JP3024162B2 - Surgical head-up display - Google Patents
Surgical head-up displayInfo
- Publication number
- JP3024162B2 JP3024162B2 JP2085610A JP8561090A JP3024162B2 JP 3024162 B2 JP3024162 B2 JP 3024162B2 JP 2085610 A JP2085610 A JP 2085610A JP 8561090 A JP8561090 A JP 8561090A JP 3024162 B2 JP3024162 B2 JP 3024162B2
- Authority
- JP
- Japan
- Prior art keywords
- display
- patient
- head
- doctor
- present
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B2090/364—Correlation of different images or relation of image positions in respect to the body
- A61B2090/365—Correlation of different images or relation of image positions in respect to the body augmented reality, i.e. correlating a live optical image with another image
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B2090/364—Correlation of different images or relation of image positions in respect to the body
- A61B2090/366—Correlation of different images or relation of image positions in respect to the body using projection of images directly onto the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
- A61B2090/502—Headgear, e.g. helmet, spectacles
Description
【発明の詳細な説明】 （イ）産業上の利用分野 本発明は，医師が患者に対し治療を行う場合，特に重
大な手術等に利用されたり，あるいは重患者の監視のた
めに利用されたりする医療機器に関するものである。DETAILED DESCRIPTION OF THE INVENTION (a) Industrial application field The present invention is used when a doctor treats a patient, especially for a serious operation or for monitoring a severe patient. Medical equipment.
（ロ）従来の技術 近年の医学の発達により，脳や心臓といった重要な臓
器の手術が行われ，またその手術の内容もより複雑なも
のとなってきている。これに伴って，患者の態様や臓器
の状態の小さな変化も手術の結果に大きな影響を与える
ことから，これらの状況を常時把握することは，手術を
進める上で重要なこととなっている。一方，重患者に各
種機器が治療を行う集中治療室においてもその態様を常
時監視することは重要なこととなっている。ところで，
従来のこれらのシステムでは，患者の状況を把握するた
めのデータは，手術台または治療台の近くに設置された
機器やこれらの端末機器に表示されていた。(B) Conventional technology With the recent development of medicine, operations on important organs such as the brain and heart have been performed, and the contents of the operations have become more complicated. Along with this, small changes in the state of the patient and the state of the organs also have a great effect on the results of the surgery, and it is important to constantly grasp these conditions in order to proceed with the surgery. On the other hand, even in an intensive care unit where various devices treat a heavy patient, it is important to constantly monitor the mode. by the way,
In these conventional systems, data for grasping the condition of the patient is displayed on devices installed near the operating table or treatment table or on these terminal devices.
（ハ）発明が解決しようとする課題 従来の治療のシステムでは，患者の態様や臓器の状態
といった状況を把握するためのデータは，患者の乗った
台の近くに設置された機器やその端末機器に表示されて
いることから，必要な場合，医師や監視者は治療をして
いる部位から目を離し，これらのデータを読み取らなけ
ればならず，このため治療に手間取ったり，治療部位に
のみ視線を集中しているとモニタ機器の表示を見落と
し，様態の変化に気づくのが遅れるといった不都合があ
った。(C) Problems to be Solved by the Invention In the conventional treatment system, the data for grasping the situation such as the state of the patient and the state of the organs are stored in a device installed near the platform on which the patient is mounted or its terminal device. If necessary, doctors and observers must keep an eye on the area being treated and read these data, which makes it difficult for the patient to treat or look only at the treated area. If the user concentrates, the display of the monitor device is overlooked, and there is an inconvenience that it is delayed to notice a change in the state.
そこで，本発明は医師等が治療部位から目を離さなく
てすむモニタ機器を提供することを目的とする。Therefore, an object of the present invention is to provide a monitor device that allows a doctor or the like to keep an eye on a treatment site.
（ニ）課題を解決するための手段 本発明は，上記に鑑みなされたもので，患者の様態や
臓器等の器官の状態を表す重要なデータをヘッドアップ
ディスプレイを使って手術をしている医師の手術部位ま
たは患者全体を注視している視野内に表示することを特
徴とする。(D) Means for Solving the Problems The present invention has been made in view of the above, and is a physician who performs an operation using a head-up display on important data representing the state of a patient or the state of an organ such as an organ. Is displayed in the field of gaze at the surgical site or the entire patient.
すなわち、本発明は、手術に関する情報を入力する入
力部と、該入力部に入力された情報を画像信号に変換す
る変換部と、該変換部で変換された画像信号に基づき表
示像を写し出す表示器と、該表示器からの手術に関する
情報表示光を手術を行う医師等注視者の前面視野に入射
させるコンバイナとを備えてなる手術用ヘッドアップデ
ィスプレイを提供する。That is, the present invention provides an input unit for inputting information regarding surgery, a conversion unit for converting information input to the input unit into an image signal, and a display for displaying a display image based on the image signal converted by the conversion unit. Provided is a surgical head-up display comprising: a device; and a combiner that causes information display light regarding the operation from the display to enter a front view of a gazing person such as a doctor who performs the operation.
ここで、手術に関する情報とは、例えば、心電図、血
圧値、脳波、呼吸の空気状態（酸素濃度や呼吸量）など
を挙げることができるが、本発明はこれらに限定される
ものではなく、患者の手術に必要な全ての情報を含む。
なお、本発明で言う手術とは、実際に切除等を伴う手術
をいう。Here, the information on the operation may include, for example, an electrocardiogram, a blood pressure value, an electroencephalogram, an air condition of respiration (oxygen concentration and respiratory volume), but the present invention is not limited to these, and Includes all the information needed for surgery.
It should be noted that the operation referred to in the present invention refers to an operation actually involving excision or the like.
また，表示器は，例えば液晶表示器,CRT,螢光表示管
などが該当する。更に，コンバイナは，医師等の手術や
監視の障害にならない位置に配設し，その材質は，手術
部位や患者全体を透過して注視できるもの，例えば透明
ガラスや透明プラスチックが好ましい。The display corresponds to, for example, a liquid crystal display, a CRT, a fluorescent display tube, and the like. Further, the combiner is disposed at a position where it does not hinder the operation or monitoring of a doctor or the like, and is preferably made of a material that can be observed through the surgical site and the entire patient, for example, transparent glass or transparent plastic.
なお，手術に関する情報の表示位置はさまざまなもの
が考えられるが，特に患者の病変している部位，手術の
対象としている部位などと重ねて見える位置にするのが
好ましい。これは，例えば体の基準輪郭ラインの表示
を，手術前に行う装置の初期の位置決めの際に表示し，
これに患者の体を重ねて見えるようにコンバイナを調整
しておくことにより達成できる。There are various possible display positions of the information regarding the operation, but it is particularly preferable to set the display position to be superimposed on the affected part of the patient, the target part of the operation, and the like. This means, for example, that the display of the reference contour line of the body is displayed during the initial positioning of the device before surgery,
This can be achieved by adjusting the combiner so that the patient's body can be seen overlapping.
（ホ）作用 本発明を用いると，医師等は治療・監視中でも患者ま
たは手術の部位を注視したままモニタされる各種医療情
報を知ることができ，患者に対して適切な処置を遅れる
ことなく施すことができる。さらに，情報として現され
る患者の様態の変化も確実に理解しておくことができ，
処置を誤ることはない。(E) Function By using the present invention, a doctor or the like can know various kinds of medical information to be monitored while gazing at a patient or a site of an operation even during treatment and monitoring, and can perform an appropriate treatment for the patient without delay. be able to. In addition, it is possible to reliably understand changes in the patient's condition that are expressed as information,
There is no mistake in the treatment.
（ヘ）実施例 以下，図面に示される実施例にしたがってこの発明を
説明する。(F) Embodiment Hereinafter, the present invention will be described with reference to the embodiment shown in the drawings.
第１図に本発明の医療用ヘッドアップディスプレイの構
成を示す。各種情報が入力される端子（たとえば心電図
入力端子（１−１）血圧値入力端子（１−２）脳波入力
端子（１−３）呼吸の空気状態入力端子（１−４）とい
ったものなど）から入力されたこれらの情報は，シンボ
ルジェネレータ（SG）で画像信号に変換され液晶駆動回
路（LA）に送られる。さらにこの結果液晶駆動回路（L
A）に接続された液晶パネル（LC）に表示像が写し出さ
れる。この液晶パネル（LC）には高輝度のバックライト
（LL）が取り付けられ，液晶パネル（LC）を透過し表示
光（LR）となって出射する。この表示光（LR）は，レン
ズ（L1,L2）によって虚像の位置（医師の目（Ｅ）から
見たときの虚像までの距離）をほぼ患者の手術部位と同
じ程度となるようにコリメートされ，ヘッドアップディ
スプレイ本体（Ｈ）から出射される。その後，表示光
（LR）はハーフミラーで構成されたコンバイナガラス
（Ｃ）で反射し，手術をしている医師の目（Ｅ）に至
る。このようにコリメートされることによって，表示像
は患者の体自身の上に直接しかも歪むことなく現れ出て
いるように見える状態になる。FIG. 1 shows the configuration of a medical head-up display of the present invention. From a terminal to which various information is input (for example, an electrocardiogram input terminal (1-1) a blood pressure value input terminal (1-2) an electroencephalogram input terminal (1-3) a respiratory air state input terminal (1-4), etc.) The input information is converted into an image signal by a symbol generator (SG) and sent to a liquid crystal drive circuit (LA). Furthermore, as a result, the liquid crystal drive circuit (L
The display image is displayed on the liquid crystal panel (LC) connected to A). The liquid crystal panel (LC) is provided with a high-luminance backlight (LL), which transmits through the liquid crystal panel (LC) to emit display light (LR). The display light (LR) is collimated by the lenses (L1, L2) so that the position of the virtual image (the distance from the physician's eye (E) to the virtual image) is approximately the same as the surgical site of the patient. , From the head-up display body (H). Thereafter, the display light (LR) is reflected by the combiner glass (C) constituted by a half mirror, and reaches the eyes (E) of the doctor who is performing the operation. This collimation allows the displayed image to appear to appear directly and without distortion on the patient's body.
さらに，第２図には手術室における本発明のヘッドア
ップディスプレイの設置の概略の様子を示す。患者
（Ｋ）は手術台（Ｔ）の上に寝かされ，手術が施される
状態になっている。手術台の横には手術を行う医師（D
C）が立つ。ヘッドアップディスプレイ本体（Ｈ）はコ
ンバイナガラス（Ｃ）と一体構造で天井面（Ｆ）から懸
下した状態で設置されている。また，天井面（Ｆ）には
治療部位を照らすための照明装置（FL）が設置されてい
る。医師（DC）は手術を進める際に手術部位をコンバイ
ナガラス（Ｃ）を通して注視することによって，患者の
様態を示す各データを随時知ることができる。FIG. 2 shows a schematic view of the installation of the head-up display of the present invention in an operating room. The patient (K) is laid on the operating table (T) and is ready for surgery. Next to the operating table, a doctor performing surgery (D
C) stands. The head-up display main body (H) is installed integrally with the combiner glass (C) in a state of being suspended from the ceiling surface (F). An illumination device (FL) for illuminating the treatment site is installed on the ceiling surface (F). The physician (DC) can know each data indicating the state of the patient at any time by watching the operation site through the combiner glass (C) when proceeding with the operation.
第３図には医師の目から見た時の表示の例を示す。こ
れはたとえば体の基準輪郭ラインの表示（BL）を，治療
前に行う初期の位置決めの際に表示し，これに患者
（Ｋ）の体を重ね合わせて見えるようにコンバイナガラ
ス（Ｃ）を調整しておくことによって，たとえば心電図
（HG）はほぼ心臓の付近に，呼吸の酸素濃度や呼吸量
（BG）はほぼ肺の付近にそれぞれ表示されて見える状態
にしたものである。このようにすると，医師にとっては
患者の様態を示すデータがより自然に理解できるように
なり，データの誤認を防止できるようになる。FIG. 3 shows an example of display when viewed from the eyes of a doctor. For example, the display of the reference contour line of the body (BL) is displayed at the time of the initial positioning performed before treatment, and the combiner glass (C) is adjusted so that the patient (K) can be superimposed on the body. By doing so, for example, the electrocardiogram (HG) is displayed near the heart, and the oxygen concentration and respiratory volume (BG) of respiration are displayed near the lungs. In this way, the doctor can understand the data indicating the condition of the patient more naturally, and can prevent misidentification of the data.
なお，本実施例に示すヘッドアップディスプレイは手
術中でも不用の際には上部に引き上げられたような状態
で収納できる構造を有していてもよい。また，手術の様
子を記録するためのCCDカメラ（CM）などをヘッドアッ
プディスプレイ本体（Ｈ）と一体に組み込んでもよく，
この場合にはカメラ（CM）による映像信号に，表示のた
めに作られた画像信号を合わせて記録する等を行うこと
もできる。なお，本ヘッドアップディスプレイの構成は
図示に限らず，たとえば手術台（Ｔ）にヘッドアップデ
ィスプレイ本体（Ｈ）が取り付けられるような構造等で
あってもよい。さらに，表示器にはCRTや螢光表示管と
いった他の表示装置を利用してもよく，また，表示の内
容やその表示像の配置，機器の構成の方法やその形状な
どについても，本特許請求の範囲に従って，さまざまな
変形例があることは言うまでもない。It should be noted that the head-up display shown in this embodiment may have a structure that can be housed in a state where the head-up display is pulled up to the upper part when it is not needed during surgery. In addition, a CCD camera (CM) for recording the state of the operation may be integrated with the head-up display body (H),
In this case, it is also possible to record the image signal generated for display together with the video signal from the camera (CM). The configuration of the present head-up display is not limited to the illustration, and may be a structure in which the head-up display main body (H) is attached to the operating table (T), for example. Further, other display devices such as a CRT and a fluorescent display tube may be used for the display, and the contents of the display, the arrangement of the display image, the method of configuring the device, and the shape thereof are also described in this patent. It goes without saying that there are various modifications according to the claims.
（ト）発明の効果 本発明に基づく手術用のヘッドアップディスプレイに
よって，患者への手術や患者の監視の際に，医師等は的
確な情報を確実に読み取ることができるようになり，よ
り確実な手術のための判断を行うことができる点で，本
発明は大きく貢献するものである。(G) Effects of the Invention The head-up display for surgery based on the present invention enables a doctor or the like to reliably read accurate information at the time of surgery on a patient or monitoring of the patient. The present invention greatly contributes in that judgment for surgery can be made.
【図面の簡単な説明】 第１図は本発明の手術用ヘッドアップディスプレイの構
成図である。また，第２図には本発明のヘッドアップデ
ィスプレイを実際に使用する様子を示す図である。さら
に第３図はこの手術用のヘッドアップディスプレイの表
示の例を示す。 LC…液晶表示器 L1,L2…コリメーションレンズ Ｃ…コンバイナガラス Ｈ…ヘッドアップディスプレイ本体 Ｋ…患者、Ｅ…医師等注視者の目BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a configuration diagram of a surgical head-up display of the present invention. FIG. 2 is a view showing how the head-up display of the present invention is actually used. FIG. 3 shows a display example of the head-up display for the operation. LC: Liquid crystal display L1, L2: Collimation lens C: Combiner glass H: Head-up display body K: Patient, E: Eye of gazing person such as doctor
フロントページの続き (56)参考文献 特開 昭58−80616（ＪＰ，Ａ) 特開 昭63−216566（ＪＰ，Ａ) 特開 昭60−59877（ＪＰ，Ａ) 特開 昭60−183240（ＪＰ，Ａ) 特開 昭62−134338（ＪＰ，Ａ) 特開 昭63−294517（ＪＰ，Ａ) 実開 昭62−149435（ＪＰ，Ｕ) 実開 昭61−66311（ＪＰ，Ｕ) 特許2560369（ＪＰ，Ｂ２) 特公 平５−2531（ＪＰ，Ｂ２) 特公 平７−86598（ＪＰ，Ｂ２) (58)調査した分野(Int.Cl.7，ＤＢ名) A61B 19/00 G02B 27/02 Continuation of the front page (56) References JP-A-58-80616 (JP, A) JP-A-63-216566 (JP, A) JP-A-60-59877 (JP, A) JP-A-60-183240 (JP) JP-A-62-134338 (JP, A) JP-A-63-294517 (JP, A) JP-A-62-149435 (JP, U) JP-A-61-66311 (JP, U) Patent 2560369 (JP, A) JP, B2) JP 5-2531 (JP, B2) JP 7-86598 (JP, B2) (58) Fields investigated (Int. Cl. 7 , DB name) A61B 19/00 G02B 27/02
Claims (1)
入力部に入力された情報を画像信号に変換する変換部
と、該変換部で変換された画像信号に基づき表示像を写
し出す表示器と、該表示器からの手術に関する情報表示
光を手術を行う医師等注視者の前面視野に入射させるコ
ンバイナとを備えてなる手術用ヘッドアップディスプレ
イ。An input unit for inputting information related to an operation, a conversion unit for converting information input to the input unit into an image signal, and a display unit for displaying a display image based on the image signal converted by the conversion unit And a combiner for causing the information display light on the operation from the display to enter a front view of a gazing person such as a doctor performing the operation.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2085610A JP3024162B2 (en) | 1990-03-30 | 1990-03-30 | Surgical head-up display |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2085610A JP3024162B2 (en) | 1990-03-30 | 1990-03-30 | Surgical head-up display |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JPH03284254A JPH03284254A (en) | 1991-12-13 |
| JP3024162B2 true JP3024162B2 (en) | 2000-03-21 |
Family
ID=13863602
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2085610A Expired - Fee Related JP3024162B2 (en) | 1990-03-30 | 1990-03-30 | Surgical head-up display |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JP3024162B2 (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP3138526A1 (en) * | 2014-06-18 | 2017-03-08 | Covidien LP | Augmented surgical reality environment system |
Families Citing this family (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE10040498A1 (en) * | 1999-09-07 | 2001-03-15 | Zeiss Carl Fa | Device for image-supported processing of working object has display unit for simultaneous visual acquisition of current working object and working object data, freedom of head movement |
| CA2395377C (en) * | 1999-12-23 | 2008-02-19 | Hill-Rom Services, Inc. | Surgical theater system |
| JP4754674B2 (en) * | 2000-06-27 | 2011-08-24 | オリンパス株式会社 | Surgical microscope |
| US20010055062A1 (en) | 2000-04-20 | 2001-12-27 | Keiji Shioda | Operation microscope |
| US20070015999A1 (en) * | 2005-07-15 | 2007-01-18 | Heldreth Mark A | System and method for providing orthopaedic surgical information to a surgeon |
| US8635082B2 (en) | 2006-05-25 | 2014-01-21 | DePuy Synthes Products, LLC | Method and system for managing inventories of orthopaedic implants |
-
1990
- 1990-03-30 JP JP2085610A patent/JP3024162B2/en not_active Expired - Fee Related
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP3138526A1 (en) * | 2014-06-18 | 2017-03-08 | Covidien LP | Augmented surgical reality environment system |
Also Published As
| Publication number | Publication date |
|---|---|
| JPH03284254A (en) | 1991-12-13 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US10197803B2 (en) | Augmented reality glasses for medical applications and corresponding augmented reality system | |
| AU2003234910B2 (en) | Medical cockpit system | |
| JP4860629B2 (en) | Laparoscopic surgical monitoring apparatus and display method thereof | |
| US5765565A (en) | Sterile encapsulated operating room video monitor and video monitor support device | |
| US6038467A (en) | Image display system and image guided surgery system | |
| US5873814A (en) | Sterile encapsulated endoscopic video monitor and method | |
| JPH08140991A (en) | Observing apparatus for medical treatment | |
| US20060181482A1 (en) | Apparatus for providing visual data during an operation | |
| DE69112538D1 (en) | Computer aided surgical device. | |
| US20060100497A1 (en) | Medical information system, program product for use in the medical information system and method of processing data to manage a medical procedures | |
| EP2486847A1 (en) | Surgeon's aid for medical display | |
| CN112384970A (en) | Augmented reality system for time critical biomedical applications | |
| US6415792B1 (en) | Anesthesia machine with head worn display | |
| WO1998003013A1 (en) | Sterile encapsulated operating room video monitor and video monitor support device | |
| JP3402797B2 (en) | Endoscope image display system | |
| US11950968B2 (en) | Surgical augmented reality | |
| KR102111531B1 (en) | System for providing experience of medical treatment based on virtual reality or augmented reality in hospital | |
| JP3024162B2 (en) | Surgical head-up display | |
| JP2020530806A (en) | Display device to reduce radiation exposure to healthcare professionals | |
| WO2003042968A1 (en) | Method and system for presenting real time physiological information through a head mounted display | |
| Ormerod et al. | Use of an augmented reality display of patient monitoring data to enhance anesthesiologists’ response to abnormal clinical events | |
| JPH0622906A (en) | Endoscope system | |
| JP2018047068A (en) | Display control program, display control method and information processing device | |
| WO2023144579A1 (en) | Screen for image projection during surgery and a patient assistance projection system. | |
| Imagawa et al. | Olympus integrated endosurgery system |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| FPAY | Renewal fee payment (prs date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20080121 Year of fee payment: 8 |
|
| FPAY | Renewal fee payment (prs date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20090121 Year of fee payment: 9 |
|
| FPAY | Renewal fee payment (prs date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20100121 Year of fee payment: 10 |
|
| LAPS | Cancellation because of no payment of annual fees |