Dual-Screen Remote Proctoring for Synchronized Procedure Guidance
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Solution Overview
Problem
Current proctoring systems, such as the InTouch robot system, lack enhanced capabilities for real-time remote monitoring and guidance during medical procedures, particularly in situations requiring precise timing and orientation, like minimally invasive surgeries.
Innovation Solution
A proctoring system that integrates a communication device at a remote station with simultaneous display of fluoroscopy imagery and patient hemodynamics, allowing specialists to provide real-time guidance through video and audio communication, with the ability to transmit commands like 'deploy now' based on synchronized data.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Device complexity
If a remote proctoring system uses a single display for monitoring medical procedures, then the system complexity is reduced, but the ability to simultaneously monitor multiple critical parameters (fluoroscopy imagery and hemodynamics) is compromised
Solution Approach 1:
The display system is segmented into multiple independent display regions or screens, each dedicated to showing specific medical parameters (fluoroscopy imagery on one display, hemodynamic data on another). This segmentation allows simultaneous monitoring of multiple critical parameters without requiring a single overly complex display interface, thereby preserving information completeness while maintaining manageable system complexity.
Solution Approach 2:
The system transitions from a two-dimensional single-screen display to a multi-dimensional display architecture involving multiple screens or divided display areas. This dimensional expansion enables the simultaneous presentation of multiple independent data streams (visual imaging and numerical hemodynamic data) that cannot be effectively combined on a single display without loss of critical information.
2Measurement precision
If the proctoring system displays detailed real-time data from multiple sources, then the monitoring precision is improved, but the information becomes difficult to process and act upon quickly
Solution Approach 1:
Different types of data are segmented and presented in separate, dedicated display areas optimized for their specific purposes. Fluoroscopy imagery is displayed in a format optimized for visual assessment of device position and orientation, while hemodynamic parameters are displayed with clear numerical values and trends. This segmentation allows precise monitoring of each parameter type without overwhelming the operator with undifferentiated information.
Solution Approach 2:
Each display region is optimized with local quality appropriate to the type of information it presents. Visual imaging areas provide high spatial resolution for detecting device orientation, while hemodynamic data areas emphasize temporal resolution and trend visualization. This localized optimization enables precise monitoring while maintaining ease of interpretation for each specific data type.
3Reliability
If the system provides comprehensive real-time feedback during medical procedures, then the proctoring quality is improved, but the communication bandwidth and system resources are overwhelmed
Solution Approach 1:
The system extracts and transmits only the most critical and time-sensitive information in real-time (fluoroscopy imagery and key hemodynamic parameters), while less critical data may be recorded or transmitted with lower priority. This selective extraction maintains high proctoring quality for essential parameters while managing communication bandwidth consumption.
Solution Approach 2:
The system maintains continuous transmission of critical real-time data streams (video and vital signs) without interruption, ensuring uninterrupted proctoring capability. This continuous transmission of essential information maintains high reliability while the system prioritizes these critical streams over optional or less time-sensitive data, thereby managing overall bandwidth consumption effectively.
Data Source
AI summary
A proctoring system that includes a communication device coupled to a remote station. The remote station has a visual display that displays first information relating to an action that causes an effect on an object, and simultaneously displays second information relating to the effect on the object. The remote station includes at least one input device that allows a communication to be transmitted by an operator to the communication device. By way of example, during the deployment of a heart stent, a specialist doctor may remotely view real-time fluoroscopy imagery and patient hemodynamics. The specialist can remotely proctor medical personnel on the proper orientation and timing requirements for installing the stent.