Steerable laser probe

• US 9,693,906 B2
• Filed: 07/22/2015
• Issued: 07/04/2017
• Est. Priority Date: 12/23/2011
• 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:
  US14/805,520
• Publication Number:
  US 20160045366A1
• Time in Patent Office: 713 Days
• Field of Search: 606 4
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00318 Steering mechanisms
• CPC Class Codes: A61B 2018/00964 Features of probes
• 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: A61B 34/71 Manipulators operated by drive cable mechanisms
• CPC Class Codes: A61F 2009/00872 Cornea
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00802 for photoablation
• 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, an actuation structure of the handle, a housing tube, a flexible tube, an optic fiber, and a wire having a pre-formed curve. The flexible tube may be disposed within the housing tube wherein a distal end of the flexible tube projects out from a distal end of the housing tube. The optic fiber may be disposed within an inner bore of the handle, the housing tube, and the flexible tube. The wire may be disposed within the housing tube.

Claims

1. A laser probe comprising:

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

an actuation structure of the handle having an actuation structure distal end and an actuation structure proximal end, the actuation structure manufactured from a shape memory material;

a plurality of actuation arms of the actuation structure, each actuation arm of the plurality of actuation arms having an extension mechanism;

a handle base of the handle, the handle base having a handle base distal end and a handle base proximal end wherein the handle base distal end is adjacent to the actuation structure proximal end and the handle base proximal end is the handle proximal end;

an actuation ring of the handle having an actuation ring distal end and an actuation ring proximal end wherein the actuation ring proximal end is adjacent to the actuation structure distal end and the actuation ring distal end is the handle distal end;

a housing tube platform of the handle;

a platform base of the handle;

an actuation mechanism guide of the platform base;

an actuation mechanism housing of the actuation ring wherein the actuation mechanism housing houses an actuation mechanism that is disposed in the actuation mechanism housing and wherein the actuation mechanism is configured to actuate relative to the handle base within the actuation mechanism guide;

a wire proximal end housing of the handle, the wire proximal end housing disposed within the actuation structure;

a housing tube having a housing tube distal end and a housing tube proximal end, the housing tube proximal end disposed in the housing tube platform wherein a portion of the housing tube is fixed in the housing tube platform;

a flexible tube having a flexible tube distal end and a flexible tube proximal end, the flexible tube disposed in the housing tube wherein the flexible tube distal end extends from the housing tube distal end;

a wire having a wire distal end and a wire proximal end, the wire disposed in the housing tube, the flexible tube, and the wire proximal end housing;

a pre-formed curve of the wire; and

an optic fiber having an optic fiber distal end and an optic fiber proximal end, the optic fiber disposed in the flexible tube wherein the optic fiber distal end is adjacent to the flexible tube distal end.

2. The laser probe of claim 1 wherein an application of a compressive force to a particular actuation arm of the plurality of actuation arms is configured to actuate the particular actuation arm.

3. The laser probe of claim 2 wherein the application of the compressive force to the particular actuation arm is configured to actuate every actuation arm of the plurality of actuation arms.

4. The laser probe of claim 3 wherein the application of the compressive force to the particular actuation arm is configured to extend the extension mechanism of the particular actuation arm.

5. The laser probe of claim 4 wherein the application of the compressive force to the particular actuation arm is configured to extend the actuation ring relative to the handle base.

6. The laser probe of claim 1 further comprising:

an inner bore of the handle.

7. The laser probe of claim 1 further comprising:

an inner bore proximal taper of the handle.

8. The laser probe of claim 1 further comprising:

an inner bore distal chamber of the handle.

9. The laser probe of claim 1 further comprising:

an optic fiber guide of the handle.

10. The laser probe of claim 1 further comprising:

a wire guide of the handle.

11. The laser probe of claim 1 further comprising:

a light source interface.

12. The laser probe of claim 1 wherein the wire is manufactured from nitinol.

13. The laser probe of claim 1 wherein a compression of the actuation structure is configured to actuate the actuation ring away from the handle proximal end.

14. The laser probe of claim 13 wherein the compression of the actuation structure is configured to actuate the actuation ring towards the housing tube platform.

15. The laser probe of claim 13 wherein the compression of the actuation structure is configured to extend the actuation mechanism relative to the handle base.

16. The laser probe of claim 13 wherein the compression of the actuation structure is configured to extend the wire relative to the housing tube.

17. The laser probe of claim 13 wherein the compression of the actuation structure is configured to extend the pre-formed curve into a portion of the flexible tube.

18. The laser probe of claim 13 wherein the compression of the actuation structure is configured to curve the flexible tube.

19. The laser probe of claim 13 wherein the compression of the actuation structure is configured to curve the optic fiber.

20. The laser probe of claim 19 wherein the compression of the actuation structure is configured to curve the optic fiber at least 45 degrees.