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Human Bronchus |
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Human Pulmonary Parenchyma |
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Other Human Tissues |
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Pulmonary Stent |
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Animal Tissues |
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Investigational Airway &
Pulmonary
Tissue Imaging Systems
Tomophase OCTIS™ has received the FDA 510(k) clearance to market
Tomophase has developed a real-time
endoscopic tissue imaging system based on its proprietary technology in
Optical Coherence Tomography (OCT). The Tomophase system is designed to
enable the high-resolution, real-time visualization of bronchial and
pulmonary tissue cross-sections in-vivo. Its design
features include:
◙ Subsurface Microanatomy Visualization (within 2-3 mm)
◙ Real-Time Operation
◙ Micron Scale Resolution
◙ Superior Image Clarity to other OCT Technologies
◙ No Radiation, UV light or Contrast Agents
◙ Sample Site Morphology Information Retained
◙ Both Forward and Side Scan Imaging (in development)
◙ Tissue Metabolic/Biochemical Information (in development)
The FDA cleared Tomophase imaging system is designed to operate in
conjunction with conventional endoscopes. For pulmonology use,
OCTIS is compatible with the working channels of multiple flexible video bronchoscopes and their
extended working channels. To acquire images of lung tissues, the
disposable imaging catheter is inserted into the working channel
of the bronchoscope. The near infrared (NIR) light beam emitted
from the distal tip of the catheter can then be steered to target
the tissue of interest. Back scattered light is collected by the
catheter and processed optically and electronically to produce
high resolution, real-time and cross-sectional images of the tissues
that the light beam penetrates. The figure below shows an image of the Gen2 system, which consists of the Imaging Console, PC-based processor and catheter. The Image on the right shows the disposable catheter protruding from the bronchoscope working channel.

With the Tomophase OCTIS system, airway
and tissue cross-sections can be visualized in greater detail than
with other currently existing imaging tools. Its optical resolution is
on the order of microns, which would be 10-100 times better than
other imaging technologies such as ultrasound
and computed tomography (CT) [resolution on the order of
0.2-2 millimeters, respectively]. Using our real time imaging system,
it is now possible to visualize micro-anatomic features such as airway
epithelia, mucosa, and the smooth muscle layer both in-vivo
and in-situ. The figure below shows screen shot of the OCTIS system. The video image from the bronchoscope is seen in the upper right corner. On the left, we show the cross sectional image of the airway corresponding to the location shown in the video image. The ability to visualize airway microstructure is a breakthrough for the Interventional Pulmonologist.

In the near future, Tomophase will be adding
spectral absorbance mapping in the imaged cross-sections. Spectral
absorbance (SA) is the basis for one of the most successful
medical devices, i.e. the pulse oximeter. Various other SA
features can be related to biochemical and metabolic activities of
living tissues. Tomophase imaging will be configured to utilize a
differential SA tomography (SAT) to spatially map important
spectral features on a microscopic scale. The resultant spatially
resolved SAT maps could potentially reveal the level of
biochemical and metabolic activity of the pulmonary tissue under
examination, providing valuable information to physicians. This
information may be important in the case of early stage lung cancer as
it may help identify tumors with high metabolic rates.
Future Potential Applications in Pulmonology
Tomophase OCTIS™imaging system has potential pulmonary applications where real time, in-situ tomographic
microanatomy visualization are beneficial. These applications include:
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Early Stage Lung Cancer |
The Tomophase OCTIS system has the potential to distinguish between normal and abnormal tissue during bronchoscopy. Subject to future clinical validation, the system can be an adjunct to conventional biopsy. |
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Asthma/COPD Research |
In-vivo imaging of bronchial structures such as smooth muscle has the capability to improve the efficacy and reduce cost for new drug-free asthma therapy as well as expanding the understanding of the etiology of these diseases. |
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Aerosol Drug Development |
The Tomophase OCTIS system is designed to allow for real time visualization of both the airway and sub-epithelial tissue. This new capability can enhance the researcher’s ability to observe the biological response to aerosol drug therapies in vivo at the microanatomy. This can improve the efficacy of trials by providing directly measurable endpoint and faster go/no go answers to new drug therapies. |
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Pulmonary Fibrosis |
Visualization of the evolution of fibrotic pulmonary lesions can provide researchers clues to the origins of PF and aid in the development of new therapies. |
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Pulmonary Stent Development |
The Tomophase OCTIS system can provide high resolution sub-epithelial images of the airway. As such, it can be useful in the evaluation of various stent configurations and approaches. |
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Surgical Guidance |
Visualization without the dose burden and contrast agent limitations of fluoroscopy can result in improved surgical procedures. |
◙Tomophase is interested in discussing clinical collaborations
in these and other areas. ◙
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