Control apparatus for microsurgical instruments

• US 4,168,707 A
• Filed: 06/13/1977
• Issued: 09/25/1979
• Est. Priority Date: 06/13/1977
• Status: Expired due to Term

• Current Assignee: Henry T. Dinelkamp, Nicholas G. Douvas
• Original Assignee: Henry T. Dinelkamp, Nicholas G. Douvas
• Inventors: Douvas, Nicholas G., Dinelkamp, Henry T.
• Primary Examiner(s): Michell, Robert W.
• Assistant Examiner(s): Rose, Arthur S.
• Application Number:
  US05/806,161
• Time in Patent Office: 834 Days
• Field of Search: 128/276, 128/277, 128/278, 128/305, 128/2 A, 128/230, 128/DIG. 29, 128/214 E, 128/2.05 E, 128/2.05 F, 128/DIG. 13, 73/725, 73/719, 73/702, 137/557, 141/95, 222/39, 116/114 PV, 338/42, 324/61 QS, 331/64, 331/65, 200/86.5, 200/5 R, 200/17 R, 200/17 B, 200/153 C, 250/573
• US Class Current: 604/32
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00225 Systems for controlling multiple different instruments, e.g. microsurgical systems
• CPC Class Codes: A61B 2017/00977 the depression depth determining the power rate
• CPC Class Codes: A61F 9/00736 Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments A61F9/008 takes precedence
• CPC Class Codes: G05B 2219/23056 Foot pedal, control, operated
• CPC Class Codes: G05B 2219/23386 Voice, vocal command or message
• CPC Class Codes: Y10S 128/13 Infusion monitoring
• CPC Class Codes: Y10T 74/20528 Foot operated
• CPC Class Codes: Y10T 74/20888 Pedals

Abstract

An automated electronic microsurgical control system is disclosed which is capable of performing the various aspiration functions customarily performed manually by a surgical assistant. The system is entirely subservient to the surgeon'"'"'s foot control unit which is adapted to control seven different surgical functions. In addition, the electronic control system is designed to communicate audibly with the surgeon regarding actual fluid flow and the build-up of vacuum pressure in the aspiration lines connected to the microsurgical cutting instrument, thus permitting the surgeon to audibly ascertain complete information as to the actual activity within the aspiration line without requiring him to take his eyes from the operating microscope.

Claims

1. In an automated control apparatus for controlling a microsurgical instrument for performing infusion, aspiration and cutting functions of the type used in intraocular surgery, including a first source of infusion fluid hydraulically connected to an infusion line adapted to be connected to a microsurgical instrument, first valve means connected between said first source of infusion fluid and said infusion line for controlling the flow of fluid from said first source of infusion fluid to a microsurgical instrument, and pumping means connected to an aspiration line adapted to be connected to a microsurgical instrument for introducing a suction pressure into said aspiration line;

the improvement comprising;

foot switch control means electrically connected to said first valve means, said pumping means, and a microsurgical instrument, for controlling the actuation of said first valve means, the actuation and speed of said pumping means, and the actuation during the cutting mode of operation of said microsurgical instrument, in accordance with the positioning of said foot switch control means, said foot switch control means comprising a multi-position toe pedal switch and a multi-position heel pedal switch mounted to a pivotable base that actuates a first pivot switch when said base is pivoted in one direction and a second pivot switch when said base is pivoted in the opposite direction, such that either of said multi-position toe or heel pedal switches is actuable simultaneously with the actuation of either of said first or second pivot switches without requiring the surgeon to change the position of his foot relative to said pivotable base.

2. The control apparatus of claim 1 further including a second source of infusion fluid hydraulically connected to said aspiration line, and second valve means connected between said aspiration line and said second source of infusion fluid for controlling the flow of fluid from said second source of infusion fluid into said aspiration line;

said foot switch control means being electrically connected to said second valve means for controlling the actuation of said second valve means in accordance with the positioning of said foot switch control means.

3. The control apparatus of claim 2 further including circuit means for actuating said second valve means for a relatively brief period of time;

said foot switch control means being electrically connected to said circuit means for enabling said circuit means whenever said foot switch control means is positioned for complete cessation of aspiration.

4. The control apparatus of claim 2 further including first transducer means connected to said aspiration line for generating a first audible signal having a characteristic thereof that is varied in accordance with the actual rate of fluid through said aspiration line.

5. The control apparatus of claim 4 further including second transducer means hydraulically connected to said aspiration line for generating a second audible signal perceptively distinguishable from said first audible signal and having a characteristic thereof that is varied in accordance with the amount of suction pressure in said aspiration line.

6. The control apparatus of claim 5 wherein said second transducer means comprises a sterilizable pressure transducer hydraulically connected to said aspiration line, electrical transducer means for generating said second audible signal, and coupling means mechanically connecting said pressure transducer to said electrical transducer means so as to permit said pressure transducer to be readily disconnected from said electrical transducer means.

7. The control apparatus of claim 6 wherein said pressure transducer comprises a diaphragm actuator vacuum pressure device, and said coupling means comprises a receptacle for receiving said pressure transducer so that a mechanical linkage is engaged between a coupling element connected to said diaphragm and a complimentary coupling element connected to said electrical transducer means.

8. The control apparatus of claim 4 wherein said first transducer means comprises photo-detector means for detecting the passage of each drop of aspirate through said aspiration line and electrical transducer means connected to said photo-detector means for generating said first audible sound, said photo-detector means comprising a light emitting device and a photo-electric transducer device positioned on opposing sides of a transparent drip tube hydraulically connected to said aspiration line so that drops of aspirate passing through said drip tube will interrupt the beam of light between said light emitting device and said photo-electric transducer, said electric transducer means being adapted to generate said first audible sound whenever said beam of light is interrupted.

9. The control apparatus of claim 1 wherein said toe and heel pedal switches are three-position switches.

10. An automated control apparatus for controlling a microsurgical instrument for performing infusion, aspiration and cutting functions of the type used in intraocular surgery, including:

an aspiration line adapted to be connected to a microsurgical instrument;

pumping means connected to said aspiration line for introducing a suction pressure into said aspiration line;

first transducer means connected to said aspiration line for continuously monitoring the fluid flow through said aspiration line by generating a first audible signal having a characteristic thereof that is varied in accordance with the actual rate of fluid flow through said aspiration line; and

second transducer means hydraulically connected to said aspiration line for generating a second audible signal perceptively distinguishable from said first audible signal and having a characteristic thereof that is varied in accordance with the amount of suction pressure in said aspiration line.

11. The control apparatus of claim 10 wherein said first transducer means comprises photo-detector means for detecting the passage of each drop of aspirate through said aspiration line and electrical transducer means connected to said photo-detector means for generating said first audible sound, said photo-detector means comprising a light emitting device and a photo-electric transducer device positioned on opposing sides of a transparent drip tube hydraulically connected to said aspiration line so that drops of aspirate passing through said drip tube will interrupt the beam of light between said light emitting device and said photo-electric transducer, said electric transducer means being adapted to generate said first audible sound whenever said beam of light is interrupted.

12. The control apparatus of claim 10 wherein said second transducer means comprises a sterilizable pressure transducer hydraulically connected to said aspiration line, electrical transducer means for generating said second audible signal, and coupling means mechanically connecting said pressure transducer to said electrical transducer means so as to permit said pressure transducer to be readily disconnected from said electrical transducer means.

13. The control apparatus of claim 12 wherein said pressure transducer comprises a diaphragm actuator vacuum pressure device, and said coupling means comprises a receptacle for receiving said pressure transducer, a coupling element connected to said diaphragm and complimentary coupling element connected to said electrical transducer means, said coupling elements being such that when said pressure transducer is placed in said receptacle said coupling elements are automatically linked together.

14. An automated control apparatus for controlling a microsurgical instrument for performing infusion, aspiration and cutting functions of the type used in intraocular surgery, including:

an aspiration line adapted to be connected to a microsurgical instrument;

pumping means connected to said aspiration line for introducing a suction pressure into said aspiration line;

and transducer means for producing an audible signal having a characteristic thereof that is varied in accordance with the amount of suction pressure in said aspiration line, said transducer means comprising a sterilizable pressure transducer having a pressure responsive actuator hydraulically connected to said aspiration line, electrical transducer means for generating said audible signal, and coupling means mechanically connecting said pressure transducer to said electrical transducer means for transmitting the movement of said pressure responsive actuator to said electrical transducer means, said coupling means comprising a receptacle for receiving said pressure transducer, a coupling element connected to said actuator and a complimentary coupling element connected to said electrical transducer means, said coupling elements being such that when said pressure transducer is placed in said receptacle said coupling elements are automatically linked together.

15. The control apparatus of claim 14 wherein said pumping means comprises a peristaltic suction pump.

16. An automated control apparatus for controlling a microsurgical instrument for performing infusion, aspiration and cutting functions of the type used in intraocular surgery, including:

a control unit adapted to be connected to a microsurgical instrument comprising

an infusion line adapted to be connected to a microsurgical instrument, a low pressure source of infusion fluid connected to said infusion line, a high pressure source of infusion fluid hydraulically connected to said infusion line, an aspiration line adapted to be connected to a microsurgical instrument, an intermediate pressure source of infusion fluid hydraulically connected to said aspiration line, first valve means connected between said infusion line and said high pressure source of infusion fluid for controlling the flow of fluid from said high pressure source of infusion fluid to a microsurgical instrument, second valve means connected between said aspiration line and said intermediate pressure source of infusion fluid for controlling the flow of fluid from said intermediate pressure source of infusion fluid into said aspiration line, pumping means having at least two different speeds connected to said aspiration line for introducing a suction pressure into said aspiration line, first transducer means connected to said aspiration line for generating a first audible signal having a characteristic thereof that varies in accordance with the actual rate of fluid flow through said aspiration line, second transducer means hydraulically connected to said aspiration line for generating a second audible signal perceptively distinguishable from said first audible signal and having a characteristic thereof that varies in accordance with the amount of suction pressure in said aspiration line, and circuit means connected to said second valve means for actuating said second valve means for a relatively brief period of time; and

a foot switch control unit having at least nine different switch positions that are electrically connected to said control unit such that

in a first position said first valve means is opened and the low-speed of said pumping means is actuated, in a second position said first valve means is opened and the high-speed of said pumping means is actuated, in a third position activation of said pumping means is terminated and said first valve means is opened, in fourth, eighth and ninth positions the power is provided for the cutting mode of operation of a microsurgical instrument in combination with the functions performed in said first, second and third positions, respectively, in a fifth position activation of said pumping means is terminated, the power is removed for the cutting mode of operation of a microsurgical instrument and said circuit means is enabled, in a sixth position said second valve means is opened, and in a seventh position said second valve means is opened and the power is provided for the cutting mode of operation of a microsurgical instrument.

17. The control apparatus of claim 16 wherein said foot switch control unit comprises a three-position toe pedal switch and a three-position heel pedal switch mounted to a pivotable base that is applied to actuate a left pivot switch when said base is pivoted to the surgeon'"'"'s left and a right pivot switch when said base is pivoted to the surgeon'"'"'s right, such that either of said three-position toe or heel pedal switches is actuable simultaneously with the actuation of either of said left or right pivot switches without changing the position of the surgeon'"'"'s foot relative to said pivotable base.

18. The control apparatus of claim 17 wherein:

said first position corresponds to said toe pedal switch being initially depressed without pivoting said foot control unit,

said second position corresponds to said toe pedal switch being initially depressed and said foot control unit pivoted to the left,

said third position corresponds to said toe pedal switch being initially depressed and said foot control unit pivoted to the right.

said fourth position corresponds to said toe pedal switch being fully depressed without pivoting said foot control unit,

said fifth position corresponds to said toe and heel pedal switches being fully released,

said sixth position corresponds to said heel pedal switch being initially depressed,

said seventh position corresponds to said heel pedal switch being fully depressed,

said eighth position corresponds to said toe pedal switch being fully depressed and said foot control unit pivoted to the left, and

said ninth position corresponds to said toe pedal switch being fully depressed and said foot control unit pivoted to the right.

19. The control apparatus of claim 16 wherein said first transducer means comprises photo-detector means for detecting the passage of each drop of aspirate through said aspiration line and electrical transducer means connected to said photo-detector means for generating said first audible sound, said photo-detector means comprising a light emitting device and a photo-electric transducer device positioned on opposing sides of a transparent drip tube hydraulically connected to said aspiration line so that drops of aspirate passing through said drip tube will interrupt the beam of light between said light emitting device and said photo-electric transducer, said electric transducer means being adapted to generate said first audible sound whenever said beam of light is interrupted.

20. The control apparatus of claim 16 wherein said second transducer means comprises a sterilizable pressure transducer hydraulically connected to said aspiration line, electrical transducer means for generating said second audible signal, and coupling means mechanically connecting said pressure transducer to said electrical transducer means so as to permit said pressure transducer to be readily disconnected from said electrical transducer means.

21. The control apparatus of claim 20 wherein said pressure transducer comprises a diaphragm actuator vacuum pressure device, and said coupling means comprises a receptacle for receiving said pressure transducer so that a mechanical linkage is automatically engaged between a coupling element connected to said diaphragm and a complimentary coupling element connected to said electrical transducer means.