Method, apparatus and system for a water jet

• US 10,231,867 B2
• Filed: 01/17/2014
• Issued: 03/19/2019
• Est. Priority Date: 01/18/2013
• Status: Active Grant

• Current Assignee: Auris Health, Inc. (Johnson & Johnson)
• Original Assignee: Auris Health, Inc. (Johnson & Johnson)
• Inventors: Alvarez, Jeffrey B., Mintz, David
• Primary Examiner(s): Houston, Elizabeth
• Assistant Examiner(s): Rwego, Kankindi
• Application Number:
  US14/158,548
• Publication Number:
  US 20140309649A1
• Time in Patent Office: 1,887 Days
• Field of Search: 606107
• CPC Class Codes: A61B 17/3203 Fluid jet cutting instruments
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61F 9/00736 Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments A61F9/008 takes precedence

Abstract

A water jet instrument may be used for manually performing eye surgery such as, cataract, or perform micro-surgery (remove cartilage), or any emulsification technique. The water jet instrument may be manually controlled or controlled by a system with a robotic control. The water jet apparatus defines a jet cutting area that is based at least in part on a flow rate meter and a feedback loop.

Claims

1. A system configured for medical operation comprising:

a water jet device having an instrument drive mechanism;

an aspiration device separate from the water jet device; and

a robotic control system comprising a controller, a flow rate meter, a throttle valve, and a pump,

wherein the flow rate meter is in communication with the controller and the controller is in communication with the pump and the throttle valve to form a feedback loop,

wherein the flow rate meter is configured to generate and send a feedback signal to the controller,

wherein the controller is configured to;

generate and send a control signal to the pump in response to the feedback signal, and generate and send a throttle control signal to the throttle valve to control a flow rate of the water jet device in response to the feedback signal,

wherein the water jet device is configured to be coupled to the robotic control system via the instrument drive mechanism to generate a cutting jet based at least in part on the control signal from the controller so as to have a desired jet cutting area,

wherein the flow rate meter is upstream from the instrument drive mechanism,

wherein the aspiration device is configured to be coupled to the robotic control system to provide aspiration, and

wherein the robotic control system is configured to operate the water jet device aspiration device, the flow rate meter, the throttle valve, and the pump to perform the medical operation according to a predetermined workflow.

2. The system of claim 1 wherein the predetermined workflow comprises breaking apart biological matter.

3. The system of claim 1, wherein the water jet device has a flush function.

4. The system of claim 1, wherein the throttle valve is upstream of the flow rate meter.

5. The system of claim 1, wherein the pump is coupled to a pressure vessel upstream of the flow rate meter.

6. The system of claim 1, wherein the feedback signal generated by the flow rate meter is configured to either increase or decrease the desired jet cutting area.

7. The system of claim 1, wherein the desired jet cutting area comprises a focused cutting jet area and a dispersive area.

8. The system of claim 1, wherein the controller is configured to send a throttle control signal to the throttle valve in response to the feedback signal from the flow rate meter.

9. The system of claim 8, wherein the cutting jet is generated based at least in part on the throttle control signal so as to have the desired jet cutting area.

10. The system of claim 1, further comprising an aspiration pump coupled to the aspiration device, wherein the controller is in communication with the aspiration pump to control the aspiration pump.

11. The system of claim 10, wherein the aspiration pump is coupled to the aspiration device via a further instrument drive mechanism separate from the instrument drive mechanism of the water jet device.

12. The system of claim 10, wherein the controller is configured to one or more of maintain a flow of the aspiration by the aspiration device or moderate the cutting jet generated by the water jet device such that material volume within an enclosed operative space is maintained.

13. The system of claim 10, wherein the controller is in communication with the aspiration pump to form an aspiration feedback loop.

14. The system of claim 13, wherein the aspiration feedback loop further comprises an aspiration flow rate meter coupled to the aspiration pump and the controller, wherein the aspiration flow rate meter is configured to generate and send an aspiration feedback signal to the controller, and wherein the controller is configured to generate the control signal in response to the aspiration feedback signal.

15. The system of claim 1, wherein the water jet device comprises a water jet nozzle for outputting the cutting jet, the water jet nozzle comprising a flush lumen.

16. The system of claim 15, wherein the aspiration device comprises an aspiration nozzle comprising an aspiration lumen for providing the aspiration.

17. The system of claim 16, wherein the aspiration and flush lumens are separately disposed with respect to one another.