Vitrectomy probe with adjustable cutter port size

• US 9,005,228 B2
• Filed: 08/26/2011
• Issued: 04/14/2015
• Est. Priority Date: 12/21/2010
• Status: Active Grant

• Current Assignee: Alcon Research, LLC (Alcon Incorporated)
• Original Assignee: Alcon Research Limited (Nestle SA)
• Inventors: Underwood, John R., Auld, Jack Robert, Huculak, John Christopher
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): Papeika, Rachel S
• Application Number:
  US13/218,826
• Publication Number:
  US 20120157907A1
• Time in Patent Office: 1,327 Days
• Field of Search: 606/107, 606/161, 606/166, 606169-171, 606/177, 606/178, 606/180, 604/22, 600562-570
• US Class Current: 606/171
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 17/320783 through side-hole, e.g. sliding or rotating cutter inside catheter
• CPC Class Codes: A61B 2017/00402 Piezo electric actuators
• CPC Class Codes: A61B 2017/320028 with reciprocating movements
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61F 9/00763 with rotating or reciprocating cutting elements, e.g. concentric cutting needles atherectomy cutting instruments A61B17/3207; endoscopic cutting instruments A61B17/320016
• CPC Class Codes: Y10T 137/86839 Four port reversing valves
• CPC Class Codes: Y10T 137/87217 Motor
• CPC Class Codes: Y10T 137/87233 Biased exhaust valve

Abstract

Vitrectomy probes and system related thereto are disclosed herein. The disclosure describes various example vitrectomy probes having an adjustable cutting port size. Various example features are described for adjusting the size of the cutting port. Further, the disclosure provides examples for adjusting the size of the cutter port while the vitrectomy probe is in operation.

Claims

1. A control system for operating a vitrectomy probe and controlling a port size of the vitrectomy probe comprising:

a first isolation valve;

a first output port coupled to the first isolation valve, the first output port operable to communicate pneumatic pressure from the first isolation valve to the vitrectomy probe;

a second isolation valve;

a second output port coupled to the second isolation valve, the second output port operable to communicate pneumatic pressure from the second isolation valve to the vitrectomy probe;

a controller operable to;

oscillate the first isolation valve between a first position in which pneumatic pressure from the first output port is vented to the atmosphere and a second position in which pneumatic pressure is conducted to the first output port; and

oscillate the second isolation valve between a first position in which pneumatic pressure from the second output port is vented to the atmosphere and a second position in which pneumatic pressure is conducted to the second output port, movement of the first isolation valve from the first position to the second position synchronized with movement of the second isolation valve from the second position to the first position to define the port size of the vitrectomy probe.

2. The control system of claim 1, wherein the controller is operable to maintain the first isolation valve in the second position with the second isolation valve in the first position for a first period of time, and wherein the controller is operable to maintain the first isolation valve in the first position with the second isolation valve in the second position for a second period of time.

3. The control system of claim 2, wherein the first period of time is less than the second period of time.

4. The control system of claim 3, wherein the controller is operable to vary the first period of time relative to the second period of time.

5. The control system of claim 1 further comprising:

a third isolation valve; and

a manifold coupling the third isolation valve to the first isolation valve and the second isolation valve,

wherein the controller is operable to move the third isolation valve between a first position in which pneumatic pressure in the manifold is vented to the atmosphere and a second position in which pneumatic pressure is communicated to the first isolation valve and the second isolation valve via the manifold.

6. The control system of claim 5 further comprising:

a first pressure sensor coupled to the first output port; and

a second pressure sensor coupled to the second output port,

wherein controller is operable to;

receive a first signal from the first pressure sensor corresponding to pneumatic pressure at the first output port and a second signal from the second pressure sensor corresponding to pneumatic pressure at the second output port; and

move the third isolation valve to the first position if the first pressure signal or the second pressure signal is outside of a selected range.

7. The control system of claim 1, wherein at least one of the first isolation valve or the second isolation valve is a proportional valve and wherein an amount of movement of the first isolation valve between first position and second position varies an amount of pneumatic pressure vented to the atmosphere.

8. The control system of claim 1, wherein at least one of the first isolation valve or the second isolation valve is an on/off valve in which the at least one of the first isolation valve or the second isolation valve is either fully open in the second position to permit a full amount of pneumatic pressure to be communicated therethrough or is fully closed in the first position in which no amount of pneumatic pressure is communicated therethrough.

9. A system for performing a vitrectomy comprising:

a vitrectomy probe comprising;

a first inlet port operable to conduct pneumatic pressure to an oscillator;

a second inlet port operable to conduct pneumatic pressure to the oscillator; and

a cutter comprising a first portion and a second portion, the oscillator operable to reciprocate the first portion relative to the second portion, an amount of movement of the first portion relative to the second portion defining a port size of the cutter;

a control system comprising;

a first isolation valve;

a first output port coupled to the first inlet port of the vitrectomy probe, the first output port operable to provide communication between the first inlet port and the first isolation valve;

a second isolation valve;

a second output port coupled to the second inlet port of the vitrectomy probe, the second output port operable to provide communication between the second inlet port and the second isolation valve;

a controller operable to;

oscillate the first isolation valve between a first position in which pneumatic pressure from the first inlet port of the vitrectomy probe is vented to the atmosphere and a second position in which pneumatic pressure is conducted to the first inlet port of the vitrectomy probe; and

oscillate the second isolation valve between a first position in which pneumatic pressure from the second inlet port of the vitrectomy probe is vented to the atmosphere and a second position in which pneumatic pressure is conducted to the second inlet port of the vitrectomy probe, movement of the first isolation valve from the first position to the second position synchronized with movement of the second isolation valve from the second position to the first position to define the port size of the vitrectomy probe.

10. The system of claim 9, wherein the controller is operable to maintain the first isolation valve in the second position with the second isolation valve in the first position for a first period of time, and wherein the controller is operable to maintain the first isolation valve in the first position with the second isolation valve in the second position for a second period of time.

11. The system of claim 10, wherein the first period of time is less than the second period of time.

12. The system of claim 11, wherein the controller is operable to vary the first period of time relative to the second period of time.

13. The control system of claim 9 further comprising:

a third isolation valve; and

a manifold coupling the third isolation valve to the first isolation valve and the second isolation valve,

wherein the controller is operable to move the third isolation valve between a first position in which pneumatic pressure in the manifold is vented to the atmosphere and a second position in which pneumatic pressure is communicated to the first isolation valve and the second isolation valve via the manifold.

14. The control system of claim 13 further comprising:

a first pressure sensor coupled to the first output port; and

a second pressure sensor coupled to the second output port,

wherein controller is operable to;

receive a first signal from the first pressure sensor corresponding to pneumatic pressure at the first output port and a second signal from the second pressure sensor corresponding to pneumatic pressure at the second output port; and

move the third isolation valve to the first position if the first pressure signal or the second pressure signal is outside of a selected range.

15. The control system of claim 9, wherein at least one of the first isolation valve or the second isolation valve is a proportional valve and wherein an amount of movement of the first isolation valve between first position and second position varies an amount of pneumatic pressure vented to the atmosphere.

16. The control system of claim 9, wherein at least one of the first isolation valve or the second isolation valve is an on/off valve in which the at least one of the first isolation valve or the second isolation valve is either fully open in the second position to permit a full amount of pneumatic pressure to be communicated therethrough or is fully closed in the first position in which no amount of pneumatic pressure is communicated therethrough.