Guideline Visualization for Image-Guided Surgery

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Solution Overview

Problem

Surgeons face uncertainty when following precise medical guidelines during image-guided surgery, as they can only remember a few guidelines at a time and may approximate compliance with constraints, leading to potential undesired results.

Innovation Solution

A method and apparatus that visually display anatomical images with instrument representations and guidelines, providing direct visual feedback on whether procedural constraints are being met, allowing surgeons to focus on other aspects of the operation.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If surgeons rely on memory to remember procedural guidelines during operation, then they can maintain focus on the procedure, but they can only remember a few guidelines at a time leading to uncertainty and potential errors

Engineering Contradiction:
Improvesurgeon's ability to focus on procedureVSAvoidcompliance with procedural guidelines
Core Design Contradiction:
Ease of operationVSReliability

Solution Approach 1:

The system provides real-time visual feedback by displaying guideline representations overlaid on the anatomical image. The guideline visualization dynamically updates based on the instrument's position, giving immediate feedback to the surgeon about compliance with procedural constraints without requiring memory of multiple guidelines simultaneously.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The patent introduces a visual intermediary representation that translates complex procedural guidelines into intuitive graphical overlays. This intermediary visualization mediates between the surgeon's actions and the procedural requirements, eliminating the need to rely solely on memory while maintaining focus on the procedure.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Manufacturing precision

If guidelines are stated precisely with specific constraints, then procedural accuracy is improved, but the surgeon must remember and interpret multiple precise constraints simultaneously which increases cognitive load and uncertainty

Engineering Contradiction:
Improveprecision of instrument placementVSAvoidcomplexity of guideline management
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The patent segments complex procedural guidelines into multiple independent visual representations, each corresponding to a specific constraint or guideline. Each guideline is displayed as a separate visual element (e.g., colored zones, boundaries, or markers) that can be independently interpreted, reducing the cognitive load of managing multiple precise constraints simultaneously.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The system uses color coding to represent different types of guidelines and constraint zones. Different colors indicate different procedural requirements or risk levels, allowing surgeons to quickly perceive and prioritize constraints without needing to remember the precise wording of each guideline. The visual differentiation reduces complexity while maintaining precision.

Inventive Principle:
Principle #32Color changes

3Productivity

If surgeons approximate compliance with guidelines based on image representation, then they can operate efficiently, but uncertainty arises about whether precise constraints are being fulfilled

Engineering Contradiction:
Improveoperational efficiencyVSAvoidverification of guideline compliance
Core Design Contradiction:
ProductivityVSMeasurement precision

Solution Approach 1:

The system provides continuous visual feedback that shows the real-time relationship between the instrument position and guideline constraints. The guideline visualization updates dynamically as the instrument moves, giving immediate confirmation of compliance without requiring the surgeon to mentally calculate or approximate whether constraints are met, thus eliminating uncertainty while maintaining efficiency.

Inventive Principle:
Principle #23Feedback

Data Source

PatentUS8014848B2Visualization of procedural guidelines for a medical procedure
Publication Date: 2011.09.06 BRAINLAB AG
  • US8014848B2 patent drawing
  • US8014848B2 patent drawing
  • US8014848B2 patent drawing

AI summary

The visualization of procedural guidelines for a medical procedure, in which a medical instrument is shown in an image representation of a body portion including an area in which a medical procedure is to be carried out, wherein, in the vicinity of the functional portion of the instrument, regions or locations are indicated which are of special relevance to the procedure according to established guidelines for said procedure.