# US 2017/0281139 A1 · Sytems and methods for display of pathological data in an image guided prodedure

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- Number: US 2017/0281139 A1
- Document ID: US20170281139A1
- Status: Published application
- Kind: A1
- Application number: 15/505,865
- Filed: 2015-08-20
- Published: 2017-10-05
- Earliest claimed: 2014-08-23
- Assignees: Intuitive Surgical Operations, Inc.
- Applicants: Intuitive Surgical Operations, Inc.
- Inventors: Federico Barbagli; Christopher R. Carlson
- Web page: https://patentgrep.com/patent/US20170281139A1

## CPC

- A61B 10/04: Endoscopic instruments, e.g. catheter-type instruments
- A61B 1/01: Guiding arrangements therefore
- A61B 10/0233: {Pointed or sharp biopsy instruments}
- A61B 10/06: Biopsy forceps {, e.g. with cup-shaped jaws}
- A61B 17/00234: {for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence)}
- A61B 34/20: Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B 34/35: for telesurgery
- A61B 34/37: Leader-follower robots (A61B34/35 takes precedence)
- A61B 34/74: {Manipulators with manual electric input means}
- A61B 34/76: {Manipulators having means for providing feel, e.g. force or tactile feedback}
- A61B 90/37: {Surgical systems with images on a monitor during operation}
- A61B 18/00: Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body (eye surgery A61F9/007; ear surgery A61F11/00)
- A61B 2010/045: {Needles (pointed biopsy devices with vacuum aspiration A61B10/0283)}
- A61B 2017/00203: {with speech control or speech recognition}
- A61B 2017/00207: {with hand gesture control or hand gesture recognition}
- A61B 2017/003: {Steerable}
- A61B 2034/2051: {Electromagnetic tracking systems}
- A61B 2034/2053: {Tracking an applied voltage gradient}
- A61B 2034/2055: {Optical tracking systems}
- A61B 2034/2061: {using shape-sensors, e.g. fiber shape sensors with Bragg gratings}
- A61B 2034/2063: {Acoustic tracking systems, e.g. using ultrasound}
- A61B 2034/2065: {Tracking using image or pattern recognition}
- A61B 2034/256: {having a database of accessory information, e.g. including context sensitive help or scientific articles}
- A61B 2034/301: {for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes}
- A61B 2034/741: {Glove like input devices, e.g. "data gloves"}
- A61B 2034/742: {Joysticks}
- A61B 2090/364: {Correlation of different images or relation of image positions in respect to the body}
- A61B 2090/365: {augmented reality, i.e. correlating a live optical image with another image}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A method comprises displaying an image of a patient anatomy for guiding a medical instrument to a deployment location during a medical procedure. The method further comprises recording a first sample identifier for a first tissue sample. The method also comprises receiving first tissue sample pathology information about the first tissue sample. The method also comprises displaying the first sample identifier with the first tissue sample pathology information during the medical procedure.

## Claims

### Claim 1

A method comprising:
displaying an image of a patient anatomy for guiding a medical instrument to a deployment location during a medical procedure;
recording a first sample identifier for a first tissue sample;
receiving first tissue sample pathology information; and
displaying the first sample identifier with the first tissue sample pathology information during the medical procedure.

### Claim 2 (depends on 1)

The method of claim 1 further comprising:
recording a second sample identifier for a second tissue sample;
receiving a second tissue sample pathology information;
displaying the second sample identifier with the second tissue sample pathology information.

### Claim 3 (depends on 1)

The method of claim 1 further comprising:
receiving the first tissue sample from a patient anatomy into the medical instrument.

### Claim 4 (depends on 1)

The method of claim 1 wherein the image of the patient anatomy, the first sample identifier, and the first tissue sample pathology information are displayed on a common display.

### Claim 5 (depends on 1)

The method of claim 1, wherein the image of the patient anatomy is captured by the medical instrument, and wherein the displaying of the first tissue sample pathology information occurs while at least a portion of the medical instrument is contained within the patient anatomy.

### Claim 6 (depends on 1)

The method of claim 1 wherein the image of the patient anatomy is a pre-operative image of the patient anatomy.

### Claim 7 (depends on 1)

The method of claim 1 further comprising displaying a first marker at a first tissue sample site.

### Claim 8 (depends on 1)

The method of claim 1 wherein the first sample identifier includes a first time stamp.

### Claim 9 (depends on 1)

The method of claim 1 wherein the first sample identifier includes a first location stamp.

### Claim 10 (depends on 1)

The method of claim 1 wherein the first tissue sample pathology information includes a digital image of at least a portion of the first tissue sample obtained from a digital microscope.

### Claim 11 (depends on 1)

The method of claim 1 wherein the first tissue sample pathology information includes an analysis of the first tissue sample.

### Claim 12 (depends on 1)

The method of claim 1 wherein the image of the patient anatomy is a three-dimensional model of the patient anatomy.

### Claim 13 (depends on 1)

The method of claim 1 further comprising performing a pathology analysis of the first sample.

### Claim 14

A system comprising:
a medical instrument including a movable portion that is controlled using a computer system, the computer system including a processor and a memory;
wherein the memory includes machine readable instructions that, when executed by the processor, cause the system to:
display an image of a patient anatomy for guiding the medical instrument to a deployment location during a medical procedure;
record a first sample identifier for a first tissue sample;
receive first tissue sample pathology information; and
display the first sample identifier with the first tissue sample pathology information during the medical procedure; and

### Claim 15 (depends on 14)

The system of claim 14 wherein the memory further comprises machine readable instructions that, when executed by the processor, cause the system to:
record a second sample identifier for a second tissue sample;
receive second tissue sample pathology information; and
display the second sample identifier with the second tissue sample pathology information during the medical procedure.

### Claim 16 (depends on 14)

The system of claim 14 wherein the memory further comprises machine readable instructions that, when executed by the processor, cause the system to receive the first tissue sample from a patient anatomy into the medical instrument.

### Claim 17 (depends on 14)

The system of claim 14 further comprising a display system, wherein the image of the patient anatomy, the first sample identifier, and the first tissue sample pathology information are displayed on the display system.

### Claim 18 (depends on 14)

The system of claim 14 wherein the medical instrument includes an image capture system for capturing the image of the patient anatomy, and wherein displaying the first sample identifier with the first tissue sample pathology information during the medical procedure comprises displaying the first sample identifier with the first tissue sample pathology information while at least a portion of the medical instrument is contained within the patient anatomy.

### Claim 19 (depends on 14)

The system of claim 14 wherein the image of the patient anatomy is a pre-operative image of the patient anatomy.

### Claim 20 (depends on 14)

The system of claim 14 wherein the memory further comprises machine readable instructions that, when executed by the processor, cause the system to display a first marker at a first tissue sample site.

### Claim 21 (depends on 14)

The system of claim 14 wherein the first sample identifier includes a first time stamp.

### Claim 22 (depends on 14)

The system of claim 14 wherein the first sample identifier includes a first location stamp and the second sample identifier includes a second location stamp.

### Claim 23 (depends on 14)

The system of claim 14 wherein the first tissue sample pathology information includes a digital image of at least a portion of the first tissue sample obtained from a digital microscope.

### Claim 24 (depends on 14)

The system of claim 14 wherein the first tissue sample pathology information includes a pathology analysis of the first tissue sample.

### Claim 25 (depends on 14)

The system of claim 14 wherein the image of the patient anatomy is a three-dimensional model of the patient anatomy.

### Claim 26 (depends on 14)

The system of claim 14 wherein the memory further comprises machine readable instructions that, when executed by the processor, cause the system to perform a pathology analysis of the first tissue sample.
