The present application claims priority to and the benefit of Switzerland Patent Application 070793/2021 filed Dec. 23, 2021, which is incorporated by reference in its entirety herein.
The present disclosure relates to an ophthalmological device for processing a curved treatment face in eye tissue. In particular, the present disclosure relates to an ophthalmological device comprising a laser source configured to generate a pulsed laser beam, a focussing optical module configured to make the pulsed laser beam converge onto a focal spot in or on the eye tissue, and a scanner system configured to move the focal spot to target locations in or on the eye tissue.
For the purposes of working on eye tissue by means of a laser beam, a work region is scanned by laser pulses by virtue of the pulsed laser beam being deflected in one or more scan directions by means of suitable scanner systems and converged onto a focal spot by a focussing optical module. In general, movable mirrors are used to deflect the light beams and/or the laser pulses, for example femtosecond laser pulses, said movable mirrors being pivotable about one or two scan axes, for example by way of galvano scanners, piezo scanners, polygon scanners, or resonance scanners. Further scan components, such as divergence modulators or z-modulators, are known for positioning and moving the focal spot in the eye tissue with respect to further scan axes.
U.S. Pat. No. 7,621,637 describes an apparatus for working on eye tissue, said apparatus having a base station with a laser source for producing laser pulses and a scanner, arranged in the base station, with movable deflection mirrors for deflecting the laser pulses in a scan direction. The deflected laser pulses are transferred via an optical relay system from the base station to an application head, the latter passing over a work region according to a scan pattern by means of a mechanically moved projection optical unit. According to U.S. Pat. No. 7,621,637, in the application head, the deflection in the scan direction, which is much faster in comparison with the mechanical movement, is overlaid onto the mechanical movement of the projection optical unit and consequently onto the scan pattern thereof. A fast scanner system in the base station facilitates a fine movement of the laser pulses (micro-scan), which is overlaid on the scan pattern of the (mechanically) movable projection optical unit that covers a large work region, for example the entire eye.
For processing curved treatment faces in the eye tissue, e.g. for generating curved incision faces in the eye tissue, ophthalmological devices use scanner systems with multiple scan axes and various actuators for producing rotational and translational actuation associated respectively with the scan axes. With the increase of flexibility and performance, these scanner systems made it possible to define and produce three-dimensionally curved treatment faces and volumes of almost any possible shape in the eye tissue. Nevertheless, as the scanner systems and their actuators do have performance limits, there remains a risk that the processing of curved treatment faces in the eye tissue exceeds the performance limits of individual components of the scanner systems, thereby overcharging the scanner system, particularly by exceeding the capabilities of known z-scanners which modulate the focal depth in projection direction, which leads to undesired alteration of the intended treatment and possibly dangerous and harmful consequences to a patient's eye.
The present disclosure proposes an ophthalmological device for processing a curved treatment face in eye tissue using a scanner system to move a focal spot of a pulsed laser beam, which device does not have at least some of the disadvantages of the prior art. Particularly, the present disclosure proposes an ophthalmological device for processing a curved treatment face in eye tissue, which device avoids overcharging z-scanners which modulate focal depth.
According to the present disclosure, these advantages are achieved by the features of the independent claims. Moreover, further advantageous embodiments emerge from the dependent claims and the description.
An ophthalmological device for processing a curved treatment face in eye tissue comprises a laser source configured to generate a pulsed laser beam; a focussing optical module configured to make the pulsed laser beam converge onto a focal spot in or on the eye tissue; a scanner system with a z-scanner, configured to modulate a depth of the focal spot along the projection axis, and an x/y-scanner system, configured to move the focal spot in directions normal to the projection axis; and a circuit configured to control the scanner system to move the focal spot to target locations on the curved treatment face along a processing path defined by treatment control data.
According to the present disclosure, the above-mentioned objects are particularly achieved in that the scanner system comprises a first z-scanner, configured to modulate a depth of the focal spot along the projection axis with first scan performance characteristics, indicating the dynamic depth scanning capabilities of the first z-scanner, a second z-scanner, configured to modulate the depth of the focal spot along the projection axis with second scan performance characteristics, indicating the dynamic depth scanning capabilities of the second z-scanner, whereby the dynamic depth scanning capabilities of the second z-scanner are greater than the dynamic depth scanning capabilities of the first z-scanner; and the circuit is further configured to determine from the treatment control data a depth scanning requirement, representing modulation of the depth of the focal spot along the processing path defined by the treatment control data, to divide the depth scanning requirement into a first depth scanning component for the first z-scanner and a second depth scanning component for the second z-scanner, to control the first z-scanner using the first depth scanning component, and to control the second z-scanner using the second depth scanning component.
In an embodiment, the circuit is configured to determine the first depth scanning component and the second depth scanning component, using the first scan performance characteristics and the second scan performance characteristics.
In an embodiment, the circuit is configured to determine from the treatment control data a spherical component of the curved treatment face and a complementary component for the curved treatment face, the complementary component complementing the spherical component to make up the curved treatment face, and to divide the depth scanning requirement into the first depth scanning component, as required for the modulation of the depth of the focal spot for the spherical component, and the second depth scanning component, as required for the modulation of the depth of the focal spot for the complementary component.
In an embodiment, determining the depth scanning requirement includes determining the required dynamics of the modulation of the depth of the focal spot along the processing path defined by the treatment control data; and the circuit is configured to determine the first depth scanning component using the first scan performance characteristics and the required dynamics, and to determine the second depth scanning component using the second scan performance characteristics and the required dynamics.
In an embodiment, the required dynamics comprise a required depth scanning speed, a required depth scanning frequency, a required amplitude of depth modulation at a particular speed of the depth modulation, a required amplitude of depth modulation at a particular frequency of the depth modulation, a required acceleration of the depth modulation, and/or a required speed of the acceleration of the depth modulation.
In an embodiment, the circuit is configured to determine the depth scanning feasibility by checking whether the depth scanning requirement is achievable for the required dynamics, without exceeding the dynamic depth scanning capabilities of the first z-scanner and/or the dynamic depth scanning capabilities of the second z-scanner, and to adjust the treatment control data to reduce or vary a speed of moving the focal spot along the processing path, in case the depth scanning feasibility is not affirmed.
In an embodiment, the circuit is configured to determine the depth scanning feasibility by computing a simulation of moving the focal spot along the processing path, defined by the treatment control data, using the first depth scanning component and the second depth scanning component.
In an embodiment, the circuit is configured to perform the depth scanning feasibility by controlling the scanner system to move the focal spot along the processing path, defined by the treatment control data, using the first depth scanning component and the second depth scanning component, while setting the laser source to a deactivated state and/or a reduced energy without any effect to the eye tissue.
In an embodiment, the first scan performance characteristics include a first maximum depth scanning speed or frequency; the second scan performance characteristics include a second maximum depth scanning speed or frequency which is faster than the first maximum depth scanning speed or frequency; and the circuit is configured to determine the first depth scanning component using the first maximum depth scanning speed or frequency, and to determine the second depth scanning component using the a second maximum depth scanning speed or frequency.
In an embodiment, the first scan performance characteristics include a first maximum amplitude of depth modulation at a particular speed or frequency of the depth modulation; the second scan performance characteristics include a second maximum amplitude of depth modulation at the particular speed or frequency of the depth modulation, the second maximum amplitude of depth modulation being smaller than the first maximum amplitude of depth modulation in a comparatively lower dynamic performance range, and the second maximum amplitude of depth modulation being greater than the first maximum amplitude of depth modulation in a comparatively higher dynamic performance range; and the circuit is configured to determine the first depth scanning component using the first maximum amplitude of depth modulation, and to determine the second depth scanning component using the second maximum amplitude of depth modulation.
In an embodiment, the first scan performance characteristics include a first maximum acceleration of the depth modulation, and/or a first maximum speed of the acceleration of the depth modulation; the second scan performance characteristics include a second maximum acceleration of the depth modulation, greater than the first maximum acceleration of the depth modulation, and/or a second maximum speed of the acceleration of the depth modulation, greater than the first maximum speed of the acceleration of the depth modulation; and the circuit is configured to determine the first depth scanning component, using the first maximum acceleration or the first maximum speed of the acceleration, and to determine the second depth scanning component, using the second maximum acceleration or the second maximum speed of the acceleration.
In an embodiment, the ophthalmological device further comprises a patient interface having a central axis and being configured to fix the focussing optical module on the eye; and the circuit is further configured, in case of a tilt of the eye with respect to the central axis of the patient interface, or vice versa, to adapt the treatment control data to tilt the curved treatment surface corresponding to the tilt of the eye, prior to determining the depth scanning requirement, and to use the adapted treatment control data to determine the depth scanning requirement and divide the depth scanning requirement into the first depth scanning component and the second depth scanning component.
In an embodiment, the scanner system is configured to move the focal spot along a spiral-shaped processing path.
In an embodiment, the x/y-scanner system comprises a first x/y-scanner, configured to move the focal spot with a feed speed along a feed line of the processing path, and the x/y-scanner system comprises a second x/y-scanner, configured to move the focal spot with a scan speed, which is higher than the feed speed, along a scan line extending transversely with respect to the feed line of the processing path.
In an embodiment, the first z-scanner comprises a first actuator, the second z-scanner comprises a second actuator, and the circuit is configured to determine a phase difference between actuation by the first actuator and actuation by the second actuator, and to generate, for the first depth scanning component, a first control signal for the first actuator and, for the second depth scanning component, a second control signal for the second actuator, using the phase difference.
In addition to the ophthalmological device for processing a curved treatment face in eye tissue, the present disclosure further relates to a computer program product, particularly, a computer program product comprising a non-transitory computer-readable medium having stored thereon computer program code for controlling a processor of an ophthalmological device for processing a curved treatment face in eye tissue. The ophthalmological device comprises a laser source configured to generate a pulsed laser beam, a focussing optical module configured to make the pulsed laser beam converge onto a focal spot in the eye tissue, and a scanner system comprising a first z-scanner, configured to modulate a depth of the focal spot along the projection axis with first scan performance characteristics, indicating dynamic depth scanning capabilities of the first z-scanner, a second z-scanner, configured to modulate the depth of the focal spot along the projection axis with second scan performance characteristics, indicating dynamic depth scanning capabilities of the second z-scanner, whereby the dynamic depth scanning capabilities of the second z-scanner are greater than the dynamic depth scanning capabilities of the first z-scanner, and an x/y-scanner system configured to move the focal spot in directions normal to the projection axis. The computer program code is configured to control the processor such that the processor: uses treatment control data to control the scanner system to move the focal spot in the eye tissue to target locations along a processing path, defined by the treatment control data to process a curved treatment face in the eye tissue; determines from the treatment control data a depth scanning requirement, representing modulation of the depth of the focal spot along the processing path defined by the treatment control data; divides the depth scanning requirement into a first depth scanning component for the first z-scanner and a second depth scanning component for the second z-scanner; controls the first z-scanner using the first depth scanning component; and controls the second z-scanner using the second depth scanning component.
The present disclosure will be explained in more detail, by way of example, with reference to the drawings in which:
In
As illustrated schematically in
The ophthalmological device 1 further comprises an electronic circuit 10 for controlling the laser source 11 and the scanner system 13. The electronic circuit 10 implements a programmable control device and comprises e.g. one or more processors 100 with program and data memory and programmed software modules for controlling the processors 100, and/or other programmable circuits or logic units such as ASICs (application specific integrated circuits) or the likes. In an embodiment, a functional part of the electronic circuit 10 is arranged in a separate housing and implements a further programmable control device 10*, e.g. a computer system, comprising e.g. one or more processors 100* with program and data memory and programmed software modules for controlling the processors 100*, and/or other programmable circuits or logic units such as ASICs or the like. Reference numeral 17 refers to a communication link enabling communication between the processors 100, 100* or other programmable circuits or logic units of the electronic circuit 10. Depending on the embodiment and/or configuration, the communication link 17 comprises one or more electrical connections, an electronic bus, a wired communication network, and/or a wireless communication network.
The laser source 11 comprises a femtosecond laser for producing femtosecond laser pulses, which have pulse widths of typically 10 fs to 1000 fs (1 fs=10−15 s). The laser source 11 is arranged in a separate housing or in a housing shared with the focusing optical module 12.
The focusing optical module 12 is configured to focus the pulsed laser beam B or the laser pulses, respectively, onto a focal spot S in or on the eye tissue, i.e. for making the pulsed laser beam B converge to a focus or focal spot in or on the eye tissue. The focusing optical module 12 comprises one or more optical lenses. In an embodiment, the focusing optical module 12 comprises a focus adjustment device for setting the focal depth of the focal spot S, for example one or more movable lenses, in the focusing optical module 12 or upstream of the focusing optical module 12, or a drive for moving the entire focusing optical module 12 along the projection axis p (z-axis). By way of example, the focusing optical module 12 is installed in an application head 14, which can be placed onto the eye 2. The person skilled in the art will understand that in cases where the focusing optical module 12 is adjusted (focus) or moved as part of the scanning process or scanning actuation, the focusing optical module 12 and associated drives (actuators) 1310 can be viewed and considered as parts of the scanner system 13, implementing a z-scanner 131 configured to modulate the depth z of the focal spot S along the projection axis p.
As illustrated schematically in
In an embodiment, the ophthalmological device 1 further comprises a measurement system 19 configured to determine positional reference data of the cornea 20. Depending on the embodiment, the measurement system 19 comprises a video capturing system, an optical coherence tomography (OCT) system, and/or a structured light illumination system. Accordingly, the measurement data or positional reference data determined by the measurement system 19 includes video data, including top view data (comprising two-dimensional images), and/or OCT data of the cornea 20 (comprising three-dimensional tomography data). The measurement system 19 is configured to determine the positional reference data of the cornea 20 also in an applanated state of the cornea 20. The measurement system 19 is connected to and/or integrated with the electronic circuit 10 which is further configured to control the scanner system 13, using the positional reference data from the measurement system 19.
Aside from the optional positional reference data from the measurement system 19, the electronic circuit 10 is configured to use treatment control data to control the scanner system 13 to move the focal spot S in or on the eye tissue to target locations along a processing path t defined by the treatment control data to process the curved treatment face C in and/or on the eye tissue. The treatment control data is stored in the data memory and/or data store of the electronic circuit 10 and/or received via a communication link 17 from a separate computer system.
Essentially, the treatment control data defines the treatment pattern with the processing path t along which the scanner system 13 is to move the focal spot S for processing the curved treatment face C in the eye tissue. In effect, the treatment control data or the processing path t, respectively, define a sequence of consecutive target locations in a three-dimensional x/y/z-space for processing a three-dimensional curved treatment face C in eye tissue. Depending on the embodiment and/or configuration, for defining the processing path t, the treatment control data comprises path definition data, e.g. coordinates, positions, positional references, etc., and/or path processing data, e.g. instructions, operations, and/or procedures for the scanner system 13 and its components, described below in more detail. As illustrated schematically in
Processing the curved treatment face C imposes scanning requirements that must be met by a scanner system 13. More specifically, the scanning requirements are determined by the dynamics involved in moving the focal spot S along the processing path t, defined by the treatment control data, for processing the curved treatment face C. The dynamics include the speed with which a focal spot is to be placed and moved along the processing path and the distances that must be covered by the focal spot within a given time, at a defined speed, with a defined acceleration, and/or with a defined speed of acceleration (jerk/jump). The scanning requirements include a depth scanning requirement, representing the required modulation of the depth z of the focal spot S when moved along the processing path t defined by the treatment control data. The depth scanning requirement includes the dynamics required for the modulation of the depth z of the focal spot S along the processing path t defined by the treatment control data. The required depth scanning dynamics comprise the required depth scanning speed, the required depth scanning frequency, the required amplitude of depth modulation at a particular speed of the depth modulation, the required amplitude of depth modulation at a particular frequency of the depth modulation, the required acceleration of the depth modulation, and/or the required speed of the acceleration of the depth modulation.
The scanner system 13 is configured to move the focal spot S to target locations in or on the eye tissue by guiding and directing the pulsed laser beam B and thus the focal spot S to target locations in or on the eye tissue.
As illustrated schematically in
As illustrated schematically in
The x/y-scanner system 133 comprises one or more scanner devices 1331, 1332, also referred to as slow scanner devices, configured to guide and direct the pulsed laser beam B and thus the focal spot S along processing the path t or a feed line w thereof, e.g. a spiral shaped feed line w, in a x/y-work-plane which is normal to the z-axis, whereby the z-axis is aligned with or essentially parallel to the projection axis p of the focusing optical module 12, as illustrated schematically in
The electronic circuit 10 is configured to control in a synchronized fashion the x/y-scanner system 133 and the z-scanners 131, 132 to move the focal spot S along a processing path t or a feed line w in the three-dimensional x/y/z-space, e.g. a spiral shaped processing path t or feed line w in the three-dimensional x/y/z-space.
In an embodiment with a composite processing path t, the scanner system 13 comprises one or more further scanner devices 130, also referred to as fast scanner devices, configured to guide and direct the pulsed laser beam B and thus the focal spot S along a scan line r at a scanning speed that is comparatively faster than the scanning speed of the aforementioned slow scanner devices 1331, 1332. For example, the fast scanner device 130 comprises a polygon scanner or a resonant scanner. The fast scanner device 130 is configured to move the focal spot S, overlaid on the movement along the feed line w, along a scan line r that runs transversal to the feed line w, in other words, it runs through the feed line w, at an angle to the feed line w, as illustrated in
As illustrated schematically in
In an embodiment, the scanner system 13 further comprises an optional length modulator 134 configured to modulate the length d of the scan line r. For example, the length modulator 134 comprises an adjustable shutter device arranged downstream of the fast scanner device 130. For example, the length d of the scan line r is adjusted by controlling the length modulator 134, e.g. the shutter device, to let through a set number of laser pulses from the fast scanner device 130 for producing a corresponding number of focal spots S. The electronic circuit 10 is configured to control the length modulator 134 to adjust the length d of the scan line r with respect to the shape of the curved treatment face C to be processed, as illustrated schematically in
The synchronized combination of the movement of the focal spots S along the feed line w in the x/y/z-space by the x/y-scanner system 133 and the z-scanners 131, 132, with the overlaid movement of the focal spots S along the scan line r by the fast scanner device 130, and the tilting of the scan line r with a tilting angle α from the x/y-plane by the z-scanners 131, 132 or the further divergence-modulator, and optionally the adjustment of the length d of the scan line r by the length modulator 134, as illustrated in
Various further and more specific embodiments of the scanner system 13 are described by the applicant in patent applications US 2019/0015250, US 2019/0015251, and US 2019/0015253 which are hereby incorporated by reference.
For moving the focal spot S along the processing path t to process the curved treatment face C, the electronic circuit 10 controls in a synchronized fashion the actuation performed by all the systems, devices, modules, and components of the scanner system 13.
The electronic circuit 10 is further configured to determine from the treatment control data individual depth scanning components z1, z2 for the z-scanners 131, 132. Specifically, the electronic circuit 10 is configured to determine from the treatment control data the depth scanning requirement, i.e. the modulation of the depth z of the focal spot S required when being moved along the processing path t defined by the treatment control data, and to divide the depth scanning requirement into individual depth scanning components z1, z2 for the z-scanners 131, 132. More specifically, the electronic circuit 10 is configured to determine the individual depth scanning components z1, z2 for the z-scanners 131, 132 taking into consideration the scan performance characteristics of the z-scanners 131, 132 with their respective dynamic depth scanning capabilities.
In the following paragraphs, described with reference to
In preparatory step S0, the electronic circuit 10 determines the scan capabilities of the scanner system 13. Particularly, in preparatory step S0, the electronic circuit 10 determines the scan performance characteristics SC1 of the first z-scanner 131, indicating the dynamic depth scanning capabilities of the first z-scanner 131, and the scan performance characteristics SC2 of the second z-scanner 132, indicating the dynamic depth scanning capabilities of the second z-scanner 132. Depending on embodiment and/or configuration, the electronic circuit 10 determines the scan capabilities, including the scan performance characteristics SC1, SC2 of the z-scanners 131, 132, by loading scanner characteristics data, e.g. as provided by the manufacturer of the scanners, or as previously measured and recorded during a performance test, or by running an actual performance test to operate the scanner system 13 in a test mode (test routine) and measure and record the scan capabilities of the scanner system 13. The scanner characteristics data, loaded and/or measured, indicates the scan capabilities of the scanner system 13, particularly the scan performance characteristics SC1, SC2 of the z-scanners 131, 132 with their respective dynamic depth scanning capabilities.
In further preparatory step S1, the electronic circuit 10 determines the treatment to be performed by the ophthalmological device 1. Depending on embodiment and/or configuration, the electronic circuit 10 determines the treatment by receiving, from a separate computer or from a user via a user interface, a selection of a predefined treatment, or by receiving treatment definitions from the user via a computer aided design (CAD) software application.
In step S2, for the treatment defined in step S1, the electronic circuit 10 determines the treatment control data for controlling the scanner system 13 to process the curved treatment face C in the eye tissue. The electronic circuit 10 determines the treatment control data for the selected treatment and/or treatment definitions received in step S1. The person skilled in the art will understand that steps S1 and S2 can be executed by the electronic circuit 10 as a combined step S12, whereby the electronic circuit 10 receives selections and definitions of a treatment and generates the treatment control data for the received selections and definitions of the treatment.
In optional step S3, the electronic circuit 10 determines the actual alignment (in situ) of the focussing optical module 12 and/or the patient interface 18 with respect to the eye 2. The actual alignment is determined in situ when the patient interface 18 is attached to the eye 2 and the focussing optical module 12 is thereby fixed on the eye 1. More specifically, the electronic circuit 10 determines the alignment of the central axis m of the patient interface 18 and the central axis q of the eye 2. In an embodiment, the electronic circuit 10 uses positional reference data from the measurement system 19 to determine the alignment.
In case there is a tilting angle φ in the alignment of the patient interface 18 and the eye 2, i.e. a tilting angle φ between the central axis m of the patient interface 18 and the central axis q of the eye 2, the electronic circuit 10 continues processing in optional step S4; otherwise, if the patient interface 18 and the eye 2 are aligned, processing continues in step S5.
In optional step S4, in case there is a tilting angle φ, the curved treatment face C to be processed in the eye tissue is to be tilted accordingly, with the same tilting angle φ between the central axis m of the patient interface 18 and the central axis of the curved treatment face C (see
In step S5, the electronic circuit 10 determines the depth scanning components z1, z2 for the z-scanners 131, 132.
In step S51, the electronic circuit 10 determines the depth scan requirement for processing the curved treatment face C, as defined by the treatment control data. More specifically, the electronic circuit 10 determines the required dynamics for modulating the depth z of the focal spot S along the processing path t defined by the treatment control data. In the example illustrated in
In step S52, the electronic circuit 10 divides the depth scanning requirement into a first depth scanning component z1 for the first z-scanner 131 and a second depth scanning component z2 for the second z-scanner 132. The electronic circuit 10 uses the scan performance characteristics SC1, SC2 of the z-scanners 131, 132, with their respective dynamic depth scanning capabilities, to divide the depth scanning requirement into the depth scanning components z1, z2 for the z-scanners 131, 132. The electronic circuit 10 further uses the depth scan requirement, determined for the curved treatment face C, particularly, the required dynamics of the depth modulation z(f), to determine the depth scanning components z1, z2 for the z-scanners 131, 132.
In an embodiment, the electronic circuit 10 determines a phase difference between actuation by the first actuator 1310 of the first z-scanner 131 and actuation by the second actuator 1320 of the second z-scanner 132. For example, the phase difference between actuation by the actuators 1310, 1320 of the z-scanners 131, 132 is determined during system calibration and/or on a periodical basis and stored in a data storage of the electronic circuit 10. The electronic circuit 10 uses this actuation phase difference for generating the control signal for the first actuator 1310 to execute the first depth scanning component z1, and for generating the control signal for the second actuator 1320 to execute the second depth scanning component z2, so that the combined depth modulation effected by the z-scanners 131, 132 corresponds to the total depth scanning requirement required when the focal spot S is moved along the processing path t defined by the treatment control data, while the depth modulation effected by the z-scanners 131, 132 in opposite direction is avoided or at least minimized.
In the example illustrated in
In an embodiment, the electronic circuit 10 determines from the treatment control data a spherical component of the curved treatment face C and a complementary component for the curved treatment face C, which complementary component complements the spherical component to make up the curved treatment face C. For example, the spherical component of the curved treatment face C corresponds to a spherical component of a refractive correction whereas the complementary component of the curved treatment face C corresponds to correction of higher order aberrations. Subsequently, the electronic circuit divides the depth scanning requirement into the first depth scanning component z1, as required for the modulation of the depth z of the focal spot S to move the focal spot S along a processing path t for processing the spherical component, and into the second depth scanning component z2, as required for the modulation of the depth z of the focal spot S to move the focal spot S along the processing path t for processing the complementary component.
The electronic circuit 10 performs a feasibility check by determining whether or not the scan requirements needed for processing the curved treatment face C, as defined by the treatment control data generated in step S2 and/or adjusted in steps S4 or S6, exceed the scan capabilities of the scanner system 13. Particularly, the electronic circuit 10 determines the depth scanning feasibility by checking whether the depth scanning requirement is achievable with the required dynamics, without exceeding the performance characteristics SC1 with the dynamic depth scanning capabilities of the first z-scanner 131 or the performance characteristics SC2 with the dynamic depth scanning capabilities of the second z-scanner 132. In case of a negative outcome of the feasibility check, which indicates that moving the focal spot S along the processing path t, defined by the treatment control data, exceeds the scan capabilities of the scanner system 13, the electronic circuit 10 continues processing in step S6. Particularly, if the depth scanning requirement cannot be met with the performance characteristics SC1, SC2 of the z-scanners 131, 132, the electronic circuit 10 proceeds in step S6.
Depending on the embodiment and/or selected configuration, performing the feasibility check includes the electronic circuit 10 computing and executing a simulation or a “dry run” of moving the focal spot S along the processing path t defined by the treatment control data.
In the case of the computer simulation of moving the focal spot S along the processing path t, the electronic circuit 1 simulates the movement of the focal spot S using the treatment control data and the determined depth scanning components z1, z2 to drive a computer model and/or simulation algorithms of the scanner system 13, particularly of the of the z-scanners 131, 132, whereby the computer model uses the scan capabilities of the scanner system 13, particularly the performance characteristics SC1, SC2 of the z-scanners 131, 132.
In case of the “dry run” of moving the focal spot S along the processing path t, the electronic circuit 1 sets the laser source 11 to a deactivated state or a reduced energy level, without any (lasting) effect to the eye tissue, and then uses the treatment control data and the determined depth scanning components z1, z2 to control the scanner system 13, particularly the z-scanners 131, 132, to move the focal spot S or the virtual or imaginary focal spot, respectively, along the processing path t, defined by the treatment control data, to perform a “dry run” of processing the curved treatment face C in the eye tissue.
In both cases, the electronic circuit 10 determines the scan requirements, particularly the depth scanning requirement, used for processing the curved treatment face C defined by the treatment control data. In other words, the electronic circuit 10 determines the scan dynamics required of the scanner system 13, particularly of the z-scanners 131, 132, for moving the focal spot S along the processing path t, defined by the treatment control data.
For assessing feasibility, the electronic circuit 10 checks for the scanner system 13, particularly of the z-scanners 131, 132, whether the required scan dynamics for moving the focal spot S along the processing path t, defined by the treatment control data, exceed the performance characteristics the scanner system 13, particularly of the performance characteristics SC1, SC2 of the z-scanners 131, 132.
In step S6, the electronic circuit 10 generates an alarm signal and/or adjusts the treatment control data. The alarm signal comprises, an acoustic, an optical, and/or an electronic signal, the latter being usable for triggering and initiating emergency measures in an external system. The alarm signal may further comprise an error message for the operator, e.g. indicating the cause or reason for the failed plausibility check and/or indicating possible measures for improving plausibility. For example, the alarm signal may signal to the operator that restarting the procedure with a different position and/or alignment of the patient interface 18 is necessary to proceed. Adjusting the treatment control data comprises the electronic circuit 10 changing the treatment control data such that the scan requirements, particularly the depth scanning requirement, no longer exceed the scan capabilities of the scanner system 13, particularly the performance characteristics SC1, SC2 of the z-scanners 131, 132. For example, the electronic circuit 10 reduces or varies the speed of moving the focal spot S along the processing path t, to avoid that moving the focal spot S along the processing path t, defined by the treatment control data, exceeds the scan capabilities of the scanner system 13, particularly the performance characteristics SC1, SC2 of the z-scanners 131, 132. Alternatively, the treatment control data is adjusted by altering the processing path t, e.g. its shape, to reduce the scan requirements for a modified curved treatment face C. In addition or alternatively, the electronic circuit 10 alters the processing path t for a modified curved treatment face C, which differs from the initial curved treatment face, defined by the initial treatment control data, only by a maximum deviation threshold, as defined by numerical or ophthalmological criteria, such as a threshold of reduced refractive correction. As illustrated in
In case of a positive outcome of the feasibility check, which indicates that moving the focal spot S along the processing path t, defined by the treatment control data, does not exceed the scan capabilities of the scanner system 13, the electronic circuit 10 continues processing in step S7.
In step S7, the electronic circuit 10 uses the treatment control data or the adjusted treatment control data, respectively, for controlling the scanner system 13 to move the focal spot S along the processing path t defined by the treatment control data for processing the curved treatment face C in the eye tissue.
Number | Date | Country | Kind |
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070793/2021 | Dec 2021 | CH | national |