NeBULA, designed to fit the needs of the surgeon
Documentation for medico-legal purposes
Full documentation of the surgery is the strongest defense to demonstrate that surgery was carefully performed, that the surgeon was skilled, and that no complications occurred or could be anticipated.
This requires:
- Decent quality to permit review. Top quality is not necessary
- Smaller files are an advantage since more easily stored and reviewed
- Recording at an accelerated rate eg 1.5-2 is an advantage
Documentation to review surgery afterwards
or teaching, debriefing, checking completeness of the first intervention eg in recurrence of pain in endometriosis patients, or for exchange with collegues.
This requires:
- Decent quality to permit review. Top quality is not necessary
- Smaller files are an advantage since more easily stored and reviewed
- Record at an accelerated speed
- Reviewing the recorded files at a high speed
- Annotation permitting afterwards to jump to the next mark
Recording of videoclips and stills for large screen presentations
This requires:
- High quality recording: with some experience the short high quality clips can be recorded with little or no editing afterwards
- Document rare events eg a bleeding, requires that the high quality recording starts 5-10 seconds before the recording is activated
- Personalise clips and prevent inappriopriate use by others using watermarking
- Re-record clips in order to add watermarking, or eliminate eg names, or in order to correct rotation
- Record at an accelerate speed: eg 1.5 times will make videoclips nicer to watch, while the surgeon looks a better surgeon
Patient records -Patient and physician information – marketing of the surgical practice
It is extremely well received by the patient when the video of the intervention is reviewed with them after surgery, and when they receive a series of pictures of the intervention. The latter also is useful to send to the referring physician, aand to keep in the patient records.
This requires:
- The reporting tool with a hard copy of pictures
- Obviously this can be integrated in the hospital electronic patient record
- In private practice I show key parts of the videos the day after surgery, before handing over the CD
Record simultaneously 2 incoming streams
Eg ultrasound image and surgical image of puncture.
Record simultaneously 3 outgoing streams
Eg the hard drive of the PC, on the hospital network, and on a CD to give to the patient.
Flipping of the image
Left-right is necessary whenever looking in the opposite direction of the laparoscope (eg the assistant manipulating the uterus in gynaecology).
Features
- Two video streams in and three video streams out
- Simultaneous recording at two preset qualities (lower quality and at top quality) and recording of still pictures
- In the future: much higher resolution pictures
- Recording at a preset speed
- Possibility to start recording before pressing the recording button
- Modification of the incoming videostream before recording permitting
- Authentication
- Overlay of text eg time, name or initials of patient and surgeon
- Watermarking
- Scaling of image
- Rotation of image
- Flipping of the image: left, right and horizontal
- Enhancement of the image (sharpening, contrast)
- Review of recordings with
- Annotation
- Marks
- At high speed up to 30 tilmes
- With possibility of rerecording
- Generate Report tool
