Fluorescence Endoscopy for Off-Time Thermal Denaturation Detection
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Solution Overview
Problem
Existing surgical endoscopes lack effective methods to visualize thermal denaturation regions caused by cauterization, leading to potential underestimation of treatment effects due to the production of advanced glycation end-products (AGEs) that emit fluorescence.
Innovation Solution
A medical device and system that generates a fluorescence image based on excitation light to detect off-time generated fluorescent regions during the off-state of energy device output, utilizing a processor to determine and notify the presence of such regions.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Measurement precision
If fluorescence imaging is used to detect thermal denaturation regions, then measurement precision of treatment effects is improved, but device complexity increases due to additional excitation light source and imaging system
Solution Approach 1:
The patent combines the excitation light source, fluorescence imaging system, and energy device control into an integrated medical device system. The processor unit consolidates the functions of generating fluorescence images, analyzing thermal denaturation regions, and determining energy device output states, thereby reducing overall system complexity while maintaining detection precision.
Solution Approach 2:
The medical device system performs multiple functions: it serves as both an energy delivery device for cauterization and a diagnostic imaging device for detecting thermal denaturation regions. The same device structure supports both treatment and visualization functions, eliminating the need for separate independent systems.
2Reliability
If real-time fluorescence imaging is implemented to monitor thermal denaturation, then reliability of treatment assessment is improved, but use of energy increases due to continuous excitation light emission
Solution Approach 1:
Instead of continuous excitation light emission, the system uses periodic or intermittent imaging cycles. The processor determines the output state of the energy device and triggers fluorescence imaging at appropriate intervals to detect thermal denaturation regions, thereby reducing energy consumption while maintaining reliable treatment monitoring.
Solution Approach 2:
The system implements feedback control where the processor analyzes fluorescence images to determine thermal denaturation regions and uses this information to assess treatment effectiveness. This feedback mechanism allows the system to adjust imaging frequency and energy delivery based on real-time treatment status, optimizing energy usage.
3Loss of information
If the system detects off-time generated fluorescent regions, then loss of information about treatment effects is reduced, but difficulty of detecting and measuring increases due to timing synchronization requirements
Solution Approach 1:
The processor receives feedback signals from the energy device indicating its output state (on/off timing). This feedback is used to synchronize the fluorescence imaging and analysis process, allowing the system to identify and detect thermal denaturation regions that formed during off-periods of energy delivery by comparing timing information with fluorescence image data.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
Enables accurate visualization of thermal denaturation regions, enhancing the surgeon's ability to assess treatment effectiveness by detecting AGEs through fluorescence imaging, thereby improving surgical precision.
Implementation Method 1
Light of specific wavelengths causes these AGEs to emit fluorescence
Data Source
AI summary
A medical device includes: a processor including hardware, the processor being configured to generate a fluorescence image based on fluorescence generated by excitation light that excites a substance produced by cauterization using an energy device, determine, based on output information on the energy device and on the fluorescence image, an off-time generated fluorescent region that has been generated during an off-state of output of the energy device, and when it is determined to be the off-time generated fluorescent region, execute a notification process of notifying that a fluorescent region has been generated during the off-state of output of the energy device.


