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Hosptals are facing a problem about how to manage video from surgery in operating rooms. There are not clear and concrete solutions to afford that and also the CIO have a problem to manage that. Is video one more “document” we should store with the Medical Record? or it’s enough just to take some key seconds? so what do we do with the rest of the video surgery? has to be stored for research and legal issues?

Medting has been asked to provide solution in some hospitals in combination with MIO product.

Talking about video at operating room, there are different problems to be solved:

1. You will need to capture the image/video generated by any kind of device (an endoscope, for instance), and convert it to DICOM. MIO can do this, retrieving patient ID or other data from any information system (HIS, RIS…) to properly identify the images/video; converting the images to DICOM generating appropiate DICOM tags for the image, and then sending them to a repository. You can also configure MIO to capture video sequences, preconfiguring the length of the sequences. (Of course you can capture unlimited video length also). MIO can generate DICOM multiframe or mpeg2 video.
2. Then you will need to store the videos. Here you’ve got two possibilities, depending on your needs:

• If those videos are intented to be included into the Electronic Patient Record, I would recommend the PACS as a storage system. In that case you would store “short” video sequences in DICOM multiframe format (usually the PACS doesn’t support mpeg2 storage). MIO can easily communicate and integrate with PACS system. C2C has developed MIO Broker, what allows us to send information to PACS without requiring a previous RIS schedulling.

• If those videos are intended for research or for “private” storage (maybe the physician wants to keep a copy of all his work while he is in the operating room), or if you want to share them between other colleagues outside your hospital, allowing them to make comments, or if you want to implement some kind of telemedicine project, then MEDTING is the right repository.

Putting all this together, we have developed a packaged solution for Videos at Operating Room. With the system On, the physicians just have to press a foot switch or a wireless mouse to automatically start/stop video recording, and automatically convert it and sent it to PACS/MEDTING.

See more in the slides:

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