Patent Application
20210203889
The present invention relates to phacoemulsification surgical systems, and, more particularly, a phacoemulsification surgical system comprising a live video feed and graphical user interface.
Cataracts affect more than 22 million Americans age 40 and older. And as the U.S. population ages, more than 30 million Americans are expected to have cataracts by the year 2020. Cataract surgery entails the removal of a lens of an eye that has developed clouding of the eye's natural lens, or opacification. As a result of opacification, light is unable to travel to the retina, thereby causing vision loss. Once vision becomes seriously impaired, cataract surgery is a viable option with a high level of success. During cataract surgery, a surgeon replaces the clouded lens with an intraocular lens (IOL).
Certain surgical procedures, such as phacoemulsification surgery, have been successfully employed in the treatment of certain ocular problems, such as cataracts. Phacoemulsification surgery utilizes a small corneal incision to insert the tip of at least one phacoemulsification handheld surgical implement, or handpiece, through the corneal incision. The handpiece includes a needle which is ultrasonically driven once placed within the incision to emulsify the eye lens, or to break the cataract into small pieces. The broken cataract pieces or emulsified eye lens may subsequently be removed using the same handpiece, or another handpiece, in a controlled manner. The surgeon may then insert a lens implant into the eye through the incision. The incision is allowed to heal, and the result for the patient is typically significantly improved eyesight.
Currently during cataract surgery, a cataract surgeon performs the surgery using a surgical microscope to view a patient's eye. In addition, a camera video recorder is mounted on and connected to the surgical microscope. The camera video recorder may be microscopic camera. This allows for the option to record the surgery by the surgeon, if so desired. Typically, the camera provides video output that can be connected to an external display, such as an external flat screen TV display mounted somewhere in the Operating Room (OR). The display is typically provided for the benefit of those in the OR or nearby, such as other surgeons, scrub techs, nurses, and other staff who may provide assistance to the surgeon so they may see the live video feed of the surgery. Some OR sites do not have an external display, such as a flat screen TV display at all, or even a portion of the setup described above. Live video feeds are considered extremely useful by scrub techs and nurses in assisting with and anticipating a surgeon's needs throughout the cataract surgery procedure. However, live video feed arrangements of the prior art are not considered optimal. Having to reference an external display, such as a flat screen, during a procedure, while useful, is not user friendly. Problems arise when surgical assistants (e.g., scrub techs, nurses) must divert their attention from the patient, surgeon, or phacoemulsification system and focus on the external display. Additionally, surgical assistants are forced to constantly adjust their focus between a phacoemulsification system display screen and an external display screen throughout the surgical procedure.
An external display, such as a separate flat screen TV is typically mounted in the OR to display a live video feed of a surgical procedure. For OR sites that do not even have access to an external display, OR staff are forced to do without a live video feed of a surgical procedure altogether.
The phacoemulsification surgical system adds the capability to take a live video feed from a camera that is attached to a surgical microscope and display the live video feed as part of a graphical user interface (GUI). The live video feed may be a picture in picture or a full-screen format. The video on the phaco surgical system may be static (always on display) or displayed on-demand as needed during surgery. Having the live video feed directly on the phaco surgical system display GUI would allow scrub techs, or others, to interact with the video and phaco system parameters and/or GUI controls without having to refocus on an object between near and far distances. This would better assist the staff during surgery and eliminates the need to focus their eyes on multiple distance targets, such as another monitor for information of relevance to the surgical operation. This allows for rapid assessment of the needs of the case and, if required, the staff can interact with the phaco system within the context of what the surgeon is currently doing in the eye, such as changing parameters. Further, this allows the OR staff to direct more attention to the patient, surgeon and phaco system during surgery. The present invention provides a phacoemulsification surgical system, comprising a surgical console comprising at least one hardware processor and at least one memory, a display, an input device, and a surgical instrument, wherein the display, the input device, and the surgical instrument are communicatively coupled to the surgical console, and wherein at least one image or video captured by a camera communicatively coupled with the surgical console is delivered to the display via the surgical console responsive to the input device.
The present invention provides a method for viewing a surgery, comprising providing, on a display, a live video feed of a surgical procedure and controlling the video feed with an input device, wherein the display and the input device are communicatively coupled with a surgical console, and wherein the video feed comprises only a portion of the display. The method further provides that the video feed consists of at least one attribute selected from the group consisting of size, location, visibility, color, and contrast is controlled responsive to the input device.
This disclosure is illustrated by way of example and not by way of limitation in the accompanying figure(s). The figure(s) may, alone or in combination, illustrate one or more embodiments of the disclosure. Elements illustrated in the figure(s) are not necessarily drawn to scale. Reference labels may be repeated among the figures to indicate corresponding or analogous elements.
The detailed description makes reference to the accompanying figures in which:
It is to be understood that the figures and descriptions of the present invention have been simplified to illustrate elements that are relevant for a clear understanding of the present invention, while eliminating, for the purpose of clarity, many other elements found in typical surgical, and particularly optical surgical, apparatuses, systems, and methods. Those of ordinary skill in the art may recognize that other elements and/or steps are desirable and/or required in implementing the present invention. However, because such elements and steps are well known in the art, and because they do not facilitate a better understanding of the present invention, a discussion of such elements and steps is not provided herein. The disclosure herein is directed to all such variations and modifications to the disclosed elements and methods known to those skilled in the art.
In a first embodiment, a real-time video feed of a patient's eye as part of status information visible to a user/scrub tech throughout surgery is provided. This status video may be available when there is a connection between a surgical microscope and phaco system. This video feed may be visible among other surgical parameters on the screen (including but not limited to: set points for vacuum/power/flow, real-time values of vacuum/power/flow, surgical modes, bottle height, balanced salt solution (BSS) usage, continuous irrigation, effective phaco time (EPT), etc.). These surgical parameters may be accessible at the time the video feed is visible. In the event the video feed is not visible, or accessible, one or more surgical parameters may be accessible or visible on the GUI.
In a second embodiment, a real-time video feed having its own panel among other panels contained on the GUI screen may be provided showing surgical parameters, programs, and other menus, for example. The video feed may, for example, be automatically visible when a camera and/or video feed is detected by the phaco system. This video feed visual may be visible among the other surgical parameters on the screen (including but not limited to: set points for vacuum/power/flow, real-time values of vacuum/power/flow, surgical modes, bottle height, BSS usage, continuous irrigation, EPT, etc.). These surgical parameters may also be accessible at the time the video feed is visible. If a camera/video feed is not detected by the phaco system, the video feed panel may not be accessible/visible.
The phacoemulsification system may contain two articulable displays. One screen may be positioned in front of a scrub tech and contain either the live video feed, surgical parameters (including but not limited to: set points for vacuum/power/flow, real-time values of vacuum/power/flow, surgical modes, bottle height, BSS usage, continuous irrigation, EPT, etc.), or both. A second screen may be positioned closer to a console body and contain only surgical parameters. A remote device (such as an app on a wireless device) may contain either the live video feed, surgical parameters, or both. Both the remote device and the console may have voice command capability to command when to show the live video feed and specify which device to display it onto. This would allow for flexibility and accommodate users and their unique preferences for ways to access the video feed, whether it be via direct GUI contact or remotely with a remote device by way of voice command.
In another embodiment, a video feed of a real-time visual of a patient's eye may be visible on a phaco system GUI depending on a foot pedal activation. When the surgeon applies irrigation, vacuum, and/or power (foot pedal zones 1, 2, and 3, for example), a video feed window may automatically appear to allow a scrub tech, for example, the ability to view the patient's eye on the GUI. The video feed window may expand out over the entire GUI screen or may only expand over a portion of the entire GUI screen. In an embodiment, nothing else on the screen (i.e. the surgical parameters) may be visible as long as the video feed is opened or alternatively, the video feed may be visible as well as one or more surgical parameters. This would allow the scrub tech to follow and be aware of the cataract removal status for all modes. In an embodiment, when the foot pedal is in a position other than 2 and 3 (position 1 for irrigation or not pressed at all, for example), the video feed window would no longer be visible. Instead, the visuals initially on the screen (i.e. surgical parameters including but not limited to: set points for vacuum/power/flow, real-time values of vacuum/power/flow, surgical modes, bottle height, BSS usage, continuous irrigation, EPT, etc.) may now be visible as long as the video feed is not opened. When the foot pedal is in, for example, position 1 or not pressed at all, the user may be able to access other GUI settings and/or troubleshoot as needed without the video feed expanded on the screen. The expansion and close out implementation of the video feed would be a smooth and fade in/out transition so as not to be disruptive to the user.
Alternatively, there may be a dedicated button on the GUI for manually accessing the video feed. Pressing this button may trigger the video feed window to expand out over the entire GUI screen. There may also be an exit button on the top of the video feed window to manually close out the video feed, if desired. There may be an option on the phaco system to turn on/off the feature for automatic video feed window expansion/close out. If the user decides to turn off this feature, when the foot pedal is activated in positions 1, 2, or 3, the video feed window may not automatically expand. A dedicated button on the GUI would allow for manual access to the video feed. The video feed close out would be done manually.
In addition to tying the video feed window expansion/close out with the foot pedal activations, an additional condition may be to tie it to detecting whether the hand piece tip is submerged in the eye (or some fluid). This is for considering the cases when staff is using the hand piece and may be troubleshooting with surgical parameters on the GUI outside of the eye. The video feed window may not be useful in this instance. Combining hand piece submerge detection and foot pedal activation to dictate video feed window expansion/close out would be useful.
In another alternative embodiment, video feed window size may be of differing sizes. For example, the video feed window may be smaller and take a “picture in picture” effect. When expanded, it would not cover the entire GUI screen but instead take about ¼ of the screen. The expansion and close out implementation of the video feed would be a smooth and fade in/out transition so as not to be disruptive to the user. The surgical parameters (including but not limited to: set points for vacuum/power/flow, real-time values of vacuum/power/flow, surgical modes, bottle height, BSS usage, continuous irrigation, EPT, etc.) initially on the screen would get shifted around to fit in the remaining ¾ of the GUI screen.
In yet another embodiment, manual access of the video feed window per a dedicated button on the GUI screen may be provided. For this first rendition, pressing a button would trigger the video feed window to expand out over an entire GUI screen. There may be an exit button on the top of the video feed window to manually close out the video feed, if desired. The video feed may expand out to take over the entire GUI screen.
In this embodiment, the video feed expanding out may take up about one quarter of the screen. Alternatively, the video feed may fill less than one quarter of the screen or more than one quarter of the screen. The surgical parameters (including but not limited to: set points for vacuum/power/flow, real-time values of vacuum/power/flow, surgical modes, bottle height, BSS usage, continuous irrigation, EPT time, etc.) initially on the screen may get shifted around to fit in the remaining three quarters of the GUI screen.
In yet another embodiment of the disclosed invention, the video feed may be a dominating visual on a phaco system GUI with one or more surgical parameters (including but not limited to: set points for vacuum/power/flow, real-time values of vacuum/power/flow, surgical modes, bottle height, BSS usage, continuous irrigation, EPT time, etc.) still visible although they will be faded out to allow for the video to be the dominating visual on the GUI. This view may be the main view and only allow for changing the surgical modes (i.e. navigating from sculpt to chop to quadrant) via remote control device and/or directly pressing on the GUI.
A user may press X 604 at the top right by a remote control device and/or directly pressing on the GUI (via touchscreen control) to navigate from the main view to the surgical control screen 700 of
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Those of ordinary skill in the art will recognize that many modifications and variations of the present invention may be implemented without departing from the spirit or scope of the invention. Thus, it is intended that the present invention cover the modification and variations of this invention provided they come within the scope of the appended claims and their equivalents.
The various illustrative logics, logical blocks, modules, and engines, described in connection with the embodiments disclosed herein may be implemented or performed with a general purpose processor, a digital signal processor (DSP), an application specific integrated circuit (ASIC), a field programmable gate array (FPGA) or other programmable logic device, discrete gate or transistor logic, discrete hardware components, or any combination thereof designed to perform the functions described herein. A general-purpose processor may be a microprocessor, but, in the alternative, the processor may be any conventional processor, controller, microcontroller, or state machine. A processor may also be implemented as a combination of computing devices, e.g., a combination of a DSP and a microprocessor, a plurality of microprocessors, one or more microprocessors in conjunction with a DSP core, or any other such configuration.
Further, the steps and/or actions of a method or algorithm described in connection with the aspects disclosed herein may be embodied directly in hardware, in a software module executed by a processor, or in a combination of the two. A software module may reside in RAM memory, flash memory, ROM memory, EPROM memory, EEPROM memory, registers, a hard disk, a removable disk, a CD-ROM, or any other form of storage medium known in the art. An exemplary storage medium may be coupled to the processor, such that the processor can read information from, and write information to, the storage medium. In the alternative, the storage medium may be integral to the processor. Further, in some aspects, the processor and the storage medium may reside in an ASIC. Additionally, the ASIC may reside in a user terminal. In the alternative, the processor and the storage medium may reside as discrete components in a user terminal. Additionally, in some aspects, the steps and/or actions of a method or algorithm may reside as one or any combination or set of instructions on a machine readable medium and/or computer readable medium.
Those of skill in the art will appreciate that the herein described apparatuses, engines, devices, systems and methods are susceptible to various modifications and alternative constructions. There is no intention to limit the scope of the invention to the specific constructions described herein. Rather, the herein described systems and methods are intended to cover all modifications, alternative constructions, and equivalents falling within the scope and spirit of the disclosure, any appended claims and any equivalents thereto.
In the foregoing detailed description, it may be that various features are grouped together in individual embodiments for the purpose of brevity in the disclosure. This method of disclosure is not to be interpreted as reflecting an intention that any subsequently claimed embodiments require more features than are expressly recited.
Further, the descriptions of the disclosure are provided to enable any person skilled in the art to make or use the disclosed embodiments. Various modifications to the disclosure will be readily apparent to those skilled in the art, and the generic principles defined herein may be applied to other variations without departing from the spirit or scope of the disclosure. Thus, the disclosure is not intended to be limited to the examples and designs described herein, but rather is to be accorded the widest scope consistent with the principles and novel features disclosed herein.
This application claims the benefit under 35 U.S.C. § 119(e) of U.S. Provisional Patent Application No. 62/733024, filed Sep. 18, 2018, which is incorporated herein by reference in its entirety.
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/IB2019/057654 | 9/11/2019 | WO | 00 |
| Number | Date | Country | |
|---|---|---|---|
| 62733024 | Sep 2018 | US |
