Systems and methods for power and flow rate control

• US 9,149,568 B2
• Filed: 09/23/2011
• Issued: 10/06/2015
• Est. Priority Date: 09/08/2006
• Status: Active Grant

• Current Assignee: Johnson & Johnson Surgical Vision, Inc. (Johnson & Johnson)
• Original Assignee: Abbott Medical Optics Incorporated (Johnson & Johnson)
• Inventors: Gerg, James, Reisin, Carina
• Primary Examiner(s): Sirmons, Kevin C
• Assistant Examiner(s): CARPENTER, WILLIAM R
• Application Number:
  US13/243,643
• Publication Number:
  US 20120041362A1
• Time in Patent Office: 1,474 Days
• Field of Search: 604 26- 28, 604/30, 604/31, 604/35, 604 65- 67, 604/73, 604/120, 604/121
• US Class Current: 1/1
• CPC Class Codes: A61B 2017/00084 Temperature
• 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: A61M 1/74 Suction control underwater drainage A61M1/61
• CPC Class Codes: A61M 1/743 by changing the cross-section of the line, e.g. flow regulating valves A61M1/7413 takes precedence
• 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

Abstract

The invention is generally directed to systems and methods for fluid control, and more particularly to systems and methods for power and flow rate control for aspiration. In accordance with one embodiment, an aspiration system includes an aspiration line having distal and proximal ends and an aspiration port defined in the distal end; a fluid transport device operatively coupled to the proximal end of the aspiration line; and a flow restrictor operatively coupled to the aspiration line in between the fluid transport device and the aspiration port. To measure occlusion within the line, first and second pressure sensors are utilized, the first sensor being operatively coupled to the aspiration line between the port and the restrictor and the second sensor being operatively coupled to the aspiration line between the restrictor and the fluid transport device. The pressure differential between the two sensors can provide an indication of the onset, presence, and/or elimination of an occlusion.

Claims

1. A surgical system for eye surgery comprising:

a handpiece configured to be placed in an operative relationship with an eye for a surgical procedure;

an irrigation fluid source configured to supply an irrigation fluid to the eye;

an aspiration line having an aspiration port coupled to the handpiece;

a vacuum-based aspiration source configured to apply a vacuum to the handpiece via a drainage cassette and the aspiration line in order to aspirate the irrigation fluid from the eye through the handpiece; and

an occlusion detecting system coupled to the aspiration line, wherein the occlusion detecting system is configured to detect a reduction in a rate of irrigation fluid flow in at least one of the aspiration line or the aspiration port using a thermodilution technique;

wherein the occlusion detecting system comprises a first temperature sensor operatively coupled to the aspiration line, a second temperature sensor operatively coupled to the aspiration line at a point downstream from the first temperature sensor, wherein at least one of the first temperature sensor and second temperature sensor is at least partially disposed within the drainage cassette, a computer program product that includes a computer-usable medium having a sequence of instructions which, when executed by a processor, causes said processor to execute a process for measuring a temperature differential between the first and second temperature sensors, and a heating element to heat the fluid within the line to a desired temperature;

wherein the processor, the computer program product, and the sequence of instructions are configured to provide an indication of the reduction in a rate of irrigation fluid flow in the at least one of the aspiration line or the aspiration port when the temperature differential exceeds a predetermined temperature differential boundary level and control a vacuum level within the aspiration line upon an indication of the reduction in a rate of irrigation fluid flow.

2. The system of claim 1, further comprising a controller operatively coupled to the computer program product and configured to:

control a controlled system parameter to be greater than or equal to a lower value or to be less than or equal to an upper value;

sense an occlusion in the aspiration line based on the temperature differential;

determine a duration of occlusion; and

control a system parameter based at least in part on at least one selected from the group consisting of the sensing of an occlusion and the duration of occlusion.

3. The system of claim 2, wherein the controlled system parameter is at least one selected from the group consisting of supply irrigation pressure, supply irrigation rate, aspiration rate, aspiration vacuum level, and power applied to the handpiece.

4. The system of claim 1, wherein the handpiece is a phacoemulsification handpiece.

5. A surgical system for eye surgery comprising:

a handpiece configured to be placed in an operative relationship with an eye for a surgical procedure;

an irrigation fluid source configured to supply an irrigation fluid to the eye;

an aspiration line having an aspiration port coupled to the handpiece;

a vacuum-based aspiration source configured to apply a vacuum to the handpiece via a drainage cassette and the aspiration line in order to aspirate the irrigation fluid from the eye through the handpiece; and

an occlusion detecting system coupled to the aspiration line, the occlusion detecting system configured to detect a reduction in a rate of irrigation fluid flow in at least one of the aspiration line or the aspiration port using a thermodilution technique, the occlusion detecting system comprising;

a first temperature sensor operatively coupled to the aspiration line;

a second temperature sensor operatively coupled to the aspiration line at a point downstream from the first temperature sensor, wherein at least one of the first temperature sensor and second temperature sensor is at least partially disposed within the drainage cassette;

a computer program product that includes a computer-usable medium having a sequence of instructions which, when executed by a processor, causes said processor to execute a process for measuring a temperature differential between the first and second temperature sensors; and

a heating element to heat the fluid within the line to a desired temperature wherein the processor, the computer program product, and the sequence of instructions are configured to provide an indication of a reduction in a rate of irrigation fluid flow in the at least one of the aspiration line or the aspiration port when the temperature differential exceeds a predetermined temperature differential boundary level and control a vacuum level within the aspiration line upon an indication of a reduction in a rate of irrigation fluid flow.

6. The system of claim 5, further comprising a controller operatively coupled to the computer program product and configured to:

control a controlled system parameter to be greater than or equal to a lower value or to be less than or equal to an upper value;

sense an occlusion in the aspiration line based on the temperature differential;

determine a duration of occlusion; and

control a system parameter based at least in part on at least one selected from the group consisting of the sensing of an occlusion and the duration of occlusion.

7. The system of claim 6, wherein the controlled system parameter is at least one selected from the group consisting of supply irrigation pressure, supply irrigation rate, aspiration rate, aspiration vacuum level, and power applied to the handpiece.

8. The system of claim 5, wherein the handpiece is a phacoemulsification handpiece.

9. A surgical system for eye surgery comprising:

a handpiece configured to be placed in an operative relationship with an eye for a surgical procedure;

an irrigation fluid source configured to supply an irrigation fluid to the eye;

an aspiration line having an aspiration port coupled to the handpiece;

a vacuum-based aspiration source configured to apply a vacuum to the handpiece via a drainage cassette and via the aspiration line in order to aspirate the irrigation fluid from the eye through the handpiece; and

an occlusion detecting system coupled to the aspiration line, wherein the occlusion detection system is configured to detect an occurrence of an occlusion in at least one of the aspiration line or the aspiration port using a thermodilution technique;

wherein the occlusion detecting system comprises a first temperature sensor operatively coupled to the aspiration line, a second temperature sensor operatively coupled to the aspiration line at a point downstream from the first temperature sensor, wherein at least one of the first temperature sensor and second temperature sensor is at least partially disposed within the drainage cassette, a computer program product that includes a computer-usable medium having a sequence of instructions which, when executed by a processor, causes said processor to execute a process for measuring a temperature differential between the first and second temperature sensors, and a heating element to heat the fluid within the line to a desired temperature;

wherein the processor, the computer program product, and the sequence of instructions are configured to provide an indication of an occlusion in the at least one of the aspiration line or the aspiration port when the temperature differential exceeds a predetermined temperature differential boundary level and control a vacuum level within the aspiration line upon an indication of an occlusion.

10. The system of claim 9, further comprising a controller operatively coupled to the computer program product and configured to:

control a controlled system parameter to be greater than or equal to a lower value or to be less than or equal to an upper value;

sense an occlusion in the aspiration line based on the temperature differential;

determine a duration of occlusion; and

control a system parameter based at least in part on at least one selected from the group consisting of the sensing of an occlusion and the duration of occlusion.

11. The system of claim 10, wherein the controlled system parameter is at least one selected from the group consisting of supply irrigation pressure, supply irrigation rate, aspiration rate, aspiration vacuum level, and power applied to the handpiece.

12. The system of claim 9, wherein the handpiece is a phacoemulsification handpiece.