The present invention relates to systems and methods for identifying and visualizing contents of an enclosed package and for providing visual assistance for management of instruments.
Having efficient access to the correct instrumentation is a point of concern during surgery. Smaller instruments may be packaged together in large groups and wrapped in opaque sterile covering, making it difficult to know which package contains the exact instrument needed. Additionally, instruments may look similar to one another with precise distinctions that are difficult to discern. Currently, surgeons and surgical nurses are required to read complicated lists of a package's contents or attempt to discern distinguishing details from diagrams on the package. Often, they will tear open a number of the wrong packages until finding what is needed. By opening and desterilizing the incorrect package, time and materials are wasted. Further, some single use items that can cost thousands of dollars are often not re-useable once opened. Additionally, the surgical staff must account for the exact instruments used during the course of a surgery prior to a surgery's conclusion, which is time consuming. Accordingly, a need exists for systems and methods to improve both the identification process and visibility of the contents of sterilized surgical packages as well as maintain inventory of those instruments used during the course of a surgery as described and claimed herein.
Embodiments of the invention relate to systems and methods for identifying and visualizing the contents of sterilized surgical packages, as well as maintaining inventory of instruments used during a surgery. Embodiments of the invention may also be incorporated in other settings such as an assembly line, a factory or manufacturing setting, or a store. The systems and methods may be used in any setting that requires the identification and tracking of a variety of instruments.
One embodiment of the invention provides a system for identifying instruments. The system includes a camera, a projector, a processor, a display surface, and a plurality of markers. The camera identifies the markers on the packaging of an instrument or group of instruments. The camera is connected to the processor, and the processor is connected to the projector. Once the camera identifies a marker, the processor receives information about the instrument and sends the projector information about the instrument, such as an enlarged view of the instrument or a video illustrating how the instrument may be used. The projector displays the visual information on to the surface.
In some embodiments, the invention provides a system including a camera, projector, and processor. The system uses computer vision, image projection, and a labeling system from tracking surgical equipment. For example, the system can use an overhead projector and an HD camera mounted over a table or other surface, to provide tracking and feedback. Both the projector and camera can communicate with a computer. The computer can include computer vision software configured to track fiducial markers.
In some embodiments, the system provides a projection system. The projection system includes a projector that is mounted by means of an attachment mechanism. The projection includes a user interface which may be used to select a desired image to be projected. After the image has been selected, the projector produces a beam of light that creates a pre-determined image on a surface.
The system projects images of the needed instruments onto surgical trays, recognizes and verifies correct instrument selection, and ensures correct placement and setup. Surgeries can be written as recipes to be stored in an online database, with data protections and version control systems in place, but accessible by a supply chain team as well as the surgical team. When a surgical recipe is scheduled in advance, the hospital can insure that the required instruments will be available in inventory on the date of the procedure. On the procedure day, the system can instruct the operator on where the needed items are located within the theater, how they should be prepared, where on the tray they should be placed, in what orientation and what to layout next. The aim is to remove the potential for human error in setup between the surgeon developing a surgical plan and the execution of that plan in theater, repeatedly, with confidence.
By developing a coordinated system of storage hardware, software and object recognition units, human error can be removed from the process of surgical preparation by guiding the user to locate, place, setup, track and inventory instruments within the surgical theater. By developing a coordinated system of storage hardware, software and object recognition units, surgeons can prepare, track, refine and share their procedures. By developing a coordinated system of storage hardware, software and object recognition units, hospitals can more accurately track and eliminate systemic waste and inefficiency in inventory management by having better data access to surgical requirements and real-time inventory levels throughout the premises or network.
Other aspects of the invention will become apparent by consideration of the detailed description and accompanying drawings.
Before any embodiments of the invention are explained in detail, it is to be understood that the invention is not limited in its application to the details of construction and the arrangement of components set forth in the following description or illustrated in the following drawings. The invention is capable of other embodiments and of being practiced or of being carried out in various ways.
Also, it is to be understood that the phraseology and terminology used herein is for the purpose of description and should not be regarded as limited. The use of “including,” “comprising” or “having” and variations thereof herein is meant to encompass the items listed thereafter and equivalents thereof as well as additional items. The terms “mounted,” “connected” and “coupled” are used broadly and encompass both direct and indirect mounting, connecting and coupling. Further, “connected” and “coupled” are not restricted to physical or mechanical connections or couplings, and can include electrical connections or couplings, whether direct or indirect. Also, electronic communications and notifications may be performed using any known means including direct connections, wireless connections, etc.
It should be noted that a plurality of hardware and software based devices, as well as a plurality of different structural components may be utilized to implement the invention. Furthermore, and as described in subsequent paragraphs, the specific configurations illustrated in the drawings are intended to exemplify embodiments of the invention and that other alternative configurations are possible.
The camera 14 identifies fiducial markers 20 on the packaging of an instrument. Fiducial markers are unique visual symbols representing numeric data. As the camera images and processes the fiducial markers, the markers and their locations are tracked by the computer vision software. The markers may be printed on paper labels and affixed to the surgical equipment packaging. When an instrument package having a fiducial marker is placed on the table, the camera detects the fiducial marker and, based on the information provided by the fiducial marker, identifies instruments in the package. The projector is configured to generate an image of the package's contents and project the image onto the table (e.g., beside the actual package). Accordingly, the act of placing a package on the table such that the camera can read the fiducial marker triggers immediate visual feedback, which eliminates the need to open the package or to read a list of the package's contents. For displayed instruments having small or difficult to decipher features, a photographic detail of the feature(s) can be projected with the overall image of the instrument, either as a static photograph or video.
When an instrument package having the fiducial marker 20 is placed on the display surface 18, the camera 14 sends an image of the fiducial marker 20 to the processor 16 where it is identified. The processor 16 also determines information related to the location of the fiducial marker 20 on the display surface. Once the fiducial marker 20 is identified, the processor 16 sends information to the projector 12 based on the data encoded in the fiducial marker 20 and the location information of the package having the marker 20. Such information can include image or video information (e.g., an enlarged photograph of the instrument, a video demonstrating use of the instrument, etc.) that the projector 12 then projects onto the display surface 18. It should be noted that the display surface 18 may be a table, a wall, or any other surface where an image may be viewed. However, in some constructions, the display image may instead be transmitted directly to a viewing screen (e.g., a computer monitor, television screen, etc.), which may or may not require the use of the projector 12.
The display surface 18 includes a main area and multiple hotspots. When a marker 20 is identified by the camera 14 in the main area, an image of the instruments contained within the package related to the marker 20 is displayed. In some systems, hotspots are predefined areas within the main area of the display surface 18 that the marker 20 can be placed within, as described in further detail below. Placing the marker 20 within a hotspot can trigger different outputs from the processor 16. A hotspot can be dedicated to revealing further information about an instrument package beyond displaying an image of its contents. Hotspots can also perform particular actions based on the marker 20. For example, placing the marker 20 within a video hotspot can display a video demonstrating use of a particular instrument in the package. Further, an inventory hotspot can be dedicated to inventory and tracking purposes.
For example, a package about to be opened for use can be checked into the inventory database 22 by placing the marker 20 for that package in the inventory hotspot. Checking the package into the inventory database 22 can include adding data related to the contents of the package into the inventory database 22. For example, the data can be used by the processor 16 to maintain a record of active instruments for that particular surgery, as well as a record of opened packages that must be accounted for before the surgery's conclusion. The record of active instruments can include location information for various instruments throughout the surgery. This location information can include, for example, the location of related tools within the operating room by drawer or shelf number. Furthermore, as described in further detail below, the projector can display an image of a tool that has been opened during the current procedure on the surface such that the user can place the tool at the recommended location when it is not in use. Alternatively or additionally, the record of active instruments can be communicated with other existing computer or database systems. The inventory database 22, as well as the record of active instruments, can also be integrated into existing hospital systems, such as to maintain supply inventories and for cost and billing purposes. It should be noted that actions triggered by any of the video, inventory, or other hotspots can be performed either as an alternative to or in addition to displaying the images of a package's contents, as will be described below in further detail.
Although, in the system of
Based on the received location information, the processor 16 determines whether the marker 20 is located within a hotspot region (step 66). For example, the processor 16 may be able to access a map of the display surface 18 (e.g., from a memory module in communication with the processor 16), which can be subdivided into various regions including the main area and multiple hotspots. If the received location information suggests that the marker's 20 location falls within the main area but not a hotspot region, the processor 16 prompts the projector 12 to display image data of the package contents on the display surface 18, based on the received marker data (step 70). However, if the received location information suggests that the marker 20 is located within a hotspot region, the processor 16 determines the hotspot type (e.g., video hotspot, inventory hotspot, etc.) (step 72). For example, the processor 16 can determine the hotspot type based on whether the specific locational identifier of the marker 20 falls within a group of locational identifier values encompassed by a particular hotspot region. When the processor 16 determines the hotspot type, the processor 16 performs the predefined action associated with the hotspot type for the package contents (step 74). For example, if the processor 16 determines that the marker 20 is within the inventory hotspot, the processor 16 executes control logic for storing information related to the package contents in the inventory database 22.
As described above, the display surface 18 can include a main area 24, as well as various hotspots within the main area 24 including a video hotspot 28 and an inventory hotspot 32. If the marker 20 is placed in the main area 24, the processor 16 signals the projector 12 to display an image 26 of the package contents associated with the marker 20. For example,
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The examples presented above provide only a few types of hotspots that can be implemented by the system. Other additional hotspots can be implemented in other constructions of the system 10. Furthermore, in some constructions, multiple hotspots or the functions of multiple hotspots can be combined. For example, one hotspot can cause the projector 12 to display both an exploded view of an instrument, as well as a video demonstrating the use of that instrument. Another construction may include a hotspot that causes the processor to enter an instrument into the inventory database 22, as well as cause the projector 12 to display an image of the instrument.
Although the examples presented above focus on the context of a surgical operating room, the systems described herein can be implemented in other situations as well. For example, the system 10 can be implemented for use in assembly lines, factory or manufacturing settings, and stores. Accordingly, the system 10 can be implemented in any setting that requires the identification and tracking of a variety of instruments. For instance, on a moving assembly line, inventoried packaged parts are delivered to individual assembly stations along the line, such as a moving automobile assembly line. In such a setting, the packaged parts can include the fiducial marker 20. Further, viewing stations comprised of the camera 14 and the projector 12 can be set up at each assembly station along the assembly line. At the viewing stations, workers can place a packaged part on the display surface 18 to view the package contents, as well as other information such as assembly instructions, for example.
An example of additional information that can be displayed with the viewing contents can be a specific amount of force (e.g., a maximum force, etc.) that can be applied to the package contents during assembly. Also, any Occupational Safety and Health Administration (OSHA) guidelines for working with specific instruments contained in the package can be displayed to reinforce workplace safety. This can be done, for example, by designating a hotspot as a safety hotspot by which a worker can view the OSHA guidelines by placing the marker 20 inside the safety hotspot. As mentioned above, any and all hotspots may be tailored to the particular needs of the environment where the system 10 may be used. Accordingly, in some embodiments, the hotspots can be configured to perform customized actions.
In an exemplary food manufacturing setting, packaged ingredients may be placed on the display surface 18 to view a list of composite ingredients and requirements for that particular viewing station. Also, any safety measures may be displayed in a safety hotspot, as described above for the assembly line setting.
In high precision manufacturing, security industries, and related industries, the marker 20 can be used to track which workers had access to the package. For example, in one construction, every time the marker 20 is logged or checked-into a hotspot (similar in functionality to the inventory hotspot described above), its status can be amended in the database 22 as having been logged at a particular station by a certain person at a specified time.
The marker 20 can also be used to for access control applications. For example, access to certain packages bearing the marker 20 can be limited by security measures (e.g., physical measures, password protected measures, etc.) so that the marker 20 can be encoded with information about who is allowed access to the package. Such encoded or tagged information can include an employee ID, an image, a retinal scan a fingerprint scan, etc.
The system 10 can also be used in a retail environment. In particular, a customer can select a package bearing the mark 20 (e.g., a box of toys) and place the package under the camera 14. The package contents and/or additional information can then be displayed for the customer, either via a display screen, a projected image, etc. The system 10 can also be incorporated into currently existing technology, such as retail store price scanners. In some cases, the system 10 would then be able to access databases or other storage locations associated with the existing technology. Accordingly, the system 10 can have a broader access to perform diverse functionality.
It should be noted that the method 42 can be performed with additional steps or alternative orders, or, further, with different hotspots. For example, a user can use the video hotspot to view a demonstration of an operation, as opposed to simply viewing an image of the instrument itself. Just as the system 10 can be used in different settings, the method 42 can be used in other settings, as well, such as the alternative settings described above. The method 42 and system 10 can be varied depending on the need of the particular environment.
The projection system 810 also includes the inventory database 22 and a power source (not shown). As previously described, the inventory database 22 stores data needed to produce lists of instruments for surgeries and images of the instruments themselves. The projection system 810 also includes a camera, such that additional instruments can be entered into the system by placing the instrument on the display surface 18 and capturing an image of the instrument to be stored to the inventory database 22. As noted above, the inventory database 22 can be stored locally on a non-transient, computer readable memory within the projection system 810. However, in other constructions, the inventory database 22 is stored on a non-transient, computer-readable memory located at a remote server that is accessible through a network connected (e.g, an Internet connection).
Once a procedure has been selected through the user interface 822, the projection system 810 projects the image 820 of instruments necessary for a procedure onto the display surface 18. The camera integrated into the projector 12 of the projection system 810 allows the projection system to recognize and verify correct instrument selection, placement, and setup as the physical instruments are placed on the surface 18. For example, surgical procedures can be written as a series of steps (e.g., “recipes”) stored in the inventory database 22 or other data sources, and can be accessible by a supply chain team as well as the surgical team. When a surgical procedure is scheduled in advance, the hospital can insure that the required instruments will be available in inventory on the date of the procedure. This also ensures that all of the procedures are consistent and organized.
On the day of the procedure, the projection system 810 displays an image on the surface 18 instructing the operator on where the needed items are located within the operating room, how they should be prepared, where on the display surface 18 they should be placed, in what orientation, and what to layout next. Accordingly, the projected image 820 can depict the exact layout of the instruments needed, in order in when they will be needed during a procedure. During a procedure, the projection system 810 uses recognition software to track instruments, so that the system 810 will know which instrument will be used next in the procedure. Furthermore, the recognition software allows the system 810 to determine which instrument(s) from the list of required instruments is missing from the surface 18 (e.g., which instruments are currently in use or have not be returned to the surface 18 after use). The mechanism reduces the potential for human error in setup between the surgeon developing a surgical plan and the execution of that plan in operating room theater, repeatedly, with confidence.
The projection system 810 also includes the capability to add additional instruments that may be needed during surgery. For example, if an extra instrument that was not included in the original recipe is brought in to the surgery, the projection system 810 may photograph and add the new instrument to the inventory database 22 to be added to the projected image 820 and the surgical recipe. In some constructions, an instrument to be added during the surgery or other procedure can be placed in the inventory hotspot such that the instrument can be added to the inventory database 22. Therefore, the projection system 810 may capture and update data dynamically in the inventory database 22 or a non-transitory computer-readable memory of the system 810.
The projection system 810 projects an image of the arrangement of tools needed for the selected procedure onto the surface 18, and can present the arrangement of tools in the order of use for each tool (step 905). As described above, the image will mimic the actual structure of the tool, so it may help the user place the tools in the corresponding spaces quickly and easily. The projection system 810 also alerts the user when all of the tools for the procedure are properly arranged (step 907). For example, the projection system 810 may make a certain noise, the color of the light beam 816 may change, or a word or symbol may be displayed when all of the tools are arranged in their corresponding locations.
As described above, the projection system 810 is configured to monitor the physical placement of tools on the surface 18. Using this information, the projection system 810 also alerts a user during the procedure when a tool is missing from the surface (step 909). For example, when a tool is removed from the surface, the image of that tool is highlighted in a different color, thus indicating that no tool is present in that corresponding spot. The projection system 810 also indicates which instrument is going to be needed for the next step in the procedure (step 911). For example, the projection system 810 may highlight the next instrument by highlighting the instrument depicted in the projected image. However, in other constructions, the projection system 810 may indicate which instrument to use next by displaying the name or picture of the tool on the user interface 822.
After a procedure is completed, the projection system 810 alerts a user when all of the tools have been returned to the surface (step 913). This final step will ensure that no tools are missing at the end of the procedure. In some constructions, the method may be altered or changed in a way to better suit the user or to carry out the procedure efficiently and effectively.
Thus, embodiments of the invention provide, among other things, systems and methods for identifying and visualizing contents of an enclosed package. Various features of the invention are set forth in the following claims.
This application claims the benefit of U.S. Provisional Patent Application No. 61/808,475, filed on Apr. 4, 2013, entitled “Systems and Methods for Identifying Instruments,” and U.S. Provisional Patent Application No. 61/898,583, filed on Nov. 1, 2013, entitled “Projection System,” the entire contents of both of which are incorporated herein by reference.
Filing Document | Filing Date | Country | Kind |
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PCT/US14/32949 | 4/4/2014 | WO | 00 |
Number | Date | Country | |
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61808475 | Apr 2013 | US | |
61898583 | Nov 2013 | US |