The present disclosure relates generally to pressure sensors and more particularly to a wireless intraocular pressure sensor system and method for making same.
Glaucoma is the second leading cause of blindness which is an asymptomatic, progressive and irreversible disease that is usually associated with elevated intraocular pressure. Most conventional constructions of intraocular pressure sensors can be categorized into three general groups in terms of their energy transferring mechanisms: active, passive, and radio-frequency-powered devices.
Active devices traditionally employ application specific integrated circuits that can store, process and transmit data. However, they make the overall device large, heavy and inflexible. Furthermore, such active systems typically require an integrated battery or power-receiving coil, which both add to the weight and size of the device.
Traditional passive sensors require high precision surgery to anchor the device to the iris. The fabrication process for such passive devices is typically complex and expensive. Furthermore, such traditional passive sensors require an external reading mechanism of an undesirably large size that interferes with the vision of the patient thereby making it unsuitable for wearable long term measurements.
Conventional radio frequency or electromagnetic coupled sensors have employed variable capacitors to sense pressure. These variable capacitors, however, require a pressurized reference chamber that has great difficulty in sustaining its baseline pressure over time due to packaging imperfections. This causes significant undesirable signal drift due to the leakage.
Exemplary intraocular pressure sensors are disclosed in: U.S. Patent Publication No. 2017/0280997 entitled “Non-Invasive Intraocular Pressure Monitor” which published to Lai et al. on Oct. 5, 2017; U.S. Patent Publication No. 2016/0051144 entitled “Systems and Methods for Monitoring Eye Health” which published to Rickard et al. on Feb. 25, 2016; U.S. Patent Publication No. 2012/0277568 entitled “Wireless Intraocular Pressure Monitoring Device, and Sensor Unit and Reader Unit Thereof” which published to Chiou et al. on Nov. 1, 2012; U.S. Pat. No. 9,289,123 entitled “Contact Lens for Measuring Intraocular Pressure” which issued to Weibel et al. on Mar. 22, 2016; and WO 2016/071253 entitled “Physiological Parameter Monitoring Device” which published to Moreau et al. on May 12, 2016. All of these are incorporated by reference herein. It is noteworthy that Weibel includes a considerable quantity of electronic components. Moreover, Rickard uses only capacitive sensing and requires surgical implantation into the eye. All of these traditional constructions, however, do not allow for sufficient sensor expansion to provide sensitive enough, intraocular pressure sensing and/or are overly complex to manufacture.
Furthermore, commonly owned U.S. Patent Publication No. 2020/0015678 entitled “Intraocular Pressure Sensor,” which published to common co-inventors Li and Weber on Jan. 16, 2020, provides significantly improved sensor configurations. This patent publication is incorporated by reference herein. However, further refinements in shape and manufacturing techniques are desired to enhance flexibility for manufacturing.
In accordance with the present invention, a pressure sensor apparatus is provided. In another aspect, a wireless intraocular pressure sensor includes a deformable or stretchable inductor having a three-dimensionally serpentine or wavy shape. A further aspect of an intraocular pressure sensing system includes a closed loop, deformable and variable inductor of an undulating shape in lateral and depth directions, within a ring-shaped and polymeric carrier layer, sized to contact an eye. Another aspect provides an organ pressure sensing system including a passive inductor with a three-dimensional wavy, undulating or serpentine shape that allows for lateral and depth flexibility and stretching during manufacturing, such as while being encapsulated. A method of making a wireless intraocular pressure sensor, including a three-dimensionally deformable metal layer, is also provided.
The present pressure sensor is advantageous over conventional devices. For example, the present three-dimensional serpentine shape of the antenna and inductor provides superior flexibility and stretchability during encapsulating molding within a polymeric carrier, thereby deterring undesired fracturing and damage during high volume manufacturing. The present pressure sensor functions as a passive strain gauge that synergistically serves as both a pressure sensitive element and a wireless communications interface. It advantageously has a central aperture during extended use such that it does not obstruct the vision of the patient, as compared to conventional cornea-mounted devices. Furthermore, in one exemplary ophthalmological construction, the present system is intended to be a temporarily worn device that is easily removable after a predetermined period of time, and does not require surgical in vivo implantation or removal. Moreover, the present system advantageously includes only minimal electronic components, such as a single capacitor, located in the sensor device inserted onto the eye; this provides a much lighter weight and lower cost device which does not obstruct the patient's vision, while providing a single closed loop, multifunctional antenna and inductor, thereby decreasing lateral size. Additional advantages and features of the present system and method will become apparent from the following description and appended claims, taken in conjunction with the associated drawings.
A first embodiment of an intraocular pressure sensing system 31 is shown in
Inductor 43 has a three-dimensional undulating, serpentine and wave-like shape along a curved longitudinal length direction 46 thereof (see
Inductor 43 is preferably made from layers of titanium and copper, titanium and gold, or an alloy thereof. Titanium acts as an adhesion promoter. Alternately, the metallic material may be a single layer of gold or copper. Alternately, other metallic or conductive polymeric materials may be employed although they may not be as advantageous; for example, Ti and Chromium may be used. The polymeric material for protective layer 45 of sensor 33 is preferably Parylene-C (obtained from Parylene Coater-Specialty Coating System as PDS 2010), Sylgard® 184 Silicone Elastomer (obtained from Dow Corning), Polymethyl Methacrylate (obtained from MicroChem Corporation), polyimide, or the like. Parylene-C is a poly-para-xylylene polymer modified by the substitution of a chlorine atom for one of the aromatic hydrogens; it is a linear and highly crystalline material this has dielectric properties with a very low moisture permeability.
A single electrical component, preferably a capacitor 53, is electrically connected to ends of inductor 43 and secured to sensing coil assembly 37. This is preferably the only electronic component directly attached to sensor 33, such that a battery, microprocessor and other solid state electrical components are not required, thereby saving weight and reducing cost.
Carrier 39 is three-dimensionally curved relative to a lateral plane 40, with a donut-shaped and annular true view shape, having an eye-contacting internal surface 55 and an opposite external surface 57, upon which is coupled sensor 33. Carrier 39 is a flexible polymeric material such as a hydrophilic thermoplastic parylene. Sensor 33 is preferably entirely encased and encapsulated within carrier 39. Protective polymeric layer 45 of sensor 33 has a generally common circular inner diameter edge 61 with carrier 39, but an outer diameter edge 63 of the carrier optionally extends radially and laterally past and is larger than an outer diameter edge 65 of the protective layer of the sensor, as can best be observed in
The placement of sensor 33 relative to an organ, specifically a patient's eye 71, can best be observed in
Reference should now be made to
In all of these embodiments, inductive coil 37 with either its overlapping capacitive ends or with the separately mounted capacitor component, defines a single closed loop shape, without a spiral or multiple concentric coils, when seen in a true view like in
Referring to
A reading coil or wire is encapsulated within or adhered to an inside surface of eyeglass frame generally surrounding each lens. Ends of the looped reading coil are electrically connected to an electrical circuit including a battery for a wearable/portable reader or other power supply 91 accessed through a wall outlet plug for a stationary reader, a signal generator voltage source VSG, a signal generator internal resistor RG, and a measurement resistor RM. In the circuit diagram, reading coil 93 is shown as a receiver coil impedance inductor Zr. Furthermore, constant capacitor 53 is shown as CS, a parasitic resistor function of the inductor is shown as RS, and variable inductor 37 is illustrated as LS. Alternately, the reader coil may be attached to a fabric sleep mask, removably covering the eyes and with an elastic head band, for continuous IOP monitoring when the patient is sleeping.
Periodic electromagnetic transmissions are sent from the reader coil to the passive sensor coil to activate a resonant frequency of the sensor coil. This resonant frequency is based on the geometries of the inductor and capacitor, and has an exemplary frequency of 100 MHz to 1 GHZ, which can be varied depending on the detectable frequency range of the impedance analyzer. A frequency shift of the phase dip is observed when the inductor is deformed. The phase dip is an indicator of the resonant frequency such that when the sensing inductor is deformed in response to pressure variation, a frequency shift of this phase dip can be detected.
If intraocular pressure outwardly bulges or expands sclera 73 of eye 71 then sensor 33 will move off its nominal position. This movement will subsequently deform, flex or circumferentially expand inductor 43 away from its nominal free position which will accordingly change an inductance value received by reader coil 93 from inductor 43. The sensor serves as a planar and circular LC passive resonator that has a constant capacitor and a stretchable variable inductor. The self-inductance of the inductor, the parasitic capacitance between the segments, and the Q-factor are all changeable by the expansion of the sensor diameter. In addition, the mutual inductance between the sensing coil and reader coil will also change as the sensing coil deforms. This phenomenon is employed to measure the strain and the eye tissues induced by intraocular pressure elevation. Accordingly, the change of self-inductance in parasitic capacitance results in the change of resonance frequency of the LC loop. Therefore, the pressure variance can be read by the impedance analyzer through a frequency drift. The resultant output from an impedance analyzer 98 of reader 35 is transmitted via communications transmitter 99 to a handheld or stationary computer device, through a Bluetooth standard, a Wi-Fi standard, an RFID standard, a ZigBee standard or the like. Hence, the inductor synergistically functions as both an inductive sensor and a communications antenna, but in a very small and light weight package since it preferably only has a single closed loop coil. An SD card may also be connected to the reader electronic circuit for temporary data storage sent from the sensor.
A first exemplary manufacturing or fabrication process for the sensing coil assembly is illustrated in
More specifically, the two-dimensional inductor and the protective layer, sensor assembly of the preceding first step is created as follows in this embodiment. A polymer is deposited in a chemical vapor deposition process. A glass (or silicon) wafer or substrate is coated with about 1-5 μm of parylene-C polymer, followed by thermal evaporation of a 20 nm layer of titanium and a 200-700 nm layer of gold (or copper). which will become the inductor coil. A photoresist layer or first mask is used to pattern the undulating shape using ultraviolet photolithography and thereafter wet-etching to define the shape of the inductor coil. Thereafter, another 0.5-1.5 μm parylene-C is deposited on the metallic layer, and selectively etched using dry oxygen plasma to create the via through the parylene-C layer with a second photoresist layer mask. Subsequently, a second layer of 20 nm titanium and 700 nm gold (or copper) is thermally deposited and chemically patterned with a third photoresist layer mask to form the top capacitor plate. The capacitor is a double plate capacitor with the first and second metallic layers as the capacitor plates, and 0.5-1.5 μm parylene-C as the dielectric layer. After that, another approximately 1-5 μm polymeric top coating is applied to fully encapsulate the inductor layers. A layer of aluminum (or copper) is deposited on top of the outermost polymeric layer and patterned using a fourth photoresist layer mask to form an aluminum (or copper) mask that protects the sealed metallic inductor core during subsequent plasma dry etching of the polymeric casing to create the trimmed form. Then, the two-dimensional sensing coil assembly 31A is separated from the glass (or silicon) substrate and with the aluminum (or copper) mask removed
The second molding step is discussed in more detail as follows. Upper and lower mold halves 201 and 203, respectively, are machined from aluminum or stainless steel to create matching mirrored image, three-dimensionally undulating cavities 205 therein. Alignment pins 207 and receptacles 208, and optional heating or cooling fluid conduits 209, may also be machined therein or assembled thereto.
Two-dimensionally undulating sensor assembly 31A is placed in a cavity of a mold half, then the mold halves are clamped together to compress the sensor assembly therebetween. The mold halves are located within an oven 221 connected to a vacuum pump 223 which creates a negative pressure vacuum therein of about −22 to −23 inHg. Alternately an inert gas such as nitrogen or helium can be inserted into the oven instead of using a vacuum. The objective is to deter oxidation during thermoforming in order to prevent brittleness of the inductive coil when being shaped.
The mold halves are mounted within a hydraulically driven press such that one mold half is movably clamped against the other during the molding, and then retracted to allow access to the cavities. The mold halves are heated to about 160-180° C. and then compress the sensor assembly for about 1-5 hours, and more preferably 3-5 hours. This temperature range and time do not melt the parylene-C polymeric layer since the temperate falls between its glass transition temperature (approximately 80-90° C.) and its melting point (approximately 290-300° C.). In one example, the compression force exerted on the sensor assembly merely relies on the weight of the upper mold half without more, when the molds are vertically stacked on each other; this allows for a gradual deformation of the inductive coil metal. Nevertheless, alternate combinations of compression forces, temperatures and time may be employed depending on the materials and sizes of the sensor parts. Optionally, a slightly enlarged recess may be provided in one or both of the mold halves to receive the capacitor therein such that it is not compressed during mold closure. It is also envisioned that an alignment structure, such as a small pin or upstanding wall, can be provided in the cavities to ensure accurate placement of the sensor assembly in the mold. This process beneficially molds a three-dimensionally undulating, wavy and serpentine shape to sensor assembly 31 which allows for the inductive coil to stretch in all three X, Y and Z directions, without fracture, when subsequently incorporated into carrier.
Another method for creating an inductive IOP sensor assembly, having a three-dimensionally undulating, wavy and serpentine shape, will now be discussed with reference to
In particular, a photoresist material 253A, such as AZ® 4620 material which can be obtained from AZ Electronic Materials, Inc., is spun onto substrate 251, as is illustrated in
This is followed by ultraviolet lithography using a mask to pattern the photoresist material 253B into spaced apart, generally rectangular and laterally radiating projections, per
Next, the IOP sensor is constructed using the following sequential steps. A parylene-C layer 45 of about 1-5 μm is deposited on wafer substrate 251 at room temperature, using a chemical vapor deposition system. This parylene evaporate deposition or application step can be observed in
Thereafter,
Referring to
As the third major process, after the sensor device is released from the substrate, a cast molding method is used to embed the sensor into doughnut-shaped soft carrier or lens 39. Two glass molds with concave and convex profiles that match the corneal curvature are used. Initially, sensor 33 is placed on the dome-shaped convex cap and the polymer (for example, HEMA or PDMS) is added to the bottom concave mold. The top convex mold is aligned and pressed into the concave mold, and the thin gap is a cavity between the molds which defines the desired thickness of the combined carrier and sensor apparatus 31. The carrier is subsequently polymerized using either an ultraviolet light process (for HEMA) or thermal process (for PDMS). Following polymerization, the combined carrier and sensor apparatus is release from the concave mold, placed on the convex mold, and the central region of the lens is optionally removed using a tissue punch. Carrier 39 can be manufactured in accordance with U.S. Patent Publication Nos.: 2002/0153623 entitled “Lens Manufacturing Process” which published to Gobron, et al., on Oct. 24, 2002; and 2021/0162692 entitled “Direct Compression Molded Ophthalmic Devices” which published to Rao, et al., on Jun. 3, 2021; both of which are incorporated by reference herein. The doughnut-shaped sensor apparatus 31 then is ready for calibration testing and sterilization.
The sealed sensor attachment to the carrier can include at least one of the following methods: (a) Attaching the sealed sensor to a male mold and thereafter inserting them via immersion into a female mold already containing a carrier polymeric material, in a liquid or semi-liquid state, whereafter the carrier polymeric material is polymerized. (b) Attaching the sealed sensor to a male mold post-coating with a carrier polymeric material, then adding a second liquid top carrier polymeric coating over the entire assembly, and subsequently polymerizing the top polymeric coating. (c) Embedding the sealed sensor into a flat already cured polymer, machining the curved shape of the carrier such as by a lathe, inserting the assembly into a carrier mold, applying additional polymer coatings, finishing the shape with further machining. (d) Inserting the sensor assembly into an injection mold, adding the carrier polymeric material therearound, and polymerizing same.
Another embodiment of the present intraocular pressure sensor 533, shown in
Inductor 543 has a three-dimensional undulating, serpentine and wave-like shape along a curved longitudinal length direction thereof and along a perpendicular thickness direction thereof, defined by alternating peaks and valleys with curved diagonal walls connecting therebetween in both perpendicular longitudinal and thickness planes. A single electronic component, such as a capacitor 553, or overlapping and spaced apart edges of coil 537 (acting in a capacitive manner), are included as part of the sensing and transmitting circuit. This configuration is manufactured in accordance with any of the other embodiments discussed hereinabove.
Sensor 633 is preferably of the three-dimensionally undulating shape encapsulated within a polymeric layer 645 and/or carrier as is disclosed hereinabove. The polymeric layer may have either the contiguously central spanning construction or the central hole construction. Intraocular pressure sensor 633 includes an inductive eye pressure sensing coil assembly 637. Additionally, a power sensor and data transmitting antenna 646 is concentrically inside of and medial to coil assembly 637. The three-dimensionally undulating shape of coil assembly 637 will allow for three dimensionally stretching thereof, without fracture, during manufacturing the three-dimensionally curved sensor 633, without requiring the circular and substantially flat shaped power antenna 646 to also have three-dimensional undulations. The benefit of the preferred circular and substantially flat nature of power antenna 646 is that it generates a fixed resonant frequency to sense and transmit both eye temperature and pressure data received from the eye. Optionally, an eye humidity sensing function may be provided in either of the inductor or antenna components.
An ASIC chip 648 is affixed to sensor 633 to process the raw data from power antenna 646 and/or coil assembly 637. In this configuration, coil assembly 637 acts as an active sensor but not a transmitter. This also allows coil assembly 637 to have a greater eye-facing surface area to cover a larger portion of the cornea tissue for greater sensitivity, as compared to the other embodiments set forth herein. The ASIC chip 648 is encased within polymeric layer 645 and includes a microcontroller with SRAM, a CPU and input/output, a thermo-sensor and impedance analyzer, analog-digital converters, a power manager, and a radio frequency receiver and transmitter.
While various embodiments of the present sensor system have been disclosed, it should be appreciated that other variations may be made. For example, alternate electrical circuits and electronic components may be used although some of the present benefits may not be realized. Furthermore, different materials and manufacturing process steps can be used, however, certain of the present benefits may not be achieved. For example, the film coating can alternately be polyimide or PDMS, and Pt for the conducting material, but some of the preferred advantages may not be realized. As another example, the sensing coil assembly and protective layer may be entirely made from biodissolvable material such that the sensor does not need to be manually removed from the eye. The substrate may alternately be glass, metal or ceramic. In another optional configuration, the inductor may have oval or other shapes as long as it forms a generally closed loop in the true view like
The present application is a continuation of PCT Patent Application Serial No. PCT/US2023/021660, filed on May 10, 2023, which claims priority to U.S. Provisional Patent Application Ser. No. 63/340,519, filed on May 11, 2022, both of which are incorporated by reference herein.
Number | Date | Country | |
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63340619 | May 2022 | US |
Number | Date | Country | |
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Parent | PCT/US2023/021660 | May 2023 | WO |
Child | 18935762 | US |