Steerable laser probe

• US 9,681,918 B2
• Filed: 11/17/2015
• Issued: 06/20/2017
• Est. Priority Date: 08/14/2012
• 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:
  US14/943,424
• Publication Number:
  US 20160066995A1
• Time in Patent Office: 581 Days
• Field of Search: 606 4- 6, 606 16
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 18/22 the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
• CPC Class Codes: A61B 2017/00318 Steering mechanisms
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00613 Irreversible electroporation
• CPC Class Codes: A61B 2018/2238 with means for selectively laterally deflecting the tip of the fibre
• CPC Class Codes: A61B 2018/225 Features of hand-pieces A61B2018/2255 takes precedence
• CPC Class Codes: A61F 2009/00863 Retina
• CPC Class Codes: A61F 9/008 using laser
• 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 having a handle, a housing sleeve, a first portion of the housing sleeve having a first stiffness, a second portion of the housing sleeve having a second stiffness, an actuation control of the handle, an optic fiber disposed in an inner bore of the handle and the housing sleeve, and a shape memory wire having a pre-formed curve. An actuation of the actuation control may be configured to gradually curve the housing sleeve and the optic fiber. An actuation of the actuation control may be configured to gradually straighten the housing sleeve and the optic fiber.

Claims

1. A laser probe comprising:

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

a handle end cap of the handle having a handle end cap distal end and a handle end cap proximal end wherein the handle end cap proximal end is the handle proximal end;

an optic fiber guide of the handle end cap;

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

a housing sleeve housing of the handle base;

an actuation control guide of the handle base having an actuation control guide distal end and an actuation control guide 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 shape memory wire housing of the actuation mechanism;

a fixation mechanism housing of the actuation mechanism;

an actuation control of the actuation mechanism, the actuation mechanism disposed in the handle end cap and the handle base wherein the actuation mechanism proximal end is disposed in the handle end cap and the actuation mechanism distal end is disposed in the handle base and wherein the actuation control is disposed in the actuation control guide and wherein the actuation mechanism is configured to actuate within the handle end cap and the handle base;

a housing sleeve having a housing sleeve distal end and a housing sleeve proximal end wherein the housing sleeve proximal end is disposed in the housing sleeve housing and wherein the housing sleeve proximal end is fixed in the housing sleeve housing;

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

a plurality of apertures of the first housing sleeve portion;

a second housing sleeve portion of the housing sleeve, the second housing sleeve portion having a second stiffness wherein the second stiffness is greater than the first stiffness;

an optic fiber having an optic fiber distal end and an optic fiber proximal end, the optic fiber disposed in the housing sleeve, the housing sleeve housing, the actuation mechanism guide, the inner bore, and the optic fiber guide wherein an actuation of the actuation control towards the actuation control guide distal end is configured to curve the housing sleeve and the optic fiber and wherein the optic fiber is disposed in the housing sleeve wherein the optic fiber distal end is adjacent to the housing sleeve distal end and wherein a first portion of the optic fiber is adjacent to the second housing sleeve portion and wherein a second portion of the optic fiber is fixed in the housing sleeve;

a shape memory wire having a shape memory wire distal end and a shape memory wire proximal end, the shape memory wire disposed in the shape memory wire housing, the actuation mechanism guide, the housing sleeve housing, and the housing sleeve wherein a portion of the shape memory wire is fixed in the shape memory wire housing; and

a pre-formed curve of the shape memory wire.

2. The laser probe of claim 1 wherein an actuation of the actuation control towards the actuation control guide proximal end is configured to straighten the housing sleeve and the optic fiber.

3. The laser probe of claim 1 wherein the actuation of the actuation control towards the actuation control guide distal end is configured to curve the housing sleeve and the optic fiber at least 45 degrees relative to the housing sleeve proximal end.

4. The laser probe of claim 3 wherein the actuation of the actuation control towards the actuation control guide distal end is configured to curve the housing sleeve and the optic fiber at least 90 degrees relative to the housing sleeve proximal end.

5. The laser probe of claim 3 wherein the actuation of the actuation control towards the actuation control guide distal end is configured to curve the housing sleeve and the optic fiber at least 45 degrees relative to the housing sleeve proximal end within an eye without increasing a length of the surgical instrument within the eye.

6. The laser probe of claim 3 wherein the actuation of the actuation control towards the actuation control guide distal end is configured to curve the housing sleeve and the optic fiber at least 45 degrees relative to the housing sleeve proximal end within an eye without decreasing a length of the surgical instrument within the eye.

7. The laser probe of claim 1 further comprising:

a pressure mechanism housing of the handle base; and

a pressure mechanism disposed in the pressure mechanism housing, the pressure mechanism configured to provide a force.

8. The laser probe of claim 7 wherein the pressure mechanism is a spring.

9. The laser probe of claim 7 wherein the force resists an extension of the actuation mechanism relative to the handle proximal end.

10. The laser probe of claim 7 wherein the force facilitates a retraction of the actuation mechanism relative to the handle proximal end.

17. The laser probe of claim 1 wherein an actuation of the actuation control towards the handle distal end and away from the handle proximal end is configured to extend the shape memory wire housing relative to the housing sleeve housing.

18. The laser probe of claim 1 wherein an actuation of the actuation control towards the handle distal end and away from the handle proximal end is configured to extend the shape memory wire relative to the housing sleeve.

19. The laser probe of claim 1 wherein an actuation of the actuation control towards the handle distal end and away from the handle proximal end is configured to extend the pre-formed curve within the housing sleeve.

20. The laser probe of claim 1 wherein an actuation of the actuation control towards the handle distal end and away from the handle proximal end is configured to extend the pre-formed curve over a portion of the first housing sleeve portion.

11. A laser probe comprising:

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

a handle end cap of the handle having a handle end cap distal end and a handle end cap proximal end wherein the handle end cap proximal end is the handle proximal end;

an optic fiber guide of the handle end cap;

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

a housing sleeve housing of the handle base;

a pressure mechanism housing of the handle base;

a spring disposed in the pressure mechanism housing;

an actuation control guide of the handle base having an actuation control guide distal end and an actuation control guide 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 shape memory wire housing of the actuation mechanism;

a fixation mechanism housing of the actuation mechanism;

an actuation control of the actuation mechanism, the actuation mechanism disposed in the handle end cap and the handle base wherein the actuation mechanism proximal end is disposed in the handle end cap and the actuation mechanism distal end is disposed in the handle base and wherein the actuation control is disposed in the actuation control guide and wherein the actuation mechanism is configured to actuate within the handle end cap and the handle base;

a housing sleeve having a housing sleeve distal end and a housing sleeve proximal end wherein the housing sleeve proximal end is disposed in the housing sleeve housing and wherein the housing sleeve proximal end is fixed in the housing sleeve housing;

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

a plurality of apertures of the first housing sleeve portion;

a second housing sleeve portion of the housing sleeve, the second housing sleeve portion having a second stiffness wherein the second stiffness is greater than the first stiffness;

an optic fiber having an optic fiber distal end and an optic fiber proximal end, the optic fiber disposed in the housing sleeve, the housing sleeve housing, the actuation mechanism guide, the inner bore, and the optic fiber guide wherein an actuation of the actuation control towards the actuation control guide distal end is configured to curve the housing sleeve and the optic fiber and wherein the optic fiber is disposed in the housing sleeve wherein the optic fiber distal end is adjacent to the housing sleeve distal end and wherein a first portion of the optic fiber is adjacent to the second housing sleeve portion and wherein a second portion of the optic fiber is fixed in the housing sleeve;

a shape memory wire having a shape memory wire distal end and a shape memory wire proximal end, the shape memory wire disposed in the shape memory wire housing, the actuation mechanism guide, the housing sleeve housing, and the housing sleeve wherein a portion of the shape memory wire is fixed in the shape memory wire housing; and

a pre-formed curve of the shape memory wire.

12. The laser probe of claim 11 wherein the actuation of the actuation control towards the actuation control guide distal end is configured to curve the housing sleeve and the optic fiber at least 45 degrees relative to the housing sleeve proximal end.

13. The laser probe of claim 12 wherein the actuation of the actuation control towards the actuation control guide distal end is configured to curve the housing sleeve and the optic fiber at least 90 degrees relative to the housing sleeve proximal end.

14. The laser probe of claim 12 wherein the actuation of the actuation control towards the actuation control guide distal end is configured to curve the housing sleeve and the optic fiber at least 45 degrees relative to the housing sleeve proximal end within an eye without increasing a length of the surgical instrument within the eye.

15. The laser probe of claim 12 wherein the actuation of the actuation control towards the actuation control guide distal end is configured to curve the housing sleeve and the optic fiber at least 45 degrees relative to the housing sleeve proximal end within an eye without decreasing a length of the surgical instrument within the eye.

16. The laser probe of claim 11 wherein an actuation of the actuation control towards the actuation control guide proximal end is configured to straighten the housing sleeve and the optic fiber.