Apparatus and method for spectroscopic examination of the colon

• US 20030167007A1
• Filed: 12/20/2002
• Published: 09/04/2003
• Est. Priority Date: 01/09/2002
• Status: Abandoned Application

• Current Assignee: Intuitive Surgical Incorporated (Intuitive Surgical Holdings, LLC)
• Original Assignee: Intuitive Surgical Incorporated (Intuitive Surgical Holdings, LLC)
• Inventors: Belson, Amir
• Application Number:
  US10/327,259
• Publication Number:
  US 20030167007A1
• Time in Patent Office: Days
• US Class Current: 600/473
• CPC Class Codes: A61B 1/00165 with light-conductive means, e.g. fibre optics A61B1/07 takes precedence
• CPC Class Codes: A61B 1/0055 Constructional details of insertion parts, e.g. vertebral elements
• CPC Class Codes: A61B 1/05 characterised by the image sensor, e.g. camera, being in the distal end portion
• CPC Class Codes: A61B 1/0615 for radial illumination
• CPC Class Codes: A61B 1/0676 at distal tip of an endoscope
• CPC Class Codes: A61B 1/0684 using light emitting diodes [LED]
• CPC Class Codes: A61B 1/07 using light-conductive means, e.g. optical fibres
• CPC Class Codes: A61B 5/0071 by measuring fluorescence emission
• CPC Class Codes: A61B 5/0075 by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy A61B5/0071 takes precedence
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61B 5/0086 using infrared radiation
• CPC Class Codes: A61B 5/4255 Intestines, colon or appendix

Abstract

Apparatus and methods for spectroscopic examination of the colon are described herein. A spectroscopy device comprising an illumination device and an image capture device is integrated directly into a steerable endoscope or colonoscope. Alternatively, the spectroscopy device and the steerable colonoscope can be separate instruments that are functionally combined for performing endoscopic spectroscopy. The steerable colonoscope uses serpentine motion to facilitate rapid and safe insertion of the colonoscope into the patient'"'"'s colon, which allows the endoscopic spectroscopy method to be performed more quickly and more safely. The spectroscopy can be performed by autofluorescence, dye-enhanced fluorescence or any other known spectroscopy techniques. Other imaging technologies that use light with a wavelength outside of the visible range may also be used. The reflected light information can be used to create a three-dimensional mathematical model of the patient'"'"'s colon and the location of any lesions identified during the initial examination.

Claims

1. An endoscopic device for spectroscopically examining a hollow body organ, comprising:

an elongated body having a plurality of articulatable segments and a steerable distal portion, wherein each of the segments are configurable to assume a selected shape along an arbitrary path when the elongated body is advanced distally or proximally; and

a spectroscopic assembly having an illumination device and an image capture device adapted to receive an incident light reflected from a wall of the hollow body organ, wherein the spectroscopic assembly is positioned near or at a distal portion of the elongated body.

2. The endoscopic device of claim 1 wherein the illumination device comprises a light source disposed within the elongated body.

3. The endoscopic device of claim 2 wherein the light source comprises LEDs or laser diodes.

4. The endoscopic device of claim 1 wherein the illumination device comprises at least one optical fiber disposed within the elongated body, a proximal end of the optical fiber being in optical communication with a light source.

5. The endoscopic device of claim 4 wherein the light source comprises LEDs or laser diodes.

6. The endoscopic device of claim 4 wherein the light source is adapted to emit light having a frequency in a range selected from the group consisting of UV, IR, NIR, blue light, and visible light.

7. The endoscopic device of claim 4 wherein a distal end of the optical fiber is extendable beyond a distal end of the elongated body.

8. The endoscopic device of claim 7 wherein the optical fiber is adapted to rotate about a longitudinal axis of the optical fiber.

9. The endoscopic device of claim 1 wherein the image capture device comprises at least one optical fiber disposed within the elongated body.

10. The endoscopic device of claim 1 wherein the image capture device comprises a CCD camera.

11. The endoscopic device of claim 1 wherein the spectroscopic assembly is adapted to be advanced distally within a lumen defined within the elongated body.

12. The endoscopic device of claim 1 wherein the incident light comprises light emitted from the wall by a method selected from the group consisting of reflection, natural fluorescence, and dye-enhanced fluorescence.

13. A method of spectroscopically examining a hollow body organ, comprising:

positioning an elongated body having a plurality of articulatable segments and a steerable distal portion within the hollow body organ without impinging upon the hollow body organ;

illuminating an interior surface of the hollow body organ with an illumination device positioned upon a distal portion of the elongated body;

receiving a reflected light from the interior surface of the hollow body organ with an image capture device positioned upon the distal portion; and

processing the reflected light relayed by the image capture device.

14. The method of claim 13 wherein illuminating the interior surface comprises illuminating at least one LED or laser diode.

15. The method of claim 13 wherein illuminating the interior surface comprises illuminating a light having a frequency in a range selected from the group consisting of UV, IR, NIR, blue light, and visible light.

16. The method of claim 13 wherein illuminating the interior surface comprises extending a distal end of an optical fiber beyond a distal end of the elongated body.

17. The method of claim 16 further comprising rotating the optical fiber about a longitudinal axis of the optical fiber while illuminating the interior surface.

18. The method of claim 13 wherein receiving the reflected light comprises receiving the light with an optical fiber and transmitting the light to a proximal end of the fiber.

19. The method of claim 13 wherein receiving the reflected light comprises receiving light emitted from the interior surface by reflection or fluorescence.

20. The method of claim 13 further comprising applying a fluorescent marker dye to the hollow body organ prior to illuminating the interior surface of the hollow body organ.