Vacuum sense control for phaco pulse shaping

• US 9,226,849 B2
• Filed: 01/03/2013
• Issued: 01/05/2016
• Est. Priority Date: 08/01/2006
• Status: Active Grant

• Current Assignee: Johnson & Johnson Surgical Vision, Inc. (Johnson & Johnson)
• Original Assignee: Abbott Medical Optics Incorporated (Johnson & Johnson)
• Inventors: Staggs, James W
• Primary Examiner(s): Sirmons, Kevin C
• Assistant Examiner(s): CARPENTER, WILLIAM R
• Application Number:
  US13/733,688
• Publication Number:
  US 20140018724A1
• Time in Patent Office: 1,097 Days
• Field of Search: 604/19, 604/22, 604/27, 604/28, 604/30, 604/93.01, 604/118, 606/107, 606/167, 606/169
• US Class Current: 1/1
• CPC Class Codes: A61F 9/00745 using mechanical vibrations, e.g. ultrasonic
• CPC Class Codes: A61M 1/74 Suction control underwater drainage A61M1/61
• CPC Class Codes: A61M 1/774 Handpieces specially adapted for providing suction as well as irrigation, either simultaneously or independently
• CPC Class Codes: A61M 2005/16863 Occlusion detection
• CPC Class Codes: A61M 2205/3331 Pressure; Flow
• CPC Class Codes: A61M 2210/0612 Eyes
• CPC Class Codes: A61M 5/16854 by monitoring line pressure
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/63 for local operation

Abstract

A method and apparatus for precisely controlling particle movement relative to a phacoemulsification needle tip is provided. The design monitors actual vacuum present and calculates a pulse shape amplitude waveform proportional to the amount of measured vacuum. An increase in vacuum indicates that the handpiece/needle is becoming occluded by a large particle. The present design determines whether additional power is required to bump or move a large particle away from the needle tip. The present design may employ a control loop that senses and continuously monitors vacuum. The design may dynamically vary the amount of ultrasonic energy delivered to the surgical area in response to the observed actual vacuum, and can actively vary the amount of power delivered to the surgical area based on the size of the particle and the resultant vacuum realized.

Claims

1. An apparatus for controlling ultrasonic power delivery to a surgical area, comprising:

a device configured to encounter vacuum pressure at the surgical area;

a vacuum sensor configured to monitor vacuum pressure encountered by said device; and

a computer configured to compute an ultrasonic pulse profile for delivery to a needle configured to vibrate based on the ultrasonic pulse profile received, the ultrasonic pulse profile based on monitored vacuum pressure received from the vacuum sensor, wherein the computer is further configured to compute and apply at least one pulse to the needle, each pulse having an ultrasonic pulse shape formed based on actual sensed vacuum pressure;

wherein the formed ultrasonic pulse shape comprises a predetermined ultrasonic pulse shape portion superimposed on an altered ultrasonic pulse shape portion;

wherein the altered ultrasonic pulse shape portion is either an increased energy portion comprising an increase in energy proportional to an increase in sensed vacuum pressure or a decreased energy portion comprising a decrease in energy proportional to a decrease in sensed vacuum pressure, and wherein the increased energy portion and decreased energy portion are determined based upon a ratio of actual sensed vacuum pressure to maximum sensed vacuum pressure, taking into account the maximum pulse amplitude and minimum pulse amplitude.

2. The apparatus of claim 1, wherein the device comprises the needle.

3. The apparatus of claim 2, wherein the computer delivers the ultrasonic pulse profile to the needle so that movement of the needle induces transient cavitation within fluid within the surgical area.

4. The apparatus of claim 2, wherein the surgical area is an eye and the apparatus is for controlling ultrasonic power delivery during a phacoemulsification procedure.

5. The apparatus of claim 1, wherein the needle is within a second device.

6. The apparatus of claim 5, wherein the computer delivers the ultrasonic pulse profile to the needle so that movement of the needle induces transient cavitation within fluid within the surgical area.

7. The apparatus of claim 5, wherein the surgical area is an eye and the apparatus is for controlling ultrasonic power delivery during a phacoemulsification procedure.

8. The apparatus of claim 1, wherein the computer delivers the ultrasonic pulse profile to the needle so that movement of the needle induces transient cavitation within fluid within the surgical area.

9. The apparatus of claim 1, wherein the surgical area is an eye and the apparatus is for controlling ultrasonic power delivery during a phacoemulsification procedure.

10. The apparatus of claim 1, wherein the increased energy portion and the decreased energy portion are computed based on actual sensed vacuum pressure multiplied by maximum pulse amplitude minus minimum pulse amplitude and divided by maximum sensed vacuum pressure, added to minimum pulse amplitude.

11. The apparatus of claim 1, wherein the computer is configured so that the applying comprises applying multiple pulses each comprising an individual pulse shape formed based on actual sensed vacuum pressure.

12. The apparatus of claim 1, wherein the vacuum pressure is an aspiration vacuum pressure.