JP2001029360A - Medical treatment control system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To make a plurality of operators able to individually perform remote operations at easy-to-use positions without confusing the vicinity of an operation table. SOLUTION: For this medical treatment control system, four push button switches 35-38 are arranged for every 90 degrees at a main body part 32 of a remote controller 47, a ring part 33 to be rotated in a range of 75 degrees for every 15 degrees is formed on a outer periphery of the main body part 32, six sets of related functions are allocated to the ring part 33 and the functions of the respective sets are allocated for every 90 degrees. Thus, at the time of making the push button switches 35-38 and the relating functions face each other, the function displayed at the ring part 33 is executed by pressing the push button switches 35-38.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical control system that enables a plurality of operators to remotely control medical devices individually.

[0002]

2. Description of the Related Art In recent years, so-called endoscopic surgery, in which an endoscope, a treatment tool, or the like is inserted through several small holes to perform an operation without making a large incision in the skin, has been spotlighted. .

[0003] In endoscopic surgery, the types and quantities of medical devices used are extremely large, compared to general surgery.
Furthermore, in the operating room, since many peripheral devices were randomly arranged around the operating table, the operation was extremely difficult.

To cope with this, Japanese Patent Application Laid-Open No. 7-30365 discloses
In No. 3, a fixed member was provided on the side rail near the operating table, a remote control with a sterile cover was raised with a support from the fixed member, and a surgeon in a clean area installed a plurality of medical devices installed in a dirty area. A technique that enables centralized operation is disclosed.

[0005] According to this prior art, the surgeon can centrally operate the medical equipment from near the operating table, so that the operation can be performed smoothly.

[0006]

However, according to the above-mentioned prior art, a position where all the surgeons composed of a plurality of operators can easily use the device is provided.
It was difficult to operate the remote control.

On the other hand, to make it easy for all operators to use,
When a plurality of remote controllers having a certain size and supporting columns are mounted near the operating table, there is a problem that the remote controllers and the supporting columns obstruct the operation.

Accordingly, it is an object of the present invention to provide a medical control system that allows a plurality of operators to remotely control each of them at a position that is easy to use without cluttering the vicinity of the operating table.

[0009]

SUMMARY OF THE INVENTION The present invention provides a plurality of medical devices used in surgery, a central control means connected to the plurality of medical devices for centrally controlling various functions of the medical devices, In a medical control system including a remote control unit connected to a centralized control device and remotely controlling the medical device from near the operating table, a function selecting unit that assigns an arbitrary function among the functions of the medical device to a function execution unit. Function executing means for executing the function assigned by the function selecting means, and at least the function executing means is provided in the remote control means.

According to such a configuration, the functions that can be executed by the remote control means at a time can be reduced, and the functions that can be executed can be switched to be used to reduce the size of the remote control means. Thus, even if a plurality of remote control means are used in the vicinity of the operating table, the remote control means can be operated at a position which is easy for all operators to use and the medical equipment can be centrally operated. Become.

[0011]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS An embodiment of the present invention will be described below with reference to the drawings. 1 to 7 show a first embodiment of the present invention.
An embodiment will be described. FIG. 1 shows a schematic configuration diagram of the medical control system.

As shown in FIG. 1, a first trolley 3 and a second trolley 4 are provided on both sides of an operating table 2 on which a patient 1 lies.
And peripheral devices are mounted on both trolleys 3 and 4.

The first trolley 3 has, as peripheral devices,
TV camera device 5, light source device 6, high-frequency cautery device (electric scalpel) 7, insufflation device 8, VTR 9, first observation monitor 10, central display panel 11 for displaying the status of these peripheral devices, nurses are peripheral devices A centralized operation panel 12, a centralized control device 13 and the like for centrally controlling the devices are mounted, and each device is connected to the centralized control device 13 via a cable (not shown) to enable two-way communication.

A camera head 14 connected to the TV camera device 5 and a light guide 15 connected to the light source device 6
Are connected to the first endoscope 16, respectively. A CO2 cylinder 17 is connected to the insufflation device 8, and CO2 gas is supplied into the abdominal cavity of the patient 1 by an insufflation tube 18 extending from the insufflation device 8 to the patient 1.

On the other hand, the second trolley 4 includes TV camera device 19, light source device 20, ultrasonic diagnostic device 21, image processing device 22, and second observation monitor 2 as peripheral devices.
3, a centralized display panel 24, a relay device 25, and the like are mounted.
5 to enable two-way communication. still,
A camera head 26 connected to the TV camera device 19 and a light guide 27 connected to the light source device 20 are connected to a second endoscope 28, respectively.

Here, the central control device 13 and the relay device 25
Are connected by a cable 29. In addition, the centralized display panels 11 and 24 are configured by a display unit such as a liquid crystal display, and have a display function of displaying a state of each device.

The centralized operation panel 12 is composed of a display unit such as a liquid crystal display and a touch sensor provided on the display unit, and has a display function for displaying the status of each peripheral device and a switch, and by pressing the displayed switch. And an operation function for operating peripheral devices.

A first remote control connector 30 is connected to the central control device 13, and a second remote control connector 31 is connected to the relay device 25. These remote control connectors 30 and 31 are respectively fixed to side rails of the operating table 2. Each remote control connector 3
For example, three remote controllers described later are connectable to 0 and 31, respectively.

The first remote control connector 30 has a first
, And a third remote controller 49 is connected to the second remote controller connector 31, respectively. These remote controllers 47 to 49 are used to perform frequently used operations and settings of peripheral devices, and have a wristwatch shape with a belt fixed to the operator's wrist,
It is attached to an operator's hand (not shown) near the operating table 2.

FIG. 2 shows a rear view of the first remote controller 47. Since the second remote controller 48 and the third remote controller 49 have the same configuration as the first remote controller 47, the description thereof is omitted here.

The first remote controller 47 comprises a main body 32 and a ring 33. A cable 151 connected to the first remote control connector 30 extends from the main body 32. The main body 32 has belt passing frames 152 and 15.
3 and a hook-and-loop fastener 154.

The belt passing frames 152 and 153 are used to fix the first remote controller 47 to the operator's hand using a belt. On the other hand, the hook-and-loop fastener 154 is a hook-and-loop fastener provided on a drape on the operating table 2 (neither is shown).
In addition, the first remote controller 47 is fixed, and the operator selects which of the belt and the hook-and-loop fastener to use according to the situation.

FIG. 3 shows a front view of the first remote controller 47. Reference numeral 34 denotes a belt, which is inserted through belt passing frames 152 and 153 provided on the back of the first remote controller 47.

The main body 32 of the first remote controller 47 has a cylindrical shape and has four push button switches 35 to 38.
Are provided vertically and horizontally (at 90 ° intervals), and a ring portion 33 is extrapolated to the main body portion 32. This ring part 3
3 is provided with a non-slip portion 39 on the outer periphery,
A function selection ring 33a for selecting a function is provided on the upper surface. The function selection ring 33a displays 24 functions at intervals of 15 degrees. The functions displayed on the function selection ring 33a are arranged at an interval of 90 degrees between related ones, so that 6 sets × 4 functions can be assigned.

For example, as shown in FIG. 5, from among the six sets of functions shown in FIG.
In the case of extracting two sets of functions related to insufflators located at a position separated by 5 degrees, the functions related to electrocautery
"Incision output ▲", "Incision output ▼", "Incision", "Mixed"
Are arranged at 90-degree intervals. In the functions related to the pneumoperitoneum, “high air supply flow”, “low air supply flow”, “start air supply”, and “stop air supply” are arranged at 90 ° intervals. Similarly, four other functions for each set are arranged at 90-degree intervals. Note that the functions displayed on the function selection ring 33a enhance visibility and can be immediately operated by simply separating them. For example, the functions related to the electric scalpel are yellow, and the functions related to the insufflator are purple. , Are color-coded for each set.

The ring portion 33 is supported by the main body portion 32 so as to be rotatable five times (= 75 degrees) by 15 degrees. still,
FIG. 4 shows a state in which the ring portion 33 shown in FIG. 3 is rotated counterclockwise by 75 degrees.

FIG. 6 shows that the main body 3
2 shows a view of the main body 32 viewed obliquely from above with the body 2 removed. A light emitting and receiving light 3 is provided on the outer periphery of the main body 32.
The photointerrupters 45a to 45c are disposed at every 90 degrees, and on the side facing the photointerrupter 45b,
A shaft 46 protrudes.

FIG. 7A is a perspective view showing the ring 33 removed from the first remote controller 47 and the ring 33 viewed from directly above. A shaft 46 is provided on the inner periphery of the ring portion 33.
And a light-reflecting plate 41a-41g and a light-absorbing plate 42 at positions that can face the photo-interrupters 45a-45c.
a to 42k are provided. Reflectors 41a-41g
And 18 absorption plates 42a to 42k are arranged at intervals of 15 degrees within a range of 270 degrees, and the absorption plates 42a to 42c and the reflection plates 41a to 41c are alternately arranged in a clockwise direction. Next to the absorbing plates 42d and 42e and the reflecting plate 41
d and 41e are arranged continuously, further, absorption plates 42f to 42k are arranged continuously next to them, and finally reflection plates 41f and 41g are arranged.

A pair of opposed thin leaf springs 44a to 44e are provided in the groove 43 to separate the thin leaf springs 44a to 44e at intervals of 15 degrees.
Through the ring portion 3
When 3 is rotated, a sense of moderation can be obtained every 15 degrees.

When the main body 32 shown in FIG. 6 is combined with the ring 33 shown in FIG. 7A, the reflectors 41a to 41c of the ring 33 are located at positions facing the photointerrupters 45a to 45c of the main body 32. 41g and absorption plates 42a to 42k
Is located, a rotation angle detecting mechanism is configured, and the shaft 46 of the main body 32 is moved by a pair of opposed thin plate springs 44 a to 44 e provided in the groove 43 of the ring 33.
The rotation angle regulating mechanism is configured by being movable within a range of 75 degrees every degree.

In this case, as shown in FIG. 7B, reflectors 41a to 41
g, and a total of 18 absorption plates 42a to 42k are divided into six in accordance with the rotation range of the photo interrupters 45a to 45c.

Outputs from the photo interrupters 45a to 45c and the push button switches 35 to 38 are transmitted to the central control unit 13 via the remote control connector 30 (FIG. 1).
reference).

Three photo interrupters 45a to 45c
Can output two pieces of information of reflection and non-reflection, so that 2 ³ = 8 kinds of ring position information can be obtained (the information required in this embodiment is 0 degree ,
15 degrees ... It is enough because a total of 6 patterns up to 75 degrees).

Further, since four push button switches are provided, 6 × 4 = 24, so that 24 functions can be executed.

The central control device 13 stores the switch state in advance, determines the function executed by the first remote controller 47 by a combination of outputs, and controls the connected peripheral devices. ing.

That is, as described above, the photointerrupters 45a to 45c are disposed around the main body 32 at every 90 degrees, and the reflection plates 41a to 41
By arranging the g and the absorption plates 42a to 42k at predetermined intervals of 15 degrees, for example, as shown in FIG. 3, the function related to the electric scalpel is selected, and "cut output ▲", "cut output ▼", "cut output" The push button switches 35 to 35
38, the shaft 46 of the main body 32 is
3 is engaged between a pair of thin plate springs 44a provided at the end of the groove 43 and each of the photo interrupters 45a.
45c is disposed at a position facing the absorption plates 42a, 42d, and 42h.
45c to the centralized control device 13, all output non-reflection signals. Each photo interrupter 45a when the link unit 33 is rotated by 15 degrees based on the positional relationship between the main unit 32 and the ring unit 33 when the ring unit 33 is rotated and the function related to the electric knife is selected. ~ 45
FIG. 7 (b) shows the relationship between the signals output from c to the central control device 13. Here, each photo interrupter 45
Signal values a to 45c when the reflected light is received are 1 and the signal value when the reflected light is not received is 0.

As shown in FIG. 7 (b), the position when the electric knife function is selected is (1), and the ring 3
Each photointerrupter 4 at each set position (1) to (6) when 3 is rotated 15 degrees in the counterclockwise direction
Table 1 shows combinations of signal values output from 5a to 45c to the central control device 13.

[0038]

[Table 1]

Incidentally, the second remote controller 48 and the third remote controller 49 are similarly controlled. In this case, the two remote controllers 48 and 49 give priority to the previously input information. For example, if the other remote controller is operated during the operation of one remote controller, the operation of the other remote controller is canceled. Has become.

Next, the operation of the present embodiment having the above configuration will be described. For example, when three operators perform an operation, the first remote control connector 30 connected to the central control device 13 and the second remote control connector 31 connected to the relay device 25 are fixed to the side rail of the operating table 2. I do.

Thereafter, a first operator (not shown) operates the sterilized first remote controller 47 through the belt 34 shown in FIG.
Is attached to the wrist, and the cable 1 of the first remote controller 47 is
51 is connected to the first remote control connector 30 (see FIG. 1).

Similarly, the second surgeon and the third surgeon also perform sterilization of the second remote controller 48 and the third remote controller 4 respectively.
9 is attached to the user's wrist, and the cable is connected to the remote control connectors 30 and 31 on the side where the user stands.

Thus, the operating tables 2 from the trolleys 3 and 4
Are required one by one, and only a short section from the operating table 2 to the operator is connected by a plurality of cables. This allows all operators to wear the remote control without cluttering the vicinity of the operating table 2.

Next, each of the remote controllers 47 to 49 is operated to
In order to increase the incision output of the electric scalpel, the ring unit 33 is rotated as shown in FIG.
Push button switch 3
Move to the position corresponding to 5.

At this time, a shaft 46 protruding from the side surface of the main body 32 is provided with a pair of thin leaf springs 44 a provided at every 15 degrees in a groove 43 formed on the inner periphery of the ring 33.
Since resistance is received by .about.44e, a sense of moderation is obtained every 15 degrees.

When the position at which the function of "cut output ▲" is displayed coincides with the push button switch 35, the rotation of the ring portion 33 is stopped and the push button switch 3 is turned off.
Press 5.

At this time, the rotational position information of the ring 33 is stored in the photointerrupter 45a
４５45c.

In the state of FIG. 3, the photo interrupter 45
a, a photo-interrupter 45b is provided with an absorption plate 42a, and a photo-interrupter 45b is provided with an absorption plate 42d.
The absorbing plate 42h is located at 5c. Output light from the photo interrupters 45a to 45c is supplied to the absorption plates 42a and 42d,
42h, and each photo interrupter 45a-
45c does not reflect.

As a result, the photo interrupters 45a to 45a
5c, the signal values indicating all non-reflection are transferred to the central control device 1
3 (see Table 1). Push button switch 3
Information indicating that 5 has been pressed (ON signal) is also transmitted to the central control device 13.

The centralized control device 13 stores in advance
Based on the combination information of the signal values shown in Table 1, it is determined that the function selected by the first remote controller 47 is “incision output」 ”, and the high-frequency ablation device 7 is controlled to increase the output.

On the other hand, when it is desired to reduce the incision output of the electric scalpel, the push button switch 36 is pressed in the state of FIG.
Then, outputs of the photo interrupters 45a to 45c,
Information indicating that the push button switch 36 has been pressed (O
N signal) is transmitted to the centralized control device 13. As a result, the centralized control device 13 determines that “cut output ▼” is selected, and controls the high-frequency ablation device 7 to reduce the output.

As described above, since the related functions are set as one set and allocated to the remote controller at the same time, it is not necessary to move the ring unit 33 to change the allocation, and quick operation is possible.

Next, when it is desired to increase the insufflation flow rate of the insufflator, the ring portion 33 in the state of FIG.
4, as shown in FIG. 4, the functions related to the insufflator, which are colored in purple or the like, of the ring portion 33 are adjusted to the positions corresponding to the respective push-button switches 35 to 38, and then the push-button switches Press 35.

In the state of FIG. 4, the photo interrupter 45
a, a reflection plate 41c is provided at a position opposing the photo-interrupter 45b, an absorption plate 42g is provided at the photo-interrupter 45b,
A reflection plate 41g is located at 5c (see FIGS. 6 and 7).

Output light from the photo-interrupters 45a to 45c is reflected by the reflection plates 41c and 41g and is absorbed by the absorption plate 42g. That is, the photo interrupter 45
a, 45c transmit an output indicating reflection (signal value 1, 1) and the photo interrupter 45b transmit an output indicating non-reflection (signal value 0) to the central control device 13 (see Table 1 and set (6) in FIG. 7 (b)). ). Further, information indicating that the push button switch 35 is pressed is also transmitted to the central control device 13.

The central control device 13 determines that “high air supply flow rate” is selected based on the input information,
Control is performed to increase the insufflation flow rate of the insufflation device 8.

When another operator operates the peripheral device, the user operates the second remote controller 48 or the third remote controller 49 mounted in advance to perform the same operation as that of the first remote controller 47. It can be performed.

In the present embodiment, four functions that can be executed at a time by the four push button switches 35 to 38 are made four, and six sets of functions can be assigned by the ring part 33 that moves to six places. In this configuration, a total of 24 functions can be selected. However, the present invention is not limited to this. The rotation angle of the push button switch and the ring portion may be larger or smaller than this, and the selectable functions may be selected. Is not limited to 24.

In this embodiment, the number of remote controllers that can be connected to one remote controller connector is three. However, the number of remote controllers is not limited to three and may be one, two, or four or more. Also,
It is not necessary to provide remote control connectors on both sides of the bed, and remote control cables may be routed from one remote control connector to both sides of the operating table.

Furthermore, the remote controller input is given priority to the one that has been operated earlier. However, the present invention is not limited to this, and the input priority is set to the remote controller itself so that the input of a higher priority is received preferentially. Is also good.

In this embodiment, the rotational position of the ring portion is detected by a photo interrupter. However, the present invention is not limited to this. A convex portion is provided on the inner surface of the ring, and a push button switch is provided on the main body portion. May be configured to detect the rotational position by pressing a push button switch.

Further, in this embodiment, the remote controller is fixed to the wrist of the operator using the belt, but the present invention is not limited to this, and the remote controller may be fixed to the drape on the operating table using the hook-and-loop fastener. Further, it is needless to say that the fixing means is not limited to the hook-and-loop fastener, and may be fixed using a means such as a clip.

As described above, in the present embodiment, the function selection ring 33a is color-coded for each function related to the peripheral device, so that the visibility is good, and a desired function can be selected quickly at a glance. In addition, the functions on the function selection ring 33a are arranged such that the related ones can be operated by the four push button switches without moving the ring part. Therefore, when the related function is operated, the ring part is quickly moved without much movement. be able to.

FIGS. 8 to 10 show a second embodiment of the present invention. While the remote controller according to the first embodiment is configured to be able to select a plurality of functions by switching by rotating the ring unit 33 and combining with four push button switches, in the present embodiment, a liquid crystal touch panel is used. It is configured so that a plurality of functions can be selected.

FIG. 8 is a plan view of the remote controller 51. The remote controller 51 includes a main body 52 and a belt 53. The main body 52 has a liquid crystal touch panel 54.

The liquid crystal touch panel unit 54 is configured by covering a transparent touch panel sheet on a color liquid crystal display unit. Various buttons are visually displayed on the liquid crystal display, and the touch panel sheet on the liquid crystal display detects the pressed part when the operator presses the visually displayed button, and detects the pressed button. I have.

In FIG. 8, an electric scalpel button 55, an insufflator button 56, a mixer button 57, and other buttons 58 are displayed on the peripheral device selection screen. These buttons are configured to display related screens of those devices by pressing them.

For example, when the electric knife button 55 on the liquid crystal touch panel 54 on which the peripheral device selection screen as shown in FIG. 8 is displayed is pressed, the display contents are switched, and as shown in FIG. , An incision output ▲ (UP) button 59, an incision output ▼ (DOWN) button 60, an incision (switching) button 61, a mixing (switching) button 62, and a return button 61 are displayed.

The incision output ▲ button 59 is a button for increasing the output of the electric knife, the incision output ▼ button 60 is a button for decreasing the output of the electric knife, the incision button 61 is a button for changing the output of the electric knife to incision, and the mixing button. A button 62 changes the output of the electric knife to mixing (coagulation while cutting). Also, the return button 63 is used to change the display content as shown in FIG.
Button for returning to the peripheral device selection screen shown in FIG.

When the insufflator button 56 is pressed while the peripheral device selection screen shown in FIG. 8 is displayed, the display on the liquid crystal touch panel 54 is changed to an insufflator related screen as shown in FIG. Is switched. The screen related to the insufflator includes an air supply flow high button 64, an air supply flow low button 65, an air supply start button 66, an air supply stop button 67, and a return button 6.
3 is displayed.

Here, the air supply flow high button 64 is a button for increasing the amount of air supplied to the insufflator, the air supply flow low button 65 is a button for decreasing the amount of air supplied to the insufflator, and an air supply start button 66.
Is a button for starting insufflation of the insufflator, an insufflation stop button 67
Is a button for stopping insufflation of the insufflator. In this case, the air supply stop button 67 is displayed larger than the other buttons so that it can be pressed immediately in an emergency. Also, the return button 63 is
As described above, this is a button for returning the display content to the peripheral device selection screen shown in FIG.

The mixer button 57 and other buttons 58 shown in FIG. 8 are also configured so that, when pressed, the display contents of the liquid crystal touch panel 54 are switched to buttons related to the operation. . The manner in which the central control device (not shown) controls each peripheral device in response to the output from the remote controller 51 is the same as that in the first embodiment, and thus the description thereof is omitted.

Next, the operation of the present embodiment will be described. When performing an operation, the cable of the sterilized remote controller 51 is connected to a remote controller connector (not shown) or directly to a centralized controller, and then the remote controller 51 is fixed to the operator's wrist using the belt 53.

In order to increase the incision output of the electric knife by operating the remote controller 51, first, the operator presses the electric knife button 55 displayed on the liquid crystal touch panel 54 of the remote controller 51 shown in FIG. I do.

Then, the centralized control device connected to the remote controller 51 detects that the electric knife button 55 has been pressed from the pressed portion of the liquid crystal touch panel 54, and displays the contents displayed on the liquid crystal touch panel as shown in FIG. Switch to the display related to the electric knife.

When the incision output ▲ button 59 displayed on the touch panel unit 54 of the remote controller 51 shown in FIG. 9 is pressed, the centralized control device detects that the incision output ▲ button 59 is pressed, and Is controlled so as to increase the incision output of an electric scalpel (not shown) connected to.

Similarly, when the incision output ▼ button 60, the incision button 61, and the mixing button 62 are pressed, the centralized control device recognizes the pressed button, and reduces the corresponding control, that is, lowers the output of the electric knife. Control to change to incision output and change to mixed output.

On the other hand, when the operator wants to operate the insufflator, the user first presses the return button 63 to return the display contents to the peripheral device selection screen of FIG.
Press.

Then, the display contents of the liquid crystal touch panel 54 are switched to an operation screen relating to the insufflator, as shown in FIG. 10, wherein an air supply flow high button 64, an air supply flow low button 65, and an air supply start button When the air supply stop button 67 is pressed, the centralized control device recognizes the pressed button and controls the corresponding pneumoperitoneum.

In this case, since the air supply stop button 67 is displayed in a large size, it can be stopped quickly in an emergency.

As described above, in the present embodiment, a desired function can be quickly selected by adopting a hierarchical structure using a liquid crystal touch panel. Further, by making the hierarchy deeper, it is possible to configure so that many functions can be selected.

Further, the buttons can be set to an arbitrary size because of the liquid crystal display, and important buttons can be displayed in a large size to enhance safety.

FIGS. 11 to 13 show a third embodiment of the present invention. In the above-described second embodiment, the display content of the remote controller is switched from the peripheral device selection screen to the related screen of each device by operating the liquid crystal touch panel. However, in this embodiment, the display content is switched. This is performed by voice recognition.

FIG. 11 is a front view of the remote controller 71. The remote controller 71 includes a main body 72 and a belt 73, and the main body 72 is provided with a liquid crystal touch panel 74.

Various operation buttons are visually displayed on the liquid crystal touch panel section 74. When the operator presses the visually displayed operation button, the touch panel sheet on the liquid crystal display section detects the pressed portion and performs centralized control. Device 79
In this configuration, the pressed operation button is recognized and the corresponding control is performed.

FIG. 11 shows a state in which an operation screen related to the electric knife is displayed on the liquid crystal touch panel section 74. The liquid crystal touch panel 74 has an incision output ▲ button 75, an incision output ▼
A button 76, an incision button 77, and a mixing button 78 are displayed, and each function of the electric scalpel can be selectively executed by selectively pressing the displayed operation buttons 75 to 78. The function executed when each operation button is pressed is the same as that of the second embodiment, and the description is omitted here.

Further, as shown in FIG.
Is connected via a remote control connector 30 to a centralized control device 79, in which a voice recognition means 80 and a control means 81 are incorporated. The voice recognition means 80 recognizes the voice uttered by the surgeon 82 and controls the control means 8.
Reference numeral 1 denotes a configuration in which an operation screen corresponding to the function recognized by the voice recognition unit 80 is displayed on the liquid crystal touch panel unit 74 and controls peripheral devices (not shown).

For example, when the surgeon 82 utters “pneumoperitoneum”, the display of the remote controller 71 is switched from the display relating to the electric scalpel shown in FIG. 11 to the display relating to the pneumoperitoneum shown in FIG. Has become.

FIG. 13 shows display contents related to the insufflator. On the liquid crystal touch panel 74, an air supply flow high button 83, an air supply flow low button 84, an air supply start button 85, and an air supply stop button 86 are displayed. Here, the air supply stop button 8
6 is displayed larger than the other operation buttons, thereby enabling quick operation, as in the second embodiment.

The operator 82 can select and execute each function of the pneumoperitoneum by selecting and pressing the displayed operation button. Note that, in this case, the function executed when each operation button is pressed is the same as that of the second embodiment, and a description thereof will be omitted.

Thereafter, when the surgeon 82 utters “Electric scalpel”, the display on the remote controller 71 is changed from the display related to the insufflator to the electric scalpel shown in FIG. The display can be switched to the display.

When a certain period of time elapses without vocalization or remote control switch operation, the display on the remote control 71 is switched to a display for operating a currently operating device. When a plurality of devices are operating at the same time, a device is selected with a preset priority. In the present embodiment, the priorities are set in the order of the electric scalpel, the insufflator, and the TV camera.

Next, the operation of the present embodiment having the above configuration will be described. When performing an operation, as shown in FIG. 12, the cable of the sterilized remote controller 71 is connected to the remote controller connector 30 or directly to the central control device 79, and then, via the belt 73 passed through the remote controller 71. The remote controller 71 is fixed to the wrist of the surgeon 82.

For example, when it is desired to increase the incision output of the electric scalpel, "Electric scalpel" is uttered. Then
The voice recognition means 80 provided in the central control device 79
Recognizing the voice uttered by the surgeon 82, the control means 81 causes the liquid crystal touch panel 74 of the remote control 71 to display an operation screen of the function recognized by the voice recognition means 80.

In this case, since the voice recognizing means 80 has recognized "electric knife", the control means 81 displays an operation screen relating to the electric knife on the liquid crystal touch panel 74 as shown in FIG.

When the incision output ▲ button 75 displayed on this operation screen is pressed, information that the incision output ▲ button 75 is pressed is transmitted from the remote controller 71 to the central control device 79, and the central control device 79 The control for increasing the incision output of the electric knife (not shown) connected to the central control device 79 is performed.

Similarly, when the incision output ▼ button 76, the incision button 77, and the mixing button 78 are pressed, the output of the electric knife is correspondingly reduced, the output is changed to the incision output, and the control to change to the mixing output is performed. Will be

Next, when it is desired to increase the insufflation volume of the insufflator, "stomach insufflator" is uttered. Then, the voice recognition means 80 provided in the central control device 79 recognizes the voice uttered by the operator 82, and the control means 81 displays a screen for operating the function recognized by the voice recognition means 80 on the liquid crystal touch panel of the remote control 71. It is displayed on the section 74.

In this case, since the voice recognizing means 80 has recognized that the insufficiency is the insufflator, the control means 81 displays an operation screen related to the insufflator on the liquid crystal touch panel 74 as shown in FIG.

When the air flow high button 83 displayed on the operation screen is pressed, information that the air flow high button 83 was pressed is transmitted from the remote controller 71 to the central control device 79, and the central control device 79 controls the insufflation device (not shown) connected to the central control device 79 to increase the air supply amount.

Similarly, when the air supply flow rate low button 84, the air supply start button 85, and the air supply stop button 86 are pressed, the air supply amount of the insufflator is reduced correspondingly, and the air supply is started. Control for stopping air supply is performed.

Since the air supply stop button 86 is displayed larger than the other operation buttons on the operation screen, the air supply can be stopped quickly in an emergency.

When a certain period of time has elapsed without operating the remote controller 71, if the currently operating device is an electric knife, the operation screen of the electric knife is automatically displayed on the liquid crystal touch panel 74. If the electric scalpel is not operating and the insufflator is operating, the operation screen does not change, and furthermore, both the electric scalpel and the insufflator are not operating and only the TV camera is operating. For example, the operation screen of the TV camera is displayed on the liquid crystal touch panel 74. In the present embodiment, the voice recognition means is provided in the central control device 79, but is not limited to this, and may be incorporated in the remote controller 71 itself.

As described above, according to the present embodiment, the second
In addition to the effects of the embodiment, the selection of peripheral devices is performed by voice recognition, so that the display space on the liquid crystal touch panel 74 is not restricted, and more functions can be selected more quickly. Is good.

Although the function selection is performed by voice recognition, the final function is executed by operation on the remote controller 71 without using voice recognition, so that the operation is assured and erroneous operation can be prevented. .

Further, when the function selection and the function execution are not performed for a certain period of time, the screen automatically shifts to an operation screen for operating the currently operating device, so that the operation can be performed without switching and the operability is good.

FIGS. 14 to 17 show a fourth embodiment of the present invention. In the above-described third embodiment, the display of various functions is displayed on the liquid crystal touch panel of the remote controller, but in the present embodiment, a change is made so that a separate display unit is provided.

FIG. 14 is a front view of the remote controller 91. The remote control 91 includes a main body 92 and a belt 93. On the main body 92, a circle button 94, a triangle button 9
5, a □ mark button 96 and a ◇ mark button 97 are provided. On the surface of each of these operation buttons 94 to 97, o, △, □, and ◇ shaped convex portions 94a to 97a are formed, respectively. The configuration is such that the operation buttons can be recognized by the sense of touch of the operator 103.

Further, as shown in FIG.
Is connected to the central control device 98 via the remote control connector 30. Further, the image synthesizing device 99 inputs remote control operation image data, which will be described later, from the central control device 98 and TV camera observation image data (not shown), and displays the remote control operation image 100a and the TV camera observation image on the observation monitor 100. Are displayed.

The central control unit 98 includes the voice recognition unit 10
1 and control means 102 are incorporated. The voice recognition means 101 recognizes the selected peripheral device based on the voice uttered by the surgeon 103, and the control means 102
1. A remote control operation image 100a which identifies the peripheral device operable by the device 1 as the device recognized by the voice recognition means 101 and images what can be operated by the operation buttons 94 to 97 of the remote control 91. 99.

The image synthesizing device 99 is configured to display the observation image from the TV camera on the entire observation monitor 100 and to display the remote control operation image 100a at the upper left corner thereof.

FIG. 16 is a remote control operation image 10 of the electric knife.
FIG. 17 is a remote control operation image 10 of the insufflator.
The enlarged view of FIG. 0a is shown, and functions corresponding to ○ △ □ -shaped convex parts 94a-97a projecting from the surfaces of the operation buttons 94-97 are displayed.

In this case, the functions displayed in FIG. 16 and FIG. 17 are the same as those in the third embodiment, and a description thereof will be omitted.

Next, the operation of the present embodiment having the above configuration will be described. In performing the operation, the cable of the sterilized remote controller 91 is connected via the remote controller connector 30 or directly to the central control device 98 as shown in FIG. 15, and thereafter, using the belt 93 (see FIG. 14). Then, the remote controller 91 is fixed to the wrist of the surgeon 103.

Then, when it is desired to increase the incision output of the electric scalpel, the operator 103 utters “electric scalpel”. Then, the voice recognition means 10 provided in the central control device 98
1 is an “electric scalpel” based on the voice emitted by the surgeon 103.
Is recognized, the control device 102 specifies the peripheral device operable with the remote controller 91 as the electric scalpel based on the “electric scalpel” recognized by the voice recognizing means 101, and controls each operation button of the remote controller 91. A remote control operation image 100a in which what can be operated in steps 74 to 97 is transmitted to the image synthesizing apparatus 99.

The image synthesizing device 99 includes an image from a TV camera (not shown) and a remote operation image 100 shown in FIG.
and the remote control operation image 100a is displayed at the upper left corner of the observation monitor 100.

The surgeon 103 visually recognizes the remote control operation image 100a displayed on the observation monitor 100, and recognizes that the incision output ▲ corresponds to the 印 button 94.

[0118] Then, the surgeon 103 searches for the O-shaped button 94 on the remote controller 91 by touching the O-shaped convex portion 94a protruding from the surface of the O-mark button 94, specifies and presses it. Since the surgeon 103 specifies the operation buttons of the remote controller 91 by touch without visually recognizing each other, the operator 103 has good operability and does not accidentally press other operation buttons.

The central control device 98 receives an input from the remote controller 91 and controls so as to increase the incision output of the connected electric knife. △ button 95, □ button 9
6. Even when the ◇ mark button 97 is pressed, control corresponding to the selected function is performed.

Next, when it is desired to increase the insufflation volume of the insufflator, the user speaks "insufflator". Then, the centralized control device 98
The voice recognition means 101 provided in the inside recognizes that the insufflator has been selected based on the voice uttered by the operator 103,
The control means 102 specifies a peripheral device which can be operated by the remote controller 91 to the insufflator, and transmits a remote control operation image 100a in which what can be operated with each operation button of the remote controller 91 to the image synthesizing apparatus 99. I do.

The image synthesizing device 99 synthesizes an image from a TV camera (not shown) and the remote control operation image 100a,
The remote control operation image 100a is displayed at the upper left corner of the observation monitor 100 as shown in FIG.

The surgeon 103 visually recognizes the remote control operation image 100a displayed on the observation monitor 100,
It recognizes that the button corresponding to the high air supply flow rate is the 、 button, and presses the 印 button 94 of the remote controller 91 corresponding to this.

The centralized control device 98 receives an input from the remote controller 91 and controls to increase the air supply flow rate of the connected insufflator. △ button 95, □ button 96, △
Even when the mark button 97 is pressed, control corresponding to the selected function is performed.

In the present embodiment, a structure in which the operation image of the remote controller is synthesized in the observation monitor is employed, or the present invention is not limited to this, and another display device may be provided near the observation monitor for display. Also, ○, provided on each operation button
Each of the shapes Δ, □, and Δ may be represented by a concave shape instead of a convex shape.

As described above, according to the present embodiment, the third
In addition to the effects of the embodiment, by separating the liquid crystal display from the remote controller, the remote controller can be simplified, can be manufactured at low cost, and can be disposable. Further, by simplifying the remote control, it becomes easy to adopt a waterproof structure or a sterile structure.

[Appendix] As described in detail above, according to the present invention, the following configuration can be obtained. (1) A plurality of medical devices used in surgery, a central control unit connected to the plurality of medical devices to centrally control various functions of the medical devices, and a medical device connected to the central control unit A remote control means for remotely controlling the function from near the operating table, a function selecting means for allocating any of the functions provided by the medical device to the function executing means, and a function allocated by the function selecting means A medical control system comprising: a function execution unit for executing the function; and the remote control unit includes at least the function execution unit.

(2) In the above (1), the remote control means is provided with fixing means for fixing the remote control means itself to the hand of the operator.

(3) In the above items (1) and (2), the operating table is provided with signal transmitting / receiving means for transmitting / receiving signals from the centralized control means to the remote control means.

(4) In the above (1) to (3), the function selecting means is an annular member rotatably provided on the outer periphery of the remote control means, and the annular member is provided with various functions of medical equipment. A displayed function display unit is provided, and a function on the function display unit whose rotational position matches the function execution unit arranged on the remote operation unit is assigned to the function execution unit. .

(5) In the above (4), the remote control means has a plurality of function execution means, and a plurality of function display sections whose rotational positions coincide with the plurality of function execution means simultaneously have the same or closely related functions. It is characterized by being.

(6) In the above (5), the function display section is characterized in that the same or closely related devices are color-coded with the same color.

(7) In the above (1) to (3), the remote operation means includes a liquid crystal touch panel, and the function selection means and the function execution means are visually displayed on the liquid crystal touch panel. I do.

(8) In the above (1) to (3), the function selecting means is a voice recognition means.

(9) In the above (8), the function execution means is visually displayed on a liquid crystal touch panel.

(10) The above (1) to (3), (8),
(9) The information display device according to (9), wherein an information display unit for displaying various functions assigned to the function execution unit is provided in addition to the remote operation unit.

(11) In the above item (10), the information display section is provided on or near an observation monitor.

(12) In the above (7) to (11),
When the function selecting means or the function executing means is not operated, the function of the operating medical device is selected with a preset priority and assigned to the function executing means.

(13) The above (1) to (3), (7) to
(12) A feature of the present invention is that any one of the plurality of function executing means has an appearance different from that of the other function executing means.

(14) In the above (13), the difference in the appearance of the function executing means is a difference depending on the display area of the function executing means.

(15) In the above (14), the one in which the difference in the display area of the function execution means is stopped is large, and the other is small.

[0141]

As described above, according to the present invention,
By reducing the functions that can be executed at a time by the remote operation means and switching the functions that can be executed, the size of the remote operation means can be reduced. Instead, all the operators can operate the remote control means at a position that is easy to use and can centrally operate the medical device, so that operability is good.

[Brief description of the drawings]

FIG. 1 is a schematic configuration diagram of a medical control system according to a first embodiment of the present invention.

FIG. 2 is a rear view of the remote controller.

FIG. 3 is a front view of the remote controller.

FIG. 4 is a front view showing a state where a ring portion of the remote controller is rotated.

FIG. 5 is a front view showing a state where only functions related to the electric scalpel and functions related to the pneumoperitoneum are extracted from the functions assigned to the remote controller.

FIG. 6 is a perspective view of a main body of the remote controller.

FIG. 7A is a perspective view of a ring portion of a remote controller,
(B) is an explanatory view showing the arrangement of the reflection plate and the absorption plate provided on the inner periphery thereof.

FIG. 8 is a front view of a remote controller according to a second embodiment of the present invention.

FIG. 9 is a front view of the remote controller on which an operation screen related to the electric knife is displayed.

FIG. 10 is a front view of the remote controller on which an operation screen related to the insufflator is displayed.

FIG. 11 is a front view of a remote controller according to a third embodiment of the present invention.

FIG. 12 is a schematic configuration diagram of a medical control system that switches display contents of a remote controller by voice.

FIG. 13 is a front view of the remote controller on which an operation screen related to the insufflator is displayed.

FIG. 14 is a front view of a remote controller according to a fourth embodiment of the present invention.

FIG. 15 is a schematic configuration diagram of a medical control system that performs switching of a remote control operation image by voice.

FIG. 16 is an enlarged view of a remote control operation image of the electric knife.

FIG. 17 is an enlarged view of a remote control operation image of the insufflator.

[Explanation of symbols]

2 Operating table 5-13,19-24 Medical equipment 33,80,101 Function selection means 35-38,55-67,75-78,83-86,9
4-97 Function execution means 47-49, 51, 71, 91 Remote operation means 79, 98 Central control means

Claims (1)

[Claims] A plurality of medical devices used in an operation; a central control unit connected to the plurality of medical devices for centrally controlling various functions of the medical devices; and a plurality of medical devices connected to the central control unit. In a medical control system including a remote control unit that remotely controls a medical device from near an operating table, a function selection unit that allocates an arbitrary function among the functions of the medical device to a function execution unit; And a function execution unit for executing the function. The medical control system, wherein the remote operation unit includes at least the function execution unit.