CN102458217A

CN102458217A - Imaging system

Info

Publication number: CN102458217A
Application number: CN2010800265286A
Authority: CN
Inventors: P.C.梅尔德
Original assignee: ENVISIONIER MEDICAL TECHNOLOGI
Current assignee: ENVISIONIER MEDICAL TECHNOLOGI
Priority date: 2009-04-20
Filing date: 2010-04-20
Publication date: 2012-05-16
Also published as: EP2421425A2; WO2010123858A3; BRPI1014490A2; JP2012523944A; KR20120008059A; EP2421425A4; WO2010123858A2

Abstract

A unified imaging platform is disclosed. The unified imaging platform can be adapted for use with a variety of medical imaging devices. The unified medical imaging platform can include a display, a processor, a data storage device and one or more external interfaces. The unified imaging platform can be removably coupled to a medical imaging device such as an endoscope. The unified imaging platform can be coupled to the medical imaging device via a wired or wireless link. Using web services, the unified imaging platform can also transfer image data to other devices including a local desktop computer system, a mobile device and/or a remote system.

Description

Imaging system

The cross reference of related application

The application requires the U.S. Provisional Patent Application no.61/170 in submission on April 20th, 2009, and 863 rights and interests are all incorporated this application into this paper by reference.

Technical field

Relate generally to portable imaging of the present invention system, and relate more specifically to endoscopic imaging system, have the flexible pipe that has the distal view image-position sensor, also have dismountable liquid crystal display, and the ability with wireless data transmission.

Background technology

Various technology can be used for medical, for watching and using when the internal of the human body that forms images and system.For example, can use tracheascope so that the inside of trachea is visible through nose, mouth or tracheotomy; Can use laryngoscope to come intubate, cause the reason of acoustic problem with detection, the reason of inspection throat and earache is estimated the difficulty of swallowing, and inspection throat narrow or damage or trachea in obstacle; Can use gastroscope to come the reason of acatalepsia anemia, epigaster gastrorrhagia, lasting dyspepsia, heartburn and chronic gastric acid to flow backwards, continue vomiting, dysphagia and odynophagia.Gastroscope can also be used to keeping watch on rehabilitation behind esophagus, gastric ulcer or duodenal ulcer and the stomach operation of Barrett.

As a further example, the ENT doctor need carry out splanchnoscopy to patient's upper respiratory tract system usually.The ENT doctor is an endoscope in order to one of the most frequently used instrument of watching the upper respiratory tract system.Similarly, endoscope is that surgeon and the doctor in many field of medicaments uses, such as pulmonary and urinary system field, with the part of internally watching human body so that inspection, diagnosis and treat.Endoscope also is used in the gastrointestinal tract.Traditionally, endoscope is an optical instrument.Endoscope can have rigidity or flexible pipe, and provides image to be used for visual inspection and photography.Rigid endoscope though initially be hollow, generally includes the apart a series of Glass rods (rod) that are interrupted distance that are coated in the pipe, and have incidental optical fiber beam with light be directed to the inspection object on.Soft endoscope is with replacing this a series of Glass rods from distal tip to the tiny optical fiber Glass rod of eyeglass (eye piece) images simply.

In addition, some soft endoscope is replaced a series of optical glass rods that are coated in the pipe with the solid-state camera that is positioned at soft endoscope pipe far-end.Solid-state camera can be the self-scanning solid imaging element, such as charge-coupled device (CCD) or complementary metal oxide semiconductors (CMOS) (CMOS) pick off.Can before solid-state camera, provide object or image to form camera lens.Arrange these camera lenses with focusedimage on CCD.Preamplifier is coupled in the output of CCD.The line that carries from the signal of preamplifier extends through the near-end that flexible pipe arrives endoscope, is used to be coupled in the remote image processor.Color image sensor utilizes one of various means of confirming color usually, such as the chromatic filter array.

Usually, the tissue or the object that provide external light source to illuminate to check.Light source provides the light that extends through this pipe via the fibre system guiding usually.

This endoscope can also realize getting fetching of biological tissue section and external (foreign) object.This pipe can provide other passage to allow the entering of medical device or mechanical hand (manipulator).

Initially, endoscope only comprises eyeglass, and through these eyeglass, the doctor can see the zone of just checking and/or treating.System afterwards comprises that video adapter is to be coupled in eyeglass with camera head.Camera head is coupled in video system with eyeglass.Video system is coupled in monitor.Therefore, now, can see at monitor more easily from the image that eyeglass are seen.If the user wants to catch, stores, storage and edited image and/or video, then, must obtain additional device, such as magnetic tape recorder, optical media equipment and printer.All these devices are stored on the handbarrow usually.This handbarrow generally includes and moves wheel, and is coupled in endoscope via various cables.

Camera control unit unit and incidental computer are with to watch screen huge, heavy and be difficult for being transported to diverse location.Except size with the transport restrictions, only for video camera and camera control unit, the scope of current available system cost i.e. Cong $10, and 000 or more.Except the cost of video camera and camera control unit, must buy endoscope and light source usually.

Production figures filing platform has been attempted by manufacturer, allows in endoscopic unit, to come the simple and easy numeral age that is incorporated into through integrating CD recorder and hard disk, so that can inspection directly be stored on the removable media.But these substitute modes have limited the editor of image, and are not very dynamic.Other manufacturers have attempted to produce and have directly captured the endoscopic unit in the dedicated computer system to image, and this dedicated computer system is designed to the special function of Video Capture and filing.These systems provide better data manipulation property, surpass but possibly spend, and 000, and therefore can not bear for practice little or that cost is limited.

Designed the system of some replacements with portable components.These portable components systems are littler than fixed system dimensionally, but except the primary clustering of video camera and endoscope, still need camera control unit, monitor, are used to catch the device and the light source of image.Though it is portable that these systems are classified as, they are heavy, complicated and expensive.Award to the United States Patent(USP) No. 6 of Yarsh etc.; 432; 046 discloses the handheld portable video camera of the video image that is used for formation object, and has following target: video camera is provided, and this camera feature is can high brightness ground to illuminate and do not cause superheated luminescent system.

People such as Yarush disclose the fixed lens pipe, and it receives the probe (probe) of various obvious customizations (custom), and in certain embodiments, also need one of some adapters to receive some detector.In addition, this patent of before having mentioned is not easy to be applicable to that the standard of eyeglass of the endoscope that in medical practice, uses is adaptive.

The open No.2007/0276183 of United States Patent (USP) disclose, the hand-held endoscopic system of portable battery-operated, and it is applicable to various endoscopies and exchanges use, and it provides to quote and is being herein incorporated.This endoscopic system comprises the hand-held camera unit with liquid crystal display (LCD) of portable battery-operated.Camera unit is coupled in the eyeglass of endoscope.Common external light source is coupled in endoscope.

Expectation further improves this portable, hand-held endoscopic imaging system, and the portability, versatility and the human engineering that relate more specifically to have the endoscopic imaging system of the flexible pipe that has the distal view image-position sensor use.

Summary of the invention

An object of the present invention is to provide the portable endoscope imaging system.

Another object of the present invention provides the hand-held endoscopic imaging system.

Another purpose provides the endoscopic imaging system with the flexible pipe that has the distal view image-position sensor.

Another purpose provides the medical image system with video display unit.

Another purpose provides the detachable video display unit that can be configured to the various medical imaging instruments of installation (fit).

Another purpose provides the detachable video display unit as liquid crystal display.

Another purpose provides the medical image system with wireless data transfer capability.

Another purpose provides point-of-care (point of care) system, its under the environment of the compatible HIPAA of safety, with portable imaging with combine based on the image and the VRAM of webpage.

Realize these and other purposes in the present invention.The present invention novelty, fused data is obtained and is stored and manages in the web application, allow that practitioner carries out whenever and wherever possible that patient's case is shared, the patient file folder with being connected image or video are sent to referral doctor (referring practitioner) synchronously through safety.

Therefore, summarized, quite broadly disclose prior characteristic of the present invention,, and so that can understand contribution better prior art so that can understand its detailed description subsequently better.Certainly, the existence supplementary features of the present invention that will further describe after a while.

Just in this respect, before specifying at least one embodiment of the present invention, be appreciated that the present invention is not limited to set forth in the following description on using or illustrated in the drawings structure detail and arrangement of components.The present invention can put into practice and carry out other embodiment in every way.And, be appreciated that at the wording of this use and term for purpose of description, and should not be regarded as restriction.

So, it will be understood by those skilled in the art that the disclosure based on notion can be easily as being designed for other structures of carrying out some purposes of the present invention, the basis of method and system.Therefore, important, comprise the equivalent constructions that does not break away from the spirit and scope of the present invention in the present invention.

In order to understand the present invention better, use its service advantages and concrete object that obtain through it, should referenced in schematic the accompanying drawing and the illustrative theme of the preferred embodiments of the present invention.

Description of drawings

Fig. 1 is the perspective view with flexible cannula and prior art endoscope of the intubate that is used for light source and aspirator (suction);

Fig. 2 is the perspective view according to an embodiment of the endoscopic imaging system with flexible cannula of the present disclosure, as to have distal view image-position sensor and near-end image processor;

Fig. 3 is the perspective view according to another embodiment of the endoscopic imaging system with flexible cannula of the present disclosure, as to have distal view image-position sensor and removable near-end image processor and display;

Fig. 4 is the figure that the exemplary medical imaging system is shown;

Fig. 5 is a block diagram of unifying imaging platform according to example of the present disclosure;

Fig. 6 is the block diagram with example endoscopic system of rigidity or flexible image collecting terminal and near-end imageing sensor;

Fig. 7 is the block diagram of example endoscopic system with display unit of distal view image-position sensor and electric coupling;

Fig. 8 is the block diagram of example system with display unit of distal view image-position sensor and wireless coupling;

Fig. 9 is the block diagram of display unit that is coupled in imaging handbarrow (cart) system of endoscope;

Figure 10 is the block diagram that is coupled in the display unit of Docking station (docking station);

Figure 11 is the block diagram according to software system architecture of the present disclosure;

Figure 12 is the block diagram that is illustrated in according to the integration between example imaging system of the present disclosure and the medical information system;

Figure 13 is the example screenshotss (screen shot) that remote image system web application user interface is shown;

Figure 14 illustrates the flow chart of use according to the example workflow of imaging system of the present disclosure; And

Figure 15 diagram is according to example HD video camera medical image system of the present disclosure.

The specific embodiment

In the endoscope of prior art shown in Fig. 1 10.Showing endoscope 10 comprises flexible cannula 12 and transmits from the light of light source and suction (suction) pipe 14 to intubate 12.Such as what in endoscope of pulmonary and gastroscope, use, endoscope 10 comprises the wheel 16 of two stacked (stacked), provide intubate 12 four basic exercise degree, for example go up/descend and a left side/right side.The endoscope that has flexible cannula and be designed to department of otorhinolaryngology, urology department and gynecological has single the wheel or control stick usually, and two degrees of motion, for example upper and lower are provided.Provide additional channel 18 to be used for the entering of medical device or mechanical hand.Tail end at pipe 14 provides adapter 20.This adapter 20 is applicable to and is connected to long-range light source (not shown) and suction source (not shown), and also comprises the connection 22 that is used to be coupled in the remote video system (not shown).Distal view image-position sensor 24 and associated component are positioned at the tip far away (distal tip) of flexible cannula 12.Silk (wire) or line (not shown) extend through the length of flexible cannula 12 from distal view image-position sensor 24, and continue to arrive adapter 20 through pipe 14.

Fig. 2 illustrates the perspective view of use according to an embodiment of endoscopic imaging system 30 of the present disclosure.Endoscopic imaging system 30 comprises the endoscope 32 with flexible cannula 34, has the distal view image-position sensor 24 and the associated component (Fig. 2 is not shown) of the far-end that is arranged in intubate 34.Silk or line (not shown) extend through the length of flexible cannula 12 from distal view image-position sensor 24, arrive the near-end of endoscope 32.

Viewing screen is shown or video display unit 36 is coupled in endoscope 32.For example, video display unit 36 can comprise video display units, such as liquid crystal display (LCD), light emitting diode (LED) display, plasma scope etc.Endoscope 32 is shown comprises rotating ring 38, it is around the longitudinal axis rotation of endoscope 32.Rotating ring 38 comprises neck (neck) part 40.Video display unit 36 is shown comprises stem (stem) part 42, it rotatably is coupled in the neck portion 40 of rotating ring 38.Therefore, video display unit 36 is movable, and wherein rotating ring 38 is about the rotation of the longitudinal axis of endoscope 32 and removable, and about the longitudinal axis of stem portion 42 and can pivot (pivotal).

In one embodiment, as shown in Figure 2, video display unit 36 is removable.Particularly, Fig. 2 shows video display unit 36 and can remove from endoscope 32.Display bracket 44 is coupled in stem portion 42.Support 44, being similar to video display unit 64 can be equally around 42 rotation of stem portion, and rotates around the axle of endoscope 32.Display bracket 44 is applicable to and holds removable video display units 36.In one embodiment, removable video display unit 36 is coupled in the electronic installation of endoscope 32 with the matching connector (not shown) that is positioned at the internal cavities (cavity) that support 44 forms via the adapter (not shown) of the bottom that is positioned at video display unit 36.Also anticipation, video display unit 36 can comprise the wave point that is used for carrying out with the corresponding wave point of the electronic installation that is coupled in endoscope 32 radio communication.

In one embodiment, video display unit 36 comprises modulus (A/D) transducer, and it has the input of the adapter that is coupled in video display unit 36.The output of A/D converter is coupled in the image processor that also is positioned at video display unit 36.Video display unit 36 also comprises controller, and this controller is coupled in image processor, and the adapter that is coupled in video display unit 36.Video display unit also comprises various memorizeies and the various external interfaces that are coupled in image processor and controller.Therefore, with respect to endoscope 32, image processor is positioned at nearby.Endoscope 32 comprises that two stacked wheels 16 provide four basic exercise degree of flexible cannula 34, for example go up/descend and a left side/right side.Endoscope 32 comprises that also a plurality of users import gauge tap or button 50.Switch or button 50 are connected to the adapter or the display bracket under the situation of removable video display unit 36 44 of endoscope 32.Therefore, switch or button 50 can be connected to the intraware of video display unit 36.A plurality of users import gauge tap or button 50 comprises arrow button 52, mode button 54 and menu button 54.Arrow button 52 is the digit manipulation bar preferably, and spring biasing normally to be maintaining central authorities, vertical direction, its can of short durationly shake with respect to forward and backward, the left side of center direction and right-hand to.One of function of arrow button 53 is to select to be used for image-watching and the digital zooming level of catching.Arrow button forward or the rear to the mobile change that causes the relevant plus or minus on the digital zooming level of the image that will watch and the static or motion video image that will catch.In a preferred embodiment, can select zoom by service orientation button 52 up to 4X numeral amplification.Mode button 54 preferably promotes button, instant shut-in with menu button 56.

Under the microprocessor that arrow button 52 comprises in endoscope 32 or the control of digital signal processor, be used in combination video display unit 36 and present to doctor's mode button 54, menu button 56 and on-screen menu list, carry out some additional functions.Particularly, use this three buttons, the doctor can the playback video montage, and selects from the rest image that is used for watching; Watch " thumbnail " index of this record or rest image, F.F., rewind down and stop the displaying video montage are selected video/static image resolution ratio pattern 1,3 or 6,000,000 pixels of catching; The record audio sound clip opens and closes the image dater, launches and forbid the automated graphics stabilisation; The white balance setting of the image that adjustment is caught opens and closes image histogram and shows, selection from natural color, black and white and the brown picture of changing the line map are caught; Manual adjustment image exposure level activates 10 seconds electronic shutter self clock devices, launches/forbid display icon on the screen; Select video output resolution ratio (that is, 640x480 or 320x240 pixel), and two images will taking are respectively merged into an image.

In addition; Can also use on-screen menu singly to come deleted image and video clipping; Watch " the lantern slide demonstration " of the image of before having caught and the printer that direct print image arrives attached compatibility

.In addition; Can use on-screen menu that inner date and time singly is set; Launch/the disabling of audio sound that pipes, be provided with and show oscillator frequency to 50Hz or 60Hz, the direct modeling TV that High Speed I/O FPDP is set is output as NTSC or PAL video format; The brightness of video display unit 36 is set, the inner and removable storage medium of format; Open and close shutdown automatically; The language that shows on the screen is set; (depend on this setting, when being connected to personal computer, show the menu of the connection mode will show that the permission doctor selects to expect on the screen with the operator scheme that USB port is set via the high speed USB port; To under " removable dish " pattern, connect automatically, or get into printer mode automatically).

High Speed I on video display unit 36/O data transmission port (not shown) allows via traditional common universal serial bus (USB) interface to outer computer, such as the digital data transfer of personal desktop machine or notebook, and via the analog video output of suitable adnexa AV cable to the conventional video display monitor.Data transmission port; When being coupled in the USB printer of compatibility

; Allow directly to print the rest image of catching, and do not need outer computer between two parties by endoscopic camera.The power-on switch (not shown) is placed in the endoscope 32.

In a plurality of accesses of holding the permission of snap battery door removable under the help of formula skeleton (gripping rib) (snap fit battery door) (not shown) to the part of the inside of endoscope 32; With the removing and replacing of the rechargeable battery that allows for endoscope 32 power supply, and the insertion of the flash card of storage sport video of catching and/or rest image and removing.

The functional-block diagram (not shown) of one embodiment of the present of invention comprises endoscope 32, and it has can be the Image Acquisition device of for example CCD chip 110.The Image Acquisition device is connected to the input of preamplifier, and this preamplifier provides output, and this output is coupled in and extends through the electric wire that flexible cannula 34 arrives the adapter card at support 44 places.Endoscope 32 also comprises the optical fiber source that extends through flexible cannula 34 and arrive adapter 20.A plurality of users import gauge tap or button 50, and each has the circuit of the adapter card that extends to support 44 places.Video display unit 36 comprises the analog-digital converter of the adapter that is coupled in video display unit 36.Image processor is coupled in A/D converter.Image processor also is coupled in controller, various memorizer and various optional external interface.Controller also is coupled in various memorizeies and optional external interface and user imports gauge tap or button 50.

Optional external interface can comprise high speed data transfer port one 42, such as simulation output and the removable flash memory of the audio frequency S that is used to be coupled in external equipment.Also flash memory on the plate can be provided in display unit 36.

The additional internal assembly of endoscopic system comprises battery, removable flash card, main printed circuit board, inferior printed circuit board (PCB).The type lithium ion battery that battery is preferably traditional, it can remove battery door through first and remove isolating charhing unit, to recharge from the main part or the near-end of endoscope 32.Alternatively, or additionally, the battery recharge socket can be placed on the main part, and supplies suitable frame or the seat of recharging to allow recharging this battery on the spot.

Removable flash card preferably includes Mini SD card or the multimedia card (MMC) that industrial standard secure digital (SD) blocks, has the SD card adapter.Storage card is removable lining, and maintains in the draw-in groove that is associated, and can when removing battery door, from camera housing, remove.

Main printed circuit board can comprise most of circuit, comprises flash memory on A/D converter, digital signal processor or microprocessor, controller and the plate.Inferior printed circuit board (PCB) can carry arrow button, mode button and menu button.Inferior printed circuit board (PCB) can carry redundant videograph button and redundant picture shutter release button.

Main part can also comprise the mini microphone (not shown), and it also is coupled in main printed circuit board.In conjunction with the single function of the on-screen menu that provides via display and processor, mike allows the doctor to inner flash memories or the montage of removable flash card recording voice, such as voice notes, and transmits this voice/sound clips to external personal computer.

In another embodiment, most of electronic installations reside in the main part or near-end of endoscope.For example, A/D converter, image processor and controller are arranged in main part, and are coupled in video display unit 36.

Fig. 3 illustrates another embodiment of endoscopic system of the present invention.Fig. 3 illustrates the endoscopic imaging system 60 that comprises the endoscope 32 with flexible cannula 34, and distal view image-position sensor 24 and associated component (not shown among Fig. 3) are positioned at the far-end of intubate 34.Silk or line (not shown) extend through the length of flexible cannula 12 and arrive the near-end or the main part of endoscope 32 from distal view image-position sensor 24.Removable screen or the video display unit 36 watched is shown is coupled in endoscope 32.The system 60 of Fig. 3 is similar to the system 30 of Fig. 2 very much, except most of electronic installations are positioned at the main part of endoscope 32 or the outside of near-end.For example, describe as combining Fig. 2, most of electronic building bricks are positioned at removable video display unit 36.Rope (cord) 80 extends to removable adapter 70 from removable video display unit 46.Removable adapter 70 can comprise subscriber switch or button 50.Adapter 70 attaches to endoscope 32 removedly together with rope 80 and removable video unit 36, to adapt to the cleaning of endoscope 32.

Alternatively, most of electronic installations reside in the adapter 70.For example, A/D converter, image processor and controller are arranged in adapter 70, and are coupled in video display unit 36 via rope 80.

Two axis controllers 90 provide the control of the far-end of flexible cannula 34, like what know in the prior art.

Also conception combines the present invention to use transmitting software and related application together.

In a video display unit embodiment, use the MPEG-4 video compress to carry out the video compress of DV quality.Use the JPEG compression algorithm to compress rest image.The both is the industry standard approach of data compression.After using, can image be transmitted from removable flash memory ram dish (SD RAM), or be transferred to another computing equipment via USB-2.Can also be via to the USB-2 cable of computing equipment or via carrying out image-watching in real time to the AV output of compatible video-frequency monitor.Can also when record, catch voice record with the note clinical discovery.

Fig. 4 illustrates according to one embodiment of present invention.In this embodiment, come capturing information via video capture device 402 such as endoscopic imaging system.Upload information to computer 404 via wired or wireless connection through uploading 416.For example, uploading 416 can be USB, WiFi, bluetooth etc.Computer 404 can be from a plurality of video capture device input informations.Similarly, computer 404 can be imported the file such as the DICOM file.(DICOM representes digital image and the communication standard in the medicine, is used to distribute with the medical image of watching any kind do not consider the source) storage system 406 is communicated by letter with computer 404 via communicator 418.For example, communicator 418 can be XMPP (but expanding communication with appear agreement) or DICOM.In one embodiment, storage system 406 is based on webpage, is one and connects and appear manager, and slowed-down video and buffer are provided.System is with the prerecorded video flowing of DICOM delivered, and real-time video is converted into mobile form on various device.Illustration equipment comprises

408, second computer of describing 410, web browser 412 and other equipment 428.Storage system 406 is communicated by letter with via

communicator 420;

communicator can be included for example SMS (Short Message Service), Email, XMPP; DICOM and H.264 (standard of video compress).Storage system 406 is via the second compunication device 422 and second compunication, and the second compunication device can be included for example Email, XMPP, DICOM and H.264.Storage system 406 is communicated by letter with web browser via web browser communicator 424, and the web browser communicator can be included for example Email, HTTP, and FLV (flash video). 408 can comprise that DICOM watches device.Second computer 410 can comprise that DICOM watches device, and can be to other EMR (electron medicine record) software output DICOM file.Web browser 412 can comprise that FLV watches device, and can be based on webpage.

The network of conception medical data communication.In one embodiment, obtain this network through connecting hand-held endoscopic imaging system to personal computer and mobile device.In the embodiment of replacement, this network also comprises a plurality of Medical Equipmentes that are connected to countless health and fitness information transmission systems.The example of the Medical Equipment of conception includes, but are not limited to tracheascope, laryngoscope, gastroscope etc.

Use the XMPP for example can be used for other manufacturers and dicom standard interface and form to conceive open framework method.

First uses scene to be applied to the situation that sender and recipient use the transmitting software application.In this case, data sender is the practitioner at first hospital or medical centre place, his diagnosis and treatment patient.Data recipient is the practitioner at identical first hospital or medical centre place, and he is current to be concerned about other patients.At least one other practitioner is (" practitioner that are absent from the scene ") that are absent from the scene.Data sender begins the endoscopic inspection such as EGD, and selects the data recipient and be absent from the scene practitioner, as the recipient of related data.Data recipient is all immediately informed to begin inspection with the practitioner that is absent from the scene.Data recipient goes up at their data compatibility equipment (mobile phone, PC or other equipment) with the practitioner that is absent from the scene and receives stream video in real time, and can watch ongoing video, and need not show up.This characteristic allows the data sender to understand the data recipient and is all seeing the video of positive transmission with the practitioner that is absent from the scene.In addition, data recipient can be directed against the zone that the data sender point to data sender diagnosis and treatment with the practitioner that is absent from the scene, closely to make an inspection tour and to check.

Based on the video that sends, data sender can be from data recipient and the practitioner that is absent from the scene request suggestion.In addition, if, can preserve video, and heavily see in date after a while such as conflict if having time during the recipient of data recipient and/or the practitioner that is absent from the scene is during inspection and/or subsequent process (procedure).

Second uses scene only to be applied to, and the sender has the situation of the access right of use transmitting software/application.In this case, the data recipient can be the doctor under rural environment for example.In use, data sender practitioner is checked/diagnosis and treatment through the checkout facility of compatible data transmission.In the embodiment of a design, portable endoscopic camera is the compatible data transmission.Data recipient will check/videograph of diagnosis and treatment is to this equipment.The assembly of equipment is via such as USB, the wired or wireless connection of WiFi, bluetooth etc. and be connected to office computer.Then, data sender can get in touch the consulting practitioner password is provided, and sends the text message with secure link and watch this video.The consulting practitioner can be watched this video from any position with web browser.Also will issue the consulting practitioner to the instruction of the visit of video through text message and mail about how forbidding (forbidding).

Point-of-care disclosed herein system has made up portable imaging and based on the image and the VRAM of webpage under the environment of the compatible HIPAA of safety.In one embodiment, system comprises video camera, web service and desktop application.

In this embodiment; Disclose hand-held, portable endoscope imaging system, it comprises high-resolution video camera with general context bonder, such as the removable video display unit of the liquid crystal display touch screen with multimedia playback be used for battery charge and the USB Docking station of transfer of data.Online data storage and partner site also are provided.Under this online environment, the user can upload, stores, manages, handles and share such as endoscopic inspection and find.Use disclosed system and its desktop partner to allow to come shared data through automatically pushing away and pull into as the data flow workload.

The characteristic of disclosed system can comprise: submit the editor of inspection, the note of checking, search capability, report generation, video, online the sharing of the safety by frame analysis and endoscopic images and video of video to based on patient's distribution.

Fig. 5 is a block diagram of unifying imaging platform according to example of the present disclosure.Particularly, unify imaging platform 500 and comprise display 502, one or more processor 504, network interface 506, memorizer 508, Medical Equipment interface 510 and user interface 512.

When operation, via the DID of Medical Equipment interface 510 receptions from medical imaging devices.Medical Equipment interface 510 forms interface between unified imaging platform 500 and the medical imaging devices such as endoscope.The Medical Equipment interface can be wired or wireless interface.

Can come processes digital image data through one or more processors 504, and on display 502, show, and/or storage in memorizer 508.Processor 504 can comprise microprocessor, digital signal processor, microcontroller, programmable logic device or be applicable to one or more in the treatment facility any existing or exploitation later on in the unified imaging platform 500.Display can comprise LCD display, light-emitting diode display, plasma scope, cathode ray tube (CRT) display or be applicable to the display any existing or that develop later on of unified imaging platform 500.Memorizer 508 (for example can comprise electronic data storage; SDRAM, ROM, EEPROM; Flash etc.), the magnetic data memory device (for example; Hard drive), light data storage device (for example, CD or DVD drive) or be applicable to any existing of unified imaging platform 500 or the data storage device of exploitation later on, store digital picture digital video and/or related data.

Unified imaging platform 500 can be controlled via user interface 512 by the user, and this user interface 512 can comprise switch, button, position sensing device (stick, mouse, trace ball etc.), touch screen, keyboard or be applicable to one or more in the user interface element any existing or exploitation later on of unified imaging platform 500.

Unified imaging platform 500 can be via network interface 506 and external network or system communication, and network interface 506 can comprise wired or radio network interface.

Fig. 6 is the block diagram with example endoscopic system of rigidity or flexible image collecting terminal and near-end imageing sensor.Particularly, endoscopic system 600 comprises display unit 602, endoscope 604, near-end imageing sensor 606 and rigidity or flexible optical intubate 608.

In when operation, to near-end imageing sensor 606 transmission light, this near-end imageing sensor 606 produces analog or digital picture signals from the far-end of intubate 608.The near-end imageing sensor is to endoscope 604, and and then send picture signals to display unit 602, this display unit 602 can be to be similar to unified imaging platform shown in Figure 5.

Can on display unit 602, watch the image that generates from picture signal.Also can be by display unit 602 editors, storage or images.Can remove display unit 602 from endoscope 604.

Fig. 7 is the block diagram of example endoscopic system with display unit of distal view image-position sensor and electric coupling.Particularly, endoscopic system 700 comprises display unit 702, endoscope 704, the electrical links in flexible cannula 706 and distal view image-position sensor 708.

In when operation, distal view image-position sensor 708 produces the analog or digital picture signals, its via electrical links 706 to endoscope 704 and and then send to display unit 702, this display unit can be to be similar to unified imaging platform shown in Figure 5.

Can on display unit 702, watch the image that generates from picture signal.Also can be by display unit 702 editors, storage or images.Display unit 704 can remove from endoscope 702.

Fig. 8 is the block diagram of example system with display unit of distal view image-position sensor and wireless coupling.Particularly, endoscopic system 800 comprises display unit 802, wireless link 804, endoscope main body 806, the electrical links in flexible cannula 808 and distal view image-position sensor 810.

In when operation, distal view image-position sensor 810 produces the analog or digital picture signals, and it sends and and then send to display unit 802 via wireless link 804 to endoscope 806 via electrical links 808.This display unit 802 can be to be similar to unified imaging platform shown in Figure 5.

Can on display unit 802, watch the image that generates from picture signal.Also can be by display unit 802 editors, storage or images.Display unit 802 can remove from endoscope main body 806.

Fig. 9 is the block diagram that is coupled in the display unit of endoscopic imaging handbarrow system.Particularly, medical image system 900 comprises the display unit 902 that is coupled in medical image system 904.Display unit 902 can be to be similar to unified imaging platform shown in Figure 5.Can on display unit 902, watch image.Also can be by display unit 902 editor, storage or to another system transmissions image.

Figure 10 is the block diagram with the coupled display unit of Docking station.Particularly, medical image system 1000 comprises the display unit 1002 that is coupled in Docking station 1004, and display unit 1002 can be included in the link 1006 of external system or network.

When operation, display unit 1002 can be placed in the Docking station 1004, is used for battery recharge and/or transfer of data.Transfer of data between display unit 1002 and external system can take place via Docking station 1004 and link 1006.

Figure 11 illustrates software system architecture.System 110 comprises medical imaging devices 1102 (for example, being similar to the equipment shown in Fig. 6-9).This system also comprises mass storage 1106.Medical imaging devices 1102 is coupled in plug-in unit API 1110 respectively with mass-memory unit via link 1104 and 1108.Plug-in unit API also is coupled in health information system 1112 via the HL7 link.Health information system 1112 also is coupled in web service API 1116 via interface 1114 (for example, XML/REST interface).System 110 also comprises imaging management station 1118, mobile device 1122 and the remote system 1126 that is coupled in web service API 1116 respectively via XML/

REST interface link

1120,1124,1128.Local cache 1130 also is coupled in remote system 1126.

Web service API 1116 also is coupled in web service system 1132 via XML/REST interface link 1134.The web service system is respectively via

interface

1136 and 1144 and be coupled in patient record database 1138 and cloud storage 1140.Cloud storage 1140 is coupled in web service API 1116 via Streaming Media interface 1142.

As shown in, system can comprise the storage system based on webpage that is used for such as the image and the video of endoscopic images and video.Can use a plurality of services via the REST style interface based on webpage.Use 256 AES to be encrypted in all communications of carrying out on the HTTPS between client and web page server.In one embodiment, realize three clients: web application, the local application of iPhone and desktop application.This system's quilt is de to heavens, and utilizes open standard, makes it very flexible.

In example embodiment, web page server is made up of a pair of Amazon EC2 instance: master server and as the data base read the subordinate body and can be under the situation of master server instance collapse as the inferior server of Failover Servers.Handle the storage of image and video by for example Amazon S3.AmazonEC2 and S3 are high-performance, high scalability and very safe.The assessment individual server is handled about 200-300 user simultaneously.Can support additional user with the additional MS master-slave server instance of establishment through adding load balancer.The per hour snapshot of server and database positioning is saved to AmazonEBS.Continue Backup Data, and can be in a few minutes carry new server instance and reach the standard grade.Jede Woche is selected backup at random, and on (server is isolating with producing) new server instance, carries out complete recovery, simulates disaster recovery.

Visit to web service needs software system account, the checking user in the account and the mandate of concrete resource specifically being moved by this user.Handle authentication vs. authorization by server.Each account has its oneself URL and intrasystem himself isolating data base.Can there be any amount of user account in the inside of each account.Can carry out rough access control to the user.The user who is marked as " manager " has the complete control to its account.The user who is not marked as manager must be assigned with the permission of reading, create, upgrading or deleting patient, file, process or other users.

Figure 12 illustrates the integration with EMR.System 1200 comprises the medical imaging devices 1214 that is coupled in plug-in unit API 1216 via link 1220.Imaging management station 1218 is coupled in plug-in unit API 1216 via link 1222, and is coupled in web service API1224 via link 1226 (for example, XML/REST interfaces).Plug-in unit API 1216 is coupled in integration engine 1212 via interface 1228 (for example HL7).Integration engine 1212 also is coupled in web service API 1224 via interface 1230 (for example, XML/REST interface).Integration engine 1212 is coupled in message transformation device 1210, and it is coupled in message router 1208 and another message transformation device 1206.Message transformation device 1206 is coupled in EMR/HIS 1202 via link 1204 (for example, HL7 interfaces).

As shown in, use integration engine be adjusted in EMR, web service and application (and through the agency, the flow between LCD).The integration engine of example is MirthConnect.(http://www.mirthcorp.com/community/overview)。In one embodiment, the listener that in Mirth, realizes receives the order (ORM) of endoscopic procedure from AllMeds.The ORM of example below is provided:

MSH|^～\&|AllMeds||Envisionier||20090922161042||ORM^O01|165|P|2.3|||NE

PID|1||3187||TEST^TEST||20090107|M

ORC|NW||||||^^^20090922||20090922161033|||^Smith^John|||20090922

Hole exploration before OBR|1|36||31276^ nose section/hole property endoscope, the surgery w/, w/wo tissue displacement, preceding hole || || || || || || || || || || | O||^^^20090922

In the time should ordering by the Mirth reception, use RESTAPI to construct the web service request, this REST API stores in our data base and should order then.The user is docked to its LCD in the Docking station.This will make and should be used for traveling through above-mentioned processing, will order ID to be left behind in addition, and press from both sides with the patient file on the LCD and to store it.Perhaps, the doctor is input patient figure number on LCD simply, and skips this initial butt joint processing.Then, the doctor proceeds inspection.When docking LCD once more, use and duplicate all data, and begin to upload image and video data from eGo.In case upload image or video, then use with local search procedure ID.If do not find, it attempts the query webpage service and finds the process of catching the date of coupling patient's figure number (like what on LCD, import) and image.If find process ID, then use structure is comprised the segmental ORU message of the OBX that quotes image and video data.These are quoted is the URL that points to the pre-authentication of image and video data.This ORU is sent to Mirth, and wherein, it will be forwarded to EMR at last.

The ORU of following illustrated example.

MSH|^～\&|Envisionier||AllMeds||20090922161026||ORU^R01|ips2e35hhh6ak|P|2.3|||AL|||||

PID|1||3187||TEST^TEST||20090107|M

PV1|1|R|||||^John?Smith，M.D.|^Doe|||||||||||||||||||||||||||||||||||||||||||||

Hole exploration, w/wo before OBR|1|36||31276^ nose section/hole property endoscope, the surgery w/

Tissue displacement, preceding hole || | the 20080401143529|||HIST||| laboratory report | 200804011727||

25841^Smith^John|||||00809205729|||LAB|F||^^^^^AR

OBX|1|TX|URL_REF|1|https:/E//E/demo.endogo.com/E/file/E/1?

Key=1& timestamp=1263830821& signature=NTk3ZDU5ZTE3OGM4ZTE5MGJlZmE3NGY

2N2NmN?DliNjk4MzUxMDE4Zg＝＝|″″|||||F|||20081111114948||||||

OBX|2|TX|URL_REF|1|https:/E//E/demo.endogo.com/E/file/E/2?

Key=1& timestamp=1263830866& signature=N2E5ZjMwNzlhYjIxYmRjY2ExMT1jNTAyZT

M1ZjEwY?2ZiMmI2NjY1Ng＝＝|″″|||||F|||20081111114948||||||

This ORU will comprise image or the as many OBX fragment of video that is used to check like existence.Under the situation of AllMeds, the patient record as the situation of outside document under the storage should the link.When the user clicks one of document links, the default web browser sensing this document that is opened.

The important consideration of such integration is that EMR must support to handle the ability of external web page link.This link is the direct link to media data, and should in most of browsers, show.Selection is the EMR default browser on the start-up system simply, and makes it point to this document.

" sharing " characteristic in web application all depends on identical signature process with the link of in the EMR integration process, creating, and generates the secure link of resource.When authorized user request pre-authentication linked, server generated the digital signature of this link.The pre-authentication attribute of this link means, Email recipient and EMR need not know and set up this link so that visit the user's of this resource certificate.Signature in this link is only to concrete resource with to concrete access method and effective to the concrete time period alternatively.Someone can not point to new resources with linking simply, and obtained unauthorized access.Also can not use not the method for expecting to visit this resource (for example, if when someone should only be allowed to when obtaining (GET) these data and this people possibly construct HTTP DELETE and asks, this will be unfortunate).The example of the link of pre-authentication below is provided.

https://demo.endogo.com/file/991?

Timestamp=1267140610& signature=NDRiNGNkMmVkM2FiODJiYTgyZmVmMig3ZmJhNWU

4MzE?yN2M4NjExOA＝＝

Server comes compute signature to authorize this request through using such as following process:

N (GET, PUT, POST, DELETE, HEAD, etc.) timestamp n expire n (it is optional expiring) request_url

Hmac:HMAC-SHAl (specification request, secret identification code) signature: base64 (hmac)

Figure 13 provides the screenshotss of diagram web application front end.In an example, use Microsoft Silverlight 3 to set up web application, and the Firefox on Windows and Mac OS X, move in Internet Explorer and the Safari web browser.It provides user friendly front end, is used to manage patient, image and video, editing video, fetches comparing side by side of shared image and video, image and video and report generation via theft-resistant link chain.

On user's computer, install and to use.It operates on Windows and the Mac OS X locally.The task of example comprises the butt joint (docketing) of sign LCD unit in the Docking station, will to the copy data from the LCD unit, and communicate by letter with health information system with web service.Conception can be by means of the system of terminal use's expansion as system based on the plug-in unit system of Python.The application need user logins and also on HTTPS, communicates by letter.

Figure 14 is the flow chart that intrasystem example workflow is shown, and comprising: the user checks 1404; The user is docked LCD display unit (for example, unifying imaging platform) with Docking station 1406; Application software is discerned LCD and is duplicated all data 1408 from LCD to PC; Application is inquired about patient's schedule to web service, and occupies LCD 1410 with the file of representing patient (folder name is patient's initial, 4 initials of surname); Use release LCD 1412, LCD is ready to additional inspection now.Through this processing, image is uploaded in this application and video arrives web service, and to integration engine 1414 forwarding information.

To understand, can whole or partly repeat the Medical Image Processing task that step shown in Figure 14 is accomplished conception.

Figure 15 provides the example of the high-resolution video camera medical image system with removable display device.This object lesson comprises camera unit, video display unit and Docking station.

The ability of system disclosed herein and element can comprise for example ability, the liquid crystal display of plate epigraph processor, high sharpness video and 6,000,000 pixel photos watch screen, data input touch screen, be used to file memorizer on the plate of image, be used for to various individuals calculate and the removable memorizer of memory devices transmission data, via the virtual library of the high-speed digital data transmission that watch or on personal computing devices of the real time imaging of conventional monitors and endoscopic images and video.

About image capturing; System capability and element can comprise: for example; Catch ability, obtain HD image and the ability of video, removable touch screen LCD, complicated user interface, mobile multimedia playback, light source optimisation technique, can be optimized to and Halogen with handheld device such as the image of endoscopic images; LED, Halide, or the specified photo-equilibrium of the user of Xenon light source works, manual white balance and AWB.

About storage; System capability and element can comprise: for example, can upload and be stored in HD image and video on the secure data management system, with in the safety HL7 form automatically the ability of the ability of stored information, storage easily and transmission electronic medical record, from video extract rest image ability, repair this video, be used for once touching the ability of download and comparing side by side of video, photo and CT image.

About data sharing; System capability and element can comprise: for example, share when practitioner utilizes removable LCD monitor to nurse at the scene image/inspection ability, allow practitioner demonstration patient's normal and unusual pathology the dual image comparison, catch and upload data to streamline workload, usually and the ability of mobile tagging, record, output and the incoming task that is associated such as the data of endoscope's data automatically through eliminating redundancy; With storage solution, obtain and/or send data whenever and wherever possible to allow practitioner, and do not limit video file size based on webpage to Email transmission secure link.

Be merely the example purpose; Heavily about 410 grams of camera unit; No LCD is about 6.5 " length, 7.5 " height; It is 10 that LCD is arranged, and " height provides the HD video (MPEG4 compression, AVI form) of 1280x720 resolution; 5,000,000 pixel rest images (jpeg format) are provided, and comprises that endoscope's bonder, the output of HDMI digital video, composite analog video output of cmos image sensor, general C assembling, removable, rechargable lithium ion cell, static/Video Capture and the hot key that dwindles/amplifies and shatter-proof powder spray the magnesium shell.

Be merely only example purpose, great about 100 grams of video display unit, about 3.75 " x 3.25 " x1.125 ", and comprise 3.5 " touch screen (like what on diagonal, measure), removable SD card, multimedia playback, non-removing and rechargeable lithium ion battery.

Be merely the example purpose, Docking station is 4.5 " x 2.25 " x 4.5 ", and comprise power port on the charging port, wall of the unitary 50 pin ports of LCD, lithium ion battery (DC 5V, 3A) and USB 2.0 mini ports.Docking station is in one embodiment realized the high capacity driver (USBSTOR on Windows) of transfer of data.

Envision consistent with the HIPAA safety criterion managerial, physics and technical security defendance confidentiality, integrity and availability with protected data.These securities comprise server are placed physical security, geographical isolating data center; Use the firewall protection server; Guarantee to be connected via the cryptographic means of encrypting,, keep system backup for each user provides unique id and the needed password of this system of visit with the long-range of server such as 256 AES; Be provided for the redundant system of fault recovery, and attempt of record (log) all-access and system activity.The system design characteristic compatible about HIPAA comprises that filename is anonymous zed, and stores dividually with the patient data, and the minimum patient data of storage in web database depends on EMR on the contrary and stores more comprehensively distribution with other HIT system.

Then, the signature that relatively calculates of server and the signature in the query string.If it is primary that any part of request is different from, signature will not match, and therefore negate should request.Secret identification code is unique to each account, and only server is known.

Optional refuses the visit to resource to period parameters permission sender after special time period.This does not prevent before the expiration time section receptor downloaded resources and obtains local replica, but this is not the original idea to period parameters.Suppose that receptor is a trusted parties, and do not exist them to obtain the problem of the local replica of resource.But when putting the transmission link to the outside, some secure context can be outside sender's control.This link possibly be stored on unsafe machine with clear-text way, possibly on unsafe channel, send or receive this link, and possible wrong side by mistake sends this link.To period parameters a kind of mechanism is provided, limits this type that concrete resource is easy to stand outside (in the wild) and be not intended to the time quantum that exposes.The link of in EMR, storing does not have to period parameters usually, because the communication channel between application, Mirth and EMR is safe by hypothesis.And the link in EMR is protected by the security system of EMR oneself by hypothesis.

The importance of pre-authentication link is that they do not comprise the sign patient information.But, in system, do not exist a kind of mechanism to determine whether to exist in the patient information that embeds in the file of this link sensing.For example, can in the Video and Audio section, tell patient's name, or in the CT image, embed their name and date of birth.In all cases, the user has a responsibility for before the opposing party's transfer files or the link to file, editing any possible sensitive information.

Though have been illustrated in the accompanying drawings and in aforementioned detailed description, describe the preferred embodiments of the present invention; But will understand; The invention is not restricted to disclosed embodiment, but can the mirror image parts and numerous rearrangements, modification and the replacement of element, and do not break away from spirit of the present invention.For example, the screen of watching that also is envisaged on the video camera can be the commercial available two the LCD displays backlight and system LSI between lcd screen (large scale integrated circuit) chip that have, and allows the both sides of display to work simultaneously.In addition, this system can comprise the audio frequency input of holding the stroboscopic analysis.

System described here is the Flexible Safety system that is designed to optimization work stream.Workflow among this paper and integration situation are only represented the possible situation of example.The situation of anticipation comprises Javascript that does not need browser plug-in and HTML, substitutes the USB interface of current high capacity driver and use DICOM packing (wrapper) to integrate with PACS.Described some embodiments of the present invention, those skilled in the art will understand and aforementionedly only be illustrations and do not limit, and appear through example only.Many modifications and other embodiment and are contemplated that the scope that falls into the present invention and its equivalent in those skilled in the art's scope.Understand, will be significantly for a person skilled in the art to change of the present invention, and the invention is intended to comprise those replacements.In addition, because many modifications will be easily for a person skilled in the art, therefore do not expect to limit the invention to the accurate structure and the operation of diagram and description, and therefore, can take all suitable modifications and equivalent to fall in the scope of the present invention.

Claims

1. endoscope comprises:

Main part has near-end and far-end;

Flexible cannula is coupled in said main part, and has near-end and far-end;

Video display unit is coupled in said main part removedly via mechanical-electric coupling;

Image sensor cell is placed on the far-end of said flexible cannula;

Electrical links is electrically coupled to main part with image sensor cell, and said electrical links is extended from image sensor cell through flexible cannula;

User interface; And

Image processor is coupled in said electrical links, user interface and video display unit.

2. according to the endoscope of claim 1, wherein, said user interface and said image processor are placed in the main part.

3. according to the endoscope of claim 1, wherein, said user interface and said image processor are placed in the video display unit.

4. according to the endoscope of claim 1, wherein, said image sensor cell is at least one in charge-coupled image sensor or the complementary metal oxide semiconductors (CMOS).

5. according to the endoscope of claim 1, wherein, said video display unit is a liquid crystal apparatus.

6. according to the endoscope of claim 1, wherein, said user interface is placed on the video display unit.

7. according to the endoscope of claim 1; Wherein, Said main part provides the diaxon rotating component, is used to be coupled in said video display unit, to allow video display unit around the longitudinal axis rotation of said main part and around the vertical axis rotation that extends through video display unit.

8. according to the endoscope of claim 1; Wherein, Said image processor and associated component comprise memorizer, and this memorizer has software program, to provide to the image information that receives from the far-end image sensor cell, from the control of the information of user interface and video display unit.

9. endoscope comprises:

Main part has near-end and far-end;

Flexible cannula has near-end and far-end;

Image sensor cell is positioned at the far-end of said flexible cannula;

Electrical links extends to the interface section the said main part through flexible cannula from image sensor cell;

Unified imaging platform comprises:

Video display unit is applicable to mechanically to be coupled in said main part removedly, and is coupled in said main part via wireless link;

User interface; And

Flame Image Process, demonstration and storage area; Be coupled in said user interface and video display unit; Thus; Said video display unit, user interface and image processor can mechanically remove from said main part, keep simultaneously via the data link of wireless link between unified imaging platform and main part.

10. according to the endoscope of claim 9, wherein, said image sensor cell is the complementary metal oxide semiconductors (CMOS) pick off.

11. according to the endoscope of claim 9, wherein, said video display unit is a liquid crystal display.

12. endoscope according to claim 9; Wherein, Said main part provides the diaxon rotating component, is used to be coupled in said video display unit, to allow video display unit around the longitudinal axis rotation of said main part and around the vertical axis rotation that extends through video display unit.

13. endoscope according to claim 9; Wherein, Said unified imaging platform comprises the computer-readable memory of the software program with storing therein, and this software program makes said unified imaging platform that the control to the image information that receives from the far-end image sensor cell, the information of sending from the information of user interface with to video display unit is provided being unified into when carrying out as the processor in the platform.

14. according to the endoscope of claim 9, wherein, said image processor adapter comprises user interface, and is coupled in video display unit via outer lines.

15. a unified imaging platform comprises:

Processor is applicable to the view data that processing receives from the imageing sensor of the far-end that is placed in endoscope's intubate;

Display device is coupled in said processor, and is applicable to display image data;

Memory device is coupled in said processor, and is applicable to storing image data;

Network interface, coupling be in said processor, and be applicable at processor with between the outside system of unified imaging platform and transmit data; And

The Medical Equipment interface is applicable to the transmitter receipt data from be placed in medical imaging devices wirelessly.

16. a medical imaging devices comprises:

The distal view image-position sensor is coupled in the electrical links that is placed in the intubate, and said distal view image-position sensor is placed in the far-end of said intubate;

The main body interface is coupled in the near-end of said electrical links, and is placed in the main part of medical imaging devices, and said main body interface is applicable to and wirelessly transmits the data that receive via electrical links; And

Display unit comprises the wireless data receptor, is applicable to the data of reception by said main body interface transmission.

17. a system that is used to handle medical image, said system comprises:

The Medical Image Processing unit has processor, memorizer, display unit and interface;

The web service system provides the web service interface, and said web service system comprises one or more processors, first memory and second memory,

The web service platform is applicable to the interface that is provided for receiving from the medical science graphics processing unit medical image and patient information, and is applicable to and in first memory, stores medical image and in second memory, store patient information,

Said web service platform also is applicable to via the web service interface and to another system medical imaging data is provided.

18. according to the system of claim 17, wherein, said web service system also is applicable to the interface that provides to health information system, is used between health information system and Medical Image Processing unit, transmitting data via the web service system.

19. a computer-readable medium stores software program instructions on it, when being carried out by computer, make said computer carry out and comprise following operation:

Receive medical image from medical imaging devices;

Store said medical image;

Be coupled in the said medical image of demonstration on the display device of said computer;

Via the web service interface to another system transmissions medical image; And

Receive the order that is used to check from other system via the web service interface.

20. a computer-readable medium stores software program instructions on it, when being carried out by the processor in the hand-held wireless device, make said processor carry out and comprise following operation:

Receive medical image via the web service interface from external system, said medical image is generated by medical imaging devices;

Store said medical image; And

Be coupled in the said medical image of demonstration on the display device of said hand-held wireless device.

21. according to the computer-readable medium of claim 20, wherein, said operation also comprises:

Receive medical image via the web service interface in real time from medical imaging devices.

22. according to the computer-readable medium of claim 20, wherein, said operation also comprises: notify the said hand-held wireless device of said medical imaging devices just to receive medical image in real time via the web service interface.

23. according to the computer-readable medium of claim 20, wherein, said operation also comprises: when just using medical imaging devices to check, in real time send data from hand-held wireless device to medical imaging devices via the web service interface.