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WO2018195615A1 - Système et procédé de commande électronique d'unité chirurgicale par automatisation, identification, authentification et suivi d'articles et de personnes se basant sur un système de localisation en temps réel avec technologie sécurisée - Google Patents

Système et procédé de commande électronique d'unité chirurgicale par automatisation, identification, authentification et suivi d'articles et de personnes se basant sur un système de localisation en temps réel avec technologie sécurisée Download PDF

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Publication number
WO2018195615A1
WO2018195615A1 PCT/BR2018/000027 BR2018000027W WO2018195615A1 WO 2018195615 A1 WO2018195615 A1 WO 2018195615A1 BR 2018000027 W BR2018000027 W BR 2018000027W WO 2018195615 A1 WO2018195615 A1 WO 2018195615A1
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WO
WIPO (PCT)
Prior art keywords
identification
real
automation
surgical unit
time location
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/BR2018/000027
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English (en)
Portuguese (pt)
Inventor
Paulino GOMES DE SOUZA NETO
Mauricio STRASBURG
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Synergy Tecnologia Em Sistemas Ltda
Original Assignee
Synergy Tecnologia Em Sistemas Ltda
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
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Publication of WO2018195615A1 publication Critical patent/WO2018195615A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/08—Logistics, e.g. warehousing, loading or distribution; Inventory or stock management
    • G06Q10/083—Shipping
    • G06Q10/0833—Tracking
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/98—Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q30/00—Commerce
    • G06Q30/018—Certifying business or products
    • G06Q30/0185—Product, service or business identity fraud
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G16H10/65—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records stored on portable record carriers, e.g. on smartcards, RFID tags or CD
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices

Definitions

  • the present invention relates to a system composed of equipment, accessories, software and applications implementing a surgical unit automation method based on the location of items and persons in a contextual and real time manner (TLS) incorporated herein.
  • TLS contextual and real time manner
  • hospital-safe technology exemplified but not restricted to Wi-Fi, Bluetooth, and RFID (Ultra-Frequency Identification) operating at Ultra High Frequency (UHF) that can be inserted into or attached to wristbands, badges, equipment , assets, accessories, blood and blood derivatives, medicine boxes, surgery kits, instrumentals and their containers, surgical textiles, psychotropic drugs, emergency medicines and the like or other, for the purpose of providing patient safety, automation and governance by monitoring the flow within the unit in a contextual manner.
  • UHF Ultra High Frequency
  • the method of identifying these items by UHF can be done through portals, antennas, collectors or area trackers (Arrays) designed to operate in the hospital environment.
  • TAG Radio Frequency Label Modules
  • Patent Application No. BR 10 2016 002291 6 is also updated and refers to a frequency operating radio frequency tag (TAG). 00027
  • Ultra High Frequency (UHF) that can be coupled to surgical textiles for identification and traceability during surgery.
  • patent update BR 10 2016 024327 0 describes a personal identification card equipped with three distinct technologies to identify the user in a complex environment, for example the hospital environment, operating with ultra high frequency radio frequency (Ultra High Frequency).
  • Frequency (UHF) and High Frequency (HF) compatible with the Mifare solution and EMV technology, the Brazilian digital identity standard, for the purpose of identification and traceability and monitoring of people in a complex environment.
  • the wristband may be equipped with a variety of sensors to automate patient vital signs and clinical status, with full system integration through hospital-safe technologies such as Wi-Fi, Bluetooth, and UHF RFID.
  • the method of identifying people by UHF can be done through portals, antennas or "RAIN RFID".
  • New processes and methods also update the patent BR 10 2016 002931 7, where there is a record of a set of solutions that aim primarily to automatically monitor the hand hygiene process in a hospital environment, to identify vectors and to monitor cases along the patient trail. Identified vector.
  • the invention further contemplates the automatic monitoring of hand hygiene in the surgical environment with a view to controlling surgical infection.
  • the present patent defends the integration of the processes, methods and inventions described herein with the principle of creating a hospital management interface that allows visibility of the processes, as well as e-governance, allowing the planning of preventive and preventive actions. corrective
  • Health Quality Certification Institutions such as the Joint Commission (https://www.jointcommission.Org/assets/l/18/Summary_2Q_2016.pdf) and the NHS map these adverse events on a list entitled “Never Events", events that should never occur, but which are nevertheless common.
  • TAG described in the patent registered in IN PI under process number BR 10 2015 032172 4 was conceived and updated in the present patent application. To operate depends on chip inside.
  • This chip is an electronic module containing a standard electronic circuit and a printed circuit base for the purpose of inductive coupling between the instrument and the electronic circuit.
  • TAG reading performance is directly dependent on coupling. This is determined by the design of the module and its tracks. For each situation and type of instrument material and chip model there is a need for a dedicated design, which are features defended in this patent.
  • Radio frequency has emerged as an obvious solution to the problem, but limitations arise immediately.
  • Low radio frequency (LF) has the ability to penetrate the metal, but its range is short, leading to the need for direct contact identification.
  • LF radio frequency
  • This technology while superior, has a unique added advantage over Datamatrix, which is the durability of the information stored there.
  • Metal acts as an insulator for higher frequencies like UHF, which was impeding to the technology until this invention. 52.
  • the advantages of UHF are identification at greater distances and at higher speeds, and scalable solutions can be applied to the operating room and central sterile materials.
  • RFID radio frequency counting
  • This condition allows a diversion where an individual is identified on a computer while moving to another sector and is identified by another technology at a different location.
  • ID cards also leads to inconvenience for the user, who has to carry several badges. They also increase the risk of disease transmission and may be a reservoir of infectious agents.
  • the people represented here by patients are temporary users who need to be identified during bathing or anesthetic procedures.
  • Radio frequency identification (RFID) technology appears as a reliable alternative. In order to operate in a hospital environment, interference with electromedical equipment should be considered, especially when considering pacemakers and automatic defibrillators.
  • the human body is a great insulator for the UHF frequency.
  • the proximity of TAGs to the body isolates RF signals in UHF, making their performance minimal or unnoticeable. Still other adverse events can be prevented with the addition of sensing.
  • Accelerometers can detect risk behavior for falling and even the event itself. Coupled sensors for Oximetry, Pulse Rate, Blood Pressure, Respiratory Rate, Temperature, and even Sweating can automatically monitor patient status, enabling automation of the care process and patient monitoring in non-complex and complex units.
  • This bracelet enables the automation and reliable recording of patient clinical signs, reducing overwork on the nursing staff. Also, acts as a call button through the interaction of gestures on the TAG. Regardless of wires or batteries, it allows calling from anywhere in the room under cover. When a call occurs, vital signs are automatically checked, giving speed and effectiveness to the call.
  • the RN has its identity monitored by a group of 3 (three) to 4 (four) tags equipped with passive radio frequency tag (TAG) operating in UHF.
  • TAG passive radio frequency tag
  • Three of these are attached to the printed identification wristbands mentioned above according to patent BR 10 2016 002301 7 and updates, and one of them is attached to the umbilical clip, exemplified in FIGURES 7.1 and 7.2 and feature defended in this patent. They all identify the RN for the system.
  • GADs are identified on portals and totems located in all areas of NB circulation including, but not limited to, the birth unit, central and sector nurseries, ICU, diagnostic unit, and mother's room.
  • the NB will always be localized and constantly identified avoiding the dreaded changes at birth.
  • 77 When the newborn is transported from one sector to another, there is a responsible for the infant during its transport. This is a Tutor and its guard is automatically determined by the system, which checks if it is qualified for such a function. If so, it is monitored along its path through Arrays and Portal systems, which create consecutive virtual fences. Any deviation or perimeter violation is notified in real time, making it also a tool to support the security system and ensure compliance with the Institution's Standard Operating Processes (SOPs).
  • SOPs Institution's Standard Operating Processes
  • This technology should not replace or be the primary tool of the institution's security system.
  • this technology we can monitor, with the same principle of electronic tutelage, the flow of psychotropic, high cost equipment or OP ES, among others.
  • One (1) or two (2) ml (milliliter) amber vials are small in size, making the letters printed on the glass or label small. Many urgency or emergency medications are packaged in these ampoules causing a high risk of medication change. Such scenario favors errors and medication changes.
  • HICs hospital infection control centers
  • CCIH observers are directed to this sector and adopt guidance and monitoring measures in the unit until the effective control of the outbreak.
  • control occurs, they are directed to other sectors, and the degree of hand hygiene compliance with alcohol gel tends to decrease over time, giving rise to recurrent outbreaks of infection.
  • measures are effective in reducing the number of cases infection, but are inefficient in effectively reducing infection cases.
  • there are severe limitations to vector traceability of these infections as they are costly and inefficient in daily practice.
  • nosocomial infection increases the length of stay and the cost of hospitalization, increasing the cost of health for trustees and for the hospital with lower bed turnover.
  • the CCIH sector has trained observers who routinely circulate through the hospital noting the degree of adoption of the recommended protocol. For cross-sectional studies, they depend on a large number of observers, who merely observe a fraction of those who circulate in the institution for logistical reasons.
  • the hospital currently relies on electronic management for its large-scale operation. To this end, it has a computerized management system focused on legal, fiscal compliance and loss reduction during the intrinsic processes of health services. For such a system to operate, it needs data to be entered into the database. Thus, they rely on the human interface to type, scan or authenticate items, patients, people and processes.
  • the procedure schedule grid is automatically updated, informing the status of each monitored item through color coding and visual alerts throughout the management chain.
  • RFID technology operates as follows.
  • the functional element is commercially available UHF operating radio frequency chips inserted into Inlays (TAG Antennas) designed specifically for each application.
  • TAG Antennas Inlays
  • the identity of each of these is determined by a hex code encoded in each one (EPC - Electronic Product Code).
  • EPC - Electronic Product Code The junction of the chip with the Inlay and its encapsulation conforms to the identification tag or TAG.
  • the activation and reading of each of these are performed by means of an antenna, designed for each specific function, connected to a reader operating in a range regulated by the communication agency. each country. Reader specifications such as mode of operation and power, among others, are set specifically for each application.
  • the information generated is presented to the software that filters and directs it according to the identity of each tag, following a specific flow logic for each item or person. This logic follows a principle but varies according to the institution where it is applied.
  • TAG has its performance optimized for different types of instruments and radio frequency chips operating in UHF.
  • the interaction with the chip and instrument material "couples" the TAG with the instrument to receive and relay UHF radio signals.
  • FID TAG through finite field element software, its anechoic chamber test and the physical resistance test to the sterilization cycles for each type of chip, instrumental. and distinct material.
  • TAG's construction engineering and respective dielectrics are also part of this patent and the aforementioned patent, registered with the INPI under process number BR 10 2015 032172 4, added to the improvements described herein.
  • the present invention has been developed whereby the surgical instrument or metal tooling is used as an antenna for receiving and relaying UHF radio signals.
  • the electric current induces the current in the module and its chip through electromagnetic coupling, and operates according to the standardized standards of UHF technology.
  • the chip is strategically positioned for proper operation of the radio frequency tag (TAG).
  • TAG radio frequency tag
  • the TAG is composed of 2 (two) plastic coating components, allowing the constitution of a binary color identity.
  • the use of two (2) or more colors in the plastic coating may further enhance this identification by creating distinct patterns of exponential scale combinations.
  • the TAGs were kept in the oven for 10 (ten) hours at a temperature of 170 S C (one hundred and seventy degrees centigrade) and maintained reading performance thereafter. They were also submitted to contrast cycles of dry heat at 1652C (one hundred and sixty-five degrees centigrade) and wet cold at 18 and C (eighteen degrees centigrade) to the equivalent of 1000 (one thousand) cycles of use under normal conditions, without deterioration. Additional cycles are being performed to determine TAG longevity.
  • Monitoring and conference stations have also been developed for the contaminated, clean and sterile sectors of the sterile material plant, as well as cycle sensors have been developed to monitor washing and sterilization events.
  • RTLS Real Time Location System
  • TAG has its optimal performance (tuning) when exposed to biological liquids.
  • the interaction with liquids Biological tuners "tune" the TA6 antenna to receive and relay UHF radio signals.
  • TAGs are designed to be integrated into textiles by stitching or gluing, according to patent applications BR 10 2013 010599 6 and BR 10 2015 011434 6. They may also be incorporated into the hollow loop stitched inside of the textile. During durability tests, the fragility of the connection between the chip and the antenna was identified. This condition was solved by reengineering the fixation process by adding epoxy polymer on the chip, a feature defended in this patent.
  • the identification card was created that allows the operation with up to 6 (six) technologies being 2 (two) or 3 (three). electronic technologies simultaneously.
  • the three (3) technologies interfere with each other, so that one can lead to lower performance of the other.
  • the antenna design was tested in Finite Field Element Software, prototypes were developed and tested in anechoic chamber and in tests and the final design was conceived.
  • TAG has its optimal performance (tuning) when close to the skin (FIGURE 6.1).
  • Interaction with the skin "tunes" the TAG antenna to receive and relay UHF radio signals at the correct frequency.
  • TAG's construction engineering with its dielectrics is a constituent part of this patent (FIGURES 6.2 and 6.5).
  • This technology is also designed for use in children, adolescents and adults. With a larger area for the construction of TAG, it has its reading distance increased. Also due to its dimensional characteristics, the bracelet is used as a temperature, humidity and gesture sensor.
  • a moisture sensor As a moisture sensor, it allows the identification of the patient's sweating, an important clinical sign in pain control, diagnosis of acute pathologies such as Myocardial Infarction, hypoglycemia, fever and others.
  • the bracelet can be used as an interaction sensor.
  • Linear movements on the wristband generate a wobble pattern, measured by varying the signal strength or RSSI.
  • Each movement type generates a distinct response pattern.
  • the wristband can also be used for the nursing call or other preprogrammed actions. Different movements on the bracelet are predicted to generate distinct response patterns that will be interpreted by algorithm and determine specific action.
  • incorporating battery and shielded disposable electronics we may include oximetry, heart rate, blood pressure and accelerometer sensors (FIGURES 6.7 and 6.8). They can identify and monitor basic vital signs at regular times or immediately when there is a sudden event.
  • the triggered call can trigger the measurement of the patient's vital signs.
  • the RN has its identity monitored by a group of 3 (three) to 4 (four) tags equipped with passive radio frequency tag (TAG) operating in UHF.
  • TAG passive radio frequency tag
  • Three of these are attached to the printed identification wristbands mentioned above according to patent BR 10 2016 002301 7 and updates, and one of them is attached to the umbilical clip, exemplified in FIGURES 7.1 and 7.2 and feature defended in this patent. They all identify the RN for the system.
  • the contents of this chip are recorded and encrypted in such a way that it is impossible to duplicate your information.
  • the encryption methods adopted are confidential and are based on the fact that no two (2) chips are the same.
  • GADs are identified on portals and totems located in all areas of NB circulation including, but not limited to, the birth unit, central and sector nurseries, ICU, diagnostic unit, and mother's room.
  • the method advocated here was created, in which the drug that needs to be monitored arrives at the central pharmacy, where it is identified. with TAG specially designed for this function. Its origin, batch and validity are associated with TAG's EPC number, creating a serialized GTIN (SGTIIM). Properly identified medications go to the dispensing units. There, the medicines are placed in boxes according to their destination. These boxes are sealed with longer range TAGs, which are monitored by tracking units (Arrays).
  • Arrays tracking units
  • the seal is opened and medications are validated, ensuring that they have reached the correct patient.
  • the box containing them is placed over the dispensing monitoring unit. This identifies the date, time and place each component was taken from the box, generating automatic recording of medication time. Text-to-speech feature identifies each item removed from the box in real time, preventing changes or medication errors.
  • the intelligent video system connection allows you to track the path of this item in real time or by automatically retrieving recorded images.
  • the present invention was developed, whereby the alcohol gel dispensing is automatically monitored, identifying the user who triggered the dispenser and who did not. To do this we created a totem on which the alcohol dispenser is installed. When an individual is identified a record is generated containing the date, time, location of the totem and whether or not the user triggers the alcohol dispenser. This record containing date, time, location, user and trigger status is forwarded to a central server. These data allow us to observe the degree of compliance with the sanitation protocol.
  • the totem still generates feedback on sanitation compliance.
  • human factors strategy engineering was made and elements of the science of cognitive behavior were inserted.
  • the processification of the process was conceived.
  • the intention is to reach the nearest 100% or maximum score.
  • the ratio of triggers before entering and leaving each room over total events creates a ratio expressed in percentile. This number generates a score that classifies "the players", and the disclosure of the most assertive, a stimulus to others.
  • Incorporating social marketing elements one can create social media outreach, a valuable positive reinforcement element in creating a hand hygiene culture.
  • the nursing station, the inpatient unit, the floor, the block, the building and the hospital can also constitute virtual fences, with monitoring before entering and leaving each of them, providing exponential gain according to the number of virtual fences interposed between the hospital entrance and the patient's bed.
  • the compiled data guide the CCIH's strategic actions. With large accumulated data it is possible to detect diffusion patterns of nosocomial infection and create knowledge through the use of data mining tools, a late step to be instituted.
  • the present invention comprised of computer equipment, logic, methods and software (Software - SW), allows for the automatic acquisition of health event data, notably but not restricted to the surgical unit.
  • Software - SW allows for the automatic acquisition of health event data, notably but not restricted to the surgical unit.
  • the invention described herein relates to a set of continuous complex closed unit monitoring systems and methods exemplified by the operating room but not exclusively directed to this unit.
  • the operating room is constantly monitored by radial range circular tracking units in relation to its center. positioned across the industry, spread out and integrated with each other to continuously monitor the entire area under its coverage. Coverage for these tracking units is expected within each room or department and can operate on UHF radio frequency, under i-Fi, Bluetooth, infrared, ultrasound or other industry-compatible technology, acting alone or in combination. As an applied example of this invention we describe the methodology in UHF.
  • monitored items circulate through technologies compatible with those applied to circular tracking units, such that these items are constantly monitored.
  • FIGURE 1 For a proper understanding of the methods, we will first discuss the developed equipment and its specifications (inventions), summarized in FIGURE 1.
  • the invention described herein is a UHF tuned passive radio frequency label module for optimum performance when installed in TAG for surgical instruments, and has physical characteristics that allow it to be subjected to various cycles of use and sterilization during operation. instrument life. Alternatively their use can be incorporated into tools in critical and precision industries.
  • the radio frequency (TAG) tag operating on ultra high frequency (UHF) is composed of 4 (four) elements (FIGURE 2.1).
  • the functional element is a commercially available silicon-based chip module designed to operate in UHF to manufacturer's specifications and track design, which adjusts performance, sensitivity, tuning and consistency for each item to be monitored. The design of these tracks is designed to optimize the performance of different chips and instruments, considering their construction and arrangement in relation to the chip and its location in the instrument, and are original features of this patent defended in this document.
  • This chip receives and transmits information through the module tracks that, by magnetic induction, use the instrument as a tuned antenna to optimize the radio frequency signal.
  • Proper electromagnetic coupling between the tracks and the metal instrument depends on the proper design of the tracks that is printed on soft or rigid printed circuit boards with various geometries, tailored to each type of chip and instrument geometry. The presence of the chip as well as the module, encapsulation and fill were considered in the development of this.
  • This patent provides for tuning tuning by incorporating unique graphics into the track design. Such adjustments are made through finite field element software being tested and confirmed in anechoic chamber.
  • the TAG is designed to be welded to instruments currently in use in hospitals or to be integrated with instruments manufactured with the recess carved in the piece itself.
  • the module with the chip attached is submerged in non-toxic adhesive (USP class VI - ISO 10993) contained in the base of the package. It is closed with the package lid after being positioned in the hole of the metal base. This locks the plastic lining in the metal recess.
  • the encapsulation is made of medical grade polyphenyl sulfone. Because it is designed for continuous use, its encapsulation makes TAG impervious to water, blood, secretions and microorganisms. This set was considered in RF engineering as well as its dielectric constants.
  • TAG was created to identify these, best described in FIGURE 3.1 on the right. Instrumentals, such as laparoscopic forceps, have their handles made of plastic in some cases. In these the base of the TAG can be injected during its construction or later incorporated as provided in FIGURE 3.2-F.
  • the biocompatible plastic coating filled with polymerized non-toxic adhesive that, after the construction of the TAG, welds the anterior and posterior encapsulation with the metal base, preventing any contact of the internal TAG elements with the patient. It also occludes all recesses preventing the accumulation of microbiological agents, residues or secretions.
  • the tuning of the module suffered severe interference from the non-toxic adhesive used in the encapsulation, generating the need to redesign the module based on the observed frequency deviation, compensating for this effect for proper tuning of the module.
  • the instrumental does not represent tuning deviation factor, but its positioning determines the transmitted and received powers.
  • the chip should be soldered to the module with refractory technique, preventing its disconnection during the cycle of use, as well as the infiltration of residues, liquids or secretions.
  • the invention described herein is an evolution of the previous version described in patent application BR 10 2015 032172 4 and has several components in its constitution, each described separately, but which together act synergistically for the purpose. audit, monitor, control flows and processes, control maintenance and durability, accompany cleanliness, organize and endorse sterilization of surgical instruments or metal tools and equipment.
  • the functional element is a commercially available, high-temperature, silicon-based chip designed to withstand temperature cycling-resistant modules (FIGURES 2.2, 2.3, and 2.4), with "Inlay” on its surface to which the chip is placed. refractory technique, preventing its release during the cycles of use of the instruments. This was further detailed in the previous chapter entitled “UHF TAG FOR INSTRUMENTARY TAG FOR SURGICAL SURGICAL INSTRUMENT MONITORING LABEL"
  • the metal base when soldered to the surgical instrument, uses said tooling as an antenna that forms a dipole between its ends.
  • the radio frequency (RF) wave at UHF upon reaching such a dipole, induces the electric current through the metal base of the TAG.
  • Such current forms a magnetic field that, by induction, generates electric current in the module that electrically conducts it to the chip, which responds in the same way and in the opposite direction.
  • RF radio frequency
  • Radio frequency chip is glued to the inside recess of the part, created to accommodate glue and drain any excess.
  • the cover design containing the module provides centralized positioning of the module, with the intention of optimizing the electromagnetic coupling performance.
  • the cover also has hooks that engage recesses in the back cover.
  • the countercap has variable height according to the thickness of the metal base required in each case.
  • a flap-like projection serves to position the back cover by filling the slot in the metal base. This solution maintains the positioning of the TAG and prevents recesses that accumulate dirt.
  • the caps and back covers are made of high-strength engineered plastic with a thermal tolerance of over 150 cent centigrade.
  • Plastic parts have different colors, allowing the instrument to be visually identified by binary color coding.
  • the range of colors is fundamental to constitute the identity of each instrument. Injecting plastic with two (2) or more distinct colors can create patterns in addition to colors, making it easy to binary encode instrument identity by patterns and color combinations.
  • Plastic parts lock under pressure, maintaining a large contact area. This area is intended for ultrasonic welding of the two caps. This way the chip will be sealed inside without the possibility of impregnation by water, liquids, fluids or secretions.
  • Covers should be connected with the base positioned inside the metal ring, with the cover or base pressed. When coupled, no decoupling should be possible.
  • the metal base has the electromagnetic coupling function of the module with the metallic instrument used as antenna. This base is soldered to the instrument to ensure that TAG will not separate from it. In order to optimize the welding process, a surplus of 0.5 (half) mm was added, allowing the initial fixation at 2 (two) opposite points, followed by the watertight welding (FIGURE 3.2-D). patent.
  • the surgical instrument may be made with the recess in the same dimensions and technical characteristics as the metal base of this TAG, allowing the module and plastic components to be fitted directly into the original manufacturer part (FIGURE 3.2-E). . 205.
  • This also applies to the updated version of the base (V2.1 - FIGURE 3.2- D center).
  • This new conformation where the cutting of the metal base conforms quadrilateral with precise fit between it and the module, increasing the coupling area between them, allowed greater effectiveness, increasing the reading distance, which is also an element of knowledge defended in this patent (FIGURE 3.2-The right).
  • auxiliary tables In order to transmit and receive radio frequency signals, adapters were created, which are positioned and fixed on auxiliary tables of various sizes and models commonly used in the operating room. Auxiliary table sizes vary slightly in size according to manufacturer standards. Measurement variations are foreseen in this design.
  • SSM Mineral Solid Surface
  • POE Power Over Ethernet
  • the auxiliary table adapter and auxiliary table are composed of a set of three (3) to six (6) commercially available circular polarization antennas that connect to the reader directly or in pairs via frequency. Alternatively the reader communicates with the antennas via HUB, the radio frequency signal distribution unit. Signals are sent and received by a radio frequency reader installed below the antennas. This is fed through the network cable (POE), ensuring proper electrical insulation for operation. THE External connection is made through IP67 sealed network connector and cable, preventing contact with liquids and secretions. The signals then go directly or indirectly to a computer that, controlled by software specifically designed for this function, monitors, manages, and directs surgical instruments, textiles, and other items monitorable by UHF RFID technology throughout the procedure and immediately thereafter.
  • POE network cable
  • the Application may be embedded in the reader, eliminating the use of a dedicated computer. In this way the cabinet is eliminated and all operation takes place through the cloud with the data presented in real time on the room computer and replicated to the upper hierarchy.
  • the adapter or similar table is installed in the purge room, where the instruments used during surgery follow.
  • the function of such a table is to electronically count the instruments of the newly completed surgery. The lack of any item alerts to possible loss or retention in the patient. Alternatively, this electronic check can be done on the auxiliary table itself at the end of surgery, releasing the patient after the countdown is complete.
  • this table has a built-in scale that weighs the instruments and compares with the weight after mounting the box in the clean section of the material center. Any variation for less alert about the loss of instrumental.
  • the mounting table was designed (FIGURE 3.7). Composed of 3 (three) antennas and external or internal connection for fourth antenna connected to RF reader that communicates with application-controlled computer specific for this function. It has the function of assisting in the assembly of the box. 18 000027
  • the base has an integrated scale that weighs the assembled box with all components and lid before packing. This weight should be equal when compared to the postoperative period, ensuring redundancy in the instrument control processes.
  • the TAGs can still be fully passive (FIGURES 3.8 left and right), allowing for long service life and virtually zero maintenance, or battery assisted allowing pressure sensor, temperature, accelerometer and humidity coupling. It is sealed and term resistant to sterilization cycles. Armed with RGB LEDs, it tells you if the sterilization cycle has been completed as scheduled and expected.
  • Information is downloaded via UHF, Bluetooth, or Wi-Fi to the system, allowing each cycle analysis and automatic ineffective cycle alerts. Additionally, the RGB LEDs flash in a color pattern, number and frequency that visually identify the cycle result.
  • the invention described herein is a passive radio frequency tag operating in UHF tuned to optimize its performance in close contact with biological liquids and which has physical characteristics that allow it to be integrated into surgical textiles without risk of damage to anatomical structures.
  • the radio frequency label operating in ultra high frequency (UHF) (FIGURE 4.1) is composed of 5 (five) elements (FIGURE 4.2).
  • the functional element is a commercially available silicon based chip designed to operate in UHF to manufacturer's specifications.
  • This chip receives and transmits information through a perfectly tuned antenna to optimize the radio frequency signal when near biological liquids.
  • the presence of the chip as well as the encapsulation were considered.
  • This patent provides for tuning to incorporate unique graphics. Such adjustments are made using finite field element software being tested and confirmed in anechoic chamber (FIGURES 4.3 and 4.4).
  • the external dimensions of the enclosure are 32 (thirty two) mm x 4 (four) mm and the antenna dimensions are 30 (thirty) mm x 3 (three) mm.
  • the TAG package has two (2) distinct functions. First it must give the malleability and strength necessary for the textile to be flexible, but keep the antenna in its conformation. Second, it must isolate all functional components of GAD from contact with blood, secretions, urine, feces, exudates and transudates, which could potentially contaminate the patient.
  • biocompatible plastic coating that, after the construction of the TAG, welds the anterior and posterior encapsulation, preventing any contact of the internal elements of the TAG with the organism.
  • TAG's construction, antenna design and components, and integration form are elements defended in this patent.
  • the invention is a user ID card via passive radio frequency tag operating in tuned UHF to optimize its performance when installed simultaneously with passive radio frequency tag operating on HF (Mifare type or otherwise) or LF and with EMV chip for Brazilian standard digital identity. All of these components are combined within a PVC card that is laminated, making the above internal components of the card. External to this card, optical identities such as QR Code, Datamatrix or barcode and magnetic tape can be added.
  • the UHF (ultra high frequency) radio frequency label is composed of antenna and chip (FIGURE 5.1).
  • the chip is a commercially available model, which is coupled with an antenna designed according to the characteristics of the chip and the interaction with other components and the proximity of the human body.
  • the chip may still be common to HF and UHF or distinct according to the required application, in this case exemplarily distinct chips.
  • the HF chip and its antenna form the Inlay HF identified in FIGURE 5.1.
  • the digital identity chip Due to the required security, the digital identity chip is unique and has no interface with others except being inside the same card. In this way the encrypted data stored by the certification agency is preserved without the risk of data leakage.
  • the PVC encapsulation allows card durability as well as printing on the card, and also serves as a visual identity for the user and the institution, as well as a barcode, QR Code or magnetic tape deployment platform (FIGURE 5.1 - right).
  • the invention described herein is a passive or battery assisted radio frequency tag operating on UHF, Wi-Fi and Bluetooth alone or in combination, tuned to optimize its performance in close contact with the human skin, with built-in sensors. and has physical characteristics that allow it to be integrated with identification bracelets without risk of harm to the patient.
  • the ultra high frequency (UHF) radio frequency label (FIGURE 6.1) is composed of 4 (four) elements (FIGURE 6.2).
  • the functional element is a commercially available silicon based chip designed to operate in UHF to manufacturer's specifications.
  • This chip receives and transmits information through a perfectly tuned antenna to optimize the radio frequency signal when close to the human skin.
  • the presence of the chip, as well as the encapsulation and dielectric spacers were considered in its development.
  • This patent provides for tuning to be incorporated with the incorporation of unique graphic elements also considering the presence of electronic elements. Such adjustments are made through finite field element software being tested and confirmed in anechoic chamber.
  • TAG was designed to adhere to bracelets in use in hospitals, taking advantage of the infrastructure already installed in the institutions. For both use sticker non-toxic Considering the built-in battery-operated electronics wristband, it has handles through which the body of the wristbands currently in use, which when sealed, keeps the electronic component attached to the patient. Because it is designed for continuous use, its encapsulation makes the TAG impervious to water, even with electronics, making it the battery pack injected in human plastic and activated by wireless technology. Also for user comfort, the face in contact with the skin is partially or wholly composed of non-allergenic plastic foam. In one construction option, the adhesive layer exceeds the TAG side measures, forming side flaps.
  • the TAG wraps around the entire bracelet, giving greater engagement to the coupling.
  • the structure of the fully passive TAG is described in FIGURE 6.2 and that of the electronic and battery operated TAG in FIGURES 6.7 and 6.8.
  • the tabs are thin, alternate or aligned and straight or curved, allowing interdigitation or interlocking.
  • the external dimensions of the package in the newborn (RN) version are 40 mm to 95 mm x 20 mm at 4.14 mm thickness and the antenna dimensions are 37.6 mm to 92 mm x 15 mm TAG adult dimensions, however, vary according to the sensing built into it.
  • the passive adult TAG provides monitoring of body temperature and humidity.
  • the same TAG allows to identify temperature, humidity and presence of eliminations, avoiding unnecessary manipulation of the patient.
  • the presence of liquids and temperature variation within human tolerance limits lead to impedance changes in passive GAD which, when interpreted by specific software, identifies the immediate temperature as well as the degree of humidity.
  • passive GAD can, in addition to identifying the user, inform about basic clinical signs and alert the patient's demands through manual interaction with them.
  • the TAG package has two (2) distinct functions. First it must give the malleability and strength necessary for the bracelet to be flexible, but the antenna retains its conformation. Second, it must isolate all TAG electronic components from skin contact.
  • biocompatible plastic coating that, after the construction of the TAG, welds the anterior and posterior encapsulation, preventing any contact of the internal elements of the TAG with the patient.
  • the Newborn At birth, the Newborn (RN) is readily identified with three (3) labels on the limbs. Yet your umbilical cord receives an umbilical clip to prevent bleeding.
  • the umbilical tag shown in FIGURES 7.1 and 7.2 is inserted into the handle of the seal prior to locking.
  • This TAG has, inside, a filter paper housing, which stores and isolates blood from the umbilical vessels, promoting DNA reserve in case of identity confirmation need. Variations of this such as label without DNA reservoir, otherwise constituted DNA reservoir or different antenna designs are provided in this patent.
  • the NB is identified with bracelets on 3 (3) of 4 (4) limbs. These are usually printed before surgery, confirmed by the mother or guardian, and follow the chart. Adhered to these, the best characterized TAGs are placed in FIGURES 6.1, 6.2, 6.3, 6.4, 6.5, 6.6, 6.6 - B, 6.7 and 6.8, which associated with the mother's name at the time they were coupled, allow the identification of the newborn when they are affixed to it.
  • the responsibility for the NB lies with the Neonatologist, who is taking care of it. After the initial evaluation, the neonatologist sends the newborn to the best indicated sector according to its clinical condition. It usually proceeds to the birth unit's nursery, where it is par 30 (thirty) minutes to 2 (two) hours under observation.
  • automatisms are predicted as an alarm for the risk of hypoglycemia after 2 (two) hours of birth or 1h30 (one and a half hours) after the birth of a diabetic mother, among others.
  • the NB Upon discharge from the birth unit nursery, the NB should proceed to the central nursery. To this end, the transportation officer will assume the guardianship of the RN after verifying the printed and RF identity, and will pass the guardianship to the destination unit in the same way. Every time a guardianship is passed, a system log is created that can be reviewed and documented. Note that the guardianship automatically migrates to the next responsible when arriving at the correct destination.
  • the employee In order to acquire the guardianship again, the employee must proceed as in other sectors, identifying the RN and then himself. 271.
  • the NB At discharge, the NB is only released after the mother takes over the NB. They move to the hospital reception where, for free, a totem takes a picture of the parents when they are identified mother and newborn together in front of them. This image should be uploaded to the database along with all RN guardianship records, ensuring long-term record of RN monitoring from birth to discharge.
  • the cord clip is usually removed between the second and third day of birth, very close to discharge. With a view to safety monitoring, the clip will be removed near the time of discharge in uncomplicated NBs who are expected to be discharged by the third day.
  • This withdrawal is made only by the nursing staff due to the inherent risks such as bleeding or infection.
  • the withdrawal is performed on a smart bench, which automatically identifies the RN, best described in FIGURE 7.5.
  • the umbilical TAG (FIGURE 7.1) is attached to the patient's medical record and constitutes an association between the genetic material inside and the newborn, and may be used in the future to resolve differences.
  • the TAG can also be used by the medical scheduling and statistics service (SAME) to identify the medical record automatically, by hand scanner looking for the electronic identity registered in the medical record and expressed on the label.
  • SAME medical scheduling and statistics service
  • the smart bench consists of a radiofrequency transparent surface, preferably Mineral Solid Surface (SSM), under which the identification antennas are positioned. They also automatically identify the user, letting them know if they are a doctor, nurse or caregiver. Interactive screen allows automated annotations of key markers observed during the immediate postnatal period.
  • SSM Mineral Solid Surface
  • a doctor stands in front of the bench with a particular NB, his medical record appears and information such as jaundice zone, Ortolano maneuver, among others are recorded by the user and constitute part of the patient's electronic medical record, streamlining the process of medical evolution.
  • a specific menu is available that includes, but not exclusively, gives access to the umbilical clip removal menu, nursing notes, among others.
  • An assistant approaching the smart bench has access the specific menu, which allows you to note diaper changes, appearance and amount of meconium and urine, among others.
  • FIGURE 7.6 Automatic scale, better characterized in FIGURE 7.6, is also provided for in this solution. When the newborn is positioned over it, it is identified and its weight is automatically recorded in the electronic medical record. The height can be recorded by any touch screen enabled user. Keyboards are avoided to prevent transmission of infectious agents. Interaction with other systems such as hand hygiene compliance monitoring is anticipated, as well as importing and exporting data to the hospital management system.
  • POP Standard Operating Process
  • a second fence involves common areas such as family room and access to lifts and stairs.
  • a third virtual fence surrounds the common areas of other floors and reception and a fourth fence surrounds the institution's access (entry and exit) roads. Still a fifth virtual fence can be created in the common outdoor areas. The effect of consecutive filters is thus applied, exponentially reducing the risks of deviations and losses.
  • Concentric virtual fences applied to electronic guarding with safe technology to the hospital environment is a creative method defended in this patent.
  • guardianship of these assets applies equally to, but not exclusively to, assets and is intended for different purposes in the transport of critical, high value or highly regulated items ranging from medicines to ammunition and armaments.
  • the invention described herein is a method of continuous monitoring of high and low cost items in a closed complex unit, exemplified by the operating room, but not directed solely to this unit.
  • the items of interest are identified with the radiofrequency tag (TAG), preferably in their origin by the pharmaceutical industry, rather than being admitted to the hospital's central pharmacy.
  • TAG radiofrequency tag
  • FIGURE 8.1 After that, they are placed in internal distribution boxes (FIGURE 8.4), where they are counted, identified and serialized according to the GS1 standard.
  • the information contained in the chips is, for example, but not restricted to, Medicament, manufacturer, batch, validity and serialization (unitarization).
  • these serials are associated with invoice number, unit cost price, vendor, purchase date, delivery date, and RFID serialization date.
  • the box also contains a reservoir dedicated to the deposit of empty drug shells. TAGs still transmit, but an observed difference in signal may allow us to infer that such an ampoule is empty.
  • the box is closed and sealed with a new seal, previously located inside the box. This seal is also monitored along its way back to the pharmacy, where the box is deposited on a reading unit and checked. Any reading divergence is checked manually at any time it has been observed.
  • the seal Upon return from the pharmacy, the seal is reopened and the reservoir containing the empty hulls is read over the monitoring unit and checked manually. The result of reading with the pharmacist's endorsement authenticates the use of the medication and generates charge with the paying source. The box is filled with the missing drugs, resealed and made available for the next procedure.
  • the seal may be reusable, with magnetic or mechanical locks that can be opened only at destinations.
  • guardianship defended in patent BR 10 2016 005739 6 and updated in this application, also applies to this scenario, where at all times there is a person responsible for the box and its contents.
  • the guardianship is passed by identification with identification badge of the individual qualified for such function.
  • SW software logic
  • TAGs may also be applied to surgical unit equipment (FIGURE 8.10). This allows the location of the item in real time under the monitored area and determines the last detected location, allowing to identify its probable destination.
  • 294. In addition to facilitating localization, it allows automatic association of equipment with the procedure, facilitating billing and identifying non-human vectors of nosocomial infection. 295. From the perspective of clinical engineering, it also allows to make available or block the use for maintenance, concert or others, providing visibility of the resources available to the surgical unit manager.
  • the invention described herein is about equipment, software, logic and method that work together in synergy for the purpose of monitoring hand hygiene compliance, identifying users, identifying vectors and potential cases. It also serves to create virtual fences to monitor hand hygiene compliance at various levels, enhancing the effectiveness of the process.
  • the equipment is the Sanitizing Totem (FIGURE 9.1), the Pre-Surgical Antisepsis Sink (FIGURE 9.3) and the Brush Dispenser (FIGURE 9.5).
  • the first consists of a radio frequency antenna connected to a decoder reader equipment that transmits the information to a screen processing unit (FIGURE 9.2).
  • this screen can be touch sensitive with conditional interaction to the identified user. It may not have a screen yet, and the visual interaction through the RGB led colors visible on the right side of the alcohol dispenser.
  • the processing unit may also emit audible signals for verbal and nonverbal sound communication. In a construction option, such interaction may occur across the reader board.
  • the user is identified by a badge operating in the frequency range of the reader (FIGURE 5.1), as well as the alcohol dispenser, which is equipped with TAGs with the same characteristics.
  • the TAG of the alcohol dispenser is logically associated with a position, such that the user's location can be determined when his badge is identified at a particular terminal (Totem). From a logic point of view the equipment can be inside or outside a certain place, area or sector.
  • sanitation monitoring occurs when there is an ackohol dispenser logging before entering and before leaving a particular environment, area or location. To do so, logs with date, time, location, user, position (inside or outside) and sanitization compliance are generated and stored on a cloud server. When detected within an environment, this record is consulted, checking for hand hygiene compliance on an ongoing and individual basis. All with badges are monitored. The user without a badge is not identified by the system, but anonymous hygiene registration is performed.
  • this invention also relies on the creation of concentric virtual fences in units, floors, sectors, blocks, buildings and hospitals.
  • the interaction may be simpler, with only positive reinforcement elements to the sanitation performed.
  • a Tefa image gives positive feedback, recording the event, while the absence of the sanitizing act is not reported.
  • This sanitization event is reported to the cloud server where it will be part of the database validating this event within software logic.
  • the hand hygiene compliance index is updated in real time and can be either general or filtered by industry, business unit or even sorted individually. Individuals who have sanitation rates below a score, here suggested of 55% (fifty-five percent), should undergo recycling by the HICC sector. This value will be updated according to the reality of each service and serves only as the initial parameter.
  • each room is identified by a set of 2 (two) terminals, one inside and one outside. Knowing who the patient is in that room for a certain period of time, we can use these terminals to identify people, as well as check that medications, blood products and equipment are going to the right room with the right patient, avoiding exchanges and promoting patient safety.
  • People may be visitors, doctors, nurses, technicians, third parties and even newborns (RN), identified by a bracelet fitted with a radio frequency tag.
  • RN newborns
  • FIGURES 9.3, 9.4 and 9.5 Due to the specific characteristics of surgical units, hand hygiene monitoring is complemented by hand brushing time monitoring.
  • the monitoring equipment described in FIGURES 9.3, 9.4 and 9.5 have been designed.
  • the equipment is comprised of a brush removal sensor surgical brush dispenser (FIGURE 9.5), radio frequency antenna array, radio frequency reader / decoder circuit, and computer screen.
  • the user is also identified by a badge that operates on UHF radio frequency.
  • virtual fences determine hand hygiene points until, upon reaching the operating room, alcohol sanitation has occurred 1 (one) to 2 (two) times.
  • hand brushing is required or alternatively the application of specific antiseptics during a certain period.
  • the alcohol gel hand hygiene system Integrated with the alcohol gel hand hygiene system, it also allows checking the adherence of anesthetists, nurses, assistants, circulators, technicians and third parties working in the surgical unit.
  • Combines operate as real-time locating equipment and can locate people, equipment, medicines, psychotropic boxes, OPMEs, blood products, instrumental boxes and monitor and authenticate.
  • the CCIH also has access to the information displayed on the bedroom display, enabling those entering the room to be informed of the type of insulation, pathogen name and specific hygiene compliance index of that bed upon entering and leaving (risks of contamination). and dissemination respectively). Additional data such as Clinical Scores (APACHE and Fragility, for example) allow quick understanding of the case during emergencies and emergencies.
  • Clinical Scores APACHE and Fragility, for example
  • a heat map is displayed and updated in real time, visually identifying critical points and occurrence patterns. From the operating point of view of the Surgical Unit, the visibility and predictability resulting from the information allows quick adjustments ensuring fluency and optimization of room turn-over coupled with reduced surgical risk.
  • A) The user in direct interaction with the patient has access to the data related to their procedure in real time without the need to enter data or make verification barriers, or just to carry out the standard operating process and be alert to signs of inconsistencies or divergences. The focus of this is patient care directly or indirectly.
  • the next hierarchical level is represented by the management of the surgical unit. This is presented real-time operation dashboard with room occupancy rates, average surgery time, delayed start of surgery to name a few. Alongside current figures is the average reference for the last quarter and the same month of the previous year. From this level upwards we have the interactive dashboard where the user can perform manual data mining and determine visualization options according to what he wants to rehearse. This is the industry's strategic SWOT analysis tool to plan strategic actions. As for patient care, is aware of cases on institutional alert.
  • the dashboard presents historical series of indicators and their comparisons with current status, as well as performance indicators by user, operator, patient, specialty, etc. This way you have visibility of the operational history and can define strategic solutions. Yet it is also notified of cases of institutional surveillance 'and the high being dependent on its seal (legal liability).
  • the dashboard is user editable and customizable, allowing you to look at your industry dynamically and according to the needs of each service and user.

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Abstract

La présente invention concerne des systèmes d'automatisation, d'identification, d'authentification et de suivi d'articles et de personnes se basant sur un système de localisation en temps réel avec technologie sécurisée pour l'environnement hospitalier. À cet effet, on a mis au point des équipements, des accessoires et des étiquettes RFID (tags) qui, couplés aux éléments, aux personnes et aux locaux, permettent de surveiller les processus habituels de l'institution, d'effectuer des des enregistrements et une surveillance en temps réel, de réaliser une automatisation et une visualisation des processus, d'assurer une commande électronique avec données fiables et de réduire le coût de fonctionnement ainsi que les coûts de santé. Ainsi, les inventions, les idées, les méthodes, les logiques, les caractéristiques structurales, les spécifications, les dessins, les applications, la logique d'applications et les logiciels ainsi que le procédé de commande électronique en temps réel se basant sur l'intelligence des articles sont des droits constitutifs du présent brevet et sont défendus dans celui-ci.
PCT/BR2018/000027 2017-04-26 2018-04-26 Système et procédé de commande électronique d'unité chirurgicale par automatisation, identification, authentification et suivi d'articles et de personnes se basant sur un système de localisation en temps réel avec technologie sécurisée Ceased WO2018195615A1 (fr)

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EP3669814A1 (fr) * 2018-12-20 2020-06-24 W & H Dentalwerk Bürmoos GmbH Instrument médical ou dentaire doté d'une étiquette mémoire rfid
CN111353572A (zh) * 2018-12-20 2020-06-30 W和H牙科产品比莫斯有限公司 具有rfid存储器标签的医疗或牙科器械
US11227203B2 (en) 2018-12-20 2022-01-18 W&H Dentalwerk Bürmoos GmbH Medical or dental instrument having an RFID memory tag
CN111353572B (zh) * 2018-12-20 2023-06-23 W和H牙科产品比莫斯有限公司 具有rfid存储器标签的医疗或牙科器械

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