Holding tank devices, systems, and methods for surgical fluidics cassette

• US 8,414,534 B2
• Filed: 11/09/2006
• Issued: 04/09/2013
• Est. Priority Date: 11/09/2006
• Status: Active Grant

• Current Assignee: Johnson & Johnson Surgical Vision, Inc. (Johnson & Johnson)
• Original Assignee: Abbott Medical Optics Incorporated (Johnson & Johnson)
• Inventors: Bandhauer, Mark H., Muri, John I., King, David
• Primary Examiner(s): Lucchesi, Nicholas
• Assistant Examiner(s): LEE, WENG WAH
• Application Number:
  US11/558,434
• Publication Number:
  US 20080114301A1
• Time in Patent Office: 2,343 Days
• Field of Search: 604/153, 604/151
• US Class Current: 604/151
• CPC Class Codes: A61F 9/00736 Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments A61F9/008 takes precedence
• CPC Class Codes: A61F 9/00745 using mechanical vibrations, e.g. ultrasonic
• CPC Class Codes: A61M 1/71 Suction drainage systems containers therefor A61M1/60, A61M1/64; negative pressure wound therapy systems A61M1/90
• CPC Class Codes: A61M 1/72 Cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 1/73 comprising sensors or indicators for physical values
• 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 1/774 Handpieces specially adapted for providing suction as well as irrigation, either simultaneously or independently
• CPC Class Codes: A61M 1/78 Means for preventing overflow or contamination of the pumping systems combined with drainage containers A61M1/60
• CPC Class Codes: A61M 1/784 by filtering, sterilising or disinfecting the exhaust air, e.g. swellable filter valves
• CPC Class Codes: A61M 2205/12 with interchangeable cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 2205/3306 Optical measuring means
• CPC Class Codes: A61M 2205/3389 Continuous level detection A61M2205/3393 takes precedence
• CPC Class Codes: G01F 23/2925 using electrical detecting means

Abstract

The present invention is generally directed to improved methods, devices, and systems for eye surgery. In some embodiments, the invention may provide new and/or improved devices, systems, and methods for detecting surgical fluids in a fluidics cassette, particularly cassettes which are used to couple an eye treatment probe to an eye treatment console. Rather than relaying on internal reflection by a gas-liquid interface, the fluid detection techniques described herein may make use of the changes in propagation of light through a portion of the holding tank when the portion varies between empty and full. For example, light may propagate directly through the holding tank portion when there is no surgical fluid, but may be directed away from a light detector when the portion of the holding tank is filled with surgical fluid. As the light may be controllably refracted using the interface between the transparent holding tank material and the surgical fluid, the propagation properties of the light may be more reliably predicted and controlled. While the sensor may not determine the actual liquid level within the holding tank, a plurality of individual liquid detectors may be sufficient to determine when it is appropriate to (for example) turn drain pumps on and off, when the holding tank is in danger of being overfilled, and the like. Other aspects of the invention may provide devices, systems, and methods for producing different types of fluidics cassette using a single cassette body type.

Claims

1. A surgical system comprising:

a fluid detector system comprising a first emitter and a first signal receiver and a second emitter and a second signal receiver, wherein the first emitter is configured to emit a first color and the second emitter is configured to emit a second color, or the first emitter and first signal receiver are configured to employ light having a first polarization and the second emitter and second signal receiver are configured to employ light having a second polarization; and

a cassette including a fluid container having a first wall and a second wall with a volume portion therebetween;

the system configured to produce a first signal and a second signal when a light beam transmits through the first wall, the volume portion, the second wall, and into the first or second signal receiver;

the system configured to produce a second signal when the second wall directs the light beam away from the first or second signal receiver by refraction and/or reflection;

wherein the first emitter and first signal receiver are disposed at a first vertical height relative to the fluid container, and the second emitter and second signal receiver are disposed at a second vertical height, the second vertical height below the first vertical height to detect differing quantities of fluid in the fluid container.

2. The surgical cassette of claim 1, wherein the first and second emitters are configured to produce radiation in the infrared, visible, and/or ultraviolet wavebands.

3. The surgical system of claim 1, wherein the first and/or second emitter directs the light along a light path, wherein the first wall is at a first angle relative to the light path, and wherein the second wall is at a second angle relative to the first wall, and wherein the container is configured so that when no surgical fluid is disposed in the volume portion the light is refracted from the first wall into the volume portion and proceeds through the second wall and to the first and/or second receiver.

4. The surgical system of claim 3, wherein the light path from the first wall proceeds, when the surgical fluid is disposed in the volume portion, away from the first and/or second signal receiver so that a reduction of the light at the first and/or second signal receiver defines the second signal.

5. The surgical system of claim 4, wherein the light from the first wall into the surgical fluid proceeds along the path to the second wall at a sufficient angle relative to the second wall that the light is reflected by a surface of the second wall.

6. The surgical system of claim 3, wherein the first wall has first and second parallel surfaces so that the path of the light refracted into air in the volume portion is parallel to the path of the light from the first and/or second emitter, wherein the first wall is at a first oblique angle relative to the path from the first emitter, and wherein the second wall has first and second parallel surfaces and is at a second oblique angle relative to the path of the light through the air, the second angle complementary to the first angle so that the path of the light from the second wall is substantially coaxial with the path of light toward the first wall when no surgical fluid is in the volume.

7. The surgical system of claim 2, wherein the second signal corresponds to a condition in which the volume portion contains fluid and the first signal correspond to a condition in which the fluid volume contains only a gas.

11. The surgical system of claim 1, wherein the dual mode cassette comprises components for a displacement-based pump and components for a vacuum-based pump.

12. The surgical system of claim 1, wherein the dual mode cassette is configured to aspirate fluid by a displacement-based pump or a vacuum-based pump.

13. The surgical system of claim 12, wherein the displacement-based pump is a peristaltic pump and the vacuum-based pump is a Venturi pump.

17. The surgical system of claim 1, wherein the dual mode cassette comprises components for at least two displacement-based pumps and components for a vacuum-based pump.

8. A surgical cassette for use with an eye treatment system, the eye treatment system including a fluid detector system and a fluid aspiration drive system, wherein the fluid detector system comprises a first emitter and a first signal receiver and a second emitter and a second signal receiver, wherein the first emitter is configured to emit a first color and the second emitter is configured to emit a second color, or the first emitter and first signal receiver are configured to employ light having a first polarization and the second emitter and second signal receiver are configured to employ light having a second polarization, a fluid aspiration drive system, and a cassette frame configured to interchangeably receive a single mode cassette and a dual mode cassette, the cassette comprising:

a surgical fluid aspiration system including a fluid container having a first wall and a second wall with a volume portion therebetween, the first and second walls configured so that when the cassette is mounted in the eye treatment system and light from the first or second emitter is directed to the first wall;

the light defines a first signal at the first signal receiver when the volume portion is filled with surgical fluid; and

the light defines a second signal at the second signal receiver when no surgical fluid is disposed in the volume portion;

wherein the first emitter and first signal receiver are disposed at a first vertical height relative to the fluid container, and the second emitter and second signal receiver are disposed at a second vertical height, the second vertical height below the first vertical height to detect differing quantities of fluid in the fluid container.

18. The surgical system of claim 8, wherein the dual mode cassette comprises components for at least two displacement-based pumps and components for a vacuum-based pump.

9. An eye treatment method comprising:

aspirating surgical fluid from an eye;

holding aspirated surgical fluid in a fluid container having a first wall, a second wall, and a volume portion therebetween;

providing a fluid detector system comprising a first emitter and a first signal receiver and a second emitter and a second signal receiver, wherein the first emitter is configured to emit a first color and the second emitter is configured to emit a second color, or the first emitter and first signal receiver are configured to employ light having a first polarization and the second emitter and second signal receiver are configured to employ light having a second polarization;

controlling the amount of surgical fluid in the fluid container in response to first and second signals,

generating the first signal by transmitting a light beam through the first wall, the volume portion, the second wall, and into the first or second signal receiver; and

generating the second signal by directing the light beam away from the first or second signal receiver by refraction and/or reflection of the light beam by the second wall;

wherein the first emitter and first signal receiver are disposed at a first vertical height relative to the fluid container, and the second emitter and second signal receiver are disposed at a second vertical height, the second vertical height below the first vertical height to detect differing quantities of fluid in the fluid container.

10. The method of claim 9, wherein the first and second emitters are configured to produce radiation in the infrared, visible, and/or ultraviolet wavebands.

14. The method of claim 9, wherein the dual mode cassette comprises components for a displacement-based pump and components for a vacuum-based pump.

15. The method of claim 9, wherein the dual mode cassette is configured to aspirate fluid by a displacement-based pump or a vacuum-based pump.

16. The method of claim 15, wherein the displacement-based pump is a peristaltic pump and the vacuum-based pump is a Venturi pump.

19. The surgical system of claim 9, wherein the dual mode cassette comprises components for at least two displacement-based pumps and components for a vacuum-based pump.