1. Field of the Invention
This application relates generally to devices and methods used to irradiate portions of a patient's body with electromagnetic radiation.
2. Description of the Related Art
For treatment of various conditions or maladies (e.g., ischemic stroke), laser light is applied to a selected portion of the human body (e.g., the scalp) by pressing an optical assembly against the body and irradiating the body with laser light from a light delivery apparatus. To avoid unduly heating the irradiated tissue, the irradiated portion of the body can be cooled during irradiation by a portion of the optical assembly in contact with the body. The possibility of cross-contamination between subsequently-treated patients can be a concern in such instances.
In certain embodiments, an optical assembly is releasably mountable to a light delivery apparatus comprising at least one heat dissipating surface. The optical assembly comprises an output optical element comprising a thermally conductive and optically transmissive material. The optical assembly further comprises a thermal conduit in thermal communication with the output optical element and comprising at least one surface configured to be in thermal communication with the at least one heat dissipating surface. The optical assembly further comprises a coupling portion configured to be placed in at least two states comprising a first state and a second state. In the first state, the coupling portion is attached to the light delivery apparatus such that the at least one surface of the thermal conduit is in thermal communication with the at least one heat dissipating surface of the light delivery apparatus. In the second state, the coupling portion is detached from the light delivery apparatus after having been attached to the light delivery apparatus in the first state and in which the coupling portion is configured to prevent re-attachment of the coupling portion to the light delivery apparatus.
In certain embodiments, an optical element is releasably mountable to a mounting portion of a light delivery apparatus. The optical element comprises a coupling portion adapted to be coupled to the mounting portion of the light delivery apparatus. The coupling portion is configured to be placed in at least two states comprising a first state and a second state. In the first state, the coupling portion is attached to the light delivery apparatus. In the second state, the coupling portion is detached from the light delivery apparatus after having been attached to the light delivery apparatus in the first state and in which the coupling portion is configured to prevent re-attachment of the coupling portion to the light delivery apparatus.
In certain embodiments, a light delivery apparatus comprises a mounting portion and an optical element releasably mountable to the mounting portion. The optical element is adapted to be in at least two states comprising a first state and a second state. In the first state, the optical element is attached to the mounting portion. In the second state, the optical element is detached from the mounting portion after having been attached to the mounting portion in the first state and the optical element is configured to prevent re-attachment of the optical element to the mounting portion.
In certain embodiments, an optical assembly is releasably mountable to a light delivery apparatus comprising at least one heat dissipating surface. The optical assembly comprises an optical element comprising a thermally conductive and optically transmissive material. The optical assembly further comprises a thermal conduit in thermal communication with the output optical element and comprising at least one surface configured to be in thermal communication with the at least one heat dissipating surface. The optical assembly further comprises a coupling portion configured to releasably mount to the light delivery apparatus such that the at least one surface of the thermal conduit is in thermal communication with the at least one heat dissipating surface by rotating relative to and engaging a corresponding portion of the optical assembly without the at least one surface of the thermal conduit rotating relative to the at least one heat dissipating surface.
In certain embodiments, a light delivery apparatus has at least one heat dissipating surface. The light delivery apparatus comprises a mounting portion and an optical assembly. The optical assembly comprises an optical element comprising a thermally conductive and optically transmissive material. The optical assembly further comprises a thermal conduit in thermal communication with the optical element and comprising at least one surface configured to be in thermal communication with the at least one heat dissipating surface. The optical assembly further comprises a coupling portion configured to releasably mount to the mounting portion such that the at least one surface of the thermal conduit is in thermal communication with the at least one heat dissipating surface by rotating relative to and engaging a corresponding portion of the light delivery apparatus without the at least one surface of the thermal conduit rotating relative to the at least one heat dissipating surface.
In certain embodiments, a method releasably mounts an optical assembly to a light delivery apparatus comprising at least one heat dissipating surface. The method comprises providing an optical assembly adapted to be in at least two states comprising a first state and a second state. In the first state, the optical assembly is attached to the light delivery apparatus. In the second state, the optical assembly is detached from the light delivery apparatus after having been attached to the light delivery apparatus in the first state and the optical assembly is configured to prevent re-attachment of the optical assembly to the light delivery apparatus. The method further comprises attaching the optical assembly to the light delivery apparatus. The method further comprises detaching the optical assembly from the light delivery apparatus.
To reduce the probability of cross-contamination, the optical assembly of certain embodiments described herein is advantageously releasably mounted to the light delivery apparatus, thereby allowing the optical assembly to be (i) sterilized or otherwise cleaned separate from the light delivery apparatus, or (ii) disposed of after a single use. The optical assembly can be configured to be attached or affixed to the light delivery apparatus, and after the patient's body has been irradiated, the optical assembly can be detached or removed from the light delivery apparatus. In certain “single-use” embodiments, after being removed, the optical assembly of certain embodiments is configured to not be re-attachable to the light delivery apparatus.
In certain embodiments, the light delivery apparatus 10 is configured to deliver light to a portion of a patient's body. For example, in certain embodiments, the light delivery apparatus 10 is configured for treatment of a patient's brain by irradiating a portion of the patient's scalp with a predetermined wavelength and power density of laser light (e.g., as described in U.S. Pat. No. 7,303,578, which is incorporated in its entirety by reference herein).
In certain embodiments, as schematically illustrated by
The at least one heat dissipating surface 20 of the light delivery apparatus 10 in certain embodiments comprises a thermally conductive material (e.g., copper, aluminum, or other metal) which is in thermal communication with a cooling system (not shown). The cooling system in accordance with certain embodiments described herein utilizes one or more cooling mechanisms, including, but not limited to, a reservoir containing a cooling material (e.g., a cryogen), a conduit through which a cooling liquid (e.g., water) flows, a thermoelectric device, and a refrigerator. During operation of the light delivery apparatus 10, the at least one heat dissipating surface 20 is cooled such that thermal energy from the optical assembly 100 is dissipated away from the at least one heat dissipating surface 20.
In certain embodiments, the output optical element 110 comprises a material which is substantially thermally conductive and which is substantially optically transmissive to light emitted by the light delivery apparatus 10 (e.g., light in the wavelength range of 600 nanometers to 2000 nanometers, light in an infrared wavelength range). Example materials for the output optical element 110 include but are not limited to, sapphire, diamond, and calcium fluoride. In certain embodiments, the output optical element 110 comprises a lens having at least one curved surface (e.g., convex or concave) through which the light from the light delivery apparatus 10 is transmitted. In certain other embodiments, the output optical element 110 comprises a window having two substantially planar surfaces. In certain embodiments, the output optical element 110 comprises a diffuser which diffuses the light transmitted through the output optical element 110.
In certain embodiments, the thermal conduit 120 comprises a thermally conductive material (e.g., copper, aluminum, or other metal). In certain such embodiments, the at least one surface 122 of the thermal conduit 120 comprises the thermally conductive material. For example, in certain embodiments, the thermal conduit 120 comprises at least one of aluminum, nickel, and zinc. In certain embodiments in which the thermal conduit 120 comprises aluminum, the at least one surface 122 is anodized, while in certain other embodiments, the thermal conduit 120 comprises a nickel plating. In certain embodiments, the thermal conduit 120 is constructed of a single unitary piece, while in certain other embodiments, the thermal conduit 120 comprises a plurality of portions which are coupled or affixed together. In certain embodiments, the thermal conduit 120 is bonded to the output optical element 110 (e.g., by a thermally conductive material, by press fitting, by swaging, by metal injection, or by a collet spring). The thermal conduit 120 of certain embodiments is in thermal communication with the output optical element 110 and has sufficient thermal conductivity such that the output optical element 110 is cooled by the at least one heat dissipating surface 20 of the light delivery apparatus 10 when the optical assembly 100 is mounted to the light delivery apparatus 10.
In certain embodiments, the one or more portions 127 of the second end portion 125 comprise one or more recesses and the one or more portions 22 of the at least one heat dissipating surface 20 comprise one or more protrusions. For example, as schematically illustrated by
In certain embodiments, the one or more portions 127 of the second end portion 125 comprise one or more protrusions and recesses and the one or more portions 22 of the at least one heat dissipating surface 20 comprise one or more recesses and protrusions which are configured to fit with one or more portions 127 of the second end portion 125. Various other configurations of the heat dissipating surface 20 and the at least one surface 122 of the thermal conduit 120 are also compatible with certain embodiments described herein. In certain such embodiments, the numbers, shapes, sizes, and configurations of the one or more portions 127 can be selected to exhibit an appearance which is indicative of the manufacturer or source of the optical assembly 100.
Certain embodiments utilize a heat dissipating surface 20 and a thermal conduit 120 which advantageously control the allowable relative motion of the at least one surface 122 of the thermal conduit 120 and the at least one heat dissipating surface 20 of the light delivery apparatus 10 during the process of connecting and disconnecting the optical assembly 100 and the light delivery apparatus 10. For example, the at least one surface 122 can be restricted from rotating relative to the at least one heat dissipating surface 20 during the mounting or dismounting process so as to reduce any rubbing or friction between these two surfaces. Certain such embodiments in which the at least one surface 122 of the thermal conduit 120 does not rotate relative to the at least one heat dissipating surface 20 advantageously avoid wear of the at least one heat dissipating surface 20 due to repeated mounting/dismounting of optical assemblies 100. Rotation of the coupling portion 130 in certain embodiments engages the coupling portion 130 to the light delivery apparatus 10 without the output optical element 110 rotating relative to the light delivery apparatus 10.
In certain embodiments, at least one of the heat dissipating surface 20 of the light delivery apparatus 10 and the at least one surface 122 of the thermal conduit 120 comprises a material selected to improve the thermal conductivity between the at least one heat dissipating surface 20 and the at least one surface 122. For example, in certain embodiments, the at least one surface 122 can comprise a relatively soft material (e.g., indium plating) and the at least one heat dissipating surface 20 can comprise a relatively hard material (e.g., silicon carbide or diamond grit). In certain such embodiments, the hard material deforms the soft material at one or more contact points between the two surfaces, thereby making good thermal contact between the two surfaces.
In certain embodiments, an intervening material is placed between the at least one heat dissipating surface 20 and the at least one surface 122. In certain such embodiments, the intervening material advantageously improves the thermal conductivity between the at least one heat dissipating surface 20 and the at least one surface 122. For example, the intervening material can comprise a metal which is deformed by pressure between the at least one heat dissipating surface 20 and the at least one surface 122 or a thermally conductive grease.
In certain other embodiments, the intervening material is part of an adapter configured to be placed at least partially between the at least one heat dissipating surface 20 and the at least one surface 122. In certain embodiments, the adapter comprises one or more first portions (e.g., protrusions, recesses, or both) configured to fit with one or more portions (e.g., recesses, protrusions, or both) of the light delivery apparatus 10, and one or more second portions configured to fit with one or more portions of the thermal conduit 120. The adapter of certain embodiments can provide thermal conductivity between the at least one heat dissipating surface 20 and the thermal conduit 120. For example, the adapter of certain embodiments is configured to fit with the one or more portions 127 of the second end portion 125 and with the one or more portions 22 of the at least one heat dissipating surface 20. In certain such embodiments, the adapter is configured to fit with the one or more portions 127 and with the one or more portions 22 although the one or more portions 127 do not fit with the one or more portions 22. In this way, the adapter of certain embodiments advantageously provides a sufficient fit with the one or more portions 127 and with the one or more portions 22 so that an optical assembly 100 that would otherwise not mount to the light delivery apparatus 10 can be mounted to the light delivery apparatus 10.
The coupling portion 130 of certain embodiments is coupled to the thermal conduit 120, and provides a mechanism for attaching the thermal conduit 120 to the light delivery apparatus 10. In certain embodiments, the coupling portion 130 comprises one or more protrusions 132 configured to fit with one or more recesses of the light delivery apparatus 10. In certain embodiments, the coupling portion 130 comprises one or more recesses configured to fit with one or more protrusions of the light delivery apparatus 10.
In certain embodiments, detaching the optical assembly 100 from the light delivery apparatus 10 after having been attached places the coupling portion 130 in the second state in which the coupling portion 130 is configured to prevent re-attachment of the coupling portion 130 to the light delivery apparatus 10.
In certain embodiments, the coupling portion 130 comprises a mechanism 140 which allows rotation of the coupling portion 130 in a first direction to place the coupling portion 130 in the first state and which allows rotation of the coupling portion 130 in a second direction opposite to the first direction to remove the coupling assembly 130 from the first state. The mechanism 140 of certain such embodiments is configured to inhibit rotation of the coupling portion 130 in the first direction upon the coupling portion 130 being removed from the first state.
The first element 150 of certain embodiments further comprises a hole 155 generally concentric with the first circle 152 and the second circle 154 through which the thermal conduit 120 is configured to extend. The first element 150 of certain embodiments further comprises an outer housing 156 configured to be gripped by a user to attach/detach the coupling portion 130 to/from the light delivery apparatus 10. In certain embodiments, the first element 150 further comprises the protrusions 132 (e.g., pins extending radially inward towards a center of the first element 150) of the coupling portion 130 which fit in respective recesses of the light delivery apparatus 10. In certain such embodiments, the first element 150 is configured to be removably affixed to the light delivery apparatus 10 thereby allowing the coupling portion 130 to be attached and detached from the light delivery apparatus 10. In certain embodiments, the first element 150 further comprises one or more indicator holes 157 through which a user can see the one or more indicators 134 of the coupling portion 130.
In certain embodiments, the mechanism 140 further comprises a spring element 180 and a plate element 190, as schematically illustrated in
Before the coupling portion 130 is in the first state, the third element 170 is disengaged from the first element 150. During the rotation of the coupling portion 130, the second element 160 rotates with the first element 150 (which is part of the coupling portion 130), driven by the first plurality of protrusions 151 of the first element 150. This action causes the third element 170 (which is keyed to the thermal conduit 120) to ratchet up and down as the fourth plurality of protrusions 164 pass beneath the sixth plurality of protrusions 172. Rotation of the coupling portion 130 stops in certain embodiments when the protrusions 132 of the coupling portion 130 reach the ends of the recesses 32 of the portion 30 of the light delivery apparatus 10. In this position, the optical assembly 100 is mounted to the light delivery apparatus 10 and is positioned for operation of the light delivery apparatus 10. In certain embodiments, one or more portions (e.g., green portions) of the first side 161 of the second element 160 align with the one or more indicator windows 157 of the first element 150 to indicate that the coupling portion 130 is in the first state.
In certain embodiments, to detach the optical assembly 100 from the light delivery apparatus 10, the coupling portion 130 is rotated in the opposite direction (e.g., counterclockwise) relative to the light delivery apparatus 10. During this rotation, the second element 160 is prevented from rotating by the interaction of the fourth plurality of protrusions 164 with the sixth plurality of protrusions 172. Once the coupling portion 130 of certain embodiments has been rotated by a predetermined angle (e.g., 10 degrees), the second element 160 disengages (e.g., moves off) from the first plurality of protrusions 151 of the first element 150. This action forces the third element 170 to move as well, allowing the fifth plurality of protrusions 171 to engage with the second plurality of protrusions 153 of the first element 150, such that the third element 170 is engaged with the first element 150 when the coupling portion 130 is in the second state. This interaction of the protrusions 171 and protrusions 153 prevents subsequent rotations of the coupling portion 130 in the direction (e.g., clockwise) for mounting the optical assembly 100 on the light delivery apparatus 10.
Counter-clockwise rotation of the coupling portion 130 can continue in certain embodiments until the protrusions 132 reach the end of the recesses 32 of the portion 30 of the light delivery apparatus 10, upon which the coupling portion 130 can be pulled away from the light delivery apparatus 10. In certain embodiments, one or more portions (e.g., red portions) of the first side 161 of the second element 160 align with the one or more indicator windows 157 of the first element 150 to indicate that the coupling portion 130 is in the second state.
In certain embodiments, the light delivery apparatus 10 comprises a mounting portion 30 and at least one heat dissipating surface 20, and the optical assembly 100 comprises a coupling portion 130 and at least one surface 122 of a thermal conduit 120. Attaching the optical assembly 100 to the light delivery apparatus 10 in certain such embodiments comprises rotating the coupling portion 130 relative to the mounting portion 30 without the at least one surface 122 of the thermal conduit 120 rotating relative to the at least one heat dissipating surface 20.
In certain embodiments, attaching the optical assembly 100 to the light delivery apparatus 10 places the optical assembly 100 in the first state and detaching the optical assembly 100 from the light delivery apparatus 10 places the optical assembly 100 in the second state. In certain embodiments, a user of the optical assembly 100 and the light delivery apparatus 10 may seek to override the single-use functionality of the optical assembly 100. For example, in certain embodiments, the user may utilize an adapter between the optical assembly 100 and the light delivery apparatus 10. Such an adapter would be configured to mate to the light delivery apparatus 10 and to mate with the optical assembly 100. In certain such embodiments, the adapter would be configured to mate with the optical assembly 100 when the optical assembly 100 is in the first state, when the optical assembly 100 is in the second state, or when the optical assembly 100 is in either the first state or the second state. In certain other embodiments, the adapter would be configured so that the optical assembly 100 is not placed in the second state when the optical assembly 100 is detached from the adapter. Thus, detaching the optical assembly 100 from the light delivery apparatus 10 in certain such embodiments comprises avoiding placing the optical assembly 100 in the second state.
Various embodiments have been described above. Although this invention has been described with reference to these specific embodiments, the descriptions are intended to be illustrative of the invention and are not intended to be limiting. Various modifications and applications may occur to those skilled in the art without departing from the true spirit and scope of the invention as defined in the appended claims.
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