System and Method for Multi-Color Laser Imaging and Ablation of Cancer Cells Using Fluorescence

• US 20140187967A1
• Filed: 12/05/2013
• Published: 07/03/2014
• Est. Priority Date: 12/05/2012
• Status: Active Grant

• Current Assignee: AccuVein LLC
• Original Assignee: AccuVein LLC
• Inventors: Wood, Fred, Yavid, Dmitry, Zott, Joe, Goldman, Ron
• Granted Patent: US 10,376,147 B2
• Time in Patent Office: Days
• US Class Current: 600/473
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 5/0071 by measuring fluorescence emission
• CPC Class Codes: A61B 5/0077 Devices for viewing the surface of the body, e.g. camera, magnifying lens
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence

Abstract

A fluorescence imaging device detects fluorescence in parts of the visible and invisible spectrum, and projects the fluorescence image directly on the human body, as well as on a monitor, with improved sensitivity, video frame rate and depth of focus, and enhanced capabilities of detecting distribution and properties of multiple fluorophores. Direct projection of three-dimensional visible representations of florescence on three-dimensional body areas advantageously permits view of it during surgical procedures, including during cancer removal, reconstructive surgery and wound care, etc. A NIR laser and a human visible laser (HVL) are aligned coaxially and scanned over the operating field of view. When the NIR laser passes over the area where the florescent dye is present, it energizes the dye which emits at a shifted NIR frequency detected by a photo diode. The HVL is turned on when emission is detected, providing visual indication of those positions.

Claims

1. A method for three-dimensional imaging of cancer of a target surgical area comprising:

introducing fluorophores having affinity for targeted cancer cells into biologic tissues of the target surgical area;

emitting light from a first laser at an infrared wavelength selected to cause excitation of said fluorophores;

scanning said emitted light at said infrared wavelength, using a means for scanning, in a two dimensional pattern, spanning across the target surgical area;

using a lens for receiving and focusing, onto a photodetector, a fluorescent excitation wavelength of light emitted by said excited fluorophores;

converting into an analog signal, by said photodetector, of an image of said fluorophores formed by said focused excitation wavelength of light;

transmitting said analog signal output from said photodetector to a processing unit;

selectively emitting light from a second laser at one or more visible wavelengths;

co-axially aligning said selectively emitted light of said second laser with said emitted light of said first laser, using a means for aligning, for scanning of said selectively emitted visible light in said pattern, using said means for scanning; and

using, by said processing unit, of said analog signal, for causing said selectively emitting of said light by said second laser to be at a first visible wavelength, being a desired visible color, and for causing of said selective emitting of said first visible wavelength of light to only occur when directed at a position in said scan corresponding to said received excitation wavelength of light from said fluorophores, to create a visible three-dimensional projection on the target surgical area of the targeted cancer cells.

2. The method according to claim 1 further comprising:

selectively emitting light, by a third laser, at a selective wavelength for causing ablation of the targeted cancer cells;

co-axially aligning said selectively emitted light of said ablation laser with said emitted light of said first laser, using said means for aligning, for selectively scanning of said selective wavelength of light in said pattern, for three-dimensional projecting onto the target surgical area; and

causing, by said processing unit, of said selectively emitting of said light at said selective wavelength by said third laser to only occur when directed at a position in said scan corresponding to said received excitation wavelength of light from said fluorophores, for ablating the targeted cancer cells.

3. The method according to claim 2 further comprising:

aiming said emitted light from said third laser for a period of time at said position in said scan corresponding to said received second wavelength of light of said fluorophores, for causing sufficient heating for ablating the targeted cancer cells.

4. The method according to claim 2

wherein said one or more wavelengths emitted by said second laser comprises a second visible wavelength being a red wavelength, a third visible wavelength being a green wavelength, and a fourth visible wavelength being a blue wavelength;

and

wherein said process further comprises;

using a second photodetector, a third photodetector, and a fourth photodetector being sensitive to said red, said green, and said blue wavelengths of light, respectively, for receiving the visible color characteristics of the target surgical area;

converting said received red, green, and blue colors of light into an analog signal by said second, third, and fourth photodetectors, respectively;

transmitting said respective analog signals to said processing unit; and

receiving, by a monitor, of said respective analog signals from said processing unit, for displaying thereon of the visible color characteristics of the target surgical area.

5. The method according to claim 4 further comprising:

separately storing a time sequence of said output from said first, second, third, and fourth photodetectors, as an image frame, in a respective desired-color memory, a red frame memory, a green frame memory, and a blue frame memory;

performing image processing of said stored image frames in each said memory to augment said image frame of said fluorophores; and

outputting said augmented image frames to said second laser for said three-dimensional projecting onto the target surgical area.

6. The method according to claim 5 further comprising:

communicating said augmented image frame to a monitor for displaying of said image frame thereon.

7. The method according to claim 6 further comprising:

using a camera for capturing a combined image of the target surgical area, when said second laser is projecting said visible wavelength of light thereon, and displaying said captured image on a monitor.

8. The method according to claim 7 further comprising synchronizing a frame rate of the camera with a frame rate of said means for scanning.

9. The method according to claim 8 wherein said first laser is a semiconductor laser diode configured for emitting said first wavelength of light at a wavelength of 780 nm.

10. The method according to claim 9 wherein said second laser is a semiconductor laser diode configured for emitting said visible wavelength of light at a wavelength of 640 μ

m.

11. The method according to claim 10 further comprising emitting, by said fluorophores, of said excitation light at said second wavelength being in a band of wavelength centered upon 820 nm.