Abstract: A method for calibrating an optical axis of a camera mounted to a movable structure is disclosed. The method includes: for each of two or more standoff distances for the camera: capture, using the camera, image data of a target marker while the movable structure is undergoing rotation about a fixed axis, the target marker being a grid of squares each including unique detectable features; determine a respective center of rotation based on the captured image data; determine a first axis which goes through the centers of rotation; and determine a transform between the first axis and a second axis through the center of output image of the camera.

Abstract: Given a specific imaging device and systems further described herein, wound characteristics of a wound fluoresce with a unique spectral signature when subjected to excitation light with a known wavelength or range of wavelengths. Images captured therefrom are subject to analyses of pixels thereof, with a plurality of training images having known wound sizes and characteristics marked-up thereon being used to generate training data, which is subsequently used to identify wound characteristics from test images in real time. Wound sizes, boundaries, bacterial presence, and other characteristics may be quantified and graphically represented as an overlay on the original wound image along with documentation related to the wound.

Abstract: A surgical imaging system is described. The system includes first and second optical assemblies. Each optical assembly defines a respective optical axis, and each includes a respective set of one or more optics for adjusting field-of-view (FOV) and focus and a respective camera for capturing an image. The system includes a controller for controlling the optical assemblies and for switching the surgical imaging system between a coupled configuration and an uncoupled configuration. In the coupled configuration, the first optical assemblies are controlled to adjust the respective sets of optics and/or the respective optical axes in dependence on each other. In the uncoupled configuration, the optical assemblies are controlled to adjust the respective sets of optics, and the respective optical axes independently of each other.

Abstract: A training system for training a trainee to perform a surgical procedure on an anatomical region. The system includes a physical model of the anatomical region, a physical training instrument, a tracking system configured to track the location and orientation of the physical training instrument relative to the physical model, a display device, and a computer system. The computer system receives from the tracking system information indicating the location and orientation of the physical training instrument and generates and displays an augmented physical model and the physical training instrument. The display is updated based as the trainee manipulates the physical training instrument. After the trainee has completed the surgical procedure, the computer calculates a score based on the performance of the trainee. The score is a measure of the accuracy of the surgical procedure performed by the trainee or the duration of the surgical procedure.

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 method of rendering medical image data includes: obtaining an image, having a plurality of voxels, of a volume of patient tissue having a plurality of tissue types; for each of the plurality of voxels: determining a first type indicator value indicating a likelihood that the voxel depicts a first one of the tissue types; storing the first type indicator value in association with the voxel; setting a first type indicator threshold for the first tissue type; rendering the image on a display and applying a first visual filter to a first subset of the voxels having type indicator values that satisfy the first type indicator threshold; and updating the rendering, responsive to receiving input data specifying a modified first type indicator threshold, to apply the first visual filter to an updated first subset of the voxels having first type indicator values that satisfy the modified first type indicator threshold.

Abstract: A method of rendering medical image data includes: obtaining an image, having a plurality of voxels, of a volume of patient tissue having a plurality of tissue types; for each of the plurality of voxels: determining a first type indicator value indicating a likelihood that the voxel depicts a first one of the tissue types; storing the first type indicator value in association with the voxel; setting a first type indicator threshold for the first tissue type; rendering the image on a display and applying a first visual filter to a first subset of the voxels having type indicator values that satisfy the first type indicator threshold; and updating the rendering, responsive to receiving input data specifying a modified first type indicator threshold, to apply the first visual filter to an updated first subset of the voxels having first type indicator values that satisfy the modified first type indicator threshold.

Abstract: A medical navigation system is provided including a surgical positioning system for positioning a payload during a medical procedure. The medical navigation system has a robotic arm having a plurality of joints, the robotic arm forming part of the surgical positioning system and having an end effector for holding the payload, an input device for providing input, and a controller electrically coupled to the robotic arm and the input device.

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 method of rendering medical image data includes: obtaining an image, having a plurality of voxels, of a volume of patient tissue having a plurality of tissue types; for each of the plurality of voxels: determining a first type indicator value indicating a likelihood that the voxel depicts a first one of the tissue types; storing the first type indicator value in association with the voxel; setting a first type indicator threshold for the first tissue type; rendering the image on a display and applying a first visual filter to a first subset of the voxels having type indicator values that satisfy the first type indicator threshold; and updating the rendering, responsive to receiving input data specifying a modified first type indicator threshold, to apply the first visual filter to an updated first subset of the voxels having first type indicator values that satisfy the modified first type indicator threshold.

Abstract: A medical navigation system for displaying a three dimensional (3D) surface video of a target is provided. The medical navigation system comprises a 3D imaging device, a camera, a display, and a controller electrically coupled to the 3D imaging device, the camera, and the display. The controller has a processor coupled to a memory. The controller is configured to perform calibration of input devices; acquire 3D depth data of the target from a signal generated by the 3D imaging device; construct a 3D surface contour of the target based on the 3D depth data; acquire a video stream of the target from a signal generated by the camera; generate a 3D surface video based on the 3D surface contour and the video stream; and display the 3D surface video on the display.

Abstract: A training system for training a trainee to perform a surgical procedure on an anatomical region. The system includes a physical model of the anatomical region, a physical training instrument, a tracking system configured to track the location and orientation of the physical training instrument relative to the physical model, a display device, and a computer system. The computer system receives from the tracking system information indicating the location and orientation of the physical training instrument and generates and displays an augmented physical model and the physical training instrument. The display is updated based as the trainee manipulates the physical training instrument. After the trainee has completed the surgical procedure, the computer calculates a score based on the performance of the trainee. The score is a measure of the accuracy of the surgical procedure performed by the trainee or the duration of the surgical procedure.

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: 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 flexible high resolution endoscope is provided herein. The endoscope comprises: a plurality of optical fiber bundles; a plurality of lenses in a one-to-one relationship with the plurality of optical fiber bundles; and, a plurality of cameras in a one-to-one relationship with the plurality of optical fiber bundles, each respective optical fiber bundle, of the plurality of optical fiber bundles, having a respective lens, of the plurality of lenses, located at a respective distal end, and a camera, of the plurality of cameras, located at a respective proximal end, the plurality of optical fiber bundles being coupled together at a common distal end, and otherwise being uncoupled from one another, a bending radius of the endoscope defined by a largest respective bending radius of each of the plurality of optical fiber bundles.

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 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 method of rendering medical image data includes: obtaining an image, having a plurality of voxels, of a volume of patient tissue having a plurality of tissue types; for each of the plurality of voxels: determining a first type indicator value indicating a likelihood that the voxel depicts a first one of the tissue types; storing the first type indicator value in association with the voxel; setting a first type indicator threshold for the first tissue type; rendering the image on a display and applying a first visual filter to a first subset of the voxels having type indicator values that satisfy the first type indicator threshold; and updating the rendering, responsive to receiving input data specifying a modified first type indicator threshold, to apply the first visual filter to an updated first subset of the voxels having first type indicator values that satisfy the modified first type indicator threshold.