Automated Surgeon Performance Evaluation Using Colored Gloves

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Solution Overview

Problem

Current methods for evaluating surgical resident technical skills are time-consuming, labor-intensive, and subjective, with existing hand motion analysis tools often requiring sensors that interfere with surgeons' movements and being unsuitable for open surgical procedures.

Innovation Solution

A hand-sensor-free method using colored surgical gloves to track hand motion during surgical procedures, capturing video data and analyzing it to determine entropy metrics for objective performance evaluation, which can be calibrated to assess operator expertise without physical sensors.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If sensors are placed on the surgeon's hands to track hand motion, then hand motion tracking precision is improved, but the surgeon's movement freedom and comfort deteriorate

Engineering Contradiction:
Improvehand motion tracking precisionVSAvoidsurgeon movement freedom
Core Design Contradiction:
Measurement precisionVSEase of operation

Solution Approach 1:

The patent replaces mechanical sensors attached to the surgeon's hands with an optical system using video cameras to capture images of colored gloves. This substitution eliminates the mechanical interference of sensors while maintaining hand motion tracking capability through computer vision algorithms that detect glove color and position in video frames.

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

Solution Approach 2:

The patent introduces colored gloves as an intermediary element between the surgeon's hands and the tracking system. The gloves serve as visual markers that can be detected by the video system without requiring direct attachment of sensors to the skin, thus preserving movement freedom while enabling precise tracking through color-based detection.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Measurement precision

If traditional mentor observation methods are used to evaluate surgical skills, then evaluation comprehensiveness is improved, but time consumption and labor intensity increase

Engineering Contradiction:
Improveevaluation comprehensivenessVSAvoidevaluation efficiency
Core Design Contradiction:
Measurement precisionVSProductivity

Solution Approach 1:

The patent implements an automated evaluation system where the computer system automatically analyzes hand motion data from video recordings and generates performance metrics without requiring manual observation by mentors. The system processes video frames, extracts hand motion features, calculates entropy metrics, and produces objective evaluations autonomously, dramatically reducing time consumption and labor intensity while maintaining comprehensive assessment capability.

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The patent replaces the human mentor observation system with an automated computer-based evaluation system that uses video analysis and entropy calculation algorithms. This substitution transforms the evaluation process from a manual, time-intensive activity to an automated, efficient process that can objectively measure and compare surgical performance without human bias or fatigue.

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

3Measurement precision

If existing hand motion analysis tools are used, then objective measurement capability is improved, but adaptability to different surgical procedures deteriorates

Engineering Contradiction:
Improveobjective measurement capabilityVSAvoidprocedure adaptability
Core Design Contradiction:
Measurement precisionVSAdaptability or versatility

Solution Approach 1:

The patent creates a universal evaluation framework that can adapt to different surgical procedures through configurable parameters. The system uses color-based glove detection that works across various surgical contexts, and the entropy calculation methodology can be applied to different hand motion patterns. The framework allows customization of evaluation criteria for different procedure types while maintaining the core objective measurement capability through standardized video analysis and entropy computation.

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

Data Source

PatentUS10692395B2Automated surgeon performance evaluation
Publication Date: 2020.06.23 UNIV OF MARYLAND
  • US10692395B2 patent drawing
  • US10692395B2 patent drawing
  • US10692395B2 patent drawing

AI summary

Techniques for automated surgeon performance evaluation include dressing an operator with colored surgical gloves. A first glove for a dominant hand has a first color and a second glove for the other hand has a different second color. Video data that views the operator's hands is captured during a surgical procedure on a subject. For each of multiple frames of the video data, a minimum rectangle of pixels, called a first rectangle, which encloses pixels having the first color, is determined automatically on a processor. A first time series for a representative property of the first rectangle at the multiple frames, and a first measure of entropy based on the first time series, are also automatically determined on a processor. A metric of operator performance based at least in part on the first measure of entropy is stored, e.g., for subsequent display.