System and method for enhanced visualization of subcutaneous structures

• US 6,230,046 B1
• Filed: 10/20/1997
• Issued: 05/08/2001
• Est. Priority Date: 05/16/1995
• Status: Expired due to Fees

• Current Assignee: United States Of America As Represented By The Secretary Of The Air Force
• Original Assignee: United States Of America As Represented By The Secretary Of The Air Force
• Inventors: Johnson, Walter E., Lovett, Charles C., Edmonds, Byron P., Crane, Robert L.
• Primary Examiner(s): Casler, Brian L.
• Application Number:
  US08/945,369
• Time in Patent Office: 1,296 Days
• Field of Search: 600/473, 600/476, 600/310, 250/214 VT, 250/214 LA, 250/574, 250/330, 250/342, 250/358.1, 250/363.01, 250/363.02, 250/365, 250/372, 250/461.1
• US Class Current: 600/476
• 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 5/15003 for venous or arterial blood
• CPC Class Codes: A61B 5/150748 Having means for aiding positioning of the piercing device at a location where the body is to be pierced means for aiding positioning of devices for bringing media into the body A61M5/427, locating blood vessels A61B5/489
• CPC Class Codes: A61B 5/444 Evaluating skin marks, e.g. mole, nevi, tumour, scar
• CPC Class Codes: A61B 5/445 Evaluating skin irritation or skin trauma, e.g. rash, eczema, wound, bed sore
• CPC Class Codes: A61B 5/489 Blood vessels

Abstract

System and method for enhancing visualization of veins, arteries or other subcutaneous natural or foreign structures of the body and for facilitating intravenous insertion or extraction of fluids, medication or the like in the administration of medical treatment to human or animal subjects are described which comprise a light source (11) for illuminating or transilluminating the corresponding portion of the body with light of selected wavelengths and a low-level light detector (12) such as an image intensifier tube (including night vision goggles), a photomultiplier tube, photodiode or charge coupled device, for generating an image of the illuminated body portion, and optical filter(s) (17) of selected spectral transmittance which can be located at the light source(s) (11), detector (12), or both.

Claims

1. A system for enhancing the visualization of veins, arteries and other subcutaneous natural or foreign structures in the body, comprising:

(a) a light source for illuminating a portion of the body in at least one of a reflection mode and a transillumination mode;

(b) at least one low level light detection means for detecting low light levels having spectral characteristics defined by the relative light absorption properties of subcutaneous structures within said portion of the body, said low light levels reflected from or transmitted through said portion of the body, and for generating an image of subcutaneous structures within said portion of the body, and means for displaying said image; and

(c) wherein said at least one low level light detection means includes a device selected from the group consisting of an image intensifier tube, a photomultiplier tube, a photodiode and a charge coupled device.

2. The system of claim 1 wherein said image intensifier tube is a night vision device.

3. The system of claim 1 wherein said light source includes wavelengths in a wavelength range defined from about 0.3 to about 1.0 micron and said at least one low level light detection means is sensitive to selected wavelength bands within said wavelength range.

4. The system of claim 1 wherein said at least one low level light detection means is one of a monocular arrangement providing independent viewing of two spectral visual fields of said image and a binocular arrangement providing depth perception of said image.

5. A system for enhancing the visualization of veins, arteries and other subcutaneous natural or foreign structures in the body, comprising:

(a) a light source for illuminating a portion of the body in at least one of a reflection mode and a transillumination mode;

(b) at least one low level light detection means for detecting low light levels having spectral characteristics defined by the relative light absorption properties of subcutaneous structures within said portion of the body, said low light levels reflected form or transmitted through said portion of the body, and for generating an image of subcutaneous structures within said portion of the body, and means for displaying said image; and

(c) an optical filter disposed between said source and said at least one low level light detection means for transmitting light only within preselected narrow wavelength bands.

6. The system of claim 5 wherein said light source includes said preselected narrow wavelength bands and said at least one low level light detection means is sensitive to said preselected narrow wavelength bands.

7. The system of claim 5 wherein said source is a narrow band source selected from the group consisting of a light emitting diode and a laser.

8. The system of claim 5 wherein said optical filter has a narrow passband centered substantially on at least one wavelength selected from the group consisting of 0.41, 0.43, 0.76 and 0.89 micron.

9. The system of claim 5 wherein said source is a broadband source selected from the group selected from an incandescent source, a chemiluminescent source and a fluorescent source.

10. The system of claim 5 wherein said at least one low level light detection means is one of a monocular arrangement providing independent viewing of two spectral visual fields of said image and a binocular arrangement providing depth perception of said image.

11. A system for enhancing the visualization of veins, arteries and other subcutaneous natural or foreign structures in the body, comprising:

(a) a light source for illuminating a portion of the body in at least one of a reflection mode and a transillumination mode;

(b) at least one low level light detection means for detecting low light levels having spectral characteristics defined by the relative light absorption properties of subcutaneous structures within said portion of the body, said low light levels reflected from or transmitted through said portion of the body, and for generating an image of subcutaneous structures within said portion of the body, and means for displaying said image; and

(c) means for filtering ambient light at said light source from said at least one low level light detection means.

12. The system of claim 11 wherein said at least one low level light detection means is one of a monocular arrangement providing independent viewing of two spectral visual fields of said image and a binocular arrangement providing depth perception of said image.

13. A system for enhancing the visualization of veins, arteries or other subcutaneous structures in the body, comprising:

(a) a light source for illuminating a portion of the body in at least one of a reflection mode and a transillumination mode, said light source including preselected wavelength bands;

(b) at least one low level light detection means for detecting low light levels having spectral characteristics defined by the relative light absorption properties of subcutaneous structures within said portion of the body, said low light levels reflected from or transmitted through said portion of the body, and for generating an image of subcutaneous structures within said portion of the body, and means for displaying said image;

(c) an optical filter disposed between said source and said at least one low level light detection means for transmitting light only within said preselected wavelength bands; and

(d) wherein said optical filter has a narrow passband centered substantially on at least one wavelength selected from the group consisting of 0.41, 0.43, 0.76 and 0.89 micron.

14. A system for enhancing the visualization of veins, arteries or other subcutaneous structures in the body, comprising:

(a) a light source for illuminating a portion of the body in at least one of a reflection mode and a transillumination mode, said light source including preselected wavelength bands;

(b) at least one low level light detection means for detecting low light levels having spectral characteristics defined by the relative light absorption properties of subcutaneous structures within said portion of the body, said low light levels reflected from or transmitted through said portion of the body, and for generating an image of subcutaneous structures within said portion of the body, and means for displaying said image;

(c) an optical filter disposed between said source and said at least one low level light detection means for transmitting light only within said preselected wavelength bands; and

(d) wherein said at least one low level light detection means includes a device selected from the group consisting of an image intensifier tube, a photomultiplier tube, a photodiode and a charge coupled device.

15. The system of claim 14 wherein said image intensifier tube is a night vision device.

16. The system of claim 14 wherein said at least one low level light detection means is one of a monocular arrangement providing independent viewing of two spectral visual fields of said image and a binocular arrangement providing depth perception of said image.

17. A method for enhancing the visualization of veins, arteries or other subcutaneous structures of the body, comprising the steps of:

(a) providing a source of light in a wavelength range of about 0.3 to 1.0 microns;

(b) illuminating a selected portion of the body in at least one of a reflection mode and a transillumination mode with light from said source;

(c) detecting low light levels reflected from or transmitted through said portion of the body, said low light levels having spectral characteristics defined by the relative light absorption properties of subcutaneous structures within said portion of the body;

(d) generating an image of subcutaneous structures within said selected portion of the body;

(e) displaying said image; and

(f) wherein the step of detecting low light levels is performed using at least one low level light detection means sensitive to selected wavelength bands within said wavelength range.

18. The method of claim 17 wherein said at least one low level light detection means includes a device selected from the group consisting of an image intensifier tube, a photomultiplier tube, a photodiode and a charge coupled device.

19. A method for enhancing the visualization of veins, arteries or other subcutaneous structures of the body, comprising the steps of:

(a) providing a source of light in a wavelength range of about 0.3 to 1.0 microns;

(b) illuminating a selected portion of the body in at least one of a reflection mode and a transillumination mode with light form said source;

(c) generating an image of subcutaneous structures within said selected portion of the body;

(d) selectively filtering light from said selected portion of the body;

(e) displaying said image; and

(f) wherein the steps of generating an image and displaying said image are performed using low level light detection means for detecting low light levels having spectral characteristics defined by the relative light absorption properties of subcutaneous structures within said portion of the body, said low light levels reflected from or transmitted through said portion of the body.

20. The method of claim 19 wherein the step of selectively filtering light reflected from or transmitted through said selected portion of the body is performed using a filter having a narrow passband centered substantially on at least one wavelength selected from the group consisting of about 0.32, 0.345, 0.41, 0.43, 0.455, 0.54, 0.56, 0.58, 0.7, 0.76 and 0.89 microns.