EP2556455A1 - Système de compilation des résultats de laboratoire pour un poste de travail de microscopie, notamment pour une utilisation dans le domaine de la cytologie - Google Patents

Système de compilation des résultats de laboratoire pour un poste de travail de microscopie, notamment pour une utilisation dans le domaine de la cytologie

Info

Publication number
EP2556455A1
EP2556455A1 EP11709353A EP11709353A EP2556455A1 EP 2556455 A1 EP2556455 A1 EP 2556455A1 EP 11709353 A EP11709353 A EP 11709353A EP 11709353 A EP11709353 A EP 11709353A EP 2556455 A1 EP2556455 A1 EP 2556455A1
Authority
EP
European Patent Office
Prior art keywords
findings
laboratory
input
input device
data processing
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.)
Ceased
Application number
EP11709353A
Other languages
German (de)
English (en)
Inventor
Stefan Weinschenk
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority claimed from DE202010004651U external-priority patent/DE202010004651U1/de
Priority claimed from DE102010014172A external-priority patent/DE102010014172A1/de
Application filed by Individual filed Critical Individual
Publication of EP2556455A1 publication Critical patent/EP2556455A1/fr
Ceased legal-status Critical Current

Links

Classifications

    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F16/00Information retrieval; Database structures therefor; File system structures therefor
    • G06F16/20Information retrieval; Database structures therefor; File system structures therefor of structured data, e.g. relational data
    • G06F16/22Indexing; Data structures therefor; Storage structures
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/40ICT specially adapted for the handling or processing of patient-related medical or healthcare data for data related to laboratory analysis, e.g. patient specimen analysis

Definitions

  • the invention relates to a laboratory detection system according to the preamble of claim 1 for a microscopy workstation with a microscope, in particular for use in cytology and histopathology, comprising:
  • At least one input device adapted to enter findings data and findings-setting instructions into the system
  • a laboratory management software set up on the data processing device from a number of input diagnosis data in accordance with the diagnostic instructions for creating laboratory results;
  • the invention relates to a microscopy workstation with a laboratory finding system and the use of an input device in the form of a touch-sensitive user interface in connection with such a microscopy workstation.
  • the laboratory discovery system defined above and in particular its input device is also described below as "Digibrett Cytology" and includes hardware and software for faster digital input of standard cytological and / or histopathological findings at a microscopic workstation (microscopy workstation).
  • cervical cancer Cervical cancer
  • the workplace required for this purpose on the microscope requires the operator, for example a CTA or a doctor or a physician. tin, a considerable amount of concentration over a long time. All other activities that distract from the microscopy endanger the reliability of the findings and thus the diagnostic certainty of the work. This also includes working on the computer, especially in connection with the required diagnostic documentation.
  • findings are predominantly paper-based, created by means of handwritten entries on officially prescribed pre-printed forms (multiple transcription records).
  • Figure 1 shows a typical hand-written cytogenetic finding on a standard form.
  • the findings shown in Figure 1 is indicated in its entirety by the reference B.
  • it contains a large number of handwritten entries in the area E, in particular also longer text entries at reference number T.
  • the creation time for such a result text lies in practice at about 50 to 90 s.
  • the invention has the object of providing a laboratory detection system and a microscopy workstation of the type mentioned in each case such that the handwritten input of diagnostic data by an electronic-digital input to avoid the disadvantages mentioned without using a keyboard is possible. In this way, the working speed and the work efficiency should be increased and the susceptibility to errors reduced.
  • the invention achieves the object by means of a laboratory detection system with the features of claim 1, by means of a microscopy workstation having the features of claim 12 and by the use of an input device in the form of a touch-sensitive surface according to claim 13.
  • Advantageous developments of the invention are the subject of Subclaims, the wording of which is hereby incorporated by express reference into the description in order to avoid unnecessary repetition of text.
  • a laboratory imaging system for a microscopy workstation with a microscope in particular for use in cytology or histopathology, comprises:
  • At least one input device adapted to enter findings data and findings-setting instructions into the system
  • a laboratory management software set up on the data processing device according to the diagnostic instructions for creating laboratory results from a number of input diagnostic data
  • At least one output device for the laboratory results to be created in signal-technical connection to the data processing device characterized in that the input device is designed with a touch-sensitive user interface on which a first plurality of input surfaces is geometrically and / or functionally substantially freely definable to which a second plurality is linked in accordance with the data processing device, each with an associated date of finding or a statement of findings, in order to transmit to the laboratory management software, upon contact by an operator, the corresponding date of findings or the statement of findings for the purpose of establishing the report. is set up to create a finding from the received findings data and output the finished result via the output device, preferably after receiving a corresponding completion instruction from the input device.
  • a preferably commercially available microscope for the examination of samples preferably in the field of cytology or histopathology;
  • a use according to the invention involves the use of an input device having a touch-sensitive operating surface on which a plurality of input areas is substantially geometrically and / or functionally definable, preferably of a computer input device in the form of a lntelliKeys ® -Eingabevorraum Fa. IntelliTools ®, Inc. or Functionally comparable input device with a touch-sensitive surface, for establishing findings at a microscopy workstation in a laboratory, preferably a cytological laboratory.
  • the term "IntelliKeys” is a registered trademark of. IntelliTools ®, Inc., Frederick (CO), United States).
  • the inventive laboratory finding system with an input device in the form of a touch-sensitive user interface replaces the handwritten input of findings data without using the keyboard. It allows the CTA to quickly and easily compile the most common standard findings, almost without the need to take the eye off the microscope.
  • a suitable special hardware in particular a IntelliKeys ® input device from IntelliTools ® , Inc., or a touch-sensitive screen surface (touch screen) can be used.
  • the essentially freely defined input surfaces on the touch-sensitive user interface are assigned to specific findings data or diagnostic instructions in order to transmit the corresponding date or the corresponding instruction to the laboratory management software upon contact by the operator, which then creates the findings.
  • Laboratory management software can be virtually any commercially available software of this type, discussed in more detail below.
  • the completed finding is either stored for follow-up, a common step in quality assurance in cytology laboratories, or it can be printed on a connected, commercial desktop printer to save time. It is also possible to send by fax, e-mail or the like.
  • a significant advantage of the report is the easily legible, uniform typeface, which stands out from the widely varying manuscripts of different operators (findings).
  • laboratory creation system In contrast to the handwritten creation requires the operator to create a finding using the laboratory according to the invention laboratory creation system only about 10 s, possibly plus a printing time of about 2 s.
  • the technical implementation of the invention was based on two fundamental considerations: A simplified input is possible in the field of cytology because of its frequently recurring standard results, whereby the proportion of standard findings in the total number of findings is over 90%. In addition, the "natural", that is, for 50 years usual detection process by hand can best be replicated when the input field (the touch-sensitive user interface) in the arm radius and in the view of the findings are, where the paper sheet for handwritten findings are usually would.
  • a special development of the invention provides, in order to facilitate the operability, that the operating surface is arranged horizontally or horizontally or at an angle ⁇ , a ⁇ 90 °, inclined relative to the horizontal or a work surface.
  • the input device used in a further development of the present invention can be operated in conjunction with any commercial (cytogeogic) laboratory management program, provided that it has been programmed in conformity with use with conventional data processing devices, for example on the basis of Windows or Mac, and in particular its use standardized keyboard shortcuts for certain commands.
  • any commercial (cytogeogic) laboratory management program provided that it has been programmed in conformity with use with conventional data processing devices, for example on the basis of Windows or Mac, and in particular its use standardized keyboard shortcuts for certain commands.
  • the surface of the input device ie in particular the lntelliKeys ® -on- display board, covered with touch-sensitive virtual "buttons", which correspond to the respective diagnostic data or complex macro commands for controlling the laboratory management software.
  • touch-sensitive virtual "buttons" correspond to the respective diagnostic data or complex macro commands for controlling the laboratory management software.
  • the touch-sensitive l ntelliKeys ® surface made possible by a simple tap triggering text inputs or (complex) instruction sequences at the level of any commercially available program of the laboratory management and / or the operating system.
  • the mentioned text inputs or control instructions can be entered as macro commands in the command menu of the input device or recorded by macro recorder.
  • an alternative embodiment of the present invention provides that the user interface comprises at least one touch screen, touch screen or touch screen.
  • the proposed laboratory finding system provides via its touch-sensitive user interface an economical input interface for the cytological findings between the operator and the management software present in the respective laboratory.
  • certain (cytological) partial results are first determined by microscopy and entered into the system via the user interface or the associated input surfaces until the final result has been determined.
  • the findings are completed, with any necessary additions, such as rare texts or corrections for which there is no fixed input area, can also be entered via the mouse or keyboard.
  • the data release or the fax / print command again takes place via the touch-sensitive user interface or corresponding input surfaces.
  • the findings created in this way can either be forwarded to a secondary expert for the continuation of the diagnosis (as explained above) or completed, printed out and forwarded in this form, the operator also preferably operating directly via the touch-sensitive user interface. Subsequently, the next result is created, as stated above.
  • the implementation in hardware form is done on the Saturnoberfikiee by the modified overlay for each input device printed out and attached accordingly and by all input devices are reprogrammed with a correspondingly changed config urationsdatei.
  • the software implementation in the case of using a touch screen is analog.
  • a special further development of the invention provides for the laboratory inventorial system to be combined with a dictation and / or voice recognition software and optionally with a dictation machine or another voice recording device in order to also be able to record longer and / or freely formulated text passages into the findings, in particular and without limitation in the field of histopathology.
  • the voice recording is preferably controllable via the user interface of the system (start, stop, insert, etc.).
  • the present invention thus includes the combination of input hardware and corresponding management software present in the respective (cytological) laboratory. It makes it possible to simplify daily findings at one of the key steps in microscopic laboratory analysis. In this way, there is a considerable cost savings, an increase in the reliability of findings and a simplified reporting, with the present invention in many cases at all the prerequisite for a digital findings and an EDP-based findings pressure in the (cytological) laboratory creates.
  • FIG. 1 shows a conventional cytological laboratory finding carried out by hand
  • FIG. 2 shows a schematic view of a microscopy workstation equipped with the laboratory invention partitioning system
  • Figure 3 shows an enlarged detail view of the input device of
  • FIG. 4 shows a detail of a laboratory finding corresponding to FIG. 1, which was created with the aid of the laboratory detection system from FIG.
  • FIG. 2 shows a microscopy workstation in a cytological laboratory, which as a whole is designated by the reference numeral 1.
  • the microscope workstation 1 shown comprises at least one microscope 2, which is shown only partially schematically in FIG. 2, for the examination of cytological and histopathological samples, of which a number is also shown schematically in the form of microscope slides at reference numeral 3.
  • the microscopy workstation 1 comprises a laboratory detection system according to the invention, which is designated as a whole by the reference numeral 4. On the construction of the laboratory detection system 4 will be discussed in more detail below.
  • an operator 5 is shown schematically in FIG. 2, which may be, for example, a CTA or a doctor.
  • a large part of the above-mentioned devices is arranged on a work surface 6, in particular a table.
  • the operator 5 examines the samples 3 with the aid of the microscope 2 and then creates a cytological or histopathological finding with the aid of the laboratory detection system 4, the exact structure of which is now discussed in more detail:
  • the laboratory detection system 4 still has a number of output devices for the laboratory results to be created, each of which is in signal communication with the data processing device 4b.
  • said output devices are a screen 4f, a printer 4g and a remote data transmission connection 4h, without the invention being fixed to a specific number or to certain types of output devices.
  • the input device 4a has a touch-sensitive user interface 4aa, on which a plurality of input surfaces 4ab are geometrically and / or functionally defined and marked, which will be discussed in greater detail below with reference to FIG.
  • findings data and / or findings creation instructions are transmitted from the input device 4a to the data processing device 4b or to the laboratory management software 4c, which is or are set up accordingly
  • the microscope 2 and the input device 4a and the user interface 4aa are within the radius of the arm 5a of the operator 5. Furthermore, the input device 4a or its user interface 4aa is also arranged in the perspective of the operator 5, if this on the Microscope 2 works.
  • the user interface 4aa of the input device 4a is arranged at an angle ⁇ to the horizontal or against the work surface 6 inclined, wherein the angle ⁇ is significantly smaller than 90 °, so that the Bedtenperson 5 the user interface 4aa as easy as possible overlook and reach as easily.
  • the laboratory detection system shown in Figure 2 4 still has a voice recorder in the form of a dictation machine 4k.
  • said (main) memory 4d of the data processing device 4b also comprises corresponding pedal control software for operating the voice recorder 4k.
  • pedal control software for operating the voice recorder 4k.
  • the latter software may in particular also be speech recognition software to communicate with the
  • input surfaces 4ab On the user interface 4aa geometrically and / or functionally essentially freely definable areas in the form of input surfaces 4ab are defined or definable for what purpose on the data processing device 4b according to Figure 2 corresponding driver / control software 4i is installed, which has already been pointed out elsewhere.
  • Each of these input surfaces 4ab can be assigned to certain functions of the laboratory management software 4c via the said driver control software 4i, for example an input of findings data, specific diagnostic instructions, diagnostic output instructions or the like.
  • the aforementioned inputs / instructions can be recorded, for example, in the form of macros with the aid of a conventional keyboard or mouse (not shown) and are then retrievable or executable by the operator when the corresponding input area 4ab is touched.
  • such input surfaces 4ab are defined on the user interface 4aa, which are required by default for the largest possible number of findings to be created.
  • Figure 3 only a few input surfaces 4ab are shown in purely exemplary form. Their size, arrangement and other labeling (color) is based on user-friendly and in particular ergonomic aspects.
  • the used input device 4ab has slots 4ae on the side of the user interface 4aa for receiving a so-called overlay 4af.
  • Such an overlay 4af can be generated according to requirements, printed on paper or the like after programming / functional assignment of the input device 4a using a corresponding program of the control software 4i and arranged above the actual user interface 4aa by insertion into the lateral receiving slots 4ae that the operator the position of individual input surfaces 4ab is known at any time.
  • the occupancy of the user interface 4aa shown by way of example in FIG. 3 is not statically predetermined, but freely adaptable to the specific needs in the laboratory, so that the production of the findings is complicated. nity, with a lower error rate and improved readability.
  • the user interface can also be programmed for the development of histomorphological and histopathological findings, so that the following input options are implemented in particular: Name abbreviation, macroscopic description of the tissue, histological findings, assessment, recommendations, report completion and approval.

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  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Theoretical Computer Science (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • General Business, Economics & Management (AREA)
  • Software Systems (AREA)
  • Data Mining & Analysis (AREA)
  • Databases & Information Systems (AREA)
  • Physics & Mathematics (AREA)
  • General Engineering & Computer Science (AREA)
  • General Physics & Mathematics (AREA)
  • Business, Economics & Management (AREA)
  • Investigating Or Analysing Biological Materials (AREA)
  • Automatic Analysis And Handling Materials Therefor (AREA)

Abstract

L'invention concerne un système de compilation des résultats de laboratoire (4) pour un poste de travail de microscopie (1) comprenant un microscope (2), notamment pour une utilisation en cytologie et en histopathologie, comprenant : au moins un dispositif de saisie (4a) qui est configuré pour saisir des données de résultat et des instructions de compilation des résultats dans le système ; au moins un dispositif de traitement de données programmable (4b) en liaison active de signalisation avec le dispositif de saisie ; un logiciel de gestion de laboratoire (4c) qui est configuré pour compiler des résultats de laboratoire sur le dispositif de traitement de données conformément aux instructions de compilation des résultats à partir d'un certain nombre de données de résultat saisies ; et au moins un dispositif de sortie (4f, 4g, 4h) pour les résultats de laboratoire à compiler en liaison active de signalisation avec le dispositif de traitement de données. L'invention est caractérisée en ce que le dispositif de saisie (4a) est configuré avec une interface d'opérateur (4aa) tactile sur laquelle peut être définie une première pluralité de surfaces de saisie (4ab), pour l'essentiel librement du point de vue géométrique et/ou fonctionnel, parmi lesquelles une deuxième pluralité est liée d'après les indications du dispositif de traitement de données (4b, 4c, 4i) à chaque fois avec une donnée de résultat associée ou une instruction de compilation des résultats afin, en cas de contact par un opérateur (5), de transmettre la donnée de résultat ou l'instruction de compilation des résultats au logiciel de gestion de laboratoire (4c) en vue de compiler les résultats, lequel est conçu pour compiler un résultat à partir des données de résultat reçues et délivrer (4j) le résultat compilé par le biais du dispositif de sortie (4f, 4g, 4h), de préférence après la réception d'une instruction d'achèvement correspondante de la part du dispositif de saisie.
EP11709353A 2010-04-07 2011-03-04 Système de compilation des résultats de laboratoire pour un poste de travail de microscopie, notamment pour une utilisation dans le domaine de la cytologie Ceased EP2556455A1 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE202010004651U DE202010004651U1 (de) 2010-04-07 2010-04-07 Laborbefunderstellungssystem für einen Mikroskopie-Arbeitsplatz, insbesondere für einen Einsatz auf dem Gebiet der Zytologie
DE102010014172A DE102010014172A1 (de) 2010-04-07 2010-04-07 Laborbefunderstellungssystem für einen Mikroskopie-Arbeitsplatz, insbesondere für einen Einsatz auf dem Gebiet der Zytologie
PCT/EP2011/053301 WO2011124431A1 (fr) 2010-04-07 2011-03-04 Système de compilation des résultats de laboratoire pour un poste de travail de microscopie, notamment pour une utilisation dans le domaine de la cytologie

Publications (1)

Publication Number Publication Date
EP2556455A1 true EP2556455A1 (fr) 2013-02-13

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Family Applications (1)

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EP11709353A Ceased EP2556455A1 (fr) 2010-04-07 2011-03-04 Système de compilation des résultats de laboratoire pour un poste de travail de microscopie, notamment pour une utilisation dans le domaine de la cytologie

Country Status (3)

Country Link
US (1) US20130246488A1 (fr)
EP (1) EP2556455A1 (fr)
WO (1) WO2011124431A1 (fr)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11972845B2 (en) * 2017-09-29 2024-04-30 Cerebrum Holding Corporation Macro-based diagnoses for anatomic pathology

Citations (1)

* Cited by examiner, † Cited by third party
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US4202037A (en) * 1977-04-22 1980-05-06 Der Loos Hendrik Van Computer microscope apparatus and method for superimposing an electronically-produced image from the computer memory upon the image in the microscope's field of view

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US7133547B2 (en) * 2002-01-24 2006-11-07 Tripath Imaging, Inc. Method for quantitative video-microscopy and associated system and computer software program product
US20060052689A1 (en) * 2004-08-14 2006-03-09 Scouten Charles W Digital stereotaxic manipulator with interfaces for use with computerized brain atlases
GB0500996D0 (en) * 2005-01-18 2005-02-23 Delfts Diagnostic Labaratory B Detection method and materials therefor
US8657814B2 (en) * 2005-08-22 2014-02-25 Medtronic Ablation Frontiers Llc User interface for tissue ablation system
US20070211071A1 (en) * 2005-12-20 2007-09-13 Benjamin Slotznick Method and apparatus for interacting with a visually displayed document on a screen reader
GB0721475D0 (en) * 2007-11-01 2007-12-12 Asquith Anthony Virtual buttons enabled by embedded inertial sensors
US8755901B2 (en) * 2008-07-11 2014-06-17 Medtronic, Inc. Patient assignment of therapy parameter to posture state

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4202037A (en) * 1977-04-22 1980-05-06 Der Loos Hendrik Van Computer microscope apparatus and method for superimposing an electronically-produced image from the computer memory upon the image in the microscope's field of view

Also Published As

Publication number Publication date
WO2011124431A1 (fr) 2011-10-13
US20130246488A1 (en) 2013-09-19

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