A system may comprise a processor and a memory having computer readable instructions stored thereon. The computer readable instructions, when executed by the processor, cause the system to record position data for an instrument during an image capture period and determine an instrument position change from the recorded position data. The computer readable instructions, when executed by the processor, may also cause the system to compare the instrument position change to a position change threshold and based on the comparison, determine whether to use image data captured by an imaging system during the image capture period in a registration procedure.

Provided is a laser surgical guidance system including a C-arm fluoroscopy (hereinafter, C-arm) to identify a patient's condition and support a surgical plan and a laser targeting projector to project a line of the surgical plan directly onto an affected part through a line projection module which generates a laser. The laser surgical guidance system may generate a particular laser pattern from the line projection module, transmit the particular laser pattern outputted from the line projection module through a calibration tool including a collimator having a particular orientation, calculate an extrinsic parameter of the calibration tool in a projection image having passed through the calibration tool, and convert coordinates of the C-arm image into the line projection module coordinates using the extrinsic parameter.

The present invention relates to robotic device positioning. By extending the robotic arm into the surgical field, a system is provided that automatically aligns an instrument following a plan, e.g., surgical plan, using only instrument tracking feedback. No tracking markers on the robot are required.

A puncture-resistant radiolucent operating surface apparatus includes a flat radiolucent and puncture-resistant surface configured to cover the detector of an intraoperative imaging machine, and downwardly extending sidewall flanges that are connected to said flat surface and that conform to the sides of said detector.

Sinusitis and other disorders of the ear, nose and throat are diagnosed and/or treated using minimally invasive approaches with flexible or rigid instruments. Various methods and devices are used for remodeling or changing the shape, size or configuration of a sinus ostium or duct or other anatomical structure in the ear, nose or throat; implanting a device, cells or tissues; removing matter from the ear, nose or throat; delivering diagnostic or therapeutic substances or performing other diagnostic or therapeutic procedures. Introducing devices (e.g., guide catheters, tubes, guidewires, elongate probes, other elongate members) may be used to facilitate insertion of working devices (e.g. catheters e.g. balloon catheters, guidewires, tissue cutting or remodeling devices, devices for implanting elements like stents, electrosurgical devices, energy emitting devices, devices for delivering diagnostic or therapeutic agents, substance delivery implants, scopes etc.) into the paranasal sinuses or other structures in the ear, nose or throat, Specific devices (e.g., tubular guides, guidewires, balloon catheters, tubular sheaths) are provided as are methods for manufacturing and using such devices to treat disorders of the ear, nose or throat.

The invention relates to a system for determining an optimal position of a surgical instrument relative to a patient's bone tracker, the system comprising:—a medical imaging system configured to acquire at least one cone beam computed tomography intraoperative image of the patient;—a localization device;—a computer configured to receive images from the medical imaging system and localization data from the localization device and to implement the following method: the method comprising: ⋅(a) receiving at least one preoperative 2D X-ray image of the bone while the patient is in a position of interest; ⋅(b) acquiring an intraoperative 3D medical image of the bone by cone beam computed tomography while the patient is in an operative position different from the position of interest, the 3D image being registered with the coordinate system of the bone tracker; ⋅(c) registering the intraoperative 3D medical image onto the at least one preoperative 2D X-ray image, so as to obtain a registered 3D image representing the bone in the position of interest; ⋅(d) planning a surgical procedure on the registered 3D medical image taking into account said position of interest; ⋅(e) determining an optimal position of the surgical instrument relative to the patient's bone tracker for implementing said planned surgical procedure.

A mobile surgical tracking system comprises a mobile surgical tracking device comprising an integrated fiducial marker and an imaging device. The imaging device is configured to generate an image of a patient's anatomical structure. The mobile surgical tracking system comprises a tracking system coordinate frame. The integrated fiducial marker has a position which has a known relation to the tracking system coordinate frame for the direct registration of the image to the coordinate system of the mobile surgical tracking device.

The invention relates to an assessing device (13) for assessing the suitability of a shape of an instrument like a guidewire for a registration of a position and shape determination device (10) like an optical shape sensing device with an imaging device (2). Curvature values being indicative of the curvature at several positions along the instrument are determined, which are used for determining shape feature values. These shape feature values are then used for determining a suitability value being indicative of the suitability of the shape of the instrument for the registration procedure, wherein an output is provided to a user based on the determined suitability value. The user can therefore modify the shape until the output indicates that the shape of the instrument is suitable for the registration, without requiring any image. This can reduce a radiation dose if the image is, for instance, an x-ray image.

Embodiments include a system for determining cardiovascular information for a patient. The system may include at least one computer system configured to receive patient-specific data regarding a geometry of the patient's heart, and create a three-dimensional model representing at least a portion of the patient's heart based on the patient-specific data. The at least one computer system may be further configured to create a physics-based model relating to a blood flow characteristic of the patient's heart and determine a fractional flow reserve within the patient's heart based on the three-dimensional model and the physics-based model.

A fixation support device may be used for breast brachytherapy treatment methods with or without image guidance. The fixation device may also be used for other treatments in which it is desirable to be able to fixate a treatment modality relative to a patient.