Design and testing of an optical instrument for skin flap monitoring.

Flap procedures are complex surgical tools widely used in reconstructive surgery. Flap ischemia is one of the most dangerous complications, both during the surgical procedure and during the patient's recovery, which can quickly lead to tissue necrosis (flap loss) with serious medical and psychological consequences. Today, bedside clinical assessment remains the gold standard for flap monitoring, but timely detection of flap ischemia is a difficult and challenging task, so auxiliary techniques are needed to support flap monitoring. Here we present a prototype of a new optical diagnostic tool, based on visible light absorption in diffuse reflectance spectroscopy, for non-invasive, continuous, real-time monitoring of flaps. The proposed approach is assessed by monitoring flap ischemic scenarios induced on pig animal models. The results obtained support that the proposed approach has great potential, not only for prompt detection of ischemia (in seconds), but also for clear differentiation between an arterial occlusion and venous occlusion.

Sub-ppm-Level Ammonia Detection Using Photoacoustic Spectroscopy with an Optical Microphone Based on a Phase Interferometer.

A sensitive optical microphone for photoacoustic spectroscopy based on the common path topology of a fibre laser Doppler vibrometer (FLDV) using phase-generated carrier demodulation and a slim diaphragm as an acoustic wave transducer was demonstrated. A resonant gas cell was adapted to enhance gas-detection performance and simultaneously provide efficient cancellation of the window background acoustic signal. Ammonia (NH3) was selected as the target gas. The absorption line was experimentally identified using a distributed feedback laser diode emitting at 1530 nm. The linearity and sensitivity of the gas sensor were measured using wavelength modulation spectroscopy with second harmonic detection. A Teflon diaphragm was used to implement the optical microphone, along with the FLDV, showing a minimum detectable pressure of 79.5 µPa/Hz1/2. The noise-equivalent absorption sensitivity for NH3 detection at the absorption line at 1531.7 nm was 1.85 × 10-8 W cm-1 Hz-1/2, and the limit of detection was 785 ppbv.