17000results about "Surgical navigation systems" patented technology

A surgical visualization system for use with a robotic surgical system that includes a surgical tool movable with respect to a tissue of a patient in response to an instrument motion control signal is disclosed. The surgical visualization system includes a camera and a control circuit coupled to the camera. The control circuit is configured to determine a distance between the surgical tool and the tissue and adjust a magnification of the camera based on the distance between the surgical tool and the tissue.

A modular surgical system for use in a surgical procedure is disclosed. The modular surgical system includes a control module including a power supply and surgical modules including a first surgical module and a second surgical module. The first surgical module is arranged in a stack configuration with the control module and the second surgical module. The power supply is configured to output power to the first surgical module and the second surgical module. A power backplane is configured to deliver the power to the first surgical module and the second surgical module through the first surgical module. A control circuit is configured to adaptively adjust power allocations to the first surgical module and the second surgical module.

Systems, methods, and instrumentalities are disclosed for displaying a magnitude and location of a resulting tissue tension from an applied force to an instrument and a resulting tissue reaction. A surgical stapling device for monitoring and adapting to tissue tension during a surgical stapling procedure may measure strain on at least one component of the surgical stapling device resultant from one or more of an opposed force applied by a user and a force resisted by tissue associated with the tissue tension. The device may determine a location of the tissue tension based on historical surgical data, the opposed force, and the resisted force. The device may highlight the location of the tissue tension to aid in real-time surgical decision-making.

A teleoperative system includes a first manipulator assembly, a second manipulator assembly, a first medical instrument movable by the first manipulator assembly, a second medical instrument movable by the second manipulator assembly, a first alignment component positioned on the first manipulator assembly, a second alignment component positioned on an entry port, and a control system configured to record a position of the first manipulator assembly in response to receiving a user input indicating that the first alignment component is aligned with the second alignment component. The second medical instrument is sized and shaped to fit and move within the first medical instrument.

A medical system includes an elongate instrument, a tracking system, and one or more processors. The tracking system is disposed along at least a portion of the elongate instrument. The one or more processors are coupled to the tracking system and are configured to: generate a plurality of linked bounded-surface elements corresponding to a set of connected passageways of a patient anatomy; receive shape information from the tracking system, the shape information indicating a shape of at least a portion of the elongate instrument when the portion is disposed in the set of connected passageways; register the shape information to the plurality of linked bounded-surface elements; and based on the registering, display a composite image including an instrument image of the elongate instrument displayed within a model of the set of connected passageways.

The disclosed embodiments relate to systems and methods for a surgical tool or a surgical robotic system. A tool driver is coupled to a distal end of a robotic arm and includes a roll drive disk driven by a rotary motor. One or more processors are configured to detect an attachment of a surgical tool to the tool driver. The surgical tool includes a roll tool disk to be engaged with the roll drive disk of the tool driver, actuate of the roll drive disk through the rotary motor, determine that a measured torque of the rotary motor exceeds a preset torque threshold for a preset period of time since the actuation, and report a successful engagement between the roll drive disk and the roll tool disk.

A system and method of view restoration include a computer-assisted device having an imaging device and a controller coupled to the imaging device. The controller is configured to record kinematic information, imaging information, or both the kinematic information and the imaging information before movement of the imaging device from a first repositionable arm to a second repositionable arm or from a first workspace port to a second workspace port; detect the movement of the imaging device from the first repositionable arm to the second repositionable arm or from the first workspace port to the second workspace port; determine, in response to the detection, a desired position and orientation of the imaging device based on the recorded kinematic information, the recorded imaging information, or both the recorded kinematic information and the recorded imaging information; and move the imaging device based on the desired position and orientation.

A system comprises a processor and a memory having computer readable instructions stored thereon, which, when executed by the processor, cause the system to display an image of a surgical environment. The image includes an information icon corresponding to an instrument in the surgical environment. The instructions further cause the system to display an image of a body part of a user. The image of the body part is used to interact with the information icon. The instructions further cause the system to receive a gesture of the body part, via a gesture-based input device registering movement of the body part, to cause the image of the body part to interact with the information icon. The instructions further cause the system to display an information menu in the image of the surgical environment based on the interaction between the image of the body part and the information icon.

The invention discloses a multi-modal large model assisted laparoscope soft tissue registration surgical navigation method and system. The method comprises the following steps: acquiring a preoperative CT (Computed Tomography) or MRI (Magnetic Resonance Imaging) image and an intraoperative laparoscope image, and converting to obtain a multi-modal feature sequence; inputting the obtained multi-modal feature sequence into a large model for fusion to obtain a cross-modal matching matrix; random sampling is carried out by using an RANSAC random sampling consensus algorithm, an error between corresponding point sets of two data is measured by using an Euclidean distance, an analytical solution is obtained through SVD decomposition, and a feature matching error is introduced to obtain an optimal rigid body transformation pose; performing non-rigid deformation local fitting adjustment on the optimal rigid body transformation pose residual error by adopting a parameterized deformation model in combination with learning prediction deformation, and performing loop execution to obtain a soft tissue organ real-time registration image; automatic, high-timeliness and high-precision real-time registration of soft tissues is realized under the multi-mode and multi-variable conditions, and reliable navigation and positioning support is ensured to be provided in a complex operation environment.

A holographic augmented reality ultrasound needle guide system and method includes an augmented reality display such as a headset wearable by a user. The augmented reality display is configured to depict a virtual ultrasound image. The augmented reality display is further configured to allow a user to select a desired reference point on the virtual ultrasound image. The system is configured to depict a holographic needle guide based on the selection of the desired reference point. The system is also configured to adjust a trajectory of the holographic needle guide to avoid intersecting undesired anatomical structures. The augmented reality display is further configured to stamp the holographic needle guide into a selectively locked trajectory and position.

The invention discloses a surgical robot resection navigation method based on multi-modal image registration. The method comprises the following steps: acquiring a preoperative multi-modal medical image of a patient and reconstructing a three-dimensional model containing a focus and a dangerous structure; acquiring an intraoperative real-time image; extracting cross-modal invariant features from the pre-operative and intra-operative images by using a first deep learning network, and establishing an initial corresponding relation; predicting an initial non-rigid deformation field by using a second deep learning network, based on the pre-operative / intra-operative image and the initial corresponding relation and in combination with physical model constraints; tracking a surgical tool in real time, and updating a non-rigid deformation field in real time by adopting an incremental calculation strategy; applying the updated deformation field to the preoperative three-dimensional model to generate a deformed model; and mapping the tool position to the deformed model, and generating a navigation instruction. According to the method, soft tissue deformation can be accurately compensated, multi-modal image information is effectively fused, navigation information is dynamically updated in real time, and the precision and safety of robot surgery are remarkably improved.

The invention belongs to the technical field of medical robots, and particularly relates to a mammary gland puncture surgical robot navigation system and device based on multi-modal image fusion. The multi-mode image data are registered and fused, high-precision three-dimensional reconstruction of the mammary gland tissue is achieved, more visual and accurate surgical navigation information is provided for doctors, the position of the puncture needle is tracked in real time, space registration is conducted on the puncture needle and the image data, and therefore the precision and safety of the surgery are improved, and the operation efficiency is improved. Meanwhile, puncture force feedback information of a puncture needle in the needle moving process is collected in real time, the implementation effectiveness of a puncture navigation path is evaluated, when it is found that the puncture path has risks, dynamic adjustment is conducted immediately, a new puncture path bypassing an obstacle area and reaching a focus is planned again, and the risk of the puncture path is avoided. And if the safe path cannot be obtained, the system automatically stops needle insertion and gives an acousto-optic early warning prompt, so that the surgical risk caused by manual misoperation in the traditional surgery is avoided.

The invention relates to the technical field of image processing, and discloses an AR technology-based precise positioning method and system for minimally invasive surgery of hepatobiliary surgery. The method comprises the steps that blood vessel network data are extracted through a medical image sequence, a three-dimensional structure diagram is generated, operation target points are marked, and a coordinate system is established; collecting dynamic data for mapping matching, and establishing a real-time tracking model; constructing an augmented reality scene and implanting a navigation path; acquiring an instrument position calculation track, and comparing with a navigation map to generate an instruction; constructing a projection interface to display the key area; recording the whole process and evaluating the operation quality. By establishing the real-time tissue deformation tracking model, a multi-source data fusion accurate positioning mechanism and an intelligent operation quality evaluation system, the accuracy and reliability of operation navigation are effectively improved.

A robotic surgical system includes a surgeon consol coupled to a patient console and coupled to one or more surgical instruments. The surgeon consol is used by a surgeon to perform a surgical procedure. A surgeon computer is coupled to or at the surgeon console. The surgeon consol is coupled to the one or more surgical instruments. A surgical robot is coupled to a robotic surgery control system and a feedback loop. The robotic surgery control system includes or is coupled to an artificial intelligence (AI) system. The feedback loop receives data from one or more sensors at the robotic surgical system. The data is analyzed by the robotic surgery control system, and in response operation of the robotic surgical system is adjusted as needed. The surgical control system or the AI system uses intraoperative data describing a surgical procedure being performed. The feedback loop receives data from one or more sensors of the robotic surgical system regarding performance of at least a portion of the robotic surgical system. The data is analyzed by the robotic surgical control system. In response to analysis, operation of the robotic surgical system is adjusted as needed. The robotic surgical control system or AI system extracts one or more programmed steps used by the surgeon for positioning at least one of the surgical instruments during the surgical procedure.

Medical systems and devices include an elongate probe configured for insertion into a patient, where the elongate probe includes an atraumatic tip and where the atraumatic tip can include one or more of a loop, a curl, coil, a flexible distal region, and a steerable distal region. The distal region can be configured to transition away from a first shape toward a second shape upon insertion of the elongate probe within the patient. The optical fiber can include sensing core fibers configured to facilitate a determination of a physical state of the elongate probe. The elongate probe can also be configured to project illuminating light away from a distal end and receive imaging light at the distal end. The elongate probe can include a catheter.

A robotic surgical system. a surgeon console operatively coupled to a patient console and one or more surgical instruments. A surgeon computer is coupled to or integrated with the surgeon console, the surgeon computer further operatively connected to the one or more surgical instruments; A surgical robot is coupled to a robotic surgery control system and a feedback loop. The robotic surgery control system includes or is coupled to an artificial intelligence (AI) system. A feedback loop is further configured to receive performance-related data from the one or more sensors, the data analyzed by the robotic surgery control system or the AI system to dynamically adjust the robotic system's operation as needed. A data extraction module retrieves, from the robotic surgery control system or the AI system. one or more programmed steps executed by the surgeon for positioning at least one of the surgical instruments during the surgical procedure.

An improved steerable catheter (10) with biased, in-plane bi-directional deflection has an elongated catheter body (129, a deflectable intermediate section (14) having a tubing with at least a first and a second off-axis opposing lumens (30, 31, 32, 33) for puller wires (42), and a control handle (16) at a proximal end of the catheter body. The deflectable intermediate section includes at least two elongated bias members (54) that extend along the length and lie on a plane perpendicular to the plane of deflection so as to resist flexure outside of the plane of deflection. The deflectable intermediate section has an integrated tubular construction that includes an inner layer (50), a braided mesh (52) surrounding the inner layer and an outer layer (56), where the bias members can be situated between the inner layer and the braided mesh, or between the braided mesh and the outer layer.

The invention discloses an ophthalmologic operation real-time navigation system and method based on dynamic visual field tracking, and relates to the technical field of medical systems. Comprising the following steps: matching operation data closest to a current operation from a database, and generating standard operation navigation of the current operation; the real-time image of the operation process is compared with the image of the standard operation navigation in real time, the step of the current operation is determined, and meanwhile subsequent image navigation of the operation of the patient is displayed; generating a spatial mapping matrix between an eyeball movement track and a target region by combining target region boundary data of preoperative OCT image segmentation and an intra-operative navigation coordinate system; the virtual navigation path of the surgical instrument is dynamically corrected according to the real-time eyeball movement track, so that the surgical instrument is aligned with the target area, the spatial relation between the instrument and the target area can be visually mastered through the overlapping display of the three-dimensional virtual path and the real-time image, unconscious displacement or physiological tremor of a patient in an operation is actively adapted, and the operation accuracy is improved. And the continuous accuracy of the navigation path is ensured.

A catheter includes an elongate shaft, an electrode assembly, a connective stem, a coupler, a first magnetic position sensor, and a second magnetic position sensor. The electrode assembly includes microelectrodes. The connective stem includes a first connective stem member and a second connective stem member. The connective stem defines a first sensor receptacle and a second sensor receptacle in an exterior surface of the connective stem. The coupler is configured for coupling with the connective stem. The first magnetic position sensor is disposed in the first sensor receptacle and elongated along a first sensor longitudinal axis. The second magnetic position sensor disposed in the second sensor receptacle and elongated along a second sensor longitudinal axis that is not parallel to the first sensor longitudinal axis.

Flexible high-density mapping catheter tips and flexible ablation catheter tips with onboard high-density mapping electrodes are disclosed. These tips can be used for diagnosing and treating cardiac arrhythmias. The flexible, distal tips are adapted to conform to tissue and comprise a plurality of microelectrodes mounted to permit relative movement among at least some of the microelectrodes. The flexible tip portions may comprise a flexible framework forming a flexible array of microelectrodes (for example, a planar or cylindrical array) adapted to conform to tissue and constructed at least in part from nonconductive material in some embodiments. The flexible array of microelectrodes may be formed from a plurality of rows of longitudinally-aligned microelectrodes. The flexible array may further comprise, for example, a plurality of electrode-carrying arms or electrode-carrier bands. Multiple flexible frameworks may be present on a single device. A delivery adapter having an internal compression cone is also disclosed.

Flexible high-density mapping catheter tips and flexible ablation catheter tips with onboard high-density mapping electrodes are disclosed. These tips can be used for diagnosing and treating cardiac arrhythmias. The flexible, distal tips are adapted to conform to tissue and comprise a plurality of microelectrodes mounted to permit relative movement among at least some of the microelectrodes. The flexible tip portions may comprise a flexible framework forming a flexible array of microelectrodes (for example, a planar or cylindrical array) adapted to conform to tissue and constructed at least in part from nonconductive material in some embodiments. The flexible array of microelectrodes may be formed from a plurality of rows of longitudinally-aligned microelectrodes. The flexible array may further comprise, for example, a plurality of electrode-carrying arms or electrode-carrier bands. Multiple flexible frameworks may be present on a single device. A delivery adapter having an internal compression cone is also disclosed.

Co-manipulation robotic systems are described herein that may be used for assisting with laparoscopic surgical procedures. The co-manipulation robotic systems allow a surgeon to use commercially-available surgical tools while providing benefits associated with surgical robotics. Advantageously, the surgical tools may be seamlessly coupled to the robot arms using a disposable coupler while the reusable portions of the robot arm remain in a sterile drape. Further, the co-manipulation robotic system may operate in multiple modes to enhance usability and safety, while allowing the surgeon to position the instrument directly with the instrument handle and further maintain the desired position of the instrument using the robot arm.

The invention relates to an image processing method and a puncture guiding system. The method comprises the following steps: acquiring a medical image sequence image and an ultrasonic sequence image of a target object; performing registration based on the ultrasonic sequence image and the medical image sequence image to obtain a registration transformation matrix and a three-dimensional image after registration fusion; displaying a cross section image in the registered and fused three-dimensional image in a first display area, and projecting a puncture point on the puncture plate on a mapping point of the cross section image and an imaging area of a sagittal plane; responding to rotation operation of the ultrasonic probe, and updating imaging areas of the cross section image, the mapping points and the sagittal plane in the first display area in real time according to the rotation operation; when any target mapping point is located in the imaging area of the sagittal plane in the cross section image, the relative position of the target mapping point located in the imaging area of the sagittal plane in the sagittal plane image is displayed in the second display area. Therefore, the same target mapping point can be displayed in the cross section image and the sagittal plane image at the same time.

The invention provides an intelligent choledochoscope-assisted bile duct calculus minimally invasive calculus removal method and system, and relates to the technical field of minimally invasive calculus removal, and the method comprises the steps: collecting a video image in a bile duct through a choledochoscope, extracting bile duct calculus feature information through a deep learning target detection network, and carrying out the enhancement processing of the image to obtain bile duct cavity wall features; constructing a three-dimensional bile duct blood vessel tree model with focus marks; calculating a risk coefficient based on bile duct calculus characteristics, inputting the three-dimensional model, an anatomy knowledge base and expert experience data into a deep reinforcement learning network, and generating an optimal calculus taking path; the system establishes a real-time three-dimensional navigation map, and real-time path correction is realized through dynamic registration; a visual servo and force feedback control method is adopted, the choledochoscope robot is controlled to move to the target position along the corrected path, the grabbing parameters of the end effector are adjusted according to the morphological characteristics of the calculus, and accurate calculus taking is achieved.

In one embodiment, a medical system includes a catheter configured to be inserted into a chamber of a heart of a living subject, and including multiple electrodes configured to capture electrical activity from electrical activation signals propagating in tissue of the chamber, a display, and processing circuitry configured to automatically select bipolar signals to be captured into an electro-anatomical map from respective electrode pairs of the multiple electrodes responsively to an alignment of the respective electrode pairs with a direction of propagation of the electrical activation signals, and render the electro-anatomical map to the display.

Systems and methods for facilitating registration and validation of registration and / or transformation in connection with image-guided surgery or medical procedures are disclosed. The systems and methods may be used in connection with devices or systems including augmented reality near-eye displays.

A system to provide endovascular support for patients. The system includes a processor configured to receive, from a medical imaging device, a pre-treatment vessel roadmap and medical images acquired in response to an endovascular therapy performed on a patient, and obtain endovascular treatment parameters, including image-based endovascular treatment parameters based on features of the medical images. Such endovascular treatment parameters include a geometry and location of an endovascular therapy device within a vessel of the patient. The processor is further configured to predict tissue characteristics of a first lesion based on the endovascular treatment parameters and generate a map of the first lesion based on the pre-treatment vessel roadmap and the predicted tissue characteristics of the first lesion.

The invention relates to the technical field of medical instruments, and discloses a laparoscope and digestive endoscope combined positioning measurement system and method.The method comprises the steps of positioning mark initialization, image feature analysis, instrument path planning, dynamic positioning calibration, operation integrity evaluation and the like. Spatial matching is realized by setting multiple types of positioning marks and utilizing optical reflection signals, noise reduction and feature extraction are performed on endoscope imaging data to generate a measurement area boundary, an operation path is planned in combination with anatomical path information, the tail end position of an instrument is calibrated in real time, and operation integrity is evaluated. The system comprises a positioning module, an analysis module, a correction module and an integration module which are respectively used for realizing the functions of positioning mark setting, image processing and path generation, offset correction and operation evaluation. According to the system, the operation positioning precision and the operation safety are improved, intellectualization and precision of minimally invasive surgery are achieved, and the system is suitable for minimally invasive treatment of digestive system diseases.

The invention relates to the technical field of medical intelligent image recognition data processing, and discloses an image recognition and data analysis fused ultrasonic venipuncture system which comprises a multi-modal image acquisition module, an intelligent analysis processing module, a real-time navigation execution module and a complication early warning module. By arranging a multi-mode fusion sensing end, when vein puncture real-time navigation is carried out, through ultrasonic image, thermodynamic distribution and optical characteristic three-mode data collaborative registration, the consistency of deep blood vessel recognition is guaranteed, meanwhile, a three-dimensional topological model containing blood vessel elastic parameters is dynamically constructed, blood vessel position deviation can be calibrated in real time in the puncture process, and the accuracy of vein puncture is improved. The accuracy of blood vessel positioning is guaranteed, puncture positioning errors of complex cases are further reduced, whether angle or depth deviation occurs in a puncture path or not is judged in real time by arranging a dynamic navigation end, a compensation path can be planned in real time through a blood vessel elastic characteristic matrix, and it is guaranteed that the angle errors are reduced when a needle body enters a blood vessel.

A system, apparatus and method directed to placing a medical instrument in a patient body, where the system includes the medical instrument having a first optical fiber, a console and an interconnect having a second optical fiber to receive incident light from the console and propagate the incident light to the medical instrument. The interconnect includes a predetermined bend along its length, such that logic of the console may determine a positioning and an orientation of the medical instrument relative to the predetermined bend. Additionally, the logic may generate a display of the medical instrument based on the reflected light signals and the determination of the positioning and the orientation of the medical instrument relative to the predetermined bend, where the display may be rendered as an overlay on an ultrasound image.