JP5828011B2 - Surgery progress notification device and surgery progress notification program - Google Patents

Description

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

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

  In general, when performing a single operation, the incidental operations include, for example, preparation 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 notifies the progress of the operation actually performed to the outside. The point to do is not considered at all. For this reason, the actual progress of the operation cannot be recognized in real time outside the operating room where the operation is being performed, and as a result, the work that should be performed in association with the operation is hindered. It was.

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

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

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

In order to solve the above problems, the invention according to claim 1, in a plurality of machines the period in which the machine is used and a plurality of machines to be used in surgery in the surgery is predetermined the change in Kassatsu state of the power switch, and detection means of the processing unit for detecting each said each machine, a change in the Kassatsu condition detected for each said machine, in real time in parallel with the progress of the surgery, Notification means such as a display for displaying outside the operating room where the surgery is being performed, and the notification means includes a use period during which each of the machines is used during the surgery in which a plurality of the machines are used, and using timing, in time series for each said each machine, and displayed in real time and the list display manner for a plurality of said machine, further wherein the notification unit, in the surgical ongoing the hand When that end time of lags scheduled end time is detected based on the change of the detection by said Kassatsu state, to display a warning display corresponding to and currently scheduled end time indicates that the delayed It is configured.

Therefore, a change in Kassatsu state of the power switch in the plurality of machines periods are Oite used surgery is predetermined detected per each such machine, the change of the detected Kassatsu state, the progress of the surgery In parallel with the display in real time outside the operating room . At this time, the use period and the use timing in which each machine is used in the operation are displayed in a time-series manner for each of the machines and in a list display for a plurality of machines in real time. Therefore, the progress of operation currently in progress, in the operating outdoors, that can be recognized in real time in parallel with the progress of the surgery accurately and without requiring human intervention, smoothly that the related services after the surgery Can do. In addition, when it is detected that the end time is delayed from the scheduled end time in the ongoing surgery, the delay is indicated and a warning display corresponding to the current scheduled end time is displayed. Can be recognized.

In order to solve the above problems, the invention according to claim 2, in a plurality of machines the period in which the machine is used and a plurality of machines to be used in surgery in the surgery is predetermined the change in Kassatsu state of the power switch, and detection means of the processing unit for detecting each said each machine, a change in the Kassatsu condition detected for each said machine, in real time in parallel with the progress of the surgery, Notification means such as a display for notifying outside the operating room where the surgery is being performed, and the notification means includes a period of use during which each machine is used during the operation in which a plurality of the machines are used, and the use timing, the time-sequentially for each machine, and displays the list display to and in real-time for a plurality of said machine, further, a plurality performed at different times in one of the operating room When scheduled time period of the serial operation is changed, the notification means is arranged to display for each predetermined time period after the change.

Therefore, a change in Kassatsu state of the power switch in the plurality of machines periods are Oite used surgery is predetermined detected per each such machine, the change of the detected Kassatsu state, and the progress of the surgery In parallel , display outside the operating room in real time . At this time, the use period and the use timing in which each machine is used in the operation are displayed in a time-series manner for each of the machines and in a list display for a plurality of machines in real time. Therefore, the progress of ongoing in surgery outside, that can be recognized in real time in parallel with the progress of the surgery without accurately and requiring human intervention can be performed related services after the surgery smoothly . In addition, when the scheduled time zones for a plurality of operations performed in different time zones in one operating room are changed, each scheduled time zone after the change is displayed. Can be recognized.

  In order to solve the above problems, the invention according to claim 3 is the operation progress notification device according to claim 1 or 2, wherein the notification means indicates a current time and corresponds to the passage of time. It is configured to display the current time indication that changes as well.

  Therefore, since the current time instruction is displayed together, the current scheduled end time can be recognized from the outside together with the current time.

In order to solve the above problems, the invention according to claim 4, in a plurality of machines the period in which the machine is used and a plurality of machines are found use in surgery in the surgery is predetermined the change in Kassatsu state of the power switch, the detection means processing unit such that detect every the respective machine, a change in the Kassatsu condition detected for each said machine, in parallel with the progress of the surgical And a notification means such as a display for notifying the outside of the operating room where the operation is being performed in real time, and the plurality of machines include an anesthesia device, a clock, a surgical light, an echo device, a cleaning / aspiration device, and a gauze counter , infusion-transfusion heating apparatus, the air compression device, the mat controller, warming device state, and are either laid fabric type mat or drapes type temperature cage, said notification means comprises a plurality of said machine During the surgery used There the use period and using the timing each machine is used, the time series for each said each machine, configured so that displays lists to and in real-time for a plurality of said machine.

Therefore, anesthesia device, clock, surgical light, echo device, washing / suction device, gauze counter, infusion / transfusion warming device, pneumatic compression device, mat control unit, warming device, mat-type mat or quilt type A change in the alive state of the power switch in any one of the body temperature holders (ie, a plurality of machines having a predetermined period of time used in the surgery) is detected for each machine, and the detected alive state Changes are displayed outside the operating room in real time in parallel with the progress of the operation. At this time, the use period and the use timing in which each machine is used in the operation are displayed in a time-series manner for each of the machines and in a list display for a plurality of machines in real time. Therefore, the progress of operation currently in progress, in the operating outdoors, accurately without the need for human intervention, that they can specifically recognize more and in real time, it is possible to perform related services after the surgery smoothly .

In order to solve the above-mentioned problem, the invention according to claim 5 is the surgical progress notification device according to any one of claims 1 to 4, wherein the notification means includes the use period and use timing. Is associated with at least name information indicating each machine, and is displayed in real time for each machine outside the operating room where the surgery is performed.

Therefore, it is possible to recognize the progress of the surgery accurately and in real time for each machine in parallel with the progress of the surgery without the need for manpower outside the operating room, so that related operations after the surgery can be performed more smoothly. it can.

In order to solve the above-mentioned problem, the invention described in claim 6 is the operation progress notification device according to any one of claims 1 to 5, wherein the notification means is a doctor related to the operation. standby chamber, carried nurse antechamber, outpatient ward, patient ward, family antechamber, the Oite displayed on at least any one portion of the power management facility or location other than the operating room surgical compartment of the include operating room Configured as follows.

Therefore, at least one of a doctor waiting room, a nurse waiting room, an outpatient ward, a patient ward, a family waiting room, a power management facility, or a place other than the operating room in the operating section including the operating room related to surgery. Runode Oite display is performed in locations, in parallel with the progression of accurately and surgery progress of surgery in the chambers or the like can be recognized in real time.

In order to solve the above problems, the invention according to claim 7, the computer, as the previous danger detemir stage in the operating progress notification apparatus according to any one of claims 1 to 4 machine Make it work.

  In order to solve the above problem, an invention according to an eighth aspect causes a computer to function as the detection means in the surgical progress notification apparatus according to any one of the first to third aspects.

Therefore, by executing the operation progress notification program read by the computer, resulting recognized in real time in parallel with the progression of accurate and surgery in surgery outside the progress of the operation currently in progress without requiring manual The related operations after the operation can be performed smoothly.

According to the invention described in claim 1, the change in Kassatsu state of the power switch in the plurality of machines periods are Oite used surgery is predetermined detected per each such machine is the detected Changes in the alive state are displayed outside the operating room in real time in parallel with the progress of the operation . At this time, the use period and the use timing in which each machine is used in the operation are displayed in a time-series manner for each of the machines and in a list display for a plurality of machines in real time. Therefore, the progress of operation currently in progress, in the operating outdoors, that can be recognized in real time in parallel with the progress of the surgery accurately and without requiring human intervention, smoothly that the related services after the surgery Can do. In addition, when it is detected that the end time is delayed from the scheduled end time in the ongoing surgery, the delay is indicated and a warning display corresponding to the current scheduled end time is displayed. Can be recognized.

According to the invention described in claim 2, the change in Kassatsu state of the power switch in the plurality of machines periods are Oite used surgery is predetermined detected per each such machine is the detected Displayed outside the operating room in real time in parallel with the changes in alive status and the progress of surgery . At this time, the use period and the use timing in which each machine is used in the operation are displayed in a time-series manner for each of the machines and in a list display for a plurality of machines in real time. Therefore, the progress of ongoing in surgery outside, that can be recognized in real time in parallel with the progress of the surgery without accurately and requiring human intervention can be performed related services after the surgery smoothly . In addition, when the scheduled time zones for a plurality of operations performed in different time zones in one operating room are changed, each scheduled time zone after the change is displayed. Can be recognized.

  According to the invention described in claim 3, in addition to the effect of the invention described in claim 1 or 2, the current time indication is also displayed, so that the current scheduled end time is recognized from the outside together with the current time. can do.

According to the invention described in claim 4, an anesthesia device, a clock, a surgical light, an echo device, a cleaning / aspiration device, a gauze counter, an infusion / transfusion heating device, a pneumatic compression device, a mat control unit, a heating device, Detects changes in the power switch alive state for each machine in either a mat-type mat or a quilt-type body temperature retainer (that is, a plurality of machines that have a predetermined period of use in surgery) Then, the detected change in the alive state is displayed outside the operating room in real time in parallel with the progress of the operation. At this time, the use period and the use timing in which each machine is used in the operation are displayed in a time-series manner for each of the machines and in a list display for a plurality of machines in real time. Therefore, the progress of operation currently in progress, in the operating outdoors, accurately without the need for human intervention, that they can specifically recognize more and in real time, it is possible to perform related services after the surgery smoothly .

According to the invention described in claim 5, in addition to the effect of the invention described in any one of claims 1 to 4, the progress of the operation can be accurately performed without any manual operation outside the operating room. By being able to recognize each machine in real time in parallel with the progress, the related work after the operation can be performed more smoothly.

According to the invention described in claim 6, in addition to the effect of the invention described in any one of claims 1 to 5, a doctor waiting room, a nurse waiting room, an outpatient ward, a patient related to surgery progress of surgical wards, family antechamber, Oite display is performed in at least any one location of the power management facility or location other than the operating room surgical compartment of the include operating room Runode, in the chambers, etc. Can be recognized in real time in parallel with the progress of surgery .

According to the invention described in claim 7, by the operation progress notification program executes reading by the computer, the progress of the accurate and surgery in surgery outside the progress of the operation currently in progress without requiring manual parallel to obtain recognized in real time, the related services after the surgery can be performed smoothly and.

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

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

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

  As shown in FIG. 1, the surgery progress notification device S according to the embodiment detects the power switch activation in various surgical machines provided in the operating room OP, and the progress of the surgery based on the detection result. The situation is displayed in real time on the display 61 or the like. As shown in FIG. 1, the surgery progress notification device S includes a processing unit 50 as an example of a detection unit, an example of a state detection unit, and an example of a progress detection unit connected to each surgical machine via an interface 50. For example, the display 61, 66, 71, 76 as an example of the 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 related to the entire hospital, etc. 81.

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

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

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

  Further, the A-line monitor 17 is a machine for observing the arterial pressure (blood pressure) of the patient P invasively, and the irrigation / suction device 18 discharges physiological saline or the like for securing the operative field and cleaning the operative field. It is a machine for sucking. The gauze counter 20 is a machine that counts, for example, the number of gauze used in the operation based on its weight and the like. For example, the gauze counter 20 is a machine that prevents the gauze from being left in the body of the operated patient P.

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

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

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

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

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

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

  Further, the echo device 11, the gauze counter 20, and the X-ray device 22 are mainly used in the final stage of the operation, and in particular, the X-ray device 22 is used at a timing T3 before closing in the operation.

  In the above-described configuration, the surgical progress notification device S according to the embodiment pays attention to the fact that the period (timing) used during the surgery is predetermined for each surgical machine as described above, and the specific surgery By detecting the timing when the power switch of the operating machine is turned on, it is considered that the progress of the operation has progressed until the timing when the operating machine is used, and the progress is notified to a place other than the operating room OP in real time. It is something to try.

  For this reason, in the surgical progress notification device S according to the embodiment, each surgical machine is connected via the interface 50 so that the processing unit 50 can detect whether the power switch of the surgical machine is active (ON / OFF). It is connected to the processing unit 50. More specifically, for example, when each power supply switch is turned on in each surgical machine, the fact that an electric current is supplied to an indicator (for example, an LED lamp) indicating that fact is sent to each surgical machine. In the processing unit 50, it is detected that the power switch in the surgical machine is turned on. In addition, it is detected in the processing unit 50 for each surgical machine that the current to the indicator is stopped, and with this, it is detected that the power switch in the surgical machine is turned off. Or it can also be set as the structure which detects directly the operation condition of the power supply part of each surgical machine for every said surgical machine in the process part 50. FIG.

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

  More specifically, the processing unit 50 according to the embodiment detects, for example, that anesthesia is started and operation is started at the timing T1 when the power switch of the anesthesia apparatus 29 is turned on, and the power switch of the electric scalpel 13 is first switched on. It is detected that the incision in the operation has started (in other words, the operation is in progress) at the timing T2 when the switch is turned on. Further, it is detected that the operation is almost finished at the timing T3 when the power switch of the X-ray device 22 is turned on. Then, each detection result is displayed on each display 61 or the like. Note that, depending on the type of surgery, the thinking of the doctor, and the like, “start of surgery” may be detected at the timing when the power switch of the electric knife 13 is turned on.

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

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

  Next, under the monitoring, the processing unit 50 confirms whether or not the power switch of the anesthesia apparatus 29 is turned on (step S3). When it is detected that the power switch of the anesthesia apparatus 29 is turned on (step S3; YES), the processing unit 50 starts the anesthesia in the operating room OP in which the anesthesia apparatus 29 is operating. The fact that the operation has been started is displayed on the displays 61, 66, 71, 76, and 81 (step S4), and the operation proceeds to step S5 described later. The display mode on the display 61 or the like at this time will be exemplified later with reference to FIG.

  On the other hand, when it is not yet detected in step S3 that the power switch of the anesthesia apparatus 29 is turned on (step S3; NO), the processing unit 50 returns to step S2 and monitors the operating status of the anesthesia apparatus 29 and the like. Continue.

  After displaying that the operation in the operating room OP has been started (step S4), the processing unit 50 next confirms whether or not the power switch of the electric knife 13 is turned on under the monitoring (step S2). (Step S5). When it is detected that the power switch of the electric scalpel 13 is turned on (step S5; YES), the processing unit 50 starts an incision in the operating room OP in which the electric scalpel 13 is operating. The fact that the operation is in progress is displayed on the displays 61, 66, 71, 76, and 81 (step S6), and the operation proceeds to step S7 described later. The display mode on the display 61 or the like at this time will be exemplified later with reference to FIG.

  On the other hand, when it is not yet detected in step S5 that the power switch of the electric knife 13 has been turned on (step S5; NO), the processing unit 50 returns to step S4 to start the operation on the display 61 or the like. While maintaining the display state, the monitoring of the state of the power switch of the electric knife 13 is continued.

  After displaying that the operation in the operating room OP is in progress (step S6), the processing unit 50 confirms whether or not the power switch of the X-ray apparatus 22 is turned on next under the monitoring (step S2). (Step S7). When it is detected that the power switch of the X-ray device 22 is turned on (step S7; YES), the processing unit 50 is close to the end of the operation in the operating room OP in which the X-ray device 22 is operating. A message to the effect is displayed on the displays 61, 66, 71, 76, and 81 (step S8), and the operation proceeds to step S9 described later. The display mode on the display 61 and the like at this time will be exemplified later with reference to FIG.

  On the other hand, when it is not yet detected in step S7 that the power switch of the X-ray device 22 is turned on (step S7; NO), the processing unit 50 returns to step S6 to indicate that the operation on the display 61 is in progress. While the display state is maintained, monitoring of the state of the power switch of the X-ray device 22 is continued.

  After displaying that the operation in the operating room OP is almost finished (step S8), the processing unit 50 determines whether all the operations in the operating room OP have been completed and the main power supply of the entire operating room OP has been turned off. Confirm (step S9). Thereby, when it is not confirmed that the main power source is turned off (step S9; NO), the processing unit 50 returns to step S8 and maintains a display state that the operation is almost finished on the display 61 and the like.

  On the other hand, when it is confirmed in step S9 that the main power source is turned off (step S9; YES), the processing unit 50 ends the operation according to the embodiment.

  Next, the display mode of the display 61 and the like in steps S4, S6, and S8 will be specifically described with reference to FIGS.

  The displays 61, 66, 71, 76, and 81 according to the embodiment are basically the same display mode, and specifically, are given to each operating room OP as illustrated in FIG. 4A. Information that displays the operating room number display column 101 for displaying the operating room number, the name of the doctor (surgeon) performing the operation, the name of the doctor in charge other than the surgeon, the name of the nurse in charge, and the department name A display field 102, a schedule display field 103 that displays the initial schedule (including the scheduled start time and scheduled end time) of the surgery, and a progress display field 104 that displays the progress of the surgery related to steps S4, S6, and S8. The progress display screen 100 including these is displayed.

  At this time, in the progress display column, for example, time divisions in the progress of the surgery illustrated in FIG. 2 (classifications such as “entering room”, “starting anesthesia”, and “surgery”) are also displayed. The schedule to be displayed in the schedule display field 103 can be configured to display the contents of the schedule recorded by the technique described in Patent Document 1, for example.

  As a display mode corresponding to the above step S4, specifically, as illustrated in FIG. 4B, the head part of the “anesthetic start” section in the progress display column 104 (specifically, for example, FIG. 2). The progress display 105 up to the timing T1) shown in FIG.

  Next, as a display mode corresponding to step S6, specifically, the progress display 105 corresponds to the start of incision in the “surgery” section in the progress display column 104, as illustrated in FIG. It is displayed in a stretched state until timing (specifically, for example, timing T2 shown in FIG. 2).

  Finally, as a display mode corresponding to step S8, specifically, the progress display 105 corresponds to X-ray imaging in the “end of surgery” category in the progress display column 104, as illustrated in FIG. It is displayed in a stretched state (specifically, for example, timing T3 shown in FIG. 2).

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

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

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

  Thus, the processing unit 50 detects the progress of the operation in each operating room OP by monitoring the alive state of the power switch in the operating machine installed in the operating room OP as in the case of the embodiment. Then, the detection results are displayed as a list on each display 61 or the like (see FIGS. 2 and 3).

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

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

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

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

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

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

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

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

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

  Further, when it is detected that the power switch of the X-ray apparatus 22 is turned on, the exit preparation display 310 is the original schedule display 200 for the operation, as illustrated for the operation room OP of the operation room number “3”. It is displayed so as to overlap a part of.

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

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

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

  As described above, according to the operation of the surgery progress notification device S according to the embodiment, the progress of the surgery in the operating room OP is electrically detected, and the detected progress is displayed on the display 61 or the like outside the operating room OP. Therefore, since the progress of the operation can be recognized accurately and in real time without the need for manpower outside the operating room OP, related operations after the operation can be performed smoothly.

  Further, the progress of the operation can be detected based on the electrical operating state of the machine used for the operation, and the progress can be detected more accurately and in real time and notified outside the operating room.

  Furthermore, the alive state of the power switch in one or a plurality of machines is detected as an operating state, and the progress is detected based on the alive state of the machine set in advance corresponding to the progress. The progress of the operation can be recognized from the outside more accurately and in real time based on the alive state of the power switch of the machine.

  Furthermore, the operating state detection target is the anesthesia apparatus 29, and when the power switch of the anesthesia apparatus 29 is turned on, the fact that the operation is started is notified outside the operating room OP. Further, the operation state detection target is the electric knife 13, and when the power switch of the electric knife 13 is turned on, the fact that the incision treatment has been started is notified outside the operating room OP. Further, the operation state detection target is the X-ray device 22, and when the power switch of the X-ray device 29 is turned on, the fact that the operation is almost finished is notified outside the operating room OP.

  Therefore, the start of the operation through the start of the operation of the anesthesia apparatus 29, the progress of the operation through the start of the incision treatment, and the fact that the operation is almost finished through the start of operation of the X-ray apparatus 22 are accurately and in real time outside the operation room OP. Can be recognized.

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

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

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

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

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

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

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

  In the embodiment, the notification contents for the doctor waiting room 60 and the like are all the same. In addition, the doctor waiting room 60, the nurse waiting room 65, the outpatient ward 70, the patient ward 75, or the power management facility 80 are also included. You may make it vary the detail level or the timing of a change of the display mode between. 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.

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

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

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

Claims (7)

Detecting means for a period of a plurality of machines to be used in surgery is the respective machine in the surgery are used to change the Kassatsu state of the power switch in the plurality of machines is predetermined, detecting each said each machine When,
Notification means for displaying the change in the alive state detected for each machine in real time in parallel with the progress of the surgery, outside the operating room where the surgery is performed,
With
The notifying means is configured to display a list of a plurality of machines in a time-series manner for each of the machines in which the machines are used in the operation in which the machines are used. And in real time,
Further, the notification unit, in the operation currently in progress, when the end time of the surgery that is later than the scheduled end time is detected based on the change of the detection by said Kassatsu state, indicates that the delayed An operation progress notification device that displays a warning display corresponding to the current scheduled end time. Detecting means for a period of a plurality of machines to be used in surgery is the respective machine in the surgery are used to change the Kassatsu state of the power switch in the plurality of machines is predetermined, detecting each said each machine When,
Notification means for notifying the outside of the operating room where the operation is being performed , in real time in parallel with the progress of the operation, the change in the alive state detected for each of the machines ;
With
The notifying means is configured to display a list of a plurality of machines in a time-series manner for each of the machines in which the machines are used in the operation in which the machines are used. And in real time,
Further, when a plurality of scheduled time zones of the surgery performed in different time zones in the one operating room are changed, the notification unit displays each scheduled time zone after the change. Progress notification device. In the surgical progress notification device according to claim 1 or 2,
The operation notification device according to claim 1, wherein the notification means displays a current time instruction that indicates the current time and changes according to the passage of time. The change in Kassatsu state of the power switch in the plurality of machines the period in which each machine is used in the plurality of machines at a by the operation is found using the surgery is predetermined, it detected for the respective mechanical test Means of exiting,
Notification means for notifying the outside of the operating room where the operation is being performed , in real time in parallel with the progress of the operation , the change in the alive state detected for each of the machines;
With
The plurality of machines include: anesthesia device, clock, surgical light, echo device, cleaning / suction device, gauze counter, infusion / blood transfusion warming device, pneumatic compression device, mat control unit, warming device, bed mat or Ri der any of the drapes type of body temperature cage,
The notifying means is configured to display a list of a plurality of machines in a time-series manner for each of the machines in which the machines are used in the operation in which the machines are used. surgical progress announcement apparatus according to claim and that you display in real time. In the surgery progress notification device according to any one of claims 1 to 4,
The notification means displays the use period and the use timing in real time for each machine outside the operating room where the operation is performed in association with at least name information indicating the machine. Surgery progress notification device. In the surgery progress notification device according to any one of claims 1 to 5,
The notification means includes a doctor waiting room, a nurse waiting room, an outpatient ward, a patient ward, a family waiting room, a power management facility, or a place other than the operating room in the operating section including the operating room related to the operation. surgical progress notification apparatus characterized by performing Oite displayed on at least any one place. Computer, operative progress notification program for causing a functioning as a pre-dangerous detemir stage in the operating progress notification apparatus according to any one of claims 1 to 4.

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