Medical System for Real-Time Anatomical Model Updates

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Solution Overview

Problem

Minimally invasive surgical procedures face challenges in accurately identifying and accessing target tissue within the patient anatomy due to limitations in pre-operative imaging, shifting anatomy, and the need for real-time navigation and treatment planning.

Innovation Solution

A medical system equipped with localization and imaging sensors that create and update models of the patient anatomy, allowing for precise navigation and treatment planning, including the use of position, orientation, and shape sensors, and imaging data to guide medical instruments to target tissues while avoiding sensitive areas.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Loss of time

If pre-operative imaging is used to plan surgery, then treatment planning can be performed in advance, but the anatomy may shift during surgery making the pre-operative model inaccurate

Engineering Contradiction:
Improvesurgery planning timeVSAvoidanatomical model accuracy
Core Design Contradiction:
Loss of timeVSMeasurement precision

Solution Approach 1:

The system transitions from static pre-operative imaging to dynamic real-time imaging. The imaging sensor continuously captures anatomical data during the surgical procedure, allowing the model to update and adapt to anatomical shifts as they occur, thereby maintaining measurement precision throughout the procedure.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The system performs preliminary actions by creating an initial anatomical model from pre-operative imaging data, which provides a starting point for treatment planning. This preliminary model is then refined and updated in real-time during surgery, combining the benefits of advance planning with intraoperative accuracy.

Inventive Principle:
Principle #10Preliminary action

2Object-affected harmful factors

If minimally invasive techniques are used to reduce tissue damage, then patient recovery time is reduced, but accurate identification and access to target tissue becomes more difficult

Engineering Contradiction:
Improvetissue damageVSAvoidtarget tissue identification
Core Design Contradiction:
Object-affected harmful factorsVSDifficulty of detecting and measuring

Solution Approach 1:

The system replaces mechanical visual inspection and manual navigation with sensor-based detection and image-guided navigation. Localization sensors and imaging sensors provide real-time feedback on device position and anatomical structures, enabling accurate target tissue identification through natural orifices or small incisions without requiring large surgical openings for direct visualization.

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

Solution Approach 2:

The system introduces imaging sensors and localization sensors as intermediaries between the surgeon and the target tissue. These sensors act as mediators that provide indirect visualization and positioning information, allowing the surgeon to navigate to and treat target tissue accurately through minimally invasive access points.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Measurement precision

If real-time imaging and model updating are implemented to improve navigation accuracy, then the complexity of the medical system increases

Engineering Contradiction:
Improvenavigation accuracyVSAvoidmedical system complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The medical device integrates multiple functions into a single system: the imaging sensor both visualizes anatomical structures and provides localization data, while the processor both creates the initial model and performs real-time updates. This multi-functionality reduces the need for separate dedicated components, managing system complexity while maintaining high navigation accuracy.

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

Solution Approach 2:

The system merges the imaging functionality with the localization functionality into an integrated system. The same imaging sensor that captures anatomical images also provides data for determining device position and updating the anatomical model, combining multiple functions that could have been separate into a unified system.

Inventive Principle:
Principle #5Merging (Combining)

Data Source

PatentUS20190298451A1Systems and methods for delivering targeted therapy
Publication Date: 2019.10.03 INTUITIVE SURGICAL OPERATIONS INC
  • US20190298451A1 patent drawing
  • US20190298451A1 patent drawing
  • US20190298451A1 patent drawing

AI summary

The systems and methods of the present disclosure are for use in a surgical procedure in which an elongate flexible medical device is utilized to create a model of patient anatomy using information from one or more of a localization sensor and an imaging sensor. Anatomical areas of interest may be identified and displayed on the model of patient anatomy, which may be used in performing a medical procedure on at least one of those areas of interest.