Mixed Reality Surgical Navigation Marker Registration

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Solution Overview

Problem

Surgical navigation systems face challenges in aligning mixed reality visualization with the surgeon's point of view, making registration of surgical tools and anatomy cumbersome and difficult, especially when using head-mounted displays (HMDs), as they require registration to a common coordinate system without adequate visualization assistance.

Innovation Solution

A head-mounted display (HMD) integrated with a camera and position sensors, along with a surgical navigation localizer, uses registration markers to register the HMD and localizer coordinate systems, allowing for real-time alignment and verification through visual cues and protocols displayed on the HMD.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Loss of information

If a display is used for surgical navigation visualization, then the surgeon can see the position of surgical tools and anatomy, but the display is located remotely from the surgical site and the view is not aligned with the surgeon's point of view, making it awkward to switch gaze between the display and the actual surgical tools

Engineering Contradiction:
Improvevisualization of surgical tools and anatomyVSAvoidsurgeon's ability to view surgical site
Core Design Contradiction:
Loss of informationVSEase of operation

Solution Approach 1:

The patent transitions from a remote 2D display to a head-mounted display that provides 3D spatial visualization directly in the surgeon's field of view. The HMD presents surgical navigation information in a dimension that aligns with the surgeon's natural point of view, eliminating the need to shift gaze between separate display and surgical site.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

Solution Approach 2:

The head-mounted display acts as an intermediary device between the surgical navigation system and the surgeon's eyes. It captures the surgical scene through its camera and overlays navigational information directly onto the surgeon's view of the actual surgical field, serving as a mediator that combines both views seamlessly.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Loss of information

If head-mounted displays are used for surgical navigation visualization, then the surgeon can see computer-generated images seemingly present in the real world, but the registration of HMD coordinate system to the common coordinate system is cumbersome and difficult without adequate visualization assistance

Engineering Contradiction:
Improvemixed reality visualizationVSAvoidregistration process
Core Design Contradiction:
Loss of informationVSDevice complexity

Solution Approach 1:

The system provides real-time visual feedback during the registration process by displaying the detected pose of the HMD and the registration status directly in the surgeon's field of view. The surgical navigation system monitors the HMD's position and orientation and provides continuous feedback to guide the registration process, making it intuitive and easier to complete.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The HMD captures images of registration markers in the surgical field and automatically processes this visual information to determine its own pose and complete registration. The system uses the HMD's own camera and the visible registration markers to self-register, eliminating the need for complex external registration procedures.

Inventive Principle:
Principle #25Self-service

3Device complexity

If registration is performed without adequate visualization assistance, then the process is simpler in terms of equipment, but it becomes cumbersome and difficult to quickly verify registration accuracy

Engineering Contradiction:
Improveregistration equipmentVSAvoidregistration accuracy verification
Core Design Contradiction:
Device complexityVSMeasurement precision

Solution Approach 1:

The system provides real-time visual feedback during and after registration by displaying the detected pose of registration markers and the alignment status directly in the surgeon's field of view through the HMD. This immediate visual confirmation allows the surgeon to verify registration accuracy quickly and intuitively without complex verification equipment.

Inventive Principle:
Principle #23Feedback

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

Facilitates seamless integration of HMDs into surgical navigation systems, enhancing registration accuracy and reducing cumbersome registration processes by providing visual feedback for alignment and verification.

Implementation Method 1

a plurality of registration markers for being analyzed in the images captured by the camera of the head-mounted display to determine a pose of the HMD coordinate system relative to the registration coordinate system

Methodology Applied
Scientific EffectImage capture and analysis: Photography

Implementation Method 2

a plurality of tracking markers for being detected by the one or more position sensors of the localizer to determine a pose of the registration coordinate system relative to the localizer coordinate system

Methodology Applied
Scientific EffectPosition sensing:

Data Source

PatentUS12383347B2Systems and methods for surgical navigation
Publication Date: 2025.08.12 MAKO SURGICAL CORP
  • US12383347B2 patent drawing
  • US12383347B2 patent drawing
  • US12383347B2 patent drawing

AI summary

A mixed reality system includes a head-mounted device (HMD) having an HMD coordinate system and a camera to capture images. A localizer has a localizer coordinate system and position sensors supported by a housing to track a pose of a real object. Registration markers are configured to be recognized from the captured images of the camera of the HMD. The registration markers are disposed on the housing of the localizer in a predetermined spatial relationship with respect to the localizer coordinate system. At least one controller is configured to utilize the registration markers recognized from the captured images to register the localizer coordinate system and the HMD coordinate system.