Adjustable foot pedal control for ophthalmic surgery

• US 8,749,188 B2
• Filed: 11/06/2009
• Issued: 06/10/2014
• Est. Priority Date: 11/07/2008
• Status: Active Grant

• Current Assignee: Johnson & Johnson Surgical Vision, Inc. (Johnson & Johnson)
• Original Assignee: Abbott Medical Optics Incorporated (Johnson & Johnson)
• Inventors: Tran, Tuan (Tom) M., Gerg, James B., De Silva, Praveen
• Primary Examiner(s): DUDA, RINA I
• Application Number:
  US12/613,562
• Publication Number:
  US 20110098721A1
• Time in Patent Office: 1,677 Days
• Field of Search: 200/86.5, 606/1, 606/4, 318/545, 318/549, 318/550, 318/551
• US Class Current: 318/545
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems
• 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: A61F 9/00754 for cutting or perforating the anterior lens capsule, e.g. capsulotomes
• CPC Class Codes: H01H 21/26 adapted for operation by a part of the human body other than the hand, e.g. by foot
• CPC Class Codes: H01H 2300/014 Application surgical instrument
• CPC Class Codes: Y10T 74/20528 Foot operated

Abstract

A foot pedal control for a surgical system, e.g., an ophthalmic surgery system, that adjusts to a number of different sizes of user'"'"'s shoes. The foot pedal control has a treadle on which a user places his or her foot and a sensor that tracks the movements thereof. Adjustable lateral guides mount to the treadle and conform to both sides of the foot. The guides are shaped and positioned to conform to a wide variety of feet or shoes, and may easily be adjusted between users. A retractable heel stop converts between up for reference and down to enhance movement of the user'"'"'s foot. A convertible handle may be stowed in a down position parallel to a base or pivoted up over the treadle for protection and ease of movement of the foot pedal control. The foot pedal control may be wireless and have various other electronic controls, and may have a dual-control treadle.

Claims

1. A foot pedal control for a surgical system, comprising:

a base;

a treadle mounted on the base, wherein the treadle is configured for rotational yaw movement relative to the base, and wherein the treadle having a generally planar foot platform;

a sensor that tracks the yaw movements of the treadle and generates an electronic signal therefor; and

a pair of guides mounted on the treadle such that the pair of guides are connected to the treadle, wherein the pair of guides flank and extend upward from the foot platform of the treadle, at least one of the guides being movable to adjust the lateral spacing therebetween and accommodate variable foot widths on the foot platform therebetween.

2. The foot pedal control of claim 1, wherein both of the guides are adjustable.

3. The foot pedal control of claim 2, wherein both of the guides are also adjustable in an anterior-posterior direction.

4. The foot pedal control of claim 1, wherein the at least one adjustable guide is also adjustable in an anterior-posterior direction, and wherein the adjustable guide translates along an angled slot in the treadle.

5. The foot pedal control of claim 4, wherein the angled slot extends from a posterior point outward in an anterior direction at an angle of between about 15°

and 45°

from the longitudinal axis of the treadle.

6. The foot pedal control of claim 4, wherein the guide is configured to move along the angled slot in a ratcheted fashion so as to have a series of stop positions distinguished by audible and/or tactile clicks.

7. The foot pedal control of claim 1, wherein the treadle is a dual-motion treadle also mounted for vertical pivoting movement relative to the base, and the control further includes a sensor that tracks the pivoting movements and generates an electronic signal therefor.

8. The foot pedal control of claim 1, wherein the guides have a rail extending upward to a height generally perpendicular to the foot platform of between about 15 mm or 0.6 inches and 38 mm or 1.5 inches.

9. The foot pedal control of claim 1, wherein the guides are elongated in an anterior-posterior direction and each includes a lip extending toward the other guide and generally parallel to the foot platform, and a rail extending upward from the lip generally perpendicular to the foot platform.

10. The foot pedal control of claim 1, wherein the guides are elongated in an anterior-posterior direction and S-shaped so as to have convex and concave inner faces to conform to different areas of users'"'"' feet.

11. The foot pedal control of claim 1, wherein the treadle further includes a heel stop at the posterior end of the foot platform, the heel stop being convertible from a first position extending upward from the foot platform and a second position at or below the level of the foot platform.

12. A system for surgery, comprising:

a surgery unit including a hand-held operative tip connected to a console; and

a foot pedal control in electronic communication with the console, including a base and a treadle mounted on the base, wherein the treadle is configured for rotational yaw movement relative to the base, wherein the treadle having a generally planar foot platform, the foot pedal control having a built-in sensor that tracks the yaw movements of the treadle and generates an electronic signal for communication to the console and subsequent control of the operative tip, the treadle having a pair of guides mounted on the treadle such that the pair of guides are connected to the treadle, and wherein the pair of guides flank and extend upward from the foot platform of the treadle, at least one of the guides being movable to adjust the lateral spacing therebetween and accommodate variable foot widths on the foot platform therebetween.

13. The system of claim 12, wherein the surgery unit is for ophthalmic surgery and the operative tip is adapted for insertion into an eye and includes a lumen for aspiration.

14. The system of claim 12, wherein both of the guides are adjustable.

15. The system of claim 12, wherein both of the guides are also adjustable in an anterior-posterior direction.

16. The system of claim 12, wherein each guide translates along an angled slot in the treadle.

17. The system of claim 12, wherein the guides are configured to move in a ratcheted fashion so as to have a series of stop positions distinguished by audible and/or tactile clicks.

18. The system of claim 12, wherein the treadle is a dual-motion treadle also mounted for vertical pivoting movement relative to the base, and the control further includes a sensor that tracks the pivoting movements and generates an electronic signal therefor.

19. The system of claim 12, wherein the guides are elongated in an anterior-posterior direction and each includes a lip extending toward the other guide and generally parallel to the foot platform, and a rail extending upward from the lip generally perpendicular to the foot platform.

20. The system of claim 12, wherein the guides are elongated in an anterior-posterior direction and curved with a convex-inward posterior segment and a concave-inward anterior segment.

21. The system of claim 12, wherein the treadle further includes a heel stop at the posterior end of the foot platform, the heel stop being convertible from a first position extending upward from the foot platform and a second position at or below the level of the foot platform.

22. A system for surgery, comprising:

a surgery unit including an operative tip connected to a console; and

a foot pedal control in electronic communication with the console, including a base having an undercarriage arranged to lie flat on a ground surface and a treadle mounted on the base for vertical pivoting movement relative to the base, the foot pedal control having a built-in sensor that tracks the pivoting movement of the treadle and generates an electronic signal for communication to the console and subsequent control of the operative tip, a carrying handle connects to the base and converts between at least two positions—

a first position above the treadle and generally perpendicular to the undercarriage of the base, and a second position out of the way of the treadle and generally parallel to the undercarriage of the base;

wherein the treadle has a pair of guides mounted on the treadle such that the pair of guides are connected to the treadle, wherein the pair of guides flank and extend upward from the foot platform of the treadle, wherein both guides are movable to adjust the lateral spacing therebetween and accommodate variable foot widths on the foot platform therebetween.

23. The system of claim 22, wherein the surgery unit is for ophthalmic surgery and the operative tip is adapted for insertion into an eye and includes a lumen for aspiration.

24. The system of claim 22, wherein the guides are elongated in an anterior-posterior direction and each includes a lip extending toward the other guide and generally parallel to the foot platform, and a rail extending upward from the lip generally perpendicular to the foot platform.

25. The system of claim 22, wherein both of the guides are also adjustable in an anterior-posterior direction, and are elongated in an anterior-posterior direction and curved with a convex-inward posterior segment and a concave-inward anterior segment.

26. The system of claim 22, wherein the carrying handle is mounted to the base to lock into the two positions.

27. The system of claim 22, wherein the carrying handle has two ends mounted to the base at two pivot points, and each pivot point features an actuator for unlocking the carrying handle for rotation, wherein both actuators must be activated to convert the carrying handle between positions.

28. The system of claim 22, wherein the carrying handle mounts to the base to pivot about an axis parallel but offset with respect to the plane defined by the undercarriage of the base, wherein in the first position above the treadle and generally perpendicular to the undercarriage of the base the carrying handle defines a curvilinear side strut that is convex in the anterior direction.