Dynamic Footpedal Control for Phacoemulsification Tip Displacement Modes

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Solution Overview

Problem

Current phacoemulsification surgical instrument systems lack the ability to dynamically vary transversal tip motions, limiting surgical efficiency and followability during ocular procedures, as they are restricted to fixed mode switching and uniform displacement ratios between longitudinal and transversal cutting modes.

Innovation Solution

A method and apparatus that allow for dynamic control of an ultrasonically driven handpiece, enabling selection and adjustment of operational parameters for both longitudinal and non-longitudinal tip displacement modes based on real-time feedback, such as footpedal position and vacuum levels, to optimize cutting efficacy and followability.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If a uniform ratio of longitudinal to transversal tip displacement is used, then the instrument operation is simplified, but the surgeon cannot vary the amount of time each mode remains in effect, limiting surgical efficiency

Engineering Contradiction:
Improveinstrument operation simplicityVSAvoidsurgical efficiency
Core Design Contradiction:
Ease of operationVSProductivity

Solution Approach 1:

The patent applies dynamics by making the footpedal activation threshold adjustable, allowing the system to transition from a fixed uniform ratio to a variable dynamic control mechanism. The surgeon can modify the threshold to change how much footpedal depression is required to activate transversal mode, thereby varying the amount of time each mode remains in effect during surgery. This dynamic adjustment resolves the contradiction by maintaining operational simplicity while enabling surgical efficiency optimization.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The patent implements parameter changes by allowing modification of the footpedal activation threshold parameter. This parameter determines the relationship between footpedal depression and mode switching behavior. By changing this parameter, the system adapts to different surgical needs, enabling the surgeon to control the duration of each cutting mode independently while maintaining the simplicity of footpedal-based operation.

Inventive Principle:
Principle #35Parameter changes

2Productivity

If the footpedal activation threshold is increased, then the instrument remains in longitudinal mode longer improving cutting efficacy, but the surgeon must depress the footpedal further increasing operational complexity

Engineering Contradiction:
Improvecutting efficacyVSAvoidfootpedal operation simplicity
Core Design Contradiction:
ProductivityVSEase of operation

Solution Approach 1:

The patent applies preliminary action by allowing the surgeon to pre-set the footpedal activation threshold before surgery begins. This preliminary configuration optimizes the threshold for specific surgical conditions or surgeon preference, enabling efficient cutting performance without requiring the surgeon to adjust the threshold during the procedure. The system is prepared in advance to balance cutting efficacy with operational simplicity.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent resolves this contradiction by making the system dynamically adjustable through the footpedal threshold parameter. While the threshold can be increased to maintain longitudinal mode longer for improved cutting efficacy, the system remains simple to operate because the threshold modification is performed once during setup rather than requiring complex real-time adjustments during surgery. The dynamic capability allows optimization without compromising ease of operation during the actual procedure.

Inventive Principle:
Principle #15Dynamics

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

This solution enhances surgical efficiency by allowing precise control over tip displacement modes, improving cutting efficacy and reducing heat exposure, thereby facilitating safer and more effective cataract removal procedures with adjustable duty cycles and frequency ratios.

Implementation Method 1

A method and apparatus for controlling an ultrasonically driven handpiece... operating the ultrasonically driven handpiece in a first tip displacement mode... enabling a user to alter the ultrasonically driven handpiece to employ a second tip displacement mode

Methodology Applied
Scientific EffectUltrasonic vibration: Ultrasonic Vibration

Data Source

PatentUS11690758B2System and method for controlling a transverse phacoemulsification system with a footpedal
Publication Date: 2023.07.04 JOHNSON & JOHNSON SURGICAL VISION INC
  • US11690758B2 patent drawing
  • US11690758B2 patent drawing
  • US11690758B2 patent drawing

AI summary

A method and system for controlling an ultrasonically driven handpiece employable in an ocular surgical procedure is provided. The method includes operating the ultrasonically driven handpiece in a first tip displacement mode, such as a longitudinal mode according to a first set of operational parameters, and enabling a user to alter the ultrasonically driven handpiece to employ a second tip displacement mode, such as a transversal or torsional mode, using a second set of operational parameters. Enabling the user to alter performance of the handpiece comprises the user being enabled to dynamically select operational parameters for the first tip displacement mode relative to the second tip displacement mode by using, for example, a switching apparatus such as a footpedal.