Method and device for irrigation of body cavities
A pressure and a vision regulation method and device for irrigation of a body cavity ( 1 ), in which method an inflow liquid pump ( 2 ) pressurizes the irrigation liquid in a feed line ( 13 ) and in which an outflow device ( 3 ) or an external suction source ( 20 ) drains the irrigation liquid from the body cavity ( 1 ) through a tubing ( 16 ) into a waste container ( 17 ) and in which a control unit ( 4 ) controls either the inflow liquid pump ( 2 ) only or both the inflow liquid pump ( 2 ) and the outflow device ( 3 ) depending on an inflow irrigation liquid pressure from a pressure sensor ( 5 ), where the first control unit ( 4 ) compares the inflow irrigation liquid pressure and flow with pressures calculated to correspond to pressure in the body cavity for the respective flow for a nominal surgical site and that a matching between the calculated values and the inflow irrigation liquid pressures is made by altering the effect of either the inflow liquid pump ( 2 ) only or the inflow liquid pump ( 2 ) and/or the outflow device ( 3 ) and/or the shut off valve. The above-mentioned pressure registration method and the device for irrigation of a body cavity is combined with an method for detecting blood cells, red blood cells, haemoglobin and/or debris in liquid coming from a surgical site so an automatically control and rinsing system is achieved keeping a clear vision in the viewing area of the operational site.
1. A pressure regulation device for irrigation at a surgical site in a body cavity comprising:
an inflow liquid pump arranged to feed an irrigation liquid from a container though a feed line into a body cavity,
an outflow device arranged to drain the irrigation liquid from the body cavity through a tubing,
a first control unit controlling the inflow liquid pump and/or the outflow device,
optical sensors configured to be provided at an outflow site of the body cavity to register an amount of blood cells and/or red blood cells and/or haemoglobin and/or an amount of debris in the irrigation liquid, and
a second control unit that receives signals from the optical sensors indicating the amount of blood cells and/or red blood cells and/or haemoglobin and/or an amount of debris in the irrigation liquid, and based on the signals, controls the flow of irrigation liquid effected by the inflow liquid pump to the surgical site and/or the flow of irrigation liquid from the surgical site effected by the outflow device to rinse the surgical site until a level of clear vision in the body cavity is reached,
whereby the pressure regulation device automatically increases a flow of the inflow irrigation liquid when the amount of debris is increased in the irrigation liquid in or coming out of the surgical site or regulates the pump so that a pressure of the irrigation liquid is increased when the amount of blood cells or haemoglobin is increased in or coming out of the surgical site.
2. The device according to claim 1 , wherein a recalculation device is provided in the first control unit together with a calibration device for a pressure from a pressure sensor connected to the feed line and flow values that compares the inflow irrigation liquid pressure and flow with pressures calculated to correspond to pressures in the body cavity for the respective flow, and recalculates the pressure and flow at an actual surgical site by simultaneously stopping both the inflow liquid pump and the outflow device during a time interval and continuously registering the inflow irrigation liquid pressure of the pressure drop in the liquid volume between the inflow liquid pump and the outflow device during the time interval.
3. The device according to claim 1 , wherein there is a function to monitor leakage in the device and present this information to the operator, sound an alarm or stop the pump depending on the nature of the leakage.
4. The device according to any of claims 1 - 3 , wherein the device further comprises a clear vision module for registering the amount of debris in the liquid coming out from the surgical site and a separate blood identification module for registering the amount of blood cells, red blood cells and/or haemoglobin, wherein each of the clear vision module and the blood identification module is provided for cooperation with one or both sensors.
5. The device according to claim 1 , wherein the optical sensors comprise a light emitting diode and a photo detector.
6. The device according to claim 1 , wherein the optical sensors ( 21 , 22 ) comprise a video camera and a video signal processor, and wherein the video camera can be attached on a surgical instrument on a separate optical fiber or at the tubing on the outflow site of the surgical site.
7. The device according to claim 1 , wherein the outflow device is either an outflow liquid pump, an outflow shut off valve or a combination of an outflow shut off valve and an external suction device.
8. The device according to claim 1 , wherein the optical sensors include first and second optical sensors, and wherein the first optical sensor registers the amount of blood cells and/or red blood cells and/or haemoglobin in the irrigation liquid, and the second optical sensor registers the amount of debris in the irrigation liquid.