KR20160116949A - Auto identification system for surgical instrument and information processing method of the same - Google Patents

Abstract

The present invention discloses a system for automatically identifying surgical and treatment instruments, and an information processing method thereof. The system for automatically identifying surgical and treatment instruments of the present invention comprises: an EMR system for writing medical record in a digital method, and storing and managing the medical record; an electronic tag coupled to surgical and treatment instruments, and storing information on the surgical and treatment instruments; and an identifier disposed in an operating room, wirelessly identifying information of the electronic tag, and delivering the information of the electronic tag to the EMR system. When the identifier identifies the information of the electronic tag, the information on the surgical and treatment instruments are stored in the EMR system in real-time.

Description

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an automatic recognition system for a surgical instrument and a surgical instrument,

The present invention relates to an automatic recognition system for a surgical instrument and a surgical instrument and an information processing method thereof. More particularly, the present invention relates to an automatic recognition system for a surgical instrument and a surgical instrument, To a system for automatic recognition of a surgical instrument, a surgical instrument, and an information processing method thereof, in which a list of instruments prepared through a screen can be confirmed at a glance.

The preliminary meaning of operation is surgical treatment which is performed by cutting the skin, mucous membrane or other tissues for the purpose of treatment, and the lexical meaning of the operation is that the medical person performs medicine, It is a comprehensive term referring to treatment or surgery for the purpose of improving the affected part.

In recent years, there has been a slight difference from the preliminary meaning in order to distinguish smaller operations, such as improvement of anesthesia technique, invention of antibiotics, Surgery is used to cut, cut, and suture the tissue, and the minimal medical practice that is performed without incision and cutting is separated using the term surgery.

However, the operation is minimized in the incision, cutting and suturing of the human tissue, but since it is performed on important organs inside the human body such as spinal surgery, gastrointestinal intervention, in vitro baby surgery, and stereotactic surgery, Is used.

For example, in the case of an interventional procedure, 10 to 30 treatment instruments are used depending on the purpose of the treatment and the position of the lesion, and the instruments used are complex enough to be prescribed 50 or more depending on the diameter and length.

In the current medical system, the practitioner prescribes the instruments used for the surgery and the procedure before the operation and the procedure, and the instruments prescribed by the hand are prepared by the nurse in the operating room before the operation and the operation.

However, in the medical system in which the surgical instruments and the surgical instruments are prescribed by hand, there is a problem that the medical staffs are liable to cause mistakes or omissions in the preparation of the instruments. Incorrect preparation of a set of instruments may result in delays in surgery and procedures or in various problems due to omission of instruments during surgery and procedures, thereby urgently requiring improvement.

Currently, EMR (Electric Medical Record) system is being built to store the medical records recorded in the existing paper documents centered on general hospitals and university hospitals on the computerized media, and after the surgery and procedures are completed, The instrument used is recorded in the EMR system via computer input.

Korean Patent Laid-Open Publication No. 2014-0127534 discloses a surgical information management apparatus based on an electronic medical record system and a management method thereof, and Korean Patent Laid-Open Publication No. 2014-0127534 discloses a system for storing and managing surgery schedule information in a hospital An operation information unit, a beam management control unit for controlling operations to search and provide operation schedule information stored in the operation information unit, a search condition input unit for inputting search conditions, a search condition input unit for inputting search conditions, And a surgery schedule display unit for displaying the operation schedule information inquired by the operation schedule inquiry unit.

Patent Publication No. 2014-0127534 provides a result of inquiring the registered operation schedule information according to the search condition, so that it is easy to inquire operation information including the operation schedule or register a new operation schedule on the electronic medical record system And it is possible to provide operation schedule information in a specialized form under various search conditions.

In the conventional EMR system including the patent publication No. 2014-0127534, as shown in FIG. 1, a selection window or a check box for selecting a surgical instrument and a surgical instrument is formed in a window for recording medical records, The surgeon saves the operation and the instrument used for the procedure in the selection window or the check box by using the mouse or the keyboard of the computer in the EMR system after the end of the operation and the procedure.

However, as described above, depending on the type of surgery and procedure, the types of instruments used for surgery and procedures are wide, and it takes a long time to select the instruments used for surgery and procedures in the selection window or check box. There is a problem that a dropout occurs easily.

Particularly, surgical operation requires preparation of both a main set of surgical instruments and a set of different surgical instruments to be added depending on the position of the lesion. After the surgical operation, the surgical instruments used for the actual surgery are firstly recorded in a manual manner Secondly, it is stored in the EMR system. Surgical operations are more likely to occur due to various types of surgical instruments used.

Currently, the EMR system, which is built around general hospitals and university hospitals, has the problem of omission or omission of surgical instruments and treatment instruments as mentioned above. In case of the occurrence or omission of surgical instruments and treatment instruments, Even if it is used, the number is not properly reflected, and general hospitals and university hospitals are obliged to incur losses accordingly.

(0001) Korean Patent Laid-Open Publication No. 2014-0127534 (Disclosure: 2014.11.04)

It is an object of the present invention to provide an apparatus and a method for preventing an operation delay and a medical accident by allowing a practitioner to confirm a list of instruments prepared through a screen at a glance even if the operator does not check the instruments prepared before the operation and the operation, The present invention provides an automatic recognition system for a surgical instrument, a surgical instrument, and an information processing method of the surgical instrument, which are accurately inputted to the EMR system and prevented from mistake or omission in reflecting the medical care by the used instrument.

This object is achieved according to the invention by an EMR system in which medical records are created, stored and managed digitally; An electronic tag coupled to the surgical instrument and the surgical instrument and storing information of the surgical instrument and the surgical instrument; And a recognizer for recognizing the information of the electronic tag wirelessly and transmitting the information of the electronic tag to the emulate system, wherein when the recognizer recognizes the information of the electronic tag, And the information of the operation mechanism is stored in real time in the MAL system.

And an output device provided in the operating room for outputting the information of the electronic tag stored in the emulate system. When the recognizer recognizes the information of the electronic tag, Tag information in real time through the output device.

An information recognition step of recognizing an electronic tag of a surgical instrument and a surgical instrument prepared in an operating room through a recognizer; Transmitting the information of the electronic tag to the emulation system by the recognizer; And an information storing step of storing the information of the electronic tag in the MRAM system.

And an information output step of outputting information of the electronic tag stored in the MAL system in real time to an output device provided in the operating room.

The above object is achieved according to the present invention, which comprises a basal storage step of storing information including a surgical name in which the surgical instrument and a surgical instrument are used in the electronic tag before the surgical instrument and the surgical instrument are prepared in the operating room; And a schedule storing step of storing the name of the operating room, the operation time, and the operation name in the MAL system before the operating mechanism and the operating mechanism are prepared in the operating room. In the information storing step, And information on the suitability of use of the surgical instrument and the surgical instrument is output in the information output step. The surgical instrument according to claim 1, And the information processing method of the automatic recognition system of the surgical instrument.

And an information approval step of approving or disapproving information on suitability for use of the surgical instrument and the surgical instrument through an output device provided in the operating room, and when the information on suitability for use of the surgical instrument and the surgical instrument is rejected , The recognizer may be configured to re-recognize the electronic tag of the surgical instrument and the surgical instrument prepared in the operating room.

According to the present invention, since a recognizer for automatically recognizing information of a surgical instrument and a surgical instrument through an electronic tag and transmitting the same to the MAL system is provided in the operating room, even if the operator does not individually check the instruments prepared in the operating room It is possible to check the list of prepared instruments at a glance on the screen to prevent the delay of surgery and medical accidents, and the equipment used in the operating room can be accurately input to the EMR system in real time, It is possible to provide a system for automatically recognizing a surgical instrument, a surgical instrument, and an information processing method thereof.

BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a view showing a window for manually inputting a surgical instrument and a surgical instrument in a conventional MAL system; FIG.
2 is a view showing the entire configuration of a surgical instrument and a surgical instrument automatic recognition system according to an embodiment of the present invention.
3 is a schematic diagram of a surgical instrument and a surgical instrument automatic recognition system of FIG. 2;
FIG. 4 is a schematic view showing an information processing method of the surgical instrument and the automatic operation apparatus of the surgical instrument of FIG. 2;
5 is a view showing a recognizer of a surgical instrument and a surgical instrument automatic recognition system according to another embodiment of the present invention.

Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings. In the following description of the present invention, the well-known functions or constructions are not described in order to simplify the gist of the present invention.

The automatic recognition system for surgical instruments and instruments according to the present invention and the information processing method thereof can confirm a list of prepared instruments at a glance even if the practitioner does not check the instruments prepared before the surgery and the operation in the operating room at a glance, Accidents are prevented and equipment used in the operating room is accurately input to the EMR system in real time, so that mistakes or omissions are prevented from being reflected in the medical care by the used equipment.

FIG. 1 is a view showing a window for manually inputting a surgical instrument and a surgical instrument in a conventional MR system; FIG. 2 is a view showing the entire configuration of a surgical instrument and a surgical instrument automatic recognition system according to an embodiment of the present invention; FIG. 3 is a schematic view of a surgical instrument and a surgical instrument automatic recognition system of FIG. 2, FIG. 4 is a schematic diagram showing an information processing method of a surgical instrument and a surgical instrument automatic recognition system of FIG. Fig. 2 is a view showing a recognizer of a surgical instrument and an automatic recognition system of a surgical instrument.

2 and 3, the automatic recognition system 1 for a surgical instrument and a surgical instrument according to an embodiment of the present invention is a system for automatically recognizing an instrument (A) actually used for surgery and operation, The user can check the list of the prepared devices A at a glance even if the operator does not check the prepared device A before the operation and the operation in the operating room, 10, an electronic tag 20, a recognizer 30, and an output device 40. [

As shown in Fig. 2, the electronic tag 20 is constituted of an RFID tag, which is configured to store information of the surgical instrument A or the surgical instrument and to be coupled to the instrument A.

RFID (Radio Frequency Identification) is a device that stores information in a very small chip and transmits data wirelessly with an antenna. It is a recognition technology that can manage information of various objects such as foods, animals, Quot;

RFID is composed of a reader that reads and decodes data and a tag that provides information. In general, a tag attached to a product stores information about the entire process of production, distribution, storage, and consumption, To read this information through the antenna.

An RFID tag records information in an integrated circuit and transmits information to a reader via an antenna. This information is used to identify the tagged object. RFID differs from bar code systems in that it uses radio waves instead of reading them using light.

RFID can be classified as power used. The RFID that reads and communicates information of the chip only by the power of the reader is called passive RFID. Semi-passive RFID refers to the use of the power of a chip to read information from a chip, and the power of a reader to communicate with a tag. Active RFID uses the power of the tag to both read information from the chip and communicate the information.

In an embodiment of the present invention, the RFID is assumed to be a passive RFID. As shown in FIG. 2, in an embodiment of the present invention, the RFID is provided as a miniature passive RFID and inserted or attached to the inside of the surgical instrument A.

RFID can be used for theft prevention and copy protection purposes. The library can also be used to collect books. It can be used for public transportation fare collection system, distribution field, animal tracking device, automobile safety device, Collection facilities, and production management. The RFID is a known technology and will not be described in further detail.

The information of the electronic tag 20 includes the name of the surgical instrument A and the name of the operation in which the surgical instrument A is used.

As shown in Figs. 2 and 3, the recognizer 30 is configured to read and decode information of the electronic tag 20, and is made up of an RFID reader.

The distance that the RFID reader recognizes the tag depends on the RFID frequency. When the RFID frequency is low frequency, the recognition distance is several tens of centimeters, and in the case of high frequency, it is several tens of meters.

In the present invention, since only the surgical instrument or the surgical instrument prepared in the surgical preparation stand needs to be recognized, a low frequency band is used in the RFID reader to recognize only tags existing within 1 meter.

The recognizer 30 wirelessly recognizes the information of the electronic tag 20 and transmits it to the emulation system 10 built in the hospital.

The recognizer 30 is provided in the operating room. More specifically, as shown in FIG. 2, the recognizer 30 is provided with a portable reader on which a portable battery is mounted.

When the recognizer 30 is provided as a portable reader, the recognizer 30 can be moved very close to the surgical instrument A, so that the near field communication (NFC) technique can be used for the recognizer 30. NFC is one of radio frequency identification (RFID) technologies, which uses a frequency band of 13.56MHz to communicate various wireless data within a distance of 10cm or less.

The recognizer 30 is usually provided at one side of the operating room and is moved to the surgical instrument A by the medical person when the surgical instrument A is prepared in the surgical preparation table T, The mechanism A is recognized. When there are a plurality of operating rooms, the recognizing device 30 is provided for each operating room.

As shown in FIG. 5, the recognizer 30 may be provided in the form of a movable scanner. When the recognizer 30 is provided in the form of a movable scanner, a low frequency band for recognizing the electronic tags 20 existing within 1 meter is used in the RFID reader. The recognizer 30 provided in the form of a scanner is provided with a regulating portion 30a which is freely deformed so that the height of the head portion to be scanned is easily adjusted and maintained after the deformation, Respectively. The adjustment portion 30a may be made of a bellows.

2, the recognizer 30 recognizes the information of the electronic tag 20 inserted in the surgical instrument A and outputs the information of the electronic tag 20 to a combination of characters, And then transmits the information to the MIM system 10.

The recognizer 30 transmits the information of the electronic tag 20 together with the recognition time and the unique number of the recognizer 30 to the MIM system 10. The information of the electronic tag 20 , The recognition time and the unique number of the recognizer 30 are stored together. The identification number of the recognizer 30 is used to identify the recognized place and identifies the operating room equipped with the recognizer 30 through the unique number of the recognizer 30.

1, a check box S1 and a check box S2 for selecting a surgical instrument are formed in a window for recording medical records, and a medical doctor performs a surgical operation and a procedure In the check box S1 and the check box S2, the instruments used for the surgery and the procedure are selected by using the mouse or the keyboard of the computer and stored in the emulate system.

However, as described above, as the types of instruments used for surgery and procedures vary widely depending on the type of operation and procedure, a long period of time is required for selecting the instruments used for surgery and procedures in the check box S1 and the check box S2 , And there is a problem that it is easy to come and miss.

Particularly, surgical operation requires preparation of both a main set of surgical instruments and a set of different surgical instruments to be added depending on the position of the lesion. After the surgical operation, the surgical instruments used for the actual surgery are firstly recorded in a manual manner Secondarily, it is stored in the MR system. Surgical operations are more likely to cause problems due to various types of surgical instruments used.

Currently, the M-AL system, which is built around general hospitals and university hospitals, has the problem of omission or omission of surgical instruments and surgical instruments as mentioned above. In case of occurrence of missing or missing surgical instruments and treatment instruments, The use of the number is not properly reflected, and the general hospitals and the university hospitals are forced to make losses.

As shown in FIGS. 1 and 2, in order to solve the above-mentioned problems, the emulation system 10 of the automatic operation system 1 of the surgical instrument and the surgical instrument of the present invention has a medical record, And a method for receiving and storing information of the recognizer 30 in a conventional emulation system that is stored and managed is added.

2 and 5, when the surgical instrument A is carried into the operating room and is prepared in the surgical preparation table T, the automatic recognition system 1 for a surgical instrument and the surgical instrument according to the present invention, The control unit 30 recognizes the electronic tag 20 of the surgical instrument A so that the information of the surgical instrument A is automatically transmitted to the emulation system 10 and then stored, , It is possible to eliminate the inconvenience of selecting a surgical instrument and a surgical instrument which are individually used through a check box S1 and a check box S2 after opening a window for recording medical records in the conventional MR system, And the problem of missing or missing will be solved.

2 and 3, the output device 40 is configured to output information of the electronic tag 20 stored in the emulation system 10, and is provided on one side of the operating room.

As shown in FIG. 2, the output device 40 is provided with a monitor screen connected to the emulation system 10 in a wired or wireless manner.

When the information of the electronic tag 20 received from the recognizer 30 is stored in the emulation system 10, the emulation system 10 transmits the stored information to the output apparatus 40, A list of the surgical instruments A is automatically output.

When there are a plurality of operating rooms, an output device 40 is provided for each operating room. The emulation system 10 stores an identification number of each output apparatus 40. The emulation system 10 includes an output unit 30 for outputting information through the identification numbers of the recognizer 30 and the output apparatus 40 40).

As shown in Fig. 2, the information output from the output device 40 is output together with the list of the surgical instruments A, together with whether or not the surgical instruments A are suitable for use.

Every time the surgery is scheduled, the name of the operating room, the operation time, and the operation name are stored in the MAL system 10.

As described above, the information transmitted from the recognizer 30 to the emm system 10 includes the information of the electronic tag 20 (the name of the surgical instrument A, the name of the surgical instrument in which the surgical instrument A is used) And the unique number of the visual recognition unit 30. The emulation system 10 matches the recognition number of the recognizer 30 and the recognition time with the operation schedule (name of operation room, operation time).

As an example, in a state in which the first operation schedule including 11 o'clock (operation time), 1 o'clock operation room (operation room name) and brain tumor operation (operation name) When the first information including 11 o'clock pm (recognition time), 1 recognizer 30 (unique number), and a brain traction mechanism (name of apparatus (A)) is received from the AMR system 10 , The MIL system 10 matches the name of the operating room with the identification number, matches the operation time with the recognition time, and the information output from the output device 40 is transmitted to the operation name and apparatus A) is compared with the name of the surgical instrument (A).

In the MIL system 10, the operation name (including brain tumor operation) in which the brain traction device is used is stored, and in the output device 40, '?'

As shown in FIG. 2, when a surgical tool (Pratt Rectal Sepcula) not corresponding to the name of operation (brain tumor surgery) entered in the operation schedule is recognized, 'X' is displayed in the fitness column in the output device 40 .

As shown in Fig. 3, the information processing method of the surgical instrument and the automatic operation apparatus for the treatment instrument 1 is performed in the following procedure.

First, a basic storing step S100 for storing information in the electronic tag 20 is performed. The information stored in the electronic tag 20 includes the name of the surgical instrument A and the name of the operation.

Then, a schedule storage step S200 for storing the name of the operating room, the operation time, and the operation name in the MMS system 10 is performed. The schedule storage step (S200) is performed every time the operation schedule is taken, and is input to the emulation system (10) by the medical person.

Then, as shown in Fig. 1, an information recognition step S300 is performed in which the recognizer 30 recognizes the electronic tag 20 of the surgical instrument A prepared in the operating room.

2 and 5, the recognizer 30 is provided for each operating room, and the recognizer 30 recognizes the electronic tag 20 in a state in which the surgical instrument A is prepared in the surgical preparation table T do.

Next, an information transfer step (S400) is performed in which the recognizer 30 transfers the information of the electronic tag 20 to the MIM system 10. The recognizer 30 sends out the identification number and the identification time of the recognizer 30 together with the information of the electronic tag 20.

After the information transfer step S400 is performed, the information storage step S500 of storing the information of the electronic tag 20 in the emulation system 10 is performed. In the information storage step S500, the identification number and the identification time of the recognizer 30 are stored together with the information of the electronic tag 20.

Also, in the information storage step S500, information on the basis storage step S100 and the information on the constant storage step S200 are compared with each other, and it is determined whether or not the surgical instrument A is suitable for use and stored. Accordingly, the information of the electronic tag 20, the identification number of the recognizer 30, and the recognition time are stored in the emulation system 10 together with whether the surgical instrument A is suitable for use.

Then, an information output step (S600) is performed in which the output device (40) provided in the operating room outputs information stored in the emulation system (10) in real time in the information storage step (S500). In the information output step (S600), the medical person located in the operating room outputs only information that can confirm the surgical instrument (A).

That is, in the information output step S600, all the information stored in the information storage step S500 is not output, and the name of the surgical instrument A and whether the surgical instrument A is suitable for use are output. It is judged whether or not the surgical instrument A is properly prepared.

Finally, an information approval step (S700) for approving or disapproving information on suitability for use of the surgical instrument (A) through the output device (40) provided in the operating room is executed.

When the medical practitioner confirms that the surgical instrument A is correctly prepared, the information on suitability of the use of the surgical instrument A outputted to the output device is approved by using a keyboard or a mouse (see FIG. 2) 10), the approval information on suitability of use of the surgical instrument (A) is stored. The medical practitioner approves the use of the surgical instrument (A) and proceeds with the operation.

On the other hand, if the information on the suitability of use of the surgical instrument A is disallowed in the information approval step S700, the medical person re-recognizes the electronic tag 20 of the surgical instrument A prepared in the operating room through the recognizer 30.

The information of the re-recognized electronic tag 20 is transferred to the emulation system 10 through an information transmission step S400 in which the recognizer 30 transmits the information of the electronic tag 20 to the emulation system 10, An information output step S600 of outputting information stored in the emulation system 10 in real time in an information storage step S500 of the output device 40 provided in the operating room, And an information approval step (S700) for approving or disapproving the use suitability information of the surgical instrument (A) through the output device (40) provided in the operating room.

According to the present invention, since the recognizer 30 for automatically recognizing the information of the surgical instrument A and the surgical instrument A through the electronic tag 20 and delivering it to the emulation system 10 is provided in the operating room, Even if the practitioner does not individually confirm the instrument (A) prepared before the surgery and the operation in the operating room, the list of the prepared surgical instrument (A) and the procedure instrument (A) (A) actually used in the operation and procedure is input to the MAL system (10) in real time in the operating room, and the number of medical uses by the used instrument (A) is prevented from being mistaken or omitted. It is possible to provide an apparatus automatic recognition system 1 and an information processing method thereof.

While the present invention has been particularly shown and described with reference to exemplary embodiments thereof, it is to be understood that the invention is not limited to the disclosed embodiments, but, on the contrary, It is obvious to those who have. Accordingly, it should be understood that such modifications or alterations should not be understood individually from the technical spirit and viewpoint of the present invention, and that modified embodiments fall within the scope of the claims of the present invention.

1: Automatic recognition system 10: IMR system
A: Surgery and treatment apparatus 20: Electronic tag
S100: basic storage step 30: recognizer
S200: Schedule storage step 40: Output device
S300: Information Recognition Step T:
S400: information transmission step
S500: Information storage step
S600: information output step

Claims (6)

An EMR system in which medical records are created, stored and managed digitally;
An electronic tag coupled to the surgical instrument and the surgical instrument and storing information of the surgical instrument and the surgical instrument; And
And a recognizer installed in the operating room for wirelessly recognizing the information of the electronic tag and transmitting the information of the electronic tag to the emulate system,
Wherein when the recognizer recognizes the information of the electronic tag, the information of the surgical instrument and the surgical instrument is stored in real time in the emulation system. The method according to claim 1,
And an output device provided in the operating room for outputting the information of the electronic tag stored in the emulation system,
Wherein when the recognizer recognizes the information of the electronic tag, the medical person in the operating room confirms the information of the electronic tag stored in the EML system in real time through the output device. . An information recognition step of recognizing an electronic tag of a surgical instrument and a surgical instrument prepared in an operating room through a recognizer;
Transmitting the information of the electronic tag to the emulation system by the recognizer; And
And an information storage step of storing the information of the electronic tag in the MAL system. The method of claim 3,
And an information output step of outputting information of the electronic tag stored in the MAL system in real time to an output device provided in an operating room. 5. The method of claim 4,
A basic storage step of storing information including a surgical name in which the surgical instrument and the surgical instrument are used in the electronic tag before the surgical instrument and the surgical instrument are prepared in the operating room; And
And a schedule storing step of storing the name of the operating room, the operation time, and the name of the operating room in the mobile electronic system before the operating mechanism and the operating mechanism are prepared in the operating room,
The information storage step may include comparing the basic storage step with the predetermined storage step to determine whether the surgical instrument and the surgical instrument are suitable for use,
And outputting information on the suitability of use of the surgical instrument and the surgical instrument in the information output step. 6. The method of claim 5,
And an information approval step of approving or disapproving information on suitability for use of the surgical instrument and the surgical instrument through an output device provided in an operating room,
Wherein the recognizer recognizes the electronic tag of the surgical instrument and the surgical instrument prepared in the operating room when the information on the suitability of use of the surgical instrument and the surgical instrument is disallowed in the information approval step, / RTI >

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