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US5074306A Expired / Lapsed US ⏱️ 0.0 years remaining

Measurement of burn depth in skin

Assignee: General Hospital Corp
•
Filing: 1990-02-22
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Granted: 1991-12-24
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Expires: 2010-02-22
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Abstract

Abstract A method for distinguishing between a full thickness and a partial thickness skin burn in a patient having a skin burn. The methods includes administering a fluorescent compound, which is excited by infrared light, to the patient to cause the compound to enter one or more capillaries below and adjacent the skin burn. The compound is then excited with infrared light, and the amount of fluorescence of the compound caused by the infrared light detected at the skin burn and at unburned skin adjacent the skin burn. The ratio of fluorescence detected at the skin burn and at the unburned skin is an indication of the thickness of the skin burn, e.g., a ratio of less than 0.4 indicates a full thickness skin burn.

Inventors

  • 👤 Howard A. Green
  • 👤 John A. Parrish
  • 👤 Richard R. Anderson

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 13:17
CPC Classifications
A; A61; A61B; A61B5/00; A61B5/44; A61B5/441; A61B5/445; A61B18/00; A61B18/18; A61B18/20; A61B5/0059; A61B5/0071; A61F; A61F2/00; A61F2/02; A61F2/10; A61F2/105

Claims Analysis

Total Claims: 15
Claim 1
Independent Claim 117 words
A method for determining the thickness of a skin burn in a a patient, comprising the steps of: administering a first fluorescent compound, which is excitable by infrared light, to said patient to cause said administered compound to enter one or more capillaries below and adjacent the skin burn; exciting said administered compound with infrared light; and detecting the amount of fluorescence of said excited compound caused by said infrared light at the skin burn and at unburned skin adjacent the skin burn; and calculating a ratio of the amount of fluorescence detected at the skin burn to the amount of fluorescence detected at the unburned skin as an indication of the thickness of the skin burn.
Claim 2
Independent Claim 117 words
A method for determining the thickness of a skin burn in a a patient, comprising the steps of: administering a first fluorescent compound, which is excitable by infrared light, to said patient to cause said administered compound to enter one or more capillaries below and adjacent the skin burn; exciting said administered compound with infrared light; and detecting the amount of fluorescence of said excited compound caused by said infrared light at the skin burn and at unburned skin adjacent the skin burn; and calculating a ratio of the amount of fluorescence detected at the skin burn to the amount of fluorescence detected at the unburned skin as an indication of the thickness of the skin burn.
Claim 3
Dependent Claim 74 words
The method of claim 1, further comprising a step of detecting the amount of fluorescence caused by said infrared light at the skin burn and at the unburned skin adjacent the skin burn prior to administering said first fluorescent compound, and subtracting these levels of fluorescence from those levels of fluorescence detected after administering said fluorescent compound and prior to said step of calculating the ratio of the levels of fluorescence of said compound.
Claim 4
Dependent Claim 21 words
The method of claim 1 or claim 2, wherein a ratio of less than 0.4 indicates a full thickness skin burn.
Claim 5
Dependent Claim 128 words
The method of claim 1 or 2, further comprising a step of administering a second fluorescent compound, which may be the same as said first fluorescent compound, which is excitable by ultraviolet light, to said patient to cause said second fluorescent compound to enter one or more capillaries below and adjacent the skin burn; exciting said second fluorescent compound with ultraviolet light; and detecting the amount of fluorescence of said second fluorescent compound caused by said ultraviolet light at the skin burn and at unburned skin adjacent the skin burn; and calculating a ratio of the amount of detected fluorescence of said second compound at the skin burn to the amount of fluorescence detected at the unburned skin as an indication of the depth of the skin burn.
Claim 6
Dependent Claim 13 words
The method of claim 4 wherein said first fluorescent compound is indocyanine green.
Claim 7
Dependent Claim 45 words
The method of claim 5 wherein the ratio of the amount of detected fluorescence of said first fluorescent compound to the amount of detected second fluorescent compound in response to said infrared and ultraviolet light, respectively, is indicative of the depth of the skin burn.
Claim 8
Dependent Claim 20 words
The method of claim 4 wherein said first fluorescent compound is indocyanine green, and said second fluorescent compound is fluorescein.
Claim 9
Dependent Claim 45 words
The method of claim 7 wherein the ratio of the amount of detected fluorescence of said first fluorescent compound to the amount of detected second fluorescent compound in response to said infrared and ultraviolet light, respectively, is indicative of the depth of the skin burn.
Claim 10
Dependent Claim 37 words
The method of claim 7, wherein the step of detecting further comprises a step of measuring the amount of said first fluorescent compound and said second fluorescent compound with a dual wavelength fluorescence video imaging processing system.
Claim 11
Dependent Claim 15 words
The method of claim 1 or 2 wherein said first fluorescent compound is indocyanine green.
Claim 12
Dependent Claim 37 words
The method of claim 10, wherein the step of detecting further comprises a step of measuring the amount of said first fluorescent compound and said second fluorescent compound with a dual wavelength fluorescence video imaging processing system.
Claim 13
Dependent Claim 41 words
The method of claim 1, further comprising a step of removing the tissue from the skin burn after the step of detecting the amount of fluorescence, and further comprising a step of detecting the amount of fluorescence after said tissue removal.
Claim 14
Dependent Claim 23 words
The method of claim 12 wherein said step of tissue removal comprises excising the skin burn tissue with a pulsed CO 2 laser.
Claim 15
Dependent Claim 46 words
The method of claim 2, further comprising a step of removing the tissue from the skin burn after said calculating step and a step of detecting the amount of said fluorescence caused by said infrared light at the skin burn after said step of tissue removal.

References Cited (Backward Citations)

US4170987A Cited
US4469098A Cited
US4608990A Cited
US4718416A Cited
US4693255A Cited
US4938224A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1994-12-23 1995-06-24 1995-12-24 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 1998-12-23 1999-06-24 1999-12-24 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2002-12-23 2003-06-24 2003-12-24 $7700.00 Window Closed / Lapsed

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