ELUXEO Endoscopic Imaging System

Overview

A powerful video imaging system is the foundation of any advanced endoscopic platform. Fujifilm’s long-standing experience in medical image engineering led to the pioneering of LED Multi-Light technology in Endoscopy in 2018 with the introduction of the ELUXEO® Endoscopic Imaging System.

With ELUXEO, Fujifilm is the first to achieve optimal illumination that enhances endoscopic visualization and image clarity. The ideal output combination of individual LEDs has been developed to achieve optimal results in White Light as well as clinically proven special light observation modes: Linked Color Imaging (LCI®) to enhance adenoma detection and Blue Light Imaging (BLI) to enhance characterization of lesions.

Since then, Fujifilm has introduced a comprehensive line of 700 Series colonoscopes and gastroscopes that, when used in combination with the ELUXEO Endoscopic Imaging System, provide endoscopists with an unmatched combination of image clarity and visualization with exceptional scope control, maneuverability, precision, and ergonomics.

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White Light/Multi-Light

A powerful video imaging system is the foundation of any advanced endoscopic platform. Fujifilm’s long-standing experience in medical image engineering led to the pioneering of LED Multi-Light technology in Endoscopy in 2018 with the introduction of the ELUXEO® Endoscopic Imaging System to the US market.

With ELUXEO, Fujifilm is the first to achieve optimal illumination that enhances endoscopic visualization and image clarity through the use of LED lights. This technology not only boosts clarity in White Light Imaging, but also extends the capabilities of Image Enhanced Endoscopy (IEE). The ideal output combination of individual LEDs has been developed to achieve optimal results in White Light as well as clinically proven special light observation modes: Linked Color Imaging (LCI®) to enhance adenoma detection and Blue Light Imaging (BLI) to enhance characterization of lesions.

Fujifilm’s LED Multi-Light technology also delivers a significant advancement to endoscopy practices by replacing xenon lamps with independently regulated LEDs, optimizing illumination and delivering unparalleled image clarity.

Linked Color Imaging (LCI®)

Fujifilm’s LED Multi-light technology enables advanced capabilities for adenoma detection and lesion characterization. In the case of Linked Color Imaging (LCI®), this unique light mode enhances mucosal visualization by differentiating the red color spectrum through a combination of light spectrum enhancement and advanced signal processing. This involves pre-processing narrow-band radiation and utilizing specific color technology during post-processing to separate colors into blue, green, and red. By separating visible color contrast, the discernable distinction between colorectal lesions and normal mucosa is improved.

LCI highlights polyps and inflammation in red, while normal mucosa appears white. Studies demonstrate that LCI improves polyp visibility, adenoma detection rates (ADR), and detection of SSA/P (Subramaniam et al., 2023). Increased Adenoma detection may help gastroenterologists better determine a patient’s interval cancer rates and surveillance intervals (Neumann et al., 2021).

Additionally, LCI can improve the detection of Residual inflammation in Ulcerative Colitis and predict non-relapse rates based on mucosal damage classification (Matsumoto et al., 2021). It has shown effectiveness in enhancing the visibility of nongranular flat colorectal lesions compared to white light. For more details, find additional information on LCI and read up on clinical studies here.

Note: LCI is not intended to replace histopathological sampling as a means of diagnosis.

BLI (Blue Light Imaging)

Fujifilm’s LED Multi-light technology enables advanced capabilities for Blue Light Imaging (BLI), which enhances the visualization of microvessels and aids in the characterization of gastrointestinal lesions by emphasizing short-wavelength light. This technology produces high-contrast images by combining short wavelength light with white light, improving the visibility of mucosal structures and microvessels. BLI is effective in characterizing and differentiating neoplastic polyps and can predict histological diagnoses, distinguishing between neoplastic and non-neoplastic polyps. BLI is superior to HD White Light for real-time histology prediction in polyps under 1cm (Rondonotti et al., 2019), and allows for active visualization of blood flow in magnified views. For more details, find additional information on BLI and read up on clinical studies here.

CMOS Technology

Fujifilm’s leading-edge CMOS Image Sensor chip is built directly into the tip of the scope, quickly transforming the analog signal to digital at the site of examination. This ensures brilliant image transmission with reduced noise.

CMOS Technology supports 60 frames progressive scanning, where complete images are processed rather than half-frames. The result is a high-resolution, smooth moving image with reduced blurring.

System Specifications

Model Description
VP-7000 Video Processor Video Output DVI (Resolution: 1280×1024 pixels, 1920×1080 pixels
HD-SDI (Resolution: 1920×1080 pixels)
Irish Mode AUTO/PEAK/AVE
Dimensions (W x H x D) 15.4” x 4.3” x 19.1” (including projection)
Weight 19.8lbs
BL-7000 Light Source Illumination type LEDs
Air supply pump HI/MID/LOW/OFF
Maximum air/water supply pressure 65 kPa
Dimensions (W x H x D) 15.4” x 6.1” x 19.1” (including projection)
Weight 26.5lbs

Intended Use:

The VP-7000 unit is used for endoscopic observation, diagnosis, treatment, and image recording. It is intended to process electronic signals transmitted from a video endoscope (a video camera in an endoscope). This product may be used on all patients requiring endoscopic examination and when using a Fujinon/FUJIFILM medical endoscope and light source together with monitor, recorder and various peripheral devices. BLI (Blue Light Imaging), LCI (Linked Color Imaging) and FICE (Flexible spectral-Imaging Color Enhancement) are adjunctive tools for gastrointestinal endoscopic examination which can be used to supplement Fujifilm white light endoscopy. BLI, LCI and FICE are not intended to replace histopathological sampling as a means of diagnosis.

1The BLI/LCI special light observation modes are only compatible with EC-600WL v2, EG-600WR v2, and 700 series models.

Endoscopy events

New York Society for Gastroenterology & Endoscopy (NYSGE) 2024

Dates:12/12/24 – 12/13/24

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  1. Subramaniam, S., Hayee, B., Aepli, P., Schoon, E., Stefanovic, M., Kandiah, K., Thayalasekaran, S., Alkandari, A., Bassett, P., Coron, E., Pech, O., Hassan, C., Neumann, H., Bisschops, R., Repici, A., & Bhandari, P. (2023). Optical diagnosis of colorectal polyps with Blue Light Imaging using a new international classification. “Journal of Gastroenterology,” 58(4), 123-130. https://doi.org/10.1007/s00535-023-01876-9 
  2. Neumann, H., et al. (2021). Title of the article. “PLoS One,” 16(8), e0255955. https://doi.org/10.1371/journal.pone.0255955 
  3. Matsumoto, K., Oka, S., Tanaka, S., Inagaki, K., Okamoto, Y., Tanaka, H., Naito, T., Wakai, M., Yamashita, K., Ninomiya, Y., Hayashi, R., Kitadai, Y., & Chayama, K. (2021). Clinical usefulness of linked color imaging for evaluation of endoscopic activity and prediction of relapse in ulcerative colitis. “International Journal of Colorectal Disease,” 36(5), 1053-1061. https://doi.org/10.1007/s00384-020-03810-9 
  4. Rondonotti, E., Paggi, S., Amato, A., Mogavero, G., Andrealli, A., Conforti, F. S., Conte, D., Spinzi, G., & Radaelli, F. (2019). Blue-light imaging compared with high-definition white light for real-time histology prediction of colorectal polyps less than 1 centimeter: a prospective randomized study. Gastrointestinal Endoscopy, 89(3), 554-564. https://doi.org/10.1016/j.gie.2018.10.034