Steerable laser probe

• US 9,931,246 B2
• Filed: 09/16/2013
• Issued: 04/03/2018
• Est. Priority Date: 10/17/2012
• 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): Eiseman, Lynsey
• Assistant Examiner(s): Baldwin, Nathan A
• Application Number:
  US14/027,997
• Publication Number:
  US 20140107629A1
• Time in Patent Office: 1,660 Days
• Field of Search: 600113, 604280, 606 1, 606113, 606 13, 606 15, 606211, 606 4
• CPC Class Codes: A61B 18/201 with beam delivery through a hollow tube, e.g. forming an articulated arm through a flexible conduit A61B18/22; Hand-pieces therefor
• 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: 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 a handle, an actuation structure having an actuation structure distal end and an actuation structure proximal end, a flexible housing tube, and an optic fiber disposed within an inner bore of the handle and the flexible housing tube. An extension of the actuation structure distal end relative to the actuation structure proximal end may be configured to gradually curve the flexible housing tube and the optic fiber. A retraction of the actuation structure distal end relative to the actuation structure proximal end may be configured to gradually straighten the flexible housing tube and the optic fiber.

Claims

1. An instrument comprising:

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

an actuation structure of the handle having an actuation structure distal end and an actuation structure proximal end, the actuation structure having a mass in a range of 0.01 to 0.03 pounds;

a fixation mechanism housing of the handle;

a handle end plug wherein a portion of the handle end plug is disposed in an inner bore of the handle wherein the portion of the handle end plug is adjacent to the fixation mechanism housing;

a cable housing of the handle end plug;

a plurality of actuation arms of the actuation structure;

an expansion joint of each actuation arm of the plurality of actuation arms wherein an expansion of a particular expansion joint of a particular actuation arm is configured to expand the expansion joint of each actuation arm of the plurality of actuation arms;

a single flexible housing tube having a flexible housing tube distal end and a flexible housing tube proximal end, the flexible housing tube proximal end disposed in a flexible housing tube housing wherein the flexible housing tube is fixed in the flexible housing tube housing and wherein the flexible housing tube has dimensions configured for performing ophthalmic surgical procedures and wherein the flexible housing tube is configured to reduce friction as the flexible housing tube is inserted into a cannula and removed from the cannula, the flexible housing tube having an ultimate tensile strength in a range of 1000 to 1100 MPa;

an optic fiber having an optic fiber distal end and an optic fiber proximal end, the optic fiber disposed within the inner bore of the handle, the flexible housing tube housing, and the flexible housing tube wherein the optic fiber distal end is adjacent to the flexible housing tube distal end and wherein the optic fiber is fixed to a portion of the flexible housing tube, the optic fiber configured to transmit laser light;

a cable having a cable distal end and a cable proximal end, the cable disposed in the cable housing, the inner bore, and the flexible housing tube wherein the cable distal end is adjacent to the flexible housing tube distal end and the optic fiber distal end and wherein the cable is fixed to the flexible housing tube by a weld and wherein the cable is configured to fail at a first applied failure force and wherein the weld is configured to fail at a second applied failure force and wherein the second applied failure force is greater than the first applied failure force; and

a fixation mechanism disposed in the fixation mechanism housing wherein the fixation mechanism fixes a portion of the cable in the cable housing and wherein the cable is configured to resist an extension of the flexible housing tube relative to the cable.

2. The instrument of claim 1 wherein the mass of the actuation structure is 0.024 pounds.

3. The instrument of claim 1 wherein the actuation structure has a density in a range of 0.02 to 0.06 pounds per cubic inch.

4. The instrument of claim 3 wherein the actuation structure has a volume in a range of 0.3 to 0.7 cubic inches.

5. The instrument of claim 3 wherein the density of the actuation structure is 0.041 pounds per cubic inch.

6. The instrument of claim 4 wherein the volume of the actuation structure is 0.577 cubic inches.

7. The instrument of claim 1 wherein a compression of the actuation structure is configured to gradually curve the optic fiber.

8. The instrument of claim 7 wherein the compression of the actuation structure is configured to extend the actuation structure distal end relative to the actuation structure proximal end in a range of 0.02 to 0.06 inches.

9. The instrument of claim 1 wherein a decompression of the actuation structure is configured to gradually straighten the optic fiber.

10. The instrument of claim 9 wherein the decompression of the actuation structure is configured to retract the actuation structure distal end relative to the actuation structure proximal end in a range of 0.02 to 0.06 inches.

11. The instrument of claim 1 wherein an application of a force having a magnitude in a range of 0.6 to 1.6 pounds to a portion of the actuation structure is configured to curve the optic fiber at least 45 degrees.

12. The instrument of claim 11 wherein the application of the force having the magnitude in the range of 0.6 to 1.6 pounds to the portion of the actuation structure is configured to curve the optic fiber at least 90 degrees.

13. The instrument of claim 12 wherein the application of the force having the magnitude in the range of 0.6 to 1.6 pounds to the portion of the actuation structure is configured to curve the optic fiber at least 135 degrees.

14. The instrument of claim 13 wherein the application of the force having the magnitude in the range of 0.6 to 1.6 pounds to the portion of the actuation structure is configured to curve the optic fiber 180 degrees.

15. The instrument of claim 1 wherein the fixation mechanism is a setscrew.

16. The instrument of claim 1 wherein the flexible housing tube is manufactured from nitinol.

17. The instrument of claim 1 wherein a compression of the actuation structure is configured to curve the optic fiber within an eye.

18. The instrument of claim 17 wherein the compression of the actuation structure is configured to curve the optic fiber within the eye without increasing an amount of the instrument within the eye.

19. The instrument of claim 17 wherein the compression of the actuation structure is configured to curve the optic fiber within the eye without decreasing an amount of the instrument within the eye.

20. The instrument of claim 1 further comprising:

an access window of the flexible housing tube.