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WO2018133983A1 - Procédé de surveillance de l'état d'instruments d'opération pour des interventions chirurgicales et des interventions similaires - Google Patents

Procédé de surveillance de l'état d'instruments d'opération pour des interventions chirurgicales et des interventions similaires Download PDF

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Publication number
WO2018133983A1
WO2018133983A1 PCT/EP2017/081242 EP2017081242W WO2018133983A1 WO 2018133983 A1 WO2018133983 A1 WO 2018133983A1 EP 2017081242 W EP2017081242 W EP 2017081242W WO 2018133983 A1 WO2018133983 A1 WO 2018133983A1
Authority
WO
WIPO (PCT)
Prior art keywords
data
utensils
operating
sensor
operations
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/EP2017/081242
Other languages
German (de)
English (en)
Inventor
Stefan Leuthold
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from EP17152427.5A external-priority patent/EP3352106A1/fr
Application filed by Individual filed Critical Individual
Publication of WO2018133983A1 publication Critical patent/WO2018133983A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Definitions

  • the invention relates to a method for monitoring the condition of surgical utensils and similar inserts.
  • the invention also relates to an operating utensil for carrying out the method.
  • Control of the proper condition of surgical utensils is carried out in practice by inspection thereof by the providing staff and the surgeon performing the procedure, including the assisting staff. It goes without saying that the result of this procedure is dependent on the subjective judgment and the individual care of the person involved. This control method also has the disadvantage that often a precise reconstruction of the state of the operating implements used in hindsight is no longer traceable.
  • the surgical utensils may also be implants, which must also be provided to the patient during procurement and provision for surgery in an absolutely flawless condition, unmistakable and error-free. This is not guaranteed with sufficient certainty in today's circumstances.
  • the invention has for its object to avoid these disadvantages and to provide a method of the type mentioned, which at any time the actual state of the used operating utensils displays and registers, regardless of subjective factors, such as truth misjudgment or lack of care of the professional providing or using them.
  • This object is achieved dad urch by the fact that the state of the operating utensils is preferably recorded using relevant for their operability parameters continuously with built-in sensors in them and the data obtained from these data are evaluated at the same time or time offset on the basis of instrument-specific target specifications.
  • the inventive method allows the proper use of the operating utensils, which brings a reduction in the error rates with operations. And in the case of misguided interventions, it also enables troubleshooting based on reliable records of the condition of the operating implements used.
  • the underlying the method parameters and their target values are determined depending on the type and function of the surgical utensils, which come into question in practice, factors like temperature, humidity, pulse stretch, overvoltage, overcurrent, EO concentration, Strah ⁇ lung and the like ,
  • the invention further provides that the evaluation of the data obtained from the operating equipment depending on the type of intervention on or several times, during, before and / or after use in one with the sensors through data transmission center! connected receiver is performed.
  • the invention also provides that the evaluation results can be visualized by a suitable means as an interface between the specialist personnel and the hardware, for example a video monitor or the like.
  • the data obtained from the surgical utensils are evaluated preferably either aggregated on itself or on a database of the recipient.
  • the data are recorded by a computer or a similar central data processing device, stored and preferably evaluated algorithmically by being compared there with the respectively entered desired specifications.
  • the central data processing not only allows an individual assessment of the condition of individual devices, but also an interdisciplinary overview of the overall condition of the equipment used.
  • the computer also takes into account further application-specific data such as location, date of assignment or duration of use of the procedure.
  • the computer can also register overloading of the operating utensils by recording the stresses and forces acting on them during use. It is also useful for avoiding surgical errors when the computer also registers damage or even the end of the life of the operating devices and this is indicated by an optical and / or audible signal.
  • the computer can also register a sterilization or cleaning operation by temperature, humidity and EO concentration measurement.
  • the inventive tool for practicing the proposed method is characterized in that miniaturized sensors are installed in it, which preferably continuously detect one or more of the parameters to be taken into account. These sensors only slightly change the conventional design of the device. You can transfer the data you have obtained to the receiver via radio via WLAN, Bluetooth, NFC and similar electronic means.
  • the sensors can be installed either in an encapsulation or under a cover of the operating utensil. This design also allows the retrofitting of the sensors in conventionally designed devices.
  • the invention provides that this monitoring system is also very useful for implants, and that these implants are each correspondingly provided with one or more sensors. are provided ren. This allows them to be monitored and controlled even before implantation so that no confusion can occur, which also provides additional safety for the surgeons.
  • FIG. 2 shows an instrument designed according to the invention as an operating tool, shown in plan view, FIG.
  • FIG. 3 shows a detail of the instrument from FIG. 2 in the embodiment with an encapsulated sensor
  • Fig. 4 shows the detail according to FIG. 3 in the embodiment with a sensor arranged under a cover
  • Fig. 5 is a view of an implant formed as a plate as
  • the monitoring system shown schematically in Fig. 1 is used for continuous monitoring of the state of surgical or medical instruments as operating utensils, such as syringes, forceps, scissors blades, etc., which are exposed depending on the nature of the procedure different beding ments and thus during surgery experience different stresses.
  • Such surgical utensils may also be implants of any kind, such as osteosynthesis plates for holding a broken bone, joint prostheses, pacemakers, stents, vascular prostheses, or the like.
  • This monitoring system comprises a plurality of stations 1 to 7 with different functions, which are networked with each other via a device in the form of a data Ctouds 8 with the instruments to be monitored. These compounds are shown in FIG. 1 schematically shown by solid and dotted lines.
  • Station 1 concerns the storage rack of the magazine in which the instruments to be monitored are stored professionally.
  • the station 2 relates to an operating room in which the instruments are used, while the stations 3 to 7 in turn relate to the instruments used in the procedure, the stations 4 to 7 refer to individual features that are relevant to the state of the instruments.
  • the fall of the instruments is registered, in station 5 their cleaning state, in station 6 their state of sterilization and in station 7 the end of the life of the instrument.
  • station 9 with a device for visualizing the measured values obtained via data clouds and a station 10 in which used instruments are sent to a recycling process.
  • the evaluation and registration of the data contained in the data cloud 8 takes place in one or more computers. These are symbolically indicated in Fig. 1 with the station 1 1.
  • the instrument 12 shown in FIGS. 2 to 4 for exerting the monitoring method according to the invention is equipped with two miniaturized sensors 13, 14, which simultaneously contain a data memory, a power supply and a data transmission unit 15.
  • sensors 13 Such sensors allow both the individual evaluation and re ⁇ tration of the data directly on the device and collective evaluation and registration in conjunction with data from other instruments or sensors.
  • the senor 1 3 is integrated in the instrument 12 in an encapsulation 16, while in that of FIG. 4 the sensor 14 is arranged under a cover 17. It can therefore be easily dismantled and replaced. In both cases, it is RFID sensors with which preferably different data can be detected.
  • FIG. 5 shows an implant formed as a plate 20, which is provided with two webs 25, 26, for example, of four interconnected rings 21 to 24.
  • This implant may look different depending on the purpose of use and its dimensions also adapt it to the shape of the bone to be operated on. Through the heel openings 21 'can protrude in a known manner fixable in the bone screws.
  • two sensors 27, 28 are integrated in the plate 20, which are advantageously encapsulated and manufactured with such materials that they do not cause any reactions, such as allergies or inflammations, in the human or animal body when they are used.
  • sensors 27, 28 can perform various functions, for example if they each contain a force-measuring element, for example a piezo element connected to a transponder (RFID), the tensioning force of the plate 20 with the bone can be measured and signals are supplied as to whether the plate is sufficiently braced with the bone or not too tight. This measurement and signal transmission can take place during, immediately after the operation and / or also after the surgical site has been sewn up.
  • RFID transponder
  • the instrument 12 to be monitored or this implant is equipped with two sensors. It could be provided in each case only one or more than two sensors. Of course this can vary depending on the type and task of the instrument.
  • the monitoring system according to the invention can be used in so-called single-use or single-use instruments as well as in so-called multi-use instruments.
  • the proof of the feature of sterilization can be demonstrated comprehensibly at the level of each individual unit.
  • the circulation can be monitored from the point of in-transit, use, cleaning, sterilization and reuse.
  • the monitoring system can also be used, for example, for monitoring medical disposable consumables. It also allows automatic monitoring of the life of the item.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Prostheses (AREA)

Abstract

La présente invention concerne un procédé de surveillance de l'état d'instruments d'opération pour des interventions chirurgicales et des interventions similaires. L'état des instruments d'opération est détecté, à l'aide de paramètres caractéristiques pour leur aptitude fonctionnelle comme la température, l'humidité, l'impulsion, la concentration EO, le rayonnement, etc., de préférence en permanence avec des capteurs intégrés dans les instruments d'opération. Les données obtenues de ces capteurs sont évaluées de préférence de manière algorithmique en même temps ou en différé dans un système de traitement de données à l'aide de consignes spécifiques aux instruments.
PCT/EP2017/081242 2017-01-20 2017-12-01 Procédé de surveillance de l'état d'instruments d'opération pour des interventions chirurgicales et des interventions similaires Ceased WO2018133983A1 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
EP17152427.5A EP3352106A1 (fr) 2017-01-20 2017-01-20 Procédé de surveillance de l'état d'instruments et d'outils pour des interventions chirurgicales et kits similaires
EP17152427.5 2017-01-20
CH00603/17 2017-05-05
CH00603/17A CH713410A2 (de) 2017-01-20 2017-05-05 Verfahren zum Überwachen des Zustands von Operationsutensilien, sowie Operationsutensil mit Sensor.

Publications (1)

Publication Number Publication Date
WO2018133983A1 true WO2018133983A1 (fr) 2018-07-26

Family

ID=60654947

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2017/081242 Ceased WO2018133983A1 (fr) 2017-01-20 2017-12-01 Procédé de surveillance de l'état d'instruments d'opération pour des interventions chirurgicales et des interventions similaires

Country Status (1)

Country Link
WO (1) WO2018133983A1 (fr)

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003013372A2 (fr) * 2001-08-08 2003-02-20 Stryker Corporation Systeme d'outil chirurgical dote de constituants realisant un transfert de donnees par induction
DE102011087220A1 (de) * 2011-11-28 2013-05-29 Olympus Winter & Ibe Gmbh Beladung einer Aufbereitungsvorrichtung für chirurgische Instrumente, insbesondere Endoskope
WO2016044651A1 (fr) * 2014-09-17 2016-03-24 Canary Medical Inc. Dispositifs, systèmes et procédés d'utilisation et de surveillance de dispositifs médicaux

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003013372A2 (fr) * 2001-08-08 2003-02-20 Stryker Corporation Systeme d'outil chirurgical dote de constituants realisant un transfert de donnees par induction
DE102011087220A1 (de) * 2011-11-28 2013-05-29 Olympus Winter & Ibe Gmbh Beladung einer Aufbereitungsvorrichtung für chirurgische Instrumente, insbesondere Endoskope
WO2016044651A1 (fr) * 2014-09-17 2016-03-24 Canary Medical Inc. Dispositifs, systèmes et procédés d'utilisation et de surveillance de dispositifs médicaux

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