Spatial Annotations for Pedicle Screw Sizing Accuracy

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Solution Overview

Problem

During pedicle screw implantation procedures, pre-selected screw sizes may not be optimal due to mismatches in entry points and trajectories during surgery, leading to suboptimal screw sizing.

Innovation Solution

A system and method for generating and displaying spatial annotations within guidance images during medical procedures, which provide dynamic graduations along the longitudinal axis of tracked medical instruments, allowing for real-time visual assessment of anatomical and functional features, enabling accurate selection of screw sizes based on actual surgical conditions.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Loss of time

If pre-operative screw sizes are selected assuming ideal conditions, then screw sizing can be determined before surgery, but the screw sizes may not be optimal during surgery due to mismatches in entry points and trajectories

Engineering Contradiction:
Improvescrew sizing determination timeVSAvoidscrew size accuracy
Core Design Contradiction:
Loss of timeVSMeasurement precision

Solution Approach 1:

The system performs preliminary screw size selection during pre-operative planning based on ideal conditions, then uses intraoperative spatial annotations to verify and adjust the selection based on actual anatomical conditions and instrument positioning, combining advance preparation with real-time verification

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system provides real-time feedback by displaying spatial annotations that show the actual size of anatomical features relative to the positioned medical instrument, allowing the surgeon to compare pre-selected screw sizes with actual measured dimensions and make informed adjustments

Inventive Principle:
Principle #23Feedback

2Measurement precision

If spatial annotations with known length measures are displayed in guidance images, then visual assessment of anatomical feature sizes is enabled, but the system complexity increases

Engineering Contradiction:
Improveanatomical feature size assessment accuracyVSAvoidnavigation system complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The system introduces spatial annotations as an intermediary visual element that mediates between the complex navigation data and the surgeon's decision-making process, providing intuitive size references without requiring direct measurement calculations

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The system creates visual copies of known length measures (spatial annotations) that are overlaid on the guidance images, allowing direct visual comparison with anatomical features without physical measurement tools

Inventive Principle:
Principle #26Copying

Data Source

PatentUS11628018B2Systems and methods for displaying guidance images with spatial annotations during a guided medical procedure
Publication Date: 2023.04.18 7D SURGICAL ULC
  • US11628018B2 patent drawing
  • US11628018B2 patent drawing
  • US11628018B2 patent drawing

AI summary

The present disclosure provides systems and methods for generating spatial annotations within guidance images that are displayed during a guided medical procedure, where the spatial annotations provide spatial graduations indicating known length measures. The spatial measures may be employed to visually assess the sizes of anatomical and/or functional features displayed in the guidance images.