Patent Application
20080015661
This invention relates to apparatus and methods for delivering radiation, including delivering radiation to a surface on or within a living body and, more particularly, to apparatus and methods for using light to debilitate or kill microorganisms on or within a body cavity of a patient.
Infections involving the human gastrointestinal tract and other body lumens are extremely common, involving many millions of people on an annual basis. These infections are responsible for significant illness, morbidity and death. One of the most common gastrointestinal infections is a chronic infection with Helicobacter pylori (H. pylori), a bacterial pathogen that infects the stomach and duodenum. In industrialized nations such as the United States, H. pylori may be found in 20% or more of the adult population. In some South American countries, the H. pylori infection rate approaches 90%. Although infection with H. pylori can be asymptomatic, in a significant minority of infected people it is associated with serious conditions including gastritis, gastric ulcer, duodenal ulcer, gastric cancer, and gastric lymphoma. H. pylori is believed to be responsible for approximately 90% of all reported duodenal ulcers, 50% of gastric ulcers, 85% of gastric cancer, and virtually 100% of gastric lymphoma.
The most common treatment currently available for H. pylori infection is a complex antibiotic regimen involving three or four expensive drugs given over a two-week period. Even with antibiotic treatment, 20% or more of those treated are not cured of their infection. Further, the powerful antibiotics used are not well tolerated by some patients, variously causing allergic reactions, nausea, an altered sense of taste and diarrhea. In addition, antibiotic resistance by this and many other pathogenic organisms is growing rapidly. Up to 50% of H. pylori isolates are now resistant to one or more of the best antibiotics known to cure the infection. No vaccine is yet available for H. pylori, despite years of intensive effort.
Therapeutic methods that do not rely solely on drugs to treat disease thus have significant potential advantages over antibiotic therapy for bacterial infections. Photodynamic therapy (PDT) is a light therapy that includes pretreatment with a photosensitizing drug, followed by illumination of the treatment area to kill cells having a high concentration of the drug, which preferentially absorbs light at specific wavelengths. A typical application of this method is to debilitate or destroy malignant tumor cells that have preferentially retained the photosensitizing drug, while preserving adjacent normal tissue. Direct deactivation or killing of H. Pylori and other microorganisms has been demonstrated using light, without requiring pretreatment with a photosensitizer.
Broad deployment of light therapy for H. Pylori and other intraluminal infections will require practical and reliable light sources with which to effect such treatment. Access can be gained to some treatment sites within the body, including interior surfaces of the digestive tract, using light sources configured as elongate probes that can be guided through an external orifice into the body and to the treatment site. One such minimally invasive approach is to deliver light to the interior of a body lumen through an optical fiber that is optically coupled to a remotely located high power laser. This approach to light therapy is expensive, generally lacks portability, and is impractical for delivering light to large intraluminal treatment areas.
An alternative approach for developing minimally invasive probes for intraluminal light therapy is to utilize electrically excited light-emitting devices such as light-emitting diodes within a probe. One problem associated with this approach is that the light-emitting devices confined within an elongated probe produce waste heat when electrically excited, thereby significantly limiting the maximum average light output power achievable from the probe without thermally damaging the light-emitting devices, and without exceeding safe temperatures for exposure of the probe to body tissue at the treatment site.
Additionally, it would be advantageous for a probe to be made physically flexible to be safely guided through narrow passages in the body and positioned at a treatment site. Attempts to address these problems may be found in U.S. Pat. Nos. 5,800,478 and 5,576,427. However, each one of these references suffers from a variety of disadvantages, including one or more of the following disadvantages: the probe is lacking flexibility in the plane of a substrate on which the array of light-emitting devices is constructed, and thermal dissipation of the probe at high light output power is not addressed.
Thus, a great need exists for new devices and systems to deliver light to an interior of a lumen, for treatment of H. pylori and other intraluminal infections. There also exists a need for apparatus and methods to deliver light to lumens of the body in a safe and effective manner. In addition, generally there exists a need for the effective delivery of light to an interior space that may benefit from treatment with radiation including light.
The present invention relates to delivering radiation or light to an interior of an object or an organism to effect or facilitate a chemical or biological reaction, including devices and methods for delivering light to the interior of a lumen, to effect a treatment at a wall of the lumen. The invention is particularly useful for performing therapeutic medical procedures on the interior of a lumen, for example, the gastrointestinal tract of a living human or animal. The invention can also be applied to deliver light to the interior surface of any structure into which the apparatus can be disposed. The invention also relates to systems for the diagnosis and treatment of infections within a lumen in a patient.
One aspect of the present invention is an apparatus for delivering radiation. The apparatus includes a flexible shaft having a distal end and a proximal end. At least two internal channels extend along the shaft from the distal end to a location closer to the proximal end and are in fluid communication with each other at a location proximate to the distal end. At least one of the channels is adapted for coupling with a source of a coolant. In an embodiment, the shaft may be made of a substantially biocompatible polymer. In another embodiment, the shaft has a circular cross section.
The apparatus also includes a plurality of radiation-emitting devices disposed within at least one of the channels. At least a portion of the shaft proximate to the radiation-emitting devices is transmissive of at least a portion of radiation capable of being emitted by the plurality of radiation-emitting devices. In an embodiment, the plurality of radiation-emitting devices are at least partially in contact with the coolant flowing from the coolant source, and the coolant is substantially electrically nonconductive. The coolant also may be transmissive of at least a portion of radiation capable of being emitted by the plurality of radiation-emitting devices.
In an embodiment some or all of the plurality of radiation-emitting devices are light-emitting diodes. In an embodiment at least one of the radiation-emitting devices may emit radiation substantially within a band of wavelengths that is adapted to treat diseased tissue. In another embodiment the band of wavelengths is substantially centered between approximately 400 nanometers and 410 nanometers. In yet another embodiment, the band of wavelengths is adapted to modify the rate of a chemical reaction.
In one embodiment, the coolant has a boiling temperature below approximately 45 degrees Celsius. In another embodiment, the coolant is a liquid selected from the group consisting of fluorinated organic compound, silicone oil, hydrocarbon oil and deionized water. In yet another embodiment, at least one of the plurality of radiation-emitting devices includes a coating that provides refractive index matching between the at least one of the plurality of radiation-emitting diodes and the coolant. In still another embodiment the flexible shaft is transmissive of at least a portion of radiation capable of being emitted by the plurality of radiation-emitting devices. The shaft may also include optically scattering material.
In another aspect of the present invention, a plurality of light-emitting diodes in the apparatus are arranged in at least one longitudinal array. The array includes a first flexible conductive buss and a second flexible conductive buss. The first the second buss are substantially parallel and not directly in contact with each other, and at least one of the first and the second buss includes a plurality of convolutions. A plurality of platforms is disposed substantially between the first buss and the second buss, and connected to the first buss by a first member and to the second buss by a second member. At least one light-emitting diode is disposed on each platform, and each of the at least one light-emitting diode is electrically coupled to the first buss and the second buss. In an embodiment the electrical coupling includes at least one electrical lead.
In another embodiment, each of the plurality of platforms has a top surface and a bottom surface and at least one of the plurality of light-emitting diodes is disposed on a top surface while another of the plurality of light-emitting diodes is disposed on a bottom surface. In yet another embodiment, the apparatus includes at least two arrays. In still other embodiments, the at least two arrays are substantially parallel to each other or follow substantially parallel helical paths. At least one of the light-emitting diodes in an array may emit light substantially within a band of wavelengths adapted to treat diseased tissue or substantially within a band of wavelengths adapted to modify the rate of a chemical reaction.
Another aspect of the present invention is apparatus for delivering radiation. The apparatus includes a flexible shaft having a distal end and a proximal end, a bore extending from a location near the distal end to the proximal end, and an outer surface defining at least one groove extending from a location near the distal end to the proximal end. A flexible sheath is proximate to the shaft, for example, surrounding the shaft. The sheath and the at least one groove define at least one channel. The sheath and the distal end of the shaft define a distal volume, through which the at least one channel and the bore are in fluid communication. In an embodiment, the apparatus has a substantially circular cross section.
A plurality of radiation-emitting devices is disposed within the at least one channel. The radiation-emitting devices are adapted to be electrically connected to a power source and the sheath is transmissive, at a location proximate the plurality of radiation-emitting devices, of at least a portion of radiation capable of being emitted by the plurality of radiation-emitting devices. A source of a coolant is connected to the at least one channel, the coolant being at least partially transmissive of radiation and substantially electrically nonconductive, whereby the coolant source, the at least one channel, the distal volume and the bore comprise a coolant loop. The light-emitting devices are cooled through contact with the coolant.
In an embodiment, the plurality of radiation-emitting devices are light-emitting diodes. In another embodiment, the at least one radiation-emitting device emits radiation substantially within a band of wavelengths adapted to treat diseased tissue. In yet another embodiment, the at least one radiation-emitting device emits radiation substantially within a band of wavelengths adapted to modify the rate of a chemical reaction.
The coolant may be a liquid selected from the group consisting of fluorinated organic compound, silicone oil, hydrocarbon oil and deionized water, and at least one of the plurality of radiation-emitting devices may include a coating substantially providing refractive index matching between the at least one of the plurality of radiation-emitting diodes and the coolant. In an embodiment, the sheath is made of a substantially biocompatible polymer. In other embodiments, the sheath, the shaft, or both are transmissive of at least a portion of radiation capable of being emitted by the plurality of radiation-emitting devices, and may contain optically scattering material.
In an embodiment, the plurality of radiation-emitting devices are arranged in at least one longitudinal array. The at least one array includes a first flexible conductive buss and a second flexible conductive buss, the busses being substantially parallel to each other and not directly in contact with each other. At least one of the first buss and the second buss includes a plurality of convolutions. A plurality of platforms are disposed between the first buss and the second buss, the platforms being connected to the first buss by a first member and to the second buss by a second member. A radiation-emitting device is disposed on each platform, and each radiation-emitting device is electrically coupled to the first buss and the second buss. The electrical coupling may include at least one electrical lead. In another embodiment, each platform has a top surface and a bottom surface and a radiation-emitting device is disposed on each surface. In still another embodiment, the plurality of radiation-emitting devices are arranged in at least two arrays. The at least two arrays may be parallel and may follow parallel helical paths.
Yet another aspect of the present invention is an apparatus that includes a first flexible conductive buss and a second flexible conductive buss, the first buss and the second buss being substantially parallel and not directly in contact with each other, at least one of the first buss and the second buss forming a plurality of convolutions. A plurality of platforms is disposed between the first buss and the second buss, the platforms being connected to the first buss by a first member and to the second buss by a second member. A plurality of electronic devices is disposed on the plurality of platforms, and electrically coupled to the first buss and the second buss. The electronic devices may be light-emitting devices. The apparatus also includes a flexible shaft that has a distal end and a proximal end, and an outer surface defining at least one groove extending from a location near the distal end to the proximal end. A flexible sheath is proximate the shaft, the sheath and the at least one groove defining at least one channel. The at least one array is disposed in the at least one channel.
Still another aspect of the present invention is a system for delivering light. The system includes a light-emitting probe. The probe includes a flexible shaft having a distal end and a proximal end, at least two internal channels extending from the distal end to a location closer to the proximal end and in fluid communication with each other within the shaft at a location proximate to the distal end, a plurality of light-emitting devices disposed within at least one of the channels, and a plurality of electrical leads adapted for electrically coupling the plurality of light-emitting devices to a source of electrical power. The system also includes a coolant system coupled to at least one channel. The coolant system provides a coolant for flowing through the at least two channels, the coolant and at least a portion of the shaft proximate to the light-emitting devices being transmissive of at least a portion of light capable of being emitted by the plurality of light-emitting devices. The system further includes an electrical power supply coupled to the plurality of electrical leads. The electrical power supply provides a source of electrical power for energizing the plurality of light-emitting devices.
The foregoing and other features and advantages of the present invention will become more apparent from the following description, accompanying drawings and claims.
Aspects and features of the present invention may be better understood by referring to the following description in conjunction with the accompanying drawings and claims, in which like numerals indicate like structural elements and features in various figures. The drawings are not necessarily to scale, emphasis instead being placed upon illustrating embodiments and features of the invention.
Certain exemplary embodiments will now be described to provide an overall understanding of the aspects and features of the apparatus, systems and methods of use disclosed herein. Examples of these embodiments and features are illustrated in the drawings. Those of ordinary skill in the art will understand that the apparatus, systems and methods of use disclosed herein can be adapted and modified to provide apparatus, systems and methods for other applications and that other additions and modifications can be made without departing from the scope of the present disclosure. For example, the features illustrated or described as part of one embodiment or one drawing can be used on another embodiment or another drawing to yield yet another embodiment. Such modifications and variations are intended to be included within the scope of the present disclosure.
The present invention relates to devices, systems and methods for delivering radiation or light to an interior, including to an interior of a lumen. The term lumen is used herein to mean the interior of a hollow organ in a human or animal body, and more generally to refer to any tubular or hollow item. Among other things, the invention also relates to systems for the diagnosis and treatment of infections within a lumen in a patient.
An exemplary embodiment of a radiation-generating system or light-generating system 100 of the present invention is illustrated in
Examples of materials appropriate for constructing the shaft 108 include natural and synthetic polymers such as polyolefins, fluoropolymers, polyurethanes, polyesters, and rubber products. For some embodiments, the material of the shaft 108 is also chosen to be optically transparent, translucent or reflective at an optical emission wavelength of the light-emitting probe. For some embodiments, the material of the shaft 108 is chosen to be compatible with selected liquid coolants discussed hereinbelow. For some embodiments, the material of the shaft 108 is chosen to be biocompatible, that is, safe for direct contact with living tissue. In an embodiment, the shaft 108 is made of Fluorinated Ethylene Propylene polymer (FEP). In another embodiment, the shaft 108 is made of polytetrafluoroethylene (Teflon). FEP and Teflon are trademarks of DuPont.
A continuous groove 116 extends longitudinally along the shaft 108 from the distal shaft end 110 substantially to the proximal shaft end 112. A sheath 118 that may be flexible and transparent closely surrounds the shaft 108, defining a continuous longitudinal channel or passage 120 within the groove 116. The sheath 118 has a distal sheath end 122 and a proximal sheath end 124. The distal sheath end 122 extends distally beyond the distal shaft end 110 and is closed, defining a plenum volume 126 between the distal sheath end 122 and the distal shaft end 110. The passage 120 is in fluid communication with the bore 114 substantially at the distal shaft end 110. Fluid communication between the passage 120 and the bore 114 may be provided by the plenum volume 126. An interior channel 127 may also be provided to provide fluid communication between the passage 120 and the bore 114. The sheath 118 preferably comprises a flexible polymeric material that is electrically nonconductive.
The sheath 118 and the shaft 108 may be fabricated or formed as a unitary part. Alternatively, instead of using a sheath, strips of any appropriate shape of material adapted to the shape, width and length of the groove 116 may be secured over the groove 116 to form a passage 120. In such case, instead of the sheath 118 defining a plenum volume, a cap or similar item may be secured at the distal shaft end 110 to define a plenum volume.
Examples of materials appropriate for constructing the sheath 118 include natural and synthetic polymers such as polyolefins, fluoropolymers, polyurethanes, polyesters, and rubber products. The material of the sheath 118, either in whole or in part, is also chosen to be optically transparent, translucent or reflective at an optical emission wavelength of the light-emitting probe. The optical properties of the sheath 118 (or the strips discussed above) may also be patterned to selectively transmit, scatter, reflect, or absorb light at an optical emission wavelength of the probe 102 as a function of position along the probe 102 or circumferentially about the probe 102. For some embodiments, the material of the shaft 108 is also chosen to be compatible with selected liquid coolants discussed hereinbelow. For some embodiments, the material of the sheath 118 is preferably chosen to be biocompatible. In an embodiment, the sheath 118 is preferably made of Fluorinated Ethylene Propylene polymer (FEP). In another embodiment, the sheath 118 is preferably made of polyethylene.
In some embodiments, one or both of the sheath 118 and the shaft 108 is impregnated with an optically scattering material, is provided with a reflective coating or includes a wavelength-converting material. The sheath may also be patterned to provide different optical properties depending on a position along the probe 102.
The passage 120 and the bore 114 together define a coolant loop within the probe 102. At substantially the proximal shaft end 112 and the proximal sheath end 124, each of the bore 114 and the passage 120 is coupled to the coolant supply 104 for flowing an electrically nonconductive liquid coolant through the loop. The coolant has optical properties suitable for passing light out of the probe and, for use in medical applications, is preferably chosen to be a room-temperature liquid that is safe for contact with living tissue (a biosafe liquid).
Examples of coolants suitable for use in a probe of the present invention include fluorinated organic compounds, silicone oils, hydrocarbon oils and deionized water. A coolant may also be selected to have a boiling temperature that is lower than a scalding temperature of living tissue. Such a fluid vaporizes before becoming hot enough to scald tissue. In an embodiment, the coolant is selected to have a boiling temperature lower than about 45 degrees Celsius. Coolants having a boiling point suitable for preventing scalding of tissue are available commercially. For example, 3M Corporation manufactures such a coolant under the trade name Fluorinert.
In an embodiment related to medical device applications, coupling between the loop and the coolant supply 104 can be any fluid coupling means appropriate for incorporation into medical apparatus. In an embodiment, coupling between the loop and the coolant source comprises quick-connect plumbing fittings. In an embodiment, the coolant supply 124 is a recirculating coolant system that maintains coolant flowing through the loop at substantially a constant temperature. In one embodiment, coolant flows distally through the bore 114 and proximally through the passage 120. In another embodiment, coolant flows distally through the passage 120 and proximally through the bore 114.
A plurality of light-emitting devices 128 is disposed within the passage 120, spaced apart as a longitudinal array. The plurality of light-emitting devices 128 is immersed in the coolant within the passage 120 and oriented to direct emitted light out of the probe 102 through the coolant and the sheath 118. The plurality of light-emitting devices 128 may also include passive or active electronic sensors, active devices such as acoustic or ultrasonic transducers, radiation-emitting devices, electrically-energized radiation sources such as x-ray sources (which are very short wavelength light sources) or combinations thereof. The light-emitting devices may be substituted in whole or in part by the foregoing electronic devices in a probe of the present invention. The sheath 118 may be opaque in particular in probes lacking optical sensors or light-emitting devices. In an embodiment, preferably all or substantially all of the sheath 118 near the plurality of light-emitting devices 128 is optically transparent, translucent or reflective at an optical emission wavelength of the light-emitting probe 102.
Each of the plurality of light-emitting devices 128 is electrically connected in a circuit that is energized through a plurality of electrical leads 130 routed through the passage 120 to the proximal shaft end 112, and coupled to the power supply 106 for energizing the plurality of light-emitting devices 128. In connection with medical applications, coupling between the plurality of electrical leads 130 and the power supply 106 can be any electrical coupling means appropriate for incorporation into a medical apparatus. In an embodiment, the electrical leads 130 are coupled to the power supply 106 by an electrically shielded in-line connector. In another embodiment, the proximal shaft end 112 and the proximal sheath end 124 are connected to an integrated assembly having both coolant and electrical connectors mounted thereon. In an embodiment, the electrical power supply 106 is a regulated power supply that regulates light output from the plurality of light-emitting devices 128. In an embodiment a signal provided by a sensor mounted within the probe 102 is used to control the power supply 106.
The effects of light incident on a biological tissue or on a non-living material can depend on the wavelength of the incident light. For example, light in the wavelength range of 360 nanometers (nm) to 650 nm, and preferably in a wavelength range of 400 nm to 410 nm, centered near 405 nm, has been demonstrated to disable or kill H. Pylori bacteria without substantial damage to adjacent healthy tissue. The plurality of light-emitting devices 128 can be constructed to emit light within one or more predetermined range of wavelengths (emission band) targeting absorption bands of a selected photosensitizer. For example, the plurality of light-emitting elements 128 can comprise light-emitting diodes manufactured to have an emission band centered at a selected infrared, visible or near-ultraviolet wavelength that induces a photochemical reaction in a target material. In an embodiment, the plurality of light-emitting devices 128 emits light substantially within an emission band operative to disable or kill a bacterium without substantially damaging adjacent healthy tissue.
The coolant and the sheath 118 transmit at least a portion of the light emitted by the plurality of light-emitting devices 128. The coolant may be either substantially transparent to the light or may scatter the light, in the latter case making the coolant appear translucent. We use the term transmissive herein to describe both transparent and translucent materials. Similarly, the sheath 118 may be either substantially transparent or translucent in its entirety or substantially solely in locations proximate to the light-emitting devices 128. In an embodiment, each of the coolant and the sheath 118 is substantially transparent to light emitted by the plurality of light-emitting devices. Optically transparent materials for probes of the present invention are preferably selected so as to transmit least approximately 50% and preferably greater than 80% of the light emitted by light-emitting devices in the probe and directed through the transparent materials to exit the probe.
Light-emitting surfaces of the light-emitting devices may be coated with a transparent film that grades the refractive index at the interface between the light-emitting device and the coolant, thereby reducing reflective losses at that interface. The refractive index-grading material may comprise a curable silicone adhesive. In an embodiment, the refractive index grading material is a silicone encapsulant having a refractive index in the range of about 1.45 to 1.55.
A plurality of light-emitting devices 162 is disposed in each of the four passages 152. The shaft 154 includes a longitudinal bore 164 that is in fluid communication with each of the four passages 152. The probe 150 may be configured for coolant to flow distally through the bore 164 and proximally through each of the four passages 152. The probe 150 may alternatively be configured for coolant to flow distally through each of the four passages 152 and proximally through the bore 164. The four passages 152 and the bore 164 are preferably dimensioned so as to provide a substantially equal distribution of coolant flow among the four passages.
One or more light-emitting device 264 is disposed in one or both of the first internal passage 258 and the second internal passage 260. A plurality of electrical leads 266 electrically connects the one or more light-emitting device 264 through the proximal end 256 to an external electric power source for energizing the one or more light-emitting device. The one or more light-emitting device 264 may be one or more light-emitting diode. In an embodiment the one or more light-emitting device 264 is a plurality of light-emitting diodes in a spaced-apart longitudinal array along at least one of the first internal passage 258 and the second internal passage 260. The tube is at least partially transmissive of light emitted by the one or more light-emitting device 264 either in whole or at locations proximate to the one or more light-emitting device 264. In an embodiment, the tube is biocompatible.
Liquid-cooled probes of the present invention can be constructed to produce high light output power in small diameter packages. For example, one light-emitting probe of the present invention 5 mm in diameter and having four passages for arrays of light-emitting diodes longitudinally spaced one millimeter apart and operating in a wavelength band near 405 nm has an approximate output power substantially equal to or greater than one watt per centimeter of probe length. In an embodiment, a light-emitting probe of the present invention having a radius of substantially 5 millimeters produces light having an optical power of approximately five watts per centimeter of probe length.
A plurality of light-emitting devices for inclusion in a flexible, light-emitting probe of the present invention can be configured as a unitary longitudinal array of light-emitting devices for assembly into the probe, or can be configured in segments.
A plurality of electrically conductive platforms or islands 320 are spaced apart along the axis 308 between the first buss 302 and the second buss 304. Each of the plurality of islands has an island top surface 322 above the plane 306 and an island bottom surface 324 below the plane 306. In an embodiment, the first buss 302, the second buss 304 and the plurality of islands are fabricated from a single planar strip of a metal. In an embodiment, the metal is copper. Each of the plurality of islands 320 is preferably connected to the first buss 302 and the second buss 304 through at least one flexible hinge member 326. The at least one hinge member 326 may be discontinuous and may comprise a flexible curable adhesive.
One of a plurality of light-emitting diodes 328 is electrically and mechanically mounted to the island top surface of each of the plurality of islands 320. The plurality of light-emitting diodes 328 may be mounted using soldering, an electrically conductive epoxy, or any mounting means compatible with the materials and structure of the array 300. The plurality of light-emitting diodes 328 is mounted at an orientation to direct emitted light in a direction generally away from the plane 306. A plurality of flexible electrical leads 330 electrically interconnect the plurality of light-emitting diodes 328 in an electrical circuit between the first buss 302 and the second buss 304. In an embodiment the first buss 302 is electrically connected as a cathode and the second buss 304 is electrically connected as an anode.
In an embodiment, the electrical circuit is a series-parallel circuit wherein groups of electrically series-connected light-emitting diodes of the plurality of light-emitting diodes 328, are electrically connected in parallel between the first buss 302 and the second buss 304.
The array 300 of
A plurality of electrically conductive islands 470 are preferably spaced apart along the axis 458 bridging the first buss 452 and the second buss 454. Each of the plurality of islands has an island top surface 472 and a island bottom surface 474. In an embodiment, the first buss 452, the second buss 454 and the plurality of islands 470 are all made of copper. The island bottom surface 474 of each of the plurality of islands 470 is connected to the first buss top surface 460 through a first hinge member 475 which is preferably flexible. The island bottom surface 474 of each of the plurality of islands 470 is connected to the second buss top surface 464 through a second hinge member 476 which is preferably flexible. Each of the first 475 and the second hinge member 476 may comprise a flexible curable adhesive.
One of a plurality of light-emitting diodes 478 is electrically and mechanically mounted to the island top surface of each of the plurality of islands 470. The plurality of light-emitting diodes 478 may be mounted using soldering, an electrically conductive epoxy, or any mounting means compatible with the materials and structure of the array 450. The plurality of light-emitting diodes 478 is mounted at an orientation to direct emitted light in a direction generally away from the plane 456. A plurality of flexible electrical leads 480 electrically interconnect the plurality of light-emitting diodes 478 in an electrical circuit between the first buss 452 and the second buss 454. In an embodiment the first buss 452 is electrically connected as a cathode and the second buss 454 is electrically connected as an anode. The plurality of islands 470 also position the array 450 when it is disposed in a passage of a light-emitting probe.
In another embodiment, the plurality of electrical leads 504 also serves as a plurality of positioning members to physically center the segmented array 500 within an internal passage of a light-emitting probe of the present invention.
Embodiments of segmented light-emitting arrays of the present invention may be physically flexible through flexion of the plurality of flexible electrical leads that interconnect light-emitting segments. The flexible electrical leads also may provide flexibility for a segmented light-emitting array by compression or extension of individual leads between adjacent light-emitting segments, in a manner similar to in-plane flexion of the plurality of convolutions 318 of the electrical busses 302, 304 shown in
An embodiment of a light-emitting probe of the present invention may include means to maintain a minimum distance from a wall of a lumen or for centering in a lumen.
The light-emitting probes and systems disclosed herein have many advantages, including but not limited to advantages related to liquid cooling. Liquid cooling of light-emitting diodes may enable these devices to output approximately four to ten times their nominal factory-specified light power without overheating. For example, an individual light-emitting diode having a manufacturer's specification of a maximum light power output of 12 milliwatts in air may be operated continuously at a light output power of approximately 120 milliwatts using liquid cooling. This increase in light output may enable a probe of the present invention to be used to treat a dramatically larger surface in a lumen, or to similarly decrease a treatment time, relative to known probes that are either uncooled, passively cooled, or air-cooled. Liquid cooling of light-emitting probes that incorporate these energy-consuming, active devices also may dramatically enhance patient safety over what can be achieved using other cooling means.
An exemplary embodiment of a medical procedure performed according to the present invention is the treatment of H. Pylori infection of the human stomach. Steps in an H. Pylori treatment procedure may include setting up a light-emitting probe for use. Setting up the probe may include attachment to a power source and a coolant source, calibration of the probe's light emission, and evaluation of the probe's condition and history to ensure patient safety and efficacy of the procedure.
In an embodiment, the physician inserts an endoscope into the patient's stomach and performs a diagnostic endoscopy. A guidewire may be placed in a biopsy channel of the endoscope and into the stomach, and the endoscope may be removed, leaving the guidewire in place. The light-emitting probe, placed in a catheter that may be a balloon catheter, is introduced into the stomach over the guidewire, which may then be removed, leaving the probe and the catheter in place in the stomach. One or more balloon of the catheter may be inflated, positioning the probe in the stomach, and the probe may be turned on to deliver a therapeutic dose of light to the stomach wall. The dose may be a predetermined, timed dose, or the dose may be measured and controlled during the light exposure using feedback from one or more sensor that may be incorporated into the probe.
Following delivery of the therapeutic light, the one or more balloon is deflated and the probe is withdrawn from the stomach. The probe may then cleaned and disinfected, for example, using glutaraldehyde, in preparation for use in another procedure. In an embodiment, the probe includes a mechanism or electronics to determine its remaining useful functional life.
Embodiments of light emitting probes disclosed herein can be advantageous for many applications of light-emitting probes requiring light output, and particularly for applications requiring light to accelerate specific chemical reactions without causing thermal damage. Examples of non-medical applications of light probes disclosed herein in lumens include internal disinfection of pipes and ventilation ducts, rapid curing of internal coatings such as epoxy repairs of pipes, chemical cross-linking of polymeric surfaces to reduce susceptibility to chemical damage or wear, and photochemical deposition of optical or electronic materials within confined spaces. A probe to be used in a specific application may be designed to include light-emitting elements that emit light in a predetermined wavelength band for accelerating specific target chemical reactions for the application. For example, near ultraviolet light is used in the automotive industry and in and other industries to cure paint rapidly without thermal damage to the paint or an underlying part.
The enhanced physical flexibility of embodiments of light-emitting diode arrays disclosed herein may also be advantageous. In an embodiment, the structure of the arrays enables the arrays to be flexed in any direction about a longitudinal array axis. Known flexible arrays of light-emitting diodes are built on substrates that restrict flexibility in the substrate plane. Flexibility can be especially important, for example, in high-output probes that include circumferentially-distributed arrays of light-emitting diodes, where the arrays are oriented at a range of angles about their respective axes within the probe. In an embodiment, the structure of arrays also facilitates contact between the light-emitting diodes and a coolant in a liquid-cooled probe, for optimal heat transfer. Embodiments of arrays disclosed herein can be applied advantageously not only to liquid-cooled probes, but to any type of radiation-emitting probe, or probes utilizing other electrical devices.
Many changes in the details, materials, and arrangement of parts, herein described and illustrated, can be made by those skilled in the art. Although the invention has been shown and described with respect to detailed embodiments thereof, it will be understood that changes may be made without departing from the spirit and scope of the claimed invention. Accordingly, the following claims are not to be limited to the embodiments disclosed herein.
This application incorporates by reference, and claims priority to and the benefit of U.S. Provisional Patent Application No. 60/520,465, filed on Nov. 14, 2003. The present application is related to co-pending application Ser. No. ______ filed on the same date as this application, entitled, “Flexible Array”, by inventors Marc D. Friedman, Stephen Evans, Paul J. Zalesky, Jon Dahm, and Philip Levin, and such co-pending application is incorporated herein by reference.
| Number | Date | Country | |
|---|---|---|---|
| 60520465 | Nov 2003 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | 10878649 | Jun 2004 | US |
| Child | 11779663 | Jul 2007 | US |
