A RAMAN PROBE AND APPARATUS AND METHOD FOR NON-INVASIVE IN VIVO MEASUREMENT OF ANALYTE PRESENCE OR CONCENTRATION
20240003741 ยท 2024-01-04
Inventors
- Martin SCHJOLDAGER NIELSEN (Odense S, DK)
- Joshua John GIBSON (Cambridge, GB)
- Thomas James WATSON (Cambridge, GB)
Cpc classification
A61B2562/0238
HUMAN NECESSITIES
A61B5/14532
HUMAN NECESSITIES
G01J3/10
PHYSICS
A61B5/1455
HUMAN NECESSITIES
International classification
G01J3/10
PHYSICS
G01J3/44
PHYSICS
Abstract
The present invention relates to an apparatus and method for non-invasive in vivo measurement, by Raman spectroscopy, of glucose present in interstitial fluid in the skin of a subject. The apparatus comprises at least one detector; a plurality of vertical-cavity surface-emitting lasers spatially distributed around the at least one detector, for irradiating the skin of a subject; wherein the at least one detector is configured to receive Raman scattered radiation transmitted from the sample in response to the received radiation from the vertical-cavity surface-emitting lasers.
Claims
1. Apparatus for non-invasive in vivo measurement by Raman spectroscopy of analyte presence and/or concentration, such as glucose, in the skin of a subject, the apparatus comprising; at least one detector; one or more vertical-cavity surface-emitting lasers spatially separated from the at least one detector, for irradiating the skin of a subject; wherein the at least one detector is configured to receive Raman scattered radiation transmitted from the sample in response to the received radiation from the one or more vertical-cavity surface-emitting lasers.
2. Apparatus according to claim 1, comprising a plurality of vertical-cavity surface-emitting lasers separated from the at least one detector.
3. Apparatus according to claim 2, wherein the vertical-cavity surface-emitting lasers are arranged as at least one ring of vertical-cavity surface-emitting lasers.
4. Apparatus according to claim 2 or 3, wherein the at least one detector is surrounded by a plurality of rings of vertical-cavity surface-emitting lasers.
5. Apparatus according to any of claims 1 to 4, comprising a plurality of detectors surrounded by a common ring of vertical-cavity surface-emitting lasers.
6. Apparatus according to any of claims 2 to 5, comprising a plurality of detectors surrounded by shared rings of vertical-cavity surface-emitting lasers.
7. Apparatus according to any of claims 2 to 6, wherein the vertical-cavity surface-emitting lasers are configured to provide at least two different wavelengths of radiation to irradiate a sample.
8. Apparatus according to any of claims 2 to 7, wherein the vertical-cavity surface-emitting lasers are configured to provide at collimated beams of light to irradiate the subject, the beams from two or more of the vertical-cavity surface-emitting lasers being arranged to intersect at a defined position.
9. Apparatus for non-invasive in vivo measurement, by Raman spectroscopy, of analyte presence and/or concentration, such as glucose, in the skin of a subject, the apparatus comprising; at least one radiation source, for irradiating a sample in the skin of a subject; and a plurality of detectors spatially distributed around the radiation source, wherein the plurality of detectors are configured to receive Raman scattered radiation from the sample in response to the received radiation from the at least one radiation source.
10. Apparatus according to claim 9, wherein the at least one radiation source is a vertical-cavity surface-emitting laser.
11. Apparatus according to claim 9 or 10, wherein the at least one radiation source is surrounded by at least one ring of detectors.
12. Apparatus according to claim 9 or 10, wherein the at least one radiation source is surrounded by a plurality of rings of detectors.
13. Apparatus according to claim 9 or 10, comprising a plurality of radiation sources surrounded by at least one ring of detectors.
14. Apparatus according to claim 9 or 10, comprising a plurality of radiation sources surrounded by a shared plurality of rings of detectors.
15. Apparatus according to claim 13 or 14, wherein the radiation sources are configured to provide at least two different wavelengths of radiation to irradiate a sample.
16. Apparatus according to any of the previous claims, wherein the apparatus further comprises an analysis unit configured to analyse the detected Raman spectrum and infer glucose levels within a sample.
17. Apparatus according to claim 16, wherein the analysis unit is further configured to eliminate background radiation and highlight the Raman spectrum of a sample.
18. Apparatus according to any of the previous claims, comprising a focusing device for focusing the spectrum of Raman scattered radiation transmitted back from the sample for detection.
19. Apparatus according claim 18, wherein the focusing device comprises of at least one optical lens.
20. Apparatus according to claim 19, wherein the at least one optical lens is a convex lens.
21. Apparatus according to claim 18, wherein the focusing device comprises a plurality of optical lenses.
22. Apparatus according to claim 21, wherein plurality of optical lenses comprises a plurality of convex and/or concave lenses.
23. Apparatus according to any of claims 18 to 22, wherein the focusing device comprises one or more components selected from the group including a mirror, an optical fibre, a bundle of optical fibres.
24. A method for non-invasive in vivo measurement, by Raman spectroscopy, of analyte presence and/or concentration, such as glucose, in the skin of a subject, the method comprising; using the apparatus of any of the previous claims to detect and measure the spectrum of Raman scattered radiation from a sample in the skin of a subject; and analysing the spectrum of the detected Raman scattered radiation to determine the presence and/or concentration of analyte in the skin of a subject.
25. A method according to claim 24, comprising controlling the vertical-cavity surface-emitting lasers to vary collection depth of the Raman scattered radiation.
26. A method according to claim 25, comprising executing an algorithm to determine the Raman spectrum in dependence on the respective positions of the at least one radiation source and at least one detector relative to the position of the sample.
27. A method according to claim 26, executing the algorithm to eliminate background fluorescence.
28. A method according to claim 27, in which the algorithm utilizes Shift-Excitation Raman Difference Spectroscopy.
29. A method according to claim 27 or 28, comprising: eliminating non-Raman background fluorescence by comparing the shifts in spectral peaks of observed scattered radiation from a sample, irradiated by at least two different wavelengths; removing spectral features that do not shift between the spectra created by the at least two difference wavelengths of radiation; and analysing remaining spectral peaks, for the presence of analyte within the sample.
30. Apparatus for non-invasive in vivo measurement, by Raman spectroscopy, of analyte presence and/or concentration, such as glucose, in the skin of a subject, the apparatus comprising; at least one detector; a controllable VCSEL radiation source spaced from the at least one detector, for irradiating the skin of a subject with light, and being configured to selectively change the wavelength of the light in accordance with a SWEPT methodology; a bandpass filter to receive Raman scattered radiation transmitted back from the sample; a processor to generate a Raman spectrum from the received Raman scattered radiation.
31. Apparatus for non-invasive in vivo measurement, by Raman spectroscopy, of analyte presence and/or concentration, such as glucose, in the skin of a subject, the apparatus comprising; at least one detector a radiation source for irradiating the skin of a subject, spaced from the at least one detector; wherein the at least one detector is configured to receive a spectrum of Raman scattered radiation transmitted back from the sample in response to the received radiation from the radiation source.
32. Apparatus for non-invasive in vivo measurement by Raman spectroscopy of analyte presence and/or concentration, such as glucose, in the skin of a subject, the apparatus comprising; a spectrometer having a slit for receiving a Raman spectrum from a sample; an integrated probe for coupling to the spectrometer, wherein the probe is of generally planar configuration.
33. Apparatus according to claim 32, in which the integrated probe comprises a PCB having arranged thereon plural optical sources and arranged around the slit of the spectrometer.
34. Apparatus according to claim 33, in which the plural optical sources are VCSELs.
35. Apparatus according to claim 33 or 34, in which the PCB comprises a window and the optical sources are arranged around the window.
36. Apparatus according to claim 35, in which plural rows of VCSELs are provided on either side of the window.
37. Apparatus according to any of claims 32 to 36, comprising directing optics to control the distance of the focal point of the optical sources from the plane of the planar integrated probe.
38. Apparatus according to any of claims 32 to 37, comprising source optics arranged for controlling the transmission of light from the optical sources.
39. Apparatus according to claim 38, in which the source optics comprises a micro lens array.
40. Apparatus according to any of claims 32 to 39, wherein the apparatus is for non-invasive in vivo measurement by Raman spectroscopy
41. An integrated probe for coupling to a spectrometer, for non-invasive in vivo measurement by Raman spectroscopy of analyte presence and/or concentration, such as glucose, in the skin of a subject, wherein the probe is of generally planar configuration.
42. An integrated probe according to claim 41, in which the probe is for non-invasive in vivo measurement by Raman spectroscopy of analyte presence and/or concentration.
43. Apparatus for Raman spectroscopy, the apparatus comprising; a spectrometer having a slit for receiving a Raman spectrum from a sample under test; an integrated probe for coupling to the spectrometer, wherein the probe is of generally planar configuration.
Description
[0092] Embodiments of the present invention will now be described in detail with reference to the accompanying drawings, in which:
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DETAILED DESCRIPTION
[0111]
[0112] The arrangement shown will typically be provided as part of a system, described in general below with reference to schematic view of
[0113] The arrangement 14 will typically be provided as part of a probe, as shown in
[0114] The laser source 10 of the SORS arrangement 14 is most preferably a vertical-cavity surface-emitting laser (VCSEL) which enables miniaturisation of the device without any loss of functionality.
[0115] The detectors 12 of the SORS arrangement 14 are a means for communicating the detected Raman signal to one or more spectrometers or in combination work as spectrometers. A spectrometer is an optical apparatus that works by separating the light beam directed into the optical apparatus into different frequency components and subsequently measuring the intensity of these components by using analysis devices such as CCD detectors, CCD arrays or any other suitable light capturing device.
[0116] The detectors 12 are shown in the example of
[0117] In another example, one or more detector strips may be provided, e.g. two parallel detector strips on either side of the optical source 10 are provided. The, or each of the, detector strips may be provided as straight line linear detector strips or curved detector strips, each provided some separation from the optical source 10. One could be curved and another straight. It will be appreciated that the detectors 12 can function simply as receivers arranged to receive and couple the Raman signal onwards for analysis. The detectors 12 could include circuits or componentry to enable the detectors themselves to determine the spectrum from the received radiation.
[0118]
[0119] The arrangement 24 will typically be provided as part of a probe, as shown in
[0120] The detector 20 could be the end face of an optical fibre or an optical fibre bundle comprising multiple fibres. Preferably some optical arrangement such as a lensing arrangement is provided on the end of the fibre or fibre bundle to communicate the received light into the fibre bundle for onward coupling to a processor or spectrometer, as described above with reference to
[0121] The Raman detector 20 of the inverse SORS arrangement 24 is preferably a spectrometer or is coupled to one to enable a determination of the Raman spectrum to be made.
[0122] The rings of laser sources 22 of the inverse SORS device 24 can include any suitable form of laser emitting device. However, to improve the miniaturisation of the device the laser sources 22 are preferably VCSELs. Typically, the dimension of the probe and or arrangement is such that it is easily and ergonomically usable by an individual. In practice, the diameter of the outer rings shown in each of
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[0124]
[0125] The optical arrangement described herein provides a number of advantages. The use of VCSELs facilitates the collection of Raman signal from a larger volume which means that the system as a whole is less sensitive to skin variation, such as skin thickness variation. In the example in which a plurality of VCSELs are provided, preferably in rings of some shape, it is possible to vary collection depths without actually having to move anything within the probe. Simply activating a different selection of the VCSELs will stimulate Raman signal within a user at different locations or depths. Finally, the use of VCSELs enables the reduction in the probe of other optical elements such as focusing hardware and the like.
[0126] The lens 30 is arranged to receive Raman scattered radiation generated by the incident radiation from the VCSELs 32 and focus it for onward transmission to a detector or a spectrometer for further analysis.
[0127] The focusing device 30 is preferably but not limited to being a collection optic which refracts the received Raman scattered light for onward transmission. The focusing device 30 may also include or consist of one or more of a mirror, a group of interconnected mirrors, an array of collection optics, or a combination of mirrors and collection optics, and filters.
[0128] In order to infer the concentration of glucose in the sample of a subject the openings of any of the previous arrangements 14, 24, or 34 in combination with the features of
[0129] The Raman detectors 12 or Raman detector unit 20 then communicates the received Raman signal onwards for analysis of the spectra received for the presence of glucose in the sample, and provides an indication of, say, the blood glucose level in the sample to the subject.
[0130] Referring to
[0131] Preferably the processing unit 46 includes a display 48 which functions as a GUI to indicate a reading or result to a user when a test is done using the system. In one example the processing unit is entirely electrical without optical functionality. The optical componentry and processing is all integrated and incorporated within the probe 40. This is achievable due to the use of VCSELs enabling miniaturisation of the optics. Thus, the cabling 44 is electrical, communicating control signals and data between the probe 40 and the processing unit 46.
[0132] In another example, the probe 40 includes VCSELs but the spectrometer or CCD devices that might be used are housed within the processing unit, such that the cabling 44 includes one or more optical fibres as well as electrical cabling for power and/or signalling.
[0133] In the example shown, a temperature sensor (or sensors) 47 is provided as part of the probe 40. The temperature sensor 47 is coupled to the processing unit 46 via conductor 49. The temperature sensor is arranged and configured to measure the temperature of the VCSELs provided within the probe, and preferably arranged to couple the measured temperature to the controller 46. If required, the VCSEL temperature is mapped/converted to an excitation wavelength and if necessary, the recorded spectra are adjusted in accordance with the excitation wavelength.
[0134] Furthermore, in an example, temperature stabilization of the VCSELs is enabled by use of, say, a thermoelectric cooler, so as to avoid excitation wavelength drift.
[0135] In one example, with or without use of temperature stabilization, the excitation wavelength is tracked by use of a spectrometer. If drift is detected the recorded spectra can be adjusted in dependence on the excitation wavelength. The excitation wavelength can be stabilized by control of VCSEL temperature and/or the applied driving current or signal.
[0136] In an embodiment an algorithm is used to analyse the received Raman spectrum to determine the concentration of glucose or some other analyte. If the signal comes from the skin it is likely that it will indicate the concentration of glucose within the interstitial fluid rather than directly in the blood, but this corresponds closely to the level of glucose in the blood albeit with a small time shift. The algorithm, known as dual wavelength shift-excitation Raman Difference Spectroscopy is used. The difference between the two wavelengths is typically less than 5 nm and preferably about 1 nm. The method enables use of a VCSEL probe as described herein arranged to provide background fluorescence elimination. In a general sense this is done with the use of two incident wavelengths. VCSELs are provided having two different transmission wavelengths and due to their small size it is possible to arrange them all within the system as described above with reference to any of
[0137] As follows from Kasha's rule, the shift-excitation wavelength for fluorescence background elimination is unaltered for small changes in excitation photon energy, while the generated Raman spectrum does shift according to the excitation photon energy change. Thus, by subtraction of two spectra from each other, acquired with slightly different excitation wavelengths, provides for the elimination of the background florescence while a Raman difference spectrum remains.
[0138] In other words, the algorithm for fluorescence background elimination, eliminates non-Raman background fluorescence by comparing the shifts in spectral peaks of observed scattered radiation from a sample, irradiated by at least two different wavelengths of radiation by the laser sources. This enables isolation of the shifted signal, for analysis of the presence of glucose or some other analyte with the sampled volume. In an example this is achieved by providing the optical sources, such as VCSELs, in a distributed way around the detector. Different groups of the individual optical sources are activated such that the target is sequentially irradiated by radiation of the two different wavelengths. In an example where the optical sources are arranged in one or more rings, any one of the one or more rings may be made up of optical sources in which every other optical source has the same transmission wavelength. If three different wavelengths are used, every third optical source will have the same transmission wavelength.
[0139] If the optical sources are not arranged in rings, but, say, in a two dimensional array of rows, every other row, may be arranged to have the same transmission wavelength, with intervening rows having some other transmission wavelength. Alternatively, in one example, an even greater degree of variation is achieved in that every other optical source in both X and Y directions is arranged to have the same wavelength and every other optical source to have some common but different, wavelength.
[0140] Where, say, plural rings of sources are used, the different rings may be arranged each to have their own different transmission wavelength. Alternatively, in another example, every other ring is arranged to have the same first transmission wavelength, with the intervening rings having some same but different transmission wavelength from the first transmission wavelength.
[0141] In a further example, a SWEPT Raman probe is provided using VCSELs as the optical source. An array of VCSELs having a wavelength range of some desired value is provided. The exact number of wavelengths can be varied as per application, but typically a spectral range of, say, 750 to 960 nm, 750 to 860 nm or 850 to 960 nm is provided. A wavelength step is selected and a bandpass filter provided at some value from the original excitation wavelength. The Raman spectrum can then be reconstructed using known SWEPT Raman methodologies
[0142] In general, the use of VCSELs facilitates the creation of a SWEPT Raman probe for use in determining in vivo concentrations of analyte in a user's skin.
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[0146] Looking now at
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[0149] A detection cone 84 is shown schematically. Again, as above, Raman signals generated within the detector acceptance cone and that is directed towards the detector can be detected and used to produce the Raman spectrum for the sample.
[0150] Each of the VCSELs in the first and second pluralities 80 and 82 are preferably arranged and controlled to provide collimated beams or part-collimated beams and are arranged to be controlled independently. By turning on and off different VCSELs within the first and second pluralities, the Raman signal generated in different volumes within the skin or subject can be collected.
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[0153] In this example, a number of detectors D1 are provided each having an acceptance cone. The acceptance cones 94 are arranged to intersect the illumination region of a divergent VCSEL source 96. Thus, the use of plural detectors ensures that the signal collected from different areas within the illumination cone 98 of the VCSEL source 96 can be distinguished. Furthermore, understanding can be gained regarding the depth or general location of the optical source due to the use of multiple detectors 97.
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[0155] In this example, plural detectors 100.sub.1, 100.sub.2 and 100.sub.3 are provided. An optical connection is provided between each of the detectors and a spectrometer entrance slit 102. The arrangement of the inputs from each of the optical fibres 101 within the spectrometer entrance slit is controlled and fixed such that the spectrum produced by each of the signals from the respective fibres 101.sub.1 to 101.sub.3 can be easily identified.
[0156] With the use of a divergent VCSEL source 104 the arrangement can be used to obtain accurate depth information relating to the location origin of a particular spectrum. For example, if the spectrum of D3 is subtracted from the spectrum derived from detector D2 then information regarding the sample within the depth region 106 can be determined. Similarly, other determinations can be made by subtraction of particular pairs of combinations of spectra.
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[0158] As explained above, the use of VCSELs or other such similar optical sources enables the miniaturisation of the probe and the use of such methodologies as SORS or inverse SORS. One further particular advantage of the use of optical sources such as VCSELs in an optical probe for the in vivo measurement of analyte concentration is the integration of the VCSELs into or around a spectrometer entrance slit as will now be described in detail.
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[0160] The present embodiment provides an integrated probe in which a spectrometer entrance slit is provided and the probe as shown in
[0161] Preferably, the illumination sources are provided in the form of VCSELs although other possible illumination sources could also be provided. The illumination can consist of a single source or multiple sources. In a preferred example, the illumination sources comprise paired sources in order to generate an excitation source with specific optical specifications.
[0162] As will be described below, optical elements like lenses, optical flats and the like can be placed in front of the illumination sources and/or the spectrometer entrance slit. Such an arrangement including the appropriately sized and configured miniaturised optical components in combination with the optical sources such as the VCSELs still provides for what may be described as an integrated probe. The contrast can be noted markedly in, say, a comparison of
[0163] The illumination sources can consist of two or more individual groups, or single sources, which can be individually controlled. Each group can have specific individual specifications in order to support Raman spectroscopic techniques such as stimulated Raman scattering (SRS), coherent anti-stokes Raman scattering (CARS), shift excitation Raman difference spectroscopy (SERDS) and swept source Raman (SSR) spectroscopy. As discussed herein, the expression integrated probe will be used since the probe shown in, say
[0164] The illumination sources are preferably arranged in configurations by taking advantage of the spatial offset between the illumination and collection optic based on the SORS principle described above, thereby allowing depth-sensitive probing. Indeed, the operation and control of the integrated probe including the VCSELs or other optical sources can be as shown in and described above with reference to any of
[0165] Looking at
[0166] A Raman signal is generated in response to activation of a laser 120 which is directed via optics 122 such as a beam splitter to impinge upon a sample 124. A contact surface 126 may be provided in the form of a transmissive window through which the laser beam travels. The laser beam impinges on the sample 124 and interacts with it generating a Raman spectrum which is transmitted via other optics including a filter 128 and one or more lenses 130 to the spectrometer entrance slit 118. Within the spectrometer, optics 132 are provided which may typically include one or more lenses and/or mirrors and a grating so as to direct the received spectrum onto a detector 134 such as a CCD detector.
[0167] The system now to be described integrates the functionality of the probe system 114 into the spectrometer and on or around its slit thereby facilitating miniaturisation and simplification of the apparatus.
[0168] Referring to
[0169] Referring to
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[0173] The integrated probe system comprises a slit plate 146 provided with a slit 148 and a plurality of illumination sources 151 provided thereon. Preferably, the illumination sources 151 are VCSELs although other integrated illumination sources can be used. Typically, the slit size will be dictated by any or all of requirements for spectral resolution, throughput and spectrometer complexity. Typically though, slit dimensions might be between 10 and 200 micrometres wide and between 800 and 1600 micrometres long. Thus, the size and scale of the slit in comparison to the probe system 114 shown in
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[0176] The control system includes a controller 152 which is typically a microprocessor or an ASIC. The controller 152 is coupled to a laser driver/controller 154 which itself is coupled to the VCSELs 156. A power supply 158 is provided to provide operating power to the laser driver/controller. Typically, the components illustrated schematically in
[0177] The components of the control system, as shown schematically in
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[0179] An optical filter 164 is provided in the form of a Rayleigh filter. In this example, the Rayleigh filter 164 is provided behind the slit plate 146, but it will be appreciated that it can be provided on the other of the slit plate 146 as well. It will be appreciated that the probe assembly 148 is effectively planar which means that it can be provided in position on the side of the spectrometer, e.g., the spectrometer 150 in
[0180] Referring again to
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[0182] Reformatting optics 170 can be provided. The reformatting optics is in the form a lens and is used to maximise the throughput and magnify the scattered distribution onto the existing slit 172. Typically, this boosts throughput by at least 10%. Precision alignment will be required between the assembly and the existing slit of the spectrometer.
[0183] The VCSEL wafer 168 including the transparent window 174 is shown as a merely exemplary configuration for the integrated probe.
[0184] It is possible that the VCSEL wafer 168 is provided in two sections, one on either longitudinal side of the transparent window 174 and they are then machined or connected together with the transparent window 174 in a known manner.
[0185] The spectrometer slit is typically dimensioned such as to have a width of 100 micrometres and a length of 1300 micrometres and a numerical aperture of 0.22.
[0186] The optical flux of each emitter in this example is typically 1.5 mW representing a total optical flux of 306 mW. Preferably the wavelength is between 760 and 850 nanometres although VCSELs of any desired wavelength can be chosen for use in the system. The indication of wavelength ranges given above applies equally here.
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[0189] The VCSEL packages 184 are arranged on either side of the slit. In this example, the slit is typically 1500 micrometres long and 100 micrometres wide.
[0190] As can be seen, the PCB is arranged on a backing plate 186 and aligned with an opening 190 therein.
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[0192] The generally flat upper surface is coated with a long pass filter and represents the spectrometer entrance slit. A VCSEL block or die 198 is provided on each side of the slit. Each VCSEL die 198 includes a VCSEL array with possible micro optics 210 arranged on top of them. Transmitted light from the VCSEL array passes through inlet surface 200 on an underside of an overhang within the optical element 195. Angled surfaces 202 totally internally reflect the light for onward transmission to the sample 192. Semiconductor pads 204 and 206 are arranged on the support surface 208. The VCSELS will be operated by control circuitry (not shown) which will be connected to the pads. The arrangement of
[0193] Embodiments of the present invention have been described with particular reference to the examples illustrated. However, it will be appreciated that variations and modifications may be made to the examples described within the scope of the present invention.