# US 2021/0343003 A1 · System and Method for Navigating and Illustrating a Procedure

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- Number: US 2021/0343003 A1
- Document ID: US20210343003A1
- Status: Published application
- Kind: A1
- Application number: 16/861,448
- Filed: 2020-04-29
- Published: 2021-11-04
- Earliest claimed: 2020-04-29
- Assignees: Medtronic Navigation, Inc.
- Applicants: Medtronic Navigation, Inc.
- Inventors: Matthew W. Koenig; Marco Capote
- Web page: https://patentgrep.com/patent/US20210343003A1

## CPC

- G06T 7/0012: {Biomedical image inspection}
- A61B 34/10: Computer-aided planning, simulation or modelling of surgical operations
- A61B 34/20: Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61F 2/44: for the spine, e.g. vertebrae or spinal discs
- A61F 2/446: {having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones}
- G06T 7/11: Region-based segmentation
- A61B 6/032: {Transmission computed tomography [CT]}
- A61B 6/037: {Emission tomography}
- A61B 6/4085: {Cone-beams}
- A61B 2034/104: {Modelling the effect of the tool, e.g. the effect of an implanted prosthesis or for predicting the effect of ablation or burring}
- A61B 2034/105: {Modelling of the patient, e.g. for ligaments or bones}
- A61B 2034/108: {Computer aided selection or customisation of medical implants or cutting guides}
- A61B 2034/2051: {Electromagnetic tracking systems}
- A61B 2034/2055: {Optical tracking systems}
- A61B 2034/2063: {Acoustic tracking systems, e.g. using ultrasound}
- A61B 2034/2065: {Tracking using image or pattern recognition}
- A61B 2090/374: {NMR or MRI}
- A61B 2090/3762: {using computed tomography systems [CT]}
- A61F 2002/30332: {Conically- or frustoconically-shaped protrusion and recess}
- A61F 2002/30367: {with additional means for preventing said rotation}
- A61F 2002/30378: {Spherically-shaped protrusion and recess}
- A61F 2002/30426: {Bayonet coupling}
- A61F 2002/30507: {using a threaded locking member, e.g. a locking screw or a set screw}
- A61F 2002/30537: {adjustable}
- A61F 2002/30538: {for adjusting angular orientation}
- A61F 2002/30556: {for adjusting thickness}
- A61F 2002/30601: {telescopic}
- A61F 2002/30649: {Ball-and-socket joints}
- A61F 2002/30841: {Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes}
- G06N 20/00: Machine learning
- G06T 2200/24: involving graphical user interfaces [GUIs]
- G06T 2207/30052: Implant; Prosthesis
- G06T: IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)
- G06N: COMPUTING ARRANGEMENTS BASED ON SPECIFIC COMPUTATIONAL MODELS

## Abstract

Disclosed is a system to assist in a procedure. During the procedure an object may be moved relative to a subject, such as being positioned and/or placed within a subject. The system and related method may be used to assist in displaying and/or determining a pose of the object relative to a subject, such as rigid portions of a subject.

## Claims

### Claim 1

A method of planning an implant configuration for a procedure, comprising:
accessing an image data of a subject having at least a first portion and a second portion of the subject;
analyze a region of interest (ROI) between the first portion and the second portion;
determining a ROI geometry of the region of interest;
accessing a model of an object, the model including at least (i) a dimension of a rigid portion of the object and (ii) a plurality of possible configurations of a configurable portion of the object; and
analyzing the accessed model to determine whether the object may achieve the ROI geometry; and
outputting a result of the analysis of the accessed model.

### Claim 2 (depends on 1)

The method of claim 1, further comprising:
selecting the region of interest in the image data with an input from a user.

### Claim 3 (depends on 1)

The method of claim 1, wherein the plurality of possible configurations of the configurable portion of the object includes at least one of a range of motion of the configurable portion, a plastic deformation range of the configurable portion, and elastic deformation range of the configurable portion, or combinations thereof.

### Claim 4 (depends on 1)

The method of claim 1, wherein outputting the result includes outputting that the object may positively achieve the ROI geometry within a selected threshold or outputting that the object may not achieve the ROI geometry within the selected threshold.

### Claim 5 (depends on 4)

The method of claim 4, further comprising:
evaluating for the implant the first object based on the output result of the analysis of the accessed first model.

### Claim 6 (depends on 1)

The method of claim 1, wherein the model of the object is a first model of a first object, the method further comprising:
accessing a second model of a second object, wherein the second model of the second object includes at least (i) a dimension of a rigid portion of the second object and (ii) a plurality of possible configurations of a configurable portion of the second object; and
analyzing the accessed second model to determine whether the second object may achieve the ROI geometry based on the accessed second model; and
outputting a result of the analysis of the accessed second model.

### Claim 7 (depends on 6)

The method of claim 6, further comprising:
comparing the output result of the analysis of the accessed first model and the output result of the analysis of the accessed second model; and
outputting a comparison result of the comparing the output result of the analysis of the accessed first model and the output result of the analysis of the accessed second model.

### Claim 8 (depends on 7)

The method of claim 7, further comprising:
determining an optimal fit of the first object or the second object to the ROI geometry based on the comparing the output result of the analysis of the accessed first model and the output result of the analysis of the accessed second model.

### Claim 9 (depends on 1)

The method of claim 1, wherein the model is a first model and the object is a first object, the method further comprising:
determining whether the output result of the analysis of the accessed first model matches the ROI geometry within a selected threshold;
if the output result of the analysis of the accessed first model is outside the selected threshold match of the ROI geometry:
accessing a second model of a second object, wherein the second model of the second object includes at least (i) a dimension of a rigid portion of the second object and (ii) a plurality of possible configurations of a configurable portion of the second object; and
analyzing the accessed second model to determine whether the second object may achieve the ROI geometry based on the accessed second model; and
outputting a result of the analysis of the accessed second model.

### Claim 10

A system for planning an implant configuration for a procedure, comprising:
a processor system configured to execute instructions to:
access an image data of a subject having at least a first portion and a second portion of the subject;
analyze a region of interest (ROI) between the first portion and the second portion;
analyze a ROI geometry of the region of interest;
accessing a model of an object, the model including at least (i) a dimension of a rigid portion of the first object and (ii) a plurality of possible configurations of a configurable portion of the first object; and
analyze the accessed model to determine whether the object may achieve the ROI geometry; and
output a result of the analysis of the accessed first model; and
an output device to receive the output.

### Claim 11 (depends on 10)

The system of claim 10, further comprising:
a user input device to input a selection of the region of interest in the image data with an input from a user.

### Claim 12 (depends on 10)

The system of claim 10, wherein the output device is operable to display whether the first object is able to achieve the ROI geometry within a selected threshold.

### Claim 13 (depends on 10)

The system of claim 10, wherein the model of the object is a first model of a first object, and wherein the processor system is configured to execute further instructions to:
access a second model of a second object, wherein the second model of the second object includes at least (i) a dimension of a rigid portion of the second object and (ii) a plurality of possible configurations of a configurable portion of the second object; and
analyze the accessed second model to determine whether the second object may achieve the ROI geometry based on the accessed second model; and
output a result of the analysis of the accessed second model.

### Claim 14 (depends on 13)

The system of claim 13, wherein the processor system is configured to execute further instructions to:
compare the output result of the analysis of the accessed first model and the output result of the analysis of the accessed second model; and
output a comparison result of the comparing the output result of the analysis of the accessed first model and the output result of the analysis of the accessed second model.

### Claim 15 (depends on 14)

The system of claim 14, wherein the processor system is configured to execute further instructions to:
determine an optimal fit of the first object or the second object to the ROI geometry based on the comparing the output result of the analysis of the accessed first model and the output result of the analysis of the accessed second model.

### Claim 16 (depends on 10)

The system of claim 10, wherein the model of the object is a first model of a first object, and wherein the processor system is configured to execute further instructions to:
determine whether the output result of the analysis of the accessed first model matches the ROI geometry within a selected threshold;
if the output result of the analysis of the accessed first model is outside the selected threshold match of the ROI geometry:
access a second model of a second object, wherein the second model of the second object includes at least (i) a dimension of a rigid portion of the second object and (ii) a plurality of possible configurations of a configurable portion of the second object; and
analyze the accessed second model to determine whether the second object may achieve the ROI geometry based on the accessed second model; and
output a result of the analysis of the accessed second model.

### Claim 17

A method of planning an implant configuration for a procedure, comprising:
accessing an image data of a subject having at least a first portion and a second portion of the subject;
analyze a region of interest (ROI) between the first portion and the second portion;
determining a ROI geometry of the region of interest;
accessing a model of an object, the model including at least (i) a dimension of a rigid portion of the object and (ii) a plurality of possible configurations of a configurable portion of the object; and
analyzing the accessed model to determine an optimal fit of the object to achieve the ROI geometry; and
outputting a result of the analysis of the accessed model.

### Claim 18 (depends on 17)

The method of claim 17, wherein the object comprises a first object and a second object and the model comprises a first model and a second model;
wherein the first model includes (i) a first dimension of a first rigid portion of the first object and (ii) a first plurality of possible configurations of a first configurable portion of the first object;
wherein the second model includes (i) a second dimension of a second rigid portion of the second object and (ii) a second plurality of possible configurations of a second configurable portion of the second object.

### Claim 19 (depends on 18)

The method of claim 18, wherein analyzing the accessed model includes analyzing the first model and the second model to determine the optimal fit of at least one of the first object or the second object to achieve the ROI geometry.
