US 7,515,953 B2
Techniques for identifying molecular structures and treating cell types lining a body lumen using fluorescence
Igal Madar, Baltimore, Md. (US); and John C. Murphy, Clarksville, Md. (US)
Assigned to The Johns Hopkins University, Baltimore, Md. (US)
Filed on Aug. 01, 2003, as Appl. No. 10/633,446.
Claims priority of provisional application 60/400325, filed on Aug. 01, 2002.
Prior Publication US 2004/0092825 A1, May 13, 2004
Int. Cl. A61B 6/00 (2006.01)
U.S. Cl. 600—476  [348/68; 348/69; 600/411; 600/414] 32 Claims
OG exemplary drawing
 
1. A method for detecting fluorescence emitted by cells in a wall of a body lumen, comprising the steps of:
a. introducing a capsule swallowable by a human into a body lumen;
b. illuminating cells in a lumen wall of the body lumen from a light source mounted in the capsule with a wavelength that excites a particular fluorescent signal;
c. introducing to cells in the lumen wall including the illuminated cells, an exogenous fluorescent-labeled probe that binds to or is internalized by certain cells in the lumen wall comprising releasing the exogenous fluorescent-labeled probe from a first reservoir in the capsule and the particular fluorescent signal is emitted by the exogenous probe;
d. generating an electric field from an electrode in the capsule to enhance uptake of the exogenous probe;
e. detecting at a detector mounted in the capsule whether illuminated cells illuminated during step b emit the particular fluorescent signal;
f. if the particular fluorescent signal is detected from the illuminated cells, then determining at least one of an intensity and a position in the lumen wall of the detected fluorescent signal;
g. releasing a drug from a second reservoir in the capsule for killing abnormal cells indicated by the detected particular fluorescent signal; and
h. controlling the movement of the capsule to keep it in place to monitor the efficacy of treatment by the released drug.