The present disclosure relates generally to photobiomodulation devices, and more specifically to such devices configured to be inserted into the external auditory canal (also known as the external auditory meatus) of at least one ear of a human or animal.
Pulsed Near-Infrared Photobiomodulation (PNIP) is a technique which uses radiant light energy to modify biological systems with a resulting therapeutic effect. PNIP is known to affect the cranial arteries, nerves, cranial perfusion pressure, and modulate neural oscillations when delivered both transcranially and intra-nasally. Pulsed, rather than steady or static radiation, is believed to reduce the potential over-heating of the adjacent tissues.
Chromophores contain both heme and copper centers which absorb light in the infra-red and near infra-red regions. It is hypothesized that photons disassociate inhibitory nitric oxide leading to an increase in electron transport, mitochondrial membrane potential, ATP production and concurrently activate light-sensitive ion channels allowing calcium to enter the cell after initial photon absorption activates signaling pathways. This acts as a vasodilator and increases lymphatic flow. As a result, the above-noted initial beneficial therapeutic effects of PNIP may be a result of increases in cerebral blood flow (CBF), oxygen consumption, oxygen availability, and increased ATP activity in the mitochondria. While vasodilation reverses shortly after the light stimulation is removed, the changes following exposure to light are known to last for days, weeks, or even months. The long-lasting effects cannot be explained simply by the activation of the mitochondria or stimulation of blood flow alone and is postulated to be as a result of activation of signaling pathways and transcription factors that change protein expression.
The present disclosure may comprise one or more of the features recited in the attached claims, and/or one or more of the following features and combinations thereof. In one aspect, a photobiomodulation device may comprise a housing having a first portion configured to be inserted into an external auditory meatus of a human ear and a second portion, at least one irradiation source coupled to the first portion of the housing such that at least a portion of a radiation emitting surface thereof faces at least a portion of dermis of the external auditory meatus beneath which at least one of an arterial branch and a peripheral nerve branch of at least one cranial nerve is located, and an electrical circuit carried by the second portion of the housing and electrically connected to the at least one irradiation source, the electrical circuit including at least one circuit component for controlling the at least one irradiation source to irradiate the at least one of the arterial branch and the peripheral nerve branch of the at least one cranial nerve through the at least a portion of dermis of the external auditory meatus.
In another aspect, a photobiomodulation system may comprise the photobiomodulation device described in the foregoing paragraph, wherein the at least one circuit component includes wireless communication circuitry, and a mobile communication device including wireless communication circuitry configured to communicate wirelessly with the wireless communication circuitry of the photobiomodulation device, the mobile communication device further comprising a processor programmed to control operation of the photobiomodulation device by wirelessly communicating operating instructions thereto.
In yet another aspect, a photobiomodulation system may comprise the photobiomodulation device described in paragraph [0005], and a mobile communication device hard-wire connectable to the photobiomodulation device and including a processor programmed to control operation of the photobiomodulation device by communicating operating instructions to the at least one circuit of the photobiomodulation device with the mobile communication device hard-wire connected to the photobiomodulation device.
In a further aspect, a photobiomodulation apparatus may comprise a first photobiomodulation device having a first housing configured to be inserted into an external auditory meatus of one ear of a human, at least a first irradiation source coupled to the first housing such that at least a portion of a radiation emitting surface thereof faces at least a portion of dermis of the external auditory meatus of the one ear beneath which at least one of an arterial branch and a peripheral nerve branch of at least one cranial nerve is located, and a first electrical circuit carried by the first housing and configured to control the at least a first radiation source to irradiate the at least one of the arterial branch and the peripheral nerve branch of the at least one cranial nerve through the at least a portion of dermis of the external auditory meatus of the one ear.
For the purposes of promoting an understanding of the principles of this disclosure, reference will now be made to a number of illustrative embodiments shown in the attached drawings and specific language will be used to describe the same.
This disclosure relates to devices and techniques for irradiating at least a portion of the external auditory meatus of a human or animal ear for the purpose of stimulating a peripheral branch of at least one cranial nerve and/or stimulating at least one arterial branch anatomically located beneath the dermis in the external auditory meatus. Referring to
Referring now to
The external auditory meatus insertion portion 50A illustratively includes a generally curved, e.g., dome-shaped, housing 52 having an open end 52A and a curved outer surface which illustratively tapers downwardly in cross-section toward an opposite end 52B thereof, wherein the housing 52 is generally sized and configured to be received, leading with the end 52B, through the entrance opening 14 and at least partially into the external auditory meatus 18 of a human ear 10. In some embodiments, a flexible ear tip or ear cap 54 is provided, which is generally shaped similarly to the housing 52 and within which the housing 52 is received. In such embodiments, the ear tip or cap 54 may illustratively be formed of silicone or other material(s) configured facilitate frictional transdermal engagement of the ear tip or cap 54 with the tissue lining extending circumferentially about the entrance opening 14 and along the external auditory meatus 18 adjacent thereto. In some alternate embodiments in which other conventional structure(s) is/are provided for releasably attaching or affixing the device 50 to the ear 10, the ear tip or cap 54 may be omitted. In any case, the external auditory meatus insertion portion 50A in such embodiments may be sized to be received into, but not necessarily engage, the entrance opening 14 and at least a portion of the external auditory meatus 18 adjacent thereto. In some such embodiments, the external auditory meatus insertion portion 50A may contact but not frictionally engage the entrance opening 14 and/or at least a portion of the external auditory meatus 18 adjacent thereto, and in other such embodiments the device 50 may be designed such that the external auditory meatus insertion portion 50A is insertable through the opening 14 and at least partially into the external auditory meatus 18 but does not contact the entrance opening 14 and/or the external auditory meatus 18 adjacent thereto.
The housing 52 and ear tip or cap 54 (in embodiments which include the ear tip or cap 54) define a number of openings therethrough each sized to receive therein one of a corresponding number of irradiation sources, such that a radiation emitting surface of each of the number of irradiation sources faces a respective portion of the entrance opening 14 and/or at least a portion of the external auditory meatus 18 adjacent thereto. In alternate embodiments, the housing 52 and ear tip or cap 54 (in embodiments which include the ear tip or cap 54) may not define openings per se in which a respective irradiation source is received, but may instead define locations at or in which a respective irradiation source is mounted. In such embodiments, the housing 52 and/or ear tip or cap 54 may define one or more light transmissive portions or windows through which radiation produced by respective ones of the irradiation source may be focused or otherwise transmitted to the peripheral branches of one or more of the cranial nerves 16 and/or toward one or more of the arterial branches 24. In any case, each of the number of irradiation sources illustratively directs radiation produced thereby toward a respective one or more of the peripheral branches of one or more of the cranial nerves 16 and/or toward a respective one or more arterial branches 24 extending about the periphery of the entrance opening 14 and at least partially into the external auditory meatus 18 beneath the dermis 22.
In the illustrated embodiment, four such openings 56A-56D are spaced, e.g., equidistant from one another, radially about the housing 52 and ear tip or cap 54, and four corresponding irradiation sources 58A-58D, e.g., each in the form of a light emitting diode (LED), are provide with each inserted into a respective one of the openings 56A-56D. In this embodiment, the device 50 is illustratively orientable to position each of the irradiation sources 58A-58D opposite to, and facing, the peripheral branches of a respective at least one of the cranial nerves 16 and/or of a respective at least one of the arterial branches in or adjacent to the region containing the cranial nerves 16. For example, the device 50 is illustratively positionable relative to the external auditory meatus 18 such that the irradiation source 58A is opposite the peripheral branches of the cranial nerves VII (#) and IX (●) at the top of the external auditory meatus 18, the irradiation source 58B is opposite the peripheral branches of the cranial nerves VII (#) and IX (●) at the bottom of the external auditory meatus 18, the irradiation source 58C is opposite the peripheral branches of the cranial nerve V (*) at the anterior portion of the external auditory meatus 18 and the irradiation source 58D is opposite the peripheral branches of the cranial nerve X (X) at the posterior portion of the external auditory meatus 18 (e.g., see
It will be understood that above-described positioning of the device 50 is provided only as an illustrative example, and other positions or orientations of the device 50 relative to the external opening 14 and/or to at least a portion of the external auditory meatus 18 adjacent thereto are intended to fall within the scope of this disclosure. It will also be understood that whereas the embodiment illustrated in
It is believed that auricular arterial branches and nerve bundles absorb radiation in the frequency range of red visible light, and reflect radiation in the blue and green frequency ranges. In one example embodiment, the irradiation sources 58A-58D are thus each configured to produce radiation at a frequency, or in the frequency range, of red visible light. In one particular embodiment, the irradiation sources 58A-58D are each illustratively configured to produce radiation at 630 nm. It will be understood, however, that one or more of the irradiation sources 58A-58D may alternatively be configured to produce radiation at any frequency in the frequency range of red visible light, or alternatively still be configured to produce radiation at any frequency in any range of frequencies visible or otherwise. It will be further understood that while the irradiation sources 58A-58D have been described in one embodiment as being implemented in the form of LEDs, one or more of the irradiation sources 58A-58D may alternatively be provided in the form of one or any combination of other conventional irradiation sources configured to produce radiation at any single frequency or in any range of frequencies.
In the illustrated embodiment, the ear tip or cap 54 illustratively includes an axial opening 56E therethrough, e.g., to promote flexibility of the ear tip or cap 54 and/or facilitate frictional fitting of the external auditory meatus insertion portion 50A to the entrance opening 14 and/or at least an adjacent portion of the external auditory meatus 18 of the ear 10. In some embodiments, as illustrated by example in
The control portion 50B of the device 50 illustratively includes a housing 60 having an open end 60A coupled to the open end 52A of the housing 52 of the external auditory meatus insertion portion 50A, and another open end 60B spaced apart from the end 60A. The housing 60 illustratively includes a circuit board carrier sleeve 62 removably coupled to the open end 60B thereof, and a cover 64 removably coupled to the carrier sleeve 62. The housing 60 defines a cavity therein that is illustratively sized to receive, via the open end 60B, a source 70 of electrical power, as illustrated by example in
In one embodiment, the source 70 of electrical power is implemented in the form of a conventional battery. In some such embodiments, the battery 70 may be rechargeable, and in such embodiments the housing 60 may define openings on the underside thereof via which battery recharging terminals 66A, 66B may be accessed for charging the battery 70, as illustrated by example in
Referring again to
Referring now to
Four resistors 88 are mounted to the circuit board 82, and each is electrically coupled at one end through a normally-off switch 90 to the electrical power terminals 84, and each is electrically connected at an opposite end through the terminals or pads 86 to a different respective one of the four irradiation sources 58A-58B. The switch 90 is controllable to an on position, as will be described below, to electrically connect the source 70 of electrical power through the resistors 88 to the irradiation sources 58A-58D to cause the irradiation sources 58A-58D to emit radiation. In one example embodiment in which the source 70 of electrical power is the 3.7 volt battery described above, the irradiation sources 58A-58D are each implemented in the form of a 630 nm, 2 volt, 20 mA, 0.06 Watt LED having a luminance intensity of 240 mcd (milli-candela) and a 120 degree viewing angle, and in this embodiment each of the resistors 88 is implemented in the form of a 60 ohm, 0.25 Watt, +/−1% tolerance, metal film resistor. It will be understood, however, that such an implementation of the irradiation sources 58A-58D and of the resistors 88 is provided only by way of example, and that other irradiation sources 58A-58D and/or other values and/or other specifications of the irradiation sources 58A-58D and/or of the resistors 88 may alternatively be used.
The electrical circuit 80 further illustratively includes a number of integrated circuits 92 mounted to the circuit board 82. In some embodiments, at least one of the integrated circuits 92 is electrically connected to the switch 90 and is configured to control the switch 90 between on and off states at a predefined or programmable switching rate. In one example embodiment, which should not be considered to be limiting in any way, the switching rate is approximately 40 Hz, although other switching rates, or varying switching rates, may alternatively be used. In some such embodiments, the duty cycle of the switching rate is approximately 50%, although in other embodiments the duty cycle may be greater or less than 50%. In some embodiments, one or more of the integrated circuits 92 may control the duty cycle, and in some such embodiments the duty cycle may be programmable or variable. In some embodiments, at least one of the integrated circuits 92 is a conventional driver circuit operatively coupled to the source 70 of electrical power, the switch 90 and/or the resistors 88, and is operable to supply electrical power, and in some embodiments regulate voltage and/or current, from the source 70 of electrical power to the irradiation sources 58A-58D.
The electrical circuit 80 further illustratively includes an on/off switch 94 mounted to the circuit board 82. In some embodiments in which the device 50 is self-controlled, a manually-selectable actuator accessible externally to the housing 60 may be operatively coupled to the switch 94, and the device 50 may be powered on and off via manual actuation of such an actuator. In other embodiments, the device 50 may be hard-wire connected to a remotely located control device, e.g., a mobile or stationary electronic control device, e.g., as illustrated by example in
In still other embodiments, the device 50 is configured to be wirelessly controlled by a wirelessly-connected control device, and in such embodiments wireless communication circuitry may be mounted to the circuit board 82 and electrically connected to at least the switch 94. Such an embodiment is illustrated by example in
In embodiments in which the electrical circuit 80 includes wireless communication circuitry as illustrated by example in
Referring to
Referring now to
The peripheral devices 114 may include any conventional peripheral devices typically included on a mobile communication device 102 of the type just described. Examples include, but are not limited to, a conventional display screen 116, e.g., touch-controlled or otherwise, a conventional microphone 118 and a conventional GPS module (e.g., including a conventional GPS receiver and associated antenna). Those skilled in the art will recognize other conventional devices that may be included in the peripheral devices 114, and it will be understood that any such other conventional devices are intended to be included within the scope of this disclosure.
The communication circuitry 122 illustratively includes wireless communication circuitry 124, and the wireless communication circuitry 124 may illustratively include any number of wireless communication modules each configured to carry out wireless communications according to a particular communications protocol. Examples include, but are not limited to, Wi-Fi/internet communications, cellular communications, near-field communications, and the like. In the embodiment illustrated in
In some embodiments in which the photobiomodulation device 50 includes wireless (or wired) communication capability as described above, the processor 104 of the MCD 102 is operable to control operation of the device 50 by executing the PBMD application 110 stored in the memory 108. In one embodiment, for example, at least one of the integrated circuits 92 mounted to the circuit board 82 of the device 50 is a conventional timer circuit coupled to the switch 90, and the PBMD application 110 illustratively includes instructions which, when executed by the processor 104, cause the processor 104 to control the wireless communication circuitry 126, 128 to wirelessly transmit one or more signals to the device 50 which carry(s) instructions to activate the timer circuit to cause the timer circuit to turn on and off the switch 90 at a predetermined pulse rate; e.g., 40 Hz. The Bluetooth® controller 96 on-board the device 50 is, in turn, operable to receive such instructions and to control the timer circuit to operate as just described. In other embodiments in which the pulse rate of the timer circuit is programmable, the PBMD application 110 illustratively includes instructions which, when executed by the processor 104, cause the processor 104 to control the wireless communication circuitry 126, 128 to wirelessly transmit one or more signals to the device 50 which carry(s) instructions to activate the timer circuit to cause the timer circuit to turn on and off the switch 90 at a selected pulse rate. In some embodiments, the duty cycle of the timer circuit may be static, e.g., 50%, and in other embodiments the duty cycle may be programmable and selectable as just described with respect to the pulse rate.
In other embodiments, at least one of the integrated circuits 92 mounted to the circuit board 82 of the device 50 may be a conventional processor coupled to, or including, a memory and to the switch 90, and such a memory may include instructions executable by the processor of the device 50 to cause the processor to control operation of the switch 90. In some such embodiments, the pulse rate and/or duty cycle of the irradiation sources 58A-58D may be static and in other embodiments may be selectable as described above.
In any case, the PBMD application 108 illustratively presents a user interface on the display screen 116 via which the user may selectively, i.e., via manual interaction with a touch-selectable interface displayed on the screen 16 and/or via manual selection of a button, switch or key of the MCD 102, control operation of the device 50 including use duration, e.g., 15-minute use intervals. In some embodiments, the PBMD application 108 may also provide for automatic capture of use data, e.g., calendar date, time of day, duration of use, location of use (e.g., via GPS data), etc., user entry of personal data, e.g., name, age, user activity level during use, user physiological and/or psychological state, e.g., hot, cold, calm, nervous, anxious, etc., and/or diagnostic data relating to operation of the device 50 (e.g., in embodiments in which the device 50 is configured to wirelessly transmit such data to the MCD 102).
Referring now to
Use of the photobiomodulation device 50 illustrated in the attached figures and described herein may be used in either ear or in both ears 10 to provide therapeutic benefit to individuals suffering from any of a number of different physiological and/or psychological conditions. Examples of some such physiological and/or psychological conditions may include, but are not limited to, dementia, Alzheimer's disease, movement disorders generally (e.g., Parkinson's disease, as well as other movement disorders), peripheral inflammatory disorders, pulmonary edema, irritable bowel disorders, nausea, vomiting, respiratory disorders and related conditions, Tinnitus, Vertigo, migraine headaches, muscular tension-type headaches, temporomandibular joint dysfunction (TMJ) including, but not limited to, pain, inflammation, edema of the TMJ's and supporting structure(s), anxiety, depression, relaxation, bruxing, teeth clenching, restless leg syndrome, insomnia and/or as an adjunctive for sleep, acute pain conditions, and the like.
While this disclosure has been illustrated and described in detail in the foregoing drawings and description, the same is to be considered as illustrative and not restrictive in character, it being understood that only illustrative embodiments thereof have been shown and described and that all changes and modifications that come within the spirit of this disclosure are desired to be protected. For example, whereas the example photobiomodulation device 50 depicted in
This application claims the benefit of and priority to Provisional Patent Application No. 62/866,763, filed Jun. 26, 2019, the disclosure of which is expressly incorporated herein by reference in its entirety.
Filing Document | Filing Date | Country | Kind |
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PCT/US2020/039040 | 6/23/2020 | WO |
Number | Date | Country | |
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62866763 | Jun 2019 | US |