JP2007310759A - Medical equipment management device and medical equipment management method - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical equipment management device and medical equipment management method excellent in operability, which can automatically acquire management information of medical equipment in a hospital or the like. <P>SOLUTION: The medical equipment management device is provided with an equipment management server 25, radio master units connected to the equipment management server, a radio slave unit for communicating with a radio master unit, RFIC tag readers connected to the radio slave unit to communicate with an RFIC tag mounted in medical equipment, and a database system connected to the equipment management server to store identification information of the RFIC tags together with identification information of the radio unit or the radio master unit and date and hour information. The radio slave unit and the tag reader can be included in the medical equipment or externally connected to the medical equipment. It is possible to collect operation information even about small portable medical equipment, perform accurate maintenance and management, grasp a present position, or the like. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

  The present invention relates to a medical device management device and a medical device management method, and more particularly to a medical device management device and a medical device management method excellent in operability that can automatically acquire management information of a medical device in a hospital or the like. .

  Conventionally, for large medical devices such as MRI and CT in hospitals, the operation information of medical devices has been managed by a known RIS (Radiation Section Information System). The following Patent Document 1 discloses an information system that allows the usage fee to be calculated for each clinic according to the usage status of each clinical clinic of the test equipment shared with the collective medical tenant. .

In this system, medical department identification information predetermined for each medical department is added to the examination order information and transmitted from the ordering terminal, and the medical department identification information is also added to the inspection information related to the actually performed examination. The medical accounting system calculates the usage fee of the testing equipment for each medical department based on the examination information including the medical department identification information.
JP 2003-178137 A

  In hospitals, in addition to large medical devices managed by RIS, small medical devices such as portable infusion pump devices, operating tables, anesthesia machines, electric scalpel devices, laser scalpel devices, and electric surgical devices are also used. Yes. However, in the conventional RIS, the operation information of these medical devices has not been managed. Accordingly, the exact number of times and hours of use of these medical devices are unknown, and there is a problem that maintenance management based on the number of times of use and hours of use and calculation of profit / loss for each device cannot be performed.

  Although it may be possible to input medical device usage information using the keyboard or barcode reader attached to the RIS terminal, the device usage site and the RIS terminal may be at a distance, and the information input operation may be cumbersome. Therefore, there was a risk of frequent omissions of usage information.

  An object of the present invention is to provide a medical device management apparatus and a medical device management method excellent in operability that can solve the above-described problems of the prior art and can automatically acquire management information of medical devices in a hospital or the like. There is.

  The medical device management apparatus of the present invention includes a device management server means, a wireless master device connected to the device management server means, a wireless slave device for performing data communication with the wireless master device, and the wireless slave device RFIC tag reading means that communicates with an RFIC tag attached to a medical device, and is connected to the device management server means and read by the RFIC tag reading means, and the wireless slave device means and the wireless master device means And a database system for storing the identification information of the RFIC tag transferred by the ID together with the identification information and date / time information of the wireless slave device or the wireless master device to which this information has been transferred.

  Alternatively, the medical device management apparatus of the present invention is connected to the device management server means, the RFIC tag reading means connected to the RFIC tag attached to the medical device, and connected to the device management server. And a database system for storing the identification information of the RFIC tag read by the RFIC tag reading means together with the identification information and date / time information of the RFIC tag reading means.

  Alternatively, the medical device management apparatus of the present invention includes a device management server unit, a wireless base unit connected to the device management server unit, and a built-in or externally connected medical device, and data communication with the wireless base unit The wireless slave unit that transmits the identification information and operation information of the medical device, and the operation information of the medical device that is connected to the device management server unit, and the identification information of the wireless slave unit that has transmitted this information And a database system that stores the date and time information together.

  In the medical device management apparatus, the medical device management apparatus further includes an RFIC tag reading unit connected to the wireless slave unit, and the database system corresponds to the identification information of the medical device, and Another feature is that the identification information of the RFIC tag read by the RFIC tag reading means and transferred by the wireless slave unit means and the wireless master unit means is stored.

  Further, the medical device management apparatus described above is characterized in that the RFIC tag unit or the wireless slave unit built in the medical device includes an information storage unit that can be rewritten from the outside.

  In the medical device management apparatus described above, the device management server means is connected to a hospital information system that manages medical information, and further includes medical information acquisition means for acquiring medical information from the hospital information system, and an RFIC tag. There is also a feature in that it includes a matching means for associating the identification information of the patient or device user acquired from the read information with the medical information acquired by the medical information acquisition means.

  In the medical device management apparatus described above, the device management server means further accumulates the number of times of use or time of use based on the recorded use history information of the medical device, and requires maintenance based on the accumulated result. There is also a feature in that it has a maintenance management means for extracting and outputting.

  The medical device management method of the present invention includes a step of reading the identification information of the medical device and the identification information of the patient or the user of the medical device and recording it in a database together with date and time information, acquiring the medical information from a hospital information system, the patient Alternatively, the step of associating the identification information of the user of the medical device with the medical information acquired by the medical information acquisition means, integrating the number of times or time of use based on the recorded medical device usage history information, and integrating The main feature is that it includes a step of extracting and outputting a medical device requiring maintenance based on the result.

The medical device management apparatus and medical device management method of the present invention have the following effects.
(1) Operation information can be collected even for small portable medical devices, and accurate maintenance and management, grasping of the current position, and the like can be performed.
(2) Since the data input operation by the user or the like is unnecessary or simplified, the operability of data input is improved and the data input leakage is reduced. Accordingly, it is possible to eliminate the loss of medical fees due to the use of medical devices.

(3) Since the operation rate, maintenance, lending, repair history, and defect information for each device, each user, and each patient can be managed, feedback is possible by performing statistical processing.
(4) By recording maintenance and repair information on the IC tag, it is possible to refer to the information without accessing the system.

  Embodiments of the present invention will be described below in detail with reference to the drawings.

  The first embodiment of the present invention will be described below. FIG. 1 is a block diagram showing a hardware configuration of a hospital system including a medical device management apparatus according to the present invention. The HIS server 10, the database (electronic medical chart) 11, and the plurality of HIS terminals 12 are connected by a LAN (A) 21 to constitute a known HIS (hospital information system). An accounting and business processing system 20 is also connected via a LAN.

  A known RIS (Radiology Division Information System), which is part of the HIS, manages a plurality of modalities such as the RIS server 13, MRI14, and CT15, an image server 16 that manages captured images, and order, operation, and maintenance. RIS terminal 17, LAN (B) 18 and the like.

  The medical device management apparatus according to the present invention includes a device management server 25 connected to the HIS LAN (A) 21, a device management database 26 for storing medical device management information, and a plurality of devices connected via the LAN (C) 27. Wireless master device 35, device management terminal 39, and the like.

  In the examination room, examination room, operating room 30 and hospital room 31, for example, a wireless master device 35 is installed on the ceiling or the like for each room or for each compartment in the room. The wireless master device 35 is connected to the device management server 25 via the LAN (C) 27.

  As a wireless communication method, a wireless communication device compliant with a known standard such as a wireless LAN or Bluetooth can be used. The wireless master device 35 adds the identification information (hereinafter referred to as ID) of the master device 35 to the information to be transferred, and transfers the information to the device management server 25.

  Each of the medical device 38, the patient 43, and the doctor (engineer, nurse) 44 is attached or possessed with an RFIC tag 37. As the RFIC tag 37, for example, a known read-only or writable RFID tag, a known non-contact read / write IC card, or the like can be used.

  The reader 36 of the RFIC tag is a portable reader / writer having a wireless communication function such as a wireless LAN standard. The reader 36 may be provided in the room, or may be possessed by a doctor (engineer, nurse) 44. When the doctor (engineer, nurse) 44 possesses the ID of the doctor (engineer, nurse) 44 registered in advance in the reader 36, the reading of the user's tag may be omitted. it can.

  The reader 36 transmits the ID of the read RFIC tag 37 and the ID of the reader 36 as a set to the device management server 25 via the wireless master device 35 based on the reading operation of the user who is a doctor (engineer, nurse) 44, for example. To do.

  The medical device management room 32 may be provided with a wireless master device 35 or may be used by connecting the reader 40 of the RFIC tag 37 to the device management terminal 39 used by the engineer 45 (or nurse). Good.

  FIG. 2 is an explanatory diagram showing the contents of the database of the medical device management apparatus of the present invention. The medical material product master T-1 uses the unique product code DAN as a key, JAN, product name, standard, catalog number, manufacturer number, classification number, major classification number, middle classification number, minor classification number, purchase price In addition, information on items of packing unit number and packing number is stored.

  The packing master T-2 stores information on items of packing name, quantity, and deletion flag using DAN, packing unit number, and packing number as keys. The equipment product master T-3 stores the product name, standard, catalog number, list price, size, power consumption, manufacturer number, major classification number, middle classification number, and minor classification number items using the commodity number as a key. ing.

  The defect master T-4 stores information on defect content items using the defect number as a key. The department master T-5 stores information on the department name item using the department number as a key. The processing category master T-6 stores information on the item of the processing category name using the processing category number as a key.

  The equipment-related consumable master T-7 stores information on items of DAN, packing unit number, packing number, and quantity using the product number as a key. The manufacturer master T-8 stores information on items of manufacturer name, address, telephone number, FAX number, maintenance contact, and maintenance person name using the manufacturer number as a key.

  The major classification master T-9 stores information on major classification name and insurance point items using the major classification number as a key. The middle classification master T-10 stores information on items of middle classification name and insurance points using the middle classification number as a key. The small classification master T-11 stores information on the items of the small classification name and the insurance score using the small classification number as a key.

  Equipment ledger T-12 uses equipment number as key, product number, manufacturing number, purchase department number, purchase price, purchase date, installation department number, maintenance contract start date, maintenance contract end date, maintenance details, maintenance alarms Information on items of value, number of use after maintenance, availability (maintenance required), defect number is stored.

  Equipment history T-13 is equipment number, product number, product name, standard, catalog number, manufacturing number, manufacturer name, major category name, middle category name, minor category name, processing category name, processing date and time, usage time, defect It stores information on the content, used patient ID, used engineer ID, used department signature, destination department number, source department number, and remarks. The medical device usage history is recorded in the equipment ledger T-12 and equipment history T-13.

  FIG. 3 is a flowchart showing processing contents in the device management server of the present invention. In S10, it is determined whether or not the device management DB search request is received from the device management terminal 25 or the other terminals 12 and 17, and if the determination result is negative, the process proceeds to S14, but if the determination is affirmative, the process proceeds to S11. Transition.

  In S11, a search condition is input or a predetermined value determined in advance by the search type is read. In S12, the device management DB is searched. In S13, for example, search results such as a department-specific use frequency table, a user-specific use frequency table, a device installation location table, infection, malfunction, repair table, etc. are displayed or printed out.

  In S14, it is determined whether or not the device management data is input from the device management terminal 39. If the determination result is negative, the process proceeds to S16, but if the determination is affirmative, the process proceeds to S15. In S15, the medical device ID, user ID, patient ID, date and time, department used, defect information, maintenance information, etc. are recorded as a set in the device management DB.

  In S16, it is determined whether or not wireless data is input from the wireless master device 35. If the determination result is negative, the process proceeds to S10, but if the determination is affirmative, the process proceeds to S17. In S17, the medical device ID, user ID, patient ID, date and time, wireless master device ID, reader ID, etc. are recorded as a set in the device management DB.

  In S18, the use frequency data of the corresponding medical device is updated. In S19, the related order information, medical information about the patient, etc. are acquired from the HIS system, matched with the device usage information, and recorded.

  In S20, it is determined whether or not the number of uses of the medical device has exceeded the number of times that maintenance is required. If the determination result is negative, the process proceeds to S10, but if the determination is affirmative, the process proceeds to S21. In S21, the use prohibition flag in the device management DB is turned on. In S22, an alarm including information such as the number of the maintenance-required device and the installed department is displayed and printed on the device management terminal 39.

  FIG. 4 is a block diagram showing a hardware configuration of a hospital system including a medical device management apparatus according to the second embodiment of the present invention. In the second embodiment, instead of the portable reader / writer 36 of the first embodiment, a fixed RFIC tag reader 41 installed on the ceiling, wall, doorway or the like is used. The RFIC tag reader 41 is connected to the device management server 25 via the LAN (C) 27.

  The RFIC tag reader 41 periodically reads an RFIC tag indoors or within a predetermined distance, and transmits the read information to the device management server 25. In the examination room, examination room 30, and hospital room 31, a combination of detected IDs is recorded with time.

  However, in the configuration of the second embodiment, data such as the association between the medical device and the user or patient, the number of times of use, or the use time cannot be acquired. Therefore, the device management server 25 refers to the order information, medical treatment, and treatment information acquired from the HIS based on the detected medical device ID, user ID, and patient ID, and determines the user and patient corresponding to the medical device. Determine and record the number of uses of the medical device. The configuration of the management room 32 may be the same as that shown in FIG.

FIG. 5 is a block diagram showing a hardware configuration of a hospital system including a medical device management apparatus according to the third embodiment of the present invention. The third embodiment is an example in which, for example, wireless LAN slave devices 51 and 53 incorporated in or externally attached to the medical devices 50 and 38 themselves are used instead of the portable reader / writer 36 of the first embodiment. Then, external or integrated RFIC tag readers 52 and 54 are connected to the wireless slave units 51 and 53.

  In the examination room, examination room 30, and hospital room 31, since the wireless slave units 51 and 53 are connected to the medical devices 50 and 38, it is not necessary to read the IDs of the medical devices 50 and 38, and the medical devices 50 and 38 are operated. Status (operation time) information can also be acquired. Power can also be supplied from the medical device to the wireless slave devices 51 and 53. The configuration of the management room 32 may be the same as that shown in FIG.

  The medical device 38 and the wireless slave device 53 can be connected by a known interface such as RS-232C or USB. The identification information of the RFIC tag 37 read by the readers 52 and 54 is transmitted to the device management server 25 through the wireless master device 35 as a set together with the ID and operation information of the medical devices 50 and 38.

Although the embodiments have been described above, the following modifications may be considered in the present invention. In the embodiment, the example in which the present invention is applied to a small medical device has been disclosed. However, the present invention can be applied to any device, equipment, and consumables used in a medical field.
In the embodiments, the medical device management apparatus separated from the HIS and RIS is disclosed. However, the present invention can also be implemented by executing a program for realizing the functions of the present invention on the HIS or RIS server. .

It is a block diagram which shows the hardware constitutions of the system in a hospital containing the medical device management apparatus of this invention. It is explanatory drawing which shows the content of the database of the medical device management apparatus of this invention. It is a flowchart which shows the processing content in the apparatus management server of this invention. It is a block diagram which shows the hardware constitutions of the system in a hospital containing the medical device management apparatus of 2nd Example of this invention. It is a block diagram which shows the hardware constitutions of the system in a hospital containing the medical equipment management apparatus of 3rd Example of this invention.

Explanation of symbols

10 ... HIS server 11 ... Database (electronic medical record)
12 ... HIS terminal 13 ... RIS server 14 ... MRI
15 ... CT
16 ... Image server 17 ... RIS terminals 18, 21, 27 ... LAN
DESCRIPTION OF SYMBOLS 20 ... Office processing system 25 ... Device management server 26 ... Device management database 30 ... Examination room, examination room 31 ... Hospital room 32 ... Management room 35 ... Radio | wireless parent machine 36, 40 ... IC tag reader 37 ... RFIC tag 38 ... Medical device 39 ... Device management terminal 43 ... patient 44 ... doctor (engineer, nurse)
45 ... Engineer

Claims (8)

A device management server means;
A wireless master unit connected to the device management server unit;
A wireless slave unit for performing data communication with the wireless master unit;
An RFIC tag reading unit that is connected to the wireless slave unit and communicates with an RFIC tag attached to a medical device;
Identification information of the RFIC tag connected to the device management server means, read by the RFIC tag reading means, and transferred by the wireless slave unit means and the wireless master unit means is the wireless slave unit or wireless unit that has transferred this information. A medical device management apparatus comprising a database system for storing together with identification information and date / time information of a parent device. A device management server means;
RFIC tag reading means connected to the device management server means for communicating with an RFIC tag attached to a medical device;
And a database system that is connected to the device management server and stores the identification information of the RFIC tag read by the RFIC tag reading means together with the identification information and date information of the RFIC tag reading means. Equipment management device. A device management server means;
A wireless master unit connected to the device management server unit;
A wireless slave unit that is built in or externally connected to the medical device, performs data communication with the wireless master unit, and transmits identification information and operation information of the medical device;
A medical device management apparatus comprising: a database system connected to the device management server means and storing operation information of the medical device together with identification information and date / time information of the wireless slave device that transmitted the information . The medical device management apparatus further includes an RFIC tag reading unit connected to the wireless slave unit,
The database system stores the identification information of the RFIC tag read by the RFIC tag reading means and transferred by the wireless slave unit means and the wireless master unit means in correspondence with the identification information of the medical device. The medical device management apparatus according to claim 3.   5. The medical device management apparatus according to claim 1, wherein the RFIC tag unit or the wireless slave unit built in the medical device includes an information storage unit that can be rewritten from the outside. . The device management server means is connected to a hospital information system for managing medical information, and
Medical information acquisition means for acquiring medical information from the hospital information system;
5. A matching means for associating identification information of a patient or device user acquired from reading information of an RFIC tag with medical information acquired by medical information acquisition means. The medical device management apparatus in any one of. The device management server means further includes
It is characterized by comprising maintenance management means for accumulating the number of times of use or use time based on the recorded use history information of the medical device, and extracting and outputting a medical device requiring maintenance based on the accumulated result. The medical device management apparatus according to any one of claims 1 to 4. Reading the identification information of the medical device and the identification information of the patient or the user of the medical device and recording it in the database together with the date and time information;
Obtaining medical information from a hospital information system;
Associating the identification information of the patient or the user of the medical device with the medical information acquired by the medical information acquisition means;
A medical device management method comprising the steps of: integrating the number of times of use or time of use based on recorded usage history information of the medical device; and extracting and outputting a medical device requiring maintenance based on the integration result .

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