Opthalmic surgical device and method with image data reflected off of the eye

• US 4,870,964 A
• Filed: 06/16/1988
• Issued: 10/03/1989
• Est. Priority Date: 06/16/1988
• Status: Expired due to Fees

• Current Assignee: Bailey Paul F Jr
• Original Assignee: Paul F. Bailey Jr
• Inventors: Bailey, Paul F. Jr., Alf, George M., Nilsson, Isidro G.
• Primary Examiner(s): HINDENBURG, MAX F
• Application Number:
  US07/207,545
• Time in Patent Office: 474 Days
• Field of Search: 128/303.1, 128/395-398, 128/303 R, 128/316, 128/633, 350/110, 351/211, 351/237, 354/62, 354/127.1, 354/273, 433/27
• US Class Current: 606/6
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• 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 19/106 for selecting a programme, variable or parameter
• CPC Class Codes: G05B 2219/23056 Foot pedal, control, operated
• CPC Class Codes: G05B 2219/23148 Helmet display, mounted on head of operator
• CPC Class Codes: G05B 2219/23169 Operation field together with control parameters

Abstract

Method and apparatus providing to a medical practitioner visual feedback of information revelant to a surgical or therapeutic procedure are described. Vacuum and pressure conditions are sensed by a "T" section tap onto the aspiration and irrigation lines of conventional equipment. Ultrasonic power level also is sensed, by electronic means responsive to conventional emulsification equipment. The signals produced thereby are processed to produce an image the reflection of which off the patient'"'"'s cornea is visible to the surgeon and interpretable by the surgeon as indicative of the conditions. Processing and imaging means convert the analog signals to a digital code used to modulate the various elements of a circularly arrayed, plural element light source. The processing and imaging electronics are contained within a light array housing connected at the end of a freestanding, flexible, gooseneck lamp fixture. The housing may be manipulated by the surgeon or an assistant to produce a preferred image size, location and intensity. In a proposed modification, color modulation is used to produce the image. In another modification, a fiber optic cable bundle is used to produce the image, the bundle conveying light from a source located, with the imaging electronics, in the base of the fixture. In yet another modification, the lights in the array visibly are cycled on and off to indicate that the emulsifier is operating. In a final modification, various alternative imaging patterns are proposed. In a final modification, the image is projected onto any visible region of the patient'"'"'s body.

Claims

1. In an ophthalmic procedure wherein a surgeon performs surgery on a patient'"'"'s eye and data related to the surgery are monitored by external equipment, the improvement of:

reflecting an image, which is interpretable by the surgeon as indicative of the data, off of a visible region of the patient'"'"'s eye for visual monitoring by the surgeon.

2. For use in ophthalmic surgery, a method which enables the monitoring of data related to the surgery by a surgeon performing surgery on a patient'"'"'s eye, comprising:

modulating a light source with the data to produce a visible image interpretable by the surgeon as indicative of the data, and

positioning the modulated light source relative to the surgeon and the patient'"'"'s eye such that the image visibly is reflected off of a visible region of the patient'"'"'s eye for data monitoring by the surgeon.

3. For use in ophthalmic surgery, a method for providing a surgeon with feedback regarding conditions responsive to a surgical procedure involving a patient'"'"'s eye, comprising:

sensing at least one predefined condition responsive to the surgical procedure to produce a signal which is representative of the condition;

processing the signal to produce a visible image interpretable by the surgeon as being indicative of the condition; and

positioning the image relative to the surgeon and the patient'"'"'s eye such that the image visibly is reflected off of a visible region of the patient'"'"'s eye for monitoring by the surgeon.

4. For use in ophthalmic surgery with equipment capable of aspirating or irrigating a patient'"'"'s intraocular chamber by fluid communicating therewith a lower or higher pressure condition than the pressure within the chamber, a method for providing a surgeon with feedback regarding the pressure condition, comprising:

sensing the pressure condition to produce a signal which is representative of the pressure condition;

processing the signal to produce a visible image interpretable by the surgeon as being indicative of the pressure condition; and

positioning the image relative to the surgeon and the patient'"'"'s eye such that the image visibly is reflected off of a visible region of the patient'"'"'s eye for monitoring by the surgeon.

5. The method of claim 4, wherein the processing includes luminance modulating a light source with the signal to produce the image.

6. The method of claim 4, wherein the processing includes digitizing the signal to produce a multi-bit binary code the bits of which are used to modulate a plural element light source to produce the image.

7. The method of claim 4, wherein the processing includes intensity modulating a generally circularly arrayed, plural element light source with the signal to produce the image.

8. The method of claim 4, wherein the processing includes color modulating a light source with the signal to produce the image.

9. For use with ophthalmic surgery equipment capable of aspirating or irrigating a patient'"'"'s intraocular chamber by fluid communicating therewith a lower or higher pressure condition than the pressure within the chamber, apparatus for providing a surgeon with feedback regarding the pressure condition, comprising:

means for sensing the pressure condition to produce a signal which is representative of the pressure condition;

means for processing the signal to produce a visible image interpretable by the surgeon as being indicative of the pressure condition, and

means for positioning the image relative to the surgeon and the patient'"'"'s eye such that the image visibly is reflected off of a visible region of the patient'"'"'s eye for monitoring by the surgeon.