Steerable laser probe

• US 9,480,600 B2
• Filed: 05/17/2013
• Issued: 11/01/2016
• Est. Priority Date: 06/27/2012
• 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): Nguyen, Anhtuan T
• Assistant Examiner(s): Chou, William
• Application Number:
  US13/896,500
• Publication Number:
  US 20140005642A1
• Time in Patent Office: 1,264 Days
• Field of Search: 606 4- 6, 606/13, 606/15, 606/16, 600/104, 600/108, 600/139, 600/140, 600/141, 600/142, 600/143, 600/144, 600146-152
• US Class Current: 1/1
• CPC Class Codes: A61B 2017/00318 Steering mechanisms
• 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: A61F 2009/00863 Retina
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00823 Laser features or special beam parameters therefor

Abstract

A steerable laser probe may include a handle having a handle distal end and a handle proximal end, a flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end, an actuation mechanism control of the handle, and an optic fiber disposed within an inner bore of the handle and within the flexible housing tube. An actuation of the actuation mechanism control may be configured to gradually curve the flexible housing tube. A gradual curving of the flexible housing tube may be configured to gradually curve the optic fiber. An actuation of the actuation mechanism control may be configured to gradually straighten the flexible housing tube. A gradual straightening of the flexible housing tube may be configured to gradually straighten the optic fiber.

Claims

1. An instrument comprising:

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

an actuation mechanism of the handle having an actuation mechanism distal end and an actuation mechanism proximal end;

an inner bore of the actuation mechanism;

a flexible housing tube housing of the actuation mechanism;

an actuation mechanism control of the actuation mechanism having an actuation mechanism control distal end and an actuation mechanism control proximal end;

a handle base of the handle having a handle base distal end and a handle base proximal end;

a flexible housing tube guide of the handle base;

a handle end cap interface of the handle base;

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

an actuation mechanism guide of the handle base;

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

a flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end, the flexible housing tube configured for an insertion into a cannula to perform an ophthalmic surgical procedure wherein the flexible housing tube is disposed in the flexible housing tube housing and the flexible housing tube guide; and

an optic fiber disposed within the inner bore of the actuation mechanism and the flexible housing tube, the optic fiber configured to transmit a laser light.

2. The instrument of claim 1 wherein the flexible housing tube is a solid tube.

3. The instrument of claim 2 wherein an extension of the actuation mechanism control relative to the handle proximal end is configured to gradually curve the optic fiber.

4. The instrument of claim 3 wherein the extension of the actuation mechanism control relative to the handle proximal end is configured to gradually curve the flexible housing tube.

5. The instrument of claim 4 wherein the extension of the actuation mechanism control relative to the handle proximal end is configured to extend the flexible housing tube relative to the optic fiber.

6. The instrument of claim 2 wherein a retraction of the actuation mechanism control relative to the handle proximal end is configured to gradually straighten the optic fiber.

7. The instrument of claim 6 wherein the retraction of the actuation mechanism control relative to the handle proximal end is configured to gradually straighten the flexible housing tube.

8. The instrument of claim 7 wherein the retraction of the actuation mechanism control relative to the handle proximal end is configured to retract the flexible housing tube relative to the optic fiber.

9. The instrument of claim 2 further comprising:

a wire disposed within the inner bore of the handle and the flexible housing tube;

a first portion of the wire fixed in a position relative to the handle proximal end;

and a second portion of the wire fixed to the flexible housing tube.

10. The instrument of claim 9 wherein an extension of the actuation mechanism control relative to the handle proximal end is configured to gradually curve the optic fiber.

11. The instrument of claim 10 wherein the extension of the actuation mechanism control relative to the handle proximal end is configured to gradually curve the flexible housing tube.

12. The instrument of claim 11 wherein the extension of the actuation mechanism control relative to the handle proximal end is configured to extend the flexible housing tube relative to the wire.

13. The instrument of claim 9 wherein a retraction of the actuation mechanism control relative to the handle proximal end is configured to gradually straighten the optic fiber.

14. The instrument of claim 13 wherein the retraction of the actuation mechanism control relative to the handle proximal end is configured to gradually straighten the flexible housing tube.

15. The instrument of claim 14 wherein the retraction of the actuation mechanism control relative to the handle proximal end is configured to retract the flexible housing tube relative to the wire.

16. The instrument of claim 15 wherein the wire is configured to facilitate a retraction of the flexible housing tube relative to the wire.

17. The instrument of claim 9 further comprising:

a redundant wire disposed within the inner bore of the handle and the flexible housing tube, the redundant wire configured to maintain a particular curved position of the flexible housing tube.

18. The instrument of claim 1 further comprising:

a pressure mechanism housing of the handle base.

19. The instrument of claim 1 wherein the flexible housing tube is manufactured from nitinol.

20. The instrument of claim 1 wherein the flexible housing tube has an ultimate tensile strength in a range of 1000 to 1100 MPa.