Steerable laser probe

• US 9,132,035 B2
• Filed: 01/26/2015
• Issued: 09/15/2015
• Est. Priority Date: 12/09/2011
• Status: Active Grant

• Current Assignee: Katalyst Surgical, LLC (Carl-Zeiss-Stiftung)
• Original Assignee: Katalyst Surgical, LLC (Carl-Zeiss-Stiftung)
• Inventors: Scheller, Gregg D, Zeid, Matthew N
• Primary Examiner(s): Crandall, Lynsey
• Assistant Examiner(s): Lukjan, Sebastian X
• Application Number:
  US14/604,824
• Publication Number:
  US 20150141970A1
• Time in Patent Office: 232 Days
• Field of Search: 606/1, 606/4
• US Class Current: 1/1
• CPC Class Codes: A61B 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 2018/00184 Moving parts
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/0091 Handpieces of the surgical instrument or device
• CPC Class Codes: A61B 2018/00964 Features of probes
• CPC Class Codes: A61B 2018/2238 with means for selectively laterally deflecting the tip of the fibre
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms
• CPC Class Codes: A61F 2009/00863 Retina
• CPC Class Codes: A61F 2009/00872 Cornea
• CPC Class Codes: A61F 2250/0006 for adjusting angular orientation
• CPC Class Codes: A61F 9/007 Methods or devices for eye surgery
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00821 for coagulation

Abstract

A steerable laser probe may include a handle, an actuation mechanism of the handle, an optic fiber, and a housing tube. The housing tube may include 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. A portion of the optic fiber may be fixed to an inner portion of the housing tube.

Claims

1. An instrument comprising:

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

a handle base of the handle, the handle base having a handle base distal end, a handle base proximal end, an outer cylinder interface, and a housing tube guide;

an outer cylinder of the handle, the outer cylinder having an outer cylinder distal end, an outer cylinder proximal end, and a handle base interface, the outer cylinder disposed over a portion of the handle base wherein the outer cylinder distal end is adjacent to the outer cylinder interface and the handle base proximal end is adjacent to the handle base interface;

an actuation mechanism of the handle, the actuation mechanism having an actuation mechanism distal end, an actuation mechanism proximal end, and a housing tube housing;

an actuation control of the actuation mechanism;

a single housing tube having a housing tube distal end and a housing tube proximal end, the housing tube disposed within the housing tube housing and the housing tube guide;

an optic fiber disposed in an inner bore of the handle and the housing tube, the optic fiber configured to transmit light for performing ophthalmic surgical procedures;

an actuation chamber of the actuation mechanism;

a first magnet disposed within the actuation chamber;

a first static chamber of the handle, the actuation chamber and the first static chamber configured to temporarily fix the actuation control in a first position within an actuation channel of the handle by a first force between one or more magnets wherein temporarily fixing the actuation control in the first position within the actuation channel of the handle is configured to temporarily fix the optic fiber in a first curved position; and

a second static chamber of the handle, the actuation chamber and the second static chamber configured to temporarily fix the actuation control in a second position within the actuation channel of the handle wherein temporarily fixing the actuation control in the second position within the actuation channel of the handle is configured to temporarily fix the optic fiber in a second curved position.

2. The instrument of claim 1 wherein the second curved position of the optic fiber is at least 45 degrees greater than the first curved position of the optic fiber.

3. The instrument of claim 2 wherein the second curved position of the optic fiber is at least 90 degrees greater than the first curved position of the optic fiber.

4. The instrument of claim 1 further comprising:

a third static chamber of the handle wherein the actuation chamber and the third static chamber of the handle are configured to temporarily fix the actuation control in a third position within the actuation channel of the handle.

5. The instrument of claim 4 wherein temporarily fixing the actuation control in the third position within the actuation channel of the handle is configured to temporarily fix the optic fiber in a third curved position.

6. The instrument of claim 5 wherein the third curved position of the optic fiber is at least 45 degrees greater than the first curved position of the optic fiber.

7. The instrument of claim 6 wherein the third curved position of the optic fiber is at least 90 degrees greater than the first curved position of the optic fiber.

8. The instrument of claim 5 wherein the third curved position of the optic fiber is at least 45 degrees greater than the second curved position of the optic fiber.

9. The instrument of claim 8 wherein the third curved position of the optic fiber is at least 90 degrees greater than the second curved position of the optic fiber.

10. The instrument of claim 1 wherein an actuation of the actuation control is configured to curve the optic fiber.

11. The instrument of claim 10 wherein the actuation of the actuation control is configured to curve the optic fiber in a particular transverse plane of an inner eye without increasing a length of the instrument within the inner eye and without decreasing the length of the instrument within the inner eye.

12. The instrument of claim 10 wherein the actuation of the actuation control is configured to curve the optic fiber in a particular sagittal plane of an inner eye without increasing a length of the instrument within the inner eye and without decreasing the length of the instrument within the inner eye.

13. The instrument of claim 10 wherein the actuation of the actuation control is configured to curve the optic fiber in a particular frontal plane of an inner eye without increasing a length of the instrument within the inner eye and without decreasing the length of the instrument within the inner eye.

14. The instrument of claim 1 wherein an application of a second force to the actuation control is configured to actuate the actuation control within the actuation channel.

15. The instrument of claim 14 wherein the second force has a second magnitude and the first force has a first magnitude wherein the second magnitude is greater than the first magnitude.

16. The instrument of claim 1 wherein the first force has a magnitude in a range of 1 to 50 N.

17. The instrument of claim 1 wherein the actuation chamber and the first static chamber are configured to temporarily fix the actuation control in the first position within the actuation channel by a fixation pin.

18. The instrument of claim 1 wherein the first force has a magnitude of less than 1 N.

19. The instrument of claim 1 further comprising:

a second magnet disposed in the first static chamber.

20. The instrument of claim 19 further comprising:

a third magnet disposed in the second static chamber.