Medical handpiece with a light guide which can be displaced in an axial direction

• US 6,461,349 B1
• Filed: 04/24/2000
• Issued: 10/08/2002
• Est. Priority Date: 10/24/1997
• Status: Expired due to Term

• Current Assignee: Carl Zeiss Meditec AG (Carl-Zeiss-Stiftung)
• Original Assignee: Carl Zeiss Meditec AG (Carl-Zeiss-Stiftung)
• Inventors: Kloss, Thomas, Kalve, Berlind, Elbrecht, Jens
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): FARAH, AHMED M
• Application Number:
  US09/530,094
• Time in Patent Office: 897 Days
• Field of Search: 606/10, 606/13-16, 606/22, 606/127, 606/128, 606/131, 604/20-22, 385/15, 385/25, 385/27, 385/53, 385/31
• US Class Current: 606/16
• CPC Class Codes: A61B 18/201 with beam delivery through a hollow tube, e.g. forming an articulated arm through a flexible conduit A61B18/22; Hand-pieces therefor
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: G02B 6/4296 coupling with sources of high radiant energy, e.g. high power lasers, high temperature light sources

Abstract

A medical handpiece for transmitting energy from a laser beam into biological tissue. An optical fiber for conveying the laser beam to the handpiece and a light guide for radiating the laser energy into the tissue are arranged in a base body. Means are provided for aligning the optical axis of the light guide in relation to the optical axis of the fiber and means for aligning the optical axis of the light guide in relation to the base body are also provided. The light guide can be displaced in an axial direction in relation to the base body and the alignment can be set according to the direction of displacement or maintained. The light guide is easy to replace and the device is easy to clean in accordance with all hygiene requirements.

Claims

1. A medical handpiece for transmitting energy from a laser beam into biological tissue comprising:

an optical fiber for conveying the laser radiation;

a light guide for radiating the laser energy into the tissue; and

a suction cannula for the biological tissue that is comminuted by the action of the energy and in which the light guide extends;

said optical fiber, light guide and suction cannula being provided in a base body;

for purposes of alignment of the optical axis of the light guide with respect to the longitudinal axis of the suction cannula as well as with respect to the optical axis of the radiation-side end of the fiber, at least one adjusting face being allocated in each instance to the light guide, the suction cannula and the fiber so as to be fixed in place;

at least one of the adjusting faces assigned to the light guide corresponding with an adjusting face assigned to the suction cannula and with an adjusting face assigned to the fiber, and said light guide being displaceable in the axial direction relative to the suction cannula; and

wherein the alignment can be produced or canceled depending on the displacement direction; and

wherein an adjusting face is assigned to the light guide via an adjusting piece, which is fixedly connected with the light guide,

stops provided for limiting axial displacement of the light guide and

the stops are formed as stop faces vertical to the radiation direction, and at least one stop face is fixed with respect to the light guide and one stop face is fixed with respect to the suction cannula.

2. The handpiece according to claim 1, wherein an adjusting face assigned to the light guide and the adjusting face assigned to the base body or to the suction cannula are constructed as circular-cylindrical faces.

3. The handpiece according to claim 1, wherein the cylindrical surface assigned to the light guide is formed as an outer surface at an adjusting piece and the cylindrical surface assigned to the suction cannula being formed as an inner surface, and both cylindrical surfaces form a sliding fit, so that they are displaceable relative to one another in the axial direction.

4. The handpiece according to claim 1, wherein stops are provided for preventing the axial displacement of the light guide, wherein stop faces of the light guide are enclosed so as to be immovable in the axial direction between stop faces of the suction cannula and another part connected with the handpiece.

5. The handpiece according to claim 1, wherein stops are provided for limiting axial displacement, wherein stop faces of the light guide are enclosed with restricted freedom of movement in the axial direction between stop faces of the suction cannula and another part connected with the handpiece.

6. The handpiece according to claim 1, wherein a mechanical spring or an elastic body is provided between stop faces of the light guide and stop faces of the suction cannula, so that an axial displacement of the light guide is possible by increasing the spring pretensioning force or by deformation of the elastic body.

7. The handpiece according to claim 1, wherein the stop faces between which the stop faces of the light guide are enclosed so as to be immovable or with restricted freedom of movement in the axial direction are formed at different parts of the handpiece which are freely movable relative to one another.

8. The handpiece according to claim 1, wherein the adjusting face assigned to the light guide and the adjusting face assigned to the fiber are constructed as circular-cylindrical surfaces or as circular-conical surfaces with automatic centering properties, wherein the cylinder axes or cone axes extend parallel to the optical axis of the light guide or extend parallel to the optical axis of the fiber.

9. The handpiece according to claim 1, wherein means are provided for the frictional engagement or positive engagement of the light guide with the radiation-side end of the fiber with the optical axes of the light guide and fiber aligned relative to one another.

10. The handpiece according to claim 1, wherein the radiation-side end of the fiber is movable together with the light guide.

11. The handpiece according to claim 1, wherein sealing elements are provided between adjoining portions of the stop faces.

12. The handpiece according to claim 1, wherein the adjusting face assigned to the light guide and the adjusting face assigned to the base body or to the suction cannula are formed as circular-conical surfaces with an automatic centering property.

13. The handpiece according to claim 12, wherein the circular-conical surface assigned to the light guide is formed as an outer surface at an adjusting piece and the circular-conical surface assigned to the suction cannula is formed as an inner surface, and both circular-conical surfaces make contact precisely in the aligned position of the optical axis of the light guide.

14. The handpiece according to claim 13, wherein the direction of taper of the two circular-conical surfaces is identical to the direction of the laser radiation, so that the outer surface can be disengaged from the inner surface through movement in the axial direction, but opposite to the direction of the laser radiation.

15. A medical handpiece for transmitting energy from a laser beam into biological tissue comprising:

an optical fiber for conveying the laser radiation;

a light guide separated from said optical fiber for radiating the laser energy into the tissue; and

a suction cannula for the biological tissue that is comminuted by the action of the energy and in which the light guide extends;

said optical fiber, light guide and suction cannula being provided in a base body;

for purposes of automatic alignment of the optical axis of the light guide with respect to the longitudinal axis of the suction cannula as well as with respect to the optical axis of the radiation-side end of the fiber, at least one adjusting face being allocated in each instance to the light guide, the suction cannula and the fiber so as to be fixed in place;

at least one of the adjusting faces assigned to the light guide corresponding with an adjusting face assigned to the suction cannula and with an adjusting face assigned to the fiber, and said light guide being displaceable in the axial direction relative to the suction cannula; and

wherein the alignment can be produced or canceled depending on the displacement direction; and

wherein the adjusting face assigned to the light guide and the adjusting face assigned to the base body or to the suction cannula are formed as circular-conical surfaces with an automatic centering property;

wherein the circular-conical surface assigned to the light guide is formed as an outer surface at an adjusting piece and the circular-conical surface assigned to the suction cannula is formed as an inner surface, and both circular-conical surfaces make contact precisely in the aligned position of the optical axis of the light guide.