The present invention is related generally to the field of eye surgery, and particularly to phacoemulsification procedures.
During a phacoemulsification procedure, the lens of an eye is emulsified by ultrasonic waves.
US Patent Application Publication 2021/0000648 describes an ophthalmic surgical instrument including an instrument hand grip portion having an elongated configuration with proximal and distal ends, and a tip portion extending from the distal end. The tip portion has the form of an elastomeric element having a base secured to the distal end of the hand grip portion and a free end extending from the base. The free end is configured for massaging the trabecular meshwork and outer wall of the canal of Schlemm in the eye to improve aqueous outflow for the reduction of intraocular pressure.
US Patent Application Publication 2020/0383833 describes a medical device for removing lens tissue from inside a capsular bag of an eye including a cam assembly operatively coupled to a vacuum generation source positioned within the housing. A first portion is operatively coupled to the vacuum generation source and a second portion is operatively coupled to the first portion and to the shaft. The first portion is capable of rotating about an axis to cause the vacuum generation source to generate vacuum through the lumen. The second portion is capable of rotating about the axis with the first portion to cause the shaft to oscillate. A first degree of actuation of a trigger causes the vacuum generation source to generate vacuum within the lumen of the shaft, and a second degree of actuation of the trigger causes the shaft to oscillate as the second portion rotates. Related systems, devices, and methods are provided.
There is provided, in accordance with some embodiments of the present invention, a medical probe including a probe body shaped to define a distal section of a fluid channel, a cartridge, which is shaped to define a proximal section of the fluid channel and includes a valve configured to regulate flow of a fluid through the proximal section of the fluid channel, and a clip configured to reversibly couple the cartridge with the probe body by sliding over the probe body and the cartridge while the cartridge contacts the probe body such that the proximal section of the fluid channel is in fluidic communication with the distal section of the fluid channel.
In some embodiments, the clip is U-shaped.
In some embodiments, the probe body includes one or more electrical interfaces configured to transfer electricity to the cartridge while the cartridge is coupled with the probe body.
In some embodiments, the clip is slidably disposed around the probe body.
In some embodiments, an outer surface of the cartridge is shaped to define one or more ridges, an inner surface of the clip is shaped to one or more protrusions, and the clip is configured to couple the cartridge with the probe body by sliding over the probe body and the cartridge until the protrusions are aligned with the ridges.
In some embodiments, the probe body and clip are configured to facilitate holding the clip, alternatingly, in an unlocked position, in which the protrusions are misaligned with the ridges, and a locked position, in which the protrusions are aligned with the ridges.
In some embodiments, the protrusions are first protrusions, the inner surface of the clip is further shaped to define one or more second protrusions, the probe body is shaped to define one or more unlocked-state indentations and one or more locked-state indentations, and the second protrusions are configured to snap into the unlocked-state indentations, respectively, upon the clip reaching the unlocked position, and to snap into the locked-state indentations, respectively, upon the clip reaching the locked position.
In some embodiments, the clip includes at least one spring, the probe body is shaped to define one or more unlocked-state indentations and one or more locked-state indentations, and the spring is configured to engage with the unlocked-state indentations upon the clip reaching the unlocked position, and to engage with the locked-state indentations upon the clip reaching the locked position.
In some embodiments, a face of the clip is shaped to define one or more indentations, and the probe body is shaped to define one or more pockets, and includes: one or more pins, each of the pins including a front pin-portion disposed within a different respective one of the indentations and a back pin-portion disposed within a different respective one of the pockets; and one or more springs, each of the springs being coupled at a front spring-end to a different respective one of the pins and at a back spring-end to an inside of a different respective one of the pockets, the springs and pins being configured to rotate within the pockets as the clip slides between the unlocked position and the locked position.
In some embodiments, the clip is slidably disposed around the cartridge.
In some embodiments, an outer surface of the probe body is shaped to define one or more ridges, an inner surface of the clip is shaped to one or more protrusions, and the clip is configured to couple the cartridge with the probe body by sliding over the probe body and the cartridge until the protrusions are aligned with the ridges, respectively.
In some embodiments, the cartridge and clip are configured to facilitate holding the clip, alternatingly, in an unlocked position, in which the protrusions are misaligned with the ridges, and a locked position, in which the protrusions are aligned with the ridges.
In some embodiments, the protrusions are first protrusions, the inner surface of the clip is further shaped to define one or more second protrusions, the cartridge is shaped to define one or more unlocked-state indentations and one or more locked-state indentations, and the second protrusions are configured to snap into the unlocked-state indentations, respectively, upon the clip reaching the unlocked position, and to snap into the locked-state indentations, respectively, upon the clip reaching the locked position.
In some embodiments, the clip includes at least one spring, the cartridge is shaped to define one or more unlocked-state indentations and one or more locked-state indentations, and the spring is configured to engage with the unlocked-state indentations upon the clip reaching the unlocked position, and to engage with the locked-state indentations upon the clip reaching the locked position.
In some embodiments, a face of the clip is shaped to define one or more indentations, and the cartridge is shaped to define one or more pockets, and includes: one or more pins, each of the pins including a front pin-portion disposed within a different respective one of the indentations and a back pin-portion disposed within a different respective one of the pockets; and one or more springs, each of the springs being coupled at a front spring-end with a different respective one of the pins and at a back spring-end with an inside of a different respective one of the pockets, the springs and pins being configured to rotate within the pockets as the clip slides between the unlocked position and the locked position.
There is further provided, in accordance with some embodiments of the present invention, a method including bringing a cartridge, which is shaped to define a proximal section of a fluid channel and includes a valve configured to regulate flow of a fluid through the proximal section of the fluid channel, into contact with a probe body of a medical probe, the probe body being shaped to define a distal section of the fluid channel, such that the proximal section of the fluid channel is in fluidic communication with the distal section of the fluid channel. The method further includes reversibly coupling the cartridge with the probe body, by sliding a clip over the probe body and the cartridge while the cartridge contacts the probe body.
The present invention will be more fully understood from the following detailed description of embodiments thereof, taken together with the drawings, in which:
Embodiments of the present invention include various mechanisms for reversibly coupling a fluid-dynamics cartridge with the body of a phacoemulsification probe. Advantageously, the fluid-dynamics cartridge helps regulate the flow of fluid to and from the distal end of the probe.
First, the cartridge is brought into contact with the proximal end of the probe body such that the cartridge is in fluidic communication with the probe body. Subsequently, to lock the cartridge in place, a clip is slid over the proximal end of the probe body together with the cartridge, until the clip reaches a “locked position” in which the clip inhibits separation of the cartridge from the probe body. Conversely, to unlock the cartridge, the clip is slid in the opposite direction, until the clip reaches an “unlocked position” in which the clip does not inhibit separation of the cartridge.
Advantageously, various features of the probe body and/or clip may facilitate holding the clip in the unlocked or locked position. Moreover, as the clip reaches either one of the positions, these features may provide tactile and/or auditory feedback indicating that the clip has reached the position. For example:
(i) In some embodiments, the proximal end of the probe body is shaped to define at least one pair of indentations, and the clip is shaped to define at least one protrusion. Upon the clip reaching the locked position, the protrusion snaps into one of the indentations. Conversely, upon the clip reaching the unlocked position, the protrusion snaps into the other indentation.
(ii) In other embodiments, instead of a protrusion, the clip comprises a spring. Upon the clip reaching the locked position, the spring springs into one of the indentations in the proximal end of the probe body. Conversely, upon the clip reaching the unlocked position, the spring springs into the other indentation.
(iii) In yet other embodiments, the distal face of the clip is shaped to define at least one indentation, and the proximal end of the probe body is shaped to define at least one pocket. The probe body comprises a pin having a front portion disposed within the indentation and a back portion disposed within the pocket. The probe body further comprises a spring coupled at one end to the pin and at the other end to the inside of the pocket. As the clip slides between the unlocked position and the locked position, the spring and pin rotate within the pocket. The spring helps hold the clip in the unlocked or locked position, in that movement of the clip from one position to the other cannot occur without compression of the spring. Moreover, the expansion of the spring, and/or a sound produced as the spring contacts the wall of the pocket, may indicate to the user that the clip has reached the unlocked or locked position.
Reference is initially made to
Phacoemulsification system 10 comprises a handheld phacoemulsification probe 12. As seen in the pictorial view of phacoemulsification system 10, and in inset 25, phacoemulsification probe 12 comprises a needle 16, a probe body 17, and a coaxial irrigation sleeve 56 that at least partially surrounds needle 16 and creates a fluid pathway between the external wall of the needle and the internal wall of the irrigation sleeve, where needle 16 is hollow to provide an aspiration channel. Moreover, irrigation sleeve 56 may have one or more side ports at, or near, the distal end to allow irrigation fluid to flow towards the distal end of phacoemulsification probe 12 through the fluid pathway and out of the port(s).
Needle 16 is configured for insertion into a lens capsule 18 of an eye 20 of a patient 19 by a physician 15 to remove a cataract. While needle 16 (and irrigation sleeve 56) are shown in inset 25 as a straight object, any suitable needle may be used with phacoemulsification probe 12, such as a curved or bent tip needle commercially available from Johnson & Johnson
Surgical Vision, Inc., Santa Ana, Calif., USA.
In the embodiment of
Eye fluid and waste matter (e.g., emulsified parts of the cataract) are aspirated via an aspiration channel 47, which extends from the hollow of needle 16 through phacoemulsification probe 12, and then via an aspiration tubing line 46 to a collection receptacle in console 28. The aspiration is effected by a pumping sub-system 26, also comprised in console 28.
Phacoemulsification probe 12 further comprises a fluid-dynamics cartridge 50, which may comprise one or more valves to regulate the flow of fluid in irrigation channel 45 and/or aspiration channel 47, as well as sensors, described in more detail with reference to
Phacoemulsification probe 12 further comprises other elements, such as a piezoelectric crystal 52 coupled to a horn 54 to drive vibration of needle 16. The piezoelectric crystal is configured to vibrate needle 16 in a resonant vibration mode. The vibration of needle 16 is used to break a cataract into small pieces during a phacoemulsification procedure. Console 28 comprises a piezoelectric drive module 30, coupled with piezoelectric crystal 52, using electrical wiring running in a cable 33. Drive module 30 is controlled by a controller 38 and conveys processor-controlled driving signals via cable 33 to, for example, maintain needle 16 at maximal vibration amplitude. The drive module may be implemented in hardware or software, for example, in a proportional-integral-derivative (PID) control architecture. Controller 38 may also be configured to receive signals from sensors in phacoemulsification probe 12 and, in response to the signals, control one or more valves to regulate the flow of fluid in irrigation channel 45 and/or aspiration channel 47, as described in detail with reference to FIG. 6 of U.S. application Ser. No. 17/240,505. In some embodiments, at least some of the functionality of controller 38 may be implemented using a controller disposed in phacoemulsification probe 12 (e.g., in cartridge 50).
Controller 38 may receive commands via a user interface 40. Such commands may include setting a vibration mode and/or frequency of piezoelectric crystal 52, or setting or adjusting a pumping rate of pumping sub-system 24 or pumping sub-system 26. In some embodiments, user interface 40 and a display 36 may be combined as a single touch screen graphical user interface. In some embodiments, physician 15 uses a foot pedal (not shown) as a means of control. Additionally, or alternatively, controller 38 may receive commands from controls located in a handle 21 of probe 12.
Some or all of the functions of controller 38 may be combined in a single physical component or, alternatively, implemented using multiple physical components. These physical components may comprise hard-wired or programmable devices, or a combination of the two. In some embodiments, at least some of the functions of controller 38 may be carried out by suitable software stored in a memory 35 (as shown in
The system shown in
Reference is now made to
In some embodiments, as shown in
In some embodiments, clip 51 is U-shaped. For example, clip 51 may comprise two straight arms 42 joined by an arcuate portion 44; alternatively, clip 51 may be entirely arcuate. In other embodiments, clip 51 is elliptical.
Typically, as shown in
(Typically, as assumed throughout the present description, cartridge 50 is coupled with probe body 17 while the distal end of cartridge 50 contacts probe body 17 (e.g., the proximal end of probe body 17), such that clip 51 slides over the distal end of the cartridge. However, it is noted that the scope of the present invention includes embodiments in which the coupling is effected while the proximal end of cartridge 50 contacts the probe body, such that clip 51 slides over the proximal end of the cartridge. Thus, the terms “proximal” and “distal,” as used in the present description, may be used in an illustrative and non-limiting manner. For example, for embodiments in which the proximal end of cartridge 50 contacts probe body 17, ridges 55 may be at the proximal end of the cartridge, and the cartridge may be coupled with the probe body by sliding clip 51 until protrusions 59 are aligned with ridges 55, respectively, distally to the ridges.)
Typically, probe body 17 comprises one or more electrical interfaces, such as pins 98, configured to transfer electricity to cartridge 50 while the cartridge is coupled with the probe body. Thus, electricity transferred to the probe body via cable 33 may power cartridge 50. (Pins 98 are also shown in
Further details regarding the operation of clip 51 are provided below with reference to
Reference is now made to
Typically, phacoemulsification probe 12 comprises a sensor 68 and a sensor 70, each of which may comprise a pressure and vacuum sensor. Probe 12 further comprises a solenoid valve 64, which is traversed by irrigation channel 45 and/or aspiration channel 47. (In the example embodiment shown in
In some embodiments, as shown in
Phacoemulsification probe 12 may further comprise a controller 74 configured to receive the aforementioned signals from sensor 68 and/or sensor 70, and, responsively to the received signals, control the fluid connectivity in irrigation channel 45 and/or aspiration channel 47 by selectively opening and closing solenoid valve 64. For example, cartridge 50 may comprise controller 74. In such embodiments, cartridge 50 may further comprise a memory 76 (e.g., an electrically erasable programmable read-only memory (EEPROM)) to store calibration settings and/or a usage counter to help avoid overusing the cartridge. Advantageously, the inclusion of controller 74 in cartridge 50 may facilitate calibrating solenoid valve 64. Additionally, or alternatively, by virtue of being relatively close to sensors 68 and 70, controller 74 may receive any analog signals output by these sensors with less added noise, relative to if the controller were disposed in console 28 (
Notwithstanding the above, in some embodiments, controller 74 is disposed in console 28, or the functionality of controller 74 is performed by controller 38 (
As shown in
As further shown in
Solenoid coil 80 is disposed in valve body 78 around valve cavity 84. Plunger 82 comprises a permanent magnet 88 and, optionally, other components, such as a material of low friction that coats or covers permanent magnet 88. Plunger 82 is configured to move back and forth along axis of elongation 86 between a first position 90 and a second position 92 in valve cavity 84, thus selectively allowing or inhibiting fluid connectivity between at least one pair of distal and proximal ports (e.g., between inlet port 66-1 and outlet port 62-1). In some embodiments, permanent magnet 88 is replaced by any suitable magnetic material subjected to a force in a magnetic field, for example, but not limited to, iron, cobalt, nickel, gadolinium, and/or neodymium.
Plunger 82 may have any suitable size, for example, a length in the range of 3 mm to 2 cm (e.g., 6 mm) and a diameter in the range of 1 mm to 1 cm (e.g., 3 mm). Valve body 78 may further comprise a spacer 94, which is described in detail with reference to FIGS. 5A-B of U.S. application Ser. No. 17/240,505.
As the opening and closing of solenoid valve 64 is performed quickly and, sometimes, many times per second, solenoid valve 64 typically comprises one or more shock absorbers 96 configured to soften the striking of plunger 82 against valve body 78 along the axis of elongation 86. For example, solenoid valve 64 may comprise upper and lower shock absorbers 96 (as shown in
Controller 74 (
As described above with reference to
Furthermore, typically, probe body 17 and clip 51 are configured to facilitate holding clip 51, alternatingly, in an unlocked position, in which protrusions 59 are misaligned with ridges 55, and a locked position, in which protrusions 59 are aligned with ridges 55. Thus, advantageously, it is relatively easy to use clip 51, in that the clip may simply be slid from one position to the other position. Moreover, as the clip reaches either one of the positions, the user may receive tactile and/or auditory feedback indicating that the clip has reached the position. Several example embodiments providing these advantages are hereby described.
For a first example, reference is now made to
In some embodiments, inner surface 57 of clip 51 is shaped to define one or more additional protrusions 63, and probe body 17 is shaped to define one or more unlocked-state indentations 65U and one or more locked-state indentations 65L. For example, inner surface 57 may be shaped to define two protrusions 63 at opposite ends of arms 42, and probe body 17 may be shaped to define (i) two unlocked-state indentations 65U on opposite sides of the probe body (one side being shown in
Thus, as indicated in
In some embodiments, probe body 17 is shaped to define a groove 69, and inner surface 57 is shaped to define a protruding portion 71 configured to slide within groove 69. In such embodiments, indentations 65U and 65L may be disposed within groove 69, and protrusions 63 may protrude from protruding portion 71.
For another example, reference is now made to
In some embodiments, clip 51 comprises at least one spring 73, and probe body 17 is shaped to define one or more unlocked-state indentations 75U and one or more locked-state indentations 75L. Spring 73 is configured to engage with unlocked-state indentations 75U upon clip 51 reaching the unlocked position, and to engage with locked-state indentations 75L upon clip 51 reaching the locked position.
For example, spring 73 may be generally U-shaped, comprising two arms 48 having respective ends 58 that point inward, toward the probe body. In addition, probe body 17 may be shaped to define (i) two unlocked-state indentations 75U on opposite sides of the probe body (only one side being shown in
As indicated in
For another example, reference is now made to
In some embodiments, as shown in
As illustrated in
Spring 79 helps hold clip 51 in the unlocked or locked position, by applying a compressive force that must be overcome in order to slide clip 51 from one position to the other. (In other words, in order to slide clip 51, spring 79 must be compressed.) Moreover, the expansion of spring 79, and/or a sound produced as spring 79 contacts the wall of pocket 77, may indicate to the user that clip 51 has reached the unlocked or locked position.
In some embodiments, clip 51 is slidably disposed around cartridge 50, rather than probe body 17. In such embodiments, the outer surface of the probe body may be shaped to define ridges 55 (
(i) Cartridge 50 may be shaped to define unlocked-state indentations 65U and locked-state indentations 65L (
(ii) Cartridge 50 may be shaped to define unlocked-state indentations 75U and locked-state indentations 75L (
(iii) The proximal face of clip 51 may be shaped to define indentations 85, and cartridge 50 may be shaped to define pockets 77 and may comprise pins 81 and springs 79 (
Alternatively to a phacoemulsification probe, embodiments of the present invention may be implemented with any other medical probe shaped to define at least one fluid channel.
It will be appreciated by persons skilled in the art that the present invention is not limited to what has been particularly shown and described hereinabove. Rather, the scope of embodiments of the present invention includes both combinations and subcombinations of the various features described hereinabove, as well as variations and modifications thereof that are not in the prior art, which would occur to persons skilled in the art upon reading the foregoing description. Documents incorporated by reference in the present patent application are to be considered an integral part of the application except that to the extent any terms are defined in these incorporated documents in a manner that conflicts with the definitions made explicitly or implicitly in the present specification, only the definitions in the present specification should be considered.
The present application is a continuation-in-part of U.S. application Ser. No. 17/240,505, entitled “Solenoid valve shock absorber,” filed Apr. 26, 2021, which is hereby incorporated by reference in its entirety.
Number | Date | Country | |
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Parent | 17240505 | Apr 2021 | US |
Child | 17375614 | US |