Apparatus for the treatment of refractive error using active stimulation
US-12085786-B2 · Sep 10, 2024 · US
US11534622B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-11534622-B2 |
| Application number | US-201515504917-A |
| Country | US |
| Kind code | B2 |
| Filing date | Aug 17, 2015 |
| Priority date | Aug 18, 2014 |
| Publication date | Dec 27, 2022 |
| Grant date | Dec 27, 2022 |
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Products, compositions, systems, and methods for modifying a target structure which mediates or is associated with a biological activity, including treatment of conditions, disorders, or diseases mediated by or associated with a target structure, such as a virus, cell, subcellular structure or extracellular structure. The methods may be performed in situ in a non-invasive manner by application of an initiation energy to a subject thus producing an effect on or change to the target structure directly or via a modulation agent. The methods may further be performed by application of an initiation energy to a subject in situ to activate a pharmaceutical agent directly or via an energy modulation agent, optionally in the presence of one or more plasmonics active agents, thus producing an effect on or change to the target structure. Kits containing products or compositions formulated or configured and systems for use in practicing these methods.
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The invention claimed is: 1. A method for effecting a predetermined change in biological activity to a target structure, comprising: providing within close proximity to or within the target structure one or more light emitters, each capable of emitting at least two different wavelengths of light, each wavelength of light associated with a different biological response, wherein the one or more light emitters comprise at least one energy modulation agent which adsorbs, intensifies or modifies an applied initiation energy into an energy that effects the predetermined change in said target structure; applying the initiation energy from at least one source to the target structure, activating plural biological responses in the target structure depending on the different wavelengths of light provided internally within the target structure by the one or more light emitters, wherein the different wavelengths activate different biological responses simultaneously. 2. The method of claim 1 , wherein activating plural biological responses comprises activating a first biological response with a first wavelength of light and a second biological response with a second wavelength of light. 3. The method of claim 2 , wherein activating the first biological response comprises activating psoralen. 4. The method of claim 3 , wherein activating the second biological response comprises generating a reactive oxygen species. 5. The method of claim 2 , wherein activating the first biological response comprises at least one of photoactivating a drug, sterilizing the target structure, photoactivating psoralen, generating a reactive oxygen species, inducing an autoimmune response, exciting a DNA strand of a cancer cell, redirecting a metabolic pathway, up-regulating genes, down-regulating genes, secreting cytokines, altering cytokine receptor responses, releasing metabolites, or combinations thereof. 6. The method of claim 2 , wherein activating the second biological response comprises at least one of photoactivating a drug, sterilizing the target structure, photoactivating psoralen, generating a reactive oxygen species, inducing an autoimmune response, exciting a DNA strand of a cancer cell, redirecting a metabolic pathway, up-regulating genes, down-regulating genes, secreting cytokines, altering cytokine receptor responses, releasing metabolites, or combinations thereof. 7. The method of claim 2 , wherein activating the first biological response comprises bonding a pharmaceutical agent to a cellular structure. 8. The method of claim 7 , wherein the bonding comprises bonding the pharmaceutical agent to at least one of nuclear DNA, mRNA, rRNA, ribosome, or mitochondrial DNA. 9. The method of claim 2 , wherein at least one of said activating the first biological response and said activating the second biological response comprises altering a cellular response or a metabolic rate of the target structure. 10. The method of claim 2 , wherein activating the first biological response comprises emitting ultraviolet light to act as a germicide, and wherein activating the second biological response comprises emitting near infrared light to act as an anti-inflammatory. 11. The method of claim 2 , wherein activating the first biological response comprises emitting ultraviolet light to act as a germicide, and wherein activating the second biological response comprises emitting near infrared light to promote cellular proliferation. 12. The method of claim 2 , wherein activating the first biological response comprises emitting ultraviolet light to act as a germicide, and wherein activating the second biological response comprises emitting near infrared light to reduce pain. 13. The method of claim 2 , wherein activating the first biological response comprises photoactivating a pharmaceutical agent, and wherein activating the second biological response comprises heating a local area of the target structure. 14. The method of claim 1 , wherein the predetermined change modifies the target structure or modulates the biological activity of the target structure. 15. The method of claim 1 , further comprising contacting the target structure with at least one activatable pharmaceutical agent (PA) that is capable of effecting said predetermined change in the target structure when activated by one or more of the different wavelengths of light provided internally within the target structure. 16. The method of claim 1 , wherein said at least one energy modulation agent comprises at least one of a biocompatible fluorescing metal nanoparticle, fluorescing metal oxide nanoparticle, fluorescing metal coated metal oxide nanoparticle, fluorescing dye molecule, gold nanoparticle, silver nanoparticle, gold-coated silver nanoparticle, a water soluble quantum dot encapsulated by polyamidoamine dendrimers, a luciferase, a biocompatible phosphorescent molecule, a combined electromagnetic energy harvester molecule, and a lanthanide chelate exhibiting intense luminescence. 17. The method of claim 1 , wherein said at least one energy modulation agent decreases a wavelength of the initiation energy. 18. The method of claim 17 , wherein said at least one energy modulation agent comprises inorganic materials selected from the group consisting of: metal oxides; metal sulfides; doped metal oxides; and mixed metal chalcogenides. 19. The method of claim 17 , wherein said at least one energy modulation agent comprises at least one member selected from the group consisting of Y 2 O 3 , Y 2 O 2 S, NaYF 4 , NaYbF 4 , YAG, YAP, Nd 2 O 3 , LaF 3 , LaCl 3 , La 2 O 3 , TiO 2 , LuPO 4 , YVO 4 , YbF 3 , YF 3 , Na-doped YbF 3 , ZnS; ZnSe; MgS; CaS, and alkali lead silicate compositions which contain one or more of SiO 2 , B 2 O 3 , Na 2 O, K 2 O, PbO, MgO, or Ag. 20. The method of claim 17 , wherein said at least one energy modulation agent comprises at least one of ZnSeS:Cu, Ag, Ce, Tb; CaS: Ce, Sm; La 2 O 2 S:Tb; Y 2 O 2 S:Tb; Gd 2 O 2 S:Pr, Ce, F; LaPO 4 . 21. The method of claim 17 , wherein said at least one energy modulation agent comprises at least one of ZnS:Ag, ZnS:Cu, Pb, and alloys of the ZnSeS. 22. The method of claim 17 , wherein said at least one energy modulation agent comprises at least one of sodium yttrium fluoride (NaYF 4 ), lanthanum fluoride (LaF 3 ), lanthanum oxysulfide (La 2 O 2 S), yttrium oxysulfide (Y 2 O 2 S), yttrium fluoride (YF 3 ), yttrium gallate, yttrium aluminum garnet (YAG), gadolinium fluoride (GdF 3 ), barium yttrium fluoride (BaYF 5 , BaY 2 F 8 ), gadolinium oxysulfide (Gd 2 O 2 S), calcium tungstate (CaWO 4 ), yttrium oxide:terbium (Yt 2 O 3 Tb), gadolinium oxysulphide:europium (Gd 2 O 2 S:Eu), lanthanum oxysulphide:europium (La 2 O 2 S:Eu), and gadolinium oxysulphide:promethium, cerium, fluorine (Gd 2 O 2 S:Pr,Ce,F), YPO 4 :Nd, LaPO 4 :Pr, (Ca,Mg)SO 4 :Pb, YBO 3 :Pr, Y 2 SiO 5 :Pr, Y 2 Si 2 O 7 :Pr, SrLi 2 SiO 4 :Pr,Na, and CaLi 2 SiO 4 :Pr. 23. The method of claim 17 , wherein said at least one energy modulation agent comprises at least one of KSrPO 4 :Eu 2+ , Pr 3+ , NaGdF 4 :Eu, Zn 2 SiO 4 :Tb 3+ , Yb 3+ , β-NaGdF 4 co-doped with Ce 3+ and Tb 3+ ions, and Gd 2 O 2 S:Tm or BaYF 5 :Eu 3+ . 24. The method of claim 1 , wherein said at least one energy modulation agent increases a wavelength of the initiation energy. 25. The method of claim 24 , wherein said at least one energy modulation agent at least one of Y 2 O 3 , Y 2 O 2 S, NaYF 4 , NaYbF 4 , YAG, YAP, Nd 2 O 3 , LaF 3 ,
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