Abstract: Systems, and methods are provided for computer based method for determining a source of a registration error in a surgical navigation system, by registering at least two patient reference markers in a common coordinate space, positioning at least one reference marker in a known position with respect to at least one of two patient reference markers. A relative position of the at least two patient reference markers with respect to each other in the common coordinate space is monitored, as well as a position of said at least one reference marker with respect to a first of the at least two patient reference markers.

Abstract: Systems and methods are provided for transforming a displayed three-dimensional image corresponding to a position and orientation of a field of view of an imaging probe. A three dimensional image of a tissue in a first co-ordinate space can be displayed. A field of view of an imaging probe in a second co-ordinate space can be configured, where the imaging probe has a plurality of transmitters removably connected to it, the transmitters operable to determine the position and orientation of the field of view relative to the positions of the transmitters in the second co-ordinate space. The first and second co-ordinate spaces can be co-registered, and the position and orientation of the field of view in the second co-ordinate space can be transformed to the first co-ordinate space. The three-dimensional image can be displayed to correspond to the transformed position and orientation of the field of view.

Abstract: A method and computing device for displaying surgical path data are provided. The computing device includes an input device, a display, a memory and a processor. The memory stores (i) an image of a volume of patient tissue having an outer surface, and (ii) anatomical data defining anatomical features of the volume. The processor receives an identifier of a target location within the volume; generates a plurality of paths from the outer surface to the target location, each path having a start point located on the outer surface, and an end point at the target location; for each of the plurality of paths, determines a score based on a comparison between the path and the anatomical data; and controls the display to present the outer surface and, at the locations of the start points, indications of the respective scores of the paths corresponding to the start points.

Abstract: A patient reference device is provided for use during a medical procedure. The patient reference device includes a housing having a back side and a front side, at least three tracking markers attached to the front side of the housing, the housing extending around the at least three tracking markers and beyond a horizontal plane defined by tops of the at least three tracking markers, the housing terminating at a substantially continuous edge, and a sterile cover attached to the substantially continuous edge of the housing for covering the housing and the tracking markers.

Abstract: Systems, methods and devices are provided for intraoperatively confirming location of tissue structures during medical procedures. Preoperative image data of a patient's skeletal structure in a vicinity of an anatomical part undergoing a medical procedure is acquired. During the procedure, after exposing tissue intraoperative image data is acquired by scanning a selected region of tissue, in a vicinity of the skeletal structure using Polarization Sensitive-Optical Coherence Tomography (PS-OCT). Regions of tissue exhibiting structural organization in the vicinity of the skeletal structure are identified from the intraoperative (PS-OCT) image data. Geometrically correlating and registering the intraoperative (PS-OCT) image data with the preoperative image data of the skeletal structure in the vicinity of the anatomical part is then performed using a priori known anatomical information about the regions of tissue exhibiting structural information.

Abstract: A method and computing device for displaying surgical path data are provided. The computing device includes an input device, a display, a memory and a processor. The memory stores (i) an image of a volume of patient tissue having an outer surface, and (ii) anatomical data defining anatomical features of the volume. The processor receives an identifier of a target location within the volume; generates a plurality of paths from the outer surface to the target location, each path having a start point located on the outer surface, and an end point at the target location; for each of the plurality of paths, determines a score based on a comparison between the path and the anatomical data; and controls the display to present the outer surface and, at the locations of the start points, indications of the respective scores of the paths corresponding to the start points.

Abstract: System and methods are provided for adaptively and interoperatively configuring an automated arm used during a medical procedure. The automated arm is configured to position and orient an end effector on the automated arm a desired distance and orientation from a target. The end effector may be an external video scope and the target may be a surgical port. The positions and orientations of the end effector and the target may be continuously updated. The position of the arm may be moved to new locations responsive to user commands. The automated arm may include a multi-joint arm attached to a weighted frame. The weighted frame may include a tower and a supporting beam.

Abstract: Systems and methods are provided in which local tissue diagnostic measurements are correlated with archival local tissue diagnostic data from prior tissue analyses to supplement diagnostic measurements with tissue analysis data from prior tissue analyses having similar local tissue diagnostic data. The tissue analysis data may include information such as pathology data, outcome data, and diagnosis data. The archived local tissue diagnostic data and the tissue analysis data may be stored in a database, and employed for a wide variety of methods, involving preoperative, intraoperative, and/or postoperative phases of a medical procedure. Methods and systems are also provided for displaying, on a medical image shown in a user interface, hyperlinked reference markers associated with tissue analyses, where the reference markers are shown at locations corresponding to local tissue analyses, and where associated diagnostic data and/or tissue analysis may be viewed by selecting a given reference marker.

Abstract: Disclosed herein are planning, navigation and simulation systems and methods for minimally invasive therapy in which the planning method and system uses patient specific pre-operative images. The planning system allows for multiple paths to be developed from the pre-operative images, and scores the paths depending on desired surgical outcome of the surgery and the navigation systems allow for minimally invasive port based surgical procedures, as well as craniotomies in the particular case of brain surgery.

Abstract: A method, system and apparatus for controlling a surgical navigation system are provided. The method 1 comprises receiving image data at a processor from a tracking system; receiving, at a processor, an identifier of a surgical instrument within a field of view of the tracking system; generating, at the processor, output data based on the identifier of the surgical instrument; and transmitting the output data to at least one output device connected to the processor, for controlling the output device.

Abstract: Insertable imaging devices, and methods of use thereof in minimally invasive medical procedures, are described. In some embodiments, insertable imaging devices are described that can be introduced and removed from an access port without disturbing or risking damage to internal tissue. In some embodiments, imaging devices are integrated into an access port, thereby allowing imaging of internal tissues within the vicinity of the access port, while, for example, enabling manipulation of surgical tools in the surgical field of interest. In other embodiments, imaging devices are integrated into an imaging sleeve that is insertable into an access port.

Abstract: Systems and methods are provided in which devices that are employed during a medical procedure are adaptively configured during the medical procedure, based on input or feedback that is associated with the current state, phase or context of the medical procedure. In some example embodiments, the input is obtained via the identification of one or more medical instruments present within a region of interest, and this input may be employed to determine configuration parameters for configuring the device. In other example embodiments, the input may be based on the image-based detection of a measure associated with the phase or context of the medical procedure, and this input may be employed to adaptively control the device based on the inferred context or phase of the medical procedure. In other embodiments, images from one imaging modality may be employed to adaptively switch to another imaging modality.

Abstract: An apparatus is provided having a proximal end, a distal end, and an outer surface. The apparatus comprises a handle portion located near the proximal end of the apparatus, a supporting arm attached to the proximal end of the apparatus, the supporting arm having a tracking marker, a flexible tip portion located at the distal end of the apparatus, and a plurality of sensors located on the outer surface of the apparatus. The plurality of sensors each provides a signal representing information that is useable for determining deformation of the flexible tip portion. The apparatus may be either a sheath for covering a medical tool or the apparatus may be a medical tool.

Abstract: Disclosed herein is a method for producing an evolvable tissue model of a patient and, using this model, modelling physical transformations of the tissue (e.g. deformation) of the tissue model by interacting the tissue model with influence models which model interactions with the tissue such as surgical instruments, pressure, swelling, temperature changes etc. The model is produced from a set of input data of the tissue which includes directional information of the tissue. The directional information is used to produce an oriented tissue map. A tissue model is then produced from the oriented tissue map such that the tissue model reflects the directionality of the tissue component. When the tissue model is subjected to an influence that causes tissue deformation over a period of time, the tissue model directionally deforms over the period of time in a manner which reflects a trajectory of the influence interacting with the directionality of the tissue component.

Abstract: Disclosed herein is navigation and simulation systems and methods for minimally invasive therapy in which the navigation system imports a planning method using patient specific pre-operative images. The navigation system uses intraoperative imaging during the medical procedure to update the preoperative images and provides images of tracked surgical tools along the surgical path prepared from the preoperative images.

Abstract: Systems and methods are provided for transforming a displayed three-dimensional image corresponding to a position and orientation of a field of view of an imaging probe. A three dimensional image of a tissue in a first co-ordinate space can be displayed. A field of view of an imaging probe in a second co-ordinate space can be configured, where the imaging probe has a plurality of transmitters removably connected to it, the transmitters operable to determine the position and orientation of the field of view relative to the positions of the transmitters in the second co-ordinate space. The first and second co-ordinate spaces can be co-registered, and the position and orientation of the field of view in the second co-ordinate space can be transformed to the first co-ordinate space. The three-dimensional image can be displayed to correspond to the transformed position and orientation of the field of view.

Abstract: Systems and methods are provided for transforming a displayed three-dimensional image corresponding to a position and orientation of a field of view of an imaging probe. A three dimensional image of a tissue in a first co-ordinate space can be displayed. A field of view of an imaging probe in a second co-ordinate space can be configured, where the imaging probe has a plurality of transmitters removably connected to it, the transmitters operable to determine the position and orientation of the field of view relative to the positions of the transmitters in the second co-ordinate space. The first and second co-ordinate spaces can be co-registered, and the position and orientation of the field of view in the second co-ordinate space can be transformed to the first co-ordinate space. The three-dimensional image can be displayed to correspond to the transformed position and orientation of the field of view.

Abstract: Systems, methods and devices are provided for illuminating tissue with monochromatic or broadband light and imaging light that has been reflected back from the tissue. Imaging may be white-light imaging or hyperspectral imaging. The system can be a stand-alone hyperspectral imaging system, integrated as part of an external video scope, or as an auxiliary imaging module on an external videoscope. Various elements of a video scope that is particularly suited for minimally invasive surgery is first presented and then its configurations suitable for hyperspectral imaging are explained.

Abstract: A medical navigation system having a surgical pointer is provided. The surgical pointer is used in the medical navigation system. The surgical pointer comprises an external sheath and an internal tool having a proximal end and a distal end. The internal tool is contained at least partially within the external sheath. The internal tool has a tip at the distal end that extends beyond the external sheath. The tip engages a surface of a patient. The internal tool further has a tracking marker trackable by the navigation system. The surgical pointer further has a linking component contained at least partially within the external sheath and interfacing with the internal tool. The linking component is configured to control pressure exerted by the tip on the surface of the patient.

Abstract: Apparatus and methods are described for substantially immobilizing a breast for use in medical imaging. In an exemplary embodiment, an apparatus for substantially immobilizing a breast is provided, including a first support member connected to a first and second base, the bases capable of engagement with the torso of a patient, the first support member defining an inner area substantially covered by a first membrane. A corresponding second support member, defining a second inner area substantially covered by a second membrane, is engageable to the first support member such that the inner areas are substantially aligned to substantially immobilize a breast, the membranes defining a pocket to receive a breast.