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WO2019068151A1 - Système de perfusion sous pression portatif pour chirurgie de la cataracte - Google Patents

Système de perfusion sous pression portatif pour chirurgie de la cataracte Download PDF

Info

Publication number
WO2019068151A1
WO2019068151A1 PCT/BR2017/050298 BR2017050298W WO2019068151A1 WO 2019068151 A1 WO2019068151 A1 WO 2019068151A1 BR 2017050298 W BR2017050298 W BR 2017050298W WO 2019068151 A1 WO2019068151 A1 WO 2019068151A1
Authority
WO
WIPO (PCT)
Prior art keywords
air
infusion bottle
automated
pump
tubing set
Prior art date
Application number
PCT/BR2017/050298
Other languages
English (en)
Inventor
Fernando COSTA
Original Assignee
Costa Fernando
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Costa Fernando filed Critical Costa Fernando
Priority to PCT/BR2017/050298 priority Critical patent/WO2019068151A1/fr
Publication of WO2019068151A1 publication Critical patent/WO2019068151A1/fr

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F9/00Methods 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
    • A61F9/007Methods or devices for eye surgery
    • A61F9/00736Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M5/145Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons
    • A61M5/155Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons pressurised by gas introduced into the reservoir

Definitions

  • the present invention generally pertains to phacoemulsification, the most performed type of cataract surgery, and more particularly to provide a pressurized and stable flow of irrigating fluid to the eye during the surgery using a portable pressurized infusion system that can be coupled with any commercially available phacoemulsification machine.
  • a probe (phaco tip) connected to a phacoemulsification machine through a small corneal incision to emulsify and break the cataract into small pieces.
  • fluid is typically infused into the eye, and the infusion fluid and the small pieces of cataract are aspirated from the surgical site.
  • an intraocular lens is implanted through the incision and most of the patients improve significantly their eyesight.
  • the present invention is a system and a method of delivering pressurized fluid to the eye preventing some very undesirable complications during the surgery in a portable way and that is not inside but can be easily coupled to any phacoemulsification machine, thus making the invention readily available to any surgeon regardless the phacoemulsification machine used.
  • An automated air pump is used to push air into the balanced salt solution (BSS) reservoir thus increasing the pressure with which the fluid flows into the eye.
  • BSS balanced salt solution
  • the system software may allow the surgeon to select a desired intraocular pressure and would then control the pump and valves to achieve and maintain the selected pressure.
  • Figure 1 is a schematically represents the connection of the air pump to the BSS (balanced salt solution) bottle.
  • a balanced salt solution (BSS) bottle 130 is taken and put in the phacoemulsifcation machine pole.
  • An automated air pump 100 which sucks atmospheric air and pushes it into a tubing set 1 1 0 is plugged on to the electrical connection.
  • the air filter 120 ensures that the air which is being pumped into the infusion bottle 130 is sterile and clean of particulate matter.
  • the tubing set 1 10 passes from the air pump 100 and the end of the tubing set 1 10 is passed into one infusion bottle 130. When the air pump 100 is switched on, it pumps air into the infusion bottle 130.
  • the air goes to the top of the infusion bottle 130 and because of the pressure it pumps the fluid down with greater force. With this, the fluid now flows from the infusion bottle 130 to reach the phacoemulsification machine probe 140.
  • the amount of fluid now coming out of the hand piece 140 is much more that would normally come out and with greater force. This extra amount of fluid coming out compensates for the instability or collapse of the anterior chamber of the eye, which would otherwise occur.
  • the surgeon may preset a desired intraocular pressure for each surgery and would then control the pump and valves to achieve and maintain the selected pressure.

Landscapes

  • Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Ophthalmology & Optometry (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Hematology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Anesthesiology (AREA)
  • Surgery (AREA)
  • Eye Examination Apparatus (AREA)

Abstract

L'invention concerne un système et un procédé portatifs qui peuvent être couplés à n'importe quelle machine de phacoémulsification disponible dans le commerce pour fournir un écoulement sous pression et stable d'un fluide d'irrigation à l'œil pendant la chirurgie empêchant certaines complications très indésirables. Une pompe à air automatisée est utilisée pour pousser l'air dans le réservoir de fluide, augmentant ainsi la pression avec laquelle le fluide s'écoule dans l'œil. Ceci augmente la pression à l'état stable de l'œil, rendant la chambre antérieure profonde et bien maintenue pendant toute la procédure.
PCT/BR2017/050298 2017-10-02 2017-10-02 Système de perfusion sous pression portatif pour chirurgie de la cataracte WO2019068151A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/BR2017/050298 WO2019068151A1 (fr) 2017-10-02 2017-10-02 Système de perfusion sous pression portatif pour chirurgie de la cataracte

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/BR2017/050298 WO2019068151A1 (fr) 2017-10-02 2017-10-02 Système de perfusion sous pression portatif pour chirurgie de la cataracte

Publications (1)

Publication Number Publication Date
WO2019068151A1 true WO2019068151A1 (fr) 2019-04-11

Family

ID=65994135

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/BR2017/050298 WO2019068151A1 (fr) 2017-10-02 2017-10-02 Système de perfusion sous pression portatif pour chirurgie de la cataracte

Country Status (1)

Country Link
WO (1) WO2019068151A1 (fr)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11071816B2 (en) 2017-10-04 2021-07-27 Johnson & Johnson Surgical Vision, Inc. System, apparatus and method for monitoring anterior chamber intraoperative intraocular pressure
US11446424B2 (en) 2017-10-04 2022-09-20 Johnson & Johnson Surgical Vision, Inc. Systems and methods for measuring fluid flow in a venturi based system
WO2023065555A1 (fr) * 2021-10-22 2023-04-27 温州医科大学附属眼视光医院 Système de stabilisation de pression servant à préparer avec précision une greffe de cornée endothéliale ultramince
US12076274B2 (en) 2020-07-13 2024-09-03 Johnson & Johnson Surgical Vision, Inc. Aspiration bypass control in a phacoemulsification probe
US12285360B2 (en) 2020-12-22 2025-04-29 Johnson & Johnson Surgical Vision, Inc. Reducing irrigation/aspiration valve response time in a phacoemulsification system

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2010058216A2 (fr) * 2008-11-20 2010-05-27 Surgicaledge Systems Limited Appareil et procédé de distribution de fluide
WO2016191665A1 (fr) * 2015-05-27 2016-12-01 Koplin Richard S Dispositif de phacoémulsification à retour de pression

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2010058216A2 (fr) * 2008-11-20 2010-05-27 Surgicaledge Systems Limited Appareil et procédé de distribution de fluide
WO2016191665A1 (fr) * 2015-05-27 2016-12-01 Koplin Richard S Dispositif de phacoémulsification à retour de pression

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11071816B2 (en) 2017-10-04 2021-07-27 Johnson & Johnson Surgical Vision, Inc. System, apparatus and method for monitoring anterior chamber intraoperative intraocular pressure
US11446424B2 (en) 2017-10-04 2022-09-20 Johnson & Johnson Surgical Vision, Inc. Systems and methods for measuring fluid flow in a venturi based system
US12076274B2 (en) 2020-07-13 2024-09-03 Johnson & Johnson Surgical Vision, Inc. Aspiration bypass control in a phacoemulsification probe
US12285360B2 (en) 2020-12-22 2025-04-29 Johnson & Johnson Surgical Vision, Inc. Reducing irrigation/aspiration valve response time in a phacoemulsification system
WO2023065555A1 (fr) * 2021-10-22 2023-04-27 温州医科大学附属眼视光医院 Système de stabilisation de pression servant à préparer avec précision une greffe de cornée endothéliale ultramince

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