Method and apparatus for examining the light and/or image transmission properties of an endoscopic or exoscopic system
10660505 ยท 2020-05-26
Assignee
Inventors
Cpc classification
A61B1/00059
HUMAN NECESSITIES
A61B1/042
HUMAN NECESSITIES
International classification
A61B1/00
HUMAN NECESSITIES
Abstract
A method for examining the light and/or image transmission properties of an endoscopic or exoscopic system having the components endoscope or exoscope, light carrier, light source and camera, wherein at least the endoscope or exoscope is taken from a first supply quantity of endoscopes or exoscopes and/or at least the light carrier is taken from a second supply quantity of light carriers, wherein the endoscope or exoscope is provided with an identifier and/or the light carrier is provided with an identifier, wherein the identifier or the identifiers contain/s identification data that individualizes the respective endoscope or exoscope and/or the respective light carrier, wherein the components are connected to each other so as to be ready for operation in the form of a current component combination. The method comprises the steps of: capturing the identification data of the endoscope or exoscope and/or the light carrier, capturing at least one transmission parameter of the current component combination, storing the identification data and the captured at least one transmission parameter. Also described is an apparatus for carrying out the method.
Claims
1. A method, comprising: providing an endoscopic or exoscopic system having the components: an endoscope or exoscope, a light-guide cable, a light source and a camera, wherein the light-guide cable is configured to connect the light source to the endoscope or exoscope, wherein the following is met: the endoscope/exoscope is taken from a first supply quantity of endoscopes or exoscopes, wherein the endoscope/exoscope is provided with an endoscope/exoscope identifier containing endoscope/exoscope identification data individualizing the endoscope/exoscope; the light-guide cable is taken from a second supply quantity of light-guide cables, wherein the light-guide cable is provided with a light-guide cable identifier containing light-guide cable identification data individualizing the light-guide cable; wherein the endoscope/exoscope, the light-guide cable, the light source and the camera are connected to each other so as to be ready for surgical operation in the form of a component combination; and wherein the light-guide cable is removably connected to the endoscope/exoscope; further comprising examining at least one of a light transmission quality and an image transmission quality of the endoscopic or exoscopic system, the examining including: capturing the endoscope/exoscope identification data and the light-guide cable identification data; measuring a transmission quality parameter of the component combination; storing in a memory the endoscope/exoscope identification data, the light-guide cable identification data, and the measured transmission quality parameter; repeatedly performing the series of steps above, taking different endoscope/exoscopes from the first supply quantity of endoscopes or exoscopes, and/or taking different light-guide cables from the second supply quantity of light-guide cables, so as to provide different component combinations; evaluating the respective transmission quality parameters of the different component combinations stored in the memory; and deducing a performance quality of an individual component included in at least one of the different component combinations, based on the evaluation of the respective transmission qualities of the different component combinations.
2. The method of claim 1, wherein the repeated series of steps further includes evaluating the transmission quality parameter so as to ascertain an operational capability of the component combination for use in a surgical procedure.
3. The method of claim 2, wherein the step of evaluating the transmission quality parameter includes comparing the transmission quality parameter to a nominal value.
4. The method of claim 1, wherein the repeated series of steps further includes reading out at least one of light source identification data of the light source and a camera operating parameter of the camera.
5. The method of claim 4, wherein the repeated series of steps further includes setting the camera operating parameter.
6. The method of claim 4, wherein the repeated series of steps further includes setting a light source operating parameter of the light source.
7. The method of claim 1, wherein the repeated series of steps further includes analyzing an image supplied by the component combination so as to ascertain a current setting of an operating parameter of the camera of the component combination.
8. The method of claim 1, wherein the repeated series of steps further includes storing a timestamp in addition to the storing of the endoscope/exoscope identification data and the light-guide cable identification data and to the storing of the measured transmission quality parameter.
9. The method of claim 1, further comprising carrying out the evaluating with a weighting such that stored transmission quality parameters that were measured earlier have a lower weighting than stored transmission quality parameters which are measured later, or are not taken into consideration.
10. The method of claim 1, wherein the repeated series of steps further includes carrying out the examination of the component combination before use of the component combination in a surgical procedure.
11. The method of claim 10, wherein the repeated series of steps further includes carrying out the examination of the component combination using at least one of a measurement target and a measurement sensor connected to the endoscope/exoscope.
12. The method of claim 1, wherein the repeated series of steps further includes carrying out the examination of the component combination during use of the component combination in a surgical procedure, wherein at least one of an area of tissue and an instrument at the intracorporeal site is used as a measurement target.
13. The method of claim 12, wherein the repeated series of steps further includes carrying out a multiplicity of individual examinations during the surgical procedure, and storing at least those results from individual examinations that represent a poor-quality state of the component combination.
14. The method of claim 13, further comprising capturing an incidence of occurrence of the captured poor-quality states.
15. An apparatus, comprising: an endoscopic or exoscopic system having the components: an endoscope or exoscope, a light-guide cable, a light source and a camera, wherein the following is met: the endoscope/exoscope is taken from a first supply quantity of endoscopes or exoscopes, wherein the endoscope/exoscope is provided with an endoscope/exoscope identifier containing endoscope/exoscope identification data individualizing the endoscope/exoscope; the light-guide cable is taken from a second supply quantity of light-guide cables, wherein the light-guide cable is provided with a light-guide cable identifier containing light-guide cable identification data individualizing the light-guide cable; wherein the endoscope/exoscope, the light-guide cable, the light source and the camera are connected to each other so as to be ready for operation in the form of a component combination; and wherein the light-guide cable is removably connected to the endoscope/exoscope; the apparatus further comprising: an identifier which captures the endoscope/exoscope identification data and the light-guide cable identification data; a measurement system that measures a transmission quality parameter of the component combination; and a computer to which the measurement system and the identifier are connected and which has a memory for storing the endoscope/exoscope identification data and the light-guide cable identification data and for storing the measured transmission quality parameter of the component combination; wherein respective transmission quality parameters of a plurality of different component combinations are stored in the memory, further comprising a program that evaluates the respective transmission quality parameters of the plurality of different component combinations in terms of a performance of individual components.
16. The apparatus of claim 15, wherein the computer has an evaluator, which evaluates the transmission quality parameter currently measured so as to ascertain an operational capability of the current component combination for use in a surgical procedure.
17. The apparatus of claim 16, wherein the evaluator compares the transmission quality parameter currently measured to a nominal value.
18. The apparatus of claim 15, wherein the program contains an algorithm which in the evaluation of the transmission quality parameters does not take into consideration transmission quality parameters that were measured earlier or gives transmission quality parameters that were measured earlier a lower weighting than transmission quality parameters that were measured later.
19. The apparatus of claim 15, wherein at least one of the camera and the light source is networked with the computer such that at least one of camera identification data, a camera operating parameter of the camera, light source identification data and a light source operating parameter of the light source can be readout into the computer.
20. The apparatus of claim 19, wherein at least one of the camera operating parameter and the light source operating parameter is set via the computer.
21. The apparatus of claim 15, wherein the computer has an image analysis device.
22. The apparatus of claim 15, wherein the computer is configured for transmitting the captured endoscope/exoscope identification data and transmission quality parameter to a remote computer for evaluation.
23. The apparatus of claim 15, wherein the measurement system has at least one coupling opening for coupling at least one of the endoscope/exoscope and the light-guide cable.
24. The apparatus of claim 15, wherein the measurement system has at least one of a measurement target and a measurement sensor.
25. The apparatus of claim 24, wherein the measurement system has a measurement adapter, via which the endoscope/exoscope can be coupled to the measurement system such that the distance of a distal end of the endoscope/exoscope to the measurement target is well-defined.
26. The apparatus of claim 15, wherein at least one of the endoscope/exoscope identifier and the light-guide cable identifier cooperates with the identifier contactlessly.
27. The method of claim 1, wherein the transmission quality parameter is at least one of a light intensity of light emitted by the endoscope/exoscope and an image brightness of an image captured by the camera.
28. A method, comprising: selecting an imaging scope from a supply quantity of imaging scopes; selecting a light-guide cable from a supply quantity of light-guide cables; providing a component combination ready for surgical operation and having: a camera, a light source, the selected imaging scope, and the selected light-guide cable connecting the light source to the selected imaging scope, wherein the selected light-guide cable is removably connected to the selected imaging scope; capturing individualizing ID data from the selected imaging scope; capturing individualizing ID data from the selected light-guide cable; measuring a transmission quality parameter of the component combination; storing the measured transmission quality parameter of the component combination, and the individualizing ID data captured from the selected imaging scope and the selected light-guide cable; repeatedly performing the series of steps above, selecting different imaging scopes from the supply quantity of imaging scopes, and/or selecting different light-guide cables from the supply quantity of light-guide cables, so as to provide different component combinations; evaluating the respective transmission quality parameters of the different component combinations, and thereby deducing a performance of an individual component included in at least one of the different component combinations.
29. The method of claim 28, wherein the selected imaging scope is an endoscope or an exoscope.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) Exemplary embodiments of the invention will be described in more detail below with reference to the drawing, in which:
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
DESCRIPTION OF PREFERRED EXEMPLARY EMBODIMENTS
(10) In
(11) The endoscopic system 12 has among others the components endoscope 14, light carrier 16, light source 18 and camera 20. An exoscopic system correspondingly has, instead of the endoscope 14, an exoscope (not illustrated). The following description applies analogously to an exoscope in place of the endoscope 14.
(12) The endoscope 14 has a shaft 22, which can be rigid or flexible. In the exemplary embodiment shown here, the endoscope 14 is a conventional endoscope in which the image transmission is carried out from a distal end 24 of the shaft 22 to a proximal end 26 of the shaft using glass fibres or a relay lens system. An eyepiece 28 is correspondingly arranged at the proximal end 26 of the shaft 22.
(13) The camera 20 comprises an imager 32 arranged in a camera head 30 and an objective 34 and a camera control unit 36, which is connected to the imager 32 via a signal line 38 or a feed line.
(14) In other exemplary embodiments (not illustrated), the endoscope 14 can also be a video endoscope in which the imager 32 is integrated in the endoscope 14 together with the objective 34. In this case, the components endoscope and camera (with the exclusion of the camera monitoring unit) are merged.
(15) Furthermore, not only an image transmission section but also a light transmission section for transmitting light generated by the light source 18 extends in the endoscope 14 through the shaft 22 of the endoscope 14 toward the distal end 24 of the shaft 22 from which the light is emitted.
(16) In the exemplary embodiment illustrated, the light carrier 16 is a light-guide cable which is connected by a proximal end 40 to the light source 18 and by a distal end 42 to the endoscope 14, wherein the light generated by the light source 18 is transmitted to the endoscope 14 via the light carrier 16.
(17) In other exemplary embodiments (not illustrated), the light source can also be coupled directly to the endoscope 14 or be integrated therein, such that in this case the endoscope and the light carrier are merged into one component.
(18) The endoscopic system 12 shown in
(19) The endoscopic system 12 furthermore comprises, as a further component, a monitor 44, with which the endoscopic image 46 picked up by the endoscope 14 and the camera 20 can be visualized.
(20) A clinic typically has a plurality of endoscopes 14 and a plurality of light carriers 16, typically also a plurality of cameras 20 and light sources 18, which can be combined in virtually any desired combination. For reasons of simplification, the following description assumes that the endoscope 14 and the light carrier 16 are taken from a supply quantity of endoscopes E1, . . . , En and light carriers L1, . . . , Lm (
(21) The endoscope 14 is provided with an identifier 48 which individualizes the current endoscope 14. The identifier 48 can be configured in the form of a chip or a transponder on which identification data is contained, such as for example the article and serial number of the current endoscope 14.
(22) The light carrier 16 is likewise provided with an identifier 50 containing identification data that individualizes the current light carrier 16, wherein the identifier 50 may again be configured as a chip or a transponder. Using the identification data contained in the identifiers 48 and 50, the current endoscope 14 and the current light carrier 16 can be uniquely identified.
(23) The apparatus 10 has an identification unit 52 which is able to capture the identification data of the endoscope 14 and of the light carrier 16. The identification unit 52 has to this end reading modules 54 and 56, which can contactlessly read the identification data contained in the identifiers 48 and 50, wherein any type of contactless auto ID technology can be used here. The reading modules 54 and 56 are connected to a control unit 58 of the identification unit via corresponding signal lines 60 and 62, although wireless transmission is also possible instead of signal lines.
(24) The apparatus 10 furthermore has a measurement system 64, with which at least one transmission parameter of the current component combination of endoscope 14, light carrier 16, light source 18 and camera 20 can be captured. The measurement system 64 has a measurement target 66, which has for example a test image or simply a diffusely scattering surface. The measurement system 64 can furthermore have a measurement sensor 68, with which for example the light intensity emitted by the endoscope 14 can be directly measured. The measurement sensor 68 is in this case configured as a brightness sensor. The measurement system 64 furthermore has a measurement adapter 70, which can be fitted onto the shaft 22 of the endoscope 14. The measurement adapter 70 has, in the exemplary embodiment illustrated, the reading modules 54 and 56 of the identification unit 52 integrated therein.
(25) A transmission parameter captured during the examination of the endoscopic system 12 can for example be the light intensity emitted by the endoscope 14, which can be measured for example via the measurement sensor 68. In addition or alternatively, it is also possible for the image brightness of the image of the measurement target 66, which is transmitted from the endoscope 14 via the objective 34 onto the imager 32 and is picked up thereby, to be captured by the camera control unit 36 or a corresponding device within the monitor 44.
(26) To this extent, the camera 20 can likewise be part of the measurement system 64.
(27) The apparatus 10 furthermore has a computer unit 71 which is connected to the identification unit 52 (in this case the control unit 58), the light source 18 and the camera 20 (in this case the camera control unit 36) via a bus 72 (for example the KARL STORZ SCB bus from Karl Storz GmbH & Co. KG).
(28) The measurement sensor 68 is likewise connected to the computer unit 71 in order to transmit captured measurement values to the computer unit 71. In the exemplary embodiment illustrated, the connection is wireless.
(29) The computer unit 71 is furthermore connected to an output device 74, for example a monitor, for visually representing the result of the examination of the endoscopic system 12.
(30) The camera 20 and the light source 18 also have a unique identification feature, for example by way of their article and serial number, which can be stored as an identifier in a memory element in the device and which is read by the computer unit 71 during an examination of the endoscopic system 12. In addition, it is possible not only for the device identification data, but also for set operating parameters of the camera 20 and the light source 18 to be readout by the computer unit 71 via the bus 72. Furthermore, it is also possible via the computer unit 71 to set different operating parameters of the camera 20 and the light source 18.
(31)
(32) The measurement system 64 here has a measurement adapter 70, which is shown by itself in
(33) However, it is likewise conceivable that the measurement system 64 or 64 overall is designed as a sterile disposable product or in sterilizable form.
(34) The measurement adapter 70 has at its distal end a membrane 82, which is transparent and here ensures a defined insertion depth of the shaft 22 of the endoscope 14 into the measurement adapter 70.
(35) Again with reference to
(36) The captured transmission parameter or parameters, the identification data captured by the identification unit 52 of the endoscope 14 and of the light carrier 16, the operating parameters set in the camera 20 and the light source 18 and the identification data thereof are stored in the computer unit 71 in a memory unit thereof.
(37) The computer unit 71 contains an evaluation unit, which evaluates the currently captured transmission parameter so as to ascertain the operational capability of the current component combination of endoscope 14, light carrier 16, light source 18 and camera 20 for use in a subsequent surgical procedure, wherein the result of said evaluation is also stored in the computer unit 71. The previously mentioned evaluation is carried out by comparing the transmission parameter or parameters with a nominal value or values.
(38) The result of the evaluation, which contains a statement regarding the current operational capability of the current component combination, can be displayed to the clinic personnel involved in the carrying out of the examination on the output device 74, for example via a traffic light representation (red/amber/green).
(39) In each examination of a current component combination, it should be ensured that the operating parameters zoom and focus of the camera 20 have identical settings across the objective 34 of the camera 20 from one examination to the next. Zoom and focus of the camera 20 can be readout, as already described above, by the computer unit 71 via the bus 72 from the camera 20 and set. The set zoom and focus can, however, also be ascertained by way of the size of the endoscopic image 46 on the monitor 44. The images of endoscopes generally have a centric circle section, the size of which depends on the set zoom factor. If the focus and zoom of the current camera 20 cannot be set by way of a motor, but only manually, it is therefore alternatively also possible, based on the knowledge of the endoscope and camera type, to determine the magnification factor set at the time of the examination by way of reference to an image analysis of the image 46.
(40) It is furthermore advantageous if a timestamp is also stored for each examination carried out of a current component combination.
(41) In the method according to the invention, the endoscopic system 12 is examined as a whole, as described above. The method according to the invention, however, makes it advantageously possible to make statements regarding the performance of specific individual components, such as for example a specific endoscope 14 or a specific light carrier 16 or a specific light source 18 or a specific camera 20, from examinations of various component combinations that are carried out at time intervals, without said components requiring individual examination. This is described in more detail below.
(42) The endoscopic total transfer function H(f) with respect to the light transmittance can be represented as a product of the individual transfer functions of the components H.sub.i(f):
(43)
(44) In approximation it should be assumed that the transmission properties of the individual components in the visible wavelength range are constant, that is to say the transfer functions of the components can be described by the transmission coefficient T.sub.i of the components:
(45)
(46) T.sub.g is the total transmittance. It should furthermore be assumed that with a constant distance between endoscope 14 and measurement target 66 and with a constant reflection, the transmission from the endoscope 14 to the measurement target 66 and back to the endoscope corresponds to a constant T.sub.t.
(47) Relevant for the change in the transmission behavior are now the transmittances of the respective endoscope 14, the respective light carrier 16, the respective light source 18 and the respective camera 20.
(48) According to experience, the components light carrier 16 and endoscope 14 exhibit a degradation which increases over time, i.e. the transmittance thereof diminishes over time, owing to the processing of said components in an autoclave.
(49) For the component light source 18, a reduction in the luminance is primarily dependent on the luminous medium. While in semiconductor-based luminous means, such as for example LEDs, a very long operating time is achieved with constant luminance, high-pressure short-arc lamps, for example on xenon basis, degrade relatively quickly owing to the increasing electrode spacing on account of their ignition.
(50) Cameras such as the camera 20 have, according to experience, a transmittance which is constant over time. As already mentioned, however, for each examination zoom and focus must be set to be identical across the camera lens 34, because only in this case a constant transmittance (ratio of incident light to intensity of the electrical signal of the camera) can be assumed. A degradation of the camera 20 over time, however, should be assumed if the camera head 30 is also sterilized or autoclaved.
(51) A clinic typically has a supply quantity of endoscopes E1, . . . , En, as shown in
(52) For a corresponding number of endoscopes E1, . . . , En and light carriers L1, . . . , Lm, in statistical terms, different endoscope/light guide combinations are used. In the example described below for a statistical evaluation of examinations that are carried out at time intervals of the light and/or image transmission properties of different component combinations, it is assumed for the sake of simplicity that in a clinic five endoscopes E1, . . . , E5, five light carriers L1, . . . , L5, one camera K1 and one light source LQ1 are present. The principle of the statistical evaluation to be described below can of course also be applied to a greater number of endoscopes, light carriers, cameras and light sources.
(53)
(54) In each examination of the concrete component combination as a whole, the transmission parameter that was captured was the overall intensity, that is to say the intensity that can still be measured owing to the transmittance over all components involved. The intensity measured in each case during the examinations of the corresponding component combinations is listed in the last column in the table in
(55) For each examination of the current component combination, the captured transmission parameters (in this case intensities) were stored in the memory unit of the computer unit 71 (
(56) The way in which such an evaluation can take place is described with reference to
(57)
(58) It is to be understood that the evaluation algorithm is not dependent on the number of endoscopes and the number of light guides being identical, as in the present example, but they can be different. Likewise, the evaluation can be carried out if more than just one light source of more than just one camera are involved in the various component combinations.
(59) The above-mentioned evaluation of the transmission parameters recorded sequentially over time of different component combinations is carried out after a certain number of measurements with a specific component according to the principle of the limited memory or according to the principle of the diminishing memory. In the example of
(60) In the principle of limited memory, captured transmission parameters from measurements which were taken earlier are not taken into account any more:
(61)
with the recursion formula:
(62)
wherein N is the number of measurements taken into account. y(i) is the transmission parameter captured in the i-th measurement, in which a specific component was involved. In the example of
(63) According to the principle of the diminishing memory, captured transmission parameters from measurements which were taken increasingly earlier are given a decreasing weighting:
(64) The recursion formula:
u(k)=.Math.u(k1)+(1)y(k),
applies, wherein is a weighting factor with a magnitude of less than 1. If the weighting factor approaches zero, the transmission parameters from more recent or current measurements receive an increasingly stronger weighting.
(65) Since the captured transmission parameters deteriorate over time owing to the degradation of individual components, in particular of endoscopes and light guides, i.e. become worse, the underlying process is slow time invariant and requires that captured transmission parameters from measurements taken earlier are not at all weighted and/or are weighted lower than current ones.
(66) The above stated formula can be applied either to the number of examinations carried out of component combinations or to the number of measurements carried out in which the same component was involved. In the previously described exemplary embodiment of
(67) The examination, described above with reference to
(68) It is likewise possible to carry out the examination method, that is the examination of the current component combination, during the use of said combination in a surgical procedure, wherein not the measurement target 66 with the measurement adapter 70 is used as the measurement target, but an area of tissue or an instrument at the intracorporeal site is used as a measurement target. Such an instrument at the intracorporeal site can be for example the trocar sleeve, through which the endoscope 14 is inserted into the operating site. In the case that the examination method is carried out during the surgical procedure, preferably a multiplicity of individual examinations is carried out, wherein at least those results from the individual examinations are stored that represent a poor state of the current component combination.
(69) Since during an examination in the operating site the captured transmission parameter has a significantly larger variance in different tissues surfaces, this is taken into account by a multiplicity of individual examinations being carried out. While the examination method in the operating site is carried out, the image brightness in the endoscopic image of the camera 20 is captured as the transmission parameter, wherein the image brightness is determined by the exposure time, the amplification and the average intensity value (luminance) in a predetermined region of interest in the endoscopic image of the camera.
(70) While the above-described evaluations of the examinations can be carried out with respect to the operational capability of the current component combination as a whole and the evaluation of successive examinations can be carried out with respect to the performance of individual components of the endoscopic system in the computer unit 71, it is likewise possible for the computer unit 71 to transmit the captured data, in particular identification data, transmission parameters and possibly operating parameters, to a remote computer unit for evaluation therein, for example in a service operation, for example at the manufacturer of the components of endoscopic systems. From there, it is possible to furnish the relevant clinic with indications relating to any poor states of individual components or to imminent degradations.