Steerable laser probe

• US 9,770,296 B2
• Filed: 07/10/2013
• Issued: 09/26/2017
• Est. Priority Date: 07/31/2012
• 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): Eiseman, Lynsey
• Assistant Examiner(s): Lukjan, Sebastian X
• Application Number:
  US13/938,635
• Publication Number:
  US 20140039475A1
• Time in Patent Office: 1,539 Days
• Field of Search: 606 4, 606 11, 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 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/2238 with means for selectively laterally deflecting the tip of the fibre
• CPC Class Codes: A61B 2018/225 Features of hand-pieces A61B2018/2255 takes precedence
• CPC Class Codes: A61F 2009/00863 Retina
• 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, a plurality of actuation controls of the handle, a flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end, and an optic fiber disposed within an inner bore of the handle and the flexible housing tube. An actuation of an actuation control of the plurality of actuation controls may gradually curve the flexible housing tube. A gradual curving of the flexible housing tube may gradually curve the optic fiber. An actuation of an actuation control of the plurality of actuation controls may gradually straighten the flexible housing tube. A gradual straightening of the flexible housing tube may gradually straighten the optic fiber.

Claims

1. A laser probe comprising:

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

a handle base of the handle having a handle base distal end, a handle base proximal end, and a handle end cap interface;

a flexible housing tube guide of the handle base;

an actuation mechanism guide of the handle base;

a pressure mechanism housing of the handle base, the pressure mechanism housing disposed between the flexible housing tube guide and the actuation mechanism guide;

a pressure mechanism disposed in the pressure mechanism housing;

a plurality of handle base channels of the handle base wherein each handle base channel of the plurality of handle base channels is separated from at least one handle base channel of the plurality of handle base channels by a handle base limb;

a handle end cap of the handle having a handle end cap distal end, a handle end cap proximal end, and a handle base housing, the handle base proximal end disposed in the handle base housing wherein the handle end cap distal end is configured to interface with the handle end cap interface;

a proximal chamber of the handle end cap;

an optic fiber housing of the handle end cap;

a plurality of actuation control guides of the handle wherein each actuation control guide of the plurality of actuation control guides comprises a handle base channel of the plurality of handle base channels;

an actuation mechanism of the handle having an actuation mechanism distal end and an actuation mechanism proximal end, the actuation mechanism disposed in the handle base and the handle end cap wherein the actuation mechanism distal end is disposed in the handle base and the actuation mechanism proximal end is disposed in the handle end cap;

a flexible housing tube housing of the actuation mechanism;

an inner bore of the actuation mechanism;

a plurality of actuation controls of the actuation mechanism, each actuation control of the plurality of actuation controls disposed within an actuation control guide of the plurality of actuation control guides wherein an actuation of a particular actuation control of the plurality of actuation controls is configured to actuate each actuation control of the plurality of actuation controls;

a single flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end, the flexible housing tube disposed in the housing tube housing of the actuation mechanism and the housing tube guide of the handle base wherein the flexible housing tube is fixed within the housing tube housing; and

an optic fiber having an optic fiber distal end and an optic fiber proximal end, the optic fiber disposed within the inner bore, the optic fiber housing, the proximal chamber, the flexible housing tube housing, the actuation mechanism guide, the flexible housing tube guide, and the flexible housing tube wherein a first portion of the optic fiber is fixed in the optic fiber guide and wherein a second portion of the optic fiber is fixed to a portion of the flexible housing tube and wherein the optic distal end is adjacent to the flexible housing tube distal end.

2. The laser probe of claim 1 wherein an actuation of an actuation control of the plurality of actuation controls is configured to gradually curve the optic fiber.

3. The laser probe of claim 2 wherein the actuation of the actuation control of the plurality of actuation controls is configured to gradually curve the flexible housing tube.

4. The laser probe of claim 1 wherein an actuation of an actuation control of the plurality of actuation controls is configured to gradually straighten the optic fiber.

5. The laser probe of claim 4 wherein the actuation of the actuation control of the plurality of actuation controls is configured to gradually straighten the flexible housing tube.

6. The laser probe of claim 1 wherein an actuation of an actuation control of the plurality of actuation controls is configured to actuate each actuation control of the plurality of actuation controls.

7. The laser probe of claim 1 further comprising:

a slight curve of the flexible housing tube distal end, the slight curve configured to indicate an optic fiber curvature direction.

8. The laser probe of claim 1 further comprising:

a cable having a cable distal end and a cable proximal end, the cable disposed in the inner bore of the handle and the flexible housing tube.

9. The laser probe of claim 8 wherein an actuation of an actuation control of the plurality of actuation controls is configured to gradually curve the optic fiber.

10. The laser probe of claim 9 wherein the actuation of the actuation control of the plurality of actuation controls is configured to gradually curve the flexible housing tube.

11. The laser probe of claim 8 wherein an actuation of an actuation control of the plurality of actuation controls is configured to gradually straighten the optic fiber.

12. The laser probe of claim 11 wherein the actuation of the actuation control of the plurality of actuation controls is configured to gradually straighten the flexible housing tube.

13. The laser probe of claim 8 further comprising:

a redundant cable having a redundant cable distal end and a redundant cable proximal end, the redundant cable disposed within the inner bore of the handle and the flexible housing tube.

14. The laser probe of claim 13 wherein an actuation of an actuation control of the plurality of actuation controls is configured to gradually curve the optic fiber.

15. The laser probe of claim 14 wherein the actuation of the actuation control of the plurality of actuation controls is configured to gradually curve the flexible housing tube.

16. The laser probe of claim 13 wherein an actuation of an actuation control of the plurality of actuation controls is configured to gradually straighten the optic fiber.

17. The laser probe of claim 16 wherein the actuation of the actuation control of the plurality of actuation controls is configured to gradually straighten the flexible housing tube.

18. The laser probe of claim 1 wherein an actuation of an actuation control of the plurality of actuation controls towards the handle distal end and away from the handle proximal end is configured to extend the actuation mechanism relative to the optic fiber.

19. The laser probe of claim 1 wherein an actuation of an actuation control of the plurality of actuation controls towards the handle distal end and away from the handle proximal end is configured to extend the flexible housing tube relative to the optic fiber.

20. The laser probe of claim 1 wherein an actuation of an actuation control of the plurality of actuation controls towards the handle proximal end and away from the handle distal end is configured to retract the actuation mechanism relative to the optic fiber.