Vitrectomy probe with adjustable cutter port size

• US 8,845,666 B2
• Filed: 08/26/2011
• Issued: 09/30/2014
• Est. Priority Date: 12/21/2010
• Status: Active Grant

• Current Assignee: Alcon Research, LLC (Alcon Incorporated)
• Original Assignee: Alcon Research Limited (Nestle SA)
• Inventors: Underwood, John R., Auld, Jack Robert, Huculak, John Christopher
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): Papeika, Rachel S
• Application Number:
  US13/218,923
• Publication Number:
  US 20120158030A1
• Time in Patent Office: 1,131 Days
• Field of Search: 606/169, 606/170, 606/171, 606/177, 606/178, 606/166, 606/161, 606/107, 606/180, 604/22, 600562-570
• US Class Current: 606/171
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 17/320783 through side-hole, e.g. sliding or rotating cutter inside catheter
• CPC Class Codes: A61B 2017/00402 Piezo electric actuators
• CPC Class Codes: A61B 2017/320028 with reciprocating movements
• CPC Class Codes: A61B 2217/005 with suction drainage system
• 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
• CPC Class Codes: Y10T 137/86839 Four port reversing valves
• CPC Class Codes: Y10T 137/87217 Motor
• CPC Class Codes: Y10T 137/87233 Biased exhaust valve

Abstract

Vitrectomy probes and system related thereto are disclosed herein. The disclosure describes various example vitrectomy probes having an adjustable cutting port size. Various example features are described for adjusting the size of the cutting port. Further, the disclosure provides examples for adjusting the size of the cutter port while the vitrectomy probe is in operation.

Claims

1. A vitrectomy probe comprising:

a housing;

a cutter extending longitudinally from a first end of the housing, the cutter comprising;

an outer cutting member coupled to the housing;

an inner cutting member slideable within the outer cutting member, the inner cutting member slideable between a retracted position and an extended position; and

an adjustable port, a size of the adjustable port defined by an edge of an opening formed in the outer cutting member and an end surface of the inner cutting member when the inner cutting member is in a fully retracted position;

an oscillator operable to reciprocate the inner cutting member;

a stroke limiter operable to limit the size of the adjustable port, the stroke limiter comprising;

a moveable member threadably retained within the housing and rotatable about a first axis, the moveable member moveable in a first longitudinal direction in response to a rotation in a first rotational direction and the moveable member moveable in a second longitudinal direction opposite the first longitudinal direction in response to a rotation in a second rotation direction, a location where the moveable member contacts the inner cutting member defining the fully retracted position; and

a rotatable member operably engaged with the moveable member and rotatable about a second axis different from the first axis, a rotation of the rotatable member operable to impart rotation to the moveable member.

2. The vitrectomy probe of claim 1, wherein the moveable member is moveable in the first longitudinal direction in response to a rotation of the rotatable member in the second direction, and wherein the moveable member is moveable in the second longitudinal direction in response to a rotation of the rotatable member in the first direction.

3. The vitrectomy probe of claim 2, wherein the rotatable member comprises a first plurality of teeth formed on a first peripheral surface, wherein the moveable member comprises a second plurality of teeth formed on a second peripheral surface, and wherein the first plurality of teeth intermesh with the second plurality of teeth.

4. The vitrectomy probe of claim 2, wherein the housing defines an opening and wherein at least a portion of the rotatable member extends through the opening.

5. The vitrectomy probe of claim 1, wherein the moveable member defines a passage and wherein the inner cutting member is moveable within the passage.

6. The vitrectomy probe of claim 1, wherein the housing comprises an interior sleeve including a threaded surface formed on an interior surface thereof, wherein the moveable member comprises a threaded surface on an outer surface thereof, and wherein the threaded surface of the interior sleeve matingly engages the threaded surface of the moveable member.

7. The vitrectomy probe of claim 1, wherein the oscillator comprises a diaphragm, wherein the diaphragm is coupled to the inner cutting member, and wherein the inner cutting member is oscillatable between the retracted position and the extended position in response to fluid pressure alternately applied to opposing sides of the diaphragm.

8. The vitrectomy probe of claim 1 further comprising a rotatable member operably engaged with the moveable member, the moveable member moveable in a first longitudinal direction in response to a rotation of the rotatable member in a first rotational direction and the moveable member moveable in a second longitudinal direction opposite the first longitudinal direction in response to a rotation of the rotatable member in a second rotation direction.

9. The vitrectomy probe of claim 1, wherein the inner cutting member comprises a coupling, and wherein a location where the coupling contacts the moveable member defines the fully retracted position.

10. A vitrectomy probe comprising:

a housing;

a cutter extending longitudinally from a first end of the housing, the cutter comprising;

an outer cutting member coupled to the housing;

an inner cutting member slideable within the outer cutting member, the inner cutting member slideable between a retracted position and an extended position; and

an adjustable port, a size of the adjustable port defined by an edge of an opening formed in the outer cutting member and an end surface of the inner cutting member when the inner cutting member is in a fully retracted position;

an oscillator operable to reciprocate the inner cutting member, the oscillator comprising a diaphragm coupled to the inner cutting member, wherein the inner cutting member is oscillatable between the retracted position and the extended position in response to fluid pressure alternately applied to opposing sides of the diaphragm;

a stroke limiter operable to limit the size of the adjustable port, the stroke limiter comprising;

a moveable member threadably retained within the housing, the moveable member moveable in a first longitudinal direction in response to a rotation in a first rotational direction and the moveable member moveable in a second longitudinal direction opposite the first longitudinal direction in response to a rotation in a second rotation direction, a location where the moveable member contacts the inner cutting member defining the fully retracted position; and

a rotatable member operably engaged with the moveable member, the moveable member moveable in the first longitudinal direction in response to a rotation of the rotatable member in the second direction and the moveable member moveable in the second longitudinal direction in response to a rotation of the rotatable member in the first direction.

11. The vitrectomy probe of claim 10, wherein the rotatable member comprises a first plurality of teeth formed on a first peripheral surface, wherein the moveable member comprises a second plurality of teeth formed on a second peripheral surface, and wherein the first plurality of teeth intermesh with the second plurality of teeth.

12. The vitrectomy probe of claim 10, wherein the housing defines an opening and wherein at least a portion of the rotatable member extends through the opening.

13. The vitrectomy probe of claim 10, wherein the moveable member defines a passage and wherein the inner cutting member is moveable within the passage.

14. The vitrectomy probe of claim 10, wherein the housing comprises an interior sleeve including a threaded surface formed on an interior surface thereof, wherein the moveable member comprises a threaded surface on an outer surface thereof, and wherein the threaded surface of the interior sleeve matingly engages the threaded surface of the moveable member.

15. The vitrectomy probe of claim 10 further comprising a rotatable member operably engaged with the moveable member, the moveable member moveable in a first longitudinal direction in response to a rotation of the rotatable member in a first rotational direction and the moveable member moveable in a second longitudinal direction opposite the first longitudinal direction in response to a rotation of the rotatable member in a second rotation direction.

16. The vitrectomy probe of claim 10, wherein the inner cutting member comprises a coupling, and wherein a location where the coupling contacts the moveable member defines the fully retracted position.