Abstract: An apparatus and a method for reciprocal registration of a shape-detecting instrument, an imaging X-ray system, and an X-ray system including a corresponding apparatus are provided. The apparatus includes a registration facility. The registration facility is configured such that the shape-detecting instrument, until attaining a registering position, may be introduced into the registration facility. The spatial relative position of the registering position may be kept at least temporarily unchanged in relation to the X-ray system and is assumed to be known for the method. A detecting facility that is configured to detect when the shape-detecting instrument attains the registering position is also provided. A registering signal may be generated by the detecting facility when the detecting facility detects that the shape-detecting instrument attains the registering position.

Abstract: A computer-implemented method for predetermining a location and/or a thickness of a slice, to be imaged of a patient during a tomosynthesis imaging to be parameterized by an imaging facility comprising the steps of obtaining three-dimensional image data of a preceding tomosynthesis imaging or of another three-dimensional imaging of the patient, wherein the three-dimensional image data depicts at least one part of an object located at least partly within the patient, evaluating the three-dimensional image data for establishing the location of a longitudinal axis of the object along which the part of the object extends, and establishing the location and/or the thickness of the slice to be imaged as a function of the established location of the longitudinal axis in such a way that the slice to be imaged images a predetermined target position within the patient and at least one longitudinal section of the object when the longitudinal axis of the object is located in the established location.

Abstract: A monitoring system for monitoring at least one target object in a medical environment.

Abstract: A method for automatic position determination review during position tracking of an object inserted in a hollow organ of a patient by an electromagnetic tracking (EMT) system in the presence of an X-ray device with a movable acquisition system includes providing a registration of the EMT system to the acquisition system. A reference image of the hollow organ of the patient is provided, a registration of the reference image is provided to the acquisition system, a position of the object is determined by the EMT system, and an associated position on the reference image is determined. A plausibility criterion and/or a boundary condition is applied for reviewing a plausibility of the position determined by the EMT system based on the reference image. If the plausibility criterion and/or the boundary condition is violated, a position correction of the position determined by the EMT system and/or an alternative position determination is performed.

Abstract: An apparatus for positioning a medical object includes a moving apparatus for robotically moving the medical object. The medical object includes a predefined section. The predefined section is at least partially arranged in an examination object. The apparatus is configured to receive a control specification. The moving apparatus is configured to position the predefined section based on the control specification. The apparatus is further configured to receive positioning information on the predefined section and determine a degree of deviation. The degree of deviation describes a deviation between the control specification and the positioning information. The apparatus is configured to determine a correction specification for minimizing the deviation based on the degree of deviation. The moving apparatus is further configured to reposition the predefined section based on the correction specification.

Abstract: For monitoring a room with a medical technology apparatus, a light projection that defines an areal region in the room is generated with light of a predetermined wavelength characteristic. Using a large number of optical detectors that are each mounted in the areal region and are configured for detecting light having the wavelength characteristic, at least one detector signal is generated. Dependent upon the at least one detector signal, a coverage of at least a portion of the large number of optical detectors by an object is recognized. Dependent upon the recognized coverage, a safety and/or warning measure is initiated.

Abstract: The length of a stent for a branched vessel may be determined without a contrast agent if possible. To this end, a method includes: acquiring a projection recording of the vessel into which an instrument has been introduced; determining the instrument in the projection recording; estimating a 3D reconstruction of the determined instrument from the projection recording in order to obtain a virtual 3D instrument; establishing a start point and an end point on the virtual 3D instrument with reference to an overlay of the virtual 3D instrument and the projection recording; and automatically determining a distance between the start point and the end point along the virtual 3D instrument as the length for the stent.

Abstract: A method for automatic actuation of an X-ray device includes acquiring at least one X-ray image of a body containing at least two objects and/or an object divisible into at least two object sections, segmenting and classify the at least two objects and/or the at least two object sections of the object, and determining an immediately upcoming or current workflow step of the intervention. Information relating to objects or object sections relevant to the determined workflow step is retrieved, at least one object of the at least two objects or at least one object section of the at least two object sections of the object is selected taking the information into account, and a collimator of the X-ray device is automatically adjusted for overlaying the selected object or selected object section taking the information into account. At least one X-ray image is acquired using the thus adjusted collimator and displayed.

Abstract: An apparatus for monitoring and/or controlling an advance of a medical instrument through a vascular system of a patient includes a processing device configured, at at least one check time, to detect or receive speed information relating to a speed of advance of the medical instrument. The processing device is configured to detect or receive force information relating to a force acting on the medical instrument, evaluate a triggering condition, fulfillment of which depends on both the speed information and the force information, and when the triggering condition is fulfilled, actuate an indicating device to output an indication to a user of the apparatus and/or actuate an actuator system moving the medical instrument to stop the advance of the medical instrument.

Abstract: A method for adjusting a reference X-ray image includes: providing the reference X-ray image of a hollow organ; providing a segmentation of an original profile of the hollow organ in the reference X-ray image; recording at least one live X-ray image, registered with the reference X-ray image, of the object introduced into the hollow organ; segmenting the object in the live X-ray image; carrying out at least one sensor measurement of the optical fiber by the shape-acquisition system; evaluating the sensor measurement(s) with regard to at least one item of haptic information in respect of the object; setting boundary conditions for the current profile of at least part of the hollow organ using the position of the object and the evaluated item of haptic information; and adjusting and/or deforming the reference image using the boundary conditions such that a current profile of the hollow organ is modeled/reproduced.

Abstract: The disclosure relates to a device for a packaging process, wherein the device is provided in the form of a step-by-step packaging machine, or is configured as a step-by-step packaging line. The device is configured to perform a recipe change from a first packaging recipe to another, second packaging recipe step by step at a plurality of work stations provided on the device. Furthermore, the disclosure relates to a corresponding method.

Abstract: For visual support in a medical intervention on a hollow organ of a patient, reference data that includes a reference representation of the hollow organ is obtained, an X-ray projection image of the hollow organ is generated, and items of overlay information are determined based on the reference data. The reference data includes items of planning information relating to a location of a characteristic feature of the hollow organ in the reference representation. A reference volume is determined in the reference representation as a function of the items of planning information. A reconstruction of a volume of the patient corresponding to the reference volume is generated using a tomosynthesis method. Registration data is generated in that the reference volume is registered in relation to the reconstruction and the items of overlay information are overlaid on the X-ray projection image as a function of the registration data.

Abstract: A system for monitoring a physiological state of an object under examination in remotely controlled procedures includes a remote control unit for remote control of a remote manipulation unit, the remote manipulation unit for performing a procedure step, a capture unit for capturing state data of the object under examination, and a provider unit for classifying the state of the object under examination. When an expected state is present, the remote manipulation unit performs the procedure step. When a deviating state is present, the provider unit provides a remote signal to the remote control unit and a local signal to the output unit, the output unit outputs to local operating personnel a first workflow notice, and the remote control unit adjusts the remote control of the remote manipulation unit, outputs a second workflow notice to the remote operating personnel, and/or provides an alternative remote control signal.

Abstract: A method for providing a corrected dataset includes receiving a preoperative dataset having an image and/or a model of an examination region in an examination subject. Intraoperatively, a first part of a medical object is arranged in the examination region and a second part of the medical object is arranged outside the examination subject. Positioning information relating to a spatial positioning of the second part of the medical object is received. An entry angle of the medical object into the examination subject is determined using the positioning information. An intraoperative dataset having an image of the examination region is received. A conversion instruction is determined based on the entry angle of the medical object to minimize a deviation between the preoperative and the intraoperative dataset, and the corrected dataset is generated by applying the conversion instruction to the preoperative dataset. The corrected dataset is provided.

Abstract: A method for controlling movement of an elongated medical instrument within a body that along its length includes an optical fiber configured for optical shape capture is provided. An insertion section of the fiber is located in the body. The method includes measuring a bend at multiple positions of the fiber, at least along the insertion section of the fiber. A three-dimensional (3D) shape of the insertion section of the fiber in the body is determined from the measured bend. A sequence of movements, with which a holding section of the instrument is to be moved, is determined based on the shape of the insertion section, so that the bend of the instrument in the insertion section may be decreased if the holding section is moved correspondingly. The sequence of movements is output.

Abstract: A computer-implemented method for specifying the measurement field for an exposure control of an X-ray facility includes: receiving an X-ray image by a computer unit for exposure control; recognizing at least one device marker in the X-ray image; establishing an image shape of the at least one device marker; establishing an image position of the at least one device marker; specifying the position and the shape and/or size of the measurement field dependent upon the image position and the image shape of the at least one device marker; and providing measurement field parameter values that indicate the position, the shape, and/or the size of the measurement field.

Abstract: An intervention system and method for performing an intervention, for example a medical intervention, for example on a patient, at a first location, this being an intervention location. The intervention system includes at least one drivable intervention device at the first location to be used for the intervention, a first operating device provided at the first location for control of the at least one intervention device by a local group of people situated at the first location, a second operating device provided at a second location which is remote from the intervention location, for control of the at least one intervention device by a remote group of people situated at the second location, and an authorization device for authorizing the control of the at least one intervention device by the operating devices.

Abstract: A method for operating an X-ray facility includes supplying a vascular model of a vascular structure. A target position of an instrument that may move in the vascular structure, a starting position of the instrument in the vascular structure of the vascular model, and a path in the vascular structure of the vascular model are marked in the vascular model. Support points are defined along the path. An optimized course of projection geometries is ascertained for the support points in an optimization process of a target function using the vascular model. Apart from at least one first term, the target function also includes at least one second term that minimizes the number of changes in the projection geometry along the path due to movement of the support. Positioning parameters for actuating the positioning facility are ascertained for each projection geometry.

Abstract: A computer-implemented method comprises: provisioning a plurality of data streams, each of the plurality of data streams being assigned an individual classifier; provisioning a list including a plurality of possible working steps; applying the plurality of individual classifiers to the plurality of data streams, wherein for each working step, based on the assigned data stream, a probability is determined; determining a current or next working step as a function of the probabilities; and provisioning the control signal.

Abstract: A method for operating an x-ray device includes: recording a series of x-ray images of a recording area, (e.g., for monitoring the recording area); and determining a series of output images to be output from the x-ray images. When the x-ray images are recorded, there is a repeated change between at least two sets of recording parameters that leads to the different representation of at least two different objects of the recording area in the x-ray images. Further, the output images are determined in each case at least from one set of x-ray images that includes x-ray images recorded with at least two of the at least two sets of recording parameters.