GATOR: connecting integrated operating room solutions based on the IEEE 11073 SDC and ORiN standards

2019 ◽  
Vol 14 (12) ◽  
pp. 2233-2243
Author(s):  
Johann Berger ◽  
Max Rockstroh ◽  
Erik Schreiber ◽  
Yukishige Yoshida ◽  
Jun Okamoto ◽  
...  
2019 ◽  
Vol 5 (1) ◽  
pp. 149-152 ◽  
Author(s):  
Johann Berger ◽  
Michael Unger ◽  
Lisa Landgraf ◽  
Andreas Melzer

AbstractThe integration of surgical robotics into the operating room requires reliable and flexible communication with other medical devices. The IEEE 11073 SDC standard can provide the necessary requirements to deploy robotics for the application of focused ultrasound in radiation therapy. The aim of this work was to implement and evaluate an SDC compliant connection between two collaborative robots. For this purpose, the KUKA LBR iiwa 7 R800 was adapted and the connectivity modelled and then tested successfully with 42 transmittable properties. Latency measurements were conducted to evaluate the network stability, resulting in a median round trip time of 10.13 ms.


2018 ◽  
Vol 63 (1) ◽  
pp. 57-68 ◽  
Author(s):  
Björn Andersen ◽  
Martin Kasparick ◽  
Hannes Ulrich ◽  
Stefan Franke ◽  
Jan Schlamelcher ◽  
...  

AbstractThe new medical device communication protocol known as IEEE 11073 SDC is well-suited for the integration of (surgical) point-of-care devices, so are the established Health Level Seven (HL7) V2 and Digital Imaging and Communications in Medicine (DICOM) standards for the communication of systems in the clinical IT infrastructure (CITI). An integrated operating room (OR) and other integrated clinical environments, however, need interoperability between both domains to fully unfold their potential for improving the quality of care as well as clinical workflows. This work thus presents concepts for the propagation of clinical and administrative data to medical devices, physiologic measurements and device parameters to clinical IT systems, as well as image and multimedia content in both directions. Prototypical implementations of the derived components have proven to integrate well with systems of networked medical devices and with the CITI, effectively connecting these heterogeneous domains. Our qualitative evaluation indicates that the interoperability concepts are suitable to be integrated into clinical workflows and are expected to benefit patients and clinicians alike. The upcoming HL7 Fast Healthcare Interoperability Resources (FHIR) communication standard will likely change the domain of clinical IT significantly. A straightforward mapping to its resource model thus ensures the tenability of these concepts despite a foreseeable change in demand and requirements.


Author(s):  
Eva-Maria Zeißig ◽  
Armin Janß ◽  
Jasmin Dell’Anna-Pudlik ◽  
Martina Ziefle ◽  
Klaus Radermacher

AbstractAlarm conditions of the technical equipment in operating rooms represent a prevalent cause for interruptions of surgeons and scrub nurses, resulting in an increase of workload and potential reduction of patient safety. In this work, an alarm concept for an integrated operating room system based on open communication standards is developed and tested.In a laboratory experiment, the reactions of surgeons were analysed, comparing the displaying of alarms on an integrated workstation and on single devices: disruptive effects of alarm handling on primary task (ratings of perceived distraction, resumption lag, deterioration of speed, accuracy, and prospective memory), efficiency and effectiveness of identification of alarms, as well as perceived workload were included.The identification of the alarm cause is significantly more efficient and effective with the integrated alarm concept. Moreover, a slightly lower deterioration of performance of the primary task due to the interruption of alarm handling was observed.Displaying alarms on an integrated workstation supports alarm handling and consequently reduces disruptive effects on the primary task. The findings show that even small changes can reduce workload in a complex work environment like the operating room, resulting in improved patient safety.


2009 ◽  
Vol 37 (3) ◽  
pp. 173-178
Author(s):  
Eiharu MORIKAWA ◽  
Hidesato OIGAWA ◽  
Tatsuya SUGIYAMA ◽  
Hiroyuki NAKAJIMA ◽  
Takeshi OGURA ◽  
...  

10.29007/j83k ◽  
2019 ◽  
Author(s):  
Manuel Vossel ◽  
Matías de La Fuente ◽  
Dario Wieschebrock ◽  
Okan Yilmaz ◽  
Klaus Radermacher ◽  
...  

With the increasing spread of computer assisted surgery, more and more modern operating rooms are equipped with navigation systems, each coming with its own tracking camera. Since those cameras are part of the closed monolithic navigation system, they can’t be used for other applications than the one intended by the supplier. With the novel service oriented device connectivity standard (IEEE 11073-SDC), introduced by the OR.NET initiative (www.ornet.org), needless double procurements could be avoided and multiple systems could use the same camera that – similar to OR lights – could be installed as a standard equipment in each OR. This would decrease the cost-to-benefit ratio also of new applications that would currently as such not justify to acquire a proprietary tracking camera.While the integration of a tracking camera to an open medical device IT network can open up for new applications, it should on the other hand not impair the usability and the safety of the navigation system. Therefore, a low latency must be guaranteed between tracking camera and navigational display.This paper evaluates the integration of an atracsys fusionTrack 500 tracking camera into the OR.NETwork. The response time from a change in the real world to the reception of the corresponding data package is measured to determine the feasibility of an integra- tion without impairing current navigational tasks.The results show that, as long as the underlying network infrastructure is not at its capacity limit, latencies below 60 ms are achieved. Therefore, the integration of a tracking camera for navigational tasks is feasible.


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