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WO2025204784A1 - Dispositif de commande à distance, module de fonctionnement et procédé de commande à distance - Google Patents

Dispositif de commande à distance, module de fonctionnement et procédé de commande à distance

Info

Publication number
WO2025204784A1
WO2025204784A1 PCT/JP2025/008660 JP2025008660W WO2025204784A1 WO 2025204784 A1 WO2025204784 A1 WO 2025204784A1 JP 2025008660 W JP2025008660 W JP 2025008660W WO 2025204784 A1 WO2025204784 A1 WO 2025204784A1
Authority
WO
WIPO (PCT)
Prior art keywords
remote control
display module
unit
module
medical device
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
PCT/JP2025/008660
Other languages
English (en)
Japanese (ja)
Inventor
滝太郎 矢部
猛 坪内
英毅 桂
晋浩 竹田
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.)
Terumo Corp
Original Assignee
Terumo Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Terumo Corp filed Critical Terumo Corp
Publication of WO2025204784A1 publication Critical patent/WO2025204784A1/fr
Pending legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation

Definitions

  • the present invention relates to a remote control device, an operation module, and a remote control method.
  • a remote control device that allows medical personnel to operate medical equipment from outside an infection isolation room. Because medical equipment can be operated without putting on or taking off personal protective equipment, the burden on medical personnel can be reduced. Furthermore, this can also contribute to cost reduction and a lower risk of infection.
  • FIG. 1 is an explanatory diagram outlining the remote control system 50.
  • the remote control system 50 comprises a medical device 30 arranged inside an infection isolation room 52 and a remote control device 40 arranged outside the infection isolation room 52.
  • the medical device 30 is, for example, an ECMO.
  • the first communication unit 14 is an interface that enables communication between the operation module 10 and the medical device 30, and between the operation module 10 and the display module 20
  • the second communication unit 24 is an interface that enables communication between the display module 20 and the medical device 30, and between the display module 20 and the operation module 10. Therefore, in addition to communicating directly between the operation module 10 and the medical device 30, communication is also possible via the display module 20.
  • the third control unit 31 is an arithmetic and control device that executes the program of this embodiment.
  • the third control unit 31 uses one or more CPUs, GPUs, multi-core CPUs, etc.
  • the third control unit 31 is connected to each hardware component that makes up the medical device 30 via a bus.
  • the main memory device 32 is a memory device such as SRAM, DRAM, or flash memory.
  • the main memory device 32 temporarily stores information required during processing by the third control unit 31 and programs being executed by the third control unit 31.
  • the auxiliary memory device 33 is a memory device such as SRAM, flash memory, or a hard disk.
  • the auxiliary memory device 33 stores an authority DB (Database) 55, programs to be executed by the third control unit 31, and various data required for program execution.
  • the authority DB 55 may be stored in a large-capacity storage device (not shown) connected via a network.
  • FIG 3 is an explanatory diagram illustrating the record layout of the authority DB 55.
  • the authority DB 55 is a DB that records user IDs (identifiers) and user operation authority for each location where the remote control device 40 is located.
  • the authority DB 55 has a user ID field and a location field.
  • the location field has multiple location-related fields, such as a first area field and a second area field.
  • the user ID field records a user ID uniquely assigned to each medical professional.
  • the first area field, second area field, etc. record whether control is possible and the level of control. For example, a user with user ID "A001" can change operation parameters within the range of level 1 when the remote control device 40 is in the first area, and within the range of level 2 when the remote control device 40 is in the second area.
  • a user with user ID "A002" can change operation parameters within the range of level 2 when the remote control device 40 is in the first area, but cannot change operation parameters when the remote control device 40 is in the second area.
  • User ID "A002" is a person with specialized skills, such as a paramedical staff member who has received the required education and training, and can adjust operation parameters within the range of level 2 in the "first area,” but cannot adjust operation parameters in the "second area” away from the infection isolation room 52.
  • the authority DB 55 has one record for each user.
  • an operation parameter column 61 and a parameter setting column 62 are displayed side by side.
  • the operation parameter column 61 displays the values of the operation parameters sent from the medical device 30 to the display module 20.
  • On the left side of the screen one of the display parameters displayed on the second display unit 251 is displayed.
  • the first control unit 11 receives the operation parameter from the second control unit 21 and displays it on the first display unit 15.
  • the operation parameter field 61 displays the values of the operation parameters that the user plans to set via remote control.
  • the user operates the third operation unit 163 to select the digit they wish to change, and then operates the first operation unit 161 and second operation unit 162 to increase or decrease the value.
  • the first control unit 11 limits the range of values that the user can set in the operation parameter field 61 to the range permitted by the medical device 30 based on the user ID and the location of the remote control device 40.
  • FIGS 7 and 8 are flowcharts explaining the flow of program processing.
  • authentication processing based on the user ID is performed, and information about the user currently using the display module 20 is recorded in the main memory device 22.
  • the display module 20 may also perform authentication of the user currently using it at any time using a biometric authentication system such as face recognition using a built-in camera (not shown).
  • a biometric authentication system such as face recognition using a built-in camera (not shown).
  • User authentication has been used for a long time, so detailed explanation will be omitted.
  • the second control unit 21 receives the request instruction through interrupt processing.
  • the second control unit 21 transmits a request signal to the medical device 30 requesting operation authority (step S602).
  • the request signal includes information about the user using the display module 20, such as the user ID of the user, and location information of the display module 20, i.e., information about the user of the remote control device 40 and location information.
  • step S501 the operation of the authorization button accepted in step S501 is transmitted to the medical device 30 via the display module 20.
  • the first control unit 11 communicates with the medical device 30 via the display module 20.
  • the third control unit 31 receives the request signal (step S701). Based on the received location information, the third control unit 31 determines which area in the authority DB 55 described using FIG. 3 corresponds to the location of the remote control device 40. The third control unit 31 searches the authority DB 55 using the received user ID and the determined area as keys, and obtains authority information including whether or not remote control is permitted for the remote control device 40, and the level of remote control permission if permitted (step S702).
  • the third control unit 31 determines whether the user using the remote control device 40 has the authority to remotely control the medical device 30 (step S703). If it is determined that the user does not have the authority to remotely control the medical device 30 (NO in step S703), the medical device 30 ends processing.
  • end of processing means the end of processing related to remote control from the remote control device 40.
  • the medical device 30 continues operations such as maintaining the patient's life without changing the operating parameters.
  • the third control unit 31 may send a signal to the operation module 10 or the display module 20 before terminating the process to indicate that remote control is not being accepted.
  • the first control unit 11 displays, for example, using the indicator 158, that the remote control has been rejected by the medical device 30.
  • the second control unit 21 displays, for example, on the touch panel 25, that the remote control has been rejected by the medical device 30.
  • the user must quickly understand that remote control has been rejected by the medical device 30 and take appropriate action, such as entering the infection isolation room 52 to operate the medical device 30, or instructing a medical professional already in the infection isolation room 52 to operate the medical device 30.
  • the third control unit 31 transmits authority information regarding remote control to the operation module 10 (step S704).
  • the authority information includes, for example, information regarding the upper and lower limit values for which remote control of the operation parameters is permitted.
  • the remote control reception mode is an operation mode in which the third control unit 31 waits to receive a remote control signal from the remote control device 40 and changes operation parameters based on the received remote control signal. Note that even in the remote control reception mode, the third control unit 31 continues to send display parameters to the display module 20 and to perform operations such as patient life support.
  • the first control unit 11 receives the authority information from the medical device 30 (step S503).
  • the first control unit 11 stores the authority information in the main storage device 12 or the auxiliary storage device 13.
  • the first control unit 11 may, for example, turn on the "remote" indicator 158 to indicate that the medical device 30 is in a state where it can be remotely operated.
  • the first control unit 11 sends an instruction to the display module 20 to highlight the operation parameter (step S504).
  • the second control unit 21 receives the instruction (step S603).
  • the second control unit 21 highlights the operation parameter as described using Figure 5 (step S604).
  • the remote control mode is a mode in which information related to the remote control of operation parameters is received from the operation module 10, and a remote control signal is transmitted to the medical device 30 via a communication path different from that of the operation module 10. Note that even in the remote control mode, the second control unit 21 continues to receive parameters from the medical device 30 and display them on the touch panel 25.
  • the first control unit 11 obtains the parameter values from the display module 20 and displays them on the first display unit 15.
  • the first control unit 11 displays the same value displayed in the operation parameter field 61 in the parameter setting field 62 (step S505). From this point on, although the flowchart is not shown, the first control unit 11 obtains the parameter values from the display module 20 as needed and updates the display on the first display unit 15 other than the parameter setting field 62 to the latest parameters.
  • the first control unit 11 accepts an operation by the user on the operation unit 16 (step S511).
  • the first control unit 11 updates the display in the parameter setting field 62 based on the accepted instruction (step S512). However, the first control unit 11 keeps the numerical values displayed in the parameter setting field 62 within the range defined by the authority information, and ignores any operation that changes the numerical values outside the range defined by the authority information.
  • the first control unit 11 determines whether to execute remote control of the operation parameters (step S513). For example, the first control unit 11 determines to execute remote control when it receives an operation of the fourth operation unit 164.
  • step S513 If it is determined not to execute (NO in step S513), the first control unit 11 returns to step S511. If it is determined to execute (YES in step S513), the first control unit 11 transmits the operating parameters displayed in the parameter setting field 62 to both the display module 20 and the medical device 30 (step S514).
  • the first control unit 11 updates the authority information stored in the main storage device 12 or the auxiliary storage device 13.
  • a specific example of updating permission information will be described.
  • a specialist doctor near the patient, or a paramedical staff member under the specialist's instructions sends new permission information to the operation module 10 via a user-authenticated smartphone or the like.
  • the specialist doctor then verbally instructs the user operating the remote control device 40 to set the operation parameters.
  • a remote control system 50 can be provided that allows medical equipment 30 to be operated from outside the room.
  • the second control unit 21 receives the operation parameters transmitted in step S514 (step S611).
  • the second control unit 21 transmits the received operation parameters to the medical device 30 (step S612).
  • the third control unit 31 receives the operation parameters transmitted from the operation module 10 (step S711).
  • the third control unit 31 receives the operation parameters transmitted from the display module 20 (step S712).
  • the operating parameters sent in step S514 are transmitted to the medical device 30 via the display module 20.
  • the first control unit 11 communicates with the medical device 30 via the display module 20.
  • the third control unit 31 determines whether the operation parameters received in step S711 match the operation parameters received in step S712 (step S713). If it is determined that they match (YES in step S713), the third control unit 31 changes the operating state so that the received actual parameters match the received operation parameters (step S714).
  • step S713 If it is determined that there is no match (NO in step S713), or after step S714 is completed, the third control unit 31 returns to a state of waiting for a signal from the operation module 10. If it is determined that there is no match (NO in step S713), the third control unit 31 may send an error message to the operation module 10 or the display module 20. If it is determined that there is no match (NO in step S713), the third control unit 31 may notify, for example, the nurse's station, that there is a suspicion of tampering.
  • step S5 the first control unit 11 sends an instruction to the display module 20 to terminate the highlighting of the operation parameters (step S516).
  • the second control unit 21 receives the instruction (step S613).
  • the second control unit 21 terminates the highlighting of the operation parameters and displays the screen described using FIG. 4 (step S614). Thereafter, the second control unit 21 returns to the display mode in which it repeats the process of displaying the parameters received from the medical device 30 on the second display unit 251 (step S615).
  • the first control unit 11 sends an instruction to the medical device 30 to end the remote control mode (step S517).
  • the first control unit 11 deletes the authority information stored in the main storage device 12 or the auxiliary storage device 13 (step S518).
  • the first control unit 11 ends the processing.
  • the third control unit 31 receives an instruction to end the remote control mode (step S715).
  • the third control unit 31 transitions to a remote control refusal mode in which it does not accept remote control instructions from the remote control device 40 (step S716).
  • a remote control system 50 can be provided in which, after accepting operation of the authority button in step S501, the remote control device 40 requests remote control authority from the medical device 30.
  • a remote control system 50 can be provided in which remote control is possible only when the user intentionally operates a physical button.
  • This embodiment provides a remote control system 50 that remotely controls a medical device 30.
  • the scope of remote control of operating parameters for each user is determined based on the authority DB 55, so an appropriate remote control scope can be set based on the user's qualifications, position, and location.
  • a remote control system 50 can be provided that can prevent the medical device 30 from being remotely operated due to malfunctions caused by, for example, a device failure (occurrence of a fault) in the display module 20 alone.
  • the shape of the operation module 10 is not limited to a dish shape with a recess capable of holding the display module 20.
  • the operation module 10 may have any shape, such as a USB security key shape that can be connected to a USB (Universal Serial Bus) connector on the display module 20.
  • USB Universal Serial Bus
  • the third control unit 31 may stop processing after executing step S722, and resume processing from step S704 onwards when the user performs a direct operation such as pressing a predetermined button, or when an instruction from the user is received via the network. This makes it possible to realize a remote control system 50 in which the medical device 30 transitions to remote control reception mode only when an explicit instruction from the user is received.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Vascular Medicine (AREA)
  • Urology & Nephrology (AREA)
  • Emergency Medicine (AREA)
  • Anesthesiology (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Epidemiology (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

L'invention concerne un dispositif de commande à distance, etc, pour commander à distance un équipement médical. Ce dispositif de commande à distance (40) comprend un module d'affichage (20) qui affiche un paramètre relatif au fonctionnement de l'équipement médical (30), et un module de fonctionnement (10) qui peut être fixé au module d'affichage (20) et détaché de celui-ci. Le module d'affichage (20) est pourvu d'une unité de réception qui reçoit le paramètre provenant de l'équipement médical (30) par l'intermédiaire d'une communication sans fil. Le module de fonctionnement (10) comprend : une unité de fonctionnement (16) qui reçoit une manipulation effectuée par un utilisateur; et une unité de communication qui, lorsqu'elle est fixée au module d'affichage, effectue une communication pour commander à distance un paramètre de fonctionnement inclus dans le paramètre susmentionné sur la base de la manipulation reçue par l'unité de fonctionnement.
PCT/JP2025/008660 2024-03-26 2025-03-10 Dispositif de commande à distance, module de fonctionnement et procédé de commande à distance Pending WO2025204784A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2024-050224 2024-03-26
JP2024050224 2024-03-26

Publications (1)

Publication Number Publication Date
WO2025204784A1 true WO2025204784A1 (fr) 2025-10-02

Family

ID=97216838

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/JP2025/008660 Pending WO2025204784A1 (fr) 2024-03-26 2025-03-10 Dispositif de commande à distance, module de fonctionnement et procédé de commande à distance

Country Status (1)

Country Link
WO (1) WO2025204784A1 (fr)

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110055447A1 (en) * 2008-05-07 2011-03-03 Signostics Limited Docking system for medical diagnostic scanning using a handheld device
US20140155728A1 (en) * 2012-12-03 2014-06-05 Samsung Electronics Co. Ltd. Control apparatus operatively coupled with medical imaging apparatus and medical imaging apparatus having the same
JP2016504929A (ja) * 2013-01-16 2016-02-18 マッケ・ゲゼルシャフトミットベシュレンクターハフトゥング 医療機器の無線制御のための方法及びデバイス

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110055447A1 (en) * 2008-05-07 2011-03-03 Signostics Limited Docking system for medical diagnostic scanning using a handheld device
US20140155728A1 (en) * 2012-12-03 2014-06-05 Samsung Electronics Co. Ltd. Control apparatus operatively coupled with medical imaging apparatus and medical imaging apparatus having the same
JP2016504929A (ja) * 2013-01-16 2016-02-18 マッケ・ゲゼルシャフトミットベシュレンクターハフトゥング 医療機器の無線制御のための方法及びデバイス

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