XR Surgical Co-Registration Using HMD Gaze and Gesture Alignment

Resolve Bottlenecks,
Find Innovative Solutions
Generate Solutions

Solution Overview

Problem

Conventional co-registration techniques for extended reality (XR) and surgical navigation systems require specialized hardware, increasing cost and complexity, and fail to leverage biomechanical inputs for intuitive and accurate alignment.

Innovation Solution

A surgical system utilizing a head-mounted device (HMD) with a sensing system to detect biomechanical inputs, such as gaze or gestures, for co-registering the HMD and navigation systems without additional trackers, enabling intuitive and accurate alignment through virtual registration objects and guide objects.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If conventional co-registration techniques use specialized hardware (trackers, calibration devices), then co-registration accuracy is improved, but device complexity and cost increase

Engineering Contradiction:
Improveco-registration accuracyVSAvoidsystem complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent extracts and eliminates the specialized tracker hardware from the co-registration system. Instead of requiring external trackers attached to the XR headset, the system uses the XR headset's built-in sensors (accelerometer, gyroscope, magnetometer, cameras) to perform co-registration, thereby removing unnecessary components while maintaining functionality

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The XR headset performs co-registration using its own built-in sensors and processing capabilities without requiring external specialized hardware. The headset self-calibrates by using its internal sensor fusion algorithms to determine its position and orientation relative to the surgical navigation system, making the system self-sufficient

Inventive Principle:
Principle #25Self-service

2Measurement precision

If trackers are attached to the XR headset, then co-registration capability is improved, but user comfort deteriorates due to extra mass and size

Engineering Contradiction:
Improveco-registration capabilityVSAvoiduser comfort
Core Design Contradiction:
Measurement precisionVSEase of operation

Solution Approach 1:

The patent removes the physical tracker attachment from the XR headset by utilizing the headset's built-in sensors for co-registration. This extraction eliminates the extra mass and bulk that would be imposed on the user, directly improving comfort while preserving co-registration functionality

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The patent replaces the mechanical tracker system with an electronic sensor-based system. Instead of using physical trackers that attach to the headset and are detected by external cameras, the system uses the XR headset's internal inertial measurement unit (IMU) and other sensors to provide co-registration data, eliminating mechanical additions to the headset

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

3Measurement precision

If conventional techniques require manual manipulation of tracked pointer to touch pre-determined points, then co-registration is achieved, but ease of operation deteriorates due to cumbersome user interaction

Engineering Contradiction:
Improveco-registration completionVSAvoiduser interaction difficulty
Core Design Contradiction:
Measurement precisionVSEase of operation

Solution Approach 1:

The patent implements visual feedback through virtual guide objects that are displayed within the XR headset's field of view. These guide objects provide real-time directional cues and visual indicators that guide the user's hand movements, making the co-registration process more intuitive and easier to perform while maintaining accuracy

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The patent introduces virtual guide objects as intermediaries between the user and the co-registration process. These virtual objects serve as visual mediators that provide step-by-step guidance, indicating which points to touch and how to position the pointer, thereby simplifying the user interaction without requiring manual manipulation of complex tracked pointers

Inventive Principle:
Principle #24Intermediary (Mediator)

Data Source

PatentEP4714387A1Interactive techniques for co-registration of extended reality and surgical navigation systems
Publication Date: 2026.03.25 STRYKER CORP
  • EP4714387A1 patent drawingFigure 1
  • EP4714387A1 patent drawingFigure 2
  • EP4714387A1 patent drawingFigure 3

AI summary

Techniques for co-registration of extended reality and surgical navigation systems involve detection of a spatial relationship between a virtual registration object and a physical registration object (e.g., tool). The physical registration object is observed on, or through, the display of the head-mounted device (HMD). In one implementation, biomechanical control input (e.g., hand/finger or eye tracking) from the HMD user is sensed to command acquisition of the virtual registration object relative to the physical registration object. In another implementation, the virtual registration object is presented on the HMD display for alignment with the physical registration object. In some instances, a virtual guide object is presented on the HMD display to dynamically guide the user to align the physical and virtual registration objects.