CN101472626B - ophthalmic surgical cassette and system - Google Patents

ophthalmic surgical cassette and system Download PDF

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Publication number
CN101472626B
CN101472626B CN2007800212130A CN200780021213A CN101472626B CN 101472626 B CN101472626 B CN 101472626B CN 2007800212130 A CN2007800212130 A CN 2007800212130A CN 200780021213 A CN200780021213 A CN 200780021213A CN 101472626 B CN101472626 B CN 101472626B
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container
box
fluid
box according
aspiration
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CN101472626A (en
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J·T·沃尔特
M·艾斯丘
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Bausch and Lomb Inc
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Bausch and Lomb Inc
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Priority claimed from US11/758,048 external-priority patent/US8303542B2/en
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Abstract

A cassette (74) for use with an ophthalmic surgical pump (16) for collecting aspirant fluid and tissue from a patient's eye includes a rigid walled container (18) having an interior volume (42). At least one tapered alignment slot (20) is formed in a side wall of the container (18) and extends from a back wall (24) towards a front wall (26). An irrigation and aspiration manifold base (50) is removeably attached to the container (18). An aspiration path (46) is formed within the container (18) for receiving the aspiration fluid and the tissue from the eye and directing the flow of fluid towards a front half of the container (18) before the fluid and tissue collects within a majority of the interior volume (42) of the container (18). A fluid level indicator (34) is formed on a wall (22) of the container (18), such that an associated photo-detector (86) of the pump (16) may determine a level of fluid in the container (18).

Description

Ophthalmic surgical cassette and system
Technical field
The present invention relates to ophthalmic surgical cassette and pumping system.More particularly, the application relates to Venturi tube ophthalmic surgical cassette and pump.
Background technology
Know the ophthalmic surgical cassette that is used for various pumping systems, comprises venturi pump in this area.Be particularly useful for this surgical cassette of venturi pump, generally include the box with rigid walls, it can be connected to the irrigation/aspiration pipeline.In turn, pipeline is connected to the surgical operation handpiece that the surgeon uses usually during ophthalmologic operation.Then, the box with rigid walls comprises the major part of the internal capacity of box or container, and it is used for handling after a while from operative site collection suction fluid and tissue fluid.This box can be disposable or reusable.This box with rigid walls is fixed in the pump assembly usually, and thereby particularly importantly this box have Level Detection and be configured to prevent that box from overflowing and leaking surgical fluid causes biohazard and may destroy pump to the inside of pump.
Existing known fluid level detection schemes such as disclosed in United States Patent (USP) 4773897, is wherein used float ball in the chamber of definition of box.Subsequently, float ball increases along with liquid level in the box and floats, and finally blocks the path between light source and the phototransistor, and the two combination is to form level sensor.In case the float ball blocks light arrives the path of photo eye, the system triggers pump stops so, and stops suction, empties up to box.Though this float ball configuration has been used for many years and has been reliably, along with the time goes over, float ball is soaked in a way and is different because of ball at production period from the accurate amount of floating of ball.Thereby the precise height of box inner fluid is not as one man by the configuration of this float ball and light detection device and determine.
For the pump box, generally include the suction and the flushing pipe that are connected to box.When needs emptied box, this pipeline need be pulled the coupling claw that breaks away from the box usually.Make this pipeline tractive break away from claw and understand some difficulty and consuming time, and be not easy to realize.Thereby what be fit to is to have the collection box, and wherein most of pipeline does not need to remove its connection.This will accelerate operative speed, and make it be used for further operation for the operating room personnel are more friendly to be ready to described box in time.
The surgical cassette of prior art usually will be from the fluid of suction tube from pouring into the box towards the box rear portion and away from operator's position.At intra-operative, the surgical operation control station has pick off and indicator icon and the alarm that can hear usually, using when the hypothesis suction streams has stopped, also suction channel is applied vacuum simultaneously.This configuration is enough to allow the safety operation surgical cassette usually.Yet the operator needs is to be easy to observe in the internal capacity of container that fluid flows into box to provide simple to the operator and visual feedback easily, promptly has suction fluid stream.
The shape of typical prior art surgical cassette is a three-dimensional rectangle basically.Required is the aligning of some types to be provided or to insert to guide to help the operator correctly box to be inserted in its each pump.
Thereby, need a kind of improved ophthalmic surgical cassette and system.
Description of drawings
Fig. 1 is the perspective view according to ophthalmic surgical system of the present invention;
Fig. 2 is the perspective view according to the part of ophthalmic surgical system of the present invention;
Fig. 3 is the cross section view of Fig. 2;
Fig. 4 is the perspective view of the opposition side of Fig. 3;
Fig. 5 is the front view of Fig. 4;
Fig. 6 is the perspective view according to the part of ophthalmic surgical cassette of the present invention;
Fig. 7 is the perspective view according to ophthalmic surgical cassette of the present invention;
Fig. 8 is the top view of the alternative of Fig. 6;
Fig. 9 is the partial cross-section of a part of the box of Fig. 2;
Figure 10 is the diagram according to detection configuration of the present invention;
Figure 11 is the alternative according to liquid level indicator of the present invention;
Figure 12 is the diagram of the level detection of Figure 11; And
Figure 13 is that the box that is used for the photodetector of alternative according to the present invention detects.
The specific embodiment
Fig. 1 shows the perspective view according to ophthalmologic operation control station of the present invention (console) 10.Control station 10 comprises main body or frame 12, display 14 and pump 16.Control station 10 can also comprise IV electrode assemblie, other ophthalmologic operation module such as optical module, shears module, second pump and other typical ophthalmologic operation module, and all these parts are not shown.Have the hereinafter part of the 18 formation boxes of the container with rigid walls of detailed described internal capacity, be used for using, and insert usually in the pump 16 with ophthalmologic operation pump such as pump 16.Container is preferably made by the transparent plastic material that is applicable to ophthalmologic operation, as known in the art.Container or box 18 preferably include the alignment slot with tapering 20 at least one sidewall that is formed on container 18 22.Groove preferably extends towards antetheca 26 from rear wall 24.Irrigation manifold base (hereinafter will describe in detail) preferably is connected to container 18 removedly, and uses claw (barb) 28 and notch 30 to remain on the container 18.Suction path is preferably formed in the container 18, is used for by 32 aspirated liquid and the tissues that receive from eyes that enter the mouth.Suction path (hereinafter will describe in detail) was preferably guided fluid stream into the first half of container before fluid and tissue collecting are in the major part of the internal capacity of container 18.Liquid level indicator 34 is preferably formed on the wall 22 of container 18, thereby the relevant photoelectric detector (hereinafter will describe in detail) of pump can be determined fluidic height in the container 18.
Container 18 comprises roof 36, roof has first and is used for admitting flushing and aspiration manifold base, roof also has second portion, and this second portion has the structure 32 of the suction channel that is used to be connected to manifold, and roof also has and is used to be connected to Venturi tube pump structure 38.Structure 38 is the hole normally, gas is blown thereon so that form the Venturi tube suction in container 18.
Groove 20 with tapering one of preferably is formed in the alignment slot that a pair of on the opposing sidewalls of container 18 have tapering.Groove preferably has the U-shaped that extends out basically.These grooves 20 help the user that container 18 is inserted in the pump 16, and guarantee container 18 correctly is aligned in the pump 16.Fig. 3 shows the profile perspective of container 18, and described container 18 has sidewall 40 on sidewall 22 opposite sides.Fig. 3 also illustrates unshowned other preferred alignment groove 20 among Fig. 2.
Fig. 4 shows the profile perspective of the opposite side of view shown in Fig. 3.Fig. 4 show at arrow 42 places container 18 internal capacities most half.As shown in the figure, container 18 generally includes and spreads all over a plurality of rigid support member 44 that are provided with at interval in the container 18.When in the internal capacity 42 at container 18 during evacuation, these rigid support member 44 prevent that sidewall 22 and 40 from collapsing.Aspiration path is illustrated in 46 places basically, and aspirated liquid and being organized on the direction of arrow 48 flows in container 18, and container 18 is used for by 32 aspirated liquid and the tissues that receive from eyes that enter the mouth.Aspiration path 46 with the fluid conductance to first half, and preferably near the antetheca 26 of the rear portion guiding container 18 of container 18.By with fluid conductance forward wall 26, aspiration path 46 allows operators to observe easily whether aspirated liquid and tissue flow in the internal capacity 42 of container 18 at intra-operative.This is especially advantageously, because it provides direct visual feedback to the operator, promptly correctly carries out function in the intra-operative aspiration of tissue.Like this, before fluid and tissue collecting were in the major part of the internal capacity 42 of container 18, aspiration path 46 was with the first half of fluid conductance to container 18.
Fig. 5 is the planar elevation view of the perspective view of Fig. 4, and more clearly shows the aspiration path 46 on the direction of fluid stream at arrow 48 places.
Fig. 6 shows the perspective view according to the preferred embodiment of flushing of the present invention and aspiration manifold base 50.Manifold base 50 comprises the fin (tab) 52 that cooperates with the notch 30 shown in Fig. 2, and pedestal 50 also preferably is engaged between claw 28 and the end face 36, thereby manifold base 50 is firmly held on the container 18.Manifold base 50 and container 18 combinations are to form according to ophthalmic surgical cassette of the present invention.Manifold base 50 preferably includes flushing inlet tube 54, is used to receive the flushing flow from the flushing source, as well known in the art.Manifold base 50 also preferably includes flushing outlet 56, is used to allow flush fluid to flow into the ophthalmic operating set that uses at intra-operative from managing 54.Manifold base 50 also preferably includes aspiration line 58 and suction tube 60, is used for from the surgery location (not shown) aspirated liquid and tissue being sent into container 18.Suction tube 60 is connected to inlet 32.Manifold base 50 also preferably includes aspiration manifold 62, and aspiration manifold 62 is connected aspiration line 58 with backflow with suction tube 60 with liquid discharge tube road 64.Block (block) 66 and 68 provides contact surface to conventional compression valve, is used for open and close refluxing and discharge line 64 and aspiration line 60, and in a usual manner via pump 16 and the control station 10 and controlled of performing the operation.Flushing inlet tube 54 also preferably includes and cooperates with compression valve and is used to open and close flush fluid and flows.Irrigation manifold 70 is connected with flushing inlet tube 54 reflux line 64 with flushing outlet 56.Fig. 6 shows the manifold base 50 with other dead slot 72, and described dead slot 72 can be used for alternative of the present invention, will describe in detail at Fig. 8 hereinafter.
Manifold base 50 allow expediently flushing entrance and exit pipe 54 and 56 and aspiration line 58 during whole surgery, keep being connected to manifold base 50, as mentioned above.If container 18 will be filled with fluid and tissue and need empty, simple press of tabs 52 and make pipeline 60 break away from containers 18 separately will allow operator's empty container 18 and apace manifold base 50 will be connected to container 18 again together with suction tube 60.Like this, container 18 can empty fast and expediently, and need not to carry out clumsy and usually for several times difficulty remove pipeline 54,56 and 58, as needed in the art.
Fig. 7 is the perspective view according to box 74 of the present invention, and it comprises container 18 and manifold base 50, as mentioned above.Box 74 is shown pipeline 54,56 with whole length and 58 and retainer belt 76, is used for being included in ophthalmic surgical pack.
Fig. 8 shows the top view according to the alternative of manifold base of the present invention.Except manifold base 78 preferably included second aspiration line or pipeline 80, manifold base 78 was identical with above-mentioned pedestal 50.Pipeline 80 is connected to the manifold 82 of alternative, and it is similar to above-mentioned manifold 62.According to performed operation, the surgeon may be more prone to second aspiration line 80, as shown in Figure 8, thereby can connect second surgical handpiece, and need not pipeline is removed from the surgical handpiece that is connected to aspiration line 58.Fig. 8 also illustrates preferred compression valve position expediently, shown in 84 place's black " X ".
Fig. 9 shows the partial cut-away cross-section of container 18, liquid level indicator 34 is shown cooperates with the associated photo-detector 86 of pump 16.Liquid level indicator 34 is preferably formed on the wall 22 of container 18, thereby the associated photo-detector 86 of pump 16 can be determined the liquid level in the container.Liquid level indicator 34 is basically as prism (prism) work, to detect the liquid level in the container 18.
Liquid level indicator 34 is the parts with recess, have basically face 88 parallel and a pair of angled sidepiece 90 and 92 that face 88 is connected to the wall 22 of container 18 as shown in the figure with the wall 22 of container 18, with the formation prism, thus can be by the liquid level of photoelectric detector 86 definite boxes 74.
Photoelectric detector 86 can be suitable imaging device and light source, such as charge coupled device (CCD) or CMOS device, perhaps preferably can be contact image sensor.Contact image sensor is the one-dimensional array that is used to create the photoelectric detector of image basically.An example of contact image sensor is from the obtainable Model M106-A6 of COMS Sensors company-R1 module.This contact image sensor size is less relatively, and is advantageously used among the present invention.Though as mentioned above, also can use other photoelectric detector according to the present invention.
Figure 10 shows the light emission figure by liquid level indicator, such as 34 (prism of Figure 10 is not depicted as the size identical with Fig. 9).86 cooperations of liquid level indicator 34 and photoelectric detector, thus liquid level detected by the light transmissive physical phenomenon of passing prism and have between the material boundary of different refractivity.Just as skilled in the art will be aware of, when light intersects with the border between right angle and the two kinds of media, nearly all light all transmission by this border.Yet, when light when intersecting less than the border between 90 ° angle and the two kinds of media, some light transmissions, and some luminous reflectance.Change of refractive has been determined the transmission of how much light and how many luminous reflectance between the angle of light and the two kinds of media.This principle is applied to the present invention, to detect the liquid level in the box 74.Liquid level comprises two groups of boundary conditions in the photoelectric detector 86 detection boxes 74 of use such as contact image sensor.One group of boundary condition is below liquid level, and another group boundary condition is present on the liquid level.Two groups of boundary conditions have two interfaces.An interface is between air and box material, and another interface is between box material and box inclusions, i.e. aspirated liquid and tissue or air.First interface between air and the box material is insignificant, because the amount of light of reflection is with identical, and is not subjected to the influence of box inclusions.Second interface between box material and the box inclusions is most important, because catoptrical amount is directly relevant with the box inclusions.Each bar line of Figure 10 shows catoptrical this difference.
Further consider above-mentioned reflex strength notion,, can realize the fluid that exists and the more big difference between the non-existent fluidic intensity by customization reflection and transmission coefficient.This can be by feature molded is realized on the box wall, and is as above described with reference to figure 9.The light quantity that photoelectric detector 86 receives the light quantity direct and reflection of media boundary is proportional.By the light quantity that monitors that each photoelectric detector place receives, can determine liquid level.The point that liquid level will change corresponding to intensity of reflected light.
Figure 11 and 12 shows the alternative according to liquid level indicator of the present invention.Figure 11 shows the liquid level indicator 94 with raised zones 96, thereby raised zones has amplified any fluid in the container, allows photoelectric detector 100 to determine the liquid level of box 101 thus.Liquid level indicator 94 is cooperated with contrast colour band 98, thereby there is fluidic band 98 in raised zones 96 amplifications, do not have fluidic band and do not amplify, as shown in Figure 12.Subsequently, photoelectric detector 100 can determine that the band that amplifies changes over the point of the band that does not amplify.Raised zones 96 is lens basically, and it utilizes the difference of refractive index between air and the fluid.In the embodiment of Figure 11, be molded with raised zones 96 as compartmentalized box for holding assorted fruits and candies, it is enlarged image, for example is positioned at the band 98 on the opposite side of box.Figure 13 shows according to still another embodiment of the invention.Figure 13 comprises the partial elevation view of similar above-mentioned box sidewall 102, and comprises the liquid level indicator 104 that is similar to aforesaid indicator 34.Indicator 104 also comprises geometric figure 106, perhaps other sign, and it can be used for discerning in the operation type of the box that will use.This identification is easily for system user, because can distinguish later box and more preceding box, and the surgeon is presented in correct surgery setting.Sign 106 is preferably located in the indicator 104, is in the position that does not need level detection.
Thereby having shown ophthalmic surgical cassette of the present invention and system, its change will be tangible for those skilled in the art.This change will fall into the scope of the present invention and claim described herein.

Claims (13)

1. one kind is used for the box that uses with the ophthalmologic operation pump, and aspirated liquid and the tissue from patient's eye of being used to collect comprises:
Have the container of rigid walls, it has internal capacity;
The alignment slot that at least one has tapering is formed in the container side wall and from the rear wall forward wall and extends;
Flushing and aspiration manifold base are connected to container removedly;
Aspiration path is formed in the container, is used to receive suction fluid and tissue from eyes, and before fluid and tissue collecting are in the major part of the internal capacity of container, with the fluid conductance to the container first half; And
Liquid level indicator is formed on the chamber wall, thereby the associated photo-detector of pump can be determined the liquid level in the container.
2. box according to claim 1 is characterized in that container is made by transparent plastic material.
3. box according to claim 1, it is characterized in that, container comprises roof, roof has first and second portion, first is used for admitting flushing and aspiration manifold base, and second portion has the structure of the suction channel that is used to be connected to manifold and is used to be connected to the Venturi tube pump structure.
4. box according to claim 1 is characterized in that, box has a pair of alignment slot with tapering on the opposing sidewalls that is formed at container.
5. box according to claim 4 is characterized in that groove has the U-shaped that extends out basically.
6. box according to claim 1 is characterized in that, flushing and aspiration manifold base also comprise perfusion inlet tube, perfusion outlet, fluid discharge pipe and first suction tube.
7. box according to claim 6 is characterized in that, also comprises second suction tube.
8. box according to claim 6 is characterized in that, flushing and aspiration manifold base also comprise being connected to pours into inlet tube, perfusion outlet and the irrigation manifold of fluid discharge pipe and the aspiration manifold that is connected to first suction tube and fluid discharge pipe.
9. box according to claim 8 is characterized in that aspiration manifold also is connected to second suction tube.
10. box according to claim 1 is characterized in that, near aspiration path is formed into the antetheca of container from the rear portion of container.
11. one kind is used for the box that uses with the ophthalmologic operation pump, aspirated liquid and the tissue from patient's eye of being used to collect comprises:
Have the container of rigid walls, have internal capacity; And
The alignment slot that at least one has tapering is formed in the container side wall, and extends from the rear wall forward wall, is used for simplifying box is inserted pump.
12. box according to claim 11 is characterized in that, box has a pair of alignment slot on the opposing sidewalls that is formed at container.
13. box according to claim 12 is characterized in that, groove extends out U-shaped basically.
CN2007800212130A 2006-06-10 2007-06-06 ophthalmic surgical cassette and system Active CN101472626B (en)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US81237806P 2006-06-10 2006-06-10
US60/812,378 2006-06-10
US11/758,048 2007-06-05
US11/758,048 US8303542B2 (en) 2006-06-10 2007-06-05 Ophthalmic surgical cassette and system
PCT/US2007/070471 WO2007143677A2 (en) 2006-06-10 2007-06-06 Ophthalmic surgical cassette and system

Related Child Applications (2)

Application Number Title Priority Date Filing Date
CN201110317722.6A Division CN102319456B (en) 2006-06-10 2007-06-06 ophthalmic surgical cassette and system
CN201110317723.0A Division CN102350011B (en) 2006-06-10 2007-06-06 Ophthalmic surgical cassette and system

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CN101472626A CN101472626A (en) 2009-07-01
CN101472626B true CN101472626B (en) 2011-12-07

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Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3318226B1 (en) 2016-11-03 2021-01-06 This AG Clean venturi aspiration
EP3318290B1 (en) 2016-11-03 2020-04-22 This AG Cassette for ophthalmological apparatus

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4773897A (en) * 1986-11-06 1988-09-27 Storz Instrument Company Collection container for ophthalmic surgical system
US5282787A (en) * 1989-03-16 1994-02-01 Surgin Surgical Instrumentation, Inc. Fluid transfer system incorporating disposable cassette
CN1596134A (en) * 2001-11-30 2005-03-16 博士伦公司 Aspiration flow meter and control

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4773897A (en) * 1986-11-06 1988-09-27 Storz Instrument Company Collection container for ophthalmic surgical system
US5282787A (en) * 1989-03-16 1994-02-01 Surgin Surgical Instrumentation, Inc. Fluid transfer system incorporating disposable cassette
CN1596134A (en) * 2001-11-30 2005-03-16 博士伦公司 Aspiration flow meter and control

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CN101472626A (en) 2009-07-01
ES2356099T3 (en) 2011-04-04

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