Steerable laser probe

• US 9,107,682 B2
• Filed: 08/31/2012
• Issued: 08/18/2015
• Est. Priority Date: 11/03/2011
• Status: Active Grant

• Current Assignee: Katalyst Surgical, LLC (Carl-Zeiss-Stiftung)
• Original Assignee: Katalyst Surgical, LLC (Carl-Zeiss-Stiftung)
• Inventors: Scheller, Gregg D., Moore, Craig, Zeid, Matthew N.
• Primary Examiner(s): Crandall, Lynsey
• Assistant Examiner(s): Lukjan, Sebastian X
• Application Number:
  US13/602,024
• Publication Number:
  US 20130116671A1
• Time in Patent Office: 1,082 Days
• Field of Search: 606 1- 19, 607 88- 94
• US Class Current: 1/1
• CPC Class Codes: A61B 18/22 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
• CPC Class Codes: A61B 2017/00323 Cables or rods
• CPC Class Codes: A61B 2018/00172 Connectors and adapters therefor
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/0094 Types of switches or controllers
• CPC Class Codes: A61B 2018/20357 by movable optical fibre end
• CPC Class Codes: A61B 2018/2238 with means for selectively laterally deflecting the tip of the fibre
• CPC Class Codes: A61B 2018/225 Features of hand-pieces A61B2018/2255 takes precedence
• CPC Class Codes: A61B 2018/2288 the optical fibre cable having a curved distal end
• CPC Class Codes: A61B 2034/715 Cable tensioning mechanisms for removing slack
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00821 for coagulation
• CPC Class Codes: A61F 9/00823 Laser features or special beam parameters therefor
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

A steerable laser probe may include a handle, an actuation lever, an optic fiber, and a housing tube. The housing tube may have a first housing tube portion having a first stiffness and a second housing tube portion having a second stiffness. The second stiffness may be greater than the first stiffness. The optic fiber may be disposed within the housing tube and within an inner bore of the handle. An actuation of the actuation lever about a pivot pin of the handle may gradually curve the optic fiber. An actuation of the actuation lever about the pivot pin of the handle may gradually straighten the optic fiber.

Claims

1. An instrument comprising:

a handle having a handle distal end and a handle proximal end;

an actuation channel of the handle, the actuation channel having an actuation channel distal end and an actuation channel proximal end wherein the actuation channel distal end is disposed between the handle distal end and the handle proximal end and the actuation channel proximal end is disposed between the handle distal end and the handle proximal end;

an actuation lever having an actuation lever distal end and an actuation lever proximal end wherein the actuation lever proximal end is disposed in the actuation channel between the actuation channel distal end and the actuation channel proximal end and the actuation lever distal end extends out from the actuation channel;

a pivot pin disposed in a pivot pin housing of the handle and a pivot pin guide of the actuation lever wherein the actuation lever is configured to rotate about the pivot in a first direction and a second direction;

a housing tube having a housing tube distal end and a housing tube proximal end, the housing tube having dimensions configured to perform an ophthalmic surgical procedure;

a first housing tube portion of the housing tube, the first housing tube portion having a first stiffness;

a plurality of slits of the first housing tube portion, each slit of the plurality of slits having an arch configured to minimize a force of friction between the housing tube and a cannula;

a second housing tube portion of the housing tube, the second housing tube portion having a second stiffness wherein the second stiffness is greater than the first stiffness;

an optic fiber having an optic fiber distal end and an optic fiber proximal end, the optic fiber disposed in an inner bore of the handle and the housing tube wherein the optic fiber is fixed within an inner portion of the housing tube and the optic fiber distal end is adjacent to the housing tube distal end;

a wire proximal loop housing of the actuation lever; and

a wire having a wire distal end and a wire proximal loop, the wire disposed in the housing tube, the inner bore of the handle, and the wire proximal loop housing of the actuation lever wherein the wire is fixed within the inner portion of the housing tube and the wire distal end is adjacent to the optic fiber distal end and the housing tube distal end and wherein varying an amount of actuation of the actuation lever is configured to aim the optic fiber distal end at a surgical target within an eye without increasing a length of the instrument within the eye and without decreasing the length of the instrument within the eye.

2. The instrument of claim 1 wherein an actuation of the actuation lever about the pivot pin in the first direction is configured to gradually curve the optic fiber.

3. The instrument of claim 2 wherein the actuation of the actuation lever about the pivot pin in the first direction is configured to gradually curve the housing tube.

4. The instrument of claim 3 wherein the actuation of the actuation lever about the pivot pin in the first direction is configured to compress the first housing tube portion.

5. The instrument of claim 1 wherein an actuation of the actuation lever about the pivot pin in the second direction is configured to gradually straighten the optic fiber.

6. The instrument of claim 5 wherein the actuation of the actuation lever about the pivot pin in the second direction is configured to gradually straighten the housing tube.

7. The instrument of claim 6 wherein the actuation of the actuation lever about the pivot pin in the second direction is configured to decompress the first housing tube portion.

8. The instrument of claim 1 further comprising:

an access window of the housing tube, the access window configured to allow access to the inner portion of the housing tube.

9. The instrument of claim 2 wherein the actuation of the actuation lever about the pivot pin in the first direction is configured to gradually curve the optic fiber more than 90 degrees.

10. The instrument of claim 9 wherein the actuation of the actuation lever about the pivot pin in the first direction is configured to gradually curve the optic fiber more than 135 degrees.

11. An instrument comprising:

a handle having a handle distal end and a handle proximal end;

an actuation channel of the handle, the actuation channel having an actuation channel distal end and an actuation channel proximal end wherein the actuation channel distal end is disposed between the handle distal end and the handle proximal end and the actuation channel proximal end is disposed between the handle distal end and the handle proximal end;

an actuation lever having an actuation lever distal end and an actuation lever proximal end wherein the actuation lever proximal end is disposed in the actuation channel between the actuation channel distal end and the actuation channel proximal end and the actuation lever distal end extends out from the actuation channel;

a pivot pin disposed in a pivot pin housing of the handle and a pivot pin guide of the actuation lever wherein the actuation lever is configured to rotate about the pivot in a first direction and a second direction;

a housing tube having a housing tube distal end and a housing tube proximal end, the housing tube having dimensions configured to perform an ophthalmic surgical procedure;

a first housing tube portion of the housing tube, the first housing tube portion having a first stiffness;

a plurality of slits of the first housing tube portion, each slit of the plurality of slits having an arch configured to minimize a force of friction between the housing tube and a cannula;

a second housing tube portion of the housing tube, the second housing tube portion having a second stiffness wherein the second stiffness is greater than the first stiffness;

an optic fiber having an optic fiber distal end and an optic fiber proximal end, the optic fiber disposed in an inner bore of the handle and the housing tube wherein the optic fiber is fixed within an inner portion of the housing tube and the optic fiber distal end is adjacent to the housing tube distal end;

a pulley mechanism of the handle;

and a draw wire having a draw wire distal end and a draw wire proximal end, the draw wire distal end disposed in the housing tube and the draw wire proximal end disposed in a draw wire proximal end housing of the actuation lever wherein the draw wire is fixed within the inner portion of the housing tube and the draw wire distal end is adjacent to the optic fiber distal end and the housing tube distal end and wherein varying an amount of actuation of the actuation lever is configured to aim the optic fiber distal end at a surgical target within an eye without increasing a length of the instrument within the eye and without decreasing the length of the instrument within the eye.

12. The instrument of claim 11 wherein an actuation of the actuation lever about the pivot pin in the first direction is configured to gradually curve the optic fiber.

13. The instrument of claim 12 wherein the actuation of the actuation lever about the pivot pin in the first direction is configured to gradually curve the optic fiber more than 90 degrees.

14. The instrument of claim 13 wherein the actuation of the actuation lever about the pivot pin in the first direction is configured to gradually curve the optic fiber more than 135 degrees.

15. The instrument of claim 12 wherein the actuation of the actuation lever about the pivot pin in the first direction is configured to gradually curve the housing tube.

16. The instrument of claim 15 wherein the actuation of the actuation lever about the pivot pin in the first direction is configured to compress the first housing tube portion.

17. The instrument of claim 11 wherein an actuation of the actuation lever about the pivot pin in the second direction is configured to gradually straighten the optic fiber.

18. The instrument of claim 17 wherein the actuation of the actuation lever about the pivot pin in the second direction is configured to gradually straighten the optic fiber more than 90 degrees.

19. The instrument of claim 18 wherein the actuation of the actuation lever about the pivot pin in the second direction is configured to gradually straighten the optic fiber more than 135 degrees.