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Abstract: An endoilluminator is a surgical tool used to supply
light for surgeons inside the body. Also known as a chandelier
endo illuminator or chandelier probe, in vitreoretinal surgical
treatment this kind of surgical lighting tool can assist
surgeons better see their operating field and improve
visualization of challenges that can also occur. The foremost
objective of the challenge is the usage of endo illuminator
mild for eye surgery to limit the complexity of dealing with eye
surgery.
Index terms: Arduino Uno, ATMEGA 328P IC, Luminous
light source, SMPS, Power supply.
I. INTRODUCTION
An endoilluminator is a surgical device used to supply mild
for surgeon’s inner the body. Also regarded as a chandelier
endo illuminator or chandelier probe, in vitreoretinal surgical
procedure this kind of surgical lighting fixtures tool can assist
surgeons higher see their running subject and enhance
visualization of challenges that may also occur. Some give up
illuminators can be positioned into a cannula whilst others are
inserted into the vitreous cavity. The predominant goal of the
venture is the use of endo illuminator mild for eye surgery to
reduce the complexity of dealing with eye surgery. Some of the
endo illuminator tools has fixed brightness so that we need no
longer be capable to change brightness. So that with the aid of
adding brightness increment and decrement approach which
assist the surgeons in the course of surgery. The wireless feature
is additionally handy which can easily operate the gear thru cell
or some sort of far off and additionally replacing buttons rather
of touch display screen for incrementing and decrementing
brightness. In this challenge the LED mild fiber plan (0.5 mm)
for stabilizes the 23-25gauge tip in the eye and gives up to 20-
25 lumen of measured illumination. Easy insertion and removal
except suture placement make it convenient to exchange the
function of the gadget during surgical operation and
efficaciously shorten surgical time. This suture-free 23-
25gauge endo illumination effectivity of vitreous surgery. For
most surgical subspecialties, the key to illumination is
brightness the brighter the better. The trouble for retinal
surgeons are that, even though we would like our surgical
surroundings to be brighter, we face the danger of retinal photo-
toxicity, a threat unique to ophthalmologists and highest for
retina surgeons. So we need to balance our desire for a brighter
surgical discipline towards the hazard of developing retinal
damage. One of the best benefits of the more modern USFDA
approved led mild chips has been the introduction of clinically
useful scientific lighted instruments.
Fig 1: Surgery image
II. PROJECT AIM AND FOCUS
The present endo illuminator equipment has some
drawbacks which have an adapter only used for particular
surgery, it may be ocular or optho surgeries. Due to this
drawback we cannot use this equipment for multiple surgeries.
Then the other drawback is based on LED which produces low
lux (light intensity) due to this reason the surgeons cannot find
the minute particles during eye surgeries. The older
endoilluminator equipment’s have a probe buttons mechanism
which cannot give accurate light intensity. So the surgeons felt
difficult to handle this type of mechanism during surgeries.
which overcomes these existing drawbacks and provides new
technology. We are using changeable adapters which can be
ENDOILLUMINATOR LIGHT SOURCE FOR
MULTIPLE SURGERIES
Dr. k.s. Dhanalakshmi
Assistant Professor
Department of Electronics and
Communication Engineering
Kalasalingam Academy of Research
and Education
Krishnan koil, Tamilnadu
k.s.dhanalakshmi@klu.ac.in
A Rohan, A Sreekanth, B Rakesh
Department of Electronics and
Communication Engineering
Kalasalingam Academy of Research
and Education
Krishnan koil, Tamilnadu
rohanadapala07@gmail.com,
sriikanth124@gmail.com
binnyrake@gmail.com
used for multiple surgeries like ocular, optho surgeries etc. So,
by changeable adapters surgeons can be benefited with using
single equipment for multiple surgeries. It is connecting to the
heat sink which produces some heat while the kit is working, so
to reduce the heat we are placing cooling fans to exhaust the
heat from the equipment. We are using LED which is nothing
but luminous LED that produces high lux, due to that the
surgeons can find minute particles during the surgeries. We are
replacing the probe button mechanism with visual display
(Touch Screen) that can help surgeons to increase or decrease
the percentage of light intensity. We are using Arduino Uno
with microcontroller of AT Mega 328p IC which is interfacing
with 7 segment LCD screen or panel. Two SMPS are 5v 25Amp
& 5v 2Amp one is connecting to luminous LED and other is
connect to Arduino respectively. The cooling fans are used to
exhaust the heat.
III. PROPOSED WORK
The fundamental components are used in this project such
as LED which is nothing but luminous LED that produces high
lux, due to that the surgeons can discover minute particles
during the surgeries and replacing the probe button mechanism
with visual show (Touch Screen) that can help surgeons to
increase or decrease the percentage of mild intensity and using
wireless technology such as Bluetooth module. Arduino Uno
with microcontroller of AT Mega 328p IC which is interfacing
with 7 segment LCD screen or panel. Two SMPS are 5v 25Amp
& 5v 2Amp one is connecting to luminous LED and other
is connect to Arduino respectively. The cooling fans are used to
exhaust the heat. The changeable adapters which can be used
for more than one surgeries like ocular, optho surgeries etc. So,
by changeable adapters surgeons can be benefited with using
single tools for multiple surgeries.
IV. WORKING AND IMPLEMNTATION
The working of the proposed project deals a lot of various
topics . Let us put forth a bird eye view model of the project
model and implementation. The constant power supply is used
for equipment, Two SMPS (Switch Mode Power Supply) one
is 5V 2AMP & 5V 25AMP the first one is connect to the
Arduino Uno which Arduino Uno need working voltage is 5V
2AMP and second one is used for the Luminous LED actually
Luminous LED required 4V 2AMP by doing small changes in
second SMPS that produce 4V 2AMP. By using touch screen
display we can increase or decrease light intensity based on that
Arduino Uno which have microcontroller ATMEGA 328P IC
generate PWM (Pulse Width Modulation). If light is increase to
10 percent, then PWM ON 10 percent and OFF 90 percent
similarly if it is increases to 20 percent the it ON 20 percent and
OFF 80 percent in simple word 5Voltage is same in SMPS but
current is increase from 0 to 25AMP, so that light intensity will
increase. The changeable adapter is used for multiple surgeries
and due to increasing intensity of LED the heat is generated in
heat sink and also voltage fluctuation occurs so that we use RF
filter is used to control and cooling fans are used to exhaust the
heat from the equipment.
Fig 2: project image
V. FUNCTIONS
1.Increment and decrement of light
2. Bluetooth for ON and OFF
3. LCD for displaying percentage of light
4. Easy Implementation.
VI. BLOCK DIAGRAM
There are nine leading aggregations in our project. The
primary aggregation is the power supply block. This
aggregation is the source of energy. Next aggregation is for
Arduino Uno which is interface with 7 segment display and
generate PWM. Next aggregation is Bluetooth module and
Touch screen display. The final aggregation is the drive circuit,
led module and current sensor which is used to control light
intensity.
Fig 3: Block diagram
VII. FUTURE SCOPE
In future we are going to propose our project by using IOT
(Internet of Things) based, by using the IOT we can handle this
equipment from any place and now we use Bluetooth module
for only ON and OFF of the kit but we bring a wireless
technology which can operate the equipment by using some sort
of remote or mobile phone. In future we reduce the size of the
kit by using SMT compatibility which can occupy less space
and it can be easily handle by surgeons.
VIII. CONCLUSION
The proposed system provides Output which the light we
are using is luminous that can produce more lux which compare
to normal lights used in present kit. Due to more lux the
surgeons can see minute particles in eye during surgeries. The
probe buttons are replaced with touch screen display by using
that we can easily increase or decrease the light intensity and 7
segment display is used to show the percentage of light
intensity. The SMPS which have 5V 25AMP has been
connected to LED light which is help to increase current due to
that light brightness is increases. The changeable adapter is
used for multiple surgeries it means the different surgeries we
can use various adapters with same equipment it makes easy to
the surgeons.
REFERENCES
[1] Machemer R, Norton EW. A new concept for vitreous surgery. 3.
Indications and results. Am J Ophthalmol 1972;74:1034–1056.
http://informahealthcare.com/cot
[2] 1. Nishimura A, Kobayashi A, Segawa Y, Sugiyama K. Endoillumination‐
assisted cataract surgery in a patient with corneal opacity. J Cataract Refract
Surg 2003;29:2277‐80.
www.IJO.in
[3] International Commission on Non-Ionizing Radiation Pro-tection.
Guidelines on limits of exposure to broad-band incoherent optical radiation
(0.38 to 3 μm). Health Phys1997;73:539–54.
https://bjo.bmj.com
[4] Ahn SJ, Ahn J, Woo SJ, Park KH. Photoreceptor change and visual outcome
after idiopathic epiretinal membrane removal with or without additional
internal limiting membrane peeling. Retina. 2014;34(1):172–181.
https://www.dovepress.com
[5] Erakgu ̈n T. Illumination systems. J Ret Vit 2007;15:5–7.
[6] Charles S. Illumination and phototoxicity issues in vitreoretinal surgery.
Retina 2008;28:1–4.
[7] Sakaguchi H and Oshima Y. Considering the illuminationchoices in
vitreoretinal surgery: continual improvementsallow for better, safer outcomes.
Retinal Phys 2012; 3:26–31.
[8] Koelbl PS, Lindner C, Lingenfelder C, et al. FaserloserMiniatur-Chandelier-
LED-Endoilluminator fur die Pars-plana-Vitrektomie. Der Ophthalmologe
2016; 113: 47–51.

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ENDOILLUMINATOR LIGHT SOURCE FOR MULTIPLE SURGERIES Conference paper

  • 1. Abstract: An endoilluminator is a surgical tool used to supply light for surgeons inside the body. Also known as a chandelier endo illuminator or chandelier probe, in vitreoretinal surgical treatment this kind of surgical lighting tool can assist surgeons better see their operating field and improve visualization of challenges that can also occur. The foremost objective of the challenge is the usage of endo illuminator mild for eye surgery to limit the complexity of dealing with eye surgery. Index terms: Arduino Uno, ATMEGA 328P IC, Luminous light source, SMPS, Power supply. I. INTRODUCTION An endoilluminator is a surgical device used to supply mild for surgeon’s inner the body. Also regarded as a chandelier endo illuminator or chandelier probe, in vitreoretinal surgical procedure this kind of surgical lighting fixtures tool can assist surgeons higher see their running subject and enhance visualization of challenges that may also occur. Some give up illuminators can be positioned into a cannula whilst others are inserted into the vitreous cavity. The predominant goal of the venture is the use of endo illuminator mild for eye surgery to reduce the complexity of dealing with eye surgery. Some of the endo illuminator tools has fixed brightness so that we need no longer be capable to change brightness. So that with the aid of adding brightness increment and decrement approach which assist the surgeons in the course of surgery. The wireless feature is additionally handy which can easily operate the gear thru cell or some sort of far off and additionally replacing buttons rather of touch display screen for incrementing and decrementing brightness. In this challenge the LED mild fiber plan (0.5 mm) for stabilizes the 23-25gauge tip in the eye and gives up to 20- 25 lumen of measured illumination. Easy insertion and removal except suture placement make it convenient to exchange the function of the gadget during surgical operation and efficaciously shorten surgical time. This suture-free 23- 25gauge endo illumination effectivity of vitreous surgery. For most surgical subspecialties, the key to illumination is brightness the brighter the better. The trouble for retinal surgeons are that, even though we would like our surgical surroundings to be brighter, we face the danger of retinal photo- toxicity, a threat unique to ophthalmologists and highest for retina surgeons. So we need to balance our desire for a brighter surgical discipline towards the hazard of developing retinal damage. One of the best benefits of the more modern USFDA approved led mild chips has been the introduction of clinically useful scientific lighted instruments. Fig 1: Surgery image II. PROJECT AIM AND FOCUS The present endo illuminator equipment has some drawbacks which have an adapter only used for particular surgery, it may be ocular or optho surgeries. Due to this drawback we cannot use this equipment for multiple surgeries. Then the other drawback is based on LED which produces low lux (light intensity) due to this reason the surgeons cannot find the minute particles during eye surgeries. The older endoilluminator equipment’s have a probe buttons mechanism which cannot give accurate light intensity. So the surgeons felt difficult to handle this type of mechanism during surgeries. which overcomes these existing drawbacks and provides new technology. We are using changeable adapters which can be ENDOILLUMINATOR LIGHT SOURCE FOR MULTIPLE SURGERIES Dr. k.s. Dhanalakshmi Assistant Professor Department of Electronics and Communication Engineering Kalasalingam Academy of Research and Education Krishnan koil, Tamilnadu k.s.dhanalakshmi@klu.ac.in A Rohan, A Sreekanth, B Rakesh Department of Electronics and Communication Engineering Kalasalingam Academy of Research and Education Krishnan koil, Tamilnadu rohanadapala07@gmail.com, sriikanth124@gmail.com binnyrake@gmail.com
  • 2. used for multiple surgeries like ocular, optho surgeries etc. So, by changeable adapters surgeons can be benefited with using single equipment for multiple surgeries. It is connecting to the heat sink which produces some heat while the kit is working, so to reduce the heat we are placing cooling fans to exhaust the heat from the equipment. We are using LED which is nothing but luminous LED that produces high lux, due to that the surgeons can find minute particles during the surgeries. We are replacing the probe button mechanism with visual display (Touch Screen) that can help surgeons to increase or decrease the percentage of light intensity. We are using Arduino Uno with microcontroller of AT Mega 328p IC which is interfacing with 7 segment LCD screen or panel. Two SMPS are 5v 25Amp & 5v 2Amp one is connecting to luminous LED and other is connect to Arduino respectively. The cooling fans are used to exhaust the heat. III. PROPOSED WORK The fundamental components are used in this project such as LED which is nothing but luminous LED that produces high lux, due to that the surgeons can discover minute particles during the surgeries and replacing the probe button mechanism with visual show (Touch Screen) that can help surgeons to increase or decrease the percentage of mild intensity and using wireless technology such as Bluetooth module. Arduino Uno with microcontroller of AT Mega 328p IC which is interfacing with 7 segment LCD screen or panel. Two SMPS are 5v 25Amp & 5v 2Amp one is connecting to luminous LED and other is connect to Arduino respectively. The cooling fans are used to exhaust the heat. The changeable adapters which can be used for more than one surgeries like ocular, optho surgeries etc. So, by changeable adapters surgeons can be benefited with using single tools for multiple surgeries. IV. WORKING AND IMPLEMNTATION The working of the proposed project deals a lot of various topics . Let us put forth a bird eye view model of the project model and implementation. The constant power supply is used for equipment, Two SMPS (Switch Mode Power Supply) one is 5V 2AMP & 5V 25AMP the first one is connect to the Arduino Uno which Arduino Uno need working voltage is 5V 2AMP and second one is used for the Luminous LED actually Luminous LED required 4V 2AMP by doing small changes in second SMPS that produce 4V 2AMP. By using touch screen display we can increase or decrease light intensity based on that Arduino Uno which have microcontroller ATMEGA 328P IC generate PWM (Pulse Width Modulation). If light is increase to 10 percent, then PWM ON 10 percent and OFF 90 percent similarly if it is increases to 20 percent the it ON 20 percent and OFF 80 percent in simple word 5Voltage is same in SMPS but current is increase from 0 to 25AMP, so that light intensity will increase. The changeable adapter is used for multiple surgeries and due to increasing intensity of LED the heat is generated in heat sink and also voltage fluctuation occurs so that we use RF filter is used to control and cooling fans are used to exhaust the heat from the equipment. Fig 2: project image V. FUNCTIONS 1.Increment and decrement of light 2. Bluetooth for ON and OFF 3. LCD for displaying percentage of light 4. Easy Implementation. VI. BLOCK DIAGRAM There are nine leading aggregations in our project. The primary aggregation is the power supply block. This aggregation is the source of energy. Next aggregation is for Arduino Uno which is interface with 7 segment display and generate PWM. Next aggregation is Bluetooth module and Touch screen display. The final aggregation is the drive circuit, led module and current sensor which is used to control light intensity. Fig 3: Block diagram
  • 3. VII. FUTURE SCOPE In future we are going to propose our project by using IOT (Internet of Things) based, by using the IOT we can handle this equipment from any place and now we use Bluetooth module for only ON and OFF of the kit but we bring a wireless technology which can operate the equipment by using some sort of remote or mobile phone. In future we reduce the size of the kit by using SMT compatibility which can occupy less space and it can be easily handle by surgeons. VIII. CONCLUSION The proposed system provides Output which the light we are using is luminous that can produce more lux which compare to normal lights used in present kit. Due to more lux the surgeons can see minute particles in eye during surgeries. The probe buttons are replaced with touch screen display by using that we can easily increase or decrease the light intensity and 7 segment display is used to show the percentage of light intensity. The SMPS which have 5V 25AMP has been connected to LED light which is help to increase current due to that light brightness is increases. The changeable adapter is used for multiple surgeries it means the different surgeries we can use various adapters with same equipment it makes easy to the surgeons. REFERENCES [1] Machemer R, Norton EW. A new concept for vitreous surgery. 3. Indications and results. Am J Ophthalmol 1972;74:1034–1056. http://informahealthcare.com/cot [2] 1. Nishimura A, Kobayashi A, Segawa Y, Sugiyama K. Endoillumination‐ assisted cataract surgery in a patient with corneal opacity. J Cataract Refract Surg 2003;29:2277‐80. www.IJO.in [3] International Commission on Non-Ionizing Radiation Pro-tection. Guidelines on limits of exposure to broad-band incoherent optical radiation (0.38 to 3 μm). Health Phys1997;73:539–54. https://bjo.bmj.com [4] Ahn SJ, Ahn J, Woo SJ, Park KH. Photoreceptor change and visual outcome after idiopathic epiretinal membrane removal with or without additional internal limiting membrane peeling. Retina. 2014;34(1):172–181. https://www.dovepress.com [5] Erakgu ̈n T. Illumination systems. J Ret Vit 2007;15:5–7. [6] Charles S. Illumination and phototoxicity issues in vitreoretinal surgery. Retina 2008;28:1–4. [7] Sakaguchi H and Oshima Y. Considering the illuminationchoices in vitreoretinal surgery: continual improvementsallow for better, safer outcomes. Retinal Phys 2012; 3:26–31. [8] Koelbl PS, Lindner C, Lingenfelder C, et al. FaserloserMiniatur-Chandelier- LED-Endoilluminator fur die Pars-plana-Vitrektomie. Der Ophthalmologe 2016; 113: 47–51.