Koninklijke Philips Corporation N.v.

One Million Metrics Corp.

Haytham Elhawary

Aleksandra Popovic

Aditya Bansal

Raymond C Chan

Robert Manzke

Ameet Kumar Jain

Christopher Stephen Hall

Firdaus Janoos

Derek Squires

Selim Youssry

Jeff Doong

Marina Teper

Matthew Glazer

Evan Roche

Mijael Damian

Shyam Bharat

Ramon Quido Erkamp

Kunal Vaidya

Willem Verkruijsse

Alvin Chen

Michael Chun-Chieh Lee

Enrique Ruiz De Villa

A system for visualizing an anatomical target includes an imaging device () configured to collect real-time images of an anatomical target. A three-dimensional model () is generated from pre- or intra-operative images and includes images of structures below a surface of the anatomical target not visible in the images from the scope. An image processing module () is configured to generate an overlay () registered to the real-time images and to indicate the structures below the surface and a depth of the structures below the surface. A display device () is configured to concurrently display the real-time images and the overlay.

Visualization of depth and position of blood vessels and robot guided visualization of blood vessel cross section

A steerable medical catheter includes a tubular body having a longitudinal axis and a distal portion for insertion into a subject, a first pull wire, a second pull wire, and a piezoelectric transducer. The piezoelectric transducer includes a first electrode and a second electrode. At the distal portion of the catheter the first pull wire and the second pull wire are each mechanically coupled to the tubular body at respective first and second offset positions with respect to the longitudinal axis for imparting a curvature on the distal portion of the catheter. At the distal portion of the catheter the first pull wire is electrically connected to the first electrode of the piezoelectric transducer and the second pull wire is electrically connected to the second electrode of the piezoelectric transducer.

Steerable catheter with piezoelectric transducer

Systems and methods for guided endoscope navigation include a registration module () configured to, using a processor, register a first set of images () with a second set of images () of an endoscope (). A selection module () is configured to receive selected areas of interest on the first set of images and transform the selected areas of interest to an endoscope coordinate frame. A guidance module () is configured to overlay guidance tools onto the second set of images to permit a user of the endoscope to navigate to the selected areas of interest.

Guidance tools to manually steer endoscope using pre-operative and intra-operative 3D images

Methods and systems for monitoring workplace safety and evaluating risks is provided, the method comprising receiving signals from at least one wearable device, identifying portions of the signals corresponding to physical activities, excerpting the portions of the signals corresponding to the physical activities, and calculating risk metrics based on measurements extracted from the excerpted portions of the signals, the risk metric indicative of high risk lifting activities.

System and method for monitoring safety and productivity of physical tasks

A guidance system and method include a real-time imaging device () configured to intra-operatively collect image data of a target region to provide a real-time image. A target determination module () is configured to generate an overlay map () registered to the real-time image to project morphological feature information on corresponding features in the real-time image of the target region. A medical instrument () is provided to perform a procedure on the target region such that the at least one medical instrument is guided to a region suitable for performing an operative task based upon the overlay map.

System and method for guided injection during endoscopic surgery

A robotic control system employs a robot unit () and a control unit (). The robot unit () includes an endoscope () for generating an endoscope image (), and a robot () for moving the endoscope () within an anatomical region. The control unit () includes an endoscope controller () for a determination of an endoscope pose within the anatomical region for an intraoperative visualization of the anatomical feature within the endoscope image (), wherein the endoscope path is derived from a delineation of a volume coordinate position of the anatomical feature within a pre-operative image () of the anatomical region. The control unit () further includes a robot controller () for commanding the robot () to move the endoscope () to the endoscope pose within the anatomical region to visualize the anatomical feature within the endoscope image ().

Robotic control of an endoscope from anatomical features

A system for visualizing an anatomical target includes a scope for internal imaging having a field of view less than a region to be imaged. A planning module is configured to receive video from the scope such that field of view images of the scope are stitched together to generate a composite image of the region to be imaged. An image guidance module is configured to move the scope along the anatomical target during a procedure such that an image generated in the field of view of the scope is displayed as live video overlaid on a field of the composite image.

Enhanced visualization of blood vessels using a robotically steered endoscope

An image acquisition system includes a first imaging modality device () configured to acquire images from a subject from a position. A second imaging modality device () is configured to acquire images of the subject from a plurality of poses selected based upon the position of the first imaging modality device and in accordance with criteria to provide a best pose or poses. A planning module () is stored in memory and is configured to determine at least one trajectory that permits the best pose or poses of the second imaging modality device to be achieved to acquire, in cooperation with the first imaging modality device, an image or images of the subject.

C-arm trajectory planning for optimal image acquisition in endoscopic surgery

A system for visualizing an anatomical target includes an imaging device having a field of view for imaging a portion of a region to be imaged. A three-dimensional model is generated from pre-operative or intra-operative images and includes images of an internal volume in the region to be imaged not visible in the images from the imaging device. An image processing module is configured to receive images from the imaging device such that field of view images of the imaging device are stitched together to generate a composite image of the region to be imaged. The composite image is registered to real-time images and the three-dimensional model. An internal view module is configured to generate for display an internal view of the internal volume at one or more positions along the composite image.

Spatial visualization of internal mammary artery during minimally invasive bypass surgery

A positioning apparatus includes a first portion () having a first opening () for alignment with a port entry point. A second portion () is positionable for alignment with the first opening from a plurality of different positions. An actuation mechanism () is coupled to at least one of the first portion and the second portion to set relative positions of the first and second portions to permit a tool axis formed between the first and second portions to be aligned through the first opening such that a tool () provided on the tool axis would include a known position and orientation.

Positioning and orientation of surgical tools during patient specific port placement

A robotic surgical system employs a surgical instrument (), a robot () for navigating the surgical instrument () relative to an anatomical region () within a coordinate system () of the robot (), and a robot controller () for defining a remote center of motion for a spherical rotation of the surgical instrument () within the coordinate system () of the robot () based on a physical location within the coordinate system () of the robot () of a port () into the anatomical region (). The definition of the remote center of rotation is used by the robot controller () to command the robot () to align the remote center of motion of the surgical instrument () with the port () into the anatomical region () for spherically rotating the surgical instrument () relative to the port () into the anatomical region ().

Controller definition of a robotic remote center of motion

An image registration system employs an endoscope and an endoscope controller. In operation, the endoscope generates an intra-operative endoscopic image of a vessel tree (e.g., an arterial tree or a venous tree) within an anatomical region, and the endoscope controller image registers the intra-operative endoscopic image of the vessel tree to a pre-operative three-dimensional image of the vessel tree within the anatomical region. The image registration includes an image matching of a graphical representation of each furcation of the vessel tree within the intra-operative endoscopic image of the vessel tree to a graphical representation of each furcation of the vessel tree within the pre-operative three-dimensional image of the vessel tree.

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New York, NY, United States of America

Haytham Elhawary