Device for training in ophthalmic surgery
11741855 · 2023-08-29
Assignee
Inventors
- Seiji Omata (Nagoya, JP)
- Taisuke Masuda (Nagoya, JP)
- Hisataka Maruyama (Nagoya, JP)
- Fumihito Arai (Nagoya, JP)
Cpc classification
International classification
Abstract
The present invention addresses the problem of providing a device for training in ophthalmic surgery that can be used for training in glaucoma surgery. The problem can be solved by a device for training in ophthalmic surgery including: a simulated-eyeball pedestal having a recess into which a simulated eyeball can be directly or indirectly inserted; a simulated eyeball insertable into the simulated-eyeball pedestal, or a member for retaining a simulated eyeball that retains a simulated eyeball, the member for retaining the simulated eyeball being insertable into the simulated-eyeball pedestal; and a mechanism for generating a restoring force that generates a force for restoring a position of the simulated eyeball or the simulated-eyeball retaining member toward a normal state with respect to the simulated-eyeball pedestal; the simulated eyeball or the member for retaining the simulated eyeball rotating along the recess of the simulated-eyeball pedestal.
Claims
1. A device for training in ophthalmic surgery comprising: a simulated-eyeball pedestal having a recess; a simulated eyeball directly insertable into the recess of the simulated-eyeball pedestal or a member for retaining the simulated eyeball that retains the simulated eyeball and is insertable into the recess of the simulated-eyeball pedestal so that the simulated eyeball is indirectly inserted into the recess of the simulated-eyeball pedestal; and a mechanism for generating a restoring force that generates a force for restoring a position of the simulated eyeball or the member for retaining the simulated eyeball toward a normal state with respect to the simulated-eyeball pedestal, wherein: the simulated eyeball or the member for retaining the simulated eyeball rotates along the recess of the simulated-eyeball pedestal, the mechanism for generating the restoring force consists of: a first magnet disposed in the simulated-eyeball pedestal or disposed outside the simulated-eyeball pedestal; and a second magnet disposed in the simulated eyeball or the member for retaining the simulated eyeball, the first magnet has a planar shape or a shape approximate to the recess and is disposed so that a planar surface or a recessed surface faces the simulated eyeball or the member for retaining the simulated eyeball, and the first magnet and the second magnet are disposed so that a restoring force is generated when the simulated eyeball or the member for retaining the simulated eyeball is rotated relative to the simulated-eyeball pedestal.
2. The device for training in ophthalmic surgery of claim 1, wherein: the mechanism for generating the restoring force functions when the position of the simulated eyeball or the member for retaining the simulated eyeball is rotated 5 to 50 degrees from the normal state with respect to the simulated-eyeball pedestal.
3. The device for training in ophthalmic surgery of claim 2, wherein: the second magnet is disposed further in an opening direction of the recess of the simulated-eyeball pedestal than the first magnet when the simulated eyeball or the member for retaining the simulated eyeball is inserted in the simulated-eyeball pedestal to be in the normal-state position.
4. The device for training in ophthalmic surgery of claim 1, wherein: the second magnet is disposed further in an opening direction of the recess of the simulated-eyeball pedestal than the first magnet when the simulated eyeball or the member for retaining the simulated eyeball is inserted in the simulated-eyeball pedestal to be in the normal-state position.
5. The device for training in ophthalmic surgery of claim 1, wherein: a through hole is formed in the simulated-eyeball pedestal.
6. The device for training in ophthalmic surgery of claim 1, further comprising: a face plate having a hole for exposing the simulated eyeball; and a front head unit for engaging with the face plate.
7. The device for training in ophthalmic surgery of claim 6, further comprising: an angle adjustment mechanism for adjusting an angle of the face plate.
8. The device for training in ophthalmic surgery of claim 1, wherein each of the first and second magnets is a permanent magnet.
9. A device for training in ophthalmic surgery comprising: a simulated-eyeball pedestal having a recess; a simulated eyeball directly insertable into the recess of the simulated-eyeball pedestal or a member for retaining the simulated eyeball that retains the simulated eyeball and is insertable into the recess of the simulated-eyeball pedestal so that the simulated eyeball is indirectly inserted into the recess of the simulated-eyeball pedestal; and a mechanism for generating a restoring force that generates a force for restoring a position of the simulated eyeball or the member for retaining the simulated eyeball toward a normal state with respect to the simulated-eyeball pedestal, wherein: the simulated eyeball or the member for retaining the simulated eyeball rotates along the recess of the simulated-eyeball pedestal, and the mechanism for generating the restoring force consists of two or more springs, one end of each of which is fixed to the simulated-eyeball pedestal, and another end of each of which is fixed to the simulated eyeball or the member for retaining the simulated eyeball.
10. The device for training in ophthalmic surgery of claim 9, wherein: a through hole is formed in the simulated-eyeball pedestal.
11. The device for training in ophthalmic surgery of claim 9, further comprising: a face plate having a hole for exposing the simulated eyeball; and a front head unit for engaging with the face plate.
12. The device for training in ophthalmic surgery of claim 11, further comprising: an angle adjustment mechanism for adjusting an angle of the face plate.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DESCRIPTION OF THE PREFERRED EMBODIMENTS
(8) A device for training in ophthalmic surgery according to embodiments will be described in detail below with reference to the drawings. Members that have the same type of function are referred to by the same or similar reference symbols in the present specification. Repeated description of members that are referred to by the same or similar reference symbols is sometimes omitted.
First Embodiment
(9) A device for training in ophthalmic surgery 1A according to a first embodiment will be described with reference to
(10) A device for training in ophthalmic surgery 1 of the first embodiment is provided with a simulated-eyeball pedestal 2, a member for retaining a simulated eyeball 3 that retains a simulated eyeball, and a mechanism for generating a restoring force 4. In the first embodiment, the simulated-eyeball pedestal 2 is provided with a recess 21 into which the simulated eyeball can be indirectly inserted, or in other words, into which the member for retaining the simulated eyeball 3 that retains the simulated eyeball can be inserted. The recess 21 is not particularly limited insofar as the recess 21 has a shape in which the member for retaining the simulated eyeball 3 can be inserted/retained, and in which the member for retaining the simulated eyeball 3 can rotate along the recess. A substantially hemispherical curved surface or the like is cited as an example thereof.
(11) The member for retaining the simulated eyeball 3 is not particularly limited insofar as the member for retaining the simulated eyeball 3 is capable of retaining the simulated eyeball and can rotate along the recess 21 of the simulated-eyeball pedestal 2.
(12) In the first embodiment, the mechanism for generating the restoring force 4 is constituted from a first magnet 41 disposed in the simulated-eyeball pedestal 2, and second magnets 42 disposed in the member for retaining the simulated eyeball 3. As illustrated in
(13) The “normal state” in the first embodiment is the position at which the member for retaining the simulated eyeball 3 is inserted without decentering the simulated-eyeball pedestal 2, or in other words, the position at which the member for retaining the simulated eyeball 3 most stably rests in the recess 21. For example, in the embodiment illustrated in
(14) During glaucoma surgery, a thread is passed through the eyeball and the eyeball is rotated 5 to 50 degrees in an eye socket. Therefore, the mechanism for generating the restoring force 4 may be provided to generate a force for perpetually restoring the member for retaining the simulated eyeball 3 toward the normal state, and the mechanism for generating the restoring force 4 may be configured to function, i.e., to generate a restoring force, at least when the member for retaining the simulated eyeball 3 is rotated 5 to 50 degrees. In the present specification, the phrase “force for restoring toward the normal state” does not mean restoration to the normal-state position, but rather refers to a force directed toward the normal state relative to the position at which the restoring force was generated. In the first embodiment, “5 to 50 degrees” refers to an angle formed by the intersection of the lines normal to the vertex 22 of the recess 21 and the vertex 31 of the member for retaining the simulated eyeball 3, as indicated by X in
(15) For example, the second magnets 42 are disposed near end parts of the member for retaining the simulated eyeball 3 in
(16) The angle at which the restoring force is generated may also be adjusted by changing the shape/arrangement of the first magnet 41 rather than the second magnets 42. In the embodiment illustrated in
(17) The mechanism for generating the restoring force may also be configured so that the repulsive force increases the greater the rotation angle is. For example, second magnets 42 having weak magnetic force may be disposed closer to the vertex 31 of the member for retaining the simulated eyeball 3, and second magnets 42 having relatively strong magnetic force may be disposed farther away from the vertex 31, as illustrated in
(18) The mechanism for generating the restoring force 4 is formed from magnets in the first embodiment. Consequently, the simulated-eyeball pedestal 2 and the member for retaining the simulated eyeball 3 may be fabricated from any material other than a magnet or a magnetic body that acts on a magnet, and should be fabricated without any particular limitation from polycarbonate, polyacetal, polyoxymethylene, polytetrafluoroethylene, polyether ether ketone, or another resin.
Modification of the First Embodiment
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Second Embodiment
(20) A device for training in ophthalmic surgery 1B according to a second embodiment will be described with reference to
(21) The device for training in ophthalmic surgery 1B of the second embodiment differs from the device for training in ophthalmic surgery 1A of the first embodiment in being provided with elastic members instead of the first magnet 41 and second magnets 42 as the mechanism for generating the restoring force 4. In all other respects, the device for training in ophthalmic surgery 1B of the second embodiment is the same as the device for training in ophthalmic surgery 1A and the modification of the first embodiment. The description of the second embodiment will therefore focus on the elastic members, and repetitive description of other aspects of the configuration is omitted.
(22) Rubber members 43 are used as the elastic members of the device for training in ophthalmic surgery 1B illustrated in
(23) In the second embodiment as well, the member for retaining the simulated eyeball 3 may be provided to be restored perpetually toward the normal state, and so that the restoring force is generated when the member for retaining the simulated eyeball 3 is rotated 5 to 50 degrees. A lower limit for the angle at which the restoring force is generated may be 0 degrees, 5 degrees, 10 degrees, 15 degrees, or another angle, for example, and an upper limit for the angle at which the restoring force is generated may be 90 degrees, 80 degrees, 70 degrees, 60 degrees, 50 degrees, or another angle, for example. Generation of the restoring force can be adjusted by a length of the rubber members 43.
Modification of the Second Embodiment
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Third Embodiment
(25) A device for training in ophthalmic surgery 10 according to a third embodiment will be described with reference to
(26) The device for training in ophthalmic surgery 10 of the third embodiment differs from the device for training in ophthalmic surgery 1A of the first embodiment in that the member for retaining the simulated eyeball 3 is not provided, and a simulated eyeball 5 is directly inserted in the simulated-eyeball pedestal 2, and in that constituent elements of the mechanism for generating the restoring force 4 are disposed or attached at positions in the simulated eyeball 5 instead of in the member for retaining the simulated eyeball 3. In all other respects, the device for training in ophthalmic surgery 10 of the third embodiment is the same as the device for training in ophthalmic surgery 1A and the modification of the first embodiment, and the device for training in ophthalmic surgery 1B and the modification of the second embodiment. The description of the third embodiment will therefore focus on the simulated eyeball 5 and the mechanism for generating the restoring force 4, and repetitive description of other aspects of the configuration is omitted.
(27) As illustrated in
(28) The “normal state” in the third embodiment can be defined as the position at which the simulated eyeball 5 is inserted without decentering the simulated-eyeball pedestal 2, or in other words, the position at which a center 51 of a corneal region of the simulated eyeball 5 coincides with a normal line P of the vertex 22 of the substantially hemispherical surface of the recess 21 of the simulated-eyeball pedestal 2. When the simulated eyeball 5 is in the normal state, another point at which the normal line P and the simulated eyeball intersect is defined as a bottom part 52 of the simulated eyeball. In the third embodiment, “5 to 50 degrees” refers to an angle formed by the normal line P with a line connecting the bottom part 52 and the center 51 of the corneal region of the simulated eyeball 5, as indicated by X in
(29) In the third embodiment illustrated in
(30) The device for training in ophthalmic surgery 1 of the above embodiment is provided with the mechanism for generating the restoring force 4 and can therefore be used in training for glaucoma surgery, but the device for training in ophthalmic surgery 1 can also be used for conventional surgery for cataract and the like. Consequently, a publicly known simulated eyeball fabricated for use in various types of surgery, or a simulated eyeball fabricated by combining publicly known simulated eyeball technologies can be used as the simulated eyeball 5. When the devices for training in ophthalmic surgery 1A, 1B of the first and second embodiments are used, a publicly known simulated eyeball 5 or a simulated eyeball 5 fabricated by combining publicly known simulated eyeball technologies should be inserted/retained in the member for retaining the simulated eyeball 3. When the device for training in ophthalmic surgery 10 of the third embodiment is used, the second magnets 42 should be disposed in a publicly known simulated eyeball 5 or a simulated eyeball 5 fabricated by combining publicly known simulated eyeball technologies, or the other ends of the elastic members should be fixed to the simulated eyeball 5.
(31) As mentioned above, a sclera is thinly sliced during glaucoma surgery. Consequently, a simulated eyeball 5 in which a pseudo-sclera is formed in a white-of-the-eye portion on a periphery of the cornea is preferably used when training for glaucoma surgery using the device for training in ophthalmic surgery 1 of the above embodiment. A simulated sclera can be formed by layering a thin film formed from a synthetic resin material or an elastomer material, for example. The simulated eyeball 5 is typically fabricated from silicone or another flexible resin. Consequently, when the simulated eyeball 5 is inserted directly into the recess 21 of the simulated-eyeball pedestal 2, the simulated eyeball 5 is sometimes difficult to rotate due to friction. In this case, a lubricating oil or the like should be poured into a gap S between the simulated eyeball 5 and the recess 21 of the simulated-eyeball pedestal 2. The simulated-eyeball pedestal 2 should be formed from a material cited in the first and second embodiments.
Fourth Embodiment
(32) A device for training in ophthalmic surgery 1D according to a fourth embodiment will be described with reference to
(33) For example, when the face plate 62 and the front head unit 67 are included in addition to the simulated eyeball 5, the member for retaining the simulated eyeball 3 used as needed, and the simulated-eyeball pedestal 2, an actual human face is approximated. The face plate 62 may furthermore be covered by the face skin 61.
(34) Orientation of the face sometimes changes during actual surgery. The device for training in ophthalmic surgery 1D may therefore also be provided with an angle adjustment mechanism.
(35) Alternatively, an angle adjustment mechanism pertaining to a second embodiment may be configured by fixing the ball head unit 68 to the shaft 69 to be non-rotatable, or fixing the front head unit 67 and the rear head unit 70 directly to the shaft 69 and rotatably attaching an end part 691 of the shaft 69 to a mount (not illustrated) of the shaft 69.
(36) An angle adjustment mechanism pertaining to a third embodiment may also be configured by attaching the end part 691 of the shaft 69 to the mount (not illustrated) of the shaft 69 to be rotatable in a direction indicated by an arrow D in
(37) Alternatively, an angle adjustment mechanism pertaining to a fourth embodiment may be configured to enable rotation in any direction by forming the end part 691 of the shaft 69 to be spherical, for example, and inserting the end part 691 in a recess of the mount (not illustrated) of the shaft 69. The angle adjustment mechanisms of each embodiment above may be used singly or combined.
(38) In actual surgery, surgery is sometimes performed while water is supplied to an eye. A configuration may therefore be adopted in which the water receiving plate 64 for receiving water that intrudes between the front head unit 67 and the simulated eyeball 5 is provided between the simulated-eyeball pedestal 2 and the front head unit 67, and the water in the water receiving plate 64 can be discharged to the outside of the device for training in ophthalmic surgery 1D by a drainage mechanism (not illustrated). The receiving members 63 of the simulated-eyeball pedestal 2 may be disposed between the simulated-eyeball pedestal 2 and the water receiving plate 64 as needed. The waterproofing rubber member 66 may furthermore be provided between the water receiving plate 64 and the front head unit 67, as needed, to prevent water that leaks from the water receiving plate 64 from intruding into the device for training in ophthalmic surgery 1D.
(39) When using the simulated-eyeball pedestal 2 in which the through hole 23 is formed, the light source unit 65 may be provided. Light from the light source unit 65 is radiated to the simulated eyeball 5 via the through hole 23, and convenience of surgery training is thereby enhanced. The light source unit 65 can also be used as a light source of a photoelasticity application sensor, for measuring stress applied to the simulated eyeball 5. A photoelasticity application sensor is publicly known; see, for example, (1) “Research into ophthalmic surgery technique evaluation using a sensor-equipped eyeball model”, Journal of Japan Society of Computer Aided Surgery, Vol. 16, No. 3, pp. 332-333, 2014 (reference URL: https://www.jstage.jst.go.jp/article/jscas/16/3/16_321/_article/-char/ja/), and (2) “Bionic Humanoid: Biomimetic Retina Model Having Photoelastic Stress Sensor,” Proceedings of the 2017 JSME Conference on Robotics and Mechatronics, Fukushima, Japan, May 10-12, 2017 (on CD-ROM, 2A1-N10).
(40) The face skin 61 should be fabricated from silicone or another soft resin. The face plate 62, the receiving members 63 of the simulated-eyeball pedestal 2, the water receiving plate 64, the front head unit 67, and the rear head unit 70 should be fabricated from a hard resin or the like. The ball head unit 68 and the shaft 69 should be fabricated from a metal or a hard resin. The device for training in ophthalmic surgery 1D of the fourth embodiment may be fabricated by an assembly method in which the components thereof are shaped to be able to fit with each other, or the device may be fabricated by fastening the components together using screws or the like.
(41) Through the various embodiments disclosed in the present specification, it is possible to train for ophthalmic surgery in an environment that approximates actual surgery.
KEY
(42) 1, 1A, 1B, 1C, 1D device for training in ophthalmic surgery 2 simulated-eyeball pedestal 3 member for retaining simulated eyeball 4 mechanism for generating restoring force 5 simulated eyeball 21 recess 22 vertex of substantially hemispherical surface 23 through hole 31 vertex of simulated-eyeball retaining member 3 32 plate-shaped member 33 spring attachment part 41 first magnet 42 second magnet 43 rubber member 44 spring 51 center of corneal region of simulated eyeball 52 bottom part of simulated eyeball 61 face skin 62 face plate 63 receiving member of simulated-eyeball pedestal 64 water receiving plate 65 light source unit 66 waterproofing rubber member 67 front head unit 68 ball head unit 69 shaft 70 rear head unit 621 hole for exposing simulated eyeball