Tissue-sensing vitrectomy surgical systems and methods

• US 9,757,273 B2
• Filed: 12/20/2013
• Issued: 09/12/2017
• Est. Priority Date: 12/20/2013
• Status: Active Grant

• Current Assignee: Alcon Incorporated
• Original Assignee: Novartis Ag
• Inventors: Heeren, Tammo
• Primary Examiner(s): Tanner, Jocelin
• Application Number:
  US14/136,227
• Publication Number:
  US 20150173948A1
• Time in Patent Office: 1,362 Days
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00026 Conductivity or impedance, e.g. of tissue
• CPC Class Codes: A61B 2017/00057 Light
• 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: A61F 9/00763 with rotating or reciprocating cutting elements, e.g. concentric cutting needles atherectomy cutting instruments A61B17/3207; endoscopic cutting instruments A61B17/320016

Abstract

A device for removing a tissue from an eye of a patient is disclosed, comprising a housing, a cutter, and an actuator. The cutter comprises an outer cutting tube coupled to the housing, an outer port formed in the outer cutting tube, an inner cutting tube slidable along the longitudinal axis within the outer cutting tube between a retracted position proximal to the outer port and an extended position distal to the outer port, and a tissue sensor positioned on the cutter and configured to measure a characteristic of the tissue received within the outer port to identify when nontarget tissue enters the outer port. The actuator within the housing is configured to reciprocate the inner cutting member between the retracted position and the extended position to open and close the outer port and cut the tissue.

Claims

1. A device for removing a tissue from an eye of a patient during a medical procedure, the device comprising:

a housing;

a cutter extending from a distal end of the housing along a longitudinal axis, the cutter comprising;

an outer cutting tube coupled to the housing, the outer cutting tube including an outer surface and an inner surface;

an outer port formed in the outer cutting tube, the outer port comprising an aperture extending from the outer surface to the inner surface of the outer cutting tube, the outer port sized to receive the tissue;

an inner cutting tube disposed within the outer cutting tube, the inner cutting tube having a distal tube end slidable along the longitudinal axis between a retracted position proximal to the outer port and an extended position distal to the outer port; and

a tissue sensor positioned on the cutter and configured to measure a characteristic of the tissue received within the outer port to identify when the tissue entering the outer port is non-target tissue and when the tissue entering the outer port is target tissue;

an actuator positioned within the housing and configured to reciprocate the inner cutting tube to slide the distal tube end between the retracted position and the extended position to open and close the outer port and cut the tissue; and

an arresting mechanism comprising a component configured to selectively halt or allow motion of the inner cutting tube relative to the outer cutting tube depending on whether the non-target tissue is detected by the tissue sensor;

wherein the arresting mechanism comprises a first fastening element shaped and configured to interact with a second fastening element disposed on a proximal portion of the cutter within the housing to halt motion of the inner cutting tube in the retracted position.

2. The device of claim 1, wherein the tissue sensor is disposed adjacent to the outer port on the outer cutting tube.

3. The device of claim 2, wherein the tissue sensor is disposed within a recess on a cylindrical surface of the outer cutting tube.

4. The device of claim 2, wherein the tissue sensor is disposed within a recess embedded within a cylindrical surface of the outer cutting tube between the inner and outer surfaces of the outer cutting tube.

5. The device of claim 1, wherein the tissue sensor is disposed within a recess on an outer surface of the inner cutting tube.

6. The device of claim 1, wherein the tissue sensor comprises a fiber-optic sensor configured to measure a degree of transparency of the tissue.

7. The device of claim 1, wherein the tissue sensor comprises a fiber-optic sensor configured to measure reflectivity of the tissue.

8. The device of claim 1, wherein the arresting mechanism is positioned within the housing and is configured to selectively halt motion of the inner cutting tube in the retracted position during the medical procedure.

9. The device of claim 1, further including an over-ride element comprising a user input structure that is adjustable between an ON position and an OFF position.

10. The device of claim 9, wherein the over-ride element in the ON position is configured to disable the arresting mechanism such that motion of the inner cutting tube is allowed regardless of a type of tissue detected by the tissue sensor.

11. The device of claim 9, wherein the over-ride element in the ON position is configured to disable the tissue sensor.