Monitoring thermal conditions to vary operation of an ultrasonic needle tip of a surgical instrument

• US 8,423,126 B2
• Filed: 01/08/2009
• Issued: 04/16/2013
• Est. Priority Date: 01/29/2003
• Status: Active Grant

• Current Assignee: Alcon Incorporated
• Original Assignee: Novartis Ag
• Inventors: Mackool, Richard James
• Primary Examiner(s): KISH, JAMES M
• Application Number:
  US12/350,294
• Publication Number:
  US 20090124960A1
• Time in Patent Office: 1,559 Days
• Field of Search: 600/473, 600/474, 600/475, 606/27, 606/28, 606/31
• US Class Current: 600/473
• CPC Class Codes: A61B 2017/00066 intensity
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/32007 with suction or vacuum means
• CPC Class Codes: A61F 9/00745 using mechanical vibrations, e.g. ultrasonic

Abstract

A method and apparatus to operate a surgical instrument in response to a thermal condition being detected that warrants curtailment of further operation. When the thermal condition is reached, command signals are generated that cause a needle of the surgical instrument to either have its vibrational speed slowed, have its vibrational movement stopped, or have it withdrawn from its relative position. The detection is of infrared radiation wavelengths and is carried out with either a thermal imaging device of a thermal recognition device. A corresponding temperature of the detected infrared radiation wavelengths is compared to a critical temperature to determine whether the thermal condition has been reached.

Claims

1. An apparatus to detect and respond to a thermal condition during phacoemulsification, comprising:

a surgical instrument operative to perform phacoemulsification, the surgical instrument including a hollow needle and including a driver operative to vibrate the hollow needle at a speed of vibration and including a suction operative to aspirate fluid through the hollow needle, the hollow needle having a distal end terminating into a tip and having a hub spaced from the tip;

a thermal imaging or thermal recognition source aimed at a location selected from a group consisting of along the hub of the needle of the surgical instrument and at the driver of the surgical instrument so as to detect infrared radiation wavelengths emanating from the location;

a controller configured to evaluate the detected infrared radiation wavelengths to make a determination as to whether a thermal condition has been reached, generate command signals in response to the determination being that the thermal condition has been reached, varying at least one of the speed of vibration and a relative position of the hollow needle of the surgical instrument in response to the command signals, and to issue further command signals to the driver provided the detected infrared radiation wavelengths signify that at least a critical temperature has been reached, the driver being responsive to the further command signals to at least withdraw the needle.

2. The apparatus of claim 1, further comprising a surgical operating microscope, the thermal imaging or thermal recognition source being arranged to detect the infrared radiation wavelengths through optical pathways of the surgical operating microscope.

3. The apparatus of claim 2, further comprising an attachment having an optical pathway and that is attached to an outer housing of the surgical operating microscope, the thermal imaging or thermal recognition source being arranged to detect the infrared radiation wavelengths through an optical pathway of the attachment.

4. The apparatus of claim 2, wherein the surgical operating microscope has an objective lens formed of a material that is more transmissive of the infrared radiation wavelengths than that of glass or fused silica.

5. The apparatus of claim 1, wherein the thermal imaging or thermal recognition source is selected from a group consisting of a thermal imaging camera and an optical pyrometer.

6. The apparatus of claim 1, wherein the surgical instrument has at least one sleeve concentrically arranged about the needle.