Controlling operation of handpieces during ophthalmic surgery

• US 5,580,347 A
• Filed: 09/15/1994
• Issued: 12/03/1996
• Est. Priority Date: 07/31/1991
• Status: Expired due to Fees

• Current Assignee: Mentor Ophthalmics, Inc. (Johnson & Johnson)
• Original Assignee: Mentor Ophthalmics, Inc. (Johnson & Johnson)
• Inventors: Reimels, Harry G.
• Primary Examiner(s): Green, Randall L.
• Assistant Examiner(s): ZUTTARELLI, ANTHONY
• Application Number:
  US08/307,027
• Time in Patent Office: 810 Days
• Field of Search: 128/24 AA, 128/750-752, 128/755, 128/758, 128/760, 128/763, 128/765-766, 601/2, 601/6, 601/9, 601/10, 601/13, 604/22, 604/27, 604/30, 604/31, 604/35, 604/51, 604/902, 606/169-171
• US Class Current: 604/30
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00977 the depression depth determining the power rate
• 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 1/772 operating alternately

Abstract

A system for performing surgery on a patient'"'"'s eye includes a handpiece constructed for insertion into the eye, a control module, and a foot pedal module. The control module includes at least one control arranged for setting at least one parameter of operation of the handpiece (e.g., aspiration rate, intensity of phaco-power, etc.). The foot pedal module includes a foot pedal with which operation of the handpiece is controllable in accordance with the parameter set by the control in the control module. For example, the foot pedal may be used to vary the aspiration rate or the intensity of phaco-power up to the maximum set by a control on the control module. The foot pedal module includes circuitry for controlling operation of the handpiece in response to depression of the foot pedal and in accordance with the parameter set by the control in the control module. That is, processing circuitry is located in the foot pedal module rather than the control module, which enables the control module to be relatively compact.

Claims

1. A system for operating on a patient'"'"'s eye, comprising

a handpiece constructed for insertion by a user into said eye,

a control module comprising at least one control arranged to be manipulated by a user to control a setting of at least one parameter of operation of said handpiece, said control being arranged to generate a first signal that indicates the setting of said at least one parameter, and

a foot pedal module comprising a foot pedal arranged to generate a second signal, in response to actuation of said foot pedal by the user, for controlling operation of said handpiece in accordance with said parameter set by said control in said control module,

said foot pedal module further comprising circuitry connected to said control in said control module, to said foot pedal, and to said handpiece, said circuitry being located within said foot pedal module and being arranged to process said first signal and said second signal to generate an output signal to control the operation of said handpiece, said output signal being based on the setting of said at least one parameter and the actuation of said foot pedal,

wherein said circuitry located within said foot pedal module comprises substantially all of the circuitry of said system and performs substantially all processing of signals in said system.

2. A system in accordance with claim 1 wherein said handpiece comprises an irrigation and aspiration device.

3. A system in accordance with claim 2, wherein

said parameter of operation of said handpiece set by said control in said control module comprises a maximum aspiration rate,

depression of said foot pedal first causes irrigation to begin and then causes aspiration to begin, the rate of aspiration varying linearly with the amount of depression of said foot pedal up to said maximum aspiration rate, and

release of said foot pedal first causes aspiration to end and then causes irrigation to end.

4. A system in accordance with claim 1 wherein said handpiece comprises a phaco-emulsification device.

5. A system in accordance with claim 4, wherein

said at least one parameter of operation of said handpiece set by said control in said control module comprises an aspiration rate and a maximum intensity of phaco-power,

depression of said foot pedal first causes irrigation to begin, then causes aspiration to begin at said aspiration rate set by said control in said control module, and then causes phaco-power to be applied to said handpiece, the intensity of said phaco-power varying linearly with the amount of depression of said foot pedal up to said maximum intensity of phaco-power, and

release of said foot pedal first causes application of phaco-power to end, then causes aspiration to end, and then causes irrigation to end.

6. A system in accordance with claim 1 wherein said handpiece comprises a vitrector.

7. A system in accordance with claim 6, wherein

said at least one parameter of operation of said handpiece set by said control in said control module comprises a maximum aspiration rate,

depression of said foot pedal first causes irrigation to begin and cutting to begin and then causes aspiration to begin, the rate of aspiration varying linearly with the amount of depression of said foot pedal up to said maximum aspiration rate, and

release of said foot pedal first causes aspiration to end and then causes cutting and irrigation to end.

8. A system for operating on a patient'"'"'s eye, comprising

a handpiece constructed for insertion by a user into said eye,

a control module comprising a plurality of controls each of which comprises a user-graspable portion arranged to be manipulated manually to multiple positions by the user, said control module being coupled with said handpiece in a manner such that manual manipulation of each of said controls results in variation of a respective parameter of operation of said handpiece, wherein visual feedback from said system with respect to all parameters of operation of said handpiece is provided exclusively by observation of the displacement of said user-graspable portions of said plurality of controls relative to fixed markings on said control module, and

a foot pedal module electrically connected to said control module and comprising a foot pedal with which operation of said handpiece is controllable in accordance with said parameters set by said controls in said control module.

9. A system in accordance with claim 8 wherein said plurality of parameters of operation comprises an aspiration rate.

10. A system in accordance with claim 8, wherein

said handpiece comprises a phaco-emulsification device, and

said plurality of parameters of operation comprises an intensity of phaco-power.

11. A system for operating on a patient'"'"'s eye, comprising

a handpiece constructed for insertion into said eye,

a pump, connected to said handpiece by tubing, said pump being arranged to produce aspiration through said tubing, and

a control module connected to said tubing and comprising a vacuum regulator, said vacuum regulator comprising a user-graspable portion arranged for selecting any one of a plurality of aspiration pressures within said tubing, visual feedback of aspiration pressure being provided solely through observation of the displacement of said user-graspable portion of said vacuum regulator relative to fixed markings on said control module.

12. A system in accordance with claim 11 wherein said vacuum regulator comprises a rotatable knob that sweeps from a minimum pressure to a maximum pressure within one full rotation of said rotatable knob.

13. A system in accordance with claim 11 wherein said control module further comprises a vacuum control switch arranged to switch between a high vacuum mode in which said vacuum regulator is disabled and a low vacuum mode in which said vacuum regulator is operable.

14. A system for operating on a patient'"'"'s eye, comprising

a handpiece constructed for insertion by a user into said eye,

a pump, connected to said handpiece by tubing, said pump being arranged to operate in a first direction to produce aspiration through said handpiece and said tubing,

a foot pedal module comprising a foot pedal, said foot pedal module being coupled with said handpiece in a manner such that manipulation of said foot pedal controls operation of said handpiece, and

a reflux switch coupled with said foot pedal module in a manner such that manipulation of said reflux switch from a first position to a second position overrides operation of said foot pedal regardless of the position of said foot pedal by causing said pump to operate indefinitely and continuously in a second direction opposite to said first direction, as long as said reflux switch is in said second position, to force fluid through said tubing in a direction opposite to the direction in which fluid flows through said tubing during aspiration.

15. A system in accordance with claim 14 wherein said reflux switch is located on said foot pedal.

16. A system in accordance with claim 14, wherein

said handpiece comprises an irrigation and aspiration device,

depression of said foot pedal first causes irrigation to begin and then causes aspiration to begin, and

release of said foot pedal first causes aspiration to end and then causes irrigation to end.

17. A system in accordance with claim 14, wherein

said handpiece comprises a phaco-emulsification device,

depression of said foot pedal first causes irrigation to begin, then causes aspiration to begin, and then causes phaco-power to be applied to said handpiece,, and

release of said foot pedal first causes application of phaco-power to end, then causes aspiration to end, and then causes irrigation to end.

18. A system in accordance with claim 14, wherein

said handpiece comprises a vitrector,

depression of said foot pedal first causes irrigation to begin and cutting to begin and then causes aspiration to begin, and

release of said foot pedal first causes aspiration to end and then causes cutting and irrigation to end.

19. A system in accordance with claim 14, further comprising an auditory indicator arranged to produce an audible signal while said pump is operating in said second direction.

20. A system for operating on a patient'"'"'s eye, comprising

a handpiece constructed for insertion by a user into said eye,

a foot pedal module comprising a foot pedal, said foot pedal module being coupled with said handpiece in a manner such that manipulation of said foot pedal controls application of electrical power to said handpiece, and

an auditory indicator coupled with said foot pedal module in a manner such that said auditory indicator is arranged to produce an audible timing signal that is introduced at the end of a predetermined time interval after initiation of application of said electrical power to said handpiece.