Automated viscous fluid control in vitreoretinal surgery
US-2017333253-A1 · Nov 23, 2017 · US
US11701256B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-11701256-B2 |
| Application number | US-201916271138-A |
| Country | US |
| Kind code | B2 |
| Filing date | Feb 8, 2019 |
| Priority date | Feb 22, 2018 |
| Publication date | Jul 18, 2023 |
| Grant date | Jul 18, 2023 |
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A gas mixing system for providing mixed gas for intraocular injection. In some embodiments, a first fixed-volume chamber is automatically purged and filled with gas from a first gas supply input, to a first predetermined pressure. A second fixed-volume chamber is purged and filled with gas from a second gas supply input, to a second predetermined pressure. The first and second predetermined pressures are determined based on a desired concentration of gases in the final mix, and the respective volumes of the first and second fixed-volume chambers and of a third fixed-volume chamber. Gas from the first fixed-volume chamber is then allowed to mix with gas in the third fixed-volume chamber, which was previously purged. Next, gas from the second fixed-volume chamber is allowed to mix with gas in the third fixed-volume chamber. Finally, the mixture of gases in the third fixed-volume chamber is expressed into an intraocular syringe.
Opening claim text (preview).
What is claimed is: 1. A method, comprising: fluidly coupling an automatic gas filling consumable containing a syringe to a port of an ophthalmic surgical console; selecting a particular retinal tamponading gas; charging an interior volume of a first fixed-volume chamber to a first predetermined pressure, wherein the interior volume of the first fixed volume chamber is charged based on a size of the interior volume and a relationship between gases in the retinal tamponading gas; filling the syringe with the retinal tamponading gas from the console; and after filling, the syringe is removed from the automatic gas filling consumable for subsequent use by a surgeon, wherein the ophthalmic surgical console comprises: a first pressure regulator; a second pressure regulator; a third pressure regulator; a first shut-off valve; a second shut-off valve; a third shut-off valve; a first bleed valve; a second bleed valve; a third bleed valve; a first gas input; a second gas input; and a third gas input; and wherein filling the syringe with the retinal tamponading gas comprises: controlling the second pressure regulator, the second shut-off valve, and the second bleed valve to flush a path between a second fixed-volume chamber and a third fixed-volume chamber with gas from the second gas supply input, thereby purging said path of residual gas or gases from a prior use of the ophthalmic surgical console; closing the second shut-off valve and the second bleed valve after said purging; controlling the first pressure regulator, the first shut-off valve, and the first bleed valve to flush the interior volume of the first fixed-volume chamber with gas from the first gas supply input, thereby purging the interior volume of the first fixed-volume chamber of residual gas or gases from the prior use of the ophthalmic surgical console; and closing the first shut-off valve and the first bleed valve after said purging of the interior volume of the first fixed-volume chamber. 2. A method, comprising: fluidly coupling an automatic gas filling consumable containing a syringe to a port of an ophthalmic surgical console; selecting a particular retinal tamponading gas; charging an interior volume of a first fixed-volume chamber to a first predetermined pressure, wherein the interior volume of the first fixed volume chamber is charged based on a size of the interior volume and a relationship between gases in the retinal tamponading gas; filling the syringe with the retinal tamponading gas from the console; and after filling, the syringe is removed from the automatic gas filling consumable for subsequent use by a surgeon, wherein the ophthalmic surgical console comprises: a second fixed-volume chamber; and a third fixed volume chamber; and wherein filling the syringe with the retinal tamponading gas comprises: controlling a first pressure regulator to charge the interior volume of the first fixed-volume chamber with gas from a first gas supply input, to a first predetermined pressure, based on feedback from a first pressure transducer; after the interior volume of the first fixed-volume chamber is charged to the first predetermined pressure, opening a first shut-off valve, thereby allowing fluid communication between the interior volume of the first fixed-volume chamber and an interior volume of the third fixed-volume chamber; and closing the first shut-off valve, after pressures in the first fixed-volume chamber and the third fixed-volume chamber are equalized. 3. The method of claim 2 , wherein filling the syringe with the retinal tamponading gas further comprises: controlling a second pressure regulator to charge an interior volume of the second fixed-volume chamber with gas from a second gas supply input, to a second predetermined pressure, based on feedback from a second pressure transducer; after the interior volume of the second fixed-volume chamber is charged to the second predetermined pressure, opening a second shut-off valve, thereby allowing fluid communication between the interior volume of the second fixed-volume chamber and the interior volume of the third fixed-volume chamber; and after pressures in the second fixed-volume chamber and the third fixed-volume chamber are equalized, opening a third shut-off valve, thereby enabling mixed gases from the interior volume of the third fixed-volume chamber to flow to the port of the ophthalmic surgical console coupled to the syringe. 4. The method of claim 3 , further comprising performing said opening of the third shut-off valve, after pressures in the second and third fixed-volume chambers are equalized, responsive to detecting that an intraocular syringe is connected to the port of the ophthalmic surgical console coupled to the syringe. 5. The method of claim 2 , wherein the first predetermined pressure is calculated based on user input from a user interface. 6. The method of claim 2 , wherein a desired gas concentration is determined based on information obtained from an intraocular syringe connected to the port of the ophthalmic surgical console coupled to the syringe, via an electrical or radio-frequency (RF) with a component in or attached to the intraocular syringe, and the first predetermined pressure is calculated based on the desired gas concentration. 7. A method, comprising: fluidly coupling an automatic gas filling consumable containing a syringe to a port of an ophthalmic surgical console, wherein the ophthalmic surgical console comprises: a first pressure regulator; a second pressure regulator; a third pressure regulator; a first gas supply input; a second gas supply input; a third gas supply input; a first fixed-volume chamber a second fixed-volume chamber; and a third fixed-volume chamber; selecting a particular retinal tamponading gas; filling the syringe with the retinal tamponading gas from the console, wherein filling the syringe with the retinal tamponading gas further comprises: controlling the first pressure regulator to charge the interior volume of the first fixed-volume chamber with gas from the first gas supply input, to the first predetermined pressure, based on feedback from a first pressure transducer; controlling the third pressure regulator to further charge the interior volume of the first fixed-volume chamber with gas from the third gas supply input; after the interior volume of the first fixed-volume chamber is charged with gas from the first gas supply input and gas from the third gas supply input, opening a first shut-off valve, thereby allowing fluid communication between the interior volume of the first fixed-volume chamber and an interior volume of the third fixed-volume chamber; closing the first shut-off valve, after pressures in the first fixed-volume chamber and the third fixed-volume chamber are equalized; controlling the second pressure regulator to charge an interior volume of the second fixed-volume chamber with gas from the second gas supply input, to a second predetermined pressure, based on feedback from a second pressure transducer; after the interior volume of the second fixed-volume chamber is charged to the second predetermined pressure, opening a second shut-off valve, thereby allowing fluid communication between the interior volume of the second fixed-volume chamber and the interior volume of the third fixed-volume chamber; and after pressures in the second fixed-volume chamber and the third fixed-volume chamber are equalized, opening a third shut-off valve, thereby enabling mixed gases from the interior volume of the third fixed-volume chamber to flow to the port of the ophthalmic surgical console coupled to the syringe; and after filling, the syringe is removed from the automatic gas filling consumable for s
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