Intraoperative Target Updating for Virtual Navigation Steering

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Solution Overview

Problem

Existing minimally invasive medical procedures face challenges in accurately navigating and updating the location of targets within patient anatomy due to limitations in integrating intraoperative image data with preoperative models, leading to potential inaccuracies and inefficiencies.

Innovation Solution

A medical system that includes a display system, an elongate device, and an imaging probe, with a control system that receives and processes intraoperative image data to update the target location using graphical user interfaces and virtual navigation views, allowing for precise registration and adjustment of the medical instrument's position and orientation.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Loss of time

If preoperative models are used for navigation, then procedural planning is improved, but accuracy is reduced due to anatomical changes during surgery

Engineering Contradiction:
Improveprocedural planning timeVSAvoidtarget location accuracy
Core Design Contradiction:
Loss of timeVSMeasurement precision

Solution Approach 1:

The system transitions from static preoperative models to dynamic intraoperative image guidance. The imaging probe continuously captures real-time anatomical data, allowing the navigation system to adapt to anatomical changes during surgery and update target location dynamically, thereby maintaining accuracy while preserving planning efficiency.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The system implements feedback by comparing preoperative model predictions with actual intraoperative imaging data. The imaging probe provides real-time feedback on anatomical structures and target location, allowing the system to correct deviations and update navigation information, thus resolving the accuracy problem while maintaining the planning framework.

Inventive Principle:
Principle #23Feedback

2Measurement precision

If intraoperative imaging is integrated with preoperative models, then target location accuracy is improved, but system complexity increases

Engineering Contradiction:
Improvetarget location accuracyVSAvoidsystem integration complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The imaging probe serves multiple functions: it captures anatomical images, identifies target structures, and provides spatial localization data. By making the probe multi-functional, the system reduces the need for separate dedicated devices for each function, thereby improving accuracy without proportionally increasing overall system complexity.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Solution Approach 2:

The system uses an intermediary processing layer that integrates preoperative model data with intraoperative imaging data. This intermediary layer reconciles the two data sources, matching anatomical landmarks and updating target location, thereby achieving high accuracy while managing integration complexity through a structured mediation process.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Measurement precision

If real-time image data processing is implemented, then navigation accuracy is improved, but processing time increases

Engineering Contradiction:
Improvenavigation accuracyVSAvoiddata processing time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The system performs preliminary processing of imaging data by pre-identifying anatomical landmarks and target structures during probe insertion. By preparing and pre-processing data as it becomes available, rather than waiting for complete datasets, the system maintains high navigation accuracy while minimizing processing delays during critical surgical moments.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system implements selective processing by skipping non-critical analysis steps and focusing only on essential target identification and localization. By rushing through the processing pipeline with prioritized algorithms that identify key features quickly, the system achieves high accuracy without excessive processing time, skipping unnecessary computational steps.

Inventive Principle:
Principle #21Skipping (Rushing through)

Data Source

PatentUS12502223B2Systems and methods for updating a target location using intraoperative image data
Publication Date: 2025.12.23 INTUITIVE SURGICAL OPERATIONS INC
  • US12502223B2 patent drawing
  • US12502223B2 patent drawing
  • US12502223B2 patent drawing

AI summary

A medical system comprises a display system, an elongate device, an imaging probe configured to extend within the elongate device, and a control system communicatively coupled to the display system. The control system is configured to display a graphical user interface via the display system. The graphical user interface includes a virtual navigation view. The control system is further configured to receive imaging data from the imaging probe. The control system is further configured to determine a target location based on the imaging data. The control system is further configured to determine a position of a distal end of the elongate device. The control system is further configured to display a graphical marker in the virtual navigation view indicating a direction to steer the elongate device from the position of the distal end of the elongate device to the target location.