Dual Registration Plane Method for Image-Guided Surgery

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Solution Overview

Problem

Conventional image-guided surgery (IGS) systems often rely on single registration planes, which can lead to inaccuracies during procedures performed on the lateral side of the head, such as otology and neurotology procedures, where enhanced registration accuracy is necessary for precise instrument positioning.

Innovation Solution

The implementation of a dual registration plane method using a registration probe to capture position data along both the anterior and lateral regions of the head, including exposure of bone surfaces to ensure accurate correlation with preoperative images, thereby enhancing the registration process and instrument tracking.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If a single registration plane is used in IGS systems, then the device complexity is reduced and the registration process is simpler, but the measurement precision and reliability of instrument positioning deteriorate during lateral head procedures

Engineering Contradiction:
Improveinstrument positioning accuracyVSAvoidregistration process complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent applies segmentation by dividing the registration process into multiple distinct registration planes (e.g., first registration plane and second registration plane) rather than using a single plane. Each plane captures position data from different anatomical regions, allowing the system to accumulate more comprehensive spatial information for improved positioning accuracy while maintaining manageable complexity through structured segmentation of the registration workflow

Inventive Principle:
Principle #1Segmentation

2Measurement precision

If multiple registration planes are implemented to improve lateral head procedure accuracy, then the measurement precision improves, but the time required for the registration process increases

Engineering Contradiction:
Improveregistration accuracyVSAvoidregistration time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent implements preliminary action by performing registration at multiple planes before the actual surgical procedure begins. The system captures position data along first and second registration planes during the preoperative or immediate pre-procedure phase, establishing an accurate three-dimensional map in advance. This allows the time-consuming multi-plane registration to be completed beforehand, ensuring high precision during the procedure without delaying the actual surgery

Inventive Principle:
Principle #10Preliminary action

3Reliability

If a registration probe is used to capture position data along multiple registration planes, then the reliability of patient-anatomy correlation is improved, but the ease of operation is reduced due to the complexity of positioning the probe along multiple planes

Engineering Contradiction:
Improvepatient-anatomy correlation reliabilityVSAvoidprobe positioning ease
Core Design Contradiction:
ReliabilityVSEase of operation

Solution Approach 1:

The patent employs feedback mechanisms where the IGS system provides real-time position data and visual feedback to the operator as the registration probe is positioned along different registration planes. The system processes the position data from the probe and correlates it with preoperative images, providing feedback that confirms accurate placement and guides the operator through the multi-plane registration process, thereby maintaining ease of operation while ensuring high reliability of the anatomy correlation

Inventive Principle:
Principle #23Feedback

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

This approach provides improved accuracy and reliability in registering patient anatomy with preoperative images, allowing for precise real-time positioning of surgical instruments during procedures, even when direct visualization is limited.

Implementation Method 1

signals from a position sensor of a registration probe, each of the signals indicating a corresponding real-time position of the position sensor in three-dimensional space

Methodology Applied
Scientific EffectElectromagnetic field interaction: Electromagnetic Induction

Data Source

PatentUS20250090239A1Method of registering a patient with medical instrument navigation system
Publication Date: 2025.03.20 ACCLARENT INC
  • US20250090239A1 patent drawing
  • US20250090239A1 patent drawing
  • US20250090239A1 patent drawing

AI summary

Position data is captured for a first plurality of registration points along an anterior region of a head of a patient, based on a signal from a position sensor of a registration probe as the registration probe is positioned at each registration point of the first plurality of registration points. Each of the signals from the position sensor indicating a corresponding real-time position of the position sensor in three-dimensional space. Position data is captured for a second plurality of registration points along a lateral region of a head of a patient, based on a signal from a position sensor of a registration probe as the registration probe is positioned at each registration point of the second plurality of registration points. A real-time position of the patient is registered with an image guided surgery system, based on at least the captured position data for the first and second captured registration points.