JP2006218230A - Medical system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical system having a dictation function creating text data with less waste information, capable of associating them with other data, and creating the highly usable text data as treatment record data. <P>SOLUTION: This medical system which comprises a plurality of medical devices, and a medical device control device connected to the medical devices and controlling the medical devices solves the problem by having a sound input means for inputting sound, a sound/string conversion means recognizing the sound input from the sound input means and converting the sound into strings, a medical-related lexicon storage means storing a medical-related lexicon, or the lexicon related to medical care, and a medical lexicon extraction means extracting the medical-related lexicon from phonetic letters indicating the sound converted into the strings by the sound/string conversion means. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention enables centralized control of peripheral devices such as a TV camera, insufflator, sonosurge, electrosurgical unit, stone crushing device, VTR, printer, etc. with a central operation panel or remote control, and voice is converted into text by a dictation function. The present invention relates to a medical system having a controller that is used for electronic medical records after conversion.

  In recent years, a surgical operation using an endoscope has been performed. In this endoscopic surgery, a pneumothorax device used to inflate the abdominal cavity, a treatment device for performing a procedure, etc. are used to excise a living tissue or to stop hemostasis using a high-frequency cautery device. If so, these treatments can be performed while observing with an endoscope.

  Further, in an endoscopic surgery system provided with these various devices, a plurality of devices can be easily operated and controlled, and in order to improve the operability of the system, for example, a display panel, a remote control device, etc. And a central operation panel, a microphone, and the like (for example, Patent Document 1 and Patent Document 2).

  The display panel is a display means for the operator to check the setting state of various devices in the sterilization area, and is, for example, a liquid crystal panel. The remote operation device is a remote operation means for an operator to operate in a sterilization area and change functions or set values of various devices, and is, for example, a remote controller (remote controller). The central operation panel is a collection in which operation switches of each device are provided on the touch panel for an assistant such as a nurse to operate in a non-sterile area in accordance with an operator's instruction to change the function or set value of various devices. The microphone is used for operating various devices by voice (for example, Patent Document 2).

As described above, recently, voice recognition has been used to recognize user's pronunciation and operate connected devices (voice command control function), as well as voice data that recognizes the findings made by the surgeon during and during surgery. There is an endoscope system provided with a dictation function that is used for creating an electronic medical record or the like after being converted into a medical record.
JP 2002-336184 A JP 2001-344346 A

  However, the conventionally used dictation function converts all the spoken words into text, so there is a problem that unnecessary information such as unnecessary words (for example, words for instructions to the assistant) increases. there were.

  FIG. 11 shows an example of a report output by a conventional endoscopic surgery system. In this report, the date and time are output on the left side, and the dictated text is output on the right side. In this case, even if the dictated text is output, it is not clear whether the text has actually been processed. That is, conventionally, the created text data cannot be associated with other data, and the usefulness as treatment record data has been low.

  In view of the above problems, in the present invention, text data created by the dictation function has little useless information, can be associated with other data, and text data highly useful as treatment record data can be created. A medical system having an excellent dictation function is provided.

  According to the first aspect of the present invention, there is provided a medical system including a plurality of medical devices and a medical device control device connected to the medical devices and controlling the medical devices. , Voice input means for inputting voice, voice character string converting means for recognizing the voice input by the voice input means and converting the voice into a character string, and a medical related vocabulary which is a vocabulary related to medical care Medical-related vocabulary storage means stored on the basis of the medical-related vocabulary stored in the medical-related vocabulary means, and the medical-related This can be achieved by providing a medical system characterized by comprising medical vocabulary extracting means for extracting vocabulary.

  According to the second aspect of the present invention, the voice character string converting unit recognizes the voice input by the voice input unit and converts the voice into a character string. This can be achieved by providing the medical system according to claim 1, wherein a vocabulary is extracted from a sentence.

  According to the third aspect of the present invention, the medical related vocabulary storage means includes a vocabulary group related to the operation status of the medical device, a vocabulary group related to the medical device, and a vocabulary group related to the medical device. The medical system according to claim 1, wherein at least one vocabulary group among the vocabulary groups related to the procedure and the procedure is stored.

  According to the fourth aspect of the present invention, the medical system further includes an operation history storage unit that stores operation history information of the medical device, and the operation history information. The medical system according to claim 1, further comprising an association unit that associates the medical-related vocabulary extracted by the medical-related vocabulary extraction unit.

  According to the invention described in claim 5, at least one of the plurality of medical devices is an endoscope, and the medical system is an endoscope system. This can be achieved by providing a medical system according to claim 1.

  According to the sixth aspect of the present invention, in the medical device control apparatus that controls a plurality of medical devices, the above-described problem is input by the voice input unit that inputs voice and the voice input unit. A voice character string converting means for recognizing the voice and converting the voice into a character string; a medical related vocabulary storing means storing a medical related vocabulary as a medical vocabulary; and a medical related vocabulary means. A medical vocabulary extracting means for extracting the medical related vocabulary from the speech characters indicating the speech converted into a character string by the speech character string converting means based on the medical related vocabulary. This can be achieved by providing a control device.

  According to the seventh aspect of the present invention, the voice character string converting unit recognizes the voice input by the voice input unit and converts the voice into a character string. The vocabulary is extracted from the sentence, which can be achieved by providing the medical device control device according to claim 6.

  According to an eighth aspect of the present invention, the medical-related vocabulary storage means includes a vocabulary group related to an operation status of the medical device, a vocabulary group related to the medical device, and a vocabulary group related to a medical device. The medical device control device according to claim 6, wherein at least one vocabulary group among vocabulary groups related to procedures and procedures is stored.

  According to the ninth aspect of the present invention, the medical device control apparatus further includes an operation history storage unit that stores operation history information of the medical device, and the operation history information. And a means for associating the medical-related vocabulary extracted by the medical-related vocabulary extracting means with a medical device control device according to claim 6.

  According to the invention described in claim 10, the subject is a medical-related vocabulary relating to medical care that is input in advance, recognizes the speech, characterizes the speech, and is registered in advance. This can be achieved by providing a medical information management method characterized in that, based on a vocabulary, the medical related vocabulary is extracted from a phonetic character indicating the characterized speech and the medical related vocabulary is recorded.

  According to the eleventh aspect of the present invention, the subject is further recorded by associating the operation history information of the medical device and the extracted medical-related vocabulary. It can achieve by providing the medical information management method of claim | item 10.

  According to the medical system of the present invention, there is no unnecessary vocabulary in the text data created by the dictation function, and the text data can be linked with other information. The text data created by the dictation function Improves usability.

<First Embodiment>
FIG. 1 shows an overall configuration of an endoscopic surgery system in the present embodiment. In the endoscopic surgery system 1, a first endoscopic surgery system 2 and a second endoscopic surgery system 3 are arranged on both sides of a patient bed 19 on which a patient 30 lies.

  In these endoscopic surgery systems 2 and 3, a plurality of endoscope peripheral devices that perform observation, examination, treatment, recording, and the like are mounted on the first medical trolley 12 and the second medical trolley 25, respectively. ing. A movable stand is disposed around the patient bed 19, and an endoscope display panel 20 is mounted on the movable stand.

  The first medical trolley 12 includes a trolley top plate 41 that is the topmost top plate, a trolley shelf 40 that is provided in the middle level, and a bottom plate portion that is the lowest level. The endoscope display panel 11 and the system controller 22 are disposed on the trolley top plate 41. On the trolley shelf 40, the VTR 17, the video processor 16, and the endoscope light source device 15 are arranged. An air feeding device (pneumoconiosis device) 14 and an electric knife device 13 are arranged on the bottom plate portion. Further, a central operation panel 33 and a central display panel 21 are disposed on the arm portion of the first medical trolley 12. The first medical trolley 12 may be equipped with, for example, an ultrasonic observation apparatus (not shown) or a printer.

  The centralized operation panel 33 is arranged in a non-sterile area, and a nurse or the like concentrates the operation of each medical device, and has a mouse and a pointing device such as a touch panel (not shown). Centralized management, control and operation.

  Each medical device is connected to the system controller 22 via a serial interface cable (not shown) and can perform two-way communication. A microphone 50 can be connected to the system controller 22.

  The system controller 22 recognizes the voice input from the microphone 50 by a voice recognition circuit 46 and a CPU 55 (see FIG. 2) described later. Then, after recognizing the voice, the system controller 22 can control each device by the surgeon's voice, or can display or output the recognition result as text.

  The endoscope light source device 15 is connected to the first endoscope 31 via a light guide cable that transmits illumination light. When the illumination light of the endoscope light source device 15 is supplied to the light guide of the first endoscope 31, the affected part in the abdomen of the patient 3 into which the insertion part of the first endoscope 31 is inserted. Illuminate etc.

  A first camera head 31 a provided with an image sensor is attached to the eyepiece portion of the first endoscope 31. An optical image of an affected area or the like is captured by the observation optical system of the first endoscope 31 using the imaging element in the first camera head 31a. Then, the captured optical image data is transmitted to the video processor 16 via the camera cable. The optical image data is signal-processed by a signal processing circuit in the video processor 16 to generate a video signal. Then, the video signal is output to the endoscope display panel 11 via the system controller 22, and an endoscopic image of the affected part or the like is displayed on the endoscope display panel 11.

  The system controller 22 incorporates an external medium recording device such as an MO (not shown). Thereby, the system controller 22 can read the image recorded on the external recording medium (MO), and can output and display it on the endoscope display panel 11. The system controller 22 is connected to a network (hospital network) provided in a hospital (not shown) by a cable (not shown). As a result, the system controller 22 can acquire image data on the in-hospital network, and output and display the image data on the first endoscope display panel 11.

For example, a gas cylinder 18 such as CO ₂ is connected to the insufflation apparatus 14. Then, CO ₂ gas can be supplied into the abdomen of the patient 30 through an insufflation tube 14 a extending from the insufflation apparatus 14 to the patient 30.

  The second medical trolley 25 includes a trolley top plate 43 that is the topmost top plate, a trolley shelf 42 that is provided in the middle level, and a bottom plate portion that is the lowest level. An endoscope display panel 35 and a relay unit 28 are disposed on the trolley top plate 43. On the trolley shelf 42, a VTR 62, a video processor 27, and an endoscope light source device 26 are arranged. Other medical devices such as an ultrasonic treatment device, a lithotripsy device, a pump, and a shaver are mounted on the bottom plate portion. Each device is connected to the relay unit 28 by a cable (not shown) so that bidirectional communication is possible.

  The endoscope light source device 26 is connected to the second endoscope 32 via a light guide cable that transmits illumination light. Illumination light from the endoscope light source device 26 is supplied to the light guide of the second endoscope 32. If it does so, the affected part etc. in the abdomen of the patient 30 in which the insertion part of this 2nd endoscope 32 was inserted will be illuminated.

  A second camera head 32 a equipped with an image sensor is attached to the eyepiece of the second endoscope 32. An optical image of the affected area or the like by the observation optical system of the second endoscope 32 is picked up using the image pickup element in the second camera head 32a. Then, the captured optical image data is transmitted to the video processor 27 via the camera cable. The optical image data is signal-processed by a signal processing circuit in the video processor 27 to generate a video signal. Then, the video signal is output to the endoscope display panel 35 via the system controller 22, and an endoscopic image of the affected part or the like is displayed on the endoscope display panel 35.

The system controller 22 and the relay unit 28 are connected by a relay cable 29.
Furthermore, the system controller 22 can also be controlled by a radio remote controller for an operator (hereinafter referred to as a remote controller) 24 that allows the operator to operate the device from the sterilization area. The first medical trolley 12 and the second medical trolley 25 can also be equipped with other devices (for example, a printer, an ultrasonic observation device, etc.).

  FIG. 2 is a block diagram showing a connection relationship between medical devices constituting the endoscopic surgery system of FIG. As shown in the figure, a centralized operation panel 33, a remote control 24, a VTR 17, a video processor 16, an endoscope light source device 15, an insufflation device 14, an electric scalpel device 13, a printer 60 (not shown in FIG. 1), and a super The sound wave observation device 61 (not shown in FIG. 1) is connected to a communication interface (hereinafter, the interface is referred to as I / F) 51 of the system controller 22 by a communication cable 38. Data is transmitted and received between the system controller 22 and each of these devices.

  The VTR 17, the endoscope display panel 11, the video processor 16, the printer 60, and the ultrasonic observation device 61 are connected to the display I / F 52 of the system controller 22 through the video cable 39 so that video signals can be transmitted and received. It has become.

  The VTR 62, the video processor 27, the endoscope light source device 26, the shaver 63 (not shown in FIG. 1), the pump 64 (not shown in FIG. 1), and the ultrasonic processing device 65 (not shown in FIG. 1) are connected to the communication cable 38. To the relay unit 28. Data transmission / reception is performed between the relay unit 28 and each of these devices. Further, the endoscope display panel 35, the video processor 27, and the VTR 62 are connected to the relay unit 28 by a video cable 39 so that a video signal can be transmitted and received.

  The relay unit 28 is connected to the system controller 22 by a cable 29 (see FIG. 1). The relay unit 28 is connected to the communication I / F 51 of the system controller 22 via the communication cable 38 in the cable 29. The relay unit 28 is connected to the display I / F 52 of the system controller 22 via the video cable 39 in the cable 29.

  In addition to the communication I / F 51 and the display I / F 52, the system controller 22 includes a centralized operation panel I / F 53, a voice synthesis circuit 57, a CPU 55, a memory 59, a speaker 58, a voice recognition circuit 56, and a remote control I / F 54. Yes.

  The voice recognition circuit 56 recognizes a voice signal from the microphone 50. The voice recognition circuit 56 includes an A / D converter, an input voice memory, a navigation command memory, a dictation memory, and the like. The A / D converter 51 A / D converts the audio signal from the microphone 50. The input voice memory 52 stores the input voice data that has been A / D converted by the A / D converter 51. The navigation command memory stores navigation command data for the CPU 55 to compare whether or not the voice data stored in the input voice memory is predetermined command data. In the dictation memory, the CPU 55 stores the voice data stored in the input voice memory as predetermined dictation text data (dictation text data: data obtained by converting voice into voice by the dictation function. The same applies hereinafter. ) Is stored as a voice message table (detailed in FIG. 4).

  The remote control I / F 54 transmits / receives data to / from the remote control 24. The voice synthesizing circuit 57 synthesizes voice and causes the speaker 58 to emit voice. The centralized operation panel I / F 53 is used to send and receive data to and from the centralized operation panel 33. These circuits are controlled by the CPU 55.

  Further, an external recording medium can be connected to the system controller 22, and image data can be recorded / reproduced by the CPU 55 on an external recording medium (not shown). Further, the system controller 22 includes a network I / F (not shown). Accordingly, it is possible to connect to a network such as a WAN (World Area Network), a LAN (Local Area Network), the Internet, an Intranet, and an Extranet, and data can be transmitted to and received from these external networks.

  FIG. 3 shows a functional block diagram of the internal configuration of the system controller 22 in the present embodiment. The control unit 101 corresponds to the CPU 55. The voice recognition unit 102 corresponds to the voice recognition circuit 56. The voice message table storage unit 103 is a storage device built in the voice recognition circuit 56 and corresponds to the dictation memory described above. The storage unit 104 corresponds to the memory 59. These are connected by a bus.

  The voice recognition unit 102 converts the voice input from the microphone 50 into text, removes particles, auxiliary verbs, and the like from the text string, and extracts a word (vocabulary). The voice message table storage unit 103 stores a voice message table that can be converted into text shown in FIG. 4 to be described later. The control unit 101 performs a comparison process between the words extracted by the voice recognition unit 102 and the words stored in the voice message table. Information about the result of the comparison processing performed by the control unit 101 is output to the storage unit 104.

  FIG. 4 shows an example of a voice message table 110 that can be converted into text in this embodiment. In the present embodiment, “date and time”, “operation”, “findings”, “medical material”, “procedure”, and “others” are used as examples of the category of the voice wording. Each category stores a plurality of textualized words to be converted into text.

The category “date and time” includes, for example, “year”, “month”, “day”, “hour”, “minute”, “second”, Monday to Sunday (for example, Tuesday), “day of the week”, Etc. are stored.
In the category “operation”, for example, words such as “pneumothorax”, “electrical knife incision”, “electrical knife coagulation”, “sonosurge incision”, “sonosurge coagulation” are stored.

In the category “findings”, for example, words such as “blood loss”, “blood pressure”, and “heart rate” are stored.
In the category “medical material”, for example, words such as “trocar”, “anesthesia”, “rapaloscope”, “forceps”, “clip”, and the like are stored.

In the category “procedure”, for example, words such as “cholecystectomy” and “lower colectomy” are stored.
For the category “others”, for example, numerical values of 0 to 9, “large”, “small”, “high”, “low”, “normal”, “start”, “end”, “insert”, “piece” , Etc. are stored.

  These are just examples, and medical terms corresponding to various cases, words related to the progress of treatment, words related to the surrounding environment, or terms specific to the facility using the system are stored. You may do it. Also, the time of dictation (for example, the system time of the system controller 22) may be recorded together with the dictation text data.

  FIG. 5 shows a flow for extracting a predetermined word from voiced text in the present embodiment. First, the flow is in a waiting state until there is an utterance (goes to “No” in step 1; hereinafter, step is referred to as S). When there is an utterance (proceed to “Yes” in S1), the voice is input to the voice recognition unit 102 via the microphone 50.

  The speech recognition unit 102 converts the input speech into a character string (hereinafter referred to as dictation text) (S2). Here, the voice input from the microphone 50 is converted into text, and only words (vocabulary) obtained by removing particles, auxiliary verbs, and the like from the text string (dictation text) extracted. The voice recognition unit 102 outputs the extracted wording to the control unit.

  Next, the control unit 101 collates the word extracted in S2 with the word registered in the voice word table 110 (S3). As a result of the comparison in S3, if there is a matching word (proceed to "Yes" in S4), the word extracted in S2 is stored in the storage unit 104 (S5). As a result of the comparison in S3, if they do not match (go to “No” in S4), the wording extracted in S2 is discarded (S6).

  In addition, the method of extracting a predetermined word in S2 and S3 is not limited to this. For example, for a dictation text that has not been extracted, a predetermined character string is compared with each word stored in the speech word table. The wording may be extracted. Further, this flow may be executed for each utterance, or continuous utterances may be temporarily stored in the voice input memory and collectively executed after a predetermined time has elapsed.

  FIG. 6 shows text data stored in the storage unit based on the input voice in the present embodiment. FIG. 6A is an example of a doctor's utterance in the operating room. This utterance is input to the microphone 50. FIG. 6B shows text data output as a file to the storage unit 104 based on the flow of FIG.

  In Fig. 6 (a), there are unnecessary words such as "Eh,", "Present", "From now", "O", "I will do it", "Is everyone ready?" In FIG. 6B, they are removed, and only necessary words such as “September 8, 2004, 9:30”, “cholecystectomy”, “start” and the like are recorded.

  From the above, the dictation function eliminates unnecessary wording from the character string spoken by the doctor (ie, only the necessary character string is extracted), and the text becomes short text data, making it easy to understand the operation and make corrections. , Improve usability.

  When printing out this text data, a predetermined category or wording may be identified by changing the font or color of the text based on the category. For example, only the word “start” may be displayed in red.

  In addition, based on the text data, the consumable usage status, the chargeable medical examination, and the like may be searched to automatically calculate the cost of the operation. For example, in FIG. 6 (b), the cost for this chargeable medical examination can be calculated from “cholecystectomy”, and “electric scalpel incision”, “trocar”, “pneumothorax”, “forceps” The usage status of the device and the treatment tool can be grasped from the words such as “”.

<Second Embodiment>
In the present embodiment, a case will be described in which an operation log is added to the dictation text data created in the first embodiment and a report is output.

  FIG. 7 shows a functional block diagram of the internal configuration of the system controller 22 in the present embodiment. FIG. 7 is obtained by adding a log recording unit 120 to the system controller 22 of FIG. In the log recording unit 120, log data related to the operations of various medical devices (for example, the pneumoperitoneum 14, the electric knife 13 and the like) described in FIGS. 1 and 2 are sequentially recorded. The content of the log data includes at least information about what operation the medical device has performed and the date and time when the operation has been performed.

  The control unit 101 generates a file in which both the dictation text data extracted in the first embodiment and the dictated date / time information are output, and further adds an operation log of the medical device corresponding to the date / time to the file. Process.

  FIG. 8 shows an example of the output report in the present embodiment. In the column 130a on the left side of the report 130, the date and time are output. In the center column 130b of the report 130, the dictation text corresponding to the date and time (the dictation text after processing according to the flow of FIG. 5) is output. In the column 130c on the right side of the report 130, an operation log (log data when operating the medical device) corresponding to the date and time is output.

  Looking at this report 130, for example, the date / time “2004/07/27 11:30 AM” is output with the dictation text “electric scalpel incision” (in this case, means using an electric scalpel to open) Has been. Furthermore, “electrical female monopolar output” is output as the operation log.

  Although it is unclear whether the actual operation according to the contents of the dictation text has been performed with only the date / time and the dictation text, the operation log of the medical device that supports it is supported by the date / time as in this embodiment. Can be output to the same file.

  FIG. 9 shows a flow of creating a report 130 in which a predetermined wording is extracted from voiced text in the present embodiment, and further, an operation log of a medical device is added together with time information. First, when there is an utterance (proceed to “Yes” in S <b> 11), a voice is input to the voice recognition unit 102 via the microphone 50. If there is no utterance (proceed to “No” in S11), the process proceeds to S17.

  The voice recognition unit 102 converts the input voice into a character string (S12). Here, the voice input from the microphone 50 is converted into text, and only words (vocabulary) obtained by removing particles, auxiliary verbs, and the like from the text string converted into the text are extracted.

  Next, the control unit 101 compares the word extracted in S12 with the word registered in the voice word table 110 (S13). If there is a matching word as a result of the comparison in S13 (proceed to "Yes" in S14), the word extracted in S12 is stored in the storage unit 104 (S15). Here, the text extracted in S12 is added to the predetermined file (report file) 130 in the storage unit 104 together with the date and time information (for example, the system time when added).

As a result of the collation in S13, if they do not match (go to “No” in S14), the wording extracted in S12 is discarded (S16).
When the process proceeds to “No” in S11, or when the process of S15 or S16 is completed, the control unit 101 reads a log file in which operation logs of medical devices are sequentially recorded from the log recording unit 120, and the read operation The operation log of the log file is written into the report file 130 created in the storage unit 104 (S17). At this time, if the text extracted in S12 already written is written, the time axis of this text and the time axis of the operation log are written so as to match. In this way, the report 130 can be output in real time. Repeat this for each utterance.

  In the flow of FIG. 9, the operation log is sequentially added to the report file 130 regardless of the presence or absence of sound. For example, in the report 130 of FIG. 8, the first line includes date / time, dictation text, “2004/07/27 11:30 AM”, “electric knife incision”, “electric knife monopolar output”, etc. All the operation logs are output. This line indicates that the data has been processed and output through the route of S11 → S12 → S13 → S14 → S15 → S17. In the second line, all of the date / time and operation log are output, such as “2004/07/27 11:31 AM” and “electrical female monopolar output stop”, and no dictation text is output. . This line indicates that the data has been processed and output through the route of S11 → S17 or S11 → S12 → S13 → S14 → S16 → S17.

  FIG. 10 is a modification of the flow of FIG. FIG. 9 shows a flow when the report 130 is output in real time. In FIG. 10, the dictation text file and the operation log are stored separately, and when a predetermined operation is performed, the report 130 is generated from them. It is a flow of the case.

  First, when there is an utterance (proceed to “Yes” in S <b> 21), a voice is input to the voice recognition unit 102 via the microphone 50. If there is no utterance (the process proceeds to “No” in S21), the process proceeds to S27.

  The voice recognition unit 102 converts the input voice into a character string (S22). Here, the voice input from the microphone 50 is converted into text, and only words (vocabulary) obtained by removing particles, auxiliary verbs, and the like from the text string converted into the text are extracted.

  Next, the control unit 101 compares the word extracted in S22 with the word registered in the voice word table 110 (S23). If there is a matching word as a result of the comparison in S23 (proceed to "Yes" in S24), the word extracted in S22 is stored in the storage unit 104 (S25). Here, the text extracted in S22 is added to the predetermined file (report file) 130 in the storage unit 104 together with the date and time information (for example, the system time when added).

As a result of the collation in S23, if they do not match (go to "No" in S24), the wording extracted in S22 is discarded (S26).
When the process proceeds to “No” in S21, or when the process of S25 or S26 ends, the CPU determines whether or not the report output button on the centralized operation panel 33 has been pressed (S27). Until the report output button is pressed (the process proceeds to “No” in S27), the processes of S21 to S27 are repeated.

  When the report output button is pressed (proceed to "Yes" in S27), report data obtained by combining the dictation text data stored in the storage unit 104 and the log data recorded in the log recording unit 120 is displayed. Create (S28).

  As described above, an accurate report can be created by adding the operation log to the text data created in the first embodiment and outputting the report.

It is a figure showing the whole endoscope operation system composition in a 1st embodiment. It is a figure which is a block diagram which shows the connection relation of each medical device which comprises the endoscopic surgery system of FIG. It is a figure which shows the functional block diagram of the internal structure of the system controller 22 in 1st Embodiment. It is a figure which shows an example of the speech wording table 110 in which text conversion is possible in 1st Embodiment. It is a figure which shows the flow which extracts a predetermined wording from the audio | voice converted into the text in 1st Embodiment. It is a figure which shows the text data memorize | stored in a memory | storage part based on the input audio | voice in 1st Embodiment. It is a figure which shows the functional block diagram of the internal structure of the system controller 22 in 2nd Embodiment. It is a figure which shows an example of the report output in 2nd Embodiment. It is a figure which shows the flow which produces the report which extracted the predetermined wording from the audio | voice converted into the text in 2nd Embodiment, and also added the operation log of the medical device with time information. It is a figure which shows the modification of the flow of FIG. It is a figure which shows an example of the report output by the conventional endoscopic surgery system.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Endoscopic surgery system 2 1st endoscopic surgery system 3 2nd endoscopic surgery system 11 Endoscope display panel 12 1st medical trolley 13 Electric scalpel device 14 Air supply apparatus (pneumo-abdominal apparatus)
15 Endoscope light source device 16 Video processor 17 VTR
18 Gas cylinder 19 Patient bed 20 Endoscope display panel 21 Centralized display panel 22 System controller 24 Remote control 25 Second medical trolley 26 Endoscope light source device 27 Video processor 28 Relay unit 29 Cable 30 Patient 31 First endoscope 31a First camera head 32 Second endoscope 32a Second camera head 33 Centralized operation panel 35 Endoscope display panel 38 Communication cable 39 Video cable 40 Trolley shelf 41 Trolley top plate 42 Trolley shelf 43 Trolley top plate 50 Microphone 51 Communication I / F
52 Display I / F
53 Centralized operation panel I / F
54 Remote control I / F
55 CPU
56 Speech recognition circuit 57 Speech synthesis circuit 58 Speaker 59 Memory 60 Printer 61 Ultrasonic observation device 62 VTR
63 Shaver 64 Pump 65 Ultrasonic Processing Device 101 Control Unit 102 Speech Recognition Unit 103 Speech Statement Table Storage Unit 104 Storage Unit 110 Speech Statement Table 120 Log Recording Unit

Claims (11)

In a medical system comprising a plurality of medical devices and a medical device control device connected to the medical devices and controlling the medical devices,
Voice input means for inputting voice;
Recognizing the voice input by the voice input means, and converting the voice into a character string;
Medical-related vocabulary storage means in which medical-related vocabulary, which is a vocabulary related to medical care, is stored;
Medical vocabulary extracting means for extracting the medical related vocabulary from the phonetic characters indicating the speech converted into a character string by the phonetic string converting means based on the medical related vocabulary stored in the medical related vocabulary means;
A medical system comprising:   2. The medical system according to claim 1, wherein the voice character string converting unit recognizes the voice input by the voice input unit and extracts a vocabulary from a sentence in which the voice is converted into a character string. 3. .   The medical-related vocabulary storage means stores at least one vocabulary group among a vocabulary group related to the operation status of the medical device, a vocabulary group related to the medical device, a vocabulary group related to a medical device, and a vocabulary group related to a procedure. The medical system according to claim 1. The medical system further comprises:
Operation history storage means for storing the operation history information of the medical device;
Associating means for associating the operation history information with the medical related vocabulary extracted by the medical related vocabulary extracting means;
The medical system according to claim 1, comprising: At least one of the plurality of medical devices is an endoscope,
The medical system according to claim 1, wherein the medical system is an endoscope system. In a medical device control apparatus that controls a plurality of medical devices,
Voice input means for inputting voice;
Recognizing the voice input by the voice input means, and converting the voice into a character string;
Medical-related vocabulary storage means in which medical-related vocabulary, which is a vocabulary related to medical care, is stored;
Medical vocabulary extracting means for extracting the medical related vocabulary from the phonetic characters indicating the speech converted into a character string by the phonetic string converting means based on the medical related vocabulary stored in the medical related vocabulary means;
A medical device control device comprising:   The medical device control according to claim 6, wherein the voice character string converting unit recognizes the voice input by the voice input unit and extracts a vocabulary from a sentence in which the voice is converted into a character string. apparatus.   The medical-related vocabulary storage means stores at least one vocabulary group among a vocabulary group related to the operation status of the medical device, a vocabulary group related to the medical device, a vocabulary group related to a medical device, and a vocabulary group related to a procedure. The medical device control device according to claim 6. The medical device control device further includes:
Operation history storage means for storing the operation history information of the medical device;
Associating means for associating the operation history information with the medical related vocabulary extracted by the medical related vocabulary extracting means;
The medical device control device according to claim 6, further comprising: Enter your voice,
Recognizing the voice, characterizing the voice,
Based on a medical-related vocabulary that is a vocabulary related to medical care registered in advance, the medical-related vocabulary is extracted from a speech character indicating the speech that has been converted into a character string,
A medical information management method comprising recording the medical related vocabulary. The medical information management method according to claim 10, further comprising recording operation history information of the medical device in association with the extracted medical-related vocabulary.

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