Fluid depletion warning system for phacoemulsification surgical applications

Patent metadata

Field	Value
Publication number	US-10463780-B2
Application number	US-201514608927-A
Country	US
Kind code	B2
Filing date	Jan 29, 2015
Priority date	Jan 29, 2015
Publication date	Nov 5, 2019
Grant date	Nov 5, 2019

Abstract

A system apparatus and method for determining fluid depletion in a surgical system. A surgical system may include a surgical console, display, a processor operatively coupled to the surgical console, and a surgical cassette in fluid communication with an irrigation source and an aspiration line. Certain techniques involve the processor determining a volume of fluid in the irrigation source. The processor may be configured to receive sensed measurements regarding a rate of fluid flow over time from the irrigation source, process the rate of fluid flow relative to the determined volume and produce a first signal for the display to indicate a remaining capacity of the volume of fluid. Warnings and/or alarms may be triggered if fluid volume falls below a predetermined threshold.

First claim

What is claimed is:

1. A surgical system, comprising:
a surgical console comprising a display;
a processor operatively coupled to the surgical console;
a vacuum pump arrangement;
a surgical cassette in fluid communication with an irrigation source and an aspiration line, the surgical cassette comprising a reservoir within a fluid path of the aspiration line;
at least one flow sensor; and
a volume sensor comprising a pressure sensor, a gravimetric sensor, or a level sensor,
wherein the processor is configured to:
determine a volume of fluid in the irrigation source from the volume sensor,
receive, from the at least one flow sensor, sensed measurements regarding a rate of fluid flow over time from the irrigation source, and
process the rate of fluid flow relative to the determined volume, and produce a first signal for the display to indicate a remaining capacity of the volume of fluid,

wherein a pressure sensed by the pressure sensor is determined based on a height of a fluid in the irrigation source and the processor determines the volume of fluid in the irrigation source based on the pressure sensed by the pressure sensor when the volume sensor comprises the pressure sensor,
wherein the vacuum pump arrangement is configured to add air to the reservoir and remove air from the reservoir to regulate pressure within the reservoir.

2. The surgical system of claim 1 , wherein the processor is configured to produce a second signal for the display indicating a time period before depletion of the irrigation source fluid relative to the sensed rate of fluid flow.

3. The surgical system of claim 1 , wherein the processor is configured to produce a warning signal if the remaining capacity of the volume of fluid is below at least one threshold.

4. The surgical system of claim 1 , wherein the at least one flow sensor comprises at least one of an electrical sensor, an optical sensor, a resistive sensor, and a pressure detector.

5. The surgical system of claim 4 , wherein the sensed measurements are received in the processor from the at least one flow sensor sensing flow rates from one or more points in the surgical system, the one or more points comprising at least one of a drip chamber spike, a tubing cassette, a fluidics panel, a handpiece, a handpiece irrigation line, a handpiece aspiration line, a waste collection bag and the irrigation source.

6. The surgical system of claim 1 , wherein the processor is configured to receive sensed measurements regarding a rate of fluid flow over time from the aspiration line, process the rate of fluid flow from the aspiration line relative to the rate of fluid flow from the irrigation source and produce a third signal for the display to indicate the processed rate of fluid flow from the aspiration line relative to the rate of fluid flow from the irrigation source.

7. The surgical system of claim 6 , wherein the processor is configured to process the rate of fluid flow from the aspiration line by applying a weight to the sensed measurements regarding the rate of fluid flow over time from the aspiration line.

8. The surgical system of claim 1 , wherein the irrigation fluid comprises a balanced salt solution.

9. The surgical system of claim 1 , wherein the processor is configured to determine a fluid balance for the surgical system based at least in part on the rate of fluid flow over time.

10. The surgical system of claim 1 , wherein the volume sensor is further present in a waste collection bag or inside a fluidics panel.

11. The surgical system of claim 1 , wherein the level sensor comprises at least one of a probe sensor, a float sensor, a magnetic sensor, a resistive sensor, or a capacitive sensor.

12. A processor-based method for operating a surgical system comprising a surgical console comprising a display, a processor operatively coupled to the surgical console, a surgical cassette in fluid communication with an irrigation source and an aspiration line, the surgical cassette comprising a reservoir within a fluid path of the aspiration line, a vacuum pump arrangement, at least one flow sensor, and a volume sensor, the method comprising:
determining in the processor a volume of fluid in the irrigation source from one or more signals received from the volume sensor;
receiving in the processor, from the at least one flow sensor, sensed measurements regarding a rate of fluid flow over time from the irrigation source;
processing the rate of fluid flow relative to the determined volume; and
producing a first signal for the display to indicate a remaining capacity of the volume of fluid, wherein
the volume sensor comprises a pressure sensor, a gravimetric sensor or a level sensor,
a pressure sensed by the pressure sensor is determined based on a height of a fluid in the irrigation source and the processor determines the volume of fluid in the irrigation source based on the pressure sensed by the pressure sensor when the volume sensor comprises the pressure sensor and
the vacuum pump arrangement is configured to add air to the reservoir and remove air from the reservoir to regulate pressure within the reservoir.

13. The processor-based method of claim 12 , further comprising producing, in the processor, a second signal for the display indicating a time period before depletion of the irrigation source fluid relative to the sensed rate of fluid flow.

14. The processor-based method of claim 12 , further comprising producing, in the processor, a warning signal if the remaining capacity of the volume of fluid is below at least one threshold.

15. The processor-based method of claim 12 , wherein the at least one flow sensor comprises at least one of an electrical sensor, an optical sensor, a resistive sensor, and a pressure detector.

16. The processor-based method of claim 15 , wherein the sensed measurements are received in the processor from the at least one flow sensor sensing flow rates from one or more points in the surgical system, the one or more points comprising at least one of a drip chamber spike, a tubing cassette, a fluidics panel, a handpiece, a handpiece irrigation line, a handpiece aspiration line, a waste collection bag and the irrigation source.

17. The processor-based method of claim 12 , further comprising
receiving sensed measurements regarding a rate of fluid flow over time from the aspiration line;
processing the rate of fluid flow from the aspiration line relative to the rate of fluid flow from the irrigation source; and
producing a third signal for the display to indicate the processed aspiration fluid flow relative to the irrigation fluid flow.

18. The processor-based method of claim 17 , wherein processing the rate of fluid flow from the aspiration line comprises applying a weight to the sensed measurements regarding a rate of fluid flow over time from the aspiration line.

19. The processor-based method of claim 12 , wherein the irrigation fluid comprises a balanced salt solution.

20. The processor-based method of claim 12 , further comprising determining a fluid balance for the surgical system based at least in part on the rate of fluid flow over time.

Assignees

• Abbott Medical Optics Inc
• Johnson & Johnson Surgical Vision Inc

Inventors

• Mallough Mitchell W
• Hajishah Abraham

Classifications

• A61F9/00736

  Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments (A61F9/008 takes precedence) · CPC title

• A61M2210/0612

  Eyes · CPC title

• A61M2205/123

  with incorporated reservoirs · CPC title

• A61M2205/3389

  Continuous level detection (A61M2205/3393 takes precedence) · CPC title

• A61F9/00745

  using mechanical vibrations, e.g. ultrasonic · CPC title