Near-infrared fluorescent solid material for visualizing indwelling devices implanted for medical use

被引:21
作者
Anayama, Takashi [1 ]
Sato, Takayuki [2 ]
Hirohashi, Kentaro [1 ]
Miyazaki, Ryohei [1 ]
Yamamoto, Marino [1 ]
Okada, Hironobu [1 ]
Orihashi, Kazumasa [3 ]
Inoue, Keiji [4 ]
Kobayashi, Michiya [5 ]
Yoshida, Masashi [6 ]
Hanazaki, Kazuhiro [4 ]
机构
[1] Kochi Univ, Kochi Med Sch, Dept Thorac Surg, Nankoku, Kochi 7838505, Japan
[2] Kochi Med Sch, Dept Cardiovasc Control, Nankoku, Kochi, Japan
[3] Kochi Med Sch, Dept Surg 2, Nankoku, Kochi, Japan
[4] Kochi Univ, Ctr Photodynam Med, Kochi Med Sch, Nankoku, Kochi, Japan
[5] Kochi Med Sch Hosp, Canc Treatment Ctr, Nankoku, Kochi, Japan
[6] Int Univ Hlth & Welf Hosp, Dept Surg, Nasushiobara, Japan
来源
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2020年 / 34卷 / 09期
关键词
Near-infrared fluorescence; Solid resin material; Endoscopic clip; Indwelling ureteral catheter; Device visualization; INDOCYANINE GREEN; COLORECTAL SURGERY; LAPAROSCOPIC SURGERY; CANCER; PERFUSION; ANGIOGRAPHY; FLOW;
D O I
10.1007/s00464-020-07634-0
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background In clinical practice, various devices are implanted into the body for medical reasons. As X-ray fluoroscopy is necessary to visualize medical devices implanted into the body, the development of a less-invasive visualization method is highly desired. This study aimed to investigate the clinical applicability of our novel solid material that emits near-infrared fluorescence. Methods We developed a solid resin material that emits near-infrared fluorescence. This material incorporates a near-infrared fluorescent pigment, with quantum yield >= 20 times than that of indocyanine green. It can be sterilized for medical treatment. This resin material is designed to be molded into a catheter and inserted into the body with an endoscope clip. In this preclinical experiment using a swine model, the resin material was embedded into the body of the swine and visualized with a near-infrared fluorescence camera system. Results Endoscopic clips were placed in the mucosa of the stomach, esophagus, and large intestine, and the indwelling ureteral catheters were successfully visualized by near-infrared fluorescence laparoscopy. Conclusions We confirmed the tissue permeability of the fluorescence emitted by our novel near-infrared fluorescent material and the possibility of its clinical application. This material may allow visualization of devices embedded in the body.
引用
收藏
页码:4206 / 4213
页数:8
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