Deep Brain Stimulation Apparatus and Deep Brain Stimulation Method on Basis of Surface-Enhanced Raman Spectroscopy
20190314628 ยท 2019-10-17
Assignee
Inventors
- Eun Kyoung Park (Seoul, KR)
- Min Hee Kang (Seoul, KR)
- Soon Young Kwon (Seoul, KR)
- Kyu-Sung Lee (Seoul, KR)
Cpc classification
A61N1/36096
HUMAN NECESSITIES
A61B5/0075
HUMAN NECESSITIES
A61N1/36067
HUMAN NECESSITIES
A61N1/08
HUMAN NECESSITIES
International classification
A61N1/08
HUMAN NECESSITIES
A61N1/05
HUMAN NECESSITIES
G01J3/44
PHYSICS
Abstract
A deep brain stimulation apparatus according to the present disclosure includes: a stimulator for applying electrical stimulation to a brain; a light source for providing light to the brain; plasmonic nano-particles which, when the brain releases a neurotransmitter as a result of the electrical stimulation, come into contact with the neurotransmitter to enable surface-enhanced Raman scattering (SERS); a photodetector which includes the plasmonic nano-particles and, when the light from the light source is scattered by the neurotransmitter which has come into contact with the plasmonic nano-particles, detects the scattered light; a signal processing analyzer for converting a light signal from the photodetector to an electric signal; and a controller for receiving an analysis signal from the signal processing analyzer to control the stimulator.
Claims
1. A deep brain stimulation apparatus based on surface-enhanced Raman spectroscopy, the deep brain stimulation apparatus comprising: a stimulator configured to apply electrical stimulation to a brain; a light source configured to emit light to the brain; plasmonic nano-particles configured to allow surface-enhanced Raman scattering (SER) by contacting a neurotransmitter when the brain secretes the neurotransmitter as a result of the electrical stimulation; a photodetector configured to, when the light incident from the light source is scattered by the neurotransmitter in contact with the plasmonic nano-particles, detect scattered light through an optical fiber; a signal processing analyzer configured to convert a light signal from the photodetector into an electric signal; and a controller configured to receive an analysis signal of the signal processing analyzer to control the stimulator, wherein the plasmonic nano-particles are bonded to a surface of the optical fiber and inserted into a body together with the optical fiber.
2. The deep brain stimulation apparatus of claim 1, wherein the plasmonic nano-particles comprise one or more selected from the group consisting of gold, silver, platinum, palladium, copper, tin, nickel, and aluminum.
3. The deep brain stimulation apparatus of claim 1, wherein the photodetector is inserted into the body.
4. The deep brain stimulation apparatus of claim 1, wherein the signal processing analyzer is further configured to analyze a surface-enhanced Raman spectroscopic spectrum of the scattered light.
5. The deep brain stimulation apparatus of claim 1, wherein the controller is inserted into the body.
6. The deep brain stimulation apparatus of claim 1, wherein the controller comprises a wireless communicator and a wireless charger.
7. The deep brain stimulation apparatus of claim 1, wherein the controller is further configured to control the stimulator when the analysis signal of the signal processing analyzer satisfies a preset condition.
8. The deep brain stimulation apparatus of claim 1, wherein a surface of the optical fiber is modified to have a hydrophilic property.
Description
BRIEF DESCRIPTION OF DRAWINGS
[0031]
[0032]
[0033]
[0034]
[0035]
[0036]
[0037]
[0038]
BEST MODE
[0039] As the present disclosure allows for various changes and numerous embodiments, particular embodiments will be illustrated in the drawings and described in detail. Effects, features, and methods of achieving these of the present disclosure will become apparent from the following detailed embodiments with reference to the accompanying drawings. However, the present disclosure is not limited to the embodiments set forth herein, and may be embodied in many different forms.
[0040] Hereinafter, embodiments of the present disclosure will be described in detail with reference to the accompanying drawings, like reference numerals denote like or corresponding components throughout the drawings, and a detailed description thereof will be provided once.
[0041] An expression in the singular encompasses an expression in the plural unless it has a clearly different meaning in the context.
[0042] The terms such as including, having, and the like are intended to indicate the existence of the features or components described in the specification, and are not intended to preclude the possibility that one or more other features or components may be added.
[0043] In the drawings, the sizes of elements may be exaggerated or reduced for convenience of explanation. For example, the size and thickness of each element illustrated in the drawings are arbitrarily illustrated for convenience of explanation, and thus the present disclosure should not be limited to the illustrations of the drawings.
[0044] If an embodiment can be differently embodied, a specific step may be performed differently from the described order. For example, two successively described steps may be performed substantially concurrently, or may be performed in a reverse order to that described.
[0045] While the present disclosure has been described with reference to embodiments illustrated in the drawings, these embodiments are provided for illustrative purposes only and it will be understood by those of ordinary skill in the art that various changes and modifications are made therein. Therefore, the true scope of the present disclosure should by defined by the technical spirit of the appended claims.
[0046]
[0047] The deep brain stimulation apparatus based on a surface-enhanced Raman spectroscopy according to the present disclosure includes a stimulator 10 that applies electrical stimulation to a brain B, a light source 20 that emits light to the brain B, plasmonic nano-particles 34 that allow surface-enhanced Raman scattering by contacting a neurotransmitter NT when the brain B secretes the neurotransmitter NT by the electrical stimulation, a photodetector 30 that includes the plasmonic nano-particles 34 and, when the light incident by the light source 20 is scattered by the neurotransmitter NT in contact with the plasmonic nano-particles 34, detects a scatted light, a signal processing analyzer 40 that converts a light signal from the photodetector 30 into an electric signal, and a controller 50 that receives an analysis signal of the signal processing analyzer 40 to control the stimulator 10.
[0048] The stimulator 10 stimulates the brain B to induce or suppress a specific reaction of the body. For example, when a hand shake, etc. occurs due to an abnormal neural circuit, it is possible to suppress the hand shake by applying a reverse voltage to a specific region of the brain B that induces the hand shake. That is, the reaction of the body due to the electrical stimulation of the stimulator 10 is observed by the light source 20 and the photodetector 30 that will be described later.
[0049] Although not shown, the stimulator 10 may include a communicator, an implanted pulse generator (IPG), a lead, and an extension. The communicator receives a control signal from the controller 50 that will be described later. The IPG generates electrical stimulation to induce or suppress specific neural activity by adjusting the magnitude, frequency, etc. of the stimulation signal according to the control signal of the controller 50. The lead transmits the electrical stimulation to a specific part of the brain B. The lead may include, for example, a polyurethane coil consisting of four platinum-iridium leads. A lead line is connected to the IPG through the extension. The stimulator 10 is inserted into the body by a surgical operation.
[0050] By the electrical stimulation, the neurotransmitter NT is secreted in a specific nerve path. That is, when the electrical stimulation is applied to the specific part of the brain B, a specific neural path matching therewith may be activated. Thus, by analyzing an amount of the neurotransmitter NT in the nerve path, effects of the electrical stimulation of the brain may be observed.
[0051] The light source 20 emits light to the brain B, in particular to, a synapse S of a specific nerve path due to electrical stimulation. The incident light is scattered by the neurotransmitter NT coupled to the plasmonic nano-particles 34 that will be described later and is detected by the photodetector 30.
[0052] The light emitted from the light source 20 may have a wavelength of, for example, 400 nm to 700 nm in a visible light region. For example, the light source 20 may use various lasers such as a HeNe laser having a wavelength of 611.8 nm and 633.8 mm, an argon (Ar) laser having wavelengths of 454.6 nm, 488.0 nm, and 514.5 nm, a krypton (Kr) laser having wavelengths of 530.9 nm, 568.2 nm, 647.1 nm, and 676.4 nm, etc. The above wavelength band is suitable for causing surface plasmon resonance (SPR) of metal included in the plasmonic nano-particles 34. This will be described later.
[0053] When the light source 20 is disposed outside the body, it is necessary to increase the intensity of the incident light because the light must transmit through the brain tissue. In this case, noise in the photodetector 30 of the light source 20 is strong, but its installation is advantageously simple. Conversely, when the light source 20 is inserted into a nerve path corresponding to a specific region of the brain, in particular, the brain, a separate operation is required for insertion, but the detection sensitivity in the photodetector 30 is further improved.
MODE OF DISCLOSURE
[0054]
[0055] The deep brain stimulation apparatus based on a surface-enhanced Raman spectroscopy according to the present disclosure includes the plasmonic nano-particles 34 which allow surface-enhanced Raman scattering (SERS) by contacting the neurotransmitter NT when the brain B secretes the neurotransmitter NT by electrical stimulation.
[0056] According to an embodiment, the plasmonic nano-particles 34 may include one or more selected from the group including gold, silver, platinum, palladium, copper, tin, nickel, and aluminum.
[0057] A surface-enhanced Raman scattering (SERS) effect indicates a phenomenon that when a target substance is adsorbed on surfaces of nano-particles causing surface plasmon resonance (SPR) such as gold, silver, platinum, etc, the Raman scattering intensity increases about 10.sup.3 to 10.sup.14 times or more.
[0058] Surface plasmon resonance (SPR) is a resonance phenomenon that occurs when the frequency of light matches with natural frequencies of surface electrons oscillates with respect to the restoring force of a positive nucleus by the collective oscillation of electrons in a solid or liquid state stimulated by light. In particular, the surface plasmon resonance phenomenon in a nanometer-sized structure is called localized SPR. Plasmonic nano-particles, for example, substances adsorbed on metal surfaces, may be analyzed using the surface plasmon resonance phenomenon.
[0059] One of advantages of surface-enhanced Raman scattering (SERS) analysis is that the SERS may provide information that is difficult to obtain through general Raman analysis. In other words, because there are various surface interactions between the substance to be analyzed and the surface of the plasmonic nano-particles, an enhanced Raman signal which may not be obtained from the general Raman spectrum may be observed.
[0060] In order to increase the intensity of the Raman scattered light, a phenomenon that free electrons on the surface of the plasmonic nano-particles vibrate collectively between the plasmonic nano-particles and the incident light must be present, which is referred to as surface plasmon that is a basis of the electromagnetic enhancement effect. The incident light generates surface plasmon on the surface of the plasmonic nano-particles, and the surface plasmon increases the intensity of the Raman scattered light through the interaction with an analyte.
[0061] The plasmonic nano-particles 34 of the present disclosure have a structure that enables a surface-enhanced Raman signal. On the other hand, although it is expressed as a particle, the plasmonic nano-particles 34 do not necessarily have to be molecularly separated from each other, but the nano-particles 34 may mean poles, irregularities, etc., in nanometers (nm) protruding from a certain surface (e.g., an optical fiber (
[0062] According to an embodiment of
[0063] The nano-core 34C may be modified in various ways if it has physical synthesis such as metal and silica as well as natural polymers such as keratin, collagen, gelatin, cellulose, chitosan, and synthetic polymer such as polymethyl methacrylate (PMMA).
[0064] The shell 34S may include at least one selected from the group including gold, silver, platinum, palladium, copper, tin, nickel, and aluminum, but is not limited thereto and may be a material capable of exhibiting the surface plasmon resonance phenomenon. This shell 34S contacts the neurotransmitter NT to amplify the Raman signal. The shell 34S may be coated on the surface of the nano-core 34C by, for example, electroless plating or the like, and may be in the range of 10 nm to 100 nm.
[0065] On the other hand, the plasmonic nano-particles 34 may include a receptor 34R for binding to the surface of the plasmonic nano-particles 34 with the neurotransmitter NT that is a target substance. The receptor 34R may include a target substance specific receptor consisting of any one selected from the group consisting of an enzyme substrate, a ligand, an amino acid, a peptide, a protein, a nucleic acid, a lipid, a carbohydrate or an antibody.
[0066] At this time, the target substance of the receptor 34R is not only the neurotransmitter NT that is cathecholamines dopamine, norepinephrine, fepretone, but also indoamines serotonin, melatonin and norepinephrine, serotonin melatonin, phenylethylamine, tilamine, tryptamine, octopamine, gammaaminobutyric acid (GABA). Previously, electrochemical detection using an oxidation-reduction reaction was mainly used to detect neurotransmitters. Therefore, only catecholamine-based neurotransmitters that may be easily oxidized may be detected. However, according to the present disclosure using an optical method, various neurotransmitters NT may be detected without being limited thereto,
[0067]
[0068] Dopamine is a representative neurotransmitter secreted by the brain. Dopamine deficiency causes various neurological diseases. In particular, dopamine concentration in patients with Parkinson's disease may be used as a feedback biomarker to represent the state of disease. The embodiment of
[0069]
[0070] According to an embodiment, the photodetector 30 may include an optical fiber 32.
[0071] According to the embodiment of
[0072] At this time, the surface of the optical fiber 32 may be modified such that the plasmonic nano-particles 34 and the optical fiber 32 are chemically bonded. For example, the surface of the optical fiber 32 may be surface-modified to have a hydrophilic property. In this case, when the nano-core 34C of the plasmonic nano-particles 34 is made of a hydrophilic substance, the plasmonic nano-particles 34 and the optical fiber 32 may be bonded.
[0073] According to the embodiment of
[0074] According to an embodiment, the photodetector 30 may be inserted into the body.
[0075] As described above, when the plasmonic nano-particles 34 and the neurotransmitter NT are in contact with or bonded to each other, when light emitted from the light source 20 is scattered hi the neurotransmitter NT, because the intensity of surface-enhanced Raman scattering is greatly enhanced, the scattered light may be detected by the photodetector 30. That is, in order to obtain the surface-enhanced Raman scattering effect, the plasmonic nano-particles 34 of the photodetector 30 may be inserted into the body and contacted with the neurotransmitter NT propagating between the synapses S of a nerve path to be measured. In addition, when the scattered light exits outside of the body, because the intensity thereof is rapidly reduced, the photodetector 30 may be inserted into the body, in particular, the brain B, and near the scattered light, and near the synapses S of the nerve path to be measured. (See
[0076] When the plasmonic nano-particles 34 include the receptor 34R, the neurotransmitter NT may be chemically bonded to the receptor 34R. At this time, the light incident on the light source (20 of
[0077]
[0078] The signal processing analyzer 40 converts a light signal from the photodetector 30, that is, a surface-enhanced Raman scattered light, into an electric signal and analyzes the electric signal. The signal processing analyzer 40 may include a filter 42 for filtering a specific wavelength of light detected by the photodetector 30, a grating 44 for dividing the light passing through the filter 42 by wavelength, and a charge coupled device (CCD) 46 for converting the signal into the electrical signal. When the light signal is converted into the electric signal by the CCD 46, the electric signal is analyzed through a computer 48 or the like to obtain a Raman spectrum. The signal processing analyzer 40 obtains information about a type and concentration of the neurotransmitter NT, etc. from the Raman spectrum.
[0079] The signal processing analyzer 40 may be disposed outside the body. In this case, for example, the photodetector 30 inserted into the body may have a protruding portion outside the body, and may transmit the light signal to the signal processing analyzer 40. When the signal processing analyzer 40 is inserted into the body, it is preferable that the signal processing analyzer 40 is manufactured to be very compact and enables wireless communication and wireless charging.
[0080]
[0081] According to an embodiment, the controller 50 may be inserted into the body.
[0082] According to an embodiment, the controller 50 may include a wireless communicator 52 and a wireless power receiver 54. Referring to
[0083]
[0084] According to an embodiment, the controller 50 may control the stimulator 10 when an analysis signal of the signal processing analyzer 40 satisfies a preset condition.
[0085] Referring to
[0086] Thereafter, the controller 50 receives the signal analyzed by the signal processing analyzer 40. For example, the analysis signal may include concentration information of the neurotransmitter N) estimated from the intensity of the Raman spectrum.
[0087] Thereafter, the controller 50 determines whether the analysis signal satisfies a preset condition. For example, when there is no change in the concentration of the neurotransmitter NT in a neural circuit that causes a handshake even though an electrical stimulation signal is applied in order to reduce a handshake phenomenon or an amount of change is smaller than a threshold value, the controller 50 determines that the analysis signal does not satisfy the preset condition and transmits a control signal to apply a larger electrical stimulation to the stimulator 10. If the concentration of neurotransmitter NT in the neural circuit that causes the handshake by the electric stimulus signal to reduce the handshake phenomenon decreases, the controller 50 determines that the analysis signal does not satisfy the preset condition and store the control signal and the analysis signal. Thereafter, the controller 50 transmits the control signal to the stimulator 10 based on the stored information.
[0088] On the other hand, the preset condition may be not only the above-described condition but also, for example, whether the concentration change rate of the neurotransmitter NT with respect to the intensity of the electrical stimulation is equal to or greater than or smaller than or equal to the threshold value.
[0089] That is, the controller 50 controls the stimulator 10 by feeding back the analysis signal received from the signal processing analyzer 40. Specifically, when the controller 50 transmits the control signal to the stimulator 10 and the stimulator 10 stimulates a specific part of the brain, accordingly a neural circuit related to a specific movement /accident according to the electrical stimulation reacts. The reaction detected by the photodetector 30 is analyzed by the signal processing analyzer 40 and sent to the controller 50. The controller 50 feeds back the reaction to transmit the control signal to the stimulator 10 again. That is, the stimulator 10 calculates, stores, and analyzes the correlation between the electrical stimulation and the nerve circuit reaction. Accordingly, it is possible to set the optimal stimulation condition for a patient by actively adjusting an electrical stimulation parameter by feeding back the change of the neurotransmitter NT according to the patient's symptoms.
[0090]
[0091] Referring to
[0092] At this time, although step S10 of applying the electrical stimulation to the brain B, step S20 of contacting the plasmonic nano-particles 34 with the neurotransmitter NT, and step S30 of emitting light to the brain B are sequentially performed in
[0093] According to the deep brain stimulation apparatus and method based on a surface-enhanced Raman spectroscopy according to the present disclosure, the Raman spectrum having a strong intensity may be obtained by a photodetector including a plasmonic nano-particle capable of surface-enhanced Raman scattering without using a high output laser, and thus deformation of a biomolecule may be prevented.
[0094] In addition, in the deep brain stimulation system which applies electrical stimulation to a specific part of the brain for rehabilitation or therapeutic purposes, the neurotransmitter that is highly related to the disease may be monitored in real time and may be used to actively control a stimulation parameter applied to the brain, thereby providing feedback by reflecting a change of the neurotransmitter according to a symptom of the patient, and thus the patient customizing treatment is possible.
[0095] While the present disclosure has been described with reference to embodiments illustrated in the drawings, these embodiments are provided for illustrative purposes only and it will be understood by those of ordinary skill in the art that various changes and modifications are made therein. Therefore, the true scope of the present disclosure should by defined by the technical spirit of the appended claims.
INDUSTRIAL APPLICABILITY
[0096] The present disclosure relates to a brain deep stimulation apparatus based on the surface-enhanced Raman spectroscopy and can be used in the diagnostic and therapeutic apparatus industry.