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手术器械数据在数字化手术室中的结构化记录要求。

Requirements for the structured recording of surgical device data in the digital operating room.

机构信息

Universität Leipzig, Innovation Center Computer Assisted Surgery, Semmelweisstr. 14, 04103 , Leipzig, Germany,

出版信息

Int J Comput Assist Radiol Surg. 2014 Jan;9(1):49-57. doi: 10.1007/s11548-013-0909-4. Epub 2013 Jun 21.

DOI:10.1007/s11548-013-0909-4
PMID:23793584
Abstract

PURPOSE

Due to the increasing complexity of the surgical working environment, increasingly technical solutions must be found to help relieve the surgeon. This objective is supported by a structured storage concept for all relevant device data.

METHODS

In this work, we present a concept and prototype development of a storage system to address intraoperative medical data. The requirements of such a system are described, and solutions for data transfer, processing, and storage are presented. In a subsequent study, a prototype based on the presented concept is tested for correct and complete data transmission and storage and for the ability to record a complete neurosurgical intervention with low processing latencies. In the final section, several applications for the presented data recorder are shown.

RESULTS

The developed system based on the presented concept is able to store the generated data correctly, completely, and quickly enough even if much more data than expected are sent during a surgical intervention.

CONCLUSIONS

The Surgical Data Recorder supports automatic recognition of the interventional situation by providing a centralized data storage and access interface to the OR communication bus. In the future, further data acquisition technologies should be integrated. Therefore, additional interfaces must be developed. The data generated by these devices and technologies should also be stored in or referenced by the Surgical Data Recorder to support the analysis of the OR situation.

摘要

目的

由于手术工作环境的日益复杂,必须找到越来越多的技术解决方案来帮助减轻外科医生的负担。这一目标得到了一种用于存储所有相关设备数据的结构化存储概念的支持。

方法

在这项工作中,我们提出了一种用于解决术中医疗数据的存储系统的概念和原型开发。描述了这样一个系统的要求,并提出了用于数据传输、处理和存储的解决方案。在随后的研究中,对基于所提出概念的原型进行了测试,以验证其是否能够正确、完整地传输和存储数据,并能够以低处理延迟记录完整的神经外科手术干预。在最后一节中,展示了所提出的数据记录器的几个应用。

结果

所开发的基于所提出概念的系统能够正确、完整和快速地存储生成的数据,即使在手术干预过程中发送的数据比预期的多得多。

结论

外科手术数据记录器通过提供集中的数据存储和对手术室通信总线的访问接口,支持对介入情况的自动识别。未来应整合更多的数据采集技术。因此,必须开发额外的接口。这些设备和技术生成的数据也应存储在外科手术数据记录器中或由其引用,以支持对手术室情况的分析。

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