Steerable laser probe

• US 9,849,035 B2
• Filed: 05/15/2017
• Issued: 12/26/2017
• Est. Priority Date: 08/14/2012
• 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): Thomson, William
• Assistant Examiner(s): Lukjan, Sebastian X
• Application Number:
  US15/595,341
• Publication Number:
  US 20170246035A1
• Time in Patent Office: 225 Days
• Field of Search: 606 4, 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 2017/00318 Steering mechanisms
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00613 Irreversible electroporation reversible electroporation A61N1/327
• 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 9/008 using laser
• 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 having a handle, a housing sleeve, a first portion of the housing sleeve having a first stiffness, a second portion of the housing sleeve having a second stiffness, an actuation control of the handle, an optic fiber disposed in an inner bore of the handle and the housing sleeve, and a shape memory wire having a pre-formed curve. An actuation of the actuation control may be configured to gradually curve the housing sleeve and the optic fiber. An actuation of the actuation control may be configured to gradually straighten the housing sleeve and the optic fiber.

Claims

1. A laser probe comprising:

an optic fiber having an optic fiber distal end and an optic fiber proximal end wherein the optic fiber is configured to transmit light;

a housing sleeve having a housing sleeve distal end, a housing sleeve proximal end, a first housing sleeve portion, and a second housing sleeve portion wherein the first housing sleeve portion has a first stiffness and the second housing sleeve portion has a second stiffness;

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

a handle base of the handle;

a handle end cap of the handle;

a pressure mechanism housing of the handle;

an optic fiber guide of the handle wherein the optic fiber guide is disposed between the pressure mechanism housing and the handle proximal end;

an actuation mechanism guide of the handle base and the handle end cap wherein the actuation mechanism guide is disposed between the handle distal end and the handle proximal end;

a housing sleeve housing of the handle wherein the housing sleeve housing is disposed between the handle distal end and the pressure mechanism housing and wherein the housing sleeve proximal end is disposed in the housing sleeve housing and wherein the housing sleeve proximal end is fixed in the housing sleeve housing;

an actuation control guide having an actuation control guide distal end and an actuation control guide proximal end;

an actuation mechanism having an actuation mechanism distal end and an actuation mechanism proximal end wherein the actuation mechanism is disposed in the actuation mechanism guide and wherein the actuation mechanism is configured to actuate within the actuation mechanism guide;

an actuation control of the actuation mechanism wherein the actuation control is disposed in the actuation control guide between the actuation control guide distal end and the actuation control guide proximal end; and

an inner bore of the actuation mechanism wherein the inner bore is disposed between the optic fiber guide and the pressure mechanism housing and wherein the optic fiber is disposed in the housing sleeve, the housing sleeve housing, the pressure mechanism housing, the optic fiber guide, the actuation mechanism guide, and the inner bore.

2. The laser probe of claim 1 wherein an actuation of the actuation control towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the optic fiber.

3. The laser probe of claim 1 wherein an actuation of the actuation control towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the housing sleeve.

4. The laser probe of claim 1 wherein an actuation of the actuation control towards the actuation control guide proximal end and away from the actuation control guide distal end is configured to straighten the optic fiber.

5. The laser probe of claim 1 wherein an actuation of the actuation control towards the actuation control guide proximal end and away from the actuation control guide distal end is configured to straighten the housing sleeve.

6. The laser probe of claim 1 further comprising:

a pressure mechanism disposed in the pressure mechanism housing wherein the pressure mechanism is configured to provide a force.

7. The laser probe of claim 6 wherein an actuation of the actuation control towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the optic fiber.

8. The laser probe of claim 6 wherein an actuation of the actuation control towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the housing sleeve.

9. The laser probe of claim 6 wherein an actuation of the actuation control towards the actuation control guide proximal end and away from the actuation control guide distal end is configured to straighten the optic fiber.

10. The laser probe of claim 6 wherein an actuation of the actuation control towards the actuation control guide proximal end and away from the actuation control guide distal end is configured to straighten the housing sleeve.

11. The laser probe of claim 6 wherein the pressure mechanism is a spring.

12. The laser probe of claim 11 wherein an actuation of the actuation control towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the optic fiber.

13. The laser probe of claim 11 wherein an actuation of the actuation control towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the housing sleeve.

14. The laser probe of claim 11 wherein an actuation of the actuation control towards the actuation control guide proximal end and away from the actuation control guide distal end is configured to straighten the optic fiber.

15. The laser probe of claim 11 wherein an actuation of the actuation control towards the actuation control guide proximal end and away from the actuation control guide distal end is configured to straighten the housing sleeve.

16. The laser probe of claim 1 further comprising:

a shape memory wire having a shape memory wire distal end, a shape memory wire proximal end, and a pre-formed curve wherein the shape memory wire is at least partially disposed in the housing sleeve.

17. The laser probe of claim 16 wherein an actuation of the actuation control towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the optic fiber.

18. The laser probe of claim 16 wherein an actuation of the actuation control towards the actuation control guide distal end and away from the actuation control guide proximal end is configured to curve the housing sleeve.

19. The laser probe of claim 16 wherein an actuation of the actuation control towards the actuation control guide proximal end and away from the actuation control guide distal end is configured to straighten the optic fiber.

20. The laser probe of claim 16 wherein an actuation of the actuation control towards the actuation control guide proximal end and away from the actuation control guide distal end is configured to straighten the housing sleeve.