Methods, systems, and devices for joint to pump elevation level user interfaces, autocalibration for joint elevation, and joint pressure estimation

Patent metadata

Field	Value
Publication number	US-11878103-B2
Application number	US-202017109399-A
Country	US
Kind code	B2
Filing date	Dec 2, 2020
Priority date	Sep 1, 2017
Publication date	Jan 23, 2024
Grant date	Jan 23, 2024

Abstract

Various exemplary methods, systems, and devices for joint to pump elevation level user interfaces, autocalibration for joint elevation, and joint pressure estimation are provided. In general, an arthroscopic pump can be configured to estimate fluid pressure at a surgical site, e.g., at a joint, to provide an accurate indication of fluid pressure to users. In an exemplary embodiment, the fluid pressure estimation is based on a fluid pressure measurement at the pump that is adjusted at the pump, e.g., by a processor at the pump that executes instructions stored in a memory at the pump, using one or more control algorithms that adjust for one or more factors, such as pressure loss in tubing and sheath through which fluid flows between the pump and the surgical site and elevation difference between the pump and the surgical site.

First claim

What is claimed is:

1. A surgical method, comprising:
pumping fluid between a fluid pump and a surgical site;
measuring a fluid pressure fluid at the fluid pump;
determining an estimated pressure of fluid at the surgical site by adjusting the measured pressure based on an elevation difference between the fluid pump and the surgical site; and
displaying the estimated pressure on a display.

2. The method of claim 1 , further comprising receiving at the fluid pump an input from a user of the fluid pump, the input being indicative of the elevation difference.

3. The method of claim 2 , further comprising, in response to receiving the input, changing a visual representation of relative elevation levels of the fluid pump compared to the surgical site by changing a relative position of an icon on the display that is representative of a fill chamber of the fluid pump and an icon on the display that is representative of the surgical site.

4. The method of claim 1 , further comprising automatically determining, using a processor of the fluid pump, the elevation difference.

5. The method of claim 4 , further comprising, based on the determined elevation difference, changing, using the processor, a visual representation of relative elevation levels of the fluid pump compared to the surgical site by changing a relative position of an icon on the display that is representative of a fill chamber of the fluid pump and an icon on the display that is representative of the surgical site.

6. The method of claim 1 , wherein a sensor measures the fluid pressure, and a processor receives the measured pressure from the sensor, determines the estimated pressure, and causes the estimated pressure to be displayed.

7. The method of claim 1 , wherein determining the estimated pressure includes estimating loss at an inflow to the surgical site.

8. The method of claim 1 , wherein the fluid is pumped between the fluid pump and the surgical site through tubing; and
the measured pressure is also adjusted based on a size of the tubing.

9. The method of claim 8 , further comprising receiving, via a user interface, an input from a user of the fluid pump, the input being indicative of the size of the tubing.

10. The method of claim 8 , wherein determining the estimated pressure of fluid at the surgical site based on the size of the tubing includes determining the measured pressure based on a speed of a motor that drives the pumping through the tubing.

11. The method of claim 1 , wherein the fluid pump is an arthroscopic fluid pump; and
the surgical site is a joint of a patient.

12. A surgical method, comprising:
pumping fluid between a fluid pump and a surgical site through tubing;
measuring a fluid pressure at the fluid pump;
determining an estimated pressure of fluid at the surgical site by adjusting the measured pressure based on a size of the tubing; and
displaying the estimated pressure on a display;
wherein the fluid is pumped from a fluid reservoir; and
the measured pressure is also adjusted based on an elevation difference between the fluid reservoir and the surgical site.

13. The method of claim 12 , further comprising receiving at the fluid pump an input from a user of the fluid pump, the input being indicative of the size of the tubing.

14. The method of claim 12 , wherein the fluid pump is an arthroscopic fluid pump; and
the surgical site is a joint of a patient.

15. A surgical system, comprising:
a fluid reservoir configured to contain an irrigation fluid therein;
tubing configured to be in fluid communication with the fluid reservoir;
a motor configured to cause the irrigation fluid to be pumped out of the fluid reservoir and through the tubing to a surgical site;
a sensor configured to measure a pressure of the irrigation fluid in the fluid reservoir; and
a processor configured to determine an estimated fluid pressure at the surgical site based on the measured pressure and on an elevation difference between the fluid reservoir and the surgical site.

16. The system of claim 15 , further comprising a display;
wherein the processor is configured to cause the display to show an indication of the estimated fluid pressure.

17. The system of claim 15 , further comprising a memory configured to store an algorithm therein;
wherein the processor is configured to execute the algorithm to determine the estimated pressure.

18. The system of claim 15 , wherein the processor is configured to automatically determine the elevation difference.

19. The system of claim 15 , further comprising a user interface configured to receive the elevation difference via a user input to the user interface.

20. The system of claim 15 , wherein the processor is also configured to determine the estimated fluid pressure at the surgical site based on a size of the tubing.

Assignees

• Medos Int Sarl

Inventors

• Dumas Oliver
• Grinberg Eduard
• Guilherme Andre Francisco
• Confoey Michael
• Marks Jacob A

Classifications

• A61M1/732 Primary

  Visual indicating means for vacuum pressure · CPC title

• A61B17/00234

  for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence) · CPC title

• A61M1/77

  Suction-irrigation systems (aspiration tips supplying fluids A61M1/85; specific for negative pressure wound therapy A61M1/92; combined with tracheal tubes A61M16/0463) · CPC title

• A61M3/0202

  with electronic control means or interfaces · CPC title

• A61M3/0216

  Pressure · CPC title