Method for providing a procedural signal, system and computer program product

1 . A method for providing a procedural signal, the method comprising:

receiving, by a processor, an item of procedural information, the item of procedural information including an item of information about at least one procedural step that has been carried out on an object under examination before a beginning of the method, and including an item of information about at least one planned procedural step, the at least one procedural step that has been carried out including administration of a medicine, arranging, moving, manipulating, or any combination thereof of a medical object on, in, or on and in the object under examination, capturing medical image data from the object under examination by a medical imaging device, treating at least one treatment region of the object under examination by a medical treatment device, or any combination thereof;

receiving, by the processor, a physiological patient parameter from the object under examination, which has been acquired by at least one sensor during, subsequent to, or during and subsequent to the at least one procedural step that has been carried out;

identifying, by the processor, based on the physiological patient parameter, a change in the physiological patient parameter, or the physiological patient parameter and the change in the physiological patient parameter, whether the at least one procedural step that has been carried out has been tolerated by the object under examination;

based on the identifying, determining, by the processor, that the at least one procedural step that has been carried out has not been tolerated by the objected under examination;

based on the determining, providing the procedural signal, which includes an item of information for adapting the at least one planned procedural step based on the procedural information; and

executing, by a manipulator in communication with the processor, the adapted at least one planned procedural step based on the provided procedural signal using a medical object.

2 . The method of claim 1 , wherein the receiving of the item of procedural information, the receiving of the physiological patient parameter, and the identifying are performed repeatedly until a termination condition occurs.

3 . The method of claim 1 , wherein adapting the at least one planned procedural step comprises adapting:

medication;

selection of the medical object;

movement velocity, movement direction, positioning, trajectory, or any combination thereof of the medical object;

procedural pause; or

any combination thereof.

4 . The method of claim 1 , wherein providing the procedural signal comprises outputting a workflow notification.

5 . The method of claim 1 , wherein the procedural information includes an alternative configuration to the at least one planned procedural step, an item of information about at least one alternative planned procedural step, or a combination thereof, and

wherein providing the procedural signal, in the negative, comprises selecting the alternative configuration, the at least one alternative planned procedural step, or the alternative configuration and the at least one alternative planned procedural step.

6 . The method of claim 1 , wherein:

the manipulator is a remotely controlled manipulator,

the at least one procedural step has been performed by the remotely controlled manipulator, a member of local medical operating personnel, or a combination thereof;

the at least one planned procedural step is performable by the remotely controlled manipulator, the member of local medical operating personnel, or a combination thereof; or

a combination thereof,

wherein providing the procedural signal comprises providing the procedural signal to a remote controller, and

wherein the method further comprises adapting, by the remote controller, a remotely controlled performance of the at least one planned procedural step or approving, by the remote controller, the remotely controlled performance of the at least one planned procedural step as a function of the procedural signal.

7 . The method of claim 6 , wherein the remotely controlled manipulator is configured to robotically move the medical object, and

wherein the method further comprises approving, adapting, or stopping, by the remote controller, the robotic movement of the medical object or specifying, by the remote controller, a safety movement as the robotic movement as a function of the procedural signal.

8 . The method of claim 6 , wherein the remotely controlled manipulator is configured to administer a medication, and

wherein the method further comprises adjusting, by the remote controller, a rate of administration of the medication, dose of the medication, composition of the medication, or

any combination thereof, stopping or approving, by the remote controller, administration of the medication, or a combination thereof as a function of the procedural signal.

9 . The method of claim 1 , wherein the physiological patient parameter characterizes physiological stress, a cardiac rate, a respiratory rate, a blood pressure, a pain level, a movement, facial expression, a tremor, or any combination thereof of the object under examination.

10 . The method of claim 1 , further comprising receiving a preprocedural data set of the object under examination, the preprocedural data set including an item of information about at least one contraindication, and

wherein the identifying comprises identifying, based on the preprocedural data set, whether the at least one planned procedural step is tolerable by the object under examination.

11 . A system comprising:

at least one sensor; and

a processor configured to provide a procedural signal, the processor being configured to provide the procedural signal comprising the processor being configured to:

receive an item of procedural information, the item of procedural information including an item of information about at least one procedural step that has been carried out on an object under examination before a beginning of the provision of the procedural signal, and including an item of information about at least one planned procedural step, the at least one procedural step that has been carried out including administration of a medicine, arrangement, movement, manipulation, or any combination thereof of a medical object on, in, or on and in the object under examination, capture of medical image data from the object under examination by a medical imaging device, treating at least one treatment region of the object under examination by a medical treatment device, or any combination thereof;

receive a physiological patient parameter from the object under examination, which has been acquired by the at least one sensor during, subsequent to, or during and subsequent to the at least one procedural step that has been carried out;

identify, based on the physiological patient parameter, a change in the physiological patient parameter, or the physiological patient parameter and the change in the physiological patient parameter, whether the at least one procedural step that has been carried out has been tolerated by the object under examination;

based on the identification, determine that the at least one procedural step that has been carried out has not been tolerated by the objected under examination;

based on the determination, provide the procedural signal, which, in the negative, includes an item of information for adapting the at least one planned procedural step based on the procedural information; and

execute, by a manipulator in communication with the processor, the adapted at least one planned procedural step based on the provided procedural signal using a medical object, the remotely controlled manipulator being remote relative to the processor.

12 . The system of claim 11 , further comprising:

the manipulator, the manipulator being remote relative to the processor; and

a remote controller configured to remotely control the remote manipulator,

wherein the remote manipulator is configured to perform the at least one procedural step, the at least one planned procedural step, or the at least one procedural step and the at least one planned procedural step,

wherein the remote controller is configured to receive the procedural signal, and

wherein, as a function of the procedural signal, the remote controller is configured to:

adapt the remote control of the remote manipulator for performing the at least one planned procedural step; or

approve performance of the at least one planned procedural step.

13 . The system of claim 12 , wherein the remote manipulator is configured to robotically move the medical object, and

wherein, as a function of the procedural signal, the remote controller is configured to:

approve, adapt, or stop the robotic movement of the medical object; or

specify a safety movement as the robotic movement.

14 . The system of claim 12 , wherein the remote manipulator is configured to administer a medication, and

wherein, as a function of the procedural signal, the remote controller is configured to:

adapt a rate of administration of the medication, dose of the medication, composition of the medication, or any combination thereof;

approve or stop administration of the medication; or

a combination thereof.

15 . A non-transitory computer-readable storage medium that stores instructions executable by one or more processors to provide a procedural signal, the instructions comprising:

receiving, by a processor of the one or more processors, an item of procedural information, the item of procedural information including an item of information about at least one procedural step that has been carried out on an object under examination before a beginning of the method, and including an item of information about at least one planned procedural step, the at least one procedural step that has been carried out including administration of a medicine, arranging, moving, manipulating, or any combination thereof of a medical object on, in, or on and in the object under examination, capturing medical image data from the object under examination by a medical imaging device, treating at least one treatment region of the object under examination by a medical treatment device, or any combination thereof;

receiving a physiological patient parameter from the object under examination, which has been acquired by at least one sensor during, subsequent to, or during and subsequent to the at least one procedural step that has been carried out;

identifying, based on the physiological patient parameter, a change in the physiological patient parameter, or the physiological patient parameter and the change in the physiological patient parameter, whether the at least one procedural step that has been carried out has been tolerated by the object under examination;

based on the identifying, determining, by the processor, that the at least one procedural step that has been carried out has not been tolerated by the objected under examination;

based on the determining, providing the procedural signal, which includes an item of information for adapting the at least one planned procedural step based on the procedural information; and

executing, by a manipulator in communication with the processor, the adapted at least one planned procedural step based on the provided procedural signal using a medical object.

16 . The non-transitory computer-readable storage medium of claim 15 , wherein the receiving of the item of procedural information, the receiving of the physiological patient parameter, and the identifying are performed repeatedly until a termination condition occurs.

17 . The non-transitory computer-readable storage medium of claim 15 , wherein adapting the at least one planned procedural step comprises adapting:

medication;

selection of the medical object;

movement velocity, movement direction, positioning, trajectory, or any combination thereof of the medical object;

procedural pause; or

any combination thereof.

18 . The non-transitory computer-readable storage medium of claim 15 , wherein providing the procedural signal comprises outputting a workflow notification.