Veran Medical Technologies, Inc.

Medtronic Navigation, Inc.

Surgical Navigation Technologies, Inc.

Other

Medtronic/surgical Navigation Technologies

Mark W Hunter

Troy L Holsing

Paul Kessman

Laurent Verard

Bradley A Jascob

Kevin Thomas Foley

David A Mire

Christopher B Lee

Brad Jascob

Andrew Dougherty

James F Kelley

Andrew Bzostek

John B Clayton

Michael A Martinelli

Todd A Martens

Hai H Trieu

David Anthnoy Simon

Bruce M Burg

Evan Stern

Scott Shaver

Sheri McCoid

John H Dukesherer

Greg Rutz

Janice Dugger

Torsten Lyon

Brandon D Larocque

Stacy Sprouse

Nadim Yared

Torsten M Lyon

Joel G Marquart

Thomas J Mickel

Gordon Goodchild

Christopher Lee

Frank Strupeck

Chris Lee

David Lightman

Jayson Oldfather

Kirsten Boes

Brian M Tremblay

Kirstin Boes

Marc Wennogle

Todd Martens

Paul Kessmann

James Kelley

A system and method are presented for treating targeted tissue using cryoablation. An introducer canula and a cryoprobe are inserted the targeted tissue. The cryoprobe is cooled and an ice ball is formed. The cryoprobe is removed while the ice ball is still frozen, and an ultrasound catheter is inserted. Ultrasound generated within the ice ball is used to determine the distance from the ultrasound catheter to a perimeter of the ice ball. This is repeated at different angles to model a slice of the ice ball. The ultrasound catheter is moved radially, and the process is repeated to create a model of at least a portion of the ice ball. The ice ball model can be displayed on a registered set of images representing the targeted tissue to ensure that the tissue lies within the treatment zone of the ice ball.

Ablation monitoring system and method

Method and processes for segmentation of lungs lobes from CT image data are disclosed. Lobe segmentation relies on other segmentations, including the lungs, the lung airways and vasculature. Segmentation methods and processes begin with the acquisition of 3-D image data such as from a high resolution CT scan of a patient's lungs or at least a region thereof. The image is then processed to provide a segmentation mask from which the components are extracted to identify the lungs and airway. Lung vasculature and lobes are identified by similar processes.

Methods for the segmentation of lungs, lung vasculature and lung lobes from CT data and clinical applications

A system and method are presented for applying convolutional neural networks (CNNs) to aid in rapid on-site evaluation cytopathology. Image data are acquired from a biopsy slide. Areas of interest are determined using a first CNN. The image data is segmented into image tiles, and tiles showing the areas of interest are analyzed using a second CNN to assign a histologic category to the slide. The second CNN also utilizes site specific data relating to the biopsy location. Layered image data from multiple focal planes can be acquired of the slide and used as input to the second CNN. Categorized tiles are sorted and presented to a remote computing system for cytopathology determinations, aided by the results of applying the second CNN. Semantic segmentation can also be developed, both as input to the second CNN and as data presented to the remote computer system.

Rapid on-site evaluation using artificial intelligence for lung cytopathology

A medical device and its method of use includes a catheter, at least two electromagnetic sensing coils located within the distal tip of the catheter, and a multi-element planar ultrasound transducer array located within the distal tip of the catheter and configured to transmit and receive ultrasonic energy. The device also includes an imaging system coupled to the ultrasound transducer and is used for creating an image of tissue in a first target plane that extends orthogonally from the catheter body. The medical device also includes a backscatter evaluation system for use in receiving and evaluating the acoustic spectral characteristics of tissues within a second target area within the first target plane.

Endobronchial catheter system and method for rapid diagnosis of lung disease

A medical assembly and method of use includes a catheter, a medical instrument and a navigation system. A localization element is attached to a handle of the catheter. A localization element is attached to a handle of the medical instrument. The localization elements are detectable by the navigation system. The medical instrument includes a needle, when the needle is positioned entirely within a working channel of the catheter, a tip of the needle is in an unextended position and the location elements are in a zeroed out position. When the needle tip extends out of the working channel to an extended position, the location elements are in an extension position. In the extension position the distance between the location elements is less than in the zeroed out position. The difference between the zeroed out position and the extension position is displayed on a display as a needle stroke value.

Method of employing a medical apparatus with translatable imaging device for real-time confirmation of interception of target tissue

A medical instrument assembly including a handle assembly having a first handle portion and a second handle portion proximate the second end, wherein the second handle portion is slidably engaged with the first handle portion. A first localization element is attached to the first handle portion and a second localization element is attached to the second handle portion. A medical instrument is mechanically coupled to the second handle portion and a translation of the second handle portion with respect to the first handle portion causes a coincident and coextensive translation of the medical instrument. The amount of translation of the medical instrument is adapted to be determined by calculating the distance between the first localization element and the second localization element. The first and second localization elements may be electromagnetic sensors which positions may be determined by a navigation system.

Adjustable length medical instrument assembly with localization elements for tracking medical instrument extension

A surgical instrument navigation system and method of use is provided that visually simulates a virtual volumetric scene of a body cavity of a patient from a point of view of a surgical instrument residing in the cavity of the patient, wherein the surgical instrument, as provided, may be a steerable surgical catheter with a biopsy device and/or a surgical catheter with a side-exiting medical instrument, among others. Additionally, systems, methods and devices are provided for forming a respiratory-gated point cloud of a patient's respiratory system and for placing a localization element in an organ of a patient.

Systems, methods and devices for forming respiratory-gated point cloud for four dimensional soft tissue navigation

A tunable implant, system, and method enables a tunable implant to be adjusted within a patient. The tunable implant includes a securing mechanism to secure the implant in the patient, a actuation portion that enables the implant to move and an adjustment portion that permits adjustment of the implant after the implant has been positioned within the patient. The method of adjusting the tunable implant includes analyzing the operation of the implant, determining if any adjustments are necessary and adjusting the implant to improve implant performance. The implant system includes both the tunable implant and a telemetric system that is operable to telemetrically receive data from the tunable implant where the data is used to determine if adjustment of the tunable implant is necessary. The system also includes an instrument assembly that is used for performing spinal surgery where the instrument assembly includes a mounting platform and a jig.

Method and apparatus for post-operative tuning of a spinal implant

A local extension method for segmentation of anatomical treelike structures includes receiving an initial segmentation of 3D image data including an initial treelike structure. A target point in the 3D image data is defined, and a region of interest based on the target point is extracted to create a sub-image. Highly tubular voxels are detected in the sub-image, and a spillage-constrained region growing is performed using the highly tubular voxels as seed points. Connected components are extracted from the results of the region growing. The extracted components are pruned to discard components not likely to be connected to the initial treelike structure, keeping only candidate components likely to be a valid sub-tree of the initial treelike structure. The candidate components are connected to the initial treelike structure, thereby extending the initial segmentation in the region of interest.

Apparatuses and methods for navigation in and local segmentation extension of anatomical treelike structures

A surgical instrument navigation system is provided that visually simulates a virtual volumetric scene of a body cavity of a patient from a point of view of a surgical instrument residing in the cavity of the patient. The surgical instrument navigation system includes: a surgical instrument; an imaging device which is operable to capture scan data representative of an internal region of interest within a given patient; a tracking subsystem that employs electro-magnetic sensing to capture in real-time position data indicative of the position of the surgical instrument; a data processor which is operable to render a volumetric, perspective image of the internal region of interest from a point of view of the surgical instrument; and a display which is operable to display the volumetric perspective image of the patient.

Apparatus and method for four dimensional soft tissue navigation in endoscopic applications

A method of registering a real-time image feed from an imaging device inserted into a steerable catheter using a navigation system is provided. The method includes inserting the imaging device into a working channel of the steerable catheter and generating a real-time image feed of one or more reference points, wherein the orientation of the reference points is known. The method further includes orienting a handle of the steerable catheter to a neutral position, displaying the real-time image feed on a display of the navigation system, and registering the real-time image feed to the steerable catheter by rotating the displayed image so that the reference points in the real-time image feed are matched to the known orientation of the reference points.

Apparatuses and methods for registering a real-time image feed from an imaging device to a steerable catheter

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Broomfield, CO, United States of America

Mark W Hunter