US 20050135102 A1
Illuminators and systems are provided that permit the production of a beam of electromagnetic radiation having selected peak wavelength, bandwidth, intensity, pulse frequency and pulse duration for a variety of analytical and therapeutic applications. Multiple beam illuminators use filter elements arranged into filter arrays, having characteristic wavelength absorption properties. By providing a series of filter arrays formed into tracks having defined wavelength offsets, radiation passing through a portion of a track can be modified to include selected peak wavelength and bandwidth. Selection of peak wavelength(s) and bandwidth can be accomplished using mechanical interrupters, mechanical shutters, or electro-optical devices including liquid crystal device. Multiple output beams permit the coordinated illumination of a target, and sensors provide feedback regarding the effects of illumination on a target. Computer storage devices, programs, and controllers can provide easy selection of the characteristics of the output beams. Output beams can have a variety of different shapes and configurations, depending on the desired application.
43. An illuminator for providing an output beam of electromagnetic radiation, comprising:
a source of electromagnetic radiation;
a filter array for controlling wavelength; and
a controller of peak wavelength variation.
44. The illuminator of
45. The illuminator of
46. The illuminator of
47. The illuminator of
48. The illuminator of
49. An illuminator, comprising:
a source of electromagnetic radiation;
at least one filter array;
means for selecting at least one of peak wavelength, bandwidth and intensity of said radiation thereby forming a beam of output radiation; and
means for providing peak wavelength variation.
50. The illuminator of
51. The illuminator of
52. The illuminator of
53. The illuminator of
a lower limit of about 1 nm/sec; and
an upper limit of about 100 nm/sec.
54. The illuminator of
This U.S. Utility Patent Application claims priority to U.S. Provisional Patent Application, Ser. No. 60/301,376, entitled “Multiple Wavelength Illuminator,” filed Jun. 26, 2001, and U.S. Provisional Patent Application Ser. No. 60/301,319, entitled “Therapeutic Methods Using Electromagnetic Radiation,” filed Jun. 26, 2001.
This U.S. Utility Patent Application is related to U.S. Utility Patent Application Ser. No. ______, entitled “Therapeutic Methods Using Electromagnetic Radiation,” Allan Gardiner and Constance Haber, inventors, filed Jun. 26, 2002. Each of the above applications is incorporated herein by reference.
1. Field of the Invention
This invention relates to devices used for illumination of target objects by electromagnetic radiation. In particular, this invention relates to illumination devices having multiple beams, each of which can have selected wavelength, bandwidth, pulse duration, pulse frequency and intensity.
2. Description of Related Art
Physical treatment of disorders associated with the peripheral nervous system is becoming increasingly important in the management of disease. Acupuncture, acupressure and related healing arts typically involve the mechanical stimulation of peripheral sensory and motor nerves. In acupuncture, needles are typically inserted through the skin to reach the desired locations. Acupressure involves the application of localized surface pressure above the desired site and the transmission of that pressure to the nerves under the skin.
Stimulation of peripheral nerves can be accomplished using heat or infrared radiation. Infrared radiation can be produced using lasers or sources of incoherent electromagnetic radiation.
There is a need in numerous technologies for providing two or more selectable wavelengths of radiation. Examples include electromagnetic radiation therapy, fluorescence microscopy, contrast enhancement for photography or machine vision, and simulation of radiation combination effect from sources of radiation having narrow spectral ranges, such as light emitting diodes (“LEDs”), and characterization of the quality of optical systems.
There is also a need in the art for inexpensive devices that can produce electromagnetic radiation of discrete wavelengths and deliver beams of those discrete wavelengths separately from one another.
A variable bandpass tunable filter system is available commercially from Ocean Optics, Inc. that consists of two filters, each coated with a linearly variable multilayer interference coating, providing a “wedge” filter. To select a bandwidth, two filters are placed overlapping each other, in series with the source of radiation, so that a beam of radiation passes through both filters. To increase the bandwidth of output radiation, the two filters are offset relative to each other. Although this system can provide output variable bandwidth, because the output radiation must pass through both filters, desired wavelengths the output beam will be reduced in intensity.
Therefore, there is need in the art for inexpensive illuminators that can provide output beams of electromagnetic radiation having controllable wavelength, bandwidth and intensity.
One object of this invention is the production of devices for illuminating target objects with electromagnetic radiation in selected wavelengths in the range from ultraviolet to infrared.
Another object of this invention is the manufacture of devices that can provide multiple beams of electromagnetic radiation of controlled wavelength ranges.
Yet another object of this invention is the manufacture of devices that can be used to direct separately controlled beams of electromagnetic radiation to selected target sites.
A further object of this invention is the manufacture of devices that can produce electromagnetic radiation having controllable ranges of wavelengths.
Yet another object of this invention is the manufacture of devices that can produce electromagnetic radiation having controllable bandwidths.
An additional object of this invention is the production of systems for therapeutic use of electromagnetic radiation that can incorporate illuminators for delivery of electromagnetic radiation, monitoring effects of therapeutic radiation, for coordinating therapeutic intervention and subject's physiological responses to therapy, and devices for maintaining information concerning electromagnetic radiation therapy of individual subjects and groups of subjects.
These and other objects are achieved by devices that in certain aspects, incorporate a generator of non-coherent electromagnetic radiation (“illumination source”), band pass filters (“filters”), and wave guides (including optical fibers). An illumination source can produce a broad range of wavelengths of electromagnetic radiation, including, but not limited to ultraviolet, visible and infrared wavelengths. The term “illumination source” includes embodiments having a single source of radiation and one or more devices for dividing the radiating element (“beam splitter”). Desired wavelengths can be selected by electromagnetic filtering devices which selectively absorb undesired wavelengths. The radiation passing through the filter can then be captured by one or more wave guides for transmission to sites remote from the source. A portion of the radiation produced by the source may be captured into a focusing device for filtering and transmission to therapeutic sites. A beam splitter or separate sources can two or more separate beams of electromagnetic radiation, which can be separately controlled.
Selection of a peak wavelength in a beam can be accomplished by using a plurality of “filter arrays,” each array comprising a plurality of filter elements, each filter element having selected transmission characteristics. Materials having known transmission spectra are known in the art. By selecting materials having desired transmission spectra, one can produce a series of filters having different transmission characteristics. For some filter materials, the radiation transmitted through the filter material does not necessarily represented as a single wavelength, but rather comprises radiation having multiple wavelengths, all of which comprise the “bandwidth” of the beam of radiation. Each of these materials has characteristic maximum transmitted wavelength (“peak wavelength” or “peak λ”) and bandwidth dispersion (“bandwidth”). Bandwidth means the range of wavelengths in a beam that are either greater than or less than the peak wavelength.
By way of illustration only, one filter can remove wavelengths outside the “orange” range, permitting only wavelengths in the orange visible range to pass. Next to the “orange” filter, a “yellow” filter may be present that removes wavelengths outside the yellow region. When the beam of radiation passes through the “orange” filter, orange radiation is produced, and when the beam passes through the “yellow” filter, yellow radiation is produced. By placing the filters in non-overlapping fashion, in parallel with each other, one portion of the beam passes through the “orange” filter, and another portion of the beam passes through the “yellow” filter. After combining the outputs of the two filters, the resultant radiation has characteristics of both the “orange” and the “yellow” filters. This arrangement can minimize undesirable losses of intensity that can occur when an output beam passes through overlapping filters.
By providing a plurality of filters, each having different bandwidth characteristics in an array, and by moving the filters relative to the source beam, one can control the wavelengths and the bandwidth dispersion produced by the device. Thus, it can be desirable to provide an array having a large number of different filters arranged progressively, with filters having short maximum transmitted wavelength at one end of the array and filters having long maximum transmitted wavelengths at another end of the array. By moving the filters relative to the source beam, or by moving the source beam relative to the filters, the wavelength of an output beam can be controlled. In embodiments using linear filters, movement of the series can be accomplished using linear motors and the like. A filter array can alternatively be arranged in a circle or arc on a disk. Angular (rotational) movement of the filter array relative to an incident beam of radiation can be accomplished using rotary means, such as a rotary motor. Radial movement can be accomplished using, for example, a linear motor.
Controlling the bandwidth of radiation can be accomplished using series of filter arrays described above. For example, to produce radiation having a desired mean wavelength (e.g., and “orange” color) and a narrow bandwidth, a single “orange” filter can be used. The bandwidth can be determined by the bandwidth characteristics of the filter medium. To produce radiation having the same mean “orange” wavelength as above, but having a greater bandwidth dispersion, one can use a plurality (e.g., two or more) similar filter arrays, having, for example, “red”, “orange” and “yellow” regions near each other. If the “orange” regions are adjacent to each other, and a portion of the beam passes through only the “orange” regions of the filter arrays, the output will be “orange” and will have a relatively narrow wavelength bandwidth. However, if the “orange” region of one filter is offset, so as to be adjacent to the “red” region of one and the “yellow” region of yet another filter array, then different portions of the source beam can be directed to pass through each filter. After combining the three separate output beams into a single beam (e.g., using a “mixer”), the transmitted radiation comprises all three “colors”. In this case, the maximum transmitted wavelength can be orange, yet both red and yellow wavelengths can also be present. The previous discussion is intended only to provide an example of the principle of operation of the devices of this invention, and is not intended to be limiting. Numerous other configurations of filters, filters having certain maximum transmitted wavelengths and bandwidth dispersion characteristics are possible, and are all included in this invention. Other configurations include those that can be used to select wavelength and bandwidth characteristics in the ultraviolet, red, blue, green, infrared and other, desired regions of the electromagnetic spectrum.
In other aspects of this invention, bandwidth can be controlled by adjusting the dimensions of an aperture that selects a portion of the output beam containing desired spectra. Thus, with apertures having dimensions comparable to a single filter element in a filter array, the transmitted bandwidth will be small. In contrast, if an aperture is large and encompasses a plurality of filter elements, the transmitted radiation can have a wider bandwidth.
In addition to providing a fixed, single wavelength, the wavelengths of electromagnetic radiation can be varied during application. For example, in some embodiments, it can be desirable to provide “wavelength variations” around a “central wavelength.” In such embodiments, a central wavelength can be selected and the illuminator can be used to vary the wavelength to include wavelengths of longer or shorter wavelengths, typically in the range of about ±1 nm to about ±100 nm, alternatively about ±5 nm to about ±50 nm, in other embodiments in the range of about ±20 nm to about ±50 nm. It can be appreciated that other ranges of wavelength variation can be used. It can also be appreciated that one can have variations about a central wavelength that are asymmetrical, that is, the change in wavelength can be greater in one direction than in the other.
Similarly, the rate of change of wavelength, from the lowest to the highest can be in the range of about 1 sec to about 100 sec., alternatively about 5 sec to about 50 sec, in other embodiments in the range of about 20 sec to about 50 sec. Additionally, the rate of change of wavelength can be in the range of about 1 nm/sec to about 100 nm/sec, alternatively in the range of about 5 nm/sec to about 50 nm/sec, and in other embodiments, from about 20 nm/sec to about 50 nm/sec.
Moreover, the rate of change of wavelength can be varied, and includes by way of example only, linear changes, a sinusoidal output, whereby the rate of change of wavelength varies according to a sine wave function, in other embodiments, the change of wavelength can be trapezoidal. It can be appreciated that any type of a large number of variations in wavelength about a central wavelength can be used.
To create wavelength variations as described above, in certain embodiments of this invention, a series of filters can be provided that, when placed in a beam of electromagnetic radiation, produces an output beam having a spatially arranged series of different wavelengths (e.g., red at one end and blue at another end). Thus, by placing interrupters in front of the output beam and by changing the relative positions of the output beam and the interrupter, one can select various portions of the output spectrum. For example, using a linear array of filters having different wavelengths represented in a two-dimensional array, a circular interrupter that has a “window” or trasparent region that encompasses different distances from an axis of rotation (e.g., a “eccentric aperture”) can be used to select different portions of the filter array and thereby select wavelengths that can vary over time. It can be appreciated that the input beam can encompass a relatively large portion of the interrupter window.
Additional aspects of this invention include the use of arrays of shutters positioned relative to a filter array so that radiation passing through each filter element can be blocked by an individual shutter. Shutters can be controllable either by mechanical means (e.g., rotating mirrors or plate shutters, or electrical means (such as liquid crystal devices or other electro-optical shutters). By selectively opening desired shutters, radiation passing through a desired part of a filter array can be captured by a waveguide or series of waveguides. In such fashions one can provide output beams having desired intensity, desired peak wavelength and desired bandwidth.
By directing the output, of such an array, two or more discrete, separate beams can be provided.
Waveguides can be flexible, so that the output of the waveguides can be directed toward desired target locations.
This invention includes devices that regulate the intensity of radiation. Such devices can vary the intensity of the source of radiation, the use of shutters, apertures and the like, and by the use of interrupters that interrupt the beam for certain periods of time during a duty cycle.
One or more “interrupters” or “choppers” can interrupt the output beam to provide repeated pulses of radiation, the pulses having desired frequency and each pulse having a desired duration. Interrupters can also be used to alter the total amount or dose of radiation delivered. Other electronically operated interrupters or mirrors may be used to modulate the intensity of the output beam. Some common types of electronic interrupters include “liquid crystal devices”, or “LCD”s.
The shape of an output beam can be controlled so as to produce beams having circular, annular, polygonal, or other desired shape.
Additional components of systems of this invention include computer interface, software and hardware for running programs that control the output beams and record information obtained from monitoring sensors. Systems of this invention can also include memory devices and software that maintain records of treatment protocols, physiological responses to treatment, efficacy of therapy, annotations, other information regarding the subject's therapy and condition, and can include transmission of subject information to and from remote sites.
Systems including the illuminators of this invention can be used to treat acute and chronic pain, and a variety of disorders involving abnormalities in the function of excitable tissues, including, but not limited to peripheral somatic nerves, autonomic nerves, muscles, connective tissues and the central nervous system. Additional description of therapeutic uses are included in concurrently filed patent application titled “Therapeutic Methods Using Electromagnetic Radiation” Constance Haber and Allan Gardiner, inventors, incorporated herein fully by reference.
This invention will be described according to embodiments thereof. Other features of the embodiments of this invention are described in the Figures, in which:
Illuminators of this invention include sources of electromagnetic radiation (including visible radiation “light”) that incorporate simple, reliable means for producing beams of radiation having desired wavelengths and/or other characteristics. A source of broad-band electromagnetic radiation produces radiation having a wide range of wavelengths, including those desired. One or more filters placed in the path of the radiation can attenuate certain wavelengths that are not desired, permitting desired wavelengths to pass through the filter and directed to a target. The wavelengths of radiation that pass through the attenuator (“filter”) have a characteristic spectrum, depending upon the properties of the attenuator. It can be desirable to rapidly change the wavelength, wavelength bandwidth characteristics, polarization, to provide pulses of radiation, and to direct beams of radiation to a desired, localized target area. Means are provided to supply radiation, to attenuate radiation, to direct and shape a beam of radiation, and provide a pulsatile beam having desired pulse duration and frequency to suit a particular purpose. Systems are provided to coordinate the production of one or more beams of radiation and to direct beams independently of one another. In some of these embodiments, the characteristics of multiple beams of electromagnetic radiation can be regulated separately.
Radiation can be used to treat pathophysiological conditions, such as those caused by diseases or disorders. Physiological responses to electromagnetic radiation of different frequencies is variable. For example, ultraviolet radiation of wavelengths in the range of about 200 nanometers (“nm”) to 300 nm (ultraviolet wavelengths) can be used for sterilizing wounds or other physical objects, and infrared radiation of wavelengths longer than 700 nm maybe used to heat tissues. Each wavelength of the spectrum from 200 nm to about 1000 nm or more can be absorbed by tissues differently to provide different responses. Simultaneous application of two or more wavelengths can be used to augment the response that would have been effected by application of a single wavelength. Because of the variability of each subject (animals and human), the ability to select specific wavelengths for that individual is desirable. Additionally, varying the wavelength during treatment can augment therapeutic effects.
A Illuminator Radiation Sources
Illuminators of this invention are not dependent upon any particular radiation source for operation. Each type of source (e.g. tungsten, tungsten-halogen, arc, gas discharge, broad spectrum radiation emitting devices “LEDs”, and the like) has a spectral output that may be useful for various applications. In certain emdodiments, incandescent lamps can provide desirable ranges of wavelengths, can be found in a variety of configurations, can be inexpensive and readily available. In other embodiments, for example, arc lamps provide radiation containing wavelengths from ultraviolet through infrared that can be used as a radiation source that can be used to deliver beams of electromagnetic radiation having a narrow bandwidth that can be selected over a wide range of peak wavelengths. Another series of embodiments include gas discharge lamps that can supply radiation pulses having high power. Some lamps, such as commercial tungsten-halogen reflector lamps are pre-focused such that it can be possible to reduce the number of lenses are required in the optical radiation path to provide a beam having desired dimensions.
B Filter Based Selection of Wavelength and Bandwidth Characteristics
Certain embodiments of this invention include means for controlling the output of electromagnetic radiation arising from a lamp. In several embodiments of this invention, the means for controlling the output comprises an attenuator, dichroic filter or series of attenuators or dichroic filters. As used herein, the term “dichroic” means a filter or attenuator that passes certain wavelengths of radiation based upon the wavelength of that radiation.
A plurality of filters can be used to adjust the bandwidth of the output radiation beam. In certain embodiments, a filter assembly comprises a series of individual filter elements, each having a transmission maximum at a certain wavelength. This wavelength is termed the “peak”, “central”, or “mode” wavelength. Additionally, each filter element has a certain range of wavelengths that can pass through in sufficient amount to be useful for the intended purpose of the illuminator. The wavelengths that can pass through a filter element is termed the “bandwidth” or “wavelength range”. For certain filter elements, the bandwidth can be relatively narrow, that is, the peak wavelength and only a relatively narrow range of wavelengths on either side of the peak can pass through in significant amounts. In contrast, for other filter elements, the intrinsic absorptivity of the filter material is such that a relatively wide range of wavelengths can pass through in significant amounts. Such filters are herein termed “wide bandwidth” filters.
Many types of filters are available, and any type of filter material can be used that is compatible with the types of electromagnetic radiation, the other components of the system, and the ultimate use of the illuminators. For example, plastic, glass, quartz, resin or gel filters can be provided in sizes that can be adapted for use in a variety of configurations. In certain embodiments, filter elements can be made of a base material and then provided (“doped”) with a material suitable for controlling the radiation emitted from the illuminator. In other embodiments, coated glass can be used.
Once manufactured, a plurality of filter elements can be arranged in an array. For example, a series of filters can be arranged linearly, to provide a series of filters having progressively increasing (or decreasing) peak transmission wavelengths. Alternatively, a linear array of filters can be provided in which certain peak wavelengths are clustered, that is, not necessarily in progressively increasing (or decreasing) peak transmission. In certain other embodiments, filter elements can be arranged in a circular or ovoid fashion on a rotating disk. Thus, when the disk rotates and/or translates relative to a radiation source, the bandwidth characteristics of the radiation can be selected. Alternative embodiments of this invention utilize a series of fixed filters which allows selection of spectral transmission based upon the location of the filter assembly relative to the beam of radiation passing through. Alternatively, a single filter can be manufactured that has bandwidth characteristics controlled by way of example, an externally applied electrical field.
Regulation of the peak wavelength can be readily accomplished using dichroic filters. Filters having selected peak wavelength bandpass characteristics are known in the art, and can be obtained, for example from Ocean Optics, Inc. Filters can be made using precision lithography, such as used in the semiconductor manufacturing industry.
The “bandwidth” of a filter assembly is the range of frequencies (wavelengths) that pass through a filter. A band pass filter has a transmission that is high for a particular band of frequencies and with a lower transmission of frequencies above and below this band. The width or narrowness of the band for frequencies transmitted through a filter is often measured by the “half bandwidth” that is the full width of the band at half-power or half of the peak transmittance points specified in either wavelength units or in percent of center wavelength. Another common measure of a bandwidth filter is the “half-power point” that is the wavelength at which a filter is transmitting one-half of its peak transmission power. For example, for a bandwidth filter with a peak transmission of 80 percent, the wavelengths at which it transmits 40 percent are the half-power points.
Color is an attribute of visual experience that can be described as having quantitatively specifiable dimensions of hue, saturation, and brightness or lightness. The visual experience also can include other aspects of perception, including extent (e.g. size, shape, texture, and the like) and duration (e.g. movement, flicker, pulse duration, and the like). Color names (e.g. blue, turquoise, etc.) are often used to describe various wavelengths or groups wavelengths of visible light. The radiation used in scientific, industrial, and medical instruments is generally specified by the wavelengths transmitted and the proportions of each wavelength within the active area. The use of color names can be a convenient way to express the appearance of the light. For purposes of these descriptions, color names can be used to convey an approximate range of wavelengths used. Color names often describe combinations of wavelengths of radiation from differing portions of the visible spectrum. The color to wavelength conversion identity varies slightly from the various resources. One source, Van Nostrand's Scientific Encyclopedia, Third Edition, lists the conversion as:
Some commonly named colors include two or more wavelength bands of light. Magenta, for example, has two peaks, one in the violet region and another in the red region. Purple has peaks similar in wavelength to Magenta but has higher violet transmission.
Perception of a given color may result from combinations of wavelengths added together. The most common combination is red+green+blue. These three colors are used in differing proportions in computer monitors and displays to create the colors available on the display. Other combinations of filters may be used in parallel to produce perceived color. The printing industry adapts to varying ink properties as a routine matter.
When used for therapeutic purposes, a purpose of filtering radiation to specific narrow bandwidth characteristics is to provide radiation having wavelengths that interact with particular biologic components (e.g. nerves, muscles, blood vessels, blood, etc), specific chemicals or molecules, or other wavelength-specific receptors. By selecting the desired wavelength(s) and the bandwidths of wavelengths can permit a rapid and efficient means of delivering a reproducible electromagnetic stimulus to an area or volume of tissue or other material.
In certain embodiments, our invention utilizes filters that transmit a single wavelength or narrow bandwidth of wavelengths. One aspect of our filter design permits control of the width of the bandwidth by means of moving the filter in two directions with respect to the radiation path. Movement of the filter relative to the radiation source in one direction controls the peak, center, mean or mode wavelength, and movement in another direction can provide radiation having differing bandwidth ranges.
In certain embodiments, a fixed aperture that limits the transmission of radiation to a well-defined area such that the mix of wavelengths transmitted represents the sum of filter elements within that aperture. The amount of radiation at the peak transmission wavelength may diminish as additional filter elements of differing wavelengths are introduced into the radiation path. This design is simple and can use any desired aperture area practical. Movement of the filter during treatment allows a continuously variable peak wavelength, providing a “wavelength variation,” which can be varied in magnitude (e.g., how much the wavelength changes around a central wavelength), intensity, pattern of wavelength change and speed of wavelength change.
2. Linear Filter Arrays
In certain embodiments, a series of filters having different fixed transmission characteristics may be placed between a radiation source and one of the waveguides. These filters may be used to select the desired ranged of wavelengths or to exclude large segments of the spectrum, such as, for example, infrared blocking filters.
In other embodiments of this invention, a linear filter, such as a Schott Veril 60, may be manufactured such that the transmission spectrum continuously changes with respect to the position along the filter array. The variable spectrum characteristics of the filter array are accessed as desired by moving the filter array along the variable wavelength axis through the radiation beam in the illuminator section by means of a mechanism. The mechanism must allow repeatable motion when driven manually or by a motor. One embodiment of this apparatus uses a leadscrew and carriage assembly to move the filter. A linear version of the circular variable filter described below may be manufactured as either an array of individual filters or as an array that permits changes in the width of the spectrum and maximum transmitted wavelength by moving the filter array in two axes transverse to the radiation beam.
It other embodiments, “wedge” type filters can be used, in which an absorptive medium is provided on a substrate. One portion of the wedge typically has a thinner layer of absorptive medium, and another portion typically has a thicker layer of absorptive medium. An interference pattern can be generated by wavelengths of radiation, so that radiation transmitted can have different wavelengths, depending upon the thickness of the layer of absorptive material. Certain filters useful for the devices of this invention can be obtained commercially from Ocean Optics, Inc. Thus, in certain embodiments, two or more wedge filters can be place near one another so that the radiation emitted by both filters can be collected and used. However, the above description is not intended to be limiting, rather any available filter types can be used.
In certain embodiments, arrays of small filter elements can be provided that have small size (about 1 μm on a side) and manufactured using photolithographic methods, as used in the semiconductor manufacturing industry. For radiation having short wavelengths, (e.g., 200 nm), the size of the filter elements can be even smaller (e.g., 200 nm). Planar arrays of such filters can have large numbers of individually manufactured filters, and, if desired, each can have different bandpass characteristics. Certain of these types of filter arrays can be obtained from Ocean Optics, Inc.
Filters may be fixed in place or moved into or out of the beam by mechanisms provided for that purpose. The characteristics of the filters are selected for the requirement of the system. For example, a filter may pass two or more fixed wavelengths of radiation through one illumination section which is then combined with a variable wavelength radiation from another illumination section to provide more specific narrow wavelengths than the number of illumination sections. Additional filters may be selected or automatically placed in the radiation path as designed into the particular mechanism. Some example of the filter types are narrow band, cut-off, or bandwidth filters.
The variable filter used to select the wavelength or spectrum of wavelengths for each illumination section may be created by a variety of methods and physical shapes and sizes. The filter media maybe of any type that has the desired radiation transmission characteristics. Some example filters include gel filters, interference filters, dichroic filters, substrate filters or other types known in the art. The geometry of the illumination beam and the shape and position of filters can be adjusted to obtain radiation having desired spectral characteristics.
3. Circular Filter Arrays
In certain embodiments, a circular filter array can be used that has a pattern of filter elements or materials that allow transmission of different wavelengths at different rotational positions around the circular filter array. The filter array may be rotated to discrete angular positions manually or motorized for remote control. A means of repeatedly returning to a desired angular position can be provided by a dial or by a memory element associated with the motorizing system. Some examples of a motorizing system are a stepping motor with a means of initializing the angular position, or, a servo motor with an encoder which provides initializing information.
The dimensions of the beam of radiation relative to the active circumference of the illumination section can contribute to the spectral distribution of the radiation entering the waveguide. In some embodiments, a variable filter pattern can comprise an annulus that has variable wavelength transmission along the circumference that passes through the illumination path as the filter is rotated about its axis of rotation. One result can be that each angular position corresponds to a different specific narrow spectrum of wavelengths. For filter arrays having continuous and monotonically changing transmission along the circumference of the array, the width of the radiation spectrum emerging from the illumination section is determined by the ratio of the active circumference to the diameter, or width (for non-circular entrance ports) of the beam entering the waveguide. A filter array may also be manufactured that comprises a series of discrete filter elements or materials which are accessed by rotation of the filter disk.
In certain embodiments, a process permits manufacturing of a pattern such that the transmission characteristics of any angular and radial position can be selected. The pattern may be such that the area of each pattern element is small relative to the active area of the beam. This allows the center of rotation of the circular filter to be moved relative to the beam to provide differing transmission characteristics based on both active radius and angular position. For example, the outer radius portion of the pattern area may have a constant linear variability, for example, from 400 nanometers (“nm”) to 1000 nm, that provides a narrow spectrum of wavelengths to emerge from the illumination section, while the inner portion of the pattern area may provide a mixture of elements that combine to provide a broader spectrum of wavelengths to emerge from the illumination section. Thus moving the center of rotation and angle of the filter relative to the radiation beam can select a specific narrow wavelength or a wider spectrum of wavelengths. This ability to select center wavelength and spread of wavelengths allows the system to provide additional control over the radiation emerging from the illumination section.
Illuminators of this invention may have a fixed aperture that limits the transmission of radiation to a well-defined area such that the mix of wavelengths represents the sum of filter elements within that aperture. The amount of radiation at the peak transmission wavelength may diminish as additional filter elements of differing wavelengths are introduced into the radiation path. This design is simple and can use the maximum aperture area practical. In other embodiments, an aperture having variable area may be constructed that may increase in size if desired to allow additional radiation of differing wavelengths to be added to the original beam. Conversely, if it is desired to provide a narrower band pass, the aperture can be decreased in size to exclude undesired wavelengths from passing. This design can be used to keep the amount of radiation at peak transmission wavelengths approximately constant while adding radiation of differing wavelengths.
In other embodiments, selection of peak wavelength, bandwidth and/or intensity can be controlled by the use of a plurality of shutters positioned relative to a filter array. By opening certain shutters that are positioned corresponding to a desired peak wavelength, a beam of radiation can be captured that has that selected peak wavelength. In other embodiments, one can open up shutters corresponding to higher, lower, or both higher and lower wavelengths to permit the passage of radiation having a broader bandwidth. In yet other embodiments, one can open up a plurality of shutters corresponding to a peak wavelength to increase the intensity of radiation in an output beam. In still further embodiments, a plurality of peak wavelengths can be selected to provide multiple wavelength output beams. It can be readily appreciated that numerous variations of the above can be used to provide a large number of possible output beams.
The types of shutter mechanisms used are not crucial. In certain embodiments, one can use mechanical shutters that can be retracted to open up an aperture. In other embodiments, an array of mirrors can be used to reflect the beam of radiation toward a particular location. In still other embodiments, a shutter array can incorporate an electro-optical device, including by way of example only, liquid crystal devices (LCDs), Pockels cells, Kerr cells and other optical devices. In a shutter array, control over individual shutters can be accomplished using mechanical or electrical signals, and those can, in certain embodiments, be controlled by a computer program.
C Pulsed Illuminators
In addition to providing radiation having controlled wavelength and bandwidth characteristics, the radiation may be provided in a continuous or pulsed fashion. Pulsing radiation can either provide a frequency of radiation that can be absorbed by different targets differently to achieve a desired degree of stimulation, or alternatively as a means for controlling the total dose of radiation emitted by the device. To provide pulses of radiation, any suitable mechanism that can regulate the pulse width (duration), the frequency, or the pattern of radiation pulses can be used. For example, in several embodiments, radiation can be passed through a shutter or interrupter system to provide the aforementioned radiation as pulses at variable frequencies. In a circular interrupter, a disk of opaque material having holes, slits, slots, or areas of transparency can be rotated about an axis perpendicular to the plane of the disk. A portion of the rotating disk can be placed in a beam of radiation, and during the time that a hole or transparent area is in front of the beam, the beam can pass through the disk, thereby providing the desired radiation. When an opaque portion of the disk is in front of the beam, the radiation is blocked from passing through. Advantages of pulsed radiation include increased efficacy of electromagnetic radiation therapy. For example, the use of different frequencies of radiation pulses has been demonstrated to affect nerve cells differently from muscle cells. The selection of the wavelength and frequency of the radiation can be based upon methods developed for each application.
An interrupter or shutter mechanism may be placed in the radiation path of an illumination section to provide intermittent pulses. An interrupter can be desirable if it transmits all of the radiation in the open state. The number of apertures in the interrupter and the rotational speed of the interrupter can determine the pulse rate. Low pulse rates may also be obtained by oscillating the interrupter aperture across the radiation beam. The rate that the interrupter is moved may be varied over time to produce a profile of radiation intensity vs. time. A single interrupter may be placed such that two or more radiation sources pass through the interrupter. The placement of the radiation sources, the placement of the center of rotation of the interrupter, and the number of apertures affect the relative timing of the pulses for each radiation source. Certain of these embodiments can have four apertures and two radiation sources placed symmetrically around the center of rotation such that the initiation of each pulse is concurrent for both entrance ports. Electro-optical shutters, including by way of example only, LCDs, may be used in place of the interrupter wheel to achieve similar results and add independent initiation of pulses and/or pulse profiling.
It can be readily appreciated that an interrupter or an electro-optical mechanism can be designed to provide any desired pattern of pulses. For example, in one series of embodiments, a circular disk having transparent areas arranged in arcs around the disk can be used in situations in which it is desired to have a repeated pattern of pulses. It can be appreciated that the arc length of a transparent area and the rotation speed can determine the duration and frequency of pulses. However, by providing transparent areas of differing configurations, for example, one having a relatively long arc length, and another having a relatively shorter arc length, a pattern of long and short pulses can be provided. It can also be appreciated that providing transparent areas that are equidistantly arrayed about the disk can provide a pulse frequency that is substantially constant. However, by providing transparent areas of differing distances from one another, one can select the pattern of radiation pulses. By altering the speed of interrupter rotation, the pulse rate can be varied.
During treatment of physiological of pathophysiological conditions, the oscillating interrupter can provide variable pulse width, variable frequency, and can be used to vary the wavelength. The configuration of transparent areas in an interrupter and the rotational speed of the interrupter can be adjusted to provide a wide variety of waveforms (see below).
It can also be appreciated that a pulse can have an abrupt onset or a ramped onset. By providing transparent areas that have a clean, or “sharp” edge, the onset of a pulse can be abrupt. However, by providing a wedge-shaped slot, or alternatively, a gradient transition between opaque and transparent areas, the onset of the pulse can be varied. Moreover, in these embodiments, one can appreciate that providing a slower rotation can provide a prolonged transition period between “off” and “on” parts of the duty cycle and can provide longer durations of a pulse. Although different pulse patterns are described for mechanical interrupters, it can be readily appreciated that electro-optical interrupters can be used that can provide a wide variety of pulse patterns.
In certain embodiments, a sensor may be added to monitor the beginning of radiation pulses and functionality of the illumination section. Many devices and methods are available to determine the start time of a pulse. For example, a fiberoptic pickoff may be mounted next to the waveguide entrance port. The output of this pickoff may be used to monitor the wavelength and intensity of the radiation passing through the illumination section when coupled to appropriate sensors. The output may be passed through a narrow-pass filter to initialize a reference position or confirm the positional repeatability of the system. Another example is a sensor to determine the location of the interrupter apertures relative to the entrance ports. Pulse rate can be adjusted by the interrupter motor controller circuitry based on output of an encoder integral with the interrupter motor. The accuracy of the radiation pulse rate can depend upon the control circuitry and may have different ranges of acceptable accuracy for different applications.
In one series of embodiments of devices include a radiation source, filters and an optical system to deliver the filtered radiation to a waveguide, such as a fiberoptic element. Multiple radiation sources can be combined in the fiberoptic cable system and delivered to one or more radiation delivery ports. The routing of fibers determines the proportion of each wavelength at each delivery port.
D Multiple Beam Illuminators
Devices of this invention can utilize two or more radiation sources that may be of the same or different types. Typical radiation sources include incandescent lamps, arc lamps, and strobe lamps for systems that are intended to provide selectable wavelengths. Narrow spectrum devices, such as lasers or LED's, may also be used when the bandwidth dispersion is desirably narrow. Gas discharge lamps can have several wavelengths that are emitted which may also be useful, such as combining UV radiation with visible and/or infrared radiation.
A radiation source optical system may be as simple as a mirrored reflector behind the radiation source which can focus the radiation beam onto the waveguide. Additional optics may be incorporated as desired for the particular illumination system. For example, a broad area source, such as a strobe, may use a collecting or collimating lens system between the source and the filter. The characteristics of the radiation source reflector may affect the operation of the system. For example, a reflector may be used which allows a high proportion of the infrared (heat) emitted by the radiation source to be transmitted away from the filter and waveguide.
E Waveguide/Fiber-Optic Cable Assembly
In certain embodiments of this invention, a waveguide or fiberoptic cable assembly can consist of multiple entry ports and one or more exit ports. Routing of the fibers can determine the proportion of radiation from each entry port to each exit port. The material of the waveguides or optical fibers is selected to permit passage of the desired wavelengths. For example, glass fibers may be used for visible and infrared radiation (400-1000 nm) while other materials, such as quartz fibers may be selected for ultraviolet radiation (200-400 nm). Many configurations and materials, including liquids, are possible. In certain embodiments, there can be two entrance ports and two exit ports. The fibers can be routed to provide one-half of the radiation from each entrance port to be directed to each exit port. This arrangement can provide the user with two radiation sources with similar multi-wavelength output.
In other embodiments, alternate fiber routing configurations maybe used to provide different ratios of input to output. For example, a third entrance port may have a radiation source that does not utilize a filter system. This illumination section may provide output from a simple lamp to provide general illumination or may provide a source of ultraviolet radiation (or infrared, or other wavelength) that can pass directly into the entrance port of the waveguide with little attenuation. In other embodiments, a laser can be used to provide a narrow bandpass light source.
The output beam of electromagnetic radiation can be provided in a number of different desired shapes and configurations. For example, for certain therapeutic uses, it can be desirable to provide beams having rectangular, triangular, polygonal, circular, oblong, annular, or other desired shape. By arranging waveguides in any of the above configurations, a desired beam can be provided. By providing flexible waveguides, the different beams can be separately directed at different desired locations.
F Uses of Illuminators
The industrial utilization of this device includes many fields in addition to health care and treatment of disorders. The ability to control dominant wavelength and bandwidth width is, by way of example only, can be used for: (a) discriminating subtle variations in color characteristics for machine vision; (b) grading of material characteristics automatically, such as fruit ripeness, or paint reflectance; (c) microscope illumination for biological and industrial applications, fluorescence microscope; (d) as a catalyst in radiation triggered chemical processes; (e) simulation of radiation source and filter combinations; (f) testing of optical assemblies; and (g) dispersion characteristics of materials, especially optical materials and fiberoptics, (h) phototherapy using drugs tha require specific waveforms for activation. Certain of these uses are described more fully in the U.S. Patent Application titled “Therapeutic Methods Using Electromagnetic Radiation” Constance Haber and Allan Gardiner, Inventors, Attorney Docket No: WMAG 1010 US1 SRM/DBB, filed concurrently and incorporated herein fully by reference.
G Analysis of Temporal Data and Therapeutic Responses
Analysis of spectral and timing data from illuminators of this invention can be performed using a computer and a software package, either designed specifically for the purpose, or using commercially available software. A data filter in a commercial application including joint time frequency analysis using Fast Fourier Transform “FFT” as well as other deconvolution methods can permit correlation of spectral and time related data (pulse or chop) and physiological effects of electromagnetic radiation. In certain embodiments, measurements involve monitoring a radiation signal using the interrupter or electro-optical shutter to expose a part of a subject's body to radiation of a known wavelength, wavelength variation, bandwidth, pulse width, intensity, and pulse frequency. Simultaneously or at intervals, one can monitor effects of such radiation using, for example, the surface electromyogram (sEMG or SEMG), electroencephalogram (EEG), evoked responses and the like. An analog input can be provided into the computer, and the phase and frequency domain of the signal relative to output of interrupter signal can be determined using, for example LabView™ software. This can be used to determine the signal strength and the transit time for the signal to travel to the sensor. In addition, a system from Neurometrix can be used. The system consists of an interrupter, which can be run at a frequency of about 1 Hertz (Hz) to about 1000 Hz. In alternative embodiments, the interrupter can operate at a frequency of between about 1 Hz and about 500 Hz, and in still other embodiments from about 5 Hz to about 100 Hz. Using pulsed illumination a system can detect the presence of signal and the phase differences between remote locations on the body. This can permit comparison of transmission capability through excitable tissues, such as nerves, muscles, and connective tissues, in conditions such as, for example, diabetic neuropathy and other nervous disorders, especially disorders of the spine. Normal physiological responses can be obtained by studying subjects without specific disorders, or by studying unaffected organ and tissues of normal subjects.
Additionally, by comparing the above-obtained normal results with those obtained from subjects having specific disorders of excitable tissues and organs, improved diagnosis of those conditions can be provided. Additionally, by monitoring a subject's responses to electromagnetic radiation therapy over time, such as heart rate variability, SEMG and other real-time measurements, improved evaluation of the progression and/or treatment of those disorders can be provided. Additional discussion of specific disorders of excitable tissues is provided in the U.S. Provisional Patent Application titled: Therapeutic Methods Using Electromagnetic Radiation, Constance Haber Stevenson, D.C., and Allan Gardiner, P.E., inventors, filed concurrently, incorporated herein fully by reference.
The following of examples are intended to be for illustration only. Other embodiments of this invention can include variations of the systems and devices described. All of these other variations and combinations are considered to be part of this invention.
In one embodiment, a device is provided that has two lamps with focusing reflectors, two rotary filter arrays and one interrupter wheel with four apertures. Control circuitry receives signals from the operator that provides (a) the intended brightness of each lamp, (b) the intended wavelength peak for each illuminator, (c) the intended wavelength spread for each illuminator, and (d) the intended frequency of output pulses, wavelength variation. The signals are processed and the appropriate actions are initiated by servo controllers. The signals from the operator may be locally developed through electronic and mechanical input devices or from a remote source such as a computer. The lamps in this embodiment are standard lamps used for 8 mm movie projectors. Lamp reflectors concentrate the radiation into a spot suitable for fiberoptic illumination. The filter is a pattern on a glass substrate that transmits radiation of varying wavelength depending upon its angular and radial position relative to the radiation beam. The filter is produced using a photolithographic method that allows individual areas of a few square microns to be individually manufactured with specific filtering characteristics. Further descriptions are provided with reference to
Computer interface 104 provides signals to wavelength driver 120 and bandwidth driver 130 drives the motors 124 and 128 which position filter arrays (not shown) in series with lamps 114 and 116 to provide output beams 132 and 136 having desired peak wavelengths and wavelength bandwidth characteristics. The controls of driver 120 can be stepper motors or servomotors, or alternatively servomotors with closed loop encoders. A desirable feature is the ability to position filter arrays using motors 124 and 128 reproducibly to the same location relative to the lamps 114 and 116 such that the wavelength of beams 132 and 136 can be controlled from the host program through the computer interface 104. The wavelength driver 120 electronics can be a simple system using transistors or some of the micro controller chips, which provide position information, acceleration and deceleration. Motion controls are available commercially from vendors in a variety of industries to position radiation controlling devices. In the case of circular filter, the motor may be a direct drive to position the angle of the filter. In the case of linear filters then the motors maybe connected to some other devices such as a lead screw or a rack and pinion system. A second motor is used to position the filter to control the bandwidth.
Computer interface 104 provides a signal to interrupter speed and position control 140, which regulates the position of interrupter servomotor 144. Interrupter 152 is a simple plate with slots in it or other holes 204. Interrupter 152 can be a glass disk with an emulsion that is opaque over part of the area with another part being clear. A simple embodiment includes a disk with slots in it with one, two, four or however many slots are appropriate in order to get the total speed range necessary to get the pulse rate required for the output. The limiting speed of the motor 144 is controlled by the interrupter speed position feedback controller 148 or by its own electronics. Servomotor 144 has an encoder which provides information to the controller 140 of how fast the motor is turning and the current position of the aperture(s) relative to the illuminator beam. A reference mark is used to initialize the location of interrupter 152 attached to servomotor 144 and can provide information about the timing of the pulse of radiation emitted by lamps 114 and 116. In this case the home position or reference mark could be used to know where the radiation is being transmitted through the interrupter 152. A computer program can control the interrupter speed position control to move the interrupter until the reference mark is located. At that point the counters can be zeroed or that mark in some other way tracked such that the location of the disk now can be reliably returned to that open position. Alternatively, or if that speed of the interrupter is tracked alone and not position then each time is desired to control the interrupter to be either opened or closed, the reference mark would be relocated.
The interrupter speed position controller 140 can be as simple as a voltage placed out to the motor which would cause the motor to turn at a desired speed. The control of that speed may not be as accurate as desired and in that case, a tachometer (not shown) can be used, and a servo amplifier that controls velocity could be implemented. Alternatively, a microprocessor can control the speed and also track the position of the interrupter 152 such that it would always come to rest in either an opened or closed position as desired by the operator. Using such a system, it can be desirable to monitor the output of the illuminator(s) directly, and not operate solely by presetting desired values of the variables. The beam may be interrupted by an electro optical shutter or mirror.
Wavelength sensors 160 and 164 can be used to monitor the wavelength of radiation of either one or both illuminators. For each lamp/filter assembly, one sensor is shown, although two or more sensors may be used if desired. Each sensor 160 and 164 is associated with a narrow bandwidth filter, having bandwidths in the range of a few nanometers. Computer software 156 in the hardware would be used to find a peak value of wavelength. For instance, if the wavelength drivers 120 position filter 124 and 128 to a desired wavelength and the interrupter 152 is positioned so that the radiation is being transmitted, then the wavelength sensor 160 can determine whether the desired wavelength is detected. If the observed wavelength is not as desired, then the computer interface 104 can provide signals to driver controller 120 to adjust the position of filters 124 and 128 to produce the desired wavelength of output beams 132 and 136. Combinations of peak bandpass and bandwidth settings may be used to calibrate the system.
The system described can allow for ongoing calibration and confirmation that the wavelength, wavelength bandwidth and other variables remain as desired. Combinations of peak bandpass and bandwidth settings may be used to calibrate the system. In alternative embodiments, one can provide multiple sensors sensitive to different portions of the filter array. That way the system could drive the filter to wavelength number one, find the peak, find the calibrated location that matches wavelength number one, and then repeat the process for wavelength number two. All of the intervening wavelengths could be determined by calculation relative to those two calibration points.
The first time that the system is used, it can be calibrated using another device to interpolate the positions in between two calibration points. And then later, the relative positions of wavelengths can be used to confirm that the computer now has confirmed control over wavelength. Additionally, the speed of the interrupter could be measured by moving the filter to one of the wavelengths and using the feedback to the computer to determine that the frequency of the interrupter indeed matches the expected frequency being programmed by the computer interface. In the machine design it can be desirable to allow the machine to self-test upon start up or at any time there is some question about the accuracy of the system. By providing feedback, the system can do this self-calibration. A sensor which is sensitive to a wide range of wavelengths maybe used during operations to detect the presence of radiation for timing purposes.
Thus, to provide radiation having a desired peak wavelength and a narrow bandwidth range, a source beam 224 is aligned with a portion of the filter 300 on the left side, where the bandwidth is narrow. Then, by moving the source beam 224 vertically, one can select the peak wavelength desired.
For example, as illustrated in
It can be appreciated that other configurations are possible and can comprise multiple different areas. It can also be appreciated that the offset of individual areas not need be the same, so that in certain desired wavelength regions, the bandwidth can be larger or smaller than the bandwidth in other wavelength regions. It can also be appreciated that by adjusting the aperture size, more or fewer regions of each area can be placed in the path of the source beam and can produce radiation having different wavelength compositions.
As the filter is moved in front of the aperture or waveguide bundle, the amount of radiation for each wave length could be controlled by moving the filter in the vertical direction to control the central or peak wavelength and in the horizontal direction to control the bandwidth spread. By designing the widths of the vertical filter arrays and their offsets, the ability to control the wavelength spread can be programmed into the controller so that the host program can send controls to position different filter areas, apertures or sources of the beam to provide a high degree of control over the composition of the radiation emitted by the illuminator.
It can also be appreciated that an aperture or waveguide bundle can be asymmetrical, having, for example a rectangular cross-section. Thus, if the same bundle were rotated 90 degrees, for example, then the wavelength spread could be varied.
By way of illustration for a linear filter, if the distance between the area having a peak wavelength of 400 nanometers to that having 1000 nm were six inches long, there would be 100 nanometers per inch. If the diameter of the source beam were a quarter of an inch (0.25″), source beam would have approximately 25 nanometers spread in the wavelengths. For a rectangular source beam, the intensities of the wavelengths within the spread of 25 nanometers would be different from the intensities with a circular aperture. However, for a curved (e.g., circular or ovoid) source beam, the distribution of wavelengths would be different. The distribution of a circular beam source would be much more centrally weighted than for a rectangular source beam. It can be appreciated that if the admitting aperture or waveguide were a narrow rectangle across the filter area, then the wavelength spread would be much narrower.
The selection of wavelengths for a given position or angle in a rotary filter may also be selected to be a very different wavelength characteristics if the combined output of the optical system requires wavelengths that are of significant differences in the spread. Tracks A, B, C and D can be varied in other ways also. For instance, by way of illustration only, track A could have a peak wavelength of 700 nanometers, track B could be set to have a peak at 500 nanometers. The combined beam can have a combined wavelength spread that is much larger than simply a single wavelength with its usual distribution. The multiple wavelengths achieved in this way can provide colors which are not available as pure colors when perceived by the human eye. The same effect of multiple colors can also be achieved by having an illumination source set at one wavelength and another set to a different wavelength so that the combined output of the two and now go and mimic any color. Embodiments incorporating this strategy can be expanded to include 3 colors providing red, green and blue, or even more different wavelengths.
One advantage of circular embodiments is that controlling the position can be simpler than controlling a two-dimensional array as for the embodiments depicted in
There are a variety of manufacturing techniques which can produce filters suitable for the illuminators of this invention where there are tracks or areas which have different wavelength characteristics. In embodiments having fixed filter elements, individual elements can be deposited on plastic, glass, quartz or other substrate in areas which can be addressed as X, Y coordinates for rectangular arrays as in
In other embodiments, an array of liquid crystal shutters can be positioned over a filter array. By selectively opening one or more shutters, radiation can be selected. Embodiments of this type can be especially useful in situations in which it is desirable to have devices with a minimum number of moving parts, or in situations in which rapid electrical control over emitted wavelengths is desired.
Once an output beam is created having certain wavelength, wavelength bandwidth, pulse duration and pulse pattern, the output can be directed to a desired location using waveguides. For example, waveguides can be in the form of a fiber optic cable as depicted in
In certain embodiments, fiber optic cables can be desirable because fibers from one illuminator port may be directed to the other fiber optic cable. For applications that do not require fiber optic cables, the beam from the source and filter can be transmitted via an optical path which could include mirrors and beam splitters to combine radiation from multiple lamps. In other embodiments, fiber bundles having mixed fiber types can be used to transmit radiation having differing wavelengths. For example, to transmit both visible radiation and ultraviolet radiation, one can use plastic or glass fibers to transmit the visible wavelengths, and can use quartz to transmit the ultraviolet wavelengths.
Once an output beam has been produced, the beam can be delivered to a site using any of a number of different end effectors.
In certain applications, an effector configuration can use two line outputs arranged relative to each other such that the lines are parallel with overlapping regions of radiation. An intensity/wavelength gradient can be developed between the lines along a parallel zone beyond the effectors to increase the volume of the tissue exposed to the radiation. The spacing and angle of the effectors can determine the gradient zone.
In applications in which an effector configuration uses two concentric rings, each with a separate source, an intensity/wavelength gradient can be developed between the rings beyond the effectors. The spacing of the rings can determine the gradient zone.
Any of the applicators may be supplied by dual or mixing type fiberoptic cable assemblies which can have additional characteristics such as delivering the same wavelengths or combination of wavelengths to both effectors. This application may be used to provide more energy at the selected wavelengths determined by the fiber optic cable configuration.
Variations on these applicators may concurrently deliver energy by means of dental effectors, for instance, to the inside and the outside of the mouth. A mechanical housing can align the sources so that they remain in alignment while the applicator is moved. This method can provide the maximum amount of illumination to the full thickness of the side of the mouth. Use of single cables can permit uses in which one wavelength is directed inside the mouth and a different wavelength is directed outside the mouth, if desired. Use of a mixing cable can provide the same or similar wavelengths on both sides of the affected tissue. This same general scheme can be extended to have more than two radiation inputs if multiple wavelengths are desired.
Devices and systems of this invention can be used for vascular imaging. In certain embodiments of this invention a body part can be transilluminated.
The output of the signal processor goes to display 736, a recorder (not shown), or other desired instrumentation. In use, this system can provide scanning through wavelengths typically in the 600 to 650-nanometer wavelength range to find the wavelengths that are most strongly absorbed by the particular person's vascular system. The wavelength can be changed while observing the output of the camera, either before or after signal processing, in order to find the particular wavelengths which provides the best contrast and visibility of the vasculature within the hand. The location observed on a particular finger or web of the hand can be selected for vasculature observation. More than one illumination source may be desirably provided so that more radiation is available for illumination through the body part.
The camera gain and offset can be controlled and standardized using a calibration target 732 which can permit the system to be returned to the same settings after treatment. By providing reproducible initial conditions of observation, the hand can be placed into the machine again and secondary pictures may be taken. The change in observed blood flow can be used to monitor treatments which increase or decrease blood perfusion. For instance, if the feet are placed in cold water or ice water, the blood flow to the hands may diminish over a period of time. Such diminishing flow can be observed through the video system.
In preliminary experiments, tests have been performed using a wavelength of 625 nanometers. Initial results indicate that there are substantial variations in absorption between individual people. This same apparatus can be configured to accept a foot in which case people with circulation problems of the feet such as people with diabetic neuropathy can be observed for changes in blood flow during and/or after treatment. For the feet, certain blood vessels are located on the bottom of the toes and the apparatus of this invention can be configured such that the camera is on the bottom of the foot and the illumination comes down from the top. The configuration of the illuminator and the camera can permit transmission of radiation through the tissue for observation by the camera. Experiments have shown that radiation around 600 to 650 nanometers appears to be strongly absorbed by blood vessels which provide imaging capability. Radiation of shorter wavelengths tends to be absorbed more uniformly and thus the contrast measured using shorter wavelengths can be diminished. Wavelengths longer than optimum are absorbed less and again contrast can be diminished. The optimum wavelength is dependent upon the absorption characteristics of the particular person. Oxygenation of the blood also affects the wavelengths absorbed. There may be several wavelengths of interest and this apparatus can provide measurements using more than one wavelength. In certain embodiments, the apparatus of this invention can be used to is observe blood vessels at different depths below the skin.
A black and white camera with broad low radiation level spectral sensitivity can be used to allow varying the wavelength over a wide range (“sweeping”) to determine the desired wavelengths that are best transmitted through bulk tissue and also those that can be absorbed by the vascular system. Some cameras possess infrared sensitivity to wavelengths longer than 700 nanometers and/or have the capability of having a filter removed from the optical system which allows the detector, such as a CCD array, to receive the infrared radiation. In this case it can be desirable to use the infrared portion of the radiation spectrum rather than the visible portion because different features within the finger, hand or toe can be studied using different wavelengths. The ability to select a wavelength and have sufficiently intense radiation pass through substantial thicknesses of the body can permit observations that cannot made with normal full spectrum radiation.
The repeatability of this system can be improved by including means of self-calibrating the system and adjusting for brightness. These elements are not shown in
Larger body parts, such as the thicker parts of the hand or even the thinner portions of the leg maybe imaged using a very intense radiation source and a very sensitive camera. Thus, measuring and/or imaging is not restricted solely to thin body tissues such as fingers or toes. Finer detail is generally seen with the thinner body parts because the vasculature that is being imaged is close to the surface. The optical density of the tissue and its ability to transmit or conduct radiation at varying wavelengths is dependent on the individual. Individuals with very fine vasculature throughout the hand, for instance, can appear very opaque compared to people who have large veins and tissue which readily conducts certain wavelengths of radiation, such as 625 nanometers. One can also use embodiments of this invention to transilluminate a body part at one wavelength and then observe that body part at a different wavelength. Using the systems and measurement methods of this invention can permit detecting certain responses of the vascular system to therapeutic intervention.
For many applications, it is desirable to provide software and a computer with a reference signal to which information coming back from sensors placed on the skin can be compared to the desired output beam. An embodiment 800 of such a system for controlling illuminator function is depicted in
One desirable feature of the system, whether the pick-off is achieved by software or by hardware, can include providing the software in the computer with a reference signal by which information coming back from sensors placed on the target (e.g., skin) at selected sites can be compared to the reference output signal generated by the illuminator and captured by the signal pick-off 607. For therapeutic uses, detectors 601 a, 601 b and 601 c can be sEMG detectors, thermal sensors, muscle probe detectors, or any other type of biological or physiological sensor. The signal from the sensors 601 a, 601 b and 601 c passes through amplifier assembly 602 comprising an amplifier, isolator and optionally, filters which are designed to augment the signal of interest which will be compared to a reference signal. The amplifier filter assembly 602 can be commercially obtained from a variety of vendors.
One purpose of the amplifier assembly is to allow a human subject to have sensors placed on them without the risk of electrical signals from the computer interface from causing harm to the subject. It can be desirable that the amplifier assembly be able to pass signals having frequencies up to around 600 Hz and optionally, it maybe desirable to provide a filter for reducing ambient noise, by way of illustration only, 50/60 Hz noise. Alternatively, one can provide filters to reduce any signal that is not desired, by way of example only, EEG signals, EMG signals, and the like, thereby permitting one to more easily detect and analyze signals that represent a desired response. Alternatively, this filtration may take place later using software-configured filters. The output of the amplifier isolator 602 maybe an analog signal going to an analog interface and then to the computer 603, or it may be converted to digital signals and then routed to the computer 603. The software and the computer 604, can desirably perform analyses of the signals, including joint time and frequency analysis, or other types of analyses. It can be desirable to place the sensors at locations where the maximum physiological effects are to be observed. For example, for monitoring therapeutics of nerves, it can be desirable to place sensors at locations of maximum innervation of the muscle of interest. Alternatively, to monitor muscle activity, sEMG electrodes can be desirably placed near the muscle to be studied and treated. Multiple sensors can be used to determine the amount of signal which is coming through at various points on the body.
Placement of the illuminator's end effectors can be selected to provide signals from the output radiation beam into the nervous system of the individual being studied. The software desirably can permit the operator to determine the percentage of signal that is arriving at the various sensors, and thus, maybe an indication of therapeutic effectiveness. The software can use the pulsed input signal and the frequency of that signal to discriminate information returning from the sensors which have a phase and time relationship to the input signal. The system can thus be operated in a fashion similar to that of a nerve conduction velocity study carried out using electrical stimulation. However, rather than electrical stimulation, systems of this invention can use electromagnetic radiation provided at selected intensities, pulse durations and pulse frequencies. In those embodiments using a rotating interrupter, the interrupter's rotational velocity can determine the pulse frequency. The pulse duration can be selected by adjusting the size of the interrupter's slit relative to the circumference and rotational velocity of the interrupter disk. In embodiments using electrical or other means to provide pulses, the input can be in the form of control signals to the interrupter. Different variables, including pulse duration, frequency, and intensity can be independently controlled.
The combination of the wavelength, bandwidth, pulse duration and pulse frequency can affect selected excitable tissues, depending on intrinsic-responsiveness of those tissues to the radiation. The relationships of output signals from tissues to the input signals can be determined for a variety of different wavelengths and frequencies. In certain embodiments, these determinations can be made automatically with the aid of a computer system that had been pre-programmed for the purpose. The ability to make measurements at a variety of different wavelengths and frequencies of intermittent radiation or signal can permit the adjustment of illuminators to maximize outputs detected by the sensors. The combination of multiple illumination systems, multiple end effectors and/or multiple interrupters can permit the practitioner to more finely select desired variables to optimize diagnosis and treatment of disorders of excitable tissues, such as nerves, muscles and connective tissues.
The illumination system maybe replaced by electronic emitting device, such as LED, once the selected wavelengths are known and the ability to scan wavelengths provides the operator with additional control. The system allows the ability to go and determine the nerve conduction properties of an individual before and after treatment in order to determine if nerve conduction has improved. In one specific application for persons with diabetic neuropathy of the feet, the detection of nerve conduction may be used in conjunction with other standard techniques for monitoring the abilities of the patient such as monofilament testing. The ability to inject signals and vary both the frequency and the wavelengths permits the operator/system to determine the optimal conditions for treating this and other disorders.
In certain embodiments, optical systems other than waveguides can be used to transmit the radiation and resize or reconfigure a radiation beam as required by some other piece of equipment.
In certain of these embodiments, mirror beam selectors can be provided to direct certain portions of emitted radiation.
Another embodiment 1000 is depicted in
Another embodiment 1100 of this invention is depicted in
In another embodiment of this invention 1200 depicted in
In yet another embodiment of this invention 1300 depicted in
In a further embodiment of this invention 1400 depicted in
In certain embodiments of this invention, the bandpass characteristics can be selected by adjusting an aperture.
To select a bandwidth, one can open shutters in the y dimension different from the location immediately corresponding to λp. To increase the bandwidth, one can open additional shutters in the y dimension from λp. Using this type of embodiment, one can produce an output beam having any λp and any bandwidth that are permitted by the range of wavelengths incorporated into filter array 1804. Thus, to provide a beam having greatest intensity at λp, one can open more shutters in the x dimension of shutter array 1708 corresponding to λp than shutters at any other wavelength.
In certain embodiments, one can produce an output beam having a plurality of λp by opening more shutters at each of two selected wavelengths than at other wavelengths. If desired, the relative intensity at the two peak wavelengths can be the same or can be different. Thus, using a shutter array as described in Examples 16 and 17, one can select between a variety of different output beams. One can select a beam having the output of a single filter element λp, at a number of different intensities depending on the output of the lamp and the number of open shutters at λp. Alternatively, one can select an output beam having λp and a bandwidth that depends on shutters at different wavelengths. Moreover, one can select a bandwidth pattern wherein the intensity of the output beam can be selected by opening up different patterns of shutters. Because individual elements of the shutter array 1708 can be controlled rapidly using electronic signals addressed by x and y coordinates, these embodiments can provide a high degree of flexibility and control over the wavelengths in the output beam.
In other embodiments, illuminators are provide that comprise a variety of diode emitters, selected to provide a variety of different output wavelengths. By selecting which of such emitters are activated, the central wavelength, bandpass, wavelength variation, frequency, intensity and pulse duration can be regulated. If desired, a computer system can be used along with a series of diode emitters to provide preset control over the different variables.
In certain embodiments of this invention, interrupters are provided to permit production of electromagnetic radiation having desired patterns.
The above examples and descriptions are by way of illustration only, and are not intended to be limiting to the scope of the invention. Other devices and systems embodying features of this invention can be contemplated, and all of those devices and systems are considered to be part of this invention.
Illuminators and systems for providing electromagnetic radiation are useful for therapeutic applications involving exposure of subjects to radiation of selected wavelength, bandwidth, pulse frequency and pulse duration. The illuminators and systems are also useful for applications in machine vision, grading material characteristics, microscope illumination, catalysis in radiation-triggered chemical reactions, testing of optical assemblies and determining dispersion characteristics of materials. Computer control systems permit the acquisition and analysis of physiological and other information relating to the effects of illumination.