Systems and methods for utilizing computer-aided identification in medical procedures
A system using iris structure and distance measurements verifies patient identity, reducing errors in medical procedures by ensuring correct patient identification and automated procedure execution.
Patent Information
- Application Number
- JP2024166583
- Authority / Receiving Office
- JP · JP
- Patent Type
- Patents
- Current Assignee / Owner
- Priority Date
- 2019-09-13
- Filing Date
- 2024-09-25
- Publication Date
- 2025-10-03
- Estimated Expiration
- 2040-08-31
AI Technical Summary
Patient misidentification during medical procedures can lead to errors such as transfusion, medication, and wrong medical procedure site errors due to similar names, inaccurate birth dates, concealed identity, and errors in computerized systems.
A system that utilizes iris structure and distance measurements from the cornea to the retina to verify patient identity, providing indications of correct identification through a computer-aided process, and integrates with medical procedure information display.
Enhances patient identification accuracy, reducing errors by ensuring the right medical procedure is performed on the correct patient, and automating the loading of medical procedures.
Smart Images

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Abstract
Description
[Technical Field]
[0001] TECHNICAL FIELD 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 properly 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 can be a root cause of medical procedure errors. Areas where patient misidentification can occur include, among other things, surgical interventions, blood transfusions, drug administration, and / or phlebotomy. Patient misidentification can occur due to name structure (e.g., similar names), inaccurate birth dates, clothing that conceals identity, an unconscious patient, errors when registering a patient through a computerized system, missing identification wristbands, identification wristbands that identify a different (e.g., wrong) patient, etc. Furthermore, failure to properly identify a patient's eye can 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 capable of receiving a first patient's identification. In one example, the system may receive the first patient's identification from a medical professional. In another example, the system may receive the first patient's identification by scanning the patient's wristband. The system may further obtain 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 first patient's identification. The system may further identify a second plurality of iris structures for the current patient's eye. The system may further determine whether the second plurality of iris structures matches the first plurality of iris structures. If the second plurality of iris structures matches the first plurality of iris structures, the system may further provide an indication that the first eye has been correctly identified. If the second plurality of iris structures does not match the first plurality of iris structures, the system may 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 the cornea of the first eye to a lens of the first eye, a distance measurement from the lens of the first eye to the retina of the first eye, a corneal thickness of the first eye, and a lens thickness of the first eye. The system may further identify 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 the cornea of the current patient's eye to a lens of the current patient's eye, a distance measurement from the lens of the current patient's eye to the 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 identify 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 configured 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 configured 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 the 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 the 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 the 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 the 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 that is 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 having instructions, which when executed by a processor of the system, cause the system to perform the steps described 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 an eye of the current patient, iv) determining 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) determining at least one distance measurement of the eye of the current patient. vi) determining whether at least one distance measurement of the current patient's eye matches 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 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 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 description taken in conjunction with the accompanying drawings, which are not to scale. [Brief explanation 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 an example of measurements associated with an eye. [Figure 2B] FIG. 2B shows an example of measurements associated with the eye. [Figure 2C] FIG. 2C shows an example of measurements associated with the eye. [Figure 3A] FIG. 3A shows a second example of a medical system. [Figure 3B] FIG. 3B shows 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 shows 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 shows 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 shows 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 shows an example of a computer system. [Figure 7A] FIG. 7A illustrates an example of a method for operating a medical system. [Figure 7B] FIG. 7B illustrates an example of a method for 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 measurements of the iris structure of the current patient's eye. [Figure 8D] FIG. 8D shows an example of measurements of the iris structure of the current patient's eye. [Figure 8E] Figure 8E shows an example of measurements of the iris structure of the current patient's fellow eye. [Figure 8F] FIG. 8F shows an example of measurements of the iris structure of the current patient's fellow eye. [Figure 8G] Figure 8G shows an example measurement of the eye of a current patient. [Figure 8H]Figure 8H shows an example measurement of the current patient's eye. [Figure 8I] Figure 8I shows an example measurement of the eye of a current patient. [Figure 8J] Figure 8J shows an example measurement of the other eye of the current patient. [Figure 8K] Figure 8K shows an example measurement of the other eye of the current patient. [Figure 8L] Figure 8L shows an example measurement of the other eye of the current patient. DETAILED DESCRIPTION OF THE INVENTION
[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 letter following such a reference number refers 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 refer generally to a set 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 at 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 identifying attributes associated with the patient. For example, the two or more identifying attributes associated with the patient may include two or more of the patient's name, the patient's address, the patient's telephone 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 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 telephone 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 second medical system may proceed with a medical procedure associated with the patient. 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 at least on the 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 the database based at least on the identification associated with the patient. In one example, the database may identify multiple medical procedure information by patient identification. In another example, the database may identify multiple medical procedure information by iris structure of each eye. Each patient's eye identification may include information associated with the iris structure of each of the one or more eyes. Each patient's eye identification may include information associated with one or more measurements of each of the one or more eyes. The medical procedure may be acquired automatically. For example, the automatic acquisition of the medical procedure may include 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 patient's matching eyes. Automatically loading a medical procedure may allow a physician (e.g., a 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 shorten the time for 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 correctly identified. In another example, an error or warning may be generated that may notify medical personnel that the patient's eye has not been correctly 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 to identify a patient's eye. For example, eye recognition may be based on identifying a 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 distance measurements 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 distance measurements 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 the eye of a first patient from the eye of a second patient different from the first patient, such that the template can be distinguished from a photograph.
[0022] The one or more eye recognition systems, one or more eye recognition methods, and / or 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 contour of the eye. 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, one or more eye recognition methods, and / or 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 template of the patient's eye. The template of the patient's eye may be associated with a topography of the patient's eye. The template of the patient's eye may be utilized in eye recognition. In one example, the template of the patient's eye may be compared to another template in confirming or denying the identity of the patient. In another example, the template of the patient's eye may be compared to another template in confirming or denying the identity of the patient's eye.
[0024] A medical procedure associated with a patient may include a portion of the patient (e.g., a site of a medical procedure). For example, a portion of the patient may resemble another portion of the patient. For example, a patient's right eye may resemble a patient's left eye. For example, a patient's right eye may appear similar to a patient's left eye. A medical procedure associated with a patient may be for that portion of the patient and not for other portions of the patient. For example, a medical procedure associated with a patient may be for the patient's right eye and not for the patient's left eye. The second medical system may utilize a computer vision process, method, and / or system to identify the portion of the patient from other portions 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 other portions of the patient. For example, the second medical system may identify a surgical tool instrument as being in an area not associated with the portion of the patient. The second medical system may issue a warning or error if the second medical system identifies a surgical tool instrument as being 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 in 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 in a region associated with the patient's left eye.
[0025] Referring now to FIG. 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 one 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, among others, one or more of: a blood vessel pattern of the sclera of the eye 122; an iris structure of the eye 122; a location of the iris structure 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 corneal topography of the eye 122; a retinal pattern of the eye 122; a corneal thickness of the eye 122; a lens thickness of the eye 122; and a wavefront measurement.
[0027] As shown, display 116B may display a pattern of blood vessels 132 in the sclera of eye 122. As shown, display 116B may display iris structures 134A-134C of eye 122. As shown, display 116B may display display areas 136A-136D. In one example, display area 136 may display a distance measurement from the cornea of eye 122 to the lens of eye 122, a distance measurement from the lens of eye 122 to the retina of eye 122, the location of structures in iris 134, corneal topography information, or wavefront measurement information, among other biometric information associated with eye 122. In another example, display area 136 may display any information associated with 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 enter identifying information associated with the patient 120 into the computer system 112. The identifying information associated with the patient 120 may include, among other things, one or more of the patient's 120 name, the patient's 120 address, the patient's 120 telephone number, the patient's 120 government-issued identification number, the patient's 120 government-issued identification string, and the patient's 120 date of birth. 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] Person 150 may verify one or more portions of the identification information associated with patient 120 before computer system 112 associates the identification information associated with patient 120 with the eye recognition information. For example, one or more portions of the identification information associated with patient 120 may be stored via a storage device accessible by computer system 112 before medical system 110 is utilized with patient 120. Person 150 may set data associated with a portion of patient 120. For example, person 150 may set data associated with the right eye of 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] Referring now 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 dot onto the patient's eye. The image sensor 160 may receive a reflection of the circle and / or the dot projected onto 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 the dot projected onto 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, a computer system may determine the 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 the first optical correction based on at least 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 can be used 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 eye 122. In one example, measurement 210A may be associated with a distance measurement from a cornea 220 of eye 122 to a lens 222 of eye 122. In a second example, measurement 212A may be associated with a distance measurement from a lens 222 of eye 122 to a retina 224 of eye 122. Measurements 210A, 212A, and 214A may be on-axis measurements.
[0035] As shown in FIG. 2B , measurements 210B, 212B, and 214B may be associated with eye 122. In one example, measurement 210B may be associated with a distance measurement from a cornea 220 of eye 122 to a lens 222 of eye 122. In a second example, measurement 212B may be associated with a distance measurement from a lens 222 of eye 122. In another example, measurement 214B may be associated with a distance measurement from a lens 222 of eye 122 to a retina 224 of 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. Measurements 210B, 212B, and 214B may be off-axis. Measurements 210B, 212B, and 214B may be off-axis.
[0036] As shown in FIG. 2C , measurements 210C, 212C, and 214C may be associated with eye 122. In one example, measurement 210C may be associated with a distance measurement from a cornea 220 of eye 122 to a lens 222 of eye 122. In a second example, measurement 212C may be associated with a distance measurement from a lens 222 of eye 122. In another example, measurement 214C may be associated with a distance measurement from a lens 222 of eye 122 to a retina 224 of 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. Measurements 210C, 212C, and 214C may be off-axis.
[0037] The biometric device 114 can take measurements associated with the eye 122. For example, the biometric device 114 can determine, among other things, one or more of measurements 210, 212, and 214. In particular, measurements 210, 212, and / or 214 can be utilized in determining the shape of the eye 122. The biometric device 114 can take measurements associated with the eye 122 without touching the eye 122. For example, the biometric device 114 can determine, among other things, one or more of measurements 210, 212, and 214 without touching the eye 122. The OLCR device 166 can determine, among other things, one or more of measurements 210, 212, and 214 without touching the eye 122. For example, the OLCR device 166 may utilize a single beam interferometer or a multiple beam interferometer with a beam deflection mechanism to, among other things, identify one or more of the measurements 210, 212, and 214, and, among other things, identify one or more of the measurements 210, 212, and 214 along an axis 230 (e.g., a line of sight) and / or horizontally and / or vertically at some degree 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 approximately 845 nanometers (nm). In another example, the infrared light may be associated with a coherence length of approximately 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, among other things, 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 one or more image frames. The computer system 330 may perform image analysis on 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 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 other things. 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 via 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 touchscreen, 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] Referring now to FIG. 3B, another example of a medical system is shown. As shown, a surgeon 310 may utilize system 300B. For example, surgeon 310 may use system 300B in a procedure involving eye 122 of patient 120. System 300B may include multiple systems. As shown, system 300B may include cutting system 315A. For example, surgeon 310 may use system 315A to cut eye 122. Eye 122 may include a flap in the cornea of the eye of patient 120. As shown, system 300B may include shaping system 315B. For example, surgeon 310 may use shaping system 315B in performing a resection of an inner portion of the cornea of 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 an MID. System 315A may include, 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. As shown, system 315B may include display 340B. As shown, system 315B may include microscope display 350B. For example, microscope display 350B may include an 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, OLCR device 166, and / or wavefront device 168, among others.
[0044] System 315A may include a laser, such as a femtosecond laser, that uses short laser pulses to ablate a series of small portions of corneal tissue to form a flap that can be lifted to expose an inner portion of the cornea. The flap may 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. Patient 120 may be moved between systems 315A and 315B. Alternatively, patient 120 may remain stationary and systems 315A and 315B may be moved toward patient 120. Systems 315A and 315B may be physically combined into a single, integrated device such that neither the device nor 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 touchscreen display, a keyboard, a mouse, a touchpad, buttons, a joystick, a foot pedal, a heads-up display, and virtual reality glasses, or other devices capable of interacting with a user, such as a healthcare professional.
[0047] System 300B may include, among other things, at least one computer system configured to generate images presented on at least one of displays 340A, 350A, 340B, and 350B. For example, this 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, cutting device computer system 330A may i) be coupled to a viewing device that views the eye when patient 120 is positioned relative to system 315A, ii) be capable of providing graphical information regarding planned flap locations and planned excision areas to one or more of displays 340A and 350A, and iii) be coupled to one or more control devices of system 315A. In a second example, shaping device computer 330B may i) be coupled to a viewing device that views the eye when patient 120 is positioned relative to the shaping device, ii) be capable of providing graphical information regarding planned flap locations and planned excision areas to one or more of displays 340B and 350B, and iii) be coupled to one or more control devices of system 315B. In another example, the computer system may include the characteristics and / or attributes described above with respect to computer systems 330A and 330B.
[0049] The computer systems of system 300 may be coupled wired or wirelessly to other portions of system 300. One or more of the computer systems of system 300 may be coupled to databases stored locally on remote computer systems or remote data centers, or both, that store patient data, treatment plans, and / or other information associated with the treatment and / or system 300. In one example, the databases may include relational databases. In a second example, the databases may include graph databases. In another example, the databases may include "Not Only SQL" (NoSQL) databases.
[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, among other things, information about the treatment plan, such as the shape and location of corneal incisions and the shape and location of ablation.
[0051] Referring now to FIG. 3C , an example of a microscope-integrated display and several 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 systems, one or more processes, and / or one or more 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, illuminator 378 may provide infrared light and image sensor 372 may receive infrared light reflected from surgical tool instrument 320. Computer system 330 may receive image data from image sensor 372 based at least on the infrared light reflected from surgical tool instrument 320 and may utilize the image data based at least on the infrared light reflected from surgical tool instrument 320 to identify surgical tool instrument 320 from other image data provided by 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 using 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 acquire images. In a second example, the image sensors 372A and 372B may include cameras. In another example, the image sensor 372 may acquire 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 MID 350 is shown with multiple image sensors, MID 350 may include a single image sensor 372. For example, MID 350 may be implemented using one or more image sensors 372.
[0054] As shown, the MID 350 may include distance sensors 374A and 374B. 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. While 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 using 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. While 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 using 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] System 300 may identify the patient. For example, system 300 may identify patient 120. System 300 may identify the patient to avoid administering the wrong medical procedure to the patient. For example, 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 a warning or error that the wrong patient has been identified. In one example, the warning or error may include an icon 420A. In a second example, the warning or error may include text information 430A, which may indicate that the wrong patient has been detected. The GUI 410 may be displayed via the display 340 and / or the MID 350. In another example, the warning or error 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 text information 430B, which 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 a warning or error that the wrong eye has been identified. In one example, the warning or error may include an icon 420C. In a second example, the warning or error may include text information 430C, which 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 warning or error 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 text information 430D, which 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] System 300 may iteratively identify the patient's eye. In one example, system 300 may identify the eye of patient 120 when surgeon 310 performs at least a first portion of a medical procedure using system 315A. In another example, system 300 may identify the eye of patient 120 when surgeon 310 performs at least a second portion of a medical procedure using system 315B. The medical procedure may be performed on eye 122. In one example, the first portion of the medical procedure may be performed using system 315A. In another example, the second portion of the medical procedure may be performed using system 315B. System 300 may determine whether eye 122 has been identified before the second portion of the medical procedure is performed using system 315B. For example, system 300 may determine whether eye 122 has been identified before the second portion of the medical procedure is performed using system 315B, such that the second portion of the medical procedure is not performed on eye 124.
[0060] The system 300 may identify whether a surgical tool instrument 320 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 may identify that the surgical tool instrument 320 should not be utilized for the unidentified eye. 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] The GUI 510 shown in FIG. 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 on 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 discs (CDs), random access memory (RAM), read-only memory (ROM), CD-ROMs, digital versatile discs (DVDs), electrically erasable programmable read-only memory (EEPROM), flash memory, non-transitory media, and / or combinations of one or more of the foregoing. As shown, 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 comprise, be coded, and / or be 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. While 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 the article of manufacture may be comprised, 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 device(s) 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 allow the user to operate and / or control computer system 600, and facilitating output to a user may allow computer system 600 to indicate the effects of the user's operation and / or control. For example, I / O device(s) 640 may allow 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, touchscreen, 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 Serial ATA (SATA) interface, a Parallel ATA (PATA) 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 other things, 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, among other things, a local area network (LAN), a wide area network (WAN), the Internet, a public switched telephone network (PSTN), a cellular network, a satellite telephone network, or a combination of the foregoing. WANs may include, among other things, 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 of characters 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 distance measurement 850A from the cornea 860 of eye 822 to the lens 862 of 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 distance measurement 852A from the lens 862 of eye 822. In a third example, the at least one distance measurement of the current patient's eye may include distance measurement 854A from the lens 862 of eye 822 to the retina 864 of 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 distance measurement 850B from the cornea 860 of eye 822 to the lens 862 of eye 822. In a fifth example, as shown in FIG. 8H , at least one distance measurement of the current patient's eye may include distance measurement 852B from the lens 862 of eye 822. In a sixth example, as shown in FIG. 8H , at least one distance measurement of the current patient's eye may include distance measurement 854B from the lens 862 of eye 822 to the retina 864 of eye 822. Measurements 850B, 852B, and 854B may be off-axis measurements. Measurements 850B, 852B, and 854B may be off-axis.
[0076] In a seventh example, as shown in FIG. 8I, at least one distance measurement of the current patient's eye may include distance measurement 850C from cornea 860 of eye 822 to lens 862 of eye 822. In an eighth example, as shown in FIG. 8I, at least one distance measurement of the current patient's eye may include distance measurement 852C from lens 862 of eye 822. In a ninth example, as shown in FIG. 8I, at least one distance measurement of the current patient's eye may include distance measurement 854C from lens 862 of eye 822 to retina 864 of eye 822. Measurements 850C, 852C, and 854C may be off-axis measurements. Measurements 850C, 852C, and 854C may be off-axis.
[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 cornea 861 of eye 824 to 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 from lens 863 of eye 824. 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 lens 863 of eye 824 to 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 distance measurement 880B from cornea 861 of eye 824 to lens 863 of eye 824. In a fourteenth example, as shown in FIG. 8K, at least one distance measurement of the current patient's eye may include distance measurement 882B from lens 863 of eye 824. In a fifteenth example, as shown in FIG. 8K, at least one distance measurement of the current patient's eye may include distance measurement 884B from lens 863 of eye 824 to retina 865 of eye 824. Measurements 880B, 882B, and 884B may be off-axis measurements. Measurements 880B, 882B, and 884B may be off-axis.
[0079] In a sixteenth example, as shown in FIG. 8L , at least one distance measurement of the current patient's eye may include distance measurement 880C from cornea 861 of eye 824 to lens 863 of eye 824. In a seventeenth example, as shown in FIG. 8L , at least one distance measurement of the current patient's eye may include distance measurement 882C from lens 863 of eye 824. In an eighteenth example, as shown in FIG. 8L , at least one distance measurement of the current patient's eye may include distance measurement 884C from lens 863 of eye 824 to retina 865 of eye 824. Measurements 880C, 882C, and 884C may be off-axis measurements. Measurements 880C, 882C, and 884C may be off-axis.
[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 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 with respect to a center of the pupil of the current patient's eye.
[0081] In one 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 relative to the center of the pupil of the current patient's eye may include an angle θ between iris structures 834A and 834B of eye 822, as shown in Figure 8C. In a second 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 relative to the center of the pupil of the current patient's eye may include an angle θ between iris structures 834A and 834C of eye 822, as shown in Figure 8D. In a third 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 relative to the center of the pupil of the current patient's eye may include an angle θ 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 relative to the center of the pupil of the current patient's eye may include 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 the center of the pupil of the current patient's eye may be determined. In one example, a distance 810 between iris structure 834A and the center of the pupil of eye 822 may be determined. In another example, a distance 840 between iris structure 836A and the 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 the center of the pupil of the current patient's eye may be determined. In one example, distance 812 between iris structure 834B and the center of the pupil of eye 822 may be determined. In another example, distance 842 between iris structure 836B and the 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 the center of the pupil of the current patient's eye may be determined. In one example, distance 814 between iris structure 834C and the center of the pupil of eye 822 may be determined. In another example, distance 844 between iris structure 836C and the 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 icon 420C and 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 least one distance measurement of the current patient's eye may be determined to match at least one distance measurement associated with the first eye at 760. In one example, determining whether the 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 distances 850-854 match each of distances 210-214. In another example, determining whether the 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 distances 880-884 match each of distances 210-214.
[0087] If the at least one distance measurement for 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 for 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, system 300 may obtain the medical procedure information from a database. 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 the 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 different order, repeated, or omitted. Furthermore, additional, supplemental, and / or redundant method and / or process elements may be implemented, instantiated, and / or performed as desired. Furthermore, 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 should be considered illustrative, not limiting, and the appended claims are intended to cover all such modifications, extensions, and other implementations that fall within the true spirit and scope of the present disclosure. Accordingly, to the maximum extent permitted by law, the scope of the present disclosure should be determined by the broadest permissible interpretation of the following claims and their equivalents, and should not be limited or constrained 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, providing the medical system with: receiving an identification of a first patient; obtaining first eye identification information including 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 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 may include: Identifying 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 the lens of the first eye, a distance measurement from the lens of the first eye to the 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 the 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 is one in which 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, the instructions further cause the medical system to determine whether a second angle matches the first angle in order to determine whether the second plurality of iris structures matches the first plurality of iris structures. A 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, in order 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 the first aspect, wherein the eye of the current patient is a second eye of the first patient that is different from the first eye. A ninth aspect is 1. A method of operating a medical system, comprising: receiving an identification of a first patient; obtaining first eye identification information including 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 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 includes at least one distance measurement associated with the first eye; The method comprises: Identifying 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 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. 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 the lens of the first eye, a distance measurement from the lens of the first eye to the retina of the first eye, a corneal thickness of the first eye, and a lens thickness of the first eye; and A method according to 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 the cornea of the eye of the current patient to the 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. A twelfth aspect is A method according to a ninth 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 A method according to 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 method according to a ninth aspect, 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. A 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 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 the ninth 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 healthcare 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 the medical system with: receiving an identification of a first patient; obtaining first eye identification information based on the identification of at least the first patient, the first eye identification information including a first plurality of iris structures associated with a first eye of the first patient and including at least one distance measurement associated with the first eye; identifying a second plurality of iris structures in the eye of the current patient; Identifying at least one distance measurement of the eye of the current patient; determining whether the second plurality of iris structures matches the first plurality of iris structures; 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 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 for the eye of the current patient matches the at least one distance measurement associated with the first eye; 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 or 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. and a memory medium containing instructions that cause the medical system to perform at least one of the following:
2. 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 the lens of the first eye, a distance measurement from the lens of the first eye to the retina of the first eye, a corneal thickness of the first eye, and a lens thickness of the first eye; and 2. The medical system of claim 1, 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.
3. The medical system of claim 1, wherein the instructions further cause the medical system to obtain medical treatment information based on the identification of the first patient and at least one of the second plurality of iris structures of the eye of the current patient.
4. A medical system as described in claim 3, wherein the instructions further cause the medical system to provide medical procedure information via at least one of a display and a microscope-integrated display.
5. 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 2. The medical system of claim 1, wherein the instructions further cause the medical system to determine whether the second angle matches the first angle to determine whether the second plurality of iris structures matches the first plurality of iris structures.
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 6. The medical system of claim 5, wherein the instructions further cause the medical system to determine whether the second distance matches the first distance 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: receiving an identification of a first patient; obtaining first eye identification information based on the identification of at least the first patient, the first eye identification information including a first plurality of iris structures associated with a first eye of the first patient and including at least one distance measurement associated with the first eye; identifying a second plurality of iris structures in the eye of the current patient; Identifying at least one distance measurement of the eye of the current patient; determining whether the second plurality of iris structures matches the first plurality of iris structures; 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 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 eye of the current patient matches the at least one distance measurement associated with the first eye, and providing an indication that the first eye has not been correctly identified 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 or 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.
9. 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 the lens of the first eye, a distance measurement from the lens of the first eye to the retina of the first eye, a corneal thickness of the first eye, and a lens thickness of the first eye; and 9. The method of claim 8, 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.
10. The method of claim 8, further comprising obtaining medical treatment information based on the identification of the first patient and at least one of the second plurality of iris structures of the eye of the current patient.
11. The method of claim 10, further comprising providing the medical treatment information via at least one of a display and a microscope-integrated display.
12. 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 determining whether the second plurality of iris structures match the first plurality of iris structures includes determining whether the second angle matches the first angle. The method according to claim 8 .
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 13. The method of claim 12, 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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