Control of pulse duty cycle based upon footswitch displacement

• US 8,195,286 B2
• Filed: 11/15/2006
• Issued: 06/05/2012
• Est. Priority Date: 01/22/1997
• Status: Expired due to Fees

• Current Assignee: Johnson & Johnson Surgical Vision, Inc. (Johnson & Johnson)
• Original Assignee: Abbott Medical Optics Incorporated (Johnson & Johnson)
• Inventors: Kadziauskas, Kenneth E., Rockley, Paul
• Primary Examiner(s): Lucchesi, Nicholas
• Assistant Examiner(s): HOLLOWAY, IAN KNOBEL
• Application Number:
  US11/560,333
• Publication Number:
  US 20070073309A1
• Time in Patent Office: 2,029 Days
• Field of Search: 604/20, 604/22, 604/35, 606/22, 606/107
• US Class Current: 604/20
• CPC Class Codes: A61B 2017/0003 of parts of the instruments
• CPC Class Codes: A61B 2017/00106 ultrasonic
• CPC Class Codes: A61B 2017/00181 Means for setting or varying the pulse energy
• CPC Class Codes: A61B 2017/00185 Means for setting or varying the pulse height
• CPC Class Codes: A61B 2017/0019 Means for setting or varying the pulse width
• CPC Class Codes: A61B 2017/00194 Means for setting or varying the repetition rate
• CPC Class Codes: A61B 2017/00973 pedal-operated
• CPC Class Codes: A61B 2017/00977 the depression depth determining the power rate
• CPC Class Codes: A61B 2017/32007 with suction or vacuum means
• CPC Class Codes: A61B 2017/320084 Irrigation sleeves
• CPC Class Codes: A61B 2018/00636 Sensing and controlling the application of energy
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61F 9/007 Methods or devices for eye surgery
• CPC Class Codes: A61F 9/00745 using mechanical vibrations, e.g. ultrasonic
• CPC Class Codes: B06B 1/0246 with a feedback signal
• CPC Class Codes: B06B 1/0253 taken directly from the generator circuit
• CPC Class Codes: B06B 2201/55 Piezoelectric transducer
• CPC Class Codes: B06B 2201/76 Medical, dental

Abstract

Phacoemulsification apparatus includes a phacoemulsification handpiece having a needle and an electrical circuitry for ultrasonic vibrating the needle. A power source provides pulsed electrical power to the handpiece electrical circuitry and an input is provided for enabling a surgeon to select an amplitude of dislighted pulses and a pulse width. A control system and pulse duty cycle is provided for controlling the off duty cycle to insure heat dissipation before a subsequent pulse is activated, including a foot pedal switch.

Claims

1. A phacoemulsification apparatus comprising:

a phacoemulsification handpiece having a needle, and an electric circuit having one or more piezoelectric transducers, having an electrical load, for ultrasonically vibrating said needle;

a power source configured to provide a pulse of electrical power to the handpiece having a pulse duty cycle, a drive voltage, and a frequency that causes the needle to be driven along its longitudinal axis;

an input enabling a surgeon to select an ultrasonic pulse amplitude and the pulse duty cycle supplied to the handpiece;

a computer programmed to adjust the power in response to the selected pulse amplitude and to adjust the pulse duty cycle in response to the selected pulse duty cycle, wherein said computer is enabled to control the power source to provide the pulse of electrical power at a surgeon selectable rate of between about 25 and about 2000 pulses per second, further wherein the computer is configured to adjust the drive voltage of the electrical power in response to a change in the electrical load of the one or more piezoelectric transducers during operation.

2. The phacoemulsification apparatus of claim 1, wherein the computer is further programmed to control the power source such that there is an off duty cycle in between the pulses of electrical power to ensure heat dissipation before a subsequent pulse of electrical power is activated.

3. The phacoemulsification apparatus of claim 1, wherein the computer is further programmed to control the power source such that there is a period of no power to the needle that drives the needle along its longitudinal axis in between the pulses of electrical power.

4. The phacoemulsification apparatus of claim 1, wherein the computer is further programmed to control the power source such that there is a period where a minimal amount of power is applied to the needle that causes the needle to oscillate generally along its longitudinal axis in between the pulses of electrical power.

5. The phacoemulsification apparatus of claim 1, further including a switch configured to receive input for the selection of the pulse duty cycle.

6. The phacoemulsification apparatus of claim 5, wherein said switch comprises a footswitch operatively coupled to the computer, wherein the computer is further programmed to enable the surgeon to vary the pulse duty cycle as a function of displacement of the footswitch and that enables the surgeon to reduce the pulse duty cycle to a pulse less than 20 milliseconds.

7. The phacoemulsification apparatus of claim 5, wherein said switch enables a linear selection of the ultrasonic power amplitude.

15. The apparatus of claim 1 or 8, wherein the computer is programmed to increase the drive voltage in response to an increase in the electrical load of the one or more piezoelectric transducers and to decrease the drive voltage in response to a decrease in the electrical load of the one or more piezoelectric transducers.

8. A phacoemulsification apparatus comprising:

a phacoemulsification handpiece having a needle and an electrical circuit having one or more piezoelectric transducers, having an electrical load, for ultrasonically vibrating said needle;

a power source configured to apply a period of electrical power, having a drive voltage, to the handpiece, wherein the power within the period is applied at a frequency that causes the needle to be driven generally along its longitudinal axis;

an input enabling a surgeon to select a power amplitude and a duration of the period; and

a computer programmed to respond to the selected power amplitude and the selected duration of the period of electrical power, wherein the computer enables a selection of a duration of less than twenty (20) milliseconds, and further wherein the computer is programmed to adjust the drive voltage of the electrical power in response to a change in the electrical load of the one or inure piezoelectric transducers during operation;

wherein said computer controls the power source to provide said period of electrical power repeatedly at a surgeon selectable rate of between about 25 and about 2000 pulses per second.

9. The phacoemulsification apparatus of claim 8, wherein the computer is further programmed to control the power source such that there is an off duty cycle in between said periods of electrical power to ensure heat dissipation in between said periods of electrical power.

10. The phacoemulsification apparatus of claim 8, wherein the computer is further programmed to control the power source such that there is an interval in between said periods of electrical power wherein there is no power to the handpiece that drives the needle along its longitudinal axis in between said periods of electrical power.

11. The phacoemulsification apparatus of claim 8, wherein the computer is further programmed to control the power source such that there is an interval in between said periods of electrical power wherein any longitudinal vibration of the needle is minimized.

12. The phacoemulsification apparatus of claim 8, wherein the computer is further programmed to control the power source such that there is an interval in between said periods of electrical power wherein there is substantially no longitudinal vibration of the needle.

13. The phacoemulsification apparatus of claim 8, wherein the input includes a footswitch operatively coupled to the computer and enables a surgeon to vary the period as a function of displacement of the footswitch.

14. The phacoemulsification apparatus of claim 13, wherein the footswitch enables a linear selection of the power amplitude and period.

16. A phacoemulsification apparatus comprising:

a phacoemulsification handpiece having a needle and an electric circuit having one or more piezoelectric transducers, having an electrical load, for ultrasonically vibrating said needle;

a power source configured to provide electrical power to the handpiece having a drive voltage, and a frequency that causes the needle to be driven along its longitudinal axis;

a control unit configured to enable electrical power to be provided to the handpiece in pulses having a pulse duty cycle and that adjusts drive voltage of the electrical power in response to a change in the electrical load of the one or more piezoelectric transducers during operation; and

a footswitch operatively coupled to the control unit, wherein the control unit is further configured to enable a surgeon to vary the pulse duty cycle as a function of displacement of the footswitch and that enables the surgeon to reduce a pulse to less than 20 milliseconds;

wherein the control unit is further configured to enable the pulses to be delivered to the handpiece at a surgeon selectable rate of between about 25 and about 2000 pulses per second.

17. The phacoemulsification apparatus of claim 16, wherein the control unit is further configured to control the power source such that there is an off duty cycle in between the pulses of electrical power to ensure heat dissipation before a subsequent pulse of electrical power is activated.

18. The phacoemulsification apparatus of claim 16, wherein the control unit is further configured to control the power source such that there is a period of no power to the needle that drives the needle along its longitudinal axis in between the pulses of electrical power.

19. The phacoemulsification apparatus of claim 16, wherein the control unit is further configured to control the power source such that there is a period where a minimal amount of power is applied to the needle that causes the needle to oscillate generally along its longitudinal axis in between the pulses of electrical power.

20. The phacoemulsification apparatus of claim 16, wherein the control unit is configured to increase the drive voltage in response to an increase in the electrical load of the one or more piezoelectric transducers and to decrease the drive voltage in response to a decrease in the electrical load of the one or more piezoelectric transducers.

21. A phacoemulsification apparatus comprising:

a phacoemulsification handpiece having a needle and an electric circuit having one or more piezoelectric transducers, having an electrical load, for ultrasonically vibrating said needle;

a power source configured to provide electrical power, having a drive voltage, to the electric circuit of the handpiece;

a control unit configured to enable electrical power to be provided to the handpiece in pulses, having a pulse duty cycle, at a surgeon selectable repetition rate of between about 25 and about 2000 pulses per second and further configured to increase the drive voltage of the electrical power in response to an increase in the electrical load of the one or more piezoelectric transducers and to decrease the drive voltage of the electrical power in response to a decrease in the electrical load during operation; and

a footswitch operatively coupled to the control unit, wherein the control unit is further configured to enable a surgeon to vary the pulse duty cycle as a function of displacement of the footswitch.