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    • 1. 发明申请
    • A SYSTEM FOR OCULAR ULTRAMICROSURGERY
    • 一种用于眼科超声心动图的系统
    • WO1997038652A1
    • 1997-10-23
    • PCT/AU1997000238
    • 1997-04-17
    • THE LIONS EYE INSTITUTE OF WESTERN AUSTRALIA INCO RPORATEDYU, Dao-YiCONSTABLE, Ian, JeffreyCRINGLE, Stephen, John
    • THE LIONS EYE INSTITUTE OF WESTERN AUSTRALIA INCO RPORATED
    • A61F09/007
    • A61B90/10A61B34/10A61B34/75A61B34/76A61B90/17A61B2018/2025A61B2034/742A61B2034/743A61F9/007A61F2009/0035
    • A system (10) for ocular ultramicrosurgery includes a ring (12) for immobilising eye (14) of a patient. The incision point (P) on the eye (14) for surgical tools is marked by a marker (16) that is generated by intersecting the beams of lasers (104 and 106). The intersection point of the laser beams is fixed in space. In order to move the patient's eye (14) so that point (P) coincides with that fixed point in space, the patient's head (52) is fixed to a head positioner (24). The head positioner is operated by a surgeon (26) through joystick (34) and computer (32) to ensure registration of point (P) and the point designated by the intersecting laser beams. All surgical tools used in the system (10) are supported, positioned and operated or worked by a tool support and positioning system (18). The system (18) comprises a stereotactic manipulator (20) and a tool translation table (22) which is supported on the manipulator (20). The manipulator (20) is used to position a surgical tool (50) on table (22) so that tip (51) of the tool (50) can be aligned with point (P). Thereafter, the manipulator (20) and/or table (22) can separately or in combination be used to pivot the tool (50) about point (P) so that the tip (51) of the tool is positioned at any desired location within the eye and subsequently worked or operated to perform ultramicrosurgery. Surgeon (26) is able to control the manipulator (20) and table (22) via computer (32) and input devices such as joysticks (34, 35) and keyboard (36). In this way, the surgeon's hands are isolated from the movement of the tool (50).
    • 用于眼睛超微外科的系统(10)包括用于固定患者眼睛(14)的环(12)。 用于外科手术工具的眼睛(14)上的切口点(P)由与激光束(104和106)相交产生的标记物(16)标记。 激光束的交点固定在空间中。 为了移动患者的眼睛(14)使得点(P)与空间中的该固定点重合,患者的头部(52)固定到头部定位器(24)。 头部定位器由外科医生(26)通过操纵杆(34)和计算机(32)操作,以确保点(P)和由相交的激光束指定的点的对准。 系统(10)中使用的所有手术工具由工具支撑和定位系统(18)支撑,定位和操作或加工。 系统(18)包括立体定向机械手(20)和支撑在操纵器(20)上的工具平移台(22)。 操纵器(20)用于将外科手术工具(50)定位在工作台(22)上,使得工具(50)的尖端(51)可与点(P)对准。 此后,操纵器(20)和/或工作台(22)可以单独地或组合地用于围绕点(P)枢转工具(50),使得工具的尖端(51)位于 眼睛并随后工作或操作进行超微创手术。 外科医生(26)能够经由计算机(32)和诸如操纵杆(34,35)和键盘(36)的输入装置来控制操纵器(20)和工作台(22)。 以这种方式,外科医生的手与工具(50)的运动隔离。