Ophthalmic surgical devices, systems, and methods for regulating aspiration from a patient's eye are provided. A vacuum pump in fluid communication with an aspiration line provides fluid aspiration from a vitreous chamber of the eye through the aspiration line. A sensor disposed adjacent to or inside the eye determines sensor data relating to an intraocular pressure (IOP). The controller receives the sensor data and regulates the aspiration in response to changes in the TOP, such as by controlling the vacuum pump. The controller may determine whether a fluid infusion to the vitreous chamber through an infusion line is below a maximum infusion level, regulate the infusion in response to the TOP being below a threshold value and the infusion being below the maximum infusion level, and regulate the aspiration in response to the TOP being below the threshold value and the infusion being at or above the maximum infusion level.

In accordance with some configurations, systems and methods for guided removal from an in vivo subject are provided. In some configurations, a method for removing an object is provided. The method comprising, guiding a flexible tube through a passageway of an in vivo subject, wherein the flexible tube comprises at least a first passageway and a second passageway. Positioning a distal end of the first passageway in proximity to the object. Infusing liquid through the second passageway substantially continuously. Removing the object through the first passageway with at least a portion of the liquid while suction is not being provided.

Apparatus, system and method for providing pressurized infusion of liquids and, more particularly, providing a stable and pressurized flow of fluid to the eye during surgery. Aspiration fluid may be received via an aspiration line at a first peristaltic pump, where aspiration fluid is transferred to a Venturi tank reservoir coupled to a second peristaltic pump. Fluid from a fluid source is provided via a third peristaltic pump to a pressurized infusion tank. A determination is made if the pressure in the pressurized infusion tank is at a predetermined level, where fluid may be transferred from the pressurized infusion tank to an irrigation line when pressure in the pressurized infusion tank is determined to be at the predetermined level. Alternate activation of a plurality of aspiration and irrigation lines are also provided.

A system for detecting intraocular pressure events during phacoemulsification surgery having a surgical console, a handpiece having a proximal end being communicatively connected to an irrigation line and an aspiration line; a first sensor in communication with the aspiration line or the irrigation line for providing a first measurement value; and a second sensor in communication with the aspiration line for providing a second measurement value; and wherein at least one characteristic of the irrigation fluid or aspiration fluid in their respective lines is changed in accordance with the difference between the first measurement value and the second measurement value. A system for calibrating patient eye level and wound leakage; detecting occlusion or post occlusion surge; determining BSS usage or remaining in a container; and detecting a fluid line abnormality using a first sensor and a second sensor in different configurations and differences in first and second measurement values.

Methods and systems are provided for diagnosis and possibly treatment of the large intestine, using samples from at least three portions of the large intestine, including sampling the ascending proximal portion thereof. Samples from the ascending portions of the large intestine were found to differ in their microbial characteristics significantly from prior art stool samples and from samples taken from the descending and transverse parts of the large intestine—enabling more accurate diagnosis and possibly more effective treatment of diseases of the large intestine.

The present invention relates generally to providing pressurized infusion of liquids and, more particularly, is directed to providing a stable and pressurized flow of irrigation fluid to the eye during surgery.

A medical device is provided for irrigation of a patient wound site. The device contains a tube having a proximal portion adapted to receive an irrigation solution, a distal portion having a nozzle and an intermediate portion for transporting the solution. The tube has a barrel portion that may be manipulated by a user to position the device relative to the wound site. A distinctive nozzle has a body formed with a distally leading channel presenting a semispherical first spatial conformation and a proximally leading opening formed in the body presenting a second spatial conformation intersecting the semispherical terminus. This geometry, derived from principles of flow mechanics discussed herein, defines what will be described as an “effective diameter” of the nozzle. An assembly and system utilizing the device are also disclosed. The invention utilizes a fluid-isolating durable peristaltic pump for a continuous flow of irrigation solution, along with a single use tube set that embodies the device.

Nanoparticles are suspended in a fluid medium which is activated using an ultrasonic transducer in contact with the fluid medium. The fluid may be injected into a body cavity and ultrasonically activated to induce a cavitation effect. The body cavity may contain a natural or artificial hard surface, inflamed or with a biofilm harnessing bacteria, such as a bone, joint or implant, as well as the surrounding tissue. In an embodiment, a treatment device may be used before, during or after a procedure such as a minimally invasive or open surgery to disinfect the body cavity via irrigation with liquid containing suspended nanoparticles and ultrasonically activated. The irrigation device may supply the cavity with the liquid and include therein an ultrasonic transducer. The cleaning and disinfecting process may be performed as treatment of infection in absence of another surgical procedure.

Fluid management systems are disclosed that include software-controlled, electro-mechanical devices used in combination with single-use or multi-use tubing sets. Functions of the fluid management systems can include fluid pressurization, fluid warming, fluid deficit monitoring (including flow-based and weight-based), suction, fluid collection, and fluid evacuation (including indirect-to-drain and direct-to-drain options). The systems can be configured based on the surgical environment (e.g., operating room or physician office) as well as other user needs and/or preferences.

A phacoemulsification system includes a pump and a processor. The pump includes: (i) a first chamber having a first volume and configured to flow a first fluid at a first flow rate, between a first reservoir and an eye of a patient, and (ii) a second chamber having a second volume and configured to flow a second fluid at a second flow rate, between a second reservoir and the eye. The processor is configured to control the pump to: (i) set a first flow rate of the first fluid in the first volume, so as to obtain a predefined intra-ocular pressure (IOP) in the eye, (ii) based on the first and second volumes and on the first flow rate, calculate a second flow rate of the second fluid that maintains the predefined IOP constant, and (iii) set the calculated second flow rate to the second fluid.