TWI784423B - Eye-abutting system of femtosecond laser ophthalmic equipment and eye-abutting base as well as eye-abutting ring mounted thereon - Google Patents
Eye-abutting system of femtosecond laser ophthalmic equipment and eye-abutting base as well as eye-abutting ring mounted thereon Download PDFInfo
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Abstract
Description
本發明關於一種用於飛秒雷射眼科設備的接眼系統、其對接座與安裝在對接座的接眼環。 The invention relates to an eye-connecting system for femtosecond laser ophthalmic equipment, its docking seat and an eye-connecting ring installed on the docking seat.
近年來,飛秒雷射(femtosecond laser)由於其超短脈衝、超高功率、及超小光點等的特性而被廣泛地應用在雷射眼科手術中。詳而言之,飛秒雷射是一種以超短脈衝(1飛秒相當於10-15秒)形式運轉的雷射,其主要特點在於,每一下雷射脈衝持續的時間只有幾百飛秒,瞬時功率可達到百萬億瓦,且雷射脈衝的能量可聚焦在比頭髮絲的直徑還要小的空間中。此外,由於飛秒雷射幾乎沒有任何熱傳導效應,其可被稱為一種冷雷射,對作用部位以外的組織不產生影響。 In recent years, femtosecond laser (femtosecond laser) has been widely used in laser eye surgery due to its characteristics of ultrashort pulse, ultrahigh power, and ultrasmall spot. In detail, a femtosecond laser is a laser that operates in the form of ultrashort pulses (1 femtosecond is equivalent to 10 -15 seconds), and its main feature is that the duration of each laser pulse is only a few hundred femtoseconds , the instantaneous power can reach one trillion watts, and the energy of the laser pulse can be focused in a space smaller than the diameter of a hair. In addition, since the femtosecond laser has almost no heat conduction effect, it can be called a cold laser, which does not affect tissues other than the affected site.
在雷射眼科手術中所使用的飛秒雷射的工作原理概述如下。首先,飛秒雷射以極低的能量在極小的空間瞬時產生極高的能量密度,使得眼部組織發生電離並形成等離子體,等離子體所產生的電磁場強度比原子核對其周圍電子的作用力還強數倍,使眼部組織發生光裂解爆破,產生含二氧化碳和水的微小氣泡,而成千上萬的雷射脈衝會產生成千上萬的微小氣泡,最後,這些 微小氣泡相互連接可達到切割眼部組織的效應。因此,在雷射眼科手術的領域中,飛秒雷射可作為超精密外科手術刀,且成功地應用於眼科角膜屈光矯正和其他手術中。 The working principle of the femtosecond laser used in laser eye surgery is outlined below. First, the femtosecond laser generates extremely high energy density instantly in a very small space with extremely low energy, which ionizes the eye tissue and forms plasma. The electromagnetic field strength generated by the plasma is stronger than the force of the nucleus on its surrounding electrons It is also several times stronger, causing photolysis and blasting of eye tissue to produce tiny bubbles containing carbon dioxide and water, and thousands of laser pulses will produce thousands of tiny bubbles. Finally, these The interconnection of tiny air bubbles can achieve the effect of cutting eye tissue. Therefore, in the field of laser eye surgery, femtosecond laser can be used as an ultra-precision surgical scalpel, and has been successfully used in ophthalmic corneal refractive correction and other operations.
在使用飛秒雷射的眼科手術時,由於飛秒雷射對於聚焦位置的精確度需求,必須在手術前藉由接眼裝置來固定患者的眼球。此接眼裝置通常包括接眼環固定座和接眼環,接眼環固定患者的眼球使其無法相對於接眼環固定座自由地活動。接眼裝置可為,例如,Zeiss所申請的美國專利第8623001號中所揭露的一段式設計,其包括接眼環固定座和接眼環,接眼環為一次性使用耗材,其上設置有PMMA曲面板作為接觸患者眼球的角膜的參考面,在進行雷射眼科手術之前,接眼環預先被固定到接眼環固定座上,且接著移動躺在手術台上的患者使其眼球的中心對準接眼環並被接眼環固定。進一步言之,在Zeiss的接眼裝置中,為了調整接眼裝置與患者的眼球之間的相對位置使其中心對準,手術台(患者)在X、Y及Z方向上被移動,以在中心對準之後藉由接眼環固定患者的眼球完成接眼作業。 When using femtosecond laser in ophthalmic surgery, due to the accuracy of the femtosecond laser's focus position, it is necessary to fix the patient's eyeball with an eye socket device before the operation. The eye socket device usually includes an eye ring holder and an eye ring, and the eye ring fixes the patient's eyeball so that it cannot move freely relative to the eye ring holder. The eye socket device can be, for example, a one-piece design disclosed in U.S. Patent No. 8,623,001 applied by Zeiss, which includes an eye socket holder and an eye socket, and the eye socket is a disposable consumable, on which a PMMA curved plate is arranged as The reference surface of the cornea that touches the patient's eyeball. Before laser eye surgery, the eye ring is pre-fixed on the eye ring holder, and then the patient lying on the operating table is moved so that the center of the eyeball is aligned with the eye ring and fixed. Eyelets secure. In further words, in the eye contact device of Zeiss, in order to adjust the relative position between the eye contact device and the patient's eyeball to align the center, the operating table (patient) is moved in the X, Y, and Z directions to align the eyeball at the center. Then fix the patient's eyeball with the eye ring to complete the eye operation.
另一方面,接眼裝置可為,例如,Wavelight所申請的美國專利第8858581號中所揭露的二段式設計,其包括接眼環及壓眼裝置,接眼環為一次性使用耗材,壓眼裝置上設置有PMMA平板作為接觸患者眼球的角膜的參考面,在進行雷射眼科手術之前,首先將接眼環定位在患者的眼球上,接著再沿著X、Y方向來移動手術台以使患者的眼球跟著移動,當接眼環(患者的眼球)被移動到壓眼裝置的正下方時,沿著Z方向移動壓眼裝置,以完成接眼的步驟。 On the other hand, the eye fitting device can be, for example, the two-stage design disclosed in US Patent No. 8,858,581 filed by Wavelight, which includes an eye fitting ring and an eye pressing device, the eye fitting ring is a disposable consumable, and the eye pressing device A PMMA plate is set as the reference surface of the cornea in contact with the patient's eyeball. Before laser eye surgery, the eye ring is first positioned on the patient's eyeball, and then the operating table is moved along the X and Y directions to make the patient's eyeball Following the movement, when the eye ring (the patient's eyeball) is moved directly below the eye-indentation device, move the eye-indentation device along the Z direction to complete the eye-in-the-eye step.
以上二種類型的接眼裝置的共同缺點在於,在進行雷射眼科手術之前,均需要使手術台移動來移動患者的眼球使其與接眼環對準,而在這樣的 情況下使患者(手術台)移動,會增加患者緊張不安的感覺,例如,患者的眼球會因為緊張而不自覺地轉動等,使得手術變得較為複雜並拉長整個手術所需的時間。 The common shortcoming of the above two types of eye-connecting devices is that before performing laser eye surgery, it is necessary to move the operating table to move the patient's eyeball so that it is aligned with the eye-connecting ring. Moving the patient (operating table) under certain circumstances will increase the patient's sense of nervousness, for example, the patient's eyeballs will turn unconsciously due to tension, etc., making the operation more complicated and prolonging the time required for the entire operation.
此外,相較於Zeiss的接眼裝置的一段式設計在接眼環固定患者的眼球之後就完成接眼步驟,雖然WaveLight的接眼裝置的兩段式設計在接眼環的定位上較為容易(因為接眼環的定位藉由完全手動的方式較為靈活),但在完成接眼環對患者的眼球的固定之後還需控制壓眼裝置與接眼環的結合,這個部分的精確度較難控制。 In addition, compared with the one-stage design of the Zeiss eye socket device, the eye socket step is completed after the eyeball is fixed by the eye socket, although the two-stage design of the WaveLight eye socket device is easier to position the eye socket (because the positioning of the eye socket The fully manual method is more flexible), but after the eyeball is fixed to the patient's eye by the eye ring, it is necessary to control the combination of the eye pressure device and the eye ring, and the accuracy of this part is difficult to control.
因此,存在對於減輕患者緊張不安的感覺並同時控制接眼的精確度的接眼裝置的需求。 Accordingly, there is a need for an eye socket device that reduces the patient's sense of jitters while controlling the precision of the eye socket.
本發明提供一種用於飛秒雷射眼科設備的接眼系統,此接眼系統使一接眼環能夠以更高的精確度與患者的眼球對接,且還能夠藉由使該接眼環移動替代使患者所在的手術台移動以達成對準來減輕患者緊張不安的感覺。 The present invention provides an eye-receiving system for femtosecond laser ophthalmic equipment, which enables an eye-receiving ring to be docked with the patient's eyeball with higher precision, and can also replace the position of the patient by moving the eye-receiving ring. The operating table moves to achieve alignment to relieve patient jitters.
根據本發明所提供之用於飛秒雷射眼科設備的接眼系統,其包括設置在該飛秒雷射眼科設備上的一驅動裝置、以及一接眼裝置,該接眼裝置被安裝到該驅動裝置,且在該驅動裝置的驅動下沿著一直角座標系統的一X方向、一Y方向、及一Z方向中的至少一者移動,其中該X方向及該Y方向係水平方向。該接眼裝置包括:一位置調整裝置,配置為在該接眼裝置被安裝到該驅動裝置時調整該接眼裝置相對於該驅動裝置在該X方向及/或該Y方向上的位置;一第一支座,被連接到該位置調整裝置;一第二支座,被連接到該第一支座;一對接座,固設於該第二支座,且配置來供安裝該接眼環;以及一傾斜調整裝置, 設置在該第一支座及該第二支座之間,且配置為調整該第二支座相對於該第一支座的傾斜度,以使該接眼環安裝在該對接座時,該接眼環的一接眼平面平行於該飛秒雷射眼科設備的一基準面;通常的做法是,該傾斜調整裝置調整該對接座的一對接平面平行於該飛秒雷射眼科設備的該基準面,而該接眼環的該接眼平面與該對接座的該對接平面是互相平行的,因此在該對接座的該對接平面與該飛秒雷射眼科設備的該基準面平行時,該接眼環的該接眼平面亦同時與該飛秒雷射眼科設備的該基準面平行。 According to the eye contact system for femtosecond laser ophthalmic equipment provided by the present invention, it includes a drive device arranged on the femtosecond laser ophthalmic device, and an eye contact device, the eye contact device is installed on the drive device, and move along at least one of an X direction, a Y direction, and a Z direction of a rectangular coordinate system driven by the driving device, wherein the X direction and the Y direction are horizontal directions. The eye fitting device includes: a position adjustment device configured to adjust the position of the eye fitting device relative to the driving device in the X direction and/or the Y direction when the eye fitting device is installed on the driving device; a first branch a seat connected to the position adjustment device; a second seat connected to the first seat; a docking seat fixed to the second seat and configured for mounting the eye ring; and an inclined adjustment device, It is arranged between the first support and the second support, and is configured to adjust the inclination of the second support relative to the first support, so that when the eye ring is installed on the docking seat, the eye An eye plane of the ring is parallel to a datum plane of the femtosecond laser ophthalmic equipment; usually, the inclination adjustment device adjusts the docking plane of the docking seat to be parallel to the datum plane of the femtosecond laser ophthalmic equipment, The eye plane of the eye ring and the docking plane of the docking seat are parallel to each other, so when the docking plane of the docking seat is parallel to the reference plane of the femtosecond laser ophthalmic device, the eye ring's The eye plane is also parallel to the reference plane of the femtosecond laser ophthalmic device.
藉由本發明上述的接眼系統,由於該接眼環與患者的眼球的對準是藉由以該驅動裝置來調整該接眼裝置(包含配置來安裝該接眼環的該對接座)在該X方向、該Y方向上的位置而達成的,相較於傳統的接眼裝置是藉由使患者所在的手術台相對於接眼裝置移動來達成患者的眼球與接眼環的對準,本發明的接眼系統由於不需要反覆地移動患者所在的手術台而能夠有效地減輕患者緊張不安的感覺。 With the above-mentioned eye socket system of the present invention, since the eye socket is aligned with the patient's eyeball by using the driving device to adjust the eye socket device (including the docking seat configured to install the eye socket) in the X direction, the The position on the Y direction is achieved. Compared with the traditional eye socket device, the patient's eyeball and the eye socket ring are aligned by moving the patient's operating table relative to the eye socket device. The eye socket system of the present invention does not require Repeatedly moving the operating table where the patient is located can effectively relieve the patient's nervousness.
此外,在本發明上述的接眼系統中,由於可藉由該位置調整裝置來調整該接眼裝置(包含配置來安裝該接眼環的該對接座)相對於該驅動裝置在該X方向、該Y方向上的位置,且可藉由該傾斜調整裝置來進一步地調整該對接座的該對接平面(相當於安裝在該對接座上的該接眼環的該接眼平面)的傾斜度使其與該飛秒雷射眼科設備的該基準面平行,因此,該接眼裝置能夠以更高的精確度被安裝到該飛秒雷射眼科設備(所設置的驅動裝置)上,使得被安裝在此接眼裝置上的該接眼環能夠以更高的精確度與患者的眼球對接。 In addition, in the above-mentioned eye socket system of the present invention, since the position adjustment device can be used to adjust the eye socket device (including the docking seat configured to install the eye socket ring) relative to the driving device in the X direction and the Y direction and the inclination of the docking plane of the docking base (equivalent to the eye plane of the eye ring installed on the docking base) can be further adjusted by the tilt adjustment device to make it consistent with the femtosecond The reference planes of the laser ophthalmic device are parallel, therefore, the eye contact device can be installed on the femtosecond laser ophthalmic device (set driving device) with higher accuracy, so that the eye contact device installed on the eye contact device The eye ring can be docked with the patient's eyeball with greater precision.
本發明還提供一種接眼環,可安裝在前述接眼系統的接眼裝置的對接座,且配置來在飛秒雷射眼科手術的過程中與眼球接觸,本發明之接眼環 包括:一本體,具有一環形部、以及延伸自該環形部的一固定接腳;一雷射光穿透片,固定在該環形部,該雷射光穿透片具有配置來與該眼球接觸的一接觸面,此接觸面為前述接眼平面,且該雷射光穿透片的剛性係在接觸眼球時不會變形。 The present invention also provides an eye socket, which can be installed on the docking seat of the eye socket device of the aforementioned eye socket system, and is configured to contact the eyeball during femtosecond laser eye surgery. The eye socket of the present invention It includes: a body with an annular portion and a fixing pin extending from the annular portion; a laser light penetrating sheet fixed on the annular portion, the laser light penetrating sheet has a hole configured to contact the eyeball Contact surface, this contact surface is the aforementioned eye contact plane, and the rigidity of the laser light penetrating sheet will not deform when it contacts the eyeball.
本發明再提供一種前述接眼系統的接眼裝置的對接座,用於供安裝前述接眼環,此對接座包括:兩對接區段,對應於該固定接腳的兩傾斜部,且該兩對接區段上分別設置有一固定裝置,該固定裝置配置來固定該兩傾斜部的抵止部;以及一嵌塊連接於該兩對接區段的末端,且配置來對應地嵌入該接眼環的該本體的該嵌槽。 The present invention further provides a docking seat of the eye joint device of the aforementioned eye joint system, which is used for installing the aforementioned eye joint ring. A fixing device is respectively arranged on the upper part, and the fixing device is configured to fix the abutting parts of the two inclined parts; Bezel.
1:驅動裝置 1: Drive device
2:接眼裝置 2: Eye-connecting device
3:操縱桿 3: Joystick
20:位置調整裝置 20: Position adjustment device
21:第一支座 21: The first support
22:第二支座 22: Second support
25:對接座 25: docking seat
250:凹槽 250: Groove
251:對接區段 251: docking section
252:嵌塊 252: Embedded block
253:固定部 253: fixed part
2531:插入槽 2531: insert slot
2532:迫緊件 2532: Urgent parts
29:固定裝置 29: Fixtures
60:球體 60: sphere
62:傾斜調整機構 62: Tilt adjustment mechanism
100:接眼系統 100: Eye system
210:橫向區段 210: horizontal section
211:第一縱向區段 211: first longitudinal section
212:第二縱向區段 212: second longitudinal section
620:螺釘 620: screw
621:彈簧 621: spring
DA、DB、DC:距離 DA, DB, DC: distance
P:壓力 P: pressure
R:接眼環 R: eye ring
R1:環形部 R1: ring part
R11:排氣管 R11: exhaust pipe
R2:固定接腳 R2: fixed pin
R21:傾斜部 R21: Inclined part
R22:抵止部 R22: Resisting part
R3:嵌槽 R3: socket
R4:雷射光穿透片 R4: Laser light penetrating sheet
R41:接觸面 R41: contact surface
SS:感測空間 SS: Sensing Space
參照以下詳細說明,特別是當結合所附圖式來考量時,本發明之更完整的理解及其許多附帶的優點將變得容易理解,其中:[第一圖]係為根據本發明的實施例之用於飛秒雷射眼科設備的接眼系統的正視示意圖;[第二圖]為第一圖的接眼系統的局部放大示意圖,顯示出接眼裝置被安裝到驅動裝置上;[第三圖]為根據本發明的實施例之接眼系統的接眼裝置之立體示意圖;[第四圖]為根據本發明的實施例之接眼系統的接眼裝置之從另一個角度觀看之立體示意圖;[第五圖]為根據本發明的實施例之接眼系統的接眼裝置之正視示意圖,其中,接眼環被顯示為尚未被安裝到接眼裝置的對接座上; [第六圖]為根據本發明的實施例之接眼系統的接眼裝置之側視示意圖;[第七圖]為根據本發明的實施例之接眼系統的接眼裝置之局部上視示意圖,其中,位置調整裝置為了清楚起見未被顯示出來;[第八A圖]至[第八C圖]為根據本發明的實施例之接眼系統的接眼裝置之傾斜調整裝置側面的局部剖視示意圖,其主要顯示傾斜調整裝置如何調整第二支座相對於第一支座的傾斜度;[第九A圖]及[第九B圖]為根據本發明的實施例之接眼系統的接眼裝置之局部側視示意圖,其主要顯示感測空間在壓力的作用下變形;[第十圖]係為根據本發明的實施例之對接座與接眼環的立體分解圖;[第十一圖]係為根據本發明的實施例之對接座與接眼環的立體組合圖;[第十二圖]係為第十一圖的剖視圖,顯示接眼環安裝在對接座上。 A more complete understanding of the invention, and its many attendant advantages, will become readily apparent by reference to the following detailed description, particularly when considered in conjunction with the accompanying drawings, wherein: For example, the schematic diagram of the front view of the eye contact system used in femtosecond laser ophthalmic equipment; [the second picture] is a partially enlarged schematic diagram of the eye contact system in the first picture, showing that the eye contact device is installed on the driving device; [the third picture] It is a three-dimensional schematic diagram of the eye socket device of the eye socket system according to the embodiment of the present invention; [the fourth figure] is a three-dimensional schematic view of the eye socket device of the eye socket system according to the embodiment of the present invention viewed from another angle; [the fifth figure] It is a schematic front view of the eye fitting device of the eye fitting system according to the embodiment of the present invention, wherein the eye fitting ring is shown as not being installed on the docking seat of the eye fitting device; [Figure 6] is a schematic side view of the eye socket device of the eye socket system according to an embodiment of the present invention; [Figure 7] is a partial top view of the eye socket device of the eye socket system according to an embodiment of the present invention, where The adjustment device is not shown for the sake of clarity; [Eighth Figure A] to [Eighth Figure C] are partial cross-sectional schematic views of the side of the tilt adjustment device of the eye contact device of the eye contact system according to the embodiment of the present invention. It shows how the inclination adjustment device adjusts the inclination of the second support relative to the first support; [Ninth A Figure] and [Ninth B Figure] are partial side views of the eye fitting device of the eye fitting system according to the embodiment of the present invention Schematic diagram, which mainly shows the deformation of the sensing space under the action of pressure; [Figure 10] is a three-dimensional exploded view of the docking seat and eye ring according to an embodiment of the present invention; [Figure 11] is a perspective view according to the present invention [Figure 12] is a sectional view of Figure 11, showing that the eyelet is installed on the docking seat.
將在下文中參照所附圖式描述本發明的實施例。 Embodiments of the present invention will be described hereinafter with reference to the accompanying drawings.
如第一圖及第二圖所示,根據本發明的實施例之用於飛秒雷射眼科設備的接眼系統100包括驅動裝置1及接眼裝置2。驅動裝置1被設置在飛秒雷射眼科設備上,接眼裝置2被安裝到驅動裝置1,且配置為可在驅動裝置1的驅動下沿著直角座標系統的X方向、Y方向、及Z方向中的至少一者移動,其中X方向及Y方向係水平方向。
As shown in the first and second figures, the
接下來,參照第三圖至第九B圖說明關於接眼裝置2的具體組成。如第三圖及第四圖所示,接眼裝置2包括位置調整裝置20、第一支座21、第二支座22、以及對接座25。
Next, the specific composition of the
位置調整裝置20配置為在接眼裝置2被安裝到驅動裝置1時相對於驅動裝置1調整接眼裝置2在X方向及/或Y方向上的位置。較佳地,位置調整裝置20可為XY線性平移台,其可沿著X方向及/或Y方向線性地移動,但本發明並不以此為限。
The
第一支座21被連接到位置調整裝置20,且第二支座22被連接到第一支座21。對接座25固設於第二支座22,且配置來供安裝接眼環R,如第五圖所示。藉此,第一支座21、第二支座22、及供安裝接眼環R的對接座25可隨著位置調整裝置20調整其相對於驅動裝置1在X方向及/或Y方向上的位置。
The
進一步言之,對接座25較佳地包括對接區段251,其具有與接眼環R的形狀相匹配的形狀,以使接眼環R能夠更穩定地安裝於其上。此外,對接座25還包括固定裝置29,其配置為在接眼環R被安裝到對接座25之後,將接眼環R固定於對接座25,如第五圖所示。
In other words, the
此外,根據本發明的實施例的接眼系統100還可包括控制器,使用者可透過控制器電動地操控驅動裝置1來使接眼裝置2在X方向及/或Y方向上移動,連帶著使得接眼裝置2的第一支座21、第二支座22、對接座25及安裝到對接座25的接眼環R沿著X方向及/或Y方向移動,使得被安裝在對接座25上的接眼環R移動到預定位置,進而達成與患者的眼球之間的對準。在本發明的實施例中,如第一圖所示,控制器較佳地為操縱桿3,其配置為可由使用者手動地
操作,以操控驅動裝置1來使接眼裝置2(包含被安裝在對接座25上的接眼環R)移動。
In addition, the
在使安裝在對接座25上的接眼環R移動到預定位置達成與患者的眼球之間的對準之後,整個接眼裝置2可在驅動裝置1的驅動下沿著Z方向被向下移動與患者的眼球接觸,並完成接眼的步驟。
After the eye socket ring R installed on the
較佳地,接眼裝置2在驅動裝置1的驅動下的移動範圍可被設計為在X方向上50公分、在Y方向上10公分、以及在Z方向上10公分。藉由此移動範圍,驅動裝置1可使被安裝在接眼裝置2的對接座25上的接眼環R移動到躺在手術台上的患者的眼球上方並完成接眼的步驟。
Preferably, the moving range of the eye-connecting
據此,在根據本發明的實施例的接眼系統中,對接座25上的接眼環R與手術台上的患者的眼球之間的對準是在驅動裝置1的驅動下藉由使對接座25上的接眼環R在X方向及/或Y方向上移動來達成,並接著使整個接眼裝置2沿著Z方向被向下移動來完成接眼步驟。相較於習知技術中藉由沿著X方向、Y方向、及Z方向來移動患者所在的手術台以達成接眼環與患者的眼球的對準並完成接眼步驟,本發明的接眼系統由於不需要反覆地使患者所在的手術台移動來達成對準,可有效地減輕患者因手術台的移動所產生的緊張不安的感覺。
Accordingly, in the eye socket system according to the embodiment of the present invention, the alignment between the eye socket ring R on the
參照第六圖及第七圖,根據本發明的實施例的接眼裝置2還包括設置在第一支座21和第二支座22之間的傾斜調整裝置,此傾斜調整裝置包括球體60和傾斜調整機構62,傾斜調整機構62配置為以球體60作為支點調整第二支座22相對於第一支座21的傾斜度,進而調整固設於第二支座22的對接座25的對接平面,使其能夠與飛秒雷射眼科設備的基準面平行。在對接座25的對接平面
平行於飛秒雷射眼科設備的基準面的情況下,被安裝到對接座25的接眼環R之將與患者的眼球接觸的接眼平面亦同樣會平行於飛秒雷射眼科設備的基準面。
Referring to the sixth and seventh figures, the eye-connecting
進一步言之,第一支座21具有沿著X方向延伸的一橫向區段210、及沿著Y方向延伸且相互平行的第一縱向區段211及第二縱向區段212,第一縱向區段211及第二縱向區段212分別具有連接到橫向區段210的兩端之連接端、及與連接端相對的自由端,如第七圖所示。應注意的是,在第七圖所示的上視圖中,因為角度的關係,第二支座22完全地被第一支座21遮住而未能顯示出來,但從本案第三圖及第四圖中所顯示的第一支座21及第二支座22應能夠瞭解的是,第二支座22實質上具有與第一支座21相似的形狀,特別是在X方向與Y方向構成之XY平面中。因此,類似於第一支座21,第二支座同樣具有沿著X方向延伸的一橫向區段、及沿著Y方向延伸且相互平行的第一縱向區段及第二縱向區段,第一縱向區段及第二縱向區段分別具有連接到橫向區段的兩端之連接端、及與連接端相對的自由端。
Further, the
在根據本發明的實施例中,如第七圖所示,傾斜調整裝置具有一球體60及兩個傾斜調整機構62,其中,球體60被設置在第一縱向區段211的連接端與橫向區段210的連接處,且兩個傾斜調整機構62分別被設置在第二縱向區段212的連接端與橫向區段210的連接處及第一縱向區段211的自由端處,且此兩個傾斜調整機構62配置為分別以球體60作為支點調整第二支座22相對於第一支座21的傾斜度。換言之,此兩個傾斜調整機構62可在X方向與Z方向構成之XZ平面及Y方向與Z方向構成之YZ平面中調整第二支座22相對於第一支座21的傾斜度,此將於稍後詳述。
In an embodiment according to the present invention, as shown in the seventh figure, the inclination adjustment device has a
每一個傾斜調整機構62包括螺釘620及彈簧621,其中,螺釘620穿過第二支座22中的通孔並抵靠於第一支座21之面對第二支座22的表面上,彈簧621鄰近於螺釘620被設置在第一支座21與第二支座22之間,且其兩端分別固設於第一支座21和第二支座22。
Each
接下來,參照第八A圖至第八C圖說明根據本發明的實施例的接眼裝置2的傾斜調整裝置是如何調整第二支座22相對於第一支座21的傾斜度。
Next, how the inclination adjustment device of the
首先,如第八A圖所示,在初始狀態中,螺釘620抵靠於第一支座21之面對第二支座22的表面上,且設置在螺釘620附近的彈簧621由於螺釘620施加來使第二支座22相對於第一支座21分開的推力而稍微被撐開,在這樣的情況下,在螺釘620和彈簧621的所在之處,第一支座21與第二支座22相互間隔一距離DA。
First, as shown in the eighth figure A, in the initial state, the
接著,如第八B圖所示,相較於第八A圖所示的初始狀態,當螺釘620被往外退出時,由於螺釘620施加來使第二支座22相對於第一支座21分開的推力減少,彈簧621藉由其自身的彈性從稍微被撐開的狀態復位,使得在螺釘620和彈簧621的所在之處,第二支座22與第一支座21之間所間隔的距離會縮短為距離DB。因此,相較於第八A圖所示的初始狀態,當螺釘620如第八B圖所示被往外退出時,第二支座22以球體60為支點朝向第一支座21的方向相對於第一支座21傾斜。
Then, as shown in the eighth figure B, compared with the initial state shown in the eighth figure A, when the
另一方面,如第八C圖所示,相較於第八A圖所示的初始狀態,當螺釘620朝向第一支座21被擰入時,由於螺釘620施加來使第二支座22相對於第一支座21分開的推力增加,彈簧621被進一步地拉伸(撐開),使得在螺釘620和彈簧621的所在之處,第二支座22與第一支座21之間所間隔的距離被撐開(變
大)為距離DC。因此,相較於第八A圖所示的初始狀態,當螺釘620如第八C圖所示被擰入時,第二支座22以球體60為支點朝向遠離第一支座21的方向相對於第一支座21傾斜。
On the other hand, as shown in the eighth C figure, compared with the initial state shown in the eighth A figure, when the
需注意的是,雖然第八A圖至第八C圖僅顯示出其中一個傾斜調整機構62(亦即,被設置在第一縱向區段211的自由端處的傾斜調整機構62)如何以球體60為支點在YZ平面中調整第二支座22相對於第一支座21的傾斜度,但應理解的是,另一個傾斜調整機構62(亦即,被設置在第二縱向區段212的連接端與橫向區段210的連接處的傾斜調整機構62)會藉由相同的方式以球體60為支點在XZ平面中調整第二支座22相對於第一支座21的傾斜度,此處不再贅述。
It should be noted that although the eighth A figure to the eighth C figure only show how one of the inclination adjustment mechanisms 62 (that is, the
據此,在根據本發明的實施例的接眼系統中,在將接眼裝置2安裝到驅動裝置1的過程中,除了藉由位置調整裝置20來調整接眼裝置2在X方向和Y方向上(即,XY平面中)的位置之外,還可進一步藉由傾斜調整裝置來調整供接眼環R安裝的對接座25的對接平面的傾斜度,使其平行於飛秒雷射眼科設備的基準面。換言之,藉由根據本發明的實施例的接眼系統,接眼裝置2能夠以更高的精確度被安裝到飛秒雷射眼科設備(所設置的驅動裝置1)上,使得被安裝在此接眼裝置2上的接眼環R能夠以更高的精確度與患者的眼球對接。
Accordingly, in the eye socket system according to the embodiment of the present invention, in the process of installing the
此外,參見第九A圖及第九B圖,根據本發明的實施例之接眼裝置2還包括壓力感測裝置(圖中未示),其被設置在對接座25與第二支座22之間的感測空間SS中,且配置為感測從被安裝到對接座25的接眼環R所傳來的壓力P。
In addition, referring to the ninth figure A and the ninth figure B, the
進一步言之,對接座25在其與第二支座22連接的表面上設置有凹槽250,感測空間SS被形成在對接座25的凹槽250與第二支座22之間。如第九B
圖所示,在被安裝到對接座25的接眼環R(參閱第五圖)所傳來的壓力P的作用下,感測空間SS會被擠壓而變形。在這樣的情況下,壓力感測裝置能夠感測感測空間SS的變形,進而判斷被安裝到對接座25的接眼環R所施加的壓力大小是否超過預定範圍。較佳地,壓力感測裝置可為任何感測到感測空間SS的變形的感測裝置,例如,壓電感測器等。
In other words, a
據此,在根據本發明的實施例的接眼系統100中,當接眼裝置2在驅動裝置1的驅動下沿著Z方向被向下移動使安裝在對接座25上的接眼環R與患者的眼球接觸時,能夠藉由壓力感測裝置將接眼環R與患者的眼球接觸的力道(壓力)控制在預定範圍內,進而避免過大或過小的壓力所造成的不利影響,例如,過大的壓力可能使患者感到不適或對患者的眼球造成傷害、過小的壓力可能造成接眼失敗等。
Accordingly, in the
綜上所述,相較於先前技術的接眼裝置,根據本發明的接眼系統100能夠藉由使接眼裝置2相對於患者所在的手術台移動來達成對準進而減輕患者因手術台移動所產生的緊張不安的感覺,能夠使接眼裝置2以更高的精確度安裝到飛秒雷射眼科設備上並與患者的眼球對接,且還能夠將接眼環R與患者的眼球接觸的壓力P控制在預定範圍內以避免過大或過小的壓力所造成的不利影響。
To sum up, compared with the eye socket devices of the prior art, the
參閱第十圖至第十二圖所示,係本實施例的接眼環R及對接座25具體對接型態。其中,接眼環R包括:本體,具有環形部R1、以及延伸自環形部R1的固定接腳R2;以及雷射光穿透片R4,固定在環形部R1上,雷射光穿透片R4具有配置來與眼球接觸的接觸面R41,此接觸面R41即為前述接眼平面。
Referring to the tenth figure to the twelfth figure, it is the specific docking type of the eye ring R and the
進一步言之,接眼環R還包括排氣管R11,其連接到環形部R1,且可將環形部R1所圍繞的空間中的空氣(連同飄散在此空氣中的碎屑)從環形部R1所圍繞的空間中排出。 In further words, the eye socket R also includes an exhaust pipe R11, which is connected to the ring portion R1, and can discharge the air in the space surrounded by the ring portion R1 (together with debris floating in the air) from the ring portion R1. out of the surrounding space.
接眼環R的本體還具有形成在環形部R1與固定接腳R2之間的嵌槽R3。固定接腳R2包括兩傾斜部R21,其呈相對傾斜漸擴的方式延伸自環形部R1,且每一個傾斜部R21的末端具有垂直地延伸自此傾斜部R21的一抵止部R22。 The body of the eye ring R also has a recess R3 formed between the ring portion R1 and the fixing leg R2. The fixing pin R2 includes two inclined portions R21 extending from the annular portion R1 in a relatively oblique and gradual diverging manner, and an end of each inclined portion R21 has a stop portion R22 vertically extending from the inclined portion R21 .
此外,雷射光穿透片R4較佳是使用生物相容性材質製成,且可為玻璃材質或其它高分子材質,但以玻璃材質較佳。 In addition, the laser light-transmitting sheet R4 is preferably made of biocompatible material, and can be made of glass or other polymer materials, but is preferably made of glass.
另一方面,對接座25包括:兩對接區段251,其對應於固定接腳R2的兩傾斜部R21,且兩對接區段251上分別設置有一固定裝置253,其配置來固定兩傾斜部R21的抵止部R22;以及一嵌塊252,連接於兩對接區段251的末端,且配置來對應地嵌入接眼環R的嵌槽R3。在此處,嵌塊252與嵌槽R3的配合關係較佳是採用餘隙配合的方式。
On the other hand, the
在本實施例中,固定裝置253包括插入槽2531以及迫緊件2532,插入槽2531配置為供接眼環R的固定接腳R2的抵止部R22插入,且迫緊件2532配置為朝向插入槽2531螺入而迫緊被插入到插入槽2531中的抵止部R22,藉此將接眼環R固定在對接座25上。
In this embodiment, the fixing
由於實施飛秒雷射眼科手術時,接眼環R會接觸眼球,因此基於醫療衛生及避免交互感染,接眼環R為一次性使用,而對接座25主要是用於供安裝接眼環R,不會接觸人體,因此可重複使用。而透過接眼環R與對接座25的對接方式,在完成飛秒雷射眼科手術之後,只要鬆開迫緊件2532,即可使接眼
環R的固定接腳R2能夠從對接座25的插入槽2531中抽出,並且,由於對接座25的嵌塊252與接眼環R的嵌槽R3的配合關係是採用餘隙配合,更可輕易地自對接座25上拆卸並更換接眼環R。
Since the eye ring R will touch the eyeball during femtosecond laser eye surgery, the eye ring R is for one-time use based on medical hygiene and avoiding cross-infection, and the
在本文中所描述的實施例的圖式旨在提供對於本發明的理解。換言之,圖式僅為代表性的且可能未按比例繪製。圖式中的某些比例可能被放大,而其他比例可能被縮小。據此,圖式應被視為示意性的而非限制性的。 The drawings of the embodiments described herein are intended to provide an understanding of the invention. In other words, the drawings are representational only and may not be drawn to scale. Some proportions in the drawings may be exaggerated while others may be minimized. Accordingly, the drawings are to be regarded as illustrative rather than restrictive.
雖然已於上述實施例中參照附圖說明本發明的各種實施例,但上述實施例僅為本發明的較佳實施例,並非意圖用來將本發明侷限於上文中所描述及附圖中所示的特徵及結構。應理解的是,在不偏離本發明的範疇的情況下,熟知本領域的技術人士所能夠設想到各種其它的省略、置換、變化和修改亦被包含在本發明的範疇內。 Although various embodiments of the present invention have been described in the above-mentioned embodiments with reference to the accompanying drawings, the above-mentioned embodiments are only preferred embodiments of the present invention, and are not intended to limit the present invention to what is described above and shown in the accompanying drawings. features and structure shown. It should be understood that without departing from the scope of the present invention, various other omissions, replacements, changes and modifications conceived by those skilled in the art are also included in the scope of the present invention.
1:驅動裝置 1: Drive device
2:接眼裝置 2: Eye-connecting device
3:操縱桿 3: Joystick
100:接眼系統 100: Eye system
Claims (18)
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| Application Number | Priority Date | Filing Date | Title |
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| TW110107040A TWI784423B (en) | 2021-02-26 | 2021-02-26 | Eye-abutting system of femtosecond laser ophthalmic equipment and eye-abutting base as well as eye-abutting ring mounted thereon |
| CN202110560372.XA CN114948423A (en) | 2021-02-26 | 2021-05-21 | Eye-jointing system, butt-jointing seat thereof and eye-jointing ring mounted on butt-jointing seat |
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Citations (2)
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| TW201043213A (en) * | 2009-06-12 | 2010-12-16 | Wavelight Gmbh | Apparatus for ophthalmic laser surgery |
| TW202220630A (en) * | 2020-11-18 | 2022-06-01 | 艾克夏醫療儀器股份有限公司 | Ophthalmic laser apparatus |
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| US7402159B2 (en) * | 2004-03-01 | 2008-07-22 | 20/10 Perfect Vision Optische Geraete Gmbh | System and method for positioning a patient for laser surgery |
| JP4975305B2 (en) * | 2004-12-01 | 2012-07-11 | 株式会社ニデック | Ophthalmic equipment |
| CN101626743B (en) * | 2007-02-14 | 2012-02-01 | 齐默控股公司 | Ophthalmological device for resolving eye tissue |
| US20130338649A1 (en) * | 2012-06-02 | 2013-12-19 | Nidek Co., Ltd. | Ophthalmic laser surgical apparatus |
| JP6524609B2 (en) * | 2014-03-31 | 2019-06-05 | 株式会社ニデック | Ophthalmic laser surgery device |
| CN108240802B (en) * | 2016-12-23 | 2021-06-15 | 中国科学院长春光学精密机械与物理研究所 | A four-degree-of-freedom fine-tuning mechanism |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TW201043213A (en) * | 2009-06-12 | 2010-12-16 | Wavelight Gmbh | Apparatus for ophthalmic laser surgery |
| TW202220630A (en) * | 2020-11-18 | 2022-06-01 | 艾克夏醫療儀器股份有限公司 | Ophthalmic laser apparatus |
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| CN114948423A (en) | 2022-08-30 |
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