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We have developed an augmented reality system capable of projecting preoperative plans directly onto a patient using rapidly scanned laser beams. Projected contours can typically represent cut paths, tumors or delineate boundaries of interest. The system can be used as part of, or a replacement for, conventional robotic Telesurgery systems. Because the graphics are projected, there is no degradation in surgeon's view due to optical components interposed between the surgeon's eye and the patient. This system has been designed to work with a common infrared 3D camera system used in image-guided surgery, and projects both visible and infrared beams. The IR beam enables surface digitization functions to be carried out using the camera. The clinical accuracy is in the range required by CAS procedures, around 1-2mm. The device will be particularly useful for executing precise preoperative plans and for teleconsultation applications, where planned or live consultations can be efficiently communicated to a less skilled local caregiver.
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