JP4472723B2 - MEDICAL SYSTEM AND MEDICAL DEVICE CONTROL DEVICE - Google Patents

Description

  The present invention relates to a medical system and a medical device control apparatus that share patient information using a plurality of medical devices.

In general, in a medical system including a plurality of medical devices, means for inputting patient information is provided.
For example, Japanese Patent Application Laid-Open No. 2001-350563 as a conventional example discloses an input device, an input / output device, and an input / output method that can reduce the labor of inputting data of predetermined items such as patient information.
In this conventional example, the input data is stored by a keyboard device having input operation keys for inputting data such as patient information, and is output to the ultrasonic diagnostic apparatus main body as the first medical device. In addition, the keyboard device instructs the video processor as the second medical device to transfer data from the first medical device, and the data transfer processing can be executed by this instruction.

With such a configuration, it is possible to reduce time and effort for inputting data such as patient information.
Further, in a conventional medical system having a plurality of medical devices each having input means for inputting patient information and a central control device for centrally controlling these, the central control device receives patient information input from the medical devices. The patient information is received, and the received patient information is transferred to another medical device, so that it is shared with all the medical devices.
At this time, data is transferred from the medical device to which the patient information is input to the central control device via a communication circuit or the like.
JP 2001-350563 A

As described above, since the data is transferred from the medical device in which the patient information is input to the central control device via the communication circuit or the like, sharing of the patient information is reflected as intended by the user. Not always.
In addition, in the conventional example, it is not easy to share and use patient information in a usage form that the user wants to use in a user using a medical system or a facility such as a hospital where the medical system is formed. There were drawbacks.

(Object of invention)
The present invention has been made in view of the above points, and an object of the present invention is to provide a medical system and a medical device control apparatus capable of sharing patient information suitable for a usage pattern actually desired by a user or a facility. And

The medical system of the present invention is a medical system having a plurality of medical devices for performing a medical action and a medical device control device for controlling the plurality of medical devices,
Wherein the plurality of medical device, comprising: an input means for inputting patient information, and transmission means for transmitting patient information input by said input means to said medical device control apparatus, respectively,
The medical device controller is
Receiving means for receiving patient information transmitted by the transmitting means;
Patient information storage means for storing patient information received by the receiving means ;
An input destination setting means for setting, as an input destination means, at least one input means that is an input destination of patient information among the input means in the plurality of medical devices ;
Among the plurality of medical devices, in order to share patient information from the input destination unit, a transfer destination setting unit that sets a transfer destination medical device to which the patient information is transferred;
A route for storing a correspondence relationship between the input destination unit set in the input destination setting unit and each medical device of the transfer destination set in the transfer destination setting unit as route information related to a transfer route of patient information Information storage means;
It is detected that patient information received by the receiving means is different from the patient information stored in the patient information storage means, and patient information is input at any of the input means set as the input destination means. In this case, based on the route information stored in the route information storage means, transfer control means for transferring patient information input from each input means set as the input destination means to each medical device at the transfer destination When,
Ru equipped with.

The medical device control apparatus according to the present invention controls a plurality of medical devices for performing a medical action, and controls a plurality of input means for inputting patient information directly or via the medical devices. Because
Wherein the plurality of input means sac Chi, an input destination setting means for setting as an input destination device at least one input means is an input destination of the patient information,
Wherein the plurality of medical devices sac Chi, for sharing patient information from the input destination unit, a transfer destination setting means for setting the medical device of the transfer destination to transfer the patient information,
While storing the correspondence relationship between the input destination means set in the input destination setting means and each medical device of the transfer destination set in the transfer destination setting means as route information related to the transfer route of patient information storage means for memorize the patient information inputted from the input means which is set as the input source means,
When it is detected that the patient information input in any of the input means set as the input destination means is different from the patient information stored in the storage means, the route information stored in the storage means Transfer control means for transferring patient information input from each input means set as the input destination means to each medical device of the transfer destination ;
Ru equipped with.

  According to the present invention, it is possible to share patient information suitable for a usage pattern actually desired in a user or a facility.

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

1 to 12 relate to the first embodiment of the present invention, FIG. 1 shows the overall configuration of the medical system of the first embodiment of the present invention, FIG. 2 shows a specific example of the representative input means in FIG. 3 shows a detailed configuration example of a medical device arranged in the operating room of FIG. 1, FIG. 4 shows a main configuration example of a video processor, FIG. 5 shows a main configuration example of a system controller, and FIG. 6 shows an AV control system. The main structural example of is shown.
FIG. 7 shows an example of detailed data of patient information, FIG. 8 shows a medical device provided with input means as an input destination candidate connected to the system controller and a medical device as a transfer destination candidate, and FIG. 8 shows a route setting screen for setting a medical device to which patient information is input and a transfer destination medical device from 8 medical devices, FIG. 10 is a flowchart of an operation for performing route setting, and FIG. 11 is a route using a doctor name FIG. 12 shows a flowchart of the operation in the medical system when patient information is actually input.

As shown in FIG. 1, the medical system 1 of Example 1 is provided, for example in the hospital. Note that FIG. 1 shows a schematic configuration.
This medical system 1 is connected to a hospital LAN 5 such as Ethernet (registered trademark) to which an operating room medical system 3 provided in the operating room 2 and a system controller 4 constituting the operating room medical system 3 are connected. The server 6, the medical station terminal 7, a medical device provided in the examination room 8, for example, an examination video processor (hereinafter, third video processor) 20, a printer 21, and the like.
As shown in FIG. 1, the operating room medical system 3 in the operating room 2 includes a plurality of input means (or input devices) for inputting patient information and the like, a plurality of medical devices for performing medical actions, and a plurality of medical treatments. A system controller 4 for centrally controlling the devices is provided.
Further, the system controller 4 has a function as a medical device control apparatus that performs control processing related to input of patient information and transfer to the medical device that shares the patient information, as will be described later.

The system controller 4 includes, for example, a surgical video processor (hereinafter referred to as a first video processor) 11 having a first input unit and a surgical video processor having a second input unit (via a communication line 10a and 10b, respectively). Hereinafter, the second video processor is abbreviated as 12).
As described with reference to FIG. 3, the second video processor 12 and the like having the second input means are connected to the system controller 4 via the relay unit 57 (shown by a dotted line in FIG. 1). May be.
Further, for example, a printer 13 and a digital recorder 14 having third and fourth input means are connected to the first video processor 11 and the second video processor 12, respectively.

As will be described later with reference to FIG. 3, for example, the printer 13 may be directly connected to the system controller 4 (via a communication line like other medical devices such as the electric knife 36).
The system controller 4 is connected to a touch panel (or operation panel) 15 having an input function as a fifth input unit, for example.
The operating room 2 is provided with an audio and video (abbreviated as “AV”) system 22 for improving the environment and atmosphere for performing medical procedures, although it is not a medical device for performing medical procedures. The system controller 4 is connected to an AV system controller 16 that constitutes an AV control system 22 and includes sixth input means via a communication line 10c.

The AV system controller 16 controls an audio device and a video device (not shown). The AV system controller 16 is connected to, for example, a printer 17 having a seventh input unit and a digital recorder 18 having an eighth input unit.
The system controller 4, the first video processor 11, and the AV system controller 16 are connected to the hospital LAN 5 through communication lines 23a, 23b, and 23c, respectively.
Note that the medical station terminal 7 having the ninth input means and the third video processor 20 having the tenth input means are also connected to the hospital LAN 5. The system controller 4 and medical equipment connected to the intra-hospital LAN 5 make available a hospital information system (abbreviated as HIS) 6 a that constitutes a database provided in the server 6. Note that the printer 21 connected to the video processor 20 includes eleventh input means.

FIG. 2 shows a specific example of main input means. As shown in FIG. 2, a video processor keyboard (hereinafter simply referred to as a keyboard) 24 as a first input means is connected to, for example, the first video processor 11 provided in the operating room 2, for example. A user such as an operator or a nurse can input patient information (or patient data) from the keyboard 24.
In addition, a touch panel 15 is connected to the system controller 4, and a user can input patient information and the like from the touch panel 15. In FIG. 2, the case of two input units has been described, but the other input units have the same configuration as the keyboard 24, for example. Of course, the input means is not limited to the keyboard 24.
Next, the configuration of the operating room medical system 3 provided in the operating room 2 will be described with reference to FIG. In this operating room, a patient bed 32 on which a patient 30 lies and a first endoscopic operation system 33 are arranged. The endoscopic surgery system 33 is formed by mounting a plurality of medical devices on the first trolley 34. Further, depending on the procedure, the second endoscopic surgery system 35 is used.

On the first trolley 34, as medical equipment, for example, an electric scalpel device 36, an insufflation device 37, a light source device 38, a first video processor 11, a printer 13, and other devices, and a gas cylinder 41 filled with carbon dioxide and the like are mounted. Is placed. The light source device 38 and the first video processor 11 are connected to the first endoscope 42.
The first trolley 34 is provided with an endoscope monitor 43 for displaying an endoscope image and the like, a first central display panel 44, a touch panel 15, and the like.
The first central display panel 44 is a display means capable of selectively displaying all data during the operation.
The touch panel 15 includes a display unit such as a liquid crystal display and a touch sensor provided integrally on the display unit, for example, and is a centralized operation device mainly operated by a nurse or the like in a non-sterile area, for example. Used as.

A separate display monitor 46 is disposed in the vicinity of the patient bed 32. This separate display monitor 46 is display means for displaying all information related to the procedure such as CT scan data, vital signs, and past case information in addition to intraoperative data. The separate display monitor 46 is fixed to a support member 46A having a moving table with casters, and can be moved freely. For example, the separate display monitor 46 can be deployed at a position desired by an operator.
Further, the first trolley 34 is provided with a central controller for centralized control of the entire medical system 1 and a system controller 4 as a medical device controller. The first video processor 11 is connected to the system controller 4 by a communication line 10a (not shown in FIG. 3), and an electric knife device 36, an insufflation device 37, the light source device 38, and the like are not shown. Connected via communication line.

On the other hand, the second endoscopic surgery system 35 deployed by a procedure is formed by mounting a plurality of medical devices on the second trolley 50.
On the second trolley 50, a light source device 51, a second video processor 12, a digital recorder 14, an ultrasonic coagulation / cutting device 59, an endoscope monitor 55, and a recording content display centralized display panel 56 are mounted. Is placed.
The light source device 51 and the second video processor 12 are connected to the second endoscope 54. The endoscope monitor 55 displays an endoscopic image output from the second video processor 12 or the like. Further, the centralized display panel 56 for displaying recorded contents can display the recorded contents in a concentrated manner and selectively display all data during the operation.
The medical devices such as the video processor 12, the light source device 51, the ultrasonic coagulation / cutting device 59, the endoscope monitor 55, and the recording content display central display panel 56 are connected to the relay unit 57 by an interface cable (not shown).

The relay unit 57 is connected to the system controller 4 mounted on the first trolley 34 by a relay cable 58.
In addition, a wired remote controller (hereinafter referred to as a remote controller) 48 and a wireless wireless remote controller 49 for performing an input operation on the system controller 4 are provided. The wired remote controller 48 is connected to the system controller 4 via a cable. The remote controller 48 is mainly operated by an operator in the sterilization area. Further, an operator or the like can also operate with the wireless remote controller 49.
In addition, a microphone set 52 is connected to the system controller 4, and the surgeon wears the microphone set 52 so that instructions can be input to the system controller 4 by voice.

Also, in the vicinity of the wall surface of the operating room 2, a printer 17 and a digital recorder 18 are arranged in the AV system controller 16 that constitutes the AV control system 22 described above.
In addition, an operating room camera 53 for photographing the state of the operation is also provided. Next, a schematic configuration of main medical devices will be described. FIG. 4 shows a schematic configuration of the first video processor 11.
The first video processor 11 is connected to the control unit 60 for controlling each part of the first video processor 11 and the signal processing for performing signal processing for the first endoscope 42, for example. Unit 61, a keyboard 24 for inputting patient information and the like, and a keyboard interface 62 connected to the keyboard 24.
The first video processor 11 includes a communication interface 63 with the HIS 6a (or hospital LAN 5) of the server 6, a communication interface 64 for communicating with the system controller 4, and a printer 13 connected to the video processor 11 (or A communication interface 65 with a recorder).

For example, when the user inputs patient information using the keyboard 24, the control unit 60 transmits the patient information to the system controller 4 via the communication interface 64 and the in-hospital LAN 5. Accordingly, the communication interface 64 constitutes patient information transmission means. The system controller 4 side also has receiving means (such as the communication interface 74 in FIG. 6) for receiving patient information from a medical device having input means such as the first video processor 11.
Further, as described later, when the first video processor 11 is set as a medical device to be shared (transfer destination) that shares patient information, the patient information is transferred (transmitted) from the system controller 4 via the communication interface 65. ) Will be.
In addition, another medical device different from the first video processor 11, for example, the electric knife device 36 in FIG. 4 has a function related to the treatment by the electric knife different from the signal processing unit 61, and the electric knife device 36. Then, it is the structure which does not have a keyboard interface. As shown in FIG. 5, the AV system controller 16 includes a control unit 66 that controls each part of the AV system controller 16, a communication interface 67 with the printer 17 and the digital recorder 18, and a communication interface 68 with the system controller 4. The touch panel interface 69 is connected to, for example, a touch panel 69a as sixth input means.

Further, as shown in FIG. 6, the system controller 4 includes a control unit 71 that controls each unit constituting the system controller 4 and a plurality of medical devices constituting the medical system 1, and a flash connected to the control unit 71. A memory 72 such as a memory and a hard disk device, a storage unit 72 for storing information, a touch panel interface 73 for connection with the touch panel 15 of the fifth input means, a communication interface 74 with a video processor, and a communication interface with a medical device such as a pneumoperitoneum 37 75 and a communication interface 76 with the AV control system 22.
Note that a communication interface 77 with a relay unit that communicates with the relay unit 57 of FIG. 3 (indicated by a dotted line in FIG. 6) may be provided.
In addition, the control unit 71 according to the present embodiment includes, as described below, a plurality of input units that input patient information provided in a plurality of medical devices that configure the medical system 1 (medical system 1 As such, it sets the input means as the input destination that actually receives the patient information input, and controls or manages the setting of the transfer destination medical device that transfers the patient information input from the set input means. Form a medical device control device. Further, the control unit 71 has a function of a detection unit that detects (or monitors) input of patient information.

Note that the input means for receiving patient information input is not limited to those provided irrelevantly to the medical device, but in order to simplify the description, the input means is provided irrelevantly to the medical device. The explanation will be made assuming that
The control unit 71 includes an input destination setting unit 71a that sets or registers an input unit serving as an input destination unit that actually receives patient information input from among a plurality of input units. In the present embodiment, one input means is determined by setting or registration as an input destination means from among a plurality of input means.
The setting information set by the input destination setting unit 71a is stored in the storage unit 72 as input destination setting information 72a.
In addition, the control unit 71 transfers a medical device to be shared that shares patient information input from the set input destination unit, in other words, a transfer destination that transfers (or outputs) patient information input by the input destination unit. A transfer destination medical device setting unit (hereinafter referred to as a transfer destination setting unit) 71b for setting the medical device. This transfer-destination medical device is a medical device to be shared that will share patient information.

Information of the transfer destination setting unit 71b is also stored in the storage unit 72 as transfer destination setting information 72b.
For example, when a plurality of medical devices are set as the transfer destination setting unit 71b, the control unit 71 sets a transfer route for transferring patient information from the control unit 71 to the transfer destination medical device. It has the function of. Information by the route setting unit 71c is stored in the storage unit 72 as route setting information 72c.
The route setting information 72c may be information including input destination means information, that is, input destination setting information 72a and information of the transfer destination setting unit 71b, that is, transfer destination setting information 72b. That is, information directly related to the transfer route as the route setting information 72c and input destination setting information 72a necessary for determining whether or not to transfer may be included.

That is, in FIG. 6, the storage unit 72 shows input destination setting information 72a, transfer destination setting information 72b, and route setting information 72c. The route setting information 72c is input destination setting information 72a and transfer destination setting information 72b. A configuration including Further, when the medical system 1 has a simple configuration or a simple transfer route, only the input destination setting information 72a and the transfer destination setting information 72b may be included as the route setting information 72c.
When the route setting information 72c is configured to include the input destination setting information 72a and the transfer destination setting information 72b as described above, the control unit 71 refers to the route setting information 72c so that the patient information input from the input unit is referred to. To determine whether or not is the input means set as the input destination, and acquire the information of the transfer destination medical device when it is determined to be set as the input destination, and perform efficient control processing Can do.
Therefore, in the following description, the route setting information 72c will be described as including input destination setting information 72a and transfer destination setting information 72b.

The control unit 71 also has a function of a determination unit that determines whether or not the patient information input from the input unit is an input unit set as an input destination as described above. The control unit 71 stores and holds patient information set in the medical system 1 in the storage unit 72.
Further, when patient information is input from the input means or the input destination means, the patient information is temporarily stored in the storage unit 72. If the patient information is to be updated as a determination result, the previously stored patient information is updated, or if it is determined that the patient information is not to be updated, the patient information temporarily stored from the input means Is discarded.
As route setting information 72c stored in the storage unit 72, for example, the code of the input means set as the input destination, the code of the first transfer destination medical device (from the control unit 71), the second The second transfer destination medical device code to be transferred,..., The last transfer destination medical device code to be transferred last may be stored.

The transfer route is normally a transfer destination medical device to which patient information is transferred from the control unit 71, but is not limited thereto. For example, the transfer route transferred from the control unit 71 to the second video processor 12 via the communication line 10b, and the communication line 23b from the first video processor 11 serving as an input destination of patient information (without passing through the control unit 71), for example. Patient information may be transferred together with a transfer route that is transferred to the medical station terminal 7 via the in-hospital LAN 5.
In this case, when a plurality of transfer routes exist in the medical system 1 in accordance with the set input destination or transfer destination medical device, the control unit 71 transfers the transfer route set by default, for example. Set with. Alternatively, according to the usage pattern, the user may be notified that there are a plurality of transfer routes, and the user may decide. Alternatively, an average value or the like of the time required for the previous transfer may be checked to automatically set a transfer route that can transfer in a shorter time.

In addition, when the medical system 1 is in operation, the control unit 71 monitors inputs from a plurality of input means. When an input operation is actually performed, the input means is registered (permitted) as an input destination. It is determined whether the input means is an input means corresponding to the input destination setting information 72a. When patient information is input from an input unit corresponding to the input destination setting information 72a, the control unit 71 refers to the route setting information 72c, updates the patient information in the storage unit 72, and shares The patient information is transferred to the destination medical device. The transferred medical device updates its patient information.
That is, the control unit 71 has a function of a transfer unit that transfers patient information or a transfer control unit 71d that controls transfer according to the route setting information 72c.
FIG. 7 shows a specific example of the type (item) of patient information input from the input means and the maximum number of characters (maximum information amount). Specific types of patient information include patient ID, patient name, age, sex, patient birth date, doctor name, comment, etc., and the maximum number of characters is determined for each. FIG. 8 shows an example of an input destination candidate medical device that can be set as an input destination input unit, and an example of a transfer destination medical device candidate that can be set as a transfer destination medical device. Note that “−” is a candidate example in which nothing is performed, and this can also be selected.

Then, as shown in FIG. 9, for example, the user selects the input means of the patient information input destination and the medical device of the transfer destination on the input destination setting screen and the transfer destination setting screen displayed on the operation screen of the touch panel 15. Can be set (registered).
On the input destination setting screen on the operation screen, the user selects and sets the medical device (input means) to be set as the input destination by one touch. In the example of FIG. 9, for example, the first video processor 11 (the keyboard 24) is selected as the input destination. It is also possible to select no input destination and not set any input destination. An embodiment in which a plurality of input destinations are set will be described later.
In addition, the user selects and sets a transfer destination medical device in order to share patient information input from the input destination on the transfer destination setting screen. In this case, a plurality of medical devices can be selected and set.

FIG. 9 shows an example in which a plurality of medical devices are selected as transfer destination medical devices. When a plurality of medical devices are set as transfer destination medical devices, the transfer order (that is, transfer priority) is also set as described above. In addition, the user can select and set no transfer destination medical device.
In addition to the selection as described above, a special selection function is also provided in which an input destination and a transfer destination can be set by, for example, a doctor name on the operation screen.
The user, for example, puts a check in this special selection (and selects the special selection), and further selects or inputs a doctor name column. As a result, the control unit 71 reads out information of the input destination and the transfer destination medical device from the information corresponding to the doctor name registered in the storage unit 72 in advance, and automatically displays the information. The user can easily set the input destination and the transfer destination medical device with the display contents by the confirmation operation.

It is also possible to register a plurality of combinations with the same doctor name. In this case, a high-priority input destination and a transfer destination medical device are displayed with priority. If another input destination and transfer destination medical device are to be selected, the next candidate may be selected. It is also possible to change a part of the settings.
As described above, in the present embodiment, in the medical system 1 including a plurality of input means, the control unit 71 of the system controller 4 sets one input means for inputting patient information and is input from the input means. The patient information is transferred to the medical device to be shared set as the transfer destination.
Further, even when a plurality of input means are operated, the control unit 71 monitors whether or not the input means is set as an input destination in advance, and patient information is input from input means other than the set input destination. Do not accept even if it is done. In this case, the input means is notified that it is not set as the patient information input means.

In this way, in the present embodiment, when the medical system 1 is used in a hospital or the like, an input means for receiving input of patient information according to a usage pattern to be actually used by a user or a facility and sharing will be performed. The medical device to be shared (transfer destination medical device) or the like can be arbitrarily set, and the patient information can be easily used effectively.
Next, the operation of this embodiment will be described. FIG. 10 shows a flowchart of route setting operation in this embodiment. In the first step S1, the user activates the medical system 1. Then, in the next step S2, the system controller 4 checks medical devices that can communicate via the communication lines 10a and 23a and the like (abbreviated as medical devices that are simply connected in FIG. 10). For example, these medical devices are displayed on the central display panel 44. However, in this embodiment, devices such as the AV system controller 16 can be included in the medical device and controlled.

Then, in the next step S3, the control unit 71 of the system controller 4 displays an input destination screen for route setting, and as described in FIG. 8 and FIG. Make a selection.
In the next step S4, the control unit 71 of the system controller 4 displays a transfer destination screen, and the user selects a transfer destination medical device as described with reference to FIGS. In addition, when there are a plurality of transfer destination medical devices, the order of transfer to the transfer destination can be set. In addition, it is possible to select and set a route to be transferred as necessary.
The information selected and set in steps S3 and S4 in this way is registered (stored) in the storage unit 72 as shown in step S5. Then, the route setting process ends. And medical system 1 will be in an operation state.

In FIG. 10, the case of special selection is as shown in FIG. That is, the process proceeds to step S3a after step S2. In this step S3a, the user can select a case of directly selecting an input destination and a case of special selection. When selecting directly, it progresses to step S3b. On the other hand, when selecting specially, it progresses to step S3c and selects an input destination by a doctor name.
After step S3b or S3c, the process proceeds to step S4a. In this step S4a, the user can select the case of directly selecting the transfer destination and the case of special selection. When selecting directly, it progresses to step S4b. On the other hand, in the case of special selection, the process proceeds to step S4c, and the transfer destination is selected by the doctor name. After step S4b or S4c, the process proceeds to step S5.
When an input destination and a transfer destination are selected by a doctor name, the input destination and the transfer destination can be easily set.

The operation when the medical system 1 is in an operating state and patient information is input is as shown in the flowchart of FIG.
Assume that a user such as a nurse inputs patient information from an input unit of a medical device that configures the medical system 1 and can communicate with the system controller 4 as shown in step S11. The input patient information is transmitted to the control unit 71 of the system controller 4.
As shown in step S12, the control unit 71 of the system controller 4 determines (detects) whether or not the transmitted patient information is patient information to be updated, unlike the currently set patient information. The currently set patient information is stored in the storage unit 72, for example. In addition, when patient information is input first like immediately after starting the medical system 1, the control part 71 determines with the patient information which should be updated.

When the patient information is already transmitted to the control unit 71 while the medical system 1 is operating and the patient information is already set, the control unit 71 determines whether the latter patient information should be updated. .
When the control unit 71 determines that the patient information is the same as the previous patient information, for example, nothing is performed (the processing is not necessary and the processing load is reduced), and the processing in FIG. 12 ends. In this case, after displaying that it is the same as the set patient information, the process may be terminated. If the patient information to be updated is transmitted in step S12, the control unit 71 reads information regarding route setting from the storage unit 72 in step S13. In this case, at least input destination setting information 72a as information on a medical device (input means) set as an input destination is read.
In the next step S <b> 14, the control unit 71 determines whether or not the input unit in step S <b> 11 matches the route setting information read from the storage unit 72. Specifically, it is determined whether or not the input unit of the medical device in step S11 is an input unit set as an input destination.

If it is determined that the information matches the route setting information, in step S15, the control unit 71 refers to the route setting information, and inputs the input patient information to the routed medical device. Forward. When there are a plurality of transfer destination medical devices, the patient information is transferred to the plurality of transfer destination medical devices. If transfer priority is set, patient information is transferred in accordance with the priority. The control unit 71 also updates patient information stored in the storage unit 72.
As shown in the next step S16, the transfer destination medical device updates the patient information transferred from the control unit 71 from the previous patient information. In this case, even if the previous patient information has not been input yet, it is updated to the transferred patient information. Then, the process of FIG.
Thus, when patient information to be updated is input from the input means set as the input destination, the patient information is transferred to the transfer destination medical device according to the route setting information, and the patient to be updated immediately. Updated with information. Then, these transfer destination medical devices can share patient information to be updated.

  On the other hand, when it is determined in step S14 that the information does not match the route setting information, as shown in step S17, the control unit 71 notifies the information that the route setting does not match.

Then, in the next step S18, the control unit 71 stops (prohibits) updating the patient information with the patient information that does not match the route setting.
That is, it is possible to prevent the previously set patient information from being updated even if patient information different from the already set patient information is input from other than the input means set as the input destination. For this reason, the reliability with respect to the update of the patient information in the medical system 1 can be improved.
As described above, according to the medical system 1 of the present embodiment, the medical device or the input means for inputting the patient information can be set in accordance with the user or the usage pattern actually desired in the facility where the medical system 1 is provided. . In addition, a medical device that wants to share input patient information can also be set according to the usage pattern that the user wants to use.

Therefore, according to the present embodiment, it is possible to realize sharing of patient information suitable for the usage pattern to be actually used.
In addition, by setting the number of medical devices or input means to which patient information is input to be limited to one, it has already been set by inputting patient information from an input means that is not set as an input destination. It is possible to effectively prevent the patient information from being inadvertently changed. In addition, the conditions for updating patient information as described above (specifically, the setting for limiting the number of input means permitted as an input destination of patient information and the patient information to be updated from the input means) By setting the condition that the patient information is updated only when it is input, the reliability of the set patient information can be improved.
Further, the control unit 71 according to the present embodiment can efficiently perform setting control related to an input destination of patient information, transfer processing for sharing patient information, and the like.

Next, a second embodiment of the present invention will be described with reference to FIGS. In this embodiment, the medical system 1 shown in FIG. 1 is configured such that a plurality of input destination medical devices (input means) can be set. Corresponding to this configuration, the control unit 71 of the system controller 4 performs control corresponding to a case where a plurality of input destinations are set.
As will be described below, the control unit 71 sets a plurality of input destinations, controls storage of the setting information, and determines which input destination patient information has priority when patient information is input from a plurality of input destinations. Control related to priority setting.
Next, the control operation will be described. FIG. 13 shows an input destination setting screen and a transfer destination setting screen in the present embodiment.
In FIG. 9 in the first embodiment, the case where one input unit is set as an input destination has been described. However, in this embodiment, the user can select and set (register) a plurality of input units as input destinations. I have to.

In the example of FIG. 13, for example, two (a plurality such as three not shown) of the medical station terminal 7 and the first video processor 11 may be set as the medical devices to which patient information is input.
In addition, when a plurality of medical devices or input means are set as patient information input destinations, the priority (priority order) can be set.
By setting the priority, when patient information is input almost simultaneously from a plurality of input destinations, processing for inputting patient information can be performed according to a preset priority.
In addition, priority can be set for the transfer destination medical device (the transfer destination medical device is also given priority in the first embodiment). The priority information in the case of a plurality of input destinations and the priority information at the time of transfer are stored in the storage unit 72 shown in FIG. Priority information may be included in the route setting information 72c.

When patient information is input, the control unit 71 refers to the information stored in the storage unit 72 to determine whether the patient information is to be updated, and to update the patient information to be updated. In this case, a control process is performed to transfer the patient information to the transfer destination medical device to be shared.
In this embodiment, for example, when a plurality of input destinations are set and priority is set as shown in FIG. 13, the control unit 71 performs control so that the input destinations are displayed in descending order of priority. . The same applies to the transfer destination. Other configurations are the same as those of the first embodiment, for example.
The operation when patient information is actually input in the state where the patient information input destination and transfer destination are set as described above will be described with reference to the flowchart of FIG. In the following description, for the sake of simplicity, it is assumed that a plurality of input destinations are set (since the number of input destinations is the same as in the first embodiment).

In the operation state of the medical system 1, when a user such as a nurse inputs patient information in step S <b> 21, the patient information is input from, for example, an input unit connected to the system controller 4 or an input unit provided in a medical device. Select the input screen (mode).
Then, the selection information is transmitted to the control unit 71 of the system controller 4.
In the next step S22, the control unit 71 receives a notification that the specific medical device (input means) has entered an input state for inputting patient information.
Moreover, the user can input patient information on this input screen (mode). At this stage, the input patient information is provisionally used.
In the next step S23, the control unit 71 determines whether or not the input patient information is patient information to be updated, as in the case of step S12 in FIG.

If the control unit 71 determines that the patient information is not to be updated, the control unit 71 displays (or notifies the medical device) that the patient information is the same as the previous patient information, and so on. Exit.
On the other hand, when it determines with it being patient information which should be updated, the control part 71 reads the information regarding route setting from the memory | storage part 72 in the following step S24. In this case, for example, in addition to the information set as the input destination, when a plurality of medical devices are set as the input destination, the priority information and the like are also read out.
In the next step S25, the control unit 71 determines whether or not patient information is input from a plurality of medical devices (input means) set as input destinations (this state is referred to as an input enabled state). Judgment is made.
Then, when it is determined that there are not a plurality of medical devices (input means), that is, a single device, in the next step S26, the control unit 71 notifies the medical device that it is in an input enabled state. , Wait for a predetermined time.

In the next step S27 after waiting for the predetermined time, the control unit 71 determines whether or not an input enabled state in which patient information is input from another medical device is detected. If the input of patient information from another medical device is not detected by this determination, in step S28, the control unit 71 enters a state in which the input of patient information from the previous medical device can be accepted. Then, the control unit 71 receives input of the patient information, and updates and stores the patient information in the storage unit 72.
Furthermore, the control unit 71 transfers the patient information to the transfer destination medical device set as the transfer destination according to the transfer priority. Then, as shown in step S31, the transfer-destination medical device updates the previous patient information with this patient information, and ends this process.
On the other hand, in the determination of step S25, if the control unit 71 determines that there are already a plurality of medical devices that are set to be inputable, or that there are not a plurality of medical devices after the lapse of the predetermined time in step S26, Proceed to step S29.

In step S29, the control unit 71 accepts (permits) the input of patient information by the medical device having the highest priority according to the priority information of the plurality of medical devices set as the input destination read in step S24. Do not allow (prohibit) patient information input by other lower priority medical devices.
If the patient information input from the medical device with the highest priority is different from the patient information input in step S22, it is determined whether the patient information is to be updated as in step S23. I do. And the process after step S29 is performed with respect to the case of the patient information which should be updated. On the other hand, when it is not the patient information to be updated, the patient information is ignored, and the input destination patient information having the highest priority in the patient information to be updated is prioritized.
Then, in the next step S30, the control unit 71 is in a state where patient information is input to another medical device (that is, a higher priority medical device) for a lower priority medical device or the like. To be notified.

In the next step S31, the control unit 71 transfers the patient information to be updated to the transfer destination medical device set as the transfer destination according to the transfer priority. Then, as shown in step S32, the transfer-destination medical device updates the previous patient information with this patient information, and ends this process.
In this embodiment that performs such an operation, a plurality of medical devices can be set as input medical devices. Further, in the medical system 1, even when patient information is input almost simultaneously from a plurality of medical devices, priority is given to patient information from the medical devices that should be prioritized according to the set priority in the plurality of medical devices. be able to.
Therefore, by making settings according to the usage pattern that the user or facility actually wants to use, it is possible to input patient information in a state suitable for the usage pattern and to make the input patient information desired. Can be shared with medical devices.

As described above, in the present embodiment, when patient information to be updated is input from one of a plurality of medical devices (or input means) set as input destinations (set in advance). After waiting for the elapse of a predetermined time, it is determined whether or not to update with the patient information.
With this process, when the medical system 1 is configured and patient information is input to the system controller 4 from a plurality of medical devices set as input destinations via the communication means, the input timing may be slightly different. , Patient information from medical devices with high priority can be processed with priority.
For this reason, the present embodiment reduces the influence even when the time difference (time delay amount) is different even in an environment where there is a time difference in information transmission between the system controller 4 and the medical device by the communication means. be able to.

In the above description, when the number of medical devices set as input destinations is, for example, three or more (assumed to be m), a predetermined time elapses only when patient information is input from one medical device. However, the present invention is not limited to the case of waiting to be performed, and may be applied to a case where patient information is input from a medical device of m-1 or less.
In addition, since this embodiment can set a plurality of medical devices or input means as input destinations, for example, when performing a complex operation using an endoscope, input of patient information suitable for the usage pattern Can be easily set in the environment.
For example, it may be desired to perform endoscopy (endoscopic diagnosis) in a patient and subsequently perform, for example, intra-abdominal surgery depending on the diagnosis result. In this case, for example, a medical device such as the video processor 20 installed in the examination room 8 in FIG. 1 is moved into the operating room 2 to prepare more endoscopes and video processors in the operating room 2. And perform surgery.

In this case, the surgery is performed by updating the patient information such as adding a doctor name from the previous patient information. For this reason, in addition to setting the patient information input destination for the endoscopic examination as the input destination for inputting the patient information from the medical station terminal 7, for example, from the first video processor 11 or the like arranged in the operating room 2, for example. However, if the input destination can be set so that patient information can be input, it becomes easier to input patient information in such a complex operation.
As described above, according to this embodiment, a plurality of medical devices or input means for inputting patient information can be set, and the patient information can be appropriately input by them. The other effects are the same as those of the first embodiment.

Next, Embodiment 3 of the present invention will be described with reference to FIG. In the present embodiment, for example, the medical system 1 of FIG. 1 is provided with a function for prohibiting or limiting updating of patient information during medical practice, more specifically during surgery or examination.
For this reason, the control unit 71 of the system controller 4 has a function of monitoring whether or not a medical action is being performed, that is, whether or not an operation is being performed. Specifically, in the operating room 2 shown in FIG. 1, for example, as shown in FIG. 15, the control unit 71 of the system controller 4 monitors whether the electric knife device 36 and the pneumoperitoneum device 37 are in an operating state. And by the monitoring, the control part 71 determines whether it is in operation or in an examination.
When patient information is input, the control unit 71 permits or prohibits updating of patient information based on the determination result. The electric knife device 36 and the pneumoperitoneum device 37 are connected to the system controller 4 by, for example, communication lines 10d and 10e.

Next, the operation of this embodiment will be described with reference to FIG. In the operation shown in FIG. 16, step S40 is provided between step S14 and step S15 in FIG. In step S40, the control unit 71 determines whether the operation is being performed or an examination is being performed. If it is determined that the surgery or the examination is being performed, the process proceeds to step S18. If it is determined that the surgery is not being performed or the examination is not performed, the process proceeds to step S15.
FIG. 17 shows the specific processing content of step S40 in FIG.
When the determination process for determining whether the operation is in progress or during the examination starts, as shown in step S41, the control unit 71 of the system controller 4 receives data (information) about each medical device from the electric knife device 36 and the pneumoperitoneum device 37. ) Is acquired by polling, for example.
In the next step S42, the control unit 71 checks (extracts) the status regarding the operation state in the acquired data. Specifically, status data indicating whether the electric knife device 36 is outputting an electric knife or status data indicating whether the pneumoperitoneum device 37 is ON (puffing) is checked.

In the next step S43, the control unit 71 determines whether or not the specific status regarding the operation or the examination is ON. If it is determined that the specific status is ON, the control unit 71 determines in step S44 that surgery is in progress. Then, the process proceeds to step S18.
On the other hand, if it is determined that the specific status is not ON, the control unit 71 determines in step S45 that the operation is neither an operation nor an examination. Then, the process proceeds to step S15.
Other operations are the same as those in the first embodiment.
According to the present embodiment, updating of patient information can be prohibited during surgery or examination. Accordingly, it is possible to prevent the patient information from being inadvertently changed during the operation or the inspection by updating the patient information during the operation or the inspection. The other effects are the same as those of the first embodiment. In addition, it can also apply to Example 2 instead of Example 1, and will have the effect of Example 2 in that case. Note that embodiments configured by partially combining the above-described embodiments also belong to the present invention.

Medical devices that can actually input patient information when performing medical procedures such as endoscopy and endoscopic surgery in a medical system that includes a plurality of medical devices or input means that allow patient information to be input Alternatively, an input unit is set and a medical device that shares the patient information can be set.
As a result, the reliability of the inputted patient information can be improved, and the patient information can be shared in conformity with the usage pattern that the user or facility actually desires to use.

FIG. 1 is a configuration diagram showing the overall configuration of a medical system according to a first embodiment of the present invention. FIG. 2 is a diagram showing a specific example of the representative input means in FIG. FIG. 3 is a diagram showing a detailed configuration example of an operating room medical system arranged in the operating room of FIG. 1. FIG. 4 is a block diagram showing a main configuration example of a video processor. FIG. 5 is a block diagram illustrating a main configuration example of the system controller. FIG. 6 is a block diagram showing a main configuration example of the AV control system. FIG. 7 is a diagram showing an example of detailed data of patient information. FIG. 8 is a diagram illustrating input destination candidate medical devices and transfer destination candidate medical devices connected to the system controller. FIG. 9 is a diagram illustrating an example of a route setting screen for setting a patient information input destination medical device and a transfer destination medical device from the medical device of FIG. FIG. 10 is a flowchart showing an operation content for performing route setting. FIG. 11 is a flowchart showing a part of the operation content for setting the route by the doctor name. FIG. 12 is a flowchart showing the operation contents in the medical system when patient information is actually input. The figure which shows the example of a route setting screen which sets the input destination medical device of patient information in Example 2 of this invention, and the transfer destination medical device of patient information. FIG. 14 is a flowchart showing the operation content when patient information is input. FIG. 15 is a diagram showing a configuration example of an operating room medical system portion arranged in an operating room in Embodiment 3 of the present invention. FIG. 16 is a flowchart showing the operation contents in the medical system when patient information is actually input. FIG. 17 is a flowchart showing details of the processing content of step S40 in FIG.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ... Medical system 2 ... Operating room 3 ... Operating room medical system 4 ... System controller 5 ... Hospital LAN
DESCRIPTION OF SYMBOLS 6 ... Server 7 ... Medical office terminal 8 ... Examination room 10a, 20b, 10c ... Communication line 11, 12, 20 ... Video processor 15 ... Touch panel 16 ... Electric knife device 17 ... Pneumoconiosis device 22 ... AV system controller 24 ... Keyboard 60, 66, 71 ... control unit 72 ... storage unit

Claims (4)

A medical system having a plurality of medical devices for performing a medical action, and a medical device control device for controlling the plurality of medical devices,
Wherein the plurality of medical device, comprising: an input means for inputting patient information, and transmission means for transmitting patient information input by said input means to said medical device control apparatus, respectively,
The medical device controller is
Receiving means for receiving patient information transmitted by the transmitting means;
Patient information storage means for storing patient information received by the receiving means ;
An input destination setting means for setting, as an input destination means, at least one input means that is an input destination of patient information among the input means in the plurality of medical devices ;
Among the plurality of medical devices, in order to share patient information from the input destination unit, a transfer destination setting unit that sets a transfer destination medical device to which the patient information is transferred;
A route for storing a correspondence relationship between the input destination unit set in the input destination setting unit and each medical device of the transfer destination set in the transfer destination setting unit as route information related to a transfer route of patient information Information storage means;
It is detected that patient information received by the receiving means is different from the patient information stored in the patient information storage means, and patient information is input at any of the input means set as the input destination means. In this case, based on the route information stored in the route information storage means, transfer control means for transferring patient information input from each input means set as the input destination means to each medical device at the transfer destination When,
A medical system comprising: Detecting means for detecting input of patient information in any of the input means set as the input destination means;
Determination means for determining whether or not a medical practice is being performed when input of patient information is detected by the detection means;
When it is determined by the determination means that medical practice is being performed, the patient information received by the reception means is different from the patient information stored in the patient information storage means, and the input destination means 2. The medical treatment according to claim 1, wherein updating of patient information is prohibited even if the transfer control means detects that patient information has been input at any of the input means set as system. The priority order as the transfer order of patient information in the transfer control means can be set for the input of patient information from one or more input means set as the input destination means. The medical system according to claim 1 or 2. A medical device control apparatus that controls a plurality of medical devices for performing medical actions and controls a plurality of input means for inputting patient information directly or via the medical devices,
Among the plurality of input means, an input destination setting means for setting at least one input means that is an input destination of patient information as an input destination means;
Among the plurality of medical devices, in order to share patient information from the input destination means, transfer destination setting means for setting a transfer destination medical device for transferring the patient information;
The correspondence between the input destination means set in the input destination setting means and each of the transfer destination medical devices set in the transfer destination setting means is stored as route information related to the transfer route of patient information. Storage means for storing patient information input from each input means set as the input destination means;
When it is detected that the patient information input in any of the input means set as the input destination means is different from the patient information stored in the storage means, the route information stored in the storage means Transfer control means for transferring patient information input from each input means set as the input destination means to each medical device of the transfer destination;
A medical device control device comprising:

Images