U.S. patent application number 12/559997 was filed with the patent office on 2010-02-18 for microsurgical probe.
Invention is credited to Brian D. Burkman, Robert S. Maurer, JR..
Application Number | 20100042125 12/559997 |
Document ID | / |
Family ID | 37962993 |
Filed Date | 2010-02-18 |
United States Patent
Application |
20100042125 |
Kind Code |
A1 |
Maurer, JR.; Robert S. ; et
al. |
February 18, 2010 |
Microsurgical probe
Abstract
Microsurgical probes having a distal tip with a flat outer
surface and a flat inner surface, and methods of forming such
probes, are disclosed.
Inventors: |
Maurer, JR.; Robert S.;
(Huntington Beach, CA) ; Burkman; Brian D.;
(Reinholds, PA) |
Correspondence
Address: |
ALCON
IP LEGAL, TB4-8, 6201 SOUTH FREEWAY
FORT WORTH
TX
76134
US
|
Family ID: |
37962993 |
Appl. No.: |
12/559997 |
Filed: |
September 15, 2009 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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11520316 |
Sep 13, 2006 |
7600405 |
|
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12559997 |
|
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60725526 |
Oct 11, 2005 |
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Current U.S.
Class: |
606/167 |
Current CPC
Class: |
B23K 2101/06 20180801;
B21D 41/045 20130101; B23K 11/0046 20130101; B23K 11/16 20130101;
A61F 9/00736 20130101; B21G 1/08 20130101; B23K 11/02 20130101;
B21D 22/14 20130101; A61F 9/00763 20130101; B21K 21/14 20130101;
B23K 33/006 20130101; B21J 5/063 20130101 |
Class at
Publication: |
606/167 |
International
Class: |
A61F 9/007 20060101
A61F009/007 |
Claims
1. A microsurgical probe, comprising a tubular body having an inner
bore, a port providing access to said inner bore, and a closed
distal tip, wherein said distal tip has a flat inner surface.
2. The probe of claim 1 wherein said distal tip has a flat outer
surface.
3. The probe of claim 1 wherein said distal tip has a flat outer
surface having a periphery with a radius.
4. The probe of claim 1 wherein said distal tip has a flat outer
surface having a periphery with a chamfer.
5. The probe of claim 1 wherein said flat inner surface allows a
distal end of said port to be disposed a distance of about 0.006
inches to about 0.016 inches from said outer surface.
6. The probe of claim 5 wherein said distance is about 0.006 inches
to about 0.011 inches.
7. The probe of claim 5 wherein said probe is an ophthalmic
microsurgical probe.
8. The probe of claim 7 wherein said probe is a vitrectomy
probe.
9. The probe of claim 8 wherein said distance allows a surgeon to
dispose said port closer to a retina without contacting said
retina.
10. The probe of claim 5 wherein said distance allows a surgeon to
dispose said port closer to a target tissue without contacting said
target tissue.
Description
[0001] This application is a divisional application of U.S.
application Ser. No. 11/520,316 filed Sep. 13, 2006 which claims
the priority of U.S. Provisional Application No. 60/725,526 filed
Oct. 11, 2005.
FIELD OF THE INVENTION
[0002] The present invention generally pertains to microsurgical
probes and more particularly to ophthalmic microsurgical probes
such as vitrectomy probes.
DESCRIPTION OF THE RELATED ART
[0003] Posterior segment ophthalmic surgical procedures generally
require the cutting and/or removal of the vitreous humor, a
transparent jelly-like material that fills the posterior segment of
the eye. The vitreous humor, or vitreous, is composed of numerous
microscopic fibers that are often attached to the retina.
Therefore, cutting and removal of the vitreous must be done with
great care to avoid traction on the retina, the separation of the
retina from the choroid, a retinal tear, or, in the worst case,
cutting and removal of the retina itself.
[0004] The use of microsurgical cutting probes in posterior segment
ophthalmic surgery is well known. Such vitrectomy probes are
typically inserted via an incision in the sclera near the pars
plana. The surgeon may also insert other microsurgical instruments
such as a fiber optic illuminator, an infusion cannula, or an
aspiration probe during the posterior segment surgery. The surgeon
performs the procedure while viewing the eye under a
microscope.
[0005] Conventional vitrectomy probes typically include a hollow
outer cutting member, a hollow inner cutting member arranged
coaxially with and movably disposed within the hollow outer cutting
member, and a port extending radially through the outer cutting
member near the distal end thereof. Vitreous humor is aspirated
into the open port, and the inner member is actuated, closing the
port. Upon the closing of the port, cutting surfaces on both the
inner and outer cutting members cooperate to cut the vitreous, and
the cut vitreous is then aspirated away through the inner cutting
member. U.S. Pat. Nos. 4,577,629 (Martinez); 5,019,035 (Missirlian
et al.); 4,909,249 (Akkas et al.); 5,176,628 (Charles et al.);
5,047,008 (de Juan et al.); 4,696,298 (Higgins et al.); and
5,733,297 (Wang) all disclose various types of vitrectomy probes,
and each of these patents is incorporated herein in its entirety by
reference.
[0006] During posterior segment ophthalmic surgery, it is generally
desirable to remove as much of the overlying vitreous as possible
prior to any procedure to repair the underlying retina. However, a
surgeon is limited in how close to the retina he or she can dispose
a conventional vitrectomy probe due to the geometry of the probe
tip and the cutting port. Therefore, a need continues to exist for
an improved vitrectomy probe that does not suffer from the
above-described limitations.
SUMMARY OF THE INVENTION
[0007] One aspect of the present invention is a microsurgical
probe. The probe comprises a tubular body having an inner bore, a
port providing access to the inner bore, and a closed distal tip.
The distal tip has a flat inner surface.
[0008] Another aspect of the present invention is a first method of
forming a microsurgical probe. A tubular needle is disposed within
a collet. The collet and the needle are rotated at high speed. A
tool having a generally flat distal surface with a spherical
projection thereon is provided. An edge of a distal end of the
needle is contacted with the spherical projection. The tool is
moved across the distal end of the needle from the edge to slightly
past a centerline of the needle so that the distal end of the
needle is formed into a closed distal tip having a flat outer
surface and a flat inner surface.
[0009] Another aspect of the present invention is a second method
of forming a microsurgical probe. A distal end of a tubular needle
is disposed in contact with a sheet of foil. A compressive force is
imparted to the needle and the foil. An electrical impulse is sent
between the needle and the foil so that the foil is welded to the
needle. The needle is disposed in a punch die, and the needle is
punched through the foil so that a closed distal tip having a flat
outer surface and a flat inner surface is formed.
BRIEF DESCRIPTION OF THE DRAWINGS
[0010] For a more complete understanding of the present invention,
and for further objects and advantages thereof, reference is made
to the following description taken in conjunction with the
accompanying drawings in which:
[0011] FIG. 1 is a side, sectional, fragmentary view of the distal
portion of a vitrectomy probe according to a preferred embodiment
of the present invention;
[0012] FIG. 2 is a side, sectional, fragmentary view of the distal
portion of a conventional vitrectomy probe;
[0013] FIG. 3 is a side, sectional, fragmentary view of the distal
portion of a second, conventional vitrectomy probe;
[0014] FIGS. 4A-4C schematically illustrate a process to
manufacture the vitrectomy probe of FIG. 1 according to a preferred
embodiment of the present invention;
[0015] FIG. 5 is a enlarged, fragmentary, sectional, schematic view
of a preferred tool for the process of FIGS. 4A-4C; and
[0016] FIGS. 6A-6C schematically illustrate a second process to
manufacture the vitrectomy probe of FIG. 1 according to a preferred
embodiment of the present invention.
DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS
[0017] The preferred embodiments of the present invention and their
advantages are best understood by referring to FIGS. 1 through 6 of
the drawings, like numerals being used for like and corresponding
parts of the various drawings.
[0018] FIG. 1 shows the distal portion of a vitrectomy probe 10
according to a preferred embodiment of the present invention. Probe
10 generally includes a tubular body 12 having an inner bore 14, a
closed distal tip 16, and a port 18 providing access to inner bore
14. Tubular body 12 is preferably made of stainless steel. An inner
cutting member (not shown) longitudinally reciprocates within inner
bore 14 so as to cut tissue aspirated into inner bore 14 via port
18 by a surgical console (not shown). Distal tip 16 has a flat
outer surface 16a and a flat inner surface 16b. Probe 10 preferably
has a 20 gage to 25 gage diameter.
[0019] FIGS. 2 and 3 show the distal portions of conventional
vitrectomy probes 22 and 24, respectively. Probes 22 and 24 each
generally include a tubular body 26 having an inner bore 28, closed
distal tips 30 and 30a, and a port 32 providing access to inner
bore 28. Tubular body 26 is preferably made of stainless steel. An
inner cutting member (not shown) longitudinally reciprocates within
inner bore 28 so as to cut tissue aspirated into inner bore 28 via
port 32 by a surgical console (not shown).
[0020] Distal tip 30 has a convex, spherical outer surface 34 and a
concave, spherical inner surface 36. Distal tip 30 is manufactured
using a conventional spin forming process. In conventional spin
forming, tubular needle stock is rotated and a tool having a
generally concave distal end is brought into contact with the end
of the needle. The force of the tool on the rotating needle closes
the end of the tube and creates a distal tip 30 having a spherical
geometry.
[0021] Distal tip 30a has a flat outer surface 42 and a convex,
spherical inner surface 44. Distal tip 30a is manufactured using a
conventional bead (or TIG) welding process. In conventional bead
welding, an electrode is placed above the end of tubular needle
stock and an electric current is passed between the needle and the
electrode. A bead of material is formed on the needle end, creating
a closed distal tip 30a having a spherical geometry. Secondary
machining operations are performed on outer surface 42 to make it
flat. However, inner surface 44 retains a convex, spherical shape
because the inside weld flash is difficult to control.
[0022] As is explained in greater detail hereinbelow, flat outer
surface 16a and flat inner surface 16b are preferably formed using
an improved spin forming process, or a resistance welding process.
Flat outer surface 16a and flat inner surface 16b result in distal
end 18a of port 18 being a smaller distance 20 from outer surface
16a than compared to the distance 40 between distal end 38 of port
32 and outer surface 34 of conventional probe 22, or the distance
48 between distal end 46 of port 32 and outer surface 42 of
conventional probe 24. Flat inner surface 16b also allows distal
end 18a of port 18 to be disposed in a nearly coplanar arrangement
with inner surface 16b. In contrast, distal end 38 of port 32 of
conventional probe 22 is offset from its inner surface 36 due to
the concave, spherical geometry of inner surface 36. Similarly,
distal end 46 of port 32 of conventional probe 24 is offset from
its inner surface 44 due to the uncertain tolerances of the inside
weld flash in the bead welding process. Distance 20 is preferably
about 0.006 inches to about 0.016 inches, and is most preferably
about 0.006 inches to about 0.011 inches. Distal end 18a of port 18
is preferably disposed about 0.003 inches to about 0.005 inches
from inner surface 16b. By minimizing distance 20, a surgeon may
dispose probe 10 closer to the retina without contacting the
retina. Thus, with probe 10 the surgeon may remove more of the
overlying vitreous before performing a procedure to repair the
underlying retina than with conventional probes 22 or 24.
[0023] FIGS. 4A-4C and FIG. 5 schematically illustrate a preferred,
improved spin forming process for forming vitrectomy probe 10.
Tubular needle stock 100 is disposed within a collet 102 of a lathe
(not shown) in the conventional manner. Collet 102, and thus needle
100, are rotated at high speed as indicated by arrow 104. A tool
106, having a generally flat distal surface 108 with a generally
spherical projection 110, is brought into contact with an edge 112
of a distal end 114 of needle 100, as shown in FIG. 4B. Tool 106 is
moved across the entire face of distal end 114 from edge 112 in the
direction of arrow 118. Alternatively, tool 106 is moved across the
face of distal end 114 from edge 112 to slightly past a centerline
116 of needle 100 in the direction of arrow 118, as shown in FIG.
4C. The force of projection 110 contacting distal end 114 of needle
100 causes displacement of the material forming needle 100. When
projection 110 reaches centerline 116, distal end 114 of needle 100
is closed so as to form distal end 16 of probe 10. The diameter of
spherical projection 110 is preferably +/-ten percent of an outer
diameter of needle 100. Flat outer surface 16a is preferably
machined to have a radius or chamfer on its periphery to facilitate
pars plana incision.
[0024] FIGS. 6A-6C schematically illustrate a preferred, resistance
welding process for forming vitrectomy probe 10. Distal end 114 of
tubular needle stock 100 is brought into contact with a sheet of
stainless steel foil 150, and a compressive force indicated by
arrows 152 is placed on needle 100 and foil 150. Foil 150
preferably has a thickness of about 0.004 inches. An electrode 154
is disposed on a side of needle 100, and an electrode 156 is
disposed on foil 150. An electrical impulse is sent between
electrodes 154 and 156. As the electrical impulse moves from needle
100 to foil 150, a localized area of high resistance is encountered
that generates heat and welds distal end 114 to foil 150 in a melt
zone 158. Needle 100 is disposed in a punch die 160, and needle 100
is then punched through foil 150 (as shown in FIG. 6C) so that
welded foil tip 162 forms distal end 16 of probe 10. A preferred
resistance welding machine is the Model 125 resistance welding
machine available from Miyachi Unitek Corporation of Monrovia,
Calif. A micro welding head available from Miyachi Unitek
Corporation, which contains electrode 156, is preferably used with
the Model 125 resistance welding machine. A preferred weld cycle is
a dual pulse cycle within the ten percent (10%) to sixty percent
(60%) power range. Flat outer surface 16a is preferably machined to
have a radius or chamfer on its periphery to facilitate pars plana
incision.
[0025] From the above, it may be appreciated that the present
invention provides improved apparatus and methods of performing
vitrectomy surgery. The present invention is illustrated herein by
example, and various modifications may be made by a person of
ordinary skill in the art. For example, although the present
invention is described herein in connection with a vitrectomy
probe, it is applicable to other ophthalmic microsurgical probes
and non-ophthalmic micrsosurgical probes. As another example,
although the present invention is described herein in connection
with a cutting probe, it is also applicable to an aspiration
probe.
[0026] It is believed that the operation and construction of the
present invention will be apparent from the foregoing description.
While the apparatus and methods shown or described above have been
characterized as being preferred, various changes and modifications
may be made therein without departing from the spirit and scope of
the invention as defined in the following claims.
* * * * *