Abstract: A method of calibrating a registration of an augmented reality device 2 comprised in a surgical navigation system 100 is provided. The method comprises obtaining a first transformation 38 between a coordinate system 40 of the augmented reality device 2 and a reference coordinate system 42 of the surgical navigation system 100, a second transformation 44 between a coordinate system of a reference object 24 and the reference coordinate system 42 and obtaining geometrical properties of the reference object 24. The method further comprises determining a visual representation 34 of the reference object 24 to be displayed by the augmented reality device 2 and obtaining at least one first viewing direction 56 of a user using the augmented reality device 2, the at least one first viewing direction 56 being associated with the reference coordinate system 42.

Abstract: The present invention relates to an electromagnetic navigation system for microscopic surgery and a method of microscopic surgery using said system. The present disclosure provides an electromagnetic navigation system for microscopic surgery, comprising at least a microscope and an electromagnetic measurement system comprising a field generator, wherein the field generator is adjustably connected to the microscope, and an additional disturbance correction module for compensating disturbances of the electromagnetic measurement system caused by the microscope. The electromagnetic measurement system may further comprise a sensor element configured to configured to detect a state of said adjustment element and to deduce a current orientation of said field generator relative to said microscope.

Abstract: A tracker 30 for a Head-Mounted Display, HMD, unit is provided. The tracker 30 comprises a carrier element 10 carrying one or more markers 16a, 16b that are configured to permit determining a position of the tracker 30. The carrier element 10 comprises at least one magnetic element 32 configured to cooperate with at least one magnetic element 22 provided on the HMD unit 62, or on a base element 20 that is to be fixed to the HMD unit 62, for detachably attaching the carrier element 10 to the HMD unit 62.

Abstract: A method of calibrating a registration of an augmented reality device 2 comprised in a surgical navigation system 100 is provided. The method comprises obtaining a first transformation 38 between a coordinate system 40 of the augmented reality device 2 and a reference coordinate system 42 of the surgical navigation system 100, a second transformation 44 between a coordinate system of a reference object 24 and the reference coordinate system 42 and obtaining geometrical properties of the reference object 24. The method further comprises determining a visual representation 34 of the reference object 24 to be displayed by the augmented reality device 2 and obtaining at least one first viewing direction 56 of a user using the augmented reality device 2, the at least one first viewing direction 56 being associated with the reference coordinate system 42.

Abstract: A tracker for a surgical navigation system is provided. The tracker includes one or more markers for determining a position of the tracker and an attachment element configured to releasably attach the tracker to a surgical tool. The attachment element includes an opening for receiving the surgical tool, wherein the opening defines a longitudinal axis. The one or more markers are coupled to the attachment element so as to be symmetrically arranged with respect to the longitudinal axis.

Abstract: A method and a device for displaying an object, in particular biological tissue. The method has the following steps: a) generating a first image of at least one sub-region of the object using a first device; b) generating a second image of at least one sub-region of the object using a second device; c) ascertaining first coordinates of at least some image points of the second image in a first coordinate system; d) ascertaining second coordinates of the image points of the second image by projecting the first coordinates in a second coordinate system which is different from the first coordinate system and which is assigned to the first device; and e) generating a combined image of the object from the first and the second image using the ascertained second coordinates of the image points of the second image.

Abstract: A method of guiding a surgical instrument during sinus surgery on a patient including receiving pre-operative patient data marked with a plurality of points defining a drainage pathway and determining a position of the surgical instrument relative to the planned drainage pathway. The method may further comprise generating an augmented reality image including a first visualization element representing the drainage pathway and a second visualization element comprising a plurality of circles spaced along the planned drainage pathway, and displaying the augmented reality image to help guide the surgical instrument. The method may also comprise generating an augmented reality image including a first visualization element representing the drainage pathway and a second visualization element representing the determined position of the surgical instrument relative to the drainage pathway.

Abstract: The present disclosure relates to a surgical navigation system for the alignment of a surgical instrument and methods for its use, wherein the surgical navigation system may comprise a head-mounted display comprising a lens. The surgical navigation system may further comprise tracking unit, herein the tracking unit may be configured to track a patient tracker and/or a surgical instrument. Patient data may be registered to the patient tracker. The surgical instrument may define an instrument axis. The surgical navigation system may be configured to plan one or more trajectories based on the patient data. The head-mounted display may be configured to display augmented reality visualization, including an augmented reality position alignment visualization and/or an augmented reality angular alignment visualization related to the surgical instrument on the lens of the head-mounted display.

Abstract: A method for generating an augmented reality image for supporting the adjustment of the position of a surgical instrument during sinus surgery comprising the steps of: selecting at least one of sinus cells, cavities and orifices of the sinus in a pre-operative image by marking them with at least one geometric primitive or tube shaped object; using real-time intra-operative imaging for displaying the operating field; determining the relative positions at least between the real-time imaging of the patient and the pre-operative image data; computing a virtual image corresponding to a real-time image comprising at least one marked geometric primitive or tube shaped object based on the determined relative positions; combining the virtual image and the real-time intraoperative image for visualization in an augmented reality image.

Abstract: An adapter for receiving a medical technical device and a position detecting system, wherein the adapter may comprise a first holding element, a second holding element, a spring exerting a restoring force on the second holding element, and a fixing element for fixing the position detecting system. The second holding element may be supported by the first holding element such that it can move and can be moved in a direction counter to the restoring force of the spring placing the adapter in a receiving state allowing the medical technical device to be inserted into the adapter. In the absence of the force acting counter to the restoring force of the spring, the spring may move the second holding element in the direction of the restoring force, placing the adapter in a clamping state and securing the adapter to the medical technical device.

Abstract: The present invention relates to a method for the segmentation and visualization of cell envelopes. A method is provided for the segmentation and visualization of cavities or orifices of the human body, comprising the steps of manual pre-segmentation of cells by defining enclosing geometric primitives in a 3D patient image for generating initial cell envelopes; analysing the cell anatomy within pre-segmented geometric primitives; using the result of the analysis for adjustment of the cell envelope and visualising the cell envelopes.

Abstract: The invention related to a method and a device for displaying an object, in particular biological tissue. Said method having the following steps: a) generating a first image of at least one sub-region of the object using a first device; b) generating a second image of at least one sub-region of the object using a second device; c) ascertaining first coordinates of at least some image points of the second image in a first coordinate system; d) ascertaining second coordinates of the image points of the second image by projecting the first coordinates in a second coordinate system which is different from the first coordinate system and which is assigned to the first device; and e) generating a combined image of the object from the first and the second image using the ascertained second coordinates of the image points of the second image.

Abstract: A method for calibrating a distance determining device for determining a distance between an optical system and an object. The method includes providing a detecting system having marking elements and a measuring camera. Using the distance determining device, a light structure is projected onto a carrier that provides a calibration pattern. The measuring camera detects the marking elements or the calibration pattern to determine the spatial position of the optical system. Coordinates of a calibration pattern in a coordinate system associated with the measuring camera are determined. An image of the calibration pattern and the light structure is created using a camera of the optical system. Coordinates of an image of a calibration pattern and the light structure in a coordinate system associated with the camera image plane are determined. The distance determining device is calibrated using the determined coordinates and the determined spatial position of the optical system.

Abstract: The invention related to a method and a device for displaying an object, in particular biological tissue. Said method having the following steps: a) generating a first image of at least one sub-region of the object using a first device; b) generating a second image of at least one sub-region of the object using a second device; c) ascertaining first coordinates of at least some image points of the second image in a first coordinate system; d) ascertaining second coordinates of the image points of the second image by projecting the first coordinates in a second coordinate system which is different from the first coordinate system and which is assigned to the first device; and e) generating a combined image of the object from the first and the second image using the ascertained second coordinates of the image points of the second image.

Abstract: A method and device for calibrating a distance determining device for determining a distance between an optical system and an object. The method includes providing a detecting system having marking elements and a measuring camera. Using the distance determining device, a light structure is projected onto a carrier that provides a calibration pattern. The measuring camera detects the marking elements or the calibration pattern to determine the spatial position of the optical system. Coordinates of a calibration pattern in a coordinate system associated with the measuring camera are determined. An image of the calibration pattern and the light structure is created using a camera of the optical system. Coordinates of an image of a calibration pattern and the light structure in a coordinate system associated with the camera image plane are determined. The distance determining device is calibrated using the determined coordinates and the determined spatial position of the optical system.