US20050137459A1 - Medical device with OLED illumination light source - Google Patents

Medical device with OLED illumination light source Download PDF

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Publication number
US20050137459A1
US20050137459A1 US10/737,980 US73798003A US2005137459A1 US 20050137459 A1 US20050137459 A1 US 20050137459A1 US 73798003 A US73798003 A US 73798003A US 2005137459 A1 US2005137459 A1 US 2005137459A1
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United States
Prior art keywords
medical device
elongate member
light
organic light
body cavity
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US10/737,980
Inventor
Yem Chin
Louis Barbato
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Boston Scientific Scimed Inc
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Boston Scientific Scimed Inc
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Publication date
Application filed by Boston Scientific Scimed Inc filed Critical Boston Scientific Scimed Inc
Priority to US10/737,980 priority Critical patent/US20050137459A1/en
Assigned to SCIMED LIFE SYSTEMS, INC. reassignment SCIMED LIFE SYSTEMS, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: BARBATO, LOUIS J., CHIN, YEM
Publication of US20050137459A1 publication Critical patent/US20050137459A1/en
Assigned to BOSTON SCIENTIFIC SCIMED, INC. reassignment BOSTON SCIENTIFIC SCIMED, INC. CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). Assignors: SCIMED LIFE SYSTEMS, INC.
Application status is Abandoned legal-status Critical

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/0661Endoscope light sources
    • A61B1/0684Endoscope light sources using light emitting diodes [LED]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00096Optical elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/043Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances for fluorescence imaging
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/0615Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements for radial illumination
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/0638Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements providing two or more wavelengths
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/0661Endoscope light sources
    • A61B1/0676Endoscope light sources at distal tip of an endoscope
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/12Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements
    • A61B1/128Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements provided with means for regulating temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Detecting, measuring or recording for diagnostic purposes; Identification of persons
    • A61B5/06Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Detecting, measuring or recording for diagnostic purposes; Identification of persons
    • A61B5/06Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • A61B5/061Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
    • A61B5/064Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/062Measuring instruments not otherwise provided for penetration depth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras

Abstract

A medical device such as a catheter or endoscope device includes an illumination light source having one or more organic light-emitting diodes (OLEDs). The OLEDs are energized to produce illumination light that is received by an image sensor or camera to produce images of tissue within a patient's body. A heat conductive polymer conducts heat away from the illumination light source.

Description

    FIELD OF THE INVENTION
  • The present invention relates to medical devices in general, and illuminated catheters and endoscopes in particular.
  • BACKGROUND OF THE INVENTION
  • Many modem in-vivo medical devices such as catheters or endoscopes are equipped with imaging equipment that includes a light source and an image sensor. A light source delivers an illumination light onto an area of interest while the image sensor obtains an image from the reflected or scattered illumination light. The images obtained are used by a physician to diagnose internal body tissue or to perform surgical procedures in the body.
  • The most common type of light sources used on catheters and endoscopes are lasers or high powered white light sources. Light from these external light sources is delivered to the distal end of the scope by a fiber-optic illumination channel. Alternatively, some devices have solid state light sources such as light-emitting diodes (LEDs) that are located at or adjacent the distal tip of the device. Both approaches have limitations. First, the optical fibers used to form an illumination channel are relatively fragile and limit the bending ability of the device. On the other hand, LEDs are often encapsulated in a plastic or other transparent material that is relatively large in comparison to the size of the light-emitting element. Therefore, the amount of light that can be delivered at the distal end of the device is limited by the diameter of the device. Therefore, there is a need for a light-emitting device that can be incorporated into a medical device such as an endoscope that avoids these limitations.
  • SUMMARY OF THE INVENTION
  • To overcome the above-referenced limitations, the present invention is a flexible in-vivo medical imaging device such as a catheter or endoscope, having a light source made of one or more organic light-emitting diodes (OLEDs). An organic light-emitting diode is formed on the substrate between two or more semi-transparent electrodes. The organic light-emitting diode material produces illumination light when electrical energy is applied to the electrodes. The light source may comprise an OLED of a single color. Alternatively, the light source may be a stack or other configuration of OLEDs each having a different illumination wavelength such that one or more OLEDs can be energized at the same time to produce a desired illumination light. In another embodiment of the invention, the OLEDs are selected to produce excitation light in the ultraviolet wavelength band for fluorescence or drug-induced imaging. In yet another embodiment of the invention, the OLEDs produce light in the infrared range for tissue heating.
  • In one embodiment of the invention, the light source is sufficiently bright to allow external imaging devices to track the position of the light source as it is moved in the patient's body.
  • In another embodiment of the invention, the OLEDs are formed as strips that extend along the length of the device. The strips have distance markings thereon to gauge how far the device has been inserted into the patient.
  • In yet another embodiment of the invention, a catheter includes a heat conducting polymer to conduct heat away from the OLEDs and the patient.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • The foregoing aspects and many of the attendant advantages of this invention will become more readily appreciated as the same become better understood by reference to the following detailed description, when taken in conjunction with the accompanying drawings, wherein:
  • FIG. 1 shows a medical device such as an endoscope having a single OLED light source at or adjacent its distal end in accordance with one embodiment of the present invention;
  • FIG. 2 illustrates a medical device having a light source comprising a number of OLEDs;
  • FIG. 3 shows components of an in-vivo medical imaging system, including an OLED light source in accordance with the present invention; and
  • FIG. 4 shows a medical device including a strip of OLED material that can be used to gauge depth of insertion into a patient in accordance with another embodiment of the present invention.
  • DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
  • As indicated above, the present invention is an in-vivo medical device that uses organic light-emitting diodes (OLEDs) as a light source to provide illumination light within a patient's body cavity. FIG. 1 shows the distal end of an in-vivo medical device 10 such as a catheter, endoscope, bronchoscope, trocar, guidewire or other device that is inserted into a patient's body cavity. At or adjacent the distal end of the device is the light source 12 having one or more organic light-emitting diodes that produce illumination light when energized.
  • The light source 12 has a substrate 14 on which is formed an electrode 16. A semi-transparent electrode 18 is formed on top of the organic light-emitting diode material such that the diode material is sandwiched between the electrodes 16 and 18. Electrode wires, conductive leads, or other current carrying devices 28 connect the electrodes 16 and 18 to a power supply 30, which is typically external. However, the medical device could have built-in batteries to power the light source. The application of electrical energy to the electrodes 16 and 18 cause the organic light-emitting diode material to produce illumination light. The composition and method of constructing an OLED light source 12 suitable for use with the medical device of the present invention are known to those of ordinary skill in the art of light-emitting diodes. See, for example, U.S. Pat. Nos. 6,627,333; 6,124,046; 6,127,693; and 6,495,198, which are herein incorporated by reference.
  • In the embodiment shown, the light source 12 is generally cylindrical or tubular in shape such that the medical device 10 can include one or more parallel or coaxial lumens 22 extending through the light source 12. In addition, the medical device 10 may include an image sensor 24 at or adjacent its distal end for capturing images of a patient. Alternatively, the medical device 10 may include an imaging light guide and one or more lenses that direct reflected and back scattered illumination light to an external image sensor or camera.
  • The illumination light provided by the light source 12 may be in the visible, ultraviolet or infrared spectrum depending upon the desired use of the medical device 10.
  • FIG. 2 illustrates another embodiment of a medical device 50 having an OLED light source 52 at or adjacent its distal end. The light source 52 includes a substrate 54 and a number of spaced, semi-transparent electrodes 56, 58, 60, 62. Between the electrodes are segments of organic light-emitting diode material of different colors or wavelengths in order to form a stacked organic light-emitting diode (SOLED). The color or illumination wavelength of the light induced by the light source 52 can be adjusted by applying a voltage to selected electrodes 56, 58, 60 or 62. The SOLED can be manufactured with known lithographic or semiconductor fabrication techniques such as those described in patent application No. PCT/US98/01412, which is herein incorporated by reference.
  • In the embodiment shown in FIG. 2, the light source 52 has an ovoidal shape with an atraumatic distal tip to reduce the likelihood of damaging tissue in the body. The medical device 50 also has one or more lumens 70 exiting the distal end of the device and an imaging sensor 72 for producing images of the patient.
  • FIG. 3 shows an in-vivo medical imaging system including a medical device 100 having a light source 102 formed of one or more OLEDs that provide illumination light to a point of interest in a patient's body. At the proximal end of the medical device 100 are the proximal openings of one or more lumens within the medical device 100, through which a physician can insert an instrument into the patient. In addition, the proximal end of the medical device includes a connector 109 that connects the light source 102 to a supply of electrical power 110. A connector 108 allows signals from an imaging sensor (not shown) at the distal end of the device to be connected to a video or other display 112.
  • In operation, the physician can adjust the supply of electrical power 110 to the one or more OLEDs at the distal end of the medical device 100 in order to adjust the intensity or illumination wavelength of the light produced. In some instances, the power supply 110 may be automatically controlled to illuminate the tissue with a number of different wavelengths such that images can be obtained with illumination light of each wavelength in order to view tissue under a variety of illumination conditions. Alternatively, the light source may be strobed to obtain images of moving tissue such as heart valves, etc.
  • Depending on the wavelength of the illumination light, different imaging techniques may be used to view or diagnose tissue in the body. These imaging techniques include: drug induced or native fluorescence imaging and white light or colored light imaging. In addition, light from the light source can be used to activate photosensitive drugs, or infrared heat can be supplied to tissue in the body.
  • FIG. 4 illustrates an embodiment of the invention whereby a medical device 120 has one or more strips of OLED material 122 positioned along its length. The strips 122 are preferably ruled or otherwise marked with distance indications. The one or more strips 122 can therefore be used to gauge how far the device 120 is inserted into a patient. The strip 122 may be integrally formed on the medical device 120 or may be separately formed by a semiconductor or lithographic process and secured to the device 120 with an adhesive or the like.
  • In the embodiments shown in FIGS. 1-4, it may be desirable to encapsulate the OLED light source with a transparent cover or shield to prevent bodily fluids from contacting the light source.
  • As will be appreciated, the OLEDs generate more light in a smaller area and with less heat than that produced by conventional LEDs. The light produced may be sufficient to externally view the position of the illuminated medical device inside the body with the naked eye or with external imaging equipment.
  • In some instances, it may be desirable to provide a mechanism for removing heat from the one or more OLEDs and transferring the heat to a point away from the patient's body. In one embodiment of the invention, the medical device includes a heat conducting polymer such as that described in U.S. Pat. No. 6,620,497 assigned to Cool Options, Inc. of Warwick, R.I., and which is herein incorporated by reference. A head conductive polymer as described in the '497 patent can be used to form the tubular walls of the medical device or a cover of the medical device. Alternatively, the medical device can include a strip of such a heat conductive polymer material having one end thermally coupled to the OLEDs and another end positioned away from the OLEDs. The strip therefore conducts the heat produced by the OLEDs away from the patient. The heat can be transferred outside of the patient's body or over a large enough area such that no point of the medical device that is within the patient becomes hot enough to cause discomfort or burn the patient.
  • Furthermore, the OLED endoscope may include a torqueable pull wire such as disclosed in U.S. Pat. No. 5,642,736, which is herein incorporated by reference, in order to provide the ability of an operator to bend the distal tip and to rotate it by torquing the wire or rotating it about its longitudinal axis.
  • While the preferred embodiment of the invention has been illustrated and described, it will be appreciated that various changes can be made therein without departing from the scope of the invention. For example, although the invention has been illustrated with endoscopes, it will be appreciated that other medical devices such as guide catheters, guidewires, ablation devices, balloon catheters or other devices could be equipped with such a light source. It is therefore intended that the scope of the invention be determined from the following claims and equivalents thereof.

Claims (18)

1. A medical device for illuminating a body cavity of a patient, comprising:
an elongate member having a proximal end that remains outside the body cavity and a distal end that is insertable into the body cavity;
an illumination source including one or more organic light-emitting diodes that produce light within the body cavity of the patient when energized; and
two or more conductive leads that deliver electrical energy to the one or more organic light-emitting diodes.
2. The medical device of claim 1, wherein the illumination source includes a single organic light-emitting diode.
3. The medical device of claim 1, wherein the illumination source includes two or more organic light-emitting diodes, each of which produces illumination light of a different wavelength.
4. The medical device of claim 1, further comprising one or more lumens extending therethrough.
5. The medical device of claim 1, further comprising an image sensor at or adjacent the distal end of the elongate member for capturing images of tissue in the body cavity.
6. The medical device of claim 1, further comprising an imaging light guide within the elongate member that transmits reflected or scattered illumination light to an image sensor or camera.
7. The medical device of claim 1, wherein the elongate member includes a heat conductive polymer that dissipates heat produced by the one or more organic light-emitting diodes.
8. The medical device of claim 7, wherein the elongate member is at least partially formed of the heat conductive polymer and wherein the elongate member is thermally coupled to the one or more organic light-emitting diodes.
9. The medical device of claim 7, wherein the elongate member includes a length of the heat conductive polymer that is thermally coupled to the one or more organic light-emitting diodes.
10. The medical device of claim 1, wherein the elongate member includes a torqueable wire that is secured at or adjacent the distal end to bend and/or rotate the distal end of the elongate member.
11. A medical device, including:
an elongate member having a proximal end and a distal end;
one or more lumens extending through the elongate member;
one or more strips of an organic light-emitting diode material disposed along a length of the elongate member; and
conductive leads that supply electrical energy to the one or more strips of organic light-emitting diode material to cause the one or more strips to emit light.
12. The medical device of claim 7, wherein the one or more strips of organic light-emitting material are marked with length indications.
13. A medical device for illuminating a body cavity of a patient, comprising:
an elongate member having a proximal end that remains outside the body cavity and a distal end that is insertable into the body cavity;
one or more LEDs that illuminate the body cavity; and
a heat conductive polymer that is thermally coupled to the one or more LEDs to dissipate heat from the one or more LEDs.
14. The medical device of claim 13, wherein the elongate member is at least partially formed of the heat conductive polymer.
15. The medical device of claim 13, wherein the elongate member includes a length of the heat conductive polymer in thermal contact with the one or more LEDs.
16. The medical device of claim 13, wherein the one or more LEDs are organic LEDs.
17. The medical device of claim 16, wherein the one or more organic LEDs produce light of the same wavelengths.
18. The medical device of claim 16, wherein the one or more organic LEDs produce light of different wavelengths.
US10/737,980 2003-12-17 2003-12-17 Medical device with OLED illumination light source Abandoned US20050137459A1 (en)

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US10/737,980 US20050137459A1 (en) 2003-12-17 2003-12-17 Medical device with OLED illumination light source
PCT/US2004/041248 WO2005058149A1 (en) 2003-12-17 2004-12-07 Medical device with oled illumination light source
US12/209,170 US9622682B2 (en) 2003-12-17 2008-09-11 Medical device with OLED illumination light source
US15/450,664 US20170181610A1 (en) 2003-12-17 2017-03-06 Medical device with oled illumination light source

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US12/209,170 Active 2029-01-06 US9622682B2 (en) 2003-12-17 2008-09-11 Medical device with OLED illumination light source
US15/450,664 Pending US20170181610A1 (en) 2003-12-17 2017-03-06 Medical device with oled illumination light source

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