JP2016066301A - Endoscope operation support device and portable type terminal device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To attain efficiency of operations of medical personnel for a pre-treatment of a lower part endoscopic examination.SOLUTION: In an endoscope operation support device 30, a photographing image acquisition unit 321 is configured to acquire a photographing image of a discharge object of patients having a pre-treatment drug of a lower part endoscopic examination administered; an image analysis unit 323 is configured to analyze a color and the like of the photographing image; a determination unit 324 is configured to determine whether the patient is in a state capable of taking the lower part endoscopic examination on the basis of a result of the image analysis; and a determination result notification unit 325 is configured to notify a terminal device of the a determination result via a network 2.SELECTED DRAWING: Figure 2

Description

  The present invention relates to an endoscope operation support device and a portable terminal device that support an endoscope operation.

  In lower endoscopy, laxatives are administered to the patient as a pretreatment, and the intestinal tract of the patient is washed before the examination. The patient orally administers about 2 liters of laxative (eg, Magcorol®) in multiple portions over about 2 hours. The first 500 mL is slowly taken orally to efficiently clean the intestinal solids. After about 1 hour from the start of oral administration, excretion from the anus begins, but oral administration continues thereafter. The excreted liquid initially contains solid matter and turbidity in the intestinal tract, but becomes clear as excretion proceeds, and finally becomes a transparent liquid in which a yellow color derived from bile is recognized. When this yellow transparent liquid is confirmed, the intestinal irrigation as a pretreatment is completed.

JP 2009-086767 A JP 2004-178406 A

  The patient orally administers the laxative, then goes to the toilet several times and excretes. When the patient determines that the excrement is clean, he calls the nurse by pressing the call button installed in the toilet. The nurse determines whether or not the inspection is possible from the state of the excrement. If there are a large number of patients or if there is a poorly understood patient, the nurse will need to go to the bathroom many times. This work is a troublesome work for the nurse, and other work must be temporarily interrupted. Therefore, this check work has been a factor of reducing the work efficiency of the nurse.

  This invention is made | formed in view of such a condition, The objective is to provide the technique which improves the efficiency of the work of the medical worker regarding the pretreatment of a lower endoscopy.

  In order to solve the above problems, an endoscope operation support apparatus according to an aspect of the present invention includes an image acquisition unit that acquires a captured image of an excretion target of a patient to whom a pretreatment drug for lower endoscopy is administered, An image analysis unit that analyzes the captured image, a determination unit that determines whether or not the patient is capable of performing a lower endoscopy based on the image analysis result, and the determination result to the terminal device via the network A notification unit for notifying.

  Another aspect of the present invention is a portable terminal device. This device is a portable terminal device to be carried by a patient, and is imaged with an imaging unit that images a patient's excretion target administered with a pretreatment drug for lower endoscopy based on the operation of the patient. In addition, the image of the patient's excretion object is notified to the endoscopic work support apparatus via a wireless network, and the endoscope work support apparatus determines whether or not the patient can perform the lower endoscopy A determination requesting unit that receives the result; and a display unit that displays the determination result.

  Yet another embodiment of the present invention is also a portable terminal device. This device is a portable terminal device to be carried by a patient, and is imaged with an imaging unit that images a patient's excretion target administered with a pretreatment drug for lower endoscopy based on the operation of the patient. A determination unit that analyzes an image of the patient's excretion object and determines whether or not the patient is capable of performing a lower endoscopy, and a display unit that displays the determination result.

  It should be noted that any combination of the above-described constituent elements and a conversion of the expression of the present invention between a method, an apparatus, a system, a recording medium, a computer program, and the like are also effective as an aspect of the present invention.

  ADVANTAGE OF THE INVENTION According to this invention, the work of the medical worker regarding the pretreatment of a lower endoscopy can be made efficient.

It is a figure which shows the structure of the endoscope work support system which concerns on embodiment of this invention. It is a figure which shows the internal structure of the endoscope operation | work assistance apparatus which concerns on Example 1. FIG. 1 is a diagram illustrating an internal configuration of a portable terminal device according to a first embodiment. 4A to 4C are diagrams illustrating an example of image analysis of an excretion target. 6 is a flowchart illustrating a flow of processing for determining whether or not a patient is in an inspectable state by the endoscope work support apparatus according to the first embodiment. 6 is a diagram illustrating an internal configuration of a portable terminal device according to Embodiment 2. FIG. It is a figure which shows the internal structure of the endoscope operation | work assistance apparatus which concerns on Example 3. FIG. FIGS. 8A to 8B are diagrams illustrating an example of a table holding drug efficacy information stored in the drug efficacy information storage unit and a table holding drug administration information stored in the drug administration information storage unit. It is. 12 is a flowchart illustrating a flow of processing for determining additional administration of anesthesia by the endoscope operation support apparatus according to the third embodiment.

  FIG. 1 is a diagram showing a configuration of an endoscope operation support system 1 according to an embodiment of the present invention. The endoscopic work support system 1 is a system that is installed in the endoscopic department and supports the endoscopic work. The endoscope operation support system 1 includes a plurality of endoscope systems 10a and 10b (hereinafter referred to as “endoscope system 10” unless otherwise distinguished), an endoscope operation support device 30, and a plurality of terminal devices. 40a to 40d (hereinafter referred to as “terminal device 40” unless otherwise specified), which are interconnected by a network 2 such as a LAN.

  In the configuration example shown in FIG. 1, the endoscope system 10 a and the terminal device 40 a are installed in the examination room A, and the endoscope system 10 b and the terminal apparatus 40 b are installed in the examination room B. A terminal device 40c is installed in the nurse station. The access point 3 is connected to the network 2, and the portable terminal device 40 d can be connected to the network 2 via the access point 3.

  The endoscope operation support system 1 can be linked with another system in a medical facility. For example, a gateway device (not shown) is connected to the network 2, and the endoscope work support system 1 can cooperate with an ordering system, an electronic medical record system, a reception system, and the like via this gateway device.

  The endoscope system 10 includes an endoscope scope 11, an endoscope processing device 12, and a display device 13. The endoscope scope 11 is inserted into a patient's body, and the inside of the body is imaged at the timing when the doctor presses the release switch of the endoscope scope 11. The endoscope scope 11 includes a solid-state imaging device (for example, a CCD image sensor, a CMD image sensor, or a CMOS image sensor) and a signal processing circuit. The solid-state imaging device converts incident light into an electrical signal, and the signal processing circuit performs signal processing such as A / D conversion and noise removal on the image data photoelectrically converted by the solid-state imaging device to perform an endoscope processing apparatus. 12 is output.

  The endoscope processing device 12 acquires an image captured by the endoscope scope 11. The endoscope processing device 12 outputs the acquired image to the display device 13 and causes the display device 13 to display the acquired image. It is also possible to display an image being captured in real time. In addition, the endoscope processing device 12 transmits an image acquired from the endoscope scope 11 to the endoscope work support device 30 and files it in a storage unit in the endoscope work support device 30.

  The endoscope operation support apparatus 30 controls the entire endoscope operation support system 1 in an integrated manner. The endoscope work support apparatus 30 is configured by a server, for example. The terminal devices 40a-c are terminal devices used by medical personnel such as doctors and nurses, and are configured by, for example, a PC. The portable terminal device 40d is a terminal device carried by a patient, and includes, for example, a digital camera, a tablet, a smartphone, and a PDA.

  The endoscope operation support apparatus 30 receives endoscope image data transmitted from the endoscope system 10 and accumulates it in a storage unit. In addition, the endoscope work support apparatus 30 executes various application programs related to the endoscope work in accordance with operations from the terminal apparatus 40 connected to the network 2 and supports work performed by the user of the terminal apparatus 40. . For example, an examination report creation support program is executed to assist a doctor in creating an examination report. When a doctor operates the terminal device 40 to input a test report, the endoscopic work support device 30 receives the test report transmitted from the terminal device 40 and stores it in the storage unit.

  FIG. 2 is a diagram illustrating an internal configuration of the endoscope operation support apparatus 30 according to the first embodiment. The endoscope operation support apparatus 30 includes a communication unit 31, a control unit 32, and a storage unit 33. The control unit 32 includes a captured image acquisition unit 321, an examination room information acquisition unit 322, an image analysis unit 323, a determination unit 324, and a determination result notification unit 325. In the present embodiment, in order to pay attention to the image determination function of excrement images, only functions related to the image determination function are depicted as functional blocks of the control unit 32 in FIG.

  The function of the control unit 32 can be realized by cooperation of hardware resources and software resources. Processors, ROM, RAM, and other LSIs can be used as hardware resources. Programs such as operating systems and applications can be used as software resources.

  FIG. 3 is a diagram illustrating an internal configuration of the portable terminal device 40d according to the first embodiment. The portable terminal device 40d includes a communication unit 41, a control unit 42, a storage unit 43, a display unit 44, an operation input unit 45, and an imaging unit 46. The control unit 42 includes an operation reception unit 421, an image acquisition unit 422, a determination request unit 423, and a display control unit 424. In this embodiment, in order to pay attention to the excretion image capturing function, only functions related to the excrement image capturing function are depicted as functional blocks of the control unit 42 in FIG. 3. Hereinafter, it demonstrates more concretely, referring FIG.2 and FIG.3.

  When a patient who orally administers a pretreatment drug (laxative) for lower endoscopy feels constipation, he carries the portable terminal device 40d delivered from the hospital side and goes to the toilet. When the patient defecates in the toilet, the user presses the shutter button of the operation input unit 45 with the subject to be excreted in the toilet as a subject. The object of excretion includes at least one of solids and liquids that existed in the patient's body. When the shutter button of the operation input unit 45 is pressed, the operation accepting unit 421 exposes a solid-state imaging device (for example, a CCD image sensor or a CMOS image sensor) included in the imaging unit 46. The solid-state image sensor converts incident light into an electrical signal. The signal processing circuit included in the imaging unit 46 performs signal processing such as A / D conversion and noise removal on the image data photoelectrically converted by the solid-state imaging device and outputs the processed image data to the control unit 42. In the present embodiment, the imaging unit 46 images the patient's excretion target based on the patient's shutter operation.

  The image acquisition unit 422 acquires a captured image of the excretion object from the imaging unit 46. The determination requesting unit 423 notifies the endoscope operation support apparatus 30 of the image of the subject's excretion target via a wireless network (for example, WiFi (registered trademark)).

  The captured image acquisition unit 321 of the endoscope operation support apparatus 30 acquires a captured image of the excretion target of the patient to whom the pretreatment drug has been administered from the portable terminal device 40d. The image analysis unit 323 analyzes the acquired captured image. For example, the color in the captured image is analyzed.

  4A to 4C are diagrams illustrating an example of image analysis of an excretion target. In this embodiment, marking is provided in the toilet bowl excreted by the patient who has been administered the pretreatment drug. In the example shown in FIGS. 4A to 4C, the four marks 51a to 51d are formed on the dry surface (that is, the inclined surface above the water level of the puddle) so as to surround the puddle portion in the toilet bowl. ing. The four marks 51a-51d are respectively arranged so as to form four vertices of a quadrangle.

  The patient photographs the excrement in the puddle so that the four marks 51a-51d in the toilet bowl fit within the photographing frame. Note that the display control unit 424 of the portable terminal device 40d may display a message such as “Please shoot so that the four marks fit” together with the preview image on the display unit 44. Moreover, you may affix the paper on which such a message was written on the back cover of a wall or a toilet bowl.

  The captured images 50a-50c captured by the patient are transmitted from the portable terminal device 40d to the endoscope work support device 30. The image analysis unit 323 of the endoscope work support apparatus 30 extracts a quadrangular area having four vertices of four marks 51a-51d as reflected in the captured images 50a-50c as analysis areas 52a-52c. The image analysis unit 323 detects color information in the analysis regions 52a-52c. The colors of the analysis areas 52a-52c include the white of the toilet and the color of excrement. The color of the solid contained in the excrement is black, brown or brown.

  The image analysis unit 323 detects the ratio of black, brown, and intermediate color pixels to all the pixels in the analysis regions 52a to 52c. When the ratio exceeds a predetermined ratio, the determination unit 324 determines that a solid is mixed with excrement and a lower endoscopy cannot be performed.

  Moreover, the solid contained in the excrement is distributed in a granular form in the puddle. The image analysis unit 323 detects particles in the analysis regions 52a to 52c by pattern recognition. If the number of detected particles exceeds the set number, the determination unit 324 determines that the excrement is mixed with solids and the lower endoscopy cannot be performed.

  In addition, the excrement when the intestinal tract is in a clean state is not yellow and contains only a yellow transparent liquid. The image analysis unit 323 detects the transparency in the analysis regions 52a-52c. When the detected transparency is lower than the set value, the determination unit 324 determines that the excrement is mixed with solids and the lower endoscopy cannot be performed. The determination unit 324 determines whether or not the intestinal irrigation has been completed by combining one or more of the three determination methods described above. The determination result notification unit 325 notifies the determination result to the portable terminal device 40d.

  When the determination result is NG, the display control unit 424 of the portable terminal device 40d displays a message such as “Intestinal lavage has not been completed yet. Continue to administer laxatives” on the display unit 44. If the determination result is OK, a message such as “Intestinal lavage has been completed” is displayed. In the example of FIGS. 4A to 4C, the determination result of the captured images 50a-50b is NG, and the determination result of the captured image 50c is OK.

  The determination processing described above has low determination accuracy unless the excretion image is accurately captured by the patient. If an image taken by a patient is ineligible for determination, it needs to be taken again. If one of the four marks cannot be detected from the captured image, the image analysis unit 323 determines that the image is unsuitable. Therefore, if the shooting position is shifted and at least one of the marks is out of the shooting frame, it is determined that the mark is not qualified.

  Further, the image analysis unit 323 detects a mark having a size within a set range from the captured image. Therefore, the mark detection failure is also determined when the mark in the captured image is too large due to defocusing, or when the shooting position is too far from the toilet and the mark in the captured image is too small.

  When the determination unit 324 determines that the mark detection has failed, the determination result notification unit 325 notifies the determination result to the portable terminal device 40d. The display control unit 424 of the portable terminal device 40d displays a message such as “Please shoot so that the four marks are positioned at the four corners of the shooting frame” on the display unit 44.

  As described above, the determination unit 324 determines whether or not the patient can perform the lower endoscopy based on the image analysis result of the image analysis unit 323. The determination result notification unit 325 notifies the determination result to the portable terminal device 40d. The determination request unit 423 of the portable terminal device 40d receives a determination result as to whether or not the patient is capable of performing a lower endoscopy from the endoscopic work support apparatus 30. The display control unit 424 causes the display unit 44 to display the determination result received from the endoscope work support apparatus 30.

  The examination room information acquisition unit 322 of the endoscope operation support apparatus 30 acquires information related to the availability of the endoscope examination room. Specifically, based on examination reservation information, examination acceptance information, and examination status information managed by the storage unit 33 or a hospital management system (HIS) (not shown), the vacancy from the present time of each laboratory to the end time of the day Get the status. The determination unit 324 determines whether the patient who has taken the excrement can start the lower endoscopy based on the analysis result of the captured image and the availability of the examination room.

  When the intestinal irrigation has been completed and the endoscopy room is currently empty, the determination unit 324 determines that the lower endoscopy can be started immediately. When the intestinal irrigation has been completed and the endoscopy room is currently empty, the determination unit 324 determines that the lower endoscopy can be started from the time when the endoscopy room is available. When the intestinal irrigation is not completed, the determination unit 324 determines that the lower endoscopy cannot be started.

  The determination result notification unit 325 notifies the determination results to the terminal devices 40a to 40c to be referred to by the medical staff. The portable terminal device 40d to be carried by the patient may be notified to the patient from the nurse without being notified of the portable terminal device 40d, or the portable terminal device 40d may receive the determination result. It may be a mechanism to be notified.

  When there are a plurality of patients, the determination unit 324 extracts a patient who will perform the next examination based on the analysis result of the captured image, examination reservation information, examination acceptance information, and examination status information. The determination result notification unit 325 notifies the terminal devices 40a to 40c to which the medical staff should refer to the patient information and the laboratory information of the patient who will perform the next test. The nurse refers to the information and guides the patient. In addition, you may notify the guidance information based on the said information to the portable terminal device 40d which the patient who performs a test | inspection carries next.

  FIG. 5 is a flowchart illustrating a flow of a process for determining whether or not the patient can be examined by the endoscope work support apparatus 30 according to the first embodiment. The captured image acquisition unit 321 acquires an image of the patient's excrement from the portable terminal device 40d (S10). The determination unit 324 determines whether or not the image is an image that is eligible for analysis (S11). When it is not qualified (N of S11), the determination result notification unit 325 notifies the portable terminal device 40d of guidance information for re-taking (S18). When it is qualified (Y in S11), the image analysis unit 323 analyzes the image of excrement (S12).

  The determination unit 324 determines whether or not the intestinal irrigation has been completed based on the image analysis result (S13). If it is determined that the state has not been completed (N in S13), the process returns to step S10 and waits for the transmission of a new excrement image. When it is determined that the state has been completed (Y in S13), the determination result notifying unit 325 notifies the portable terminal device 40d of the completion of intestinal tract cleaning (S14).

  The examination room information acquisition unit 322 acquires information related to the availability of the examination room (S15). The determination unit 324 determines whether or not the patient can be examined based on whether or not the patient's intestinal irrigation has been completed and whether or not the examination room is empty (S16). . The determination result notification unit 325 notifies the determination result to the terminal devices 40a-40c referred to by the nurse (S17).

  As described above, according to the first embodiment, whether or not the intestinal irrigation of the patient who has been administered the laxative has been completed is determined by image recognition instead of being visually confirmed by a healthcare worker such as a nurse. This can reduce the labor of medical staff. This eliminates the need for nurses to go to the bathroom over and over, and improves work efficiency related to pretreatment for lower endoscopy.

  The timing of nurse work in endoscopy varies depending on the patient's condition. It is difficult for a skilled nurse to reconstruct an optimal business path for each change. For example, when the pretreatment is delayed, the examination start time is also shifted. In addition, it is necessary for medical staff to be able to grasp what is being performed at what timing in order to grasp the status of the endoscopy room and perform the work efficiently.

  According to the first embodiment, it is determined whether or not the examination can be started based on the information related to the intestinal lavage of the patient and the information related to the examination room. This makes it possible to announce and guide information for performing an endoscopic operation efficiently and accurately to a medical staff. In other words, by guiding the patient who is ready for endoscopic examination and the examination room where examination is possible, the work up to the examination can be performed smoothly.

  FIG. 6 is a diagram illustrating an internal configuration of the portable terminal device 40d according to the second embodiment. The control unit 42 according to the second embodiment includes an operation reception unit 421, an image acquisition unit 422, an image analysis unit 425, a determination unit 426, a determination result notification unit 427, and a display control unit 424. The second embodiment is an example in which the functions of the image analysis unit 323 and the determination unit 324 of the endoscope work support apparatus 30 according to the first embodiment are transferred to the portable terminal device 40d.

  The image analysis unit 425 analyzes the captured image captured by the imaging unit 46 and acquired by the image acquisition unit 422. For example, the color in the captured image is analyzed. The determination unit 426 determines whether or not the patient can perform the lower endoscopy based on the image analysis result of the image analysis unit 425. The display control unit 424 causes the display unit 44 to display the determination result. The determination result notification unit 427 notifies the endoscope operation support apparatus 30 of the determination result via a wireless network.

  As described above, according to the second embodiment, the same effects as the first embodiment are obtained. In the second embodiment, the image is recognized by the portable terminal device 40d instead of the endoscope work support device 30, and it is determined whether or not the intestinal irrigation is completed. Therefore, the portable terminal device 40d can be used standalone. In other words, it can be implemented even with a digital camera not equipped with a wireless function. The image taken with the digital camera may be shown to the nurse for final confirmation.

  FIG. 7 is a diagram illustrating an internal configuration of the endoscope operation support apparatus 30 according to the third embodiment. In the third embodiment, the control unit 32 includes a pretreatment information acquisition unit 326, an examination start information acquisition unit 327, an efficacy information acquisition unit 328, and an additional administration guidance unit 329. The storage unit 33 includes a drug efficacy information storage unit 331, a drug administration information storage unit 332, and an examination reservation information storage unit 333. In this embodiment, in order to pay attention to the additional administration guidance function of anesthesia, only functions related to the additional administration guidance function are depicted as functional blocks of the control unit 32 and the storage unit 33 in FIG.

  In Examples 1 and 2, attention was paid to laxative administration as a pretreatment for lower endoscopy, but Example 3 mainly focused on anesthesia administration as a pretreatment for upper endoscopy. Anesthesia is administered not only to patients undergoing upper endoscopy but also to patients undergoing lower endoscopy after intestinal lavage.

  The drug efficacy information storage unit 331 stores efficacy information of a pretreatment drug (in this embodiment, anesthesia). The drug administration information storage unit 332 stores drug administration information in the pretreatment. The examination reservation information storage unit 333 stores examination reservation information for the endoscope department.

  FIGS. 8A to 8B show a table 331 a that stores drug efficacy information stored in the drug efficacy information storage unit 331 and a table 332 a that stores drug administration information stored in the drug administration information storage unit 332. It is a figure which shows an example. The table 331a in FIG. 8A describes the drug name of the drug used in the pretreatment, the administration reference amount, the number of administrations, the time from the administration to the start of the effect, and the duration of the effect. In the table 332a of FIG. 8B, the ID, drug name, and drug effect start time of the patient who has administered the pretreatment drug are described.

  Returning to FIG. The pretreatment information acquisition unit 326 acquires the type of the drug administered to the patient, the dose, and the administration execution time input from the terminal device 40 by the medical staff. The examination start information acquisition unit 327 acquires the scheduled examination time of the patient from the examination reservation information storage unit 333. The efficacy information acquisition unit 328 acquires the efficacy information of anesthesia input to the operation input unit 45 by the medical staff from the terminal device 40. For example, based on the number of blinks of the patient and the response to the call, the medical worker determines the patient's awakening level and inputs the effect information to the operation input unit 45. Alternatively, the degree of arousal may be automatically detected based on the electroencephalogram / VSM to obtain effect information. In addition, the patient himself / herself may input the degree of anesthesia to the operation input unit 45 of the terminal device 40 instead of the medical staff.

  The additional administration guidance unit 329 generates guidance information for additional administration of anesthesia from the type of drug, the dose, the administration time, the effectiveness of the drug, and the scheduled start time of the test. For example, as shown in FIG. 8B, when a patient with patient ID = 0003 is administered drug A at 8:45, the effect start time is 8:50, and the effect lasts from 8:50 to 9:10. It will be time. When the current time is 9:15, the additional administration guidance unit 329 notifies the terminal device 40 of guidance information for instructing additional administration of the medicine A. Even if the current time is within the range of 8:50 to 9:10, if the efficacy of the drug A is reduced, the additional administration guidance unit 329 displays guidance information for instructing the additional administration of the drug A. The device 40 is notified. Since the effectiveness of anesthesia varies from patient to patient, there are some patients who can quickly lose their effects.

  In addition, during the endoscopic examination, the patient may input the pain level from a device that can be input by the patient (for example, a button connected to the terminal device 40). The additional administration guidance unit 329 notifies the terminal device 40 of guidance information instructing additional administration of anesthesia when the patient's pain level is large. Healthcare workers will additionally administer anesthesia by injection based on the guidance information.

  FIG. 9 is a flowchart illustrating a flow of processing for determining additional administration of anesthesia by the endoscope operation support apparatus 30 according to the third embodiment. The pretreatment information acquisition unit 326 acquires the type of anesthesia administered to the patient and the administration start time (S20). The efficacy information acquisition unit 328 acquires the efficacy information of anesthesia (S21). The examination start information acquisition unit 327 acquires the scheduled start time of the endoscopic examination (S22). The additional administration guidance unit 329 predicts the time at which anesthesia will expire based on these pieces of information (S23). The additional administration guidance unit 329 determines whether or not additional administration of anesthesia is necessary based on the time when the anesthesia expires and the current time (S24). When the additional administration is necessary (Y in S24), the terminal device 40 is notified of the guidance for the additional administration (S25). When there is no need for additional administration (N of S24), the process of step S25 is skipped.

  As described above, according to the third embodiment, the patient's pain in the examination can be reduced by notifying the medical staff of appropriate guidance regarding anesthesia administration. In addition, statistics may be taken on the dose of anesthesia and the patient's effectiveness against anesthesia and accumulated as guidance criteria.

  The present invention has been described based on the embodiments. This embodiment is an exemplification, and it will be understood by those skilled in the art that various modifications can be made to combinations of the respective constituent elements and processing processes, and such modifications are also within the scope of the present invention. is there.

  In the first and second embodiments, the example in which the patient images the excrement of the patient with the portable terminal device 40d has been described. In this regard, a fixed point camera for photographing the inside of the toilet bowl may be installed as a terminal device 40 in a private room. A shutter button is installed at a position where the patient can easily press in the individual room, and when the patient presses the shutter button, an image in the toilet is taken and notified to the endoscope operation support apparatus 30. Moreover, it may be excreted in a portable portable tray, the portable toilet may be carried to a place where a fixed point camera is installed, and an image of the patient's excrement may be taken at that place. In this case, the privacy problem of installing a camera in the private room does not occur.

  In the first and second embodiments, the rescheduling unit may be provided in the control unit 32 of the endoscope work support apparatus 30. When a plurality of excrement images are transmitted from the portable terminal devices 40 of a plurality of patients, the image analysis unit 323 analyzes each image. The determination unit 324 specifies the order in which intestinal lavage of a plurality of patients is completed from each analysis result. If the examination reservation order of the plurality of patients and the order in which the intestinal irrigation of the plurality of patients is completed are inconsistent, the rescheduling unit reschedules the examination reservation order in the order that the intestinal irrigation is completed earlier.

  Intestinal lavage may also be performed at the patient's home. In that case, the patient's own smartphone can be used as the portable terminal device 40. The patient downloads a native application that cooperates with the endoscope operation support system 1 from the distribution source of the application via the network, or cooperates with the endoscope operation support system 1 by a browser. When the determination unit 324 determines that intestinal irrigation has been completed based on the excrement image transmitted from the patient's terminal device 40, the rescheduling unit considers the travel time from the patient's home to the medical facility. To determine the examination start time of the patient.

  In some cases, the patient may not observe the dietary restrictions of the previous day. In that case, a lot of solid matter is mixed in the excrement. The determination unit 324 may notify the doctor's terminal device 40 of the excrement image when the number of grains detected from the image exceeds the set number. At that time, it is preferable to notify the number of excretion images. The doctor instructs to change the laxative type, change the examination schedule, etc. based on the information.

  DESCRIPTION OF SYMBOLS 1 Endoscope work support system, 2 Network, 3 Access point, 10 Endoscope system, 11 Endoscope, 12 Endoscope processing apparatus, 13 Display apparatus, 30 Endoscope work support apparatus, 31 Communication part, 32 control unit, 321 captured image acquisition unit, 322 examination room information acquisition unit, 323 image analysis unit, 324 determination unit, 325 determination result notification unit, 326 pretreatment information acquisition unit, 327 examination start information acquisition unit, 328 efficacy information acquisition Unit, 329 additional administration guidance unit, 33 storage unit, 331 drug efficacy information storage unit, 332 drug administration information storage unit, 333 examination reservation information storage unit, 40 terminal device, 40d portable terminal device, 41 communication unit, 42 control unit , 421 operation reception unit, 422 image acquisition unit, 423 determination request unit 424 display control unit, 425 image analysis unit, 426 determination unit, 427 determination result notification unit, 43 storage unit, 44 display unit, 45 operation input unit, 46 imaging unit.

Claims (6)

An image acquisition unit that acquires a captured image of a subject to be excreted in a patient to whom a pretreatment drug for lower endoscopy is administered;
An image analysis unit for analyzing the captured image;
A determination unit that determines whether the patient is capable of performing a lower endoscopy based on an image analysis result; and
A notification unit for notifying the terminal device of the determination result via the network;
An endoscopy operation support apparatus comprising:   The endoscope work support apparatus according to claim 1, wherein the image analysis unit analyzes a color in the captured image. It further includes a laboratory information acquisition unit that acquires information regarding the availability of the endoscopy room,
The determination unit determines whether or not the patient can start a lower endoscopy based on an analysis result of the captured image and an availability of the examination room. Endoscopy operation support device described in 1. A portable terminal device to be carried by the patient,
An imaging unit for imaging the subject of excretion of a patient who has been administered a pretreatment drug for lower endoscopy based on the operation of the patient;
Whether the patient's excretion target image is notified to the endoscopic service support apparatus via a wireless network, and whether or not the patient can perform lower endoscopy from the endoscopic service support apparatus. A determination request unit that receives the determination result of
A display unit for displaying the determination result;
A portable terminal device comprising: A portable terminal device to be carried by the patient,
An imaging unit for imaging the subject of excretion of a patient who has been administered a pretreatment drug for lower endoscopy based on the operation of the patient;
A determination unit that analyzes the captured image of the patient's excretion object and determines whether the patient is capable of performing a lower endoscopy; and
A display unit for displaying the determination result;
A portable terminal device comprising:   The portable terminal device according to claim 5, further comprising a notification unit that notifies the endoscope business device of the determination result via a wireless network.