The present disclosure relates generally to a visualization instrument including a camera communicatively coupled with a display device. More specifically, the present disclosure relates to a visualization instrument including a camera insertable into an internal space.
Visualization instruments include medical and non-medical instruments. Medical visualization instruments are used in a multitude of procedures including laryngoscopy, colonoscopy, rhinoscopy, bronchoscopy, cystoscopy, hysteroscopy, laparoscopy, arthroscopy, etc. Generally, a medical visualization instrument comprises a camera and structure arranged to support the camera during the procedure. The structure may be configured for the particular procedure, and the instrument may thus be given a name corresponding to the procedure. Exemplary instruments include laryngoscopes, bronchoscopes, endoscopes etc. Non-medical visualization instruments are used to investigate the internal structures of machines, buildings, and explosive devices, for example.
Laryngoscopes provide views of the vocal folds and the glottis after the laryngoscope has been inserted into the buccal cavity of the patient. Direct laryngoscopy is usually carried out with the patient lying on his or her back. During direct laryngoscopy, the laryngoscope is inserted into the mouth, typically on the right side, and pushed towards the left side to move the tongue out of the line of sight and to create a pathway for insertion of an endotracheal tube. The blade may be lifted with an upward and forward motion to move the epiglottis and make a view of the glottis possible. Once the laryngoscope is in place, the endotracheal tube may be inserted into the pathway. The blade may be provided with guide surfaces to guide the insertion of the endotracheal tube.
Laryngoscopes may be outfitted with optical devices to provide views of the vocal cords externally of the patient's body. Optical devices include lenses, mirrors and fiberoptic fibers, all adapted to transfer an optical image. Devices may also be provided to capture the optical images and display corresponding images in video display screens and/or monitors.
Traditional visualization instruments have limitations such as, for example, fogging, insufficient lighting to produce a good optical image, inability to project images remotely, additional procedural steps to insert the endotracheal tube, and cost, to name a few. Further, there is a need to reduce the size of the camera to reduce the invasiveness of medical procedures and for pediatric care.
A visualization instrument and a method of making the visualization instrument are disclosed herein. In an exemplary embodiment, the visualization instrument is a video laryngoscope. In another exemplary embodiment, the visualization instrument is configured for non-medical uses. In embodiments of the visualization instrument, the visualization instrument includes a camera. The camera includes a light source configured to illuminate structures in a target space; an image sensor having an imaging surface; and an optical train including one or more lenses and a prism. The optical train is configured to receive light reflected from the illuminated structures and refract optical images of the illuminated structures to the image sensor. The image sensor generates an image stream including images corresponding to the optical images. The camera also includes a support structure supporting the light source, the image sensor and the optical train; and a housing enclosing the support structure, the light source, the image sensor and the optical train.
In embodiments of the disclosure, a visualization instrument is disclosed, the visualization instrument comprising a camera. The camera includes a light source adapted to illuminate structures in a target space; a support structure; a flat cable; an image sensor electrically coupled to the flat cable; and an optical train including one or more lenses and a prism. The prism is located adjacent the image sensor. The image sensor generates an image stream. The optical train is sealed in the support structure. The instrument further comprises an assembly housing enclosing the support structure, the light source, the image sensor, and the optical train.
In embodiments of the disclosure, a method of making a visualization instrument is disclosed, the method comprising: electrically coupling an image sensor to a flat cable; mounting a light source on a support housing; and inserting an optical train into the support housing. The optical train includes lenses and a prism. The prism is located adjacent the image sensor after the optical train is inserted into the support housing. The method further comprises sealing the optical train in the support housing; and enclosing the support housing with an assembly housing.
In embodiments of the disclosure, the image sensor is adhered to the prism. The image sensor may be adhered to the prism before the optical train is inserted in the support housing.
In embodiments of the disclosure, the instrument includes a circuit configured to reorient an image stream output by the image sensor such that the reoriented image stream matches the orientation of the structures illuminated by the light source. In one example, the circuit comprises an orientation processor.
The features of this invention, and the manner of attaining them, will become more apparent and the invention itself will be better understood by reference to the following description of embodiments of the invention taken in conjunction with the accompanying drawings.
Corresponding reference characters indicate corresponding parts throughout the several views. Although the drawings represent embodiments of the present invention, the drawings are not necessarily to scale and certain features may be exaggerated to better illustrate and explain the embodiments. The exemplifications set out herein illustrate embodiments of the invention in several forms and such exemplification is not to be construed as limiting the scope of the invention in any manner.
The embodiments of the disclosure discussed below are not intended to be exhaustive or limit the invention to the precise forms disclosed in the following detailed description. Rather, the embodiments are chosen and described so that others skilled in the art may utilize their teachings.
Generally, in embodiments of a camera set forth herein, the camera includes an optical train and an image sensor having an imaging surface. The optical train includes two or more lenses aligned to form a line of sight of the camera. The optical train may also include a prism configured to guide the line of sight to the imaging surface. The optical train receives light reflected from an object in a target space, and the image sensor generates a corresponding electronic image or video for presentation with a display screen. The prism changes the orientation of the image stream reflected by the lenses to enable construction of a camera with reduced cross-sectional area. The electronic images are communicated to devices that may display the electronic images or may reformat the electronic images before they are displayed.
Since the intrusiveness of a medical procedure may be determined by the size of the camera, reducing the cross-sectional area of the camera may enable performance of comparably less intrusive medical procedures or performance of procedures in pediatric patients. Similarly, a smaller camera may also enable use of visualization instruments in spaces smaller than previously possible.
Embodiments of a visualization instrument including the aforementioned camera and others, and embodiments of a method of using and making the visualization instrument, are also disclosed herein. The visualization instrument is insertable into a space to capture images of tissues or objects located in the space. While the embodiments of the disclosure are applicable in medical and non-medical applications, exemplary features of visualization instruments will be described below with reference to a video laryngoscope. It should be understood that the invention is not so limited. The features described below may be equally applicable to any medical and non-medical applications and instruments.
As stated above, the camera includes an optical train and an image sensor having an imaging surface. The optical train includes two or more lenses and a may include a prism. Light enters the camera through a camera view port and is refracted by the optical train to the image sensor. As used herein, a prism is a light-reflecting optical component bounded by two or more faces to change the direction of light travel. The prism includes an inlet face and an outlet face. Light may be refracted one or more times after it enters the prism through the inlet face before the light exits the prism through the outlet face. Exemplary prisms include a right-angle prism and a pentaprism. In the right-angle prism, the inlet and outlet faces are disposed at a 90 degree angle. The imaging surface is parallel and adjacent to the outlet face of the prism. Prisms may invert or flip (e.g. re-orient the image such that objects appear inverted) and/or mirror (e.g. re-orient the image such that its right side appears on the left side of the mirrored image) the optical image.
The image sensor comprises an integrated circuit with an imaging surface which is configured to generate the electronic images based on the light refracted by the prism. The area of the integrated circuit measured on a plane including the imaging surface is larger than the area of the imaging surface. For example, the imaging surface area may comprise 50% of the surface area of the integrated circuit. Therefore, if the image sensor is positioned parallel to the camera's view port, the smallest camera cross-section for a given image sensor may be determined by the size of the image sensor. If the image sensor is not positioned parallel to the camera's view port, then the cross-section of the camera may be reduced. Electronic circuits are provided to process the image stream to compensate for the non-parallel orientation of the image sensor relative to the camera's view port.
Referring to
As shown, insertable portion 44 comprises an elongate guide pathway 50 configured to facilitate insertion of an endotracheal tube, catherer and the like (not shown) into the larynx of a patient. Guide pathway 50 is positioned on one side of a medial wall 52. Guide pathway 50 is further defined by an anterior guide wall 54, a posterior guide wall 56, and a lateral guide wall 58 (positioned opposite medial wall 52). An electronics pathway (not shown) is positioned on the opposite side of medial wall 52, in a side-by-side arrangement. The electronics pathway is defined by medial wall 52, anterior wall 54, a posterior electronics pathway wall 60 and a lateral electronics pathway wall 64. The cross-sectional area of the electronics pathway may have square, circular or any other shape. In a variation of the present embodiment, insertable portion 44 does not include lateral guide wall 58 or posterior guide wall 56, and the guide pathway is formed by the surfaces of medial wall 52 and anterior wall 54. The electronics pathway extends from a proximal end of insertable portion 44 to a blade view port 90 located at the distal end of insertable portion 44. A camera 100, shown in
Referring to
LED cover 102 is translucent and encloses LED 240. LED cover 102 is attached to support structure 106. Assembly housing 110 encloses support structure 106. LED 240 and image sensor 230 may be potted within assembly housing 110. Assembly housing 110 may be made of a robust material to protect LED 240 and image sensor 230. Exemplary robust materials include aluminium, copper, steel, and polymers, which may include glass or carbon fiber reinforcements. Assembly housing 110 may comprise a conductive metal to reduce electromagnetic interference. It should be understood that LED 240 may comprise any number of shapes, forms and power requirements, and that references to LED 240 in various embodiments herein is not intended to suggest that the particular LEDs used in each embodiment have the same shape, form or power requirement. More generally, any light source may be used instead of LED 240. Exemplary light sources include filament lamps and light guides comprising fibers.
The height, width and depth of camera 100 are denoted by the letters H, W and D. As used herein, the height and width of the cameras are intended to describe two substantially orthogonal dimensions of the cameras which do not necessarily correspond to the height and width of the electronics pathway. As shown in
Additional cameras 200, 300 and 400, described with reference to
In one variation of the present embodiment, wire bundle 120 is affixed to image presentation component 32. In the present variation, when image presentation component 32 is coupled to the handle cavity, wire bundle 120 and camera 100 are positioned in the electronics pathway. When image presentation component 32 is removed from the handle cavity, wire bundle 120 and camera 100 are removed from the electronics pathway. Wire bundle 120 may be permanently or removably affixed to image presentation component 32, in both cases removably positionable in the electronics pathway. In another variation of the present embodiment, wire bundle 120 is permanently affixed to the electronics pathway and removably coupled to image presentation component 32. In both variations, the size of blade view port 90, and of the electronics pathway, can be reduced if the size of camera 100 is reduced. Thus, reducing the size of camera 100 may facilitate less intrusive medical procedures.
As shown in
Camera 200 also comprises wire bundle 120. In the present embodiment, wire bundle 120 is shown as a flat cable which includes a ball grid array (not shown) configured to couple the flat cable with image sensor 230. Wire bundle 120 also provides power to LED 240. In the present embodiment, LED 240 is positioned between wire bundle 120 and camera 200 beneath second plane 262, thereby preserving the smallest possible width (or height) of camera 200. As LED 240 is moved away from camera view port 104 or increased in size, the smallest possible width (or height) of camera 200 would increase accordingly. Thus, positioning an LED at least partially in front of an image sensor, so that a projection of the LED at least partially overlaps the image sensor (when viewed from the camera view port), further reduces or preserves the small cross-sectional area of the camera.
Camera 400 also comprises lenses conveying light to prism 220. Exemplary lenses 412, 414 and 416 are shown. Also shown is a view port cover 420. In one example, view port cover 420 is sealingly attached to camera view port 104 to seal the optical train from moisture and dirt. In another example, view port cover 420 is omitted and an adhesive material is applied to the most distal lens, in this case lens 416, to seal the optical train. Unlike camera 200, wire bundle 120 extend between LED 240 and camera view port 104. A proximal support 410 cooperates with LED cover 102 to support assembly housing 110, which is slidably received over proximal support 410 and a portion of LED cover 102. In another example, proximal support 410 extends over circuit board 406. In a variation thereof, proximal support 410 extends toward and proximally of support structure 402 to provide a rear or proximal closure.
A stiffener component 456 may be coupled to wire harness 120, illustratively a flexible flat cable, to ensure proper mounting of image sensor 230. Unlike camera 400, circuit board 406 has been removed to reduce the size of the camera. Electronic components may be mounted on connector 500B, as shown in
An advantage of camera 440 is reduced size. This is particularly desirable in pediatric medical devices where the amount of space available to perform procedures is much less than the space available in adult patients. Another advantage is ease of manufacture. In one embodiment of a method of making a camera, the method comprises: adhering an image sensor to a prism, electrically coupling the image sensor to a flat cable, inserting the prism into a prism cavity of a first support structure, inserting lenses into a lens cavity of the first support structure, the lenses including a proximal lens and a distal lens, the proximal lens located adjacent the prism, sealing the lenses in the lens cavity, and enclosing the first support structure with an assembly housing. In one example, sealing the lenses comprises adhering the distal lens to the first support structure. In another example, sealing the lenses comprises adhering a lens cover to the first support structure. In some variations, inserting the prism into a prism cavity is performed after the image sensor is adhered to the prism.
In one variation, the method further comprises coupling a second support structure to the first support structure before enclosing the first support structure with the assembly housing. In a further variation, wherein the first support structure and the second support structure form a housing structure, the method further comprises sealing an LED in the housing structure. In one example, sealing the LED comprises adhering the LED to the housing structure.
In one variation of the present embodiment, the assembly housing comprises metal. In one example, the assembly housing comprises assembly housing 110. In one example, assembly housing 110 is made of metal. In another example, the metal is stainless steel. In another variation, adhering of the prism and the image sensor is performed after the prism is inserted in the prism cavity. In another variation, a lens cover is adhered to a view port of the first support structure to seal the lenses therein. The components described herein may be the components of camera 440.
Any processor of small enough size is suitable for use as orientation processor 530. Exemplary processors include microcontrollers such as AVR flash microcontrollers marketed by Atmel Corporation under the designation tinyAVR (e.g. Tiny 2420, an 8-bit processor with 2K of on-board flash memory), FPGA processors, ARM and RISC processors. Processor 530 is programmed such that, on power-up, it exercises register bit control of registers of image sensor 230, to cause image sensor 230 to rotate, invert or mirror the image stream, as necessary to compensate for the effect of the chosen prism. An exemplary image sensor 230 is the OmniVision 7690 sensor marketed by OmniVision Technologies Inc., which supports mirror, flip, scaling and windowing functions. A power regulator 520 may be provided in the event the voltage available from image presentation component 32 is not suitable for orientation processor 530. Power regulator 520 may scale the supply voltage provided by a conductor 522 up or down as required by the selection of the orientation processor 520 and provide said modified power via a conductor 524 to orientation processor 530.
It should be understood that the electrical components described above, or functions performed by them, may be provided in image presentation component 32. For example, image processing logic in image presentation component 32, configured to resize the image stream, may also be configured to invert, mirror or flip the image stream, thus the visualization instrument may not need an orientation processor in the wire harness or in the camera. Such processing logic may re-orient the image stream even if the image sensor is not capable of performing such re-orientation. Further, the wire bundle may be connected to the image sensor and the image processing logic may be configured to manage the registers of the image sensor to re-orient the image stream without using an orientation processor in the wire harness or the camera, when the image sensor is capable of performing such re-orientation. Further, a power regulator existing in image presentation component 32 may be modified to operate with different light sources, for example by modifying the feedback loop as described above, without a power regulator in the wire harness or the camera. The wire bundle may include an integrated circuit with an identifying code therein, which the image processing logic may read to determine how to configure the light source power and the image stream orientation. The image processing logic may then output the corresponding feedback loop and re-orientation signals to control operation of the camera.
Referring again to blade adapter 600,
While the invention has been described as having exemplary designs, the present disclosure may be further modified within the spirit and scope of this disclosure. This application is therefore intended to cover any variations, uses, or adaptations of the disclosure using its general principles. Furthermore, this application is intended to cover such departures from the present disclosure as come within known or customary practice in the art to which this invention pertains.
This application claims the benefit of priority from U.S. Provisional Patent Application No. 61/870,076, filed Aug. 26, 2013. The disclosure of said patent application is expressly incorporated herein by reference in its entirety.
Filing Document | Filing Date | Country | Kind |
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PCT/US2014/052780 | 8/26/2014 | WO | 00 |
Number | Date | Country | |
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61870076 | Aug 2013 | US |