Endoscopic Lumen Matching for Accurate Branched Anatomy Navigation

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Solution Overview

Problem

Existing methods for tracking medical devices in branched anatomical structures, such as the lungs or heart, suffer from registration errors due to inaccuracies in dynamic referencing and anatomical motion, leading to challenges in maintaining proper registration and navigation accuracy.

Innovation Solution

A medical system and method that uses a computer model of the anatomical structure to determine the position of a medical device by comparing image information from its distal end with the model, employing blob detection and tracking algorithms to identify and match lumens in real-time, and self-correcting for registration errors.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Speed

If electromagnetic tracking devices and dynamic referencing techniques are used to track medical devices in branched anatomical structures, then real-time position tracking is achieved, but registration errors occur due to anatomical motion and tracking inaccuracies

Engineering Contradiction:
Improvereal-time tracking speedVSAvoidposition accuracy
Core Design Contradiction:
SpeedVSMeasurement precision

Solution Approach 1:

The system continuously compares actual images captured by the medical device with corresponding synthetic images generated from the computer model, calculates registration errors, and automatically corrects positioning information in real-time, creating a closed-loop feedback system that maintains accurate navigation despite anatomical motion

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The system generates synthetic images from a computer model that replicate the appearance and characteristics of actual anatomical images, creating virtual copies that can be compared with real-time captured images to determine accurate device positioning without being affected by tracking errors

Inventive Principle:
Principle #26Copying

2Measurement precision

If complex image-based methods with Sequential Monte Carlo sampling are used to determine device position by comparing real and virtual images, then measurement precision is improved, but computational complexity increases making real-time application difficult

Engineering Contradiction:
Improvedevice position accuracyVSAvoidcomputational complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The system performs image comparison and registration correction only at critical moments when registration errors are detected or at scheduled intervals, rather than continuously processing all image data with complex algorithms, reducing computational burden while maintaining accuracy when needed

Inventive Principle:
Principle #16Partial or excessive action

Solution Approach 2:

The system replaces complex computational methods like Sequential Monte Carlo sampling with a simpler image comparison approach that uses feature detection and matching algorithms, substituting heavy mathematical computations with more efficient computer vision techniques that achieve similar accuracy with lower computational cost

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

3Measurement precision

If traditional registration methods are used prior to medical procedures, then initial alignment is achieved, but registration errors develop during procedure performance due to anatomical structure movement

Engineering Contradiction:
Improveinitial registration accuracyVSAvoidregistration stability
Core Design Contradiction:
Measurement precisionVSStability of the object's composition

Solution Approach 1:

The system transitions from static pre-procedure registration to dynamic continuous registration by repeatedly comparing actual images with synthetic images throughout the procedure, allowing the system to adapt to anatomical motion and maintain accurate registration despite changes in tissue position and shape

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The system implements continuous feedback by comparing real-time captured images with corresponding synthetic images from the computer model, detecting registration drift caused by anatomical motion, and automatically correcting positioning information to maintain accurate device navigation throughout the procedure

Inventive Principle:
Principle #23Feedback

Data Source

PatentUS12471799B2Determining position of medical device in branched anatomical structure
Publication Date: 2025.11.18 INTUITIVE SURGICAL OPERATIONS INC
  • US12471799B2 patent drawing
  • US12471799B2 patent drawing
  • US12471799B2 patent drawing

AI summary

Information extracted from sequential images captured from the perspective of a distal end of a medical device moving through an anatomical structure are compared with corresponding information extracted from a computer model of the anatomical structure. A most likely match between the information extracted from the sequential images and the corresponding information extracted from the computer model is then determined using probabilities associated with a set of potential matches so as to register the computer model of the anatomical structure to the medical device and thereby determine the lumen of the anatomical structure which the medical device is currently in. Sensor information may be used to limit the set of potential matches. Feature attributes associated with the sequence of images and the set of potential matches may be quantitatively compared as part of the determination of the most likely match.