Patents

Lucid maintains an aggressive intellectual property program and has obtained numerous U.S. and international patents for its imaging and information technology. Abstracts of these patents are listed here and the complete patents, including illustrations, can be downloaded in PDF format using the corresponding links.

Patents:

7,321,394
Automatic Gain Control For A Confocal Imaging System
Inventor: Scott R. Grodevant

7,227,630
Imaging of Surgical Biopsies
Inventor: James M. Zavislan, Roger J. Greenwald

7,225,010
System and Method for Confocal Imaging Within Dermal Tissue
Inventor: James M. Zavislan

7,194,118
System for Optically Sectioning and Mapping Surgically Excised Tissue
Inventors: Duncan Harris, James M. Zavislan

7,190,990
Cellular Surgery Utilizing Confocal Microscopy
Inventors: James M. Zavislan, Roger J. Greenwald

7,139,122
System and Method for Enhancing Confocal Reflectance Images of Tissue Specimens
Inventors: Jay M. Eastman, Milind Rajadhyaksha, James M. Zavislan

7,110,114
System and Method for Enhancing Confocal Reflectance Images of Tissue Specimens
Inventor: Milind Rajadhyaksha, James M. Zavislan

7,047,064
Microscopic Imaging Apparatus and Method
Inventor: James M. Zavislan, Jay M. Eastman

7,003,345
System and Method for Enhancing Microscope Images of Tissue using Citric Acid and Agents of the Like
Inventor: Jay M. Eastman

6,937,886
System for Confocal Imaging Within Dermal Tissue
Inventor: James M. Zavislan

6,577,394
Imaging System Using Polarization Effects to Enhance Image Quality
Inventors: James M. Zavislan

6,424,852
System for Confocal Imaging within Dermal Tissue
Inventors: James M. Zavislan

6,413,252
Confocal Microscope for Facilitating Cryosurgery of Tissue
Inventors: James M. Zavislan

6,411,434
Cassette for Facilitating Optical Sectioning of a Retained Tissue Specimen
Inventors: Jay M. Eastman, William J. Fox, Roger J. Greenwald, Kevin P. Roesser, and James M. Zavislan

6,360,115
System for Imaging Mechanically Stabilized Tissue
Inventors: Roger J. Greenwald and Milind Rajadhyaksha

6,330,106
Tissue Specimen Holder
Inventors: Roger J. Greenwald and James M. Zavislan

6,304,373
Imaging System using Multi-Mode Laser Illumination to Enhance Image Quality
Inventors: James. M. Zavislan

6,263,233
Handheld Imaging Microscope
Inventors: James M. Zavislan and Jay M. Eastman

6,134,010
Imaging System Using Polarization Effects to Enhance Image Quality
Inventors: James M. Zavislan

6,134,009
Imaging System Using Polarization Effects to Enhance Image Quality
Inventors: James m. Zavislan

5,995,867
Cellular Surgery Utilizing Confocal Microscopy
Inventors: James M. Zavislan, Roger J. Greenwald

5,978,695
System for Imaging Mechanically Stabilized Tissue
Inventors: Roger J. Greenwald, Milind Rajadhyaksha

5,860,967
Dermatological Laser Treatment System with Electronic Visualization of the Area Being Treated
Inventors: James M. Zavislan, Jay M. Eastman

5,836,877
System for Facilitating Pathological Examination of a Lesion in Tissue
Inventors: James M. Zavislan

5,788,639
Confocal Imaging Through Thick Dermal Tissue
Inventors: James M. Zavislan and Jay M. Eastman

5,653,706
Dermatological Laser Treatment System with Electronic Visualization of the Area Being Treated
Inventors: James M. Zavislan, Jay M. Eastman

5,632,741
Epilation System
Inventors: James M. Zavislan, Steven H. Tomson

D523,883
Confocal Microscope imaging Head
Inventors: Christopher C. DiStasio, William J. Fox

D492,997
Confocal Microscope Having a Positionable Imaging Head for Cellular Imaging of Skin, Other Living Tissue and Biological Processes
Inventors: Christopher C. DiStasio

780,933 (Australia)
System for facilitating pathological examination of a lesion in tissue
Inventors: James M. Zavislan

755,153 (Australia)
Imaging system using multi-mode laser illumination to enhance image quality
Inventors: James M. Zavislan

752,872 (Australia)
Confocal imaging through thick dermal tissue
Inventors: James M. Zavislan and Jay M. Eastman

749,435 (Australia)
System for facilitating pathological examination of a lesion in tissue
Inventors: James M. Zavislan

7,321,394
Automatic Gain Control For A Confocal Imaging System
Inventor: Scott R. Grodevant

Abstract:
Automatic gain control is provided for a confocal imaging system to improve the quality of images produced by the system. The confocal imaging system utilizes an illumination source, such as a laser, to produce illumination which enables imaging of an object. The automatic gain control is provided by an automatic gain controller which receives a raster scan video of two-dimensional frames of images from the confocal imaging system, converts the raster scan video into pixels, where each pixel has a brightness value, and then counts, in each frame, the number of pixels which are too bright, the number of pixels which are too dim, and the total number of pixels. After each frame is received, the laser of the confocal imaging system is controlled in accordance with signal(s) produced by the automatic gain controller, whereby the power to the illumination source is reduced when the number of pixels too bright exceeds a number representing a first percentage of the total pixels of the frame, and the number of pixels too dim is greater than a number representing a second percentage of the total pixels of the frame, and the power of the illumination source is increased when the number of pixels too dim is less than the number representing the second percentage of the total pixels of the frame, and the number of pixels too bright in the image is less than the number representing the first percentage of the total pixels of the frame. The automatic gain controller may be operative over either the entire frame of the image, or a rectangular region in the image.

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7,227,630
Imaging of Surgical Biopsies
Inventors: James M. Zavislan, Roger J. Greenwald

Abstract:
In order to determine, rapidly and without the delay required by conventional tissue preparation techniques for pathological examination (freezing, sectioning, staining, etc.), whether, an excision, which may be a biopsy sample, is representative of the morphology of interest of whether an excisional biopsy in which the tissue taken completely removes the abnormality is, in either case, the tissue which is desired to be excisioned, the tissue specimen (18) in encapsulated, preferably as part of the biopsy procedure. The encapsulated tissue is contained in an optically transparent cassette 934). The cassette 924) or an endcap (38) enclosing the cassette is marked with a fiducial (40) indicating and corresponding to the location of the excision on the patient's body. An image, which is preferable a representation of a surface of the tissue specimen and the vertical section(s) area of the tissue internal of the specimen and adjacent to a surface thereof, is obtained by means of an electro-optical imaging system (10), preferably a confocal laser scanning microscope. The cassette is moved, preferably in a stage 922) which rotates the cassette while translating it, so that the head (12) of the confocal microscope 9its objective lens) provides a linear scan in a direction perpendicular to the wall of the cassette (also perpendicular to the surface of the tissue encapsulated in the cassette). The display (28) from the microscope indicates the morphology at and in proximity to the surface of the specimen as well as the location thereof. The pathologist and the surgeon is thereby provided with information concerning the specimen and whether the entire abnormality desired to be removed has indeed been removed and/or whether the biopsy is representative of the body region of interest in the case of a biopsy sample.

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7,225,010
System and Method for Confocal Imaging Within Dermal Tissue
Inventor:James M. Zavislan

Abstract:
An improved system for confocal imaging within dermal tissue of a patient is provided which minimizes instability in confocal images by reducing the relative motion of the tissue with respect to the confocal imaging optics of the system. The system includes a mechanism for maintaining an area of skin tissue under stress by application of force at the edges of the area, and an imaging head coupled to this mechanism for imaging the stressed skin. The mechanism includes a mechanical structure, such as a platen brace, or attachment, which both supports the imaging head of the system and applies stress to a limited surface area of the tissue to minimize skin motion during confocal imaging.

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7,194,118
System for Optically sectioning and Mapping Surgically Excised Tissue
Inventors: Duncan Harris, James M. Zavislan

Abstract:
A display (34) provides from digital images of an excised tissue specimen the orientation and location of tissue and regions of interest (cancers). Images of slices through excised specimen are obtained using a confocal microscope (10) to obtain confocal maps to provide a mosaic of images each of which corresponds to a different map element. A macroscopic image of significant map elements and high resolution images of selected elements are provided to locate and mark regions which are cancerous thereby assisting the surgeon to excise such regions.

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7,190,990
Cellular Surgery Utilizing Confocal Microscopy
Inventor: James M. Zavislan, Roger J. Greenwald

Abstract:
An improved system for cellular surgery which includes a laser for producing a laser beam, and confocal optics for scanning and focusing the laser beam in tissue and generating confocal images of the tissue in accordance with returned light from the tissue. The confocal images are visualized on a on a display. The system includes a controller for enabling the operator to select one or more cells of the tissue in the displayed confocal images for surgical treatment. The controller operates the laser and confocal optics in a first mode to treat the tissue when the confocal optics focus the laser beam at least one region associated with the selected cells in the tissue, but at all other times operates the laser and confocal optics in a second mode which does not damage the tissue. The treatment may be localized to concentrate the energy of the laser to the region including the selected cell or cells, or the treatment may be non-localized to distribute the energy of the laser to the region which includes the selected cell(s) and also the cells of the tissue surrounding such selected cell(s). In another embodiment, an apparatus is provided having a confocal imaging system, which focuses a first laser beam through confocal optics to tissue and provides confocal images of the tissue, and a treatment system which focuses a second laser beam through the confocal optics coaxial with the first laser beam for treating at one or more selected locations in the imaged tissue.

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7,139,122
System and Method for Enhancing Confocal Reflectance Images of Tissue Specimens
Inventors: Jay M. Eastman, Milind Rajadhyaksha, James M. Zavislan

Abstract:
A system using cross polarization effects and an enhancement agent having citric or other similar alpha hydroxy acid to enhance confocal microscope reflectance images and particularly images of the nuclei of BCCs (basal cell carcinomas) and SCCs (squamous cell carcinomas) in the confocal reflectance images of excised tumor slices obtained during Mohs surgery by illuminating the tissue being imaged (a tumor slice) using polarized light. The reflected illumination is passed to a polarization analyzer, which passes the polarization component which is crossed with respect to the polarization component which is crossed with respect to the polarization of the illuminating light. The light from the analyzer is passed through the confocal aperture and detected. The section of the tissue either at the surface within the tissue is scanned and the reflectance image is produced with enhanced visualization of the cellular or nuclear structure thereof thereby enabling determination of the extent of the tumor (cancerous cells) in the section. A method is also provided using the system for diagnosing cancerous cells in skin tissue.

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7,110,114
System and Method for Enhancing Confocal Reflectance Images of Tissue Specimens
Inventor: Milind Rajadhyaksha, James M. Zavislan

Abstract:
A confocal scanning microscope system (10) using cross polarization effects and an enhancement agent (acetic acid) to enhance confocal microscope reflectance images of the nuclei of BCCs (basal cell carcinoma) and SCCs (squamous cell carcinomas) in the confocal reflectance images of excised tumor slices. The confocal scanning microscope system having a laser (11) for generating an illumination beam (12), a polygon mirror (18) for scanning the beam to a tissue sample (22) and for receiving a return beam from the tissue sample and detector (28) for detecting the returned beam to form an image. The system further includes a half-waveplate (13) having a rotatable stage (14) and a quarter-wave plate (21) having a rotatable stage (20) disposed in the optical path of the illumination beam and at least a linear polarizer (24) having a rotatable stage (25) disposed in the optical pat of the returned beam from the tissue sample.

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7,047,064
Microscopic Imaging Apparatus and Method
Inventor: James M. Zavislan, Jay M. Eastman

Abstract:
An imaging apparatus is provided for imaging tissue samples substantially beneath the surface of the tissue sample. The apparatus includes an objective lens and a window defining a tissue contacting surface in pressure contacting relationship with the surface of the tissue sample when the tissue sample is imaged by the objective lens to view tissue structures for pathological applications. The objective lens focuses an illumination beam through the window to the tissue sample and receives returned reflected lights of the beam representative of one of more sections of the tissue sample. The apparatus enables a method for in-vivo observation of tissue for diagnosis of conditions substantially beneath the surface of the tissue sample. Both two and three-dimensional imaging may be provided for diagnosis and location of basal cell carcinomas and melanomas, and so as to enable visualization of tumor borders prior to excision.

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7,003,345
System and Method for Enhancing Microscope Images of Tissue using Citric Acid and Agents of the Like
Inventor: Jay M. Eastman

Abstract:
A system and method for enhancing images of ex-vivo or in-vivo tissue produced by confocal microscopy, optical coherence tomography, two-photon microscopy, or ultra-sound, is provided by applying to the tissue a solution or gel having an effective concentration of citric or other alpha-hydroxy acid which enhances tissue structures, such as cellular nuclei, in such images. Such concentration may be 3-20% acid, and preferably 5% acid.

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6,937,886
System for Confocal Imaging Within Dermal Tissue
Inventor: James M. Zavislan

Abstract:
An improved system for confocal imaging within dermal tissue of a patient is provided which minimizes instability in confocal images by reducing the relative motion of the tissue with respect to the confocal imaging optics of the system. The system includes a mechanism for maintaining an area of skin tissue under stress by application of force at the edges of the area, and an imaging head coupled to this mechanism for imaging the stressed skin. The mechanism includes a mechanical structure, such as a platen, brace, or attachment, which both supports the imaging head of the system and applies stress to a limited surface area of the tissue to minimize skin motion during confocal imaging.

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6,577,394
Imaging System Using Polarization Effects to Enhance Image Quality
Inventors: James M. Zavislan

Abstract:
The quality of images produced by confocal microscopy, and especially scanning laser confocal microscopy, is enhanced especially for images obtained in turbid mediums such as many biological tissue specimens, by reducing speckle from scatterers that exist outside (above and below) the section which is being imaged by utilizing sheared beams, both of which are focused to laterally or vertically offset spots and polarizing the beams to have opposite senses of circular polarization (right and left handed circular polarization). The return light from the section of certain polarization is detected after passing through the confocal aperture of the confocal microscope. Images can be formed using optical coherence detection of the return light.
Light from scatterers outside the section of interest, which are illuminated by both of the sheared beams, interfere thereby reducing speckle due to such scatterers, and particularly scatters which are adjacent to the section being imaged. Sheared beams having orthogonal linear polarization, as may be obtained from a Wollaston or Nomarski prism are converted into circularly polarized beams of opposite polarization sense by a quarter wave plate and focused into laterally displaced spots. A Dyson type lens is used to obtain sheared beams which when focused form vertically displaced spots. The optical signals representing reflections from the section are derived by polarizing optics which may either be a polarizing beamsplitter in the incident beam path or a retarder and analyzer. The retarder may be selected to provide different polarization phase shifts of the return light, and with the analyzer, detects the degree of elliptical polarization representing the optical activity and circular dichroism producing the optical signal representing the image.

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6,424,852
System for Confocal Imaging within Dermal Tissue
Inventors: James M. Zavislan

Abstract:
An improved system for confocal imaging within dermal tissue of a patient is provided which minimizes instability in confocal images by reducing the relative motion of the tissue with respect to the confocal imaging optics of the system. The system includes a mechanism for maintaining an area of skin tissue under stress by application of force at the edges of the area, and an imaging head coupled to this mechanism for imaging the stressed skin. The mechanism includes a mechanical structure, such as a platen, brace, or attachement, which both supports the imaging head of the system and applies stress to a limited surface area of the tissue to minimize skin motion during confocal imaging.

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6,413,252
Confocal Microscope for Facilitating Cryosurgery of Tissue
Inventors: James M. Zavislan

Abstract:
A confocal microscope is provided including a confocal imaging system having an objective lens, and a device which can be an attachment to the confocal imaging system, or a part thereof. the device has a housing with an interior cavity and two opposite ends, where one end ofthe housing receives the objective lens, and at the other end of the housing which is attached to, or is a part of, the housing which forms that other end. The chamber has first and second plates presenting two opposing sides oft eh chamber, where the first plate lies adjacemnt tothe tissue to b e treated and the second plate is attached to the housing. The interior cavity of the housing has a window defining a first volume between the window and the objective lens, and a second volume between the window and the chamber. The first volume has an immersion liquid optically matched to the objective lens, and the second volume is approximately evacuated. The confocal imaging system, via the device, focuses light into the tissue and collects returned light from the tissue to produce images representing one or more sections of the tissue. To freeze the tissue, the chamber receives a cyrogenic fluid, such as liquid nitrogen, thereby cryosurgically treating the tissue below the chamber which includes the imaged tissue. The chamber has an input port to receive the cryogenic fluid and an ouput port to vent the cryogenic fluid. The confcal microscope can provide images of the tissue before, during and after cryosurgical treatment.

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6,411,434
Cassette for Facilitating Optical Sectioning of a Retained Tissue Specimen
Inventors: Jay M. Eastman, William J. Fox, Roger J. Greenwald, Kevin P. Roesser, and James M. Zavislan

Abstract:
A cassette for retaining a specimen of surgically exposed tissue from a patient in an orientation that facilitates optical sectioning of the tissue by a confocal microscopic or other optical imaging microscope. The cassette includes a base member having a rigid optically transparent window upon which a tissue specimen is situated, a pliable membrane locatable over a substantial portion of the base member including the window, and an upper window sealing the tissue specimen therein. With the tissue specimen in the encloed cavity of the cassette, the edges of the tissue specimen may be positined planar against the window and retained in that position by bonds formed between the membrane and window at mulitiple points or locations around the tissue specimen. The specimen retained in the cavity is viewable through the aperture of the upper member and imagible by a confocal microscope, or other optical imaging microscope, through the window of the base member. The base member has an injection port through which fluid may be inserted and removed from the cavity of the cassette in which the tissue specimen is retained. Such fluids can facilitate imaging of the specimen by an optical imaging microscope, or can be used to place the specimen in the preservative for archival purposes. A label with indicia identifying the tissue specimen may be applied to the cassette. The cassette may be part of a confocal imaging system to produce microscopic images of sections of the tissue specimen useful for Mohs surgery.

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6,360,115
System for Imaging Mechanically Stabilized Tissue
Inventors: Roger J. Greenwald and Milind Rajadhyaksha

Abstract:
A system is provided having a clamping apparatus with first and second members, which are spaced apart from each other. An attachment mechanism is connected to the first member for attaching the apparatus to a confocal imaging system. This attachment mechanism has a surface with a window facing the tissue to be examined. Opposing this surface is a third member connected to the second member. A clamping mechanism includes the first and second members for clamping the tissue between the surface of the attachment mechanism and the surface of the third member, thereby stabilizing the tissue to the confocal imaging system. The window of the attachment mechanism presents the clamped tissue to the confocal imaging system.

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6,330,106
Tissue Specimen Holder
Inventors: Roger J. Greenwald and James M. Zavislan

Abstract:
A tray or holder for tissue specimens, especially of excised tissue, such as biopsied specimens, is used with a confocal imaging system, especially a laser scanning confocal microscope system. The tray may be disposable after imaging of the specimen carried therein or may archive the specimen. A window supports the specimen. Clamps mounted inside the tray restrain the tissue. A compliant bag is mounted outside the tray on one side of a window of the tray on which the specimen is disposed. During imaging the specimen is immersed in a liquid contained in the tray having an index of refraction which closely matches the index of refraction of the tissue. The bag also contains an index matching liquid preferably having the same index as the liquid in the tray. A stabilizing plate is attached to a surface of the bag which faces the window. Selecting an immersion liquid, which equals the refractive index of the near surface tissues, minimizes wavefront distortion which may result from an effectively corrugated surface of the specimen.

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6,304,373
Imaging System using Multi-Mode Laser Illumination to Enhance Image Quality
Inventors: James. M. Zavislan

Abstract:
The quality of image produced by confocal microscopy, and especially scanning laser confocal microscopy, is enhanced especially for images obtained in turbid mediums such as many biological tissues specimens, by reducing speckle from scatterers that exist outside (above and below) the section which is being imaged by utilizing reduced coherence illumination, such as provided by a multi-mode laser. The laser beam is focused to provide its intensity in lobes forming offset spots in opposite (180.degree.) amplitude phase relationship. The lobes are combined in the return light from the section and detected after passing through the confocal aperture of the confocal microscope. Images can be formed from the detected return light. Light from scatterers outside the section of interest, which are illuminated by both of the lobes beams overlap outside the section and interfere, thereby reducing speckle due to such scatterers, and particularly scatters which are adjacent to the section being imaged.

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6,263,233
Handheld Imaging Microscope
Inventors: James M. Zavislan and Jay M. Eastman

Abstract:
A handheld imaging microscope for imaging tissue samples substantially beneath the surface of the tissue sample. The microscope includes an objective lens and a window defining a tissue contacting surface in pressure contacting relationship with the surface of the tissue sample when the tissue sample is imaged by the objective lens to view tissue structures for pathological applications. The objective lens focuses an illumination beam through the window to the tissue sample and receives returned reflected light of the beam representative of one or more sections of the tissue sample.

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6,134,010
Imaging System Using Polarization Effects to Enhance Image Quality
Inventors: James M. Zavislan

Abstract:
The quality of images produced by confocal microscopy, and especially scanning laser confocal microscopy, is enhanced especially for images obtained in turbid mediums such as many biological tissue specimens, by reducing speckle from scatterers that exist outside (above and below) the section which is being imaged by utilizing sheared beams, both of which are focused to laterally or vertically offset spots and polarizing the beams to have opposite senses of circular polarization (right and left handed circular polarization). The return light from the section of certain polarization is detected after passing through the confocal aperture of the confocal microscope. Images can be formed using optical coherence detection of the return light. Light from scatterers outside the section of interest, which are illuminated by both of the sheared beams, interfere thereby reducing speckle due to such scatterers, and particularly scatters which are adjacent to the section being imaged. Sheared beams having orthogonal linear polarization, as may be obtained from a Wollaston or Nomarski prism are converted into circularly polarized beams of opposite polarization sense by a quarter wave plate and focused into laterally displaced spot. A Dyson type lens is used to obtain sheared beams which when focused form vertically displaced spots. The optical signals representing reflections from the section are derived by polarizing optics which may either be a polarizing beamsplitter in the incident beam path or a retarder and analyzer. The retarder may be selected to provide different polarization phase shifts of the return light, and with the analyzer, detects the degree of elliptical polarization representing the optical activity and circular dichroism producing the optical signal representing the image.

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6,134,009
Imaging System Using Polarization Effects to Enhance Image Quality
Inventors: James m. Zavislan

Abstract:
The quality of images produced by confocal microscopy, and especially scanning laser confocal microscopy, is enhanced expecially for images obtained in turbid mediums such as many biological tissue specimens, by reducing speckle from scatterers that exist outside (above and below) the focal plane region which is being imaged by utilizing sheared beams, both of which are focused to spots in the focal or image plane (region of interest) and polarizing the beams to have the opposite senses of circular polarization (right and left handed circular polarization). The return light from the image plane of certain polarization is detected after passing through the confocal aperture of the confocal microscope. Light from scatterers outside the region of interest, which are illuminated by both of the sheared beams, interfere thereby reducing speckle due to such scatterers, and particularly scatters which are adjacent to the image plane. Sheared beams having orthogonal linear polarization, as may be obtained from a Wollaston or Nomarski prism are converted into circularly polarized beams of opposite polarization sense by a quarter wave plate. The optical signals representing reflections from the focal plane are derived by polarizing optics which may either, be a polarizing beamsplitter in the incident beam path or with a retarder and analyzer. The retarder may be selected to provide different polarization phase shift of the return light, and with the analyzer, detects the degree of elliptical polarization representing the optical activity and circular dichroism producing the optical signal representing the image.

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5,995,867
Cellular Surgery Utilizing Confocal Microscopy
Inventors: James M. Zavislan, Roger J. Greenwald

Abstract:
An improved system for cellular surgery which includes a laser for producing a laser beam, and confocal optics for scanning and focusing the laser beam in tissue and generating confocal images of the tissue in accordance with returned light from the tissue. The confocal images are visualized on a display. The system includes a controller for enabling the operator to select one or more cells of the tissue in the displayed confocal images for surgical treatment. The controller operates the laser and confocal optics in a first mode to treat the tissue when the confocal optics focus the laser beam at at least one region associated with the selected cells in the tissue, but at all other times operates the laser and confocal optics in a second mode which does not damage the tissue. The treatment may be localized to concentrate the energy of the laser to the region including the selected cell or cells, or the treatment may be non-localized to distribute the energy of the laser to the region which includes the selected cell(s) and also the cells of the tissue surrounding such selected cell(s). In another embodiment, an apparatus is provided having a confocal imaging system, which focuses a first laser beam through confocal optics to tissue and provides confocal images of the tissue, and a treatment system which focuses a second laser beam through the confocal optics coaxial with the first laser beam for treating at one or more selected locations in the imaged tissue.

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5,978,695
System for Imaging Mechanically Stabilized Tissue
Inventors: Roger J. Greenwald, Milind Rajadhyaksha

Abstract:
A system is provided having a clamping apparatus with first and second members, which are spaced apart from each other. An attachment mechanism is connected to the first member for attaching the apparatus to a confocal imaging system. This attachment mechanism has a surface with a window facing the tissue to be examined. Opposing this surface is a third member connected to the second member. A clamping mechanism includes the first and second members for clamping the tissue between the surface of the attachment mechanism and the surface of the third member, thereby stabilizing the tissue to the confocal imaging system. The window of the attachment mechanism presents the clamped tissue to the confocal imaging system.

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5,860,967
Dermatological Laser Treatment System with Electronic Visualization of the Area Being Treated
Inventors: James M. Zavislan, Jay M. Eastman

Abstract:
A hand held microsurgical instrument for applying laser energy to selected locations (sites) in an area under the skin (or other exposed translucent tissue) to provide localized photothermolysis of underlying tissue at these sites, is described. The laser energy is focused into a spot within the tissue. This spot is of sufficiently small size so that the energy density is sufficient to provide surgical or treatment effects within the tissue without damaging the surface tissue. In dermatology, for example, the technique can be used to destroy endothelial cells in blood vessels which are desired to be removed, such spider veins (nevi) in the skin, hair follicles to prevent hair growth therefrom, or other micro-surgical procedures. The area is visualized while the laser beam is steered, using a deflection system, in X and Y coordinates. A telecentric optical system, in which a mirror of the deflection system is located, directs the laser light essentially perpendicular to the area to be treated as the beam is scanned over the area. The optical system also focuses illumination light reflected from the area to a sensor matrix of a CCD video camera. The reflected illumination light is imaged essentially parallel to the optical axis in the object space thereby providing a precise, high resolution image corresponding to the area. The laser beam may be tracked as it is defected over the area to the selected locations by visualization thereof on a display or monitor associated with the video camera. The locations are then apparent to the treating physician who can then effect an increase of the beam power or turn the beam on so as to treat the tissue in the selected locations.

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5,836,877
System for Facilitating Pathological Examination of a Lesion in Tissue
Inventors: James M. Zavislan

Abstract:
In order to facilitate pathological examination of a lesion in in-vivo tissue, a system and method are provided having a computer system in which both a camera for producing a digital macroscopic picture of the lesion and an imager are coupled to the computer system. The imager is responsive to the computer system and has optics for scanning the lesion to generate images representing microscopic sections of the lesion which provide sufficient information for pathological examination of the lesion. The computer system generates location information, referencing the location in the macroscopic picture of the lesion where the lesion was scanned to the images, and stores data in an electronic file structure which contains at least a representation of the images, a representation of the macroscopic picture, and the location information. The file structure may then be sent to another computer system for viewing the images stored in the file structure to facilitate pathological examination of the lesion by persons trained to interpret such images, adding a diagnostic report about the lesion to the data of the file structure, and sending back the file structure to the computer system that originated it.

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5,788,639
Confocal Imaging Through Thick Dermal Tissue
Inventors: James M. Zavislan and Jay M. Eastman

Abstract:
A hand held confocal imaging system for in vivo observation of dermal and subdermal tissue allows diagnosis of conditions substantially beneath the surface of the skin. A confocal head has optics which scan the tissue so as to provide images of vertical sections of the tissue. Both two and three dimensional imaging may be provided for diagnosis and location of basal cell carcinomas and melanomas, and so as to enable visualization of tumor borders prior to excision.

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5,653,706
Dermatological Laser Treatment System with Electronic Visualization of the Area Being Treated
Inventors: James M. Zavislan, Jay M. Eastman

Abstract:
A hand held microsurgical instrument for applying laser energy to selected locations (sites) in an area under the skin (or other exposed translucent tissue) to provide localized photothermolysis of underlying tissue at these sites, is described. The laser energy is focused into a spot within the tissue. This spot is of sufficiently small size so that the energy density is sufficient to provide surgical or treatment effects within the tissue without damaging the surface tissue. In dermatology, for example, the technique can be used to destroy endothelial cells in blood vessels which are desired to be removed, such as spider veins (nevi) in the skin, hair follicles to prevent hair growth therefrom, or other microsurgical procedures. The area is visualized while the laser beam is steered, using a deflection system, in X and Y coordinates. A telecentric optical system, in which a mirror of the deflection system is located, directs the laser light essentially perpendicular to the area to be treated as the beam is scanned over the area. The optical system also focuses illumination light reflected from the area to a sensor matrix of a CCD video camera. The reflected illumination light is imaged essentially parallel to the optical axis in the object space thereby providing a precise, high resolution image corresponding to the area. The laser beam may be tracked as it is deflected over the area to the selected locations by visualization thereof on a display or monitor associated with the video camera. The locations are then apparent to the treating physician who can then effect an increase of the beam power or turn the beam on so as to treat the tissue in the selected locations.

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5,632,741
Epilation System
Inventors: James M. Zavislan, Steven H. Tomson

Abstract:
In order to remove hair growing in subcutaneous (below the skin's surface) tissue and to do so permanently, the hair and its root structure is epilated (vaporized) in an ablation cavity of essentially the same size and shape as the volume occupied by the root structure which includes follicle, the follicle bulb and the dermal papilla. Optical energy is used which is of a wavelength and fluence sufficient to cause epilation in the cavity without relying upon selective photothermolysis thereby limiting damage to tissue outside of the hair root structure. To find and restrict the optical energy to the epilation cavity, an optical system, which may be constituted of a single lens, having a numerical aperture of F/5-5.8 is used. The beam is generated by a laser which may be operated in a pulse mode and contained in a hand piece having the optical system at the end thereof. In order to facilitate epilation, a medium such as cold compress or a freezing agent, may be applied before application of the laser energy in order to cause the root structure and the hair to move to a location generally perpendicular to the surface of the skin. During application of the laser energy, the root structure and the hair, if present is progressively ablated and vaporized until the bottom of the hair bulb is reached at which time the beam is turned off. Because of the shaping effect of the optical system, the beam is diffused so as to have insufficient fluence to damage the tissue below the bottom of the hair follicle bulb.

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D523,883
Confocal Microscope imaging Head
Inventors: Christopher C. DiStasio, William J. Fox

Abstract:
The ornamental design for confocal microscope imaging head.

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D492,997
Confocal Microscope Having a Positionable Imaging Head for Cellular Imaging of Skin, Other Living Tissue and Biological Processes
Inventors: Christopher C. DiStasio

Abstract:
The ornamental design for a confocal microscope having a positionable imaging head for cellular imaging of skin, other living tissue and biological processes.

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780,933 (Australia)
System for facilitating pathological examination of a lesion in tissue
Inventors: James M. Zavislan

Abstract:
In order to facilitate pathological examination of a lesion in in vivo tissue, an apparatus and method are provided according to which an electronic file storing images of the lesion are received by the pathology computer. The pathology computer has means for viewing the information in the electronic file generated by the exam computer and means which enable the pathologist to generate a diagnostic report based on the viewed images of the lesion. The invention further includes a method for telepathological examination of a lesion.

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755,153 (Australia)
Imaging system using multi-mode laser illumination to enhance image quality
Inventors: James M. Zavislan

Abstract:
A confocal microscope system for viewing a section which returns light from the section and sites around the section and which comprises a source of light and confocal optics

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752,872 (Australia)
Confocal imaging through thick dermal tissue
Inventors: James M. Zavislan and Jay M. Eastman

Abstract:
A hand held confocal imaging system for in vivo observation of dermal and subdermal tissue allows diagnosis of conditions substantially beneath the surface of the skin. A confocal head has optics which scan the tissue so as to provide images of vertical sections of the tissue. Both two and three dimensional imaging may be provided for diagnosis and location of basal cell carcinomas and melanomas, and so as to enable visualization of tumor borders prior to excision.

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749,435 (Australia)
System for facilitating pathological examination of a lesion in tissue
Inventors: James M. Zavislan

Abstract:
In order to facilitate pathological examination of a lesion (23a in in-vivo tissue, a system and method are provided having a computer system in which both a camera (19) for producing a digital macroscopic picture of the lesion and an imager (22) are coupled to the computer system. The imager is responsive to the computer system and has optics for scanning the lesion to generate images representing microscopic sections of the lesion which provide sufficient information for pathological examination of the lesion. The computer system generates location information, referencing the location in the macroscopic picture of the lesion where the lesion was scanned to the images, and stores data in an electronic file structure which contains at least a representation of the images, a representation of the macroscopic picture, and the location information. The file structure may then be sent to another computer system for viewing the images stored in the file structure to facilitate the pathological examination of the lesion by persons trained to interpret such images, adding a diagnostic report about the lesion to the data of the file structure, and sending back the file sturcture to the computer system that originated it.

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