DE102012213322A1 - Medical apparatus e.g. C-arm X-ray machine has control panel with holding device for releasable attachment of sterile cover, such that cover is clamped on and locked against displacement relative to display - Google Patents
Medical apparatus e.g. C-arm X-ray machine has control panel with holding device for releasable attachment of sterile cover, such that cover is clamped on and locked against displacement relative to display Download PDFInfo
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- DE102012213322A1 DE102012213322A1 DE201210213322 DE102012213322A DE102012213322A1 DE 102012213322 A1 DE102012213322 A1 DE 102012213322A1 DE 201210213322 DE201210213322 DE 201210213322 DE 102012213322 A DE102012213322 A DE 102012213322A DE 102012213322 A1 DE102012213322 A1 DE 102012213322A1
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F1/00—Details not covered by groups G06F3/00 - G06F13/00 and G06F21/00
- G06F1/16—Constructional details or arrangements
- G06F1/1601—Constructional details related to the housing of computer displays, e.g. of CRT monitors, of flat displays
- G06F1/1607—Arrangements to support accessories mechanically attached to the display housing
- G06F1/1609—Arrangements to support accessories mechanically attached to the display housing to support filters or lenses
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B46/00—Surgical drapes
- A61B46/10—Surgical drapes specially adapted for instruments, e.g. microscopes
Abstract
Description
Die Erfindung betrifft ein Medizingerät umfassend eine Bedienkonsole mit einer berührungssensitiven Anzeige und sie betrifft eine Sterilabdeckung für ein entsprechendes Medizingerät. The invention relates to a medical device comprising an operating console with a touch-sensitive display and relates to a sterile cover for a corresponding medical device.
Vor allem bei der Entwicklung komplexerer Medizingeräte wird sehr viel Wert darauf gelegt, dass deren Bedienung für potentielle Nutzer möglichst einfach und intuitiv gestaltet ist. Entsprechende Medizingeräte verfügen daher häufig über grafische Benutzeroberflächen (GUIs), welche über einen Berührungsbildschirm (Touchscreen) zu bedienen sind. Especially in the development of more complex medical devices, great importance is placed on making their operation as easy and intuitive as possible for potential users. Corresponding medical devices therefore often have graphical user interfaces (GUIs) which can be operated via a touchscreen.
Für entsprechende Berührungsbildschirme sind typischerweise neben sogenannten „Anklick“-Operationen (Touch) auch sogenannte „Ziehen und Fallenlassen“-Operationen (Drag and Drop) vorgesehen, bei denen es vorgesehen ist, dass ein Bediener zum Beispiel einen Finger an den Berührungsbildschirm anlegt, dann mit dem Finger über den Berührungsbildschirm über eine gewisse Strecke hinweg verfährt und nachfolgend den Finger wieder vom Berührungsbildschirm wegbewegt. For corresponding touch screens, in addition to so-called "click" operations (touch), so-called "drag and drop" operations are also provided, in which it is provided that an operator, for example, applies a finger to the touch screen, then with your finger over the touch screen over a certain distance moves away and then moved the finger away from the touch screen.
Bei solchen Medizingeräten besteht in der Regel das Problem, dass diese sich aufgrund der verbauten Technik nicht sterilisieren lassen, was jedoch eine Voraussetzung beispielsweise für einen Einsatz in einem Operationssaal ist. Zur Umgehung dieser Problematik werden Medizingeräte, die für einen solchen Einsatzzweck vorgesehen sind, mit transparenten und sterilen Folien (sogenannten Drapes) umhüllt, so dass infolgedessen eine Bedienung des umhüllten Medizingerätes möglich ist, ohne dass der Bediener durch das Medizingerät eine mikrobielle Verunreinigung erfährt. In such medical devices, there is usually the problem that they can not be sterilized due to the installed technology, which is a prerequisite, for example, for use in an operating room. To circumvent this problem, medical devices that are intended for such a purpose, with transparent and sterile films (so-called Drapes) wrapped so that, as a result, an operation of the wrapped medical device is possible without the operator undergoes a microbial contamination by the medical device.
Nachteilig bei dieser Lösung ist der Umstand, dass die Bedienung eines Berührungsbildschirms dann nur noch eingeschränkt möglich ist. Während sogenannte „Anklick“-Operationen weiterhin problemlos ausgeführt werden können, ist die Effektivität von „Ziehen und Fallenlassen“-Operationen stark eingeschränkt, da bei einer Bewegung zum Beispiel eines Fingers über den Berührungsbildschirm die den Berührungsbildschirm abdeckende sterile Folie in der Regel mitbewegt wird, wodurch die sensorische Erfassung der Bewegung gestört wird. Aus diesem Grund wird derzeit auf den Einsatz von „Ziehen und Fallenlassen“-Operationen verzichtet, sofern ein Einsatz des entsprechenden Medizingerätes zum Beispiel in einem Operationssaal vorgesehen ist. The disadvantage of this solution is the fact that the operation of a touch screen then only limited possible. While so-called "click" operations continue to run smoothly, the effectiveness of "drag and drop" operations is severely limited, since a movement of, for example, a finger over the touch screen tends to move the sterile foil covering the touch screen, whereby the sensory detection of the movement is disturbed. For this reason, the use of "pulling and dropping" operations is currently dispensed with, provided that the use of the appropriate medical device is provided, for example, in an operating room.
Ausgehend hiervon liegt der Erfindung die Aufgabe zugrunde, ein verbessertes Medizingerät und eine verbesserte Sterilabdeckung für ein entsprechendes Medizingerät anzugeben. Proceeding from this, the object of the invention is to specify an improved medical device and an improved sterile cover for a corresponding medical device.
Die Aufgabe bezüglich des Medizingerätes wird erfindungsgemäß durch ein Medizingerät mit den Merkmalen des Anspruchs 1 gelöst. Die rückbezogenen Ansprüche beinhalten teilweise vorteilhafte und teilweise für sich selbst erfinderische Weiterbildungen dieser Erfindung. The task with respect to the medical device is achieved by a medical device having the features of claim 1. The dependent claims include in part advantageous and in part self-inventive developments of this invention.
Das Medizingerät umfasst eine Bedienkonsole mit einer berührungssensitiven Anzeige, wobei die Bedienkonsole eine Haltevorrichtung zur lösbaren Befestigung einer Sterilabdeckung derart aufweist, dass die Sterilabdeckung im befestigten Zustand die Anzeige mit einer sterilen Folie so abdeckt, dass diese einerseits gespannt und andererseits gegen eine Verschiebung relativ zur Anzeige gesichert ist. Bei einer entsprechenden berührungssensitiven Anzeige handelt es sich bevorzugt um einen an sich bekannten Berührungsbildschirm (Touchscreen) oder Sensorbildschirm, für welchen weiter bevorzugt auch sogenannte „Ziehen und Fallenlassen“-Operationen vorgesehen sind, so dass infolge des damit verbundenen Bedienkonzeptes einerseits und der Haltevorrichtung andererseits das Medizingerät sowohl besonders einfach und intuitiv zu bedienen ist als auch in einer steril gehaltenen Umgebung, wie zum Beispiel einem Operationssaal, eingesetzt werden kann. The medical device comprises an operating console with a touch-sensitive display, wherein the operating console has a holding device for releasably attaching a sterile cover such that the sterile cover in the attached state, the display with a sterile foil so covers that on the one hand tense and on the other hand against displacement relative to the display is secured. A corresponding touch-sensitive display is preferably a touch screen or touch screen known per se, for which so-called "pulling and dropping" operations are also provided, so that, on the one hand, and the holding device, on the other hand, due to the associated operating concept Medical device is both very easy and intuitive to use as well as in a sterile environment, such as an operating room, can be used.
Durch die sterile und transparente Folie, die die Anzeige im befestigten Zustand abdeckt und die bevorzugt auf der Anzeige aufliegt, ist ein potentieller Bediener vor einer mikrobiellen Verunreinigung durch das Medizingerät während der Bedienung geschützt und durch die Sicherung der sterilen und transparenten Folie gegen eine Verschiebung relativ zur Anzeige sowie durch das Gespannthalten der Folie über der Anzeige wird die berührungssensitive Funktion, also die sensorische Erfassung von Berührungen und Bewegungen, nicht oder zumindest in nicht relevantem Ausmaß beeinträchtigt. The sterile and transparent film which covers the display when mounted and which preferably rests on the display protects a potential operator from microbial contamination by the medical device during operation and is relatively resistant to displacement by securing the sterile and transparent film for displaying as well as by keeping the film over the display touch-sensitive function, ie the sensory detection of touches and movements, not or at least affected to a non-relevant extent.
Die Haltevorrichtung ist dabei vorteilhafterweise zur lösbaren Befestigung der Sterilabdeckung mittels eines magnetischen Feldes ausgebildet, welches zum Beispiel mit Hilfe zumindest eines Elektromagneten bedarfsweise erzeugt wird. Zum Austauschen oder Entfernen der Sterilabdeckung wird der Elektromagnet dann deaktiviert und zur Fixierung der Sterilabdeckung wird der Elektromagnet aktiviert. Durch die Nutzung eines Magnetfeldes ist es besonders einfach sicherzustellen, dass die Folie durch die Haltevorrichtung nicht beschädigt, gequetscht oder gedehnt wird. The holding device is advantageously designed for releasably securing the sterile cover by means of a magnetic field, which is generated, for example, by means of at least one electromagnet as needed. To replace or remove the sterile cover of the solenoid is then disabled and to fix the sterile cover of the solenoid is activated. By using a magnetic field, it is particularly easy to ensure that the film is not damaged, crushed or stretched by the holding device.
Alternativ oder ergänzend ist die Haltevorrichtung bevorzugt zumindest teilweise aus einem magnetisierbaren, also aus einem ferromagnetischen oder einem ferrimagnetischen, Material gefertigt und bevorzugt ist das entsprechende Material in zumindest einem Bereich zur Ausbildung eines Permanentmagneten oder Dauermagneten magnetisiert. Im einfachsten Fall funktioniert die Haltevorrichtung dann nach dem Prinzip von Kühlschrank und Kühlschrankmagnet, wobei das Medizingerät ein Gehäuse aus einem ferromagnetischen oder ferrimagnetischen Material aufweist, an welchem mittels mehrerer Dauermagneten die Sterilabdeckung fixiert wird. Alternatively or additionally, the holding device is preferably at least partially made of a magnetizable, that is made of a ferromagnetic or ferrimagnetic material, and preferably the corresponding material is magnetized in at least one region for forming a permanent magnet or permanent magnet. in the In the simplest case, the holding device then works on the principle of refrigerator and fridge magnet, wherein the medical device comprises a housing made of a ferromagnetic or ferrimagnetic material, to which by means of a plurality of permanent magnets, the sterile cover is fixed.
Von Vorteil ist hierbei eine Haltevorrichtung, welche zwei einander ergänzende Halteelemente derart umfasst, dass die Sterilabdeckung im befestigten Zustand zwischen den zwei Halteelementen festgeklemmt ist. Zudem weist bevorzugt zumindest eines der Halteelemente und weiter bevorzugt weisen beide Halteelemente eine rahmenartige Form auf, welche insbesondere an die Form der berührungssensitiven Anzeige angepasst ist. Ist also ein rechteckiger Berührungsbildschirm vorgesehen, so ist beispielsweise zumindest ein Halteelement nach Art eines Bilderrahmens gestaltet, dessen Abmessungen etwas größer sind als die Abmessungen des Berührungsbildschirms. Ist das rahmenartige Halteelement weiter als Dauermagnet ausgeführt, so ist nicht zwingend das gesamte Halteelement aus einem ferromagnetischen oder ferrimagnetischen Material gefertigt, stattdessen genügt es, wenn mehrere Bereiche der rahmenartigen Form, also zum Beispiel die Eckbereiche eines rechteckigen Rahmens, als Dauermagneten wirken während die übrigen Bereiche des Halteelementes entweder nicht magnetisiert sind oder aus einem sonstigen beliebigen Material gefertigt sind. The advantage here is a holding device which comprises two complementary holding elements such that the sterile cover is clamped in the attached state between the two holding elements. In addition, preferably, at least one of the holding elements and more preferably, both holding elements on a frame-like shape, which is particularly adapted to the shape of the touch-sensitive display. Thus, if a rectangular touch screen is provided, for example, at least one holding element is designed in the manner of a picture frame whose dimensions are slightly larger than the dimensions of the touch screen. If the frame-like holding element continues to be designed as a permanent magnet, then the entire holding element is not necessarily made of a ferromagnetic or ferrimagnetic material, but it is sufficient if several areas of the frame-like shape, so for example the corner regions of a rectangular frame, act as a permanent magnet while the rest Regions of the retaining element are either not magnetized or are made of any other material.
Gemäß einer weiteren Ausgestaltungsvariante des Medizingerätes weist die Bedienkonsole ein Gehäuse mit einer Gehäuseinnenseite sowie mit einer Gehäuseaußenseite auf, wobei die berührungssensitive Anzeige Teil der Gehäuseaußenseite ist. In diesem Fall ist beispielsweise eines der Halteelemente die berührungssensitive Anzeige umrahmend an der Gehäuseaußenseite befestigt. Diese Variante ist insbesondere deswegen von Vorteil, da sich bei dieser Lösung Medizingeräte mit einer solchen Haltevorrichtung nachrüsten lassen, indem zum Beispiel das entsprechende Halteelement auf die Gehäuseaußenseite geklebt wird. Alternativ hierzu wird eines der Halteelemente, bevorzugt im Rahmen der Herstellung des Medizingerätes, die berührungssensitive Anzeige umrahmend an der Gehäuseinnenseite befestigt oder in eine Wandung des Gehäuses integriert. Die Befestigung an der Gehäuseinnenseite erfolgt dabei beispielsweise durch Kleben, Nieten, Verschrauben etc.. According to a further embodiment variant of the medical device, the operating console has a housing with a housing inner side as well as with an outer housing side, wherein the touch-sensitive display is part of the housing outside. In this case, for example, one of the holding elements, the touch-sensitive display mounted framing on the outside of the housing. This variant is particularly advantageous because in this solution medical devices can be retrofitted with such a holding device by, for example, the corresponding holding element is glued to the outside of the housing. Alternatively, one of the retaining elements, preferably in the context of the production of the medical device, the touch-sensitive display mounted framing on the inside of the housing or integrated into a wall of the housing. The attachment to the inside of the housing takes place for example by gluing, riveting, screwing etc.
Vorteilhaft ist es auch, eine leichte Vertiefung an der Stelle des Gehäuses vorzusehen, an der eines der Halteelemente zur Befestigung der Sterilabdeckung platziert wird, um eine leichtere, gerade Ausrichtung des Halteelements relativ zur berührungssensitive Anzeige zu ermöglichen. It is also advantageous to provide a slight depression at the location of the housing to which one of the retaining elements for fastening the sterile cover is placed, in order to allow easier, straight alignment of the retaining element relative to the touch-sensitive display.
Zudem ist es von Vorteil, wenn die Oberflächen zumindest eines Halteelements und/oder die Oberflächen der Bedienkonsole, die der Sterilabdeckung zugewandt sind und insbesondere mit dieser im befestigten Zustand Kontakt haben, eine Oberflächenstruktur mit hoher Haftreibung, also zum Beispiel eine gummiartige Oberfläche, aufweisen, damit die Sterilabdeckung nur schwer zwischen Medizingerät und Vorrichtung verrutschen kann. Moreover, it is advantageous if the surfaces of at least one retaining element and / or the surfaces of the control console which face the sterile cover and in particular have contact with the latter in the fastened state have a surface structure with high static friction, for example a rubber-like surface. so that the sterile cover difficult to slip between the medical device and device.
Weiter bevorzugt ist die Haltevorrichtung in einem Zugriffsbereich, also in dem Bereich, den ein potentieller Bediener ohne das Medizingerät zu demontieren berühren kann, derart ausgebildet, dass dieser Zugriffsbereich einfach zu reinigen und zu desinfizieren ist. Dabei ist der entsprechende Zugriffsbereich weiter bevorzugt mit einer antimikrobiellen Oberfläche versehen. Eine entsprechende Oberfläche lässt sich zum Beispiel durch eine an sich bekannte Silberbeschichtung herstellen. More preferably, the holding device in an access area, ie in the area that can be touched by a potential operator to disassemble without the medical device, designed such that this access area is easy to clean and disinfect. In this case, the corresponding access area is furthermore preferably provided with an antimicrobial surface. A corresponding surface can be produced, for example, by means of a silver coating known per se.
Darüber hinaus ist es von Vorteil, eine Sensorvorrichtung zur Überwachung der Haltevorrichtung in die Bedienkonsole zu integrieren. Mit dieser Sensorvorrichtung wird automatisch erfasst, ob eine Sterilabdeckung wie vorgesehen mittels der Haltevorrichtung an der Bedienkonsole befestigt ist oder nicht. Ist keine Sterialabdeckung befestigt, so wird, bevorzugt über die Anzeige, eine Warnung ausgegeben. Mit einer solchen Hilfsfunktion lässt sich sicherstellen, dass ein damit ausgestattetes Medizingerät nicht versehentlich ohne eine befestigte Sterilabdeckung während einer Operation zum Einsatz kommt. Moreover, it is advantageous to integrate a sensor device for monitoring the holding device in the control console. With this sensor device is automatically detected whether a sterile cover as provided by means of the holding device is attached to the control panel or not. If no sterile cover is attached, a warning is given, preferably via the display. Such an auxiliary function can be used to ensure that a medical device equipped therewith is not inadvertently used without an attached sterile cover during an operation.
Die Aufgabe bezüglich der Sterilabdeckung wird erfindungsgemäß durch eine Sterilabdeckung mit den Merkmalen des Anspruchs 11 gelöst. Die rückbezogenen Ansprüche beinhalten teilweise vorteilhafte und teilweise für sich selbst erfinderische Weiterbildungen dieser Erfindung. The task relating to the sterile cover is achieved by a sterile cover with the features of claim 11. The dependent claims include in part advantageous and in part self-inventive developments of this invention.
Die für ein entsprechendes Medizingerät vorgesehenen Sterilabdeckungen umfassen zumindest eine sterile und transparente Folie, die im befestigten Zustand der Sterilabdeckung bevorzugt die gesamte Anzeige abdeckt und plan auf der Anzeige aufliegt. Die Folie weist dementsprechend Abmessungen auf, welche etwas größer sind als die Abmessungen der berührungssensitiven Anzeige. The sterile covers provided for a corresponding medical device comprise at least one sterile and transparent foil which, in the attached state of the sterile cover, preferably covers the entire display and rests flat on the display. The film accordingly has dimensions which are slightly larger than the dimensions of the touch-sensitive display.
Im zuvor angeführten Fallbeispiel, bei dem die Haltevorrichtung nach dem Prinzip Kühlschrank und Kühlschrankmagnet funktioniert, ist die Sterialabdeckung besonders einfach gestaltet und zum Beispiel durch eine rechteckig zugeschnittene transparente und sterile Folie gegeben, welche im Rahmen der Herstellung zudem für eine einfache Lagerung in eine sterile Verpackung eingeschweißt wird. In the above-mentioned case example in which the holding device works on the principle refrigerator and fridge magnet, the sterile cover is particularly simple and given for example by a rectangular cut transparent and sterile film, which also in the production for easy storage in a sterile package is welded.
Alternativ ist in die Sterilabdeckung ein zur Haltevorrichtung des Medizingerätes kompatibles Gegenhalteelement integriert. Die Sterilabdeckung ist dann beispielsweise durch einen rahmenartigen Permanentmagneten gegeben, welcher zwischen zwei sterilen und transparenten Folien eingeschweißt ist. Alternatively, a counter holding element compatible with the holding device of the medical device is integrated into the sterile cover. The sterile cover is then given for example by a frame-like permanent magnet, which is welded between two sterile and transparent films.
Ausführungsbeispiele der Erfindung werden nachfolgend anhand einer schematischen Zeichnung näher erläutert. Darin zeigen: Embodiments of the invention will be explained in more detail with reference to a schematic drawing. Show:
Einander entsprechende Teile sind in allen Figuren jeweils mit den gleichen Bezugszeichen versehen. Corresponding parts are provided in all figures with the same reference numerals.
Bei dem nachfolgend exemplarisch beschriebenen Medizingerät handelt es sich um ein in
Um das C-Bogen Röntgengerät
Dazu wird die sterile und transparente Folie
Die Haltevorrichtung
Alternativ zur Darstellung gemäß
In die Bedienkonsole
Die Erfindung ist nicht auf das vorstehend beschriebene Ausführungsbeispiel beschränkt. Vielmehr können auch andere Varianten der Erfindung von dem Fachmann hieraus abgeleitet werden, ohne den Gegenstand der Erfindung zu verlassen. Insbesondere sind ferner alle im Zusammenhang mit dem Ausführungsbeispiel beschriebenen Einzelmerkmale auch auf andere Weise miteinander kombinierbar, ohne den Gegenstand der Erfindung zu verlassen. The invention is not limited to the embodiment described above. Rather, other variants of the invention can be derived therefrom by the person skilled in the art without departing from the subject matter of the invention. In particular, all the individual features described in connection with the exemplary embodiment can also be combined with each other in other ways, without departing from the subject matter of the invention.
Claims (13)
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DE201210213322 DE102012213322A1 (en) | 2012-07-30 | 2012-07-30 | Medical apparatus e.g. C-arm X-ray machine has control panel with holding device for releasable attachment of sterile cover, such that cover is clamped on and locked against displacement relative to display |
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DE201210213322 DE102012213322A1 (en) | 2012-07-30 | 2012-07-30 | Medical apparatus e.g. C-arm X-ray machine has control panel with holding device for releasable attachment of sterile cover, such that cover is clamped on and locked against displacement relative to display |
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US11723662B2 (en) | 2021-05-28 | 2023-08-15 | Cilag Gmbh International | Stapling instrument comprising an articulation control display |
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US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
US11957339B2 (en) | 2021-11-09 | 2024-04-16 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11957795B2 (en) | 2021-12-13 | 2024-04-16 | Cilag Gmbh International | Tissue thickness compensator configured to redistribute compressive forces |
US11957345B2 (en) | 2022-12-19 | 2024-04-16 | Cilag Gmbh International | Articulatable surgical instruments with conductive pathways for signal communication |
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