Pumping cassette for tissue treatment device

Abstract

Methods, devices, and systems for cutting anatomical members using minimally invasive endoscopic ultrasound are described. A disposable cutting handpiece and cassette can be attached to a reusable main console for the procedure and then separated for disposal and / or analysis. The handpiece may include power lines, suction, and / or irrigation. The cassette may include one or more pumps and electronic connections that interact with the console delivering power to the handpiece and optionally identify characteristics such as probe and / or handpiece type. The cassette may further include sensors, sensor interfaces, and / or flow compensation circuitry to reduce unwanted flow blockage or vacuum.

Description

[Technical Field]

[0001] Incorporation by reference of any priority application Any application for which a foreign or domestic priority claim is identified in an Application Data Sheet filed along with this application is hereby incorporated by reference under 37 CFR 1.57.

[0002] The disclosed devices relate to surgical instruments used in minimally invasive surgery. More particularly, the disclosed devices and methods relate to apparatus and methods that can be used as disposable ultrasonic cutting instruments with integrated irrigation and aspiration pumps.

[0003] The present disclosure relates to methods, devices, and systems for performing endoscopic examination of chronic tendonitis or fasciitis, for example, via ultrasonic ablation, as well as similar surgical procedures on other suitable tissues. [Background technology]

[0004] Repetitive movement or use of bodily tissues can result in injury or painful conditions. For example, tennis elbow, or lateral epicondylitis, is a clinical syndrome in which patients experience pain in the lateral elbow. Such pain in the lateral elbow can worsen over time, and despite appropriate treatment, many patients develop chronic symptoms and ultimately become candidates for surgical treatment.

[0005] Several surgical procedures have been described for treating chronic tendonitis or fasciitis affecting various parts of the body. Certain open techniques typically require open surgical dissection of the pathological tissue, thus restoring normal tissue damaged by the surgery. While some arthroscopic techniques may be slightly less invasive, some such procedures may be associated with neurological complications and require the use of costly operating rooms and associated personnel. Various percutaneous techniques have been described for separating, removing, or excising the pathological tissue. However, these percutaneous techniques generally require significant skin incisions, some surgical dissection, and, as previously mentioned, the use of costly operating rooms and ancillary equipment and personnel. Summary of the Invention [Problem to be solved by the invention]

[0006] Current devices known in the art have deficiencies, such as insufficient suction and / or biased irrigation-suction ratios. Therefore, there remains an unmet need for an improved disposable surgical cassette with a pump that interfaces with a pump motor and power source to provide power, suction, and irrigation to a surgical ultrasound delivery handle. Such a device should provide sensing capabilities, including pressure, air bubble, and connection detection and identification, as well as flow compensation in the event of an occlusion or vacuum. [Means for solving the problem]

[0007] Each of the embodiments disclosed herein has several aspects directed to soft and / or hard tissue treatment. Without limiting the scope of the disclosure, several embodiments and / or examples will now be briefly discussed. After considering this discussion, and particularly after reading the section entitled "Detailed Description of the Invention," those skilled in the art will understand how the features of the embodiments described herein provide advantages over existing systems, devices, and methods.

[0008] Disclosed herein are methods, devices, and systems for cutting anatomical members, such as tendons and fascia, using endoscopic ultrasound. The device may be a disposable cutting handpiece and cassette that attach to a reusable main console for a procedure and then safely separate for disposal and / or analysis. The device may also include the ability to store material, such as material collected from the aspiration handpiece, for disposal or analysis. The cutting handpiece may use piezoelectric crystals to generate the ultrasonic cutting action and may optionally include a beveled tip, an aspiration conduit, and / or an irrigation conduit. The cassette may include one or more diaphragm pumps, such as one pump for irrigation and one pump for aspiration, operated by one or more motors housed in the console. The cassette may include sensors, such as sensors for detecting pressure or flow, the presence of air bubbles, proper connection, and system or characteristic identification. The cassette may include an interface for cooperation with one or more sensors in the console. The cassette may include electronic connections that interact with the console to deliver power to the handpiece and, optionally, identify characteristics such as probe and / or handpiece type and performance characteristics. The cassette may further include a flow compensation circuit to reduce unwanted flow blockages or vacuums.

[0009] In some aspects, the techniques described herein relate to a fluid irrigation and / or aspiration device that includes a reusable portion having a pump motor and a power source, a handpiece, a disposable portion connected to the handpiece and including a power line connectable to the power source and a diaphragm. When the reusable portion is connected to the disposable portion at a connection, the power source interacts with the power line to deliver power to the handpiece, and the pump motor interacts with the diaphragm to form a diaphragm pump configured to provide fluid flow in the disposable portion, and the disposable portion isolates the fluid from the reusable portion. In some aspects, the disposable portion also includes handpiece identification electronics and / or a valve.

[0010] In some aspects, the techniques described herein further relate to an apparatus where the fluid is an irrigation fluid, the apparatus further including a source of irrigation fluid, and the diaphragm pump providing the irrigation fluid to the handpiece. In some aspects, the apparatus further includes a collector, and the diaphragm pump provides a flow of aspirated fluid from the handpiece to the collector. In some aspects, the apparatus includes tubing for conveying the fluid flow. In some aspects, the tubing includes a filter. In some aspects, the filter is positioned to protect the diaphragm pump from particles in the fluid flow.

[0011] In some embodiments, the device interface includes a coupling mechanism that transfers motion from the diaphragm pump to the diaphragm. In some embodiments, the interface includes one or more sensing devices for sensing flow, bubbles, and / or pressure. In some embodiments, the disposable portion includes one or more sensing devices for sensing flow, bubbles, and / or pressure. In some embodiments, the device includes a collector, and the flow is suction from the handpiece that is directed to the collector. In some embodiments, the collector is a removable collection bag.

[0012] In some embodiments, the techniques described herein relate to a disposable fluid irrigation and aspiration device configured to connect to a handpiece, including a power line connectable to a power source within a reusable console, handpiece identification electronics, an irrigation diaphragm, an aspiration diaphragm, and a connection region configured to connect to the reusable console. When the connection region is connected to the reusable console, the power line receives power delivered to the handpiece, the irrigation diaphragm interacts with a pump motor within the reusable console to provide irrigation flow, and the aspiration diaphragm interacts with a pump motor within the reusable console to provide aspiration flow, with the irrigation and aspiration flows isolated from the reusable console. In some embodiments, the device includes a filter. In some embodiments, the device includes a handpiece. In some embodiments, the handpiece includes identification electronics, and software reads handpiece identification information and loads performance parameters. In some embodiments, the device includes one or more sensing devices for sensing flow, air bubbles, and / or pressure. In some embodiments, the device includes a collector, and the aspiration flow delivers fluid from the handpiece to the collector. In some embodiments, the collector is a removable collection bag.

[0013] These and other features, aspects, and advantages of embodiments of the systems, devices, and methods described herein are described in detail below with reference to the drawings of various embodiments, which are intended to illustrate, but not to limit, embodiments of the invention. The drawings include the following figures: [Brief explanation of the drawings]

[0014] [Figure 1] FIG. 1 is a perspective view of an exemplary embodiment of a system disclosed herein. [Figure 2] FIG. 1 is a schematic diagram of an example controller showing a command module, a user interface, and a tubing cassette. [Figure 3A] FIG. 10 is an alternative view of one exemplary cassette. [Figure 3B] FIG. 10 is an alternative view of one exemplary cassette. [Figure 3C] FIG. 10 is an alternative view of one exemplary cassette. [Figure 4] FIG. 1 illustrates an example of an ultrasonic handpiece. [Figure 5] 1A-1C illustrate examples of ultrasonic handpieces with electrical and tubing connections. [Figure 6A] FIG. 1 illustrates an example of an ultrasonic handpiece having electrical and tubing connections connected to a cassette and collection bag. [Figure 6B] FIG. 1 illustrates an example of an ultrasonic handpiece having electrical and tubing connections connected to a cassette and collection bag. [Figure 7] FIG. 1 illustrates an example of a cassette and a console. [Figure 8] FIG. 10 illustrates the implementation of electrical and tubing connections within the cassette. [Figure 9] FIG. 10 is an exploded view of an implementation of the cassette. [Figure 10] FIG. 10 is a perspective view of an implementation of the cassette showing the front of the cassette. [Figure 11] FIG. 10 is a perspective view of the cassette implementation showing the rear of the cassette. [Figure 12] FIG. 10 illustrates an implementation of a cassette and console with sensors. [Figure 13A] FIG. 2 is a diagram illustrating an example of a connection area of ​​a console. [Figure 13B] FIG. 13B shows the example connection area of ​​FIG. 13A with the cassette partially inserted. [Figure 13C] FIG. 13B shows an example of the connection region of FIG. 13A with the cassette fully inserted. [Figure 14] FIG. 13B shows an example of the connection area of ​​FIG. 13A from inside the console. [Figure 15] 10A-10C illustrate implementations of fluid flow paths within the cassette. [Figure 16A]10A-10C illustrate implementations of fluid flow paths within the cassette while the solenoid valves are shut off. [Figure 16B] FIG. 16B illustrates an implementation of the fluid flow paths within the cassette while the solenoid valve of FIG. 16A is open. DETAILED DESCRIPTION OF THE INVENTION

[0015] Throughout the drawings, unless otherwise noted, reference numerals may be reused to indicate a general correspondence between referenced elements. The drawings are provided to illustrate exemplary embodiments described herein and are not intended to limit the scope of the present disclosure.

[0016] Disclosed herein are methods, devices, and systems for cutting anatomical members, such as tendons, diseased bones, foot ulcers, and fascia, using endoscopic ultrasound. The device may be a disposable cutting handpiece and cassette that are attached to a main console for a procedure and then safely separated for disposal and / or analysis. The device may include the ability to store material, such as material collected from the aspiration handpiece, for disposal or analysis. The cutting handpiece may use a piezoelectric crystal to generate the ultrasonic cutting action and may optionally include a beveled tip, an aspiration conduit, and / or an irrigation conduit. The cassette may include one or more diaphragm pumps, such as one pump for irrigation and one pump for aspiration, operated by one or more motors housed in the console. The cassette may include sensors, such as sensors for detecting pressure or flow, the presence of air bubbles, proper connection, and system or property identification. The cassette may include an interface for cooperation with one or more sensors in the console. The cassette may include electronic connections that interact with the console delivering power to the handpiece and optionally identify characteristics such as probe and / or handpiece type and performance characteristics. The cassette may further include flow compensation circuitry to reduce unwanted flow blockage or vacuum.

[0017] 1 illustrates an exemplary system according to one implementation of the present disclosure configured to percutaneously access and affect target tissue while helping to reduce collateral trauma. In some exemplary embodiments, the minimally invasive ultrasonic nature of system 100 increases the precision of removing diseased tissue compared to surgical procedures involving surgical ablation of normal tissue. In some implementations, the percutaneous minimally invasive nature of system 100 facilitates treatment of patients in an office setting under local anesthesia. Treatment in an office setting is advantageous in several ways, including, for example, patient comfort and convenience and avoidance of operating room time and costs associated with general anesthesia.

[0018] 1, the system 100 includes a feeding device 102 and a controller 104 that may be operably connected to the feeding device 102. In some implementations, the feeding device 102 may be operably connected to the controller 104 via a power line 106, a suction or vacuum line 108, and an irrigation line 100. The power line 106 may connect to the controller 104 via a wired connection as shown in FIG. 1. In some implementations, the power line 106 may connect to the controller 104 via a power line connector 214. In some implementations, the controller 104 may be configured to communicate with the feeding device 102 via wireless communication or a combination of wired and wireless communication.

[0019] In some implementations, the delivery device 102 can be configured to deliver ultrasonic energy to a percutaneous musculoskeletal site at a pre-tuned frequency selected to debride the musculoskeletal tissue. As shown in FIG. 1 , in some implementations, the delivery device 102 includes a cap 114. Generally, various components of the delivery device 102 intended to contact tissue are formed of biocompatible and / or other suitable materials. As shown in FIG. 1 , the delivery device 102 can be ergonomically designed, adapted to be handheld (e.g., as a stylet), or otherwise adapted to be manually actuated using a single hand. In some implementations, the delivery device 102 can be adapted to be operated automatically or semi-automatically (e.g., as part of a robotic system).

[0020] In some implementations, the delivery device 102 can be pre-tuned to a selected ultrasonic energy frequency or frequency range, for example, an ultrasonic energy frequency range of about 25 kHz to about 29 kHz effectively debride pathological musculoskeletal tissue (e.g., scar tissue associated with tendons) while reducing the potential for trauma to normal soft tissue.

[0021] As shown in FIGS. 1 and 2, in some implementations, the system 100 may include a reusable controller 104 connected to a disposable cassette 190 and a disposable collector 192. As shown in FIG. 2, the reusable controller 104 may include (a) a housing 176, (b) a command module 178 including (i) a power supply 182, (ii) a processor 184, and (iii) a signal filter 185, (c) a vacuum source 186, and (d) an irrigation source 188. In some implementations, the vacuum source 186 and the irrigation source 188 each include a pump motor. In some implementations, the vacuum source 186 and the irrigation source 188 include a single pump motor. In some implementations, the command module 178 preferably includes a main unit including one or more processors electrically coupled to one or more memory devices by an address / data bus, other computer circuitry, and one or more interface circuits. The processor may be any suitable processor and may include volatile and non-volatile memory. In some implementations, the memory stores one or more software programs that interact with other devices in system 100. These programs may be executed by the processor in any suitable manner. In an exemplary implementation, the memory may be part of a "cloud" such that cloud computing may be utilized by system 100. The memory may also store digital data representing documents, files, programs, web pages, etc., retrieved from a computing device and / or loaded via an input device.

[0022] In certain implementations, the command module 178 can be configured to control flow from the vacuum source 186 and / or the irrigation source 188. In some implementations, the command module 178 can be configured to provide power to the delivery device 102. In some implementations, the command module 178 can be configured to, for example, provide instructions to a user via the user interface 180 and / or allow a user to select instructions via the user interface 180. In some implementations, the command module 178 includes a signal filter 185 to deliver a conditioned power signal (e.g., a sinusoidal power signal at a selected amplitude and frequency) to the delivery device 102.

[0023] 2, the command module 178 may include at least one processor 184. In some implementations, the controller 104 includes a user interface 180. The user interface 180 may include a touchscreen system for controlling the system 100. In some implementations, the controller 104 includes a power supply 182. The power supply 182 may include a battery, a capacitor, a transformer connected to an external power source such as a wall outlet, a combination thereof, or other means for providing power to the system 100. The power supply 182 may also deliver power directly or indirectly to various components of the controller 104, as appropriate.

[0024] In some implementations, the controller 104 includes a vacuum source 186. The vacuum source 186 can be a peristaltic pump. In some implementations, the vacuum source 186 can be a pump motor for operating a diaphragm in a connected disposable cassette 190.

[0025] The reusable controller 104 can removably accept a connected disposable cassette 190. In some implementations, such as the system 100 shown in FIG. 1 , the disposable cassette 190 can include an administration line 111 having a spike 113 that can be operably coupled to the administration line 111. In some implementations, the cassette 190 includes a collector 192. The collector 192 can be configured to receive debris, fluid, or other material aspirated by the aspiration flow D. The collector 192 can be a bag or other container. As shown in FIGS. 1 and 2 , the collector 192 can be separate from the cassette 190. In other implementations, the collector 192 can be maintained by or formed by part of or components within the cassette 190. 6A and 6B discussed below, the collector 192 may be configured to removably connect to the cassette 190 using a snap coupling, a magnetic coupling, screws, a luer, etc. In some implementations, the collector 192 may be connected to the cassette 190 using double-sided tape.

[0026] In some implementations, the controller 104 may include an irrigation source 188. The irrigation source 188 may include a reservoir of irrigant (e.g., saline). In some implementations, the reservoir may be pressurized by gravity, a plunger (e.g., a syringe), and / or a pump (e.g., a peristaltic pump actuated by the controller 104 and optionally disposed within the housing 176) to generate the fluid flow F. In some implementations, the irrigation source 188 may be separate from the system 100. In some implementations, the spike 113 may be configured to supply the fluid flow to the system 100 through a separate irrigation source. In some implementations, the controller 104 includes a valve actuator 194, which may be configured to send the fluid flow F to a vacuum conduit of the feeding device 102, for example, for flushing. In some implementations, the irrigation source 188 may be a peristaltic pump. In some implementations, the irrigation source 188 may be a pump for operating a septum in a connected disposable cassette 190. In some implementations, the vacuum source 186 described above may be combined with the irrigation source 188 as a single pump motor, for example, for operating two septums in a connected disposable cassette 190.

[0027] In some implementations, the user interface 180 may include buttons for a prime phase, a purge phase, and / or a reset phase. In some implementations, the user interface 180 allows sequential operation of the delivery device 102, beginning with an ultrasound level selection, an irrigation level selection, and a suction level selection. In some implementations, the user interface may display an ultrasound image as the handpiece debrides the diseased area. The user may be allowed to sequentially select various levels when operating the system 100. In some implementations, the levels and / or sequence parameters may be illuminated and / or required sequentially. For example, in some implementations, the user may not be allowed to make a subsequent selection until the previous selection is confirmed.

[0028] In some implementations, the ultrasonic energy, irrigation fluid flow, and aspiration flow are delivered and / or controlled independently. In some implementations of operation, these features may be coupled together for delivery. For example, ultrasonic energy and irrigation fluid may be delivered simultaneously, while aspiration flow may be delivered intermittently. In some implementations, the ultrasonic energy and irrigation fluid flow may optionally be stopped during aspiration and resumed after treatment may resume. In some implementations, the irrigation fluid flow may be stopped while the ultrasonic energy continues during aspiration. However, in some cases, such operation may reduce some of the beneficial effects of using irrigation fluid during ultrasonic treatment (e.g., continuous tip cooling and tissue emulsification). In some implementations, the ultrasonic energy, irrigant flow, and aspiration flow may be coupled and / or decoupled periodically or temporarily throughout the procedure.

[0029] In some implementations, as shown in FIGS. 2 and 3A-3C , cassette 190 includes (a) housing 108, (b) valve 209, (c) a portion of vacuum line 108, and (d) a portion of irrigation line 110 (shown in dashed lines). In some implementations, vacuum line 108 and irrigation line 110 include multiple interconnected segments of medical tubing. However, a unitary structure is also a potential option. Cassette 190 may connect vacuum line 108 to vacuum source 186 in a relatively sterile manner. For example, if vacuum source 186 includes a peristaltic pump, tubing cassette 190 includes seat structure 210 for engaging vacuum line 108 with pump drive 212 of vacuum source 186, which generates aspiration flow within vacuum line 108.

[0030] 3A-3C illustrate an exemplary cassette 190. FIG. 3A illustrates the interior side of the cassette 190, FIG. 3B illustrates an exemplary bottom side of the cassette 190, and FIG. 3C is a schematic diagram of the exemplary cassette 190. In some implementations, the vacuum line 108 and the irrigation line 110 may be referred to as a tubing set. In operation of one exemplary implementation, the pump drive 212 of the vacuum source 186 (e.g., a peristaltic pump) may be received in the seating structure 210 such that the vacuum line 108 engages the seating structure 210 between the pump drive 212 and the seating structure 210. The valve 209 may be engaged with the valve actuator 194 and pushed closed, thereby preventing flow from the irrigation line 110 through the vacuum line 108 to the feeding device 102 (see FIG. 2). In some implementations, the valve 209 can be opened to allow fluid to flow into the vacuum line 108 and up to the device and through the vacuum conduit, for example, to flush the vacuum line 108. In some implementations, the irrigant flowing through the irrigation line 110 can optionally be gravity pressurized or forced through the system 100.

[0031] In some implementations, the feeding device 102 is a disposable feeding device, such as the disposable feeding device 400 shown in FIG. 4 . The feeding device 102 can include a suction or vacuum tube 402 and an irrigation tube 404. In some implementations, such as the feeding device 400, the vacuum tube 402 can be the inner tube and the irrigation tube 404 can be the outer tube. In some implementations, the vacuum tube 402 can be the outer tube and the irrigation tube 404 can be the inner tube. In some implementations, the vacuum tube 402 and the irrigation tube 404 are arranged longitudinally, for example, side-by-side or stacked on top of each other. In some implementations, the vacuum tube 402 and the irrigation tube 404 are a single tube, for example, one tube controlled with valves for the suction and irrigation functions, or one tube with multiple lumens for each function. Those skilled in the art will appreciate that other potential configurations may be suitable.

[0032] 5, the disposable feeding device 500 can include multiple proximal connectors. For example, in some implementations, the disposable feeding device 500 can include a power connection 502, a suction connection 510, and an irrigation connection 520. In some implementations, the suction connection 510 can be connected to the feeding device 500 via a suction tube 512. In some implementations, the irrigation connection 520 can be connected to the feeding device 500 via an irrigation tube 522. In some implementations, the power connection 502 can be connected to the feeding device 500 via a cable 504 for delivery of ultrasound or other signals. Some or all of the tubes 512 and 522 and / or the cable 504 can be combined into a single tube and / or connection. In some implementations, some or all of the tubes 512, 522, and the cable 504 can be bundled together. In some examples, some or all of the connections 502, 510, 520 may be combined into a single connection and / or connector harness.

[0033] As shown in FIGS. 6A and 6B , the disposable feeding device 500 can be releasably connected to the cassette 540. For example, as shown, the disposable feeding device 500 power connection 502 can be connected to a power line 506. The suction connection 510 can be connected to an aspiration line 514 to provide, for example, an aspiration flow F2 from the handpiece 500. The irrigation connection 520 can be connected to an irrigation line 524 to provide, for example, an irrigation flow F1. Additional tubing 534 with optional connectors can be used to connect the cassette 540 to an irrigation source to provide, for example, a flow of irrigant F4, such as saline. In some implementations, the fluid and power connections are made using appropriate connectors. For example, the power connection can be made using one or more cables and / or switches, and the fluid connection can be made using one or more tubing and / or valves, such as luer, reverse flow, and / or controllable valves. In some implementations, some or all of the tubes 514, 524, and 534 and / or power lines 506 can be combined into a single tube and / or connection. In some implementations, some or all of the tubes 514, 524, 534, and power lines 506 can be bundled together.

[0034] In some implementations, the cassette 540 includes the ability to store material, for example, material collected from the aspiration handpiece for disposal and / or analysis. In some implementations, the material is collected in a collector 542, for example, a collection bag or other flexible storage means as shown in FIGS. 6A and 6B . In some implementations, the collector 542 may be attached or connected to the cassette 540 to receive the flow F3 of aspirated material from the cassette 540. In some implementations, the collector 542 may be a canister, reservoir, or other rigid storage means. In some implementations, the collector 542 may be releasably connected to the cassette 540, as discussed in more detail below. In some implementations, the reservoir 542 may be integrated into the interior or exterior of the cassette 540 (e.g., the collector 192 discussed above with respect to FIG. 1 ).

[0035] In some implementations, multiple disposable feeding devices, such as feeding device 500, include a corresponding disposable cassette, such as cassette 190, 540, for each feeding device. Individually pre-tuning the devices to the appropriate ultrasonic energy frequency, as described above, before delivery to a user eliminates the need to test and adjust power signal parameters or feeding device configurations before or during each treatment. In some implementations, a single-use cassette / feeding device kit is set up or configured before delivery to an end user. This kit can be used in a therapeutic treatment and, optionally, disposed of at the end of the treatment, thereby reducing operation time, the required skill level to “tune” the system 100, and / or the number of additional components or systems required to tune the feeding device 500. Furthermore, the combination of cassette 190 and feeding device 102, the combination of feeding device 500 and cassette 540, etc., eliminates the need to sterilize the equipment before a treatment, as all components that come into contact with bodily fluids are pre-sterilized and disposed of at the end of the treatment.

[0036] In some implementations, after tissue treatment is complete, cassette 540 can be removed from controller 104, disposed of, and replaced with a second, sterilized cassette that is pre-connected or later connected to a second, sterilized delivery device (not shown) to sterilize system 100 for a new procedure.

[0037] In some implementations, the disposable portion, including the hand piece 500, cassette 540, and collector 542, can be connected as discussed above and shown in FIGS. 6A and 6B. As shown in FIG. 6A, the disposable portion can provide one or more fluid flow paths. In some implementations, a irrigant, such as saline, or an IV bag can be connected to the irrigation tubing 534 to provide irrigant flow F4. Irrigant flow F4 flows into the cassette 540 and can be pumped out as described below. Irrigant flow F1 flows out of the cassette 540 through the irrigation line 524 and connector 520 to the irrigation tubing 522 of the hand piece 500, where it can be used to irrigate the hand piece 500 and / or the treated tissue. Similarly, aspiration flow F2 can be provided from the hand piece 500 through the aspiration tubing 512 of the hand piece 500 to the connector 510 and aspiration line 514 and into the cassette 540, where it can be pumped out as described below. Cassette 540 can pump aspirated material to provide aspirated material flow F3 from cassette 540 to collector 542.

[0038] 7-16 illustrate various features of alternative implementations of cassette 540. As shown in FIG. 7, the disposable cassette 11 may interface with the console 12. In some examples, the interface may include a pump connection 13 to at least one fluid pump within the console 12. The pump connection 13 may include a mechanism for transmitting motion from a pump component within the console 12 to a mating pump component within the cassette 11. For example, the pump connection 13 may connect a pump diaphragm within the disposable cassette 11 to a diaphragm pump motor housed in the console 12. FIG. 8 illustrates the internal layout of the disposable cassette 11. In some implementations, two pumping interfaces, such as the irrigation pump region 810 and the aspiration pump region 820 shown in FIG. 8, each mate with a respective pump motor housed in the console 12 using the pump connection 13. In some implementations, the pump connection 13 is a single connection. As shown, a first pump, e.g., irrigation pump region 810, mates with a diaphragm pump motor in console 12 using pump connection 13. This configuration allows body-contacting components and fluids to be contained within the disposable section, including cassette 11, collector, handpiece 500, and tubing, as discussed below, while keeping the reusable section, including console 12, free of body-contacting materials and / or fluids.

[0039] 8, 15, 16A, and 16B, in some implementations, cassette 11 can include an irrigation circuit for moving fluid, e.g., irrigation fluid such as saline, from an external connection (not shown) to a handpiece. In some implementations, irrigation fluid is pumped through irrigation tubing 534, through irrigation pump region 810, and into internal irrigation line 812. In some implementations, irrigation line 812 exits the housing of cassette 11 at opening 804, forming exposed section 812a, as discussed below. Irrigation line 812 then enters connector 808 and connects to irrigation tubing 524, which exits cassette 11 at opening 41 (see FIG. 10) for connection to the handpiece, as shown in FIGS. 6A and 6B.

[0040] 8 , 15 , 16A, and 16B , in some implementations, the cassette 11 can include a suction circuit for moving fluid from the handpiece to a collector. For example, in some implementations, the suction tube 514 from the handpiece (see FIGS. 6A and 6B ) enters the cassette 11 at opening 41 (see FIG. 10 ). The suction tube 514 connects to an internal suction line 822 via connector 808. In some implementations, the suction line 822 exits the housing of the cassette 11 at opening 806, forming an exposed section 822a, as discussed below. The suction line 822 then connects to the outlet 42 (see FIG. 10 ) through a suction pump region 820. In some implementations, the outlet 42 can be connected to an internal collector, as discussed above. In some implementations, the outlet 42 can be releasably connected to a collector, such as the bag collector 542 shown in FIGS. 6A and 6B . The suction circuit may be used to enable the cassette 11 to move fluids, for example, excess irrigation fluid, waste, and / or debris, from the handpiece to a collector.

[0041] In some implementations, the aspiration circuit and / or irrigation circuit may include one or more filters. Filters may be placed within the flow circuit to prevent debris, particles, or other contaminants from reaching protected locations. For example, in some implementations, a filter or a series of filters may be used to prevent contaminants from reaching a sensor, as discussed below. In some implementations, a filter or a series of filters may be used to prevent aspirated debris from reaching the aspiration pump region. Similarly, a filter or a series of filters may be used to prevent external contaminants in the irrigation line, such as particles accidentally introduced during connection of a saline source, from reaching the irrigation pump region and / or handpiece 500. In some implementations, the filters may be accessible for cleaning and / or replacement.

[0042] Continuing with reference to FIGS. 8, 15, 16A, and 16B, in some implementations, the cassette 11 can include a flow collector. As shown in FIG. 15, the flow compensation circuit can include a secondary flow path 1510. The secondary flow path 1510 can include an exposed section 1510a that can be accessible through opening 51 (see FIG. 11). The exposed section 1510a mates with the electromagnetic pinch valve 1450 shown in FIG. 14. The pinch valve 1450 is normally closed, as shown in FIG. 16A, to keep the secondary flow path 1510 closed. This configuration only allows aspirated material to flow into the cassette 11 through outlet 42 and out to the collector 542. Occasionally, the handpiece 400 can become blocked, typically by tissue buildup or a large chunk of material clogging the needle opening. When the handpiece 400 becomes blocked, vacuum cannot build up to relieve the blockage. At this point, a sensor, such as the aspiration pressure sensor discussed above, can detect the pressure increase, causing the pinch valve 1450 to release and open the secondary flow path 1510, as shown in FIG. 16B. The secondary flow path 1510 recirculates between the outlet 42 and the collector 542, temporarily blocking flow in the aspiration line 822. The outlet 42 then also becomes the inlet. By maintaining the inlet / outlet 42 to the collector 542 above the point where fluid would be collected, fluid can be prevented from recirculating from the collector 542 to the aspiration pumping circuit. The collector 542 can include an air opening, allowing air to enter the cassette 11 and break the vacuum pressure. After the vacuum is broken, the occlusion is released from the tip of the handpiece, the pinch valve 1450 closes again, and flow resumes through the normal aspiration path, as shown in FIGS. 15 and 16A.

[0043] 8 , in some implementations, the cassette 11 can include a circuit board 832 connected to a power line 506. The power line 506 can be connected to the power connection 502 to operate the handpiece 500. The power line 506 can be used to deliver control signals and / or power to operate the ultrasonic cutting of the handpiece 500. In some implementations, the power line 506 can also enable two-way communication with the handpiece 500 for feedback. In some implementations, the power line 506 can be connected to a circuit board 832 in the cassette 11. In some implementations, the circuit board 832 connects to the console 12 when the cassette 11 is connected. In some implementations, the circuit board 832 can be separately connected to the console 12 via a wired and / or wireless connection.

[0044] FIG. 9 shows an exploded view of an implementation of cassette 11, with various fluid and electrical lines omitted for clarity. As shown, the cassette can include a front housing 21 that mates with a rear housing to enclose some or all of the various components discussed above. As shown, cassette 11 can combine both irrigation pump region 810 and aspiration pump region 820 as a valve and diaphragm block 23. The valve and diaphragm block 23 can compress the valve and diaphragm to form a fluid-tight seal when front housing 21 and rear housing 22 are engaged and cassette 11 is inserted into console 12. A valve gasket 24 can surround valve and diaphragm block 23 to enhance sealing. Valve block 25 can compress the valve at outlet 42 to form a seal and fluidly connect handpiece 400 to a collector, e.g., collector 542, via a surgical tubing circuit. The diaphragms 27 in the pump regions, e.g., irrigation pump region 810 and / or suction pump region 820, mate with one or more diaphragm pumps or pump motors in the console 12 via diaphragm connectors 26. In some implementations, a respective diaphragm 27 and diaphragm connector 26 is used for each of the irrigation pump region 810 and suction pump region 820 connections. In some implementations, the pump regions 810, 820, including pump motors, diaphragms 27, connectors 26, or other components, are balanced to provide approximately equal suction and irrigation flows. In some implementations, the pump regions 810, 820 can be dynamically adjusted, for example, by dynamically controlling the utilization of pump motors in the console 12.

[0045] FIG. 11 shows the rear or console-facing side of an implementation of cassette 11. Diaphragm connector 26 may be similar in some or all respects to diaphragm connector 26 discussed above. As shown, in some implementations, diaphragm connector 56 is exposed at the rear of cassette 11 and interacts with a motor within console 12. Activating the console motor can actuate a diaphragm, e.g., diaphragm 27 within cassette 11, to form diaphragm pumps for irrigation pump region 810 and aspiration pump region 820, as discussed above. FIG. 11 also shows rails 52, which in some implementations can be used to engage cassette 11 with console 12. For example, rails 52 can aid in inserting cassette 11 into a mating connection region of console 12 and can help prevent twisted and / or upside-down placement. Cassette 11 may include rail 52 in its center, as shown in FIG. 11 . Some implementations of the cassette 11 may additionally or alternatively include rails 52 on either the periphery of the rear of the cassette 11, the front of the cassette 11, and / or the sides of the cassette 11. In some implementations, the sides of the cassette 11 may include an engagement member, e.g., a detent 53 for a locking latch. In some implementations, the engagement member may include a release, such as a button, lever, slide, or the like, for releasably securing the cassette 11 within the console 12. In some implementations, the engagement member may be a frangible clip that must be broken or otherwise disabled to remove the cassette 11 from the console 12. This feature can prevent a removed cassette 11 from being reused, thereby effectively making the cassette 11 a single-use, disposable cassette 11.

[0046] FIG. 12 illustrates a cassette 31, which may be similar in some or all respects to cassette 11. As illustrated, cassette 31 interacts with a console 32, which includes various sensors. For example, in some implementations, console 32 may include a pressure sensor 33 for aspiration, a cassette placement sensor 34, a pressure sensor 35 for irrigation, a bubble detection sensor 36, and / or a cassette identification sensor 37. In some implementations, sensors may be used to generate alerts and / or warnings of improper or undesirable conditions. In some implementations, sensors may be used to automatically stop or prevent system operation, or to automatically enable and / or control system operation. In some implementations, sensors may establish safe operating parameters using sensor thresholds. In some implementations, some or all of the sensors may be combined, for example, there may be a combined pressure sensor for detecting pressure in both the aspiration and irrigation circuits, a combined pressure and bubble sensor, or other suitable combinations. In some implementations, the irrigation and / or aspiration circuits may include flow sensors. In some implementations, some or all of a pressure sensor 33 for aspiration, a cassette placement sensor 34, a pressure sensor 35 for irrigation, an air bubble detection sensor 36, a cassette identification sensor 37, or other sensors may be included in the cassette 31 and may interact with the console 32 via appropriate connectors.

[0047] The pressure sensor 33 for aspiration and the pressure sensor 35 for irrigation may be similar in some or all respects. The pressure sensors 33, 35 can be used to measure fluid pressure in the respective aspiration and irrigation lines. In some implementations, such as the cassette 11 shown in FIG. 8 , the aspiration line 822 and the irrigation line 812 in the cassette 11 include exposed sections 822a and 812a, respectively. These sections 822a, 812a mate with the pressure sensors 33, 35 when the cassette 11 (or 31) is seated in the console 12 (or 32). In some implementations, the aspiration line 822 includes the tubing for aspirated material discussed above. The exposed section 822a can press against the pressure sensor 33 for aspiration. As the vacuum from the aspiration pump increases, the diameter of the aspiration tubing section 822a contracts, reducing the pressure on the sensor 33. This change in pressure can be used to detect occlusion of the handpiece tip. If the handpiece tip becomes occluded, the vacuum is increased until the occlusion is cleared. Similarly, in some implementations, the irrigation line 812 includes tubing for the irrigated fluid, as discussed above. The exposed section 812a can press against the pressure sensor 35 for irrigation. As fluid pressure increases, the diameter of the irrigation tubing section 812a expands, increasing the pressure on the sensor 35. This change in pressure can be used to detect flow, if any, through the irrigation tubing 812. This indicates whether the irrigation fluid source, e.g., an IV bag, is empty or full. In some implementations, some or all of the tubing in the cassette that interacts with the pressure sensor can be protected with a filter. For example, a filter can be included in the fluid flow path at the exposed sections 822a and / or 812 or in the fluid flow path before the exposed sections 822a and / or 812. In some implementations, a filter can be included in the fluid flow path before the pressure sensor, e.g., when the sensor is positioned in the cassette 11.

[0048] In some implementations, the cassette placement sensor 34 can detect whether the cassette 11, 31 is properly placed in the console 12, 32. In some implementations, the cassette placement sensor 34 can be a switch activated by a spring-loaded pin. When properly placed in the console 32, the cassette 31 depresses the spring-loaded pin, depressing a lever on a switch. When activated, the switch indicates that the cassette 31 is properly placed. In some implementations, the cassette placement sensor 34 includes multiple spring-loaded pins, each with a respective switch. This arrangement can advantageously detect whether an inserted cassette 31 is properly aligned. In some implementations, the cassette placement sensor 34 must be engaged before the system can be used and can include, for example, an electrical switch that automatically locks the system until the cassette 31 is properly inserted. In some implementations, the cassette placement sensor 34 can trigger an alert or other warning if the cassette 31 is not properly inserted.

[0049] In some implementations, the air bubble detection sensor 36 can be used to detect the presence of air bubbles. In some implementations, the irrigation fluid source may contain air bubbles, for example, there may be an air pocket in an IV bag used as a saline irrigation fluid source. The irrigation pressure sensor 35 discussed above can be used to measure irrigation fluid flow and detect pressure changes, but cannot identify the cause of the detected pressure. Thus, there may be instances where the irrigation path 812 is pumping air or other gas rather than the intended irrigation liquid. The air bubble detection sensor 36 can distinguish between gas (air) and liquid (saline) passing through the irrigation tubing 812 and can notify the user that the irrigation tubing 812 is not irrigating properly. In some implementations, some or all of the tubing in the cassette that interacts with the air bubble sensor can be protected with a filter. For example, a filter can be included in the fluid flow path at exposed sections 822a and / or 812 or in the fluid flow path before exposed sections 812a and / or 812. In some implementations, a filter may be included in the fluid flow path before the air bubble sensor, for example, when the sensor is placed in cassette 11.

[0050] In some implementations, the cassette identification sensor 37 can be used to identify various system attributes. In some implementations, a PCB, for example, circuit board 832 in the cassette 11, interacts with pogo pins inside the console 32. When the pins contact pads on the PCB, the console 32 can detect information about the cassette 31. For example, the cassette identification sensor 37 can be used to identify the cassette type, cassette manufacturer, irrigation fluid type, sterilization status, number of uses, expiration date, handpiece type and / or size, and / or clinical surgeon. This information can be encoded on the pins discussed above or via other hardware encoding. In some implementations, the information can be encoded via software and read by the cassette identification sensor 37 and / or the console 32. In some implementations, the cassette identification sensor 37 can be included on a circuit board that is also used to interact with a cassette circuit board, such as circuit board 832 discussed above, to deliver power to the handpiece when the cassette 31 and handpiece 400 are connected. In some implementations, an identification sensor may be included in the handpiece and / or handpiece connection. For example, the handpiece may include the handpiece type, handpiece manufacturer, irrigation fluid type, sterilization status, number of uses, expiration date, handpiece type and / or size, and / or clinical surgeon, as well as other characteristics as discussed above.

[0051] 13A-13C show implementations of a console 1300 having a cassette interface 1310. As shown in FIG. 13B, the cassette 1320 slides into the interface 1310 until it is fully seated as shown in FIG. 13C. In some implementations, the cassette 1320 slides horizontally as shown in FIGS. 13A-13C. In some implementations, the cassette 1320 slides vertically as shown in FIGS. 7 and 12 discussed above. In some implementations, the cassette 1320 engages the interface 1310 by twisting or rotating, snapping or pushing into the console 1300, and / or a combined action such as pushing and twisting or sliding and rotating to lock into place.

[0052] 14 shows an implementation of a console 1400 that includes an aspiration motor 1410 with a diaphragm pump connector 1412, an irrigation motor 1420 with a diaphragm pump connector 1422, and a solenoid pinch valve 1450. As discussed above, in some implementations, the diaphragm pump connectors 1412 and 1422 each interact with the diaphragm connector 56 at the rear of the cassette 11 to enable the motors 1410 and 1420 to actuate the diaphragms 27 in the cassette 11 for fluid flow. The solenoid pinch valve 1450 operates a flow compensation circuit, as discussed above.

[0053] In some implementations, the system 100 can be used in any of a variety of procedures. In some implementations, the system 100 can be used to perform ultrasound-guided percutaneous tenotomy. In some implementations, a handpiece, such as the handpiece 500, delivers ultrasonic energy at a frequency that can be preselected to debride musculoskeletal tissue upon percutaneous insertion of the distal end of the handpiece at or near the target musculoskeletal tissue site. In some implementations, the system 100 allows a user to fully identify the target tissue site 300 during the procedure without cutting the patient's skin. In some implementations, the delivery device 102, 500 can be pre-tuned to deliver ultrasonic energy at a frequency that promotes debridement of pathological tissue while reducing the possibility of trauma to normal soft tissue. The percutaneous, minimally invasive nature of such procedures facilitates access and treatment of such body tissue as part of an office-based procedure under local anesthesia.

[0054] Any values, such as thresholds, limits, durations, etc., provided herein are not intended to be absolute values ​​and may thereby be approximate. Additionally, any thresholds, limits, durations, etc. provided herein may be fixed or may be automatically or user-changeable. Furthermore, relative terms, such as exceeding, more than, less than, etc., with respect to a reference value, are intended to encompass equality to the reference value. For example, exceeding a positive reference value can encompass being equal to or greater than the reference value. Additionally, relative terms, such as exceeding, more than, less than, etc., with respect to a reference value, are intended to encompass the inverse of the disclosed relationship, such as below, less than, more than, etc., with respect to the reference value. Furthermore, while various process blocks may be described in terms of determining whether a value meets or does not meet a particular threshold, the blocks may similarly be understood in terms of, for example, (i) values ​​below or exceeding a threshold, or (ii) values ​​meeting or not meeting a threshold.

[0055] It is understood that features, materials, properties, or groups described in connection with a particular aspect, embodiment, or example are applicable, unless incompatible, to any other aspect, embodiment, or example described herein. All of the features disclosed herein (including the accompanying claims, abstract, and drawings), or all of the steps of any method or process so disclosed, may be combined in any combination, except combinations in which at least some of such features or steps are mutually exclusive. Protection is not limited to the details of the above embodiments. Protection extends to any novel feature or any novel combination of features disclosed herein (including the accompanying claims, abstract, and drawings), or any novel step or any novel combination of steps of any method or process so disclosed.

[0056] Although several embodiments have been described, these embodiments are presented by way of example only and are not intended to limit the scope of protection. Indeed, the novel methods and systems described herein may be embodied in a variety of other forms. Additionally, various omissions, substitutions, and modifications may be made to the forms of the methods and systems described herein. Those skilled in the art will appreciate that, in some embodiments, the actual steps taken in the illustrated or disclosed processes may differ from those illustrated. Depending on the embodiment, some of the steps described above may be deleted and others may be added. For example, the actual steps or the order of steps taken in the disclosed processes may differ from the steps or the order of steps illustrated. Depending on the embodiment, some of the steps described above may be deleted and others may be added. For example, the various components illustrated may be implemented as software or firmware on a processor, a controller, an ASIC, an FPGA, or dedicated hardware. Hardware components, such as a processor, an ASIC, an FPGA, or the like, may include logic circuitry. Furthermore, the features and attributes of the specific embodiments disclosed above may be combined in different ways to form additional embodiments. All additional embodiments are within the scope of the present disclosure.

[0057] The user interface screens illustrated and described herein may include additional or alternative components. These components may include menus, lists, buttons, text boxes, labels, radio buttons, scroll bars, sliders, check boxes, combo boxes, status bars, dialog boxes, windows, etc. The user interface screens may include additional or alternative information. The components may be arranged, grouped, and displayed in any suitable order.

[0058] While the present disclosure includes several embodiments, examples, and applications, those skilled in the art will recognize that the present disclosure extends beyond the specifically disclosed embodiments to other alternative embodiments or applications, including embodiments that do not provide all of the features and advantages described herein, and obvious modifications and equivalents thereof. Accordingly, the scope of the present disclosure is not intended to be limited by the specific disclosure of preferred embodiments herein, but may be defined by the claims presented herein or presented in the future.

[0059] Conditional language such as "can," "could," "might," or "may," unless otherwise specified or understood otherwise within the context of use, is generally intended to convey that certain embodiments include certain features, elements, or steps, while other embodiments do not include certain features, elements, or steps. Thus, such conditional language is generally not intended to imply that features, elements, or steps are in any way required by one or more embodiments, or that one or more embodiments necessarily include logic for determining, with or without user input or prompting, whether these features, elements, or steps are included in or performed in any particular embodiment. Terms such as "comprise," "include," and "have" are synonymous and are used inclusively and without restriction, and do not exclude additional elements, features, acts, operations, etc. Also, the term "or" is used in its inclusive sense (and not its exclusive sense), whereby, for example, when used in connecting a list of elements, the term "or" means one, some, or all of the elements in that list. Furthermore, as used herein, the term "each" can mean, in addition to its ordinary meaning, any subset of the set of elements to which the term "each" applies.

[0060] Linking language such as the phrase "at least one of X, Y, and Z," unless expressly stated otherwise, is generally understood with the context in which it is used to convey that an item, term, etc. can be either X, Y, or Z. Thus, such linking language is generally not intended to imply that a particular embodiment requires the presence of at least one of X, at least one of Y, and at least one of Z.

[0061] As used herein, degree language, such as the terms "approximately," "about," "generally," and "substantially," refers to a value, amount, or characteristic that is close to a stated value, amount, or characteristic that still performs a desired function or achieves a desired result. For example, the terms "approximately," "about," "generally," and "substantially" can refer to an amount that is within 10%, 5%, 1%, 0.1%, and 0.01% of a stated amount. As another example, in some embodiments, the terms "generally parallel" and "substantially parallel" refer to a value, amount, or characteristic that deviates by 15°, 10°, 5°, 3°, 1°, or 0.1° or less from strict parallelism.

[0062] The scope of the present disclosure is not intended to be limited by the specific disclosure of preferred embodiments in this section or elsewhere herein, but may be defined by the claims presented or presented in the future in this section or elsewhere herein. The claim language is to be interpreted broadly based on the language used in the claims, and is not limited to the examples described herein or during prosecution of this application, and the examples are to be construed as non-exclusive.

[0063] It will also be understood that conditional language used herein, such as "can," "could," "might," "may," "for example," and the like, among others, is generally intended to convey that certain implementations include certain features, elements, or steps, while other implementations do not include certain features, elements, and / or steps, unless otherwise specified or understood otherwise within the context of use. Thus, such conditional language is generally not intended to imply that features, elements, and / or steps are required in any respect for one or more implementations, or that one or more implementations necessarily include logic for determining, with or without author input or prompting, whether these features, elements, and / or steps are included in or performed in any particular implementation. Terms such as "comprise," "include," "have," and the like are synonymous and used inclusively and without restriction, and do not exclude additional elements, features, acts, operations, etc. Additionally, the term "or" is used in its inclusive sense (and not its exclusive sense), whereby, for example, when used in conjunction with a list of elements, the term "or" refers to one, some, or all of the elements in that list. Additionally, the articles "a," "an," and "the," as used in this application and the appended claims, are to be construed to mean "one or more" or "at least one" unless otherwise specified. Similarly, while operations may be shown in the figures in a particular order, it should be recognized that such operations need not be performed in the particular order or sequence shown, or that all illustrated operations be performed to achieve a desired result. Furthermore, the figures may generally represent one or more exemplary processes in the form of a flowchart. However, other operations not shown may be incorporated into the generally illustrated exemplary methods and processes. For example, one or more additional operations may be performed before, after, concurrently with, or between illustrated operations.Additionally, operations may be rearranged or reordered in other implementations. In some situations, multitasking and parallel processing may be advantageous. Furthermore, the separation of various system components in the implementations described above should not be understood as requiring such separation in all implementations, and it should be understood that the described program components and systems may generally be integrated into a single software product or packaged as multiple software products. Additionally, other implementations are within the scope of the following claims. In some cases, the actions recited in the claims may be performed in a different order and still achieve desirable results.

[0064] Furthermore, the methods and devices described herein may be susceptible to various modifications and alternative forms, specific examples of which are shown in the drawings and described in detail herein. However, it should be understood that the present invention is not limited to the particular forms or methods disclosed, but rather covers all modifications, equivalents, and alternatives within the spirit and scope of the various implementations described and the appended claims. Furthermore, any particular feature, aspect, method, attribute, property, quality, attribute, element, etc. disclosed herein in connection with an implementation or embodiment can be used in all other implementations or embodiments described herein. Any methods disclosed herein need not be performed in the order described. While the methods disclosed herein may include specific actions taken by a physician, these methods may also include any third-party instruction of those actions, whether express or implied. Ranges disclosed herein also encompass any overlaps, subranges, or combinations thereof. Terms such as "up to," "at least," "greater than," "less than," "between," etc., include the recited numbers. Numbers preceded by terms such as "about" or "approximately" are inclusive of the stated number and should be interpreted in accordance with the context (e.g., to the extent reasonably possible under the circumstances, e.g., ±5%, ±10%, ±15%, etc.). For example, "about 3.5 mm" includes "3.5 mm". Phrases preceded by terms such as "substantially" are inclusive of the stated number and should be interpreted in accordance with the context (e.g., to the extent reasonably possible under the circumstances). For example, "substantially constant" includes "constant". Unless otherwise specified, all measurements are taken at standard conditions, including temperature and pressure.

[0065] As used herein, a phrase referring to "at least one" of a list of items refers to any combination of those items, including single members. As an example, "at least one of A, B, or C" is intended to encompass A, B, C, A and B, A and C, B and C, and A, B, and C. Linking language such as "at least one of X, Y, and Z" is generally understood differently in the context in which it is used to convey that an item, term, etc. may be at least one of X, Y, or Z, unless otherwise specified. Thus, such linking language is generally not intended to imply that a particular implementation requires that at least one of X, at least one of Y, and at least one of Z, respectively, be present. Headings, if any, provided herein are for convenience of description only and do not necessarily affect the scope and meaning of the devices and methods disclosed herein.

[0066] Thus, the scope of the claims is not intended to be limited to the embodiments or implementations shown herein, but is to be accorded the widest scope consistent with the present disclosure, the principles and novel features disclosed herein. [Explanation of symbols]

[0067] 11 cassettes 12 Console 21 All Housing 22 Rear housing 23 Diaphragmatic block 25 Valve Block 26 Membrane connector 27 Diaphragm 31 Cassette 32 Console 34 Cassette placement sensor 35 Pressure sensor for irrigation 36 Air bubble detection sensor 37 Cassette identification sensor 42 Exit 56 Membrane connector 100 systems 102 Feeding device 104 Controller 106 Power Line 108 Vacuum Line 110 Irrigation Line 111 Administration Line 113 Spike 114 Cap 176 Housing 178 Command Module 182 Power supply 184 processors 185 Signal Filter 186 Vacuum source 188 Irrigation source 190 Disposable Cassettes 192 Collector 194 Valve Actuator 208 Housing 209 Valve 210 Seat Structure 212 Pump Device 214 Power Line Connector 400 Feeding Device 402 Vacuum Tube 404 Irrigation Tube 500 Feeding Device 502 Power Connection 504 Cable 506 Power Line 512 tubes 514 Suction Line 510 Suction connection 520 Irrigation Connection 522 tubes 524 Irrigation Line 534 Irrigation Tube 540 cassettes 542 Collector 806 Opening 810 Irrigation Pump Area 812 Irrigation Line 812a Exposure Section 820 Suction Pump Area 822 Suction Line 822a Exposure Section 1300 Console 1310 Interface 1320 cassette 1400 Console 1412 Diaphragm Pump Connector 1420 Irrigation Motor 1422 Diaphragm Pump Connector 1450 Electromagnetic Pinch Valve 1450 Electromagnetic Pinch Valve 1510 Secondary flow path 1510a Exposure Section

Claims

1. 1. A fluid irrigation and / or aspiration device comprising: A reusable part, A pump motor; a reusable portion comprising a power source; A disposable part, A handpiece and a power line connected to the handpiece and connectable to the power source; a disposable portion comprising a septum; When the reusable portion is connected to the disposable portion at a connection, the power source interacts with the power line to deliver power to the handpiece; the pump motor interacts with the diaphragm to form a diaphragm pump configured to provide fluid flow in the disposable portion; A fluid irrigation and / or aspiration device, wherein the disposable portion separates the fluid from the reusable portion.

2. The device of claim 1 , wherein the fluid is an irrigation fluid, the device further comprising a source of the irrigation fluid, and the diaphragm pump provides the irrigation fluid to the handpiece.

3. 3. The device of claim 1, further comprising a collector, wherein the diaphragm pump provides aspirated fluid flow from the handpiece to the collector.

4. 4. The device of claim 1, wherein the disposable portion further comprises a tube for conveying the flow of the fluid.

5. The device of claim 4 further comprising a filter within the tube.

6. 6. The apparatus of claim 5, wherein the filter is positioned to protect the diaphragm pump from particles in the flow of the fluid.

7. 7. The device of claim 1, wherein the connection comprises a coupling mechanism that transfers motion from the diaphragm pump to the diaphragm.

8. 8. The apparatus of claim 1, wherein the connection comprises one or more sensing devices for sensing flow, bubbles, and / or pressure.

9. 9. The apparatus of claim 1, wherein the disposable part comprises one or more sensing devices for sensing flow, bubbles, and / or pressure.

10. 10. The apparatus of claim 1, further comprising a collector, wherein the flow is suction from the handpiece directed to the collector.

11. The device of claim 10 , wherein the collector is a removable collection bag.

12. 12. The device of claim 1, further comprising a valve.

13. 13. The device of any one of claims 1 to 12, wherein the handpiece further comprises identification electronics.

14. 1. A disposable fluid irrigation and aspiration device comprising: a power line configured to connect to the handpiece and connectable to a power source within the reusable console; an irrigated septum; a suction diaphragm; a connection area configured to connect to the reusable console, wherein when the connection area is connected to the reusable console: the power line receives power delivered to the handpiece; the irrigation diaphragm interacts with a pump motor within the reusable console to provide irrigation flow; the suction diaphragm interacts with a pump motor within the reusable console to provide suction flow; A disposable fluid irrigation and aspiration device, wherein the irrigation flow and the aspiration flow are separate from the reusable console.

15. The apparatus of claim 14 further comprising a filter.

16. 16. The device of claim 14 or 15, further comprising the handpiece.

17. 17. The apparatus of any one of claims 14 to 16, further comprising one or more sensing devices for sensing flow, bubbles, and / or pressure.

18. 18. The device of any one of claims 14 to 17, further comprising a collector, wherein the aspiration flow carries fluid from the handpiece to the collector.

19. 20. The device of claim 18, wherein the collector is a removable collection bag.

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