Method for controlling the movement of a vitreoretinal viewing system in an ophthalmic surgical microscope, microscope and motion controller for a microscope
11073685 · 2021-07-27
Assignee
Inventors
Cpc classification
A61B90/20
HUMAN NECESSITIES
International classification
A61B90/20
HUMAN NECESSITIES
G02B7/00
PHYSICS
Abstract
The invention relates to a microscope (1), in particular an ophthalmic surgical microscope having a vitreoretinal viewing system (6), an optics carrier (14) and a support (2). The invention also relates to a method and a motion controller controlling the movement of the vitreoretinal viewing system (6). The optics carrier (14) is attached movably to the support (2). The vitreoretinal viewing system (6) in turn is attached movably to the optics carrier (14). The vitreoretinal viewing system (6) comprises a front piece (30), such as a optics carrier (14). To avoid contact of the front piece (30) with an eye (16) while the optics carrier (14) is moved for focusing a microscope lens (18), the position of the front piece (30) is automatically maintained stationary with respect to the support (2). This is obtained by controlling the vitreoretinal viewing system (6) to perform a counter movement to the movement of the optics carrier (14).
Claims
1. A method for controlling the movement of a motion-controlled vitreoretinal viewing system (6) in an ophthalmic surgical microscope (1) comprising a movable motion-controlled optics carrier (14) to which the vitreoretinal viewing system (6) is attached movably, at least one microscope lens (18) carried by the optics carrier (14), wherein none of the at least one microscope lens (18) is movable relative to the optics carrier (14) or relative to another of the at least one microscope lens (18) such that the optics carrier (14) does not have internal focusing to adjust a focus of the at least one microscope lens (18), and the at least one microscope lens (18) must be moved with the optics carrier (14) as a whole to adjust the focus of the at least one microscope lens (18), and a microscope support (2) to which the optics carrier (14) is attached movably, the vitreoretinal viewing system (6) comprising a front piece (30), the method comprising: moving the optics carrier (14) as a whole to adjust the focus of the at least one microscope lens (18) while automatically maintaining a position of the front piece (30) stationary with respect to the support (2) as the optics carrier (14) is moved.
2. The method according to claim 1, wherein a movement (Δx) of the optics carrier (14) is automatically compensated by a counter-movement (Δx′) of the front piece (30).
3. The method according to claim 2, wherein the front piece (30) is moved with a velocity (w) relative to the optics carrier (14), the amount of the velocity (w) corresponding to the amount of a velocity (v) with which the optics carrier (14) is moved relative to the support (2), the direction of the velocity (w) of the front piece (30) being opposite to the direction of the velocity (v) of the optics carrier (14).
4. The method according to claim 2, wherein the front piece (30) and the optics carrier (14) are moved simultaneously.
5. A non-transitory computer storage medium storing a program causing a computer to execute the method according to claim 1.
6. A microscope motion controller (8) for an ophthalmic surgical microscope (1) comprising an optics carrier (14), at least one microscope lens (18) carried by the optics carrier (14), wherein none of the at least one microscope lens (18) is movable relative to the optics carrier (14) or relative to another of the at least one microscope lens (18) such that the optics carrier (14) does not have internal focusing to adjust a focus of the at least one microscope lens (18), and the at least one microscope lens (18) must be moved with the optics carrier (14) as a whole to adjust the focus of the at least one microscope lens (18), a microscope support (2) to which the optics carrier (14) is attached movably, and a vitreoretinal viewing system (6) attached movably to the optics carrier (14) and having a front piece (30), the motion controller (8) comprising: an I/O section (22) configured to output a carrier positioning signal (24) representing a carrier target position of the optics carrier (14) and to receive a carrier position signal (26) representing an actual carrier position of the optics carrier (14); and an output section (46) configured to output a front piece positioning signal (40) representing a front piece target position of the vitreoretinal viewing system (6); wherein the motion controller (8) is configured to compute the front piece target position from at least one of the carrier target position and the carrier actual position, the front piece target position relative to the support (2) being constant.
7. The microscope motion controller (8) according to claim 6, wherein the carrier positioning signal (24) and the front piece positioning signal (40) are simultaneously output at the I/O section (22) and the output section (46).
8. An ophthalmic surgical microscope (1) comprising: a support (2); an optics carrier (14) adapted to carry at least one microscope lens (18) and attached movably to the support (2); at least one microscope lens (18) carried by the optics carrier (14), wherein none of the at least one microscope lens (18) is movable relative to the optics carrier (14) or relative to another of the at least one microscope lens (18) such that the optics carrier (14) does not have internal focusing to adjust a focus of the at least one microscope lens (18), and the at least one microscope lens (18) must be moved with the optics carrier (14) as a whole to adjust the focus of the at least one microscope lens (18); and a vitreoretinal viewing system (6) attached movably to the optics carrier (14), the vitreoretinal viewing system (6) comprising a front piece (30); wherein, in at least one mode of operation of the microscope (1), a position of the front piece (30) is stationary relative to the support (2) while the optics carrier (14) is moved relative to the support (2) to adjust the focus of the at least one microscope lens (18).
9. The microscope (1) according to claim 8, wherein the front piece (30) comprises a lens holder.
10. The microscope (1) according to claim 8, wherein the microscope (1) comprises an observation area (15) in which an eye (16) is located during operation of the microscope (1), and wherein the front piece (30) is arranged between the observation area (15) and the optics carrier (14).
11. The microscope (1) according to claim 8, wherein the vitreoretinal viewing system (6) and the optics carrier (14) are motion-controlled, and the microscope (1) further comprises a motion controller (8) configured to automatically maintain a position of the front piece (30) stationary with respect to the support (2) while the optics carrier (14) is moved relative to the support (2).
Description
BRIEF DESCRIPTION OF THE DRAWING VIEW
(1) In the following, the invention is described using an exemplary embodiment with reference to the accompanying drawing. It is to be understood that features that are described above and not shown in the embodiment, are added if the technical effect of that particular feature is advantageous for that specific application. In turn, a feature of the embodiment can be omitted for a specific application, if the technical effect of that particular feature is not needed.
(2)
DETAILED DESCRIPTION OF THE INVENTION
(3) In
(4) The lens positioning system 4 comprises a drive system 10 with an electric motor 12. The electric motor 12 drives a motion-controlled optics carrier 14 relative to the support in a direction x, i.e. towards or away from an observation area 15. During surgery, an eye 16 is located in the observation area 15. The optics carrier 14 is configured to support an optical device such as a microscope lens 18 providing a specific magnification or in the case of a zoom lens, a specific range of magnification. The microscope lens 18 may in particular be a lens which does not have internal focusing. Thus, for adjusting the focus of the lens 18, the optics carrier 14 must be moved in the direction x. This movement is controlled by the motion controller 8
(5) The drive system 10 is connected via at least one data exchange lines 20 to an I/O section 22 of the motion controller. Via the at least one data exchange line 20, a carrier positioning signal 24 representing a carrier target position x.sub.T relative to the support is output from the I/O section 22 to the drive system 10. The positioning signal 24 in its simplest form may be analog, e.g. be an electric current which is output to drive the electric motor 12 until the carrier target position x.sub.T is reached. A more complicated position signal 24 may be a digital signal conforming to a bus lens communication standard.
(6) The I/O section 22 is further configured to receive a carrier position signal 26 which is representative for the actual position x.sub.A of the optics carrier 14 relative to the support 2. The carrier position signal 26 may be generated by a position measurement device 28 such as a rotary encoder.
(7) The vitreoretinal viewing system 6 comprises a front piece 30, which can be moved into the region between the optics carrier 14, and the eye 16. In particular, the front piece 30 may be moved into the optical axis 32 of the lens 18. The front piece 30 may be a lens holder which supports an exchangeable lens 34.
(8) The vitreoretinal viewing system 6 is attached to the optics carrier 14 either directly, or indirectly by being mounted on the microscope lens 18. The vitreoretinal viewing system 6 is motion controlled by the motion controller 8. It comprises a drive system 36 for moving the front piece 30 in a direction x′ parallel to the direction x. The vitreoretinal system 6 can be driven independently of the optics carrier 14. The drive system 36 comprises an electric motor 12.
(9) The drive system 36 is connected to the motion controller 8 via at least one data exchange line 38. As with the data exchange line 20, the data exchange line 38 may be wired, wireless, or a combination of wired and wireless. A front piece positioning signal 40 is sent via the at least one data exchange line from the motion controller 8 to the drive system 36. The front piece positioning signal 40 may be an analog or digital signal. The front piece positioning signal 40 is representative for a target front piece position x′.sub.T to which the front piece 30 is to be driven relative to the optics carrier 14. The target front piece position x′.sub.T is measured relative to the optics carrier 14, whereas the corresponding target front piece position x.sub.FT is measured relative to the support 2.
(10) A front piece position measuring device 44, such as a rotary encoder, may be provided to generate a front piece position signal 42 which is representative of the actual position x′.sub.A of the front piece relative to the optics carrier 14 and/or of the actual position x.sub.FA relative to the support 2. The motion controller 8 comprises an output section 46 to make available the front piece positioning signal 40 to any device connected to the output section, such as the drive system 36. The output section 46 may, however, also be configured to receive the front piece position signal 42. The motion controller 8 is configured to compute the front piece positioning signal 42 depending on at least one of the carrier position signal 24 and the carrier position signal 26.
(11) As can be seen from
(12) To avoid this, the front piece 30 is, in at least one mode of operation of the microscope 1 and/or the motion controller 8, kept stationary relative to the support 2 independent of the movement of the optics carrier 14, or the microscope lens 18 respectively.
(13) This is realized in that an amount of movement Δx of the optics carrier 14 in direction x relative to the support 2 is countered by an equal but opposite amount of movement Δx′, Δx=−Δx′, of the front piece 30 in direction x′ relative to the support 2. In particular, the velocity v of the optics carrier 14, or the microscope lens 18 respectively, relative to the support 2 may be of the same magnitude but of opposite direction as the velocity w of the front piece 30 relative to the optics carrier 14, or the microscope lens 18, respectively, i.e. v=−w. This means, that for any time while this relation holds, the actual velocity of the front piece 30 relative to the support is zero, i.e. the front piece 30 is held stationary. For this, the optics carrier 14, or the lens 18 respectively, and the front piece 30 are driven simultaneously by their respective motors 12, 37. This motion compensation may take place independently of the direction, in which the optics carrier 14 is driven. Alternatively, the motion compensation may take place only if the optics carrier is moved towards the observation region 15 as there is a risk of the front piece 30 contacting the eye 16 only in this direction of movement.
(14) Of course, the microscope 1 or the motion controller 8 respectively, may be switched into another mode, where the front piece 30 may be moved differently, so that the actual position x.sub.FA of the front piece 30 changes with respect to the support 2.
REFERENCE NUMERALS
(15) 1 ophthalmic surgical microscope 2 support 4 lens positioning system 6 vitreoretinal viewing system 8 motion controller 10 drive system of lens positioning system 12 motor 14 optics carrier 15 observation area 16 eye 18 microscope lens 20 data exchange line 22 I/O section of motion controller 24 carrier positioning signal 26 carrier position signal 28 carrier position measurement device 30 front piece 32 optical access of microscope lens 34 lens in front piece 36 drive system of vitreo retinal viewing system 37 motor 38 data exchange line 40 front piece positioning signal 42 front piece position signal 44 front piece position measurement device 46 output section of motion controller x direction of movement of lens positioning system relative to support x′ direction of movement of front piece relative to optics carrier x.sub.A actual position of lens positioning system relative to support x.sub.T target position of lens positioning system relative to support x′.sub.T target position of front piece relative to optics carrier x′.sub.A actual position of front piece relative to optics carrier x.sub.FT target position of front piece relative to support x.sub.FA actual position of front piece relative to support v velocity vector of movement of optics carrier relative to support w velocity vector of movement of front piece relative to optics carrier