Lecture 3 Part 2 Flashcards

1
Q

List the blue light delivery options

A

Integrated within incubators
Free standing
Placement on the incubator
Blankets - bili blankets

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2
Q

What is blue light? And what is the blue light wavelength used for jaundice management?

A

It is a specific visible wavelength on the electromagnetic spectrum
450-490nm

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3
Q

What does irradiance mean?

A

Defined as power per unit area on a surface, given in W/m2

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4
Q

When is irradiance maximised? Explain

A

When the surface is perpendicular to the beam
The power of the light source and angle at which the light hits is important
The irradiance is maximised when the light is directly received by the surface
E (degree sign) = E x cos(degree sign)
Increasing the angle decreases the irradiance

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5
Q

Is it possible to deliver a uniform irradiance to a patient?

A

No, it’s usually more in the centre and the most as it is focused and then it disperses out

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6
Q

Explain the make up of a fluorescent lamp for blue light delivery

A

Sealed glass tube, inside which is a little mercury and an inert gas (usually argon) under low pressure
Inside surface of glass is coated with phosphor powder
An electrode at either end of the tube with a high potential difference

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7
Q

how does a fluorescent lamp actually work? Explain

A

When current is applied, electrons flow from negative to positive electrode
This energy changes the liquid mercury to a gaseous form
As the electrons collide with the gaseous mercury atoms, energy is transferred to the electrons of the mercury atoms, moving them to a higher energy shell
The electrons drop down to their previous level, losing energy as they do so in the form of UV light photons

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8
Q

For fluorescent lamps, explain exactly what happens in the energy shells for them to produce the UV light

A

Electrons orbit in distinct energy shells: 2, 8, 8
The closer the energy shell is to the nucleus, the tighter it is bound to the electron
The free electrons interact with the outer shell electrons of the gaseous mercury atoms
Electrons are given sufficient energy to promote higher energy orbit
Electrons instantaneously lose energy, returning to their former position and emitting light
The amount of light emitted is determined by the energy shell differences in mercury

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9
Q

Where is phosphor powder on the fluorescent lamp?

A

It is the coating on the inside of the glass tube

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10
Q

How does the phosphor powder impact the UV transmission from the fluorescent lamp? How does it create the visible light?

A

When the UV light strikes the coating, an outer energy shell of the powder is given energy, promoted to a higher energy shell and returns to its former position losing energy in the form of visible light
Light is emitted in all directions

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11
Q

What is the wavelength of visible light dependent on for the phosphor powder?

A

The energy difference between the orbital shells

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12
Q

How can visible light be tuned to the desired wavelength?

A

The right combination of phosphor materials result in this, so it can be made as desired to stay within the visible light range

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13
Q

What type of energy is lost as heat during visible light creation by the phosphor powder? And exactly is it?

A

Residual energy, this is the remaining energy that is left over in a system when a process has occurred

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14
Q

How is blue light produced? What is it made of?

A

LEDs
Semiconductor, which, under the right conditions, allows the flow of electron-hole pairs to produce visible light

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15
Q

Explain the process of LEDs

A

So you have p type and n type (positive and negative) in a semiconductor.
the p type is a side of excess holes (where electrons are missing which act like positively charged particles)
the n type is the side with an excess of electrons (negatively charged particles)
When a voltage is applied across the LED, the n type side moves towards the p type side and recombines with the holes
They release energy in the form of photons - light
The region where the electron-hole recombination occurs is called the depletion zone/junction, this is like an insulating layer

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16
Q

What is doping?

A

Process of adding small amounts of impurities to a semiconductor to alter its electrical properties
P type doping would be adding more holes
N type doping would be adding more electrons
Essentially creating more PN junctions

17
Q

What is the conductor material for LEDs?

A

Aluminium Gallium (AlGaAs)

18
Q

what happens in pure AIGaAs atoms bonds, in terms of the PN junction?

A

They bond perfectly, leaving no free electrons to conduct current

19
Q

What makes the AIGaAs material more conductive?

A

Doping
Pure AIGaAs bonding

20
Q

How does LEDs create light?

A

Free electrons have more energy than those that fall into the holes
These are bound to an atom in an outer energy shell
When this free electron falls into a hole, it loses energy in the form of light

21
Q

how can the wavelength of the light vary for an LED?

A

The energy difference between the free electron and the bound electron (in the hole)

22
Q

How can the desired wavelength for an LED be achieved?

A

By using the correct combination of materials

23
Q

How can the light emission from an LED be directional?

A

Is it focussed by the outer plastic casing of the LED

24
Q

List the advantages and disadvantages of fluorescent lamps

A

Advantages:
Been available for a long time - early blue light devices were all fluorescent lamps

Disadvantages:
Heat output
Multidirectional light output

25
Q

List the advantages and disadvantages of LEDs

A

Advantages:
Lower energy to run due to technology and directional light output
No (or very little) heat output
Much longer lifetime

Disadvantages:
Complex design and manufacture (blue light in particular)

26
Q

What is the advantage and disadvantage of Halogen lamps?

A

More efficient than fluorescent lamps, less so than LEDs

27
Q

What instrument is used to measure blue light?

A

Radiometer

28
Q

What is the issue with radiometers for measuring blue light?

A

It is calibrated for a specific light source, which means this could lead to errors and uncertainties when used for any other light source which a different spectral output from the calibration source

29
Q

What do manufacturers do for their radiometers?

A

Offer a proper range matched to their specific light source
Specific spectra

30
Q

When selecting a radiometer, what is important to consider?

A

Proper matching to the spectra output of the light source being measured

31
Q

The Control of Artificial Optical Radiation at Work Regulations 2010 was put in place to minimise the risks of exposure to artificial light sources, why is this necessary?
Why are control measures needed?
What should be done to minimise the risks?

A

Prolonged exposure to blue light can damage retinal cells, causing vision problems such as age related macular degeneration
Has also been linked with cataracts and eye cancer

Control measures are needed to ensure irradiance exposure to staff is as low as reasonably practicable (ALARP)

The variability in the manufacturer spectra means that is not possible to state that this application is harmless to staff

A risk assessment should be completed, protective eyewear may be indicated
An understanding of clinical practise is required

32
Q

What are the common faults for blue light delivery equipment? And what should be used to combat it?

A

Bulb failures - will affect efficacy of treatment, easily dealt with, all equipment to be visibly checked prior to clinical use, spares should be kept as part of good equipment management

Drop in power output - some equipment have multiple power output modes, may not always be obvious that there is an issue visually, a good equipment testing regime is important - correct radiometer, or genuine multi-system radiometer

Electrical/electronic faults - generally mean the system in non-functional (obvious)
Repair by in house medical physics (if trained) or sent away to the manufacturer or accredited 3rd party