Surgery – Instruments – Light application
Patent
1991-10-11
1995-04-25
Shay, David M.
Surgery
Instruments
Light application
606 3, 606 10, 607 89, 607 90, A61B 600
Patent
active
054094828
DESCRIPTION:
BRIEF SUMMARY
This invention relates to probes, and methods of use thereof, for biomodulation of tissue, nerve and immune systems by frequency modulation of semiconductor lasers.
It has become apparent, through our recent research, that an important parameter for the observed laser biomodulation effect (stimulation or inhibition) is the method of delivering the visible or invisible light energy into the target material. We have also demonstrated that all other conditions being constant (e.g. wavelength, power density and energy density) the pulsing frequency and pulsing duration modulation of the laser light varies the biomodulation action.
It is, therefore, one object of the present invention, to provide a probe wherein the pulsing frequency and pulsing duration modulation can be very economically and efficiently controlled and applied.
According to the invention, there is provided a probe for the biomodulation of tissue, nerve and immune systems having a semiconductor laser mounted thereon for delivering an electromagnetic beam to the area to be treated and electronic means so mounted within the probe closely adjacent the laser for stimulating the laser for controlling the generation of pulses and the emission of a pulsating visible or invisible infrared light constituting the said beam as thereby substantially to eliminate losses due to radio frequency and microwave generation. Very advantageously the electronic means is arranged to pulse the laser light with micropulses of nanosecond or picosecond duration and then modulate the light again by pulsing the laser with macropulses of millisecond, microsecond or nanosecond duration.
The invention also includes the method of effecting biomodulation (stimulation or inhibition) by delivering visible or invisible light energy into a target tissue, nerve or immune system by means of a probe as aforesaid.
In order that the invention may be clearly understood and readily carried into effect a probe and manner of operating such probe for biomodulation of tissue, nerve or an immune system will now be described, by way of example, with reference to the accompanying drawings, in which:
FIG. 1 is a diagrammatic sectional elevation of the probe,
FIG. 2 is a circuit diagram comprising an electrical assembly in the probe, and
FIG. 3 is an explanatory diagram.
Referring to FIG. 1, the probe comprises a laser diode 1 for projecting a monochromatic beam in the visible or infrared range of the spectrum from the tip of a tapered and finned heat sink 2 terminating the probe 3. The laser diode 1 is driven and controlled through the medium of an electronic laser drive circuit means (FIG. 2) carried by a printed circuit board 4 and connected to the laser diode 1 by a sleeved lead 5. As shown, the semiconductor laser 1 is mounted at and within the apex portion of a conical heat sink (2) included in and terminating the probe.
The circuit comprises oscillator frequency control, beam oscillator, beam power control, beam power supply and beam control logic as described in Patent Application No. EP-A-0320080 and the circuit is arranged for the beam to be modulated periodically to operate as shown in FIG. 3. Thus, in each duty period A there is a macroperiod B followed by an off time C. In each macroperiod B there is a series of similar microperiods D. The following table shows experimental results obtained with this form of operation with an output wavelength of 850 mm and a series of oscillator frequencies ranging from 2.5 Hz and 5 KHz.
__________________________________________________________________________ WIDTHS
PROBE PULSE 80%
850 DUTY CYCLE MACRO- MICRO- No. of
3 ML PERIOD OFF-TIME
PULSE PULSE MICRO
FREQUENCY
A C B D PER MACRO
__________________________________________________________________________
2.4 Hz 400
msec
80 mSec
320
mSec
350
nSec
96.969
5 Hz 200
mSec
40 mSec
160
mSec
350
nSec
48,484
10 Hz 100
mSec
20 mSec
80 mSec
350
nSec
24,242
16 Hz 62.5
mSec
12.5
mSec
50 mSec
350
nSec
15,151
20 Hz 50 mSec
10 mSec
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patent: 4803689 (1989-02-01), Shibanuma
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Omega Universal Holdings Limited
Shay David M.
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