Computer controlled smart phacoemulsification method and apparatus

• US 5,279,547 A
• Filed: 12/20/1991
• Issued: 01/18/1994
• Est. Priority Date: 01/03/1991
• Status: Expired due to Fees

• Current Assignee: John A. Costin
• Original Assignee: Alcon Surgical Incorporated (Nestle SA)
• Inventors: Costin, John A.
• Primary Examiner(s): SYKES, ANGELA D
• Assistant Examiner(s): Rafa, Michael
• Application Number:
  US07/810,428
• Time in Patent Office: 760 Days
• Field of Search: 128/24 AA, 604/22, 606/159, 606/169-171
• US Class Current: 604/22
• CPC Class Codes: A61B 2017/0003 of parts of the instruments
• CPC Class Codes: A61B 2017/00106 ultrasonic
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• 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 1/77 Suction-irrigation systems aspiration tips supplying fluids A61M1/85; specific for negative pressure wound therapy A61M1/92; combined with tracheal tubes A61M16/0463

Abstract

A method and apparatus for operating on the human eye detects changes in load, more specifically, mechanical impedance, of the transducer and controls aspiration based on the load changes. A change from a lower load to a higher load indicates that harder tissue is being encountered and accordingly causes aspiration amount to increase. Conversely, a change from a higher load to a lower load indicates that aspiration amount should be quickly decreased since the tissue which is being encountered is softer. One way to detect the impedance is by a sensor, e.g., a piezoelectric element coupled to the operating needle detecting the movement thereof.

Claims

1. A control system for surgical transducer, which includes an aspiration port, for operating on a human part, comprising:

means for monitoring mechanical impedance of a load to determine changes in characteristics of the load encountered by the surgical transducer;

means for controlling an operating characteristic of said transducer based on said mechanical impedance; and

a solid state microsensor mechanically coupled to said surgical transducer to determine an amount of movement thereof and means for calculating mechanical impedance from said amount of movement and from a power supplied to said transducer.

2. A system as in claim 1 wherein said solid state microsensor is a piezoelectric element mechanically coupled to said surgical transducer.

3. A system as in claim 1 wherein said microsensor is an accelerometer.

4. A method of controlling an operation in a human body part comprising the steps of:

forming a map between a mechanical impedance of different portions of said body part and a characteristic of a transducer which will conduct the operation which characteristic should be used for said different portions;

operating the transducer to conduct said operation;

detecting a mechanical impedance presented to the transducer;

determining a relation between the mechanical impedance presented to the transducer with respect to a previous load presented to the transducer;

automatically increasing an amount of aspiration if said mechanical impedance is greater than said previous load; and

automatically decreasing said amount of aspiration if said mechanical impedance is less than said previous load.

5. An apparatus for enabling operations on a human part comprising:

memory means for storing a map between mechanical impedance of said human body parts and a characteristic to be used when operating on that mechanical impedance;

a transducer of a type used in said operating, having a controllable operating characteristic which can be controlled during the operation on said human body parts;

a mechanical sensor, coupled to said transducer for detecting an amount of movement of said transducer; and

processing means for detecting an amount of power provided to said transducer and calculating a mechanical impedance based on said amount of power and said amount of movement and for using said mechanical impedance to address said map to thereby obtain information indicative of said operating characteristic and to use said information to control said transducer.

6. A system as in claim 5 wherein said map also stores a resonant frequency of various portions of said body part and said processing means further includes means for calculating a current resonant frequency and means for using resonant frequency along with said mechanical impedance to determine said characteristic.