Background of the Invention
In the field of surgery, and in particular ophthalmic surgery, there are known in the prior art many cutting instruments which are operated by electrical or pneumatic power. These devices are advantageous in that they increase the cutting rate and cutting force which the surgeon may wield. In addition, they generally allow the surgeon to perform delicate procedures more easily, in that the cutting instrument may be held steady without requiring manual or digital action to effect the cutting action.
One such device is a pneumatic scissors handpiece, otherwise termed an intraocular microscissors. In these devices a piston driven by pneumatic pulses is adapted to drive the scissor blades to open and close rapidly and repeatedly. Although this device is extremely useful, it does have serious drawbacks. One major failing is that the piston action is so rapid that it cannot be controlled to effect a partial closure of the blades. Partial closure of the scissor blades is frequently necessary. For example, when an ophthalmic surgeon is cutting the retinal membrane, one of the blades must be gradually inserted or "teased" under the membrane without damaging the underlying tissue, and the blades must be closed and opened gradually to prevent irreversible trauma to the retinal tissue. The pneumatically driven cutting instruments known in the prior art cannot perform this delicate procedure, as each pneumatic pulse causes the blades to close rapidly and completely and chop the tissue therebetween.
To overcome this deficiency in the pneumatically driven instruments, other automatic scissors arrangements have been devised using, e.g., a stepper motor coupled to a threaded member to close and open the scissor blades with greater proportional control. These devices suffer from poor control of the handpiece, due to the gyroscopic precessional force exerted by the rapidly rotating motor. Other devices use a cable-in-sleeve arrangement to operate the blades from a distant motive source. These instruments are imprecise, in that repositioning and other movement of the handpiece may alter the relationship of the cable and sleeve and cause unforeseen and undesirable closure of the blades. Thus there is no known power-operated surgical device in the prior art which is designed to perform gradual cutting, termed proportional cutting.
Summary of the Present Invention
The present invention generally comprises a system for operating a pneumatic scissors or microscissors to achieve proportional cutting. The system for proportional control of a pneumatic cutting device includes a linear solenoid valve having a flow rate therethrough proportional to the current passing through the solenoid. The linear solenoid valve is actuated by a selectively varied electrical signal generated by a potentiometer or the like operated by a pedal foot controller. Regulated fluid pressure is fed through the linear solenoid valve to a pneumatic cutting device such as an intraocular microscissors which closes increasingly as the applied pressure increases. The linear solenoid valve includes a flow path which is variably constricted or closed by a valve member, and a solenoid which is arranged to pull the valve member to open the flow path. An elastic member is disposed to resiliently bias the valve member to the closed position; the linear restoring force of the elastic member provides a generally linear relationship between the fluid flow-through rate and the current through the solenoid, and a proportional relationship between the control pedal position and closure of the cutting device.
Brief Description of the Drawings
FIG. 1 is a functional block diagram of the system of the present invention for driving a pneumatic cutting device in a proportional cutting mode.
FIG. 2 is a cross-sectional elevation of the linear solenoid valve of the present invention.
FIG. 3 is a schematic representation of the linear solenoid valve of the present invention.
Description of the Preferred Embodiment
The present invention generally comprises a pneumatic system 10 for driving a pneumatically operated cutting instrument in a proportional cutting mode. It may be used with a wide range of pneumatic cutting instruments, and in particular ophthalmic surgical devices. One such device is an intraocular microscissors, manufactured by Greishaber, Inc. of Switzerland, although the present invention is not limited to this instrument.
A salient feature of the present invention is the provision of a linear solenoid valve. With regard to FIGS. 2 and 3, the construction of the linear solenoid valve 11 includes a solenoid coil 32 wound about a hollow tubular member 33. One end of the tubular member 33 is sealed by a plug 34, and the stem of a valve member 36 is slidably received in the other end portion of the member 33. A significant feature of the invention is the provision of an elastic member 35 disposed between the plug 34 and the valve stem 36 to bias the latter member outwardly of the tube 33. The member 35 may comprise elastomeric rubber, foamed plastic, or the like, and it exhibits a restoring force which varies linearly with the amount of compression applied thereto.
A valve head member 37 is secured at the open end of the tube 33, and includes a valve seat 38 adapted to receive the distal end of the valve stem 36. A collar 39 is secured to the member 37 by threads, and an O-ring seal 21 retains pressure in the assembly. A valve port member 22 is joined to the collar, and includes an inlet port 23 and an outlet port 24. The flow path between the inlet and outlet includes an orifice 26 which is selectively and variably opened by axial translation of the valve member 36. The magnetic force generated by the solenoid coil 32 drives the valve stem 36 toward the plug 34, thus opening the orifice 26. However, this translation is opposed by the linear restoring force of the elastic member 35, so that an incremental increase in the fluid flow through the orifice 26 requires an incremental increase in the magnetic force driving the valve stem and thus in the current fed through the coil 32. The elastic member also provides a damping effect to the motion of the valve stem, and thus is superior to a metal spring or the like. The material of the elastic member is generally serviceable through approximately one billion operating cycles.
The linear solenoid valve is supplied with pressurized fluid from a pressure regulator 12 connected to the input port 23. The output port is connected to a pneumatic cutting device, such as a pneumatic scissors 13. The solenoid coil 32 is electrically powered by a direct current signal provided by a variable power supply 18 controlled by a potentiometer 14. A foot controller 16 is also provided, with the pedal 17 thereof connected in actuating fashion to the wiper of the potentiometer. That is, the angular position of the pedal 17 determines the voltage applied to the coil 32, and thus the current passing through the coil. As the pedal is increasingly depressed, the current increases and the solenoid increases the opening of the valve. Likewise, when the pedal is released to return upwardly, the current decreases and the solenoid permits the valve member 36 to translate toward the port 26 to further restrict the flow therethrough.
It may be appreciated that as the valve opening increases, the pressure applied to the scissors 13 increases, causing the scissor blades to decrease the angle therebetween and close on any tissue disposed therebetween. Thus pressing down on the pedal 17 drives the blades to close in accordance with the amount of angular excursion of the pedal. As a result, proportional cutting using the pneumatic scissors is easily achieved. Repeated cycling of the scissors may be accomplished by repeatedly depressing and releasing the pedal.
It should be noted that other types of controllers may be used in place of the pedal controller 16, and that other variable voltage sources may be employed in place of the potentiometer 14, without departing form the present invention.