摘要:
A photodynamic therapy (PDT) device utilizing a non-coherent light source to activate a photoreactive agent for treating a diseased site in a patient's eye. When activated, the photoreactive agent causes a desired change in the diseased tissue of the treatment site. In one embodiment, the photoactive agent is preferentially absorbed by the diseased tissue at the treatment site, and the light from the PDT device is directed generally at the site. In another embodiment, the photoactive agent is less selectively absorbed by the diseased tissue, and the light from the PDT device is focused onto the diseased treatment site. The device preferably focuses the light emitted by a source using totally internally reflective (TIR) lenses, convergent lenses, divergent lenses, and/or deformable lenses. One embodiment incorporates a plurality of light sources of different wavebands, including a waveband that does not activate the photoreactive agent, so that the light source can be used to precisely target the focal point at the desired treatment site. Once targeted, a light source is energized to produce light in a waveband that activates the photoreactive agent and can penetrate different depths of tissue. The PDT device can be incorporated into a headset or in an ophthalmologic slit lamp. Light from the device can enter the eye through the lens of the eye, or transcutaneously via one of lateral orbital, an inferior orbital, and a superior orbital approach. In one embodiment the light sources are blue and red light emitting diodes (LEDs).
摘要:
Progress of photodynamic therapy (PDT) administered over an extended period of time is monitored using an ultrasonic probe, which produces ultrasound images of an internal treatment site in real time. The ultrasound images indicate the extent and volume of an infarction zone within a tumor or other diseased tissue at the internal treatment site within a patient's body. Light is administered to the internal treatment site from either an internal or external light source that produces light in a waveband corresponding to the characteristic absorption waveband a photoreactive agent that is administered to a patient. Prior to or shortly after initiating administration of the light therapy, a baseline ultrasound image is produced for comparison to subsequent ultrasound images made after the effects of the PDT on the diseased tissue have occurred. By evaluating changes in the internal treatment site shown in the ultrasound images during the progress of the PDT, the intensity and/or duration of intervals of light being administered to the patient can be varied, and/or terminated at an appropriate time, thereby minimizing risk of harm to normal tissue surrounding the internal treatment site. Light is delivered from an external laser source through an optical fiber, or through an implanted light probe that includes one or more light emitting sources, or by an external array of light emitting diodes that emit light of sufficiently long wavelength to penetrate a dermal layer into the internal treatment site.
摘要:
System and method aspects for avoiding data corruption during data transfer in a disk array environment are described. In a circuit aspect, an integrity checker includes counting logic for counting fields in the data being transferred. The integrity checker further includes comparison logic for comparing a constant value and a value in a predetermined field of data being transferred. Combinational logic is further included and coupled to the comparison logic and counting logic, wherein when the comparison logic results in a miscompare and the counting logic is at a predetermined count value, the integrity checker circuit aborts data transfer. In a method aspect, the method includes providing an integrity checker at an interface to an array of disk drives, and performing data validity determinations on data passing across the interface with the integrity checker, wherein invalid data is not transferred.
摘要:
Constructs including bars, capsules, beads, and sheets are configured with a radionuclide core that emits energetic particles activating a phosphorescent shell material surrounding the radionuclide core so that it emits light to administer light therapy or PDT. A biocompatible coating that is generally optically transparent encloses the radionuclide core and phosphorescent material to prevent a patient's body in which the constructs are disposed from being affected by any toxicity of the phosphorescent shell material. In a typical application of the constructs, a photoreactive agent is infused into the treatment site and selectively absorbed by abnormal tissue, for example, in a cancerous tumor. Light emitted by the phosphorescent material when activated by the energetic particles emitted from the radionuclide core administers photodynamic therapy, which destroys the abnormal tissue. Particularly, the beads, which are relatively small in size, can be targeted to abnormal tissue by providing a linking mechanism on the biocompatible coating so that the beads are coupled to antibodies found on the abnormal cells, but not on normal tissue. If a glass phosphor material that includes fused quartz or silica glass doped with metal ions is used for the phosphorescent shell material, the beads or other construct must be exposed to IR or other light, causing electrons that have been trapped inside the glass materials to combine with holes, emitting light of a shorter wavelength. The glass phosphor material is preferable, since it is substantially less toxic than other types of scintillators or phosphor materials.
摘要:
A method and means within a hierarchical, demand/response DASD subsystem of the passive fault management type in which, upon the occurrence of fault, error, or erasure, a long device busy signal of finite duration is provided to a host CPU. Any DASD storage device subject to the anomaly is isolated from any host inquiry during this interval. These measures permit retry or other recovery procedures to be implemented transparent to the host and the executing application. This avoids premature declarations of faults, errors, or erasures and consequent host application aborts and other catastrophic measures. If the detected anomaly is not resolved within the allotted time, then other data recovery procedures can be invoked including device reset, the status reported to the host, and the next request processed.
摘要:
The present invention provides a method and system for detecting corrupted data of a plurality of hard disk drives (HDDs) in a data storage subsystem. In this system a predetermined number of fixed blocks within each of the HDDs emulate a track of a first track format. The predetermined number of fixed blocks provide a logical track. The logical track of one of the plurality of HDDs is generated by the others of the plurality of HDDs. The plurality of logical tracks forming a plurality of track groups. In a first aspect the method and system comprises assigning each of the plurality of logical tracks an address translation (ADT) number, comparing each of the ADT numbers of the plurality of logical tracks to an expected value until a mismatch occurs in a logical track, and determining if other logical tracks in a same track group have accurate ADT numbers. The first aspect further includes reconstructing the logical track if the other tracks within the same track group have accurate ADT numbers. In a second aspect the method and system comprises determining each of the plurality of logical tracks is formatted in accordance with first track format, comparing each of the formats of the plurality of logical tracks to the expected format until a mismatch occurs in a logical track, and determining if other logical tracks in a same track group have accurate first track formats. The second aspect includes reconstructing the logical track if the other tracks within the same track group have accurate first formats.
摘要:
An external power head is energized by a motor causing movement of an element that produces a varying magnetic field, thereby inducing power in an implanted receiver coil within a patient's body. The external power head includes either one or more moving permanent magnets, or one or more moving elements that vary the magnetic flux coupled to the implanted receiver coil. As a result of the varying magnetic field experienced by the implanted receiver coil, an electric current flows from the implanted receiver coil to energize an implanted medical device.
摘要:
A method and apparatus for applying beat to a treatment site prior to effecting photodynamic therapy. The perfusion of a drug into abnormal tissue in a tumor (12) is enhanced by heating the treatment site at which the tumor is disposed using a heat source (26) mounted on a fixture (20, 34) separate from a light source (28) on a probe used to effect the photodynamic therapy. Alternatively, the heat source and light source may comprise different types of light emitting diodes (LEDs) arranged in an array on a probe (14) disposed at the treatment site. Also mounted on the fixture is a temperature sensor (30), which produces a signal indicative of the temperature at the treatment site. In response to this signal, a controller (24/36) controls the heat source to prevent vascular damage. In addition to enhancing the perfusion of a photoreactive agent into the treatment site, heating the tissue at the site prior to initiating the PDT greatly enhances the efficacy of this treatment.
摘要:
A plurality of embodiments for a flexible probe used to provide photodynamic therapy (PDT) and to effect other medical procedures at an internal treatment site inside a patient's body. Each of the embodiments of the flexible probe (100, 108, 130, 158, 182, 190, 220, 280, 370, 390, 440, 460, 520) includes a flexible substrate (102, 184, 196, 222, 250, 282, 412, 462, 482, 502, 522) on which are disposed conductive traces (414, 466, 468, 488, 490, 504, 506, 524, 526) electrically connected to leads through which electrical current and signals are conveyed. A plurality of light sources (104, 192, 256, 286, 418, 436, 470, 492, 508, 542) or other micro-electronic circuits are connected to the conductive traces and mounted on the flexible substrate. Each of the embodiments of the flexible probes is enclosed within a transparent, biocompatible polymer envelope (106, 110, 464, 522). Due to the characteristic elastic properties of the flexible substrate, the flexible probe can readily be bent, folded, or rolled while being disposed at the internal treatment site, thereby enabling the probe to pass through a guide tube (120), an incision, a catheter (150), or a lumen(154) of relatively small cross-sectional diameter. Once disposed at the treatment site, a folded or rolled flexible probe can be unfolded or unrolled to supply light for PDT, or energized to provide other types of medical treatment.
摘要:
An implantable probe having an elongated sheath with provision for remotely positioning a device disposed within the elongated sheath. In one embodiment, the device is a circuit board, and a shape memory alloy (SMA) such as Nitinol is used to fabricate one or more actuators that are coupled to the circuit board. The shape memory effect exhibited by the SMA actuator is thermally activated. Electrical current is selectively applied to the actuator to resistively heat the SMA to a temperature sufficient to change its shape. When the shape of the SMA changes, the actuator moves the circuit board or other device longitudinally within the elongated sheath so that the light emitted is directed to a different portion of a treatment site. In another embodiment, the circuit board is rotated about its longitudinal axis within the sheath. In still another embodiment, the actuator moves a piston so as to pump a fluid through a pair of lumens disposed within the sheath to dissipate heat produced by the light emitting devices in a remotely disposed heat exchanger. Another embodiment uses the actuators to both circulate the fluid and move a circuit board.