Patent Application
20080194950
[Not Applicable]
[Not Applicable]
[Not Applicable]
The present invention generally relates to ultrasound system control. In particular, the present invention relates to a remote control for remote operation of an ultrasound system.
A combination of yearly double digit increases in imaging demand and a continuing shortage of technologists and radiologists is resulting in increasing patient imaging exam order error rates. Some estimates place the number of errors as high as 30-40%. Limited Diagnostic Imaging (DI) scanner technologist access to Radiology Information Systems (RIS) and other healthcare information systems allows patient order errors to be propagated throughout a fully or partially digitized healthcare system. Diagnostic Imaging service providers are increasingly compelled to devote one or more FTE's (full time employees) exclusively to quality control to chase down errors and make manual corrections throughout the Diagnostic Imaging service chain.
Additionally, healthcare environments, such as hospitals or clinics, include information systems, such as hospital information systems (HIS), radiology information systems (RIS), clinical information systems (CIS), and cardiovascular information systems (CVIS), and storage systems, such as picture archiving and communication systems (PACS), library information systems (LIS), and electronic medical records (EMR). Information stored may include patient medical histories, imaging data, test results, diagnosis information, management information, and/or scheduling information, for example. The information may be centrally stored or divided at a plurality of locations. Healthcare practitioners may desire to access patient information or other information at various points in a healthcare workflow. For example, during an imaging scan of a patient, medical personnel may access patient information, such as the patient exam order, that are stored in a medical information system. Alternatively, medical personnel may enter new information, such as history, diagnostic, or treatment information, into a medical information system during an imaging scan.
Currently, ultrasound systems can receive waveform data from signal acquisition devices but not in the context of an integrated EP/Hemo and ultrasound environment. Additionally, waveform data has typically been acquired and later provided to an ultrasound system. Furthermore, current systems do not allow real-time or substantially real-time use of physiological waveform data with ultrasound imaging data in an EP/Hemo or ultrasound system.
Currently, multiple personnel may be required to operate an ultrasound system and another system, such as an EP and/or Hemo system, RIS, etc. Users must be at the controls of the system(s) being used in order to operate those systems. There is a need for systems and methods for remote operation of ultrasound and other systems. There is a need for systems and methods allowing a single operator to perform multiple tasks during a procedure. There is a need for systems and methods allowing an operator operate an ultrasound device outside a patient vicinity.
Certain embodiments of the present invention provide methods and systems for operation of an ultrasound system using a remote control.
Certain embodiments provide an ultrasound system operable by remote control. The ultrasound system includes an ultrasound scanner configured to obtain image data in at least one ultrasound imaging mode. The system also includes a remote control configured to remotely issue commands for operation of the ultrasound scanner. The remote control is separate from and in communication with the ultrasound scanner. The remote control includes a plurality of controls corresponding to controls of the ultrasound scanner. The remote control also includes a transmitter configured to send one or more commands to the ultrasound scanner. Additionally, the remote control includes a processor configured to receive input from the plurality of controls and translate the input to one or more ultrasound scanner commands for transmission to the ultrasound scanner via the transmitter.
Certain embodiments provide a remote control unit configured to remotely issue commands for operation of an ultrasound system. The remote control unit is separate from and in communication with the ultrasound system. The remote control unit includes a plurality of controls corresponding to controls of the ultrasound system. The remote control unit also includes a transmitter configured to send one or more commands to the ultrasound system. The remote control unit further includes a processor configured to receive input from the plurality of controls and translate the input to one or more ultrasound system commands for transmission to the ultrasound system via the transmitter.
Certain embodiments provide a method for remote control of an ultrasound system. The method includes accepting input from at least one of a plurality of controls at an ultrasound system remote control. The method also includes translating the input to one or more ultrasound system commands for transmission to the ultrasound system. The method further includes transmitting the one or more commands from the remote control to an ultrasound system for execution of the one or more commands at the ultrasound system.
The foregoing summary, as well as the following detailed description of certain embodiments of the present invention, will be better understood when read in conjunction with the appended drawings. For the purpose of illustrating the invention, certain embodiments are shown in the drawings. It should be understood, however, that the present invention is not limited to the arrangements and instrumentality shown in the attached drawings.
In certain embodiments, a plurality of healthcare systems and/or functionality may be combined and/or linked in a variety of combinations. For example, a diagnostic imaging system, a physiological monitoring system and/or information system may be combined and/or operably linked for coordinated operation.
Hemodynamic (hemo) monitoring can aid in detection, identification, and treatment of life-threatening conditions such as heart failure and cardiac tampanade. Using invasive hemodynamic monitoring, for example, a practitioner can help evaluate a patient's response to treatment, such as drugs and mechanical support. A practitioner can evaluate the effectiveness of cardiovascular function such as cardiac output and cardiac index.
Electrophysiological (EP) data includes an analysis of the electrical conduction system of a patient's heart, which generates a heart beat. Catheters may be insert in a vein are then passed into the heart under fluoroscopic guidance, for example. The catheters measure the electrical signals generated by the heart to obtain a more detailed analysis of the electrical signals than a simple electrocardiogram (ECG).
Invasive and/or noninvasive techniques can be used to determine hemodynamic and/or electrophysiological data for a patient. For example, a patient's blood pressure may be measured using a cuff, and/or pressure with a heart may be measured invasively using a catheter. Blood and/or heart pressure measurement may include a systolic pressure and a diastolic pressure. Using the two measurements, a mean pressure can be calculated. Parameters such as chest cardiac output (CO), cardiac index (CI), pulmonary artery wage pressures (PAWP), and cardiac index (CI) may be measuring using a catheter.
The EP/Hemo system 120 obtains EP and/or hemo data for a patient. In order to share information, the EP/Hemo system 120 may provide one or more interfaces to hospital information systems, database systems and/or other Hemo/EP lab equipment, for example. The information can be collected before, during and/or after a catheterization procedure and may be shared with laboratory and hospital repository systems (e.g., orders and results) for a patient record. Interface(s) may be based on industry-standard protocols (e.g., HL7, SQL, ASCII, DICOM, proprietary protocols, etc.) and/or specific interface(s) for systems that do not support standard protocols, for example. The interface(s) allow exchange and sharing of data (e.g., demographics, history, log, results etc.) between different systems and vendors, for example.
The EP/Hemo system 120 can combine hemodynamic and electrophysiological monitoring into a single system configuration to allow dual use of a catheterization or other lab. EP and hemo data can be stored in a single database to help streamline documentation and access to patient information. The EP/Hemo system 120 provides laboratory performance and resources for patient care. In certain embodiments, the EP/Hemo system 120 may be used in one or more locations, as well as in transit, for example. In certain embodiments, the EP/Hemo system 120 may be accessed remotely. In certain embodiments, the EP/Hemo system 120 may be controlled remotely.
In certain embodiments, the EP/Hemo system 120 includes a graphical user interface to facilitate user-defined procedural lists, macros and configurable electronic documentation. The EP/Hemo system 120 may include a multi-parameter module, such as a GE TRAM® module, that acquires and processes patient physiological parameters, such as ECG, invasive blood pressure, non-invasive blood pressure, pulse oximetry, cardiac output, temperature, respiration, etc. Patient data may be measured in real-time and/or substantially real-time, for example. The EP/Hemo system 120 may also be configured for administrative reporting and facilitation of clinical workflow. The EP/Hemo system 120 may further provide on-line help resources and an ability to save data to a network and/or attached storage, for example.
The EP/Hemo system 120 may include a variety of inputs/outputs, such as one or more ECG leads, one or more stimulation inputs, one or more invasive pressure signals, one or more recording channels, one or more intracardiac channels, one or more catheter inputs, etc. The EP/Hemo system 120 provides diagnostic tools, as well as intracardiac and ECG recording capability, for example. In certain embodiments, the system 120 provides bi-polar channel scalability, automated clinical features and activation mapping to aid in diagnosis. The system 120 may provide a 3D mapping interface as well as connectivity to external system(s), for example. In certain embodiments, the EP/Hemo system 120 may interface uni- or bi-directionally with another system, such as a navigation and/or ablation system to share information, such as mapping events, clinical data and/or EP report data. The EP/Hemo system 120 may be configured to operate in a plurality of languages.
In certain embodiments, the ultrasound system 140 may be configured to provide one or more data acquisition modes and/or data processing capabilities, for example. The system 140 may include one or more probes, such as phased array sector probes, linear array probes, convex array (curved) probes, Doppler pencil probes, multiplane transesophageal phased array probes, etc. The system 140 provides imaging in one or more modes such as 2D mode, M mode, anatomical M mode, color Doppler, color angio, color M mode, anatomical color M mode, spectral Doppler, Pulsed Wave/High Pulse Repetition Frequency (PW/HPRF) Doppler, Tissue Doppler, CW Doppler, etc.
The ultrasound system 140 may be configured for a variety of data processing. The system 140 may provide echo data processing of phase, amplitude and frequency, for example. The system 140 may provide digital raw data replay for image post post-processing and offline measurement and analysis. The system 140 may include an instant review screen to display one or more loops/images for study review. In certain embodiments, a scan plane position indicator and probe temperature may be displayed with multi-plane transesophageal probes. An image orientation indicator may be displayed with image data.
A display integrated with and/or associated with the ultrasound system 140 may be configured for a plurality of views including single, dual and quad-screen view. In certain embodiments, the system 140 provides a selectable display configuration of duplex and triplex modes either side-by-side or top-bottom.
In certain embodiments the ultrasound system 140 provides variable transmit frequencies for resolution/penetration improvement. The system 140 may also provide variable contour filtering for edge enhancement.
The ultrasound system 140 may also provide a variety of analysis and workflow tools. For example, personalized measurement protocols allow individual setting and ordering of measurement and analysis items. Measurements may be labeled using protocols and/or post assignments, for example. Bodymark icons may be provided for location and position of a probe. In certain embodiments, the system 140 provides cardiac calculation and/or vascular measurement functionality including measurement and display of multiple, repeated measurements. In certain embodiments, measurements are assignable to one or more protocols and/or report generators. Parameter(s) and/or parameter annotation may follow a medical standard, such as an American Society of Echocardiography standard, and/or may be user-assignable, for example. Certain embodiments provide a Doppler auto-trace function including automatic calculation in live and/or digital replay, for example. Functions, such as data storage and report creation, may be combined and/or automated in a variety of ways, for example.
In certain embodiments, the ultrasound system 140 and/or the EP/Hemo system 120 may access a knowledge database and/or guidance center, such as GE's iLinq™ system, for system-specific and/or context-sensitive support. The system 120 and/or system 140 may also communicate with a remote diagnostic and support center, such as GE's InSite™.
As described above, data, such as physiological waveform data 220, is acquired from a patient or external system via the EP/Hemo system 210. The data 220 is transmitted from the EP/Hemo system 210 via the signal output port 215. The waveform data 220 is transmitted to the ultrasound system 230 via the cable connection 225. Note that the cable connection 225 may encompass a variety of cable connections, as well as non-cable connections such as wireless, infrared, etc. The data 220 is received at the signal input port 235 of the ultrasound system 230. Similarly, data 220 may be communicated from the ultrasound system 230 to the EP/Hemo system 210 via the connection 225 and ports 235, 215.
As shown in
The waveform data 220 may be displayed and/or used in diagnosis and/or reporting at the EP/Hemo system 210 and/or ultrasound system 230, for example. The waveform data 220 may be correlated with image data from the ultrasound system 230 for processing and/or display, for example.
As discussed above in relation to
In certain embodiments, a Radiology Information System (RIS) and/or other healthcare information system, such as a Picture Archiving and Communication System (PACS), etc., provides access to an ultrasound and/or other Diagnostic Imaging (DI) scanner from the RIS or other healthcare workstation, for example. Using an interface at the workstation, a user may perform a plurality of functions at the DI scanner.
A user may use the interface to automatically send report and key images to a referring physician, for example. Via the interface, a user may pull up and review previous exams, results, history and diagnosis, for example. A user may save a dose report and keep a running history in the RIS. A user may change/add a current exam order. A user may check a patient's previous exam history and review reports. In certain embodiments, a user may execute Multiple Perform Procedure Step (MPPS) commands such as start and end procedure, in progress, in transport, patient waiting location, status of reports (dictated, waiting for read, in progress), etc.
Access to a DI unit via an information system, such as a RIS, helps provide time, efficiency and quality control benefits to providers of Diagnostic Imaging services. Combining tools and information available at an information system and a diagnostic imaging system helps allow early correction of patient order entry errors and provides an opportunity for more appropriate patient care based upon patient indications while the user and/or the patient is actually at the scanner. Further, patient information may be made available to the RIS, and therefore RIS users, early in the DI services cycle for each patient, for example.
Using the interface, a user may view available information at the RIS 210 and the ultrasound system 320, for example. In certain embodiments, the user may also modify information and/or settings at the RIS 310 and/or ultrasound system 320. In certain embodiments, the interface may enable access to other information system(s) and/or imaging system(s) from the RIS 310.
From the RIS 310, a user may access a patient's imaging exam order and/or imaging exam data (e.g., image(s)). The user may review the exam order, image data and/or other patient information and make changes to correct identified errors. Then, the exam may be correctly executed at the ultrasound system scanner 320. The user may review other patient information to add in examining and/or conversing with the patient during the imaging exam. The user may also execute procedure commands and/or update patient/exam status at the ultrasound system 320 remotely via the interface 330 at the RIS 310, for example. Using the interface 330, the user may also enter notes into a patient and/or exam report stored at the RIS 310 during a scan of the patient at the ultrasound system 320.
Certain embodiments provide a mechanism to remotely operate and otherwise control the ultrasound scanner 320 and perform operations to acquire and manipulate ultrasound images. Certain embodiments provide an ability to have an operator outside a vicinity of a patient to operate the ultrasound device 320. In certain embodiments, the ultrasound system 320 may be operated by a person remotely and/or by a remote operator in conjunction with a person at the ultrasound system 320. Remote operation allows a reduction in a number of people in a procedure room, for example.
In certain embodiments, a remote user interface 330 provides an ability to have a single operator perform multiple tasks during an EP or other procedure. For example, a user may manipulate the ultrasound system 320 in conjunction to other devices used during the EP procedure such as a recording system, stimulator, etc. Such multi-tasking may reduce the personnel involved.
In certain embodiments, the remote control 400 includes buttons, knobs, keys, etc., to control the ultrasound device. Using the remote 400, an operator may perform operations remotely rather than directly pressing keys, buttons and/or knobs on the ultrasound device. The remote control 400 may also include a trackball 420 and/or other similar device to select among options on a display screen. As shown for purposes of illustration only, one or more buttons 430, slide bars 440, etc., may be used to control ultrasound system functions. As illustrated in
The remote control 400 provides a mechanism to remotely operate and otherwise control the ultrasound scanner and perform operations to acquire and manipulate ultrasound images and related data, for example. Using the remote 400, an operator outside a vicinity of a patient can operate the ultrasound device. In certain embodiments, the remote 400 may be used and/or provide freedom to an operator to execute a plurality of functions at the ultrasound system and/or other device, such as recording patient data, stimulation, etc.
In certain embodiments, the ultrasound system may be manipulated via the remote control in conjunction with one or more electrophysiologic data acquisition devices (e.g., recording system, stimulator, etc.), for example. In certain embodiments, the ultrasound system may be operated outside a vicinity of a patient using the remote control to obtain image data for the patient, for example. In certain embodiments, command(s) from the remote control allow a user to select an ultrasound imaging mode, activate imaging and/or trigger operations on obtained image data, among other things, at the ultrasound system via the remote control. In certain embodiments, the remote control may be used to access information from a healthcare information system and/or EP/Hemo system, for example. In certain embodiments, command(s) from the remote control allow a user to control a healthcare information system via the remote control, for example.
One or more of the steps of the method 500 may be implemented alone or in combination in hardware, firmware, and/or as a set of instructions in software, for example. Certain embodiments may be provided as a set of instructions residing on a computer-readable medium, such as a memory, hard disk, DVD, or ,CD, for execution on a general purpose computer or other processing device.
Certain embodiments of the present invention may omit one or more of these steps and/or perform the steps in a different order than the order listed. For example, some steps may not be performed in certain embodiments of the present invention. As a further example, certain steps may be performed in a different temporal order, including simultaneously, than listed above.
While the invention has been described with reference to certain embodiments, it will be understood by those skilled in the art that various changes may be made and equivalents may be substituted without departing from the scope of the invention. In addition, many modifications may be made to adapt a particular situation or material to the teachings of the invention without departing from its scope. Therefore, it is intended that the invention not be limited to the particular embodiment disclosed, but that the invention will include all embodiments falling within the scope of the appended claims.
