The digitization of the operating room lures: The manufacturer rushes on like a swarm of hornets and cultivates the frontier
"I need more image support, there you had better be accurate navigation systems; I still hope the operating room can keep unobstructed information interchange with the external world, in order to tackle the accident; Certainly I need the patient's real-time information in the operation even more, in this way I can say with confidence when going down the operating table: ' I am sure those hateful focuses had already totally excised at present. ' all these are of great significance to hospital and patient " . If you have the honor to hear a surgical doctor shuttling back and forth in the operating room all day send out so technical complaint, you can realize medical worker pursue kinder, higher operating room formulate strong hope then.
Perfect operating room
If this surgical doctor respecting work that the hereinbefore describes has an opportunity to go to American University of Texas MD Anderson cancer centre to visit, he will find, his all these idea is not dreaming of. The operating room equipped BrainSUITE here may be called one of the perfect, most complicated neural surgical operating rooms in the world. Siemens medical system group and BrainSUITE which Germany BrainLAB researches and develops together have magnetic resonance scanner of high field of a Tesla in Taiwan 1.5, can scan patient in the operation, the navigation system can also follow from image information obtained in the optimum operation route, thus make the operation more accurate, safer. In the system, navigate by image, magnetic resonance, micro- scientific and technological skill, video transmission and the intersection of materials and management receive perfect integration outside, become the remarkable model of the modern digitized operating room.
The digitized operating room originated from the beginning of the 1990s of last century, with the traditional " closed " The operating room was compared, the digitized operating room has realized the open and circulation of information. Utilizing detection of real-time data and combination of medical image technology of remote, doctors can obtain a large amount of information related to patient real-timely, conveniently, and implement more perfect operation with the help of accurate navigation system, thus raise efficiency and success rate of the operation greatly. Meanwhile, the real-time video transmission offered the reliable passway for the fact that exchange inside and outside the operating room and the operation is viewed and emulated with distance learning too. In addition, in a large number of skills the materials the scientific research and followed medical science of the card too to offer valuable resources.
As to the traditional operating room, the innovation meaning of the digitized operating room is obvious, it made originally " The detached island of information " Having turned into a qualified information center, all integration regarding it is best to get here in the patient's information. According to the difference of functions of use, the digitized operating room can be subdivided into: Create surgical operating room, operating room of dept. of orthopedics, operating room, the operating room of dept. of neurology and other digitized operating rooms conventionally of heart centre a little. Because various functions of digitized inside of operating room are very huge and complicated, it is undoubtedly a great challenge for surgeon. In the brand-new environment, the doctor needs to pay close attention to various information from patient constantly, will keep high concentration again at the same time, all these need specialized training and adaptation of certain time. But once the doctor drives a light carriage on a familiar road to these digitized systems, so traditional an operating room becomes totally inconceivable in their view. Though
To all most worldwide hospitals, such marvellous equipment has far gone beyond any average and long term operating room transformation plan at present, but once this kind of new things shaken by people appears, will certainly develop towards deeper and wider direction, become the inevitable direction of development of operating room in the future.
Digitized enticement
The advantage of the digitized operating room has been already obvious to all now, a survey report of U.S.A. reveals, the digitized operating room can make operation efficiency improve by 5% - 10% on average; Meanwhile, growing the probability of making the best decision in digitized Chinese medicine of operating room was improved notably too, so can improve the economic and social benefit of the hospital notably on the whole. Face such new challenge and opportunity, is it chosen what is made in the hospital?
The fact proves, though the digitized advantage technically of operating room can't be queried, but it is not a the common people's grand banquet. On the contrary, to most hospitals, such perfect operating room means the large expenses of a sum of complete excess budget. BrainSUITE equipped in MD Anderson cancer centre costs Damien 9,200,000 dollars, all the price is high for and most similar digitized construction projects of operating room. Then the enormous wide gap while investing in the optimistic prospect and huge earlier stage when bring to the digitized operating room, the administrators of a lot of hospitals hang back to such an operating room reform too. Fortunately, realistic situation and not every hospital need to be most advanced, the most complete digitized operating room, and direct against different demands, the fabrication cost of the project will demonstrate as far apart as heaven and earthly.
, " combine the project that not every integrated operating room is up to a million fabrication costs just as what the project design director Schafer of STERIS Company said, according to the needs of reality, we can offer the integrated solution of the simpler, lower end. If we just combine the commonly used terminal station of operating room, connect and look like camera of the endoscope, PACS and the apparatus of the Model C arm image, then this fabrication cost in a range that can be accepted, but can bring the great facility to work of the operating room " . So to hospital, one detailed and clear a short time and long-term planning, and comparing objectively that carries on the prerequisite of digitized transformation of operating room between budget and income.
In our country, though there is resistance on much reality in most digitized transformations of operating room of hospital, but this can not prevent the yearning for the more advanced operating room of the hospital. 2003, the intersection of operation and the intersection of teaching and system of Wuhan University classroom and ward go on the network system connect second clinical operating room with all of institute, can gather between the some it goes on real-time pronunciation and picture to be mutualing in a plurality of picture through the the intersection of system and user; In 2004, the digitized operating room which the centre of public health of Shanghai set up adopted the control system of operating room of the computer in Shanghai for the first time, the doctor can adjust the angle of operating table through touch-sensitive screen, angle of lens and light power,etc., have offered the facility for work of the operating room; In 2006, the People's Hospital of Guangdong Province set up the modernized operating room, concentrated the control panel on can carry on 21 operating rooms all-roundly and control ing through the microcomputer of the nurse station, it is panoramic for camera system and in camera systemming will put can last visual field range of 350 degrees, and can carry on broad operation demonstrating, teaching and remote medical consultation with specialists.
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