Integrated Peroperative Probe for Tumor Localization and Excision

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Solution Overview

Problem

Current surgical techniques for treating cancerous tumors lack precision and efficiency, particularly in locating and excising small tumors and their metastases, due to limitations in preoperative imaging, tissue sampling, and existing peroperative imaging systems that do not allow simultaneous detection and excision.

Innovation Solution

A peroperative probe is developed that integrates a detection head with an excision tool, enabling real-time detection and ablation of tumors using fluorescent molecules and radioactive tracers, and can be coupled with neuronavigation systems for precise tumor localization.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If separate detection and excision tools are used sequentially, then the surgeon can locate and treat tumors, but correlation errors occur between detected and actual tumor positions reducing precision

Engineering Contradiction:
Improvetumor location precisionVSAvoidexcision accuracy
Core Design Contradiction:
Measurement precisionVSReliability

Solution Approach 1:

The patent combines the detection head and excision tool into a single integrated probe. The detection head with optical fibers for detecting fluorescent molecules and radioactive tracers is merged with the excision tool (ultrasound aspiration device or electric lancet), allowing simultaneous detection and treatment at the same location, thereby eliminating correlation errors between separate tools.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The integrated probe acts as an intermediary that bridges detection and excision functions. By incorporating both detection optical fibers and excision capabilities in one tool, it mediates between the need for precise tumor localization and accurate excision, ensuring that the detected tumor position directly corresponds to the treatment location.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Adaptability or versatility

If multiple separate instruments are used for detection and excision, then comprehensive tumor treatment is achieved, but device complexity and surgical time increase

Engineering Contradiction:
Improvetreatment capabilityVSAvoidnumber of instruments
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The integrated probe performs multiple functions within a single device. It can detect fluorescent molecules, detect radioactive tracers, and perform excision (ultrasound aspiration or electric lancet), making it a universal tool that replaces multiple separate instruments while maintaining comprehensive tumor treatment capability.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Solution Approach 2:

The patent merges detection functions (optical fibers for fluorescent and radioactive detection) with excision functions (ultrasound aspiration or electric lancet) into one integrated probe, reducing the number of separate instruments from two or more to a single multi-functional device.

Inventive Principle:
Principle #5Merging (Combining)

3Reliability

If tissue samples are analyzed extemporaneously during surgery, then reliable anatomopathological diagnosis is obtained, but surgical procedure time significantly increases

Engineering Contradiction:
Improvediagnosis accuracyVSAvoidsurgical procedure time
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The patent replaces the mechanical/chemical process of extemporaneous tissue sampling and pathological analysis with a real-time optical and radioactive detection system. Fluorescent molecules and radioactive tracers provide immediate visual feedback during surgery, substituting the time-consuming laboratory analysis process with instantaneous detection.

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

Solution Approach 2:

Fluorescent molecules and radioactive tracers are administered to the patient before surgery (preliminary action), allowing them to accumulate in tumor tissues beforehand. This pre-positioning of detection markers enables real-time identification during surgery without needing to wait for post-sampling analysis.

Inventive Principle:
Principle #10Preliminary action

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

This integrated system allows for more precise and rapid tumor excision by eliminating correlation errors between detected and actual tumor positions, enhancing specificity and reducing the need for multiple instruments, thereby improving surgical outcomes.

Implementation Method 1

measuring a signal emitted by fluorescent molecules in a tissue area, in response to a light excitation signal

Methodology Applied
Scientific EffectFluorescence: Fluorescence

Implementation Method 2

The signals are particles or radiation emitted by radioactive tracers or fluorescent molecules present in the tissue

Methodology Applied
Scientific EffectRadioactive decay: Radioactive Decay

Data Source

PatentEP3236836B1Peroperative sensing head adapted to be coupled to an ablation tool
Publication Date: 2019.07.03 CENT NAT DE LA RECH SCI (C N R S)
  • EP3236836B1 patent drawingFigure 1
  • EP3236836B1 patent drawingFigure 2~4
  • EP3236836B1 patent drawingFigure 5A~5B

AI summary

The invention relates to a peroperative probe for guiding a manual excision tool, comprising: a detection head, a least one optical fibre for the reception and guidance of a signal emitted by at least of radioactive tracers and fluorescent molecules in a tissue area, at least one photo-detector for converting the signal guided by the optical fibre into an electrical signal, a transmitter for transmitting information carried by the electrical signal to an analysis equipment, and a fastener for attaching the probe onto the manual excision tool, so that the excision tool is then adapted for removing a portion of tissue from the tissue area emitting the signal.