Steerable laser probe

• US 9,782,295 B2
• Filed: 09/26/2016
• Issued: 10/10/2017
• Est. Priority Date: 10/17/2011
• 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): Downey, John R
• Application Number:
  US15/276,256
• Publication Number:
  US 20170042737A1
• Time in Patent Office: 379 Days
• CPC Class Codes: A61B 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 2017/00318 Steering mechanisms
• CPC Class Codes: A61B 2017/2918 flexible handles
• CPC Class Codes: A61B 2018/00184 Moving parts
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00595 Cauterization
• CPC Class Codes: A61B 2018/20357 by movable optical fibre end
• CPC Class Codes: A61B 2018/2238 with means for selectively laterally deflecting the tip of the fibre
• CPC Class Codes: A61F 2009/00863 Retina
• CPC Class Codes: A61F 2009/00885 for treating a particular disease
• 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
• CPC Class Codes: A61M 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0138 having flexible regions as a result of weakened outer material, e.g. slots, slits, cuts, joints or coils
• CPC Class Codes: A61M 25/0141 having flexible regions as a result of using materials with different mechanical properties
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

A steerable laser probe may include a handle, an actuation structure, an optic fiber, and a housing tube. The housing tube may include a first housing tube portion having a first stiffness and a second housing tube portion having a second stiffness. The second stiffness may be greater than the first stiffness. The optic fiber may be disposed within the housing tube and within an inner bore of the handle. A compression of the actuation structure may be configured to gradually curve the optic fiber. A decompression of the actuation structure may be configured to gradually straighten the optic fiber.

Claims

1. A method comprising:

compressing an actuation structure of a handle wherein the actuation structure has a plurality of actuation arms and wherein the handle has handle distal end, a handle proximal end, and a handle base;

extending an actuation ring of the actuation structure relative to the handle base wherein the actuation ring has an actuation ring distal end and an actuation ring proximal end;

extending a piston tube relative to the handle base wherein the piston tube has a piston tube distal end and a piston tube proximal end;

extending a housing tube relative to the handle base wherein the housing tube has a housing tube distal end and a housing tube proximal end; and

curving an optic fiber having an optic fiber distal end and an optic fiber proximal end wherein the optic fiber is disposed in the housing tube, the piston tube, and an inner bore of the handle and wherein the optic fiber distal end is adjacent to the housing tube distal end.

2. The method of claim 1 further comprising:

curving the housing tube.

3. The method of claim 1 further comprising:

compressing a first housing tube portion of the housing tube.

4. The method of claim 1 further comprising:

extending an outer nosecone relative to the handle base.

5. The method of claim 1 further comprising:

extending an inner nosecone relative to the handle base.

6. The method of claim 1 further comprising:

curving the optic fiber at least 45 degrees.

7. The method of claim 1 further comprising:

curving the optic fiber within an eye.

8. The method of claim 7 further comprising:

curving the optic fiber within the eye without increasing a length of the optic fiber in the eye.

9. The method of claim 7 further comprising:

curving the optic fiber within the eye without decreasing a length of the optic fiber in the eye.

10. The method of claim 1 further comprising:

aiming the optic fiber distal end at a target within an eye.

11. The method of claim 1 further comprising:

decompressing the actuation structure.

12. The method of claim 11 further comprising:

retracting the actuation ring relative to the handle base.

13. The method of claim 11 further comprising:

retracting the piston tube relative to the handle base.

14. The method of claim 11 further comprising:

retracting the housing tube relative to the handle base.

15. The method of claim 11 further comprising:

straightening the optic fiber.

16. A method comprising:

decompressing an actuation structure of a handle wherein the actuation structure has a plurality of actuation arms and wherein the handle has handle distal end, a handle proximal end, and a handle base;

retracting an actuation ring of the actuation structure relative to the handle base wherein the actuation ring has an actuation ring distal end and an actuation ring proximal end;

retracting a piston tube relative to the handle base wherein the piston tube has a piston tube distal end and a piston tube proximal end;

retracting a housing tube relative to the handle base wherein the housing tube has a housing tube distal end and a housing tube proximal end; and

straightening an optic fiber having an optic fiber distal end and an optic fiber proximal end wherein the optic fiber is disposed in the housing tube, the piston tube, and an inner bore of the handle and wherein the optic fiber distal end is adjacent to the housing tube distal end.

17. The method of claim 16 further comprising:

straightening the housing tube.

18. The method of claim 16 further comprising:

decompressing a first housing tube portion of the housing tube.

19. The method of claim 16 further comprising:

retracting an outer nosecone relative to the handle base.

20. The method of claim 16 further comprising:

retracting an inner nosecone relative to the handle base.