Stereovideoscope and method of using the same

• US 8,162,820 B2
• Filed: 05/16/2007
• Issued: 04/24/2012
• Est. Priority Date: 05/17/2006
• Status: Expired due to Fees

• Current Assignee: Kent Moore
• Original Assignee: Kent Moore
• Inventors: Moore, Kent
• Primary Examiner(s): Leubecker, John P
• Application Number:
  US12/300,923
• Publication Number:
  US 20090198100A1
• Time in Patent Office: 1,805 Days
• Field of Search: 600/107, 600/111, 600/166, 600/118, 600/538, 600/532, 600/539, 348/45, 348/65, 348/74
• US Class Current: 600/111
• CPC Class Codes: A61B 1/00193 adapted for stereoscopic vision
• CPC Class Codes: A61B 1/042 characterised by a proximal camera, e.g. a CCD camera
• CPC Class Codes: A61B 1/267 for the respiratory tract, e.g. laryngoscopes, bronchoscopes
• CPC Class Codes: A61B 5/4818 Sleep apnoea

Abstract

A system and method for acquiring measurements of a portion of a patient'"'"'s anatomy are provided. For example, the system includes a stereovideoscope including a scope coupled to a flexible tubing and configured to be positioned within the patient'"'"'s body. The scope includes a plurality of stereoscopic lenses configured to capture data indicative of the portion of the patient'"'"'s anatomy, and the flexible tubing includes a biocompatible material. In addition, the system includes a processing element that is in communication with the stereovideoscope and that is configured to generate an image based on the captured data in order to acquire at least one geometrical measurement indicative of the portion of the patient'"'"'s upper airway and to determine a probabilty of the patient'"'"'s response to a tongue-base treatment based on the at least one geometrical meaurement.

Claims

1. A system for acquiring measurements of a patient'"'"'s upper airway comprising:

a stereovideoscope comprising a scope coupled to a flexible tubing and configured to be positioned within the patient'"'"'s upper airway, said scope comprising a plurality of stereoscopic lenses configured to capture data indicative of a portion of the patient'"'"'s upper airway, said flexible tubing comprising a biocompatible material; and

a processing element in communication with said stereovideoscope and configured to generate an image indicative of a portion of the patient'"'"'s upper airway based on the captured data in order to acquire at least one geometrical measurement indicative of the portion of the patient'"'"'s upper airway and to determine a probability of the patient'"'"'s response to a tongue-base treatment based on the at least one geometrical measurement.

2. The system of claim 1, wherein said flexible tubing has a diameter of less than 5 mm.

3. The system of claim 1, wherein said processing element is portable.

4. The system of claim 1, wherein said processing element is configured to generate images in order to acquire at least one measurement selected from a group consisting of linear, angular, depth, profile, and area measurements of the portion of the patient'"'"'s upper airway.

5. The system of claim 1, wherein said processing element is configured to determine a probability of the patient'"'"'s response to a tongue-base treatment based on at least one measurement of a most critical site of proximal narrowing of the patient'"'"'s upper airway with the patient'"'"'s mandible at rest and the mandible in an advanced position.

6. The system of claim 1, wherein said stereovideoscope comprises a CCD camera.

7. The system of claim 1, wherein said scope is permanently or interchangeably attached to a distal end of said flexible tubing.

8. The system of claim 1, wherein said stereovideoscope is capable of being sterilized.

9. The system of claim 1, wherein said processing element comprises a computer or a monitor.

10. The system of claim 1, wherein said processing element is configured to determine a probability of the patient'"'"'s response to a tongue-base treatment based on at least an anterior/posterior measurement and a lateral measurement of the portion of the patient'"'"'s upper airway.

11. The system of claim 10, wherein the anterior/posterior measurement comprises a measurement between the patient'"'"'s posterior pharyngeal wall and epiglottis tip.

12. The system of claim 10, wherein the lateral measurement comprises a lateral measurement between the pharyngeal wall that is substantially transverse to the anterior-posterior measurement.

13. The system of claim 1, wherein said processing element is configured to determine a probability of the patient'"'"'s response to a tongue-base treatment based on the at least one acquired geometrical measurement and patient-specific physiological data.

14. The system of claim 13, wherein said processing element is configured to determine a probability of the patient'"'"'s response to a tongue-base treatment by comparing the at least one acquired geometrical measurement and the patient-specific physiological data to an expected relationship between similar geometrical measurements and patient-specific physiological data obtained from a plurality of other patients.

15. The system of claim 13, wherein the patient-specific physiological data comprises at least one of body mass index, respiratory disturbance index or apnea hypopnea index, age, neck circumference, or gender.

16. The system of claim 1, wherein the processing element is configured to generate a plurality of images of an axial view of a patient'"'"'s upper airway in a retroepiglottic region, and wherein the processing element is further configured to determine a probability of the patient'"'"'s response to a tongue-base treatment based on an anterior/posterior measurement and a lateral measurement acquired from the images.

17. The system of claim 16, wherein each image depicts a cross-sectional plane of the patient'"'"'s upper airway, the cross-sectional plane extending substantially transverse to a longitudinal axis of the patient'"'"'s pharynx.

18. The system of claim 1, wherein the at least one geometrical measurement comprises an area of a most critical site of proximal narrowing of the upper airway.

19. The system of claim 18, wherein the processing element is configured to determine a percentage area expansion based on the area of the most critical site of proximal narrowing of the upper airway.