PORT FEATURES FOR ULTRASONIC VITRECTOMY TIP
Provided herein are systems, methods, and apparatuses that include a vitrectomy tip having port features for improved severing of vitreous fibers in a vitrectomy procedure. The vitrectomy tip may include one or more filaments traversing a port formed in the vitrectomy tip. The one or more filaments separate the port into a plurality of openings. When the vitrectomy tip is ultrasonically vibrated, the filaments impact the vitreous fibers causing them to sever. In this way, the filaments serve as severing elements to separate the vitreous fibers from the eye, thereby providing or improving the ability of the vitrectomy tip to perform the vitrectomy procedure.
1 . An ultrasonic vitrectomy instrument comprising:
a handpiece comprising an ultrasonic horn operable to transmit ultrasonic vibrations; and
a vitrectomy tip attached to the handpiece and operable to vibrate in response to the ultrasonic vibrations transmitted by the ultrasonic horn, the vitrectomy tip comprising:
a proximal end;
a distal end;
an elongated portion extending from the proximal end to the distal end;
a port located at the distal end of the vitrectomy tip; and
at least one filament separating the port into a plurality of openings.
2 . The ultrasonic vitrectomy instrument according to claim 1 , wherein the at least one filament is a wire.
3 . The ultrasonic vitrectomy instrument according to claim 1 , wherein the at least one filament comprises at least two filaments separating the port into at least four openings.
4 . The ultrasonic vitrectomy instrument according to claim 3 , wherein each of the at least two filaments is a wire.
5 . The ultrasonic vitrectomy instrument according to claim 1 , wherein the handpiece is adapted to transmit torsional ultrasonic vibrations to the vitrectomy tip.
6 . The ultrasonic vitrectomy instrument according to claim 5 , wherein the torsional ultrasonic vibrations cause oscillating movement of the vitrectomy tip in which the vitrectomy tip rotates back and forth between a first rotational direction and a second rotational direction.
7 . The ultrasonic vitrectomy instrument according to claim 6 , wherein the torsional ultrasonic vibrations cause the vitrectomy tip to rotate back and forth in angular rotations less than 360 degrees.
8 . The ultrasonic vitrectomy instrument according to claim 6 , wherein the torsional ultrasonic vibrations cause the vitrectomy tip to rotate back and forth in angular rotations less than 45 degrees.
9 . The ultrasonic vitrectomy instrument according to claim 1 , wherein the handpiece is adapted to transmit longitudinal ultrasonic vibrations to the vitrectomy tip.
10 . The ultrasonic vitrectomy instrument according to claim 1 , wherein the handpiece is adapted to transmit both torsional and longitudinal ultrasonic vibrations to the vitrectomy tip.
11 . The ultrasonic vitrectomy instrument according to claim 1 , wherein the port located at the distal end of the vitrectomy tip is formed at a distal tip of the elongated portion.
12 . The ultrasonic vitrectomy instrument according to claim 1 , wherein the port is formed in a sidewall of the elongated portion.
13 . A system for an ultrasonic vitrectomy procedure comprising:
a console comprising a control system;
a handpiece connected to the console, the control system of the console configured to control ultrasonic vibrations generated by the handpiece, the handpiece comprising:
an ultrasonic horn operable to transmit ultrasonic vibrations;
an electrical cable extending between the handpiece and the control system, the electrical cable configured to transmit control signals to the handpiece, the control signals operable to control the generation of the ultrasonic vibrations;
an aspiration line extending between the handpiece and the console, the aspiration line configured to convey aspirated materials from the handpiece to the console; and
a vitrectomy tip attached to the handpiece and defining a channel in fluid communication with the aspiration line, the vitrectomy tip configured to vibrate ultrasonically in response to the ultrasonic vibrations transmitted to the vitrectomy tip from the ultrasonic horn, the vitrectomy tip comprising:
a proximal end;
a distal end;
a elongated portion extending from the proximal end to the distal end;
a port formed in the elongated portion at the distal end of the vitrectomy tip, the port providing fluid communication between the channel and an exterior of the vitrectomy tip and configured to receive vitreous fibers; and
at least one filament separating the port into a plurality of openings.
14 . A method of performing a vitrectomy procedure comprising:
inserting a vitrectomy tip defining a channel extending therethrough and coupled to a handpiece into a posterior segment of an eye, the handpiece comprising an ultrasonic horn configured to transmit ultrasonic vibrations to the vitrectomy tip, the vitrectomy tip comprising:
a proximal end;
a distal end;
a longitudinal portion extending from the proximal end to the distal end;
a port formed in the elongated portion at the distal end of the vitrectomy tip, the port providing fluid communication between the channel and an exterior of the vitrectomy tip; and
at least one filament separating the port into a plurality of openings;
ultrasonically vibrating the vitrectomy tip within the posterior segment while applying suction to the longitudinal tube of the vitrectomy tip;
severing vitreous fibers with the at least one filament; and
aspirating the severed vitreous fibers from the posterior segment of the eye.
15 . The method according to claim 14 , wherein the at least one filament is a wire.
16 . The method according to claim 14 , wherein the at least one filament comprises two filaments separating the port into four openings.
17 . The method according to claim 16 , wherein each of the two filaments is a wire.
18 . The method according to claim 14 , wherein the handpiece transmits torsional ultrasonic vibrations to the vitrectomy tip.
19 . The method according to claim 18 , wherein the torsional ultrasonic vibrations cause oscillating movement of the vitrectomy tip in which the vitrectomy tip rotates back and forth between a first rotational direction and a second rotational direction.
20 . The method according to claim 18 , wherein the handpiece transmits both torsional and longitudinal ultrasonic vibrations to the vitrectomy tip.