Patent Publication Number: US-2022223270-A1

Title: System and method for medical procedure room supply and logistics management

Description:
BACKGROUND OF THE INVENTION 
     According to data from the National Center for Health Statistics, nearly fifty (50) million surgical inpatient procedures were performed in 2009 in the United States alone, and that number continues to grow. The setup of the medical procedure room is one of the most important factors for surgeon efficiency, patient safety, and team workflow. The setup and logistics of a medical procedure room and the procedure itself should be optimized for efficiency and procedure predictability. For example, a medical procedure may require the use of many different types of devices, enabling technology systems, chargeable supplies, disposable supplies, procedure steps, and the like. 
     There is not a “one size fits all” approach to medical procedure room setup or performance. Before a medical procedure begins, the medical procedure room must be equipped with an adequate number, and the right type, of supplies and tools, such as surgical instruments, lights, trays, robotic systems, anesthetic systems, scalpels and blades, and reusable and disposable supplies. Not only must the fixed or semi-fixed equipment be properly arranged prior to commencement of the procedure, but chargeable supplies (for example, sutures, sponges, clips, medical implants, screws, rods, arthroplasty devices, stimulators, needles, scalpel blades, catheters, drill bits) and disposable supplies (for example, gauze, gloves, liners, needles, syringes, and tubing) should be carefully tracked for billing and supply analysis and inventory management. During a medical procedure that demands the full attention of the medical practitioner and other medical personnel, the tracking of such equipment can easily be ignored or incorrectly logged. Additionally, given the large variability in supplies and procedure steps, even well-trained medical practitioners and personnel can have difficulty managing inventory, understanding use and functionality of unfamiliar devices and supplies, determining the correct placement and order of use of all devices and supplies, and the like. Further, information about the number and type of supplies used during the procedure may be useful to the medical practitioner, medical personnel, and/or medical facility for efficiency evaluation, practitioner success rates, cost per procedure, patient variation and response, procedure improvement, and/or other characteristics over time. 
    
    
     
       BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS 
       The accompanying figures, where like reference numerals refer to identical or functionally similar elements throughout the separate views, together with the detailed description below, are incorporated in and form part of the specification, and serve to further illustrate embodiments of concepts that include the claimed invention and explain various principles and advantages of those embodiments. 
         FIG. 1  is a block diagram of an exemplary medical procedure system in accordance with some embodiments. 
         FIG. 2  is a block diagram of an optimization system in accordance with some embodiments. 
         FIG. 3  is a block diagram of a communication device for use within the optimization system of  FIG. 2  in accordance with some embodiments. 
         FIG. 4  is a block diagram of a mixed reality device for use within the optimization system of  FIG. 2  in accordance with some embodiments. 
         FIG. 5  is a block diagram of an optimization computing device for use within the optimization system of  FIG. 2  in accordance with some embodiments. 
         FIG. 6  is a flow diagram of a method for use in medical procedure room supply and logistics management optimization in accordance with some embodiments. 
         FIG. 7  is a flow diagram of a method of medical procedure room supply and logistics management optimization in accordance with some embodiments. 
         FIG. 8  is a functional block diagram of a medical procedure room supply and logistics management optimization system in accordance with some embodiments. 
         FIG. 9  is a flow diagram of a method of extended continuous medical procedure room supply and logistics management optimization using the functionality of  FIG. 8  in accordance with some embodiments. 
     
    
    
     Skilled artisans will appreciate that elements in the figures are illustrated for simplicity and clarity and have not necessarily been drawn to scale. For example, the dimensions of some of the elements in the figures may be exaggerated relative to other elements to help to improve understanding of embodiments of the present invention. 
     The apparatus and method components have been represented where appropriate by conventional symbols in the drawings, showing only those specific details that are pertinent to understanding the embodiments of the present invention so as not to obscure the disclosure with details that will be readily apparent to those of ordinary skill in the art having the benefit of the description herein. 
     DETAILED DESCRIPTION OF THE INVENTION 
     In one aspect, a system for medical procedure room supply and logistics management is described. The system comprises a procedure supply and logistics module configured to obtain a medical practitioner identifier and a medical procedure identifier associated with a medical procedure in a medical procedure room. The system further comprises a procedure supply and logistics input module configured to identify, via one or more mixed reality devices, one or more of an item, an equipment, or an instrument present in the medical procedure room. The procedure supply and logistics input module is further configured to track, via the one or more mixed reality devices, data associated with the identified one or more of the item, the equipment, or the instrument present in the medical procedure room. The system further comprises a machine learning module configured to determine data associated with usage of the one or more of the item, the equipment, or the instrument in the medical procedure room based on the tracked data. The machine learning module is further configured to analyze prestored data associated with usage of the one or more of the item, the equipment, or the instrument in one or more reference medical procedures corresponding to the medical practitioner identifier and the medical procedure identifier and determine an optimized data associated with usage of the one or more of the item, the equipment, or the instrument corresponding to the medical practitioner identifier and the medical procedure identifier based on the determined data and the analyzed prestored data. The machine learning module is further configured to utilize the determined optimized data for the medical procedure room supply and logistics management. 
     In another aspect, a method for medical procedure room supply and logistics management is described. The method comprises obtaining, by a procedure supply and logistics module, a medical practitioner identifier and a medical procedure identifier associated with a medical procedure in a medical procedure room. The method further comprises identifying, by a procedure supply and logistics input module, via one or more mixed reality devices, one or more of an item, an equipment, or an instrument present in the medical procedure room. Further, the method comprises tracking, by the procedure supply and logistics input module, via the one or more mixed reality devices, data associated with the identified one or more of the item, the equipment, or the instrument present in the medical procedure room. The method further comprises determining, by a machine learning module, data associated with usage of the one or more of the item, the equipment, or the instrument in the medical procedure room based on the tracked data and analyzing, by the machine learning module, prestored data associated with usage of the one or more of the item, the equipment, or the instrument in one or more reference medical procedures corresponding to the medical practitioner identifier and the medical procedure identifier. Further, the method comprises determining, by the machine learning module, an optimized data associated with usage of the one or more of the item, the equipment, or the instrument corresponding to the medical practitioner identifier and the medical procedure identifier based on the determined data and the analyzed prestored data. Further, the method comprises utilizing, by the machine learning module, the determined optimized data for the medical procedure room supply and logistics management. 
     Referring now to  FIG. 1 , a block diagram of an exemplary medical procedure system  100  is shown. In one embodiment, the medical procedure system  100  generally includes a medical procedure room  102  and an optimization system  104 . The configuration of the medical procedure room  102  and/or optimization system  104 , including physical placement of components, inventory and supplies, medical equipment used, medical personnel  130  involved, networking of equipment, and other characteristics may be referred to as a medical procedure room setup and is indicated in  FIG. 1  with reference number  106 . The medical procedure room  102  shown in  FIG. 1  is a non-limiting example of a medical procedure system  100 , and it will be understood that the systems and methods disclosed herein are not limited to the number, type, placement, and configuration of items of equipment, components, medical personnel  130 , and/or other elements shown. Additionally, although shown within the medical procedure room  102  in  FIG. 1 , it will be understood that one or more of the items of equipment, components, medical personnel  130 , and/or other elements of the medical procedure room setup  106  may be physically located outside or external to the walls of the room  102  and still be considered to be part of the medical procedure room setup  106 . 
     Continuing to refer to  FIG. 1 , in one non-limiting example, the medical procedure room  102  may include a medical procedure table  108 , one or more auxiliary tables or stands  110  (such as a Mayo stand), one or more storage closets or rooms  112 , nurse workstations  114 , back tables  116 , anesthesia systems  118 , electrocautery systems,  120 , enabling technology systems or workstations  122  (for example, but not limited to, microscopes, robotic surgical systems, networked robotics, illumination systems, or the like, and accompanying monitors or displays), user input devices  124  (such as mobile, or tablets, or any communication device now known or in the future developed), biometric readers  126 , and/or wireless transceivers  128 , as well as medical personnel  130  (for example, but not limited to, surgical technicians, surgical team members, (such as medical doctors and nurses), and anesthesiologists). In some embodiments, at least one member of medical personnel  130  wears a mixed reality device  132  during the medical procedure, and each mixed reality device  132  is in wireless and/or wired communication with the optimization system  104 . As noted above, it will be understood that the medical procedure system  100  and medical procedure room setup  106  is not limited to those items shown in  FIG. 1 , and may include any number of items of equipment, electronic devices, imaging devices, surgical robots or other systems, lights, or any other devices and/or supplies preferred or required by the medical practitioner and/or other medical personnel  130 . 
     Continuing to refer to  FIG. 1 , the exemplary medical procedure room setup  106  may be a preferred medical procedure room setup of the practitioner performing the medical procedure, based on the type of procedure, number of medical procedure room personnel, available room layout and dimensions, and other factors. As discussed in greater detail below, the layout of the preferred medical procedure room setup  106  may be uploaded or input into the optimization system  104  and may be displayed to a medical practitioner and/or medical personnel  130  through one or more mixed reality devices  132  of the optimization system  104 . Further, in one embodiment, inventory of disposable items, chargeable items, and/or items that will remain in the patient is also uploaded or input into the optimization system  104  for tracking, analysis, and/or inventory management. In one embodiment, the optimization system  104  may suggest, or at least partially suggest, to the medical practitioner and/or medical personnel  130  an optimized medical procedure room setup  106 , amount and type of inventory and items of medical equipment, and other characteristics to enhance efficiency of the medical procedure. For example, such suggestions may be based at least in part on user input and/or data collected by the optimization system  104  from previous medical procedures (hereinafter interchangeably referred to as reference medical procedures) of the same type or in the same medical procedure room. Additionally, or alternatively, each practitioner&#39;s preferred medical procedure room layout for each procedure may be stored in the optimization system  104  as a default setup and suggested to a user and/or the practitioner when planning a new setup for the same or similar medical procedure. As the medical practitioner, medical personnel  130 , and/or other user of the optimization system  104  performs each step of the procedure and uses, moves, or removes each item of equipment and/or inventory, such activity is logged by the optimization system  104  for later analysis, inventory replenishment, education, procedural support, or other purposes. 
       FIG. 2  is a block diagram of an optimization system in accordance with some embodiments. Specifically, the optimization system  104  of  FIG. 2  may be the optimization system  104  of  FIG. 1 . The optimization system  104  provides for medical practitioner specific room organization, set up, supply, logistics, tracking and performance across surgical and medical procedures with features for augmented reality, artificial intelligence and machine learning, as will be described further in accordance with some embodiments hereinbelow. As shown, the optimization system  104  includes one or more communication devices  124 , one or more mixed reality devices  132 , at least one optimization computing device  206 , a network  210 , and one or more remote connections  208 . 
     The optimization computing device  206  may be communicatively coupled to, and receive information from, the one or more communication devices  124 , the one or more mixed reality devices  132  and the one or more remote connections  208 . Communication between the optimization computing device  206  and various components can occur through the network  210 . In some embodiments, the network  210  is, for example, a wide area network (WAN) (for example, a transport control protocol/internet protocol (TCP/IP) based network), a cellular network, or a local area network (LAN) employing any of a variety of communications protocols as is well known in the art. 
     Each of the one or more communication devices  124  operates as a user interface for one or more medical procedure room personnel as will be further described with respect to  FIG. 3 . 
     Each of the one or more mixed reality devices  132  further operates as a user interface for one or more medical procedure room personnel as will be further described with respect to  FIG. 4 . 
     The one or more remote connections  208  interact with the optimization computing device  206  via the network  210  to receive and provide information external to the medical procedure room  102 . The one or more remote connections  208  may be one or more distribution agents incorporated within the optimization system  104  or independently connected. The distribution agents may include, for example, but are not limited to, one or more of buyers, purchasing groups, pharmacies, anesthetic components, sterile processing departments (SPD), cleaning, storage, management, and/or any equivalent general processing department. The one or more remote connections  208  further may be one or more collaborators which may be technology collaborators or specialist collaborators and the like. The collaborators for example may include, but are not limited to, one or more of radiology, anesthesiology, fluoroscopy, electrophysiology, robotic and navigational systems, x-ray equipment techs, and the like. The one or more remote connections  208  may be one or more educators including, for example, but not limited to researchers, universities, training facilities, clinical trials, and the like. 
     In operation, the optimization computing device  206  optimizes the organization, preparation, and set up of a medical procedure space for efficient and predictable execution of one or more medical procedures. The optimization computing device  206 , in some embodiments, operates to optimize pre-preparation of a procedure, orientation of medical personnel  130  for a procedure, and location and identification of equipment for a procedure. 
       FIG. 3  is a block diagram of one exemplary embodiment of a communication device  124  for use within the optimization system  104  of  FIG. 2  in accordance with some embodiments. The communication device  124  is electrically and/or communicatively connected to a variety of other devices and databases as previously described with respect to  FIG. 2  herein. In some embodiments, the communication device  124  includes a plurality of electrical and electronic components, providing power, operational control, communication, and the like within the communication device  124 . For example, in one embodiment, the communication device  124  includes, among other things, a communication device transceiver  302 , a communication device user interface  304 , a communication device network interface  306 , a communication device processor  308 , a communication device memory  310 , and one or more communication device sensors  320 . 
     It should be appreciated by those of ordinary skill in the art that  FIG. 3  depicts the communication device  124  in a simplified manner and a practical embodiment may include additional components and suitably configured logic to support known or conventional operating features that are not described in detail herein. It will further be appreciated by those of ordinary skill in the art that the communication device  124  may be a personal computer, desktop computer, tablet, smartphone, wearable device (wrist worn, eye worn, and the like), or any other computing device now known or in the future developed. It will further be appreciated by those of ordinary skill in the art that the communication device  124  alternatively may function within a remote server, cloud computing device, or any other remote computing mechanism now known or in the future developed. 
     The components of the communication device  124  (for example  302 ,  304 ,  306 ,  308  and  310 ) are communicatively coupled via a communication device local interface  318 . The communication device local interface  318  may be, for example but not limited to, one or more buses or other wired or wireless connections, as is known in the art. The communication device local interface  318  may have additional elements, which are omitted for simplicity, such as controllers, buffers (caches), drivers, repeaters, and receivers, among many others, to enable communications. Further, the communication device local interface  318  may include address, control, and/or data connections to enable appropriate communications among the aforementioned components. 
     The communication device processor  308  is a hardware device for executing software instructions. The communication device processor  308  may be any custom made or commercially available processor, a central processing unit (CPU), an auxiliary processor among several processors associated with the communication device processor  308 , a semiconductor-based microprocessor, or generally any device for executing software instructions. When the communication device  124  is in operation, the communication device processor  308  is configured to execute software stored within the communication device memory  310 , to communicate data to and from the communication device memory  310 , and to generally control operations of the communication device  124  pursuant to the software instructions. 
     The communication device user interface  304  may be used to receive user input from and/or for providing system output to the user or to one or more devices or components. User input may be provided via, for example, a keyboard, touch pad, and/or a mouse. System output may be provided via a display device, speakers, and/or a printer (not shown). The communication device user interface  304  may further include, for example, a serial port, a parallel port, an infrared (IR) interface, a universal serial bus (USB) interface and/or any other interface herein known or in the future developed. 
     The communication device network interface  306  may be used to enable the communication device  124  to communicate on a network, such as the network  210  of  FIG. 2 , a wireless access network (WAN), a radio frequency (RF) network, and the like. The communication device network interface  306  may include, for example, an Ethernet card or adapter or a wireless local area network (WLAN) card or adapter. Additionally, or alternatively the communication device network interface  306  may include a radio frequency interface for wide area communications such as Long-Term Evolution (LTE) networks, or any other network now known or in the future developed. The communication device network interface  306  may include address, control, and/or data connections to enable appropriate communications on the network. 
     The communication device memory  310  may include any non-transitory memory elements comprising one or more of volatile memory elements (for example, random access memory (RAM), nonvolatile memory elements (for example, read only memory “ROM”), and combinations thereof. Moreover, the communication device memory  310  may incorporate electronic, magnetic, optical, and/or other types of storage media. Note that the communication device memory  310  may have a distributed architecture, where various components are situated remotely from one another, but can be accessed by the communication device processor  308 . The software in the communication device memory  310  may include one or more software programs, each of which includes an ordered listing of executable instructions for implementing logical functions. The software in the communication device memory  310  includes a suitable communication device operating system  314  and one or more communication device applications  316 . The communication device operating system  314  controls the execution of other computer programs, such as the one or more communication device applications  316 , and provides scheduling, input-output control, file and data management, memory management, and communication control and related services. The one or more communication device applications  316  may be configured to implement the various processes, algorithms, methods, techniques, and the like. described herein. 
     The communication device memory  310  further includes a communication device data storage  312  used to store data. In the exemplary embodiment of  FIG. 3 , the communication device data storage  312  is located internal to the communication device memory  310  of the communication device  124 . Additionally, or alternatively (not shown), the communication device data storage  312  may be located external to the communication device  124  such as, for example, an external hard drive connected to the communication device user interface  304 . In a further embodiment (not shown), the communication device data storage  312  may be located external and connected to the communication device  124  through a network and accessed via the communication device network interface  306 . 
     In operation, information for storage in the communication device data storage  312  may be entered via the communication device user interface  304 . Alternatively, information for storage in the communication device data storage  312  may be received from the optimization computing device  206 , the mixed reality devices  132 , or the remote connections  208  via the communication device transceiver  302 . Alternatively, information for storage in the communication device data storage may be received from one or more sensors (not shown) external to the communication device  124  via the communication device transceiver  302 . Alternatively, information for storage in the communication device data storage  312  may be received from one or more communication device sensors  320 . For example, tutorials, room layouts, inventory, checklists, and the like may be stored in the communication device data storage  312 . Medical personnel  130  can create, revise, or refine medical, procedure, and inventor notes as appropriate using the communication device user interface  304  to store new information in the communication device data storage  312 . 
     The communication device  124  in the exemplary example includes the communication device transceiver  302 . The communication device transceiver  302  incorporating within a communication device transceiver antenna (not shown), enables wireless communication from the communication device  124  to, for example, the optimization computing device  206  and the network  210  of  FIG. 2 . It will be appreciated by those of ordinary skill in the art that the communication device  124  may include a single communication device transceiver  302  as shown, or alternatively separate transmitting and receiving components, for example but not limited to, a transmitter, a transmitting antenna, a receiver, and a receiving antenna. 
     The communication device  124  in the illustrated example includes one or more communication device sensors  320 . It will be appreciated by those of ordinary skill in the art that the one or more communication device sensors  320  may be of any sensor technology now known or in the future developed. For example, the one or more communication device sensors  320  may be IoT (Internet of Things) sensors, RFID (radio frequency identification) sensors, image sensors, light based (lidar) sensors, biometric sensors, printed sensors, wearable sensors, and optical image sensors. IoT sensors include temperature sensors, proximity sensors, pressure sensors, RF (radio frequency) sensors, pyroelectric IR (infrared) sensors, water-quality sensors, chemical sensors, smoke sensors, gas sensors, liquid-level sensors, automobile sensors and medical sensors. 
     Each of the one or more communication device sensors  320  comprise a detector allowing the monitoring and control of various parameters within the medical procedure room, for example, environmental parameters (temperature, humidity, carbon dioxide, and the like), technological processes (automation, robotics, materials analysis, and the like), and/or biometric tracking (movement, health contextual conditions, and the like). More specifically, the one or more communication device sensors  320  may provide personal fitness monitoring of a user of the communication device  124 , a patient, and/or any other personnel associated with the medical procedure room. Alternatively, the one or more communication device sensors  320  may provide automation such as security, lighting, energy management, and access control for the medical procedure room. Alternatively, the one or more communication device sensors  320  may provide monitoring of the various devices and equipment associated with the medical procedure room. Alternatively, the one or more communication device sensors  320  may provide haptic or proprioception inputs, such as via accelerometers or bionic exoskeleton style components, which assess relative position of mechanical components of a joint or prosthesis or robotic arm, applicator device and the like. In operation, the one or more communication device sensors  320  communicate with one another, with other sensors within the medical procedure room, and/or with any other device within or external to the medical procedure room. For example, although not illustrated, the one or more communication device sensors  320  may communicate directly or indirectly with sensors implanted within a patient. 
       FIG. 4  is a block diagram of one exemplary embodiment of a mixed reality device  132  for use within the optimization system  104  of  FIG. 2  in accordance with some embodiments. The mixed reality device  132  may provide a virtual reality interface in which a computer-simulated reality electronically replicates an environment with which a user may interact. In some embodiments, the mixed reality device  132  may provide an augmented reality interface in which a direct or indirect view of real-world environments in which the user is currently disposed are augmented (for example, supplemented, by additional computer-generated sensory input such as sound, video, images, graphics, Global Positioning System (GPS) data, or other information). In still other embodiments, the mixed reality device  132  may provide a mixed reality interface in which electronically generated objects are inserted in a direct or indirect view of real-world environments in a manner such that they may co-exist and interact in real time with the real-world environment and real-world objects. It will be appreciated by those of ordinary skill in the art that the mixed reality device  132  may comprise any mixed reality or virtual reality technology now known or in the future developed. 
     The mixed reality device  132  is electrically and/or communicatively connected to a variety of other devices and databases as previously described with respect to  FIG. 2  herein. In some embodiments, the mixed reality device  132  includes a plurality of electrical and electronic components, providing power, operational control, communication, and the like within the mixed reality device  132 . For example, the mixed reality device  132  in one embodiment includes, among other things, a mixed reality device transceiver  402 , a mixed reality device user interface  404 , a mixed reality device network interface  406 , a mixed reality device processor  408 , a mixed reality device memory  410 , and one or more mixed reality device sensors  424 . 
     It should be appreciated by those of ordinary skill in the art that  FIG. 4  depicts the mixed reality device  132  in a simplified manner and a practical embodiment may include additional components and suitably configured logic to support known or conventional operating features that are not described in detail herein. It will further be appreciated by those of ordinary skill in the art that the mixed reality device  132  may be a head-mounted display device in the form of eyeglasses, goggles, a helmet, a visor, or any other mixed reality device eyewear now known or in the future developed. It will further be appreciated by those of ordinary skill in the art that the mixed reality device  132  generates and/or displays virtual reality images, mixed reality images, and/or augmented reality images. In the mixed reality device  132 , a scene produced on a display device can be oriented or modified based on user input. The mixed reality device  132  provides a visual image in which real world and virtual world objects are presented together within a single display. It will be appreciated by those of ordinary skill in the art that although the embodiments herein are illustrated with a mixed reality device, alternative embodiments within the scope include a virtual reality device or an augmented reality device. 
     The components of the mixed reality device  132  (for example  402 ,  404 ,  406 ,  408  and  410 ) are communicatively coupled via a mixed reality device local interface  418 . The mixed reality device local interface  418  may be, for example but not limited to, one or more buses or other wired or wireless connections, as is known in the art. The mixed reality device local interface  418  may have additional elements, which are omitted for simplicity, such as controllers, buffers (caches), drivers, repeaters, and receivers, among many others, to enable communications. Further, the mixed reality device local interface  418  may include address, control, and/or data connections to enable appropriate communications among the aforementioned components. 
     The mixed reality device processor  408  is a hardware device for executing software instructions. The mixed reality device processor  408  may be any custom made or commercially available processor, a central processing unit (CPU), an auxiliary processor among several processors associated with the mixed reality device processor  408 , a semiconductor-based microprocessor, or generally any device for executing software instructions. When the mixed reality device  132  is in operation, the mixed reality device processor  408  is configured to execute software stored within the mixed reality device memory  410 , to communicate data to and from the mixed reality device memory  410 , and to generally control operations of the mixed reality device  132  pursuant to the software instructions. 
     The mixed reality device user interface  404  may be used to receive user input from and/or for providing system output to the user or to one or more devices or components. The mixed reality device user interface  404  may include one or more input devices, including but not limited to a navigation key, a function key, a microphone, a voice recognition component, joystick or any other mechanism capable of receiving an input from a user, or any combination thereof. Further, mixed reality device user interface  404  may include one or more output devices, including but not limited to a speaker, headphones, display, or any other mechanism capable of presenting an output to a user, or any combination thereof. In some embodiments, the mixed reality device user interface  404  includes a user interface mechanism such as a touch interface or gesture detection mechanism that allows a user to interact with the display elements of the mixed reality device display  422  or projected into the eyes of the user. 
     As illustrated, a mixed reality device display  422  may be a separate user interface or combined within the mixed reality device user interface  404 . The mixed reality device display  422  may provide a two dimensional or three-dimensional image visible to the wearer of the mixed reality device  132 . The mixed reality device display  422  may be, for example, a projection device for displaying information such as text, images, or video received from the optimization computing device  206 , communication devices  124 , and/or remote connections  208  via the network  210  of  FIG. 2 . 
     The mixed reality device user interface  404  may further include, for example, a serial port, a parallel port, an infrared (IR) interface, a universal serial bus (USB) interface and/or any other interface herein known or in the future developed. 
     The mixed reality device network interface  406  may be used to enable the mixed reality device  132  to communicate on a network, such as the network  210  of  FIG. 2 , a wireless access network (WAN), a radio frequency (RF) network, and the like. The mixed reality device network interface  406  may include, for example, an Ethernet card or adapter or a wireless local area network (WLAN) card or adapter. Additionally, or alternatively the mixed reality device network interface  406  may include a radio frequency interface for wide area communications such as Long-Term Evolution (LTE) networks, or any other network now known or in the future developed. The mixed reality device network interface  406  may include address, control, and/or data connections to enable appropriate communications on the network. 
     The mixed reality device memory  410  may include any non-transitory memory elements comprising one or more of volatile memory elements (for example, random access memory (RAM), nonvolatile memory elements (for example, read only memory “ROM”), and combinations thereof. Moreover, the mixed reality device memory  410  may incorporate electronic, magnetic, optical, and/or other types of storage media. Note that the mixed reality device memory  410  may have a distributed architecture, where various components are situated remotely from one another, but can be accessed by the mixed reality device processor  408 . The software in the mixed reality device memory  410  may include one or more software programs, each of which includes an ordered listing of executable instructions for implementing logical functions. The software in the mixed reality device memory  410  includes a suitable mixed reality device operating system  414  and one or more mixed reality device applications  416 . The mixed reality device operating system  414  controls the execution of other computer programs, such as the one or more mixed reality device applications  416 , and provides scheduling, input-output control, file and data management, memory management, and communication control and related services. The one or more mixed reality device applications  416  may be configured to implement the various processes, algorithms, methods, techniques, and the like described herein. 
     The mixed reality device memory  410  further includes a mixed reality device data storage  412  used to store data. In the exemplary embodiment of  FIG. 4 , the mixed reality device data storage  412  is located internal to the mixed reality device memory  410  of the mixed reality device  132 . Additionally, or alternatively, (not shown) the mixed reality device data storage  412  may be located external to the mixed reality device  132  such as, for example, an external hard drive connected to the mixed reality device user interface  404 . In a further embodiment, (not shown) the mixed reality device data storage  412  may be located external and connected to the mixed reality device  132  through a network and accessed via the mixed reality device network interface  406 . 
     In operation, information for storage in the mixed reality device data storage  412  may be entered via the mixed reality device user interface  404 . In some embodiments, the mixed reality device data storage  412  stores data received by an augmented reality interface  420  which, for example, recognizes and registers the spatial characteristics of a medical procedure room. 
     Alternatively, information for storage in the mixed reality device data storage  412  may be received from the optimization computing device  206 , the communication devices  124 , or the remote connections  208  via the mixed reality device transceiver  402 . Alternatively, information for storage in the mixed reality device data storage  412  may be received from one or more sensors (not shown) external to the mixed reality device  132  via the mixed reality device transceiver  402 . Alternatively, information for storage in the mixed reality device data storage  412  may be received from one or more mixed reality device sensors  424 . For example, tutorials, room layouts, inventory, checklists, and the like may be stored in the mixed reality device data storage  412 . Medical personnel  130  can create, revise, or refine medical, procedure, and inventor notes as appropriate using the mixed reality device user interface  420  to store new information in the mixed reality device data storage  412 . 
     The mixed reality device  132  in the exemplary example includes the mixed reality device transceiver  402 . The mixed reality device transceiver  402  incorporating within a mixed reality device transceiver antenna (not shown), enables wireless communication from the mixed reality device  132  to, for example, the optimization computing device  206  and the network  210  of  FIG. 2 . It will be appreciated by those of ordinary skill in the art that the mixed reality device  132  may include a single communication device transceiver  302  as shown, or alternatively separate transmitting and receiving components, for example but not limited to, a transmitter, a transmitting antenna, a receiver, and a receiving antenna. 
     The mixed reality device  132  in the illustrated example includes one or more mixed reality device sensors  424 . It will be appreciated by those of ordinary skill in the art that the one or more mixed reality device sensors  424  may be of any sensor technology now known or in the future developed. For example, the one or more mixed reality device sensors  424  may be IoT (Internet of Things) sensors, RFID (radio frequency identification) sensors, image sensors, light based (lidar) sensors, biometric sensors, printed sensors, wearable sensors, and optical image sensors. IoT sensors include temperature sensors, proximity sensors, pressure sensors, RF (radio frequency) sensors, pyroelectric IR (infrared) sensors, water-quality sensors, chemical sensors, smoke sensors, gas sensors, liquid-level sensors, automobile sensors and medical sensors. 
     Each of the one or more mixed reality device sensors  424  comprise a detector allowing the monitoring and control of various parameters within the medical procedure room, for example, environmental parameters (temperature, humidity, carbon dioxide, and the like), technological processes (automation, robotics, materials analysis, and the like), and/or biometric tracking (movement, health contextual conditions, and the like). More specifically, the one or more mixed reality device sensors  424  may provide personal fitness monitoring of a user of the mixed reality device  132 , a patient, and/or any other personnel associated with the medical procedure room. Alternatively, the one or more mixed reality device sensors  424  may provide automation such as security, lighting, energy management, and access control for the medical procedure room. Alternatively, the one or more mixed reality device sensors  424  may provide monitoring of the various devices and equipment associated with the medical procedure room. Alternatively, the one or more mixed reality device sensors  424  may provide haptic or proprioception inputs, such as via accelerometers or bionic exoskeleton style components, which assess relative position of mechanical components of a joint or prosthesis or robotic arm, applicator device and the like. In operation, the one or more mixed reality device sensors  424  communicate with one another, with other sensors within the medical procedure room, and/or with any other device within or external to the medical procedure room. 
       FIG. 5  is a block diagram of one exemplary embodiment of an optimization computing device  206  for use within the optimization system  104  of  FIG. 2 . Specifically, the optimization computing device  206  can implement the various methods described herein. 
     The optimization computing device  206  is electrically and/or communicatively connected to a variety of other devices and databases as previously described with respect to  FIG. 2  herein. In some embodiments, the optimization computing device  206  includes a plurality of electrical and electronic components, providing power, operational control, communication, and the like within the optimization computing device  206 . For example, the optimization computing device  206  in one embodiment includes, among other things, an optimization computing device transceiver  502 , an optimization computing device user interface  504 , an optimization computing device network interface  506 , an optimization computing device processor  508 , an optimization computing device memory  510 , and one or more optimization computing device sensor(s)  522 . 
     It should be appreciated by those of ordinary skill in the art that  FIG. 5  depicts the optimization computing device  206  in a simplified manner and a practical embodiment may include additional components and suitably configured logic to support known or conventional operating features that are not described in detail herein. It will further be appreciated by those of ordinary skill in the art that the optimization computing device  206  may be a personal computer, desktop computer, tablet, smartphone, or any other computing device now known or in the future developed. 
     It will further be appreciated by those of ordinary skill in the art that the optimization computing device  206  alternatively may function within a remote server, cloud computing device, or any other remote computing mechanism now known or in the future developed. For example, the optimization computing device  206  in some embodiments may be a cloud environment incorporating the operations of the optimization computing device processor  508 , the optimization computing device memory  510 , the optimization computing device user interface  504 , and various other operating modules to serve as a software as a service model for the communication devices  124  and the mixed reality devices  132 . 
     The components of the optimization computing device  206  (for example  502 ,  504 ,  506 ,  508  and  510 ) are communicatively coupled via an optimization computing device local interface  518 . The optimization computing device local interface  518  may be, for example but not limited to, one or more buses or other wired or wireless connections, as is known in the art. The optimization computing device local interface  518  may have additional elements, which are omitted for simplicity, such as controllers, buffers (caches), drivers, repeaters, and receivers, among many others, to enable communications. Further, the optimization computing device local interface  518  may include address, control, and/or data connections to enable appropriate communications among the aforementioned components. 
     The optimization computing device processor  508  is a hardware device for executing software instructions. The optimization computing device processor  508  may be any custom made or commercially available processor, a central processing unit (CPU), an auxiliary processor among several processors associated with the optimization computing device processor  508 , a semiconductor-based microprocessor, or generally any device for executing software instructions. When the optimization computing device  206  is in operation, the optimization computing device processor  508  is configured to execute software stored within the optimization computing device memory  510 , to communicate data to and from the optimization computing device memory  510 , and to generally control operations of the optimization computing device  206  pursuant to the software instructions. 
     The optimization computing device user interface  504  may be used to receive user input from and/or for providing system output to the user or to one or more devices or components. User input may be provided via, for example, a keyboard, touch pad, and/or a mouse. System output may be provided via a display device, speakers, and/or a printer (not shown). The optimization computing device user interface  504  may further include, for example, a serial port, a parallel port, an infrared (IR) interface, a universal serial bus (USB) interface and/or any other interface herein known or in the future developed. 
     The optimization computing device network interface  506  may be used to enable the optimization computing device  206  to communicate on a network, such as the network  210  of  FIG. 2 , a wireless access network (WAN), a radio frequency (RF) network, and the like. The optimization computing device network interface  506  may include, for example, an Ethernet card or adapter or a wireless local area network (WLAN) card or adapter. Additionally, or alternatively the optimization computing device network interface  506  may include a radio frequency interface for wide area communications such as Long-Term Evolution (LTE) networks, or any other network now known or in the future developed. The optimization computing device network interface  506  may include address, control, and/or data connections to enable appropriate communications on the network. 
     The optimization computing device memory  510  may include any non-transitory memory elements comprising one or more of volatile memory elements (for example, random access memory (RAM), nonvolatile memory elements (for example, read only memory “ROM”), and combinations thereof. Moreover, the optimization computing device memory  510  may incorporate electronic, magnetic, optical, and/or other types of storage media. Note that the optimization computing device memory  510  may have a distributed architecture, where various components are situated remotely from one another, but can be accessed by the optimization computing device processor  508 . The software in the optimization computing device memory  510  may include one or more software programs, each of which includes an ordered listing of executable instructions for implementing logical functions. The software in the optimization computing device memory  510  includes a suitable optimization computing device operating system  514  and optimization programming code  512 . The optimization computing device operating system  514  controls the execution of other computer programs, such as the optimization program code  512 , and provides scheduling, input-output control, file and data management, memory management, and communication control and related services. The optimization program code  512  may be configured to implement the various processes, algorithms, methods, techniques, and the like described herein. 
     The optimization computing device memory  510  further includes an optimization computing device data storage  516  used to store data. In the exemplary embodiment of  FIG. 5 , the optimization computing device data storage  516  is located internal to the optimization computing device memory  510  of the optimization computing device  206 . Additionally, or alternatively, (not shown) the optimization computing device data storage  516  may be located external to the optimization computing device  206  such as, for example, an external hard drive connected to the optimization computing device user interface  504 . In a further embodiment, (not shown) the optimization computing device data storage  516  may be located external and connected to the optimization computing device  206  through a network and accessed via the optimization computing device network interface  506 . 
     The optimization computing device data storage  516 , in accordance with some embodiments, stores optimization data  520  for operational use in the various processes, algorithms, methods, techniques, and the like described herein. In operation, information for storage in the optimization computing device data storage  516  may be entered via the optimization computing device user interface  504 . Alternatively, information for storage in the optimization computing device data storage  516  may be received from the mixed reality devices  132 , the communication devices  124 , or the remote connections  208  via the optimization computing device transceiver  502 . Alternatively, information for storage in the optimization computing device data storage  516  may be received from one or more sensors (not shown) external to the optimization computing device  206  via the optimization computing device transceiver  502 . Alternatively, information for storage in the optimization computing device data storage  516  may be received from one or more optimization computing device sensors  522 . For example, tutorials, room layouts, inventory, checklists, and the like may be stored in the optimization computing device data storage  516 . Medical personnel  130  can create, revise, or refine medical, procedure, and inventor notes as appropriate using the optimization computing device user interface  504  to store new information in the optimization computing device data storage  516 . 
     The optimization computing device  206  in the exemplary example includes the optimization computing device transceiver  502 . The optimization computing device transceiver  502  incorporating within an optimization computing device transceiver antenna (not shown), enables wireless communication from the optimization computing device  206  to, for example, one or more communication devices  124 , one or more mixed reality devices  132 , and the network  210 . It will be appreciated by those of ordinary skill in the art that the optimization computing device  206  may include a single optimization computing device transceiver as shown, or alternatively separate transmitting and receiving components, for example but not limited to, a transmitter, a transmitting antenna, a receiver, and a receiving antenna. 
     The optimization computing device  206  in the illustrated example includes one or more optimization computing device sensors  522 . Each of the one or more optimization computing device sensors  522  comprise a detector allowing the monitoring and control of various parameters within the medical procedure room, for example, environmental parameters (temperature, humidity, carbon dioxide, and the like), technological processes (automation, robotics, materials analysis, and the like), and/or biometric tracking (movement, health contextual conditions, and the like). More specifically, the one or more optimization computing device sensors  522  may provide personal fitness monitoring of a user of the optimization computing device  206 , a patient, and/or any other personnel associated with the medical procedure room. Alternatively, the one or more optimization computing device sensors  522  may provide automation such as security, lighting, energy management, and access control for the medical procedure room. Alternatively, the one or more optimization computing device sensors  522  may provide monitoring of the various devices and equipment associated with the medical procedure room. Alternatively, the one or more optimization computing device sensors  522  may provide haptic or proprioception inputs, such as via accelerometers or bionic exoskeleton style components, which assess relative position of mechanical components of a joint or prosthesis or robotic arm, applicator device and the like. In operation, the one or more optimization computing device sensors  522  communicate with one another, with other sensors within the medical procedure room, and/or with any other device within or external to the medical procedure room. 
       FIG. 6  is a flow diagram of a method for medical procedure room supply and logistics management optimization in accordance with some embodiments. Specifically,  FIG. 6  is a flow diagram for an initial setup program  600  of a medical procedure room supply and logistics management optimization in accordance with some embodiments. The initial setup program  600 , for example, may be implemented within the optimization program code  512  of  FIG. 5 . In an alternative embodiment, the initial setup program  600  may be implemented as a cloud-based internet program accessed via the communication devices  124  and the optimization computing device  206 . In yet another alternative embodiment, the initial setup program  600  can be distributively implemented within a system in which the various components are remotely located from each other in other embodiments. For example, a first set of components of the initial setup program  600  may be implemented and stored within the optimization computing device  206 , a second set of components of the initial setup program  600  may be implemented and stored within one or more of the communication devices  124 , a third set of components of the initial setup program  600  may be implemented and stored within one or more of the mixed reality devices  132 , and/or a fourth set of components of the initial setup program  600  may be implemented and stored within other devices connected to the network  210  or otherwise communicatively coupled to the optimization computing device  206 , the communication devices  124 , and the mixed reality devices  132 . It will be appreciated that any and all distribution arrangements of the initial setup program  600  are within the scope of the claimed invention herein. 
     It will be appreciated by those of ordinary skill in the art that the flow diagram of  FIG. 6  is simply an exemplary embodiment and other alternative process flows are within the scope of the claimed invention herein. 
     In operation, the optimization computing device processor  508  accesses and executes the initial setup program  600 . As illustrated in  FIG. 6 , the initial setup program  600  begins with the receipt of various inputs and information to process an initial medical procedure setup. For example, the optimization computing device  206  receives user input at its optimization computing device user interface  504 , stores the information within the user input in the optimization computing device data storage  516 , and accesses the optimization program code  512  by the optimization computing device processor  508  for executing initial setup program  600 . Alternatively, the communication device  124  receives user input including setup information at its communication device user interface  304 , sends the information via its communication device network interface  306  through the network  210  to the optimization computing device  206 . The optimization computing device  206  thereafter receives the information via its optimization computing device network interface  506 , stores the information within the user input in the optimization computing device data storage  516 , and accesses the optimization program code  512  by the optimization computing device processor  508  for executing initial setup program  600 . It will be appreciated that the information may originate from and be received through various alternative methods in accordance with some embodiments. 
     Referring to  FIG. 6 , the initial setup program  600  begins generally with a new profile at operation  602  including creating a profile at operation  604  followed by email confirmation at operation  606 . The initial setup program  600  thereafter proceeds to or alternatively begins with a login at operation  608 . Next, in operation  610  a creator portal opens and displays. Next, in one embodiment, an edit to the medical procedure room occurs at operation  612 . For example, the edit to the medical procedure room includes one or more of change in the available room layout and dimensions, change in position of the items corresponding to one or more of the medical devices, consumables, general tray, and equipment in the medical procedure room. Thereafter, the edited room is saved at operation  614 . Alternatively, from operation  610 , a new medical procedure room is created at operation  616 . For instance, the new medical procedure room is created by providing required layout and dimensions for the new medical procedure room. It will be appreciated that the required layout and dimensions can be provided by using various techniques, such as but not limited to, uploading images of the medical procedure room. In some embodiments, the created new medical procedure room or the edited room is assigned a medical procedure room identifier. Thereafter, or after operation  614 , the medical practitioner input is received and saved in operation  618 . In accordance with various embodiments, the medical practitioner input may include the medical practitioner identifier, such as but not limited to, the name, the ID, or the like of the medical practitioner. Next, a procedure input is received and saved in operation  620 . In accordance with various embodiments, the procedure input may include the procedure identifier, such as but not limited to, the name, the ID, or the like of the medical procedure. In operation  622  a room canvas is created. In accordance with various embodiments, the room canvas is created based on previous medical procedure room setups that are associated with the received medical practitioner input, the procedure input, or the edited/new medical room. The room canvas of operation  622  next includes creating consumables in operation  624 , creating medical devices in operation  625 , creating a general tray in operation  626  and creating equipment lists in operation  628 . 
     It will be appreciated that in some embodiments, along with the information of room canvas created in  622 , the data entered in operations  628 ,  624 ,  625 , and  626  precisely configures a given medical practitioner&#39;s room organization for a given procedure. For example, the data entered in operations  628 ,  624 ,  625 , and  626 , in some embodiments, identifies inventory of fixed equipment, external enabling technologies such as microscopes, drills, fluoroscopy units, navigation systems, robotic systems, lights, electrophysiology systems, anesthetic systems, vacuum and gas management and operating room back table. Similarly, the data entered in operations  628 ,  624 ,  625 , and  626 , in some embodiments, identifies surgical instruments/items, reusable and disposable. For example, the data entered in operations  628 ,  624 ,  625 , and  626 , in some embodiments, identifies medical devices including pharmaceutical devices, implants, generators, stimulators, screws, plates, cages, arthroplasty joint replacement devices, heart valves, stents, coils, pacemakers, portals, biologics, catheters, and shunts. Similarly, the data entered in operations  628 ,  624 ,  625 , and  626 , in some embodiments, identifies chargeable resources/items such as sutures, sponges, clips, medical implants, screws, rods, arthroplasty devices, stimulators, needles, scalpel blades, and drill bits. Similarly, the data entered in operations  628 ,  624 ,  625 , and  626 , in some embodiments, identifies pharmaceutical resources such as medications, anesthetics, antibiotics, cardiac drugs, blood pressure drugs, sedatives, paralytic agents, pain management, and the like. 
     Continuing with  FIG. 6 , thereafter, in operation  630  all the items corresponding to the medical devices, consumables, general tray, and equipment from the previous one or more operations, or the previous medical procedures are accessed from a searchable index/list in operation  630 . For example, in some embodiments, preference cards for each medical practitioner&#39;s preferences and procedures are preloaded for access during the initial setup procedure  600 . 
     Next, in operation  632 , the items are populated in operation  632 . For example, in one embodiment the items are populated using a drag and drop method. In an embodiment, the data associated with usage, such as but not limited to, sequence of use, pattern of use, instructions for use, priority of use of one or more items and/or equipment during the medical procedure is also provided. It will be appreciated that any suitable method can be used for operation  632 . Next in operation  634 , the items are placed in the medical procedure room  634  virtually. Thereafter, the placement is confirmed in operation  636  or alternatively, edits are completed in operation  640  and cycled back through operations  630 ,  632 , and  634  until confirmation in operation  636  occurs. 
     Lastly, in operation  638 , the room configuration, data and all other information associated with the medical practitioner for the particular procedure are stored. It will be appreciated, that the room configuration, data, and information may be stored within one or more of the optimization computing device memory  510 , one or more of the communication device memory  310 , one or more of the mixed reality device memory  410  or any combination thereof. 
     Upon completion of the initial setup program  600 , the stored medical practitioner specific and procedure specific room configuration, data, and information would provide medical personnel  130  whose responsibility is to organize, prepare and set up a medical procedure space with specific detail to best organize, optimize and prepare the space for efficient and predictable execution of that procedure for that medical practitioner. It will be further appreciated that, in some embodiments, although not illustrated in  FIG. 6 , additional patient specific information may be entered and stored. It will further be appreciated that the initial setup created and stored can be used hereinafter to create a three-dimensional mixed reality map of the medical procedure room  102  with items, tools, consumables, and equipment placement based on medical practitioner and procedure preference. 
       FIG. 7  is a flow diagram of a method for medical procedure room supply and logistics management optimization in accordance with some embodiments. Specifically,  FIG. 7  is a flow diagram of a medical procedure initial setup  700 . The medical procedure initial setup  700 , for example, may be implemented within the mixed reality device applications  416  of  FIG. 4 . In an alternative embodiment, the medical procedure initial setup  700  may be implemented as a cloud-based internet program accessed by one or more of the mixed reality devices  132 . In yet another alternative embodiment, the medical procedure initial setup  700  can be distributively implemented within a system in which the various components are remotely located from each other in other embodiments and accessed by one or more of the mixed reality devices  132 . It will be appreciated that any and all distribution arrangements of the medical procedure initial setup  700  are within the scope of the claimed invention herein. 
     It will be appreciated by those of ordinary skill in the art that the flow diagram of  FIG. 7  is simply an exemplary embodiment and other alternative process flows are within the scope of the claimed invention herein. 
     In operation, the mixed reality device processor  408  accesses and executes the medical procedure initial setup  700 . As illustrated in  FIG. 7 , the medical procedure initial setup  700  begins with the receipt of various inputs and information to process an initial medical procedure setup  106 . For example, the mixed reality device  132  receives user input at its mixed reality device user interface  404 , stores the information within the user input in the mixed reality device data storage  412 , and accesses the mixed reality device applications  416  by the mixed reality device processor  408  for executing the medical procedure initial setup  700 . Alternatively, the communication device  124  receives user input including setup information at its communication device user interface  304 , sends the information via its communication device network interface  306  through the network  210  to the mixed reality device  132 . The mixed reality device  132  thereafter receives the information via its mixed reality device network interface  406 , stores the information within the user input in the mixed reality device data storage  412 , and accesses the mixed reality device applications  416  by the mixed reality device processor  408  for executing the medical procedure initial setup  700 . It will be appreciated that the information may originate from and be received through various alternative methods in accordance with some embodiments. 
     Referring to  FIG. 7 , the medical procedure initial setup  700  begins generally with a new profile at operation  702  including creating a profile at operation  704  followed by email confirmation at operation  706 . The medical procedure initial setup  700  thereafter proceeds to or alternatively begins with a login at operation  708 . Next, in operation  710  an experience portal opens and displays. In some embodiments, the experience portal is displayed on the mixed reality device display  422 , providing, for example, a holographic representation of the medical procedure environment. 
     Next, in operation  712 , a medical practitioner identifier (for example a medical practitioner) is selected from a list of medical practitioner identifiers. Next, in operation  714  a procedure identifier is selected from a list of procedure identifiers. Once the medical practitioner identifier and the procedure have been selected, a medical procedure room  102  is identified. For example, in one embodiment the medical procedure room identifier is obtained by scanning a Quick Response code (“QR code”) representing the medical procedure room  102  at operation  716 . 
     With knowledge of the medical practitioner, the procedure, and the medical procedure room, the operation next auto places consumables in operation  718 , auto places medical devices in operation  719 , auto places the general tray in operation  720 , auto places the equipment in  722 , along with any auto placements related to the medical procedure room, procedure, and medical practitioner. It will be appreciated by those of ordinary skill in the art that any and all tangible items now known or later discovered for use in the particular procedure may be auto placed by the method  700 . As previously described herein, the medical practitioner, procedure, and associated auto placements may be stored in one or more of the mixed reality device data storage  412 , the communication device data storage  312 , the optimization computing device data storage  516 , a cloud-based memory accessed by one or more of the mixed reality devices  132 , or any other associated memory communicatively coupled to the mixed reality device  132 . In other words, representations in visual mixed reality format specific to a given medical practitioner for a given procedure may be stored in one or more data storage devices. In this manner, the medical procedure initial setup  700  may provide preference cards for each medical practitioner&#39;s preferences and procedures pre-loaded for predictive planning and education on each procedure step by step from start to finish. 
     The medical procedure initial setup  700  continues with operation  730  wherein a medical procedure room map is rendered. For example, the room map may be rendered on the mixed reality device display  422  for visual access. Thereafter, in operation  738  a searchable index is accessed, and lastly in operation  740  the tool/tray is highlighted. For example, in one embodiment, the inputted data would be holographically expressed by one or more of holographic interface augmented reality glasses/goggles/headpieces. 
     The previously described operations of the medical procedure initial setup  700  is completed during a setup time  724 . Further, a medical procedure  732  is completed during a procedure time  726 . In accordance with various embodiments, the data related to usage of one or more item, equipment, or device is acquired during the procedure time  726 . Lastly an implant count  734  and a consumable count  736  are identified and stored during a transitional time  728 . 
     The medical procedure initial setup  700  provides for configuration, organization and three-dimensional planning of the geometric space of the medical procedure room environment for a given medical practitioner for a given procedure. Specifically, the mixed reality device display, for example, a holograph glass system, may create a virtual three-dimensional environment for the entire operating organization field for a specific medical practitioner, and a specific procedure and for a specific patient, enabling complete data control and digitally managed integration of data of equipment for each specific procedure for each specific patient, with extreme precision of inventory use, control, management, performance, tracking and billing sales control and accuracy. 
     In one example, once the medical procedure initial setup  700  is completed, a medical personnel  130 , such as a surgical technician, would be able to look through the glasses and see holographic representation of each medical instrument, device or inventory item, and identify exactly where on the field it would be placed, what number of devices would be placed, what the device was called, and ultimately provide for instrument or device placement, identification, tracking registration and analytics, and ultimately inventory management. Disposable instruments or medical implants/devices would be able to be logged in for inventory at this step and converted to charge after application or use at the end of the procedure. 
       FIG. 8  is a functional block diagram of a system of medical procedure room supply and logistics management optimization in accordance with some embodiments. Specifically,  FIG. 8  illustrates an optimization functional block diagram  800  utilizing artificial intelligence in a continuous loop system of optimization in accordance with some embodiments. The optimization functional block diagram  800 , in some embodiments, may be implemented within the optimization system  104  as described previously herein. Specifically, the optimization functional block diagram  800 , in some embodiments, illustrates the optimization of preparation of supplies, logging and tracking of supplies and other procedure technology for optimization of logistics, stock management, inventory control and inventory supply management software associated with a particular procedure. The real-time feedback and training of the optimization functional block diagram  800  allows for optimized efficiency of supply and logistics management. It will be appreciated that the optimization functional block diagram  800  in operation enables patient and procedure specific, accurate, logistics and supply management with emphasis on improving lean, simple inventory control, cost containment and patient safety standards. 
     Module  802  implements a procedure supply and logistics set up. For example, in operation, the module  802  may implement the medical procedure supply and logistics set up as described hereinbefore for  FIGS. 1 through 7 . In some embodiments, the module  802  is configured to obtain a medical practitioner identifier and a medical procedure identifier associated with a medical procedure in a medical procedure room. The module  802  is further configured to obtain a medical supply input associated with the medical practitioner identifier and the medical procedure identifier. In accordance with various embodiments, the medical supply input classifies each of the one or more of the item, the equipment, or the instrument associated with the medical procedure as chargeable or a non-chargeable for billing purpose. 
     In some embodiments, the procedure supply and logistics setup of module  802  is implemented for a specific medical practitioner&#39;s preference for a particular procedure in a particular medical procedure room  102 . For example, the data stored in the data module  810  may include pre-stored preference information for each medical practitioner&#39;s preferences and procedures. Medical personnel  130 , in operation, utilize the medical practitioner specific, procedure specific, room specific data stored in the data module  810  to organize, prepare and set up a medical procedure including all supplies and logistics with specific detail to best organize, optimize and prepare for efficient and predictable execution of that procedure. It will be appreciated that the medical practitioner specific, procedure specific, room specific data stored in the data module  810  allows for medical practitioners and medical personnel  130  to best organize and optimize efficient and predictable supply and logistics management of a procedure. For example, the procedure supply and logistics setup may include a layout and orientation of where each instrument, device, and other technology will be positioned during the medical procedure. 
     Information from the procedure supply and logistics setup module  802  feeds into the data module  810  and also feeds into a procedure input module  804 . 
     In operation, the procedure set up of module  802  includes utilization of one or more mixed reality devices  132 . The one or more mixed reality devices provide the ability to use virtual image guidance for procedure supply and logistics set up and execution. In some embodiments, the one or more mixed reality devices  132  provide mixed reality representations of each medical instrument, device or inventory item, and identify exactly where on the field it would be placed, what number of devices would be placed, what the device was called, and ultimately provide for instrument or device placement, identification, tracking registration and analytics, and ultimately inventory management. Disposable instruments or medical implants/devices would be able to be logged in for inventory at this step and converted to charge after application or use at the end of the procedure. 
     In some embodiments, the one or more mixed reality devices  132  provide integration of multimedia data management, acquisition and expression from secondary enabling medical technologies, such as operating microscope, fluoroscope, navigational system, robotic system, endoscopic system, for that medical practitioner, for that procedure for the purpose of audiovisual data management and expression, given patient confidentiality standards. 
     The one or more mixed reality devices  132  further may provide for instrument tray recognition and back table recognition for pre-planned procedure tray placement reducing setup times and turnover times between and during medical procedures. The one or more mixed reality devices  132  may also provide for instrument tray three-dimensional view of tray and expansion ability in order to picture virtual images of all instruments inside of tray without opening. In an embodiment, the instruments are Network Intelligent Operating Room Equipment having the ability for tracking, counting virtually through object recognition with names and purpose with detailed explanations. Tracking instruments in this way will provide less personnel training and provide a guide for limited passing throughout procedures. Using pre-populated lists stored in the data module  810  of exact instruments needed for each specific medical procedure and specific location provides for most efficient and lean practices. The one or more mixed reality devices  132  allows instrumentation to be viewed at all angles to become more familiar with functionality and how each tool works and assembles as well as dissembles. 
     The data stored in data module  810  may include, but is not limited to, medical procedure room organization, setup, logistics, performance, inventory and the like. Specifically, the data stored in data module  810  includes one or more of the data stored in the communication device data storage  312 , the mixed reality device data storage  412 , and the optimization data  520  stored in the optimization computing device data storage  516 , all as described previously herein. 
     The data stored in data module  810  may include, but is not limited to, data that identifies inventory of fixed equipment, external enabling technologies such as microscopes, drills, fluoroscopy units, navigation systems, robotic systems, lights, electrophysiology systems, anesthetic systems, vacuum and gas management and operating room back table for purposes of configuration, organization and three dimensional planning of the geometric space of the medical procedure room environment for a given medical practitioner for a given procedure. 
     The data stored in the data module  810 , may also include, for example, data that identifies surgical instruments, reusable and disposable, that represents them in visual mixed reality format, that numbers and tracks these instruments, that registers use, patterns for use, sequence of use, percentage and priority of use and then assists in machine learning of system design for surgical efficiency, outcome and optimization. This storage of data would be specific to a given medical practitioner for a given procedure. The data stored in the data module  810 , may also include data for chargeable resources such as sutures, sponges, clips, medical implants, screws, rods, arthroplasty devices, stimulators, needles, scalpel blades, drill bits, including the ability to track, recognize, identify, count and apply to inventory billing/charging logs for inventory supply management, but also including use in visual mixed reality format, that numbers and tracks these resources, that registers use, patterns for use, sequence of use, percentage and priority of use and then assists in machine learning of system design for surgical efficiency, outcome and optimization. This storage of data would be specific to a given medical practitioner for a given procedure. 
     The data stored in the data module  810 , may also include, for example, tutorial education for each instrument and each medical procedure tray by name and its purpose for use in medical procedure for real-time feedback, support or training. It will be appreciated that stored video tutorials for anatomy and physiology for a medical procedure will reduce time in training personnel for new procedures and cut down on redundancy and overall reduce risk factors and improve safety for patient care and healthcare providers. In general, the data stored in the data module  810  provides for predictive planning and education on each procedure step by step from start to finish. 
     The data stored in the data module  810 , may also include, for example, guided imaging for setup of the various components of the medical procedure room  102  as described previously herein in  FIG. 1  for continuous updating, editing, and ultimately optimizing. The data stored in the data module  810 , may also include, for example, primary and ancillary supplies listed specifically to each procedure. 
     The data stored in the data module  810  may provide medical personnel  130  with the ability to search for instruments to provide information for unfamiliar tools and give feedback of optimal placement. The data stored in the data module  810 , may also include, for example, layout of equipment placement, relative to patients position for a medical procedure that will save on turnover times and efficiency for each procedure and practitioner preference. 
     In operation, after the procedure supply and logistics setup  802 , the optimization functional block diagram  800  proceeds to the procedure supply and logistics input module  804 . The procedure supply and logistics input module  804  includes, but is not limited to, user input received by one or more of the communication device user interface  304 , the communication device sensor(s)  320 , the mixed reality device user interface  404 , the mixed reality device sensor(s)  424 , the optimization computing device user interface  504 , and the optimization computing device sensor(s)  522 . It will be appreciated by those of ordinary skill in the art that the user input may be received before, during, and after a particular medical procedure. 
     In practice, the procedure supply and logistics input module  804  incorporates notes relating to procedure supply and logistics for each medical procedure, medical practitioner specific to each procedure for future efficiencies and supply management. The procedure input module  804  may also incorporate, for example, usage of one or more primary and ancillary devices and other medical items including disposable items. In one embodiment, these items include pre-bar code or reference code allowing to track disposable costs and reduce the amount of wasted procedure costs. 
     In an embodiment, the module  804  is configured to identify, via one or more mixed reality devices  132 , one or more of an item, an equipment, or an instrument present in the medical procedure room. Further, the module  804  is configured to track, via the one or more mixed reality devices  132 , data associated with the identified one or more of the item, the equipment, or the instrument present in the medical procedure room. In an embodiment, the tracking includes tracking the data associated with a count of each of the one or more of the item, the equipment, or the instrument present in the medical procedure room. In an embodiment, the tracking includes tracking usage of each of the one or more of the item, the equipment, or the instrument during execution of the medical procedure. For example, at this stage, the procedure input module  804  identifies that surgical equipment like surgical tweezers are present in the medical procedure room. The module  804  further tracks, for example, the count and the usage of the surgical tweezers in the medical procedure room. In accordance with some embodiments, the module  804  is configured to track the data associated with the count of each of the one or more of the item, the equipment, or the instrument present in the medical procedure room prior to the start of the medical procedure and at the end of the medical procedure. 
     Further, in practice the procedure supply and logistics input module  804  includes tracking of use (including use in visual mixed reality format), patterns for use, sequence of use, percentage and priority of use for chargeable resources such as sutures, sponges, clips, medical implants, screws, rods, arthroplasty devices, stimulators, needles, scalpel blades, drill bits. 
     In some embodiments, the module  804  is configured to provide the received data to a machine learning module  812 . The machine learning module  812  may be any system configured to learn and adapt itself to do better in changing environments. The machine learning module  812  may employ any one or combination of the following computational techniques: neural network, constraint program, fuzzy logic, classification, conventional artificial intelligence, symbolic manipulation, fuzzy set theory, evolutionary computation, cybernetics, data mining, approximate reasoning, derivative-free optimization, decision trees, and/or soft computing. 
     The machine learning module  812  may implement an iterative learning process. The learning may be based on a wide variety of learning rules or training algorithms. The learning rules may include one or more of back-propagation, patter-by-pattern learning, supervised learning, and/or interpolation. As a result of the learning, the machine learning module  812  may learn to determine the operations being performed by the optimization system  104 . 
     The machine learning module  812  is configured to implement one or more machine learning algorithms to determine an optimal relationship of the data associated with usage of the one or more of the item, the equipment, or the instrument in the one or more reference medical procedures with one or more of the medical practitioner identifier and the medical procedure identifier. 
     In accordance with some embodiments of the invention, the machine learning algorithm may utilize any machine learning methodology, now known or in the future developed, for classification. For example, the machine learning methodology utilized may be one or a combination of: Linear Classifiers (Logistic Regression, Naive Bayes Classifier); Nearest Neighbor; Support Vector Machines; Decision Trees; Boosted Trees; Random Forest; and/or Neural Networks. The machine learning module  812  continually evolves the specifics of supply and logistics management in real time with new data inputs. The machine learning intent is to continually implement optimized medical procedure overtime. 
     In an embodiment, the machine learning module  812  is configured to determine data associated with usage of the one or more of the item, the equipment, or the instrument in the medical procedure room based on the tracked data. For instance, the data associated with usage of the one or more of the item, the equipment, or the instrument in the medical procedure room comprises count of each of the respective one or more of the item, the equipment, or the instrument consumed in the medical procedure. 
     In an embodiment the machine learning module  812  is configured to analyze prestored data associated with usage of the one or more of the item, the equipment, or the instrument in one or more reference medical procedures corresponding to the medical practitioner identifier and the medical procedure identifier. For instance, the analyzing includes determining a relationship of the data associated with usage of the one or more of the item, the equipment, or the instrument in one or more reference medical procedures with one or more of the medical practitioner identifier and the medical procedure identifier. For example, the machine learning module  812  analyzes the prestored data in the one or more reference medical procedures and determines that, for example, the medical personnel  130  prefer to use two bandages over the surgical area after applying the stitches. The machine learning module  812  establishes this relationship between the number of bandages after performing stitching of the surgical area, and the medical personnel identifier and stores the relationship data in the data module  810 . 
     In various embodiments, the machine learning module  812  is configured to determine the optimized data associated with usage of the one or more of the item, the equipment, or the instrument corresponding to the medical practitioner identifier and the medical procedure identifier based on the determined data and the analyzed prestored data. For instance, to determine the optimized data, the machine learning module  812  is further configured to update the determined relationship of the data associated with usage of the one or more of the item, the equipment, or the instrument with the one or more of the medical practitioner identifier and the medical procedure identifier based on the determined data. In the example stated above, at this stage, the machine learning module  812  updates the determined relationship that specifics that the medical personnel  130  uses two bandages after stitching the surgical area based on the determined data associated with the usage of the one or more of the item, the equipment, or the instrument in the medical procedure room. For example, when the determined data associated with the usage of the bandages indicates that the medical personnel  130  has used one bandage for the surgical area in the present medical surgery, the machine learning module  812  is configured to optimize the determined relationship using this determined data. In an example, optimizing the determined relationship may include updating the determined relationship to represent the determined data or averaging the determined data and the analyzed data. Further, the machine learning module  812  is configured to utilize the determined optimized data for the medical procedure room supply and logistics management. 
     In an embodiment the machine learning module  812  is configured to determine count of each of the respective one or more of the item, the equipment, or the instrument consumed in the medical procedure. To this end, the machine learning module  812  is configured to determine, for each of the one or more of the item, the equipment, or the instrument, a count of each of the respective one or more of the item, the equipment, or the instrument prior to the start of the medical procedure. Further, the machine learning module  812  is configured to determine, for each of the one or more of the item, the equipment, or the instrument, a count of each of the respective one or more of the item, the equipment, or the instrument at the end of the medical procedure. The machine learning module  812  is further configured to identify, for each of the one or more of the item, the equipment, or the instrument, a count of each of the respective one or more of the item, the equipment, or the instrument utilized in the medical procedure based on the determined count at the start of the medical procedure and at the end of the medical procedure. For example, the machine learning module  812  is configured to determine that there were ten (10) cotton pads placed on the auxiliary table  110  at the start of the medical procedure. The machine learning module  812  then identifies that, at the end of the medical procedure, there were five (5) cotton pads left on the auxiliary table  110 . Based, on the comparison the machine learning module  812  determines that five (5) cotton pads have been utilized in the medical procedure. In an embodiment, the data associated with the utilization of the cotton pads during a particular medical procedure is stored in the data module  810 . In an embodiment, the machine learning module  812  is configured to determine count of each of the respective one or more of the item, the equipment, or the instrument consumed during the medical procedure based on the tracked usage of each of the one or more of the item, the equipment, or the instrument during execution of the medical procedure. 
     In an embodiment, the machine learning module  812  is configured to determine the data associated with usage of the one or more of the item, the equipment, or the instrument classified as chargeable. Further, the machine learning module  812  is configured to generate a cost estimate for the medical procedure based on the determined data associated with usage of the one or more of the item, the equipment, or the instrument classified as chargeable. For instance, in a medical procedure, when five (5) cotton pads have been utilized, the machine learning module  812  is configured to calculate the estimated cost for these five (5) cotton pads for billing purpose. 
     The continuous loop of the optimization functional block diagram  800 , in practice provides real time feedback and optimization of supply management and logistics. For example, as the procedure moves along the procedure supply and logistics input module  804  includes tracking of instruments that are highlighted, and arrows point to the location in the room as needed through artificial prompt and data analysis. This continuous loop optimization provides for metric tracking to create safety, efficiencies, simplicity across all aspects of supply management. The metric will be able to produce specific and tailored feedback regarding the supplies and logistics of the procedure as well as allow for real time oversight (local or remote). Live feedback and machine learning suggestions may be provided during this process. Messaging between medical personnel  130  and medical practitioners may be automated and artificial intelligence triggered to notify the entire team of supply usage and tracking. 
     In practice, the procedure input module  804  may include communication between the communication devices  124 , the mixed reality devices  132 , the optimization computing device  206 , and/or the remote connections  208 . For example, the procedure input module  804  may indicate an instrument missing from the medical procedure room and request a remote connection provide it. This provides for increased safety and sterilization procedures and increased efficiency, reduced turnover times for cases, communication and messaging across the team including real-time and automated, tracking/counting of consumables during a procedure, and the like. 
     For example, implementation of the procedure supply and logistics input  804  may include one or more mixed reality devices  132  to track the data and to provide the tracked data to the machine learning module  812  such that machine learning module  812  is configured to operate to store a library of existing and new instruments devices and disposables, identify those instruments and devices, track and store those devices geographically on the medical field or within the patient, and enable warnings, prompts, alerts for counts, location, and management of missing instruments, devices, disposables on the field or within the patient. 
     In practice, the procedure input module  804  includes acquiring of data via one or more mixed reality devices  132 . In operation, the one or more mixed reality devices  132  provide a view of the procedure room once the procedure starts so personnel will have an exact idea and view of where each instrument, device and other supplies are located during the perioperative portion of the procedure. Further, the one or more mixed reality devices  132  may receive information about medical procedure resources in visual holographic format, including quantities and tracking of these resources, use, patterns for use, sequence of use, percentage and priority of use. The one or more mixed reality devices  132  may identify procedure instruments and devices from a library of existing and new instruments devices and disposables stored in the data module  810 , track and store back in the data module  810  those devices geographically on the medical field or within the patient, thereby enabling warnings, prompts, alerts for counts, location, and management of missing instruments, devices, disposables on the field or within the patient as appropriate. 
     In operation, during a procedure, the one or more mixed reality devices  132  may provide for an interactive data interface linking the medical procedure environment through the data exchange of a microscope, endoscopic system, fluoroscopic system, navigation/robotic system, for live web-based conferencing, education and training, and surgical demonstrations for technology, remote surgery, or remote surgery demonstration/education. Specifically, the one or more mixed reality devices may provide for interactive data interface linking the anesthesia environment, gas exchange machines and monitors, anesthesia machines and telemetry, gas rates and anesthesia measures, for purpose of tracking patient specific data related to adequacy, safety, prescription and optimization of anesthetic induction, maintenance and recovery. 
     In an embodiment, the machine learning module  812  is configured to determine data associated with an item or an equipment required in the medical procedure based on inputs received from the enabling technologies. In an embodiment, the input from the enabling technologies is received via one or more input module. For example, the input module may be a remote input module  808  or a local input module  814 . The input from remotely present enabling technologies is received via the remote input module  808  and the input from locally present enabling technologies is received via the local input module  814 . In an exemplary embodiment, the data associated with the item includes at least an identifier or a size of the respective item or equipment. For example, the machine learning module  812  enables the medical procedure team, to measure and size medical instruments, implants and devices for patient specific use given the data available by enabling technologies such as operating microscope, fluoroscope, navigational system, robotic system, endoscopic system, for that medical practitioner, for that procedure. Specifically, the one or more mixed reality devices  132  may provide for a data interface for managing gas, pharmaceutical and anesthetics quantity, dose, frequency, inventory, logistics and inventory ordering and replacement as linked to the external hospital-based management system on behalf of the specific patient. 
     Specifically, procedure supply and logistics inputs from the one or more mixed reality devices  132  may provide direct external visualization of the operating room environment through the eyes of the medical personnel  130  wearing the mixed reality device  132 , through the external visualization of, for example, a microscope, an endoscopic system, a fluoroscopic system, a navigation/robotic system to an external expert, product specialist, or other professional. In some embodiments, a three-dimensional aerial perspective view of the medical procedure room  102  suite allows personnel capability for predictive planning of layout of equipment placement, relative to patients position for surgical case that will save on turnover times and efficiency for each surgical procedure and medical practitioner preference. 
     Further, in some embodiments, the one or more mixed reality devices  132  identifies whether one or more bed attachments are correct based on a right side or left side surgery (arm attachments and the like). Using a visual checklist, the one or more mixed reality devices  132  determines and provides procedure inputs that additional items for the medical practitioner are correct and documented as well as location is saved. In practice, the one or more mixed reality devices  132  may store and transmit animation, videos, demonstrations and live coaching in a way where the specific medical practitioner, for the specific procedure, and a specific device or technology could receive education, consultation, and instruction of best use or trouble shooting remotely as indicated by a remote input module  808 . This transmission may be stored information, live two-way transmitted information, could be interfaced with holographic ‘white boards’ and drawing/display tools and with virtual representation of real instruments/devices either stored in the data module  810  or one or more remote connections (for example the remote input module  808 ). As described above, the input module may be the remote input module  808  and the local input module  814 . The remote input as illustrated by module  808 , may be received from remote connections  208  before, during, and after a particular medical procedure. Remote input of module  808 , for example may include the integration of multimedia data management, acquisition and expression from secondary enabling medical technologies. In an embodiment, the local input as illustrated by the local input module  814  may be received from local enabling technologies present in the medical procedure room. 
     Module  806  implements a natural language processing algorithm. The natural language processing algorithm collects unstructured data from various sources including procedure input of module  804 , remote inputs of module  808  and local inputs of the module  814 . These inputs are converted into machine-readable structured data, stored in the data module  810 , and then analyzed by the machine learning module  812 . In an embodiment, the module  806  is configured the convert the tracked data associated with the identified one or more of the item, the equipment, or the instrument present in the medical procedure room in a machine-readable format prior to providing the data to the machine learning module It will be appreciated that the machine learning module  812 , in some embodiments, may analyze the data in the data module  810  prior to a next procedure room set up  802 , during a procedure itself to modify a procedure room set up, and/or after a procedure for analytical and training purposes. The machine learning module  812  may analyze the data in the data module  810  at other instances now known or hereinafter developed. 
     In practice, the machine learning module uses the data in the data module  810  for procedure efficiency, outcome and optimization. The machine learning module  812  may, for example use medical practitioner specific identification of the procedure room and the equipment and supply characteristics for any given procedure, and any given patient, for optimization of supply and logistics management, and ultimately help to define lean simple system design for optimal operating room setup and supply and logistics management for that specific medical practitioner and for that specific procedure. Practitioner specific identification of the procedure room and the equipment and supply characteristics for any given procedure, and any given patient, would then enable identification of experience based predictive data for performance, safety, outcome efficiency and inventory control/management for medical practitioners learning new procedures/devices/systems on behalf of their patients. 
     It will be appreciated that the optimization functional block diagram  800  in implementation provides for medical practitioner specific identification of the medical procedure room and the equipment and supply characteristics for any given procedure, and any given patient, enabling machine learning processes for optimization of for optimization of supply and logistics management, and ultimately help to define lean simple system design for optimal medical procedure room setup for that specific medical practitioner and for that specific procedure. 
       FIG. 9  is a flow diagram of a method of extended continuous optimization using the functionality of  FIG. 8  in accordance with some embodiments. Specifically,  FIG. 9  is a flow diagram  900  illustrating the implementation of the optimization system  104  and various functionality as described previously herein for one or more medical practitioners, one or more medical procedure rooms, and/or one or more medical procedures. 
     The flow diagram  900  begins with operation  902  wherein a procedure identifier is initiated by setting the medical procedure identifier “P” equal to one “1”. Next, in operation  904 , a medical procedure room identifier is initiated by setting the medical procedure room identifier “R” equal to one “1”. Next, in operation  906 , a medical practitioner identifier is initiated by setting the medical practitioner identifier “MP” equal to one “1”. 
     Next, in operation  908 , optimization functionality occurs. It will be appreciated by those of ordinary skill in the art that the optimization operation  908  includes the optimization described previously herein for  FIGS. 1 through 8 . 
     After the optimization operation  908 , the process of flow diagram  900  continues to operation  910  in which it is determined whether there are more medical practitioners. Specifically, it is determined whether MP=MP+1 is to be included. When MP+1 is determined to be included, the process continues to operation  912  in which the MP identifier is incremented to MP=MP+1. The process then cycles back to the optimization operation  908 . During operation, at this stage, the optimization system  104  is configured to determine the optimized data associated with usage of the one or more of the item, the equipment, or the instrument corresponding to the plurality of received medical practitioner identifiers (for example, MP and MP+1) for the medical procedure room supply and logistics management. In some embodiments, the optimization may include averaging the count associated with the usage of the one or more item, equipment, or instrument corresponding to the plurality of received medical practitioner identifiers or selecting the count associated with usage of the one or more item, equipment, or instrument corresponding to the primary/predefined medical practitioner, in case of any conflict. The optimized data may then be associated with the received plurality of medical practitioner identifiers and stored in the data module  810 . 
     When, in operation  910 , it is determined that there is no MP+1 to include, the process continues to operation  914  in which it is determined whether there are more medical procedure rooms. Specifically, it is determined whether R=R+1 is to be included. When R+1 is determined to be included, the process continues to operation  916  in which the R identifier is incremented to R=R+1. The process then cycles back to the operation  906 . In operation, at this stage, the optimization system  104  is configured to optimize the count associated with the usage of the one or more item, equipment, or instrument corresponding to the plurality of received one or more medical procedure room identifier (for example, R and R+1). For example, in some embodiments, the optimization may include averaging the count associated with the usage of the one or more item, equipment, or instrument corresponding to the plurality of received medical procedure rooms identifiers or selecting the count associated with usage of the one or more item, equipment, or instrument corresponding to the primary/predefined medical procedure room, in case of any conflict. The optimized data may then be associated with the received plurality of medical procedure room identifiers and stored in the data module  810 . 
     When, in operation  914 , it is determined that there is no R+1 to include, the process continues to operation  918  in which it is determined whether there are more medical procedures. Specifically, it is determined whether P=P+1 is to be included. When P+1 is determined to be included, the process continues to operation  920  in which the P identifier is incremented to P=P+1. The process then cycles back to the operation  904 . In operation, at this stage, the optimization system  104  is configured to optimize the count associated with the usage of the one or more item, equipment, or instrument corresponding to the plurality of received one or more medical procedure identifiers (for example, P and P+1). For example, in some embodiments, the optimization may include averaging the count associated with the usage of the one or more item, equipment, or instrument corresponding to the plurality of received medical procedure identifiers or selecting the count associated with usage of the one or more item, equipment, or instrument corresponding to the primary/predefined medical procedure, in case of any conflict. The optimized data may then be associated with the received plurality of medical procedure identifiers and stored in the data module  810   
     When, in operation  918 , it is determined that there is no P+1 to include, the process cycles back to operation  902  in which P is reset. In this manner, the optimization system and methods described herein provide continuous optimization for one or more medical practitioners, one or more medical procedure rooms, and one or more medical procedures and any combination therein. 
     In the foregoing specification, specific embodiments have been described. However, one of ordinary skill in the art appreciates that various modifications and changes can be made without departing from the scope of the invention as set forth in the claims below. Accordingly, the specification and figures are to be regarded in an illustrative rather than a restrictive sense, and all such modifications are intended to be included within the scope of present teachings. 
     The benefits, advantages, solutions to problems, and any element(s) that may cause any benefit, advantage, or solution to occur or become more pronounced are not to be construed as a critical, required, or essential features or elements of any or all the claims. The invention is defined solely by the appended claims including any amendments made during the pendency of this application and all equivalents of those claims as issued. 
     Moreover, in this document, relational terms such as first and second, top and bottom, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. The terms “comprises,” “comprising,” “has”, “having,” “includes”, “including,” “contains”, “containing” or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises, has, includes, contains a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. An element preceded by “comprises . . . a”, “has . . . a”, “includes . . . a”, “contains . . . a” does not, without more constraints, preclude the existence of additional identical elements in the process, method, article, or apparatus that comprises, has, includes, contains the element. The terms “a” and “an” are defined as one or more unless explicitly stated otherwise herein. The terms “substantially”, “essentially”, “approximately”, “about” or any other version thereof, are defined as being close to as understood by one of ordinary skill in the art, and in one non-limiting embodiment the term is defined to be within 10%, in another embodiment within 5%, in another embodiment within 1% and in another embodiment within 0.5%. The term “coupled” as used herein is defined as connected, although not necessarily directly and not necessarily mechanically. A device or structure that is “configured” in a certain way is configured in at least that way but may also be configured in ways that are not listed. 
     It will be appreciated that some embodiments may be comprised of one or more generic or specialized processors (or “processing devices”) such as microprocessors, digital signal processors, customized processors and field programmable gate arrays (FPGAs) and unique stored program instructions (including both software and firmware) that control the one or more processors to implement, in conjunction with certain non-processor circuits, some, most, or all of the functions of the method and/or apparatus described herein. Alternatively, some or all functions could be implemented by a state machine that has no stored program instructions, or in one or more application specific integrated circuits (ASICs), in which each function or some combinations of certain of the functions are implemented as custom logic. Of course, a combination of the two approaches could be used. 
     Moreover, an embodiment can be implemented as a computer-readable storage medium having computer readable code stored thereon for programming a computer (for example, comprising a processor) to perform a method as described and claimed herein. Examples of such computer-readable storage mediums include, but are not limited to, a hard disk, a CD-ROM, an optical storage device, a magnetic storage device, a ROM (Read Only Memory), a PROM (Programmable Read Only Memory), an EPROM (Erasable Programmable Read Only Memory), an EEPROM (Electrically Erasable Programmable Read Only Memory) and a Flash memory. Further, it is expected that one of ordinary skill, notwithstanding possibly significant effort and many design choices motivated by, for example, available time, current technology, and economic considerations, when guided by the concepts and principles disclosed herein will be readily capable of generating such software instructions and programs and ICs with minimal experimentation. 
     The Abstract of the Disclosure is provided to allow the reader to quickly ascertain the nature of the technical disclosure. It is submitted with the understanding that it will not be used to interpret or limit the scope or meaning of the claims. In addition, in the foregoing Detailed Description, it can be seen that various features are grouped together in various embodiments for the purpose of streamlining the disclosure. This method of disclosure is not to be interpreted as reflecting an intention that the claimed embodiments require more features than are expressly recited in each claim. Rather, as the following claims reflect, inventive subject matter lies in less than all features of a single disclosed embodiment. Thus the following claims are hereby incorporated into the Detailed Description, with each claim standing on its own as a separately claimed subject matter.