Phacoemulsification hand piece with integrated aspiration and irrigation pump

• US 9,445,943 B2
• Filed: 10/10/2013
• Issued: 09/20/2016
• Est. Priority Date: 12/11/2012
• Status: Active Grant

• Current Assignee: Alcon Incorporated
• Original Assignee: Alcon Research Limited (Nestle SA)
• Inventors: Wilson, Daniel J., Chandrakant, Partha
• Primary Examiner(s): BERDICHEVSKY, AARTI
• Application Number:
  US14/050,428
• Publication Number:
  US 20140163455A1
• Time in Patent Office: 1,076 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 2017/00973 pedal-operated
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 2218/007 Aspiration
• CPC Class Codes: A61F 9/00745 using mechanical vibrations, e.g. ultrasonic
• 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 1/774 Handpieces specially adapted for providing suction as well as irrigation, either simultaneously or independently
• CPC Class Codes: A61M 2205/3303 Using a biosensor
• CPC Class Codes: A61M 2205/3337 Controlling, regulating pressure or flow by means of a valve by-passing a pump
• CPC Class Codes: A61M 2205/3344 Measuring or controlling pressure at the body treatment site
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2210/0612 Eyes
• CPC Class Codes: A61M 3/0201 Cassettes therefor
• CPC Class Codes: A61M 3/0202 with electronic control means or interfaces

Abstract

A method of irrigating a surgical site and aspirating fluid from the surgical site. The method includes directing a fluid through an aspiration conduit in a phacoemulsification hand piece using a vacuum pressure created from a pump in the hand piece interfacing with the aspiration conduit and directing an irrigation fluid through an irrigation conduit in the hand piece using a pressure created from the pump interfacing with the irrigation conduit. The method also includes increasing an irrigation fluid flow through the irrigation conduit by activating the pump in the hand piece, detecting a pressure associated with a surgical site using a sensor, and controlling intraocular pressure (IOP) by adjusting the pump speed based on the detected pressure.

Claims

1. An aspiration and irrigation system comprising:

a hand piece comprising a graspable body having a distal end and a proximal end;

an aspiration conduit configured to transport an aspiration fluid away from a surgical site;

an irrigation conduit configured to transport an irrigation fluid towards the surgical site;

a pump disposed within the hand piece, wherein at least a portion of the pump interfaces with the aspiration conduit and the irrigation conduit, such that upon activation of the pump, the irrigation fluid within the irrigation conduit flows in a direction towards the surgical site, and the aspiration fluid within the aspiration conduit flows in a direction away from the surgical site;

an aspiration valve disposed within the hand piece and in the aspiration conduit between the pump and a drain reservoir, the aspiration valve configured to control a flow rate of aspiration fluid within the aspiration conduit; and

an aspiration sensor detecting an aspiration pressure at or along the aspiration conduit; and

a controller in communication with the pump, the aspiration valve, and the aspiration sensor,

wherein the controller is configured to control the operation of the pump and the aspiration valve based on information from the aspiration sensor.

2. The system of claim 1, wherein the controller is configured to change IOP by adjusting the pump speed or by adjusting the state of the valve or both.

3. The system of claim 1, wherein the aspiration sensor is located within the hand piece along the irrigation conduit or along the aspiration conduit.

4. The system of claim 1, wherein the irrigation conduit comprises a first cross-sectional area and the aspiration conduit comprises a second cross-sectional area, the first cross-sectional area being larger than the second cross-sectional area.

5. The system of claim 1, wherein the hand piece further comprises:

a removable cartridge disposed in the body having at least a portion of the aspiration conduit and at least a portion of the irrigation conduit.

6. The system of claim 1, comprising a second controlled valve controlling flow through a line connecting the irrigation line to the aspiration line.

7. The system of claim 6 wherein the controller controls TOP by adjusting a state of the second controlled valve.

8. An aspiration and irrigation system comprising:

a hand piece comprising a graspable body having a distal end and a proximal end;

an aspiration conduit configured to transport an aspiration fluid away from a surgical site;

an irrigation conduit configured to transport an irrigation fluid towards the surgical site;

a shunt line fluidly coupled at a proximal end to the irrigation conduit and fluidly coupled at a distal end to the aspiration conduit;

a pump disposed within the hand piece, wherein at least a portion of the pump interfaces with the aspiration conduit and the irrigation conduit, such that upon activation of the pump, the irrigation fluid within the irrigation conduit flows in a direction towards the surgical site, and the aspiration fluid within the aspiration conduit flows in a direction away from the surgical site;

an aspiration valve disposed within the hand piece and in the aspiration conduit between the pump and a drain reservoir, the aspiration valve configured to control a flow rate of aspiration fluid within the aspiration conduit;

an irrigation valve located in the shunt line;

an aspiration sensor detecting an aspiration pressure at or along the aspiration conduit;

an irrigation sensor detecting an irrigation pressure at or along the irrigation conduit;

a controller in communication with the pump, the aspiration valve, the aspiration sensor, the irrigation valve, and the irrigation sensor;

wherein the controller is configured to control the operation of the pump, the aspiration valve, and the irrigation valve based on information from the aspiration sensor and the irrigation sensor.

9. The system of claim 8, wherein the controller is configured to change TOP by adjusting the pump speed, by adjusting a state of the irrigation valve, or by adjusting a state of the aspiration valve.

10. The system of claim 8, wherein the irrigation conduit comprises a first cross-sectional area and the aspiration conduit comprises a second cross-sectional area, the first cross-sectional area being larger than the second cross-sectional area.

11. The system of claim 8, wherein the hand piece further comprises:

a removable cartridge disposed in the body having at least a portion of the aspiration conduit and at least a portion of the irrigation conduit.