Method and system for optically evaluating drilling proximity to the inferior alveolar nerve in situ

• US 10,258,350 B2
• Filed: 11/06/2015
• Issued: 04/16/2019
• Est. Priority Date: 04/21/2011
• Status: Active Grant

• Current Assignee: Live View Technologies LLC
• Original Assignee: Live View Technologies LLC
• Inventors: Moghaddam, Hassan Ghaderi, Gallant, Pascal, Mermut, Ozzy, Veilleux, Israel
• Primary Examiner(s): Akar, Serkan
• Application Number:
  US14/934,603
• Publication Number:
  US 20160058455A1
• Time in Patent Office: 1,257 Days
• CPC Class Codes: A61B 17/1673 for the jaw
• CPC Class Codes: A61B 17/1703 using imaging means, e.g. by X-rays
• CPC Class Codes: A61B 2034/2057 Details of tracking cameras
• CPC Class Codes: A61B 2090/306 using optical fibres
• CPC Class Codes: A61B 5/0066 Optical coherence imaging
• CPC Class Codes: A61B 5/0075 by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy A61B5/0071 takes precedence
• CPC Class Codes: A61B 5/0261 using optical means, e.g. infrared light
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/4542 Evaluating the mouth, e.g. the jaw
• CPC Class Codes: A61B 5/489 Blood vessels
• CPC Class Codes: A61B 5/4893 Nerves
• CPC Class Codes: A61C 1/084 of implanting tools
• CPC Class Codes: A61C 1/088 Illuminating devices or attachments for examination of the mouth A61B1/24 and A61B1/06
• CPC Class Codes: A61C 19/04 Measuring instruments specially adapted for dentistry A61C5/44 takes precedence; testing vitality of teeth A61B5/0534; radiation diagnosis specially adapted for dentistry A61B6/51
• CPC Class Codes: A61C 8/0089 Implanting tools or instruments

Abstract

A low coherence interferometry probe system for evaluating proximity to a tissue layer, comprising a low coherence light source for generating low coherence excitation light, an excitation optical fiber to bring the low coherence excitation light near the tissue layer and a collection optical fiber for capturing back-scattered light from the tissue layer. The probe system comprises a low coherence interferometry sub-system and a digital signal processor for evaluating a distance to the tissue layer. There is also provided a spectral absorption probe system for evaluating proximity to an artery, comprising a light source excitation light having a wavelength adapted for absorption by blood chromophores, an excitation optical fiber and a collection optical fiber. The probe system comprises a light detector and a signal processor for determining a distance to the artery based on the back-scattered light and on Beer-Lambert law of light absorption using a value for surrounding tissue attenuation coefficient (μeff). A probe system combining low coherence interferometry and spectral absorption is also provided.

Claims

1. A surgical drilling system for determining proximity of a surgical drill bit to an artery located within tissue during a drilling procedure, the surgical drilling system comprising:

at least one of an excitation optical channel and a first collection optical channel of a spectral absorption probe, wherein the excitation optical channel provides excitation light to the tissue, the excitation light having a wavelength configured for absorption by blood chromophores;

further wherein the first collection optical channel of the spectral absorption probe captures diffused back-scattered light from the tissue including the artery, wherein said diffused back-scattered light is modulated by blood flow dynamics in said artery, said blood flow dynamics being a periodic change in blood volume in said artery due to a cardiac cycle;

a first light detector of the spectral absorption probe operatively connected to said first collection optical channel for detecting said diffused back-scattered light modulated by blood flow dynamics including an oscillating signal, a frequency of said oscillating signal being related to said periodic change; and

a first signal processor operatively connected to the first light detector for determining a first distance between the tissue including the artery and the spectral absorption probe based on said back-scattered light using one or more characteristics of the oscillating signal and a value for surrounding tissue attenuation coefficient;

a low coherence interferometry sub-system including a second collection optical channel for capturing low-coherence back-scattered light from said tissue, the sub-system including a second light detector operatively connected to said second collection optical channel; and

a second signal processor operatively connected to the second collection optical channel for facilitating a determination of a second distance between said tissue including the artery and the spectral absorption probe based on said low-coherence back-scattered light received by said second collection optical channel, further wherein the determined first and second distances are indicative of the proximity of the surgical drill bit to the artery.

2. The surgical drilling system of claim 1, wherein the second light detector includes a camera and the second signal processor generates an image for facilitating determination of the second distance.

3. The surgical drilling system of claim 1, wherein the at least one of the excitation optical channel and the first collection optical channel is included in an optical fiber.

4. The surgical drilling system of claim 3, wherein the excitation optical channel and the second collection optical channel are provided by a first and second single mode fiber and further wherein the first collection optical channel is provided by a multimode fiber.

5. The surgical drilling system of claim 1, wherein both of the excitation optical channel and the first collection optical channel are located within the surgical drill bit.

6. The surgical drilling system of claim 4, wherein the second collection optical channel is provided by a second single mode optical fiber which is located within the surgical drill bit.

7. The surgical drilling system of claim 6, further including a rotating surgical drill, wherein the first and second single mode optical fibers and the multimode optical fiber are provided in a core of the rotating surgical drill.

8. The surgical drilling system of claim 6, further including a rotating surgical drill, wherein the first and second single mode optical fibers and the multimode optical fiber are coupled to the rotating surgical drill with optical fiber rotary joints and rotate with the rotating surgical drill.

9. The surgical drilling system of claim 7, wherein the core is provided with an optically transparent seal at a tip of the drill bit to prevent introduction of organic tissue therein.

10. The surgical drilling system of claim 1, wherein one or more of the excitation channel, the first collection optical channel and the second optical channel are located separate from a surgical drill of the surgical drilling system, but remain operatively connected thereto.

11. The surgical drilling system of claim 1, wherein the first signal processor and the second signal processor are a same signal processor.