JP2003199768A - Medical system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical system that can accurately grasp the operating state of a requested medical apparatus with voice information. <P>SOLUTION: The medical apparatus such as a telecamera used for the system is connected to a system controller 15 by a communication cable 40 or the like. Prior to the actual use or the like, voice information corresponding to operation requesting notification and warning contents is inputted from a microphone 39 and registered in a storage device 56 through a CPU 55. The system controller 15 thereby grasps the operating state of the medical apparatus at all times, and reads the corresponding voice information in the case of the operating state registered with the voice information, by various kinds of operation and reproduces the voice information through a loudspeaker 57 to enable an operator to accurately grasp the operating state of the medical apparatus with the acoustic voice information. <P>COPYRIGHT: (C)2003,JPO

Description

Description: BACKGROUND OF THE INVENTION [0001] 1. Field of the Invention [0002] The present invention performs endoscopy and the like.
The present invention relates to a medical system including medical devices. [0002] A medical system comprising a plurality of medical devices and
For example, there is an endoscope system having an endoscope.
You. In a typical endoscope system, observation, examination, treatment,
Use multiple endoscopic medical devices for recording and the like. In recent years, surgical operations using an endoscope have been performed.
This endoscopic surgery involves inflating the abdominal cavity
Insufflation device or treatment device for performing procedures.
High-frequency ablation device for removing or coagulating living tissue
Endoscope by adding surgical equipment
Various treatments can be performed while observing with. [0004] In addition, the inside provided with these plurality of medical devices.
Easy operation and control of multiple devices in an endoscope system
To improve the operability of the system,
Displays the operating status (setting information, error information, etc.) of the seed device
A display device such as a liquid crystal panel as a display means for
Remote control to change the function or set value of
Remote control device such as a remote controller as a step or
Equipped with a centralized device with each device switch on the touch panel
ing. [0005] In addition, the inside provided with these plurality of medical devices.
In the endoscope system, the error status of each device is notified to the operator.
As a means of informing, error information is displayed on the display device or central operation device.
Information is displayed. The prior art of such an endoscope system is
Japanese Patent Application Laid-Open No. H11-105230. This Japanese Patent Application Laid-open No. Hei 11
The configuration of the error information notification means of −105230 is as follows.
It is on the street. System controller includes medical equipment
The display, display panel, operation panel, and remote control for the surgeon are connected.
And a built-in buzzer.
And speakers are connected. [0007] Medical connected to the system controller
Operation sounds and warning sounds for equipment are now emitted from the buzzer
The operating status and warnings are displayed on the display panel and
Notifying the operator of device information and operating it audibly to the operator
Can communicate status and warnings. [0008] Japanese Patent Application Laid-Open No. 11-1052
30 has the following problems. Used by multiple medical devices
In the endoscope system used, what kind of machine is
To determine what action the instrument is making
It is difficult to do this.
It is necessary to check the operation status displayed on the
Selfishness was bad. (Object of the Invention) The present invention has been made in view of the above points.
Operating state of the desired medical device
Medical system that can accurately grasp the
The purpose is to provide a system. [0010] A doctor used in medical practice
Transmitting control information for controlling the medical device and the medical device
And communication means for receiving the operating state of the medical device.
Having a control device, voice input means capable of inputting voice,
Voice for storing voice information input by the voice input means
Storage means, received by the communication means of the control device
Based on the operating state of the medical device, the voice storage means
Playback means capable of playing back the stored audio information.
Is provided so that sound can be
To store voice information corresponding to voice storage means
When the desired operation state is reached,
Reproduces voice information and informs the surgeon of the operating state of the medical device
So that they can know. BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a block diagram showing an embodiment of the present invention;
An embodiment will be described. (First Embodiment) FIGS. 1 to 6 show a first embodiment of the present invention.
FIG. 1 shows an external endoscope according to a first embodiment.
FIG. 2 shows the overall configuration of the surgical operation system in use.
FIG. 2 is a block diagram showing a configuration of a main part of the first embodiment;
3 shows the configuration of the system controller, and FIGS.
Shows various operation screens on the centralized operation panel, and FIG.
Shows the flow of operations such as voice registration and voice setting operations.
You. The medical device system of the present invention shown in FIG.
In the endoscopic surgical operation system 1 according to the first embodiment, a patient
A first trolley 4 and a second trolley 4 on both sides of the operating table 2 on which
2 trolleys 5 are arranged, and both trolleys 4 and 5
Is a multi-endoscopy medical service that performs observation, inspection, treatment, recording, etc.
Equipment is installed. For example, the first trolley 4 has a first TV
Camera device 6, first light source device 7, high-frequency ablation device (hereinafter referred to as
Bottom, abbreviated as electric knife) 8, insufflation device 9, video printer
11, first display 12, first centralized display panel
13. Pointing devices such as a mouse and touch panel (not shown)
Control panel 14 having a switching device, system
The controller 15 and other components are installed.
Connected to the system controller 15 via the
Direction communication can be performed. The first light source device 7 is a first light source device for transmitting illumination light.
Endoscope 17 via a light guide cable 16
And the illumination light of the first light source device 7 is supplied to the first endoscope.
17 to the light guide of the first endoscope 17.
The insertion part illuminates the affected part in the abdomen of the patient 3 into which the stimulus is stimulated.
You. The eyepiece of the first endoscope 17 has an image pickup
A first camera head 18 having an element is mounted,
The optical image of the affected part or the like by the observation optical system of the endoscope 17 is
Of the first camera
Transmitted to the first TV camera device 6 via the cable 19
Then, the signal processing circuit in the first TV camera device 6 performs signal processing.
To generate a video signal and send it to the system controller 15.
Output. The insufflation device 9 has a gas bottle.
The container 21 is connected. The second trolley 5 includes a TV camera device 2
3. Second light source device 24, ultrasonic treatment device 25, VTR
26, second display 27, second centralized display panel
28 and a relay unit 29 are mounted,
The device is connected to the relay unit 29 with a cable (not shown).
This allows two-way communication. The second light source device 24 is a second light source device for transmitting illumination light.
The second endoscope 3 via the second light guide cable 31
2 and connects the illumination light of the second light source device 24 to the second
The light is supplied to the light guide of the endoscope 32, and the second endoscope 3
The affected part in the abdomen of the patient 3 into which the insertion part 2 is inserted is illuminated.
I will tell. The eyepiece of the second endoscope 32 has an image pickup
A second camera head 33 having an element is attached,
The optical image of the affected part or the like by the observation optical system of the endoscope 32 is
An image is captured by the image sensor in the camera head 33 of the second camera.
Transmitted to the second TV camera device 23 via the
Transmitted by the signal processing circuit in the second TV camera device 23.
Signal processing to generate a video signal and output it to the relay unit 29.
I try to force. Also, the system controller 15 and the relay unit
The knit 29 is connected by a cable 35. Also,
In the stem controller 15, the surgeon has a specific
The operator's remote controller that operates the functions
Remote controller 36) is connected. Also ultrasonic
The treatment device 25 performs ON / OFF of the ultrasonic treatment output and the like.
Foot switch 37 is connected via connection cable 38
Have been. In addition, a microphone 39 controlled by voice input is
It is connected to the stem controller 15. This microphone
39 is also used for voice input when registering voice described later.
Used. FIG. 2 shows the main medical equipment in FIG.
Is shown in a block diagram. In FIG.
For simplicity, some medical devices have been omitted from the illustration.
I have. TV camera device 6, light source device 7, electric scalpel 8, air
The belly device 9, the video printer 11, and the display 12
Each is connected to the system controller by the communication cable 40
15 is connected. TV camera device 23, light source device 24, super sound
The wave treatment device 25, VTR 26, and display 27
Connected to the relay unit 29 via the communication cable 41
The relay unit 29 is connected to the system by the cable 35.
Connected to the system controller 15. A centralized operation panel 14 and a centralized display panel
13 and microphone 39 are also centralized operation panel cables
42, central display panel cable 44, microphone cable
45 is connected to the system controller 15.
You. The central display panel 28 is a central display panel cable.
Is connected to the relay unit 29 by a connector 46. Then, the user operates the central operation panel 14 and the like.
Control information corresponding to the operation
The controller 15 sends a communication cable to the medical device whose operation is instructed.
Control by transmitting via the cable 40 etc.
We keep track of the operating status of the equipment. For example, when the power of the system 1 is turned on
First, the system controller 1 starts with each medical treatment in the initial state.
Device information is controlled to be transmitted from each medical device.
To understand the operating state in the initial state.
It is stored in the internal storage device 56 (see FIG. 3) or the like. Also,
Even when various operations are performed, the status is
Send the setting information of the changed medical device and operate it
Figure out. In this way, the system controller
The operating status of each medical device is constantly monitored. FIG. 3 shows the internal structure of the system controller 15.
This is shown. The system controller 15 includes a TV camera device.
It communicates with each medical device such as the device 6 via the communication cable 40.
Communication interface (hereinafter abbreviated as I / F) 50
Centralized operation panel 14, centralized display panel 13,
Centralized operation panel I / F51, centralized table
Display panel I / F52 and microphone I / F53.
Use the I / Fs 50 to 53 and the centralized operation panel 14 to register
Storage device 56 for storing the initial state of each recordable medical device
Output sound of the audio information registered externally.
The worker 57 is connected to the CPU 55 that performs centralized control.
The storage device 56 stores the registered sound as described later.
It also has the function of voice storage means for storing voice information. A communication I / F 50, a centralized operation panel I
/ F51, centralized display panel I / F52, microphone I / F5
3. The CPUs 55 communicate with each other via a bus 58 capable of transmitting and receiving data.
It is connected to the. In this embodiment, as described below,
A medical device such as a TV camera device 6 is connected and configured.
In the system 1, the system co
The controller 15 is connected to each medical
Recognize the status of medical devices by receiving their operating status through communication
And when various operations are performed, etc.
Voice notification of operation details and setting errors
Select various operations and warning contents to register by voice information.
You can record. Then, the contents of the operation in which the voice information was registered
Operation corresponding to the warning or warning content
System controller 15 responds to the
The voice information to be read is read out from the registered storage device 56, and
The sound is reproduced by the speaker 57 and the operator can easily
Be able to grasp the operation contents aurally
Is the feature. For this reason, the storage device 56 has a
6 in which a program for performing the operation shown in FIG.
When the power of the system controller 55 is turned on,
The CPU 55 inside the system controller 55 is a storage device
56 is read, and the program
The control operation as shown in FIG. FIGS. 4A to 4G and FIGS.
(E) shows the beginning of the centralized operation panel 14 in that case.
The main screen displayed on the
Fig. 4 shows a kind of operation screen. FIG. 4A shows the main screen 60.
You. Each of the medical devices connected to the system 1
To output various operations and warnings as audio information,
An operation / warning sound input switch 61 for setting is provided.
You. When this operation / warning sound input switch 61 is selected,
Registered name selection screen 62 for selecting a registered name in FIG.
Will be displayed. FIG. 4B shows a registration name selection screen 62.
You. Registered name selection switches 63a to 63l are provided.
You. Not registered among registered name selection switches 63a to 63l
(In FIG. 4B, the registered name selection switch 63a,
Registered name selection switches 63c to 63l other than 63b
If you select the new registration switch here,
A registered name selection screen 64 for selecting the registered name of (C) is displayed.
Is shown. On the other hand, select the registered name selection switch
When selected, a voice recording screen 6 for performing voice recording shown in FIG.
8 is displayed. FIG. 4C shows a registration name input screen 64.
You. Keyboard switch 65 for inputting registered name, input
Name display area 66 for displaying the set name, setting switch
67 are provided. Operator by keyboard switch 65
Enter the registration name such as the name of the user and select the setting switch 67
Then, it is registered with that name, and is already registered in FIG.
When the registered name selection switches 63a and 63b are selected
Similarly, a voice recording screen 68 of FIG. 4D is displayed. FIG. 4D shows a voice recording screen 68.
Navigation area 69, recording switch 70, cancel switch
71 is provided. In the navigation area 69, "Recording switch"
Press to record the audio for 15 seconds. Is displayed
Have been. When the recording switch 70 is selected, recording (my
4E), and the voice reception shown in FIG.
A communication screen 72 is displayed. Select Cancel switch 71
Then, the screen returns to the main screen 60 of FIG. FIG. 4E shows that voice is being received.
FIG. Navigation area 73, remaining time
A counter 74 is provided. Count of remaining time counter 74
When the data becomes zero, check the (recorded) sound in FIG.
A voice confirmation screen 75 for registration or deletion is displayed. FIG. 4F shows a voice confirmation screen 75.
Navigation area 76, confirmation switch for playing the input voice
77. Record and register the input voice in the storage device 56
Registration switch 78, delete switch for deleting input voice
A chi 79 is provided. In the navigation area 76, "Entered
Check, register or delete the audio. Is displayed
Have been. When the confirmation switch 77 is selected, the sound is recorded.
The reproduced sound is reproduced by the speaker 57, and thereafter, FIG.
The navigation area 76 and the confirmation switch 7 as shown in FIG.
7, registration switch 78 and delete switch 79 are shaded
Prompts you to make a choice. When the registration switch 78 is selected,
The 5 (A) device selection screen 80 is displayed. Delete switch
When the button 79 is selected, the voice deletion screen 89 shown in FIG.
Is shown. FIG. 5A shows a device selection screen 80. This
Screen 80 displays device selection switches 81a-81j
I am trying to be. Device selection switches 81a to 81
When any switch of j is selected, the operation / warning selection screen is displayed.
The face is displayed. FIG. 5B shows the case of the electric scalpel 8.
An example of the operation / warning selection screen 82 is shown. This operation / Warning selection
On the selection screen 82, it is desirable to warn in the case of the electric scalpel 8.
It is desirable to announce new warning contents and output contents.
You can choose to register. As a warning, I will contact the patient
So that the P-plate placed in
Audible (not just visual) alerts when not installed
Selection switch corresponding to the P-plate error
83a, 83a and 83f,
An incision output selection switch 84a for notifying the force content;
A coagulation output selection switch 84b is provided. Alarm sound selection switches 83a to 83f or
Either of the output sound selection switches 84a, 84f
Is selected, a registration name selection screen 62 shown in FIG.
When the new registration switch is selected in FIG.
The (C) voice name input screen 85 is displayed. Registered
When the switch is selected, the audio / volume selection screen
The face is displayed. FIG. 5C shows a voice name for inputting a voice name.
It is a name input screen 85. Keyboard to enter voice name
Switch 86, name display area for displaying input name
87, a registration switch 88 for registration is provided. Phonetic name
Name (incision output (9/21) in the example of Fig. 5 (C))
When the registration switch 88 is selected, the input voice name
Is registered in the storage device 56, and then the registration name shown in FIG.
As shown in the selection screen 89, the registration name selection switch 90c
Indicates the name of the operator who performed the voice registration operation, for example, “KONI
"SHI" is displayed. FIG. 5E shows a voice deletion screen 91.
This screen 91 has a navigation area 92 and a YES switch 9
3. An NO switch 94 is provided. In the navigation area 92
To inquire whether to delete the displayed recorded sound
If you select the YES switch 93,
Deleted. When the NO switch 94 is selected, FIG.
The screen returns to the device selection screen 62. Next, the operation of the present embodiment will be described. FIG.
(A) to (G) and the system based on FIGS.
Registration of voice to the system controller 15 and the registered voice
A setting operation and a method of setting a warning sound will be described. Outside the endoscope
Centralized operation panel 1 when power is turned on
4 displays the main screen 60 of FIG. So
The operation / warning sound input switch 61
select. Then, the registration name selection screen 62 of FIG.
Is displayed. In FIG. 4B, registration is performed using an unregistered registration name.
To do so, select a new registration switch, for example, select a registration name.
The switch 63c is selected. Then, registration of FIG. 4 (C)
A name selection screen 64 is displayed. Keyboard switch 6
The user inputs a name with the number 5 and selects the setting switch 67.
Then, the voice recording screen 68 of FIG.
The sound is enabled. Therefore, when you want to record
To select the recording switch 70. Then, the voice receiving screen 72 shown in FIG.
Is displayed for a certain period of time, for example, 15 seconds in the present embodiment.
Voice input becomes possible. Voice (In this embodiment,
If “Incision output is being input”), microphone 39, microphone I /
Input to the system controller 15 via F53.
15 seconds have passed since the recording switch 70 was selected
The input voice is processed by the CPU 55 and
It is stored in the storage device 56 occasionally. And the sound of Fig.4 (F)
A voice confirmation screen 75 is displayed. When the confirmation switch 77 is selected, temporarily
The stored sound is reproduced to the outside through the speaker 57.
You. In the present embodiment, for example, "Incision output is being output"
Will be played. After confirming the sound, if you want to register the sound,
The registration switch 78 is selected. Then, the machine shown in FIG.
The container selection screen 80 is displayed. On the device selection screen 80, the device selection
Any of the switches 81a to 81j to control
Select one of these switches. In the present embodiment, for example,
When the device selection switch 81e of the electric scalpel 8 is selected,
You. Then, the operation / warning selection of the electric knife 8 shown in FIG.
A screen 82 is displayed. Here, the warning switches 83a to 83f and
And control among the output selection switches 84a and 84b
Select one of the switches to perform. In this embodiment,
For example, the output selection switch 84a for incision output is selected.
And Then, the voice name input screen 85 of FIG.
Is displayed. On the voice name input screen 85, the key
The name is input by the board switch 86. Form of this implementation
In the state, for example, “cut output (9/21)” is input. So
When the registration switch 88 is selected, the input voice (off
Open output is being input / output) but KONISHI-Electric knife-off
Registered under the name of open output, and as output sound of incision output
Is set. Select the incision output selection switch 84a and
To output the output sound
is. Is output via the speaker 57 and the output sound.
And output to the outside. Next, referring to FIG.
Registration of the voice to the camera 15 and the setting operation of the registered voice
The flow of setting the alarm sound will be described. Endoscopic surgery
By turning on the power of the stem 1, the operation proceeds to step S1.
As shown in FIG.
The screen 60 is displayed. In the next step S2, the microphone 39 is connected to the system.
CPU 55 is connected to the
More confirmed. If not connected, operation / warning
The sound input switch 61 is shaded and the microphone 39
Prompt for continuation and return to step S1. In step S2, the microphone 39 is connected.
When the operation / warning sound input switch is
Switch 61 is displayed and you want to register
In step S3, a registration operation and a warning sound
The switch 61 is selected. Then, the registered name in FIG.
A name selection screen 62 is displayed. The registration name selection screen 62 displays a registration name selection screen.
The selection switches 63a to 63l are displayed. Therefore,
As shown in step S4, the registered name selection switches 63a to 63d
Select one of the switches of 63l. Select switch
When the switch is selected, the switch selected as shown in step S5 is selected.
CPU 55 determines whether the switch is a new registration or not.
You. Then, the new registration switches 63c to 63l
Is selected, the registration name input screen 62 of FIG.
Displayed on the keyboard, as shown in step S6
The name is input by the switch 65. The characters entered are
It is displayed in the name display area 66. And the setting switch
When the switch 67 is selected, it is registered and proceeds to step S7.
You. On the other hand, not a new registration but a registered name
When the name selection switches 63a and 63b are selected, FIG.
The voice recording screen 68 of (D) is displayed. This screen 68
, The recording switch 70 or the cancel switch
71 is displayed. Then, in step S7, the recording
The switch 70 or the cancel switch 71 is selected. You
Then, as shown in step S8, the CPU 55
Switch is the recording switch 70 or the cancel switch.
J is determined. When the recording switch 70 is selected,
In this case, the voice reception screen 72 of FIG. 4E is displayed. take
When the erase switch 71 is selected, the process returns to step S3.
Then, the main screen of FIG. 4A is displayed. In step S7, the recording switch 70 is selected.
If the microphone 39 is not
System control via microphone I / F53
Input to the memory 15. Also, as shown in step S10, the CPU
55 is within a certain time after the recording switch 70 is selected
Judge. If it is within the fixed time, step S11
The CPU 55 receives the input voice as shown in FIG.
It is stored in the storage device 56 occasionally. Then, after a certain period of time, step
As shown in S12, the voice confirmation screen 75 of FIG.
Is displayed, the confirmation switch displayed on this screen 75 is displayed.
H 77, registration switch 78, and deletion switch 79
Select the switch. Then, as shown in step S13
As shown, the selected switch is the confirmation switch 77.
CPU 55 determines whether or not. When the confirmation switch 77 is selected,
In this case, the process proceeds to step S14. Other than confirmation switch 77
If the switch is selected, the process proceeds to step S15.
You. In step S14, temporary storage in the storage device 56 is performed.
The CPU 55 outputs the voice stored in the
Playback output to the unit. Thereafter, the process returns to step S12. In step S15, the selected switch
The CPU 55 determines whether the switch is the delete switch 79.
You. If the delete switch 79 is selected, step S
Move to 16. When the registration switch 78 is selected,
The process proceeds to step S17, in which case the device shown in FIG.
A selection screen 80 is displayed. In step S16, the CPU 55
The sound temporarily stored in the storage device 56 is deleted, and the
The process ends. In step S17, device selection
Device selection switches 81a to 81 displayed on screen 80
Device switch for registering / setting audio input in j
Select The operation / warning sound selection screen is displayed.
You. For example, in the case of the electric scalpel 8, FIG.
An operation / warning sound selection screen 82 is displayed.
Are the warning sound setting switches 83a to 83f and the output sound setting switch.
Since the switches 84a and 84b are displayed, step S1 is executed.
Operation / warning to register / set in them as shown in 8
Select the switch. Then, the voice name in FIG. 5 (C)
An input screen 85 is displayed. The voice name input screen 85 includes a keyboard
Since the switch 86 is displayed, the process proceeds to step S19.
Name of voice input by keyboard switch 86
Enter the name. Then, the entered characters are displayed in the name display area 8
7 is displayed. After that, the registration switch 88 is selected.
Then, the process proceeds to step S20. In step S20, CPU 55
Name for which the voice temporarily stored in the storage device 56 has been input
A storage setting process for registering in the storage device 56 with the
The process ends. In this way, the operator can perform desired operations and alarms.
After registering the contents of the notification, start the system 1
Operation of various medical devices used in the system 1
And so on. In this case, the system controller 15
The operation status of various medical devices can be monitored via the communication cable 40 and the like.
At all times, when the operator performs various operations
Ascertain the operation status and register the operation status by voice.
If applicable, record the relevant audio information.
From the storage device 56, and the sound
Playback information will be announced by voice, so the surgeon
Output by audio output without visual confirmation on the screen.
You can know the operation contents of. Further, this corresponds to a setting error or an operation error.
When operating, the system controller 15
The corresponding audio information is read from the storage device 56, and
The warning is announced by voice information
Can check the warning content without checking on the screen.
You. As described above, the operator can perform desired operations and warnings.
By registering the voice with the operator's own voice, each medical device
The system status is easy to know and easy to use.
1 can be realized. Therefore, the present embodiment has the following effects.
You. Set / register sound for operation / warning sound of each device for each surgeon
The operating state of each device can be targeted only with sound during surgery.
It can be determined accurately and is easy to use. (Second Embodiment) Next, FIG. 7 and FIG.
A second embodiment of the present invention will be described with reference to FIG. However,
The same components as those of the first embodiment are denoted by the same reference numerals.
However, a detailed description thereof will be omitted. In this embodiment, FIG.
With the same configuration as
Audio and volume to be selected and set.
You. FIG. 7A shows the main screen 60. This
On the main screen 60 of the first embodiment, the operation described in the first embodiment is performed.
In addition to the operation / warning sound input switch 61, the system 1
System controller 15 (directly or via the relay unit 29).
Each operation and warning sound of the connected medical device
An operation / warning sound setting switch 95 for setting
You. When the operation / warning sound setting switch 95 is selected, FIG.
(B) Registration name selection screen 62 or FIG. 5 (D) registration
A name selection screen 89 is displayed. This screen 62 or 8
9, a registered name selection switch (FIG. 4)
In the example of (B), if 63a, 63b) is selected, the voice
The volume selection screen is displayed. FIG. 7B shows the sound of the incision output of the electric knife 8.
It is a voice / volume selection screen 96. This screen 96 contains audio
Selection switches 97a to 97i, sound indicating the volume of sound
Volume display graph 98, UP / DOWN switch for changing volume
Switch 99a / 99b, setting switch 100, on the previous screen
A return switch 101 is provided. Any of the audio selection switches 97a to 97i
Switch is selected, and the volume UP / DOWN switch 9
9a / 99b to set the volume and set switch 100
When you select, the incision output of the selected sound is performed at the set volume.
Output sound. Next, the operation of the present embodiment will be described. Figure
4. Referring to FIGS. 5 and 7, operate the registered voice
-Explain how to set a warning sound. The central operation panel 14 has the main menu shown in FIG.
The display screen 60 is displayed. And in this main screen 60
Select the operation / warning sound setting switch 95 displayed in
I do. Then, the registration name selection screen 62 shown in FIG.
Displays a registration name selection screen 89 of FIG. 5 (D). Then, for example, a registration name selection screen 89 is displayed.
For example, a registered name selection switch 90c
(In the present embodiment, KONISHI) is selected.
The device selection screen 80 shown in FIG.
Device selection switches 81a to 81j are displayed in the selection screen 80.
Is shown. Therefore, the device selection switches 81a to 81j
Select one of the switches. Example in this embodiment
For example, the device selection switch 81e of the electric scalpel 8 is selected.
You. Then, the operation / warning selection of the electric knife 8 shown in FIG.
A screen 82 is displayed. In this operation / warning selection screen 82
Are warning selection switches 83a to 83f and output selection
The switches 84a and 84b are displayed. Therefore, the warning selection switches 83a to 83
f and one of the output selection switches 84a and 84b
Select the switch. In this embodiment, for example, incision
The output selection switch 84a for the output is selected. Then figure
7 (B) voice / volume selection screen (cutout output) 96 is displayed
Is done. In the voice / volume selection screen 96, a voice selection
The switches 97a to 97i are displayed. Therefore, the audio selection switches 97a to 97i
Select a registered switch in. In this embodiment
Is, for example, the incision output (9/2) of the sound selection switch 97f.
Select 1). After selecting voice, volume UP / DOWN switch
The volume is set by the switches 99a / 99b. In this embodiment, for example, 7 out of 10 steps
Set to. After that, the setting switch 100 is selected.
"KONISHI-Electric scalpel incision"
Output-Incision output (9/21)
The CPU 55 sets the incision output sound. And incision
When the audio output is output, the message "Incision output is being output"
Is output as an output sound via the speaker 57 to the outside.
Is output. Next, referring to the flow of FIG.
The operation of setting the sound to be used as the operation / warning sound will be described. Shi
When the power of the stem 1 is turned on, as shown in step S21
Next, the main screen 60 shown in FIG.
Is displayed. In the next step S22, this main
Operation / warning sound setting switch displayed on the
H is selected. Then, the registration name selection of FIG.
The screen 62 or the registered name selection screen 89 of FIG.
Is shown. Displayed on the registered name selection screen 62
Step among the registered name selection switches 63a to 63l
Registered switches 63a and 63b as shown in S23
Select one of the switches. Then, FIG. 5 (A)
Device selection screen 80 is displayed.
Inside, device selection switches 81a to 81j are displayed. In the next step S24, the device selection switch
Switch of the device to be set in switches 81a to 81j
select. For example, the device selection switch 81 of the electric scalpel 8
Select e. Then, the operation of the electric knife 8 in FIG.
-The warning selection screen 82 is displayed. Select this operation / warning
In the screen 82, warning selection switches 83a to 83f and
And output selection switches 84a and 84b are displayed. Therefore, in the next step S25, the setting
Select the operation / warning switch to be set. Do
And a voice / volume selection screen 96 of FIG. 7B is displayed.
You. The audio / volume selection screen 96 includes an audio selection switch.
Keys 97a to 97i are displayed. Therefore, in the next step S26, the sound
Any of the quantity selection switches 97a to 97i
Select the volume UP / DOWN switch 99a / 99b
The volume is set more, and the setting switch 100 is selected. Then, as shown in step S27, C
Set the sound selected by PU55 to the selected operation / warning sound
Then, this process ends. In addition, according to this embodiment.
And voice are all input, but in advance, basic and
You may put some audio. This embodiment has the following effects. First
In addition to the effects of the embodiment, you can
Can be called, and the sound volume can be set.
Therefore, convenience is good. Also, input multiple voices in advance.
That there is a sound that is easy for the user to understand
This eliminates the need to input voice and makes it easier to use.
Good. (Third Embodiment) Next, FIG. 9 and FIG.
The third embodiment of the present invention will be described with reference to FIG. However,
The same components as those in the first and second embodiments have the same reference numerals.
And a detailed description thereof will be omitted. In this embodiment,
In the second embodiment, the device is further initialized.
A function is provided. FIG. 9 (A) shows the main part of this embodiment.
Screen 60. In this embodiment mode, the main unit shown in FIG.
Screen 60, further connected to the system
Initial setting switch 1 for automatic setting of medical equipment
10 is provided so as to be displayed. And the first of equipment
When the period setting switch 110 is selected, the automatic setting shown in FIG.
The setting screen 111 is displayed. FIG. 9B shows an automatic setting screen 111.
You. Name selection switches 112a to 112l are provided.
You. New among registered name selection switches 112a to 112l
When the registration switch is selected, the automatic setting name shown in FIG.
The automatic setting name input screen 113 for inputting the name is displayed.
You. On the other hand, if you select a registered switch,
The contents of the device registered with the switch name
This is set for the device connected to the system 1. FIG. 9C shows an automatic setting name input screen 11.
3. A keyboard switch 114 for inputting a name,
Name display area 115 for displaying the input name,
A switch 116 is provided. Enter the registration name and
When switch 116 is selected, the device
The regular screen is displayed. FIG. 9D shows a device setting screen, in this case.
Is a setting screen 117 for the device of the electric scalpel 8. mode
Mode changeover switch 118 for setting
Incision output mode changeover switch 1 for setting the mode
19. Incision output UP for increasing the incision output
The switch 120a is used to make the output of the incision output DOWN.
Output switch DOWN switch 120b, the coagulation output mode
Switch 1 for setting the coagulation mode to set the mode
21. Coagulation output UP for increasing coagulation output
The switch 122a is used to make the output of the coagulation output DOWN.
Output DOWN switch 122b for setting, contents set
And display the setting screen of the device to be set next.
Setting switch 123, the previous page to return to the setting screen of the previous device.
Switch 124, voice setting to set the sound of operation / warning sound
A switch 125 is provided. The setting switch 12 at the lower right of the setting screen 117
When 3 is selected, the contents of the set device are stored in the storage device 56.
Registered, as shown in the automatic setting screen 126 in FIG.
"KONISH" to the registered name selection switch 127c.
It is registered and displayed with the automatic setting name of "I". Audio setting switch
When the user selects the button 125, the operation / warning selection screen shown in FIG.
82 is displayed. Next, the operation of the present embodiment will be described. Figure
5, FIG. 7 and FIG.
The dynamic setting method will be described. 9 is displayed on the centralized operation panel 14.
The main screen 60 of (A) is displayed. And the first of equipment
The period setting switch 110 is selected. Then, FIG. 9 (B)
Is displayed. New registration switch
Is selected. Then
The automatic setting name input screen 113 shown in FIG. 9C is displayed.
You. In the automatic setting name input screen 113,
And automatically set the name by keyboard switch 114 (example
For example, KONISHI) and set the setting switch 116
select. Then, the device setting screen is displayed. here
Now, for example, the setting of the device of the electric knife 8 shown in FIG.
The screen 117 is taken as an example. The mode is switched by the mode changeover switch 118.
To open in bipolar mode with incision output mode 119
Force mode, cut-out output UP / DOWN switch
The cutting output is set to, for example, 100 w
Coagulation output by the coagulation output mode changeover switch 121
Set the mode to spray, for example, and set the solidification output to UP / DOWN.
The coagulation output is set to, for example, 70 by the switches 122a / 122b.
Set to w. Thereafter, the audio setting switch 125 is selected.
You. Then, the operation / warning selection of the electric knife 8 shown in FIG.
A screen 82 is displayed. On this screen 82, for example,
The output selection switch 84a for the incision output is selected. Do
And a sound / volume selection screen (cutout output) 96 shown in FIG.
Is displayed. On this screen 96, for example,
Is selected, and the volume UP / DOW is selected.
Volume is set to 7/10 by N switch 99a / 99b
Set. When the setting switch 100 is selected, the setting is selected.
The sound and the set volume are set, and the electric scalpel shown in FIG.
The screen returns to the setting screen 117 of the device No. 8. Device settings are complete
When the setting switch 123 is selected, the connection to the system 1 is established.
Moves to the setting screen of another connected device. Each time the setting is completed, the setting switch of each screen
Select 123. All equipment connected to the system
Is completed, the automatic setting screen 126 shown in FIG.
Is displayed, and the automatic setting name of "KONISHI" is displayed.
This is displayed on the selection switch 127c. Next, the registered settings are set in the system 1.
The following describes a method for performing this. In the automatic setting screen 126 shown in FIG.
The displayed name selection switch 127c (in the present embodiment,
Selects KONISHI). Then, it is registered
The device settings and operation / warning sounds are connected to the system 1.
Will be set for each device. Next, referring to the flow of FIG.
The automatic setting of the sound for the notification sound will be described. In step S31
In addition, the main screen of FIG.
60 is displayed. In the next step S32, the device
The initial setting switch 110 is selected. Then, FIG. 9
The (B) automatic setting screen 111 is displayed. In the automatic setting screen 111, step S
33, the name selection switches 112a to 112l
Select one of the switches. Then, step S3
In 4, the selected switch is a newly registered switch
The CPU 55 determines whether there is. Select new registration switch
In step S35, the automatic setting shown in FIG.
The fixed name input screen 113 is displayed. Registered switch
If is selected, the process moves to step S42. On the automatic setting name input screen 113,
As shown in step S35, the keyboard switch 114
Enter the name to be registered by automatic setting. Sentence
The characters are displayed in the name display area 115. And
Select the setting switch 116 to display the device setting screen
Is done. On the device setting screen, step S36
As shown in, the settings of the devices connected to the system 1
Do. Then, as shown in the next step S37, the audio setting is performed.
Select the setting switch 125 or setting switch 123
You. Then, in step S38, the selected
Is the audio setting switch 125 the CPU
55 makes a decision. Voice setting switch 125 is selected
In this case, the operation / warning selection screen is displayed in step S40.
Is shown. If the setting switch is selected,
The process moves to step S39. In step S39, the system 1
The CPU 55 confirms whether all the settings of the connected
to decide. If all settings have been completed,
CPU 55 inputs values and operation / warning sounds to storage device 56
Register with the given name. Then, the automatic setting screen 126 shown in FIG.
Is displayed, and the entered automatic setting name is
127c. Then, in step S31,
Return to the on-screen display. If the device to be set still remains
Is displayed, the setting screen of the next device is displayed, and the process proceeds to step S33.
As shown, any of the name selection switches 112a to 112l
Select the switch. In step S40, a warning setting switch
Operation / warning set with the switch or output setting switch
Select the switch. Then, the voice and sound shown in FIG.
A quantity selection screen 96 is displayed. Then, on the voice / volume selection screen 96,
Then, as shown in step S41, the audio selection switch 97
a-97i, and select volume UP / D
Set the volume with the OWN switches 99a / 99b,
Select the constant switch 100. Then, step S36
Return to and set the next device. On the other hand, in step S42, the CPU
Machine registered in the name selection switch where 55 is selected
The set value of the device and the operation / warning sound are connected to the system 1.
Perform processing to set the device. The present embodiment has the following effects. No.
In addition to the effects of the first and second embodiments, the automatic
Automatic setting of sound for operation and warning sound is possible as well as setting
The same operation / warning sound to the device with one touch
The operating status of the device using only audio.
This has the effect of making it easier to determine. (Fourth Embodiment) Next, FIGS.
Second Embodiment A fourth embodiment of the present invention will be described with reference to FIG.
I do. However, the configuration of this embodiment is the same as that of the first embodiment.
, The same components are denoted by the same reference numerals.
And a detailed description thereof will be omitted. FIG. 11A shows a hand.
Endoscopic surgery of the fourth embodiment placed in an operating room
1 shows a configuration of a system 1B. Also, FIG.
2 shows the back side of the display panel 13. As in the first embodiment, the first trolley 4
Has a centralized panel 13 and a centralized operation panel 14
ing. The central display panel 13 has a sterile area such as an operator on the surface.
Speaker 201 so that people who work in
Speaker 202 on the back to make it easier for the anesthesiologist to hear
(See FIG. 11B). Centralized operation
The panel 14 includes a nurse or other person working in the non-sterile area during operation.
Speaker 204 is installed so that
You. The second trolley 5 has a central display panel 28
Is installed. The central display panel 28 has
Speakers so that people working in the sterilization area
203 is provided. FIG.
1 shows the internal configuration of the devices 01, 202, 203, and 204. The system controller 15 is provided with
An output I / F 2 for outputting an external sound is
05 and external speaker I / F-206a-206
d, each of which is connected to the CPU 55
I have. External speaker I / F ~ 206a ~ 206d
Through the external speaker cables 207a to 207d
Connected to the speakers 201, 202, 203, and 204, respectively.
Has been continued. The speaker 201 has a speaker I / F 208.
And an output I / F 209, and a speaker 202
/ F210 and output I / F211
The speaker I / F 212 and the output I / F 213 are
204 has a speaker I / F 214 and an output I / F 215
Each is provided. FIG. 13 shows the centralized operation panel 1.
4 shows the operation screen of FIG. FIG. 13 shows the speaker switching screen 128.
You. Speaker selection switch to select the speaker to be used
129a-129d, selected as speaker to be used
Check boxes 130a to 130
d, a setting switch 131 is provided. Setting switch
When 131 is selected, input from the selected speaker or
The selected sound is output. Next, the operation of the present embodiment will be described. Figure
5. Referring to FIG. 13, only for those who need the input voice
Select a speaker that outputs sound so that it is easy to hear.
The following describes a method for performing this. Voice input as in the first embodiment
I do. In the operation / warning selection screen 82 of FIG.
Warning selection switches 83a to 83f or output selection switches
The switch from either one of the switches 84a and 84b is selected.
In this embodiment, for example, an output selection switch for incision output
Select 84b. Then, the speaker switching screen of FIG.
128 is displayed. Speaker that outputs input sound
Is selected from speaker selection switches 129a to 129d.
Select. In the present embodiment, for example, the incision output sound is
Judge that only the surgeon needs to hear, and the surgeon hears
Installed on the surface of the centralized display panels 13 and 28 for easy
1 speaker for the operator of the speakers 201 and 203
Selection switch 129a, speaker selection switch for operator 2
129b is selected. Check boxes 130a, 1
Confirm that a check mark "R" is displayed on 30b
Then, the setting switch 171 is selected. Then, FIG.
The (C) voice name input screen 85 is displayed. As in the first embodiment, voice setting / registration is performed.
Make a recording. System controller 15 and speaker 20
1, 203 are external speaker cables 207a, 207
Connect via c. When the incision output is output, the speaker
"Incision output is in progress" sound only from 201 and 203
Is output. The speaker 57 of the system controller 15
And the speaker 20 not selected as the speaker to be used
No sound is output from 2, 204. Spy to use
If no operator has been selected, the operation
Output I / F 205 of speaker 57 in the same manner as in this embodiment.
Output from This embodiment has the following effects. First
In addition to the effects of the embodiment, the surgeon, anesthesiologist, nurse, etc.
Only hear the sounds that they feel are necessary for the surgery to proceed.
Can be set to be easier to operate, allowing more accurate device operation
The state can be determined and the usability is good. Note that, for example, in the first embodiment,
Explanation to register the operator's own voice information from step 39
However, register the voice information of others by announcer etc.
You may do it. In addition, audio information recording such as CD-ROM
Audio information may be registered from a recording medium or the like. One
That is, without using the voice input means by the microphone 39,
Voice information is stored (registered) in voice recording means such as the device 56.
You may make it. [Supplementary Notes] A medical device used for medical practice, and the medical device
It transmits control information to control and operates the medical device.
A control device having communication means for receiving an operation state;
Voice input means connected to the control means and capable of inputting voice;
Storing voice information input by the voice input means;
Voice storage means provided in the control device, and the control device
Operating state of the medical device received by the communication means of
Based on the voice information stored in the voice storage means.
A medical device comprising:
Treatment system. [0125] 1. One or more medical devices;
Medical equipment system for centrally controlling medical equipment via communication means
Control means and a voice input connected to the medical device control means
Means and voice information input from the voice input means.
Storage means for remembering, and the voice stored in the storage means
Output means for outputting information to the outside, and
Automatically storing the data from the output means based on an operation state;
Outputting the audio information stored in the means to the outside.
Endoscope system featuring. 2. The voice information can be registered for each operator,
And the registered contents can be called any number of times.
Endoscope system according to Appendix 1. [0127] 3. A plurality of output means, wherein the audio information
Output means for selecting the output means
1 endoscope system. (Functions of Supplementary Notes 1 to 3) The operator himself
Can be registered as operation sounds and warning sounds.
The operation state can be reliably determined only by sound. As described above, according to the present invention, the operator
Can freely register their voice etc. in operation sounds and warning sounds
The operating status of each device is easy to understand
It is convenient to use.

BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a diagram showing an entire configuration of an endoscopic surgical operation system according to a first embodiment of the present invention in use. FIG. 2 is a block diagram showing a configuration of a main part of the first embodiment. FIG. 3 is a block diagram showing a configuration of a system controller. FIG. 4 is a view showing various operation screens on a centralized operation panel. FIG. 5 is a view showing various operation screens on a centralized operation panel. FIG. 6 is a flowchart of operations such as voice registration and voice setting operation. FIG. 7 is a diagram showing a main screen and the like on a centralized operation panel according to a second embodiment of the present invention. FIG. 8 is a flowchart illustrating a setting operation of voice and volume. FIG. 9 is a diagram showing a main screen and the like on a centralized operation panel according to a third embodiment of the present invention. FIG. 10 is a flowchart showing operations such as registration of automatic setting of a medical device. FIG. 11 is a diagram illustrating an overall configuration and the like of an endoscopic surgical operation system according to a fourth embodiment of the present invention. FIG. 12 is a block diagram showing an internal configuration and the like of a speaker. FIG. 13 is a diagram showing a speaker switching screen. [Description of Signs] 1 ... Endoscopic surgery system 2 ... Surgical table 3 ... Patients 4,5 ... Trolley 6,23 ... TV camera device 7,24 ... Light source device 8 ... Electric knife 13,28 ... Central display panel 14 ... Centralized operation panel 15 ... System controllers 17 and 32 ... Endoscopes 18 and 33 ... Camera head 29 ... Relay unit 39 ... Microphones 40 and 41 ... Communication cable 50 ... Communication I / F 51 ... Centralized operation panel I / F 52 ... Central display panel I / F 53: microphone I / F 55: CPU 56: storage device 57: speaker

Claims (1)

Claims: 1. A control device having a medical device used for a medical practice, a control device having communication means for transmitting control information for controlling the medical device and receiving an operation state of the medical device, Voice input means capable of inputting voice; voice storage means for storing voice information input by the voice input means; and the voice based on an operation state of the medical device received by the communication means of the control device. A reproducing unit capable of reproducing the audio information stored in the storage unit.