# US 11,998,483 B2 · Adjustable stiffener for surgical instruments

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- Number: US 11,998,483 B2
- Document ID: US11998483B2
- Status: Granted
- Kind: B2
- Application number: 17/115,916
- Filed: 2020-12-09
- Published: 2021-06-17
- Granted: 2024-06-04
- Earliest claimed: 2019-12-11
- Assignees: Alcon Inc.
- Applicants: Alcon Inc.
- Inventors: Bill Chen; James Y. Chon; John R. Underwood
- Web page: https://patentgrep.com/patent/US11998483B2

## CPC

- A61F 9/00736: {Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments (A61F9/008 takes precedence)}
- A61F 9/00727: {Apparatus for retinal reattachment}
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)

## Abstract

The present disclosure generally relates to microsurgical instruments having variable stiffness such as microsurgical instruments having variable stiffness for ophthalmic surgical procedures. In one embodiment, a surgical instrument includes a probe and a stiffener assembly. The stiffener assembly further includes a stiffener formed of a hollow tubular member substantially surrounding at least a portion of a length of the probe. Actuation of the stiffener along the length of the probe adjusts the stiffness of the probe, thus providing a user better control of the surgical instrument.

## Claims

### Claim 1

A surgical instrument, comprising:
a base unit, the base unit configured to be held by a user;
a probe disposed through a first opening in a distal end of the base unit, the probe having a length parallel to a longitudinal axis thereof;
a stiffener assembly, the stiffener assembly comprising:
a stiffener disposed through the first opening in the base unit, the stiffener formed of a hollow tubular member slidably coupled to and surrounding at least a portion of the probe; and
an actuation mechanism configured to move the stiffener along the length of the probe, wherein the actuation mechanism comprises:
a biasing device configured to apply a biasing force against the stiffener in a distal direction,
a housing surrounding the biasing device, wherein:
the housing is positioned inside the base unit and extending through an interior portion of the distal end of the base unit,
the housing separates the biasing device from an inner cavity of the base unit, and
the inner cavity separates the housing from an inner surface of the base unit.

### Claim 2 (depends on 1)

The surgical instrument of claim 1, wherein sliding the stiffener towards a distal end of the probe, exterior to the base unit, increases a rigidity of the probe.

### Claim 3 (depends on 1)

The surgical instrument of claim 1, wherein an application of an opposing force in a proximal direction will retract the stiffener into the base unit.

### Claim 4 (depends on 3)

The surgical instrument of claim 3, wherein the biasing device comprises a compression spring.

### Claim 5 (depends on 4)

The surgical instrument of claim 4, wherein the stiffener comprises a flange at a proximal end of the stiffener, and wherein the compression spring is configured to act upon the flange in a distal direction.

### Claim 6 (depends on 5)

The surgical instrument of claim 5, wherein the flange is configured prevent at least a portion of the stiffener from sliding distally past the first opening.

### Claim 7 (depends on 3)

The surgical instrument of claim 3, wherein the biasing device comprises a compressible and expandable polymeric material.

### Claim 8 (depends on 3)

The surgical instrument of claim 3, wherein the biasing device comprises a pneumatic or hydraulic piston.

### Claim 9 (depends on 1)

The surgical instrument of claim 1, wherein the actuation mechanism includes a flange, the flange extending a width of a biasing device interior portion thereby providing a coupling surface coupling the stiffener to the actuation mechanism.

### Claim 10

A surgical instrument, comprising:
a base unit, the base unit configured to be held by a user;
a probe disposed through a first opening in a distal end of the base unit, the probe having a length parallel to a longitudinal axis thereof;
a self-adjusting stiffener assembly, the self-adjusting stiffener assembly comprising:
a stiffener disposed through the first opening in the base unit, the stiffener formed of a hollow tubular member slidably coupled to and surrounding at least a portion of the probe; and
an actuation mechanism configured to move the stiffener distally along the length of the probe, wherein the actuation mechanism comprises:
a biasing device configured to apply a biasing force against the stiffener in a distal direction,
a housing surrounding the biasing device and extending through an interior portion of the distal end of the base unit, wherein:
the housing is positioned inside the base unit,
the housing separates the biasing device from an inner cavity of the base unit, and
the inner cavity separates the housing from an inner surface of the base unit.

### Claim 11 (depends on 10)

The surgical instrument of claim 10, wherein translation of the stiffener towards a distal end of the probe increases a rigidity of the probe.

### Claim 12 (depends on 10)

The surgical instrument of claim 10, wherein an application of an opposing force greater than the biasing force in a proximal direction will retract the stiffener into the base unit.

### Claim 13 (depends on 10)

The surgical instrument of claim 10, wherein the biasing device comprises a compression spring.

### Claim 14 (depends on 13)

The surgical instrument of claim 13, wherein the stiffener comprises a flange at a proximal end of the stiffener, and wherein the compression spring is configured to act upon the flange in a distal direction.

### Claim 15 (depends on 14)

The surgical instrument of claim 14, wherein the flange is configured prevent at least a portion of the stiffener from sliding distally past the first opening.

### Claim 16 (depends on 10)

The surgical instrument of claim 10, wherein the biasing device comprises a compressible and expandable polymeric material.

### Claim 17 (depends on 10)

The surgical instrument of claim 10, wherein the biasing device comprises a pneumatic or hydraulic piston.

### Claim 18

A surgical instrument, comprising:
a base unit, the base unit configured to be held by a user;
a probe disposed through a first opening in a distal end of the base unit, the probe having a length parallel to a longitudinal axis thereof;
a self-adjusting stiffener assembly, the self-adjusting stiffener assembly comprising:
a stiffener disposed through the first opening in the base unit, the stiffener formed of a hollow tubular member slidably coupled to and surrounding at least a portion of the probe, the stiffener comprising a flange at a proximal end of the stiffener; and
an actuation mechanism configured to move the stiffener along the length of the probe, wherein the actuation mechanism comprises:
a biasing device configured to apply a biasing force against the stiffener in a distal direction,
a housing surrounding the biasing device and extending through an interior portion of the distal end of the base unit, wherein:
the housing is positioned inside the base unit,
the housing separates the biasing device from an inner cavity of the base unit, and
the inner cavity separates the housing from an inner surface of the base unit.

### Claim 19 (depends on 18)

The surgical instrument of claim 18, wherein the biasing device comprises a compression spring.
