The invention is directed to an apparatus for use in a transluminal procedure. The apparatus, comprising, for example, a housing having a guide lumen and a seal proximal to a distal end of the housing that extends across and completely seals the guide lumen; a fixation element in the housing and adapted to secure the distal end of the housing to tissue; and a channel extending through the side wall of the housing having an outlet in communication with the lumen distal of the seal. Methods are also provided. For example, a method includes, performing a transluminal procedure by: securing a datum and position indicator to a wall of a target lumen; forming an opening in the wall; advancing an instrument through the opening; and tracking the advancement of the instrument using the datum and position indicator.

Methods and apparatus for performing transluminal and other procedures

A method for measuring DNA damage to individual cells, based on the technique of microelectrophoresis, was described by Ostling and Johanson in 1984 (Biochem. Biophys. Res. Commun. 123, 291–298). Cells embedded in agarose are lysed, subjected briefly to an electric field, stained with a fluorescent DNA-binding stain, and viewed using a fluorescence microscope. Broken DNA migrates farther in the electric field, and the cell then resembles a “comet” with a brightly fluorescent head and a tail region which increases as damage increases. We have used video image analysis to define appropriate “features” of the comet as a measure of DNA damage, and have quantified damage and repair by ionizing radiation. The assay was optimized for lysing solution, lysing time, electrophoresis time, and propidium iodide concentration using Chinese hamster V79 cells. To assess heterogeneity of response of normal versus malignant cells, damage to both tumor cells and normal cells within mouse SCC-VII tumors was assessed. Tumor c...

Heterogeneity in radiation-induced DNA damage and repair in tumor and normal cells measured using the comet assay

A steerable, tendon-driven endoscope is described herein. The endoscope has an elongated body with a manually or selectively steerable distal portion and an automatically controlled, segmented proximal portion. The steerable distal portion and the segment of the controllable portion are actuated by at least two tendons. As the endoscope is advanced, the user maneuvers the distal portion, and a motion controller actuates tendons in the segmented proximal portion so that the proximal portion assumes the selected curve of the selectively steerable distal portion. By this method the selected curves are propagated along the endoscope body so that the endoscope largely conforms to the pathway selected. When the endoscope is withdrawn proximally, the selected curves can propagate distally along the endoscope body. This allows the endoscope to negotiate tortuous curves along a desired path through or around and between organs within the body.

Tendon-driven endoscope and methods of insertion

An improved endoscopic device which is introduced into the intestinal tract of a living organism and which operates autonomously therein, adapted to obtain and store or transmit one or more types of data such as visual image data, laser autofluorescence data, or ultrasonic waveform data. In another aspect of the invention, an improved endoscopic device useful for implanting the aforementioned endoscopic smart probe is disclosed. In another aspect of the invention, apparatus for delivering agents including nanostructures, radionuclides, medication, and ligands is disclosed. In another aspect of the invention, apparatus for obtaining a biopsy of intestinal tissue is disclosed. In another aspect of the invention, apparatus for detecting the presence of one or more molecular species within the intestine is disclosed. Methods for inspecting and/or treating the interior regions of the intestinal tract using the aforementioned apparatus are also disclosed.

Endoscopic smart probe and method

An electro-polymeric articulated endoscope and method of insertion are described herein. A steerable endoscope having a segmented, elongated body with a manually or selectively steerable distal portion and an automatically controlled proximal portion can be articulated by electro-polymeric materials. These materials are configured to mechanically contract or expand in the presence of a stimulus, such as an electrical field. Adjacent segments of the endoscope can be articulated using the electro-polymeric material by inducing relative differences in size or length of the material when placed near or around the outer periphery along a portion of the endoscope.

Activated polymer articulated instruments and methods of insertion

An apparatus and method for imaging diseases in tissue are presented. The apparatus employs a light source for producing excitation light to excite the tissue to generate autofluorescence light and for producing illumination light to generate reflected and back scattered light (remittance light) from the tissue. Optical sensors are used to receive the autofluorescence light and the remittance light to collect an autofluorescence light image and a remittance light image. A filter acts to integrate the autofluorescence image over a range of wavelengths in which the autofluorescence intensity for normal tissue is substantially different from the autofluorescence intensity for diseased tissue to establish an integrated autofluorescence image of the tissue. The remittance light image provides a background image to normalize the autofluorescence image to account for image non-uniformity due to changes in distance, angle and illumination intensity. A monitor displays the integrated autofluorescence image and the remittance light image to produce a normalized image in which diseased tissue is distinguishable from normal tissue. The optical sensor can be installed adjacent the end of an endoscope probe inserted into a body cavity. A method for imaging diseased tissue using an integrated fluorescence image and a normalizing remittance image is also disclosed.

Apparatus and method for imaging diseased tissue using integrated autofluorescence

A system for detecting cancerous or precancerous lesions directs light produced from a mercury arc lamp (100) into an illumination guide (106) of an endoscope. Autofluorescence light produced by the tissue under examination is divided into red and green spectral bands by a dichroic mirror (120). Light in the red and green spectral band is applied to a pair of image intensified CCD cameras (126, 130). The output of the camera that receives light in the red spectral band is coupled to a red video input of a color video monitor (150). Light produced by the camera that receives light in the green spectral band is coupled to the blue and green video inputs of the video monitor. The system produces a false color display, whereby healthy tissue appears cyan in color and cancerous or precancerous lesions appear reddish in color. The image displayed allows the operator to see the lesions within the context of the underlying tissue structures. The color contrast is adjustable to account for the autofluorescence property changes from patient to patient and from location to location.

Imaging system for detecting diseased tissue using native fluorescence in the gastrointestinal and respiratory tract

An imaging system for white light and fluorescence endoscopy that includes an automatic gain control circuit (30) that adjusts the brightness of an image produced based on distribution of pixel intensities in one or more video frames. The magnitude of the image signals produced by a pair of high sensitivity imaging devices such as intensified CCD transducers are compared to a number of reference thresholds. A time-over-threshold counter (112) determines the number of pixels in the image signals having magnitudes greater than or less than the reference thresholds. The distribution of pixel intensities is supplied to a decision tree algorithm (116) that determines whether the gain of the intensified CCD transducers (44a, 44b) used to produce the autofluorescence images or the intensity of the excitation light produced by a light source (36) should be increased or decreased. In addition, a mode switch mechanism is provided to change rapidly from the fluorescence imaging mode to the white light imaging mode or vice versa. This mechanism includes provisions to prevent the accidental application of reflected white illumination light to the image-intensified CCD transducers. Proximity switches (192, 194) monitor the position of a light directing mechanism such as a mirror (186) to allow light to pass to fluorescence camera head (42) or to a color video camera head (46). The light source is not switched to produce white light until it is known that the mirror is in position to direct the reflected light to the color video camera head. Finally, the present invention produces a quantitative display of the relative intensities of the autofluorescence light produced in a pair of spectral bands.

Imaging system with automatic gain control for reflectance and fluorescence endoscopy

An image scanner for microscopic objects. The image scanner has a microscope with a high precision computer controlled motor driven stage to provide X,Y plane displacements in order to scan microscopic objects under the microscope. There is an image sensor and a digitizer in association with the microscope to sense a horizontal image line or a two dimensional image and provide a digital representation of the line or image. A digital signal processor processes digitized signals from the sensor. There is a computer to control the mechanical and electronic scanning and to store and display information from the digital signal processor. Methods of scanning a microscopic object are also described. The methods comprise positioning the object on a motorized stage of a microscope having an image sensor in a focal plane. The object is scanned and signals received from the sensor during scanning are digitized. The digitized signals are processed with a digital signal processor in order to automatically recognize objects while the sample is being scanned. The processed information contained in the signals and the location coordinates of objects are stored. The methods include automatical revisiting of recognized objects for further analysis.

Dynamic microscope image processing scanner

Endoscope having an integrated CCD sensor

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