The present invention relates to a method for determining clinical and/or chemical parameters in a medium and an apparatus for carrying out the method.
In order that substances or a concentration of a substance can be accurately determined in the living body, it is necessary to take samples from the body, which samples are then treated by special analytical methods with the use of suitable reagents. Sampling, for example the drawing of blood and the consumption of reagents, is perceived as a disadvantage in these known methods. A noninvasive method for determining the glucose content would be of great advantage particularly in the case of diabetics, who must test the glucose content in the blood many times in the course of a day.
For this reason, a plurality of methods and apparatuses for noninvasive determination of the glucose content in the blood have already been proposed. Reference is made to the following publications as being representative: WO 95/04 496 and WO 01/26 538. It has been found, however, that the known methods are not suitable for obtaining accurate measurement results. For diabetics in particular, the measurement results are so inaccurate that they cannot be employed for monitoring or adjusting the blood sugar level. To be sure, the known methods can be used for a rudimentary indication of the instantaneous blood sugar content, but conventional monitoring measurements, that is, re-sampling, must be performed in order to determine the requisite quantity of medication that is needed for accurately adjusting the blood sugar level.
It is therefore a goal of the present invention to identify a method and an apparatus for determining clinical and/or chemical parameters in a medium with high accuracy.
This goal is achieved with the method of the for determining clinical and/or chemical parameters in a medium utilizing means for transmitting coherent light waves and means for receiving light waves, the method comprising: delivering at least a part of the transmitted light waves into the medium, measuring with the means for receiving light waves at least a part of the light waves reflected in the medium, determining the parameters on the basis of the properties of the transmitted and received light waves. Advantageous developments of the invention and an apparatus for carrying out the method are described below.
The invention has the following advantages: By delivering light waves into the medium with a laser unit and measuring the light waves reflected in the medium with a phototransistor unit, the parameters prevailing in the target region of the laser beam can be determined in a processing or monitoring unit. To this end, in a further embodiment of the invention, the frequency or wavelength of the waves generated by the laser unit is tuned in accordance with characteristic properties of the parameters to be determined, and the parameters are determined with reference to the signals measured with the photodiode unit. It has been found that extremely accurate results can be obtained with the method according to the invention, in particular for parameters such as cholesterol.
Furthermore, extremely accurate results can be obtained in the case of parameters such as glucose with the method utilizing means for transmitting microwaves and means for receiving microwaves, and including the steps of delivering at least a part of the transmitted microwaves into the medium, measuring with the means for receiving microwaves at least a part of the microwaves reflected in the medium, determining the parameters on the basis of the transmitted and received microwaves. This method can be practiced both in independent form and also in dependent form with the aforementioned method of the invention.
The term “clinical and/or chemical parameters” should be understood to mean in particular the following:
Furthermore, the term “medium” should be understood to mean solid, liquid or also gaseous media or any mixed form of these media having any structure, thus in particular:
In what follows, the invention is described in greater detail with reference to the embodiments illustrated in the drawings. These are exemplary embodiments that aid in understanding the subjects claimed in the claims.
An apparatus according to the invention for the noninvasive determination of a substance in a body 10 is illustrated in schematic representation in an upper half of
Contained in monitoring unit 1 are amplifier units, signal-processing units, memory units, and other functional units, which of course could be mounted in separate units. The various functional units are combined into monitoring unit 1 in
The reference character 10 in
In what follows, the method according to the invention, which is performed with the use of the apparatus illustrated in
Initially, in a first phase, a measurement path 100 is established with the aid of laser unit 2, in which measurement path the measurements are to be carried out later. The objective here is to position measurement path 100 in the central region of arterial blood vessel 20. To this end, laser unit 2, which is a laser unit still to be explained in detail, is operated in the IR (infrared) range. It is known that the oxygen content is higher in arterial blood than in venous blood. Consequently, in dependence on the oxygen content at the location in question, a more or less strong reflection signal is obtained, which is measured with phototransistor unit 4. Thus, in the case of a strong reflection signal, it can be presumed that either an arterial blood vessel or a body tissue part strongly perfused with blood lies in the target region of the laser beam. Because items of information relating to the velocity of the particles present in the target region of the laser beam are additionally contained in the reflection signal, it can moreover be established whether an arterial blood vessel is actually present (higher velocity of particles) or whether only a body tissue part strongly perfused with blood is present (particles hardly move). Thus measurement path 100 is determined. It is possible and meaningful to verify whether measurement path 100 is at the location provided. The employment of a laser unit 2 is mandatory here because only lasers exhibit the required target accuracy.
In a further embodiment of the method according to the invention, a time point for the measurements performed in measurement path 100 is additionally determined in the first phase. If the location of measurement path 100 has been established in an arterial blood vessel 20 according to the previously described steps of the method, then the velocity profile in vessel 20 is substantially proportional to the heart cycle (QRS complex). It is then provided to determine a time window, established in relation to the heart cycle, in which the subsequent concentration measurement of one or a plurality of substances S1 to S3 is carried out. In a variant embodiment of the invention, for example, a time window of 100 ns is established, centered about the QRS complex or with respect to a pulse wave in the peripheral vessel.
If the spatial and also the temporal position of measurement path 100 have been determined according to the above steps of the method (Phase I), the actual determination of substance or substances of interest S1 to S3 can be begun (Phase II). To this end, two measurement methods find use, which can be active simultaneously:
The first measurement method is based on determining the optically visible spectrum in measurement path 100. Here, with laser unit 2, light pulses having wavelengths from 400 nm to a maximum of 1400 nm (spaced for example 25 nm apart) are transmitted. The echo signal is measured with phototransistor unit 4 as a light measuring unit in order to create the spectrum. Because of the tight time relationships and because not the entire spectrum is of interest, depending on what substance S1, S2, S3 is to be determined, only a certain wavelength range is traversed. In any case, the minimum light pulse width is equal to twice the wavelength.
In measuring the optical echo signal, phototransistor unit 4 is tuned in such fashion that selective measurement at specified wavelengths is possible. For example, phototransistor unit 4 can be tuned to a wavelength of 400 nm, which is referred to in what follows as frequency-selective or wavelength-selective tunability. Phototransistor unit 4 will be explained in detail further on.
This first measuring method is excellently suitable, for example, for determining the level of cholesterol, that is, of a substance that is present only in a relatively low concentration in the blood but, because of the structure, has a substantial effect on the optical spectrum.
A second measurement method, which, as noted, can be active at the same time as the first-mentioned, consists in counting substances S1, S2, S3 or their molecules to determine the concentration. Microwave unit 3 finds use for this purpose. The microwave unit transmits individual pulses of very short duration (for example 83 ps or 133.3 ps) into measurement path 100 determined during Phase I and scans the measurement path, the field strength of the echo signal received back by microwave unit 3 in each case yielding information about the presence, or the absence, of a certain substance S1, S2, S3 or of an atom of this substance.
In this way, by transmitting microwave frequencies determined ahead of time with reference to samples having the substances of interest, a plurality of images of the target regions having various wavelengths are created. These images are compared with previously measured patterns, which have been stored ahead of time in a memory unit belonging to monitoring unit 1 and can be retrieved for comparison in a pattern recognizer likewise contained in monitoring unit 1. In one embodiment, because of a limited memory in the memory unit, only known patterns of substances that are to be determined are stored.
This second measurement method is excellently suited, for example, to determining glucose in blood, that is, a substance that is present only in a relatively low, variable concentration in the blood. In addition, the glucose content cannot be determined correctly, that is, not with sufficient accuracy, from the optical spectrum.
In order to determine the concentration of other substances, for which both effects in the optical spectrum can be established and also enough particles can be detected with the aid of microwave unit 3, it is possible to combine the two measurement methods; that is, the results of both measurement methods are taken into account in determining the concentration.
In order to generate a laser beam having an exact wavelength, a laser unit 2 having a variable wavelength is used. Tuning of the desired wavelength is an absolute necessity in the case of the method according to the invention if one wishes to generate the various laser beams with the same laser unit.
The generation of laser beams having various wavelengths using the same laser unit is known in and of itself. Thus it has already been proposed to split the laser beam of a white light laser with the aid of filters or prisms in order in this way to extract the desired color components. It is further known to alter the dimensions of the resonator present in laser units with the aid of an appropriate mechanical system, so that the wavelength of the generated laser light can also be altered. In relation to the white light or colored light laser, reference is made to a press release from the University of Bonn, Germany, dated Sep. 16, 2003. This describes a new laser with which white light can be generated simply and inexpensively. The white light is decomposed into the color components with the aid of a suitable prism, it then being possible to select the required color. In relation to the first-named art, reference is made to the publication by Jeff Hecht titled “Understanding Lasers” (IEEE Press, 1992, pp. 296-297).
A laser unit 2 (
A support unit 30, which is made of a solid, thermally conductive material, for example brass or platinum, and can be regarded as a housing part, encloses a core proper of laser unit 2, specifically a laser diode unit 34, in which laser beams are generated in the junction region between the p-layer and n-layer in a manner known in the case of semiconductor lasers. The layer designated as laser diode unit 34 is, according to
With the previously described design of laser unit 2, it is now possible, through a force generated in piezoelement 32, to act on laser diode unit 34 in order in this way to alter the wavelength, since the spacing between the valence band and the conduction band—and hence the wavelength—is dependent on the force acting on laser diode unit 34.
Piezoelement 32 is preferably fabricated from a tourmaline crystal provided with a silver film on its surface, which film was generated by evaporation and is employed for contacting and thus controlling entire piezoelement 32. In place of a silver film, aluminum or another metal film can also be applied by evaporation.
As has already been explained, generating a laser beam with laser unit 2 requires both a mirror unit and also an exit window, which are arranged substantially transversely to longitudinal axis 40 of laser unit 2 (
A further embodiment of a part of laser unit 2 is illustrated in
Illustrated in
The mirror unit, which is to reflect the light beams generated in laser diode unit 34 (
In a further embodiment of the invention it is proposed to implement the mirror unit not as fixed, but analogously to semitransparent window 51, explained with reference to
In order to obtain a resonance in a laser unit, it is known to be of decisive importance that the spacing between the mirror surface (mirror element) and the semitransparent window be a multiple of, or exactly equal to, half the wavelength of interest (λ/2). If now the wavelength is altered by alteration using piezoelement 32 (
It has been found that, through the combination of force exertion on laser diode unit 34 from all sides (
The reference characters employed in
In schematic representation,
As an additional advantage, central alignment of the laser diode unit or its facet yields optimized power utilization.
In place of synchronous rotation device 100, there can of course be two or a plurality of displacement elements 52 that are matched and arranged in such fashion that the laser diode unit is always located centrally between mirror unit 80 and exit window 50.
For the in connection with the apparatus according to the invention illustrated in
The phototransistor unit 4 illustrated in
In one specific embodiment, one displacement unit 104 is implemented with the aid of a piezounit and the other displacement unit 106 is implemented as a viscous spring element. Here the viscous spring element comprises, for example, a silicone insert, an insert made of natural rubber, or a steel spring. When a silicone insert is employed, a buffer layer is necessary in order to prevent migrations of material.
A further concrete embodiment for displacement elements 104 and 106 consists in the use of microsteppers or microlinear motors, which likewise make possible high precision in the displacement of movable mask 103.
Prism unit 107 is arranged between fixed and movable slit masks 108 or 103, masks 103, 108 having corresponding first and second apertures that form an aperture pair. Prism unit 107 has one prism for at least one aperture pair.
In a further embodiment of the arrangement, which is not illustrated in
A still further embodiment of filter unit 110 consists in that both slit masks are movable. Excursions of the individual slit masks are reduced in this way because each of the slit masks is moved through half of the travel to be covered. The slit masks here move in laterally contrary fashion.
The filter unit 110 described thus represents a color filter in which the filtered wavelengths can be tuned in electronic fashion. Furthermore, filter unit 110 is a temperature-independent color filter that can be tuned for example to wavelengths from 1400 to 430 nm. Filter unit 110 and thereby phototransistor unit 1 as a whole are distinguished by one or a plurality of the following advantages:
In order for accurate measurement results to be obtained with phototransistor unit 1, a calibration must be carried out ahead of time. Such a calibration can for example be performed as follows:
Phototransistor unit 1 is exposed to a light source having a known wavelength. Movable slit mask 103 or 108—or, as appropriate, microprism unit 107, provided this is movable—is then displaced with the aid of displacement units 104, 106 until a signal maximum is obtained on photosensitive layer 102. The corresponding degree of displacement in dependence on the displacement mechanism employed can be held constant for calibration. If piezoelements are employed as active displacement units, the electrical signal applied to the piezoelements can be related to the wavelength of the light source, so that the calibration for this wavelength is complete. Further calibrations with other wavelengths of the light sources are advantageously carried out in order to ascertain nonlinearities, if any.
It has been found that microprism unit 107 can be fabricated from a substance having the chemical formula NaCl in crystalline form.
A further embodiment consists in employing hole masks instead of slit masks. In this way the corresponding images on the photosensitive layer become not strip-shaped but dot-shaped.
In a further embodiment, microprism unit 107 is made of a polymer instead of glass. Fabrication is simplified in this way and the costs are less than when glass is employed. Combining individual prisms in order to form the microprism layer is also conceivable. The individual prisms are then cemented together with an adhesive.
As has become clear from the foregoing discussion, in particular in connection with the variant embodiments according to FIGS. 8 to 10, an application of the filter unit consists in combining the filter unit with a photosensitive layer 102. In this way there is obtained a phototransistor unit with which extremely accurate measurements can be made in a certain wavelength range, electronic tuning of the wavelength to be measured being possible.
A further embodiment of the filter unit consists in that the wavelengths passed by the slit mask or hole mask are tunable. Provided to this end as the mask are two masks lying one over the other, as they are identified in
In a variant embodiment, the slit of movable slit mask 108 is equipped with converging optics 13 and/or the slit of fixed slit mask 103 is equipped with a diffuser 14. While a larger quantity of light or rather a larger number of light quanta is obtained by converging optics 13 and falls on prism unit 107, light monochromatically exiting through prism unit 107 is distributed by diffuser 14 in substantially uniform fashion and over a large area of photosensitive layer 102. The net result is higher sensitivity of the phototransistor unit.
In
It is pointed out that the conical shape—that is, the steepness of the side walls bounding the slit—of fixed slit mask 103 is chosen in such fashion that the relevant measurement region on the photosensitive layer is illuminated in full-area fashion. In this way it is ensured that no errors will be present in the measurement results, since non-full-area illumination of a phototransistor generally leads to measurement errors.
In the embodiment having a movable slit mask 108, the side walls forming the slit have a conical shape, the slit aperture being chosen as a maximum on the light inlet side, so that as much light as possible can be incident in each slit. Correspondingly, the side walls forming the slits come together at a point, which in each case coincides with the top side of movable slit mask 108. On the other hand, fixed slit mask 103 is arranged in the opposite way in the sense that the wide aperture comes to lie on the side of photosensitive layer 102. Diffuser 14 contained in the slit ensures that the photosensitive layer is maximally and uniformly illuminated, so that higher sensitivity and more accurate measurement results are obtained.
In a further embodiment of the invention, the conically shaped side walls of the slit are provided with a reflective coating in order to increase the luminous efficiency further.
In a further embodiment, for which the cross-sectional representation according to
It is explicitly pointed out that—as already explained in connection with the embodiments according to
It was already pointed out that the microprism units are made of crystalline NaCl, glass, or a polymer. Crystals, precious stones such as for example diamonds for high color purity, quartz, or neodymium are further conceivable.
It is further pointed out that in all the embodiments previously mentioned, so-called multiple prisms can be employed in the microprism units or in the prism units. Such multiple prisms, also more generally called direct-vision prisms, are assembled from a plurality of prisms having various materials, for example various grades of glass, so that the central ray passes through substantially undeflected despite a spectral deflection. Further information on multiple prisms can be found for example in DE-37 37 775 A1.
Finally,
Gunn diode 202 is a diode based on the Gunn effect (John Gunn, 1963), which is used in known fashion for generating microwaves. For further information on the Gunn effect or on Gunn diodes, reference is made to the standard work by Donald Christiansen titled “Electronics Engineers' Handbook” (McGraw-Hill, Fourth Edition, 1997, pages 12.71 as well as 12.79 and 12.80) as being representative. This publication also cites further standard works on this topic.
According to the foregoing discussion, Gunn diode 202 is clamped in between first insulation layer 201 and second insulation layer 203. With the aid of piezoelement 204, the frequency of the microwaves generated by Gunn diode 202 can now be tuned, for example between 8.7 and 12 GHz. Here the frequency shift is effected on the one hand by pressure on Gunn diode 202 (that is, the so-called “die”) itself, by which a material alteration arises in the interior of Gunn diode 202 as a consequence of the molecular vibration alteration—similarly to the case of a large change in temperature—and on the other hand by an alteration of the capacitance due to a change in the distance from Gunn diode 202 to support unit 200—similarly to a change in capacitance in a capacitor in which the capacitor plates are displaced relative to one another. Via piezoelement 204, it is thus possible to tune the frequency generated with Gunn diodes 202 in exact fashion. The microwave unit 3 described is thus distinguished from known apparatuses in particular in that the frequency of the generated microwaves can be exactly tuned in electronic fashion without mechanical adjustment devices.
So that the frequency of microwaves 205 to be transmitted will remain constant once tuned, piezoelement 204 in a further embodiment of microwave unit 3 is provided with a so-called PLL (phase-locked loop) or FLL (frequency-locked loop) circuit known of itself. One of these circuits regulates the voltage imposed on piezoelement 204 in such fashion that the desired frequency of microwaves 205 remains constant.
The reference character 206 denotes a window for the exit of microwaves 205 to the side of Gunn diode 202. Window 206 is preferably obtained by suitable doping with foreign atoms. In this way, a controlled exit of microwaves from Gunn diode 202 is made possible. Suitable in particular for doping is GaAs (gallium arsenide). The diameter of window 206 is for example approximately 10 μm and the depth of doping is for example 320 A (angstroms). In addition, the +/− terminals are drawn in
An embodiment for a microwave unit 3 (
Cavity resonator 250 is made of metal and has an exit hole 251 through which the microwaves exit from cavity resonator 250 in propagation direction 205. Contained in cavity resonator 250 are on the one hand a ceramic body 234, which extends from above into the interior of cavity resonator 250, and on the other hand a body 235 that extends from below into the interior of cavity resonator 250, upper ceramic body 234 and body 235 being directed toward each other, that is, exhibiting a common axis, but not touching. Beside body 235 there is further arranged an additional ceramic body 236, which is explained with reference to the detailed view in
From
a piezoelement 204;
a contact layer 203 made of a metal, for example of silver or copper;
a Gunn diode 202.
For controlling piezoelement 204 there is a control line 231, which is connected to a contact point 232 on additional body 236. Contact point 232 is led out of cavity resonator 250 via an electrical conductor contained in additional body 236, so that it is possible to drive piezoelement 204 from outside cavity resonator 250. Gunn diode 202 arranged above contact layer 203 is further connected via a contact loop 230 to ceramic body 234, which simultaneously serves as feedthrough capacitor and makes possible the contacting of Gunn diode 202 from outside cavity resonator 250.
According to the foregoing explanations, Gunn diode 202 is mounted on contact layer 203 and piezoelement 204. The frequency of the microwaves generated by Gunn diode 202 can now be tuned, for example between 8.7 and 12 GHz, with the aid of piezoelement 204. Here the frequency shift is effected on the one hand by the capacitance change due to a change in spacing between Gunn diode 202 and body 235 acting as the cathode, and on the other hand by the position change relative to ceramic body 234 acting as the feedthrough capacitor. Thus, via piezoelement 234, it is possible to tune and alter the frequency of the microwaves generated with Gunn diode 202 in exact fashion. This embodiment is thus also distinguished from known microwave units in that the frequency of the microwaves generated can be tuned in electronic fashion.
A further advantage of this variant embodiment is the very small structural form of, for example, 2×1×1 mm for the external dimensions of cavity resonator 250, which has only three terminals, namely Vgnd, VGunn and Vpiezo, Vgnd being equal to the common ground or bond potential, VGunn to the supply voltage or the signal pickoff of the Gunn diode, and Vpiezo to the supply voltage of the piezoelement and the oscillator circuit tuning connected therewith. The self-contained cavity resonator has little susceptibility to external influences, because all the components exhibiting high frequency are contained in the cavity resonator. This circumstance makes it nearly ideal for application in microsensor technology.
As has already been mentioned in connection with the discussion of the variant embodiment according to
The two further displacement elements 208 and 209 are arranged on the opposite end of support unit 200, and indeed in such fashion that support unit 200 can be moved in the drawing plane of
For trouble-free contacting of displacement elements 207 to 209, these are provided on their outer side with, preferably, a silver film. This makes possible simple contacting with control lines 220 to 222 through known bonding technology. Associated therewith is a reference connection 223 for establishing a reference potential. To this end, reference connection 223 is connected to support unit 200, preferably once again by bonding technology.
With the positioning device described, the microwave beams can be tilted about two axes, so that a cone of approximately 2.5° can be traversed. If further displacement elements are used, which act on the third pair of surfaces of support unit 200, then a translational movement in a third axis can be brought about.
Gunn diodes are known to be used both as sending units and as receiving units. Correspondingly, microwave unit 3 is used not only for sending but also, in analogous fashion, also for receiving microwaves.
It is again explicitly pointed out that the present invention exhibits a broad spectrum of possible applications. Although the noninvasive determination of substances, that is, of glucose and cholesterol, in the human body has been cited as an exemplary embodiment, the present invention is excellently suited to the contactless determination of any clinical and/or chemical parameters, as they were non-conclusively enumerated at the outset. On the basis of the enumeration as possible clinical and/or chemical parameters that can be determined with the method according to the invention or with the corresponding apparatus, the following applications result directly:
Number | Date | Country | Kind |
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PCT CH2004 00080 | Feb 2004 | CH | national |
CH2004 00079 | Feb 2004 | CH | national |
04020810.0 | Sep 2004 | EP | regional |
This application is a U.S. national phase application under 35 U.S.C. §371 of International Application No. PCT/CH2005/000071 filed Feb. 9, 2005, which claims priority of International Application No. PCT/CH2004/00080 filed Feb. 11, 2004.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/CH05/00071 | 2/9/2005 | WO | 5/4/2007 |