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Apparatus and method as preparation for performing a myringotomy in a child's ear without the need for anaesthesia

机译:作为无需麻醉而在孩子的耳朵中进行脑膜切开术的准备的设备和方法

摘要

A focusable imaging laser otoscope for performing laser surgery without the need for anesthesia, The apparatus includes a housing, an end member movably disposed within the housing, an imaging device attached to the housing for producing an image of a target area, an illuminating system attached to the housing for illuminating the target area, a speculum having a longitudinal axis and detachably attached to the end member, an optical system attached to the housing and having a main optical axis coaxial with the longitudinal axis of the speculum, for directing a surgical and/or an aiming laser beam from a laser source through the housing and the speculum to strike the target area and for directing image forming light rays to project an image of the target area onto the imaging device such that when the image of the target area is focused, the surgical laser beam and/or aiming laser beam are also focused on the target area, and a focusing assembly attached to the housing and to the end member for adjustably moving the end member and the speculum relative to the housing to focus the image of the target area. The otoscope may also be constructed without a focusing assembly, in which case the speculum may be detachably attached to the housing and the focusing is achieved by selecting an appropriate speculum from an available plurality of specula. The otoscope may also include a sensor system for indicating penetration of the target area. The sensor system may also automatically shut off the surgical laser after penetration of the target area.
机译:一种无需麻醉而进行激光手术的可聚焦成像激光耳镜,该设备包括:壳体;可移动地布置在壳体内的端部件;附接到壳体上的用于产生目标区域的图像的成像装置;附接有照明系统。壳体具有用于照明目标区域的窥镜,其具有纵轴并且可拆卸地附接到端部件,光学系统附接到壳体并且具有与窥镜的纵轴同轴的主光轴,用于引导外科手术和手术。 /或来自激光源的瞄准激光束穿过外壳和窥镜撞击目标区域,并引导成像光线将目标区域的图像投影到成像设备上,以便当目标区域的图像是聚焦后,手术激光束和/或瞄准激光束也聚焦在目标区域上,聚焦组件连接到外壳和末端余烬用于相对于壳体可调节地移动端构件和窥器以聚焦目标区域的图像。耳镜还可以被构造成不具有聚焦组件,在这种情况下,窥镜可以可拆卸地附接到壳体,并且通过从可用的多个窥镜中选择合适的窥镜来实现聚焦。耳镜还可以包括用于指示目标区域的穿透的传感器系统。在穿透目标区域后,传感器系统还可以自动关闭手术激光器。

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