Management system for endoscopic instrument atlas in operating room

Through the synergy of three-dimensional dynamic identification cards and central control servers, combined with AR equipment and force feedback gloves, the problems of low instrument recognition efficiency and lack of real-time alarms for contraindications in the management of laparoscopic instruments in the operating room have been solved. Rapid identification of instruments, real-time warning of contraindications and full-process traceability of operations have been achieved, thereby improving surgical safety and management efficiency.

CN120674023AInactive Publication Date: 2025-09-19SHANGHAI MINHANG DISTRICT INTEGRATED TRADITIONAL CHINESE & WESTERN MEDICINE HOSPITAL (SHANGHAI MINHANG DISTRICT TUBERCULOSIS PREVENTION & TREATMENT HOSPITAL)
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Patent Information

Application Number
CN202510777348.X
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2025-06-11
Publication Date
2025-09-19
Estimated Expiration
Not applicable · inactive patent

AI Technical Summary

Technical Problem

The existing management of laparoscopic instruments in operating rooms relies on manual memory and simple labels, resulting in inefficient instrument recognition, the inability to intuitively obtain three-dimensional operation features, the lack of real-time linkage alarms for contraindications, and the difficulty in tracing the operation process, affecting surgical efficiency and safety.

Method used

A combination of three-dimensional dynamic identification cards, central control servers, holographic interactive terminals and near-field sensing modules for operating tables is used to achieve rapid identification of instruments, real-time warning of contraindications and traceability of the entire operation process. Intuitive operation guidance is provided through AR devices and force feedback gloves, and an unalterable operation responsibility chain is constructed using blockchain.

Benefits of technology

It improves the efficiency and safety of surgical instrument management, eliminates the safety hazards of instrument confusion and operational errors, realizes the instant use of instruments, real-time matching and early warning of contraindications, and full-process traceability of operations, thereby improving the safety and management efficiency of surgery.

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Abstract

The invention discloses an operating room endoscope instrument atlas management system, and belongs to the technical field of medical informatization. The systematic defects that the intraoperative instrument recognition efficiency is low, three-dimensional operation characteristics cannot be obtained visually, contraindications lack a real-time linkage alarm mechanism, the operation process is difficult to trace back accurately and the like due to the fact that traditional operating room endoscope instrument management depends on manual memory and simple labels are overcome. Therefore, potential safety hazards caused by confusion of instruments or misoperation in a complex surgical environment are eliminated, and a complete quality control closed loop from instrument identification, risk blocking to operation tracing is constructed.
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Description

Technical Field

[0001] The present invention relates to the technical field of Internet of Things, and in particular to a management system for operating room laparoscopic instrument atlases. Background Art

[0002] The current management of laparoscopic instruments in operating rooms mainly relies on simple labels and the experience memory of medical staff. The three-dimensional structural features and key points of operation of the instruments cannot be intuitively displayed through traditional labels. The efficiency of the operation is often affected by the delay in instrument recognition during the operation, and highly similar instruments are prone to confusion in operation due to the lack of differentiated warning mechanisms. The existing electronic label system can only record basic inventory information. It is impossible to associate dynamic operation diagrams and energy equipment connection instructions, and it is difficult to achieve real-time risk matching of contraindications with patient medical records. As a result, the preoperative instrument configuration preparation is time-consuming and lengthy, and there is a risk of misuse and tissue damage during the operation. At the same time, the training of new personnel is highly dependent on the explanation of physical instruments and lacks a standardized diagram guidance system. The present invention needs to solve how to achieve enhanced labeling of key instrument features, real-time warning of contraindications and traceability of the entire operation process through quickly identifiable three-dimensional dynamic identification cards, thereby improving the efficiency of surgical instrument management and operational safety. Summary of the Invention

[0003] The present application provides a management system for operating room laparoscopic instrument atlases, which overcomes the systemic defects of traditional operating room laparoscopic instrument management, such as low efficiency of intraoperative instrument identification, inability to intuitively obtain three-dimensional operation characteristics, lack of real-time linkage alarm mechanism for contraindications, and difficulty in accurately tracing the operation process, resulting in the reliance on manual memory and simple labels. It eliminates safety hazards caused by instrument confusion or operational errors in complex surgical environments, and builds a complete quality control closed loop from instrument identification, risk blocking to operation traceability.

[0004] To achieve the above objectives, the present application discloses the following technical solutions:

[0005] A management system for operating room laparoscopic instrument atlas, characterized by comprising:

[0006] 3D dynamic identification card, physically bound to the device, stores 3D maps and risk data;

[0007] Central control server, processing identification card data and coordinating various modules;

[0008] Holographic interactive terminals, including AR devices, for visualization and tactile feedback;

[0009] The near-field sensing module on the operating table monitors the position of the instrument and triggers communication;

[0010] The near-field sensing module of the operating table senses the entry of the instrument, and the near-field sensing module of the operating table activates the identification card to broadcast data. After the central server parses the data, it drives the holographic terminal to display the operation instructions.

[0011] Furthermore, the three-dimensional dynamic identification card includes:

[0012] UV etching identification layer, surface visualization of hot zone boundaries for manual verification;

[0013] Dual-frequency RFID chip to store instrument operation data set;

[0014] The dual-frequency RFID chip is aligned with the spatial coordinates of the UV etching identification layer, and the AR device automatically associates the three-dimensional model data in the chip when scanning the etching pattern.

[0015] Furthermore, the central control server includes:

[0016] Contraindication matching engine, comparing device contraindications with patient medical records;

[0017] Hot zone enhancement unit, calculates intraoperative hot zone coordinate mapping;

[0018] Operation traceability unit, encrypting and recording equipment operation logs;

[0019] The contraindication engine receives patient data in real time. If there is a risk match, it triggers the hot zone enhancement unit to mark the dangerous area in the surgical video, and at the same time operates the traceability unit to record the alarm event.

[0020] Furthermore, the contraindication matching engine performs:

[0021] Risk classification module, which divides the alarm level according to the degree of harm;

[0022] Multi-device linkage module to control the start and stop of energy equipment;

[0023] When the risk grading module identifies a level 3 alarm, the linkage module locks the power supply of the energy device and triggers a red cover on the surgical screen.

[0024] Furthermore, the holographic interactive terminal includes:

[0025] AR projection module, superimposing 3D operation animation on the surgical field;

[0026] Force feedback gloves to detect operating angle deviation;

[0027] Voice prompt unit to announce contraindication warnings;

[0028] When the force feedback glove detects that the angle exceeds the tolerance, the AR interface will flash red and a voice alarm will be triggered simultaneously.

[0029] Furthermore, the dual-frequency RFID chip includes:

[0030] Highly anti-fouling encapsulation layer, maintaining communication reliability in blood-contaminated environments;

[0031] Dynamic data compression unit to optimize the storage structure of 3D models;

[0032] The compression unit optimizes the model data in real time so that the AR projection module can quickly load the three-dimensional animation.

[0033] Furthermore, the operation tracing unit includes:

[0034] Zero-knowledge proof encryptor to generate tamper-proof operation hashes;

[0035] Blockchain evidence storage interface, connecting to the medical data chain;

[0036] The operation log hash value generated by the encryptor is written into the distributed ledger through the blockchain interface.

[0037] Furthermore, the force feedback glove comprises:

[0038] Nine-axis gesture sensor captures hand movement trajectory in real time;

[0039] Gradient vibration motor array, graded tactile warning;

[0040] The posture sensor data is synchronized to the central server in real time, and the server controls the motor vibration intensity according to the deviation value.

[0041] Furthermore, the hot zone enhancement unit performs:

[0042] Surgical field coordinate conversion algorithm, mapping the instrument coordinate system to the surgical field;

[0043] Bleeding simulation prediction module, which calculates the risk of mis-cutting based on tissue characteristics;

[0044] The coordinate conversion algorithm provides a spatial anchor point for the AR projection module, and the bleeding simulation result is superimposed on the dangerous area in the form of a semi-transparent red light cover.

[0045] Furthermore, the blockchain evidence storage interface executes:

[0046] Equipment operation time lock, binding the equipment usage period to the blockchain;

[0047] Cross-institutional verification gateway supports external hospitals to access stored evidence;

[0048] The operation period data recorded by the time lock encryption is used to provide a legal-level evidence chain for medical disputes through the verification gateway.

[0049] Through the above technical solution, a management system for operating room laparoscopic instrument atlases, through the synergy of three-dimensional dynamic landmark cards and central control servers, completely eliminates the operational delays and misuse risks caused by instrument recognition lag and human memory bias in traditional surgery, and realizes the instant use of instrument three-dimensional atlases, real-time matching and warning of contraindications, and traceability of the entire operation process, significantly improving surgical safety and management efficiency; the holographic interactive terminal combines spatial coordinate mapping algorithms and force feedback mechanisms to provide surgeons with intuitive operational guidance and physically block operational errors. At the same time, based on the blockchain's encrypted evidence storage mechanism, it builds an unalterable operational responsibility chain, systematically preventing medical risks from the source and strengthening the quality management closed loop. BRIEF DESCRIPTION OF THE DRAWINGS

[0050] Figure 1 A schematic diagram of data interaction between modules of a management system for an operating room laparoscopic instrument atlas provided in some embodiments of the present application. DETAILED DESCRIPTION

[0051] Specific embodiments of the present invention will now be mentioned in detail. Although the present invention is described in conjunction with these specific embodiments, it should be appreciated that the present invention is not intended to be limited to these specific embodiments. On the contrary, these embodiments are intended to cover substitutions, changes or equivalent embodiments that may be included in the spirit and scope of the invention defined by the claims. In the following description, a large amount of specific details are set forth to provide a comprehensive understanding of the present invention. The present invention can be implemented without some or all of these specific details. In other cases, in order not to make the present invention unnecessarily obscure, well-known process operations are not described in detail.

[0052] When used in conjunction with "including," "methods comprising," or similar language in this specification and the appended claims, the singular forms "a," "an," and "the" include plural references unless the context clearly dictates otherwise. Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs.

[0053] A management system for operating room laparoscopic instrument atlas, characterized by comprising:

[0054] 3D dynamic identification card, physically bound to the device, stores 3D maps and risk data;

[0055] Central control server, processing identification card data and coordinating various modules;

[0056] Holographic interactive terminals, including AR devices, for visualization and tactile feedback;

[0057] The near-field sensing module on the operating table monitors the position of the instrument and triggers communication;

[0058] The near-field sensing module of the operating table senses the entry of the instrument, and the near-field sensing module of the operating table activates the identification card to broadcast data. After the central server parses the data, it drives the holographic terminal to display the operation instructions.

[0059] The three-dimensional dynamic identification card includes:

[0060] UV etching identification layer, surface visualization of hot zone boundaries for manual verification;

[0061] Dual-frequency RFID chip to store instrument operation data set;

[0062] The dual-frequency RFID chip is aligned with the spatial coordinates of the UV etching identification layer, and the AR device automatically associates the three-dimensional model data in the chip when scanning the etching pattern.

[0063] In one embodiment, the central control server includes:

[0064] Contraindication matching engine, comparing device contraindications with patient medical records;

[0065] Hot zone enhancement unit, calculates intraoperative hot zone coordinate mapping;

[0066] Operation traceability unit, encrypting and recording equipment operation logs;

[0067] The contraindication engine receives patient data in real time. If there is a risk match, it triggers the hot zone enhancement unit to mark the dangerous area in the surgical video, and at the same time operates the traceability unit to record the alarm event.

[0068] In one embodiment, the contraindication matching engine performs:

[0069] Risk classification module, which divides the alarm level according to the degree of harm;

[0070] Multi-device linkage module to control the start and stop of energy equipment;

[0071] When the risk grading module identifies a level 3 alarm, the linkage module locks the power supply of the energy device and triggers a red cover on the surgical screen.

[0072] In one embodiment, the holographic interactive terminal includes:

[0073] AR projection module, superimposing 3D operation animation on the surgical field;

[0074] Force feedback gloves to detect operating angle deviation;

[0075] Voice prompt unit to announce contraindication warnings;

[0076] When the force feedback glove detects that the angle exceeds the tolerance, the AR interface will flash red and a voice alarm will be triggered simultaneously.

[0077] In one embodiment, the dual-frequency RFID chip comprises:

[0078] Highly anti-fouling encapsulation layer, maintaining communication reliability in blood-contaminated environments;

[0079] Dynamic data compression unit to optimize the storage structure of 3D models;

[0080] The compression unit optimizes the model data in real time so that the AR projection module can quickly load the three-dimensional animation.

[0081] In one embodiment, the operation tracing unit includes:

[0082] Zero-knowledge proof encryptor to generate tamper-proof operation hashes;

[0083] Blockchain evidence storage interface, connecting to the medical data chain;

[0084] The operation log hash value generated by the encryptor is written into the distributed ledger through the blockchain interface.

[0085] In one embodiment, the force feedback glove comprises:

[0086] Nine-axis gesture sensor captures hand movement trajectory in real time;

[0087] Gradient vibration motor array, graded tactile warning;

[0088] The posture sensor data is synchronized to the central server in real time, and the server controls the motor vibration intensity according to the deviation value.

[0089] In one embodiment, the hot zone enhancement unit performs:

[0090] Surgical field coordinate conversion algorithm, mapping the instrument coordinate system to the surgical field;

[0091] Bleeding simulation prediction module, which calculates the risk of mis-cutting based on tissue characteristics;

[0092] The coordinate conversion algorithm provides a spatial anchor point for the AR projection module, and the bleeding simulation result is superimposed on the dangerous area in the form of a semi-transparent red light cover.

[0093] In one embodiment, the blockchain evidence storage interface performs:

[0094] Equipment operation time lock, binding the equipment usage period to the blockchain;

[0095] Cross-institutional verification gateway supports external hospitals to access stored evidence;

[0096] The operation period data recorded by the time lock encryption is used to provide a legal-level evidence chain for medical disputes through the verification gateway.

[0097] Example: Prevention and control of misuse of electrocoagulation hook during cholecystectomy

[0098] During the preoperative preparation phase, the central control server loads a keyword database of contraindications for pacemaker patients. When the surgeon, holding a monopolar electrocoagulation hook attached to a 3D dynamic landmark card, enters the operating table's sensing area, the card's near-field communication module automatically broadcasts the device code DEV-EL-5A, contraindication data ["monopolar device," "pacemaker contraindications"], and the electrode tip hot zone coordinates to the central server. The server immediately retrieves the patient's electronic medical record and uses the contraindication matching engine to perform keyword intersection analysis. Upon detecting the "pacemaker" risk item, a three-level alert protocol is triggered: a power-off command is sent to the electrocoagulation hook host, forcing power outages. A red pulsing warning overlay is displayed on the operating room's main screen. Simultaneously, the AR glasses are activated to superimpose a pulsing red light marker on the electrode tip hot zone within the surgical field. Force feedback gloves simultaneously detect the gripping posture, triggering an 8Hz high-frequency vibration to force the surgeon to release their grip. A voice alarm system announces, "Contraindicated device! Stop operation immediately!" The operator immediately ceases operation.

[0099] The system automatically switches to a safe alternative within a sub-second response time. An AR interface projects a 3D animation of the insulated separating forceps operation, dynamically demonstrating the 90° rotation of the forceps and the tissue separation path. The operation traceability unit records the entire process, including event timestamps, operator ID, and blocking measures. A zero-knowledge proof engine generates a structured log, which is converted into a blockchain hash value (0x7d3f...a9c1) and stored in a medical alliance chain evidence storage node. This evidence includes the tactile feedback intensity curve and the precise time the device powered off, forming an unalterable chain of legal electronic evidence.

[0100] This embodiment completely eliminates the risk of instrument misuse due to human negligence in traditional surgery through closed-loop control of near-field recognition, multimodal blocking and real-time guidance: three-dimensional landmark cards achieve millisecond-level automatic matching of contraindications, which increases the efficiency of instrument safety identification tenfold; a multi-level physical blocking mechanism, equipment power off and tactile forced intervention ensure 100% interception of illegal operations; AR dynamic guidance seamlessly connects alternative instrument operation paths to ensure surgical continuity; blockchain evidence storage fully records the operator's behavior trajectory, provides legal-level technical endorsement for medical quality traceability, and systematically reconstructs surgical safety management standards.

[0101] Finally, it should be noted that the above embodiments are intended only to illustrate the technical solutions of the present invention and are not intended to limit the present invention. Although the present invention has been described in detail with reference to preferred embodiments, persons skilled in the art will appreciate that modifications to the specific embodiments of the present invention or substitutions of some of the technical features may be made without departing from the spirit of the present invention and are intended to be encompassed within the scope of the technical solutions claimed herein.

Claims

1. A management system for operating room laparoscopic instrument atlas, characterized in that: include: 3D dynamic identification card, physically bound to the device, stores 3D maps and risk data; Central control server, processing identification card data and coordinating various modules; Holographic interactive terminals, including AR devices, for visualization and tactile feedback; The near-field sensing module on the operating table monitors the position of the instrument and triggers communication; The near-field sensing module of the operating table senses the entry of the instrument, and the near-field sensing module of the operating table activates the identification card to broadcast data. After the central server parses the data, it drives the holographic terminal to display the operation instructions.

2. The management system for operating room laparoscopic instrument atlas according to claim 1, characterized in that: The three-dimensional dynamic identification card includes: UV etching identification layer, surface visualization of hot zone boundaries for manual verification; Dual-frequency RFID chip to store instrument operation data set; The dual-frequency RFID chip is aligned with the spatial coordinates of the UV etching identification layer, and the AR device automatically associates the three-dimensional model data in the chip when scanning the etching pattern.

3. The management system for operating room laparoscopic instrument atlas according to claim 2, characterized in that: The central control server includes: Contraindication matching engine, comparing device contraindications with patient medical records; Hot zone enhancement unit, calculates intraoperative hot zone coordinate mapping; Operation traceability unit, encrypting and recording equipment operation logs; The contraindication engine receives patient data in real time. If there is a risk match, it triggers the hot zone enhancement unit to mark the dangerous area in the surgical video, and at the same time operates the traceability unit to record the alarm event.

4. The management system for operating room laparoscopic instrument atlas according to claim 3, characterized in that: The contraindication matching engine performs: Risk classification module, which divides the alarm level according to the degree of harm; Multi-device linkage module to control the start and stop of energy equipment; When the risk grading module identifies a level 3 alarm, the linkage module locks the power supply of the energy device and triggers a red cover on the surgical screen.

5. The management system for operating room laparoscopic instrument atlas according to claim 1, characterized in that: The holographic interactive terminal includes: AR projection module, superimposing 3D operation animation on the surgical field; Force feedback gloves to detect operating angle deviation; Voice prompt unit to announce contraindication warnings; When the force feedback glove detects that the angle exceeds the tolerance, the AR interface will flash red and a voice alarm will be triggered simultaneously.

6. The management system for operating room laparoscopic instrument atlas according to claim 2, characterized in that: The dual-frequency RFID chip includes: Highly anti-fouling encapsulation layer, maintaining communication reliability in blood-contaminated environments; Dynamic data compression unit to optimize the storage structure of 3D models; The compression unit optimizes the model data in real time so that the AR projection module can quickly load the three-dimensional animation.

7. The management system for operating room laparoscopic instrument atlas according to claim 3, characterized in that: The operation tracing unit includes: Zero-knowledge proof encryptor to generate tamper-proof operation hashes; Blockchain evidence storage interface, connecting to the medical data chain; The operation log hash value generated by the encryptor is written into the distributed ledger through the blockchain interface.

8. The management system for operating room laparoscopic instrument atlas according to claim 5, characterized in that: The force feedback glove comprises: Nine-axis gesture sensor captures hand movement trajectory in real time; Gradient vibration motor array, graded tactile warning; The posture sensor data is synchronized to the central server in real time, and the server controls the motor vibration intensity according to the deviation value.

9. The management system for operating room laparoscopic instrument atlas according to claim 3, characterized in that: The hot zone enhancement unit performs: Surgical field coordinate conversion algorithm, mapping the instrument coordinate system to the surgical field; Bleeding simulation prediction module, which calculates the risk of mis-cutting based on tissue characteristics; The coordinate conversion algorithm provides a spatial anchor point for the AR projection module, and the bleeding simulation result is superimposed on the dangerous area in the form of a semi-transparent red light cover.

10. The management system for operating room laparoscopic instrument atlas according to claim 7, characterized in that: The blockchain evidence storage interface executes: Equipment operation time lock, binding the equipment usage period to the blockchain; Cross-institutional verification gateway supports external hospitals to access stored evidence; The operation period data recorded by the time lock encryption is used to provide a legal-level evidence chain for medical disputes through the verification gateway.