Steerable laser probe

• US 9,351,875 B2
• Filed: 08/12/2013
• Issued: 05/31/2016
• Est. Priority Date: 09/12/2012
• 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:
  US13/964,158
• Publication Number:
  US 20140074073A1
• Time in Patent Office: 1,023 Days
• Field of Search: 606/4, 606/11, 606/16
• US Class Current: 1/1
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 2017/00318 Steering mechanisms
• CPC Class Codes: A61B 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2018/00589 Coagulation
• 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 2210/009 magnetic
• 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 having a handle distal end and a handle proximal end, an auto-fixing actuation control, a flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end, a first flexible housing tube portion having a first stiffness, and an optic fiber disposed within an inner bore of the handle and the flexible housing tube. An actuation of the auto-fixing actuation control may gradually curve the flexible housing tube. A gradual curving of the flexible housing tube may gradually curve the optic fiber.

Claims

1. An instrument comprising:

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

an actuation control guide of the handle, the actuation control guide having an actuation control guide distal end and an actuation control guide proximal end;

an actuation mechanism of the handle having an actuation mechanism distal end and an actuation mechanism proximal end, the actuation mechanism disposed in an actuation mechanism guide of the handle, a handle base of the handle, and a handle end cap of the handle wherein the actuation mechanism distal end is disposed in the handle base and the actuation mechanism proximal end is disposed in the handle end cap wherein a handle end cap interface of the handle base is adjacent to a portion of the handle end cap;

an auto-fixing actuation control of the actuation mechanism having an auto-fixing actuation control distal end and an auto-fixing actuation control proximal end, the auto-fixing actuation control disposed within the actuation control guide wherein at least a portion of the auto-fixing actuation control comprises a permanent magnet;

a single flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end, the flexible housing tube fixed to a portion of the actuation mechanism, the flexible housing tube having dimensions configured to perform an ophthalmic microsurgical procedure through a cannula, and the flexible housing tube having an ultimate tensile strength in a range of 1000 to 1100 MPa;

an auto-fixing component of the handle having an auto-fixing component distal end and an auto-fixing component proximal end wherein the auto-fixing actuation control is disposed between the auto-fixing component distal end and the auto-fixing component proximal end, the auto-fixing component disposed in an auto-fixing component housing of the handle wherein applying a first force to a portion of the auto-fixing actuation control is configured to actuate the auto-fixing actuation control within the actuation control guide until the auto-fixing actuation control is in a first desired position within the actuation control guide and wherein a second force between the auto-fixing actuation control and the auto-fixing component is configured to temporarily fix the auto-fixing actuation control in the first desired position within the actuation control guide when the first force is removed from the portion of the auto-fixing actuation control wherein either a portion of the auto-fixing component comprises a ferromagnetic material or a portion of the auto-fixing component comprises a permanent magnet; and

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 an inner bore of the handle.

2. The instrument of claim 1 wherein an extension of the auto-fixing actuation control relative to the actuation control guide proximal end is configured to gradually curve the optic fiber more than 90 degrees within an eye.

3. The instrument of claim 2 wherein the extension of the auto-fixing actuation control relative to the actuation control guide proximal end is configured to gradually curve the flexible housing tube.

4. The instrument of claim 3 wherein the extension of the auto-fixing actuation control relative to the actuation control guide proximal end is configured to extend the actuation mechanism relative to the handle proximal end.

5. The instrument of claim 1 wherein a retraction of the auto-fixing actuation control relative to the actuation control guide proximal end is configured to gradually straighten the optic fiber more than 90 degrees within an eye.

6. The instrument of claim 5 wherein the retraction of the auto-fixing actuation control relative to the actuation control guide proximal end is configured to gradually straighten the flexible housing tube.

7. The instrument of claim 6 wherein the retraction of the auto-fixing actuation control relative to the actuation control guide proximal end is configured to retract the actuation mechanism relative to the handle proximal end.

8. The instrument of claim 1 wherein at least a portion of the auto-fixing component comprises a permanent magnet.

9. The instrument of claim 8 wherein at least a portion of the auto-fixing actuation control comprises a ferromagnetic material.

10. The instrument of claim 1 further comprising:

a cable housing of the handle; and

a cable having a cable distal end and a cable proximal end, the cable disposed in the flexible housing tube, the inner bore of the handle, and the cable housing.

11. The instrument of claim 10 wherein the cable proximal end is fixed within the cable housing and the cable distal end is fixed to a portion of the flexible housing tube.

12. The instrument of claim 11 wherein an extension of the auto-fixing actuation control relative to the actuation control guide proximal end is configured to gradually curve the optic fiber more than 90 degrees within an eye.

13. The instrument of claim 12 wherein the extension of the auto-fixing actuation control relative to the actuation control guide proximal end is configured to gradually curve the flexible housing tube.

14. The instrument of claim 11 wherein a retraction of the auto-fixing actuation control relative to the actuation control guide proximal end is configured to gradually straighten the optic fiber more than 90 degrees within an eye.

15. The instrument of claim 14 wherein the retraction of the auto-fixing actuation control relative to the actuation control guide proximal end is configured to gradually straighten the flexible housing tube.

16. The instrument of claim 11 wherein the auto-fixing actuation control is configured to temporarily fix the optic fiber in a curved position.

17. The instrument of claim 11 wherein the auto-fixing component is configured to temporarily fix the optic fiber in a curved position.