1. Field of the Invention
One or more embodiments of the invention are related to the field of medical instruments known as colposcopes that include illumination and viewing magnification. More particularly, but not by way of limitation, one or more embodiments of the invention enable a portable battery powered self-illuminated multispectral multi-magnification colposcope for visual inspection of the cervix, vagina and vulva.
2. Description of the Related Art
Colposcopes are utilized to detect pre-malignant and other pathological tissue through visual inspection of the cervix, as well as identifying locations for biopsy. Early detection of pre-malignant, malignant and other pathological tissue generally reduces cancer mortality. An appropriate colposcopic examination requires (a) high optical image quality, which allows high resolution at high magnification and (b) high illumination quality in terms of: intensity, homogeneity, color rendering and broad light spectrum. Typical colposcopes are heavy optical devices that are generally not readily portable. The types of colposcopes generally require physical support structures, stands or other mounts. A typical colposcope may weigh 8 kg, or 17 pounds, or more, which is generally too heavy for one-handed operation. In addition, typical colposcopes utilize halogen or other inefficient light sources that require a cooling system and an alternating current electrical source, which further limits their portability. Further, the internal optics are sensitive to mechanical impact and tends to miss align when the colposcope is transported, thus further reducing the transportability of typical colposcopes. These devices allow for detailed visual inspection of the cervix in a relatively fixed location, such as a doctor's office or hospital for example. Hence, patients generally travel to the colposcope based on the portability problems of standard colposcopes. This may occur after an abnormal Pap smear or example or clinical symptoms suggestive of possible malignancy.
Based on their cost, size and stationary nature, colposcopes are mainly utilized in industrialized nations. In third world countries, where access to cervical examinations is limited, cervical cancer represents a high percentage of cancer mortality for women. Hence, portable devices have been developed in an attempt to provide visual examination of the cervix.
Current portable colposcope implementations have limitations with respect to the illumination spectrum emitted, magnification viewing provided, in addition to weight and power limitations. Optical inspection without proper light or magnification is not effective in finding abnormal tissue that may be discovered using heavier, non-portable colposcopes. Hence, known portable colposcopes currently do not provide optimal examinations based on their illumination intensity, illumination homogenicity, color rendering, optical image quality, illumination spectrum, weight, power usage, which limits their efficacy in third world countries.
For at least the limitations described above there is a need for a portable battery powered self-illuminated multispectral multi-magnification colposcope.
One or more embodiments described in the specification enable a portable battery powered self-illuminated multispectral multi-magnification colposcope that includes a housing that enables a light path generally to travel through the housing. The apparatus is designed to be lightweight and small enough to be portable and operated with one hand of a doctor in general. Embodiments of the apparatus near the eyepiece may be configured to angle downward and away from the doctor's nose and face. The apparatus may output two or more wavelength ranges, generally from the front of the apparatus, wherein light reflected from the cervix of a patient travels back through the device in a “light path”. The light may originate from one or more LED that has an adjustable output frequency spectrum, e.g., that can have different intensities for different output frequency ranges. In or more embodiments this may be implemented with one or more filters placed in front of one or more LED's, for example to allow a white mode and a non-Red mode or to pass Blue and Green ranges, or any other ranges desired. The light path passes through one of two or more magnification paths, for example fixed magnification levels, and the light path exits the apparatus via an eyepiece. Embodiments may be constructed in any size that is generally portable for example pocket-sized with a exemplary length of 166 mm, height of 83 mm, and width of 50 mm, and that weighs 430 g, which is far smaller and more portable than the 8000 g stationary devices known in the art. Embodiments of the invention are not limited to these exemplary dimensions, which are listed to show the dimensions relative to the stationary devices known in the art. The apparatus may include user interface elements to accept inputs to set the frequency spectrum or wavelength range of projected light, the magnification level, and to turn the apparatus off and on. For example, embodiments may also utilize user interface elements such as a mode selector and magnification selector to enable a doctor to operate the illumination and magnification of the apparatus, for example with middle and index fingers of the same hand as that which supports the apparatus.
Embodiments of the apparatus may be implemented with two or more tubes or barrels that receive and pass light that is reflected from a cervix of the patient to the eyepiece when a selected magnification level path is located in the light path. The tubes may be rotated by gears and a motor for example in one or more embodiments, or may be implemented as manually rotatable elements. The barrels may be balanced to weigh approximately the same so that the apparatus is balanced and therefore the center of gravity of the apparatus does not change when the barrels are rotated. This also makes for a more stable apparatus that minimizes overall motion as the barrels turn, which makes for an easier examination by the doctor holding the apparatus in one hand for example. Embodiments may utilize sealed user interface elements for the mode selector and magnification selector to provide a water resistant or water proof enclosure to protect the internal components.
In one or more embodiments, the first of the two or more discrete magnification level paths may utilize a magnification level of 5 power and a second of the two or more discrete magnification level paths may utilize a magnification level other than 5 power. Other embodiments may utilize three or more discrete magnification level paths wherein a first of the three or more discrete magnification level paths includes a magnification level of 5 power and a second of the three or more discrete magnification level paths includes a magnification level of 8 power and a third of the three or more discrete magnification level paths includes a magnification level of 12 power. Any other values may be utilized for magnification levels in two, three or any number of fixed powers greater than three in keeping with the spirit of the invention.
One or more types of power source may be utilized to power the internal components of the apparatus. The internal components that are powered may include a controller and/or buttons. The apparatus may also utilize a status indicator to show status of the device, such as power status, warning or error status, or any other information. Heat sinks may be utilized to cool internal components. Embodiments of the invention allow for charging power source associated with the apparatus via positive and negative charge terminals.
Embodiments may accept an operator gesture respectively and pass the gesture to the controller, wherein the controller is configured to alter the operation of the at least one illuminator between a white mode and a green mode of illumination. For example, in one or more embodiments a magnification of 12 power is selected from the two or more discrete magnification level paths when the green mode of illumination is selected and wherein the magnification is not altered when the white mode is selected via the gesture.
User interface elements may include a first touch sensitive area configured to transmit the gesture to the controller that is configured to increase and decrease light intensity when in a white mode of illumination based on the gesture. One or more embodiments may also include a second touch sensitive area configured to increase and decrease magnification respectively via the controller that is configured to switch between the two or more discrete magnification level paths based on the gesture.
Embodiments may also utilize at least one of the two or more discrete magnification level paths having a curved focal plane configured to approximate a typical curvature of the cervix to provide better viewing of the cervix. The curved focal plane enables better tolerance for movement between the cervix and the device, while still providing a focused image in the eyepiece. In one or more embodiments, the curved focal plane is implemented to have a curvature having a radius of approximately 40 cm.
The above and other aspects, features and advantages of the invention will be more apparent from the following more particular description thereof, presented in conjunction with the following drawings wherein:
A portable battery powered self-illuminated multispectral multi-magnification colposcope will now be described. In the following exemplary description numerous specific details are set forth in order to provide a more thorough understanding of embodiments of the invention. It will be apparent, however, to an artisan of ordinary skill that the present invention may be practiced without incorporating all aspects of the specific details described herein. In other instances, specific features, quantities, or measurements well known to those of ordinary skill in the art have not been described in detail so as not to obscure the invention. Readers should note that although examples of the invention are set forth herein, the claims, and the full scope of any equivalents, are what define the metes and bounds of the invention.
Embodiments of the invention may utilize a separate portion, such as back housing 103 to couple with or otherwise mount eyepiece 120, or back housing 103 may be formed as part of left main housing 101 and/or right main housing 102. Heat sink 140 may be utilized to dissipate heat from internal components if desired. Any number of heat sinks may be utilized. Mode selector 130 and magnification selector 131 enable a right-handed operator, such as a doctor to operate the illumination and magnification of the apparatus, for example with middle and index fingers of the same hand as that which supports the apparatus. One or more embodiments may include mirrored buttons on the right side, which is not shown, to accommodate left-handed operation for example.
Also shown is the power source, namely battery 920, which is held by battery clip 921, in battery housing 922 that holds battery charge pin 923. Any other method or structure may be utilized to hold the power source, internally or externally or both and of any type of power source, for example a fuel cell. Micro energy harvesting may also be utilized to translate mechanical motion of the apparatus into power to recharge the battery for example. Regardless of the type of power source, the power source is utilized to power the internal components of the apparatus. The internal components that are powered may include controller 930 and/or buttons, for example touch switch PCB 940.
One or more embodiments of the invention utilize a microcontroller, or any type of controller coupled with the at least one illuminator and the two or more discrete magnification level paths. The controller is generally configured to receive user input to control the at least one illuminator and the two or more discrete magnification level paths. In one or more embodiments of the invention, after the apparatus is powered on, for example via power button 110, the controller accepts inputs from mode selector 130 and magnification selector 131 and asserts power to at least one illuminator 520/521 to project light forward towards a cervix of the patient. One or more embodiments of the invention power up in 8 power magnification mode with white light wavelength range selected. Light reflecting back through the glass cover 530 enters the magnification path that is in line with the glass cover and otherwise in the light path of the apparatus, which then reflects off of the two prisms held in prism clamps 910 and 911 and passes through eyepiece 120 to reach the eye of the doctor performing the examination. The controller continues to accept inputs and assert illuminators as instructed or alter magnification levels until the power button is asserted again. In one or more embodiments, the apparatus may power off automatically after a timeout when no movement has been detected via an accelerometer for a predefined time period. In other embodiments, if no user inputs are received within a predefined time period via selectors 130 or 131, then the apparatus may power off.
Embodiments of the invention may utilize at least one user interface element configured to accept an operator gesture and pass the gesture to the controller to control the at least one illuminator and the two or more discrete magnification level paths wherein the user interface element may be operated with the hand of the operator that supports the housing. The gesture may alter the operation of the at least one illuminator and the two or more discrete magnification level paths respectively. In other embodiments, the apparatus includes at least two user interface elements configured to accept an operator gesture respectively and pass the gesture to the controller, wherein the controller is configured to alter the operation of the at least one illuminator between a white mode and a green mode of illumination and wherein a magnification of 12 power is selected from the two or more discrete magnification level paths when the green mode of illumination is selected and wherein the magnification is not altered when the white mode is selected via the gesture. One or more embodiments of the at least one user interface element may include a first touch sensitive area configured to transmit the gesture to the controller that is configured to increase and decrease light intensity when in a white mode of illumination based on the gesture. One or more embodiments may also include a second touch sensitive area configured to increase and decrease magnification respectively via the controller that is configured to switch between the two or more discrete magnification level paths based on the gesture.
One or more embodiments as shown form a light path with a focal distance of approximately 300 mm, having an eyepiece exit pupil diameter of approximately 3 mm, wherein the front housing, or second side utilizes an entrance aperture of between 8 and 12 mm. In one or more embodiments, the at least one illuminator includes at least two light emitting diodes and one filter. In other embodiments, the at least one illuminator includes at least two filters and one light emitting diode, wherein one filter may be clear or not for example. In one or more embodiments the illuminators provide two or more wavelength ranges includes a first wavelength range of 400-650 nm, and a second wavelength range of 315 and 700 nm with respect to internal transmittance of at least 1%. In other embodiments, the two or more wavelength ranges includes a first wavelength range of 425-625 nm, and a second wavelength range of 600-670 nm with respect to internal transmittance of at least 1%. In some embodiments, the controller is further configured to control luminous intensity of the at least one illuminator, for example to provide different output levels. Other embodiments may sense ambient or received light intensity and adjust the output level of the illuminators accordingly to provide fixed intensity output levels. In one or more embodiments, the at least one illuminator may output a luminosity of at least 5000 Lux, or 7500 Lux, or 9000 Lux, or any other value for example depending on the particular desired operational characteristics of the intended implementation. In one implementation PHILIPS® LUXEON® REBEL ES® LED's are utilized, with part number LXW9-PW30, having a temperature profile of 3000K, with a color rendering index of 90-95, minimum flux of at least 120 lumens.
In one or more embodiments, the first of the two or more discrete magnification level paths may utilize a magnification level of 5 power and a second of the two or more discrete magnification level paths may utilize a magnification level other than 5 power. Other embodiments may utilize three or more discrete magnification level paths wherein a first of the three or more discrete magnification level paths includes a magnification level of 5 power and a second of the three or more discrete magnification level paths includes a magnification level of 8 power and a third of the three or more discrete magnification level paths includes a magnification level of 12 power. Any other values may be utilized for magnification levels in two, three or any number of fixed powers greater than three in keeping with the spirit of the invention.
Embodiments may implement three or more discrete magnification level paths that include a first depth of focus of approximately 9 mm, approximately 5 mm, and approximately 2.5 mm at 10% contrast respectively. Embodiments may implement three or more discrete magnification level paths that include a first separation between discernable points of 40 um or less, 25 um or less, 17 um or less at 10% contrast respectively.
Embodiments of the two or more discrete magnification level paths may utilize a curved focal plane configured to approximate a typical curvature of the cervix to enable a more robust viewing of the cervix when the apparatus is held by hand. In one embodiment, the curved focal plane configured with a curvature having a radius of approximately 400 mm.
While the invention herein disclosed has been described by means of specific embodiments and applications thereof, numerous modifications and variations could be made thereto by those skilled in the art without departing from the scope of the invention set forth in the claims.