Retractable tip for vitrectomy tool

• US 8,608,753 B2
• Filed: 07/06/2012
• Issued: 12/17/2013
• Est. Priority Date: 08/09/2006
• Status: Active Grant

• Current Assignee: Insight Instruments, Inc.
• Original Assignee: Insight Instruments, Inc.
• Inventors: Luloh, K. Peter, Hassan, Tarek Shawky, Annen, Michael
• Primary Examiner(s): Houston, Elizabeth
• Application Number:
  US13/542,817
• Publication Number:
  US 20120283741A1
• Time in Patent Office: 529 Days
• Field of Search: 606/107, 606/167, 606/170, 606/180, 604/22, 604/44, 6041641-16412, 604/167.01, 604/170.01, 604/170.02
• US Class Current: 606/107
• CPC Class Codes: A61F 9/00763 with rotating or reciprocating cutting elements, e.g. concentric cutting needles atherectomy cutting instruments A61B17/3207; endoscopic cutting instruments A61B17/320016

Abstract

A probe for a vitrectomy tool is provided having a vitreous cutter tube having a blunt tip at a distal end and adapted to be coupled at a proximal end to a handpiece of a vitrectomy tool; a retractable outer trocar tube surrounding the vitreous cutter tube having an open distal end with a sharpened edge; and a retraction mechanism coupled to a proximal end of the outer trocar for selectively extending and retracting the outer trocar tube between a first extended position wherein the sharpened edge of the outer trocar is extended beyond the blunt tip of the vitreous cutter tube to facilitate insertion into the eye and a second retracted position wherein the sharpened edge of the outer trocar is retracted behind the blunt tip of the vitreous cutter tube to facilitate safe operation of the probe.

Claims

1. A probe for a vitrectomy tool comprising:

a vitreous cutter tube having a blunt tip at a distal end and adapted to be coupled at a proximal end to a handpiece of a vitrectomy tool, wherein the vitreous cutter tube comprises an aperture extending into a central bore adapted to receive a flow of vitreous material;

a reciprocal cutter fitted in the central bore of the vitreous cutter tube, the reciprocal cutter having a cutting edge adapted for travel across the aperture;

a retractable outer trocar tube surrounding the vitreous cutter tube having an open distal end with a sharpened edge forming a bevel and a sharp tip;

a retraction mechanism comprising a movable hub coupled to a proximal end of the outer trocar tube that imparts relative movement to the outer trocar tube for selectively extending and retracting the outer trocar tube between a first extended position wherein the sharp tip of the outer trocar is extended beyond the blunt tip of the vitreous cutter tube until the blunt tip remains partially protruding from a proximal end of the bevel to facilitate insertion into the eye without further cutting by the proximal end of the bevel and a second retracted position wherein the sharp tip of the outer trocar is retracted behind the blunt tip of the vitreous cutter tube to facilitate safe operation of the probe;

wherein the retraction mechanism is configured to secure the outer trocar tube in the first extended position and in the second retracted position.

2. The probe of claim 1 wherein the retraction mechanism comprises a slidable member extending through the handpiece and protruding out therefrom as an activation member, wherein the slidable member imparts movement to the movable hub when activated by the activation member to selectively extend and retract the outer trocar tube between the first extended position and the second retracted position.

3. The probe of claim 2 wherein the slidable member further comprises a selectively releasable locking mechanism activated by the activation member to secure the outer trocar tube in the first extended position and the second retracted position.

4. The probe of claim 1 wherein the retraction mechanism comprises a mechanism adapted to be manipulated between two positions in a housing cutout, wherein the mechanism imparts movement to the movable hub when manipulated to selectively extend and retract the outer trocar tube in the first extended position and the second retracted position.

5. The probe of claim 4 wherein the mechanism comprises a spring-loaded locking mechanism adapted to be selectively manipulated between the two positions in the housing cutout and to provide axial or rotational movement to the hub.

6. The probe of claim 1 wherein the bevel further comprises a gradual ramp edge having a distal end starting from the sharp tip and extending approximately half of the circumference of the trocar to a proximal end of the ramp edge to create a half-circular incision when inserted into the eye.

7. The probe of claim 6 wherein the blunt tip of the vitreous cutter tube protrudes from the proximal end of the gradual ramp when the outer trocar tube is in the second retracted position adapted to ensure no further cutting of the incision occurs and the resulting tissue flap is displaced rather than cut off by the proximal end of the gradual ramp.

8. A vitrectomy tool for removing vitreous material from and injecting fluid into an eye of a patient comprising:

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

a probe coupled to the proximal end of the housing body, wherein the probe comprises;

a vitreous cutter tube having a blunt tip at a distal end and adapted to be coupled at a proximal end to the housing, wherein the vitreous cutter tube comprises an aperture extending into a central bore adapted to receive a flow of vitreous material;

a reciprocal cutter fitted in the central bore of the vitreous cutter tube, the reciprocal cutter having a cutting edge adapted for travel across the aperture;

a retractable outer trocar tube surrounding the vitreous cutter tube having an open distal end with a sharpened edge forming a bevel and a sharp tip; and

a retraction mechanism comprising a movable hub coupled to a proximal end of the outer trocar tube that imparts relative movement to the outer trocar tube for selectively extending and retracting the outer trocar tube between a first extended position wherein the sharp tip of the outer trocar is extended beyond the blunt tip of the vitreous cutter tube until the blunt tip remains partially protruding from a proximal end of the bevel to facilitate insertion into the eye without further cutting by the proximal end of the bevel and a second retracted position wherein the sharp tip of the outer trocar is retracted behind the blunt tip of the vitreous cutter tube to facilitate safe operation of the probe;

wherein the retraction mechanism is configured to secure the outer trocar tube in the first extended position and in the second retracted position.

9. The vitrectomy tool of claim 8 wherein the retraction mechanism comprises a slidable member extending through the housing and protruding out therefrom as an activation member, wherein the slidable member imparts movement to the movable hub when activated by the activation member to selectively extend and retract the outer trocar tube in the first extended position and the second retracted position.

10. The vitrectomy tool of claim 9 wherein the slidable member further comprises a selectively releasable locking mechanism activated by the activation member to secure the outer trocar tube in the first extended position and the second retracted position.

11. The vitrectomy tool of claim 8 wherein the retraction mechanism comprises a mechanism adapted to be manipulated between two positions in a housing cutout, wherein the mechanism imparts movement to the movable hub when manipulated to selectively extend and retract the outer trocar tube in the first extended position and the second retracted position.

12. The vitrectomy tool of claim 11 wherein the mechanism comprises a spring-loaded locking mechanism adapted to be selectively manipulated between the two positions in the housing cutout and to provide axial or rotational movement to the hub.

13. The vitrectomy tool of claim 8 wherein the bevel further comprises a gradual ramp edge having a distal end starting from the sharp tip and extending approximately half of the circumference of the trocar to a proximal end of the ramp edge to create a half-circular incision when inserted into the eye.

14. The vitrectomy tool of claim 13 wherein the blunt tip of the vitreous cutter tube protrudes from the proximal end of the gradual ramp when the outer trocar tube is in the second retracted position adapted to ensure no further cutting of the incision occurs and the resulting tissue flap is displaced rather than cut off by the proximal end of the gradual ramp.

15. The vitrectomy tool of claim 8 further comprising a manually actuated lever adapted to drive the cutting edge of the reciprocal cutter across the aperture.

16. The vitrectomy tool of claim 8 further comprising an electrically powered actuator adapted to drive the cutting edge of the reciprocal cutter across the aperture.

17. The vitrectomy tool of claim 8 wherein the housing body comprises a cavity for receiving the flow of vitreous material from the vitreous cutter tube.

18. The vitrectomy tool of claim 8 further comprising a device for providing a source of fluid for injecting into an eye of the patient after removing vitreous material, the device connected to the vitrectomy tool via a transfer tube.