28542 results about "Reoperative surgery" patented technology

A federated distributed computational system enables secure oncological therapy optimization through robotic integration. The system establishes a distributed graph architecture with secure communication channels connecting computational nodes, implementing encryption protocols for cross-institutional data exchange. Each node contains processing capabilities for fluorescence-guided imaging, uncertainty quantification, and expert knowledge integration while maintaining hierarchical knowledge graphs of oncological biomarkers, interventions, and outcomes. The system coordinates domain-specific knowledge through token-space communication and implements an advanced robotic integration system for surgical interventions using spatiotemporal tumor mapping, multi-modal fluorescence imaging, surgical robot coordination, and space-time stabilized mesh management. Key capabilities include wavelength-specific multi-modal fluorescence detection, combined epistemic and aleatoric uncertainty estimation, tensor-based data integration with adaptive dimensionality control, and light cone search for adaptive treatment optimization—all while maintaining strict privacy controls.

A robotic surgical system includes a surgeon consol coupled to a patient consol, and the patient consol coupled to surgical instruments. A surgeon computer is coupled to or at the surgeon consol that is coupled to to one or more surgical instruments. A robotic surgery control system includes an artificial intelligence (AI) system with one or more deep learning algorithms. A feedback loop monitors and collects data from the one or more sensors. One or more cameras provide feedback to the robotic surgical system, and are configured to provide images of an anatomical object in at least a two dimensional (2D) arrangements of pixels / Deep learning algorithms of the AI system distinguish different anatomical objects from the images.

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

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

Surgical systems and related computer-implemented methods are provided, including during performance of a surgical procedure on a patient, receiving, at a first surgical system, a first dataflow from a second surgical system, the first dataflow including first data regarding a measured patient parameter that the first surgical system is configured to use in performing a function during the performance of the surgical procedure. The computer-implemented methods including determining that a trigger event occurred during the performance of the surgical procedure such that a sum of a first bandwidth of the first dataflow and a second bandwidth of a second dataflow exceeds an available bandwidth, and in response to determining that the trigger event occurred, and during the performance of the surgical procedure, adjusting at least one of the first and second dataflows such that the sum of the first and second bandwidths does not exceed the available bandwidth.

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

The invention discloses an operating room intelligent monitoring method and system based on monitoring video recognition, and relates to the technical field of medical safety supervision, and the method comprises the steps: collecting a video through an operating room camera array, and constructing an operation region panoramic sequence through a residual neural network and an optical flow field; a double-branch target detection network is adopted to extract the position of a medical worker, the body position of a patient and the characteristics of surgical instruments, and a surgical scene model is constructed; performing trajectory tracking based on skeleton key point extraction and Kalman filtering, and constructing a dynamic graph of the operation process; generating an operation process state report by using the time sequence diagram convolutional network and a multi-head attention mechanism; and comparing the operation specification library through a knowledge distillation algorithm, and carrying out grading recording on abnormal events. According to the invention, efficient abnormal event tracking and recording functions are realized, technical support is provided for operation quality control and safety management, and the overall performance of operating room intelligent monitoring is improved.

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

The teachings generally provide for a hand-held medical robotic system for use with a surgical tool, the system comprising an instrument comprising a hand-held portion, a tool support coupled to the hand-held portion, and an actuator assembly operatively interconnecting to move the tool support in a plurality of degrees of freedom to place the surgical tool and a localizer. The system additionally comprises a control system configured to determine a state of the surgical tool and determine a position and / or orientation of a reference coordinate system relative to a known coordinate system, activate a guided mode based on a first relationship criteria between the state of the surgical tool and the reference coordinate system, and deactivate the guided mode based on a second relationship criteria between the state of the surgical tool and the reference coordinate system, wherein the first relationship criteria and the second relationship criteria are different.

The invention relates to the technical field of artificial intelligence, can be applied to the field of medical health and the field of financial transaction, discloses an action generation method and device based on multi-modal pre-training, a robot and a medium, and is applied to a high-frequency action generation scene of an intelligent surgical robot or an intelligent customer service and wealth management scene. The method comprises the following steps: acquiring a language instruction, a visual image and robot body sensing data; performing multi-modal feature alignment and cross-modal feature fusion on the language instruction, the visual image and the robot body sensing data through a pre-trained visual language model to generate a fused joint feature vector; generating a target continuous control instruction based on the fused joint features through a pre-trained target action model by adopting a flow matching technology; and generating continuous actions of the robot based on the target continuous control instruction. According to the method, the robot action generation efficiency and the cross-platform adaptability are improved.

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

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

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

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

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

This application is directed to systems, methods, and devices for image based analysis of plaque. In some embodiments, the approaches herein can be used for developing treatment plans, which can include local treatment, systemic treatment, or both. In some embodiments, the approaches herein can be used for stent selection. In some embodiments, the approaches herein can be used for surgical planning, which can include robotic surgical planning. In some embodiments, the approaches herein can be used for image normalization. In some embodiments, the approaches herein can be used for identifying plaque calcification thresholds. In some embodiments, the approaches herein can be used for identifying thin cap fibroatheroma. In some embodiments, the approaches herein can be used for coronary artery tree reconstruction. Some embodiments are directed to coronary artery disease risk stratification.

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

The invention is a delivery catheter, e.g., a guide catheter, having an imaging element in proximity to the distal end of the catheter. Catheters of the invention are able to placement of the catheter in proximity to an ostium, thereby increasing the efficiency of contrast delivery while reducing the risk of ischemia due to blocked blood supply. The invention additionally assists in maintaining catheter position during delivery of a fluid from the catheter, resulting in better performance with less fluid. For example, a catheter of the invention can be used to produce improved fluoroscopic images with less overall contrast. This improvement reduces the risk of an allergic reaction to the contrast while decreasing the length of time for a procedure, i.e., because of a need to re-contrast.

The invention discloses an AI-based neurosurgery auxiliary robot visual positioning system, and relates to the field of visual positioning, which comprises the steps of deploying and initializing structured light scanning equipment and near-infrared imaging equipment, carrying out multi-modal image acquisition on a surgical area, and carrying out standardization processing, space-time alignment and fusion on the acquired image. A multi-modal visual acquisition and preprocessing module, a three-dimensional tissue model construction and registration module, a visual-anatomical feature recognition and extraction module, an AI auxiliary positioning and path optimization module, an intraoperative dynamic perception and feedback control module and a target position confirmation and instruction output module are constructed. According to the method, high-precision identification and dynamic modeling of a brain tissue structure are realized, real-time identification, path planning and position correction can be carried out on a key anatomical structure in an operation process, the precision, the intelligent level and the intra-operation response capability of neurosurgery operation are remarkably improved, the operation risk is effectively reduced, and the positioning reliability and the automatic control efficiency are improved.

The invention relates to the technical field of assessment and early warning systems, and particularly discloses a rectal cancer operation risk assessment and early warning system based on multi-modal data fusion, which comprises a multi-modal data acquisition module, a data preprocessing module, a cross-modal fusion module, a dynamic risk assessment module, an intelligent early warning module and a system self-checking module. By integrating multi-modal data and dynamically allocating weights, real-time risk updating in the whole operation period is achieved, the comprehensiveness, timeliness and precision of risk assessment are comprehensively improved by combining the grading early warning function, the autonomous detection calibration function and the risk tracing and countermeasure matching function, long-term reliable operation of the system is guaranteed, powerful support is provided for clinical decision making, and the risk assessment method is suitable for clinical decision making. The surgical risk and the complication occurrence rate are effectively reduced.

The invention relates to the technical field of medical information, in particular to an intelligent prediction model and method for postoperative complications of anesthetized patients, and the method comprises the steps: collecting preoperative to postoperative complete-cycle clinical data of a patient through a medical data interface; analyzing operation codes to generate risk features, extracting vital sign dynamic features, and establishing a complication probability mapping relation through a multi-modal fusion network; combining the complication probability and pharmacokinetic parameters to construct an optimization model, and solving an individualized anesthetic dosage interval by using a gradient descent algorithm; vital signs are dynamically monitored in the operation, a dose re-optimization mechanism is triggered, the infusion rate is adjusted, and a closed-loop control link is formed; and generating a visual decision report. According to the method, through deep integration of complete-cycle clinical data and multi-modal feature modeling, preoperative physiological parameters, operation coding semantic information and intraoperative vital sign dynamic modes are subjected to fusion analysis, a nonlinear mapping relation between dosage and complication probability is constructed, and the risk prediction precision and individualized adaptability are remarkably improved.

The invention relates to the technical field of surgical robot motion control, and discloses a surgical robot motion planning method based on a diffusion model, and the method comprises the steps: obtaining obstacle point cloud data, an initial posture and a target posture in a surgical environment; encoding the obstacle point cloud data into a potential space, and combining the encoded information with the initial attitude and the target attitude into a condition code; a Transform structure of an encoder is adopted to replace a U-Net structure in a traditional diffusion model, and the diffusion model is trained through forward diffusion and reverse denoising processes; in training, using a comprehensive loss function to optimize model performance, combining configuration space loss, geometric task space loss and collision loss, and introducing physical constraints to ensure that the trajectory conforms to kinematic characteristics and avoid collision; and in the operation task, generating a motion track based on the trained diffusion model. According to the invention, the motion planning efficiency and safety of the surgical robot in a complex environment can be improved.

Co-manipulation robotic systems are described herein that may be used for assisting with laparoscopic surgical procedures. The co-manipulation robotic systems allow a surgeon to use commercially-available surgical instruments while providing benefits associated with surgical robotics. Further, the co-manipulation robotic system may operate in multiple modes to enhance usability and safety, while allowing the surgeon to position the instrument directly with the instrument handle and further maintain the desired position of the instrument or a desired force applied by the instrument using the robot arm. For example, the robot arm may be moved automatically to maintain a constant tension force on an anatomical structure via the instrument in a constant tension mode.

The invention provides a personalized anesthesia management method and system. The method comprises the following steps: collecting real-time physiological data flow and previous medical record information of a patient to preliminarily evaluate operation requirements, and generating a preliminary anesthesia scheme; performing simulation prediction processing on the individualized reaction mode through a state-action value function updating mechanism by applying a deep Q network algorithm, and optimizing anesthetic selection and dosage by adopting a dynamic adaptive dosage adjustment technology to generate an optimized anesthetic scheme; the method comprises the following steps: extracting continuous physiological state parameters of a patient by applying an adaptive feedback control algorithm, presetting a safety threshold value, performing real-time comparison and analysis through a real-time parameter adjustment mechanism, performing automatic early warning processing on a trend deviating from a normal range by adopting an abnormal trend early warning technology, and generating a real-time adjustment instruction; and based on the real-time adjustment instruction, obtaining a patient recovery trajectory and subjective comfort evaluation, performing retrospective analysis, and generating a personalized anesthesia management scheme. According to the technical scheme provided by the invention, the safety of personalized anesthesia is remarkably improved.

A robotic surgical system includes a robotic manipulator configured to perform surgical procedures under direct surgeon control. A surgical camera system captures real-time intraoperative video. An external imaging interface receives multimodal imaging data, including preoperative and intraoperative data from at least one of magnetic resonance imaging (MRI), computed tomography (CT), ultrasound, and fluoroscopy. An artificial intelligence (AI module has a trained neural network and a deep learning model trained on multi-institutional annotated surgical datasets, The AI module is configured to execute one or more of: fuse acquired video and imaging data into temporally and spatially coherent anatomical visualizations; generate continuously updating overlays aligned with the surgical field, with segmented anatomical features; projected tissue boundaries, proximity indicators for instruments, and predictive deformation trends; provide dynamic predictive trend visualization indicating zones of future anatomical complexity or risk; register and align preoperative imaging data with intraoperative imaging data in real time; adapt overlay presentation in response to tissue deformation without actuating the robotic manipulate or; and passively augment visual feedback without initiating any autonomous actuation of surgical instruments.

A robotic surgical system includes one or more robotic actuators configured to interact with biological tissue during a surgical procedure. A plurality of sensors include at least one of fiber Bragg grating sensors, piezoelectric strain sensors, or magnetostrictive sensors to capture real-time mechanical, elasticity, or deformation data from biological tissues. deep learning engine trained on a dataset comprising tissue mechanical responses across multiple tissue types, pathological states, and patient demographics. Pre-contact predictive adjustment profiles are generated for anticipated tissue interactions using preoperative imaging data registered to intraoperative coordinates. Intraoperative deviations are detected from predicted mechanical behavior and autonomously recalibrate actuator forces. Upcoming surgical maneuvers are anticipated based on prior task sequences and adjust actuator stiffness or damping properties in preparation for anticipated contact. An emergency override of actuator forces is provided via an anomaly detection module when real-time sensor data deviates beyond a threshold from the predicted safe mechanical response range. A feedback loop iteratively refines the deep learning engine during the procedure using supervised learning updates, anomaly detection, and reinforcement learning strategies. The reinforcement learning model is optionally shared across procedures to optimize distributed actuator force patterns for minimizing localized and cumulative tissue stress.

Systems and methods for designing and implementing patient-specific surgical procedures and / or medical devices are disclosed. In some embodiments, a method includes receiving a patient data set of a patient. The patient data set is compared to a plurality of reference patient data sets, wherein each of the plurality of reference patient data sets is associated with a corresponding reference patient. A subset of the plurality of reference patient data sets is selected based, at least partly, on similarity to the patient data set and treatment outcome of the corresponding reference patient. Based on the selected subset, at least one surgical procedure or medical device design for treating the patient is generated.

The present invention relates to a flexible continuum joint, a flexible robotic arm, and a minimally invasive surgical robot for TEM. The flexible continuum joint comprises a double-helix structure formed by two helical springs, wherein a central channel is provided inside the double-helix structure, a hollow tube arranged coaxially with the double-helix structure is provided in the central channel, and a plurality of notches are formed on the hollow tube. The flexible robotic arm is composed of a linkage joint formed by an active section and a passive section, and an end joint, wherein the active section and the end joint are both driven by a drive wire, and the passive section is driven by a nickel-titanium alloy rod. The minimally invasive surgical robot comprises an endoscopic arm and two robotic arms, and has 19 degrees of freedom overall. In addition, the provision of the linkage joint in the flexible robotic arm and the application of a hybrid drive mode combining a drive wire and a nickel-titanium alloy rod not only reduces the number of drives, but also avoids the problem of motion coupling between joints, thus effectively overcoming the problems of insufficient degrees of freedom and poor motion accuracy in existing minimally invasive surgical robots for TEM.

The invention relates to the field of medical informatics, in particular to an anesthetic dosage optimization method based on artificial intelligence. Comprising the following steps: collecting real-time physiological data and static data of a patient, converting the real-time physiological data and static data of the patient into standardized feature vectors through standardization processing, and predicting the initial infusion rate of an intraoperative anesthetic by using a long-short-term memory network; collecting and standardizing the intraoperative data of the patient to obtain the standardized intraoperative data; a personalized anesthetic infusion rate is generated through a dynamic metabolism risk and nerve sensitivity joint optimization algorithm; the maximum allowable infusion rate and the minimum effective infusion rate are determined based on a clinical guide, the remaining time of an operation is obtained, safety verification is carried out, and the final infusion rate is generated in combination with the remaining time of the operation. The technical problem that the prediction of the initial infusion rate of the preoperative anesthetic is inaccurate due to the fact that the initial infusion rate is determined by depending on the experience of an anesthetist in the prior art is solved.

This application is directed to systems, methods, and devices for image based analysis of plaque. In some embodiments, the approaches herein can be used for developing treatment plans, which can include local treatment, systemic treatment, or both. In some embodiments, the approaches herein can be used for stent selection. In some embodiments, the approaches herein can be used for surgical planning, which can include robotic surgical planning. In some embodiments, the approaches herein can be used for image normalization. In some embodiments, the approaches herein can be used for identifying plaque calcification thresholds. In some embodiments, the approaches herein can be used for identifying thin cap fibroatheroma. In some embodiments, the approaches herein can be used for coronary artery tree reconstruction. Some embodiments are directed to coronary artery disease risk stratification.