JP2002119520A - Surgical system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a surgical system for easily making preparation before an operation by displaying the data of a patient to be operated on a screen. SOLUTION: Image data such as endoscopic images for which the image of the lesion of the patient or the like is picked up in the surgery or the like are related to the identification information of the patient and made into a data base in the storage device 17 of a communication server 16. At the time of performing the surgery, the patient is identified by reading the barcode of a barcode band attached to the patient with a barcode reader and the relating image data are retrieved from the data base by utilizing the identification information and displayed at a display device. Thus, the preparation at the time of performing the surgery is easily done.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an operation system for performing an operation under endoscopic observation or the like.

[0002]

2. Description of the Related Art There is an endoscopic surgery system as one of the surgical systems including a plurality of surgical instruments and a system controller for controlling these surgical instruments collectively. A general endoscopic surgery system includes an endoscope for performing observation, a camera head connected to the endoscope, a light source device for supplying illumination light to an observation site through the endoscope, and the camera head. An endoscope camera device for processing a captured image signal,
A monitor that displays the subject image of the observation site processed by the endoscope camera device, an insufflation device for expanding the abdominal cavity, a surgical device for performing a procedure, and a high-frequency ablation that cuts or coagulates a living tissue. It is composed of a plurality of medical devices such as devices. These surgical systems are primarily operated and used by surgeons.

[0003] Japanese Patent Application Laid-Open No. 11-318823 has means for inputting a signal from an external communication device, and display means for displaying on a monitor as medical information based on the input signal, together with an endoscope image. A medical system capable of displaying medical information from a place other than the operating room is disclosed.

[0004]

In the conventional system described above, it is necessary to prepare data such as image information on a patient to be operated as external medical data to be displayed on a monitor in accordance with the patient. However, there is a problem that it takes time to set them.

Further, since there is no means for confirming that the prepared patient data is the same as that of the patient who actually performs the operation, it is necessary to rely on humans. I had to do it.

(Object of the Invention) The present invention has been made in view of the above points, and displays the data of a corresponding patient on a screen as necessary in accordance with the patient who is to be operated on. An object of the present invention is to provide a surgical system that allows easy preparation.

[0007]

[Means for Solving the Problems] Recording means for recording image data inputted from a medical examination device capable of acquiring an image, and display for displaying an endoscope image outputted by an imaging means for imaging a treatment section of a patient. Means, identification means for identifying the patient, and control means for reading out the relevant image data of the patient stored in the recording means based on the identification result of the identification means, and outputting the data to the display means. Accordingly, image data and the like related to the patient can be displayed on the display means based on the information of the identification result that has identified the patient, and preparations before surgery and the like can be easily performed.

[0008]

Embodiments of the present invention will be described below with reference to the drawings. (First Embodiment) FIGS. 1 to 4 relate to a first embodiment of the present invention, FIG. 1 shows a configuration of a surgical system according to the first embodiment, and FIG. FIG. 3 shows a barcode band attached to a patient during an operation, and FIG. 4 shows a display example on a centralized display panel.

As shown in FIG. 1, a surgical system 1 according to the present embodiment includes endoscope surgical systems 4, 5, used in an endoscopic surgical operation, which are disposed in operating rooms 2, 3, respectively.
And communication controllers 6 and 7 included therein, an inspection device 9 installed in an X-ray inspection room 8, an inspection device 12 installed in a CT inspection room 11, and an inspection device 14 installed in a pathology inspection room 13. , A communication server 16 disposed in the medical office 15, and a storage device 17 connected to the communication server 16 and forming a database.

The communication controllers 6 and 7 and the inspection devices 9, 12 and 14 are connected to a communication server 16 via a communication line 18. This communication line 18 is TCP /
It is composed of LAN by IP protocol,
Other general-purpose or special-purpose protocols such as Ethernet can be used.

The X-ray examination apparatus 9 in the X-ray examination room 8
While capturing the line image, the captured image data is transferred to the communication server 16 of the medical office 15 via the communication line 18,
The information is recorded in the storage device 17 in association with an identification code such as a numeral for identifying the patient. Further, the image data captured by the CT examination apparatus 12 in the CT examination room 11 is similarly recorded in the storage device 17 in association with the identification code.

Therefore, the database formed by the storage device 17 is easily searched for the image data related (linked) to the identification code by the identification code (identification information) of the patient, and the search result is displayed as described later. It can be displayed on the device 30A or the like. In addition, the above-mentioned endoscopic surgery systems 4 and 5, and the inspection devices 9, 12, and 14 can also communicate with each other by using a microphone and a speaker (not shown).

Next, the configuration of the endoscopic surgery system 4 arranged in the operating room 2 will be described with reference to FIG. In addition,
The endoscopic surgery system 7 arranged in the operating room 3 has the same configuration, and thus the description thereof is omitted.

As shown in FIG. 2 (in the operating room 2)
Patient bed 21 on which 0 lies and endoscopic surgery system 4
Is arranged. This endoscopic surgery system 4 has a first
The first cart 22 includes a cart 22 and a second cart 23. The first cart 22 has medical devices such as an electric scalpel 24, an insufflation device 25, an endoscope camera device 26A, and a light source device 27A, V
A device such as a TR 28, a gas cylinder 29 such as carbon dioxide, a display device 30A composed of, for example, a TV monitor for displaying an endoscopic image, etc., a centralized display panel capable of selectively displaying all intraoperative data. 31A,
For example, an operation panel 32 constituted by a display unit such as a liquid crystal display and a touch sensor integrally provided on the display unit and serving as a centralized operation device operated by a nurse or the like in a non-sterile region is mounted. ing.

The electric scalpel 24, the insufflation device 25, the endoscope camera device 26A, the light source device 27A, and the VTR 28 are shown in a system controller 33 which is a centralized control means for controlling the entire system mounted on the cart 22. Not connected via a communication line. The communication controller 6 is built in the system controller 33 and is connected to the communication line 18 via a communication cable 34.

The light source device 27A is connected to a first endoscope 35A via a light guide cable 34A for transmitting illumination light, and the illumination light of the light source device 27A is transmitted to the first endoscope 35A (light of the first endoscope 35A). The first endoscope 35A is illuminated with an inserted part of the first endoscope 35A.

A camera head 36A having an image pickup device is mounted on an eyepiece of the first endoscope 35A, and an optical image of an affected part or the like by an observation optical system of the first endoscope 35A is transferred to the camera head 36A. Take an image with the image sensor in the camera cable 3
The video signal is transmitted to the TV camera device 26A via the 7A, processed by a signal processing circuit in the TV camera device 26A, and a video signal is generated and output to the display device 30A so that an endoscopic image of the affected part or the like can be displayed. I have to.

On the other hand, the second cart 23 has an endoscope camera device 26B, a light source device 27B and an image processing device 39.
And a second centralized display panel 31B capable of selectively displaying all intraoperative data, and a display device 30B for displaying an endoscopic image and the like captured by the endoscope camera device 26B. Have been.

The light source device 27B is connected to a second endoscope 35B via a light guide cable 34B for transmitting illumination light, and the illumination light of the light source device 27B is transmitted to the second endoscope 35B (light of the second endoscope 35B). The second endoscope 35B is illuminated with an inserted part of the second endoscope 35B.

A camera head 36B having an image sensor is mounted on an eyepiece of the second endoscope 35B, and an optical image of an affected part or the like by the observation optical system of the second endoscope 35B is transferred to the camera head 36B. Take an image with the image sensor in the camera cable 3
The video signal is transmitted to the TV camera device 26B via the 7B, processed by a signal processing circuit in the TV camera device 26B, and a video signal is generated and output to the display device 30B so that an endoscopic image of the affected part or the like can be displayed. I have to.

The endoscope camera device 26B, the light source device 27B and the image processing device 39 are connected to a relay unit 40 mounted on the second cart 23 via a communication line (not shown). The relay unit 40 and the system controller 33 are connected by a relay cable 41.

As a result, the camera device 26B and the light source device 27B mounted on the second cart 23,
An image processing device 39, an electric scalpel 24 mounted on the first cart 22, an insufflation device 25, a camera device 26A,
The light source device 27A and VTR 28 are centrally controlled by the system controller 33.

When communication with the apparatus is established by the system controller 33, the setting screen of the connected apparatus, such as the setting state and operation switches, is displayed on the liquid crystal display of the operation panel 32. By operating the touch sensor in a predetermined amount range by touching the operation switch of, an operation input such as a change of a set value can be performed.

Reference numeral 42 denotes a remote controller as a second centralized operation device operated by a surgeon or the like who is in a sterilization area. Communication is established and operation of the device can be performed via the system controller 33. . A barcode reader 43 is electrically connected to the system controller 33 by a cable 44.

Referring to FIG. 3, a description will be given of the barcode band 45 attached to a patient who undergoes surgery. A bar code 47 is printed on the surface of a plastic wristwatch-type band 46 through a character string such as a number for identifying a patient.

The patient is identified by reading the barcode 47 of the barcode band 45 attached to the patient at the time of performing the operation with the barcode reader 43, and the information on the identified result is used to identify the patient. The image data to be retrieved is retrieved from a database formed in the storage device 17 and can be displayed on the display device 30A or the like.

Next, the operation of the first embodiment configured as described above will be described. Normally, when actually performing an operation under an endoscope, an X-ray photograph of an affected part or an X-ray photograph by CT or the like is prepared in advance, and the operation is performed with reference to these. Therefore, an image is taken in the X-ray examination room 8 and the CT examination room 11, and the data is recorded in the recording device 48 together with the number for identifying the patient.

When performing an operation, the bar code reader 43 reads the bar code 47 of the bar code band 45 shown in FIG. The system controller 33 transmits the image data of the patient to the communication server 16 and the communication line 1 based on the read patient number.
8 can be taken from the storage device 17.
The captured image data can be displayed on the display device 30A as needed by the operator.

The endoscopic operation system 3 shown in FIG.
V camera device 26A, light source device 27A, electric scalpel 24,
The settings of each device of the insufflation device 25 are operated on the operation panel 34. In addition, information such as the setting status and the insufflation pressure of the patient measured by the insufflation device 25 are displayed on the display device 30A and the centralized display panel 31A.

An example of the display on the display device 30A will be described with reference to FIG. The endoscope image captured by the camera device 26A is displayed in the area 49a of the display device 30A. In the regions 49b, 49c, 49d, and 49e, an X-ray image and a CT image of the patient recorded in the recording device 17 can be displayed as needed.

By operating a switch (not shown) provided on the remote controller 42, the operator can change the type of the image and the area to be displayed.
For example, when it is desired to check the CT image in detail, the CT image can be enlarged and displayed in the region 49a.

Also, when the tissue extracted during the operation is examined in the pathological examination room 13, an image of the examination result can be displayed in one area of the display device 30A. In addition, since voice can be transmitted and received at the same time using the communication line 18, the contents of the inspection result can be transmitted by voice. It is also possible to input character information as an inspection result to the inspection device 14 and display it in one area of the display device 30A.

This embodiment has the following effects. According to the present embodiment, various image data of a patient undergoing surgery can be easily (automatically) called by reading identification information attached to the patient, so that preparation time can be omitted in advance and manual operation can be performed. You can reduce mistakes made by doing.

(Second Embodiment) Next, a second embodiment will be described with reference to FIG. FIG. 5 shows the configuration of a surgical operation system 60 according to the second embodiment. The bed 61 includes a bed portion 62 on which a patient is placed, and a base portion 63 that holds the bed portion 62 at a predetermined height. The bed portion 62 can change its vertical direction and inclination. .

The bed part 62 has two magnetic sensors 64 and 65 for detecting two three-dimensional positions and directions (three-dimensional position and direction).
Is attached. A magnetic sensor 66 that detects one three-dimensional position and direction (three-dimensional position and direction) is attached to the base unit 63. These three sensors 64 to 66 are electrically connected to a position and orientation detection device 68 built in the operation system main body 67.

A scope 69 for performing an endoscopic examination on a patient placed on the bed 61 is provided.
a and a main body 70b provided at the rear end. An image guide connector and a light guide connector (not shown) are provided on the rear end surface of the main body 70b of the scope 69. The scope 70 is a scope holder 71
Is held by

The scope holder 71 is provided with a (three-dimensional position and orientation) magnetic sensor 72, which is electrically connected to a position and orientation detector 68 by a signal line. The scope holder 71 is held by an arm 73, and an image guide cable and a light guide cable (not shown) are inserted into the arm 73.
And the light source device 75. That is,
The scope 69 is connected to a TV camera device 74 and a light source device 75 inside the operation system main body 67 via an image guide cable and a light guide cable, respectively.

The arm 73 has an articulated structure, and the position of the scope 69 can be changed by moving the joints 76 and 77. This joint 76, 77
Is performed by a drive control device 78 built in the operation system main body 67. In addition, a pneumatic drive, a hydraulic drive, etc. may be used as a drive system other than the electric system by a motor. Further, the drive control device 78 is electrically connected to the position and orientation detection device 68.

The operation of the operation system 60 having the above configuration will be described. The position and orientation detection device 68 measures the positional relationship between the bed 61 and the scope holder 71 in the initial state from the magnetic sensors 64, 65, 66, and 72, and stores the measurement.
When the bed 61 has moved, the amount of movement is detected,
The movement amount is transmitted to the drive control device 78. Drive control device 7
Numeral 8 moves the arm 73 in accordance with the amount of movement of the bed 61, and always maintains the positional relationship between the bed 61 and the scope 69 as in the initial state. FIG. 6 shows an operation flow of the position and orientation detection device 68 at this time.

When the control is started, the first step S1
Then, the current positional relationship (distance) between the bed 61 and the scope 69 is calculated for three directions of the height direction, the east-west direction, and the north-south direction, and recorded as the initial values Ao, Bo, and Co.

Thereafter, the positional relationship is constantly measured. Specifically, the beds 6 in the height direction are set in steps S2, S3, and S4.
1 and the distance between the scope 69 and the distance data A,
The distance between the bed 61 and the scope 69 in the east-west direction is detected (measured), and the distance data B is detected, and the distance between the bed 61 and the scope 69 in the north-south direction is detected, and the distance data C is measured.

In step S5, the distance data A, B, and C are compared with their initial values Ao, Bo, and Co, respectively. In the next step S6, the presence or absence of a change is determined from the comparison result. If there is no change, the process returns to step S2, and if there is a change, the process proceeds to the next step S7, where the amount of change (difference in change) To the drive control device 78. The driving device 78 moves the arm 73 in accordance with the amount of change to control the positional relationship to be in the same state as the initial state, and after that control, returns to step S2, and controls to maintain the initial state. I do.

This embodiment has the following effects. According to the present embodiment, since the scope 69 can be moved according to the movement of the bed 61 without fixing the arm 73 of the scope 69 to the bed 61, the setting becomes easy and the visual field may move. Because there is no, the operation becomes easy.

[Supplementary Notes] A recording unit that records image data input from a medical examination device capable of acquiring an image, and a display unit that displays an endoscope image output by an imaging unit that images a treatment unit of a patient,
An identification unit for identifying the patient, and a control unit for reading out the relevant image data of the patient stored in the recording unit based on the identification result of the identification unit and outputting the data to the display unit. And surgical system.

2. Means for identifying a patient to be operated on, image data recording means, display means for displaying an endoscopic image, and image data of a corresponding patient from the recording means according to the patient identification result, and the display means 2. A medical device system comprising: 3. The medical device system according to claim 2, wherein the image data is an X-ray photograph and a CT image.

4. 3. The medical device system according to claim 2, wherein the means for identifying the patient is a barcode and a barcode reader.

5. An operating table, a scope holder for holding a scope at a desired position, the scope holder moving means, and a relative position detecting means between the operating table and the scope holder, wherein the operating table and the scope detected by the relative position detecting means are provided. A medical device system comprising a control means for controlling a scope moving means so as to always maintain a positional relationship with the medical instrument.

[0048]

As described above, according to the present invention, the recording means for recording the image data inputted from the medical examination equipment capable of acquiring the image, and the image pickup means for taking the image of the treatment section of the patient are outputted. Display means for displaying an endoscope image; identification means for identifying the patient; and, based on the identification result of the identification means, read out the relevant image data of the patient stored in the recording means and output to the display means. Control means;
Is provided, image data and the like related to the patient can be displayed on the display means based on the information on the identification result that has identified the patient, and preparations before surgery and the like can be easily performed.

[Brief description of the drawings]

FIG. 1 is an overall view showing a configuration of a surgical operation system according to a first embodiment of the present invention.

FIG. 2 is a diagram showing a configuration of an endoscopic surgery system in an operating room.

FIG. 3 is a perspective view showing a barcode band to be attached to a patient during surgery.

FIG. 4 is a diagram showing a display example on a centralized display panel.

FIG. 5 is a diagram showing a configuration of a surgical operation system according to a second embodiment of the present invention.

FIG. 6 is a flowchart for explaining the operation.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 ... Surgery system 2,3 ... Surgery room 4,5 ... Endoscope surgery system 6,7 ... Communication controller 8 ... X-ray examination room 9,12,14 ... Examination device 11 ... CT examination room 13 ... Pathology examination room 15 ... Medical office 16 ... Communication server 17 ... Storage device 18 ... Communication line 22,23 ... Cart 24 ... Electric scalpel 25 ... Insufflation device 26A ... Endoscope camera device 30A ... Display device 31A ... Central display panel 32 ... Operation panel 33 ... System controller 43 ... Barcode reader 45 ... Barcode band 47 ... Barcodes 49a to 49e ... Region

 ──────────────────────────────────────────────────続 き Continued on the front page (72) Inventor Masahiro Kudo 2-43-2 Hatagaya, Shibuya-ku, Tokyo Inside Olympus Optical Industrial Co., Ltd. (72) Inventor Toshihiko Suzuda 2-43-2 Hatagaya, Shibuya-ku, Tokyo Inside Olympus Optical Co., Ltd. (72) Koji Yasunaga 2-43-2 Hatagaya, Shibuya-ku, Tokyo Inside Olympus Optical Co., Ltd. Takeaki Nakamura 2-43-2 Hatagaya, Shibuya-ku, Tokyo No. Olympus Optical Co., Ltd. F term (reference) 5B057 AA07 BA02 CA08 CA12 CA16 CB08 CB12 CB16 CC01 5C054 AA05 CA02 CA04 CC07 DA06 EA05 FA00 FF05 GB11 GD07 HA12

Claims (1)

[Claims] A recording unit that records image data input from a medical examination device capable of acquiring an image; a display unit that displays an endoscope image output by an imaging unit that images a treatment unit of a patient; Identification means for identifying a patient; and control means for reading the relevant image data of the patient stored in the recording means based on the identification result of the identification means, and outputting the data to the display means. Operating system.