This application claims the priority of Chinese Patent Application No. 201811287926.8 filed on Oct. 31, 2018, which is incorporated herein in its entirety by reference.
This disclosure relates to the field of medical lasers, and particularly to an implant, a diagnosis and treatment device, and a method of emitting a laser.
Laser technology has been a new light source since 1960s due to good directional property, high brightness, good monochromaticity, high energy density, and the like. Laser industry based on laser devices has been rapidly developed in the world. As new laser devices continuously appear and laser medical studies develop, the laser technology has been successfully used in clinical practice since 1970s. At present, laser medical applications have permeated into various subjects such as ophthalmology, dermatology, cardiovasology, and the like.
At present, commonly used medical laser sources include an argon ion laser source, a diode laser source, a CO2 laser source, and the like. Medical laser sources in the prior art are all in vitro laser sources. In vitro light sources emit laser acting on tissues of interest. In the process of application, if the protection against laser emitted from an external light source is neglected, normal tissues of a human body will be easily damaged by laser, resulting in an irreversible damage of the human body.
Lasers having various wavelengths and energy radiations thereof will lead to irreversible damages to various tissues of a human body. For example, with respect to the damage to the eye caused by laser, excessive heat is generated when laser focuses on a photoreceptor cell, and the protein coagulation denaturation caused thereby is an irreversible damage. Once it is damaged, permanent blindness of the eye will be caused. For further example, when laser irradiates the skin, the damage to the skin may be caused if the laser has an excessively large energy (power). The mechanism of the damage to the skin caused by laser is mainly the heat effect of laser.
In one aspect, this disclosure provides an implant for laser diagnosis and treatment, wherein the implant comprises:
Optionally, the metal halide perovskite is a metal halide perovskite having a two-dimensional structure.
Optionally, the metal halide perovskite has a general chemical formula of AMX3, wherein A represents a monovalent cation, M represents a bivalent metal ion, and X represents a halogen ion.
Optionally, A is selected from CH3NH3+, Cs+, and Rb+, M is selected from Pb2+ and Sn2+, and X is selected from Cl−, Br−, and I−.
Optionally, the antibody is a specific antibody.
Optionally, the specific antibody comprises a protein, a polypeptide, DNA, or a drug.
Optionally, the surface of the gold nanoshell is coupled to the antibody through a ligand.
Optionally, a therapeutic targeted drug is supported on an internal cavity or a surface of the gold nanoshell.
In another aspect, this disclosure provides a laser diagnosis and treatment device, wherein the laser diagnosis and treatment device comprises:
Optionally, the light source module comprises a light source emitter, a first beam splitter, a power meter, and a microscope, wherein the first beam splitter splits light emitted from the light source emitter to the implant, the power meter, and the microscope.
Optionally, the diagnosis and treatment device further comprises:
Optionally, the imaging module comprises a second beam splitter and a plurality of imaging apparatuses, wherein the second beam splitter splits the laser to the plurality of imaging apparatuses.
Optionally, the plurality of imaging apparatuses comprise a camera and an optical coherence imager.
In yet another aspect, this disclosure provides a method of emitting laser by using the implant described above, wherein the method comprises:
Optionally, the visible or near infrared light has an energy density between 1×10−7 J cm−2 to 1×10−5J cm−2.
Optionally, the biological tissue is subjected to laser treatment or laser imaging by using the laser.
In order to illustrate the technical solutions of this disclosure more clearly, accompanying drawings will be simply introduced below. It is apparent that the accompanying drawings described below are merely some embodiments related to this disclosure but not limitations of this disclosure.
As found by the inventor, a method of forming a medical laser source, which may act on tissues of interest in a directed manner and may prevent the damage to normal tissues of an organism caused by an emitted laser or an excitation light source of laser, as well as a laser treatment apparatus, and a laser diagnosis and treatment system are desired. The inventor provides this disclosure to solve the technical problems described above present in the prior art.
In order to enable objects, technical solutions, and advantages of embodiments of this disclosure to be clearer, technical solutions of embodiments of this disclosure will be described clearly and fully below in conjunction with accompanying drawings of embodiments of this disclosure. Obviously, the embodiments described are a part of the embodiments of this disclosure, rather than all of the embodiments. Based on the embodiments described of this disclosure, all other embodiments obtained by those of ordinary skill in the art without performing inventive work also belong to the scope protected by this disclosure.
Unless defined otherwise, technical terms or scientific terms used in this disclosure should have general meanings as understood by those of ordinary skill in the art to which this disclosure belongs. The word, such as “include”, “comprise”, or the like, used in this disclosure means that the element or article occurring before this word encompasses the element or article and the equivalent thereof enumerated after this word and does not exclude other elements or articles. The word, such as “connection”, “attachment”, or the like, is not limited to a physical or mechanical connection, but may include an electric connection, either direct or indirect. The word, such as “above”, “below”, “left”, “right”, or the like, is only used to indicate a relative position relationship. After the absolute position of a described object is changed, this relative position relationship may be changed accordingly.
In order to maintain the following descriptions of the embodiments in this disclosure to be clear and brief, detailed descriptions of known functions and known members are omitted in this disclosure.
This disclosure provides an implant for laser diagnosis and treatment, wherein the implant comprises:
In this disclosure, the metal halide perovskite refers to a material having a perovskite-type lattice structure and comprises a metal and a halogen in its composition. As well known, there are three lattice sites in a perovskite-type lattice, which may be represented as ABX3. In the metal halide perovskite of this disclosure, a halogen is in position X, a metal is in at least one of sites A and B, and a metal is preferably in site B.
The metal halide perovskite is in a form of a nanosheet, a nanowire, or a quantum dot. Laser sources formed by metal halide perovskites in these forms have small volume, and will be easily accepted by an organism and discharged from the organism after use.
The implant of this disclosure has a gold nanoshell coupled to the metal halide perovskite. The gold nanoshell is a spherical-shell-like nanomaterial formed from gold. The gold nanoshell may be coupled to the metal halide perovskite in various manners, including but not limited to, being coupled through a ligand.
An antibody, which is bondable to a biological tissue, is present on an outer surface of the gold nanoshell. The antibody is bondable to a corresponding biological tissue of interest so that the implant comprising the metal halide perovskite is bonded to the biological tissue after the implant enters an organism. For example, the antibody may bind to an antigen in a diseased biological tissue so as to fix the implant in a disease part. The implant may be used in an organism in the manner described above.
The metal halide perovskite may be used as a laser source. The metal halide perovskite employs at least one structure of a nanosheet, a nanowire, and a quantum dot so as to form a microscale and/or nanoscale in vivo laser source under excitation. Under excitation of laser emitted from an external light source, the metal halide perovskites having these structures serve as two roles of a “mirror” and a gaining media themselves to form an optically-resonant cavity so as to increase the intensity of laser by an optical resonance effect.
The gold nanoshell has a photothermal effect under irradiation of light and may generate heat. The gold nanoshell coupled to the metal halide perovskite may be directly subjected to the effect of the laser emitted from the metal halide perovskite to generate heat, and has a good effect of heat generation. The heat generation of the gold nanoshell may directly heat biological tissues, so as to exhibit an effect of heat treatment. Furthermore, when a drug is supported by the gold nanoshell as described below, heat generation facilitates better release of the drug. Additionally, biological tissues may be directly subjected to laser treatment with the laser emitted from the metal halide perovskite. Therefore, the implant of this disclosure may achieve laser treatment, photothermal treatment, and optionally drug treatment in terms of treatment at the same time, and has a synergistic effect and an excellent overall therapeutic effect. Furthermore, gold nanoshell is coupled to the metal halide perovskite, and may also be connected to a biological tissue by an antibody. Therefore, the implant of this disclosure facilitates implantation and fixation into an organism, and facilitates discharge from the organism after use.
The implant of this disclosure may also be used in biological imaging. The implant binding to a biological tissue may be indirectly observed by detecting the laser emitted from the metal halide perovskite. On the other hand, gold nanoshell may be used as a contrast agent in laser imaging. Furthermore, gold nanoshell may also be used in ultrasonic imaging. Therefore, the implant of this disclosure may provide the shape information of the biological tissue to which it binds in various manners so as to achieve biological imaging.
In some embodiments, the implant 14 comprises a metal halide perovskite 141 having a two-dimensional structure. The two-dimensional structure means that octahedrons [BX6]4− in the perovskite are isolated by lattice of A to form an octahedron layer so as to exhibit two-dimensional properties. Two-dimensional properties are advantageous to laser emission. In the octahedron layer, which is the two-dimensional structure of the metal halide perovskite 141, electrons and holes will be strongly confined in the octahedron layer and are connected with each other by the Coulomb force therebetween. The binding energy of the electron-hole pair under this strong confinement is approximately hundreds of millions of electron volts and may generate a strong light-substance interaction, so that the implant 14 is excited under the action of the visible and near infrared light 13, and generates in situ laser better. In some embodiments, the intensity of the laser generated may be adjusted by the intensity (for example, energy density and the like) of the laser emitted from the external light source 12. As the energy density of the laser emitted from the external light source becomes lower, the energy density of the laser generated by the metal halide perovskite 141 under excitation is also lower.
In some embodiments, the metal halide perovskite has a general chemical formula of AMX3, wherein A represents a monovalent cation, M represents a bivalent metal ion, and X represents a halogen ion. Optionally, the monovalent cation may be CH3NH3+, Cs+, Rb+, and the like; the bivalent metal ion may be Pb2+, Sn2+, and the like; and the halogen ion may be Cl−, Br−, I−, and the like. This is not specifically limited hereby. The metal halide perovskites having these compositions will be particularly easily coupled to the gold nanoshell, and the laser emitted is suitable for use in diagnosis and treatment.
In some embodiments, the method of forming a laser source by using a metal halide perovskite 141 further comprises extending a wavelength range of laser emitted a metal halide perovskite 141 by various methods such as adjusting a stoichiometric ratio of the metal halide perovskite 141, replacing a halogen or mixed halogens, and the like, so that the laser emitted thereby has a wavelength range covering visible and near infrared regions of a desirable wavelength range or even the entire visible and near infrared regions to be adapted to various requirements in practical applications. This is not specifically limited hereby.
In some embodiments, the antibody is a specific antibody. In this disclosure, the antibody may be a specific antibody or a non-specific antibody. The specific antibody is particularly effective with respect to certain specific antigens. In some embodiments, the specific antibody comprises a protein, a polypeptide, DNA, or a drug.
The metal halide perovskite 141 is coupled to the gold nanoshell 142 to obtain the implant 14 (as shown in
In some embodiments, the gold nanoshell 142 is coupled to an antibody. The coupling to a specific antibody or a non-specific antibody and the coupling to and/or the supporting of a therapeutic targeted drug may be achieved by surface modification.
In some embodiments, the internal cavity and/or the surface of the gold nanoshell 142 are configured to support a drug. The gold nanoshell 142 has an internal cavity and a relatively large surface area. This structural characteristic enables the gold nanoshell 142 to support a drug. By taking full advantage of the unique structure, such as the internal cavity and the large surface area, of the gold nanoshell 142, the synthesis of multi-function particles (for example, but not limited to, supporting various drugs having various functions) is made possible.
In some embodiments, the method further comprises: controlling the radiation of the visible and near infrared light 13 applied from the outside of the organism 11 to control the release of the drug supported. Specifically, the drug supported on the surface of the gold nanoshell 142 may be released to act on the tissue 15 of interest, while the drug in the internal cavity of the gold nanoshell 142 is released by the radiation of the visible and near infrared light 13 to act on the tissue 15 of interest. By supporting drugs in the internal cavity and on the surface of the gold nanoshell and controlling the release of specific drugs through controlling externally applied radiation, the synergistic effect of photothermal treatment and drug treatment may be promoted, so as to improve the efficiency of treatment, and the biological toxicity of conventional anticancer drugs may also be decreased at the same time.
An embodiment of this disclosure further provides a laser diagnosis and treatment apparatus 42. As shown in
In some embodiments, the visible and near infrared light applied by the external light source module 44 has an energy density in orders of magnitude of 10−7 J cm−2 to 10−6 J cm −2. Optionally, the intensity of the laser emitted from the external light source module 44 is adjustable, so that the laser source formed after the metal halide perovskite 41 is excited may emit lasers having different energy densities to satisfy different requirements of treatment.
In some embodiments, the laser treatment apparatus 42 further comprises an imaging module 45 and a console 46. The imaging module 45 is used for imaging a tissue 43 of interest, the console 46 is used for receiving image data sent by the imaging module 45 and performing operations such as storing, processing, and the like so as to guide the process of treatment and to assess the therapeutic effect.
In some embodiments, the external light source module 44 comprises a light source emitter 441, an adapter 442, a first beam splitter 443, a power meter 444, and a microscope 445, wherein the adapter 442 is used for adapting the first beam splitter 443, the visible and near infrared light emitted from the light source emitter 441 is transmitted to the first beam splitter 443 and is then transmitted through the first beam splitter 443 to each of the tissue 43 of interest, the power meter 444, and the microscope 445.
In some embodiments, the imaging module 45 comprises a second beam splitter 451, a camera 452, an optical coherence imager 453, a confocal scanning microscope 454, and a photoacoustic imager 455, wherein the laser emitted the in vivo laser source is transmitted to the second beam splitter 451 and is then transmitted through the second beam splitter 451 to each of the plurality of imaging apparatuses. The imaging apparatus may comprises a camera 452 and an optical coherence imager 453, and may further comprise any other imaging apparatus. The optical coherence imager 453 transmits laser data to each of the photoacoustic imager 455 and the confocal scanning microscope 454 and images the tissue 43 of interest in cooperation with the camera 452, image data collected is sent to the console 46.
Particularly, as shown in
Furthermore,
In some examples, there is provided a method of forming a laser source by using a metal halide perovskite, comprising: exciting the metal halide perovskite in a state of binding to a tissue of interest by visible and near infrared light applied from the outside of an organism to form an in vivo laser source.
In some embodiments, the metal halide perovskite employs at least one structure of a nanosheet, a nanowire, and a quantum dot so as to form a microscale and/or nanoscale in vivo laser source under excitation.
In some embodiments, the metal halide perovskite comprises a metal halide perovskite 141 having a two-dimensional structure, and has a general chemical formula of AMX3, wherein A represents a monovalent cation, M represents a bivalent metal ion, and X represents a halogen ion.
In some embodiments, the method comprises: extending a wavelength range of laser emitted a metal halide perovskite by at least one of adjusting a stoichiometric ratio of the metal halide perovskite, replacing a halogen or mixed halogens, and replacing an organic element with an inorganic element.
In some embodiments, the method comprises: combining a metal halide perovskite with a gold nanoshell to obtain the metal halide perovskite.
In some embodiments, the method further comprises: allowing the gold nanoshell to achieve the coupling to a specific antibody by surface modification.
In some embodiments, the method further comprises: allowing the gold nanoshell to achieve the coupling to and/or the supporting of a therapeutic targeted drug by surface modification.
In some embodiments, the coupling is achieved by ligand modification.
In some embodiments, the internal cavity and/or the surface of the gold nanoshell are configured to support a drug.
In some embodiments, the method further comprises: controlling the radiation of the visible and near infrared light applied from the outside of the organism to control the release of the drug supported.
In some examples, there is provided a laser treatment apparatus. The laser treatment apparatus is operated in cooperation with the metal halide perovskite ingested to an organism by using the method in various embodiments according to this disclosure, and comprises: an external light source module, configured to apply visible and near infrared light from the outside of an organism.
In some embodiments, the visible and near infrared light applied by the external light source module has an energy density in orders of magnitude of 10−7J cm−2 to 10−6J cm−2.
In some embodiments, the laser treatment apparatus further comprises: an imaging module, configured to perform imaging on the tissue of interest under the action of the in vivo laser source; a console, configured to receive and process image data from the imaging module.
In some embodiments, the external light source module comprises a light source emitter, an adapter, a first beam splitter, a power meter, and a microscope, wherein the adapter is used for adapting the first beam splitter, the visible and near infrared light emitted from the light source emitter is transmitted to the first beam splitter and is then transmitted through the first beam splitter to each of the tissue of interest, the power meter, and the microscope.
In some embodiments, the imaging module comprises a second beam splitter, a camera, an optical coherence imager, a confocal scanning microscope, and a photoacoustic imager, wherein the laser emitted the in vivo laser source is transmitted to the second beam splitter and is then transmitted through the second beam splitter to each of the camera and the optical coherence imager.
In some examples, there is provided a laser diagnosis and treatment system, comprising: a metal halide perovskite, which may be ingested to an organism; and the laser treatment apparatus in various embodiments according to this disclosure, which is configured to be operated in cooperation with the metal halide perovskite ingested to the organism so as to excite the metal halide perovskite to form a laser source in the organism.
Compared to the prior art, the advantageous effects of this disclosure are as follows.
1. The in vivo laser source formed by using a metal halide perovskite in this disclosure may act on target regions in a directed manner. The energy density of the visible and near infrared light, which is applied from the outside of an organism and is used for exciting a metal halide perovskite, is lower than those of existing medical laser sources. Therefore, irreversible damages to normal tissues of the organism may be prevented, and the safety is relatively high.
2. The laser diagnosis and treatment system in this disclosure may eliminate damages to normal tissues caused by externally applied laser in existing laser treatment means. Photothermal treatment, laser treatment, and drug treatment are integrated to achieve synergistic treatment and real-time imaging is performed on the tissue of interest at the same time so as to guide the process of treatment and to assess the therapeutic effect. The system has strong generality and relatively high safety.
The above description is intended to be illustrative, and not restrictive. For example, the examples described above (or one or more solutions thereof) may be used in combination with each other. For example, other embodiments may be used by those of ordinary skill in the art upon reading the description described above. Additionally, in the specific embodiments described above, various features may be grouped together to simplify this disclosure. This should not be interpreted as intending that an unclaimed disclosed feature is essential to any claim. Rather, the subject matter of this disclosure may be less than all features of a particular disclosed embodiment. Thus, the following claims are hereby incorporated as examples or embodiments into the specific embodiments, with each claim independently used as a separate embodiment, and it is contemplated that these embodiments may be combined with each other in various combinations or permutations. The scope of this disclosure should be determined with reference to the appended claims, along with the full scope of equivalents to which such claims are entitled.
The embodiments described above are merely exemplary embodiments of this disclosure and are not intended to limit this disclosure. The protection scope of this disclosure is determined by the appended claims. various modifications or equivalent replacements may be made to this disclosure by those skilled in the art within the spirit and the protection scope of this disclosure. These modifications or equivalent replacements should be also deemed to fall within the protection scope of this disclosure.
Number | Date | Country | Kind |
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201811287926.8 | Oct 2018 | CN | national |