System and method of utilizing computer-aided identification with medical procedures

The system uses iris structure and eye measurements to accurately identify patients, reducing medical errors by ensuring the correct patient and eye are targeted for procedures, thus enhancing safety and efficiency.

JP2024174036AActive Publication Date: 2024-12-13ALCON INC
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Patent Information

Application Number
JP2024166583
Authority / Receiving Office
JP · JP
Patent Type
Applications
Current Assignee / Owner
Priority Date
2019-09-13
Filing Date
2024-09-25
Publication Date
2024-12-13
Estimated Expiration
2040-08-31

AI Technical Summary

Technical Problem

Patient misidentification during medical procedures can lead to errors such as blood transfusion, medication, and surgical errors, often due to similarities in names, incorrect identification methods, or lack of proper wristbands.

Method used

A system that uses iris structure and distance measurements from the cornea to the retina of a patient's eye to verify patient identity, providing an indication of correct identification through a display or integrated microscope.

Benefits of technology

Enhances patient identification accuracy, reducing the likelihood of medical errors by ensuring the right procedure is performed on the correct patient and eye, and providing real-time feedback through graphical user interfaces.

✦ Generated by Eureka AI based on patent content.

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Abstract

To improve a system that may receive an identification of a first patient.SOLUTION: The disclosure provides a system that may receive an identification of a first patient; may retrieve, based at least on the identification of the first patient, first eye identification information that includes first multiple iris structures associated with a first eye of the first patient; may determine second multiple iris structures of an eye of a current patient; may determine if the second multiple iris structures match the first multiple iris structures; if the second multiple iris structures match the first multiple iris structures, may provide an indication that the first eye has been correctly identified; and, if the second multiple iris structures do match the first multiple iris structures, may provide an indication that the first eye has not been correctly identified.SELECTED DRAWING: Figure 1A
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Description

[Technical field]

[0001] FIELD OF THE DISCLOSURE This disclosure relates to computer-aided identification, and in particular to the use of computer-aided identification in medical procedures. [Background technology]

[0002] In the past, failure to correctly identify a patient could result in, among other things, transfusion errors, medication errors, wrong person treatment, testing errors, and / or wrong medical procedure site errors. Patient misidentification could be a root cause in medical procedure errors. Areas where patient misidentification may occur include, among other things, surgical interventions, blood transfusions, drug administration, and / or phlebotomy. Patient misidentification could occur due to name structures (e.g., similar names), inaccurate birth dates, clothing that hides the identity, an unconscious patient, errors when registering a patient via a computerized system, missing identification wristbands, identification wristbands that identify a different (e.g., wrong) patient, etc. Furthermore, failure to correctly identify a patient's eye could also result in, among other things, transfusion errors, medication errors, wrong person treatment, testing errors, and / or wrong medical procedure site errors. Summary of the Invention [Means for solving the problem]

[0003] The present disclosure provides a system that can receive a first patient identification. In one example, the system can receive the first patient identification from a medical professional. In another example, the system can receive the first patient identification by scanning a patient's wristband. The system can further obtain first eye identification information including a first plurality of iris structures associated with the first eye of the first patient based on at least the first patient identification. The system can further identify a second plurality of iris structures of the current patient's eye. The system can further identify whether the second plurality of iris structures match the first plurality of iris structures. If the second plurality of iris structures match the first plurality of iris structures, the system can further provide an indication that the first eye has been correctly identified. If the second plurality of iris structures do not match the first plurality of iris structures, the system can further provide an indication that the first eye has not been correctly identified.

[0004] The first eye identification information may further include at least one distance measurement associated with the first eye. For example, the at least one distance measurement associated with the first eye may include at least one of a distance measurement from a cornea of ​​the first eye to a lens of the first eye, a distance measurement from a lens of the first eye to a retina of the first eye, a corneal thickness of the first eye, and a lens thickness of the first eye. The system may further determine at least one distance measurement of the current patient's eye. For example, the at least one distance measurement associated with the current patient's eye may include at least one of a distance measurement from a cornea of ​​the current patient's eye to a lens of the current patient's eye, a distance measurement from a lens of the current patient's eye to a retina of the current patient's eye, a corneal thickness of the current patient's eye, and a lens thickness of the current patient's eye. The system may further determine whether the at least one distance measurement of the current patient's eye matches the at least one distance measurement associated with the first eye. If the second plurality of iris structures matches the first plurality of iris structures and the at least one distance measurement of the current patient's eye matches the at least one distance measurement associated with the first eye, the system may be implemented to provide an indication that the first eye has been correctly identified. If the at least one distance measurement of the current patient's eye does not match the at least one distance measurement associated with the first eye, the system may be implemented to provide an indication that the first eye has not been correctly identified.

[0005] The system may further obtain medical procedure information based on at least the first patient identification and one of a second plurality of iris structures of the current patient's eye. The system may further provide the medical procedure information via at least one of the display and the microscope-integrated display.

[0006] A first iris structure of the first plurality of iris structures can be separated from a second iris structure of the first plurality of iris structures by a first angle relative to a center of the pupil of the first eye. A first iris structure of the second plurality of iris structures can be separated from a second iris structure of the second plurality of iris structures by a second angle relative to a center of the pupil of the current patient's eye. For example, to determine whether the second plurality of iris structures matches the first plurality of iris structures, the system may further determine whether the second angle matches the first angle.

[0007] A first iris structure of the first plurality of iris structures may be a first distance from a center of the pupil of the first eye. A first iris structure of the second plurality of iris structures may be a second distance from a center of the pupil of the current patient's eye. For example, to determine whether the second plurality of iris structures matches the first plurality of iris structures, the system may further determine whether the second distance matches the first distance.

[0008] The current patient may be a first patient. The eye of the current patient may be a second eye of the first patient, different from the first eye. In one example, the first eye may be the patient's right eye and the second eye may be the patient's left eye. In another example, the first eye may be the patient's left eye and the second eye may be the patient's right eye.

[0009] The present disclosure further includes a non-transitory computer readable memory device having instructions that, when executed by a processor of the system, cause the system to perform the steps above. The present disclosure further includes the above-mentioned system or non-transitory computer readable memory device having one or more of the following features, which may be used in combination with each other unless clearly mutually exclusive: i) receiving an identification of a first patient, ii) obtaining first eye identification information including a first plurality of iris structures associated with a first eye of the first patient based on at least the identification of the first patient, iii) identifying a second plurality of iris structures of the current patient's eye, iv) identifying whether the second plurality of iris structures matches the first plurality of iris structures, v) providing an indication that the first eye has been correctly identified if the second plurality of iris structures matches the first plurality of iris structures, vi) providing an indication that the first eye has not been correctly identified if the second plurality of iris structures does not match the first plurality of iris structures, and vii) identifying at least one distance measurement of the current patient's eye. vi) determining whether at least one distance measurement of the current patient's eye matches the at least one distance measurement associated with the first eye; viii) providing an indication that the first eye has been correctly identified if the second plurality of iris structures matches the first plurality of iris structures and the at least one distance measurement of the current patient's eye matches the at least one distance measurement associated with the first eye; ix) providing an indication that the first eye has not been correctly identified if the at least one distance measurement of the current patient's eye does not match the at least one distance measurement associated with the first eye; x) obtaining medical procedure information based on at least the identification of the first patient and one of the second plurality of iris structures of the current patient's eye; and xi) providing the medical procedure information via at least one of the display and the microscope integrated display.

[0010] Any of the above systems may be capable of performing any of the above methods, and any of the above non-transitory computer readable memory devices may be capable of causing a system to perform any of the above methods. Any of the above methods may be implemented on any of the above systems or using any of the above non-transitory computer readable memory devices.

[0011] It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory in nature and are intended to provide an understanding of the present disclosure without limiting the scope of the disclosure. In that regard, additional aspects, features and advantages of the present disclosure will become apparent to those skilled in the art from the following detailed description.

[0012] For a more complete understanding of the present disclosure and its features and advantages, reference is now made to the following descriptions taken in conjunction with the accompanying drawings, which are not to scale. [Brief description of the drawings]

[0013] [Figure 1A] FIG. 1A illustrates an example of a medical system. [Figure 1B] FIG. 1B shows an example of a biometric device. [Figure 2A] FIG. 2A shows examples of measurements associated with the eye. [Figure 2B] FIG. 2B shows examples of measurements associated with the eye. [Figure 2C] FIG. 2C shows examples of measurements associated with the eye. [Figure 3A] FIG. 3A illustrates a second example of a medical system. [Figure 3B] FIG. 3B illustrates another example of a medical system. [Figure 3C] FIG. 3C shows an example of a microscope integrated display and several examples of surgical tool instruments. [Figure 4A] FIG. 4A shows an example of a graphical user interface that provides a warning or error. [Figure 4B]FIG. 4B illustrates an example of a graphical user interface that provides an indication that the patient has been correctly identified. [Figure 4C] FIG. 4C shows another example of a graphical user interface that provides a warning or error. [Figure 4D] FIG. 4D illustrates an example of a graphical user interface that provides an indication that the patient's eyes have been correctly identified. [Figure 5A] FIG. 5A shows an example of a surgical tool instrument near the wrong eye. [Figure 5B] FIG. 5B shows an example of a surgical tool instrument near the right eye. [Figure 5C] FIG. 5C illustrates another example of a graphical user interface that provides a warning or error. [Figure 5D] FIG. 5D illustrates an example of a graphical user interface that provides an indication that no errors have been identified. [Figure 6] FIG. 6 illustrates an example of a computer system. [Figure 7A] FIG. 7A illustrates an example of a method of operating a medical system. [Figure 7B] FIG. 7B illustrates an example of a method of operating a medical system. [Figure 8A] FIG. 8A shows an example of a measurement of the structure of the iris of a patient's eye. [Figure 8B] FIG. 8B shows an example of a measurement of the structure of the iris of a patient's eye. [Figure 8C] FIG. 8C shows an example of a measurement of the iris structure of the current patient's eye. [Figure 8D] FIG. 8D shows an example of a measurement of the iris structure of the current patient's eye. [Figure 8E] FIG. 8E shows an example of measurements of the iris structure of the fellow eye of the current patient. [Figure 8F] FIG. 8F shows an example of measurements of the iris structure of the fellow eye of the current patient. [Figure 8G] FIG. 8G shows an example measurement of a current patient's eye. [Figure 8H]FIG. 8H shows an example measurement of a current patient's eye. [Figure 8I] FIG. 8I shows an example measurement of a current patient's eye. [Figure 8J] FIG. 8J shows an example measurement of the fellow eye of the current patient. [Figure 8K] FIG. 8K shows an example measurement of the fellow eye of the current patient. [Figure 8L] FIG. 8L shows an example measurement of the fellow eye of the current patient. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0014] In the following description, details are set forth as examples to facilitate discussion of the disclosed subject matter. However, it should be apparent to those skilled in the art that the disclosed embodiments are examples and do not encompass all possible embodiments.

[0015] As used herein, a reference number refers to a class or type of entity, and any letters following such a reference number refer to a particular instance of a particular entity of that class or type. Thus, for example, a virtual entity referenced by "12A" may refer to a particular instance of a particular class / type, and the reference number "12" may generally refer to a collection of instances belonging to that particular class / type or to any one instance of that class / type.

[0016] The medical systems may be utilized to identify a patient. In one example, a first medical system may be utilized a first time in identifying a patient prior to a medical procedure. In another example, a second medical system may be utilized a second time in identifying a patient prior to a medical procedure. The second time may be a later time than the first time. In one example, the first medical system may be utilized in a doctor's office. In another example, the second medical system may be utilized in a surgical facility.

[0017] The first medical system may associate two or more identification attributes associated with the patient. For example, the two or more identification attributes associated with the patient may include two or more of the patient's name, the patient's address, the patient's phone number, the patient's government issued identification number or string, the patient's date of birth, the patient's first medical facility identification, and the patient's first eye identification, among others. The patient's first eye identification may be utilized via an eye recognition process, method, and / or system to identify the patient and / or the patient's eye.

[0018] The second medical system may associate two or more identification attributes associated with the patient. For example, the two or more identification attributes associated with the patient may include two or more of the patient's name, the patient's address, the patient's phone number, the patient's government issued identification number or string, the patient's date of birth, the patient's first medical facility identification, the patient's second first medical facility identification, the patient's first eye identification, and the patient's second eye identification, among others. The second medical system may utilize an eye recognition process, method, and / or system to obtain the patient's second eye identification and determine whether the patient's first eye identification and the patient's second eye identification match. If the patient's first eye identification and the patient's second eye identification match, the medical procedure associated with the patient may proceed. For example, the medical procedure associated with the patient may include a surgical procedure associated with the patient.

[0019] If the patient's first eye identification and the patient's second eye identification match, a medical procedure may be acquired based on at least an identification associated with the patient. The identification associated with the patient may include the patient's first eye identification and / or the patient's second eye identification. For example, the medical system may acquire medical procedure information from a database. The medical system may acquire medical procedure information from a database based on at least an identification associated with the patient. In one example, the database may identify the plurality of medical procedure information by the patient's identification. In another example, the database may identify the plurality of medical procedure information by the iris structure of the respective eye. Each patient's eye identification may include information associated with the iris structure of the respective one or more eyes. Each patient's eye identification may include information associated with one or more measurements of the respective one or more eyes. The medical procedure may be acquired automatically. For example, the automatic acquisition of the medical procedure may include an automatic loading of the medical procedure. The medical procedure may include a pre-planned treatment. For example, the pre-planned treatment may be automatically loaded for the matching patient and / or the matching eye of the patient. Automatically loading a medical procedure may enable a physician (e.g., surgeon) to initiate and / or begin the medical procedure. The medical procedure may be displayed via the microscope integrated display and / or the medical system display. In one example, this may reduce the time of the medical procedure compared to not automatically loading the medical procedure. In another example, this may reduce one or more errors that may occur when performing one or more medical procedures. If a medical procedure is automatically loaded for a physician based at least on an identification associated with a patient, a medical procedure may not be performed on the wrong patient.

[0020] If the patient's first eye identification and the patient's second eye identification do not match, the medical procedure associated with the patient may not proceed. In one example, an error or warning may be generated that may notify medical personnel that the patient has not been properly identified. In another example, an error or warning may be generated that may notify medical personnel that the patient's eye has not been properly identified.

[0021] One or more eye recognition systems, one or more eye recognition methods, and / or one or more eye recognition processes may be utilized for patient eye identification. For example, eye recognition may be based on identifying the patient by analyzing a pattern based at least on one or more structures of the patient's eye and / or one or more shapes of one or more portions of the patient's eye. In one example, eye recognition may identify eye features by extracting landmarks and / or features from an image of the patient's eye. In a second example, eye recognition may identify eye features by identifying one or more structures of the iris of the patient's eye. In a third example, eye recognition may identify eye features by identifying one or more patterns of the retina of the patient's eye. In another example, eye recognition may identify eye features by determining one or more depth measurements of the patient's eye. The depth measurements of the patient's eye may include a distance measurement from the cornea of ​​the patient's eye to the lens of the patient's eye. The depth measurements of the patient's eye may include a distance measurement from the lens of the patient's eye to the retina of the patient's eye. The one or more eye recognition systems, one or more eye recognition methods, and / or one or more eye recognition processes may identify data associated with the patient's eye. The data associated with the patient's eye may include a template. For example, the template may include data that can be utilized to distinguish an eye of a first patient from an eye of a second patient different from the first patient, such that the template may be distinguished from a photograph.

[0022] The one or more eye recognition systems, the one or more eye recognition methods, and / or the one or more eye recognition processes may utilize three-dimensional technology, particularly utilizing one or more projectors and / or one or more sensors, to determine information regarding the shape of the patient's eye. For example, the information regarding the shape of the patient's eye may be utilized to determine one or more features of the surface of the patient's eye. The one or more features of the surface of the patient's eye may include, among other things, the eye contour. An advantage of utilizing three-dimensional eye recognition technology may be that the three-dimensional eye recognition technology may not be affected by changes in lighting. The one or more eye recognition systems, the one or more eye recognition methods, and / or the one or more eye recognition processes may utilize multiple image sensors. For example, the multiple image sensors may include multiple cameras. The three-dimensional eye recognition technology may utilize multiple image sensors.

[0023] The eye recognition system may include one or more image capture devices. For example, the one or more image capture devices may include one or more cameras. The eye recognition system may include one or more light projectors. In one example, the light projectors may project infrared light. In another example, the light projectors may include lasers. The eye recognition system may identify a location on the patient's eye. For example, the location on the patient's eye may be utilized in identifying a patient's eye template. The patient's eye template may be associated with a topography of the patient's eye. The patient's eye template may be utilized in eye recognition. In one example, the patient's eye template may be compared to another template in confirming or denying the patient's identity. In another example, the patient's eye template may be compared to another template in confirming or denying the patient's identity.

[0024] The medical procedure associated with the patient may include a portion of the patient (e.g., a site of the medical procedure). For example, the portion of the patient may resemble another portion of the patient. For example, the right eye of the patient may resemble the left eye of the patient. For example, the right eye of the patient may appear similar to the left eye of the patient. The medical procedure associated with the patient may be for the portion of the patient and not for the other portion of the patient. For example, the medical procedure associated with the patient may be for the right eye of the patient and not for the left eye of the patient. The second medical system may utilize a computer vision process, method and / or system to identify the portion of the patient from the other portion of the patient. The computer vision process, method and / or system may utilize an eye recognition process, method and / or system to identify the portion of the patient from the other portion of the patient. For example, the second medical system may identify the surgical tool instrument to be in an area not associated with the portion of the patient. The second medical system may issue a warning or an error if the second medical system identifies the surgical tool instrument to be in an area not associated with the portion of the patient. In one example, if the medical procedure is for a patient's right eye (e.g., the site of the medical procedure), the second medical system may issue a warning or error if the second medical system determines that the surgical tool instrument is within a region not associated with the patient's right eye. In another, if the medical procedure is for a patient's right eye (e.g., the site of the medical procedure), the second medical system may issue a warning or error if the second medical system determines that the surgical tool instrument is within a region associated with the patient's left eye.

[0025] 1A, an example of a medical system is shown. As shown, a medical system 110 may be utilized with a patient 120. As shown, the medical system 110 may include a computer system 112. The computer system 112 may be communicatively coupled to displays 116A and 116B. As an example, the computer system 112 may be integrated with the display 116. The computer system 112 may be communicatively coupled to a biometric device 114. In an example, the biometric device 114 may include one or more cameras. In another example, the biometric device 114 may include a three-dimensional scanner. The biometric device 114 may be utilized in biometric measurements of an eye 122 of a patient 120. As shown, the display 116A may display an image 130A associated with the eye 122 of the patient 120. As shown, the display 116B may display an image 130B associated with the eye 122 of the patient 120.

[0026] The computer system 112 may determine eye-identification information. For example, the eye-identification information may include biometric information associated with the eye 122 of the patient 120. The biometric information associated with the eye 122 may include one or more of the following, among others: a vascular pattern of the sclera of the eye 122, a structure of the iris of the eye 122, a position of the structure of the iris of the eye 122, a distance measurement from the cornea of ​​the eye 122 to the lens of the eye 122, a distance measurement from the lens of the eye 122 to the retina of the eye 122, a topography of the cornea of ​​the eye 122, a pattern of the retina of the eye 122, a thickness of the cornea of ​​the eye 122, a thickness of the lens of the eye 122, and a wavefront measurement.

[0027] As shown, the display 116B may display a pattern of blood vessels 132 in the sclera of the eye 122. As shown, the display 116B may display structures 134A-134C of the iris of the eye 122. As shown, the display 116B may display display areas 136A-136D. In one example, the display area 136 may display a distance measurement from the cornea of ​​the eye 122 to the lens of the eye 122, a distance measurement from the lens of the eye 122 to the retina of the eye 122, the location of structures of the iris 134, corneal topography information, or wavefront measurement information, among other biometric information associated with the eye 122. In another example, the display area 136 may display any information associated with the patient 120.

[0028] A person 150 may operate the medical system 110. For example, the person 150 may be a medical professional. The person 150 may input identifying information associated with the patient 120 into the computer system 112. The identifying information associated with the patient 120 may include one or more of the following, among others: a name of the patient 120, an address of the patient 120, a telephone number of the patient 120, a government-issued identification number of the patient 120, a government-issued identification string of the patient 120, and a date of birth of the patient 120. In one example, the computer system 112 may associate the identifying information associated with the patient 120 with the eye recognition information. In another example, the computer system 112 may associate the identifying information associated with the patient 120 with a template.

[0029] The person 150 may verify one or more portions of the identification information associated with the patient 120 before the computer system 112 associates the identification information associated with the patient 120 with the eye recognition information. For example, the one or more portions of the identification information associated with the patient 120 may be stored via a storage device accessible by the computer system 112 before the medical system 110 is utilized with the patient 120. The person 150 may set data associated with a portion of the patient 120. For example, the person 150 may set data associated with the right eye of the patient 120.

[0030] Person 150 may provide medical procedure information associated with patient 120 to computer system 112. The medical procedure information may be associated with a medical procedure. The medical procedure information may be associated with identification information associated with patient 120. Computer system 112 may store the medical procedure information. For example, computer system 112 may store the medical procedure information for later use. The medical procedure information may be associated with a surgery. For example, the medical procedure information may be obtained before a surgery. The medical procedure information may be used during the medical procedure. For example, the medical procedure may include a surgery.

[0031] Now, referring to FIG. 1B, an example of a biometric device is shown. As shown, the biometric device 114 may include image sensors 160A-160C. For example, the image sensor 160 may include a camera. As shown, the biometric device 114 may include light projectors 162A-162C. In one example, the light projector 162 may project visible light. In another example, the light projector 162 may project infrared light. The light projector 162 may project a circle and / or a point on the patient's eye. The image sensor 160 may receive a reflection of the circle and / or point projected on the patient's eye. The computer system may identify one or more locations and / or one or more templates associated with the patient's eye based on at least the reflection of the circle and / or point projected on the patient's eye. As shown, the biometric device 114 may include depth sensors 164A-164C. The depth sensor 164 may include a light projector 162. The depth sensor 164 may include an optical sensor. As shown, the biometric device 114 may include an optical low coherence reflectometer (OLCR) device 166. As shown, the biometric device 114 may include a wavefront device 168.

[0032] The wavefront device 168 may include, among other things, one or more of a light source and a wavefront sensor. The light source may send a first light wave to the eye 122. The wavefront sensor may receive a first perturbed light wave from the eye 122 based on at least the first light wave. In one example, the wavefront device 168 may determine a first optical correction based on at least the first perturbed light. In another example, the computer system may determine a first optical correction based on at least the first perturbed light. The wavefront device 168 may provide data to the computer system based on at least the first perturbed light wave. For example, the computer system may determine a first optical correction based on at least the data from the wavefront device 168.

[0033] Any two or more of the image sensor 160, the light projector 162, the depth sensor 164, the OLCR device 166, and the wavefront device 168 may be combined. In particular, one or more of the image sensors 160A-160C, one or more of the light projectors 162A-162C, one or more of the depth sensors 164A-164C, the OLCR device 166, and / or the wavefront device 168 may generate data that is usable by a computer system.

[0034] 2A-2C, examples of measurements associated with an eye are shown. As shown in FIG. 2A, measurements 210A, 212A, and 214A may be associated with the eye 122. In one example, measurement 210A may be associated with a distance measurement from the cornea 220 of the eye 122 to the lens 222 of the eye 122. In a second example, measurement 212A may be associated with a distance measurement from the lens 222 of the eye 122 to the retina 224 of the eye 122. Measurements 210A, 212A, and 214A may be on-axis measurements.

[0035] As illustrated in FIG. 2B , measurements 210B, 212B, and 214B may be associated with the eye 122. In one example, measurement 210B may be associated with a distance measurement from the cornea 220 of the eye 122 to the lens 222 of the eye 122. In a second example, measurement 212B may be associated with a distance measurement from the lens 222 of the eye 122 to the retina 224 of the eye 122. Measurements 210B, 212B, and 214B may be off-axis measurements. For example, measurements 210B, 212B, and 214B may be off-axis. Measurements 210B, 212B, and 214B may be off-axis. Measurements 210B, 212B, and 214B may be off-axis in the vertical direction. Measurements 210B, 212B, and 214B may be off-axis in the horizontal direction.

[0036] As illustrated in FIG. 2C , measurements 210C, 212C, and 214C may be associated with the eye 122. In one example, measurement 210C may be associated with a distance measurement from the cornea 220 of the eye 122 to the lens 222 of the eye 122. In a second example, measurement 212C may be associated with a distance measurement from the lens 222 of the eye 122 to the retina 224 of the eye 122. Measurements 210C, 212C, and 214C may be off-axis measurements. For example, measurements 210C, 212C, and 214C may be off-axis. Measurements 210C, 212C, and 214C may be off-axis. Measurements 210C, 212C, and 214C may be off-axis in the vertical direction. Measurements 210C, 212C, and 214C may be off-axis in the horizontal direction.

[0037] The biometric device 114 may perform measurements associated with the eye 122. For example, the biometric device 114 may determine, among other things, one or more of the measurements 210, 212, and 214. In particular, the measurements 210, 212, and / or 214 may be utilized in determining a shape of the eye 122. The biometric device 114 may perform measurements associated with the eye 122 without touching the eye 122. For example, the biometric device 114 may determine, among other things, one or more of the measurements 210, 212, and 214 without touching the eye 122. The OLCR device 166 may determine, among other things, one or more of the measurements 210, 212, and 214 without touching the eye 122. For example, the OLCR device 166 can utilize a single beam interferometer or multiple beam interferometer with a beam deflection mechanism to specifically identify one or more of the measurements 210, 212, and 214, and specifically identify one or more of the measurements 210, 212, and 214 along an axis 230 (e.g., a visual axis) and / or horizontally and / or vertically at some degrees from the axis 230.

[0038] The OLCR device 166 may include a single beam interferometer or a multiple beam interferometer and / or a beam deflection mechanism. The OLCR device 166 may include a light source. For example, the light source may include a diode. The diode may emit infrared light. In one example, the infrared light may be associated with a wavelength of about 845 nanometers (nm). In another example, the infrared light may be associated with a coherence length of about 30 micrometers (μm). Other light wavelengths and / or other coherence lengths may be utilized. The OLCR device 166 may perform multiple scans of the eye 122. For example, the OLCR device 166 may perform multiple scans of the eye 122 to specifically identify each of the measurements 210, 212, and 214.

[0039] 3A, a second example of a medical system is shown. As shown, a surgeon 310 may utilize a surgical tool instrument 320. In one example, the surgeon 310 may utilize the surgical tool instrument 320 in a procedure involving the eye 122 of a patient 120. The medical system 300A may include an ophthalmic surgical tool tracking system. As shown, the medical system 300A may include a computer system 330, a display 340, and a microscope integrated display (MID) 350.

[0040] The computer system 330 may receive image frames captured by one or more image sensors. For example, the computer system 330 may perform various image processing on the one or more image frames. The computer system 330 may perform image analysis on the one or more image frames to identify and / or extract one or more images of the surgical tool instrument 320 from the one or more image frames. The computer system 330 may generate a graphical user interface (GUI) on which the one or more image frames may be overlaid. For example, the GUI may include one or more indicators and / or one or more icons, among others. The one or more indicators may include surgical data such as one or more positions and / or one or more orientations. The one or more indicators may include one or more warnings. The GUI may be displayed to the surgeon 310 and / or other medical personnel by the display 340 and / or the MID 350.

[0041] The computer system 330, the display 340, and the MID 350 may be implemented in separate housings communicatively coupled to one another or in a common console or housing. A user interface may be associated with one or more of the computer system 330, the display 340, and the MID 350, among other things. For example, the user interface may include one or more of a keyboard, a mouse, a joystick, a touch screen, an eye tracking device, a voice recognition device, a gesture control module, a dial, and / or a button, among other input devices. A user (e.g., the surgeon 310 and / or other medical personnel) may input desired commands and / or parameters via the user interface. For example, the user interface may be utilized in controlling one or more of the computer system 330, the display 340, and the MID 350, among other things.

[0042] 3B, another example of a medical system is shown. As shown, a surgeon 310 may utilize a system 300B. For example, the surgeon 310 may use the system 300B in a procedure involving the eye 122 of the patient 120. The system 300B may include multiple systems. As shown, the system 300B may include a cutting system 315A. For example, the surgeon 310 may use the system 315A in a cut of the eye 122. The eye 122 may include a flap in the cornea of ​​the eye of the patient 120. As shown, the system 300B may include a shaping system 315B. For example, the surgeon 310 may use the shaping system 315B in performing a resection of an inner portion of the cornea of ​​the patient 340.

[0043] As shown, system 315A may include display 340A. As shown, system 315A may include microscope display 350A. For example, microscope display 350A may include a MID. System 315A may include, among others, one or more of image sensors 160A-160C, one or more of light projectors 162A-162C, one or more of depth sensors 164A-164C, OLCR device 166, and / or wavefront device 168. As shown, system 315B may include display 340B. As shown, system 315B may include microscope display 350B. For example, microscope display 350B may include a MID. System 315B may include one or more of image sensors 160A-160C, one or more of light projectors 162A-162C, one or more of depth sensors 164A-164C, an OLCR device 166, and / or a wavefront device 168, among others.

[0044] System 315A may include a laser, such as a femtosecond laser, that can ablate a series of small portions of corneal tissue using short laser pulses to form a flap that can be lifted to expose an inner portion of the cornea. The flap can be planned and cut using one or both of cutting device displays 340A and 350A in conjunction with a controller and computer system 330A. As shown, system 315A may include computer system 330A. For example, computer system 330A may be coupled to, among other things, one or more of image sensors 160A-160C, one or more of light projectors 162A-162C, one or more of depth sensors 164A-164C, OLCR device 166, and / or wavefront device 168 of system 315A. As shown, system 315B may include computer system 330B. For example, computer system 330B may be coupled to one or more of image sensors 160A-160C, one or more of light projectors 162A-162C, one or more of depth sensors 164A-164C, OLCR device 166, and / or wavefront device 168 of system 315B, among others.

[0045] Systems 315A and 315B may be physically separated as shown in FIG. 3B. The patient 120 may be moved between systems 315A and 315B. Alternatively, the patient 120 may remain stationary and the systems 315A and 315B may be moved towards the patient 120. Systems 315A and 315B may be physically combined into a single integrated device such that neither the device nor the patient 120 changes position when switching between systems 315A and 315B.

[0046] System 300B may include one or more control devices for controlling systems 315A and 315B. For example, the one or more control devices may include one or more of an interactive display, such as a touch screen display, a keyboard, a mouse, a touch pad, buttons, a joystick, foot pedals, a heads-up display, and virtual reality glasses, or other devices capable of interacting with a user, such as a medical professional.

[0047] System 300B may include at least one computer system configured to generate images presented on at least one of displays 340A, 350A, 340B, and 350B, among others. For example, the at least one computer system may include one or more of computer systems 330A and 330B. One or more of computer systems 330A and 330B may be coupled to a viewing device, such as a microscope, a camera, an optical coherence tomography (OCT) device, or a display, or another device capable of measuring the position of the eye during surgery. One or more of computer systems 330A and 330B may be coupled to one or more of the control devices.

[0048] In one example, the cutting device computer system 330A may i) be coupled to a viewing device that views the eye when the patient 120 is positioned relative to the system 315A, ii) provide graphical information regarding the planned flap location and the planned excision area to one or more of the displays 340A and 350A, and iii) be coupled to one or more control devices of the system 315A. In a second example, the molding device computer 330B may i) be coupled to a viewing device that views the eye when the patient 120 is positioned relative to the molding device, ii) provide graphical information regarding the planned flap location and the planned excision area to one or more of the displays 340B and 350B, and iii) be coupled to one or more control devices of the system 315B. In another example, the computer system may include the characteristics and / or attributes described above with respect to the computer systems 330A and 330B.

[0049] The computer systems of system 300 may be wired or wirelessly coupled to other portions of system 300. One or more of the computer systems of system 300 may be coupled to databases stored locally on a remote computer system or a remote data center, or both, that store patient data, treatment plans, and / or other information associated with the treatment and / or system 300. In one example, the database may include a relational database. In a second example, the database may include a graph database. In another example, the database may include a "Not Only SQL" (NoSQL) database.

[0050] The system 300 may allow a user to input and view information about a patient and the treatment to be or has been administered to the patient. Such data may include information about the patient, such as identification information, the patient's medical history, and information about the eye 122 being treated. Such data may include information about the treatment plan, such as the shape and location of the corneal incision and the shape and location of the ablation, among others.

[0051] 3C, an example of a microscope integrated display and multiple examples of surgical tool instruments are shown. As shown, surgical tool instrument 320A may be or include a scalpel. As shown, surgical tool instrument 320B may be or include a Q-tip. As shown, surgical tool instrument 320C may be or include tweezers. Other surgical tool instruments not specifically shown may be utilized with one or more of the systems, processes and / or methods described herein.

[0052] As one example, the surgical tool instrument 320 may be marked with one or more patterns. The one or more patterns may be utilized in identifying the surgical tool instrument 320. The one or more patterns may include one or more of a hash pattern, a stripe pattern, and a fractal pattern, among others. As another example, the surgical tool instrument 320 may be marked with a dye and / or paint. The dye and / or paint may reflect one or more of visible light, infrared light, and ultraviolet light, among others. In one example, the illuminator 378 may provide ultraviolet light and the image sensor 372 may receive the ultraviolet light reflected from the surgical tool instrument 320. The computer system 330 may receive image data from the image sensor 372 based at least on the ultraviolet light reflected from the surgical tool instrument 320 and may utilize the image data based at least on the ultraviolet light reflected from the surgical tool instrument 320 to identify the surgical tool instrument 320 from other image data provided by the image sensor 372. In another example, the illuminator 378 may provide infrared light and the image sensor 372 may receive infrared light reflected from the surgical tool instrument 320. The computer system 330 may receive image data from the image sensor 372 based at least on the infrared light reflected from the surgical tool instrument 320 and may utilize the image data based at least on the infrared light reflected from the surgical tool instrument 320 to identify the surgical tool instrument 320 from other image data provided by the image sensor 372.

[0053] As shown, the MID 350 may include displays 362A and 362B. For example, the surgeon 310 may look through multiple eyepieces, and the displays 362A and 362B may display information to the surgeon 310. Although the MID 350 is shown with multiple displays, the MID 350 may include a single display 362. For example, the MID 350 may be implemented with one or more displays 362. As shown, the MID 350 may include image sensors 372A and 372B. In one example, the image sensors 372A and 372B may capture images. In a second example, the image sensors 372A and 372B may include cameras. In another example, the image sensor 372 may capture images via one or more of visible light, infrared light, and ultraviolet light, among others. The one or more image sensors 372A and 372B may provide image data to the computer system 330. Although the MID 350 is shown with multiple image sensors, the MID 350 may include a single image sensor 372. For example, the MID 350 may be implemented with one or more image sensors 372.

[0054] As shown, the MID 350 may include distance sensors 374A and 374. For example, the distance sensor 374 may determine a distance to the surgical tool instrument 320. The distance sensor 374 may determine a distance associated with the Z-axis. Although the MID 350 is shown with multiple image sensors, the MID 350 may include a single distance sensor 374. In one example, the MID 350 may be implemented with one or more distance sensors 374. In another example, the MID 350 may be implemented without a distance sensor. As shown, the MID 350 may include lenses 376A and 376B. Although the MID 350 is shown with multiple lenses 376A and 376B, the MID 350 may include a single lens 376. For example, the MID 350 may be implemented with one or more lenses 376. As shown, the MID 350 may include illuminators 378A and 378B. For example, the illuminator 378 may provide and / or generate one or more of visible light, infrared light, and ultraviolet light, among others. Although the MID 350 is shown with multiple illuminators, the MID 350 may include a single illuminator 378. For example, the MID 350 may be implemented using one or more illuminators 378. The MID 350 may include one or more structures and / or one or more functions similar to those described with respect to the biometric device 114. In one example, the MID 350 may include the OLCR device 166. In another example, the MID 350 may include the wavefront device 168.

[0055] The system 300 may identify the patient. For example, the system 300 may identify the patient 120. The system 300 may identify the patient to avoid administering the wrong medical procedure to the patient. For example, the system 300 may identify the patient to avoid administering a medical procedure to the patient that is designated for another patient.

[0056] The GUI 410 shown in FIG. 4A may provide an indication that the patient has been correctly identified. In one example, the indication may include an icon 420A. In a second example, the indication may include textual information 430A that may indicate that the patient has been correctly identified. The GUI 410 may be displayed via the display 340 and / or the MID 350. In another example, the indication may include one or more audible sounds. The GUI 410 shown in FIG. 4B may provide an indication that the patient has been correctly identified. In one example, the indication may include an icon 420B. In another example, the indication may include textual information 430B that may indicate that the patient has been correctly identified. The GUI 410 may be displayed via the display 340 and / or the MID 350.

[0057] The system 300 may identify the patient's eye. In one example, the system 300 may identify the eye 122. In another example, the system 300 may identify the eye 124. The system 300 may not identify the patient's eye. In one example, if the system 300 does not identify the patient's eye, the system 300 may provide information indicating that the patient's eye was not identified. In a second example, if the system 300 does not identify the patient's eye, the system 300 may deny access to one or more portions of the system 300. In another example, if the system 300 does not identify the patient's eye, the system 300 may deny access to one or more functions of the system 300.

[0058] The GUI 410 shown in FIG. 4C may provide an indication that the eye has been correctly identified. In one example, the indication may include an icon 420C. In a second example, the indication may include textual information 430C that may indicate that the wrong eye has been detected. The GUI 410 may be displayed via the display 340 and / or the MID 350. In another example, the indication may include one or more audible sounds. The GUI 410 shown in FIG. 4D may provide an indication that the eye has been correctly identified. In one example, the indication may include an icon 420D. In another example, the indication may include textual information 430D that may indicate that the eye has been correctly identified. The GUI 410 may be displayed via the display 340 and / or the MID 350.

[0059] The system 300 may iterate to identify the patient's eye. In one example, the system 300 may identify the patient's eye 120 when the surgeon 310 performs at least a first portion of the medical procedure utilizing the system 315A. In another example, the system 300 may identify the patient's eye 120 when the surgeon 310 performs at least a second portion of the medical procedure utilizing the system 315B. The medical procedure may be performed on the eye 122. In one example, the first portion of the medical procedure may be performed utilizing the system 315A. In another example, the second portion of the medical procedure may be performed utilizing the system 315B. The system 300 may identify whether the eye 122 is identified before the second portion of the medical procedure is performed utilizing the system 315B. For example, the system 300 may identify whether the eye 122 is identified before the second portion of the medical procedure is performed utilizing the system 315B such that the second portion of the medical procedure is not performed on the eye 124.

[0060] The system 300 may identify whether a surgical tool instrument is being utilized for the correct eye during a medical procedure (e.g., a surgical procedure). In one example, as shown in FIG. 5A, the system 300 may identify that the surgical tool instrument 320 should not be utilized for the eye 124. The system 300 may identify the eye 124 and identify that the surgical tool instrument 320 should not be utilized for the eye 124. The system 300 may not identify the eye and identify that the surgical tool instrument 320 should not be utilized for the eye that was not identified. In another example, as shown in FIG. 5B, the system 300 may identify that the surgical tool instrument 320 may be utilized for the eye 122. The system 300 may identify the eye 122 and identify that the surgical tool instrument 320 may be utilized for the eye 122.

[0061] 5C may provide a warning that the surgical tool instrument 320 should not be utilized on the wrong eye. In one example, the warning may include an icon 520A. In a second example, the warning may include textual information 530A that may indicate that the surgical tool instrument 320 has been detected in the wrong eye. The GUI 510 may be displayed via the display 340 and / or the MID 350. The warning that the surgical tool instrument 320 should not be utilized on the wrong eye may include one or more audible sounds.

[0062] 5D may provide an indication that the surgical tool instrument 320 may be utilized relative to the eye 122. In one example, the indication may include an icon 520B. In another example, the indication may include textual information 530B that may indicate that no errors were detected. The GUI 510 may be displayed via the display 340 and / or the MID 350.

[0063] 6, an example of a computer system is shown. As shown, computer system 600 may include a processor 610, a volatile memory medium 620, a non-volatile memory medium 630, and input / output (I / O) devices 640. As shown, volatile memory medium 620, non-volatile memory medium 630, and I / O devices 640 may be communicatively coupled to processor 610.

[0064] The term "memory medium" may refer to "memory," "storage device," "memory device," "computer-readable medium," and / or "tangible computer-readable storage medium." For example, memory medium may include, without limitation, storage media such as direct access storage devices including hard disk drives, sequential access storage devices such as tape disk drives, compact disks (CDs), random access memory (RAM), read-only memory (ROM), CD-ROMs, digital versatile disks (DVDs), electrically erasable programmable read-only memory (EEPROM), flash memory, non-transitory media, and / or combinations of one or more of the foregoing. As illustrated, non-volatile memory medium 630 may include processor instructions 632. Processor instructions 632 may be executed by processor 610. In one example, one or more portions of processor instructions 632 may be executed via non-volatile memory medium 630. In another example, one or more portions of processor instructions 632 may be executed via volatile memory medium 620. One or more portions of processor instructions 632 may be transferred to volatile memory medium 620.

[0065] The processor 610 may execute the processor instructions 632 in implementing at least a portion of one or more systems, one or more flowcharts, one or more processes, and / or one or more methods described herein. For example, the processor instructions 632 may be configured, coded, and / or encoded with instructions according to at least a portion of one or more systems, one or more flowcharts, one or more methods, and / or one or more processes described herein. Although the processor 610 is shown as a single processor, the processor 610 may be or include multiple processors. One or more of the storage medium and memory medium may be a software product, a program product, and / or an article of manufacture. For example, the software product, the program product, and / or an article of manufacture may be configured, coded, and / or encoded with instructions executable by a processor according to at least a portion of one or more systems, one or more flowcharts, one or more methods, and / or one or more processes described herein.

[0066] The processor 610 may include any suitable system, device, or apparatus operable to interpret and execute program instructions, process data, or both stored in a memory medium and / or received over a network. The processor 610 may further include one or more microprocessors, microcontrollers, digital signal processors (DSPs), application specific integrated circuits (ASICs), or other circuitry configured to interpret and execute program instructions, process data, or both.

[0067] I / O devices 640 may include any means or means for facilitating input from and output to a user, thereby enabling, permitting, and / or enabling a user to interact with computer system 600 and its associated components. Facilitating input from a user may enable a user to operate and / or control computer system 600, and facilitating output to a user may enable computer system 600 to indicate the effects of the user's operation and / or control. For example, I / O devices 640 may enable a user to input data, instructions, or both into computer system 600 and to operate and / or control computer system 600 and its associated components. I / O devices may include user interface devices, such as a keyboard, mouse, touch screen, joystick, handheld lens, tool tracking device, coordinate input device, or any other I / O device suitable for use with the system.

[0068] The I / O devices 640 may include, among other things, one or more buses, one or more serial devices, and / or one or more network interfaces that may facilitate and / or allow the processor 610 to implement at least a portion of one or more systems, processes, and / or methods described herein. In one example, the I / O devices 640 may include a storage interface that may facilitate and / or allow the processor 610 to communicate with external storage. The storage interface may include, among other things, one or more of a Universal Serial Bus (USB) interface, a SATA (Serial ATA) interface, a PATA (Parallel ATA) interface, and a Small Computer System Interface (SCSI). In a second example, the I / O devices 640 may include a network interface that may facilitate and / or allow the processor 610 to communicate with a network. The I / O devices 640 may include one or more of a wireless network interface and a wired network interface. In a third example, the I / O device 640 may include one or more of a peripheral component interconnect (PCI) interface, a PCI Express (PCIe) interface, a serial peripheral interconnect (SPI) interface, and an inter-integrated circuit (I2C) interface, among others. In a fourth example, the I / O device 640 may include circuitry that may enable the processor 610 to communicate data with one or more sensors. In a fifth example, the I / O device 640 may facilitate and / or allow the processor 610 to communicate data with one or more of the display 650 and the MID 660, among others. In another example, the I / O device 640 may facilitate and / or allow the processor 610 to communicate data with the imager 670. As shown, the I / O device 640 may be coupled to a network 680. For example, the I / O device 640 may include a network interface.

[0069] Network 680 may include, among others, a wired network, a wireless network, an optical network, or a combination of the foregoing. Network 680 may include and / or be coupled to various types of communication networks. For example, network 680 may include and / or be coupled to a local area network (LAN), a wide area network (WAN), the Internet, a public switched telephone network (PSTN), a cellular telephone network, a satellite telephone network, or a combination of the foregoing, among others. WANs may include, among others, a private WAN, a corporate WAN, a public WAN, or a combination of the foregoing.

[0070] The computer systems described herein may include one or more structures and / or one or more functions such as those described with respect to computer system 600. In one example, computer system 112 may include one or more structures and / or one or more functions such as those described with respect to computer system 600. In a second example, computer system 330 may include one or more structures and / or one or more functions such as those described with respect to computer system 600. In another example, the computer system of MID 350 may include one or more structures and / or one or more functions such as those described with respect to computer system 600.

[0071] 7A and 7B, an example method of operating a medical system is shown. At 710, an identification of a first patient may be received. For example, computer system 330 may receive the identification of the first patient. The first patient may be patient 120. The identification of the first patient may include the name of the first patient. The identification of the first patient may include a number or a string associated with the first patient.

[0072] At 715, first eye identification information including a first plurality of iris structures associated with a first eye of a first patient may be obtained based on at least the identification of the first patient. For example, the first plurality of iris structures may include a plurality of iris structures 134A-134C. The first eye identification information may include a pattern of blood vessels 132. The first eye identification information may include, among other things, one or more of measurements 210A, 212A, 214A, 210B, 212B, 214B, 210C, 212C, and 214C. The first eye identification information may include, among other things, one or more of measurements 810-814, as shown in FIGS. 8A and 8B. The first eye identification information may include, among other things, one or more of measurements θ1 and θ2, as shown in FIGS. 8A and 8B. For example, measurements θ1 and θ2 may be angular measurements. The angular measurements may be measured in units of degrees, radians, etc.

[0073] At 720, a second plurality of iris structures may be identified for the current patient's eye. In one example, as shown in Figures 8C and 8D, the current patient's eye may be eye 822. A plurality of iris structures 834A-834C may be identified for eye 822. In another example, as shown in Figures 8E and 8F, the current patient's eye may be eye 824. A plurality of iris structures 836A-836C may be identified for eye 824.

[0074] At 725, at least one distance measurement of the current patient's eye may be determined. In one example, as shown in FIG. 8G, the at least one distance measurement of the current patient's eye may include a distance measurement 850A from the cornea 860 of the eye 822 to the lens 862 of the eye 822. In a second example, as shown in FIG. 8G, the at least one distance measurement of the current patient's eye may include a distance measurement 852A of the lens 862. In a third example, the at least one distance measurement of the current patient's eye may include a distance measurement 854A from the lens 862 of the eye 822 to the retina 864 of the eye 822. Measurements 850A, 852A, and 854A may be on-axis measurements.

[0075] In a fourth example, as shown in FIG. 8H, at least one distance measurement of the current patient's eye may include a distance measurement 850B from the cornea 860 of the eye 822 to the lens 862 of the eye 822. In a fifth example, as shown in FIG. 8H, at least one distance measurement of the current patient's eye may include a distance measurement 852B of the lens 862. In a sixth example, as shown in FIG. 8H, at least one distance measurement of the current patient's eye may include a distance measurement 854B from the lens 862 of the eye 822 to the retina 864 of the eye 822. Measurements 850B, 852B, and 854B may be off-axis measurements. Measurements 850B, 852B, and 854B may be off-axis measurements. Measurements 850B, 852B, and 854B may be off-axis 870.

[0076] In a seventh example, as shown in FIG. 8I, at least one distance measurement of the current patient's eye may include a distance measurement 850C from the cornea 860 of the eye 822 to the lens 862 of the eye 822. In an eighth example, as shown in FIG. 8I, at least one distance measurement of the current patient's eye may include a distance measurement 852C of the lens 862. In a ninth example, as shown in FIG. 8I, at least one distance measurement of the current patient's eye may include a distance measurement 854C from the lens 862 of the eye 822 to the retina 864 of the eye 822. Measurements 850C, 852C, and 854C may be off-axis measurements. Measurements 850C, 852C, and 854C may be off-axis 870.

[0077] In a tenth example, as shown in FIGURE 8J, at least one distance measurement of the current patient's eye may include distance measurement 880A from the cornea 861 of eye 824 to the lens 863 of eye 824. In an eleventh example, as shown in FIGURE 8J, at least one distance measurement of the current patient's eye may include distance measurement 882A of the lens 863. In a twelfth example, as shown in FIGURE 8J, at least one distance measurement of the current patient's eye may include distance measurement 884A from the lens 863 of eye 824 to the retina 865 of eye 824. Measurements 880A, 882A, and 884A may be on-axis measurements.

[0078] In a thirteenth example, as shown in FIG. 8K, at least one distance measurement of the current patient's eye may include a distance measurement 880B from the cornea 861 of the eye 824 to the lens 863 of the eye 824. In a fourteenth example, as shown in FIG. 8K, at least one distance measurement of the current patient's eye may include a distance measurement 882B of the lens 863. In a fifteenth example, as shown in FIG. 8K, at least one distance measurement of the current patient's eye may include a distance measurement 884B from the lens 863 of the eye 824 to the retina 865 of the eye 824. Measurements 880B, 882B, and 884B may be off-axis measurements. Measurements 880B, 882B, and 884B may be off-axis measurements. Measurements 880B, 882B, and 884B may be off-axis 871.

[0079] In a sixteenth example, as shown in FIG. 8L, at least one distance measurement of the current patient's eye may include a distance measurement 880C from the cornea 861 of the eye 824 to the lens 863 of the eye 824. In a seventeenth example, as shown in FIG. 8L, at least one distance measurement of the current patient's eye may include a distance measurement 882C of the lens 863. In an eighteenth example, as shown in FIG. 8L, at least one distance measurement of the current patient's eye may include a distance measurement 884C from the lens 863 of the eye 824 to the retina 865 of the eye 824. Measurements 880C, 882C, and 884C may be off-axis measurements. Measurements 880C, 882C, and 884C may be off-axis measurements. Measurements 880C, 882C, and 884C may be off-axis 871.

[0080] At 730, an angle between a first iris structure of the second plurality of iris structures and a second iris structure of the second plurality of iris structures may be determined. Determining the angle between the first iris structure of the second plurality of iris structures and the second iris structure of the second plurality of iris structures may include determining an angle between the first iris structure of the second plurality of iris structures and the second iris structure of the second plurality of iris structures with respect to a center of a pupil of the current patient's eye.

[0081] In one example, determining an angle between a first iris structure of the second plurality of iris structures and a second iris structure of the second plurality of iris structures with respect to a center of the pupil of the current patient's eye may include an angle θ3 between iris structures 834A and 834B of eye 822, as shown in Figure 8C. In a second example, determining an angle between a first iris structure of the second plurality of iris structures and a second iris structure of the second plurality of iris structures with respect to a center of the pupil of the current patient's eye may include an angle θ4 between iris structures 834A and 834C of eye 822, as shown in Figure 8D. In a third example, determining an angle between a first iris structure of the second plurality of iris structures and a second iris structure of the second plurality of iris structures with respect to a center of the pupil of the current patient's eye may include an angle θ5 between iris structures 836A and 836B of eye 824, as shown in Figure 8E. In another example, determining the angle between a first iris structure of the second plurality of iris structures and a second iris structure of the second plurality of iris structures with respect to the center of the pupil of the current patient's eye may include an angle θ6 between iris structures 836A and 836C of eye 824, as shown in FIG. 8F.

[0082] At 735, a distance between a first iris structure of the second plurality of iris structures and a center of the pupil of the current patient's eye may be determined. In one example, a distance 810 between iris structure 834A and a center of the pupil of eye 822 may be determined. In another example, a distance 840 between iris structure 836A and a center of the pupil of eye 824 may be determined.

[0083] At 740, a distance between a second iris structure of the second plurality of iris structures and a center of the pupil of the current patient's eye may be determined. In one example, a distance 812 between iris structure 834B and a center of the pupil of eye 822 may be determined. In another example, a distance 842 between iris structure 836B and a center of the pupil of eye 824 may be determined.

[0084] At 745, a distance between a third iris structure of the second plurality of iris structures and a center of the pupil of the current patient's eye may be determined. In one example, a distance 814 between iris structure 834C and a center of the pupil of eye 822 may be determined. In another example, a distance 844 between iris structure 836C and a center of the pupil of eye 824 may be determined.

[0085] At 750, it may be determined whether the second plurality of iris structures matches the first plurality of iris structures. If the second plurality of iris structures does not match the first plurality of iris structures, an indication that the first eye has not been correctly identified may be provided at 755. In one example, providing the indication that the first eye has not been correctly identified may include providing one or more of the icon 420C and the textual information 430C, among others. In another example, providing the indication that the first eye has not been correctly identified may include providing one or more audible sounds. Providing the one or more audible sounds may include providing one or more audible alerts and / or warning sounds.

[0086] If the second plurality of iris structures matches the first plurality of iris structures, then at 760, it may be determined whether at least one distance measurement of the current patient's eye matches at least one distance measurement associated with the first eye. In one example, determining whether at least one distance measurement of the current patient's eye matches at least one distance measurement associated with the first eye may include determining whether a distance of distances 850-854 matches a respective distance of distances 210-214. In another example, determining whether at least one distance measurement of the current patient's eye matches at least one distance measurement associated with the first eye may include determining whether a distance of distances 880-884 matches a respective distance of distances 210-214.

[0087] If the at least one distance measurement of the current patient's eye does not match the at least one distance measurement associated with the first eye, the method may proceed to 755. If the at least one distance measurement of the current patient's eye matches the at least one distance measurement associated with the first eye, an indication that the first eye has been correctly identified may be provided. For example, one or more of icon 420D and textual information 430D, among others, may be provided.

[0088] At 770, medical procedure information may be obtained based on at least the first patient identification and one of the second plurality of iris structures of the current patient's eye. For example, the system 300 may obtain the medical procedure information from a database. The system 300 may obtain the medical procedure information from a database based on at least the first patient identification and one of the second plurality of iris structures of the current patient's eye. In one example, the database may identify the plurality of medical procedure information by patient identification. In another example, the database may identify the plurality of medical procedure information by iris structure of each eye of each patient.

[0089] At 775, medical procedure information may be provided via at least one of the display and the microscope-integrated display. For example, the medical procedure information may include steps of a medical procedure. The steps of the medical procedure may include an ordered series of steps of the medical procedure.

[0090] One or more of the method and / or process elements and / or one or more portions of the method and / or processor elements may be performed in a varying order, repeated, or omitted. Further, additional, supplemental, and / or overlapping method and / or process elements may be implemented, instantiated, and / or performed as desired. Further, one or more of the system elements may be omitted and / or additional system elements may be added as desired.

[0091] The memory medium may be and / or include an article of manufacture. For example, the article of manufacture may include and / or be a software product and / or program product. The memory medium may be coded and / or encoded with processor-executable instructions according to one or more of the flowcharts, systems, methods and / or processes described herein to produce the article of manufacture.

[0092] The subject matter disclosed above is to be considered as illustrative, not limiting, and the appended claims are intended to cover all such modifications, extensions and other implementations that are within the true spirit and scope of the present disclosure. Accordingly, to the maximum extent permitted by law, the scope of the present disclosure shall be determined by the broadest permissible interpretation of the following claims and their equivalents, and shall not be limited or restricted by the above detailed description. The present disclosure also includes the following inventions. The first aspect is 1. A health care system comprising: At least one processor; a memory medium coupled to the at least one processor, the memory medium, when executed by the at least one processor, for providing to the medical system: receiving an identification of a first patient; obtaining first eye identification information comprising a first plurality of iris structures associated with a first eye of the first patient based on the identification of at least the first patient; Identifying a second plurality of iris structures in the eye of the current patient; determining whether the second plurality of iris structures matches the first plurality of iris structures; providing an indication that the first eye has been correctly identified if the second plurality of iris structures matches the first plurality of iris structures; and if the second plurality of iris structures does not match the first plurality of iris structures, providing an indication that the first eye has not been correctly identified. The second aspect is the first eye identification information further includes at least one distance measurement associated with the first eye; and The instructions include: determining at least one distance measurement of the eye of the current patient; determining whether the at least one distance measurement for the eye of the current patient matches the at least one distance measurement associated with the first eye; providing the indication that the first eye has been correctly identified if the second plurality of iris structures matches the first plurality of iris structures and the at least one distance measurement for the eye of the current patient matches the at least one distance measurement associated with the first eye; A medical system in a first aspect, further comprising: if the at least one distance measurement of the eye of the current patient does not match the at least one distance measurement associated with the first eye, providing the indication that the first eye has not been correctly identified. The third aspect is the at least one distance measurement associated with the first eye includes at least one of a distance measurement from the cornea of ​​the first eye to a lens of the first eye, a distance measurement from the lens of the first eye to a retina of the first eye, a corneal thickness of the first eye, and a lens thickness of the first eye; and In a second aspect of the medical system, the at least one distance measurement associated with the eye of the current patient includes at least one of a distance measurement from the cornea of ​​the eye of the current patient to a lens of the eye of the current patient, a distance measurement from the lens of the eye of the current patient to the retina of the eye of the current patient, a corneal thickness of the eye of the current patient, and a lens thickness of the eye of the current patient. The fourth aspect is In a first aspect of the medical system, the instructions further cause the medical system to obtain medical treatment information based on at least the identification of the first patient and one of the second plurality of iris structures of the eye of the current patient. The fifth aspect is A fourth aspect of the medical system, wherein the instructions further cause the medical system to provide the medical procedure information via at least one of a display and a microscope integrated display. The sixth aspect is a first iris structure of the first plurality of iris structures is spaced from a second iris structure of the first plurality of iris structures by a first angle relative to a center of a pupil of the first eye; a first iris structure of the second plurality of iris structures is separated from a second iris structure of the second plurality of iris structures by a second angle relative to a center of a pupil of the eye of the current patient; and In a first aspect of the medical system, to determine whether the second plurality of iris structures matches the first plurality of iris structures, the instructions further cause the medical system to determine whether a second angle matches the first angle. The seventh aspect is the first iris structure of the first plurality of iris structures is a first distance from the center of the pupil of the first eye; the first iris structure of the second plurality of iris structures is a second distance from the center of the pupil of the eye of the current patient; and In a sixth aspect of the medical system, to determine whether the second plurality of iris structures matches the first plurality of iris structures, the instructions further cause the medical system to determine whether the second distance matches the first distance. The eighth aspect is the current patient is the first patient, and The medical system of a first aspect, wherein the eye of the current patient is a second eye of the first patient that is different from the first eye. The ninth aspect is 1. A method of operating a medical system, comprising: receiving an identification of a first patient; obtaining first eye identification information comprising a first plurality of iris structures associated with a first eye of the first patient based on the identification of at least the first patient; Identifying a second plurality of iris structures in the eye of the current patient; determining whether the second plurality of iris structures matches the first plurality of iris structures; providing an indication that the first eye has been correctly identified if the second plurality of iris structures matches the first plurality of iris structures; and if the second plurality of iris structures does not match the first plurality of iris structures, providing an indication that the first eye has not been correctly identified. A tenth aspect is the first eye identification information further comprises at least one distance measurement associated with the first eye; The method comprises: determining at least one distance measurement of the eye of the current patient; determining whether the at least one distance measurement for the eye of the current patient matches the at least one distance measurement associated with the first eye; providing the indication that the first eye has been correctly identified if the second plurality of iris structures matches the first plurality of iris structures and the at least one distance measurement for the eye of the current patient matches the at least one distance measurement associated with the first eye; A method according to a ninth aspect, further comprising: if the at least one distance measurement of the current patient's eye does not match the at least one distance measurement associated with the first eye, providing the indication that the first eye has not been correctly identified. An eleventh aspect is the at least one distance measurement associated with the first eye includes at least one of a distance measurement from the cornea of ​​the first eye to a lens of the first eye, a distance measurement from the lens of the first eye to a retina of the first eye, a corneal thickness of the first eye, and a lens thickness of the first eye; and A method in a tenth aspect, wherein the at least one distance measurement associated with the eye of the current patient includes at least one of a distance measurement from a cornea of ​​the eye of the current patient to a lens of the eye of the current patient, a distance measurement from a lens of the eye of the current patient to a retina of the eye of the current patient, a corneal thickness of the eye of the current patient, and a lens thickness of the eye of the current patient. A twelfth aspect is A method according to a 9th aspect, further comprising obtaining medical treatment information based on at least the identification of the first patient and one of the second plurality of iris structures of the eye of the current patient. A thirteenth aspect is The method of a twelfth aspect, further comprising providing the medical procedure information via at least one of a display and a microscope integrated display. A fourteenth aspect is a first iris structure of the first plurality of iris structures is spaced from a second iris structure of the first plurality of iris structures by a first angle relative to a center of a pupil of the first eye; a first iris structure of the second plurality of iris structures is separated from a second iris structure of the second plurality of iris structures by a second angle relative to a center of a pupil of the eye of the current patient; and A 9th aspect of the method, wherein determining whether the second plurality of iris structures matches the first plurality of iris structures includes determining whether a second angle matches the first angle. The fifteenth aspect is the first iris structure of the first plurality of iris structures is a first distance from the center of the pupil of the first eye; The first iris structure of the second plurality of iris structures corresponds to the pupil of the eye of the current patient. a second distance from the center of the A method in accordance with a fourteenth aspect, wherein determining whether the second plurality of iris structures matches the first plurality of iris structures includes determining whether the second distance matches the first distance. A sixteenth aspect is the current patient is the first patient, and The method of a 9th aspect, wherein the eye of the current patient is a second eye of the first patient that is different from the first eye.

Claims

1. 1. A health care system comprising: At least one processor; a memory medium coupled to the at least one processor, the memory medium, when executed by the at least one processor, providing to the medical system: receiving an identification of a first patient; obtaining first eye identification information comprising a first plurality of iris structures associated with a first eye of the first patient based on the identification of at least the first patient; Identifying a second plurality of iris structures in the eye of the current patient; determining whether the second plurality of iris structures matches the first plurality of iris structures; providing an indication that the first eye has been correctly identified if the second plurality of iris structures matches the first plurality of iris structures; providing an indication that the first eye has not been correctly identified if the second plurality of iris structures does not match the first plurality of iris structures. and a memory medium including instructions for causing the medical system to perform at least one of the following: a first iris structure of the first plurality of iris structures is spaced from a second iris structure of the first plurality of iris structures by a first angle relative to a center of a pupil of the first eye; a first iris structure of the second plurality of iris structures is separated from a second iris structure of the second plurality of iris structures by a second angle relative to a center of a pupil of the eye of the current patient; and The instructions further cause the medical system to determine whether a second angle matches the first angle, to determine whether the second plurality of iris structures matches the first plurality of iris structures.

2. the first eye identification information further includes at least one distance measurement associated with the first eye; and The instructions include: determining at least one distance measurement of the eye of the current patient; determining whether the at least one distance measurement for the eye of the current patient matches the at least one distance measurement associated with the first eye; providing the indication that the first eye has been correctly identified if the second plurality of iris structures matches the first plurality of iris structures and the at least one distance measurement for the eye of the current patient matches the at least one distance measurement associated with the first eye; providing the indication that the first eye has not been correctly identified if the at least one distance measurement for the eye of the current patient does not match the at least one distance measurement associated with the first eye. The medical system of claim 1 , further comprising:

3. The at least one distance measurement associated with the first eye includes at least one of a distance measurement from the cornea of ​​the first eye to a lens of the first eye, a distance measurement from the lens of the first eye to a retina of the first eye, a corneal thickness of the first eye, and a lens thickness of the first eye; and 3. The medical system of claim 2, wherein the at least one distance measurement associated with the eye of the current patient includes at least one of a distance measurement from a cornea of ​​the eye of the current patient to a lens of the eye of the current patient, a distance measurement from a lens of the eye of the current patient to a retina of the eye of the current patient, a corneal thickness of the eye of the current patient, and a lens thickness of the eye of the current patient.

4. 2. The medical system of claim 1, wherein the instructions further cause the medical system to obtain medical procedure information based on at least the identification of the first patient and one of the second plurality of iris structures of the eye of the current patient.

5. The medical system of claim 4 , wherein the instructions further cause the medical system to provide the medical procedure information via at least one of a display and a microscope integrated display.

6. the first iris structure of the first plurality of iris structures is a first distance from the center of the pupil of the first eye; the first iris structure of the second plurality of iris structures is a second distance from the center of the pupil of the eye of the current patient; and 2. The medical system of claim 1, wherein the instructions further cause the medical system to determine whether the second distance matches the first distance in order to determine whether the second plurality of iris structures matches the first plurality of iris structures.

7. the current patient is the first patient, and The medical system of claim 1 , wherein the eye of the current patient is a second eye of the first patient that is different from the first eye.

8. 1. A method of operating a medical system, comprising: The method comprises: The computer receiving an identification of a first patient; obtaining first eye identification information comprising a first plurality of iris structures associated with a first eye of the first patient based on the identification of at least the first patient; Identifying a second plurality of iris structures in the eye of the current patient; determining whether the second plurality of iris structures matches the first plurality of iris structures; providing an indication that the first eye has been correctly identified if the second plurality of iris structures match the first plurality of iris structures, and providing an indication that the first eye has not been correctly identified if the second plurality of iris structures do not match the first plurality of iris structures; a first iris structure of the first plurality of iris structures is spaced from a second iris structure of the first plurality of iris structures by a first angle relative to a center of a pupil of the first eye; a first iris structure of the second plurality of iris structures is separated from a second iris structure of the second plurality of iris structures by a second angle relative to a center of a pupil of the eye of the current patient; and The method, wherein determining whether the second plurality of iris structures matches the first plurality of iris structures includes determining whether the second angle matches the first angle.

9. the first eye identification information further comprises at least one distance measurement associated with the first eye; The method comprises: The computer determining at least one distance measurement of the eye of the current patient; determining whether the at least one distance measurement for the eye of the current patient matches the at least one distance measurement associated with the first eye; 9. The method of claim 8, further comprising at least one of: providing the indication that the first eye has been correctly identified if the second plurality of iris structures matches the first plurality of iris structures and the at least one distance measurement of the current patient's eye matches the at least one distance measurement associated with the first eye; and providing the indication that the first eye has not been correctly identified if the at least one distance measurement of the current patient's eye does not match the at least one distance measurement associated with the first eye.

10. The at least one distance measurement associated with the first eye includes at least one of a distance measurement from the cornea of ​​the first eye to a lens of the first eye, a distance measurement from the lens of the first eye to a retina of the first eye, a corneal thickness of the first eye, and a lens thickness of the first eye; and 10. The method of claim 9, wherein the at least one distance measurement associated with the eye of the current patient includes at least one of a distance measurement from a cornea of ​​the eye of the current patient to a lens of the eye of the current patient, a distance measurement from a lens of the eye of the current patient to a retina of the eye of the current patient, a corneal thickness of the eye of the current patient, and a lens thickness of the eye of the current patient.

11. 10. The method of claim 8, further comprising: a computer deriving medical procedure information based on at least the identification of the first patient and one of the second plurality of iris structures of the eye of the current patient.

12. The method of claim 11 , further comprising: a computer providing the medical procedure information via at least one of a display and a microscope-integrated display.

13. the first iris structure of the first plurality of iris structures is a first distance from the center of the pupil of the first eye; the first iris structure of the second plurality of iris structures is a second distance from the center of the pupil of the eye of the current patient; and 9. The method of claim 8, wherein determining whether the second plurality of iris structures matches the first plurality of iris structures includes determining whether the second distance matches the first distance.

14. the current patient is the first patient, and 9. The method of claim 8, wherein the eye of the current patient is a second eye of the first patient that is different from the first eye.

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