Vitrectomy probe with adjustable cutter port size

• US 9,101,441 B2
• Filed: 12/21/2010
• Issued: 08/11/2015
• Est. Priority Date: 12/21/2010
• Status: Active Grant

• Current Assignee: 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:
  US12/974,740
• Publication Number:
  US 20120158029A1
• Time in Patent Office: 1,694 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: 1/1
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• 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

Abstract

Vitrectomy probes and system related thereto are disclosed herein. The disclosure describes various example vitrectomy probes having an adjustable cutting port size. For example, one example vitrectomy probe includes a piezoelectric element adapted to adjust 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; and

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

a piezoelectric element coupled to a lead screw, the piezoelectric element adapted to position the lead screw within the housing to engage the inner cutting member at a selected position defining the fully retracted position of the inner cutting member.

2. The vitrectomy probe of claim 1, wherein the piezoelectric element is attached to the housing.

3. The vitrectomy probe of claim 1, wherein the housing defines a chamber and wherein the piezoelectric element is disposed within the chamber.

4. The vitrectomy probe of claim 1, wherein the stroke limiter further comprises:

a moveable member coupled to the lead screw, the moveable member moveable within the housing with the lead screw to the selected position, the inner cutting member adapted to engage the moveable member at the selected position defining the fully retracted position.

5. The vitrectomy probe of claim 4, the stroke limiter further comprising a guide member coupled to the housing, wherein the moveable member is slideable over the guide member.

6. The vitrectomy probe of claim 4, wherein the piezoelectric element is adapted to move the lead screw in a first longitudinal direction in response to a first electric signal and wherein the piezoelectric element in a second longitudinal direction opposite the first longitudinal direction in response to a second electric signal.

7. The vitrectomy probe of claim 4, wherein the inner cutting member comprises:

a hollow cutting member;

a tubular member; and

a hollow coupling joining the hollow cutting member and the tubular member, and

wherein a surface of the hollow coupling forms the portion of inner cutting member that contacts the moveable member at the defined position.

8. The vitrectomy probe of claim 1, wherein the inner cutting member comprises:

a hollow cutting member;

a tubular member;

a hollow coupling joining the hollow cutting member and the tubular member; and

a central passage formed by the hollow cutting member, the tubular member, and the hollow coupling, the central passage adapted to allow passage of aspirated materials during operation of the vitrectomy probe.

9. The vitrectomy probe of claim 1 further comprising a chamber formed in the housing, wherein the oscillator comprises a diaphragm disposed in the chamber, an outer periphery of the diaphragm coupled to the housing and an inner periphery of the diaphragm coupled to the inner cutting member.

10. The vitrectomy probe of claim 9, wherein the diaphragm divides the chamber into a first chamber portion and a second chamber portion,

wherein the diaphragm is adapted to move in a first longitudinal direction in response to a pneumatic pressure in the first chamber portion, and

wherein the diaphragm is adapted to move in a second longitudinal direction in response to pneumatic pressure in the second chamber portion.

11. The vitrectomy probe of claim 9, wherein movement of the diaphragm in the first longitudinal direction moves the inner cutting member in the retracted direction, and wherein movement of the diaphragm in the second longitudinal direction moves the inner cutting member in the extended direction.

12. A vitrectomy probe comprising:

a housing;

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

a hollow outer cutting member coupled to the housing, the outer cutting member comprising an open end and a closed end;

a hollow inner cutting member slideable within the outer cutting member, the inner cutting member comprising open opposing ends and a first cutting surface at a first end thereof; and

an opening formed in the outer cutting member proximate an end thereof, the opening having a second cutting surface cooperative with the first cutting member to dissect materials that enter the opening, the opening and the first cutting surface defining a port, a size of the port defined by a location of the first cutting surface relative to the opening when the inner cutting member is in a fully retracted position;

a pneumatic chamber formed in the housing;

a diaphragm coupled to the inner cutting member and divides the pneumatic chamber into a first chamber portion and a second chamber portion, the first chamber portion in fluid communication with a first passageway and the second chamber portion in fluid communication with a second passageway, the first passageway and the second passageway adapted to transmit a first pneumatic pressure to the first chamber portion and the second chamber portion, respectively, in an alternating sequence to oscillate the diaphragm and the inner cutting member between the fully retracted position and the fully extended position;

a piezoelectric element coupled to a lead screw, the piezoelectric element adapted to position the lead screw within the housing to engage the inner cutting member at a selected position defining the fully retracted position.

13. The vitrectomy probe of claim 12, wherein the lead screw engages a portion of the inner cutting member to define the fully retracted position.

14. The vitrectomy probe of claim 12, wherein the inner cutting member comprises:

a hollow cutting segment;

a tubular member; and

a hollow coupling disposed between and joining the hollow cutting segment and the tubular member to form an interior assembly, the interior assembly extending through an aperture formed in the diaphragm, and the interior assembly defining a continuous central passage adapted to pass aspirated materials during operation of the vitrectomy probe.

15. The vitrectomy probe of claim 14, wherein the hollow coupling contacts the lead screw to define the fully retracted position of the inner cutting member.

16. The vitrectomy probe of claim 12, further comprising a moveable member coupled to the lead screw, and wherein the fully retracted position is defined by the location where the moveable member contacts the inner cutting member.

17. The vitrectomy probe of claim 16, further comprising a guide member coupled to the housing, the moveable member slideable on the guide member.

18. A system comprising:

a vitrectomy probe comprising;

a housing;

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

a hollow outer cutting member coupled to the housing, the outer cutting member comprising an open end and a closed end;

a hollow inner cutting member slideable within the outer cutting member, the inner cutting member comprising open opposing ends and a first cutting surface at a first end thereof; and

an opening formed in the outer cutting member proximate an end thereof, the opening having a second cutting surface cooperative with the first cutting member to dissect materials that enter the opening, the opening and the first cutting surface defining a port, a size of the port defined by a location of the first cutting surface relative to the opening when the inner cutting member is in a fully retracted position;

a piezoelectric element coupled to a lead screw, the piezoelectric element adapted to position the lead screw within the housing responsive to an electrical signal to engage the inner cutting member at a selected position defining the fully retracted position.

an oscillator coupled to the inner cutting member and adapted to oscillate the inner cutting member between the fully retracted position and the fully extended position;

a surgical console coupled to the vitrectomy probe, the console adapted to supply the electrical signal to the piezoelectric element of the vitrectomy probe based on a user input; and

an input device coupled to the console, the input device adapted to receive the user input and cause the console to alter the electrical signal supplied to the piezoelectric element of the vitrectomy probe thereby altering the size of the port of the cutter.

19. The system of claim 18, wherein the input device is a footswitch.

20. The system of claim 18, wherein the vitrectomy probe further comprises a moveable member coupled to the lead screw, and wherein the fully retracted position is defined by the location where the moveable member contacts the inner cutting member.