JPH09319409A - System controller - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a system controller with which each peripheral equipment can be set while selecting whether or not preset values are to be registered without successively inputting the setting every time, in the case where setting of preset values of peripheral equipment in collectively performed in advance. SOLUTION: In the system controller 35, plural devices to be controlled, centralized display panel 36, centralized control panel 37 and 2nd control panel 103 or the like are bidirectionally communicated through a communication interface circuit 270 of a communicating means to a microprocessor unit MPU 271. The setting state of respective device to be controlled are always stored while being successively updated through the communication interface circuit 270. Besides, inside a hard disk 272, the files of set contents automatically set by a user are managed as set data.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a system control device capable of centrally controlling a system including a plurality of devices.

[0002]

2. Description of the Related Art An example of a system including a plurality of devices is a medical endoscope system including an endoscope. In a general endoscope system, an endoscope for observation, a camera head connected to the endoscope, an endoscope camera device that processes an image signal captured by the camera head, and illumination light to a subject. It is equipped with a light source device that supplies it and a monitor that displays a subject image. Insert an endoscope into the site to be examined, illuminate the subject with illumination light from the light source device, and obtain an optical image of the subject with the endoscope. Then, the image signal of the subject image captured by the camera head is signal-processed by the endoscope camera device and the subject image is displayed on the monitor. With such an endoscope system, the inside of a body cavity or the like is observed and inspected.

In recent years, a surgical operation using an endoscope has been performed. In this endoscopic surgical operation, in addition to the above-mentioned device, a pneumoperitoneum device used for expanding the abdominal cavity,
Using a high-frequency ablation device for cutting or coagulating living tissue, which is a treatment device for performing a procedure, as surgical equipment,
Various treatments are performed while observing a treated site with an endoscope.

However, in the endoscopic surgical operation using the conventional medical endoscope system, various treatments are performed by simultaneously using a plurality of devices as described above. Since the configuration is such that they are operated and controlled separately, the operation is extremely complicated.

Therefore, in Japanese Patent Laid-Open No. 7-303654, it is possible to easily operate and control a plurality of devices in a system including a plurality of controlled devices, and to improve the operability of the system. There is disclosed a system control device including an operation input unit having a display unit for displaying a controlled function of a controlled device and an operation unit for operating the controlled function.

[0006]

However, in the system control device disclosed in Japanese Patent Laid-Open No. 7-303654, when the function settings of peripheral devices are set in advance and collectively performed, the settings of each device are performed one by one. Since an input operation is involved, there is a problem in that the operability when collectively making settings for controlling peripheral devices is troublesome.

The present invention has been made in view of the above circumstances, and when preset values for controlling peripheral devices are collectively set in advance, the peripheral devices can be set without inputting them one by one. An object of the present invention is to provide a system control device capable of selecting whether or not to register a preset value for a device.

[0008]

A system control device of the present invention is a system control device for controlling a system having a plurality of controlled devices, and communication means for performing bidirectional communication with the controlled devices. And operating means for remotely operating each controlled device, and regarding the function of the controlled device, whether or not to register a preset value for function setting in advance is selectable from the operating means. .

According to this configuration, when collectively setting the preset values for the function setting of the controlled device, it is possible to set the preset value while selecting the controlled device and the setting items of the controlled device. The required number of items to be performed can be minimized.

[0010]

Embodiments of the present invention will be described below with reference to the drawings.

FIGS. 1 to 24 relate to an embodiment of the present invention, and FIGS. 1 to 8 are views for explaining the configuration of an endoscope system. FIG. 1 is a perspective view of a medical endoscope system. Explanatory diagram showing a schematic configuration of the entire observation device including an endoscope,
FIG. 2 is an explanatory diagram showing a device configuration and a use state when performing an endoscopic surgery using the endoscope medical system, and FIG. 3 is a block diagram illustrating an overall configuration of the medical endoscope system,
4 is an explanatory diagram showing an operation panel of each device, FIG. 5 is an explanatory diagram showing an actual usage pattern of each device in the medical endoscope system, and FIG. 6 is equipped with each device of the medical endoscope system. 8 is a perspective view showing the configuration of the cart, FIG. 7 is a diagram illustrating the configuration of the back of the cart and the positional relationship between the cart and the patient, FIG.
9 is an explanatory view showing a cart equipped with each device of the medical endoscope system and a foot switch, and FIGS. 9 to 21 are views for explaining an operation screen of the centralized control panel.
Is an explanatory view showing a main screen of the operation screen, FIG. 10 is an explanatory view showing a setting screen for electric knife, FIG. 11 is an explanatory view showing a setting screen for pneumoperitoneum, FIG. 12 is an explanatory view showing an item selection screen, and FIG. Is an explanatory view showing a registration content setting position selection screen, FIG.
Is an explanatory view showing a registration name input screen, FIG. 15 is an explanatory view showing a controlled device selection screen, FIG. 16 is an explanatory view showing a pneumoperitoneum automatic setting registration screen, and FIG. 17 is an explanation showing an electric knife automatic setting registration screen. FIG. 18 is an explanatory view showing a registration confirmation screen, FIG.
9 is an explanatory diagram showing an in-menu automatic setting screen, FIG. 20 is an explanatory diagram showing an overwrite confirmation screen, FIG. 21 is an explanatory diagram showing a deletion confirmation screen, and FIG. 22 is a connection relationship between a controlled device in the system and a system controller. An explanatory diagram showing
FIG. 23 is a diagram for explaining the recording state in the hard disk, and FIG. 24 is a diagram for explaining the contents in which the registration setting data is written in the file of the hard disk.

In the present embodiment, a medical endoscope system having an endoscope will be taken as an example of a system including a plurality of devices, and a configuration and operation used in endoscopic surgery will be described.

First, the configuration of the endoscope system will be described with reference to FIGS. FIG. 1 shows a configuration example of an observation device including an endoscope in a medical endoscope system. In the endoscope camera device 1a, a camera head 3 having a solid-state image sensor 2 at its tip can be detachably attached to and detached from a camera connector 4, and an electric signal of a subject image obtained by the camera head 3 is processed to perform video processing. It is designed to generate signals.

The camera head 3 includes a camera adapter 5
, And is optically coupled to the endoscope 6 through which the subject image obtained by the endoscope 6 is photoelectrically converted by the solid-state imaging device 2.

On the endoscope 6, the camera head 3 is attached to the eyepiece 6c at the rear end of the endoscope via the camera adapter 5, and the light guide 7 is provided from the side of the rear end. The light guide 7 extends and is detachably connected to a light guide connector 9 of a light source device 8a for supplying illumination light.

Illumination light generated by the lamp 10 of the light source device 8a is incident on the end face of the light guide 7 and emitted from the tip of the endoscope 6 toward the subject through the light guide 7. The illumination light is reflected by the subject, an image of the subject is formed by the endoscope 6, the subject image is picked up by the camera head 3, converted into an electric signal, and sent to the endoscope camera device 1a. .

The endoscope camera device 1a includes a video signal processing circuit 11 for converting an electric signal output from the solid-state image sensor 2 into a video signal, and a light source device based on an output signal level of the solid-state image sensor 2. An automatic light control circuit 12 for generating a light control signal for adjusting the amount of illumination light of 8a is provided, and the converted video signal is sent to the monitor 14 to display the subject image on the monitor and the light control signal is supplied to the light source device. 8a to the exposure controller 15 to control the diaphragm 16 to adjust the amount of illumination light emitted from the light source device 8a.

That is, in this endoscope system, the illumination light from the light source device 8a is directed toward the subject, and the reflected light reflected by the subject is imaged through the endoscope 6 and the camera adapter 5 at the tip of the camera head 3 for solid-state imaging. An image signal is formed on the element 2, and an electric signal photoelectrically converted by the solid-state image pickup element 2 is converted into an electric signal.
The video signal is transmitted to the endoscope camera device 1a via a transmission cable, and is converted into a video signal by the video signal processing circuit 11.

On the other hand, the electric signal output from the solid-state image sensor 2 is the automatic light control circuit 1 of the endoscope camera device 1a.
2 is also input to the exposure controller 15 of the light source device 8a so as to appropriately adjust the illumination light amount based on this signal level. As a result, the diaphragm 16 is opened and closed to adjust the amount of illumination light.

On the front surface of the endoscope camera device 1a, there is provided an operation panel 13 including a display section for displaying the operation state of the device and operation switches. By operating the operation panel 13, , Video signal processing circuit 1
1 and operation instructions such as the operation setting of the automatic light control circuit 12 can be performed.

Further, in the present embodiment, another endoscope camera device 1b is provided in addition to the endoscope camera device 1a, and a camera head mounted on another endoscope 1b is connected thereto. It is like this. The light source device 8b is connected to the endoscope camera device 1b.

Further, the endoscope camera devices 1a, 1
The video signal converted in b is monitored by the monitors 14a, 14
Then, the subject image is displayed on each monitor screen. At the same time, an image processing device 100 is connected to the endoscope camera devices 1a and 1b, and a video signal output from the endoscope camera device 1a and another endoscope camera device 1b And a video signal output from the video processing apparatus 100. The image processing apparatus 100 switches video signals, superimposes character information on video signals, and synthesizes video signals. Processing and the like are performed. Then, the image processing apparatus 1
00 are output from the monitors 14a and 14b.
And the composite image is displayed on each monitor screen.

As shown in FIG. 2, an endoscopic system such as the endoscope camera device 1a and the light source device 8a shown in FIG. 1 has a high-frequency ablation device which is a surgical instrument used in endoscopic surgery. Described as electric knife) 17, pneumoperitoneum device 1
In the case of performing an endoscopic operation with the addition of a trocar 8, guide tubes 19 and 20 for guiding surgical instruments into the abdominal cavity are inserted into the abdomen of the human body. 21 is removably attached, and a high-frequency treatment tool 23 is inserted into the insertion hole 22 of the trocar 20.
Is inserted. The endoscope 6 with a camera head is inserted through the other trocar 19 via the camera adapter 5.

The other end of the pneumoperitoneum tube 21 is connected to the pneumoperitoneum device 1.
The gas insufflation device 18 is connected to a gas cylinder 25 such as carbon dioxide via a gas tube 24. The carbon dioxide gas in the gas cylinder 25 is sent to the trocar 20 through the valve unit 26 and the abdominal cavity 27.
The inside of the abdominal cavity is inflated by supplying it to the inside of the abdominal cavity, thereby expanding the working space for the operation in the abdominal cavity, and securing the visual field of the endoscope 6 and the operation field of the high-frequency treatment instrument 23. At this time,
The supply amount of carbon dioxide gas into the abdominal cavity is the valve unit 2
6.

The high-frequency treatment instrument 23 is electrically connected to the active electrode 29 of the electric knife 17 via the active cord 28. Further, a patient electrode (P electrode) 30 of the electric knife 17 is connected to a patient plate (P plate) 31 formed in a flexible sheet shape so as to be in close contact with the skin of the human body.

The active electrode 29 and the P electrode 30 of the electric knife 17 are connected to an HF output amplifier 32 for generating high frequency power provided inside the apparatus, and the high frequency current output from the HF output amplifier 32 is connected to the HF output amplifier 32. Flows through the active cord 28 and the high-frequency treatment instrument 23 as shown by the arrow in the figure, passes through the human body from the tip of the high-frequency treatment instrument 23,
It returns to the HF output amplifier 32 via the P plate 31.

At this time, since the contact area of the high-frequency treatment instrument 23 with the human body is small, the current density of the high-frequency current becomes extremely high, and the cell tissue at the contact portion is evaporated by the high-frequency energy. In this way, the tissue at the contact portion is excised by evaporating the cell tissue one after another. On the other hand, since the contact area on the P plate 31 side is wide, the current density is small and no change appears in the cell tissue.

As described above, the endoscopic system including a plurality of devices enables various treatments such as excision treatment by the electric scalpel 17 while observing the treatment site with the endoscope 6. . Then, in the present embodiment, as shown in FIG. 3, in order to obtain an operation environment suitable for each operator such as a surgeon and a nurse who performs an operation using an endoscope system that simultaneously uses a plurality of devices, as shown in FIG. In addition, a plurality of devices can be centrally operated and controlled.

As shown in FIG. 3, an endoscope camera device 1
The a, 1b, the light source devices 8a, 8b, the image processing device 100, and the VTR 38 are connected to the system controller 35, which is a centralized control means for controlling the entire system, in a one-to-one relationship. It is connected to the system controller 35 via the relay unit 102 of the serial interface in a one-to-one relationship. That is, each device is centrally controlled by serial communication by the system controller 35 which also serves as a communication means.

The relay unit 102 includes a relay cable unit 105 and a plurality of interface cables 10.
The relay unit 10 has a function of converting to 4
2 through the system controller 35 and each device 17, 1
By connecting 8 and the panel, wiring and cable routing are simplified. The endoscope camera devices 1a and 1b, the light source devices 8a and 8b, and the image processing device 10
0 and VTR 38 may be connected to the system controller 35 via a relay unit.

The endoscope system is provided with a plurality of display means, such as a centralized display panel 36 and a centralized control panel 37, as display means for displaying the operating state of each device, each of which is connected to the system controller 35. Has been done.

The centralized display panel 36 is mainly intended to collectively display information required by a surgeon performing an operation during the operation. On the other hand, the centralized control panel 37 provided as operation input means has function operation switches and the like so that a nurse in charge of operation of each device and delivery of forceps and the like can operate the device according to instructions of a surgeon during surgery. The main purpose is to display. The central display panel 36 and the central control panel 37 are CR
T, or a display unit such as a liquid crystal display, a plasma display, an EL (electro luminescent) display, or the like, and a touch sensor panel integrally provided on the display unit. In addition to having the function of a display unit for displaying the status display and function operation switches as a setting screen, touching a predetermined area of a touch sensor in which switch electrodes and the like are two-dimensionally arranged allows operation instructions by the function operation switches. It has the function of various operating means.

As the touch sensor, a contact type sensor such as a resistive type, a capacitive type, and a pressure detecting type having a switch electrode disposed thereon, and a non-contact type such as an optical type using infrared rays are used. Can be.

It is to be noted that the centralized display panel 36 may be provided with only a display section and only display on the panel. The system controller 35 displays the state of the target device on each of the centralized display panel 36 and the centralized control panel 37, and controls the setting screen of each panel so that the target operation can be performed.

The endoscope system according to the present embodiment includes:
The second control panel 103 for operating only a predetermined function of the functions of each device is directly connected to the system controller 35. The second control panel 103 is provided with a function operation switch for operating in a sterilization area during surgery.

Here, the operation panel of each device will be described with reference to FIG. The operation panel 13 of each of the endoscope camera devices 1a and 1b is provided with a white balance 41, a photometric mode 42, an AGC 43, an edge enhancement 44, a color bar 45, a red tone adjustment 46, and a blue tone adjustment 47. Has been.

The operation panel 48 of the light source devices 8a and 8b
Are provided with a switch for adjusting the amount of light 49, a lamp illumination mode identification LED 50, and a lamp burnout LED 51.

The operation panel 52 of the electric knife 17 includes:
A switch for an output level setting 54 and an output waveform switching 55 in a CUT mode for incising tissue;
7-segment display 53 for displaying mode setting output
And a switch for output level setting 57 and output waveform switching 58 in the COAGULATION mode for coagulating tissue, a 7-segment display 56 for displaying the setting output in the COAGULATION mode, and a P plate abnormal warning L for the device.
An ED 59, an output level abnormality warning LED 60 of the device, and an abnormal continuous output warning LED 61 of the device are provided.

The operation panel 62 of the insufflation device 18 includes:
A switch for the pneumoperitoneum setting 63 and a 7-segment indicator 64 for displaying the pneumoperitoneum pressure, a switch for the carbon dioxide gas flow rate setting 65 and a 7-segment indicator 66 for displaying the carbon dioxide gas flow rate, and a carbon dioxide gas consumption amount A counter reset switch 67, a 7-segment indicator 68 for displaying carbon dioxide gas consumption, an overpneumoperitoneum warning LED 69, and an insufflation tube clogging warning LED 70 are provided.

Of the status display and operation switches of the operation panel of each of these devices, the intended one is displayed on the screen of the centralized display panel 36 or the centralized control panel 37.

Next, with reference to FIG. 5, an actual usage pattern of each device in the medical endoscope system will be described. As shown in the figure, each device is mounted on a first cart 113 and a second cart 114 which are arranged so as to sandwich a patient lying on an operation bed 112.

In this embodiment, the first cart 113 has endoscope camera devices 1a and 1b, light source devices 8a and 8b, and
The image processing apparatus 100, the VTR 38, the monitor 14a, the system controller 35, the centralized display panel 36, and the first relay unit 101 for simplifying the wiring and cable routing are mounted, and the endoscope camera apparatus 1a. , 1b are connected to endoscopes 6a and 6b, respectively. On the other hand, the second cart 114 is equipped with the electric knife 17, the pneumoperitoneum device 18, the monitor 14b, the centralized control panel 37, and the second relay unit 102.

The carts 113 and 114 are provided with isolation transformers 115 and 116 that electrically insulate the power supply from each device.
Are provided to supply power to the equipment in the cart. However, the light source devices 8a and 8b and the electric knife 17
Since the power consumption is high, this isolation transformer 115, 1
Power is supplied directly from a wall outlet in the operating room without going through 16.

Then, the relay unit 101 of the first cart 113 and the relay unit 1 of the second cart 114.
02 is connected by a relay cable unit 117 to establish a connection between two carts.

The pedestal 11 for fixing the monitors 14a and 14b as image display devices, such as CRTs, on the upper stages of the carts 113 and 114, respectively.
8, 119 are provided and are rotatably arranged with respect to the carts 113, 114 main bodies.

As shown in FIG. 6, in the cart 113, the endoscope camera devices 1a and 1b, the light source devices 8a and 8b, the image processing device 100, the monitor 14a and the system controller 35, the centralized display panel 36, and the centralized control panel 37 are provided. Is installed.

A pedestal 118 slidable with respect to the cart main body is provided on the cart 113, and the monitor 14a is placed on the pedestal 118.
The centralized display panel 36 is fixed to the side end of the via a support 120. The column 120 that supports the centralized display panel 36 is located on the back side of the centralized display panel 36 in the figure, and has an angle mechanism whose direction can be freely changed by a hinge (not shown) or the like, and is independent of the monitor 14a. The direction of the display surface of the centralized display panel 36 can be changed.

Further, on the side surface of the cart 113,
A pair of slide rails 143 for fixing the centralized control panel 37 are arranged in the vertical direction, and both ends of the centralized control panel 37 are engaged with and held by the slide rails 143.

As a result, the centralized control panel 37 can be moved vertically on the slide rail 143 to an arbitrary position.

Further, the central control panel 37 is provided with a cover 142 for protecting the display surface which can be opened and closed, and the cover 14 is provided when the central control panel 37 is not used.
By closing 2, the panel display surface can be protected.

A suction bottle 148 is arranged on the back side of the cart 113. Further, a VTR 38 is installed below the suction bottle 148 toward the back surface of the cart 113.

As shown in FIG. 7, a water supply bottle 145 containing physiological saline is hooked on a hook on the side of the monitor 14a above the cart 113.
An end portion of the water supply tube 146 is connected to a water supply / suction probe 144 for extending and drawing a water supply tube 146 from 45 to wash / suck the body of the patient.

When water is supplied to clean the inside of the patient's body, the water supply button 150 provided on the operation portion of the water supply / suction probe 144 is operated to supply the water inside the water supply bottle 145 via the water supply tube 146. The supply of saline can be controlled.

A suction tube 147 is connected to the water supply suction probe 144. The other end of the suction tube 147 is the suction bottle 1 mounted on the cart 113.
Connected to 48. The suction tube 147 is fixed to the side surface of the cart 113 by a tube holder 152.

Further, a suction tube 149 is extended from the suction bottle 148.
The other end of 49 is connected to a wall suction terminal (not shown) of the operating room. The wall suction terminal is always in a pulling state by the suction device, and by operating the suction button 151 provided on the operation portion of the water supply suction probe 144,
Suction is immediately started via the suction tubes 149 and 147, and dirt in the body is sucked into the suction bottle 148.

As shown in FIG. 8A, the cart 11
The electric knife 17, the pneumoperitoneum device 18, the monitor 14b, the system controller 35, the centralized display panel 36 and the centralized control panel 37 are mounted on the electric knife 4, and the foot switch 161 for controlling the output provided on the electric knife 17 and the centralized control panel 37 are installed. A foot switch 162 for controlling smoke emission function provided on the abdominal device 18 is connected to each device in the cart 114 via a signal line. An openable storage shelf 163 for storing the foot switches 161 and 162 is provided at the lower front portion of the cart 114.

As shown in FIG. 8B, the cart 1
A cylinder switching lever 164 for switching between two gas cylinders (not shown) containing carbon dioxide for an insufflation device stored in the cart 114 is provided on the rear surface of 14.

The operation screen of the centralized control panel will be described with reference to FIGS. 9 to 21.

First, the main screen of the operation screen displayed on the centralized control panel will be described with reference to FIG. As shown in the figure, in the center of the screen of the main screen 201, along with an operation table illustration 211 showing a patient lying on the bed in the operating room, a system display illustration 212 showing the instruments and devices of the system connected to this patient. Is automatically displayed.

A line 213 extending from under the patient's feet indicates that the electric scalpel 17 and the patient plate 31 are connected to each other, and a line 21 extending to the instrument inserted into the abdomen of the patient.
4, 215, 216 and 217 are, in order from the left side, the connection between the electric knife 17 and the active cord 28, the connection between the endoscope 6a and the endoscope camera apparatus 1a, the endoscope 6b and the endoscope camera apparatus 1b. Connection and pneumoperitoneum device 18 and gas tube 2
4 shows that the connection with the system is made when the solid line extends, and these illustrations disappear when the connection with the device is disconnected.

As shown in the figure, the monitor illustration 21 is displayed in the upper left and upper right portions of the setting screen of the menu screen 201.
8, 219 are arranged. This monitor illustration 21
Reference numerals 8 and 219 denote monitors 14a and 14 in the endoscope system.
It shows how an image is displayed on the monitor screen of b. In the case of the monitor illustration 218, the input image from the endoscopic camera device 1a is displayed as a main screen, and the endoscopic camera device is displayed. It shows that the input image from 1b is displayed as a child screen in the lower right corner of the monitor screen.
Similarly, in the monitor illustration 219, the endoscope camera device 1
It shows that the input image from b is displayed as a parent screen, and the input image from the endoscope camera device 1a is displayed as a child screen in the upper left corner of the monitor screen.

An image recording device operating screen 220 arranged between the monitor illustration 218 and the monitor illustration 219 is for controlling devices such as an image mixer, a VTR, a printer and an SCV in the endoscope system. This figure shows a state in which the image mixer is selected. The "child screen display" switch 221 for turning on / off the child screen display provided in the image mixer, the parent screen and the child screen are shown. "Switch image" switch 222 for switching the display of ",""Mirrorimage" switch 223 for horizontally reversing the input image, "Inverted image" switch 224 for displaying the display image upside down, monitor 14a and monitor 1
"Monitor A / B" switch 2 for switching the selection with 4b
25 and the setting screen switch 226 for collectively changing the settings of the image mixer to the contents registered in advance.
Is displayed.

The electric knife operating screen 230 arranged below the monitor illustration 218 is for controlling the electric knife 17 in the endoscope system.
As shown in the figure, the operation switch sections 231 and 2 having the same function as the operation panel 52 of the electric knife 17 and capable of setting and changing the incision output value or the coagulation output value.
32 and the like are provided.

The pneumoperitoneum operation screen 235 arranged below the monitor illustration 219 is for controlling the pneumoperitoneum 18 of the endoscope system. A switch unit 236 that has the same function as the operation panel 62 of the device 18 and that can set and change the set pressure value and the integrated flow rate and the start and stop of air supply,
A switch unit 237 for operating CO2 suction and the like is provided.

A plurality of operation tags 240 are displayed at the lower end of the menu screen 201. These operation tags 240 are switches for calling the operation screen of each device in this endoscope system, and are an “observation device 1” switch 240a, an “pneumoperitoneum” switch 240b,
By pressing a tag switch such as the "electric knife" switch 240c, an operation screen of the device corresponding to each switch is displayed, and detailed settings can be performed. Further, by selecting a "menu" switch 241 labeled "menu", an automatic setting mode can be selected as described later.

For example, when the user presses the "electric knife" switch 240c shown in FIG. 9, an electric knife setting screen 202 for displaying all settings of the electric knife 17 is displayed as shown in FIG. This electric knife setting screen 202
Similar to operating the operation panel 52 of the electrosurgical unit 17 by operating the switches arranged above, the mode setting of the CUT or COAGULATION of the electrosurgical unit 17 and the output level in the CUT mode for incising the tissue C for setting and switching output waveforms and coagulating tissue
Various settings such as output level setting and output waveform switching in OAGULATION mode can be performed.

Similarly, when the user presses the "pneumoperitoneum" switch 240b in FIG. 9, as shown in FIG.
Setting screen 2 for pneumoperitoneum that can set all 8
03 is displayed. Similarly to operating the operation panel 62 of the pneumoperitoneum device 18 by operating each switch provided on the pneumoperitoneum setting screen 203, the pneumoperitoneum pressure setting of the pneumoperitoneum device 18 and the carbon dioxide gas flow rate are performed. Various settings such as settings and reset of the integrated flow rate can be performed. In addition, the insufflation operation is turned ON / O by the "air supply" switch and the "stop" switch at the bottom of the screen.
It is also possible to control the FF.

Here, the automatic setting mode will be described. First, when the user presses the “menu” switch 241 from the operation tags 240 displayed in FIG. 9, the item selection screen 204 shown in FIG. 12 is displayed. And
No1 to No5 displayed on this item selection screen 204
"Automatic setting value registration" switch 2 from the switch group
Select 42. As a result, the registration content setting designated position selection screen 205 shown in FIG. 13 is displayed.

When any switch, for example, "No1 switch" 243 is selected from the switch group of No. 1 to No. 8 on the registration content setting designated position selection screen 205 shown in FIG. 13 and is provided in the lower center of the screen. "Registration"
"Register" from the switch 244 and the "delete" switch 245
Select switch 244. Then, a registration name input screen 206 in which a keyboard having an arrangement as shown in FIG. 14 is arranged
Is displayed.

The user can enter the registration name input screen 206
Registration screen 246 by pressing the alphabet switch etc.
Enter the registered name (for example, the user's name) above. Then, when the input of the registered name is completed, it is confirmed whether or not there is an error in the registered name, and the “register” switch 247 arranged at the lower right of the screen is pressed. As a result, the controlled device selection screen 207 shown in FIG. 15 is displayed.

The controlled device selection screen 207 is a screen showing devices corresponding to the automatic setting of the endoscope system.
The user can select a desired device from the devices displayed on this screen. That is, when the user presses the "electric knife" switch 248 and the "pneumoperitoneum" switch 249 which are the device switches displayed on the screen, an insufflator automatic setting registration screen (to be described later) corresponding to this device switch is displayed. The electric knife automatic setting registration screen is displayed.

Here, a case where the user selects the "electric knife" switch 248 and the "pneumoperitoneum" switch 249 from the controlled device selection screen 207 will be described.
"Pneumoperitoneum" switch 2 on the controlled device selection screen 207
By selecting 49, as shown in FIG. 16, the pneumoperitoneum for automatic setting value registration in which a setting frame 250 indicating that the setting pressure and flow rate of the pneumoperitoneum device 18 can be automatically set is displayed. A device automatic setting registration screen 208 is displayed. The setting frame is not displayed for function switches that cannot be automatically set.

Here, the set pressure up / down switch 251 and the flow rate setting switch 252 surrounded by the setting frame 250 are operated to set the set pressure and the flow rate to desired values. Then, the "registration" switch 253 and the "cancel" switch 254 arranged at the lower right of the screen are selected to record the registration contents set by the user.

Next, by selecting the "electric knife" switch 248 on the controlled device selection screen 207, it is possible to automatically set the mode, incision output and coagulation output of the electric knife 17, as shown in FIG. An electric knife automatic setting registration screen 209 for automatic setting value registration is displayed in which a setting frame 250 indicating that is displayed. Similar to the pneumoperitoneum automatic setting registration screen 208, setting frames are not displayed for function switches that cannot be automatically set.

Here, the incision output up / down switch 255 or the coagulation output up / down switch 256 surrounded by the setting frame 250 is operated to set the output value and the output waveform. Next, the "registration" switch 257 and the "cancel" switch 258 arranged at the lower right of the screen are selected to record the registration contents set by the user.

After the recording of the registration contents of each device is completed, the "registration confirmation" switch 259 at the lower left of the automatic setting registration screen for each device is pressed. Then, the registration confirmation screen 210 shown in FIG. 18 is displayed. This registration confirmation screen 210
If the registration name displayed on the registration destination screen 260 of No. 2 is registered by the user, the “Yes” switch 261 and the “No” switch 2 arranged at the center of the screen
The “Yes” switch 261 is selected from 62. As a result, all setting values relating to the device selected by the user are registered.

When the No. 3 switch 264 is selected on the registration content setting designated position selection screen 205 of FIG. 13 and the setting value is already registered in the No. 3 switch 264, the registration shown in FIG. A first warning screen 2 displaying a message asking whether or not overwriting as shown in FIG. 20 is displayed, indicating that the content setting designated position selection screen 205a has selected overwriting registration.
63 appears.

When the "Delete" switch 245 is selected on the registration content setting designated position selection screen 205 of FIG. 13, the setting registered in the No. 3 switch 264 selected by the user as shown in FIG. A second warning screen 265 appears with a message confirming whether the content can be deleted.

Further, if the user does not set the setting item of the automatic setting registration screen such as the pneumoperitoneum automatic setting registration screen 208 shown in FIG. 16, the automatic setting will not be performed for that item. ing.

Here, an example of recording setting data will be described. As shown in FIG. 22, in the system controller 35, the endoscope camera devices 1a and 1b of the endoscope system, the light source devices 8a and 8b, the image processing device 100, the electric scalpel 17,
A plurality of controlled devices such as the pneumoperitoneum device 18, the centralized display panel 36, the centralized control panel 37, and the second control panel 103 are bidirectionally communicated with the microprocessor unit MPU 271 via a communication interface circuit 270 which is a communication means. It is like this.

As for the setting state of each controlled device, the communication interface circuit 270 always takes in data regularly, and as shown in FIG. 23, the backup file BKUP1.DAT file or BKUP10.DAT file is always stored in the hard disk as a storage means. It is updated as needed and stored. Therefore, even if the power is cut off for some reason, the state of the controlled device is regularly monitored and the data is regularly fetched to the hard disk 272. The status is managed as a backup file of the hard disk 272. That is, in this embodiment, the data set in the controlled device connected to the system controller 35 is
Always as a backup file on the hard disk
It is stored in the last memory data file corresponding to each controlled device in the BKUP1.DAT file or BKUP10.DAT file. In addition, in this embodiment, as shown in FIG.
Backup data regarding the electric knife 17 is stored in the BKUP3.DAT file.

Further, as shown in FIG. 23, the setting contents automatically set by the user are file-managed as setting data (SET1.DAT to SET8.DAT) in the hard disk 272.

Therefore, for example, the No. 1 switch 243 on the registration content setting designated position selection screen 205 of FIG.
14 and enter “YAMADA-TARO” on the registration name input screen 206 of FIG. 14, select only the “electric knife” switch 248 on the controlled device selection screen 207 of FIG. 15, and select the electric knife of FIG. When “bipolar”, incision output value “50 W”, and incision mode “mix 1” are set on the automatic setting registration screen 209, the set value corresponding to the No. 1 switch 243 in FIG. 13 is stored in the SET1.DAT file of the hard disk 272. It At this time, the registration name “YAMADA-TARO” entered on the registration name input screen 206 of FIG. 14 and FIG.
The setting data of "Bipolar", incision "50W", and "Mix 1" input and set on the electric knife automatic setting registration screen 209 of 7 are written in the SET1.DAT file as shown in Fig. 24 and set by the user. For the coagulation output setting value and coagulation mode setting that are not available, the backup value "45W" and "coagulation" of the electric knife 17 stored in the BKUP3.DAT file are read out and stored in the specified part of the SET1.DAT file. It is designed to be incorporated as setting data. Therefore, the operator can complete the registration of the automatic setting without inputting all the automatic setting items.

In this embodiment, when the user selects any one of the No. 1 to No. 8 switches of the automatic setting number to execute the automatic setting, the user's automatic communication communicated to the controlled device is performed. The set contents are
Items that have been set in advance and backup values for peripheral devices are to be sent as mixed settings, and at this time the contents preset by the user are fixed regardless of the backup values of the controlled device. Has become.

With this configuration, the automatic settings related to the functions that are always used with the same value settings are automatically registered as the setting contents from the backup value of the device even if the setting is omitted, so that the user's registration in the automatic setting can be performed. The labor of registration work is greatly reduced.

As described above, according to the present invention, the user can freely select the automatic setting contents for collectively controlling the controlled devices. Therefore, when a large number of peripheral devices make up the system, new setting is unnecessary. Since it is not necessary for the user to set various setting items, automatic setting registration can be performed in a short time and easily. As a result, only the setting of the selected controlled device needs to be set, which eliminates the trouble and trouble of automatic setting registration.

Further, since the user can select which function of the control device is to be set, it is possible to expand the range of selection in which only the necessary function is automatically set and registered and the other functions are not registered. As a result, only the required function of each device needs to be set, and the troublesomeness for automatic setting registration is greatly reduced.

Further, by displaying the warning screen, it is possible to overwrite or delete at any time even though the number of items that can be set on the registration content setting designated position selection screen is 8, so that unnecessary settings can be made. By performing the deletion promptly, it is possible to set 8 or more settings.

In this embodiment, the storage means for storing the setting state of the controlled device is a hard disk, but the storage means is not limited to the hard disk, but a semiconductor storage device such as S-RAM or a PC card. It goes without saying that a storage means such as a detachable card storage medium may be used.

For items not selected in the automatic setting items, the backup value of the controlled device is incorporated as the setting data, but the controlled value at the time of registering the automatic setting value instead of the backup value is controlled. The operating state of the device may be set as the set value, and the set value in the current operating state is also within the range of the backup value.

Further, in the present embodiment, the backup value is fetched as the automatic setting value when the automatic setting value is registered, but the present invention is not limited to this, and the backup value is fetched when executing the automatic setting. It can also be configured as follows. As a result, with respect to the items that are not designated as the automatic setting items, the previous setting values are automatically set, and the device setup is further facilitated.

The present invention is not limited to the embodiments described above, and various modifications can be made without departing from the spirit of the invention.

[Additional Notes] According to the above-described embodiment of the present invention described in detail above, the following configuration can be obtained.

(1) In a system control device for controlling a system having a plurality of controlled devices, communication means for performing two-way communication with the controlled devices and an operation for remotely operating each controlled device. And a means for controlling the function of the controlled device from the operating means so that it can be freely selected whether or not to register a preset value for setting the function in advance.

(2) The system control device according to appendix 1, wherein each device operation history value is automatically registered as a preset value for the function not registered as the preset value.

(3) Regarding the function not registered as the preset value, the last memory value which is the operation history value of each device stored in the recording means in the system control device is automatically registered as the preset value. The system controller described.

(4) Regarding the function not registered as the preset value, the system control device according to appendix 1, wherein the present state, which is the operation history value of the controlled device at the time of the automatic setting registration work, is automatically registered as the preset value. .

(5) The system control device according to appendix 1, wherein the controlled device includes at least one medical device.

[0099]

As described above, according to the present invention, when preset values for controlling peripheral devices are collectively set in advance, the peripheral devices can be set without inputting them one by one. It is possible to provide a system control device capable of selecting whether or not to register a preset value for.

[Brief description of drawings]

1 to 24 relate to an embodiment of the present invention, and FIGS. 1 to 8 are views for explaining a configuration of an endoscope system, and FIG. 1 shows a medical endoscope system. Explanatory drawing which shows schematic structure of the whole observation apparatus containing an endoscope.

FIG. 2 is an explanatory diagram showing a device configuration and a usage state when performing an endoscopic surgery using an endoscope medical system.

FIG. 3 is a block diagram illustrating the overall configuration of a medical endoscope system.

FIG. 4 is an explanatory diagram showing an operation panel of each device.

FIG. 5 is an explanatory diagram showing an actual usage pattern of each device in the medical endoscope system.

FIG. 6 is a perspective view showing a configuration of a cart equipped with each device of the medical endoscope system.

FIG. 7 is a diagram for explaining the configuration of the back surface of the cart and the positional relationship between the cart and the patient.

FIG. 8 is an explanatory view showing a cart equipped with each device of the medical endoscope system and a foot switch.

9 to 21 are diagrams for explaining an operation screen of the centralized control panel, and FIG. 9 is an explanatory diagram showing a main screen of the operation screen.

FIG. 10 is an explanatory diagram showing an electric knife setting screen.

FIG. 11 is an explanatory diagram showing a pneumoperitoneum setting screen.

FIG. 12 is an explanatory diagram showing an item selection screen.

FIG. 13 is an explanatory diagram showing a registration content setting position selection screen.

FIG. 14 is an explanatory diagram showing a registered name input screen.

FIG. 15 is an explanatory diagram showing a controlled device selection screen.

FIG. 16 is an explanatory diagram showing a pneumoperitoneum automatic setting registration screen.

FIG. 17 is an explanatory view showing an electric knife automatic setting registration screen.

FIG. 18 is an explanatory diagram showing a registration confirmation screen.

FIG. 19 is an explanatory diagram showing an automatic setting screen in a menu.

FIG. 20 is an explanatory diagram showing an overwrite confirmation screen.

FIG. 21 is an explanatory diagram showing a deletion confirmation screen.

FIG. 22 is an explanatory diagram showing the connection relationship between the controlled device in the system and the system controller.

FIG. 23 is a diagram illustrating a recording state in a hard disk.

FIG. 24 is a diagram for explaining the contents of registration setting data written in a file on the hard disk.

[Explanation of symbols]

 1a, 1b ... Endoscopic camera device 8a, 8b ... Light source device 17 ... Electric knife 18 ... Pneumoperitoneum device 35 ... System controller 36 ... Centralized display panel 37 ... Centralized control panel 100 ... Image processing device 103 ... Second control panel 270 … Communication interface circuit 271… Microprocessor unit

Claims (1)

[Claims] 1. A system controller for controlling a system having a plurality of controlled devices, a communication means for performing bidirectional communication with the controlled devices, and an operating means for remotely operating each controlled device. A system control device, comprising: and a control unit configured to select whether or not to register a preset value for a function setting in advance with respect to a function of the controlled device from the operation unit.