Steerable laser probe

• US 9,216,111 B2
• Filed: 08/23/2013
• Issued: 12/22/2015
• Est. Priority Date: 09/24/2012
• 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, Raney, Justin M
• Primary Examiner(s): Crandall, Lynsey
• Assistant Examiner(s): Lukjan, Sebastian X
• Application Number:
  US13/974,900
• Publication Number:
  US 20140088572A1
• Time in Patent Office: 851 Days
• Field of Search: 606/4, 606/11
• US Class Current: 1/1
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2018/00321 Head or parts thereof
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00922 by switching or controlling the treatment energy directly within the hand-piece
• CPC Class Codes: A61B 2018/00952 rotatable
• CPC Class Codes: A61B 2018/2238 with means for selectively laterally deflecting the tip of the fibre
• CPC Class Codes: A61F 9/007 Methods or devices for eye surgery
• CPC Class Codes: A61F 9/00821 for coagulation

Abstract

A steerable laser probe may include a handle having a handle distal end and a handle proximal end, an actuation control of the handle, a flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end, an optic fiber disposed within an inner portion of the handle and the flexible housing tube, and a cable disposed within the flexible housing tube and the actuation control. A rotation of the actuation control may be configured to gradually curve the flexible housing tube and the optic fiber. A rotation of the actuation control may be configured to gradually straighten the flexible housing tube and the optic fiber.

Claims

1. An instrument comprising:

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

an actuation control mount of the handle having an actuation control mount distal end and an actuation control mount proximal end, the actuation control mount disposed within a handle inner portion of the handle wherein the actuation control mount distal end is disposed between the handle distal end and the actuation control mount proximal end and the actuation control mount proximal end is disposed between the actuation control mount distal end and the handle proximal end;

a single flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end, the flexible housing tube having dimensions configured to perform ophthalmic surgical procedures, the flexible housing tube having an ultimate tensile strength in a range of 700 to 1000 MPa;

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

an auto-fixing component disposed in an auto-fixing component housing of the handle wherein the auto-fixing component is configured to produce a magnetic field;

an actuation control of the handle having an actuation control distal end, an actuation control proximal end, an actuation control anterior end, an actuation control posterior end, and a fixation pin guide; and

a fixation pin disposed in the fixation pin guide and the actuation control mount wherein a rotation of the actuation control within the actuation control mount about the fixation pin in a first direction is configured to gradually curve the optic fiber and wherein a rotation of the actuation control within the actuation control mount about the fixation pin in a second direction is configured to gradually straighten the optic fiber.

2. The instrument of claim 1 wherein the rotation of the actuation control within the actuation control mount about the fixation pin in the first direction is configured to gradually curve the flexible housing tube.

3. The instrument of claim 1 wherein the rotation of the actuation control within the actuation control mount about the fixation pin in the second direction is configured to gradually straighten the flexible housing tube.

4. The instrument of claim 1 wherein the auto-fixing component is configured to temporarily fix the optic fiber in a first curved position relative to the flexible housing tube proximal end.

5. The instrument of claim 4 wherein the auto-fixing component is configured to temporarily fix the actuation control in a first rotational position within the actuation control mount about the fixation pin in the first direction.

6. The instrument of claim 5 wherein the auto-fixing component is configured to temporarily fix the optic fiber in a second curved position relative to the flexible housing tube proximal end.

7. The instrument of claim 6 wherein the auto-fixing component is configured to temporarily fix the actuation control in a second rotational position within the actuation control mount about the fixation pin in the first direction.

8. The instrument of claim 7 wherein the auto-fixing component is configured to temporarily fix the optic fiber in a third curved position relative to the flexible housing tube proximal end.

9. The instrument of claim 8 wherein the auto-fixing component is configured to temporarily fix the actuation control in a third rotational position within the actuation control mount about the fixation pin in the first direction.

10. The instrument of claim 1 further comprising:

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

a handle base having a handle base distal end, a handle base proximal end, and a handle end cap interface wherein the handle base proximal end is disposed in the handle end cap.

11. The instrument of claim 10 wherein the actuation control mount distal end is disposed in the handle base and the actuation control mount proximal end is disposed in the handle end cap.

12. An instrument comprising:

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

an actuation control mount of the handle having an actuation control mount distal end and an actuation control mount proximal end, the actuation control mount disposed within a handle inner portion of the handle wherein the actuation control mount distal end is disposed between the handle distal end and the actuation control mount proximal end and the actuation control mount proximal end is disposed between the actuation control mount distal end and the handle proximal end;

an auto-fixing component disposed in an auto-fixing component housing of the handle wherein the auto-fixing component is configured to produce a magnetic field;

a single flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end, the flexible housing tube having dimensions configured to perform ophthalmic surgical procedures;

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

an actuation control of the handle having an actuation control distal end, an actuation control proximal end, an actuation control anterior end, an actuation control posterior end, and a fixation pin guide; and

a fixation pin disposed in the fixation pin guide and the actuation control mount wherein a rotation of the actuation control within the actuation control mount about the fixation pin in a first direction is configured to gradually curve the optic fiber and wherein a rotation of the actuation control within the actuation control mount about the fixation pin in a second direction is configured to gradually straighten the optic fiber.

13. The instrument of claim 12 wherein the auto-fixing component is configured to temporarily fix the optic fiber in a first curved position relative to the flexible housing tube proximal end.

14. The instrument of claim 13 wherein the auto-fixing component is configured to temporarily fix the actuation control in a first rotational position within the actuation control mount about the fixation pin in the first direction.

15. The instrument of claim 14 wherein the auto-fixing component is configured to temporarily fix the optic fiber in a second curved position relative to the flexible housing tube proximal end.

16. The instrument of claim 13 wherein the auto-fixing component is configured to temporarily fix the actuation control in a first rotational position within the actuation control mount about the fixation pin in the first direction.

17. The instrument of claim 16 further comprising:

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

a handle base having a handle base distal end, a handle base proximal end, and a handle end cap interface wherein the handle base proximal end is disposed in the handle end cap.

18. The instrument of claim 17 wherein the actuation control mount distal end is disposed in the handle base and the actuation control mount proximal end is disposed in the handle end cap.