Jump to ContentJump to Main Navigation
Show Summary Details
More options …

Biomedical Engineering / Biomedizinische Technik

Joint Journal of the German Society for Biomedical Engineering in VDE and the Austrian and Swiss Societies for Biomedical Engineering and the German Society of Biomaterials

Editor-in-Chief: Dössel, Olaf

Editorial Board: Augat, Peter / Habibović, Pamela / Haueisen, Jens / Jahnen-Dechent, Wilhelm / Jockenhoevel, Stefan / Knaup-Gregori, Petra / Lenarz, Thomas / Leonhardt, Steffen / Plank, Gernot / Radermacher, Klaus M. / Schkommodau, Erik / Stieglitz, Thomas / Boenick, Ulrich / Jaramaz, Branislav / Kraft, Marc / Lenthe, Harry / Lo, Benny / Mainardi, Luca / Micera, Silvestro / Penzel, Thomas / Robitzki, Andrea A. / Schaeffter, Tobias / Snedeker, Jess G. / Sörnmo, Leif / Sugano, Nobuhiko / Werner, Jürgen /


IMPACT FACTOR 2018: 1.007
5-year IMPACT FACTOR: 1.390

CiteScore 2018: 1.24

SCImago Journal Rank (SJR) 2018: 0.282
Source Normalized Impact per Paper (SNIP) 2018: 0.831

Online
ISSN
1862-278X
See all formats and pricing
More options …
Volume 63, Issue 1

Issues

Volume 57 (2012)

From SOMDA to application – integration strategies in the OR.NET demonstration sites

Max Rockstroh
  • Corresponding author
  • Universität Leipzig, Innovation Center Computer Assisted Surgery, Semmelweisstr. 14, D-04103 Leipzig, Germany
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Stefan Franke
  • Universität Leipzig, Innovation Center Computer Assisted Surgery, Semmelweisstr. 14, D-04103 Leipzig, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Raluca Dees
  • Department of Medical Information Systems, Heidelberg University Hospital, 69115 Heidelberg, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Angela Merzweiler
  • Department of Medical Information Systems, Heidelberg University Hospital, 69115 Heidelberg, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Gerd Schneider
  • Department of Medical Information Systems, Heidelberg University Hospital, 69115 Heidelberg, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Max Dingler
  • Institute of Institute of Micro Technology and Medical Device Technology, Technical University of Munich, 85748 Garching bei München, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Christian Dietz
  • Institute of Institute of Micro Technology and Medical Device Technology, Technical University of Munich, 85748 Garching bei München, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Jonas Pfeifer
  • Institute of Institute of Micro Technology and Medical Device Technology, Technical University of Munich, 85748 Garching bei München, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Franziska Kühn / Malte Schmitz
  • Institute for Software Engineering and Programming Languages, University of Lübeck, 23562 Lübeck, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Alexander Mildner / Armin Janß
  • Chair of Medical Engineering in the Helmholtz-Institute at the RWTH Aachen University, Pauwelsstr. 20, 52074 Aachen, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Jasmin Dell’Anna Pudlik
  • Chair of Medical Engineering in the Helmholtz-Institute at the RWTH Aachen University, Pauwelsstr. 20, 52074 Aachen, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Marcus Köny
  • University Hospital RWTH Aachen, Department of Anaesthesiology, Pauwelsstrasse 30, D-52074 Aachen, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Björn AndersenORCID iD: http://orcid.org/0000-0003-4547-7438 / Björn Bergh
  • Department of Medical Information Systems, Heidelberg University Hospital, 69115 Heidelberg, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Thomas Neumuth
  • Universität Leipzig, Innovation Center Computer Assisted Surgery, Semmelweisstr. 14, D-04103 Leipzig, Germany
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2018-02-03 | DOI: https://doi.org/10.1515/bmt-2017-0023

Abstract

The effective development and dissemination of the open integration for the next generation of operating rooms require a comprehensive testing environment. In this paper, we present the various challenges to be addressed in demonstration applications, and we discuss the implementation approach, the foci of the demonstration sites and the evaluation efforts. Overall, the demonstrator setups have proven the feasibility of the service-oriented medical device architecture (SOMDA) and real-time approaches with a large variety of example applications. The applications demonstrate the potentials of open device interoperability. The demonstrator implementations were technically evaluated as well as discussed with many clinicians from various disciplines. However, the evaluation is still an ongoing research at the demonstration sites. Technical evaluation focused on the properties of a network of medical devices, latencies in data transmission and stability. A careful evaluation of the SOMDA design decisions and implementations are essential to a safe and reliable interoperability of integrated medical devices and information technology (IT) system in the especially critical working environment. The clinical evaluation addressed the demands of future users and stakeholders, especially surgeons, anesthesiologists, scrub nurses and hospital operators. The opinions were carefully collected to gain further insights into the potential benefits of the technology and pitfalls in future work.

Keywords: computer-assisted surgery; digital operating room; IEEE 11073 SDC; integrated operating room; medical device interoperabilty; OR.NET; service-oriented medical device architecture; SOMDA

References

  • [1]

    Andersen B, Ulrich H, Kock A-K, Wrage J-H, Ingenerf J. Semantic interoperability in the OR.NET project on networking of medical devices and information systems – A requirements analysis. In 2014 IEEE-EMBS International Conference on Biomedical and Health Informatics (BHI), Valencia, Spain, 2014: 428–431.Google Scholar

  • [2]

    Andersen B, Ulrich H, Rehmann D, Kock A-K, Wrage J-H, Ingenerf J. Reporting Device Observations for semantic interoperability of surgical devices and clinical information systems. In Proceedings of the 37th IEEE Engineering in Medicine and Biology Society (EMBC), Milano, Italy, 2015: 1725–1728.Google Scholar

  • [3]

    Andersen B, Kasparick M, Ulrich H, et al. Connecting the clinical IT infrastructure to a service-oriented architecture of medical devices. Biomed Eng-Biomed Tech 2018; 63: 57–68.Google Scholar

  • [4]

    Benzko J, Krause L, Janß A, et al. Modular user interface design for integrated surgical workplaces. Biomed Eng/Biomed Tech 2016; 61: 183–197.Web of ScienceGoogle Scholar

  • [5]

    Blaar M, Janß A, Dell’Anna J, Höllig A, Radermacher K, Clusmann H. Bottlenecks and needs in human-human and human-machine interaction – a view from and into the neurosurgical OR. Biomed Eng/Biomed Tech 2016; 61: 135–146.Web of ScienceGoogle Scholar

  • [6]

    Decker N, Kuhn F, Thoma D. Runtime verification of web services for interconnected medical devices, presented at the IEEE 25th International Symposium on Software Reliability Engineering (ISSRE 2014), Naples, Italy, 2014: 235–244.Google Scholar

  • [7]

    Dell’Anna J, Janß A, Clusmann H, Radermacher K. A Configurable footswitch unit for the open networked neurosurgical OR – 8development, evaluation and future perspectives. i-com 2016; 15: 227–247.Google Scholar

  • [8]

    Dietz C, Lueddemann T, Dingler M, Lüth T. Automated risk detection for medical device networks with hard real time requirements. In Proceedings of the IEEE/SICE International Symposium on System Integration (SII 2016), Sapporo (Japan), 2016: 471–476.Google Scholar

  • [9]

    Dingler M, Dietz C, Pfeiffer J, Lueddemann T, Luth T. A framework for automatic testing of medical device compatibility. In Proceedings of 13th International Conference on Telecommunications (ConTEL), Graz, Austria, 2015: 1–8.Google Scholar

  • [10]

    Dingler M, Pfeiffer J, Lüddemann T, Dietz C, Lüth TC. Open real time communication of medical devices in the operating room. Medical Technology in Bavaria – Profiles, Portraits, Perspectives 2016; 2016: 40–43.Google Scholar

  • [11]

    Dingler M, Dietz C, Lüth T. Verification of on-demand medical device networks. CDBME 2017; 3: 445–448.Google Scholar

  • [12]

    Franke S, Neumuth T. Rule-based medical device adaptation for the digital operating room. In Proceedings of 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, Milano, 2015: 1733–1736.Google Scholar

  • [13]

    Franke S, Rockstroh M, Schreiber E, Neumann J, Neumuth T. Context-aware medical assistance systems in integrated surgical environments. In 28th Conference of the international Society for Medical Innovation and 1Technology (SMIT), Delft, Netherlands, 2016.Google Scholar

  • [14]

    Janß A, Benzko J, Merz P, Dell’Anna J, Radermacher K. Development of medical device UI-profiles for reliable and safe human-machine-interaction in the integrated operating room of the future. In Proceedings of the 5th International Conference on Applied Human Factors and Ergonomics 2014, Krakow, 2014: 1855–1860.Google Scholar

  • [15]

    KARL STORZ GmbH & Co. KG. OR1 – KARL STORZ Endoskope. 14-Jan-2016.Google Scholar

  • [16]

    Kasparick M, Schlichting S, Golatowski F, Timmermann D. New IEEE 11073 standards for interoperable, networked point-of-care Medical Devices. In Proceedings of the 37th IEEE Engineering in Medicine and Biology Society (EMBC), Milano, Italy, 2015: 1721–1724.Google Scholar

  • [17]

    Kasparick M, Rockstroh M, Schlichting S, Golatowski F, Timmermann D. Mechanism for safe remote activation of networked surgical and PoC devices using dynamic assignable controls. Conf Proc IEEE Eng Med Biol Soc 2016; 2016: 2390–2394.PubMedGoogle Scholar

  • [18]

    Kasparick M, Schmitz M, Golatowski F, Timmermann D. Dynamic Remote Control through Service Orchestration of Point-of-Care and Surgical Devices based on IEEE 11073 SDC. In IEEE-NIH 2016 Special Topics Conference on Healthcare Innovations and Point-of-Care Technologies, Cancun, Mexico, 2016.Google Scholar

  • [19]

    Kasparick M, Schmitz M, Andersen B, et al. OR.NET: a service-oriented architecture for safe and dynamic medical device interoperability. Biomed Eng-Biomed Tech 2018; 63: 11–30.Google Scholar

  • [20]

    Krieg SM, Sabih J, Bulubasova L, et al. Preoperative motor mapping by navigated transcranial magnetic brain stimulation improves outcome for motor eloquent lesions. Neuro-Oncol 2014; 16: 1274–1282.PubMedCrossrefGoogle Scholar

  • [21]

    Kühn F, Leucker M. OR.NET: safe interconnection of medical devices. In: Gibbons J, MacCaull W, editors. Foundations of health information engineering and systems, vol. 8315. Berlin, Heidelberg: Springer Berlin Heidelberg 2014: 188–198.Google Scholar

  • [22]

    Lüth TC, Lüddemann T, Pfeiffer JH, Dingler ME, Dietz C. OR.NET, Abschlussbericht 2016, Lehrstuhl MIMED. Technische Universität München, Lehrstuhl für Mikrotechnik und Medizingerätetechnik, 2016. Available at: https://doi.org/10.2314/GBV:873806719

  • [23]

    Olympus Europa SE & Co. KG. Olympus – Systems Integration. 14-Jan-2016.Google Scholar

  • [24]

    Pfeiffer JH, Dingler ME, Dietz C, Lueth TC. Requirements and architecture design for open real-time communication in the operating room. In Proceedings of IEEE International Conference on Robotics and Biomimetics (ROBIO 2015), Zhuhai, China, 2015: 458–463.Google Scholar

  • [25]

    Pfeiffer J, Borbáth Á, Dietz C, Lueth TC. A new module that combines two tracking cameras to expand the workspace of surgical navigation systems. In Proceedings of the International Symposium on System Integration (SII 2016), Sapporo (Japan), 2016: 477–482.Google Scholar

  • [26]

    Pfeiffer JH, Kasparick M, Strathen B, et al. OR.NET RT: how service-oriented medical device architecture meets real-time communication. Biomed Eng-Biomed Tech 2018; 63: 81–93.Google Scholar

  • [27]

    Rockstroh M, Franke S, Neumuth T. A workflow-driven surgical information source management. In International Journal Computer Assisted Radiology and Surgery, Heidelberg, 2013; 8: 189–191.Google Scholar

  • [28]

    Rockstroh M, Franke S, Hofer M, et al. OR.NET: multi-perspective qualitative evaluation of an integrated operating room based on IEEE 11073 SDC. Int J Comput Assist Radiol Surg 2017; 12: 1461–1469.PubMedCrossrefWeb of ScienceGoogle Scholar

  • [29]

    Schlamelcher J, Onken M, Eichelberg M, Hein A. Dynamic DICOM configuration in a service-oriented medical device architecture. In Conf Proc of the Engineering in Medicine and Biology Society (EMBC), Milano, Italy, 2015: 1717–1720.Google Scholar

  • [30]

    Strauss G, Koulechov K, Hofer M, et al. The navigation-controlled drill in temporal bone surgery: a feasibility study. Laryngoscope 2007; 117: 434–441.PubMedWeb of ScienceCrossrefGoogle Scholar

  • [31]

    Vitting A, Janß A, Strathen B, Strake M, Radermacher K. Further development and evaluation of a universal foot switch for diverse medical disciplines within the framework of an open integration concept for the operation theatre of the future. In: Duffy V, Lightner N, editors. Advances in human factors and ergonomics in healthcare and medical devices, vol. 590. Cham: Springer International Publishing 2018: 438–449.Google Scholar

  • [32]

    Zeißig E-M, Janß A, Dell’Anna-Pudlik J, Ziefle M, Radermacher K. Development and experimental evaluation of an alarm concept for an integrated surgical workstation. Biomed Eng/Biomed Tech 2016; 61: 199–209.Web of ScienceGoogle Scholar

About the article

aMax Rockstroh, Raluca Dees, Max Dingler, Malte Schmitz and Armin Janß: These authors contributed equally to this work.

bBjörn Bergh and Thomas Neumuth: These authors claim joint senior authorship.


Received: 2017-03-03

Accepted: 2017-04-25

Published Online: 2018-02-03

Published in Print: 2018-02-23


Research funding: This work has been partially funded by the German Federal Ministry of Education and Research (BMBF), Funder Id: 10.13039/501100002347, Grant Number: 16KT1236 as part of the OR.NET project.


Citation Information: Biomedical Engineering / Biomedizinische Technik, Volume 63, Issue 1, Pages 69–80, ISSN (Online) 1862-278X, ISSN (Print) 0013-5585, DOI: https://doi.org/10.1515/bmt-2017-0023.

Export Citation

©2018 Walter de Gruyter GmbH, Berlin/Boston.Get Permission

Comments (0)

Please log in or register to comment.
Log in