Method Of Controlling A Surgical System Based On A Rate Of Change Of An Operating Parameter

• US 20110015563A1
• Filed: 09/03/2010
• Published: 01/20/2011
• Est. Priority Date: 03/22/2004
• Status: Active Grant

• Current Assignee: Alcon Incorporated
• Original Assignee: Alcon Incorporated
• Inventors: Gordon, Raphael, Yadlowsky, Ann, Boukhny, Mikhail, Morgan, Michael D.
• Granted Patent: US 8,523,812 B2
• Time in Patent Office: Days
• US Class Current: 604/22
• CPC Class Codes: A61B 17/320068 using mechanical vibrations, e.g. ultrasonic A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/0003 of parts of the instruments
• CPC Class Codes: A61B 2017/00973 pedal-operated
• CPC Class Codes: A61B 2017/32007 with suction or vacuum means
• CPC Class Codes: A61F 9/00745 using mechanical vibrations, e.g. ultrasonic
• 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 2205/3368 Temperature
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 3/0202 with electronic control means or interfaces
• CPC Class Codes: A61M 3/0208 before use
• CPC Class Codes: A61M 3/0216 Pressure
• CPC Class Codes: A61M 3/022 Volume; Flow rate
• CPC Class Codes: A61M 3/0258 by means of electric pumps

Abstract

A surgical system that is able to sense the onset of an occlusion or other surgical event as well as when an occlusion breaks. To help avoid overheating of the tip, the system of the present invention predicts the temperature of the eye using irrigation flow rate and reduces the power to the handpiece automatically if an overheating situation is predicted. Alternatively or in addition, the system of the present invention monitors the power drawn by the handpiece, which is indicative of the cutting load on the tip, and automatically adjusts the power or stroke of the tip to compensate for increased loads on the tip.

Claims

1. A method of controlling a surgical system, the surgical system having an ultrasound handpiece, the ultrasound handpiece having a cutting tip, the method comprising the steps of:

detecting a pattern of data of an aspiration vacuum;

detecting a pattern of data of an irrigation pressure;

determining a rate of change of the aspiration vacuum;

determining a rate of change of the irrigation pressure;

determining a stage of occlusion based on the rate of change determinations; and

adjusting an amount of power delivered to the cutting tip of the ultrasound handpiece based on the determined stage of occlusion.

2. The method of claim 1, determining the stage of occlusion comprising identifying an onset or preliminary indication of occlusion.

3. The method of claim 1, the onset being identified by an increasing aspiration vacuum and an increasing irrigation pressure.

4. The method of claim 3, the irrigation pressure increasing at a faster rate than the aspiration vacuum.

5. The method of claim 1, determining the stage of occlusion comprising identifying a pre-occlusion condition.

6. The method of claim 5, the pre-occlusion condition being identified by an increasing aspiration vacuum and a substantially constant irrigation pressure.

7. The method of claim 1, determining the stage of occlusion comprising identifying a full occlusion.

8. The method of claim 7, the full occlusion being identified by a substantially constant aspiration vacuum and a substantially constant irrigation pressure.

9. The method of claim 1, determining the stage of occlusion comprising identifying a break of an occlusion.

10. The method of claim 9, the break being identified by a decreasing aspiration vacuum and a decreasing irrigation pressure.

11. The method of claim 1, determining the stage of occlusion comprising identifying a recovery from a break of an occlusion.

12. The method of claim 11, the recovery being identified by a slowing of a rate of decrease of the aspiration vacuum and a slowing of a rate of decrease of the irrigation pressure.

13. The method of claim 1, determining the stage of occlusion comprising identifying

an onset of an occlusion,

a pre-occlusion condition following the onset,

a full occlusion following the pre-occlusion condition,

a break of the full occlusion;

or

a recovery following the break.

14. The method of claim 1, adjusting power comprising adjusting a duty cycle of the ultrasound handpiece.

15. The method of claim 1, adjusting power comprising adjusting an amplitude or stroke of the ultrasound handpiece.

16. A method of controlling a surgical system, the surgical system having an ultrasound handpiece, the ultrasound handpiece having a cutting tip, the method comprising the steps of:

detecting a pattern of data of an aspiration vacuum;

detecting a pattern of data of an irrigation pressure;

determining a rate of change of the aspiration vacuum;

determining a rate of change of the irrigation pressure;

determining a stage of occlusion based on the rate of change determinations, wherein

an occlusion onset is identified by an increasing aspiration vacuum and an increasing irrigation pressure,

a pre-occlusion condition is identified by an increasing aspiration vacuum and a substantially constant irrigation pressure.

a full occlusion is identified by a substantially constant aspiration vacuum and a substantially constant irrigation pressure.

a break of a full occlusion is identified by a decreasing aspiration vacuum and a decreasing irrigation pressure, and

a recovery from an occlusion break is identified by a slowing of a rate of decrease of the aspiration vacuum and a slowing of a rate of decrease of the irrigation pressure; and

adjusting an amount of power delivered to the cutting tip of the ultrasound handpiece based on the determined stage of occlusion.

17. The method of claim 16, adjusting power comprising adjusting a duty cycle of the ultrasound handpiece.

18. The method of claim 16, adjusting power comprising adjusting an amplitude or stroke of the ultrasound handpiece.