Steerable laser probe

• US 9,888,965 B2
• Filed: 08/16/2017
• Issued: 02/13/2018
• Est. Priority Date: 08/10/2012
• 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:
  US15/678,730
• Publication Number:
  US 20170340388A1
• Time in Patent Office: 181 Days
• Field of Search: 606 4
• 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 plurality of handle base limbs wherein each handle base limb of the plurality of handle base limbs is at least partially disposed in a handle end cap;

an actuation control guide of the handle having an actuation control guide distal end and an actuation control guide proximal end;

a single flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end wherein the flexible housing tube proximal end is disposed in a flexible housing tube housing of the handle and wherein the flexible housing tube proximal end is fixed in the flexible housing tube housing;

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

an inner bore of the actuation mechanism;

an optic fiber housing of the actuation mechanism;

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

a polyimide buffer of the optic fiber configured to protect an optical property of the optic fiber; and

an actuation control having an actuation control distal end and an actuation control proximal end wherein the actuation control is disposed in the actuation control guide and wherein an actuation of the actuation control within the actuation control guide towards the actuation control guide proximal end is configured to retract the optic fiber housing and the optic fiber relative to the flexible housing tube and curve the flexible housing tube.

2. The laser probe of claim 1 wherein the actuation of the actuation control within the actuation control guide towards the actuation control guide proximal end is configured to curve the optic fiber.

3. The laser probe of claim 1 wherein the actuation of the actuation control within the actuation control guide towards the actuation control guide proximal end is configured to curve the flexible housing tube at least 45 degrees.

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

5. The laser probe of claim 4 wherein the actuation of the actuation control within the actuation control guide towards the actuation control guide distal end is configured to straighten the flexible housing tube.

6. The laser probe of claim 1 further comprising:

a cable having a cable distal end and a cable proximal end wherein the cable is disposed in the flexible housing tube and the actuation mechanism guide.

7. The laser probe of claim 1 wherein the flexible housing tube is manufactured from nitinol.

8. The laser probe of claim 1 wherein the buffer is a Kapton buffer.

17. The laser probe of claim 1 wherein the flexible housing tube has an ultimate tensile strength in a range of 700 to 1000 MPa.

18. The laser probe of claim 1 wherein the flexible housing tube has a modulus of elasticity in a range of 30 to 80 GPa.

20. The laser probe of claim 1 wherein the flexible housing tube has a modulus of elasticity in a range of 30 to 80 GPa.

9. A laser probe comprising:

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

a handle base of the handle having a plurality of handle base limbs wherein each handle base limb of the plurality of handle base limbs is at least partially disposed in a handle end cap;

an actuation control guide of the handle having an actuation control guide distal end and an actuation control guide proximal end;

a single flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end wherein the flexible housing tube proximal end is disposed in a flexible housing tube housing of the handle and wherein the flexible housing tube proximal end is fixed in the flexible housing tube housing;

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

an inner bore of the actuation mechanism;

an optic fiber housing of the actuation mechanism;

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

a polyimide buffer of the optic fiber configured to protect an optical property of the optic fiber; and

an actuation control having an actuation control distal end and an actuation control proximal end wherein the actuation control is disposed in the actuation control guide and wherein an actuation of the actuation control within the actuation control guide towards the actuation control guide distal end is configured to extend the optic fiber housing and the optic fiber relative to the flexible housing tube and straighten the flexible housing tube.

10. The laser probe of claim 9 wherein the actuation of the actuation control within the actuation control guide towards the actuation control guide distal end is configured to straighten the optic fiber.

11. The laser probe of claim 9 wherein the actuation of the actuation control within the actuation control guide towards the actuation control guide distal end is configured to straighten the flexible housing tube at least 45 degrees.

12. The laser probe of claim 9 wherein an actuation of the actuation control within the actuation control guide towards the actuation control guide proximal end is configured to curve the optic fiber.

13. The laser probe of claim 12 wherein the actuation of the actuation control within the actuation control guide towards the actuation control guide proximal end is configured to curve the flexible housing tube.

14. The laser probe of claim 9 further comprising:

a cable having a cable distal end and a cable proximal end wherein the cable is disposed in the flexible housing tube and the actuation mechanism guide.

15. The laser probe of claim 9 wherein the flexible housing tube is manufactured from nitinol.

16. The laser probe of claim 9 wherein the buffer is a Kapton buffer.

19. The laser probe of claim 9 wherein the flexible housing tube has an ultimate tensile strength in a range of 700 to 1000 MPa.