Operating room instrument for ophthalmologic operation

Abstract

Particular embodiments disclosed herein provide a surgical instrument that includes a base for resting on a floor. A boom extends upwardly from the central base and outwardly from the base in a forward direction. The gantry is suspended from the boom and has three or more degrees of freedom. A surgical instrument, such as a surgical microscope, is mounted to the gantry. One or more electrical components, such as a computing device and a vacuum pump, are mounted in the center base and configured to support the performance of ophthalmic procedures. The surgical chair is mounted to an arcuate track in the base and is slidable along the track. The surgical chair has an adjustable arm secured thereto for holding a surgical instrument. The sickbed incorporates a storage device and a coupler that engages a corresponding coupler coupled to the computing device in the base for downloading patient data from the storage device.

Description

Technical Field

[0001] The present disclosure relates generally to apparatus for facilitating the performance of ophthalmic surgery. Background Art

[0002] Many eye conditions can be treated with eye surgery. Defects in the lens, such as cataracts, can be corrected by replacing the lens with an artificial intraocular lens (IOL). Retinal diseases can also be corrected with a variety of surgical procedures. The eye is extremely delicate, and the anatomical structures that undergo surgery are extremely small. Therefore, eye surgery is performed in a highly controlled environment using delicate instruments. Summary of the invention

[0003] The present disclosure relates generally to operating room equipment used to support ophthalmic surgery.

[0004] Specific embodiments disclosed herein include a surgical apparatus including a base for resting on a floor. A boom extends upwardly from the base and extends outwardly from the base in a forward direction. A gantry is suspended from the boom and has three or more degrees of freedom. A surgical instrument is mounted to the gantry. One or more electrical components are mounted in the base and are configured to support performing an ophthalmic procedure.

[0005] The following description and the associated drawings set forth in detail certain illustrative features of the one or more embodiments. BRIEF DESCRIPTION OF THE DRAWINGS

[0006] Certain aspects of one or more embodiments are depicted in the accompanying drawings, and therefore should not be considered to limit the scope of the disclosure.

[0007] Figure 1A is an isometric view of operating room equipment for supporting ophthalmic surgery, according to some embodiments.

[0008] Figure 1B yes Figure 1A Alternative isometric view of operating room equipment.

[0009] Figure 2A is an isometric view of an articulated boom arm for supporting a surgical microscope, according to certain embodiments.

[0010] Figure 2B and Figure 2C is a cross-sectional view of the articulated boom arm of FIG. 2 .

[0011] Figure 3 is an isometric view of an operating room apparatus including an articulated monitor support arm, according to some embodiments.

[0012] FIG. 4A to FIG. 4D is an isometric view showing an electrical connector for connecting an electronic bed to operating room equipment according to certain embodiments.

[0013] Figure 5 is an isometric view of an articulated surgical chair according to certain embodiments.

[0014] Figure 6 is a schematic block diagram of components of operating room equipment according to certain embodiments.

[0015] Figure 7 is a process flow diagram of a method for exchanging data between an electronic hospital bed and operating room equipment according to certain embodiments.

[0016] To facilitate understanding, identical reference numerals have been used, where possible, to designate identical elements that are common to the figures. It is contemplated that elements and features of one embodiment may be beneficially incorporated in other embodiments without further recitation. DETAILED DESCRIPTION

[0017] In current methods of performing ophthalmic surgery, many pieces of equipment are required, each with its own power cord, housing, and possibly other features (such as vacuum tubes). As a result, the operating room can become cluttered and present many tripping hazards.

[0018] In the surgical equipment disclosed herein, a boom is mounted to a base that houses one or more computing devices, a vacuum pump, and possibly other equipment. A crane is mounted to the boom, and surgical equipment (such as a surgical microscope and one or more displays) can be mounted to the crane. A surgical chair is mounted to an arc path so that the chair can be easily moved to the left or right side of a patient's bed or above the patient's bed. The chair has an adjustable arm mounted thereto for holding additional equipment pieces (such as a bracket for a phaco-vit handpiece, a scanner for surgical instruments, and / or an additional display). The patient's bed can have a storage device and be electrically connected to a computing device in the base to transmit and receive patient data for ophthalmic surgery.

[0019] FIG1 illustrates an operating room apparatus 100 that can be used to support the performance of ophthalmic surgery. The operating room apparatus 100 can be understood with respect to a longitudinal direction 102a, a lateral direction 102b, and a vertical direction 102c that are all perpendicular to each other. The vertical direction 102c can be defined as being substantially (e.g., within 2 degrees) perpendicular to the floor of the room in which the operating room apparatus 100 is located.

[0020] The operating room equipment 100 may include a support frame 104 that includes a boom 106. The boom 106 extends upward from the floor in a vertical direction 102c and extends outward in a longitudinal direction 102a (i.e., a "forward direction" as used herein). The boom 106 extends upward from a central base 108. The central base 108 may have sufficient weight to prevent the boom 106 from tipping over (including when various surgical equipment items are suspended from the boom). Therefore, the central base 108 may include a structural frame for securing to the boom 106 and some form of ballast (such as a steel plate, concrete block, or other dense material).

[0021] In the illustrated embodiment, the lateral bases 110a, 110b are secured to the central base 108 and extend outwardly in the lateral direction 102b and in the forward direction to provide additional stability. The boom 106, central base 108, and lateral bases 110a, 110b may be formed of an inner frame, such as a steel frame, that is covered in an outer shell, such as an outer shell made of one or more plastic panels.

[0022] The lateral bases 110a, 110b can cooperate with the weight of the central base 108 to resist tipping of the boom 106. However, in some embodiments, the lateral bases 110a, 110b are omitted or removable so that the central base 108 alone is sufficient to prevent tipping. In still other embodiments, the central base 108 or the boom 106 can be anchored to a floor, wall, column or other structure to prevent tipping.

[0023] The central base 108 and the lateral bases 110a, 110b may be hollow and provide cavities for housing computing devices, power adapters, power distribution cables, vacuum pumps, and other components (see Figure 6 and related descriptions). The weight of these components can increase the stability and anti-tipping provided by the central base and the lateral bases 110a, 110b. The central base 108 and the lateral bases 110a, 110b can have vents 112 on one or more surfaces thereof to facilitate the exhaust of heat generated by these components. One or more fans can also be housed in some or all of the central base 108 and the lateral bases 110a, 110b to promote air flow through the vents 112. In some embodiments, the air flow caused by the one or more fans is exhausted from the rearward side of the central base 108 and / or the lateral bases 110a, 110b to avoid blowing dust onto the performance of the ophthalmic surgery on the forward side of the central base 108 or otherwise interfering with the performance of the ophthalmic surgery. The rearward side can face in a rearward direction opposite to the forward direction. A power cord for powering components mounted within the center base 108 may also extend from the rearward side of the center base 108 , thereby avoiding a trip hazard on the forward side of the center base 108 .

[0024] The boom 106 can have a control panel 114 mounted to the boom and facing in a forward direction. The control panel 114 can have controls (buttons, switches, touch screen, etc.) for controlling a vacuum tool, such as a phacoemulsification-vitrectomy tool for performing phacoemulsification and vitrectomy. The control panel 114 can further define a connector for connecting to a hose 116 of the vacuum tool. The control panel 114 can further define a physical connector or wireless interface for receiving input from another device, such as a foot pedal. The control panel 114 can be connected to a vacuum pump housed within the center base 108 and control the vacuum pump based on the control input received by the control panel 114.

[0025] The gantry 118 is secured to the boom 106 and extends downwardly from the boom 106 in the vertical direction 102c. The gantry 118 may define one or more degrees of translational movement along some or all of the longitudinal direction 102a, the transverse direction 102b, and the vertical direction 102c. The gantry 118 may define one or more degrees of rotational movement, such as rotation about an axis parallel to some or all of the longitudinal direction 102a, the transverse direction 102b, and the vertical direction 102c. For example, the gantry 118 may define three or more degrees of freedom, and may have up to six degrees of freedom (including up to three degrees of translational freedom and up to three degrees of rotational freedom).

[0026] The gantry 118 may have various items of equipment mounted thereto, such as a surgical microscope 120 and one or more displays 122. The surgical microscope 120 and one or more displays may have computing components housed within themselves, or may be connected to computing components housed within the central base 108. Equipment mounted to the gantry 118 may be easily removed and replaced in a modular manner. Power and data cables and tubing for connection to equipment mounted to the gantry 118 may be routed upward and through the boom 106 to reach components mounted within the central base 108.

[0027] The operating room apparatus 100 may further include an articulated surgical chair 126 and a patient bed 128, both of which are described in more detail below. Any number of additional displays 130 may also be mounted to the support frame 104 (e.g., to one or both of the lateral bases 110a, 110b) by means of a gantry 132 having one or more articulated joints, each having one to six degrees of freedom. The displays 130 may be connected to a computing component housed within the central base 108 via a wired or wireless connection.

[0028] Figure 2A , Figure 2B and Figure 2C Structure for mounting the gantry 118 to the boom 106 is shown. One or more displays 122 can be mounted to the boom 106 in a similar manner. In the illustrated embodiment, a rotatable member 200 is mounted to the distal end of the boom 106 and is rotatable relative to the boom 106. For example, the rotatable member 200 can be rotatable about an axis that is substantially (e.g., within 5 degrees) parallel to the vertical direction 102c, such as about a pivot point 200a. Obviously, the attachment point of the gantry 118 can be offset from the pivot point 200a. In some embodiments, the rotatable member 200 is omitted, and the distal portion of the boom 106 has the gantry 118 mounted thereto using the structure described below with respect to the rotatable member 200.

[0029] The rotatable member 200 can define a slot 202, such as a slot 202 whose long dimension is substantially (e.g., within 5 degrees) parallel to the longitudinal direction 102a. A plate 204 or other structure can be slidably mounted on or in the slot 202 and can slide along the slot 202 in the longitudinal direction 102a. In the illustrated embodiment, a bottom plate 206 extends inwardly from the slot 202 in the transverse direction 102b and defines an inner slot 208. Thus, the plate 204 can rest on and slide along the bottom plate 206.

[0030] The collar 210 may be rotatably mounted to the plate 204, extending into the inner slot 208 and being slidable within the inner slot 208. The collar 210 rotatably and possibly removably receives the shaft 212 to which the jack 218 is mounted. The jack 218 may be mounted so that the optical axis of the surgical microscope 120 (or other optical instrument) is substantially co-linear (e.g., within 10 cm) and parallel (e.g., within 5 degrees) with the axis of rotation of the shaft 212. For example, the shaft 212 may have one or more pins 214 protruding outwardly therefrom, and the interior 216 of the collar 210 may define one or more slots 218 that are parallel to the axis of symmetry of the interior 216 (e.g., the axis of a cylinder defined by the interior 216), arranged in a spiral or other configuration. The shaft 212 may be inserted through the collar 210, and the one or more pins 214 are positioned within the one or more slots 218. The shaft 212 can then be rotated relative to the collar 210 and the pin 214 can be received within one or more recesses 220 defined by the upper edge of the collar 210. The weight of the shaft 212, the gantry 218, and any equipment mounted to the gantry 118 can then resist the pin 214 from being removed from the recess 220.

[0031] The collar 210 may be rotatable relative to the plate 204, thereby defining a rotational degree of freedom for the gantry 118 that is perpendicular to the rotational degrees of freedom provided by the rotatable member 200. The gantry 118 itself may then also provide up to six degrees of freedom to provide fine adjustment of the orientation and position of equipment secured to the gantry 218.

[0032] Boom 106, rotatable member 200, and shaft 212 are preferably rigid enough to resist vibrations caused by the actuators of crane 118 and equipment mounted thereon, such as surgical microscope 112. In this manner, vibrations caused by adjusting the position and / or orientation of crane 118 or zooming in or out using surgical microscope 112 will be more quickly attenuated.

[0033] The combination of pivoting of rotatable member 200, sliding movement of collar 210, and rotation of shaft 212, coupled with alignment of the optical axis of surgical microscope 120 or other optical instrument with the axis of rotation of shaft 212, can produce relatively small lateral movement in longitudinal direction 102a and transverse direction 102b as well as rotational movement coaxial with the axis of rotation of shaft 212. This helps to achieve the three primary surgical positions (left temporal, superior, and right temporal) ergonomically and quickly. Current operating room equipment requires a large range of motion to achieve the primary surgical positions and often requires the equipment to be moved to the opposite side of the patient's bed in a slow and cumbersome process. Some operating rooms push the patient feet inward instead of head inward so that the equipment does not have to be switched to a different side of the bed, which is difficult due to too many wires and tubes on the floor.

[0034] refer to Figure 3 In some embodiments, operating room equipment 100 includes a large display 300 (e.g., 1 meter or more along at least one edge) that is not easily mounted to gantry 118 due to excessive weight or lack of space. Display 300 can be suspended from an arm 302 that is rotatably mounted to boom 106, such as to the top of boom 106.

[0035] refer to Figure 4A , Figure 4B , Figure 4C and Figure 4D , the patient bed 128 may have a storage device installed therein. The storage device may not be just a storage device (e.g., a flash memory device), or may be a computing device combined with a storage device. The storage device may then be loaded with patient data, such as a treatment plan to be implemented by an ophthalmic surgery to be performed using the operating room equipment 100. The patient bed 128 may then be connected to the operating room equipment 100, and the patient data may be downloaded and used to provide guidance for the ophthalmic surgery.

[0036] Specific reference Figure 4A and Figure 4B , a first connector 400 (eg, a plug) protrudes from a housing 402. The housing 402 may be secured to a base of the articulated surgical chair 126 (see below). Figure 5 ), central base 108, the floor of the operating room, or some other structure. A second connector 404 (e.g., a socket) is secured to the bed 126, such as to the housing 406. The second connector 404 is sized and configured to engage the first connector 402 to establish a connection and data communication channel for supplying power to a storage device in the bed 126. In some embodiments, the placement of the first connector 400 and the second connector 404 can be reversed. The first connector 400 and the second connector 404 can have a proprietary electrical connection arrangement, or a standard configuration (such as a universal serial bus (USB) or other connection standard) can be used.

[0037] refer to Figure 4C and Figure 4D , the housing 402 may include a slot 408 for receiving the housing 406 or be fixed adjacent to the slot. The latch 410 may be positioned within the slot 408 and engage the housing 404. The slot 408 may be oriented to deflect the latch 410 when the housing 404 is inserted into the slot 408 until the second coupler 404 engages with the first coupler 402. The latch 410 may then be biased upward and block the housing 404 from moving out of the slot 408 until the latch 410 is disengaged (i.e., deflected out of the housing 404). The latch 410 may be manually actuated, or connected to an electrical actuator (e.g., a solenoid) that is activated by a button on the bed 126, the control panel 114, or elsewhere on the operating room equipment 100.

[0038] refer to Figure 5 , the articulated surgical chair 126 can include a base 500 having a track 502 formed thereon. The track 502 can be implemented as an arcuate slot, an arcuate rail, or other form of guide as shown. A sliding base 504 engages the track 502 and can slide around the track 502. A chair 506 on which the surgeon sits is mounted to the sliding base 504, such as on top of the sliding base 504. The shape of the track 502 can be designed so that the chair 504 can be placed in various positions relative to the bed 128, such as a left temporal position, an upper position, and a right temporal position.

[0039] The locking mechanism can be activated by a user to lock the sliding base 504 relative to the track 502. An actuator in the base 500 or the sliding base 504 can move the sliding base 504 relative to the track 502 in response to a control input from the user. Alternatively, the sliding base 504 can be manually moved around the track 502. In some embodiments, one or both of the crane 118 and the arm 302 can be coupled to an actuator that coordinates with the position of the sliding base 504. For example, when the sliding base 504 slides to the right side of the track 502, the actuator of the crane 118 and / or the actuator coupled to the arm 302 can also rotate so that the surgical microscope 120, the display 122, and / or the display 300 are located on the left side of the track 502, for example, so that the patient bed 126 is between the sliding base 504 and the surgical microscope 120, the display 122, and / or the display 300.

[0040] The sliding base 504 may have structures fixed thereto for mounting and positioning accessories. In the illustrated embodiment, these structures include rings 508 surrounding the sliding base 504, which can rotate relative to the sliding base 504 and can be locked at various points within the range of rotation of the rings 508 around the sliding base 504. Each ring 508 may have one or more arms 510 extending outwardly and upwardly therefrom, so that the distal end of each arm 510 is conveniently positioned to the surgeon sitting in the chair 506. Each arm 510 can be adjusted to various positions and locked in these positions relative to one or more degrees of freedom (such as extending the length of each arm 510, tilting each arm 510, and / or articulating one or more joints in each arm 510). The distal end of each arm 510 may have accessories mounted thereto, such as a ring 512 for holding a handpiece of a phacoemulsification-vitrectomy vacuum pump, a display 514 (e.g., a tablet computer), an instrument holder 516, an instrument tray, a tube organizer, a mechanical arm, a robotic arm, or other accessories. The instrument support 516 may include a scanner 518 for scanning instruments that are removed from the instrument support 516 and placed back into the instrument support.

[0041] The sliding base 504 may have one or more foot controls 520 mounted thereto and positioned to contact the surgeon when the surgeon is seated in the chair 506. The foot controls 520 may be fixed to the sliding base 504 and translate therewith. The foot controls 520 may include foot controls for controlling any component forming part of the operating room equipment 100. For example, the foot controls 520 may include controls for controlling an actuator that positions the sliding base 504 on the track 502; controlling a phacoemulsification-vitrectomy vacuum pump; controlling the positioning of the jack 118; controlling the positioning of the display 300; controlling the information displayed on any of the displays 122, 130, 300, 514; or controlling any other equipment item included on the operating room equipment 100.

[0042] The base 504 can provide space for routing tubes and wires between the central base 108 and the sliding base 504 to reduce clutter and eliminate tripping hazards. The tubes and / or wires can then be routed upward through the base 504 and the arm 510 to a component mounted to or resting on the arm 510.

[0043] Figure 6 Electronic components 600 are shown that may be incorporated into operating room equipment 100. Electronic components 600 may be connected to a data / power bus 602 that enables data communication between electronic components 600 and supplies power to electronic components 600.

[0044] Electronic components 600 may include control computing device 604. Control computing device 604 may implement control of actuators incorporated into some or all of gantry 118, actuators coupled to arm 302, actuators controlling movement of slide base 504, or any other actuators incorporated into operating room equipment. Control computing device 604 may be programmed to perform coordinated movement of components, such as movement of gantry 118 and / or display 300, in response to movement of the slide base.

[0045] Electronics 600 may include imaging computing device 606 that receives images captured by surgical microscope 120 or other imaging devices and displays the images on any of displays 122, 130, 300, 514. Imaging computing device 606 may process the images to generate processed images that are output on any of displays 130, 300, 514. For example, the processed images may have guidance (such as placement of incisions, alignment of IOLs, etc.) superimposed thereon for guiding the performance of an ophthalmic procedure.

[0046] Electronics assembly 600 includes one or more imaging devices 608, such as surgical microscope 120, which provides images to imaging computing device 606. Other imaging devices 608 may include an optical coherence tomography (OCT) scanner.

[0047] Electronic component 600 may include positioning actuator 610. Positioning actuator 610 may include an actuator for positioning gantry 118, arm 302, sliding base 504, or other components of operating room equipment 100.

[0048] The electronic component 600 may include one or more displays 612, such as some or all of the display 122, the display 130, the display 300, and the display 514. The electronic component 600 may include a phacoemulsification-vitrectomy vacuum pump 614. The electronic component 600 may also include a control panel 114.

[0049] The electronic components 600 may include the electronic components 616 of the surgical chair 126. These electronic components 616 may include a scanner 518, a foot control 520, and possible actuators 618 for adjusting the position and orientation (e.g., height, forward / rearward positioning, tilt) of the surgical chair 126, as well as the position and height of the arm 510, the position of the attachments 512, 514, 516, 518, and the position of the foot control 520.

[0050] The electronic components 600 may include the electronic components of the bed 128. The bed 128 may include one or more actuators 620, such as actuators for raising and lowering the platform 128a of the bed 128 or for changing the angles of the various portions of the platform. The electronic components of the bed 128 may include sensors 622, such as sensors for detecting whether the bed 128 is connected to the plug 400, the position of the platform 128a of the bed 128, or other properties of the bed 128. The electronic components may further include a storage device 624. As described above, the storage device 624 may be a separate storage device, or may be incorporated into a computing device housed within the bed 128.

[0051] Various other electronic components 600 may be combined. For example, the electronic components 600 may include sensors for monitoring the surgeon's stress and a computing device (which may be the control computing device 604) programmed to receive and process the output of these sensors. The electronic components may include sensors for monitoring the patient's vital signs and stress and a computing device (which may be the control computing device 604) programmed to receive and process the output of these sensors. The output from any of these sensors may be used to generate content displayed on any of the displays 122, 130, 300, 514, or an output on another output of the device, such as an output emitted by a speaker. The sensors for monitoring the patient's vital signs and stress may include a galvanic skin response wristband, which may include other physiological sensors, such as a heart rate sensor.

[0052] Figure 7 A method 700 is shown that can be performed using the operating room equipment 100. The method 700 can be performed by the control computing device 604 or other components of the electronic component 600. The method 700 includes detecting the docking of the patient bed 128 with the plug 400 at step 702. Step 702 can include detecting the storage device 624 connected to the plug 400. The method 700 includes retrieving patient data from the storage device 624 of the patient bed 128 at step 704. As described above, the patient data can include a treatment plan for an ophthalmic surgery to be performed using the operating room equipment 100. The patient data can additionally or alternatively include preoperative diagnosis and analysis. In particular, the surgical microscope 120 in combination with the imaging computing device 606 can display guidance for performing ophthalmic surgery on one or more displays 612 or on an internal display of the surgical microscope 120.

[0053] The method may further include uploading the surgeon's preferences to position the platform 128a of the bed 128 at step 708. Step 708 may include (a) uploading the preferences to the bed 128 (e.g., a computing device incorporated into the bed), which will then implement the preferences by activating the bed's actuator 620, or (b) controlling the computing device 604 to send a control signal to the actuator 620 to implement the surgeon's preferences. In this way, the surgeon can ensure that the patient is positioned at a preferred height when performing an ophthalmic procedure without having to manually adjust the height of the platform 128a of the bed 128. The actuator 620 may control other components of the bed 128, such as headrest position, spinal support positioning, and knee pad positioning.

[0054] In some embodiments, the method 700 further includes uploading the post-operative data to the storage device 624 of the patient bed 128 at step 710, thereby ensuring that a copy of the post-operative data is created and associated with the patient.

[0055] The apparatus and method described above provide the following advantages:

[0056] • Reduced floor space usage because components are incorporated into a central base 108 and connected to a common power bus.

[0057] •Improved ergonomics due to height-adjustable lifting frame 118 and improved surgical chair 126.

[0058] • Costs are reduced because many surgical equipment items are combined into a single, self-contained support structure that does not require modification of the operating room itself and can be acquired as a single unit.

[0059] •Integrate various equipment items into a single, self-contained structure, thereby improving safety by reducing clutter and trip hazards from exposed wires and tubes.

[0060] • Because equipment items (including various displays and surgical equipment mounted to the gantry 118) do not need to be moved or provided with adjustable mounting points as discussed above, these equipment items can be easily moved into and out of the surgical field with little effort, thereby improving workflow.

[0061] • Improved data security because patient data is stored within the bed 128 and transmitted without a wireless connection.

[0062] • Due to the rigidity of the boom 106 and the weight of the center base 108 (including the weight of the electronic components housed in the center base 108), image stability is improved and faster image stabilization speed is achieved.

[0063] • Noise reduction due to fans being housed within the central base 108 and lateral bases 110a, 110b and due to rear facing exhaust vents.

[0064] • Tube management is improved by integrating the phacoemulsification-vitrectomy pump 614 into the center base 108, integrating the control panel 114 into the boom 106, and incorporating the ring 512 into the surgical chair 126.

[0065] • Modular design where various surgical equipment items can be selectively mounted to the crane 118 or surgical chair 126.

[0066] • The surgical chair 126 has integrated and adjustable mounting points for holding multiple surgical equipment items in an ergonomic position.

[0067] Additional considerations

[0068] The foregoing description is provided to enable any person skilled in the art to practice the various embodiments described herein. Various modifications to these embodiments are clear to those skilled in the art, and the general principles defined herein may be applied to other embodiments. For example, without departing from the scope of the present disclosure, the functions and arrangements of the elements discussed may be changed. Various examples may appropriately omit, replace or add various programs or components. In addition, the features described with respect to some examples may be combined in some other examples. For example, any number of aspects set forth herein may be used to implement a device or practice method. In addition, the scope of the present disclosure is intended to cover such devices or methods practiced using other structures, functions, or structures and functions in addition to or different from the various aspects of the present disclosure set forth herein. It should be understood that any aspect of the present disclosure disclosed herein may be embodied by one or more elements of a claim.

[0069] As used herein, a phrase referring to "at least one of" a list of items refers to any combination of those items, including single members. For example, "at least one of a, b, or c" is intended to cover any combination of a, b, c, ab, ac, bc, and abc, as well as multiples of the same element (e.g., aa, aaa, aab, aac, abb, acc, bb, bbb, bbc, cc, and ccc or any other order of a, b, and c).

[0070] As used herein, the term "determining" encompasses a wide variety of actions. For example, "determining" may include calculating, computing, processing, deriving, investigating, searching (e.g., searching in a table, database, or other data structure), ascertaining, etc. Also, "determining" may include receiving (e.g., receiving information), accessing (e.g., accessing data in a memory), etc. Also, "determining" may include resolving, selecting, choosing, establishing, etc.

[0071] The method disclosed herein includes one or more steps or actions for implementing the method. Without departing from the scope of the claims, the method steps and / or actions may be interchangeable with each other. In other words, unless a specific order of steps or actions is specified, the order and / or use of specific steps and / or actions may be modified without departing from the scope of the claims. Further, the various operations of the above-mentioned method may be performed by any suitable device capable of performing the corresponding functions. These devices may include various hardware and / or software components and / or modules, including but not limited to circuits, application specific integrated circuits (ASICs) or processors. Generally, where operations are shown in the figure, those operations may have corresponding corresponding devices plus functional components with similar numbers.

[0072] The various illustrative logical blocks, modules, and circuits described in conjunction with the present disclosure may be implemented or executed with a general purpose processor, a digital signal processor (DSP), an application specific integrated circuit (ASIC), a field programmable gate array (FPGA) or other programmable logic device (PLD), discrete gate or transistor logic, discrete hardware components, or any combination thereof designed to perform the functions described herein. A general purpose processor may be a microprocessor, but in an alternative, the processor may be any commercially available processor, controller, microcontroller, or state machine. The processor may also be implemented as a combination of computing devices, for example, a combination of a DSP and a microprocessor, a plurality of microprocessors, one or more microprocessors in conjunction with a DSP core, or any other such configuration.

[0073] The processing system can be implemented with a bus architecture. Depending on the specific application and overall design constraints of the processing system, the bus may include any number of interconnecting buses and bridges. The bus may link together various circuits including a processor, a machine-readable medium, and an input / output device. A user interface (e.g., a keyboard, a display, a mouse, a joystick, etc.) may also be connected to the bus. The bus may also link various other circuits such as timing sources, peripherals, voltage regulators, power management circuits, etc., which are well known in the art and will not be described further. The processor may be implemented with one or more general and / or special processors. Examples include microprocessors, microcontrollers, DSP processors, and other circuit systems that can execute software. Those skilled in the art will recognize how to best implement the described functions of the processing system according to the specific application and the overall design constraints imposed on the entire system.

[0074] If implemented in software, the function may be stored as one or more instructions or codes on a computer-readable medium or transmitted through a computer-readable medium. Software should be broadly interpreted as instructions, data, or any combination thereof, whether referred to as software, firmware, middleware, microcode, hardware description language, or other. Computer-readable media include both computer storage media and communication media (such as any medium that facilitates the transfer of computer programs from one place to another). The processor may be responsible for managing the bus and general processing, including the execution of software modules stored on a computer-readable storage medium. The computer-readable storage medium may be connected to the processor so that the processor can read information from the storage medium and write information to the storage medium. In an alternative, the storage medium may be integrated into the processor. For example, the computer-readable medium may include a transmission line, a carrier modulated by data, and / or a computer-readable storage medium on which instructions separated from a wireless node are stored, all of which may be accessed by the processor through a bus interface. Alternatively or in addition, the computer-readable medium or any part thereof may be integrated into the processor, such as in the case of a cache and / or a general register file. For example, examples of machine-readable storage media may include RAM (random access memory), flash memory, ROM (read-only memory), PROM (programmable read-only memory), EPROM (erasable programmable read-only memory), EEPROM (electrically erasable programmable read-only memory), registers, magnetic disks, optical disks, hard drives, or any other suitable storage media, or any combination thereof. Machine-readable media may be embodied in a computer program product.

[0075] A software module may include a single instruction or multiple instructions, and may be distributed over several different code segments, between different programs, and across multiple storage media. A computer-readable medium may include multiple software modules. A software module includes instructions that, when executed by a device such as a processor, cause a processing system to perform various functions. A software module may include a transmission module and a reception module. Each software module may exist in a single storage device, or may be distributed across multiple storage devices. For example, when a triggering event occurs, a software module may be loaded from a hard drive into a RAM. During the execution of a software module, a processor may load some instructions into a cache to increase access speed. Then, one or more cache lines may be loaded into a general register file for execution by the processor. When referring to the function of a software module, it should be understood that such function is implemented by the processor when executing instructions from the software module.

[0076] The following claims are not intended to be limited to the embodiments shown herein, but are to be given the full scope consistent with the language of the claims. In the claims, unless otherwise specified, reference to a singular element is not intended to mean "one and only one", but "one or more". Unless otherwise specifically stated, the term "some" refers to one or more. According to 35 U.S.C. §112 (f), the elements of any claim will not be interpreted unless the phrase "device for..." is used to expressly recite these elements, or in the case of a method claim, the phrase "step for..." is used to recite these elements. All structural and functional equivalents of the elements of the various aspects described throughout this disclosure that are known or will be known to those of ordinary skill in the art are expressly incorporated herein by reference and are intended to be covered by the claims. In addition, whether or not such disclosure is explicitly recited in the claims, the content disclosed herein is not intended to be dedicated to the public.

Claims

1. An operating room device, comprising: a base for resting on the floor; a boom extending upwardly from the base and outwardly from the base in a forward direction; a crane frame suspended from the boom and having three or more degrees of freedom; a surgical instrument mounted to the lifting frame; as well as One or more electrical components are mounted in the base, the electrical components configured to support performance of an ophthalmic procedure.

2. The operating room equipment according to claim 1, wherein: The one or more electrical components include a vacuum pump.

3. The operating room apparatus of claim 2, further comprising a control panel mounted to the boom and facing the forward direction, the control panel defining a connector for coupling a tube to the vacuum pump and defining controls for controlling the operation of the vacuum pump.

4. The operating room equipment according to claim 1, wherein: The one or more electrical components include a computing device.

5. The operating room equipment according to claim 4, wherein: The surgical instrument includes a surgical microscope, and the computing device is configured to process images from the surgical microscope.

6. The operating room apparatus of claim 1, further comprising a vent on a surface of the base facing in a rearward direction, the rearward direction being opposite to the forward direction.

7. The operating room equipment according to claim 1, wherein: The base is a central base, and the first lateral base and the second lateral base are fixed to the central base, the central base is between the first lateral base and the second lateral base, and when the central base is placed on the floor, the first lateral base and the second lateral base are configured to rest on the floor and extend outward from the base in the forward direction.

8. The operating room equipment according to claim 1, wherein: The base contains ballast.

9. The operating room equipment according to claim 1, wherein: The crane has six degrees of freedom.

10. The operating room apparatus according to claim 1, further comprising: A rotatable member is fixed to the boom and the gantry is suspended from the rotatable member.

11. The operating room apparatus of claim 10, further comprising a shaft slidably and rotatably mounted to the rotatable member, the jack being mounted to the shaft.

12. The operating room apparatus of claim 1, further comprising: a first electrical coupler connected to the one or more electrical components; as well as A hospital bed housing a storage device, the bed comprising a second electrical coupler connected to the storage device and configured to engage the first electrical coupler.

13. The operating room apparatus according to claim 12, wherein: The one or more electrical components include a computing device configured to: detecting connection between the second electrical connector and the first electrical connector; as well as In response to detecting connection of the second electrical coupler to the first electrical coupler, patient data is downloaded from the storage device.

14. The operating room apparatus of claim 1, further comprising: a curved track, the curved track being used to rest on the floor; a sliding base, the sliding base being mounted to the arc track and being able to slide along the arc track; A seat is mounted to the sliding base.

15. The operating room apparatus of claim 14, one or more arms rotatably mounted to the sliding base, the one or more arms having secured thereto a ring for supporting any of a phacoemulsification-vitrectomy handpiece, a display device, an instrument holder, and a scanner.

16. The operating room apparatus of claim 14, further comprising one or more foot controls mounted to the sliding base.

17. The operating room apparatus according to claim 16, wherein: The foot control is configured to control the surgical instrument.

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