Requirements for the structured recording of surgical device data in the digital operating room
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Due to the increasing complexity of the surgical working environment, increasingly technical solutions must be found to help relieve the surgeon. This objective is supported by a structured storage concept for all relevant device data.
In this work, we present a concept and prototype development of a storage system to address intraoperative medical data. The requirements of such a system are described, and solutions for data transfer, processing, and storage are presented. In a subsequent study, a prototype based on the presented concept is tested for correct and complete data transmission and storage and for the ability to record a complete neurosurgical intervention with low processing latencies. In the final section, several applications for the presented data recorder are shown.
The developed system based on the presented concept is able to store the generated data correctly, completely, and quickly enough even if much more data than expected are sent during a surgical intervention.
The Surgical Data Recorder supports automatic recognition of the interventional situation by providing a centralized data storage and access interface to the OR communication bus. In the future, further data acquisition technologies should be integrated. Therefore, additional interfaces must be developed. The data generated by these devices and technologies should also be stored in or referenced by the Surgical Data Recorder to support the analysis of the OR situation.
KeywordsComputer-assisted surgery Workflow Information system Surgical process model Intraoperative monitoring Data recording
- 3.Ikuta K, Kato T, Ooe H (2008) Surgery recorder system aquiring position/force information of surgical forceps. In: Automation congress, WAC, pp 1–6Google Scholar
- 4.Kato T, Ikuta K (2008) Surgery recorder system for objective clinical accident investigation with digitized surgery procedures. In: The international conference on electrical engineeringGoogle Scholar
- 5.Bohn S, Franke S, Burgert O, Meixensberger J, Lindner D (2011) First clinical application of an open standards based OR integration system. Biomed Tech 56:2Google Scholar
- 8.Guerlain S, Adams R, Turrentine B, Shin T, Guo H, Collins S, Calland F (2005) Assessing team performance in the operating room: development and use of a ‘black-box’ recorder and other tools for the intraoperative environment. J Am Coll Surg 200:29–37Google Scholar
- 15.Beckmann CRB, Lipscomb CH, Ling FW, Beckmann CA, Johnson H, Barton L, Computer-assisted video evaluation of surgical skills. Obstet Gynecol 85:1039–1041Google Scholar
- 20.Dosis A, Bello F, Rockall T, Munz Y, Moorthy K, Martin S, Darzi A (2003) ROVIMAS: a software package for assessing surgical skills using the da Vinci telemanipulator system. In: Information Technology Applications in Biomedicine, 4th Int IEEE EMBS Special Topic Conference on, pp 326–329Google Scholar
- 21.Bhatia B, Oates T, Xiao X, Hu P (2007) Real-time identification of operating room state from video. In: Proceedings of the 19th Natl Conf on Innov Appl of, Artif Intell, pp 1761–1766Google Scholar
- 23.Neumuth T, Jannin P, Strauss G, Meixensberger J, Burgert O (2009) Validation of knowledge acquisition for surgical process models. J Am Med Inform Assoc 16:72–80Google Scholar
- 24.Cleary K, Mun SK (2004) OR2020 The Operating Room of the Future. In: OR2020 The Operating Room of the Future, Workshop ReportGoogle Scholar
- 28.Bohn S, Gessat M, Franke S, Voruganti A, Burgert O (2009) An integrated OR system based on open standards, http://hdl.handle.net/10380/3081, Accessed 19 March 2013
- 29.Tooley M, Wyatt D (2009) Aircraft electrical and electronic systems: principles, operation and maintenance. Elsevier, OxfordGoogle Scholar
- 30.International Telecommunication Union, G.764: Packetization guide. [Online]. Available: http://www.itu.int/rec/T-REC-G.764-199511-I!AppI/en. Accessed 19 March 2013
- 31.Rockstroh M, Franke S, Neumuth T (2013) A workflow-driven surgical information source management, CARS 2013, accepted for oral presentationGoogle Scholar