Steerable laser probe

• US 9,889,044 B1
• Filed: 06/26/2017
• Issued: 02/13/2018
• Est. Priority Date: 11/03/2011
• 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, Moore, Craig
• Primary Examiner(s): Thomson, William
• Assistant Examiner(s): Lukjan, Sebastian X
• Application Number:
  US15/633,332
• Time in Patent Office: 232 Days
• Field of Search: 606 4
• 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 2017/00323 Cables or rods
• CPC Class Codes: A61B 2018/00172 Connectors and adapters therefor
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/0094 Types of switches or controllers
• 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: A61B 2018/225 Features of hand-pieces A61B2018/2255 takes precedence
• CPC Class Codes: A61B 2018/2288 the optical fibre cable having a curved distal end
• CPC Class Codes: A61B 2034/715 Cable tensioning mechanisms for removing slack
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms
• 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 25/0147 with movable mechanical means, e.g. pull wires

Abstract

A steerable laser probe may include a handle, an actuation lever, an optic fiber, and a housing tube. The housing tube may have 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. An actuation of the actuation lever about a pivot pin of the handle may gradually curve the optic fiber. An actuation of the actuation lever about the pivot pin of the handle may gradually straighten the optic fiber.

Claims

1. A laser probe comprising:

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

an actuation channel of the handle;

an optic fiber guide of the handle;

an inner bore distal chamber of the handle;

an actuation lever having an actuation lever distal end and an actuation lever proximal end wherein the actuation lever proximal end is disposed in the actuation channel and wherein the actuation lever distal end extends out from the actuation channel;

a pivot pin guide of the actuation lever;

a pivot pin housing of the handle;

a pivot pin disposed in the pivot pin housing and the pivot pin guide;

a single housing tube having a housing tube distal end and a housing tube proximal end wherein the housing tube is fixed to a portion of the handle;

a first housing tube portion of the housing tube having a first stiffness;

a second housing tube portion of the housing tube having a second stiffness wherein the second stiffness is greater than the first stiffness;

a plurality of apertures of the first housing tube portion wherein at least two apertures of the plurality of apertures are configured to separate at least one solid portion of the housing tube;

a wire having a wire distal end and a wire proximal loop wherein a portion of the actuation lever is disposed in the wire proximal loop; and

an optic fiber having an optic fiber distal end and an optic fiber proximal end, the optic fiber disposed in an inner bore of the handle, the optic fiber guide, the actuation channel, and the housing tube wherein the optic fiber distal end is adjacent to the housing tube distal end and wherein a portion of the optic fiber is fixed to an inner portion of the housing tube and wherein actuating the actuation lever distal end away from the handle proximal end is configured to rotate the actuation lever about the pivot pin in a first direction and retract the optic fiber relative to the housing tube and curve the housing tube and the optic fiber by applying a compressive force to the inner portion of the housing tube.

2. The laser probe of claim 1 wherein actuating the actuation lever distal end towards the handle proximal end is configured to rotate the actuation lever about the pivot pin in a second direction and extend the optic fiber relative to the housing tube and straighten the housing tube and the optic fiber.

3. The laser probe of claim 1 wherein the optic fiber is adjacent to the first housing tube portion.

4. The laser probe of claim 1 wherein the optic fiber is fixed to the inner portion of the housing tube by an adhesive.

5. The laser probe of claim 1 wherein a rotation of the actuation lever about the pivot pin in the first direction is configured to curve the optic fiber at least 45 degrees.

6. The laser probe of claim 5 wherein the rotation of the actuation lever about the pivot pin in the first direction is configured to curve the optic fiber at least 90 degrees.

13. The laser probe of claim 1 further comprising:

a light source interface configured to interface with the optic fiber proximal end.

14. The laser probe of claim 13 wherein the light source interface is an SMA connector.

15. The laser probe of claim 1 wherein a rotation of the actuation lever about the pivot pin in the first direction is configured to curve the optic fiber within an eye.

16. The laser probe of claim 15 wherein the rotation of the actuation lever about the pivot pin in the first direction is configured to curve the optic fiber within an eye without increasing a length of the laser probe in the eye.

17. The laser probe of claim 15 wherein the rotation of the actuation lever about the pivot pin in the first direction is configured to curve the optic fiber within an eye without decreasing a length of the laser probe in the eye.

7. A laser probe comprising:

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

an actuation channel of the handle;

an optic fiber guide of the handle;

an inner bore distal chamber of the handle;

an actuation lever having an actuation lever distal end and an actuation lever proximal end wherein the actuation lever proximal end is disposed in the actuation channel and wherein the actuation lever distal end extends out from the actuation channel;

a pivot pin guide of the actuation lever;

a pivot pin housing of the handle;

a pivot pin disposed in the pivot pin housing and the pivot pin guide;

a single housing tube having a housing tube distal end and a housing tube proximal end wherein the housing tube is fixed to a portion of the handle;

a first housing tube portion of the housing tube having a first stiffness;

a second housing tube portion of the housing tube having a second stiffness wherein the second stiffness is greater than the first stiffness;

a plurality of apertures of the first housing tube portion wherein at least two apertures of the plurality of apertures are configured to separate at least one solid portion of the housing tube;

a wire having a wire distal end and a wire proximal loop wherein a portion of the actuation lever is disposed in the wire proximal loop; and

an optic fiber having an optic fiber distal end and an optic fiber proximal end, the optic fiber disposed in an inner bore of the handle, the optic fiber guide, the actuation channel, and the housing tube wherein the optic fiber distal end is adjacent to the housing tube distal end and wherein a portion of the optic fiber is fixed to an inner portion of the housing tube and wherein actuating the actuation lever distal end towards the handle proximal end is configured to rotate the actuation lever about the pivot pin in a first direction and extend the optic fiber relative to the housing tube and straighten the housing tube and the optic fiber by reducing a compressive force applied to the inner portion of the housing tube.

8. The laser probe of claim 7 wherein actuating the actuation lever distal end away from the handle proximal end is configured to rotate the actuation lever about the pivot pin in a second direction and retract the optic fiber relative to the housing tube and curve the housing tube and the optic fiber.

9. The laser probe of claim 7 wherein the optic fiber is adjacent to the first housing tube portion.

10. The laser probe of claim 7 wherein the optic fiber is fixed to the inner portion of the housing tube by an adhesive.

11. The laser probe of claim 7 wherein a rotation of the actuation lever about the pivot pin in the first direction is configured to straighten the optic fiber at least 45 degrees.

12. The laser probe of claim 11 wherein the rotation of the actuation lever about the pivot pin in the first direction is configured to straighten the optic fiber at least 90 degrees.

18. The laser probe of claim 7 wherein a rotation of the actuation lever about the pivot pin in the first direction is configured to straighten the optic fiber within an eye.

19. The laser probe of claim 18 wherein the rotation of the actuation lever about the pivot pin in the first direction is configured to straighten the optic fiber within the eye without increasing a length of the laser probe in the eye.

20. The laser probe of claim 18 wherein the rotation of the actuation lever about the pivot pin in the first direction is configured to straighten the optic fiber within the eye without decreasing a length of the laser probe in the eye.