Ms. Catherine A. Olivo Profile

Catherine A. Olivo

at Univ of Washington

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Publications (2)

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Proceedings Article | 5 March 2021 Presentation + Paper

Photonic designs to reduce morbidity and mortality for ICU patients on ventilators

Jacob LoMonaco, Noah Baker, C. David Melville, Catherine Olivo, Matthew Carson, Eric Seibel

Proceedings Volume 11633, 1163304 (2021) https://doi.org/10.1117/12.2589891

KEYWORDS: Optical design, Optical components, Medicine

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Ventilator-associated pneumonia (VAP) is pneumonia that occurs >48hrs after initiation of mechanical ventilation and is a significant cause of morbidity and mortality in patients that are hospitalized in intensive care units (ICU). The risk of developing VAP increases during use, and a diagnosis of VAP has been associated with a substantial cost. There are up to hundreds of thousands of cases in the US per year, costing the healthcare system billions annually. Patients who suffer from VAP frequently require longer ICU stays, higher exposure to antibiotics, and more hospital care at the risk of increased mortality. The SARS-CoV-2 pandemic has further increased the use of antibiotics among patients with COVID19, an indicator of increased VAP prevalence. Before 2020, strides were made to reduce the incidence of VAP through hygienic protocols known as ‘VAP bundles.’ Despite the improvements, VAP continues to be a large problem, with the inoculation of pathogens within the endotracheal tube (ETT) itself. ETTs with built-in subglottic suction devices (SSDETT) allow the removal of subglottic secretions, but this has been adopted heterogeneously. We propose novel optical device designs to be used in combination with SSD-ETTs to reduce colonization and biofilm formation on the inner lumen of ETTs and reduce the incidence of VAP and improve patient care.

Proceedings Article | 14 March 2018 Presentation

nirSFE: an ultrathin, flexible, near-infrared endoscope (Conference Presentation)

Yaxuan Zhou, Matthew Carson, Catherine Olivo, Eric Seibel

Proceedings Volume 10470, 104700R (2018) https://doi.org/10.1117/12.2295084

KEYWORDS: Endoscopes, Prototyping, Sensors, Reflectivity, Signal detection, Actuators, Single mode fibers, RGB color model, Imaging spectroscopy, Luminescence

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We present a scanning fiber endoscope (SFE) designed for near-infrared (nir) imaging. The SFE piezo actuator drives a single mode fiber in spiral patterns; meanwhile return fibers collect the reflective light; then signals from detector are mapped onto an image according to the fiber scan trajectory. Many SFE prototypes have been developed based on red/green/blue reflectance, enhanced spectral, fluorescence, optical coherence, and multimodal imaging. These forward-view SFE prototypes have the advantage of miniature size (1-3mm), flexible shaft, video-speed frame rate (10-30Hz), wide field of view (60-100 degree) and good resolution quality. A new SFE prototype is being developed that operates entirely in near-infrared wavelength range, which is expected to have great potential in imaging dental lesions and monitoring therapy. The first nirSFE probe has a diameter of around 3mm, frame rate of 17Hz, 53 degree FOV and spatial resolution of 40um. Although the specific optical fibers made for nir makes the probe stiffer than previous prototypes, the flexible 2m shaft allows for easy orientation. Using this prototype we can achieve reflectance mode imaging and also switch between different wavelengths (1310nm, 1460nm, 1550nm) and light sources (SLD or laser). In the development of this prototype, we encounter several issues: 1) the speckle noise caused by interference of laser beams, 2) uneven illumination and reduced visual field caused by collection fiber distribution and numerical aperture, and 3) specular reflection patterns which can obscure important enamel target detail. We explore solutions to these issues by using multiple detector channels, light sources, and filtering.

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