Rotating Phacoemulsification Tip Reduces Surgeon Hand Fatigue

Resolve Bottlenecks,
Find Innovative Solutions
Generate Solutions

Solution Overview

Problem

Current phacoemulsification handpieces cause surgeon fatigue due to the need to rotate the entire handpiece to adjust the emulsifying needle and irrigation ports, which is cumbersome and inefficient, leading to suboptimal positioning and increased fatigue during cataract removal procedures.

Innovation Solution

A phacoemulsification handpiece design featuring a rotating tip with an external thumb wheel that allows independent rotation of the emulsifying needle and irrigation sleeve, reducing the need to move the entire handpiece and minimizing surgeon fatigue by enabling precise, controlled adjustments.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If the entire handpiece is rotated to adjust the emulsifying needle and irrigation ports, then the positioning can be achieved, but surgeon fatigue increases and operation efficiency decreases

Engineering Contradiction:
Improveease of positioningVSAvoidtime for adjustment
Core Design Contradiction:
Ease of operationVSLoss of time

Solution Approach 1:

The handpiece is divided into a stationary body and a rotatable distal section (needle and irrigation ports). This segmentation allows only the necessary components to rotate independently, eliminating the need to move the entire handpiece and reducing surgeon fatigue during positioning adjustments.

Inventive Principle:
Principle #1Segmentation

2Ease of operation

If the entire handpiece is rotated to adjust positioning, then the needle and ports can be positioned, but the operation becomes cumbersome and inefficient

Engineering Contradiction:
Improveease of positioningVSAvoidsurgical efficiency
Core Design Contradiction:
Ease of operationVSProductivity

Solution Approach 1:

The handpiece is divided into a stationary body and a rotatable distal section (needle and irrigation ports). This segmentation allows only the necessary components to rotate independently, eliminating the need to move the entire handpiece and reducing surgeon fatigue during positioning adjustments.

Inventive Principle:
Principle #1Segmentation

3Measurement precision

If the distal tip is made rotatable independent of the handpiece body, then positioning precision improves and fatigue reduces, but device complexity increases

Engineering Contradiction:
Improvepositioning precisionVSAvoidhandpiece structure
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The handpiece is divided into a stationary body and a rotatable distal section (needle and irrigation ports). This segmentation allows only the necessary components to rotate independently, eliminating the need to move the entire handpiece and reducing surgeon fatigue during positioning adjustments.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

A rotational coupling mechanism acts as an intermediary between the stationary handpiece body and the rotatable distal tip. This mediator enables independent rotation of the tip while maintaining structural integrity and simplicity in the overall design.

Inventive Principle:
Principle #24Intermediary (Mediator)

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 ergonomic design allows for reduced surgeon fatigue and improved precision in positioning the phacoemulsification tip, enabling more efficient cataract removal with less strain on the hand and wrist during surgical procedures.

Implementation Method 1

a rotating tip (e.g., needle and irrigation sleeve) in communication with a thumb wheel such that rotation of the thumb wheel rotates the tip independent of movement of the handpiece

Methodology Applied
Scientific EffectMechanical rotation:

Data Source

PatentEP4221648B1Ergonomic phacoemulsification handpiece with rotating needle
Publication Date: 2024.10.09 JOHNSON & JOHNSON SURGICAL VISION INC
  • EP4221648B1 patent drawingFigure 1
  • EP4221648B1 patent drawingFigure 2
  • EP4221648B1 patent drawingFigure 3

AI summary

An apparatus, system and method for a phacoemulsification handpiece. The handpiece may include: a proximal portion having a longitudinal axis, and first and second ends, wherein at least aspiration, irrigation and power inputs enter the first end; a distal portion along the longitudinal axis and comprising, at a distalmost portion thereof from the proximal portion a needle configured to be vibrated by a transducer powered by the power input, the transducer residing within the distal portion and being associated with a horn having a circumferential flange proximal portion. The handpiece further includes a thumb wheel circumferentially associated with the circumferential flange within the distal portion, and having a portion thereof extending out of the distal portion to allow for rotational actuation of the extending portion. Rotational actuation of the thumb wheel thus affects a rotation of the circumferential flange and in turn, the horn and needle coupled therewith.