Surgical shadowless lights are used to illuminate the surgical site for optimal viewing of small, low-contrast objects at various depths in incisions and body cavities. Since the operator's head, hands and instruments may cause disturbing shadows to the surgical site, the surgical shadowless lamp should be designed to eliminate shadows as much as possible and minimize color distortion. In addition, the shadowless lamp must be able to work continuously for a long time without emitting excessive heat, which can cause discomfort to the operator and dry the tissue in the surgical field.
Principle:
The operating shadowless light is not actually "shadowless", it just reduces the umbra, making the umbra less obvious. Shadows are formed when light hits an object. Shadows are different everywhere on earth. Carefully observe the shadow under the electric light, and you will find that the shadow is particularly dark in the middle and slightly lighter around. The dark part in the middle of the shadow is called the umbra, and the dark part around it is called the penumbra. The generation of these phenomena is closely related to the linear propagation of light. If a cylindrical tea container is placed on the table and a candle is lit next to it, the tea container will cast a clear shadow. If two candles are lit next to the tea container, two shadows that overlap but do not overlap will be formed. The overlapping part of the two shadows has no light at all, and is completely black, which is the umbra; the place where only a candle can shine next to the umbra is the half-light and half-dark penumbra. If three or even four candles are lit, the umbra will gradually shrink and the penumbra will appear many layers. It is also true that objects can generate shadows composed of umbra and penumbra under electric light. Obviously, the denser the light source of the illuminating object surrounds the illuminated object, the smaller the umbra. If we light a circle of candles around the aforementioned tea container, the umbra disappears completely, and the penumbra fades out of sight. Scientists have made a shadowless lamp for surgery based on the above principles. It arranges the lamps with high luminous intensity into a circle on the lamp panel to synthesize a large-area light source. In this way, light can be irradiated on the operating table from different angles, which not only ensures sufficient brightness of the surgical field of view, but also does not produce obvious umbra, so it is called a shadowless lamp.
Composition:
Operating surgical shadowless lamps are generally composed of single or multiple lamp heads, which are fixed on the cantilever and can move vertically or cyclically. The cantilever is usually connected to a fixed coupler and can rotate around it. The shadowless lamp adopts a sterilizable handle or a sterilized hoop (curved rail) for flexible positioning, and has automatic braking and stopping functions to manipulate its positioning, maintaining a suitable space above and around the surgical site. Fixtures for shadowless lamps can be placed on fixed points on the ceiling or wall, or on the ceiling track.
Type and evolution:
The development of surgical shadowless lamp has experienced by porous shadowless lamp, single reflection shadowless lamp, porous focusing shadowless lamp, LED surgical shadowless lamp and so on.
The traditional porous shadowless lamp, which mainly achieves shadowless effect through multiple light sources.
The more popular abroad is the multi-hole focusing surgical shadowless lamp, which is a higher-end surgical shadowless lamp. In addition, the increasingly mature LED surgical shadowless lamp has gradually entered people with its gorgeous shape, long service life, natural cold light effect and energy-saving concept. in the field of vision.
Use:
For shadowless lamps installed on the ceiling, one or more transformers should be set in the remote control box on the ceiling or wall to convert the input power voltage into the low voltage required by most light bulbs. Most shadowless lights have a dimming controller, and some products also adjust the light field range to reduce lighting around the surgical site (reflections and flashes from sheets, gauze, or instruments can be uncomfortable to the eyes).
Routine maintenance
1.Daily inspection
- Lamp working status (PRX6000 and 8000). Method: Put a piece of white paper in the work area, if there is an arc-shaped shadow, change the corresponding light bulb. - Disinfection handle in place. Method: Two "clicks" during installation. - Cleaning: Scrub the exterior with a weak alkaline solvent (soapy water); avoid using chlorine-based washes (to damage metals) and alcohol washes (to damage plastics and paint).
2. Monthly inspection
-The main thing is to check whether the backup power system (battery) is normal. Method: Cut off the 220V power supply to see if the backup power supply is activated.
3. Lamp life
-The halogen lamp, that is, the overall reflective surgical shadowless lamp, has an average lifespan of 1,000 hours; with more LED surgical shadowless lamps, the bulb life is basically around 60,000 hours. For lamp sockets, basically replace them once a year.
4. annual inspection
-Four steps of maintenance (performed by a licensed engineer) - Tighten the power cable connector (at the input and output of the control box). Screw brushes at each connection - adjust the rotation limit (eg 4000 type lamp head around its lamp head arm) lamp operating voltage (23V AC+DC) each joint brake - check the verticality of the suspension tube and the balance of the suspension system at each part of the connection Whether the tightening of the screws is normal whether the brakes are normally rotated when the joints act, the heat dissipation effect is limited, the status of the lamp holder bulb, the installation light spot diameter of the disinfection handle.