Enhanced microburst ultrasonic power delivery system and method

• US 7,938,120 B2
• Filed: 05/01/2006
• Issued: 05/10/2011
• Est. Priority Date: 10/21/2002
• Status: Active Grant

• Current Assignee: Johnson & Johnson Surgical Vision, Inc. (Johnson & Johnson)
• Original Assignee: Abbott Medical Optics Incorporated (Johnson & Johnson)
• Inventors: Kadziauskas, Kenneth E., Rockley, Paul W.
• Primary Examiner(s): Farah; Ahmed M
• Application Number:
  US11/415,730
• Publication Number:
  US 20060200068A1
• Time in Patent Office: 1,835 Days
• Field of Search: 128/898, 606 4- 6, 606 10- 12, 606/167, 606169-171, 604/19, 604/21, 604/22, 604/28, 604/44, 600/437, 600/439, 600/446, 600/452, 601/2
• US Class Current: 604/19
• CPC Class Codes: A61B 2017/00176 Two pulses, e.g. second pulse having an effect different from the first one
• CPC Class Codes: A61B 2017/00194 Means for setting or varying the repetition rate
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61F 9/00745 using mechanical vibrations, e.g. ultrasonic
• CPC Class Codes: B06B 1/023 and stepped in amplitude, e.g. square wave, 2-level signal
• CPC Class Codes: B06B 1/0253 taken directly from the generator circuit
• CPC Class Codes: B06B 2201/76 Medical, dental

Abstract

A method and apparatus for delivering energy during a surgical procedure such as phacoemulsification is provided. The method and apparatus include applying energy during at least one pulsed energy on period, comprising applying energy during a series of short burst periods, the short burst periods interspersed by short rest periods. The method and apparatus further comprise delivering minimal energy during a long off period, the long off period comprising a relatively long period when minimal energy is applied, wherein one long off period follows each pulsed energy on period. The short burst periods and the short rest periods are relatively brief in duration as compared with the long off period.

Claims

1. A method for delivering energy during a surgical procedure, comprising:

applying ultrasonic energy during at least one pulsed energy on period, wherein applying energy during the pulsed energy on period comprises;

applying ultrasonic energy during a series of short burst periods, said short burst periods interspersed by short rest periods wherein minimal energy is applied; and

refraining from delivering ultrasonic energy during a long off period, the long off period comprising a relatively long period when minimal energy is applied, wherein one long off period follows each pulsed energy on period;

wherein said short burst periods and said short rest periods are relatively brief in duration as compared with said long off period.

2. The method of claim 1, wherein the short burst period is at most approximately ten milliseconds and the short rest period is at most approximately twenty five milliseconds.

3. The method of claim 2, wherein the long off period is at least about 20 milliseconds.

4. The method of claim 1, wherein the energy applied during the pulsed energy on period and series of short burst periods is of approximately the same magnitude.

5. The method of claim 1, wherein multiple pulsed energy on periods are interspersed with multiple long off periods.

6. The method of claim 1, further comprising engaging the method at a first desired time when energy application is desired and disengaging the method at a second desired time when energy application is not desired.

7. The method of claim 6, wherein said engaging and disengaging is accomplished by a switch.

8. The method of claim 1, further comprising applying ultrasonic energy during at least one additional pulsed energy on period, wherein applying ultrasonic energy during the additional pulsed energy on period comprises:

applying ultrasonic energy during an additional series of short burst periods, said additional short burst periods interspersed by additional short rest periods wherein minimal energy is applied; and

refraining from delivering ultrasonic energy during an additional long off period, the additional long off period comprising an additional relatively long period when minimal energy is applied, wherein one additional long off period follows each additional pulsed energy on period;

wherein said additional short burst periods and said additional short rest periods are relatively brief in duration as compared with said additional long off period.

9. A method of delivering ultrasonic energy during a tissue removal procedure, comprising:

delivering pulses of ultrasonic energy during an on period, energy pulse delivery comprising;

delivering at least one relatively short burst of energy; and

pausing for at least one relatively short period; and

pausing for a relatively long off period after said on period and prior to commencing any subsequent on period, wherein pausing for each relatively, short period and for the relatively long off period comprises applying minimal energy therein;

wherein each relatively long off period automatically occurs after each on period and occurs in the absence of external energy level reduction activities.

10. The method of claim 9, wherein said relatively long off period is longer in duration than the relatively short off period and the relatively short burst of energy.

11. The method of claim 10, wherein the relatively short burst period is at most approximately ten milliseconds and the relatively short off period is at most approximately twenty five milliseconds.

12. The method of claim 11, wherein the relatively long off period is at least about 20 milliseconds.

13. The method of claim 9, wherein the energy applied during each relatively short burst period is approximately the same magnitude.

14. The method of claim 9, wherein multiple on periods are employed interspersed with multiple relatively long off periods.

15. The method of claim 9, further comprising engaging the method at a first desired time when energy application is desired and disengaging the method at a second desired time when energy application is not desired.

16. The method of claim 15, wherein said engaging and disengaging is accomplished by means of a switch.

17. The method of claim 9, wherein pulse delivery further comprises an ability to dynamically alter power application parameters, wherein power application parameters altered comprise performance of at least one from a group comprising the on period, the relatively short burst of energy, the relatively short pause period, and the relatively long off period.

18. The method of claim 17, wherein one of the power application parameters altered comprises amplitude of energy applied during the relatively short burst of energy.

19. A method for providing ultrasonic energy to an ocular region during a phacoemulsification procedure, the method comprising:

applying ultrasonic energy to the ocular region during at least one pulsed energy on period followed by a long off period, wherein applying ultrasonic energy to the ocular region during the pulsed energy on period comprises;

applying ultrasonic energy to the ocular region during the phacoemulsification procedure in a series of short burst periods having duration of at most approximately ten milliseconds, said short burst periods interspersed by short rest periods, said short rest periods having minimal power application for at most approximately twenty five milliseconds.

20. The method of claim 19, wherein the energy applied during the pulsed energy on period and series of short burst periods is of approximately the same magnitude.

21. The method of claim 19, further comprising engaging the method at a first desired time when energy application is desired and disengaging the method at a second desired time when energy application is not desired.

22. The method of claim 21, wherein said engaging and disengaging is accomplished by means of a switch.

23. A method of delivering ultrasonic energy during ocular surgery, comprising:

delivering pulses of energy during an on period, energy pulse delivery comprising;

delivering at least one relatively short burst of energy; and

pausing for at least one relatively short period; and

pausing for a relatively long off period after said on period and prior to commencing any subsequent on period, wherein pausing for each relatively short period and for the relatively long off period comprises applying minimal energy therein;

wherein the relatively long off period comprises a relatively long period when minimal energy is applied, wherein one long off period follows each pulsed energy on period.

24. The method of claim 23, wherein the short burst is at most approximately ten milliseconds and the short period is at most approximately twenty five milliseconds.

25. The method of claim 24, wherein the long off period is at least about 20 milliseconds.

26. The method of claim 23, wherein the energy applied during the on period and the short burst is of approximately the same magnitude.

27. The method of claim 23, wherein multiple on periods are interspersed with multiple long off periods.

28. The method of claim 23, further comprising engaging the method at a first desired time when energy application is desired and disengaging the method at a second desired time when energy application is not desired.

29. The method of claim 28, wherein said engaging and disengaging is accomplished by means of a switch.

30. The method of claim 28, further comprising applying ultrasonic energy during at least one additional pulsed energy on period, wherein applying ultrasonic energy during the additional pulsed energy on period comprises:

applying ultrasonic energy during an additional series of short burst periods, said additional short burst periods interspersed by additional short rest periods wherein minimal energy is applied; and

refraining from delivering ultrasonic energy during an additional long off period, the additional long off period comprising an additional relatively long period when minimal energy is applied, wherein one additional long off period follows each additional pulsed energy on period;

wherein said additional short burst periods and said additional short rest periods are relatively brief in duration as compared with said additional long off period.