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CONSTRUCTION Cornea Testing For Medical Application MUDIT AGARWAL EM TESTED EM TESTED TED EM TES RAJAT JAIN This is a small portable device for the objective measurement of the transparency of corneas stored in preservative medium, for use by eye banks in evaluation prior to transplantation. Methods The optical system consists of a white light, lenses, and pinholes that collimate the white light beams and illuminate the cornea in its preservative medium, and an optical filter (400-700 nm) that selects the range of the wavelength of interest. A sensor detects the light that passes through the cornea, and the average corneal transparency is Detector SelectiveFilter (400-700nm) Electronic Circuit Sample (Cornea) Iris L2 L1 White Light Fig. 1 : Optical System for Measurement of Transparency of the Preserved Cornea displayed. In order to obtain only the tissue transparency, an electronic circuit was built to detect a baseline input of the preservative medium prior to the measurement of corneal transparency. Introduction The cornea consists of three layers the epithelium, the stroma, and the endothelium. The epithelium acts as a mechanical protection. The stroma is responsible for 95 % of its thickness, and is composed of bundles of collagen fibers arranged in crossed layers. The regularity of the distribution of collagen fibers, the absence of blood vessels, and the low hydration of the tissue are responsible for its high transparency. Finally, the endothelium is the internal lining of the cornea, consisting of a single cell layer with no capacity for regeneration. It is particularly important in the active preservation of corneal dehydration. Scars, vascularization, and edema alter corneal transparency. When the vision is decreased significantly by one of these conditions, a corneal transplantation is generally indicated. The choice of the corneal tissue to be used considers the medical history and the blood analysis of the donor to avoid transmittable diseases, and also the morphological features of the three layers of the cornea to exclude any abnormality of the donated tissue. One of the obvious characteristics considered in the examination of the cornea is its overall transparency, which is usually subjectively analyzed with a slit lamp. In order to obtain an objective measurement of this parameter, we present here a device that provides the percentage of light transmitted by the cornea stored in preservative medium. The optical system for measuring the transparency of the preserved cornea is a relatively simple set up and is shown in fig.1. It provides the percentage of total corneal transparency, but does not determine which corneal layer is responsible for the loss of transparency. The system is very effective in objectively measuring the average transparency of the overall cornea. The optical system consists of a white light source (15 W, 6 V retinoscope lamp) that passes through a light collimating optical system comprised of two converging lenses (D = 25.4 mm, F = 50.0 mm, and F = 60.0 mm) and a 3.0 mm pin hole to limit the light passing through the central portion of the cornea (corneal button), a CONSTRUCTION slot for holding the cornea, a filter (D = 3pf 25.4 mm, F = 45.0 4 mm, Visible 1M Achromat, (400-700 8pf n m ) , a n d a 5 photodiode detector 7.5mv Vout The light passes + through the cornea OPT101 stored in preservative 3 medium and the 8 sensor detects the transmitted light. The Fig. 2 : Pin Diagram of OPT101 OPT101 is a monolithic photodiode with on-chip transimpedance amplifier. Pin Diagram of OPT101 is shown if fig.2. Output voltage increases linearly with light intensity. The integrated combination of photodiode and transimpedance amplifier on a single chip eliminates the problems commonly encountered in discrete designs, such as leakage current errors, noise pick-up, and gain peaking due to stray capacitance. The 0.23 × 0.23 mm photodiode is operated in the photoconductive mode for excellent linearity and low dark current. Output voltage increases linearly with light intensity. The amplifier is designed for single or dual power-supply operation, making it ideal for battery operated equipment. The integrated combination of photodiode and transimpedance amplifier on a single chip eliminates the problems commonly encountered in discrete designs such as leakage current errors, noise pick-up, and gain peaking due to stray capacitance. The 0.09 x 0.09 inch photodiode is operated in the photoconductive mode for excellent linearity and low dark current. The system is calibrated by adjusting an external knob such that 0 % transmittance corresponds to the absence of light and 100 % corresponds to transmittance through the preservative medium without the cornea. The variation of the light intensity that reaches the detector induces a change in current. This signal is sent to an analog-to-digital converter and then transmitted to a 4-1/2-digit display, which shows the percentage of light reaching the detector. For calibration of the system, the electronic circuit stores the 0 % and 100 % transmittances of the system determined as described above. The electronics of the prototype can be separated into three basic blocks: 1. Power supply: Consists of a 1 A transformer 2 V+ 1 (primary 110/220 V and secondary -12/+12 V). The positive output voltages supply the integrated circuits of the operational amplifier, the A/D circuit, and the OPT101 photodiode; the negative input voltages supply the A/D circuit and the operational amplifiers. The positive output is also a supply for the "7805" integrated circuit, which provides 5 V (stabilized) for obtaining constant brightness of the light. 2. Control and adjusts: This block is responsible for manipulating the OPT101 voltage output signal HA17741 Offset Null 1 Vin(-) 2 Vin(+) 3 VEE 4 8 NC - 7 VCC + 6 Vout 5 Offset Null Fig. 3 : Pin Diagram of HA17741 and transmitting the processed signal to the A/D converter in the visualization block. The electronic circuit uses HA17741 operational amplifiers, pin diagram is shown in fig.3. ICL 7135 ICL7135 precision A/D converter, with its multiplexed BCD output and digit drivers, combines dualslope conversion reliability with +1 in 20,000 count accuracy and is ideally suited for the visual display DVM/DPM market. The 2.0000V full scale capability, auto-zero, and autopolarity are combined with true ratiometric operation, almost ideal differential linearity and true differential input. All necessary active devices are contained on a single CMOS lC, with the exception of display drivers, reference, and a clock. The ICL7135 brings together an unprecedented combination of high accuracy, versatility, and true economy. It features auto-zero to less than 10µV, zero drift of less than 1µV/oC, input bias current of 10pA (Max), and rollover error of less than one count. The versatility of multiplexed BCD outputs is increased by the addition of several pins which allow it to operate in more sophisticated systems. CONSTRUCTION + 5V + Q6 Q5 Q4 Q3 Q2 + 5V + +1 13 16 12 11 10 9 15 14 6 2 9 9 9 9 8 IC5 1 7 5 R10 R11 Q1 R8 Q7 R9 28 27 26 25 24 23 22 21 20 19 18 17 16 15 8 9 10 12 14 IC4 - 5V 1 2 3 4 5 6 7 11 13 + + 5V + C2 R3 R12 + 5V C3 + + 5V D5 C4 R2 R7 R6 10K R13 IC8 R1 R4 C5 C1 8 2 + 5V + 1 R5 3 4 - R14 4 C6 7 3 + IC1 6 IC2 5 2 - 4 PR1 3 Transformer +5 V DC D2 D1 1 230V A.C. D3 D4 C7 C8 Ic6 2 + Fig. 7: Complete Circuit Diagram for Cornea Testing 7 IC3 1 8 + 3 C9 CONSTRUCTION V- 1 28 UNDERRANGE REFERENCE 2 27 OVERRANGE Analog Common 3 26 STROBE INT OUT 4 25 R/H AZ IN 5 24 DIGITAL GND 23 POL 22 CLOCK IN BUFF OUT 6 REF CAP- 7 REF CAP+ 8 21 BUSY IN LO 9 20 (LSD) D1 IN HI 10 19 D2 V+ 11 18 D3 (MSD) D5 12 17 D4 (LSB) B1 13 16 (MSB) B8 B2 14 15 B4 ICL7135 T h e s e i n c l u d e S T R O B E , OV E R R A N G E , UNDERRANGE, RUN/HOLD and BUSY lines, making it possible to interface the circuit to a microprocessor or UART. Pin diagram of ICL7135 is shown in fig. 4 and BCD to seven segment decoder 7447 is shown in fig.5. and LM311 is shown in fig. 6. Complete Circuit Diagram is shown in fig 7. Max Clock Frequency The maximum conversion rate of most dual-slope 1 16 VCC A2 2 15 f LT 3 14 BI/RBO 4 RBI 5 12 A3 6 11 A0 7 10 GND 8 9 Fig. 5: Pin Diagram of 7447 7447 13 Ground 1 8 V+ Vin(+) 2 + 7 Output Vin(-) 3 - 6 Balance Strobe V- 4 5 Balance Fig. 6: Pin Diagram of LM311 Fig. 4 : Pin Diagram of ICL 7135 A1 LM311 g a b c d e A/D converters is limited by the frequency response of the comparator. The comparator in this circuit follows the integrator ramp with a 3µs delay, and at a clock frequency of 160kHz (6µs period) half of the first reference integrate clock period is lost in delay. This means that the meter reading will change from 0 to 1 with a 50µV input, 1 to 2 with a 150µV input, 2 to 3 with a 250µV input, etc. This transition at midpoint is considered desirable by most users however, if the clock frequency is increased appreciably above 160kHz, the instrument will flash "1" on noise peaks even when the input is shorted. For many dedicated applications where the input signal is always of one polarity, the delay of the comparator need not be a limitation. Since the non-linearity and noise do not increase substantially with frequency, clock rates of up to app. 1MHz may be used. For a fixed clock frequency, the extra count or counts caused by comparator delay will be constant and can be subtracted out digitally. The clock frequency may be extended above 160kHz without this error, however, by using a low value resistor in series with the integrating capacitor. The effect of the resistor is to introduce a small pedestal voltage on to the integrator output at the beginning of the reference integrate phase. By careful selection of the ratio between this resistor and the integrating resistor (a few tens of ohms in the recommended circuit), the comparator delay can be compensated and the maximum clock frequency extended by approximately a factor of 3. At higher frequencies, ringing and second order breaks will cause significant nonlinearities in the first few counts of the instrument. The minimum clock frequency is established by leakage on the auto-zero and reference caps. With most devices, measurement cycles as long as 10s give no measurable leakage error. To be continued in the next issue...