Process and arrangement for the production of a signal that corresponds to the opening status of the vocal cords of the larynx

• US 8,574,152 B2
• Filed: 02/22/2007
• Issued: 11/05/2013
• Est. Priority Date: 02/23/2006
• Status: Active Grant

• Current Assignee: ATMOS MedizinTechnik GmbH & Co., KG
• Original Assignee: ATMOS MedizinTechnik GmbH & Co., KG
• Inventors: Czaniera, Juergen
• Primary Examiner(s): Leubecker, John P
• Assistant Examiner(s): TORRES DIAZ, ARNALDO
• Application Number:
  US11/709,281
• Publication Number:
  US 20070208225A1
• Time in Patent Office: 2,448 Days
• Field of Search: 600/109, 600/160, 600/178, 600/181, 600/185, 600/188, 600/189, 600/199, 600/473, 600/476, 600/478
• US Class Current: 600/178
• CPC Class Codes: A61B 1/267 for the respiratory tract, e.g. laryngoscopes, bronchoscopes
• CPC Class Codes: A61B 1/2673 for monitoring movements of vocal chords
• 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 5/1107 Measuring contraction of parts of the body, e.g. organ, muscle apparatus for measuring work or force in general G01L

Abstract

An arrangement is described in which an endoscope 3 inserted into the pharynx of the patient B is used to visually examine the vibrations of the vocal cords 2, while using light that contains little or no infrared light. At the same time, an oscillogram of the vibrations of the vocal cords is plotted, showing the sequence of motion of the vocal cords. The latter purpose is served by an emitter 1, which is attached to the throat of the patient B below the vocal cords 2 and which produces light in the near infrared range (NIR). Using a mirror 5 that reflects infrared light, the light modulated by the vibration of vocal cords is coupled out and fed to a sensor 6, which, together with an evaluating unit 9, detects and evaluates the vocal cord signals.

Claims

1. A method for producing a signal which corresponds to a movement of the vocal cords of the larynx, comprising:

simultaneously illuminating the vocal cords with visible light providing stroboscopic examination of the vocal cords and with continuous light having a wavelength longer than 600 nm in a manner which allows modulation of the continuous light without interference from the visible light and without the visible light interfering with the modulation of the continuous light;

optically examining the movement of the vocal cords with an endoscope using the visible light;

detecting a light beam having a wavelength longer than 600 nm modulated by the movement of the vocal cords;

generating a vocal cord signal from the detected modulated light beam; and

performing at least one of displaying and recording the vocal cord signal.

2. The method according to claim 1, further comprising:

using the vocal cord signal as a synchronization signal; and

illuminating the vocal cords with visible light from a stroboscopic light source triggered by the synchronization signal.

3. An apparatus for producing a signal which corresponds to a movement of the vocal cords of the larynx, comprising:

an emitter attachable to a throat of a patient and configured to illuminate the vocal cords with light having a wavelength longer than 600 nm;

an endoscope configured for insertion into a pharynx of the patient;

an endoscopic light source configured to stroboscopically illuminate the vocal chords with visible light simultaneously with the emitter in a manner which allows modulation of the light having a wavelength of longer than 600 nm without interference from the visible light and without the visible light interfering with the modulation of the continuous light; and

a sensor configured to detect a vocal chord signal in the form of light having a wavelength longer than 600 nm modulated by the movement of the vocal chords.

4. The apparatus according to claim 3, further comprising:

an endoscopic optical system configured to receive the visible light; and

a mirror or prism configured;

to reflect to the sensor the light having a wavelength longer than 600 nm modulated by the vocal chords; and

to transmit the visible light to the endoscopic optical system.

5. The apparatus according to claim 4, wherein the mirror or prism is positioned between the light source and an illumination entranceway of the optical system endoscope and configured such that:

infrared light coming from the endoscopic light source is reflected away from the sensor; and

the vocal cord signal is reflected to the sensor.

6. The apparatus according to claim 4, further comprising:

a camera lens connected to the endoscope; and

a second mirror or prism positioned behind the camera lens and configured to reflect the vocal cord signal to the sensor and transmit the visible light to a camera.

7. The apparatus according to claim 3, wherein the sensor is positioned at a distal end of the endoscope.

8. The apparatus according to claim 3, further comprising:

an endoscope illumination channel configured to transmit visible light;

an image channel configured to transmit an image of the vocal cords to an eyepiece of the endoscope or to a video camera; and

a sensor channel configured to transmit the vocal cord signal to the sensor.

9. An apparatus for producing a signal which corresponds to a movement of the vocal cords of the larynx, comprising:

an endoscope configured for insertion into a pharynx of a patient;

an emitter attached to the endoscope and configured to simultaneously stroboscopically illuminate the vocal cords with visible light and with light having a wavelength longer than 600 nm in a manner which allows modulation of the continuous light without interference from the visible light and without the visible light interfering with the modulation of the continuous light; and

a sensor attachable to a throat of a patient and configured to detect a vocal chord signal in the form of light having a wavelength longer than 600 nm modulated by the movement of the vocal chords.

10. A method for producing a signal which corresponds to a movement of the vocal cords of the larynx, comprising:

simultaneously illuminating the vocal cords with visible light providing stroboscopic examination of the vocal cords and with continuous light having a wavelength longer than 600 nm a manner which allows modulation of the continuous light without interference from the visible light and without the visible light interfering with the modulation of the continuous light;

optically examining the vocal cords using the visible light;

detecting light having a wavelength longer than 600 nm modulated by movement of the vocal cords;

generating a vocal cord signal from the detected modulated light;

performing at least one of displaying and recording the vocal cord signal; and

providing a camera image of the vocal cords.

11. The method according to claim 10, further comprising:

using the vocal cord signal as a synchronization signal; and

illuminating the vocal cords with visible light from a stroboscopic light source triggered by the synchronization signal.

12. The method according to claim 11, further comprising:

synchronizing the camera image of the vocal chords with the synchronization signal.