Steerable laser probe

• US 9,351,876 B1
• Filed: 11/17/2015
• Issued: 05/31/2016
• Est. Priority Date: 05/10/2012
• 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:
  US14/943,802
• Time in Patent Office: 196 Days
• Field of Search: 606/4
• US Class Current: 1/1
• 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 2018/20357 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 2009/00872 Cornea
• 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, an actuation structure of the handle, a housing tube, an optic fiber, and an optic fiber sleeve. The housing tube may have 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 that the first stiffness. The optic fiber may be disposed within an inner bore of the handle, the optic fiber sleeve, the actuation structure, and the housing tube. The optic fiber sleeve may enclose at least a portion of the optic fiber and the optic fiber sleeve may be disposed within the actuation structure and the housing tube. A compression of the actuation structure may be configured to curve the housing tube and the optic fiber.

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;

a plurality of actuation arms of the actuation structure wherein each actuation arm of the plurality of actuation arms has an extension mechanism and an inverted actuation joint;

an actuation platform of the handle having an actuation platform distal end and an actuation platform proximal end, the actuation platform at least partially disposed in the actuation structure;

an optic fiber draw sleeve housing of the actuation platform wherein the optic fiber draw sleeve housing is disposed between the actuation platform distal end and the actuation platform proximal end;

a housing tube platform of the handle;

an optic fiber draw sleeve guide of the housing tube platform;

a housing tube having a housing tube distal end and a housing tube proximal end wherein the housing tube proximal end is disposed in the optic fiber draw sleeve guide;

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

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 optic fiber draw sleeve having an optic fiber draw sleeve distal end, an optic fiber draw sleeve proximal end, and an optic fiber draw sleeve flexible portion of a distal portion of the optic fiber draw sleeve wherein the optic fiber draw sleeve proximal end is disposed in the optic fiber draw sleeve housing and the optic fiber draw sleeve distal end is disposed in the housing tube wherein the optic fiber draw sleeve flexible portion is adjacent to the first housing tube portion; and

an optic fiber having an optic fiber distal end and an optic fiber proximal end, the optic fiber disposed in an inner bore of the handle, the optic fiber draw sleeve, and the housing tube wherein the optic fiber distal end extends from the optic fiber draw sleeve distal end and wherein the optic fiber distal end is adjacent to the housing tube distal end.

2. The instrument of claim 1 wherein the inverted actuation joint of each actuation arm of the plurality of actuation arms is configured to transfer a compressive force applied to the actuation structure to a force applied to the actuation platform distal end.

3. The instrument of claim 1 wherein a compression of the actuation structure is configured to retract the actuation platform relative to the handle base.

4. The instrument of claim 1 wherein a compression of the actuation structure is configured to retract the optic fiber draw sleeve relative to the handle base.

5. The instrument of claim 1 wherein a compression of the actuation structure is configured to retract the optic fiber draw sleeve relative to the housing tube.

6. The instrument of claim 1 wherein a compression of the actuation structure is configured to apply a force to a portion of the housing tube.

7. The instrument of claim 1 wherein a compression of the actuation structure is configured to compress a portion of the housing tube.

8. The instrument of claim 1 wherein a compression of the actuation structure is configured to curve the housing tube.

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

10. The instrument of claim 1 wherein a decompression of the actuation structure is configured to extend the actuation platform relative to the handle base.

11. The instrument of claim 1 wherein a decompression of the actuation structure is configured to extend the optic fiber draw sleeve relative to the handle base.

12. The instrument of claim 1 wherein a decompression of the actuation structure is configured to extend the optic fiber draw sleeve relative to the housing tube.

13. The instrument of claim 1 wherein a decompression of the actuation structure is configured to reduce a force applied to a portion of the housing tube.

14. The instrument of claim 1 wherein a decompression of the actuation structure is configured to decompress a portion of the housing tube.

15. The instrument of claim 1 wherein a decompression of the actuation structure is configured to straighten the housing tube.

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

17. The instrument of claim 1 wherein a compression of the actuation structure is configured to curve the optic fiber at least 45 degrees relative to the housing tube proximal end within an eye.

18. The instrument of claim 17 wherein the compression of the actuation structure is configured to curve the optic fiber at least 90 degrees relative to the housing tube proximal end within the eye.

19. The instrument of claim 17 wherein the compression of the actuation structure is configured to curve the optic fiber at least 45 degrees relative to the housing tube proximal end within the eye without increasing a length of the instrument in the eye.

20. The instrument of claim 17 wherein the compression of the actuation structure is configured to curve the optic fiber at least 45 degrees relative to the housing tube proximal end within the eye without decreasing a length of the instrument in the eye.