Abstract: A method for updating a patient registration during a surgical procedure is disclosed. The surgical procedure uses an optical navigation system for optically tracking a patient reference object in a real world space and includes intra-operatively acquiring a first set of image data depicting a region of interest on the patient while the first registration is intact. The region of interest includes at least one anatomical landmark. The method includes: detecting that the first registration has been lost; obtaining a second set of image data depicting the region of interest; identifying a transform based on the first set of image data and the second set of image data; and applying the identified transform to data points of the first registration to obtain data points for the updated patient registration.

Abstract: Methods and image-guided surgical navigation systems for updating an existing landmark registration of one or more landmark features in a common coordinate space are provided. The image-guided surgical navigation system includes a processor, an imaging device coupled to the processor, and a memory coupled to the processor. The image-guided surgical navigation system may be configured to capture a planar image of a region of interest, where the planar view image includes illustration of the one or more landmark features; generate a depth map from the planar view image; based on the depth map, identify a current location of the one or more landmark features in the common coordinate space; and transform the existing landmark registration to the current location of the one or more landmark features in the common coordinate space.

Abstract: A medical navigation system is provided, comprising a computing device having a processor coupled to a memory, a tracking camera for tracking medical devices, and a display for displaying an image; an automated arm assembly electrically coupled to the computing device and controlled by a signal provided by the computing device, the automated arm assembly including a multi-joint arm having a distal end connectable to an effector that supports a surgical camera electrically coupled to the computing device; and a medical device having a tracking marker attachable to the medical device.

Abstract: A system and method for characterizing tissue organization using polarization sensitive optical coherence (PSOCT) tomography is provided. A PSOCT device is controlled, by a computing device, to obtain PSOCT A-line scans across a sample. For each of the PSOCT A-line scans, the computing device determines a frequency characteristic of any banding present in a respective PSOCT A-line retardance scan. The computing device controls display device to render a map of the frequency characteristic.

Abstract: In one aspect, a medical tracking system is described. The medical tracking system includes a first tracking system providing a first tracking region. The first tracking system is configured to track a tracked instrument within the first tracking region. The medical tracking system further includes a second tracking system providing a second tracking region. The second tracking system is configured to track the tracked instrument within the second tracking region. The medical tracking system also includes a processor coupled to the first tracking system and the second tracking system. The processor is configured to determine, based on data received from the first tracking system and data received from the second tracking system, transposition information to map data received from the first tracking system and data received from the second tracking system into a common space.

Abstract: Methods and devices to track patient anatomy during a surgical operation. A patient reference device is attached to an anatomical feature of a patient and it includes an attachment base and an optically-trackable array detectable by an optical navigation system and having a longitudinally-extending arm to space apart the fixed geometric pattern from the anatomical feature. The arm includes a connector to be detachably secured to the attachment base. An inertial measurement unit within the attachment base enables determining, based on comparing a threshold level to a motion signal, that the attachment base has changed position, wherein the motion signal represents the change in position and its magnitude. Based on determining that the attachment base has changed position an alarm signal is generated an and an output device in the attachment base outputs an alarm in response to the alarm signal.

Abstract: A system and method for characterizing tissue organization using polarization sensitive optical coherence (PSOCT) tomography is provided. A PSOCT device is controlled, by a computing device, to obtain PSOCT A-line scans across a sample. For each of the PSOCT A-line scans, the computing device determines a frequency characteristic of any banding present in a respective PSOCT A-line retardance scan. The computing device controls display device to render a map of the frequency characteristic.

Abstract: Methods and systems for outputting depth data during a medical procedure on a patient. Depth data is outputted, representing at least one of relative depth data and general depth data. Tracking information about the position and orientation of a medical instrument and depth information about variations in depth over a site of interest are used. Relative depth data represents the depth information relative to the position and orientation of the instrument. General depth data represents the depth information over the site of interest independently of the position and orientation of the instrument.

Abstract: A medical navigation system is provided for performing at least part of an assessment of a non-living body. The medical navigation system comprises a positioning device having a positioning arm with an end effector at the end of the positioning arm, an imaging device coupled to the end effector, and a controller electrically coupled to the positioning device and the imaging device. The controller has a processor coupled to a memory and a display. The controller is configured to generate a signal to move the positioning arm to position the imaging device through a range of motion to perform a scan of a surface of the body and receive and save as data in the memory signals generated by the imaging device during the range of motion.

Abstract: A method and device for tracking objects by surgical navigation systems. The method includes: capturing an image of the tracked object; determining whether a unique identifiable feature associated with at least one totem pattern is discernible in the image; when the unique identifiable feature is discernible: determining a position or an orientation of the tracked object based on the at least one totem pattern; and registering the at least one totem pattern in the surgical coordinate space; and when the unique identifiable feature is indiscernible: determining a position of each totem pattern relative to other totem patterns such that a combination of totem patterns within the captured image is a marker group detectable as a composite totem pattern; determining a position or an orientation of the tracked object based on the composite totem pattern associated with the tracked object; and registering the composite totem pattern in the surgical coordinate space.

Abstract: A method for updating a patient registration during a surgical procedure is disclosed. The surgical procedure uses an optical navigation system for optically tracking a patient reference object in a real world space and includes intra-operatively acquiring a first set of image data depicting a region of interest on the patient while the first registration is intact. The region of interest includes at least one anatomical landmark. The method includes: detecting that the first registration has been lost; obtaining a second set of image data depicting the region of interest; identifying a transform based on the first set of image data and the second set of image data; and applying the identified transform to data points of the first registration to obtain data points for the updated patient registration.

Abstract: A reference tie to be secured around a portion of a spine during a surgical procedure and to be tracked by a surgical navigation system is described. The reference tie includes an elongate strap having a first strap end and a second strap end. The reference tie also includes a fastener joined to the elongate strap at the first strap end, the fastener for securing the first strap end to a portion of the second strap end. The elongate strap is configured to form a secured loop around the portion of the spine. The reference tie also includes a fiducial marker joined to at least one of the elongate strap or the fastener. The fiducial marker is trackable by the surgical navigation system.

Abstract: Methods and image-guided surgical navigation systems for updating an existing landmark registration of one or more landmark features in a common coordinate space are provided. The image-guided surgical navigation system includes a processor, an imaging device coupled to the processor, and a memory coupled to the processor. The image-guided surgical navigation system may be configured to capture a planar image of a region of interest, where the planar view image includes illustration of the one or more landmark features; generate a depth map from the planar view image; based on the depth map, identify a current location of the one or more landmark features in the common coordinate space; and transform the existing landmark registration to the current location of the one or more landmark features in the common coordinate space.

Abstract: A medical navigation system is provided for acquiring a depth map of a surgical site of interest in a patient. The medical navigation system comprises a camera, a light projecting device, a display, and a controller. The controller has a processor coupled to a memory. The controller is configured to generate a signal provided to the light projecting device to project an edge indicator on the surgical site of interest, generate a signal to operate the camera to perform a focus sweep and capture a plurality of images during the focus sweep where the plurality of images includes the projected edge indicator, receive from the camera data representing the plurality of images captured during the focus sweep, and generate a depth map of the surgical site of interest using the data representing the plurality of images.

Abstract: Methods and systems for providing feedback during a medical procedure are provided. A saved optical image of a field of view (FOV) of a site of the medical procedure is obtained along with a live optical image of the FOV of the site during the medical procedure. Navigational information relative to the site of the medical procedure is determined. The navigational information is then mapped to a common coordinate space, to determine the navigational information relative to the FOV of the saved and live optical images of the surgical site. Virtual representations of the navigational information is overlaid on the saved and/or live optical images and displayed on at least one display.

Abstract: Methods and systems for providing feedback during a medical procedure. The 3D position and orientation of a tracked tool are determined, relative to a site of the medical procedure, based on tracking information received from a tracking system. The 3D position and orientation are mapped to a common coordinate space, to determine the 3D position and orientation relative to a field-of-view (FOV) of an optical camera that is capturing an optical image of the site. Navigational information associated with the 3D position and orientation is determined. A virtual representation of the navigational information overlaid on the FOV and displayed. The displayed virtual representation is updated when the 3D position and orientation of the tracked tool changes or when the FOV changes, in accordance with the change.

Abstract: In one aspect, a medical tracking system is described. The medical tracking system includes a first tracking system providing a first tracking region. The first tracking system is configured to track a tracked instrument within the first tracking region. The medical tracking system further includes a second tracking system providing a second tracking region. The second tracking system is configured to track the tracked instrument within the second tracking region. The medical tracking system also includes a processor coupled to the first tracking system and the second tracking system. The processor is configured to determine, based on data received from the first tracking system and data received from the second tracking system, transposition information to map data received from the first tracking system and data received from the second tracking system into a common space.

Abstract: Methods and systems of performing intraoperative image registration during a medical procedure are described. A depth-encoded marker is provided to an object of interest. The marker is imageable by at least two imaging systems. The marker has asymmetry in at least a depth dimension. First and second sets of image data are obtained. Tracking data is obtained. The first image coordinate space, the second image coordinate space and the tracking coordinate space are independent from each other. Transformation mapping is performed to register the first and second sets of image data and the tracking data to each other. The first and second sets of image data are mapped to each other based on the depth-encoded marker. The first or second set of image data and the tracking data are mapped to each other based the same or different marker.

Abstract: A reference tie to be secured around a portion of a spine during a surgical procedure and to be tracked by a surgical navigation system is described. The reference tie includes an elongate strap having a first strap end and a second strap end. The reference tie also includes a fastener joined to the elongate strap at the first strap end, the fastener for securing the first strap end to a portion of the second strap end. The elongate strap is configured to form a secured loop around the portion of the spine. The reference tie also includes a fiducial marker joined to at least one of the elongate strap or the fastener. The fiducial marker is trackable by the surgical navigation system.

Abstract: An optical imaging system for imaging a target during a medical procedure. The imaging system includes an optical assembly including moveable zoom optics and moveable focus optics. The system includes a zoom actuator and a focus actuator for positioning the zoom and focus optics, respectively. The system includes a controller for controlling the zoom and focus actuators independently in response to received control input. The system includes a camera for capturing an image of the target from the optical assembly. The system may be capable of performing autofocus during a medical procedure.