Steerable laser probe

• US 9,138,350 B2
• Filed: 09/25/2012
• Issued: 09/22/2015
• Est. Priority Date: 10/17/2011
• Status: Expired due to Fees

• 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): Thomson, William
• Assistant Examiner(s): Downey, John R
• Application Number:
  US13/626,820
• Publication Number:
  US 20130096541A1
• Time in Patent Office: 1,092 Days
• Field of Search: 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 2017/00318 Steering mechanisms
• CPC Class Codes: A61B 2017/2918 flexible handles
• CPC Class Codes: A61B 2018/00184 Moving parts
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00595 Cauterization
• 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: A61F 2009/00863 Retina
• CPC Class Codes: A61F 2009/00885 for treating a particular disease
• 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 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0138 having flexible regions as a result of weakened outer material, e.g. slots, slits, cuts, joints or coils
• CPC Class Codes: A61M 25/0141 having flexible regions as a result of using materials with different mechanical properties
• 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 structure, 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 compression of the actuation structure may be configured to gradually curve the optic fiber. A decompression of the actuation structure may be configured to gradually straighten the optic fiber.

Claims

1. An instrument comprising:

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

a single housing tube having a housing tube distal end and a housing tube proximal end;

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

a plurality of slits cut into the first housing tube portion, the plurality of slits configured to minimize a force of friction between the housing tube and a cannula as the housing tube is extracted from the 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 actuation structure of the handle having an actuation structure distal end and an actuation structure proximal end wherein the actuation structure distal end is disposed between the handle distal end and the handle proximal end and wherein the actuation structure proximal end is disposed between the handle distal end and the handle proximal end;

a plurality of actuation arms of the actuation structure, each actuation arm of the plurality of actuation arms having at least one extension mechanism;

an actuation ring having an actuation ring distal end and an actuation ring proximal end wherein the actuation ring roximal end is fixed to the actuation structure distal end and wherein the actuation ring distal end is the handle distal end;

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

a wire having a wire distal end and a wire proximal end, the wire disposed in the housing tube and the handle wherein the wire proximal end is fixed in a position relative to the handle and wherein the wire distal end is adjacent to the housing tube distal end, a first portion of the wire is adjacent to the first housing tube portion, and a second portion of the wire is fixed to the inner portion of the housing tube.

2. The instrument of claim 1 wherein a compression of the actuation structure is configured to gradually curve the optic fiber.

3. The instrument of claim 2 wherein the compression of the actuation structure is configured to gradually curve the housing tube.

4. The instrument of claim 3 wherein the compression of the actuation structure is configured to extend the housing tube relative to the optic fiber.

5. The instrument of claim 1 wherein a decompression of the actuation structure is configured to gradually straighten the optic fiber.

6. The instrument of claim 5 wherein the decompression of the actuation structure is configured to gradually straighten the housing tube.

7. The instrument of claim 6 wherein the decompression of the actuation structure is configured to retract the housing tube relative to the optic fiber.

8. The instrument of claim 2 wherein the compression of the actuation structure is configured to gradually curve the optic fiber within an eye.

9. The instrument of claim 8 wherein the compression of the actuation structure is configured to gradually curve the optic fiber more than 45 degrees within the eye.

10. The instrument of claim 9 wherein the compression of the actuation structure is configured to gradually curve the optic fiber more than 90 degrees within the eye.

11. The instrument of claim 10 wherein the compression of the actuation structure is configured to gradually curve the optic fiber more than 135 degrees within the eye.

12. The instrument of claim 8 wherein the compression of the actuation structure is configured to gradually curve the optic fiber within the eye without increasing a length of the instrument within the eye.

13. The instrument of claim 8 wherein the compression of the actuation structure is configured to gradually curve the optic fiber within the eye without decreasing a length of the instrument within the eye.

14. The instrument of claim 8 wherein the compression of the actuation structure is configured to gradually curve the optic fiber within the eye without increasing a length of the instrument within the eye and without decreasing the length of the instrument within the eye.

15. The instrument of claim 14 wherein the compression of the actuation structure is configured to gradually curve the optic fiber more than 45 degrees within the eye.

16. The instrument of claim 15 wherein the compression of the actuation structure is configured to gradually curve the optic fiber more than 90 degrees within the eye.

17. The instrument of claim 1 further comprising:

an outer nosecone having an outer nosecone distal end and an outer nosecone proximal end.

18. The instrument of claim 1 further comprising:

an inner nosecone having an inner nosecone distal end and an inner nosecone proximal end.

19. The instrument of claim 1 further comprising:

a piston tube having a piston tube distal end an a piston tube proximal end.

20. The instrument of claim 1 further comprising:

a light source interface configured to interface with the optic fiber proximal end.