Automatically switching different aspiration levels and/or pumps to an ocular probe

• US 10,251,983 B2
• Filed: 02/10/2017
• Issued: 04/09/2019
• Est. Priority Date: 11/07/2008
• Status: Active Grant

• Current Assignee: Johnson & Johnson Surgical Vision, Inc. (Johnson & Johnson)
• Original Assignee: Johnson & Johnson Surgical Vision, Inc. (Johnson & Johnson)
• Inventors: Raney, Robert G., Claus, Michael J., Gerg, James, Wong, Wayne S., King, David A., Staggs, James W., Lee, Fred
• Primary Examiner(s): Mehta, Bhisma
• Assistant Examiner(s): Wilson, Larry R
• Application Number:
  US15/430,282
• Publication Number:
  US 20170151377A1
• Time in Patent Office: 788 Days
• 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
• CPC Class Codes: A61F 9/00745 using mechanical vibrations, e.g. ultrasonic
• CPC Class Codes: A61F 9/00754 for cutting or perforating the anterior lens capsule, e.g. capsulotomes
• CPC Class Codes: A61M 1/72 Cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 1/74 Suction control underwater drainage A61M1/61
• CPC Class Codes: A61M 1/75 Intermittent or pulsating suction A61M1/63, A61M1/772 take precedence
• CPC Class Codes: A61M 1/76 Handpieces specially for suction-irrigation A61M1/774, aspiration tips A61M1/84
• CPC Class Codes: A61M 1/77 Suction-irrigation systems aspiration tips supplying fluids A61M1/85; specific for negative pressure wound therapy A61M1/92; combined with tracheal tubes A61M16/0463
• CPC Class Codes: A61M 1/772 operating alternately
• CPC Class Codes: A61M 1/80 Suction pumps A61M1/64, A61M1/71, A61M60/00 take precedence
• CPC Class Codes: A61M 1/804 using Laval or Venturi jet pumps
• CPC Class Codes: A61M 2205/3331 Pressure; Flow
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2210/0612 Eyes
• CPC Class Codes: A61M 2210/0618 Nose

Abstract

Methods and apparatuses for automatically switching different aspiration levels to an ocular probe are disclosed herein. The probe may be a phacoemulsification probe. A first aspiration level, supplied by a first pump, may be applied to the probe simultaneously with ultrasonic energy. A second aspiration level, supplied by a second pump, may be automatically switched from the first aspiration level. Control feed back of the pumps may be varied according to set thresholds.

Claims

1. A method for applying aspiration and irrigation to a phacoemulsification device, comprising:

applying a low flow-rate aspiration from a first pump to an aspiration port of a probe;

applying a low flow-rate irrigation from a fluid source to an irrigation port of the probe while applying the low flow-rate aspiration;

transitioning from the low flow-rate aspiration to a high flow-rate aspiration from a second pump to the aspiration port;

transitioning from the low flow-rate irrigation to a high flow-rate irrigation while transitioning from the low flow-rate aspiration to the high flow-rate aspiration;

determining whether the high flow-rate aspiration exceeds a maximum irrigation rate; and

decreasing a flow-rate aspiration to the aspiration port of the probe to match an irrigation rate from the fluid source to the irrigation port of the probe responsive to determining that the high flow-rate aspiration exceeds the maximum irrigation rate.

2. The method of claim 1, wherein transitioning from the low flow-rate irrigation to the high flow-rate irrigation comprises automatically increasing the height of the fluid source.

3. The method of claim 1, wherein transitioning from the low flow-rate irrigation to the high flow-rate irrigation comprises placing pressure on the fluid source.

4. The method of claim 1, wherein a transitional flow-rate aspiration between the low flow-rate aspiration and the high flow-rate aspiration is constantly increasing.

5. The method of claim 1, wherein when the high-flow rate irrigation is not balanced with the high-flow rate aspiration, the high-flow rate aspiration and/or the high-flow rate irrigation automatically increase and/or decrease to balance with the high-flow rate irrigation.

6. The method of claim 5, wherein factors used in automatically increasing and/or decreasing the high-flow rate aspiration and/or the high-flow rate irrigation comprise one or more selected from the group consisting of fluid source height, phacoemulsification device tip size, and surgical technique.

7. The method of claim 1, wherein the method is computer implemented.

8. The method of claim 1, further comprising:

detecting whether the probe is occluded; and

decreasing an irrigation rate from the fluid source to the irrigation port of the probe to match a transitional flow-rate aspiration on a condition that it is detected that the probe is occluded.