Steerable laser probe

• US 9,480,602 B2
• Filed: 04/03/2015
• Issued: 11/01/2016
• Est. Priority Date: 06/06/2012
• 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): Jackson, Gary
• Assistant Examiner(s): LUAN, SCOTT
• Application Number:
  US14/678,740
• Publication Number:
  US 20150209182A1
• Time in Patent Office: 578 Days
• US Class Current: 1/1
• 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 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, an actuation structure of the handle, a flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end, and an optic fiber disposed within an inner bore of the handle and the flexible housing tube. A compression of the actuation structure may cause the optic fiber to gradually curve. A decompression of the actuation structure may cause the optic fiber to gradually straighten.

Claims

1. An instrument comprising:

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

an actuation structure of the handle, the actuation structure having an actuation ring;

a plurality of actuation arms of the actuation structure, each actuation arm of the plurality of actuation arms having at least one extension mechanism;

an outer nosecone having an outer nosecone distal end and an outer nosecone proximal end, the outer nosecone proximal end disposed within the actuation ring;

a piston tube having a piston tube distal end and a piston tube proximal end, the piston tube distal end disposed within the outer nosecone;

an inner nosecone having an inner nosecone distal end and an inner nosecone proximal end, the inner nosecone disposed within the outer nosecone wherein the inner nosecone distal end extends a distance from the outer nosecone distal end;

an inner bore of the handle;

a piston tube housing of the handle, the piston tube proximal end disposed within the piston tube housing of the handle;

a single flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end, the flexible housing tube having dimensions configured for performing ophthalmic microsurgical procedures through a cannula; and

an optic fiber disposed in the inner bore of the handle, the flexible housing tube, the piston tube, the outer nosecone, and the inner nosecone.

2. The instrument of claim 1 wherein a compression of the actuation structure is configured to gradually curve the optic fiber within an eye.

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

4. The instrument of claim 3 wherein the compression 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 in the eye.

5. The instrument of claim 3 wherein the compression 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 in the eye.

6. The instrument of claim 1 further comprising:

a mark of the handle configured to indicate a direction of curvature of the optic fiber in response to a compression of the actuation structure.

7. The instrument of claim 1 further comprising:

a wire having a wire distal end and a wire proximal end, the wire disposed within the inner bore of the handle and the flexible housing tube wherein the wire proximal end is fixed to a portion of the handle and the wire distal end is fixed within the flexible housing tube.

8. The instrument of claim 7 further comprising:

a redundant wire having a redundant wire distal end and a redundant wire proximal end, the redundant wire disposed within the inner bore of the handle and the flexible housing tube wherein the redundant wire proximal end is fixed to the portion of the handle and the redundant wire distal end is fixed within the flexible housing tube.

9. The instrument of claim 8 wherein the redundant wire is configured to maintain a particular curved position of the flexible housing tube when the wire is not configured to maintain the particular curved position of the flexible housing tube.

10. An instrument comprising:

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

an actuation structure of the handle, the actuation structure having an actuation ring;

a plurality of actuation arms of the actuation structure, each actuation arm of the plurality of actuation arms having at least one extension mechanism;

an outer nosecone having an outer nosecone distal end and an outer nosecone proximal end, the outer nosecone proximal end disposed within the actuation ring;

an inner nosecone having an inner nosecone distal end and an inner nosecone proximal end, the inner nosecone disposed within the outer nosecone wherein the inner nosecone distal end extends a distance from the outer nosecone distal end;

a nosecone fixation mechanism configured to adjust the distance that the inner nosecone distal end extends from the outer nosecone distal end;

an inner bore of the handle;

a single flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end, the flexible housing tube having dimensions configured for performing ophthalmic microsurgical procedures through a cannula;

an optic fiber disposed in the inner bore of the handle, the flexible housing tube, and the nosecone;

a wire having a wire distal end and a wire proximal end, the wire disposed within the inner bore of the handle and the flexible housing tube wherein the wire proximal end is fixed to a portion of the handle and the wire distal end is fixed within the flexible housing tube; and

a redundant wire having a redundant wire distal end and a redundant wire proximal end, the redundant wire disposed within the inner bore of the handle and the flexible housing tube wherein the redundant wire proximal end is fixed to the portion of the handle and the redundant wire distal end is fixed within the flexible housing tube and wherein the redundant wire is configured to maintain a particular curved position of the flexible housing tube when the wire is not configured to maintain the particular curved position of the flexible housing tube.

11. The instrument of claim 10 wherein a compression of the actuation structure is configured to gradually curve the optic fiber within an eye.

12. The instrument of claim 11 wherein the compression of the actuation structure is configured to gradually curve the optic fiber at least 45 degrees within the eye.

13. The instrument of claim 12 wherein the compression 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 in the eye.

14. The instrument of claim 12 wherein the compression 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 in the eye.

15. The instrument of claim 10 further comprising:

a mark of the handle configured to indicate a direction of curvature of the optic fiber in response to a compression of the actuation structure.

16. The instrument of claim 10 wherein a decompression of the actuation structure is configured to gradually straighten the optic fiber within an eye.

17. The instrument of claim 16 wherein the decompression of the actuation structure is configured to gradually straighten the optic fiber within the eye without increasing a length of the instrument in the eye.

18. The instrument of claim 17 wherein the decompression of the actuation structure is configured to gradually straighten the optic fiber within the eye without decreasing a length of the instrument in the eye.

19. The instrument of claim 10 wherein the optic fiber comprises a majority of an area inside of the flexible housing tube.

20. The instrument of claim 10 wherein the optic fiber and the wire comprises a majority of an area inside of the flexible housing tube.