JP5785182B2 - 眼科レーザ手術用装置及び眼科レーザ手術のための機器の作動方法 - Google Patents
眼科レーザ手術用装置及び眼科レーザ手術のための機器の作動方法 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F9/00825—Methods or devices for eye surgery using laser for photodisruption
- A61F9/00831—Transplantation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F9/00825—Methods or devices for eye surgery using laser for photodisruption
- A61F9/00836—Flap cutting
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00084—Temperature
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00844—Feedback systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00861—Methods or devices for eye surgery using laser adapted for treatment at a particular location
- A61F2009/00872—Cornea
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00897—Scanning mechanisms or algorithms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F9/009—Auxiliary devices making contact with the eyeball and coupling in laser light, e.g. goniolenses
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- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Physics & Mathematics (AREA)
- Optics & Photonics (AREA)
- Transplantation (AREA)
- Laser Surgery Devices (AREA)
- Laser Beam Processing (AREA)
Description
眼科レーザ手術のために治療レーザ・ビームの焦点を制御する方法であって、
投影システムを用いて治療レーザ・ビームを焦点に投影するステップと、
投影システムが占める温度を測定するステップと、
測定温度に応じて焦点の設定を制御するステップと
を含む方法がさらに提供される。
Claims (11)
- 治療レーザ・ビームを焦点に投影するための光学投影システムと、
前記光学投影システムが占める温度を測定するための温度測定装置と、
前記温度測定装置に接続された電子制御機構であって、前記温度測定装置により測定して得られた測定温度に応じて前記焦点の設定を制御するように構成されている電子制御機構と、
治療する眼の成形当接面のための接触面と、
前記治療レーザ・ビームの伝播方向に対する前記接触面の位置を測定するための測定装置であって、前記測定装置が、前記接触面の測定位置を、前記接触面の少なくとも1個所について表す測定位置データを供給し、前記電子制御機構が、前記測定位置データに依拠して前記焦点の位置をプリセットするように構成されている測定装置と、
を備える、眼科レーザ手術用装置。 - 前記温度測定装置が、前記光学投影システムの少なくとも1つの光学構成要素に配置され、前記電子制御機構に接続されている1つまたは複数の温度センサを備える、前記請求項1に記載の眼科レーザ手術用装置。
- 前記光学構成要素が、前記焦点を制御する少なくとも1つの制御可能な光学要素を有する、請求項2に記載の眼科レーザ手術用装置。
- 前記制御可能な光学要素が、前記治療レーザ・ビームの伝播方向内で位置が可変である少なくとも1つのレンズを有する、請求項3に記載の眼科レーザ手術用装置。
- 前記電子制御機構が、前記焦点を制御するために、前記レンズの位置を変化させるための作動変数を生成するように構成されている、請求項4に記載の眼科レーザ手術用装置。
- 前記電子制御機構が、前記温度への前記焦点の依存状態が関数として保存されているメモリ・ユニットを有し、前記電子制御機構が、保存された前記関数および前記測定温度に基づいて前記焦点を制御するように構成されている、請求項3から5のいずれか1つに記載の眼科レーザ手術用装置。
- 前記測定装置が、測定ビームを生成する放射源を備え、前記光学構成要素が、前記接触面を通して前記眼にさらに前記測定ビームも導くように設計され、配置されている、請求項2〜6のいずれか1つに記載の眼科レーザ手術用装置。
- 前記測定装置が光干渉計を備える、請求項1〜7のいずれか1つに記載の眼科レーザ手術用装置。
- 前記接触面が、交換可能に配置された使い捨て構成要素の一部分である、請求項1〜8のいずれか1つに記載の眼科レーザ手術用装置。
- 前記治療レーザ・ビームのパルス継続時間が、フェムト秒領域内にある、請求項1〜9のいずれか1つに記載の眼科レーザ手術用装置。
- 光学投影システムと、温度測定装置と、電子制御機構と、光学構成要素と、測定装置と、接触要素とを含む、眼科レーザ手術のための機器の作動方法であって、
前記光学投影システムが、治療レーザ・ビームを焦点に投影するステップと、
前記温度測定装置が、前記光学投影システムが占める温度を測定して測定温度を得るステップと、
前記電子制御機構が、前記測定温度に応じて前記焦点の設定を制御するステップと、
前記接触要素の接触面により、眼と前記接触面との間に成形当接面を確立するステップと、
前記光学構成要素が、前記接触面を通して前記眼に前記治療レーザ・ビームを導くステップと、
前記測定装置が、前記治療レーザ・ビームの伝播方向に対する前記接触面の測定位置を、前記接触面の少なくとも1個所について表す測定位置データを生成するステップと、
前記電子制御機構が、前記測定位置データに依拠して前記焦点をプリセットするステップと、
を含む眼科レーザ手術のための機器の作動方法。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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PCT/EP2009/008747 WO2011069516A1 (de) | 2009-12-07 | 2009-12-07 | Vorrichtung für die ophthalmologische laserchirurgie |
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JP2013512740A JP2013512740A (ja) | 2013-04-18 |
JP5785182B2 true JP5785182B2 (ja) | 2015-09-24 |
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JP2012542363A Active JP5785182B2 (ja) | 2009-12-07 | 2009-12-07 | 眼科レーザ手術用装置及び眼科レーザ手術のための機器の作動方法 |
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EP (1) | EP2445461B1 (ja) |
JP (1) | JP5785182B2 (ja) |
KR (1) | KR101441100B1 (ja) |
CN (1) | CN102481205B (ja) |
BR (1) | BR112012006400A2 (ja) |
CA (1) | CA2772138C (ja) |
ES (1) | ES2485910T3 (ja) |
MX (1) | MX2012003189A (ja) |
RU (1) | RU2526975C2 (ja) |
TW (1) | TW201127361A (ja) |
WO (1) | WO2011069516A1 (ja) |
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DK2765966T3 (da) * | 2011-10-10 | 2019-10-07 | Wavelight Gmbh | System, interfaceanordninger, anvendelse af interfaceanordningerne og fremgangsmåde til øjenkirurgi |
CN104812340B (zh) * | 2012-12-20 | 2017-07-21 | 视乐有限公司 | 用于监测角膜组织的装置、界面单元、吸引环和方法 |
ES2653961T3 (es) * | 2013-03-15 | 2018-02-09 | Wavelight Gmbh | Sistema y método para escanear un haz de luz de pulsos ultracortos |
EP2815730A1 (en) * | 2013-06-21 | 2014-12-24 | WaveLight GmbH | Low wavefront errror devices, systems, and methods for treating an eye |
WO2015055223A1 (en) * | 2013-10-18 | 2015-04-23 | Wavelight Gmbh | Technique for centering an application field |
DE102017107915A1 (de) * | 2016-07-18 | 2018-01-18 | Carl Zeiss Meditec Ag | System zur Augentherapie mittels Gewebebearbeitung durch nichtlineare Wechselwirkung |
RU2708211C2 (ru) * | 2016-08-05 | 2019-12-04 | Уэйвлайт Гмбх | Лазерная система для хирургии глаза и набор контактных устройств для применения в лазерном приборе для хирургии глаза |
DK3287105T3 (en) * | 2016-08-26 | 2019-04-29 | FRITZ RUCK Ophthalmologische Systeme GmbH | Laser system for performing ophthamological procedures |
WO2020212199A1 (en) * | 2019-04-15 | 2020-10-22 | Carl Zeiss Meditec Ag | Devices and methods for laser surgery of an eye, especially for keratoplasty |
Family Cites Families (15)
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JP2000263264A (ja) * | 1999-03-17 | 2000-09-26 | Seiko Instruments Inc | レーザ加工方法 |
US6923802B2 (en) * | 2000-03-13 | 2005-08-02 | Memphis Eye & Cataract Assoc. | System for generating ablation profiles for laser refractive eye surgery |
JP2003131106A (ja) * | 2001-10-29 | 2003-05-08 | Hitachi Kokusai Electric Inc | カメラ装置 |
US20080039769A1 (en) * | 2001-11-07 | 2008-02-14 | Minu Llc | Method of medical treatment using controlled heat delivery |
US20070135805A1 (en) * | 2001-11-07 | 2007-06-14 | Minu Telesystems Llc | Device and method for reshaping the cornea |
US20030153904A1 (en) * | 2002-02-13 | 2003-08-14 | Patel Anilbhai S. | Environmental chamber for laser refractive surgery |
US7130835B2 (en) * | 2002-03-28 | 2006-10-31 | Bausch & Lomb Incorporated | System and method for predictive ophthalmic correction |
US6992765B2 (en) * | 2002-10-11 | 2006-01-31 | Intralase Corp. | Method and system for determining the alignment of a surface of a material in relation to a laser beam |
RU2230538C1 (ru) * | 2002-12-26 | 2004-06-20 | Центр физического приборостроения ИОФ РАН | Способ и установка лазерной коррекции роговицы глаза |
RU2301650C1 (ru) * | 2005-12-22 | 2007-06-27 | ООО "Оптосистемы" | Офтальмохирургическая эксимерная лазерная система |
CN100479791C (zh) * | 2006-11-30 | 2009-04-22 | 上海交通大学 | 扫描式激光角膜热成形术的活体手术系统 |
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WO2009033111A2 (en) * | 2007-09-06 | 2009-03-12 | Lensx Lasers, Inc. | Precise targeting of surgical photodisruption |
JP4857257B2 (ja) * | 2007-12-26 | 2012-01-18 | キヤノン株式会社 | レンズ制御装置、レンズ鏡筒、撮像装置および光学機器 |
WO2011015205A1 (en) * | 2009-08-03 | 2011-02-10 | Wavelight Gmbh | Einrichtung für die laserchirurgische ophthalmologie |
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2009
- 2009-12-07 JP JP2012542363A patent/JP5785182B2/ja active Active
- 2009-12-07 ES ES09768502.8T patent/ES2485910T3/es active Active
- 2009-12-07 WO PCT/EP2009/008747 patent/WO2011069516A1/de active Application Filing
- 2009-12-07 CN CN200980161176.2A patent/CN102481205B/zh not_active Expired - Fee Related
- 2009-12-07 BR BR112012006400A patent/BR112012006400A2/pt active Search and Examination
- 2009-12-07 KR KR1020127012980A patent/KR101441100B1/ko active IP Right Grant
- 2009-12-07 EP EP09768502.8A patent/EP2445461B1/de active Active
- 2009-12-07 RU RU2012124965/14A patent/RU2526975C2/ru not_active IP Right Cessation
- 2009-12-07 CA CA2772138A patent/CA2772138C/en not_active Expired - Fee Related
- 2009-12-07 MX MX2012003189A patent/MX2012003189A/es active IP Right Grant
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Also Published As
Publication number | Publication date |
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RU2526975C2 (ru) | 2014-08-27 |
WO2011069516A1 (de) | 2011-06-16 |
CN102481205A (zh) | 2012-05-30 |
CA2772138A1 (en) | 2011-06-16 |
ES2485910T3 (es) | 2014-08-14 |
MX2012003189A (es) | 2012-04-30 |
CA2772138C (en) | 2015-08-11 |
KR101441100B1 (ko) | 2014-09-22 |
JP2013512740A (ja) | 2013-04-18 |
TW201127361A (en) | 2011-08-16 |
EP2445461A1 (de) | 2012-05-02 |
RU2012124965A (ru) | 2014-01-20 |
EP2445461B1 (de) | 2014-06-11 |
CN102481205B (zh) | 2015-02-18 |
KR20120113711A (ko) | 2012-10-15 |
BR112012006400A2 (pt) | 2016-04-12 |
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