JP2001161648A - System for medical treatment - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a system for medical treatment of which the configuration information need not be inputted again even if a trouble occurs and replacement is needed for a memory storing various kinds of configuration information. SOLUTION: Images provided by electronic endoscopes 2A, 2B are compressed by a compression expansion unit 3, transmitted to a control unit 4, recorded in a hard disk 16 inside the control unit 4, and form a database 17 with a searching function or the like. In the hard disk 16, there is stored the configuration information 18 such as configuration information 18a or the like for setting an identification number for each unit. The configuration information 18 is needed when the control unit 4 does a required control. The configuration information 18 is also stored in an EEPROM(electrically erasable programmable read-only memory) 41. The EEPROM 41 is provided in the compression expansion unit 3 and is an external unit of the control unit 4. The control unit 4 and the compression expansion unit 3 are connected through a communication line 9. If a trouble occurs and replacement is needed for the control unit 4, the configuration information 18 is read out form the EEPROM 41 and required operation can be done without inputting the information again.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

[0001] 1. Field of the Invention [0002] The present invention relates to a medical system for filing medical images, and more particularly, to a stand-alone medical system capable of inputting, recording, retrieving, and reproducing images by itself.

[0002]

2. Description of the Related Art In recent years, an electronic endoscope using a solid-state image pickup device as an image pickup means at a distal end thereof has been widely used instead of a fiberscope for observing the inside of a body cavity using an image guide formed of an optical fiber. Became.

Along with this, a method of recording an endoscopic image of a body cavity taken or imaged has been changed from a photograph as an analog recording medium to a hard disk (H) as a digital recording medium.
DD), a magneto-optical disk (MO), and a digital recording medium such as a digital video disk (DVD).

An image filing apparatus has been proposed which compresses an image from an electronic endoscope apparatus or the like, records and saves the image on the digital recording medium, and retrieves and reproduces it when necessary. In the image filing apparatus for an endoscope image as described above, at the time of an endoscopic examination, patient data such as a patient ID, a name, a date of birth, and gender are input to an electronic endoscope apparatus using a keyboard or the like. The input patient data is recorded together with the endoscopic image at the time of the examination.

[0005] Then, it is possible to retrieve patient data recorded after the examination, examination data such as examination date and the like as search information, and reproduce the recorded image. Also,
It is also possible to input and manage finding information and the like for inspection as inspection data. Therefore, for example, it is possible to search and display the image of the same patient at the time of the past examination, observe changes in the affected part, etc., and efficiently perform diagnostic treatment.

[0006]

In the image filing apparatus, various settings are usually necessary or possible. For example, setting data required for operating the device, such as the type of the electronic endoscope device to be connected, a unit ID number for identifying the device, and settings such as ON / OFF of various functions and operation modes. Setting information (operation information) exists.

(1) However, when the device is repaired or replaced due to a device failure or the like, such setting information is lost. Therefore, when it is desired to use the device in the same setting state as before the failure, There is a problem that various setting information must be input again.

Further, in order to be able to re-enter the setting information in the event of a failure, the setting information can be recorded or backed up. It took time to manage. In addition, every time the setting is changed, it is necessary to make a copy of the information and to make a backup again.

(2) When a plurality of image filing apparatuses are used, even when a plurality of apparatuses are to be used with the same settings, it is necessary to input the same settings for each apparatus. Time was required.

(Object of the Invention) The present invention has been made in view of the above-mentioned points, and has the following objects. (1) Various kinds of setting information can be obtained even when the device is repaired or replaced due to a device failure or the like. An object of the present invention is to provide a medical system that does not require re-input of (operation information). (2) An object of the present invention is to provide a medical system which can eliminate various setting inputs when a plurality of devices are used, and can reduce the input labor.

[0011]

In a medical system comprising a control device for performing a predetermined control process and an externally connected device connected to the control device, the medical system is provided in the control device and operates by the control device. A first operation information storage unit for storing operation information indicating a state, a second operation information storage unit provided in the externally connected device and capable of storing the operation information, and the first operation information storage unit. Communication means for enabling the communication of the stored information with the second operation information storage means, so that the second operation information storage means can be connected to the second operation information storage means. By reading the operation information stored in the operation information storage means, it becomes unnecessary to re-input various operation information.

[0012]

Embodiments of the present invention will be described below with reference to the drawings. (Embodiment) FIGS. 1 to 18 relate to an embodiment of the present invention, and FIG. 1 shows a configuration of an endoscope image filing apparatus of an embodiment of a medical system of the present invention.
FIG. 3 shows the specific contents of the patient database file.
4 shows the specific contents of the inspection database file, and FIG.
5 shows an example of examination dates of patients A and B, FIG. 5 shows that a plurality of database files are linked by patient ID and the like, FIG. 6 shows the structure of each screen displayed on the monitor, and FIG. 8 shows a specific display example of the main screen, FIG. 8 shows a flow of processing at the time of inspection on the main screen, FIG. 9 shows a flow of processing of inspection execution of FIG. 8, and FIG. FIG. 11 shows a flow of a search / display operation of a recorded image, FIG. 12 shows a flow of an image display process in FIG. 11, and FIG. 13 shows a display management of setting information. FIG. 14 shows the flow of processing, and FIG. 14 shows the flow of processing when restoring setting information due to replacement of a control device.
5 shows a flow of processing of the setting information import / export function, FIG. 16 shows a specific display example of the option setting screen, FIG. 17 shows a specific display example of the era setting screen, and FIG. Shows the specific contents of the setting information file.

As shown in FIG. 1, an endoscope image filing apparatus 1 according to an embodiment of the present invention includes electronic endoscope apparatuses 2A and 2B for performing an endoscopic inspection, and electronic endoscope apparatuses 2A and 2B.
Compression / decompression device 3 for compressing and decompressing an endoscope image input from
A control device 4 which is connected by a communication line 9 capable of communication and comprises a personal computer or the like which performs control processing of each device, recording control processing of endoscope images, search processing, reproduction control processing, and the like; And a monitor 5 connected to the controller 4 for displaying images and data, and a magneto-optical disk device connected to the controller 4 for recording images and data (abbreviated as MO device).
And 6.

Further, a keyboard 7 and a mouse 8 for inputting data and operation instructions are connected to the control device 4. Also, a plurality of MO devices 6 can be connected to the control device 4. The compression / expansion device 3 connected to the control device 4 via the communication line 9 includes the electronic endoscope device 2.
Two observation devices such as A and 2B can be connected.

The communication line 9 connecting the control device 4 and the compression / decompression device 3 is composed of a digital signal line such as a data bus connected to a hard disk 16 by a CPU (not shown) constituting the control device 4, for example. It is possible to transmit and receive data (communication) via an interface (not shown).

An endoscope apparatus 2A, 2B shown in FIG. 1 includes an electronic endoscope 11 inserted into a body cavity, and the electronic endoscope 11
A light source device 12 for supplying illumination light to the camera and a camera control unit (CCU) for performing signal processing on an endoscopic image obtained by imaging an affected part or the like in a body cavity by an imaging element of the electronic endoscope 11
13) and a monitor 1 that displays an endoscope image when a video signal output from the CCU 13 is input.
And 4.

The electronic endoscope 11 has an elongated insertion portion 11.
a and an operating portion 11b provided at the rear end of the insertion portion 11a
The operation unit 11b is provided with a release switch 11c for giving a release instruction. By pressing the release switch 11c, a release instruction signal is output, and an endoscope image can be recorded. .

The controller 4 has a built-in hard disk 16 capable of storing / reproducing (reading) information at a relatively high speed as, for example, a nonvolatile information recording means. Related information is managed as a database 17. In addition, the hard disk 16 has an
Various setting information (operation information) 18 that requires setting is also recorded, and the control device 4 performs an operation of controlling each device and the like with reference to the setting information 18.

The database 17 includes a patient database file 17a, an examination database file 17b, an image database file 17c, etc., and setting information 18
Are composed of ID number setting information 18a of each device described later, numbers 18b unique to each facility,..., Customizing information 18e, and the like.

The compression / expansion device 3 as an external device other than the control device 4 includes, as nonvolatile information storage means, for example, an electrically rewritable EEPROM 41.
The setting information 18 is also stored in the EEPROM 41.

That is, in the present embodiment, the setting information 18 is recorded (stored) on the hard disk 16 built in the control device 4 and the setting information 18 can be communicated to the control device 4 (communication means is provided). For example, an EEPROM (electrically erasable program) built in the compression / expansion device 3 as an external device connected via the communication line 9
The setting information 18 is also stored in the mable ROM 41 so that, for example, when the control device 4 of the device 1 fails or when the control device 4 needs to be replaced, the EEPRO is used.
By reading or transmitting the setting information 18 recorded in the M41 from the exchanged control device 4, the various setting information 18
Image filing device 1 easily without re-inputting
The feature is that it can be constructed.

The control device 4 monitors whether the setting information 18 has been updated. If the setting information 18 has been updated, the control device 4 transmits the updated setting information 18 to the compression / decompression device 3 and performs EE.
The setting information 18 of the PROM 41 is similarly updated. When the control device 4 updates the setting information 18 by software, the setting information may be copied (overwritten) to the EEPROM 41 after the updating.

The update of the setting information 18 of the control device 4 is performed at regular intervals, instead of monitoring the update as described later.
The setting information 18 of the control device 4 may be copied (overwritten) to the ROM 41 at the time of termination of the device 1 or the like.
The data may be copied (overwritten) to the OM 41.

Each table in FIGS. 2 and 3 shows an example of a recorded database file. FIG. 2 shows a patient database file 17a in which data of each patient who has undergone an examination is recorded. The “patient ID” is a number that is individually assigned to each patient so that each patient can be identified. One patient is specified by specifying the “patient ID”, “name”, “birth date”, and the like.

Next, the table of FIG. 3 is an examination database file 17b, in which recording is performed in units of one examination performed on one patient. “Inspection ID” is a number assigned in the order in which the inspection was performed. This "Inspection I
One test is specified by specifying "D", "test date", "medical department", and the like. In addition, as inspection data,
Items other than those shown in the table of FIG.

(5) Age at examination, examination comment, examination type,
Hospitalization, outpatient, endoscope model, physician, lesion site, diagnosis name,
Biopsy No. , Diagnosis details, biopsy results, special tests, film types, film numbers, film locations. These patient database files 17a and test database files 17b are managed using a patient ID as a key. Are recorded in association with each other.

The recorded endoscope image is recorded in association with examination data. As described above, since the patient-examination-image is associated (recorded) in association with each other, it is possible to retrieve desired information from a piece of information.

As shown in FIG. 4, unlike the patient B in which only one test is performed, a plurality of tests (periodic test, continuous test, re-test, heterogeneous test, etc.) are performed like the patient A. There are many cases. Therefore, as shown in FIG. 5, the patient database file 17a and the examination database file 17b are linked using the patient data ID as a key,
By linking the inspection database file 17b and the image database file 17c using the inspection ID as a key, a relational database can be constructed, and all desired information including image data can be searched from one piece of information. I have.

In the present apparatus 1, as shown in FIG.
MO disk 1 as a removable recording medium in O device 6
The inspection management file 19a and the image data 19b are recorded on the MO disk 9, and the MO disk 19 to be used has a unique (unique) disk number when formatting. Is given.

In the present apparatus 1, this disc NO. Thus, the management of each MO disk 19 is possible. For example, when a desired image is searched for and displayed, the "disk No." is specified by searching the database 16 so that it is possible to know on which MO disk 19 the desired image is recorded. The corresponding MO disk 19 can be inserted into the MO device 6.

This disc NO. Is given by the following rule, for example. "Disk No. = (1) Number unique to each facility + (2)
The “ID number of the device + (3) serial number” (1) is a number unique to each facility, and for example, the serial number of the device or software of the facility may be used. (2) is an ID number of the endoscope image filing apparatus 1, and 01, 0 when a plurality of endoscope image filing apparatuses 1 are used.
A serial number is assigned in the form of 2, 03,... N each time the endoscope image filing apparatus 1 increases.

(3) is a serial number assigned each time the number of MO disks 19 increases. Therefore, for example, "A
When the MO disk is formatted for the first time by the endoscope image filing apparatus 1 of “01” in the facility of number “BCD0123”, “AB”
CD0123 01 000001 ".

First, the basic operation of the apparatus 1 will be described with reference to the system configuration diagram of FIG. 1 and the screen (structure) displayed on the monitor 5 of FIG. This device 1 is an endoscope device 2
A and 2B have an endoscopy function, a function of recording a captured endoscopic image, and a function of searching and displaying the recorded image.

The compression and decompression device 3 captures and compresses the endoscope image, records the captured image on the hard disk 16 and the MO device 6 in the control device 4, and searches and displays the recorded image on the control device 4. And the monitor 5. These devices are connected by signal lines, data is transmitted and received between the devices, and the state of each device is monitored by the control device 4.

In the present apparatus 1, when the power of the control device 4 is turned on, a "user name input screen" 20 (see FIG. 6) for inputting a user name and a password is displayed on the monitor 5, and this window is displayed. By inputting a predetermined user name and password, the control device 4 is activated, and a main screen 21 shown in FIG. 6 is displayed. FIG. 7 shows the actual screen.

As described above, since the present apparatus 1 (the control apparatus 4 thereof) cannot be started without knowing the predetermined user name and password, it is possible to prevent unauthorized use by third parties and destruction of data. it can. It is also possible to set a plurality of user levels and manage user levels, for example, by separating users who can only refer to data from users who can record and update data.

The main screen 21 shown in FIG. 7 is mainly composed of four areas, ie, a menu bar 22a and a toolbar 2a.
2b, an observation device window 23, a release image display window 24, and a status display window 25. The role of these areas will be described below. Each area has an independent function as a window.

(1) Menu Bar 22a and Toolbar 22b Menus for functions provided in the filing apparatus 1 and menus made into icons are facilitated. Functions such as execution, storage of input data, and data maintenance are available.

(2) Observation device window 23 Displays the operation status of each of the observation devices such as the endoscope devices 2A and 2B connected to up to two devices, and the patient data of the patient who is performing an examination with the observation device. I do. FIG.
Although the endoscope apparatuses 2A and 2B are shown as observation apparatuses in this example, medical observation apparatuses such as an ultrasonic endoscope apparatus, an ultrasonic diagnostic apparatus, and an MRI apparatus may be used.

(3) Release Image Display Window 24 For each of the observation devices such as the endoscope devices 2A, 2B, and 3 connected to a maximum of two, the images captured by the inspection are reduced and released in the order of release. Display side by side.

(4) Status display window 25 The status (status) of the filing apparatus 1 itself is displayed.
The connection status and status of each device can be confirmed. More specifically, the state of the compression / decompression device 3, the state of the MO device 6, and the recording destination of the captured image The disk number of the MO disk 19, the remaining capacity, and the like can be confirmed.

The main screen 21 is mainly used at the time of inspection. By clicking the “search / display” tag 26 at the upper part of the observation device window 23 with the mouse 8, the main screen 21 is displayed on the search / display screen. It is possible to switch the “image reproduction screen” 31 shown in a certain FIG. Conversely, when the “image inspection screen” 31 is displayed and the “inspection” tag 27 is clicked, it is possible to return to the inspection main screen 21.

The image reproduction screen 31 includes a menu bar 22a and a toolbar 22b and an examination list display area 3
2, an image display area 33, a finding display area 34,
Object copy area 35 and status bar 36
And is mainly configured. This image playback screen 31
Are similar to those of the device proposed in Japanese Patent Application No. 10-328667.

The menu bar 22a and the toolbar 2
2b, a menu of functions provided in the image filing apparatus 1 or a menu converted to icons is prepared. The menu of the image filing apparatus 1 is terminated, a search is executed, a display layout is changed, and input observation data is input. Functions such as customization of finding items and finding items can be used. The main screen 21 and the image reproduction screen 31 have a menu bar 22a according to their screen functions.
Alternatively, the functions provided by the toolbar 22b may be different functions.

The examination list display area 32 substantially corresponds to the examination list display function, is an area for selecting and executing examination search conditions, and displaying a list of search results. The image display area 33 substantially corresponds to the image display function, and is an area where an index image of the searched image is displayed.
The finding display area 34 substantially corresponds to the finding display function, and is an area where inspection finding information is displayed. In the finding display area 34, data can be input, and the input data is recorded on an image recording unit, for example, the hard disk 16 in association with the image data. The input data can be used to search for image data using the input data as a keyword.

The object copy area 35 substantially corresponds to the function module assignment function and is an area for transferring image data and finding data to each prepared function module. Each functional module is iconized, and it is possible to instruct data transfer and execution to each functional module by performing a drag-and-drop operation of image data or finding data on the icon. The status bar 36 is an area for displaying the processing status of the apparatus, the number of examinations hit in the search, the number of images, and the like.

Next, the operation at the time of inspection on the main screen 21 will be described. First, when starting an examination, when patient data is input to an observation device such as the endoscope device 2A, 2B, the input patient data is transmitted to the filing device 1 and displayed on the observation device window 23. . The patient data may be input not from the observation device but from the keyboard 7 of the control device 4 of the filing device 1. In this case, the input data is transmitted from the filing device to the observation device.

At this time, if the patient has been examined before and the patient data has already been registered in the database 17, the user only needs to enter the patient ID, and the other data (name, date of birth, etc.) Etc.) and automatically display them.

Next, the inspection is started, and the image released by the observation device is recorded. A reduced image of the recorded image is displayed in the release image display window 24, and the state of the inspection can be observed. In addition, the observation display window 23
Also, the display of the number of records, the inspection start time and the elapsed time are displayed.

It is usually recognized that an examination is started, that is, data such as patient data is registered in the apparatus.
The registration may be performed by giving an instruction to start the inspection from the keyboard 7 or the mouse 8 to the control device 4 from the moment when the first image is released and the recording is started.

In this case, it is possible to accurately record the time when the inspection is started. Further, the instruction to start the examination may be made not by the mouse 8 or the keyboard 7 of the control device 4 but by allocating a specific switch of the observation device and receiving the instruction by communication.

The image released here is transmitted to the control device 4
The data is recorded on the hard disk 16 in the HDD and copied from the hard disk 16 to the MO disk 19 in the MO device 6. In the MO device 6, the MO
Whether or not the disc 19 is inserted or whether or not the remaining capacity of the inserted MO disc 19 is sufficient can be known from the display contents of the status display window 25. If no MO disk 19 is inserted in the disk or if there is no remaining capacity on the MO disk 19, recording is performed only on the hard disk 16.

As described above, whether or not the image data has been copied to the MO disk 19 is managed by ON / OFF of the MO copy flag 29 of the image database 17c shown in FIG. When a new MO disk 19 is inserted into the MO device 6, the MO of the uncopied image recorded only on the hard disk 16 is
Copying to the disk 19 is performed.

Since the control is performed in this manner, an image can be recorded without interrupting the inspection even when the MO disk 19 is forgotten or the remaining capacity is insufficient. Further, since two observation devices are connected at the same time, even if a frequent release instruction is given and the recording of the MO device 6 with a low recording speed cannot catch up, the inspection can be performed smoothly without interruption. .

Copying to the MO disk 19 is not performed at the same time as recording to the hard disk 16, and is performed when the filing apparatus 1 is started or terminated, or when one inspection is completed, or when the user gives a manual instruction. At times, they may be copied together.

By checking the contents of the status display window 25 during or during the inspection, whether each device is operating normally or whether the MO disk 19
The remaining capacity can be checked to see if there is any problem.

After performing a predetermined inspection in this way,
At the end of the examination, the examination is terminated by pressing the "examination end button" on the observation device. When the end of the examination is instructed in this way, the display of the patient data and the release image of the observation device for which the instruction for the examination repair has been instructed is cleared.

The instruction for terminating the examination may be input from the keyboard 7 or the mouse 8 of the control device 4 instead of from the observation device. In this case, data for notifying the end of the inspection is transmitted from the filing apparatus to the observation apparatus. FIG. 8 is a flow chart showing the above-described inspection operation.

First, by inputting the user name and password shown in step S1, the main screen 2 in step S2 is entered.
1 is displayed. Next, the patient ID of the patient to be examined is input by the observation device or the control device 4 in step S3. Here, it is determined whether or not the patient who has made the input has already been registered in the database based on the patient ID as to whether or not the data has already been registered in the database, for example, after undergoing an examination (step S4). If there is, other data can be searched based on the patient ID, and the remaining patient data (name, date of birth, gender, etc.) is automatically displayed (step S5).

When it is determined whether or not the database is registered based on the patient ID, if the database is not registered (if the display is not automatically performed), the remaining patient data is input as shown in step S6. When the patient data is input, the preparation for the examination is completed, so that an endoscopic examination (hereinafter simply referred to as an examination) in step S7 is performed.

FIG. 9 shows the flow of data during the inspection process.
Shown in The right side of each step in FIG. 9 shows a device or the like that performs (is closely related to) the processing of that step. First, in response to a release instruction from an observation device such as the endoscope device 2A, 2B, a video signal including image data from the observation device is sent to the compression / decompression device 3, and step S11 is performed.
Is converted into a digital signal as shown in FIG. In a succeeding step S12, the image data compressed in the step S11 is taken in the control device 4 in response to a recording instruction by a release operation, and in a succeeding step S13, the image data is written to the hard disk 16. Then, in the subsequent step S14, the unregistered image data is copied from the hard disk 16 to the MO disk 19 of the MO device 6.

When the inspection is completed after several images are recorded in this way, an inspection end button is pressed on the observation device or the control device 4. (Step S8 in FIG. 8) When continuing the next examination, when the next patient ID is input, the above-described operation is repeated for the input of the patient ID, and the examination for the next patient can be performed. .

Next, the operation of securing the capacity of the used hard disk 16 will be described. As described above, the released image is recorded on the hard disk 16 on the control device 4 and then copied on the MO disk 19,
Unlike the exchangeable MO disk 19, the recording capacity of the hard disk 16 is limited, so that the recorded data must be erased.

Therefore, in the present apparatus, data that has been copied to the MO disk 19 is deleted in order from the oldest one. By checking the copy flag 29 of the MO disk 19 in the image database 17c, the MO
It is possible to know whether or not copying to the MO disk 19 has been completed. For example, when the apparatus has been started or shut down, or when the user has given a manual instruction, the copying to the MO disk 19 has been completed. Data that has been erased,
The capacity of the hard disk 16 can be secured.

At the time of this erasure, it is not necessary to erase all the copied data from the hard disk 16, and it is preferable to erase only the data to be secured. By doing so, in the case of a recently performed inspection, image data remains on the hard disk 16, and it is possible to reproduce and display an image from the hard disk 16 without replacing the MO disk 19.

Next, the operation of searching and displaying recorded images will be described. On the main screen 21 shown in FIG.
When the "search / display" tag 26 at the top of the observation device window 23 is clicked with the mouse 8, the screen is switched to the "image reproduction screen" 31 for search / display. FIG. 6 shows the configuration of the screen 31 at this time.

The search / display function shown in FIG.
"Medical image reproducing apparatus" disclosed in 0-328667
The difference between the search / display function of the filing apparatus 1 and the search / display function of the “medical image reproducing apparatus” of Japanese Patent Application No. 10-328667 is the stand-alone type. The only difference is that it is a network type.

The filing apparatus 1 is a stand-alone type, and the database 17 is referred to from the hard disk 16 of the control device 4 and the image data is referred to from the MO disk 19 inserted (mounted) in the MO device 6. It has become.

Therefore, the database 17 can always be accessed for search or the like, but only images recorded on the MO disk 19 inserted in the MO device 6 can be displayed. Therefore, when displaying the image specified by the search, it is necessary to insert the specific MO disk 19 on which the image is recorded into the MO device 6.

In the filing apparatus 1, as described above, the "disk number" of the MO disk 19 and the inspection data are managed in the database 17 in association with each other. No. of the MO disk 19 Is displayed, the user can promptly select and insert a predetermined MO disk 19. The state of the message display at this time is shown in FIG. That is, the disc No. of the MO disc 19 that needs to be inserted. For example, "A
In the case of BCD0123 01 000001 ", a message indicating that a disc with that number is to be inserted is displayed.

When the search results of the inspections are displayed in a list in the inspection list display area 32, the disc No. is set so as to know which MO disk 19 each of the inspections listed is recorded. Since the display is displayed together, it is possible to quickly know which MO disk 19 is required when a desired image is to be displayed.

In addition, the disk NO. The display (for example, “ABCD0123 01000001”) may be displayed as it is on the message or on the examination list display area 32, and the MO disk 19 may be selected by the display. It is also conceivable that it is difficult or that the number of digits is large and it takes time to determine. Therefore, the disc NO. The display may be converted into a number with a small number of digits or a meaningful name and displayed.

For example, “ABCD0123 01 00
0001 "is considered as an example of a display such as" △ @ facility-1-1. "A rule for performing conversion is recorded and managed on the hard disk 16 of the control device 4 as table data. Fig. 11 is a flow chart showing the above-described operations during image search and display.

First, the user name and password are entered in step S21, and the main screen in step S22 is displayed. This processing is the same as the case of the inspection in FIG. If the main screen has already been displayed, for example, after the inspection has already been performed, there is no need to input the user name and password.

Next, by clicking the "search / display" tag 26 of step S23 on the main screen, a search / display screen of step S24 is displayed. Here, when patient data and examination data are input and a search instruction for a desired examination is issued (step S25), the database 17 managed on the hard disk 16 is searched, and a list of the hit examinations is displayed (step S26).

When a desired examination for which an image is desired to be displayed is selected from the examination list displayed (step S27),
The image recorded in the inspection is displayed (Step S2
8). FIG. 12 shows the flow of data when this image is displayed.

First, in step S31, the control device 4 reads image data from the hard disk 16. However, at this time, if the data has been erased from the hard disk 16 and the desired data does not exist on the hard disk 16, the control device 4 reads the data from the MO disk 19 as shown in step S32.

At this time, the desired image data is M
If the MO disk 19 is not recorded on the MO disk 19 inserted in the O device 6, the storage medium ID of the required MO disk 19 is displayed as shown in FIG. Required.

The image data read in this way is sent to the compression / decompression device 3 as shown in step S33, where the image data is subjected to decompression processing, and received by the control device 4 again. Then, the decompressed image data is stored in step S3.
4 is displayed on the monitor 5.

In this way, an image can be displayed. After the image is displayed, the search for the next examination is confirmed (step S29 in FIG. 11). The same processing is repeated, and conversely, if no search is selected, this processing ends.

Next, handling of various setting information related to the filing apparatus 1 will be described. The filing device 1 stores various setting information 18 necessary for operating the device 1 in the hard disk 1 in the control device 4.
6 is recorded and managed. Examples of the setting information 18 include the following.

(A) Device ID Number 18a This is the ID number of each device constituting the device 1, and is used when recognizing each device. When a plurality of devices are used, this is information for enabling each device to be identified.

As described above, the disc NO. Is the disc NO. = (1) NO. Unique to each facility + (2) ID number of device + (3) Serial No. NO. Is given, but a number is used in this part (2).

(B) Number 18b unique to each facility As in the case of the above-mentioned "device ID number", the disc No. Is a number used when assigning a. By setting a unique number for each facility, it is possible to manage data exchange between facilities without confusing data. Use the serial number of the device or software.

(C) Latest serial number 18c As described above, the disc NO. Is the disc NO. =
(1) No. unique to each facility. + (2) ID number of device +
(3) Serial No. In order to newly issue the number of the part (c), the latest serial number issued so far at that time is assigned. Need to know. Therefore, in the filing apparatus 1, the issued serial No. The latest number is recorded and held as one of the setting information 18. Then, the new MO disk 19 is formatted, and the serial No. Is issued, the NO. Update (increment)
I do.

(D) Connection observation device model number 18d This is a number for setting the model of the observation device such as the electronic endoscope devices 2A and 2B connected to the device 1. Various advantages arise by setting what kind of observation device to be connected and making the device recognize it. For example, each observation device has different characteristics such as a different size of an image to be captured or a different communication interface. If each model can be recognized, it is possible to perform processing in accordance with it. Since the filing apparatus 1 can be connected to two observation apparatuses, the connected observation apparatus model number 18d is 2
Is set.

(E) Customize information 18e This is change information when a change is made so that the user can easily use the apparatus. For example, layout information when the display position and size of various windows and input / selection fields (text boxes, combo boxes, etc.) on the windows are changed is one of the customization information, and coordinates of the display position, By having a numerical value representing the size as data and recording this data, the changed display position and size can be used at any time.

When representing date and time and date of birth data,
Setting such as whether to use the Christian era or the Japanese era is one of the customization information. As described above, by recording and managing the various setting information 18 in the control device 4, data management and processing can be appropriately performed.

The setting information 18 is recorded and managed on the hard disk 16 in the control device 4. In the filing apparatus 1, the setting information 18 is stored as an external device capable of transmitting and receiving data to and from the control device 4. Compression / expansion device 3
The data is also recorded and stored in the EEPROM 41 (flash memory or the like).

The recording management method (operation) of this setting information 18 will be described with reference to FIG.
This will be described with reference to the flow of FIG. Now, a new MO disk 19
Is prepared, and a new format is performed so that the format can be used in the MO device 6.

First, a new MO disk 1 is stored in the MO device 6.
9 is inserted (step S41), the "format" menu prepared on the menu bar 22a / toolbar 22b on the main screen 21 displayed on the monitor 5 is selected, and the format of the MO disk 19 is instructed to the apparatus. (Step S42).

When this format is instructed, M
The O device 6 already stores the disc No. in the MO disc 19.
Is checked (step S43), and if the disc NO. If has already been given, the formatting operation is stopped (step S44).

Disk No. If not, a physical format for enabling recording on the MO disk 19 is performed (step S45), and one of the setting information 18 recorded in the hard disk 16 of the control device 4 is referred to as “latest serial number”. . "(Step S4).
6) Increment “latest serial number” and MO
The data is copied into the disk 19 (step S47).

Also, the NO.
In the same manner as in
O. Is also incremented (step S48). In this manner, the assigned disc No. Is stored in the hard disk 16, so that when formatting a new MO disk 19, the serial number to be assigned is assigned. You can know.

Further, in the present apparatus 1, the hard disk 1
6 is updated, the compression / expansion device 3
Is also copied to the EEPROM 41 (step S4).
9) That is, when the setting information 18 in the hard disk 16 is updated, the information to be updated is sent to the compression / decompression device 3 and the internal EEPROM is updated.
The setting information 18 of the OM 41 is also updated (rewritten).

As described above, since the setting information 18 is also recorded and held on the compression / expansion device 3, even if the control device 4 is repaired or replaced due to a failure or the like, the setting information 18 is stored in the compression / expansion device. Remains on device 3 (and if control device 4 needs to be repaired or replaced,
It is possible to easily respond without re-inputting the setting information 18).

FIG. 14A illustrates a recovery operation performed when the setting information 18 has been lost by exchanging the control device 4 or the like. When the control device 4 has been replaced, the user first selects the menu bar 22a and the toolbar 2 on the main screen 21 displayed on the monitor 5 of the control device 4.
2b is selected, and the setting information 18
Is instructed to the control device 4 (step S51).

Upon receiving the instruction, the control device 4 sets the setting information 1 stored in the EEPROM 41 on the compression / decompression device 3.
8 is read (step S52) and the hard disk 16
The copying operation is performed within (step S53). In this manner, the setting information 18 remaining on the EEPROM 41 in the compression / decompression device 3 can be copied into the control device 4 and restored, so that even if the control device 4 is replaced,
Even if the setting information 18 is lost, the setting information 18 can be recovered without the trouble of re-input.

Also, usually, the control device 4 and the compression / decompression device 3
Is exchanged, the user recognizes the exchange and
The instruction operation shown in step S51 of (A) is performed, but a function as shown in FIG. 14B may be provided in order to prevent forgetting the instruction of the recovery operation.

First, when the device 1 is started, the setting information 18 on the control device 4 and the setting information 1 on the compression / decompression device 3 are automatically set.
8 is read (step S54), and then both setting information 18 are compared (step S55). When the device 1 is started for the first time after the replacement of the control device 4 or the compression / decompression device 3, either the setting information 18 on the control device 4 or the setting information 18 on the compression / decompression device 3 has been lost. Therefore, by performing the comparison, the disappearance of the setting information 18 can be detected.

As a result of the comparison, if there is a difference, as shown in step S56, the user is prompted to select a recovery operation or to display a recovery operation instruction message. Then, as shown in step S57, a display requesting confirmation of the replaced device is performed, and if the control device 4 has been replaced, the process proceeds to step S51 in FIG. Conversely, if the compression / decompression device 3 is replaced, the latest setting information 1
Since 8 remains in the control device 4, there is no need to perform a recovery operation, and the processing in FIG. If there is no difference as a result of the comparison in step S55, the operation is performed as usual, assuming that the setting information 18 has not been lost.

If the setting information 18 on the control device 4 is copied to the EEPROM 41 in the compression / decompression device 3 at a predetermined timing when the device 1 is started or terminated, or at a predetermined interval, etc. Even if the setting information 18 is not updated, the setting information 18 is automatically copied to the compression / decompression device 3, so that data loss can be further prevented. Further, in the present embodiment, since a copy of the setting information 18 is stored in the EEPROM 41 as a non-volatile memory means (storage means) in the compression / decompression device 3, a dedicated external recording medium is used for data back UP. There is no need to use etc.

Next, with regard to various setting input operations, functions which can be used when a plurality of the present filing apparatus 1 are used will be described. Conventionally, various setting inputs need to be performed for each device 1. However, when it is desired to perform the same setting for each device 1, it is necessary to repeat the same setting input for each device 1, and the input is troublesome.

The filing apparatus 1 has the import / export information of the setting information 18 for reducing such troublesome input. This is because the setting information 18 input to (the control device 4 of) one device 1
Is copied onto another device 1 (the control device 4 thereof), and a plurality of devices 1 can be set by a single input operation.

The import / export function of the setting information 18 will be described with reference to the example of “year / Japanese calendar” which is one of the “customization information” 18e. FIG. 15 shows a method of setting whether to use the Christian era or the Japanese calendar when handling the year on the present apparatus 1.

The menu bar 2 is displayed on the main screen 21 shown in FIG.
When "option setting" is selected from the menus provided in 2a and the toolbar 22b (step S61 in FIG. 15), an option setting screen 51 for performing various settings is displayed (step S62).

The option setting screen 51 is shown in FIG. From the option setting screen 51, various settings can be made.
By checking one of 2 and Japanese calendar 53 (step S63) and pressing the OK button 54 to register (step S64), the setting is completed.

The era name used in the Japanese calendar is displayed by pressing the era setting button 55 to display an era setting screen 56 for era setting as shown in FIG. input·
Setting is possible by registering. As shown in FIG. 17, the data of the Roman character 57 of the era to be used and the date data of the start and end 58 can be inputted and registered by pressing the OK button.

The setting information 18 thus registered
Are recorded and managed on the hard disk 16 on the control device 4, and the filing apparatus 1 reads the setting information 18 and performs an operation.

FIG. 18 shows a setting information file 59 of the setting information 18 to be recorded and managed on the control device 4, and various setting information such as the setting information 60 relating to the era registered as described above is recorded. Have been.

Each setting information is separated by a line feed or a comma (,). In the above example of setting the era, 0 indicating the Japanese calendar (1 for the Christian era) and the setting data of each era (era Romaji and start date / end date) are recorded.

As described above, the operation corresponding to various settings is performed by reading the setting information file 59. Therefore, the setting information 18 input to a certain control device 4 can be transferred to another control device. It is also possible to copy on the device 4 and make the same settings.

When performing copying, the control device 4 which has been set
, The setting information file 59 is output (exported), registered (imported) in the control device 4 for setting, and export / import can be performed via a floppy disk or MO disk 19 which is an external recording medium. is there.

After the floppy disk or the MO disk 19 (to the MO device 6 connected to the control device 4) is mounted on the control device 4 on the side that exports the setting information 18,
By selecting "Export setting information" from the menu bar 22a and the toolbar 22b on the main screen 21, the setting information 18 is copied into the disc, and the control device 4 (or this After being mounted on the MO device 6) connected to the
By selecting “Import setting information” from b, the setting information 18 is copied from the disk to the control device 4.

Since the filing apparatus 1 has the import / export function of the setting information 18 as described above, the setting information 1 inputted to a certain control device 4
8 can be copied onto another control device 4, setting of a plurality of control devices 4 can be performed by one input operation, and the trouble of inputting the setting information 18 can be reduced. .

As described above, according to the present embodiment,
Setting information (operation information) 18 such as various setting data required when performing a control operation of the control device 4 configuring the medical system such as the endoscope image filing device 1 is stored in an information storage unit in the control device 4. And the control device 4
EEPROM as nonvolatile storage means of external device
Since the information is also stored in the controller 41 and is connected so as to be readable from the controller 4, even when the controller 4 needs to be replaced due to a failure or the like, the setting information 18 is read from the EEPROM 41, so that re-input is not necessary. Can be. In addition, EEPRO
Instead of M41, another nonvolatile information storage means such as a hard disk may be used.

[Supplementary Notes] In a medical system including a control device for performing a predetermined control process and an externally connected device connected to the control device, a medical system provided in the control device and storing operation information indicating an operation state of the control unit. 1 operation information storage means, a second operation information storage means provided in the externally connected device and capable of storing the operation information, the first operation information storage means and the second operation information storage means, Communication means for enabling communication of stored information between the medical system and the medical system.

[0118] 2. In a medical image processing system including a control device that performs a predetermined control process and a compression / expansion device that is connected to the control device and performs a compression / expansion process on a video signal,
First operation information storage means provided in the control device and storing operation information indicating an operation state of the control means; and second operation information storage provided in the compression / decompression device and capable of storing the operation information. A medical image processing system comprising: means for communicating stored information between the first operation information storage means and the second operation information storage means.

3. A medical image file system comprising: a compression / expansion processing device that performs compression / expansion processing on an image signal obtained by a medical device; and a control device that is connected to the compression / expansion processing device and records the image signal in an image file device. First operation information storage means provided in the control device for storing operation information indicating an operation state of the control means, and second operation information provided in the compression / decompression device and capable of storing the operation information A medical image processing system comprising: a storage unit; and a communication unit that enables communication of storage information between the first operation information storage unit and the second operation information storage unit. .

[0120] 4. A medical image file system comprising: a compression / expansion processing device that performs compression / expansion processing on an image signal obtained by a medical device; and a control device that is connected to the compression / expansion processing device and records the image signal in an image file device. A first operation information storage unit that is provided in the control device and stores operation information indicating an operation state of the control device with respect to the image file device; and a first operation information storage unit that is provided in the compression / decompression device and is capable of storing the operation information. A second operation information storage unit; and a communication unit that enables communication of storage information between the first operation information storage unit and the second operation information storage unit. Medical image processing system.

5. 4. The medical image processing system according to claim 4, further comprising a copy instructing unit that copies storage information stored in the first operation information storage unit to the second operation information storage unit. Medical image processing system. 6. 4. The medical image processing system according to claim 4, further comprising a copy instruction unit configured to copy storage information stored in the second operation information storage unit to the first operation information storage unit. Medical image processing system.

7. An endoscope apparatus provided with imaging means for imaging a subject image; a compression / expansion processing apparatus for compressing / expanding an image signal obtained by the endoscope apparatus; and an image file device capable of storing a plurality of image signals. A control device that is connected to the compression / expansion device and records an image signal obtained by the endoscope device in the image file device; and an operation state of the control device provided for the image file device in the control device. A first operation information storage unit that stores operation information indicating the operation information, a second operation information storage unit that is provided in the compression / expansion device, and that can store the operation information, the first operation information storage unit, An endoscope image filing apparatus, comprising: communication means for enabling communication of stored information with second operation information storage means.

8. In a medical system including a control device that performs a predetermined process and an externally connected device connected to the control device, a first system that is provided in the control device and stores operation information related to an operation of the control unit. Operation information storage means, a second operation information storage means provided in the externally connected device and capable of storing the operation information, and a first operation information storage means and a second operation information storage means. Communication means for enabling communication of stored information between the communication means, monitoring means for monitoring a change in the operation information stored in the first operation information storage means, and communication when the change in the operation information is detected Updating means for also updating the operation information stored in the second operation information storage means by the means.

9. At least two or more separate devices, comprising: first setting information storage means for storing setting information; and control means for performing a control operation based on the setting information stored in the first setting information storage means. And a copy of the setting information stored in the first setting information storage means provided on a device separate from the apparatus provided with the first setting information storage means. A second setting information storage unit for storing information; and a copy unit for copying the copy information stored in the second setting information storage unit to the first setting information storage unit. A medical image file system, wherein, when setting information in a setting information storage unit is lost, copy information in a second setting information storage unit is copied to a first setting information storage unit. (Effect of Supplementary Note 9) Even when the device is repaired or replaced due to a failure of the device, it is not necessary to re-input various setting information.

10. In the supplementary note 9, the copying means has a detecting means for detecting that the setting information stored in the first setting information storing means has been updated, and the setting information stored in the first setting information storing means. Is copied when is updated. (Supplementary Note 10 Effect) When the setting information in the first setting information storage means is updated, copying to the second setting information storage means is automatically performed, so that there is no need for the user to give a copy instruction.

11. Supplementary note 9, further comprising comparing means for comparing the setting information on the first setting information storing means with the copy information on the second setting information storing means, and as a result of the comparison by the comparing means, When the setting information in the setting information storage means is different from the copy information in the second setting information storage means, there is provided a notifying means for notifying the user that the setting information may be lost. And (Effect of Supplementary Note 11) It is possible to detect that the setting information may have been lost and notify the user.

12. An image file device having setting data storage means for recording setting data of the apparatus and performing a predetermined operation with reference to the setting data stored in the setting data storage means; A data output unit for reading and recording the setting data on an external recording medium; and a recording data transfer unit for reading the setting data from the external recording medium onto the setting data recording unit, and transmitting the setting data on the first image file device. An image file device that enables the first setting data to be used on the second image file device by transferring the setting data to a setting data recording unit on the second image file device. (Appendix 12
Effect) When a plurality of devices are used, the trouble of inputting various settings can be reduced.

[0128]

As described above, according to the present invention, in a medical system comprising a control device for performing a predetermined control process and an externally connected device connected to the control device,
First operation information storage means provided in the control device and storing operation information indicating an operation state of the control means; and second operation information storage provided in the externally connected device and capable of storing the operation information. Means and communication means for enabling communication of stored information between the first operation information storage means and the second operation information storage means, so that the control device is replaced due to a failure or the like. In the case where it is necessary to read the operation information stored in the second operation information storage unit, it becomes unnecessary to re-input various operation information.

[Brief description of the drawings]

FIG. 1 is a diagram showing a configuration of an endoscope image filing apparatus according to an embodiment of the present invention.

FIG. 2 is a view showing specific contents of a patient database file.

FIG. 3 is a diagram showing specific contents of an inspection database file.

FIG. 4 is a diagram showing an example of an examination date of patients A and B.

FIG. 5 is a view showing that a plurality of database files are linked by a patient ID or the like.

FIG. 6 is a diagram showing a structure of each screen displayed on a monitor.

FIG. 7 is a flowchart showing a specific display example of a main screen.

FIG. 8 is a diagram showing a flow of processing at the time of inspection on a main screen.

FIG. 9 is a diagram showing a flow of processing for executing the inspection in FIG. 8;

FIG. 10 is a view showing a display example when prompting insertion of an MO disk.

FIG. 11 is a flowchart showing the flow of a search / display operation of a recorded image.

FIG. 12 is a diagram showing a flow of an image display process in FIG. 11;

FIG. 13 is a flowchart illustrating the flow of processing for recording management of setting information.

FIG. 14 is a flowchart showing the flow of processing when setting information is restored by replacement of a control device or the like.

FIG. 15 is a flowchart showing a processing flow of a setting information import / export function.

FIG. 16 is a view showing a specific display example of an option setting screen.

FIG. 17 is a view showing a specific display example of an era setting screen.

FIG. 18 is a view showing specific contents of a setting information file.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 ... Endoscope image filing apparatus 2A, 2B ... Electronic endoscope apparatus 3 ... Compression / expansion apparatus 4 ... Control apparatus 5 ... Monitor 6 ... MO apparatus 7 ... Keyboard 8 ... Mouse 9 ... Communication line 11 ... Electronic endoscope 12 ... Light source device 13 ... CCU 14 ... Monitor 16 ... Hard disk 17 ... Database 18 ... Setting information 19 ... MO disk 21 ... Main screen 22a ... Menu bar 22b ... Tool bar 23 ... Observation device window 24 ... Release image display window 25 ... Status display window 29: MO copy flag 31: Image playback screen 41: EEPROM

 ────────────────────────────────────────────────── ─── Continuing from the front page (72) Keiichi Hiyama Inventor F-term in Olympus Optical Co., Ltd. 2-34-2 Hatagaya, Shibuya-ku, Tokyo 4C061 AA00 BB00 CC00 DD00 JJ18 NN07 YY14 YY18

Claims (3)

[Claims] 1. A medical system comprising: a control device for performing a predetermined control process; and an externally connected device connected to the control device. An operation provided in the control device and indicating an operation state of the control means. First operation information storage means for storing information; second operation information storage means provided in the externally connected device and capable of storing the operation information; first operation information storage means and the second operation information storage means. A communication means for enabling communication of the stored information with the operation information storage means. 2. A medical image processing system comprising: a control device for performing a predetermined control process; and a compression / expansion device connected to the control device for compressing / expanding a video signal. A first operation information storage unit that stores operation information indicating an operation state of the control unit; a second operation information storage unit that is provided in the compression / decompression device and is capable of storing the operation information; A medical image processing system comprising: a communication unit that enables communication of stored information between an information storage unit and the second operation information storage unit. 3. A medical system comprising: a compression / expansion processing device for performing compression / expansion processing on an image signal obtained by a medical device; and a control device connected to the compression / expansion processing device for recording the image signal in an image file device. An image file system for use, wherein the first operation information storage means is provided in the control device and stores operation information indicating an operation state of the control means; A second operation information storage unit; and a communication unit that enables communication of storage information between the first operation information storage unit and the second operation information storage unit. Medical image processing system.