JPH05168658A - Ophthalmologic operation system - Google Patents

Abstract

PURPOSE:To easily provide an ancillary object having ancillary functions in the main body of the ophthalmologic operation system as needed and to make the device compact with satisfactory movable operability as well. CONSTITUTION:This system is equipped with a main body 1 provided with standard equipments for executing ophthalmologic operations, ancillary objects 2 and 3 provided with arbitrarily required equipments for executing ophthalmologic operations, and linking means 25 for freely attachably and detachably linking the ancillary objects 2 and 3 to the main body 1, and this linking means is formed as a handle for moving the main body 1.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an eye surgery device.

[0002]

2. Description of the Related Art Ophthalmic surgery includes, for example, vitreous surgery, retina excision surgery, and intraocular photocoagulation surgery.

When an operator performs an ophthalmic surgery in an operating room of a hospital, it is necessary to prepare several different surgical instruments corresponding to the kind of surgery to be performed in the operating room.
For example, the vitreous body may be excised, sucked out of the eye, and then the detached retina may be attached to the choroid.

[0004]

However, it is complicated to select one of several different surgical instruments and move the surgical instrument to a predetermined position to perform surgery. Also, it is difficult to move different surgical instruments one by one each time the surgery changes.

Therefore, the present invention provides an ophthalmologic surgical apparatus in which different surgical instruments can be prepared and combined in advance corresponding to various kinds of surgery to be performed, and the combined surgical instruments can be easily moved as a unit. The purpose is to

[0006]

SUMMARY OF THE INVENTION The present invention comprises a body (1) with standard equipment for performing eye surgery and an appendage (2, with equipment optionally required to perform eye surgery.
3) and connecting means (23, 24, 25, 32) for detachably connecting the appendages (2, 3) to the main body (1).
An ophthalmologic surgical apparatus comprising: and a connecting means configured as a handle for moving the main body (1).

[0007]

According to the type of surgery to be performed, necessary equipment other than the standard equipment is connected in advance by the connecting means, and the connecting means is used as a handle to move.

[0008]

1 shows a preferred embodiment of the ophthalmic surgical apparatus of the present invention.

The ophthalmic surgical apparatus can perform, for example, retina excision surgery, vitreous excision, suction and perfusate replacement device and lens excision, suction and perfusate replacement surgery.

The ophthalmic surgery apparatus includes a main body 1, appendages 2 and 3,
The vehicle 4 and the power supply unit 5 are provided. Main body 1 and power supply unit 5
Are fixed on the carriage 4. The dolly 4 can be moved by four casters 6.

A perfusion bottle up-and-down moving portion 7 is fixed to a side portion of the main body 1. The poles 8 and 9 are attached to the vertical movement part 7 of the perfusion bottle. Moving object 10 on pole 8
Is provided so that it can move up and down. A perfusion bottle 10a is detachably attached to the hook 10b of the moving body 10. The moving body 10 can be moved up and down by a motor in the upper and lower portions 7 of the perfusion bottle. On the other hand, a hook 9b is set on the pole 9. The hook 9b can be manually moved up and down.
A perfusion bottle 9a is detachably attached to the hook 9b. A perfusion solution injector 11 is connected to the perfusion bottle 10a or 9a. Put saline into the perfusion bottle. By adjusting the height of this perfusion bottle, the pressure in the eye is kept at an arbitrary value. The perfusate injector 11 is for injecting a perfusate into the eyeball.

Referring to FIG. Inside the main body 1, a light source unit 12, a suction control unit 13, a bulb unit 1
4, a mother board 15 and a pump 16 are provided. A transformer 17 is provided in the power supply unit 5.

Please refer to FIG. 1 and FIG. The appendages 2 and 3 are
It is detachably attached to the side portion of the main body 1. The appendages 2 and 3 are located above the power supply unit 5. In the embodiment shown in FIG. 1, the appendages 2 and 3 and the appendage 20 indicated by the alternate long and short dash line can be detachably attached to the main body 1. That is, in the embodiment, three appendages can be attached. The outer shapes of these appendages are the same.

The appendage 2 is, for example, an air displacement device. The appendage 3 is, for example, a bipolar coagulator. Furthermore, the appendage 20 shown by the alternate long and short dash line is, for example, an intraocular photocoagulator.

The main body 1, which will be described later, has a cutter function,
It has a suction function and a light irradiation function.

Here, a method of connecting or connecting the appendages 2, 3, 20 to the main body 1 will be described.

Referring to FIG. In FIG. 4, the illustration of the appendage 20 is omitted.

From the right side portion 22 of the main body 1, supporting members 23 and 24 are projected laterally. The support members 23 and 24 are horizontally arranged. One ends of the support members 23 and 24 are connected by an intermediate portion. The middle portion is the handle 25. Each end 26, 27 of the support member 23, 24 can be threaded into a respective hole 28, 29, 30, 31 in the appendage 2, 3. And the ends 26, 2 of the support members 23, 24
A handle 32 is detachably attached to the device 7. Spacers 33 and 34 are arranged between the main body 1 and the appendage 2. In addition, a spacer 3 is provided between the attachments 2 and 3.
5, 36 are arranged. Further, spacers 37 and 38 are arranged on the side portion of the appendage 3 for fixing the appendage, if necessary.

The handle 32 is detachably fixed to the support members 23 and 24 with screws 40 and 41. Figure 5
Shows a connection state between the end portion 26 of the support member 23 and the handle 32. A female screw 43 is formed on the end portion 26 in a direction perpendicular to the axial direction thereof. The bolt 40 is screwed into the female screw 43. The bolt 40 is inserted into the hole 41 of the handle 32. A recess 44 is formed in the handle 32. The recess 32 allows the handle 32 to be axially fixed to the support member 23.

Since the handles 25 and 32 are provided as described above, when the operator or his / her assistant moves the ophthalmic treatment apparatus, the handles 25 and 32 may be moved by holding them. Dolly 4
Since there is a caster 6 in it, it can move smoothly.
When adding, removing, or replacing the appendages 2, 3, and 20 with respect to the main body, the screws 40 and 41 shown in FIG. 4 may be removed.

Referring to FIG. 4, the attachment body 2 is provided with a connection connector 46. Further, the attachment body 3 is provided with a connection connector 47. These connectors 46, 47
Can be connected to the connecting portion 48 of the main body. Each appendage 2, 3
Grooves 50 and 51 are formed in the lower part of the. This Figure 4
In the example, the connection connector 47 can be connected to the connection portion 48 of the main body 1 through the groove 50. As a result, the tube connected to the pump 16 of the main body is not exposed to the outside in the air displacement device in addition to the electrical connection connector and the cord.

The connecting portion 48 of the main body 1 is arranged in the hole 52. A lid 53 can be removably attached to the hole 52. When the appendages 2, 3, 20 are not added to the main body 1 at all, a lid 53 is attached to the hole 52. This prevents dust from entering the holes 52.

Referring to FIG. The direction of the arrow X shown in FIG. 3 indicates the direction in which the assistant operates or looks at the operation unit. The arrow Y indicates the direction in which the operator looks at the operation unit. On the back surface 60 in the direction of the arrow Y, a cassette bottle 61
Is fitted. This cassette bottle 61 has an arrow S
Can be taken out in the direction. This cassette bottle 61
Some of them are removed from the inside of the eyeball, for example, a cloudy vitreous part is accommodated therein.

A cutter probe 62 and a light guide 63 are connected to the operation surface 60 which is also called a back surface. The cutter probe 62 is inserted into the eyeball and cuts and removes a portion of the eyeball to be removed. For its removal, the pump 16 shown in FIG. 2 is operated to suck it through the tube 64 and transfer it to the cassette bottle 61.
The cutting by the cutter probe 62 is performed by the pump 16 of FIG.
And the valve unit 14 is operated.
That is, the cutter probe 62 is compressed by the compressed air of the pump 16.
The inner blade of (1) is reciprocated with respect to the outer blade to cut out, for example, a turbid vitreous part. The light guide 63 operates the light source unit 12 shown in FIG.
The light is radiated into the eyeball via.

A probe 68 for air replacement is connected to the back surface 66 of the appendage 2 in FIG. This appendix 2
After excision and suction of the vitreous, compressed air coming from the pump 16 of the main body 1 is fed into the eye to attach the detached retina to the choroid.

A probe 70 is connected to the rear surface 67 of the appendage 3. By using this probe, hemostasis can be performed by electric heat.

As shown in FIG. 2, foot switches 72 and 73 are connected to the rear surface 60 of the main body 1. The foot switch 72 is for operating the perfusion bottle vertical movement unit 7 shown in FIG. The foot switch 73 is a main foot switch, and, for example, turns on the cutter 62.
It controls off control, vacuum pressure and compressed air, and suction pressure control.

Referring to FIG. FIG. 6 shows the connection of each part to the main body 1 described above. The intraocular illumination light guide 120 with a perfusion circuit can be used in place of the intraocular illumination light guide 63.

Referring to FIG. FIG. 7 shows the operation panel 80 viewed from the arrow X in the main body 1 of FIG. This operation panel is for an assistant to operate and confirm. The panel 81 is for operating the perfusion bottle vertical movement unit 7 of FIG. The panel 82 operates the suction control unit 13 of FIG. The panel 83 is for operating the cutter probe 62 of FIG. The panel 84 is for operating the light source unit 12 of FIG.

Referring to FIG. Operation panel 90 of FIG.
Shows the panel viewed from the direction of arrow Y in FIG. The operation panel 90 is for an operator to observe. The panel 91 is for observing the display regarding the perfusion bottle up-and-down moving part 7 in FIG. Panel 92 is for observing the display for the suction control unit of FIG. The panel 93 is for observing the display regarding the cutter probe 62 of FIG. The panel 94 is for observing the display regarding the light source unit 12 of FIG. As is clear from comparing FIGS. 7 and 8, the respective panels are in corresponding positions. For example, the panel 81 and the panel 91 are at corresponding positions.

FIG. 9 shows the operation panel 100 of the accessory 2 of FIG.
Is shown. The operation panel 100 is a panel viewed from the arrow X direction in FIG. FIG. 10 shows an arrow Y of the appendage 2 of FIG.
The panel is seen from the direction. Operation panel 1 of FIG.
00 and the operation panel 102 of FIG. 10 correspond to each other.

Referring to FIG. Operation panel 1 of FIG.
Reference numeral 04 is a panel of the appendage 3 of FIG. Operation panel 10
Reference numeral 4 denotes a panel viewed from the direction of arrow X in FIG. FIG. 12 shows the panel of the appendage 3 as seen from the direction of the arrow Y. Operation panel 104 of FIG. 11 and operation panel 1 of FIG.
06 is at the corresponding position.

In the embodiment of FIG. 1, the operation panels 80, 10
0 and 104 are inclined by the angle A with respect to the horizontal line HL. This makes it easier for the assistant to see the operation panel. Further, as shown in FIG. 3, the operation panels 90, 10
Reference numerals 2 and 106 are inclined by the angle B with respect to the vertical line VL. This makes it easier for the operator to check the operation panel.

The present invention is not limited to the above embodiment. For example, an accessory or an accessory to be added may be detachably provided on the front surface or the rear surface of the main body instead of the side portion.

[0035]

According to the present invention, the appendages can be easily connected to or removed from the main body so that they can be combined in accordance with the surgery to be performed in advance. Then, by utilizing the connecting means as a handle for moving, it is possible to obtain an ophthalmologic surgical apparatus that is compact and has a very high moving and handling property. This is very effective in a small operating room.

[Brief description of drawings]

FIG. 1 is a perspective view showing a preferred embodiment of an eye surgery device of the present invention.

FIG. 2 is a diagram showing an internal structure of a main body and a power supply unit in the present invention.

FIG. 3 is a perspective view of the eye surgery device of the present invention viewed from the operator side.

FIG. 4 is an exploded perspective view showing a state in which the appendage is removed from the main body in the present invention.

FIG. 5 is a cross-sectional view showing a connecting portion of a support member and a handle which are connecting means in the present invention.

FIG. 6 is a block diagram showing the configuration of an ophthalmologic surgery apparatus of the present invention.

FIG. 7 is a view showing an operation panel seen from an assistant in the main body of the ophthalmic surgery apparatus of the present invention.

FIG. 8 is a diagram showing an operation panel of the main body of the ophthalmic surgery apparatus of the present invention viewed from the operator.

FIG. 9 is a view showing an operation panel viewed from an assistant of an appendage in the eye surgery apparatus of the present invention.

FIG. 10 is a diagram showing an operation panel of an appendage in the ophthalmic surgery apparatus of the present invention viewed from the operator.

FIG. 11 is a diagram showing an operation panel seen from an assistant in another accessory of the ophthalmic surgery apparatus of the present invention.

FIG. 12 is a view showing an operation panel seen from an operator in another accessory of the ophthalmic surgery apparatus of the present invention.

[Explanation of symbols]

 1 Main body 2 Attachment 3 Attachment 4 Cart 23, 24 Support member 25 Handle 32 Handle 80 Operation panel 90 Operation panel 100 Operation panel 100 Operation panel 102 Operation panel 104 Operation panel 106 Operation panel ◆

Claims (1)

[Claims] 1. A main body (1) provided with standard equipment for performing ophthalmic surgery, an appendage (2, 3) provided with equipment optionally required for performing ophthalmic surgery, and a main body (1) On the other hand, a connecting means (23, 24, 25, 32) for detachably connecting the appendages (2, 3) is provided, and the connecting means is configured as a handle for moving the main body (1). Eye surgery equipment.