JP2009226170A - Medical image processor - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical image processor 4 performing a display convenient for an operator. <P>SOLUTION: This medical image processor is provided with a main signal processing means 9 that processes a signal input from an external medical instrument 2 and has a main image generation means 12 for generating a main image signal, an image selection means 14 that selects the main image signal and/or at least one image signal of a plurality of auxiliary image signals having relevance to the main image signal, a monitor 8 that displays the image signal selected by the image selection means 14 on a display screen, and a mode setting means 13 that sets a mode according to the use state of the external medical instrument, wherein the image selection means 14 selects the image signal based on the setting information of the mode setting means 13. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

The present invention relates to a medical image processing apparatus, and more particularly to a medical image processing apparatus having video selection means for selecting at least one video signal of a main video signal and an auxiliary video signal.

  In the medical field, it is a common practice to improve the convenience of the surgeon by simultaneously displaying a video imaged by a medical device and character information about the video image on a monitor.

  Here, taking an example of an endoscope that has become widely recognized as a result of advances in diagnostic techniques based on endoscopic observation, the hospital side can increase the number of examinations per day, making it faster and more reliable. Pre-inspection preparation and post-inspection treatment are becoming increasingly important. In addition, diagnostic criteria for endoscopic observation have become complicated, such as image diagnostic techniques different from conventional normal light being established by special light observation or special image processing. On the other hand, in the image processing apparatus used in the conventional endoscope system, a single endoscopic image, patient character information, and device use mode character information are also displayed on the monitor. It was only.

  On the other hand, there is known a medical examination system that further improves the convenience of the surgeon by displaying information necessary for examination using a medical device on a screen as a video.

For example, Japanese Patent Laying-Open No. 2005-323887 discloses a medical examination system in which settings can be made in order by sequentially developing a preparation screen on which preparation information necessary for examination can be set on an operation panel.
JP 2001-25455 A

  However, since the conventional medical image processing apparatus only displays the video and the character information related to the video at the same time, a separate video display device is required to display the video that the surgeon wants to refer to during the procedure. It was necessary to use it. That is, there is little supplementary information useful for diagnosis by doctors or staff work, and there is no extended function for realizing them.

  The present invention has been made in view of the above circumstances, and an object of the present invention is to provide a medical image processing apparatus capable of display that is convenient for an operator.

  In order to achieve the above object, a medical image processing apparatus of the present invention processes a signal input from an external medical device and generates a main video signal. A video selection means for selecting a signal and / or at least one video signal of a plurality of auxiliary video signals related to the main video signal, and the video signal selected by the video selection means is displayed on a display screen Display means for setting, and mode setting means for setting a mode according to a use state of the external medical device. The video selection means selects the video signal based on setting information of the mode setting means.

  The present invention provides a medical image processing apparatus capable of display that is convenient for an operator.

<First Embodiment>
First, the endoscope system 1 including the medical image processing apparatus 4 according to the first embodiment of the present invention will be described with reference to FIGS. 1 to 4. FIG. 1 is an external view of an endoscope system 1 including a medical image processing apparatus 4, FIG. 2 is a block diagram showing a configuration of the medical image processing apparatus 4, and FIG. 4 is a table showing an example of a main screen 3A and a sub screen 3B of the display screen 3, and FIG. 4 is a diagram showing the display screen 3 of the monitor 8 by the medical image processing apparatus 4.

  As shown in FIG. 1, an endoscope system 1 according to the present embodiment includes an endoscope 22 having an elongated insertion portion 22A that is inserted into a body cavity and images an observation site in the body cavity, and illumination light is applied to the endoscope 22. A light source device 10 for supplying a signal, a medical image processing device 4 for processing an imaging signal from the endoscope 22 and displaying an endoscope image or the like on a monitor 8 as a display means, And an air / water pump 5, and these devices are mounted on a rack 6.

  The medical image processing apparatus 4 is configured to be connectable with a keyboard 7 which is one of input means capable of inputting various setting information, patient information, operator information, or procedure information. The medical image processing apparatus 4 can set the display screen setting of the monitor 8 using the input means such as the keyboard 7.

  As shown in the block diagram of FIG. 2, the medical image processing apparatus 4 is connected to an endoscope 22 that is an external medical device 2 and a monitor 8 that is a display unit. The medical image processing apparatus 4 processes the signal input from the external medical device 2 to generate the main video signal, the main signal processing unit 9 having the main video generation unit 12, the main video signal, and / or A video selection means for selecting at least one video signal of a plurality of auxiliary video signals related to the main video signal, and a display means for displaying on the display screen 3 the video signal selected by the video selection means. A monitor 8 and mode setting means 13 for setting a mode according to the usage state of the external medical device 2 are provided. Then, the video selection unit 14 selects a video signal based on the setting information of the mode setting unit 13. The mode setting means 13 can be set by the operator using the keyboard 7 or the like which is the mode input means 28.

  Here, the usage state of the external medical device 2 is, for example, any one of three modes, that is, a pre-examination mode, an in-examination mode, and a post-examination mode, as shown in FIG. As shown in FIG. 3, the in-examination mode may be subdivided into new and reexamination, or a self-diagnosis mode may be added to the pre-examination mode or the post-examination mode. The pre-examination mode is a mode for a preparatory stage before the examination is performed by inserting the endoscope 22 into the patient's body, and the post-examination mode is an examination of the next patient after the examination. This is the mode for the stage until preparation starts. Further, the self-diagnosis mode is a mode for discovering a failure or the like of various devices constituting the endoscope system 1 and is performed before or after the inspection.

  As shown in FIG. 4, the display screen 3 of the monitor 8 connected to the medical image processing apparatus 4 of the present embodiment includes a main screen 3A on which an endoscopic image that is a main video signal is displayed, characters Not only the character screen 3C on which information is displayed, but also a sub-screen 3B on which an auxiliary video signal is displayed. That is, the main video signal and the auxiliary video signal are synthesized by the display screen processing means 17 (see FIG. 12) described later and displayed superimposed on one display screen 3. Here, the main screen 3A and the sub-screen 3B are screens that display images different from the character screen 3C.

  Here, the auxiliary video signal is, for example, a video signal stored in the internal storage unit 15. Further, the auxiliary video signal related to the main video signal is a signal such as a reference video of the main video signal or an information video of the external medical device 2 that captures the main video signal, as illustrated in FIG. The auxiliary video signal is preferably a video signal stored in the internal storage means 15, but not only the video signal stored in the internal storage means 15, but also the surgeon can select an external video input video signal or the like depending on the situation. Can also be used.

  In the medical image processing apparatus 4, the video displayed on the monitor 8 changes depending on the mode corresponding to the use state that is the system operation mode of the external medical device 2. The internal storage means 15 stores a plurality of auxiliary video signals corresponding to various modes, and the video selection means 14 automatically selects at least one auxiliary video signal corresponding to the mode from among them. Can be displayed on the display screen 3.

  FIG. 4 shows an example of the display screen 3 of the monitor 8 in the in-examination mode. Here, an ultrasonic diagnostic VTR image of the same patient is displayed as an auxiliary image on the sub-screen 3B.

  During the examination, the surgeon operates the endoscope 22 while referring to the ultrasonic diagnostic VTR image displayed on the sub-screen 3B, and takes necessary endoscopic images or samples the affected part. Can be. In the medical image processing apparatus 4, a display screen 3 different from that during the examination shown in FIG. 4 is automatically displayed before and after the examination.

  The auxiliary video signal is normally selected by the video selection means 14, but the operator may select the auxiliary video signal from the auxiliary video displayed in the menu list as shown in FIG. As described above, a desired video signal may be input to the medical image processing apparatus 4.

  The medical image processing device 4 automatically selects information necessary for the operator in each mode corresponding to the usage state of the external medical device 2 from the main video signal and the plurality of auxiliary video signals. It is displayed on the display screen 3 as a video. That is, the medical image processing apparatus 4 is convenient because it automatically displays not only text information but also an auxiliary video when appropriate.

  The medical image processing apparatus 4 has a function of selecting and displaying a main video signal or an auxiliary video signal. That is, the medical image processing apparatus 4 can display only one of the main video signal and the auxiliary video signal on the display screen 3. For this reason, the surgeon can also enlarge and display necessary information using the entire screen of the display screen 3 by using the display method selection means 27 (see FIG. 12) described later as necessary.

<Second Embodiment>
Next, the medical image processing apparatus 4B according to the second embodiment of the present invention will be described with reference to FIG. FIG. 5 is a block diagram showing a configuration of the medical image processing apparatus 4B. Since the medical image processing apparatus 4B is similar to the medical image processing apparatus 4 of the first embodiment, the same components are denoted by the same reference numerals and description thereof is omitted.

  The medical image processing apparatus 4B includes a status video indicating the state of the external medical device 2 based on information transmitted from the main signal processing unit 9 from at least one of the endoscope 22, the light source device 21, or the external storage unit 25. It has status video generation means 11 for generating a signal.

  Here, the status video signal is a video signal indicating the state of the external medical device 2, for example, the type of the endoscope 22, the number of times of use or the history of cleaning, or the usage time of the lamp of the light source device 21. Information signal.

  The status video signal is not limited to the video signal indicating the state of the external medical device 2, but the remaining recording capacity of the recording medium of the external recording unit 25, or the heart rate of the patient detected by the external information detection unit 24, Information on body temperature or electroencephalogram can also be displayed on the monitor 8 via the status video generation means 11.

  The medical image processing apparatus 4B can display the auxiliary video in the state of the external medical device 2 or the like as a video simultaneously with the endoscopic image on the monitor 8 on which the endoscopic image is displayed. For this reason, in addition to the effect which the medical image processing apparatus 4 has, the medical image processing apparatus 4B is further convenient for the operator.

The medical image processing apparatus 4B is a medical image processing apparatus that facilitates not only diagnosis but also system operation and maintenance services.
For example, the medical image processing apparatus 4B can prevent an operator from using an uncleaned endoscope by mistake before the examination. Further, for example, when the remaining life of the lamp of the light source device 21 is short, or when the remaining recordable capacity of the recording medium is small, the medical image processing apparatus 4B requires the lamp or the recording medium before the examination. Therefore, it is possible to prevent the occurrence of lamp burnout or insufficient recording medium capacity during inspection.

  In the medical image processing apparatus 4B having the external information detection unit 24, the video selection unit 14 may select a video based on not only the information of the mode setting unit 13 but also the information of the external information detection unit 24. Good.

<Third Embodiment>
Next, a medical image processing apparatus 4C according to a third embodiment of the present invention will be described with reference to FIG. FIG. 6 is a block diagram showing a configuration of the medical image processing apparatus 4C. Since the medical image processing apparatus 4C is similar to the medical image processing apparatus 4 of the first embodiment, the same components are denoted by the same reference numerals and description thereof is omitted.

  The medical image processing apparatus 4 </ b> C includes an endoscope type determination unit 16 that determines the type of the connected endoscope 22, and the internal storage unit 15 has a video of a case video corresponding to the type of the endoscope 22. The first storage means 15A for storing the signal and the second storage means 15B for storing the video signal of the post-examination procedure guidance video corresponding to the type of the endoscope 22 are provided. Based on the discrimination information of the mirror type discriminating means 16, an auxiliary video signal corresponding to the type of the endoscope 22 is selected from the first storage means 15A or the second storage means 15B.

  There are various types of endoscopes 22 such as a type depending on an application site, a reusable reuse type, and a disposable type used only once. Depending on the type of the endoscope 22, the confirmation items between examinations and the types of treatments performed before and after the examination are different.

  In the medical image processing apparatus 4C, the internal recording unit 15 can store a plurality of auxiliary video signals corresponding to the type of the endoscope 22, and a plurality of cases corresponding to the type of the endoscope 22. An auxiliary video signal that is an image and an auxiliary video signal that is a plurality of post-inspection procedure guidance images corresponding to the type of the endoscope 22 are stored, and the auxiliary video signal corresponding to the type of the endoscope 22 is displayed. It can be displayed on the screen 3. For this reason, the surgeon can efficiently perform appropriate work according to the type of endoscope.

  In addition to the effects of the medical image processing apparatus 4 and the like, the medical image processing apparatus 4C is further convenient for the operator and helps to build a reliable examination flow.

<Fourth embodiment>
Next, a medical image processing apparatus 4D according to a fourth embodiment of the present invention will be described with reference to FIGS. FIG. 7 is a block diagram showing a configuration of the medical image processing apparatus 4D, and FIGS. 8 to 10 are explanatory diagrams for explaining display forms on the display screen 3 of the monitor 8 of the medical image processing apparatus 4D. It is. Since the medical image processing apparatus 4D is similar to the medical image processing apparatus 4 of the first embodiment, the same components are denoted by the same reference numerals and description thereof is omitted.

  As shown in FIG. 7, the medical image processing device 4D includes a display screen processing unit 17 that performs display screen processing for displaying a plurality of videos selected by the video selection unit 14 on the display screen of the display screen 3, and a video. A display method selection unit 27 for setting a display form on a display screen of a plurality of videos selected by the selection unit 14;

  In the medical image processing apparatus 4D, the display form on the display screen 3 is composed of a parent screen 3A having a large display size and a child screen 3B having a small display size, and the video selection means 14 displays the information on the parent screen 3A. The first selection unit 14A selects a video signal to be displayed, and the second selection unit 14B selects a video signal to be displayed on the sub-screen 3B.

  Here, the medical image processing apparatus 4D shows an example of a display layout on the display screen 3, that is, a display form. FIG. 8 shows an example of display positions and display sizes of the main screen 3A and the sub-screen 3B. In the medical image processing apparatus 4D, a layout for displaying the main video on the main screen 3A and the main video on the sub screen 3B is selected with respect to the standard layout for displaying the main video on the main screen 3A and the auxiliary video on the sub screen 3B. Is possible.

  In FIG. 8, when the surgeon designates the display position and display size of the child screen 3B from the display method selection means 27, the display screen processing means 17 automatically sets the display position and display size of the parent screen 3A accordingly. The state of adjustment is shown. Here, an example is shown in which the main screen 3A is enlarged or reduced, that is, the size is adjusted to three display sizes A, B, and C. Of course, a method in which the operator designates the display position and display size of the main screen 3A from the display method selection means 27 can also be used.

  As the display method selection means 27, for example, a keyboard 7 or a scope switch (not shown) provided in the endoscope 2 can be used. In this case, the surgeon can also set the display form by pressing a key on the keyboard 7. For example, as shown in FIG. 9, different input operations can be performed depending on the time of the key pressing operation, that is, the long press or the short press. In FIG. 9, the short press operation is an input operation for instructing to change the display position or the like of the sub-screen 3B, and the long press operation is the display size or display screen of the sub-screen 3B or the like, or the P in P mode, An example is shown in which the input operation is instructed to change to either the P out P mode or the normal mode.

  Since the medical image processing apparatus 4D can set the display forms of the main screen 3A and the sub screen 3B flexibly and with simple operations, it is convenient for the surgeon.

  In the medical image processing apparatus 4D, the aspect ratio of the main screen 3A is preferably the same as the aspect ratio of the display screen 3. As shown in FIG. 10, when the aspect ratio of the display screen 3 is 4: 3 as shown in FIG. 10A, the aspect ratio of the parent screen 3 </ b> A is also 4: 3. As shown in FIGS. 10B and 10C, when the aspect ratio is 16: 9, the aspect ratio of the parent screen 3A is also set to 16: 9.

  Note that the medical image processing apparatus 4D sets the aspect ratio of the child screen 3B when the aspect ratio of the display screen 3 is 4: 3 and the aspect ratio of the input video signal is 16: 9. The surgeon may be able to select either 4: 3 or 16: 9. When the sub-screen 3B having an aspect ratio of 16: 9 is displayed when the aspect ratio of the display screen 3 is 4: 3, the vertical direction of the sub-screen 3B is reduced and visibility is lowered. However, even if the visibility is reduced, if the aspect ratio is not 16: 9, the efficiency of inspection or the like may be poor. Alternatively, when the aspect ratio of the display screen 3 is 4: 3, the medical image processing apparatus 4D fixes the aspect ratio of the sub-screen 3B to 4: 3 regardless of the aspect ratio of the input video signal. You may make it do.

By configuring as described above, the medical image processing apparatus 4D can always improve the visibility of the main screen 3A. For this reason, the medical image processing apparatus 4D has further convenience for the operator in addition to the effects of the medical image processing apparatus 4 and the like.

  In the medical image processing apparatus 4D, when the mode set by the mode setting means 13 is the pre-examination mode, the video selection means 14 is the same as the medical image processing apparatus 4B of the second embodiment. In addition, at least the status video signal may be selected. That is, before the examination, the surgeon needs to obtain information such as the status (endoscope) cleaning history, the number of scope examinations, or the lamp life (use time), which is a status signal. For this reason, in addition to the effect which the medical image processing apparatus 4 has, the medical image processing apparatus 4D has the further convenience of an operator.

  Further, in the medical image processing apparatus 4D, when the mode set by the mode setting means 13 is the post-examination mode, the video selection means 14 is the same as the medical image processing apparatus 4C of the third embodiment. In addition, at least the video signal of the post-inspection procedure guidance video may be selected. The surgeon needs to perform treatment such as bedside cleaning after the examination, and the medical image processing apparatus 4D displays the post-examination procedure guidance video on the monitor 8 which is a display means, thereby reliably processing. It can be performed. In particular, it is also preferable to display a post-examination procedure guidance image on the main screen 3A and to display a check list that can be input by the surgeon as an image on the sub-screen 3B.

  Since the medical image processing apparatus 4D can reliably perform an accurate treatment according to the mode in addition to the effects of the medical image processing apparatus 4, the convenience of the operator is good.

<Fifth embodiment>
Next, a medical image processing apparatus 4E according to the fifth embodiment of the present invention will be described with reference to FIG. FIG. 11 is a block diagram showing a configuration of the medical image processing apparatus 4E. Since the medical image processing apparatus 4E is similar to the medical image processing apparatus 4 of the first embodiment, the same components are denoted by the same reference numerals and description thereof is omitted.

  The medical image processing apparatus 4E includes a patient information identification unit 19 for identifying patient information, and a patient video identification unit 18 for determining whether a patient video signal identified by the patient information identification unit 19 is stored in the external storage unit 25. When the patient video discriminating means 18 discriminates that the patient video signal is stored in the external storage means 25, the video selecting means 14 selects the patient video signal.

  The patient information is input by the patient information input means 26. For example, the patient ID can be input by using the keyboard 7 as the patient information input means 26. Alternatively, information recorded on a memory card or the like can be input by connecting the medical image processing apparatus 4E and the memory card or the like.

  The patient image may be a moving image or, of course, a still image when a DVD device or the like is used as the external storage unit 25.

  Since the medical image processing apparatus 4E can automatically display an auxiliary video corresponding to the individual patient, in addition to the effects of the medical image processing apparatus 4 and the like, the convenience of the operator is further improved. That is, the medical image processing apparatus 4E can perform an examination using the main video while confirming an image taken in the past of the same patient as an auxiliary video when the patient is revisited. It is easy to grasp the state of the current observation location with respect to the past examination. For this reason, the medical image processing apparatus 4E enables accurate diagnosis of the operator and is also useful for informed consent.

<Sixth Embodiment>
Next, a medical image processing apparatus 4F according to a sixth embodiment of the present invention will be described with reference to FIGS. 12 and 13 are block diagrams showing the configuration of the medical image processing apparatus 4F. Since the medical image processing apparatus 4F is similar to the medical image processing apparatus 4 of the first embodiment, the same components are denoted by the same reference numerals and description thereof is omitted.

  The medical image processing apparatus 4F includes all the components of the medical image processing apparatuses 4 to 4E described so far and has all functions.

  Note that FIG. 13 represents the configuration of the medical image processing apparatus 4F as a block diagram from different viewpoints. That is, the processing means 4F1 and the CPU 4F2 of the medical image processing apparatus 4F have functions such as the main signal processing means and the video selection means described above. The input unit 4F4 of the medical image processing apparatus 4F has functions of a patient information input unit 26, a display method selection unit 27, and a mode input unit. That is, as the input means, the keyboard 7, the switch of the operation unit of the endoscope 22, the foot switch, the switch on the front panel of the medical image processing apparatus 4F, or the like can be used. In FIG. 13, the front panel switch and the like are illustrated outside the medical image processing apparatus 4F, but may be a part of the medical image processing apparatus 4F.

FIG. 13 shows an example in which the display screen 3 of the monitor 8 has a character screen 3C for displaying character information in addition to the parent screen 3A and the child screen 3B. The number of screens displayed on the display screen 3 of the monitor 8 is not limited to two or three. When displaying a main video signal and two or more auxiliary video signals, the main screen and two or more children are displayed. A screen may be displayed.

  Further, the medical image processing apparatus 4F can store the video displayed on the monitor 3 in the internal storage unit 15 or the like. It is possible to store not only normal endoscope images but also all images including auxiliary images that have been referenced.

  In addition to the effects of the medical image processing apparatus 4 and the like, the medical image processing apparatus 4F can perform display with extremely good operator convenience.

  Of course, as described in the medical image processing apparatus 4 of the first embodiment to the medical image processing apparatus 4E of the fifth embodiment, all the constituent elements of the medical image processing apparatus 4F are provided. At least, the medical image processing apparatus of the present invention can achieve the effects of the respective components. In addition, various components described in the medical image processing apparatuses 4 to 4E can be used in appropriate combinations.

  The present invention is not limited to the above-described embodiments, and various changes and modifications can be made without departing from the scope of the present invention.

1 is an external view of an endoscope system including a medical image processing apparatus according to a first embodiment. It is the block diagram which showed the structure of the medical image processing apparatus of 1st Embodiment. The table | surface which showed the example of the main screen of the display screen by the mode of the medical image processing apparatus of 1st Embodiment, and a subscreen It is the figure which showed the display screen of the monitor by the medical image processing apparatus of 1st Embodiment. It is the block diagram which showed the structure of the medical image processing apparatus of 2nd Embodiment. It is the block diagram which showed the structure of the medical image processing apparatus of 3rd Embodiment. It is the block diagram which showed the structure of the medical image processing apparatus of 4th Embodiment. It is explanatory drawing for demonstrating the display form in the display screen of the monitor of the medical image processing apparatus of 4th Embodiment. It is explanatory drawing for demonstrating the display form in the display screen of the monitor of the medical image processing apparatus of 4th Embodiment. It is explanatory drawing for demonstrating the display form in the display screen of the monitor of the medical image processing apparatus of 4th Embodiment. It is the block diagram which showed the structure of the medical image processing apparatus of 5th Embodiment. It is the block diagram which showed the structure of the medical image processing apparatus of 6th Embodiment. It is the block diagram which showed the structure of the medical image processing apparatus of 6th Embodiment.

DESCRIPTION OF SYMBOLS 1 ... Endoscope system, 2 ... External medical equipment, 3 ... Display screen, 3A ... Parent screen, 3B ... Sub-screen, 3C ... Character screen, 4, 4B, 4C, 4D, 4E, 4F ... Medical image processing apparatus DESCRIPTION OF SYMBOLS 5 ... Air / water pump, 6 ... Rack, 7 ... Keyboard, 8 ... Monitor, 9 ... Main signal processing means, 10 ... Light source device, 11 ... Status image generation means, 12 ... Main image generation means, 13 ... Mode setting Means, 14 ... Video selection means, 14A ... First selection means, 14B ... Second selection means, 15 ... Internal storage means, 15A ... First storage means, 15B ... Second storage means, 16 ... Interior view Mirror type discriminating means, 17 ... display screen processing means, 18 ... patient image discriminating means, 19 ... patient information identifying means, 21 ... light source device, 22 ... endoscope, 22A ... insertion section, 24 ... external sensing means, 25 ... External storage means, 26 ... patient information input means, 2 ... display method selection means

Claims (12)

Main signal processing means having main video generation means for processing a signal input from an external medical device and generating a main video signal;
Video selection means for selecting the main video signal and / or at least one video signal of a plurality of auxiliary video signals related to the main video signal;
Display means for displaying the video signal selected by the video selection means on a display screen;
Mode setting means for setting a mode according to a use state of the external medical device, wherein the video selection means selects the video signal based on setting information of the mode setting means. Image processing device.   The medical image processing apparatus according to claim 1, further comprising an internal storage unit that stores the plurality of auxiliary video signals. The video selection means selects the main video signal and at least one video signal of the plurality of auxiliary video signals;
The medical image processing apparatus according to claim 1, wherein the display unit displays the main video signal and the auxiliary video signal on a display screen. The external medical device includes an endoscope having an image sensor, a light source device that supplies illumination light to the endoscope, and an external storage unit that stores the auxiliary video signal,
The main video generation means is an endoscope video generation means for processing an imaging signal output from the imaging device and generating an endoscope video signal which is a main video signal;
4. The medical use according to claim 1, wherein the mode according to the use state is any one of a pre-test mode, an in-test mode, a post-test mode, and a maintenance mode. Image processing device.   The main signal processing means outputs a status video signal indicating the state of the external medical device as the auxiliary video signal based on information transmitted from at least one of the endoscope, the light source device, or the external storage means. The medical image processing apparatus according to claim 4, further comprising status video generation means for generating. Having an endoscope type determining means for determining the type of the connected endoscope;
The internal storage means stores a first storage means for storing a video signal of a case video corresponding to the type of the endoscope, and a video signal of a post-examination procedure guidance video corresponding to the type of the endoscope. Second storage means for storing;
The selection unit selects the auxiliary video signal corresponding to the type of the endoscope from the first storage unit or the second storage unit based on the determination information of the endoscope type determination unit. The medical image processing apparatus according to claim 4, wherein the medical image processing apparatus is a medical image processing apparatus. Display screen processing means for performing display screen processing for displaying the plurality of videos selected by the video selection means on the display screen of the display means;
The medical method according to any one of claims 1 to 6, further comprising display method selection means for setting a display form on the display screen of the plurality of videos selected by the video selection means. Image processing device. The display form on the display screen is composed of a main screen having a large display size and a small screen having a small display size,
The video selection means is composed of first selection means for selecting a video signal to be displayed on the parent screen and second selection means for selecting a video signal to be displayed on the child screen. The medical image processing apparatus according to claim 7.   The medical image processing apparatus according to claim 8, wherein an aspect ratio of the parent screen is the same as an aspect ratio of the display screen.   10. The medical use according to claim 5, wherein the video selection unit selects at least the status video signal when the mode set by the mode setting unit is a pre-examination mode. Image processing device.   The said video selection means selects at least the said auxiliary | assistant video signal of the said post-inspection procedure guidance image | video, when the mode set by the said mode setting means is a post-inspection mode. Item 10. The medical image processing apparatus according to Item 9. Patient information identifying means for identifying patient information;
A patient video discriminating unit for discriminating whether the patient video signal identified by the patient information identifying unit is stored in the external storage unit;
The video selection unit selects the auxiliary video signal of the patient when the patient video determination unit determines that the video signal of the patient is stored in the external storage unit. The medical image processing apparatus according to claim 5.

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