JP5544179B2 - Surgery progress notification device and surgery progress notification program - Google Patents

Description

  The present invention belongs to the technical field of a surgical progress notification device and a surgical progress notification program. More specifically, the present invention belongs to the technical field of a surgical progress notification device that notifies the actual progress of a surgical operation in an operating room and a program for the surgical progress notification device.

  In recent years, due to the diversification of medicine and the like, the demand for surgery in general hospitals has increased from the conventional level.

  In general, when performing a single operation, the incidental operations include, for example, preparation and transport of the operation to the patient, arrangement of doctors and nurses in charge of the operation, sterilization of surgical instruments, Various operations such as preparation or preparation of a hospital room where a patient after surgery should be carried in occur.

  On the other hand, since there are a limited number of operating rooms and doctors in one hospital, in order to perform each operation effectively and safely, a plurality of operations including the incidental work described above are planned in a planned manner. There is a need to do. This need is increasing due to the recent shortage of doctors and nurses. In addition, the fact that the proper number of nursing staff is not defined is one of the problems that increase the necessity.

  As a technology developed in response to such a request, for example, there is one disclosed in Patent Document 1 below. The technique disclosed in Patent Document 1 describes the schedule of each surgery and the progress in actual surgery, the manager of the entire surgery in the schedule, and the actual surgery in progress. The nurses and doctors who perform the survey are input, the input results are accumulated as data, and are statistically processed / displayed.

JP 2007-122174 A

  However, the technique disclosed in Patent Document 1 described above is only for statistically examining the schedule and results of a plurality of operations, and notifies the progress of the operation actually performed to the outside. The point to do is not considered at all. For this reason, the actual progress of the operation cannot be recognized in real time outside the operating room where the operation is being performed, and as a result, the work that should be performed in association with the operation is hindered. It was.

  More specifically, for example, the operation related to the preparation of a hospital room in which the patient to be operated is accommodated after the operation, the preparation operation for another operation scheduled after the operation, In the assignment work of doctors and nurses who perform the surgery, or the judgment of whether or not surgery can be performed on emergency patients, the progress of the currently performed surgery and the prediction of the end time with a certain degree of accuracy are not possible. Various obstacles (specifically, unevenness in work efficiency of medical staff, etc.) occurred due to the possibility. Here, specific examples of the medical staff include doctors, clinical engineering engineers, nurses, nursing assistants (also called nursing assistants), and the like.

  In addition, in the technique disclosed in Patent Document 1 described above, the progress during the operation indicates that the person in charge (actually a nurse or the like) in the operation room has directly started the operation manually. It is necessary to perform an input operation. Therefore, there is a problem that in many cases, such an input operation itself is actually impossible when there are not enough advanced operations, nurses, or the like where quickness is important.

  Therefore, the present invention has been made in view of the above-mentioned problems, and the problem is that the progress of the operation can be recognized accurately and in real time without requiring manual operation outside the operating room, and as a result, the operation is performed. It is an object of the present invention to provide a progress notification device and a program for the progress notification device that can smoothly perform later related work.

In order to solve the above-described problem, the invention according to claim 1 is a power amount detection unit such as a processing unit for detecting an integrated value of power consumption amount per unit time in an operating room where surgery is performed. And a progress detection means such as a processing unit for detecting the progress of the operation based on the detected change rate of the integrated value, and the detected progress is notified outside the operating room where the operation is being performed. Notification means such as a display.

According to the invention described in claim 1, since the notification to the surgical outdoor detects the progress of the surgery based on the rate of change in the integrated value due to power consumption of time per unit in the operating room time, progress of the operation Based on the rate of change in the integrated value of power consumption per unit time corresponding to, the progress of the operation can be recognized more accurately and in real time without the need for manual operation outside the operating room. It is possible to carry out related work smoothly.

In order to solve the above-mentioned problem, the invention according to claim 2 is characterized in that the power amount detection means such as a processing unit for detecting the power consumption amount per unit time in the operating room where the operation is performed, and the detected Based on a change corresponding to the time of power consumption per unit time, progress detection means such as a processing unit for detecting the progress of the surgery, and the detected progress outside the operating room where the surgery is performed Notification means such as a display for notification .

According to the second aspect of the present invention, the power consumption per unit time in the operating room is detected, and the progress of the operation is detected based on the change corresponding to the detected time of the power consumption per unit time. Therefore, based on the change corresponding to the time of power consumption per unit time corresponding to the progress of the operation, the progress of the operation is more accurately and real-time without requiring manual operation outside the operating room. Therefore, related operations after the operation can be performed smoothly.

In order to solve the above-mentioned problem, the invention according to claim 3 is characterized in that a power amount detecting means such as a processing unit for detecting a power consumption amount in an operating room where an operation is performed, and the detected power consumption amount. Based on the progress detection means such as a processing unit for detecting the progress of the surgery, and a notification means such as a display for notifying the detected progress outside the operating room where the surgery is performed, the notification The means indicates that, in the currently ongoing operation, when the end time of the operation is delayed from the scheduled end time based on the progress detected by the progress detecting unit, the means indicates the delay and the current A warning display corresponding to the scheduled end time is configured to be displayed .

According to the third aspect of the present invention, the power consumption in the operating room is detected, the progress of the operation is detected based on the detected power consumption, and the outside of the operating room is notified. By being able to recognize accurately and in real time without the need for manpower outside the operating room, related operations after the operation can be performed smoothly. Further, when it is detected that the end time of the operation is delayed from the scheduled end time in the currently ongoing operation, the delay is displayed because the delay is indicated and a warning display corresponding to the current scheduled end time is displayed. You can recognize that.
In order to solve the above-described problem, the invention according to claim 4 is directed to a power amount detection means such as a processing unit for detecting power consumption in an operating room where surgery is performed, and the detected power consumption. A progress detection means such as a processing unit for detecting the progress of the surgery, and a notification means such as a display for notifying the detected progress outside the operating room where the surgery is performed, When the scheduled time zones of the plurality of operations performed in different time zones in the operating room are changed, the notification unit is configured to display each scheduled time zone after the change.
According to the fourth aspect of the present invention, the amount of power consumption in the operating room is detected, the progress of the operation is detected based on the detected power consumption, and the outside of the operating room is notified. By being able to recognize accurately and in real time without the need for manpower outside the operating room, related operations after the operation can be performed smoothly. In addition, when the scheduled time zones for a plurality of operations performed in different time zones in one operating room are changed, each scheduled time zone after the change is displayed. Can be recognized.
In order to solve the above problems, the invention according to claim 5 is the operation progress notification device according to claim 3 or claim 4, wherein the notification means indicates a current time and corresponds to the passage of time. The current time indication that changes in response to the warning display is displayed.
According to the invention described in claim 5, in addition to the operation of the invention described in claim 3 or claim 4, the current time indication is displayed together with the warning display. It can be recognized from the outside.
In order to solve the above-mentioned problem, the invention described in claim 6 is the operation progress notification device according to any one of claims 3 to 5, wherein the notification means is the operation currently in progress. In this case, when it is found based on the progress detected by the progress detection means that the end time of the operation is earlier than the scheduled end time, the operation is notified.
According to the invention described in claim 6, in addition to the operation of the invention described in any one of claims 3 to 5, in the currently ongoing operation, the end time of the operation is higher than the scheduled end time. When it is found out that it is early, it is notified that it will be early, so that it can be recognized.
In order to solve the above-mentioned problem, the invention according to claim 7 is the operation progress notification device according to any one of claims 1 to 6, wherein the power amount detection means is used for the operation. The power consumption per unit time in each of a plurality of machines is used.
According to the invention described in claim 7, in addition to the operation of the invention described in any one of claims 1 to 6, the power consumption per unit time in each of a plurality of machines used in the operation. Since the integrated value or the like is detected using the amount, the progress of the operation can be detected more accurately.

In order to solve the above-described problem, an invention according to an eighth aspect is the surgical progress notification device according to any one of the first to seventh aspects, wherein each of a plurality of machines used in the surgery is used. Storage means for storing the amount of power consumption per unit time in the above, the progress detection means is activated based on the detection result by the power amount detection means and the stored power consumption amount Machine identification means for identifying said machine, wherein said progress detection means is configured to detect said progress based on said identified machine.

According to the invention described in claim 8 , in addition to the operation of the invention described in any one of claims 1 to 7 , the power consumption per unit time in each of a plurality of machines used for surgery. The amount of power stored, the power consumption detection result by the power amount detection means and the stored power consumption are identified based on the machine that has been activated, and based on the identified machine Since the progress is detected, the progress of the operation can be detected based on the power consumption in the machine used for the operation, and the progress can be detected more accurately and in real time and notified outside the operating room.

In order to solve the above-mentioned problem, an invention according to claim 9 is the operation progress notification device according to any one of claims 1 to 8 , wherein the notification means is a doctor related to the operation. It is installed in at least one of a waiting room, a nurse waiting room, an outpatient ward, a patient ward, a family waiting room, a power management facility, or a place other than the operating room in the operating section including the operating room.

According to the invention described in claim 9 , in addition to the operation of the invention described in any one of claims 1 to 8 , a doctor waiting room, a nurse waiting room, an outpatient ward, a patient related to the operation Since at least one of the ward, family waiting room, power management facility, or operating room including the operating room other than the operating room has a notification means, the progress of the operation in each room, etc. It can be recognized accurately and in real time.

In order to solve the above-mentioned problem, an invention according to claim 10 is characterized in that a computer is connected to the power amount detection means and the progress detection in the surgical progress notification device according to any one of claims 1 to 9. And notification control means for controlling notification in the notification means.

According to the invention described in claim 10 , by reading and executing the surgery progress notification program on a computer, the power consumption amount in the operating room is detected, and based on the detected power consumption amount and the like , Since the computer functions to detect progress and notify outside the operating room, it is possible to recognize the progress of the operation accurately and in real time without the need for manual operation outside the operating room. Etc. can be performed smoothly.

According to the first aspect of the invention, the amount of power consumption per unit time in the operating room is detected, and the progress of the operation is detected based on the rate of change of the integrated value over time of the detected power consumption amount. Therefore, based on the rate of change in the integrated value of power consumption per unit time corresponding to the progress of the operation, the progress of the operation can be performed more accurately and in real time without the need for human intervention outside the operating room. Therefore, related operations after the operation can be performed smoothly.

According to the second aspect of the present invention, the power consumption per unit time in the operating room is detected, and the progress of the operation is detected based on the change corresponding to the detected time of the power consumption per unit time. Therefore, based on the change corresponding to the time of power consumption per unit time corresponding to the progress of the operation, the progress of the operation is more accurately and real-time without requiring manual operation outside the operating room. Therefore, related operations after the operation can be performed smoothly.

According to the third aspect of the present invention, the power consumption in the operating room is detected, the progress of the operation is detected based on the detected power consumption, and the outside of the operating room is notified. By being able to recognize accurately and in real time without the need for manpower outside the operating room, related operations after the operation can be performed smoothly. Further, when it is detected that the end time of the operation is delayed from the scheduled end time in the currently ongoing operation, the delay is displayed because the delay is indicated and a warning display corresponding to the current scheduled end time is displayed. You can recognize that.
According to the fourth aspect of the present invention, the amount of power consumption in the operating room is detected, the progress of the operation is detected based on the detected power consumption, and the outside of the operating room is notified. By being able to recognize accurately and in real time without the need for manpower outside the operating room, related operations after the operation can be performed smoothly. In addition, when the scheduled time zones for a plurality of operations performed in different time zones in one operating room are changed, each scheduled time zone after the change is displayed. Can be recognized.
According to the invention described in claim 5, in addition to the effect of the invention described in claim 3 or claim 4, the current time indication is displayed together with the warning display. It can be recognized from the outside.
According to the invention described in claim 6, in addition to the effect of the invention described in any one of claims 3 to 5, in the currently ongoing operation, the end time of the operation is higher than the scheduled end time. When it is found out that it is early, it is notified that it will be early, so that it can be recognized.
According to the invention described in claim 7, in addition to the effect of the invention described in any one of claims 1 to 6, the power consumption per unit time in each of a plurality of machines used in the operation. Since the integrated value or the like is detected using the amount, the progress of the operation can be detected more accurately.

According to the invention described in claim 8 , in addition to the effect of the invention described in any one of claims 1 to 7 , the power consumption per unit time in each of a plurality of machines used for surgery. The amount of power stored, the power consumption detection result by the power amount detection means and the stored power consumption are identified based on the machine that has been activated, and based on the identified machine Since the progress is detected, the progress of the operation can be detected based on the power consumption in the machine used for the operation, and the progress can be detected more accurately and in real time and notified outside the operating room.

According to the invention described in claim 9 , in addition to the effects of the invention described in any one of claims 1 to 8 , a doctor waiting room, a nurse waiting room, an outpatient ward, a patient related to surgery Since at least one of the ward, family waiting room, power management facility, or operating room including the operating room other than the operating room has a notification means, the progress of the operation in each room, etc. It can be recognized accurately and in real time.

According to the invention described in claim 10 , by reading and executing the surgery progress notification program on a computer, the power consumption amount in the operating room is detected, and based on the detected power consumption amount and the like , Since the computer functions to detect progress and notify outside the operating room, it is possible to recognize the progress of the operation accurately and in real time without the need for manual operation outside the operating room. Etc. can be performed smoothly.

It is a block diagram which shows the outline | summary structure of the surgery progress notification apparatus which concerns on embodiment. It is a time chart which illustrates the progress of the surgery concerning an embodiment. It is a graph which shows the example of the time change of the integrated value of the power consumption which concerns on embodiment. It is a flowchart which shows operation | movement of the surgery progress notification apparatus which concerns on embodiment. It is a figure (I) which shows the example of a progress report of operation concerning an embodiment, (a) is a figure which illustrates an initial state, and (b) is a figure showing the 1st example of a notice. It is a figure (II) which shows the notification example of the progress of the operation | movement which concerns on embodiment, (a) is a figure which shows the 2nd notification example, (b) is a figure which shows the 3rd notification example. It is a figure (I) which shows the example of a schedule / progress display screen concerning a 1st modification. It is a figure (II) which shows the example of a schedule / progress display screen concerning a 1st modification. It is a graph which shows the example of the change of the power consumption per unit time which concerns on a 2nd modification.

(I) Embodiment Next, an embodiment of the present invention will be described with reference to FIGS. In addition, the embodiment described below is an operation progress for notifying the progress of an operation performed in each operation room installed in a hospital or the like having one or more operation rooms outside the operation room. This is an embodiment when the present invention is applied to a notification device.

  FIG. 1 is a block diagram illustrating a schematic configuration of the surgery progress notification device according to the embodiment, FIG. 2 is a time chart illustrating the progress of the surgery according to the embodiment, and FIG. 3 is power consumption according to the embodiment. It is a figure which shows the example of the time change of the integrated value of quantity, FIG. 4 is a flowchart which shows the operation | movement of the said surgery progress notification apparatus, FIG.5 and FIG.6 shows the notification example of the progress of the surgery which concerns on embodiment, respectively. FIG.

  As shown in FIG. 1, the surgery progress notification device S according to the embodiment detects the power consumption in various surgical machines provided in the operating room OP, and the progress status of the surgery based on the detection result. Is displayed on the display 61 or the like in real time. As shown in FIG. 1, the surgery progress notification device S includes an example of a power amount detection unit and a progress detection unit connected to a power supply unit PW that supplies power to each surgical machine via an interface 50. The processing unit 50 as an example, and a display 61 as an example of a notification means installed in each of the doctor waiting room 60, the nurse waiting room 65, the outpatient ward 70, the patient ward 75, the power management facility 80 for the entire hospital, and the like. , 66, 71, 76, and 81.

  More specifically, in the operating room OP, the clock 10, the echo device 11, the surgical light 12, the electric knife 13, the bipolar 14, the electrocardiogram monitor 15, and the coagulation / incision device 16 are used as the above-described surgical machines. A line monitor 17, washing / suction device 18, blood pressure monitor 19, gauze counter 20, infusion pump 21, X-ray device 22, infusion / transfusion warming device 23, pneumatic compression device 24, An oxygen saturation measurement monitor 25, a bladder temperature monitor 26, a mat control unit 27, a heating device 28, an anesthesia device 29, a mat-type mat 31, and a cloth-type body temperature holder 32. These are driven by obtaining drive power from a commercial power supply via the power supply unit PW. In addition, as an operation performed in an operating room OP equipped with such a surgical machine, general operations such as general anesthesia are applicable, but more specifically, for example, gastrectomy or craniotomy tumor extraction Etc. In addition, a so-called electronic medical chart input / output device may be added as the surgical machine according to the embodiment.

  Furthermore, the processing unit 50 includes a non-volatile memory 50A, and the memory 50A stores power consumption per unit time in each surgical machine provided in the operating room OP. In the case of the memory 50A according to the embodiment, the power consumption per unit time in the anesthesia apparatus 29, the power consumption per unit time in the electric knife 13, and the power consumption per unit time in the X-ray apparatus 22; Is remembered.

  In FIG. 1, in a state where the patient P undergoing surgery is laid on the operating table 30, the mat 31 is installed between the patient P and the operating table 30, and the temperature is set to an appropriate temperature for each operation by the mat control unit 27. Controlled. Moreover, the body temperature holder 32 is installed so as to hang like a blanket over the body of the patient P, and its temperature is controlled to an appropriate temperature for each operation.

  On the other hand, the bipolar 14 is a machine that coagulates blood such as an incision portion as necessary according to the same principle as that of the electric knife 13, and has a tweezers-like form. The coagulation and incision device 16 is a machine that simultaneously coagulates and sutures the incision in order to stop bleeding from the incision at the same time as the incision by the electric scalpel 13.

  Further, the A-line monitor 17 is a machine for observing the arterial pressure (blood pressure) of the patient P invasively, and the irrigation / suction device 18 discharges physiological saline or the like for securing the operative field and cleaning the operative field It is a machine for sucking. The gauze counter 20 is a machine that counts, for example, the number of gauze used in the operation based on its weight and the like. For example, the gauze counter 20 is a machine that prevents the gauze from being left in the body of the operated patient P.

  The infusion pump 21 is a machine for dropping an infusion to the patient P at a constant pace, and the infusion / blood transfusion warming device 23 is a machine that warms a coiled tube used for infusion or blood transfusion to an appropriate temperature. . The pneumatic compression device 24 is a machine that intermittently compresses the lower limb of the patient P in order to prevent deep vein thrombosis (so-called economy syndrome). Further, the oxygen saturation measurement monitor 25 is a machine for measuring the oxygen saturation in the patient P. The bladder temperature monitor 26 is a machine that measures the temperature in the bladder as the body temperature of the patient P at that time using a catheter-like temperature sensor inserted from the urethra.

  The X-ray device 22 is, for example, a portable X-ray device, and after surgery, a plate-like film is laid under the patient P and X-rays are taken from above the patient P, so that surgical instruments and the like are left in the patient P's body. It is for discovering this when it was. Finally, the clock 10 measures the elapsed time from the start of the operation in the operating room OP so that the surgeon can visually recognize it.

  At this time, each of the surgical machines has a predetermined use time (in other words, a use start time and a use end time) in the progress of the operation, based on its use.

  This point will be described more specifically with reference to FIG. FIG. 2 illustrates the period (timing) during which each surgical machine illustrated in FIG. 1 is used in the flow of surgery as a time-series hatching display or the like for each surgical machine. is there.

  As illustrated in FIG. 2 for each of the surgical machines in the operating room OP shown in FIG. 1, for example, the clock 10 and the anesthesia apparatus 29 are turned on when their power switches are turned on from the timing T1 of the start of anesthesia. The drive power supply is started by the power supply unit PW, and the power switch is kept on until the patient is awakened after the operation is finished. On the other hand, the heating device 28 and the mat 31 (mat control unit 27) are turned on until the patient P enters the operating room OP and then leaves the operating room OP after waking up. The supply of driving power is continued by the power supply unit PW.

  On the other hand, the surgical light 12 is one in which the power switch is turned on at the timing when the actual operation is started, and the supply of driving power to the power switch PW is started by the power switch PW. If the power switch is frequently turned on / off and reduced during actual surgery, the supply / stop of the drive power is repeated.

  Further, the echo device 11, the gauze counter 20, and the X-ray device 22 are mainly used in the final stage of the operation, and in particular, the X-ray device 22 is used at a timing T3 before closing in the operation.

  In the above configuration, in the surgery progress notification device S according to the embodiment, the period (timing) used during the surgery is determined in advance for each surgical machine as described above, and the power consumption per unit time Focusing on the fact that the amount is almost constant for each surgical machine, by detecting the time change of the integrated value of the power consumption of the entire operating room OP as the sum of the power consumption in a specific surgical machine, It is assumed that the progress of the operation has progressed until the timing when the surgical machine is used, and the progress is to be notified to a place other than the operating room OP in real time.

  For this reason, in the surgery progress notification apparatus S according to the embodiment, the processing unit 50 can detect the time change of the integrated value of the power consumption of the entire operating room OP due to the power switch activation (ON / OFF) in these surgical machines. As described above, the power supply unit PW for supplying the driving power to each surgical machine is connected to the processing unit 50 via the interface 50.

  As a result, the processing unit 50 starts supplying power to the operating machine by turning on the power switch of the operating machine, which is characteristic for grasping the progress of the operation. As a result, a timing at which a time change of the integrated value of power consumption occurs is detected, and the progress of the operation is visually displayed on the display 61 or the like based on the detected timing.

  Here, the time change of the integrated value of the power consumption will be described more specifically with reference to FIG. FIG. 3 exemplifies a time change of the integrated value of power consumption as the entire operating room OP in the case where an operation using the anesthesia apparatus 29, the electric scalpel 13 and the X-ray apparatus 22 according to the embodiment is taken as an example. FIG.

  As shown in FIG. 3, after the timing when the patient P is carried into the operating room OP, for example, when the power switch of the heating device 28 or the mat 31 is turned on and driving power is supplied thereto, the operating room OP is defined. The integrated value of the power consumption fee is the sum of the power consumption per unit time in each of the heating device 28 and the mat 31 (in other words, the unit time in each operating machine operating at that time) The angle δ on the graph corresponding to the total power consumption) increases with time.

  Then, when the power switch of the anesthesia apparatus 29 is turned on and driving power is supplied to the anesthesia apparatus 29 at the timing T1 illustrated in FIGS. 2 and 3, the integrated value of the power consumption as the operating room OP is The angle on the graph is obtained by adding an angle α corresponding to the power consumption per unit time in the anesthesia apparatus 29 (the power consumption is stored in advance in the memory 50A as described above) to the angle δ. It will increase over time. Therefore, if the processing unit 50 detects that the increase amount of the integrated value of the power consumption is increased by an amount corresponding to the angle α while referring to the stored contents of the memory 50A, the operation of the anesthesia apparatus 29 is started. The timing T1 can be recognized. Thereby, it can be detected that the use of the anesthesia apparatus 29 is started and the operation is started.

  Next, at timing T2 illustrated in FIGS. 2 and 3, when the power switch of the electric knife 13 is turned on in addition to the anesthesia apparatus 29 and driving electric power is supplied to the electric knife 13, the operating room OP is set. The integrated value of the power consumption is an angle on a graph obtained by further adding an angle β corresponding to the power consumption per unit time in the electric knife 13 (the power consumption is also stored in advance in the memory 50A) ( That is, the angle δ + α + β) increases with time. Therefore, if the processing unit 50 detects that the increase amount of the integrated value of the power consumption is increased by an amount corresponding to the angle β while referring to the storage contents of the memory 50A, the operation of the electric knife 13 is started. The timing T2 can be recognized. Thereby, it can be detected that the use of the electric knife 13 is started and the incision in the operation is started (in other words, the operation is in progress). When the use of the electric knife 13 is stopped at the timing T2 ′ illustrated in FIGS. 2 and 3, the integrated value of the power consumption changes at the angle δ + α on the original graph after the timing T2 ′. Return to. In addition, as illustrated in FIG. 2, the use of the electric knife 13 is often repeated intermittently, but in FIG. 3, the change in the integrated value of the power consumption in the first use of the electric knife 13 is illustrated. The illustrations are omitted for the second and subsequent uses.

  Furthermore, when the power switch of the X-ray apparatus 22 is newly turned on and driving power is supplied to the X-ray apparatus 22 at the timing T3 illustrated in FIGS. 2 and 3, the power consumption amount as the operating room OP is integrated. The value is an angle on the graph obtained by newly adding an angle γ corresponding to the power consumption per unit time in the X-ray device 22 (the power consumption is also stored in advance in the memory 50A) (ie, angle δ + α + γ). ) And increases over time. Therefore, if the processing unit 50 detects that the amount of increase in the integrated value of the power consumption has increased by an amount corresponding to the angle γ while referring to the stored contents of the memory 50A, the operation of the X-ray device 22 is started. The timing T3 can be recognized. Thereby, it can be detected that the use of the X-ray device 22 is started and the end of the operation is almost finished. When the X-ray imaging is completed and the use of the X-ray device 22 is stopped at the timing T3 ′ illustrated in FIGS. 2 and 3, the integrated value of the power consumption is an angle on the graph after the timing T3 ′. Return to the change at δ + α.

  Thereafter, when the operation is completed and the use of the anesthesia apparatus 29 is stopped at the timing T4 illustrated in FIGS. 2 and 3, the integrated value of the power consumption is the angle δ on the first graph after the timing T4. Return to changes in

  Thus, the processing unit 50 displays each detection result on each display 61 or the like. Note that, depending on the type of surgery, the thinking of the doctor, and the like, “start of surgery” may be detected at the timing when the power switch of the electric knife 13 is turned on.

  Next, the operation of the processing unit 50 will be described more specifically with reference to FIG.

  As illustrated in FIG. 4, the processing unit 50 monitors whether or not the main power supply of the entire operating room OP is turned on (step S1). While the main power source is turned off (step S1; NO), monitoring is continued as it is. On the other hand, when the main power source is turned on (step S1; YES), the processing unit 50 serves as the operating room OP. Monitoring of the amount of increase in the integrated value of power consumption is started (step S2).

  Next, under the monitoring, the processing unit 50 refers to the power consumption per unit time in the anesthesia apparatus 29 stored in the memory 50 </ b> A, and the increase amount of the integrated value of the power consumption as the operating room OP is increased. Then, it is confirmed whether or not the angle α illustrated in FIG. 3 is increased by the angle α (that is, the angle α corresponding to the power consumption per unit time in the anesthesia apparatus 29) (step S3). When an increase in the amount corresponding to the angle α is detected (step S3; YES), the processing unit 50 performs the operation by starting anesthesia in the operating room OP in which the anesthesia apparatus 29 is operating. The start is displayed on the displays 61, 66, 71, 76 and 81 (step S4), and the operation proceeds to step S5 described later. The display mode on the display 61 and the like at this time will be exemplified later with reference to FIG.

  On the other hand, when the increase in the amount of power consumption corresponding to the angle α is not yet detected in the confirmation in step S3 (step S3; NO), the processing unit 50 returns to step S2 to calculate the integrated value of the power consumption. Continue to monitor the increase.

  After displaying that the operation in the operating room OP has been started (step S4), under the monitoring (step S2), the processing unit 50 then consumes per unit time in the electric knife 13 stored in the memory 50A. With reference to the electric energy, the increase amount of the integrated value of the electric power consumption as the operating room OP is the angle β illustrated in FIG. 3 (that is, the angle β corresponding to the electric power consumption per unit time in the electric knife 13). It is confirmed whether it has increased by the amount (step S5). Then, when an increase in the amount of increase corresponding to the angle β is detected (step S5; YES), the processing unit 50 starts an incision in the operating room OP in which the electric knife 13 is operating, and the operation proceeds. This is displayed on the displays 61, 66, 71, 76 and 81 (step S6), and the operation proceeds to step S7 which will be described later. The display mode on the display 61 and the like at this time will be exemplified later with reference to FIG.

  On the other hand, when the increase in the amount of power consumption corresponding to the angle β has not yet been detected in the confirmation in step S5 (step S5; NO), the processing unit 50 returns to step S4 to start surgery on the display 61 or the like. While the display state is maintained, monitoring of the increase in the integrated value of the power consumption is continued.

  After displaying that the operation in the operating room OP is in progress (step S6), the processing unit 50 under the monitoring (step S2), next, per unit time in the X-ray device 22 stored in the memory 50A. With reference to the power consumption amount, an increase amount of the integrated value of the power consumption amount as the operating room OP is an angle γ illustrated in FIG. 3 (that is, an angle γ corresponding to the power consumption amount per unit time in the X-ray device 22) ) Is checked to see if it has increased (step S7). When an increase in the amount corresponding to the angle γ is detected (step S7; YES), the processing unit 50 displays that the operation is almost finished in the operating room OP in which the X-ray device 22 is operating. It displays on 61, 66, 71, 76 and 81 (step S8), and shifts to the operation of step S9 described later. The display mode on the display 61 or the like at this time will be exemplified later with reference to FIG.

  On the other hand, when the increase in the amount of power consumption corresponding to the angle γ has not yet been detected in the confirmation in step S7 (step S7; NO), the processing unit 50 returns to step S6 and the operation on the display 61 or the like is in progress While the display state is maintained, monitoring of the increase amount of the integrated value of the power consumption is continued.

  After displaying that the operation in the operating room OP is almost finished (step S8), the processing unit 50 determines whether all the operations in the operating room OP have been completed and the main power supply of the entire operating room OP has been turned off. Confirm (step S9). Thereby, when it is not confirmed that the main power source is turned off (step S9; NO), the processing unit 50 returns to step S8 and maintains a display state that the operation is almost finished on the display 61 and the like.

  On the other hand, when it is confirmed in step S9 that the main power source is turned off (step S9; YES), the processing unit 50 ends the operation according to the embodiment.

  Next, the display mode of the display 61 and the like in steps S4, S6, and S8 will be specifically illustrated with reference to FIGS.

  The displays 61, 66, 71, 76, and 81 according to the embodiment are basically the same display mode, and specifically, are given to each operating room OP as illustrated in FIG. 5A. Information that displays the operating room number display column 101 for displaying the operating room number, the name of the doctor (surgeon) performing the operation, the name of the doctor in charge other than the surgeon, the name of the nurse in charge, and the department name A display field 102, a schedule display field 103 that displays the initial schedule (including the scheduled start time and scheduled end time) of the surgery, and a progress display field 104 that displays the progress of the surgery related to steps S4, S6, and S8. The progress display screen 100 including these is displayed.

  At this time, in the progress display column, for example, time divisions in the progress of the surgery illustrated in FIG. 2 (classifications such as “entering room”, “starting anesthesia”, and “surgery”) are also displayed. The schedule to be displayed in the schedule display field 103 can be configured to display the contents of the schedule recorded by the technique described in Patent Document 1, for example.

  As a display mode corresponding to step S4, specifically, as illustrated in FIG. 5B, the head portion of the “anesthesia start” section in the progress display column 104 (specifically, for example, FIG. 2). The progress display 105 up to the timing T1) shown in FIG.

  Next, as a display mode corresponding to step S6, specifically, the progress display 105 corresponds to the start of incision in the “surgery” section in the progress display column 104, as illustrated in FIG. It is displayed in a stretched state until timing (specifically, for example, timing T2 shown in FIG. 2).

  Finally, as a display mode corresponding to step S8, specifically, as shown in FIG. 6B, the progress display 105 corresponds to X-ray imaging in the “end of surgery” category in the progress display column 104. It is displayed in a stretched state (specifically, for example, timing T3 shown in FIG. 2).

(II) Modified Embodiment Next, a modified embodiment of the present invention will be described with reference to FIGS. In addition, about the structure similar to the surgery progress notification apparatus S which concerns on embodiment in the surgery progress notification apparatus which concerns on each modification, the same member number is attached | subjected and detailed description is abbreviate | omitted.

(A) First Modification First, a first modification will be described with reference to FIGS. 7 and 8.

  In the above-described embodiment, the surgical progress notification device S for notifying the progress status of the surgery performed in one operating room OP has been described. The present invention can also be applied in the same manner when notifying the progress of each operation performed in parallel in each operating room OP in a hospital or the like equipped with the operating room OP. In this case, it is preferable that the progress of the operation in the plurality of operating rooms OP is displayed in parallel on one display screen.

  That is, as a configuration of the surgical progress notification device according to the first modification, there are a plurality of operating rooms OP in the surgical progress notification device S according to the embodiment described with reference to FIG. A change in power consumption in each of the surgical machines installed in each of the plurality of operating rooms OP is detected by the processing unit 50 via an interface similar to the interface 40 and the power supply unit PW of each operating room OP. . The interface according to this modification is an interface that connects the surgical machine in the plurality of operating rooms OP and the processing unit 50.

  Thus, the processing unit 50 detects the progress of the operation in each operating room OP by monitoring the change in the power consumption in the operating machine installed in the operating room OP in the same manner as in the embodiment. Then, the detection results are displayed as a list on each display 61 or the like (see FIGS. 2 and 4).

  Next, the display mode of the operation progress according to the first modification will be described with reference to FIGS. 7 and 8. FIG. 7 is an example of a schedule / progress display screen showing a schedule of surgery scheduled for a certain day in each of the plurality of operating rooms OP. FIG. 8 shows an example of a schedule / progress display screen that displays a list of progress statuses of the respective operations in real time.

  As illustrated in FIG. 7, the schedule / progress display screen 110 displayed on each display 61 or the like according to the first modified form has a surgery time (planned) scheduled for the day for each of a plurality of operating rooms OP. Time) is displayed. The schedule of each operation necessary for displaying the schedule / progress display screen 110 is stored in the processing unit 50 as data in advance using the technique disclosed in the above-mentioned Patent Document 1, for example. It is.

  More specifically, in the schedule / progress display screen 110 illustrated in FIG. 7, for each of the ten operating rooms OP indicated by operating room numbers “1” to “10”, the time zone of the operation scheduled for that day. Are shown on the schedule display 200, respectively. In the example shown in FIG. 7, the operating room OP with the operating room number “1” and the operating room OP with the operating room number “2” are the operating rooms OP dedicated to orthopedics and ophthalmology, respectively. The operating room OP indicated by other operating room numbers is an operating room OP shared by all departments.

  Further, pull-down buttons 201 are displayed beside each schedule display 200. This pull-down button 201 is a button operated when separately displaying a detailed display related to the surgery indicated by the corresponding schedule display 200 in the schedule / progress display screen 110 in a so-called pull-down format. In this detailed display, the name and the use timing of each surgical machine scheduled to be used in the surgery are displayed for each surgical machine in the format illustrated in FIG. 2, for example. Further, a legend column 111 for displaying a legend related to the display on the schedule / progress display screen 110 is provided in an area such as the display 61 other than the schedule / progress display screen 110.

  Next, the schedule / progress display screen 110 illustrated in FIG. 8 will be described.

  In the schedule / progress display screen 110 illustrated in FIG. 8, how each scheduled operation displayed on the schedule / progress display screen 110 illustrated in FIG. Listed for each. Because of this display, the processing unit 50 constantly monitors changes in power consumption in the surgical machines installed therein for each of the plurality of operating rooms OP, and progresses for each operation according to the monitoring results. Is displayed.

  That is, in FIG. 8, the current time instruction 400 is a vertical bar-shaped instruction indicating the current time, and moves from the left to the right in FIG. 8 with the passage of time.

  Then, for the surgery that has been completed at the current time indicated by the current time instruction 400, the end display 300 is displayed so as to overlap the corresponding original schedule display 200. In addition, as illustrated for the operating room OP of the operating room number “9”, a delay end display 301 is added to the end display 300 for the surgery that has been completed after the scheduled time indicated by the schedule display 200, and is further conspicuous. It is displayed in a state where the warning display 315 of the mode is added.

  On the other hand, for the operation that is in progress at the current time, the operation stage indication 305 indicating that the operation is in the operation stage is the same as the operation room OP with the operation room number “2”, “5”, or “8”. It is displayed so as to overlap the original schedule display 200. In each operation, the anesthesia stage display 320 is illustrated as illustrated for the operating room number “7” until the power switch of the electric knife 13 is turned on after the power switch of the anesthesia apparatus 29 is turned on. Is displayed so as to overlap a part of the original schedule display 200.

  Further, when it is detected that the power switch of the X-ray apparatus 22 is turned on, the exit preparation display 310 is the original schedule display 200 for the operation, as illustrated for the operation room OP of the operation room number “3”. It is displayed so as to overlap a part of.

  In addition, as illustrated for the operating room OP of the operating room number “3”, when it is input before the start of the operation that the scheduled time zone indicated by the original schedule display 200 has been changed for some reason, The schedule display 200 is changed to the change schedule display 202 and displayed in the schedule / progress display screen 110. In this case, when the end of the scheduled time indicated by the original schedule display 200 is delayed, a warning display 315 is also displayed with a length corresponding to the current scheduled end time. In this case, when the scheduled time after the change indicated by the change schedule display 202 ends, the delay end display 301 is not displayed.

  Finally, as illustrated for the operating room OP of the operating room number “5”, the end time is indicated by the schedule display 200 when it is determined based on the progress detected by the processing unit 50 in the ongoing operation. When the scheduled end time is delayed, a warning display 315 is displayed with a length corresponding to the current scheduled end time.

  When the pull-down button 201 displayed in the schedule / progress display screen 110 illustrated in FIG. 8 is operated, the current progress status of the operated operation or the progress display when the operation is completed is in a pull-down format. For example, it is displayed in the format illustrated in FIG.

(B) Second Modification Next, a second modification will be described with reference to FIG.

  In the above-described embodiment, attention is paid to the time change of the integrated value of power consumption as the entire operating room OP in order to detect the progress of the operation performed in the operating room OP. The change in power consumption per unit time is directly detected, and the detection result is compared with the power consumption per unit time of each surgical machine stored in the memory 50A to detect the progress of surgery. It can also be configured to.

  More specifically, when the time change of the power consumption per unit time as the entire operating room OP is directly detected with respect to the progress similar to the progress of the operation according to the embodiment illustrated in FIG. For example, as shown in FIG. 9, the power consumption amount W29 per unit time as the anesthesia apparatus 29 increases at timing T1, and further increases by the power consumption amount W13 per unit time as the electric knife 13 at timing T2. Will do. Thereafter, the power consumption W13 corresponding to the electric knife 13 is decreased at timing T2 ', and thereafter, the power consumption W22 per unit time as the X-ray apparatus 22 is newly increased at timing T3. Thereafter, at time T3 ', the power consumption is reduced by the amount of power W22, and finally at time T4, the power consumption is reduced by the amount of power W29.

  Then, it is monitored whether or not the power consumption amount has increased by the power consumption amount W29 instead of step S3 in the flowchart shown in FIG. 4, and the power consumption amount is replaced with step S5 in the flowchart. If it is configured to monitor whether or not the amount of power consumption has increased by the amount of power W13 and to monitor whether or not the power consumption amount has increased by the amount of power consumption W22 in place of step S7 in the flowchart, the embodiment and Similarly, it is possible to detect the progress of the operation and display this on each display 61 or the like.

  As described above, according to the operation of the surgical progress notification device S according to the embodiment and each modified embodiment, the power consumption in the operating room OP is detected, and the progress of the surgery based on the detected power consumption. Detecting the notification and notification outside the operating room OP, the progress of the operation can be recognized accurately and in real time without the need for manual operation outside the operating room OP, so that related operations after the operation can be performed smoothly. It can be carried out. More specifically, for example, when it is announced that the time from the timing when the power switch of the electric knife 13 is turned on to the timing when the power switch of the X-ray device 29 is turned on is extremely shorter than usual, the patient It is presumed that the patient is closed without substantial surgery for P. When this is recognized in the patient ward 75, for example, it can be recognized that the operation will be completed earlier than scheduled in the patient ward 75. Therefore, the patient ward 75 can accept the patient P that is transported in a complete system by preparing for the patient P in advance.

  In the embodiment in which the progress of the operation is detected based on the change in the integrated value over time of the power consumption in the operating room OP, or on the basis of the time change in the power consumption per unit time in the operating room OP. In any case of the second modification for detecting the progress, the progress of the surgery can be recognized from the outside more accurately and in real time.

  Furthermore, the power consumption per unit time in each machine used for the operation is stored in the memory 50A, and it is activated based on the detection result of the power consumption and the stored power consumption. Since the machine is identified and the progress of the operation is detected based on the identified machine, the progress of the operation is detected based on the power consumption in the machine used for the operation, and the progress is more accurately and accurately detected. It can be detected in real time and notified outside the operating room OP.

  Furthermore, assuming that the target of power consumption detection is an anesthesia device 29, the fact that surgery has started when the power switch of the anesthesia device 29 is turned on is notified outside the operating room OP, and the target of power consumption detection is selected. The electric scalpel 13 is notified outside the operating room OP that the incision procedure has started when the power switch of the electric scalpel 13 is turned on. When the power switch of the device 29 is turned on, it is notified outside the operating room OP that the operation is almost finished. Therefore, the start of the operation is started through the operation of the anesthesia device 29, and the progress of the operation is started through the start of the incision procedure. Furthermore, it is possible to recognize accurately and in real time outside the operating room OP that the operation is almost finished through the start of operation of the X-ray apparatus 22.

  In addition, since a display 61 or the like is installed in at least one of the doctor waiting room 60, the nurse waiting room 65, the outpatient ward 70, the patient ward 75, or the power management facility 80 related to the operation, The progress of surgery can be recognized accurately and in real time.

  In addition, this invention is applicable also to the surgery progress notification apparatus of aspects other than the surgery progress notification apparatus S which concerns on embodiment mentioned above.

  First, regarding the notification of the progress of the operation with the electric knife 13 or the like, in view of the fact that the electric knife 13 is intermittently operated as illustrated in FIG. 2, the power switch is turned on / off once. A corresponding change in power consumption is detected, and a progress display 105 (see FIG. 6 (a)) indicating the progress of the operation is extended step by step each time a power switch is turned on once. It can also be configured.

  Further, according to the progress of the surgery, another surgical machine that is operating with the power switch turned on at that time can be displayed separately by a so-called pull-down menu or the like.

  Furthermore, in the above-described embodiment, only the progress of the actual surgery is notified, but in addition to this, in addition to the schedule of the surgery recorded by the technique described in Patent Document 1, for example, the start of the surgery It can also be configured to display the delay status and the like together.

  Furthermore, the manner of notification of the progress of the operation may be, for example, a notification by voice to a required department (such as the doctor waiting room 60) in the hospital, in addition to the notification by display as shown in the embodiment.

  In the embodiment, the notification contents for the doctor waiting room 60 and the like are all the same. In addition, the doctor waiting room 60, the nurse waiting room 65, the outpatient ward 70, the patient ward 75, or the power management facility 80 are also included. You may make it vary the detail level or the timing of a change of the display mode between. Furthermore, as the installation location of the display 61 or the like, a location (such as a hallway) other than the operation room OP in the operation section including the family waiting room or the operation room OP may be included.

  Note that a program corresponding to the flowchart shown in FIG. 4 is recorded on a recording medium such as a flexible disk, or is acquired and recorded via a network such as the Internet, and is read and executed by a general-purpose computer. Thus, it is possible to cause the general-purpose computer to function as the processing unit 50 according to the embodiment.

  As described above, the present invention can be used in the field of surgical progress notification devices, and is particularly remarkable when applied to the field of operating room use management in a large hospital having a plurality of operating rooms OP. An effect is obtained.

OP operating room PW power supply part P patient 10 clock 11 echo device 12 surgical light 13 electric knife 14 bipolar 15 electrocardiogram monitor 16 coagulation incision device 17 A line monitor 18 cleaning / aspiration device 19 blood pressure monitor 20 gauze counter 21 infusion pump 22 X-ray device DESCRIPTION OF SYMBOLS 23 Infusion / blood transfusion warming device 24 Pneumatic compression device 25 Oxygen saturation measurement monitor 26 Bladder temperature monitor 27 Mat control part 28 Heating device 29 Anesthesia apparatus 30 Operating table 31 Mat 32 Body temperature holder 40 Interface 50 Treatment part 60 Doctor waiting room 61, 66, 71, 76, 81 Display 65 Nurse waiting room 70 Outpatient ward 75 Patient ward 80 Power management facility 100 Progress display screen 101 Operating room number display field 102 Information display field 103 Schedule display field 104 Progress display field 105 Progress display 1 0 scheduled / progress display screen 200 will display 201 pull-down button 111 Legend column 400 the current time indication 300 terminates the display 301 delay completion display 315 a warning display 305 surgical steps display 320 anesthesia stage display 310 leaving readiness indicator 202 changes schedule display

Claims (10)

A power amount detecting means for detecting an integrated value according to the time of power consumption per unit time in an operating room in which surgery is performed;
Progress detection means for detecting the progress of the operation based on the detected rate of change of the integrated value;
Notification means for notifying the detected progress outside the operating room where the surgery is being performed;
An operation progress notification device comprising: A power amount detecting means for detecting a power consumption amount per unit time in the operating room where the operation is performed;
Progress detection means for detecting the progress of the operation based on a change corresponding to the time of the detected power consumption per unit time;
Notification means for notifying the detected progress outside the operating room where the surgery is being performed;
An operation progress notification device comprising: Power amount detection means for detecting the amount of power consumption in the operating room where surgery is being performed;
Progress detection means for detecting the progress of the surgery based on the detected power consumption;
Notification means for notifying the detected progress outside the operating room where the surgery is being performed;
With
The notifying means indicates that, in the surgery that is currently in progress, when the end time of the surgery is delayed from the scheduled end time based on the progress detected by the progress detecting means; An operation progress notification device, characterized by displaying a warning display corresponding to a current scheduled end time. Power amount detection means for detecting the amount of power consumption in the operating room where surgery is being performed;
Progress detection means for detecting the progress of the surgery based on the detected power consumption;
Notification means for notifying the detected progress outside the operating room where the surgery is being performed;
With
When the scheduled time zones of a plurality of the operations performed in different time zones in one operating room are changed, the notification means displays for each scheduled time zone after the change. apparatus. In the surgery progress notification device according to claim 3 or claim 4,
The said notification means displays the present time which shows the present time and changes corresponding to progress of time together with the said warning display, The surgery progress notification apparatus characterized by the above-mentioned. In the surgery progress notification device according to any one of claims 3 to 5,
The notifying means notifies the advancement when it is found based on the progress detected by the progress detecting means that the end time of the operation is earlier than the scheduled end time in the ongoing operation. Surgery progress notification device characterized by. In the surgery progress notification device according to any one of claims 1 to 6,
The operation progress notification device, wherein the power amount detection means uses the power consumption amount per unit time in each of a plurality of machines used in the operation. In the surgery progress notification device according to any one of claims 1 to 7,
A storage means for storing power consumption per unit time in each of the plurality of machines used in the surgery;
The progress detection means includes machine identification means for identifying the machine that is activated based on the detection result by the power amount detection means and the stored power consumption amount,
The progress detection unit detects the progress based on the identified machine. In the surgery progress notification device according to any one of claims 1 to 8,
The notification means includes a doctor waiting room, a nurse waiting room, an outpatient ward, a patient ward, a family waiting room, a power management facility, or a place other than the operating room in the operating section including the operating room related to the operation. A surgical progress notification device characterized in that it is installed in at least one place.   The computer functions as the power amount detection means and the progress detection means in the surgery progress notification device according to any one of claims 1 to 9, and notification control means for controlling notification in the notification means. A program for notifying the progress of surgery.

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