Abstract

In this Letter, we propose an intracorporeal illumination system for providing uniform and wide-field illumination during minimally invasive surgery. The illumination system is comprised of an Alexis wound retractor, a set of LEDs, and secondary optical elements (SOEs). The SOE was composed of a Fresnel lens and a total internal reflection lens, which was designed to improve the optical performance of the LED. The results of simulation demonstrate that the optical efficiency of each LED with an SOE could be increased from 33.6% to 82.9%. To avoid damage to human tissue by thermal effect, the number of LEDs with SOEs was optimized. The results indicate that our design to be applicable for practical surgery.

© 2014 Optical Society of America

Full Article  |  PDF Article

References

  • View by:
  • |
  • |
  • |

  1. U. R. Shettigar, J. Membr. Sci. 44, 89 (1989).
    [CrossRef]
  2. Berchtold, http://www.berchtold.biz/de/node/1950 .
  3. J. W. Collins and N. P. Wiklund, Eur. Urol. 63, 644 (2013).
    [CrossRef]
  4. F. S. Tsai, D. Johnson, S. H. Cho, W. Qiao, A. Arianpour, and Y. H. Lo, in Proceedings of IEEE Conference on Engineering in Medicine, and Biology Society (IEEE, 2009), pp. 4081–4084.
  5. Applied Medical, http://www.apliedmedical.com/Products/Alexis.aspx .
  6. B. Siegal, in Proceedings of IEEE International Electronics Manufacturing Technology Conference (IEEE, 2007), pp. 62–66.
  7. A. Prabath, The Building Environment: Active and Passive Control Systems (Wiley, 2006), Chap. 1.
  8. Lighttools, CYBERNET SYSTEMS TAIWAN Co. Ltd., http://www.opticalres.com/ .
  9. Chi Mei Hospital, http://www.chimei.org.tw/ .
  10. G. Simon and G. Gamsu, Am. J. Roentgenol. 128, 239 (1977).
    [CrossRef]
  11. Nichia NS2W157ART-H3, http://www.nichia.co.jp/specification/en/product/led/NS2W157AR-H3-E.pdf .
  12. IEC Standard Danmark, http://www.dmts.dk/kongres/09/IEC%20STANDARD%20DENMARK.pdf .
  13. J. W. Pan, S. H. Tu, C. M. Wang, and J. Y. Chang, Appl. Opt. 47, 3406–3414 (2008).
  14. J. Y. Joo, C. S. Kang, S. S. Park, and S. K. Lee, Opt. Express 17, 23449 (2009).
    [CrossRef]
  15. R. Leutz and A. Suzuki, Nonimaging Fresnel Lenses (Springer, 2001), Chap. 4.
  16. J. W. Pan, J. Y. Huang, C. M. Wang, H. F. Hong, and Y. P. Liang, Opt. Commun. 284, 4283 (2011).
    [CrossRef]
  17. Y. Guiying, D. Shushu, J. Ji, and G. Tiantai, Proc. SPIE 8321, 832110 (2011).
    [CrossRef]
  18. J. J. Chen and C. T. Lin, Proc. SPIE 49, 093001 (2010).
  19. J. J. Chen, T. Y. Wang, K. L. Huang, T. S. Liu, M. D. Tsai, and C. T. Lin, Opt. Express 20, 10984 (2012).
    [CrossRef]
  20. C. Dorronsoro, D. Cano, J. Merayo-Lloves, and S. Marcos, Opt. Express 14, 6142 (2006).
    [CrossRef]
  21. LedLink, http://www.ledlink-optics.com/ProductsHomeLED.aspx .

2013 (1)

J. W. Collins and N. P. Wiklund, Eur. Urol. 63, 644 (2013).
[CrossRef]

2012 (1)

2011 (2)

J. W. Pan, J. Y. Huang, C. M. Wang, H. F. Hong, and Y. P. Liang, Opt. Commun. 284, 4283 (2011).
[CrossRef]

Y. Guiying, D. Shushu, J. Ji, and G. Tiantai, Proc. SPIE 8321, 832110 (2011).
[CrossRef]

2010 (1)

J. J. Chen and C. T. Lin, Proc. SPIE 49, 093001 (2010).

2009 (1)

2008 (1)

2006 (1)

1989 (1)

U. R. Shettigar, J. Membr. Sci. 44, 89 (1989).
[CrossRef]

1977 (1)

G. Simon and G. Gamsu, Am. J. Roentgenol. 128, 239 (1977).
[CrossRef]

Arianpour, A.

F. S. Tsai, D. Johnson, S. H. Cho, W. Qiao, A. Arianpour, and Y. H. Lo, in Proceedings of IEEE Conference on Engineering in Medicine, and Biology Society (IEEE, 2009), pp. 4081–4084.

Cano, D.

Chang, J. Y.

Chen, J. J.

Cho, S. H.

F. S. Tsai, D. Johnson, S. H. Cho, W. Qiao, A. Arianpour, and Y. H. Lo, in Proceedings of IEEE Conference on Engineering in Medicine, and Biology Society (IEEE, 2009), pp. 4081–4084.

Collins, J. W.

J. W. Collins and N. P. Wiklund, Eur. Urol. 63, 644 (2013).
[CrossRef]

Dorronsoro, C.

Gamsu, G.

G. Simon and G. Gamsu, Am. J. Roentgenol. 128, 239 (1977).
[CrossRef]

Guiying, Y.

Y. Guiying, D. Shushu, J. Ji, and G. Tiantai, Proc. SPIE 8321, 832110 (2011).
[CrossRef]

Hong, H. F.

J. W. Pan, J. Y. Huang, C. M. Wang, H. F. Hong, and Y. P. Liang, Opt. Commun. 284, 4283 (2011).
[CrossRef]

Huang, J. Y.

J. W. Pan, J. Y. Huang, C. M. Wang, H. F. Hong, and Y. P. Liang, Opt. Commun. 284, 4283 (2011).
[CrossRef]

Huang, K. L.

Ji, J.

Y. Guiying, D. Shushu, J. Ji, and G. Tiantai, Proc. SPIE 8321, 832110 (2011).
[CrossRef]

Johnson, D.

F. S. Tsai, D. Johnson, S. H. Cho, W. Qiao, A. Arianpour, and Y. H. Lo, in Proceedings of IEEE Conference on Engineering in Medicine, and Biology Society (IEEE, 2009), pp. 4081–4084.

Joo, J. Y.

Kang, C. S.

Lee, S. K.

Leutz, R.

R. Leutz and A. Suzuki, Nonimaging Fresnel Lenses (Springer, 2001), Chap. 4.

Liang, Y. P.

J. W. Pan, J. Y. Huang, C. M. Wang, H. F. Hong, and Y. P. Liang, Opt. Commun. 284, 4283 (2011).
[CrossRef]

Lin, C. T.

Liu, T. S.

Lo, Y. H.

F. S. Tsai, D. Johnson, S. H. Cho, W. Qiao, A. Arianpour, and Y. H. Lo, in Proceedings of IEEE Conference on Engineering in Medicine, and Biology Society (IEEE, 2009), pp. 4081–4084.

Marcos, S.

Merayo-Lloves, J.

Pan, J. W.

J. W. Pan, J. Y. Huang, C. M. Wang, H. F. Hong, and Y. P. Liang, Opt. Commun. 284, 4283 (2011).
[CrossRef]

J. W. Pan, S. H. Tu, C. M. Wang, and J. Y. Chang, Appl. Opt. 47, 3406–3414 (2008).

Park, S. S.

Prabath, A.

A. Prabath, The Building Environment: Active and Passive Control Systems (Wiley, 2006), Chap. 1.

Qiao, W.

F. S. Tsai, D. Johnson, S. H. Cho, W. Qiao, A. Arianpour, and Y. H. Lo, in Proceedings of IEEE Conference on Engineering in Medicine, and Biology Society (IEEE, 2009), pp. 4081–4084.

Shettigar, U. R.

U. R. Shettigar, J. Membr. Sci. 44, 89 (1989).
[CrossRef]

Shushu, D.

Y. Guiying, D. Shushu, J. Ji, and G. Tiantai, Proc. SPIE 8321, 832110 (2011).
[CrossRef]

Siegal, B.

B. Siegal, in Proceedings of IEEE International Electronics Manufacturing Technology Conference (IEEE, 2007), pp. 62–66.

Simon, G.

G. Simon and G. Gamsu, Am. J. Roentgenol. 128, 239 (1977).
[CrossRef]

Suzuki, A.

R. Leutz and A. Suzuki, Nonimaging Fresnel Lenses (Springer, 2001), Chap. 4.

Tiantai, G.

Y. Guiying, D. Shushu, J. Ji, and G. Tiantai, Proc. SPIE 8321, 832110 (2011).
[CrossRef]

Tsai, F. S.

F. S. Tsai, D. Johnson, S. H. Cho, W. Qiao, A. Arianpour, and Y. H. Lo, in Proceedings of IEEE Conference on Engineering in Medicine, and Biology Society (IEEE, 2009), pp. 4081–4084.

Tsai, M. D.

Tu, S. H.

Wang, C. M.

J. W. Pan, J. Y. Huang, C. M. Wang, H. F. Hong, and Y. P. Liang, Opt. Commun. 284, 4283 (2011).
[CrossRef]

J. W. Pan, S. H. Tu, C. M. Wang, and J. Y. Chang, Appl. Opt. 47, 3406–3414 (2008).

Wang, T. Y.

Wiklund, N. P.

J. W. Collins and N. P. Wiklund, Eur. Urol. 63, 644 (2013).
[CrossRef]

Am. J. Roentgenol. (1)

G. Simon and G. Gamsu, Am. J. Roentgenol. 128, 239 (1977).
[CrossRef]

Appl. Opt. (1)

Eur. Urol. (1)

J. W. Collins and N. P. Wiklund, Eur. Urol. 63, 644 (2013).
[CrossRef]

J. Membr. Sci. (1)

U. R. Shettigar, J. Membr. Sci. 44, 89 (1989).
[CrossRef]

Opt. Commun. (1)

J. W. Pan, J. Y. Huang, C. M. Wang, H. F. Hong, and Y. P. Liang, Opt. Commun. 284, 4283 (2011).
[CrossRef]

Opt. Express (3)

Proc. SPIE (2)

Y. Guiying, D. Shushu, J. Ji, and G. Tiantai, Proc. SPIE 8321, 832110 (2011).
[CrossRef]

J. J. Chen and C. T. Lin, Proc. SPIE 49, 093001 (2010).

Other (11)

LedLink, http://www.ledlink-optics.com/ProductsHomeLED.aspx .

Berchtold, http://www.berchtold.biz/de/node/1950 .

F. S. Tsai, D. Johnson, S. H. Cho, W. Qiao, A. Arianpour, and Y. H. Lo, in Proceedings of IEEE Conference on Engineering in Medicine, and Biology Society (IEEE, 2009), pp. 4081–4084.

Applied Medical, http://www.apliedmedical.com/Products/Alexis.aspx .

B. Siegal, in Proceedings of IEEE International Electronics Manufacturing Technology Conference (IEEE, 2007), pp. 62–66.

A. Prabath, The Building Environment: Active and Passive Control Systems (Wiley, 2006), Chap. 1.

Lighttools, CYBERNET SYSTEMS TAIWAN Co. Ltd., http://www.opticalres.com/ .

Chi Mei Hospital, http://www.chimei.org.tw/ .

Nichia NS2W157ART-H3, http://www.nichia.co.jp/specification/en/product/led/NS2W157AR-H3-E.pdf .

IEC Standard Danmark, http://www.dmts.dk/kongres/09/IEC%20STANDARD%20DENMARK.pdf .

R. Leutz and A. Suzuki, Nonimaging Fresnel Lenses (Springer, 2001), Chap. 4.

Cited By

OSA participates in CrossRef's Cited-By Linking service. Citing articles from OSA journals and other participating publishers are listed here.

Alert me when this article is cited.


Figures (9)

Fig. 1.
Fig. 1.

Configuration of a thoracic cavity with our designed illumination system. The structure of the illumination system is an AWR embedded with LED and SOE.

Fig. 2.
Fig. 2.

Cross section of the illumination system. Red lines indicate the propagation of refraction rays.

Fig. 3.
Fig. 3.

Structure and geometrical analysis of SOE. The red and blue lines indicate the refractive and reflective lights, respectively. The green line means the tangent vector on the reflective surface.

Fig. 4.
Fig. 4.

Ray fan for the LED light source with SOE.

Fig. 5.
Fig. 5.

Relative intensity distribution of a LED light source without SOE and with SOE.

Fig. 6.
Fig. 6.

Relation among the number of LEDs, total power consumption, and temperature after the illumination system with SOE.

Fig. 7.
Fig. 7.

Illuminance distribution of the illumination system: (a) without SOE and (b) with SOE.

Fig. 8.
Fig. 8.

Photograph of the SOE sample.

Fig. 9.
Fig. 9.

Relative intensity distribution of a LED light source at simulation and experiment.

Tables (1)

Tables Icon

Table 1. Conditions of Illumination for Surgical Operation [12]

Equations (7)

Equations on this page are rendered with MathJax. Learn more.

L=d×tanωFLM,
tanβ=45L100d.
tanα=Rn2R2+d2d,
n1sin(90°ωTIR)=n2sin(90°φ).
2i+δ+φ=180°,
ε+φ+i=180°,
n2sinδ=n1sinγ,

Metrics