Abstract:
An optical fiber having a reduced cross sectional region adjacent its distal end, which is fused to an optical component, is vibrated, rotating the optical component to scan a region. The optical component has a back focal point substantially coincident with an effective light source of the optical fiber, so the light emanating from the optical component is either substantially collimated or convergent. The optical component is either a ball lens, a drum lens, a graded index lens, or a diffractive optical element. A vibratory node is also made substantially coincident with the back focal point of the optical component, producing a compact scanner with extensive field of view. The optical fiber is preferably reduced in cross sectional area after the optical component is fused to the optical fiber, by immersion in a three layer etch apparatus having an etch stop layer, an etch layer, and a solvent layer.
Abstract:
An integrated endoscopic image acquisition and therapeutic delivery system (50) for use in minimally invasive medical procedures (MIMPs). The system uses directed and scanned optical illumination provided by a scanning optical electromechnical actuator included at a distal end of an integrated imaging and diagnostic/therapeuric instrument. The directed illumination provides high resolution imaging, at a wide field of view (FOV), and in full color that matches or excels the images produced by conventional flexible endoscopes. When using scanned optical illumination, the size and number of the photon detectors do not limit the resolution and number of pixels of the resulting image. Additional features include enhancement of topographical features, stereoscopic viewing, and accurate measurement of feature sizes of a region of interest in a patient's body that facilitate providing diagnosis, monitoring, and/or therapy with the instrument.
Abstract:
An optical fiber scanner is used for multiphoton excitation imaging, optical coherence tomography, or for confocal imaging in which transverse scans are carried out at a plurality of successively different depths within tissue. The optical fiber scanner is implemented as a scanning endoscope using a cantilevered optical fiber that is driven into resonance or near resonance by an actuator. The actuator is energized with drive signals that cause the optical fiber to scan in a desired pattern at successively different depths as the depth of the focal point is changed. Various techniques can be employed for depth focus tracking at a rate that is much slower than the transverse scanning carried out by the vibrating optical fiber. The optical fiber scanner can be used for confocal imaging, multiphoton fluorescence imaging, nonlinear harmonic generation imaging, or in an OCT system that includes a phase or frequency modulator and delay line.
Abstract:
Capsule is coupled to a tether that is manipulated to position the capsule and a scanner included within the capsule at desired location within a lumen in a patient's body. Images produced by scanner can be used to detect Barrett's Esophagus (BE) and early (asymptomatic) esophageal cancer after capsule is swallowed and positioned with the tether to enable the scanner in the capsule to scan a region of the esophagus above the stomach to detect a characteristic dark pink color indicative of BE. The scanner moves in a desired pattern to illuminate a portion of the inner surface. Light from the inner surface is then received by detectors in the capsule, or conveyed externally through a waveguide to external detectors. Electrical signals are applied to energize an actuator that moves the scanner. The capsule can also be used for diagnostic and/or therapeutic purposes in other lumens.
Abstract:
A multi-cladding optical fiber includes a core that conveys visible light used by a scanner for imaging a site within a patient's body, and an inner cladding that conveys high-power light, such as infrared light, used for providing therapy to site. The distal end of multi-cladding optical fiber is driven to scan the site when imaging or rendering therapy using an actuator. High-power light is coupled into inner cladding at proximal end of optical fiber using several different techniques. Some techniques use an axicon to direct the high-power light into the inner cladding, while visible light is coupled directly into the core. Another technique uses a multimode optical fiber in a coupling relationship with the multi-cladding optical fiber, to transfer high-power light from a core of the multimode fiber into the inner cladding of the multi-cladding optical fiber.
Abstract:
Independent visual background (IVB) display provides visual reference of perceptions of person's vestibular system, reducing/eliminating motion sickness occuring from mismatch between visual perception of motion/non-motion and sensations of vestibular system. If user, wearing head-mounted display, is moving or in moving environment, motion tracking system or motion sensors produce signals indicative of motion of environment and/or person. Signals are processed using vestibular model, producing modified signal corresponding to perception of motion by user's vestibular system. Using modified signal, the IVB is displayed to user, providing visual reference of perception of the vestibular system. If user is in a fixed environment and watching a moveable/moving display, the IVB can be included on the image or in peripheral area around display. Perceptibility of the IVB can be adjusted to minimize distracting impact on visual task, while ensuring sufficient perceptibility to avoid motion sickness.
Abstract:
An integrated endoscopic image acquisition and therapeutic delivery system (50) for use in minimally invasive medical procedures (MIMPs). The system uses directed and scanned optical illumination provided by a scanning optical electromechnical actuator included at a distal end of an integrated imaging and diagnostic/therapeuric instrument. The directed illumination provides high resolution imaging, at a wide field of view (FOV), and in full color that matches or excels the images produced by conventional flexible endoscopes. When using scanned optical illumination, the size and number of the photon detectors do not limit the resolution and number of pixels of the resulting image. Additional features include enhancement of topographical features, stereoscopic viewing, and accurate measurement of feature sizes of a region of interest in a patient's body that facilitate providing diagnosis, monitoring, and/or therapy with the instrument.
Abstract:
Capsule (20) is coupled to a tether (22) that is manipulated to position the capsule and a scanner (26) included within the capsule at desired location within a lumen in a patient's body. Images produced by scanner can be used to detect Barrett's Esophagus (BE) and early (asymptomatic) esophageal cancer after capsule is swallowed and positioned with the tether to enable the scanner in the capsule to scan a region of the esophagus above the stomach to detect a characteristic dark pink color indicative of BE. The scanner moves in a desired pattern to illuminate a portion of the inner surface. Light from the inner surface is then received by detectors in the capsule, or conveyed externally through a waveguide to external detectors. Electrical signals are applied to energize an actuator (28) that moves the scanner. The capsule can also be used for diagnostic and/or therapeutic purposes in other lumens.
Abstract:
Visual assisted guidance of an ultra thin flexible endoscope (24) to a predetermined region of interest within a lung during a bronchoscopy procedure. The region may be an opacity identified by non invasive imaging methods, such as high resolution computed tomography (HRCT) or as a malignant lung mass that was diagnosed in a previous examination. An embedded position sensor (84) on the flexible endoscope (24) indicates the position of the distal tip of the probe in a Cartesian coordinate system during the procedure. A visual display (62) is continually updated, showing the present position and orientation of the marker in a 3-D graphical airway model generated from image reconstruction. The visual display (62) also includes windows depicting a virtual fly through perspective and real time video images acquired at the head of the endoscope, which can be stored as data, with an audio or textual account.
Abstract:
An apparatus and method for providing image acquisition and/or image display in a limited region of interest (ROI). The apparatus comprises a micro electromechanical system (MEMS), preferably integrating a light source, a cantilever, a lens, an actuator, a light detector, and a position sensor. The light source provides light for illuminating the ROI, displaying an image, providing a therapy, and/or performing other functions. The cantilever comprises a resin waveguide with a fixed end attached to a substrate that supports many or all other components. A free end of the cantilever is released from the substrate during fabrication and includes the lens. The actuator scans the free end in orthogonal directions to illuminate the ROI or display an image. The position sensors detect the position of the free end for control. The light detector receives light backscattered from the ROI separate from, or at the fixed end the cantilever.