Computer controlled smart phacoemulsification method and apparatus

• US 5,160,317 A
• Filed: 01/03/1991
• Issued: 11/03/1992
• Est. Priority Date: 01/03/1991
• Status: Expired due to Term

• Current Assignee: John A. Costin
• Original Assignee: John A. Costin
• Inventors: Costin, John A.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): Rafa, Michael
• Application Number:
  US07/635,887
• Time in Patent Office: 670 Days
• Field of Search: 604/22, 604/118, 128/24 AA, 606/107, 606/171
• US Class Current: 604/22
• CPC Class Codes: A61B 2017/0003 of parts of the instruments
• CPC Class Codes: A61B 2017/00106 ultrasonic
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• 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 1/77 Suction-irrigation systems aspiration tips supplying fluids A61M1/85; specific for negative pressure wound therapy A61M1/92; combined with tracheal tubes A61M16/0463

Abstract

A method and apparatus for operating on the human eye detects changes in load on the transducer and controls aspiration based on the load changes. A change from a lower load to a higher load indicates that harder tissue is being encountered and accordingly causes aspiration amount to increase. Conversely, a change from a higher load to a lower load indicates that aspiration amount should be quickly decreased since the tissue which is being encountered is softer.

Claims

1. A control system for an ultrasonic transducer which includes an aspiration port for operating on a human eye, comprising:

means for monitoring changes in a load encountered by the ultrasonic transducer; and

means for controlling an amount of aspiration based on said load changes, and for changing an amount of aspiration to automatically increase when a load on the transducer increases, and changing said amount of aspiration to automatically decrease when the load decreases.

2. A control system as in claim 1 wherein said monitoring means monitors an electrical impedance of the ultrasonic transducer.

3. A control system as in claim 2 wherein said impedance monitoring means includes means for multiplying current used by said ultrasonic transducer by voltage used by ultrasonic transducer to obtain a value indicative of said impedance.

4. A control system as in claim 1 wherein said aspiration controlling means increases said aspiration amount only when said load change is greater than a predetermined amount, and decreases said aspiration amount only when said load change is less than a predetermined negative amount.

5. A control system as in claim 4 wherein said aspiration controlling means also increases a power applied to said ultrasonic transducer when it increases aspiration and also decreases power to said ultrasonic transducer when it decreases aspiration.

6. A control system as in claim 1 wherein said aspiration controlling means also increases a power applied to said ultrasonic transducer when it increases aspiration and also decreases power to said ultrasonic transducer when it decreases aspiration.

7. A control system as in claim 1 further comprising a speech generating module for producing speech indicative of messages whenever said load changes.

8. A method of controlling an operation in a human eye comprising the steps of:

operating a transducer to conduct said operation;

detecting a load presented to the transducer;

determining a relation between a load presented to the transducer with respect to a previous load presented to the transducer;

automatically increasing an amount of aspiration if said load is greater than said previous load; and

automatically decreasing said amount of aspiration if said load is less than said previous load.

9. A method as in claim 8 wherein said detecting a load step monitors an electrical impedance of said transducer.

10. A method as in claim 8 wherein said detecting step includes detecting a voltage to said transducer, detecting a current to said transducer, and multiplying said voltage by said current to determine a value indicative of said electrical impedance.

11. A method as in claim 8 wherein said amount of aspiration is increased only when said load change is greater than a predetermined amount, and said amount of aspiration is decreased only when said load change is less than a predetermined negative amount.

12. A method as in claim 11 comprising the further steps of increasing power to said ultrasonic transducer when it increases aspiration and also decreases power when it decreases aspiration.

13. A method as in claim 8 comprising the further steps of increasing power to said ultrasonic transducer when it increases aspiration and also decreases power when it decreases aspiration.

14. A method as in claim 8 comprising the further steps of using a speech generator to announce whenever said increasing or decreasing steps are performed.

15. An apparatus for enabling operations on a human eye comprising:

means for applying ultrasound to the eye, including aspiration means for removing particles, produced by said ultrasound, from the human eye;

means for monitoring conditions of said ultrasound applying means, and said aspiration means;

means for producing a voice sound indicative of changes in at least one of said ultrasound applying means and said aspiration means;

means for monitoring changes in a load encountered by said ultrasound applying means, said voice sound produced by said voice-producing means being indicative of said changes in load; and

means for controlling an amount of aspiration produced by said aspiration means based on said changes in load.

16. An apparatus as in claim 15 wherein said monitoring means includes means for detecting a voltage applied to said ultrasound means, means for detecting a current applied to said ultrasound means, and means for multiplying said voltage by said current to obtain a value indicative of said load.

17. An apparatus for operating on a human eye comprising:

a operating needle of the type for surgically operating on an area of said eye;

means for aspirating said area during said operation on said eye;

means for determining whether a hardness of said area of said eye is changing; and

means for automatically changing an amount of aspiration produced by said aspirating means when said hardness changes by more than a predetermined amount.

18. An apparatus as in claim 17, wherein said operating means is an ultrasonic transducer.

19. An apparatus as in claim 18 wherein said hardness detecting means includes means for determining an electrical impedance of said ultrasonic transducer.

20. An apparatus as in claim 17 further comprising speech generating means for providing speech indicative of said hardness changing.

21. A method of operating on an area of the human eye comprising the steps of:

determining a hardness of said area of said human eye;

determining if said hardness has changed with respect to a previous hardness detected at a previous time;

aspirating said area of said human eye; and

automatically changing an amount of said aspiration when said hardness changes by more than a predetermined amount.