WO2001030281A1 - Scalpel pneumatique - Google Patents
Scalpel pneumatique Download PDFInfo
- Publication number
- WO2001030281A1 WO2001030281A1 PCT/NL2000/000766 NL0000766W WO0130281A1 WO 2001030281 A1 WO2001030281 A1 WO 2001030281A1 NL 0000766 W NL0000766 W NL 0000766W WO 0130281 A1 WO0130281 A1 WO 0130281A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- compressed air
- cutting
- frequency
- pulse
- cutter according
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/00736—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
- A61F9/00763—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments with rotating or reciprocating cutting elements, e.g. concentric cutting needles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00137—Details of operation mode
- A61B2017/00154—Details of operation mode pulsed
- A61B2017/00181—Means for setting or varying the pulse energy
- A61B2017/0019—Means for setting or varying the pulse width
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00137—Details of operation mode
- A61B2017/00154—Details of operation mode pulsed
- A61B2017/00194—Means for setting or varying the repetition rate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00544—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically
Definitions
- the invention relates to a surgical cutter according to the preamble of claim 1.
- US 5,630,827 Such a surgical cutter is known from US 5,630,827 and is applied for cutting eye tissue.
- US 5,630,827 describes a pneumatic cutter with a compressed air supply which is provided with a frequency control for controlling the pulse frequency in which the compressed air pulses are supplied to the drive. From the passage in column 4, lines 42 - 49, it appears that only a clock circuit 721 is present. It is not described that the amount of energy supplied per compressed air pulse can be reduced with increasing pulse frequency.
- US 4,940,468 also describes a pneumatic cutter provided with a compressed air supply whose pulse frequency can be controlled. Fig. 12 merely shows that the pulse frequency can be controlled, not that the amount of energy supplied per compressed air pulse can be controlled.
- US 4,838,259 describes a respiratory support device provided with control means for modulating, depending on a pulse frequency, the width of an air pulse to be delivered by a compressed air valve. US 4,838,259 does not describe that such a device can be applied to reduce the energy supplied per compressed air pulse at a higher pulse frequency in order to compensate for an amount of compressed air energy still present in a compressed air cylinder of a pneumatic drive of surgical cutting tools.
- the cutting member comprises a knife arranged to be movable along a cutting opening.
- a drive designed as a pneumatic operating cylinder
- the knife is driven along the cutting opening in a reciprocating manner.
- the pneumatic drive is furnished with compressed air pulses by means of a compressed air supply.
- the compressed air supply comprises a compressed air hose, connectable to a compressed air source, which, via an electromagnetically controllable compressed air valve, is furnished with compressed air pulses which are supplied to the drive.
- the compressed air pulses then effect an outward stroke of the plunger of the operating cylinder, whereby the knife is driven to close off the cutting opening.
- a return stroke of the compressed air cylinder, and consequently the opening of the cutting opening, is realized by means of a spring acting on the plunger.
- the compressed air pressure in the chamber of the operating cylinder is released through a valve to the outside air or the compressed air hose.
- the pulse frequency in which the compressed air pulses are supplied to the drive can be set with the help of a frequency control.
- the cutting frequency can be controlled depending on the desired cutting speed. Particularly when cutting delicate tissue, such as eye tissue, it is important that a sufficiently high cutting frequency can be realized. Furthermore, it is important that the cutting frequency be adjustable, and preferably continuously variable, from a low cutting frequency up to the high cutting frequency.
- a drawback of the known pneumatic cutter is that the maximum cutting frequency is not sufficiently high.
- the maximum cutting frequency of the known pneumatic cutter is limited to about 800 cutting movements per minute. Above this cutting frequency, the plunger in the known device is found not to return to the initial position, and the cutting opening remains closed.
- the object of the invention is to provide a cutter of the type mentioned in the preamble, with which, while maintaining its advantages, the drawbacks mentioned are avoided.
- the cutter according to the invention is characterized by the features of claim 1. What is thus achieved is that in an elegant manner a considerably higher maximum cutting frequency can be realized.
- the maximum cutting frequency can be considerably increased, for instance to at least 1,200 cutting movements per minute.
- the invention is based on the insight that, with the known cutter, during the return stroke of the plunger an air pressure is built up in the chamber of the operating cylinder and that, at higher pulse frequencies, this pressure has not yet been enabled to be discharged from the chamber.
- the known cutter can no longer return to the opened position.
- By presently reducing the energy supplied per compressed air pulse at higher pulse frequencies it is achieved that compensation is possible for the compressed air energy still present in the cylinder, so that, during the return stroke, the piston can indeed return to the initial position through spring action.
- the amount of compressed air energy supplied with each pulse is controlled by modulation means which modulate the width of the compressed air pulse, i.e. the pulse time, depending on the pulse frequency.
- the control means comprise a microprocessor.
- a further advantageous embodiment further comprises means for measuring the compressed air pressure in the cylinder and/or supply line, in particular during the return stroke of the compressed air cylinder.
- the compressed air supply for supplying the compressed air in pulses comprises at least two compressed air supply valves, preferably arranged parallel, which are operated in opposite phase. What is achieved in this manner is that the pulse frequency can be increased in an elegant manner; in the known cutter, even a cutting frequency of 2,000 cutting movements per minute can be achieved.
- the invention also relates to control means for reducing the energy of compressed air pulses with increasing pulse frequency. Further advantages of the invention are reflected in the subclaims.
- Fig. 1 shows a schematic representation of the different parts of the surgical eye cutter
- Fig. 2 shows a schematic cross section of the pneumatic drive and the cutting member
- Fig. 3 shows an electronic diagram of a control for modulating the length of the compressed air pulses depending on the frequency. It is noted that the figures are only schematic representations of an exemplary embodiment. In the figures, identical or corresponding parts are designated by the same reference numerals.
- Fig. 1 shows the different parts of the surgical eye cutter 1.
- the eye cutter 1 comprises a cutting member 2 and a pneumatic drive 3 accommodated in a handle.
- the cutter 1 further comprises a compressed air supply 4 for supplying compressed air in pulses to the drive 3, so that it can drive the cutting movement of the cutting member 2 at a cutting frequency.
- the cutter 1 further comprises a frequency control 5 for controlling the frequency with which the compressed air pulses are supplied to the drive 3.
- the cutter 1 comprises control means 6 for reducing, with increasing pulse frequency, the energy supplied to the drive with each compressed air pulse.
- the control means are designed as a microprocessor 6.
- Fig. 1 shows that the cutting member of the cutter 1 comprises a knife 8, arranged to be movable along a cutting opening 7.
- the drive 3 is designed as a pneumatic operating cylinder 9 and will be further described hereinafter with reference to Fig. 2.
- the compressed air supply 4 comprises a compressed air hose 11, connectable to a compressed air source 10, and which is furnished with compressed air pulses through an electromagnetically controllable compressed air valve 12, which pulses are fed to the drive 3.
- the compressed air pulses then effect an outward stroke of the plunger 13 of the pneumatic operating cylinder 9 (Fig. 2).
- the knife 8 is thereby driven to close off the cutting opening 7.
- a return stroke of the operating cylinder 9, whereby the cutting opening 7 is opened, is accomplished by means of a spring 15 which acts on the plunger 13.
- the cutter further comprises a frequency control 5 for controlling the pulse frequency in which the compressed air pulses are fed to the drive 3.
- the frequency control 5 is designed as an electronic circuit which is coupled to the electromagnetically operable compressed air valve 12. With the help of the frequency control, the number of compressed air pulses delivered by the compressed air valve per unit time can be set, for instance from 1 to 1,500 pulses per minute. Such frequency controls are known to the skilled person and will therefore not be further elucidated here.
- the pulse frequency in which the compressed air pulses are fed to the chamber 15 of the operating cylinder 9 can be set, so that the cutting frequency of the cutting member can be adjusted to the cutting speed with which the cutting member 2 is moved through the tissue to be cut.
- the control means 6 designed as modulation means with increasing frequency of the pulses, the width of the individual pulses can be reduced.
- An example of the modulation of the pulse width, depending on the pulse frequency, is, for instance, a linear decrease of the pulse width from 30 milliseconds to 8 milliseconds at a linearly increasing frequency from 1 to 1,350 cutting movements per minute.
- the height of the pressure of the compressed air pulses then remains the same.
- the pneumatic energy supplied to the chamber 15 per compressed air pulse can be compensated in a simple manner for the energy which, to an increasing extent with increasing cutting frequency, is left behind in the chamber, i.e. has not dissipated yet, during the return stroke of the plunger 13.
- the modulation means comprise an electronic control. The constructional details of such a pulse width modulation control will be clear to the skilled person.
- Fig. 3 it is shown how the frequency control 5 and the pulse width modulation means 6 can be integrated in a microprocessor 16.
- the microprocessor 16 is coupled, via an analogue/digital converter 17, to a foot pedal 18 with which the desired cutting frequency can be set. Further, the microprocessor 16 can be coupled to a computer via a standard RS 232 input port 19, to program the desired relation between the increase of the frequency and the decrease of the pulse width.
- the microprocessor 6 is connected via a buffer 20 to the electromagnetically operable compressed air valve 12.
- the microprocessor 16 can further be coupled to pressure measuring means by which the air pressure present in the chamber 15 during the return stroke can be measured, so that, depending on the desired cutting frequency, the amount of compressed air energy supplied per compressed air pulse to the chamber 15 can be adjusted to the air pressure still present, in such a way that the return stroke of the plunger 13, under the action of the spring 14, can still be just realized and the knife 8 will still leave the cutting opening 7 just clear entirely.
- the cutting member 2 can also be provided with several cutting openings 7'.
- Fig. 1 shows that the cutter 1 is further equipped with a suction line 25.
- Fig. 1 further shows that between the compressed air source 10 and the electromagnetically operable valve 12, a reducing valve 27 is arranged, for instance for reducing a pressure source pressure of 6 bar to a pressure of 2.6-3 bars to be applied to the valve 12.
- a reducing valve 27 is arranged, for instance for reducing a pressure source pressure of 6 bar to a pressure of 2.6-3 bars to be applied to the valve 12.
Landscapes
- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Heart & Thoracic Surgery (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP00978102A EP1221920A1 (fr) | 1999-10-22 | 2000-10-20 | Scalpel pneumatique |
AU15594/01A AU1559401A (en) | 1999-10-22 | 2000-10-20 | Surgical pneumatic cutter |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
NL1013376 | 1999-10-22 | ||
NL1013376A NL1013376C2 (nl) | 1999-10-22 | 1999-10-22 | Chirurgisch snijgereedschap. |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2001030281A1 true WO2001030281A1 (fr) | 2001-05-03 |
Family
ID=19770118
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/NL2000/000766 WO2001030281A1 (fr) | 1999-10-22 | 2000-10-20 | Scalpel pneumatique |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP1221920A1 (fr) |
AU (1) | AU1559401A (fr) |
NL (1) | NL1013376C2 (fr) |
WO (1) | WO2001030281A1 (fr) |
Cited By (17)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP1199053A1 (fr) * | 2000-10-20 | 2002-04-24 | Nidek Co., Ltd. | Instrument chirurgical pour humeur vitreuse |
WO2003047438A1 (fr) * | 2001-11-29 | 2003-06-12 | Dornier Medtech Gmbh | Appareil de therapie par ondes de choc ou par ondes de compression, par exemple, lithotriteur |
WO2010077576A1 (fr) * | 2008-12-08 | 2010-07-08 | Bausch & Lomb Incorporated | Système d'utilisation et de commande d'une sonde de vitrectomie actionnée pneumatiquement |
WO2011025658A1 (fr) * | 2009-08-31 | 2011-03-03 | Alcon Research, Ltd. | Régulation de la sortie de pression pneumatique par étalonnage du cycle de service dune vanne de commande |
US7988631B2 (en) | 2005-08-05 | 2011-08-02 | Dornier Medtech Systems Gmbh | Shock wave therapy device with image production |
GB2480232A (en) * | 2010-05-05 | 2011-11-16 | Arumugam Gunasegaran | Gas energiser device eg for the intake of an i.c. engine |
WO2013180718A1 (fr) * | 2012-05-31 | 2013-12-05 | Medical Instrument Development Laboratories, Inc. | Tube multi-étages pour lame chirurgicale pneumatique à vitesse rapide |
US20130325044A1 (en) * | 2012-05-31 | 2013-12-05 | Medical Instrument Development Laboratories, Inc. | Multi-stage tubing for high-speed pneumatic surgical cutter |
US8666556B2 (en) | 2009-12-10 | 2014-03-04 | Alcon Research, Ltd. | Systems and methods for dynamic feedforward |
US8728108B2 (en) | 2009-12-10 | 2014-05-20 | Alcon Research, Ltd. | Systems and methods for dynamic pneumatic valve driver |
US8808318B2 (en) | 2011-02-28 | 2014-08-19 | Alcon Research, Ltd. | Surgical probe with increased fluid flow |
US8821524B2 (en) | 2010-05-27 | 2014-09-02 | Alcon Research, Ltd. | Feedback control of on/off pneumatic actuators |
US9060841B2 (en) | 2011-08-31 | 2015-06-23 | Alcon Research, Ltd. | Enhanced flow vitrectomy probe |
US9615969B2 (en) | 2012-12-18 | 2017-04-11 | Novartis Ag | Multi-port vitrectomy probe with dual cutting edges |
US9693898B2 (en) | 2014-11-19 | 2017-07-04 | Novartis Ag | Double-acting vitreous probe with contoured port |
US10070990B2 (en) | 2011-12-08 | 2018-09-11 | Alcon Research, Ltd. | Optimized pneumatic drive lines |
US10231868B2 (en) | 2013-03-13 | 2019-03-19 | D.O.R.C. Dutch Ophtalmic Research Center (International) B.V. | Eye surgical cutting tool |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4753234A (en) * | 1986-11-03 | 1988-06-28 | Miguel Martinez | Surgical cutting instrument having a offset probe for ophthalmic surgery |
US4838259A (en) | 1986-01-27 | 1989-06-13 | Advanced Pulmonary Technologies, Inc. | Multi-frequency jet ventilation technique and apparatus |
US4940468A (en) | 1988-01-13 | 1990-07-10 | Petillo Phillip J | Apparatus for microsurgery |
US5630827A (en) | 1995-06-19 | 1997-05-20 | Dutch Ophthalmic Research Center International Bv | Vitreous removing apparatus |
WO1997046164A1 (fr) * | 1996-06-07 | 1997-12-11 | Scieran Technologies, Inc. | Dispositif et procede a usage ophtalmique |
-
1999
- 1999-10-22 NL NL1013376A patent/NL1013376C2/nl not_active IP Right Cessation
-
2000
- 2000-10-20 EP EP00978102A patent/EP1221920A1/fr not_active Withdrawn
- 2000-10-20 AU AU15594/01A patent/AU1559401A/en not_active Abandoned
- 2000-10-20 WO PCT/NL2000/000766 patent/WO2001030281A1/fr active Search and Examination
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4838259A (en) | 1986-01-27 | 1989-06-13 | Advanced Pulmonary Technologies, Inc. | Multi-frequency jet ventilation technique and apparatus |
US4753234A (en) * | 1986-11-03 | 1988-06-28 | Miguel Martinez | Surgical cutting instrument having a offset probe for ophthalmic surgery |
US4940468A (en) | 1988-01-13 | 1990-07-10 | Petillo Phillip J | Apparatus for microsurgery |
US5630827A (en) | 1995-06-19 | 1997-05-20 | Dutch Ophthalmic Research Center International Bv | Vitreous removing apparatus |
WO1997046164A1 (fr) * | 1996-06-07 | 1997-12-11 | Scieran Technologies, Inc. | Dispositif et procede a usage ophtalmique |
Cited By (26)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6730106B2 (en) | 2000-10-20 | 2004-05-04 | Nidek Co., Ltd. | Vitreous surgical apparatus |
EP1199053A1 (fr) * | 2000-10-20 | 2002-04-24 | Nidek Co., Ltd. | Instrument chirurgical pour humeur vitreuse |
WO2003047438A1 (fr) * | 2001-11-29 | 2003-06-12 | Dornier Medtech Gmbh | Appareil de therapie par ondes de choc ou par ondes de compression, par exemple, lithotriteur |
US7988631B2 (en) | 2005-08-05 | 2011-08-02 | Dornier Medtech Systems Gmbh | Shock wave therapy device with image production |
JP2012510884A (ja) * | 2008-12-08 | 2012-05-17 | ボシュ・アンド・ロム・インコーポレイテッド | 空気圧駆動の硝子体切除プローブを動作させ制御するためのシステム |
CN102245139A (zh) * | 2008-12-08 | 2011-11-16 | 博士伦公司 | 用于操作和控制气动玻璃体切除探针的系统 |
US8328835B2 (en) | 2008-12-08 | 2012-12-11 | Bausch & Lomb Incorporated | System for operating and controlling a pneumatically driven vitrectomy probe |
WO2010077576A1 (fr) * | 2008-12-08 | 2010-07-08 | Bausch & Lomb Incorporated | Système d'utilisation et de commande d'une sonde de vitrectomie actionnée pneumatiquement |
WO2011025658A1 (fr) * | 2009-08-31 | 2011-03-03 | Alcon Research, Ltd. | Régulation de la sortie de pression pneumatique par étalonnage du cycle de service dune vanne de commande |
CN102497841A (zh) * | 2009-08-31 | 2012-06-13 | 爱尔康研究有限公司 | 通过驱动阀占空比校准进行的气动压力输出控制 |
US8818564B2 (en) | 2009-08-31 | 2014-08-26 | Alcon Research, Ltd. | Pneumatic pressure output control by drive valve duty cycle calibration |
US8728108B2 (en) | 2009-12-10 | 2014-05-20 | Alcon Research, Ltd. | Systems and methods for dynamic pneumatic valve driver |
US8666556B2 (en) | 2009-12-10 | 2014-03-04 | Alcon Research, Ltd. | Systems and methods for dynamic feedforward |
GB2480232A (en) * | 2010-05-05 | 2011-11-16 | Arumugam Gunasegaran | Gas energiser device eg for the intake of an i.c. engine |
GB2480232B (en) * | 2010-05-05 | 2012-04-11 | Arumugam Gunasegaran | A blow-by gas energiser device |
US8821524B2 (en) | 2010-05-27 | 2014-09-02 | Alcon Research, Ltd. | Feedback control of on/off pneumatic actuators |
US8808318B2 (en) | 2011-02-28 | 2014-08-19 | Alcon Research, Ltd. | Surgical probe with increased fluid flow |
US9060841B2 (en) | 2011-08-31 | 2015-06-23 | Alcon Research, Ltd. | Enhanced flow vitrectomy probe |
US10070990B2 (en) | 2011-12-08 | 2018-09-11 | Alcon Research, Ltd. | Optimized pneumatic drive lines |
US20130325044A1 (en) * | 2012-05-31 | 2013-12-05 | Medical Instrument Development Laboratories, Inc. | Multi-stage tubing for high-speed pneumatic surgical cutter |
WO2013180718A1 (fr) * | 2012-05-31 | 2013-12-05 | Medical Instrument Development Laboratories, Inc. | Tube multi-étages pour lame chirurgicale pneumatique à vitesse rapide |
US9629748B2 (en) | 2012-05-31 | 2017-04-25 | Medical Instrument Development Laboratories, Inc. | Multi-stage tubing for high-speed pneumatic surgical cutter |
US9615969B2 (en) | 2012-12-18 | 2017-04-11 | Novartis Ag | Multi-port vitrectomy probe with dual cutting edges |
US10231868B2 (en) | 2013-03-13 | 2019-03-19 | D.O.R.C. Dutch Ophtalmic Research Center (International) B.V. | Eye surgical cutting tool |
US11083623B2 (en) | 2013-03-13 | 2021-08-10 | D.O.R.C. Dutch Ophthalmic Research Center (International) B.V. | Eye surgical cutting tool |
US9693898B2 (en) | 2014-11-19 | 2017-07-04 | Novartis Ag | Double-acting vitreous probe with contoured port |
Also Published As
Publication number | Publication date |
---|---|
AU1559401A (en) | 2001-05-08 |
EP1221920A1 (fr) | 2002-07-17 |
NL1013376C2 (nl) | 2001-04-24 |
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