JP2002282200A - Storage managing system for medical instrument - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a simplified storage managing system for medical instruments. SOLUTION: In the storage managing system for managing the storage state of an endoscope 2 stored in a storage cabinet 1, the endoscope 2 has a function for storing data on the kind or state of the endoscope 2 and a function for performing data communication with the storage cabinet 1 and the storage cabinet 1 has a function for performing data communication with the endoscope 2 in the state of storing the endoscope and a function for announcing data acquired by the relevant data communication.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a storage management system for medical instruments such as endoscopes.

[0002]

2. Description of the Related Art In recent years, with the progress of medicine, instruments used for various medical procedures have been diversified, and storage management thereof has become more complicated.

[0003]

However, in a situation where storage management of medical instruments is complicated, no specific proposal has been made to overcome such complexity.

The present invention has been made in view of such a problem, and an object of the present invention is to provide a storage management system for medical instruments which can simplify storage management of individual medical instruments. Is to do.

[0005]

According to a first aspect of the present invention, there is provided a storage management system for managing a storage state of a medical device stored in a storage device. It has a function of storing data related to the type and state of the medical device, and a function of performing data communication with the storage device.When the storage device is in the stored state, the medical device It has a function of performing data communication and a function of notifying data acquired by the data communication.

According to a second aspect, in the medical device storage management system according to the first aspect, the storage device is connected to another device, and transmits data acquired from the medical device to the other device. And a function of receiving and notifying data from the other devices.

[0007]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, a medical device storage management system according to the present invention will be described in detail by applying it to a specific embodiment.

(First Embodiment) An endoscope storage as a conventional storage device has a function of storing the endoscope so that dust is not applied to the endoscope and the endoscope is not damaged. Without going there, I could not tell what kind of endoscope was stored inside. In addition, it was not possible to confirm whether or not the stored endoscope had been properly reprocessed (cleaned and disinfected). Therefore, the troublesome work of going to the storage and checking the endoscope was required. In addition, there was a concern that the endoscope that had not been reprocessed was stored.

Therefore, the endoscope system according to the first embodiment includes:
The purpose is to reduce the workload and improve safety.

In order to achieve this object, in the first embodiment: The endoscope storage has a function of performing data communication with the endoscope stored in the endoscope storage, and a function of notifying (displaying, warning sound, and the like) a communication result. It has a function of storing the model of the endoscope, the serial number, data indicating whether the endoscope has been cleaned and disinfected, and a function of remotely communicating the data with other devices.

When the endoscope is stored in the storage, the storage communicates with the endoscope, the model name of the endoscope is displayed on the indicator light, and if disinfected, the blue status indicator lamp is turned on. In the case of disinfection, the red lamp is turned on and an alarm sounds.

2. The endoscope storage has a function of performing data communication with the endoscope stored in the endoscope storage, a function of notifying (displaying, warning sound, etc.) a communication result, and a function of transmitting the communication result to a personal computer or the like. The endoscope has a function of storing the model of the endoscope, a serial number, data on whether or not the endoscope has been cleaned and disinfected, and a function of remotely communicating the data with other devices. Communication function.

When the endoscope is stored in the storage, the storage communicates with the endoscope, and the model name of the endoscope and data on disinfection / non-disinfection are displayed on a display of a personal computer connected to the storage with a communication cable. Is displayed. The personal computer also manages the endoscope history in a database. Also, when the reservation information of the endoscope is transmitted from the personal computer side, the reservation information is displayed on a display board corresponding to the endoscope among the endoscopes stored in the storage.

Hereinafter, the outline described above will be described in detail with reference to the drawings. FIG. 1 shows a storage 1 in which an endoscope 2 is stored, and shows a state in which a door 3 is opened. A control unit 7 is provided at the upper part of the storage room where the endoscope 2 is stored, and a function of performing data communication with the stored endoscope 2 and a personal computer 8 connected by a communication cable 9 and a model display for notifying a communication result. It has means such as a lamp 4, a status display lamp 5, a reservation display lamp 6, and a speaker 10. Endoscope detection sensor 12
Detects that the endoscope 2 is mounted on the shelf 11.

FIG. 2 shows a state where the door 3 of the storage 1 is closed. Since the door 3 is normally closed so that no greeting enters the storage 1, it is difficult to directly see and confirm the stored endoscope 2.

FIG. 3 shows an external view of a part of the endoscope 2. Inside the operation unit 13 of the endoscope 2, the model name of the endoscope 2, the serial number, and whether the endoscope 2 has been washed or disinfected. A transponder 14 for storing such data and the like and for remotely communicating the data with other devices is incorporated. The transponder 14 generally uses an RFID (RadioFre
quency identification system). Of course, the transponder 14
Not only can it be built into the endoscope 2 but also can be mounted externally.

FIG. 4 shows an example of the configuration of the transponder 14 described above. An antenna 16 for data transmission and reception and an IC package 17 for storing and controlling data are enclosed in the hard glass tube 15.

When the endoscope 2 is put on the shelf 11 of the storage 1, the endoscope detection sensor 12 provided on the shelf 11
Operates, and the control unit 7 and the endoscope 2 start communication.
Then, the control section 7 displays the model name of the endoscope 2 on the model display lamp 4 based on the data read from the endoscope 2, and turns on the blue lamp of the status display lamp 5 if the endoscope 2 has been disinfected. When the endoscope 2 has not been disinfected, the red lamp of the status display lamp 5 is turned on, and a warning sound is emitted from the speaker 10.

When the cleaning and disinfecting of the endoscope 2 by the cleaning and disinfecting device is completed, the transponder 14 inside the endoscope 2 and the communication means of the cleaning and disinfecting device communicate with each other to indicate the completion of the cleaning and disinfecting. Is provided in the endoscope 2, the control unit 7 can determine whether or not the endoscope 2 has been disinfected by communicating with the endoscope 2.

The control unit 7 of the storage 1 and the personal computer 8 are connected by a communication cable 9, and the model name of the stored endoscope 2 and the state of disinfection / non-disinfection are displayed on the display of the personal computer 8. To be displayed. The personal computer 8 manages the use history and the repair history of the endoscope 2 in a database. As a result, the storage 1 becomes the endoscope 2
The storage 1 is provided with the endoscope 2 even if
You can check the status of storage.

By connecting the communication cable 9 to the telephone line and connecting the personal computer 8 to the telephone line at a remote location, confirmation at a remote location is also possible. Also, by transmitting the reservation information of use of the endoscope 2 from the personal computer 8 to the storage 1 and displaying the reservation information on the reservation indicator 6 corresponding to the endoscope in the storage 1, the reservation information in the storage 1 is stored. Specific endoscope 2
Can be checked at the location of the storage 1.

FIG. 5 is a flowchart showing a procedure of a process executed by the storage 1 based on information obtained through communication with the endoscope 2 or the personal computer 8. In the communication between the endoscope 2 and the storage 1, “endoscope presence / absence data” includes repair history data in addition to the unique ID of the endoscope 2. In communication between the personal computer 8 and the storage 1, “storage information” includes repair history data and disinfection data read from the endoscope 2, and when the disinfection data is updated, Data processing such as increasing the number of times the unique database of the endoscope 2 is used once is performed.

The control unit 7 of the storage 1 turns on or off the endoscope detection sensor 12 based on the endoscope presence / absence data from the endoscope 2.
An OFF state is determined (step S1). If the state is OFF, the state display lamp 5 is reset (step S1).
2) Return to step S1. In addition, in the ON state, it is determined whether or not the disinfection has been completed based on the disinfection data from the endoscope 2 (step S3). If it has not been disinfected, the warning sound and the warning lamp are turned on (step S4), and the process proceeds to step S6.

If the lamp has been disinfected, the disinfected lamp is turned on (step S5), and the process proceeds to step S6.

In step S6, the model of the endoscope is checked, and if it is not compatible, a non-compliant display is performed (step S7). If it corresponds, the model is displayed (step S8).

In the next step S9, it is confirmed whether or not there is a reservation based on the reservation information from the personal computer 8, and if there is no reservation, an indication that there is no reservation is displayed (step S1).
0). If there is a reservation, the reservation status is displayed (step S11).

FIG. 6 is a functional block diagram showing the configuration of the storage 1 and the endoscope 2. As shown in FIG. The storage 1 includes a detection sensor 101 for detecting that the endoscope 2 is set, an oscillation circuit 100 for transmission, a modulation circuit 105, a transmission coil L1, and a reception coil L2 for reception. , A demodulation circuit 106, a display unit 102 for displaying the set data of the endoscope 2 and a warning content, and a buzzer 103 for prompting a warning
, A memory 108, an I / F unit 104 for exchanging data with the personal computer 8, and a main control unit 107 for controlling the above-described units.

Further, inside the endoscope 2, a coil L3 for transmitting and receiving signals, a capacitor C for resonance, a demodulation circuit 200, a converter 202, a modulation circuit 201,
The memory 205 and the main control unit 20 that controls the above-described units.
4. A stabilizing circuit 203 is further provided inside the endoscope 2, and smoothes and rectifies the signal received by the coil L4 to secure driving power of each part of the internal circuit of the endoscope 2.

The operation of the above configuration will be described below.
When the endoscope 2 is set in the storage 1, the detection sensor 101 for detecting that the endoscope 2 has been set is activated, and the main control unit 107 of the storage 1 has set the endoscope 2. Is detected. Then, the main control unit 107 of the storage 1 starts communication with the endoscope 2. That is, a radio frequency signal digitally modulated according to a read command transferred as a serial signal from the main control unit 107 is applied to the transmission coil L1.

The radio signal emitted from the transmitting coil L1 induces a signal in the coil L3 on the endoscope 2 side. In the endoscope 2, the induced signal is amplified and then demodulated by the demodulation circuit 2.
At 00, it is demodulated to the original digital signal. The main control unit 204 reads the model of the endoscope, the serial number, and data on whether or not the endoscope has been washed and disinfected from the memory 205 based on the digitized serial signal information.

The converter 202 converts the signal into a serial signal in synchronization with the unmodulated signal sent from the transmission coil L1. The modulation circuit 201 controls whether or not the tank circuit by L3 and C is brought into a resonance state according to the serial signal. Information communication is performed by detecting whether or not the tank circuit on the endoscope 2 resonates via the coil L2 by the main control unit 107 on the storage 1 side. In the storage 1, the data obtained by the communication is displayed on the display unit 102 of the storage 1. Further, the storage 1 communicates with the personal computer 8 to transfer data.

According to the first embodiment, the storage 1
When the endoscope 2 is stored, the storage 1 can automatically determine whether or not the endoscope 2 has been cleaned / disinfected, so that a special additional check step is not required. Thereby, the safety of the endoscope operation can be improved, and the amount of work of the operator can be reduced. In addition, since the storage status can be confirmed at a remote place using a personal computer and reservation management can be performed, the efficiency of the endoscope business can be improved.

(Second Embodiment) In the current surgical operation, it is very important to collect all the used tools after the operation in the body of the surgical operation. It is up to you. However, accidental misplacement of surgical tools in the body has occasionally occurred. Patients who leave their tools in the body and are sutured may be in poor health and even life-threatening. It is necessary to check the collection of equipment properly.

Therefore, in the second embodiment, a sterilized communication tag is attached to all tools such as forceps, a scalpel, and a clip used for a surgical operation, the type and the number are counted by a reader before the operation, and the suture after the operation is performed. It is characterized in that a misplacement accident is reliably prevented by counting before and after the operation again with a reader and confirming that there is no difference between the two types and numbers.

Hereinafter, the flow of the above-described general processing will be described with reference to the drawings according to the flowchart of FIG. First, as shown in FIG. 7, a communication tag 302 having a function of remotely communicating data with another device is attached to a surgical tool 301 such as forceps, a scalpel, scissors, and a clip (step S20). The communication tag 302 uses what is generally called an RFID system. The communication tag 302 stores data such as the type name of the surgical tool and whether or not sterilization has been performed.

These communication tags 302 do not lose their functions even if they are stored in a sterilization container described below with the communication tag 302 attached to the surgical tool 301 and sterilized.

In the equipment preparation room, surgical tools used for the operation are stored in a sterile container from the surgical tools that have been washed and disinfected (step S21). Next, the surgical instrument is sterilized by a sterilizer together with the sterilization container. At this time, the communication between the sterilizer and each communication tag 302 provided on the surgical tool 301 in the sterilization container is performed, and sterilization data such as the sterilization process and the effective date of the sterilization effect are transmitted to the communication tag 302.
(Step S22). The sterilized container that has been sterilized is carried into the operating room (step S23).

Next, as a pre-operation confirmation operation, the type and the number of sterilized surgical tools 301 are counted by the tag checker 303 using the configuration shown in FIG. 8 (step S24). The whole or a part of the sterilization container 308 is made of a material and a structure easy to transmit radio waves so that remote communication can be performed inside and outside the container.

Prior to the operation, the operator puts a sterile container 308 containing a sterilized surgical tool 301 with a communication tag 302 on a transport caster 307 and passes it through a communication window 306 of a tag checker 303. Let it.
When the sensor 309 of the tag checker 303 detects the transport container 307, the tag checker 303 starts communication with the communication tag 302 in the sterilization container 308. At this time, since the sterilization container 308 does not need to be opened, the surgical tool 301 is not contaminated at the time of checking.

The tag checker 303 displays the type and the number of the surgical tools 301 on the display 304 based on the data read from the communication tag 302. If the surgical tools 301 are not sterilized or the expired surgical tools 30
If 1 is included, it is displayed on the display 304 and a warning sound is issued from the speaker 305 to urge the operator to confirm the surgical tool 301.

In the intraoperative check (step S25), the tag checker 303 stores the data read from the communication tag 302 and waits. After the surgical operation inside the patient, for example, a procedure such as excision of an organ is completed, the surgical tool 301 is put on a tray before the patient's skin is sewn, passed again in front of the tag checker 303, and communicated to count the surgical tool 301. .

The tag checker 303 compares the stored data of the type and the number of the surgical tool 301 before the operation with the data of the type and the number of the surgical tool 301 after the operation, and if there is a difference between the two data. Is displayed on the display 304, and a warning sound is issued from the speaker 305. The surgeon determines the cause of the quantity mismatch and clears the error condition.

Finally, after the suturing is completed, a post-operative check is performed (step S26). That is, by checking again with the tag checker 303 whether or not the surgical tool 301 has been left in the body during the suturing, it is possible to prevent the accident of leaving the surgical tool 301 in the body in a surgical operation beforehand or to detect the accident at an early stage. Can be. In addition, it is possible to prevent an infection accident using the non-sterile surgical tool 301.

In the final confirmation, the tag checker 303
The sterilized data of all the surgical tools 301 are cleared to make them unsterilized. Thereafter, the surgical tool 301 is stored in a cleaning container, cleaned and disinfected in the equipment preparation room, and stored.

According to the above-described second embodiment, it is possible to prevent a surgical instrument from being left behind in a patient, which is advantageous for both the surgeon and the patient. It is also a great advantage that there is no anxiety after surgery. In addition, since it is possible to check whether or not the surgical tool has been sterilized, a more secure operation can be performed.

[0046]

According to the present invention, there is provided a medical device storage management system capable of simplifying storage management of individual medical devices.

[Brief description of the drawings]

FIG. 1 is a view for explaining a first embodiment of the present invention, and shows a state where a door of a storage 1 in which an endoscope 2 is stored is opened.

FIG. 2 is a view for explaining the first embodiment of the present invention, and shows a state where a door of a storage 1 in which an endoscope 2 is stored is closed.

FIG. 3 is a view showing an external appearance of a part of the endoscope 2;

FIG. 4 is a diagram illustrating a configuration example of a transponder.

FIG. 5 is a flowchart showing a procedure of processing executed by the storage 1 based on information acquired through communication with the endoscope 2 or the personal computer 8.

FIG. 6 is a functional block diagram showing a configuration of a storage 1 and an endoscope 2.

FIG. 7 is a view for explaining a second embodiment of the present invention, and shows a state in which a communication tag 302 having a function of remotely communicating data with another device is attached to a surgical tool 301.

FIG. 8 is a diagram showing a configuration for performing a check operation by a tag checker.

FIG. 9 is a flowchart illustrating a flow of a process according to a second embodiment of the present invention.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Storage 2 Endoscope 3 Door 4 Model indicator light 5 Status indicator lamp 6 Reservation indicator lamp 7 Control part 8 Personal computer 9 Communication cable 10 Speaker 11 Shelf board 12 Endoscope detection sensor 13 Operation part 14 Transponder 15 Hard glass tube 16 Antenna 17 IC package 100 Oscillation circuit 101 Detection sensor 102 Display unit 103 Buzzer 104 I / F unit 105 Modulation circuit 106 Demodulation circuit 107 Main control unit 108 Memory 200 Demodulation circuit 201 Modulation circuit 202 Modulator 203 Stabilization circuit 204 Main control unit 205 Memory 301 Surgical tool 302 Communication tag 303 Tag checker 304 Display 305 Speaker 306 Communication window 307 Transport caster 308 Sterilization container 309 Sensor

 ──────────────────────────────────────────────────続 き Continuing on the front page (72) Inventor Masaki Gomachi 2-43-2 Hatagaya, Shibuya-ku, Tokyo Inside Olympus Optical Industrial Co., Ltd. (72) Jun Hasegawa 2-43-2 Hatagaya, Shibuya-ku, Tokyo No. Within Olympus Optical Co., Ltd. (72) Naoya Taya Inventor 2-43-2 Hatagaya, Shibuya-ku, Tokyo (72) Inventor Katsuya Suzuki 2-43-2, Hatagaya, Shibuya-ku, Tokyo No. Olympus Optical Co., Ltd. F-term (reference) 4C061 GG13 JJ17 JJ18 JJ19

Claims (2)

[Claims] 1. A storage management system for managing a storage state of a medical device stored in a storage device, wherein the medical device has a function of storing data relating to a type and a state of the medical device, A function of performing data communication, the storage device has a function of performing data communication with the medical device when the medical device is stored, and a function of notifying data acquired by the data communication. A storage management system for medical instruments, comprising: 2. The storage device is connected to another device, and has a function of transmitting data acquired from the medical device to another device, and receiving and notifying data from the other device. The storage management system for a medical device according to claim 1, wherein: