Steerable laser probe

• US 9,681,986 B2
• Filed: 04/14/2016
• Issued: 06/20/2017
• Est. Priority Date: 09/12/2012
• 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:
  US15/099,036
• Publication Number:
  US 20160220420A1
• Time in Patent Office: 432 Days
• Field of Search: 606 4
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 2017/00318 Steering mechanisms
• CPC Class Codes: A61B 2017/00336 with a protective sleeve, e.g. retractable or slidable
• 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: A61B 2018/2244 Features of optical fibre cables, e.g. claddings
• CPC Class Codes: A61F 2210/009 magnetic
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00821 for coagulation

Abstract

A steerable laser probe may include a handle having a handle distal end and a handle proximal end, an auto-fixing actuation control, a flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end, a first flexible housing tube portion having a first stiffness, and an optic fiber disposed within an inner bore of the handle and the flexible housing tube. An actuation of the auto-fixing actuation control may gradually curve the flexible housing tube. A gradual curving of the flexible housing tube may gradually curve the optic fiber.

Claims

1. A method for performing an ophthalmic photocoagulation procedure comprising:

applying a first force to an auto-fixing actuation control of a handle, the auto-fixing actuation control disposed adjacent to an auto-fixing component of the handle wherein the auto-fixing actuation control is disposed between an auto-fixing component distal end and an auto-fixing component proximal end;

indicating a direction of curvature of a flexible housing tube;

actuating the auto-fixing actuation control within an actuation control guide of the handle until the auto-fixing actuation control is in a first desired position within the actuation control guide;

extending the flexible housing tube relative to the optic fiber wherein the optic fiber resists an extension of the flexible housing tube relative to the optic fiber;

curving the flexible housing tube in the direction of curvature wherein the flexible housing tube has a flexible housing tube distal end and a flexible housing tube proximal end;

curving an optic fiber in the direction of curvature to a first curved position relative to the flexible housing tube proximal end;

removing the first force from the auto-fixing actuation control;

fixing the auto-fixing actuation control in the first desired position within the actuation control guide by a force between the auto-fixing actuation control and the auto-fixing component;

fixing the optic fiber in the first curved position relative to the flexible housing tube proximal end;

aiming an optic fiber distal end of the optic fiber at a first photocoagulation target;

energizing a laser;

applying a second force to the auto-fixing actuation control;

actuating the auto-fixing actuation control within the actuation control guide of the handle until the auto-fixing actuation control is in a second desired position within the actuation control guide;

curving the optic fiber in the direction of curvature to a second curved position relative to the flexible housing tube proximal end wherein the second curved position relative to the flexible housing tube proximal end is greater than the first curved position relative to the flexible housing tube proximal end;

removing the second force from the auto-fixing actuation control;

fixing the auto-fixing actuation control in the second desired position within the actuation control guide by the force between the auto-fixing actuation control and the auto-fixing component; and

fixing the optic fiber in the second curved position relative to the flexible housing tube proximal end.

2. The method of claim 1 wherein the flexible housing tube has dimensions configured for performing ophthalmic surgical procedures.

3. The method of claim 2 wherein the flexible housing tube is smaller than 23 gauge.

4. The method of claim 1 wherein the flexible housing tube is manufactured from nitinol.

5. The method of claim 1 further comprising:

actuating an actuation mechanism of the handle within an actuation mechanism guide of the handle.

6. The method of claim 1 wherein the force between the auto-fixing actuation control and the auto-fixing component is a magnetic force.

7. The method of claim 1 further comprising:

extending the flexible housing tube relative to a handle proximal end of the handle.

8. The method of claim 1 further comprising:

preventing the extension of the flexible housing tube relative to the optic fiber.

9. The method of claim 8 further comprising:

applying a force to a portion of the flexible housing tube.

10. The method of claim 1 wherein the second curved position relative to the flexible housing tube proximal end is at least 45 degrees greater than the first curved position relative to the flexible housing tube proximal end.

11. The method of claim 10 wherein the second curved position relative to the flexible housing tube proximal end is at least 90 degrees greater than the first curved position relative to the flexible housing tube proximal end.

12. The method of claim 1 further comprising:

curving the flexible housing tube within an eye.

13. The method of claim 12 further comprising:

curving the flexible housing tube within the eye without increasing a length of the flexible housing tube within the eye.

14. The method of claim 12 further comprising:

curving the flexible housing tube within the eye without decreasing a length of the flexible housing tube within the eye.

15. The method of claim 1 further comprising:

aiming the optic fiber distal end of the optic fiber at a second photocoagulation target.

16. The method of claim 1 further comprising:

illuminating a surgical target site.

17. The method of claim 1 further comprising:

straightening the optic fiber relative to the flexible housing tube proximal end.

18. The method of claim 1 further comprising:

extending the flexible housing tube relative to a cable wherein the cable resists an extension of the flexible housing tube relative to the cable.