JP3386191B2 - Surgical equipment control system - Google Patents

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a surgical apparatus control system for centrally controlling a surgical apparatus equipped with various surgical instruments by one control means.

[0002]

2. Description of the Related Art Generally, when performing a surgery, a plurality of surgical devices equipped with surgical instruments according to the purpose are selectively used. However, in the operating room, the operator performs the surgery in a clean area. Since each surgical device is arranged in the unclean area outside the clean area, the operation of each surgical device is operated by the operator who is instructed by the operator, and is not directly touched by the operator.
In addition, the functions of the surgical devices are independent of each other, and are often not suitable for combined use.

Therefore, in the past, during operation, a dedicated operator moved between the surgical devices and operated as needed or in accordance with the operator's instructions, so the operating environment was not good. In surgery requiring real time, a high degree of skill of the operator is required.

Further, each surgical apparatus is provided with a communication port. This communication port is used for display output to a printer, a monitor or the like, and may be used between surgical instruments, surgical apparatuses, or Systematic communication such as communication between control means such as a surgical device and a computer has not been performed.

[0005]

As described above, conventionally, no systematic communication is performed by communication between surgical instruments, between surgical devices, or between control devices such as a surgical device and a computer. Therefore, when these devices are used in combination in the operating room, it is necessary to assign an operator to each device or to operate multiple devices according to the operator's instructions by several operators. was there.

As a result, the operating room becomes narrower and moreover, it is necessary to set up and prepare all the operating devices provided with operating equipment according to the type of operation, which not only complicates the operation but also advances the operation. There is a disadvantage that also affects.

The present invention has been made in view of the above circumstances, and facilitates the systematization of each surgical instrument, and enables a single operation, a complex interlocking operation, and a centralized control, which has a good operability. It is intended to provide a device control system.

[0008]

Was to achieve the above object, there is provided a means for solving]
Therefore, the first surgical device control system according to the present invention is
Control of any surgical device among multiple surgical devices used for
Control or drive and bidirectional with external equipment
One hand with a first communication port that enables communication connection
Surgical device and a plurality of surgical instruments used in the surgery
A surgical machine controlled or driven by the surgical device described above.
Control or drive a surgical instrument that is different from the
Second, which enables a two-way communication connection with an external device
The other surgical device provided with a communication port and the one surgical device
Controllable device and at least one other surgical device
And enable bidirectional communication connection with external devices.
Equipped with a centralized controller with a third communication port
Well, between the one surgical device and the other surgical device
With a third communication port that enables bidirectional communication connection
Centralized controller for both via the third communication port
And the centralized controller operates from the third communication port.
Via the first communication port or the second communication port
Both with the above surgical device or the other surgical device
There is a bidirectional communication connection, and there is the one surgical device.
Or a two-way communication connection with the other surgical device
At this time, the signal corresponding to the identification number unique to the controlled surgical device
For the surgical device connected through the third communication port
And transmitting the means, the one surgical device is the first surgical device.
The signal corresponding to the identification number received via the communication port
The identification number unique to the surgical device
It has a means for judging whether or not the signal corresponds to the
Based on the discrimination result of the means, the signal corresponding to the identification number is
Corresponds to the unique identification number of the surgical device
If the signal is
And the other surgical device is connected via the second communication port.
The received signal corresponding to the identification number is the self
It is a signal corresponding to the identification number unique to the other surgical device.
And a determination result of the determination means.
The signal corresponding to the identification number is
If the signal corresponds to the identification number unique to other surgical equipment,
In the case of
Characterize. Also, the second surgical device control system according to the present invention.
In the first surgical device control system, the stem is
The surgical device controlled by the centralized controller
Means for centrally displaying the setting information or operation information of the
Is further provided.

[0009]

[Operation] According to the present invention, by assigning a common communication port to each surgical instrument and a unique identification number, each surgical instrument can be recognized without error and the communication port can be used as a control means. By connecting, it becomes possible to perform the interlocking operation and the centralized control between the respective related surgical devices.

As a result, it becomes possible for one operator to interlock and centrally control all surgical instruments. In addition, the necessary communication equipment can be freely combined by the unified communication function and the identification number uniquely assigned to each surgical equipment.

[0011]

Embodiments of the present invention will be described below with reference to the drawings. 1 to 4 show a first embodiment of the present invention, FIG. 1 is a conceptual diagram of a surgical device control system, FIG. 2 is a conceptual diagram of a control system of the surgical device, FIG. 3 is a conceptual diagram of a command packet, and FIG. FIG. 1 is a diagram showing a schematic configuration of a surgical device control system.

Reference numeral 1 in FIG. 1 is a centralized controller which is an example of control means, and a plurality of surgical devices 2, 3, 4, 5 ... N consisting of surgical instruments having different functions are used as signal transmission means 2a, 3a such as cables. , 4a, 5a ... na are connected to the respective surgical devices, and with this centralized controller 1,
It is possible to centrally and remotely control each of the above-mentioned means devices 2 to n. In addition, as the surgical devices 2 to n,
For example, a high-frequency power source, an endoscope light source, a scope holder, an electric scalpel, a high-speed pneumoperitoneum, a surgical instrument such as an ultrasonic scalpel, and the like are provided for each function.

As shown in FIG. 2, each of the surgical devices 2 to n described above is used.
Is internally provided with a main control unit A for performing original control of the surgical device, a communication control unit B for controlling communication, and a signal transmitting / receiving unit C for transmitting / receiving signals such as data.
A communication port D for communication connection with the outside is provided outside n, and further, the communication port D is provided with the central controller 1 or signal transmission means 2a to na connectable to another surgical apparatus. It is connected.

From the communication port D of each of the surgical devices 2 to n, as shown in FIG. 3, for identification (ID) number uniquely assigned to each surgical device, command data, address, and error detection and correction of communication signals. Is transmitted and received as one command packet.

Next, the operation of the surgical apparatus control system having the above configuration will be described. Centralized controller 1 for centralized control and surgical devices 2 to n to be controlled by this centralized controller 1 are assigned unique ID numbers without duplication, and each of the surgical devices 2 to n has a unique ID number.
The communication port D provided in each of them is the signal transmission means 2a to n.
It is connected to the communication port 1a of the centralized controller 1 via a.

The respective surgical devices 2 to n are centrally and remotely controlled by the central controller 1. That is,
An operator who receives an instruction from a surgeon in a clean area operates the centralized controller 1 according to the instruction of the operator to change the mode of the surgical device 2 or confirm the state of the surgical device 4, for example. While the output level of the surgical device 3 is switched or the data from the surgical device 5 is received by the centralized controller 1, the centralized controller 1 interlocks based on the data.
For example, the instructions are automatically or artificially transmitted in real time to other surgical devices to switch the state.

Next, with reference to FIG. 3, a communication protocol between the centralized controller 1 and the surgical devices 2 to n will be described.

First, the destination ID to be transmitted is sent to the line (REQUEST). The receiving side releases the line if it is not its own ID, and the receiving side I if it is its own ID.
Transmit D as an acknowledgment (ACK). When the sender receives the receiver ID, it sends the sender ID to the line (connector process). Upon receiving the ID of the transmission source, the reception side transmits the transmission source ID to the transmission source (ACK). When the sender confirms the ID addressed to himself / herself,
Transmit MAND. Upon receiving COMMAND, the reception side transmits the transmission source ID to the transmission source (ACK).
Upon receiving the ID, the transmission source transmits the upper address. When receiving the upper address, the receiver returns the sender ID to the sender (ACK). Upon receiving the ID, the transmission source transmits the lower address. When receiving the lower address, the receiving side returns the sender ID to the sender (AC
K). The sender confirms the ID and then starts sending data. Upon receiving the data, the reception side returns the transmission source ID to the transmission source (ACK). After confirming the ID, the transmission source sends a transmission end character (EOT) to the line. Upon confirming the EOT, the receiving side returns the transmission source ID to the transmission source and ends the communication (ACK). The sender returns to the main process after confirming the ID.

As a surgical device control system having the above-mentioned operation, there is a surgical device for performing a surgical operation under an endoscope. There are many types of peripheral surgery equipment used in endoscopic surgery equipment, and the surgery equipment cannot fit in one cart.Therefore, these surgery equipment are installed separately in multiple carts and stay in one place. In this state, multiple surgical instruments are operated.

For example, as shown in FIG. 4, the endoscopic surgical operation apparatus 10 has a monitor 21, a centralized display panel 22, and a first display panel 22.
TV camera 23a, first light source 24a, second TV camera 2
3b, the second light source 24b, the system controller 25, the video mixer 26, the VTR 27, the distributor 28, the communication cart 29 and the like, the first cart 20 equipped with surgical equipment.
And monitor 31, high-frequency ablation device 32, pneumoperitoneum 33, C
A second cart 3 equipped with surgical equipment such as an O2 cylinder 34, a suction bottle 35, a distributor 36, and a communication connector 37.
0 and a peripheral device controller (centralized controller) 40 having a centralized control panel 41 for remotely operating these surgical devices.

The above-mentioned various surgical instruments are distributed in the respective carts via the communication cables (not shown) in the distributors 28, 3.
6, the first cart 20 and the second cart 30 are electrically connected via a universal cable 51 having a communication cable installed therein, and the peripheral device controller 40, the first cart 20 and the second cart 30 are connected. The two carts 30 are electrically connected to each other via a universal cord 52 having a communication cable installed therein.

A centralized control panel 41 provided in the peripheral device controller 40 and a centralized control panel 42 provided in the first cart 30 collectively set various surgical instruments, and are used for various surgical instruments. Information such as on / off status, abdominal pressure, high-frequency output level, etc. is centralized display panel
Is displayed in.

As described above, the centralized controller (centralized control panel) is used to centrally control each of the surgical devices (surgical instruments) which are individually controlled. Responding to the operator's instructions in an instant, the operation of each surgical device can be intensively and remotely controlled, which greatly improves the workability and reduces the operator's burden. And the surgical environment becomes better.

By providing a centralized control panel for a doctor or a nurse in a clean area, the surgeon himself or a nurse immediately responds to an emergency operation of a surgical device by operating the surgeon himself or a nurse. It can be carried out.

Further, since the centralized controller and each surgical apparatus are individually assigned with ID numbers, the ID numbers can prevent erroneous connection of the system or erroneous operation during control. .

Incidentally, the mounting positions of the communication connector and the positions of the centralized control panel and the centralized display panel are not limited to the positions shown in the drawing.

(Second Embodiment) FIG. 5 is a conceptual diagram of a surgical apparatus control system according to a second embodiment of the present invention. In this embodiment, a signal such as a cable, which is a signal transmission means, is not used to transmit a signal, and the signal is serialized to a communication port D provided in each of the surgical devices 2 to n and the centralized controller 1. The adapters 1b to nb for converting into signals and converting into light such as infrared rays or radio waves are connected, and communication and control similar to those in the first embodiment are performed in a state where there is no connection line between the respective adapters 1b to nb. It was done.

Therefore, as shown in FIG. 6, in the present embodiment, the universal cord 51 and the peripheral equipment controller 40, the first cart 20 and the first cart 20 in which the communication cable for connecting the first cart 20 and the second cart 30 is installed. 2 cart 30
Optical communication devices 61 and 62 are provided instead of the communication connectors 29 and 37 for connecting the universal cord 52 in which the communication cable for connecting to and is connected. Other configurations are the same as those of the first embodiment, and the same members are designated by the same reference numerals and the description thereof will be omitted.

Here, the outline of the optical communication apparatus will be described with reference to FIG. As shown in the figure, the optical communication devices 60 arranged in the first cart and the second cart are composed of an emitting side 60a and a light receiving side 60b, and the emitting side 60a is a distributor connected to various surgical instruments. A modulator 70 that modulates the data from (reference numerals 28 and 36) by any modulation method such as intensity modulation, frequency modulation, phase modulation, amplitude modulation, or spread spectrum.
And a driver 80 for driving a light source 90 such as an LED or an SLD for radiating the signal modulated by the modulator 70 into space.

On the incident side 60b of the optical communication device 60, a detector 110 for receiving diffused light and direct light emitted from another optical communication device, and a detector 110 arranged on the front surface of the detector 110 are provided. A bandpass filter 101 that cuts wavelengths (noise) other than an optical communication device, such as a condenser lens 102 that efficiently collects diffused light and direct light, and light of an indoor fluorescent lamp.
An amplifier 120 for amplifying the signal incident on the detector 110 and a demodulator 130 for demodulating the signal modulated by the modulator 70 are provided.

A surgical device control system 10 including the above-described optical communication device 60 will be described. As shown in FIG. 8, the surgical apparatus control system 10 is composed of a first cart 151, a second cart 152, a third cart 153, and a control cart 161, which are equipped with a plurality of surgical instruments.

A distributor 141, a surgical device a2, a surgical device b3, a surgical device c4, and an optical communication device 61 are mounted on the first cart 151, and a distributor 142, on the second cart 152.
The surgical device d5, the surgical device e6, the surgical device f7, and the optical communication device 62 are mounted, and the distributor 14 is mounted on the third cart 153.
3, the surgical device g8, the surgical device h9, the surgical device n, and the optical communication device 63 are mounted, and the control cart 161 includes the first cart 151, the second cart 152, and the third cart 1.
A control unit 162, a display panel 163, and a keyboard 1 as a centralized control panel for controlling the surgical devices mounted on the 53.
64 is mounted.

Then, these devices 2, 3, 4 ... N
, And distributors 141, 142, 143 for distributing control signals to these devices 2, 3, 4 ... N are connected by a communication cord 65 such as a general purpose interface bus, and the distributor 141 is connected. , 142, 143 are connected to optical communication devices 61, 62, 63 for remotely controlling these devices 2, 3, 4, ...

The operation of the surgical control system 10 configured as described above will be described. First, operate the keyboard 164 provided on the control cart 161,
The data of the devices 2, 3, 4, ... N are set, or changes are input. This setting or change instruction is displayed on the display panel 163, and a signal for controlling each device is transmitted to the optical communication device 64.

Next, the signal transmitted by the optical communication device 64 is modulated, converted into invisible light in the near infrared region and emitted.

The invisible light signal emitted from the optical communication device 64 is received by the optical communication devices 61, 62 and 63 mounted on the carts 151, 152 and 153, and the modulated signal is demodulated. Distributor 1 converted to a predetermined control signal
The data of the device corresponding to the control signal is set or changed via 41, 142 and 143.

As described above, by using light such as infrared rays instead of the cable as the signal transmitting means, the environment and safety in the operating room can be further improved, and as a result, each operating device is operated in the operating room. Because there is no need for mutual connection or connection to a centralized controller, communication, interlocking control, and remote centralized control are not impaired by obstacles, and there are no unnecessary control lines such as cables or data communication lines. The environment of the operating room and the safety can be further improved without disturbing the operator, and the operating devices can be easily combined to form a system. Other effects are similar to those of the first embodiment. Although there is a problem that noise is generated, it is also possible to transmit data by radio waves.

Further, as shown in FIG. 9, by providing a satellite unit 171 equipped with an optical communication device 172 at a position where the surgical apparatus is most visible, such as a ceiling of the operating room, communication in a large operating room is possible. Enable
Even if communication is interrupted by an obstacle, communication is possible via the satellite unit 171. By disposing a plurality of satellite units, it is possible to completely eliminate the communication cutoff region from the operating room.

Further, as shown in FIG. 10, in a surgery control system 10 'comprising, for example, a first cart, a second cart and a control cart (not shown), the optical communication devices 61' and 62 'arranged in the respective carts. , 64 ', the wavelength of the light source emitted from the light source is changed. That is, the optical communication device 61 'arranged in the first cart is provided with the light source 91 for emitting the light of wavelength λ1 and the bandpass filter 101c for transmitting the wavelength of λ3 emitted from the light source 93 provided in the control cart. The optical communication device 62 'provided in the second cart is provided with the light source 92 for emitting the light of wavelength λ2 and the bandpass filter 101c for transmitting the wavelength of λ3. Light source 93 for emitting a wavelength of .lambda.3 and an optical communication device 61 'arranged on the first cart.
The light-receiving side is provided with a bandpass filter 101a that transmits only the light of wavelength λ1 emitted from and a bandpass filter 101b that transmits only the light of wavelength λ2 emitted from 62 'disposed in the second cart. It is arranged. The other structure is the same as that of the second embodiment, and the same members are designated by the same reference numerals and the description thereof will be omitted.

As described above, it is possible to realize a large capacity of transmission information by changing and setting the wavelength depending on the communication direction. Other functions and effects are similar to those of the second embodiment.

Needless to say, the control cart is provided with the same number of detectors and demodulators as the number of optical communication devices arranged in the cart.

[0042]

As described above, according to the present invention,
It is easy to systemize various surgical devices required for each surgery as needed, and one operator does not need to operate many surgical devices while moving between them. Centralized control or interlocked centralized control can be performed at one place, improving operability.
The operator's burden is reduced, and the excellent effects such as the safety in the operating room are improved.

[Brief description of drawings]

1 to 4 show a first embodiment of the present invention,
Figure 1 is a conceptual diagram of the surgical device control system.

FIG. 2 is a conceptual diagram of a control system of a surgical device.

FIG. 3 is a conceptual diagram of a command packet

FIG. 4 is a diagram showing a schematic configuration of a surgical apparatus control system.

FIG. 5 is a conceptual diagram of a surgical device control system according to a second embodiment of the present invention.

FIG. 6 is a configuration diagram showing a schematic configuration of a cart loaded with a surgical device.

FIG. 7 is an explanatory diagram showing a schematic configuration of an optical communication device.

FIG. 8 is a diagram showing a schematic configuration of a surgical device control system including an optical communication device.

FIG. 9 is a diagram showing another configuration of a surgical device control system including an optical communication device.

FIG. 10 is a diagram showing another configuration of a surgical device control system including an optical communication device.

[Explanation of symbols]

1 ... Centralized control means 2 to n ... Surgical equipment (surgical equipment) D ... Communication port

Front page continuation (72) Inventor Koichi Tatsumi 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Industry Co., Ltd. (72) Mamoru Kaneko 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Industry Co., Ltd. (72) Inventor Kuniaki Kamiaki 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Industry Co., Ltd. (72) Inventor Hiroharu Tanigawa 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Industry Co., Ltd. (72) Inventor Yoshito Ichikawa 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Industry Co., Ltd. (72) Satoshi Takemoto 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus (56) Reference JP-A-3-151967 (JP, A) JP-A-4-158856 (JP, A) JP-A-62-49844 (JP, A) JP-A-60-222048 ( JP, A) US Pat. No. 4756706 (US, A) (58) Fields investigated (Int.Cl. ⁷ , DB name) A61B 17/00 A6 1B 19/00 502

Claims (2)

(57) [Claims] 1. A device among a plurality of surgical instruments used for surgery.
Controls or drives the desired surgical equipment and
The first communication port that enables two-way communication connection with the device.
One surgical device provided with a gut and one of the plurality of surgical instruments used in the surgery
Different from surgical instruments controlled or driven by the device
Control or drive the surgical equipment that
Communication port that enables two-way communication connection with the device
Other surgical device, the one surgical device and at least one other surgical device provided with
Device can be controlled and bidirectional communication connection with external equipment
Centralized controller with a third communication port that enables
Includes and La, wherein the central controller, the more the third communication port
The above-mentioned one via the first communication port or the second communication port.
Bidirectional communication with other surgical equipment or other surgical equipment
Connection is possible, and the one surgical device or
When a two-way communication connection is made with the other surgical device,
The signal corresponding to the identification number unique to the control surgical device
Send to surgical device connected via 3 communication ports
Means for receiving, the one surgical device receiving via the first communication port
The signal corresponding to the identification number is
Whether the signal corresponds to the identification number unique to the surgical device
Has a means for discriminating
The one operation in which the signal corresponding to the identification number is self
If the signal corresponds to the identification number unique to the device,
Controlled by the centralized controller, the other surgical device receives via the second communication port.
The signal corresponding to the identification number
Whether the signal corresponds to the identification number unique to the surgical device
Has a means for discriminating
The other operation in which the signal corresponding to the identification number is self
If the signal corresponds to the identification number unique to the device,
It is controlled by the centralized controller
Surgical device control system. 2. Controlled by said centralized controller
Concentrated display of setting information or operation information of the surgical device
The display device according to claim 1, further comprising:
The described surgical device control system.