Surgical fluid management

• US 8,262,603 B2
• Filed: 10/19/2009
• Issued: 09/11/2012
• Est. Priority Date: 06/13/2005
• Status: Active Grant

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Shener, Cemal, Krause, Kenneth W.
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): Eisenberg, Rebecca E
• Application Number:
  US12/581,689
• Publication Number:
  US 20100036313A1
• Time in Patent Office: 1,058 Days
• Field of Search: 604 65- 67, 604131-133
• US Class Current: 604/67
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/3474 Insufflating needles, e.g. Veress needles
• CPC Class Codes: A61M 2205/12 with interchangeable cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 3/0201 Cassettes therefor
• CPC Class Codes: A61M 3/0202 with electronic control means or interfaces
• 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
• CPC Class Codes: Y10T 29/49826 Assembling or joining

Abstract

A fluid flow device includes a housing configured to releasably mate with a surgical control unit for controlling fluid flow during a surgical procedure. First and second ports measure fluid pressure within a fluid path provided within the housing. The fluid flow device includes a restrictor for restricting fluid flow at a restriction location along the fluid path. The first port is located upstream of the restriction location and the second port is located downstream of the restriction location. A fluid pump is provided within the housing.

Claims

1. A method for controlling fluid pressure within a body cavity, comprising:

pumping fluid to the body cavity through a flow restrictor located between the body cavity and a fluid pump;

measuring a pressure change across the flow restrictor resulting from the flow of fluid through the flow restrictor;

calculating the fluid pressure within the body cavity based on the measured pressure change; and

controlling fluid flow to the body cavity, while fluid is flowing to the body cavity, based on the calculated fluid pressure.

2. The method according to claim 1, further comprising:

setting a setpoint body cavity pressure;

comparing the calculated fluid pressure in the body cavity with the setpoint body cavity pressure; and

adjusting pump operating speed based on the comparison.

3. The method according to claim 1, further comprising controlling pump outlet pressure (P), flow rate (Q) and pump speed (RPM) based on a three-dimensional system model defined by the function RPM=f(P,Q).

4. The method according to claim 2, further comprising allowing open-loop feed forward control based on the comparison and closed-loop feedback control of pump speed.

5. The method of claim 1, wherein the method is performed by a computer based on execution of computer-executable program codes stored on a computer-readable medium.

6. The method of claim 1, wherein calculating the fluid pressure within the body cavity includes determining a pressure drop associated with an instrument through which the fluid flows into the body cavity.

7. The method of claim 1, wherein the fluid pressure within the body cavity is calculated based on the measured pressure change and at least one of a measured fluid pressure upstream of the flow restrictor and a measured fluid pressure downstream of the flow restrictor.

8. The method of claim 1, further comprising controlling fluid flow from the body cavity.

9. The method of claim 8, wherein controlling fluid flow from the body cavity comprises controlling a pinch valve operable to pinch a fluid flow conduit downstream of the body cavity.

10. The method of claim 8, wherein controlling fluid flow from the body cavity comprises cyclically restricting fluid flow in a fluid flow conduit downstream of the body cavity.

11. The method of claim 8, wherein controlling fluid flow from the body cavity comprises selectively reducing fluid flow from the body cavity.

12. A method for controlling fluid pressure within a body cavity, comprising:

setting a setpoint body cavity pressure;

pumping fluid to the body cavity through a flow restrictor located between the body cavity and a fluid pump;

measuring a pressure change across the flow restrictor resulting from the flow of fluid through the flow restrictor;

calculating the fluid pressure within the body cavity based on the measured pressure change;

comparing the calculated fluid pressure in the body cavity with the setpoint body cavity pressure; and

controlling pump outlet pressure (P), flow rate (Q) and pump speed (RPM) based on a three-dimensional system model defined by the function RPM=f(P,Q) while fluid is flowing to the body cavity.

13. The method according to claim 12, further comprising allowing open-loop feed forward control based on the comparison and closed-loop feedback control of pump speed.

14. The method of claim 12, wherein the method is performed by a computer based on execution of computer-executable program codes stored on a computer-readable medium.

15. The method of claim 12, wherein calculating the fluid pressure within the body cavity includes determining a pressure drop associated with an instrument through which the fluid flows into the body cavity.

16. The method of claim 12, wherein the fluid pressure within the body cavity is calculated based on the measured pressure change and at least one of a measured fluid pressure upstream of the flow restrictor and a measured fluid pressure downstream of the flow restrictor.

17. A computer-readable recording medium in which computer-executable program codes are stored, the program codes being configured to cause a computer to perform a method for controlling fluid pressure within a body cavity, the method comprising:

pumping fluid to the body cavity through a flow restrictor located between the body cavity and a fluid pump;

measuring a pressure change across the flow restrictor resulting from the flow of fluid through the flow restrictor;

calculating the fluid pressure within the body cavity based on the measured pressure change; and

controlling fluid flow to the body cavity, while fluid is flowing to the body cavity, based on the calculated fluid pressure.

18. The computer-readable recording medium of claim 17, wherein the method further comprises setting a setpoint body cavity pressure, comparing the calculated fluid pressure in the body cavity with the setpoint body cavity pressure, and adjusting pump operating speed based on the comparison.

19. The computer-readable recording medium of claim 17, wherein the method further comprises controlling pump outlet pressure (P), flow rate (Q) and pump speed (RPM) based on a three-dimensional system model defined by the function RPM=f(P,Q).

20. The computer-readable recording medium of claim 18, wherein the method further comprises allowing open-loop feed forward control based on the comparison and closed-loop feedback control of pump speed.

21. A method for controlling fluid pressure within a body cavity, comprising:

pumping fluid to the body cavity through a flow restrictor located between the body cavity and a fluid pump;

measuring a pressure change across the flow restrictor resulting from the flow of fluid through the flow restrictor;

calculating the fluid pressure within the body cavity based on the measured pressure change; and

adjusting fluid flow to the body cavity, while fluid is flowing to the body cavity, based on the calculated fluid pressure.

22. The method of claim 21, wherein calculating the fluid pressure within the body cavity includes determining a pressure drop associated with an instrument through which the fluid flows into the body cavity.

23. The method of claim 21, wherein the fluid pressure within the body cavity is calculated based on the measured pressure change and at least one of a measured fluid pressure upstream of the flow restrictor and a measured fluid pressure downstream of the flow restrictor.