Abstract: A method and apparatus are provided for Raman imaging of carotenoids and related chemical substances in biological tissue, such as macular pigments. The method and apparatus utilize the technique of resonance Raman spectroscopy to produce an image of the levels of carotenoids and similar substances in tissue. In this technique, light is directed upon the area of tissue which is of interest such as the retina of an eye. A small fraction of the scattered light is scattered inelastically, producing a carotenoid Raman signal which is at a different frequency than the incident light. The Raman signal is collected, filtered, and analyzed to determine the spatial position and intensity of the Raman signals in the inelastically scattered light. An image of the Raman signals is then produced on an output device, with the image representing the spatial distribution and concentration level of carotenoids in the tissue.

Abstract: A miniature ingestible imaging capsule having a membrane defining an internal cavity and being provided with a window is provided. A lens is disposed in relation to said window and a light source disposed in relation to the lens for providing illumination to outside of the membrane through the window. An imaging array is disposed in relation to the lens, wherein images from the lens impinge on the imaging array. A transmitter is disposed in relation to the imaging array for transmitting a signal from the imaging array to an associated transmitter outside of the membrane. The lens, light source imaging array, and transmitter are enclosed within the internal cavity of the capsule.

Abstract: A hybrid lidar-radar system for detecting the presence of objects, such as cancerous tumors, within tissues by detecting reflected signals from the tissue and discriminating the information related to the cancerous tumor from the undesirable backscattering of light created by the tissue itself. The hybrid lidar-radar system utilizes continuous wave light that is preferably modulated at frequencies up to 60 GHz. The present invention filters the return signals from the tissue at a subcarrier modulation frequency so as to reject erroneous information contained in scattered lights, while at the same time retaining the coherent, unscattered and modulated light information so as to provide for an accuracy detection of tumors within tissues.

Abstract: A displacement difference dosimetry method is provided for use with in-vivo scintillating fiber radiation detectors. A scintillating fiber includes an insertion end which is incrementally inserted into a human body using a catheter or hypodermic needle to provide a fixed (but not necessarily known) insertion path. A photomultiplier tube is coupled to the other end of the scintillating fiber and detects both scintillation light and any Cerenkov light for each position of the scintillating fiber insertion end along the fixed insertion path. The change in the amount of light detected by the photomultiplier tube divided by the corresponding amount of change in position of the scintillating fiber insertion end gives a measure of the dose rate at the scintillation fiber tip which is substantially free from the effects of Cerenkov light.

Abstract: The invention provides a device and method for monitoring inflammation of the epithelium. The device consists of a head region, a handle region and an optical bundle. At least two of the optical fibers in the bundle are utilized as a source of radiation, these two fibers are at two different angles from normal. At least one of the other optical fibers is utilized as a detector for the reflected radiation, or alternatively an image guide can be used as the detector. The device of the invention can be part of an external or internal system that can include a light source, the device, a multiplexer, a spectrometer, and a computer for data analysis. The method of the invention allows for the detection and monitoring of general inflammation of the oral epithelium. The inflammation of the epithelium can be detected or monitored to diagnose diseases of the oral epithelium, monitor such diseases, monitor treatment of such diseases, or pre-screen for and monitor preventative treatments of such diseases.

Abstract: An integrated endoscopic image acquisition and therapeutic delivery system for use in minimally invasive medical procedures (MIMPs). The system uses directed and scanned optical illumination provided by a scanning optical fiber or light waveguide that is driven by a piezoelectric or other electromechanical actuator included at a distal end of an integrated imaging and diagnostic/therapeutic 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: Guidance systems for guiding a catheter through tissue within a body are described. In one form, the system is implemented in connection with a catheter which includes a catheter body having a optic fibers extending between a first end and a second end thereof. The guidance system is coupled to the catheter body and includes a first optic fiber, a second optic fiber, and a detecting element. The first optic fiber includes a first end and a second end, and is coupled to the catheter body so that the first optic fiber second end is adjacent the catheter second end. The second optic fiber also includes a first end and a second end, and a reference mirror is positioned adjacent the second optic fiber second end. The first optic fiber first end is communicatively coupled to the detecting element and the second optic fiber first end is communicatively coupled to the detecting element.

Abstract: In a method for in vivo diagnostics of a biological tissue covered with epithelium an image of the biological tissue is acquired with the aid of a beam in the visible or near IR range directed towards a biological tissue by visualizing the intensity of optical radiation backscattered by the biological tissue. The basal membrane of said biological tissue, which separates the epithelium from an underlying stroma, is identified in the acquired image and diagnostics is performed on basis of the form of the basal membrane. For diagnostics of biological tissue lining the surface of cavities and internal organs of a patient a miniature optical fiber probe is inserted into the patient's cavity. The probe may be placed at a distal end of an endoscope instrumental channel.

Abstract: Systems, methods and apparatus for acquiring an image from within a body lumen are provided. Systems embodying features of the invention include an intracorporeal imaging component for acquiring imaging information, an image information recording component, and an image information playback component. Methods for acquiring image information from within a body lumen include steps of acquiring imaging information, storing image information, and playing back imaging information. Imaging information may be played back as acquired, or non-sequentially, or composite images may be formed by combining, filtering, enhancing, or subtracting images and the composite images displayed. Devices embodying features of the invention include optical imaging components such as an optical IGW, an optical imaging recording component, and an optical image playback component. The systems, methods and devices are suitable for use with angiopoplasty, stent delivery, and other intracorporeal clinical procedures.

Abstract: Endoscopes are well known devices used for examining surfaces contained within an enclosed cavity. Typical applications for these devices are the examination of tissues within human body cavities or mechanical components contained within engine compartments. An endoscopic apparatus for measuring blood flow contained within an enclosed body cavity is claimed.

Abstract: A probe, which includes a plurality of first optical fibers and a plurality of second optical fibers that are tied as a composite bundle at a distal end side with forming a center channel through which a treatment instrument can be drawn. The first optical fibers are tied as a first branch bundle at a proximal end side and the second optical fibers are tied as a second branch bundle that is separated form the first branch bundle at the proximal end side. With this construction, a treatment instrument is available even if the probe is drawn through a forceps channel of an endoscope because the treatment instrument can be drawn through the center channel formed in the composite bundle.

Abstract: A system for enhancing visibility in the epidural space is provided that improves visibility in the epidural space of a patient for more effectively conducting therapeutic surgery therein. The method includes the steps of distending a portion of the epidural space of a patient by filling the portion of the epidural space with a fluid supplied from a catheter and positioning a portion of an optical scope in the distended portion of the epidural space by inserting the optical scope through the same catheter that supplies the distending fluid to thereby provide a visual image of the epidural space.

Abstract: A lumen wall of a blood vessel, such as a coronary artery, is imaged by inserting a catheter into the vessel and emitting near-IR radiation toward the lumen wall through a side window formed in the catheter. Blood flowing through the vessel is caused to react with a fin arrangement formed on a body of the catheter to displace the window toward a region of the lumen wall opposing the window in order to minimize the amount of blood that is interposed between the window and the lumen wall. Thus, the amount of radiation that is scattered or absorbed by the blood is minimized.

Abstract: The present invention utilizes a plurality of spectroscopic systems and methods to measure characteristics of tissue useful in the diagnosis of disease. In a preferred embodiment, a combination of fluorescence, reflectance and light scattered spectra can be measured and processed to provide biochemical, architectural and morphological state of tissue. The methods and systems can be used particularly in the early detection of carcinoma within tissue in vivo and in vitro.

Abstract: A method for imaging an object is disclosed. The method may include transmitting light in a predetermined wavelength range through an optical transmitter to a prism, applying an electromagnetic field to the prism, and passing said light through the prism. The prism may be configured to have an index of refraction that varies with changes in the applied electromagnetic field and that remains substantially constant with changes in wavelength of light over the predetermined wavelength range such that said light exiting from said prism deflects at a substantially controlled angle.

Abstract: A system for identifying vulnerable plaque includes a catheter having a collection fiber and a delivery fiber extending therethrough. The catheter is engaged to a distal face of a housing configured to spin about an axis. The proximal face of the housing has a central aperture. First and second optical relays extend respectively between the central aperture and a central port on the distal face and between a detector and an eccentric port on the distal face. The central and eccentric ports are in optical communication with the delivery and collection fibers respectively.

Abstract: Optical probes having a diameter less than substantially 500 ?m for use in scanning light from a long, highly flexible fiber to a sample. In one embodiment the probe includes a viscous damping fluid suitable to prevent non-uniform rotational distortion (NURD).

Abstract: A display is located on an interventional device insertible into a body. More specifically, the display is located on a distal end of the device and is coupled to a sensing system. The sensing system senses a bodily condition. The display receives the sensed bodily condition and displays a signal indicative of the bodily condition within a pre-existing field of view.

Abstract: A fiber optic probe and a balloon catheter used in conjunction with optical imaging systems, in particular with systems which deliver and collect a single spatial mode beam, such as a single photon, a multiphoton, confocal imaging and ranging systems, such as fluorescence imaging systems.

Abstract: A catheter tip apparatus is arranged in a catheter for the delivery and collection of an energy signal to permit analysis and/or treatment of body tissue by the energy signal. The apparatus comprises an elongated housing having a plurality of annularly disposed elongated grooves arranged thereon; and a flexible energy-bearing fiber arranged in each of the elongated grooves. Each of the fibers have a proximal end in communication with an energy delivery source or a signal analysis center. Each of the fibers also have a distalmost end in communication with a reflector for analysis and treatment of body tissue in which the catheter is disposed.

Abstract: Methods and apparatus for guiding a guide wire through a blood vessel are described. An exemplary embodiment includes a guide wire coupled to an interferometric guidance system. The interferometric guidance system is configured to provide imaging information of the vessel. The guidance system further includes a flow detection circuit for performing Doppler shift analysis to determine the presence of neovascular channels through an obstruction in the vessel. The neovascular fow information is used by the guide wire operator to guide the guide wire through the obstruction.

Abstract: The present invention is directed to a method of applying radiation through an optical fiber for detecting disease within a plant or animal or imaging a particular tissue of a plant or animal. In addition, fluorescence can be detected and localized within a subject by such application of radiation through an optical fiber. The radiation is effective to promote simultaneous multiphoton excitation. The optical fibers are used alone to examine internal regions of tissue, in conjunction with an optical biopsy needle to evaluate sub-surface tissue, or with an endoscope to evaluate tissue within body cavities.

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: The present invention is directed to devices and methods of using a surgical drain, and more particularly to a surgical drain having at least one sensor for monitoring and/or recording the condition of the anatomical site or fluid emitted from the site where the surgical drain is placed. The invention may also include modifications of the surgical drain to improve stabilization or immobilization in the proximity of the anatomical site to be monitored.

Abstract: A spectroscope includes first and second beam redirectors in optical communication with first and second fibers respectively. The first and second beam redirectors are oriented to illuminate respective first and second areas. The second area is separated from the first area by a separation distance that exceeds the separation distance between the first and second beam redirectors.

Abstract: A single use needle-like probe contains optical fibers to deliver and collect light at the distal tip of the needle-like probe. The single use needle-like probe may connect to a handpiece that may contain sensors to monitor how the probe is being used. Sensors within the handpiece may, e.g., include a force sensor and a position sensor that detect the depth of the probe in tissue. The handpiece may be connected through a cable to a control unit that may include light sources, optical detectors, control electronics and one or more microprocessors to analyze the data collected.

Abstract: Methods and apparatus for analyzing the chemical composition of vulnerable plaques with an intravascular catheter having a near-infrared light source, a fiber-optic probe, a mechanism for directing the light from the light source into a blood vessel, and detectors for detecting light reflected or scattered by the tissue. The light source may be a tunable laser, and may transmit an incident beam having a wavelength ranging from 1400 to 4100 nm. A computer may be included to receive and process the spectral data in the analysis of the vulnerable plaques. A catheter system may be configured to provide near-IR spectrometric imaging of arteries to non-destructively locate and determine lipid pool and fibrous cap size and composition. Additionally, mediators and cellular components may be also determined that are typically associated with vulnerable plaques which have an increased risk of rupture.

Abstract: Balloon probes, adapted for use in endoscopy and other medical procedures, are useful to obtain spectroscopic information reflected or emitted from a tissue of interest in the infrared spectral region. The information collected by the probe is useful in the diagnosis and treatment of disease. The invention also relates to methods utilizing these probes to analyze a surface of interest, in a minimally invasive manner, in connection with the diagnosis and treatment of disease.

Abstract: Systems and methods for spectroscopic diagnosis and treatment are employed which utilize molecular spectroscopy to accurately diagnose the condition of tissue. Infrared Raman spectroscopy and infrared attenuated total reflectance measurements are performed utilizing a laser radiation source and a fourier transform spectrometer. Information acquired and analyzed in accordance with the invention provides accurate details of biochemical composition and pathologic condition.

Abstract: Consistent with the present invention, a tube is provided that contains both a sensing and a laser delivery fiber to the target area. The length of the tube can be varied to any desired length. The end portion of the tube includes a second piece, which is a cap having two through holes or passages. These holes can be formed by standard machining or micromaching methods. The first hole can accommodate the sensing fiber, while the second hole contains the laser delivery fiber. The first and second holes extend in first and second directions, respectively, and form an angle therebetween such that the sensor fiber viewing area is within the radiation area created by the laser delivery fiber. Accordingly, the sensor fiber receives energy emitted from a central portion of the radiation area so that the temperature of the exposed tissue can be accurately determined.

Abstract: A method and apparatus are provided that interrogate, receive, and analyze full emission spectra for at least one fluorescence excitation wavelength and for at least one reflectance measurement to determine tissue characteristics. The method includes illuminating a first portion of a target tissue with optical energy, forming a first image of the target tissue, illuminating a second portion of the target tissue with optical energy, performing spectroscopic measurements on optical energy reflected and/or emitted by the target tissue upon illumination of the second portion of the target tissue with optical energy, and determining tissue characteristics of the target tissue based on the results of the spectroscopic measurements.

Abstract: A device for mapping a mammary duct and suitable for recording and preserving patient biopsy information comprises an overlay that defines a nipple aperture sized to receive a breast nipple, an elongated window that extends radially outwardly from the nipple aperture, a lingulate region adjacent to the nipple aperture, and a mammary duct orifice map precursor situated in the lingulate region. At least a portion of the dorsal surface of the overlay is a markable surface.

Abstract: The present invention relates to an apparatus for detecting tumorous tissue comprising at least one excitation light source 12, which first excitation light source 12 emits a first excitation light 34 of a wavelength of between 300 nm and 314 nm and includes at least one optical fiber 14 for guiding the first excitation light 34 to an object field 18 of the tissue 16 to be examined, and at least one lens 24 for projecting an auto-fluorescence signal and/or a remission signal 20 of the tissue 16, generated by the first excitation light 34, to a CCD or ICCD chip of a camera 22, as well as a data processing system 28 for processing the signals transmitted by the camera 22, said lens 24 being capable of processing UV light and being designed such that at least two images 48, 50 from different spectral regions of the fluorescent object field 18 are generated and projected to the CCD or ICCD chip, of which at least one image 48, 50 represents the UV range and another, different wavelength range of the auto-fluoresc

Abstract: The present invention relates to systems and methods for examining a sample using a substantially monostatic, substantially confocal optical system comprising transmitting optics that focus an illuminating light upon the sample and receiving optics that collect light emitted from the sample following illumination thereof. In certain embodiments, the receiving optics may be arranged circumferentially around the light path traversed by the illuminating light. In certain embodiments, video apparatus may be included to produce images or to align the system in proximity to the target tissue. The systems and methods of the present invention may be directed towards the examination of a body tissue to provide a medical diagnosis.

Abstract: An optical coupler for coupling to a rotating catheter has a housing with a rotatable distal face and a stationary proximal face. The distal face has an eccentric port and a central port. A lens is disposed inside the housing to intercept a rotating collection beam emerging from the eccentric port and to re-direct the collection beam to a focus proximal to the lens as the collection beam rotates. A beam re-director disposed between the lens and the distal face is oriented to direct a delivery beam toward the central port.

Abstract: An optical coupler guides one or more rotating second beams from an eccentric port to a fixed point on a detector. The coupler includes a housing having a distal face with an eccentric port. A central relay located inside the housing guides the rotating second beams to the fixed point on the detector.

Abstract: A method for detecting and localizing a target tissue within the body in the presence of ambient light in which an optical contrast agent is administered and allowed to become functionally localized within a contrast-labeled target tissue to be diagnosed. A light source is optically coupled to a tissue region potentially containing the contrast-labeled target tissue. A gated light detector is optically coupled to the tissue region and arranged to detect light substantially enriched in target signal as compared to ambient light, where the target signal is light that has passed into the contrast-labeled tissue region and been modified by the contrast agent. A computer receives signals from the detector, and passes these signals to memory for accumulation and storage, and to then to image processing engine for determination of the localization and distribution of the contrast agent.

Abstract: A laser is used to radiate a non-homogeneous body comprising two or more materials, with varying scattering characteristics with reference to the radiation. The ballistic or snake radiation is detected as reflected radiation form incident points in the radiation light path and use to construct data indicative of one or more features of the body such as the interface between two of the varying characteristic materials which are in the radiation light path.

Abstract: A spectroscope for detecting vulnerable plaques includes an optical fiber extending through a catheter. The optical fiber has a field-of-view that is modified to preferentially collect light scattered from deep within the wall of a blood vessel. Obstructions or curved optical surfaces can be used to modify the field of view.

Abstract: The present invention provides a catheter for detecting and treating diseased tissue in a blood vessel or other hollow body organ. The catheter comprises an elongated tubular catheter shaft having a distal end comprising a light transmission zone. A first fiber lumen in the catheter shaft contains a diagnostic optical fiber having a distal end terminating within the light transmission zone for emitting and receiving light through the light transmission zone. A diagnostic subassembly at the proximal end and in communication with the diagnostic optical fiber processes diagnostic light for use in connection with a diagnostic method for detecting diseased tissue. A second fiber lumen can be provided in the catheter shaft for containing a treatment optical fiber for delivering treatment light from a light source at the proximal end of the catheter shaft to the light transmission zone.

Abstract: An improved Optical Coherence Domain Reflectometry (OCDR) system is provided. One embodiment of this OCDR system outputs a detector signal carrying image depth information on multiple modulation frequencies, where each modulation frequency corresponds to a different image depth. The image depth information from the detector signal may be resolved by tuning to the desired modulation frequency. Another system for imaging body tissue uses multiple frequency modulators such that the light beam does not travel from an optical fiber to free space.

Abstract: The system and method of the present invention relates to using spectroscopy, for example, Raman spectroscopic methods for diagnosis of tissue conditions such as vascular disease or cancer. In accordance with a preferred embodiment of the present invention, a system for measuring tissue includes a fiber optic probe having a proximal end, a distal end, and a diameter of 2 mm or less. This small diameter allows the system to be used for the diagnosis of coronary artery disease or other small lumens or soft tissue with minimal trauma. A delivery optical fiber is included in the probe coupled at the proximal end to a light source. A filter for the delivery fibers is included at the distal end. The system includes a collection optical fiber (or fibers) in the probe that collects Raman scattered radiation from tissue, the collection optical fiber is coupled at the proximal end to a detector. A second filter is disposed at the distal end of the collection fibers.

Abstract: Systems and methods are described for improved diagnostic fluorescence and reflectance. A method of detecting tissue abnormality in a tissue sample in vivo detects a set of reflectance spectra emitted from a tissue sample as a result of illumination with an excitation light from a fiber optic probe that has at least one collection fiber positioned at a source-detector separation, and determining if the tissue sample is normal or abnormal based on the resulting reflectance spectra. Another method of detecting tissue abnormality in a tissue sample in vivo includes illuminating the tissue sample in vivo with at least one electromagnetic radiation wavelength selected to cause the tissue sample to produce a set of fluorescence intensity spectra indicative of tissue abnormality, detecting the resulting fluorescence intensity spectra, and determining if the tissue sample is normal or abnormal based on the resulting fluorescence intensity spectra.

Abstract: An improved illuminator for generating broadband light, and for delivering the light to a sample with an improved delivery efficiency, for higher optical density and/or reduced thermal transfer, than achieved with conventional halogen bulb sources. The illuminator enables spectroscopic analysis in thermally-sensitive or spatially-constrained environments. A phosphor-coated broadband white LED and integrated collimating optics produces a continuous, collimated broadband light beam from 400 nm to 700 nm, which is then transmitted through space to a sample region, such as a living tissue in vivo. This results in a high net efficient delivery of light to the tissue sample. An efficient conversion of power to light, and the high delivery efficiency, keeps both the illuminator and sample cool during operation, allowing the illuminator to be integrated into the tip of a medical probe or into monitoring systems.

Abstract: An ocular blood-flow meter includes an optical system for applying measuring light to a blood vessel of a subject eye, and for receiving light scattered by the blood vessel of the subject eye. A mechanism is provided for changing a direction in which the measuring light is applied and a direction in which the scattered light is received so as to enable a plurality of measurements in different directions. A controller performs the plurality of measurements in the different directions by using the optical system and the mechanism so as to obtain information concerning a blood flow. An output device provides a received-light signal obtained by the optical system or the information concerning the blood flow. An input device enables an operator to select a re-measurement operation in a desired direction from the different directions and to instruct the selected re-measurement operation.

Abstract: An apparatus and method for determining a volume of tumor mass destroyed. The present invention includes a temperature probe and a laser probe having a temperature sensor. The laser probe and temperature probe are inserted to measure a temperature of the tumor mass and a temperature of tissue mass surrounding the tumor mass. By determining the volume of tumor mass destroyed, a graphical representation of the volume of tumor mass destroyed is provided whereby real-time visual monitoring of the destruction of the tumor mass is achieved.

Abstract: First and second optical-redirectors mounted on a catheter couple radiation to a target along separate first and second paths. Either the first or second optical-redirectors, or both, can include a steering mechanism for selecting the first and/or second path.

Abstract: Preferred embodiments of the present invention utilize a plurality of spectroscopic techniques to measure characteristics of tissue useful in the diagnosis of disease. Fluorescence, reflectance and light scattered spectra can be measured and processed to determine the size, distribution and/or composition of tissue. The methods and systems can be used particularly in the early detection of carcinoma within tissue in vivo and in vitro.

Abstract: A method and apparatus for characterizing tissue of epithelial lined viscus in vivo including, for example, the endocervical canal. The method comprises illuminating an interior surface of the viscus with electromagnetic radiation wavelengths to produce a plurality of fluorescence intensity spectra, detecting a plurality of emission wavelengths from the fluorescence intensity spectra, and characterizing the epithelial viscus tissue as a function of the emission wavelengths.

Abstract: A method and an apparatus for detecting fluorescence to distinguish between a sub mucosa and a mucosa immediately and easily. The sub mucosa of organic tissue is distinguished from and the mucosa thereof based on autofluorescence emitted from the organic tissue in response to stimulating light projected thereon. The distinction between the sub mucosa and the mucosa is made based on normalized intensity of the autofluorescence emitted from the organic tissue utilizing the fact that the spectrum of autofluorescence emitted from the sub mucosa is different from the spectrum of autofluorescence emitted from the mucosa.