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DK2592993T3 - Detekteringsindretning - Google Patents

Detekteringsindretning Download PDF

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Publication number
DK2592993T3
DK2592993T3 DK11758542.2T DK11758542T DK2592993T3 DK 2592993 T3 DK2592993 T3 DK 2592993T3 DK 11758542 T DK11758542 T DK 11758542T DK 2592993 T3 DK2592993 T3 DK 2592993T3
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DK
Denmark
Prior art keywords
light
tooth
luminescence
image
marker
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DK11758542.2T
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English (en)
Inventor
Emma Perfect
Chris Longbottom
Anne-Marie Haughey
Original Assignee
Calcivis Ltd
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Publication of DK2592993T3 publication Critical patent/DK2592993T3/da

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0071Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence by measuring fluorescence emission
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00089Hoods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/043Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances for fluorescence imaging
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/0661Endoscope light sources
    • A61B1/0684Endoscope light sources using light emitting diodes [LED]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/07Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements using light-conductive means, e.g. optical fibres
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/24Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the mouth, i.e. stomatoscopes, e.g. with tongue depressors; Instruments for opening or keeping open the mouth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/24Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the mouth, i.e. stomatoscopes, e.g. with tongue depressors; Instruments for opening or keeping open the mouth
    • A61B1/247Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the mouth, i.e. stomatoscopes, e.g. with tongue depressors; Instruments for opening or keeping open the mouth with means for viewing areas outside the direct line of sight, e.g. dentists' mirrors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0004Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
    • A61B5/0013Medical image data
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0075Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0077Devices for viewing the surface of the body, e.g. camera, magnifying lens
    • A61B5/0079Devices for viewing the surface of the body, e.g. camera, magnifying lens using mirrors, i.e. for self-examination
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • A61B5/0088Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for oral or dental tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/45For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4538Evaluating a particular part of the muscoloskeletal system or a particular medical condition
    • A61B5/4542Evaluating the mouth, e.g. the jaw
    • A61B5/4547Evaluating teeth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C5/00Filling or capping teeth
    • A61C5/90Oral protectors for use during treatment, e.g. lip or mouth protectors

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Optics & Photonics (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Physiology (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Audiology, Speech & Language Pathology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rheumatology (AREA)
  • Epidemiology (AREA)
  • Microelectronics & Electronic Packaging (AREA)
  • Spectroscopy & Molecular Physics (AREA)
  • Investigating, Analyzing Materials By Fluorescence Or Luminescence (AREA)
  • Endoscopes (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Investigating Or Analysing Materials By The Use Of Chemical Reactions (AREA)

Claims (18)

1. Detekteringsindretning der omfatter en proksimal ende (16) og en lysoverfo-rende sektion (18), hvilken proximale ende (16) omfatter et lysdetekteringsmid-del (6), hvilken lysoverforende sektion (18) omfatter midler til at overfore lys langs en vej fra en overflade af en tand til lysdetekteringsmidlet (6), kendetegnet ved, at lysdetekteringsmidlet er indrettet til at detektere et svagt lyssignal der dannes ved luminiscens under betingelser med omgivende lys, hvilken indretning yderligere omfatter en injektor eller pistol (12) der er konfigu-reret til at pafore en marker, som omfatter fotoproteiner, pa overfladen af en tand, hvilken injektor eller pistol omfatter en dyse, hvilken lysoverferende sektion yderligere omfatter en LED-lyskilde der er konfi-gureret til at belyse overfladen af en tand, hvilken indretning er konfigureret til at tage et belyst billede forud for detektering og analyse af det svage lyssignal, der er dannet ved luminiscens, hvilken LED-lyskilde har en slukket indstilling, hvor, under brug, indretningen er konfigureret til at tillade en bruger at slukke belysning af LED-lyskilden for at danne et luminiscensbillede ved at anvende det svage lyssignal der er dannet ved luminiscens, hvilket svage lyssignal der er dannet ved luminiscens, er lumi-niscerende lys som udsendes af fotoproteinet i markoren, der er kommet i kon-takt med frie ioner, som er frigjort fra overfladen af en tand pa grund af demine-ralisering, hvilket svage lyssignal der er dannet ved luminiscens, detekteres umiddelbart efter paforing af markoren pa overfladen af en tand, hvilken indretning er konfigureret til at sammenligne luminiscensbilledet med det belyste billede for at bestemme placeringen af demineraliseringen pa overfladen af en tand.
2. Indretning ifolge krav 1, hvor den lystransmitterende sektion (18) er anbragt ved siden af og er indrettet til at passe rundt om overfladen af en tand.
3. Indretning ifolge et hvilket som heist af de foregaende krav, hvor den proximale ende (16) yderligere omfatter en linse (3), hvilken linse (3) er anbragt i en position langs vejen for at overfore lys fra en overflade af en tand til lysdetekteringsmidlet (6).
4. Indretning ifolge et hvilket som heist af de foregaende krav, hvor midlerne til at overfore lys er et prisme eller en reflekterende overflade (2).
5. Indretning ifolge krav 4, hvor prismet eller den reflekterende overflade (2) er belagt med et bandpas, et polariserende eller et dikroisk filtermateriale.
6. Indretningen ifolge krav 5, hvor prismet eller den reflekterende overflade (2) er anbragt opstroms for lysdetekteringsmidlet (6).
7. Indretning ifolge et hvilket som heist af de foregaende krav, hvor den lysover-forende sektion (18) er anbragt i en vinkel, der tillader modtagelse af lys fra et specifikt omrade af overfladen af en tand.
8. Indretning ifolge et hvilket som heist af de foregaende krav, hvilken indretning yderligere omfatter et skort (10), der omgiver en ende af den lysoverforende sektion (18).
9. Indretning ifolge et hvilket som heist af de foregaende krav, hvor lysdetekteringsmidlet (6) er folsomt over for en nedre graense for detektionshastigheden pa 9,63 x 106 fotoner s_1.
10. Indretning ifolge et hvilket som heist af de foregaende krav, hvor lysdetekteringsmidlet (6) er valgt fra en gruppe, der bestar af et luminometer, et fluorometer, et spektrofotometer, et kamera, en ladningskoblet indretning (CCD), en komplementaer metaloxidhalvleder (CMOS), en ladningsinjektionsindretning (CID), en avalanche fotodiode (APD), en enkeltfotondetektor, et digitalkamera, et intensiveret kamera, en fotografisk film, en fotometrisk detektor, et fotomulti-plikatorror (PMT), et mikroelektromekanisk system (MEMS), et menneskeligt oje eller en kombination af disse.
11. Indretning ifolge et hvilket som heist af de foregaende krav, hvor den lysoverforende sektion (18) omfatter mindst en lyskilde, som er valgt fra gruppen, der bestar af en LED, en laser, en lampe eller et hul, der er skaret ind i indret-ningen for at tillade omgivende lys at traenge derind, for derved at tillade over-forsel af lys pa overfladen, der skal vurderes.
12. Indretning ifolge et hvilket som heist af de foregaende krav, hvilken indretning yderligere omfatter et kamera.
13. Kit, der omfatter en detekteringsindretning ifolge et hvilket som heist af de foregaende krav.
14. Fremgangsmade til detektering af et svagt lyssignal der er dannet ved lumi-niscens fra en marker, som omfatter et fotoprotein, der er blevet pafort pa en overflade af en tand, hvilken marker danner et luminiscerende signal i naervaer af frie ioner, hvilken detektering udferes under anvendelse af en detekteringsindretning ifolge et hvilket som heist af kravene 1 til 12, hvilken fremgangsmade omfatter trinnene: a) at anbringe den lysoverferende sektion (18) af indretningen ved siden af tandoverfladen; b) at tage et billede ved hjaelp af en LED-lyskilde og slukke for LED-lyskilden; c) at pafere markeren pa overfladen af en tand, hvilken marker frigives fra detekteringsindretningen og pafores pa tandoverfladen som en fin spray ved anvendelse af en injektor eller pistol (12) fra indretningen, der omfatter en dyse; d) at detektere luminiscensen der er udsendt fra tandoverfladen; og e) at bestemme placeringen af demineraliseringen pa tandoverfladen.
15. Fremgangsmade ifolge krav 14, der yderligere omfatter trinnet at danne et billede af overfladen af en tand ved at fokusere lyset der er udsendt derfra gennem en linse (3), som er tilvejebragt i indretningen.
16. Fremgangsmade ifolge krav 14 eller 15, der yderligere omfatter trinnet at danne et billede af overfladen af en tand for paforing af markoren.
17. Fremgangsmade ifolge et hvilket som heist af kravene 14 til 16, hvor marko-ren omfatter et pulver, som oploses i naervaer af spyt.
18. Fremgangsmade ifolge krav 14 til 17, hvor det svage lyssignal detekteres umiddelbart efter paforingen af markoren pa overfladen af en tand.
DK11758542.2T 2010-07-15 2011-07-15 Detekteringsindretning DK2592993T3 (da)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GBGB1011913.9A GB201011913D0 (en) 2010-07-15 2010-07-15 Detecting device
PCT/GB2011/051339 WO2012007769A1 (en) 2010-07-15 2011-07-15 Detecting device

Publications (1)

Publication Number Publication Date
DK2592993T3 true DK2592993T3 (da) 2019-01-28

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Country Link
US (1) US20130189641A1 (da)
EP (1) EP2592993B1 (da)
JP (1) JP5878529B2 (da)
CN (1) CN103153166A (da)
AU (1) AU2011278051B2 (da)
BR (1) BR112013001060B1 (da)
CA (1) CA2805160C (da)
DK (1) DK2592993T3 (da)
ES (1) ES2704459T3 (da)
GB (1) GB201011913D0 (da)
WO (1) WO2012007769A1 (da)

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Also Published As

Publication number Publication date
CA2805160C (en) 2020-04-07
EP2592993A1 (en) 2013-05-22
WO2012007769A1 (en) 2012-01-19
BR112013001060A2 (pt) 2016-05-24
US20130189641A1 (en) 2013-07-25
GB201011913D0 (en) 2010-09-01
BR112013001060B1 (pt) 2021-06-22
JP2013531546A (ja) 2013-08-08
EP2592993B1 (en) 2018-10-10
ES2704459T3 (es) 2019-03-18
CA2805160A1 (en) 2012-01-19
CN103153166A (zh) 2013-06-12
JP5878529B2 (ja) 2016-03-08
AU2011278051B2 (en) 2014-12-04
AU2011278051A1 (en) 2013-01-31

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