Operative Microscope Tracking for Real-Time Surgical Roadmaps
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Solution Overview
Problem
Existing surgical navigation systems lack efficient methods for providing precise, reproducible, and adaptable guidance during cranial and spinal surgeries, requiring extensive training and expertise.
Innovation Solution
A computer-implemented system that utilizes operating microscope focal point data within a cartesian space to create a library of surgical approach sequences, enabling real-time guidance and education through a display member, allowing for the recording, analysis, and application of approach logs and sequences for various surgical techniques.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Manufacturing precision
If stereotactic navigation is used for anatomically precise techniques, then surgical precision is improved, but device complexity increases
Solution Approach 1:
The patent introduces an operative microscope as an intermediary device that integrates multiple functions: it serves as the primary surgical instrument, a tracking device for real-time position monitoring, and a data collection device for capturing surgical approach data. This intermediary approach consolidates what would otherwise require separate complex systems into a single integrated platform, thereby achieving surgical precision without proportionally increasing overall device complexity.
Solution Approach 2:
The operative microscope is designed with multi-functionality, serving as both the surgical instrument and the navigation/tracking/data collection system. By making the microscope universal, the patent eliminates the need for separate dedicated tracking devices and navigation systems, thus improving surgical precision while controlling device complexity through functional consolidation.
2Productivity
If real-time navigation and guidance are implemented, then surgical efficiency is improved, but measurement precision requirements increase
Solution Approach 1:
The patent implements real-time feedback by continuously tracking the operative microscope's position during the surgical procedure and comparing it against the pre-planned approach sequence. The system provides immediate guidance on whether the surgeon is following the optimal path, allowing for real-time corrections. This feedback mechanism improves surgical efficiency by enabling dynamic adaptation to actual surgical conditions while maintaining measurement precision through continuous position monitoring.
Solution Approach 2:
The system performs preliminary actions by pre-calculating and storing the optimal surgical approach sequence in a database before the procedure begins. This pre-planned pathway, derived from patient-specific imaging and surgical goals, serves as a reference that guides real-time navigation. By preparing the navigation pathway in advance, the system enables efficient real-time guidance without requiring excessive measurement precision during the actual procedure, as the target path is already established.
3Adaptability or versatility
If a library of approach sequences is created, then adaptability is improved, but data collection and processing complexity increases
Solution Approach 1:
The patent segments the surgical approach into a standardized sequence of discrete steps or landmarks, creating a modular approach sequence that can be systematically stored and retrieved. By breaking down the complex surgical procedure into manageable segments, the system can efficiently collect and process data for each step independently, thereby improving adaptability to different surgical scenarios while reducing the complexity of data management through structured organization.
Solution Approach 2:
The system manages adaptability by storing approach sequences with varying parameters such as entry points, instrument trajectories, and target coordinates, allowing the same framework to accommodate different surgical scenarios. The database stores standardized approach templates that can be parameterized for specific patient anatomy and surgical goals. This parameter-based organization enables high adaptability while keeping data collection and processing manageable through standardized data formats and retrieval protocols.
Data Source
AI summary
A system provides a computer-implemented rendered visualization of a surgeon's path or “roadmap” to a particular target region during a surgical case are disclosed herein. The system includes an approach library in communication with an operating microscope that includes data related to various surgical approach sequences, or “roadmaps” to various target regions. The approach library can be populated by the system and analyzed for variance and trends, as well as provide direct or indirect instruction and guidance through a display member during a surgical case.


