TWM461415U - A high efficient uv and blue light cross-link corneal photo-therapy device - Google Patents

A high efficient uv and blue light cross-link corneal photo-therapy device Download PDF

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Publication number
TWM461415U
TWM461415U TW102201792U TW102201792U TWM461415U TW M461415 U TWM461415 U TW M461415U TW 102201792 U TW102201792 U TW 102201792U TW 102201792 U TW102201792 U TW 102201792U TW M461415 U TWM461415 U TW M461415U
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Taiwan
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light
therapy device
output
ophthalmic
light source
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TW102201792U
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Chinese (zh)
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Jui-Teng Lin
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New Vision Inc
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Abstract

This invention provides a high efficient corneal therapy system using UV and blue light collagen cross-link. The said UV-blue therapy system consists of a control panel, a power supply, and a light source. The output light of the said light source is delivered to the treated cornea via an optical set and having a spot size of 7 to 15 mm. The said light source can be a LED or a diode laser having a wavelength range of 340 to 480 nm, power of 3 mW to 500 mW. The said UV-blue therapy system can also consists of multiple channels. It can also consists of a fixation post set consisting of a pair of posts, or a standing-light soft-post, or an M-shape post. The output light can be a single wavelength (340-480 nm) or a dual wavelength combining (340-380) nm and (381-480) nm. The said UV-blue therapy system may be used for keratoconus and also used to stabilize the cornea surface curvature after a laser vision correction.

Description

一種使用紫藍光交聯作用之高效率角膜光療儀 High-efficiency keratophototherapy apparatus using purple blue cross-linking

本創作係有關於一種眼科光療儀,尤指一種使用紫藍光(UV-blue)交聯(crosslink)作用之高效率角膜光療儀。該紫藍光療儀結合核黃素(Riboflavine)光感劑,可用於治療角膜角椎(keratoconus),也可使用於穩定雷射視力校正術後角膜表面曲率。 This creation is about an ophthalmic phototherapy instrument, especially a high-efficiency keratophototherapy device that uses violet-blue cross-linking. The violet phototherapy device combines Riboflavine photosensitizers for the treatment of corneal vertebral vertebral (keratoconus) and for stabilizing corneal surface curvature after laser vision correction.

使用紫外光(UV)膠原交聯(collagen crosslink)多年來已被應用於治療角膜角椎(keratoconus)以及雷射視力校正(LASIK)術後穩定作用。目前技術使用紫外光功率密度約3毫瓦(每單位平方公分),治療需時約30分鐘。再則,目前技術均使用連續式出光LED紫外(波長約365奈米)光源,其紫外光能量滲透深度受限。目前技術也受限於單一波長,單一光源之單眼治療。 The use of ultraviolet (UV) collagen crosslinks has been used for many years to treat stabilization of the keratoconus and laser vision correction (LASIK). The current technology uses an ultraviolet power density of about 3 milliwatts (per unit square centimeter), and the treatment takes about 30 minutes. Furthermore, the current technology uses a continuous light-emitting LED ultraviolet (wavelength of about 365 nm) light source, and its ultraviolet light energy penetration depth is limited. Current technology is also limited to monocular treatment with a single wavelength and a single source.

鑒于上述之先前技術背景,本創作之目的是,提出一個新的眼科紫藍(UV-blue)光療儀,結合核黃素(Riboflavine)光感劑,排除上述先前技術之缺點。本創作之眼科紫藍光療儀包括一面板控制顯示,一電源器以及一光源器,該光源器輸出光經由一光學鏡片組控制其在角膜治療部位光斑之大小,其直徑範圍7到15毫米。該光源器可為LED(light emission diode)或半導體雷射(diode laser),其輸出光波長為340到480奈米(包括紫外光及藍 光),可以是連續式或脈沖式出光,輸出頻率為1到1,000赫茲(Hz),輸出功率在治療部位為3毫瓦到500毫瓦。該紫藍光療儀也可多管道輸出,可同時進行兩個或兩個以上角膜或病人。 In view of the above prior art background, the purpose of the present work is to propose a new ophthalmic violet-blue (UV-blue) phototherapy apparatus, in combination with a riboflavin photosensitizer, to eliminate the disadvantages of the prior art described above. The Ophthalmic Violet Blue Light Therapy of the present invention comprises a panel control display, a power supply and a light source, the light output of the light source controlling the size of the spot at the corneal treatment site via an optical lens set, the diameter of which ranges from 7 to 15 mm. The light source can be an LED (light emission diode) or a semiconductor laser (diode laser) having an output wavelength of 340 to 480 nm (including ultraviolet light and blue light). Light), either continuous or pulsed, with an output frequency of 1 to 1,000 Hertz (Hz) and an output power of 3 to 500 milliwatts at the treatment site. The violet light therapy device can also be multi-channel output, allowing two or more corneas or patients to be performed simultaneously.

該紫藍光療儀也包括一個固定支架,該固定支架組成包括:一根垂直及一橫向支架,習知之立燈軟管支架或一個M形支架。該紫藍光療儀包括輸出光為單一波長或雙波長。該雙波長可由340到380奈米以及381到480奈米之組合,可加快並增加角膜紫藍光交聯作用之療效。該紫藍光角膜光療儀可使用於治療角膜角椎(keratoconus),也可使用於穩定雷射視力校正術後角膜表面曲率。本創作目的可經由下述具體實施例達到。 The violet light therapy device also includes a fixed bracket comprising: a vertical and a lateral bracket, a conventional vertical light hose bracket or an M-shaped bracket. The violet light therapy device includes the output light as a single wavelength or a dual wavelength. The dual wavelength can be combined with 340 to 380 nm and 381 to 480 nm to accelerate and increase the efficacy of corneal violet blue cross-linking. The violet blue keratophototherapy apparatus can be used to treat corneal vertebral vertebral (keratoconus), and can also be used to stabilize the corneal surface curvature after laser vision correction. The purpose of this creation can be achieved by the following specific examples.

(10)‧‧‧電源器 (10)‧‧‧Power supply

(11,12)‧‧‧面板控制顯示 (11,12)‧‧‧ Panel Control Display

(13)‧‧‧手動開關 (13)‧‧‧Manual switch

(14)‧‧‧腳踏開關 (14)‧‧‧ Foot switch

(15)‧‧‧電源線 (15)‧‧‧Power cord

(20)‧‧‧光源器 (20)‧‧‧Light source

(30)‧‧‧光學鏡片組 (30)‧‧‧Optical lens group

(21)‧‧‧輸出光 (21)‧‧‧ Output light

(22)‧‧‧聚透鏡 (22)‧‧‧Glenoptic lens

(22)‧‧‧正透鏡 (22) ‧‧‧ positive lens

(32)‧‧‧負透鏡 (32)‧‧‧negative lens

(71,72)‧‧‧M形支架 (71,72)‧‧‧M-shaped bracket

(81,82)‧‧‧掃描光學鏡片組 (81,82)‧‧‧Scan optical lens set

圖1係本創作之系統平面結構示意圖。 Figure 1 is a schematic diagram of the planar structure of the system of the present creation.

圖2係本創作之光學鏡片組示意圖。 Figure 2 is a schematic view of the optical lens set of the present invention.

圖3係核黃素(Riboflavine)光感劑吸收光譜圖。 Figure 3 is a spectrum of absorption of a riboflavin photoreceptor.

圖4係本創作之雙管道輸出平面結構示意圖。 Figure 4 is a schematic diagram of the dual pipe output plane structure of the present creation.

圖5係本創作之一種固定支架結構示意圖。 Figure 5 is a schematic view showing the structure of a fixed bracket of the present invention.

圖6係本創作另一種M形固定支架結構示意圖。 Fig. 6 is a schematic view showing the structure of another M-shaped fixing bracket of the present invention.

圖7係本創作另一種掃描式系統結構示意圖。 FIG. 7 is a schematic structural diagram of another scanning system of the present invention.

實施例1: Example 1:

如圖-1所示本創作係提供一種紫藍光療儀,該紫藍光療儀包括:一電源器 (10)及面板控制顯示(11,12),該電源器(10)經由一電源線(15)連接到光源器(20),該光源器(20)輸出光經由光學鏡片組(30)控制其在被治療部位輸出光斑之大小。該紫藍光療儀照射時間之控制包括:手動開關(13),面板控制(11)或腳踏開關(14)。該面板控制參數包括:輸出光照射時間顯示(11),輸出光功率顯示(12),以及照射方式。該照射方式可為連續式或脈沖,脈沖寬為0.001秒到2秒,照射時間範圍60秒到600秒。 As shown in Figure-1, the creative department provides a purple light therapy device, which includes: a power supply (10) and panel control display (11, 12), the power supply (10) is connected to the light source (20) via a power line (15), and the light output of the light source (20) is controlled via the optical lens set (30) It outputs the size of the spot at the site being treated. The control of the illumination time of the violet light therapy device includes: a manual switch (13), a panel control (11) or a foot switch (14). The panel control parameters include: output light illumination time display (11), output light power display (12), and illumination mode. The irradiation mode may be continuous or pulsed, the pulse width is 0.001 second to 2 seconds, and the irradiation time ranges from 60 seconds to 600 seconds.

如圖-2所示該光學鏡片組(30)經由一個聚透鏡(22)位置移動距離(L)改變輸出光(21)在被治療部位之光斑大小,該光斑大小也可由被治療部位不同作用位置(R1,R2)而定。如圖-2所示該光學鏡片組也可包括一組正透鏡(22)及負透鏡(32)組成,經由負透鏡(32)位置移動距離(L)調節該光斑大小。上述聚透鏡(22),正透鏡(22)及負透鏡(32)焦距範圍為0.5到10公分,該光斑在被治療部位直徑範圍為7到15毫米。 As shown in FIG. 2, the optical lens group (30) changes the spot size of the output light (21) at the site to be treated via a positional movement distance (L) of the poly lens (22), and the spot size can also be different from the treated site. The position depends on the position (R1, R2). As shown in FIG. 2, the optical lens group may also include a set of positive lens (22) and negative lens (32), and the spot size is adjusted by a negative lens (32) position moving distance (L). The above-mentioned polylens (22), positive lens (22) and negative lens (32) have a focal length ranging from 0.5 to 10 cm, and the spot has a diameter ranging from 7 to 15 mm at the site to be treated.

如圖-3所示光感劑核黃素(Riboflavine)吸收光譜,該吸收光譜定義了該光源器(20)所需輸出紫藍光波長為340到480奈米,該光源器(20)可為LED(light emission diode)或半導體雷射(diode laser),輸出光波長為340到480奈米,可以是連續式出光或脈沖式出光,輸出頻率為1到1,000赫茲(Hz),輸出功率在治療部位為3毫瓦到500毫瓦。該治療部位為塗一層核黃素的眼球角膜(cornea)表面直徑範圍7到15毫米。該角膜膠原經由紫藍光交聯(crosslinking)作用用以於治療角膜角椎(corneal keratoconus)以及雷射視力校正術後穩定作用。 As shown in Figure-3, the light sensitizer Riboflavine absorption spectrum defines the desired output purple-blue wavelength of the light source (20) is 340 to 480 nm, and the light source (20) can be LED (light emission diode) or semiconductor laser (diode laser), the output light wavelength is 340 to 480 nm, can be continuous light output or pulsed light output, the output frequency is 1 to 1,000 Hz, the output power is treated The location is from 3 milliwatts to 500 milliwatts. The treatment site is a riboflavin-coated cornea having a surface diameter ranging from 7 to 15 mm. The corneal collagen is used for the treatment of corneal keratoconus and the stabilization of laser vision correction via violet blue cross-linking.

實施例2: Example 2:

如圖-4所示該紫藍光療儀為多管道輸出,可同時進行兩個或兩個以上角膜或病人。該雙管道輸出紫外光照射時間可分別由開關(103,104)或由面板控制(101,102)。該光源器(20)也可經由一個光纖偶合器(圖-4未顯示)將其輸出光與一個光纖及一個內置有光學鏡片組(30)之手柄連接(圖-4未顯示)。 As shown in Figure-4, the violet blue light therapy device is a multi-channel output that can perform two or more corneas or patients simultaneously. The dual pipe output ultraviolet light irradiation time can be controlled by a switch (103, 104) or by a panel (101, 102), respectively. The light source (20) can also be coupled to an optical fiber and a handle having an optical lens set (30) via a fiber optic coupler (not shown in Figure 4) (not shown in Figure 4).

實施例3: Example 3:

如圖-5所示該紫藍光療儀也包括一個固定支架,該固定支架由一根垂直及一橫向支架所組成,可做橫向距離調節及高度(H)調節在角膜表面部位(60)光斑大小。該固定支架也可包括習知之立燈軟管支架(如圖-5之右圖所示)。 As shown in Figure-5, the purple light therapy device also includes a fixed bracket consisting of a vertical and a lateral bracket for lateral distance adjustment and height (H) adjustment at the corneal surface (60) spot. size. The fixing bracket may also include a conventional standing lamp hose bracket (shown on the right in FIG. 5).

如圖-6所示該固定支架也可包括一個M形支架(71,72),可直接架在病人頭部(80),如習知帶眼鏡方式,該光源(20)與角膜表面(60-1,60-2)之高度可經由支架(72)高度調節。該光源(20)可為單一管道或雙管道輸出。圖-6所示為雙管道輸出。 The mounting bracket can also include an M-shaped bracket (71, 72) as shown in Figure -6, which can be directly attached to the patient's head (80), as is known in the art of wearing glasses, with the light source (20) and the corneal surface (60). The height of -1, 60-2) can be adjusted via the height of the bracket (72). The light source (20) can be a single pipe or a dual pipe output. Figure 6 shows the dual pipe output.

實施例4: Example 4:

如圖-7所示該紫藍光療儀包括一個光源器(20)其輸出光(21)經由一對掃描光學鏡片組(81,82)控制其在被治療部位(60)掃描直徑範圍為7到15毫米。該掃描光(21)應為平行或接近平行光,光斑直徑為0.5到2.0毫米。 As shown in Fig. 7, the violet light therapy device comprises a light source (20) whose output light (21) is controlled by a pair of scanning optical lens groups (81, 82) to scan a diameter range of 7 at the site to be treated (60). To 15 mm. The scanning light (21) should be parallel or nearly parallel, with a spot diameter of 0.5 to 2.0 mm.

實施例5: Example 5:

本創作所示該紫藍光療儀包括:單一電源器,連接到單一光源器;或單一電源器,連接到兩個光源器;或兩個電源器,分別連接到兩個光源器。該單一光源器或該兩個光源器之輸出光包括:波長範圍340到480奈米之相同波長;或中心波長380到460奈米之寬光譜(譜寬20到100奈米)之單一光源;或波長範 圍340到480奈米之任意兩個不同波長之組合。該雙波長組合(或該寬光譜之單光源)具有兩個不同(或寬範圍)之光感劑吸收值(A),因此,該輸出光可同時達到不同光能量滲透深度d=1/A(A值小者滲透高),可增加紫藍光滲透深度,加快角膜膠原光交聯作用及其療效。目前單一波長系統療效受限於其紫外光(365奈米)單一光源能量滲透深度。 The purple light therapy device shown in this creation includes a single power supply connected to a single light source, or a single power supply connected to two light sources, or two power supplies connected to two light sources. The output light of the single light source or the two light sources comprises: a same wavelength of a wavelength range of 340 to 480 nm; or a single source of a wide spectrum (spectrum width of 20 to 100 nm) having a center wavelength of 380 to 460 nm; Wavelength A combination of any two different wavelengths from 340 to 480 nm. The dual wavelength combination (or the single source of the broad spectrum) has two different (or a wide range) photosensing absorption values (A), so that the output light can simultaneously reach different light energy penetration depths d=1/A (A small value of penetration is high), can increase the depth of purple blue light penetration, accelerate the photo-crosslinking effect of corneal collagen and its efficacy. At present, the efficacy of a single wavelength system is limited by the depth of energy penetration of a single source of ultraviolet light (365 nm).

(10)‧‧‧電源器 (10)‧‧‧Power supply

(11,12)‧‧‧面板控制顯示 (11,12)‧‧‧ Panel Control Display

(13)‧‧‧手動開關 (13)‧‧‧Manual switch

(14)‧‧‧腳踏開關 (14)‧‧‧ Foot switch

(15)‧‧‧電源線 (15)‧‧‧Power cord

(20)‧‧‧光源器 (20)‧‧‧Light source

(30)‧‧‧光學鏡片組 (30)‧‧‧Optical lens group

Claims (11)

一種眼科紫藍光療儀,包括:一光源器經由一電源線連接到一電源器,該電源器包括一面板控制顯示器;一腳踏開關,其係連接於該電源器;以及一光學鏡片組,其係連接於該光源器,控制該光源器輸出光在角膜治療部位之光斑大小。 An ophthalmic violet blue light therapy apparatus comprising: a light source connected to a power supply via a power cord, the power supply comprising a panel control display; a foot switch connected to the power supply; and an optical lens set, It is connected to the light source to control the spot size of the light source output light at the corneal treatment site. 如請求項1所述之眼科紫藍光療儀,其中該光源器為LED光源或半導體雷射光源,該輸出光波長為340奈米到480奈米;該輸出光可以是連續式出光或脈沖式出光,輸出頻率為1到1,000赫茲,輸出功率在該角膜治療部位為3毫瓦到500毫瓦。 The ophthalmic violet blue light therapy device of claim 1, wherein the light source is an LED light source or a semiconductor laser light source, and the output light has a wavelength of 340 nm to 480 nm; the output light may be continuous light output or pulse type. The light is output at a frequency of 1 to 1,000 Hz and the output power is 3 milliwatts to 500 milliwatts at the corneal treatment site. 如請求項1所述之眼科紫藍光療儀,其中該面板控制參數包括:輸出光照射時間顯示,輸出光功率顯示,以及照射方式;該照射方式可為連續式或脈沖;脈沖寬為0.001秒到2秒,照射時間範圍60秒到600秒。 The ophthalmic purple light therapy device of claim 1, wherein the panel control parameter comprises: an output light illumination time display, an output light power display, and an illumination mode; the illumination mode may be continuous or pulse; the pulse width is 0.001 second. Up to 2 seconds, the illumination time ranges from 60 seconds to 600 seconds. 如請求項1所述之眼科紫藍光療儀,其中該輸出光在該角膜治療部位之光斑直徑範圍為7到15毫米。 The ophthalmic violet blue light therapy device of claim 1, wherein the output light has a spot diameter ranging from 7 to 15 mm at the corneal treatment site. 如請求項1所述之眼科紫藍光療儀,其中該光學鏡片組包括一個可移動位置之聚透鏡,該聚透鏡焦距範圍0.5到10公分,用於改變該輸出光在該角膜治療部位之光斑大小。 The ophthalmic violet blue light therapy device of claim 1, wherein the optical lens set comprises a movable position poly lens having a focal length ranging from 0.5 to 10 cm for changing a spot of the output light at the corneal treatment site. size. 如請求項1所述之眼科紫藍光療儀,其中該光學鏡片組包括一正透鏡及一可移動位置之負透鏡;該正透鏡及負透鏡焦距範圍0.5到10公分。 The ophthalmic violet blue light therapy device of claim 1, wherein the optical lens set comprises a positive lens and a negative lens of a movable position; the positive lens and the negative lens have a focal length ranging from 0.5 to 10 cm. 如請求項1所述之眼科紫藍光療儀,其中該輸出光經由一個光纖連接到一個內置有該光學鏡片組之手柄。 The ophthalmic violet blue light therapy device of claim 1, wherein the output light is coupled via an optical fiber to a handle having the optical lens set built therein. 如請求項1所述之眼科紫藍光療儀,其中該輸出光經由一對掃描光學鏡片組,掃描到該角膜治療部位,其掃描直徑範圍為7到15毫米;該掃描光應為平行或接近平行光,光斑直徑為0.5到2.0毫米。 The ophthalmic violet blue light therapy device of claim 1, wherein the output light is scanned to the corneal treatment site via a pair of scanning optical lens sets, the scanning diameter of which ranges from 7 to 15 mm; the scanning light should be parallel or close Parallel light, the spot diameter is 0.5 to 2.0 mm. 如請求項1所述之眼科紫藍光療儀,該紫藍光療儀也包括一個固定支架;該固定支架組成包括:一根垂直及一橫向支架,立燈軟管支架,或一個M形支架。 The ophthalmic purple light therapy device of claim 1, wherein the purple light therapy device further comprises a fixing bracket; the fixing bracket comprises: a vertical and a lateral bracket, a vertical light hose bracket, or an M-shaped bracket. 一種眼科紫藍光療儀,包括:單一電源器,連接到單一光源器;或單一電源器,連接到兩個光源器;或兩個電源器,分別連接到兩個光源器。 An ophthalmic violet blue light therapy device comprising: a single power supply connected to a single light source; or a single power supply connected to two light sources; or two power supplies connected to two light sources, respectively. 如請求項10所述之眼科紫藍光療儀,其中該光源器輸出光包括:波長範圍為340到480奈米之相同波長光;或中心波長380到460奈米之寬光譜(譜寬20到100奈米)之相同波長光;或波長範圍340到480奈米之任意兩個不同波長光。 The ophthalmic violet blue light therapy device of claim 10, wherein the light source output light comprises: a light having the same wavelength in a wavelength range of 340 to 480 nm; or a broad spectrum having a center wavelength of 380 to 460 nm (a spectral width of 20 to 100 nm) of the same wavelength of light; or any two different wavelengths of light in the wavelength range 340 to 480 nm.
TW102201792U 2013-01-28 2013-01-28 A high efficient uv and blue light cross-link corneal photo-therapy device TWM461415U (en)

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