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1. 发明申请

WO2018031744A1 PINLESS FEMORAL TRACKING 审中-公开
标题翻译：无痕股骨跟踪
公开(公告)号：WO2018031744A1
公开(公告)日：2018-02-15
申请号：PCT/US2017/046250
申请日：2017-08-10
申请人： THINK SURGICAL, INC.
发明人： BONNY, Daniel, P. , ZUHARS, Joel
IPC分类号： A61B34/20 , A61B34/10 , A61B90/00
CPC分类号： A61B34/20 , A61B34/10 , A61B90/00 , A61B90/39 , A61B2034/104 , A61B2034/105 , A61B2034/2055 , A61B2034/2068 , A61B2090/3945
摘要： A system and method are provided to optically track a subject's anatomy without the need for the use of invasive pins and screws currently used to support and attach six-degree-of-freedom fiducial arrays directly to the bone. The system and method is especially advantageous for surgical procedures involving brittle or osteoporotic bone or any other procedure where the preservation of surrounding healthy bone is desirable. The system and method are advantageous for computer-assisted total knee arthroplasty, revision knee arthroplasty, and other medical procedures where the position and orientation (POSE) of bone surface cuts planes are critical for successful placement and correct alignments of joint implants. Often, these procedures require a form of external support to reduce the motion of the bones relative to the computer-assisted device.
摘要翻译：提供一种系统和方法来光学追踪对象的解剖结构，而不需要使用当前用于支撑和附着六自由度基准阵列的侵入式针和螺钉直接到骨。该系统和方法对于涉及脆性或骨质疏松性骨的手术程序或任何其中期望保存周围健康骨的程序是特别有利的。该系统和方法对于计算机辅助全膝关节成形术，翻修膝关节成形术和其他医疗程序是有利的，其中骨表面切割平面的位置和定向（POSE）对于关节植入物的成功布置和正确对准是关键的。通常，这些程序需要一种外部支持来减少骨骼相对于计算机辅助设备的运动。

2. 发明申请

WO2017197114A1 ANATOMICAL MODEL GENERATION 审中-公开
标题翻译：解剖模型生成
公开(公告)号：WO2017197114A1
公开(公告)日：2017-11-16
申请号：PCT/US2017/032160
申请日：2017-05-11
申请人： AFFERA, INC.
发明人： HARLEV, Doron , WRIGHT, Geoffrey, Peter
IPC分类号： A61B5/042 , G06T17/00
CPC分类号： A61B34/10 , A61B5/042 , A61B5/062 , A61B5/063 , A61B5/6843 , A61B5/742 , A61B8/12 , A61B18/1492 , A61B34/20 , A61B34/25 , A61B2018/00642 , A61B2018/00839 , A61B2018/00875 , A61B2034/104 , A61B2034/105 , A61B2034/2051 , A61B2034/2063 , A61B2090/064 , G06T17/00 , G06T17/20 , G06T19/20 , G06T2200/24 , G06T2210/41 , G06T2219/004 , G16H50/50
摘要： Devices, systems, and methods of the present disclosure are directed to generating three-dimensional surface representations of an anatomic structure such as a heart cavity. More specifically, a three-dimensional surface representation of the anatomic structure is constrained relative to one or more anchor portions corresponding to received input regarding the location of anatomic features of the anatomic structure. The resulting three-dimensional surface representation includes salient features of the anatomic structure and, therefore, can be useful as visualization tool during any of various different medical procedures, including, for example, cardiac ablation.
摘要翻译：本公开的装置，系统和方法涉及生成诸如心脏腔的解剖结构的三维表面表示。更具体地，解剖结构的三维表面表示相对于与接收到的关于解剖结构的解剖特征的位置的输入相对应的一个或多个锚定部分被约束。由此产生的三维表面表示包括解剖结构的显着特征，因此，在包括例如心脏消融在内的各种不同医疗过程中的任何一种过程中，可用作可视化工具。

3. 发明申请

WO2016180438A8 METHOD AND APPARATUS FOR JUDGING IMPLANT ORIENTATION DATA 审中-公开
标题翻译：用于判断植入方向数据的方法和设备
公开(公告)号：WO2016180438A8
公开(公告)日：2017-04-27
申请号：PCT/EP2015060195
申请日：2015-05-08
申请人： BRAINLAB AG
发明人： DOHMEN LARS , SCHUBERT MARIO , WIEDENMANN ANNA
IPC分类号： A61B34/10 , A61B34/20 , A61F2/36 , A61F2/46
CPC分类号： A61B34/10 , A61B34/20 , A61B2034/102 , A61B2034/104 , A61F2002/4633
摘要： A data processing method performed by a computer for judging implant orientation data representing an orientation of a first implant part relative to a first bone, the first implant part being part of an implant pair which further comprises a second implant part for a second bone, the implant pair being envisaged to be implanted in a patient, comprising the steps of: - acquiring the implant orientation data, - acquiring second implant orientation data representing the orientation of the second implant part relative to the second bone, - acquiring implant shape data representing the shapes of the first and second implant parts, - acquiring activity data representing at least one desired activity of the patient to be possible after implanting the implant, wherein each desired activity has an associated range of motion between the first bone and the second bone, - calculating a range of motion volume, which represents possible orientations between the first bone and the second bone over three rotational axes, from the implant orientation data, the second implant orientation data and the implant shape data, and - judging the implant orientation data to be feasible if the ranges of motion of all desired activities lie within the range of motion volume.
摘要翻译：由计算机执行的用于判断表示第一植入物部分相对于第一骨的取向的植入物取向数据的数据处理方法，所述第一植入物部分是植入物对的一部分，所述植入物对还包括用于第二骨的第二植入物部分，所述包括以下步骤： - 获取所述植入物定向数据， - 获取表示所述第二植入物部分相对于所述第二骨的取向的第二植入物取向数据， - 获取表示所述植入物形状数据的植入物形状数据，所述植入物形状数据代表第一植入物部分和第二植入物部分的形状; - 在植入植入物之后获取代表患者的至少一个期望活动的活动数据，其中每个期望活动具有第一骨与第二骨之间的相关联的运动范围， - 计算表示第一骨与第二骨之间在t上可能的取向的运动体积范围从植入物取向数据，第二植入物取向数据和植入物形状数据获得三个旋转轴，以及 - 如果所有期望活动的运动范围位于运动体积范围内，则判断植入物取向数据是可行的。

4. 发明申请

WO2017020069A1 POST-OPERATIVE PREDICTION 审中-公开
标题翻译：术后预测
公开(公告)号：WO2017020069A1
公开(公告)日：2017-02-09
申请号：PCT/AU2016/050661
申请日：2016-07-25
申请人： 360 KNEE SYSTEMS PTY LTD
发明人： THEODORE, Willy , TWIGGS, Joshua , MILES, Brad , O'CONNOR, Bede
IPC分类号： A61B17/56 , A61B6/00 , A61B34/10 , A61F2/46
CPC分类号： A61B6/5217 , A61B6/032 , A61B6/505 , A61B34/10 , A61B2034/104 , A61F2/46 , G06F19/00 , G16H50/50
摘要： This disclosure relates to methods and systems to assist in surgery of a joint. The system determines a mechanical property of one or more ligaments associated with the joint based on measurement data indicative of a movement of the bones relative to each other under multiple mechanical loads. The system then determines a predicted characteristic of the joint after the surgery based on a spatial parameter of the surgery and based on the mechanical property of the one or more ligaments and generates an output signal indicative of the predicted characteristic to assist the surgery. Since the predicted characteristic of the joint is determined based on the mechanical property of the ligaments, the prediction is more accurate than other methods that rely on only bone geometries to predict a surgery outcome.
摘要翻译：本公开涉及帮助关节手术的方法和系统。该系统基于在多个机械负载下指示骨骼相对于彼此的运动的测量数据来确定与关节相关联的一个或多个韧带的机械性质。然后，系统基于手术的空间参数并且基于一个或多个韧带的机械特性来确定手术后的关节的预测特征，并且生成指示预测特征的输出信号以辅助手术。由于根据韧带的机械特性来确定关节的预测特征，所以与仅依靠骨几何形状预测手术结果的其它方法相比，预测更准确。

5. 发明申请

WO2017008119A1 CONFIGURING A SURGICAL TOOL 审中-公开
标题翻译：配置手术工具
公开(公告)号：WO2017008119A1
公开(公告)日：2017-01-19
申请号：PCT/AU2016/050617
申请日：2016-07-14
申请人： 360 KNEE SYSTEMS PTY LTD
发明人： HOGAN, Jason , MILES, Brad Peter , O'CONNOR, Peter Bede , MCMAHON, Stephen
IPC分类号： A61B34/10 , A61B17/15 , A61B17/17
CPC分类号： A61B34/10 , A61B17/142 , A61B17/154 , A61B17/1703 , A61B2034/102 , A61B2034/104 , A61B2034/105
摘要： The present disclosure relates to a method and system for configuring a surgical tool during surgery. A laser scanner generates sensor data and a processor determines spatial data indicative of a position of the anatomical feature and of a position of a tool interface that is fixed in relation to the anatomical feature based on the sensor data. The processor also determines a first desired spatial configuration of the surgical tool in relation to the tool interface based on the spatial data and a second desired spatial configuration of the surgical tool in relation to the anatomical feature. The outcome is more accurate and less complex than other methods, such as methods that are based on reference to the absolute positions of the anatomical feature and the surgical tool within an operation theatre.
摘要翻译：本公开涉及一种用于在手术期间配置外科手术工具的方法和系统。激光扫描仪产生传感器数据，并且处理器基于传感器数据确定指示解剖特征的位置和相对于解剖特征固定的工具界面的位置的空间数据。处理器还基于相对于解剖特征的空间数据和外科手术工具的第二期望空间配置，确定手术工具相对于工具界面的第一期望空间配置。结果比其他方法更精确和更不复杂，例如基于解剖特征的绝对位置和手术室内的手术工具的方法。

6. 发明申请

WO2016164311A1 SYSTEMS AND METHODS OF REGISTRATION COMPENSATION IN IMAGE GUIDED SURGERY 审中-公开
标题翻译：图像指导手术中的注册补偿系统和方法
公开(公告)号：WO2016164311A1
公开(公告)日：2016-10-13
申请号：PCT/US2016/025891
申请日：2016-04-04
申请人： INTUITIVE SURGICAL OPERATIONS, INC.
发明人： BARBAGLI, Federico , CARLSON, Christopher R. , DONHOWE, Caitlin Q. , DUINDAM, Vincent , SOPER, Timothy D. , ZHAO, Tao
IPC分类号： A61B1/00
CPC分类号： A61B34/20 , A61B1/00147 , A61B1/01 , A61B1/2676 , A61B34/10 , A61B34/35 , A61B90/37 , A61B2034/104 , A61B2034/105 , A61B2034/2051 , A61B2034/2057 , A61B2034/2061 , A61B2034/207 , A61B2034/301 , A61B2090/365 , A61B2090/3945 , A61B2090/397
摘要： A method performed by a computing system comprises receiving shape information for an elongate flexible portion of a medical instrument. The medical instrument includes a reference portion movably coupled to a fixture having a known pose in a surgical reference frame. The fixture includes a constraint structure having a known constraint structure location in the surgical reference frame. The elongate flexible portion is coupled to the reference portion and is sized to pass through the constraint structure. The method further includes receiving reference portion position information in the surgical reference frame; determining an estimated constraint structure location in the surgical reference frame from the reference portion position information and the shape information; determining a correction factor by comparing the estimated constraint structure location to the known constraint structure location; and modifying the shape information based upon the correction factor.
摘要翻译：由计算系统执行的方法包括接收医疗器械的细长柔性部分的形状信息。医疗器械包括参考部分，其可移动地联接到在外科参考系中具有已知姿势的固定装置。该固定装置包括在外科参考系中具有已知约束结构位置的约束结构。细长的柔性部分联接到参考部分并且被设计成穿过约束结构。该方法还包括在外科参考系中接收参考部分位置信息; 从所述参考部位置信息和所述形状信息确定所述手术参考系中的估计约束结构位置; 通过将估计的约束结构位置与已知约束结构位置进行比较来确定校正因子; 以及基于所述校正因子修改所述形状信息。

7. 发明申请

WO2016090239A1 ELECTRODE PLACEMENT AND TREATMENT SYSTEM AND METHOD OF USE THEREOF 审中-公开
标题翻译：电极放置和处理系统及其使用方法
公开(公告)号：WO2016090239A1
公开(公告)日：2016-06-09
申请号：PCT/US2015/063981
申请日：2015-12-04
申请人： RUSH UNIVERSITY MEDICAL CENTER
发明人： ROSSI, Marvin, A. , CENDEJAS ZARAGOZA, Leopoldo
IPC分类号： A61B5/00
CPC分类号： A61B5/0042 , A61B5/055 , A61B5/4094 , A61B2034/104 , A61B2576/026 , A61N1/0529 , G06F19/00 , G06F19/3481 , G16H50/50
摘要： Certain aspects of the invention provide a system and a method for treating an epileptic condition or a tumor of the brain. In one embodiment, the method of treating the epileptic condition includes acquiring inter- and post-ictal imaging profiles and from the brain of the patient and determining an ictal propagation pathway based on the profiles. A volume of cortical activation is determined for each of a plurality of virtual electrode placement positions based on the ictal propagation pathway and the virtual electrode placement position. An electrode is implanted at a position selected from the plurality of virtual electrode placement positions, based on the volume of cortical activation at the implantation position. An electrical pulse is delivered from the electrode, where the electrical pulse is of a magnitude and duration effective to at least reduce the epileptic seizure.
摘要翻译：本发明的某些方面提供了治疗癫痫病症或脑肿瘤的系统和方法。在一个实施方案中，治疗癫痫病症的方法包括从患者的脑部获取发作后和发作后成像概况，并基于轮廓确定发作传播途径。基于发声传播路径和虚拟电极放置位置，为多个虚拟电极放置位置中的每一个确定皮质激活的体积。基于在植入位置处的皮质激活的体积，将电极植入在从多个虚拟电极放置位置中选择的位置处。电脉冲从电极传送，其中电脉冲具有至少减少癫痫发作的有效程度和持续时间。

8. 发明申请

WO2016026029A1 FEEDBACK FOR PROVIDING ARTIFICIAL BONE FLAP 审中-公开
标题翻译：用于提供人造骨瓣的反馈
公开(公告)号：WO2016026029A1
公开(公告)日：2016-02-25
申请号：PCT/CA2015/050196
申请日：2015-03-17
申请人： SYNAPTIVE MEDICAL (BARBADOS) INC. , PIRON, Cameron , YUWARAJ, Thas , RICHMOND, Joshua , SELA, Gal
发明人： PIRON, Cameron , YUWARAJ, Thas , RICHMOND, Joshua , SELA, Gal
IPC分类号： A61B19/00 , A61B17/68 , A61B17/84 , G06F19/00
CPC分类号： A61F2/4601 , A61B5/0035 , A61B5/0037 , A61B5/0042 , A61B5/0066 , A61B5/055 , A61B5/064 , A61B5/1072 , A61B5/1079 , A61B6/03 , A61B6/032 , A61B6/037 , A61B6/505 , A61B6/5229 , A61B8/0841 , A61B17/00491 , A61B17/0642 , A61B17/86 , A61B34/00 , A61B34/10 , A61B34/20 , A61B2034/104 , A61B2034/105 , A61B2034/107 , A61B2034/108 , A61B2034/2051 , A61B2034/2055 , A61B2034/2065 , A61B2034/2068 , A61B2090/363 , A61B2090/365 , A61B2090/3735 , A61F2/28 , A61F2/2875 , A61F2/30942 , A61F2/46 , A61F2002/2835 , A61F2002/30948 , A61F2002/4632 , G05B19/4097 , G05B2219/35134 , G05B2219/49007
摘要： Methods and systems for providing feedback to guide selection of an artificial bone flap. A user interface for planning a neurosurgical procedure is provided, the neurosurgical procedure including closing of an opening in a portion of a patient's skull using an artificial bone flap. 3D dimensions of the opening are determined using at least pre-operative three-dimensional (3D) imaging data. One or more parameters for selecting an artificial bone flap are determined, where the one or more parameters are based on at least the 3D dimensions of the opening. Output indicating one or more recommended available artificial bone flaps suitable for closing the opening is provided, the recommendation being based on the determined one or more parameters.
摘要翻译：提供反馈以指导人造骨瓣选择的方法和系统。提供了一种用于规划神经外科手术的用户界面，所述神经外科手术包括使用人造骨瓣关闭患者头骨的一部分中的开口。使用至少术前三维（3D）成像数据确定开口的3D尺寸。确定用于选择人造骨瓣的一个或多个参数，其中一个或多个参数至少基于开口的3D尺寸。提供了指示适合于关闭开口的一个或多个推荐的可用人造骨瓣的输出，该推荐基于所确定的一个或多个参数。

9. 发明申请

WO2016026021A1 INTRA-OPERATIVE DETERMINATION OF DIMENSIONS FOR FABRICATION OF ARTIFICIAL BONE FLAP 审中-公开
标题翻译：用于制造人造骨瓣的尺寸的手术操作确定
公开(公告)号：WO2016026021A1
公开(公告)日：2016-02-25
申请号：PCT/CA2014/050798
申请日：2014-08-20
申请人： SYNAPTIVE MEDICAL (BARBADOS) INC. , PIRON, Cameron , YUWARAJ, Murugathas
发明人： PIRON, Cameron , YUWARAJ, Murugathas
IPC分类号： A61F2/46 , A61B5/107 , A61F2/28
CPC分类号： A61F2/4601 , A61B5/0035 , A61B5/0037 , A61B5/0042 , A61B5/0066 , A61B5/055 , A61B5/064 , A61B5/1072 , A61B5/1079 , A61B6/03 , A61B6/032 , A61B6/037 , A61B6/505 , A61B6/5229 , A61B8/0841 , A61B17/00491 , A61B17/0642 , A61B17/86 , A61B34/00 , A61B34/10 , A61B34/20 , A61B2034/104 , A61B2034/105 , A61B2034/107 , A61B2034/108 , A61B2034/2051 , A61B2034/2055 , A61B2034/2065 , A61B2034/2068 , A61B2090/363 , A61B2090/365 , A61B2090/3735 , A61F2/28 , A61F2/2875 , A61F2/30942 , A61F2/46 , A61F2002/2835 , A61F2002/30948 , A61F2002/4632 , G05B19/4097 , G05B2219/35134 , G05B2219/49007
摘要： Methods and systems for calculating dimensions for fabricating an artificial bone flap. Intra-operative data indicating dimensions of an opening in a portion of the patient's skull are obtained. 3D dimensions of the opening are calculated using the intra-operative data, registered to a reference image. The calculated 3D dimensions are provided for fabricating the artificial bone flap by a fabrication system.
摘要翻译：用于计算制造人造骨瓣的尺寸的方法和系统。获得指示患者头骨的一部分中的开口的尺寸的手术内数据。使用注册到参考图像的手术内数据来计算开口的3D尺寸。提供的计算的3D尺寸用于通过制造系统制造人造骨瓣。

10. 发明申请

WO2016018754A1 MULTIPLE LEAD ELECTRODE PROBE FOR CONTROLLED TISSUE ABLATION 审中-公开
标题翻译：用于控制组织消除的多引线电极探针
公开(公告)号：WO2016018754A1
公开(公告)日：2016-02-04
申请号：PCT/US2015/042008
申请日：2015-07-24
申请人： BOSTON SCIENTIFIC SCIMED, INC.
发明人： FORSYTH, Bruce R. , ROHL, James P. , LEHSE, David J. , EGGERT, Joel T. , ARNHOLT, Devon N.
IPC分类号： A61B18/14 , A61B18/00
CPC分类号： A61B18/14 , A61B18/1477 , A61B18/1492 , A61B34/10 , A61B2017/00867 , A61B2018/00083 , A61B2018/00136 , A61B2018/00214 , A61B2018/00482 , A61B2018/00541 , A61B2018/00577 , A61B2018/00875 , A61B2018/00904 , A61B2018/00982 , A61B2018/1415 , A61B2018/1422 , A61B2018/1435 , A61B2018/1467 , A61B2018/1475 , A61B2034/101 , A61B2034/104
摘要： Tissue regions are treated using a multiple lead electrode probe. A plurality of electrodes may be disposed about an elongate shaft. The elongate shaft may be slidably disposed within a lumen of a delivery sheath. One or more probes including one or more electrically active regions may also be slidably disposed within the delivery sheath. The one or more probes may be configured to extend radially about the elongate shaft. The plurality of electrodes and the electrically active regions may be individually connected to a control and power unit through individual channels.
摘要翻译：使用多引线电极探针处理组织区域。多个电极可以围绕细长轴设置。细长轴可以可滑动地设置在输送护套的内腔内。包括一个或多个电活性区域的一个或多个探针也可以可滑动地设置在输送鞘内。一个或多个探针可以被配置为围绕细长轴径向延伸。多个电极和电活性区域可以通过各个通道单独地连接到控制和功率单元。

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