# US 11,992,276 B2 · Persistent guide wire identification > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,992,276 B2 - Document ID: US11992276B2 - Status: Granted - Kind: B2 - Application number: 17/442,098 - Filed: 2020-03-25 - Published: 2022-05-26 - Granted: 2024-05-28 - Earliest claimed: 2019-03-26 - Assignees: Koninklijke Philips N.V. - Applicants: Koninklijke Philips N.V. - Inventors: Vincent Maurice André Auvray; Raoul Florent - Web page: https://patentgrep.com/patent/US11992276B2 ## CPC - A61B 34/20: Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis - G16H 40/63: for local operation - A61B 6/12: Arrangements for detecting or locating foreign bodies - A61B 6/463: {characterised by displaying multiple images or images and diagnostic data on one display} - A61B 90/37: {Surgical systems with images on a monitor during operation} - A61B 90/92: coded with colour - A61B 90/94: coded with symbols, e.g. text - G16H 30/40: for processing medical images, e.g. editing - A61B 6/032: {Transmission computed tomography [CT]} - A61B 6/4435: {the source unit and the detector unit being coupled by a rigid structure} - A61B 6/484: {involving phase contrast X-ray imaging} - A61B 6/485: {involving fluorescence X-ray imaging} - A61B 2034/2051: {Electromagnetic tracking systems} - A61B 2090/376: {using X-rays, e.g. fluoroscopy} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA ## Abstract A system (IPS) for supporting image-based navigation, comprising: an input interface (IN) for reviving one or more input images acquired by an X-ray imager (IA) whilst two or more medical devices (GW1, GW2) are present in a field of view (FoV) of the X-ray imaging apparatus. An image identifier (ID) identifies the two or more medical devices based on image information in the one or more images. A tagger (TGG) associates a respective, unique, tag with each of at least two of the two or more medical devices (GW1, GW2) so identified. A graphics display generator (GDG) effects displaying on a display device (DD) the one or more input images in a video feed, with the tags included. ## Claims ### Claim 1 A system for supporting image-based navigation, the system comprising: an input interface for reviving one or more input images acquired by an X-ray imager whilst two or more medical devices are present, at the a same time or at different one or more times, in a field of view of the X-ray imager; an image identifier configured to identify the two or more medical devices based on image information in the one or more input images, the image identifier thereby capable of distinguishing between the two or more medical devices; a tagger, configured to associate respective tags with each of at least two of the two or more medical devices so identified; and a graphics display generator configured to display on a display device the one or more input images in a video feed, with the tags included; wherein at least one further input image is received at the input interface, and the graphics display generator is configured to display on the display device, only when the image identifier re-identifies in the at least one further input image at least one of the two or more medical devices, the at least one further input image as part of the video feed, thereby including a same tag as earlier associated by the tagger with the said at least one of the two or more medical devices. ### Claim 2 (depends on 1) The system of claim 1, wherein the image identifier includes a detector module configured to detect transmission footprints in the one or more input images caused by a presence of the two or more medical devices in the field of view. ### Claim 3 (depends on 2) The system of claim 2, wherein the tagger is configured to implement a clustering algorithm to process the detected transmission footprints into clusters, each cluster corresponding to one of the two or more medical devices. ### Claim 4 (depends on 2) The system of claim 2, wherein the tagger is capable of changing a number of clusters in dependence on whether a new medical device is present or at least one of the two or more medical devices is removed. ### Claim 5 (depends on 2) The system of claim 2, wherein an association operation by the tagger is based on one or more features, the one or more features including one or more of a combination of: a respective shape of the detected transmission footprints, a current respective image position of the detected transmission footprints, and a current anatomical location of a respective medical device. ### Claim 6 (depends on 1) The system of claim 1, wherein at least two of the two or more input images or of the at least one further input image is acquired at different imaging geometries. ### Claim 7 (depends on 5) The system of claim 5, wherein the tagger is configured to selectively adjust an influence of one or more of the one or more features on the association operation, in dependence on a change of the X-ray imager's imaging geometry. ### Claim 8 (depends on 1) The system of claim 1, wherein the one or more input images are one or more projection images. ### Claim 9 (depends on 1) The system of claim 1, wherein at least one of the two or more medical devices is a guidewire. ### Claim 10 (depends on 1) The system of claim 1, further comprising at least one of the X-ray imager or the display device. ### Claim 11 A method for supporting image based navigation, the method comprising: receiving one or more input images acquired by an X-ray imager whilst two or more medical devices are present, at the a same time or at different one or more times, in a field of view of the X-ray imager; identifying the two or more medical devices based on image information in the one or more input images, the image identifier thereby capable of distinguishing between the two or more medical devices; associating a respective, unique, tag with each of at least two of the two or more medical devices so identified; and displaying on a display device the one or more input images in a video feed, with the tag associated with each of the at least two of the two or more medical devices included; further comprising: receiving at least one further input image and, displaying on the display device the at least one further input image as part of the video feed only when in the at least one further input image at least one of the two or more medical devices is re-identified, thereby including a same tag as earlier associated with the said at least one of the two or more medical devices. ### Claim 12 (depends on 11) A computer program element, which, when being executed by at least one processing unit, causes the at least one processing unit to perform the method as per claim 11. ### Claim 13 (depends on 12) A non-transitory computer readable medium having stored thereon the computer program element of claim 12.