Steerable laser probe

• US 9,265,657 B2
• Filed: 04/06/2015
• Issued: 02/23/2016
• Est. Priority Date: 04/19/2012
• 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): Thomson, William
• Assistant Examiner(s): Lukjan, Sebastian X
• Application Number:
  US14/679,124
• Publication Number:
  US 20150209183A1
• Time in Patent Office: 323 Days
• Field of Search: 606/1, 606/4, 606/15
• US Class Current: 1/1
• CPC Class Codes: A61B 18/201 with beam delivery through a hollow tube, e.g. forming an articulated arm through a flexible conduit A61B18/22; Hand-pieces therefor
• CPC Class Codes: A61B 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• 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 2018/2253 characterised by additional functions, e.g. surface cooling or detecting pathological tissue
• CPC Class Codes: A61B 2018/2288 the optical fibre cable having a curved distal end
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61F 2009/00863 Retina
• 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

Abstract

A steerable laser probe may include a handle, and inner bore of the handle, an actuation structure of the handle, a housing tube, and an optic fiber disposed within the inner bore of the handle and the 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. A surgeon may aim the steerable laser probe by varying a rotational position of the handle and an amount of compression of the actuation structure.

Claims

1. An instrument comprising:

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

a handle base of the handle;

an actuation structure of the handle, the actuation structure having an actuation structure distal end, an actuation structure proximal end, and a plurality of actuation arms;

an actuation ring of the handle having an actuation ring distal end and an actuation ring proximal end wherein the actuation ring proximal end is fixed to the actuation structure distal end and wherein a compression of the actuation structure is configured to extend the actuation ring relative to the actuation structure proximal end;

a housing tube platform of the handle having a housing tube platform distal end and a housing tube platform proximal end;

a platform base of the handle, the platform base disposed between the actuation structure proximal end and the handle distal end;

an actuation mechanism guide of the platform base;

an actuation mechanism housing disposed in the actuation ring;

an actuation mechanism disposed within the actuation mechanism housing wherein the compression of the actuation structure is configured to actuate the actuation mechanism along the actuation mechanism guide away from the handle proximal end and towards the handle distal end;

a single housing tube having a housing tube distal end and a housing tube proximal end, the housing tube having dimensions configured to perform ophthalmic surgical procedures wherein the housing tube proximal end is disposed within the housing tube platform and wherein the housing tube proximal end is fixed within the housing tube platform;

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

a plurality of slits of the first housing tube portion;

a second housing tube portion of the housing tube 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 within an inner bore of the handle and the housing tube wherein the optic fiber distal end is adjacent to the housing tube distal end.

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

3. The instrument of claim 2 wherein the decompression of the actuation structure is configured to gradually curve the optic fiber at least 45 degrees within an eye.

4. The instrument of claim 1 wherein the compression of the actuation structure is configured to gradually straighten the optic fiber.

5. The instrument of claim 4 wherein the compression of the actuation structure is configured to gradually straighten the optic fiber at least 45 degrees within an eye.

6. The instrument of claim 1 further comprising:

a wire having a wire distal end and a wire proximal end wherein the wire proximal end is fixed to a portion of the actuation ring and wherein the wire distal end is fixed within the housing tube.

7. The instrument of claim 3 wherein the decompression of the actuation structure is configured to gradually curve the optic fiber at least 45 degrees within the eye without increasing a length of the instrument within the eye.

8. The instrument of claim 3 wherein the decompression of the actuation structure is configured to gradually curve the optic fiber at least 45 degrees within the eye without decreasing a length of the instrument within the eye.

9. The instrument of claim 5 wherein the compression of the actuation structure is configured to gradually straighten the optic fiber within the eye without increasing a length of the instrument within the eye.

10. The instrument of claim 5 wherein the compression of the actuation structure is configured to gradually straighten the optic fiber within the eye without decreasing a length of the instrument within the eye.

11. The instrument of claim 1 wherein each slit of the plurality of slits is configured to minimize a force of friction between the housing tube and a cannula.

12. The instrument of claim 1 wherein each slit of the plurality of slits has at least one arch.

13. The instrument of claim 6 wherein a decompression of the actuation structure is configured to curve the optic fiber.

14. The instrument of claim 6 wherein a decompression of the actuation structure is configured to curve the housing tube.

15. The instrument of claim 6 wherein a decompression of the actuation structure is configured to retract the wire relative to the housing tube.

16. The instrument of claim 6 wherein a decompression of the actuation structure is configured to apply a compressive force to a portion of the housing tube.

17. The instrument of claim 6 wherein the compression of the actuation structure is configured to curve the optic fiber.

18. The instrument of claim 6 wherein the compression of the actuation structure is configured to curve the housing tube.

19. The instrument of claim 6 wherein the compression of the actuation structure is configured to extend the wire relative to the housing tube.

20. The instrument of claim 6 wherein the compression of the actuation structure is configured to reduce a compressive force applied to a portion of the housing tube.