Phacoemulsification system having ultrasonic power controlled by aspiration vacuum sensor

• US 5,700,240 A
• Filed: 01/24/1995
• Issued: 12/23/1997
• Est. Priority Date: 01/28/1994
• Status: Expired due to Term

• Current Assignee: Abbott Medical Optics Incorporated (Johnson & Johnson)
• Original Assignee: Optical Micro Systems, Inc.
• Inventors: Barwick, Billie John Jr., Little, James H.
• Primary Examiner(s): Bockelman, Mark
• Application Number:
  US08/378,533
• Time in Patent Office: 1,064 Days
• Field of Search: 604/22, 604/31, 604/65, 604/67, 604/118, 601/2, 607/97, 606/159, 606/107
• US Class Current: 604/22
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00146 with multiple frequencies
• CPC Class Codes: A61F 9/00745 using mechanical vibrations, e.g. ultrasonic
• 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
• CPC Class Codes: A61M 2210/0612 Eyes

Abstract

A method for controlling aspiration and irrigation fluids in an eye during a surgical procedure includes placing a handpiece in an operative relationship with an eye for introducing irrigation fluid and aspiration of fluid from the eye. Irrigation is provided at diverse pressures and aspiration is controlled on the basis of vacuum levels sensed in the handpiece corresponding to an occluded condition of the handpiece. Additionally, during phacoemulsification procedures, ultrasonic power provided to the handpiece may by varied in response to the vacuum levels corresponding to an occluded condition of the handpiece. Apparatus for performing the method of the invention is also provided.

Claims

1. A method for operating a phacoemulsification system, the system including a phacoemulsification handpiece, an ultrasonic power source, a vacuum source, a source of irrigating fluid, and a control unit having a vacuum sensor for controlling ultrasonic power provided to the handpiece and the aspiration of irrigating fluid from the handpiece, said operating method comprising the steps of:

(a) placing the handpiece in an operative relationship with an eye for a phacoemulsification procedure;

(b) supplying irrigation fluid from the irrigation fluid source to and through the handpiece and into said eye;

(c) providing ultrasonic power from the ultrasonic power source to the handpiece for performing the phacoemulsification procedure;

(d) applying vacuum from the vacuum source to the handpiece and thereby aspirating the irrigating fluid from the eye through the handpiece at a selected rate;

(e) during said fluid aspiration step, sensing a vacuum level in the handpiece corresponding to an occluded condition of the handpiece; and

(f) variably controlling, in response to a sensed vacuum level in the handpiece corresponding to the occluded condition of the handpiece, the ultrasonic power being provided to the handpiece.

2. The operating method as claimed in claim 1, wherein the variably controlling step comprises increasing the ultrasonic power being provided to the handpiece, in response to the sensed vacuum level in the handpiece, corresponding to the occluded condition of the handpiece.

3. The operating method as claimed in claim 1, wherein the variably controlling step comprises decreasing the ultrasonic power being provided to the handpiece, in response to the sensed vacuum level in the handpiece, corresponding to the occluded condition of the handpiece.

4. The operating method as claimed in claim 1, wherein the step of providing ultrasonic power to the handpiece comprises the sequential steps of:

(a) providing ultrasonic power at a first pulse duty cycle until a first predetermined power level in the handpiece is exceeded;

(b) providing ultrasonic power at a second, and greater, pulse duty cycle until a second, and greater, predetermined power level in the handpiece is exceeded;

(c) providing ultrasonic power at a third, and still greater, pulse duty cycle until a third, and still greater, predetermined power level in the handpiece is exceeded; and

(d) thereafter providing ultrasonic power at a pulse duty cycle greater than said third duty cycle.

5. Phacoemulsification apparatus which comprises:

a phacoemulsification handpiece;

means for providing irrigation fluid to the handpiece;

a variable speed pump connected in fluid communication with said handpiece for aspirating, by vacuum, irrigation fluid from said handpiece;

a power source connected for providing ultrasonic power to said handpiece;

a sensor connected in fluid communication with said handpiece for sending vacuum levels in said handpiece;

an

a control unit, responsive to the sensed vacuum levels in said handpiece, for varying the ultrasonic power level provided to said handpiece by said power source.

6. The phacoemulsification apparatus as claimed in claim 5, wherein said control unit is responsive to the sensed vacuum levels in said handpiece for varying a pulse duty cycle of the ultrasonic power provided to said handpiece by the power source.

7. The phacoemulsification apparatus as claimed in claim 5, wherein said control unit comprises:

(a) means for providing ultrasonic power at a first pulse duty cycle until a first predetermined power level in the handpiece is exceeded;

(b) means for providing ultrasonic power at a second, and greater, pulse duty cycle until a second, and greater, predetermined power level ill the handpiece is exceeded;

(c) means for providing ultrasonic power at a third, and still greater, pulse duty cycle until a third, and still greater, predetermined power level in the handpiece is exceeded; and

(d) means for providing ultrasonic power at a pulse duty cycle greater than said third duty cycle.

8. The phacoemulsification apparatus as claimed in claim 5, wherein the means of providing irrigation fluid to the handpiece comprises a plurality of irrigation fluid supplies disposed at different heights above the phacoemulsification handpiece and valve means for selectively fluidly connecting one of the irrigation fluid supplies to the phacoemulsification handpiece, said valve means being controlled by said control unit, and said control unit being responsive to the sensed vacuum level in the handpiece for causing the valve means to selectively fluidly connect one of the irrigation fluid supplies to the handpiece.