Controlled depth penetrant apparatus and method

• US 4,674,503 A
• Filed: 03/05/1981
• Issued: 06/23/1987
• Est. Priority Date: 03/05/1981
• Status: Expired due to Term

• Current Assignee: Gholam A. Peyman, James M. Jr. Grisolano
• Original Assignee: Gholam A. Peyman, James M. Jr. Grisolano
• Inventors: Grisolano, James M. Jr., Peyman, Gholam A.
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US06/240,728
• Time in Patent Office: 2,301 Days
• Field of Search: 128/305, 128/305.1, 128/329 R, 128/305.5, 83/881
• US Class Current: 606/166
• CPC Class Codes: A61B 2090/033 Abutting means, stops, e.g. abutting on tissue or skin
• CPC Class Codes: A61B 2090/062 penetration depth
• CPC Class Codes: A61F 9/0133 Knives or scalpels specially adapted therefor
• CPC Class Codes: B26D 3/085 On sheet material
• CPC Class Codes: B26D 7/2628 Means for adjusting the position of the cutting member
• CPC Class Codes: Y10T 83/0348 Active means to control depth of score

Abstract

A penetrant apparatus for controlling the depth that a penetrant device penetrates a material relative to its outer surface, where the cross-sectional thickness of the material is not susceptible to caliper-type measurement because its inner surface is inaccessible except by intrusive means, and a method for penetrating the material utilizing the apparatus. The apparatus comprises a penetrant device connected to and driven by driving apparatus, depth sensing apparatus, thickness sensing apparatus, and comparator apparatus. The depth sensing apparatus determines the depth of penetration of the penetrant device into the material while the thickness sensing apparatus determines the thickness of the material between its inner and outer surfaces. The comparator apparatus is connected to the depth sensing apparatus, the thickness sensing apparatus, and the driving apparatus and compares the depth of penetration of the penetrant device to the thickness of the material and control the driving apparatus so that the depth of penetration of the penetrant device relative to the material'"'"'s outer surface so as to leave unpenetrated a portion of the material adjacent the inner surface.

Claims

1. Apparatus for penetrating a material which has an outer surface and an inner surface, whereby said material is penetrated inwardly from said outer surface while leaving adjacent to said inner surface an unpenetrated portion thereof, comprising:

penetrant means for penetrating said material;

driving means connected to said penetrant means for advancing or retracting said penetrant means relative to the outer surface of said material;

depth sensing means for determining the depth of penetration of said penetrant means into said material relative to said outer surface and generating a signal proportional thereto;

thickness sensing means for determining the thickness of said material between the outer and inner surfaces of said material at a point directly adjacent to said thickness sensing means, which thickness sensing means determine the thickness of said material at substantially the point of penetration of said penetrant means and generate a signal proportional thereto, and;

comparator means connected to said depth sensing means, thickness sensing means, and driving means, which compare said signal proportional to the depth of penetration of said penetrant means into said material relative to said outer surface to an input signal proportional to the desired unpenetrated thickness adjacent to the inner surface of said material and to said signal proportional to the thickness of said material at substantially the point of penetration of said penetrant means, said point serving substantially as a common reference point for said depth sensing means and said thickness sensing means which comparator means thereafter provide an output signal which controls said driving means so that the penetration of said penetrant means inwardly from the outer surface of said material is adjusted so as to leave unpenetrated a portion of said material adjacent the inner surface.

2. The apparatus of claim 1 wherein said comparator means provide an output signal whereby the penetration of said penetrant means is adjusted such that the unpenetrated portion of said material adjacent to said inner surface is of substantially uniform thickness.

3. The apparatus of claim 1 wherein said comparator means provide an output signal whereby the penetration of said penetrant means is adjusted such that the unpenetrated portion of said material at any point adjacent to said inner surface is a substantially uniform proportion of the thickness of said material at said point.

4. The apparatus of claim 1 wherein said penetrant means are a cutting blade.

5. The apparatus of claim 1 wherein said penetrant means are a needle.

6. The apparatus of claim 1 wherein said penetrant means are a probe.

7. The apparatus of claims 1, 2, 3, 4, 5 or 6 wherein said thickness sensing means comprise ultrasound transducer means whereby the thickness of said material between the outer and inner surfaces thereof is determined by generating a measuring signal by said transducer means, inwardly directing said signal with respect to said outer surface of said material, thereafter receiving a plurality of reflected signals from said material with said transducer means, selecting from said signals those representing the material inner and outer surface reflections by utilizing discriminating means comprised within said transducer means, and generating an output signal from said selected material reflection signals, which signal is representative of said thickness.

8. The apparatus of claim 7 wherein said depth sensing means are a photocell micrometer.

9. The apparatus of claim 7 wherein said depth sensing means are a variable resistor vernier.

10. The apparatus of claims 1, 2, 3, 4, 5 or 6 wherein an ultrasound transducer means comprise both said thickness sensing means and said depth sensing means, whereby the thickness of said material between the outer and inner surfaces thereof, and the depth of penetration of said penetrant means into said material relative to said outer surface, are determined by generating a measuring signal by said transducer means, inwardly directing said signal with respect to said outer surface of said material, thereafter receiving a plurality of reflected signals from said material with said transducer means, selecting from said signals those representing the material inner and outer surface reflections and the penetrant means tip reflection by utilizing discriminating means comprised within said transducer means, and generating a first output signal from said selected material reflection signals, which signal is representative of said thickness, and a second output signal from said selected material outer surface reflection signal and said selected penetrant means tip reflection signal, which signal is representative of said depth.

11. The apparatus of claims 1, 2, 3, 4, 5 or 6 wherein said depth sensing means are a photocell micrometer.

12. The apparatus of claims 1, 2, 3, 4, 5 or 6 wherein said depth sensing means are a variable resistor vernier.

13. A surgical instrument for performing a radial keratotomy on the eye of an animal, whereby the cornea of said eye is penetrated inwardly from its outer surface while leaving adjacent to its inner surface an unpenetrated portion thereof, comprising:

a cutting blade for penetrating said cornea;

driving means connected to said cutting blade for advancing or retracting said cutting blade relative to the outer surface of said cornea;

depth sensing means for determining the depth of penetration of said cutting blade into said cornea relative to said outer surface and generating a signal proportional thereto;

thickness sensing means for determining the thickness of said cornea between the outer and inner surfaces of said cornea at a point directly adjacent to said thickness sensing means, which thickness sensing means determine the thickness of said cornea at substantially the point of penetration of said cutting blade and generate a signal proportional thereto, and;

comparator means connected to said depth sensing means, thickness sensing means, and driving means, which compare said signal proportional to the depth of penetration of said cutting blade into said cornea relative to said outer surface to an input signal proportional to the desired unpenetrated thickness adjacent to the inner surface of said cornea and to said signal proportional to the thickness of said cornea at substantially the point of penetration of said penetrant means, said point serving substantially as a common reference point for said depth sensing means and said thickness sensing means which comparator means thereafter provide an output signal which controls said driving means so that the penetration of said cutting blade inwardly from the outer surface of said cornea is adjusted so as to leave unpenetrated a portion of said cornea adjacent the inner surface.

14. The surgical instrument of claim 13 wherein said comparator means provide an output signal whereby the penetration of said cutting blade is adjusted such that the unpenetrated portion of said cornea adjacent to said inner surface is of substantially uniform thickness.

15. The surgical instrument of claim 13 wherein said comparator means provide an output signal whereby the penetration of said cutting blade means is adjusted such that the unpenetrated portion of said cornea at any point adjacent to said inner surface is a substantially uniform proportion of the thickness of said cornea at said point.

16. The surgical instrument of claims 13, 5 or 6 wherein said thickness sensing means comprise ultrasound transducer means whereby the thickness of said cornea between the outer and inner surfaces thereof is determined by generating a measuring signal by said transducer means, inwardly directing said signal with respect to said outer surface of said eye, thereafter receiving a plurality of reflected signals from said eye with said transducer means, selecting from said signals those representing the corneal inner and outer surface reflections by utilizing discriminating means comprised within said transducer means and generating an output signal from said selected corneal reflection signals, which signal is representative of said thickness.

17. The surgical instrument of claim 16 wherein said depth sensing means are a photocell micrometer.

18. The surgical instrument of claim 17 further comprising failsafe means connected to said comparator means to effect withdrawal of said cutting blade from the interior of said cornea on existence of a failsafe condition.

19. The surgical instrument of claim 16 wherein said depth sensing means are a variable resistor vernier.

20. The surgical instrument of claims 13, 5 or 6 wherein said thickness sensing means comprise light transducer means whereby the thickness of said cornea between the outer and inner surfaces thereof is determined by generating a plurality of light measuring signals by said transducer means, inwardly directing said signals with respect to said outer surface of said eye, thereafter receiving a plurality of reflected signals from said eye with said transducer means representing the corneal inner surface reflections, and generating an output signal from said corneal reflection signals, which signal is representative of said thickness.

21. The surgical instrument of claim 20 wherein said depth sensing means are a photocell micrometer.

22. The surgical instrument of claim 21 further comprising failsafe means connected to said comparator means to effect withdrawal of said cutting blade from the interior of said cornea on existence of a failsafe condition.

23. The surgical instrument of claim 20 wherein said depth sensing means are a variable resistor vernier.

24. The surgical instrument of claims 13, 14 or 15 wherein an ultrasound transducer means comprise both said thickness sensing means and said depth sensing means, whereby the thickness of said cornea between the outer and inner surface thereof, and the depth of penetration of said cutting blade into said cornea relative to said outer surface, are determined by generating a measuring signal by said transducer means, inwardly directing said signal with respect to said outer surface of said eye, thereafter receiving a plurality of reflected signals from said eye with said transducer means, selecting from said signals those representing the corneal inner and outer surface reflections and the cutting blade tip reflection by utilizing discriminating means comprised within said transducer means, and generating a first output signal from said selected corneal reflection signals, which signal is representative of said thickness, and a second output signal from said selected corneal outer surface reflection signal and said selected cutting blade tip reflection signal, which signal is representative of said depth.

25. The surgical instrument of claim 24 further comprising failsafe means connected to said comparator means to effect withdrawal of said cutting blade from the interior of said cornea on existence of a failsafe condition.

26. The surgical instrument of claims 13, 14 or 15 wherein said depth sensing means are a photocell micrometer.

27. The surgical instrument of claims 13, 14, or 15 wherein said depth sensing means are a variable resistor vernier.

28. The surgical instrument of claims 13, 14 or 15 further comprising failsafe means connected to said comparator means to effect withdrawal of said cutting blade from the interior of said cornea on existence of a failsafe condition.

29. A method of penetrating a material having an outer surface and a substantially inaccessible inner surface with penetrant means, wherein said penetration is effected inwardly from said outer surface while leaving adjacent to said inner surface an unpenetrated portion of said material, comprising the steps of:

determining the thickness of said material between the outer and inner surfaces thereof by thickness sensing means at a point directly adjacent to said thickness sensing means, said point being substantially the point of intended penetration of said penetrant means, and generating a signal proportional thereto;

penetrating said material with said penetrant means;

advancing or retracting said penetrant means relative to the outer surface of said material by driving means connected thereto;

determining the depth of penetration of said penetrant means into said material relative to said outer surface thereof by depth sensing means and generating a signal proportional thereto, and;

comparing said signal proportional to the depth of penetration of said penetrant means into said material relative to said outer surface thereof to an input signal proportional to the desired unpenetrated thickness adjacent to the inner surface of said material and to said signal proportional to the thickness of said material at substantially the point of penetration of said penetrant means said point serving substantially as a common reference point for said depth sensing means and said thickness sensing means by comparator means, and thereafter controlling said driving means so that the penetration of said penetrant means inwardly from the outer surface of said material is adjusted so as to leave unpenetrated a portion of said material adjacent the inner surface.

30. The method of claim 29 wherein said comparator means provide an output signal whereby the penetration of said penetrant means are adjusted such that the unpenetrated portion of said material adjacent to said inner surface is of substantially uniform thickness.

31. The method of claim 29 wherein said comparator means provide an output signal whereby the penetration of said penetrant means is adjusted such that the unpenetrated portion of said material at a point adjacent to said inner surface is a substantially uniform proportion of the thickness of said material at said point.

32. A surgical method for performing a radial keratotomy on the eye of an animal wherein the cornea of said eye is penetrated inwardly from its outer surface with a cutting blade while leaving adjacent to its inner surface an unpenetrated portion of said cornea and a plurality of incisions are made which incisions radiate from the anterior pole to the limbus of said cornea, said incisions being effected by the steps of:

determining the thickness of said cornea between the outer and inner surfaces thereof by thickness sensing means at a point directly adjacent to said thickness sensing means, said point being substantially the point of intended penetration of said cutting blade and generating a signal proportional thereto;

penetrating said cornea with said cutting blade;

advancing or retracting said cutting blade relative to the outer surface of said cornea by driving means connected thereto;

determining the depth of penetration of said cutting blade into said cornea relative to said outer surface thereof by depth sensing means and generating a signal proportional thereto, and;

comparing said signal proportional to the depth of penetration of said cutting blade into said cornea relative to said outer surface thereof to an input signal proportional to the desired unpenetrated thickness adjacent to the inner surface of said cornea and to said signal proportional to the thickness of said material at substantially the point of penetration of said cutting blade said point serving substantially as a common reference point for said depth sensing means and said thickness sensing means by comparator means, and thereafter controlling said driving means so that the penetration of said cutting blade inwardly from the outer surface of said cornea is adjusted so as to leave unpenetrated a portion of said cornea adjacent the inner surface.

33. The method of claim 32 wherein said comparator means provide an output signal whereby the penetration of said cutting blade is adjusted such that the unpenetrated portion of said cornea adjacent to said inner surface is of substantially uniform thickness.

34. The method of claim 32 wherein said comparator means provide an output signal whereby the penetration of said cutting blade is adjusted such that the unpenetrated portion of said cornea at a point adjacent to said inner surface is a substantially uniform proportion of the thickness of said cornea at said point.