Steerable laser probe

• US 10,357,313 B2
• Filed: 12/29/2017
• Issued: 07/23/2019
• Est. Priority Date: 08/10/2012
• 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:
  US15/857,984
• Publication Number:
  US 20190053850A1
• Time in Patent Office: 571 Days
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 2017/00469 for insertion of instruments, e.g. guide wire, optical fibre
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/2238 with means for selectively laterally deflecting the tip of the fibre
• CPC Class Codes: A61F 9/00821 for coagulation

Abstract

A steerable laser probe may include a handle having a handle distal end and a handle proximal end, a plurality of actuation controls of the handle, a flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end, and an optic fiber disposed within an inner bore of the handle and the flexible housing tube. An actuation of an actuation control of the plurality of actuation controls may gradually curve the flexible housing tube. A gradual curving of the flexible housing tube may gradually curve the optic fiber. An actuation of an actuation control of the plurality of actuation controls may gradually straighten the flexible housing tube. A gradual straightening of the flexible housing tube may gradually straighten the optic fiber.

Claims

1. An ophthalmic laser probe comprising:

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

a handle base of the handle having a plurality of handle base limbs wherein each handle base limb of the plurality of the handle base limbs is at least partially disposed in a handle end cap;

an actuation mechanism guide of the handle;

an actuation mechanism having an actuation mechanism distal end and an actuation mechanism proximal end wherein the actuation mechanism is disposed in the actuation mechanism guide and wherein the actuation mechanism is configured to actuate in the actuation mechanism guide;

a plurality of actuation control guides of the handle, each actuation control guide having an actuation control guide distal end and an actuation control guide proximal end;

a plurality of actuation controls of the actuation mechanism, each actuation control having an actuation control distal end and an actuation control proximal end wherein the actuation control is disposed in the corresponding actuation control guide;

a single housing tube having a housing tube distal end and a housing tube proximal end wherein the housing tube proximal end is disposed in the handle and wherein the housing tube has dimensions configured for performing ophthalmic surgery;

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, and the housing tube wherein the optic fiber distal end is adjacent to the housing tube distal end and wherein a first actuation of the actuation controls in the actuation control guides is configured to actuate the actuation mechanism, apply a compressive force to a portion of the housing tube, compress the portion of the housing tube, curve the housing tube, and curve the optic fiber;

a buffer of the optic fiber configured to protect an optical property of the optic fiber; and

an SMA connector configured to interface with the optic fiber proximal end.

2. The ophthalmic laser probe of claim 1 wherein the first actuation of the actuation controls in the actuation control guides is configured to curve the housing tube up to 45 degrees.

3. The ophthalmic laser probe of claim 1 wherein the first actuation of the actuation controls in the actuation control guides is configured to curve the optic fiber up to 45 degrees.

4. The ophthalmic laser probe of claim 1 wherein the first actuation of the actuation controls in the actuation control guides is configured to curve the housing tube more than 45 degrees.

5. The ophthalmic laser probe of claim 1 wherein the first actuation of the actuation controls in the actuation control guides is configured to curve the optic fiber more than 45 degrees.

6. The ophthalmic laser probe of claim 1 wherein the housing tube is manufactured from a material having an ultimate tensile strength in a range of 700 to 1000 MPa.

7. The ophthalmic laser probe of claim 1 wherein the housing tube is manufactured from a material having a modulus of elasticity in a range of 30 to 80 GPa.

8. The ophthalmic laser probe of claim 1 wherein the first actuation of the actuation controls in the actuation control guides is configured to curve the housing tube within an eye.

9. The ophthalmic laser probe of claim 8 wherein the first actuation of the actuation controls in the actuation control guides is configured to curve the housing tube within the eye without increasing a length of the ophthalmic laser probe within the eye.

10. The ophthalmic laser probe of claim 8 wherein the first actuation of the actuation controls in the actuation control guides is configured to curve the housing tube within the eye without decreasing a length of the ophthalmic laser probe within the eye.

11. The ophthalmic laser probe of claim 1 wherein a second actuation of the actuation controls in the actuation control guides is configured to straighten the optic fiber.

12. The ophthalmic laser probe of claim 1 wherein a second actuation of the actuation controls in the actuation control guides is configured to straighten the housing tube.

13. The ophthalmic laser probe of claim 1 wherein a second actuation of the actuation controls in the actuation control guides is configured to reduce the compressive force applied to the portion of the housing tube.

14. The ophthalmic laser probe of claim 1 wherein a second actuation of the actuation controls in the actuation control guides is configured to decompress the portion of the housing tube.

15. The ophthalmic laser probe of claim 1 further comprising:

a cable having a cable distal end and a cable proximal end wherein the cable is disposed in the housing tube and a cable housing of the actuation mechanism.

16. An ophthalmic laser probe comprising:

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

a handle base of the handle having a plurality of handle base limbs wherein each handle base limb of the plurality of the handle base limbs is at least partially disposed in a handle end cap;

an actuation mechanism guide of the handle;

an actuation mechanism having an actuation mechanism distal end and an actuation mechanism proximal end wherein the actuation mechanism is disposed in the actuation mechanism guide and wherein the actuation mechanism is configured to actuate in the actuation mechanism guide;

a plurality of actuation control guides of the handle, each actuation control guide having an actuation control guide distal end and an actuation control guide proximal end;

a plurality of actuation controls of the actuation mechanism, each actuation control having an actuation control distal end and an actuation control proximal end wherein the actuation control is disposed in the actuation control guide;

a single housing tube having a housing tube distal end and a housing tube proximal end wherein the housing tube proximal end is disposed in the handle and wherein the housing tube has dimensions configured for performing ophthalmic surgery;

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, and the housing tube wherein the optic fiber distal end is adjacent to the housing tube distal end and wherein a first actuation of the actuation controls in the corresponding actuation control guides is configured to actuate the actuation mechanism, reduce a compressive force applied to a portion of the housing tube, decompress the portion of the housing tube, straighten the housing tube, and straighten the optic fiber;

a buffer of the optic fiber configured to protect an optical property of the optic fiber; and

an SMA connector configured to interface with the optic fiber proximal end.

17. The ophthalmic laser probe of claim 16 wherein a second actuation of the actuation controls in the actuation control guides is configured to curve the optic fiber.

18. The ophthalmic laser probe of claim 16 wherein a second actuation of the actuation controls in the actuation control guides is configured to curve the housing tube.

19. The ophthalmic laser probe of claim 16 wherein the housing tube is manufactured from a material having an ultimate tensile strength in a range of 700 to 1000 MPa.

20. The ophthalmic laser probe of claim 16 wherein the housing tube is manufactured from a material having a modulus of elasticity in a range of 30 to 80 GPa.