Skip to main content

Monitoring of Surgeon’s Surgical Skills Using Internet of Things-Enabled Medical Instruments

  • Chapter
  • First Online:
Surgery and Operating Room Innovation

Abstract

With improvements in sensor technology and the expansion of unique device identifier regulation, the Internet of Things (IoT)—whereby everything in one’s surroundings is connected to the Internet—is gaining popularity across numerous fields. In recent years, attention has been further drawn to new approaches, such as Industry 4.0 and the Industrial Internet Consortium. At the heart of this concept is the IoT trend, which is the key to visualization and connectivity technologies. The IoT trend is also expanding gradually into the medical field and medical devices. However, existing applications in the medical field are only experimental undertakings. Compared with the IoT trend in general society, which is reaching the level of social implementation, medical applications have lagged behind. In particular, the IoT trend has not yet commenced in the field of surgery, and the feasibility of visualizing surgical procedures through IoT has not yet been demonstrated. In the future, assuming that the IoT trend will reach the operating room, questions arise about what would be the outcome of this technological application and whether sensor technology would truly enable the visualization of surgical procedures. In this chapter, we describe some of the recent tools and systems that may bridge the gap between surgery and operating room innovation by IoT-enabled medical instruments.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Ashton K. That ‘Internet of Things’ thing: in the real world, things matter more than ideas. RFID J. 2009;22(7):97–114.

    Google Scholar 

  2. Gershenfeld N, Krikorian R, Cohen D. The internet of things. Sci Am. 2004;291:76.

    Article  Google Scholar 

  3. Bundesministerium für Bildung und Forschung. Zukunftsprojekt Industrie 4.0. 2014.

    Google Scholar 

  4. Lydon B. The 4th Industrial Revolution, Industry 4.0, Unfolding at Hannover Messe 2014. [online]. 2014. http://www.automation.com/automation-news/article/the-4th-industrial-revolution-industry-40-unfolding-at-hannover-messe-2014: Automation.com. http://www.automation.com/automation-news/article/the-4th-industrial-revolution-industry-40-unfolding-at-hannover-messe-2014. Accessed 19 Feb 2014.

  5. Industrial Internet Consortium. Manufacturing. 2015.

    Google Scholar 

  6. Atzori L, Iera A, Morabito G. The internet of things: a survey. Comput Netw. 2010;54(15):2787–805.

    Article  Google Scholar 

  7. Chui M, Löffler M, Roberts R. The internet of things. McKinsey Q. 2010;2:1–9.

    Google Scholar 

  8. Winig L. GE’s big bet on data and analytics. MIT Sloan Management Review. 2016.

    Google Scholar 

  9. Ju J, Kim M-S, Ahn J-H. Prototyping business models for IoT service. Proc Comput Sci. 2016;91:882–90.

    Article  Google Scholar 

  10. Dinis H, Zamith M, Mendes PM. Performance assessment of an RFID system for automatic surgical sponge detection in a surgery room. In: Conference Proceedings—IEEE Engineering in Medicine and Biology Society, 2015; 2015. p. 3149–52.

    Google Scholar 

  11. Egan MT, Sandberg WS. Auto identification technology and its impact on patient safety in the operating room of the future. Surg Innov. 2007;14(1):41–50; discussion 51.

    Article  Google Scholar 

  12. Hanada E, Hayashi M, Ohira A. Introduction of an RFID tag system to a large hospital and the practical usage of the data obtained. In: 2015 9th International Symposium on Medical Information and Communication Technology (ISMICT), 24–26 March 2015; 2015a. p. 108–11.

    Google Scholar 

  13. Hanada E, Ohira A, Hayashi M, Sawa T. Improving efficiency through analysis of data obtained from an RFID tag system for surgical instruments. In: 2015 IEEE 5th International Conference on Consumer Electronics—Berlin (ICCE-Berlin), 6–9 Sept. 2015; 2015b. p. 84–7.

    Chapter  Google Scholar 

  14. Nakajima R, Sakaguchi K. Service vision design for smart bed system™ of paramount bed. FUJITSU Sci Tech J. 2018;54(1):9–14.

    Google Scholar 

  15. Pasluosta CF, Gassner H, Winkler J, Klucken J, Eskofier BM. An emerging era in the Management of Parkinson's disease: wearable technologies and the internet of things. IEEE J Biomed Health Inform. 2015;19(6):1873–81.

    Article  Google Scholar 

  16. Sawa T, Komatsu H. Shimane university hospital implements RFID technology to manage surgical instruments. In: 2013 7th International Symposium on Medical Information and Communication Technology (ISMICT), 6–8 March 2013; 2013. p. 90–2.

    Google Scholar 

  17. Vilallonga R, Lecube A, Fort JM, Boleko MA, Hidalgo M, Armengol M. Internet of things and bariatric surgery follow-up: comparative study of standard and IoT follow-up. Minim Invasive Ther Allied Technol. 2013;22(5):304–11.

    Article  Google Scholar 

  18. Yamashita K, Iwakami Y, Imaizumi K, Yasuhara H, Mimura Y, Uetera Y, Ohara N, Komatsu T, Obayashi T, Saito Y, Komatsu H, Shimada S, Hosaka R, Ino S, Ifukube T, Okubo T. Identification of information surgical instrument by ceramic RFID tag. In: 2008 World Automation Congress, 28 Sept-2 Oct, 2008; 2008. p. 1–6.

    Google Scholar 

  19. Kranzfelder M, Schneider A, Fiolka A, Schwan E, Gillen S, Wilhelm D, Schirren R, Reiser S, Jensen B, Feussner H. Real-time instrument detection in minimally invasive surgery using radiofrequency identification technology. J Surg Res. 2013;185(2):704–10.

    Article  Google Scholar 

  20. Kranzfelder M, Zywitza D, Jell T, Schneider A, Gillen S, Friess H, Feussner H. Real-time monitoring for detection of retained surgical sponges and team motion in the surgical operation room using radio-frequency-identification (RFID) technology: a preclinical evaluation. J Surg Res. 2012;175(2):191–8.

    Article  Google Scholar 

  21. Ushimaru Y, Takahashi T, Souma Y, Yanagimoto Y, Nagase H, Tanaka K, Miyazaki Y, Makino T, Kurokawa Y, Yamasaki M, Mori M, Doki Y, Nakajima K. Innovation in surgery/operating room driven by internet of things on medical devices. Surg Endosc. 2019;33:3469.

    Article  Google Scholar 

  22. Carlomagno N, Santangelo M, Romagnuolo G, Antropoli C, La Tessa C, Renda A. Laparoscopic cholecystectomy: technical compromise between French and American approach. Presentation of an original technique. Ann Ital Chir. 2014;85(1):93–100.

    PubMed  Google Scholar 

  23. Dubois F. Laparoscopic cholecystectomy: the French technique. Berlin: Springer; 1995.

    Google Scholar 

  24. Kramp KH, van Det MJ, Totte ER, Hoff C, Pierie JP. Ergonomic assessment of the French and American position for laparoscopic cholecystectomy in the MIS suite. Surg Endosc. 2014;28(5):1571–8.

    Article  Google Scholar 

  25. Kum CK, Eypasch E, Aljaziri A, Troidl H. Randomized comparison of pulmonary function after the ‘French’ and ‘American’ techniques of laparoscopic cholecystectomy. Br J Surg. 1996;83(7):938–41.

    Article  CAS  Google Scholar 

  26. Asbun HJ, Rossi RL, Lowell JA, Munson JL. Bile duct injury during laparoscopic cholecystectomy: mechanism of injury, prevention, and management. World J Surg. 1993;17(4):547–51; 551–2.

    Article  CAS  Google Scholar 

  27. Strasberg SM, Hertl M, Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg. 1995;180(1):101–25.

    CAS  PubMed  Google Scholar 

  28. William A, Rutala DJW. The healthcare infection control practices advisory committee (HICPAC), 2008. In: Guideline for disinfection and sterilization in healthcare facilities; 2008. Last update: 15 Feb 2017.

    Google Scholar 

  29. Centers for Disease Control and Prevention (CDC). Pseudomonas aeruginosa infections associated with transrectal ultrasound-guided prostate biopsies—Georgia, 2005. MMWR Morb Mortal Wkly Rep. 2006;55(28):776–7.

    Google Scholar 

  30. Kovaleva J, Peters FT, van der Mei HC, Degener JE. Transmission of infection by flexible gastrointestinal endoscopy and bronchoscopy. Clin Microbiol Rev. 2013;26(2):231–54.

    Article  CAS  Google Scholar 

  31. Lowry PW, Jarvis WR, Oberle AD, Bland LA, Silberman R, Bocchini JA Jr, Dean HD, Swenson JM, Wallace RJ Jr. Mycobacterium chelonae causing otitis media in an ear-nose-and-throat practice. N Engl J Med. 1988;319(15):978–82.

    Article  CAS  Google Scholar 

  32. Mehta AC, Prakash UB, Garland R, Haponik E, Moses L, Schaffner W, Silvestri G. American College of Chest Physicians and American Association for Bronchology [corrected] consensus statement: prevention of flexible bronchoscopy-associated infection. Chest. 2005;128(3):1742–55.

    Article  Google Scholar 

  33. Meyers H, Brown-Elliott BA, Moore D, Curry J, Truong C, Zhang Y, Wallace RJ Jr. An outbreak of Mycobacterium chelonae infection following liposuction. Clin Infect Dis. 2002;34(11):1500–7.

    Article  Google Scholar 

  34. Spach DH, Silverstein FE, Stamm WE. Transmission of infection by gastrointestinal endoscopy and bronchoscopy. Ann Intern Med. 1993;118(2):117–28.

    Article  CAS  Google Scholar 

  35. Weber DJ, Rutala WA. Lessons from outbreaks associated with bronchoscopy. Infect Control Hosp Epidemiol. 2001;22(7):403–8.

    Article  CAS  Google Scholar 

  36. Witters D, Seidman S, Bassen H. EMC and wireless healthcare. In: 2010 Asia-Pacific international symposium on electromagnetic compatibility, 12–16 April 2010; 2010. p. 5–8.

    Chapter  Google Scholar 

  37. Esteva A, Kuprel B, Novoa RA, Ko J, Swetter SM, Blau HM, Thrun S. Dermatologist-level classification of skin cancer with deep neural networks. Nature. 2017;542(7639):115–8.

    Article  CAS  Google Scholar 

  38. Dilsizian SE, Siegel EL. Artificial intelligence in medicine and cardiac imaging: harnessing big data and advanced computing to provide personalized medical diagnosis and treatment. Curr Cardiol Rep. 2013;16(1):441.

    Article  Google Scholar 

  39. Maroulis DE, Iakovidis DK, Karkanis SA, Karras DA. CoLD: a versatile detection system for colorectal lesions in endoscopy video-frames. Comput Methods Programs Biomed. 2003;70(2):151–66.

    Article  CAS  Google Scholar 

  40. Saftoiu A, Vilmann P, Gorunescu F, Janssen J, Hocke M, Larsen M, Iglesias-Garcia J, Arcidiacono P, Will U, Giovannini M, Dietrich CF, Havre R, Gheorghe C, McKay C, Gheonea DI, Ciurea T. Efficacy of an artificial neural network-based approach to endoscopic ultrasound elastography in diagnosis of focal pancreatic masses. Clin Gastroenterol Hepatol. 2012;10(1):84–90.e1.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kiyokazu Nakajima .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ushimaru, Y., Doki, Y., Nakajima, K. (2021). Monitoring of Surgeon’s Surgical Skills Using Internet of Things-Enabled Medical Instruments. In: Takenoshita, S., Yasuhara, H. (eds) Surgery and Operating Room Innovation. Springer, Singapore. https://doi.org/10.1007/978-981-15-8979-9_4

Download citation

  • DOI: https://doi.org/10.1007/978-981-15-8979-9_4

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-8978-2

  • Online ISBN: 978-981-15-8979-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics