7d Surgical Ulc

7d Surgical Inc.

Michael K K Leung

Beau Anthony Standish

Victor X D Yang

Adrian Mariampillai

Peter Siegler

Kenneth Kuei-Ching Lee

Systems and methods are provided in which an intraoperative video feed is augmented with one or more virtual display features based on a detected orientation and position of the tracked medical instrument. In some example embodiments, the virtual display features may be employed to represent, in an augmented video feed, information associated with a previously-detected intraoperative position and orientation of the tracked medical instrument. The virtual display element may be employed, for example, to facilitate the alignment of an untracked medical instrument with a previously determined intraoperative position and orientation of the tracked medical instrument. In other example embodiments, the virtual display element may be dynamically displayed in a fixed spatial relationship relative to the tracked medical instrument.

Systems and methods for performing intraoperative guidance

Systems and methods are disclosed whereby a surface detection system is employed to obtain intraoperative surface data characterizing an exposed surface of the spine. In some embodiments, this intraoperative surface data is registered to segmented surface data obtained from volumetric data of the spine in order to assess the intraoperative orientation of the spine and provide feedback associated with the intraoperative orientation of the spine. The feedback may characterize the intraoperative spinal orientation as a change relative to the preoperative orientation.

Systems and methods for determining intraoperative spinal orientation

Various example embodiments of the present disclosure provide systems and methods for performing image-guided navigation during medical procedures using intraoperative surface detection. A surface detection device is employed to obtain intraoperative surface data characterizing multiple surface regions of a subject. Pre-operative volumetric image data is registered to each surface region, providing per-surface-region registration transforms. In some example embodiments, navigation images may be generated intraoperatively based on the dynamic selection of a suitable registration transform. For example, a registration transform for generating navigation images may be dynamically determined based on the proximity of a tracked surgical tool relative to the surface regions. In an alternative example embodiment, multiple navigation images may be displayed, wherein each navigation image is generated using a different registration transform.

Systems and methods for performing intraoperative surface-based registration and navigation

Systems and methods are provided in which intraoperatively acquired surface data is employed to verify the correspondence of an intraoperatively selected spinal level with a spinal level that is pre-selected based on volumetric image data. Segmented surface data corresponding to the pre-selected spinal levels may be obtained from the volumetric image data, such that the segmented surface data corresponds to a spinal segment that is expected to be exposed and identified intraoperatively during the surgical procedure. The segmented surface data from the pre-selected spinal level, and adjacent segmented surface data from an adjacent spinal level that is adjacent to the pre-selected spinal level, is registered to the intraoperative surface data, and quality measures associated with the registration are obtained, thereby permitting an assessment or a determination of whether or not the pre-selected spinal surface (in the volumetric frame or reference) is likely to correspond to the intraoperatively selected spinal level.

Systems and methods for intraoperative spinal level verification

Systems and methods are provided for use in image-guided surgical procedures, in which intraoperatively acquired surface data is employed to verify the correspondence between intraoperatively selected fiducial points and volumetric fiducial points, where the volumetric fiducial points are selected based on volumetric image data. Segmented surface data obtained from the volumetric image data is registered to the intraoperative surface data using the intraoperative and volumetric fiducial points for initial surface alignment, and this process is repeated for other permutations of the correspondence between the intraoperatively fiducial points and the volumetric fiducial points. Quality measures may be determined that relate to the registration quality for each fiducial correspondence permutation, where the quality measures may be employed to assess of the likelihood that the initially prescribed fiducial correspondence is correct. A graphical representation may be generated for visually displaying the alignment of the registered surfaces for the different fiducial correspondence permutations.

Systems and methods for verification of fiducial correspondence during image-guided surgical procedures

Systems and methods are provided in which intraoperatively acquired surface data is employed to verify the correspondence of an intraoperatively selected spinal level with a spinal level that is pre-selected based on volumetric image data. Segmented surface data corresponding to the pre-selected spinal levels may be obtained from the volumetric image data, such that the segmented surface data corresponds to a spinal segment that is expected to be exposed and identified intraoperatively during the surgical procedure. The segmented surface data from the pre-selected spinal level, and adjacent segmented surface data from an adjacent spinal level that is adjacent to the pre-selected spinal level, is registered to the intraoperative surface data, and quality measures associated with the registration are obtained, thereby permitting an assessment or a determination of whether or not the pre-selected spinal surface (in the volumetric frame of reference) is likely to correspond to the intraoperatively selected spinal level.

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Markham, Canada

Michael K K Leung