Controlling pressure in the eye during surgery

• US 5,910,110 A
• Filed: 06/07/1995
• Issued: 06/08/1999
• Est. Priority Date: 06/07/1995
• Status: Expired due to Fees

• Current Assignee: Mentor Ophthalmics, Inc. (Johnson & Johnson)
• Original Assignee: Mentor Ophthalmics, Inc. (Johnson & Johnson)
• Inventors: Bastable, David
• Primary Examiner(s): Lacyk, John P.
• Assistant Examiner(s): Gilbert, Samuel
• Application Number:
  US08/472,884
• Time in Patent Office: 1,462 Days
• Field of Search: 128/645, 128/646, 128/898, 604/19, 604/21, 604/22, 604/35, 604/65, 604/67, 604/118, 604/119, 600/398, 600/399
• US Class Current: 600/398
• 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: A61M 1/72 Cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 1/74 Suction control underwater drainage A61M1/61
• CPC Class Codes: A61M 1/772 operating alternately
• CPC Class Codes: A61M 2205/12 with interchangeable cassettes forming partially or totally the fluid circuit

Abstract

Fluid pressure in the eye is monitored by detecting vacuum-induced deflections of a diaphragm on a reservoir that forms an integral part of the tube set through which fluid is supplied to and withdrawn from the eye. The rate at which fluid is withdrawn (i.e., aspirated) from the eye is controlled based on the detected deflections of the diaphragm. As a result, the detection component (e.g., a pressure sensor) is isolated from the fluids in the tube set by the diaphragm. This minimizes both the risk of contaminating the sensor with fluid aspirated from the patient, and the danger of so-called "cross-contamination" in which subsequent patients are exposed to the aspirated fluid of a prior patient.

Claims

1. Apparatus for use in eye surgery, comprising

a tube set through which fluid is supplied to and withdrawn from the eye, said tube set including a fluid reservoir having a diaphragm disposed thereon that deflects in response to a vacuum level in said reservoir,

a housing configured to receive said tube set, said housing including a door movable between an open position to allow said tube set to be installed in and removed from said housing and a closed position in which said tube set is retained in said housing, and

a sensor mounted on said housing for detecting deflections of said diaphragm,

wherein said housing further comprises a spring-biased plunger for urging said reservoir into a recess in said housing adjacent to said sensor when said door is in the closed position.

2. The apparatus of claim 1 wherein said reservoir and said diaphragm are configured so that a surface of said diaphragm that is exposed to fluid in said reservoir from said tube set is in contact with the fluid over substantially all of an area of said surface.

3. The apparatus of claim 2 wherein said reservoir is configured to be substantially filled with fluid from said tube set.

4. The apparatus of claim 1 wherein said tube set is constructed as an integral unit from a single piece of material.

5. The apparatus of claim 4 wherein said material comprises plastic.

6. The apparatus of claim 4 wherein said material comprises silicone rubber.

7. The apparatus of claim 1 wherein said diaphragm has a thickness selected to deflect in said selected manner in response to the vacuum level in said tube set.

8. The apparatus of claim 7 wherein said thickness is selected so that said diaphragm deflects linearly over a pressure range of 0 mm Hg to 500 mm Hg.

9. The apparatus of claim 7 wherein said diaphragm has a thickness in the range of 0.005 inches to 0.006 inches.

10. The apparatus of claim 1 wherein said diaphragm includes silicone rubber.

11. The apparatus of claim 1 wherein said sensor and said diaphragm are disposed adjacent to opposite sides of a surface of said recess adjacent to said sensor, and further comprising an opening in said surface between said opposite sides.

12. The apparatus of claim 1 wherein said sensor is constructed to produce electrical signals representing the vacuum level in said reservoir in response to deflections of said diaphragm, and further comprising a controller for controlling a rate at which fluid is withdrawn from the eye based on said electrical signals.

13. The apparatus of claim 1 further comprising a pump disposed to engage said tube set to induce said vacuum and withdraw the fluid from the eye, said controller adjusting a speed of said pump in response to said signals produced by said sensor.

14. The apparatus of claim 13 wherein said pump is a peristaltic pump.

15. The apparatus of claim 1 further comprising

a peristaltic pump mounted on said housing and disposed to engage said tube set to induce said vacuum and withdraw the fluid from the eye, and

a mechanism for urging a section of said tube set against said peristaltic pump when said door is in the closed position, and releasing said section of said tube from said pump when said door is in the open position.

16. The apparatus of claim 1 wherein said tube set includes a first portion configured to receive the fluid from a supply and couple the supplied fluid to the eye and a second portion configured to receive fluid withdrawn from the eye and couple the withdrawn fluid to drainage.

17. The apparatus of claim 16 further comprising a branch that interconnects said first portion and said second portion.

18. The apparatus of claim 16 wherein said tube set is formed by injection molding.