DE102009031402A1 - Supply device and method for documenting an operation - Google Patents

Abstract

The present invention relates to utilities used to operate electrosurgical and cryosurgical instruments. According to the invention, these supply devices are to be adapted in such a way that they enable as complete a documentation of the operation as possible. Furthermore, an interactive help for the attending physician should be offered. According to the invention, this is achieved by a supply device for connecting at least one medical instrument, wherein the supply device comprises: a control unit for controlling the at least one instrument, a monitoring unit for recording events, the HF supply device and / or the connected HF instrument in which the monitoring unit for recording the events is in communicative communication with the control unit and the monitoring unit is designed to store data entered by a user of the supply unit.

Description

The The invention relates to a supply device for connecting at least a medical instrument and a documentation method an operation.

In In recent years, medical operations have many used cryosurgical and electrosurgical instruments. For example, in high-frequency surgery (HF surgery) High frequency alternating current passed through the human body, to specifically damage tissue or to cut. Thus, many conventional medical instruments, for example, the classic scalpel, replaced by modern equipment, the above corresponding supply facilities are supplied and controlled. In the field of high-frequency surgery, for example, an RF generator connected to a corresponding electrosurgical instrument to provide a suitable alternating current. In the Cryosurgery is used to supply facilities that are in fluid connection with appropriate instruments (for example Cryoprobes) and provide a fluid for cooling the instrument. It is obvious that the corresponding utilities have control units, Input units and output units must have the connected Instruments suitable to control.

As well It is known that also in medicine the documentation of a Operation plays an increasingly important role. The documentation to a certain operation is usually held in a paper file, that of the doctor before, during and after the operation is being processed. The keeping of the paper file costs additionally Time and distracts from the actual process, namely the operation, in particular while their implementation, from.

outgoing from this prior art, it is an object of the present invention to provide an improved supply device comprising the Daily routine of the doctor relieved.

Of Furthermore, a method for documenting an operation is specified become.

The The object is achieved by a Supply device according to claim 1 or by a method solved according to claim 8.

• – eine Steuereinheit zur Steuerung des mindestens einen Instruments,
• – eine Überwachungseinheit zur Aufzeichnung von Ereignissen, die die HF-Versorgungseinrichtung und/oder das angeschlossene HF-Instrument betreffen, wobei die Überwachungseinheit zur Aufzeichnung der Ereignisse mit der Steuereinheit in kommunikativer Verbindung steht und die Überwachungseinheit zur Speicherung von Daten ausgebildet ist, die von einem Benutzer der Versorgungseinrichtung eingegeben werden.

In particular, the object is achieved by a supply device for connecting at least one medical instrument, in particular an electrosurgical instrument and / or a cryosurgical instrument, wherein the supply device comprises:

• A control unit for controlling the at least one instrument,
• A monitoring unit for recording events relating to the HF supply device and / or the connected HF instrument, wherein the monitoring unit for recording the events is in communicative communication with the control unit and the monitoring unit is configured to store data that is provided by a Users of the utility be entered.

As already explained at the beginning, is it for the attending physician important, additional data to a specific Create and organize operation. This includes a preliminary planning the operation, comments on a specific patient, comments to the course of the operation, etc. According to a central thought According to the present invention, the supply device, the often already over a corresponding storage device has, used this data save. An integrated monitoring unit For example, in the form of a log file, individual events, the supply unit and / or the connected HF instrument affect save. additionally These events or information may be provided by a user data entered into the supply device are stored.

In an embodiment is the monitoring unit for storing relationships between at least part of the Data and at least one event trained. So there can be relations between the preferably manually entered data of the user and the preferably automatically logged events produced become. Thus, you can a few inputs are enough to provide data that to document a surgery well. Furthermore it is possible to get data advance to the utility to transfer this with a certain event that during the operation occurs, link. Thus, the doctor, for example, a specific operation step for one Planning the operation in advance and providing relevant information during the procedure execution of the operation. For example, preferred parameters for Setting of the supply device stored and at startup are displayed. Alternatively you can Data to be deposited by the manufacturer, the one preferably interactive help for the Provide service to the utility.

In a preferred embodiment, the data is at least partially individual data representing a particular operation, a particular user, or a particular user Affect patients.

In an embodiment the supply device comprises at least one input unit for inputting the data, wherein the input unit is a keyboard and / or a camera and / or a microphone can be. Often there are conventional input units such as buttons or buttons for adjustment and control the utility already available. These input units can to be used, the additional Enter data of the user. Preferably, further input units such as a camera and / or a microphone, that allow you to enter data without manual interaction. Thus, the input of data is very simple.

In a further embodiment the supply device comprises at least one output unit, in particular a display unit, wherein the output unit for display formed at least one status and at least a portion of the data is. In conventional Supply facilities are known output units that have a specific Display the status of the utility. Example, can a mode of operation over this Output unit are displayed. According to the invention, the output unit should additionally be used to display the data entered by the user. It is therefore conceivable that the attending physician during the Operation a pre-written documentation or planning the operation show. Here you can existing output units are used.

As already described, can the data documentation data relating to a treatment or surgery.

The Supply device may be an interface for connecting a Memory, wherein the monitoring device for reading at least part of the data from the memory is. The interface is therefore used to an external storage unit to connect to the utility. Data that is on this external storage unit can be automatic or under Interact with the user to be transferred to the utility. Thus, you can corresponding data from the user before the operation at another Device (not the supply device). The entry in the Supply device is then electronically via the Interface.

The Supply device may comprise a time recording unit, the data and / or the events one or more times assign. By way of example, the time recording unit can be designed for this purpose be to determine the time at which certain data in the Supply device can be entered. Furthermore, the Time recording unit used to record when a particular event has occurred. Thus, events and dates can be chronological be ordered. additionally or in place of the chronological order may be over the recorded time Relationships between the data and the events are established. Of Further represents the time at which a particular event occurred is already an important piece of information that the user for example for one can use creating documentation.

• – Erfassen einer Vielzahl von Ereignissen, die sich auf das Instrument und/oder die Versorgungseinrichtung beziehen,
• – Empfangen von Daten, die von einem Benutzer des Instruments eingegeben werden;
• – Speichern der Daten und der Ereignisse in einer Speichereinheit.

The above object is further achieved by a method for documenting an operation, which is performed using an instrument, in particular an electrosurgical instrument and / or a cryosurgical instrument, wherein the instrument to a supply device, in particular as described above, connected where the utility performs the following steps:

• Detecting a plurality of events relating to the instrument and / or the utility,
• - receiving data entered by a user of the instrument;
• - Save the data and events in a storage unit.

Also Here is a central idea of the invention is additional Data during the operation available close. Therefor can the hardware used in the utility accordingly be individualized.

The Saving can be a mapping of data to a specific event, especially in the form of stored relations or relationships. Thus, connections between certain input data and certain events that serve the documentation.

Further advantageous embodiments emerge from the dependent claims.

following the invention will be described with reference to some embodiments, the closer by means of pictures explained become. Hereby show:

1 a supply device with connected electrosurgical instrument; and

2 individual components of the supply device.

In The following description will be for the same and the same Parts used the same reference numerals.

1 shows a supply device 30 that has a first RF line 31 with an electrosurgical instrument 20 connected is. A second RF line 31 ' leads to a neutral electrode 21 , For applying an RF voltage from the supply device 30 is provided, includes the electrosurgical device 20 another electrode. Thus, the RF voltage between the neutral electrode 21 and the further electrode are applied. Like in the 1 shown, the neutral electrode 21 and the further electrode of the electrosurgical instrument 20 used to introduce an RF current into a biological tissue.

The 1 shows a torso 1 at which the self-adhesive neutral electrode 21 is appropriate. The other electrode of the electrosurgical instrument 20 is used to fabric on the other side of the torso 1 to cut or coagulate.

As in 2 shown includes the utility 30 a control unit 40 and an RF generator 50 , The HF generator 50 serves to provide a suitable RF voltage for the electrosurgical instrument 20 and the neutral electrode 21 to provide. The control unit 40 controls the generator 50 and receives from this signal, the information about the state of the generator 50 give. These signals may include, for example, information about the power output, the operating temperature, etc. The control unit 40 is preferably designed to provide a plurality of different operating modes which, for example, affect the RF voltage to be applied. So can the control unit 40 offer a mode for coagulating and another mode for cutting tissue. Furthermore, other modes for different electrosurgical instruments 20 (for example, for monopolar or bipolar instruments) or for different types of tissue (liver or muscle tissue) are provided. The supply device 30 includes an input unit 17 which allows input from a user of the electrosurgical instrument 20 to recieve. The user can therefore via the input unit 17 select a specific operating mode and the control unit 40 so activate that generator 50 and thus the electrosurgical instrument 20 is operated in this operating mode. To facilitate the selection of a particular operating mode and status information regarding the generator 50 and / or the control unit 40 and / or the electrosurgical instrument 20 and / or the neutral electrode 21 display, includes the utility 30 Furthermore, an output unit 80 , This output unit 80 contains a screen 81 to display information and a speaker 82 for the output of acoustic signals.

The described input unit 70 contains buttons 21 or buttons and a camera 72 ,

According to the invention is the control unit 40 in communication with a monitoring unit 60 that have a memory 62 , an interface 63 and a time recording unit 64 includes.

Thus, the monitoring unit 60 single events, preferably on the utility 30 and / or the electrosurgical instrument 20 relate, log. For example, by means of the time recording unit 64 the time are recorded at which the utility 30 is turned on. Furthermore, setting a particular mode of operation and operating the electrosurgical instrument 20 recorded and logged in this operating mode. Corresponding data is stored in the memory 62 stored.

According to the invention, the monitoring unit 60 Also used to provide additional data by a user of the utility 30 be made, recorded and stored. In one embodiment, the supply device 30 via the output unit 80 Issue a question to the user, this by means of the input unit 70 answered. For example, the monitoring unit 60 thus inquire whether the patient to be treated is a male or a female patient. This additional data, via the input unit 70 can also be entered in the memory 62 to save. Thus, the monitoring unit 60 be used to generate a log file that is not just individual events of the utility 30 but also logs further data entered by the user. This results in a relatively complete documentation of the operation to be performed or performed.

The monitoring unit 60 Can also be used to take pictures of the camera 72 save. So it is helpful for a later analysis of an operation to document individual surgical steps with pictures. The camera 62 can be an integral part of the utility 30 be. Furthermore, the camera can 72 on the electrosurgical instrument 20 or arranged on another instrument.

In addition to the camera 72 or in its place may be the input unit 70 have a microphone that records audio signals. Thus, it allows the monitoring unit 60 to record a dictated protocol for operation.

The input unit 70 can be used to control recordings and edit and / or play them at a later time. So can the button 71 used to select a photograph taken during the operation and by means of the screen 81 display. Likewise, it is possible to proceed with corresponding audio files.

In a further embodiment, the memory contains 62 Files containing a schedule of the operation to be performed. For example, these files can be accessed through the interface 63 to the monitoring device 60 be transmitted. The user is thus able to prepare these files on a workstation and then by means of an external memory, such as a USB stick, in the monitoring unit 60 enter. The corresponding files can be queried before, during and after the operation.

Furthermore, it is possible by means of the interface 63 the other data stored on the memory 62 during or after the operation to export to an external memory for further processing. For example, this data can be archived to provide adequate documentation at a later date.

In the foregoing, exemplary embodiments have been described in which the input unit 70 through a button 71 and a camera 72 are formed. The skilled person skilled in the art should be aware of numerous other input devices, rather than the key 71 or the camera 72 or in addition to them (eg, touch screen, mouse, etc.). As output units 80 were the screen 81 and the speaker 82 described. Again, the art should be aware of numerous other output devices that can take over their function (eg, individual LEDs, motors for generating vibration signals, etc.).

The supply device described above 30 is designed to be an electrosurgical instrument 20 to operate. These are utilities 30 conceivable, the one control unit 40 to operate a cryoprobe or any cryosurgical instrument.

1

torso

20

electrosurgical instrument

21

neutral electrode

30

supply

31 31 '

RF line

40

control unit

50

generator

60

monitoring unit

62

Storage

63

interface

64

Time recording unit

70

input unit

71

button

72

camera

80

output unit

81

screen

82

speaker

Claims (12)

Supply device for connecting at least one medical instrument ( 20 ), in particular an electrosurgical instrument and / or a cryosurgical instrument and / or a water-jet surgical instrument, comprising: - a control unit ( 40 ) for controlling the at least one instrument ( 20 ), - a monitoring unit ( 60 ) for recording events concerning the HF supply device and / or the connected HF instrument, wherein the monitoring unit ( 60 ) for recording the events with the control unit ( 40 ) is communicatively connected and the monitoring unit ( 60 ) is configured to store data entered by a user of the utility. Supply device according to claim 1, characterized in that the monitoring unit ( 60 ) is adapted to store relationships between at least part of the data and at least one event. Supply device according to one of the preceding claims, characterized by at least one input unit ( 70 ) for entering the data, wherein the input unit ( 70 ) a keyboard and / or a camera ( 72 ) and / or a microphone. Supply device according to one of the preceding claims, characterized by at least one output unit ( 80 ), in particular a display unit ( 81 ), the output unit ( 80 ) is designed to display at least one status and at least part of the data. Supply device according to one of the preceding Claims, characterized in that the data documentation data relating to a performed surgery. Supply device according to one of the preceding claims, characterized by an interface ( 63 ) for connecting a memory, wherein the monitoring device is designed to read at least part of the data from the memory. Supply device according to one of the preceding claims, characterized by a time recording unit ( 64 ), which assigns a time to the data and / or events. Method for documenting an operation using an instrument ( 20 ), in particular an electrosurgical instrument and / or a cryosurgical instrument and / or a water-jet surgical instrument, wherein the instrument ( 20 ) to a supply device ( 30 ), in particular according to one of the preceding claims, wherein the supply device ( 30 ): - detecting a multitude of events related to the instrument ( 20 ) and / or the supply device ( 30 ) Respectively; Receiving data received from a user of the instrument ( 20 ) are entered; - storing the data and the events in a memory unit ( 62 ). Method according to claim 8, characterized in that that storing is associating data with a particular event, especially in the form of stored relations. A method according to claim 8 or 9, characterized by assigning at least one time to at least one Event. Method according to one of claims 8 to 10, characterized in that the receiving of data is a reception of signals from a camera ( 42 ) and / or a keyboard and / or a microphone and / or touchscreen. Method according to one of claims 8 to 11, characterized by a transfer of data, in particular of documentation data, from an external Memory on the storage unit by means of an interface.