Device for delivering precision phototherapy
Systems and method relate to administering phototherapy. A device includes a hollow structure having at least a first open end. The hollow structure includes a rotatable member, one or more coherent light generators, and, for each coherent light generator, one or more lenses or mirrors optically connected to the coherent light generator and configured to alter at least one aspect of a beam of coherent light. The device further includes a processing circuit including a processor and a memory storing instructions. The instructions, when executed by the processor, cause the processor to accept an input from an operator and generate one or more beams of coherent light according to a plurality of settings configured to produce a therapeutic effect at a targeted treatment site. Additionally, the rotatable member is configured to be rotated to direct the one or more beams of coherent light to the targeted treatment site.
1. A device for administering phototherapy, comprising:
a hollow structure having at least a first open end through which the hollow structure receives at least a portion of patient anatomy, wherein the hollow structure comprises an annular rotatable member configured to rotate around at least one rotary axis;
one or more coherent light generators mounted to the hollow structure and translatable in an axial direction parallel to the rotary axis along a track on the annular rotatable member, each coherent light generator configured to generate a beam of coherent light;
for each coherent light generator, one or more lenses or mirrors optically connected to the coherent light generator and mounted to the hollow structure, the one or more lenses or mirrors configured to alter at least one aspect of the beam of coherent light generated by the coherent light generator; and
a processing circuit comprising a processor and a memory storing instructions that, when executed by the processor, cause the processor to:
accept an input from an operator; and
generate one or more beams of coherent light via the one or more coherent light generators according to a plurality of settings configured to produce a therapeutic effect at a targeted treatment site on the patient anatomy;
wherein the annular rotatable member is configured to be rotated to direct the one or more beams of coherent light to the targeted treatment site on the patient anatomy.
2. The device of claim 1 , wherein the input relates to a treatment plan for the patient, and wherein the instructions cause the processor to generate the one or more beams of coherent light based on the treatment plan input.
3. The device of claim 2 , wherein the input is a selection of a treatment plan from a plurality of stored treatment plans, and wherein the instructions cause the processor to generate the one or more beams of coherent light based on the selected treatment plan.
4. The device of claim 1 , wherein the annular rotatable member is configured to rotate 360 degrees around at least one rotary axis.
5. The device of claim 1 , wherein each coherent light generator is configured to generate the beam of coherent light at an infrared or near-infrared wavelength.
6. The device of claim 1 , wherein at least one coherent light generator is configured to generate the beam of coherent light at 400 to 1200 nm.
7. The device of claim 1 , wherein the one or more coherent light generators are configured to deliver beams of coherent light with a radiant exposure in a range of 0.1 to 50 J/cm 2 to the targeted treatment site.
8. The device of claim 1 , wherein the device comprises three or more coherent light generators.
9. The device of claim 1 , wherein the one or more coherent light coherent light generators are configured to generate beams of coherent light at three or more wavelengths.
10. The device of claim 1 , wherein at least one of the lenses or mirrors is mounted on at least one galvanometric gimbal; and
wherein the instructions further cause the processor to direct the beam of coherent light to the target treatment site by moving the at least one galvanometric gimbal.
11. The device of claim 1 , wherein the targeted treatment site comprises a primary treatment zone and a secondary treatment zone, the secondary treatment zone comprising a first zone proximal to a heart of the patient and a second zone distal to the heart of the patient; and
wherein the instructions further cause the processor to:
direct the one or more beams of coherent light to each of the primary treatment zone, proximal secondary treatment zone, and distal secondary treatment zone.
12. The device of claim 11 , wherein the instructions further cause the processor to modify at least one setting and/or direct a beam of coherent light generated by a different coherent light generator to each of the primary treatment zone, proximal secondary treatment zone, and distal secondary treatment zone.
13. The device of claim 1 , wherein the plurality of settings comprises a pulse type for each of the coherent light generators; and
wherein each pulse type is one of a continuous beam, a pulsed beam, a superpulsed beam, or a combination thereof.
14. The device of claim 1 , wherein the instructions further cause the processor to:
receive data from at least one camera or sensor, the data relating to at least one of an operation of the device or a parameter of the targeted treatment site; and
in response to the data, perform at least one of:
modifying at least one of the plurality of settings controlling operation of the device; or
redirecting at least one beam of coherent light by at least one of rotating the annular rotatable member or moving at least one of the lenses or mirrors.
15. The device of claim 14 , wherein the at least one sensor comprises a temperature sensor.
16. The device of claim 1 , further comprising a display, and wherein the instructions further cause the processor to:
display, via the display, one or more user interfaces of the targeted treatment site to an operator;
receive, via the display, an identification of one or more areas within the targeted treatment site from the operator; and
perform one of:
directing one or more beams of coherent light to the one or more areas;
modifying at least one of the plurality of settings and directing one or more beams of coherent light to the one or more areas with the modified plurality of settings; or
avoid directing the one or more beams of coherent light to the one or more areas.
17. The device of claim 1 , further comprising a cooling structure configured to deliver a coolant to at least a portion of the device or a portion of the patient anatomy, wherein the cooling structure includes at least one of a fan, a vortex tube, or an air compressor.
18. The device of claim 17 , wherein the cooling structure is configured to maintain the portion of the patient anatomy at a temperature below 41° C.
19. The device of claim 1 , further comprising a handheld probe configured to be optically connected to a coherent light generator of the one or more coherent light generators;
wherein the handheld probe is configured to receive a beam of coherent light from the coherent light generator and emit the coherent light from the handheld probe after the beam of coherent light is received.
20. The device of claim 19 , wherein the handheld probe comprises a closed tip.
21. The device of claim 19 , wherein the coherent light generator optically connected to the handheld probe is configured to generate a beam of coherent light of at least 10 W.
22. The device of claim 19 , wherein the handheld probe further comprises one or more markers configured to be sensed by an external monitoring device;
wherein the instructions further cause the processor to display to the operator a location of the handheld probe relative to anatomy of the patient based on data received from the external monitoring device.
23. The device of claim 1 , wherein the instructions further cause the processor to:
receive images of the targeted treatment site from an external imaging system; and
guide the one or more beams of coherent light to the targeted treatment site based on the images from the external imaging system.
24. The device of claim 1 , further comprising a support system on which the hollow structure is mounted, wherein the support system is configured to move the hollow structure according to one or more degrees of freedom.
25. The device of claim 1 , wherein the hollow structure is a hollow cylinder.
26. A method for administering phototherapy, comprising:
accepting an input from an operator; and
generating one or more beams of coherent light via one or more coherent light generators, the one or more beams generated according to a plurality of settings configured to produce a therapeutic effect at a targeted treatment site on a patient,
wherein the one or more coherent light generators are mounted to a hollow structure and translatable in an axial direction parallel to at least one rotary axis of an annular rotatable member of the hollow structure along a track on the annular rotatable member,
wherein the hollow structure comprises at least a first open end through which the hollow structure receives at least a portion of patient anatomy comprising the targeted treatment site,
wherein the hollow structure further comprises the annular rotatable member configured to rotate around the at least one rotary axis, and
wherein each coherent light generator is optically connected to one or more lenses or mirrors mounted to the hollow structure, the one or more lenses or mirrors configured to alter at least one aspect of the beam of coherent light generated by the coherent light generator,
wherein the annular rotatable member is configured to be rotated to direct the one or more beams of coherent light to the targeted treatment site.
27. The method of claim 26 , wherein the input relates to a treatment plan for the patient, and wherein generating the one or more beams of coherent light comprises generating the one or more beams of coherent light via the one or more coherent light generators based on the treatment plan input.
28. The method of claim 27 , wherein the input is a selection of a treatment plan from a plurality of stored treatment plans, and wherein the generating the one or more beams of coherent light comprises generating the one or more beams of coherent light via the one or more coherent light generators based on the selected treatment plan.
29. The method of claim 26 , wherein the annular rotatable member is configured to rotate 360 degrees around at least one rotary axis.
30. The method of claim 26 , wherein each coherent light generator is configured to generate the beam of coherent light at an infrared or near-infrared wavelength.
31. The method of claim 26 , wherein at least one coherent light generator is configured to generate the beam of coherent light at 400 to 1200 nm.
32. The method of claim 26 , wherein the one or more coherent light generators are configured to deliver beams of coherent light with a radiant exposure in a range of 0.1 to 50 J/cm 2 to the targeted treatment site.
33. The method of claim 26 , wherein three or more coherent light generators are mounted to the hollow structure.
34. The method of claim 26 , wherein the one or more coherent light generators are configured to generate beams of coherent light at three or more wavelengths.
35. The method of claim 26 , wherein at least one of the lenses or mirrors is mounted on at least one galvanometric gimbal; and
wherein the method further comprises directing the one or more beams of coherent light to the targeted treatment site by moving the at least one galvanometric gimbal.
36. The method of claim 26 , wherein the targeted treatment site comprises a primary treatment zone and a secondary treatment zone, the secondary treatment zone comprising a first zone proximal to a heart of the patient and a second zone distal to the heart of the patient; and
wherein directing the one or more beams of coherent light to the targeted treatment zone by rotating the annular rotatable member comprises directing the one or more beams of coherent light to each of the primary treatment zone, proximal secondary treatment zone, and distal secondary treatment zone.
37. The method of claim 36 , wherein directing the one or more beams of coherent light to each of the primary treatment zone, proximal secondary treatment zone, and distal secondary treatment zone comprises modifying at least one setting and/or directing a beam of coherent light generated by a different coherent light generator to each of the primary treatment zone, proximal secondary treatment zone, and distal secondary treatment zone.
38. The method of claim 26 , wherein the plurality of settings comprises a pulse type for each of the coherent light generators; and
wherein each pulse type is one of a continuous beam, a pulsed beam, a superpulsed beam, or a combination thereof.
39. The method of claim 26 , further comprising:
receiving data from at least one camera or sensor, the data relating to at least one of an operation of the device or a parameter of the targeted treatment site; and
in response to the data, perform at least one of:
modifying at least one of the plurality of settings; or
redirecting at least one beam of coherent light by at least one of rotating the annular rotatable member or moving at least one of the lenses or mirrors.
40. The method of claim 39 , wherein the at least one sensor comprises a temperature sensor.
41. The method of claim 26 , further comprising:
displaying, via a display, one or more user interfaces of the targeted treatment site to an operator;
receiving, via a display, an identification of one or more areas within the targeted treatment site from the operator; and
performing one of:
directing one or more beams of coherent light to the one or more areas;
modifying at least one of the plurality of settings and directing one or more beams of coherent light to the one or more areas with the modified plurality of settings; or
avoiding directing the one or more beams of coherent light to the one or more areas.
42. The method of claim 26 , further comprising delivering, by a cooling structure, a coolant to at least a portion of the hollow structure or the targeted treatment site, wherein the cooling structure includes at least one of a fan, a vortex tube, or an air compressor.
43. The method of claim 42 , wherein the cooling structure is configured to maintain the portion of the patient anatomy at a temperature below 41° C.
44. The method of claim 26 , further comprising optically connecting a handheld probe to a coherent light generator of the one or more coherent light generators, wherein the handheld probe is configured to receive a beam of coherent light from the coherent light generator and emit the coherent light from the handheld probe after the beam of coherent light is received.
45. The method of claim 44 , wherein the handheld probe comprises a closed tip.
46. The method of claim 44 , wherein the coherent light generator optically connected to the handheld probe is configured to generate a beam of coherent light of at least 10 W.
47. The method of claim 44 , wherein the handheld probe further comprises one or more markers configured to be sensed by an external monitoring device; and
wherein the method further comprises displaying to the operator a location of the handheld probe relative to the anatomy of the patient based on data received from the external monitoring device.
48. The method of claim 26 , further comprising:
receiving images of the targeted treatment site from an external imaging system; and
guiding the one or more beams of coherent light to the targeted treatment site based on the images from the external imaging system.
49. The method of claim 26 , wherein the hollow structure is further mounted on a support system configured to move the hollow structure according to one or more degrees of freedom.
50. The method of claim 26 , wherein the hollow structure is a hollow cylinder.