Rule-based medical device adaptation for the digital operating room

Franke, Stefan; Neumuth, Thomas

doi:10.1109/embc.2015.7318712

Cited by 13 publications

(14 citation statements)

References 17 publications

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“…These models are built to support the development of medical devices and computer-assisted systems. In addition, SPMs are a prerequisite for surgical workflow management in modern integrated ORs [13].…”

Section: Ontology Development At Iccasmentioning

confidence: 99%

Toward a standard ontology of surgical process models

et al. 2018

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Section: Ontology Development At Iccasmentioning

confidence: 99%

Toward a standard ontology of surgical process models

et al. 2018

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“…For example, OR devices can be configured automatically according to the type and stage of procedures 44. Other examples are track and trace systems that automate the search for the location of assets in the hospitals45 or the check for correct maintenance dates of OR devices 46.…”

Section: The Way To Provide Adaptive Supportmentioning

confidence: 99%

Delicate balance: adaptive support to improve patient safety

et al. 2016

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“…System architectures for a context-aware OR already exist [ 21 – 23 ], but do not support loose coupling of unknown CAS and an SRS which is essential to allow vendor- and device-independent orchestrations. In this work, we specify and implement an SDC interface for the standardized communication between an intervention-independent SRS and unknown CAS to enable context-aware assistance in the OR (Fig.…”

Section: Introductionmentioning

confidence: 99%

Service-oriented Device Connectivity interface for a situation recognition system in the OR

et al. 2022

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Purpose Context awareness in the operating room (OR) is important to realize targeted assistance to support actors during surgery. A situation recognition system (SRS) is used to interpret intraoperative events and derive an intraoperative situation from these. To achieve a modular system architecture, it is desirable to de-couple the SRS from other system components. This leads to the need of an interface between such an SRS and context-aware systems (CAS). This work aims to provide an open standardized interface to enable loose coupling of the SRS with varying CAS to allow vendor-independent device orchestrations. Methods A requirements analysis investigated limiting factors that currently prevent the integration of CAS in today's ORs. These elicited requirements enabled the selection of a suitable base architecture. We examined how to specify this architecture with the constraints of an interoperability standard. The resulting middleware was integrated into a prototypic SRS and our system for intraoperative support, the OR-Pad, as exemplary CAS for evaluating whether our solution can enable context-aware assistance during simulated orthopedical interventions. Results The emerging Service-oriented Device Connectivity (SDC) standard series was selected to specify and implement a middleware for providing the interpreted contextual information while the SRS and CAS are loosely coupled. The results were verified within a proof of concept study using the OR-Pad demonstration scenario. The fulfillment of the CAS’ requirements to act context-aware, conformity to the SDC standard series, and the effort for integrating the middleware in individual systems were evaluated. The semantically unambiguous encoding of contextual information depends on the further standardization process of the SDC nomenclature. The discussion of the validity of these results proved the applicability and transferability of the middleware. Conclusion The specified and implemented SDC-based middleware shows the feasibility of loose coupling an SRS with unknown CAS to realize context-aware assistance in the OR.

show abstract

Rule-based medical device adaptation for the digital operating room

Cited by 13 publications

References 17 publications

Toward a standard ontology of surgical process models

Toward a standard ontology of surgical process models

Delicate balance: adaptive support to improve patient safety

Service-oriented Device Connectivity interface for a situation recognition system in the OR

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