Method and device for irrigation of body cavities

• US 7,981,073 B2
• Filed: 09/26/2007
• Issued: 07/19/2011
• Est. Priority Date: 03/30/2006
• Status: Active Grant

• Current Assignee: Tennessee Medical Innovations Incorporated
• Original Assignee: Medical Vision AB
• Inventors: Möllstam, Anders, Movin, Tomas, Milton, Sven
• Primary Examiner(s): Sirmons; Kevin C.
• Assistant Examiner(s): Bosworth; Kami A
• Application Number:
  US11/904,105
• Publication Number:
  US 20080243054A1
• Time in Patent Office: 1,392 Days
• Field of Search: 604/27, 604/28, 604/30, 604/31, 604/35, 604/65, 604/67, 604/118, 604/119, 250/573
• US Class Current: 604/28
• CPC Class Codes: A61B 1/015 Control of fluid supply or evacuation
• CPC Class Codes: A61B 1/126 provided with means for cleaning in-use
• CPC Class Codes: A61M 2205/331 used as turbidity change detectors, e.g. for priming-blood or plasma-hemoglubine-interface detection
• CPC Class Codes: A61M 2205/3313 used specific wavelengths
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2205/702 automatically during use
• CPC Class Codes: A61M 3/0202 with electronic control means or interfaces
• CPC Class Codes: A61M 3/0204 Physical characteristics of the irrigation fluid, e.g. conductivity or turbidity
• CPC Class Codes: A61M 3/0208 before use
• CPC Class Codes: A61M 3/0212 after use
• CPC Class Codes: A61M 3/0216 Pressure
• CPC Class Codes: A61M 3/022 Volume; Flow rate
• CPC Class Codes: A61M 3/0258 by means of electric pumps

Abstract

A pressure and a vision regulation method and device for irrigation of a body cavity (1), in which an inflow liquid pump (2) pressurizes the irrigation liquid in a feed line (13) and an outflow device (3) or an external suction source (20) drains the irrigation liquid from the body cavity (1) through a tubing (16) into a waste container (17). A control unit (4) controls either the inflow liquid pump (2) only or both the inflow liquid pump (2) and the outflow device (3) depending on an inflow irrigation liquid pressure from a pressure sensor (5). The method and the device are combined with a method for detecting blood cells, red blood cells, haemoglobin and/or debris in liquid coming from a surgical site to provide an automatic control and rinsing system with clear vision in the viewing area of the operational site.

Claims

1. A pressure regulation method of an irrigation liquid at a surgical site in a body cavity (1), in which method an inflow liquid pump (2) pressurizes the irrigation liquid in a feed line (13) and in which an outflow device (3) drains the irrigation liquid from the body cavity (1) through a tubing (16) and in which a control unit (4) controls both the inflow liquid pump (2) and the outflow device (3) depending on an inflow irrigation liquid pressure from a pressure sensor (5), characterized in that the control unit (4) compares the inflow irrigation liquid pressure and flow values with pressures calculated to correspond to pressures in the body cavity for the respective flow, and that alignment between the pressure values is made by altering the effect of the inflow liquid pump (2) and/or the outflow liquid device (3), the method further characterized in that the inflow irrigation liquid pressure depends on detected and registered signals from optical sensors (21,22) provided at the tubing (16) on the outflow site of the body cavity (1), the optical sensors comprising a first optical sensor and a second optical sensor, the method further utilizing a debris identification module (25) for registering the amount of debris in the liquid coming out from the surgical site and a separate blood identification module (26) for registering the amount of blood cells, red blood cells, and/or haemoglobin, wherein each of the identification modules is provided for cooperation with one or both of the sensors (21, 22), and wherein the method further comprises utilizing a second control unit (24) that increases the effect of the inflow and/or outflow liquid pump (3a) to rinse the surgical site until a level of clear vision in the module is reached so that the control unit (4) automatically increases the flow of the inflow irrigation liquid when the amount of debris is increased in the irrigation liquid in, or coming out of, the surgical site or regulates the pump so that the pressure of the irrigation liquid is increased when the amount of blood or haemoglobin is increased in or coming out of the surgical site.

2. The method according to claim 1, wherein the outflow device (3) is either an outflow liquid pump (3a) or an outflow shut off valve (3b) or a combination of an outflow shut off valve (3b) and an external suction source (3c).

3. The method according to claim 2, further comprising providing a recalculation device in the control unit (4) together with a calibration device for the pressure from the pressure sensor (5) and flow values for recalculating the inflow irrigation liquid pressure and the flow comparison for an actual surgical site by simultaneously stopping both the inflow liquid pump (2) and the outflow liquid pump (3a) or alternatively stopping the inflow pump (2) and the outflow liquid with a outflow shut off valve (3b), during a time interval, and continuously registering the inflow irrigation liquid pressure of the pressure drop in the liquid volume between both pumps or between the inflow pump (2) and the shut off valve (3b) during the time interval.

4. The method according to any of the claims 1-3, wherein the optical sensors (21, 22) register the blood cells, the red blood cells, the haemoglobin and/or the amount of debris in the liquid coming out from the surgical site and compare these registered values with reference values in the second control unit (24).

5. The method according to claim 4, wherein the optical sensors (21,22) comprise a light emitting diode and a photo detector.

6. The method according to claim 4, wherein the optical sensors (21,22) comprise a video camera and a video signal processor, and wherein the video camera can be attached on a surgical instrument, on a separate optical fiber or at the tubing on the outflow site of the surgical site.

7. The method according to claim 1, wherein a change in flow is made automatically by the pump or manually by the operator, such change of flow being made in a manner compensating for reactance in the tubing and instrumentation.