US3822706A - Medical light and combating of hyperbilirubinemia - Google Patents
Medical light and combating of hyperbilirubinemia Download PDFInfo
- Publication number
- US3822706A US3822706A US00281360A US28136072A US3822706A US 3822706 A US3822706 A US 3822706A US 00281360 A US00281360 A US 00281360A US 28136072 A US28136072 A US 28136072A US 3822706 A US3822706 A US 3822706A
- Authority
- US
- United States
- Prior art keywords
- light
- medical
- infant
- housing
- medical light
- Prior art date
- 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.)
- Expired - Lifetime
Links
- 208000027119 bilirubin metabolic disease Diseases 0.000 title claims abstract description 13
- 208000036796 hyperbilirubinemia Diseases 0.000 title claims abstract description 13
- 229910052754 neon Inorganic materials 0.000 claims abstract description 29
- GKAOGPIIYCISHV-UHFFFAOYSA-N neon atom Chemical compound [Ne] GKAOGPIIYCISHV-UHFFFAOYSA-N 0.000 claims abstract description 29
- 230000005855 radiation Effects 0.000 claims description 45
- OAICVXFJPJFONN-UHFFFAOYSA-N Phosphorus Chemical compound [P] OAICVXFJPJFONN-UHFFFAOYSA-N 0.000 claims description 9
- 238000010521 absorption reaction Methods 0.000 claims description 8
- 238000001429 visible spectrum Methods 0.000 claims description 8
- 230000005540 biological transmission Effects 0.000 claims description 7
- 229910052756 noble gas Inorganic materials 0.000 claims description 6
- 238000000034 method Methods 0.000 claims description 5
- 229920003023 plastic Polymers 0.000 claims description 5
- 239000004033 plastic Substances 0.000 claims description 5
- 238000010276 construction Methods 0.000 abstract description 4
- XKRFYHLGVUSROY-UHFFFAOYSA-N Argon Chemical compound [Ar] XKRFYHLGVUSROY-UHFFFAOYSA-N 0.000 description 4
- 229920005372 Plexiglas® Polymers 0.000 description 3
- BPYKTIZUTYGOLE-IFADSCNNSA-N Bilirubin Chemical compound N1C(=O)C(C)=C(C=C)\C1=C\C1=C(C)C(CCC(O)=O)=C(CC2=C(C(C)=C(\C=C/3C(=C(C=C)C(=O)N\3)C)N2)CCC(O)=O)N1 BPYKTIZUTYGOLE-IFADSCNNSA-N 0.000 description 2
- 229910052786 argon Inorganic materials 0.000 description 2
- 230000007423 decrease Effects 0.000 description 2
- -1 e.g. Polymers 0.000 description 2
- 230000000873 masking effect Effects 0.000 description 2
- 230000000474 nursing effect Effects 0.000 description 2
- 239000004926 polymethyl methacrylate Substances 0.000 description 2
- 206010011703 Cyanosis Diseases 0.000 description 1
- VVQNEPGJFQJSBK-UHFFFAOYSA-N Methyl methacrylate Chemical compound COC(=O)C(C)=C VVQNEPGJFQJSBK-UHFFFAOYSA-N 0.000 description 1
- 206010028813 Nausea Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 235000015241 bacon Nutrition 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000009931 harmful effect Effects 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 239000005355 lead glass Substances 0.000 description 1
- QSHDDOUJBYECFT-UHFFFAOYSA-N mercury Chemical compound [Hg] QSHDDOUJBYECFT-UHFFFAOYSA-N 0.000 description 1
- 229910052753 mercury Inorganic materials 0.000 description 1
- 230000008693 nausea Effects 0.000 description 1
- 231100000252 nontoxic Toxicity 0.000 description 1
- 230000003000 nontoxic effect Effects 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 230000001131 transforming effect Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/06—Radiation therapy using light
- A61N5/0613—Apparatus adapted for a specific treatment
- A61N5/0621—Hyperbilirubinemia, jaundice treatment
Definitions
- Sprung ABSTRACT A medical light especially useful in combating hyperbilirubinemia of neonates.
- the light comprises a neon bulb mounted in a housing of size and construction such that the light can be placed in an incubator.
- TRANSFORMER REGULATOR PATENIEU JUL 91924 SHEEI 2 [IF 2 MEDICAL LIGHT AND COMBATING OF I-IYPERBILIRUBINEMIA BACKGROUND Radiation in the visible spectrum range has become recognized as a treatment, both therapeutically and prophylactically, for hyperbilirubinemia. Blue light is generally regarded as the most effective.
- a housing containing, e.g., 8 to 10, fluorescent bulbs in planoparallel array, is mounted on a floor stand.
- the height of the housing can be adjustable.
- the-lamps are disposed with the light housing positioned outside and over an incubator, which is outfitted with a transparent top cover,.for radiation through the incubator cover to the infants body.
- a filter for light of wave length shorter than that of blue can be provided. Thereby ultra-violet radiation, which is generally considered to be undesirable, can be eliminated.
- masking is done by wrapping the babys head, including the eyes, in bandages.
- Another disadvantage is that the light tends to heat up the incubator.
- the energy output of the fluorescent bulbs decreases with use.
- the decrease in radiation of blue light of wavelength 400 to 480 nm (nanometers) is reported to be as high as 44 percent in 200 hours. Treatment periods are, for example, 48 to 144 hours.
- blue light may cause nausea so that the nursing staff may be bothered by the treatment.
- Still another disadvantage is that the floor stand, fluorescent lamps are awkward to use. They are bulky and inconvenient to move about. To regulate intensity of radiation, the height of the light housing is-adjusted, or the bulbs are changed.
- Ruiter U.S. Pat. No. 1,337,798, discloses a housing outfitted with lights for receiving a part of the trunk of a patient.
- Riess et al. U.S. Pat. No. 2,300,008, disclose a neon light for placement on parts of the body.
- Bacon, U.S. Pat. No. 2,003,527 discloses I a light adapted to be moved over the body.
- Hess U.S. Pat. No. 1,900,342, discloses an incubator for infants outfitted with a therapeutic light.
- the invention provides for treatment of hyperbilirubinemia of neonates unaccompanied by the aforementioned disadvantages of the prior art practices.
- the infant is treated by directing radiation of a neon light onto the infant for a time sufficient to counteract hyperbilirubinemia. It is particularly contemplated that the infant be in an incubator during the'treatment, with the neon light positioned within the incubator.
- the light comprises a housing opened at the bottom and at one end thereof for placement of the housing over the infant with the head without the housing and the trunk covered by the housing.
- a neon light is mounted within the upper part of the housing for directing of emitted light to the trunk of the infant.
- the light includes a shield mounted on the end adjacent the infants head, for shielding the infants head from the emitted light.
- the light emits radiation in the blue por-. tion of the visible spectrum, and filter means are provided for absorption of ultra-violet radiation before transmission of the light to the infant.
- the housing can have closed sides, which can be transparent, or, if desired, the inner surface of the sides can be reflecting for inward reflection of radiation to the infant.
- the end of the housing opposite the head end can be opened for disposition of the infants legs, at least partially, without the housing.
- the housing can be of such dimensions that the infants arms can be disposed without the housing.
- the lamp of the instant application provides substantial reduction in lght spillage. Also, masking of the infants head is not necessary as the shield provided with the lamp prevents radiation from striking the infants head. By reason of the character of the neon light, undesirable heating up does not occur. Also, reduction in light intensity with use does not occur to an objectionable extent. To avoid.
- FIG. 1 is a perspective view of a medical light according to the invention, including a schematic illustration of the power supply for the light; and I FIG. 2 is an end view from the head end, taken along 2 2 in FIG. 1.
- the medical light 1 includes a housing 2 composed of a closed top 3, closed sides 11, foot end 4 having an opening'6 for projection therefrom of an infants legs, and head end 5 which is open to permit projection of the infants head from the housing.
- the opening 8 in the head end 5 is an inverted U-shaped opening formed in a plate 9 which is slidably mounted on the head end 5 by way of guides so that the plate can be manually moved up and down.
- the overall size of the medical light in inches, can be 8 8 8to 12X 12X l2,preferably9 9 9to 11 X ll X 11.
- a height of 9% inches and a length and width of 10 inches has been found to be particularly well suited.
- the light is sized so that it can fit within an incubator, i.e., within the incubator with the incubator top cover in place.
- the lamp is light weight and can be easily moved about by members of the nursing staff.
- a handle 7, (FIG. 2), is provided for the unit.
- the light is sufficiently heavy so that it resists movement by the infant.
- the top 3 and the upper portion 11a of the housing can be and preferably is opaque so that light is not transmitted therethrough.
- the lower portion 1 lb of the sides can be transparent or opaque. Also, it can have an inner surface which is reflecting so that radiation is reflected toward the infant. Desirably the lower portion of the sides is amber plastic, e.g., Plexiglas which does not transmit radiation in the range of 400 500 nm, i.e., blue light.
- the head end and the foot end of the housing can be of the same construction as is mentioned for the sides.
- the neon light comprising the tubing 12 and electrode caps 14, rest on support bars 13 in the upper portion of the housing.
- Air vent holes 18 are provided in the upper portion of the housing to prevent any undesirable heat build up.
- the tubing 12 can be 9 mm id, 6 feet in length.
- the tubing can be Corning 6-1 lead glass, non ultra-violet emitting, filled with a noble gas, e.g., argon, and can be coated with fluorescent lamp phosphor, so that the lamp will preferentially emit blue light, e.g., radiation of wave length in the range of 400 500 nm, preferably in the range of 425 475 nm.
- the ends of the tubing are connected with power leads from the cable 15, via electrode caps 14.
- the contents of the tubing are non-toxic, and free of mercury.
- a pure noble gas is used, e.g., pure argon. Then breakage would not contaminate the incubator.
- Plexiglas plate 17 is positioned between the upper portion 11a and the lower portion 11b of the sidewalls.
- the plate can be UVA B plexiglass of Rohn and Hass, Vs inch thick.
- the power supply is indicated in P16. 1.
- a neon light transformer for transforming 120V supply to 3,000 4,000 output is used.
- Cable 23, including a voltage regulator 22 is provided for connection to the 120V supply.
- the power unit includes an on-off switch 25, and an indicator light 24.
- a safety plug 21 which is a four contact CPI-I No. 49,638 plug, is provided for connecting cable to the power supply. The safety plug insures that the high voltage side of the transformer will be closed, before closing of the low voltage power input side.
- the output of the neon light can be controlled by the voltage regulator 22, so that a selected degree of radiation can be utilized.
- the current of the output side of the transformer can be about 30 miliamps.
- a medical light suitable for placement in an infant incubator with the incubator top cover in place comprising:
- a neon light mounted within the upper part of the housing for directing of emitted light to the trunk of the infant with the housing placed as aforesaid
- a shield mounted on said one end of the housing for shielding the infants head from the light emitted from the neon light.
- Medical light according to claim 1 the medical light emitting radiation in the blue portion of the visible spectrum to the tnunk of the infant.
- Medical light according to claim 2 and a filter means for absorption of ultra-violet radiation before transmission of the light to the infant.
- said shield comprising a plate having an inverted U-shaped opening providing said open end for the infants head, said plate being slidably mounted on the housing for up and down movement.
- Medical light according to claim 1 and a filter means for absorption of ultra-violet radiation before transmission of the light to the infant.
- Medical light according to claim '1 having closed sides, the inner surface of the sides being reflecting for inward reflection of radiation to the infant.
- the housing having closed sides, the inner surface of the sides being reflecting for inward reflection of radiation to the infant, the light emitting radiation in the blue portion of the visible spectrum, and a filter means for absorption of ultra-violet radiation before transmission of the light to the infant.
- said shield comprising a plate having an inverted U-shaped opening providing said open end for the infants head, said plate being slidably mounted on the housing for up and down movement.
- Medical light according to claim 9, and an electrical transformer having the high voltage side thereof connected to the neon light, and a voltage regulator connected to the transformer for controlling the intensity of the light.
- Medical light according to claim 1 having closed sides, the lower portion of the sides being formed of amber plastic which does not transmit blue light.
- Medical light according to claim 11 the medical light preferentially emitting blue light to the trunk of the infant.
- Medical light according to claim 12 the blue light being radiation of wave length in the range of 400-500 nm.
- Medical light according to claim 3 having closed sides, the lower portion of the sides being formed of amber plastic which does not transmit blue light.
- Medical light according to claim 14 and a neon light transformer connected to the medical light by an extension cord.
- Medical light according to claim 15 the overall size of the light being 8 X 8 X 8 to 12 X 12 X 12, the neon light comprising tubing filled with a noble gas and coated with fluorescent lamp phosphor.
- Medical light according to claim 16 the phosphor preferentially emitting blue light.
- Medical light according to claim 17 the blue light being radiation of wavelength in the range of 400*500 19.
- the overall size of the light being 8 X 8 X 8 to 12 X12 X12.
- the neon light comprising tubing filled with a noble gas and coated with fluorescent lamp phosphor.
- Method of combating hyperbilirubinemia of neonates which comprises directing radiation of a medical light onto the infant in an incubator for a time sufficient to counteract hyperbilirubinemia, the medical light being disposd within the incubator with the incubator top cover in place, the medical light comprising:
- a housing open at one end thereof housing the infant with the trunk within the housing and the head without the housing outside of said opening
- a neon light mountedwithin the upper part of the housing directing emitted light to the trunk of the infant with the housing placed as aforesaid
- Method according to claim 22 the medical light emitting radiation in the blue portion of the visible spectrum to the trunk of the infant for said combating of hyperbilirubinemia.
- Medical light according to claim 1 the medical light preferentially emitting blue light to the trunk of the infant.
- Medical light according to claim 24 the blue light being radiation of wavelength in the range of 400-500 26.
- Medical light according to claim 3 the medical light preferentially emitting blue light to the trunk of the infant.
- Medical light according to claim 26 the blue light being radiation of wavelength in the range of 400-500 28.
- Medical light according to claim 28, the blue light being radiation of wavelength in the range of 400-500
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
- Radiation-Therapy Devices (AREA)
Priority Applications (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US00281360A US3822706A (en) | 1972-08-17 | 1972-08-17 | Medical light and combating of hyperbilirubinemia |
IL41897A IL41897A (en) | 1972-08-17 | 1973-03-27 | Medical light and combating of hyperbilirubinemia |
ZA732303A ZA732303B (en) | 1972-08-17 | 1973-04-03 | Medical light and combating of hyperbilirubinemia |
IT23548/73A IT985604B (it) | 1972-08-17 | 1973-04-30 | Lampada per uso medico e per combattere l iperbilirubinemia |
DK450373A DK132813C (da) | 1972-08-17 | 1973-08-15 | Medicinsk lysbehandlingsapparat til behandling af et barn mod hyperbilirubinemi |
DE19732341433 DE2341433A1 (de) | 1972-08-17 | 1973-08-16 | Medizinische lampe |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US00281360A US3822706A (en) | 1972-08-17 | 1972-08-17 | Medical light and combating of hyperbilirubinemia |
Publications (1)
Publication Number | Publication Date |
---|---|
US3822706A true US3822706A (en) | 1974-07-09 |
Family
ID=23076962
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US00281360A Expired - Lifetime US3822706A (en) | 1972-08-17 | 1972-08-17 | Medical light and combating of hyperbilirubinemia |
Country Status (6)
Country | Link |
---|---|
US (1) | US3822706A (it) |
DE (1) | DE2341433A1 (it) |
DK (1) | DK132813C (it) |
IL (1) | IL41897A (it) |
IT (1) | IT985604B (it) |
ZA (1) | ZA732303B (it) |
Cited By (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4444190A (en) * | 1980-11-24 | 1984-04-24 | Mutzhas Maximilian F | Device for the phototherapeutic treatment of hyperbilirubinemia |
US4873446A (en) * | 1982-04-27 | 1989-10-10 | Albert Kreitmair | Device for irradiating denture parts |
US4911160A (en) * | 1986-04-30 | 1990-03-27 | Meditec Reinhardt Thyzel Gmbh | Apparatus for laser surgery on a patient lying on an operating table |
US5792214A (en) * | 1995-01-31 | 1998-08-11 | Medela, Inc. | Apparatus and method for treating neonatal hyperbilirubinemia |
US6290713B1 (en) | 1999-08-24 | 2001-09-18 | Thomas A. Russell | Flexible illuminators for phototherapy |
US6402681B1 (en) | 2000-03-07 | 2002-06-11 | Hill-Rom Services, Inc. | Phototherapy apparatus |
US6413205B1 (en) * | 2000-05-18 | 2002-07-02 | Harris County Hospital District | Infant warmer with light shield |
US20040143308A1 (en) * | 1998-05-01 | 2004-07-22 | Dusa Pharmaceuticals, Inc. | Illuminator for photodynamic therapy |
US20050119713A1 (en) * | 2000-08-18 | 2005-06-02 | Whitehurst Todd K. | Methods for implanting a spinal cord stimulator |
US20070156207A1 (en) * | 2006-01-04 | 2007-07-05 | Sridhar Kothandaraman | Expanding single channel stimulator capability on multi-area stimulation programs |
US20090069873A1 (en) * | 2007-08-28 | 2009-03-12 | Vreman Hendrik J | Transparent film for a phototherapy device |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE3622148A1 (de) * | 1986-07-02 | 1988-01-07 | Draegerwerk Ag | Bestrahlungseinrichtung |
DE19724298A1 (de) * | 1997-06-09 | 1998-12-10 | Thomas Danhauser | Bestrahlungslampe für Bräunungsanlagen |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1643399A (en) * | 1927-09-27 | Therapeutic apparatus | ||
US1900342A (en) * | 1929-08-03 | 1933-03-07 | Julius H Hess | Infant incubator |
US2286110A (en) * | 1940-01-18 | 1942-06-09 | Running William | Diathermy apparatus |
US2676596A (en) * | 1949-04-20 | 1954-04-27 | Rouat Roger | Cabinet for applying light or heat baths |
-
1972
- 1972-08-17 US US00281360A patent/US3822706A/en not_active Expired - Lifetime
-
1973
- 1973-03-27 IL IL41897A patent/IL41897A/xx unknown
- 1973-04-03 ZA ZA732303A patent/ZA732303B/xx unknown
- 1973-04-30 IT IT23548/73A patent/IT985604B/it active
- 1973-08-15 DK DK450373A patent/DK132813C/da active
- 1973-08-16 DE DE19732341433 patent/DE2341433A1/de active Pending
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1643399A (en) * | 1927-09-27 | Therapeutic apparatus | ||
US1900342A (en) * | 1929-08-03 | 1933-03-07 | Julius H Hess | Infant incubator |
US2286110A (en) * | 1940-01-18 | 1942-06-09 | Running William | Diathermy apparatus |
US2676596A (en) * | 1949-04-20 | 1954-04-27 | Rouat Roger | Cabinet for applying light or heat baths |
Non-Patent Citations (1)
Title |
---|
Cremer et al., The Lancet, May 1958, pp. 1094 1097. * |
Cited By (21)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4444190A (en) * | 1980-11-24 | 1984-04-24 | Mutzhas Maximilian F | Device for the phototherapeutic treatment of hyperbilirubinemia |
US4873446A (en) * | 1982-04-27 | 1989-10-10 | Albert Kreitmair | Device for irradiating denture parts |
US4911160A (en) * | 1986-04-30 | 1990-03-27 | Meditec Reinhardt Thyzel Gmbh | Apparatus for laser surgery on a patient lying on an operating table |
US5792214A (en) * | 1995-01-31 | 1998-08-11 | Medela, Inc. | Apparatus and method for treating neonatal hyperbilirubinemia |
US6253380B1 (en) | 1995-01-31 | 2001-07-03 | Medela Holding Ag | Restraining garment |
US7723910B2 (en) | 1998-05-01 | 2010-05-25 | Dusa Pharmaceuticals, Inc. | Method of photodynamically diagnosing or treating a contoured surface |
US8216289B2 (en) | 1998-05-01 | 2012-07-10 | Dusa Pharmaceuticals, Inc. | Illuminator for photodynamic therapy |
US20040143308A1 (en) * | 1998-05-01 | 2004-07-22 | Dusa Pharmaceuticals, Inc. | Illuminator for photodynamic therapy |
EP1566200A1 (en) * | 1998-05-01 | 2005-08-24 | Dusa Pharmaceuticals, Inc. | Illuminator for photodynamic therapy |
US7190109B2 (en) | 1998-05-01 | 2007-03-13 | Dusa Pharmaceuticals, Inc. | Illuminator for photodynamic therapy |
US9723991B2 (en) | 1998-05-01 | 2017-08-08 | Dusa Pharmaceuticals, Inc. | Illuminator for photodynamic therapy |
US20070249716A1 (en) * | 1998-05-01 | 2007-10-25 | Dusa Pharmaceuticals, Inc. | Illuminator for photodynamic therapy |
US8758418B2 (en) | 1998-05-01 | 2014-06-24 | Dusa Pharmaceuticals, Inc. | Illuminator for photodynamic therapy |
US20100191172A1 (en) * | 1998-05-01 | 2010-07-29 | Dusa Pharmaceuticals, Inc. | Illuminator for photodynamic therapy |
US8030836B2 (en) | 1998-05-01 | 2011-10-04 | Dusa Pharmaceuticals, Inc. | Illuminator for photodynamic therapy |
US6290713B1 (en) | 1999-08-24 | 2001-09-18 | Thomas A. Russell | Flexible illuminators for phototherapy |
US6402681B1 (en) | 2000-03-07 | 2002-06-11 | Hill-Rom Services, Inc. | Phototherapy apparatus |
US6413205B1 (en) * | 2000-05-18 | 2002-07-02 | Harris County Hospital District | Infant warmer with light shield |
US20050119713A1 (en) * | 2000-08-18 | 2005-06-02 | Whitehurst Todd K. | Methods for implanting a spinal cord stimulator |
US20070156207A1 (en) * | 2006-01-04 | 2007-07-05 | Sridhar Kothandaraman | Expanding single channel stimulator capability on multi-area stimulation programs |
US20090069873A1 (en) * | 2007-08-28 | 2009-03-12 | Vreman Hendrik J | Transparent film for a phototherapy device |
Also Published As
Publication number | Publication date |
---|---|
IL41897A (en) | 1975-11-25 |
DK132813B (da) | 1976-02-16 |
ZA732303B (en) | 1974-11-27 |
IT985604B (it) | 1974-12-10 |
DE2341433A1 (de) | 1974-02-28 |
DK132813C (da) | 1976-08-16 |
IL41897A0 (en) | 1973-05-31 |
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