Steerable laser probe

• US 10,335,235 B2
• Filed: 11/16/2017
• Issued: 07/02/2019
• Est. Priority Date: 08/14/2012
• Status: Active Grant

• Current Assignee: Katalyst Surgical, LLC (Carl-Zeiss-Stiftung)
• Original Assignee: Katalyst Surgical, LLC (Carl-Zeiss-Stiftung)
• Inventors: Scheller, Gregg D, Zeid, Matthew N
• Primary Examiner(s): Jackson, Gary
• Assistant Examiner(s): Lukjan, Sebastian X
• Application Number:
  US15/814,572
• Publication Number:
  US 20180325734A1
• Time in Patent Office: 593 Days
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 18/22 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
• CPC Class Codes: A61B 2017/00318 Steering mechanisms
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00613 Irreversible electroporation reversible electroporation A61N1/327
• CPC Class Codes: A61B 2018/2238 with means for selectively laterally deflecting the tip of the fibre
• CPC Class Codes: A61B 2018/225 Features of hand-pieces A61B2018/2255 takes precedence
• CPC Class Codes: A61F 2009/00863 Retina
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00821 for coagulation
• CPC Class Codes: A61F 9/00823 Laser features or special beam parameters therefor

Abstract

A steerable laser probe may include a handle having a handle, a housing sleeve, a first portion of the housing sleeve having a first stiffness, a second portion of the housing sleeve having a second stiffness, an actuation control of the handle, an optic fiber disposed in an inner bore of the handle and the housing sleeve, and a shape memory wire having a pre-formed curve. An actuation of the actuation control may be configured to gradually curve the housing sleeve and the optic fiber. An actuation of the actuation control may be configured to gradually straighten the housing sleeve and the optic fiber.

Claims

1. A laser probe comprising:

a handle having a handle distal end and a handle proximal end;

an actuation mechanism guide of the handle;

a handle base of the handle having a handle base distal end and a handle base proximal end;

a handle end cap of the handle having a handle end cap distal end and a handle end cap proximal end;

an actuation control guide of the handle having an actuation control guide distal end and an actuation control guide proximal end;

an actuation mechanism having an actuation mechanism distal end and an actuation mechanism proximal end wherein the actuation mechanism is disposed in the handle base, the handle end cap, and the actuation mechanism guide and wherein the actuation mechanism guide is configured to facilitate an actuation of the actuation mechanism within the actuation mechanism guide;

an actuation control of the actuation mechanism wherein the actuation control is disposed in the actuation control guide;

a housing sleeve having a housing sleeve distal end and a housing sleeve proximal end, the housing sleeve having a non-uniform outer diameter;

a first housing sleeve portion of the housing sleeve having a first stiffness;

a plurality of apertures of the first housing sleeve portion;

a second housing sleeve portion of the housing sleeve having a second stiffness wherein the second stiffness is greater than the first stiffness;

a shape memory wire housing of the actuation mechanism, the shape memory wire having a shape memory wire distal end, a shape memory wire proximal end, and a pre-formed curve wherein the shape memory wire is disposed in the shape memory wire housing, the actuation mechanism guide, and the housing sleeve; and

an optic fiber having an optic fiber distal end and an optic fiber proximal end wherein the optic fiber is disposed in the handle, the actuation mechanism guide, and the housing sleeve wherein the optic fiber distal end is adjacent to the housing sleeve distal end and wherein an actuation of the actuation control within the actuation control guide towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the housing sleeve and the optic fiber within an eye.

2. The laser probe of claim 1 wherein the actuation of the actuation control within the actuation control guide towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the housing sleeve and the optic fiber within the eye without increasing a length of a portion of the laser probe in the eye.

3. The laser probe of claim 1 wherein the actuation of the actuation control within the actuation control guide towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the housing sleeve and the optic fiber within the eye without decreasing a length of a portion of the laser probe in the eye.

4. The laser probe of claim 1 wherein the actuation of the actuation control within the actuation control guide towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the housing sleeve and the optic fiber up to 45 degrees within the eye.

5. The laser probe of claim 1 wherein the actuation of the actuation control within the actuation control guide towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the housing sleeve and the optic fiber more than 45 degrees within the eye.

6. The laser probe of claim 1 wherein the actuation of the actuation control within the actuation control guide towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the housing sleeve and the optic fiber less than 45 degrees within the eye.

7. The laser probe of claim 1 further comprising:

a light source interface configured to interface with the optic fiber proximal end.

8. The laser probe of claim 7 wherein the light source interface is an SMA connector.

9. The laser probe of claim 1 wherein the actuation of the actuation control within the actuation control guide towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to actuate the actuation mechanism within the actuation mechanism guide.

10. The laser probe of claim 1 wherein an actuation of the actuation control within the actuation control guide towards the actuation control guide proximal end and away from the actuation control guide distal end is configured to straighten the housing sleeve within the eye.

11. The laser probe of claim 1 wherein an actuation of the actuation control within the actuation control guide towards the actuation control guide proximal end and away from the actuation control guide distal end is configured to straighten the optic fiber within the eye.

12. The laser probe of claim 1 wherein the shape memory wire is manufactured from nitinol.

13. A laser probe comprising:

a handle having a handle distal end and a handle proximal end;

an actuation mechanism guide of the handle;

a handle base of the handle having a handle base distal end and a handle base proximal end;

a handle end cap of the handle having a handle end cap distal end and a handle end cap proximal end;

an actuation control guide of the handle having an actuation control guide distal end and an actuation control guide proximal end;

an actuation mechanism having an actuation mechanism distal end and an actuation mechanism proximal end wherein the actuation mechanism is disposed in the handle base, the handle end cap, and the actuation mechanism guide and wherein the actuation mechanism guide is configured to facilitate an actuation of the actuation mechanism within the actuation mechanism guide;

an actuation control of the actuation mechanism wherein the actuation control is disposed in the actuation control guide;

a housing sleeve having a housing sleeve distal end and a housing sleeve proximal end, the housing sleeve having a non-uniform outer diameter;

a first housing sleeve portion of the housing sleeve having a first stiffness;

a plurality of apertures of the first housing sleeve portion;

a second housing sleeve portion of the housing sleeve having a second stiffness wherein the second stiffness is greater than the first stiffness;

a shape memory wire housing of the actuation mechanism, the shape memory wire having a shape memory wire distal end, a shape memory wire proximal end, and a pre-formed curve wherein the shape memory wire is disposed in the shape memory wire housing, the actuation mechanism guide, and the housing sleeve; and

an optic fiber having an optic fiber distal end and an optic fiber proximal end wherein the optic fiber is disposed in the handle, the actuation mechanism guide, and the housing sleeve wherein the optic fiber distal end is adjacent to the housing sleeve distal end and wherein an actuation of the actuation control within the actuation control guide towards the actuation control guide proximal end and away from the actuation control guide distal end is configured to straighten the housing sleeve and the optic fiber within an eye.

14. The laser probe of claim 13 wherein the actuation of the actuation control within the actuation control guide towards the actuation control guide proximal end and away from the actuation control guide distal end is configured to curve the housing sleeve and the optic fiber within the eye without increasing a length of a portion of the laser probe in the eye.

15. The laser probe of claim 13 wherein the actuation of the actuation control within the actuation control guide towards the actuation control guide proximal end and away from the actuation control guide distal end is configured to curve the housing sleeve and the optic fiber within the eye without decreasing a length of a portion of the laser probe in the eye.

16. The laser probe of claim 13 wherein an actuation of the actuation control within the actuation control guide towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the housing sleeve within the eye.

17. The laser probe of claim 13 wherein an actuation of the actuation control within the actuation control guide towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the optic fiber within the eye.

18. The laser probe of claim 13 wherein an actuation of the actuation control within the actuation control guide towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the optic fiber up to 45 degrees within the eye.