Abstract: The invention relates to a system (8) for assisting a user in placing a penetrating device in tissue like a pedicle screw (7) in a vertebra’s pedicle. The system generates a virtual view (20) from a penetrating device tip perspective within the tissue in the direction of a path (21) through a model of the tissue. The virtual view is generated based on tracking information indicating a pose of the penetrating device, the model and the path, wherein the virtual view is configured such that it indicates a direction in which the user should move the penetrating device while placing it in the tissue. For instance, it can show a virtual tunnel (801) which is arranged along the path. If a user like a surgeon is provided with such a virtual view, the user can position the penetrating device along the path with a significantly increased accuracy.

Abstract: The present invention relates to a device for determining information relating to a suspected occluding structure. It is described to provide (210) a spectral resolving unit with at least one broadband radiation. The at least one broadband radiation comprises a first broadband radiation acquired from a region of interest within a vascular structure. An occluding structure is suspected to be located within the region of interest and wherein the first broadband radiation is associated with the suspected occluding structure. At least one spectrally resolved data set is determined (220) on the basis of the at least one broadband radiation, wherein the at least one spectrally resolved data set comprises a first spectrally resolved data set determined on the basis of the first broadband radiation. A processing unit is provided (230) with the at least one spectrally resolved data set on the basis of the at least one broadband radiation.

Abstract: A tissue sensing device for use with an electrosurgical knife is proposed which comprises a proximal end portion, a distal end portion and a grip portion there between. The proximal end portion is configured for attachment to a housing of the electrosurgical knife. The distal end portion is configured for movably supporting a blade of the knife. A distal end of an optical fiber is arranged at the distal end portion of the device and a proximal end of the optical fiber is connectable to an optical console, so that optical measurements can be performed at the distal end portion.

Abstract: An orthopedic pin is for optically analyzing a bone region. An optical fiber arrangement extends within an elongate shaft from a distal end to a proximal end. There is a coupling at an intermediate position along the shaft, and the optical fiber arrangement comprises a first portion on one side of the coupling and a second portion on the other side of the coupling. The coupling allows relative rotation between portions of the shaft at opposite sides of the coupling, while maintaining optical coupling between the first and second portions of the optical fiber.

Abstract: The present invention relates to a device for determining information relating to a suspected occluding structure. It is described to provide (210) a spectral resolving unit with at least one broadband radiation. The at least one broadband radiation comprises a first broadband radiation acquired from a region of interest within a vascular structure. An occluding structure is suspected to be located within the region of interest and wherein the first broadband radiation is associated with the suspected occluding structure. At least one spectrally resolved data set is determined (220) on the basis of the at least one broadband radiation, wherein the at least one spectrally resolved data set comprises a first spectrally resolved data set determined on the basis of the first broadband radiation. A processing unit is provided (230) with the at least one spectrally resolved data set on the basis of the at least one broadband radiation.

Abstract: A tissue sensing device for use with an electrosurgical knife is proposed which comprises a proximal end portion, a distal end portion and a grip portion there between. The proximal end portion is configured for attachment to a housing of the electrosurgical knife. The distal end portion is configured for movably supporting a blade of the knife. A distal end of an optical fiber is arranged at the distal end portion of the device and a proximal end of the optical fiber is connectable to an optical console, so that optical measurements can be performed at the distal end portion.

Abstract: A system may generally comprise a tracking device, an ultrasound device and a processing unit. A position and orientation of the ultrasound device may be traceable by the tracking device. The processing unit may be configured (i) to receive 3D information of a region of interest in relation to a marker, with both the region of interest and the marker being located within a body, (ii) to determine the position of the marker relative to the ultrasound device based on an ultrasound image of the body including the marker, and (iii) to determine the position and orientation of the ultrasound device relative to the tracking device. The system may further comprise a visualization device and the processing unit may further be configured to generate a visualization of the region of interest in relation to an outer surface of the body.

Abstract: A system is suggested comprising an optical sensing means and a processing unit. The optical sensing means may include an optical guide with a distal end, wherein the optical guide may be configured to be arranged in a device to be inserted into tissue in a region of interest. The processing unit may be configured to receive information of a region of interest including different tissue types as well as of a path through the tissues, to determine a sequence of tissue types along the path, to determine a tissue type at the distal end of the optical guide based on information received from the optical sensing means, to compare the determined tissue type with the tissue types on the path, to determine possible positions of the distal end of the optical guide on the path based on the comparison of tissue types, and to generate a signal indicative for the possible positions.

Abstract: A system is suggested comprising an optical sensing means and a processing unit. The optical sensing means may include an optical guide with a distal end, wherein the optical guide may be configured to be arranged in a device to be inserted into tissue in a region of interest. The processing unit may be configured to receive information of a region of interest including different tissue types as well as of a path through the tissues, to determine a sequence of tissue types along the path, to determine a tissue type at the distal end of the optical guide based on information received from the optical sensing means, to compare the determined tissue type with the tissue types on the path, to determine possible positions of the distal end of the optical guide on the path based on the comparison of tissue types, and to generate a signal indicative for the possible positions.

Abstract: An orthopedic pin (100) for optically analyzing a bone region (110) includes an elongate shaft (101) and at least one optical fiber (105) The elongate shaft has a circular outer cross section with a first diameter (D1), a distal end (102) for insertion into bone, a proximal end (103), and an optical connector portion (104) disposed towards the proximal end (103). The at least one optical fiber (105) extends within the elongate shaft (101) between the optical connector portion (104), and the distal end (102) for transmitting optical radiation between the optical connector portion (104) and the bone region (110) when the distal end (102) is inserted into the bone region (110). The optical connector portion (104) comprises a reduced-diameter portion (106). The reduced-diameter portion (106) extends along at least a portion of the elongate shaft (101), and has an outer cross section comprising a width (Drd) perpendicularly with respect to the elongate shaft (101).

Abstract: A system for providing integrated guidance for positioning a biopsy device and estimating tumor size in a body has two levels of guidance: a coarse guidance and a fine guidance. The system includes a non-invasive imaging system for obtaining an image of the biopsy device in the body, for providing the coarse guidance. Furthermore, the system includes an optical element mounted on the needle for obtaining optical information discriminating tissue in the body, for providing the fine guidance.

Abstract: A biopsy device is provided comprising a tubular member, a hollow shaft and an elongated fiber body. The hollow shaft may have a distal end and a shaft, wherein a laterally (sidewardly) facing notch is formed in the distal portion of the shaft. The elongated fiber body may include at least one optical fiber, preferably at least two optical fibers, with a distal end. The tubular member is movable relative to the shaft, between a first position in which the notch is covered by the tubular member, and a second position in which the notch is not covered by the tubular member. The fiber body is movable within the shaft, between a first position in which the distal end of the optical fiber is located at the distal end of the shaft with the elongated fiber body extending through the notch, and a second position in which the distal end of the at least one optical fiber is located proximally to the notch.

Abstract: The application relates to the problem of navigating a surgical instrument (at 301, 311) towards a region-of-interest (at 312) in endoscopic surgery when an image (300) provided by the endoscope is obscured at least partly by obscuring matter (at 303), wherein the obscuring matter is a leaking body fluid, debris or smoke caused by ablation. To address this problem, a computer-implemented method is proposed, wherein, upon detecting that the image from the endoscope is at least partly obscured, a second image is determined based on a sequence of historic images and based on the current position and orientation of the endoscope. Furthermore, a virtual image (310) is generated based on the determined second image.

Abstract: In a computer implemented method of determining a boundary of a tumor region or other diseased tissue, hyper- or multispectral image data of a tissue sample including a tumor region or other diseased tissue is taken. The analysis includes a morphological analysis and a spectral analysis of the hyper- or multispectral image data resulting in a morphological tumor boundary and a spectral tumor boundary or a morphological diseased tissue boundary and a spectral diseased tissue boundary. These two boundaries are combined resulting in a combined tumor boundary or combined diseased tissue boundary, wherein an indication of reliability of the combined tumor boundary or combined diseased tissue boundary is given.

Abstract: The invention relates to an active marker device (100) for being introduced into a human tissue and for tracking a region of interest of a human body. The active marker device comprises a light source (101) for emitting light such that the emitted light can be detected by an optical sensor. In this way, the active marker device and/or the region of interest can be tracked by a tracking system comprising the optical sensor. The active marker device (100) further comprises a switch (102) for turning the light source on and off and for operating the light source in a pulsed mode.

Abstract: A lens system comprises a first lens group and a second lens group, and is configured to form an image at a first magnification and at a second magnification. The lens system has a common optical axis in both magnifications. The lens system is further configured to form an intermediate image between the first lens group and the second lens group at the first magnification. The intermediate image formed in the first magnification is further imaged onto an optical detector. In the first magnification, the second lens group acts as a relay lens imaging the intermediate image onto the optical detector. In the second magnification, the first and second lens groups together form an image on the optical detector without forming an intermediate image.

Abstract: A system for detection of optically anisotropic tissue is provided. The system comprises an optical source, an optical detector, a processing unit and a probe. The probe has a shaft with a longitudinal axis and a front end, and a plurality of optical fibers; wherein an end of each of the optical fibers is arranged at the front end of the shaft, and at least one of the optical fibers is a source optical fiber adapted to transmit optical radiation emitted from the optical source to a tissue adjacent to the front end of the shaft. Another one of the optical fibers is a detector optical fiber adapted to transmit optical radiation reflected from the tissue to the optical detector, so that an optical path through the tissue is defined, wherein the optical paths differ from each other with respect to their spatial orientation, and wherein the optical paths cross each other.

Abstract: The invention relates to a biopsy container, a biopsy device, an imaging system, and a method for processing images of a biopsy container. The biopsy container comprises a container orientation mark and an alignment mark. The container orientation mark is configured for a cooperation with a corresponding shaft orientation mark arranged on a tube shaft of a biopsy device to indicate a specific orientation of the biopsy container relative to the tube shaft. The alignment mark is configured for a registration of images of the biopsy container.

Abstract: A medical imaging system for identifying a target structure (TS), e.g. a tumor, in a biological tissue. A hyperspectral camera system is used for imaging a surface area (A1) of the tissue (BT), e.g. with a limited spectral resolution, but enough to allow identification of suspicious areas where the target structure (TS) may be, e.g. such areas can be visually indicated on a display to the operator. A probe (PR), e.g. an optical surface probe, is used to provide probe measurement of a smaller surface area (A2) of the tissue, but with more information indicative of the target structure. The probe is selected to provide a higher specificity with respect to identification of the target structure than the hyperspectral camera (HSC). The hyperspectral processing algorithm (PP) is then calibrated based on probe measurement data performed within the suspicious areas, thus providing a calibrated hyperspectral processing algorithm resulting in images with an enhanced sensitivity to identify the target structure.

Abstract: An optical apparatus (200) includes an outer jacket (230), common cladding (220), and multiple single mode fiber cores (210). The common cladding (220) is within the outer jacket (230) and is used as multimode fiber such that the outer jacket (230) clads the common cladding (220). The single mode fiber cores (210) are within the common cladding (220) such that the common cladding (220) clads the plurality of single mode fiber cores (210).