Title of Invention

A SURGICAL SYSTEM COMPRISING A SURGICAL CASSETTE

Abstract A surgical system having a console that receives a cassette with a rigid fluid channel formed into a rigid plastic component or housing. The housing serves as a substrate for an elastomeric acoustic coupling that can be formed on the housing outside of the fluid channel. The acoustic transducer is elastically mounted within the console, such as on a spring, so as to provide a relatively constant force between the transducer and the acoustic coupling when the cassette is installed in the console.
Full Text SURGICAL SYSTEM HAVING A
NON-INVASIVE FLOW SENSOR
This application is a continuatiori-in-part of U.S. Patent Application Serial No.
11/391,748, filed March 29, 2006, currently co-pending.
Background of the Invention
The present invention relates to an ultrasonic flow sensor and more particularly to a
surgical system and cassette having an ultrasonic flow sensor.
Conventional ophthalmic surgical instrument systems use vacuum to aspirate the surgical
site and positive pressure to irrigate the site. Typically, a cassette is serially connected between
the means used to generate pressure and the surgical instrument. The use of cassettes with
surgical instruments to help manage irrigation and aspiration flows at a surgical site is well
known. U.S. Pat. Nos. 4,493,695 and 4,627,833 (Cook), 4,395,258 (Wang, et al.), 4,713,051
(Steppe, et al.), 4,798,850 peMeo, et al.), 4,758,238,4,790,816 (Sundblom, et al.), and
5,267,956, 5,364,342 (Beuchat) and 5,747,824 (Jung, et al.) all disclose ophthalmic surgical
cassettes with or without tubes, and they are incorporated in their entirety by this reference.
Aspiration fluid flow rate, pump speed, vacuum level, irrigation fluid pressure, and irrigation
fluid flow rate are some of the parameters that require precise control during ophthalmic surgery.
Prior art devices have used pressure sensors in the aspiration and irrigation lines and
calculate fluid flow rates based on the sensed pressure. In the past, measuring of fluid pressures
in surgical cassettes has been very precise and as the resistance in the fluid paths is known, fluid
flow rates can be calculated reliably from fluid pressure. Recent improvements in the reliability
of ultrasonic flow sensors, however, have now made it possible to non-invasively measure fluid
flow accurately.
For example, one ultrasonic flow sensor disclosed in U.S. Patent No. 6,098,466
(Shkarlet) discloses a flow sensor capable of accurately measuring fluid flow in vessels or tubes
having decreased sensitivity to flow distribution non-uniformities and decreased overall size by
employing multiple angled reflector surfaces which cause incident ultrasonic waves from one or
more ultrasonic transducers to pass through the flow volume multiple times and in multiple
directions without changing the planar orientation of the ultrasound waves. The wave paths
resulting from the multiple reflections and multidirectional illumination of the flow volume
decreases the probe's size and sensitivity to spatial distribution non-uniformities. The multiple
angled reflector surfaces also permit the transmitting and receiving ultrasonic transducers to be
placed close to one another, thereby reducing the overall probe size and making them
particularly useful for incorporation in the relatively small fluid flow cassette used in ophthalmic
surgery. In order for an ultrasonic flow sensor to work, the transducer must be acoustically
coupled to the tubing in which the fluid is flowing so that any air located between the transducer
and the tubing is removed. This acoustic coupling is sensitive to the amount of pressure
between the transducer and the flow channel being monitored, making a fairly constant force
desirable. When the flow channel is mounted on a removable surgical cassette and the
transducer located in a surgical console on which the cassette connects, normal manufacturing
variation can result in undesirable variation in the amount offeree pressing the cassette into the
transducer, thereby causing inaccuracies in the flow measurement.
Accordingly, a need continues to exist for a device for assuring a fairly constant force
between a flow channel located on a surgical cassette and an ultrasonic flow measuring
transducer located on a surgical console.
Brief Description of the Invention
The present invention improves upon the prior art by providing a surgical system having
a console that receives a cassette with a rigid fluid channel formed into a rigid plastic component
or housing. The housing serves as a substrate for an elastomeric acoustic coupling that can be
formed on the housing outside of the fluid channel. The acoustic transducer is elastically
mounted within the console, such as on a spring, so as to provide a relatively constant force
between the transducer and the acoustic coupling when the cassette is installed in the console.
Accordingly, one objective of the present invention is to provide a surgical cassette
having an acoustic coupling.
Another objective of the present invention is to provide a surgical cassette having an
acoustic coupling that is formed on the cassette without the use of adhesives.
Yet another objective of the present invention is to provide a surgical system with a
cassette having an acoustic coupling that is over molded onto the cassette.
These and other advantages and objectives of the present invention will become apparent
from the detailed description, drawings and claims that follow.
Brief Description of the Drawings
FIG. 1 is a front perspective view of the cassette that may be used with the present
invention.
FIG. 2 is a rear perspective view of the cassette that may be used with the present
invention.
FIG. 3 is an exploded perspective view of the cassette that may be used with the present
invention.
FIG. 4 is a partial cross-sectional view of the cassette that may be used with the present
invention.
FIG. 5 is a front perspective view of a surgical console that may be used with the cassette
of the present invention.
FIG. 6 is a partial cross-sectional view of the cassette installed within a console that may
be used with the present invention.
FIG. 7 is a perspective view of an ultrasonic transducer assembly that may be used with
the present invention.
FIG. 8 is an exploded assembly view of the ultrasonic transducer assembly illustrated in
FIG. 7.
Detailed Description of the Preferred Embodiments
As best seen in FIGS. 1, 2 and 3, cassette 10 of the present invention generally included
valve plate 12, body 14 and cover 16. Valve plate 12, body 14 and cover 16 may all be formed
of a suitable, relatively rigid, thermoplastic. Valve plate 12 contains a plurality of openings
and pumping channel 20 that are sealed fluid tight by elastomers 22 and 24, forming a plurality
of fluid paths. Ports 26 provide connectors between cassette 10 and surgical console 100 for the
various irrigation and aspiration functions of cassette 10, such functions may requiring the use of
filter 28. Attached to body 14 are ultrasound reflector 30 and reflector cover 32. Acoustic
reflector 30 and reflector cover 32 may be molded as one piece and are located on body 14 to
align with transmission window 125 in recess 36 along fluid passage 34 formed in valve plate 12
when valve plate 12 is assembled onto body 14 in the manner shown in FIG. 3. Located within
recess 36 on valve plate 12 is elastomeric acoustic coupler 38. Recess 36 is located adjacent to
fluid passage 34 in valve plate 12 and aligned with acoustic reflector 30 and reflector cover
when valve plate 12 is assembled on body 14. When cassette 10 is installed in cassette receiving
portion 110 of console 100, ultrasound transducer 120 presses against elastomeric acoustic
coupler 38, providing an acoustic coupling between transducer 120 and fluid passage 34, thus
allowing the use of ultrasound transducer 120 to measure the fluid flow rate in fluid passage Elastomeric acoustic coupler 38 preferably is formed by over molding an elastomeric material,
such as a thermoplastic elastomer or silicone rubber within recess 36 of valve plate 12. Such a
construction method eliminates the need for adhesives to attach elastomeric acoustic coupler 38
to valve plate 12 and ensures the removal of any air from between elastomeric acoustic coupler
38 and valve plate 12.
As best seen in FIG. 6, transducer 120 is mounted within cassette receiving portion 110
of console 100 so as to press against coupler 38 when cassette 10 is installed within cassette
receiving portion 110. In order to ensure a relatively uniform compressive force by transducer
120 against coupler 38, transducer 120 is mounted within cassette receiving portion 110 on
elastic mounting 130, such as spring 131. Mounting 130 preferably has a fairly low spring rate
and is compressed through a fairly large deflection, resulting in a force versus position curve
having a fairly flat slope.
One skilled in the art will recognize that the description given above is only a schematical
illustration of the device of the present invention. For example, instead of spring 131, other
similar devices, such as a low friction air cylinder, a solenoid, a motor or an elastomer molded to
act like a spring may also be used.
As best seen in FIGS. 7 and 8, transducer 120 may be mounted on carriage 200. Carriage
200 generally includes carrier 210 mounted to bracket 220. Spring 131 rides on shaft 230 and
contains bushings 240 and 250. The construction of carriage 200 is such that transducer 120 can
slide within carrier 210 by compressing spring 131. As best seen in FIG. 8, bracket 220 can be
mounted to active deployment mechanism 260, such as an air cylinder, solenoid or electric
motor, which moves carriage 200 back and forth along the same axis of movement as transducer
120. Active deployment mechanism 260 allows transducer 120 to be retracted within cassette
receiving portion 110 when not in use. Retracting transducer 120 helps to prevent damage to
transducer 120, which contains delicate crystals that can be damaged easily.
This description is given for purposes of illustration and explanation. It will be apparent
to those skilled in the relevant art that modifications may be made to the invention as herein
described without departing from its scope or spirit.

We claim:
1. A surgical system, comprising:
a) a surgical console, the surgical console having a cassette receiving portion;
b) a surgical cassette having a plurality of fluid passages; and
c) an ultrasonic transducer located in the cassette receiving portion of the surgical
console, the ultrasonic transducer adapted for measuring fluid flow in a fluid passage in
the cassette when the cassette is installed in the cassette receiving portion of the console,
the ultrasonic transducer being mounted in the cassette receiving portion by an elastic
mount.
2. The surgical system of claim 1 wherein the elastic mount is a spring.
3. The surgical system of claim 1 wherein the cassette further comprises an acoustic
coupler that is attached to the cassette by over molding, the acoustic coupler acoustically
coupling the ultrasonic transducer to the cassette when the cassette is installed within the cassette
receiving portion of the surgical console,
4. A surgical system, comprising:
a) a surgical console, the surgical console having a cassette receiving portion;
b) a surgical cassette having a plurality of fluid passages; and
c) an ultrasonic transducer located in the cassette receiving portion of the surgical
console, the ultrasonic transducer adapted for measuring fluid flow in a fluid passage in
the cassette when the cassette is installed in the cassette receiving portion of the console,
the ultrasonic transducer being mounted in the cassette receiving portion by an active
deployment mechanism.
5. The surgical system of claim 4 wherein the active deployment mechanism further
comprises an air cylinder.
6. The surgical system of claim 4 wherein the active deployment mechanism further
comprises an electric motor.
7. The surgical system of claim 4 wherein the active deployment mechanism further
comprises a solenoid.
8. The surgical system of claim 4 wherein the cassette further comprises an acoustic
coupler that is attached to the cassette by over molding, the acoustic coupler acoustically
coupling the ultrasonic transducer to the cassette when the cassette is installed within the cassette
receiving portion of the surgical console.
9. The surgical system of claim 4 wherein the ultrasonic transducer is attached to the
active deployment mechanism by an elastic mount.
10. The surgical system of claim 9 wherein the elastic mount comprises a spring.
11. A surgical system, comprising:
a) a surgical console, the surgical console having a cassette receiving portion;
b) a surgical cassette having a plurality of fluid passages and an acoustic coupler that
is attached to the cassette by over molding;
c) an ultrasonic transducer located in the cassette receiving portion of the surgical
console, the ultrasonic transducer adapted for measuring fluid flow in a fluid passage in
the cassette when the cassette is installed in the cassette receiving portion of the console;
and
d) an active deployment mechanism for mounting the ultrasonic transducer within
the cassette receiving portion of the console, the active deployment mechanism including
an elastic mount for the ultrasonic transducer.
12. The surgical system of claim 11 wherein the elastic mount comprises a spring.
13. The surgical system of claim 11 wherein the active deployment mechanism
further comprises an air cylinder.
14. The surgical system of claim 11 wherein the active deployment mechanism
furthencomprises an electric motor.
15. The surgical system of claim 11 wherein the active deployment mechanism
further comprises a solenoid.
16. The surgical system of claim 11 wherein the elastic mount comprises a spring.


Documents:

364-del-2007-abstract.pdf

364-del-2007-Assignment-(28-02-2014).pdf

364-DEL-2007-Assignment.pdf

364-del-2007-Claims-(05-12-2012).pdf

364-del-2007-claims.pdf

364-del-2007-Correspondence Others-(05-12-2012).pdf

364-del-2007-Correspondence Others-(12-12-2012).pdf

364-del-2007-Correspondence Others-(28-08-2012).pdf

364-del-2007-Correspondence-Others-(03-03-2014).pdf

364-del-2007-Correspondence-Others-(28-02-2014).pdf

364-del-2007-correspondence-others-1.pdf

364-DEL-2007-Correspondence-Others.pdf

364-del-2007-description (complete).pdf

364-del-2007-drawings.pdf

364-del-2007-form-1.pdf

364-del-2007-Form-13-(28-03-2007).pdf

364-DEL-2007-Form-13.pdf

364-del-2007-form-18.pdf

364-del-2007-Form-2-(05-12-2012).pdf

364-del-2007-form-2.pdf

364-del-2007-Form-3-(12-12-2012).pdf

364-DEL-2007-Form-3.pdf

364-del-2007-Form-5-(28-02-2014).pdf

364-del-2007-form-5.pdf

364-del-2007-gpa.pdf


Patent Number 259198
Indian Patent Application Number 364/DEL/2007
PG Journal Number 10/2014
Publication Date 07-Mar-2014
Grant Date 28-Feb-2014
Date of Filing 21-Feb-2007
Name of Patentee ALCON,INC.
Applicant Address P.O.BOX 62, BOSCH 69, CH-6331 HUNENBERG, SWITZERLAND
Inventors:
# Inventor's Name Inventor's Address
1 KING,NICOLEI R. 17 RAMBLING LANE, ALISO VIEJO, CALIFORNIA 92656, USA
2 WILLIAMS,DAVID L. 407 PIRATE ROAD, NEWPORT BEACH,CALIFORNIA 92663,USA
PCT International Classification Number A61M3/02; A61M3/00
PCT International Application Number N/A
PCT International Filing date
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 11/437,302 2006-05-19 U.S.A.