Steerable laser probe

• US 10,709,609 B2
• Filed: 01/02/2018
• Issued: 07/14/2020
• Est. Priority Date: 11/03/2011
• 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, Moore, Craig
• Primary Examiner(s): Nganga, Boniface
• Assistant Examiner(s): Lukjan, Sebastian X
• Application Number:
  US15/859,997
• Publication Number:
  US 20180369019A1
• Time in Patent Office: 924 Days
• 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 2017/00323 Cables or rods
• CPC Class Codes: A61B 2018/00172 Connectors and adapters therefor
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/0094 Types of switches or controllers
• CPC Class Codes: A61B 2018/20357 by movable optical fibre end
• 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: A61B 2018/2288 the optical fibre cable having a curved distal end
• CPC Class Codes: A61B 2034/715 Cable tensioning mechanisms for removing slack
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms
• 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
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

A steerable laser probe may include a handle, an actuation lever, an optic fiber, and a housing tube. The housing tube may have a first housing tube portion having a first stiffness and a second housing tube portion having a second stiffness. The second stiffs ness may be greater than the first stiffness. The optic fiber may be disposed within the housing tube and within an inner bore of the handle. An actuation of the actuation lever about a pivot pin of the handle may gradually curve the optic fiber. An actuation of the actuation lever about the pivot pin of the handle 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;

an actuation channel of the handle having an actuation channel distal end and an actuation channel proximal end;

an inner bore of the handle;

a single housing tube having a housing tube distal end and a housing tube proximal end wherein the housing tube is at least partially disposed in the handle;

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

a plurality of apertures of the first housing tube portion wherein at least two apertures of the plurality of apertures are configured to separate at least one solid portion of the housing tube;

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

a wire having a wire distal end and a wire proximal loop wherein the wire is disposed in the inner bore of the handle and the housing tube and wherein the wire distal end is adjacent to the housing tube distal end, the wire proximal loop being connected to a pulley mechanism of the handle;

an actuation lever having an actuation lever distal end and an actuation lever proximal end wherein the actuation lever is at least partially disposed in the handle; and

an optic fiber having an optic fiber distal end wherein the optic fiber is disposed in the inner bore of the handle and the housing tube and wherein the optic fiber distal end is adjacent to the housing tube distal end and wherein an actuation of the actuation lever in a first direction is configured to retract the wire relative to the housing tube and curve the housing tube and the optic fiber by compressing the first housing tube portion.

2. The ophthalmic laser probe of claim 1 wherein the actuation of the actuation lever in the first direction is configured to curve the optic fiber up to 45 degrees.

3. The ophthalmic laser probe of claim 1 wherein the actuation of the actuation lever in the first direction is configured to curve the optic fiber at least 45 degrees.

4. The ophthalmic laser probe of claim 1 wherein the actuation of the actuation lever in the first direction is configured to curve the optic fiber within an eye.

5. The ophthalmic laser probe of claim 4 wherein the actuation of the actuation lever in the first direction is configured to curve the optic fiber within the eye without increasing a length of the ophthalmic laser probe within the eye.

6. The ophthalmic laser probe of claim 4 wherein the actuation of the actuation lever in the first direction is configured to curve the optic fiber within the eye without decreasing a length of the ophthalmic laser probe within the eye.

7. The ophthalmic laser probe of claim 1 wherein an actuation of the actuation lever in a second direction is configured to extend the wire relative to the housing tube.

8. The ophthalmic laser probe of claim 1 wherein an actuation of the actuation lever in a second direction is configured to decompress the first housing tube portion.

9. The ophthalmic laser probe of claim 1 wherein an actuation of the actuation lever in a second direction is configured to straighten the housing tube.

10. The ophthalmic laser probe of claim 1 wherein an actuation of the actuation lever in a second direction is configured to straighten the optic fiber.

11. An ophthalmic laser probe comprising:

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

an actuation channel of the handle having an actuation channel distal end and an actuation channel proximal end;

an inner bore of the handle;

a single housing tube having a housing tube distal end and a housing tube proximal end wherein the housing tube is at least partially disposed in the handle;

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

a plurality of apertures of the first housing tube portion wherein at least two apertures of the plurality of apertures are configured to separate at least one solid portion of the housing tube;

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

a wire having a wire distal end and a wire proximal loop wherein the wire is disposed in the inner bore of the handle and the housing tube and wherein the wire distal end is adjacent to the housing tube distal end, the wire proximal loop being connected to a pulley mechanism of the handle;

an actuation lever having an actuation lever distal end and an actuation lever proximal end wherein the actuation lever is at least partially disposed in the handle; and

an optic fiber having an optic fiber distal end wherein the optic fiber is disposed in the inner bore of the handle and the housing tube and wherein the optic fiber distal end is adjacent to the housing tube distal end and wherein an actuation of the actuation lever in a first direction is configured to extend the wire relative to the housing tube and straighten the housing tube and the optic fiber by decompressing the first housing tube portion.

12. The ophthalmic laser probe of claim 11 wherein the actuation of the actuation lever in the first direction is configured to straighten the optic fiber up to 45 degrees.

13. The ophthalmic laser probe of claim 11 wherein the actuation of the actuation lever in the first direction is configured to straighten the optic fiber at least 45 degrees.

14. The ophthalmic laser probe of claim 11 wherein the actuation of the actuation lever in the first direction is configured to straighten the optic fiber within an eye.

15. The ophthalmic laser probe of claim 14 wherein the actuation of the actuation lever in the first direction is configured to straighten the optic fiber within the eye with-out increasing a length of the ophthalmic laser probe within the eye.

16. The ophthalmic laser probe of claim 14 wherein the actuation of the actuation lever in the first direction is configured to straighten the optic fiber within the eye without decreasing a length of the ophthalmic laser probe within the eye.

17. The ophthalmic laser probe of claim 11 wherein an actuation of the actuation lever in a second direction is configured to retract the wire relative to the housing tube.

18. The ophthalmic laser probe of claim 11 wherein an actuation of the actuation lever in a second direction is configured to compress the first housing tube portion.

19. The ophthalmic laser probe of claim 11 wherein an actuation of the actuation lever in a second direction is configured to curve the housing tube.

20. The ophthalmic laser probe of claim 11 wherein an actuation of the actuation lever in a second direction is configured to curve the optic fiber.