The Cleveland Clinic Foundation

Intuitive Surgical, Inc.

Xii Medical, Inc.

Charles P Steiner

Donald W Kormos

Gene H Barnett

Iain H Kalfas

David W Piraino

Darrin R Uecker

David Bjorn Roe

Amante A Mangaser

Gang Wang

Joseph F Hahn

Anthony V Caparso

Francis A Papay

Kelly B Emerton

Eric W Klingemier

Thomas W Frazier

Systems and methods for performing psychological assessment are provided. An initial visual stimulus is selected and a series of steps are iteratively performed until associated confidence values for each of a plurality of indices meet a threshold value. The selected visual stimulus is provided at the display. Gaze tracking data is received from a remote eye tracking device in response to the selected stimulus being displayed to a patient. A deviation of the gaze tracking data from a standard response is determined. A score and the associated confidence value for at least one of the plurality of indices are adjusted based on the determined deviation of the gaze tracking data from the standard response. A new visual stimulus is selected based on the confidence values of the plurality of indices. Respective scores for the plurality of indices are provided to a user.

Adaptive psychological assessment tool

An intra-oral appliance to power and/or communicate with a neurostimulator is provided. The intra-oral appliance can include a teeth covering configured to fit over mandibular incisor, canine and/or premolar teeth of a human being and a remote controller in the form of a housing extending posteriorly from and operably connected to the teeth covering. The housing can include a power source, a coupling coil configured to transmit power to the neurostimulator and configured to receive power from an external charger, and electrical circuitry operably connected to the coupling coil and the power source.

Intra-oral appliances and systems

A method and apparatus for retrieving, accessing, and storing medical data relating to a patient during a medical procedure. The invention provides a single interface to many disparate forms of medical data, which is accessible over a local area network; wide area network, direct connection, or combinations thereof. In one embodiment, an operating room control system for use during a medical procedure on a patient includes an input device, a display device, and a controller that is coupled to the input device and the display device. The controller receives one or more user inputs, transmits a command to a server located outside of the operating room to retrieve medical data, receives the medical data from the server, and displays the medical data on the display device. Medical data can be captured by the controller using, for example, a camera and a video/image capture board, keyboard, and microphone during surgery or examination of the patient. The captured medical data can be stored on one or more remote servers as part of the patient records.

Method and apparatus for accessing medical data over a network

A method and apparatus for retrieving, accessing, and storing medical data relating to a patient during a medical procedure. The invention provides a single interface to many disparate forms of medical data, which is accessible over a local area network, wide area network, direct connection, or combinations thereof. In one embodiment, an operating room control system for use during a medical procedure on a patient includes an input device, a display device, and a controller that is coupled to the input device and the display device. The controller receives one or more user inputs, transmits a command to a server located outside of the operating room to retrieve medical data, receives the medical data from the server, and displays the medical data on the display device.

A patient is secured to a subject support ( ). A stereotaxic wand ( ) is inserted into a tool guide ( ). The wand has a tip portion ( ), a portion extending along a pointing axis ( ) of the wand, an offset portion ( ) which is offset from the pointing axis of the wand, and at least two wand emitters ( ), mounted in alignment with the pointing axis of the wand. The two emitters selectively emit wand signals which are received by three receivers ( ) mounted to a frame assembly ( ). The tool guide includes a bore ( ) extending along a guide axis. The bore is configured for selectively receiving a tool and the tip portion of the wand. An entry point and a trajectory are identified by the surgeon with the wand in the guide. More specifically, a trajectory and location of the wand are superimposed on a diagnostic image on a monitor ( ). If the surgeon is satisfied with the entry point and trajectory shown on the monitor, a surgical tool is inserted into the bore while the tool guide is held along the designated trajectory and at the designated entry point.

Tool guide for a surgical tool

A patient is secured to a subject support (10). A stereotaxic wand (40) is inserted into a tool guide (60). The wand has a tip portion (44), a portion extending along a pointing axis (46) of the wand, an offset portion (42) which is offset from the pointing axis of the wand, and at least two wand emitters (48, 50), mounted in alignment with the pointing axis of the wand. The two emitters selectively emit wand signals which are received by three receivers (14) mounted to a frame assembly (12). The tool guide includes a bore (66) extending along a guide axis. The bore is configured for selectively receiving a tool and the tip portion of the wand. An entry point and a trajectory are identified by the surgeon with the wand in the guide. More specifically, a trajectory and location of the wand are superimposed on a diagnostic image on a monitor (30). If the surgeon is satisfied with the entry point and trajectory shown on the monitor, a surgical tool is inserted into the bore while the tool guide is held along the designated trajectory and at the designated entry point.

Frameless stereotaxy system for indicating the position and axis of a

A patient is secured to a subject support (10). A stereotaxic wand (40) is inserted into a tool guide (60). The wand has a tip portion (44), a portion extending along a pointing axis (46) of the wand, an offset portion (42) which is offset from the pointing axis of the wand, and at least three wand emitters (48, 50, 52), mounted in alignment with the pointing axis of the wand. The three emitters selectively emit infrared light which is received by two CCD cameras (14) mounted to a frame assembly (12). The tool guide includes a bore (76) extending along a guide axis. The bore is configured for selectively receiving a tool and the tip portion of the wand. An entry point and a trajectory are identified by the surgeon with the wand in the guide. More specifically, a trajectory and location of the wand are superimposed on a diagnostic image on a monitor (30). If the surgeon is satisfied with the entry point and trajectory shown on the monitor, a surgical tool is inserted into the bore while the tool guide is held along the designated trajectory and at the designated entry point.

Stereotaxy wand and tool guide

A patient's head is anchored (16) at one end of a patient support (10). An array of receivers (50) are mounted on a frame (12) which is fixed to the patient support. The frame carries at least one reference transmitter (52). A wand (42) has at least two emitters (44, 46) mounted thereto. By measuring relative travel time of the signals from the wand emitters to the receiver array and comparing the travel time with travel time over a known distance from the reference transmitter to one or more of the receivers, the position of the wand in a coordinate system of the patient support is determined (80). A three-dimensional array of diagnostic image data was taken through the anchored portion of the patient and at least three markers (114) affixed to the patient. By positioning the wand on the markers after the patient is secured to the patient support, a transform (110) between the patient support coordinate system and the image data coordinate system is derived. Once the relationship between the coordinate systems is known, the surgeon can use the wand to select locations and orientations on a surface of the patient and retrieve corresponding portions of the image data for display on video monitors (30).

Growing community of inventors

Cleveland, OH, United States of America

Charles P Steiner