Steerable laser probe

• US 9,901,484 B1
• Filed: 08/22/2017
• Issued: 02/27/2018
• Est. Priority Date: 09/06/2012
• 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:
  US15/683,278
• Time in Patent Office: 189 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 2018/2238 with means for selectively laterally deflecting the tip of the fibre
• CPC Class Codes: A61B 2018/2244 Features of optical fibre cables, e.g. claddings
• CPC Class Codes: A61F 2009/00863 Retina
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00821 for coagulation

Abstract

A steerable laser probe may include an actuation structure, a nosecone fixed to the actuation structure by one or more links and one or more link pins, a flexible housing tube, and an optic fiber disposed in the flexible housing tube and the actuation structure. A compression of the actuation structure may be configured to gradually curve the flexible housing tube and the optic fiber. A decompression of the actuation structure may be configured to gradually straighten the flexible housing tube and the optic fiber.

Claims

1. A laser probe comprising:

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

an actuation structure of the handle;

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

an end plug having an end plug distal end and an end plug proximal end wherein the end plug is disposed in the handle and wherein the end plug is configured to interface with a portion of the actuation guide;

a ring disposed over a portion of the end plug;

a piston having a piston distal end and a piston proximal end wherein the piston is disposed in the actuation guide;

a nosecone of the handle having a nosecone distal end and a nosecone proximal end;

a 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 the nosecone and wherein the flexible housing tube has dimensions configured for performing ophthalmic surgical procedures; and

an optic fiber having an optic fiber distal end and an optic fiber proximal end wherein the optic fiber is disposed in the handle and the flexible housing tube and wherein a compression of the actuation structure is configured to extend the flexible housing tube relative to the optic fiber and curve the optic fiber and wherein the compression of the actuation structure is configured to extend the nosecone relative to the handle proximal end by actuating a pair of links wherein each link of the pair of links is connected to the actuation structure and the nosecone.

2. The laser probe of claim 1 wherein the compression of the actuation structure is configured to curve the flexible housing tube.

3. The laser probe of claim 1 wherein the compression of the actuation structure is configured to extend the piston relative to the handle proximal end.

4. The laser probe of claim 1 wherein the compression of the actuation structure is configured to compress a portion of the flexible housing tube.

5. The laser probe of claim 1 wherein the compression of the actuation structure is configured to extend the flexible housing tube relative to the handle proximal end.

6. The laser probe of claim 1 wherein a decompression of the actuation structure is configured to retract the flexible housing tube relative to the optic fiber.

7. The laser probe of claim 1 wherein a decompression of the actuation structure is configured to straighten the optic fiber.

8. The laser probe of claim 1 wherein a decompression of the actuation structure is configured to straighten the flexible housing tube.

9. The laser probe of claim 1 wherein a decompression of the actuation structure is configured to retract the flexible housing tube relative to the handle proximal end.

10. The laser probe of claim 1 wherein a decompression of the actuation structure is configured to retract the piston relative to the handle proximal end.

11. The laser probe of claim 1 wherein a decompression of the actuation structure is configured to retract the nosecone relative to the handle proximal end.

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

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. A laser probe comprising:

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

an actuation structure of the handle;

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

an end plug having an end plug distal end and an end plug proximal end wherein the end plug is disposed in the handle and wherein the end plug is configured to interface with a portion of the actuation guide;

a ring disposed over a portion of the end plug;

a piston having a piston distal end and a piston proximal end wherein the piston is disposed in the actuation guide;

a nosecone of the handle having a nosecone distal end and a nosecone proximal end;

a 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 the nosecone and wherein the flexible housing tube has dimensions configured for performing ophthalmic surgical procedures; and

an optic fiber having an optic fiber distal end and an optic fiber proximal end wherein the optic fiber is disposed in the handle and the flexible housing tube and wherein a decompression of the actuation structure is configured to retract the flexible housing tube relative to the optic fiber and straighten the optic fiber and wherein the decompression of the actuation structure is configured to retract the nosecone relative to the handle proximal end by actuating a pair of links wherein each link of the pair of links is connected to the actuation structure and the nosecone.

16. The laser probe of claim 15 wherein a compression of the actuation structure is configured to curve the optic fiber.

17. The laser probe of claim 15 wherein the decompression of the actuation structure is configured to retract the piston relative to the handle proximal end.

18. The laser probe of claim 15 wherein a compression of the actuation structure is configured to curve the flexible housing tube.

19. The laser probe of claim 15 wherein the decompression of the actuation structure is configured to decompress a portion of the flexible housing tube.

20. The laser probe of claim 15 wherein the decompression of the actuation structure is configured to retract the flexible housing tube relative to the handle proximal end.