The present invention relates to safety in a dynamic 3D healthcare environment. The invention in particular relates to a medical safety-system for dynamic 3D healthcare environments, a medical examination system with motorized equipment, an image acquisition arrangement, and a method for providing safe movements in dynamic 3D healthcare environments. In order to provide improved safety in dynamic 3D healthcare environments with a facilitated adaptability, a medical safety-system (10) for dynamic 3D healthcare environments is provided, comprising a detection system (12), a processing unit (14), and an interface unit (16). The detection system comprises at least one sensor arrangement (18) adapted to provide depth information of at least a part of an observed scene (22). The processing unit comprises a correlation unit (24) adapted to correlate the depth information. The processing unit comprises a generation unit (26) adapted to generate a 3D free space model (32). The interface unit is adapted to provide the 3D free space model.
