Method of controlling a surgical system based on a load on the cutting tip of a handpiece

• US 8,257,307 B2
• Filed: 10/12/2009
• Issued: 09/04/2012
• Est. Priority Date: 03/22/2004
• Status: Active Grant

• Current Assignee: Alcon Incorporated
• Original Assignee: Alcon Research Limited (Nestle SA)
• Inventors: Boukhny, Mikhail, Gordon, Raphael, Morgan, Michael D., Yadlowsky, Ann
• Primary Examiner(s): MENDEZ, MANUEL A
• Application Number:
  US12/577,521
• Publication Number:
  US 20100036406A1
• Time in Patent Office: 1,058 Days
• Field of Search: 604 19- 22, 604/118, 604/119, 606/406, 606 10- 12, 606/167, 606169-171, 600/437, 600/439, 600/446, 600/452, 601/2
• US Class Current: 604/119
• CPC Class Codes: A61B 17/320068 using mechanical vibrations, e.g. ultrasonic A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745
• 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: A61B 2017/32007 with suction or vacuum means
• CPC Class Codes: A61F 9/00745 using mechanical vibrations, e.g. ultrasonic
• 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 3/0208 before 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 surgical system that is able to sense the onset of an occlusion or other surgical event as well as the instant an occlusion breaks. To help avoid overheating of the tip, the system determines an approximate temperature of the eye using an irrigation flow rate and reduces the power to the handpiece automatically if an overheating situation is predicted. Alternatively or in addition, the system 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 for cutting tissue, the method comprising the steps of:

establishing a threshold power level;

monitoring a load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a sense interval, the sense interval being between cutting intervals, the sense interval comprising a non-zero sense power pulse;

comparing the amount of power drawn by the handpiece and the threshold power level;

adjusting an amount of power delivered to the cutting tip of the ultrasound handpiece if the power drawn by the handpiece exceeds the threshold power level by adjusting an amplitude or stroke of the output of the ultrasound handpiece; and

adjusting an amount of power to be delivered to the cutting tip with a sensitivity coefficient.

2. The method of claim 1, the threshold power level being based on the cutting tip being operated in saline or reference environment.

3. The method of claim 1, monitoring the amount of power drawn by the handpiece being determined by a linear calculation of multiplying the current and the voltage drawn by the ultrasound handpiece.

4. The method of claim 1, the duty cycle of the output of the ultrasound handpiece remaining constant or being controlled by a surgeon.

5. The method of claim 1, monitoring the load being performed at a power level that is lower than a power level of the cutting intervals or pulses.

6. The method of claim 1, adjusting the amount of power delivered to the cutting tip of the ultrasound handpiece comprising adjusting an amount of power up to a maximum amount of power requested by a user.

7. The method of claim 1, adjusting the amount of power comprising adjusting a stroke of the cutting pulse or interval following the non-zero sense interval.

8. The method of claim 1, monitoring the load comprising monitoring the load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a non-zero sense power interval, the sense power interval having about the same duration as the cutting power intervals.

9. The method of claim 1, monitoring the load comprising monitoring the load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a non-zero sense power interval, the sense power intervals being longer or shorter than the cutting power intervals.

10. The method of claim 1, monitoring the load comprising monitoring the load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a non-zero sense power intervals having a fixed duration.

11. The method of claim 1, monitoring the load comprising monitoring the load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a non-zero sense power intervals having a variable duration.

12. The method of claim 1, monitoring the load comprising monitoring the load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a plurality of non-zero sense power intervals that are separate pulses between cutting pulses.

13. The method of claim 1, monitoring the load comprising monitoring the load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a non-zero sense power interval immediately prior to a cutting interval.

14. The method of claim 1, monitoring the load comprising monitoring the load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a non-zero sense power interval immediately following a cutting interval.

15. The method of claim 1, monitoring the load comprising monitoring the load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a decay of a non-zero sense power interval.

16. The method of claim 15, further comprising correlating a rate of decay of the non-zero sense power interval to the load drawn by the handpiece.

17. The method of claim 1, further comprising cutting tissue during monitoring the load.

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

establishing a threshold power level;

monitoring a load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a sense interval, the sense interval being between cutting intervals, the sense interval comprising a non-zero sense power pulse;

comparing the amount of power drawn by the handpiece and the threshold power level; and

adjusting an amount of power delivered to the cutting tip of the ultrasound handpiece if the power drawn by the handpiece exceeds the threshold power level by adjusting a duration of the cutting power interval; and

adjusting an amount of power to be delivered to the cutting tip with a sensitivity coefficient.

19. The method of claim 18, the threshold power level being based on the cutting tip being operated in saline or reference environment.

20. The method of claim 18, monitoring the amount of power drawn by the handpiece being determined by a linear calculation of multiplying the current and the voltage drawn by the ultrasound handpiece.

21. The method of claim 18, monitoring the load being performed at a power level that is lower than a power level of the cutting intervals or pulses.

22. The method of claim 18, adjusting the amount of power delivered to the cutting tip of the ultrasound handpiece comprising adjusting an amount of power up to a maximum amount of power requested by a user.

23. The method of claim 18, monitoring the load comprising monitoring the load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a non-zero sense power interval, the sense power interval having about the same duration as the cutting power intervals.

24. The method of claim 18, monitoring the load comprising monitoring the load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a non-zero sense power interval, the sense power intervals being longer or shorter than the cutting power intervals.

25. The method of claim 18, monitoring the load comprising monitoring the load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a non-zero sense power intervals having a fixed duration.

26. The method of claim 18, monitoring the load comprising monitoring the load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a non-zero sense power interval having a variable duration.

27. The method of claim 18, monitoring the load comprising monitoring the load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a plurality non-zero sense power intervals that are separate pulses between cutting pulses.

28. The method of claim 18, monitoring the load comprising monitoring the load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a non-zero sense power interval immediately prior to a cutting interval.

29. The method of claim 18, monitoring the load comprising monitoring the load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a non-zero sense power interval immediately following a cutting interval.

30. The method of claim 18, monitoring the load comprising monitoring the load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during a decay of a non-zero sense power interval.

31. The method of claim 30, further comprising correlating a rate of decay of the non-zero sense power interval to the load drawn by the handpiece.

32. The method of claim 18, further comprising cutting tissue during monitoring the load.