18-3 · Patient safety · 2026-11-14
Surgical Environment Error Prevention
Replay instrument labels and surgical phases to evaluate instrument state tracking and alert conditions.
Research question and target
Evaluate tracking within the visible field. Use fixed sequences with occlusion to test arrival and removal counts.
- Internal target
- Zero instrument count omissions on the fixed test
- Programme
- Patient safety
- Evidence on this record
Evaluation data
- CAMMA Cholec80 videos and tool annotations
Cholec80 release · CAMMA overlap index 8347b9f4cb02ebe739747903e6eada272ee9d25e
Manifest locked - CholecTrack20 CVPR 2025
2025-02-28 Synapse release
Split rule locked - Independent instrument and sponge counts linked to video
Eligible reference set pending
Blocked
Sources and eligibility
CC BY-NC-SA 4.0 applies. Tool presence in visible frames covers a different endpoint from instrument movement throughout the room or retained objects.
Supports tool presence and segmentation in surgical video. Coverage is limited to the observable field.
The repository specifies CC BY-NC-SA 4.0. It provides phase, instrument and action labels, with views outside the abdominal cavity blurred.
Boundary cases
- Tracking and duplicate counts after smoke, occlusion or departure from the camera field
- A retained-item mismatch flagged before closure in synthetic sequences
- Single-frame latency of at most 33 ms on fixed hardware
Common synthetic checks
- Occlusion, arrival and removal tracking · 5/5 matched
What the official call asks
Automatic counting of surgical instruments and patient identification before and after surgery are separate areas. Validation takes place in real operating rooms at three or more hospitals, with designated types of institution taking part.
Proposal requirements, printed pages 101–104 · All twelve requirements
Interpretation and next evaluation
In-frame presence and segmentation cover a different observation space from total instrument inventories. Report the synthetic missed-count denominator.
- Next check
- Lock visibility, occlusion and tracking ID criteria and define separate video and synthetic count metrics.