Surgical fluid management system

• US 10,369,267 B2
• Filed: 02/25/2016
• Issued: 08/06/2019
• Est. Priority Date: 08/22/2008
• Status: Active Grant

• Current Assignee: Medtronic Xomed Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Xomed Incorporated (Medtronic Plc)
• Inventors: Norman, Gerould W., Scott Carpenter, Charles F., Koltz, Michael L., Viviano, Stephen R.
• Primary Examiner(s): Bosques, Edelmira
• Application Number:
  US15/053,375
• Publication Number:
  US 20160166758A1
• Time in Patent Office: 1,258 Days
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00212 using remote controls
• CPC Class Codes: A61B 2017/00225 Systems for controlling multiple different instruments, e.g. microsurgical systems
• 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 2205/3334 Measuring or controlling the flow rate
• CPC Class Codes: A61M 2205/3569 sublocal, e.g. between console and disposable
• CPC Class Codes: A61M 2205/3592 using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2205/505 Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 3/0202 with electronic control means or interfaces
• CPC Class Codes: A61M 3/0208 before use
• CPC Class Codes: A61M 3/022 Volume; Flow rate
• CPC Class Codes: A61M 3/0258 by means of electric pumps

Abstract

A surgical fluid manager includes a pump releasably engageable to tubing and a user interface. The user interface is configured to enable finger-touch selection of a fluid flow rate through the tubing and configured to operate in at least one of a first mode or a second mode. In the first mode, the flow rate is controlled via direct selection of one of a plurality of selectable digital numeric values, while in the second mode the flow rate is controlled via user selection of one alphanumeric identifier within a scale of alphanumeric identifiers. Each respective alphanumeric identifier directly corresponds to just one instrument size within a scale of instrument sizes.

Claims

1. A method of performing surgery comprising:

locating both a first surgical instrument and a remote control of a fluid manager within a sterile field while locating a peristaltic pump external to the sterile field;

selecting as an independent variable, via the remote control, a first fluid flow rate as a digital numeric value; and

performing a surgical procedure using the first surgical instrument, including directing the irrigation fluid through tubing, via the peristaltic pump at the first fluid flow rate, and through the irrigation conduit of the first surgical instrument onto the treatment site.

2. The method of claim 1 comprising:

arranging the fluid manager to receive user selection of an increase or a decrease in the selected first fluid flow rate by a numeric value via discrete intervals of at least one order of magnitude less than the order of magnitude of the selected first fluid flow rate.

3. The method of claim 1 comprising:

changing the selected first fluid flow rate via discrete intervals in correspondence with performing a surgical procedure using at least one of successively larger surgical instruments or successively smaller surgical instruments throughout the procedure.

4. The method of claim 1 comprising:

arranging the first surgical instrument to include at least one of;

a suction conduit independent and separate from the irrigation conduit;

or

a cutting element.

5. The method of claim 1, comprising:

selectively terminating a flow of the irrigation fluid through the irrigation conduit, including temporarily reversing a direction of the fluid flow.

6. The method of claim 5, wherein temporarily reversing the direction of the fluid flow comprises:

decreasing dampening, at a location between the pump and the irrigation conduit of the surgical instrument, to enable faster fluid flow response.

7. A method comprising:

locating both a first surgical instrument and a remote control of a fluid manager within a sterile field while locating a pump external to the sterile field;

selecting as an independent variable, via the remote control, a first fluid flow rate as a digital numeric value;

performing a surgical procedure using the first surgical instrument, including directing an irrigation fluid through tubing, via the pump at the first fluid flow rate, and through an irrigation conduit of the first surgical instrument onto the treatment site;

providing a plurality of selectable surgical instruments which range in cross-sectional size according to a scale defined by a discrete interval between successive sizes within the range of cross-sectional sizes, wherein the plurality of instruments include at least the first surgical instrument and a differently sized, second surgical instrument;

providing a plurality of selectable fluid flow rates, including at least the first fluid flow rate and a second fluid flow rate, represented by a plurality of alphanumeric identifiers wherein each respective fluid flow rate is calibrated to directly correspond to the cross-sectional size of one of the respective selectable surgical instruments; and

selecting one of the respective fluid flow rates, via the remote control within the sterile field, by selecting one of the alphanumeric identifiers corresponding to the cross-sectional size of the second surgical instrument.

8. The method of claim 7, comprising:

replacing the first surgical instrument with the second surgical instrument; and

resuming the procedure using the second surgical instrument, including directing the irrigation fluid via the pump at the second fluid flow rate through the tubing and through the irrigation conduit of the second surgical instrument.

9. A method comprising:

locating both a first surgical instrument and a remote control of a fluid manager within a sterile field while locating a pump external to the sterile field;

selecting as an independent variable, via the remote control, a first flow rate as a digital numeric value; and

performing a surgical procedure using the first surgical instrument, including directing the irrigation fluid through tubing, via the pump at the first fluid flow rate, and through the irrigation conduit of the first surgical instrument onto the treatment site; and

implementing the selected first fluid flow rate as an average flow rate via a series of pulses in which each individual pulse directs the irrigation fluid at a second fluid flow rate substantially greater than the average flow rate and wherein the respective pulses are separated from each other by no-flow intervals in which no fluid exits the irrigation conduit onto the treatment site.

10. The method of claim 9, comprising:

performing suction at the treatment site during the no-flow intervals.

11. A method comprising:

locating both a first surgical instrument and a remote control of a fluid manager within a sterile field while locating a pump external to the sterile field;

selecting as an independent variable, via the remote control, a first fluid flow rate as a digital numeric value;

performing a surgical procedure using the first surgical instrument, including directing the irrigation fluid through the tubing, via the pump at the first fluid flow rate, and through the irrigation conduit of the first surgical instrument onto the treatment site; and

arranging the fluid manager to enable electronic finger-touch selection of a fluid flow rate through the tubing and through the first surgical instrument, including configuring an user interface configured to operate convertibly between a first mode in which the selectable fluid flow rate, including the first fluid flow rate, is controllable via user selection of one of a plurality of selectable digital numeric values and a second mode in which the flow rate is controllable via user selection of one alphanumeric identifier within a scale of alphanumeric identifiers wherein each respective alphanumeric identifier directly corresponds to just one instrument size within a scale of instrument sizes.

12. The method of claim 11, comprising:

arranging the user interface to include the remote control and a console positionable external to the sterile field and supporting the pump;

arranging the remote control to be in communication with the console and positionable within the sterile field, wherein the remote control is separate from and independent of the surgical instrument; and

arranging both the console and the remote control to provide the electronic finger-touch selection of the selectable fluid flow rate via one of the respective first and second modes.