Independent Surgical Center

• US 20080281254A1
• Filed: 04/21/2008
• Published: 11/13/2008
• Est. Priority Date: 04/20/2007
• Status: Active Grant

• Current Assignee: Doheny Eye Institute
• Original Assignee: Doheny Eye Institute
• Inventors: Humayun, Mark, McCormick, Matthew, DeBoer, Charles, Kerns, Ralph, Chong, Lawrence, Bhadri, Parashant
• Granted Patent: US 8,177,776 B2
• Time in Patent Office: Days
• US Class Current: 604/22
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00221 with wireless transmission of data, e.g. by infrared radiation or radiowaves
• CPC Class Codes: A61B 2017/00225 Systems for controlling multiple different instruments, e.g. microsurgical systems
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2050/3008 having multiple compartments
• CPC Class Codes: A61B 50/33 Trays
• CPC Class Codes: A61B 90/30 Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
• CPC Class Codes: A61B 90/98 using electromagnetic means, e.g. transponders
• 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 9/00745 using mechanical vibrations, e.g. ultrasonic

Abstract

A biological tissue cutting and fluid aspiration system provides a plurality of surgical instruments operable independent of an external control console. In some embodiments, each surgical instrument may include all sensors and controls directly applicable to the surgical instrument, and may be used independently. In some embodiments, instruments communicate status information to each other, and adjust operating parameters based on the communications.

Claims

1. An independent system for a surgical procedure comprising:

a control device including a processing unit; and

a plurality of instruments associated with the surgical procedure and operably couple t do the control device,

wherein the control device and the plurality of instruments are prepackaged together, and the processing unit is configured to control at least one of the prepackaged instruments.

2. The system of claim 1, wherein the control device is a surgical tray.

3. The system of claim 1, wherein the instruments are electrical or pneumatic instruments associated with the surgical procedure.

4. The system of claim 1, wherein the surgical procedure is an ophthalmic surgical procedure.

5. The system of claim 1, wherein the surgical procedure includes biological tissue cutting and fluid aspiration.

6. The system of claim 1, wherein at least one of the plurality of electrical instruments includes a processing unit.

7. The system of claim 6, wherein the processing unit is configured to establish communication between each of the plurality of electrical instruments.

8. The system of claim 7, wherein the communication is wireless communication.

9. The system of claim 7, wherein the processing unit is further configured to:

receive status updates from the plurality of electrical instruments; and

communicate with status updates to a user of the system.

10. The system of claim 6, wherein the at least one of the plurality of electrical instruments includes user controls for adjusting the operating parameters of at least one other of the plurality of electrical instruments.

11. The system of claim 6, wherein the at least one of the plurality of electrical instruments is a surgical tray.

12. The system of claim 1, wherein each of the plurality of electrical instruments sterile and useable within a sterile barrier during the surgical procedure.

13. The system of claim 1, wherein the plurality of electrical instruments are prepackaged together in a sterile packaging.

14. A surgical system comprising:

a portable surgical tray including a processing unit;

a plurality of instruments operably coupled to the processing unit; and

a user input device providing a user input for controlling an operating parameter of one or more of the plurality of instruments,

wherein the processing unit is configured to receive the user input and transmit an operating command to the one or more of the of the plurality of instruments.

15. The system of claim 14, wherein the plurality of instruments includes a biological tissue cutter and an aspiration device.

16. The system of claim 15, wherein an aspiration line connects the biological tissue cutter and an aspiration device.

17. The system of claim 15, wherein the plurality of instruments further includes an infusion device.

18. The system of claim 14, wherein the plurality of instruments includes an illumination device.

19. The system of claim 14, wherein the user controls controlling the operating parameters of a one of the plurality of instruments is located on the one of the plurality of instruments.

20. The system of claim 14, wherein the plurality of instruments includes a surgical tray including a processing unit, the processing unit configured by program instructions to:

receive an adjustment signal from the user controls; and

adjust the operating parameters of a one of the plurality of instruments based on the adjustment signal.

21. A self-powered surgical system for a surgical procedure, comprising:

a surgical tray;

a plurality of handheld instruments;

a power source in at least one of the surgical tray and a handheld instrument; and

a processing unit;

wherein the processing unit is configured to execute program instructions, the program instructions including instructions for;

detecting power from the at least one power source;

directing power to the plurality of handheld instruments from the at least one power source; and

establishing communication with each of the plurality of handheld instruments.

22. The system of claim 21, wherein the program instructions further include instructions for:

receiving an adjustment request for a one of the plurality of handheld instruments; and

adjusting operating parameters of the one of the plurality of handheld instruments based on the adjustment request.

23. The system of claim 22, wherein each adjustment request is received from a one of the plurality of handheld instruments.

24. The system of claim 21, wherein the processing unit is housed in the surgical tray.

25. The system of claim 24, wherein the plurality of handheld instruments and the at least one power source are packaged with the surgical tray prior to the surgical procedure.

26. The system of claim 25, wherein the package is sterile.

27. The system of claim 26, wherein each of the plurality of handheld instruments is useable within a sterile barrier during the surgical procedure.

28. The system of claim 26, wherein the plurality of handheld instruments are configured to be used within a substantially sterile barrier during the surgical procedure and are further configured to be accessed by a substantially non-sterile assistant.

29. The system of claim 21, wherein at least one of the plurality of handheld instruments is physically connected to the surgical tray.

30. The system of claim 21, wherein the program instructions further include instructions for:

receiving a status update signal from a one of the plurality of handheld instruments; and

adjusting a status indicator associated with the one of the plurality of handheld instruments based on the status update signal.

31. The system of claim 21, wherein the processing unit is housed in one of the plurality of handheld instruments.

32. The system of claim 21, wherein each of the plurality of handheld instruments includes a radio frequency identification tag to facilitate establishment of communication with the processing unit.

33. A portable biological cutting and aspiration device comprising:

a cutting tip;

a fluid aspiration device; and

an integrated control unit coupled to the cutting tip and fluid aspiration device, wherein the control unit is configured to control cutting and aspiration of the cutting tip and fluid aspiration device.

34. A portable infusion and aspiration device comprising:

an aspiration chamber;

an aspiration line coupled to a biological tissue cutting and aspiration device, the aspiration line configured to suction matter dislodged from a surgical site into the aspiration chamber;

an infusion chamber having an infusion solution;

an infusion line coupled to the infusion chamber and configured to inject the infusion solution to the surgical site for maintaining pressure in the surgical site,

wherein the aspiration chamber and infusion chamber are included in a single, disposable cassette.