JP2013081557A - Operation progress notification device and operation progress notification program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a progress notification device allowing the accurate and real-time recognition of the progress of an operation outside an operating room without needing manpower, and accordingly allowing the smooth performance of a related task or the like after the operation.SOLUTION: The operation progress notification device includes: a processing unit 50 for detecting one of the start and the end of the count of operating gauze; and a display 61 or the like for notifying the outside of the operating room OP in which the operation is performed of the progress of the operation corresponding to the one of the start and the end.

Description

  The present invention belongs to the technical field of a surgical progress notification device and a surgical progress notification program. More specifically, the present invention belongs to the technical field of a surgical progress notification device that notifies the progress of a surgical operation in the operating room and a program for the surgical progress notification device.

  In recent years, due to the diversification of medicine and the like, the demand for surgery in general hospitals has increased from the conventional level.

  In general, when performing a single operation, the incidental operations include, for example, preparation of the operation for the patient and transportation to the operating room, arrangement of doctors and nurses in charge of the operation, sterilization of surgical instruments, etc. Various tasks occur, such as the introduction / preparation of machines or the preparation of hospital rooms where patients after surgery are to be delivered.

  On the other hand, since there are a limited number of operating rooms and doctors in one hospital, in order to perform each operation effectively and safely, a plurality of operations including the incidental work described above are planned in a planned manner. There is a need to do. This need is increasing due to the recent shortage of doctors and nurses. In addition, the fact that the proper number of nursing staff is not defined is one of the problems that increase the necessity. It is also important to systematically perform a plurality of operations including incidental work in order to increase the management efficiency in the hospital.

  As a technology developed in response to such a request, for example, there is one disclosed in Patent Document 1 below. The technique disclosed in Patent Document 1 describes the schedule of each surgery and the progress in actual surgery, the manager of the entire surgery in the schedule, and the actual surgery in progress. The nurses and doctors who perform the survey are input, the input results are accumulated as data, and are statistically processed / displayed.

JP 2007-122174 A

  However, the technique disclosed in Patent Document 1 described above is only for statistically examining the schedule and results of a plurality of operations, and notifies the progress of the operation actually performed to the outside. The point to do is not considered at all. For this reason, the actual progress of the operation cannot be recognized in real time outside the operating room where the operation is being performed, and as a result, the work that should be performed in association with the operation is hindered. It was.

  More specifically, for example, the operation related to the preparation of a hospital room in which the patient to be operated is accommodated after the operation, the preparation operation for another operation scheduled after the operation, In the assignment work of doctors and nurses who perform the surgery, or the judgment of whether or not surgery can be performed on emergency patients, the progress of the currently performed surgery and the prediction of the end time with a certain degree of accuracy are not possible. Various obstacles (specifically, unevenness in work efficiency of medical staff, etc.) occurred due to the possibility. Here, specific examples of the medical staff include doctors, clinical engineering engineers, nurses, nursing assistants (also called nursing assistants), and the like.

  In addition, in the technique disclosed in Patent Document 1 described above, the progress during the operation indicates that the person in charge (actually a nurse or the like) in the operation room has directly started the operation manually. It is necessary to perform an input operation. Therefore, there is a problem that in many cases, such an input operation itself is actually impossible when there are not enough advanced operations, nurses, or the like where quickness is important.

  Therefore, the present invention has been made in view of the above-mentioned problems, and the problem is that the progress of the operation can be recognized accurately and in real time without requiring manual operation outside the operating room, and as a result, the operation is performed. It is an object of the present invention to provide a progress notification device and a program for the progress notification device that can smoothly perform later related work.

  In order to solve the above-mentioned problem, the invention according to claim 1 corresponds to either one of the detection means such as a processing unit that detects at least one of the start or the end of counting of the gauze for surgery, and the above-described one Notification means such as a display for notifying the progress of the surgery to the outside of the operating room where the surgery is performed.

  Therefore, since at least one of the start or end of the counting of the surgical gauze is detected and the progress of the operation corresponding to the detected start or end is notified outside the operating room, the progress of the operation Can be recognized accurately and in real time without human intervention outside the operating room, so that related operations such as preparation of the patient for the operation and transport of the patient for the next operation of the operation can be performed smoothly. Can do.

  In order to solve the above-mentioned problem, the invention according to claim 2 is the surgery progress notification device according to claim 1, wherein the notification means is configured such that the gauze is detected when the start is detected by the detection means. It is configured to notify the outside of the operating room that the patient to be used can be moved to the operating room where the operation using the gauze is performed.

  Therefore, when the start of gauze counting is detected, the patient is notified outside the operating room that the surgical patient using the gauze can be moved to the operating room. This makes it possible to recognize the timing to be performed outside the operating room, and to solve the inconvenience such as causing the patient to wait at the entrance of the operating room, for example.

  In order to solve the above-mentioned problem, the invention according to claim 3 is the operation progress notification device according to claim 1, wherein the notification means is configured such that the gauze is detected when the end is detected by the detection means. It is configured to notify the outside of the operating room that preparation for the next operation to be used may begin.

  Therefore, when the end of the gauze count is detected, it notifies the outside of the operating room that preparation for the next operation for the operation in which the gauze is used may be started. It can be recognized outside the operating room, and the burden on the patient for the next operation can be reduced.

  In order to solve the above-described problem, the invention according to claim 4 is the surgical progress notification device according to any one of claims 1 to 3, wherein the detection means includes the gauze having a wireless tag. By detecting that the counting start button provided in the counting device for electrically counting is operated, and detecting that the counting end button provided in the counting device is operated. It is configured to detect the end.

  Therefore, detecting the start of counting of the gauze by detecting that the counting start button of the gauze counting device using the wireless tag is operated, and detecting that the counting end button of the counting device is operated Because it detects the end of gauze counting, the operation progress can be notified outside the operating room by detecting the start or end of gauze counting performed as part of the surgical procedure without causing unnecessary operations. The burden on nurses involved in the operation can be reduced.

  In order to solve the above-mentioned problem, the invention according to claim 5 is the operation progress notification device according to any one of claims 1 to 4, wherein the notification means is a doctor waiting room associated with the operation. , A nurse waiting room, an outpatient ward, a patient ward, a family waiting room, a power management facility, or a place other than the operating room in the operating section including the operating room.

  Therefore, at least one of a doctor waiting room, a nurse waiting room, an outpatient ward, a patient ward, a family waiting room, a power management facility, or a place other than the operating room in the operating section including the operating room related to surgery. Since the notification means is installed at the place, a part of the progress of the operation can be recognized accurately and in real time in each room.

  In order to solve the above-described problem, the invention described in claim 6 is directed to a computer, the detection means in the operation progress notification device according to any one of claims 1 to 5, and notification in the notification means. It functions as a notice control means to control.

  Therefore, by reading and executing the surgery progress notification program by the computer, it detects at least one of the start or end of counting of surgical gauze, and detects either of the detected start or end Since the computer functions to notify the progress of the corresponding operation to the outside of the operating room, a part of the progress of the operation can be recognized accurately and in real time without the need for manual operation outside the operating room. It is possible to smoothly perform related tasks such as patient preparation and transport of the patient for the next operation.

  According to the first aspect of the present invention, at least one of the start or the end of counting the surgical gauze is detected, and the progress of the operation corresponding to either the detected start or the end is detected outside the operating room. Therefore, it is possible to recognize a part of the progress of the operation outside the operating room accurately and in real time without human intervention, so that the preparation of the patient for the operation and the transportation of the patient for the next operation of the operation, etc. It is possible to smoothly perform related work.

  According to the invention described in claim 2, in addition to the effect of the invention described in claim 1, it is possible to recognize outside the operating room when to enter the operating room in which the gauze is used. For example, it is possible to eliminate time loss and omissions such as waiting at the entrance of an operating ward or waiting in an operating room, thereby improving hospital management.

  According to the invention described in claim 3, in addition to the effect of the invention described in claim 1, the timing for starting preparation for the next operation after the operation in which the gauze is used can be recognized outside the operating room. It is possible to reduce the burden on the patient for the operation, to improve the efficiency of the work of the nurse who performs the preparation, to prevent time loss, and to improve the hospital management.

  According to the invention described in claim 4, in addition to the effects of the invention described in any one of claims 1 to 3, the gauze performed as part of the procedure of the operation without causing unnecessary operations. By detecting the start or end of the counting, the progress of the operation can be notified outside the operating room, and the burden on the nurse involved in the operation can be reduced.

  According to the invention described in claim 5, in addition to the effect of the invention described in any one of claims 1 to 4, a part of the progress of the operation is accurately and real time in the doctor waiting room related to the operation. Can be recognized.

  The invention according to claim 6 detects the start or end of counting of surgical gauze by reading and executing the operation progress notification program by the computer, and detecting the detected start Since the computer functions to notify the progress of the surgery corresponding to either the end of the operation to the outside of the operating room, a part of the progress of the operation can be recognized accurately and in real time without requiring any manual operation outside the operating room. By obtaining, it is possible to smoothly perform related operations such as preparation of the patient for the surgery and transport of the patient for the next surgery.

It is a block diagram which shows the outline | summary structure of the surgery progress notification apparatus which concerns on embodiment. It is a time chart which illustrates the progress of the surgery concerning an embodiment. It is a flowchart which shows operation | movement of the surgery progress notification apparatus which concerns on embodiment. It is a figure (I) which shows the example of a progress report of operation concerning an embodiment, (a) is a figure which illustrates an initial state, and (b) is a figure showing the 1st example of a notice. It is a figure (II) which shows the notification example of the progress of the operation | movement which concerns on embodiment, (a) is a figure which shows the 2nd notification example, (b) is a figure which shows the 3rd notification example. It is a figure (I) which shows the example of a schedule / progress display screen which concerns on a deformation | transformation form. It is a figure (II) which shows the example of a plan / progress display screen concerning a modification.

(I) Embodiment Next, an embodiment of the present invention will be described with reference to FIGS. The embodiment described below is an operation progress notification for notifying the progress of the operation performed in each operation room installed in a hospital or the like having one or a plurality of operation rooms. This is an embodiment when the present invention is applied to an apparatus.

  FIG. 1 is a block diagram showing a schematic configuration of the surgery progress notification device according to the embodiment, FIG. 2 is a time chart illustrating the progress of the surgery according to the embodiment, and FIG. FIG. 4 and FIG. 5 are diagrams each showing a notification example of the progress of surgery according to the embodiment.

  As shown in FIG. 1, the surgical progress notification device S according to the embodiment includes activation / deactivation of a power switch in various surgical machines provided in the operating room OP and start / end buttons of operations in the surgical machines. The operation is detected, and the progress of the operation is displayed on the display 61 or the like in real time based on the detection result. As shown in FIG. 1, the surgery progress notification device S includes an example of detection means connected to each surgical machine via an interface 40, a processing unit 50 as an example of notification means, a doctor waiting room 60, for example, The nurse waiting room 65, the outpatient ward 70, the patient ward 75, the display 61, 66, 71, 76 and 81 as an example of the notification means respectively installed in the power management facility 80 related to the entire hospital. Yes.

  More specifically, in the following embodiment, as the surgical machine, the watch 10, the echo device 11, the surgical light 12, the electric knife 13, the bipolar 14, the electrocardiogram monitor 15, and the coagulation / incision device 16 , A line monitor 17, cleaning / aspiration device 18, blood pressure monitor 19, gauze counter 20, infusion pump 21, X-ray device 22, infusion / transfusion warming device 23, pneumatic compression device 24, oxygen A saturation measurement monitor 25, a bladder temperature monitor 26, a mat control unit 27, a heating device 28, an anesthesia device 29, a mat-type mat 31, and a comfort-type body temperature holder 32 are operated. A case where it is provided in the room OP will be described. In addition, as an operation performed in an operating room OP equipped with such a surgical machine, general operations such as general anesthesia are applicable, but more specifically, for example, gastrectomy or craniotomy tumor extraction Etc. In addition, a so-called electronic medical chart input / output device may be added as the surgical machine according to the embodiment.

  In FIG. 1, in a state where the patient P undergoing surgery is laid on the operating table 30, the mat 31 is installed between the patient P and the operating table 30, and the temperature is set to an appropriate temperature for each operation by the mat control unit 27. To be controlled. Moreover, the body temperature holder 32 is installed so as to hang like a blanket over the body of the patient P, and its temperature is controlled to an appropriate temperature for each operation.

  On the other hand, the bipolar 14 is a machine that coagulates blood such as an incision portion as necessary according to the same principle as that of the electric knife 13, and has a tweezers-like form. The coagulation and incision device 16 is a machine that simultaneously coagulates and sutures the incision in order to stop bleeding from the incision at the same time as the incision by the electric scalpel 13.

  Further, the A-line monitor 17 is a machine for observing the arterial pressure (blood pressure) of the patient P invasively, and the irrigation / suction device 18 discharges physiological saline or the like for securing the operative field and cleaning the operative field. It is a machine for sucking. The gauze counter 20 is a machine that counts the number of gauze used in the operation, and is a machine that prevents, for example, the gauze from being misplaced in the body of the operated patient P. More specifically, the gauze counter 20 is a nurse that identifies each gauze individually by transmitting and receiving data wirelessly to and from the wireless tag in a surgical gauze equipped with wireless tags individually. For example, the number of gauze conveyed to the gauze counter 20 is counted electrically. The gauze counter 20 includes a count start button (not shown) operated by a nurse or the like when starting counting of the gauze, a count end button (not shown) operated by a nurse or the like when ending the count, Is provided. The gauze counting is generally performed before the patient enters the room or before the wound is started (that is, when the end of the operation approaches), as will be described later.

  The infusion pump 21 is a machine for dropping an infusion to the patient P at a constant pace, and the infusion / blood transfusion warming device 23 is a machine that warms a coiled tube used for infusion or blood transfusion to an appropriate temperature. . The pneumatic compression device 24 is a machine that intermittently compresses the lower limb of the patient P in order to prevent deep vein thrombosis (so-called economy syndrome). Further, the oxygen saturation measurement monitor 25 is a machine for measuring the oxygen saturation in the patient P. The bladder temperature monitor 26 is a machine that measures the temperature in the bladder as the body temperature of the patient P at that time using a catheter-like temperature sensor inserted from the urethra.

  The X-ray device 22 is, for example, a portable X-ray device, and after surgery, a plate-like film is laid under the patient P and X-rays are taken from above the patient P, so that surgical instruments and the like are left in the patient P's body. It is for discovering this when it was. Finally, the clock 10 measures the elapsed time from the start of the operation in the operating room OP so that the surgeon can visually recognize it.

  At this time, each of the surgical machines has a predetermined use time (in other words, a use start time or a use end time) in the progress of the operation, based on its use.

  This point will be described more specifically with reference to FIG. FIG. 2 illustrates the period (timing) during which each surgical machine illustrated in FIG. 1 is used in the flow of surgery as a time-series hatching display or the like for each surgical machine. is there.

  As illustrated in FIG. 2 for each of the surgical machines in the operating room OP shown in FIG. 1, for example, the clock 10 and the anesthesia apparatus 29 are turned on at the timing T1 of the start of anesthesia and the use thereof is started. The power switch is kept on until the patient P awakes after the operation is completed. On the other hand, the heating device 28 and the mat 31 (mat control unit 27) continue to be used with the power switch turned on until the patient P enters the operating room OP and leaves the operating room OP after waking up. Is.

  On the other hand, the surgical light 12 is turned on at the timing when the actual operation is started, and the electric knife 13 and the bipolar 14 are frequently turned on / off repeatedly during the actual operation. It is what

  The gauze counter 20 is mainly used before entering the patient's room and at the final stage of the operation. Specifically, the timing T0 at the start of preparation for the operation and the timing before closing in the operation. Used in

  Further, the echo device 11 and the X-ray device 22 are mainly used in the final stage of the operation, and in particular, the X-ray device 22 has completed the counting of the gauze by the gauze counter 20 before closing and the gauze is not lost. Is used after the timing T3 after the confirmation of.

  In the above-described configuration, the surgical progress notification device S according to the embodiment pays attention to the fact that the period (timing) used during the surgery is predetermined for each surgical machine as described above, and the specific surgery By detecting the timing when the power switch of the machine is turned on and the timing of starting / ending use, it is considered that the progress of the surgery has progressed to the timing corresponding to the use of the surgical machine, and the progress is real-time It is intended to notify places other than the operating room OP.

  For this reason, in the surgery progress notification apparatus S according to the embodiment, the processing unit 50 can detect the operation of the power switch in these surgical machines (ON / OFF) and the operation start / end button operation in each of the surgical machines. As described above, each surgical machine is connected to the processing unit 50 via the interface 40. More specifically, for example, when each power supply switch is turned on in each surgical machine, the fact that an electric current is supplied to an indicator (for example, an LED lamp) indicating that fact is sent to each surgical machine. In the processing unit 50, it is detected that the power switch in the surgical machine is turned on. In addition, it is detected in the processing unit 50 for each surgical machine that the current to the indicator is stopped, and with this, it is detected that the power switch in the surgical machine is turned off. Further, the operation of the operation start button (for example, the count start button in the gauze counter 20) in each surgical machine is detected by the processing unit 50 for each surgical machine, and the operation of the surgical machine is detected based on this. Detect start. Further, the operation unit 50 detects for each surgical machine that the operation end button (for example, the count end button in the gauze counter 20) has been operated in each surgical machine, and this completes the operation of the surgical machine. Is detected. Or it can also be set as the structure which detects directly the operation condition of the power supply part of each surgical machine for every said surgical machine in the process part 50. FIG.

  Thus, the processing unit 50 detects the timing when the power switch of the surgical machine, which is characteristic for grasping the progress of the operation, is turned on, and based on this, the progress of the operation is visually displayed on the display 61 or the like. indicate.

  More specifically, the processing unit 50 according to the embodiment can move a surgical patient using the counted gauze to the operating room OP at the timing T0 when the count start button of the gauze counter 20 is operated, for example. Detect that there is. In addition, at timing T1 when the power switch of the anesthesia apparatus 29 is turned on, it is detected that anesthesia is started and surgery is started, and an incision in surgery is performed at timing T2 when the power switch of the electric knife 13 is first turned on. It detects that it has started (in other words, surgery is in progress). Further, at timing T3 when the count end button of the gauze counter 20 is operated, it is detected that preparation for the patient for the next operation after the operation in which the counted gauze is used may be started. This preparation includes, for example, administration of a drug to the patient, securing an infusion line for an anesthetic, and the like. Furthermore, it is detected that the end of the operation is near at the timing T3 when the power switch of the X-ray device 22 is turned on (this timing T3 is usually the timing when the count end button of the gauze counter 20 is operated). Then, each detection result is displayed on each display 61 or the like. Note that, depending on the type of surgery, the thinking of the doctor, and the like, “start of surgery” may be detected at the timing when the power switch of the electric knife 13 is turned on.

  Next, the operation of the processing unit 50 will be described more specifically with reference to FIG.

  As illustrated in FIG. 3, the processing unit 50 monitors whether or not the main power supply of the entire operating room OP is turned on (step S1). While the main power source is turned off (step S1; NO), the monitoring is continued as it is. On the other hand, when the main power source is turned on (step S1; YES), the processing unit 50 includes the anesthesia device 29, the electric Monitoring of the status of the power switch in the scalpel 13 and the X-ray device 22 and monitoring of the operation of the count start button and count end button in the gauze counter 20 are started (step S2).

  Next, under the monitoring, the processing unit 50 checks whether or not the count start button of the gauze counter 20 has been operated (step S3). When it is detected that the counting start button has been operated (step S3; YES), the processing unit 50 designates a patient to be operated in the operating room OP in which the gauze counter 20 is operating as an operating room. An indicator 120, which will be described later indicating that it can be moved to the OP, is turned on on the displays 61, 66, 71, 76, and 81 (step S4), and the operation proceeds to step S5 described later. The display mode on the display 61 or the like at this time will be exemplified later with reference to FIG. On the other hand, even when it is not yet detected that the counting start button has been operated in the confirmation in step S3 (step S3; NO), the processing unit 50 proceeds to the operation in step S5 described later.

  After displaying that the preparation for the operation scheduled to be performed can be started in the operating room OP (Step S4), the processing unit 50 then turns on the power switch of the anesthesia apparatus 29 under the monitoring (Step S2). It is confirmed whether or not (step S5). When it is detected that the power switch of the anesthesia apparatus 29 is turned on (step S5; YES), the processing unit 50 starts the anesthesia in the operating room OP in which the anesthesia apparatus 29 is operating. The fact that the operation has been started is displayed on the displays 61, 66, 71, 76, and 81 (step S6), and the operation proceeds to step S7 described later. The display mode on the display 61 or the like at this time will be exemplified later with reference to FIG.

  On the other hand, when it is not yet detected in step S5 that the power switch of the anesthetic device 29 is turned on (step S5; NO), the processing unit 50 returns to step S2 and monitors the operating status of the anesthetic device 29 and the like. Continue.

  After displaying that the operation in the operating room OP has been started (step S6), under the monitoring (step S2), the processing unit 50 next checks whether the power switch of the electric knife 13 is turned on. (Step S7). When it is detected that the power switch of the electric scalpel 13 is turned on (step S7; YES), the processing unit 50 starts incision in the operating room OP in which the electric scalpel 13 is operating. The fact that the operation is in progress is displayed on the displays 61, 66, 71, 76, and 81 (step S10), and the operation proceeds to step S11 described later. The display mode on the display 61 or the like at this time will be exemplified later with reference to FIG.

  On the other hand, when it is not yet detected in step S7 that the power switch of the electric knife 13 is turned on (step S7; NO), the processing unit 50 returns to step S6 to start the operation on the display 61 or the like. While maintaining the display state, the monitoring of the state of the power switch of the electric knife 13 is continued.

  Next, the processing unit 50 displays whether or not the operation is in progress in the operating room OP, and confirms whether or not the count end button of the gauze counter 20 has been operated in parallel with the display (step S10). (Step S8). When it is detected that the counting end button has been operated (step S8; YES), the processing unit 50 prepares for the next operation scheduled to be performed in the operating room OP in which the gauze counter 20 is operating. A display of an indicator 121, which will be described later, indicating that it may be started is lit on the displays 61, 66, 71, 76, and 81 (step S9). The display mode on the display 61 and the like at this time will be exemplified later with reference to FIG. On the other hand, when it is not yet detected that the count end button has been operated in the confirmation in step S8 (step S8; NO), the processing unit 50 keeps the display state indicating that the operation is in progress on the display 61 and the like while counting. Continue monitoring the operation status of the end button.

  After performing the display operations of steps S10 and S9, under the monitoring (step S2), the processing unit 50 next checks whether or not the power switch of the X-ray device 22 is turned on (step S11). When it is detected that the power switch of the X-ray device 22 is turned on (step S11; YES), the processing unit 50 is close to the end of the operation in the operating room OP in which the X-ray device 22 is operating. A message to the effect is displayed on the displays 61, 66, 71, 76 and 81 (step S12), and the operation proceeds to step S13 which will be described later. The display mode on the display 61 and the like at this time will be exemplified later with reference to FIG.

  On the other hand, when it is not yet detected in step S11 that the power switch of the X-ray device 22 is turned on (step S11; NO), the processing unit 50 returns to step S10 to indicate that surgery is in progress on the display 61 or the like. While the display state is maintained, monitoring of the state of the power switch of the X-ray device 22 is continued.

  After displaying that the operation in the operating room OP is almost finished (step S12), the processing unit 50 determines whether all the operations in the operating room OP have been completed and the main power supply of the entire operating room OP has been turned off. Confirm (step S13). Thereby, when it is not confirmed that the main power source is turned off (step S13; NO), the processing unit 50 returns to step S12 and maintains a display state that the operation is almost finished on the display 61 and the like.

  On the other hand, when it is confirmed in step S13 that the main power source is turned off (step S13; YES), the processing unit 50 ends the operation according to the embodiment.

  Next, the display mode of the display 61 and the like in steps S6, S10, and S12 will be specifically illustrated with reference to FIGS.

  The displays 61, 66, 71, 76, and 81 according to the embodiment are basically the same display mode, and specifically, are given to each operating room OP as illustrated in FIG. 4A. Information that displays the operating room number display column 101 for displaying the operating room number, the name of the doctor (surgeon) performing the operation, the name of the doctor in charge other than the surgeon, the name of the nurse in charge, and the department name A display field 102, a schedule display field 103 for displaying the initial schedule (including the scheduled start time and scheduled end time) of the surgery, and a progress display field 104 for displaying the progress of the surgery according to steps S6, S10 and S12. The progress display screen 100 including these is displayed.

  At this time, in the progress display column 104, for example, time divisions in the progress of the surgery illustrated in FIG. 2 (classifications such as “entering room”, “starting anesthesia”, and “surgery”) are also displayed. In the progress display column 104, indicators 120 and 121 are provided so as to be able to switch between a lighting display and a light-off display. At this time, the indicator 120 is an indicator that indicates that the patient of the operation scheduled to be performed can be moved in the operating room OP in which the gauze counter 20 is operating as described above. The indicator 121 is an indicator indicating that preparation for the next operation after the operation may be started as described above. Furthermore, the schedule to be displayed in the schedule display field 103 can be configured to display the contents of the schedule recorded by the technique described in Patent Document 1, for example.

  As a display mode corresponding to step S6, specifically, as illustrated in FIG. 4B, the head portion of the “anesthesia start” section in the progress display column 104 (specifically, for example, FIG. 2). The progress display 105 up to the timing T1) shown in FIG.

  Next, as a display mode corresponding to step S4, specifically, as illustrated in FIG. 4B, the indicator 120 is operated at the timing when the count start button of the gauze counter 20 is operated (specifically, For example, at a timing T0) shown in FIG.

  Next, as a display mode corresponding to step S10, specifically, the progress display 105 corresponds to the start of incision in the “surgery” section in the progress display column 104, as illustrated in FIG. It is displayed in a stretched state until timing (specifically, for example, timing T2 shown in FIG. 2). Although not shown in FIG. 5 (b), as a display mode corresponding to step S9, specifically, the indicator 121 indicates the timing when the count end button of the gauze counter 20 is operated (specifically, For example, at timing T3) shown in FIG.

  Finally, as a display mode corresponding to step S12, specifically, the progress display 105 corresponds to X-ray imaging in the “end of surgery” category in the progress display column 104, as illustrated in FIG. It is displayed in a stretched state (specifically, for example, timing T3 shown in FIG. 2).

(II) Modified Embodiment Next, a modified embodiment of the present invention will be described with reference to FIGS. In addition, about the structure similar to the surgery progress notification apparatus S which concerns on embodiment in the surgery progress notification apparatus which concerns on a deformation | transformation form, the same member number is attached | subjected and detailed description is abbreviate | omitted.

  In the embodiment described above, the operation progress notification device S for notifying the progress of the operation performed in one operation room OP has been described. However, the present invention is a hospital including a plurality of operation rooms OP. The present invention can also be applied in the same manner when notifying the progress of each operation performed in parallel in the respective operation rooms OP. In this case, it is preferable that the progress of the operation in the plurality of operating rooms OP is displayed in parallel on one display screen.

  That is, as a configuration of the surgical progress notification device according to the modified embodiment, there are a plurality of operating rooms OP in the surgical progress notification device S according to the embodiment described with reference to FIG. The active state of the power switch in each of the surgical machines installed in each of the plurality of operating rooms OP and the operation state of the operation start / end button in each of the surgical machines are via the same interface as the interface 40. It is detected by the processing unit 50. The interface according to this modification is an interface that connects the surgical machine in the plurality of operating rooms OP and the processing unit 50.

  Accordingly, the processing unit 50 displays the progress of the operation in each operating room OP in the same manner as in the embodiment, whether the power switch in the operating machine installed in the operating room OP is active, and each of the operating machines. Is detected by monitoring the operation state of the start / end button of the operation (see FIGS. 2 and 3), and the detection results are displayed as a list on each display 61 or the like.

  Next, the display mode of the operation progress according to the modification will be described with reference to FIGS. 6 and 7. FIG. 6 is an example of a schedule / progress display screen showing a schedule of surgery scheduled for a certain day in each of the plurality of operating rooms OP. FIG. 7 shows an example of a schedule / progress display screen for displaying a list of progress statuses of the respective operations in real time.

  As illustrated in FIG. 6, the schedule / progress display screen 110 displayed on each display 61 or the like according to the modified example has a surgery time (scheduled time) scheduled for the day for each of a plurality of operating rooms OP. Is displayed. The schedule of each operation necessary for displaying the schedule / progress display screen 110 is stored in the processing unit 50 as data in advance using the technique disclosed in the above-mentioned Patent Document 1, for example. It is.

  More specifically, in the schedule / progress display screen 110 illustrated in FIG. 6, for each of the ten operating rooms OP indicated by the operating room numbers “1” to “10”, the time zone of the operation scheduled for that day. Are shown on the schedule display 200, respectively. In the example shown in FIG. 6, the operating room OP with the operating room number “1” and the operating room OP with the operating room number “2” are the operating rooms OP dedicated to orthopedics and ophthalmology, respectively. The operating room OP indicated by other operating room numbers is an operating room OP shared by all departments.

  Further, pull-down buttons 201 are displayed beside each schedule display 200. This pull-down button 201 is a button operated when separately displaying a detailed display related to the surgery indicated by the corresponding schedule display 200 in the schedule / progress display screen 110 in a so-called pull-down format. In this detailed display, the name and the use timing of each surgical machine scheduled to be used in the surgery are displayed for each surgical machine in the format illustrated in FIG. 2, for example. Further, a legend column 111 for displaying a legend related to the display on the schedule / progress display screen 110 is provided in an area such as the display 61 other than the schedule / progress display screen 110.

  Next, the schedule / progress display screen 110 illustrated in FIG. 7 will be described.

  In the schedule / progress display screen 110 illustrated in FIG. 7, how each scheduled operation displayed on the schedule / progress display screen 110 illustrated in FIG. Listed for each. Because of this display, the processing unit 50 constantly monitors the active state of the power switch in the surgical machine installed in each of the plurality of operating rooms OP, and progresses for each operation according to the monitoring result. Is displayed.

  That is, in FIG. 7, the current time instruction 400 is a vertical bar-shaped instruction indicating the current time, and moves from the left to the right in FIG. 7 with the passage of time.

  Then, for the surgery that has been completed at the current time indicated by the current time instruction 400, the end display 300 is displayed so as to overlap the corresponding original schedule display 200. In addition, as illustrated for the operating room OP of the operating room number “9”, a delay end display 301 is added to the end display 300 for the surgery that has been completed after the scheduled time indicated by the schedule display 200, and is further conspicuous. It is displayed in a state where the warning display 315 of the mode is added.

  On the other hand, for the operation that is in progress at the current time, the operation stage display 305 indicating that the operation is in the operation stage is terminated, as illustrated for the operation room OP of the operation room number “2”, “5”, or “8”. Similar to 300, it is displayed so as to overlap the original schedule display 200. In each operation, the anesthesia stage display 320 is illustrated as illustrated for the operating room number “7” until the power switch of the electric knife 13 is turned on after the power switch of the anesthesia apparatus 29 is turned on. Is displayed so as to overlap a part of the original schedule display 200.

  Furthermore, when the power switch of the X-ray device 22 is turned on or the operation of the count start button of the gauze counter 20 is detected, as for the operation room OP of the operation room number “3”, the operation is as follows. The exit preparation display 310 is displayed so as to overlap a part of the original schedule display 200.

  In addition, as illustrated for the operating room OP of the operating room number “3”, when it is input before the start of the operation that the scheduled time zone indicated by the original schedule display 200 has been changed for some reason, The schedule display 200 is changed to the change schedule display 202 and displayed in the schedule / progress display screen 110. In this case, when the end of the scheduled time indicated by the original schedule display 200 is delayed, a warning display 315 is also displayed with a length corresponding to the current scheduled end time. In this case, when the scheduled time after the change indicated by the change schedule display 202 ends, the delay end display 301 is not displayed.

  Finally, as illustrated for the operating room OP of the operating room number “5”, the end time is indicated by the schedule display 200 when it is determined based on the progress detected by the processing unit 50 in the ongoing operation. When the scheduled end time is delayed, a warning display 315 is displayed with a length corresponding to the current scheduled end time.

  When the pull-down button 201 displayed in the schedule / progress display screen 110 illustrated in FIG. 7 is operated, the current progress status of the operated operation or the progress display when the operation is completed is displayed in a pull-down format. For example, it is displayed in the format illustrated in FIG.

  As described above, according to the operation of the surgical progress notification device S according to the embodiment, at least one of the start or end of counting of the gauze used in the operating room OP is detected, and the detected start or end is detected. Since the progress of the operation corresponding to any one of the above is notified outside the operating room OP, a part of the progress of the operation can be recognized accurately and in real time without requiring any manual operation outside the operating room OP. It is possible to smoothly perform related tasks such as preparation of a patient for surgery and transportation of a patient for the next surgery.

  In addition, it is possible to recognize outside the operating room OP when a surgical patient using gauze enters the operating room OP. For example, the patient can wait at the entrance of the operating room, or can enter the operating room OP. This can eliminate the loss of time and omissions such as waiting at the hospital, which in turn can lead to improved hospital management.

  Furthermore, it is possible to recognize the timing of the start of preparation for the next operation after the operation in which the gauze is used outside the operating room OP, to reduce the burden on the patient of the next operation, and to improve the efficiency of operations such as nurses who prepare. Therefore, it is possible to prevent time loss and to improve hospital management.

  Furthermore, the operation progress can be notified outside the operating room OP by detecting the start or end of the gauze counting performed as part of the operation procedure without causing unnecessary operations, and the nursing involved in the operation. The burden on teachers can be reduced.

  In addition, since a display 61 or the like is installed in at least one of the doctor waiting room 60, the nurse waiting room 65, the outpatient ward 70, the patient ward 75, or the power management facility 80 related to the operation, The progress of surgery can be recognized accurately and in real time.

  In addition, this invention is applicable also to the surgery progress notification apparatus of aspects other than the surgery progress notification apparatus S which concerns on embodiment mentioned above.

  First, regarding the notification of the progress of the operation with the electric knife 13 or the like, in view of the fact that the electric knife 13 is intermittently operated as illustrated in FIG. 2, the power switch is turned on / off once. It is also possible to configure such that the progress display 105 (see FIG. 5 (a)) indicating the progress of the operation is extended step by step each time it is detected, and each time the power switch is turned on once.

  Further, according to the progress of surgery, another surgical machine whose power switch is turned on at that time can be displayed separately by a so-called pull-down menu or the like.

  Furthermore, in the above-described embodiment, only the progress of the actual surgery is notified, but in addition to this, in addition to the schedule of the surgery recorded by the technique described in Patent Document 1, for example, the start of the surgery It can also be configured to display the delay status and the like together.

  Furthermore, in the above-described embodiment, the configuration is such that the progress of the operation is detected by detecting the power switch activation in various surgical machines installed in the operating room OP. It is also possible to detect a temporal change in the power consumption related to the operating room OP and replace the change with the progress of the operation for display.

  Furthermore, the notification of the progress of the operation may be, for example, a notification by voice to a necessary department (such as the doctor waiting room 60) in the hospital, in addition to the notification by display as shown in the embodiment.

  In the embodiment described above, the notification contents for the doctor waiting room 60 and the like are all the same, but in addition to this, the doctor waiting room 60, the nurse waiting room 65, the outpatient ward 70, the patient ward 75, or the power management facility The degree of detail of the display mode or the timing of the change may be different between 80. Furthermore, as the installation location of the display 61 or the like, a location (such as a hallway) other than the operation room OP in the operation section including the family waiting room or the operation room OP may be included.

Further, in the above-described embodiment, at the timing T0 when the count start button of the gauze counter 20 is operated, it is detected that the surgical patient using the counted gauze can be moved to the operating room OP, and the gauze At the timing T3 when the counting end button of the counter 20 is operated, it is detected that the preparation for the patient for the next operation after the operation in which the counted gauze is used may be started, and each timing is detected using the display 61 or the like. It was set as the structure to announce. However, in addition to this, or in addition to this, it is determined in advance that gauze counting is performed at each timing described below, and the count start button or count end button of the gauze counter 20 indicates that the count has been performed. It is also possible to configure such that each of them is detected by the above operation, and that the timing comes with the detected timing, and that they are notified using the display 61 or the like. Specifically, for example,
(B) Timing when medical staff such as nurses (including so-called instrumented nurses or outside nurses) and doctors involved in surgery are changed When it is determined that the progress of the operation is stopped because there is a time from 1 to 5 minutes in which the hand of the surgeon performing the operation is not reflected within the imaging range of the camera for imaging the surgical field (not shown) )
(C) At the time of X-ray imaging at the time of closing (d) Timing at a predetermined time such as every hour (e) Predetermined predetermined time (for example, scheduled operation time and expected procedure time according to the technique) The predetermined time obtained by setting)
It is also possible to pre-determine that gauze counting is performed at each timing, etc., detect that the counting has been performed, and notify that the timing has arrived upon detection. it can.

  Note that the program corresponding to the flowchart shown in FIG. 3 is recorded on a recording medium such as a flexible disk, or acquired and recorded via a network such as the Internet, and is read and executed by a general-purpose computer. Thus, it is possible to cause the general-purpose computer to function as the processing unit 50 according to the embodiment.

  As described above, the present invention can be used in the field of surgical progress notification devices, and is particularly remarkable when applied to the field of operating room use management in a large hospital having a plurality of operating rooms OP. An effect is obtained.

OP Operating room 10 Clock 11 Echo device 12 Surgical light 13 Electric scalpel 14 Bipolar 15 Electrocardiogram monitor 16 Coagulation incision device 17 A line monitor 18 Cleaning / aspiration device 19 Blood pressure monitor 20 Gauze counter 21 Infusion pump 22 X-ray device 23 Infusion / transfusion Temperature device 24 Pneumatic compression device 25 Oxygen saturation measurement monitor 26 Bladder temperature monitor 27 Mat control unit 28 Heating device 29 Anesthesia device 30 Operating table 31 Mat 32 Body temperature holder 40 Interface 50 Processing unit 60 Doctor waiting room 61, 66, 71 76, 81 Display 65 Nurse waiting room 70 Outpatient ward 75 Patient ward 80 Power management facility 100 Progress display screen 101 Operating room number display field 102 Information display field 103 Schedule display field 104 Progress display field 105 Progress display 110 Schedule / progress display Surface 120, 121 Indicators 200 schedule display 201 pull-down button 111 Legend column 400 the current time indication 300 terminates the display 301 delay completion display 315 a warning display 305 surgical steps display 320 anesthesia stage display 310 leaving readiness indicator 202 changes schedule display

Claims (6)

Detection means for detecting either the start or the end of counting gauze for surgery;
A notifying means for notifying the progress of the operation corresponding to any one of the operating rooms outside the operation room;
An operation progress notification device comprising: In the surgery progress notification device according to claim 1,
The notification means that, when the start is detected by the detection means, the operation patient using the gauze can be moved to the operation room where the operation using the gauze is performed. An operation progress notification device characterized by notifying the patient. In the surgery progress notification device according to claim 1,
The notification means, when the end is detected by the detection means, notifies the outside of the operating room that preparation for the next operation after the operation in which the gauze is used may be started. Notification device. In the surgery progress notification device according to any one of claims 1 to 3,
The detection means includes
Detecting the start by detecting that a counting start button provided in a counting device that electrically counts the gauze having a wireless tag is operated;
An operation progress notification device for detecting the end by detecting that a counting end button provided in the counting device is operated. In the surgery progress notification device according to any one of claims 1 to 4,
The notification means includes a doctor waiting room, a nurse waiting room, an outpatient ward, a patient ward, a family waiting room, a power management facility, or a place other than the operating room in the operating section including the operating room related to the operation. A surgical progress notification device characterized in that it is installed in at least one place.   6. A surgical progress notification program that causes a computer to function as the detection unit in the surgical progress notification device according to claim 1, and a notification control unit that controls notification in the notification unit. .

Images