4.5 Article

Biomedical device innovation methodology: applications in biophotonics

Journal

JOURNAL OF BIOMEDICAL OPTICS
Volume 23, Issue 2, Pages -

Publisher

SPIE-SOC PHOTO-OPTICAL INSTRUMENTATION ENGINEERS
DOI: 10.1117/1.JBO.23.2.021102

Keywords

medical device; innovation; biophotonics; biodesign

Ask authors/readers for more resources

The process of medical device innovation involves an iterative method that focuses on designing innovative, device-oriented solutions that address unmet clinical needs. This process has been applied to the field of biophotonics with many notable successes. Device innovation begins with identifying an unmet clinical need and evaluating this need through a variety of lenses, including currently existing solutions for the need, stakeholders who are interested in the need, and the market that will support an innovative solution. Only once the clinical need is understood in detail can the invention process begin. The ideation phase often involves multiple levels of brainstorming and prototyping with the aim of addressing technical and clinical questions early and in a cost-efficient manner. Once potential solutions are found, they are tested against a number of known translational factors, including intellectual property, regulatory, and reimbursement landscapes. Only when the solution matches the clinical need, the next phase of building a to market strategy should begin. Most aspects of the innovation process can be conducted relatively quickly and without significant capital expense. This white paper focuses on key points of the medical device innovation method and how the field of biophotonics has been applied within this framework to generate clinical and commercial success. (C) 2017 Society of Photo-Optical Instrumentation Engineers (SPIE)

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Biochemical Research Methods

Analysis of strain estimation methods in phase-sensitive compression optical coherence elastography

Jiayue Li, Ewelina Pijewska, Qi Fang, Maciej Szkulmowski, Brendan F. Kennedy

Summary: In this study, the two most prevalent strain estimation methods used in compression optical coherence elastography (OCE) were analyzed and compared. A new phase unwrapping algorithm was proposed and combined with one of the methods, which resulted in improved accuracy and contrast in strain imaging.

BIOMEDICAL OPTICS EXPRESS (2022)

Article Optics

Subcellular mechano-microscopy: high resolution three-dimensional elasticity mapping using optical coherence microscopy

Alireza Mowla, Jiayue Li, Matt S. Hepburn, Samuel Maher, Lixin Chin, George C. Yeoh, Yu Suk Choi, Brendan F. Kennedy

Summary: This study presents a subcellular mechano-microscopy technique based on optical coherence microscopy, which enables more accurate mapping of cellular elasticity in three dimensions with higher resolution and contrast. This technique has important implications in cellular mechanics research and biomedical applications.

OPTICS LETTERS (2022)

Article Biochemical Research Methods

Multi-class classification of breast tissue using optical coherence tomography and attenuation imaging combined via deep learning

Ken Y. Foo, Kyle Newman, Qi Fang, Peijun Gong, Hina M. Ismail, Devina D. Lakhiani, Renate Zilkens, Benjamin F. Dessauvagie, Bruce Latham, Christobel M. Saunders, Lixin Chin, Brendan F. Kennedy

Summary: In this study, a convolutional neural network (CNN) was used for multi-class breast tissue classification using multi-channel optical coherence tomography (OCT) and attenuation images. The researchers introduced a novel loss function based on the Matthews correlation coefficient (MCC) to better correlate with performance metrics. The results showed that adding attenuation images to OCT images significantly improved the performance of breast tissue classification.

BIOMEDICAL OPTICS EXPRESS (2022)

Article Oncology

Quantitative Micro-Elastography Enables In Vivo Detection of Residual Cancer in the Surgical Cavity during Breast-Conserving Surgery

Peijun Gong, Synn Lynn Chin, Wes M. Allen, Helen Ballal, James D. Anstie, Lixin Chin, Hina M. Ismail, Renate Zilkens, Devina D. Lakhiani, Matthew McCarthy, Qi Fang, Daniel Firth, Kyle Newman, Caleb Thomas, Jiayue Li, Rowan W. Sanderson, Ken Y. Foo, Chris Yeomans, Benjamin F. Dessauvagie, Bruce Latham, Christobel M. Saunders, Brendan F. Kennedy

Summary: This study investigated the application of a handheld QME probe to directly detect residual cancer in the breast cavity during breast-conserving surgery. The results showed that QME detected increased stiffness in four cancer cases, while 19 out of 21 benign cases exhibited low stiffness.

CANCER RESEARCH (2022)

Article Biochemical Research Methods

Three- dimensional mechanical characterization of murine skeletal muscle using quantitative micro-elastography

Erin M. Lloyd, Matt S. Hepburn, Jiayue Li, Alireza Mowla, Yongsung Hwang, Yu Suk Choi, Miranda D. Grounds, Brendan F. Kennedy

Summary: The mechanical properties of skeletal muscle tissue at an intermediate scale can provide insights into diseases such as muscular dystrophies. In this study, the micro-scale elasticity of murine skeletal muscle was characterized using quantitative micro-elastography (QME). By encapsulating the muscles in transparent hydrogels with flat surfaces, high-quality QME images were obtained. The results showed a significant decrease in elasticity in dysferlin-deficient quadriceps compared to wild-type quadriceps, indicating the impact of dysferlinopathy on muscle function.

BIOMEDICAL OPTICS EXPRESS (2022)

Article Biochemical Research Methods

Biomechanical assessment of chronic liver injury using quantitative micro-elastography

Alireza Mowla, Rose Belford, Julia Kohn-Gaone, Nathan Main, Janina E. E. Tirnitz-Parker, George C. Yeoh, Brendan F. Kennedy

Summary: Hepatocellular carcinoma, arising from cirrhosis, is a lethal cancer worldwide. The increased elasticity of the microenvironment due to chronic liver injury is a potential hepatocarcinogen, but its role is still not fully understood. This study proposes quantitative micro-elastography (QME) as a technique to map the micro-scale elasticity of liver tissue and correlate it with cellular scale cancerous mechanisms. Results of QME on mouse livers indicate a significant increase in elasticity caused by chronic liver injury, which correlates with pathological features such as fibrosis, hepatocyte damage, and immune cell infiltration, as shown in micro-elastograms.

BIOMEDICAL OPTICS EXPRESS (2022)

Article Multidisciplinary Sciences

Establishing local manufacture of PPE for healthcare workers in the time of a global pandemic

Anastasia Nilasaroya, Alan Matthew Kop, Ryan Christopher Collier, Brendan Kennedy, Lachlan James Kelsey, Faz Pollard, Jennifer Fong Ha, David Anthony Morrison

Summary: A face shield is a secondary PPE for healthcare workers, providing short-term barrier protection against infectious droplet particles. The spike in demand for PPE during the COVID-19 pandemic led to shortages and risks for healthcare workers. This article describes the establishment of local face shield manufacturing in Western Australia to ensure an adequate supply of PPE. The face shields underwent rigorous testing and obtained a TGA license for medical use.

HELIYON (2023)

Article Optics

In vivo optical coherence tomography attenuation imaging of the breast surgical cavity using a handheld probe

Peijun Gong, Ken Y. Foo, Devina D. Lakhiani, Renate Zilkens, Hina M. Ismail, Chris Yeomans, Benjamin F. Dessauvagie, Bruce Latham, Christobel M. Saunders, Brendan F. Kennedy

Summary: To aid in the accurate removal of cancer cells during breast-conserving surgery, researchers have developed a handheld optical coherence tomography (OCT) probe and attenuation imaging method, which allows real-time imaging of the surgical cavity. Through experimental validation, this method has been shown to provide accurate and repeatable imaging, and offers an additional tissue contrast mechanism to assist in the identification and removal of cancer cells during breast-conserving surgery.

OPTICS AND LASER TECHNOLOGY (2023)

Article Optics

Stereoscopic optical palpation for tumour margin assessment in breast-conserving surgery

Qi Fang, Seokhyun Choi, Aiden Taba, Devina D. Lakhiani, Kyle Newman, Renate Zilkens, Rowan W. Sanderson, Benjamin F. Dessauvagie, Christobel M. Saunders, Brendan F. Kennedy

Summary: Optical palpation is a new emerging technique that uses an optical imaging system to generate images of mechanical contrast in tissue. A camera-based optical palpation system, called stereoscopic optical palpation (SOP), is proposed in this paper to directly map the strain of a compliant layer placed on top of the tissue. With SOP, a strain sensitivity of 4.2 m is achieved, which is a 24-fold improvement over previous camera-based optical palpation techniques. SOP has the potential for rapid and reliable imaging, and could be used for tumor margin assessment in breast-conserving surgery.

OPTICS AND LASERS IN ENGINEERING (2023)

Article Biochemical Research Methods

In vivo characterisation of field pea stem wall thickness using optical coherence tomography

Qi Fang, Felipe A. Castro-Urrea, Felix Haederle, Rowan W. Sanderson, Dilusha Silva, Wallace A. Cowling, Brendan F. Kennedy

Summary: This study demonstrates the efficacy of OCT for accurate measurement of stem wall thickness of live field pea, and the differences in stem wall thickness and stem width between different cultivars.

PLANT METHODS (2023)

Article Biochemical Research Methods

Analysis of friction in quantitative micro-elastography

Kai L. Metzner, Qi Fang, Rowan W. Sanderson, Alireza Mowla, Brendan F. Kennedy

Summary: This study systematically analyzes the impact of friction in quantitative micro-elastography (QME) and demonstrates that it is influenced by various experimental factors. Significant errors in elasticity estimation were observed in the absence of appropriate lubrication. The study also shows that friction can significantly reduce mechanical contrast in QME.

BIOMEDICAL OPTICS EXPRESS (2023)

Article Engineering, Biomedical

3D Volumetric Mechanosensation of MCF7 Breast Cancer Spheroids in a Linear Stiffness Gradient GelAGE

Danielle Vahala, Sebastian E. Amos, Marta Sacchi, Bram G. Soliman, Matt S. Hepburn, Alireza Mowla, Jiayue Li, Ji Hoon Jeong, Chrissie Astell, Yongsung Hwang, Brendan F. Kennedy, Khoon S. Lim, Yu Suk Choi

Summary: This study investigates the spatiotemporal shifts in biomechanical properties in tumor tissues and reveals an inverse relationship between spheroid volume and stiffness. The expression of proteins is also found to be correlated with spheroid volume. These findings highlight the importance of volume expansion as a key regulator in 3D mechanosensation of MCF7 breast cancer spheroids.

ADVANCED HEALTHCARE MATERIALS (2023)

Article Cell Biology

A surgically optimized intraoperative poly(I:C)-releasing hydrogel prevents cancer recurrence

Francois Xavier Rwandamuriye, Cameron W. Evans, Ben Wylie, Marck Norret, Breana Vitali, Diwei Ho, Dat Nguyen, Ellise A. Roper, Tao Wang, Matt S. Hepburn, Rowan W. Sanderson, Maren Pfirrmann, Vanessa S. Fear, Catherine A. Forbes, Ken Wyatt, Anne L. Ryan, Terrance G. Johns, Marianne B. Phillips, Rupert Hodder, Connull Leslie, Brendan F. Kennedy, Rachael M. Zemek, Killugudi Swaminathan Iyer, Willem Joost Lesterhuis

Summary: Recurrences often occur after surgical removal of primary tumors and adjuvant therapies have limited efficacy. This study developed a surgically optimized biodegradable hydrogel for sustained release of poly(I:C) during surgery, which significantly reduced tumor recurrence in multiple mouse models. Mechanistically, poly(I:C) reshaped the tumor/wound microenvironment by inducing a temporary interferon alpha (IFNa) response, attracting inflammatory monocytes and depleting regulatory T cells. The study also demonstrated that a pre-existing IFN signature predicted the response to the poly(I:C) hydrogel, making tumors more sensitive to immune checkpoint therapy. Veterinary trial in dogs confirmed the safety, immunogenicity, and surgical feasibility of the optimized hydrogel. This surgically optimized poly(I:C)-loaded hydrogel provides a safe and effective approach to prevent cancer recurrence.

CELL REPORTS MEDICINE (2023)

Article Materials Science, Multidisciplinary

In Situ Characterization of Melt-Electrowritten Scaffolds in 3D Using Optical Coherence Tomography

Evelyn Collier, Brooke Maitland, Rowan W. Sanderson, Behzad Shiroud Heidari, Christopher Lamb, Matt S. Hepburn, Paul D. Dalton, Qi Fang, Elena M. De-Juan-Pardo, Brendan F. Kennedy

Summary: This study describes an in situ method using optical coherence tomography (OCT) to characterize the 3D microstructure of melt electrowritten (MEW) scaffolds. A custom algorithm is used to perform calculations on OCT data, showing close correspondence with scanning electron microscopy (SEM). The 3D capabilities of OCT enable nondestructive characterization of scaffolds with depth-varying microstructures. Integration of the OCT scanner within an MEW printer allows for in situ evaluation and optimization of scaffold microstructure.

ADVANCED PHOTONICS RESEARCH (2022)

Meeting Abstract Clinical Neurology

Biomechanical properties of skeletal muscle: the impact of dysferlinopathy, ageing, and muscle type

E. Lloyd, M. Hepburn, J. Li, A. Mowla, Y. Choi, Y. Hwang, C. Jackaman, B. Kennedy, M. Grounds

NEUROMUSCULAR DISORDERS (2022)

No Data Available