WO2006015690A1 - Beleuchtungseinrichtung sowie beobachtungseinrichtung - Google Patents
Beleuchtungseinrichtung sowie beobachtungseinrichtung Download PDFInfo
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- WO2006015690A1 WO2006015690A1 PCT/EP2005/007803 EP2005007803W WO2006015690A1 WO 2006015690 A1 WO2006015690 A1 WO 2006015690A1 EP 2005007803 W EP2005007803 W EP 2005007803W WO 2006015690 A1 WO2006015690 A1 WO 2006015690A1
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- Prior art keywords
- illumination
- observation
- observed
- lighting device
- fundus
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
- A61B3/13—Ophthalmic microscopes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
- A61B3/12—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for looking at the eye fundus, e.g. ophthalmoscopes
- A61B3/1225—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for looking at the eye fundus, e.g. ophthalmoscopes using coherent radiation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
- A61B3/12—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for looking at the eye fundus, e.g. ophthalmoscopes
-
- 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
-
- 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
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
-
- 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
- A61B90/20—Surgical microscopes characterised by non-optical aspects
Definitions
- the present invention further relates to a lighting device for an observation device according to the preambles of claims 1, 7 and 9. Furthermore, the invention relates to an observation device according to the preambles of claims 27, 28 and 29 and special uses according to the preambles of claims 34 and 35.
- An observation device may be, for example, a surgical microscope.
- the observation device can be designed as an ophthalmic surgical microscope, which is used for example for a specific application in ophthalmic surgery, namely cataract surgery.
- cataract surgery an eye lens that is clouded by the cataract, for example, is replaced by an artificial lens.
- the eye lens of an eye is in a thin envelope, the so-called lens capsule.
- a microsurgical device first divided into small individual pieces, which are then removed by means of a suction device.
- This process takes place under microscopic observation - for example, under stereomicroscopic observation - using a specially designed for such procedures lighting device.
- This lighting device provides both a necessary for the illumination of the entire surgical field environment lighting and a crucial for cataract surgery red backlight for the actual on the pupil of the This red background illumination is due to the proportion of the illumination light which finally strikes the retina which appears red due to good blood flow via the transparent ocular media and then, of course, via the surgical microscope also by the surgeon as red background illumination can be observed.
- This red background lighting which is quite characteristic of cataract surgery, is generally known to experts as the term "red reflex".
- the surgeon sees the most uniform possible red background illumination as a necessary prerequisite.
- a first requirement on the illumination device is thus to ensure the best possible homogeneity of the red reflex over the entire patient's pupil.
- Coaxial illumination for a surgical microscope is described in US-A-4,779,968.
- a lighting module is provided, which can be retrofitted as an additional module to existing surgical microscopes.
- This additional module is preferably mounted on the object side below the main objective of the observation device.
- the illumination coupling on the microscope axis takes place either with a divider plate or a divider cube.
- DE 40 28 605 C2 describes a lighting device for a surgical microscope, which permits a combination of zero-degree, coaxial and oblique illumination.
- the illumination device has displaceable partial mirrors and a fixed six-degree mirror together with the respective variable diaphragms, with which the illumination angle and the light components of the respective illumination direction can be varied.
- the focus of this known solution lies in the contrast increase by means of a coaxial illumination, wherein it is the coaxial illumination to an axis near oblique illumination.
- US Pat. No. 6,011,647 describes a switchable illumination system for an ophthalmic surgical microscope, in which it is possible to switch between ambient illumination and optimized "red reflex" illumination during the operation
- Light source collector, field diaphragm, deflection mirror, field lens and main objective.
- the field diaphragm is not depicted in the eye pupil as an object plane, as in the case of ambient lighting.
- EP 1 109 046 A1 discloses an illumination device for a surgical microscope which has two independently displaceable reflection elements by means of which both the angles of the incident light with the optical axis of the microscope objective and the intensity of the different light beams can be changed independently of one another.
- a homogeneous, bright "red reflex" and a good contrast of the phase objects over the entire area of the patient's eye pupil is required.
- Illumination optics arranged such that an illumination mirror (or prism) was between the two beam paths of the stereomicroscope. So it was not an exact 0 ° illumination, which is exactly the same direction as the observation.
- DE 44 17 273 A1 describes an illumination device for surgical microscopes in which the illumination beam is divided into at least two partial illumination beam bundles, each illumination partial beam of the illumination beam being coaxial with an observation beam.
- the present invention has the object, a lighting device and an observation device of the type mentioned input to further perfect the desired optimization on.
- a lighting device and an observation device are to be provided with which an optimum problem-solving of the practical requirements with regard to homogeneity of the "red reflex" and / or good contrasting of the lens residues or membranes in the lens capsule can be realized.
- an illumination device for one, two or more observation tubes, each having an observation beam bundle, comprising at least one light source for generating at least one illumination beam for illuminating an object to be observed, in particular an eye to be observed wherein at least two partial lighting beams are provided, and wherein each partial lighting beam is coaxial with a corresponding observation beam.
- the lighting device is characterized in that the partial lighting beam bundles are / are designed such that they have two or more variables that can be varied in size Illumination spots on the fundus of an object to be observed, such as an eye form.
- lighting device consists in that it generates at least two beam bundles originating from one or more light sources, the optical axes of these beam bundles extending coaxially to the optical axes of the observation beam bundles.
- a single light source can be provided, which initially generates a single illumination beam.
- This illumination beam is then divided by suitable means, for example beam splitters or the like, into the desired number of sub-beams of illumination beams.
- the illumination device has two or more light sources, wherein each light source then generates a partial illumination beam.
- coaxial generally refers to near-axis illumination, which includes both
- the new illumination concept comprising at least two coaxial partial illumination beam bundles generates two or more size-adjustable illumination spots on the fundus of the object to be observed, for example an eye.
- the invention is not limited to any particular size or shape of the illumination spots.
- the lighting spots can be round or round Have geometry.
- other geometries are conceivable, such as elliptical, polygonal, annular illumination spots and the like.
- the diameters of the illumination spots can vary in a range between 0.5 and 1.5 mm on the fundus of the object to be observed.
- the lighting spots may also have a larger or smaller diameter.
- the diameter of the illumination spot (s) can be designed such that it does not exceed 1.5 mm, preferably 1.0 mm, more preferably 0.5 mm, on the fundus of the object to be observed.
- the variation of the illumination spot diameter is due to a variation of the partial illumination beam.
- the illumination beam bundles can be designed such that the size of the illumination spots on the fundus of the object to be observed is 1-fold, preferably 0.7-fold, more preferably 0.5-fold, particularly preferably 0.3-fold, the cross-sectional area of the observation beam on the fundus does not exceed.
- the variation of the illumination spot diameter can be done in different ways. This is done advantageously with the aid of diaphragms, for example discrete diaphragms with different diameters or variable diaphragms with variable diameters (iris diaphragms).
- suitable displays for example LCD displays.
- the last-mentioned variant has the further advantage that the light intensity in the illumination spot increases when the diameter of the illumination spot is reduced.
- an exact coaxial illumination is realized, which provides a homogeneous "red reflex", and which is also insensitive to a rolling of the object to be observed, for example, a patient's eye, thereby also a possible tracking the illumination for optimizing the "red reflex" in the case of a rolled-up eye is eliminated, which simplifies the construction of the illumination device or a corresponding observation device.
- the illumination device is provided for an observation device, but the invention is not limited to specific types of observation devices.
- the observer may be a surgical microscope.
- the illumination device according to the invention can be used particularly advantageously as an illumination system for a surgical microscope, in particular a dual 0 ° illumination system, for use in ophthalmic surgery.
- each partial illumination beam is guided in such a way that an object to be observed is illuminated with respect to each observation beam from the same direction, from which also the observation takes place (0 ° observation).
- the observation device is a (stereo) surgical microscope
- each partial illumination beam is guided in such a way that for the left and right observation beam path of the (stereo) surgical microscope the object to be observed, for example an eye, is illuminated from the same direction which also the observation takes place. There is thus an exact 0 ° illumination for each observation beam path.
- each partial illumination beam is guided such that an object to be observed is obliquely illuminated with respect to each observation beam at an angle of less than or equal to 2 degrees, preferably less than or equal to 1 degree (near-axis oblique illumination).
- the object to be examined is thus illuminated at a small angle to the observation.
- a clean, diffraction-limited beam guidance for the illumination and small illumination spots on the fundus of a patient's eye results in an optimal "red reflex" with good contrasting Furthermore, this illumination device reacts very uncritically to a rolling of the patient's eye during the operation.
- a particularly advantageous embodiment of the invention provides an illumination device for a one, two or more observation beam paths, each with an observation beam having observation device, with at least one light source for generating at least one
- Illumination beam for illuminating an object to be observed, in particular an eye to be observed each observation beam or partial observation beam coaxial or at least substantially coaxial with the corresponding observation beam, the size of the / of the illumination spot on the fundus of the object to be observed 1 times, preferably 0.7 times, more preferably 0.5 times, particularly preferably 0.3 times the Cross-sectional area of the observation beam does not exceed on the fundus.
- the diameter of the illumination spot (s) on the fundus does not exceed 1.5 mm, preferably 1.0 mm, more preferably 0.5 mm.
- an illumination device for an observation device having one, two or more stereoscopic observation beam paths each having an observation beam bundle, comprising at least one light source for generating at least one illumination beam for illuminating an object to be observed, in particular an eye to be observed.
- the illumination device according to the invention is characterized in that the illumination beam is imaged diffraction-limited and that the illumination beam forms one or more variable in size illumination spots on the fundus of the object to be observed.
- a single illumination beam which generates a single illumination spot.
- embodiments with two or more illumination beams are also possible, in which case one illumination beam each generates an illumination spot.
- the illumination beam bundles - when viewed in their entirety - each represent partial illumination beam bundles.
- the size of the illumination spot on the fundus of the object to be observed is 1 times, preferably 0.7 times, more preferably 0.5 times, particularly preferably 0.3 times the cross-sectional area of the observation beam on the fundus does not exceed.
- an illumination device is provided for an observation device having one, two or more observation beam paths each having an observation beam bundle, comprising at least one light source for generating at least one
- Illuminating beam for illuminating an object to be observed in particular an eye to be observed.
- the size of the illumination spot on the fundus of the object to be observed does not exceed one-fold, preferably 0.7-fold, more preferably 0.5-fold, particularly preferably 0.3 times the cross-sectional area of the observation beam on the fundus exceeds.
- the at least one illumination beam bundle can extend coaxially to the corresponding observation beam.
- the distance of the center of the illumination spot from the center of the cross-sectional area of the observation beam on the fundus 0.8 times, preferably 0.5 times, more preferably 0.2 times, particularly preferably 0.05 times the radius the cross-sectional area of the observation beam is on the fundus.
- the optimum size of the illumination spot depends on the defective vision of the patient and the magnification of the observation device, for example a surgical microscope. This is achieved, for example, by the relative indications of illumination spot size to cross-sectional area of the observation cone on the fundus.
- the essential features for an optimal red reflex are realized, namely small spot size for good contrast as well as the position of the illumination spot on the fundus.
- An advantageous embodiment of the invention provides an illumination device for one, two or more observation beam paths, each with an observation beam having observation device, comprising " at least one light source for generating at least one illumination beam for illuminating an object to be observed, in particular an eye to be observed, wherein the Size of the illumination spot on the fundus of the object to be observed 1 times, preferably 0.7 times, more preferably 0.5 times, particularly preferably 0.3 times the cross-sectional area of the observation beam on the fundus, and wherein the distance the center of the illumination spot from the center of the cross-sectional area of the observation beam on the fundus 0.8 times, preferably 0.5 times, more preferably 0.2 times, particularly preferably 0.05 times the radius of the cross-sectional area of the observation bundle on the fundus.
- the diameter of the at least one illumination spot can be varied in a range between 0.5 and 1.5 mm on the fundus of the object to be observed.
- the diameter of the illumination spot (s) can be designed such that it does not exceed 1.5 mm, preferably 1.0 mm, more preferably 0.5 mm, on the fundus of the object to be observed.
- the illumination device according to the invention can advantageously have at least one objective element.
- the objective element can likewise be embodied as an objective element of an observation device, in particular as its main objective. However, this is not mandatory.
- various optical elements can be provided in the illumination device, which are arranged between the at least one light source and the at least one objective element.
- means are provided for in each case one observation beam and one illumination sub-beam or to superimpose the illumination beam.
- These means can be configured in many different ways and arranged at different locations. In the following some non-exclusive examples will be explained.
- the means for superimposing are arranged in such a way that a superimposition of observation beam and sub-beam of illumination beams or illumination beam bundles takes place above the objective element.
- the superimposition of observation beam and sub-beam of illumination beam or illumination beam can be done for example in the parallel beam path over the main objective.
- the means for superimposing are arranged in such a way that a superimposition of observation beam and sub-beam of illumination or illumination beam is effected below the objective element.
- the objective element may be designed as a so-called varioscope optics.
- a varioscope optics is generally an optic with at least two separated by a distance optical elements, which can be varied by varying this distance, the free working distance between the lens and the object plane.
- Such a varioscope optics per se is already known from the prior art.
- it is advantageous when using a varioscope optics if the partial illumination beam bundles are tracked in accordance with the free working distance.
- the means for overlaying may comprise at least one optical element in the form of a prism and / or a beam splitter plate and / or a mirror, such as a semitransparent mirror and / or
- the means may be designed differently, so that the invention is not limited to the examples mentioned.
- means are provided to produce at least one annular illumination sub-beam which is arranged around an observation beam.
- At least one device is provided for changing the bundle cross-section of the at least one illumination beam and / or at least one illumination sub-beam.
- the invention is not limited to specific embodiments of the device.
- the device can be used, for example, as a diaphragm, in particular an iris diaphragm or discrete diaphragm, as an LCD (Liquid Crystal Display) display, as a DMD (Digital Mirror Device), as LCOS (Liquid Crystal On Silicon), as FLCOS (Ferroelectric Liquid Crystal On Silicon) or the like be educated.
- the illumination device By installing a corresponding device in the illumination device, such as in the illumination beam, it is possible to vary the light spot on the surface of the object to be observed, for example on the fundus of the patient's eye.
- a small spot of light provides better contrast.
- the "red reflex" may appear too dark, which makes it advantageous to increase the spot and thus the brightness, which does not increase the intensity of the radiation on the retina Effects on the contrast are not to be expected, because in a very dense cataract the spot is scattered anyway.
- Another advantage of the illumination device according to the invention is that on the cornea front surface of the patient's eye only a corneal reflex becomes visible, since the partial illumination beam bundles approximately overlap at this point.
- Lighting sub-beam is generated. It can thus be used independent light sources, each light source generates its own sub-beam illumination.
- a single light source is provided and that means are provided for dividing the illumination beam of the light source into the two or more partial illumination beam bundles.
- These may be suitable beam splitters in the form of prisms, semitransparent mirrors and the like.
- the at least one light source can be used as a lamp, in particular as a halogen lamp or xenon lamp, as a laser, as a non-thermal radiator, as an optical waveguide, in particular as a fiber optic bundle, as at least one LED (light-emitting diode), as at least one OLED (organic light-emitting diode). or the like may be formed.
- a lamp in particular as a halogen lamp or xenon lamp
- a laser as a non-thermal radiator
- an optical waveguide in particular as a fiber optic bundle
- at least one LED light-emitting diode
- OLED organic light-emitting diode
- the light source is formed from an arrangement of one or more individually or partially switchable micro light source (s).
- the lighting device is designed so that it can be varied easily with respect to the light field geometry generated by it.
- the micro light sources in particular electronically - from the outside, preferably controlled by a control device.
- the miniature light sources are at least partially controllable to variable To set lighting geometries. This is particularly advantageous in the production of annular partial illumination beam bundles.
- the invention is not limited to specific sizes and / or shapes of areas. In the simplest case, a single point can be controlled in such a way.
- the light source when the light source is formed from a matrix consisting of individual micro light sources, one or more mini light sources can be controlled individually or in groups, wherein in the latter case individual mini light sources can be combined into one area. Also in this regard, the invention is not limited to specific embodiments.
- the light source can be formed from an arrangement of one or more light-emitting diode (s) (LED), in particular organic light-emitting diode (s) (OLED).
- LED light-emitting diode
- OLED organic light-emitting diode
- LCDs which require backlighting
- OLEDs themselves shine as Lambert radiators (surface emitters).
- OLEDs offer good light efficiency and small structures without dark spaces. According to a desired illumination geometry, individual of the micro light sources can be turned on and others remain off. Compared to LEDs, the fill factor is higher for OLEDs, which means that a higher packing density can be achieved.
- the use of a display of LEDs or OLEDs allows a programmable, and for example also automatable, switching of different illumination modes, without having to move mechanical components, such as phase contrast rings, filters, attenuators and the like. For example, white OLEDs whose spectrum is determined by a mixture of organic molecules are particularly suitable.
- the illumination device as described above has a whole series of advantages.
- Coaxial illumination in particular a "true” O ° illumination, allows a very homogeneous and bright red
- the "red reflex” reacts to a tilting of the object to be observed, for example a patient's eye, very insensitive. That is, a tracking with respect to angles can be dispensed with.
- a device for changing the beam cross-section for example a (double) iris diaphragm
- the brightness of the "red reflex” and the contrast of phase structures can be adapted to the treatment situation and optimized.
- the reduction of the iris diaphragm diameter improves the contrast, but decreases also the brightness.
- an observation device in particular a surgical microscope, comprising one, two or more stereoscopic observation beam paths each having an observation beam and an illumination device, comprising at least one light source for generating at least one illumination beam for illuminating an object to be observed, in particular of an eye to be observed.
- the illumination device has - adapted to the stereoscopic observation - at least two partial illumination beam, each illumination sub-beam is coaxial with a stereoscopic observation beam.
- the partial illumination beam bundles are designed in such a way that they form two or more size-adjustable illumination spots on the fundus of an object to be observed.
- an observation device in particular a surgical microscope, comprising one, two or more stereoscopic observation beam paths each having an observation beam and an illumination device, comprising at least one light source for generating at least one illumination beam for illuminating an object to be observed, for example, an eye.
- This observation device is inventively characterized in that the illumination beam is diffraction-limited and that the illumination beam bundle one or more in the Size variable lighting spots on the fundus of the object to be observed forms.
- an observation device in particular a surgical microscope, is provided with one, two or more stereoscopic observation beam paths, each having an observation beam and an illumination device, comprising at least one light source for generating at least one illumination beam for illuminating an object to be observed, for example one eye.
- this observation device is characterized in that the illumination beam forms at least one illumination spot on the fundus of the object to be observed, and that the size of the illumination spot on the fundus is 1-fold, preferably 0.7-fold, more preferably 0.5-fold, particularly preferably does not exceed 0.3 times the cross-sectional area of the observation beam on the fundus.
- the diameter of the at least one illumination spot in a range between 0.5 and 1, 5 mm on the fundus of the eye to be observed vary.
- the diameter of the illumination spot (s) can be designed such that it does not exceed 1.5 mm, preferably 1.0 mm, more preferably 0.5 mm, on the fundus of the object to be observed.
- the illumination device is designed in the manner according to the invention as described above, so that reference is made to the corresponding statements and reference is made.
- the observation device may, for example, have a main objective element which is identical to a lens element of the illumination device. Furthermore, means may be provided for superimposing respectively one observation beam and one illumination sub-beam or illumination beam. The means for superimposing can be arranged such that an overlay of observation beam and Partial illumination beam or illumination beam above the main objective element takes place.
- the observation device has a main objective element which is identical to a lens element of the illumination device, that means are provided for superimposing respectively an observation beam and a sub-beam or illumination beam and that the means for superimposing are arranged such that a superposition of observation beam and sub-beam or beam illumination beam below the main objective element takes place.
- the main objective element is designed as a so-called varioscope optics.
- varioscope optics With regard to the configuration and mode of operation of the varioscope optics, reference is made to the corresponding statements above in connection with the illumination device according to the invention.
- the observation device can be designed as a stereoscopic observation device, in particular as a stereomicroscope.
- the optical system of a surgical microscope basically consists of several components, such as the tube, the microscope body, etc.
- a lighting device such as a laser beam, a laser beam, a laser beam, a laser beam, a laser beam, a laser beam, a laser beam, a laser beam, a laser beam, a laser beam, a laser beam, a laser beam, a laser beam, a laser beam, a laser beam, a laser beam, a laser beam, a laser beam, a laser beam, a laser beam, a laser beam, a laser beam a lens, or the like.
- the characteristic size of the main objective is its focal length, which defines the working distance from the surgical microscope to the surgical field and also has an influence on the overall magnification of the microscope.
- an enlargement system can be provided in the at least one observation beam path. This may, for example, be a magnification changer with which different magnifications can be set. In many applications is a
- magnification system Magnification change in stages completely sufficient.
- pancratic magnification systems by means of which a continuous magnification (zoom system) is possible.
- the device pupil of the observation device already described above is located in the magnification system.
- a tube element and an eyepiece element can be provided in the at least one observation beam path.
- Okularelements is generally the Nachveriererung of the intermediate image formed in the tube, as well as possibly the compensation of any defective vision of the user of such a microscope.
- the object plane of the object to be examined is formed in the front focal point of the main objective. This ensures that the object to be examined is imaged by the main objective to infinity.
- the observation device can be stereoscopic
- Observation device in particular as a stereomicroscope, be formed.
- the observation device has two parallel observation beam paths.
- observation device it may according to a preferred
- Embodiment act around a telescope-based stereomicroscope, which consists essentially of the three optical components, namely main objective (afocal) zoom system and binocular telescope of tube and eyepieces exists.
- the observation beam bundles preferably run parallel, so that the individual subcomponents are modularly interchangeable and combinable.
- an observation device according to the invention as described above can advantageously be used as an ophthalmological observation device, preferably as a surgical microscope designed for cataract extraction.
- the fundamental basic requirements for an optimized illumination system in cataract surgery namely a coaxial illumination for the homogeneity of the red reflex, a stigmatic, diffraction-limited imaging of the well-defined illumination spots for the good contrasting of the red reflex.
- a prism system for the generation of the coaxial illumination beam.
- the size of the illumination spots on the fundus can be adjusted in a targeted manner by suitable adaptation of aperture stops in the prism system.
- the illumination system according to the invention allows a simple switchover between the optimized Red Reflex illumination and the ambient illumination indispensable for practical use for the complete illumination of the maximum field of view during the stereoscopic observation.
- FIG. 1 shows a schematic representation of a possible arrangement for generating an O ° illumination, with at the same time an optimum "red reflex" and good contrasting
- FIG. 2 shows a schematic representation of the structure of an optical system for the red-reflex illumination
- Figure 3 shows a schematic representation of the structure of an optical system for the ambient lighting
- Aperture diaphragm as used in the illumination device according to FIG.
- the observation device is a stereo surgical microscope for use in ophthalmic surgery, for example for performing cataract surgery.
- the illumination device By means of the illumination device, a very uniform, bright "red reflex" is achieved in that the illumination beam 12 in several
- Partial light beam 13 is split. This is done by means 11 for splitting the illumination beam, which may have a suitable mirror / prism arrangement for this purpose.
- the partial lighting beam 13 are guided so that with respect to the left and right observation beam path of the surgical microscope to be observed
- Object in this case a patient's eye, is illuminated from the same direction from which the observation is made (0 ° illumination).
- observation beam paths are provided for both a main observer (HB) and a co-observer (MB) in the illustrated example.
- the means 11 for splitting the illumination beam path can, for example, in the range of Lens element 10 may be arranged, which may for example also be the main objective of the observation device.
- a clean, diffraction-limited beam guidance for the illumination and small illumination spots on the fundus of the patient's eye gives this arrangement an optimal "red reflex" with simultaneously good contrasting Furthermore, this lighting arrangement reacts very uncritically on a rolling of the patient's eye during the operation.
- the superposition of observation beam and sub-beam of light beam 13 can be done for example in the parallel beam path over the lens element 10 (the main objective) by the means 11, which are advantageously partially transmissive mirror or prisms.
- a device 14 for changing the beam cross sections in the form of an iris diaphragm is provided in the illumination device.
- the light spot on the fundus of the patient's eye can be varied in the illumination beam 12.
- the illumination beam 12 is generated by a single light source (not shown) and split by the means 11 to a plurality of sub-beams 13.
- a single light source not shown
- each light source generates at least one partial illumination beam bundle 13.
- An eye 29 with fundus 30 is to be illuminated.
- a real intermediate image is generated with a collector 22 and a plano-convex lens 23.
- an aperture stop 25 e.g. be attached in the form of a pinhole.
- This real intermediate image is located in the front focal plane of a two-part partial optics consisting of the main objective 28 and the subcomponent 26 of cemented with a meniscus lens.
- This partial optics then forms another virtual intermediate image at infinity, so that viewed from the eye 29, the fiber end of the light guide 21 is located at the far end.
- the fiber end of the light guide 21 is then imaged onto the fundus 30 as a lighting spot in the case of a right-handed eye.
- the effective luminous area of the fiber end of the light guide 21 may be 4.8 mm, for example.
- the diameter of the intermediate image in the aperture stop 25 is then 5.8 mm.
- For the size of the illumination spot on the fundus 30 is obtained in the example mentioned a diameter of 1.5 mm.
- the size of the diameter of the pinholes then determines the size of the illumination spots on the fundus and thus decisively the good contrasting of the red reflex.
- the field diaphragm 24 serves to limit the illuminated field of view.
- the field diaphragm 24 is located in the front focal point of the subcomponent 26 of cemented and meniscus lens.
- the field diaphragm 24 is thus imaged by the subcomponent 26 initially virtually to infinity and finally with the main objective 28 on the object plane located in the front focal plane of the main objective.
- the diameter of the field stop 24 is for example 2.5 mm. This leads to an illuminated field of view in the object plane of 10 mm. Thus, the magnification of the luminous field image is 1: 4.
- Table 1 lists the optical system data for the red reflex illumination:
- the structure of the optical system for the ambient lighting is outlined in FIG.
- An essential idea is that the ambient lighting can be derived from the red - reflex illumination by means of a simple switching process without additional optical components.
- optical components necessary for the ambient illumination are thus identical to the optical components of the red-reflex illumination according to FIG. 2, namely: light guide 21, collector 22, field diaphragm 24, optical component 26, for example in the form of a subcomponent Kittglied and meniscus, deflecting element 27, for example in the form of a splitter mirror, and lens element 28, for example in the form of a main objective.
- plano-convex lens and the pinhole are swiveled out.
- a small field stop is replaced by a large field stop 24.
- the field diaphragm 24 With the collector 22, the field diaphragm 24 is now completely illuminated.
- the field diaphragm 24 is located, as in the case of red-reflex illumination, unchanged in the front focal plane of the partial optics 26 made of cemented component and meniscus lens.
- the field diaphragm 24 is thus imaged virtually infinity, so that the image of the field diaphragm 24, as in the case of red-field illumination through the image with the main objective 28, again lies in the front focal plane of the main objective 28 and thus in the object plane of the observation.
- the diameter of the field stop 24 is for example 14 mm. This can be an illumination of the maximum field of view 31 in the object plane of about 62 mm reach.
- the magnification of the magnification relative to the red-reflex illumination can be explained by the distortion of the light field image.
- the optical design for the proposed red reflex illumination allows independent intervention in the beam paths for the pupil and light field imaging.
- the luminous efficacy can be optimally adapted to the luminous field size and the size of the illumination spots on the fundus can be adapted by targeted intervention in the aperture diaphragm.
- Table 2 It may also be useful to provide the user with a red-light and an ambient lighting at the same time. This can be done, for example, by the plano-convex lens 23 being cemented between the collector 22 and the diaphragms 24, 25 either on a transparent carrier, or formed, for example, as a plastic injection molded part (PMMA) with a corresponding transparent supporting edge.
- PMMA plastic injection molded part
- the aperture diaphragm 25 can advantageously be configured in such a way that the openings 25a for the red-reflected illumination have, for example, a high transmission and the surrounding area 25b a reduced (ideally adjustable) transmission for the ambient lighting.
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Ophthalmology & Optometry (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Eye Examination Apparatus (AREA)
- Microscoopes, Condenser (AREA)
- Lenses (AREA)
Abstract
Description
Claims
Priority Applications (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN2005800259388A CN101001567B (zh) | 2004-08-06 | 2005-07-18 | 照明装置及观察装置 |
EP05766830.3A EP1776034B1 (de) | 2004-08-06 | 2005-07-18 | Beleuchtungseinrichtung sowie beobachtungseinrichtung |
US11/659,594 US8177364B2 (en) | 2004-08-06 | 2005-07-18 | Illumination device as well as observation device |
JP2007524211A JP4911721B2 (ja) | 2004-08-06 | 2005-07-18 | 照明装置ならびに観察装置 |
EP11183927.0A EP2452616B1 (de) | 2004-08-06 | 2005-07-18 | Beobachtungseinrichtung |
ES05766830T ES2702947T3 (es) | 2004-08-06 | 2005-07-18 | Dispositivo de iluminación, así como dispositivo de observación |
US12/803,484 US8708493B2 (en) | 2004-08-06 | 2010-06-28 | Illumination device as well as observation device |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102004038372 | 2004-08-06 | ||
DE102004038372.3 | 2004-08-06 | ||
DE102004050651A DE102004050651A1 (de) | 2004-08-06 | 2004-10-18 | Beleuchtungseinrichtung sowie Beobachtungseinrichtung |
DE102004050651.5 | 2004-10-18 |
Related Child Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US11/659,594 A-371-Of-International US8177364B2 (en) | 2004-08-06 | 2005-07-18 | Illumination device as well as observation device |
US12/803,484 Division US8708493B2 (en) | 2004-08-06 | 2010-06-28 | Illumination device as well as observation device |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2006015690A1 true WO2006015690A1 (de) | 2006-02-16 |
Family
ID=35064819
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/EP2005/007803 WO2006015690A1 (de) | 2004-08-06 | 2005-07-18 | Beleuchtungseinrichtung sowie beobachtungseinrichtung |
Country Status (7)
Country | Link |
---|---|
US (2) | US8177364B2 (de) |
EP (2) | EP2452616B1 (de) |
JP (1) | JP4911721B2 (de) |
CN (2) | CN102626342B (de) |
DE (1) | DE102004050651A1 (de) |
ES (2) | ES2702947T3 (de) |
WO (1) | WO2006015690A1 (de) |
Cited By (2)
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JP2009534694A (ja) * | 2006-04-20 | 2009-09-24 | ナノフォーカス アクチエンゲゼルシャフト | 顕微鏡で使用するための、光反射が最小化された、均一な光の強さで照射するための装置 |
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US8523359B2 (en) | 2008-12-18 | 2013-09-03 | Carl Zeiss Meditec Ag | Illumination device and observation device |
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DE102013206839A1 (de) | 2013-04-16 | 2014-10-16 | Möller-Wedel GmbH & Co. KG | Operationsmikroskop mit Rotreflex-Beleuchtung |
DE102013010844A1 (de) * | 2013-06-28 | 2014-12-31 | Carl Zeiss Meditec Ag | Mikroskopiesystem zur Abbildung von Phasenobjekten, Verfahren zum Betreiben des Mikroskopiesystems und Computerprogrammprodukt |
DE102014212372A1 (de) | 2014-06-26 | 2015-12-31 | Carl Zeiss Meditec Ag | Beleuchtungseinrichtung eines Operationsmikroskops |
IL235594A0 (en) * | 2014-11-09 | 2015-02-26 | Ron Schneider | Surgical lens system |
US10433960B1 (en) | 2015-05-07 | 2019-10-08 | Cardioprecision Limited | Method and system for transcatheter intervention |
CN108663327A (zh) * | 2018-08-22 | 2018-10-16 | 江西绿萌分选设备有限公司 | 一种用于果蔬内部品质检测的聚光装置 |
CN110251078A (zh) * | 2019-01-30 | 2019-09-20 | 北京大学第三医院(北京大学第三临床医学院) | 显微镜的成像方法、成像系统和显微镜 |
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- 2005-07-18 JP JP2007524211A patent/JP4911721B2/ja active Active
- 2005-07-18 CN CN201210107894.5A patent/CN102626342B/zh active Active
- 2005-07-18 EP EP11183927.0A patent/EP2452616B1/de active Active
- 2005-07-18 ES ES11183927T patent/ES2751353T3/es active Active
- 2005-07-18 WO PCT/EP2005/007803 patent/WO2006015690A1/de active Application Filing
- 2005-07-18 US US11/659,594 patent/US8177364B2/en active Active
- 2005-07-18 EP EP05766830.3A patent/EP1776034B1/de active Active
- 2005-07-18 CN CN2005800259388A patent/CN101001567B/zh active Active
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US4779968A (en) | 1986-07-12 | 1988-10-25 | Carl-Zeiss-Stiftung | Coaxial illuminating system for operation microscopes |
DE4028605C2 (de) | 1990-09-08 | 1997-09-04 | Zeiss Carl Fa | Beleuchtungseinrichtung für ein Operationsmikroskop |
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WO2022189365A1 (de) | 2021-03-12 | 2022-09-15 | Carl Zeiss Meditec Ag | Operationsmikroskop mit beleuchtungseinrichtung |
DE102021106064A1 (de) | 2021-03-12 | 2022-09-15 | Carl Zeiss Meditec Ag | Operationsmikroskop mit Beleuchtungseinrichtung |
Also Published As
Publication number | Publication date |
---|---|
CN101001567A (zh) | 2007-07-18 |
US8177364B2 (en) | 2012-05-15 |
EP2452616A1 (de) | 2012-05-16 |
EP1776034B1 (de) | 2018-09-05 |
JP4911721B2 (ja) | 2012-04-04 |
EP1776034A1 (de) | 2007-04-25 |
ES2751353T3 (es) | 2020-03-31 |
EP2452616B1 (de) | 2019-09-04 |
DE102004050651A1 (de) | 2006-03-16 |
CN102626342B (zh) | 2015-05-06 |
CN102626342A (zh) | 2012-08-08 |
CN101001567B (zh) | 2013-09-04 |
US20110037947A1 (en) | 2011-02-17 |
US8708493B2 (en) | 2014-04-29 |
US20070263173A1 (en) | 2007-11-15 |
JP2008509428A (ja) | 2008-03-27 |
ES2702947T3 (es) | 2019-03-06 |
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