Surgical handpiece

• US 6,860,868 B1
• Filed: 08/29/2003
• Issued: 03/01/2005
• Est. Priority Date: 06/04/1998
• Status: Expired due to Term

• Current Assignee: Alcon Research Limited (Nestle SA)
• Original Assignee: Alcon Manufacturing Limited (Alcon Incorporated)
• Inventors: Sussman, Glenn, Cohen, Donald M.
• Primary Examiner(s): Kennedy, Sharon
• Application Number:
  US10/651,393
• Time in Patent Office: 550 Days
• Field of Search: 604/19, 604/22, 604/27, 604/28, 604/30, 604/35, 604/48, 606/6, 606/107, 606/128, 606/127
• US Class Current: 604/27
• CPC Class Codes: A61B 17/3203 Fluid jet cutting instruments
• CPC Class Codes: A61B 2017/320084 Irrigation sleeves
• CPC Class Codes: A61B 2018/044 the surgical action being effected by a circulating hot fluid
• CPC Class Codes: A61B 2018/046 in liquid form
• 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: A61F 9/00745 using mechanical vibrations, e.g. ultrasonic
• CPC Class Codes: A61F 9/00763 with rotating or reciprocating cutting elements, e.g. concentric cutting needles atherectomy cutting instruments A61B17/3207; endoscopic cutting instruments A61B17/320016
• 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 surgical handpiece having at least two lumens or tubes mounted to a body. At least one tube is used for aspiration and at least one other tube is used to inject heated surgical fluid for liquefying a cataractous lens. A portion of the second tube is enlarged to form a pumping chamber. The pumping chamber works by boiling a small volume of the surgical fluid. As the fluid boils, it expands rapidly, thereby propelling the liquid downstream of the pumping chamber out of the second tube. The pumping chamber may use a pair of electrodes.

Claims

1. A method of operating a handpiece, the handpiece having a body and a pumping chamber contained within the body, the method comprising the steps of:

a) operating the pumping chamber at a pulse frequency to produce a pressure pulse having a pressure pulse force of between 0.03 grams and 50.0 grams;

b) varying the pulse frequency; and

c) varying an aspiration flow rate as a function of the pulse frequency.

2. The method of claim 1 wherein the pressure pulse force has a rise time of between 1 gram/second and 50,000 grams/second.

3. A method of operating a handpiece, the handpiece having a body and a pumping chamber contained within the body, the method comprising the steps of:

a) operating the pumping chamber at a pulse frequency and with a pulse train duty cycle to produce a pressure pulse having a pressure pulse force of between 0.03 grams and 50.0 grams;

b) varying the pulse frequency; and

c) varying the pulse train duty cycle as a function of the pulse frequency.

4. The method of claim 3 wherein the pressure pulse force has a rise time of between 1 gram/second and 50,000 grams/second.

5. A method of operating a handpiece, the handpiece having a body and a pumping chamber contained within the body, the method comprising the steps of:

a) operating the pumping chamber at a predetermined operating parameter so as to produce a pulse stream of pressure pulses, the pressure pulses having a pressure pulse force of between 0.03 grams and 50.0 grams; and

b) varying the operating parameter so as to vary the coherence length of the pulse stream.

6. The method of claim 5 wherein the pressure pulse force has a rise time of between 1 gram/second and 50,000 grams/second.

7. The method of claim 5 wherein the parameter is flow development.

8. The method of claim 5 wherein the parameter is pressure.

9. The method of claim 5 wherein the parameter is temperature.

10. A method of operating a handpiece, the handpiece having a body and a pumping chamber contained within the body, the method comprising the steps of:

a) operating the pumping chamber at a pulse frequency to produce a plurality of pressure pulses having a rise time of between 1 gram/second and 50,000 grams/second;

b) varying the pulse frequency; and

c) varying an aspiration flow rate as a function of the pulse frequency.

11. A method of operating a handpiece, the handpiece having a body and a pumping chamber contained within the body, the method comprising the steps of:

a) operating the pumping chamber at a pulse frequency and with a pulse train duty cycle to produce a plurality of pressure pulses having a rise time of between 1 gram/second and 50,000 grams/second;

b) varying the pulse frequency; and

c) varying the pulse train duty cycle as a function of the pulse frequency.

12. A method of operating a handpiece, the handpiece having a body and a pumping chamber contained within the body, the method comprising the steps of:

a) operating the pumping chamber at a predetermined operating parameter so as to produce a pulse stream of pressure pulses, the pressure pulses having a rise time of between 1 gram/second and 50,000 grams/second; and

b) varying the operating parameter so as to vary the coherence length of the pulse stream.

13. The method of claim 12 wherein the parameter is flow develop ment.

14. The method of claim 12 wherein the parameter is pressure.

15. The method of claim 12 wherein the parameter is temperature.

16. A handpiece, comprising:

a) a body having an irrigation lumen; and

b) a pumping chamber integral with the body and attached to the irrigation lumen, the pumping chamber capable of producing pressure pulses with

i) a force of between 0.03 grams and 50.0 grams,

ii) a pressure pulse rise time of between 1 gram/second and 50,000 grams/second and

iii) a frequency of between 1 Hz and 200 Hz.

17. The handpiece of claim 16 wherein the force of the pressure pulse is between 1.0 gram and 50.0 grams.

18. The handpiece of claim 16 wherein the rise time of the pressure pulse is between 500 grams/second and 50,000 grams/second.

19. A handpiece, comprising:

a) a body having an irrigation lumen; and

b) a pumping chamber integral with the body and attached to the irrigation lumen, the pumping chamber capable of producing pressure pulses with a pressure pulse rise time of between 1 gram/second and 50,000 grams/second.

20. The handpiece of claim 19 wherein the rise time of the pressure pulse is between 500 grams/second and 50,000 grams/second.