CN113436496B - VR (virtual reality) system for preoperative simulation of ophthalmic surgery - Google Patents

VR (virtual reality) system for preoperative simulation of ophthalmic surgery Download PDF

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Publication number
CN113436496B
CN113436496B CN202110891545.6A CN202110891545A CN113436496B CN 113436496 B CN113436496 B CN 113436496B CN 202110891545 A CN202110891545 A CN 202110891545A CN 113436496 B CN113436496 B CN 113436496B
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frame body
opening
glasses
eyelid
patient
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CN113436496A (en
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喻行莉
毛丽
石彦婷
李建苹
黎婷
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Affiliated Hospital of Southwest Medical University
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Affiliated Hospital of Southwest Medical University
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    • GPHYSICS
    • G09EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09BEDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B9/00Simulators for teaching or training purposes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0231Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for eye surgery
    • GPHYSICS
    • G02OPTICS
    • G02BOPTICAL ELEMENTS, SYSTEMS OR APPARATUS
    • G02B27/00Optical systems or apparatus not provided for by any of the groups G02B1/00 - G02B26/00, G02B30/00
    • G02B27/01Head-up displays
    • G02B27/017Head mounted
    • GPHYSICS
    • G09EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09FDISPLAYING; ADVERTISING; SIGNS; LABELS OR NAME-PLATES; SEALS
    • G09F27/00Combined visual and audible advertising or displaying, e.g. for public address
    • GPHYSICS
    • G02OPTICS
    • G02BOPTICAL ELEMENTS, SYSTEMS OR APPARATUS
    • G02B27/00Optical systems or apparatus not provided for by any of the groups G02B1/00 - G02B26/00, G02B30/00
    • G02B27/01Head-up displays
    • G02B27/017Head mounted
    • G02B2027/0178Eyeglass type

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  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • General Physics & Mathematics (AREA)
  • Theoretical Computer Science (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Ophthalmology & Optometry (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
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  • Business, Economics & Management (AREA)
  • Educational Administration (AREA)
  • Educational Technology (AREA)
  • Optics & Photonics (AREA)
  • Rehabilitation Tools (AREA)
  • Eye Examination Apparatus (AREA)

Abstract

The invention relates to an intelligent medical instrument, in particular to a VR system before an ophthalmic operation. The glasses comprise VR glasses, wherein the VR glasses comprise a frame body (1), a display screen (2) arranged on the frame body (1), a control system and a voice playing system; an eyelid retractor (3) is arranged in front of the display screen (2) through the frame body (1). The invention can lead the patient to experience the operation process before operation, cooperate with the doctor instruction and feel the operation feeling through the voice playing system of the VR glasses, the display screen (2) and the eyelid retractor (3), thereby knowing the operation, relieving the tense and the anxiety of the patient in the perioperative period and being beneficial to the operation development.

Description

VR (virtual reality) system for preoperative simulation of ophthalmic surgery
Technical Field
The invention relates to an intelligent medical instrument, in particular to a VR system before an ophthalmic operation.
Background
In the case of performing an eye operation, particularly a cataract operation, an operation room environment strange before the operation, an operation of opening an eyelid of a patient, dropping oxybuprocaine hydrochloride eye drops, mydriasis, and washing an operation eye of the patient, and the like, the patient may feel uncomfortable, and the patient may be required to perform a corresponding operation in accordance with a doctor's instruction during the operation, for example, to rotate the eyeball up and down, to keep the eyeball still, and to stare at a bright light, and the like, in accordance with the doctor's instruction. Most patients feel nervous in the eye surgery process, eyeballs are easy to shake, the doctor instruction cannot be matched, and the surgery process is affected, so that the explanation of the surgery process to the patients before surgery and the experience of the surgery experience are important.
Disclosure of Invention
The invention aims to provide a VR system before an ophthalmic operation so as to solve the problem that an eye patient cannot experience an operation before the operation.
In order to achieve the purpose, the invention provides the following technical scheme:
the ophthalmic surgery preoperative simulation VR system comprises VR glasses, wherein the VR glasses comprise a frame body, a display screen arranged on the frame body, a control system and a voice playing system; an eyelid retractor is arranged in front of the display screen through the frame body.
Preferably, the VR glasses further include an eyeball tracker.
Preferably, the eyeball tracker is an infrared eyeball tracker.
Preferably, the frame body is embedded with a spray head facing to human eyes, and the spray head is externally connected with a liquid source.
Preferably, absorbent cotton is bonded to the frame body in a replaceable manner.
Preferably, the single eyelid retractor comprises an opening and closing support and an eyelid opening hook arranged at the end part of the opening and closing support, one end of the eyelid opening hook is connected with the opening and closing support, the other end of the eyelid opening hook is connected with an auxiliary frame, and the auxiliary frame is connected with the frame body through an elastic piece.
Preferably, the opening and closing support comprises a V-shaped support, a traction arm, a screw and an adjusting nut; two arms of the V-shaped support are hinged to the traction arm, the traction arm is hinged to the frame body, the tip end of the V-shaped support is connected with the screw rod, and the screw rod penetrates through the frame body through a through hole to be connected with the adjusting nut.
Preferably, the adjusting nut is sleeved on the screw and is in threaded connection with the screw, and a gap is reserved between the screw and the through hole.
Preferably, the opening and closing support is made of metal, the screw is further connected with an electrode, and the electrode is communicated with a power supply.
Preferably, the blood pressure monitor further includes an arterial blood pressure monitor connected to the housing.
Compared with the prior art, the invention can at least produce one of the following beneficial effects: the invention can lead the patient to experience the operation process before the operation, cooperate with the instructions of the doctor and feel the operation feeling through the voice playing system, the display screen and the eyelid retractor of the VR glasses, so as to know the operation, relieve the tension and anxiety of the patient in the perioperative period and be beneficial to the operation.
Drawings
FIG. 1 is a schematic structural diagram of the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is described in further detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
Fig. 1 shows the structure of such a pre-operative ophthalmic surgery simulation VR system, and several embodiments are listed below with reference to the figures.
Example 1:
the ophthalmic surgery preoperative simulation VR system comprises VR glasses, wherein the VR glasses comprise a frame body 1, a display screen 2 arranged on the frame body 1, a control system and a voice playing system; an eyelid retractor 3 is also arranged in front of the display screen 2 through the frame body 1.
VR glasses body is prior art, and it is from taking display screen 2, control system, pronunciation play system, but aim at patient broadcast science popularization video, can let the patient experience the operation process with first visual angle to can send the doctor's instruction in the art to the patient, let the patient know how to cooperate in advance. On this basis, set up the eye speculum 3 through framework 1, the eye speculum 3 is located the position that the patient wore the back eyes, is located display screen 2 promptly. The eyelid retractor 3 may be of various types, such as a wire eyelid retractor, a plate eyelid retractor, an adjustable sheet eyelid retractor, etc., and is not limited to this type, and is intended to allow a patient to feel and adapt to the feeling of the eyelid being stretched during surgery, and to eliminate discomfort of the patient.
Example 2:
based on the embodiment 1, it is further defined that the VR glasses further include an eyeball tracker. The eyeball tracking technology is a scientific application technology, firstly, the tracking is carried out according to the characteristic changes of the eyeball and the periphery of the eyeball, secondly, the tracking is carried out according to the angle change of the iris, and thirdly, the characteristics are extracted by actively projecting light beams such as infrared rays and the like to the iris. Different eyeball trackers have different costs and different required working distances, and can be selected according to requirements. When in operation, the patient needs to rotate the eyeball or tightly stare at a certain point to keep still, the patient can be required to stare at the certain point by utilizing the display screen 2 of the invention, the eyeball tracker monitors the corresponding action of the eyeball of the patient, and meanwhile, the correction can be prompted by the voice playing system after the comparison by the control system.
Example 3:
on the basis of the embodiment 1, it is further defined that the frame body 1 is further embedded with a spray head 4 facing towards human eyes, and the spray head 4 is externally connected with a liquid source. The simulation liquid can be sprayed to the eyeball of the patient through the spray head 4, so that the patient can feel the feeling when the anesthetic liquid is sprayed in the operation.
Example 4:
in addition to the above embodiment 3, it is further defined that the frame body 1 is replaceably adhered with absorbent cotton 5. Because the operation needs the patient to lie down, the patient also needs to lie down when the invention is used, the water absorption cotton 5 on the frame body 1 can well absorb the simulation liquid, and the water absorption cotton 5 can be replaced.
Example 5:
in addition to the embodiment 1, it is further limited that the single eyelid retractor 3 includes an opening and closing frame 31 and an eyelid opening hook 32 disposed at an end of the opening and closing frame 31, one end of the eyelid opening hook 32 is connected to the opening and closing frame 31, the other end is connected to the auxiliary frame 6, and the auxiliary frame 6 is connected to the frame 1 through the elastic member 7. The opening and closing bracket 31 is used for controlling the closing of the eyelid opening hook 32, and since the eyelid opener 3 is arranged on the VR glasses in the present invention, the eyelid opener 3 is fixed to a certain extent, and it is inconvenient to operate the eyelid opener 3 in case that the VR glasses are small in size. And auxiliary frame 6 is connected through elastic component 7 with framework 1, and is articulated between auxiliary frame 6 and the elastic component 7, and elastic component 7 can select high-elastic rubber post, spring post etc. for eyelid retractor 3 is floatable, and when the patient was worn, oppressed eyelid retractor 3 made its laminating self eye, made it strut again, and adaptability is stronger still improves the travelling comfort.
Example 6:
in addition to the above embodiment 1, the blood pressure monitor device further includes an arterial blood pressure monitor connected to the housing 1. Some patients are too tense, cannot be effectively matched with an operating doctor for treatment in the operation, have trembling eyeballs and cannot stare at bright light, and the blood pressure of the patients is increased to influence the operation process. The emotional condition of the patient can be known by measuring the blood pressure of the patient. However, some patients also have a "white gown syndrome" which, in the face of unfamiliar circumstances, faces and sounds, plus unfamiliar with the manner of surgical treatment, causes more adverse emotional reactions in the patient, such as anxiety, fear, and consequently an increase in blood pressure. Consequently, after the patient wears the VR glasses, adopt artery blood pressure monitor to monitor the patient under the condition that is sheltered from by the vision, the data of obtaining are more accurate, through detecting, the stable back of mood of patient's blood pressure, just can carry out the operation. Meanwhile, after the patient is immersed in the virtual operation scene for many times, the patient is well matched, and the blood pressure gradually tends to be normal, so that the actual operation treatment is efficiently completed.
The opening and closing bracket 31 comprises a V-shaped bracket 311, a traction arm 312, a screw 313 and an adjusting nut 314; two arms of the V-shaped support 311 are hinged with a traction arm 312, the traction arm 312 is hinged with the frame body 1, the tip end of the V-shaped support 311 is connected with a screw 313, and the screw 313 penetrates through the frame body 1 through a through hole to be connected with an adjusting nut 314.
The detailed connection relationship among the screw 313, the frame 1, and the adjusting nut 314 is at least two, and other connection methods may be used to achieve the functions. One is that one end of the screw 313 is rotatably connected with the tip end of the V-shaped bracket 311, the screw 313 is connected with the through hole through threads, and the adjusting nut 314 is fixedly arranged at the other end of the screw 313. The adjusting nut 314 is rotated to drive the screw 313 to rotate, so that the length of the screw 313 in the frame 1 can be adjusted, the tip of the V-shaped support 311 is driven to move, and the V-shaped support 311 can be opened and closed under the action of the traction arm 312. The other is that one end of the screw 313 is fixedly connected with the tip of the V-shaped bracket 311, a gap is left between the screw 313 and the through hole, and the adjusting nut 314 is sleeved on the screw 313 outside the frame 1. A gap is reserved between the screw 313 and the perforation to be more beneficial to the floating of the eyelid retractor 3, and the length of the screw 313 in the frame body 1 can be adjusted by rotating the adjusting screw 314, so that the V-shaped support 311 is driven to open and close. The opening and closing support 31 is made of metal, and the screw 313 is further connected with an electrode. The electrode is connected with the power, and the power adopts the voltage to human safety, and when turning on the power, the electrode can discharge, and is the same with the electrotherapy principle, but the setting of this application electrode is for producing the amazing sense of stinging to the eye, lets the patient experience the sense of stinging in the adaptation operation process.
Reference throughout this specification to multiple illustrative embodiments means that a particular structure described in connection with the embodiments is included in at least one embodiment described generally throughout this application. The appearances of the same phrase in various places in the specification are not necessarily all referring to the same embodiment. Further, while one structure has been described in connection with any one embodiment, it is to be understood that it is within the scope of the invention to implement such structure in connection with other embodiments.

Claims (7)

1. The ophthalmic surgery preoperative simulation VR system comprises VR glasses, wherein the VR glasses comprise a frame body (1), a display screen (2) arranged on the frame body (1), a control system and a voice playing system; the method is characterized in that: an eyelid retractor (3) is arranged in front of the display screen (2) through the frame body (1); the single eyelid retractor (3) comprises an opening and closing support (31) and an eyelid opening hook (32) arranged at the end part of the opening and closing support (31), one end of the eyelid opening hook (32) is connected with the opening and closing support (31), the other end of the eyelid opening hook is connected with an auxiliary frame (6), and the auxiliary frame (6) is connected with the frame body (1) through an elastic piece (7); the opening and closing support (31) comprises a V-shaped support (311), a traction arm (312), a screw (313) and an adjusting nut (314); two arms of the V-shaped support (311) are hinged with a traction arm (312), the traction arm (312) is hinged with the frame body (1), the tip end of the V-shaped support (311) is connected with a screw rod (313), and the screw rod (313) penetrates through the frame body (1) through a through hole to be connected with an adjusting nut (314); the adjusting nut (314) is sleeved on the screw rod (313) and is in threaded connection with the screw rod (313), and a gap is reserved between the screw rod (313) and the through hole.
2. The preoperative simulated VR system of an eye surgery of claim 1, wherein: the VR glasses also include an eye tracker.
3. The pre-ophthalmic surgery simulation VR system of claim 2, wherein: the eyeball tracker is an infrared eyeball tracker.
4. The pre-ophthalmic surgery simulation VR system of claim 1, wherein: the frame body (1) is further embedded with a spray head (4) facing human eyes, and the spray head (4) is externally connected with a liquid source.
5. The pre-ophthalmic surgery simulation VR system of claim 4 wherein: the frame body (1) is bonded with water absorbent cotton (5) in a replaceable way.
6. The preoperative simulated VR system of an eye surgery of claim 1, wherein: the opening and closing support (31) is made of metal, the screw (313) is further connected with an electrode, and the electrode is communicated with a power supply.
7. The pre-ophthalmic surgery simulation VR system of claim 1, wherein: the blood pressure monitoring device also comprises an arterial blood pressure monitor which is connected with the frame body (1).
CN202110891545.6A 2021-08-04 2021-08-04 VR (virtual reality) system for preoperative simulation of ophthalmic surgery Active CN113436496B (en)

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CN114255638A (en) * 2021-12-23 2022-03-29 天津医科大学 Preoperative situation simulation training device and simulation method thereof
CN115068261A (en) * 2022-06-15 2022-09-20 中国人民解放军陆军军医大学第一附属医院 Operation experience bed and use method thereof

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