Fluorescence Imaging Background Surgical Image Selective Illumination

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Solution Overview

Problem

Current minimally invasive surgical systems face challenges in identifying specific tissue types during surgeries, as certain tissues are difficult to distinguish due to obscuration by other tissues, and existing image fusion methods can be fatiguing and introduce temporal delays or latency, leading to motion artifacts.

Innovation Solution

A minimally invasive surgical system that simultaneously illuminates a surgical site with less than all visible color illumination components and a fluorescence excitation component, capturing and superimposing fluorescence images in real-time onto a background black and white image, reducing latency and memory requirements, and ensuring synchronized highlighting of tissues of clinical interest.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Loss of information

If separate picture in picture (PIP) display is used to show additional image information, then the surgeon can see more tissue details, but the smaller picture size reduces the level of detailed information and causes mental fatigue from fusing two separate images

Engineering Contradiction:
Improvetissue detail informationVSAvoidsurgeon visual fatigue
Core Design Contradiction:
Loss of informationVSEase of operation

Solution Approach 1:

The patent merges the fluorescence image and the visible light image into a single composite image displayed on one screen. The image fusion module combines these images with different transparency levels, allowing the surgeon to view both tissue types simultaneously in one unified display, eliminating the need to mentally fuse separate PIP images and reducing visual fatigue while preserving all tissue detail information

Inventive Principle:
Principle #5Merging (Combining)

2Loss of information

If time slicing method is used to superimpose fluorescence image on visible image, then both images can be displayed, but temporal delay and latency are introduced causing motion artifacts

Engineering Contradiction:
Improveimage overlay completenessVSAvoidtemporal latency
Core Design Contradiction:
Loss of informationVSLoss of time

Solution Approach 1:

The patent implements continuous simultaneous capture of both fluorescence and visible light images without temporal separation. The system captures both image types at the same moment and processes them through the image fusion module in real-time, eliminating the temporal delays and motion artifacts associated with time slicing methods while maintaining complete image overlay information

Inventive Principle:
Principle #20Continuity of useful action

3Loss of information

If frame storage and subsequent processing is used to combine images, then image fusion can be achieved, but memory requirements and processing complexity increase

Engineering Contradiction:
Improveimage fusion capabilityVSAvoidmemory and processing requirements
Core Design Contradiction:
Loss of informationVSDevice complexity

Solution Approach 1:

The patent performs preliminary real-time processing of fluorescence and visible light images as they are captured, immediately combining them through the image fusion module without storing complete frames for later processing. This approach maintains full image fusion capability while reducing memory requirements and processing complexity by handling images in a continuous stream rather than storing and retrospectively processing discrete frames

Inventive Principle:
Principle #10Preliminary action

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 a real-time, latency-free, and synchronized display of tissue details, enhancing surgical precision by clearly highlighting tissues of interest without introducing motion artifacts, thus improving surgical efficiency and reducing the risk of tissue damage.

Implementation Method 1

a fluorescence image excited by the fluorescence excitation illumination component

Methodology Applied
Scientific EffectFluorescence: Fluorescence

Data Source

PatentUS9211058B2Method and system for fluorescent imaging with background surgical image composed of selective illumination spectra
Publication Date: 2015.12.15 INTUITIVE SURGICAL OPERATIONS INC
  • US9211058B2 patent drawing
  • US9211058B2 patent drawing
  • US9211058B2 patent drawing

AI summary

A surgical site is simultaneously illuminated by less than all the visible color components that make up visible white light, and a fluorescence excitation illumination component by an illuminator in a minimally invasive surgical system. An image capture system acquires an image for each of the visible color components illuminating the surgical site and a fluorescence image, which is excited by the fluorescence excitation component from the illuminator. The minimally invasive surgical system uses the acquired images to generate a background black and white image of the surgical site. The acquired fluorescence image is superimposed on the background black and white image, and is highlighted in a selected color, e.g., green. The background black and white image with the superimposed highlighted fluorescence image is displayed for a user of the system. The highlighted fluorescence image identifies tissue of clinical interest.