Steerable laser probe

• US 9,232,975 B2
• Filed: 08/08/2013
• Issued: 01/12/2016
• Est. Priority Date: 09/05/2012
• 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
• Primary Examiner(s): Crandall, Lynsey
• Assistant Examiner(s): Lukjan, Sebastian X
• Application Number:
  US13/961,952
• Publication Number:
  US 20140066912A1
• Time in Patent Office: 887 Days
• Field of Search: 606/4
• 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 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00595 Cauterization
• CPC Class Codes: A61B 2018/00625 Vaporization
• CPC Class Codes: A61B 2018/202 Laser enclosed in a hand-piece
• 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 2018/2244 Features of optical fibre cables, e.g. claddings
• CPC Class Codes: A61F 2009/00863 Retina
• CPC Class Codes: A61F 9/00821 for coagulation

Abstract

A steerable laser probe may include an actuation structure, a nosecone fixed to the actuation structure by one or more links and one or more link pins, a housing tube having a first housing tube portion with a first stiffness and a second housing tube portion with a second stiffness, and an optic fiber disposed in the housing tube and the actuation structure. A compression of the actuation structure may be configured to gradually curve the housing tube and the optic fiber. A decompression of the actuation structure may be configured to gradually straighten the housing tube and the optic fiber.

Claims

1. An instrument comprising:

an actuation structure having an actuation structure distal end and an actuation structure proximal end;

a nosecone having a housing tube housing;

a first link, the first link fixed to the actuation structure by a first link pin and the first link fixed to the nosecone by a second link pin;

a first spacer disposed over the first link pin, the first spacer configured to prevent movement of the first link relative to the first link pin;

a second spacer disposed over the second link pin, the second spacer configured to prevent movement of the first link relative to the second link pin;

a second link, the second link fixed to the actuation structure by a third link pin and the second link fixed to the nosecone by a fourth link pin;

a third spacer disposed over the third link pin, the third spacer configured to prevent movement of the second link relative to the third link pin;

a fourth spacer disposed over the fourth link pin, the fourth spacer configured to prevent movement of the second link relative to the fourth link pin;

a single housing tube having a housing tube distal end and a housing tube proximal end wherein the housing tube proximal end is disposed within the housing tube housing and wherein the housing tube proximal end is fixed within the housing tube housing;

a first housing tube portion of the housing tube, the first housing tube portion having a first stiffness and having a plurality of slits wherein each slit of the plurality of slits has an arch;

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; and

an optic fiber having an optic fiber distal end and an optic fiber proximal end, the optic fiber disposed in the actuation structure and the housing tube wherein the optic fiber distal end is adjacent to the housing tube distal end and wherein a portion of the optic fiber is fixed to 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 compress the first housing tube portion of the housing tube.

5. The instrument of claim 2 wherein the compression of the actuation structure is configured to extend the housing tube relative to the optic fiber.

6. The instrument of claim 5 wherein the compression of the actuation structure is configured to extend the nosecone relative to the actuation structure proximal end.

7. The instrument of claim 6 wherein the compression of the actuation structure is configured to rotate the first link about the first link pin and rotate the second link about the third link pin.

8. The instrument of claim 6 wherein the compression of the actuation structure is configured to rotate the first link about the second link pin and rotate the second link about the fourth link pin.

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

10. The instrument of claim 9 wherein the decompression of the actuation structure is configured to gradually straighten the housing tube.

11. The instrument of claim 10 wherein the decompression of the actuation structure is configured to decompress the first housing tube portion of the housing tube.

12. The instrument of claim 9 wherein the decompression of the actuation structure is configured to retract the housing tube relative to the optic fiber.

13. The instrument of claim 12 wherein the decompression of the actuation structure is configured to retract the nosecone relative to the actuation structure proximal end.

14. The instrument of claim 13 wherein the decompression of the actuation structure is configured to rotate the first link about the first link pin and rotate the second link about the third link pin.

15. The instrument of claim 13 wherein the decompression of the actuation structure is configured to rotate the first link about the second link pin and rotate the second link about the fourth link pin.

16. The instrument of claim 1 further comprising:

a cable having a cable distal end and a cable proximal end, the cable disposed in the actuation structure and the housing tube.

17. The instrument of claim 16 wherein a compression of the actuation structure is configured to gradually curve the optic fiber.

18. The instrument of claim 17 wherein the compression of the actuation structure is configured to gradually curve the housing tube.

19. The instrument of claim 16 wherein a decompression of the actuation structure is configured to gradually straighten the optic fiber.

20. The instrument of claim 19 wherein the decompression of the actuation structure is configured to gradually straighten the housing tube.