Endoscopic Device Positioning in Branched Anatomy via Image Registration

Resolve Bottlenecks,
Find Innovative Solutions
Generate Solutions

Solution Overview

Problem

Existing image-guided surgery systems face challenges in accurately tracking and registering medical devices within branched anatomical structures due to movement and tracking inaccuracies, leading to registration errors and misalignment, especially in structures like the lungs or heart.

Innovation Solution

A medical system and method that utilizes a computer model of the anatomical structure and a processor 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 maintain registration and correct for errors in real-time.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If electromagnetic tracking devices and dynamic referencing techniques are used to track medical devices in branched anatomical structures, then tracking capability is provided, but registration accuracy deteriorates due to anatomical motion and tracking inaccuracies

Engineering Contradiction:
Improvetracking capabilityVSAvoidregistration accuracy
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The system continuously compares captured images from the medical device with corresponding images from the computer model, uses blob detection and tracking to monitor feature points, calculates registration errors in real-time, and provides feedback to correct misalignment between the medical device position and the computer model, thereby maintaining accurate registration despite anatomical motion

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The system creates a virtual copy of the anatomical structure as a computer model with corresponding images and blob features, then compares this copy with real-time captured images from the medical device to determine position and correct registration errors, replacing reliance on inaccurate electromagnetic tracking with image-based virtual model comparison

Inventive Principle:
Principle #26Copying

2Measurement precision

If complex image-based tracking methods with sequential Monte Carlo sampling are used to improve accuracy, then measurement precision improves, but computational complexity increases making real-time application impossible

Engineering Contradiction:
Improvetracking accuracyVSAvoidcomputational complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The system extracts only the essential blob features from images and tracks their positions and movements through the sequence of captured images, rather than performing full Sequential Monte Carlo sampling of all image data. This extraction of key features maintains tracking accuracy while dramatically reducing computational complexity to enable real-time processing

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

Instead of performing complete and computationally intensive Sequential Monte Carlo sampling, the system applies partial action by using simplified blob detection and tracking algorithms that process only the most critical feature points, achieving sufficient accuracy for real-time applications without the full computational burden

Inventive Principle:
Principle #16Partial or excessive action

3Measurement precision

If traditional registration methods are used prior to medical procedure, then initial registration is achieved, but registration errors develop during procedure 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 performs continuous image capture and comparison throughout the medical procedure, continuously updating the registration between the medical device position and the computer model. This continuous action maintains registration stability despite anatomical motion, replacing the traditional single pre-procedure registration step with ongoing real-time registration maintenance

Inventive Principle:
Principle #20Continuity of useful action

Solution Approach 2:

The system performs preliminary blob detection and feature extraction from both captured images and computer model images before comparing them for position determination. This preliminary processing of key features enables rapid continuous comparison and registration correction throughout the procedure, maintaining stability without requiring full image processing each time

Inventive Principle:
Principle #10Preliminary action

Data Source

PatentUS20260083346A1Determining position of medical device in branched anatomical structure
Publication Date: 2026.03.26 INTUITIVE SURGICAL OPERATIONS INC
  • US20260083346A1 patent drawing
  • US20260083346A1 patent drawing
  • US20260083346A1 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.