The present invention relates to an artificial vision system for artificially giving a visual signal, and more particularly to an artificial vision system of an optic papilla stimulating type for applying an electrical signal to an optic papilla in which nerve fibers running throughout a retina join, thereby inducing restoration of vision.
Retinitis pigmentosa, age-related macular degeneration, and others cause visual defects and may lead to blindness at an advanced stage. Human eyes normally work such that, when light is irradiated to a retina, a light signal is converted to an electrical signal through photoreceptor cells, and this electrical signal is turned into a pulse signal through retinal ganglion cells and is transmitted to a brain. When the retinitis pigmentosa, age-related macular degeneration, and others occur, the photoreceptor cells are reduced or deadened and thus could not convert the light signal to the electrical signal. Consequently, a person would lose his vision.
In recent years, various attempts have been proposed to recover the vision of patients with vision loss from the above causes.
For example, Japanese Patent No. 3514464 discloses an invention related to an artificial vision system utilizing a retina stimulating type implant. This system is arranged such that a microphotodiode having a sensitivity to visible and infrared light is implanted under a retina to receive light of a picture image that has been amplified and modulated by a NeuronNet computer via a CCD camera, thereby providing vision.
Regarding the artificial vision system, on the other hand, an optic papilla stimulating type implant for electrically stimulating an optic nerve from surrounding portions and a brain cortex stimulating type implant for electrically stimulating a visual cortex have also been studied as well as the above retina stimulating type implant.
In the retina stimulating type implant disclosed in Japanese Patent No. 3514464 however, the microphotodiode is generally located on only a part of the retina, resulting in a problem that a visual field is extremely narrow (about 10° of a visual angle).The patient therefore could not easily distinguish the surrounding circumstances and particularly would find it difficult to visually recognize a moving object. To ensure a wide visual field, on the contrary, the microphotodiode has to be implanted in a wider area. However, the implanting operation onto a spherical retina would be hard. In the case of the retina stimulating type implant, the retina is peeled for implantation of electrodes. This would cause a problem that portions surrounding the electrode setting site are also peeled, which leads to retinal detachment after the operation.
On the other hand, the optic papilla stimulating type implant for electrically stimulating the optic nerve from the surrounding portions has a disadvantage that the number of electrodes could not be increased and therefore effective vision could not be provided. The brain cortex stimulating type implant has also a problem that an information processing system is complicated and it is hard to give stimulation close to an ordinary view.
To solve the above problems, the present invention has an object to provide an artificial vision system of an optic papilla stimulating type which is a new technique for restoring vision, capable of ensuring a wide visual field without damaging a retina.
An artificial vision system of the present invention made to achieve the above object is characterized in that a plurality of electrodes are to be implanted so as to stick in an optic papilla of an eye of a patient, a signal for stimulation pulse is generated based on an image captured by an image pickup device to be disposed outside a body of the patient, the electrodes output an electric stimulation signal based on the generated signal for stimulation pulse to stimulate an optic nerve of the eye, thereby enabling the patient to recognize the image from the image pickup device.
In the artificial vision system of the present invention, preferably, the plurality of electrodes are to be implanted so as to individually stick in the optic papilla.
According to the present invention, the electrodes are to be implanted so as to stick in the optic papilla in which nerve fibers for transmitting the pulse signal of retinal ganglion cells join (converge), in order to directly stimulate the optic nerve consisting of a bundle of the nerve fibers. It is therefore possible to deal with image information on a range of an object space that a person can inherently visually recognize from the light received at a retina. To this end, a patient can visually recognize the object space captured by a photographing (imaging) device and thus a wide visual field is ensured. The electrodes, which are to be located on the optic papilla, cause no damage to the retina and have no possibility of causing retinal detachment.
Furthermore, the artificial vision system of the present invention is characterized in further comprising: an external device which is to be disposed outside the body and performs predetermined optimizing processing the image captured by the image pickup device to generate the signal for stimulation pulse; and an internal device which is to be implanted in the body and converts the signal for stimulation pulse into the electrical stimulation signal to output the electrical stimulation signal from the electrodes.
In the artificial vision system of the present invention, preferably, the external device includes the image pickup device, an image processing device which performs the predetermined optimizing processing to generate the signal for stimulation pulse, and a power supply.
Furthermore, in the artificial vision system of the present invention, preferably, the image processing device adjusts parameters of the electrical stimulation signal to be outputted from the electrodes.
The artificial vision system is constructed of the separately provided external device and internal device as above. Accordingly, the external device can be provided with many functions and an increased capacity of the power supply, which allows stable long-term use.
In the artificial vision system of the present invention, preferably, the signal for stimulation pulse and power are transmitted from the external device to the internal device by electromagnetic induction occurring between a primary coil which is to be attached to a skin of the body and a secondary coil which is to be implanted in advance in the body.
In the drawings,
A detailed description of a preferred embodiment of an artificial vision system embodying the present invention will now be given referring to the accompanying drawings.
The artificial vision system 1 in the present embodiment is constructed of an external device 2 which a patient wears in use and an internal device 3 which is surgically implanted in advance in the patient himself. The external device 2 is arranged such that a camera 11 is mounted on a visor 5 which the patient puts on like glasses to capture a video image of an object space in front of the patient who turns his face. For example, a CCD camera with an image pickup device of tens of thousands of pixels is used as the camera.
The camera 11 is connected to an image processing device 12 which conducts predetermined optimizing processing based on image data of the captured image and generates a signal for stimulation pulse for stimulating an optic nerve to provide vision. Herein,
The image processing section 33 is constructed of an image processing CPU (a microprocessor) and a memory storing a control program thereof and arranged to optimize the image data captured by the camera 11 and then generate the signal for stimulation pulse for stimulating the optic nerve.
The image processing device 12 includes a system controller 35 constructed of a control CPU (a microprocessor) and a memory storing a control program thereof. The system controller 35 is arranged such that parameters of the stimulation pulse (frequency, amplitude (electric current amount), lighting time length, and others) to be outputted from electrodes 23 can be adjusted by operation of an adjustment dial provided in an input operating part 36. In particular, there are separately provided a dial for adjusting brightness and contrast of an image to be visually recognized and a dial for adjusting parameters for electrical stimulation.
The imaging circuit 32 constituting the image processing device 12 is controlled from the system controller 35 to perform read processing of the imaging signal from the camera 11 and ON/OFF control of power supply to the camera 11.
Returning to
In the artificial vision system 1 in the present embodiment, electromagnetic induction occurring between coils is utilized to transmit the processed image data and power from the external device 2 to the internal device 3. Accordingly, in the external device 2, a primary coil 14 is connected to the image processing device 12. The internal device 3 is also provided with a secondary coil 21 in correspondence with the primary coil 14.
In the internal device 3, as shown in
The above internal device 3 is implanted in advance in the patient's body in a surgical operation. For instance, the secondary coil 21 and the receiving device 22 including signal wires 24 are implanted in a portion of the patient's head between the skin and the head bone as shown in
On the other hand, the electrodes 23 are implanted to directly stick in the optic papilla in which the nerve fibers for transmitting the pulse signal of the retinal ganglion cells join (converge).
Meanwhile, light having entered in the eye through the cornea 41 reaches a retina 46 and is converted into an electrical signal through photoreceptor cells. This electrical signal is turned into a pulse signal through the retinal ganglion cells and sent to the cerebrum. From the retinal ganglion cells to the cerebrum, the nerve fibers running throughout the retina 46 join in the optic papilla 45 and exit the eyeball, forming an optic nerve 47 which is connected to the cerebrum. In the conventional artificial vision system, a microphotodiode is implanted underneath the retina 46 instead of the optic nerve and part of light having entered through the cornea 41 is converted into an electrical signal.
In the conventional artificial vision system, consequently, only the light having reached the microphotodiode, of the light having entered through the cornea 41, could be converted into an electrical signal. Thus, the system could ensure visual recognition of an object space in only an extreme narrow visual field. In the present embodiment, on the other hand, attention is given to the optic papilla 45 in which the nerve fibers running throughout the retina 46 join. Thus, the electrodes 23 are stuck into the optic papilla 45 to stimulate the optic nerve, ensuring a wide visual field. It is to be noted that not only the nerve fibers but also blood vessels 48 run through the optic papilla 45 as shown in
The following explanation is made on the operation of the artificial vision system 1 in the present embodiment. The internal device 3 is implanted in advance in the patient in the surgical operation. The artificial vision system 1 is ready for use when the patient puts on the external device 2. Specifically, the patient wears the visor 5 of the internal device 3 like glasses and carries the integrally formed image processing device 12 and power supply 13 in a pocket of his jacket. Furthermore, the primary coil 14 attachable with an adhesive seal is adhered on the skin corresponding to the position where the secondary coil 21 has been implanted.
Then, upon turn on of the power supply, the camera 11 captures an image in front of the patient who turns his head and sends the image data to the image processing device 12. The image processing device 12 optimizes the captured image data and generates and modulates a signal for stimulation pulse for stimulating the optic nerve. To be more specific, in the image processing device 12, the system controller 35 controls such that the imaging circuit 32 reads the imaging signal of the video image captured by the camera 11 and the A/D converter 31 converts the imaging signal into the digital image data.
The digital image data is optimized in accordance with the control program of the image processing section 33. The image data optimized in the image processing section 33 is temporarily stored in the buffer memory 34. The image processing section 33 further generates the signal for stimulation pulse for stimulating the optic nerve.
Power from the power supply 13 is sent along with the signal for stimulation pulse for stimulating the optic nerve into the internal device 3 owing to electromagnetic induction occurring between the primary coil 14 and the secondary coil 21. It is to be noted that the signal for stimulation pulse and the power may be sent in a time-sharing manner. The signal for stimulation pulse is transmitted to the receiving device 22 through the secondary coil 21. In the receiving device 22, the receiving section receives the signal for stimulation pulse along with the power and the signal processing section converts the signal for stimulation pulse into the electrical stimulation signal to be outputted from the electrodes 23.
Herein,
The electrical stimulation signal outputted from the electrodes 23 passing through the optic papilla 45 in which the electrodes 23 are stuck and the optic nerve 47 to stimulate the cerebrum, thereby enabling the patient to visually recognize the object space captured by the camera 11. In the present embodiment, the electrical stimulation signal is applied to the optic papilla 45 in which the nerve fibers running throughout the retina 46 join, which enables the patient to recognize the image information in a range of the object space that a person can inherently visually recognize from the light received at the retina 46. Consequently, the patient can visually recognize in a wide visual field.
The artificial vision system 1 with the electrodes 23 to be implanted so as to stick in the optic papilla 45 can prevent damage to the retina which would be caused by the conventional retina stimulating type implant, and hence has no problem causing retinal detachment. An implanting manner of the electrodes 23 in the optic papilla 45 can be established based on the radial optic neurotomy having been established for central retinal vein occlusion.
Since the system 1 is constructed of the external device 2 and the internal device 3, the external device 2 can be provided with many functions. In the present embodiment, for example, parameters of the stimulation pulse emitted from the electrodes 23 can be adjusted by operation of the adjustment dial provided in the input operating part 36.
The above explanation is made on one embodiment of the artificial vision system and the present invention is not limited thereto and may be embodied in other specific forms without departing from the essential characteristics thereof.
Industrial Applicability
According to the present invention, as seen in the above explanation, a plurality of electrodes are to be implanted so as to stick in the optic papilla of the patient's eye, and the signal for stimulation pulse for stimulating the optic nerve is generated based on image data captured by an image pickup device to be disposed outside a patient's body, the electrodes output the electrical stimulation signal based on the generated signal for stimulation pulse to stimulate the optic nerve. Accordingly, there can be provided an artificial vision system of an optic papilla stimulating type as a new technique for restoration of vision and capable of ensuring a wide visual field without damaging a retina.
Number | Date | Country | Kind |
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2002-354330 | Dec 2002 | JP | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/JP03/15566 | 12/4/2003 | WO | 00 | 6/1/2005 |
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WO2004/049986 | 6/17/2004 | WO | A |
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