Wide-field OCT Imaging Probe for Surgical Visualization

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Solution Overview

Problem

Current ophthalmic surgical imaging techniques, particularly for vitreo-retinal surgeries, face challenges in visualizing transparent vitreous and peripheral regions due to limited effectiveness of microscope-based and endoprobe-based optical coherence tomography (OCT) systems, which lack real-time intra-surgical wide-field of view capabilities and are not easily adaptable to different surgical microscopes.

Innovation Solution

A microscope-less surgical imaging system incorporating a light source, beam guidance, scanner, and wide-field of view (WFOV) lens to generate and redirect a scanned imaging light beam for real-time OCT imaging, allowing for non-invasive, wide-angle visualization without disrupting surgical workflow and enabling consumable product configurations.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If microscope-based OCT systems are used for intra-surgical imaging, then real-time visualization is achieved, but device complexity and capital expense increase substantially

Engineering Contradiction:
Improvereal-time visualization capabilityVSAvoidsystem complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The system separates the OCT imaging function from the surgical microscope, using a standalone handheld probe that can be positioned independently. This segmentation allows the complex OCT functionality to be isolated in a dedicated module while the microscope remains unchanged, reducing overall system integration complexity.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent introduces a beam combiner as an intermediary device that merges the OCT imaging beam path with the surgical microscope's optical path. This intermediary component enables both functions to operate simultaneously without requiring direct integration, simplifying the overall system architecture.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Reliability

If standard surgical microscopes are modified to integrate OCT capabilities, then real-time intra-surgical imaging is enabled, but adaptability to different microscope models decreases

Engineering Contradiction:
Improveintra-surgical imaging capabilityVSAvoidmicroscope compatibility
Core Design Contradiction:
ReliabilityVSAdaptability or versatility

Solution Approach 1:

The handheld OCT probe is designed as a universal device that can be used with any surgical microscope setup. The probe contains all necessary optical components and can be positioned to work with various microscope models without requiring microscope-specific modifications, thereby maintaining high adaptability across different surgical environments.

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

3Area of stationary object

If wide angle contact-based or non-contact lenses are used for peripheral visualization, then field of view is improved, but image quality and resolution deteriorate

Engineering Contradiction:
Improvefield of viewVSAvoidimage quality
Core Design Contradiction:
Area of stationary objectVSMeasurement precision

Solution Approach 1:

The system uses dynamic beam scanning within the handheld probe to achieve wide-field imaging. By rapidly scanning the imaging beam across the target area and synthesizing the data, the system achieves both wide field of view and high image quality without relying on static wide-angle lenses that compromise resolution.

Inventive Principle:
Principle #15Dynamics

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 provides real-time, intra-surgical wide-field OCT imaging with reduced complexity, capital expense, and improved lateral resolution, enabling wider scan angles and non-invasive imaging, while being compatible with surgical microscopes and capable of stabilizing OCT imaging with fewer motion artifacts.

Implementation Method 1

a light source, configured to generate an imaging light beam; a beam guidance system, configured to guide the imaging light beam from the light source

Methodology Applied
Scientific EffectLight propagation: Light

Implementation Method 2

a beam scanner, configured to receive the imaging light from the beam guidance system, and to generate a scanned imaging light beam

Methodology Applied
Scientific EffectLight scanning/beam deflection:

Implementation Method 3

a beam coupler, configured to redirect the scanned imaging light beam

Methodology Applied
Scientific EffectLight redirection/coupling:

Implementation Method 4

a wide field of view (WFOV) lens, configured to guide the redirected scanned imaging light beam into a target region of a procedure eye

Methodology Applied
Scientific EffectLight focusing/guiding: Lens

Implementation Method 5

OCT, a technique that enables visualization of the target tissue in depth by focusing a laser beam onto the target, collecting the reflected beam, interfering the reflected beam with a reference beam and detecting the interference

Methodology Applied
Scientific EffectOptical coherence tomography interference: Interference

Data Source

PatentEP3086706B1Wide-field-of-view surgical oct visualization system
Publication Date: 2021.03.24 ALCON INC
  • EP3086706B1 patent drawingFigure 1
  • EP3086706B1 patent drawingFigure 2
  • EP3086706B1 patent drawingFigure 3

AI summary

A surgical imaging system can comprise a light source, configured to generate an imaging light beam; a beam guidance system, configured to guide the imaging light beam from the light source; a beam scanner, configured to receive the imaging light from the beam guidance system, and to generate a scanned imaging light beam; a beam coupler, configured to redirect the scanned imaging light beam; and a wide field of view (WFOV) lens, configured to guide the redirected scanned imaging light beam into a target region of a procedure eye.