System and method for ensuring proper medical instrument use in an operating room

• US 7,896,869 B2
• Filed: 02/03/2005
• Issued: 03/01/2011
• Est. Priority Date: 12/29/2004
• Status: Expired due to Fees

• Current Assignee: Depuy Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Products Incorporated (Johnson & Johnson)
• Inventors: DiSilvestro, Mark R., Dietz, Terry, Sherman, Jason T., Hastings, Robert
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US11/049,805
• Publication Number:
  US 20060142739A1
• Time in Patent Office: 2,217 Days
• Field of Search: 600/1, 128897-898, 606/34, 606/37, 434/262, 700245-249, 700258-264, 901/1, 901/2, 901/9
• US Class Current: 606/1
• CPC Class Codes: A61B 2017/00203 with speech control or speech recognition
• CPC Class Codes: A61B 2090/0803 Counting the number of times an instrument is used
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61B 90/90 Identification means for patients or instruments, e.g. tags

Abstract

A system for managing medical instrument use during a surgical procedure may comprise a number of medical instruments, a display device configured to display any of the number of medical instruments, a microphone for transmitting voice commands identifying different ones of the number of medical instruments, and a controller. The controller is responsive to the voice commands to control the display device to display corresponding ones of the number of medical instruments.

Claims

1. A system for managing medical instrument use during a surgical procedure, the system comprising:

a plurality of medical instrument trays, each of the plurality of medical trays including a plurality of medical instrument storage receptacles,

a plurality of medical instruments, each medical instrument being positioned in one of the plurality of medical instrument storage receptacles,

an actuator having a light source coupled thereto,

a controller to ensure each medical instrument of the plurality of medical instruments is used in an order of use defined by a predefined surgical procedure, the controller ensuring the order of use by sequentially choosing each medical instrument of the plurality of medical instruments in the order defined by the predefined surgical procedure and sequentially generating actuator commands to direct light produced by the light source toward the chosen medical instrument positioned in one of the plurality of medical instrument storage receptacles to guide a user to the chosen medical instrument positioned in the medical instrument storage receptacle of the medical instrument tray, and

a plurality of feedback devices, each feedback device of the plurality of feedback devices being associated with a medical instrument of the plurality of medical instruments and actuatable to notify the controller when the user has selected the medical instrument associated with the feedback device for use.

2. The system of claim 1 further comprising a display device coupled to the controller, the display device including a display screen configured to display the medical instruments chosen by the controller.

3. The system of claim 2 wherein in response to a notice that the user has selected a medical instrument of the plurality of medical instruments for use, the controller is to cause the display device to display an indication that the user has selected the medical instrument.

4. The system of claim 2 wherein

at least two medical instruments of the plurality of medical instruments cooperate to form a single instrument, and

the controller is to control the display device to simultaneously display the at least two medical instruments of the plurality of medical instruments to thereby display the single instrument.

5. The system of claim 1 wherein each feedback device is actuatable to notify the controller when use of its associated medical instrument is complete.

6. The system of claim 1 wherein in response to a notice that use of a medical instrument of the plurality of medical instruments is complete, the controller is to choose a next medical instrument of the plurality of medical instruments in the order defined by the predefined surgical procedure.

7. The system of claim 1 wherein the system is operated in tandem with a computer assisted surgery system.

8. The system of claim 1 further comprising

a microphone to receive voice commands,

wherein in response to the voice commands, the controller is to choose medical instruments of the plurality of medical instruments per the order specified by a predetermined surgical procedure.

9. The system of claim 8, wherein

in response to the voice commands, the controller generates actuator commands to direct light produced by the light source toward to the chosen medical instrument.

10. The system of claim 8 wherein the controller is configured to be trained to recognize and be responsive to the voice commands identifying medical instruments of the plurality of medical instruments.

11. The system of claim 8 wherein

at least two of the plurality of medical instruments cooperate to form a single instrument, and

the controller is to control a display device to simultaneously display the at least two medical instruments of the plurality of medical instruments to thereby display the single instrument.

12. The system of claim 8 wherein the system is operated in tandem with a computer assisted surgery system.

13. The system of claim 1 wherein the light source includes at least one laser.

14. The system of claim 1 further comprising a heads up display device to display medical instruments chosen by the controller.

15. The system of claim 1 wherein the controller is configured to track a sequence of use of medical instruments of the plurality of medical instruments used in the surgical procedure.

16. The system of claim 15 wherein the controller is configured to save the sequence in a database.

17. The system of claim 15 wherein the controller is configured to track a duration of use of each medical instrument of the plurality of medical instruments used in the surgical procedure.

18. The system of claim 17 wherein the controller is configured to save the duration of use of each medical instrument of the plurality of medical instruments used in the surgical procedure in a database.

19. The system of claim 1, wherein each of the plurality of medical instrument trays comprises

a plurality of feedback devices positioned to associate each feedback device to a medical instrument receptacle and a medical instrument to be stored therein.

20. The system of claim 19, wherein each of the plurality of medical instrument trays further comprises a wireless transmitter to transmit signals of the plurality of feedback devices that notify the controller when the medical instrument associated with the feedback device has been selected for use.

21. The system of claim 19, wherein each feedback device comprises a switch that in response to being actuated generates a signal to notify the controller when the medical instrument associated with the feedback device has been selected for use.

22. The system of claim 21, wherein each feedback device further comprises a light emitting device that lights to identify a medical instrument of the plurality of medical instruments chosen by the controller.

23. The system of claim 19, wherein

a feedback device of the plurality of feedback devices comprises a presence sensor that generates a signal indicative of whether a medical instrument of the plurality of medical instruments is present in a medical instrument storage receptacle associated with the feedback device, and

the controller determines use of the medical instrument based upon the signal generated by the presence sensor.

24. The system of claim 19, further comprising a carrier mechanism mounted to a medical instrument of the plurality of medical instruments, the carrier mechanism comprising a feedback device of the plurality of feedback devices and a wireless transceiver to transmit a notice from the feedback device to the controller.

25. The system of claim 24, wherein the feedback device of the carrier mechanism comprises a light emitting device that lights to indicate the medical instrument has been chosen by the controller for use, and a switch that in response to being actuated generates a signal to notify the controller when the user has selected the medical instrument associated with the feedback device for use.

26. A method of managing medical instrument use during a surgical procedure, the method comprising the steps of:

accessing a predefined surgical procedure to choose a medical instrument of a plurality of medical instruments per an order of use specified by the predefined surgical procedure,

determining a location of the chosen medical instrument positioned in one of a plurality of medical instrument trays,

activating a light source and directing light from the light source toward the chosen medical instrument positioned in the medical instrument tray to provide a visual indication of the chosen medical instrument and guide a user to the medical instrument tray and the chosen medical instrument positioned therein,

receiving a signal from a feedback device associated with the chosen medical instrument that indicates use of the chosen medical instrument is complete,

accessing the predefined surgical procedure in response to receiving the signal from the feedback device associated with the chosen medical instrument to choose a next medical instrument of the plurality of medical instruments to be used per the order specified by the predefined surgical procedure, and

repeating the steps of determining, activating, receiving and accessing until completion of the order specified by the predefined surgical procedure.

27. The method of claim 26, further comprising the step of displaying the chosen medical instrument on a video monitor.

28. The method of claim 27 wherein displaying the chosen medical instrument includes displaying at least a subset of the plurality of medical instruments including the chosen medical instrument of the plurality of medical instruments.

29. The method of claim 27 wherein the step displaying the chosen medical instrument includes displaying at least a subset of the plurality of medical instruments including the chosen medical instrument of the plurality of medical instruments.