Simultaneous Proportional Control of Surgical Parameters in a Microsurgical System

• US 20090082794A1
• Filed: 11/25/2008
• Published: 03/26/2009
• Est. Priority Date: 10/16/2001
• Status: Active Grant

• Current Assignee: Alcon Incorporated
• Original Assignee: Novartis Ag
• Inventors: Jung, Christopher C., Huculak, John C., Finlay, Russell L., Essex, Paul, Todd, Kirk W.
• Granted Patent: US 8,048,094 B2
• Time in Patent Office: Days
• US Class Current: 606/166
• CPC Class Codes: A61B 17/00 Surgical instruments, devices or methods, e.g. tourniquets A61B18/00 takes precedence; contraceptive devices, pessaries, or applicators therefor A61F6/00; eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00973 pedal-operated
• CPC Class Codes: A61F 9/007 Methods or devices for eye surgery

Abstract

A microsurgical system, and a foot controller for the improved operation of a microsurgical system, are disclosed. A surgeon may use the foot controller to simultaneously control multiple surgical parameters based upon movement of a foot pedal of the foot controller in a single plane of motion.

Claims

1. A method of providing simultaneous proportional control of multiple surgical parameters in an ophthalmic microsurgical system, comprising the steps of:

providing an ophthalmic microsurgical system, said system comprising;

a vitrectomy probe;

a computer;

a foot controller operatively coupled to said computer, said foot controller having a foot pedal capable of movement in a generally vertical plane of motion between a first end point and a second end point, wherein said first end point is a fully undepressed position of said foot pedal and said second end point is a fully depressed position of said foot pedal, and wherein said movement has a first region between said first end point and an intermediate point and a second region between said intermediate point and said second end point;

a first surgical parameter, said first surgical parameter being a cut rate of said vitrectomy probe; and

a second surgical parameter, said second surgical parameter being an aspiration vacuum level of said vitrectomy probe;

determining a position of said foot pedal between said first end point and said second end point;

proportionally controlling a value of said first surgical parameter as a function of said position of said foot pedal in said vertical plane of motion; and

proportionally controlling a value of said second surgical parameter as a function of said position of said foot pedal in said vertical plane of motion simultaneous with said step of proportionally controlling said value of said first surgical parameter and independent of the manner in which said value of said first surgical parameter is proportionally controlled, wherein said first surgical parameter is maintained at a constant maximum value in said first region, said second surgical parameter is maintained at a constant minimum value in said first region, said first surgical parameter decreases in a linear manner in said second region, and said second surgical parameter increases in a non-linear manner in said second region.

2. A method of providing simultaneous proportional control of multiple surgical parameters in an ophthalmic microsurgical system, comprising the steps of:

providing an ophthalmic microsurgical system, said system comprising;

a vitrectomy probe;

a computer;

a foot controller operatively coupled to said computer, said foot controller having a foot pedal capable of movement in a generally vertical plane of motion between a first end point and a second end point, wherein said first end point is a fully undepressed position of said foot pedal and said second end point is a fully depressed position of said foot pedal, and wherein said movement has a first region between said first end point and an intermediate point and a second region between said intermediate point and said second end point;

a first surgical parameter, said first surgical parameter being a cut rate of said vitrectomy probe; and

a second surgical parameter, said second surgical parameter being an aspiration vacuum level of said vitrectomy probe;

determining a position of said foot pedal between said first end point and said second end point;

proportionally controlling a value of said first surgical parameter as a function of said position of said foot pedal in said vertical plane of motion; and

proportionally controlling a value of said second surgical parameter as a function of said position of said foot pedal in said vertical plane of motion simultaneous with said step of proportionally controlling said value of said first surgical parameter and independent of the manner in which said value of said first surgical parameter is proportionally controlled, wherein said first surgical parameter is maintained at a constant maximum value in said first region, said second surgical parameter is maintained at a constant minimum value in said first region, said first surgical parameter decreases in a non-linear manner in said second region, and said second surgical parameter increases in a linear manner in said second region.

3. A method of providing simultaneous proportional control of multiple surgical parameters in an ophthalmic microsurgical system, comprising the steps of:

providing an ophthalmic microsurgical system, said system comprising;

a vitrectomy probe;

a computer;

a foot controller operatively coupled to said computer, said foot controller having a foot pedal capable of movement in a generally vertical plane of motion between a first end point and a second end point, wherein said first end point is a fully undepressed position of said foot pedal and said second end point is a fully depressed position of said foot pedal, and wherein said movement has a first region between said first end point and an intermediate point and a second region between said intermediate point and said second end point;

a first surgical parameter, said first surgical parameter being a cut rate of said vitrectomy probe; and

a second surgical parameter, said second surgical parameter being an aspiration vacuum level of said vitrectomy probe;

determining a position of said foot pedal between said first end point and said second end point;

proportionally controlling a value of said first surgical parameter as a function of said position of said foot pedal in said vertical plane of motion; and

proportionally controlling a value of said second surgical parameter as a function of said position of said foot pedal in said vertical plane of motion simultaneous with said step of proportionally controlling said value of said first surgical parameter and independent of the manner in which said value of said first surgical parameter is proportionally controlled, wherein said first surgical parameter is maintained at a constant maximum value in said first region, said second surgical parameter is maintained at a constant minimum value in said first region, said first surgical parameter decreases in a non-linear manner in said second region, and said second surgical parameter increases in a non-linear manner in said second region.

4. A method of providing simultaneous proportional control of multiple surgical parameters in an ophthalmic microsurgical system, comprising the steps of:

providing an ophthalmic microsurgical system, said system comprising;

an ultrasonic handpiece;

a computer;

a foot controller operatively coupled to said computer, said foot controller having a foot pedal capable of movement in a generally vertical plane of motion between a first end point and a second end point, wherein said first end point is a fully undepressed position of said foot pedal and said second end point is a fully depressed position of said foot pedal, and wherein said movement has a first region between said first end point and an intermediate point and a second region between said intermediate point and said second end point;

a first surgical parameter, said first surgical parameter being an ultrasound power of said ultrasonic handpiece; and

a second surgical parameter, said second surgical parameter being an aspiration vacuum level of said ultrasonic handpiece;

determining a position of said foot pedal between said first end point and said second end point;

proportionally controlling a value of said first surgical parameter as a function of said position of said foot pedal in said vertical plane of motion; and

proportionally controlling a value of said second surgical parameter as a function of said position of said foot pedal in said vertical plane of motion simultaneous with said step of proportionally controlling said value of said first surgical parameter and independent of the manner in which said value of said first surgical parameter is proportionally controlled, wherein said first surgical parameter is maintained at a constant maximum value in said first region, said second surgical parameter is maintained at a constant minimum value in said first region, said first surgical parameter decreases in a linear manner in said second region, and said second surgical parameter increases in a non-linear manner in said second region.

5. A method of providing simultaneous proportional control of multiple surgical parameters in an ophthalmic microsurgical system, comprising the steps of:

providing an ophthalmic microsurgical system, said system comprising;

an ultrasonic handpiece;

a computer;

a foot controller operatively coupled to said computer, said foot controller having a foot pedal capable of movement in a generally vertical plane of motion between a first end point and a second end point, wherein said first end point is a fully undepressed position of said foot pedal and said second end point is a fully depressed position of said foot pedal, and wherein said movement has a first region between said first end point and an intermediate point and a second region between said intermediate point and said second end point;

a first surgical parameter, said first surgical parameter being an ultrasound power of said ultrasonic handpiece; and

a second surgical parameter, said second surgical parameter being an aspiration vacuum level of said ultrasonic handpiece;

determining a position of said foot pedal between said first end point and said second end point;

proportionally controlling a value of said first surgical parameter as a function of said position of said foot pedal in said vertical plane of motion; and

proportionally controlling a value of said second surgical parameter as a function of said position of said foot pedal in said vertical plane of motion simultaneous with said step of proportionally controlling said value of said first surgical parameter and independent of the manner in which said value of said first surgical parameter is proportionally controlled, wherein said first surgical parameter is maintained at a constant maximum value in said first region, said second surgical parameter is maintained at a constant minimum value in said first region, said first surgical parameter decreases in a non-linear manner in said second region, and said second surgical parameter increases in a linear manner in said second region.

6. A method of providing simultaneous proportional control of multiple surgical parameters in an ophthalmic microsurgical system, comprising the steps of:

providing an ophthalmic microsurgical system, said system comprising;

an ultrasonic handpiece;

a computer;

a foot controller operatively coupled to said computer, said foot controller having a foot pedal capable of movement in a generally vertical plane of motion between a first end point and a second end point, wherein said first end point is a fully undepressed position of said foot pedal and said second end point is a fully depressed position of said foot pedal, and wherein said movement has a first region between said first end point and an intermediate point and a second region between said intermediate point and said second end point;

a first surgical parameter, said first surgical parameter being an ultrasound power of said ultrasonic handpiece; and

a second surgical parameter, said second surgical parameter being an aspiration vacuum level of said ultrasonic handpiece;

determining a position of said foot pedal between said first end point and said second end point;

proportionally controlling a value of said first surgical parameter as a function of said position of said foot pedal in said vertical plane of motion; and

proportionally controlling a value of said second surgical parameter as a function of said position of said foot pedal in said vertical plane of motion simultaneous with said step of proportionally controlling said value of said first surgical parameter and independent of the manner in which said value of said first surgical parameter is proportionally controlled, wherein said first surgical parameter is maintained at a constant maximum value in said first region, said second surgical parameter is maintained at a constant minimum value in said first region, said first surgical parameter decreases in a non-linear manner in said second region, and said second surgical parameter increases in a non-linear manner in said second region.