Claims Analysis
Total Claims: 42
Claim 1
Independent Claim
249 words
Apparatus able to diagnose a disease selected from the group consisting of actinic keratosis, seborrheic keratosis, basal cell carcinoma and compound nevus at a skin disease site using spectral analysis comprising: a light source for generating light to illuminate the disease site; a probe means optically connected to the light source to expose the disease site to light to generate fluorescence and reflectance light and collect said generated fluorescence and reflectance light; spectral analysis means optically connected to the probe means for generating spectral measurements of the fluorescence light and the reflectance light to assist the user in diagnosing the disease site; a plurality of comparison spectra corresponding to, and able to distinguish between, each of actinic keratosis, seborrheic keratosis, basal cell carcinoma and compound nevus wherein the spectra indicate that if the reflectance curve slope is similar to normal and the fluorescence intensity is higher than normal, then the disease is actinic keratosis; if the reflectance curve slope is similar to normal and the fluorescence intensity is lower than normal, then the disease is basal cell carcinoma; if the reflectance curve slope is larger than normal and the fluorescence intensity is higher than normal, then the disease is seborrheic keratosis; and, if the reflectance curve slope is larger than normal and the fluorescence intensity is lower than normal, then the disease is compound nevus; and a display indicating the presence or absence at the skin disease site of actinic keratosis, seborrheic keratosis, basal cell carcinoma or compound nevus.
Claim 2
Dependent Claim
249 words
Apparatus able to diagnose a disease selected from the group consisting of actinic keratosis, seborrheic keratosis, basal cell carcinoma and compound nevus at a skin disease site using spectral analysis comprising: a light source for generating light to illuminate the disease site; a probe means optically connected to the light source to expose the disease site to light to generate fluorescence and reflectance light and collect said generated fluorescence and reflectance light; spectral analysis means optically connected to the probe means for generating spectral measurements of the fluorescence light and the reflectance light to assist the user in diagnosing the disease site; a plurality of comparison spectra corresponding to, and able to distinguish between, each of actinic keratosis, seborrheic keratosis, basal cell carcinoma and compound nevus wherein the spectra indicate that if the reflectance curve slope is similar to normal and the fluorescence intensity is higher than normal, then the disease is actinic keratosis; if the reflectance curve slope is similar to normal and the fluorescence intensity is lower than normal, then the disease is basal cell carcinoma; if the reflectance curve slope is larger than normal and the fluorescence intensity is higher than normal, then the disease is seborrheic keratosis; and, if the reflectance curve slope is larger than normal and the fluorescence intensity is lower than normal, then the disease is compound nevus; and a display indicating the presence or absence at the skin disease site of actinic keratosis, seborrheic keratosis, basal cell carcinoma or compound nevus.
Claim 3
Dependent Claim
21 words
Apparatus as claimed in claim 1 in which the light source comprises an excitation light source and a white light source.
Claim 4
Dependent Claim
27 words
Apparatus as claimed in claim 2 in which the excitation light source is a Helium-Cadmium laser and the white light source is a quartz tungsten halogen lamp.
Claim 5
Dependent Claim
39 words
Apparatus as claimed in claim 2 including a shutter system to switch between the excitation light source and the white light source such that the disease site is illuminated sequentially by one of the light sources at a time.
Claim 6
Dependent Claim
39 words
Apparatus as claimed in claim 4 including computer control means to control the shutter system by switching between light sources and to control the spectral analysis means in order to acquire spectral measurements of the fluorescence and reflectance light.
Claim 7
Dependent Claim
39 words
Apparatus as claimed in claim 5 in which the computer control means comprises a personal computer and the spectral analysis means comprises a computer interface card installable in an interface slot of the computer to function as a spectrometer.
Claim 8
Dependent Claim
36 words
Apparatus as claimed in claim 6 in which the spectrometer computer interface card includes a miniature monochromator, a CCD linear array detector, means for optically connecting to the probe means, and data acquisition and controlling circuitry.
Claim 9
Dependent Claim
20 words
Apparatus as claimed in claim 2 including a light filter selected to pass fluorescence light and block reflected excitation light.
Claim 10
Dependent Claim
34 words
Apparatus as claimed in claim 2 in which the light source is optically connected to the probe means and the probe means is optically connected to the spectral analysis means by optical fibre bundles.
Claim 11
Dependent Claim
30 words
Apparatus as claimed in claim 9 including an optical coupler for connecting the white light source and the excitation light source to deliver light via the same optical fibre bundle.
Claim 12
Dependent Claim
134 words
Apparatus as claimed in claim 10 in which the optical coupler comprises: an enclosure housing, an angled reflecting surface having an aperture; a laser light port in the enclosure aligned with the aperture to permit passage of laser light directly through the angled reflecting surface, the laser light port being optically connectable to a laser light source; a light exit port from the enclosure aligned with the laser light port and the aperture through the angled reflecting surface, the light exit port being optically connectable to the probe means; and a white light port in the enclosure positioned with respect to the angled reflecting surface such that white light is reflected through an angle to be incident upon the light exit port, the white light opening being optically connectable to the white light source.
Claim 13
Dependent Claim
67 words
Apparatus as claimed in claim 9 in which the probe means comprises an elongate member having an open end defining a chamber with opaque walls that is positionable over the disease site to exclude external light from the chamber, the chamber being connected to the optical fibre bundles for receiving light from the light sources and transmitting fluorescence light and reflectance light to the spectral analysis means.
Claim 14
Dependent Claim
89 words
Apparatus as claimed in claim 12 in which the elongate member comprises: a generally cylindrical member housing the optical fibre bundles that extend to a distal end of the cylindrical member; a sleeve member that telescopes over the generally cylindrical housing, the overlap of the sleeve member with the distal end of the cylindrical member defining the chamber whereby slidable movement of the sleeve member with respect to the cylindrical member adjusts the length of the chamber to vary the size of the illumination spot at the disease site.
Claim 15
Dependent Claim
46 words
Apparatus as claimed in claim 13 in which the sleeve member is formed with a window for viewing inside the chamber to ensure proper positioning of the chamber over the disease site and a slidable cover to seal the window when the apparatus is in use.
Claim 16
Dependent Claim
28 words
Apparatus as claimed in claim 13 in which the free end of the sleeve member is cut at substantially 45 degrees to the longitudinal axis of the sleeve.
Claim 17
Dependent Claim
93 words
Apparatus as claimed in claim 1 wherein the apparatus further comprises a comparison spectrum able to distinguish spider angioma from each of actinic keratosis, seborrheic keratosis, basal cell carcinoma and compound nevus, wherein the spectrum indicates that if the fluorescence intensity is lower than normal and the reflectance ratio spectrum comprises a saw-tooth shape with a minimum at about 600 nm. then the disease is slider angioma, and the display indicates the presence or absence at the skin disease site of actinic keratosis, seborrheic keratosis, basal cell carcinoma, compound nevus or spider angioma.
Claim 18
Dependent Claim
79 words
Apparatus as claimed in claim 1 wherein the apparatus further comprises a comparison spectrum able to distinguish psoriasis from each of actinic keratosis, seborrheic keratosis, basal cell carcinoma and compound nevus, wherein the spectrum indicates that if the fluorescence spectral curve comprises an extra peak at about 635 nm. Then the disease is psoriasis, and the display indicates the presence or absence at the skin disease site of actinic keratosis, seborrheic keratosis, basal cell carcinoma, compound nevus or psoriasis.
Claim 19
Dependent Claim
97 words
Apparatus as claimed in claim 1 wherein the apparatus further comprises a comparison spectrum is able to distinguish squamous cell carcinoma from each of actinic keratosis, seborrheic keratosis, basal cell carcinoma and compound nevus, wherein the spectrum indicates that if the fluorescence intensity is lower than normal in some areas within the lesion and higher than normal in other areas within the lesion, then the disease is squamous cell carcinoma, and the display indicates the presence or absence at the skin disease site of actinic keratosis, seborrheic keratosis, basal cell carcinoma, compound nevus or squamous cell carcinoma.
Claim 20
Dependent Claim
15 words
Apparatus as claimed in claim 1 wherein the comparison spectra are stored in a computer.
Claim 21
Dependent Claim
12 words
An apparatus as claimed in claim 1 wherein the fluorescence is autofluorescence.
Claim 22
Independent Claim
219 words
A method for diagnosis of a disease selected from the group consisting of actinic keratosis, seborrheic keratosis, basal cell carcinoma, compound nevus and spider angioma at a skin disease site using spectral analysis comprising the steps of: illuminating the disease site with a light source to generate fluorescence and reflectance light at the disease site; collecting the generated fluorescence and reflectance light; conducting a spectral analysis of the collected light using a spectrometer; determining spectral measurements of the fluorescence light and the reflectance light; examining the spectral measurements together to make a diagnosis of the disease site, wherein the step of examining comprises comparing the spectral measurements with known spectral measurements and wherein if the reflectance curve slope is similar to normal and the fluorescence intensity is higher than normal, then determining that the disease is actinic keratosis; if the reflectance curve slope is similar to normal and the fluorescence intensity is lower than normal, then determining that the disease is basal cell carcinoma; if the reflectance curve slope is larger than normal and the fluorescence intensity is higher than normal, then determining that the disease is seborrheic keratosis; and, if the reflectance curve slope is larger than normal and the fluorescence intensity is lower than normal, then determining that the disease is compound nevus; and, displaying the diagnosis.
Claim 23
Independent Claim
219 words
A method for diagnosis of a disease selected from the group consisting of actinic keratosis, seborrheic keratosis, basal cell carcinoma, compound nevus and spider angioma at a skin disease site using spectral analysis comprising the steps of: illuminating the disease site with a light source to generate fluorescence and reflectance light at the disease site; collecting the generated fluorescence and reflectance light; conducting a spectral analysis of the collected light using a spectrometer; determining spectral measurements of the fluorescence light and the reflectance light; examining the spectral measurements together to make a diagnosis of the disease site, wherein the step of examining comprises comparing the spectral measurements with known spectral measurements and wherein if the reflectance curve slope is similar to normal and the fluorescence intensity is higher than normal, then determining that the disease is actinic keratosis; if the reflectance curve slope is similar to normal and the fluorescence intensity is lower than normal, then determining that the disease is basal cell carcinoma; if the reflectance curve slope is larger than normal and the fluorescence intensity is higher than normal, then determining that the disease is seborrheic keratosis; and, if the reflectance curve slope is larger than normal and the fluorescence intensity is lower than normal, then determining that the disease is compound nevus; and, displaying the diagnosis.
Claim 24
Dependent Claim
47 words
A method as claimed in claim 21 in which the steps of illuminating the disease site and collecting generated light involves sequentially illuminating the site with white light and collecting reflectance light and then illuminating the site with excitation light and collecting fluorescence light or vice versa.
Claim 25
Dependent Claim
19 words
A method as claimed in claim 22 including filtering the collected fluorescence light to filter out the excitation light.
Claim 26
Dependent Claim
35 words
A method as claimed in claim 21 in which a spectrometer card mounted in a personal computer is used to conduct a spectral analysis of the generated fluorescence and reflected light and display spectral measurements.
Claim 27
Dependent Claim
31 words
A method as claimed in claim 21 in which the step of collecting the generated fluorescence and reflectance light involves collecting light from the disease site and the surrounding normal skin.
Claim 28
Dependent Claim
30 words
A method as claimed in claim 25 in which the step of examining the spectral measurements involves comparing the disease site spectrum to the spectrum of the surrounding normal skin.
Claim 29
Dependent Claim
29 words
A method as claimed in claim 26 including the step of generating a ratio spectrum by dividing the disease site spectrum by the spectrum of the adjacent normal skin.
Claim 30
Dependent Claim
45 words
A method as claimed in claim 21 wherein, in the step of examining, if the fluorescence intensity is lower than normal and the reflectance ratio spectrum comprises a saw-tooth shape with a minimum at about 600 nm, then determining that the disease is spider angioma.
Claim 31
Dependent Claim
33 words
A method as claimed in claim 21 wherein, in the step of examining, if the fluorescence spectral curve comprises an extra peak at about 635 nm, then determining that the disease is psoriasis.
Claim 32
Dependent Claim
46 words
A method as claimed in claim 21 wherein, in the step of examining, if the fluorescence intensity is lower than normal in some areas within the lesion and higher than normal in other areas within the lesion, then determining that the disease is squamous cell carcinoma.
Claim 33
Dependent Claim
12 words
A method as claimed in claim 21 wherein the fluorescence is autofluorescence.
Claim 34
Dependent Claim
249 words
A combination able to diagnose a disease selected from the group consisting of actinic keratosis, seborrheic keratosis, basal cell carcinoma and compound nevus at a skin disease site using spectral analysis comprising: a light source for generating light to illuminate the disease site; an optical probe optically connected to the light source to expose the disease site to light to generate fluorescence and reflectance light; a spectral analyzer optically connected to the optical probe for generating and displaying spectral measurements of the fluorescence light and the reflectance light to assist the user in diagnosing the disease site; a plurality of comparison spectra corresponding to, and able to distinguish between, each of actinic keratosis, seborrheic keratosis, basal cell carcinoma and compound nevus, wherein the spectra indicate that if the reflectance curve slope is similar to normal and the fluorescence intensity is higher than normal, then the disease is actinic keratosis; if the reflectance curve slope is similar to normal and the fluorescence intensity is lower than normal, then the disease is basal cell carcinoma; if the reflectance curve slope is larger than normal and the fluorescence intensity is higher than normal, then the disease is seborrheic keratosis; and, if the reflectance curve slope is larger than normal and the fluorescence intensity is lower than normal, then the disease is compound nevus; and a display indicating the presence or absence at the skin disease site, of actinic keratosis, seborrheic keratosis, basal cell carcinoma or compound nevus at the skin disease site.
Claim 35
Dependent Claim
249 words
A combination able to diagnose a disease selected from the group consisting of actinic keratosis, seborrheic keratosis, basal cell carcinoma and compound nevus at a skin disease site using spectral analysis comprising: a light source for generating light to illuminate the disease site; an optical probe optically connected to the light source to expose the disease site to light to generate fluorescence and reflectance light; a spectral analyzer optically connected to the optical probe for generating and displaying spectral measurements of the fluorescence light and the reflectance light to assist the user in diagnosing the disease site; a plurality of comparison spectra corresponding to, and able to distinguish between, each of actinic keratosis, seborrheic keratosis, basal cell carcinoma and compound nevus, wherein the spectra indicate that if the reflectance curve slope is similar to normal and the fluorescence intensity is higher than normal, then the disease is actinic keratosis; if the reflectance curve slope is similar to normal and the fluorescence intensity is lower than normal, then the disease is basal cell carcinoma; if the reflectance curve slope is larger than normal and the fluorescence intensity is higher than normal, then the disease is seborrheic keratosis; and, if the reflectance curve slope is larger than normal and the fluorescence intensity is lower than normal, then the disease is compound nevus; and a display indicating the presence or absence at the skin disease site, of actinic keratosis, seborrheic keratosis, basal cell carcinoma or compound nevus at the skin disease site.
Claim 36
Dependent Claim
78 words
A combination as claimed in claim 32 wherein the combination further comprises a comparison spectrum able to distinguish psoriasis from each of actinic keratosis, seborrheic keratosis, basal cell carcinoma and compound nevus, wherein the spectrum indicates that if the fluorescence spectral curve comprises an extra peak at about 635 nm, then the disease is psoriasis, and the display indicates the presence or absence at the skin disease site of actinic keratosis, basal cell carcinoma, compound nevus or psoriasis.
Claim 37
Dependent Claim
16 words
A combination as claimed in claim 33 wherein the comparison spectra are stored in a computer.
Claim 38
Dependent Claim
97 words
A combination as claimed in claim 32 wherein the combination further comprises a comparison spectrum able to distinguish squamous cell carcinoma from each of actinic keratosis, seborrheic keratosis, basal cell carcinoma and compound nevus wherein the spectrum indicates that if the fluorescence intensity is lower than normal in some areas within the lesion and higher than normal in other areas within the lesion, then the disease is squamous cell carcinoma, and the display indicates the presence or absence at the skin disease site of actinic keratosis, seborrheic keratosis, basal cell carcinoma, compound nevus or squamous cell carcinoma.
Claim 39
Dependent Claim
16 words
A combination as claimed in claim 35 wherein the comparison spectra are stored in a computer.
Claim 40
Dependent Claim
16 words
A combination as claimed in claim 32 wherein the comparison spectra are stored in a computer.
Claim 41
Dependent Claim
12 words
A combination as claimed in claim 32 wherein the fluorescence is autofluorescence.
Claim 42
Dependent Claim
93 words
A combination as claimed in 32 wherein the apparatus further comprises a comparison spectrum able to distinguish spider angioma from each of actinic keratosis, seborrheic keratosis, basal cell carcinoma and compound nevus, wherein the spectrum indicates that if the fluorescence intensity is lower than normal and the reflectance ratio spectrum comprises a saw-tooth shape with a minimum at about 600 nm, then the disease is spider angioma, and the display indicates the presence or absence at the skin disease site of actinic keratosis, seborrheic keratosis, basal cell carcinoma, compound nevus or spider angioma.