JP2006051073A - Endoscopic system, information processing device, endoscopic apparatus, endoscope washing device and program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an endoscopic system allowing a user to accurately and easily change a washing program. <P>SOLUTION: The endoscopic apparatus reads identification information from a connected endoscope or treatment instrument using a reader/writer 21, refers to an endoscopic information server 1 based on the identification information, and writes information for determination obtained from the server as a response in the endoscope or treatment instrument. The subject endoscope washing device 3 reads the information for determination by a reader/writer 31 and determines the content of washing. In another embodiment, the endoscope washing device 3 reads the identification information from the endoscope or treatment instrument by the reader/writer 31, refers to the endoscopic information server 1 based on the information, and determines the content of washing based on the information for determination obtained from the server as a response. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to an endoscope system, and more particularly to a technique for cleaning an endoscope and a treatment tool used in an endoscopy.

  Currently, an endoscopic device that performs endoscopy is connected to a network laid in a hospital facility, and endoscopy images taken by endoscopy, doctor's findings, patient information, examination date, etc. An endoscope system that records and stores various information for inspection such as recording in a server via a network is widely used.

It has also been proposed to use this endoscope system to manage information about endoscopes such as scopes used for endoscopy and cleaning processing of treatment tools.
For example, Patent Document 1 discloses a configuration in which a server for storing various information and an endoscope cleaning device are connected to a network, and information about cleaning processing performed by the endoscope cleaning device is transmitted to the server for storage management. Has been.
Japanese Patent Laying-Open No. 2002-281132 (FIG. 1, paragraph [0016])

  For cleaning endoscopes and treatment tools such as scopes used for endoscopy, hospital staff set treatment tools to be cleaned in the endoscope cleaning device. According to the endoscope system currently implemented or proposed, such as the system of Patent Document 1, the amount of contamination of the scope due to blood, etc. Judging from the characteristic information for the patient such as the presence or absence of the disease, the operation button of the endoscope cleaning device is operated to set the cleaning program.

Thus, until now, the setting of the washing program has been performed manually by hospital staff, which has been troublesome.
An object of the present invention is to provide an endoscope system capable of changing a washing program accurately and without trouble.

  The first form of the endoscope system according to the present invention is used in an information processing apparatus that manages patient information, examination information, examination information, and the like, an endoscope apparatus that performs an endoscopic examination, and an endoscopic examination. It is assumed that the endoscope cleaning device for cleaning the endoscope or the treatment tool is connected via a network.

  The information processing apparatus stores the determination material information used to determine how to clean the endoscope or treatment tool in association with identification information for uniquely identifying the endoscope or treatment tool. When the identification information is notified from the mirror information storage means and the endoscope apparatus, the judgment material information associated with the identification information is read from the endoscope information storage means and returned to the endoscope apparatus Endoscope information reading means.

  The endoscope apparatus includes: a reading unit that reads the identification information from a memory of a connected endoscope or treatment instrument; an inquiry unit that notifies the information processing apparatus of the identification information read by the reading unit; Writing means for writing a response from the information processing apparatus to the notification by the inquiry means in the memory of the endoscope or treatment tool.

The cleaning device includes cleaning means for reading the determination material information from the endoscope or the memory of the treatment tool and determining the content of the cleaning process based on the determination material information.
With this configuration, the endoscope cleaning apparatus can automatically determine the content of the cleaning process based on the determination material information written by the endoscope apparatus.

  In addition, the second form of the endoscope system according to the present invention is an information processing apparatus that manages patient information, examination information, examination information, and the like, and an endoscope or treatment tool used in endoscopy. It is assumed that the endoscope cleaning device is connected via a network.

  The information processing apparatus stores the determination material information used to determine how to clean the endoscope or treatment tool in association with identification information for uniquely identifying the endoscope or treatment tool. When the identification information is notified from the mirror information storage means and the endoscope cleaning apparatus, the judgment material information associated with the identification information is read from the endoscope information storage means, and the endoscope cleaning apparatus Endoscope information reading means for returning to

  The endoscope cleaning apparatus reads the identification information from the memory of the endoscope or treatment tool, and sends inquiry information to the information processing apparatus, and the information processing apparatus for notification by the inquiry means Cleaning means for determining the content of the cleaning process based on the judgment material information transmitted as a response to the above.

  With this configuration, the endoscope cleaning apparatus can automatically determine the content of the cleaning process by making an inquiry to the information processing apparatus using the identification information read from the endoscope or the treatment tool.

  In the second embodiment, the information processing apparatus further includes a table storage unit that receives and stores a table indicating a correspondence relationship between the identification information and the determination material information, and the cleaning unit has a response to the notification by the inquiry unit. When not in the information processing apparatus, the content of the cleaning process can be determined by referring to the table by the identification information.

With this configuration, it is possible to cope with a communication failure with the information processing apparatus.
Furthermore, the third form of the endoscope system according to the present invention is an information processing apparatus that manages patient information, examination information, examination information, etc., and an endoscope that cleans the endoscope or treatment instrument used in the endoscopy. It is assumed that the mirror washing device is connected via a network.

  The information processing apparatus stores the determination material information used to determine how to clean the endoscope or treatment tool in association with identification information for uniquely identifying the endoscope or treatment tool. Mirror information storage means, cleaning program storage means for storing the processing contents of each cleaning program that defines the processing contents of the cleaning processing by the endoscope cleaning apparatus, and notification from the endoscope cleaning apparatus A cleaning program to be read from the cleaning program storage means, and information reading means for reading judgment material information associated with the notified identification information from the endoscope information storage means, and reading from the endoscope information storage means The processing content by the washing program is examined from the judgment material information and the notified sensor information, and a control instruction is given based on the examination result. And a control instructing means for notifying 滌 device.

  The endoscope cleaning apparatus includes an identification information reading unit that reads the identification information from a memory of the endoscope or a treatment tool, and a cleaning unit that performs a cleaning process of the endoscope or the treatment tool based on the cleaning program. The sensor means for detecting the processing state of the cleaning process by the cleaning means, the identification information read by the identification information reading means, the information indicating the cleaning program used by the cleaning means, and the processing state by the sensor means Inquiry means for notifying the information processing apparatus to the information processing apparatus, and cleaning control means for controlling the cleaning process by the cleaning means based on the control instruction transmitted as a response from the information processing apparatus to the notification by the inquiry means And comprising.

With this configuration, the endoscope cleaning apparatus can finely control the cleaning process by the cleaning means.
The present invention also includes within its scope an information processing apparatus, an endoscope apparatus, an endoscope cleaning apparatus, and a program executed therein.

  According to the present invention, the processing contents of the endoscope and the treatment tool used in the endoscopic examination are automatically determined and executed. Therefore, there is no need to perform a troublesome set input of cleaning contents.

In addition, since the contents of the cleaning process are automatically determined from the identification information stored in the endoscope or treatment instrument, it is possible to prevent human error from occurring.
Further, finer setting and control can be performed than the conventional cleaning process, and the quality of the cleaning itself can be improved.

An embodiment according to the present invention will be described below with reference to the drawings.
FIG. 1 is a diagram showing a configuration of an endoscope system according to the present embodiment.
The system shown in the figure has a configuration in which an endoscope information server 1, an endoscope apparatus 2, and an endoscope cleaning apparatus 3 are network-connected by an in-hospital LAN 4 that is a network laid in a hospital facility. In the figure, one endoscope device 2 and one endoscope cleaning device 3 are shown, but these may be connected to a plurality of in-hospital LANs 4.

  The endoscope information server 1 is a server that manages information about an endoscopic examination performed in a hospital, and various types of endoscopic examinations such as patient information, examination information, captured image information, and execution record information. Information on the patient, information on the patient, and information on the cleaning process by the endoscope cleaning apparatus 3 are stored in the endoscope information database 11 provided therein and stored and managed. Further, examination information stored in the endoscope information database 11 such as an endoscopic examination record, and information about a patient who has undergone endoscopic examination have an internal insertion part such as a scope. It is stored and stored in association with the identification information of the endoscope or treatment tool. By using the identification information as a search key, information on the endoscopy in which the endoscope or treatment tool is used and information on the patient Information can be read from the endoscope information database 11.

  The endoscope apparatus 2 includes a video processor, a light source device, and the like, and performs an endoscopic examination by connecting an endoscope such as a scope or a treatment tool. The endoscope apparatus 2 also includes a reader / writer 21 that reads from and writes to a memory included in the endoscope and the treatment tool, and the endoscope or the treatment tool is connected to the endoscope apparatus 2 as described later. When it is detected, identification information such as a serial number is read from the memory of the endoscope or treatment tool, and information used for selecting a cleaning program when cleaning is performed by the endoscope cleaning device 3 is written. The reader / writer 21 may be configured as an external device connected to the endoscope cleaning device 3 instead of being one of the components of the endoscope device 2.

  The endoscope cleaning apparatus 3 performs a cleaning process on an endoscope such as a scope and a treatment tool that are used by being connected to the endoscope apparatus 2 in an endoscopic examination. The endoscope apparatus 3 reads information from an endoscope or treatment tool set for washing using the reader / writer 31, selects a washing program based on this information, and cleans the treatment tool. To implement. The reader / writer 31 may also be configured as an external device connected to the endoscope cleaning device 3 instead of being one of the components of the endoscope cleaning device 3. In the present specification, the cleaning process is not only a process for performing the cleaning in a narrow sense, but is a process for performing disinfection or sterilization, or a process for cleaning. It may include all or two of the three processes of disinfection and sterilization. Further, the endoscope cleaning device 3 does not indicate only a device that performs cleaning, but includes all devices that can perform all or a part of cleaning, disinfection, and sterilization.

  In the endoscope system of the present embodiment, an endoscope such as a scope and a treatment tool that are used by being connected to the endoscope apparatus 2 at the time of endoscopy are RFID (in the case of a configuration that reads and writes by wireless communication), Alternatively, a non-volatile readable / writable memory configured by an EEPROM or the like (in the case of a configuration for reading and writing by wired communication) is provided. The memory stores identification information of the endoscope and the treatment tool, and the endoscope device 2 and the washing device 3 are used when performing an endoscopic examination or washing the endoscope or the treatment tool. Reads information in this memory by the reader / writers 21 and 31, and selects a washing program by making various inquiries to the endoscope information server 1 based on this information, or washing in this memory. Information necessary for selecting the program is written, and this is read out during the cleaning process by the endoscope cleaning apparatus 3 to select the cleaning program. In addition, since this memory does not require a connector to the memory when it is configured by RFID, it can be realized without increasing the number of parts that cannot be washed when performing washing to an endoscope or a treatment instrument.

FIG. 2 is a diagram illustrating a configuration example of the endoscope information server 1.
As shown in FIG. 2, the endoscope information server 1 in this embodiment includes a CPU 51, a main storage device 52, an auxiliary storage device 53 such as a hard disk, an input / output device (I / O) 54 such as a display and a keyboard, A network connection device 55 such as a modem for connecting to a hospital LAN and a medium reading device 56 for reading stored contents from a portable storage medium 58 such as a disk or a magnetic tape, which are connected to each other via a bus 58. I have.

  The endoscope information server 1 shown in FIG. 2 reads out programs and data stored in a storage medium 57 such as a magnetic tape, a floppy (registered trademark) disk, a CD-ROM, and an MO by a medium reader 56 and uses them. Download to the storage device 52 or the auxiliary storage device 53. Then, the CPU 51 performs an execution process based on the program and data, thereby realizing functions of various processes described later using a flowchart.

FIG. 3 is a diagram illustrating a configuration example of the endoscope cleaning apparatus 3.
As shown in FIG. 3, the endoscope cleaning device 3 in this embodiment includes a CPU 61, a main storage device 62, an auxiliary storage device 63 such as a hard disk, a display, a touch panel, input keys, the reader / writer 31 described above, and the like. A washing control unit 66 for controlling an input / output device (I / O) 64, a network connection device 65 such as a modem for connecting to a hospital LAN, and a washing unit 67 for washing a set endoscope or treatment instrument. And these are connected to each other by a bus 68.

  The endoscope cleaning apparatus 3 performs a cleaning program selection process, which will be described later, by the CPU 61 executing a program on the main storage device 62 and the auxiliary storage device 63, and controls the cleaning control unit 66 based on the cleaning program. The cleaning control unit 66 controls the cleaning unit 67 based on this instruction to perform sterilization and cleaning processing of the endoscope and the treatment tool set.

Next, a first operation mode in the endoscope system of the present embodiment will be described.
In the first operation mode, when an endoscope such as a scope or a treatment tool is connected to the endoscope apparatus 2 at the time of an endoscopic examination, the endoscope apparatus 2 uses the reader / writer 21 to read from the memory of the treatment tool. Identification information for identifying the endoscope or treatment tool such as the model number or serial number of the endoscope or treatment tool is read out and notified to the endoscope information server 1.

  The endoscope information server 1 searches the endoscope information database 11 using this identification information, and provides information for instructing the endoscope or the treatment tool how to clean the endoscope 3. It returns to the endoscope apparatus 2 as a response, and the endoscope apparatus 2 writes this information in the memory in the treatment instrument.

  When the endoscope or treatment tool is washed in the endoscope washing apparatus 3 after the endoscopic examination is completed, the endoscope washing apparatus 3 uses the endoscope or treatment set using the reader / writer 31. Information written by the endoscope apparatus 2 is read from the tool, and a cleaning program is selected based on this information to perform a cleaning process.

  FIG. 4 is a flowchart showing an operation process of the endoscope information server 1 and the endoscope apparatus 2 in the first operation mode. The processing in the figure is realized by the CPU 51 in the endoscope information server 1 and the endoscope apparatus 2 executing a program on the main storage device 52 or the auxiliary storage device 53.

  In the operation process shown in the figure, when an endoscope such as a scope or a treatment instrument is connected as a preparatory treatment when the endoscope apparatus 2 starts an endoscopic examination, the connection is performed by a sensor as step SA1. Is detected.

  Then, the endoscope apparatus 2 reads identification information such as a serial number from the endoscope or treatment instrument connected using the reader / writer 21 in step SA2, and the endoscope apparatus 2 reads this through the in-hospital LAN 4 in step SA3. It transmits to the information server 1. As a reading method, for example, when the endoscope or the memory of the treatment tool is constructed by the RFID technology, the reader / writer 21 detects the connection of the endoscope or the treatment tool and detects the identification information by radio. This is done by transmitting a transmission request and receiving data transmitted by the RFID as a response. Further, when the endoscope or the treatment instrument memory is constituted by a nonvolatile memory, when the endoscope or the treatment instrument is connected to the endoscope apparatus 2, it is configured to be connected to the memory by wire. When the connection of the endoscope or treatment tool is detected, the CPU in the endoscope apparatus 2 directly reads out information from this memory.

  When receiving the identification information from the endoscope apparatus 2 (step SB1), the endoscope information server 1 searches the endoscope information database 11 using the identification information as a search key in step SB2, and selects the endoscope or Examining the characteristics of the patient used, such as the type of treatment tool, the presence or absence of infectious disease, etc., based on the results, generate judgment material information used to determine how to wash during the washing process by the endoscope washing apparatus 3, This is returned to the endoscope apparatus 2 (step SB3). The judgment material information at this time may be information specifying a cleaning program provided in the endoscope cleaning apparatus 3, or characteristics of a patient who uses an endoscope or a treatment tool to select a cleaning program. Etc. may also be used.

  When a response is received from the endoscope information server 1 as step SA4, the endoscope apparatus 2 writes this in the memory in the endoscope or treatment instrument using the reader / writer 21 as step SA5.

  FIG. 5 is a flowchart showing an operation process of the endoscope cleaning apparatus 3 in the first operation mode. The processing in the figure is realized by the CPU 61 in the endoscope cleaning device 3 executing a program on the main storage device 62 or the auxiliary storage device 63.

  In the operation process shown in the figure, when an endoscope such as a scope for cleaning or a treatment tool is set in the endoscope cleaning apparatus 3 and the start button is pressed (step S11), the endoscope cleaning apparatus 3 In step S12, the judgment material information is read from the endoscope or the treatment tool set by using the reader / writer 31.

  Then, the endoscope cleaning apparatus 3 selects a cleaning program based on the determination material information in step S13, and executes the cleaning program in step S14 to perform the endoscope or treatment tool cleaning process.

  As described above, in the first operation mode, the selection of the content of the washing process when washing with the endoscope washing apparatus 3, such as the presence or absence of infection of the patient who examines the endoscope or the treatment tool during the endoscope examination. Information that has an influence on the information is written as judgment material information in the treatment instrument at the time of endoscopy. When the endoscope cleaning apparatus 3 performs a cleaning process, the judgment material information is read out and a cleaning program is automatically selected and executed. As a result, an appropriate cleaning program can be selected accurately and easily, and the endoscope and the treatment tool can be cleaned.

Next, a second operation mode will be described.
In the second embodiment, the endoscope cleaning apparatus 3 reads identification information from the endoscope or the treatment tool using the reader / writer 31 at the time of cleaning, and a response obtained by transmitting this information to the endoscope information server 1 Then, determine the washing program. In the second operation mode, as in the first operation mode, at the time of endoscopy, the endoscope apparatus 2 performs processing such as reading and writing data from the memory of the endoscope and the treatment tool. There is no need to do it.

  FIG. 6 is a flowchart showing an operation process of the endoscope information server 1 and the endoscope cleaning apparatus 3 in the second operation mode. The processing in the figure is also realized by the CPUs 51 and 61 in the endoscope information server 1 and the endoscope cleaning device 3 executing programs on the main storage devices 52 and 62 or the auxiliary storage devices 53 and 63. .

  In the operation process shown in the figure, when an endoscope such as a scope for cleaning or a treatment tool is set in the endoscope cleaning apparatus 3, and the start button is pressed (step SA21), the endoscope cleaning apparatus 3 In step SA22, the judgment material information is read out from the endoscope or the treatment tool set using the reader / writer 31. Then, the endoscope cleaning apparatus 3 transmits this determination material information to the endoscope information server 1 as step SA23.

  When receiving the identification information from the endoscope cleaning device 3 (step SB21), the endoscope information server 1 searches the endoscope information database 11 using the identification information as a search key in step SB22. Alternatively, the characteristic information of the patient used such as the type of treatment tool and the presence or absence of infectious disease is examined, and based on the result, the above-mentioned determination material information for selecting a washing program at the time of washing treatment by the endoscope washing apparatus 3 is obtained. It produces | generates and returns this to the endoscope apparatus 2 (step SB23).

  The endoscope washing apparatus 3 receives the judgment material information as a response from the endoscope information server 1 as step SA24, selects a washing program based on this judgment material information as step SA25, and this washing program as step SA26. The endoscope or the treatment tool is cleaned by executing the above.

  As described above, in the second operation mode, the endoscope cleaning device 3 reads the identification information from the treatment tool during the cleaning process of the endoscope or the treatment tool, and makes an inquiry to the endoscope information server 1 using this identification information. And choose a washing program based on the response. Thereby, also in the second operation mode, an appropriate cleaning program can be selected accurately and without trouble, and the endoscope and the treatment tool can be cleaned. In addition, the cleaning program can be selected by inquiring to the endoscope information server 1 during the cleaning process, so that it is possible to set and manage the cleaning program in detail according to the patient attribute information and how it is used in actual endoscopy. I can do it.

Next, a third operation mode will be described.
In the third operation mode, the endoscope cleaning apparatus 3 reads identification information from the endoscope and the treatment tool using the reader / writer 31 during cleaning, and from the various sensors provided in the cleaning unit 67 together with this identification information. The information is transmitted to the endoscope information server 1 together with the information, and the cleaning process is controlled based on the response. Thereby, finer control according to the change of the state of the washing part 67 by a washing process is implement | achieved.

  FIG. 7 is a flowchart showing an operation process of the endoscope information server 1 and the endoscope cleaning device 3 in the third operation mode. The processing in the figure is also realized by the CPUs 51 and 61 in the endoscope information server 1 and the endoscope cleaning device 3 executing programs on the main storage devices 52 and 62 or the auxiliary storage devices 53 and 63. .

  In the operation process shown in the figure, when an endoscope such as a scope for cleaning or a treatment tool is set in the endoscope cleaning apparatus 3 and the start button is pressed (step SA31), the endoscope cleaning apparatus 3 In step SA32, the judgment material information is read out from the endoscope or the treatment tool set using the reader / writer 31.

  Next, the endoscope cleaning apparatus 3 starts cleaning using a cleaning program set as a default in step SA33. In step S34, the name of the cleaning program currently being executed, the identification information read from the endoscope or the treatment tool in step S32, and sensor information from various sensors provided in the cleaning unit 67 are displayed as endoscope information. Send to server 1. The sensor information transmitted here may be the type, concentration, temperature, type, etc. of the cleaning solution.

  When the endoscope information server 1 receives various information transmitted from the endoscope cleaning apparatus 3 in step SA34 (step SB31), the endoscope information server 1 searches the endoscope information database 11 using this identification information as a search key in step SB32. The type information of the endoscope or the treatment tool and the characteristic information recording the characteristic (presence / absence of infection) of the patient using the endoscope or the treatment tool are examined. Further, the contents of the process executed by the washing program are checked from the name of the washing program, the contents checked from the endoscope information database 11 and the contents of the washing process currently executed by the endoscope washing apparatus 3 from the received sensor information. To determine whether or not the contents are appropriate. If not, issue a control command for instructing to change the washing program, change the processing contents, and stop the washing process. It returns to the endoscope cleaning apparatus 3.

FIG. 8 is a diagram showing the contents of processing performed by each cleaning program executed by the endoscope cleaning apparatus 3 stored in the endoscope information database 11.
In the example shown in the figure, for each of the four washing programs 1 to 4, whether water leakage detection is performed automatically or visually, washing time, disinfection time, disinfection temperature, rinsing time, and alcohol flush It is shown whether or not to do.

  In the endoscope information server 1, the information shown in FIG. 8 is searched from the endoscope information database 11 by the program name of the cleaning program received from the endoscope cleaning apparatus 3, and the processing content performed by this cleaning program From the endoscope information database 11 and the type of endoscope and treatment instrument being cleaned, the characteristics of the patient used (such as the presence or absence of infectious disease), and the received sensor information Then, it is determined whether or not the processing content performed by this cleaning program is appropriate. If the processing content is inappropriate, a control command for instructing the change of the processing content is issued, and this is transmitted to the endoscope cleaning device 3. Change the cleaning process.

FIG. 9 is a diagram illustrating an example of a control command.
In the example of the figure, four commands of commands A to D instructing automatic switching of the washing program, heating of the disinfection tank, and addition / cancellation of the alcohol flush process are shown. Note that the control commands in the figure are only examples, and appropriate commands can be provided according to the content of the cleaning process performed by the endoscope cleaning apparatus 3.

  When the endoscope information server 1 determines that the processing by the currently executed cleaning program is inappropriate, it issues a control command as shown in FIG. 9 and returns this as a response to the endoscope cleaning device 3. To give a control instruction.

  The endoscope cleaning apparatus 3 that has received the response including the control command as shown in FIG. 8 from the endoscope information server 1 as Step SA35 in FIG. 7 performs the cleaning based on the control command in this response as Step SA36. The cleaning control unit 36 is caused to execute the control of the unit 37.

  Thereafter, the processes of steps SA34 to SA36 are repeated until the cleaning process is completed (step SA37, N). When the cleaning by the endoscope cleaning apparatus 3 is completed (step SA37, Y), this process is ended.

  As described above, in the third operation mode, the endoscope cleaning device 3 notifies the endoscope information server 1 of sensor information indicating various states in the cleaning process while the endoscope and the treatment tool cleaning process is being executed. Then, the cleaning process is controlled based on the response. Thereby, in the 3rd operation form, the washing process by the finer control corresponding to the change of the various states in a washing process is realizable.

Next, a fourth operation mode will be described.
In the fourth mode, a communication failure in the hospital LAN 4 is dealt with, and the endoscope cleaning device 3 receives a table for selecting a cleaning program from the endoscope information server 1 in advance. When a failure occurs in communication with the endoscope information server 1, a cleaning program is selected using this table.

  FIG. 10 is a flowchart showing an operation process of the endoscope cleaning apparatus 3 in the fourth operation mode. Note that the processing in the figure is also realized by the CPU 61 in the endoscope cleaning device 3 executing a program on the main storage device 62 or the auxiliary storage device 63. The operation of the endoscope information server 1 in the fourth embodiment is basically the same as that shown in FIG.

  First, in step S41, the endoscope cleaning apparatus 3 receives a table for selecting a cleaning program from the endoscope information server 1 in advance before the endoscope and the treatment tool such as a scope are cleaned. Store in memory.

  Next, as a cleaning process, when an endoscope or treatment tool for cleaning is set in the endoscope cleaning apparatus 3 and the start button is pressed (step S42), the endoscope cleaning apparatus 3 reads the reader as step S43. / The judgment material information is read from the endoscope or the treatment tool set by using the writer 31. Then, the endoscope cleaning apparatus 3 transmits this determination material information to the endoscope information server 1 in step S44.

  Thereafter, if there is no problem in communication with the endoscope information server 1 and a response to the transmission in step S43 is returned from the endoscope information server 1 (step S45, Y), the same as in the second embodiment. In step S47, a washing program is selected based on the judgment material information received as a response from the endoscope information server 1, and in step S48, the washing program is executed, thereby washing the endoscope or the treatment tool.

  On the other hand, when there is no response from the endoscope information server 1 due to a communication failure in the hospital LAN 4 or because the endoscope information server 1 is down (step S45, N), step S46 is performed as a step. The table received in S41 is referred to by the identification information read from the endoscope or the treatment tool in Step S43, the washing program is determined, and the washing program for the endoscope or the treatment tool is executed by executing this washing program in Step S48. Perform processing.

  As described above, in the fourth operation mode, even if the communication with the endoscope information server 1 is hindered such as a communication failure of the hospital LAN 4, an appropriate washing program is selected, and the endoscope and the treatment tool are selected. Can be washed.

  As described above, according to the endoscope system according to the present embodiment, the cleaning of the endoscope and the treatment tool used in the endoscopy is automatically performed by selecting the cleaning program during the cleaning process. Therefore, the washing program can be changed accurately and without any trouble.

In addition, since the contents of the cleaning process are automatically determined from the identification information stored in the endoscope or treatment instrument, it is possible to prevent human error from occurring.
Further, finer setting and control can be performed than the conventional cleaning process, and the quality of the cleaning itself can be improved.

It is a figure which shows the structure of the endoscope system in this embodiment. It is a figure which shows the structural example of an endoscope information server. It is a figure which shows the structural example of an endoscope cleaning apparatus. It is a flowchart which shows the operation | movement process of the endoscope information server and endoscope apparatus in a 1st operation | movement form. It is a flowchart which shows the operation | movement process of the endoscope cleaning apparatus in a 1st operation | movement form. It is a flowchart which shows the operation | movement process of the endoscope information server and endoscope cleaning apparatus in a 2nd operation | movement form. It is a flowchart which shows the operation | movement process of the endoscope information server and endoscope cleaning apparatus in a 3rd operation | movement form. It is a figure which shows the processing content performed by each cleaning program performed with the endoscope cleaning apparatus memorize | stored in the endoscope information database. It is a figure which shows the example of a control command. It is a flowchart which shows the operation | movement process of the endoscope washing apparatus in a 4th operation form.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Endoscope information server 2 Endoscope apparatus 3 Endoscope washing apparatus 4 Hospital LAN
11 Endoscope information database 21, 31 Reader / writer 51, 61 CPU
52, 62 Main storage device 53, 63 Auxiliary storage device 54, 64 Input / output device 55, 65 Network connection device 56 Media reading device 57 Portable storage media 58, 68 Hospital LAN
66 Cleaning control section 67 Cleaning section

Claims (20)

Information processing apparatus for managing patient information, examination information, examination information, and the like, an endoscope apparatus for performing an endoscopic examination, and an endoscope washing apparatus for washing an endoscope or a treatment instrument used in the endoscopic examination Are connected via a network, and the information processing apparatus includes:
Endoscope information storage means for storing judgment material information used for determining how to clean the endoscope or treatment tool in association with identification information for uniquely identifying the endoscope or treatment tool;
When the identification information is notified from the endoscope apparatus, the determination information associated with the identification information is read from the endoscope information storage means and the endoscope information is read back to the endoscope apparatus. Means,
With
The endoscope apparatus is
Reading means for reading out the identification information from the memory of the connected endoscope or treatment tool;
Inquiry means for notifying the information processing apparatus of the identification information read by the reading means;
Writing means for writing a response from the information processing apparatus to the notification by the inquiry means in the memory of the endoscope or treatment tool;
With
The endoscope cleaning apparatus is
Washing means for reading the judgment material information from the memory of the endoscope or treatment tool and determining the content of the washing process based on the judgment material information;
An endoscope system comprising: An endoscope system in which an information processing apparatus that manages patient information, examination information, examination information, and the like, and an endoscope cleaning apparatus that cleans an endoscope or treatment instrument used in an endoscopic examination are connected via a network. The information processing apparatus includes:
Endoscope information storage means for storing judgment material information used for determining how to clean the endoscope or treatment tool in association with identification information for uniquely identifying the endoscope or treatment tool;
An endoscope which, when notified of the identification information from the endoscope cleaning apparatus, reads judgment material information associated with the identification information from the endoscope information storage means and returns it to the endoscope cleaning apparatus Information reading means;
With
The endoscope cleaning apparatus is
Inquiry means for reading the identification information from the endoscope or the memory of the treatment instrument and notifying the information processing apparatus of the identification information;
Washing means for determining the content of the washing process based on the determination material information transmitted as a response from the information processing apparatus to the notification by the inquiry means;
An endoscope system comprising: The endoscope cleaning apparatus is
Table storage means for receiving and storing a table showing the correspondence between the identification information and the judgment material information from the information processing apparatus, and the washing means when the response to the notification by the inquiry means is not received from the information processing apparatus The endoscope system according to claim 2, wherein the contents of the cleaning process are determined by referring to the table according to the identification information. An endoscope system in which an information processing apparatus that manages patient information, examination information, examination information, and the like, and an endoscope cleaning apparatus that cleans an endoscope or treatment instrument used in an endoscopic examination are connected via a network. The information processing apparatus includes:
Endoscope information storage means for storing judgment material information used for determining how to clean the endoscope or treatment tool in association with identification information for uniquely identifying the endoscope or treatment tool;
Cleaning program storage means for storing the processing content of each cleaning program that defines the processing content of the cleaning processing by the endoscope cleaning device,
In response to the notification from the endoscope cleaning apparatus, the corresponding cleaning program is read from the cleaning program storage means, and the judgment material information associated with the notified identification information is read from the endoscope information storage means. Information reading means;
Control for examining processing contents by the washing program from the judgment material information read from the endoscope information storage means and the notified sensor information, and notifying the endoscope washing apparatus of a control instruction based on the examination result Instruction means;
With
The endoscope cleaning apparatus is
Identification information reading means for reading out the identification information from the memory of the endoscope or treatment instrument;
A cleaning means for performing a cleaning process of the endoscope or the treatment tool based on the cleaning program;
Sensor means for detecting the processing state of the cleaning process by the cleaning means;
Inquiry means for notifying the information processing apparatus of the identification information read by the identification information reading means, information indicating the cleaning program used by the cleaning means, and information indicating the processing state by the sensor means;
A cleaning control means for controlling a cleaning process by the cleaning means based on the control instruction transmitted as a response from the information processing apparatus to the notification by the inquiry means;
An endoscope system comprising:   The endoscope according to any one of claims 1 to 4, wherein the determination material information includes information indicating the presence or absence of an infectious disease in a patient using the corresponding endoscope or treatment tool. system.   The endoscope system according to any one of claims 1 to 5, wherein the memory of the endoscope or treatment instrument is constructed by RFID technology. Endoscope equipment that performs endoscopy and endoscope cleaning equipment that cleans endoscopes or treatment tools used in endoscopy are connected via a network to manage patient information, examination information, examination information, etc. An information processing apparatus for storing judgment material information used to determine how to clean the endoscope or treatment tool in association with identification information for uniquely identifying the endoscope or treatment tool. Endoscope information storage means;
When notified of the identification information from the outside via the network, endoscope information reading means for reading out judgment material information associated with the identification information from the endoscope information storage means and returning the information,
An information processing apparatus comprising: An information processing apparatus that is connected to an endoscope cleaning apparatus that cleans an endoscope or treatment tool used in an endoscopic examination and that manages patient information, examination information, examination information, and the like. Endoscope information storage means for storing judgment material information used for determining how to clean the treatment tool in association with identification information for uniquely identifying the endoscope or the treatment tool;
Cleaning program storage means for storing the processing content of each cleaning program that defines the processing content of the cleaning processing by the endoscope cleaning device,
In response to the notification from the endoscope cleaning apparatus, the corresponding cleaning program is read from the cleaning program storage means, and the judgment material information associated with the notified identification information is read from the endoscope information storage means. Information reading means;
Control for examining processing contents by the washing program from the judgment material information read from the endoscope information storage means and the notified sensor information, and notifying the endoscope washing apparatus of a control instruction based on the examination result Instruction means;
An information processing apparatus comprising: An endoscope apparatus for performing an endoscopic examination connected to an information processing apparatus for managing patient information, examination information, examination information and the like, and the identification information is obtained from a memory of the connected endoscope or treatment instrument. Reading means for reading; and
Inquiry means for notifying the information processing apparatus of the identification information read by the reading means;
Writing means for writing a response from the information processing apparatus to the notification by the inquiry means in the memory of the endoscope or treatment tool;
An endoscope apparatus comprising:   10. The apparatus according to claim 9, further comprising connection detection means for detecting connection of the endoscope or treatment instrument, wherein the reading means reads the identification information from the memory when the viewing means detects connection. Endoscope device. An endoscope washing apparatus that is connected to an information processing apparatus that manages patient information, examination information, examination information, and the like and that is used to wash an endoscope or treatment tool used in an endoscopic examination. Read means for reading the judgment material information from the memory of the treatment tool;
Cleaning means for determining the content of the cleaning process based on the judgment material information;
An endoscope cleaning apparatus comprising: An endoscope washing apparatus that is connected to an information processing apparatus that manages patient information, examination information, examination information, and the like and that is used to wash an endoscope or treatment tool used in an endoscopic examination. Inquiry means for reading the identification information from the memory of the treatment tool and notifying the information processing apparatus of the identification information;
Washing means for determining the content of the washing process based on the determination material information transmitted as a response from the information processing apparatus to the notification by the inquiry means;
An endoscope cleaning apparatus comprising:   Table storage means for receiving and storing a table showing the correspondence between the identification information and the judgment material information from the information processing apparatus, and the washing means when the response to the notification by the inquiry means is not received from the information processing apparatus The endoscope system according to claim 12, wherein the content of the cleaning process is determined by referring to the table according to the identification information. An endoscope washing apparatus that is connected to an information processing apparatus that manages patient information, examination information, examination information, and the like and that is used to wash an endoscope or treatment tool used in an endoscopic examination. Identification information reading means for reading the identification information from the memory of the treatment instrument;
A cleaning means for performing a cleaning process of the endoscope or the treatment tool based on a cleaning program that defines the cleaning process content;
Sensor means for detecting the processing state of the cleaning process by the cleaning means;
Inquiry means for notifying the information processing apparatus of the identification information read by the identification information reading means, information indicating the cleaning program used by the cleaning means, and information indicating the processing state by the sensor means;
A cleaning control means for controlling a cleaning process by the cleaning means based on the control instruction transmitted as a response from the information processing apparatus to the notification by the inquiry means;
An endoscope cleaning apparatus comprising: Endoscope equipment that performs endoscopy, endoscope cleaning equipment that cleans endoscopes or treatment tools used in endoscopy, and patient information, examination information, examination information, etc. connected by a network A program executed in an information processing apparatus to be managed, and when the identification information is notified from the outside via the network, how to wash the endoscope or treatment tool associated with the identification information A function of reading out judgment material information used for determination from storage means for storing in association with identification information for uniquely identifying the endoscope or treatment tool;
A function of returning the judgment material information read from the storage means to the notification destination;
A program that realizes Endoscope equipment that performs endoscopy, endoscope cleaning equipment that cleans endoscopes or treatment tools used in endoscopy, and patient information, examination information, examination information, etc. connected by a network A program executed in an information processing apparatus to be managed, comprising: identification information for uniquely identifying an endoscope or a treatment tool from the endoscope cleaning apparatus, and a processing state of a cleaning process by the endoscope cleaning apparatus Information to be used for determining how to clean the endoscope or treatment tool corresponding to the identification information indicated by the notification, and information including information indicating the content of the cleaning process, and A function of examining the content of the cleaning process from information indicating a processing state;
And a function of notifying the endoscope cleaning apparatus of a control instruction based on the examination result. Performs endoscopic examination connected to a network with an information processing device that manages patient information, examination information, examination information, etc., and an endoscope washing device that cleans the endoscope or treatment instrument used in the endoscopic examination. A program that is executed in the endoscope apparatus and that reads the identification information from the memory of the connected endoscope or treatment tool;
A function of notifying the information processing apparatus of the read identification information;
A function of writing a response from the information processing apparatus to the notification in a memory of the endoscope or treatment tool;
A program that realizes It is a program that is connected to an information processing device that manages patient information, examination information, examination information, etc., and is executed in an endoscope washing device that washes an endoscope or treatment instrument used in an endoscopic examination. A function of reading out the judgment material information from the memory of the endoscope or treatment instrument;
A function of determining the content of the cleaning process based on the judgment material information;
A program that realizes It is a program that is connected to an information processing device that manages patient information, examination information, examination information, etc., and is executed in an endoscope washing device that washes an endoscope or treatment instrument used in an endoscopic examination. An inquiry function for reading the identification information from the memory of the endoscope or treatment tool and notifying the information processing apparatus of the identification information;
A function of determining the content of the cleaning process based on the determination material information transmitted as a response from the information processing apparatus to the notification;
A program that realizes It is a program that is connected to an information processing device that manages patient information, examination information, examination information, etc., and is executed in an endoscope washing device that washes an endoscope or treatment instrument used in an endoscopic examination. A function of reading the identification information from the memory of the endoscope or treatment instrument;
A function of performing a cleaning process of the endoscope or the treatment tool based on a cleaning program that defines the processing content of the cleaning process;
A function of detecting a processing state of the cleaning process;
A function of notifying the information processing apparatus of the identification information read from the endoscope or treatment tool, information indicating the washing program, and information indicating the processing state;
A function of controlling the cleaning process based on a control instruction transmitted as a response from the information processing apparatus to the notification;
A program that realizes

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