Adaptive Video Overlay for Surgical Fluorescence Imaging

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Solution Overview

Problem

Current video display systems for surgical procedures using endoscopes often obscure anatomical features when overlaying fluorescent light images, making it difficult for surgeons to accurately locate and maneuver tools within the surgical site.

Innovation Solution

A video display system that overlays a fluorescent light video image within a smaller predetermined area surrounded by a white light video image boundary, allowing adjustable size and transparency, and includes an image processor to detect and center tools, enabling surgeons to maintain anatomical references during procedures.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If a fluorescent light video image is overlaid on the entire white light video image, then tissue perfusion and lesions become more visible, but anatomical features are obscured

Engineering Contradiction:
Improvedetection accuracy of tissue perfusion and lesionsVSAvoidanatomical features visibility
Core Design Contradiction:
ReliabilityVSLoss of information

Solution Approach 1:

The display area is segmented into two distinct regions: a first display area showing the fluorescent light video image for tissue perfusion and lesion detection, and a second display area showing the white light video image for anatomical feature reference. This spatial segmentation allows both types of information to be simultaneously visible without mutual obscuration.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The solution transitions from a single-layer overlay approach to a multi-dimensional display arrangement by placing the fluorescent and white light video images in separate spatial dimensions (side-by-side or adjacent regions). This dimensional reorganization preserves all information from both imaging modalities simultaneously.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

2Reliability

If the fluorescent light video image covers the entire field of view, then tissue visualization is improved, but tool location and maneuvering become difficult

Engineering Contradiction:
Improvetissue visualization accuracyVSAvoidtool positioning accuracy
Core Design Contradiction:
ReliabilityVSEase of operation

Solution Approach 1:

The display is segmented to provide dedicated regions for tissue visualization (fluorescent image) and tool positioning reference (white light image with anatomical features). This segmentation enables surgeons to simultaneously access both types of information without switching views, improving both tissue visualization and tool positioning accuracy.

Inventive Principle:
Principle #1Segmentation

3Device complexity

If a fixed overlay configuration is used, then system complexity is reduced, but adaptability to different surgical preferences is limited

Engineering Contradiction:
Improvedisplay system simplicityVSAvoidcustomization to surgeon preference
Core Design Contradiction:
Device complexityVSAdaptability or versatility

Solution Approach 1:

The display system incorporates dynamic adjustability where the size, shape, and position of the first display area (fluorescent image) can be modified according to surgical needs. This dynamic configuration allows the system to adapt to different surgeon preferences and procedural requirements while maintaining a relatively simple overall structure.

Inventive Principle:
Principle #15Dynamics

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Enhances surgical precision by providing clear anatomical features and customizable video displays that help surgeons accurately position tools and visualize tissue perfusion and lesions, improving surgical site visualization and tool placement.

Implementation Method 1

a second video image which displays the surgical site using emitted fluorescent light, for example when using a fluorescing dye such as indocyanine green (ICG) with an excitation light such as near-infrared light (NIR)

Methodology Applied
Scientific EffectFluorescence: Fluorescence

Data Source

PatentUS11730340B2Video display system having an adaptive overlay
Publication Date: 2023.08.22 KARL STORZ IMAGING INC
  • US11730340B2 patent drawing
  • US11730340B2 patent drawing
  • US11730340B2 patent drawing

AI summary

The present disclosure is directed towards a video display system and an endoscopic system configured to provide the surgeon with an optimized video image based upon user preference. The video display system includes a first video image displaying a white light video of a surgical site. The first video image has a first predetermined area. A second video image is overlaid on the first video image. The second video image is displayed in a fluorescent light video. The second video image is centered on the surgical site and includes a second predetermined area. The second predetermined area is smaller than the first predetermined area so as to define a boundary of white light video. Thus, the video display system provides the surgeon with the ability to reference the location of the fluorescent light video with respect to anatomical features of the surgical site.