Surgical Accuracy Analysis System Using Image Segmentation and Registration

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Solution Overview

Problem

Current methods for preoperative planning and postoperative analysis in robotic orthopedic joint replacement surgery lack the necessary tools and systems to refine accuracy and efficiency effectively.

Innovation Solution

A system utilizing computing devices to receive and process preoperative and postoperative patient data, including image segmentation and registration techniques, to compare planned and actual implant positions and orientations, thereby assessing the accuracy of surgical procedures.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Manufacturing precision

If preoperative planning and postoperative analysis tools are enhanced, then manufacturing precision of implant placement is improved, but device complexity increases

Engineering Contradiction:
Improveimplant placement accuracyVSAvoidsystem complexity
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The system segments the analysis process into distinct modules: preoperative planning module, intraoperative guidance module, and postoperative analysis module. Each module handles specific tasks (e.g., implant selection, registration, accuracy assessment) independently, allowing complex functionality to be managed through modular components rather than a monolithic system.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The system performs preoperative planning actions before surgery, including selecting implant size and position, determining resection planes, and creating 3D patient-specific models. This preliminary preparation establishes the reference framework that simplifies intraoperative execution and enables automated postoperative comparison against the pre-planned parameters.

Inventive Principle:
Principle #10Preliminary action

2Productivity

If robotic systems are used to perform orthopedic joint replacement surgery, then productivity is improved, but device complexity increases

Engineering Contradiction:
Improvesurgical procedure efficiencyVSAvoidrobotic system complexity
Core Design Contradiction:
ProductivityVSDevice complexity

Solution Approach 1:

The robotic system integrates multiple functions into a single platform: preoperative planning, intraoperative navigation and guidance, real-time tracking, and postoperative analysis. This multi-functional approach consolidates what would otherwise require separate systems, improving surgical workflow efficiency while managing complexity through integrated architecture.

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

Solution Approach 2:

The system implements continuous feedback loops during surgery by tracking the position of surgical tools and comparing them against the preoperative plan in real-time. This feedback enables automated adjustments and guidance, allowing the robotic system to perform complex tasks with high precision while reducing the cognitive burden on surgeons through automated decision-support.

Inventive Principle:
Principle #23Feedback

3Manufacturing precision

If detailed preoperative planning is performed including 3D modeling, then manufacturing precision is improved, but loss of time occurs during planning phase

Engineering Contradiction:
Improvebone resection accuracyVSAvoidpreoperative planning time
Core Design Contradiction:
Manufacturing precisionVSLoss of time

Solution Approach 1:

The system performs computationally intensive tasks such as 3D model generation, implant positioning optimization, and resection plane determination during the preoperative phase. By completing these complex calculations before surgery, the system establishes a detailed reference framework that guides the actual surgical execution, enabling high precision without requiring complex real-time computations during the procedure.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system creates a digital 3D copy of the patient's anatomy from preoperative imaging data (CT or MRI scans). This virtual model serves as a reference that can be manipulated, measured, and used for planning without requiring physical manipulation of the patient's anatomy. The digital twin enables precise preoperative simulation and planning that translates directly to surgical execution.

Inventive Principle:
Principle #26Copying

Data Source

PatentUS20250032191A1Systems and methods for preoperative planning and postoperative analysis of surgical procedures
Publication Date: 2025.01.30 MAKO SURGICAL CORP
  • US20250032191A1 patent drawing
  • US20250032191A1 patent drawing
  • US20250032191A1 patent drawing

AI summary

A system for determining accuracy of a surgical procedure to implant an implant on a patient bone. The system including at least one computing device configured to perform the following steps. Receive preoperative patient data including preoperative images of the patient bone and planned implant position and orientation data. Receive postoperative patient data including postoperative images of the patient bone and an implant implanted on the patient bone. Segment the patient bone and the implant from the postoperative images of the patient bone and the implant. Register separately the patient bone and the implant from the postoperative images to the patient bone from the preoperative images. And compare an implanted position and orientation of the implant from the postoperative images relative to the patient bone from the preoperative images to the planned implant position and orientation data relative to the patient bone from the preoperative images.