Guidance on spatial setup of rooms within a healthcare facility

Abstract

To provide improvements for simplified work procedures in medical interventions, an apparatus 10 for guidance in spatial setup of rooms in a medical facility is provided, having a data input unit 12, a data processor 14, and an output interface 16. The data input unit provides procedure data 18 related to a currently performed medical procedure. The data input unit provides spatial data 20 of at least one of staff and equipment associated with the currently performed medical procedure. The data processor calculates an upcoming physical movement of at least one group of staff and equipment based on the procedure data and the spatial data. The data processor determines at least one of equipment movement instructions 22 and staff spatial guidance 24 based on the calculated upcoming physical movement. Furthermore, the output interface provides at least one of the equipment movement instructions and staff spatial guidance.

Description

[Technical Field]

[0001] The present invention relates to an apparatus for guidance in the spatial setup of rooms in a medical facility, a system for guidance in the spatial setup of rooms in a medical facility, and a method for guidance in the spatial setup of rooms in a medical facility. [Background technology]

[0002] In minimally invasive and other types of surgery, multiple personnel, i.e., people, and some equipment, are arranged in various configurations depending on the type and variant of the procedure and the phase of the particular procedure. For example, in a cardiac procedure such as transaortic valve implantation (TAVI), the patient bed, C-arm X-ray machine, X-ray protective eyewear, anesthesia equipment, contrast pump, perfusion equipment, ultrasound equipment, display monitors, etc., along with the interventional cardiologist, cardiac surgeon, surgical assistants, colleagues, anesthesiologists, ultrasound technicians, perfusion technicians, prep nurses, and operating room nurses, change positions depending on the phase in which the TAVI procedure is being performed, e.g., transapical or transfemoral. In particular, the orientation of equipment and people may change during the procedure; for example, the C-arm imaging system may be positioned differently depending on the type of procedure. Furthermore, there are many more types of procedures, e.g., cardiac, peripheral, neurological, and many more, during which people and equipment need to be repositioned between procedures and between phases within those procedures. This has been shown to be time consuming and can lead to inefficiencies, errors, and impractical setups, especially when inexperienced staff are involved. Summary of the Invention [Problem to be solved by the invention]

[0003] Therefore, there may be a need to provide improvements for easier working procedures in medical interventions. [Means for solving the problem]

[0004] The object of the present invention is solved by the subject matter of the independent claims, further embodiments are incorporated in the dependent claims. It should be noted that the aspects of the present invention described below also apply to an apparatus for guidance in the spatial setup of rooms in a medical facility, a system for guidance in the spatial setup of rooms in a medical facility and a method for guidance in the spatial setup of rooms in a medical facility.

[0005] According to the present invention, there is provided an apparatus for guidance in the spatial setup of rooms in a medical facility. The apparatus has a data input, a data processor, and an output interface. The data input is configured to provide procedure data related to a currently performed medical procedure. The data input is also configured to provide spatial data of at least one of a staff and equipment group associated with the currently performed medical procedure. The data processor is configured to calculate an upcoming physical movement of at least one of the staff and equipment groups based on the procedure data and the spatial data. The data processor is also configured to determine at least one of an equipment movement instruction and a group of staff spatial guidance based on the calculated upcoming physical movement. The output interface is configured to provide at least one of the equipment movement instruction group and the staff spatial guidance.

[0006] As a result, work scenarios in rooms within a medical facility can be organized and arranged to best match each procedure being performed. Predicting upcoming movements allows equipment to have an overview and determine optimized movement patterns, while individual staff members must focus on their subjective view and, from there, consider which movements will occur in the room. By providing equipment movement instructions and staff spatial guidance, staff members are relieved of their burden and can focus more on their respective tasks. Equipment movement instructions ensure optimal placement of mobile equipment and minimal interference in interactions with other mobile parts and staff members. Thus, equipment can be used in the best and most efficient way. This generally facilitates workflow and provides benefits in terms of staff member comfort, safety, and efficiency.

[0007] According to one example, to provide treatment data regarding a currently performed medical treatment, the data processor is configured to track the type and phase of the medical treatment currently being performed.

[0008] According to one example, for tracking the type and phase of a medical procedure currently being performed, the data processor is configured to provide at least one of a procedure analysis based on image data of the current scenario, a procedure analysis based on acoustic data having at least a portion of a conversation by staff of the current scenario, and a group of patient-related data.

[0009] According to one example, for calculating the next physical movement, the data processor is configured to determine a possible next target location of at least one of the groups of staff and equipment based on the procedure data and the spatial data. The data processor is also configured to calculate possible movement trajectories. The data processor is also configured to provide a plausibility check for selecting the target location and trajectory. Additionally or alternatively, according to an option provided, the data processor is configured to calculate the next physical movement having at least one of the groups of: a from-to route of at least one of the groups of staff and equipment; and a movement sequence of at least one of the groups of staff and equipment.

[0010] According to one example, as a further input, the data input unit is configured to provide radiation dose information for at least some of the staff members, and based on their respective positions the data processor is configured to calculate dose exposure probabilities and determine adjusted position information to reduce radiation exposure of the staff members.

[0011] According to one example, to determine the equipment instructions and staff spatial guidance, the data processor is configured to provide parameter weightings to achieve an overall optimal score.

[0012] According to one example, in a first option, the data processor is configured to detect deviations from at least one of the groups of provided equipment movement instructions and staff spatial guidance based on changes and / or inputs by the user. The data processor is also configured to suggest changes to the stored room settings to the user providing learning updates. Additionally or alternatively, in a second option, the data processor is configured to detect changes exceeding a predetermined threshold indicative of a possible emergency scenario based on tracked patient vital parameters. The data processor is also configured to provide emergency equipment movement instructions and emergency staff spatial guidance.

[0013] According to one example, the data processor is configured to calculate alternative positions based on the provided treatment data, spatial data, and the calculated next physical movement under the principle that at least a portion of the group of staff and equipment is organized according to the concept of a flock of birds, evaluate whether any of the alternative positions provides benefits to the next stage, and provide at least one of an adjusted equipment movement command and an adjusted group of staff spatial guidance.

[0014] In one example, several devices are provided. At least some of the mobile participants, including staff and equipment, are assigned individual devices that can optimize their position under the concept of a flock of birds, also known as flocking. A (mobile) participant achieves an optimized position in relation to multiple adjacent mobile participants with respect to their actual progress.

[0015] In another example, a particular piece of equipment has its own associated individual behavioral intelligence (IBI) to physically follow a particular staff member. This IBI uses input from a central system regarding the locations of other equipment and staff to drive to a location near that staff member while avoiding collisions with other equipment and staff. A particular piece of equipment may also have its own sensors to avoid collisions with other equipment and staff. Optionally, the central system may predict what a particular piece of equipment will do, know its rule set, and assist itself in avoiding collisions during movement planning and execution for other equipment and staff.

[0016] The present invention also provides a system for guidance in the spatial setup of rooms in a medical facility. The system includes an apparatus according to one of the above examples and options. The system further includes a capture arrangement configured to capture a currently performed medical procedure and detect a spatial position and arrangement of at least one of a group of staff and equipment. The apparatus for guidance is configured to determine procedure data based on the captured currently performed medical procedure. The apparatus for guidance is also configured to determine spatial data of the staff and / or equipment based on the detected spatial position and arrangement of at least one of the group of staff and / or equipment.

[0017] According to one example, the system further includes equipment, at least a portion of which is provided with at least one of the following group: i) a drivable base, to which equipment movement commands are provided for manipulating the base to move the equipment accordingly; ii) an actuatable boom, to which equipment movement commands are provided for actuating the boom to reposition the equipment accordingly; and iii) an actuatable pan-tilt mechanism, to which equipment movement commands are provided for actuating the pan-tilt mechanism to adjust the equipment accordingly. At least a portion of the equipment is configured to be moved automatically according to the movement commands.

[0018] In one example, at least a portion of the staff and equipment are organized as participants in a procedure under the concept of a flock of birds, whereby at least two of the participants, each having at least two members of the group with at least one of the staff member and equipment, are provided with their own algorithm running on a processor to optimize their position within the flock.

[0019] According to the present invention there is also provided a method for guidance in the spatial setup of rooms in a medical facility, the method comprising: - providing treatment data relating to a currently performed medical treatment; - providing spatial data of at least one of a group of staff and equipment related to a currently performed medical procedure; - calculating an upcoming physical movement of at least one of the groups of staff and equipment based on the procedural data and the spatial data procedural data; determining at least one of a group of equipment movement instructions and staff spatial guidance based on the calculated upcoming physical movement; providing at least one of the group of equipment movement instructions and staff spatial guidance; It has.

[0020] The application areas are operating room-like rooms in hospitals or private clinics for all types of surgery, including catheterization labs and hybrid labs, or emergency rooms, intensive care units, general wards, or any other care setting where multiple staff members and multiple devices come together to perform a medical procedure.

[0021] According to one aspect, procedure types and phases are tracked during operating room (OR) activity. Optionally, room layout configurations by procedure type and phase are provided. Additionally, staff and equipment positions and orientations are tracked. Staff and equipment start-to-end routes are calculated for phase transitions requiring different staff and equipment positions and orientations. Staff guidance and feedback is provided via a user interface, for example, regarding equipment movement and when and where staff should reposition. Equipment on motorized wheels is moved, and motorized boom or pan-tilt mechanisms are brought to desired positions and orientations.

[0022] These and other aspects of the invention will be apparent from and elucidated with reference to the embodiments described hereinafter.

[0023] Exemplary embodiments of the present invention are described below with reference to the following drawings: [Brief explanation of the drawings]

[0024] [Figure 1] 1 shows a schematic illustration of an example of an apparatus for guidance in the spatial setup of a room in a medical facility, such as an operating room. [Figure 2] 1 illustrates an example of a system for guidance in spatial setup of rooms in a medical facility. [Figure 3] 1 shows another example of a system for guidance in which part of the equipment is provided with a motorized base. [Figure 4] 10 shows a further example of a system for guidance with a displayed projection or target position for a piece of equipment. [Figure 5] Four different scenarios are shown during a procedure in a room in a medical facility. [Figure 6] 1 illustrates the basic steps of an example method for guidance in the spatial setup of rooms in a medical facility. [Figure 7] 1 shows a schematic setup and workflow diagram of an example of guidance in spatial setup of rooms in a medical facility. [Figure 8] Figure 7 shows the setup and workflow options. [Figure 9] Figure 7 shows further options for the setup and workflow. [Figure 10] Figure 7 shows another option for the setup and workflow. DETAILED DESCRIPTION OF THE INVENTION

[0025] Specific embodiments will now be described in detail with reference to the accompanying drawings. In the following description, like drawing reference numbers are used for like elements in different drawings. Matters defined herein, such as detailed configurations and elements, are provided to facilitate a comprehensive understanding of the exemplary embodiments. Additionally, well-known functions or configurations will not be described in detail since they would obscure the embodiments in unnecessary detail. Furthermore, phrases such as "at least one of," when preceding a list of elements, modify the entire list of elements, and do not modify individual elements of the list.

[0026] FIG. 1 schematically illustrates an example of an apparatus 10 for guidance in the spatial setup of rooms in a medical facility. The apparatus 10 includes a data input unit 12, a data processor 14, and an output interface 16. The data input unit 12 is configured to provide procedure data 18 related to a currently performed medical procedure. The data input unit 12 is also configured to provide spatial data 20 of at least one of a staff and equipment group associated with the currently performed medical procedure. The data processor 14 is configured to calculate an upcoming physical movement of at least one of the staff and equipment groups based on the procedure data 18 and the spatial data 20. The data processor 14 is also configured to determine at least one of an equipment movement instruction 22 and a group of staff spatial guidance 24 based on the calculated upcoming physical movement. The output interface 16 is configured to provide at least one of the equipment movement instruction 22 and the group of staff spatial guidance 24.

[0027] In the illustrated example, the data input section 12, the data processor 14, and the output interface 16 are provided integrated within a common structure, such as a housing, as indicated by the frame 26. In another example, not shown, the data input section 12, the data processor 14, and the output interface 16 are provided separately.

[0028] The term "data input" relates to providing or supplying data for a data processing step. The data input 12 may also be referred to as a processing data input. The data input 12 may also be referred to as a data supply, a spatial data supply, an input unit, or simply an input. In one example, the data input 12 is data connectable to a data network configuration.

[0029] The term "data processor" relates to a processor or part of a processor arrangement provided for performing computational steps using data provided by a data input. Data processor 14 may also be referred to as a data processing arrangement, a processor unit, or a processor. In one example, data processor 14 is data-connected to data input 12 and output interface 16.

[0030] The term "output interface" relates to an interface for providing processed or calculated data for further purposes. The output interface 16 may also be referred to as an output section or an output unit. In one example, the output interface 16 may be data-connectable to a user interface arrangement or a user interaction device. In another example, the output interface 16 may be data-connected to a display. As an example, a signal from a processor may be provided by the output interface 16.

[0031] The term "procedure data" relates to all information that allows to retrieve, i.e., determine, the procedure currently being performed. The procedure data 18 may comprise medical equipment that allows to identify, regarding information on the current staff scenario, the performed task, subject or staff data, and any other characteristics.

[0032] The term "scenario" relates to a stage in an operational procedure. A scenario refers to the different setups required during an intervention.

[0033] The term "spatial data" relates to information about the placement of equipment or staff within a room.

[0034] The term "next physical movement" relates to what happens in the current scenario as the next action regarding the movement of a device or person.

[0035] The term "equipment movement instructions" relates to the movement, adaptation, adjustment, modification, or operation of movable, adaptable, adjustable, alterable, or operable equipment.

[0036] The term "staff spatial guidance" relates to information for selected or all staff members to achieve a position within a room defined as a temporary target position.

[0037] The term "room in a healthcare facility" relates to a space, i.e., a room, used for medical interventions, medical tests, medical treatments, etc. Examples of such rooms are operating rooms, i.e., rooms configured to perform medical operations such as surgical procedures, and laboratories configured to perform interventions involving catheters. However, "room in a healthcare facility" also relates to other rooms, which are used for similar purposes and in which multiple staff members and multiple mobile devices are present during a medical procedure and change location during the procedure, such as emergency rooms and intensive care units.

[0038] As a sort of starting point, an understanding of the currently performed procedure and the current scenario or situation in an operating room or other room within a medical facility is provided. This understanding is made to determine possible further scenarios or situations given the performed or executed medical procedure, such as surgery. In other words, further procedures are predicted. Based on this prediction, changes in the position and arrangement of staff and / or equipment are calculated. Respective movement or change orders are generated and provided to be used to move or change the spatial situation according to the next scenario of the medical procedure.

[0039] The understanding can be provided by the respective data. Optionally, the understanding is generated by detecting the current situation, for example, by an optical camera. Additionally, other data sources, such as conversations between staff members or stored information about the subject and the planned procedure, can also be used to achieve an understanding of the current situation related to each procedure.

[0040] In one example, a medical procedure is performed in an operating room.

[0041] In one example, spatial data about a medical procedure currently being performed is provided to staff and equipment.

[0042] In one example, equipment movement instructions and staff space guidance are determined.

[0043] In one example, movement patterns, in addition to determining staff and equipment locations, are tracked to determine medical procedures currently being performed to provide treatment data.

[0044] In one example, to provide treatment data regarding a medical treatment currently being performed, data processor 14 is configured to track the type and phase of the medical treatment currently being performed.

[0045] The term "type" relates to a kind or category of medical procedure. The term "phase" relates to a particular identifiable part, portion, or sequence within a medical procedure.

[0046] In one example, for tracking the type and phase of a medical procedure currently being performed, the data processor 14 is configured to provide at least one of a procedure analysis based on image data of the current scenario, a procedure analysis based on acoustic data including at least a portion of a conversation by staff in the current scenario, and a group of patient-related data.

[0047] In one example, the patient-related data includes the type of operation currently being performed. In another example, the patient-related data includes current or updated data that allows for retrieval of the phase of the operation currently being performed. As an example for updated data, the patient's medical data is monitored, or equipment activity is monitored so that documentation of specific operation steps allows for retrieval of the phase of the operation currently being performed.

[0048] In one example, this also includes input for treatment data in the form of knowledge. For example, input regarding which treatment is being performed at that moment and what such treatment consists of, e.g., what steps, is provided, for example, from an electronic medical record (EMR). Optionally, this can also be stored, for example, in a database. Optionally, the image and acoustic data are then used to recognize transitions in the treatment steps.

[0049] In one example, for providing spatial data, the data processor 14 is configured to provide at least one of a group of optical tracking of physical objects within a predetermined space of a room, such as an operating room, based on the optical image data and marker tracking of at least one of a group of staff and equipment, where the markers are provided as at least one of a group of optical markers, electromagnetic markers, and acoustic markers.

[0050] In one example, staff and equipment are tracked, and markers can be called beacons, for example attached to staff or equipment.

[0051] In one example, for calculating the next physical movement, data processor 14 is configured to determine possible next target locations for at least one of the staff and equipment groups based on the procedure data and spatial data. Data processor 14 is also configured to calculate possible movement trajectories. Data processor 14 is further configured to provide plausibility checks for selecting the target locations and trajectories.

[0052] In one example, a prediction of the likely next scenario of a performed medical procedure is calculated to calculate the next physical movement of staff and / or equipment.

[0053] In one example, information about where people and systems are preferably located at each step of the procedure is predefined and available from a database.

[0054] In another example, this information is learned over time and then stored.

[0055] In one example, data processor 14 is configured to calculate an upcoming physical movement having at least one of a group of a start-end route of at least one of the groups of staff and equipment and a movement sequence of at least one of the groups of staff and equipment.

[0056] In an example not shown in detail, as a further input, the data input 12 is configured to provide radiation dose information for at least some of the staff members, based on their respective positions the data processor 14 is configured to calculate dose exposure probabilities and determine adjusted position information to reduce radiation exposure of the staff members.

[0057] As an example, staff working in a catheterization lab, such as doctors and nurses, routinely experience radiation. By wearing dosimeters that measure radiation input over time, their respective radiation dose exposures are made available. This data is used as input for reducing radiation input. To this end, tracking of procedure types and details along a timeline is provided. The dosimeters track radiation uptake at specific moments during the procedure. Additionally, location tracking of each individual is provided, for example, by Wi-Fi location, Bluetooth beacon location, computer vision systems, 3D cameras, etc. By providing a correlated timeline, radiation uptake and location can be used to map where most radiation is likely to occur during the procedure. This data is used to improve the lab setup for a particular procedure, such as staff and equipment placement, to minimize radiation uptake. Optionally, this can be done as a static setup or even enhanced to move equipment and even staff to radiation-blank spots during the procedure.

[0058] In one example, to determine equipment commands and staff spatial guidance, data processor 14 is configured to provide parameter weightings to achieve an overall optimal score.

[0059] In one example, to determine equipment commands and staff spatial guidance, weightings for the multiple moves are provided to determine an optimal scoring across the multiple moves for a predetermined parameter score having at least one of the following group: target location taking into account the target task, path length, path trajectory, intersections with other trajectories, time of move, speed of move, and continuous required connection to a supply line or conduit.

[0060] In one example, to calculate possible next target locations, weightings such as the example above are applied to multiple movements to determine an optimal scoring across multiple movements for a given parameter score.

[0061] In one example, to calculate a start-end route, weightings such as the example above are applied to multiple trips to determine an optimal scoring across multiple trips for a given parameter score.

[0062] In one example, to calculate the order of moves, weightings such as the example above are applied to multiple moves to determine an optimal scoring across multiple moves for a given parameter score.

[0063] In one example, the data processor 14 is configured to generate a specific procedure room layout configuration based on a plurality of generic room layout configurations, and the data processor 14 is also configured to apply the generic room layout configuration to a specific operating room model stored in the operating room model store.

[0064] In a further example, in a first option, the data processor 14 is configured to detect deviations from at least one of the groups of provided equipment movement instructions and staff spatial guidance based on inputs and / or changes by the user. The data processor 14 is also configured to suggest changes to the stored operating room settings to the user providing learning updates.

[0065] In a second option of a further example provided additionally or alternatively, data processor 14 is configured to detect changes above a predetermined threshold based on the tracked patient vital parameters that indicate a possible upcoming emergency scenario. Data processor 14 is also configured to provide emergency equipment movement instructions and emergency staff spatial guidance.

[0066] An example of a patient vital parameter that is tracked is the so-called blood stability index.

[0067] In one example, motorized wheels are provided for a drivable base, e.g., for mobile equipment. In another example, an actuatable boom is provided for mounting imaging devices, such as cameras, or lighting devices. An actuatable boom can also be provided for positioning patient supply and monitoring devices during operation. In a further example, a pan-tilt mechanism is provided for the display. At least a portion of the equipment is configured to be moved automatically according to movement commands.

[0068] In one example, procedure data is provided before a procedure begins and available equipment is tracked. Based on equipment movement orders and staff spatial guidance, an operating room or other room type configuration for the upcoming procedure is provided. Furthermore, as the procedure begins and progresses, procedure data is provided at least periodically or continuously, and equipment and staff are repositioned based on updated equipment movement orders and staff spatial guidance.

[0069] As a result, staff no longer have to manually set up the operating room for the next procedure and rearrange equipment when the procedure begins.

[0070] In one example, an experienced operating room team has learned what setups work well for specific procedures and procedure phases, possibly related to physician preferences. Optionally, these are documented. This knowledge is provided to configure the room. With updated equipment movement instructions and staff spatial guidance, layout changes no longer require manual effort.

[0071] Operating room equipment, for example on motorized wheels, is moved to the optimal position and orientation depending on the (expected) procedure phase, with guidance to the relevant staff and with the necessary safeguard mechanisms. The anticipatory nature of the solution ensures that equipment and people are in the optimal position for the task at hand, avoiding the need for staff to manually retrieve, reposition and / or reorient (heavy) equipment.

[0072] For example, this is applicable to mobile operating room equipment on powered wheels with an actuable boom or pan-tilt mechanism. The optimal position and orientation depending on the (expected) treatment phase is achieved together with guidance to the involved staff and with the necessary safeguard mechanisms.

[0073] Advantageously, integrated powered equipment movement in the operating room is provided.

[0074] According to one example, not shown in further detail, data processor 14 is configured to calculate alternative positions based on the provided procedure data, spatial data, and the calculated next physical movement, where at least some of the groups of staff and equipment are organized according to the concept of a flock of birds. Data processor 14 is further configured to evaluate whether any of the alternative positions provides benefits to the next stage. Data processor 14 is also configured to provide at least one of adjusted equipment movement instructions and adjusted groups of staff spatial guidance.

[0075] In one example, several devices are provided. At least some of the mobile participants, including staff and equipment, are assigned individual devices that can optimize their position under the concept of flocking, also known as flocking. A (mobile) participant achieves an optimized position in relation to multiple adjacent mobile participants in terms of actual progress.

[0076] FIG. 2 illustrates an example of a system 100 for guidance in the spatial setup of an operating room (OR) or other type of room in a medical facility. The system 100 includes an example of the apparatus 10 according to one of the examples and options described above. The system 100 also includes an acquisition arrangement 102. The acquisition arrangement 102 is configured to acquire a currently performed medical procedure and detect the spatial position and arrangement of at least one of a group of staff and equipment. The apparatus 10 for guidance is configured to determine procedure data based on the acquired currently performed medical procedure. The apparatus 10 for guidance is also configured to determine spatial data of staff and / or equipment based on the detected spatial position and arrangement of at least one of a group of staff and / or equipment.

[0077] The term "capture configuration" refers to a device, system or other setup that is capable of capturing the current scene and detecting what is currently going on.

[0078] In one example, a system is provided having a staff and equipment position and orientation tracker, a procedure type and phase tracker, (optionally) a procedure room layout configuration store, and a staff and equipment routing planner. The staff and equipment position and orientation tracker provides tracking data to the procedure type and phase tracker. The staff and equipment routing planner receives data from the staff and equipment position and orientation trackers and the procedure type and phase tracker. The staff and equipment routing planner (optionally) receives data from the procedure room layout configuration store. Furthermore, the staff and equipment routing planner is connected to an equipment movement direction control and a staff guidance user interface.

[0079] Optionally, an operating room model store and a generic procedure room layout configuration store are provided, which provide data to a procedure room layout configuration generator that provides data to the procedure room layout configuration store.

[0080] In addition, a further option is provided in which a procedure room layout optimizer / customizer is provided that receives data from staff and equipment position and orientation trackers and procedure type and phase trackers, and is further data connected to a procedure room layout configuration generator and a general procedure room layout configuration store.

[0081] Additionally provided is yet another option, an adaptive room layout controller is provided that receives data from staff and equipment position and orientation trackers and interfaces with equipment movement direction controls.

[0082] In one example, the capture arrangement 102 comprises at least one of the following group: an optical camera, a time-of-flight camera, a radar sensor, a microphone, and a position and orientation tracker.

[0083] In one example, the system 100 further includes equipment. At least a portion of the equipment comprises at least one of the following group: i) a drivable base, to which equipment movement commands are provided to operate the base to move the equipment accordingly; ii) an actuatable boom, to which the equipment movement commands are provided to actuate the boom to reposition the equipment accordingly; and iii) an actuatable pan-tilt mechanism. The equipment movement commands are provided to actuate the pan-tilt mechanism to adjust the equipment accordingly. At least a portion of the equipment is configured to be moved automatically according to the movement commands.

[0084] In one example, at least some of the staff and equipment as participants in the procedure are organized under the concept of a flock of birds, whereby at least two of the participants, including at least two members of the group including at least one of the staff member and the equipment, are equipped with their own algorithms running on a processor to optimize their position in the flock.

[0085] 2, an optical camera 104, a time-of-flight camera arrangement 106, and a microphone 108 are optionally shown schematically.

[0086] As an example for one of many stages in an OR, a first staff member 112, such as a surgeon, and a second staff member 114, such as an assistant, are shown. A subject 116 is positioned on a subject support 118. Additionally, equipment such as a mobile base 120 with lights and a display is shown. Additionally, a mobile C-arm 122 is provided for imaging purposes.

[0087] The motion base 120 with lights and display comprises a first drivable base 124. The mobile C-arm 122 comprises a second drivable base 126. Upon receiving respective signals, such as instrument movement commands 22, the bases can move the instruments to their respective target positions.

[0088] As a further option, a staff guidance instructor 128 is shown. The staff guidance instructor 128 may also be referred to as a staff guide device. The staff guidance instructor 128 is configured to provide staff spatial guidance 24 to at least one of the staff members 112, 114. The staff spatial guidance 24 may be provided, as an example, in the form of protrusions on the floor so that each staff member knows the target position.

[0089] In another option not shown in detail, staff spatial guidance 24 is provided via a head-mounted device, for example a virtual or augmented reality device.

[0090] In a further option, not shown, staff spatial guidance 24 is provided via loudspeakers. To avoid unnecessary noise in the OR, multiple loudspeakers are provided to provide staff spatial guidance 24 as sound-based information in a targeted, or focused, manner. Optionally, staff spatial guidance 24 is provided primarily to each staff member, but other staff members in the nearby surroundings are also provided with this information so that they are aware of the guidance. Optionally, staff spatial guidance 24 is provided via earphones.

[0091] In one example, not shown in further detail in the figures, at least some of the staff and equipment as participants in the procedure are organized under a flock of birds concept, whereby at least two of the participants, including at least two members of a group that includes at least one of the staff member and the equipment, are provided with a unique algorithm running on a processor to optimize its position in the flock.

[0092] For example, this provides a distributed approach where the digital twins of all devices and staff members have rules, e.g., learned rules for optimal positioning during a procedure. As an example, a particular device may always be within reach of a particular staff member.

[0093] In one aspect, a so-called swarm of operating room equipment within a so-called swarm of operating room staff is monitored while tracking the progress of an operating room procedure, and the swarm is driven through a predetermined procedure room layout configuration in anticipation of the next procedure step or phase.

[0094] FIG. 3 shows another example of a system for guidance in which some of the equipment is provided with a motorized base. FIG. 3 shows a first schematic plan view 300. A subject support 302 is shown with an X-arm type X-ray imaging device 304 on the left. The X-ray imaging device 304 can have a movable base or be movably mounted on a fixed support, such as a ceiling-mounted rail system. Additionally, an anesthesia machine 306, e.g., a base for providing anesthesia and monitoring the subject's vital data, and an ultrasound machine 308 are shown on either side of the subject support 302. Additional equipment 310 can also be located within the operating room, particularly near the subject support 302.

[0095] Optionally, tracking markers 312 are provided on at least part of the device, for example attached to the anesthesia machine 306 , the ultrasound machine 308 or the further equipment 310 .

[0096] Tracking markers 312 are provided to provide spatial data 20 for each device. Staff members can also be provided with tracking markers 312, etc.

[0097] To accomplish the equipment movement commands 22, at least some of the equipment have drive mechanisms 314, also referred to as drivable bases, to move the respective equipment accordingly. Alternatively or in addition to the drive mechanisms 314, actuatable boom or actuatable pan-tilt mechanisms may be provided.

[0098]

[0023] Figure 4 shows a further example of a system for guidance with displayed projections or target locations for pieces of equipment. Figure 4 shows a second schematic plan view 400 similar to Figure 3. A subject support 402 is shown with an X-arm X-ray imaging device 404 on the left. Additionally, an anesthesia machine 406, an ultrasound machine 408, and additional equipment 410 are shown on either side of the subject support 402. Again, optionally, tracking markers 412 are provided for at least some of the equipment.

[0099] To achieve the instrument movement command 22 for at least part of the instrument, a projection 414 is provided showing the target position. Each instrument can then be moved accordingly, e.g., motorized via remote control or manually.

[0100] In one example, provision of automatic recommendations for instrument tracking and spatial placement is provided, for example, as an application, i.e., during an interventional procedure.

[0101] This offers a particular advantage, as equipment in a catheterization lab is unwieldy and takes up a lot of already limited space. Guidance in OR spatial setup facilitates workflow. This is advantageous, as coordinating space with machines, cables, monitors, patient beds, and moving C-arms, along with the people in the room, can be challenging. The solution provided supports maintaining a level of comfort and safety within the OR. To create an effective room setup, a device for guidance in OR spatial setup understands at least the primary procedure requirements and configures the room accordingly based on point-in-time procedure requirements and potential equipment conflicts.

[0102] Mixed reality annotation of 2D images or 3D volumes is provided to provide equipment movement instructions 22 as well as staff spatial guidance 24. This setup can also be used for staff training purposes.

[0103] To streamline the equipment operation process, automatic equipment tracking is provided to detect object locations and potential collisions, for example, based on C-arm operations or the movement of other machinery in the operating room. An option utilizes a marker-based system, for example, using ceiling-mounted cameras to locate objects on the 2D plane of the room. Based on calculations, predictions can be made to detect when a collision or obstruction may occur. Using an alarm system, such as lighting on equipment in the room, users can be notified when a collision may occur, and adjustments can be made based on recommendations.

[0104] Another option is to provide projection-based room recommendations whereby suggested recommended machine moves are projected within the room, such as onto the floor, to navigate the technician to manually manipulate the equipment to the ideal location.

[0105] In one aspect, sensor-based equipment tracking with predictive feedback for rapid room setup and equipment manipulation during a procedure is provided.

[0106] In a further option, which is additionally or alternatively provided and not shown in detail, the positioning recommendations are projected so that they are visible to the staff member, but the movements are performed automatically by controlling the respective drives and actuators. This projection informs the staff member visually where the moving parts are about to move. Optionally, this is provided in addition to projecting instructions to the staff member. In another option, projections for the motorized moving equipment are provided without projecting instructions for the staff member. The latter may also be provided as acoustic instructions.

[0107] In another option that may additionally or alternatively be provided and not shown in detail, projection-based staffing recommendations are provided whereby suggested recommended staff movements are projected within the room, such as on the floor, for staff to navigate to ideal locations. In another aspect, sensor-based staff tracking with predictive feedback for rapid room setup and equipment operation during procedures is also provided.

[0108] 5 illustrates four different scenarios or stages during an operating room procedure 500. A first stage 502 is shown in the first row, a second stage 504 is shown in the second row, a third stage 506 is shown in the third row, and a fourth stage 508 is shown in the fourth row. These stages are exemplary only, and many more different stages may exist during a medical procedure.

[0109] In a first stage 502, a start or preparation phase is shown. A subject support 510 is positioned in a preparation room. An X-ray imaging device 512, provided as a mobile or at least movable C-arm system, is in a parking position. In a second stage 504, the X-ray imaging device 512 is in a standby position for use. The subject support 510 is about to be moved within the operating room. In a third stage 506, the subject support 510 is in an operating position, and the X-ray imaging device 512 is in a first use position where it can be used to image the subject on the subject support 510. Additional equipment and staff members are shown at various positions around the subject support 510. In a fourth stage 508, the X-ray imaging device 512 is in a second use position where it can be used to further image the subject on the subject support 510.

[0110] As an example for different stages during surgery, reference is made to a TAVI procedure where the transapical stage is different from the transfemoral stage.

[0111] Guidance in spatial setup of an operating room, as provided by various examples and options, helps organize and handle the various moving parts, i.e., equipment, devices, systems, and staff members, thus facilitating complex workflows.

[0112] 6 illustrates the basic steps of an example method 200 for guidance in the spatial setup of rooms in a medical facility. The method 200 includes the following steps: in a first step 202, procedure data relating to a currently performed medical procedure is provided; in a second step 204, spatial data of at least one of a group of staff and equipment associated with the currently performed medical procedure is provided; in a third step 206, an upcoming physical movement of at least one of a group of staff and equipment is calculated based on the procedure data and the spatial data; in a fourth step 208, at least one of a group of equipment movement instructions and staff spatial guidance is determined based on the calculated upcoming physical movement; and in a fifth step 210, at least one of a group of equipment movement instructions and staff spatial guidance is provided.

[0113] In one example of the method, a step of tracking the type and phase of a medical procedure currently being performed is provided to provide procedure data regarding the medical procedure currently being performed.

[0114] In one example of the method, at least one of a treatment analysis based on image data of a current scenario, a treatment analysis based on acoustic data including at least a portion of a staff conversation of the current scenario, and a group of patient-related data is provided for tracking the type and phase of a medical treatment currently being performed.

[0115] In one example of the method, there is provided a step of optically tracking objects within a predetermined volume of a room based on optical image data to provide spatial data.

[0116] In another example of the method, a step of marker tracking of at least one of the group of staff and equipment is provided to provide spatial data. The marker is provided as at least one of the group of optical markers, electromagnetic markers, and acoustic markers. In one example, the acoustic marker is provided as an ultrasonic beacon.

[0117] In one example of the method, a possible next target location of at least one of the group of staff and equipment is determined based on the procedure data and the spatial data to calculate a next physical movement. Further, possible movement trajectories are calculated, and a plausibility check is provided to select the target location and trajectory.

[0118] In one example of the method, calculating an upcoming physical movement includes calculating a start-end route for at least one of the groups of staff and equipment.

[0119] In another example of the method, calculating an upcoming physical movement includes calculating an order of movement of at least one of the groups of staff and equipment.

[0120] In one example of the method, to determine the equipment instructions and staff spatial guidance, parameter weightings are provided to achieve an overall optimal score.

[0121] In one example of this method, at least a portion of the instrument is provided with a drivable base, and instrument movement commands are provided for operating the base to move the instrument accordingly.

[0122] In one example of the method, at least a portion of the equipment is provided with an actuatable boom, and equipment movement commands are provided for actuating the boom to reposition the equipment accordingly.

[0123] In one example of the method, at least a portion of the device is provided with an actuatable pan-tilt mechanism, and device movement commands are provided for actuating the pan-tilt mechanism to adjust the device accordingly.

[0124] In one example of this method, a specific procedure room layout configuration is generated based on a plurality of generic room layout configurations, which are applied to a specific operating room model stored in a operating room model store.

[0125] In one example of the method, deviations from at least one of the provided groups of equipment movement instructions and staff spatial guidance are detected based on user input and / or changes, and changes to the stored operating room settings are suggested to the user to provide learning updates.

[0126] In one example of the method, based on tracked patient vital parameters, changes above a predetermined threshold indicative of a possible upcoming emergency scenario are detected, and emergency equipment movement instructions and emergency staff spatial guidance are provided.

[0127] Below, different examples and options are provided, which are also further explained below in an exemplary setup as shown in Figures 7 to 10.

[0128] In one example, a procedure type and phase tracker is provided. This may include tracking what type of operating room procedure and what phase within the operating room procedure is being performed. This information may come from the patient's electronic medical record, procedure card, or procedure, e.g., selection of phase, imaging system, ongoing procedure management, and / or computer vision observing the procedure being performed from a camera, e.g., a ceiling-mounted camera such as a 3D camera, and / or natural language processing analysis of conversations in the operating room.

[0129] In one example, a procedure room layout configuration store is optionally provided, which may include a stored collection of room layouts showing optimal positions and orientations of equipment and staff for each type and phase of procedure.

[0130] In one example, tracking of staff and equipment position and orientation is provided, including trackers for tracking the position and orientation of operating room staff and equipment within the room. This may be done, for example, via 3D cameras, such as ceiling-mounted cameras, using computer vision to track equipment and people, possibly using posture, head orientation, and / or eye tracking for staff, or by using fiducial markers on equipment, coded lights, or object recognition algorithms, by Wi-Fi localization, optical floor pattern recognition, or RFID / beacon-based localization, etc.

[0131] In one example, a staff and equipment routing planner is provided, which may have algorithms that, for example, continuously calculate start-to-end routes for each piece of equipment and also for each staff member, and calculate the order in which these routes should be traveled by staff and equipment, for example, safely and without introducing collisions. In one example, these routes proceed from a current procedure room layout configuration to a next procedure room layout configuration, initiated by a procedure type and phase tracker.

[0132] In one example, a staff guidance user interface is provided, which may have one or several devices that indicate to operating room staff members that equipment is moving or about to begin moving. This may also include indicating where the staff member should ideally move or not move for the time being to avoid collisions. In one example, this is done by projections on the floor or by visual and / or audible signals on the equipment, voice commands, wearable augmented reality glasses, etc. In one example, the guidance is driven by the staff and equipment routing planner.

[0133] In one example, equipment movement direction control is provided, and commands are provided to the motorized wheels, boom, or pan-tilt mechanisms of each piece of equipment to reposition and / or reorient according to routes / directions provided by staff and the equipment routing planner.

[0134] It is proposed to rearrange operating room staff and operating room equipment, e.g., motorized wheels, motorized booms, or motorized pan-tilt mechanisms, to match an ideal or optimized setup for the type and phase of the operating room procedure at hand.

[0135] A further option provides a system that learns from actual procedure execution about which room layouts per phase, e.g., staff and equipment positions and orientations, are most effective for a particular operating room team, which may vary from country to country, hospital to hospital, depending on the type of equipment used and the number of staff involved, as well as the team's level of experience. A procedure room layout optimizer, also referred to as a customizer component, is provided, which uses input from tracking the positions and orientations of staff and equipment, as well as procedure type and phase trackers, and compares this with information in the procedure room layout configuration store. If consistent differences exist between the actual room layout and the stored room layout, the system suggests updating the relevant information in the procedure room layout configuration store. If consistent differences are observed in procedures across multiple operating rooms, hospitals, and / or countries, the system may even suggest updating the relevant information in the generic procedure room layout configuration store. This results in an optimized, customized room layout configuration.

[0136] Optionally, adaptive room layout generation is provided. As an example, staff members change position and orientation during a treatment phase, and this is tracked. Equipment movement instructions and staff spatial guidance are adapted to the situation occurring at the moment. For example, adjusting equipment position and orientation allows for the best possible ergonomics. An example of an adapted room layout is the use of a shared display.

[0137] In a further option, the adaptive room layout controller continuously uses input from tracking staff and equipment position and orientation to drive equipment movement directional control and generate small adjustments to equipment position and orientation. For example, in the case of shared display use, it may continuously analyze who is looking at which display and accordingly adapt the viewing angle to the display so that all users looking at it have the best possible view together.

[0138] For example, staff and equipment position and orientation trackers may be provided to monitor, eg, continuously, the current position and orientation of all personnel and equipment within the operating room.

[0139] For example, a procedure type and phase tracker is provided that continuously monitors the start and end of a procedure, determines what type of procedure it is, and whether a new phase in this procedure is about to begin in which different staff and equipment positions are desired. To detect phase transitions in a procedure, the system may use tracking of staff and equipment positions and orientations, or other sources. It may also reference a procedure room layout configuration store to determine whether a position change should occur.

[0140] For example, the staff and equipment routing planner receives a trigger from the procedure type and phase tracker that a new phase involving a position change is about to begin. In response to such a trigger, it collects new desired staff and equipment positions from the procedure room layout configuration and begins calculating displacement routes and / or new orientations for each staff member and piece of equipment, and how these movements can best be integrated and, possibly, partially sequenced, e.g., with the most efficiency and while avoiding collisions. During the transition to the new position, it may continuously monitor progress and dynamically adapt the routing strategy, e.g., if staff make other movements relative to the guidance provided.

[0141] For example, the staff guidance user interface and equipment movement direction control simultaneously obtain information from the staff and equipment routing planner, instructing each staff member where to stand, position, or orientate themselves to safely interact with the equipment movement being made. The user interface may include notifications, possibly displayed on the equipment itself, that nearby equipment is about to begin a movement or has reached its final destination.

[0142] The start-end route may also be referred to as the route or travel path from the current location to the destination location.

[0143] Optionally, generative room layout configurations are provided. For example, instead of having a procedure room layout configuration for each specific operating room or other room type for medical interventions and examinations in a particular hospital, the system generates specific procedure room layout configurations based on a generic procedure room layout configuration. A procedure room layout configuration generator is provided that calculates specific procedure room layout configurations by applying the generic specific procedure room layout configuration to models of specific operating rooms in a particular hospital or other structures stored in the operating room model store.

[0144] In the following, the term "providing data" is used to describe the provision of data, signals, or any other form of information to the setup, i.e., the next part of the workflow diagram.

[0145] FIG. 7 shows a schematic setup and data workflow diagram 600 of an example of guidance in the spatial setup of a room within a medical facility.

[0146] 7 , staff and equipment position and direction tracking 602 is provided, which supplies data to a staff and equipment routing planner 604. Further, a procedure type and phase tracker 606 is provided, which also supplies data to the staff and equipment routing planner 604. In addition, a procedure room layout configuration store 608 is optionally provided to provide data to the procedure type and phase tracker 606 and the staff and equipment routing planner 604. The respective data is processed in the staff and equipment routing planner 604 and then provided to an equipment movement direction control 610 and a staff guidance user interface 612. The equipment movement direction control 610 processes the spatial arrangement, i.e., controls the placement of equipment, as a first output. The staff guidance user interface 612 provides instructions, i.e., guidance for the staff, as a second output.

[0147] Optionally, the instrument position and orientation tracker 602 provides data to a procedure type and phase tracker 606 .

[0148] Figure 8 shows the setup and data workflow options for Figure 7.

[0149] 8, an operating room model store 614 provides data to a procedure room layout configuration generator 616. Additionally, a generic procedure room layout configuration store 618 is also provided that provides data to the procedure room layout configuration store 608. Thus, the operating room model data and the generic procedure room layout configuration data can be used in the data processing described above.

[0150] Figure 9 shows further options for the setup and data workflow of Figure 7. The first option provides the following, along with the options provided in Figure 8: The second option provides the following, without the options provided in Figure 8:

[0151] 9, a procedure room layout optimizer / customizer 620 is provided that receives data from staff and equipment position and orientation tracker 602 and / or procedure type and phase tracker 606. The procedure room layout optimizer / customizer 620 feeds data to and receives data from a procedure room layout configuration store 608. Optionally, with the options shown in FIG. 8, the procedure room layout optimizer / customizer 620 feeds data to and receives data from a general procedure room layout configuration store 618.

[0152] Figure 10 shows further options for the setup and data workflow of Figure 7. In a first option, the following is provided, along with the options provided in Figure 8 and along with the options provided in Figure 9: In a second option, the following is provided, along with the options provided in Figure 8, but without the options provided in Figure 9: In a third option, the following is provided, along with the options provided in Figure 9, but without the options provided in Figure 8: In a fourth option, the following is provided, without the options shown in Figure 8 and without the options shown in Figure 9:

[0153] 10, an adaptive room layout controller 622 is provided that feeds data to the equipment movement direction control 610. The adaptive room layout controller 622 uses input from staff and equipment position and orientation tracking to drive the equipment movement direction control to generate small adjustments to equipment position and orientation.

[0154] The term "subject" may also be referred to as an individual. A "subject" may also be referred to as a patient, although it should be noted that this term does not indicate whether any disease or condition actually exists in the subject.

[0155] In another exemplary embodiment of the invention, a computer program or a computer program element is provided, characterized in that it is configured to perform, on a suitable system, the method steps of the method according to one of the previous embodiments.

[0156] Thus, a computer program element may be stored in a computing unit or distributed over one or more computing units that may be part of an embodiment of the present invention. This computing unit may be configured to perform or direct the performance of the steps of the above-mentioned method. Furthermore, it may be configured to operate the components of the above-mentioned apparatus. The computing unit can be configured to operate automatically and / or to execute a user's order. The computer program may be loaded into the working memory of a data processor. The data processor may thus be configured to perform the method of the present invention.

[0157] Aspects of the present invention may be embodied in a computer program product, which may be a collection of computer program instructions stored on a computer-readable storage device that can be executed by a computer. The instructions of the present invention may be any interpretable or executable code mechanism, including, but not limited to, a script, an interpretable program, a dynamic link library (DLL), or a Java class. The instructions may be provided as a complete executable program, a partial executable program, a modification (e.g., an update) to an existing program, or an extension (e.g., a plug-in) to an existing program. Furthermore, portions of the processing of the present invention may be distributed across multiple computers or processors.

[0158] As described above, a processing unit, e.g., a controller, implements the control method. This controller can be implemented in a variety of ways using software and / or hardware to perform the various functions required. A processor is one example of a controller that uses one or more microprocessors that can be programmed using software (e.g., microcode) to perform the required functions. However, a controller may be implemented with or without a processor, or as a combination of dedicated hardware to perform some functions and a processor (one or more programmed microprocessors and associated circuitry) to perform other functions.

[0159] Examples of controller components that may be used in various embodiments of the present disclosure include, but are not limited to, conventional microprocessors, application specific integrated circuits (ASICs), and field programmable gate arrays (FPGAs).

[0160] This exemplary embodiment of the present invention encompasses both computer programs that use the present invention from the beginning, and computer programs that convert existing programs into programs that use the present invention by means of an update.

[0161] Furthermore, the computer program element may be capable of providing all the steps necessary to fulfill the procedures of the exemplary embodiments of the methods described above.

[0162] According to a further exemplary embodiment of the present invention, a computer readable medium, such as a CD-ROM, is presented, having stored thereon a computer program element, which computer program element is described by the previous section. The computer program may be stored and / or distributed on a suitable medium, such as an optical storage medium or a solid-state medium, supplied together with or as part of other hardware, but may also be distributed in other forms, such as via the Internet or other wired or wireless communication systems.

[0163] However, the computer program may also be presented over a network such as the World Wide Web and can be downloaded into the working memory of a data processor from such a network. According to a further exemplary embodiment of the present invention, a medium for making a computer program element available for downloading is provided, the computer program element being configured to perform a method according to one of the aforementioned embodiments of the present invention.

[0164] It should be noted that the embodiments of the present invention are described with reference to different subject matters. In particular, some embodiments are described with reference to method-type claims, and other embodiments are described with reference to apparatus-type claims. However, those skilled in the art will understand from the above and below description that, unless otherwise specified, any combination of features belonging to one type of subject matter, as well as any combination between features relating to different subject matters, is considered to be disclosed in the present application. However, all features can be combined to provide a synergistic effect greater than the simple sum of the features.

[0165] While the invention has been illustrated and described in detail in the drawings and foregoing description, such illustration and description are to be considered exemplary or explanatory and not restrictive. The invention is not limited to the disclosed embodiments. Other variations to the disclosed embodiments can be understood and effected by those skilled in the art in practicing the claimed invention, from a study of the drawings, the disclosure and the dependent claims.

[0166] In the claims, the word "comprise" does not exclude other elements or steps, and the indefinite article "a" or "an" does not exclude a plurality. A single processor or other unit may fulfill the functions of several items recited in the claims. The mere fact that certain measures are recited in mutually different dependent claims does not indicate that a combination of these measures cannot be used to advantage. Any reference signs in the claims should not be interpreted as limiting the scope.

Claims

1. 1. An apparatus for guidance in spatial setup of rooms in a healthcare facility, said apparatus comprising: A data input unit; A data processor; an output interface; and the data input component providing procedure data relating to a currently performed medical procedure; configured to provide spatial data of at least one of a group of staff and equipment related to the currently performed medical procedure; The data processor is configured to calculate an upcoming physical movement of at least one of the groups of staff and equipment based on the procedure data and the spatial data procedure data, and to determine at least one of a group of equipment movement instructions and staff spatial guidance based on the calculated upcoming physical movement; the output interface is configured to provide at least one of the group of the equipment movement instructions and the staff spatial guidance. Device.

2. The apparatus of claim 1 , wherein the data processor is configured to track a type and phase of the currently performed medical procedure for providing the procedure data related to the currently performed medical procedure.

3. 3. The apparatus of claim 2, wherein for tracking the type and phase of the currently performed medical procedure, the data processor is configured to provide at least one of the following group: a treatment analysis based on image data of a current scenario, a treatment analysis based on acoustic data having at least a portion of a conversation by the staff of the current scenario, and patient-related data.

4. 4. The device of claim 1, wherein for providing the spatial data, the data processor is configured to provide at least one of the group of: optical tracking of objects within a predetermined space of the room based on optical image data; and marker tracking of at least one of the group of staff and equipment, the markers being provided as at least one of the group of optical markers, electromagnetic markers, and acoustic markers.

5. For calculating the next physical movement, the data processor is configured to determine possible next target locations for at least one of the group of staff and equipment based on the procedure data and the spatial data procedure data, calculate possible movement trajectories, and provide plausibility checks for selecting target locations and trajectories; the data processor is configured to calculate the next physical movement having at least one of a group of start-end routes for at least one of the groups of staff and equipment and a sequence of the movement of at least one of the groups of staff and equipment; 5. An apparatus according to any one of claims 1 to 4.

6. 6. The apparatus of claim 1, wherein the data input is configured to provide, as a further input, radiation dose information for at least some of the staff, and based on the respective positions the data processor is configured to calculate dose exposure probabilities and determine adjusted position information to reduce radiation exposure of the staff.

7. 7. The apparatus of claim 1, wherein, for determining the equipment instructions and the stuff spatial guidance, the data processor is configured to provide parameter weightings to achieve an overall optimal score.

8. 8. The apparatus of claim 1, wherein the data processor is configured to generate a specific treatment room layout configuration based on a plurality of generic room layout configurations and to apply the generic room layout configuration to a specific room model stored in a room model store.

9. The data processor i) detecting deviations from at least one of the provided equipment movement instructions and the staff spatial guidance group based on user inputs and / or changes and providing learning updates to the user suggesting changes to stored room settings; and / or ii) detecting changes above a predetermined threshold based on the tracked patient vital parameters that indicate possible upcoming emergency scenarios, and providing emergency equipment movement instructions, emergency staff spatial guidance; 9. An apparatus according to any one of claims 1 to 8.

10. The data processor calculating alternative locations for at least some of the groups of staff and equipment based on the provided procedure data, the spatial data, and the calculated next physical movement, under the principle that the groups are organized according to a flock of birds concept; assessing whether any of the alternative locations would be beneficial for the next stage; providing at least one of a group of coordinated equipment movement instructions and coordinated staff spatial guidance; 10. The device according to claim 1, configured to:

11. 1. A system for guidance in spatial setup of rooms in a healthcare facility, the system comprising: A device according to any one of claims 1 to 10; A capture device; and the capture device is configured to capture a currently performed medical procedure and detect a spatial location and arrangement of at least one of the groups of staff and equipment; the guidance device is configured to determine the procedure data based on the captured currently performed medical procedure, and to determine the spatial data of the staff and / or equipment based on the detected spatial position and arrangement of at least one of the groups of staff and equipment. system.

12. The capture device is An optical camera, Time-of-flight camera and a radar sensor; A microphone and a position and orientation tracking device; 12. The apparatus of claim 11, comprising at least one of the following groups:

13. the system further comprises an instrument; At least a portion of the device comprises: i) a drivable base (124, 126, 314), wherein the equipment movement commands are provided to operate the base to move the equipment accordingly; ii) an actuatable boom, wherein the equipment movement command is provided for actuating the boom to reposition the equipment accordingly; and iii) an actuatable pan-tilt mechanism, wherein the equipment movement command is provided to actuate the pan-tilt mechanism to adjust the equipment accordingly; and and at least one of the following groups: At least a portion of the equipment is configured to be moved automatically in accordance with the movement command.

13. A system according to claim 11 or 12.

14. 1. A method for guidance in spatial setup of rooms in a healthcare facility, comprising: providing treatment data relating to a currently performed medical treatment; providing spatial data of at least one of a group of staff and equipment related to the currently performed medical procedure; calculating an upcoming physical movement of at least one of the staff and equipment groups based on the procedure data and the spatial data procedure data; Based on the calculated next physical movement, Equipment movement command Staff Space Guidance determining at least one of the groups of providing at least one of the group of equipment movement instructions and staff spatial guidance; A method having the following.

15. A computer program comprising instructions that, when executed by a computer, cause the computer to carry out the method of claim 14.

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