System and method for controlling a transverse phacoemulsification system with a footpedal

• US 10,596,032 B2
• Filed: 08/01/2008
• Issued: 03/24/2020
• Est. Priority Date: 05/24/2007
• Status: Active Grant

• Current Assignee: Johnson & Johnson Surgical Vision, Inc. (Johnson & Johnson)
• Original Assignee: Johnson & Johnson Surgical Vision, Inc. (Johnson & Johnson)
• Inventors: Raney, Rob
• Primary Examiner(s): Holwerda, Kathleen S
• Assistant Examiner(s): Labranche, Brooke
• Application Number:
  US12/185,029
• Publication Number:
  US 20090005712A1
• Time in Patent Office: 4,253 Days
• Field of Search: 606169, 606166, 606107, 606170, 604 22, 74560, 74561, 310 26, 310121, 310310, 310 68 A, 391310, 391 68 A, 601 2
• CPC Class Codes: A61B 2017/00977 the depression depth determining the power rate
• CPC Class Codes: A61B 2017/32007 with suction or vacuum means
• CPC Class Codes: A61B 2017/320084 Irrigation sleeves
• CPC Class Codes: A61B 2017/320089 node location
• CPC Class Codes: A61F 9/00745 using mechanical vibrations, e.g. ultrasonic

Abstract

A method and system for controlling an ultrasonically driven handpiece employable in an ocular surgical procedure is provided. The method includes operating the ultrasonically driven handpiece in a first tip displacement mode, such as a longitudinal mode according to a first set of operational parameters, and enabling a user to alter the ultrasonically driven handpiece to employ a second tip displacement mode, such as a transversal or torsional mode, using a second set of operational parameters. Enabling the user to alter performance of the handpiece comprises the user being enabled to dynamically select operational parameters for the first tip displacement mode relative to the second tip displacement mode by using, for example, a switching apparatus such as a footpedal.

Claims

1. An apparatus configured for use in an ocular surgical procedure, comprising:

a handpiece having a tip configured to ultrasonically vibrate, the handpiece configured to support a plurality of operating modes comprising a first operating mode and a second operating mode, wherein at least one tip displacement parameter is allocated to the first operating mode and at least one tip displacement parameter is allocated to the second operating mode;

an engageable switching apparatus; and

a controller connected to the handpiece and the engageable switching apparatus, wherein the engageable switching apparatus comprises a footpedal and is capable of deflection, and wherein the controller is configured to;

receive input from the engageable switching apparatus, generate a tip displacement control signal to vary a tip displacement ratio of the handpiece based on the input received from the engageable switching apparatus, and transmit the tip displacement control signal to the handpiece, thereby enabling a user to dynamically adjust the tip displacement ratio, wherein the tip displacement ratio relates the at least one tip displacement parameter allocated to the first operating mode to the at least one tip displacement parameter allocated to the second operating mode, and wherein dynamically adjusting the tip displacement ratio includes adjusting a percentage of the at least one tip displacement parameter allocated to the first operating mode and adjusting a percentage of the at least one tip displacement parameter allocated to the second operating mode in real-time based on input received from the engageable switching apparatus, wherein the adjusting of the percentages of the at least one tip displacement parameters of the first operating mode and the second operating mode is relative to each other, and wherein the adjusting of the percentages is based on an amount of the deflection of the engageable switching apparatus, wherein adjusting the tip displacement ratio comprises

     1) increasing the at least one tip displacement parameter allocated to the first operating mode while proportionally decreasing the at least one displacement parameter allocated to the second operating mode, or

     2) decreasing the at least one tip displacement parameter allocated to the first operating mode while proportionally increasing the at least one displacement parameter allocated to the second operating mode.

2. The apparatus of claim 1, wherein one of the operating modes comprises a transversal operating mode.

3. The apparatus of claim 2, wherein the first operating mode comprises a longitudinal operating mode and the controller interleaves operation of said longitudinal operating mode with the transversal operating mode.

4. The apparatus of claim 1, wherein a non-longitudinal mode of operation is available, and wherein adjusting the tip displacement ratio comprises increasing the at least one tip displacement parameter allocated to the first operating mode while proportionally decreasing the at least one displacement parameter allocated to the non-longitudinal mode.

5. The apparatus of claim 1, wherein a non-longitudinal mode of operation is available, and wherein adjusting the tip displacement ratio comprises decreasing the at least one tip displacement parameter allocated to the first operating mode while proportionally increasing the at least one displacement parameter allocated to the non-longitudinal mode.

6. The apparatus of claim 1, wherein one of the operating modes comprises a torsional operating mode.

7. The apparatus of claim 6, wherein the controller interleaves operation of said first operating mode with the torsional operating mode.

8. The apparatus of claim 1, wherein the at least one displacement parameter allocated to the first operating mode and the at least one displacement parameter allocated to the second operating mode are selected from the group consisting of power level, on time, off time, duty cycle, pulse rate, and frequency.

9. The apparatus of claim 1, wherein dynamically adjusting the tip displacement ratio includes changing the at least one tip displacement parameter allocated to the first operating mode at the expense of the at least one tip displacement parameter allocated to the second operating mode.

10. The apparatus of claim 1, wherein the at least one displacement parameter allocated to the first operating mode is a percentage of power allocated by the handpiece to operate in the first operating mode and the at least one displacement parameter allocated to the second operating mode is a percentage of power allocated by the handpiece to operate in the second operating mode.

11. The apparatus of claim 10, wherein the percentage of power allocated by the handpiece to operate in the first operating mode indicates a percentage of time the handpiece operates in the first operating mode.

12. The apparatus of claim 10, wherein the percentage of power allocated by the handpiece to operate in the first operating mode indicates a percentage of a total power level applied to operate in the first operating mode.

13. An apparatus configured for use in an ocular surgical procedure, comprising:

a handpiece having an ultrasonically vibrating tip supporting two or more operating modes including a first operating mode and a second operating mode, wherein at least one tip displacement parameter is allocated to the first operating mode and at least one tip displacement parameter is allocated to the second operating mode;

an engageable switching apparatus; and

a controller connected to the handpiece and the engageable switching apparatus, wherein the engageable switching apparatus comprises a footpedal and is capable of deflection, wherein the controller is configured to receive input from the engageable switching apparatus and, by dynamically selecting the at least one tip displacement parameter allocated to the first operating mode at the expense of the at least one tip displacement parameter allocated to the second operating mode, to adjust a percentage of the at least one tip displacement parameter allocated to the first operating mode and adjust a percentage of the at least one tip displacement parameter allocated to the second operating mode in real-time based on the input received from the engageable switching apparatus via transmittal of a control signal, wherein the adjusting of the percentages of the at least one tip displacement parameters of the first operating mode and the second operating mode is relative to each other, and wherein the adjusting of the percentages is based on an amount of the deflection of the engageable switching apparatus, wherein adjusting of the percentages comprises

     1) increasing the at least one tip displacement parameter allocated to the first operating mode while proportionally decreasing the at least one displacement parameter allocated to the second operating mode, or

     2) decreasing the at least one tip displacement parameter allocated to the first operating mode while proportionally increasing the at least one displacement parameter allocated to the second operating mode.

14. The apparatus of claim 13, wherein one of the operating modes comprises a transversal operating mode.

15. The apparatus of claim 14, wherein the first operating mode comprises a longitudinal operating mode and the controller interleaves operation of said longitudinal operating mode with the transversal operating mode.

16. The apparatus of claim 13, wherein one of the operating modes comprises a torsional operating mode.

17. The apparatus of claim 16, wherein the controller interleaves operation of said first operating mode with the torsional operating mode.