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

• US 8,403,851 B2
• Filed: 01/22/2010
• Issued: 03/26/2013
• Est. Priority Date: 03/22/2004
• Status: Active Grant

• Current Assignee: Alcon Incorporated
• Original Assignee: Novartis Ag
• Inventors: Boukhny, Mikhail, Chon, James Y., Salehi, Ahmad, Yadlowsky, Ann
• Primary Examiner(s): MENDEZ, MANUEL A
• Application Number:
  US12/691,879
• Publication Number:
  US 20100121364A1
• Time in Patent Office: 1,159 Days
• Field of Search: 604 19- 22, 604 65- 67, 128/DIG.12, 128/DIG.13, 606/169, 606/170, 606/171, 600/439, 600/471
• US Class Current: 600/439
• 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 to 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:

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 non-zero sense power interval, the sense power interval being between cutting power intervals;

comparing an 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 enabling torsional vibration of the tip.

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

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

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

5. The method of claim 1, further comprising the step of adjusting an amount of power to be delivered to the cutting tip with a sensitivity coefficient.

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

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

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

9. The method of claim 1, wherein the step of monitoring the load comprises monitoring the load on the cutting tip of the ultrasound handpiece by monitoring a voltage and a current drawn by the handpiece during the non-zero sense power interval having a variable duration.

10. The method of claim 1, wherein the step of monitoring the load comprises 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 power pulses.

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

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

13. The method of claim 1, wherein the step of monitoring the load comprises 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 the non-zero sense power interval.

14. The method of claim 12, further comprising the step of correlating a rate of decay of the non-zero sense power interval to the load drawn by the handpiece.

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