Steerable laser probe

• US 10,695,221 B2
• Filed: 08/07/2017
• Issued: 06/30/2020
• Est. Priority Date: 09/02/2011
• 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): Jenness, Nathan J
• Application Number:
  US15/670,594
• Publication Number:
  US 20170333254A1
• Time in Patent Office: 1,058 Days
• Field of Search: 606 4- 6, 606 13- 16
• 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 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/2238 with means for selectively laterally deflecting the tip of the fibre
• CPC Class Codes: A61B 2018/2288 the optical fibre cable having a curved distal end
• CPC Class Codes: A61F 2009/00863 Retina
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00821 for coagulation

Abstract

A steerable laser probe may include a handle having a handle proximal end and a handle distal end, an actuation structure of the handle, a housing sleeve, a shape memory sleeve at least partially disposed within the housing sleeve, and an optic fiber disposed within the shape memory sleeve and within an inner bore of the handle. A compression of the actuation structure may be configured to gradually curve the optic fiber. A compression of the actuation structure may be configured to gradually straighten the optic fiber. A decompression of the actuation structure may be configured to gradually curve the optic fiber. A decompression of the actuation structure may be configured to gradually straighten the optic fiber.

Claims

1. An ophthalmic surgical instrument comprising:

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

a handle base of the handle;

an actuation structure of the handle;

a plurality of actuation arms of the actuation structure;

a housing sleeve having a housing sleeve distal end and a housing sleeve proximal end;

a shape memory sleeve having a shape memory sleeve distal end and a shape memory sleeve proximal end wherein the shape memory sleeve is at least partially disposed in the housing sleeve;

a pre-formed angle of the shape memory sleeve;

an optic fiber having an optic fiber distal end and an optic fiber proximal end wherein the optic fiber is disposed in the shape memory sleeve;

a fixation mechanism disposed in a fixation mechanism housing of the handle wherein the fixation mechanism is configured to fix the optic fiber and the shape memory sleeve relative to the handle; and

an actuation cone having an actuation cone distal end and an actuation cone proximal end, the actuation cone at least partially disposed within the actuation structure wherein a compression of the actuation structure is configured to retract the actuation cone into the actuation structure and gradually curve the optic fiber.

2. The ophthalmic surgical instrument of claim 1 wherein the compression of the actuation structure is configured to retract the housing sleeve relative to the shape memory sleeve and the optic fiber.

3. The ophthalmic surgical instrument of claim 1 wherein the compression of the actuation structure is configured to expose the shape memory sleeve and the optic fiber from the housing sleeve distal end.

4. The ophthalmic surgical instrument of claim 1 wherein the optic fiber is fixed in a position in the shape memory sleeve.

5. The ophthalmic surgical instrument of claim 1 wherein the optic fiber distal end is adjacent to the shape memory sleeve distal end.

6. The ophthalmic surgical instrument of claim 1 wherein the shape memory sleeve is manufactured from nitinol.

7. The ophthalmic surgical instrument of claim 1 wherein the compression of the actuation structure is configured to gradually curve the shape memory sleeve.

8. The ophthalmic surgical instrument of claim 1 wherein a decompression of the actuation structure is configured to gradually straighten the optic fiber.

9. The ophthalmic surgical instrument of claim 1 wherein a decompression of the actuation structure is configured to extend the housing sleeve relative to the shape memory sleeve and the optic fiber.

10. The ophthalmic surgical instrument of claim 1 wherein a decompression of the actuation structure is configured to gradually straighten the shape memory sleeve.

11. An ophthalmic surgical instrument comprising:

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

a handle base of the handle;

an actuation structure of the handle;

a plurality of actuation arms of the actuation structure;

a housing sleeve having a housing sleeve distal end and a housing sleeve proximal end;

a shape memory sleeve having a shape memory sleeve distal end and a shape memory sleeve proximal end wherein the shape memory sleeve is at least partially disposed in the housing sleeve;

a pre-formed angle of the shape memory sleeve;

an optic fiber having an optic fiber distal end and an optic fiber proximal end wherein the optic fiber is disposed in the shape memory sleeve;

a fixation mechanism disposed in a fixation mechanism housing of the handle wherein the fixation mechanism is configured to fix the optic fiber and the shape memory sleeve relative to the handle; and

an actuation cone having an actuation cone distal end and an actuation cone proximal end, the actuation cone at least partially disposed within the actuation structure wherein a decompression of the actuation structure is configured to extend the actuation cone from the actuation structure and gradually straighten the optic fiber.

12. The ophthalmic surgical instrument of claim 11 wherein the decompression of the actuation structure is configured to extend the housing sleeve relative to the shape memory sleeve and the optic fiber.

13. The ophthalmic surgical instrument of claim 11 wherein the decompression of the actuation structure is configured to extend the housing sleeve over the shape memory sleeve and the optic fiber.

14. The ophthalmic surgical instrument of claim 11 wherein the optic fiber is fixed in a position in the shape memory sleeve.

15. The ophthalmic surgical instrument of claim 11 wherein the optic fiber distal end is adjacent to the shape memory sleeve distal end.

16. The ophthalmic surgical instrument of claim 11 wherein the shape memory sleeve is manufactured from nitinol.

17. The ophthalmic surgical instrument of claim 11 wherein the decompression of the actuation structure is configured to gradually straighten the shape memory sleeve.

18. The ophthalmic surgical instrument of claim 11 wherein a compression of the actuation structure is configured to gradually curve the optic fiber.

19. The ophthalmic surgical instrument of claim 11 wherein a compression of the actuation structure is configured to retract the housing sleeve relative to the shape memory sleeve and the optic fiber.

20. The ophthalmic surgical instrument of claim 11 wherein a compression of the actuation structure is configured to gradually curve the shape memory sleeve.