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WO2024071843A1 - Procédé et système de gestion intégrée pour chirurgie articulaire - Google Patents

Procédé et système de gestion intégrée pour chirurgie articulaire Download PDF

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Publication number
WO2024071843A1
WO2024071843A1 PCT/KR2023/014424 KR2023014424W WO2024071843A1 WO 2024071843 A1 WO2024071843 A1 WO 2024071843A1 KR 2023014424 W KR2023014424 W KR 2023014424W WO 2024071843 A1 WO2024071843 A1 WO 2024071843A1
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WIPO (PCT)
Prior art keywords
surgery
information
patient
surgical
management
Prior art date
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Ceased
Application number
PCT/KR2023/014424
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English (en)
Korean (ko)
Inventor
박도준
조재형
고승현
한경도
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.)
Industry Academic Cooperation Foundation of Catholic University of Korea
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Industry Academic Cooperation Foundation of Catholic University of Korea
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Publication of WO2024071843A1 publication Critical patent/WO2024071843A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • 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
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/1121—Determining geometric values, e.g. centre of rotation or angular range of movement
    • A61B5/1122—Determining geometric values, e.g. centre of rotation or angular range of movement of movement trajectories
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/1124—Determining motor skills
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271—Specific aspects of physiological measurement analysis
    • A61B5/7275—Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
    • 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
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/20—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires
    • 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
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • 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
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • 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
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
    • 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
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
    • 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
    • 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
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
    • 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
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/50—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders

Definitions

  • the present invention relates to an integrated management method and system for joint surgery. More specifically, it relates to a joint surgery integrated management method and system based on the joint and health status of the patient before and after joint surgery.
  • the smart healthcare field goes beyond medical services and is used in various fields such as sports and daily life. Recently, research on healthcare systems combined with wearable devices is actively underway to collect reliable and convenient data. there is.
  • users are provided with information such as their number of steps, body temperature, heart rate, and calorie consumption by running applications installed on the terminal.
  • the related industry does not stop at simply dispersing and listing the measured factors, but also collects the measured information in an integrated manner and synthesizes the collected information so that appropriate feedback can be provided to the user after surgery, as well as pre-surgery
  • the present invention was created to solve the problems of the prior art as described above, and provides an integrated joint surgery management method and system that can manage and monitor the patient's health based on the patient's health status before and after joint surgery. There is a purpose.
  • the present invention seeks to provide an integrated joint surgery management method and system that predicts the patient's surgical success rate based on the joint movement angle.
  • the present invention seeks to provide an integrated joint surgery management method and system that provides guidance to increase the success rate of surgery.
  • the present invention seeks to provide an integrated joint surgery management method and system that adjusts the surgery schedule according to the patient's health condition.
  • the present invention seeks to provide an integrated joint surgery management method and system that derives factors affecting surgical results.
  • the present invention seeks to provide an integrated joint surgery management method and system in which those involved in the patient's surgery share information related to the patient before and after the joint surgery.
  • the joint surgery integrated management method is a method in which an integrated management application executed by at least one processor of a terminal performs joint surgery integrated management, and includes the first joint movement angle information and the second joint operation angle information before the patient's surgery.
  • first medical information including health information
  • calculating a first surgical score based on the predicted surgical success rate of the patient based on the obtained first medical information
  • the step of acquiring first medical information including first joint movement angle information and first health information of the patient before surgery includes providing a self-examination interface, and based on the provided self-examination interface, the patient Obtaining first self-interview data including at least one of the following information: pre-operative medication status, nutritional status, obesity level, amount of exercise, exercise performance, frequency and intensity of pain, and using the obtained first self-interview data It includes the step of storing the first health information before the surgery.
  • the step of calculating a first surgical score based on the predicted surgery success rate of the patient based on the obtained first medical information includes the first joint motion angle information after the surgery compared to the first joint motion angle information before the surgery. It includes calculating a first estimated loss rate predicting the reduced rate.
  • the step of calculating a first surgical score based on the predicted surgical success rate of the patient based on the obtained first medical information is a deep learning model that uses predetermined medical information as input and a predetermined estimated loss rate as output. Inputting the first medical information, obtaining the first estimated loss rate output from the deep learning model, and calculating the first surgical score based on the obtained first estimated loss rate. Includes.
  • the deep learning model is a deep learning model learned using the first medical information and the second medical information for each plurality of patients as a training data set.
  • the step of providing first surgery management information including first management guide information before surgery of the patient based on the first surgical score includes determining the surgery date of the patient based on the first surgical score. It includes determining and including the determined surgery date information in the first surgery management information.
  • the step of determining the surgery date of the patient based on the first surgical score includes obtaining schedule information of the patient in charge of surgery, and determining the surgery date based on the obtained schedule information. Includes steps.
  • acquiring first new medical information including second joint movement angle information and second health information before surgery of the patient at a predetermined time after the acquisition of the first medical information and before the surgery; , including updating the first surgery management information based on the acquired first new medical information, and updating the first surgery management information includes applying the first new medical information to the deep learning model.
  • the step of calculating an actual surgical score based on the actual surgical success rate of the patient based on the second medical information includes reducing the first joint motion angle information after the surgery compared to the first joint motion angle information before the surgery. It includes calculating the actual loss rate by calculating the ratio.
  • the step of providing second surgical management information including first management guide information after the patient's surgery based on the calculated actual surgical score includes rehabilitation exercises tailored to the patient and and generating first post-surgery management guide information including at least one of medication prescription information.
  • acquiring second new medical information including second joint movement angle information and second health information after surgery of the patient at a predetermined time after the acquisition of the second medical information includes updating the second surgery management information based on new medical information.
  • the joint surgery integrated management method and system manages and monitors the patient's health based on the patient's health status before and after joint surgery, depending on the intensity or date of surgery without considering the health status of each patient. It has the effect of minimizing side effects.
  • the joint surgery integrated management method and system predicts the patient's surgical success rate based on the joint movement angle, thereby encouraging the patient to make efforts to improve the surgical success rate as much as possible before surgery. It has an energizing effect.
  • the joint surgery integrated management method and system provides a guide to increase the success rate of surgery, allowing patients to directly check information about factors to keep in mind before and after surgery and check their condition. It has the effect of being able to manage .
  • the joint surgery integrated management method and system adjusts the surgery schedule according to the patient's health status, thereby instilling in the patient the awareness of undergoing surgery under a physical condition with a high surgical success rate. It has the effect of reducing fear.
  • the joint surgery integrated management method and system derives factors that affect surgical results, thereby performing efficient and accurate health management centered on the derived factors rather than inefficient and vague health management. It has the effect of allowing you to do it.
  • the joint surgery integrated management method and system allows those involved in the patient's surgery (in the embodiment, the doctor in charge of the patient's surgery, the patient's guardian, etc.) By sharing information, there is an effect of preventing patient medical accidents caused by communication errors between different parties.
  • Figure 1 is a conceptual diagram of an integrated joint surgery management system according to an embodiment of the present invention.
  • Figure 2 is an internal block diagram of a terminal according to an embodiment of the present invention.
  • Figure 3 is a flowchart for explaining a method of integrated management of a patient's health status before and after joint surgery according to an embodiment of the present invention.
  • Figure 4 is an example to explain a method of obtaining joint movement angle information according to an embodiment of the present invention.
  • Figure 5 is an example of a self-examination interface provided according to an embodiment of the present invention.
  • Figure 6 is a conceptual diagram for each viewpoint of a patient's surgery according to an embodiment of the present invention.
  • Figure 7 is a flowchart illustrating a method of providing first surgery management information according to an embodiment of the present invention.
  • Figure 8 is an example of schedule information for explaining a method of updating the surgery date according to an embodiment of the present invention.
  • Figure 9 is a flowchart for explaining a method of providing second surgery management information according to an embodiment of the present invention.
  • Figure 10 is an example of a diagram for explaining a method of presenting guidelines for second surgery management information according to an embodiment of the present invention.
  • Figure 1 is a conceptual diagram of an integrated joint surgery management system according to an embodiment of the present invention.
  • the joint surgery integrated management system can provide a joint surgery integrated management service that can manage and monitor the joint and health status of a patient before and after joint surgery.
  • the service provision system implementing the above joint surgery integrated management service includes a terminal 100, a joint surgery integrated management service providing server 200 (hereinafter referred to as the service providing server 200), and a hospital server 300. and can be connected through a network (10: Network).
  • the network 10 refers to a connection structure that allows information exchange between each node, such as the terminal 100, the service providing server 200, and/or the hospital server 300.
  • Examples of such networks 10 include the 3rd Generation Partnership Project (3GPP) network, Long Term Evolution (LTE) network, World Interoperability for Microwave Access (WIMAX) network, Internet, Local Area Network (LAN), and Wireless LAN. Includes, but is not limited to, (Wireless Local Area Network), WAN (Wide Area Network), PAN (Personal Area Network), Bluetooth network, satellite broadcasting network, analog broadcasting network, DMB (Digital Multimedia Broadcasting) network, etc. No.
  • 3GPP 3rd Generation Partnership Project
  • LTE Long Term Evolution
  • WIMAX World Interoperability for Microwave Access
  • LAN Local Area Network
  • Wireless LAN Includes, but is not limited to, (Wireless Local Area Network), WAN (Wide Area Network), PAN (Personal Area Network), Bluetooth network, satellite broadcasting network, analog broadcasting network, DMB
  • the terminal 100 may be a computing device installed with an integrated management application (hereinafter referred to as application) that provides the joint surgery integrated management service.
  • application an integrated management application
  • applications according to embodiments may be divided into applications for patients, applications for doctors, and applications for guardians.
  • the patient application, doctor application, and guardian application may be a single application or may be used to perform different functional operations by distinguishing users.
  • the patient application may provide a pre-surgery health condition management function, a post-surgery health condition management function, and/or a surgery schedule management function according to an integrated joint surgery management service.
  • the application for doctors may provide a function to manage a doctor's surgery schedule, an overall management function for a patient's medical records, and/or a function to provide medical assistance content related to the patient's surgery, etc.
  • the guardian application may provide a patient's health status monitoring function according to the joint surgery integrated management service and/or a guideline gift function for managing the patient's health.
  • the terminal 100 with the above application installed is the patient terminal 100-1 used by the patient, the doctor terminal 100-2 in charge of the patient's surgery, and/or the patient's guardian used. It may include a guardian terminal (100-3).
  • the patient terminal 100-1, doctor terminal 100-2, and guardian terminal 100-3 are used to distinguish users, and their components and functional operations may be the same. .
  • the patient application may be installed in the patient terminal 100-1
  • the doctor application may be installed in the doctor terminal 100-2
  • the guardian terminal 100- 3 The above parental application may be installed.
  • the terminal 100 may include a mobile type computing device 101 and/or a desktop type computing device 102 on which an application is installed.
  • the mobile type computing device 101 may be a mobile device such as a smart phone or tablet PC with an application installed.
  • the mobile type computing device 101 may include a smart phone, a mobile phone, a digital broadcasting device, a personal digital assistant (PDA), a portable multimedia player (PMP), a tablet PC, etc. there is.
  • PDA personal digital assistant
  • PMP portable multimedia player
  • the desktop type computing device 102 executes an integrated joint surgery management service based on wired/wireless communication, such as a fixed desktop PC with an application installed, a laptop computer, or a personal computer such as an ultrabook. It may include a device on which a program to do so is installed.
  • the terminal 100 may further include a server computing device that provides an integrated joint surgery management service environment.
  • Figure 2 is an internal block diagram of the terminal 100 according to an embodiment of the present invention.
  • the terminal 100 includes a memory 110, a processor assembly 120, a communication processor 130, an interface module 140, an input system 150, a sensor system 160, and It may include a display system 170. These components may be configured to be included within the housing of the terminal 100.
  • the application 111 is stored in the memory 110, and the application 111 may store one or more of various applications, data, and commands for providing an integrated joint surgery management service environment.
  • the memory 110 may store commands and data that can be used to create an integrated joint surgery management service environment.
  • the memory 110 may include a program area and a data area.
  • the program area according to the embodiment may be linked between the operating system (OS) and functional elements that boot the terminal 100, and the data area is data generated according to the use of the terminal 100. can be saved.
  • OS operating system
  • the memory 110 may include at least one non-transitory computer-readable storage medium and a temporary computer-readable storage medium.
  • the memory 110 may be a variety of storage devices such as ROM, EPROM, flash drive, hard drive, etc., and web storage that performs the storage function of the memory 110 on the Internet. may include.
  • the processor assembly 120 may include at least one processor capable of executing instructions of the application 111 stored in the memory 110 to perform various tasks for creating an integrated joint surgery management service environment.
  • the processor assembly 120 may control the overall operation of components through the application 111 of the memory 110 to provide an integrated management service for joint surgery.
  • This processor assembly 120 may be a system-on-chip (SOC) suitable for the terminal 100 that includes a central processing unit (CPU) and/or a graphics processing unit (GPU), and the operating system stored in the memory 110. (OS) and/or application programs can be executed, and each component mounted on the terminal 100 can be controlled.
  • SOC system-on-chip
  • processor assembly 120 may internally communicate with each component through a system bus and may include one or more bus structures, including a local bus.
  • the processor assembly 120 includes application specific integrated circuits (ASICs), digital signal processors (DSPs), digital signal processing devices (DSPDs), programmable logic devices (PLDs), field programmable gate arrays (FPGAs), and controllers. ), micro-controllers, microprocessors, and other electrical units for performing functions.
  • ASICs application specific integrated circuits
  • DSPs digital signal processors
  • DSPDs digital signal processing devices
  • PLDs programmable logic devices
  • FPGAs field programmable gate arrays
  • controllers controllers.
  • micro-controllers microprocessors, and other electrical units for performing functions.
  • the communication processor 130 may include one or more devices for communicating with external devices. This communication processor 130 can communicate through a wireless network.
  • the communication processor 130 can communicate with the terminal 100 that stores content sources for implementing an integrated joint surgery management service environment, and can communicate with various user input components such as a controller that receives user input. .
  • the communication processor 130 may transmit and receive various data related to the joint surgery integrated management service with other terminals and/or external servers.
  • This communication processor 130 uses technical standards or communication methods for mobile communication (e.g., Long Term Evolution (LTE), Long Term Evolution-Advanced (LTE-A), 5G New Radio (NR), WIFI).
  • LTE Long Term Evolution
  • LTE-A Long Term Evolution-Advanced
  • NR 5G New Radio
  • WIFI Worldwide Interoperability for Microwave Access
  • data can be transmitted and received wirelessly with at least one of a base station, an external terminal 100, and an arbitrary server on a mobile communication network established through a communication device capable of performing short-distance communication.
  • the sensor system 160 may include various sensors, such as an image sensor 161, a position sensor (IMU) 163, an audio sensor 165, a distance sensor, a proximity sensor, a contact sensor, and/or a tilt sensor.
  • IMU position sensor
  • audio sensor 165 audio sensor
  • distance sensor a distance sensor
  • proximity sensor a proximity sensor
  • contact sensor a contact sensor
  • tilt sensor a tilt sensor
  • the image sensor 161 may capture images and/or videos of the physical space around the terminal 100.
  • the image sensor 161 may capture and acquire various images and/or videos related to joint surgery integrated management services.
  • the image sensor 161 is disposed on the front or/and rear of the terminal 100 and can acquire an image by photographing the direction in which the terminal 100 is placed. You can photograph space.
  • This image sensor 161 may include an image sensor device and an image processing module.
  • the image sensor 161 can process still images or moving images obtained by an image sensor device (eg, CMOS or CCD).
  • the image sensor 161 processes still images or moving images acquired through the image sensor device using an image recognition process (e.g., OCR, etc.) and/or an image processing module to extract necessary information, and extracts the extracted information. can be passed to the processor.
  • an image recognition process e.g., OCR, etc.
  • an image processing module e.g., an image processing module to extract necessary information, and extracts the extracted information.
  • This image sensor 161 may be a camera assembly including at least one camera.
  • the camera assembly may include a general camera that photographs a visible light band, and may further include a special camera such as an infrared camera or a stereo camera.
  • the image sensor 161 as described above may be included and operated in the terminal 100, depending on the embodiment, or may be included in an external device (e.g., an external server, etc.) and may be included in the above-described communication processor 130 and/or Alternatively, it may operate through linkage based on the interface module 140.
  • an external device e.g., an external server, etc.
  • the position sensor may detect at least one of movement and acceleration of the terminal 100.
  • it may consist of a combination of various position sensors such as an accelerometer, gyroscope, or magnetometer.
  • the location sensor (IMU) 163 may recognize spatial information about the physical space around the terminal 100 in conjunction with the location communication processor 130, such as the GPS of the communication processor 130.
  • the audio sensor 165 can recognize sounds around the terminal 100.
  • the audio sensor 165 may include a microphone capable of detecting voice input from a user using the terminal 100.
  • the audio sensor 165 may receive voice data required for an integrated joint surgery management service from the user.
  • the interface module 140 can connect the terminal 100 to communicate with one or more other devices.
  • interface module 140 may include wired and/or wireless communication devices compatible with one or more different communication protocols.
  • the terminal 100 can be connected to various input/output devices.
  • the interface module 140 may be connected to an audio output device such as a headset port or a speaker to output audio.
  • an audio output device such as a headset port or a speaker to output audio.
  • the audio output device is connected through the interface module 140, but embodiments in which the audio output device is installed inside the terminal 100 may also be included.
  • the interface module 140 may be connected to an input device such as a keyboard and/or mouse to obtain user input.
  • This interface module 140 connects devices equipped with a wired/wireless headset port, an external charger port, a wired/wireless data port, a memory card port, and an identification module. Port, audio I/O (Input/Output) port, video I/O (Input/Output) port, earphone port, power amplifier, RF circuit, transceiver and other communication circuits It may be configured to include at least one of:
  • the input system 150 may detect user input (eg, a gesture, voice command, button operation, or other type of input) related to the joint surgery integrated management service.
  • user input eg, a gesture, voice command, button operation, or other type of input
  • the input system 150 may include a predetermined button, a touch sensor, and/or an image sensor 161 that receives a user motion input.
  • the input system 150 is connected to an external controller through the interface module 140 and can receive user input.
  • the display system 170 can output various information related to joint surgery integrated management services as graphic images.
  • the display system 170 may display various user interfaces (in the embodiment, a self-questionnaire interface and/or a surgical record input interface, etc.) for an integrated joint surgery management service.
  • LCD liquid crystal display
  • TFT LCD thin film transistor-liquid crystal display
  • OLED organic light-emitting diode
  • flexible display a 3D display, or an e-ink display.
  • the above components may be disposed within the housing of the terminal 100, and the user interface may include a touch sensor 173 on the display 171 configured to receive user touch input.
  • the display system 170 may include a display 171 that outputs an image and a touch sensor 173 that detects a user's touch input.
  • the display 171 may be implemented as a touch screen by forming a mutual layer structure or being integrated with the touch sensor 173.
  • This touch screen can function as a user input unit that provides an input interface between the terminal 100 and the user, and at the same time, can provide an output interface between the terminal 100 and the user.
  • the terminal 100 including the above-described components receives at least one or more medical information, new medical information, etc. from an external computing device (in the embodiment, an external terminal, service provision server 200, and/or hospital server 300, etc.).
  • Information, surgery management information, and/or surgery record information may be obtained, and depending on the embodiment, the various types of information may be stored in the memory 110.
  • various information related to the patient's surgery including the at least one or more medical information, surgery management information, new medical information, and/or surgery record information according to the embodiment, may be obtained at a predetermined time before and after the surgery. there is.
  • the terminal 100 may obtain medical information of a patient.
  • the medical information according to the embodiment is basic medical information about the patient, and in the embodiment includes the patient's joint movement angle information, health information, and/or surgery date information for the surgery scheduled to be performed on the patient. can do.
  • the medical information may include first medical information acquired before surgery and second medical information acquired after surgery based on the time of surgery.
  • the first medical information and the second medical information are basic medical information for the same patient, but a predetermined value included in each medical information may be different depending on the success rate of the surgery.
  • the terminal 100 may generate and provide surgery management information based on the acquired medical information of the patient (in the embodiment, first medical information and/or second medical information).
  • the surgical management information is information that the patient must adhere to before and after the surgery, and in the embodiment, it may include a surgical score for the patient, temporary surgery date information, and/or perioperative management guide information. .
  • the surgery management information may include first surgery management information acquired before surgery and second surgery management information acquired after surgery based on the time of surgery.
  • the first surgery management information and the second surgery management information are information targeting the same patient, but the information included in each surgery management information is different depending on the time when the patient acquires the surgery management information. It can happen.
  • the terminal 100 is configured to generate the medical information (in the embodiment, the first surgery management information and/or the second surgery management information) of the patient.
  • the Surgical Score can be calculated based on 1 medical information and/or second medical information.
  • the surgical score may mean a value obtained by calculating the expected surgical success rate based on the patient's medical information before and after surgery and converting it into a score.
  • these surgical scores are comprehensively based on the patient's self-questionnaire, which records changes in the patient's joint angle of motion before and after surgery, as well as pain in daily life felt by the patient after surgery, discomfort when walking, and lower body fatigue. It can be calculated based on judgment. That is, in the embodiment, the surgical score can be used as a measure to determine whether the surgery was successful.
  • the pre- and post-operative management guide information is information including pre-operative management guide information and post-operative management guide information, and various values related to the patient's health depending on the type of surgery the patient will undergo or the patient's physical condition. It may be information that includes certain guidelines for improving (e.g., muscle mass, albumin level, etc.), lifestyle habits (e.g., drinking, smoking, exercise, etc.), and medication patterns.
  • This pre- and post-operative management guide information is a differential guide according to predetermined standards for each value of the calculated surgical score (eg, first surgical score, second surgical score, and/or actual surgical score). It may be provided including.
  • the terminal 100 may acquire new medical information.
  • the new medical information according to the embodiment may be medical information re-acquired through re-measurement of the same patient at a predetermined period of time after obtaining the medical information.
  • the new medical information may include first new medical information acquired before surgery and second new medical information acquired after surgery based on the time of surgery.
  • the first new medical information may be acquired a predetermined period of time after obtaining the first medical information, and in this case, the time may be before the first surgery is performed.
  • the first new medical information may be acquired after the first medical information is acquired and before the first surgery.
  • the second new medical information may be acquired after a predetermined period of time has elapsed after the second medical information is acquired.
  • the terminal 100 may provide the surgery management information (in the embodiment, the first new medical information and/or the second new medical information) based on the acquired new medical information (in the embodiment, the first new medical information and/or the second new medical information).
  • Surgery management information and/or second surgery management information may be updated and provided.
  • the terminal 100 may obtain the patient's surgical record information and second medical information.
  • the terminal 100 may generate and provide second surgery management information based on the acquired surgery record information and second medical information.
  • the terminal 100 may further perform at least part of the functional operations performed by the service providing server 200, which will be described later.
  • the service providing server 200 may perform a series of processes to provide an integrated joint surgery management service.
  • the service providing server 200 exchanges data necessary for running the joint surgery integrated management service process in an external device such as the terminal 100 with the external device, thereby managing the joint surgery integrated management. Services can be provided.
  • the service providing server 200 allows the application 111 to operate on an external device (in the embodiment, a mobile type computing device 101 and/or a desktop type computing device 102, etc.).
  • an external device in the embodiment, a mobile type computing device 101 and/or a desktop type computing device 102, etc.
  • the service providing server 200 may include an application program, data, and/or commands for operating the application 111, and may transmit and receive various data based thereon with the external device.
  • the service providing server 200 may perform various deep learning for joint surgery integrated management services in conjunction with a deep-learning neural network.
  • the deep learning neural network is installed directly on the service providing server 200, or operates as a separate device from the service providing server 200 to perform deep learning for the joint surgery integrated management service. You can.
  • the service providing server 200 reads a predetermined deep learning neural network driving program built to perform the deep learning from memory, and performs the following according to the read predetermined deep learning neural network system. Deep learning can be performed.
  • the service providing server 200 may obtain the patient's medical information from an external computing device (in the embodiment, the terminal 100 and/or the hospital server 300, etc.).
  • the service providing server 200 may generate surgery management information (eg, first surgery management information) based on the acquired medical information of the patient.
  • surgery management information eg, first surgery management information
  • the service providing server 200 may obtain surgical record information obtained in relation to the performed surgery after surgery is performed on the patient.
  • the service providing server 200 may generate surgery management information (eg, second surgery management information) based on the obtained patient's surgery record information.
  • surgery management information eg, second surgery management information
  • the service providing server 200 provides the surgery management information generated as above (in the embodiment, the first surgery management information and/or the second surgery management information) to an external computing device (in the embodiment, the terminal). (100) and/or hospital server (300), etc.).
  • the service providing server 200 learns the deep learning neural network described above based on the surgery management information generated as above (in the embodiment, first surgery management information and/or second surgery management information). (Training) can be done.
  • the service providing server 200 may store and manage various applications, commands, and/or data for implementing an integrated joint surgery management service.
  • the functional operations that the service providing server 200 can perform are not limited to what is described above, and other functional operations may also be performed.
  • the service providing server 200 includes at least one processor module (210) for data processing and at least one for data exchange with an external device.
  • a computing device including the above communication module (220) and at least one memory module (230) that stores various applications, data and/or commands for providing integrated management services for joint surgery. It can be implemented as:
  • the memory module 230 may store one or more of an operating system (OS), various application programs, data, and commands for providing integrated management services for joint surgery.
  • OS operating system
  • various application programs data, and commands for providing integrated management services for joint surgery.
  • the memory module 230 may include a program area and a data area.
  • the program area according to the embodiment may be linked between the operating system (OS) that boots the server and functional elements, and the data area may store data generated according to the use of the server.
  • OS operating system
  • the memory module 230 may be a variety of storage devices such as ROM, RAM, EPROM, flash drive, hard drive, etc., and may be a web device that performs the storage function of the memory module 230 on the Internet. It could also be storage (web storage).
  • the memory module 230 may be a recording medium that is removable from the server.
  • the processor module 210 can control the overall operation of each unit described above in order to implement an integrated joint surgery management service.
  • This processor module 210 may be a system-on-chip (SOC) suitable for a server that includes a central processing unit (CPU) and/or graphics processing unit (GPU), and the operating system (OS) stored in the memory module 230 ) and/or application programs, etc., and control each component mounted on the server.
  • SOC system-on-chip
  • processor module 210 may internally communicate with each component through a system bus and may include one or more bus structures, including a local bus.
  • the processor module 210 includes application specific integrated circuits (ASICs), digital signal processors (DSPs), digital signal processing devices (DSPDs), programmable logic devices (PLDs), field programmable gate arrays (FPGAs), and controllers. ), micro-controllers, microprocessors, and other electrical units for performing functions.
  • ASICs application specific integrated circuits
  • DSPs digital signal processors
  • DSPDs digital signal processing devices
  • PLDs programmable logic devices
  • FPGAs field programmable gate arrays
  • controllers micro-controllers, microprocessors, and other electrical units for performing functions.
  • the service providing server 200 performs the functional operations as described above.
  • at least part of the functional operations performed by the service providing server 200 may be performed by an external device.
  • Various embodiments may be possible, such as performing the device (e.g., terminal 100, etc.), and at least part of the functional operation performed by the external device may be further performed by the service providing server 200. .
  • the hospital server 300 can store and manage medical information including the patient's medical treatment history for each hospital.
  • the hospital server 300 may obtain, store, and manage patient medical information based on a hospital-specific electronic medical record (EMR) and/or electronic health record (EHR) system.
  • EMR electronic medical record
  • EHR electronic health record
  • the electronic medical record (EMR: Electronic Medical Record) according to the embodiment is a computerized version of the existing paper patient chart, including the patient's personal information, past medical history, diagnosis record, treatment details, medication guidance record,
  • the data may include at least one of medication records, surgery records, hospitalization and discharge records, and outpatient treatment information.
  • the surgery record may include information about the date the patient underwent surgery and the surgical site.
  • EMR electronic medical records
  • the Electronic Health Record is medical-related data in digital format measured by a device that acquires data related to the patient's care, and is performed when the patient wears the device and accesses the device. It may include acquired biometric information.
  • the biometric information is information that measures the patient's body, such as blood sugar, blood pressure, body temperature, electrocardiogram, and/or muscle mass, or albumin level information, vitamin D level information in the body, pain information, and/or patient information based on drug use, etc. It may include information about the condition and/or information inputting pain occurring from the patient.
  • the hospital server 300 may, in accordance with a predetermined request, provide predetermined data based on the electronic medical record (EMR) and/or electronic health record (EHR) (e.g., patient medical information and/or Doctor's schedule information, etc.) can be provided to an external device (eg, terminal 100 and/or service providing server 200, etc.).
  • EMR electronic medical record
  • EHR electronic health record
  • the hospital server 300 as described above includes at least one processor 310 for data processing, at least one communication module 320 for data exchange with an external device, and a joint surgery It may be implemented as a computing device including at least one storage module 330 that stores various applications, data, and/or instructions for providing integrated management services.
  • the processor 310, communication module 320, and storage module 330 that constitute the hospital server 300 are omitted because they apply to the above-described service provision server 200.
  • At least one processor of the terminal 100 may execute at least one application 111 stored in at least one memory 110 or operate in a background state.
  • the at least one processor operates to execute the instructions of the application 111 to perform the method of integrated management of the patient's health status before and after joint surgery described above, which is shortened to the application 111 performing the method.
  • the at least one processor operates to execute the instructions of the application 111 to perform the method of integrated management of the patient's health status before and after joint surgery described above, which is shortened to the application 111 performing the method.
  • Figure 3 is a flowchart for explaining a method of integrated management of a patient's health status before and after joint surgery according to an embodiment of the present invention.
  • the application 111 may obtain the patient's first medical information. (S101)
  • the application 111 may acquire the patient's first medical information, which is medical information acquired before surgery, based on the time of surgery.
  • the medical information according to the embodiment is basic medical information about the patient, and in the embodiment includes the patient's joint movement angle information, health information, and/or surgery date information for the surgery scheduled to be performed on the patient. can do.
  • the application 111 may use a predetermined user input detected by the terminal 100 (in the embodiment, at least one of the patient terminal 100-1 and/or the doctor terminal 100-2),
  • the patient's first medical information may be obtained based on linkage with an external device (e.g., a wearable device and/or a body composition analyzer (e.g., InBody device), etc.) and/or the hospital server 300.
  • an external device e.g., a wearable device and/or a body composition analyzer (e.g., InBody device), etc.
  • the joint movement angle information is information measuring the amount that can be moved at the joint in terms of angle, and may be expressed as a value including a predetermined numerical value (for example, 100 degrees (°), etc.).
  • This joint movement angle information generally indicates that when a patient undergoes joint surgery, the joint movement angle increases after surgery compared to before surgery (for example, it increases from 80 degrees (°) before surgery to 100 degrees (°) after surgery).
  • a value calculated as a ratio of the joint movement angle after surgery to the normal joint movement angle eg, typically 135 degrees (°)
  • the loss rate may be referred to as the loss rate.
  • the loss rate may have a different target value depending on the patient's gender, age, etc., and a detailed description of this will be provided later.
  • Figure 4 is an example to explain a method of obtaining joint movement angle information according to an embodiment of the present invention.
  • the application 111 adjusts the joint movement angle based on a user input using a predetermined sensor (eg, a tilt sensor, an image sensor, etc.) included in the patient terminal 100-1. Information can be obtained.
  • a predetermined sensor eg, a tilt sensor, an image sensor, etc.
  • the application 111 may acquire joint movement angle information based on a user (eg, patient) input that measures the joint angle using the tilt sensor included in the patient terminal 100-1. You can.
  • the application 111 uses the tilt (hereinafter, first tilt) at a predetermined position included in the direction (hereinafter, X direction) close to the upper body based on the patient's knee key point (KP-1). ) can be measured.
  • the application 111 may detect a user input to start measurement from the terminal 100 located in the X direction.
  • the application 111 may set the first slope measured in the X direction as the reference slope.
  • the application 111 is a tilt (hereinafter, a second tilt) at a predetermined position included in a direction (hereinafter, Y direction) close to the foot based on the patient's knee key point (KP-1). can be measured.
  • the application 111 may detect a user input for ending measurement from the terminal 100 located in the Y direction.
  • the user may use a certain auxiliary device (eg, a rubber band, etc.) to fix the terminal 100.
  • a certain auxiliary device eg, a rubber band, etc.
  • the application 111 may calculate a joint movement angle based on the deviation of the second tilt measured in the Y direction from the set reference tilt.
  • the application 111 may acquire the patient's joint movement angle information based on a predetermined user input using a tilt sensor.
  • the application 111 measures the joint angle using the image sensor included in the patient terminal 100-1, based on the input of the user (in the embodiment, the patient). Joint movement angle information can be obtained.
  • the application 111 may acquire a predetermined image and/or image including the entire leg of the patient.
  • application 111 may detect user input that sets the location of the patient's knee keypoint (KP-1), thigh keypoint (KP-2), and/or shin keypoint (KP-3). .
  • the application 111 may calculate the angle of the first connection line connecting the patient's knee key point (KP-1) and thigh key point (KP-2).
  • the application 111 may set the angle of the first connection line as a reference angle.
  • the application 111 may calculate the angle of the second connection line connecting the patient's knee key point (KP-1) and the shin key point (KP-3).
  • the application 111 may calculate the joint movement angle based on the deviation of the angle of the second connection line from the set reference angle.
  • the application 111 may acquire the patient's joint movement angle information based on a predetermined user input using an image sensor.
  • the application 111 may obtain joint movement angle information based on a predetermined external device (eg, a wearable device).
  • a predetermined external device eg, a wearable device
  • the application 111 may obtain joint movement angle information by measuring acceleration, angular velocity, angle, etc. based on at least one wearable device attached to the patient's femur side and/or tibia side.
  • the application 111 may obtain joint movement angle information based on linkage with the hospital server 300.
  • the application 111 operates joints by receiving diagnostic records and treatment details included in the patient's electronic medical record (EMR) and/or electronic health record (EHR) in conjunction with the hospital server 300. Angular information can be obtained.
  • EMR electronic medical record
  • EHR electronic health record
  • the health information included in the medical information in the embodiment is information including various information related to the user's (patient's) health indicating the patient's overall health condition, such as medication status, nutritional status, obesity level, amount of exercise, and/or This may include exercise performance, etc.
  • the application 111 may obtain health information based on user input using the patient terminal 100-1.
  • the application 111 may obtain health information based on user input using a self-questionnaire interface provided using the patient terminal 100-1.
  • the self-questionnaire is a self-diagnosis recorded by the patient to determine the patient's health status before and after joint surgery, including medication status, amount of exercise, and/or lifestyle (e.g., drinking, smoking, etc.), and daily life. This may include the frequency and intensity of pain that occurs.
  • Figure 5 is an example of a self-examination interface provided according to an embodiment of the present invention.
  • the application 111 may provide a self-examination interface using the patient terminal 100-1. Accordingly, the user can perform user input by entering answers to predetermined questions through a questionnaire-type screen as shown in FIG. 5.
  • the application 111 may convert the score for the self-questionnaire based on the performed user input. For example, referring to survey number 1 in Figure 5, the score for the self-questionnaire performed can be converted by converting “excellent” to the highest score of 5 points and “bad” to the lowest score of 1 point.
  • This self-questionnaire can be performed at least once and the converted scores can be accumulated as data.
  • the self-examination is performed periodically before and after surgery, and self-examination data is generated and accumulated, which can be used to comprehensively determine the success of the surgery along with the patient's joint movement angle information.
  • the self-interview data will be described on the basis that it is generated and accumulated once before surgery and once after surgery, and the data acquired before surgery is referred to as first self-interview data and the data acquired after surgery. It can be referred to as the second self-questionnaire data.
  • the application 111 records the patient's daily exercise amount, diet, medication amount, medication time, and/or the frequency and intensity of pain occurring in daily life, etc., entered by the patient based on the provided self-questionnaire interface. You can obtain health information including:
  • the application 111 may acquire health information based on a predetermined external device (eg, a wearable device and/or a body composition analyzer, etc.).
  • a predetermined external device eg, a wearable device and/or a body composition analyzer, etc.
  • the application 111 may obtain health information based on linkage with the hospital server 300.
  • the application 111 obtains health information by receiving result data (e.g., bone density, etc.) for blood tests and/or bone density tests performed by the patient at the hospital from the hospital server 300. You can.
  • result data e.g., bone density, etc.
  • the surgery date information included in the medical information is information including the surgery date initially determined by the patient and doctor according to the prescribed treatment, and may be displayed as year/month/day/time, etc.
  • the application 111 provides the surgery date information based on a predetermined user input and/or linkage with a predetermined server (eg, service provision server 200 and/or hospital server 300, etc.). It can be obtained.
  • a predetermined server eg, service provision server 200 and/or hospital server 300, etc.
  • the application 111 may calculate and provide a predetermined surgical score according to the obtained joint movement angle information and health information, and may include at least one accumulated joint movement angle information and health information.
  • the surgery date information can be changed accordingly. More details on this will be described later.
  • the application 111 may generate and provide first surgery management information based on the obtained first medical information.
  • the application 111 generates and provides first surgery management information including a surgical score, temporary surgery date information, and/or pre-surgery management guide information based on the obtained first medical information. You can.
  • the application 111 may acquire at least one medical information including different information at a predetermined time point before and after surgery, and may obtain different medical information based on the obtained medical information.
  • At least one surgery management information containing information can be created and provided.
  • Figure 6 is a conceptual diagram for each viewpoint of a patient's surgery according to an embodiment of the present invention.
  • the application 111 may obtain first medical information at a first time point (T1) before surgery.
  • the first time point (T1) is the time when medical information is first obtained after the patient is designated as a surgical target. Accordingly, the first medical information is measured and measured under general/daily circumstances before receiving guidance and feedback. It may be basic medical information obtained.
  • Figure 7 is a flowchart illustrating a method of providing first surgery management information according to an embodiment of the present invention.
  • the application 111 may obtain a surgical score based on medical information. (S301)
  • the application 111 may obtain the first surgical score based on the first medical information using a previously learned deep learning model.
  • the previously learned deep learning model may be a deep learning model learned using a plurality of medical information corresponding to each of a plurality of patients that have been previously measured as a training data set.
  • the plurality of medical information corresponding to each of the plurality of patients may include first medical information and second medical information of patient A, first medical information and second medical information of patient B, etc. It may be first medical information and second medical information of n people.
  • the reason for using the first medical information and the second medical information as a training data set in the embodiment is that the physical condition (e.g., predetermined albumin level, muscle mass, and/or vitamins in the body) according to the first health information in the first medical information
  • the loss rate of the second joint movement angle information in the second medical information compared to the calculated first joint movement angle information is stored as at least one data, based on the patient's current physical condition.
  • the purpose is to obtain a surgical success rate (eg, surgical score) according to the expected loss rate (hereinafter, estimated loss rate).
  • the application 111 uses a pre-learned loss rate calculation deep learning model that uses predetermined medical information as input data and a predetermined estimated loss rate as output data to obtain the first information based on the first medical information. You can obtain a surgical score.
  • the application 111 may input the first medical information into the loss rate calculation deep learning neural network.
  • the deep learning neural network calculating the loss rate that has received the first medical information may provide the first estimated loss rate according to the inputted first medical information as output data.
  • the application 111 may receive the first estimated loss rate output from the loss rate calculation deep learning neural network.
  • the application 111 may obtain a first surgical score by converting the received first estimated loss rate into a surgical score.
  • the application 111 may preset a surgical score converted according to the estimated loss rate.
  • the application 111 may convert the surgical score in inverse proportion to the estimated loss rate.
  • the estimated loss rate is 0%
  • the converted surgical score is 100 points
  • the surgical score is converted according to the estimated loss rate so that the surgical score is reduced by 1 point every time the estimated loss rate increases by 1%. You can set it up already.
  • the application 111 may obtain the first surgical score based on the first medical information using a deep learning model for calculating the loss rate.
  • the application 111 may generate and provide first surgery management information including the obtained first surgical score, temporary surgery date information, and pre-surgery management guide information.
  • first surgery management information including the obtained first surgical score may be generated and provide.
  • temporary surgery date information including the temporary surgery date may be referred to as a temporary surgery date.
  • the application 111 may set a temporary surgery date based on the obtained first surgical score.
  • the application 111 provides the patient's surgery date information and the patient's charge based on linkage with a predetermined server (eg, the service provision server 200 and/or the hospital server 300, etc.). You can obtain doctor's schedule information.
  • a predetermined server eg, the service provision server 200 and/or the hospital server 300, etc.
  • the application 111 may set a temporary surgery date by fixing and/or changing the surgery date included in the surgery date information according to the obtained first surgical score.
  • the application 111 performs a temporary surgery by fixing and/or changing the surgery date included in the surgery date information when the obtained first surgical score meets and/or falls short of a predetermined standard. You can set the date.
  • the application 111 may set a date preceding the surgery date as a temporary surgery date, or set the surgery date as a temporary surgery date.
  • the application 111 may set a date later than the surgery date as a temporary surgery date.
  • the application 111 obtains the set temporary surgery date based on linkage with a predetermined server (eg, service provision server 200 and/or hospital server 300, etc.). It can be decided based on the schedule information.
  • a predetermined server eg, service provision server 200 and/or hospital server 300, etc.
  • the doctor's schedule it may be difficult to adjust the doctor's schedule for various reasons such as an increase in the amount of surgery due to an increase in the number of patients and a decrease in doctor manpower, and if the patient's current physical condition is poor enough to undergo surgery, As the temporary surgery date is delayed by weeks/months from the initially decided surgery date, the patient's illness and hospitalization period may be prolonged, resulting in physical/economic difficulties.
  • the application 111 uses the obtained product to improve the patient's physical condition to an excellent state for undergoing surgery in order to increase the first surgical score and prevent the surgery date from being delayed.
  • Preoperative management guide information can be provided based on the surgical score.
  • the pre-surgery management guide information refers to various values related to the patient's health (e.g., muscle mass, albumin level, etc.), lifestyle habits (e.g., drinking, etc.) depending on the type of surgery the patient will undergo or the patient's physical condition. It may be information that includes certain guidelines for improving (smoking, exercise, etc.) and medication patterns.
  • the application 111 generates and provides first surgery management information including a surgical score, temporary surgery date information, and/or pre-surgery management guide information based on the obtained first medical information. , It has the effect of encouraging the patient to perform certain actions (e.g., increasing the amount of exercise, muscle mass and medication taken, reducing the number of drinks, etc.) to improve the patient's physical condition to a physical condition suitable for undergoing surgery before surgery.
  • certain actions e.g., increasing the amount of exercise, muscle mass and medication taken, reducing the number of drinks, etc.
  • the application 111 may acquire new medical information. (S305)
  • the application 111 provides first medical information that is acquired at a second time point (T2), which is a time point between the first time point (T1) at which the first medical information is acquired and the time of surgery. You can obtain new medical information.
  • the application 111 allows the patient who performed the guide according to the pre-surgery management guide information provided in step S303 described above after the first time point (T1) to re-measure/input at the second time point (T2).
  • First new medical information including a certain amount of health information (hereinafter referred to as first new health information) may be obtained.
  • each health-related information e.g., muscle mass, albumin level, etc.
  • Preoperative management guide information may vary depending on performance fidelity.
  • the application 111 acquires first new medical information including first new health information in which the values of each of various health-related information included in the first health information included in the first medical information are updated. can do.
  • the application 111 may update and provide the surgery management information based on new acquired medical information. (S307)
  • the application 111 may update and provide the first surgery management information including temporary surgery date information and/or pre-surgery management guide information based on the acquired first new medical information.
  • the application 111 may input the first new medical information into a loss rate calculation deep learning neural network.
  • the deep learning neural network calculating the loss rate that has received the first new medical information may provide a second estimated loss rate according to the inputted first new medical information as output data.
  • the application 111 may receive the second estimated loss rate output from the loss rate calculation deep learning neural network.
  • the application 111 may obtain a second surgical score by converting the received second estimated loss rate into a surgical score.
  • the application 111 may update the temporary surgery date information and pre-surgery management guide information included in the first surgery management information by comparing the obtained first surgical score and the second surgical score. .
  • the second surgical score may be maintained and/or changed (decreased and increased) compared to the first surgical score depending on the patient's sincerity in performing the pre-operative management guide information, and accordingly, the application 111 , the temporary surgery date included in the first surgery management information can be updated.
  • Figure 8 is an example of schedule information for explaining a method of updating the surgery date according to an embodiment of the present invention.
  • Figure 8 may be an example of the doctor's schedule information obtained by linking with an external server, and the plurality of displayed dates (TD, TD-1, TD-2) are the dates that the doctor has already registered as the possible date for surgery. You can.
  • the application 111 may update temporary surgery date information included in the first surgery management information by comparing the obtained first surgical score and the second surgical score.
  • the application 111 determines that when the second surgical score decreases compared to the first surgical score, the patient's physical condition is unsuitable for surgery (e.g., a state with a low surgical success rate).
  • the provisional surgery date (TD) included in the first surgery management information may be updated to a later date (TD-2).
  • the application 111 uses the pre-surgery management guide information included in the first surgery management information as information to further improve the patient's physical condition. You can update it with .
  • the application 111 determines that if the second surgical score is the same or increases compared to the first surgical score, the patient's physical condition is suitable for undergoing surgery (for example, a state with a high surgical success rate). ), the temporary surgery date (TD) included in the first surgery management information can be maintained or updated to an advanced date (TD-1).
  • TD temporary surgery date
  • the application 111 when the second surgical score is the same or increases compared to the first surgical score, the application 111 maintains the improved physical condition of the patient by using the pre-surgical management guide information included in the first surgical management information. It can be updated with information to do so.
  • the application 111 sends first surgery management information including the updated temporary surgery date information and/or pre-surgery management guide information to at least one terminal (in the embodiment, patient terminal 100-1 ) and/or the doctor terminal 100-2) and/or a server (for example, the service provision server 200 and/or the hospital server 300).
  • the application 111 has the effect of reducing fear of surgery by updating and providing first surgery management information to patients by instilling in them the awareness that they are undergoing surgery under a physical condition with a high surgical success rate. , It has the effect of allowing doctors to easily determine the confirmed surgery date for each patient, and systematically has the effect of easily updating the surgery record for each patient.
  • the application 111 may obtain the patient's surgical record information and second medical information. (S105)
  • the surgical record information according to the embodiment may be information that describes event information or special details that occurred during the patient's surgery, the time required for the surgery, etc., and may be information generated on the doctor's terminal 100-2.
  • the application 111 may provide a surgical record input interface for inputting surgical record information into the doctor terminal 100-2 that performed the surgery.
  • the application 111 may generate and obtain surgical record information based on the provided surgical record input interface.
  • the application 111 may obtain second medical information at a third time point (T3) after surgery.
  • T3 third time point
  • the third time point (T3) is the first time medical information is obtained after surgery is performed on the patient, and accordingly, the second medical information is collected for a predetermined period (e.g., Typically, it is the period until the success of the surgery is determined, and may be basic medical information measured and obtained under general/routine circumstances (2 weeks, etc.).
  • the second medical information according to the embodiment may be medical information whose acquisition time is different from the above-described first medical information, and where the predetermined value included is different depending on the acquisition time, and overlapping contents are described above. Since it is the same as the content of the first medical information, it will be omitted.
  • the application 111 may obtain second medical information including joint movement angle information and/or health information after surgery.
  • the application 111 may generate and provide second surgery management information based on the acquired surgery record information and/or second medical information.
  • the application 111 may generate and provide second surgery management information including actual surgical score and/or post-surgery management guide information based on the acquired second medical information.
  • Figure 9 is a flowchart for explaining a method of providing second surgery management information according to an embodiment of the present invention.
  • the application 111 may calculate an actual surgical score based on surgery record information and second medical information. (S501)
  • the application 111 may calculate the actual loss rate after surgery by comparing the first joint movement angle information included in the first medical information and the second joint movement angle information included in the second medical information.
  • the application 111 may calculate the actual surgical score by converting the calculated actual loss rate into a surgical score.
  • the application 111 may preset the actual surgical score converted according to the actual loss rate.
  • the application 111 sets the actual surgical score to 100 points when the actual loss rate is 0%, and sets the actual surgical score so that the actual surgical score is reduced by 1 point every time the actual loss rate increases by 1%.
  • the actual surgical score converted according to can be preset. Typically, if the actual loss rate is 0 to 10%, the surgery can be judged to be successful.
  • the actual surgical score may be a score that does not reflect the patient's degree of improvement as the patient progresses after the surgery, based on the actual surgical score calculated by simply comparing numerical values of only the patient's first and second joint movement angle information.
  • the third surgical score which will be described later, may be a surgical success score that is finally determined by combining various factors that influenced the success of the surgery by reflecting the degree of improvement of the patient as the patient progresses after the surgery, in addition to the actual surgical score.
  • the application 111 may generate and provide second surgery management information based on the calculated actual surgical score. (S503)
  • the application 111 may generate and provide second surgery management information including post-surgery management guide information based on the calculated actual surgical score.
  • the post-operative management guide information refers to the patient's health-related lifestyle (e.g., customized rehabilitation exercise, etc.) and medication pattern (e.g., It may be information that includes certain guidance information as a type of rehabilitation treatment to improve (customized medication prescription, etc.).
  • the application 111 may acquire second new medical information. (S505)
  • the application 111 provides medical information acquired at a fourth time point (T4), which is a predetermined period of time from the third time point (T3) at which the second medical information is acquired after surgery. Second, new medical information can be obtained.
  • the application 111 allows the patient who performed the guide according to the post-surgery management guide information provided in step S505 described above after the third time point (T3) to re-measure/enter the information at the fourth time point (T4).
  • Second new medical information including a certain amount of health information (hereinafter referred to as second new health information) may be obtained.
  • various health-related information included in the second health information included in the second medical information and the second new health information included in the second new medical information may change depending on the patient's sincerity in performing the post-surgery management guide information. You can.
  • the application 111 may detect input of rehabilitation exercise and medication status and check rehabilitation exercise and medication compliance accordingly.
  • the second new medical information may include post-surgery self-questionnaire data input based on the self-questionnaire interface.
  • the application 111 obtains second new health information including the self-questionnaire data after the surgery, for example, inputting the frequency and intensity of pain occurring in the patient's daily life after the surgery. Based on these factors, the patient's rehabilitation progress can be checked.
  • the application 111 acquires second new medical information including second new health information in which the values of each of various health-related information included in the second health information included in the second medical information are updated. can do.
  • the application 111 may update and provide the second surgery management information including post-surgery management guide information based on the acquired second new medical information. (S507)
  • the method of updating the second surgery management information is the same as the method of updating the first surgery management information in step S307 described above, so it will be omitted and described based only on the differences.
  • the application 111 may update the post-surgery management guide information included in the second surgery management information by comparing the obtained third surgical score and the actual surgical score.
  • the application 111 may provide the third surgical score by further including it in the second surgery management information.
  • the third surgical score may be a score calculated based on a self-questionnaire performed after a predetermined time after surgery and a change in the patient's joint movement angle information before and after surgery.
  • the third surgical score is a final result that combines various factors such as the angle of movement of the joint that has actually improved following the surgery, the daily pain, discomfort, and fatigue felt by the patient during his or her life over a certain period of time after the surgery. This may be the success score of the surgery.
  • the application 111 sends the second surgery management information including the updated post-surgery management guide information to at least one terminal (for example, the patient terminal 100-1, the doctor terminal 100- 2)), it can be provided to the guardian terminal 100-3 and/or a server (for example, the service provision server 200 and/or the hospital server 300).
  • at least one terminal for example, the patient terminal 100-1, the doctor terminal 100- 2
  • a server for example, the service provision server 200 and/or the hospital server 300.
  • the application 111 of the guardian terminal 100-3 can receive the provided second surgery management information and presents guidelines for the received second surgery management information. You can perform the gift-giving function.
  • Figure 10 is an example of a drawing for explaining a method of presenting guidelines for second surgery management information according to an embodiment of the present invention.
  • the guidelines according to the embodiment are the standard rules that the patient must follow in his daily life for rehabilitation treatment following the patient's joint surgery (e.g., customized rehabilitation exercises and customized medication, etc.) multiple times over a predetermined period of time. It may be a set of certain contents provided to patients.
  • these guidelines are gifted from the guardian to the patient as a product and can be provided and managed based on certain data communication (e.g., chat room, etc.), and accordingly, the doctor and guardian provide customized rehabilitation exercises and customized rehabilitation exercises for the patient. It is effective in monitoring whether medication is being taken well.
  • the application 111 displays guidelines 1000 (hereinafter referred to as guidelines 1000) for the second surgery management information on the patient terminal 100-1 based on the chat room 1100. ) and/or may be provided to the doctor terminal (100-2).
  • the chat room 1100 is an environment in which a patient using the patient terminal 100-1 and a guardian using the guardian terminal 100-3 can exchange messages with each other about the provided guidelines 1000. It may mean a virtual space that provides.
  • the chat room 1100 may also have access to the doctor's terminal 100-2 of the patient's doctor, and thus the patient's rehabilitation treatment status can be monitored like the guardian.
  • the application 111 provides the guidelines 1000 using the chat room 1100, thereby providing the patient's joint relationship between the patient-doctor-guardian, where there is inconvenience in exchanging information with each other.
  • the application 111 provides the guidelines 1000 using the chat room 1100, thereby providing the patient's joint relationship between the patient-doctor-guardian, where there is inconvenience in exchanging information with each other.
  • the joint surgery integrated management method and system manages and monitors the patient's health based on the patient's health status before and after the joint surgery, so that the intensity or date of the surgery does not take into account the health status of each patient. It has the effect of minimizing side effects.
  • the joint surgery integrated management method and system predicts the patient's surgical success rate based on the joint movement angle, thereby encouraging the patient to make efforts to improve the surgical success rate as much as possible before surgery. It has an energizing effect.
  • the joint surgery integrated management method and system provides a guide to increase the success rate of surgery, allowing patients to directly check information about factors to keep in mind before and after surgery and check their condition. It has the effect of being able to manage .
  • the joint surgery integrated management method and system adjusts the surgery schedule according to the patient's health status, thereby instilling in the patient the awareness of undergoing surgery under a physical condition with a high surgical success rate. It has the effect of reducing fear.
  • the joint surgery integrated management method and system derives factors that affect surgical results, thereby performing efficient and accurate health management centered on the derived factors rather than inefficient and vague health management. It has the effect of allowing you to do it.
  • the joint surgery integrated management method and system allows those involved in the patient's surgery (in the embodiment, the doctor in charge of the patient's surgery, the patient's guardian, etc.) By sharing information, there is an effect of preventing patient medical accidents caused by communication errors between different parties.
  • the embodiments according to the present invention described above can be implemented in the form of program instructions that can be executed through various computer components and recorded on a computer-readable recording medium.
  • the computer-readable recording medium may include program instructions, data files, data structures, etc., singly or in combination.
  • Program instructions recorded on the computer-readable recording medium may be specially designed and configured for the present invention, or may be known and usable by those skilled in the computer software field.
  • Examples of computer-readable recording media include magnetic media such as hard disks, floppy disks, and magnetic tapes, optical recording media such as CD-ROMs and DVDs, and magneto-optical media such as floptical disks. medium), and hardware devices specifically configured to store and execute program instructions, such as ROM, RAM, flash memory, etc.
  • Examples of program instructions include not only machine language code such as that created by a compiler, but also high-level language code that can be executed by a computer using an interpreter or the like.
  • a hardware device can be converted into one or more software modules to perform processing according to the invention and vice versa.
  • connections or connection members of lines between components shown in the drawings exemplify functional connections and/or physical or circuit connections, and in actual devices, various functional connections or physical connections may be replaced or added. Can be represented as connections, or circuit connections. Additionally, if there is no specific mention such as “essential,” “important,” etc., it may not be a necessary component for the application of the present invention.
  • the present invention has industrial applicability because it is an invention in which a processor of a terminal executes a program implementing an integrated management method for joint surgery to provide medical information and guidance according to the patient's condition before and after joint surgery.

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Abstract

Un procédé de gestion intégrée pour une chirurgie articulaire, selon des modes de réalisation de la présente invention, est un procédé dans lequel une application de gestion intégrée exécutée par au moins un processeur d'un terminal effectue une gestion intégrée de chirurgie articulaire, comprenant les étapes consistant à : obtenir des premières informations médicales comprenant des premières informations de santé et des premières informations d'angle mobile d'articulation avant une chirurgie sur un patient ; calculer, sur la base des premières informations médicales obtenues, un premier score de chirurgie sur la base d'un taux de réussite de chirurgie prédit pour le patient ; fournir, sur la base du premier score de chirurgie calculé, des premières informations de gestion de chirurgie comprenant des premières informations de guide de gestion avant la chirurgie sur le patient ; obtenir des secondes informations médicales comprenant des premières informations de santé et des premières informations d'angle mobile d'articulation après la chirurgie sur le patient ; calculer, sur la base des secondes informations médicales obtenues, un score de chirurgie réel sur la base d'un taux de réussite de chirurgie réel pour le patient ; et fournir, sur la base du score de chirurgie réel calculé, des secondes informations de gestion de chirurgie comprenant des premières informations de guide de gestion après la chirurgie sur le patient.
PCT/KR2023/014424 2022-09-26 2023-09-21 Procédé et système de gestion intégrée pour chirurgie articulaire Ceased WO2024071843A1 (fr)

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KR10-2022-0121359 2022-09-26

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JP5936111B2 (ja) * 2011-12-30 2016-06-15 国立大学法人 岡山大学 関節対の可動域予測装置
JP2020062494A (ja) * 2012-09-17 2020-04-23 デピュイ・シンセス・プロダクツ・インコーポレイテッド 外科およびインターベンションの計画、支援、術後経過観察、ならびに機能回復追跡のためのシステムおよび方法
KR20210013419A (ko) * 2019-07-24 2021-02-04 주식회사 에버닌 트래커를 이용한 헬스 케어 시스템
WO2021119001A1 (fr) * 2019-12-09 2021-06-17 OrthAlign, Inc. Systèmes et procédés d'alignement de gobelets
US20220249168A1 (en) * 2019-06-28 2022-08-11 Formus Labs Limited Orthopaedic pre-operative planning system
KR20220124568A (ko) * 2021-03-03 2022-09-14 가톨릭대학교 산학협력단 수술 전후 관리방법 및 그 시스템

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102117523B1 (ko) 2018-12-28 2020-06-01 건양대학교 산학협력단 무릎관절 환자를 위한 센서 피드백 기반 가상현실(vr)/증강현실(ar) 무릎재활훈련시스템

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP5936111B2 (ja) * 2011-12-30 2016-06-15 国立大学法人 岡山大学 関節対の可動域予測装置
JP2020062494A (ja) * 2012-09-17 2020-04-23 デピュイ・シンセス・プロダクツ・インコーポレイテッド 外科およびインターベンションの計画、支援、術後経過観察、ならびに機能回復追跡のためのシステムおよび方法
US20220249168A1 (en) * 2019-06-28 2022-08-11 Formus Labs Limited Orthopaedic pre-operative planning system
KR20210013419A (ko) * 2019-07-24 2021-02-04 주식회사 에버닌 트래커를 이용한 헬스 케어 시스템
WO2021119001A1 (fr) * 2019-12-09 2021-06-17 OrthAlign, Inc. Systèmes et procédés d'alignement de gobelets
KR20220124568A (ko) * 2021-03-03 2022-09-14 가톨릭대학교 산학협력단 수술 전후 관리방법 및 그 시스템

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