Release date: 2014-06-05
"OK, Glass", Dr. Xia Zhimin stood in front of the operating table and issued the first instruction. The Google glasses on the nose started instantly. "take a picture", the glasses took a picture after hearing the instruction. “record a videoâ€, the video capture sounds on. This is the first time that Google Glass has entered the operating room in mainland China. It records the surgical procedure and becomes an automatic cameraman on the nose of the doctor.
The new weapon, Google Glass, has been accepted as a new favorite by the medical community. China's medical industry plans to help doctors write medical records, the "Chinese version" will be in the 6 moon phase, the remote consultation is also in preparation, perhaps in mediating medical disputes, Google glasses can also exert a force.
Dr. Xia Zhimin, who is wearing Google glasses and ready to enter the operating room.
On the morning of March 26, Hangzhou orthopedic surgeon Xia Zhimin deliberately took off the frameless glasses and replaced them with contact lenses. At 9 o'clock in the morning, a scallop fracture with open reduction and internal fixation is waiting for him. This is just an ordinary one in 7 years of surgery. The difference is that this time he wants to wear Google glasses.
This pair of Google glasses that shine across the ocean shines with silver-gray metallic luster. The right side of the temple is wide and long, with touch control panels, voice receivers, 16G memory chips, sensors, button batteries and other equipment. There is a camera in the upper right corner of the lens. When you put it on, you can see a small square screen in the upper right corner. This is a pico projector. Looking at it is equivalent to watching a 25-inch screen from 2.4 meters, clear and distance.
The glasses are very light, only 50 grams, but this is a "burning toy", the price plus shipping costs about 2,000 dollars.
Xia Zhimin has watched the tutorial on the Internet, and the trendy Google glasses has caused a shock in his circles. Even the directors and professors who are not ridiculous are rushing to wear glasses.
Before entering the operating room, Xia Zhimin turned the glasses to standby. "This way, I can stop touching it during the whole operation."
Properly prepared before surgery, he slightly raised his head, through the 45 degree prism above the right eye, you can see the current time and start password clearly displayed on the screen.
"OK, Glass", the glasses start instantly. "take a picture", he followed the second instruction, and the glasses took a picture.
“record a videoâ€, after the third instruction is issued, the video capture is turned on. After more than an hour of surgery, Google Glass has been silently recording the surgical procedure.
At the end of the operation, Xia Zhimin charged the Google glasses and imported the video content into the computer to see the surgical video taken from his own perspective. "The image quality is good."
Google Glass, which Xia Zhimin calls "nose camera", solves the problem of shooting in the operating room that had previously made doctors nervous. In the past, important surgery required a photographer or assistant to take photos or videos. The surgeon needed to get the best position, or was forced to temporarily suspend the operation for the sake of taking pictures, without professionally trained photographers, casual touches. Contamination of the entire operating table, bringing the risk of infection and inflammation to the patient.
Xia Zhimin appreciates its voice password function. During the operation, the surgeon's hand can only move above the waist and below the shoulder. The trivial movements of glasses and sweat are forbidden. Now, when you say "Take a picture", Google Glass will help you take pictures and free your doctor's hands.
Can you solve medical disputes?
Xia Zhimin became the first doctor in China, due to his other identity, deputy editor of the Lilac Garden website. The website rushed to buy Google glasses mainly for the development and testing of medical applications. The collaborators were the first team to promote the application of Google glasses in China.
Two days after the completion of the first surgery in China, Dr. Zhang Jin, CEO of Clove Garden, first published their conceptual design of the application of Google glasses in the field of surgery at the Summit of the Journal of Practical Surgery.
In the envisaged scene, the doctor uses Google Glass to scan the QR code, log in to the personal account, view the case that he is responsible for, and complete the pre-operative conversation according to the screen reminder to avoid omission. With the consent of the patient, you can record the entire process of preoperative conversation.
He Yingqi, the organizer of the Google developer community in Guangzhou, said that if the medical disputes are incorporated into the hard demand of Google glasses, I am afraid that Google Glass will record the video of the pre-operative conversation and capture the signature scene of the patient's family. This is the most helpful link. It is.
But more ideas stem from the support of doctors' surgery. Before going to the operating room, the doctor can view the surgical arrangement through the glasses screen. The patient data and page turning only need to be completed by lifting the head and bowing the head. In the operation, various image data of the patient can also be called through language control, such as viewing the anatomical map and the surgical pictures of the key steps. If you encounter a problem, the doctor can also ask for help through a remote video call. He Yingqi introduced that the functional application of remote consultation is also in their plan, and technical reserves are underway.
Xia Zhimin introduced that the video of Google glasses in the operation can also be operated live and interactive through multiple terminals. The He Yingqi team also took a fancy to the first-angle perspective of Google Glass. "The video of the doctor's perspective in these operations is a good teaching film."
However, looking back at the surgery video, Xia Zhimin still found the problem. Although it is the first perspective, the camera is actually located at the upper right of the right eye. In the video, the center of the surgical field appears at the lower left side of the screen. In addition, under the strong contrast of the shadowless lights, some of the lenses are white, the lens can not be adjusted, and it is regrettable that the close-up imaging of some key local details is impossible.
Some of the functions in the conceptual design were applied in China one month after the actual measurement of Xia Zhimin.
On April 29th, Google Glass was unveiled at Shenzhen Ximalin Shunchao Eye Hospital. Dean Lin Shunchao publicly stated that they are mainly used for cloud data storage and sharing of patient data, especially by wirelessly accessing patient records and quickly synchronizing patients. Medical record information, to develop a more appropriate treatment plan.
"For example, the eyelid of this patient is hanging down. We design it according to the best plan. After designing it and putting it on the computer, when the operation is done halfway, the image is transmitted to the computer. The two can be compared. This data is more accurate," Lin Shunchao said in an interview with the media.
In June, the Chinese version of the He Yingqi team started the application development of Google Glass earlier in China. Because Google Glass can only accept English instructions, their first task is to develop a Chinese support system to make Google Glasses "understand" Mandarin.
"From January last year, I got glasses and made a Chinese cloud engine in October. After finishing the content, I have been optimizing it to match the monthly update of Google Glass." He Yingqi revealed that the fastest will be in June. Domestically released the Chinese version of Google Glass, "We infer from the forum data that there are currently more than a thousand pairs of Google glasses in China."
Google Glass is not designed for the medical field, but it has come out, and the medical community in various countries has begun to explore its function.
From burning toys to professional tools, the second generation of Google Glass has made great strides in performance and craftsmanship compared to the first generation, but it is still far from enough. In Xia Zhimin's surgery, more than an hour of surgery has not ended, Google glasses will be dying. "Battery life is indeed the soft underbelly of Google Glass." He Yingqi said that the first generation of Google glasses can only support 40 minutes of video recording, and now it is extended to more than one hour, but the medical professional demand puts higher requirements on the performance of Google glasses. “In the past, I just took photos and recorded videos. Now I want to shoot long videos, but also compression, wireless transmission, etc. In fact, the power consumption is several times before.â€
Remote consultations, real-time transmission of presentations, and even recording of medical records have been tested in foreign medical communities.
"Unfortunately, I have not used these functions." Xia Zhimin has no regrets. It turns out that this Google Glass Access Network can only scan the QR code by first converting the Wi-Fi account into a QR code.
In most hospitals in China, there is no Wi-Fi. Without access to the Internet, the functionality of Google Glass will be greatly reduced.
In the development of Google glasses in China, the upcoming function is to help doctors write medical records. The Lilac Garden and He Yingqi team have been trying. Doctors wearing Google glasses can recognize the patient's voice, and can also convert the important information in the doctor-patient consultation dialogue into text; doctors can check the patient's hands, Google glasses can sense the signs of pain. And mark the parts accordingly.
Google Glass is still a concept greater than the application in China. He Yingqi believes that the development capability will not be worse than that of foreign countries, but the opportunity is indeed less than that of foreign medical application development companies. In addition to language barriers, there are also institutional bindings that are “very difficult and prominently reflected in the limitations of medical records.â€
If you want to use Google Glass to consult and review the patient's medical record, you must get through the hospital's information management system (HIS system). In China, almost every hospital in the HIS system is a separate, independent and independent, there is no way to achieve electronic medical record sharing. "We hope to improve from the underlying data." Xia Zhimin predicted that this will be a huge and long project.
Google Glass’s disclosure of privacy has always been the most criticized. The Boston Perth Israel Medical Center, the first to use Google Glass, has noticed privacy protection. Scanning QR codes with Google glasses is only effective in their homes, and the patient's medical record system can only be used in hospitals.
In Xia Zhimin's thinking, there are also some problems that cannot be circumvented: Does Google Glass belong to medical devices? Does the use of Google Glass to record medical videos require patient informed consent? These ethical questions are not yet ready answers.
(From Kexun)
Source: Kexun
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