Phacoemulsification Vacuum Pump Occlusion Detection

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Solution Overview

Problem

Current phacoemulsification systems using vacuum-based aspiration pumps face challenges in accurately detecting occlusions, leading to unpredictable fluid imbalances and potential eye trauma due to post-occlusion surges, as existing methods rely on manual adjustments and lack precise control over fluid flow rates.

Innovation Solution

A dual pump system with a control unit that includes both vacuum and volume-based pumps, along with a microprocessor and sensors, allows for real-time detection of occlusions using a pressure sensor isolated from the vacuum-based pump, enabling quick adjustments to prevent fluid surges by toggling between pump types via a foot controller.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Productivity

If vacuum-based pumps are used for aspiration, then fluid flow rate is increased, but measurement precision of fluid flow control deteriorates

Engineering Contradiction:
Improvefluid flow rateVSAvoidfluid flow control precision
Core Design Contradiction:
ProductivityVSMeasurement precision

Solution Approach 1:

The system separates the vacuum generation function from the flow measurement function by using a T-connector to create two distinct measurement paths: one for vacuum pressure and another for fluid flow rate, allowing each parameter to be measured independently with appropriate sensors

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

A T-connector serves as an intermediary component that divides the aspiration line into separate measurement branches, enabling the use of different measurement techniques (vacuum pressure sensor and fluid flow sensor) without interfering with each other or the main aspiration function

Inventive Principle:
Principle #24Intermediary (Mediator)

2Device complexity

If manual adjustment of vacuum level is used, then device complexity is reduced, but manufacturing precision of fluid flow control deteriorates

Engineering Contradiction:
Improvecontrol system complexityVSAvoidfluid flow control precision
Core Design Contradiction:
Device complexityVSManufacturing precision

Solution Approach 1:

The system implements feedback control by continuously monitoring both vacuum pressure and fluid flow rate with sensors, comparing actual values to target values, and automatically adjusting the vacuum pump operation to maintain precise fluid flow control throughout the surgical procedure

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The system replaces manual mechanical adjustment of vacuum levels with automated electronic control, using sensors and a controller to precisely regulate the vacuum pump operation, thereby achieving superior fluid flow control precision without requiring complex manual adjustment mechanisms

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

3Device complexity

If occlusion detection is not implemented, then device complexity is reduced, but reliability of surgical procedure deteriorates

Engineering Contradiction:
Improvedetection system complexityVSAvoidsurgical procedure safety
Core Design Contradiction:
Device complexityVSReliability

Solution Approach 1:

The system uses feedback from fluid flow sensors and vacuum pressure sensors to continuously monitor aspiration conditions, automatically detecting occlusions when flow patterns deviate from expected values and alerting the surgeon or automatically adjusting parameters to maintain safe operation

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The system performs self-diagnosis by monitoring its own operation parameters through integrated sensors, automatically detecting occlusions and other abnormal conditions without requiring external monitoring equipment, thereby improving reliability while adding only minimal complexity

Inventive Principle:
Principle #25Self-service

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The system effectively detects and responds to occlusions, stabilizing fluid flow and preventing post-occlusion surges, enhancing surgical safety and precision by allowing surgeons to switch between pump types during operations.

Implementation Method 1

the fluid is essentially pulled by vacuum through the line

Methodology Applied
Scientific EffectVacuum: Vacuum

Implementation Method 2

creates a lower pressure in a drainage cassette reservoir that causes the fluid to flow from the eye into the aspiration line

Methodology Applied
Scientific EffectPressure Gradient: Pressure Gradient

Implementation Method 3

a phacoemulsification handpiece which includes a needle that is ultrasonically driven in order to emulsify, or liquefy, the lens

Methodology Applied
Scientific EffectUltrasonic Vibration: Ultrasonic Vibration

Data Source

PatentUS10342701B2Systems and methods for phacoemulsification with vacuum based pumps
Publication Date: 2019.07.09 JOHNSON & JOHNSON SURGICAL VISION INC
  • US10342701B2 patent drawing
  • US10342701B2 patent drawing
  • US10342701B2 patent drawing

AI summary

The invention is generally directed to systems and methods for ophthalmic surgery, and more particularly to systems and methods for phacoemulsification using vacuum-based aspiration pumps. In accordance with one embodiment, a vacuum-based phacoemulsification system, having a handpiece, includes a subsystem to detect an occlusion occurring at the handpiece during operation.