Probe design

• US 20060161055A1
• Filed: 12/19/2005
• Published: 07/20/2006
• Est. Priority Date: 03/20/2002
• Status: Abandoned Application

• Current Assignee: CritiSense Ltd.
• Original Assignee: CritiSense Ltd.
• Inventors: Deutsch, Assaf, Pewzner, Eliahu, Blum, Yoram, Mayevsky, Avraham
• Application Number:
  US11/311,203
• Publication Number:
  US 20060161055A1
• Time in Patent Office: Days
• US Class Current: 600/310
• CPC Class Codes: A61B 2562/0242 for varying or adjusting the optical path length in the tissue
• CPC Class Codes: A61B 2562/08 Sensors provided with means for identification, e.g. barcodes or memory chips
• CPC Class Codes: A61B 5/0059 using light, e.g. diagnosis by transillumination, diascopy, fluorescence A61B5/0093, A61B5/1455, A61B5/02416 and A61B5/0261 take precedence
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61B 5/0261 using optical means, e.g. infrared light
• CPC Class Codes: A61B 5/14546 for measuring analytes not otherwise provided for, e.g. ions, cytochromes
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/412 Detecting or monitoring sepsis
• CPC Class Codes: A61B 5/7214 using signal cancellation, e.g. based on input of two identical physiological sensors spaced apart, or based on two signals derived from the same sensor, for different optical wavelengths

Abstract

An optical probe, for acquiring measurements of material in a surface, the probe comprising: a probe body; at least one illuminating optical fiber that transmits light to a distal end thereof to illuminate a region of the surface and interact with the material; and at least one receiving optical fiber, positioned to receive light that has been transmitted by the illuminating fiber to the region and has interacted with the material, which received light is used for acquiring the measurements, the receiving fiber thereby being defined as associated with the illuminating fiber; wherein at least one of the fibers has a portion inside the probe body with a bend.

Claims

1. An optical probe, for acquiring measurements of material in a surface, the probe comprising:

a probe body;

at least one illuminating optical fiber that transmits light to a distal end thereof to illuminate a region of the surface and interact with the material; and

at least one receiving optical fiber, positioned to receive light that has been transmitted by the illuminating fiber to the region and has interacted with the material, which received light is used for acquiring the measurements, the receiving fiber thereby being defined as associated with the illuminating fiber;

wherein at least one of the fibers has a portion inside the probe body with a bend.

2. An optical probe according to claim 1, wherein the probe body is less than 3 mm in diameter.

3. An optical probe according to claim 1, wherein the bend is sufficiently sharp so that light of a wavelength used for acquiring the measurements is attenuated by at least 5% when passing through the bend.

4. An optical probe according to claim 1, wherein the bend has a mean radius of curvature, over at least one 20 degree segment, of less than 5 times the fiber diameter.

5. An optical probe according to claim 1, wherein the probe body comprises a structure which holds a portion of said at least one of the fibers, including the bend, rigidly in place with respect to the probe body.

6. An optical probe according to claim 1, wherein the probe has a longitudinal axis, and the portion of the fiber inside the probe lies substantially along the longitudinal axis proximal to the bend, and the bend orients the distal end of the fiber to face away from the axis.

7. An optical probe, according to claim 6 wherein the distal end faces along a direction more than 45 degrees from the longitudinal axis.

8. An optical probe according to claim 7, wherein the distal end faces along a direction more than 80 degrees from the longitudinal axis.

9. An optical probe according to claim 6, wherein the at least one illuminating fiber and the at least one receiving fiber both have portions that lie substantially along the longitudinal axis inside the probe body, and end in a bend that orients the distal end facing away from the axis.

10. An optical probe according to claim 9, wherein the distal ends face directions more than 45 degrees from the longitudinal axis.

11. An optical probe according to claim 9, wherein the distal ends face directions more than 80 degrees from the longitudinal axis.

12. A method of acquiring optical data of material in a surface, the method comprising:

placing an optical probe according to claim 6 against the surface, with the longitudinal axis substantially parallel to the surface, and the distal ends of the at least one illuminating optical fiber and the at least one receiving optical fiber in optical contact with the surface;

illuminating a region of the surface with light through the at least one illuminating optical fiber; and

generating the data responsive to light received from the region of the surface by the at least one receiving optical fiber.

13. A method according to claim 12, wherein placing the probe against the surface comprises holding the probe manually, without mechanically fixing the probe in place with respect to the surface.

14. A method according to claim 12, wherein the surface comprises a surface of an internal organ of the body, the method also including:

surgically exposing the internal organ; and

leaving the probe in place against the surface, to monitor the internal organ when is the organ is no longer exposed.

15. An optical probe according to claim 1, wherein the material is human or animal tissue and the surface is a wall of a lumen inside the human or animal.

16. An optical probe according to claim 1, wherein at least one of the optical fibers is a polymer optical fiber.

17. An optical probe according to claim 1, wherein the at least one receiving optical fibers comprise two receiving optical fibers, associated with one of the at least one illuminating optical fibers.

18. An optical probe according to claim 1, wherein the at least one illuminating optical fiber comprises at least two illuminating optical fibers.

19. An optical probe according to claim 18, wherein the at least two illuminating optical fibers have distal ends the centers of which are between 2.5 and 5 mm apart.

20. An optical probe according to claim 18, wherein the at least two illuminating optical fibers have distal ends the centers of which are at least 3.5 mm apart.

21. An optical probe according to claim 18, wherein the distal ends of the at least two illuminating optical fibers are more than 5 times as far apart as the penetrating distance in the material in the surface, of the most penetrating light of the illuminating light that interacts with the surface material.

22. An optical probe according to claim 18, wherein the light transmitted by the at least two illuminating optical fibers is used to acquire measurements of a same parameter of the material, and the at least two illuminating optical fibers have distal ends spaced apart at a distance over which variations in said parameter are substantially uncorrelated.

23. An optical probe according to claim 1, wherein the center of the distal end of the at least one receiving optical fiber is located at a distance from the center of the distal end of the at least one illuminating optical fiber that it is associated with, equal to less than two times a penetrating distance, in the material in the wall, of the least penetrating light of the illuminating light that interacts with the material.

24. A urinary catheter comprising a probe according to claim 1, the catheter adapted so that the probe is positioned to acquire measurements of the wall of the urethra, when the catheter is in place in the urethra.

25. A urinary catheter according to claim 24, comprising at least one opening in its side, through which a distal portion of the illuminating fiber and a distal portion of the receiving fiber extend, such that the illuminating fiber and receiving fiber are optically coupled with the wall of the urethra when the catheter is in place in the urethra.

26. An optical probe according to claim 1, wherein the bend in the fiber is machined out of a volume of the fiber material, and thereby has relatively low internal stress.

27. A system comprising:

an optical probe according to claim 1;

and

a light source, coupled to the proximal end of the at least one illuminating optical fibers, which source produces the light for acquiring the measurements, between 315 nm and 525 nm.

28. An optical probe, for acquiring measurements of a material, the probe comprising:

a plurality of optical fibers adapted for transmitting light to and from the material to acquire said measurements; and

a light-blocking material, covering at least a portion but less than 50% of at least one of the optical fibers, that reduces optical crosstalk between the fibers.

29. An optical probe according to claim 28, wherein the light-blocking material reduces optical crosstalk by absorbing light.

30. An optical probe according to claim 28, wherein the light-blocking material reduces optical crosstalk by reflecting light.

31. An optical probe according to claim 28, wherein the light-blocking material mechanically couples said optical fiber to the probe or to another optical fiber or to both.

32. An optical probe according to claim 28, wherein the probe comprises a probe body having a longitudinal axis, and wherein an optical fiber of the plurality of optical fibers has a portion that lies substantially along the longitudinal axis and ends in a bend that orients a distal end of the fiber facing away from the longitudinal axis, and the portion of the fiber covered by the light-blocking material is between the bend and the distal end.

33. An optical probe system for measuring blood flow in a tissue region, the system comprising:

a first optical circuit that provides light that interacts with the tissue and generates a first signal indicative of the blood flow in the tissue region, responsive to the interacting light; and

a second optical circuit that generates a second signal that indicates when the first signal is affected by a motion artifact.

34. An optical probe system according to claim 33, wherein the light is coherent, and the first signal indicates blood flow by a variance in Doppler shifts.

35. An optical probe system according to claim 34, wherein the first optical circuit comprises an illuminating optical fiber that transmits the light to the tissue region and a receiving signal optical fiber that receives the light the interacts with the tissue.

36. An optical probe system according to claim 35 wherein the second optical circuit comprises a receiving monitoring optical fiber that receives light that has not interacted with the tissue.

37. An optical probe system according to claim 36, wherein the illuminating optical fiber has a bend, and the light received by the receiving monitoring optical fiber leaks out of the illuminating optical fiber at the bend.

38. An optical probe system according to claim 36 wherein the receiving optical fibers are constrained to move together, so that motion of the receiving signal optical fiber which causes a motion artifact in the first optical circuit also causes a motion artifact in the second optical circuit.

39. An optical probe system according to claim 38, wherein the second optical circuit also comprises an illuminating monitoring optical fiber, constrained to move with the illuminating optical fiber of the first optical circuit, which transmits the light received by the receiving monitoring optical cable.

40. An optical probe system according to claim 36, also comprising:

a light source that provides the light transmitted by the first optical circuit to the tissue region, and the light received by the second optical circuit; and

an adaptive filter, adapted to filter the first signal, using the second signal, to produce a filtered first signal with reduced light source noise compared to the unfiltered first signal.

41. An optical probe system according to claim 33, also comprising a filter, adapted to filter the first signal, using the second signal, to produce a filtered first signal with reduced motion artifacts compared to the unfiltered first signal.

42. An optical probe for acquiring measurements of material in a surface, the probe comprising:

a plurality of illuminating optical fibers that transmit light to illuminate spatially separated regions of the surface and to interact with the material in the regions;

a set of at least one receiving optical fiber associated with each of the illuminating optical fibers, each receiving fiber positioned to receive at least a portion of the light that has interacted with the material in the region illuminated by the associated illuminating fiber; and

an interface to a detector for each region, to convert light received from each region to a separate signal.

43. A system for acquiring optical measurements of material in a surface, the system comprising:

an optical probe according to claim 42;

a detector for each set of receiving fibers, which converts light received from each region into a signal for the region; and

a controller adapted to analyze the signals to produce a local measurement result from each region, and to use the local measurement results to produce the measurement, disregarding or giving less weight to aberrant local measurement results.