Vitrectomy probe with adjustable cutter port size

• US 9,585,788 B2
• Filed: 08/22/2012
• Issued: 03/07/2017
• Est. Priority Date: 12/20/2011
• Status: Expired due to Fees

• Current Assignee: Alcon Research, LLC (Alcon Incorporated)
• Original Assignee: Novartis Ag
• Inventors: Underwood, John R., Flowers, Matthew Braden, Auld, Jack Robert, Huculak, John Christopher
• Primary Examiner(s): Anderson, Gregory
• Assistant Examiner(s): SIMPSON, SARAH A
• Application Number:
  US13/591,336
• Publication Number:
  US 20130158584A1
• Time in Patent Office: 1,658 Days
• Field of Search: 606/166, 606/170, 606/171, 606/172
• US Class Current: 1/1
• CPC Class Codes: A61B 2017/00544 pneumatically
• 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

Vitrectomy probes and system related thereto are disclosed herein. The disclosure describes various example vitrectomy probes having an adjustable cutting port size. Various example features are described for adjusting the size of the cutting port. Further, the disclosure provides examples for adjusting the size of the cutter port while the vitrectomy probe is in operation.

Claims

1. A vitrectomy probe comprising:

a housing;

a cutter extending from a first end of the housing along a longitudinal axis, the cutter comprising;

an outer cutting member coupled to the housing;

an opening formed in the outer cutting member, the opening comprising a distal edge and a proximal edge;

an interior assembly comprising an inner cutting member slideable within the outer cutting member, the interior assembly slideable between a retracted position and an extended position and comprising a first contact surface; and

an adjustable port, a size of the adjustable port defined by the distal edge of the opening and an end surface of the inner cutting member when the inner cutting member is in a fully retracted position, the end surface of the inner cutting member being disposed between the distal edge of the opening and the proximal edge of the opening when the inner cutting member is in the fully retracted position;

an oscillator operable to reciprocate the interior assembly;

a stroke limiter disposed within the housing, the stroke limiter comprising a second contact surface; and

a motor operably coupled to the stroke limiter, a position of the stroke limiter relative to the interior assembly being alterable to a plurality of selectable positions in response to a rotation of the motor,

wherein the first contact surface of the interior assembly contacts the second contact surface of the stroke limiter at a selected position of the plurality of selectable positions to stop motion of the interior assembly and to define the fully retracted position of the inner cutting member.

2. The vitrectomy probe of claim 1, wherein the motor comprises:

a rotatable shaft; and

a coupler coupled to the shaft and the stroke limiter.

3. The vitrectomy probe of claim 1, wherein the motor is operable to rotate the stroke limiter about the longitudinal axis.

4. The vitrectomy probe of claim 1, wherein the interior assembly further comprises an extension extending through the oscillator and coupled to the inner cutting member.

5. The vitrectomy probe of claim 4, wherein a location where the stroke limiter contacts the extension defines the fully retracted position.

6. The vitrectomy probe of claim 4 further comprising a passage extending through the interior assembly.

7. The vitrectomy probe of claim 1, wherein the stroke limiter is moveable relative to the housing.

8. The vitrectomy probe of claim 1, wherein the stroke limiter comprises a threaded exterior surface, wherein the housing comprises a threaded bore, and wherein the threaded exterior surface of the stroke limiter matingly engages the threaded bore of the housing.

9. A vitrectomy probe comprising:

a housing defining an outermost surface of the vitrectomy probe;

a cutter extending from a first end of the housing along a longitudinal axis, the cutter comprising;

an outer cutting member attached to a distal end of the housing;

an interior assembly comprising an inner cutting member slideable within the outer cutting member, the interior assembly slideable between a retracted position and an extended position; and

an adjustable port, a size of the adjustable port defined by an edge of an opening formed in the outer cutting member and an end surface of the inner cutting member when the inner cutting member is in a fully retracted position;

an oscillator operable to reciprocate the interior assembly;

a stroke limiter disposed within the housing and operable to limit the size of the adjustable port; and

a motor operably coupled to the stroke limiter and operable to displace the stroke limiter along the longitudinal axis relative to the interior assembly, wherein the stroke limiter comprises a first threaded exterior surface, wherein a portion of the housing comprises a second threaded surface, wherein the first threaded surface matingly engages the second threaded surface.

10. The vitrectomy probe of claim 9 further comprising a bore formed in the housing, wherein the second threaded surface is formed on an interior surface of the bore.

11. The vitrectomy probe of claim 9, wherein a rotation of the motor in a first direction displaces the stroke limiter in a first direction along the longitudinal axis and wherein a rotation of the motor in a second direction displaces the stroke limiter in a second direction along the longitudinal axis.

12. The vitrectomy probe of claim 11, wherein displacement of the stroke limiter in the first direction along the longitudinal direction extends the stroke limiter towards the inner cutting member and wherein displacement of the stroke limiter in the second direction along the longitudinal direction retracts the stroke limiter from the inner cutting member.