Optical Tissue Differentiation System for Parathyroid Identification

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Solution Overview

Problem

Current surgical methods for differentiating between parathyroid and thyroid tissues during surgeries are subjective, time-consuming, and prone to complications due to the small size and variability in location of parathyroid glands, leading to accidental removal or damage during thyroid and parathyroid surgeries.

Innovation Solution

A system utilizing near-infrared auto-fluorescence and laser speckle contrast imaging to differentiate between parathyroid and thyroid tissues by collecting and analyzing optical signals, providing real-time intraoperative differentiation and reducing surgical time and complications.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If visual inspection and subjective surgical methods are used to differentiate parathyroid and thyroid tissues, then the surgical procedure is simple and quick to perform, but the differentiation accuracy is low and accidental removal or damage occurs frequently

Engineering Contradiction:
Improvetissue differentiation accuracyVSAvoidsurgical system complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent introduces an optical imaging system as an intermediary tool between the surgeon and the tissue. The system uses near-infrared light sources and detectors to capture optical signals from the tissue, providing objective differentiation data that assists the surgeon without requiring the surgeon to directly interpret complex tissue characteristics

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The patent replaces subjective visual inspection and manual surgical judgment with an optical detection system. The mechanical/visual process of tissue identification is substituted with an optical field-based detection method that measures optical signal intensities and patterns to objectively differentiate tissue types

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Reliability

If extensive surgical exploration is performed to locate and differentiate parathyroid glands, then the risk of missing or damaging glands decreases, but the surgical time increases significantly

Engineering Contradiction:
Improveparathyroid identification reliabilityVSAvoidsurgical time
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The patent applies preliminary action by performing optical imaging and tissue differentiation before the surgeon begins extensive exploration. The system pre-identifies and marks the locations of parathyroid glands using optical signal analysis, allowing the surgeon to proceed with confidence and reduced exploration time

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent implements real-time feedback during surgery through continuous optical monitoring. The system provides ongoing differentiation information that guides surgical actions, allowing dynamic adjustment of the surgical approach based on real-time tissue identification rather than relying on pre-planned extensive exploration

Inventive Principle:
Principle #23Feedback

3Ease of operation

If subjective surgical judgment is used for tissue differentiation, then the surgical equipment and procedures remain simple, but the objectivity and consistency of differentiation are poor leading to complications

Engineering Contradiction:
Improvesurgical procedure simplicityVSAvoiddifferentiation objectivity
Core Design Contradiction:
Ease of operationVSReliability

Solution Approach 1:

The optical imaging system serves as an objective intermediary that removes subjectivity from tissue differentiation. The system measures physical optical properties (signal intensities, spectral characteristics) that are independent of surgeon experience or judgment, providing consistent and reproducible differentiation results

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The patent replaces the mechanical process of visual inspection and tactile assessment with an optical measurement system. This substitution transforms subjective surgical judgment into objective optical data analysis, maintaining ease of surgical operation while dramatically improving differentiation objectivity and consistency

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

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

The system enables accurate and efficient identification of parathyroid glands during surgeries, reducing the risk of accidental removal or damage, and minimizing post-operative complications such as hypoparathyroidism by providing a reliable and objective method for tissue differentiation.

Implementation Method 1

A system utilizing near-infrared auto-fluorescence and laser speckle contrast imaging to differentiate between parathyroid and thyroid tissues by collecting and analyzing optical signals

Methodology Applied
Scientific EffectNear-infrared auto-fluorescence: Fluorescence

Implementation Method 2

a collection device for collecting optical signals emitted from the tissue responsive to the beam of light

Methodology Applied
Scientific EffectOptical signal emission: Fluorescence

Data Source

PatentUS20240041388A1System for facilitating differentiation between parathyroid tissue and thyroid tissue and applications of same
Publication Date: 2024.02.08 VANDERBILT UNIV
  • US20240041388A1 patent drawing
  • US20240041388A1 patent drawing
  • US20240041388A1 patent drawing

AI summary

A system facilitating differentiation between parathyroid tissue and thyroid tissue of a subject comprises a light source for illuminating tissue in a target region in the neck area of the subject; a light delivery device that is optically coupled with the light source for delivering a beam of light from the light source to the tissue; a collection device for collecting optical signals emitted from the tissue responsive to the beam of light; and a detector for detecting the intensities of the optical signals emitted from the tissue, wherein differences in the detected intensities enable a user to differentiate between parathyroid tissue and thyroid tissue.