Conf42 Machine Learning 2025 - Online

- premiere 5PM GMT

High-Definition Flexible Endoscopy: Revolutionary Advances in Minimally Invasive Diagnostics and Treatment across Medical Specialties

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Abstract

This presentation explores the transformative role of flexible endoscopy camera systems in modern medical diagnostics and treatment. Flexible endoscopy technologies have significantly advanced minimally invasive medicine, making strides across a variety of specialties, including pulmonology, urology, gastroenterology, and otolaryngology. We’ll examine how institutions utilizing state-of-the-art endoscopy systems report improved diagnostic accuracy compared to traditional methods, while also substantially reducing patient recovery times. The latest generation of flexible video endoscopes offers remarkable advancements in high-definition imaging, providing exceptional resolution and enabling the detection of previously undetectable microscopic lesions. The discussion will cover the technological evolution of these systems, from fiber-optic illumination to advanced LED-on-tip configurations that provide superior light intensity while minimizing heat generation. Additionally, we’ll explore diverse imaging modalities such as RGB, Near-IR, and Clear Pixel technology, which enhance visualization even in challenging anatomical environments.

Summary

Transcript

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Hi my friends. This is Santo, so I am here to talk about. The advances in minimal invasive diagnostic and treatment across medical specialties such as Ute bronchoscopy are using a flexible endoscope with LED and HD camera on the tip. These innovations enhance the precision of diagnosis and treatment, hence improving outcome which is revolutionizing patient care. In the past decade and a half, there has been dramatic progress on flexible endoscopy space. The surgeon or pulmonologist can now see heart to visualize regions of the human anatomy, such as the lungs, with the advent of small CC, d sensors that could be placed in the tip of an endoscope. And shining light at the tissue through a fiber optic bundle. Using an external light engine was the state of art say 10 years ago. But today we have there is a HD revolution. The camera sensors got better in terms of resolution with CM OS technology, enhanced photon or light responsibility that surgeons can see the tissue, identify and evaluate lesion or features of interest with high confidence with visual feedback received from what they see. We currently have small, powerful LEDs that can give light output in the order of five to 10 lumen at a wide cone angle to eliminate the tissue to give high quality imagery of human anatomy. Today we have a 10 20 P HT resolution imaging that offers unprecedented clarity with. One 70 degrees field of view that enables wider view of anatomical structure with very low latency. 60 FPS image that captures motion such as beating pulse smoothly or can visualize vasculature with great detail. Today, the size of endoscopic tip has gone down from. 10 to 15 outer diameter to about five outer diameter leading to enhanced patient comfort in minimally invasive procedures. And there has been breakthrough in illumination, size, and capability of illumination technology. LED on tip. The size of the LED on tip has gone from two to three diameter to about 0.57 diameter. So the LED, the what? The two to three lED. The light output of the two to 3M LED is same as 0.57, about less than an M-M-L-E-D today, minimizing the thermal impact on the surroundings and the thermal management, sophisticated heat dissipation mechanisms and temperature regulation systems. Are designed to safeguard tissues from thermal exposure. These LEDs are state of the art, can deliver exceptionally visibility, exceptional visibility in poor, accessible, an chemical regions, and light absorbing environments minutes. So there are various imaging modalities modalities RGB imaging by far the most common imaging modality where the standard full colorization visualization. Providing comprehensive tissue assessment with natural color reproduction for accurate and automatical identification during routine examinations. Then we have near IR imaging that's specifically used to reveal subsurface vascular network networks and structural abnormalities. Clear pixel technology is used. To in challenging light stared environments to ensure diagnostic accuracy, even in presence of bodily fluids or visual obstruction, narrow band imaging or optical filtering technology that isolates specific blue green wavelength to dramatically enhance mucosal surface patterns. And microvascular morphology for early detection of pathological changes. So the endoscope tip, barring the LED and the camera, we have space for biopsy tools that biopsy tools, injection devices, irrigation systems, and energy delivery. The biopsy tools can be used to. Extraction of a lesion for analysis injection devices like therapeutics, administrative therapeutic agents directly to the sites, their energy delivery. So you want to abl a kidney stone, et cetera. With a laser. So basically we can penetrate a laser if you want to perform lacing irrigation system. So if you want to suck out the bodily fluid in a procedure, say oscopy, the extra space in the shaft could be used for these regions for these reasons. The, the clinical applications across specialties. It's like gastroenterology, pulmonology, urology, otolaryngology, that's the ENT. You can see the diagnostic improvements between standard endoscopy and HD endoscopy. And HD plus enhancement. So from standard endoscopy to the HD plus enhancement, we see about 15 to 20% rise in sensitivity and specificity. So the accuracy improves about 15 to 20%, which is big. What are the benefits for the patient? Benefit for the patient is shorter. Hospital stays. It is reduced from multiple days to mere hours. So if you can imagine if I have to do a biopsy of a lung to see if there is cancer or not, I need not. So a patient may not stay for multiple days. A single day is enough. Using a flexible bronchoscope, go to the accurately, to the lesion, and then get the, use the tools to conduct biopsy. Less pain medication, significantly decreases pain medication requirements, minimizing side effects and dependency concern, faster return to activities, dramatic reduction in recovery time as well. Lower total cost, substantial reduction in financial burden through decreased facility fees, medical expenses, fewer follow up visits. What is the impact of the healthcare impact on the healthcare institution? Reduced procedure times. 30% decrease in average procedure duration, allowing more efficient utilization of specialized resources, increased patient volume. Significant 25% increase in daily procedure per endoscopic suit, enhances access to critical diagnostics, improved patient experience. It's 92% positive feedback, ratings, reflecting, enhanced comfort and reduced anxiety during the procedures and superior financial return. So the inventory cost of the equipment for the hospital or the healthcare institution can be recovered within within 16 months, demonstrating exceptional operational value. Implementation considerations, capital investment could be 50,000 to about quarter million to quarter to half a million depending on configuration, specialized training for the staff to ensure proper system utilization and maintenance. Maintenance requirements, regular service intervals and sterilization protocols, external equipment lifespan integration with EMR, digital archiving of images and findings enhances documentation, future directions. AI assisted diagnostics. Machine learning algorithms will enhance lesion detection and classification. Automated analysis may flag abnormalities during procedures. A robotic integration, remote manipulation will increase precision. Autonomous navigation systems will access difficult anatomy. Single use endoscopes disposable systems will eliminate cross contamination risk. Cost effectiveness will improve mass production. AR vr visualization enhanced 3D mapping will improve spatial orientation, immersive interfaces that will provide intuitive control. Thank you.
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Santosh Suresh

Principal Engineer @ Johnson & Johnson

Santosh Suresh's LinkedIn account



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