Method of controlling a surgical system based on a rate of change of an operating parameter

• US 7,811,255 B2
• Filed: 02/28/2005
• Issued: 10/12/2010
• Est. Priority Date: 03/22/2004
• Status: Active Grant

• Current Assignee: Alcon Incorporated
• Original Assignee: Alcon Incorporated
• Inventors: Gordon, Raphael, Yadlowsky, Ann, Boukhny, Mikhail, Morgan, Michael D.
• Primary Examiner(s): Mendez; Manuel A
• Application Number:
  US11/067,794
• Publication Number:
  US 20050209560A1
• Time in Patent Office: 2,052 Days
• Field of Search: 604/119, 604/118, 604/268, 604/313, 604/315, 604/316, 604/524, 604/264, 604 65- 67, 604/22, 128/DIG.12, 128/DIG.13
• US Class Current: 604/118
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/0003 of parts of the instruments
• CPC Class Codes: A61B 2017/00973 pedal-operated
• 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
• CPC Class Codes: A61M 2205/3368 Temperature
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 3/0202 with electronic control means or interfaces
• CPC Class Codes: A61M 3/0216 Pressure
• CPC Class Codes: A61M 3/0258 by means of electric pumps

Abstract

A surgical system that is able to sense the onset of an occlusion or other surgical event as well as when an occlusion breaks. To help avoid overheating of the tip, the system of the present invention predicts the temperature of the eye using irrigation flow rate and reduces the power to the handpiece automatically if an overheating situation is predicted. Alternatively or in addition, the system of the present invention monitors the power drawn by the handpiece, which is indicative of the cutting load on the tip, and automatically adjusts the power or stroke of the tip to compensate for increased loads on the tip.

Claims

1. A method of controlling a surgical system, the surgical system having an ultrasound handpiece, the ultrasound handpiece having a cutting tip, the method comprising the steps of:

determining a rate of change of a first operating parameter of the surgical system;

determining a stage of occlusion based on the rate of change;

detecting a pattern of data of the first operating parameter, detecting the pattern comprising determining a linear correlation between a predefined pattern and data of the first operating parameter during operation of the surgical system; and

adjusting an amount of power delivered to the cutting tip of the ultrasound handpiece based on the determined stage of occlusion.

2. The method of claim 1, determining the linear correlation comprising performing a linear transformation.

3. The method of claim 1, detecting the pattern comprising calculating a derivative of data of the first operating parameter over time.

4. The method of claim 1, detecting the pattern comprising performing a convolution of a predefined pattern and data of the first operating parameter during operation of the surgical system.

5. The method of claim 1, further comprising determining a rate of change of a second operating parameter of the surgical system.

6. The method of claim 5, wherein determining the stage of occlusion is based on the rate of change determinations of the first operating parameter and the second operating parameter.

7. The method of claim 5, wherein determining the stage of occlusion is based on a comparison of the first operating parameter and the second operating parameter.

8. The method of claim 1, determining the rate of change of the first operating parameter comprising determining a rate of change of an aspiration vacuum.

9. The method of claim 1, determining the rate of change of the first operating parameter comprising determining a rate of change of an irrigation pressure.

10. The method of claim 1, further comprising determining a rate of change of a second operating parameter of the surgical system, the first operating parameter being aspiration vacuum, the second operating parameter comprising irrigation pressure, determining the stage of occlusion being based on the rates of change of the aspiration vacuum and irrigation pressure.

11. The method of claim 1, determining the stage of occlusion comprising identifying an onset or preliminary indication of occlusion.

12. The method of claim 11, the first operating parameter comprising an aspiration vacuum, the onset being identified by an increasing aspiration vacuum.

13. The method of claim 11, the first operating parameter comprising an irrigation pressure, the onset being identified by an increasing irrigation pressure.

14. The method of claim 1, further comprising determining a rate of change of a second operating parameter of the surgical system,

determining the stage of occlusion comprising determining a stage of occlusion being based on the determinations involving the first and second operating parameters, the first operating parameter comprising an irrigation pressure, the second operating parameter comprising an aspiration vacuum, the onset of occlusion being identified by increasing aspiration vacuum and irrigation pressure.

15. The method of claim 1, determining the stage of occlusion comprising identifying a pre-occlusion condition.

16. The method of claim 15, the first operating parameter comprising an aspiration vacuum, the pre-occlusion condition being identified by an increasing aspiration vacuum.

17. The method of claim 16, the vacuum pressure increasing at a slower rate following the pre-occlusion condition than during a period of time between an onset of occlusion and the pre-occlusion condition.

18. The method of claim 15, the first operating parameter comprising an irrigation pressure, a period of the pre-occlusion condition having a substantially constant irrigation pressure.

19. The method of claim 15, further comprising

determining a rate of change of a second operating parameter of the surgical system,

determining the stage of occlusion being based on the first and second operating parameters, the first operating parameter being an irrigation pressure, the second operating parameter being an aspiration vacuum.

20. The method of claim 19, the pre-occlusion condition being identified by an increasing aspiration vacuum and a substantially constant irrigation pressure.

21. The method of claim 19, the vacuum pressure during the pre-occlusion condition increasing at a slower rate than during a period of time between an onset of occlusion and the pre-occlusion condition.

22. The method of claim 1, determining the stage of occlusion comprising identifying a full occlusion.

23. The method of claim 22, the first operating parameter comprising an aspiration vacuum, the full occlusion being identified by a substantially constant aspiration vacuum.

24. The method of claim 23, further comprising

determining a rate of change of a second operating parameter of the surgical system,

determining the stage of occlusion being based on the determinations involving the first and second operating parameters, the first operating parameter comprising an irrigation pressure, the second operating parameter comprising an aspiration vacuum, the full occlusion being identified by a substantially constant aspiration vacuum and a substantially constant irrigation pressure.

25. The method of claim 1, determining the stage of occlusion comprising identifying a break of an occlusion.

26. The method of claim 25, the first operating parameter comprising an aspiration vacuum, the break being identified by a decreasing aspiration vacuum.

27. The method of claim 25, the first operating parameter comprising an irrigation pressure, the break being identified by a decreasing irrigation pressure.

28. The method of claim 27, the irrigation pressure increasing after reaching a low point following the break.

29. The method of claim 25, further comprising determining a rate of change of a second operating parameter of the surgical system, determining the stage of occlusion being based on the determinations involving the first and second operating parameters, the first operating parameter comprising an irrigation pressure, the second operating parameter comprising an aspiration vacuum, the break being identified by a decreasing aspiration vacuum and a decreasing irrigation pressure.

30. The method of claim 1, determining the stage of occlusion comprising identifying a recovery from a break of an occlusion.

31. The method of claim 30, the first operating parameter comprising an aspiration vacuum, the recovery being identified by a slowing of a rate of decrease of the aspiration vacuum.

32. The method of claim 30, the first operating parameter comprising an irrigation pressure, the recovery being identified by a slowing of a rate of decrease of the irrigation pressure.

33. The method of claim 32, further comprising determining a rate of change of a second operating parameter of the surgical system, determining a stage of occlusion being based on the determinations involving the first and second operating parameters, the first operating parameter comprising an irrigation pressure, the second operating parameter comprising a vacuum pressure, the recovery period having a substantially constant aspiration vacuum and a substantially constant irrigation pressure.

34. The method of claim 1, further comprising

determining a rate of change of a second operating parameter of the surgical system;

and

determining the stage of occlusion being based on a comparison of the first operating parameter and the second operating parameter.

35. The method of claim 1, determining the stage of occlusion comprising determining identifying

an onset of an occlusion,

a pre-occlusion condition following the onset,

a full occlusion following the pre-occlusion condition,

a break of the full occlusion;

or

a recovery following the break.

36. The method of claim 1, adjusting power comprising adjusting a duty cycle of the output of the ultrasound handpiece.

37. The method of claim 1, adjusting power comprising adjusting an amplitude or stroke of the output of the ultrasound handpiece.

38. A method of controlling a surgical system, the surgical system having an ultrasound hand piece, the ultrasound hand piece having a cutting tip, the method comprising the steps of:

determining a rate of change of a first operating parameter of the surgical system, the first operating parameter comprising an aspiration vacuum;

determining a stage of occlusion based on the rate of change, determining the stage of occlusion comprising identifying a pre-occlusion condition, the pre-occlusion condition being identified by an increasing aspiration vacuum, the vacuum pressure increasing at a slower rate following the pre-occlusion condition than during a period of time between an onset of occlusion and the pre-occlusion condition; and

adjusting an amount of power delivered to the cutting tip of the ultrasound handpiece based on the determined stage of occlusion.

39. The method of claim 38, further comprising detecting a pattern of data of the first operating parameter.

40. The method of claim 39, detecting the pattern comprising determining a linear correlation between a predefined pattern and data of the first operating parameter during operation of the surgical system.

41. The method of claim 40, determining the linear correlation comprising performing a linear transformation.

42. The method of claim 39, detecting the pattern comprising calculating a derivative of data of the first operating parameter over time.

43. The method of claim 39, detecting the pattern comprising performing a convolution of a predefined pattern and data of the first operating parameter during operation of the surgical system.

44. The method of claim 38, further comprising determining a rate of change of a second operating parameter of the surgical system.

45. The method of claim 44, wherein determining the stage of occlusion is based on the rate of change determinations of the first operating parameter and the second operating parameter.

46. The method of claim 44, wherein determining the stage of occlusion is based on a comparison of the first operating parameter and the second operating parameter.

47. The method of claim 38, determining the rate of change of the first operating parameter comprising determining a rate of change of an aspiration vacuum.

48. The method of claim 38, determining the rate of change of the first operating parameter comprising determining a rate of change of an irrigation pressure.

49. The method of claim 38, further comprising:

determining a rate of change of a second operating parameter of the surgical system, the first operating parameter being aspiration vacuum, the second operating parameter comprising irrigation pressure, determining the stage of occlusion being based on the rates of change of the aspiration vacuum and irrigation pressure.

50. The method of claim 38, determining the stage of occlusion comprising identifying an onset or preliminary indication of occlusion.

51. The method of claim 50, the first operating parameter comprising an aspiration vacuum, the onset being identified by an increasing aspiration vacuum.

52. The method of claim 50, the first operating parameter comprising an irrigation pressure, the onset being identified by an increasing irrigation pressure.

53. The method of claim 38, further comprising

determining a rate of change of a second operating parameter of the surgical system,

determining the stage of occlusion comprising determining a stage of occlusion being based on the determinations involving the first and second operating parameters, the first operating parameter comprising an irrigation pressure, the second operating parameter comprising an aspiration vacuum, the onset of occlusion being identified by increasing aspiration vacuum and irrigation pressure.

54. The method of claim 38, the first operating parameter comprising an irrigation pressure, a period of the pre-occlusion condition having a substantially constant irrigation pressure.

55. The method of claim 38, further comprising

determining a rate of change of a second operating parameter of the surgical system,

determining the stage of occlusion being based on the first and second operating parameters, the first operating parameter being an irrigation pressure, the second operating parameter being an aspiration vacuum.

56. The method of claim 55, the vacuum pressure during the pre-occlusion condition increasing at a slower rate than during a period of time between an onset of occlusion and the pre-occlusion condition.

57. The method of claim 55, the pre-occlusion condition being identified by an increasing aspiration vacuum and a substantially constant irrigation pressure.

58. The method of claim 38, determining the stage of occlusion comprising identifying a full occlusion.

59. The method of claim 58, the first operating parameter comprising an aspiration vacuum, the full occlusion being identified by a substantially constant aspiration vacuum.

60. The method of claim 59, further comprising

determining a rate of change of a second operating parameter of the surgical system,

determining the stage of occlusion being based on the determinations involving the first and second operating parameters, the first operating parameter comprising an irrigation pressure, the second operating parameter comprising an aspiration vacuum, the full occlusion being identified by a substantially constant aspiration vacuum and a substantially constant irrigation pressure.

61. The method of claim 38, determining the stage of occlusion comprising identifying a break of an occlusion.

62. The method of claim 61, the first operating parameter comprising an aspiration vacuum, the break being identified by a decreasing aspiration vacuum.

63. The method of claim 61, the first operating parameter comprising an irrigation pressure, the break being identified by a decreasing irrigation pressure.

64. The method of claim 63, the irrigation pressure increasing after reaching a low point following the break.

65. The method of claim 61, further comprising determining a rate of change of a second operating parameter of the surgical system, determining the stage of occlusion being based on the determinations involving the first and second operating parameters, the first operating parameter comprising an irrigation pressure, the second operating parameter comprising an aspiration vacuum, the break being identified by a decreasing aspiration vacuum and a decreasing irrigation pressure.

66. The method of claim 38, determining the stage of occlusion comprising identifying a recovery from a break of an occlusion.

67. The method of claim 66, the first operating parameter comprising an aspiration vacuum, the recovery being identified by a slowing of a rate of decrease of the aspiration vacuum.

68. The method of claim 66, the first operating parameter comprising an irrigation pressure, the recovery being identified by a slowing of a rate of decrease of the irrigation pressure.

69. The method of claim 68, further comprising determining a rate of change of a second operating parameter of the surgical system, determining a stage of occlusion being based on the determinations involving the first and second operating parameters, the first operating parameter comprising an irrigation pressure, the second operating parameter comprising a vacuum pressure, the recovery period having a substantially constant aspiration vacuum and a substantially constant irrigation pressure.

70. The method of claim 38, further comprising

determining a rate of change of a second operating parameter of the surgical system;

and

determining the stage of occlusion being based on a comparison of the first operating parameter and the second operating parameter.

71. The method of claim 38, determining the stage of occlusion comprising determining identifying

an onset of an occlusion,

a pre-occlusion condition following the onset,

a full occlusion following the pre-occlusion condition,

a break of the full occlusion;

or

a recovery following the break.

72. The method of claim 38, adjusting power comprising adjusting a duty cycle of the output of the ultrasound handpiece.

73. The method of claim 38, adjusting power comprising adjusting an amplitude or stroke of the output of the ultrasound handpiece.