TWI522085B - 用於眼外科控制台具有使用者可選式扇區的顯示器 - Google Patents
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Description
此申請案係有關於眼外科裝置,且更特別有關於一用於一具有使用者可選式扇區的眼外科控制台之顯示器。
已經提供用於眼外科控制台之各種不同顯示器。此等顯示器可被頻繁地鋪置於用來觀視眼睛的外科顯微鏡上。不幸地,這些顯示器常承受數項缺點。首先,顯示器常會被不便地置放,而阻礙外科醫師對於眼睛的觀視並造成顯示器中所提供的額外資訊與外科場域的清楚視覺之間的一取捨。再者,在顯示器中包括額外資訊係會使得顯示器擁擠並降低可用性。第三,顯示器頻繁地使用環形圖案,常包括測量尺度。此等圖案會使外科醫師分心,對於外科醫師不夠充分可見而易予以使用。為此,該技藝中係需要具有一經改良之用於眼外科控制台的顯示器。
根據本揭示的第一態樣,一眼外科系統係包括一顯示器裝置及一使用者介面。顯示器裝置在一患者的眼睛的一影像上產生一顯像,其包含複數個非重疊顯像扇區。各顯像扇區係顯示複數個使用者可選式外科參數的一者。一使用者介面係接收將被顯示之使用者可選式外科參數的一或多者之一使用者選擇。
根據本揭示的另一態樣,一在一眼外科系統上顯示外科參數之方法係包括接收至少二使用者可選式外科參數的一選擇。該方法進一步包括在一患者的眼睛的一影像上產生一顯像,其包含複數個非重疊顯像扇區。各顯像扇區係顯示複數個使用者可選式外科參數的一者。
第1圖顯示根據本發明的一特定實施例之一眼外科系統;第2圖顯示根據本發明的特定實施例之一範例顯像;第3圖顯示一範例選擇螢幕,其可配合使用根據本發明的一眼外科系統之各種不同實施例;及第4圖是展現根據本發明之一用於顯示外科參數的範例方法之流程圖。
第1圖顯示根據本發明的一特定實施例之一眼外科系統100。系統100係包括外科儀器102,一使用者介面104,及一外科顯微鏡106。外科儀器102可包括眼外科手術中所使用的任何類型組件或機器,包括但不限於手件、氣動系統、雷射源、照明源。此等組件可使用於諸如超音波晶體乳化術、玻璃體視網膜外科手術、雷射折射外科手術、或熟習該技術者所習知的任何其他不同眼外科方法等眼外科技術中。使用者介面104可包括任何種類的鍵盤、開關、圓把、踏板、按鈕、指向裝置、或用於從使用者接收外科參數的選擇之其他適當組件。外科顯微鏡106可包括任何方式的光學或電子裝置或組件系列,而對於外科醫師提供一患者的眼睛之一觀視。
外科儀器102係在一處理器108的控制下操作;其亦具有儲存外科參數資訊之記憶體110。處理器108可為任何微處理器、微控制器、可程式化元件、或用於處理外科儀器102控制用的指令之其他裝置或裝置系列。處理器108從使用者介面104接收參數選擇並依此控制外科參數的操作。處理器108亦在外科手術期間監測外科參數。記憶體110可為可由處理器所存取之任何適當形式的依電性或非依電性資訊儲存體,包括但不限於光學、電子、或磁性媒體。
根據本發明的外科系統之各種不同實施例係進一步包括一顯示器裝置200。顯示器裝置200係包括能夠在患者的眼睛的一影像上產生一視覺可察覺顯像之任何適當光學或電子組件或其系列。譬如,顯示器裝置200可投射光至患者的眼睛的一表面上以連同眼睛的影像產生由外科顯微鏡106所擷取之一影像。另一範例中,顯示器裝置200可將顯像投射至外科顯微鏡106的一光學路徑內以在眼睛的一影像上方產生顯像。此等實施例可容許顯像亦連同眼睛的影像被聚焦或放大;或者,其可容許顯像及眼睛影像被獨立地聚焦及設定尺寸。又另一範例中,顯示器裝置200可被併入外科顯微鏡106的一眼件內。顯示器裝置200可組構為導通於及/或共用處理器108及/或記憶體110,藉以容許以外科
參數的使用者選擇及外科手術期間即時之該等參數的變異為基礎來調整外科參數顯像。
第2圖顯示根據本發明的特定實施例之一範例顯像202。顯像202係包括數個顯像扇區204A、204B、...204n,其在本文概括稱為顯像扇區204。“顯像扇區”用語係指下列事實:顯像的這些部分落在中心位於顯像中心之一圓形的一扇區內,其中扇區具有小於180度的一中央角度。顯像扇區係不重疊,也就是說,對於任一外科參數之顯像的任何定量部分並未圓周性延伸至另一用於顯示一不同外科參數的顯像扇區204內。這包括任何定量測量尺度,諸如一用於指示旋轉對準之尺度。然而,與外科參數或測量無關之純視覺元件,諸如用於展現顯像內邊緣之弧係可圓周性延伸而不被視為“重疊”,只要外科參數的定量顯像未延伸至另一顯像扇區204內即可。
顯像202可根據使用者可選式外科參數予以客製。特定實施例中,外科參數顯像的特定元件可以使用者喜好為基礎作進一步客製。譬如,使用者可從多種不同超音波晶體乳化術及/或玻璃體切除術外科參數作選擇,包括但不限於:功率位準,對於超音波晶體乳化術的真空壓力,對於灌洗溶液的瓶高度,抽吸,腳開關位置,超音波晶體乳化術步驟及阻塞指示器。使用者亦可對於範圍式外科參數及具有類比或數位數值的顯像選擇最小值或最大值顯像數值。將顯像202分成可被個別選擇與調整之非重疊扇區204,係防止顯像202變成不利地擁擠,同時仍以一容易觀視的格式維持外科醫師所想要的全部資訊。
外科參數可包括由使用者選擇且在外科手術期間被監測或選擇的外科儀器所用之任何相干操作參數。參數的定量顯像係可為一數字,一範圍,及啟閉(on-off)或其他二元指示器,或傳達相干參數資訊之任何適當的可見元件或元件組合。特定實施例中,即時數值可顯示於一可變錶計上。此等錶計可包括移動針,具有以數值為基礎而變的長度(譬如垂直,水平,圓周,徑向)之桿,或氣泡錶計,諸如第2圖所示者。多重顯像格式亦可能是使用者可選式。
有色元件亦可使用於顯像202中以改良可見度、對比及類似物。譬如,一採行第2圖所示形式的淺亮綠色顯像當疊置於眼睛影像上時將容易可見。錶計亦可變色,諸如當一參數移至一不可接收範圍時、當一雷射源身為主動時、或當有可能需對外科醫師作某其他通知時,則變成紅色。
顯像202亦可包括一或多個軸線以在顯像上指示方向。譬如,當一超環面透鏡被植入時,顯像202可包括用於像散矯正之目標軸線。另一範例中,軸線可指示用於透鏡植入之一所想要的切口線。因為此等線的數值及/或測量尺度顯像未圓周地延伸橫越扇區,其對於此說明書目的而言亦被視為“非重疊”。因此,對於決定非重疊顯像扇區204之目的而言,並未考慮併入此等視覺元件。
第3圖顯示一範例選擇螢幕300,其可配合使用根據本發明的一眼外科系統100之各種不同實施例。選擇螢幕300係確認由外科儀器102、外科醫師、及接受程序所將進行的患者進行之程序。選擇螢幕300亦顯示用於外科參數的顯像數值。螢幕可容許對於參數之數值範圍、不同參數等等之選擇,故使用者可在外科程序之前適當地組構顯像202。
第4圖是展現根據本發明之一用於顯示外科參數的範例方法之流程圖。在步驟402,提供一選擇螢幕,而准許顯示外科參數的選擇。在步驟404,接收將被顯示之外科參數的一選擇。外科參數的選擇係可譬如包括:將顯示何者參數,將是什麼顯像格式,將顯示不同外科參數的什麼範圍,及類似物。在步驟406,外科參數係被顯示於非重疊顯像扇區上。在步驟408,外科參數在外科程序期間被監測。在步驟410,以外科參數的一變化為基礎來更新顯像。步驟408及410可連續地進行,直到外科程序完成為止,如決策步驟412所示,該方法在該時間處於一終點。
上述實施例係示範但未限制本發明。亦應瞭解根據本發明的原理可能具有許多修改及變異。為此,本發明的範圍僅由下列申請專利範圍所界定。
100‧‧‧眼外科系統
102‧‧‧外科儀器
104‧‧‧使用者介面
106‧‧‧外科顯微鏡
108‧‧‧處理器
110‧‧‧記憶體
200‧‧‧顯示器裝置
202‧‧‧顯像
204,204A,204B,...204n‧‧‧顯像扇區
300‧‧‧選擇螢幕
402,404,406,408,410‧‧‧步驟
第1圖顯示根據本發明的一特定實施例之一眼外科系統;
第2圖顯示根據本發明的特定實施例之一範例顯像;
第3圖顯示一範例選擇螢幕,其可配合使用根據本發明的一眼外科系統之各種不同實施例;及
第4圖是展現根據本發明之一用於顯示外科參數的範例方法之流程圖。
Claims (23)
- 一種眼外科系統,包含:一顯示器裝置,其可操作以在超音波晶體乳化術或玻璃體切除術之外科手術期間,於一患者的眼睛的一影像上產生一顯像;及一使用者介面,其可操作以接收待顯示之複數個使用者可選式外科參數的一使用者選擇;其中該患者的眼睛的該影像上之該顯像包含係落在一圓形內、而該圓形係居中於該顯像之中心處的複數個非重疊顯像扇區,各顯像扇區係顯示該等複數個使用者可選式外科參數中之經選擇以待顯示的一者。
- 如申請專利範圍第1項之系統,其中該顯像進一步包含一用於對準一超環面透鏡之目標軸線。
- 如申請專利範圍第1項之系統,其中該顯像進一步包含一切口導線。
- 如申請專利範圍第1項之系統,其中該等使用者可選式外科參數係包括一真空壓力。
- 如申請專利範圍第1項之系統,其中該等使用者可選式外科參數係包括一功率位準。
- 如申請專利範圍第1項之系統,其中該使用者可選式外科參數係指示一雷射源的活動(activity)。
- 如申請專利範圍第1項之系統,其中該等使用者可選式外科參數的至少一者係顯示成一可變錶計。
- 如申請專利範圍第7項之系統,其中該可變錶計係為一 氣泡錶計。
- 如申請專利範圍第1項之系統,其中該顯示器裝置係顯示一淺亮顯像。
- 如申請專利範圍第1項之系統,其中該顯示器裝置投射該顯像於一外科顯微鏡的光學路徑中。
- 如申請專利範圍第1項之系統,其中該顯示器裝置投射該顯像於該患者的眼睛上。
- 一種用於顯示外科參數於一眼外科系統上之方法,包含:接收待顯示之複數個使用者可選式外科參數的一選擇;及在超音波晶體乳化術或玻璃體切除術之外科手術期間,於一患者的眼睛的一影像上產生一顯像,該顯像包含係落在一圓形內、而該圓形係居中於該顯像之中心處的複數個非重疊顯像扇區,各顯像扇區係顯示該等複數個使用者可選式外科參數中之經選擇以待顯示的一者。
- 如申請專利範圍第12項之方法,進一步包含對於該使用者顯示一選擇螢幕。
- 如申請專利範圍第12項之方法,其中該顯像進一步包含一用於對準一超環面透鏡之目標軸線。
- 如申請專利範圍第12項之方法,其中該顯像進一步包含一切口導線。
- 如申請專利範圍第12項之方法,其中該等使用者可選式 外科參數係包括一真空壓力。
- 如申請專利範圍第12項之方法,其中該等使用者可選式外科參數係包括一功率位準。
- 如申請專利範圍第12項之方法,其中該使用者可選式外科參數係指示一雷射源的活動(activity)。
- 如申請專利範圍第12項之方法,其中該等使用者可選式外科參數的至少一者係顯示成一可變錶計。
- 如申請專利範圍第19項之方法,其中該可變錶計係為一氣泡錶計。
- 如申請專利範圍第12項之方法,其中該顯示器裝置係顯示一淺亮顯像。
- 如申請專利範圍第12項之方法,其中該顯示器裝置投射該顯像於一外科顯微鏡的光學路徑中。
- 如申請專利範圍第12項之方法,其中該顯示器裝置投射該顯像於該患者的眼睛上。
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EP2528562B1 (en) | 2015-12-30 |
WO2011130477A1 (en) | 2011-10-20 |
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EP2528562A1 (en) | 2012-12-05 |
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AU2011239657B2 (en) | 2015-06-04 |
CN102834079A (zh) | 2012-12-19 |
JP2013523409A (ja) | 2013-06-17 |
AR084679A1 (es) | 2013-06-05 |
CA2791096C (en) | 2019-05-21 |
BR112012026133A2 (pt) | 2016-06-28 |
US20150359673A1 (en) | 2015-12-17 |
AU2011239657A1 (en) | 2012-09-13 |
CA2791096A1 (en) | 2011-10-20 |
CN102834079B (zh) | 2016-05-25 |
JP2016127962A (ja) | 2016-07-14 |
ES2559039T3 (es) | 2016-02-10 |
RU2012148266A (ru) | 2014-05-20 |
US20110257638A1 (en) | 2011-10-20 |
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