Bearing Technology for Slit Lamps In Ophthalmology

• What was needed: iglide® J plain bearings
• Requirements: high precision, customized bearing shape, bearing for easy and silent running, hygienic use without additional lubricant, long service life
• Industry: Medical technology
• Success for the customer: The mechanical processing of the sleeve, especially the cutout for the cables, was very problematic as a brass part. With plastic, we were able to offer the customer a cost-effective solution. The plain bearings combine precision with smooth operation.

The slit lamp is an essential tool for ophthalmologists. The microscope enables close examination of the various areas of the eye with up to 40 times magnification, thus facilitating a holistic diagnosis and the detection of various eye disorders. The technical requirements for the mechanical construction of the medical device are high. One critical factor is the movement of the microscope arm. It must be very easy to move the lamp, so high-precision guides are required for the axes as every irregularity and every unwanted motion is magnified 40-fold to the ophthalmologist through the microscope. Small adjustments in position are vital, such as when the ophthalmologist is searching for hemorrhages on the retina. At the same time, he or she must also be able to securely fix the microscope arm.

The slit lamps tested by medical technology manufacturer A.R. C. either prioritized ease of operation or precision. Operating both aspects was all the more difficult to achieve because the microscope is about 250 millimeters away from the bearing of the movable arm, forming a lever that makes precise and clearance-free bearing difficult.

In addition, it was also important that the plain bearing material is homogeneous so that the sliding properties are always the same even with machined components. Another important factor is silent motion and freedom from lubrication: ophthalmologists don't want to have to be greasing their equipment. Last but not least, the service life is a central criterion because split lamps are often used all day, every day for decades.

In their search for the best possible bearing solution, the designers from A.R.C. came across iglide® plain bearings. These bearings have already proven their worth in other areas of medical technology. When feed movements are performed, bearings with the standard E 10 fit are usually sufficient, but in the case of A.R.C. slit lamps, significantly higher requirements had to be met. Here we are at the limits of what can be produced mechanically. Therefore, in close cooperation with A.R.C. a customized solution was worked out, which ensures the best possible fit with the smallest possible clearance while at the same time providing extremely smooth running and the possibility of fixing the setting. The material pairing was also adapted to this bearing solution.

The plain bearings used are components made of iglide® J. These bearings were supplied as bar stock and manufactured in the factory of A.R.C. which involved high precision tooling down to the nearest μm in order to obtain the desired fit. At the design stage, it was ensured that the walls of the plastic plain bearings were as thin as possible in order to ensure the highest degree of dimensional stability. Additionally, A.R.C uses openings in the bearing bushes to allow electrical cables to pass through the slit lamp arms.

A.R.C. also uses the plastic plain bearings at other bearing points of the slit lamp and is very satisfied with them. In combination with the used stainless steel and brass, perfect results were achieved. The example impressively demonstrates that any reservations about the use of plastic bearings in medical technology are misplaced. These bearings make it possible to achieve the highest level of precision, being able to dispense with lubricants is very beneficial for reasons of hygiene.

The intense endurance tests performed by A.R.C. over months also provide evidence of the long service life of the precision bearing on the microscope arm.