Reduced friction vitrectomy probe

• US 9,101,442 B2
• Filed: 11/28/2011
• Issued: 08/11/2015
• Est. Priority Date: 12/15/2010
• Status: Active Grant

• Current Assignee: Alcon Incorporated
• Original Assignee: Alcon Research Limited (Nestle SA)
• Inventors: McDonell, Brian William
• Primary Examiner(s): McEvoy, Thomas
• Assistant Examiner(s): SZPIRA, JULIE ANN
• Application Number:
  US13/304,792
• Publication Number:
  US 20120158006A1
• Time in Patent Office: 1,352 Days
• Field of Search: 606/107, 606/170, 606/171, 604/22
• US Class Current: 1/1
• 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 vitrectomy probe includes a housing, a fluidic motor disposed within the housing, a needle extending from the housing, and a cutter assembly. The cutter assembly includes an inner cutting member disposed within and axially moveable relative to the needle, a drive shaft disposed within the housing and axially moveable relative to the housing, and a coupler disposed within the housing coupling the drive shaft and the inner cutting member. The motor is associated with the drive shaft in a manner that drives the cutter assembly in an oscillating manner. The probe also includes two or fewer seals within the housing in contact with the cutter assembly for sealing against fluid leakage.

Claims

1. A vitrectomy probe, comprising:

a housing;

a fluidic motor disposed within the housing, wherein the motor comprises a diaphragm connected to the drive shaft in a manner that drives the drive shaft in an oscillating manner;

a needle extending from the housing,

a cutter assembly comprising;

an inner cutting member, comprising an aspiration path, disposed within and axially moveable relative to the needle;

a drive shaft disposed within the housing and axially moveable relative to the housing; and

a coupler disposed within the housing coupling the drive shaft and the inner cutting member, wherein the inner cutting member, drive shaft and coupler are co-linear such that axial motion of the drive shaft causes axial motion of the inner cutting member, and

wherein the coupler diverts the aspiration path, from the inner cutting member, away from the drive shaft such that the aspiration path does not flow through the drive shaft;

the motor being associated with the drive shaft in a manner that drives the cutter assembly in an oscillating manner; and

two or fewer seals within the housing for sealing against fluid leakage, wherein a first seal of the two or fewer seals is in contact with the inner cutting member and wherein a second seal of the two or fewer seals is in contact with the drive shaft between the motor and the coupler.

2. The vitrectomy probe of claim 1, wherein the inner cutting member comprises a hollow tube forming the aspiration path and having a longitudinal axis, and wherein the coupler comprises an aspiration path ending at an aspiration port that is not coaxial with the longitudinal axis.

3. The vitrectomy probe of claim 2, wherein the aspiration port is transverse to the longitudinal axis of the aspiration path in the inner cutting member.

4. The vitrectomy probe of claim 2, further comprising a flexible aspiration tube associated with the aspiration port on the coupler, the flexible aspiration tube accommodating and flexing as a result of the axial oscillating movement of the coupler.

5. The vitrectomy probe of claim 2, wherein the aspiration port in the coupler exits into a chamber containing the coupler, the vitrectomy probe further comprising an aspiration path extending from the chamber containing the coupler to a proximal end of the housing.

6. The vitrectomy probe of claim 1, wherein the housing comprises

a first air port and a second air port, the first and second air ports being in fluid communication with opposing sides of the diaphragm.

7. The vitrectomy probe of claim 1, wherein the housing comprises a motor chamber having a distal wall and a proximal wall, wherein the proximal wall of the motor chamber is solid and the distal wall of the motor chamber includes a passage for the drive shaft.

8. The vitrectomy probe of claim 1, wherein the second seal is disposed in fluid communication with a motor chamber in a manner that prevents fluid flow along the cutter assembly.

9. The vitrectomy probe of claim 8, wherein the first seal is disposed about the inner cutting member to prevent the aspiration of air past the first seal between the inner cutting member and the needle into the fluid flow.

10. The vitrectomy probe of claim 1, wherein the drive shaft is a solid shaft extending to the coupler, the solid shaft having a minimized diameter to decrease the surface area contact of the seals resulting in decreased friction.

11. The vitrectomy probe of claim 1, wherein at least a portion of the aspiration path exiting the coupler is parallel to, but not collinear with, the drive shaft.

12. The vitrectomy probe of claim 1, wherein the entire drive shaft is collinear with the inner cutting member.

13. A vitrectomy probe, comprising:

a housing,

a fluidic motor disposed within the housing, wherein the motor comprises a diaphragm connected to the drive shaft in a manner that drives the drive shaft in an oscillating manner;

a needle extending from the housing, the needle comprising an outer cutting member,

a cutter assembly comprising;

an inner cutting member, comprising an aspiration path, disposed within and axially moveable relative to the needle;

a drive shaft disposed within the housing and axially moveable relative to the housing;

a coupler disposed within the housing coupling the drive shaft and the inner cutting member, wherein the inner cutting member, drive shaft and coupler are co-linear such that axial motion of the drive shaft causes axial motion of the inner cutting member, and

wherein the coupler diverts the aspiration path, from the inner cutting member, away from the drive shaft such that the aspiration path does not flow through the drive shaft;

the motor being associated with the drive shaft in a manner that drives the cutter assembly in an oscillating manner;

a total of two seals within the housing for sealing against fluid leakage, the total of two seals comprising;

a first seal sealing about the cutter assembly, the first seal being disposed in fluid communication with at least one air port and prevents fluid flow along the cutter assembly; and

a second seal sealing about the cutter assembly, the second seal being disposed in fluid communication with the aspiration pressure to prevent air flow past the second seal and into aspiration fluid flow.

14. The vitrectomy probe of claim 13, wherein the inner cutting member comprises a hollow tube forming the aspiration path and having a longitudinal axis, and wherein the coupler comprises an aspiration path ending at an aspiration port that is not coaxial with the longitudinal axis.

15. The vitrectomy probe of claim 13, wherein the drive shaft is a solid shaft extending to the coupler, the solid shaft having a minimized diameter to decrease the surface area contact of the seals resulting in decreased friction.

16. The vitrectomy probe of claim 13, wherein at least a portion of the aspiration path exiting the coupler is parallel to, but not collinear with, the drive shaft.

17. The vitrectomy probe of claim 13, wherein the entire drive shaft is collinear with the inner cutting member.