Surgical Headlamp- please help

nsurgdoc

Newly Enlightened
Joined
Jun 19, 2015
Messages
15
Hey everyone,

I'm a neurosurgery resident at university of virginia and I was hoping someone here with more knowledge than I could help me out. I really want/need to build a surgical headlamp. I know this has been discussed before: http://www.candlepowerforums.com/vb/showthread.php?290476-Worm-light-(SST-90-headlamp) for example, however it's been 5 years now and there's been a lot of advances in technology.

Currently I'm using a headlamp like this one: http://www.integralife.com/index.as...tec%AE&ProductLineID=174&PA=Surgical-Lighting. The problem is, it sucks being tied down to light box thats plugged into an outlet. It gets in the way especially when operating with other people plugged into their own light boxes. Ideally I would have a battery strapped to my waist.

For anyone thats still interested in helping out, the ideal light would be super bright (as bright as possible, >2000 lumens), with as natural a white light as possible, adjustible light diameter, last on a charge all day without dimming, not be heavy, and not get hot. I was thinking an ultra efficient LED bulb(s) connected with a lithium polymer battery of some sort would do the trick, but was hoping I could get some suggestions from everybody here.

Thanks,

Dom
 

Amelia

Enlightened
Joined
Mar 25, 2015
Messages
677
The main problem with your request is the Lumens spec - there are VERY few, if any, stock headlamps available with 2000+ lumens output. More realistic would be something in the 700-1000 lumens range, of which there are quite a few to choose from.

My recommendation would be the Zebralight H600w or H600Fw (or maybe the H602w, if you want pure flood with no "hot spot"), all of which fall into the 950-ish lumen range. Nice neutral white output, long runtime, and reasonable weight. The H600w will have the most "throw" and defined "hot spot" zone, which might be a problem in surgery where (I'm assuming) you would want even, smooth lighting.
 
Last edited:

Eagles1181

Newly Enlightened
Joined
Jan 27, 2010
Messages
179
Location
Texas
Please don't take this wrong, but have you ever worked with a 2000 lumen light? I know you need bright, but my 1000 lumen pocket light bounced off my hand at arms distance will make me see spots for a short time.

Check out the Fenix HP30. It will give you 500 lumen for almost 4 hours. Or if you can work with 200 lumen (which is still fairly bright, but might not be bright enough) which will last for a full 12 hours. Also I don't know if changing batteries in the OR is possible (clean environment and all) but dropping in fresh batteries takes less than 1 minute.
 

nsurgdoc

Newly Enlightened
Joined
Jun 19, 2015
Messages
15
The main problem with your request is the Lumens spec - there are VERY few, if any, stock headlamps available with 2000+ lumens output. More realistic would be something in the 700-1000 lumens range, of which there are quite a few to choose from.

My recommendation would be the Zebralight H600w or H600Fw (or maybe the H602w, if you want pure flood with no "hot spot"), all of which fall into the 950-ish lumen range. Nice neutral white output, long runtime, and reasonable weight. The H600w will have the most "throw" and defined "hot spot" zone, which might be a problem in surgery where (I'm assuming) you would want even, smooth lighting.

Hey thanks for your input. I realize that there's few stock headlamps available, but I just know there's a way to build it. Check out this website that I found: http://www.enovaillumination.com/pages/cyclops-xlt-225. I think this is pretty much what I described but I have a feeling that there's other LED bulbs that people know about on this site to create something that is more powerful and could potentially last much longer than this one.
 

nsurgdoc

Newly Enlightened
Joined
Jun 19, 2015
Messages
15
Please don't take this wrong, but have you ever worked with a 2000 lumen light? I know you need bright, but my 1000 lumen pocket light bounced off my hand at arms distance will make me see spots for a short time.

Check out the Fenix HP30. It will give you 500 lumen for almost 4 hours. Or if you can work with 200 lumen (which is still fairly bright, but might not be bright enough) which will last for a full 12 hours. Also I don't know if changing batteries in the OR is possible (clean environment and all) but dropping in fresh batteries takes less than 1 minute.

I'm not sure the amount of lumens the surgical headlights use, but I think it's at least 2000. They're all measured in lux, and are about 150,000. Given a one diameter circle of illumination at 2.5 feet, it's a pretty high conversion to lumen. Having said that, I'm sure there's an LED light that can generate that type of illumination. I replied to eagles earlier with a link of a surgical headlamp that uses an LED: http://www.enovaillumination.com/pages/cyclops-xlt-225. I have a feeling this product's using a bulb that is not astronomically powerful or expensive if bought on its own.
 

Lynx_Arc

Flashaholic
Joined
Oct 1, 2004
Messages
11,212
Location
Tulsa,OK
I'm thinking realistically you need about 20 watts of power as I'm guessing LEDs powerful enough to do what you want to are going to give you about 100 lumens/watt efficiency and if that were to be for 8 hours that would be 160 watt hours of power and the most efficient battery gets you about 10 watts for an 18650 meaning you need 16 of them in a battery pack to drive your LED light.
 

Mr Floppy

Flashlight Enthusiast
Joined
Feb 19, 2007
Messages
2,065
The market is catered for by a number of specialist providers, usually purchased/leased by the hospital. I've never heard of a surgeon having to bring in their own gear, but if that is the way your medical system works...

Better make sure it can take the disinfectant
 
Last edited:

Mooreshire

Newly Enlightened
Joined
Jul 22, 2011
Messages
156
Location
Seatte, WA
That headlamp your school has you using is almost assuredly autoclave compatible, in other words the head and fiber optic cable can be sterilized in a high pressure steam cleaning machine without being damaged. The box it plugs into produces a massive amount (300 high-pressure-gas-bulb Watts) of light with the most accurate color rendering properties available. If it's anything like the surgical headlamp in my collection (I collect headlamps) the lamp's optics produce a perfectly smooth beam with no light artifacts (like brightness or color variations) and it features precisely controllable zoom and position adjustments. In order to comply with these requirements high-end surgical headlamps cost a thousand dollars or more new. Absolutely no consumer grade headlamps will meet these requirements. If you've got the skills to manufacture surgical headlamps then you should consider switching careers and designing medical devices instead of repairing brains.

If a neurosurgeon walked into an operating room with a headlamp that wasn't properly sterilizable, couldn't render colors correctly, and couldn't be focused so as to only illuminate the surgical site (with minimal glare from surrounding tissue)... I'm inclined to hope they would promptly be escorted back out of the OR. I'm usually all for DIY, but perhaps not when it comes to cranial healthcare. I'm just a headlamp nut though, so you should chat with your college's technicians for a more informed opinion - but an engineer buddy of mine who works for a company that makes surgical equipment describes the process of getting a device certified for use in an operating theater as being on par with getting a piece of gear certified to fly to the space station.
 
Last edited:

nsurgdoc

Newly Enlightened
Joined
Jun 19, 2015
Messages
15
That headlamp your school has you using is almost assuredly autoclave compatible, in other words the head and fiber optic cable can be sterilized in a high pressure steam cleaning machine without being damaged. The box it plugs into produces a massive amount (300 high-pressure-gas-bulb Watts) of light with the most accurate color rendering properties available. If it's anything like the surgical headlamp in my collection (I collect headlamps) the lamp's optics produce a perfectly smooth beam with no light artifacts (like brightness or color variations) and it features precisely controllable zoom and position adjustments. In order to comply with these requirements high-end surgical headlamps cost a thousand dollars or more new. Absolutely no consumer grade headlamps will meet these requirements. If you've got the skills to manufacture surgical headlamps then you should consider switching careers and designing medical devices instead of repairing brains.

If a neurosurgeon walked into an operating room with a headlamp that wasn't properly sterilizable, couldn't render colors correctly, and couldn't be focused so as to only illuminate the surgical site (with minimal glare from surrounding tissue)... I'm inclined to hope they would promptly be escorted back out of the OR. I'm usually all for DIY, but perhaps not when it comes to cranial healthcare. I'm just a headlamp nut though, so you should chat with your college's technicians for a more informed opinion - but an engineer buddy of mine who works for a company that makes surgical equipment describes the process of getting a device certified for use in an operating theater as being on par with getting a piece of gear certified to fly to the space station.

Hey Mooreshire,

Thanks for replying. I know this is a huge undertaking, but there's a couple things that give me reason to think it can be done. First of all the headlamp does not need to be sterilizable. It's never sterile and does not need to be sterile. It never touches the patient, and never touches the sterile parts of our garb or setup. But I agree with everything else you mention. They do have to have an adjustable focus, which I think just changes the aperature. And the color in general i think is set at ~1600K or so, which is the whitest light that gives the best color rendering. The light doesn't need FDA approval to in order to be used in the OR. Just like when we wear "loupes" which are basically mini telescopes attached to glasses- do not need approval either since they do not touch the patient.
 
Last edited:

nsurgdoc

Newly Enlightened
Joined
Jun 19, 2015
Messages
15
I'm thinking realistically you need about 20 watts of power as I'm guessing LEDs powerful enough to do what you want to are going to give you about 100 lumens/watt efficiency and if that were to be for 8 hours that would be 160 watt hours of power and the most efficient battery gets you about 10 watts for an 18650 meaning you need 16 of them in a battery pack to drive your LED light.

Hey Lynx,

This is great stuff. Do you know of an LED with that type of efficiency that is relatively small/light? That can be realistically used as a headlamp? I was thinking maybe a Nichia high-power LED? Maybe one like this one: http://www.leds.de/en/High-Power-LE...-LED-Array-BXRA-30G7000-warmwhite-6600lm.html . Not sure if this would overheat instantly or not.

Thanks for going with my craziness.
 
Last edited:

Mooreshire

Newly Enlightened
Joined
Jul 22, 2011
Messages
156
Location
Seatte, WA
Hey Mooreshire,

Thanks for replying. I know this is a huge undertaking, but there's a couple things that give me reason to think it can be done. First of all the headlamp does not need to be sterilizable. It's never sterile and does not need to be sterile. It never touches the patient, and never touches the sterile parts of our garb or setup. But I agree with everything else you mention. They do have to have an adjustable focus, which I think just changes the aperature. And the color in general i think is set at ~1600K or so, which is the whitest light that gives the best color rendering. The light doesn't need FDA approval to in order to be used in the OR. Just like when we wear "loupes" which are basically mini telescopes attached to glasses- do not need approval either since they do not touch the patient.

I'm excited about your project! I'm also glad to hear that it won't have to comply with any sort of certification process. Perhaps the lamp in my collection was intended for messier work or some such, as it is constructed out of surgical materials like titanium and ultra-high-molecular-weight polyethylene. Its zoom is the very same sort of sliding aspheric TIR optic arrangement found in many flashlights, but it's a step above any optic I've seen in a flashlight in terms of its beam's smoothness and sharp boarder with complete lack of spill. Its head is also very narrow (25mm at its widest), so that it doesn't obscure your vision when positioned between your eyes (for true coaxiality when peering into shadowy incisions) like that Cyclops XLT 225 model's fatter looking head seems it would. I have seen medical headlamps (on a dentist and their assistant, if I'm recalling correctly) which didn't look totally sterilizable but which had their heads wrapped in some sort of disposable plastic - that would be a good cleanliness solution for when you needed to reach up to adjust the angle or zoom (I know you said it never touches your garb but how do you adjust it sans hands?). Unfortunately a plastic wrap would keep a hot diode from getting the air circulation it needs to keep from overheating.

The diode you inquired about is 51mm wide on its bare board and would require a hefty hunk of heatsinking to dissipate the huge amount of heat it produces (literally an 85 watt space heater on your head) - and that heat would then be dissipated right onto your face, whereas the hot bulb in the traditional design is off in its own box leaving only the relatively lightweight lens, fiber optic cable end, and tilt mechanism on your head. A compact 1000 lumen lamp might run at that brightness for an hour off of one common li-ion battery and barely add any sweat to my brow or weariness to my neck in the process, but if you wanted to run longer at double that apparent brightness (which would require 4000+ lumens) you would of course need a significantly larger battery pack to be guaranteed to last a full surgery at that output level and a way larger heatsink which would stress your brow and neck. If you can get the size of the head down to work sitting coaxial between your eyes and keep the heat output and weight/balance to within what you think you could comfortably wear for the length of time required then you could be good to go. I'd still run everything by your school's technicians of course.

Color accuracy and color temperature are independent; a perfect color rendering source can be any temp - the star we're closest to burns at 5800K, but different atmospheric conditions filter that to a wide variety of warmer color temperatures at the planet's surface but the color rendering accuracy of sunlight is never reduced. I do wonder if it will matter whether your headlamp's light properties match the other lights being used in the room, as light sources with different CRI/temps rarely seem to mix particularly well. For example, when examining (and photographing) minerals inside caves I prefer to have only my fancy custom Nichia219-powered lights trained on my subject, and when a companion wearing a different light looks over it usually seems to screw the colors and textures up - but my eyeballs can tell that my lamp (CRI:92) is still less color-accurate than sunlight (CRI:100) or even a medical-imaging-grade Ceramic Metal-Halide bulb (CRI:96). It is easier to have all your equipment take the same model CMH bulb than it is to find perfectly matching diodes, especially if those diodes will be shone through any sort of optics which could themselves alter the light properties. (Different optics alter different properties in different ways, such as refracting or shifting the color temperature or producing beam artifacts or uneven brightness.) If you're the only person trying to shine a light into the skull in question and a mismatched overhead light isn't an issue, then I doubt <10 CRI points or a different color temperature will make any practical difference.

I work as an imaging technician at a liberal arts and environmental sciences college designing illumination solutions for projects ranging from moviemaking to microscopy and I collect headlamps for fun because of my interests in the history of mining/caving/outdoorsmanship technologies and I know absolutely nothing about surgical illumination. You should inquire around and try to find someone who has worked on designing surgical lamps and I'd bet they'll be excited to talk to you about the challenges you will encounter. Companies love getting inquiries from academics; email a few and I bet some enthusiastic PR person will get you in touch with an equally enthusiastic engineer.

Good luck with your project, and please do keep us updated! (Yeesh, I sure do love parentheticals don't I? lol!) Oh, and :welcome:!
 

eh4

Flashlight Enthusiast
Joined
Oct 18, 2011
Messages
1,999
"The diode you inquired about is 51mm wide on its bare board and would require a hefty hunk of heatsinking to dissipate the huge amount of heat it produces (literally an 85 watt space heater on your head) - and that heat would then be dissipated right onto your face, whereas the hot bulb in the traditional design is off in its own box leaving only the relatively lightweight lens, fiber optic cable end, and tilt mechanism on your head."

-Sounds like a job for a heat pipe.
 

TinderBox (UK)

Flashlight Enthusiast
Joined
Jan 14, 2006
Messages
3,488
Location
England, United Kingdom
Anything that is going to be used in surgery needs to be able to be sterilized, I dont think you can get an flashlight that you can autoclave or boiled, you could use an liquid sterilizer like Milton tablets/liquid or the equivalent professional version to sterilizer it.

John.
 

SemiMan

Banned
Joined
Jan 13, 2005
Messages
3,899
I'm not sure the amount of lumens the surgical headlights use, but I think it's at least 2000. They're all measured in lux, and are about 150,000. Given a one diameter circle of illumination at 2.5 feet, it's a pretty high conversion to lumen. Having said that, I'm sure there's an LED light that can generate that type of illumination. I replied to eagles earlier with a link of a surgical headlamp that uses an LED: http://www.enovaillumination.com/pages/cyclops-xlt-225. I have a feeling this product's using a bulb that is not astronomically powerful or expensive if bought on its own.

Why not just get this one? There is a lot of work that goes into a product beyond just picking an LED. That is the easy part.

Is that CCT, 6500, typical for surgery now? I would have though something in the 4000-4500 would provide better gamut/rendering of tissue? Task lighting used to be halogen (driven very hard, so 3500+ CCT), so that would imply something in the 4000-4500 for LEDs would be suitable. I have never seen anything that high in a surgical light, generally 3500-5000K but have not looked in about 3-4 years.

I "whipped" up a headlight for a friend in the medical field about 5-6 years ago for field usage and mixed 3K and 6K for better gamut. It was also much brighter than anything out at the time. It used multiple reflectors with a bit of diffusion. It worked out well.
 
Last edited:

recDNA

Flashaholic
Joined
Jun 2, 2009
Messages
8,761
That headlamp your school has you using is almost assuredly autoclave compatible, in other words the head and fiber optic cable can be sterilized in a high pressure steam cleaning machine without being damaged. The box it plugs into produces a massive amount (300 high-pressure-gas-bulb Watts) of light with the most accurate color rendering properties available. If it's anything like the surgical headlamp in my collection (I collect headlamps) the lamp's optics produce a perfectly smooth beam with no light artifacts (like brightness or color variations) and it features precisely controllable zoom and position adjustments. In order to comply with these requirements high-end surgical headlamps cost a thousand dollars or more new. Absolutely no consumer grade headlamps will meet these requirements. If you've got the skills to manufacture surgical headlamps then you should consider switching careers and designing medical devices instead of repairing brains.

If a neurosurgeon walked into an operating room with a headlamp that wasn't properly sterilizable, couldn't render colors correctly, and couldn't be focused so as to only illuminate the surgical site (with minimal glare from surrounding tissue)... I'm inclined to hope they would promptly be escorted back out of the OR. I'm usually all for DIY, but perhaps not when it comes to cranial healthcare. I'm just a headlamp nut though, so you should chat with your college's technicians for a more informed opinion - but an engineer buddy of mine who works for a company that makes surgical equipment describes the process of getting a device certified for use in an operating theater as being on par with getting a piece of gear certified to fly to the space station.
I'm still amazed neurosurgeons use such bright illumination. I would think the reflection of over 2000 lumens would be blinding. I guess the bright lighting in the theatre helps the eye adjust to such bright lights...and several people wearing such headware all pointed at the same spot. Wow. That's a lot of light. Fascinating.
 

SemiMan

Banned
Joined
Jan 13, 2005
Messages
3,899
I'm still amazed neurosurgeons use such bright illumination. I would think the reflection of over 2000 lumens would be blinding. I guess the bright lighting in the theatre helps the eye adjust to such bright lights...and several people wearing such headware all pointed at the same spot. Wow. That's a lot of light. Fascinating.

High amount of light creates highest pupil dilation resulting in best depth of field and focus.

High amount of light is also going to help with contrast ratio, signal to noise ratio, as long as you are not saturated, but sunlight is 100K lux, so there is a lot of potential range.
 

recDNA

Flashaholic
Joined
Jun 2, 2009
Messages
8,761
High amount of light creates highest pupil dilation resulting in best depth of field and focus.

High amount of light is also going to help with contrast ratio, signal to noise ratio, as long as you are not saturated, but sunlight is 100K lux, so there is a lot of potential range.

More light makes the pupil contract not dilate.
 

Lynx_Arc

Flashaholic
Joined
Oct 1, 2004
Messages
11,212
Location
Tulsa,OK
Hey Lynx,

This is great stuff. Do you know of an LED with that type of efficiency that is relatively small/light? That can be realistically used as a headlamp? I was thinking maybe a Nichia high-power LED? Maybe one like this one: http://www.leds.de/en/High-Power-LE...-LED-Array-BXRA-30G7000-warmwhite-6600lm.html . Not sure if this would overheat instantly or not.

Thanks for going with my craziness.

To get the kind of efficiency and long running time without burning your skull it may require multiple LEDs as at 2000 lumens output you are driving XM-L LEDs pretty hard efficiency probably is lower than that. Whatever the highest rated output you may want to run the LED at half to 2/3 of that for efficiency sake or end up adding more batteries in the mix. You would also need a pretty good heatsink. My advice is to research 18650 headlamp offerings on the market using XM-L2 and XP-G2 and other latest generation LEDs... perhaps even XPL LEDs as these headlamps have already done most of the homework for you with the exception of an external battery pack. It is possible that there is one on the market capable of such output with an external battery pack if that were so then you could just adapt it for more batteries perhaps by paralleling them in a similar designed pack.
 

recDNA

Flashaholic
Joined
Jun 2, 2009
Messages
8,761
Even if there is it won't have the zoom function and aim function.
 
Top