Real-time streaming of surgery performance and intraoperative imaging data in the hybrid operating room: Development and usability study

Chun Cheng Lin, Yu Pin Chen, Chao Ching Chiang, Ming Chau Chang, Oscar Kuang Sheng Lee

研究成果: 雜誌貢獻文章同行評審

3 引文 斯高帕斯(Scopus)


Background: The trend of quick evolution and increased digital data in today's operating rooms (ORs) has led to the construction of hybrid ORs. There is often a main control room with monitors for integrating intraoperative data from multiple devices in the hybrid OR. However, there is no adequate solution for communicating the data with people outside the OR. Objective: The objective of this study was to design an intelligent operating room (iOR) system, augmented onto the existing information technology (IT) infrastructure of hybrid ORs, to stream surgery performance and intraoperative imaging data. Methods: In this study, an all-in-one device with synergetic encoder and decoder was used. The device was able to stream multiple sources to one display. The lossless video and images from specific surgical workflows were streamed outside the hybrid OR through network protocols and were further managed by a streaming server and wireless control system. The steps of this study included the following: (1) defining the requirements and feasibility of an iOR system in the hybrid OR, (2) connecting multiple sources, (3) setting up equipment across the hybrid OR and a conference room, (4) designing a video management system, and (5) real-time streaming under specific surgical workflows. Results: The wired streamed video was shown simultaneously on the display in the hybrid OR and the display in the conference room with near-zero latency. Additionally, an interactive video between the hybrid OR and the conference room was achieved through the bidirectional wireless control system. The functions of recording, archiving, and playback were successfully provided by the streaming server. The readily available hardware components and open-access programming reduced the cost required to construct this streaming system. Conclusions: This flexible and cost-effective iOR system not only provided educational benefits, but also contributed to surgical telementoring.
期刊JMIR Medical Informatics
出版狀態已發佈 - 4月 2020

ASJC Scopus subject areas

  • 健康資訊學
  • 健康資訊管理


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