Independent surgical center

• US 8,623,000 B2
• Filed: 04/11/2011
• Issued: 01/07/2014
• Est. Priority Date: 04/20/2007
• Status: Active Grant

• Current Assignee: Doheny Eye Institute
• Original Assignee: Doheny Eye Institute
• Inventors: Humayun, Mark, DeBoer, Charles, Kerns, Ralph, McCormick, Matthew, Bhadri, Prashant, Chong, Lawrence
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): FISHBACK, ASHLEY LAUREN
• Application Number:
  US13/084,471
• Publication Number:
  US 20110190690A1
• Time in Patent Office: 1,002 Days
• Field of Search: 433/77, 433/79, 433 98-101, 604/22, 606/107, 606/171, 606/174, 623/6.12, 623/905, 206/210, 206/363, 206/370, 206/564, 206/572, 235/435, 235/451
• US Class Current: 606/1
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00221 with wireless transmission of data, e.g. by infrared radiation or radiowaves
• CPC Class Codes: A61B 2017/00225 Systems for controlling multiple different instruments, e.g. microsurgical systems
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2050/3008 having multiple compartments
• CPC Class Codes: A61B 50/33 Trays
• CPC Class Codes: A61B 90/30 Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
• CPC Class Codes: A61B 90/98 using electromagnetic means, e.g. transponders
• 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

Abstract

A biological tissue cutting and fluid aspiration system provides a plurality of surgical instruments operable independent of an external control console. In some embodiments, each surgical instrument may include all sensors and controls directly applicable to the surgical instrument, and may be used independently. In some embodiments, instruments communicate status information to each other, and adjust operating parameters based on the communications.

Claims

1. A surgical tray comprising:

a sterile surgical tray prepackaged with a plurality of instruments;

an aspiration device held in the sterile surgical tray and operably coupled to at least one of the instruments; and

a processing unit in the sterile surgical tray for controlling at least one of the instruments and the aspiration device.

2. The surgical tray of claim 1, wherein the instruments are electrical or pneumatic instruments.

3. The surgical tray of claim 1, further including an infusion device held in the sterile surgical tray and operably coupled to at least one of the instruments, and wherein the processing unit controls the infusion device.

4. The surgical tray of claim 3, wherein the infusion device includes an infusion chamber and a pump for infusing one of a gas and a fluid from the infusion chamber and through at least one of the instruments.

5. The surgical tray of claim 3, wherein the aspiration device and the infusion device form a cassette having an aspiration chamber and an infusion chamber and includes a pump in the sterile surgical tray for connection to each chamber.

6. The surgical tray of claim 5, wherein the cassette further includes a gas-fluid exchange chamber and a switch for enabling gas-fluid exchange is located on one of the instruments or the sterile surgical tray.

7. The surgical tray of claim 1, wherein the aspiration device includes an aspiration chamber and a pump for aspirating tissue from at least one of the instruments to the aspiration chamber.

8. The surgical tray of claim 1, further including user feedback devices on the sterile surgical tray for indicating a current parameter or status information of at least one of the instruments.

9. The surgical tray of claim 8, wherein the user feedback devices include a collection of light emitting diodes.

10. The surgical tray of claim 1, further including user input devices on the sterile surgical tray.

11. The surgical tray of claim 1, further including a wireless communication interface connected to each of at least one of the instruments and the processing unit for wireless communication between the at least one instrument and the processing unit.

12. The surgical tray of claim 1, further including a power source in the sterile surgical tray, wherein the power source is connected to at least one of the instruments, the aspiration device, and the processing unit.

13. The surgical tray of claim 1, wherein the processing unit sends control commands to at least one of the instruments, and collects parameter settings and other status information from at least one of the instruments and the aspiration device, wherein the sterile surgical tray communicates at least some of the parameter settings and other status information to a user via user feedback devices on the sterile surgical tray.

14. The surgical tray of claim 13, wherein the user feedback devices include a screen for displaying the parameter settings and other status information.

15. The surgical tray of claim 1, wherein at least one of the instruments includes a user control operably coupled to the processing unit for controlling the at least one instrument and at least one other instrument.

16. The surgical tray of claim 15, wherein the processing unit is contained within the at least one instrument.

17. The surgical tray of claim 15, wherein the at least one instrument controls the at least one other instrument wirelessly.

18. The surgical tray of claim 1, further including a substantially sterile barrier allowing a substantially non-sterile assistant access to the sterile surgical tray.

19. The surgical tray of claim 1, wherein the plurality of instruments includes an illumination device and a biological tissue cutter.

20. A surgical tray comprising:

a sterile surgical tray prepackaged with a plurality of instruments;

an infusion device held in the sterile surgical tray and operably coupled to at least one of the instruments;

an aspiration device held in the sterile surgical tray and operably coupled to at least one of the instruments;

a processing unit in the sterile surgical tray for controlling at least one of the instruments, the infusion device, and the aspiration device;

wherein at least one of the instruments includes a user control operably coupled to the processing unit for controlling the instrument with the user control and at least one other instrument; and

user feedback devices on the sterile surgical tray and coupled to the processing unit for indicating a current parameter or status information of at least one of the instruments, the infusion device, and the aspiration device.

21. The surgical tray of claim 20, wherein the processing unit is in the instrument having the user control.