Surgical Tool Orientation Tracking via High-Contrast Optical Markers

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Solution Overview

Problem

Conventional object tracking techniques, such as motion-based, region-based, and feature-based tracking, are inadequate for ophthalmic surgeries due to varying illumination conditions and lack of high-contrast features in surgical tools, making real-time tool tracking challenging, especially with shadow artifacts and image degradation through multiple optical elements.

Innovation Solution

An optical imaging system that performs scans intersecting the surgical tool, generating images to determine the tool's location and orientation, using a controller to analyze these images and adjust the OCT scan to avoid tool shadows, allowing for simultaneous imaging of multiple features at arbitrary angles.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If conventional feature-based object tracking is used to track surgical tools, then object tracking may be achieved, but it fails when surgical tools lack high-contrast features

Engineering Contradiction:
Improvetool tracking accuracyVSAvoidapplicability to tools without high-contrast features
Core Design Contradiction:
Measurement precisionVSAdaptability or versatility

Solution Approach 1:

The patent applies a high-contrast marker with specific optical properties (reflective, fluorescent, or phosphorescent characteristics) to the surgical tool. This marker creates a distinct signal in the imaging system that is easily distinguishable from surrounding tissues, enabling reliable feature-based tracking even when the tool itself lacks intrinsic high-contrast features.

Inventive Principle:
Principle #32Color changes

2Productivity

If motion-based object tracking is used, then automated surveillance may be achieved, but it requires a quasi-stationary background which is not present in ophthalmic surgery

Engineering Contradiction:
Improveautomated tracking capabilityVSAvoidbackground stability
Core Design Contradiction:
ProductivityVSStability of the object's composition

Solution Approach 1:

The high-contrast marker on the surgical tool provides a stable, distinctive signal that can be tracked regardless of background motion or illumination changes. The marker's optical properties remain consistent even as the surgical field moves or lighting conditions vary, enabling reliable automated tracking in dynamic ophthalmic surgical environments.

Inventive Principle:
Principle #32Color changes

3Measurement precision

If region-based object tracking is used, then simple object tracking may be achieved, but it is sensitive to object pose variations and local illumination changes

Engineering Contradiction:
Improvetracking accuracyVSAvoidrobustness to pose and illumination variations
Core Design Contradiction:
Measurement precisionVSAdaptability or versatility

Solution Approach 1:

The high-contrast marker maintains its distinctive optical signal across various poses and illumination conditions. The marker's reflective, fluorescent, or phosphorescent properties ensure it remains visible and distinguishable regardless of the tool's orientation or lighting changes in the surgical field, enabling robust tracking.

Inventive Principle:
Principle #32Color changes

Solution Approach 2:

The high-contrast marker acts as an intermediary that mediates between the surgical tool and the imaging system. This marker provides a reliable interface for detection that is not directly affected by pose variations or illumination changes, allowing the imaging system to accurately track the tool through the marker's stable signal.

Inventive Principle:
Principle #24Intermediary (Mediator)

4Illumination intensity

If a single illuminator is used to illuminate the surgical site, then illumination may be provided, but shadow artifacts and specular reflection from the surgical tool increase tracking complexity

Engineering Contradiction:
Improvesurgical site illuminationVSAvoidtracking algorithm complexity
Core Design Contradiction:
Illumination intensityVSDevice complexity

Solution Approach 1:

The high-contrast marker with specific optical properties (reflective, fluorescent, or phosphorescent) produces a distinctive signal that can be differentiated from shadow artifacts and specular reflections. The marker's optical characteristics create a recognizable pattern that tracking algorithms can identify even in the presence of illumination-related artifacts, reducing tracking complexity.

Inventive Principle:
Principle #32Color changes

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

Enables accurate and real-time tracking of surgical tool orientation, reducing shadow interference and enhancing the surgeon's control over OCT scans, thereby improving surgical precision and efficiency.

Implementation Method 1

an imaging device configured to receive imaging light reflected from the surgical site and to generate a scan image from each optical imaging scan

Methodology Applied
Scientific EffectReflection: Reflection

Data Source

PatentUS10973585B2Systems and methods for tracking the orientation of surgical tools
Publication Date: 2021.04.13 ALCON INC
  • US10973585B2 patent drawing
  • US10973585B2 patent drawing
  • US10973585B2 patent drawing

AI summary

Some embodiments of the present technology involve methods, devices, and systems for determining an orientation of a surgical tool during ophthalmic surgery. An example method includes performing an optical imaging scan in the surgical site, using a scan pattern that intersects the surgical tool and generating a scan image from the optical imaging scan. The example method further comprises analyzing the scan image to determine a location in the scan image corresponding to where the surgical tool intersected the optical imaging scan, and determining an orientation of the surgical tool, based on the determined location.