Operating Room Systems

Abstract

To provide a surgical operation room system capable of reliably guaranteeing the cleanliness of an operation field.SOLUTION: A surgical operation room system 10 comprises: an air supply facility 17 which supplies clean air downward from an air outlet area 21 provided in a ceiling 15 and forms a layer flow area of the clean air in the periphery of a surgical bed 12; a shadowless lamp facility 18 which includes a plurality of light sources 26 provided in the air outlet area 21 and illuminates an operation field in a shadowless state; and a surface light-emitting lighting facility 19 which has a first surface light-emitting material 31 provided around the air outlet area 21.SELECTED DRAWING: Figure 1

Description

[Technical field]

[0001] The present invention relates to operating room systems. [Background technology]

[0002] Conventionally, operating rooms are provided with an air supply system that supplies clean air to the area around the operating table, and a shadowless light system that illuminates the operating field in a shadowless state. For example, in Patent Document 1, the air supply system is provided on the ceiling, and clean air is supplied to the operating table from above to form a laminar flow area around the operating table. The shadowless light system has a multi-joint arm connected to the ceiling, and a lighting device supported on the ceiling via the multi-joint arm. [Prior art documents] [Patent documents]

[0003] [Patent Document 1] JP 2019-88731 A Summary of the Invention [Problem to be solved by the invention]

[0004] However, in the shadowless light equipment of Patent Document 1, it is necessary to adjust the articulated arm and place the lighting device near the surgical field, i.e., near the surgeon. For this reason, there is a risk that the articulated arm and lighting device will disturb the flow of clean air, making it impossible to ensure the cleanliness of the surgical field. [Means for solving the problem]

[0005] The operating room system that solves the above problems includes an air supply equipment that supplies clean air downward from an air outlet area installed in the ceiling and forms a laminar flow area of ​​the clean air around the operating table, a shadowless light equipment that has multiple light sources installed in the air outlet area and illuminates the surgical field in a shadowless state, and a surface-emitting lighting equipment that has surface-emitting material installed around the periphery of the air outlet area.

[0006] According to the above configuration, the shadowless lamp equipment that illuminates the surgical field in a shadowless state and the surface-emitting lighting equipment that illuminates the entire operating room are installed on the ceiling, so that the cleanliness of the surgical field can be more reliably guaranteed.

[0007] In the operating room system having the above configuration, it is preferable that the surface-emitting lighting equipment includes a first surface-emitting material which is the surface-emitting material, and a second surface-emitting material which is a surface-emitting material provided on a wall connected to the ceiling. According to the above configuration, by providing the surface-emitting material on the wall, it becomes easier to ensure the illuminance in the operating room.

[0008] In the operating room system having the above configuration, it is preferable that the surface-emitting lighting equipment has a plurality of the second surface light-emitting materials, and some of the plurality of second surface light-emitting materials function as monitors. According to the above configuration, since the monitor is mounted on the wall, the cleanliness of the surgical field can be more reliably guaranteed.

[0009] In the operating room system having the above configuration, it is preferable that the shadowless light equipment is configured to be able to change the illumination area provided by the plurality of light sources. According to the above configuration, the illumination area is configured to be changeable, so that an appropriate area can be illuminated depending on the situation.

[0010] The operating room system having the above configuration may include a position information acquisition device that acquires position information indicating the position of the surgeon, and a control device that changes the illumination area in accordance with the position information. According to the above configuration, the illuminated area can be changed in accordance with the movement of the surgeon. [Brief description of the drawings]

[0011] [Figure 1] FIG. 1 is a diagram showing a schematic configuration of an embodiment of an operating room system. [Diagram 2] FIG. 2 is a block diagram showing an example of the electrical configuration of the operating room system. [Diagram 3] FIG. 1 is a block diagram showing an example of a hardware configuration of an information processing device. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0012] An embodiment of an operating room system will be described with reference to FIGS. 1 to 3. FIG. As shown in Fig. 1, the operating room system 10 is a system that forms a laminar flow area of ​​clean air flowing from above to below around an operating table 12 in an operating room 11, and also illuminates the area around the operating table 12. The operating room 11 includes a floor 13, walls 14, and a ceiling 15. The wall 14 is connected to the floor 13 and the ceiling 15. An operation timer 16 is provided on the wall 14, which indicates the current time, the operation time, the anesthesia time, etc.

[0013] The operating room system 10 includes an air supply system 17, a shadowless light system 18, and a surface-emitting lighting system 19. The air supply equipment 17 forms a laminar flow area of ​​clean air flowing from the ceiling 15 to the floor 13 around the operating table 12. The air supply equipment 17 has a clean air supply device 20 and an air outlet area .

[0014] The clean air supply device 20 takes in and cleans the air around the device, and then supplies the clean air to the air outlet area 21. The air outlet area 21 is provided in the ceiling 15. The air outlet area 21 is provided so as to overlap the operating table 12 and the peripheral area of ​​the operating table 12 in a top view. The air outlet area 21 is provided with a plurality of air outlets (not shown). The air outlet area 21 blows out the clean air supplied from the clean air supply device 20 downward from each air outlet.

[0015] The shadowless light equipment 18 illuminates the area around the operating table 12, including the surgical field, without causing a shadow. The area illuminated by the shadowless light equipment 18 without causing a shadow is called a light field. The shadowless light equipment 18 is composed of multiple built-in lighting fixtures 25. The multiple built-in lighting fixtures 25 are installed in positions different from the air outlets in the air outlet area 21. The multiple built-in lighting fixtures 25 are installed in a lattice array.

[0016] Each recessed lighting fixture 25 has a light source 26 and a direction adjuster 27 . The light source 26 is, for example, a light emitting diode (LED) light with a lens. The light source 26 emits directional illumination light of a predetermined illuminance toward the periphery of the operating table 12.

[0017] The direction adjuster 27 adjusts the lighting direction of the light source 26 by being controlled by the control device 36 described later. The direction adjuster 27 is composed of, for example, a plurality of servo motors and a mechanism that changes the lighting direction of the light source 26 by driving the servo motors. The shadowless light equipment 18 is configured to be able to adjust the light field by changing the lighting direction of the light source 26.

[0018] The surface-emitting lighting equipment 19 can illuminate the inside of the operating room 11 with illuminance similar to the overall sky illuminance by turning on a switch (not shown). The surface-emitting lighting equipment 19 has a plurality of first surface light-emitting materials 31 and a plurality of second surface light-emitting materials 32 as lighting fixtures.

[0019] The first surface light-emitting material 31 is installed on the ceiling 15. The first surface light-emitting material 31 is, for example, a surface-emitting LED panel. The first surface light-emitting material 31 is installed on the entire ceiling 15 so as to surround the blowing area. The first surface light-emitting material 31 illuminates the inside of the operating room 11 by the entire panel emitting white light.

[0020] The second surface light-emitting material 32 is installed on the wall 14. The second surface light-emitting material 32 is installed on the upper part of the wall 14 so as to surround the operating room 11. The second surface light-emitting material 32 is, for example, an organic EL (Electro Luminescence) panel. The light-emitting mode of the second surface light-emitting material 32 is controlled by a control device 36 described later. Specifically, the second surface light-emitting material 32 illuminates the inside of the operating room 11 by emitting light in a whitish color from the entire panel. The second surface light-emitting material 32 also functions as a monitor that displays an image based on a video signal from the control device 36 described later.

[0021] As shown in FIG. 2, the operating room system 10 includes a position information acquisition device 35 and a control device 36. The position information acquisition device 35 acquires position information indicating the position of the surgeon's hands in the operating room 11 at a predetermined period, and outputs the acquired position information to the control device 36. The position information acquisition device 35 has a plurality of imaging devices 37 installed on the ceiling 15, for example, as shown in FIG. 1. Each imaging device 37 is installed above the operating table 12, and the periphery of the operating table 12 is included in the imaging range. The position information acquisition device 35 identifies the position of the surgeon's hands by performing image recognition processing on the images around the operating table 12 captured by each imaging device 37, and outputs the identified hand position to the control device 36 as position information.

[0022] The hardware configuration of the information processing device H10 functioning as the control device 36 will be described with reference to FIG. 3, the information processing device H10 includes a communication device H11, an input device H12, a display device H13, a storage device H14, and a processor H15. Note that this hardware configuration is an example, and the information processing device H10 may include other hardware.

[0023] The communication device H11 is an interface that establishes a communication path with another device and transmits and receives data, and is, for example, a network interface or a wireless interface.

[0024] The input device H12 is a device that accepts input from a user, etc., and is, for example, a mouse, a keyboard, a touch panel, etc. The display device H13 is a display or a touch panel display that displays various information.

[0025] The storage device H14 is a device that stores data and various programs for executing various functions. Examples of the storage device H14 include a ROM, a RAM, and a hard disk. The processor H15 controls each process using programs and data stored in the storage device H14. Examples of the processor H15 include a CPU and an MPU. The processor H15 loads a program stored in a ROM or the like into a RAM and executes various processes corresponding to various processes.

[0026] The processor H15 is not limited to a processor that performs software processing for all the processes it executes. For example, the processor H15 may be equipped with a dedicated hardware circuit (e.g., an application specific integrated circuit: ASIC) that performs hardware processing for at least a part of the processes it executes. That is, the processor H15 may be configured as a circuit including (1) one or more processors that operate according to a computer program (software), (2) one or more dedicated hardware circuits that execute at least a part of various processes, or (3) a combination thereof. The processor includes a CPU and memory such as RAM and ROM, and the memory stores program code or instructions configured to cause the CPU to execute processes. The memory, i.e., computer-readable medium, includes any available medium that can be accessed by a general-purpose or dedicated computer.

[0027] As shown in Fig. 2, the control device 36 executes tracking control based on position information from the position information acquisition device 35. In the tracking control, the control device 36 identifies the position of the surgeon's hands based on the acquired position information, and controls the direction adjuster 27 of the built-in lighting fixtures 25 so that the identified hand position is included in the light field. The control device 36 may change the lighting direction of all the built-in lighting fixtures 25. The control device 36 may also change the lighting direction of some of the built-in lighting fixtures 25 selected according to the hand position, and keep the remaining built-in lighting fixtures 25 illuminating the surgical field.

[0028] The control device 36 receives image information such as X-ray images and images captured by an endoscopic camera as well as biological information of the patient from various medical devices 38. The control device 36 is configured to be able to select the second surface light-emitting material 32 that displays information for each piece of information by operating the input device H12. For example, as shown in Fig. 1, the control device 36 is configured to be able to select to display biological information on the second surface light-emitting material 32a and image information on the second surface light-emitting material 32b. This allows various pieces of information to be displayed in positions that are easy for the surgeon to see.

[0029] (action) In the above-described operating room system 10, the shadowless light equipment 18 can illuminate the area around the operating table 12 in a shadowless state, and the surface-emitting lighting equipment 19 can illuminate the entire operating room 11 with an illuminance similar to the global sky illuminance.

[0030] The effects of this embodiment will be described. (1) In the operating room system 10, the shadowless light equipment 18 is composed of a plurality of recessed lighting fixtures 25 installed on the ceiling 15. In addition, a surface-emitting lighting equipment 19 capable of illuminating the inside of the operating room 11 with the same illuminance as the overall sky illuminance is composed of surface light-emitting materials 31, 32 installed on the ceiling 15 and the wall 14. This makes it possible to realize shadowless lighting around the operating table 12 and ensure illuminance in the operating room 11 without placing an articulated arm or lighting device around the operating table 12. As a result, the flow of clean air around the operating table 12 is less likely to be disturbed, so the cleanliness of the operating field can be more reliably guaranteed.

[0031] (2) Various lighting fixtures that act as heat sources are installed on the ceiling 15 and walls 14, so that the temperature around the surgeon is prevented from rising due to lighting. This makes it possible to achieve a uniform temperature distribution in the operating room 11. As a result, it is possible to reduce the difference in temperature felt by the surgeon and other staff members.

[0032] (3) In a configuration in which the shadowless light equipment is supported on the ceiling 15 via a multi-joint arm, the multi-joint arm needs to have an operating area that can prevent interference between the shadowless light equipment and other medical equipment. For this reason, the ceiling 15 needs to be high enough to ensure that operating area is secured.

[0033] In this regard, since the operating room system 10 does not require an articulated arm, the required height of the ceiling 15 can be lowered. This reduces the air volume of the operating room 11, thereby reducing the capacity required for the air conditioning equipment of the operating room 11. As a result, the running costs of the operating room 11 can be reduced.

[0034] (4) Furthermore, the lower required height of the ceiling 15 reduces the required floor height of the floor on which the operating room 11 is installed. As a result, the degree of freedom in installing the operating room 11 is improved and the construction cost of the building having the operating room 11 can be reduced.

[0035] (5) Since the surface-emitting lighting equipment 19 has the second surface-emitting material 32 installed on the wall 14, the illuminance within the operating room 11 can be easily ensured. (6) A part of the second surface light-emitting material 32 functions as a monitor. This eliminates the need for an articulated arm to connect the monitor that displays biological information to the ceiling 15. As a result, the cleanliness of the surgical field can be more reliably guaranteed.

[0036] (7) The shadowless light system 18 is capable of changing the area illuminated by the built-in lighting fixture 25. This allows the appropriate area to be illuminated in a shadowless state. (8) In the operating room system 10, the control device 36 changes the lighting area of ​​the built-in lighting fixture 25 based on the position information acquired by the position information acquisition device 35. This makes it possible to illuminate an appropriate area in accordance with the movement of the surgeon in a shadowless state.

[0037] (9) The control device 36 is configured to be able to select the second surface light-emitting material 32 that displays various information. This allows various information to be displayed in a position that is easily visible to the surgeon. This embodiment can be modified as follows: This embodiment and the following modifications can be combined with each other to the extent that there is no technical contradiction.

[0038] The position information acquisition device 35 may be, for example, a position information transmitter attached to the wrist of the surgeon. The operating room system 10 may control the shadowless light equipment 18 so that the hands of the surgeon are included in the light field. Therefore, the operating room system 10 may be configured so that the position information acquisition device 35 outputs the coordinates of the position of the surgeon's hands in the operating room 11 to the control device 36 as position information, and the control device 36 controls the direction adjuster 27 of each built-in lighting fixture 25 based on the coordinates. In such a configuration, it is preferable that the control device 36 stores the control mode of the direction adjuster 27 for each coordinate in addition to the coordinates of each position in the operating room 11. Also, the operating room system 10 may control the shadowless light equipment 18 so that the hands of the surgeon are included in the light field by an infrared search and track system that detects and identifies the position of the hands of the surgeon by infrared rays and tracks the position of the hands.

[0039] The operating room system 10 only needs to have the shadowless lamp equipment 18 capable of illuminating the area around the operating table 12, including the surgical field, in a shadowless state. Therefore, the operating room system 10 does not need to include the position information acquisition device 35 and the control device 36 that stores a program related to tracking control.

[0040] Furthermore, in the shadowless light equipment 18, when the light sources 26 are LED lights with lenses, multiple lenses may be provided for each light source 26. In such a configuration, the light field may be adjusted by the direction adjuster 27 of each built-in lighting fixture 25, or the light field may be adjusted by the orientation of multiple lenses in each light source 26. In a configuration in which illumination light passes through multiple lenses, the light field may be adjusted by changing the relative positions between the multiple lenses. Furthermore, the shadowless light equipment 18 may have a light field that can be manually changed, or the light field may be fixed.

[0041] The position of the second surface light emitting material 32 functioning as a monitor may be determined in advance. The operation timer 16 may be configured to be displayed by the second surface light-emitting material 32 that functions as a monitor.

[0042] The second surface light emitting material 32 does not have to have a function as a monitor. In such a configuration, the second surface light emitting material 32 can be configured with a surface light emitting LED panel. The surface-emitting lighting equipment 19 may be composed of only the first surface-emitting material 31 installed on the ceiling 15 . [Explanation of symbols]

[0043] H10...information processing device, H11...communication device, H12...input device, H13...display device, H14...storage device, H15...processor, 10...operating room system, 11...operating room, 12...operating table, 13...floor, 14...wall, 15...ceiling, 16...operation timer, 17...air supply equipment, 18...shadowless light equipment, 19...surface-emitting lighting equipment, 20...clean air supply device, 21...air outlet area, 25...recessed lighting fixture, 26...light source, 27...direction adjuster, 31...first surface-emitting material, 32...second surface-emitting material, 32a, 32b...second surface-emitting material functioning as a monitor, 35...position information acquisition device, 36...control device, 37...imaging device, 38...medical equipment.

Claims

1. an air supply system that supplies clean air downward from an air outlet area provided on a ceiling and forms a laminar flow area of ​​the clean air around the operating table; A shadowless light facility having a plurality of light sources provided in the air outlet area and illuminating the surgical field in a shadowless state; a surface emitting lighting facility having a surface emitting material provided around the air outlet area; a position information acquisition device for acquiring position information indicating a position of a surgeon; a control device to which the position information is input, The surface-emitting lighting equipment includes a first surface-emitting material which is the surface-emitting material, and a plurality of second surface-emitting materials which are surface-emitting materials provided on a wall connected to the ceiling, Each of the plurality of second surface light emitting materials is configured to function as a monitor that displays information; The control device selects the second surface light emitting material in accordance with the position information and displays the information. Operating room system.

2. The shadowless light equipment is configured to be able to change the illumination area provided by the plurality of light sources. The operating room system of claim 1 .

3. The control device is configured to change the illumination area in response to the position information. The operating room system of claim 2 .

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