The present invention relates to medical devices in general, and illuminated catheters and endoscopes in particular.
Many modern in-vivo medical devices such as catheters or endoscopes are equipped with imaging equipment that includes a light source and an image sensor. A light source delivers an illumination light onto an area of interest while the image sensor obtains an image from the reflected or scattered illumination light. The images obtained are used by a physician to diagnose internal body tissue or to perform surgical procedures in the body.
The most common type of light sources used on catheters and endoscopes are lasers or high powered white light sources. Light from these external light sources is delivered to the distal end of the scope by a fiber-optic illumination channel. Alternatively, some devices have solid state light sources such as light-emitting diodes (LEDs) that are located at or adjacent the distal tip of the device. Both approaches have limitations. First, the optical fibers used to form an illumination channel are relatively fragile and limit the bending ability of the device. On the other hand, LEDs are often encapsulated in a plastic or other transparent material that is relatively large in comparison to the size of the light-emitting element. Therefore, the amount of light that can be delivered at the distal end of the device is limited by the diameter of the device. Therefore, there is a need for a light-emitting device that can be incorporated into a medical device such as an endoscope that avoids these limitations.
To overcome the above-referenced limitations, the present invention is a flexible in-vivo medical imaging device such as a catheter or endoscope, having a light source made of one or more organic light-emitting diodes (OLEDs). An organic light-emitting diode is formed on the substrate between two or more semi-transparent electrodes. The organic light-emitting diode material produces illumination light when electrical energy is applied to the electrodes. The light source may comprise an OLED of a single color. Alternatively, the light source may be a stack or other configuration of OLEDs each having a different illumination wavelength such that one or more OLEDs can be energized at the same time to produce a desired illumination light. In another embodiment of the invention, the OLEDs are selected to produce excitation light in the ultraviolet wavelength band for fluorescence or drug-induced imaging. In yet another embodiment of the invention, the OLEDs produce light in the infrared range for tissue heating.
In one embodiment of the invention, the light source is sufficiently bright to allow external imaging devices to track the position of the light source as it is moved in the patient's body.
In another embodiment of the invention, the OLEDs are formed as strips that extend along the length of the device. The strips have distance markings thereon to gauge how far the device has been inserted into the patient.
In yet another embodiment of the invention, a catheter includes a heat conducting polymer to conduct heat away from the OLEDs and the patient.
The foregoing aspects and many of the attendant advantages of this invention will become more readily appreciated as the same become better understood by reference to the following detailed description, when taken in conjunction with the accompanying drawings, wherein:
As indicated above, the present invention is an in-vivo medical device that uses organic light-emitting diodes (OLEDs) as a light source to provide illumination light within a patient's body cavity.
The light source 12 has a substrate 14 on which is formed an electrode 16. A semi-transparent electrode 18 is formed on top of the organic light-emitting diode material such that the diode material is sandwiched between the electrodes 16 and 18. Electrode wires, conductive leads, or other current carrying devices 28 connect the electrodes 16 and 18 to a power supply 30, which is typically external. However, the medical device could have built-in batteries to power the light source. The application of electrical energy to the electrodes 16 and 18 cause the organic light-emitting diode material to produce illumination light. The composition and method of constructing an OLED light source 12 suitable for use with the medical device of the present invention are known to those of ordinary skill in the art of light-emitting diodes. See, for example, U.S. Pat. Nos. 6,627,333; 6,124,046; 6,127,693; and 6,495,198, which are herein incorporated by reference.
In the embodiment shown, the light source 12 is generally cylindrical or tubular in shape such that the medical device 10 can include one or more parallel or coaxial lumens 22 extending through the light source 12. In addition, the medical device 10 may include an image sensor 24 at or adjacent its distal end for capturing images of a patient. Alternatively, the medical device 10 may include an imaging light guide and one or more lenses that direct reflected and back scattered illumination light to an external image sensor or camera.
The illumination light provided by the light source 12 may be in the visible, ultraviolet or infrared spectrum depending upon the desired use of the medical device 10.
In the embodiment shown in
In operation, the physician can adjust the supply of electrical power 110 to the one or more OLEDs at the distal end of the medical device 100 in order to adjust the intensity or illumination wavelength of the light produced. In some instances, the power supply 110 may be automatically controlled to illuminate the tissue with a number of different wavelengths such that images can be obtained with illumination light of each wavelength in order to view tissue under a variety of illumination conditions. Alternatively, the light source may be strobed to obtain images of moving tissue such as heart valves, etc.
Depending on the wavelength of the illumination light, different imaging techniques may be used to view or diagnose tissue in the body. These imaging techniques include: drug induced or native fluorescence imaging and white light or colored light imaging. In addition, light from the light source can be used to activate photosensitive drugs, or infrared heat can be supplied to tissue in the body.
In the embodiments shown in
As will be appreciated, the OLEDs generate more light in a smaller area and with less heat than that produced by conventional LEDs. The light produced may be sufficient to externally view the position of the illuminated medical device inside the body with the naked eye or with external imaging equipment.
In some instances, it may be desirable to provide a mechanism for removing heat from the one or more OLEDs and transferring the heat to a point away from the patient's body. In one embodiment of the invention, the medical device includes a heat conducting polymer such as that described in U.S. Pat. No. 6,620,497 assigned to Cool Options, Inc. of Warwick, R.I., and which is herein incorporated by reference. A head conductive polymer as described in the '497 patent can be used to form the tubular walls of the medical device or a cover of the medical device. Alternatively, the medical device can include a strip of such a heat conductive polymer material having one end thermally coupled to the OLEDs and another end positioned away from the OLEDs. The strip therefore conducts the heat produced by the OLEDs away from the patient. The heat can be transferred outside of the patient's body or over a large enough area such that no point of the medical device that is within the patient becomes hot enough to cause discomfort or burn the patient.
Furthermore, the OLED endoscope may include a torqueable pull wire such as disclosed in U.S. Pat. No. 5,642,736, which is herein incorporated by reference, in order to provide the ability of an operator to bend the distal tip and to rotate it by torquing the wire or rotating it about its longitudinal axis.
While the preferred embodiment of the invention has been illustrated and described, it will be appreciated that various changes can be made therein without departing from the scope of the invention. For example, although the invention has been illustrated with endoscopes, it will be appreciated that other medical devices such as guide catheters, guidewires, ablation devices, balloon catheters or other devices could be equipped with such a light source. It is therefore intended that the scope of the invention be determined from the following claims and equivalents thereof.
This application is a divisional of U.S. patent application Ser. No. 10/737,980, filed Dec. 17, 2003, which is incorporated herein by reference.
Number | Date | Country | |
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Parent | 10737980 | Dec 2003 | US |
Child | 12209170 | US |
Number | Date | Country | |
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Parent | 15450664 | Mar 2017 | US |
Child | 16791172 | US | |
Parent | 12209170 | Sep 2008 | US |
Child | 15450664 | US |