Patent Grant
10200241
The present invention relates to a method of configuring devices in an operating theater.
Surgeons use many devices to help them during operative procedures. Currently, surgeons or other people in the operative theater have had to connect all cooperating devices by wiring the devices together or actively setting up a wireless network for each device in the operative theater before surgery. An easier method of networking devices in an operative theater is desired.
The present invention, according to one aspect, is directed to a system for automatically establishing a network. The system has a main device group including a main wireless transceiver device, a control device and a first network interface. The system also has a secondary device group including a secondary wireless transceiver device, a secondary device group slave device and a second network interface. The secondary device group is spaced from the main device group. The main wireless transceiver device wirelessly communicates with the secondary wireless transceiver device to instruct the main device group and the secondary device group to form a network wherein the control device communicates with the secondary device group slave device over the first network interface and the second network interface, respectively. The control device wirelessly controls functions of the secondary device group slave device with instructions sent over the network. The main wireless transceiver device only wirelessly communicates with the secondary wireless transceiver device when the main wireless transceiver device and the secondary wireless transceiver device are in a single location. Wireless communications of the main wireless transceiver device and the secondary wireless transceiver device are not able to pass through walls of the single location.
Another aspect of the present invention is to provide a method for controlling a device. The method includes providing a main device group including a main wireless transceiver device, a control device and a first network interface. The method also includes providing a secondary device group including a secondary wireless transceiver device, a slave device and a second network interface, The method further includes spacing the secondary device group from the main device group, wirelessly communicating network information from the main wireless transceiver device to the secondary wireless transceiver device, forming a network over the first network interface and the second network interface using the network information, and controlling functions of the slave device with the control device through instructions sent over the network. The step of wirelessly communicating network information only occurs when the main wireless transceiver device and the secondary wireless transceiver device are in a single location. Wireless communications of the main wireless transceiver device and the secondary wireless transceiver device are not able to pass through walls of the single location.
One or more embodiments of the present invention are illustrated by way of example and should not be construed as being limited to the specific embodiments depicted in the accompanying drawings, in which like reference numerals indicate similar elements,
The specific devices and processes illustrated in the attached drawings, and described in the following specification are simply exemplary embodiments of the inventive concepts. Hence, specific dimensions and other physical characteristics relating to the embodiments disclosed herein are not to be considered as limiting.
For purposes of description herein, it is to be understood that the invention may assume various alternative orientations, except where expressly specified to the contrary. It is also to be understood that the specific devices and processes illustrated in the attached drawings, and described in the following specification are simply exemplary embodiments of the inventive concepts defined in the appended claims. Hence, specific dimensions and other physical characteristics relating to the embodiments disclosed herein are not to be considered as limiting, unless the claims expressly state otherwise.
The reference number 8 (
The illustrated main device group 10 includes the control device 20. The secondary device groups 12a, 12b can include a secondary control device 20. While only two secondary device groups 12a, 12b are shown, any number of secondary device groups 12a, 12b could be used (including only one secondary device group). Two secondary device groups 12a, 12b are illustrated in
In the illustrated example, the main device group 10 as illustrated in
The illustrated gateway 16 and the main wireless transceiver device 14a of the main device group 10 allow the control device 20 to be wirelessly networked with the slave devices 18 of the secondary device groups 12a, 12b. The gateway 16 allows the control device 20 to communicate wirelessly and allows for several different devices using various communication standards to communicate over a single wireless network. The gateway 16 has a plurality of inputs (e.g., USB and Ethernet) along with a wireless transceiver (e.g., Wi-Fi). Therefore, a plurality of different devices using different communication standards can be connected to a single device (i.e., the gateway 16) and can communicate with other devices in a wireless network including the control device 20. The gateway 16 can also take the form of a router for connecting to a hospital network (e.g., HIS) and/or the Internet (either using a wired connection or wirelessly). The gateway 16 also allows a device without wireless communication capabilities to communicate wirelessly when the device without wireless communication capabilities is connected thereto. The main wireless transceiver device 14a communicates with the secondary wireless transceiver devices 14b and the control device 20 to facilitate establishment of the wireless network.
In the illustrated example, the secondary wireless transceiver devices 14b are wired to the gateway 16 (e.g., via USB) to provide instructions to the gateway 16 as outlined below. Each secondary device group 12a, 12b also includes the slave devices 18 wired to the gateway 16 (e.g., via USB) for allowing the slave devices 18 to communicate wirelessly with the gateway 16 in the main device group 10, thereby allowing the control device 20 to control the slave devices 18 (through the gateway 16). The network is established by the main wireless transceiver device 14a and the gateway 16 connected thereto and is defined by all devices in the system 8 for automatically networking devices in the operating room 100 (that is, the control device 20, the slave devices 18 and the gateways 16). It is contemplated that the wireless network could occur over a pre-established hospital network.
In the illustrated example, the main wireless transceiver device 14a, 14a′ and each of the secondary wireless transceiver devices 14b, 14b′ (
In the illustrated example, in order to only connect the slave devices 18, 18′ in the secondary device group 12a, 12b, 12a′, 12b′ in the operating room 100 to the control device 20, 20′ and not other slave devices 18, 18′ outside of the operating room 100, the wakeup broadcast will only be sent and received within the operating room 100. The wakeup broadcast therefore will not pass through walls. For example, the wakeup broadcast can be sent by an infrared signal, an acoustic signal or radio waves (e.g., high frequency). It is contemplated that windows in the operating room 100 could include an optically-transparent, but infrared-blocking filter on the windows to stop or minimize light interference (e.g., sunlight) or crosstalk between window-connected rooms. It is also contemplated that the secondary wireless transceiver devices 14b, 14b′ could use a signal processing approach such as low-pass filtering to only receive or process the wakeup broadcast from the main wireless transceiver device 14a, 14a′ in the same operating room 100. If there are not any secondary wireless transceiver devices 14b, 14b′ in the operating room 100 as determined at decision step 56, no further action is taken at this time at step 58 and the method 50 ends. It is further contemplated that the broadcast could be both infrared and ultrasonic. It is further contemplated that the devices receiving the broadcast signal would only process the broadcast signal if received both in infrared and ultrasonically to thereby ensure that only devices in the same room are communicating.
If there are secondary wireless transceiver devices 14b, 14b′ in the operating room 100 as determined at decision step 56, the wakeup broadcast will wake up the secondary wireless transceiver devices 14b, 14b′ in the operating room 100 at step 60. Once woken, the secondary wireless transceiver devices 14b, 14b′ in the operating room 100 will send a wireless linking information query (e.g., IP and SSID) to the main wireless transceiver device 14a, 14a′ at step 62. Once again, the wireless linking information query sent from the secondary wireless transceiver devices 14b, 14b′ to the main wireless transceiver device 14a, 14a′ will only be sent and received within the operating room 100 using the manner of communication as outlined above. The wireless linking information query therefore will not pass through walls or will be filtered using a signal processing approach. It is contemplated that the secondary wireless transceiver devices 14b, 14b′ can also boot up/start the associated slave device(s) 18 and the associated gateway 16 or the associated slave device(s) 18′ when woken at step 60.
The main wireless transceiver device 14a, 14a′ will have the wireless linking information programmed therein or will be capable of obtaining the wireless linking information from the gateway 16 in the main device group 10 or from the control device 20′. The main wireless transceiver device 14a, 14a′ will then broadcast the wireless linking information at step 64. It is contemplated that the secondary wireless transceiver device 14b, 14b′ can also broadcast the wireless linking information if the wireless linking information query is received thereby. For example, the secondary wireless transceiver device 14b, 14b′ can broadcast the wireless linking information every time the wireless linking information query is received or if the wireless linking information broadcast by the main wireless transceiver device 14a, 14a′ is not received in a certain time period (for example, when the secondary wireless transceiver device 14b, 14b′ sending the wireless linking information query is not capable of directly communicating with the main wireless transceiver device 14a, 14a′). Once again, the wireless linking information sent or broadcast to the second transceiver device 14b, 14b′ will only be broadcast and received within the operating room 100 using the manner of communication as outlined above. The wireless linking information therefore will not pass through walls or will be filtered using a signal processing approach (or will be sent in another manner, for example, both in infrared and ultrasonically as outlined above). The second transceiver device 14b, 14b′ then receives the wireless linking information at step 66 and passes the wireless linking information to the gateway 16 in the secondary device group 12a, 12b or the slave device 18′ at step 68 to automatically establish a network including the control device 20 and the slave devices 18, 18′ of the secondary device group 12a, 12b, 12a′, 12b′ at step 70.
If the secondary wireless transceiver device 14b, 14b′ receives the wireless linking information at decision step 108, then a determination is made if the wireless linking information is identical to the wireless linking information currently in memory of the secondary wireless transceiver device 14b, 14b′ at decision step 110. If the wireless linking information received in step 108 is identical to the wireless linking information currently in memory of the secondary wireless transceiver device 14b, 14b′ as determined at decision step 110, the network connection of the control device 20, 20′ and the slave devices 18, 18′ of the secondary device group 12a, 12b, 12a′, 12b′ is maintained at step 112. If the wireless linking information received in step 108 is not identical to the wireless linking information currently in memory of the secondary wireless transceiver device 14b, 14b′ as determined at decision step 110, the secondary wireless transceiver device 14b, 14b′ erases the old wireless linking information and then passes the new wireless linking information to the gateway 16 in the secondary device group 12a, 12b or the slave device 18′ at step 114 to automatically establish a new network between the control device 20, 20′ and the slave devices 18, 18′ of the secondary device group 12a, 12b, 12a′, 12b′ using the new wireless linking information at step 114. When decision step 110 determines that the wireless linking information received in step 108 is identical to the wireless linking information currently in memory of the secondary wireless transceiver device 14b, 14b′, the secondary wireless transceiver device 14b, 14b′ has only moved within the operating room 100 (e.g., jostled or moved to another area of the room). When decision step 110 determines that the wireless linking information received in step 108 is not identical to the wireless linking information currently in memory of the secondary wireless transceiver device 14b, 14b′, the secondary wireless transceiver device 14b, 14b′ has moved outside of the operating room 100 and into another operating room having another main wireless transceiver device 14a, 14a′.
If the secondary wireless transceiver device 14b, 14b′ does not receive the wireless linking information at decision step 108, then the secondary wireless transceiver device 14b, 14b′ will send another wireless linking information query at step 116 after a certain predetermined time period (e.g., 1 minute). If the secondary wireless transceiver device 14b, 14b′ receives the wireless linking information at decision step 118 after sending out another wireless linking information query at step 116, then the method proceeds to decision step 110 as outlined above. If the secondary wireless transceiver device 14b, 14b′ does not receive the wireless linking information at decision step 118 after sending out another wireless linking information query at step 116, then the secondary wireless transceiver device 14b, 14b′ will instruct the gateway 16 in the secondary device group 12a, 12b, 12a′, 12b′ or the slave device 18′ (with the integrated gateway 16) to set the network ID to “not current” and go into sleep mode at step 120. It is also contemplated that the secondary wireless transceiver device 14b, 14b′ could also instruct the gateway 16 in the secondary device group 12a, 12b, 12a′, 12b′ or the slave device 18′ (with the integrated gateway 16) to go into sleep mode. It is contemplated that steps 116 and 118 can be performed more than once (e.g., 3 times or every certain time interval (e.g., every 2-3 seconds) for a certain period of time (e.g., 1 minute)) before proceeding to step 120 if the secondary wireless transceiver device 14b, 14b′ continues to not receive the wireless linking information. Once the secondary wireless transceiver device 14b, 14b′ is in sleep mode, the secondary wireless transceiver device 14b, 14b′ can continue in sleep mode until the main wireless transceiver device 14a, 14a′ sends out a wakeup signal as outlined in step 54 of method 50 above. It is also contemplated that the secondary wireless transceiver device 14b, 14b′ can be manually woken to send out the wireless linking information query as set forth in step 60 of method 50 above (e.g., automatically sent when powered on), thereby bypassing the need for the main wireless transceiver device 14a, 14a′ to send out the wake up signal. Moreover, the secondary wireless transceiver device 14b, 14b′ can be programmed to periodically wake up (e,g., every 2 hours) to send out the wireless linking information query and go back to sleep if no wireless linking information broadcast is received.
The secondary wireless transceiver devices 14b, 14b′ in the operating room 100 will receive the refresh signal at step 158 and then determine if the main wireless transceiver device 14a, 14a′ and the main device group 10, 10′ have left the operating room 100. First, at step 160, the secondary wireless transceiver devices 14b, 14b′ will send a wireless linking information query to the main wireless transceiver device 14a, 14a′ after a set period of time (e.g., 1 minute) at step 160. If the main wireless transceiver device 14a, 14a′ is still in the operating room 100 as determined at decision step 162, the main wireless transceiver device 14a, 14a′ will broadcast the wireless linking information at step 164. The secondary wireless transceiver device 14b, 14b′ will receive the wireless linking information broadcast at step 166 and the network connection of the control device 20, 20′ and the slave devices 18, 18′ of the secondary device group 12a, 12b, 12a′, 12b′ is maintained at step 168.
If the main wireless transceiver device 14a, 14a′ is no longer in the operating room 100 as determined at decision step 162, then the secondary wireless transceiver device 14b, 14b′ will send another wireless linking information query at step 170 after a certain predetermined time period (e.g., 1 minute) or for a certain period of time. Since the main wireless transceiver device 14a, 14a′ is no longer in the operating room 100, the secondary wireless transceiver device 14b, 14b′ will instruct the gateway 16 in the secondary device group 12a, 12b or the slave device 18′ to set the network ID to “not current” and go into sleep mode at step 172. It is also contemplated that the secondary wireless transceiver device 14b, 14b′ could also instruct the gateway 16 in the secondary device group 12a, 12b or the slave device 18′ to go into sleep mode. Further, step 170 can be performed more than once (e.g., 3 times or every certain time interval (e.g., every 2-3 seconds) for a certain period of time (e.g., 1 minute)) before proceeding to step 172 if the secondary wireless transceiver device 14b, 14b′ continues to not receive the wireless linking information. Once the secondary wireless transceiver device 14b, 14b′ is in sleep mode, the secondary wireless transceiver device 14b, 14b′ will continue in sleep mode until the main wireless transceiver device 14a, 14a′ sends out a wakeup signal as outlined in step 54 of method 50 above. The secondary wireless transceiver device 14b, 14b′ can be manually woken (e.g., automatically sent when powered on) to send out the wireless linking information query as set forth in step 60 of method 50 above, thereby bypassing the need for the main wireless transceiver device 14a, 14a′ to send out the wake up signal. The secondary wireless transceiver device 14b, 14b′ could send out the wireless linking information query more than once at step 160 when the main wireless transceiver device 14a, 14a′ is still in the operating room 100 if the secondary wireless transceiver device 14b does not receive the control IP broadcast from the main wireless transceiver device 14a, 14a′ during the initial broadcast (or if the main wireless transceiver device 14a, 14a′ does not receive the first wireless linking information query (or first couple wireless linking information queries)).
After the main wireless transceiver device 14a sends out the refresh signal at step 156, the method 150 proceeds to decision step 174. At decision step 174, if the motion detector 28 of the main wireless transceiver device 14a, 14a′ has not yet sent a signal that the main wireless transceiver device 14a, 14a′ and the associated main device group 10 have stopped moving to the processor 30 of the main wireless transceiver device 14a, 14a′ (or continues to send a signal that the main wireless transceiver device 14a continues to move), then the method 150 continues in a loop until the motion detector 28 of the main wireless transceiver device 14a, 14a′ sends a signal that the main wireless transceiver device 14a, 14a′ and the main device group 10, 10′ have stopped moving to the processor 30 of the main wireless transceiver device 14a, 14a′ (or discontinues sending a signal that the main wireless transceiver device 14a, 14a′ is moving). Once a determination is made that the main wireless transceiver device 14a, 14a′ is no longer moving at decision step 174, the method 150 for responding to movement of the main device group 10 proceeds to the method 50 of automatically establishing the network using the system 8, 8′ for automatically networking devices. It is contemplated that step 52 of the method 50 of automatically establishing the network using the system 8, 8′ for automatically networking devices could be omitted at this step if the main wireless transceiver device 14a, 14a′ is already running. It is further contemplated that the main wireless transceiver device 14a, 14a′ could send out a “movement stop” message, which will cause the secondary wireless transceiver devices 14b, 14b′ to go to decision step 110 of the method of
As illustrated in
In the illustrated example, one of the slave devices 18 is the image and video capture and recording device 200 located in a control housing 221. The image and video capture and recording device 200 can output images and video on the touchscreen monitor 222, which can be integrated into the control housing 221. The image and video capture and recording device 200 can also output images and video to the additional monitor 235 via either a wired connection or wirelessly (e.g., to another slave device 18, 18′). The illustrated image and video capture and recording device 200 is therefore capable of displaying images and videos on the touchscreen monitor 222 and/or on the additional monitor 235 captured live by cameras and/or replayed from recorded images and videos. The image and video capture and recording device 200 can also control the images and videos being shown on the touchscreen monitor 222 (e.g., by controlling the source of the image on the touchscreen monitor 222 (e.g., from a camera, from a saved video file, etc.)).
The illustrated image and video capture and recording device 200 is also capable of recording images and videos. The image and video capture and recording device 200 can include an internal hard drive for storing captured images and videos and can also communicate with a picture archiving and communication system (PACS), as is well known to those skilled in the art, to save images and video in the PACS and for retrieving images and videos from the PACS. The image and video capture and recording device 200 can also display any saved images (e.g., from the internal hard drive or from the PACS) on the touchscreen monitor 222 and/or the additional monitor 235. It is contemplated that the image and video capture and recording device 200 could obtain or create images of a patient during a surgical procedure from a variety of sources (e.g., from video cameras, video cassette recorders, X-ray scanners (which convert X-ray films to digital files), digital X-ray acquisition apparatus, fluoroscopes, CT scanners, MRI scanners, ultrasound scanners, CCD devices, and other types of scanners (handheld or otherwise)). The image and video capture and recording device 200 having the touchscreen monitor 222 within the control housing 221 is well known to those skilled in the art. An example of an image and video capture and recording device 200 is the SDC3 HD Information Management System as sold by Stryker Corporation of Kalamazoo, Mich. An example of an additional monitor 235 is the WISE HDTV wireless display as sold by Stryker Corporation of Kalamazoo, Mich. The additional monitor 235 can be wired to the image and video capture and recording device 200 or can be wirelessly connected (e.g., by using the Wireless WISE HD transmitter as sold by Stryker Corporation of Kalamazoo, Mich.).
In the illustrated example, several of the slave devices 18 can be controlled by the image and video capture and recording device 200 for obtaining the images and videos and for outputting the captured and recorded images and videos. For example, the images and videos can be captured by the video camera 220, which includes well-known components for generating color video based on light received through the endoscope 238 of the type commonly used for laparoscopy or arthroscopy (e.g., endoscope). The image and video capture and recording device 200 can control the video camera 220 to turn on and turn off the video camera 220 or to capture images using the video camera 220. The control device 20 can communicate with the video camera 220 to adjust settings of the video camera 220 (e.g., resolution, zoom, etc.).
Yet another slave device 18 is the camera control unit 224 that is coupled to the video camera 220 by a flexible electronic transmission line 240. The transmission line 240 conveys video data from the video camera 220 to the camera control unit 224 and also conveys various control signals bi-directionally between the video camera 220 and the camera control unit 224. The camera control unit 224 can be connected (wired or wirelessly) to the image and video capture and recording device 200 to provide the images and videos to the image and video capture and recording device 200. Video cameras 220 and camera control units 224 used with endoscopes 238 are well known to those skilled in the art. An example of the video camera 220 and camera control unit 224 for use with an endoscope is the 1488 HD Camera as sold by Stryker Corporation of Kalamazoo, Mich.
Another slave device 18 is the scope light source unit 226 that transmits'high intensity light into the patient through the endoscope 238 via a fiber optic cable 244. Scope light source units 226 used with endoscopes 238 are well known to those skilled in the art. An example of the scope light source unit 226 for use with the endoscope 238 is the L9000 LED Light Source as sold by Stryker Corporation of Kalamazoo, Mich.
Another of the plurality of slave devices 18 can include the operating room lights 228 mounted to one of the ceilings, a room wall 246 or other stationary structure of the operating room 100. The control device 20 can be used to adjust the intensity of the operating room lights 228. Yet another slave device 18 can be the room camera 300 mounted to one of the ceiling, a room wall 246 or other stationary structure of the operating room 100.
Yet another one of the plurality of slave devices 18 is the printer 230. The printer 230 can be connected to the image and video capture and recording device 200 for outputting images from the image and video capture and recording device 200. The control device 20 can control the printer 230 in order to print selected images. An example of the printer 230 is the SDP1000 Medical Grade Digital Printer as sold by Stryker Corporation of Kalamazoo, Mich.
Another of the plurality of slave devices 18 is the fluid management pump 232. The fluid management pump 232 is employed during surgical procedures to introduce sterile solution into the surgical site and to remove fluid and debris generated by the procedure. In the illustrated example, the fluid management pump 232 can supply the motive force for pumping the sterile solution through an inflow tube (not shown) into the surgical site via a cannula. The fluid management pump 232 can also supply the motive force for suctioning solution and any waste material removed from the surgical site from an outflow tube 247 to a waste tube 237 connected to a waste container 201. In the illustrated example, the outflow tube 247 is connected to the shaver 236. An example of the fluid management pump 232 is disclosed in U.S. Patent Application Publication No. 2013/0267779 entitled CONTROL FOR SURGICAL FLUID MANAGEMENT PUMP SYSTEM, the entire contents of which are hereby incorporated herein by reference. An example of the shaver 236 is the FORMULA° Shaver Hand Piece as sold by Stryker Corporation of Kalamazoo, Mich. The control device 20 can control the fluid management pump 232 by altering various controls of the control unit for the fluid management pump 232. For example, the control device 20 can control the pressure of the fluid being pumped into the surgical site and/or the flow rate of fluid to or from the surgical site. The control device 20 can also control the speed of the shaver 236 or other settings.
Yet another one of the plurality of slave devices 18 is the RF and shaver control 234. The RF and shaver control 234 sends power to an ablation and coagulation device or electrosurgical tool (not shown) and/or the shaver 236. Ablation and coagulation devices are well known to those skilled in the art. An example of an ablation and coagulation device that can be connected to the RF and shaver control 234 is the SERFAS™ Energy Probe as sold by Stryker Corporation of Kalamazoo, Mich. The RF and shaver control 234 sends power to the shaver 236 through a cable 243. An example of the RF and shaver control 234 is the CROSSFIRE° arthroscopic resection system as sold by Stryker Corporation of Kalamazoo, Mich. The control device 20 can control the RF and shaver control 234 by altering the power sent to the ablation and coagulation device (not shown) and/or the shaver 236 or other controls.
Another of the plurality of slave devices 18 is the insufflator 241. The insufflator 241 is used to supply inert, nontoxic gases, such as carbon dioxide, into a body cavity, in order to expand the cavity, or to minimize visual obstruction during minimally invasive or laparoscopic surgery. An insufflator 241 is well known to those skilled in the art. An example of the insufflator 241 is the PNEUMOSURE® 45L Insufflator as sold by Stryker Corporation of Kalamazoo, Mich. The control device 20 can control the insufflator 241 by adjusting the pressure of the gas supplied into the body cavity.
The control device 20 can have a motherboard that includes one or more processors or other similar control devices as well as one or more memory devices. The processor controls the overall operation of the control device and can include hardwired circuitry, programmable circuitry that executes software, or a combination thereof. The processor may, for example, execute software stored in the memory device. The processor may include, for example, one or more general- or special-purpose programmable microprocessors and/or microcontrollers, application specific integrated circuits (ASICs), programmable logic devices (PLDs), programmable gate arrays (PGAs), or the like. The memory device may include any combination of one or more random access memories (RAMs), read-only memories (ROMs) (which may be programmable), flash memory, and/or other similar storage devices. The control device 20 can also have a network interface for connecting the control device 20 to the Internet or other type of wide area network (WAN), a local area network (LAN), a corporate intranet, any other type of network, or a combination of such networks.
The illustrated control device 20 can be a stand-alone device communicating with the slave devices 18 (wired or wirelessly) to control the slave devices 18 and to configure the slave devices 18 by adjusting the settings of the slave devices 18. Alternatively, the control device 20 can be incorporated into one of the slave devices 18 that communicates with the other slave devices 18 to control the other slave devices 18 and to configure the slave devices 18 by adjusting the settings of the slave devices 18. In the illustrated example, the control device 20 can be incorporated within the control housing 221 of the image and video capture and recording device 200 such that the touchscreen monitor 222 can be used to control the slave devices 18. It is further contemplated that the image and video capture and recording device 200 can control slave devices 18, 18′ via the touchscreen 222 and also can receive audible or voice commands to control the slave devices 18, 18′. The control device 20, 20′ can have input devices connected thereto (e.g., foot switch) to issue any commands to the slave devices 18, 18′ (e.g., triggering the foot switch can capture digital images from the video camera 220). An example of a control device 20, 20′ interacting with slave devices 18, 18′ for controlling the slave devices 18, 18′ is the SDC3 HD Information Management System (with device control and/or voice device control) as sold by Stryker Corporation of Kalamazoo, Mich. Further, such a control device is also disclosed in U.S. Patent Application Publication No. 2012/0274586 entitled METHOD AND APPARATUS FOR INTEGRATING MULTIPLE APPLICATIONS ON A SINGLE TOUCH PANEL, the entire contents of which are hereby incorporated herein by reference.
In the illustrated example, the room ID can be used to obtain information about the location of the devices in the operating room 100. For example, the slave devices 18, 18′, the control device 20, 20′, the wireless transceiver devices 14a, 14b, 14a′, 14b′, the room master wireless transceiver device 14c and/or the device groups 10, 10′, 12a, 12b, 12a′, 12b′ can send location information to a central computing system of the medical complex informing the central computing system of the presence of all devices within an operating room 100 associated with a particular room ID (automatically or after request from the central computing system of the medical complex). The location information can include a device ID unique to each device along with a room ID. Therefore, the location of the devices in the medical complex can be accurately tracked in real time.
The room ID obtained in the illustrated example can also be used to configure the operating room 100 and/or obtain information about the devices in the operating room 100. For example, the control device 20, 20′ can connect to a hospital scheduling system and electronic medical records to automatically configure the control device 20, 20′ and the slave devices 18, 18′ in the operating room 100 for the next surgery to be performed in the operating room 100 identified with the room ID. It is contemplated that only the slave devices 18, 18′ to be used in the next surgery will be configured. For example, the control device 20, 20′ and the slave devices 18, 18′ can be automatically configured for the particular surgery to be performed, the particular patient and/or for the particular medical staff that will be performing the medical operation in the operating room 100 identified with the room ID at a particular time. The configurations to be used can be obtained from a digital surgical preference card saved in the medical facility's IT system (e.g., EMR record system). Moreover, the digital surgical preference card can be updated after surgery from information obtained during surgery by having the control devices 20, 20′ send the updated information to the medical facility's IT system. Using the room ID, it is possible to transport the device groups 10, 12a, 12b into a particular operating room 100 and have the slave devices 18, 18′ be automatically configured once powered. It is also contemplated that the devices in the operating room 100 can be configured by obtaining preferences using the METHOD OF CONFIGURING DEVICES IN AN OPERATING THEATER as disclosed in U.S. Provisional Patent Application No. 62/100,286, the entire contents of which are hereby incorporated herein by reference. The METHOD OF CONFIGURING DEVICES IN AN OPERATING THEATER can be used employing the room ID or can be used without knowing the room ID using the methods disclosed in U.S. Provisional Patent Application No. 62/100,286.
In the illustrated example, the slave devices 18, 18′ can be further configured using the room ID. For example, the control device 20, 20′ can select appropriate monitor and camera settings (e.g., color setpoint) based on the particular surgery to be performed, the particular patient and/or for the particular medical staff and/or can use an algorithm that allows the system 8, 8′ to learn the appropriate settings based on the particular surgery to be performed, the particular patient and/or for the particular medical staff. Moreover, the monitors 222, 235 can be adjusted to suit the brightness, resolution, color balance and other image parameter preferences of a member of the medical staff using the particular room before the surgical procedure begins using information associated with the medical procedure schedule associated with the room ID. Likewise, video equipment can be configured with appropriate surgical specialty parameters, post-processing method, and light and gain level before the surgical procedure begins using information associated with the medical procedure schedule associated with the room ID. Moreover, when the slave devices 18, 18′ include surgical tools (e.g., the shaver 236), the slave devices 18, 18′ can be configured with energy, speed, mode and suction parameters to be used for the particular procedure scheduled in the operating room 100 at a particular time using information associated with the medical procedure schedule associated with the room ID. Furthermore, an audio system in the operating room 100 can play music of choice of the medical staff and at a selected volume using information associated with the medical procedure schedule associated with the room ID.
The illustrated slave devices 18, 18′ can further be configured without the need to know the room ID. For example, the system 8, 8′ can be used to configure the setting of the scope light source unit 226, insufflator 241, fluid management pump 232 or video camera 220 settings based on actions of connected slave devices 18, 18′ to obtain the best possible image in the presence of active instruments (e.g., a particular cutter or endoscope). Moreover, slave devices 18, 18′ on carts 99 can receive software updates automatically from control devices 20, 20′ connected to the existing hospital network. Real time monitoring and troubleshooting of the slave devices 18, 18′ on the carts 99 can be performed from outside a sterile field and potentially from a remote workstation.
The room ID obtained in the illustrated example can also be used to send information to be used by the devices in the operating room 100 or to record information from the devices in the operating room 100. For example, digital capture documentation (for example, for the image and video capture and recording device 200) can be automatically retrieved from the electronic medical records and fields therein can be automatically populated. For example, information about the patient, medical professional and procedure can be obtained using the room ID to automatically populate intra-surgical documentation as disclosed in U.S. Provisional Patent Application No. 62/061,398 entitled INTRA-SURGICAL DOCUMENTATION SYSTEM, the entire contents of which are hereby incorporated herein by reference. Furthermore, all captured data, imagery and video can be automatically recorded in the record (such as an electronic health record system) associated with a particular patient in the operating room 100 identified with the room ID at a particular time upon completion of the procedure. Moreover, it can be possible to query the patient medical record and notify the medical staff of any safety issues important to the medical procedure or the instruments used in the medical procedure.
In the illustrated example, the system 8, 8′ can be used to send log information (e.g., hours of usage, type of usage, operation information) for the slave devices 18, 18′ to a central computing system of the medical facility or the control device 20, 20′ for storage, use and/or analysis at a later time. The log information can be sent to the central computing system automatically or after the central computing system sends a query to the slave devices 18, 18′ through the network including the slave devices 18, 18′ (e.g., when the existing hospital network is connected to the control device 20, 20′). The log information sent to the central computing system or the control device 20, 20′ provides a possibility for automatically notifying and triggering a corrective response (e.g., from sales or engineering staff) when a minor issue first arises. The corrective response can resolve issues before the issues are noticed by the medical staff. The log information can also be used for automated pay-per-use billing of use of the slave devices 18, 18′.
In the illustrated example, the secondary wireless transceiver devices 14b, 14b′, the main wireless transceiver devices 14a, 14a′ and the room master wireless transceiver device 14c all communicate with each other in the same operating room 100. To facilitate this communication, it is contemplated that all of the broadcasts (e.g., the refresh signal, the room ID and the wireless linking information) from the main wireless transceiver devices 14a, 14a′ (e.g., the refresh signal, the room ID and the wireless linking information) or the room master wireless transceiver device 14c (e.g., the room ID) can be echoed by each secondary wireless transceiver device 14b, 14b′ that received such broadcast to ensure that every secondary wireless transceiver device 14b, 14b′ in the operating room 100 receives the broadcast. Furthermore, it is contemplated that all of the secondary wireless transceiver devices 14b, 14b′, the main wireless transceiver devices 14a, 14a′ and the room master wireless transceiver device 14c be installed in or positioned at a fixed vertical height range from the ground. Moreover, it is contemplated that the transmitting portion of the wireless transceiver 26 (e.g., LEDs) can point radially outward in a horizontal plane to create a toroidal far-field beam pattern and that the receiving portion of the wireless transceiver 26 (e.g., infrared receiver integrated circuit) can be located on a radial edge of the circuit board of the devices 14a, 14a′, 14b, 14b′ and 14c on the opposite side of the transmitting portion to maximize the view field and sensitivity of the receiving portion while minimizing saturation of the receiving portion from light emitted from the transmitting portion of the same device 14a, 14a′, 14b, 14b′ and 14c.
It is possible for the secondary wireless transceiver devices 14b, 14b′ in the illustrated example to lose the network connection. For example, the main wireless transceiver devices 14a, 14a′ could move outside of the operating room 100 as outlined above in regard to the method 150 of
The illustrated secondary wireless transceiver devices 14b, 14b′ can send wireless linking information queries or room ID queries at certain time periods or for limited times to preserve power and to minimize signal traffic. Therefore, the secondary wireless transceiver devices 14b, 14b′ can send the query messages no more frequently than a fixed time interval (e.g., 1 minute as outlined above) or a random time interval (1) from transmission of a signal by the particular secondary wireless transceiver device 14b, 14b′, (2) from reception of a signal from another wireless transceiver devices 14a, 14a′, 14b, 14b′ and 14c, (3) after being disconnected from the network, and/or (4) from stoppage of movement (e.g., in decision step 104 of method 101). Using a random time interval for each particular secondary wireless transceiver device 14b, 14b′ can minimize signal traffic (opposed to signal traffic if all secondary wireless transceiver devices 14b, 14b′ in a single room all sent queries at the same time after they all received a signal). Limiting the frequency of queries can also allow for the secondary wireless transceiver devices 14b, 14b′ to operate from a power source of limited current output (e.g., USB power). Furthermore, the secondary wireless transceiver device 14b, 14b′ can go into sleep mode if no response is received after a particular number of queries is sent without any response to the queries or after a particular time has passed without any response to the queries.
The illustrated secondary wireless transceiver device 14b, 14b′ can be provided on the cart 99, with the cart 99 including slave devices 18, 18′ used in a particular surgical operation. Likewise, it is contemplated that the main wireless transceiver device 14a, 14a′ can be in a group with slave devices 18, 18′ used in a particular surgical operation. To minimize signal traffic, it is contemplated that the main wireless transceiver device 14a, 14a′ and the secondary wireless transceiver device 14b, 14b′ having slave devices 18, 18′ for a first surgical procedure can communicate using a first type of signal (e.g., a first frequency or infrared) and the main wireless transceiver device 14a, 14a′ and the secondary wireless transceiver device 14b, 14b′ having slave devices 18, 18′ for a second surgical procedure can communicate using a second type of signal (e.g., a second frequency different than the first frequency or acoustic) such that the main wireless transceiver device 14a, 14a′ and the secondary wireless transceiver devices 14b, 14b′ having slave devices 18, 18′ for the first surgical procedure are not able to communicate with the main wireless transceiver device 14a, 14a′ and the secondary wireless transceiver devices 14b, 14b′ having slave devices 18, 18′ for the second surgical procedure.
It is contemplated that the system 8, 8′ can perform other functions. For example, multiple wireless transceiver devices 14a, 14a′, 14b, 14b′ and 14c can be used to triangulate a position of any particular wireless transceiver devices 14a, 14a′, 14b, 14b′ and 14c to find a specific location (even in a particular room) of the wireless transceiver devices 14a, 14a′, 14b, 14b′ and 14c and any associated control devices 20, 20′, gateways 16 and/or slave devices 18, 18′.
In the illustrated example, more than one main wireless transceiver device 14a, 14a′ can be located in a particular operating room 100. It is therefore contemplated that the main wireless transceiver device 14a, 14a′ can act as a secondary wireless transceiver device 14b, 14b′ (e.g., by sending a wireless linking information query) to determine if a network is already established in the operating room 100. If there is already an established network, the second main wireless transceiver device 14a, 14a′ will act as a secondary wireless transceiver device 14b, 14b′ until the network is lost. It is also contemplated that a user can manually resolve any conflicts between two or more main wireless transceiver devices 14a, 14a′ located in a particular operating room 100.
The illustrated system 8, 8′ allows the medical professional to control all instruments (slave devices 18, 18′) in the operating room 100 while seated and without moving (e.g., at a nurse's station) such that the medical professional does not have to leave their location or work area and navigate a crowd of instruments, carts, cables and other personnel. Moreover, more than one person can have access to control of a slave device 18, 18′ (e.g., by using an interface of the slave device 18, 18′ along with using the interface of the slave device 18, 18′ as viewed at one or more control devices 20, 20′). The system 8, 8′ replaces linking tokens and other manual connecting devices in an operating room 100 that were previously needed to connect slave devices 18 to a control device 20.
As a backup to the system 8, 8′, it is contemplated that a linking token can be inserted into gateways 16, devices with gateways (wireless transceiver devices, control devices or slave devices) or devices connected to the gateways 16 to provide the wireless linking information to all gateways 16 or devices with gateways. Alternatively, it is contemplated that a short-range wireless-enabled token (e.g., a token capable of communicating via infrared, acoustic or RFID signals) can be positioned by the wireless transceiver devices to provide the wireless linking information to all gateways 16 or devices with gateways.
In the embodiments outlined above, each of the slave devices 18 and the control devices 20 have an IP address on the network (or something similar) such that packets of information sent between the slave devices 18 and the control devices 20 over the gateways 16 reach their intended destination (or over any network that connects the slave devices 18 and the control devices 20 as established by the wireless transceiver devices 14a, 14b, 14a′, 14b′). However, it is contemplated that the slave devices 18 and the control devices 20 could be configured to send packets of information without network addresses attached to the packets. In such a situation, the system for automatically networking devices 8 must be configured to ensure that the packets reach the proper destination.
In the illustrated example, the first gateway 16a is programmed with the address information of the second gateway 16b and the second gateway 16b is programmed with the address information of the first gateway 16a. Therefore, packets of information sent from the control device 20 to the first gateway 16a will have the address of the second gateway 16b added thereto by the first gateway 16a such that when the first gateway 16a wirelessly communicates the packets of information from the control device 20, the second gateway 16b receives the packets of information. The second gateway 16b then removes the address information from the packets of information and sends the packets of information to the slave device 18. Likewise, packets of information sent from the slave device 18 to the second gateway 16b will have the address of the first gateway 16a added thereto by the second gateway 16b such that when the second gateway 16b wirelessly communicates the packets of information from the slave device 18, the first gateway 16a receives the packets of information. The first gateway 16a then removes the address information from the packets of information and sends the packets of information to the control device 20. Accordingly, the control device 20 and the slave device 18 are able to communicate without directly themselves including destination addresses to the packets of information transmitted therefrom.
In the illustrated first configuration 300 as outlined above, the control device 20 communicates with the first gateway 16a over the first wiring 302, the slave device 18 communicates with the second gateway 16b over the second wiring 304 and the first gateway 16a and the second gateway 16b communicate with each other wirelessly. As outlined above, the first gateway 16a and the second gateway 16b can form the wireless network or the wireless network used by the first gateway 16a and the second gateway 16b could occur over a pre-established hospital network. It is contemplated that the first gateway 16a and the second gateway 16b could include a single port or a plurality of ports for connection to the first wiring 302 and the second gateway 16b, respectively. If the first gateway 16a and the second gateway 16b include a single port, the single port could be limited to a particular type of port. For example, the single port could be a port for Ethernet, FireWire, USB or a serial port according to the RS-232 standard. The single port on the first gateway 16a and the second gateway 16b could be the same type as the port on the control device 20 and the slave device 18, respectfully. Alternatively, the single port on the first gateway 16a and the second gateway 16b could be different than the type of port on the control device 20 and the slave device 18, with the first wiring 302 and the second wiring 304 having different port connectors on either end thereof (e.g., FireWire on a first end and USB on a second end). It is further contemplated that the first gateway 16a and the second gateway 16b could include a plurality of ports such that the wiring 302, 304 could have the same port connecter on each end thereof and the proper port on the first gateway 16a and the second gateway 16b could be used depending on the port of the control device 20 and the slave device 18, respectively. All of the control device 20, the gateways 16a, 16b and the slave device 18 can be configured to be hot-swappable or cold-swappable.
In the illustrated example, the first gateway 16a is programmed with the address information of the second gateway 16b and the second gateway 16b is programmed with the address information of the first gateway 16a. Moreover, the first gateway 16a is programmed with port information of the second gateway 16b (in the illustrated example, information related to the ports wherein the second wiring 304a and the fourth wiring 304b connect to the second gateway 16b, either removably or fixedly) and the second gateway 16b is programmed with port information of the first gateway 16a (in the illustrated example, information related to the ports wherein the first wiring 302a and the third wiring 302b connect to the first gateway 16a, either removably or fixedly). Therefore, packets of information sent from the control device 20 to the first gateway 16a over the first wiring 302a will have the address of the second gateway 16b added thereto along with port information related to the port of the second wiring 304a by the first gateway 16a such that when the first gateway 16a wirelessly communicates the packets of information from the control device 20 delivered by the first wiring 302a, the second gateway 16b receives the packets of information for sending on the second wiring 304a. The second gateway 16b then removes the address information along with the port information from the packets of information originally sent through the first wiring 302a and sends the packets of information to the first slave device 18a over the second wiring 304a. Likewise, packets of information sent from the control device 20 to the first gateway 16a over the third wiring 302b will have the address of the second gateway 16b added thereto along with port information related to the port of the fourth wiring 304b by the first gateway 16a such that when the first gateway 16a wirelessly communicates the packets of information from the control device 20 delivered by the third wiring 302b, the second gateway 16b receives the packets of information for sending on to the fourth wiring 304b. The second gateway 16b then removes the address information along with the port information from the packets of information originally sent through the third wiring 302b and sends the packets of information to the second slave device 18b over the fourth wiring 304b.
In a similar manner, packets of information sent from the first slave device 18a to the second gateway 16b over the second wiring 304a will have the address of the first gateway 16a added thereto along with information related to the port of the first wiring 302a by the second gateway 16b such that when the second gateway 16b wirelessly communicates the packets of information from the first slave device 18a delivered by the second wiring 304a, the first gateway 16a receives the packets of information for sending on the first wiring 302a. The first gateway 16a then removes the address information along with the port information from the packets of information originally sent through the second wiring 304a and sends the packets of information to the control device 20 over the first wiring 302a. Likewise, packets of information sent from the second slave device 18b to the second gateway 16b over the fourth wiring 304b will have the address of the first gateway 16a added thereto along with information related to the port of the third wiring 302b by the second gateway 16b such that when the second gateway 16b wirelessly communicates the packets of information from the second slave device 18b delivered by the fourth wiring 304b, the first gateway 16a receives the packets of information for sending on the third wiring 302b. The first gateway 16a then removes the address information along with the port information from the packets of information originally sent through the fourth wiring 304b and sends the packets of information to the control device 20 over the third wiring 302b. It is contemplated that any number of slave devices 18 could be connected to the second gateway 16b and that port information is transmitted between the first gateway 16a and the second gateway 16b as outlined above for each slave device 18 connected to the second gateway 16b to ensure that the packets of information reach their intended destination.
In the illustrated example, the first gateway 16a and the second gateway 16b can form the wireless network or the wireless network used by the first gateway 16a and the second gateway 16b could occur over a pre-established hospital network. Furthermore, the first gateway 16a and the second gateway 16b could include any type of ports connected to the first wiring 302a, the second wiring 304a, the third wiring 302b and the fourth wiring 304b (either matching the ports on the control device 20 or the slave devices 18a, 18b or being different as outlined above in the first configuration 300). All of the control device 20, the gateways 16a, 16b and the slave devices 18a, 18b can be configured to be hot-swappable or cold-swappable.
In the illustrated third configuration 336, the control device 20 and the slave devices 18a, 18b, etc. can communicate in any manner and initiation of communications can happen in any manner to ensure that the control device 20 is properly issuing command signals to the proper slave device 18a, 18b, etc. For example, the second gateway 16b can periodically send device discovery messages on the ports thereof. When the slave devices 18a, 18b, etc. are connected to the second gateway 16b, the second gateway 16b discovers the connection because the slave devices 18a, 18b etc. respond to the device discovery message. The second gateway 16b can then send a signal to the first gateway 16a reporting of the connection of the slave device 18a, 18b, etc. along with information related to the port of the second gateway 16b to which the newly connected slave device 18a, 18b, etc. is connected. Therefore, the control device 20 can add the port information to the control signals sent therefrom to ensure that the control device 20 is properly issuing command signals to the proper slave device 18a, 18b, etc. It is also contemplated that the first gateway 16a and/or the second gateway 16b can add the port information to ensure that the control device 20 is properly issuing command signals to the proper slave device 18a, 18b, etc. without sending the port information to the control device 20.
In all of the embodiments of
The systems and embodiments of
In communications between the control device 20 and the slave devices 18, the slave devices 18 must be able to understand and implement the packets of information sent to the slave devices 18 from the control device 20. Likewise, the control device 20 must be able to understand packets of information sent thereto from the slave devices 18. Therefore, the control device 20 must send packets of information to the slave devices 18 using a serial port operating mode or protocol (e.g., at a specific baud) that the slave devices 18 can understand. An aspect of the present invention is to provide a system to ensure that the control device 20 issues commands to the slave devices 18 using a serial port operating mode or protocol that the slave devices 18 can understand.
In the illustrated example, the second gateway 16b connected to the slave devices 18 determines the communication protocol of the slave devices 18 to ensure that the slave devices 18 can implement the control commands in the packets of information sent thereto from the control device 20.
In the illustrated example, if the second gateway 16b does riot receive a response to the device discovery message at step 504 within a certain time period at decision step 506, the method 500 proceeds to decision step 508. At decision step 508, the method 500 determines if the device discovery message using the communication protocol as established in the step leading to step 504 (initially the first communication protocol as established at step 502) has happened more than a certain number of times. If the device discovery message using the communication protocol as established in the step leading to step 504 (initially the first communication protocol as established at step 502) has happened less than a certain number of times as determined at step 508, the method 500 proceeds back to step 504 to resend the device discovery message using the communication protocol as established in the step leading to step 504 (initially the first communication protocol as established at step 502).
If the device discovery message using the communication protocol as established in the step leading to step 504 (initially the first communication protocol as established at step 502) has happened the certain number of times as determined at step 508, the method 500 proceeds to step 510 wherein the device discovery message is set to another communication protocol (e.g., at 19200 bps). After step 510, the method 500 proceeds back to step 504 wherein the device discovery message is sent using the communication protocol as established in step 510 (i.e., using another communication protocol). The method 500 then proceeds to step 506 and step 508, if appropriate. If the device discovery message using the communication protocol as established in the step leading to step 504 (another communication protocol as established at step 510) has happened the certain number of times as determined at step 508, the method 500 proceeds back to step 510 wherein the device discovery message is set to yet another communication protocol (e.g., back to 9600 bps or another communication protocol). Once initiated, the method 500 continues in a loop of steps 504, 506, 508 and 510 until the second gateway 16b receives a response to the device discovery message sent at step 504 within the certain time period at decision step 506, at which point the method 500 proceeds to decision step 512.
In the illustrated example, the method 500 determines if the response to the device discovery message is a valid response at decision step 512. If the response to the device discovery message is a not a valid response as determined at step 512, the method 500 proceeds to step 510 as outlined above wherein the communication protocol of the device discovery message is altered. However, if the response to the device discovery message is a valid response as determined at step 512, the method 500 proceeds to step 514 wherein the communication protocol of the valid response as sent at step 504 (and established at step 502 or 510) is communicated to the control device 20. The control device 20 is then set to communicate at the communication protocol of the valid response as sent at step 504 at step 516. Moreover, the control device 20 is set to receive communications using the communication protocol of the valid response as sent at step 504 at step 518.
The illustrated method 500 of establishing a communication protocol between the slave device 18 and the control device 20 includes sending the device discovery message with the second gateway 16b at step 504. Since the method 500 does not send a wireless communication until step 514, the method 500 can minimize wireless communications. However, it is contemplated that the device discovery message sent at step 504 could be sent from the first gateway 16a wirelessly to the second gateway 16b at step 504 (with a response to the device discovery message being wirelessly sent back to the first gateway 16a) or from the control device 20 to the second gateway 16b via the first gateway 16a. It is further contemplated that the method 500 can omit step 508 and have step 506 directly proceed to step 510 if a replay to the device discovery message it not received in the certain time period.
Some control devices 20 (and communication protocols used by the control devices 20) are configured to continuously send status update requests to the slave devices 18 connected thereto (e.g., every 250 ms). The response to the status update requests can be a notification that the status of the slave device 18 has not changed. If no status update is received, the control device 20 then knows that the slave device 18 has been disconnected (or powered down). However, continuously sending status update requests can substantially increase wireless traffic using the first gateway 16a and the second gateway 16b as outlined above. Therefore, the first gateway 16a can be configured to ignore or not forward status update requests received from the control device 20. Furthermore, the second gateway 16b can be configured to send the status update requests to the slave devices 18 connected thereto according to the method 600 of requesting updates of
In the illustrated example, the method 600 of requesting updates of
Although particular preferred embodiments of the invention have been disclosed in detail for illustrative purposes, it will be recognized that variations or modifications of the disclosed apparatus, including the rearrangement of parts, lie within the scope of the present invention. For example, the control device 20 and the slave devices 18 of
This claims the benefit of U.S. Provisional Application Ser. No. 62/160 935, filed May 13, 2015.
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