JP7200252B2 - 発行器具で生成される自己記述型データパケット - Google Patents
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Description
本出願は、米国特許法第119条(e)の下で、開示全体が参照により本明細書に組み込まれる、2018年3月28日出願の「DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD」と題する米国特許仮出願第62/649,294号に対する優先権を主張する。
・「INTERACTIVE SURGICAL SYSTEMS WITH encrypted COMMUNICATION CAPABILITIES」と題する米国特許仮出願第62/649,302号、
・「DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD」と題する米国特許仮出願第62/649,294号、
・「SURGICAL HUB SITUATIONAL AWARENESS」と題する米国特許仮出願第62/649,300号、
・「SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER」と題する米国特許仮出願第62/649,309号、
・「COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS」と題する米国特許仮出願第62/649,310号、
・「USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT」と題する米国特許仮出願第62/649,291号、
・「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES」と題する米国特許仮出願第62/649,296号、
・「CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER」と題する米国特許仮出願第62/649,333号、
・「CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES」と題する米国特許仮出願第62/649,327号、
・「DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK」と題する米国特許仮出願第62/649,315号、
・「CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES」と題する米国特許仮出願第62/649,313号、
・「DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許仮出願第62/649,320号、
・「AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許仮出願第62/649,307号、及び
・「SENSING ARRANGEMENTS FOR Robot-Assisted Surgical PlatformS」と題する米国特許仮出願第62/649,323号。
・「INTERACTIVE SURGICAL SYSTEMS WITH encrypted COMMUNICATION CAPABILITIES」と題する米国特許出願第____________号、代理人整理番号END8499USNP/170766、
・「INTERACTIVE SURGICAL SYSTEMS WITH CONDITION HANDLING OF DEVICES AND DATA CAPABILITIES」と題する米国特許出願第____________号、代理人整理番号END8499USNP1/170766-1、
・「Surgical hub coordination of control and communication of operating room devices」と題する米国特許出願第____________号、代理人整理番号END8499USNP2/170766-2、
・「Spatial awareness of surgical hubs in operating rooms」と題する米国特許出願第____________号、代理人整理番号END8499USNP3/170766-3、
・「Cooperative utilization of data derived from secondary sources by intelligent surgical hubs」と題する米国特許出願第____________号、代理人整理番号END8499USNP4/170766-4、
・「Surgical hub control arrangements」と題する米国特許出願第____________号、代理人整理番号END8499USNP5/170766-5、
・「DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD」と題する米国特許出願第____________号、代理人整理番号END8500USNP/170767、
・「COMMUNICATION HUB AND STORAGE DEVICE FOR STORING PARAMETERS AND STATUS OF A SURGICAL DEVICE TO BE SHARED WITH CLOUD BASED ANALYTICS SYSTEMS」と題する米国特許出願第____________号、代理人整理番号END8500USNP1/170767-1、
・「DATA PAIRING TO INTERCONNECT A DEVICE MEASURED PARAMETER WITH AN OUTCOME」と題する米国特許出願第____________号、代理人整理番号END8500USNP3/170767-3、
・「SURGICAL HUB SITUATIONAL AWARENESS」と題する米国特許出願第____________号、代理人整理番号END8501USNP/170768、
・「SURGICAL SYSTEM DISTRIBUTED PROCESSING」と題する米国特許出願第____________号、代理人整理番号END8501USNP1/170768-1、
・「AGGREGATION AND REPORTING OF SURGICAL HUB DATA」と題する米国特許出願第____________号、代理人整理番号END8501USNP2/170768-2、
・「SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER」と題する米国特許出願第____________号、代理人整理番号END8502USNP/170769、
・「DISPLAY OF ALIGNMENT OF STAPLE CARTRIDGE TO PRIOR LINEAR STAPLE LINE」と題する米国特許出願第____________号、代理人整理番号END8502USNP1/170769-1、
・「STERILE FIELD INTERACTIVE CONTROL DISPLAYS」と題する米国特許出願第____________号、代理人整理番号END8502USNP2/170769-2、
・「COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS」と題する米国特許出願第____________号、代理人整理番号END8503USNP/170770、
・「USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT」と題する米国特許出願第____________号、代理人整理番号END8504USNP/170771、
・「CHARACTERIZATION OF TISSUE IRREGULARITIES THROUGH THE USE OF MONO-CHROMATIC LIGHT REFRACTIVITY」と題する米国特許出願第____________号、代理人整理番号END8504USNP1/170771-1、及び
・「DUAL CMOS ARRAY IMAGING」と題する米国特許出願第____________号、代理人整理番号END8504USNP2/170771-2。
・「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES」と題する米国特許出願第____________号、代理人整理番号END8506USNP/170773、
・「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL HUBS」と題する米国特許出願第____________号、代理人整理番号END8506USNP1/170773-1、
・「CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER」と題する米国特許出願第____________号、代理人整理番号END8507USNP/170774、
・「CLOUD-BASED MEDICAL ANALYTICS FOR LINKING OF LOCAL USAGE TRENDS WITH THE RESOURCE ACQUISITION BEHAVIORS OF LARGER DATA SET」と題する米国特許出願第____________号、代理人整理番号END8507USNP1/170774-1、
・「Cloud-based Medical Analytics for Medical Facility Segmented Individualization of Instrument Function」と題する米国特許出願第____________号、代理人整理番号END8507USNP2/170774-2、
・「CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES」と題する米国特許出願第____________号、代理人整理番号END8508USNP/170775、
・「DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK」と題する米国仮特許出願第____________号、代理人整理番号END8509USNP/170776、及び
・「CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES」と題する米国特許出願第____________号、代理人整理番号END8510USNP/170777。
・「DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMs」と題する米国特許出願第____________号、代理人整理番号END8511USNP/170778、
・「COMMUNICATION ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許出願第____________号、代理人整理番号END8511USNP1/170778-1、
・「CONTROLS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許出願第____________号、代理人整理番号END8511USNP2/170778-2、
・「AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許出願第____________号、代理人整理番号END8512USNP/170779、
・「CONTROLLERS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許出願第____________号、代理人整理番号END8512USNP1/170779-1、
・「COOPERATIVE SURGICAL ACTIONS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許出願第____________号、代理人整理番号END8512USNP2/170779-2、
・「DISPLAY ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」と題する米国特許出願第____________号、代理人整理番号END8512USNP3/170779-3、及び
・「SENSING ARRANGEMENTS FOR Robot-Assisted Surgical PlatformS」と題する米国特許出願第____________号、代理人整理番号END8513USNP/170780。
図12は、本開示の1つ又は2つ以上の態様による、外科用器具又はツールの制御システム470の論理図を示す。システム470は制御回路を備える。制御回路は、プロセッサ462及びメモリ468を備えるマイクロコントローラ461を含む。例えば、センサ472、474、476のうちの1つ又は2つ以上が、プロセッサ462にリアルタイムなフィードバックを提供する。モータ駆動器492によって駆動されるモータ482は、長手方向に移動可能な変位部材を動作可能に連結して、Iビームナイフ要素を駆動する。追跡システム480は、長手方向に移動可能な変位部材の位置を決定するように構成されている。位置情報は、長手方向に移動可能な駆動部材の位置、並びに発射部材、発射バー、及びIビームナイフ要素の位置を決定するようにプログラム又は構成され得るプロセッサ462に提供される。追加のモータが、Iビームの発射、閉鎖管の移動、シャフトの回転、及び関節運動を制御するために、ツールドライバインターフェースに提供されてもよい。ディスプレイ473は、器具の様々な動作条件を表示し、データ入力のためのタッチスクリーン機能を含んでもよい。ディスプレイ473上に表示された情報は、内視鏡撮像モジュールを介して取得された画像とオーバーレイさせることができる。
図20は、他の利点の中でも、インダクタを利用しない同調を提供するように構成された発生器800の簡略ブロック図である。発生器800の追加の詳細は、全体が参照により本明細書に組み込まれる、2015年6月23日発行の「SURGICAL GENERATOR FOR ULTRASONIC AND ELECTROSURGICAL DEVICES」と題する米国特許第9,060,775号に記載されている。発生器800は、電力変圧器806を介して非絶縁段階804と通信する患者絶縁段階802を含んでもよい。電力変圧器806の二次巻線808は、絶縁段階802内に収容され、例えば、超音波外科用器具、RF電気外科用器具、並びに単独又は同時に送達可能な超音波及びRFエネルギーモードを含む多機能型外科用器具などの様々な外科用器具に駆動信号を送達するために駆動信号出力部810a、810b、810cを画定するためのタップ構成(例えば、センタタップ又は非センタタップ構成)を備え得る。具体的には、駆動信号出力部810a、810cは、超音波駆動信号(例えば、420Vの二乗平均根[root-mean-square、RMS]駆動信号)を超音波外科用器具に出力してもよく、駆動信号出力部810b、810cは、電力変圧器806のセンタタップに対応する駆動出力部810bにより、電気外科用駆動信号(例えば、100VのRMS駆動信号)をRF電気外科用器具に出力してもよい。
一態様では、外科用ハブは、データストレージ容量を提供する。データストレージは、識別特徴、冗長データセットの管理、並びに外科手術毎にグループ化され得るが、データの匿名性を維持するために実際の外科手術の日付及び外科医に必ずしも鍵付きにされていない、対のデータセットの方法でデータを記憶すること、を含む、自己記述型データの作成及び使用を含む。以下の説明は、参照により本明細書に組み込まれる、本明細書に以下に記載される特定のデータ管理及び収集技術を実装するための「ハブ」及び「クラウド」分析システムのハードウェア及びソフトウェア処理技術の全てを参照により組み込む。図22~図41は、図1~図11に関連して説明される外科用ハブ106、206を含むインタラクティブ外科システム100の環境、並びに図12~図21に関連して説明されるインテリジェント器具及び発生器の文脈で説明される。
図22は、本開示の少なくとも1つの態様による、患者の電子医療記録(EMR)データベース4002と相互作用するための技術を例示する図4000である。一態様では、本開示は、病院又は医療施設内に位置するEMRデータベース4002内に鍵4004を埋め込む方法を提供する。データ障壁4006は、患者データのプライバシーを保つために設けられ、本明細書に以下に記載されるように、再アセンブルされるべき、外科用ハブ106、206又はクラウド104、204から取り除かれ絶縁された対のデータの再統合を可能にする。外科用ハブ206の概略図は、概して図1~図11に、特に図9及び図10に記載されている。したがって、図22の説明では、読者は、開示の簡潔性及び明瞭性のために本明細書では省略され得る外科用ハブ206の任意の実装例の詳細に関しては、図1~図11、特に図9及び図10に案内される。図22に戻ると、この方法は、ユーザが、外科処置中に収集された全てのデータ及び電子医療記録4012の形態で記憶された患者情報に完全にアクセスすることを可能にする。再アセンブルされたデータは、外科用ハブ206又は二次モニタに連結されたモニタ4010上に表示され得るが、いかなる外科用ハブのストレージ装置248にも恒久的には記憶されない。再アセンブルされたデータは、外科用ハブ206又はクラウド204のいずれかに位置するストレージ装置248内に一時的に記憶され、その使用の終了時に削除され、回収され得ないことを保証するために上書きされる。EMRデータベース4002内の鍵4004を使用して、匿名化されたハブデータを、完全に統合された患者の電子医療記録4012データに再統合する。
一態様では、本開示は、図9及び図10に記載されるような外科用ハブ206を提供し、例えば、外科用ハブ206は、プロセッサ244と、プロセッサ244に連結されたメモリ249と、を備える。メモリ249は、外科用器具235に問い合わせ、外科用器具235から第1のデータセットを読み出し、医療用撮像装置238に問い合わせ、医療用撮像装置238から第2のデータセットを読み出し、鍵によって第1のデータセットと第2のデータセットを関連付け、関連付けられた第1及び第2のデータセットを外科用ハブ206の外側のリモートネットワーク、例えば、クラウド204に伝達する、ための、プロセッサ244によって実行可能な命令を記憶している。外科用器具235は、患者データの第1の供給源であり、第1のデータセットは、外科処置に関連付けられている。医療用撮像装置238は、患者データの第2の供給源であり、第2のデータセットは、外科処置の成果に関連付けられている。第1及び第2のデータ記録は、鍵によって一意的に識別される。
図23は、本開示の一態様による、器具、ロボット、外科用ハブ、及び/又は病院コンピュータ機器内の内部に記憶された全ての情報のリアルタイムクロックの代わりに人工的な時間測定を代用することによって、外科処置を匿名化するプロセス4030を例示している。図23に示されるように、外科処置セットアップ開始時間4032は、リアルタイムクロックに基づいて、実際の時間11:31:14(EST)で始まるようにスケジュールされた。定められた処置セットアップ開始時間4032において、外科用ハブ206は、人工的なランダム化されたリアルタイムクロックのタイミングスキームを人工的なリアルタイムの07:36:00で開始する4034。次いで、外科用ハブ206は、図24に関連して記載されるように、手術室を超音波でピング4036し(例えば、超音波のバーストを送り出し)、それが手術室(例えば、固定式、移動式、一時的、又は現場の手術室)の周囲壁に反射したときのエコーを聴いて、手術室のサイズを検証し、短距離無線、例えば、Bluetoothのペアリング距離限界を人工的なリアルタイム07:36:01で調整する。人工的なリアルタイム07:36:03において、外科用ハブ206は、関連データを取り除き4038、取り除かれたデータにタイムスタンプを適用する。人工的なリアルタイム07:36:05では、外科用ハブ206が起動され、超音波ピング4036プロセスを使用して検証された手術室内に位置するデバイスのみとペアリングを始める4040。
一態様では、本開示は、提供される電子患者記録に問い合わせ、関連部分を抽出して外科用ハブ及び外科用ハブに連結された器具を構成し動作させる一方で、患者のプライバシーを維持するように、外科手術、患者、及び全ての識別パラメータを匿名化する、データ取り除き方法を提供する。
一態様では、本開示は、自己記述型データパケットであって、発行器具において生成され、パケットを取り扱った全ての装置に関する識別子を含む、自己記述型データパケットを提供する。自己記述により、プロセッサが、自己記述型パケットの受信前に事前にデータ型を知ることなく、自己記述型パケット内のデータを解釈することを可能にする。データは、全てのデータポイント又はデータストリングに適用され、データの種類、自己記述型パケットの供給源、パケットを生成した装置の識別、ユニット、パケットの生成時間、及びパケットに含有されるデータが変更されていないことの認証を含む。(装置又は外科用ハブ内の)プロセッサが予期せぬパケットを受信し、パケットの供給源を検証すると、プロセッサは、その供給源からの任意の後続のパケットのために準備が整っているように収集技術を変更する。
一態様では、本開示は、外科用ハブが装置測定パラメータを外科的成果と相互接続することを可能にする、データペアリング方法を提供する。データペアは、任意の患者識別子データなしに、全ての関連外科用データ又は患者修飾子を含む。データペアは、2つの別個の区別された時間に生成されている。本開示は、時系列の一連のイベント、又は単に連結されているが制約を受けない一連のデータセットを再構築することができるような方法で、データを構成及び記憶することを更に提供する。本開示は、暗号化された形態でデータを記憶することと、事前に定義されたバックアップを有することと、クラウドにミラーリングすることと、を更に提供する。
一態様では、本開示は、クラウドベースの分析システムといつ共有されるか、どのくらい頻繁に共有されるか、共有される伝達速度、及び共有されるデータの種類を決定する能力を有する外科用装置のパラメータ及びステータスを記憶するための通信ハブ及びストレージ装置を提供する。本開示は、分析システムがハブ及び外科用装置のための新しい作動パラメータを通信する場所を決定するための技術を更に提供する。
(1) 外科用ハブであって、
プロセッサと、
前記プロセッサに連結されたメモリと、を備え、前記メモリが、
第1のデータ供給源から第1の自己記述型データパケットを受信することであって、前記第1の自己記述型データパケットが、第1のプリアンブル、第1のデータペイロード、前記第1のデータペイロードの供給源、及び第1の暗号化証明書、を含み、前記第1のプリアンブルが、前記第1のデータペイロードを定義し、前記第1の暗号化証明書が、前記第1のデータパケットの信頼性を検証する、受信することと、
受信した前記第1のプリアンブルを解析することと、
前記第1のプリアンブルに基づいて前記第1のデータペイロードを解釈することと、を行うための、前記プロセッサによって実行可能な命令を記憶している、外科用ハブ。
(2) 前記メモリが、
第2のデータ供給源から第2の自己記述型データパケットを受信することであって、前記第2の自己記述型データパケットが、第2のプリアンブル、第2のデータペイロード、前記第2のデータペイロードの供給源、及び第2の暗号化証明書、を含み、前記第2のプリアンブルが、前記第2のデータペイロードを定義し、前記第2の暗号化証明書が、前記第2のデータパケットの信頼性を検証する、受信することと、
受信した前記第2のプリアンブルを解析することと、
前記第2のプリアンブルに基づいて前記第2のデータペイロードを解釈することと、
前記第1の自己記述型データパケットと前記第2の自己記述型データパケットを関連付けることと、
前記第1及び第2のデータペイロードを含む第3の自己記述型データパケットを生成することと、を行うための、前記プロセッサによって実行可能な命令を記憶している、実施態様1に記載の外科用ハブ。
(3) 前記メモリが、前記第3の自己記述型データパケットの前記データペイロードを匿名化するための、前記プロセッサによって実行可能な命令を記憶している、実施態様2に記載の外科用ハブ。
(4) 前記メモリが、
データペイロードが新しいデータ供給源によって生成されたと判定し、
前記データペイロードの前記新しいデータ供給源を検証し、
前記新しいデータ供給源から後続のデータパケットを受信するように前記外科用ハブでのデータ収集処理を変更する、ための、前記プロセッサによって実行可能な命令を記憶している、実施態様1に記載の外科用ハブ。
(5) 前記メモリが、鍵に基づいて前記第1の自己記述型データパケットと前記第2の自己記述型データパケットを関連付けるための、前記プロセッサによって実行可能な命令を記憶している、実施態様1に記載の外科用ハブ。
匿名化された第3の自己記述型データパケットを受信し、
前記鍵を使用して前記匿名化された第3の自己記述型データパケットを前記第1及び第2の自己記述型データパケットに再統合する、ための、前記プロセッサによって実行可能な命令を記憶している、実施態様5に記載の外科用ハブ。
(7) 外科用ハブであって、
制御回路を備え、前記制御回路が、
第1のデータ供給源から第1の自己記述型データパケットを受信することであって、前記第1の自己記述型データパケットが、第1のプリアンブル、第1のデータペイロード、前記第1のデータペイロードの供給源、及び第1の暗号化証明書、を含み、前記第1のプリアンブルが、前記第1のデータペイロードを定義し、前記第1の暗号化証明書が、前記第1のデータパケットの信頼性を検証する、受信することと、
受信した前記第1のプリアンブルを解析することと、
前記第1のプリアンブルに基づいて前記第1のデータペイロードを解釈することと、を行うように構成されている、外科用ハブ。
(8) 前記制御回路が、
第2のデータ供給源から第2の自己記述型データパケットを受信することであって、前記第2の自己記述型データパケットが、第2のプリアンブル、第2のデータペイロード、前記第2のデータペイロードの供給源、及び第2の暗号化証明書、を含み、前記第2のプリアンブルが、前記第2のデータペイロードを定義し、前記第2の暗号化証明書が、前記第2のデータパケットの信頼性を検証する、受信することと、
受信した前記第2のプリアンブルを解析することと、
前記第2のプリアンブルに基づいて前記第2のデータペイロードを解釈することと、
前記第1の自己記述型データパケットと前記第2の自己記述型データパケットを関連付けることと、
前記第1及び第2のデータペイロードを含む第3の自己記述型データパケットを生成することと、を行うように更に構成されている、実施態様7に記載の外科用ハブ。
(9) 前記制御回路が、前記第3の自己記述型データパケットの前記データペイロードを匿名化するように更に構成されている、実施態様8に記載の外科用ハブ。
(10) 前記制御回路が、
データペイロードが新しいデータ供給源によって生成されたと判定し、
前記データペイロードの前記新しいデータ供給源を検証し、
前記新しいデータ供給源から後続のデータパケットを受信するように前記外科用ハブでのデータ収集処理を変更するように更に構成されている、実施態様7に記載の外科用ハブ。
(12) 前記制御回路が、
匿名化された第3の自己記述型データパケットを受信し、
前記鍵を使用して前記匿名化された第3の自己記述型データパケットを前記第1及び第2の自己記述型データパケットに再統合するように更に構成されている、実施態様11に記載の外科用ハブ。
(13) コンピュータ可読命令を記憶する非一時的コンピュータ可読媒体であって、前記コンピュータ可読命令が、実行されると、機械に、
第1のデータ供給源から第1の自己記述型データパケットを受信することであって、前記第1の自己記述型データパケットが、第1のプリアンブル、第1のデータペイロード、前記第1のデータペイロードの供給源、及び第1の暗号化証明書、を含み、前記第1のプリアンブルが、前記第1のデータペイロードを定義し、前記第1の暗号化証明書が、前記第1のデータパケットの信頼性を検証する、受信することと、
受信した前記第1のプリアンブルを解析することと、
前記第1のプリアンブルに基づいて前記第1のデータペイロードを解釈することと、を行わせる、非一時的コンピュータ可読媒体。
(14) 実行されると、機械に、
第2のデータ供給源から第2の自己記述型データパケットを受信することであって、前記第2の自己記述型データパケットが、第2のプリアンブル、第2のデータペイロード、前記第2のデータペイロードの供給源、及び第2の暗号化証明書、を含み、前記第2のプリアンブルが、前記第2のデータペイロードを定義し、前記第2の暗号化証明書が、前記第2のデータパケットの信頼性を検証する、受信することと、
受信した前記第2のプリアンブルを解析することと、
前記第2のプリアンブルに基づいて前記第2のデータペイロードを解釈することと、
前記第1の自己記述型データパケットと前記第2の自己記述型データパケットを関連付けることと、
前記第1及び第2のデータペイロードを含む第3の自己記述型データパケットを生成することと、を行わせる、コンピュータ可読命令を記憶している、実施態様13に記載の非一時的コンピュータ可読媒体。
(15) 前記第3の自己記述型データパケットの前記データペイロードを匿名化するためのコンピュータ可読命令を記憶している、実施態様14に記載の非一時的コンピュータ可読媒体。
前記データペイロードの前記新しいデータ供給源を検証し、
前記新しいデータ供給源から後続のデータパケットを受信するように前記外科用ハブでのデータ収集処理を変更する、ための、コンピュータ可読命令を記憶している、実施態様13に記載の非一時的コンピュータ可読媒体。
(17) 鍵に基づいて前記第1の自己記述型データパケットと前記第2の自己記述型データパケットを関連付けるためのコンピュータ可読命令を記憶している、実施態様13に記載の非一時的コンピュータ可読媒体。
(18) 匿名化された第3の自己記述型データパケットを受信し、
前記鍵を使用して前記匿名化された第3の自己記述型データパケットを前記第1及び第2の自己記述型データパケットに再統合する、ための、コンピュータ可読命令を記憶している、実施態様17に記載の非一時的コンピュータ可読媒体。
Claims (15)
- 外科用ハブであって、
プロセッサと、
前記プロセッサに連結されたメモリと、を備え、前記メモリが、
第1のデータ供給源から第1の自己記述型データパケットを受信することであって、前記第1の自己記述型データパケットが、第1のプリアンブル、第1のデータペイロード、前記第1のデータペイロードの供給源、及び第1の暗号化証明書、を含み、前記第1のプリアンブルが、前記第1のデータペイロードの外科用データタイプを定義し、前記第1の暗号化証明書が、前記第1のデータパケットの信頼性を検証する、受信することと、
受信した前記第1のプリアンブルを解析することと、
前記第1のプリアンブルに基づいて前記第1のデータペイロードを解釈することと、を行うための、前記プロセッサによって実行可能な命令を記憶しており、
前記第1のデータ供給源は、外科用ステープラ、電気外科用器具、超音波器具、電気外科用/超音波器具の組み合わせ、及び/又は、ステープラ/電気外科用装置の組み合わせであり、
前記外科用データタイプが、発射するための力[FTF]、閉鎖するための力[FTC]、エネルギー振幅、エネルギー周波数、エネルギーパルス幅、又は、発射速度であり、
前記第1のデータペイロードが前記外科用データタイプの値を備える、
外科用ハブ。 - 前記メモリが、
第2のデータ供給源から第2の自己記述型データパケットを受信することであって、前記第2の自己記述型データパケットが、第2のプリアンブル、第2のデータペイロード、前記第2のデータペイロードの供給源、及び第2の暗号化証明書、を含み、前記第2のプリアンブルが、前記第2のデータペイロードを定義し、前記第2の暗号化証明書が、前記第2のデータパケットの信頼性を検証する、受信することと、
受信した前記第2のプリアンブルを解析することと、
前記第2のプリアンブルに基づいて前記第2のデータペイロードを解釈することと、
前記第1の自己記述型データパケットと前記第2の自己記述型データパケットを関連付けることと、
前記第1及び第2のデータペイロードを含む第3の自己記述型データパケットを生成することと、を行うための、前記プロセッサによって実行可能な命令を記憶している、請求項1に記載の外科用ハブ。 - 前記メモリが、前記第3の自己記述型データパケットの前記データペイロードを匿名化するための、前記プロセッサによって実行可能な命令を記憶している、請求項2に記載の外科用ハブ。
- 前記メモリが、
データペイロードが新しいデータ供給源によって生成されたと判定し、
前記データペイロードの前記新しいデータ供給源を検証し、
前記新しいデータ供給源から後続のデータパケットを受信するように前記外科用ハブでのデータ収集処理を変更する、ための、前記プロセッサによって実行可能な命令を記憶している、請求項1に記載の外科用ハブ。 - 前記メモリが、鍵に基づいて前記第1の自己記述型データパケットと前記第2の自己記述型データパケットを関連付けるための、前記プロセッサによって実行可能な命令を記憶している、請求項1に記載の外科用ハブ。
- 外科用ハブであって、
制御回路を備え、前記制御回路が、
第1のデータ供給源から第1の自己記述型データパケットを受信することであって、前記第1の自己記述型データパケットが、第1のプリアンブル、第1のデータペイロード、前記第1のデータペイロードの供給源、及び第1の暗号化証明書、を含み、前記第1のプリアンブルが、前記第1のデータペイロードの外科用データタイプを定義し、前記第1の暗号化証明書が、前記第1のデータパケットの信頼性を検証する、受信することと、
受信した前記第1のプリアンブルを解析することと、
前記第1のプリアンブルに基づいて前記第1のデータペイロードを解釈することと、を行うように構成されており、
前記第1のデータ供給源は、外科用ステープラ、電気外科用器具、超音波器具、電気外科用/超音波器具の組み合わせ、及び/又は、ステープラ/電気外科用装置の組み合わせであり、
前記外科用データタイプが、発射するための力[FTF]、閉鎖するための力[FTC]、エネルギー振幅、エネルギー周波数、エネルギーパルス幅、又は、発射速度であり、
前記第1のデータペイロードが前記外科用データタイプの値を備える、
外科用ハブ。 - 前記制御回路が、
第2のデータ供給源から第2の自己記述型データパケットを受信することであって、前記第2の自己記述型データパケットが、第2のプリアンブル、第2のデータペイロード、前記第2のデータペイロードの供給源、及び第2の暗号化証明書、を含み、前記第2のプリアンブルが、前記第2のデータペイロードを定義し、前記第2の暗号化証明書が、前記第2のデータパケットの信頼性を検証する、受信することと、
受信した前記第2のプリアンブルを解析することと、
前記第2のプリアンブルに基づいて前記第2のデータペイロードを解釈することと、
前記第1の自己記述型データパケットと前記第2の自己記述型データパケットを関連付けることと、
前記第1及び第2のデータペイロードを含む第3の自己記述型データパケットを生成することと、を行うように更に構成されている、請求項6に記載の外科用ハブ。 - 前記制御回路が、前記第3の自己記述型データパケットの前記データペイロードを匿名化するように更に構成されている、請求項7に記載の外科用ハブ。
- 前記制御回路が、
データペイロードが新しいデータ供給源によって生成されたと判定し、
前記データペイロードの前記新しいデータ供給源を検証し、
前記新しいデータ供給源から後続のデータパケットを受信するように前記外科用ハブでのデータ収集処理を変更するように更に構成されている、請求項6に記載の外科用ハブ。 - 前記制御回路が、鍵に基づいて前記第1の自己記述型データパケットと前記第2の自己記述型データパケットを関連付けるように更に構成されている、請求項7に記載の外科用ハブ。
- コンピュータ可読命令を記憶する非一時的コンピュータ可読媒体であって、前記コンピュータ可読命令が、実行されると、機械に、
第1のデータ供給源から第1の自己記述型データパケットを受信することであって、前記第1の自己記述型データパケットが、第1のプリアンブル、第1のデータペイロード、前記第1のデータペイロードの供給源、及び第1の暗号化証明書、を含み、前記第1のプリアンブルが、前記第1のデータペイロードの外科用データタイプを定義し、前記第1の暗号化証明書が、前記第1のデータパケットの信頼性を検証する、受信することと、
受信した前記第1のプリアンブルを解析することと、
前記第1のプリアンブルに基づいて前記第1のデータペイロードを解釈することと、を行わせ、
前記第1のデータ供給源は、外科用ステープラ、電気外科用器具、超音波器具、電気外科用/超音波器具の組み合わせ、及び/又は、ステープラ/電気外科用装置の組み合わせであり、
前記外科用データタイプが、発射するための力[FTF]、閉鎖するための力[FTC]、エネルギー振幅、エネルギー周波数、エネルギーパルス幅、又は、発射速度であり、
前記第1のデータペイロードが前記外科用データタイプの値を備える、
非一時的コンピュータ可読媒体。 - 実行されると、機械に、
第2のデータ供給源から第2の自己記述型データパケットを受信することであって、前記第2の自己記述型データパケットが、第2のプリアンブル、第2のデータペイロード、前記第2のデータペイロードの供給源、及び第2の暗号化証明書、を含み、前記第2のプリアンブルが、前記第2のデータペイロードを定義し、前記第2の暗号化証明書が、前記第2のデータパケットの信頼性を検証する、受信することと、
受信した前記第2のプリアンブルを解析することと、
前記第2のプリアンブルに基づいて前記第2のデータペイロードを解釈することと、
前記第1の自己記述型データパケットと前記第2の自己記述型データパケットを関連付けることと、
前記第1及び第2のデータペイロードを含む第3の自己記述型データパケットを生成することと、を行わせる、コンピュータ可読命令を記憶している、請求項11に記載の非一時的コンピュータ可読媒体。 - 前記第3の自己記述型データパケットの前記データペイロードを匿名化するためのコンピュータ可読命令を記憶している、請求項12に記載の非一時的コンピュータ可読媒体。
- データペイロードが新しいデータ供給源によって生成されたと判定し、
前記データペイロードの前記新しいデータ供給源を検証し、
前記新しいデータ供給源から後続のデータパケットを受信するように外科用ハブでのデータ収集処理を変更する、ための、コンピュータ可読命令を記憶している、請求項11に記載の非一時的コンピュータ可読媒体。 - 鍵に基づいて前記第1の自己記述型データパケットと前記第2の自己記述型データパケットを関連付けるためのコンピュータ可読命令を記憶している、請求項12に記載の非一時的コンピュータ可読媒体。
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- 2018-07-30 WO PCT/US2018/044385 patent/WO2019133064A1/en active Application Filing
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- 2018-07-30 JP JP2020535959A patent/JP7200252B2/ja active Active
- 2018-07-30 BR BR112020012896-1A patent/BR112020012896A2/pt unknown
- 2018-09-11 EP EP18193610.5A patent/EP3506300A1/en not_active Withdrawn
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BR112020012896A2 (pt) | 2020-12-08 |
US10892899B2 (en) | 2021-01-12 |
CN111527558B (zh) | 2024-06-07 |
CN111527558A (zh) | 2020-08-11 |
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