A Capsule-Sized Multi-Wavelength Wireless Optical System for Edge-AI-Based Classification of Gastrointestinal Bleeding Flow Rate

Post-endoscopic gastrointestinal (GI) rebleeding frequently occurs within the first 72 hours after therapeutic hemostasis and remains a major cause of early morbidity and mortality. Existing non-invasive monitoring approaches primarily provide binary blood detection and lack quantitative assessment of bleeding severity or flow dynamic, limiting their ability to support timely clinical decision-making during this high-risk period. In this work, we developed a capsule-sized, multi-wavelength optical sensing wireless platform for order-of-magnitude-level classification of GI bleeding flow rate, leveraging transmission spectroscopy and low-power edge artificial intelligence. The system performs time-resolved, multi-spectral measurements and employs a lightweight two-dimensional convolutional neural network for on-device flow-rate classification, with physics-based validation confirming consistency with wavelength-dependent hemoglobin absorption behavior. In controlled in vitro experiments under simulated gastric conditions, the proposed approach achieved an overall classification accuracy of 98.75% across multiple bleeding flow-rate levels while robustly distinguishing diverse non-blood gastrointestinal interference. By performing embedded inference directly on the capsule electronics, the system reduced overall energy consumption by approximately 88% compared with continuous wireless transmission of raw data, making prolonged, battery-powered operation feasible. Extending capsule-based diagnostics beyond binary blood detection toward continuous, site-specific assessment of bleeding severity, this platform has the potential to support earlier identification of clinically significant rebleeding and inform timely re-intervention during post-endoscopic surveillance.