# US 11,076,760 B2 · Apparatus configurated to and a process to photoacousticall image and measure a structure at the human eye fundus

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- Number: US 11,076,760 B2
- Document ID: US11076760B2
- Status: Granted
- Kind: B2
- Application number: 14/785,923
- Filed: 2014-05-07
- Published: 2016-03-24
- Granted: 2021-08-03
- Earliest claimed: 2013-05-13
- Assignees: Legaline AG
- Applicants: Legaline AG
- Inventors: Andreas W. Dreher
- Web page: https://patentgrep.com/patent/US11076760B2

## CPC

- A61B 5/0095: {by applying light and detecting acoustic waves, i.e. photoacoustic measurements}
- A61B 3/0008: {provided with illuminating means (A61B3/117, A61B3/14 take precedence)}
- A61B 3/0025: {characterised by electronic signal processing, e.g. eye models}
- A61B 3/0041: {characterised by display arrangements}
- A61B 3/10: Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
- A61B 3/12: for looking at the eye fundus, e.g. ophthalmoscopes (A61B3/13 takes precedence)
- A61B 5/0036: {including treatment, e.g., using an implantable medical device, ablating, ventilating}
- A61B 5/004: {adapted for image acquisition of a particular organ or body part (A61B5/0082 takes precedence; arrangements for optical scanning A61B5/0062)}
- A61B 5/14532: {for measuring glucose, e.g. by tissue impedance measurement}
- A61B 5/14546: {for measuring analytes not otherwise provided for, e.g. ions, cytochromes}
- A61B 5/4887: {Locating particular structures in or on the body}
- A61B 5/6821: {Eye}
- A61B 5/7289: {Retrospective gating, i.e. associating measured signals or images with a physiological event after the actual measurement or image acquisition, e.g. by simultaneously recording an additional physiological signal during the measurement or image acquisition}
- A61B 5/14542: {for measuring blood gases (A61B5/14551 takes precedence)}
- A61B 2560/0425: Ergonomically shaped housings (A61B2560/0418 takes precedence)
- A61B 2562/028: Microscale sensors, e.g. electromechanical sensors [MEMS]
- A61B 2576/02: specially adapted for a particular organ or body part
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

An apparatus configured to photoacoustically image and measure a structure at the human eye fundus or components, substances, cells, tissue, or analytes within the eye and within the blood vessels of the eye including an emitter element for emitting electro-magnetic radiation, a transition element for delivering the electro-magnetic radiation into an eye, a detection element for detecting an acoustic wave and converting the acoustic wave into a digital wave signal, an analysis element for processing the digital wave signal into an image or measurement or both, and a display element for displaying a representation of the image and/or the measurement. The apparatus additionally includes a coupling member, the coupling member being configured and arranged to acoustically couple the eye to the detection element such that the acoustic wave generated within the eye can be guided onto the detection element.

## Claims

### Claim 1

An apparatus configured to photoacoustically image and measure a structure at the human eye fundus, comprising:
an emitter configured to emit electro-magnetic radiation;
a transitioner configured to deliver the electro-magnetic radiation into an eye;
a detector configured to detect an acoustic wave and convert the acoustic wave into a digital wave signal;
an analyzer configured to process the digital wave signal into at least one of an image and a measurement;
a display configured to display a representation of at least one of the image and the measurement; and
a coupler configured and arranged to acoustically couple the eye to the detector such that the acoustic wave generated within the eye is capable of being guided onto the detector, the coupler comprising a coupler body, an objective lens, an eyelid contact piece, the coupler being tubular, made of an acoustically conducting material and configured to touch at least one of an upper eye lid and a lower eye lid of the eye while the eye is open when in use, and the objective lens being disposed centrally within the coupler and the detector being disposed radially outside and spaced from the objective lens,
the detector being physically coupled to the coupler at a predetermined location.

### Claim 2 (depends on 1)

The apparatus according to claim 1, wherein the emitter comprises one or more light sources configured to emit electro-magnetic radiation, as beams of different wavelengths, and a beam combiner configured to combine the beams of different wavelengths into one illumination beam.

### Claim 3 (depends on 1)

The apparatus according to claim 1, wherein the coupler comprises an eyelid contact piece capable of being removed from a coupler body.

### Claim 4 (depends on 2)

The apparatus according to claim 2, wherein the transitioner is configured to guide the illumination beam into the eye.

### Claim 5 (depends on 2)

The apparatus according to claim 2, wherein the transitioner is configured to guide the illumination beam into the eye, and the emitter is configured to modulate the intensity of the illumination beam to project at least one of target information, text information and image information onto the retina of the eye.

### Claim 6 (depends on 1)

The apparatus according to claim 1, wherein the transitioner comprises a microelectromechanical mirror scanner.

### Claim 7 (depends on 1)

The apparatus according to claim 1, wherein the detector is mounted to or within the coupler.

### Claim 8 (depends on 1)

The apparatus according to claim 1, wherein the detector comprises one or a plurality of acoustic sensors.

### Claim 9 (depends on 1)

The apparatus according to claim 1, wherein the analyzer comprises an electronic processor configured to extract a measurement from the digitized acoustic wave signal.

### Claim 10 (depends on 1)

The apparatus according to claim 1, wherein the analyzer is located at a physical location different from the physical location of the other elements of the apparatus.

### Claim 11 (depends on 1)

The apparatus according to claim 1, wherein the display is located at a physical location different from the physical location of the other elements of the apparatus.

### Claim 12 (depends on 1)

The apparatus according to claim 1, wherein the measurement comprises at least one of a wave amplitude, time delay, phase shift or a frequency component of the detected acoustic wave, and the measurement is capable of being used to create data output of the analyzer.

### Claim 13 (depends on 1)

The apparatus according to claim 1, wherein the emitter is configured such that a wavelength can be chosen from a wavelength range where absorption by hemoglobin in the blood is at a peak.

### Claim 14 (depends on 1)

The apparatus according to claim 1, wherein the emitter is configured such that a combination of a multitude of wavelengths can be chosen from a wavelength range where absorption by glucose in the blood produces a characteristic acoustic wave.

### Claim 15 (depends on 1)

The apparatus according to claim 1, wherein the apparatus is a handheld device.

### Claim 16 (depends on 12)

The apparatus according to claim 12 wherein the analyzer is configured such that the data output is transmitted to a therapeutic device.

### Claim 17

An apparatus configured to photoacoustically image and measure a structure at the human eye fundus, comprising:
an emitter configured to emit electro-magnetic radiation;
a transitioner configured to deliver the electro-magnetic radiation into an eye;
a detector configured to detect an acoustic wave and converting the acoustic wave into a digital wave signal;
an analyzer configured to process the digital wave signal into at least one of an image or a measurement;
a display configured to display a representation of at least one of the image and the measurement, the transitioner being configured to guide the illumination beam into the eye, and the emitter being configured to modulate the intensity of the illumination beam to project at least one of target information, text information, and image information onto the retina of the eye; and
a coupler configured and arranged to acoustically couple the eye to the detector such that the acoustic wave generated within the eye is capable of being guided onto the detector, the coupler comprising a coupler body, an objective lens, an eyelid contact piece, the coupler being tubular made of an acoustically conducting material and configured to touch at least one of an upper eye lid and a lower eye lid of a patient's eye while the eye is open when in use, and the objective lens being disposed centrally within the coupler and the detector being disposed radially outside and spaced from the objective lens,
the detector being physically coupled to the coupler at a predetermined location.

### Claim 18

A process to photoacoustically image and measure structures at the human eye fundus, carried out with an apparatus, comprising:
emitting electro-magnetic radiation;
delivering the electro-magnetic radiation into an eye;
detecting an acoustic wave and converting the acoustic wave into a digital wave signal;
processing the digital wave signal into at least one of an image and a measurement;
displaying a representation of at least one of the image and the measurement;
coupling the eye to a coupler, the coupler including a detector and an objective lens, the detector being physically coupled to the coupler at a predetermined location, and the objective lens being disposed centrally within the coupler and the detector being disposed radially outside and spaced from the objective lens,
the acoustically coupling including contacting at least one of the upper eye lid and a lower eye lid of the eye with a tubular structure made of an acoustically conducting material while the eye is open.

### Claim 19 (depends on 18)

The process of claim 18, wherein the emitting comprises the emission of one or more electro-magnetic radiation beams.

### Claim 20 (depends on 7)

The apparatus according to claim 7, wherein
the detector includes a piezo-electric transducer, an amplifier, and a converter, and the acoustic lens is configured to funnel the acoustic wave onto the piezo-electric transducer which is in communication with the amplifier, the amplifier is configured to amplify the acoustic wave, and the converter is configured to convert the amplified acoustic wave to the digital wave signal to be processed by the analyzer.

### Claim 21 (depends on 1)

The apparatus according to claim 1, wherein
the coupler comprises an acoustic lens configured to funnel the acoustic wave onto the detector.

### Claim 22 (depends on 1)

The apparatus according to claim 1, wherein
the detector and the acoustic lens are disposed in a peripheral position of the coupler body such that both the detector and the acoustic lens are disposed radially outside and spaced from the objective lens.

### Claim 23 (depends on 17)

The apparatus according to claim 17, wherein
the coupler comprises an acoustic lens configured to funnel the acoustic wave onto the detector.

### Claim 24 (depends on 23)

The apparatus according to claim 23, wherein
the detector and the acoustic lens are disposed in a peripheral position of the coupler body are disposed radially outside and spaced from the objective lens.

### Claim 25 (depends on 18)

The process according to claim 18, wherein
the acoustic wave generated within the eye is funneled onto the detector by an acoustic lens.

### Claim 26 (depends on 25)

The process according to claim 25, wherein
the detector and the acoustic lens are disposed in a peripheral position of the coupler body are disposed radially outside and spaced from the objective lens.
