CN101095148A - System and method of utilizing a machine readable medical marking for managing surgical procedures - Google Patents
System and method of utilizing a machine readable medical marking for managing surgical procedures Download PDFInfo
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- CN101095148A CN101095148A CN 200580045801 CN200580045801A CN101095148A CN 101095148 A CN101095148 A CN 101095148A CN 200580045801 CN200580045801 CN 200580045801 CN 200580045801 A CN200580045801 A CN 200580045801A CN 101095148 A CN101095148 A CN 101095148A
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Abstract
The method and system include marking a surgery site (e.g., location of surgical incision) or a site of other medical action with a machine-readable medical marking (e.g., bar code or a dot pattern), which may be used in conjunction with (1) a scanner for reading the machine-readable medical marking and (2) a controller for controlling medical actions in response to the read machine-readable medical marking. The system and method ensure the validation of the surgical procedure, the patient awaiting the surgical procedure, and the site or location on the patient where the surgery is to be performed. Utilizing a scanning device for reading machine-readable medical markings, and a controller, there are additional means to check and double check the medical action before the actual medical action (e.g., surgery) is performed.
Description
Copyright and legal notice
The part of the disclosure of this patent file comprises material protected by copyright.The copyright owner does not oppose that anyone duplicates this patent file or patent disclosure, because it appears in the patent filing or record of patent and trademark office, but keeps all any copyrights in other respects.
Application case cross reference co-pending
The application's case relate to and advocate to have precedence on November 7th, 2005 with act on behalf of that file number 2662-0005 submits to the _ _ _ _ _ _ _ number U.S. patent application case and the 60/626th, No. 834 U.S. Provisional Patent Application case submitting on November 10th, 2004.The full content of these two application cases is incorporated herein with way of reference.
Technical field
The present invention relates to by and large and is used to use machine readable medical marking to come managed care to move or the system and method for process, and more specifically, relate to the generation and the use of machine readable medical marking, described machine readable medical marking be used to visit with patient's medical information (for example before the art and postoperative information and about the information of surgical procedures itself) latest data that is associated.
Background technology
In known surgical procedures, any one that may discern mistakenly among following each person owing to the doctor made mistakes: (1) patient; (2) be about to the process of carrying out; (3) patient's allergy; (4) operating position; (5) operating grade; (6) diagnosis report (for example experimental result, blood result's etc. laboratory report).Such mistake may take place because of the inadequate contact between following each person: (1) patient (it is consciousness not); (2) patient's information; And (3) are about the information of patient's process.Correspondingly, the needs that more contact is provided are arranged between following each person: (1) patient (it is consciousness not); (2) patient's information; And (3) are about the information of patient's process.
Summary of the invention
According to one embodiment of the invention, be provided for the method for the information that checking is associated with medical treatment action (for example operation incident or administration), described method uses scanner device and at least one to be applied to patient's's (for example near surgical site or the skin near the position of administration soon on) machine readable medical marking.Before carrying out the medical treatment action relevant, described information is verified with human body.
Exemplary methods comprises uses scanner device to read the machine readable medical marking that is applied to human body, visits patient information (for example utilizing described scanner or independent controller) thus.After this described patient information is compared with the information that is associated with this patient that is write down, the measure that is about to take with checking (for example " patient is correct? ", " it is correct to be about to the operation of carrying out? ", " correct position that be about to cut? ", " patient to be about to injection/give with drug allergy? ") correct.Such method can be undertaken by any one or following each person's combination among following each person: the healthcare givers before art in the process, the healthcare givers in surgical procedures, the healthcare givers after surgery in the process and the healthcare givers before administration.Employed in this article " healthcare givers " is understood to include group membership, postoperative group membership and hospital doctor, nurse, nurse assistant before the operation group membership, art and generally speaking gives and anyone of patient's medicine or medical procedure.
According to another embodiment of the invention, the medical information that shows patient to one or more healthcare givers.Described medical information can include but not limited to: patient's identity information (patient name for example, code, age etc.), with the operating type of carrying out, required surgical device or instrument, apparatus settings, medical history, allergy, confined surgical areas, patient's medical experiment information (X-ray for example, case history, MRI, lab investigation), management resource information (for example staff and/or doctor's name, process is lasted, the operating room sign), and/or surgical procedure information (process for example, blood group, Surigical tool etc.).
According to another embodiment of the invention, one or more features of checking medical treatment action can comprise that the medical information of will be visited compares with among following each person one or more: (1) and the described medical machine readable medical information that is associated (for example have on the X-ray of bar code, the experimental result that has bar code, the patient body the wrist strap that has bar code etc.) of moving; (2) visual indicator (for example operating room numbering, be provided for carrying out the type etc. of the equipment of medical treatment action); Reach the record (for example case history or electronics medical history) that (3) are associated with patient.
According to another embodiment of the invention, provide a kind of method of using scanner device one or more features of the described medical treatment action of checking before the medical treatment action takes place.Described method comprises uses scanner device to read to be applied to patient's the machine readable medical marking of action of being medically treated, the information that is associated with patient with visit.Then, before taking place, described medical treatment action carries out checking before the incident that inspection verifies that the feature of described action is corresponding with the information of being visited before being included in the described medical treatment action of beginning before the wherein said incident.
According to another embodiment of the invention, by surgical scheduler program visit medical status information.
According to another embodiment, the additional medical information that can verify includes but not limited to the information that macroscopic examination obtained by operating room.
According to another embodiment of the invention, machine readable medical marking comprises first code area and one or more other identical code areas, when described first code area becomes not readable, can read described one or more other identical code areas by barcode scanner.
According to another embodiment of the invention, the method for the medical treatment action that provides a kind of use medical marking (for example bar code) to manage to be associated with one or more individualities, institute's art medical marking has a plurality of districts, and each district includes machine readable medical sign.This method comprises provides at least one machine readable marker, all coding has the information (for example unique record number) that is associated with the medical action message of at least one individuality, wherein that at least one is such machine readable medical marking (for example applique pattern, tattooing or other semipermanent signs) to be applied to individual body on each machine readable marker.Use corresponding information that patient's information record is encoded, so that can at least one machine readable medical marking and patient's information be compared and verify.
According to another embodiment of the invention, Surgical Operating Room comprises the first authentic copy of described at least one machine readable medical marking, so that can verify the medical treatment action before operation.
According to another embodiment of the invention, patient's case history also comprises the triplicate of described at least one machine readable medical marking, so that can verify the medical treatment action before operation.
According to another embodiment of the invention, at least one healthcare givers member uses the operation information that is applied to patient's described machine readable medical marking and at least one visit patient in first and second copies.
According to another embodiment of the invention, provide display equipment, on described display device, to show the medical status information that is generated.
According to another embodiment of the invention, machine readable medical marking comprises a plurality of cellular zones, and described a plurality of cellular zones are organized into a plurality of code areas, so that described a plurality of code area distributes in the space mode.Described a plurality of code area provides the whether disrupted indication of described machine readable medical marking.
According to another embodiment of the invention, described a plurality of code area comprises the redundancy encoding district.
According to another embodiment of the invention, provide the orientation indicator that is positioned at around described a plurality of cellular zone, wherein said orientation indicator provides the directed information that is associated with each district in a plurality of code areas that distribute in the space mode of decoding.
According to another embodiment of the invention, described a plurality of code areas produce the digital code that the numbering system used based on the mould n numbering system of mould 2 (for example based on) is encoded.
According to another embodiment of the invention, described a plurality of code areas that distribute in the space mode comprise at least two code areas, and each code area all produces identical code.Determine the existence in one or more destroyed districts of being associated with described machine readable medical marking with the difference between the code that each produced that each code area in described two code areas is associated.
According to another embodiment of the invention, machine readable medical marking comprises a plurality of cellular zones, and described a plurality of cellular zones are organized into a plurality of code areas.Described a plurality of code area distributes in the space mode, and comprises at least two code areas, and each code area all produces identical code.Determine the existence in one or more destroyed districts of being associated with described machine readable medical marking with the difference between the code that each produced that each code area in described two code areas is associated.According to another embodiment of the invention, each machine readable medical marking also can comprise error detection occurs and/or correction information, with the fault-tolerance of further raising symbol.
Description of drawings
For more fully understanding the present invention and advantage thereof, consult explanation hereinafter now in conjunction with the accompanying drawings, in the accompanying drawing:
Fig. 1 is for wherein using the graphic extension of exemplary environment of the present invention;
Fig. 2 is the graphic extension of the exemplary screen snapshot of virtual Med Reg system, and described exemplary screen snapshot comprises patient information and the bar code information that is associated with it;
Fig. 3 is the graphic extension of many parts applique pattern, and described many parts applique pattern comprises a plurality of copies of a plurality of medical markings that will use according to the present invention, and each in wherein a plurality of medical markings all can be carried different kinds of information;
Fig. 4 is the graphic extension of many parts applique pattern, and described many parts applique pattern comprises a plurality of copies of the medical marking that will use according to the present invention;
Fig. 5 A provides the graphic extension of the medical marking of 4-road redundancy for demonstration utilizes first encoding scheme;
Fig. 5 B provides the graphic extension of the medical marking of 4-road redundancy for demonstration utilizes second encoding scheme;
Fig. 6 is for showing the graphic extension that utilizes the medical marking that is worth the 641 4-road redundancies of encoding; And
Fig. 7 is for showing the graphic extension that substitutes the medical marking form.
Embodiment
To the position of mistake or surgical site (for example left side rather than the right), the patient of mistake is carried out surgical procedures or surgical procedures when relating to wrong process, surprising consequence can appear.Therefore, method of the present invention (and system) comprises utilizes machine readable medical marking (for example bar code or dot pattern) to come mark surgical site (for example operating incision site) or other medical treatment action positions, described machine readable medical marking can with the use that combines with lower device: scanner is used to read described machine readable medical marking; And controller, be used for according to the machine readable medical marking control medical treatment action of being read.Described system and method for the present invention is guaranteed carrying out operating position on surgical procedures, the patient who waits for surgical procedures and the patient body or the position is verified.Also can set up the scanning that makes described machine readable medical marking and read the agreement of the integral part that becomes surgical method.By using this agreement, being used for the scanister and the computer system of the readable medical marking of read machine, can be provided for before additional means with duplication check being checked in described medical treatment action carrying out actual medical treatment action (for example operation).
Agreement described herein and system help the execution of some inspection, and can set up the path verified of reaching about the decision-making of surgical site on patient, the patient body and surgical procedures.Therefore, the healthcare givers can be guided to the correct information that is associated with patient and corresponding surgical procedures.Therefore, put it briefly, system and method described herein relates to healthcare field, and can be used for warning and prevent the healthcare provider because carelessness and to the patient of the position of mistake, mistake or use wrong process to carry out medical treatment and move.System and method described herein can use in hospital, acute care center, emergency ward, doctor's office, sanatorium, convalescent home, field hospital and the every other medical treatment of carrying out surgical procedures and health institution, but is not limited thereto.Fig. 1 graphic extension one medical surgery room can be used the present invention as shown in the figure in that this medical operating is indoor.In Fig. 1, use machine readable medical marking to carry out mark to carrying out operating patient in advance to it.In addition,, can on monitor, call the information relevant again, carry out correct process to guarantee the surgeon with this patient according to from the medical marking that patient read.Similarly, the anesthetist also can confirm that the anesthetic that is about to grant is correct according to monitor.Similarly, the surgeon can verify that patient and the X-ray of being checked are to use identical information (for example patient identifier or patient record sign) to encode.
System according to an embodiment of the invention comprise computing machine or the display equipment in the dispatching program, operating room (OR) and be used for the readable medical marking of read machine scanner device-it also is present in the described OR.Described scheduler program can be " operation scheduling " program illustrated as Fig. 2, and it produces machine readable medical marking or described machine readable medical marking (it is applied to surgical site or other medical treatment action position) is associated with other patients and medical information.As shown in FIG. 2, schedule information can comprise surgical procedures, position, patient's blood group and the illustrated every other information of Fig. 2.Therefore, before carrying out medical treatment action, the healthcare givers can be scanned medical marking and by calling and visiting the information corresponding with patient from the corresponding record of the numbering (or out of Memory) that described medical marking read (be illustrated as and write down 16,437).Therefore, surgical scheduler program allows healthcare givers's input about patient be about to the associated procedure of carrying out for information about.It also can provide the chance of the surgical result of input important information to succeed, and described important information includes but not limited to patient's medical records, laboratory examination, X-ray, case history, required adopted body device, required Surigical tool, staff's requirement, date and time etc.Use at the same time in the hospital or other health institution of a plurality of operating rooms, except that the information of being imported, material and staff required to distribute (for example need anesthetist on the scene), described scheduler program also can allow to import the time and the place of determined surgical procedures.In operating room, during " time-out ", can require the surgeon to use the machine readable medical marking scanner to read information from patient's machine readable medical marking.After this, the information that scanned (for example numbering) is fed in " dispatcher software " of operation on computers, according to the numbering that is scanned patient's record is presented on the monitor apparatus in the operating room thus." time-out " of operation group comprises the examination of this record, and this record comprises the requirement tabulation of described process, includes but not limited to patient name, process, Surigical tool, experimental result information (for example X-ray), crosses range code or other requirements.Only after confirming above-mentioned information, the theatre sister just can pass the surgeon with scalper, with the beginning operation.Should " time-out " before being about to begin, surgical procedures carries out usually, being the correct malpractice that prevents by final checking patient, process and position.(two-way) exchanges providing effectively before all processes between all operation/process group memberships for this.
In addition, scheduler program can have been extended to the effect of " controller " and during medical treatment action, provide effective medical treatment to divide action to monitor.For example, by the use of the type of medical treatment device and medical treatment device being encoded in proper order and, can avoiding other mistakes by monitoring the use of medical treatment device effectively.Hereinafter describing the exemplary that effectively monitors uses.
In an example of the present invention use, when patient admission, preferably paste or be imprinted on applique pattern on patient's the case history and machine readable medical marking and patient's case history and electrosurgical operation are dispatched be associated by scanning.Then, the readable code that uses a computer (for example uses blood group
1The code blood group O-feminine gender of encoding, and use code
1Encode to narcotic allergy) blood group and the tabulation of known allergy of writing down patient.In addition, by record will be in replacement with the unit number of the hip joint refill-unit that uses, can the fact that use is designed to keep the hip joint refill-unit of 15 years rather than 10 years be encoded to patient.After this, the position that is about to carry out the medical treatment action also is associated with patient's record.
During patient takes in or before write down after the above-mentioned information, lead patient with machine readable medical marking be applied on the his or her skin around or near in the zone that will carry out medical treatment action (being the hip replacement operation in this example) part.After this, patient is taken to the place that is about to carry out the medical treatment action.Before entering, to medical marking and room the door or doorframe on the machine readable position code the two scan.After this, if patient is about to be brought into correct position, then the scheduler program of Zeng Qianging will be notified the nursing staff.
Similarly, before anesthetic was added divider, the anesthetist was scanned the medical marking on the patient, and after this scanned the machine readable medicine sign on the anesthetic.If anesthetic
1Machine readable medicine tag match code
1Show to have and conflict, then will warn the anesthetist not match with the allergy of previous input.Perhaps, scheduler program is being connected among the embodiment of divider, but the call allocation device does not distribute anesthetic.
In another stage of medical procedure, the surgeon uses bar code or the other machines readable mark on the scanner scanning replacement parts.In this case, but he takes scheduler program proactive notification surgeon is that hip joint refill-unit one healthcare givers of the hip joint refill-unit of 10-rather than 15-possibly can't find out this species diversity by macroscopic examination.
In another exemplary embodiment, use machine readable marker to be marked at employed whole blood in blood transfusion or the operation.Therefore, the medical marking to blood bag and patient before granting blood scans, to guarantee the two coupling or to be compatible at least.It is the same in all inspections to coexist, and scheduler program can be notified healthcare givers's unanimity (for example, using first kind of audible tone, sound or vision indication) or conflict (for example, using second kind of audible tone, sound or vision indication).Scheduler program is being integrated under the situation of blood pump, if exist inconsistently between the sign, then scheduler program also can refuse to carry out pumping.
In one embodiment, use that the identical numbering be encoded in the machine readable medical marking will need system, carry out mark as all satellite informations (for example X-ray) of a surgical procedures part.To come described satellite information is checked by the scanning machine readable medical marking, be the correct X-ray that is used for this particular surgeries to guarantee the X-ray as duplication check.Therefore, as the part of this method, the label that must will have a machine readable medical marking affixes to X-ray, medical experiment record that the laboratory test result is relevant with other etc.Perhaps, any other attaching material that numbering can be dispensed to each X-ray and be associated with patient and surgical procedures.
In surgical scheduler program, the information that is presented on the screen is indicated in the information of collecting in scheduling process before the operation, and also shows above-mentioned information in operating room.The advantage of this system is until undergo surgery and be included in intra-operative and all can change information, thereby makes the people who relies on above-mentioned information can obtain up-to-date all the time and updated information.The scanner that is used for the readable medical marking of read machine provides the readability of machine readable medical marking under the hard situation that image is imprinted on the skin.Described scanner will use the bar code number that is read to visit the patient record of use " operation scheduling " software program storage.Can be in the Local or Remote database with patient's recording storage, or in any other Local or Remote medium.After this, institute's accessed record can be presented on the screen in the operating room.When finding that operation is cancelled or during completed record, can using certain validator or designator.For example,, then will show " stopping (Stop) " symbol if operation is cancelled.As mentioned above, in one embodiment, by numbering the clauses and subclauses that identify each surgical procedures of patient.In such embodiments, each medical marking includes the numbering (for example being imprinted in advance on the operation applique pattern) of the process of giving patient.The specific requirement of machine readable medical marking can comprise following ability: the ability that enough big Serial Number Range (for example 1 to 99,999) is encoded; Be printed on such as unreliable lip-deep abilities such as patient skins; Even because of the local also still readable ability that disappears of flushing, application bandage and/or other interventions; And ability with information redundancy and self checking method.
In an illustrated exemplary embodiment of Fig. 4, applique pattern has with the form of machine readable medical marking (for example bar code) and the readable form of people and comes three copies of number printed.First copy (first of applique pattern) of numbering is the bar code that can be applied to patient's physics case history.The nurse of operating room or the personnel of responsible managment of operating room are removable and keep second copy (second portion of applique pattern) of numbering, to be used for setting operating room facility and resource before operation.In before art, inspecting, the surgeon can take off the 3rd operation applique pattern (the 3rd copy of numbering) and with its directly be applied to patient be about to carry out operating position (promptly on the skin of surgical site), may utilize cross-hair to come will carry out the position of surgical procedures on the mark patient body.In one embodiment, by wetting and with its by on the skin that is pressed in patient with this certain applications patient Yu of applique pattern.The operation applique pattern can comprise the position that makes the surgeon carry out mark and/or signature (for example using marking pen).
Can (for example form the operation applique pattern by the following method, machine readable medical marking, readable code, cross-hair and the command line of people): use through special preparation and can be attached on ink on plastics stamp in advance on the plastic of cleaning, and use backing to cover described printed matter then.Described ink can be easy to remove and transfer on patient's the skin after using.On skin, described ink forever keeps to a certain extent, and it will be not can not washed off, smear or fade for example being shorter than in time of 10 days.Therefore, " tattooing " image on the patient skin keeps clear and consistent.Therefore employed ink color can be dead color (for example black), even and contrast on one's body the very dark patient of skin color and also can use barcode scanner to read under the situation of difficult.As described above with reference to patient admission, in use, when the surgical procedures that is patient distributes numbering, the machine readable medical marking and the readable numbering of people of the leftmost side of Fig. 4 separated and adhered to patient's case history from applique pattern.Before art in the meeting, the surgeon adheres to surgical site on the patient skin with machine readable medical marking, cross-hair and signature line, and method is to remove backing and use described medical marking after the medical marking that uses the scanner checking to be applied to patient history is complementary with the medical marking that is applied to patient.The numbering of applique pattern can be unique (for example using big set).The applique pattern that offers hospital can be book format, and wherein numbering starts from 1 and rise to certain big numbering, uses up fully up to this series.Very large mechanism with a plurality of operating rooms that use simultaneously can carry out 100,000 example operations every year.If each operation includes a unique numbering of giving, then will in being provided at long time, hospital can not duplicate the numbered series of numbering.For example, the book of from 1 to 100,000 applique pattern is sustainable about 1 year.
Perhaps, medical marking can not only be numbering.For example, medical marking can be alpha-numeric string (for example X0001).
In yet another embodiment, can use the other technologies except that applique pattern to use medical marking.For example, can use such as ink-jet printer, plotting apparatus or tattooing machine etc. and be subjected to computer-controlled printing device that medical marking is applied to patient.In addition, in one embodiment of the invention, determine the topology at medical treatment action position,,, also can make the bar code that is printed present linearity even described modified bar code is applied to non-planar surfaces so that can form modified bar code.
As the substitute of cross-hair, medical marking can use other designators (for example arrow) to come indicating predetermined surgical site.
Use multiple traditional barcode format at the medical marking shown in Fig. 3, although can only use a kind of.Illustrated form comprises two kinds of linear formats and a kind of contracted notation form.These barcode formats make the information (for example record number) that soon is associated with patient to adhere to patient in semipermanent mode.In the example of Fig. 3, the part of machine readable medical marking comprises the RSS bar code symbol, and described RSS bar code symbol comprises much more information than other barcode section branches.Therefore, in bar code itself, can comprise the information of q.s, to such an extent as in medical procedure, need not to consult dispatching system.As the substitute of form illustrated in Fig. 3, the machine readable marker of redundancy encoding is printed and is used in Fig. 4 graphic extension as applique pattern.The medical marking of Fig. 4 uses the coding techniques of Fig. 5 A to encode.
The medical marking of Fig. 5 A comprises the pattern of colored dots (for example black) of grid configuration.In illustrated embodiment, the bar code that is called as " operation bar code " has 4-road redundancy.As illustrated in Fig. 5 A, be four duplicate zones with the chessboard grid dividing, wherein each zone all has identical pattern of colored dots.Coded system is based on being the system of the truth of a matter with 2.For example, in the pattern that is provided, colored spots is placed on " 128 " (promptly 2
7) position, " 512 " (promptly 2
9) position and " 1 " (promptly 2
0) position.This will produce numbering numbering that 641 (they being 512+128+1)-basis is associated with the colored spots position and with produce.This pattern is repeated four times, so that under the situation that one or more parts of this bar code are dashed out, covered or remove, the remaining area of bar code is still readable.The inverted "L" shaped border of stain provides x-dimension information and directed information for scanner.Decoding algorithm will be determined x-dimension, directed and corresponding with the colored spots in being distributed in this grid numbering (for example 641).
The example that Fig. 6 graphic extension uses the numbering plan of Fig. 5 A to encode, but the below does not have corresponding numbering, and therefore similar to employed medical marking in Fig. 4.The length of side of unit (as square) or diameter (as round dot) variable-size, and on a side, be illustrated as 1 to 3 inch.
For little and be difficult to the zone seeing or touch, size that can be different is printed applique pattern and machine readable medical marking.For example, for the required image that is used for hand or finger, identical image can be printed with a half-size scale.
Perhaps, be not as shown in Fig. 5 A, using asymmetric encoding, the coding of Fig. 5 B disperses the position of each value, will can not dash out the position that all have identical value (for example 16384) so that be positioned at the stain at medical marking center or other obstacles.
According to still another embodiment of the invention, " chessboard " machine readable medical marking (for example illustrated in Fig. 7) codified numeric string (for example positive number).The chessboard machine readable medical marking especially provides: the machine readable medical marking with relatively little size; Similar measurements in different directions (for example being essentially square); Big relatively inside dimension-it allows the numerical range that provides high.When being applied to such as somewhere on the human body etc. that some has the zonule of rough surface, such machine readable medical marking is readable." chessboard " symbol can comprise one or more " unit " (for example square or point), and it is the minimal modules of chessboard machine readable medical marking.If ink is applied to the unit with certain foreground ink, then can print the unit.When at unit internal labeling (for example ink) point or other designators, but this unit is defined as printing element, because can with this point or designator is applied to or the skin of tattooing patient Yu or human body., but then should not obtain printing by printing element if but printing element keeps blank or uses certain background ink to print.(for example not printing element) not point or designator because blank cell can't be applied to or the skin of tattooing patient Yu or human body; Therefore, it is defined as not printing element." OK " or " row " be a series of unit disposed adjacent one another.For example in Fig. 7 illustrated chessboard machine readable medical marking (for example bar code) can comprise (2N+1) OK * 2N row rectangle-it is close to square.In the example checkerboard machine readable medical marking, row starts from that the position at top-it is row 0, and row start from right part the position-it is row 0.All printing elements in the row 0 are called " orientation bar ".Behavior " code line " with odd positions.Except that row 0, the behavior with even number position replenishes code line, and it is used to provide the duplicate redundant code of code that is produced with " code line ".Under " code line " destroyed or unreadable situation, use and replenish the value that code line replacement " code line " is determined or decoding is associated with bar code symbol.In code line, all unit that are positioned at even number position (row) all can print, so each printing element has following value:
2N[(i-1)/2]+(j/2) equation 1
If printing then can distribute stain or other marks to represent cell position.If do not printing on the cell position anything (stain for example in cell position, not occurring), suppose that then the cell value that is positioned at this position is zero.
In " equation 1 ", " 1 " is the position of row, and " j " is the position of row, and " N " is the order of symbol.For " code line ", the position of first row (being j=0) starts under the title " 1 ", and column heading is positioned at capable i=0 top and is labeled as " 876543210 " herein.
In " replenishing code line ", all unit that are positioned at odd positions (row) all can print, and each unit has following value:
2N[(i-2)/2]+(j-1)/2 equation 2
For printing element, stain or other marks can be represented cell position.If do not printing on the cell position anything (stain for example in cell position, not occurring), suppose that then the cell value that is positioned at this position is zero.
In " equation 2 ", " i " is the position of row, and " j " is the position of row, and " N " is the order of symbol.For " replenishing code line ", the position of first row (being j=0) also starts from title " 1 " to be located, and as mentioned above, column heading is positioned at capable i=0 top herein.The value all values of all cell positions in all code lines and that be this symbol.Equally, all values of all unit of all " replenish code lines in " and corresponding to the value of this symbol.When bar code symbol was not destroyed or damaged, the value that calculates according to " code line " and " replenishing code line " should be identical.In use, when scanning bar code,, then will detect mistake if two values that calculate according to " code line " and " replenish code line " are inequality.The chessboard bar code symbol use of Fig. 7 is 4 N value.This order of indicating this symbol is 4.Row i=0 is an orientation bar; Row 1,3,5 and 7 is " code line ", and row 2,4,6 and 8 is " replenishing code line ".As illustrated in Fig. 7, be positioned at first printing element that i=1 and j=0 (starting from column heading 1) locate and be " code line ".Therefore, according to equation 1, be worth be 4[(1-1)/2]+(0/2)=0.For second printing element that is associated with code line-wherein i=3 and j=6, be worth be 4[(3-1)/2]+(6/2)=7.Similarly, for the 3rd printing element one wherein i=5 and j=4, be worth be 4[(5-1)/2]+(4/2)=10.As calculated, the value of the 4th " code line " printing element (wherein i=7 and j=2) is 4[(7-1)/2]+(2/2)=13.Therefore, according to above-mentioned each calculated value, by value each cell value and that calculate this symbol, it is:
2
0(i＝1)+2
7(i＝3)+2
10(i＝5)+2
13(i＝7)＝1+128+1024+8192＝9345
According to " replenishing code line ", first printing element is positioned at i=2 and j=1 place.Therefore, to calculate the value of this unit (i=2 and j=1) be 0 to user's formula 2.For second printing element that is positioned at i=4 and j=7 place, be worth be 4[(4-2)/2]+(7-1)/2=7.For the 3rd printing element that is positioned at i=6 and j=5 place, be worth be 4[(6-2)/2]+(5-1)/2=10.The 4th printing element for being positioned at i=8 and j=3 place obtains 4[(8-2)/2]+(3-1)/2=13.Therefore, according to the value of " replenishing code line " printing element, the value of this symbol is:
2
0+2
7+2
10+2
13＝1+128+1024+8192＝9345
Shown in this example, when the integrality of bar code symbol was not impaired, two cell values (being code line and additional code line) all produced identical value of symbol.Each row include have supplementary units, adjacent redundant row spatially.Supplementary units is in the horizontal and vertical directions all with respect to its " code line " homologue displacement that is arranged in adjacent lines.Therefore, level and vertical displacement provide and impaired and spatial redundancy unreadable line correlation connection.
In one embodiment of the invention, above-described scanner device is connected to computing machine in the operating room.This connection can be wired or wireless, and this decides on using the configuration in the room of this device.In addition, this device can be the scanner of any other pattern of bar type scanner, rifle formula scanner, flat bed scanner or readable bar code.
Effective supervision of medical treatment action need not carried out by computing machine.But independent device one for example hand-held scanner (having display according to circumstances) and internal processor can play the effect of P integrated with scanner and controller.Can be in the morning with the same day about patient's information with will download on the hand-held scanner to its medical treatment of carrying out action so that the healthcare givers can break away from the same day may " collapse " or any Local or Remote computer system that disconnects and independently operating of becoming.Therefore, can by hand-held scanner in order (or concurrently) scanning be applied to patient's medical marking and the medical marking that is associated with medical treatment action, and hand-held scanner whether discern patient in the visual mode that maybe can listen consistent with the process that is about to carry out.As indicated above, if scanning patient's medical marking and then scanning comprise blood bag with the inconsistent blood of patient, the hand-held scanner sound that can send warning signal then.Perhaps, the healthcare givers can by with information that scanner read with shown or printing, compare about the information of the medical treatment action that is about to carry out and to play the effect of controller.In addition, though be to read medical marking with barcode scanner foregoing description is provided, teaching content of the present invention also can be used in conjunction with the machine-readable medical tag of other beared informations.The example of a this machine-readable medical tag is the interior RFID label of wrist strap that for example can embed patient.In addition, can use the combination of reading device, when using bar code that surgical device and experimental result are encoded, discerning patient by machine-readable medical tag, the information unanimity of guaranteeing to read so that reading device communicates (each other or pass through central controller) from each.
Though present invention is described and graphic extension in conjunction with preferred embodiment, but can make various changes and modifications one this be conspicuous for the those skilled in the art, this does not deviate from the spirit and scope of the present invention, and therefore the present invention is not limited to the fine detail of the above method or structure, because above-mentioned variation and modification are also wished to contain within the scope of the invention.Unless be process itself institute must or intrinsic, otherwise do not implying method described in this disclosure (comprising graphic) or the step or the stage of process has any particular order.In many cases, all the order of process steps be can change and purpose, the function and significance of described method do not changed.
Claims (25)
1, a kind of medical system, it comprises:
Be applied to the machine readable medical marking of patient's skin;
Be used to scan the scanner of the described machine readable medical marking of the skin that is applied to described patient;
Information source about the medical treatment action that will carry out described patient; And
Controller, it is used for relatively being applied to described patient's described machine readable medical marking and will keeping strokes to the described medical treatment that described patient carries out before carrying out described medical treatment action.
2, medical system as claimed in claim 1 wherein is applied to described machine readable medical marking on described patient's the skin to move part near carrying out medical treatment.
3, medical system as claimed in claim 1, wherein said machine readable medical marking comprises bar code.
4, medical system as claimed in claim 1, wherein said information source comprise the local database entry of indexing by by the coded described information of described machine readable medical marking.
5, medical system as claimed in claim 1, wherein said information source comprise the remote data base clauses and subclauses of indexing by by the coded described information of described machine readable medical marking.
6, medical system as claimed in claim 1, wherein said information source comprises second machine readable medical marking.
7, medical system as claimed in claim 6, wherein said second machine readable medical marking is pasted on described patient's the case history.
8, medical system as claimed in claim 1, wherein said controller comprises computing machine.
9, medical system as claimed in claim 1 wherein is integrated into described scanner and described controller in the hand-held scanner.
10, medical system as claimed in claim 1, if the described machine readable medical marking that wherein is applied to described patient with will be inconsistent to the described medical treatment action that described patient carries out, then described controller forbidding medical treatment device.
11, medical system as claimed in claim 1, wherein said medical treatment action comprises operation.
12, medical system as claimed in claim 13, the described information in the described information source of wherein being included in comprises at least one in following: the tabulation of the apparatus that described operation is required, the tabulation of the Surigical tool that described operation is required, the healthcare givers's that described operation is required tabulation and in the tabulation of beginning required medical report before the described operation.
13, a kind of medical method of controlling operation, it comprises:
Machine readable medical marking is applied to patient's skin;
Use scanner scanning to be applied to the described machine readable medical marking of described patient's skin;
Visit is about the information source of the medical treatment action that will carry out described patient;
Before carrying out described medical treatment action, the described machine readable medical marking that relatively is applied to described patient with will keep strokes to the described medical treatment that described patient carries out; And
When will be to the described medical treatment action that described patient carries out inconsistent, indicate inconsistent at the described machine readable medical marking that is applied to described patient.
14, medical method of controlling operation as claimed in claim 13 wherein is applied to described machine readable medical marking on described patient's the skin to move part near carrying out medical treatment.
15, medical method of controlling operation as claimed in claim 13, wherein said machine readable medical marking comprises bar code.
16, medical method of controlling operation as claimed in claim 13, wherein visit comprises the local database entry of visit by being indexed by the coded described information of described machine readable medical marking.
17, medical method of controlling operation as claimed in claim 13, wherein visit comprises the remote data base clauses and subclauses of visit by being indexed by the coded described information of described machine readable medical marking.
18, medical method of controlling operation as claimed in claim 13, wherein visit comprises and reads second machine readable medical marking.
19, medical method of controlling operation as claimed in claim 18, wherein said second machine readable medical marking is pasted on described patient's the case history.
20, medical method of controlling operation as claimed in claim 13, wherein said controller comprises computing machine.
21, medical method of controlling operation as claimed in claim 13 wherein is integrated in described scanner and described controller in the hand-held scanner.
22, medical method of controlling operation as claimed in claim 13, if the described machine readable medical marking that wherein is applied to described patient with will be inconsistent to the described medical treatment action that described patient carries out, then described controller forbidding medical treatment device.
23, medical method of controlling operation as claimed in claim 13, wherein said medical treatment action comprises operation.
24, medical method of controlling operation as claimed in claim 23, the described information in the described information source of wherein being included in comprises at least one in following: the tabulation of the apparatus that described operation is required, the tabulation of the Surigical tool that described operation is required, the healthcare givers's that described operation is required tabulation and in the tabulation of beginning required medical report before the described operation.
25, a kind of medical system, it comprises:
Adhere to patient's machine-readable medical tag;
Be used to scan the scanner of the described machine-readable medical tag that adheres to described patient;
Information source about the medical treatment action that will carry out described patient; And
Controller, it was used for before carrying out described medical treatment action relatively the information that reads from the described machine readable medical marking that adheres to described patient and will keeps strokes to the described medical treatment that described patient carries out.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US62683404P | 2004-11-10 | 2004-11-10 | |
| US60/626,834 | 2004-11-10 | ||
| US11/267,180 | 2005-11-07 |
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| Publication Number | Publication Date |
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| CN101095148A true CN101095148A (en) | 2007-12-26 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN 200580045801 Pending CN101095148A (en) | 2004-11-10 | 2005-11-10 | System and method of utilizing a machine readable medical marking for managing surgical procedures |
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| CN (1) | CN101095148A (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101807243B (en) * | 2010-02-09 | 2011-12-14 | 郭毅军 | Automatic identification system for surgical cutter |
| CN108701494A (en) * | 2015-12-09 | 2018-10-23 | 斯皮纳产生有限责任公司 | The system and method for medical equipment for identification |
| CN110168653A (en) * | 2017-01-20 | 2019-08-23 | 诺华股份有限公司 | For printing the system and method that can be used for the machine sensible information in medical procedure |
| CN110706796A (en) * | 2019-09-10 | 2020-01-17 | 广州中智达信科技有限公司 | Perioperative information management method and device |
| CN111386575A (en) * | 2017-12-06 | 2020-07-07 | 墨尼克医疗用品有限公司 | Medical dressing |
-
2005
- 2005-11-10 CN CN 200580045801 patent/CN101095148A/en active Pending
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101807243B (en) * | 2010-02-09 | 2011-12-14 | 郭毅军 | Automatic identification system for surgical cutter |
| CN108701494A (en) * | 2015-12-09 | 2018-10-23 | 斯皮纳产生有限责任公司 | The system and method for medical equipment for identification |
| CN110168653A (en) * | 2017-01-20 | 2019-08-23 | 诺华股份有限公司 | For printing the system and method that can be used for the machine sensible information in medical procedure |
| CN111386575A (en) * | 2017-12-06 | 2020-07-07 | 墨尼克医疗用品有限公司 | Medical dressing |
| CN111386575B (en) * | 2017-12-06 | 2023-11-03 | 墨尼克医疗用品有限公司 | medical dressing |
| CN110706796A (en) * | 2019-09-10 | 2020-01-17 | 广州中智达信科技有限公司 | Perioperative information management method and device |
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