Method and apparatus for optical stimulation of nerves and other animal tissue

• US 8,985,119 B1
• Filed: 06/09/2010
• Issued: 03/24/2015
• Est. Priority Date: 09/09/2005
• Status: Active Grant

• Current Assignee: Nervesense Ltd
• Original Assignee: Lockheed Martin Corporation (Martin Marietta Corporation)
• Inventors: Webb, James S., Hamilton, Charles E., Ralph, Heather A., Bendett, Mark P., Lemaire, Charles A.
• Primary Examiner(s): FARAH, AHMED M
• Application Number:
  US12/797,544
• Time in Patent Office: 1,749 Days
• Field of Search: 607 88- 96, 607/100, 607108-110, 606/3, 606/4, 606/9, 606 15- 18, 128/898
• US Class Current: 128/898
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/00384 Actuation of one tool by pushing two buttons simultaneously
• CPC Class Codes: A61B 2017/00973 pedal-operated
• CPC Class Codes: A61B 2018/00922 by switching or controlling the treatment energy directly within the hand-piece
• CPC Class Codes: A61B 2018/00958 for switching between different working modes of the main function
• CPC Class Codes: A61B 2018/2065 Multiwave; Wavelength mixing, e.g. using four or more wavelengths pilot laser A61B2018/2025
• CPC Class Codes: A61B 2018/207 mixing two wavelengths
• CPC Class Codes: A61B 2018/2075 mixing three wavelengths
• CPC Class Codes: A61B 90/37 Surgical systems with images on a monitor during operation
• CPC Class Codes: A61N 2005/0629 Sequential activation of light sources
• CPC Class Codes: A61N 2005/063 comprising light transmitting means, e.g. optical fibres
• CPC Class Codes: A61N 2005/0644 Handheld applicators
• CPC Class Codes: A61N 2005/0651 Diodes
• CPC Class Codes: A61N 2005/0659 infrared
• CPC Class Codes: A61N 5/0601 Apparatus for use inside the body
• CPC Class Codes: A61N 5/0622 Optical stimulation for exciting neural tissue
• CPC Class Codes: A61N 5/067 using laser light

Abstract

A nerve-stimulation device and method using light to provide a source of precise stimulation on one or more nerve fibers. In some embodiments, this simulation is provided through a device and method wherein a laser- or LED-light-generating source is operatively coupled to an optical fiber, which in turn is coupled to a plug in the end of a holder in a sheath. Light is then passed from the light source through the optical fiber to the holder and out a selected optical tip on the sheath to provide an efficacious amount of light to simulate nerves. In some embodiments, the device is constructed from non-magnetic material such as glass, plastic or ceramics. In some embodiments, the light emanating from the optical tip can be controlled manually or automatically. Some embodiments omit the fiber and use light directly from the laser diode.

Claims

1. A method comprising:

obtaining, from a first solid-state laser, a first laser beam having a first wavelength that is capable of directly optically stimulating an action potential in a neural tissue of an animal;

transmitting the first laser beam in an optical-fiber structure, wherein the first solid-state laser is a laser diode, and wherein the first laser diode and the optical-fiber structure are operatively coupled to a non-magnetic surgical-instrument handpiece;

applying the first laser beam from the optical-fiber structure onto a location on the tissue for stimulation of the tissue;

obtaining manual user input and when the input is received and based on the user input, controlling the first laser beam to start a series of one or more optical pulses to stimulate an action potential in the neural tissue;

obtaining a second high-power laser beam from a second solid-state laser operatively coupled to the surgical-instrument handpiece; and

performing a cutting operation at the tissue location using the second high-power laser beam.

2. The method of claim 1, wherein the first laser beam has an infra-red (IR) wavelength.

3. The method of claim 1, further comprising:

covering at least a portion of the handpiece with a replaceable sterile cover.

4. The method of claim 1, wherein the obtaining user input includes coupling a control mechanism to a laser controller controlling the first solid-state laser'"'"'s diode in order to control a function of the controller, and wherein the control mechanism is configured to be operated in conjunction with the handpiece.

5. The method of claim 4, wherein the control mechanism is mounted on the handpiece.

6. The method of claim 1, wherein the obtaining user input includes coupling a user-operated control mechanism to a laser controller to control a function of the controller, and wherein the control mechanism is separate from the handpiece and is configured to be operated such that operation of the control mechanism is independent of movement of the handpiece.

7. The method of claim 1, wherein the obtaining of the user input includes receiving an activation signal from a finger-operated trigger.

8. The method of claim 1, wherein the first laser diode and the optical-fiber structure form part of an elongated endo scope structure having an image-obtaining end configured to be inserted into a small opening in a subject to enable viewing of an interior tissue of the subject, and wherein light of the first wavelength has a first tissue-penetration profile.

9. The method of claim 1, wherein the first laser diode and the optical-fiber structure form part of an elongated endoscope structure having an image-obtaining end configured to be inserted into a small opening in a subject to enable viewing of an interior tissue of the subject, wherein light of the first wavelength has a first tissue-penetration profile, wherein the endoscope structure further comprises an implantable optical fiber, and wherein the method further comprises:

implanting and releasing the optical fiber in the subject.

10. The method of claim 1, wherein the obtaining of user input further includes obtaining user input that specifies a user-specified spatial extent of a surgical operation, and wherein the applying of the first laser beam results in a spatial pattern at the tissue location based on the obtained user-specified spatial extent.

11. The method of claim 10,

wherein the obtaining user input further includes coupling a control mechanism to a laser controller controlling the first laser diode in order to control a function of the controller, wherein the control mechanism is mounted on the handpiece.

12. The method of claim 10, further comprising:

coupling a user-operated control mechanism to a laser controller to control a function of the controller, wherein the control mechanism is separate from the handpiece and is configured to be operated such that operation of the control mechanism is independent of movement of the handpiece.

13. A method comprising:

obtaining, from a first solid-state laser, a first laser beam having a first wavelength that is capable of directly optically stimulating an action potential in a neural tissue of an animal, wherein the first laser beam has an infra-red (IR) wavelength;

transmitting the first laser beam in an optical-fiber structure;

applying the first laser beam from the optical-fiber structure onto a location on the tissue for stimulation of the tissue;

obtaining user input and based on the user input, controlling the first laser beam to stimulate an action potential in the neural tissue;

obtaining a second laser beam having a second wavelength that is capable of directly stimulating neural tissue, wherein the second wavelength is different than the first wavelength and has a different penetration depth into a given tissue;

transmitting the second laser beam in the optical-fiber structure;

applying light at the first wavelength to achieve a first tissue-penetration depth; and

applying light at the second wavelength to achieve a second tissue-penetration depth.

14. A method comprising:

obtaining, from a first solid-state laser, a first laser beam having a first wavelength that is capable of directly optically stimulating an action potential in a neural tissue of an animal, wherein the first laser beam has an infra-red (IR) wavelength;

transmitting the first laser beam in an optical-fiber structure;

applying the first laser beam from the optical-fiber structure onto a location on the tissue for stimulation of the tissue;

obtaining user input and based on the user input, controlling the first laser beam to stimulate an action potential in the neural tissue;

obtaining a second laser beam having a second wavelength that is capable of directly stimulating neural tissue, wherein the second wavelength is different than the first wavelength and has a different penetration depth into a given tissue;

transmitting the second laser beam in the optical-fiber structure; and

applying variable amounts of the first and second different wavelengths simultaneously to achieve a tissue-penetration depth that is variable based on the intensities of the first and second wavelengths of light.

15. A method comprising:

obtaining, from a first solid-state laser, a first laser beam having a first wavelength that is capable of directly optically stimulating an action potential in a neural tissue of an animal, wherein the first laser beam has an infra-red (IR) wavelength;

transmitting the first laser beam in an optical-fiber structure;

applying the first laser beam from the optical-fiber structure onto a location on the tissue for stimulation of the tissue;

obtaining manual user input and when the input is received and based on the user input, controlling the first laser beam to start a series of one or more optical pulses to stimulate an action potential in the neural tissue;

obtaining a second light beam having a visible-light wavelength;

transmitting the second light beam in the optical-fiber structure; and

imaging the second light beam from the optical-fiber structure as an indication of where the first laser beam is directed.

16. The method of claim 15, further comprising:

providing a light-delivery unit for directing the first laser beam to the tissue location, wherein the light-delivery unit includes a frame configured to be affixed to the subject, and a moveable light-delivery head connected to the frame; and

positioning the light-delivery head to deliver light to one of a plurality of locations on the subject.

17. The method of claim 15, further comprising:

providing a second laser that is a solid-state laser;

emitting a high-power second laser beam from the second solid-state laser; and

obtaining second user input and based on the second user input, cutting tissue at the tissue location using the high-power second laser beam.

18. The method of claim 15, wherein the first solid-state laser is a laser-diode bar.

19. The method of claim 15, further comprising providing a handpiece for manually directing the first laser beam to the tissue location, wherein the obtaining user input includes coupling a control mechanism to a laser controller controlling the first solid-state laser'"'"'s diode in order to control a function of the controller, and wherein the control mechanism is configured to be operated in conjunction with the handpiece.

20. The method of claim 15, further comprising providing a handpiece for manually directing the first laser beam to the tissue location, wherein the obtaining user input includes coupling a user-operated control mechanism to a laser controller to control a function of the controller, and wherein the control mechanism is separate from the handpiece and is configured to be operated such that operation of the control mechanism is independent of movement of the handpiece.

21. A method comprising:

obtaining, from a first solid-state laser, a first laser beam having a first wavelength that is capable of directly optically stimulating an action potential in a neural tissue of an animal;

transmitting the first laser beam in an optical-fiber structure;

applying the first laser beam from the optical-fiber structure onto a location on the tissue for stimulation of the tissue;

obtaining manual user input and when the input is received and based on the user input, controlling the first laser beam to start a series of one or more optical pulses to stimulate an action potential in the neural tissue, wherein the obtaining of user input further includes obtaining user input that specifies a user-specified spatial extent of a surgical operation, and wherein the applying of the first laser beam results in a spatial pattern at the tissue location based on the obtained user-specified spatial extent;

providing a light-delivery unit for directing the first laser beam to the tissue location, wherein the light-delivery unit includes a frame configured to be affixed to the subject, and a moveable light-delivery head connected to the frame; and

positioning the light-delivery head to deliver light to one of a plurality of locations on the subject.