Abstract: A combination of a haptic device and a computer-assisted medical system is used for interactive haptic positioning of a medical device coupled to the haptic device. A reconfigurable haptic object facilitates the positioning of the medical device and/or the haptic device. The haptic object may be modified in response to application of a force against the haptic object by a user of the haptic device pushing the haptic device against the haptic object. Preferably, the haptic object moves in the direction of the force applied by the haptic device. The medical device may be guided to a desired pose relative to a target area from its current position. The user may approach the target area from its current position and still be provided with haptic cues to enable the user to guide the medical device to the target area.

Abstract: Two fluoroscopic images taken from two different angles of the same anatomical feature are registered to a common three-dimensional coordinate system. A dimension of the anatomical feature is determined by specifying with reference to the two registered fluoroscopic images two constrained points within the three-dimensional coordinate system that correspond to the boundaries of the anatomical feature, and calculating a straight-line distance between the two. Additionally, a three-dimensional virtual model of an implant is projected into each of two, registered fluoroscopic image, and a surgeon manipulates the projections to adjust the size and shape of the virtual model, and thereby determine parameters for the implant.

Abstract: Two fluoroscopic images taken from two different angles of the same anatomical feature are registered to a common three-dimensional coordinate system. A dimension of the anatomical feature is determined by specifying with reference to the two registered fluoroscopic images two constrained points within the three-dimensional coordinate system that correspond to the boundaries of the anatomical feature, and calculating a straight-line distance between the two. Additionally, a three-dimensional virtual model of an implant is projected into each of two, registered fluoroscopic image, and a surgeon manipulates the projections to adjust the size and shape of the virtual model, and thereby determine parameters for the implant.

Abstract: A software-integrated disposable kit contains a series of sterile packages which hold instrumented surgical tools, surgical accessories, user input computer controlling peripherals (e.g. mouse, keyboard), markers, and a one time use digital medium. When image guided surgery is to be performed, the digital medium is inserted into the computer and the user interface is displayed. The digital medium stores a portion of the software which, in combination with software on the computer, provides all of the software necessary for full user functionality (e.g. display diagnostic image information, tracking surgical instruments, superimposition of surgical tools). At the end of a surgical procedure, the digital medium is deactivated or encrypted and the used surgical tools are then disposed of without reuse. The system allows the user to save relevant information obtained from the surgery (e.g. images, notes) on the digital medium which is encrypted against reuse and archived.

Abstract: In accordance with an embodiment of the present invention, an image guided interventional system enables registration of a patient, preferably automatically and without an explicit patient registration step, to newly acquired images as the patient is moved out of the imager. Only one set of images has to be taken. The position of the needle or other instrument is tracked using a tracking system and its position continually displayed and updated with respect to the images. Therefore, there is no need to take additional images for purposes of tracking progress of an instrument being inserted into a patient. Avoiding additional scans saves time and reduces exposure of the patient to radiation.

Abstract: A tool for use with a surgical navigation system includes a plurality of LEDs mounted to the distal end of the tool. The LED's provide an indication of the direction in which the tool must be moved to reach a desired position. Four LED's mounted along perpendicular axes are provided. Modes for indicating the desired location, orientation, rotation, and depth are provided. A mode indicator may also be provided. The tool is designed for use with a surgical navigation system which includes an infrared localizer and computer system. The indicators assist the surgeon in positioning the surgical tool in relation to the patient. Indicators other than LEDs may be used; the indicators may also be mounted in alternate locations in the operating room environment.

Abstract: In accordance with an embodiment of the present invention, a method for haptic sculpting of a physical object using a haptic device comprises defining a haptic object for aiding in the sculpting of the physical object, dynamically modifying a configuration of the haptic object in response to a medical device coupled to the haptic device being in proximity to the haptic object, and providing haptic cues to guide a user of the medical device in sculpting at least a portion of the physical object corresponding to the haptic object.

Abstract: In accordance with an embodiment of the present invention, attractive haptic objects are associated with a target region for performing a medical procedure and repulsive haptic objects are associated with anatomical features to be avoided during the medical procedure. A surgeon may perform surgical planning by moving the haptic device around. The surgeon moves the haptic device until a pose is found where haptic cues from the attractive haptic objects are active indicating that a medical device if attached to the haptic device would reach the target region, and haptic cues from the repulsive haptic objects are inactive indicating that the medical device would not penetrate any of the anatomical features to be avoided. During the planning process a virtual tool may be displayed on a display device to indicate the position and/or movement of the medical device if the medical device had been coupled to the haptic device.

Abstract: A registration artifact (10) for use in registering two or more fluoroscopic images includes a plurality of radio opaque spheres (12, 14, 16) and a plurality of trackable markers, such as optical reflectors (20, 22, 24 and 26), mounted to a radio transparent body (11). A tracking system locates the position of registrable artifact using the trackable markers for registering the fluoroscopic images with respect to a known frame of reference.

Abstract: A standard medical or surgical tool's axis is located by attaching to the tool a plurality of a location indicating elements or markers having a known geometric or spatial relationship, and placing the tool in a tool calibrator that supports the tool in a manner that allows tools of different diameters to be rotated while maintaining the tool's axis in a fixed or stable orientation. As the tool is rotated, a marker locating system tracks the positions of the markers on the tool and then extrapolates or determines the axis of rotation with respect to the markers clamped to the tool. The tool calibrator has a second set of position indicating elements or markers with fixed geometric or spatial relationship with one another and with respect to a stop, against which the end or tip of the tool is placed.

Abstract: It is often desirable to define objects with respect to images of an anatomy displayed using an image guided surgery system. For non-trivial objects, or those with complicated two or three dimensional forms, it may be difficult to present information in a manner that is simple for a user to understand. The local distance to a surface of interest, such as the surface of the defined object, or to a desired position, the local penetration distance of the surface of interest, or haptic repulsion force, often provides the most useful information for augmenting the interaction of the user with the image guided surgery system. The scalar value of the local distance may be conveyed to the user by visual, audio, tactile, haptic, or other means.

Abstract: A method of mapping a chosen point in real space to its corresponding location in image space includes obtaining a diagnostic medical image of a subject including multiple rigid objects, and individually computing separate transforms which register each of the rigid objects in real space with their corresponding locations in image space. After choosing a target point in real space, the target point is mapped to image space using a designated transform. A number of the rigid objects are selected which are closest to the target point in image space, and an interpolated transform is generated from the separate transforms which correspond to the selected rigid objects. The target point is re-mapped in image space using the interpolated transform, and the interpolated transform is set as the designated transform for subsequent mappings.

Abstract: A standard medical or surgical tool's axis is located by attaching to the tool a plurality of a location indicating elements or markers having a known geometric relationship, and placing the tool in a tool calibrator that supports the tool in a manner that allows tools of different diameters to be rotated while maintaining the tool's axis in a fixed or stable orientation. As the tool is rotated, a marker locating system tracks the positions of the markers on the tool and then extrapolates or determines the axis of rotation with respect to the markers clamped to the tool. The tool calibrator has a second set of position indicating elements or markers with fixed geometric or spatial relationship with one another and with respect to a stop, against which the end or tip of the tool is placed.

Abstract: A detector unit (20) for an image guided surgery system (10) is provided. It includes an adjustable stand (22) having a plurality of receivers (24) mounted thereto such that the detector unit (20) has a predefined finite field of view (80) in which it detects radiant energy. It further includes at least one light source (90) mounted to the adjustable stand (22) in fixed relation to the receivers (24). The at least one light source (90) projects visible light in a predetermined pattern to mark a location of the field of view (80).