Method and apparatus for accessing medical data over a network

• US 6,911,916 B1
• Filed: 07/13/2000
• Issued: 06/28/2005
• Est. Priority Date: 06/24/1996
• Status: Expired due to Term

• Current Assignee: Cleveland Clinic Foundation, Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Original Assignee: Cleveland Clinic Foundation, Intuitive Surgical Incorporated (Intuitive Surgical Holdings, LLC)
• Inventors: Wang, Gang, Uecker, Darrin R., Mangaser, Amante, Hahn, Joseph F., Roe, David B., Steiner, Charles P.
• Primary Examiner(s): Zimmerman, Brian
• Assistant Examiner(s): YANG, CLARA I
• Application Number:
  US09/615,641
• Time in Patent Office: 1,811 Days
• Field of Search: 340/3.1, 340/3.3, 340/3.32, 340/3.5, 600/300, 704/275, 361/197, 361/198, 361/199
• US Class Current: 340/3.7
• CPC Class Codes: A61B 17/00 Surgical instruments, devices or methods, e.g. tourniquets A61B18/00 takes precedence; contraceptive devices, pessaries, or applicators therefor A61F6/00; eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 18/00 Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00203 with speech control or speech recognition
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61B 5/002 Monitoring the patient using a local or closed circuit, e.g. in a room or building A61B5/0017 takes precedence
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: A61B 90/00 Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges protective face masks A41D13/11; surgeon's or patient's gowns or dresses A41D13/12; devices for carrying-off, for treatment of, or for carrying-over, body liquids A61M1/00
• CPC Class Codes: G10L 15/26 Speech to text systems G10L15/08 takes precedence
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/63 for local operation

Abstract

A method and apparatus for retrieving, accessing, and storing medical data relating to a patient during a medical procedure. The invention provides a single interface to many disparate forms of medical data, which is accessible over a local area network, wide area network, direct connection, or combinations thereof. In one embodiment, an operating room control system for use during a medical procedure on a patient includes an input device, a display device, and a controller that is coupled to the input device and the display device. The controller receives one or more user inputs, transmits a command to a server located outside of the operating room to retrieve medical data, receives the medical data from the server, and displays the medical data on the display device.

Claims

1. An operating room control system for use during a medical procedure on a patient, comprising:

a plurality of operating room devices;

a voice input device capable of receiving a spoken device command that has an associated device qualifier, and a data retrieval command having an associated patient record identifier;

a display device; and

a controller coupled to the input device and the display device, the controller capable of receiving the data retrieval command and the device command, wherein the controller transmits a command to a server to retrieve patient information in response to the data retrieval command so that desired patient data can be selected in response to the patient record identifier, wherein the controller receives the patient information from the server and displays the patient information on the display device, and wherein the controller transmits a control command to a selected operating room device in response to the device command, the medical operating room device selected from the plurality of operating room devices in response to the device qualifier so as to allow voice manipulation of an operating room environment.

2. The operating room control system of claim 1 wherein the server is located outside the operating room.

3. The operating room control system of claim 1 wherein the patient information includes one or more of the following:

an MRI, CT, X-ray, still-frame video, moving video, ultrasound image, patient records, patient notes, and patient schedule.

4. The operating room control system of claim 1 wherein the server is coupled to the controller via one or more of the following:

a local area network, wide area network, Internet, and Intranet.

5. The operating room control system of claim 1 wherein the controller includes a memory containing an application program, and a processor, said processor to execute the application program to cause the patient information to be displayed on the display device in a web browseable format.

6. The operating room control system of claim 1 wherein the input device comprises one or more of the following:

a microphone, keyboard, mouse, foot pedal, and hand-held device.

7. The operating room control system of claim 1, wherein the controller compares the device command with a list of stored control commands associated with the selected operating room device, and transmits a control signal to a medical instrument for controlling the operating room device if there is a match, wherein the operating room devices comprise one or more of the following:

a robotic arm, electrocautery device, operating room table, operating room lights, insufflator, and camera.

8. The operating room control system of claim 1 wherein the controller captures one or more units of patient data, transmits the one or more units of data and a request to a second server located outside the operating room to store the one or more units of patient data.

9. The operating room control system of claim 8 wherein the second server is coupled to the controller via one or more of the following:

a local area network, wide area network, Internet, and Intranet.

10. The operating room control system of claim 8 wherein the one or more units of patient data comprises one or more of the following:

an image captured by an image capturing device coupled to the controller, a moving video captured by the image capturing device coupled to the controller, and notes captured via the input device regarding the patient.

11. A method for accessing medical data from a server while performing a medical procedure, comprising:

receiving a plurality of commands from an input device including an instrument command that has an associated instrument qualifier, and a data retrieval command having an associated patient record identifier;

transmitting a request to the server for the unit of patient data in response to the data retrieval command;

receiving the unit of patient data from the server; and

displaying the unit of patient data on a display device.

12. The method of claim 11 wherein the server is located remotely from a location where the medical procedure is performed.

13. The method of claim 11 wherein the instrument command, associated instrument qualifier, data retrieval command and associated data retrieval qualifier each comprise an audible command.

14. The method of claim 11 wherein transmitting the request to the server comprises transmitting a URL of the server for the unit of patient data.

15. The method of claim 11 wherein the unit of patient data includes one or more of the following:

an MRI, CT, X-ray, still-frame video, moving video, ultrasound image, patient records, patient notes, and patient schedule.

16. The method of claim 11 further comprising:

capturing a second unit of patient data during the medical procedure;

transmitting the second unit of patient data to a second server with a request to store the second unit of patient data.

17. The method of claim 11, further comprising transmitting a control signal to one or more medical instruments in response to the instrument command.

18. The method of claim 17, wherein transmitting a control signal comprises comparing the instrument command with a list of one or more stored control commands associated with the one or more medical instruments, and transmits one or more control signals to a medical instrument for controlling the medical instrument if there is a match.

19. The method of claim 18, wherein the medical instruments comprise one or more of the following:

a robotic arm, electrocautery device, insufflator, and camera.

20. An operating room control system for use during a medical procedure on a patient, comprising:

a plurality of medical devices, each device having an associated device identifier;

a voice input device capable of receiving spoken device commands having associated device qualifiers, and also capable of receiving spoken voice data retrieval commands having an associated data retrieval qualifier;

a display device;

a master controller coupled to the input device, the master controller capable of receiving the data retrieval commands and the device commands, wherein the master controller receives a command having a qualifier and transmits the command to a network so as to retrieve a unit of information when the qualifier is a data retrieval qualifier, and wherein the master controller transmits the command to a selected medical device when the qualifier is a device qualifier, the selected medical device being selected from the plurality of medical devices and having an associated device identifier matching the device qualifier; and

a slave controller coupled to the master controller and the display device, the slave controller capable of transmitting a request for the unit of information to a server, receiving the unit of information from the server, and displaying the unit of information on the display device.

21. The operating room control system of claim 20 wherein the unit of information includes one or more of the following:

an MRI, CT, X-ray, still-frame video, moving video, ultrasound image, patient records, patient notes, and patient schedule.

22. The operating room control system of claim 20 wherein the server is coupled to a slave controller via one or more of the following:

a local area network, wide area network, Internet, and Intranet.

23. The operating room control system of claim 20 wherein the request for the unit of information includes a patient identification number.

24. The operating room control system of claim 20 wherein the server is located remotely from the slave controller.