EP1103028A2 - Systeme d'enregistrement et de communication a des fins chirurgicales - Google Patents

Systeme d'enregistrement et de communication a des fins chirurgicales

Info

Publication number
EP1103028A2
EP1103028A2 EP99935009A EP99935009A EP1103028A2 EP 1103028 A2 EP1103028 A2 EP 1103028A2 EP 99935009 A EP99935009 A EP 99935009A EP 99935009 A EP99935009 A EP 99935009A EP 1103028 A2 EP1103028 A2 EP 1103028A2
Authority
EP
European Patent Office
Prior art keywords
audio
report
video
surgical
images
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP99935009A
Other languages
German (de)
English (en)
Inventor
Nitzan Sneh
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Contec Medical Ltd
Original Assignee
Contec Medical Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Contec Medical Ltd filed Critical Contec Medical Ltd
Publication of EP1103028A2 publication Critical patent/EP1103028A2/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04N—PICTORIAL COMMUNICATION, e.g. TELEVISION
    • H04N7/00—Television systems
    • H04N7/18—Closed-circuit television [CCTV] systems, i.e. systems in which the video signal is not broadcast
    • H04N7/188—Capturing isolated or intermittent images triggered by the occurrence of a predetermined event, e.g. an object reaching a predetermined position
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04N—PICTORIAL COMMUNICATION, e.g. TELEVISION
    • H04N5/00—Details of television systems
    • H04N5/76—Television signal recording
    • H04N5/91—Television signal processing therefor
    • H04N5/92—Transformation of the television signal for recording, e.g. modulation, frequency changing; Inverse transformation for playback
    • H04N5/9201—Transformation of the television signal for recording, e.g. modulation, frequency changing; Inverse transformation for playback involving the multiplexing of an additional signal and the video signal

Definitions

  • the present invention relates in general to an audio-visual recording system for documenting surgical and diagnostic procedures and in particular to such a system which
  • the present invention has been developed to fulfill the needs noted above and therefore has as an object the provision of a method and system for recording, integrating and reporting
  • Another object of the invention is to minimize the time, effort and duplication involved in
  • Still another object of the invention is the provision of a method and system which
  • Yet another object of the invention is the provision of a method and system which allows
  • a surgeon to select one or more video images of a surgical procedure, correlate such image or images with corresponding audio descriptions of such image or images and incorporate the correlated audio and visual information into a pre-formatted written report.
  • the invention provides electronic management and archiving of surgery records while providing online consultation with remote sites via existing communication networks.
  • the preparation of reports on a user friendly operating system increases the efficiency and effectiveness of health professionals and facilitates faster report processing and payment from health insurance
  • the present invention serves as a source of detailed and accurate surgical information and documentation by, during surgery, capturing dictation together with full-color surgical images relating to the dictation.
  • the system as constructed in accordance with the invention, can
  • the system of the present invention stores all collected data digitally. This enables easy access for future use. Images, texts and audio recordings can be easily recalled for a range of applications, including evaluation of patients, and preparation of post-operative reports, lectures and presentations on related subjects. Such electronic management of medical data enables easy selection of information according to any defined criteria.
  • the invention also can provide a powerful marketing tool for every facility where it is
  • the present invention further enables the easy creation of reports by selecting data from a predefined, customized library of texts and templates thereby saving precious time and reducing human errors.
  • the present invention is fast and reliable, fully compatible and integrating with any Windows-based software applications.
  • the system can also input data from various image databases, including MRI, CT, ultrasound and X-ray.
  • the system While capturing the audio and visual data during endoscopic surgery or endoscopic procedures on a personal computer under Windows NT software, the system associates a recording of the surgeon's dictation with the relevant pictures selected by the surgeon, thereby liberating the surgeon from subsequently typing the explanations and descriptions of the pictures
  • Direct integration with a widely available word processor enables viewing and editing of the report at home, in the office and in any place where Word software is installed. Editing with popular word processor program software (Word) that many people are familiar with saves on the time needed to learn the system.
  • a file/insert feature enables the integration into the report of any valuable information, both digital and not digital (such as X-Ray, MRI, ultrasound, patient history etc.) to create a complete patient record.
  • a spelling feature is integrated in the system and a medical vocabulary may be included.
  • Image zoom enlargement is provided for optimal review of video image details. Export of these pictures such as by digital saving of the pictures on a computer disk or diskette or other media in a bitmap format enables the creation of slides, transparencies and articles in addition to
  • the system advantageously includes a PC (personal computer) using standard software (Access database, Word, NT) allowing the customization of the system to the specific needs of any user in a very fast and affordable manner.
  • PC personal computer
  • standard software Access database, Word, NT
  • the system is easy to use for any computer novice yet enables those who have some understanding of computers to optimize the efficiency and effectiveness of the system.
  • Permanent, easy, and reliable archiving and archiving statistics are made available in the form of a digital multidimensional database (audio, visual and text).
  • the information can be retrieved according to any predefined criteria such as a date, patient name, surgeon name etc.
  • Integration of continuous speech recognition from dictation can create a report more quickly than ever before possible.
  • the use of key words inserts predefined paragraphs into the report.
  • the integration of voice commands for various functions, such as capture of the pictures and recording dictations further increases the speed and efficiency of report creation.
  • the system can be adapted to accept and read smart and magnetic cards and automatically fill in the patient details from the data on the cards. Data safety can be achieved with passwords and data
  • System components include, in one example of the invention:
  • Pentium PC 300 4GB, Windows NT, Word 7, video and display cards
  • the work flow which defines the method of the invention includes several basic stages. In the case of new surgery:
  • Patient data is entered or transmitted into the system by an administrative assistant when a patient is admitted to a hospital or clinic.
  • Surgery data is entered into the system by an assistant before the surgery/ diagnostic procedure.
  • the system software captures the time associated with a particular picture when the picture is captured and recorded. It also associates the time when the audio is captured and
  • the video is stored in a standard video storage medium available as standard computer cards installable in most PC's.
  • the audio is stored in a standard audio package provided in the computer in the form of an audio card.
  • the system can also call up the audio recordings corresponding to one or more of the
  • Each dictation is displayed on the side of the screen as a listing of all of the audios with their recording time. By looking at the recording times of the audio and visual recordings, the surgeon can easily coordinate which audio goes with which video. The surgeon
  • the correlated audiovisual recordings can automatically be transferred to the surgeon's standard work processing package, such as Microsoft Word, or the like.
  • a surgery report is typically preformatted in the system's work processing package with patient biographical information provided as part of such a report.
  • the surgeon can integrate his selected video/audio recordings directly into the preformatted report.
  • reporting is done in a standard word processing package. This facilitates use of the system. Writing a separate software program to achieve this interaction makes it complex and doctors may not want to learn such separate systems. However, by utilizing a standard work processing package, it facilitates use by the doctor.
  • One of the significant features of the invention is the transfer of the video and audio files into the word processing package so that a surgeon can formulate a report in the work processing package.
  • any report can be viewed and edited.
  • the retrieval and selection may be according to any predefined criteria such as patient name, surgeon name etc.
  • the reports can be deleted as well, according to privilege. It is possible to define reports as "read only” in order to prevent unauthorized changes and loss of clinical date.
  • Fig. 1 is a flow chart depicting a sequence of process steps for carrying out a recording and reporting method in accordance with the invention
  • Fig. 2 is a schematic view of a surgical recording system constructed in accordance with
  • Fig. 3 is a view of a computer monitor screen showing a patient data template produced in accordance with the invention and depicting a typical set of patient input data;
  • Fig. 4 is a view of a computer monitor screen similar to Fig. 3, showing an additional surgery data template produced with the system of the present invention
  • Fig. 5 is a view of a computer monitor screen depicting raw audio and visual data for
  • Fig. 6 is a view of a computer monitor screen of an edited medical report selected
  • Attached Appendix is a printout of the source code of the software of this invention.
  • Fig. 1 which depicts a sequence of steps for carrying out the invention.
  • the first step includes entering certain patient information into a word processor using a common, commercially available word processing package such as Microsoft Word.
  • This software is used with the system of Fig. 2 to generate one or more data entry templates such as the patient data template and patient comments template depicted on the monitor screen shown in Fig. 3.
  • Data such as the location and frequency of pain, time of day of pain and other data on
  • Additional surgery data may be provided on the surgery data template created by the system in accordance with the invention as shown in Fig. 4.
  • the second step of the flow chart of Fig. 1 is carried out as the patient is operated on, as schematically depicted in Fig. 2.
  • a patient 10 is undergoing an endoscopic procedure wherein a surgeon 12 is operating on the patient with the aid of an endoscope 14.
  • Endoscope 14 includes a camera which transmits a video signal 15 and image of the site of the surgery, such as the patient's gall bladder, to an audio video recording and storage device 16 typically installed on a standard PC such as computer 30.
  • a standard commercially available video memory board or "card” 18 can be used for video storage of signal 15.
  • the video signal 15 is also transmitted to a surgeon's monitor 20 to enable the surgeon to view the surgery site.
  • An optional or alternate video camera 22 may be used to provide an alternate or supplemental video signal 24 to monitor 20 and to card 18 to display and record the surgery or procedure.
  • video signal 15 or alternatively video signal 24, are constantly displayed on monitor 20 (as well as any number of remote viewing monitors), they are not constantly recorded
  • a hand switch such as the left button 19 on mouse 21 or a voice activated switch 23 in microphone 25 may be used to trigger the storage device 16 to record an instantaneous picture of the surgery on video card 18.
  • a time clock 28 typically provided in computer 30, associates a time with each video snapshot. This time label or association is provided by the system software program and is depicted in Fig. 1 as step 3.
  • the video card 18 is in this example is a commercially available package which comes with its own imaging library package. It includes all the features for acquisition, data manipulation, graphics and display control. The package has been designed for fast application prototyping and ease of use. It has a completely transparent management system and entails virtual rather than physical data object manipulation, allowing for platform independent applications. This package handles physical objects (system devices, digitizers, display
  • controllers and data buffers as virtual objects. These virtual objects must be allocated before they can be manipulated and must be released when they are no longer required.
  • a video set-up button enables one to control the video parameters such as hue, saturation contrast and brightness during the surgery.
  • the picture recording can be updated
  • PAL or NTSC source can be as well redefined during the surgery with no need to restart the system.
  • the audio dictation is stored in a standard commercially available audio card 34 provided
  • a dictate button will change into end dictate and an audio confirmation is provided so the surgeon will know that the dictation is recorded.
  • a dictation timer is typically set on 28 seconds but it can be set up to 48 seconds which is a Windows limitation. When the timer limit is reached, the dictation is stopped automatically. If the surgeon wants to continue the dictation, an additional push on the right
  • the mouse button will start recording again. By clicking on the right button again, the surgeon can stop the dictation before the timer is activated. After the surgery, a full report of the surgery needs to be created.
  • the surgery report to be created is selected according to the patient name, the surgeon name, date, etc.
  • a pop-up menu as shown in Fig. 5 will pop up with the following options: 1) send to report, 2) remove from report, 3) zoom the picture, 4) export the picture, 5) cancel.
  • the surgeon selects one or more pictures and their associated audio descriptions. This corresponds to step 6 in Fig. 1.
  • the right and left arrow buttons will scroll the pictures to control their display on the screen.
  • the capture time for every picture and every dictation is stored in the system and displayed on the preformatted surgical report template or form, the doctor can easily integrate one with the other.
  • a toolbar like that of a tape recorder is used.
  • the user can stop, rewind forward and play any selected dictation.
  • the word processing integration occurs as indicated by step 7 in Fig. 1.
  • the system creates a Word object, loads the predefined template, handles patient and surgery data (the information typed before the surgery is automatically entered to the report), inserts

Landscapes

  • Engineering & Computer Science (AREA)
  • Multimedia (AREA)
  • Signal Processing (AREA)
  • Medical Treatment And Welfare Office Work (AREA)
  • Endoscopes (AREA)

Abstract

La présente invention concerne la mise en corrélation d'une série de clichés numériques vidéo réalisés par un chirurgien et des commentaires d'accompagnement formulés par ce même chirurgien pendant une intervention chirurgicale. Une fois l'intervention terminée, le chirurgien peut choisir sur un écran ceux des clichés et commentaires qui lui semblent le mieux convenir pour inclusion dans son rapport d'intervention. Les clichés et les commentaires retenus sont transférés dans ordinateur qui les combinent avec autres informations telles que le dossier du patient et autres données à caractère chirurgical. Un rapport final est établi avec des matrices pré-formatées produites électroniquement pour l'affichage du texte et des clichés et la transmission des commentaires du chirurgien.
EP99935009A 1998-08-04 1999-07-27 Systeme d'enregistrement et de communication a des fins chirurgicales Withdrawn EP1103028A2 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US12846098A 1998-08-04 1998-08-04
US128460 1998-08-04
PCT/IB1999/001425 WO2000008585A2 (fr) 1998-08-04 1999-07-27 Systeme d'enregistrement et de communication a des fins chirurgicales

Publications (1)

Publication Number Publication Date
EP1103028A2 true EP1103028A2 (fr) 2001-05-30

Family

ID=22435486

Family Applications (1)

Application Number Title Priority Date Filing Date
EP99935009A Withdrawn EP1103028A2 (fr) 1998-08-04 1999-07-27 Systeme d'enregistrement et de communication a des fins chirurgicales

Country Status (3)

Country Link
EP (1) EP1103028A2 (fr)
IL (1) IL140472A0 (fr)
WO (1) WO2000008585A2 (fr)

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CN1773495B (zh) * 2005-09-30 2010-05-05 兰州大学 不同文字与图像组合的证件模板生成方法

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GB2380345A (en) * 2001-09-26 2003-04-02 Orbb Ltd Real time encryption and storage of images of an environment
JP2003164413A (ja) 2001-12-03 2003-06-10 Olympus Optical Co Ltd 内視鏡画像ファイリングシステム
CA2498578C (fr) 2002-09-13 2011-11-22 Karl Storz Imaging, Inc. Dispositif d'enregistrement video et de saisie d'images
SG113434A1 (en) * 2002-10-11 2005-08-29 Nat University Hospital Singap An endoscopy treatment management system
EP1627356A4 (fr) * 2003-05-16 2006-12-20 Marc Shapiro Systeme d'entree de donnees pour examen endoscopique
US20130191154A1 (en) * 2012-01-22 2013-07-25 Dobkin William R. Medical data system generating automated surgical reports
US20130201356A1 (en) * 2012-02-07 2013-08-08 Arthrex Inc. Tablet controlled camera system
US9569594B2 (en) 2012-03-08 2017-02-14 Nuance Communications, Inc. Methods and apparatus for generating clinical reports
WO2013133891A1 (fr) * 2012-03-08 2013-09-12 Nuance Communications, Inc. Procédés et appareil pour générer des rapports cliniques
US9569593B2 (en) 2012-03-08 2017-02-14 Nuance Communications, Inc. Methods and apparatus for generating clinical reports
US10740552B2 (en) 2014-10-08 2020-08-11 Stryker Corporation Intra-surgical documentation system
US11114186B2 (en) 2017-08-10 2021-09-07 Nuance Communications, Inc. Automated clinical documentation system and method
US11316865B2 (en) 2017-08-10 2022-04-26 Nuance Communications, Inc. Ambient cooperative intelligence system and method
KR101967998B1 (ko) 2017-09-05 2019-04-11 주식회사 카카오 키 입력에 기초한 움직임 이미지 생성 방법 및 상기 방법을 수행하는 사용자 단말
EP3762921A4 (fr) 2018-03-05 2022-05-04 Nuance Communications, Inc. Système et procédé de documentation clinique automatisés
US11250382B2 (en) 2018-03-05 2022-02-15 Nuance Communications, Inc. Automated clinical documentation system and method
US20190272902A1 (en) 2018-03-05 2019-09-05 Nuance Communications, Inc. System and method for review of automated clinical documentation
US11043207B2 (en) 2019-06-14 2021-06-22 Nuance Communications, Inc. System and method for array data simulation and customized acoustic modeling for ambient ASR
US11227679B2 (en) 2019-06-14 2022-01-18 Nuance Communications, Inc. Ambient clinical intelligence system and method
US11216480B2 (en) 2019-06-14 2022-01-04 Nuance Communications, Inc. System and method for querying data points from graph data structures
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US11670408B2 (en) 2019-09-30 2023-06-06 Nuance Communications, Inc. System and method for review of automated clinical documentation
US11222103B1 (en) 2020-10-29 2022-01-11 Nuance Communications, Inc. Ambient cooperative intelligence system and method

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CN1773495B (zh) * 2005-09-30 2010-05-05 兰州大学 不同文字与图像组合的证件模板生成方法

Also Published As

Publication number Publication date
WO2000008585A3 (fr) 2000-07-13
WO2000008585A2 (fr) 2000-02-17
IL140472A0 (en) 2002-02-10

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