JP5683176B2 - Notification device and notification program - Google Patents

Description

  The present invention belongs to the technical field of notification devices and notification programs. More specifically, the present invention belongs to the technical field of a notification device that notifies the progress of work performed between two operations in an operating room and a program for the 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 and transport of the operation to the patient, arrangement of doctors and nurses in charge of the operation, sterilization of surgical instruments, Various operations such as preparation or preparation of a hospital room where a patient after surgery should be carried in occur.

  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.

  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 the completed operation of the completed operation and the same operating room next. The point that the preparation status of the scheduled operation is announced to the outside is not considered at all. Therefore, outside the operating room where the operation is being performed, it is not possible to recognize in real time the timing for starting preparation for the next operation in particular, and as a result, the completed operation, the next operation to be performed, etc. There was a problem that the work that should be done in connection with the problem would be hindered.

  More specifically, as the problem, for example, work related to preparation of a hospital room in which a patient who is the subject of a completed operation is accommodated after the operation, preparation work for another operation scheduled after the operation, Predictions such as the assignment of doctors and nurses who perform the other operation, or the judgment of whether or not surgery can be performed on emergency patients, etc. Various obstacles (specifically, unevenness in work efficiency of medical staff, etc.) occurred due to the impossibility. 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.

  Accordingly, the present invention has been made in view of the above problems, and one example of the problem is to accurately and in real time recognize the progress of various operations between operations without requiring manual operation outside the operating room. It is possible to provide a notification device and a program for the notification device that can smoothly perform related work after the operation and before the next operation as a result. In the following, the interval between operations is referred to as “between operations” as appropriate.

In order to solve the above problems, the invention according to claim 1, the end detection means such as a shadowless lamp camera for detecting termination of surgery in the operating room, the end of the surgery is detected by the end detection means A state detection unit that is activated after the completion of the detection , the state detection unit such as a processing unit that detects the state in the operating room after the end is detected , the end of the detected operation, and the detection And a notification means such as a display for notifying the outside of the operating room.

According to the first aspect of the invention, it is detected that the end of the operation is detected by using the state detecting means that is activated after the end of the operation is detected and the end of the operation is detected . It detects the state of the operating room, since the notification respectively to the surgical outdoor, the progress of various operations between the surgery and following surgery, can be recognized accurately and real time without requiring human intervention in the operating room.

In order to solve the above problems, the invention according to claim 2 is the notification device according to claim 1, wherein the end detection means comprises: (I) a surgical light that images the surgical field in the operating room The power switch of the first imaging means such as a camera is turned off, (II) the power switch of the anesthesia apparatus used for the operation is turned off, or (III) the shadow that illuminates the surgical field Detecting at least one of turning off a power switch of a lighting device such as a lamp, and detecting that the operation has been completed in any one of the cases; Or, based on the image captured by the second imaging means such as a ceiling camera that captures the inside of the surgery-related facility including the entrance / exit of the operating room, (i) the drape covering the patient on the operating table of the surgery Moved from the operating table And (ii) that the patient has been moved from above the operating table in the operating room, and (iii) that the trash bin that was in the operating room has been removed from the operating room after the end of the operation has been detected, (Iv) that the machine that was in the operating room at the time of the surgery was unloaded from the operating room after the end was detected, or (v) the machine that was not in the operating room was It is configured to detect at least any one of newly loaded into the operating room after being detected as the state in the operating room after the end is detected .

According to the invention described in claim 2, in addition to the operation of the invention described in claim 1, (I) the power switch of the first imaging means for imaging the surgical field is turned off, (II ) When at least one of the power switch of the anesthesia device is turned off or (III) the power switch of the lighting device that illuminates the surgical field is turned off is detected. Since the operation is detected and notified outside the operating room, the end of the operation can be accurately detected and recognized outside the operating room in each of the cases (I) to (III) .

  Moreover, based on the image imaged by the second imaging means, (i) the drape that covered the patient on the operating table was moved from the position of the operating table, and (ii) the patient operated in the operating room. (Iii) that the trash bin that was in the operating room was removed from the operating room after the end of the operation was detected, and (iv) the machine that was in the operating room at the time of the operation. At least one of being carried out from the operating room after completion was detected, or (v) a machine that was not in the operating room being newly carried into the operating room after completion was detected Is detected as the state in the operating room after the end of the operation is detected and notified outside the operating room. Therefore, in the case of (i) above, the drape has been moved from the position of the operating table, in the case of (ii) above, the patient leaving the operating room after the operation is Indicates that the operation has been completed and the trash box has been carried out of the operating room. In the case of (iv) above, the operation has been completed and the machine has been carried out of the operating room. It is possible to quickly recognize that a new machine that was not in the room has been carried in, outside the operating room.

  In order to solve the above-mentioned problem, the invention according to claim 3 is the notification device according to claim 2, wherein the doctor, the nurse, the engineer, and the doctor, the nurse, and the engineer are involved in the operation. Each of the doctors, the nurses, the technicians, or the workers is wearing a different cap, and the state detection means includes the (i) to (v) and (vi) the first 2) Identifying the doctor, the nurse, the technician, and the worker based on the image of each hat imaged by the imaging means, and after the end is detected, the worker is placed in the operating room. It is configured to detect at least one of having entered as the state.

  According to the invention described in claim 3, in addition to the operation of the invention described in claim 2, doctors involved in surgery and workers other than the doctors wear different caps, respectively (i ) To (v) and (vi) based on the image of each cap imaged by the second imaging means, the operator is identified in the operating room after the end of the operation is detected while the doctor and the operator are identified. At least one of having entered is detected as a state of the operating room after the operation, and is notified outside the operating room. Therefore, when (vi) is detected as the state of the operating room after the end of the operation is detected, it is quickly recognized outside the operating room that the operation has been completed and an operator other than the doctor has entered the operating room. can do.

In order to solve the above-mentioned problem, in the invention according to claim 4 , in the notification device according to claim 3 , the worker is based on the image of the cap imaged by the second imaging means. all, leaving from the operating room, and further comprising a entering and leaving detection means of the processing unit such that the surgical said nurses were not in the room to detect whether or not included on the relevant operating room, the notification means, wherein the worker, leaving all the operating room, and when said nurse is detected that were included on the relevant operating room, and the fact of the entry and exit to notice in the surgical room.

According to the invention described in claim 4 , in addition to the operation of the invention described in claim 3 , all the workers leave the operating room and perform nursing based on the image of the cap imaged by the second imaging means. teacher detects whether included on the relevant operating room, since the notification to that effect to the operation outside, can be recognized in the rapid operation outside the work progresses after surgery.

In order to solve the above-mentioned problem, the invention according to claim 5 is the notification device according to any one of claims 1 to 4 , wherein the notification means includes the end of the detected operation, and The detected state is notified to the outside of the operating room in chronological order.

According to the invention described in claim 5 , in addition to the operation of the invention described in any one of claims 1 to 4 , the operation is completed in chronological order from the end of the operation and the state of the operating room after the operation. Since the notification is made outside the room, the situation of the operating room after the operation can be clearly recognized outside the operating room in real time.
In order to solve the above-described problem, the invention according to claim 6 includes an end detection means such as a surgical light camera for detecting that the operation in the operating room is completed, and the entire floor of the operating room within the imaging range. Floor imaging means including a floor imaging means such as a ceiling camera for outputting an imaging signal corresponding to the floor, and the floor visible from the floor imaging means among the entire floor based on the output imaging signal Based on the floor area detection means such as a processing unit for detecting the area of the patient and the detected area, the progress of the operation in the operation room from the end of the operation in the operation room to the completion of the preparation for the next operation is detected. Progress detection means such as a processing unit; and notification means such as a display for notifying the outside of the operating room of the completion of the detected operation and the detected progress.
According to the sixth aspect of the present invention, the completion of the operation is detected and notified outside the operating room, and the floor visible from the imaging means of the entire operating room floor based on the imaging signal from the floor imaging means. Based on the detected area, the progress of work in the operating room from the end of the operation to the completion of preparation for the next operation is notified to the outside of the operating room. Therefore, the progress of the operation in the operating room from the end of the operation to the completion of preparation for the next operation can be quickly recognized outside the operating room.

In order to solve the above-mentioned problem, the invention described in claim 7 is directed to a computer, wherein the end detection unit, the state detection unit, and the notification in the notification device according to any one of claims 1 to 5 are provided. It functions as a notice control means for controlling the notice in the means.

According to the invention described in claim 7, the computer, since to each function as a completion detecting means and the state detecting means and notifying the control means in the notification apparatus according to any one of claims 1 to 5, surgery and following The progress of various operations during the operation can be recognized accurately and in real time outside the operating room without requiring human intervention.
In order to solve the above problems, an invention according to an eighth aspect provides a computer, the end detection means, the floor area detection means, the progress detection means, and the notification means in the notification device according to claim 6. Each of them functions as a notification control means for controlling the notification in the.
According to the invention described in claim 8, the computer is respectively used as an end detection means, a floor area detection means and a progress detection means in the notification device according to claim 6, and a notice control means for controlling the notice in the notice means. Since it functions, it is possible to quickly recognize the progress of work in the operating room from the end of the operation to the completion of preparation for the next operation outside the operating room.

According to the present invention, the progress of various operations between an operation and the next operation can be recognized accurately and in real time without requiring a manual operation outside the operating room, and as a result, after the operation and before the next operation. It is possible to smoothly perform related work.

It is a block diagram which shows the schematic structure of the work progress display apparatus which concerns on embodiment. It is figure (I) which illustrates the operation | work between operations, (a) is a top view which shows the condition in the operating room immediately after completion | finish of operation, (b) is a figure (i) which illustrates the operation | work content between operations. is there. It is figure (II) which illustrates the work content between operations, (a) is figure (ii) which illustrates the said work content, (b) is figure (iii) which illustrates the said work content. It is figure (III) which illustrates the operation | work between surgery, (a) is a figure (iv) which illustrates the said work content, (b) is a figure (v) which illustrates the said work content. It is figure (IV) which illustrates the operation | work between surgery, (a) is a figure (vi) which illustrates the said work content, (b) is a figure (vii) which illustrates the said work content. It is figure (V) which illustrates the operation | work between surgery, (a) is a figure (viii) which illustrates the said work content, (b) is a figure (ix) which illustrates the said work content. It is a flowchart which shows operation | movement of the work progress display apparatus which concerns on embodiment. It is a figure (I) which shows a display example of progress of work concerning an embodiment, (a) is a figure showing the 1st display example, (b) is a figure showing the 2nd display example, c) is a diagram showing a third display example. It is a figure (II) which shows a display example of work progress concerning an embodiment, (a) is a figure showing the 4th display example, (b) is a figure showing the 5th display example, c) is a diagram showing a sixth display example. It is a figure which shows the example of a display which concerns on a 1st modification. It is a figure which shows operation | movement of the work progress display apparatus which concerns on a 2nd modification.

(I) Embodiment Next, an embodiment of the present invention will be described with reference to FIGS. In the embodiment described below, the progress of work such as tidying up that is set up in a hospital or the like having one or more operating rooms and is performed between the operations in each operating room. It is an embodiment when the present invention is applied to a work progress display device for displaying outside the operating room.

  FIG. 1 is a block diagram illustrating a schematic configuration of a work progress display device according to the embodiment, and FIGS. 2 to 6 are diagrams illustrating work contents performed between operations. FIG. 7 is a flowchart showing the operation of the work progress display device according to the embodiment, and FIGS. 8 and 9 are views showing display examples of the progress of the work.

  As shown in FIG. 1, the work progress display device S according to the embodiment is a tidying work performed between two operations in the operating room OP based on an imaging signal output from a camera that images the operating room OP. In addition, the progress of work such as cleaning work or preparation work for the next operation is displayed in real time on the display 61 or the like. As this camera, as illustrated in FIG. 1, a shadow lamp camera 25 as an example of an end detection means and an example of an operative field imaging means, an entrance / exit camera 29 as an example of an entrance / exit imaging means, and an operating table imaging means There is a ceiling camera 30 as an example of an operating room imaging means and an example of a floor imaging means. The surgical light camera 25 is installed on the side of the surgical light 24 as an example of an illuminating device to be described later, at the central portion thereof, or in the vicinity thereof, and images a surgical operation field and outputs a corresponding imaging signal. The power switch in the surgical light camera 25 can be detected by the processing unit 50 as an example of an off detection unit. The entrance / exit camera 29 is installed at the entrance / exit ceiling portion of the operating room OP, images a person or an object entering or exiting the operating room OP, and outputs a corresponding imaging signal. Furthermore, the ceiling camera 30 is installed in the ceiling part of the operating room OP, images the entire interior of the operating room OP, and outputs a corresponding imaging signal. The ceiling camera 30 may be one that images the entire inside of the operating room OP from two directions as illustrated in FIG. 1, or is installed in the center of the ceiling of the operating room OP or one or a plurality (for example, three). The entire interior of the operating room OP may be imaged with a table or higher). The work progress display device S according to the embodiment, as shown in FIG. 1, includes an interface 40 that receives the imaging signals output from each camera, and necessary image recognition processing using the received imaging signals. The processing unit 50 as an example of a movement detection means, an example of an entrance detection means, an example of an entrance / exit detection means, an example of an exit detection means, an example of an entrance detection means, an example of a floor area detection means, and an example of a progress detection means. For example, the display 61, 66, 71, 76 as an example of notification means installed in the doctor waiting room 60, the nurse waiting room 65, the outpatient ward 70, the patient ward 75, the power management facility 80 for the entire hospital, etc. And 81.

  Next, a surgical machine and the like provided in the operating room OP according to the embodiment will be described with reference to FIG. FIG. 1 is a top plan view illustrating the inside of the operating room OP immediately after the endoscopic operation is completed, and the work progress display device S according to the embodiment is a cleaning operation after the operation in the operating room OP. The progress status is displayed outside the operating room OP.

  As illustrated in FIG. 1, in the operating room OP immediately after the endoscopic operation is completed, the patient P is laid on the operating table 31, and the drape 26 in which only the surgical site is opened is above the patient P. It has been applied to. At the side of the operating table 31, attached tables 27 and 28 for holding the limbs of the patient P are installed. Further, around the operating table 31, suction devices 11 and 22, anesthesia device 12, and a body temperature lowering prevention device 13 for preventing a decrease in the body temperature of the patient P are used as surgical machines used for endoscopic surgery. Incision by sub-monitor 14, trash can 15, instrument table 16 and Mayo table 17, electrocautery device 18, anticoagulant device 19 for preventing vein coagulation after surgery in patient P, and electrocautery device 18 At the same time, an incision coagulation apparatus 20 for coagulating the incision part and simultaneously suturing it for hemostasis of the incision part, an infusion stand 21, and monitors 23 and 32 are installed. Among them, the monitor 23 is a monitor for the surgeon performing endoscopic surgery to confirm the operation content, and the sub-monitor 14 is a monitor for the assistant of the endoscopic operation to confirm the operation content. Furthermore, the monitor 32 is a monitor used for displaying data such as an electrocardiogram and a pulse. Further, in the operating room OP, there is a surgical light 24 provided with the surgical light camera 25, a gauze count area 33 in which equipment for counting the number of gauze used in the operation after the operation, and a material shelf. 10 are provided. A so-called electronic medical chart input / output device may be added as a surgical machine. Furthermore, in the operating room OP, three doctors D including a surgeon, an anesthesiologist T, a clinical engineering engineer N3, a so-called instrument nurse N1, and so-called nurses, who are involved in the endoscopic surgery. An outside nurse N2 is in each arrangement.

  Next, a series of work contents such as a tidying work, a cleaning work, or a preparation work according to the embodiment will be specifically described with reference to FIGS. 2 to 6 using the case illustrated in FIG. These tidying operations and the like are operations performed in the operating room OP after the completion of the operation illustrated in FIG. 1 until the preparation for the next operation is completed. 2 to 6, only the state in the operating room OP in the cleaning operation or the like is shown, and the interface 40, the processing unit 50, etc. outside the operating room OP are not shown.

  First, FIG. 2A illustrates a plan view in the operating room OP immediately after the endoscopic operation illustrated in FIG. 1 is completed, and the state in the operating room OP is the operating room OP illustrated in FIG. Same as inside. In FIG. 2 (a), workers C1 and C2 who have received a display indicating that the endoscopic operation has been completed by a display operation of an embodiment described later are waiting outside the operating room OP. These workers C1 and C2 are workers who perform cleaning in the operating room OP after surgery, rearrangement of surgical machines, and the like, separately from the doctor D directly related to the surgery. Next, as illustrated in FIG. 2B, the Mayo table 17 arranged on the patient P in order to allow the patient P after the operation to leave the operating room OP from the state illustrated in FIG. 2 is moved to the left in FIG. 2B to remove the drape 26 from above the patient P and discard it. Next, as illustrated in FIG. 3A, the patient P is removed from the operating room OP from the state illustrated in FIG. 2B, and the workers C1 and C2 enter the operating room OP and clean up. Etc. start. That is, as shown in FIG. 3B, the workers C1 and C2 first remove the attachment tables 27 and 28 installed on the side of the operating table 31 to other positions in the operating room OP (FIG. 3B). In the case illustrated in FIG. 3B, the position moves to the upper left corner in FIG. Thereafter, the instrument table 16 and the Mayo table 17 are carried out of the operating room OP as illustrated in FIG. 4A, and the trash box 15 containing waste is further moved out of the operating room OP as illustrated in FIG. 4B. To be taken out. Thereafter, the workers C1 and C2 perform cleaning work such as floor cleaning in the operating room OP, and further, the anesthesia apparatus 12, the body temperature lowering prevention apparatus 13, the electric scalpel apparatus 18, the coagulation prevention apparatus 19, the incision coagulation apparatus 20, and the infusion table. The cords and tubes used in 21 and the suction device 22 are arranged. Next, as shown in FIG. 5A, the workers C1 and C2 are surgical instruments that are not necessary for the next operation (in the case illustrated in FIG. 5A, the sub-monitor 14, the incision coagulation device 20, and the attachment). The table 27 and the monitor 32) are carried out of the operating room OP, and then the operating table 31 and the like are rearranged for the next operation as illustrated in FIG. 5B. Finally, as shown in FIG. 6A, the workers C1 and C2 bring the instrument table 16 and the Mayo table 17 into the operating room OP again, and replenish materials necessary for the next operation. Starting from 10. Thereafter, the workers C1 and C2 go out of the operating room OP, and instead, a new patient P 'enters the operating room OP, and nurses N1 and N2, anesthesiologist T and the like are placed. In general, it may be very difficult to recognize the timing at which this new patient P ′ enters the operating room OP outside the operating room OP, and the progress of the clean-up work in the operating room OP after the operation is progressing. This problem can be solved if it can be recognized sequentially over time outside the OP. In this sense, the present invention is very useful. In the state illustrated in FIG. 6B, preparation for the next operation (in the case of FIG. 6B, a laparotomy) is completed. 2 to 6 are captured by the entrance / exit camera 29 and the ceiling camera 30, and corresponding image signals are output to the processing unit 50, respectively. Further, in the image recognition of the state in the operating room OP using the imaging signal, the identification of the doctor D, the anesthesiologist T, the nurses N1 and N2, the clinical engineer N3, and the workers C1 and C2 is different, for example. This is made possible by wearing a color surgical hat and identifying the color on image recognition.

  Next, a work progress display operation according to the embodiment, which is executed mainly by the processing unit 50, will be described in detail with reference to FIGS.

  In the work progress display device S according to the embodiment, on / off of the power switch in the surgical light camera 25 can be detected by the processing unit 50 as described above, and further imaging from the entrance camera 29 and the ceiling camera 30 is possible. Each signal is output to the processing unit 50. Thus, the processing unit 50 recognizes a characteristic image based on each imaging signal in order to grasp the progress of the operation between the operation of the surgical light camera 25 and the operation, and based on these, the operation Is visually displayed on each display 61 or the like.

  That is, as shown in FIG. 7, the processing unit 50 detects that the power switch of the surgical light camera 25 is turned off while the previous operation is being performed in the operating room OP. It is monitored whether or not it has been detected that the endoscopic operation that has been performed before the cleanup operation in the case illustrated in FIGS. 2 to 6 is completed (step S1). If the power switch of the surgical light camera 25 is not confirmed to be off in the monitoring in step S1 (step S1; NO), the processing unit 50 continues the monitoring operation as in step S1. On the other hand, when it is confirmed that the power switch of the surgical light camera 25 is turned off in the monitoring in step S1 (step S1; YES), the processing unit 50 determines that the operation has been completed, and displays 61, 66, 71 to that effect. , 76 and 81 (step S2), and the operation proceeds to step S5 described later. The display mode on the display 61 and the like at this time will be exemplified later with reference to FIG.

  After displaying the end of the operation in the operating room OP (step S2), the processing unit 50 next determines whether the patient P who has completed the operation has left the operating room OP based on the imaging signals from the ceiling camera 30 and the entrance / exit camera 29. It is determined whether or not the patient P has been moved from the operating table 31 (step S3; see FIGS. 2B and 3A). When it is not determined in step S3 that the patient P has left the room (step S3; NO), the processing unit 50 continues the display operation as step S2. On the other hand, when it is determined in step S3 that the patient P has left the room (step S3; YES), the processing unit 50 displays on the displays 61, 66, 71, 76 and 81 that the room has been left (step S4). The operation proceeds to steps S5 to S9 described later. The display mode on the display 61 and the like at this time will be exemplified later with reference to FIG.

  After displaying the patient leaving the operating room OP (step S4), the processing unit 50 performs operations in steps S5 and S6, operations in steps S7 and S8, and operations in steps S9 and S10, which will be described later, simultaneously. To start. Here, as an example, in a cleanup operation between normal operations, a cleaning operation in the operating room OP (corresponding to steps S5 and S6) → a waste carry-out operation (corresponding to steps S7 and S8) → used surgery The work may progress in the order of machine unloading work (corresponding to steps S9 and S10).

  After displaying the exit of the patient P (step S4), the processing unit 50, based on the imaging signals from the ceiling camera 30 and the entrance / exit camera 29, allows the workers C1 and C2 to replace the patient P and the doctor D with the operating room OP. By detecting that it has entered, it is determined whether or not cleaning of the operating room OP has been started (step S5, see FIG. 3B). When it is not detected in step S5 that the workers C1 and C2 have entered the operating room OP, the processing unit 50 determines that cleaning of the operating room OP has not yet started (step S5; NO), and step S4 is performed as it is. The display operation as is continued. On the other hand, when entry of the workers C1 and C2 into the operating room OP is detected in the determination in step S5, the processing unit 50 determines that cleaning of the operating room OP has started (step S5; YES), and has started. A message to the effect is displayed on the displays 61, 66, 71, 76 and 81 (step S6), and the operation proceeds to step S11 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, in parallel with the operations in steps S5 and S6, the processing unit 50 determines whether waste has been carried out of the operating room OP together with the trash can 15 based on the imaging signals from the ceiling camera 30 and the entrance / exit camera 29. (Step S7; see FIGS. 4A and 4B). When the discharge of the waste out of the operating room OP is not detected in the determination in step S7 (step S7; NO), the processing unit 50 continues the display operation as step S4 as it is. On the other hand, when the discharge of the waste outside the operating room OP is detected in the determination in step S7 (step S7; YES), the processing unit 50 indicates on the display 61, 66, 71, 76 and 81 that the discharge has been carried out. (Step S8), and the operation proceeds to Step S11 described later. The display mode on the display 61 and the like at this time will be exemplified later with reference to FIG.

  Further, in parallel with the operations of steps S5 and S6 and S7 and S8, the processing unit 50 determines that the surgical machine used in the previous operation is out of the operating room OP based on the imaging signals from the ceiling camera 30 and the entrance / exit camera 29. (Step S9; refer to FIG. 4 (b) and FIG. 5 (a)). When it is not determined in step S9 that the surgical machine is carried out of the operating room OP (step S9; NO), the processing unit 50 continues the display operation as step S4. On the other hand, when it is determined in step S9 that the surgical machine has been carried out to the operating room OP (step S9; YES), the processing unit 50 indicates on the display 61, 66, 71, 76 and 81 that it has been carried out. (Step S10), and the operation proceeds to Step S11 described later. The display mode on the display 61 and the like at this time will be exemplified later with reference to FIG.

  Next, the processing unit 50 determines whether or not a surgical machine to be used for the next operation has been carried into the operating room OP based on the imaging signals from the ceiling camera 30 and the entrance / exit camera 29 (step S11). FIG. 5B and FIG. 6A). When it is not determined in step S11 that a new surgical machine is carried into the operating room OP (step S11; NO), the processing unit 50 shifts to the operation in any of steps S5, S7, or S9. On the other hand, when it is determined in step S11 that a new surgical machine has been carried into the operating room OP (step S11; YES), the processing unit 50 indicates that it has been carried in the displays 61, 66, 71, 76. And 81 (step S12), and the operation proceeds to step S13 described later. The display mode on the display 61 and the like at this time will be exemplified later with reference to FIG.

  Next, the processing unit 50 checks whether or not the main power of the work progress display device S is turned off (step S13). Thereby, when it is not confirmed that the main power supply is turned off (step S13; NO), the processing unit 50 returns to step S12 and continues the display operation on the display 61 or the like. On the other hand, when it is confirmed in step S13 that the main power supply of the operating room OP is turned off (step S13; YES), the processing unit 50 ends the display operation according to the embodiment.

  Next, the display mode of the display 61 and the like in the above steps S2, S4, S6, S8, 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. 8A. An operating room number display field 101 for displaying the operating room number, an end display field 102 for displaying that the previous operation in the operating room OP has been completed, a time display field 103 for displaying the current time, and the above steps A progress display screen 100 including a progress display column 104 for displaying the progress of work related to S2, S4, S6, S8, S10 and S12 is displayed.

  At this time, in the progress display column 104, for example, work categories (“patient leaving”, “cleaning”, “waste carrying out”, “machine carrying out” and “machine moving” in the progress of the tidying work illustrated in FIGS. "Import" category) is also displayed. The “patient leaving” display is a display corresponding to steps S3 and S4 in FIG. 7, and the “cleaning” display is a display corresponding to steps S5 and S6 in FIG. Further, the display of “waste removal” is a display corresponding to steps S7 and S8 in FIG. 7, and the display of “machine discharge” is a display corresponding to steps S9 and S10 in FIG. Further, the display of “machine load” is a display corresponding to steps S11 and S12 of FIG.

  As a display mode corresponding to the above step S2, specifically, as shown in FIG. 8A, the characters “end of surgery” in the end display column 102 are lit or highlighted.

  Next, as a display mode corresponding to step S4, specifically, as illustrated in FIG. 8B, a progress display 105 (so-called progress bar) up to the range of the “patient leaving” section in the progress display column 104 is displayed. Is displayed. As the progress display 105, for example, the display in the progress display column 104 is started from the timing when the determination of the above step 3 is “YES”, and then the timing until the determination of the above step S5 is “YES”. It is displayed so as to gradually extend in the right direction in FIG. In this case, for example, the speed of change of the progress display 105 can be controlled to be a speed set in advance based on statistics of time taken from the start of patient leaving to the start of cleaning in the past example. it can.

  Further, as a display mode corresponding to step S6, specifically, a progress display 105 from the left end of the progress display column 104 to the range of the “cleaning” section is displayed as illustrated in FIG. As the progress display 105, the progress display 105 displayed up to the entire range of the “patient leaving” section is, for example, that the determination in step S7 is “YES” from the timing when the determination in step 5 is “YES”. The display is gradually extended to the right in FIG. The speed of change of the progress display 105 in this case may be display-controlled so as to be a speed set in advance based on, for example, statistics of the time required from the start of cleaning to the removal of waste in the past example. it can.

  Next, as a display mode corresponding to the above step S8, specifically, as shown in FIG. 9A, a progress display 105 from the left end of the progress display column 104 to the range of the “waste removal” category is displayed. The As the progress display 105, the progress display 105 displayed up to the entire range of the “cleaning” category is, for example, that the determination in step S 9 is “YES” from the timing when the determination in step 7 is “YES”. Until it reaches a predetermined timing, it is displayed so as to gradually extend in the right direction in FIG. In this case, for example, the speed of change of the progress display 105 is set to a speed set in advance based on statistics of the time required from the start of the discharge of waste in the past example to the transfer of the used surgical machine. The display can be controlled.

  Furthermore, as a display mode corresponding to the above step S10, specifically, a progress display 105 from the left end of the progress display column 104 to the range of the “machine removal” section is displayed as illustrated in FIG. 9B. The As the progress display 105, the progress display 105 displayed up to the entire range of the “waste carry-out” category is, for example, the determination in step S 11 is “YES” from the timing when the determination in step 9 is “YES”. Until the timing is reached, it is displayed so as to gradually extend in the right direction in FIG. The speed of change of the progress display 105 in this case is, for example, a speed set in advance based on statistics of the time taken from the start of carrying out used surgical machines to the loading of new surgical machines in the past example. The display can be controlled so that

  Finally, as a display mode corresponding to the above step S12, specifically, as shown in FIG. 9C, a progress display 105 from the left end of the progress display column 104 to the range of the “machine loading” section is displayed. . As the progress display 105, the progress display 105 displayed up to the entire range of the “machine unloading” section, for example, gradually extends to the right in FIG. 8 after the timing at which the determination in step 11 is “YES”. Is displayed. The speed of change of the progress display 105 in this case is determined in advance based on, for example, statistics of the time required from the start of delivery of a new surgical machine in the past example until the new patient P ′ enters the operating room OP. Display control can be performed so as to achieve a set speed.

  As described above, according to the operation of the work progress display device S according to the embodiment, the completion of the operation and the state in the operation room OP after the operation are detected and displayed outside the operation room OP, respectively. The progress of various operations during the operation can be recognized accurately and in real time without requiring manual operation outside the operating room OP. In the embodiment, the present invention is applied to the operating room OP in which another operation is scheduled next, but in addition to this, an operating room (or another operation in which another operation is not scheduled) is performed. The present invention can also be applied to a case where the progress of a tidying work in an operating room (for example, several hours until the start) is displayed outside the operating room. In the flowchart of FIG. 7 in this case, the two operations of steps S11 and S12 of FIG. 7 are unnecessary, and only the other operations are sufficient.

  Further, when the power switch of the surgical light camera 25 is turned off, it is detected and displayed that the operation is completed, so that the operation can be accurately detected and displayed.

  Furthermore, it is detected whether or not the patient P has been moved from the operating table 31 based on the imaging signals from the entrance / exit camera 29 and the ceiling camera 30, and the fact that the patient P has been moved is displayed outside the operating room OP. The exit of the completed patient P from the operating room OP can be quickly recognized outside the operating room OP.

  Furthermore, it is detected whether or not the workers C1 and C2 who clean the operating room OP have entered the operating room OP based on the imaging signals from the entrance / exit camera 29 and the ceiling camera 30, and to that effect outside the operating room OP. Since it is displayed, it is possible to quickly recognize outside the operating room OP that the operation has ended and the workers C1 and C2 have entered the operating room OP.

  Moreover, since it detects whether the used surgical machine was carried out from the operating room OP based on the imaging signals from the entrance / exit camera 29 and the ceiling camera 30, the fact that it was carried out is displayed outside the operating room OP. It is possible to quickly recognize outside the operating room OP that the operation has been completed and the used surgical machine has been carried out of the operating room OP.

  Further, it is detected whether or not the waste has been carried out from the operating room OP based on the imaging signals from the entrance / exit camera 29 and the ceiling camera 30, and the fact is displayed outside the operating room OP. It can be quickly recognized outside the operating room OP that an object has been carried out of the operating room OP.

  Further, based on the imaging signals from the entrance / exit camera 29 and the ceiling camera 30, it is detected whether or not a surgical machine used for the next operation is carried into the operating room OP, and this is indicated outside the operating room OP. Therefore, it is possible to quickly recognize outside the operating room OP that the surgical machine used for the next operation has been carried in.

  In the above-described embodiment, the end of the operation is detected by detecting that the power switch of the surgical light camera 25 is turned off. In addition, for example, the power switch of the anesthesia apparatus 12 is turned off. It can also be configured to detect the end of the surgery by detecting either that the operation switch has been turned off or that the power switch of the surgical light 24 itself has been turned off. Also with these configurations, it is possible to accurately detect and display the end of surgery.

  Furthermore, in addition to the work classification of the embodiment, all of the workers C1 and C2 leave the operating room OP based on the imaging signal from the entrance / exit camera 29, and the nurse who is entrusted to the next operation receives the operating room OP. It can also be configured to detect whether or not a new entry has been made and display that fact outside the operating room OP. Also with this configuration, it is possible to quickly recognize the progress of work after surgery outside the operating room OP. Here, in general, the timing at which the nurse who is in charge of the next operation enters the operating room OP and the timing at which a new patient P 'enters the operating room OP are generally closely related. Therefore, if the progress of the cleaning operation in the operation room OP after the operation can be sequentially recognized outside the operation room OP according to the present invention, the timing of entering the new patient P ′ into the operation room OP and the corresponding entry It is possible to recognize the timing of preparations for nurses and the like to be prepared in advance and to make preparations without waste.

  In the display mode described with reference to FIGS. 8 and 9 in the embodiment, between the “patient leaving” section and the “machine loading” section, the “cleaning” section → the “waste transporting” section → the “machine unloading” section. The order of work divisions was fixed like divisions. On the other hand, when the start of the “cleaning” category, the “waste carrying out” category, and the “machine carrying out” category are detected in steps S5, S7 or S9 in FIG. 7, the categories detected in the order of detection are detected. The display may be performed on the display 61 or the like. More specifically, for example, normally, nothing is displayed between the “patient leaving” section and the “machine loading” section in the display on the display 61 or the like. In FIG. 7, if each start is detected in the order of “Machine unloading” → “Waste unloading” → “Cleaning”, the “Patient leaving” section and the “Machine leaving” section on the display 61 etc. 8 or 9, from the left in Fig. 8 or Fig. 9, in the order of "Machine Unloading" → "Waste Unloading" → "Cleaning", in that order (as each start is detected) The contents of the work division are displayed, and the progress of the work in the operating room OP is displayed.

(II) Modified Embodiment Next, a modified embodiment of the present invention will be described with reference to FIGS. In the work progress display device according to each modification, the same components as those in the work progress display device S according to the embodiment are denoted by the same member numbers, and detailed description thereof is omitted.

(A) First Modification First, a first modification will be described with reference to FIG.

  In the above-described embodiment, the progress display 105 (progress bar) illustrated in FIGS. 8 and 9 is used as the display mode of the work progress in the operating room OP. However, other than this, for example, as illustrated in FIG. An individual display method can also be used.

  That is, in FIG. 10, in addition to the operating room number display field 200 for displaying the operating room number similar to the operating room number display field 101 on the display 61 and the like, the operation completion displays 201 and 203 for each operation category and 205 and work stage completion displays 202, 204, and 206 for each work stage including a plurality of work sections are included. In the example shown in FIG. 10, a work completion display 201 is provided for each of the “end of surgery” section, “drape removal” section, and “patient leaving” section belonging to the cleanup work stage. A work stage completion display 202 is provided for displaying that when all of the tidying work stages including these three work sections have been completed. Similarly, a work completion display 203 is provided for each of the “machine unloading”, “cleaning”, and “waste unloading” categories that belong to the cleaning operation stage. A work stage completion display 204 is provided for displaying when the cleaning work stage including these three work sections has been completed. Further, a work completion display 205 is provided for each of the “Machine loading”, “Operating table setting”, and “Patient entry” categories that belong to the preparation work stage. A work stage completion display 206 is provided for displaying that when all the preparatory work stages including these three work sections have been completed.

  At this time, the work completion display 201 corresponding to the “surgery end” category is controlled so as to change from, for example, an unlit state to a lit state by the display operation in step S2 of FIG. Similarly, the work completion display 201 corresponding to the “patient leaving” section is displayed by the display operation in step S4 in FIG. 7, and the work completion display 203 corresponding to the “machine removal” section is displayed by the display operation in step S10 in FIG. The work completion display 203 corresponding to the “Section” corresponds to the “Machine loading” section by the display operation of Step S6 in FIG. The work completion display 205 is controlled so as to change, for example, from an unlit state to a lit state by the display operation in step S12 of FIG. Note that the “drape removal” category and the “operating table setting” category illustrated in FIG. 10 are not display targets in the display operation according to the embodiment. However, in these cases, the drape 26 has been removed by the image recognition processing in the processing unit 50 based on the imaging signals from the surgical light camera 25, the entrance / exit camera 29, and the ceiling camera 30, respectively (see FIG. 2). At the timing when it is detected that the position of the operating table 31 has been changed (see FIG. 5), the corresponding work completion display 201 or 205 is controlled so as to change from an unlit state to a lit state, for example. Further, for the “patient entry” section illustrated in FIG. 10, the patient P ′ entered the operating room OP by the image recognition processing in the processing unit 50 based on the imaging signals from the entrance camera 29 and the ceiling camera 30 of the embodiment. At the timing when this is detected (see FIG. 6B), the corresponding work completion display 205 is controlled so as to change from the unlit state to the lit state, for example. In the case illustrated in FIG. 10, it is displayed that all the operations of the “surgery end” category, “drape removal” category, and “patient leaving” category belonging to the cleanup operation phase are completed and the entire cleanup operation phase is completed, It is displayed that the operations of the “cleaning” category and the “waste removal” category belonging to the cleaning operation stage have been completed, and that the operation of the “machine loading” category belonging to the preparatory operation phase has been completed. Here, in the case illustrated in FIG. 10, the new surgical machine is carried in before the used surgical machine is carried out.

  Even if the display mode illustrated in FIG. 10 described above is used, the same operational effects as those of the work progress display device S according to the embodiment can be obtained.

(B) Second Modification Next, a second modification will be described with reference to FIG.

  In the above-described embodiment and the first modification, the state of the doctor D and the worker C1 entering and exiting the operating room OP, the state of the operating machine in the operating room OP, and the like from the entrance camera 29 and the ceiling camera 30. It detected by the image recognition based on the imaging signal of, and based on this, the progress of the operation | work between surgery was displayed. On the other hand, the progress of the work between operations is mainly performed by imaging the entire floor of the operating room OP using one or more ceiling cameras 30 and detecting the floor area visible from the ceiling camera 30. It can also be configured to detect.

  More specifically, in general, personnel such as a doctor D and various surgical machines are present in the operating room OP during the operation. Therefore, the area of the floor portion that can be imaged by the ceiling camera 30 is determined as follows. This is narrower than when doctor D or the like does not exist in the operating room OP. In the following description, the area of the floor portion that can be imaged by the ceiling camera 30, in other words, the area of the floor portion that is exposed when viewed from the position of the ceiling camera 30 is referred to as “exposed floor area”. Further, in the process in which one operation is completed and the subsequent cleaning operation, the unloading operation of the operation machine, the cleaning operation, the transfer operation of a new operation machine, and the like are performed, exposure is performed as illustrated in FIG. The floor area increases as soon as the doctor D or the like leaves the operating room OP immediately after the operation is completed and the used surgical machine is carried out of the operating room OP. Then, the exposed floor area becomes the maximum value when unloading from a part or all of the used operating machine OP is completed, and then exposed according to the loading of a new operating machine and the entry of a new doctor D, etc. The floor area is expected to decrease. That is, the timing at which the exposed floor area becomes maximum can be recognized as the timing at which the previous operation and the next operation in the operating room are switched.

  Therefore, the processing unit 50 according to the second modification calculates the exposed floor area based on an imaging signal corresponding to the floor image captured by the ceiling camera 30 and performs an operation interval based on the change along the time axis. The progress of the operation is displayed outside the operating room OP. Specifically, a general exposed floor area between operations in a certain operating room OP is statistically calculated in advance, and the change along the time axis and the division of work between operations are shown in FIG. Corresponding as illustrated, data indicating it is stored in a nonvolatile manner in a memory (not shown) in the processing unit 50. In performing an actual operation between operations, the processing unit 50 compares the data stored in the memory with the exposed floor area calculated based on the imaging signal actually output from the ceiling camera 30. Based on the comparison result, the work categories being executed at that time are sequentially displayed outside the operating room OP. The specific display mode in this case may be either the display mode according to the embodiment illustrated in FIGS. 8 and 9 or the display mode according to the first modification illustrated in FIG.

  According to the operation of the work progress display device S according to the second modification described above, the exposed floor area of the floor of the operating room OP is detected based on the imaging signal from the ceiling camera 30, and the detected exposure is detected. Since the progress of the work in the operating room OP is notified outside the operating room OP based on the floor area, the progress of the work in the operating room OP from the end of the operation to the completion of the preparation for the next operation is quickly performed outside the operating room OP. Can be recognized.

  In addition, in addition to or instead of the display as shown in the embodiment and each modification, a notification of the progress of the work according to the embodiment and each modification, for example, a necessary department in the hospital (the above doctor standby) You may carry out with the sound with respect to the room 60 grade | etc.,.

  In the above-described embodiments, the display contents for the doctor waiting room 60 and the like are all the same, but besides this, the doctor waiting room 60, the nurse waiting room 65, the outpatient ward 70, the patient ward 75, or the power management You may make it vary the detail degree or the timing of a change of the display mode between facilities 80. FIG. 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.

  A program corresponding to the flowchart shown in FIG. 7 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 work progress display 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.

DESCRIPTION OF SYMBOLS 10 Material shelf 11,22 Suction device 12 Anesthesia device 13 Body temperature fall prevention device 14 Sub monitor 15 Trash box 16 Instrument table 17 Mayo table 18 Electric knife device 19 Coagulation prevention device 20 Incision coagulation device 21 Drip table 23, 32 Monitor 24 Shadow light 25 Surgical light camera 26 Drape 27, 28 Attached table 29 Entrance / exit camera 30 Ceiling camera 31 Operating table 33 Gauze count area 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, 200 Operating room number display field 102 End display field 103 Time display field 104 Progress display field 105 Progress display 201, 203, 205 Work completion display 202, 204, 206 Work Stage complete Completion display S Work progress display device OP Operating room P, P 'Patient D Doctor T Anesthesiologist N1, N2 Nurse N3 Clinical engineering engineer

Claims (8)

And end detecting means for detecting the termination of surgery in the operating room,
A state detection unit that is activated after the end of the operation is detected by the end detection unit, and a state detection unit that detects a state in the operating room after the end is detected ;
Notification means for notifying the outside of the operating room of the end of the detected operation and the detected state;
A notification device comprising: The notification device according to claim 1,
The end detection means includes
(I) that the power switch of the first imaging means for imaging the surgical field in the operating room is turned off;
(II) the power switch of the anesthesia apparatus used for the surgery is turned off, or
(III) The power switch of the lighting device illuminating the operative field was turned off,
Detecting at least one of the above, and detecting that the operation is completed in any one of the cases,
The state detection unit is based on an image captured by the second imaging unit that captures the inside of the surgery-related facility including the operating room or the entrance / exit of the operating room.
(I) that the drape covering the patient on the operating table of the operation has been moved from the position of the operating table;
(Ii) the patient has been moved from the operating table in the operating room;
(Iii) that the trash box in the operating room was removed from the operating room after the end of the operation was detected,
(Iv) the machine that was in the operating room at the time of the operation was removed from the operating room after the end was detected, or
(V) a machine that was not in the operating room was newly brought into the operating room after the end was detected;
Detecting at least one of the states in the operating room after the end is detected,
A notification device characterized by that. The notification device according to claim 2 ,
The doctors, nurses, and technicians involved in the surgery, and workers other than the doctors, the nurses, and the technicians are wearing different hats for the doctors, the nurses, the technicians, or the workers,
The state detection means includes
(I) to (v) and
(Vi) identifying the doctor, the nurse, the technician, and the worker based on the image of each cap imaged by the second imaging means, and detecting the end after detecting the end Entered the operating room,
A notification device that detects at least one of the states as the state . The notification device according to claim 3 ,
Whether all of the workers have left the operating room and the nurse who has not been in the operating room has entered the operating room based on the image of the cap imaged by the second imaging means It further includes an entry / exit detection means for detecting
The notification means, when it is detected that all the workers have left the operating room and the nurse has entered the operating room, notifies the outside of the operating room that the entrance has been made. Announcement device. In the notification device according to any one of claims 1 to 4,
The notification unit is configured to notify the outside of the operating room of the completion of the detected operation and the detected state in time series . End detection means for detecting the completion of surgery in the operating room;
Floor imaging means including the entire floor of the operating room in the imaging range, and floor imaging means for outputting an imaging signal corresponding to the floor;
Floor area detection means for detecting the area of the floor visible from the floor imaging means of the entire floor based on the output imaging signal;
Based on the detected area, progress detection means for detecting the progress of the operation in the operating room from the end of the operation in the operating room to the completion of preparation for the next operation;
Notification means for notifying the outside of the operating room of the completion of the detected operation and the detected progress;
Annunciator, characterized in that it comprises a. A computer is caused to function as the end detection unit and the state detection unit in the notification device according to any one of claims 1 to 5, and a notification control unit that controls a notification in the notification unit. An announcement program to do . The computer is caused to function as the end detection means, the floor area detection means and the progress detection means in the notification device according to claim 6, and a notification control means for controlling notification in the notification means, respectively. tell knowledge for the program.

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