WO2022054562A1 - Ophthalmic surgery system, control method, and program - Google Patents

Abstract

Provided are an ophthalmic surgery system that enables efficient use of the space in an operating room and/or cost reduction, a control method, and a program. This ophthalmic surgery system that enables efficient use of the space in an operating room and/or cost reduction is equipped with one or more first modules (1) and a second module (2). Each of the first modules (1) has a function that enables use thereof in a treatment of a patient's eye (3). The second module (2) is connected to the first modules (1), acquires configuration information relating to the first modules (1), and outputs a control signal in accordance with the configuration information.

Description

Ophthalmic surgery systems, control methods, and programs

This technology relates to ophthalmic surgery systems, control methods, and programs applicable to ophthalmic surgery.

Surgical microscope devices and ultrasonic surgical devices are used in ophthalmic surgery such as cataract surgery, and it has been proposed to improve the convenience for the surgeon and the efficiency of the surgery for each of them (Patent Document 1). And 2).

WO18 / 055888 Japanese Unexamined Patent Publication No. 2005-013425

However, if multiple medical devices used for surgery are prepared, each device will occupy the space in the operating room. In addition, from the viewpoint of hospital management, the cost of purchasing each device is required. Therefore, there is a need for technology that leads to efficient use of space in the operating room and cost reduction.

In view of the above circumstances, the purpose of this technique is to provide an ophthalmologic surgery system, control method, and program that enables efficient utilization of space in the operating room and / or cost reduction.

In order to achieve the above object, the ophthalmologic surgery system according to one embodiment of the present technology includes one or more first modules and a second module.
The first module has a function used in the operation of the patient's eye.
The second module is connected to the first module, acquires configuration information about the first module, and outputs a control signal according to the configuration information.

In this ophthalmologic surgery system, one or more first modules having a function used for a patient's eye operation are connected to the first module, and configuration information about the first module is acquired and according to the configuration information. A second module that outputs a control signal is provided. This makes it possible to efficiently utilize the space in the operating room and reduce costs.

A control method according to an embodiment of the present technology is a control method executed by a computer system and includes acquiring configuration information regarding one or a plurality of first modules having a function used for a patient's eye treatment.
A control signal corresponding to the configuration information is output.

A program according to an embodiment of the present technology causes a computer system to perform the following steps.
A step of acquiring configuration information about one or more first modules having a function used in a patient eye procedure.
A step of outputting a control signal according to the component.

It is a figure which shows the structural example of the ophthalmologic surgery system schematically. It is a schematic diagram which shows the example of the ophthalmologic surgery system. It is a block diagram which shows the structural example of the ophthalmologic surgery system. It is a schematic diagram which shows the example of the ophthalmologic surgery system. It is a block diagram which shows the other configuration example of an ophthalmologic surgery system. It is a schematic diagram which shows the appearance of a surgical apparatus. It is a block diagram which shows the other configuration example of an ophthalmologic surgery system. It is a schematic diagram which shows the appearance of a surgical apparatus. It is a block diagram which shows the other configuration example of an ophthalmologic surgery system. It is a figure which shows the structural example of the ophthalmologic surgery system schematically. It is a block diagram which shows the hardware configuration example of a control device.

Hereinafter, embodiments relating to this technology will be described with reference to the drawings.

[Configuration of eye surgery system]
FIG. 1 is a diagram schematically showing a configuration example of an ophthalmic surgery system according to the present technology.

The ophthalmic surgery system 100 is a system for controlling a medical device used for ophthalmic surgery. As shown in FIG. 1, the ophthalmologic surgery system 100 has a front-end module 1 and a back-end module 2.
In FIG. 1, in the ophthalmic surgery system 100, the front-end module 1 and the back-end module 2 are communicably connected via a wire or a radio. The connection form between each device is not limited, and for example, wireless LAN communication such as WiFi and short-range wireless communication such as Bluetooth (registered trademark) can be used.

The front-end module 1 is one or more modules having a function used for the treatment of the patient's eye. For example, in the present embodiment, the front-end module 1 corresponds to a module such as a medical device A, a medical device B, or a medical device C.

The back-end module 2 is connected to the front-end module 1, acquires configuration information about the front-end module 1, and outputs a control signal corresponding to the configuration information. For example, in the present embodiment, the back-end module 2 corresponds to the control device 10.
Further, in the present embodiment, the back-end module 2 has a plurality of engines, and an engine corresponding to the connected front-end module 1 is used. For example, when the front-end module 1 has OCT (Optical Coherence Tomography), the OCT engine in the back-end module 2 is used. Further, for example, when the front-end module 1 has a laser lens barrel, a laser engine is used. Further, for example, when the front-end module 1 has a manipulator module, a manipulator control engine is used.

Further, in the ophthalmic surgery system 100, the back-end module 2 is connected to the back-end module 2 from some modules of the front-end module 1 as needed, and the configuration information is acquired by the connection to control the front-end module 1. For example, depending on the content of the patient's eye procedure, the required modules are connected to the backend module 2.

Further, in the ophthalmologic surgery system 100, the control of the back-end module 2 changes depending on the connected front-end module 1. For example, the back-end module 2 outputs different control signals depending on the configuration information of the microscope device 20 or the laser device 30 to control the OCT, which is a function common to the microscope device 20 and the laser device 30 described later.
Specifically, in the case of the microscope device 20, the distance between the patient's eye and the lens barrel is about 20 cm, and in the laser device 30, the patient's eye and the lens barrel are docked. That is, when the microscope device 20 is connected, the distance from the OCT light source to the patient's eye is long, so the distance from the OCT light source to the reference mirror is relatively large, and the distance between the patient's eye and the scan mirror is long. Therefore, the angle of the OCT scan becomes relatively small. This also applies to modules having other OCTs, and since the position of the reference mirror and the range in which the scan mirror is tilted change according to the operating distance of the OCT, the back-end module 2 has a control signal according to the connected module. Will be output.

Here, an example of basic operation of the ophthalmologic surgery system 100 is shown.
The back-end module 2 acquires the configuration information of the medical device as the front-end module 1.
The back-end module 2 determines the components of the front-end module 1 based on the acquired configuration information.
The back-end module 2 outputs a control signal according to the determined component.
The front-end module 1 controls the functions it has based on the output control signal.

That is, the ophthalmic surgery system 100 is an integrated system composed of a plurality of modules, and the medical devices connected to the back-end module 2 are modularized to aggregate and control the functions common to each medical device. Is possible.
As a result, it is not necessary to prepare all the front-end modules 1 used for the treatment of the patient's eye, and it is possible to prepare and use only the necessary modules. That is, in the ophthalmologic surgery system 100, the back-end module 2 can be diverted, and the front-end module 1 can be replaced as needed.
Further, the back-end module 2 can also be functionally updated by adding a device having an engine corresponding to the front-end module 1 later or updating the software.

For example, the medical device includes an observation device (microscope or the like) capable of photographing and observing the patient's eye, a laser device for irradiating the patient's eye with a laser, and the like. Further, for example, the medical device includes a multi-joint arm, a robot arm having an actuator in a joint, a manipulator capable of controlling the position and orientation of a surgical tool, and the like. The treatment includes surgery and observation.
In the present embodiment, the control device 10 includes a microscope device 20 (see FIG. 2), a laser device 30 (see FIG. 4), a surgical device 50 (see FIG. 6), and a surgical device 70 (see FIG. 8) described later as medical devices. Connected as. For example, each front-end module 1 (medical device) may have a common interface for connecting to the control device 10 which is the back-end module 2. That is, the ophthalmologic surgery system 100 is used for various purposes by attaching / detaching each front-end module 1 to / from the back-end module 2 which is the base.

The control device 10 acquires configuration information about the medical device and outputs a control signal corresponding to the configuration information.
The configuration information is information indicating the components of the medical device. For example, the component of the microscope device 20 includes a microscope unit for observing the patient's eye. Further, for example, the component of the laser device 30 includes an exit portion that emits a laser to the patient's eye.
The configuration information also includes functions that can be performed by the components of the medical device. For example, the maximum magnifying power of the microscope unit, the range in which the emission unit can emit light, and the like can be mentioned.
Of course, the configuration information is not limited to this, and various information may be included depending on the type and use of the medical device used. For example, the specifications of the device such as the number of pixels of the image captured by the microscope may be included. Further, for example, the component information may be medical device identification information that can identify the component.

That is, the control device 10 can appropriately control the functions mounted on the medical device by outputting the control signal according to the components of the medical device.
For example, the control device 10 can output a control signal to change the magnification and focal length (focus) of the observation image (patient's eye) to the microscope device 20 described later. According to the control signal, the drive mechanism of the image pickup unit appropriately moves the zoom lens and the focus lens, so that the magnifying power and the focus are adjusted.
Further, for example, the control device 10 can output a control signal to change the laser emission timing, the emission position, and the like to the laser device 30 described later. According to the control signal, the position or the emission direction of the emission unit is adjusted by the drive mechanism of the laser device 30.

FIG. 2 is a schematic diagram showing an example of an ophthalmic surgery system 100. In FIG. 2, the microscope device 20 functions as the front-end module 1. Further, in the present embodiment, the control device 10 is mounted on the base portion 23 of the microscope device 20. For example, the control device 10 detects that the microscope device 20 has OCT from the configuration information and controls the OCT engine.

As shown in FIG. 2, the microscope device 20 includes a microscope unit 21 for magnifying and observing an observation object, an arm unit 22 that supports the microscope unit 21 at the tip, and a base unit that supports the base end 27 of the arm unit 22. 23 and.

The microscope unit 21 is composed of a substantially cylindrical tubular portion 24, an imaging unit (not shown) provided inside the tubular portion 24, and an OCT unit (not shown). The microscope unit 21 is an electron imaging type microscope unit (video type microscope unit) that electronically captures an image captured by the imaging unit.

A cover glass that protects the internal image pickup portion is provided on the opening surface at the lower end of the tubular portion 24. The light from the observation target (observation light) passes through the cover glass and is incident on the image pickup portion inside the tubular portion 24. A light source made of, for example, an LED (Light Emitting Diode) may be provided inside the tubular portion 24, and even if light is emitted from the light source to the patient's eye through the cover glass at the time of imaging. good.

The image pickup unit is composed of an optical system that collects observation light and an image pickup element that receives the observation light collected by the optical system. The optical system is composed of a combination of a plurality of lenses including a zoom lens and a focus lens, and its optical characteristics are adjusted so as to form an image of observation light on a light receiving surface of an image pickup device. The image pickup device receives the observation light and performs photoelectric conversion to generate a signal corresponding to the observation light, that is, an image signal corresponding to the observation image. As the image pickup device, for example, a device capable of color imaging having a Bayer array is used. The image pickup device may be various known image pickup devices such as a CMOS (Complementary Metal Oxide Semiconductor) image sensor or a CCD (Charge Coupled Device) image sensor.

Further, the image pickup unit has a drive mechanism for moving the zoom lens and the focus lens of the optical system along the optical axis. By appropriately moving the zoom lens and the focus lens by the drive mechanism, the magnifying power of the captured image and the focal length at the time of imaging can be adjusted. Further, the imaging unit may be equipped with various functions that can be generally provided in an electronic imaging type microscope unit, such as an AE (Auto Exposure) function and an AF (Auto Focus) function.

The OCT unit applies an OCT scan to the fundus of the patient's eye and acquires OCT data. For example, the OCT unit operates a laser beam with a galvano mirror or the like to acquire an image of the patient's eye. Further, when the same patient's eye is imaged, the OCT unit changes the inclination and position of the reference mirror and the scan mirror to image an arbitrary part of the patient's eye.
The OCT data may be interference signal data, reflection intensity profile data obtained by applying a Fourier transform to the interference signal data, or image data obtained by imaging the reflection intensity profile data. Hereinafter, an image acquired by using OCT may be referred to as an OCT image.
The OCT unit is realized by any configuration such as a beam splitter, a sensor, a reference mirror, a scan mirror, a light source, and various lenses. In this embodiment, the control device 10 controls the position and tilt of the reference mirror or the scan mirror. For example, the control device 10 controls the reference mirror so that the position changes along a predetermined axial direction (for example, the Z-axis direction). Further, for example, the control device 10 controls the scan mirror so as to be tilted to the X-axis or the Y-axis.
The configuration of the OCT unit is not limited. For example, the observation light incident on the imaging unit may be incident on the OCT unit via a half mirror or the like.

The arm portions 22 are rotatably connected to each other by a plurality of joint portions 25. For example, as shown in FIG. 2, each joint portion 25 extends in a predetermined direction and rotates in a predetermined range around each axis 26.
Further, each joint portion 25 is provided with a drive mechanism such as a motor and each actuator equipped with an encoder or the like for detecting a rotation angle in each joint portion. The drive of each actuator is appropriately controlled by the control device, and the posture of each arm portion, that is, the position and posture of the imaging unit (lens barrel) is controlled. Further, the base end 27 connecting the arm portion 22 and the base portion 23 can rotate about the shaft 26.
For example, a user (for example, a doctor) can control the microscope unit 21 to an arbitrary position by extending or rotating the arm unit 22 in various directions by using a hand.
The structure, number, arrangement, position, direction of the rotation axis, and the like of the joint portions constituting the arm portion may be appropriately designed so as to realize a desired degree of freedom. Further, each joint may be provided with a brake or the like for restraining rotation.

FIG. 3 is a block diagram showing a configuration example of the ophthalmic surgery system 100.
FIG. 3 is an example of an ophthalmic surgery system 100 when the microscope device 20 and the control device 10 shown in FIG. 2 are connected. That is, the example of FIG. 3 is an embodiment of an ophthalmic surgery system 100 in which a microscope device 20 modularized as a front-end module 1 is connected to a control device 10 which is a back-end module 2 and functions as an integrated system. .. Further, the control device 10 has an output unit 14 as an engine for controlling the image pickup unit and the OCT unit of the microscope device 20.

The control device 10 has an information acquisition unit 11, a determination unit 12, an image processing unit 13, and an output unit 14.
The control device 10 has hardware necessary for configuring a computer, such as a processor such as a CPU, GPU, and DSP, a memory such as a ROM and a RAM, and a storage device such as an HDD (see FIG. 11). For example, the control method according to the present technology is executed by the CPU loading and executing the program according to the present technology recorded in advance in the ROM or the like into the RAM.
For example, the control device 10 can be realized by an arbitrary computer such as a PC. Of course, hardware such as FPGA and ASIC may be used.
In the present embodiment, the CPU executes a predetermined program to configure an output unit as a functional block. Of course, in order to realize the functional block, dedicated hardware such as an IC (integrated circuit) may be used.
The program is installed in the control device 10, for example, via various recording media. Alternatively, the program may be installed via the Internet or the like.
The type of recording medium on which the program is recorded is not limited, and any computer-readable recording medium may be used. For example, any non-transient storage medium readable by a computer may be used.

The information acquisition unit 11 acquires various information about the front-end module 1. In the present embodiment, the information acquisition unit 11 acquires configuration information regarding the medical device used for the treatment of the patient's eye. For example, the information acquisition unit 11 acquires an ID associated with the microscope device 20. In this case, the information acquisition unit 11 acquires the configuration information corresponding to the acquired ID from the database that holds the IDs associated with various medical devices and the configuration information of the medical devices.
Further, the information acquisition unit 11 acquires a captured image of the patient's eye. For example, a captured image of the patient's eye captured by the microscope device 20 is acquired. Further, for example, an OCT image captured by the OCT unit is acquired.
Further, in the present embodiment, the acquired configuration information is supplied to the determination unit 12. Further, the acquired captured image and OCT image of the patient's eye are supplied to the image processing unit 13 and the output unit 14.

The determination unit 12 determines the components of the front-end module 1 connected to the back-end module 2. In the present embodiment, the determination unit 12 determines the components of the medical device based on the configuration information of the medical device acquired by the information acquisition unit 11. For example, the components such as the microscope unit 21 and the arm unit 22 of the microscope device 20, the angle of view of the image pickup unit of the microscope device 20, the imaging conditions such as the magnifying magnification, and the specifications such as the rotation range of the joint portion 25 are determined. To.
Further, in the present embodiment, the determination result determined by the determination unit 12 is supplied to the image processing unit 13 and the output unit 14.
The method for determining the components is not limited. For example, the information acquisition unit 11 may acquire an ID for identifying the front-end module 1, and the determination unit 12 may determine the components of the medical device corresponding to the ID.

The image processing unit 13 executes image processing on the captured image and the OCT image of the patient's eye. In this embodiment, the image processing unit 13 executes different image processing between the microscope device 20 and the laser device 30 described later. The reason is that, for example, the photographed image (front image) of the patient's eye of the microscope device 20 is stereoscopic, and the front image of the laser device 30 is monocular. Further, the color temperature of the light source of the microscope device 20 and the laser device 30 may be different. In addition to this, it is necessary to consider the difference in the light source for illumination and the difference between the imaging when docked in the patient's eye (imaging condition of the laser device 30) and the imaging through air (imaging condition of the microscope device 20). There is.
That is, the image processing unit 13 changes the method of image processing of the captured image of the patient's eye according to the connected front-end module 1. The method and type of image processing are not limited. Further, the image processing unit 13 may be mounted on an external device including the microscope device 20 and the laser device 30, and a control signal for executing the above image processing may be output from the output unit 14.

The output unit 14 outputs a control signal suitable for the components of the front-end module 1. In the present embodiment, the output unit 14 outputs a control signal to the image pickup control unit 28 and the OCT control unit 29 of the microscope device 20.
When the microscope device 20 is connected, the output unit 14 outputs a control signal to the image pickup control unit 28 and the OCT control unit 29 to image the patient's eye. For example, when the user presses a button or performs an operation to perform shooting, the output unit 14 outputs a control signal to perform shooting.
Further, for example, the output unit 14 outputs a control signal according to the content of the treatment for the patient's eye. In this case, the output unit 14 may output a control signal according to a control pattern in which the position to be imaged by the microscope device 20 used for the treatment is set.
Further, for example, the output unit 14 outputs a control signal based on the captured image acquired by the information acquisition unit 11. In this case, the current state of the treatment may be grasped from the captured image, and a control signal for capturing the captured image or the OCT image may be output centering on the lesion or the like.
In addition to this, control signals corresponding to various components of the front-end module 1 may be output.

The microscope device 20 has an image pickup control unit 28 and an OCT control unit 29.
The image pickup control unit 28 controls the microscope unit 21. For example, the image pickup control unit 28 can control the magnifying power and the focal length. In the present embodiment, the imaging control unit 28 executes imaging of the patient's eye according to the control signal output from the output unit 14 of the control device 10.
The OCT control unit 29 controls the OCT unit. In the present embodiment, the control device 10 outputs a control signal for controlling the position and tilt of the reference mirror or the scan mirror. For example, the reference mirror is controlled to change its position along the Z-axis direction. Also, for example, the scan mirror is controlled to be tilted to the X-axis or the Y-axis.

In the present embodiment, the front-end module 1 corresponds to one or a plurality of first modules having a function used for the treatment of the patient's eye.
In the present embodiment, the back-end module 2 corresponds to a second module to which the first module is connected, acquires configuration information about the first module, and outputs a control signal according to the configuration information.
In this embodiment, the microscope device 20 and the surgical device 50 correspond to an observation device.
In this embodiment, the arm portion 22, the joint portion 25, and the manipulator may function as a drive mechanism for driving the medical device.
In the present embodiment, the image processing unit 13 functions as an image processing unit that executes image processing on the captured image and a detection unit that detects the distance between the surgical instrument and the patient's eye based on the captured image of the patient's eye. You may.

FIG. 4 is a schematic diagram showing an example of the ophthalmic surgery system 100. In FIG. 4, the laser device 30 functions as the front-end module 1. Further, in the present embodiment, the control device 10 is mounted on the base portion 31 of the laser device 30. For example, the control device 10 detects that the laser device 30 has the OCT and the emission unit 33 from the configuration information, and controls the OCT engine and the laser engine.

The laser device 30 has a base portion 31, an arm portion 32 attached to the base portion 31, and an emission unit 33 that emits laser light.

The arm portions 32 are rotatably connected to each other, and can be extended in a predetermined direction or rotated in a predetermined range, for example. In the present embodiment, the exit portion 33 is formed by an arm portion 32a that extends in the Z-axis direction (arrow 40) and is rotatable about the shaft 41, and an arm portion 32b and an arm portion 32c that are rotatable on an XY plane. The position of is adjusted arbitrarily. Further, the emitting portion 33 is rotated on the XZ plane by the arm portion 32d.
This makes it possible to emit the laser beam emitted from the emitting unit 33 to an arbitrary portion of the patient's eye.
The structure, number, arrangement, position, direction of the rotation axis, and the like of the joint portions constituting the arm portion may be appropriately designed so as to realize a desired degree of freedom. Further, each joint may be provided with a brake or the like for restraining rotation.

The emitting unit 33 is connected to the arm unit 32d and emits laser light. In this embodiment, the emission unit 33 emits a femtosecond laser. The configuration of the emission unit 33 is not limited, and an arbitrary configuration and arrangement such as a galvano scanner for changing the laser beam in two horizontal scanning directions, an excitation light source, an optical fiber, and the like may be provided.
Further, the emission unit 33 has an OCT unit similar to the OCT unit. For example, an imaging beam for inspecting the patient's eye, which is different from the femtosecond laser, may be generated from the emitting unit 33, and an OCT image of the patient's eye may be acquired.

FIG. 5 is a block diagram showing another configuration example of the ophthalmic surgery system 100. FIG. 5 is an example of an ophthalmic surgery system 100 when the laser device 30 and the control device 10 shown in FIG. 4 are connected. That is, the example of FIG. 5 is an embodiment of an ophthalmic surgery system 100 in which a laser device 30 modularized as a front-end module 1 is connected to a control device 10 which is a back-end module 2 and functions as an integrated system. .. Further, the control device 10 has an output unit 14 as an engine for controlling the emission unit 33 and the OCT unit of the laser device 30.

The ophthalmologic surgery system 100 shown in FIG. 3 and the front-end module 1 of the ophthalmologic surgery system 100 shown in FIG. 5 have an OCT unit as a common function. Further, the back-end module 2 has an engine for controlling the OCT unit. That is, the ophthalmic surgery system 100 shown in FIG. 3 can be transformed into the ophthalmic surgery system 100 shown in FIG. 5 by changing the modules (microscope device 20 and laser device 30) connected according to the functions required for the treatment of the patient's eye. Is. Similarly, each module shown in FIGS. 6 to 10 shown below and the ophthalmologic surgery system 100 are also embodiments that can be modified as needed.
Since the OCT control unit 36 of the laser device 30 has the same function as the OCT control unit 29 described above, the description thereof will be omitted.

The output unit 14 outputs a control signal to the laser control unit 35 and the OCT control unit 36. For example, the output unit 14 outputs a control signal for controlling the position where the femtosecond laser is irradiated to the laser control unit 35. Specifically, a control signal for controlling the inclination of each of the scanning mirrors provided in the emission unit 33 that can rotate in the X-axis direction or the scanning mirrors that can rotate in the Y-axis direction is output.
Further, for example, the output unit 14 outputs a control signal based on the captured image acquired by the information acquisition unit 11. In this case, the current state of the treatment may be grasped from the captured image, and a control signal to emit the laser to an appropriate place (for example, the cornea, the anterior lens capsule, the incision position of the lens nucleus, etc.) may be output.

The laser device 30 has a laser control unit 35 and an OCT control unit 36.
The laser control unit 35 controls the laser light emitted from the emission unit 33. For example, the laser control unit 35 controls the timing at which the femtosecond laser is emitted, the intensity of the femtosecond laser, and the like. In the present embodiment, the laser control unit 35 outputs a femtosecond laser according to a control signal output from the output unit 14 of the control device 10.

FIG. 6 is a schematic view showing the appearance of the surgical apparatus 50. In FIG. 6, the surgical device 50, which is a front-end module, has the functions of the microscope device 20 and the laser device 30.
As shown in FIG. 6A, the arm portion 51 and the lens barrel portion 54 having the microscope portion 52 and the exit portion 53 are provided. In the present embodiment, the microscope unit 52 has the same function as the image pickup unit of the microscope device 20, and can acquire an image captured by the patient's eye.

The arm portions 51 have joint portions 55a to 55a and are rotatably connected to each other. For example, each of the joint portions 55a to 55a is stretched in a predetermined direction and rotated in a predetermined range. Further, each joint portion 55a to d is controlled by a manipulator. This makes it possible to arrange the microscope unit 52 and the emission unit 53 at arbitrary positions.
Further, the joint portion 55d is connected to the lens barrel portion 54 and can rotate about the axis 57. That is, by rotating the joint portion 55d around the axis 57, the microscope portion 52 or the exit portion 53 facing the patient's eye can be switched. Hereinafter, the state in which the microscope unit 52 faces the patient's eye is referred to as a microscope mode, and the state in which the exit unit 53 faces the patient's eye is referred to as a laser mode.

FIG. 6B is a schematic view showing the configuration of the lens barrel portion 54.
As shown in FIG. 6B, the lens barrel portion 54 has a light source portion 60 in the joint portion 55d in addition to the microscope portion 52 and the exit portion 53.

The microscope unit 52 has an arbitrary optical system (not shown) that collects the observation light.
The emitting unit 53 has an arbitrary optical system (not shown) capable of deflecting the laser or the like.

The light source unit 60 includes a beam unit 61 capable of emitting a laser or OCT beam, a scanner system 62 for deflecting a beam emitted from the beam unit 61 in at least orthogonal directions (X and Y-axis directions), and an image sensor 63. Have. For example, the scanner system 62 has a mirror for scanning the beam in the X-axis direction and a mirror for operating the beam in the Y-axis direction.

In the present embodiment, the light source unit 60 can rotate so that the beam emitted from the beam unit 61 is always emitted in the direction of the patient's eye, regardless of the rotational drive of the joint portion 55d. That is, the light source unit 60 has a mechanism that does not rotate relatively regardless of whether the surgical apparatus 50 is in the microscope mode or the laser mode.

FIG. 7 is a block diagram showing another configuration example of the ophthalmic surgery system 100. FIG. 7 is an example of an ophthalmic surgery system 100 in which the surgical device 50 and the control device 10 shown in FIG. 6 are connected and function as an integrated system. For example, the ophthalmologic surgery system 100 is controlled by mounting a control device 10 which is a back-end module 2 on a surgical device 50 which is a front-end module 1.
The imaging control unit 65, the laser control unit 66, and the OCT control unit 67 of the surgical apparatus 50 have the same functions as the image pickup control unit 28, the laser control unit 35, and the OCT control unit 29, and thus the description thereof will be omitted. ..

The information acquisition unit 11 acquires the configuration information of the surgical apparatus 50. In the present embodiment, configuration information indicating that the surgical apparatus 50 has the arm portion 51 and the lens barrel portion 54 is acquired. Further, the information acquisition unit 11 acquires information indicating the current status of components such as the orientation and rotation angle of the lens barrel unit 54.

The determination unit 12 determines whether either the microscope unit 52 or the exit unit 53 is facing the patient's eye based on the current state of the lens barrel unit 54 acquired by the information acquisition unit 11. That is, the determination unit 12 determines whether the mode is the microscope mode or the laser mode.

The output unit 14 outputs a control signal based on the microscope mode or the laser mode determined by the determination unit 12. For example, a control signal for controlling the scan angle of the OCT or the like is output based on the microscope mode or the laser mode.
For example, when switching from the laser mode to the microscope mode, the output unit 14 outputs a control signal to the robot arm control unit 68 so that the emission unit 53 docked to the patient's eye is arranged at an appropriate position. Further, the output unit 14 outputs a control signal for rotating the joint portion 55d. Further, for example, when switching from the microscope mode to the laser mode, the output unit 14 outputs a control signal for rotating the joint portion 55d. Further, the output unit 14 outputs a control signal to the robot arm control unit 68 so that the emission unit 53 is docked to the patient's eye.

The robot arm control unit 68 controls the drive of the arm unit 51 and the joint portions 55a to 55a. In the present embodiment, the rotation angles and the like of the joint portions 55a to d are controlled according to the control signal output from the output unit 14.

Here, a specific example is shown in which the surgical apparatus 50 shown in FIG. 6 is controlled by the control signal output from the output unit 14.
Output of a control signal for docking (contacting) the emitting unit 53 with the patient's eye. Specifically, a control signal is output to the arm portion 51 and the robot arm control unit 68 that controls the joint portions 55a to 55 so that the coordinates of the exit portion 53 and the patient's eye match.
Output of a control signal for emitting a femtosecond laser to the incision position of the patient's eye. For example, a control signal is output to the laser control unit 66 to control the tilt of the galvano mirror, so that the irradiation position of the femtosecond laser is changed.
Output of a control signal for moving the microscope unit 52 to a position where the patient's eye is appropriately imaged. A control signal is output to the image pickup control unit 65.
Output of a control signal for making the image pickup unit image the patient's eye. A control signal is output to the image pickup control unit 65.
As a result, the operation of the medical device necessary for the treatment performed on the patient's eye is executed. The action information (procedure) related to the treatment for performing the treatment may be arbitrarily set by the user, or may be set in advance for each treatment.

FIG. 8 is a schematic view showing the appearance of the surgical apparatus 70.
As shown in FIG. 8, the surgical apparatus 70 includes a surgical tool 72, a lock portion 74, and a rotation drive portion 80.
In this embodiment, the surgical device 70 is connected to the control device 10 as a front-end module 1. That is, the control device 10 is mounted on the surgical device 70 and functions as an integrated system.

The surgical tool 72 is various surgical tools used for the treatment of the patient's eye. In the present embodiment, the surgical instrument is a general instrument used for ophthalmic surgery such as a scalpel, an I / A tip, and forceps. That is, the surgical instrument 72 can be arbitrarily changed according to the surgery performed on the patient 3.

The lock portion 74 has a first lock portion 74a and a second lock portion 74b. As shown in FIG. 8, the head of the patient 3 is held by the first locking portion 74a and the second locking portion 74b.
The first locking portion 74a has a first holding portion 75 that holds the surgical instrument 72. The first lock portion 74a has an arc shape, and the first holding portion 75 can be moved in the arc shape (arrow 76). Further, the first holding portion 75 has a function of moving the surgical tool 72. For example, it is possible to approach or move away from the patient's eye, which is the subject of the procedure. The first holding portion 75 may be movable or rotatable in a direction other than the arrow 77 direction.
The second locking portion 74b has a second holding portion 75 that holds the surgical instrument 72. The second lock portion 74b has an arc shape, and the surgical tool 72 can be moved in the arc shape (arrow 78).

The rotation drive unit 80 is connected to the first lock portion 74a and the second lock portion 74b, and can rotate about the shaft 81. Further, the rotation drive unit 80 has a groove 83 capable of moving the first lock portion 74a and the second lock portion 74b in the circumferential direction (direction of the arrow 82).

Further, the surgical device 70 includes a microscope device (not shown) having the same function as the surgical device 50. That is, the microscope device acquires an image of the patient's eye held by the lock portion 74. For example, the control device 10 outputs a control signal to the manipulator control unit 85 that controls the drive of the surgical tool 72, the lock unit 74, and the rotation drive unit 80. Further, a control signal is output to the arm portion in order to photograph the patient's eye. Of course, a control signal for performing image processing on the acquired captured image, a control signal for controlling OCT, and a control signal for controlling the robot arm for moving the image pickup unit are also output. That is, each part is controlled by the image processing engine, the OCT engine, the robot arm control engine, and the manipulator control engine included in the control device 10.

FIG. 9 is a block diagram showing another configuration example of the ophthalmic surgery system 100. FIG. 9 is an example of an ophthalmic surgery system 100 in which the surgical device 70 and the control device 10 shown in FIG. 8 are connected and function as an integrated system. For example, the control device 10 detects that the surgical device 70 has the rotation drive unit 80 from the configuration information, and controls the manipulator control engine.

As shown in FIG. 9, the surgical apparatus 70 includes a manipulator control unit 85, an imaging control unit 86, an OCT control unit 87, and a robot arm control unit 88.
Since the imaging control unit 86 and the OCT control unit 87 of the surgical apparatus 70 have the same functions as the imaging control unit 28 and the OCT control unit 29, the description thereof will be omitted. Further, since the robot arm control unit 88 has the same function as the robot arm control unit 68 described above, the description thereof will be omitted.

The manipulator control unit 85 controls the manipulator that controls the drive of the surgical tool 72, the lock unit 74, and the rotation drive unit 80. In the present embodiment, the manipulator control unit 85 follows the control signal output from the output unit 14, the rotation angle of the first lock unit 74a and the second lock unit 74b, the position of the surgical tool 72, and the rotation drive unit 80. Controls the angle of rotation, etc.

The surgical device 70 can freely control the surgical instrument 72 according to the control signal of the output unit 14. For example, by controlling the surgical instrument 72 and the lock portion 74, suction of the crystalline lens nucleus, cortex, etc. of the patient's eye is performed.

Further, in FIG. 9, the image processing unit 13 detects the distance between the surgical tool 72 and each part of the patient's eye from the captured image of the patient's eye. The output unit 14 outputs a control signal for controlling the position of the surgical instrument 72 based on the detected distance. This allows the surgical instrument 72 to perform the appropriate treatment on the appropriate site of the patient's eye. For example, it is possible to prevent the possibility that the surgical tool 72 moves without grasping the surrounding retina or the like, thereby damaging the retina or the like and causing a visual field defect.

That is, the operation of not only the output unit 14 but also the image processing unit 13 changes according to the configuration information of the front end module 1 connected to the back end module 2.

Here, an example of the control signal output by the output unit 14 in FIG. 9 is shown below.

For example, the output unit 14 outputs a control signal to the robot arm control unit 88 so that the robot arm control unit 88 is arranged at an appropriate position when imaging the patient's eye. That is, a control signal is output to the microscope device which is the front-end module 1.

The output unit 14 outputs a control signal for performing lens nucleus suction, cortical suction, intraocular lens insertion, and the like to the manipulator control unit 85. That is, a control signal is output to the surgical apparatus 70 (manipulator function) which is the front end module 1. In addition to the device of FIG. 8, a femtosecond laser cataract surgery device may be provided to perform anterior capsule incision, nuclear division, and corneal incision prior to the operation by the device of FIG.

Further, a control signal is output to the robot arm control unit 88 so as to move to the optimum position for imaging the patient's eye preset for each surgical step such as lens nucleus suction, cortical suction, and intraocular lens insertion.
Further, when the control signal is output to the robot arm control unit 88, the output unit 14 outputs a control signal to the effect that the photographed image and the OCT image of the patient's eye are acquired. That is, the captured image and the OCT image are acquired by the information acquisition unit 11.
Further, the output unit 14 executes image processing on the acquired captured image and OCT image.

FIG. 10 is a diagram schematically showing a configuration example of the ophthalmic surgery system 100.
In the present embodiment, the ophthalmologic surgery system 100 has a surgical device 90 as a front-end module 1, a surgical device 90 having a surgical device 50, a surgical device 70, and a monitor 91, and a control device 10 as a back-end module 2. In the present embodiment, the control device 10 is mounted on the surgical device 90.
Although not shown in FIG. 10, the surgical device 90 is one device composed of a plurality of modules of the surgical device 50, the surgical device 70, and the monitor 91. That is, the surgical apparatus 90 composed of a plurality of modules and the control device 10 mounted on the surgical apparatus 90 constitute an ophthalmologic surgery system 100 as an integrated system.

The monitor 91 displays a photographed image or an OCT image captured by the microscope unit 52. For example, a captured image or an OCT image that has undergone predetermined image processing by the image processing unit 13 is displayed. In addition to this, a marker indicating the position of the surgical instrument 72, a sentence explaining the outline of the surgery currently being performed, or the like may be displayed.

In FIG. 10, the surgical apparatus 90 is a medical device capable of performing imaging of a patient's eye by a microscope unit 52, ophthalmic surgery using a laser by an exit unit 53, and various operations using a surgical tool 72.
For example, when performing cataract surgery, the cataract surgery is performed by outputting a control signal to execute the procedure necessary for the cataract surgery.

Specifically, the output unit 14 outputs the following control signals.
The output unit 14 outputs a control signal to the exit unit 53 to emit a femtosecond laser for creating a wound, incising the anterior capsule, and dividing the lens nucleus of the patient's eye. For example, a control signal is output to the arm portion 51 and the robot arm control unit 68 that controls the joint portions 55a to 55d so that the emission portion 53 is docked to the patient's eye. Further, a control signal is output to the laser control unit 66 to control the inclination of the galvano mirror, so that the irradiation position of the femtosecond laser is changed. Further, when the emitting unit 53 is arranged at an appropriate portion at a position where the femtosecond laser can be emitted, a control signal for emitting the femtosecond laser is output.
The output unit 14 outputs a control signal for switching from the laser mode to the microscope mode to the robot arm control unit 68. Specifically, a control signal is output to the robot arm control unit 68 so that the emission unit 53 docked to the patient's eye is arranged at an appropriate position. Further, the output unit 14 outputs a control signal for rotating the joint portion 55d. As a result, the microscope unit 52 faces the patient's eye.
The output unit 14 outputs a control signal for performing lens nucleus suction, cortical suction, and intraocular lens insertion to the manipulator control unit 85. In addition, the microscope unit 52 (lens barrel unit 54) is assigned to the robot arm control unit 68 so that it moves to the optimum position for imaging at each surgical step such as lens nucleus suction, cortical suction, and intraocular lens insertion. A control signal is output.

Further, when the above control signal is output, the captured image and the OCT image of the patient's eye are acquired by the information acquisition unit 11. Based on the acquired captured image or OCT image, a control signal is output that controls the position where the femtosecond laser is irradiated, the position of the surgical tool 72 that switches from the laser mode to the microscope mode, and performs cortical suction, etc. ..

That is, the ophthalmologic surgery system 100 has a module capable of executing the procedure necessary for the surgery to be performed, so that a predetermined surgery can be performed from the beginning to the end.

In the ophthalmic surgery system 100, a part of the surgery may be performed by the user. For example, when the cataract of the patient 3 is a difficult case, a part of the surgery is performed by the ophthalmologic surgery system 100, and in the ophthalmologic surgery system 100, the surgery is performed by the user in a procedure having a high degree of difficulty in the surgery.
Specific examples include cases such as "Zonule of Zinn rupture" in which the zonule of Zinn that connects the crystalline lens from the tissue around the eye is cut, and "Zonule of Zinn fragility" in which the zonule of Zinn is weakened. In this case, for example, the user can use the Capsule Retractor to pull the lens with a surgical tool attached to the cornea to stabilize the position of the lens, or put a CTR (Capsular Tension Ring) in the lens capsule and remain. Procedures such as stabilizing the position of the crystalline lens in the zonule of Zinn are performed.

In the case of a difficult case as described above, a control signal may be output to move the lock portion 74 of the surgical apparatus 70 to a location that does not interfere with the user's procedure.

As described above, in the ophthalmologic surgery system 100 according to the present embodiment, configuration information regarding the components of the front-end module 1 used for the operation of the patient's eye is acquired. The back-end module 2 to which the front-end module 1 is connected acquires configuration information and outputs a control signal corresponding to the component. This makes it possible to efficiently control the medical device.

Conventionally, various medical devices have been manufactured in the medical field. It is difficult to master these medical devices because the operations are different for each manufactured medical device and there are various restrictions for each medical device. Also, updating new medical devices each time is costly.

Therefore, in this technology, each medical device is modularized as a front-end module, and the common functions of each medical device are integrated. In addition, appropriate functions of the medical device are executed based on the configuration information of the modularized medical device. This makes it possible to efficiently utilize the space in the operating room and reduce costs. In addition, efficiency can be improved because one medical device can have many functions. In addition, since there is only one medical device, the wiring and equipment installation space is small, so it is possible to secure space for the operating room. It is also possible to shorten the time required to get used to the operation of each medical device.
Further, this technology does not need to prepare modules that can perform surgery from the beginning to the end at once like the ophthalmic surgery system 100 shown in FIG. 10, and for example, add (buy) front-end modules in the following order. It is possible to add).
A video microscope (microscope device 20, etc.) that has an arm that can be freely operated and can capture images and moving images of the patient's eye.
A surgical device having a microscope, a laser device, and a robot arm (surgical device 50, etc.).
A fully automatic cataract surgery device (ophthalmic surgery system 100, etc.) equipped with each medical device necessary for cataract surgery.
In other words, this technology can be gradually invested in the form of additional purchases according to the needs of users, including fully automatic cataract surgery equipment. It is also possible to replace some of the components to evolve functionality and performance.
Note that the engine in the backend module may be added and / or updated according to the added frontend module.

<Other embodiments>
The present technology is not limited to the embodiments described above, and various other embodiments can be realized.

In the above embodiment, a microscope such as a microscope device 20 and a surgical device 50 was used for the front end module 1. Not limited to this, a medical device used in any ophthalmology may be used as the front-end module 1. For example, an ophthalmic endoscope may be used as the front-end module 1. Of course, other medical devices required for surgery in which an ophthalmic endoscope is used may be connected to the back-end module 2 as the front-end module 1. That is, the endoscope for ophthalmology corresponds to an observation device.

In the above embodiment, when the cataract of patient 3 is a difficult case, a part of the operation is performed by the surgeon, and the surgical device 70 is controlled so as not to disturb the surgeon. In addition to this, control signals may be output to the surgical apparatus in various ophthalmic surgery systems 100. For example, in the difficult case of the ophthalmologic surgery system 100 (without the surgical device 70) shown in FIGS. 6 and 7, the lens barrel portion 54 of the surgical device 50 is in a predetermined position when the surgeon is performing the operation. A control signal is output to move. After that, the arm portion 51 becomes a passive state operated by the operator.

In the above embodiment, the control device 10 controls the front-end module 1. In addition to this, guidance of the treatment performed by the control device 10 may be presented to the user.

In the above embodiment, the configuration information was acquired by the information acquisition unit 11. In addition to this, various information may be acquired. For example, information indicating the positional relationship between the surgical instrument such as the microscope unit 21 and the exit unit 33 and the patient's eye may be acquired. Further, a control signal corresponding to the positional relationship may be output.

In the above embodiment, the control device 10 is mounted on the surgical device 50 of FIG. Not limited to this, the control device 10 may be arranged externally and connected wirelessly or the like. Further, the block of the control device 10 such as the image processing unit 13 may be mounted on the surgical device 50.

In the above embodiment, a control signal for performing surgery was output based on the captured image. Not limited to this, the lesion part of the patient's eye is recognized from the photographed image or the OCT image, the necessary treatment is determined from the lesion part, and a control signal indicating that the procedure necessary for the determined treatment is executed is output. May be done. Further, the above recognition and determination may be learned by machine learning or the like, and a control signal may be output based on the learning data.

In the above embodiment, the lens barrel portion 54 of the surgical apparatus 50 is provided with the microscope portion 52 and the exit portion 53. The lens barrel portion 54 may have a connection portion to which the microscope portion 52 or the emission portion 53 can be attached. For example, when the microscope unit 52 is connected to the connection unit, the microscope mode is set, and when the emission unit 53 is connected to the connection unit, the laser mode is set. In this case, the output unit 14 outputs a control signal according to each mode.

In the above embodiment, common elements such as the OCT section of the microscope device 20 and the laser device 30 are shared by the ophthalmologic surgery system 100. Not limited to this, various medical devices may be controlled by the control device 10.

FIG. 11 is a block diagram showing a hardware configuration example of the control device 10.

The control device 10 includes a CPU 111, a ROM 112, a RAM 113, an input / output interface 115, and a bus 114 connecting these to each other. A display unit 116, an input unit 117, a storage unit 118, a communication unit 119, a drive unit 120, and the like are connected to the input / output interface 115.

The display unit 116 is a display device using, for example, a liquid crystal display, an EL, or the like. The input unit 117 is, for example, a keyboard, a pointing device, a touch panel, or other operating device. When the input unit 117 includes a touch panel, the touch panel may be integrated with the display unit 116.

The storage unit 118 is a non-volatile storage device, for example, an HDD, a flash memory, or other solid-state memory. The drive unit 120 is a device capable of driving a removable recording medium 121 such as an optical recording medium or a magnetic recording tape.

The communication unit 119 is a modem, router, or other communication device for communicating with another device that can be connected to a LAN, WAN, or the like. The communication unit 119 may communicate using either wired or wireless communication. The communication unit 119 is often used separately from the control device 10.
In the present embodiment, the communication unit 119 enables communication with other devices via the network.

Information processing by the control device 10 having the hardware configuration as described above is realized by the cooperation between the software stored in the storage unit 118 or the ROM 112 or the like and the hardware resources of the control device 10. Specifically, the control method according to the present technology is realized by loading the program constituting the software stored in the ROM 112 or the like into the RAM 113 and executing the program.

The program is installed in the control device 10 via, for example, the recording medium 121. Alternatively, the program may be installed in the control device 10 via a global network or the like. In addition, any non-transient storage medium that can be read by a computer may be used.

By linking a computer mounted on a communication terminal with another computer capable of communicating via a network or the like, an ophthalmic surgery system, a control method, and a program according to the present technology are executed, and a control device 10 according to the present technology is executed. It may be constructed.

That is, the ophthalmic surgery system, control method, and program according to the present technology can be executed not only in a computer system composed of a single computer but also in a computer system in which a plurality of computers operate in conjunction with each other. In the present disclosure, the system means a set of a plurality of components (devices, modules (parts), etc.), and it does not matter whether or not all the components are in the same housing. Therefore, a plurality of devices housed in separate housings and connected via a network, and one device in which a plurality of modules are housed in one housing are both systems.

The execution of the ophthalmic surgery system, the control method, and the program according to the present technology by the computer system is, for example, when the acquisition of the configuration information, the output of the control signal, etc. are executed by a single computer, or by a computer in which each process is different. Includes both when executed. Further, the execution of each process by a predetermined computer includes having another computer execute a part or all of the process and acquiring the result.

That is, the ophthalmologic surgery system, control method, and program related to this technology can be applied to the configuration of cloud computing in which one function is shared by a plurality of devices via a network and processed jointly.

Each configuration of the information acquisition unit, the determination unit, the output unit, etc. described with reference to each drawing is only one embodiment, and can be arbitrarily deformed as long as it does not deviate from the purpose of the present technology. That is, other arbitrary configurations, algorithms, and the like for implementing the present technology may be adopted.

It should be noted that the effects described in the present disclosure are merely examples and are not limited, and other effects may be obtained. The description of the plurality of effects described above does not necessarily mean that the effects are exerted at the same time. It means that at least one of the above-mentioned effects can be obtained depending on the conditions and the like, and of course, there is a possibility that an effect not described in the present disclosure may be exhibited.

It is also possible to combine at least two feature parts out of the feature parts of each form described above. That is, the various feature portions described in each embodiment may be arbitrarily combined without distinction between the respective embodiments.

In addition, this technology can also adopt the following configurations.
(1)
With one or more first modules having the functions used in the treatment of the patient's eye,
An ophthalmologic surgery system comprising a second module to which the first module is connected and which acquires configuration information about the first module and outputs a control signal according to the configuration information.
(2) The ophthalmologic surgery system according to (1).
The second module is an ophthalmologic surgery system that controls information about the procedure supplied from the first module according to the configuration information.
(3) The ophthalmologic surgery system according to (2).
The information regarding the treatment is a captured image of the patient's eye.
The second module has an image processing unit that executes image processing on the captured image.
The image processing unit is an ophthalmologic surgery system that changes the image processing according to the configuration information.
(4) The ophthalmologic surgery system according to any one of (1) to (3).
The first module is an ophthalmic surgery system that includes at least one of an observation device or a laser device.
(5) The ophthalmologic surgery system according to (4).
When either the observation device or the laser device is connected, the second module outputs a control signal for controlling the observation device and the observation optical system of the laser device according to the configuration information. Eye surgery system.
(6) The ophthalmologic surgery system according to (5).
The observation optical system includes at least one of a reference mirror and a scan mirror.
The control signal includes at least one of a signal that changes the distance of the reference mirror from the light source and a signal that changes the swing angle of the scan mirror.
(7) The ophthalmologic surgery system according to (4).
The second module has an image processing unit that executes image processing on the captured image.
When either the observation device or the laser device is connected, the image processing unit changes the captured image of the patient's eye into monocular display processing or compound eye display processing according to the configuration information. An eye surgery system that performs at least one of processing or image processing that modifies the color processing of the captured image.
(8) The ophthalmologic surgery system according to (4).
The first module is the observation device.
The second module is an ophthalmologic surgery system that outputs a control signal that controls at least one of the position of the observation device and the imaging condition of the observation device.
(9) The ophthalmologic surgery system according to (4).
The first module is the laser device.
The second module is an ophthalmologic surgery system that outputs a control signal that controls at least the position of the laser beam emitted to the patient's eye.
(10) The ophthalmologic surgery system according to (4).
The observation device is an ophthalmic surgery system having an optical coherence tomography (OCT) optical system.
(11) The ophthalmologic surgery system according to (4).
The laser device is an ophthalmic surgery system having an optical coherence tomography (OCT) optical system.
(12) The ophthalmologic surgery system according to (4).
The laser device is an ophthalmic surgery system capable of emitting a femtosecond laser.
(13) The ophthalmologic surgery system according to (1).
The control signal is an ophthalmologic surgery system that includes behavioral information about the procedure performed on the patient's eye.
(14) The ophthalmologic surgery system according to any one of (1) to (13), and further.
An ophthalmologic surgery system comprising a drive mechanism for driving the first module.
(15) The ophthalmologic surgery system according to (14).
The second module is an ophthalmic surgery system that outputs the control signal to the drive mechanism.
(16) The ophthalmologic surgery system according to (14).
The drive mechanism holds the surgical tool used for the treatment and holds the surgical tool.
The second module is an ophthalmologic surgery system having a detection unit that detects the distance between the surgical instrument and the patient's eye based on the captured image of the patient's eye.
(17) The ophthalmologic surgery system according to (14).
The second module is an ophthalmic surgery system that outputs a control signal for controlling the drive mechanism according to the procedure of the operation.
(18)
Obtain configuration information about one or more first modules that have the function used in patient eye surgery.
A control method in which a computer system executes to output a control signal according to the configuration information.
(19)
A step of acquiring configuration information about one or more first modules having a function used in a patient eye procedure, and
A program that causes a computer system to perform steps to output control signals according to the components.

1 ... Front-end module 2 ... Back-end module 10 ... Control device 11 ... Information acquisition unit 13 ... Image processing unit 14 ... Output unit 20 ... Microscope device 30 ... Laser device 50 ... Surgical device 70 ... Surgical device 100 ... Eye surgery system

Claims (19)

1. With one or more first modules having the functions used in the treatment of the patient's eye,
   An ophthalmologic surgery system comprising a second module to which the first module is connected and which acquires configuration information about the first module and outputs a control signal according to the configuration information.
2. The ophthalmologic surgery system according to claim 1.
   The second module is an ophthalmologic surgery system that controls information about the procedure supplied from the first module according to the configuration information.
3. The ophthalmologic surgery system according to claim 2.
   The information regarding the treatment is a captured image of the patient's eye.
   The second module has an image processing unit that executes image processing on the captured image.
   The image processing unit is an ophthalmologic surgery system that changes the image processing according to the configuration information.
4. The ophthalmologic surgery system according to claim 1.
   The first module is an ophthalmic surgery system that includes at least one of an observation device or a laser device.
5. The ophthalmologic surgery system according to claim 4.
   When either the observation device or the laser device is connected, the second module outputs a control signal for controlling the observation device and the observation optical system of the laser device according to the configuration information. Eye surgery system.
6. The ophthalmologic surgery system according to claim 5.
   The observation optical system includes at least one of a reference mirror and a scan mirror.
   The control signal includes at least one of a signal that changes the distance of the reference mirror from the light source and a signal that changes the swing angle of the scan mirror.
7. The ophthalmologic surgery system according to claim 4.
   The second module has an image processing unit that executes image processing on the captured image.
   When either the observation device or the laser device is connected, the image processing unit changes the captured image of the patient's eye into monocular display processing or compound eye display processing according to the configuration information. An eye surgery system that performs at least one of processing or image processing that modifies the color processing of the captured image.
8. The ophthalmologic surgery system according to claim 4.
   The first module is the observation device.
   The second module is an ophthalmologic surgery system that outputs a control signal that controls at least one of the position of the observation device and the imaging condition of the observation device.
9. The ophthalmologic surgery system according to claim 4.
   The first module is the laser device.
   The second module is an ophthalmologic surgery system that outputs a control signal that controls at least the position of the laser beam emitted to the patient's eye.
10. The ophthalmologic surgery system according to claim 4.
    The observation device is an ophthalmic surgery system having an optical coherence tomography (OCT) optical system.
11. The ophthalmologic surgery system according to claim 4.
    The laser device is an ophthalmic surgery system having an optical coherence tomography (OCT) optical system.
12. The ophthalmologic surgery system according to claim 4.
    The laser device is an ophthalmic surgery system capable of emitting a femtosecond laser.
13. The ophthalmologic surgery system according to claim 1.
    The control signal is an ophthalmologic surgery system that includes behavioral information about the procedure performed on the patient's eye.
14. The ophthalmologic surgery system according to claim 1, further
    An ophthalmologic surgery system comprising a drive mechanism for driving the first module.
15. The ophthalmologic surgery system according to claim 14.
    The second module is an ophthalmic surgery system that outputs the control signal to the drive mechanism.
16. The ophthalmologic surgery system according to claim 14.
    The drive mechanism holds the surgical tool used for the treatment and holds the surgical tool.
    The second module is an ophthalmologic surgery system having a detection unit that detects the distance between the surgical instrument and the patient's eye based on the captured image of the patient's eye.
17. The ophthalmologic surgery system according to claim 14.
    The second module is an ophthalmic surgery system that outputs a control signal for controlling the drive mechanism according to the procedure of the operation.
18. Obtain configuration information about one or more first modules that have the function used in patient eye surgery.
    A control method in which a computer system executes to output a control signal according to the configuration information.
19. A step of acquiring configuration information about one or more first modules having a function used in a patient eye procedure, and
    A program that causes a computer system to perform steps to output control signals according to the components.

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