Steerable laser probe

• US 9,770,298 B2
• Filed: 07/12/2013
• Issued: 09/26/2017
• Est. Priority Date: 08/10/2012
• Status: Expired due to Fees

• 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:
  US13/940,303
• Publication Number:
  US 20140046307A1
• Time in Patent Office: 1,537 Days
• Field of Search: 606 4, 606 5, 606 6, 606 15, 606 16
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 2017/00469 for insertion of instruments, e.g. guide wire, optical fibre
• 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: 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;

an actuation mechanism guide of the handle base;

a pressure mechanism housing of the handle base;

a flexible housing tube housing of the handle base;

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 and wherein a portion of the handle base is fixed within a portion of the handle end cap;

a proximal chamber of the handle end cap;

an optic fiber guide of the handle end cap;

a plurality of actuation control guides of the handle, each actuation control guide of the plurality of actuation control guides having an actuation control guide distal end and an actuation control guide proximal end 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 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 plurality of actuation controls of the actuation mechanism, each actuation control of the plurality of actuation controls having an actuation control distal end and an actuation control proximal end wherein each actuation control of the plurality of actuation controls is disposed within an actuation control guide of the plurality of actuation control guides;

an inner bore of the actuation mechanism;

a single flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end, the flexible housing tube having dimensions configured for performing ophthalmic surgical procedures; and

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

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 retracts the actuation control relative to the handle proximal end.

4. 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.

5. The laser probe of claim 4 wherein the actuation of the actuation control of the plurality of actuation controls is configured to compress a portion of 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 gradually straighten the optic fiber.

7. The laser probe of claim 6 wherein the actuation of the actuation control of the plurality of actuation controls extends the actuation control relative to the handle proximal end.

8. The laser probe of claim 6 wherein the actuation of the actuation control of the plurality of actuation controls is configured to gradually straighten the flexible housing tube.

9. The laser probe of claim 8 wherein the actuation of the actuation control of the plurality of actuation controls is configured to decompress a portion of the flexible housing tube.

10. 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.

11. The laser probe of claim 10 wherein an actuation of an actuation control of the plurality of actuation controls is configured to gradually curve the optic fiber.

12. The laser probe of claim 11 wherein the actuation of the actuation control of the plurality of actuation controls retracts the actuation control relative to the handle proximal end.

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

14. The laser probe of claim 13 wherein the actuation of the actuation control of the plurality of actuation controls is configured to compress a portion of the flexible housing tube.

15. The laser probe of claim 10 wherein an actuation of an actuation control of the plurality of actuation controls is configured to gradually straighten the optic fiber.

16. The laser probe of claim 15 wherein the actuation of the actuation control of the plurality of actuation controls extends the actuation control relative to the handle proximal end.

17. The laser probe of claim 15 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 17 wherein the actuation of the actuation control of the plurality of actuation controls is configured to decompress a portion of the flexible housing tube.

19. The laser probe of claim 10 further comprising:

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

20. The laser probe of claim 19 further comprising:

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