument and the slave operation instrument.

在本实施例中,主机控制单元21具体可以是由ARM或者DSP等构成,用于实现眼科手术操作的培训过程中主机的数据存储和处理功能,生成相应控制指令、控制主机通信单元与从机通信单元21、总控制台4进行通信,接收主机传感器单元22检测的运动信息等;主机传感器单元22由运动传感器(位置传感器、速度传感器和加速度传感器等)和力传感器(力传感器、力矩传感器等)中的一种或几种排列组合构成;主机培训系统2通过主机通讯单元23与总控制台4和从机培训系统3进行信息和数据传输;操作者控制主机操作器械24完成眼科手术操作。In this embodiment, the host control unit 21 may be specifically composed of ARM or DSP, etc., and is used to realize the data storage and processing functions of the host during the training process of ophthalmic surgery operations, generate corresponding control instructions, and control the host communication unit and the slave. The communication unit 21 communicates with the main console 4, and receives the motion information detected by the host sensor unit 22; the host sensor unit 22 consists of motion sensors (position sensor, speed sensor, acceleration sensor, etc.) ); the host training system 2 transmits information and data with the master console 4 and the slave training system 3 through the host communication unit 23; the operator controls the host operating instrument 24 to complete the ophthalmic surgery operation.

具体地,眼科手术操作的培训过程中,通过主机培训系统2的运动传感器(位置传感器、速度传感器和加速度传感器等)实时测量眼科手术操作的培训过程中的主机操作器械24的运动信息(位置、速度、加速度等);主机培训系统2的力传感器(力传感器、力矩传感器等)或力估计器实时测量眼科手术操作的培训过程中的主机操作器械24的力信息(力、力矩等)的信息,发送给主机控制单元21以供其结合从机运动信息和力信息生成相应的控制指令,并通过主机通讯单元23传到从机控制单元33和系统处理单元41中。Specifically, during the training process of the ophthalmic surgery operation, the motion information (position, position, speed, etc.) of the host operating instrument 24 during the training process of the ophthalmic surgery operation is measured in real time by the motion sensors (position sensor, speed sensor, acceleration sensor, etc.) of the host training system 2 . speed, acceleration, etc.); the force sensor (force sensor, torque sensor, etc.) or force estimator of the host training system 2 measures the force information (force, torque, etc.) of the host operating instrument 24 during the training process of the ophthalmic surgery operation in real time. , and sent to the master control unit 21 for it to generate corresponding control commands in combination with the slave motion information and force information, and transmit them to the slave control unit 33 and the system processing unit 41 through the master communication unit 23 .

从机培训系统3包括从机控制单元31、从机传感器单元32、从机通讯单元33和从机操作器械34,用于手术操作过程中从机的数据的采集、处理、传输和存储。The slave training system 3 includes a slave control unit 31 , a slave sensor unit 32 , a slave communication unit 33 and a slave operating instrument 34 , which are used for the collection, processing, transmission and storage of slave data during surgical operations.

在本实施例中,从机培训系统3包括从机控制单元31、从机传感器单元32、从机通讯单元33和从机操作器械34;其中,从机控制单元31具体可以由ARM或者DSP等构成,用于实现眼科手术操作的培训过程中从机的数据存储和处理功能,生成相应从机操作器械34控制指令,控制从机通信单元33与从机通信单元21、总控制台4进行通信,从机传感器单元32检测的运动信息等;从机传感器单元32由运动传感器(位置传感器、速度传感器和加速度传感器等)和力传感器(力传感器、力矩传感器等)中的一种或几种排列组合构成;从机培训系统3通过从机通讯单元33承与总控制台4、主机培训系统2、进行信息和数据传输;操作者通过在主机操作器械24的操作,基于双向控制方法控制从机操作器械34对操作对象完成眼科手术操作。In this embodiment, the slave training system 3 includes a slave control unit 31, a slave sensor unit 32, a slave communication unit 33 and a slave operating device 34; wherein, the slave control unit 31 can be specifically composed of an ARM or DSP, etc. It is used to realize the data storage and processing functions of the slaves in the training process of ophthalmic surgery operations, generate corresponding control instructions of the slave operating instruments 34, and control the slave communication unit 33 to communicate with the slave communication unit 21 and the master console 4. , motion information detected by the slave sensor unit 32, etc.; the slave sensor unit 32 is arranged by one or more of motion sensors (position sensor, speed sensor, acceleration sensor, etc.) and force sensor (force sensor, torque sensor, etc.) Combination composition; the slave training system 3 undertakes the master console 4 and the host training system 2 through the slave communication unit 33 to transmit information and data; the operator controls the slave based on the two-way control method by operating the equipment 24 on the host The operating instrument 34 performs ophthalmic surgery operations on the operating object.

具体地,在眼科手术操作的培训过程中,通过从机培训系统3的运动传感器(位置传感器、速度传感器和加速度传感器等)实时测量眼科手术培训操作过程中的主机操作器械24的运动信息(位置、速度、加速度等)的信息,从机培训系统3的力传感器(力传感器、力矩传感器等)或力估计器实时测量眼科手术培训操作过程中的从机操作器械34的力信息(力、力矩等)的信息,发送给从机控制单元31以供其结合主机运动信息和力信息生成相应的控制指令,并通过从机通讯单元33传到主机控制单元23和系统处理单元41中。Specifically, in the training process of the ophthalmic surgery operation, the motion information (position sensor, etc.) of the host operating instrument 24 during the ophthalmic surgery training operation is measured in real time by the motion sensors (position sensor, speed sensor, acceleration sensor, etc.) of the slave training system 3 , speed, acceleration, etc.), the force sensor (force sensor, torque sensor, etc.) or force estimator of the slave training system 3 measures the force information (force, torque, etc.) of the slave operating instrument 34 during the ophthalmic surgery training operation in real time. etc.) information, sent to the slave control unit 31 for it to generate corresponding control commands in combination with the master motion information and force information, and transmitted to the master control unit 23 and the system processing unit 41 through the slave communication unit 33.

作为优选的技术方案中,总控制台4包括系统处理单元41、系统通讯单元42、电源单元44和操作权重参数调节按钮43,用于统筹管理整个手术操作培训装置的运作。As a preferred technical solution, the main console 4 includes a system processing unit 41 , a system communication unit 42 , a power supply unit 44 and an operation weight parameter adjustment button 43 , for overall management of the operation of the entire surgical operation training device.

具体地,总控制台4包括系统处理单元41、系统通讯单元42、电源单元44和操作权重参数调节按钮43;其中,系统处理单元41由ARM、DSP或者工控机等构成,用于实现眼科手术操作的培训系统的数据存储、手术操作选择、操作权重设置等功能;系统通讯单元42承担着建立起总控制台4和主机培训系统2、从机培训系统3三者之间信息和数据传输的作用;电源单元44为眼科手术操作的培训系统提供电源;操作权重参数调节按钮43可以对学员手术操作过程中教师操作权重进行调节。Specifically, the main console 4 includes a system processing unit 41, a system communication unit 42, a power supply unit 44, and an operation weight parameter adjustment button 43; wherein, the system processing unit 41 is composed of ARM, DSP or industrial computer, etc., and is used to realize eye surgery. The operation training system has functions such as data storage, surgical operation selection, and operation weight setting; the system communication unit 42 is responsible for establishing information and data transmission between the master console 4, the host training system 2, and the slave training system 3. Function; the power supply unit 44 provides power for the training system of ophthalmic surgery operation; the operation weight parameter adjustment button 43 can adjust the teacher's operation weight during the student's operation.

本发明实施例中的眼科手术操作的培训系统,通过显示器1接收手术培训请求,手术培训请求包括操作类型;然后,从机培训系统3基于操作类型调出操作对象;总控制台4采集操作权重参数σ;当操作权重参数为σ=1时,教师在主机培训系统2上对操作对象执行教学模式操作,并记录教学模式的教学操作数据,以供后续学员的需求进行参考学习;当操作权重参数为σ=0时,学员在从机培训系统3上对操作对象执行自主模式操作,不受教师操作的影响,自主进行学习,并记录自主模式的自主操作数据,便于后续学员进行查错或修改;当操作权重参数为0<σ<1时,学员在从机培训系统3对操作对象执行学习模式操作,同时教师的操作以操作权重比例参与、指导学员操作,并记录学习模式的学习操作数据,便于后续学员进行查错或修改,本发明眼科手术操作的培训系统能够提高眼科手术培训让学员接受到不同程度的教师操作的影响的自主操作学习,还能够直观体验教师的“手把手”精确教学操作,从而能够提高眼科手术培训的精确度。The training system for ophthalmic surgical operation in the embodiment of the present invention receives a surgical training request through the display 1, and the surgical training request includes the operation type; then, the slave training system 3 calls out the operation object based on the operation type; the master console 4 collects the operation weights parameter σ; when the operation weight parameter is σ=1, the teacher performs the teaching mode operation on the operation object on the host training system 2, and records the teaching operation data of the teaching mode for reference and learning according to the needs of subsequent students; when the operation weight When the parameter is σ=0, the trainee performs the autonomous mode operation on the operation object on the slave training system 3, and is not affected by the teacher's operation, autonomously learns, and records the autonomous operation data of the autonomous mode, which is convenient for the subsequent trainees to check for errors or Modification; when the operation weight parameter is 0<σ<1, the trainee performs the learning mode operation on the operation object in the slave training system 3, and the teacher's operation participates in and guides the trainee operation according to the operation weight ratio, and records the learning operation in the learning mode. The training system for ophthalmic surgery operation of the present invention can improve the independent operation learning of ophthalmic surgery training, allowing students to accept the influence of different degrees of teacher's operation, and can also intuitively experience the accuracy of the teacher's "hand-in-hand" operation. Teach the operation to improve the accuracy of ophthalmic surgery training.

在眼科手术培训中进行权重选择时,首先,教师先在眼科培训系统上对某一眼科手术进行操作,令教师操作过程中的主机控制量和从机控制量分别为:When selecting weights in ophthalmic surgery training, first, the teacher operates a certain ophthalmic surgery on the ophthalmic training system, so that the master control amount and the slave control amount during the teacher's operation are:

Figure GDA0002950186870000091
Figure GDA0002950186870000091

其中,um0(t)、us0(t)分别为教师进行眼科手术操作过程时的主机控制量和从机控制量;Xm0(t)、Xs0(t)分别为教师操作时的主机位置响应和从机位置响应;fh0(t)、fe0(t)分别为教师对主机操作器械的作用力和环境对从机操作器械的作用力;Cpm(t)、Cfm(t)分别为主机位置控制器、主机力控制器;Cps(t)、Cfs(t)分别为从机位置控制器、从机力控制器。Xs0(t)-Xm0(t)为主机和从机位置响应的差值,fh0(t)+fe0(t)相当于教师对操作器械的力和环境对操作器械的合外力。Among them, u m0 (t) and u s0 (t) are respectively the master control amount and the slave control amount when the teacher performs the ophthalmic surgery operation process; X m0 (t) and X s0 (t) are the host computer when the teacher is operating Position response and slave position response; f h0 (t), f e0 (t) are the teacher's force on the master's operating device and the environment's force on the slave's operating device; C pm (t), Cfm (t) are the master position controller and the master force controller, respectively; C ps (t) and C fs (t) are the slave position controller and the slave force controller, respectively. X s0 (t)-X m0 (t) is the difference between the position response of the master and the slave, and f h0 (t)+f e0 (t) is equivalent to the force of the teacher on the operating device and the resultant external force of the environment on the operating device.

当完全由学员进行眼科手术培训操作时,令学员操作过程中的主机控制量和从机控制量分别为:When the ophthalmic surgery training operation is carried out by the trainee, the master control amount and the slave control amount during the trainee's operation are as follows:

Figure GDA0002950186870000101
Figure GDA0002950186870000101

其中,um1(t)、us1(t)分别为学员进行眼科手术培训操作过程时主机控制量和从机控制量;Xm1(t)、Xs1(t)分别为学员操作时的主机位置响应和从机位置响应;fh1(t)、fe1(t)分别为学员对主机操作器械的作用力和环境对从机操作器械的作用力;Xs1(t)-Xm1(t)为主机和从机位置响应的差值,fh1(t)+fe1(t)相当于学员对操作器械的力和环境对操作器械的合外力。Among them, u m1 (t) and u s1 (t) are respectively the master control amount and the slave control amount when the trainee is in the ophthalmic surgery training operation process; X m1 (t) and X s1 (t) are the main machine when the trainee is operating Position response and slave position response; f h1 (t), f e1 (t) are the force of the trainee on the master operating device and the environment on the slave operating device; X s1 (t)-X m1 (t ) is the difference between the position response of the master and the slave, and f h1 (t)+f e1 (t) is equivalent to the force of the trainee on the operating device and the resultant external force of the environment on the operating device.

本发明提出的眼科手术培训系统实际操作过程中加入教师的操作信息,并且教师操作在整个操作过程中的参与度通过操作权重参数σ进行调节。因此学员在进行眼科操作培训时,系统主机控制量和从机控制量变为:The operation information of the teacher is added in the actual operation process of the ophthalmic surgery training system proposed by the present invention, and the participation of the teacher in the whole operation process is adjusted by the operation weight parameter σ. Therefore, when the trainees conduct ophthalmic operation training, the system master control volume and slave control volume become:

Figure GDA0002950186870000111
Figure GDA0002950186870000111

具体地,调节操作权重参数时,眼科手术培训系统可以采用两种方式,一种是系统采用手术操作效果指标自动调节操作权重参数;另一种是通过总控制台的操作权重参数调节按钮调整操作权重参数。Specifically, when adjusting the operation weight parameters, the ophthalmic surgery training system can adopt two methods. One is that the system uses the surgical operation effect index to automatically adjust the operation weight parameters; the other is to adjust the operation weight parameters through the operation weight parameter adjustment button of the main console. weight parameter.

操作效果指标可以选为和位置偏差、速度偏差、加速度偏差、力偏差相关的函数。The operation effect index can be selected as a function related to position deviation, velocity deviation, acceleration deviation, and force deviation.

优选地,一种操作效果指标M可以设置为:Preferably, an operation effect index M can be set as:

Figure GDA0002950186870000112
Figure GDA0002950186870000112

其中,Xs0(t)为教师实际操作过程中从机的位置响应,Xs1(t)为学员实际操作过程中从机的位置响应,T为眼科手术培训操作的总时间,n为学员眼科手术培训操作次数。

Figure GDA0002950186870000113
为教师实际操作过程中从机的位置响应和学员实际操作过程中从机的位置响应之差的积分,反映出教师和学员操作位置响应之差的总和。
Figure GDA0002950186870000114
为教师和学员操作过程中环境对从机操作器械的作用力之差的积分,反映出作用力之差的总和。Among them, X s0 (t) is the position response of the slave machine during the actual operation of the teacher, X s1 (t) is the position response of the slave machine during the actual operation of the trainee, T is the total time of ophthalmic surgery training operation, and n is the trainee’s ophthalmology department. Number of surgical training operations.
Figure GDA0002950186870000113
It is the integral of the difference between the position response of the slave machine during the actual operation of the teacher and the position response of the slave machine during the actual operation of the student, and reflects the sum of the difference between the operation position response of the teacher and the student.
Figure GDA0002950186870000114
It is the integral of the difference between the force of the environment on the slave-operated equipment during the operation of the teacher and the student, and reflects the sum of the difference of the force.

眼科手术培训系统可以根据操作效果指标来自动调节操作权重参数,即σ=k*M,k为一个比例系数,且k大于0。操作效果指标M与操作权重参数σ呈正比关系,操作效果指标M越大时,操作权重参数σ越大,即学员操作效果较差时操作过程提高教师操作参与度,使教师能够更好地“手把手”将操作过程的位置、力信息指导给学员;操作效果指标M越小时,操作权重参数σ越小,即当学员操作越来越熟练后,教师在操作过程中的参与度越小;当M→0时,σ→0,即学员可以复现教师的操作。The ophthalmic surgery training system can automatically adjust the operation weight parameter according to the operation effect index, namely σ=k*M, k is a proportional coefficient, and k is greater than 0. The operation effect index M is proportional to the operation weight parameter σ. When the operation effect index M is larger, the operation weight parameter σ is larger, that is, when the students' operation effect is poor, the operation process improves the teacher's participation in the operation, so that the teacher can better "" Hand-in-hand guide the position and force information of the operation process to the students; the smaller the operation effect index M, the smaller the operation weight parameter σ, that is, as the students become more proficient in the operation, the less the teacher's participation in the operation process; When M→0, σ→0, that is, the trainee can reproduce the teacher's operation.

眼科手术培训系统具体的培训操作流程为:The specific training operation process of the ophthalmic surgery training system is as follows:

令公式(3)中的操作权重参数σ为1,请教师进行某个眼科手术的标准操作,操作过程中实时存储其操作过程中的位置、速度、加速度等运动信息以及教师对主机操作器械的作用力fh0(t)、环境对从机操作器械的作用力fe0(t)的力信息;Let the operation weight parameter σ in formula (3) be 1, ask the teacher to perform a standard operation of an ophthalmology operation, and store the position, speed, acceleration and other motion information during the operation in real time during the operation, as well as the teacher's response to the host operating equipment. Force information of the force f h0 (t) and the force f e0 (t) of the environment on the slave operating device;

学员选择眼科手术培训系统存储的信息进行某个手术操作,并通过操作效果指标自动计算出的操作权重参数或者通过手动调节操作权重参数按钮,使公式(3)中的0≤σ≤1。当操作权重参数σ为1,学员完全跟随主机操作器械的操作,从而感受教师操作手术时的位置信息和教师对主机操作器械的作用力信息。当操作权重参数σ逐渐减小的时候,主机操作器械受教师操作信息的影响变小,学员操作主机器械的权重变大。当操作权重参数σ为0,主机操作器械不再受教师操作信息的影响,学员完全脱离教师的指导进行眼科手术操作;The trainee selects the information stored in the ophthalmic surgery training system to perform a certain surgical operation, and uses the operation weight parameter automatically calculated by the operation effect index or manually adjusts the operation weight parameter button to make 0≤σ≤1 in formula (3). When the operation weight parameter σ is 1, the trainee completely follows the operation of the host operating instrument, so as to feel the position information of the teacher when operating the operation and the force information of the teacher on the host operating instrument. When the operation weight parameter σ gradually decreases, the influence of the host operating equipment by the teacher's operation information becomes smaller, and the weight of the student operating the host equipment becomes larger. When the operation weight parameter σ is 0, the host operating equipment is no longer affected by the teacher's operation information, and the students completely deviate from the teacher's guidance to perform ophthalmic surgery operations;

学员操作过程中系统实时存储其操作过程中的位置、速度、加速度等运动信息以及学员对主机操作器械的作用力fh1(t)、环境对从机操作器械的作用力fe(t)的力信息。学员操作结束时系统会根据公式(4)自动计算出操作效果指标,评估操作效果,并计算操作权重参数以供下次操作时使用。During the operation of the trainee, the system stores the position, speed, acceleration and other motion information in real time during the operation, as well as the force f h1 (t) of the trainee on the host operating device, and the force f e (t) of the environment on the slave operating device. force information. At the end of the trainee's operation, the system will automatically calculate the operation effect index according to formula (4), evaluate the operation effect, and calculate the operation weight parameter for use in the next operation.

与现有的眼科培训系统相比,本发明眼科手术操作的培训方法及系统的优点在于:Compared with the existing ophthalmic training system, the advantages of the training method and system for ophthalmic surgical operation of the present invention are:

1.本发明提供的眼科手术操作的培训方法及系统引入了操作权重参数,可以在操作过程中通过调节操作权重参数调整培训过程中教师对学员操作的指导程度;调节操作权重参数相当于教师对学员进行不同程度的指导,学员不仅能够跟随教师的操作记录来操作某个眼科手术,而且能够独立的完成各项眼科手术操作;这使得学员对自己的操作效果有清楚的了解,眼科手术培训操作的效果更加显著。1. The training method and system of ophthalmic surgery operation provided by the present invention have introduced the operation weight parameter, which can be adjusted during the operation by adjusting the operation weight parameter. The trainees carry out different levels of guidance, and the trainees can not only follow the teacher's operation record to operate a certain eye surgery, but also complete various eye surgery operations independently; this enables the trainees to have a clear understanding of the effect of their own operations, and the training operation of eye surgery effect is more pronounced.

2.本发明提供的基于双向控制的眼科手术操作的培训系统能够精确地记录每次手术操作时的位置、速度、加速度以及作用力等信息。能够让学员在操作过程中真实、同步地体验到教师操作过程中的位置、力等多维运动信息,使眼科培训过程更为真实有效、可以更快、更有效地培训出进行精细眼部手术的医生。2. The training system for ophthalmic surgical operation based on bidirectional control provided by the present invention can accurately record information such as position, speed, acceleration and force during each surgical operation. It enables students to experience the real and synchronous multi-dimensional motion information of the teacher's position and force during the operation process, making the ophthalmology training process more real and effective, and can train people who perform fine eye surgery faster and more effectively. doctor.

实施例二:Embodiment 2:

本发明提供一种基于位置-力的主从双向控制、使学员在操作过程中可以实时体会教师操作过程中位置和力信息的眼科培训系统。The invention provides an ophthalmology training system based on the master-slave two-way control of position-force, which enables trainees to real-time experience the position and force information of the teacher during the operation.

从硬件结构图中来说,主机培训系统2和从机培训系统3靠的是主机通讯单元23和从机通讯单元33进行数据传输,并且两者都可以和系统处理单元41通过系统通讯单元42进行数据和控制命令的传输。主机培训系统2具有的主机传感器单元22以及从机培训系统3具有的从机传感器单元32,在操作中测量主机和从机的位置、速度、加速度信息并把数据传输到主机控制单元21和从机控制单元31。From the hardware structure diagram, the host training system 2 and the slave training system 3 rely on the host communication unit 23 and the slave communication unit 33 for data transmission, and both can communicate with the system processing unit 41 through the system communication unit 42. Carry out the transmission of data and control commands. The master sensor unit 22 of the master training system 2 and the slave sensor unit 32 of the slave training system 3 measure the position, velocity, acceleration information of the master and the slave in operation and transmit the data to the master control unit 21 and the slave. machine control unit 31.

眼科手术培训操作的流程:The flow of ophthalmic surgery training operation:

1.开机自检。若有故障,系统检查电源单元44、系统通讯单元42、主机通讯单元23、从机通讯单元33和主机传感器单元22、从机传感器单元32的故障并找出故障模块并退出;1. POST. If there is a fault, the system checks the power supply unit 44, the system communication unit 42, the master communication unit 23, the slave communication unit 33 and the master sensor unit 22, the fault of the slave sensor unit 32 and finds out the faulty module and exits;

2.若自检正常,对教师来说,选择某个眼科手术操作,操作主机操作器械24进行手术,从机操作器械34进行和主机操作器械24相同的操作,使得从机操作器械34对操作对象35进行手术。操作对象35可以为人造眼球等眼科手术操作对象。与此同时眼科培训系统记录下手术过程中各数据并存储,存储完毕后退出此操作;2. If the self-examination is normal, for the teacher, select an ophthalmic surgery operation, operate the master operating instrument 24 to perform the operation, and the slave operating instrument 34 performs the same operation as the master operating instrument 24, so that the slave operating instrument 34 can perform the operation. Subject 35 underwent surgery. The operation object 35 may be an ophthalmic surgery operation object such as an artificial eyeball. At the same time, the ophthalmology training system records and stores all data during the operation, and exits this operation after the storage is completed;

3.若自检正常,对学员来说,选择某个已存储教师操作的眼科手术操作。通过操作效果指标自动计算出的操作权重参数,或者学员通过手术熟练程度手动调节操作权重参数调节按钮43选择操作权重参数。之后学员开始操作主机操作器械24完成手术,与此同时眼科培训系统会记录下手术过程中各数据并存储,存储完毕后自动计算出操作效果指标和操作权重参数并退出此操作;3. If the self-test is normal, for the student, select an eye surgery operation that has been stored by the teacher. The operation weight parameter is automatically calculated by the operation effect index, or the student manually adjusts the operation weight parameter adjustment button 43 according to the surgical proficiency to select the operation weight parameter. Afterwards, the trainee starts to operate the host operating instrument 24 to complete the operation. At the same time, the ophthalmology training system will record and store various data during the operation. After the storage, the operation effect index and operation weight parameter will be automatically calculated and the operation will be exited;

4.对教师和学员来说,都可以进行手术历史记录的查询,并可以查看和删除数据。4. For teachers and students, the operation history records can be inquired, and the data can be viewed and deleted.

对于教师,操作中可以感受到从机的位置信息和力反馈信息,同时可以在显示器1上获取眼科操作过程中操作图像及视频、主机和从机的位置、速度、加速度以及作用力等信息,使得操作更加精细。对于学员,通过计算出的操作效果指标,自动调节操作权重参数,或者通过手术熟练程度手动调节操作权重参数调节按钮43来进行眼科手术操作。学员操作过程中可以感受到从机的位置和力反馈,以及教师的位置和力信息,同时可以在显示器1上获取眼科操作过程中操作图像及视频、主机和从机的位置、速度、加速度以及作用力等信息,使得学员能随时把握自己的操作过程,迅速地提升独立操作眼科手术的能力,更好的完成培训。For teachers, the position information and force feedback information of the slave machine can be felt during the operation, and at the same time, the operation images and videos, the position, speed, acceleration and force of the host machine and the slave machine can be obtained on the display 1 during the operation of the ophthalmology. make the operation more precise. For the trainee, the operation weight parameter is automatically adjusted according to the calculated operation effect index, or the operation weight parameter adjustment button 43 is manually adjusted according to the surgical proficiency to perform the ophthalmic surgery operation. During the operation, the students can feel the position and force feedback of the slave machine, as well as the position and force information of the teacher, and at the same time, they can obtain the operation image and video, the position, speed, acceleration and Force and other information, so that students can grasp their own operation process at any time, quickly improve the ability to operate ophthalmic surgery independently, and better complete the training.

在本申请所提供的几个实施例中,应该理解到,所揭露的技术内容,可通过其它的方式实现。其中,以上所描述的系统实施例仅仅是示意性的,例如单元的划分,可以为一种逻辑功能划分,实际实现时可以有另外的划分方式,例如多个单元或组件可以结合或者可以集成到另一个系统,或一些特征可以忽略,或不执行。另一点,所显示或讨论的相互之间的耦合或直接耦合或通信连接可以是通过一些接口,单元或模块的间接耦合或通信连接,可以是电性或其它的形式。In the several embodiments provided in this application, it should be understood that the disclosed technical content can be implemented in other ways. The system embodiments described above are only illustrative, for example, the division of units may be a logical function division, and there may be other division methods in actual implementation, for example, multiple units or components may be combined or integrated into Another system, or some features can be ignored, or not implemented. On the other hand, the shown or discussed mutual coupling or direct coupling or communication connection may be through some interfaces, indirect coupling or communication connection of units or modules, and may be in electrical or other forms.

以上所述仅是本发明的优选实施方式,应当指出,对于本技术领域的普通技术人员来说,在不脱离本发明原理的前提下,还可以做出若干改进和润饰,这些改进和润饰也应视为本发明的保护范围。The above are only the preferred embodiments of the present invention. It should be pointed out that for those skilled in the art, without departing from the principles of the present invention, several improvements and modifications can be made. It should be regarded as the protection scope of the present invention.

Claims (8)

1. Training device for ophthalmologic surgical operations, characterized in that it comprises: the system comprises a display, a master control console, a host training system and a slave training system; wherein:
the master control console is respectively connected with the display, the host training system and the slave training system, the host training system comprises a host operating instrument, a host control unit, a host sensor unit and a host communication unit, and the slave training system comprises a slave operating instrument, a slave control unit, a slave sensor unit and a slave communication unit;
the master control console is used for receiving the motion information sent by the master training system and the slave training system; checking the motion information and controlling the display to display the information, wherein the motion information comprises the positions, the motion speeds, the accelerations and the applied forces of the master operation instrument and the slave operation instrument;
the master control station also comprises an operation weight parameter adjusting button which is used for adjusting the operation weight of a teacher participating in the operation teaching process of the student when the student operates so as to adjust the participation degree of the teacher in the operation process;
firstly, a teacher firstly operates a certain ophthalmic surgery on an ophthalmic training system, and the master machine control quantity and the slave machine control quantity in the teacher operation process are respectively as follows:
Figure FDA0002985770390000011
wherein u ism0(t)、us0(t) respectively controlling the master machine control quantity and the slave machine control quantity when the teacher performs the ophthalmic surgery operation process; xm0(t)、Xs0(t) respectively representing master machine position response and slave machine position response during teacher operation; f. ofh0(t)、fe0(t) respectively acting force of the teacher on the master machine operation device and acting force of the environment on the slave machine operation device; cpm(t)、Cfm(t) a host position controller and a host force controller, respectively; cps(t)、Cfs(t) a slave position controller and a slave force controller, respectively; xs0(t)-Xm0(t) is the difference between the master and slave position responses, fh0(t)+fe0(t) corresponds to the force of the teacher on the operating device and the resultant force of the environment on the operating device;
when the student carries out the training operation of the ophthalmic surgery completely, the master control quantity and the slave control quantity in the operation process of the student are respectively as follows:
Figure FDA0002985770390000021
wherein,um1(t)、us1(t) respectively controlling a master machine control quantity and a slave machine control quantity when the trainee carries out the training operation process of the ophthalmic surgery; xm1(t)、Xs1(t) respectively representing the host position response and the slave position response when the trainee operates; f. ofh1(t)、fe1(t) the acting force of the student on the master machine operation instrument and the acting force of the environment on the slave machine operation instrument are respectively; xs1(t)-Xm1(t) is the difference between the master and slave position responses, fh1(t)+fe1(t) corresponds to the force of the trainee on the operating instrument and the resultant force of the environment on the operating instrument;
adding operation information of a teacher in the actual operation process, and adjusting the participation degree of the teacher in the whole operation process through an operation weight parameter sigma; when the trainee trains the ophthalmologic operation, the master control quantity and the slave control quantity are changed into:
Figure FDA0002985770390000022
2. the training apparatus for ophthalmologic surgical operation according to claim 1, wherein the adjustment of the operation weight of the teacher who participates in the teaching of the student's operation includes
When the operation weight parameter adjusting button is in a state that sigma is 1, executing teacher teaching mode operation on an operation object, and recording teaching operation data of the teaching mode;
when the operation weight parameter adjusting button is in a state that sigma is 0, executing trainee autonomous mode operation on the operation object, and recording autonomous operation data of the autonomous mode;
when the operation weight parameter adjustment button is in a state of 0< σ <1, a student learning mode operation is performed on the operation target, and learning operation data of the learning mode is recorded.
3. The training apparatus for ophthalmic surgery according to claim 1, wherein the console further comprises a system processing unit, a system communication unit and a power supply unit for integrally managing the operation of the training apparatus for ophthalmic surgery.
4. The training apparatus for ophthalmic surgery operations according to claim 1, wherein the host training system comprises a host control unit, a host sensor unit and a host communication unit;
the host control unit is used for storing and processing data generated by the host in the ophthalmic surgery process, generating a corresponding operation command and controlling the host sensor unit and the host communication unit to work;
the host sensor unit is connected with the host control unit and used for detecting operation data of host operation equipment and sending the operation data to the host control unit;
and the host communication unit is connected with the slave communication unit and is used for carrying out data interaction with the slave training system.
5. The training apparatus for ophthalmic surgical operations according to claim 4, wherein the main unit sensor unit comprises one or more of a position sensor, a velocity sensor, and an acceleration sensor, and a force sensor, a moment sensor.
6. The training apparatus for ophthalmic surgical operations according to claim 4, wherein the slave training system comprises a slave control unit, a slave sensor unit and a slave communication unit;
the slave control unit is used for storing and processing data generated by a slave in the ophthalmic surgery process, generating a corresponding operation command and controlling the slave sensor unit and the slave communication unit to work;
the slave sensor unit is connected with the slave control unit and used for operating the operation data of the slave operation instrument and sending the operation data to the slave control unit;
and the slave communication unit is connected with the host communication unit and is used for data interaction with the host training system.
7. The training apparatus for ophthalmic surgery operations according to claim 4, wherein the core chips of the master control unit and the slave control unit are ARM or DSP.
8. The training apparatus for ophthalmic surgery operation according to claim 6, wherein the system communication unit in the master console is connected to the master communication unit and the slave communication unit, respectively.
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