Partial venting system for occlusion surge mitigation

• US 9,549,850 B2
• Filed: 04/26/2013
• Issued: 01/24/2017
• Est. Priority Date: 04/26/2013
• Status: Active Grant

• Current Assignee: Alcon Incorporated
• Original Assignee: Novartis Ag
• Inventors: Sorensen, Gary P., Ovchinnikov, Mikhail A., Yalamanchili, Satish
• Primary Examiner(s): Bosques, Edelmira
• Application Number:
  US13/871,078
• Publication Number:
  US 20140323953A1
• Time in Patent Office: 1,369 Days
• Field of Search: 604/28
• US Class Current: 1/1
• CPC Class Codes: A61F 9/00745 using mechanical vibrations, e.g. ultrasonic
• 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: A61M 1/7411 by changing the size of a vent in combination with changing the cross-section of the line A61M1/7413
• CPC Class Codes: A61M 1/774 Handpieces specially adapted for providing suction as well as irrigation, either simultaneously or independently
• CPC Class Codes: A61M 2205/3337 Controlling, regulating pressure or flow by means of a valve by-passing a pump
• CPC Class Codes: A61M 2210/0612 Eyes

Abstract

A surgical system comprises a hand piece, an irrigation conduit in fluid communication with the hand piece to carry fluid toward a surgical site, an aspiration conduit in fluid communication with the hand piece to carry fluid away from the surgical site, a pump interfacing with the aspiration conduit, the pump to create a vacuum pressure in the aspiration conduit to draw fluid through the aspiration conduit, a vacuum relief valve in fluid communication with the aspiration conduit to relieve the vacuum pressure in the aspiration conduit, a pressure sensor to detect a pressure associated with the surgical site, a controller in communication with the vacuum relief valve and the pressure sensor to control the vacuum relief valve to decrease the vacuum pressure in the aspiration conduit when the pressure detected by the pressure sensor is less than a first pressure threshold.

Claims

1. A surgical system comprising:

a hand piece;

an irrigation conduit in fluid communication with the hand piece and configured to carry fluid toward a surgical site;

an aspiration conduit in fluid communication with the hand piece and configured to carry fluid away from the surgical site;

a pump interfacing with the aspiration conduit, the pump configured to create a vacuum pressure in the aspiration conduit to draw fluid through the aspiration conduit;

a vacuum relief valve in fluid communication with the aspiration conduit and configured to relieve the vacuum pressure in the aspiration conduit;

a first pressure sensor disposed and configured to detect a pressure associated with the surgical site;

a second pressure sensor located along the aspiration conduit, the second pressure sensor configured to monitor an aspiration pressure within the aspiration conduit; and

a controller having a first pressure threshold and a second pressure threshold stored therein and being in communication with the vacuum relief valve, the first pressure sensor, and the second pressure sensor, the controller being configured to control the vacuum relief valve to partially open the vacuum relief valve to decrease the vacuum pressure in the aspiration conduit so that the vacuum pressure in the aspiration conduit decreases towards atmospheric pressure without reaching atmospheric pressure when the pressure detected by the first pressure sensor is less than the first pressure threshold, and the controller being configured to control the vacuum relief valve to close the vacuum relief valve when the pressure detected by the second pressure sensor is greater than the second pressure threshold, wherein an amount that the vacuum relief valve is partially opened is correlated to a difference between the first pressure threshold and the pressure detected by the second pressure sensor.

2. The system of claim 1, wherein the first pressure sensor is located on the hand piece.

3. The system of claim 1, wherein the first pressure sensor is an irrigation conduit pressure sensor located along the irrigation conduit to detect an irrigation pressure within the irrigation conduit.

4. The system of claim 1, further comprising a vent reservoir and a bypass conduit bypassing the pump and in fluid communication with the aspiration conduit and the vent reservoir, wherein the vacuum relief valve is located along the bypass conduit, and wherein the vent reservoir is in fluid communication with the aspiration conduit.

5. The system of claim 4, wherein the vacuum relief valve is configured to allow a vent reservoir fluid to enter the bypass conduit when the vacuum relief valve decreases the vacuum pressure in the aspiration conduit.

6. The system of claim 1, wherein the second pressure sensor is located between the pump and the surgical site.

7. The system of claim 1, wherein the first pressure sensor is disposed less than about 12 inches from the surgical site.

8. The system of claim 1 wherein the vacuum relief valve is controlled to partially open to an angular position of less than 45 degrees.

9. The system of claim 1 wherein the vacuum relief valve is controlled to partially open to an angular position of less than 30 degrees.

10. A method of operating an aspiration system, comprising:

directing a fluid through an aspiration conduit in fluid communication with a phacoemulsification hand piece;

creating a vacuum pressure within the aspiration conduit using a pump interfacing with the aspiration conduit, to draw an aspiration fluid from a surgical site and into the aspiration conduit;

detecting with a first pressure sensor a pressure associated with the surgical site;

detecting an aspiration pressure with a second pressure sensor located along the aspiration conduit;

decreasing the vacuum pressure in the aspiration conduit, using the vacuum relief valve, if the aspiration conduit pressure is greater than the second pressure threshold; and

controlling a vacuum relief valve such that the vacuum relief valve is partially opened to vent the vacuum pressure when the pressure associated with the surgical site is less than a first pressure threshold, and controlling the vacuum relief valve such that the vacuum relief valve is closed when the aspiration pressure is greater than a second pressure threshold, wherein an amount that the vacuum relief valve is partially opened is correlated to a difference between the first pressure threshold and the aspiration pressure.

11. The method of claim 10, wherein the pressure sensor is located on the hand piece.

12. The method of claim 10, further comprising:

directing a fluid through an irrigation conduit in fluid communication with the hand piece;

wherein the first pressure sensor is an irrigation pressure sensor located along the irrigation conduit detecting an irrigation conduit pressure.

13. The method of claim 10, further comprising:

controlling the vacuum relief valve with a controller, wherein the controller is connected to the first pressure sensor and the second pressure sensor and the controller is configured to receive information from the first pressure sensor and the second pressure sensor.

14. The method of claim 10, wherein the vacuum relief valve is located on a bypass conduit that bypasses the pump and is in fluid communication with the aspiration conduit and a vent reservoir, and wherein the vent reservoir is in fluid communication with the aspiration conduit.

15. The method of claim 10, further comprising:

controlling the vacuum relief valve with a controller that opens the vacuum relief valve to a particular angular position and that closes the vacuum relief valve when the particular angular position is reached.

16. The method of claim 15 wherein the vacuum relief valve is controlled to partially open to an angular position of less than 45 degrees.

17. The method of claim 15 wherein the vacuum relief valve is controlled to partially open to an angular position of less than 30 degrees.