EP4157134A1 - Système de surveillance d'un système d'éclairage chirurgical - Google Patents

Système de surveillance d'un système d'éclairage chirurgical

Info

Publication number
EP4157134A1
EP4157134A1 EP21729856.1A EP21729856A EP4157134A1 EP 4157134 A1 EP4157134 A1 EP 4157134A1 EP 21729856 A EP21729856 A EP 21729856A EP 4157134 A1 EP4157134 A1 EP 4157134A1
Authority
EP
European Patent Office
Prior art keywords
light
operating
surgical
lights
sensor
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
EP21729856.1A
Other languages
German (de)
English (en)
Inventor
Joachim Strölin
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Karl Leibinger Medizintechnik GmbH and Co KG
Original Assignee
Karl Leibinger Medizintechnik GmbH and Co KG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Karl Leibinger Medizintechnik GmbH and Co KG filed Critical Karl Leibinger Medizintechnik GmbH and Co KG
Publication of EP4157134A1 publication Critical patent/EP4157134A1/fr
Pending legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • H—ELECTRICITY
    • H05—ELECTRIC TECHNIQUES NOT OTHERWISE PROVIDED FOR
    • H05B—ELECTRIC HEATING; ELECTRIC LIGHT SOURCES NOT OTHERWISE PROVIDED FOR; CIRCUIT ARRANGEMENTS FOR ELECTRIC LIGHT SOURCES, IN GENERAL
    • H05B47/00—Circuit arrangements for operating light sources in general, i.e. where the type of light source is not relevant
    • H05B47/10—Controlling the light source
    • H05B47/105—Controlling the light source in response to determined parameters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2048—Tracking techniques using an accelerometer or inertia sensor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2051—Electromagnetic tracking systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2055—Optical tracking systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2063—Acoustic tracking systems, e.g. using ultrasound
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F21—LIGHTING
    • F21W—INDEXING SCHEME ASSOCIATED WITH SUBCLASSES F21K, F21L, F21S and F21V, RELATING TO USES OR APPLICATIONS OF LIGHTING DEVICES OR SYSTEMS
    • F21W2131/00—Use or application of lighting devices or systems not provided for in codes F21W2102/00-F21W2121/00
    • F21W2131/20—Lighting for medical use
    • F21W2131/205—Lighting for medical use for operating theatres

Definitions

  • the present invention relates to the operation of an operating room light arrangement which comprises at least one operating room light or at least two operating room lights.
  • the operating theater (operating room) is usually not equipped with sensors. There is a maximum of one normal room camera or cameras in the operating lights to document an operation. There are also navigation systems to position the instruments and their direction in difficult or complex operations.
  • Document DE 10 2007 028 731 A1 shows a method in which three-dimensional image data of an operating room is recorded and objects / devices are separated in order to determine movement sequences from the available and assignable data records and to intervene in control functions.
  • Document DE 10 2014 212 632 A1 shows a method for monitoring the operation of a medical device.
  • the configuration of an operating table is determined using a 3D sensor and transferred to a kinematic model of the operating table.
  • the object of the present invention is to provide a system which enables a safer and / or simpler operation of the operating light arrangement.
  • the present invention comprises a system for monitoring an operating light arrangement, which comprises at least one operating light, with a monitoring unit.
  • the system further comprises a sensor arrangement, the monitoring unit determining the position of the at least one surgical lamp and / or the alignment of a light axis of the at least one surgical lamp by evaluating the data from the sensor arrangement.
  • the detection according to the invention of the position of the operating room lamp and / or the direction of the light axis enables a safer and / or simpler operation of the operating room lamp arrangement in several possible application scenarios.
  • the monitoring unit determines the absolute position of the at least one operating room lamp and / or the absolute alignment of a light axis in space by evaluating the data from the sensor arrangement. In particular, the position of the at least one operating room light and / or the alignment of a light axis in a spatial coordinate system of the operating room is therefore determined.
  • this enables flexible processing of the position and / or alignment for various scenarios and purposes. Reliable sensors are also available for this purpose. Furthermore, the determination can be made independently for the respective operating room light.
  • the operating light arrangement comprises at least two operating room lights, the system determining the relative position and / or alignment of the light axes of the operating room lights to one another.
  • the system preferably determines the relative position and / or alignment of the light axes of the operating lights to one another from the absolute positions of the respective operating lights determined for the operating lights and / or the absolute alignments of the respective light axes in space. In a possible embodiment of the present invention, the system determines whether and / or at what distance the light axes of the surgical lights intersect and / or the light fields of the surgical lights overlap.
  • the system performs an acoustic or optical display and / or controls an illuminance of the operating lights depending on whether the light axes intersect and / or the light fields of the operating lights overlap.
  • the system when the light axes intersect and / or the light fields of the surgical lights overlap, depending on a total energy input of the lamps, a total illuminance of the lamps and / or outputs an acoustic or optical warning to a parameter derived therefrom and / or automatically limits or reduces the illuminance of the lamps.
  • the monitoring unit determines the energy input into the operating field as a function of the respective light field diameter and the respective illuminance of the at least two operating lights.
  • the sensor arrangement detects the position of the at least one operating room light, in particular the absolute position in space.
  • the sensor arrangement can, for example, have one or more of the following configurations:
  • the at least one surgical light has navigation points, the position of which is detected by a sensor in order to determine the orientation and position of the surgical light.
  • the at least one surgical light has a sensor that detects the alignment of the surgical light, in particular a sensor for determining the absolute alignment of the surgical light, in particular the alignment relative to the geomagnetic field and / or gravity.
  • the at least one surgical light is arranged on a support system, the support system having one or more joints, the position of which is detected by a sensor in order to determine the position and / or orientation of the surgical light, with the sensor is in particular an angle sensor and / or rotary encoder.
  • the sensor arrangement comprises a 3D sensor which detects the position and / or orientation of the at least one surgical light.
  • the 3D sensor detects the surgical light and, from this, the position and / or alignment of the at least one surgical light.
  • the 3D sensor can be arranged in a spatially fixed manner, in particular on a central shaft of the support system or on a wall or ceiling of the operating room.
  • the operating lamp arrangement comprises at least two operating lamps, each of which has its own system for position and / or orientation recognition and an interface for communicating with one another.
  • the operating light arrangement comprises at least two operating room lights, a common monitoring unit being provided which evaluates the signals from the sensor arrangement.
  • sensors and / o the navigation points of the sensor arrangement are arranged on a housing of the at least one operating room light, the sensors and / or navigation points preferably being retrofittable.
  • the navigation points are preferably optical markers. These can be designed as two-dimensional images and / or three-dimensional bodies.
  • the at least one surgical light is arranged on a support system, a sensor for detecting the position and / or alignment of the at least one surgical light being arranged on a central bearing shaft of the support system.
  • this is a sensor for detecting navigation points which are arranged on the operating lights, and / or a 3D sensor.
  • the system monitors the at least one operating room light for collisions with other operating room lights in the operating room light arrangement and / or other pieces of equipment.
  • an operating field can be specified and the system determines at least one alignment and / or position of the at least one operating light through which the operating field is illuminated, the alignment and / or position being indicated acoustically and / or optically and / or or is approached by one or more drives.
  • the surgical light is arranged on a support system, the support system having one or more driven joints through which the position and / or alignment of the surgical light is approached.
  • the system monitors the position and / or alignment of the operating theater light arrangement with regard to the function of a ventilation ceiling.
  • a ventilation ceiling is usually arranged above the operating table and is intended to generate a downwardly directed laminar air flow from purified air that surrounds the operating field and is intended to prevent the penetration of contaminants into the operating field.
  • the position and / or alignment of the surgical light arrangement can have a considerable influence on the air flow and is therefore monitored according to the invention.
  • the system issues a warning if the function of the ventilation ceiling is impaired.
  • the monitoring unit changes the position and / or orientation of the operating room lamp arrangement if the function of the ventilation ceiling is impaired.
  • the system controls the ventilation ceiling as a function of the position and / or orientation of the operating lamp arrangement, in particular in order to maintain the function of the ventilation ceiling despite the position and / or orientation of the lamp arrangement.
  • the monitoring unit comprises a microcontroller and software which is stored in a non-volatile memory and which runs on the microcontroller in order to implement the functions described above.
  • the monitoring unit stands for this with the sensor arrangement in connection in order to receive and evaluate signals from the sensor arrangement.
  • the monitoring unit can be connected to input and / or output elements and / or a controller of the system.
  • the system comprises a controller with a microcontroller and software stored in a non-volatile memory, which runs on the microcontroller in order to implement the control functions described above.
  • the monitoring unit can be integrated into the controller or designed separately from this.
  • the present invention further comprises an operating light arrangement with at least one operating light and a system as described above.
  • Fig. 1 shows an embodiment of an operation lights arrangement according to the invention with a monitoring unit according to the invention
  • Fig. 2 is a schematic diagram of two surgical lights with navigation points and the alignment of the light axes.
  • Fig. 1 shows an embodiment of an inventive operating light arrangement 1 with a first operating light 2 and a second operating light 2 '.
  • the operating light arrangement 1 could, however, also comprise only one operating light or more than two operating lights within the scope of the present invention.
  • the operating lights 2 and 2 ' are via a carrying system
  • the carrying system comprises a ceiling mount 15 over which a central shaft
  • Support arms 5 are pivotably arranged on the central shaft 4.
  • the surgical lights 2 and 2 ‘are each arranged via further Tragarmele elements 6 and joints on different support arms 5, and have a handle 7 on which they can be moved.
  • Other configurations of the carrying system are also conceivable.
  • the surgical lights 2 and 2 each generate a light field 12 or 12 'with a light axis 13 or 13‘.
  • the light fields 12 and 12 ′ can be directed onto an operating field 10 of the patient 9 lying on the operating table 8, so that they overlap.
  • the two light fields 12 and 12 'of the operating lights 2 and 2' can also be directed to different areas.
  • one operating light can be aimed at the operating field 10 of the patient 9 lying on the operating table 8, and another operating light at the transplant.
  • an operating device 30 via which functions of the operation lights 2 and 2 'can be controlled, in particular a brightness adjustment and / or light field size and / or color temperature and / or switching on and off this mounted on a wall.
  • the operating device 30 could alternatively also be designed as a table or mobile version.
  • the operating device preferably has input elements 33, for example in the form of switches, regulators and / or a touchscreen.
  • the operating device 30 preferably comprises a display 31 on which operating states and / or current setting parameters of the individual surgical lights 2 and 2 'can be displayed.
  • the surgical lights 2 and 2 'can be wired and / or wirelessly miteinan and / or networked with a common control and / or operating unit. Via this communication it is preferably possible to control and / or synchronize functions of the operating lights 2 and 2 'such as brightness adjustment, focus adjustment or color temperature as well as switching them on and off at the same time.
  • the operating light arrangement comprises a monitoring unit 20, which in the present case is only shown symbolically. This can be part of a control of the operating lights and / or the operating device 11 that is integrated into the operating room lights and / or external. Furthermore, a sensor arrangement 40, also shown only schematically, is provided, the monitoring unit 20 determining the position of the at least one surgical light and / or the alignment of a light axis of the at least one surgical light by evaluating the data from the sensor arrangement 40.
  • the monitoring unit can be configured in such a way that it determines the absolute position of the at least one operating room lamp in the room and / or the absolute alignment of a light axis in the room by evaluating the data from the sensor arrangement.
  • At least three navigation points 50 are present on each of the operating lights 2 and 2 ‘.
  • both the position of the operating light 2 or 2 ‘in space and the alignment of the light axis 13 or 13 'of the operating light can be determined.
  • the monitoring unit determines whether these light axes 13 and 13 ′ intersect / cross and at what distance this intersection point 14 lies. This is where the maximum illuminance can be expected.
  • warning notices take place (visual or acoustic) or the lights are dimmed or other parameters are changed.
  • the warning notices can be output via the operating device 30.
  • a table or the operating table 8 or a cabinet at the upper four corners can be equipped with navigation points.
  • another support system of a ceiling supply unit 15 is equipped with navigation points at the ends of the boom and / or a support platform.
  • these navigation points 50 can be attached externally to the surgical lights and / or devices, e.g. magnetically, glued or screwed. This means that an older operating theater can also be easily retrofitted.
  • These navigation points 50 are detected by at least one sensor in the sensor arrangement 40.
  • the detection can take place optically, acoustically (ultrasound) or via electromagnetic waves, in particular radio waves, for example.
  • the navigation points 50 are detected by one or more sensors. These sensors can be cameras, 3D sensors, ultrasonic sensors, radio wave receivers or magnetic field sensors.
  • the navigation points can be passive elements or active elements. Passive elements are detected by the sensors of the sensor unit without becoming active themselves. Active elements actively send out signals which are detected by the sensors of the sensor unit.
  • the navigation points can be optical markers which are detected by an optical sensor of the sensor arrangement, in particular a 3D sensor.
  • they can be two-dimensional markers or three-dimensional objects.
  • the markers can be at least partially coded.
  • the monitoring unit also has a computer for evaluating the data. Ideally, all components of the system are networked with this computer. This computer analyzes the data and calculates, for example, the best possible settings and positions.
  • the smallest unit is an evaluation of two operating lights 2, 2 ‘. Both the systems for position detection and for evaluation are located in and / or on the operating lights themselves. The lights communicate with one another in order to exchange information about their respective position and / or alignment. The operating lights determine via communication with the other operating light whether their light axes 13, 13 'intersect and / or the light fields 12, 12' are congruent. In one possible embodiment, the detection and evaluation is integrated into the luminaire electronics.
  • the sensors / navigation points are attached externally to the luminaire housing.
  • the senor is used to detect the position and / or alignment of the operating room lights and / or to detect the navigation points attached to the central bearing shaft 4 on the support system 3.
  • the computer is provided externally for evaluation and is integrated, for example, into the operating device 30.
  • the navigation points 50 are arranged on an underside of the surgical lights 2, 2 ‘.
  • the sensor arrangement is preferably arranged below the operating light arrangement.
  • the navigation points 50 are arranged on an outer edge and / or on an upper side of the surgical lights 2, 2 '. They can flow through a sensor arrangement, which is arranged to the side and / or above the operating lights, he can be grasped.
  • all joints of the support system 3 are equipped with sensors, for example in the form of Winkelmes / rotary encoders.
  • sensors for example in the form of Winkelmes / rotary encoders.
  • they are equipped with acceleration and / or inclination sensors and / or an electronic compass and / or an electronic level, as they are known from smartphones.
  • a large number of functions can be derived from the information on the position and / or alignment of the surgical lights 2, 2 and / or the other devices.
  • the monitoring unit 20 can, for example, be designed in such a way that it warns of collisions.
  • the support system 3 and / or the devices can be Have brakes and / or drives, the monitoring unit stopping the drives and / or actuating the brakes in order to avoid collisions.
  • the monitoring unit can calculate optimal positions with the aid of a computer.
  • the support system 3 and / or the devices can have drives which are controlled by the monitoring unit in order to assume the optimal positions.
  • surgical lights that are arranged on a support system with driven arms, brackets and / or joints can assume an optimal position when controlled by means of the monitoring unit and can be positioned between the surgeons 11 with the best possible alignment on the operating field 10 so that there is no shadow formation.
  • the monitoring unit can be designed in such a way that it detects when the surgeon 11 is repositioning himself and then realigns the operating light.
  • the monitoring unit 20 uses the information from the sensor arrangement to determine where and at what height the operating table with the patient is and at what distance therefrom the operating light (s) 2, 2 ‘is.
  • the monitoring unit preferably uses this information to determine an alignment and / or control of the operating room light (s), by means of which these are optimally focused on the operating room 10.
  • predefined scenarios are stored in the monitoring unit, which are approached as a function of the sensor data, for example predefined scenarios for different surgical disciplines.
  • a scenario could be defined as follows: 3 people present. These are recorded and the operating table 8 and the operating lights 2, 2 'are arranged in an associated predefined position and corresponding parameters are preset on all devices.
  • the monitoring unit uses the information obtained by the sensor unit to optimally set a ventilation ceiling arranged above the operating table on the ceiling, or provides information when the function of the ventilation ceiling z. B. is disturbed by an unfavorable positioning of the operating lights 2, 2 'and / or a large obstacle.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Robotics (AREA)
  • Circuit Arrangement For Electric Light Sources In General (AREA)
  • General Engineering & Computer Science (AREA)

Abstract

L'invention concerne un système de surveillance d'un système d'éclairage chirurgical comprenant au moins une lumière chirurgicale, au moyen d'une unité de surveillance. Selon l'invention, le système comprend un réseau de capteurs, et l'unité de surveillance détermine la position de la ou des lumières chirurgicales et/ou l'orientation d'un axe de lumière de la ou des lumières chirurgicales par analyse des données du réseau de capteurs.
EP21729856.1A 2020-05-29 2021-05-27 Système de surveillance d'un système d'éclairage chirurgical Pending EP4157134A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102020114418.0A DE102020114418A1 (de) 2020-05-29 2020-05-29 System zur Überwachung einer Operationsleuchtenanordnung
PCT/EP2021/064204 WO2021239874A1 (fr) 2020-05-29 2021-05-27 Système de surveillance d'un système d'éclairage chirurgical

Publications (1)

Publication Number Publication Date
EP4157134A1 true EP4157134A1 (fr) 2023-04-05

Family

ID=76269732

Family Applications (1)

Application Number Title Priority Date Filing Date
EP21729856.1A Pending EP4157134A1 (fr) 2020-05-29 2021-05-27 Système de surveillance d'un système d'éclairage chirurgical

Country Status (5)

Country Link
US (1) US20230190403A1 (fr)
EP (1) EP4157134A1 (fr)
CN (1) CN115666439A (fr)
DE (1) DE102020114418A1 (fr)
WO (1) WO2021239874A1 (fr)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN219283129U (zh) * 2023-03-31 2023-06-30 广州市浩洋电子股份有限公司 一种具有冗余保护功能的灯具

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE502005010754D1 (de) * 2005-05-31 2011-02-10 Brainlab Ag Selbsteinstellendes Operationslampensystem
DE102007028731A1 (de) 2007-06-21 2009-01-02 Siemens Ag Vorrichtung und Verfahren zur Zuordnung von Daten
DE102009037316A1 (de) 2009-08-14 2011-02-17 Karl Storz Gmbh & Co. Kg Steuerung und Verfahren zum Betreiben einer Operationsleuchte
EP2495487B1 (fr) 2011-03-02 2014-06-11 TRUMPF Medizin Systeme GmbH + Co. KG Lumière d'opération et procédé d'illumination d'un point d'opération
DE202011051729U1 (de) * 2011-10-21 2011-11-07 Aesculap Ag Chirurgisches Navigationssystem
DE102012220672A1 (de) * 2012-11-13 2014-05-15 Trumpf Medizin Systeme Gmbh + Co. Kg Medizinisches Steuerungssystem
DE102014212632B4 (de) 2014-06-30 2023-05-04 Trumpf Medizin Systeme Gmbh + Co. Kg Verfahren zum Überwachen eines Betriebs eines Medizingeräts
DE102014222794A1 (de) 2014-11-07 2016-05-12 Trumpf Medizin Systeme Gmbh + Co. Kg Operationsleuchte und Verfahren zum Betreiben einer Operationsleuchte
US10775037B2 (en) * 2015-07-01 2020-09-15 Sld Technology, Inc. Airflow-channeling surgical light system and method
DE102016117067A1 (de) 2016-09-12 2018-03-15 Karl Leibinger Medizintechnik Gmbh & Co. Kg Operationsleuchte mit Mitteln zur Abstandsmessung
US10271398B2 (en) * 2016-11-01 2019-04-23 American Sterilizer Company Adaptive shadow control system for a surgical lighting system
EP3545896A1 (fr) * 2018-03-30 2019-10-02 Koninklijke Philips N.V. Surveillance d'objets mobiles dans une salle d'opération

Also Published As

Publication number Publication date
DE102020114418A1 (de) 2021-12-02
WO2021239874A1 (fr) 2021-12-02
US20230190403A1 (en) 2023-06-22
CN115666439A (zh) 2023-01-31

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