Augmented Reality Head-Mounted Display with Eye Tracking for Surgical Awareness

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Solution Overview

Problem

Current minimally invasive and robotic surgical systems face challenges in effective communication between surgeons and OR staff, limiting visibility and requiring non-optimal methods for indicating specific locations or interventions, which can lead to inefficiencies and safety issues.

Innovation Solution

A surgical system incorporating augmented reality head-mounted displays with eye tracking and gesture detection, allowing for real-time, location-centric communication and enhanced situational awareness through augmented images and virtual controls, enabling hands-free interaction and automated assistance.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Loss of information

If verbal communication is used to indicate locations or interventions, then communication between surgeon and OR staff is possible, but the communication is not information rich and cannot effectively indicate specific locations

Engineering Contradiction:
Improveinformation richness of communicationVSAvoidease of indicating specific locations
Core Design Contradiction:
Loss of informationVSEase of operation

Solution Approach 1:

The patent introduces an intermediary system (augmented reality display with eye tracking) that mediates between the surgeon's intent and the communication of location information. The eye tracking technology acts as an automatic intermediary that detects where the surgeon is looking and transmits this spatial information to the OR staff, eliminating the need for verbal description of locations.

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The patent replaces the mechanical/verbal communication system with an automated optical and computational system. Instead of using voice or hand gestures to indicate location, the system uses eye tracking (optical detection) and computer processing to automatically determine and communicate the surgeon's focus of attention, substituting manual communication methods with automated technology.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Loss of information

If the surgeon releases hands from surgical tools to point out locations, then specific locations can be indicated, but the surgeon cannot maintain control of surgical instruments

Engineering Contradiction:
Improveability to indicate specific locationsVSAvoidcontinuous control of surgical instruments
Core Design Contradiction:
Loss of informationVSReliability

Solution Approach 1:

The system enables the surgeon to indicate locations through natural eye movements without requiring manual intervention. The eye tracking system automatically captures the surgeon's gaze direction and converts it into location information, allowing the surgeon's eyes to serve the dual function of both observing the surgical field and communicating location information to the OR staff.

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The patent substitutes manual pointing gestures or verbal instructions with automated eye tracking technology. The system replaces the need for physical hand movements to indicate location with optical detection of eye position, allowing continuous instrument control while automatically communicating spatial information.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

3Object-affected harmful factors

If multiple small incisions are used for minimally invasive surgery, then patient discomfort is reduced and recovery time is improved, but visibility of internal organs and tissue is limited

Engineering Contradiction:
Improvepatient discomfort and recovery timeVSAvoidvisibility of surgical field
Core Design Contradiction:
Object-affected harmful factorsVSArea of stationary object

Solution Approach 1:

The patent adds a new dimension to the surgical visualization by overlaying augmented reality information onto the surgeon's field of view. Instead of relying solely on the limited direct visual field through small incisions, the system projects additional spatial information, instrument locations, and anatomical data into the third dimension of visual space, allowing comprehensive awareness without larger incisions.

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

Solution Approach 2:

The system merges the limited direct visual field from small incisions with augmented reality information from multiple sources. By combining the real-time camera feed from the surgical site with overlaid graphical indicators of instrument positions, anatomical structures, and other relevant data, the system creates a composite view that provides both the benefits of minimal incisions and comprehensive visibility.

Inventive Principle:
Principle #5Merging (Combining)

4Area of stationary object

If the surgical field is limited to what is observed by an endoscope, then instrument collisions outside the field of view are unobserved, but the endoscope provides the primary view of the surgical site

Engineering Contradiction:
Improvefield of view of surgical siteVSAvoiddetection of instrument collisions
Core Design Contradiction:
Area of stationary objectVSReliability

Solution Approach 1:

The system implements a feedback mechanism where multiple cameras positioned around the surgical site continuously monitor areas outside the endoscope's field of view. This visual feedback is processed and used to generate alerts or graphical indicators that provide information about conditions beyond the primary view, allowing the surgical team to be aware of instrument positions and potential collisions that are not directly visible through the endoscope.

Inventive Principle:
Principle #23Feedback

Data Source

PatentEP3258876B1Operating room and surgical site awareness
Publication Date: 2023.10.18 COVIDIEN LP
  • EP3258876B1 patent drawingFigure 1
  • EP3258876B1 patent drawingFigure 2
  • EP3258876B1 patent drawingFigure 3

AI summary

The present disclosure is directed to an augmented reality head mounted device worn by a user. The device includes an image capture device configured to capture an image of a surgical environment and a transparent lens configured to display an augmented image based on the image of the surgical environment. An eye tracking module coupled to the transparent lens configured to determine a direction of a gaze of an eye of the user, wherein the direction of the gaze of the eye determined by the eye tracking module is used to manipulate the augmented image.