Inventive Problem Solving Ideation Process Project Initiation 1. Project objectives Our primary objectives are to miniaturize the Raman Spectroscopy-Optical Coherence Tomography probe for potential endoscopic use in disease diagnosis, develop novel approach for fiber optic RS-OCT, increase sensitivity and specificity of probe. The objectives were established by Dr. Anita Mahadevan-Jansen and Dr. Chetan Patil. The current medical device is the work of Dr. Patil's discertation. Our primary objectives have been established in order to increase the mobility of the sample arm of the current medical device to aid the capability of detecting cancer in endothelial tissues. The objectives were established in October 2010 and do not need to be updated yet. Yes, they are realistic. The project is ambitious since it has never been done before. Although, since we are combining two current working techniques these objectices are obtainable. We believe we are not overestimating our capabilies or the capabilities of others. 2. Importance of the Situation Since this medical device will allow for image guided cancer detection, doctor's will benefit from this device by being able to identify endothelial tissue in a practical and safe manner. The current RS-OCT probe has a sample arm that is too bulky that is difficult to move and can only detect skin cancer. This device is selected for improvement to increase the mobility of the sample arm and to decrease the sample arm size for potential endoscopic use. Failure to improve the sample arm of the RS-OCT probe will result in limited cancer detection. This device requires improvement since the current device is hard to use now, but it has great potential for cancer detection in all endothelial tissue, not just the skin. Initially, a lot of research had to be done to understand the complexities of Raman Spectroscopy and Optical Coherence Tomography. Through the guidance of Dr. Patil, we have obtained enough information to start the project. Using the combined resources of our advisors and research, we have developed prilimanary design to tackle this project. By improving image guided cancer detection, cancer detection will be quicker and safer for everyone. This device minimizes the need for tissue biopsy in order to distinguish whether the tissue is cancerous or not. Innovation Situation Questionnaire 1. Brief description of the situation Miniaturize the sample arm of the current image guided cancer detection device in order to improve mobility and have potential endoscopic use. 2. Detailed description of the situation 2.1. Supersystem - System - Subsystems 2.1.1. System name Redisigned fiber optic Raman Spectroscopy and Optical Coherence Tomography sample arm Innovation WorkBench® software. Apr/25/2011, 23:00 1 Inventive Problem Solving 2.1.2. System structure The curent structure measures 5x8x3 inches. The sample arm is redesigned to fit inside a pipette by using a combination of fiber optics, piezoelectric scanning mechanism, and a GRIN lens. The The piezoeletric scanning mechanism measures 49x1.9x0.6 mm. It is centered into a rubber insert in a fiber optic housing. A SMF 28 fiber used for OCT is fitted through the smae slot and runs atop the 49 mm piezoelectric. It extends off the piezoelectric mechanism ___ mm. There is a GRIN lens that sits ____ mm away from the tip of the fiber. This is all housed inside a pipette. This constitues the OCT portion. The Raman fibers extend off the walls of the pipette ___ mm. Currently, there are Raman fiber being used, one as a light source and the other as a collection fiber. The fibers are placed 180 degrees away from each other. 2.1.3. Supersystems and environment RS is limited by light. In order to perform RS, the environment will have to be completely dark. 2.1.4. Systems with similar problems This system has never been made before therefore the trouble of combining RS-OCT into one fiber optic probe has never been tackled. Individually though, advances have been made to improve the devices. 2.2. Input - Process - Output 2.2.1. Functioning of the system The OCT single fiber mode is driven by a constant voltage source to scan selected tissue to aquire real-time image. The RS multi mode fibers are present to aquire biochemical composition of selected tissue. Since OCT detects elastic scattering and RS detects inelastic scattering, both OCT and RS cannot be run at the same time. Therefore once OCT aquires an image, OCT will be turned off and RS will be turned on and directed at the area of interest base on the image required. 2.2.2. System inputs The system inputs are am AC voltage power supply running at ____ V and a 1310 nm light source for OCT and 785 nm light source for RS. 2.2.3. System outputs The sytem outputs are the data from the OCT and the data from the RS to be sent from the sample arm to the computer to create an image and identify biochemical composition, respectively. 2.3. Cause - Problem - Effect 2.3.1. Problem to be resolved The sample arm of current RS-OCT probe is too bulky. The sample arm is 5" x 8" x 3". 2.3.2. Mechanism causing the problem Also the complex design of the medical device which involves both broadband light and Raman excitation light along with collimating lenses. 2.3.3. Undesirable consequences if the problem is not resolved If problem is not resolved and sample arm cannot be miniturized then image guided cancer detection will be limited to tissue outside of the body (skin). This will also inhibit a non-invasive technique to be developed that can detect cancer in internal tissues without a biopsy. 2.3.4. Other problems to be solved The weak nature of Raman scattering (inelastic scattering) makes probe placement an important variable when using RS to evaluate spatially confined tissues in vivo. The combination of OCT Innovation WorkBench® software. Apr/25/2011, 23:00 2 Inventive Problem Solving and RS in the device should first detect an area of interest using OCT and then coregister RS to that area of interest. RS and OCT cannot be turned on simulateously. Also we must ensure that both techniques do not limit or interfere with eachother. 2.4. Past - Present - Future 2.4.1. History of the problem It is possible to modify the developemental direction to change the events leading to the problem.If during the original design of the probe, Dr. Patil would have thought to use fiber optics instead of a systems based on lenses then this problem would have been avoided. 2.4.2. Pre-process time No there is nothing that could have resolved this problem. Raman scattering is weak and thus is difficult to measure spatially confined tissues in vivo. Tissues could have been taken out of the body and then tested with RS; however this would not be beneficial since it would no longer be a non-invasive technique to diagnose cancer. Thus the sample arm should be miniaturized by using fiber optics to use the device endoscopically. 2.4.3. Post-process time Yes. Dr. Patil has already designed an RS-OCT probe that was designed with lenses and light sources. This design can be improved upon. The combination of RS and OCT should be continued, but fiber optics should be used instead of lenses in order to increase the cancer detection capability of the device. Once the fiber optics are used to create a smaller sampling arm, this design can further be improved upon by methods such as different orientation of the fibers or different location of the light sources on the probe to further miniaturize the sampling arm or increase the efficiency of the device. 3. Resources, constraints and limitations 3.1. Available resources Information resources: Dr. Anita Mahadevan-Jansen, Dr. Chetan Patil, textbooks, Online Science, Pub Med Field Resource: Dr. Anita Mahadevan-Jansen (IP) Material Resources: Online stores that sell necessary equipment to build probe (power supply, polymer, platinum coil, Teflon tubing), material already at Vanderbilt (multi-mode and single mode fibers) Financial Resources: funded by Advisors Space Resource: We are allowed to access the lab with the current probe in the FEL building with our adviser, Dr. Patil Functional Resource: the lab at FEL, provides a dark room with windows - important for RS 3.2. Allowable changes to the system Small changes - the probe should work in theory. The probe could always be further miniaturized and sensitivity and specificity could also be improved Innovation WorkBench® software. Apr/25/2011, 23:00 3 Inventive Problem Solving 3.3. Constraints and limitations OCT uses single mode fibers so it requires a broad bandwidth to acquire data. It uses a scanning technique and only requires one fiber. RS uses multi-mode fibers so it requires a narrow bandwidth to acquire data. It requires extra detection fibers to detect the emitted light. Therefore, our challenge was to figure out a design that would be a happy middle configuration of the different types of fibers since they have opposing uses. These conditions cannot be changed. 3.4. Criteria for selecting solution concepts Compared to the existing probe, we want to decrease the size of the sample arm to make it more usable (handheld) and increase the potential for endoscopic use to detect other cancers besides skin cancer. The RS-OCT is used for image guided cancer detection. OCT acquires the image. Raman Spectroscopy is able to identify malignant from non-malignant tissue. Decreasing the probe size is an achiveable criteria since we will be using fiber optics instead of lenses. However, miniaturizing enough that it will be able to be used endoscopically might be farfetched. This criteria is long term. Problem Formulation and Brainstorming Diagram Innovation WorkBench® software. Apr/25/2011, 23:00 4 Inventive Problem Solving Miniaturize Probe Possible endoscopic use Accuracy of Diagnosis Expensive Fiber Optics Durability Single-Mode Fibers Multi-Mode Fibers single phase passes Higher Numerical Aperture Useful for Optical Coherence Tomography Greater Collection Efficiency Useful for Raman Spectroscopy 4/25/2011 3:45:45 PM. 1. Find an alternative way to obtain Single-Mode Fibers that offers the following: provides or enhances single phase passes does not influence Multi-Mode Fibers does not require Fiber Optics. 2. Resolve the contradiction: Single-Mode Fibers should be provided to produce single phase passes and shouldn't be provided to avoid counteracting Multi-Mode Fibers. 3. Find an alternative way to obtain Multi-Mode Fibers that offers the following: provides or enhances Higher Numerical Aperture does not require Fiber Optics is not influenced by Single-Mode Fibers. 5. Find an alternative way to obtain Greater Collection Efficiency that offers the following: provides or enhances Useful for Raman Spectroscopy does not require Higher Numerical Aperture. 9. Find an alternative way to obtain Miniaturize Probe that provides or enhances Fiber Optics and Possible endoscopic use. Innovation WorkBench® software. Apr/25/2011, 23:00 5 Inventive Problem Solving 10. Find an alternative way to obtain Fiber Optics that offers the following: provides or enhances Single-Mode Fibers, Multi-Mode Fibers and Accuracy of Diagnosis eliminates, reduces, or prevents Durability does not cause Expensive does not require Miniaturize Probe. 11. Resolve the contradiction: Fiber Optics should be provided to produce Single-Mode Fibers, Multi-Mode Fibers and Accuracy of Diagnosis and should be provided to counteract Durability and shouldn't be provided to avoid Expensive. 12. Find a way to eliminate, reduce, or prevent Durability. 13. Find a way to eliminate, reduce, or prevent Expensive under the conditions of Fiber Optics. 4/25/2011 1:32:03 PM. Develop Concepts 1. Categorize preliminary ideas Function 1: OCT laser emission - OCT optical fibers should be single-mode fibers.The beam of light leaving the optical fiber must be able to be scanned axially. One needs to be exactly aware of how the beam is scanned so that the 2-D image can be reconstructed. Laser source must be a broadband laser source. The coherence length of the broadband laser beam must be low for high resolution. We will use 1310 nm light source. The beam spot size on the tissue of interest must be approximately the same as the resolution of the beam. Additionally you want a large depth of focus, which is defined by the lens used. Function 2: OCT collection -The collection of the reflected light during the OCT sampling must filter out inelastic scattering. The collection should ideally be instantaneous, and confined to the region of interest. Function 3: Raman laser emission - You want to direct the beams to the same area of interest as the OCT was scanning. This could possibly be done by angle-polishing the optical fibers. Raman optical fibers should be multi-mode fibers. 785 nm laser source is to be used. Function 4: Raman collection - The size of the cone of collection should be much wider than the spot size of OCT to ensure efficient collection of the returning photons. This can be partially determined by the numerical aperture of the optical fiber. A higher numerical aperture corresponds to a larger cone of collection which corresponds to more efficient collection. Additionally, elastic scattering must be filtered out. 2. Combine ideas into concepts Single-mode fibers are required over multi-mode fibers for OCT because single-mode fibers do Innovation WorkBench® software. Apr/25/2011, 23:00 6 Inventive Problem Solving not allow multiple phases to pass through the fiber. Due to the principles of interferometry, it is very important that the light leaving the fiber and the light returning to the fiber are of the same phase. In contrast, multi-mode fibers are preferred over single-mode fibers for Raman Spectroscopy because multi-mode fibers are capable of higher numerical aperture. They have a greater light-gathering ability than single-mode fibers. This is very important because the photons returning in Raman spectroscopy are quite rare and hard to collect. For these reasons, we proposed to use multi-mode fibers for RS, but have them in such close proximity to the OCT single-mode fibers that the two sets of fibers will be sampling over the same area. This close proximity is quite easily accomplished since the two sets of optical fibers will be within several hundred micrometers of each other. A slight angle polishing of the multi-mode RS fibers can account for that small distance. Evaluate Results 1. Meet criteria for evaluating Concepts The concept does meet the criteria for evaluating concepts. The fiber-optic size of the design is miniaturized compared to the current probe and there should still be proper RS/OCT functionality. 2. Reveal and prevent potential failures It is necessary to produce all possible undesired effects or failures that can occur during the implementaiton of the device miniaturization concept. Event 1.We need to create a fiber optic RS system. To do this, we must align a raman excitation fiber with a raman collection fiber so that the light emitted by the excitation fiber can be detected by the collection fiber. Ideally, the raman fibers should be directly parallel to each other. Event 2.We need to create a fiber optic OCT scanning technique.To make this OCT scanning technique, we must focus the laser beam through a lens so that the beam width is set. Ideally, we must align the beam so that it travels through the lens properly and can be reflected back through the lens directly back into the fiber optic. Event 3.These two mechanisms must not interfere with each other, but also be situated in a manner such that they can ideally be housed together in a probe smaller than 1 cm in diameter. Event 1 Failure Scenarios: 1. The raman fibers are very fragile, and if they are bent too much or dropped then they will be useless. Additionally, the collection is very difficult to gather and it will not be possible to place the raman fibers directly next to each other. Additionally, typical raman fiber setups use more than one collection fiber, but we only have one so there could not be enough collection to generate a raman spectrum. 2. The junction between the raman system and the OCT system could create a conflict because the OCT scanning will take up space that would ideally place the raman fibers right next to each other. 3. The raman light source is very fragile and can potentially be broken any time it is moved. If the light source or raman fibers are bumped into or dropped, then the entire raman system will potentially be ruined. Innovation WorkBench® software. Apr/25/2011, 23:00 7 Inventive Problem Solving 4. The raman laser is powerful enough to damage eyes, so that could have a negative impact. 5. If there is a newcomer or visitor, or general stress, then the likelihood that someone accidentally drops a raman fiber or bumps into the spectrograph and excitation laser is going to be much more likely. Event 2 Failure Scenarios: 1. The frequency cannot exceed the resonant frequency due to the fragility of the piezoelectric. The piezo must not be bent either and should be handled with care. The leads coming off the piezo accuator must not be exposed in order to reduce risks. 2. The interaction between the raman system and the OCT system could create a conflict because the OCT scanning system needs to be aimed at the same area of interest as the raman detection fibers. Additionally, the raman fibers extend beyond the GRIN lens so you need to make sure the OCT laser beam doesn't hit the raman fibers. 3. The piezoelectric setup relies on the assumption that the optical fiber will remain firmly attached to the piezoelectric actuator at all times so that the optical fiber undergoes a smooth scanning motion. But the optical fiber can potentially be detached over time. Additionally, the fiber optic cables being used throughout this system are very fragile and any index mismatching from one cable to the other could result in poor OCT performance. 4. The OCT laser can harm eyes, so there it is dangerous. The piezoelectric leads may also become shorted accidentally and create an electrical hazard and potentially overheat the system. 5. It is difficult to adjust the OCT system without throwing off the alignment of the laser and the GRIN lens. Every time a test is done with the scanning fiber, it is possible that the fiber has moved slightly off axis and is no longer aligned with the lens as well as it originally was. Event 3 Failure Scenarios: 1. The two systems must be combined so that they are assessing the same exact area of tissue. It is possible that during the testing the raman fibers will be bumped or liquid will enter the device if it is being used endoscopically, and this will throw off the performance of the probe. Additionally, as stated above the physical separation between the raman excitation fiber and the raman collection fiber may be too large to generate raman spectrum graphs. 2. This event deals entirely with the junction of different systems in a space approximately 5 mm wide. There is little room for error in the placement of the raman fibers and the OCT fiber alignment. For example, if the tip of a raman fiber obstructs the scanning of the OCT beam, then the probe will not work correctly. 3. If a raman fiber is nudged, the GRIN lens that it is next to would be placed out of alignment. 4. The 1310 nm laser is harful to the users eye. Exposed leeds have 16 V. 5. The lights must be off while acquring data for raman, this could pose a problem if a disturbance were to occur during this time. Step 4. 1. Train user to avoid the laser at eye level 2. Tape all exposed leeds with electrical tape 3. Train user to handle the piezo accuator, GRIN lens, raman and OCT fibers with care 4. Create a rigid housing for all the componenets to eliminate interaction between user and potentially harmful mechanisms in the design. Innovation WorkBench® software. Apr/25/2011, 23:00 8 Inventive Problem Solving 3. Apply Patterns/Lines of Evolution Increasing ideality The ideality of this design is already quite high. It has very useful applications because the probe can potentially noninvasively detect various types of epithelial cancer. It does not present much danger to patients, so it doesn't have any important undesired features. Segmentation Segmentation is an important part of what still needs to be done in the future, especially in terms of the final housing. It would be very helpful if the piezoelectric system within the housing could be dismounted so that it can be repaired without altering the location of the GRIN lens. Then the repaired piezoelectric system could just snap back into place and you could be sure it is already aligned with the GRIN lens. Dynamization Dynamization is another aspect which this probe needs to improve upon. It would be easier to eventually navigate this probe endoscopically if the probe could be more flexible. Additionally, the tail end of the probe involves very fragile fibers running from the probe back to the laser and spectrograph. This portion of the probe should be able to be detached from the rest of the probe so mobilization is easy until the probe is finally in place and ready to diagnose. Increasing controllability The controllability could also be improved. Currently the probe is designed to simply image tissue and then take the biochemical composition of the tissue. If the doctor already knows which type of cancer they are attempting to detect, then perhaps in the future he or she could switch a button and then the OCT imaging and RS detection could be more specialized towards detecting the physical features and biochemical composition associated with that type of cancer. Matching and Mismatching elements Additionally, the matching and mismatching of elements could use improvement because the materials we selected for the housing and the opto mechanics we used were not ideal. A finalized housing system with micromachined mounts and optomechanics would be much more preferable. Also, the current housing being used is rubber, but a more rigid material may be desired to protect the fibers. Then the tip of the fiber may need to be flexible. 4. Plan the implementation The first step of the implementation process is developing the OCT scanning technique. This has potential failures relating to the alignment of the OCT scanning fiber and the GRIN lens. The alignment can be prevented from going off-axis by utilizing micromachining in order to precisely control the position of the piezoelectric actuator and the GRIN lens. Additionally, the fiber optic cable can be permanently glued to the piezoelectric actuator. The next step of the implementation process is setting up the raman spectroscopy portion so that it is spatially registered with the OCT scanning portion of the probe. This can be done by inserting the raman fibers in the plastic lumen that contains the GRIN lens. Then the ends of the raman fibers can be angle polished or situated with miniature mirrors so that the excitation light and the collection area align with the center of the OCT scanning section. Innovation WorkBench® software. Apr/25/2011, 23:00 9 Inventive Problem Solving The final step of the implementation process is converting the bench top design to a handheld prototype. This has potential failures such as misalignment within the housing and the structure must be strong enough to protect the fragile fibers from bending or being damaged. Additionally, if a problem arises within the housing, the technician should be able to easily access the inside of the housing to solve the problem without causing damage to the parts. These repair problems can be prevented by designing a housing system that has multiple connections so that if one part of the device is experiencing problems you don't have to take apart the entire device and put it all back together piece by piece. The misalignment problems can be prevented by utilizing micromachining to create miniature mounts and alignment rails within the housing. Questions That Require Experts: 1. How can the housing be micromachined so that the fiber and lens can remain aligned, and allow for repairs to be made. Dr. Anita Mahadevan-Jansen has spoken to us about a new professor at Vanderbilt who focuses on miniaturizing mechanical apparatuses. 2. How is alignment between the GRIN lens and the optical fiber maintained while the fiber is scanning? We have previously contacted Xingde Li about utilizing piezoelectric actuators with GRIN lenses, and he has successfully implemented them to create OCT scaning. So we will just need to speak with him again. 3. In what ways can we improve raman accuracy other than moving the excitation and detection fibers closer together? We can discuss this with Dr. Chetan Patil or other similarly qualified raman experts. R&D Experiments: The first experiment could be to create a large model of what we hope our final housing to look like, or to create a SolidWorks model. Then we could take these models to the professor mentioned and seek his input for how he thinks we could miniaturize certain parts of the model to cut down the overall size of the housing. He could tell us whether the housing could be less than 1 cm in diameter or not. If that is possible, then the next step would be to develop the housing. If it is not possible, then the next step would be to comporomise between the design criteria and the functionality we want the housing to offer. The second experiment we could do is to replicate the work of Xingde Li in his paper titled "Rapid-scanning forward-imaging miniature endoscope for real-time optical coherence tomography." By replicating his work we should develop a better idea of how GRIN lenses work, and how the light is refracted when it enters at different angles. This would not really provide us with a yes or no answer, but it is very important tot he scanning part of our project. The third experiment could involve researching different fiber optic raman spectroscopy papers and finding out which methods were the most accurate and whether they had any special types of filters or excitation fibers to increase the accuracy. Then we could test a raman spectroscopy setup alone, without any OCT components and see if the accuracy is improved. If the accuracy is greatly improved, then we can repeat the test with the OCT components in place. If the accuracy is not any better then we will need to find another way to improve the raman accuracy. Innovation WorkBench® software. Apr/25/2011, 23:00 10