Minimal pulsation ophthalmic probe

• US 9,498,378 B2
• Filed: 04/04/2014
• Issued: 11/22/2016
• Est. Priority Date: 04/04/2014
• Status: Active Grant

• Current Assignee: Alcon Incorporated
• Original Assignee: Novartis Ag
• Inventors: McDonell, Brian W.
• Primary Examiner(s): Eastwood, David C
• Assistant Examiner(s): MANNAN, MIKAIL A
• Application Number:
  US14/244,986
• Publication Number:
  US 20150282987A1
• Time in Patent Office: 963 Days
• Field of Search: 606/180, 606/159
• US Class Current: 1/1
• CPC Class Codes: A61F 9/007 Methods or devices for eye surgery
• CPC Class Codes: A61F 9/00736 Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments A61F9/008 takes precedence
• CPC Class Codes: A61F 9/00763 with rotating or reciprocating cutting elements, e.g. concentric cutting needles atherectomy cutting instruments A61B17/3207; endoscopic cutting instruments A61B17/320016

Abstract

An ophthalmic apparatus for performing an ocular surgery may include an ophthalmic probe body having an inner cutting member at least partially disposed within and moveable relative to an aspiration tube within the probe body to facilitate flow of aspiration fluid. A motor within the body may be configured to actuate the inner cutting member relative to the aspiration tube.

Claims

1. An ophthalmic apparatus for performing an ocular surgery, comprising:

an ophthalmic probe body graspable by a user;

a cutter extending from the body and comprising an inner cutting member and a needle, the inner cutting member being at least partially disposed within and moveable relative to the needle, the inner cutting member having a lumen having a first diameter, the needle having a distal end with a port formed therein for receiving patient tissue;

an aspiration tube within the probe body disposed to extend from an end of the inner cutting member to an aspiration line from the probe body, the aspiration tube having a second diameter greater than the first diameter to facilitate flow of aspiration fluid;

a motor within the body configured to actuate the inner cutting member relative to the needle and configured to actuate the inner cutting member relative to the aspiration tube; and

a drive shaft connected to the motor, wherein the drive shaft is larger than the aspiration tube, the aspiration tube being disposed within the drive shaft.

2. The ophthalmic apparatus of claim 1, wherein the inner cutting member is coaxial with the aspiration tube.

3. The ophthalmic apparatus of claim 1, wherein the aspiration tube is fixed in place so as to be stationary relative to the probe body.

4. The ophthalmic apparatus of claim 1, further comprising:

a coupler coupling the drive shaft to the inner cutting member so that when the motor actuates the drive shaft, the coupler actuates the inner cutting member.

5. The ophthalmic apparatus of claim 1, wherein the drive shaft is coaxial with the aspiration tube.

6. The ophthalmic apparatus of claim 1, wherein the aspiration tube extends through a central portion of the motor.

7. The ophthalmic apparatus of claim 1, comprising a cutter seal assembly affixed to the aspiration tube, the cutter seal assembly comprising a seal that prevents an egress of fluid in a distal direction from the aspiration tube.

8. The ophthalmic apparatus of claim 1, wherein the motor is affixed directly to the drive shaft.

9. The ophthalmic apparatus of claim 1, wherein the aspiration tube is arranged to contact an aspiration fluid flowing therethrough.

10. An ophthalmic apparatus for performing an ocular surgery, comprising:

an ophthalmic probe body graspable by a user;

a cutter extending from the body and comprising an inner cutting member and a needle, the inner cutting member being at least partially disposed within and moveable relative to the needle, the inner cutting member having a lumen having a first diameter, the needle having a distal end with a port formed therein for receiving patient tissue;

an aspiration tube fixed in place relative to the probe body and extending from an end of the inner cutting member to an aspiration line from the probe body, the aspiration tube having a second diameter greater than the first diameter to facilitate flow of aspiration fluid;

a motor within the body and coupled to the inner cutting member, the motor being configured to actuate the inner cutting member relative to the needle; and

a drive shaft connected to the motor, wherein the drive shaft is larger than the aspiration tube, the aspiration tube being disposed within the drive shaft.

11. The ophthalmic apparatus of claim 10, wherein the inner cutting member is coaxial with the aspiration tube.

12. The ophthalmic apparatus of claim 10, wherein the motor is configured to actuate the inner cutting member relative to the aspiration tube.

13. The ophthalmic apparatus of claim 10, further comprising:

a coupler coupling the drive shaft to the inner cutting member so that when the motor actuates the drive shaft, the coupler actuates the inner cutting member.

14. The ophthalmic apparatus of claim 10, wherein the drive shaft is coaxial with the aspiration tube.

15. The ophthalmic apparatus of claim 10, wherein the aspiration tube extends through a central portion of the motor.

16. The ophthalmic apparatus of claim 10, comprising a cutter seal assembly affixed to the aspiration tube, the cutter seal assembly comprising a seal that prevents passage of fluid.

17. The ophthalmic apparatus of claim 10, wherein the aspiration tube comprises a portion of an aspiration pathway in the probe body, and only the inner cutting member displaces within the aspiration pathway in a manner impacting a volume of the aspiration pathway.

18. The ophthalmic apparatus of claim 10, wherein the motor is affixed directly to the drive shaft.

19. A method of driving an inner cutting member of an ophthalmic probe, comprising:

opening an aspiration port in a needle of a distally protruding cutter by driving a motor to drive an inner cutting member in a proximal direction, the aspiration port, the inner cutting member, and an aspiration tube forming a portion of an aspiration pathway through the ophthalmic probe, the inner cutting member having a first diameter and the aspiration tube having a second diameter greater than the first diameter, wherein driving the inner cutting member in the proximal direction includes moving the inner cutting member relative to the aspiration tube; and

closing the aspiration port to cut tissue in the aspiration port by driving the motor in the ophthalmic probe to drive the inner cutting member in a distal direction relative to the needle, and displacing the inner cutting member relative to the aspiration tube,

wherein driving the motor to drive the inner cutting member includes driving a drive shaft connected to the motor, wherein the drive shaft is larger than the aspiration tube, the aspiration tube being disposed within the drive shaft.

20. The method of claim 19, wherein the aspiration tube is fixed in place within the ophthalmic probe and a volume of the aspiration pathway in the ophthalmic probe changes only by a volume equal to an axial displacement of the inner cutting member.

21. The method of claim 19, wherein driving the motor to drive the inner cutting member includes driving a coupler connected to the drive shaft, the coupler being connected to the inner cutting member at a location distal of the aspiration tube.

22. The method of claim 19, wherein the aspiration tube is arranged to contact an aspiration fluid flowing therethrough.