WO2019156531A1 - Procédé de partage d'informations de traitement endoscopique au moyen d'un suivi d'objet en temps réel - Google Patents

Procédé de partage d'informations de traitement endoscopique au moyen d'un suivi d'objet en temps réel Download PDF

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WO2019156531A1
WO2019156531A1 PCT/KR2019/001668 KR2019001668W WO2019156531A1 WO 2019156531 A1 WO2019156531 A1 WO 2019156531A1 KR 2019001668 W KR2019001668 W KR 2019001668W WO 2019156531 A1 WO2019156531 A1 WO 2019156531A1
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medical
information
terminal
real
endoscope
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PCT/KR2019/001668
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English (en)
Korean (ko)
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최춘기
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주식회사 파인트리시스템
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06F—ELECTRIC DIGITAL DATA PROCESSING
    • G06F21/00—Security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
    • G06F21/30—Authentication, i.e. establishing the identity or authorisation of security principals
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2074—Interface software

Definitions

  • the present invention relates to a method of sharing endoscopy care information in real time, and more particularly, to share and prescribe the endoscopy care information of an earthquake patient by a medical staff of a hospital in real time with a guardian using a real-time object tracking technology It is about a method.
  • the endoscope is a medical device that can directly observe the internal organs or the body cavity. Originally designed to insert and observe a machine for organs that cannot be seen directly without surgery or autopsy. Endoscopes include bronchoscopes, esophagus, gastroscopy, duodenum, rectal, bladder, and laparoscope. Other special ones include thoracoscopic, mediascopy, cardiac, and the like. Endoscopy is called a straight tube, which consists of a tube that allows the naked eye to be seen with the naked eye, a lens system, a camera inserted directly into the organ, and a fiber scope using fiberglass. Recently, gastric cameras and gas fiber scopes have been widely used to diagnose early detection of gastric cancer.
  • the gastrointestinal can insert a small camera into the stomach and directly photograph and record the mucous membrane of the stomach to detect and diagnose minute lesions of the stomach.
  • the stomach fiber has good resolution and can be attached to a device that can cut and examine the tissue pieces of the lesion while observing the mucosal state.
  • the conventional endoscopy medical system and processor have a problem that the guardian and the medical staff must discuss and treat the condition of the seismic patient during the endoscopy medical treatment.
  • Patent Document 1 Republic of Korea Patent Publication No. 10-1257784 (2013.04.24., Announcement)
  • Patent Document 2 Republic of Korea Patent Publication No. 10-2015-0038850 (2015.04.09., Published)
  • Patent Document 3 Republic of Korea Patent Publication No. 10-1580559 (2015.12.28., Notification)
  • the present invention is to solve the above problems, the endoscope through the consultation process by applying real-time object tracing (Realtime Object Tracing) technology while sharing the treatment information in real time with the medical staff performing the endoscopy treatment and the caregiver
  • real-time object tracing Realtime Object Tracing
  • the present invention is another object to provide a more effective and improved personalized medical service to the customer in the course of treatment by sharing the endoscope medical treatment information in real time.
  • the present invention in order to achieve the above object, by applying the Real Time Object Tracing technology of the real-time object tracking module through the endoscope inside the internal organs or body cavity of the seismic patient by the sleep endoscopy medical treatment consultation Endoscopic terminal system for performing a medical examination and checkpoints for transmitting the captured video information to the guardian terminal via a medical treatment sharing server through the Internet;
  • Guardian terminal for reading and downloading medical information by accessing the medical information sharing server through the execution of the installed medical information application to transmit and receive voice with the medical diagnostic terminal with the endoscope treatment information of the seismic patient provided in real time through the Internet;
  • Medical diagnosis device for receiving internal and internal organs or body cavities in real time with the endoscope terminal system in real-time treatment and execution of the installed procedure information application to transmit and receive voices with the guardian terminal over the Internet and to input the findings according to the endoscope procedure;
  • the guardian terminal inputs the ID information to access the treatment information sharing server through the Internet, a login authentication module for verifying connection by comparing with the issued
  • a method of sharing endoscopy care information using real-time object tracking using a real-time object tracking system comprising a medical hospital server transmitting information to a caregiver terminal over the Internet, the method comprising: (a) the guardian of an earthquake patient; Performing a login for access authentication of the guardian terminal in the login authentication module by inputting the registered ID information after the terminal accesses the treatment information sharing server through the Internet; (b) After the medical terminal of the sleep endoscopy medical team accesses the medical information sharing server through the Internet, the login authentication module performs a login for access authentication of the medical diagnostic terminal by inputting the registered ID information, and the sleep endoscopy medical team By the endoscope terminal system accessing the medical information sharing server through the Internet and inputting the registered ID information to perform a login for access authentication of the endoscope terminal system in the login authentication module; (c) HSB [Hue (color), saturation from RGB (Red, Green, Blue) color values in the medical image tracked by the object tracking module in the real-time object tracking module during the
  • Sharing medical information including a real-time object tracked video generated in real time in a terminal system through the Internet; (e) the medical care information storage module of the medical care information sharing server, storing medical care information including voice information and video information shared through the medical care information sharing module in a cloud server; (f) the medical information sharing server transmitting the medical information stored in the cloud server to a parental terminal connected to the Internet, and (g) accessing the medical information sharing server by executing the medical information sharing application installed in the parental terminal.
  • the medical information sharing module of the medical information sharing server After searching the medical information of the seismic patient, search for the information stored in the cloud server and transmits the medical information of the seismic patient corresponding to the endoscope using real-time object tracking It is characterized by a method of sharing medical information.
  • the medical diagnostic terminal in the step (e), can be stored in the cloud server via the medical information storage module of the medical information sharing server, the findings input by the sleep endoscopy medical staff.
  • the medical information application installed in the guardian terminal, access to the medical information sharing server, log-in of the medical records associated with the earthquake-resistant patient from the cloud server, reading the medical staff's opinion, medical certificate issuance request, medical expenses Request for receipt and receipt, appointment, medical information, prescription records, hospital and medical subjects, health examination application and results, hospitalization and discharge and ward information, sampling of cell tissues during endoscopic procedures, It may include a function to store and view medical history information, questionnaire or questionnaire information created by the earthquake-resistant patient.
  • the medical staff's findings include medical findings and prescription information prepared by the main medical staff who performed the endoscopy, and medical findings and prescription information prepared by the secondary medical staff or senior medical staff related to the endoscopy. It may include all.
  • the medical care information sharing module shares the medical information including the symbol or special characters or findings displayed through the medical diagnostic device on the video generated by the real-time object tracking module of the endoscope terminal system. can do.
  • real-time endoscopes are shared with video information and voice information of the endoscope medical procedure in real time between the caregiver of the endoscope and the medical staff performing the medical procedure during the examination, treatment and treatment using the sleep endoscope.
  • the object tracking technology is applied during the procedure, and the consultation and treatment of the disease are carried out as well as the consultation is performed.
  • the procedure is recorded and reproduced to make the endoscopic patients and their guardians more effective and improved. There is an advantage in providing health care.
  • Figure 1 is an embodiment according to the present invention, a configuration diagram showing an endoscopic treatment information sharing system using real-time object tracking.
  • FIG. 2 illustrates a logical configuration using real-time object tracking technology in an endoscopic treatment information sharing system using real-time object tracking according to the present invention.
  • 3 and 4 are flowcharts illustrating a method for sharing endoscope medical treatment information using real-time object tracking according to the present invention.
  • FIG. 5 is a picture showing a monitor initial screen of the endoscope terminal system in the endoscope medical treatment information sharing system using real-time object tracking according to the present invention.
  • FIG. 6 is a picture showing the monitor initial screen of the parent terminal in the endoscope medical treatment information sharing system using real-time object tracking according to the present invention.
  • FIG. 7 is a picture showing a monitor screen when the guardian terminal is normally logged in and connected to the endoscope terminal system through the treatment information sharing server in the endoscope treatment information sharing system using real-time object tracking according to the present invention.
  • FIG. 8 is a picture showing a screen for recording and storing all information about the endoscope medical procedure in the endoscope medical treatment information sharing system using real-time object tracking according to the present invention.
  • FIG 9 illustrates a login screen of an administrator in an endoscopic treatment information sharing system using real-time object tracking according to the present invention.
  • FIG. 10 is a screen of detecting and detecting a region of interest based on an HSB value by applying real-time object tracking technology in an endoscopic treatment information sharing system using real-time object tracking according to the present invention.
  • FIG. 11 is a diagram illustrating a change in orange color according to a change in brightness value in a color space of hue, saturation, and brightness (HSB) in a method for sharing endoscope medical information using real-time object tracking according to the present invention.
  • FIG. 12 is a view illustrating the change of brightness values in the color space of hue, saturation, and brightness (HSB) in a state in which R, G, and B values and saturation values of colors are fixed in the endoscope medical information sharing method using real-time object tracking according to the present invention.
  • the chart shows the change of color accordingly.
  • the present invention is connected to the endoscope terminal system 10
  • the treatment information sharing server 40 and the caregiver terminal 20 and the medical diagnostic terminal 30 can be connected to the Internet in real time to share the endoscope treatment information
  • the Internet can be remotely connected by wire, wireless or wired or wireless integration.
  • Endoscopic terminal system 10 is applied to the consultation and treatment by applying the Real Time Object Tracing technology of the real-time object tracking module 11 through the endoscope inside the internal organs or body cavity of the seismic patient by the sleep endoscopy medical staff By performing the check and checkpoints (Check Point) for the transmission of the video information to the guardian terminal 20 via the medical information sharing server 40 through the Internet.
  • Endoscopic terminal system (10) is an endoscope equipment for medical staff to treat the endoscopy patient who is an endoscopy subject, a microphone for receiving the voice of the medical staff, a monitor that displays the real-time medical image, and the captured image over the Internet Transmitter for transmitting to the treatment information sharing server 40, and the like.
  • the endoscope terminal system 10 is provided with an application for endoscopy medical procedures, that is, a real-time object tracking module 11.
  • the endoscope terminal system 10 performs a whole procedure of medical treatment according to a real-time object tracking technology by endoscopy equipment by a medical staff by a program installed in a PACS (Picture Archiving and Communication System) gateway terminal connected in parallel communication. Includes the ability to receive in real time. That is, the endoscope terminal system 10 is installed and operated together with the gateway terminal of the PACS medical image information system that is systemized with the endoscope equipment when operating the endoscope equipment built in most hospitals, clinics.
  • PACS converts data generated through medical devices such as endoscope, MRI, CT, etc.
  • DICOM Digital Imaging and Communications in Medicine
  • a terminal installed with a program for converting a photo or image taken by a medical device, for example, an endoscope device into a DICOM protocol is called a gateway, and is generally located next to the endoscope device. That is, the endoscope terminal system of the present invention may be installed in a gateway terminal constructed separately from the endoscope equipment, or installed and operated together in a DICOM conversion gateway terminal of PACS.
  • the monitor screen of the endoscope terminal system 10 is a real-time object tracking internal organs or body cavity recorded real-time video, ID information, recording button, microphone button, volume control button of the seismic patient transmitted through the endoscope equipment , Mute button, treatment button, CADCAM function selection, medical staff information, accessor screen and shared screen are displayed respectively.
  • real time object tracing technology is applied to provide a more effective and improved medical service to customers while sharing the treatment information in real time with the medical staff performing medical procedures by applying the medical procedure.
  • it provides evidence of objective examination, medical treatment and procedures.
  • Real Time Object Tracing technology tracks segmentation of points of interest from video inputs and tracks situations related to motion, positioning and occlusion. The main focus is on continuous tracking.
  • This real time object tracing technology is mainly used for video surveillance system, robot vision, traffic monitoring, and video restoration. It is applied to various areas such as Inpainting, Animation, and Augmented Reality.
  • the first thing that needs to be done in detecting an object is to recognize the Identification of Regions of Interest.
  • the checkpoint is accurate because there are many variables such as color, shape, and texture.
  • the process of detecting the (Check Point) area is difficult.
  • various systems using real-time object tracking technology have fixed the camera environment and apply the detection process like computer vision systems.
  • the Gastrofiberscope an endoscope camera, is not fixed and must move the inside of the chest or organ to recognize the area of interest and checkpoint is detected regardless of the movement of the Wifiscope. There is a difficulty in constantly marking the detected area.
  • the polyps or lesions found inside the colon and the inside of the colon all have the same color, that is, red color, so that the detected area is the color, shape, texture of the polyps or lesions.
  • the checkpointed area dynamically by clearly distinguishing the.
  • the guardian terminal 20 transmits and receives a voice with the medical diagnosis terminal 30 as the endoscope surgical information of the seismic patient provided in real time via the Internet, and share the medical information by executing the medical information application 21 installed in the guardian terminal 20 Access to the server 40 to view and download the treatment information. That is, the guardian terminal 20 is to be remotely connected to the endoscope terminal system 10 operated by the medical staff. Parental terminal 20 receives the video and voice information, etc. from the endoscope terminal system 10 after logging in to access the medical care information sharing server 40. And the guardian terminal 20 transmits and receives the voice information with the endoscope terminal system 10 through the medical information sharing server 40 connected to the Internet as needed.
  • the guardian can communicate with the medical staff to ask questions about the treatment.
  • the guardian terminal 20 is provided with a medical information application 21 for visually displaying the endoscope medical procedure information.
  • Parental terminal 20 may be a desktop PC, notebook PC, tablet PC or smart phone.
  • the guardian terminal 20 accesses and accesses by entering the access ID information and the user name of the guardian terminal 20 to log in to the treatment information sharing server (40). And the treatment information sharing server 40 transmits the ID information to the guardian terminal 20 for access to the guardian terminal 20.
  • a guardian who is a user of the parental terminal 20 connected to the Internet is seated with a nurse in a near-field space from a procedure room in which the endoscope terminal system 10 is installed, and after the identification procedure, a headset is mounted, and a medical diagnostic terminal 30 ) To make a call in real time.
  • the guardian When the ID information displayed on the monitor of the endoscope terminal system 10 is notified to the guardian via a text message or a headset via chat, the guardian inputs the corresponding ID information to the guardian terminal 20 and the corresponding medical staff of the endoscope terminal system 10. A connection is established with which communication is possible.
  • the parental terminal 20 visually displays endoscopic medical treatment information of an earthquake patient.
  • the medical staff share the real-time endoscope treatment procedure information for the seismic patient through the call with the guardian through the call, and the corresponding real-time object tracked video information data and the call history are cloud servers in the treatment information sharing server 40. Record and store in real time on 50.
  • the video and audio information stored through this process may be stored in a CD or USB memory 61 as a separate storage medium by a medical staff or an administrator and provided to the guardian.
  • the medical diagnostic device 30 diagnoses the internal organs or the body cavity of the seismic patient in real time with the endoscope terminal system 10 and transmits and receives a voice call with the guardian terminal 20 through the Internet and inputs the findings according to the endoscopic procedure.
  • the medical diagnostic terminal 30 may be connected to the endoscope terminal system 10. That is, the medical diagnostic terminal 30 is directly or remotely connected to the endoscope terminal system 10 operated by the medical staff.
  • the medical diagnostic terminal 30 transmits and receives video and voice information from the endoscope terminal system 10 after logging in to the medical care information sharing server 40 and accessing the medical diagnostic terminal 30. And the medical diagnostic terminal 30 transmits and receives the voice information with the guardian terminal 20 through the medical information sharing server 40 connected to the Internet as needed.
  • the medical staff can communicate with the guardian to answer the guardian's questions about the care.
  • the medical diagnostic device 30 may be provided with a surgical information application 31 for visually displaying the endoscope medical procedure information.
  • Parental terminal 20 may be a desktop PC, notebook PC, tablet PC or smart phone.
  • the treatment information sharing server 40 transmits, receives, shares, stores and transmits information data related to the endoscope medical procedure between the endoscope terminal system 10 and the guardian terminal 20 connected to the Internet.
  • the treatment information sharing server 40 allows a plurality of parental terminals 20 to be connected through the Internet to share the endoscope medical procedure of the seismic patient.
  • the treatment information sharing server 40 generates ID information for the login of the guardian terminal 20. The ID information is newly generated and transmitted every time through the one-way function based on the access time.
  • the treatment information sharing server 40 is installed with the treatment information sharing application 41 including a login authentication module 42, treatment information sharing module 43, treatment information storage module 44, and treatment information providing module 45. do.
  • the medical care information sharing application 41 is installed in the medical care information sharing server 40 and is connected to the guardian terminal 20, the medical diagnosis terminal 30, the endoscope terminal system 10, and the hospital server 70. To send and receive.
  • the login authentication module 21 authenticates whether the guardian terminal 20 inputs the ID information to access the treatment information sharing server 40 through the Internet, and compares it with the issued ID information.
  • the treatment information sharing module 22 is a real-time transmission of the video information and voice information received from the endoscope terminal system 10 to one or more parent terminal 20 connected to the Internet.
  • the treatment information storage module 23 stores the seismic patient and the related treatment information and results received through the endoscope medical treatment, including video information and voice information transmitted and received in real time through the treatment information sharing module 22 to the cloud server 50 will be.
  • the medical telegram providing module 45 is to provide a variety of medical information related to the medical information of the seismic patient as a service to the seismic patients and guardians. Furthermore, the medical telegram providing module 45 provides various medical information desired by the guardian by the execution of the medical information application 21 installed in the guardian terminal 20 by the guardian.
  • the medical telegram providing module 45 includes a guardian terminal ( 20) access the medical information sharing server 40, log in and view the medical records related to the earthquake-resistant patient from the cloud server 50, reading the medical staff's opinion, medical certificate issuance request, medical expenses and receipt issuance request, medical appointment, medical staff Information, prescription records, access to hospitals and medical subjects, application for health examinations and results, hospitalization and discharge and access to hospital room information, sampling information of cell tissues during endoscopy, history of seismic patients, questionnaires prepared by seismic patients Or it provides a function to save and view the paperweight information. Furthermore, the medical telegram providing module 45 collects information for providing medical information from the hospital server 70 or links the corresponding information.
  • the cloud server 50 stores and transmits the endoscope-related medical information through the medical information storage module 44, stores and transmits various medical information related to the medical information through the medical telegram providing module 45, and provides medical telegrams.
  • the module 45 provides various medical information.
  • the cloud server 50 inputs and outputs various contents such as documents, photos, and videos related to medical information.
  • the manager terminal 60 connected to the treatment information sharing server 40 manages the sharing of the real-time endoscope treatment information and the provision of various medical information, and stores the endoscope video and voice of the seismic patient in the USB memory 61 and provides it to the guardian. do.
  • Manager terminal 60 is preferably managed by a medical staff.
  • the medical hospital server 70 transmits various medical information related to the hospital where the medical care information sharing server 40 is installed to the guardian terminal 20 through the Internet.
  • the medical hospital server 70 shares the data with the medical care information sharing server 40.
  • the medical hospital server is installed in a hospital, a clinic or a general hospital.
  • the management window of the endoscope terminal system 10 shows a state where a medical staff and a guardian are connected.
  • the cloud server 50 also stores information of the system manager, that is, the manager terminal 60.
  • the login authentication module 42 of the treatment information sharing server 40 performs a system administrator authentication by referring to the information stored in the cloud server 50 when login information is input through the Internet.
  • System administrator information stored in the cloud server 50 includes the administrator's personal information and ID and password for administrator authentication.
  • the system administrator may be a member of a system development company or a medical staff using a real-time endoscope medical information sharing system in addition to the medical staff using the real-time endoscope medical care information sharing system in the present invention, in which case a separate ID and password This is unnecessary, and only a separate record, manager, should be added to the medical staff's information.
  • the system administrator accesses the treatment information sharing server 40 and inputs an ID and password
  • the system manager determines whether the ID and password match the administrator's ID and password stored in the cloud server 50, and if so, authenticates as a system administrator and manages the system. Make the window accessible.
  • connection report that can confirm the access information of the guardian and medical staff of the seismic patient, and includes computer and contact information as well as asset management of the terminals of the medical staff and the seismic patient. Management such as monitoring is possible.
  • the endoscope terminal system 10 will be able to establish a direct connection to the terminal of the seismic patient.
  • the manager terminal 60 is an ID for accessing and authenticating the caregiver terminal 20, the medical diagnosis terminal 30 and the endoscope terminal system 10 to the care information sharing server 40 to share the treatment information.
  • the ID information of the guardian terminal 20, the medical diagnostic terminal 30 and the endoscope terminal system 10 is stored in the cloud server 50.
  • Cloud server 50 is preferably a security system is built according to the generation, issuance and management of ID information for authentication of the devices connected to the treatment information sharing server 40.
  • the manager terminal 60 is installed with a management application associated with the sharing of treatment information.
  • the guardian of the seismic patient is connected to the care information sharing server 40 through the Internet to the guardian terminal (20).
  • the login authentication module 42 performs the login for the access authentication of the guardian terminal 20 by inputting the ID information registered by the administrator terminal 60 (S2).
  • the treatment information sharing server 40 transmits ID information to the guardian terminal 20 so that the guardian terminal 20 can perform authentication through the login authentication module 42 as the ID information.
  • the endoscope terminal system 10 is connected to the treatment information sharing server 40 through the Internet by the sleep endoscope surgical medical staff. Then, by inputting the ID information registered by the administrator terminal 60, the login authentication module 42 performs login for access authentication of the endoscope terminal system 10 (S4).
  • the login authentication module 42 is a cloud server ( The authentication is performed by comparing the ID information of the corresponding device stored in 50).
  • the real-time object tracking module 11 of the endoscope terminal system 10 After the authentication for sharing the medical information is completed, by the real-time object tracking module 11 of the endoscope terminal system 10 during the endoscopy medical procedure of the seismic patient to the endoscope terminal system 10 by the sleep endoscopy medical staff
  • the generated real-time object tracked video is transmitted to the medical care information sharing module 43 (S5).
  • the red polyp and the cancer which are the same as the red background of the internal organs or the body cavity, from the medical image tracked by the object tracking module 11 in real time. There are some parts that are difficult to trace by color.
  • the HSB Hue, Saturation, Brightness
  • RGB Red, Green, Blue
  • B. Identify polyps and lesions inside the body cavity and track them in real time. That is, in FIG. 11, the change of the orange color according to the change of the brightness value B in the color space of HSB, that is, Hue, Saturation, and Brightness can be seen.
  • the R (red), G (green), B (blue) value and saturation value of the hue (Hue) is fixed in accordance with the change of the brightness value B in the color space of the HSB in a state of being fixed. You can see the change.
  • the medical information sharing module 43 of the medical information sharing server 40 of the medical information sharing server 40 while tracking the internal organs or the body cavity of the seismic patient by the endoscopy terminal system 10 by the sleep endoscopy medical team in real time.
  • the voice exchanged between the guardian terminal 20 and the medical diagnostic terminal 30 provided with a headset capable of transmitting and receiving a voice wirelessly or wired is shared through the Internet (S6, S7).
  • the medical team makes a voice call with the guardian terminal 20 for major lesions or abnormalities through the medical diagnostic terminal 30 in the course of performing the internal organ or body cavity of the seismic patient with the endoscope terminal system 10.
  • the guardian makes a voice call to the guardian's opinion through the guardian terminal 20 to the medical diagnosis terminal 30.
  • a plurality of parental terminal 20 can access the medical care information sharing server 40 to share medical care information.
  • the caregiver of the seismic patient can visually judge more accurate and clear procedures for the medical services of the surgeon, thereby broadening the understanding and gaining trust in the surgeon. You can hear questions and answers about questions about audiovisual information, and the medical staff can prevent medical accidents related to the medical treatment.
  • the treatment information sharing module 43 of the treatment information sharing server 40 is a treatment information including voice information and video information through the shared parental terminal 20, medical diagnostic terminal 30 and the endoscope terminal system 10
  • the treatment information storage module 44 stores the received treatment information in the cloud server 50 in real time (S9).
  • the treatment information storage module 44 transmits the information of the time when the caregiver terminal 20 is connected to the treatment information sharing server 40 and the end time to the cloud server 50 to be stored.
  • the surgical medical team is to be stored in the cloud server 50 via the medical information storage module 44 of the medical information sharing server 40 of the findings containing the findings about the endoscopy treatment of the seismic patient through the medical diagnostic terminal 30 (S10).
  • the medical information sharing module 43 includes symbols, special characters, or remarks displayed by the medical team through the medical diagnostic device 30 on the video generated by the real-time object tracking module 11 of the endoscope terminal system 10. Save medical information for sharing.
  • the guardian's findings include medical findings and prescription information prepared by the main medical staff who performed the endoscopy, as well as medical findings and prescription information prepared by the secondary medical staff or senior medical staff related to the endoscopy procedure. You can judge.
  • the treatment information sharing server 40 transmits the treatment information stored in the cloud server 50 to the parental terminal 20 connected to the Internet (S11).
  • the guardian terminal 20 may store the treatment information received from the cloud server 50.
  • the guardian executes the treatment information sharing application 41 installed in the parental terminal 20 (S21), the login authentication module 42 setting registered ID information of the treatment information sharing server 40 Login by entering (S22).
  • the guardian searches for the medical information of the seismic patient (S23)
  • the medical information sharing module 43 of the medical information sharing server 40 searches for the information stored in the cloud server 50 to search for the medical information of the seismic patient. It transmits (S24).
  • the medical information providing module 45 through the cloud server 50 through the medical care related to the seismic patient You can view the records.
  • the medical staff can view the report or request the medical staff to issue a medical certificate.
  • an earthquake-resistant patient may request the issuance of the medical expenses or receipt of the medical expenses related to the endoscopic procedure or read the prescription record.
  • the next medical treatment of seismic patients can be scheduled or hospitalized, discharged and hospitalized information can be viewed, and the medical staff information of the hospital, the hospital and medical subjects can be viewed, the medical examination application and the results of the medical examination can be viewed.
  • the cloud server 50 may be connected to the hospital server 70 to provide various medical information or hospital information desired by an earthquake patient or guardian in real time.
  • the manager terminal 60 accesses the treatment information sharing server 40 and performs a login through the login authentication module 42 (S31), and then searches the treatment information of the seismic patients through the treatment information sharing module 43. And (S32), and receives the retrieved endoscope medical procedure information and results from the cloud server 50 (S33).
  • the manager terminal 60 transmits the medical treatment information received from the cloud server 50 to the guardian terminal 20 or stores it in the USB memory 61 so that the guardian can directly receive the medical information (S34). Care information stored in the USB memory 61 can be viewed by the guardian connected to the guardian terminal 20 or a separate computer system.
  • the present invention stores real-time stream data in real time through a mobile or cloud environment to allow an authenticated user anytime, anywhere, without limitations of place and time.
  • the contents of the agreement with the guardian can be checked and reviewed.
  • the present invention is a continuous observation of the internal organs and body cavities of the seismic patients in the cloud environment in real-time tracked area and the change status of the lesion according to the time changes the database by analyzing the accumulated database through statistical values Big data will make it possible to develop a system with artificial intelligence (AI) that advises medical staff about predictions and judgments about lesions such as mucous membranes, polyps, cancers, and other organs.
  • AI artificial intelligence

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Abstract

La présente invention concerne un procédé pour effectuer une prescription par une équipe médicale d'un hôpital tout en partageant, en temps réel, des informations de traitement endoscopique d'un patient d'examen bimanuel avec un tuteur à l'aide d'une technologie de traçage d'objet en temps réel, dans lequel une procédure médicale endoscopique est effectuée par l'intermédiaire d'un processus de consultation par application d'une technologie de traçage d'objet en temps réel tandis que des informations de traitement sont partagées en temps réel entre une équipe médicale effectuant un traitement endoscopique, un sujet de procédure, et le tuteur du sujet de procédure, de telle sorte que le procédé fournit des données de base qui permettent la réalisation d'un examen, d'un traitement et d'une procédure plus objectifs. Selon la présente invention, des informations d'image mobile et des informations vocales sur une procédure médicale endoscopique sont partagées en temps réel entre un tuteur d'un sujet de procédure endoscopique et une équipe médicale effectuant une procédure médicale tout en effectuant un examen, un traitement, et la procédure au moyen d'un endoscope de sédation consciente, et simultanément, une technologie de traçage d'objet est appliquée à un processus de procédure endoscopique en temps réel lors de la réalisation de soins selon la consultation et l'enregistrement et la reproduction du processus de procédure, conjointement avec des soins consultatifs et le traitement d'une lésion. Par conséquent, la présente invention peut fournir un service médical personnalisé plus efficace et amélioré au sujet de procédure endoscopique en fonction de la procédure médicale endoscopique et au tuteur du sujet de procédure endoscopique.
PCT/KR2019/001668 2018-02-12 2019-02-12 Procédé de partage d'informations de traitement endoscopique au moyen d'un suivi d'objet en temps réel WO2019156531A1 (fr)

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CN113658667A (zh) * 2021-08-17 2021-11-16 岱川医疗(深圳)有限责任公司 内窥镜工作站及云储存装置

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