VACUUM SENSE CONTROL FOR PHACO PULSE SHAPING

• US 20100114009A1
• Filed: 01/08/2010
• Published: 05/06/2010
• Est. Priority Date: 08/01/2006
• Status: Active Grant

• Current Assignee: Johnson & Johnson Surgical Vision, Inc. (Johnson & Johnson)
• Original Assignee: Abbott Medical Optics Incorporated (Johnson & Johnson)
• Inventors: STAGGS, JAMES W.
• Granted Patent: US 7,998,156 B2
• Time in Patent Office: Days
• US Class Current: 604/22
• CPC Class Codes: A61F 9/00745 using mechanical vibrations, e.g. ultrasonic
• CPC Class Codes: A61M 1/74 Suction control underwater drainage A61M1/61
• CPC Class Codes: A61M 1/774 Handpieces specially adapted for providing suction as well as irrigation, either simultaneously or independently
• CPC Class Codes: A61M 2005/16863 Occlusion detection
• CPC Class Codes: A61M 2205/3331 Pressure; Flow
• CPC Class Codes: A61M 2210/0612 Eyes
• CPC Class Codes: A61M 5/16854 by monitoring line pressure
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/63 for local operation

Abstract

A method and apparatus for precisely controlling particle movement relative to a phacoemulsification needle tip is provided. The design monitors actual vacuum present and calculates a pulse shape amplitude waveform proportional to the amount of measured vacuum. An increase in vacuum indicates that the handpiece/needle is becoming occluded by a large particle. The present design determines whether additional power is required to bump or move a large particle away from the needle tip. The present design may employ a control loop that senses and continuously monitors vacuum. The design may dynamically vary the amount of ultrasonic energy delivered to the surgical area in response to the observed actual vacuum, and can actively vary the amount of power delivered to the surgical area based on the size of the particle and the resultant vacuum realized.

Claims

1. A method for delivering ultrasonic energy during a phacoemulsification procedure, comprising:

applying at least one pulse each comprising a pulse shape, wherein at least one pulse shape comprises;

a predetermined pulse shape portion; and

at least one selected from the group consisting of;

an increased energy portion comprising an increase in energy proportional to an increase in sensed aspiration vacuum pressure; and

a decreased energy portion comprising a decrease in energy proportional to a decrease in sensed aspiration vacuum pressure,

wherein the increased energy portion is computed based on actual sensed aspiration vacuum pressure multiplied by maximum pulse amplitude minus minimum pulse amplitude and divided by maximum sensed aspiration vacuum pressure, added to minimum pulse amplitude.

2. The method of claim 1, further comprising monitoring sensed aspiration vacuum pressure, the sensed aspiration vacuum pressure encountered at a handpiece.

4. The method of claim 1, wherein the applying tends to induce transient cavitation within an ocular region.

5. The method of claim 1, wherein aspiration vacuum is sensed via a first device and applying comprises applying the at least one pulse to a second device.

6. The method of claim 1, wherein applying comprises applying multiple pulses each comprising an individual pulse shape formed based on actual sensed aspiration vacuum pressure.

3. (canceled)

7-19. -19. (canceled)

20. A method for delivering ultrasonic energy during an emulsification procedure, comprising:

applying at least one pulse each comprising a pulse shape, wherein at least one pulse shape comprises;

a predetermined pulse shape portion; and

at least one selected from the group consisting of;

an increased energy portion comprising an increase in energy proportional to an increase in sensed aspiration vacuum pressure; and

a decreased energy portion comprising a decrease in energy proportional to a decrease in sensed aspiration vacuum pressure,

wherein the increased energy portion is computed based on actual sensed aspiration vacuum pressure multiplied by maximum pulse amplitude minus minimum pulse amplitude and divided b maximum sensed aspiration vacuum pressure, added to minimum pulse amplitude.

21. The method of claim 20, wherein the emulsification procedure is a phacoemulsification procedure.

22. The method of claim 20, further comprising monitoring sensed aspiration vacuum pressure, the sensed aspiration vacuum pressure encountered at a handpiece.

24. The method of claim 20, wherein the applying tends to induce transient cavitation within an ocular region.

25. The method of claim 20, wherein aspiration vacuum is sensed via a first device and applying comprises applying the at least one pulse to a second device.

26. The method of claim 20, wherein applying comprises applying multiple pulses each comprising an individual pulse shape formed based on actual sensed aspiration vacuum pressure.

23. (canceled)